MUTASI 2015 hARGA UNTUK PUSKESMAS

OKT 14
NO
NAMA OBAT
APBD
2012
HARGA SATUAN
STOK
HARGA
2,152
SISA 2014
APBD 2013
APBN 2013
total
3,120
STOK
HARGA
total
STOK
ACYCLOVIR 5 GR KRIM
ACYCLOVIR 200 MG TABLET
534
648
ALLOPURINOL 100 MG TABLET
104
210
AMBROXOL SYRUP 15 MG / 5 ML
2,475
AMBROXOL TABLET 30 MG
86
113
AMINOFILIN 200 MG TABLET
104
105
AMITRIPTILIN 25 MG TABLET
102
220
10
AMLODIPIN 5 MG TABLET
240
11
440
12
AMPICILLIN SERBUK INJ IM/IV 1000MG/ML
4,750
13
AMOXICILLIN SIRUP KERING 125 MG / 5 ML
3,700
14
AMOXICILLIN 250 MG KAPLET
200
285
15
220
285
369
16
AMOXICILLIN + AS.KLAVULANAT
4,550
5,056
17
ANTALGIN 500 MG TABLET
18
ANTASIDA DOEN TABLET (KOMB. MAGNESIUM

HIDROKSIDA 200 MG + ALUMUNIUM HIDROKSIDA 200
MG)
19
ANTASIDA SUSPENSI
20
ANTI BISA ULAR (ABU) SERUM
471,719
21
ANTI TETANUS SERUM 1500 UI
126,311
22
ANTI BAKTERI DOEN SALEP (KOMB.BASITRASIN 500

IU/G + POLIMIKSIN B 10,000IU/G )
2,491
2,517
23
ANTI FUNGI DOEN (KOMB.ASAM BENZOAT 6 % + ASAM

SALISILAT 3 %)
1,800
1,713
24
ANTI HEMOROID DOEN
3,025
25
ASAM ASCORBIT (VIT.C) 50 MG TABLET
32
26
27
ASAM MEFENAMAT 500 MG
28
ASAM TRANEKSAMAT 500 MG
1,100
29
ATROPIN SULFAT INJ
1,100
30
ATTAPULGIT / MOLAGIT TABLET
31
AQUABIDEST
32
AQUA PRO INJEKSI 25 ML
33
AZITHROMYCIN 500 MG
34
BEKARBON
35
BENZATIN BENZIL PENISILIN 2,4 JUTA IU
36
BETAMETASONE KRIM 0,1 %
37
BETAHISTIN MESILAT 6 MG TABLET
38
BETAKAROTEN 500 IU SYRUP
21,700
534
648
4,750
12,903
3,700
104
104
8,610
210
2,475
STOK
HARGA
161,400
STOK
1,808,100
HARGA
2,000
2,152
339
4,071,900
8,500
104
884,000
2,475
33,000,000
86
3,282,526
38,200
240
47,741,100
1,720
-
43
4,750
8,170,000
200
146
1,100
330
7,200
102
734,400
11,000
240
134
12,100
81
980,100
126,311
43
-
924
25,300
10,000,000
4,550
10,800,000
-
81
12,150,000
5,549,276
50
126,500
6,325,000
8,942,690
3,000
2,491
7,473,000
128
1,800
230,400
3,025
4,537,500
32
100
330
15,400
11,000
13,080
116
200,200
1,524
159
31,831,800
437,200
100
43,720,000
12,600
1,100
13,860,000
90,000
367
33,000,000
1,006
2,900
2,917,400
4,174,500
1,510,740
-
1,977
100
3,012,948
180
12,185
2,193,300
3,300
60,000
187
3,600
3,000
1,500
200
2,491
12,650
50,000
3,590
2,026
9,107,680
1,866
4,245,467
10,000
2,277
2,974
336
150,000
471,719
11,220,000
4,000
19,882,400
12,185
48,994,000
116
165,880
4,936,000
220
171,400
160,600
3,190
200
222,700
52
24,680
15,400
136
1,045
10,000
3,150
HARGA
3,001
2,927,400
STOK
2,100
86
total
13,757,150
-
102
total
-
28,700
3,850
100
25,300
81
1,524
11,587,800
total
440
3,850
116
2,152
116
2,900
HARGA
75
APBD 2014
120
924
110,880
-
39
BISACODYL 10 MG SUPP
6,199
40
BISOPROLOL 5 MG
2,300
41
BROMHEKSIN HCL 8 MG TABLET
55
42
BROMHEKSIN HCL 8 MG SYRUP
43
BROMHEKSIN HCL 8 MG / 4 ML SOL
66,000
44
CALAMIN LOTION
12,650
45
CAPTOPRIL 12,5 MG TABLET
63
46
CAPTOPRIL 25 MG TABLET
88
88
47
CEFIXIME SYRUP KERING 100 MG
10,588
10,588
10,588
48
CEFIXIME 100 MG
958
958
958
49
CEFIXIME 200 MG
50
CEFOTAXIME INJ 1G
5,000
5,000
51
CEFTRIAXON INJ
5,500
52
CETIRIZINE 5 MG SYRUP
53
CETIRIZINE DROP
54
CETIRIZIN 10 MG
188
55
CIMETIDIN TABLET
108
56
CIPROFLOXACIN 500 MG TABLET
245
57
CLINDAMYCIN 150 MG KAPSUL
58
527
59
CHLORPHENIRAMIN MALEAT (CTM) 4 MG
60
CHLORPROMAZINE 100 MG
61
DEKSTROMETORPHAN HBR SYRUP
62
DEKSTROMETORPHAN HBR TABLET 15 MG
63
DEKSTROSA LARUTAN INFUS 5 %
5,060
308
5,060
64
5,727
448
5,727
65
2,061
66
DEXAMETHASON 0,5 MG TABLET
67
DEXAMETHASON INJEKSI
68
DIAZEPAM TABLET
69
DIAZEPAM INJ 5 MG/ML
70
DIFENHIDRAMIN INJ
71
DIGOKSIN 0,25 MG TABLET
72
DOMPERIDON 5 MG SUSPENSI
73
55
11,000
100
66,000
522
6,199
1,600
2,300
3,680,000
132,000
281
37,092,000
430
12,650
5,439,500
100,000
63
6,300,000
242,300
88
21,322,400
344
10,588
3,642,272
18,900
958
18,106,200
100
5,000
500,000
220
5,500
1,210,000
6,600,000
585,800
63
36,905,400
19
5,000
95,000
8,778
10,440
28,050
28,050
116
752
48,800
24
1,171,200
122
15,000
122
1,830,000
1,379
99
69
105
188
-
8,600
245
527
24
2,700
74,200
99
188
24
2,061
2,107,000
7,345,800
8,778
188
108
7,095,200
-
80,000
245
19,600,000
10,000
361
3,610,000
8,400
527
4,426,800
300,000
21
6,300,000
1,379
7,938,000
7,623
245
32,400
3,235,617
10,510,974
1,558,480
2,565,696
103,400
69
7,132,532
30,000
69
2,069,400
2,000
2,595
2,000
5,190,000
30
3,000
30
90,000
2,344
146
2,368
345,728
960
20
800
16,000
91
60
2,344
140,640
4,550,000
DOMPERIDON 10 MG
404
404
74
DOXYCYCLINE 100 MG KAPSUL
220
75
EKSTRAK BELLADONNA TABLET 10 MG
76
EPINEFRIN (ADRENALIN) INJ 0,1%
1,033
77
ERYTHROMYCIN 200 MG SYRUP
7,220
125
7,220
902,500
78
ERYTHROMYCIN 250 MG
440
17,500
440
7,700,000
79
ERYTHROMYCIN 500 MG TABLET
921
44,700
921
41,155,290
80
ETAMBUTOL 500 MG
420
44,000
420
18,480,000
81
ETAKRIDIN 0,1 % / RIVANOL
2,200
16
2,212
35,395
82
ETANOL 70 % 1000 ML
83
FENITOIN 100 MG KAPSUL
84
FENOBARBITAL 30 MG TABLET
85
1,033
25,300
220
528,000
220
25,300
3,624
50,000
91
3,624
136,500
192,000
12,650
2,400
91
960
3,624
1,500
200
1,200
7,220
5,566,000
7,000
220
1,540,000
107
8,100
866,700
8,664,000
200
2,200
440,000
400
35,000
14,000,000
604
8,400
604
5,073,600
65
7,000
65
455,000
FENOL GLISEROL 10 %
1,008
2,136
1,008
2,153,088
86
FITOMENADION INJ
1,450
87
FITOMENADION 10 MG TABLET
88
89
90
FUROSEMID 40 MG TABLET
1,450
579
FLUCONAZOL 150 MG
22,000
200
22,000
4,400,000
FLUTICASONE PROPIONATE 0,5 MG / 2 ML
19,080
220
19,080
4,197,600
91
20,200
91
1,838,200
579
579
8,000
579
4,632,000
39,200
181
91
GAMEKSAN
92
GARAM ORALIT II SERBUK
93
GENTAMYCIN SALEP KULIT
94
GENTIAN VIOLET 1 % - 10 ML
95
GLIBENCLAMIDE 5 MG TABLET
96
GLIMEPIRIDE 2 MG
97
GLIKOSAMIN 500 MG + CHONDROITIN 400 MG + VIT C

50 MG
98
GLISERIL GUAIAKOLT 100 MG TABLET
99
GLISERIN LARUTAN
100
GRISEOFULVIN 125 MG TABLET
200
4,400
200
880,000
101
HALOPERIDOL 0,5 MG TABLET
165
13,300
165
102
HALOPERIDOL 5 MG TABLET
246
23,600
246
103
HALOPERIDOL 5 MG INJEKSI
14,724
104
HEPARIN 200,000 IU GEL
36,000
105
HEPATOPROTEKTOR SYRUP
106
HEPATOPROTEKTOR TABLET
4,675
107
HIDROKORTISON KRIM 2,5 %
2,399
108
HYOSINE N BUTILBROMIDA TABLET
109
IBUPROFEN 125 MG SUPP
110
IBUPROFEN 200 MG SUSPENSI
292
380
1,469
6,800
895
61
500
72
2,200
95,000
23
4,730
37,000
28
1,036,000
3,488,875
100,000
56
5,600,000
1,640
500
820,000
21,330
5,500
117,315,000
1,924,250
41,704,200
500,000
28
2,000
895
13,950,200
1,790,000
4,730
199
2,194,500
5,805,600
36,000
1,469
54
2,375
895
2,185,000
2,150
500
1,985,600
772,300
5,500
292
1,469
54
28
456
14,724
6,713,916
-
7,080
-
300
300
55,550
3,922
2,399
9,408,878
4,499
29,558
2,399
4,499
91
55,550
5,055,050
8,700
146
6,485,200
93
IBUPROFEN 400 MG TABLET
146
113
ISONIAZID 100 MG
44
114
ISONIAZID 300 MG
8,000
107
853,600
115
IMUNOSTIMULAN SIRUP
55,000
324
55,000
17,820,000
116
IMUNOSTIMULAN TABLET
4,950
117
ISOSORBIT DINITRAT 5 MG SUB LING.TABLET
98
118
ITRAKONAZOL 100 MG
119
KALCIUM LACTAT 500 MG TABLET
120
KALIUM DIKLOFENAK 50 MG
121
122
123
KETOKONAZOL 200 MG TABLET
124
KETOKONAZOL KRIM 2 %
4,164
492
4,164
2,048,688
125
KETOPROFEN 100 MG
1,350
600
1,350
810,000
126
KETOROLAC INJ 10 MG
2,539
7,500
127
KLORAMFENIKOL 250 MG KAPSUL
245
245
128
KLORAMFENIKOL 1 %SALEP MATA
1,562
1,562
129
KLORAMFENIKOL SUSPENSI
4,500
130
KLORAMFENIKOL 0,5 % TETES MATA
5,280
131
KLORAMFINEKOL 3 %TETES TELINGA
1,599
132
KLARITROMISIN 500 MG
133
KODEIN FOSFAT 20 MG TABLET
134
KOMB.BETAMETASON VALERAT 1 MG + NEOMISIN

SULFAT 5 MG KRIM/Mytaderm
135
KOMB.BROMHEKSIN 8 MG + DIPHENHIDRAMIN HCL 25

MG + PARASETAMOL 400 MG/Hustab
136
KOMB. BUDENOSID FORMATEROL 80/4,5 MCG

INHALER 60 DOSIS
1,400
1,444
KANAMYCINE 2 GR
19,800
KAOLIN SUSP
12,012
410
38
4,500
2,500
116,820
47
267
4,950
97
52
47
75
370
19,800
2,539
146
5,000
44
259,196
-
1,485,000
8,289
2,500
950
6,600
47
5,202,900
1,400
12,012
16,816,800
267
570,000
5,259
4,700
24,717,300
608
1,520,000
2,539
761,700
1,520,000
1,545
5,280
8,157,600
2,375,000
-
110,700
300
1,599
4,389
8,289
36,378,227
300
1,400
2,500
3,126
1,900
36,300,000
-
4,998,474
300
950
60,500
3,800
149
600
400
-
35,000
1,058,763
220,000
417
171,000
-
93
4,499,000
1,200
2,800
4,499
111
93
1,000
112
107
33,099,000
-
4,675
70,909,642
3,200
960,000
46,800
312
14,601,600
137
KOMB.POLIMIKSIN SULFAT 6,000IU + BETAMETASON

