PEMERINTAH KABUPATEN KEDIRI DINAS KESEHATAN

UPTD RSUD SIMPANG LIMA GUMUL

Jl. Galuh Candra Kirana Desa Tugurejo Kecamatan Ngasem email : rsud_slg@kedirikab.go.id
KEDIRI
FORM PENGAJUAN ALAT TULIS KANTOR (ATK)
CATURWULAN I 2019
UNIT : PERKUTUT
ABJAD NO. NAMA BARANG SETARA MERK SPESIFIKASI JUMLAH BARANG

BESAR, STRIP PELEKAT, UKURAN 110*230 MM,

A 1 AMPLOP KABINET PUTIH PAPERLINE 80 GSM 4 BOX
KECIL, STRIP PELEKAT, UKURAN 95*152 MM,
A 2 AMPLOP KABINET PUTIH PAPERLINE 80GSM 4 BOX

A 3 AMPLOP KABINET COKLAT KUNJANG NO. 304 UKURAN 27*14 CM 4 BOX

A 4 AMPLOP COKLAT AIR MAIL

B 5 BUKU TULIS SINAR DUNIA KECIL, ISI 38 LEMBAR 10 BIJI

B 6 BUKU TULIS SINAR DUNIA BESAR, ISI 58 LEMBAR

B 7 BUKU FOLIO VISION FOLIO, ISI 50 LEMBAR 10 BIJI

B 8 BUKU FOLIO VISION FOLIO, ISI 100 LEMBAR 5 BIJI

B 9 BUKU FOLIO VISION FOLIO, ISI 200 LEMBAR 5 BIJI

SETENGAH FOLIO PENDEK, ISI 100 LEMBAR,
B 10 BUKU AGENDA VISION UKURAN 11*31 CM 5 BIJI
SETENGAH FOLIO PANJANG, ISI 100 LEMBAR,
B 11 BUKU EKSPEDISI VISION UKURAN 10.5*32 CM 5 BIJI
BUKU AGENDA SURAT KELUAR
B 12 MASUK KIKY 1 BIJI

B 13 BOLPOINT PEN TALI, TEMPEL MEJA

B 14 BOLPOINT SNOWMAN V7 WARNA HITAM 4 BOX

B 15 BOLPOINT SNOWMAN V3 WARNA HITAM

B 16 BOLPOINT SNOWMAN V3 WARNA BIRU 1 BOX

B 17 BOLPOINT SNOWMAN V3 WARNA MERAH 1 BOX

B 18 BOLPOINT WEIYADA WARNA HITAM

B 19 BOLPOINT WEIYADA WARNA BIRU

B 20 BOLPOINT TIZO WARNA HITAM

B 21 BOLPOINT TIZO WARNA BIRU

B 22 BOLPOINT MULTI WARNA BIC 2 WARNA, MERAH BIRU

B 23 BOLPOINT WARNA PILOT 3 WARNA, HITAM MERAH BIRU

B 24 BATERAI ALKALINE/ABC AA, 2 PC 10 BOX

B 25 BATERAI ALKALINE/ABC AAA, 2 PC 10 BOX

B 26 BATERAI ALKALINE/ABC KOTAK, 9V

B 27 BOX FILE BINDEX UKURAN FOLIO 3 BIJI

C 28 CALCULATOR CASIO 12 DIGIT, MX 12S CALCULATOR 1 BIJI

C 29 CALCULATOR CITIZEN BESAR, 16 DIGIT

C 30 CLIP TRIGONAL CADWELL KECIL, NO. 3 ISI 80

C 31 CLIP TRIGONAL JOYKO BESAR, NO. 5 ISI 60

C 32 CLIP BINDER JOYKO NO. 105

C 33 CLIP BINDER JOYKO NO. 107

C 34 CLIP BINDER JOYKO NO. 111

C 35 CLIP BINDER JOYKO NO. 155

C 36 CLIP BINDER JOYKO NO. 200

C 37 CLIP BINDER JOYKO NO. 260

C 38 CLIP BOARD BUTTERFLY TRANSPARANT

C 39 CORRECTION PEN JOYKO CAIR, METAL TIP

C 40 CORRECTION PEN JOYKO ROLL TAPE

C 41 CUTTER JOYKO KECIL, A-300A

C 42 CUTTER JOYKO BESAR BIASA, L-500 2 BIJI

C 43 CD-R GT PRO GT-PRO PLUS 56X, 1 CONE = 50 PCS

C 44 CLEAR SLEEVES JOYKO BENING, UKURAN 23*34 CM

C 45 CONTAINER SUSUN PLASTIK LION STAR KECIL, UKURAN, SUSUN 3 4 BIJI

KECIL, UKURAN 19*13.5*22.5 CM, SUSUN 4
C 46 CONTAINER SUSUN PLASTIK LION STAR 4 BIJI
TC-110 (2 CORE), UKURAN 16.5*8.8*7.4 CM
D 47 DISPENSER ISOLASI JOYKO