VALERAT 1 MG + NEOMISIN SULFAT 5 MG TETES
MATA/Nelidex
138
KOMB.DEKSTROMETORFAN HBR +
FENILPROPANOLAMIN + GG SYRUP/Dextral syr
7,150
139
KOMB.DEKSAMETASON, DEKSKLORFENIRAMIN
MALEAT/Zestam
1,056
140
KOMB.METHAMPYRON + DIAZEPAM/Danalgin
141
KOMB.DEXTROMETHORPHAN + THIOKOL +
PARASETAMOL + CTM/Febrinex syr
142
KOMB.DIFENHIDRAMIN HCL + AMONIUM KLORIDA +

GUAIAKOLATSULFONAT/Benacol syr
143
KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM

TABLET/Flutab/Tuzalos
578
144

SYRUP/Protexinal
7,920
145
KOMB.NEOMYCIN SULFAT 0,5 % + PLACENTA EXTRAC

100 MG/Bioplacenton
10,000
146
KOMB.TEOFILIN + SALBUTAMOL TABLET/Teosal
147
KOMB.TRIPOLIDIN 1,25 MG + PSEUDOEFEDRIN 30 MG

SYRUP /Tremenza SYRUP
148

TABLET /Tremenza TABLET
149
KOMB.VIT B1 100 MG + VIT B6 100 MG + VIT B12 200 MG

+ VITAMIN E 30 MG + NICOTINAMIC ACID 20 MG +
GLUTAMIC ACID 200 MG TABLET/Neurosanbe
150
KOTRIMOKSAZOL SUSPENSI
151
KOTRIMOKSAZOL ADULT 480 MG TABLET
152
KOTRIMOKSAZOL PEDIATRIK TABLET
153
LEVOFLOXACIN 500 MG TABLET
154
LIDOCAIN INJ 2 % HCL, EPINEFRIN 1 : 80,000
155
LINCOMYCIN 500 MG KAPSUL
156
LISOL
157
LOPERAMID 2 MG TABLET
91
158
MELOXICAM 7,5 MG
234
234
159
MELOXICAM 15 MG
348
348
160
METFORMIN 500 MG
105
105
161
METFORMIN 850 MG
260
162
METHILERGOMETRIN MALEAT 0,125 MG TABLET
163
METHILERGOMETRIN MALEAT INJEKSI 0,2 MG / 1 ML
164
METHYLPREDNISOLON 4 MG TABLET
165
166
METHYLPREDNISOLON 125 MG INJEKSI
167
METOCLOPRAMIDE HCL 10 MG
168
METOCLOPRAMIDE SYRUP 5 MG / 5 ML
169
7,376
825
2,820
7,376
6,160
182
70
825
20,800,320
5,784
7,150
41,355,600
34,450
1,056
36,379,200
20,000
1,100
22,000,000
2,000
15,855
31,710,000
4,000
10,450
41,800,000
48,000
660
31,680,000
57,750
-
10,450
550
9,680
22,080
156
10,000
1,925
14,069
15,180
924
990
7,920
1,560,000
3,949
12,751,200
-
13,090
2,499
14,069
35,158,431
924
18,050
1,056
19,060,800
27,000
990
26,730,000
968
4,006,800
50
4,140
50
207,000
574
950
1,154
1,096,300
1,030
520
9,000
12,100
3,500
159
72
1,030
648,000
3,015
1,975
2,100
72
520
177
23,900
91
5,000
1,975
12,463,000
5,954,625
13,200
2,174,900
9,875,000
151,200
2,336,400
4,000
105
147,000
3,685
296
375
10
44,000
140
375
440,000
89
2,830
METRONIDAZOL 250 MG TABLET
123
170
184
171
MICONAZOLE SALEP
172
MINYAK KAYU PUTIH 15 ML
184
1,200
168,000
8,000
123
984,000
700
14,850
10,395,000
6,900
234
1,614,600
348
200,000
105
21,000,000
-
700
121
84,700
43
3,685
158,455
296
8,400
375
6,150,000
40
59,000
2,360,000
5,100
91
464,100
253
2,830
715,990
24,700
164
4,044,378
2,830
2,296,000
-
520
1,400
574
260
140
159
59,000
23,307,625
25,200
13,310
6,325
1,925
159
13,200
3,685
3,949
578
2,200
89
195,800
-
5,500
123
675,400
10,000
300
173
MOMETHASON KRIM 0,1 %
17,800
174
MULTIVITAMIN ANAK DROP
13,750
175
MULTIVITAMIN ANAK SYRUP
20,000
10,670
176
MULTIVITAMIN TABLET
528
177
NATRIUM BIKARBONAT 500 MG TABLET
14
178
NATRIUM DIKLOFENAK 25 MG TABLET
134
179
174
180
NATRIUM DIKLOFENAK GEL
181
NATRIUM KLORIDA LARUTAN INFUS 0,9%
4,900
182
NATRIUM KLORIDA 100 ML
183
NIFEDIPINE 10 MG TABLET
112
184
NYSTATIN 500.000 IU TABLET
640
185
NYSTATIN VAGINAL TABLET 100.000 IU
370
186
NYSTATIN SUSPENSI 100.000 IU/Ml
187
OBH
188
OBH PLUS PARASETAMOL + PSEUDOEPHEDRIN + CTM

+ AMONIUM CHLORIDA + SUCCUS LIQUIRITIAE SYRUP
189
OFLOXACIN 200 MG
413
190
OFLOXACIN 400 MG
654
191
ONDENSETRON INJ
6,050
192
OXYTETRASIKLIN HCL 3 % SALEP KULIT
1,450
193
OXYTETRASIKLIN HCL 1 % SALEP MATA
2,100
194
OXYTOCIN INJ/PITOGIN/SINTOCYNON INJ
13,913
195
PANTOCAIN TM
16,100
196
PAPAVERIN 40 MG TABLET
119
197
PAPAVERIN INJEKSI 40 MG/ML
530
198
PARAFORMALDEHID TABLET 1 GR
60
199
PARASETAMOL 100 MG
32
200
PARASETAMOL SUPP 160 MG
201
PARASETAMOL DROPS
5,227
9,412
5,227
49,196,524
202
PARASETAMOL SYROP 120 MG / 5 ML
1,319
30,831
1,319
40,663,006
20,000
1,319
26,378,000
203
PARASETAMOL 500 MG
84
889,100
84
74,622,163
300,000
84
25,179,000
204
PERMETHRIN KRIM 5 %
22,770
205
PIRANTEL PAMOAT 125 MG
290
206
PIRAZINAMID 500 MG
198
207
PIRIDOKSIN (VIT B6 ) TABLET 10 MG
14
208
PIROXICAM
65
209
POLIKRESULEN SOL
210
POVIDON IODIDA 30 ML
211
3,500
212
14,500
100
14,500
1,450,000
213
POVIDON IODIDA 1 L
42,000
55
42,000
2,310,000
214
PREDNISON TABLET 5 MG
215
PROPANOLOL 40 MG
120
216
RANITIDIN TABLET
110
217
RANITIDIN INJ 25 MG/2ML
218
RETINOL 100,000 IU
14,300
219
RETINOL 200,000 IU
19,600
220
RIFAMPICIN 450 MG
594
2,900
660
1,914,000
221
RINGER LAKTAT LARUTAN INFUS
5,200
2,737
5,200
14,232,400
222
RISPERIDONE 1 MG TABLET
1,400
528
440
55,000
14
781,000
134
216
30,800
640
4,950
2,750
7,000
7,000
130
-
1,050
873
530
1,400
60
12,925
17,300
290
500
32,780
14
26,700
2,400
57
120
6,050
3,975
2,100
14,300
10,875,800
16,335
13,558,050
2,391
20,000
47,820,000
68,100
528
35,956,800
10,250
134
7,518,100
46,200
133
174
1,408,000
8,000
176
60
4,900
294,000
100,000
112
11,200,000
4,900
4,600
112
1,200
640
1,728,000
1,500
640
2,000
407
1,534,000
1,500
480
8,000
4,000
4,004,000
206,500
7,332
4,950
15,000
1,450
654
2,616,000
500
2,400
1,200,000
21,750,000
119
119
4,000
21,400
68,293,400
3,620
13,913
50,366,327
16,100
144,900
2,546,600
32
5,227
47,900
198
9,484,200
250,000
18
4,400,000
32,780
5,187,000
204,000
110
1,928
12
12,100
19,600
40,000
5,200
5,763,750
9,051,900
57
515,200
65
91,000
14,500
12,045
22,770
284,000
5,017,000
134
33,013,750
84,000
633
1,450
1,928
17,800
1,700
413
916,650
20,000
30,800
4,290
611
830
13,750
370
2,401
594
1,400
30,000
65
1,945,800
-
234
28,600
6,692,400
119
3,500
416,500
1,000
2,163
2,163,000
156
14,000
2,184,000
100
37,109
3,710,900
145,200
23,760,000
110
81,600
110
8,976,000
350
1,928
674,800
1,000
1,928
1,928,000
600
12,100
7,260,000
400
13,000
5,200,000
573
19,600
11,230,800
83,100
1,500
124,650,000
1,781
###
1,781
215,600
177
215,600
223
224
SALBUTAMOL 2,5 MG / 2 ML + IPATOPATRIUM BR NEBUL
225
SALBUTAMOL INHALER 100MCG 200 DOSIS
226
SALBUTAMOL 2 MG TABLET
83
227
96
228
SALEP 2 - 4
4,950
229
SALISIL BEDAK 2 %
1,120
1,430
230
SALISIL MENTOL BEDAK
3,048
3,050
231
SEFADROKSIL SYRUP
5,248
232
SEFADROKSIL 250 MG
468
233
SEFADROKSIL 500 MG
521
234
SETRALINE 50 MG TABLET
12,100
235
SIANOCOBALAMIN TABLET
236
SIANOCOBALAMIN / VIT. B 12 INJ
237
SILVER SULFADIAZINE 10 MG / 35 GR CREAM
238
SIMVASTATIN TABLET
239
STESOLID RECTAL SUPP
240
STREPTOMISIN SERBUK INJ 1500 MG/ML
2,090
241
SULFASETAMIDA NATRIUM TETES MATA
3,226
242
TABLET TAMBAH DARAH KOMB.BESI (II) SULFAT 200

MG+ASAM FOLAT 0,25 MG
968
243
TETRASIKLIN 500 MG KAPSUL
186
244
TEOFILIN 300 MG TABLET
245
THIAMIN (VIT.B1) 100 MG / ML INJ
700
246
THIAMIN (VIT.B1) 50 MG TABLET
38
247
THIAMPHENIKOL 500 MG KAPSUL
431
248
TRAMADOL HCI 50 MG TABLET
189
249
TRAMADOL HCI 50 MG/ML INJ
5,400
250
TRIHEKSILPHENIDIL 2 MG TABLET
40
251
VITAMIN B KOMP. TABLET
22
252
ZINC / ZINCDIAR TABLET
475
83
19,000
96
12
520
520
58,300
42,350
180
23,540
9,900
ALAT AUTOCLIX/LANCET DEVICE
110,000
ALAT SUNTIK SEKALI PAKAI 1 ML
2,662
3,120
2,673
3,300
ALAT PEMERIKSAAN HB
ALCOHOL SWABS
BISTURI
BLOOD LANCET
11
CAIRAN PENCUCI ANTISEPTIK
12
CATGUT DENGAN JARUM BEDAH
13
83
473,100
1,120
-
81
5,248
140,000
12
1,722,000
261
11,403
58,300
495
186
700
22
56,800
475
110,000
2,515
3,300
7,750
20,000
59
1,180,000
616
4,950
3,048
425,088
468
5,000
521
7,640,233
5,900
1,250
7,375,000
5,000
3,630
18,150,000
1,500
5,248
7,872,000
7,800
468
3,650,400
4,200
521
2,188,200
4,320
12,100
52,272,000
2,605,000
180
15,216,300
3,049,200
100
46,585
4,658,500
180
35,424,600
240
23,540
5,649,600
919
2,090
1,920,710
483,600
963
1,800
186
334,800
35
323
22
6,728
3,226
21,704,528
32,500
968
31,460,000
50,000
1,023
84,150,000
45,800
1,050
48,090,000
169,000
38
6,388,200
40,200
431
17,326,200
1,350
189
255,056
40
253
5,400
1,366,200
208,000
40
8,320,000
26,980,000
6,000
3,520,000
-
4,000
2,662
10,648,000
1,438
2,420
3,479,960
3,000
2,673
8,019,000
900
3,300
2,970,000
25,575,000
600
7,750
4,650,000
525,000
70,686,000
32
235,620
670
1,781
300
5,248
2,600
1,781
38,161,200
ALAT KESEHATAN DAN REAGEN

1
5,700
6,000
10
1,824,000
275
127
1,920
1,920
23,800
300
8,230
495,000
275
2,469,000
6,545,000
-
11
525,000
20,000
3,120
200
8,360
1,672,000
80,000
275
22,000,000
9,900
396
3,920,400
5,775,000
-
396
902,000
902,000
-
6,392
78,100
499,215,200
CATGUT CHROMIC
5,415,500
5,415,500
5,415,500
14
DENGUE IgG AND IgM DROP TEST
1,650,000
1,650,000
15
DENGUE N5 1 ANTIGEN
2,420,000
2,420,000
16
DEX GLASS
17
EDTA VACUM TUBE 5 ML
302,500
81
39,050
3,163,050
-
1,870
78,100
39,050
78,100
62,400,000
97
302,500
29,342,500
90,600
391
30,000
1,100
18
FESCOPLAST
19
FOLEY CATETHER
15,400
20
GLUCOSA TEST TIP
8,323
21
GOLONGAN DARAH KIT
22
H2O2
23
HAND SCONE / SURGICAL GLOVE
24
HAND SCONE STERILE
8,800
25
HCG CASETTE / PP TEST
5,500
26
HEMASITO METER
27
ISI AUTOCLIX
1,632
1,375
1,617
28
INFUSION SET ANAK
9,900
13,500
9,790
29
INFUSION SET DEWASA
9,900
9,790
30
IODIUM TEST
3,025
31
IV CATETHER
24,200
32
JARUM JAHIT
33
KACA MULUT
34
KAPAS PEMBALUT 250 GR
20,130
35
KAPSUL KOSONG NO.0
44
36
KAPSUL KOSONG NO.1
33
37
KASSA HIDROFIL 40 X 40
38
KASSA HIDROFIL GULUNG
39
KASSA STERIL
6,600
40
KASSA 4 M X 15 CM
5,104
41
LAMPU SPIRITUS
42
LARUTAN ASAM ALKOHOL
43
LARUTAN KOH 10 % 250 ML
44
LOMATUELL H 10 X 10 CM
45
METILEN BLUE 250 ML
46
MICROPIPET 3 UKURAN
47
MASKER
48
MASKER OXYGEN FOR ADULT
22,000
49
MASKER OXYGEN FOR CHILD
22,000
50
MATA BOR HIGH SPEED BUNDAR
95,700
95,700
765,600
51
MATA BOR HIGH SPEED FISURE
95,700
95,700
765,600
52
MATA BOR HIGH SPEED INVERTED CONE
95,700
95,700
669,900
53
MATA SCALLER
236,500
236,500
473,000
54
NASO GASTRIC TUBE
21,450
30
21,450
643,500
55
NEBULIZE MASK FOR INFANT
40,700
56
NEBULIZE MASK FOR ADULT
57
NEEDLE
58
OBJECT GLASS
59
OIL IMERSI
60
OSE
61
PENJEPIT TABUNG
62
PIPET BESAR
63
PIPET KECIL
64
PLESTER
65
POT DAHAK
66
POWDER ENZIMATIC ALKAZYME
946,000
67
PURIFIED PROTEIN DERIVATIVE 2 UT
702,240
68
SELANG O2 ANAK
13,200
92
13,200
1,214,400
69
SELANG O2 DEWASA
13,200
73
13,200
963,600
265
8,316
935,000
18,755
11,000
494,999
13
880
18,755
715
11,000
50
15,400
22,000
27,500
96,800
40
1,000
136,694
8,250
8,323
68,667,500
18
935,000
16,830,000
243,815
-
715
409
10,450
4,425
5,500
286
100
41,954,000
27,500
27,500
69
71,000
4,899,000
96,800
3,872,000
6,600
2,680
16,500
21,450
17,600
418
7,356,800
70,000
880
61,600,000
700
10,890
7,623,000
1,000
8,800
8,800,000
24,337,500
290
9,900
9,900
1,650,000
-
2,871,000
8,800
1,760,000
8,800
3,370,400
200
3,025
605,000
300
24,200
13,530,000
200
19,250
3,850,000
100
26,505
2,650,500
20,000
44
880,000
30,000
33
990,000
332,640
500
6,820
46,200
46,200
101,750
31
101,750
20,130
3,410,000
3,381,840
1,370
5,104
3,154,250
28,729,800
383
1,672,000
168
1,632
200
20,790
9,720
20,900
1,980,000
1,887,600
1,632
16
19,800
80
22,000
136,694
1,907
1,980
17,490,000
14,300
770,000
795
1,980
2,915,000
6,992,480
630
7,317
4,609,710
1,500
5,882
8,823,000
100
143,000
14,300,000
2,090,000
8,360,000
37,400
37,400
2,090,000
1,078,000
1,436
1,056
14,300
1,436
20,534,800
139
22,000
3,058,000
142
22,000
3,124,000
55,000
990
40,700
148
30
110,000
3,300,000
20
104,500
2,090,000
34,100
34,991
69,982
60
34,100
2,046,000
110,000
-
1,496
110
28,000
3,080,000
40,700
6,023,600
148
40,700
6,023,600
15
132,000
1,980,000
100
30,800
3,080,000
13,500
13,500
27,000
5,400
22
5,400
118,800
27,500
26,000
18,600
26,000
27,500
491
23,100
11,342,100
946,000
5,676,000
943,500
17
702,240
11,938,080
3,900
3,300
300
20,900
70
SGOT/SGPT TEST
71
SILK DENGAN JARUM BEDAH
72
STRIP ASAM URAT
73
STRIP HB
74
STRIP GULA DARAH
75
STRIP PROTEIN DAN GLUKOSA
76
1,082,950
58,300
58,300
1,082,950
53,900
191,500
165,000
162,500
359
191,500
68,748,500
95,000
220,000
95,000
152
95,000
14,440,000
77,000
77,000
STRIP KOLESTEROL
175,450
159,500
153
175,450
26,843,850
77
VENOJECT
220,000
220,000
220,000
78
YELLOW TIP
95,700
95,700
95,700
79
TABUNG REAKSI BESAR
2,015
37
2,015
74,555
80
TABUNG REAKSI KECIL
2,015
63
2,015
126,945
81
TERMOMETER DIGITAL
82
TORNIKUET
462,000
83
UMBILICAL CORD CLAMP
132,000
84
UNDER PAD 80 X 180 CM
13,200
85
URINE BAG
86
URINE TEST 3 PARAMETER
87
WIDAL TEST
88
WHITE TIP
89
MASKER N 95 TYPE 1870
90
POCH PACK D
91
POCH PACK L
92
CHECK CONTROL HEMATOANALYZER
93
94
1,082,950
4,950
62,150
162,500
103
22,000
132,000
400
4,950
1,694,000
1,980,000
17,700
1,396,000
2,266,000
-
304
13,200
4,012,800
10
247,500
2,475,000
133,100
1,694,000
24
133,100
506,000
594,000
3,194,400
2,970,000
1,870,000
1,870,000
12
943,000
11,316,000
CELL CLEAN HEMATOANALYZER
1,132,500
2,265,000
CALIBRATION SCS
1,942,295
1,942,295
95
CELL PACK HEMATONANALYZER
1,768,800
5,306,400
96
STROMALYSER WH
1,171,500
3,514,500
97
CHECK CONTROL HEMATOANALYZER XP 100
24
940,200
22,564,800
98
CELL CLEAN HEMATOANALYZER XP 100
1,197,900
7,187,400
99
CALIBRATION SCS XP 100
1,937,600
5,812,800
OBAT GIGI
ARSEN
484,000
ARTIKULATING PAPER
192,500
AIR RAKSA DENTAL USE
225,500
BEIN GIGI
CALCIDOR
209,000
CEVITRON
115,500
CHKM
CRESOPEN
551,000
DENTORIT
154,000
10
DYCAL
333,300
11
ETIL KLORIDA SPRAY
145,200
12
EUGENOL CAIRAN
3,178
13
IODOFORM PASTA
302,500
14
GLASS IONOMER ART
715,000
15
OCO / TSR
16
SILVER AMALGAM SERBUK 65 - 75 %
17
SEMEN SENG FOSFAT SERBUK DAN CAIRAN
192,500
73
225,500
484,000
3,872,000
214,500
1,501,500
16,461,500
3,740,000
3,740,000
209,000
150
115,500
70,000
55,000
660,000
154,000
333,300
108,900
17,325,000
-
551,000
121,000
639
3,178
168,300
2,030,742
-
7
-
302,500
2,117,500
715,000
831,600
10
275,000
2,750,000
24
715,000
17,160,000
330,000
1,265,000
418,000
836,000
418,000
1,470,000
19,456,800
70,000
145,200
330,000
21
134
1,265,000
13
418,000
5,434,000
18
TEMPORARY STROPPING FLETCHER SERBUK DAN

CAIRAN
36,300
NERACA AWAL TAHUN 2016
NAMA OBAT
1
ACYCLOVIR 5 GR KRIM
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
ANTASIDA SUSPENSI
23
24

MG)

SALISILAT 3 %)
ANTI HEMOROID DOEN
25
26
27
28
29
30
ATROPIN SULFAT INJ
31
32
AQUABIDEST
#REF!
SALDO
AWAL
TAHUN 2015
13,918,550
MASUK
KELUAR
8
#REF!
SALDO AWAL
TAHUN 2016
6,618,150
23,820,825
(3,284,125)
11,587,800
4,071,900
971,700
6,720,000
10,653,300
14,677,200
(3,885,300)
884,000
1,808,100
33,000,000
5,160,000
399,000
88,440,000
3,403,800
2,228,100
69,267,000
3,282,526
-
6,813,675
80,000
7,860,375
16,000
2,235,826
2,927,400
11,220,000
1,624,000
2,058,870
448,800
15,163,920
4,102,600
8,170,000
33,957,000
-
1,929,840
3,515,000
32,027,160
56,848,780
14,936,000
48,994,000
10,800,000
19,882,400
33,007,500
23,083,400
167,040,000
15,106,740
72,516,015
27,701,500
124,931,400
6,723,000
16,783,200
17,340,265
13,130,100
5,549,276
4,245,467
26,028,000
8,881,000
9,460,000
24,648,296
20,050,270
11,813,471
14,509,804
6,325,000
16,415,690
6,325,000
-
12,010,507
10,586,750
5,828,940
230,400
4,537,500
7,425,000
230,400
8,970,500
2,992,000
31,831,800
50,606,500
-
5,206,000
32,022,600
45,400,500
1,906,200
2,640,200
(21,000)
52,173,000
64,000
(1,885,050)
4,655,000
10,317,900
91,102,600
4,077,000
18,205,940
(5,619,994)
1,891,996
639,493
(190,800)
43,720,000
13,860,000
160,600
27,960,000
2,678,500
110,000
15,760,000
37,174,500
-
18,027,260
-
19,147,240
3,083,280
2,360,020
723,260
11,181,500
50,600
36,300
#REF!
290,400
#REF!
#REF!
33
34
AZITHROMYCIN 500 MG
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
CEFIXIME 100 MG
50
51
CEFOTAXIME INJ 1G
52
53
54
55
CETIRIZIN 10 MG
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
BEKARBON
BISOPROLOL 5 MG
CALAMIN LOTION
CEFIXIME 200 MG
CEFTRIAXON INJ
CETIRIZINE DROP
CIMETIDIN TABLET

DIAZEPAM TABLET
DIFENHIDRAMIN INJ
DOMPERIDON 10 MG
2,245,140
11,250,000
2,096,325
5,130,000
2,662,388
6,120,000
2,193,300
3,012,948
110,880
11,096,000
5,544,000
7,002,948
4,352,040
2,193,300
3,235,617
28,600,000
-
2,268,834
28,600,000
3,680,000
37,092,000
522,450
-
4,138,550
18,798,900
6,600,000
18,150,000
-
2,112,000
18,150,000
5,439,500
43,205,400
15,180,000
-
5,439,500
11,088,000
15,180,000
21,322,400
3,642,272
2,184,000
7,128,000
12,865,600
10,418,272
10,640,800
18,106,200
-
18,554,400
96,360,000
33,753,830
-
2,906,770
595,000
1,210,000
-
5,599,300
595,000
1,210,000
7,308,000
(1,708,700)
7,095,200
1,122,200
8,133,500
83,900
29,645,000
2,296,800
-
692,288
10,657,500
18,987,500
3,610,000
4,426,800
7,471,200
1,830,000
56,401,400
-
10,510,974
7,345,800
1,558,480
2,565,696
480,700
469,614
1,809,000
-
247,500
333,888
2,068,000
866,700
1,215,000
63,900
18,293,100
4,488,000
32,117,400
352,000
96,360,000
-
1,604,512
33,990,829
90,000
486,368
5,999,400
4,692,700
966,783
29,881,771
1,830,000
356,400
20,260,100
1,850,800
1,302,840
2,779,700
396,000
27,900,000
474,000
7,106,000
830,300
4,426,800
9,201,932
5,190,000
208,000
4,686,500
1,679,077
43,200
63,700
10,510,974
7,345,800
1,077,780
2,096,082
39,600
16,841,832
3,813,200
1,651,500
152,480
164,800
4,622,800
4,182,915
1,803,600
1,816,485
638,000
-
1,430,000
1,455,065
626,635
2,889,100
77
78
79
80
81
82
83
84
85
86
FENOL GLISEROL 10 %
87
88
89
90
91
92
93
94
95
96
97
98

50 MG
99
100
101
GLISERIN LARUTAN
102
103
104
105
106
107
108
109
110
111
112
113
114
115
ISONIAZID 300 MG
116
117
118
119
ITRAKONAZOL 100 MG
ERYTHROMYCIN 250 MG
ETAMBUTOL 500 MG
ETANOL 70 % 1000 ML
9,566,500
7,700,000
5,256,160
1,320,000
4,310,340
41,155,290
18,480,000
475,395
11,236,200
2,268,000
#VALUE!
29,919,090
5,338,300
2,388,332
14,227,700
1,378,944
455,000
19,566,000
5,073,600
455,000
2,153,088
319,200
-
6,380,000
16,212,000
#VALUE!
3,004,468
774,144
4,632,000
17,119,170
9,510,000
4,612,950
7,186,286
12,506,220
99,000,000
-
11,880,000
-
91,520,000
4,400,000
4,197,600
1,838,200
464,100
1,374,100
6,954,096
13,257,237
8,769,104
FITOMENADION INJ
FLUCONAZOL 150 MG
6,955,714
4,197,600
GAMEKSAN
GLIMEPIRIDE 2 MG