D 48 DOCUMENT KEEPER JOYKO 20 POCKET 5 BIJI

D 49 DOCUMENT KEEPER JOYKO 40 POCKET

D 50 DOCUMENT KEEPER JOYKO 60 POCKET

D 51 DOCUMENT KEEPER JOYKO 100 POCKET

D 52 DOUBLE TAPE NACHI TAPE KECIL, 6 MM*10 YARD 4 BIJI

D 53 DOUBLE TAPE NACHI TAPE SEDANG, 12 MM*10 YARD 4 BIJI

D 54 DOUBLE TAPE NACHI TAPE BESAR, 24 MM*10 YARD

E 55 ELEVATED TRAY SUSUN 3

F 56 FLASHDISK TOSHIBA 8 GB

F 57 FLASHDISK TOSHIBA 16 GB 1 BIJI

F 58 FLASHDISK SANDISK OTG SANDISK 32 GB 1 BIJI

G 59 GUNTING JOYKO KECIL, SC-828 2 BIJI

G 60 GUNTING JOYKO SEDANG, SC-838 2 BIJI

G 61 GUNTING JOYKO BESAR, SC-848 2 BIJI

G 62 GUNTING KAIN BUTTERFLY UKURAN 8'

I 63 ISOLASI TRANSPARANT DAIMARU TAPE KECIL, 1 CM, DIAMETER 8 CM

I 64 ISOLASI TRANSPARANT DAIMARU TAPE BESAR, 5 CM, DIAMETER 8 CM

I 65 ISOLASI KERTAS DAIMARU TAPE KECIL, 6 MM

I 66 ISOLASI KERTAS DAIMARU TAPE SEDANG, 1.5 CM 2 BIJI

I 67 ISOLASI KERTAS DAIMARU TAPE BESAR, 5 CM 2 BIJI

I 68 ISI STAPLER MAX KECIL, NO.10-1M 5 BIJI

I 69 ISI STAPLER MAX BESAR, NO. 3-1M 2 BIJI

I 70 ISI CUTTER KENKO KECIL, A-100

I 71 ISI CUTTER KENKO BESAR, L-150

K 72 KERTAS HVS SINAR DUNIA A4, 70 GSM 4 BIJI

K 73 KERTAS HVS SINAR DUNIA A4, 80 GSM

K 74 KERTAS HVS SINAR DUNIA F4, 60 GSM 4 BIJI

K 75 KERTAS HVS SINAR DUNIA F4, 70 GSM

K 76 KERTAS HVS SINAR DUNIA F4, 80 GSM

K 77 KERTAS HVS WARNA SINAR DUNIA A4, WARNA MERAH

K 78 KERTAS HVS WARNA SINAR DUNIA A4, WARNA KUNING

K 79 KERTAS HVS WARNA SINAR DUNIA A4, WARNA HIJAU

K 80 KERTAS HVS WARNA SINAR DUNIA A4, WARNA BIRU

K 81 KERTAS HVS WARNA SINAR DUNIA F4, WARNA MERAH

K 82 KERTAS HVS WARNA SINAR DUNIA F4, WARNA KUNING

K 83 KERTAS HVS WARNA SINAR DUNIA F4, WARNA HIJAU

K 84 KERTAS HVS WARNA SINAR DUNIA F4, WARNA BIRU

K 85 KWITANSI KIKY KECIL, 1 PLY ISI 50

K 86 KERTAS CARBON

K 87 KERTAS STRUK 1 PLY, UKURAN 57MM X 30 M

K 88 KERTAS STRUK 2 PLY, UKURAN 75MM X 60 M

K 89 KERTAS CONTINUOUS RANGKAP 3, UKURAN 9,5 INC X 5,5 INC

K 90 KERTAS BUFALLO

L 91 LEM KERTAS CAIR POVINAL KECIL, 22 ML 2 BIJI

L 92 LEM KERTAS CAIR POVINAL SEDANG, 75 ML 2 BIJI

L 93 LEM KERTAS CAIR POVINAL BESAR, 500 ML

L 94 LEM KERTAS STICK KENKO KECIL, 6 GR

L 95 LEM KERTAS STICK KENKO SEDANG, 15 GR

L 96 LEM KERTAS STICK KENKO BESAR, 25 GR

L 97 LAKBAN HITAM DAIMARU TAPE UKURAN 3 CM, DIAMETER 8 CM

L 98 LAKBAN HITAM DAIMARU TAPE UKURAN 5 CM, DIAMETER 8 CM

L 99 LAKBAN HITAM DAIMARU TAPE UKURAN 7 CM, DIAMETER 8 CM

L 100 LAKBAN COKLAT DAIMARU TAPE

M 101 MIKA BENING UKURAN FOLIO

M 102 MAP KERTAS BIASA, UKURAN FOLIO

M 103 MAP KANCING PLASTIK INTER X FOLDER

M 104 MAP PLONG/SPRING INTER X FOLDER 20 PCS

M 105 MAP JEPIT INTER X FOLDER

M 106 MEMO STICK NOTE POST-IT 1.5*2 INCH 1 KARDUS

M 107 MEMO STICK NOTE JOYKO MEMO STICK MMS-1, 3*3 INCH

M 108 MONEY SPONGE BUTTERFLY

O 109 ORDNER GOBI KECIL, UKURAN 29.5*7.5*21 CM

O 110 ORDNER FORTE BESAR, UKURAN 28*7.5*35 CM 2 BIJI