ISONIAZID 100 MG
IMUNOSTIMULAN SIRUP
1,985,600
3,488,875
3,714,250
47,304,200
820,000
###
17,171,200
-
13,737,600
11,954,360
3,313,600
-
2,185,998
2,595,500
7,338,600
39,965,600
4,133,600
101,475,000
15,840,000
1,118,750
8,877,000
-
8,294,200
-
880,000
2,194,500
2,190,000
-
900,000
2,194,500
2,170,000
5,805,600
6,713,916
1,094,400
-
5,805,600
353,376
1,094,400
12,993,750
17,195,750
2,806,650
2,888,886
10,187,100
59,125,000
18,975,000
78,648,900
14,693,875
4,933,500
13,575,100
33,099,000
80,318,520
-
6,360,540
14,306,864
65,624,645
14,041,500
5,055,050
3,610,750
1,444,300
4,499,000
259,196
4,499,000
260,400
(1,204)
6,485,200
220,000
25,583,300
-
15,407,954
-
853,600
54,120,000
28,600,000
321,000
59,026,000
116,820
-
52,800,000
-
116,400
-
52,800,000
5,202,900
6,720,000
8,370,200
3,552,700
16,660,546
220,000
532,600
23,694,000
420
-
120
121
122
123
KAOLIN SUSP
124
125
126
127
128
129
130
131
132
133
134
135

INHALER 60 DOSIS
136
KANAMYCINE 2 GR
KETOPROFEN 100 MG
KETOROLAC INJ 10 MG
1,485,000
6,040,100
-
994,840
198,000
5,045,260
16,816,800
570,000
26,765,988
2,330,000
1,820,463
-
3,000,000
7,112,600
483,000
9,933,440
5,600,000
9,417,408
1,868,000
18,846,664
4,732,200
1,820,463
1,179,596
3,115,200
7,399,392
1,691,000
8,157,600
4,998,474
960,000
2,375,000
53,355,500
2,904,000
1,920,000
5,500,000
1,333,800
25,322,825
7,889,769
6,445,000
36,378,227
14,601,600
23,760,000
-
165,648,381
2,340,000
11,050,000
1,287,000
1,702,000
7,919,324
4,710,400
483,000
8,753,844
2,484,800
357,200
36,190,275
12,705
2,880,000
1,430,000
(105,510,155)
12,261,600
11,050,000
137

MATA/Nelidex
138
41,355,600
139
140
MALEAT/Zestam
36,379,200
22,057,750
9,504,000
-
141
142
31,710,000
65,107,625
85,750,500
27,758,250
81,764,650
69,093,475
44,431,200
14,080,000
57,112,480
1,398,720
143
20,800,320
22,128,000
33,622,490
7,733,110
22,434,500
12,597,750
23,448,700
(1,327,680)
9,460,000
3,951,750
144

SYRUP/Protexinal
13,924,020
3,493,050
10,430,970
145

100 MG/Bioplacenton
1,560,000
-
660,000
271,700
1,824,800
146,300
395,200

KOTRIMOKSAZOL
SUSPENSI
GLUTAMIC
ACID 200
MG TABLET/Neurosanbe
35,158,431
19,060,800
60,192,000
68,200,000
95,301,819
57,017,400
26,730,000
15,829,625
4,006,800
1,006,200
3,392,300
63,360,000
4,140,000
369,600
78,474,000
11,850,000
4,809,300
585,000
3,595,496
11,616,000
12,463,000
-
1,556,500
12,785,520
6,231,500
4,095,960
7,788,000
198,813,450
564,200
(186,082,050)
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
MELOXICAM 15 MG
1,614,600
-
METFORMIN 500 MG
21,147,000
LISOL
MELOXICAM 7,5 MG
12,731,400
2,174,900
13,299,000
50,957,500
-
125,400
48,612
30,243,400
3,979,625
3,337,500
421,200
166,404
8,689,560
1,610,700
11,242,900
32,972,500
17,985,000
11,455,500
9,691,500
3,670,700
252,700
616,000
522,200
158,455
6,150,000
1,925,000
3,854,000
14,400,000
1,148,455
410,000
16,882,500
2,800,000
659,900
273,000
1,936,000
760,000
864,000
715,990
1,659,400
2,600,000
-
1,131,990
442,800
2,184,000
4,044,378
-
9,000,000
3,608,000
1,686,000
10,875,800
2,035,000
-
7,743,000
2,035,000
46,571,800
47,820,000
46,816,000
289,747,480
279,430,030
203,912,640
(186,042,230)
35,956,800
102,080,000
78,992,100
59,044,700
781,000
7,518,100
4,123,000
210,000
9,938,700
1,702,400
1,408,000
-
4,400,000
7,947,500
3,608,000
476,850
294,000
11,715,200
4,700,000
16,665,000
-
1,943,700
2,333,100
4,614,400
161
162
METFORMIN 850 MG
163
164
165
166
167
168
169
170
171
172
173
MICONAZOLE SALEP
174
175
176
MULTIVITAMIN TABLET
177
178
179
180
181
182
183
184
185
186
187
188
189
OBH
190
191
OFLOXACIN 400 MG
192
193
194
195
196
197
198
199
200
201
202
203
49,196,524
67,041,006
PARASETAMOL 500 MG
99,801,163


OFLOXACIN 200 MG
ONDENSETRON INJ
PANTOCAIN TM
PARASETAMOL 100 MG
PARASETAMOL DROPS
1,728,000
1,534,000
960,000
922,600
346,500
935,000
3,444,000
3,667,500
172,900
1,216,600
436,378
7,314,000
3,132,800
133,654,840
571,000
2,200,000
7,470,650
3,050,300
14,331,900
7,100,800
768,000
611,400
4,004,000
68,293,400
119,105,250
4,004,000
90,752,400
206,500
6,814,500
-
5,341,050
206,500
1,473,450
3,532,650
1,200,000
960,000
1,396,350
2,196,800
2,136,300
7,184,750
-
20,329,000
27,513,750
-
96,646,250
(36,800)
50,366,327
144,900
2,546,600
885,500
20,730,370
80,500
2,935,000
29,635,957
84,000
57,310
-
8,595
-
48,715
6,673,920
1,267,200
41,317,000
64,400
497,100
84,000
5,406,720
36,113,343
38,310,355
13,083,181
88,141,200
52,976,963
28,730,651
204
205
PERMETHRIN KRIM 5 %
206
207
PIRAZINAMID 500 MG
208
209
PIROXICAM
210
211
212
213
214
215
216
217
218
219
RETINOL 200,000 IU
220
221
RIFAMPICIN 450 MG
222
223
224
225
226
227
228
229
SALEP 2 - 4
230
231
232
233
234
SEFADROKSIL 500 MG
235
236
237
238
239
240
241
242
243
244
245
246
247
POLIKRESULEN SOL
POVIDON IODIDA 1 L
PROPANOLOL 40 MG
RANITIDIN TABLET
RETINOL 100,000 IU
SALISIL BEDAK 2 %
SEFADROKSIL SYRUP
SEFADROKSIL 250 MG
SIMVASTATIN TABLET

5,017,000
11,475,000
-
5,198,175
2,349,000
6,276,825
9,484,200
4,684,000
1,945,800
9,920,526
99,000
2,188,504
6,260,645
9,385,200
6,692,400
2,579,500
7,344,900
3,478,600
-
8,106,901
665,525
2,965,000
2,064,099
2,016,000
4,731,000
294,000
2,310,000
5,187,000
204,000
8,976,000
2,602,800
21,657,100
130,000
17,700,000
-
2,668,000
2,495,496
5,605,681
(665,525)
2,579,500
4,379,900
456,000
217,000
19,950,000
6,726,000
2,602,800
6,620,900
15,036,200
117,000
11,230,800
37,867,500
11,624,026
37,474,274
25,674,000
14,232,400
10,400,000
3,458,400
17,009,200
22,215,600
###
-
60,480,000
95,285,000
14,968,800
29,365,000
###
1,653,100
6,375,000
2,271,500
108,847,840
2,494,597
1,824,000
3,049,200
2,492,000
1,344,000
2,965,088
3,643,200
7,375,000
18,150,000
5,125,000
-
12,198,000
6,181,890
8,297,088
3,650,400
4,793,200
59,912,233
1,722,000
19,874,800
35,424,600
5,649,600
1,920,710
21,704,528
###
818,400
48,090,000
6,388,200
17,326,200
7,126,000
12,081,900
837,400
67,323,685
3,008,280
-
7,623,200
45,511,200
(640)
6,375,000
1,430,003
1,350,912
750,000
302,000
11,968,110
8,260,352
3,650,400
36,736
9,324,500
15,926,280
2,594,700
43,985,953
264,000
-
1,458,000
5,787,100
39,060,900
6,420,008
14,087,700
4,522,852
1,920,710
8,445,600
66,992
17,181,676
126,252,313
818,400
56,681,372
5,985,000
-
42,105,000
9,554,040
4,956,500
(157,560)
12,369,700
248
249
250
251
252
255,056
1,366,200
63,800
-
313,850
718,200
8,320,000
26,980,000
85,600,000
16,732,200
3,140,000
6,120,400
33,308,700
1
2
3
4
5
6
7
8
9
ALCOHOL SWABS
10
11
BLOOD LANCET
12
13
14
15
16
17
DEX GLASS
18
19
20
FESCOPLAST
21
22
GOLONGAN DARAH KIT
23
24
25
26
27
28
ISI AUTOCLIX
29
30
INFUSION SET DEWASA
31
32
33
IV CATETHER
34
35
36

ALAT PEMERIKSAAN HB
BISTURI
CATGUT CHROMIC
DENGUE N5 1 ANTIGEN
3,520,000
5,006
648,000
5,180,000
79,479,600
10,403,500
3,520,000
10,648,000
65,879,960
4,785,000
7,986,000
69,998,360
2,662,000
38,244,000
2,970,000
2,696,000
-
28,822,250
1,353,000
12,117,750
1,672,000
5,775,000
9,350,000
1,588,400
3,150,000
28,545,000
2,469,000
443,850
8,366,500
2,799,000
20,178,500
3,920,400
###
1,188,000
13,530,000
-
198,000
12,628,000
90,361,700
4,910,400
408,853,500
5,415,500
-
11,000,000
5,415,500
11,550,000
(550,000)
3,163,050
9,570,000
-
16,940,000
195,250
(7,370,000)
8,167,500
-
21,175,000
990,000
29,342,500
-
666,600
1,617,000
83,600
11,975,000
113,850
902,000
2,967,800
3,685,000
68,667,500
1,210,000
12,012,000
3,905,000
17,141,460
16,830,000
243,815
12,787,500
209,000
478,277,937,500
356,895
(478,248,320,000)
68,956,800
16,423,000
4,851,000
61,124,800
114,165,700
7,832,000
24,337,500
28,729,800
36,960,000
35,627,691
53,509,500
34,612,039
29,745,452
4,631,000
3,370,400
5,203,000
43,926,000
6,239,530
11,006,203
36,290,197
2,255,000
72,974,000
798,710
24,665,000
6,270,000
56,468,500
41,170,500
10,448,500
4,204,640
8,184,000
8,641,940
2,016,531,110
(2,004,142,470)
6,032,340
880,000
138,600
3,415,830
831,600
2,616,510
KAPSUL KOSONG NO.0

KAPSUL KOSONG NO.1
990,000
1,039,500
(49,500)
FOLEY CATETHER
GLUCOSA TEST TIP
H2O2
HAND SCONE STERILE
HEMASITO METER
INFUSION SET ANAK
IODIUM TEST
JARUM JAHIT
KACA MULUT
63,538,040
95,920
(92,891,700)
7,788,000
-
3,594,470
(3,216,290)
1,806,560
187,000
37
38
39
40
KASSA STERIL
41
42
LAMPU SPIRITUS
43
44
45
46
METILEN BLUE 250 ML
47
48
49
MASKER
50
51
52
53
54
55
NASO GASTRIC TUBE
56
57
58
59
OBJECT GLASS
60
61
OSE
62
63
64
PIPET BESAR
65
66
POT DAHAK
67
68
69
70
SELANG O2 DEWASA
71
72
73
74
STRIP HB
75
76
77
78
79
YELLOW TIP
80
KASSA 4 M X 15 CM
MICROPIPET 3 UKURAN

MATA SCALLER
NEEDLE
OIL IMERSI
PENJEPIT TABUNG
PIPET KECIL
PLESTER
1,980,000
-
186,000
13,000,000
1,980,000
8,190,000
9,907,310
15,815,480
-
1,150,000
2,070,000
-
8,252,886
46,699,668
-
431,992
186,000
4,810,000
2,804,424
(28,814,188)
431,992
17,454,250
-
1,038,400
2,950,750
-
14,503,500
8,360,000
20,534,800
14,520,000
2,090,000
30,137,800
6,270,000
1,122,000
1,188,000
1,936,000
3,058,000
3,124,000
1,038,400
4,917,000
1,936,000
765,600
765,600
1,123,650
1,123,650
765,600
765,600
1,123,650
669,900
473,000
1,123,650
-
669,900
236,500
1,123,650
(167,750)
643,500
6,023,600
6,023,600
811,250
976,800
936,100
7,370,000
8,275,982
4,031,500
5,447,236
27,000
118,800
11,342,100
5,676,000
4,488,000
1,176,000
-
1,123,650
236,500
5,046,800
5,087,500
3,338,500
2,828,746
4,488,000
118,800
9,573,901
-
27,000
2,944,200
5,676,000
11,938,080
1,214,400
3,511,200
660,000
15,449,280
1,353,000
963,600
1,082,950
-
660,000
2,310,003
1,128,600
1,082,950
1,390,280
495,000
68,748,500
3,212,000
-
68,748,500
3,212,000
14,440,000
-
68,310,000
759,968
14,440,000
616,000
68,310,000
26,843,850
220,000
105,670,400
4,356,000
26,843,850
220,000
105,670,400
TABUNG REAKSI BESAR
95,700
74,555
1,199,880
-
TABUNG REAKSI KECIL
126,945
SELANG O2 ANAK
SGOT/SGPT TEST
STRIP ASAM URAT
STRIP GULA DARAH
STRIP KOLESTEROL
VENOJECT
2,015
521,400
919,724
143,968
4,356,000
1,295,580
74,555
124,930
81
82
TERMOMETER DIGITAL
83
84
85
86
URINE BAG
87
88
WIDAL TEST
89
90
91
92
POCH PACK L
93
94
95
96
97
98
99
TORNIKUET
WHITE TIP
POCH PACK D

CALIBRATION SCS
STROMALYSER WH
OBAT GIGI
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
ARSEN
16
17
18
ARTIKULATING PAPER
BEIN GIGI
CALCIDOR
CEVITRON
CHKM
CRESOPEN
DENTORIT
DYCAL
ETIL KLORIDA SPRAY
EUGENOL CAIRAN
IODOFORM PASTA
GLASS IONOMER ART
2,266,000
1,029,600
-
720,720
22,000
4,012,800
1,980,000
18,000,000
2,640,000
-
2,790,000
#REF!
18,000,000
2,475,000
-
41
2,623,500
-
(148,500)
3,194,400
-
3,194,400
2,970,000
1,870,000
2,970,000
11,316,000
2,265,000
5,658,000
-
5,658,000
1,942,295
5,306,400
3,514,500
22,564,800
7,187,400
5,812,800
1,942,295
3,872,000
1,501,500
16,461,500
17,325,000
1,470,000
19,456,800
2,030,742
4,867,500
17,160,000
874,500
7,700,000
8,553,600
30,800,000
34,375,000
3,537,600
2,343,000
1,128,240
4,791,600
3,875,200
3,872,000
1,501,500
1,501,500
8,480,500
371,000
1,050,000
1,540,000
11,965,800
11,468,212
25,566,620,700
15,620,000
5,885,000
3,437,500
6,270,000
1,100,000
-
1,254,000
181,500
-
308,880
2,244,000
3,862,800
#REF!
41
1,870,000
2,265,000
1,768,800
1,171,500
21,436,560
2,395,800
1,937,600
(1,501,500)
3,872,000
2,376,000
16,461,500
(1,501,500)
(8,480,500)
16,954,000
420,000
6,160,000
(11,965,800)
(2,914,612)
(25,516,363,900)
(13,589,258)
(1,017,500)
48,097,500
OCO / TSR
(154,000)
(181,500)
6,270,000

CAIRAN
290,400
290,400
#VALUE!
#VALUE!
SUMBER DANA
APBN
APBD
TOTAL
SALDO
AWAL
TAHUN
2015
###
###
###
MASUK
###
###
KELUAR
188,537,798
#VALUE!
#VALUE!
SALDO AWAL
TAHUN 2016
422,748,400
#REF!
#REF!
STOK 2015
APBD 2014
NO
APBD 2015
NAMA OBAT
ABT 2015
E-KATALOG
STOK
TOTAL
HARGA
9,453,150
NON-EKATALOG
total
STOK
-
HARGA
2,100
3,151.50
TOTAL
STOK
E-KATALOG
HARGA
6,618,150.00
NON-EKATALOG
TOTAL
STOK
HARGA
TOTAL
ACYCLOVIR 5 GR KRIM
1,000
80.00
80,000
14,500
112.00
1,624,000
10
11,010
187.00
2,058,870
11
33,957,000
12
13
13,500
2,445.00
33,007,500
14
64,400
211.00
13,588,400
45,000
211
9,495,000
15
540,000
261.00
140,940,000
100,000
261
26,100,000
16
17
18

MG)
8,920,800
4,100
237.00
971,700
20,000
336.00
6,720,000
60,000
86.00
5,160,000
2,000
199.50
399,000
3,360,000
33,000,000
11,220,000
10,800,000
-
26,800
3,300.00
88,440,000.00
25,500
124.85
3,183,675.00
237,600
72.00
17,107,200
4,150
2,140.00
8,881,000
97,400
155.10
102,900
330
15,106,740.00
123,900
72
121
3,630,000
19
ANTASIDA SUSPENSI
20
20
473,000.00
9,460,000.00
21
50
126,500.00
6,325,000.00
22

23

SALISILAT 3 %)
24
ANTI HEMOROID DOEN
25
26
27
2,250
3,300.00
7,425,000.00
50,606,500
28
29
ATROPIN SULFAT INJ
30
31
AQUABIDEST
32
33
AZITHROMYCIN 500 MG
2,250,000
9,000,000
34
BEKARBON
35
36
11,096,000
37
6,000
924
5,544,000
38
1,000
28,600
28,600,000
532,700
500
7,300
95.00
30,000
4,500.00
1,520.00
16,500
127.05
2,096,325.00
2,000
4,500
39
40
BISOPROLOL 5 MG
41
42
43
44
CALAMIN LOTION
45
46
26,000
84.00
47
810
48
CEFIXIME 100 MG
21,600
49
CEFIXIME 200 MG
50
CEFOTAXIME INJ 1G
51
CEFTRIAXON INJ
52
5,599,300
53
CETIRIZINE DROP
54
CETIRIZIN 10 MG
217,200
905,000
55
CIMETIDIN TABLET
56
57
58
59
60
61
62
63
64
65
66
67
474,000
68
DIAZEPAM TABLET
69
70
7,095,200
810
522,450
2,184,000
8,800.00
7,128,000
859.00
18,554,400
645.00
1,500
12,100.00
18,150,000.00
-
1,200
12,650.00
15,180,000.00
700
1,200
7,999.00
181.00
620,000
100
114.84
90.97
3,960.00
181
2,296,800.00
56,401,400.00
396,000.00
4,015
96,360,000
27,900,000
1,809,000
DIFENHIDRAMIN INJ
71
72
1,800
3,333.00
5,999,400
73
DOMPERIDON 10 MG
28,100
167.00
4,692,700
74
75
76
1,215,000
77
78
ERYTHROMYCIN 250 MG
79
80
ETAMBUTOL 500 MG
81
82
ETANOL 70 % 1000 ML
83
319,200
84
85
FENOL GLISEROL 10 %
86
FITOMENADION INJ
5,010
3,417.00
17,119,170
87
15,000
634.00
9,510,000
88
FLUCONAZOL 150 MG
4,500
22,000.00
99,000,000
89
90
450,000
40,200
150
2,400
62.00
20,000
5,000
24,000
45.00
8,100.00
133.00
300
1,580
91
GAMEKSAN
92
93
94
95
96
GLIMEPIRIDE 2 MG
3,313,600
97

50 MG
98
99
GLISERIN LARUTAN
100
2,190,000
101
102
1,094,400
103
104
105
106
107
108
109
110
111
112
113
ISONIAZID 100 MG
114
47,700
7,600
10,000
288.00
436.00
219.00
13,737,600
1,800
1,850.20
3,330,360.00
11,400
96
4,900
1,760
8,624,000
250
51,975.00
12,993,750.00
500
34,391.50
17,195,750.00
12,500
4,730.00
59,125,000.00
25,583,300
ISONIAZID 300 MG
115
IMUNOSTIMULAN SIRUP
1,000
28,600
28,600,000
116
10,000
5,280
52,800,000
117
118
ITRAKONAZOL 100 MG
119
6,720,000
120
121
KANAMYCINE 2 GR
122
KAOLIN SUSP
123
3,000,000
124
125
KETOPROFEN 100 MG
126
KETOROLAC INJ 10 MG
483,000
127
128
129
130
5,215,000
570,000
171,700
96,000
149.00
70.00
15,000
17,000
10,000
300.00
355.30
1,342.00
18,975,000.00
6,040,100.00
7,112,600.00
-
32,000
310.42
210
2,300
9,933,440.00
5,600,000
8,900
5,995.00
53,355,500.00
131
1,600
1,815.00
2,904,000.00
132
600
3,200.00
1,920,000
133
5,000
1,100.00
5,500,000
134

135

136

INHALER 60 DOSIS
3,500
1,600.00
5,300
1,265.00
3,600
6,600.00
23,760,000.00
-
100
110,500
11,050,000
137

MATA/Nelidex
138
139
MALEAT/Zestam
140
141
142

5,000
13,200.00
66,000,000.00
143

20,000
704.00
14,080,000.00
144

SYRUP/Protexinal
1,734
8,030.00
13,924,020.00
145

100 MG/Bioplacenton
50
13,200.00
660,000.00
146
1,300
209.00
271,700.00
147

3,800
15,840.00
60,192,000.00
148

62,000
1,100.00
68,200,000.00
149

GLUTAMIC ACID 200 MG TABLET/Neurosanbe
-
60,000
1,056.00
63,360,000.00
150
151
4,140,000
152
153
369,600
154
155
156
LISOL
157
158
MELOXICAM 7,5 MG
19,500
682.00
13,299,000.00
159
MELOXICAM 15 MG
42,500
1,199.00
50,957,500.00
160
METFORMIN 500 MG
161
METFORMIN 850 MG
162
154.00
616,000
163
2,750.00
825,000
2,750
1,100,000
164
205
3,854,000
165
14,400,000
166
167
3,000
91
273,000
168
1,000
2,600
2,600,000
169
170
171
MICONAZOLE SALEP
9,000,000
172
30,000
700
138.00
528.00
9,000
20,040
1,056.00
638.00
9,504,000.00
12,785,520.00
2,100
9,405
19,750,500
500
3,113
1,556,500
4,000
300
3,000,000
48,000
3,000
300.00
3,000.00
400
18,800
500
4,070
2,035,000
173
174
175
11,511
20,680.00
238,047,480.00
176
MULTIVITAMIN TABLET
40,000
1,287.00
51,480,000.00
177
178
6,144,600
31,000
133.00
4,123,000
179
1,408,000
25,000
176.00
4,400,000
180
181
3,290,000
182
183
184
960,000
185
720,000
186
187
OBH
188

189
OFLOXACIN 200 MG
190
500
300
4,700.00
32,000,000
15,895.00
1,410,000
7,947,500.00
-
1,500
11,110.00
700
4,700
16,665,000.00
2,800
16,720
46,816,000
2,500
20,680
51,700,000
40,000
1,265
50,600,000
18,130
5,225.00
94,729,250.00
4,000
6,094
24,376,000
500
10,725.00
5,362,500.00
132
11,000
1,452,000
OFLOXACIN 400 MG
191
ONDENSETRON INJ
960,000
192
193
194
195
PANTOCAIN TM
196
7,000
126.50
885,500
197
100
573.10
57,310
198
199
PARASETAMOL 100 MG
200
201
PARASETAMOL DROPS
202
203
PARASETAMOL 500 MG
523,000
79.00
41,317,000
204
PERMETHRIN KRIM 5 %
1,000
11,475.00
11,475,000
205
206
PIRAZINAMID 500 MG
207
208
PIROXICAM
209
POLIKRESULEN SOL
1,739,300
210
211
212
213
POVIDON IODIDA 1 L
214
215
PROPANOLOL 40 MG
2,000
65
130,000
216
RANITIDIN TABLET
16,500,000
10,000
120
1,200,000
217
218
RETINOL 100,000 IU
219
RETINOL 200,000 IU
22,950,000
14,917,500
220
RIFAMPICIN 450 MG
221
10,400,000
222
948
100
137,500
50,000
17,393.00
120.00
459.00
1,739,300
118,200
7,040.00
83.93
2,400
400
6,673,920.00
9,920,526.00
-
100
32,500
5,200
17,393
459
2,000
60,000
1,008.00
60,480,000
223
224
225
226
38,500
59.00
2,271,500
227
28,000
89.00
2,492,000
228
SALEP 2 - 4
1,344,000
229
SALISIL BEDAK 2 %
5,125,000
230
231
SEFADROKSIL SYRUP
232
SEFADROKSIL 250 MG
233
SEFADROKSIL 500 MG
2,036,000
5,090,000
234
235
236
237
238
SIMVASTATIN TABLET
12,081,900
239
837,400
240
241
242