P 111 PENGHAPUS PENSIL STAEDTLER PUTIH, UKURAN 32*16*13 MM 4 BIJI

P 112 PENGHAPUS PAPAN TULIS KENJOY WB-803

P 113 PAPER FASTENER JOYKO

P 114 PEN HOLDER 8 X 10 CM

P 115 PENSIL STAEDTLER 2B

P 116 PENSIL BLUE RED 2 BIJI

P 117 PERFORATOR JOYKO KECIL, NO. 30-2T

P 118 PERFORATOR KENKO 40 XL

P 119 PERFORATOR JOYKO BESAR, NO. 85B 1 BIJI

P 120 PENGGARIS JOYKO MIKA, 30 CM

P 121 PENGGARIS JOYKO STAINLESS, 30 CM 2 BIJI

P 122 PEMBATAS BUKU KECIL, BESI 2 BIJI

P 123 PEMBATAS BUKU BESAR, BESI

P 124 PAPER STICKER LABEL FOX NO. 121, UKURAN 3.7*7.5 CM 2 PLASTIK

P 125 PAPER STICKER LABEL FOX NO. 107 2 PLASTIK

R 126 RAUTAN KENKO 4 BIJI

S 127 STABILLO JOYKO 1 PACK 1 WARNA 1 BIJI

S 128 SPIDOL BOARDMARKER SNOWMAN WARNA HITAM 8 BIJI

S 129 SPIDOL BOARDMARKER SNOWMAN WARNA MERAH

S 130 SPIDOL BOARDMARKER SNOWMAN WARNA BIRU

S 131 SPIDOL PERMANEN SNOWMAN WARNA HITAM 8 BIJI

S 132 SPIDOL PERMANEN SNOWMAN WARNA MERAH

S 133 SPIDOL PERMANEN SNOWMAN WARNA BIRU

S 134 SPIDOL KECIL SNOWMAN WARNA HITAM

S 135 SPIDOL KECIL SNOWMAN WARNA MERAH

S 136 SPIDOL KECIL SNOWMAN WARNA BIRU

S 137 SHEET PROTECTOR INTER X FOLDER UKURAN F4

S 138 SNELHECTER MAP INTER X FOLDER KERTAS BIASA, UKURAN 23.5*34 CM

S 139 SNELHECTER MAP INTER X FOLDER PLASTIK, UKURAN 23.5*34 CM

JOYKO, MARK N NOTES

S 140 STICKY NOTE 5 WARNA

JOYKO, MARK N NOTES

S 141 STICKY NOTE 4.5*1.2 CM, 7 WARNA
S 142 STAPLER JOYKO KECIL, HD-10 2 BIJI

S 143 STAPLER JOYKO BESAR, HD-50 2 BIJI

NO. 00, UKURAN 40*63 MM, WARNA UNGU
S 144 STAM PAD HERO

S 145 STAM PAD JOYKO PUTIH

S 146 STAMPEL TANGGAL JOYKO NUMBER STAMP N-8 (8 DIGITS)

TINTA REFILL SPIDOL WHITE

T 147 BOARD SNOWMAN WARNA HITAM

TINTA REFILL SPIDOL WHITE

T 148 BOARD SNOWMAN WARNA MERAH

TINTA REFILL SPIDOL WHITE

T 149 BOARD SNOWMAN WARNA BIRU

TINTA REFILL SPIDOL PERMANENT

T 150 SNOWMAN WARNA HITAM

TINTA REFILL SPIDOL PERMANENT

T 151 SNOWMAN WARNA MERAH

TINTA REFILL SPIDOL PERMANENT

T 152 SNOWMAN WARNA BIRU

T 153 TINTA STAMPEL YAMURA WARNA UNGU 4 BIJI

T 154 TINTA STAMPEL YAMURA WARNA MERAH

T 155 TINTA STAMPEL YAMURA WARNA BIRU

T 156 TINTA STAMPEL TRODAT TRODAT WARNA UNGU 2 BIJI

T 157 TINTA PRINTER E-PRINT CANON 200 ML, BLACK + SUNTIKAN

T 158 TINTA PRINTER E-PRINT CANON 200 ML, MAGENTA + SUNTIKAN

T 159 TINTA PRINTER E-PRINT CANON 200 ML, CYAN + SUNTIKAN

T 160 TINTA PRINTER E-PRINT CANON 200 ML, YELLOW + SUNTIKAN

T 161 TINTA PRINTER EPSON 664, BLACK

T 162 TINTA PRINTER EPSON 664, CYAN

T 163 TINTA PRINTER EPSON 664, MAGENTA

T 164 TINTA PRINTER EPSON 664, YELLOW

T 165 TUSUKAN BON

Yang Mengajukan,
 DIANA LESTARI, S.Kep
19830425 200901 2009

*Note: Jika barang yang dibutuhkan belum ada dalam daftar, silahkan ditambahkan pada kolom dibawah
SATUAN GAMBAR KET

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Mengajukan,
NA LESTARI, S.Kep
0425 200901 2009