243
244
245
246
247
248
249
250
251
800,000
107.00
85,600,000
252
14,200
474.00
6,730,800
10,001,400
5,000
957.00
4,785,000
2,000
1,348.00
2,696,000
ALAT PEMERIKSAAN HB
ALCOHOL SWABS
BISTURI
10
BLOOD LANCET
100
4,100
4,000
1,250.00
509.00
35,424,600
30,900
391.00
33,000,000
56,300
43,000
17
1,034.00
69.96
550,000.00
550.00
902,000.00
50
509
16,748
9,350,000.00
443,850.00
13,530,000.00
6,375,000
3,008,280.00
15
10,000
2,000
58,214,200.00
807
672
63,750
21,100
474
236,610
38.50
200
319
9,109,485
63,800
3,000
396
1,188,000
11
12
13
CATGUT CHROMIC
14
1,375,000.00
11,000,000.00
15
DENGUE N5 1 ANTIGEN
1,196,250.00
9,570,000.00
16
DEX GLASS
17
18
FESCOPLAST
19
FOLEY CATETHER
20
GLUCOSA TEST TIP
1,200
10,010.00
21
GOLONGAN DARAH KIT
25
22
H2O2
10
23
24
HAND SCONE STERILE
25
26
HEMASITO METER
27
ISI AUTOCLIX
28
INFUSION SET ANAK
500
29
INFUSION SET DEWASA
7,321,000
5000
30
IODIUM TEST
31
IV CATETHER
22,558,500
32
JARUM JAHIT
33
KACA MULUT
34
35
KAPSUL KOSONG NO.0
36
KAPSUL KOSONG NO.1
37
38
13,000,000
39
KASSA STERIL
200
40
KASSA 4 M X 15 CM
1,000
41
LAMPU SPIRITUS
42
43
44
45
METILEN BLUE 250 ML
46
MICROPIPET 3 UKURAN
47
MASKER
48
49
12,870,000
1,210,000
12,012,000.00
511,500.00
12,787,500.00
20,900.00
209,000.00
1,000
13,200.00
13,200,000.00
19,050
1,870.22
35,627,691.00
1,000
7,321.00
6,270,000
700
11,000
6,930
4,851,000
-
13,200
23,760,000
10,406
5,203,000
7,321
36,605,000
-
5,830
798,710
-
186,000
5,750
1,150,000
2,070
2,070,000
14,520,000
50
45
24,970.00
1,123,650.00
51
45
24,970.00
1,123,650.00
52
45
24,970.00
1,123,650.00
53
MATA SCALLER
54
NASO GASTRIC TUBE
55
56
57
NEEDLE
58
OBJECT GLASS
59
OIL IMERSI
60
OSE
61
PENJEPIT TABUNG
62
PIPET BESAR
63
PIPET KECIL
64
PLESTER
1,176,000
65
POT DAHAK
66
67
68
SELANG O2 ANAK
100
6,600
660,000
69
SELANG O2 DEWASA
100
6,600
660,000
100
44,000
144
130,000.00
330.00
8,166.67
102,300.00
21,065
137
80
100
1,800
2,106,500
2,700
8,355.00
110
8,184,000.00
-
4,000
16
34.65
26,999.50
138,600.00
120
1,550
431,992.00
-
16
16
64,900.00
280,500.00
702,240.00
1,038,400.00
4,488,000.00
3,511,200.00
70
SGOT/SGPT TEST
71
72
STRIP ASAM URAT
73
STRIP HB
74
STRIP GULA DARAH
75
76
STRIP KOLESTEROL
77
VENOJECT
18
242,000.00
4,356,000.00
78
YELLOW TIP
18
66,660.00
1,199,880.00
79
TABUNG REAKSI BESAR
80
TABUNG REAKSI KECIL
81
TERMOMETER DIGITAL
82
TORNIKUET
83
84
85
86
756
3,055.56
2,310,003
94,996.00
759,968.00
-
30
34,320.00
1,029,600.00
1,000
3,212
3,212,000
18,000
3,795
68,310,000
7,600
13,904
105,670,400
18,000,000
URINE BAG
87
WIDAL TEST
88
WHITE TIP
89
90
POCH PACK D
91
POCH PACK L
92
93
94
CALIBRATION SCS
95
96
STROMALYSER WH
97
98
99
OBAT GIGI
ARSEN
ARTIKULATING PAPER
BEIN GIGI
CALCIDOR
CEVITRON
CHKM
CRESOPEN
DENTORIT
10
DYCAL
16
534,600.00
8,553,600.00
11
ETIL KLORIDA SPRAY
175
176,000.00
30,800,000.00
12
EUGENOL CAIRAN
13
IODOFORM PASTA
14
GLASS IONOMER ART
50
687,500.00
34,375,000.00
15
OCO / TSR
-
10
110,000.00
1,100,000.00
16
17
18,000
1,000.00
10
935,000.00
291,500.00
770,000.00
41.00
874,500.00
7,700,000.00
-
200
13,200
2,640,000
18

CAIRAN
NERACA AWAL TAHUN 2016
960,273,093.84
292,416,569
1,540,728,758.00
2,501,001,851.84
NAMA OBAT
1
ACYCLOVIR 5 GR KRIM
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
ANTASIDA SUSPENSI
23
24

MG)

SALISILAT 3 %)
ANTI HEMOROID DOEN
25
26
27
28
29
30
ATROPIN SULFAT INJ
31
32
AQUABIDEST
220,292,300
638,139,205
858,431,505
33
34
AZITHROMYCIN 500 MG
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
CEFIXIME 100 MG
50
51
CEFOTAXIME INJ 1G
52
53
54
55
CETIRIZIN 10 MG
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
BEKARBON
BISOPROLOL 5 MG
CALAMIN LOTION
CEFIXIME 200 MG
CEFTRIAXON INJ
CETIRIZINE DROP
CIMETIDIN TABLET

DIAZEPAM TABLET
DIFENHIDRAMIN INJ
DOMPERIDON 10 MG
77
78
79
80
81
82
83
84
85
86
FENOL GLISEROL 10 %
87
88
89
90
91
92
93
94
95
96
97
98

50 MG
99
100
101
GLISERIN LARUTAN
102
103
104
105
106
107
108
109
110
ERYTHROMYCIN 250 MG
ETAMBUTOL 500 MG
ETANOL 70 % 1000 ML
FITOMENADION INJ
FLUCONAZOL 150 MG
GAMEKSAN
GLIMEPIRIDE 2 MG

111
112
113
114
115
ISONIAZID 300 MG
116
117
118
119
ITRAKONAZOL 100 MG
ISONIAZID 100 MG
IMUNOSTIMULAN SIRUP
120
121
122
123
KAOLIN SUSP
124
125
126
127
128
129
130
131
132
133
134
135

INHALER 60 DOSIS
136
KANAMYCINE 2 GR
KETOPROFEN 100 MG
KETOROLAC INJ 10 MG
137

MATA/Nelidex
138
139
140
MALEAT/Zestam
141
142
143
144

SYRUP/Protexinal
145

100 MG/Bioplacenton
146
147
148
149
150
151
152

KOTRIMOKSAZOL
SUSPENSI
GLUTAMIC
ACID 200
MG TABLET/Neurosanbe
153
154
155
156
157
158
159
160
MELOXICAM 15 MG
LISOL
MELOXICAM 7,5 MG
METFORMIN 500 MG
161
162
METFORMIN 850 MG
163
164
165
166
167
168
169
170
171
172
173
MICONAZOLE SALEP
174
175
176
MULTIVITAMIN TABLET
177
178
179
180
181
182
183
184
185
186
187
188
189
OBH
190
191
OFLOXACIN 400 MG
192
193
194
195
196
197
198
199
200
201
202
203


OFLOXACIN 200 MG
ONDENSETRON INJ
PANTOCAIN TM
PARASETAMOL 100 MG
PARASETAMOL DROPS
PARASETAMOL 500 MG
204
205
PERMETHRIN KRIM 5 %
206
207
PIRAZINAMID 500 MG
208
209
PIROXICAM
210
211
212
213
214
215
216
217
218
219
RETINOL 200,000 IU
220
221
RIFAMPICIN 450 MG
222
223
224
225
226
227
228
229
SALEP 2 - 4
230
231
232
233
234
SEFADROKSIL 500 MG
235
236
237
238
239
240
241
242
243
244
245
246
247
POLIKRESULEN SOL
POVIDON IODIDA 1 L
PROPANOLOL 40 MG
RANITIDIN TABLET
RETINOL 100,000 IU
SALISIL BEDAK 2 %
SEFADROKSIL SYRUP
SEFADROKSIL 250 MG
SIMVASTATIN TABLET

248
249
250
251
252
1
2
3
4
5
6
7
8
9
ALCOHOL SWABS
10
11
BLOOD LANCET
12
13
14
15
16
17
DEX GLASS
18
19
20
FESCOPLAST
21
22
GOLONGAN DARAH KIT
23
24
25
26
27
28
ISI AUTOCLIX
29
30
INFUSION SET DEWASA
31
32
33
IV CATETHER
34
35
36
KAPSUL KOSONG NO.1

ALAT PEMERIKSAAN HB
BISTURI
CATGUT CHROMIC
DENGUE N5 1 ANTIGEN
FOLEY CATETHER
GLUCOSA TEST TIP
H2O2
HAND SCONE STERILE
HEMASITO METER
INFUSION SET ANAK
IODIUM TEST
JARUM JAHIT
KACA MULUT
KAPSUL KOSONG NO.0
37
38
39
40
KASSA STERIL
41
42
LAMPU SPIRITUS
43
44
45
46
METILEN BLUE 250 ML
47
48
49
MASKER
50
51
52
53
54
55
NASO GASTRIC TUBE
56
57
58
59
OBJECT GLASS
60
61
OSE
62
63
64
PIPET BESAR
65
66
POT DAHAK
67
68
69
70
SELANG O2 DEWASA
71
72
73
74
STRIP HB
75
76
77
78
79
YELLOW TIP
80
TABUNG REAKSI KECIL
KASSA 4 M X 15 CM
MICROPIPET 3 UKURAN

MATA SCALLER
NEEDLE
OIL IMERSI
PENJEPIT TABUNG
PIPET KECIL
PLESTER
SELANG O2 ANAK
SGOT/SGPT TEST
STRIP ASAM URAT
STRIP GULA DARAH
STRIP KOLESTEROL
VENOJECT
TABUNG REAKSI BESAR
81
82
TERMOMETER DIGITAL
83
84
85
86
URINE BAG
87
88
WIDAL TEST
89
90
91
92
POCH PACK L
93
94
95
96
97
98
99
TORNIKUET
WHITE TIP
POCH PACK D

CALIBRATION SCS
STROMALYSER WH
OBAT GIGI
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
ARSEN
16
17
18
ARTIKULATING PAPER
BEIN GIGI
CALCIDOR
CEVITRON
CHKM
CRESOPEN
DENTORIT
DYCAL
ETIL KLORIDA SPRAY
EUGENOL CAIRAN
IODOFORM PASTA
GLASS IONOMER ART
OCO / TSR

CAIRAN
SUMBER DANA
APBN
APBD
TOTAL
DINAMIKA LOGISTIK OBAT

DI KOTA CILEGON
Propinsi
: BANTEN
Alamat
: Jl.K.P.Tendean Km.2 Cilegon
Jumlah Unit Pelayanan
: 9 Unit
Bulan
: Januari
Tahun
: 2015
PEMAKAIAN
NO
NAMA OBAT
SATUAN
STOCK AWAL
PENERIMAAN
PERSEDIAA
N
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
6=4+5
10
11
12
13
14
15
16
17
18=(7s/d17)
ACYCLOVIR 5 GR KRIM
TUBE
5,076
5,076
TABLET
21,700
21,700
TABLET
12,100
TABLET
8,500
TABLET
8,610
8,610
BOTOL
10,000
10,000
TABLET
38,200
38,200
TABLET
TABLET
28,700
28,700
10
TABLET
60,000
60,000
11
TABLET
12
VIAL
1,720
1,720
13
BOTOL
16,903
16,903
100
14
KAPLET
74,680
74,680
1,200
15
KAPLET
222,700
222,700
3,000
16
TABLET
3,600
3,600
17
TABLET
171,400
171,400
1,500
18
ANTASIDA DOEN TABLET (KOMB. MAGNESIUM HIDROKSIDA

200 MG + ALUMUNIUM HIDROKSIDA 200 MG)
TABLET
162,100
162,100
1,500
19
ANTASIDA SUSPENSI
BOTOL
2,974
2,974
50
20
VIAL
21
AMPUL
50
50
22
TUBE
6,590
6,590
23
ANTI BAKTERI DOEN SALEP (KOMB.BASITRASIN 500 IU/G +

POLIMIKSIN B 10,000IU/G )
SALISILAT 3 %)
POT
128
128
24
ANTI HEMOROID DOEN
SUPP
1,500
1,500
25
JUMLAH
50
50
100
50
100
375
100
300
300
300
200
500
1,700
12,100
100
300
400
200
300
100
300
1,700
8,500
1,500
300
400
300
500
1,000
4,000
1,500
200
1,500
2,100
1,500
500
1,000
8,300
-
30
2,520
1,020
1,500
3,000
1,200
1,020
2,010
12,300
-
10
200
350
4,000
10
400
300
360
960
1,080
6,000
5,000
4,200
###
1,080
1,200
5,880
6,000
32,400
3,500
5,000
13,000
2,000
3,000
8,000
20,000
50
50
200
400
4,200
510
3,000
2,500
3,000
1,650
120
50
630
5
50
20
10
50
10
1
100
50
20
24
20
6
75
25
100
450
44
30
90
NO
NAMA OBAT
PEMAKAIAN
SATUAN
STOCK AWAL
PENERIMAAN
PERSEDIAA
N
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
6=4+5
10
11
12
13
14
15
16
17
5,000
2,000
2,000
1,000
2,200
5,000
5,000 ###
2,500
2,000
5,000
3,000
1,000
JUMLAH
18=(7s/d17)
25
TABLET
26
TABLET
200,200
200,200
27
TABLET
437,200
437,200
28
TABLET
12,600
12,600
29
ATROPIN SULFAT INJ
AMPUL
146
146
30
TABLET
102,650
102,650
31
AQUABIDEST
BOTOL
32
BOTOL
33
AZITHROMYCIN 500 MG
KAPSUL
34
BEKARBON
TABLET
20,280
20,280
35
VIAL
180
180
36
TUBE
1,977
1,977
37
TABLET
120
120
38
BOTOL
39
SUPP
522
522
40
BISOPROLOL 5 MG
TABLET
1,600
1,600
41
TABLET
132,000
132,000
42
BOTOL
43
BOTOL
100
100
44
CALAMIN LOTION
BOTOL
430
430
45
TABLET
685,800
685,800
1,500
1,000
1,500
2,700
2,000
1,800
500
1,000
12,000
46
TABLET
242,300
242,300
1,000
500
1,000
2,900
2,000
4,500
1,000
2,000
14,900
47
BOTOL
344
344
30
20
30
48
CEFIXIME 100 MG
KAPSUL
18,900
18,900
150
400
1,000
49
CEFIXIME 200 MG
50
CEFOTAXIME INJ 1G
VIAL
119
119
40
64
104
51
CEFTRIAXON INJ
VIAL
220
220
40
40
52
BOTOL
53
CETIRIZINE DROP
BOTOL
54
CETIRIZIN 10 MG
TABLET
55
CIMETIDIN TABLET
TABLET
56
TABLET
121,000
121,000
57
KAPSUL
10,000
10,000
58
KAPSUL
8,400
8,400
59
TABLET
348,800
348,800
60
TABLET
15,000
15,000
61
BOTOL
1,058
-
100
1,500 ###
27,200
6,000
5
900
750
600
5
750
1,200
600
250
300
1,058
22,600
5,350
-
30
100
130
200
400
480
200
360
480
2,120
48
120
50
96
586
100
72
100
120
120
-
6
300
300
600
-
200
80
300
2,050
39,200
-
39,200
2,000
300
1,000
400
1,000
300
500
1,000
6,500
-
300
700
500
400
500
2,400
500
2,000
200
300
200
300
3,000
7,000
5,000
7,000
5,000
500
7,000
100
500
1,600
2,000
10,000
48,000
-
NO
NAMA OBAT
PEMAKAIAN
SATUAN
STOCK AWAL
PENERIMAAN
PERSEDIAA
N
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
6=4+5
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
62
TABLET
63
BOTOL
308
308
64
BOTOL
448
448
65
BOTOL
66
TABLET
67
68
133,400
133,400
3,000
VIAL
2,595
2,595
DIAZEPAM TABLET
TABLET
3,000
3,000
69
AMPUL
206
206
70
DIFENHIDRAMIN INJ
AMPUL
220
71
TABLET
51,500
72
BOTOL
73
DOMPERIDON 10 MG
TABLET
74
KAPSUL
75
TABLET
76
AMPUL
107
107
77
BOTOL
1,325
1,325
78
ERYTHROMYCIN 250 MG
KAPSUL
17,500
17,500
79
TABLET
44,700
44,700
80
ETAMBUTOL 500 MG
TABLET
44,000
44,000
81
BOTOL
216
216
82
ETANOL 70 % 1000 ML
BOTOL
620
620
83
KAPSUL
8,400
8,400
84
TABLET
7,000
7,000
85
FENOL GLISEROL 10 %
BOTOL
2,136
2,136
86
FITOMENADION INJ
AMPUL
87
TABLET
8,000
8,000
88
FLUCONAZOL 150 MG
TABLET
200
200
89
AMPUL
220
220
90
TABLET
20,200
20,200
91
GAMEKSAN
BOTOL
92
SACHET
6,800
6,800
93
TUBE
2,375
2,375
94
BOTOL
4,150
4,150
95
TABLET
872,300
872,300
96
GLIMEPIRIDE 2 MG
TABLET
1,640
1,640
80
97
GLIKOSAMIN 500 MG + CHONDROITIN 400 MG + VIT C 50 MG
TABLET
21,330
21,330
60
9,400
1,500
3,500
4,000
1,000
4,000
2,000
7,000
26,000
13
1,000
1,000
220
10
10
51,500
100
100
9,400
10
20
25
300
30
50
10
10
65
100
100
100
200
1,000
600
1,000
11
2
19
200
200
-
24
24
24 ###
96
200
600
500
1,300
-
200
200
50
1,500
300
25
500
60
100
125
50
50
2,500
2,000
25
###
3,000
400
500
60
350
###
150
3,000
13,200
640
300
600
1,020
NO
NAMA OBAT
PEMAKAIAN
SATUAN
STOCK AWAL
PENERIMAAN
PERSEDIAA
N
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
6=4+5
10
11
12
13
14
15
16
17
2,000
6,000
3,000
4,000
300
98
TABLET
99
GLISERIN LARUTAN
BOTOL
632,000
-
632,000
4,000
JUMLAH
18=(7s/d17)
2,000
21,000
500
900
100 GRISEOFULVIN 125 MG TABLET
TABLET
4,400
4,400
100
101 HALOPERIDOL 0,5 MG TABLET
TABLET
13,300
13,300
200
102 HALOPERIDOL 5 MG TABLET
TABLET
23,600
23,600
200
103 HALOPERIDOL 5 MG INJEKSI
AMPUL
456
456
104 HEPARIN 200,000 IU GEL
TUBE
105 HEPATOPROTEKTOR SYRUP
BOTOL
106 HEPATOPROTEKTOR TABLET
TABLET
7,080
7,080
TUBE
33,480
33,480
107 HIDROKORTISON KRIM 2,5 %

108 HYOSINE N BUTILBROMIDA TABLET
TABLET
109 IBUPROFEN 125 MG SUPP
SUPP
91
91
110 IBUPROFEN 200 MG SUSPENSI
BOTOL
1,000
1,000
111 IBUPROFEN 200 MG TABLET
TABLET
2,800
2,800
TABLET
43,700
43,700
113 ISONIAZID 100 MG
TABLET
5,000
5,000
TABLET
8,000
8,000
115 IMUNOSTIMULAN SIRUP
BOTOL
924
924
116 IMUNOSTIMULAN TABLET
TABLET
117 ISOSORBIT DINITRAT 5 MG SUB LING.TABLET
TABLET
118 ITRAKONAZOL 100 MG
KAPSUL
119 KALCIUM LACTAT 500 MG TABLET
TABLET
120 KALIUM DIKLOFENAK 50 MG
1,200
110,700
500 ###
500
100
500
1,200
1,000
2,300
480
600
50
1,080
48
72
96
72
72
50
96
556
-
2
10
30
50
20
4,000
1,600
100
1,000
1,500
10
4
100
220
200
12,600
200
1,000
400
2,400
500
300
-
1,000
1,000
10 ###
40
65
-
1,200
100
100
110,700
2,000
400
1,000
1,000
3,000
7,400
TABLET
121 KANAMYCINE 2 GR
VIAL
75
75
122 KAOLIN SUSPENSI
BOTOL
1,400
1,400
123 KETOKONAZOL 200 MG TABLET
TABLET
1,900
1,900
124 KETOKONAZOL KRIM 2 %
100
24
30
500
20
60
100
36
20
700
TUBE
5,751
5,751
125 KETOPROFEN 100 MG
TABLET
3,100
3,100
200
126 KETOROLAC INJ 10 MG
AMPUL
717
717
127 KLORAMFENIKOL 250 MG KAPSUL
KAPSUL
128 KLORAMFENIKOL 1 %SALEP MATA
TUBE
500
###
129 KLORAMFENIKOL SUSPENSI
BOTOL
438
438
130 KLORAMFENIKOL 0,5 % TETES MATA
BOTOL
1,545
1,545
50
131 KLORAMFINEKOL 3 %TETES TELINGA
BOTOL
3,126
3,126
24
132 KLARITROMISIN 500 MG
TABLET
300
300
133 KODEIN FOSFAT 20 MG TABLET
TABLET
2,500
2,500
30
334
200
900
51
93
5
75
24
144
5
25
48
24 ###
10
50
200
144
-
250
250
NO
NAMA OBAT
STOCK AWAL
PENERIMAAN
PERSEDIAA
N
DINAS
PROGRAM
P2KP
GRG
CLG
6=4+5
10
11
134 KOMB.BETAMETASON VALERAT 1 MG + NEOMISIN SULFAT 5

MG KRIM
TUBE
4,389
4,389
135 KOMB.BROMHEKSIN 8 MG + DIPHENHIDRAMIN HCL 25 MG +

PARASETAMOL 400 MG
TABLET
46,800
46,800
136 KOMB. BUDENOSID FORMATEROL 80/4,5 MCG INHALER 60

DOSIS
137 KOMB.POLIMIKSIN SULFAT 6,000IU + BETAMETASON
VALERAT 1 MG + NEOMISIN SULFAT 5 MG TETES MATA
CBB
12
60
CWD
PM
13
14
30
PWK
JBG
15
60
16
60
JUMLAH
CTK
17
10
18=(7s/d17)
200
2,820
2,820
BOTOL 60
ML
5,784
5,784
139 KOMB.BETAMETASON, DEKSKLORFENIRAMIN MALEAT
TABLET
34,450
34,450
140 KOMB.METHAMPYRON + DIAZEPAM
TABLET
20,070
20,070
141 KOMB.DEXTROMETHORPHAN + THIOKOL + PARASETAMOL

+ CTM
BOTOL
2,000
2,000
142 KOMB.DIFENHIDRAMIN HCL + AMONIUM KLORIDA +

GUAIAKOLATSULFONAT
BOTOL
7,685
7,685
143 KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM

TABLET
TABLET
70,080
70,080

145 SYRUP
KOMB.NEOMYCIN SULFAT 0,5 % + PLACENTA EXTRAC 100
BOTOL
TUBE
156
156
420
-
BOTOL
138 KOMB.DEKSTROMETORFAN HBR + FENILPROPANOLAMIN +

GG + CTM SYRUP
PEMAKAIAN
SATUAN
10
1,500
10
50
50
120
100
500
10
120
700
1,000
50
120
100
400
200
4,000
-
50
200
10
100
50
50
360
480
10
100
100
50
2,400
250
860
1,080
4,320
-
22
MG
146 KOMB.TEOFILIN + SALBUTAMOL TABLET
147 KOMB.TRIPOLIDIN 1,25 MG + PSEUDOEFEDRIN 30 MG
/ TREMENZA2,5SYRUP
148 SYRUP
KOMB.TRIPOLIDIN
MG + PSEUDOEFEDRIN 60 MG
TABLET
BOTOL 60
ML
TABLET
2,499
2,499
18,050
18,050
TABLET
27,000
27,000
120
10
10
120
72
96
50
100
578
900
1,000
1,400
1,000
1,000
1,000
2,000
50
50
100
650
500
1,000
600
1,000
9,600
3,300
TABLET / LIBROFED TABLET

149 KOMB.VIT B1 100 MG + VIT B6 100 MG + VIT B12 200 MG +
VITAMIN E 30 MG + NICOTINAMIC ACID 20 MG + GLUTAMIC
ACID 200 MG TABLET
150 KOTRIMOKSAZOL SUSPENSI
BOTOL
8,015
8,015
150
100
50
150
151 KOTRIMOKSAZOL ADULT 480 MG TABLET
TABLET
25,200
25,200
1,500
1,000
500
500
152 KOTRIMOKSAZOL PEDIATRIK TABLET
TABLET
15,240
15,240
153 LEVOFLOXACIN 500 MG TABLET
TABLET
4,950
4,950
154 LIDOCAIN INJ 2 % HCL, EPINEFRIN 1 : 80,000
AMPUL
12,100
12,100
155 LINCOMYCIN 500 MG KAPSUL
TABLET
156 LISOL
BOTOL
877
877
500
200
500
50
100 ###
200
100
100
100
5,500
650
200
100
700
-
21
NO
NAMA OBAT
STOCK AWAL
PENERIMAAN
PERSEDIAA
N
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
6=4+5
10
11
12
13
14
15
16
17
2,000
2,500
157 LOPERAMID 2 MG TABLET
TABLET
23,900
23,900
158 MELOXICAM 7,5 MG
TABLET
6,900
6,900
159 MELOXICAM 15 MG
TABLET
160 METFORMIN 500 MG
TABLET
TABLET
162 METHILERGOMETRIN MALEAT 0,125 MG TABLET
TABLET
1,900
1,900
163 METHILERGOMETRIN MALEAT INJEKSI 0,2 MG / 1 ML
AMPUL
43
43
164 METHYLPREDNISOLON 4 MG TABLET
TABLET
TABLET
166 METHYLPREDNISOLON 125 MG INJEKSI

167 METOCLOPRAMIDE HCL 10 MG
PEMAKAIAN
SATUAN
VIAL
TABLET
201,400
-
JUMLAH
18=(7s/d17)
-
100
500
500
5,600
201,400
1,000
500
700
1,500
1,000
200
18,400
18,400
50
50
7,300
7,300
168 METOCLOPRAMIDE SYRUP 5 MG / 5 ML
BOTOL
253
253
169 METRONIDAZOL 250 MG TABLET
TABLET
13,500
13,500
TABLET
24,700
24,700
4,900
-
100
100
200
43
43
-
300
###
500
1,000
1,000
###
4,100
100
200
15
100
200
600
10
120
145
-
200
200
300
300
171 MICONAZOLE SALEP
TUBE
172 MINYAK KAYU PUTIH 15 ML
BOTOL
173 MOMETHASON KRIM 0,1 %
TUBE
611
611
174 MULTIVITAMIN ANAK DROP
BOTOL
3,231
3,231
175 MULTIVITAMIN ANAK SYRUP
BOTOL
2,391
2,391
176 MULTIVITAMIN TABLET
TABLET
68,100
68,100
100
177 NATRIUM BIKARBONAT 500 MG TABLET
TABLET
55,000
55,000
178 NATRIUM DIKLOFENAK 25 MG TABLET
TABLET
56,450
56,450
300
150
300
1,600
TABLET
8,000
8,000
300
100
600
600
100
300
1,400
-
10
120
10
10
60
25
50
100
144
192
192
500
1,000
1,000
200
1,400
1,000
50
200 ###
145
1,200
1,500
5,700
1,000
2,000
1,500
3,850
1,600
180 NATRIUM DIKLOFENAK GEL
TUBE
181 NATRIUM KLORIDA LARUTAN INFUS 0,9%
BOTOL
60
60
182 NATRIUM KLORIDA 100 ML
BOTOL
183 NIFEDIPINE 10 MG TABLET
TABLET
104,600
104,600
184 NYSTATIN 500.000 IU TABLET
TABLET
2,700
2,700
185 NYSTATIN VAGINAL TABLET 100.000 IU
TABLET
3,500
3,500
186 NYSTATIN SUSPENSI 100.000 IU/Ml
BOTOL
130
130
187 OBH
BOTOL
15,332
15,332
188 OBH PLUS PARASETAMOL + PSEUDOEPHEDRIN + CTM +

AMONIUM CHLORIDA + SUCCUS LIQUIRITIAE SYRUP
BOTOL
189 OFLOXACIN 200 MG
TABLET
500
500
TABLET
5,050
5,050
191 ONDENSETRON INJ
AMPUL
500
500
10
20
200
1,000
10
47
-
100
4,000
700
200 ###
6,400
###
200
100
5
300
60
100
300
2
420
7
100
300
1,580
10
20
50
85
NO
NAMA OBAT
PEMAKAIAN
SATUAN
STOCK AWAL
PENERIMAAN
PERSEDIAA
N
DINAS
PROGRAM
P2KP
GRG
CLG
6=4+5
10
11
192 OXYTETRASIKLIN HCL 3 % SALEP KULIT
TUBE
193 OXYTETRASIKLIN HCL 1 % SALEP MATA
TUBE
18,975
-
18,975
100
25
CBB
CWD
PM
12
13
14
100
75
PWK
JBG
CTK
15
16
17
75
JUMLAH
18=(7s/d17)
100
475
-
194 OXYTOCIN INJ/SYNTOCINON
AMPUL
3,620
3,620
195 PANTOCAIN 0,5 % TETES MATA
BOTOL
196 PAPAVERIN 40 MG TABLET
TABLET
21,400
21,400
197 PAPAVERIN INJEKSI 40 MG/ML
AMPUL
198 PARAFORMALDEHID TABLET 1 GR
TABLET
199 PARASETAMOL 100 MG
TABLET
SUPP
200 PARASETAMOL SUPPOS 160 MG/PROPIRETIC
1,400
BOTOL
9,412
9,412
BOTOL
50,831
50,831
TABLET
1,189,100
1,189,100
204 PERMETHRIN KRIM 5 %
TUBE
100
TABLET
17,300
17,300
206 PIRAZINAMID 500 MG
TABLET
47,900
47,900
207 PIRIDOKSIN (VIT B6 ) TABLET 10 MG
TABLET
270,000
270,000
208 PIROXICAM
TABLET
30,000
30,000
209 POLIKRESULEN SOL
BOTOL
234
234
210 POVIDON IODIDA 30 ML
BOTOL
1,119
1,119
2,000
200
300
56
10
112
10
20
100
308
200
150
250
350
500
300
100
600
2,450
10,800
4,000
9,000
10,800
7,200
5,000
15,000
62,300
-
100
4,000
1,500
5
356
356
BOTOL
155
155
214 PREDNISON TABLET 5 MG
TABLET
91,000
91,000
215 PROPANOLOL 40 MG
TABLET
1,700
1,700
216 RANITIDIN TABLET
TABLET
81,600
81,600
217 RANITIDIN INJ 25 MG/2ML
AMPUL
1,350
1,350
218 RETINOL 100,000 IU
BOTOL
1,645
1,645
162
BOTOL
573
573
573
220 RIFAMPICIN 450 MG
TABLET
42,900
42,900
LABU
2,737
2,737
TABLET
83,100
83,100
223 RISPERIDONE 2 MG TABLET
TABLET
224 SALBUTAMOL 2,5 MG / 2 ML + IPATOPATRIUM BR NEBUL
AMPUL
477
477
226 SALBUTAMOL 2 MG TABLET
TABLET
25,700
25,700
TABLET
19,000
19,000
100
-
BOTOL
3,300
-
213 POVIDON IODIDA 1 L
200
225 SALBUTAMOL INHALER 100 MCG 200 DOSIS
1,000
205 PIRANTEL PAMOAT 125 MG
221 RINGER LAKTAT LARUTAN INFUS
30
1,400
202 PARASETAMOL SYROP 120 MG / 5 ML
20
201 PARASETAMOL DROPS
10
200
400
1,000
2,000
2,000
1,000
3,000
10,000
1,600
1,500
3,000
11,200
10
10
4
1
1,000
2,000
2,000
1,000
25
5
24
1,000
6,000
###
2,000
2
-
100
1,000
2,000
10
3,000
1,500
100
1,000 ###
12,600
115
162
573
1,000
1,000
3
20
100
200
400
300
2,000
1,400
328
500
4,000
8,600
-
20
40
200
100
100
200
100
60
100
200
1,000
300
1,000
400
200
300
2,500
100
500
2,300
NO
NAMA OBAT
228 SALEP 2 - 4
STOCK AWAL
PENERIMAAN
PERSEDIAA
N
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
6=4+5
10
11
12
13
14
POT
616
616
229 SALISIL BEDAK 2 %
KOTAK
5,900
5,900
230 SALISIL MENTOL BEDAK
BOTOL
5,000
5,000
231 SEFADROKSIL SYRUP
BOTOL
1,581
1,581
232 SEFADROKSIL 250 MG
KAPSUL
7,800
7,800
KAPSUL
9,200
9,200
234 SETRALINE 50 MG TABLET
TABLET
4,990
4,990
235 SIANOCOBALAMIN TABLET
TABLET
140,000
140,000
236 SIANOCOBALAMIN / VIT. B 12 INJ
AMPUL
237 SILVER SULFADIAZINE 10 MG / 35 GR CREAM

238 SIMVASTATIN TABLET
PEMAKAIAN
SATUAN
TUBE
TABLET
361
361
90,600
239 STESOLID RECTAL SUPP
TUBE
240
240
240 STREPTOMISIN SERBUK INJ 1500 MG/ML
VIAL
919
919
241 SULFASETAMIDA NATRIUM TETES MATA
BOTOL
6,728
6,728
242 TABLET TAMBAH DARAH KOMB.BESI (II) SULFAT 200

TABLET
112,500
112,500
243 TETRASIKLIN 500 MG KAPSUL
KAPSUL
4,400
4,400
244 TEOFILIN 300 MG TABLET
TABLET
45,800
45,800
245 THIAMIN (VIT.B1) 100 MG / ML INJ
AMPUL
246 THIAMIN (VIT.B1) 50 MG TABLET
TABLET
169,000
169,000
247 THIAMPHENIKOL 500 MG KAPSUL
KAPSUL
40,200
40,200
248 TRAMADOL HCI 50 MG TABLET
TABLET
1,350
1,350
249 TRAMADOL HCI 50 MG/ML INJ
AMPUL
253
253
250 TRIHEKSILPHENIDIL 2 MG TABLET
TABLET
208,000
208,000
251 VITAMIN B KOMP. TABLET
TABLET
252 ZINC / ZINCDIAR TABLET
TABLET
56,800
100
20
50
200
200
24
30
JBG
CTK
15
16
17
JUMLAH
18=(7s/d17)
74
100
100
20
30
94
20
70
20
300
1,200
100
200
###
200
70
300
1,000
100
500
670
-
90,600
100 ###
24
PWK
5
600
400
7
1,000
1,000
800
300
3,000
5 ###
7,100
15
-
1,000
24
24
1,000
600
48
1,000
1,000
500
2,000
300
1,000
500
7,100
300
1,500
2,000
1,000
1,000
10,000
200
4,000
1,000
100
3,000
22,000
200
500
-
8
500
600
600
1,000
500
1,000
1,000
1,000
8
400
2,000 ###
7,100
56,800
1,000
500
1,000
6,000

1
SET
32
32
BUAH
4,000
4,000
BUAH
21,438
21,438
100
BUAH
6,900
6,900
100
BUAH
900
900
BUAH
200
200
ALAT PEMERIKSAAN HB
ALCOHOL SWABS
BUAH
SACHET
11
11
103,800
103,800
100
200
200
500
400
600
200
238
200
100
1,538
200
-
50
4
50
1
5
1,000
500
200
1,700
NO
NAMA OBAT
PEMAKAIAN
SATUAN
STOCK AWAL
PENERIMAAN
PERSEDIAA
N
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
6=4+5
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
BISTURI
BUAH
300
300
10
BLOOD LANCET
BUAH
9,900
9,900
11
GALON
12
SACHET
13
CATGUT CHROMIC
ROLL
14
SET
15
DENGUE N5 1 ANTIGEN
SET
16
DEX GLASS
BUAH
81
81
17
BUAH
97
97
18
FESCOPLAST
ROLL
19
FOLEY CATETHER
BUAH
315
315
20
GLUCOSA TEST TIP
TIP
8,250
8,250
21
GOLONGAN DARAH KIT
SET
18
18
22
H2O2
BOTOL
13
13
23
LEMBAR
87,600
87,600
24
HAND SCONE STERILE
PASANG
1,700
1,700
25
SACHET
4,425
4,425
26
HEMASITO METER
BUAH
27
ISI AUTOCLIX
KOTAK
28
INFUSION SET ANAK
29
INFUSION SET DEWASA
30
6,392
100 ###
200
-
6,392
30
20
10
60
1
-
30 ###
55
55
30
###
230
60
60
1
500
200
1,000
800
1
2
1,200
400
300
50
50
100
100
1,000
5,400
100
300
505
1,020
1,530
13,620
13,620
SET
490
490
SET
383
383
IODIUM TEST
BOTOL
300
300
31
IV CATETHER
SACHET
3,302
3,302
32
JARUM JAHIT
BUAH
350
350
33
KACA MULUT
BUAH
56
56
34
BUNGKUS
268
268
35
KAPSUL KOSONG NO.0
BUAH
20,000
20,000
36
KAPSUL KOSONG NO.1
BUAH
30,000
30,000
37
LEMBAR
1,000
1,000
38
ROLL
39
KASSA STERIL
KOTAK
1,416
1,416
40
KASSA 4 M X 15 CM
ROLL
2,870
2,870
41
LAMPU SPIRITUS
BUAH
42
BOTOL
43
BOTOL
44
KOTAK
131
131
45
METILEN BLUE 250 ML
BOTOL
300
210
25
100
10
50
100
125
163
20
100
50
175
20
7 ###
2
7
###
10
22
7
7 ###
56
5
15
200
210
20
50
70
20
200
20
10
100
350
2
-
NO
NAMA OBAT
PEMAKAIAN
SATUAN
STOCK AWAL
PENERIMAAN
PERSEDIAA
N
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
6=4+5
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
46
MICROPIPET 3 UKURAN
BUAH
47
MASKER
BUAH
14,300
14,300
48
BUAH
139
139
49
BUAH
142
142
50
BUAH
1 ###
1 ###
51
BUAH
1 ###
1 ###
52
BUAH
1 ###
###
53
MATA SCALLER
BUAH
54
NASO GASTRIC TUBE
TUBE
30
30
55
BUAH
148
148
56
BUAH
148
148
57
NEEDLE
BUAH
65
65
58
OBJECT GLASS
BUAH
272
272
59
OIL IMERSI
BOTOL
60
OSE
BUAH
61
PENJEPIT TABUNG
BUAH
22
22
62
PIPET BESAR
BUAH
63
PIPET KECIL
BUAH
64
PLESTER
ROLL
491
491
65
POT DAHAK
BUAH
66
BUAH
67
VIAL
17
17
68
SELANG O2 ANAK
BUAH
92
92
69
SELANG O2 DEWASA
BUAH
73
73
70
SGOT/SGPT TEST
SET
71
72
STRIP ASAM URAT
BOX
73
STRIP HB
BOX
359
359
32
32
74
STRIP GULA DARAH
BOX
152
152
12
12
75
BOX
76
STRIP KOLESTEROL
BOX
153
153
77
VENOJECT
KOTAK
78
YELLOW TIP
BUAH
79
TABUNG REAKSI BESAR
BUAH
37
37
80
TABUNG REAKSI KECIL
BUAH
63
63
81
TERMOMETER DIGITAL
82
TORNIKUET
SACHET
1,000
500
100
150
300
500
300
2,850
7
1
1
-
2
2
1
10
20
###
48
-
10
10
25
BUAH
103
103
NO
NAMA OBAT
PEMAKAIAN
SATUAN
STOCK AWAL
PENERIMAAN
PERSEDIAA
N
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
6=4+5
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
83
BUAH
84
BUAH
304
304
85
URINE BAG
BUAH
400
400
30
86
KOTAK
10
10
87
WIDAL TEST
KOTAK
88
WHITE TIP
BUAH
24
24
89
KOTAK
90
POCH PACK D
BUAH
91
POCH PACK L
BUAH
92
BUAH
12
12
93
BUAH
94
CALIBRATION SCS
BUAH
95
BUAH
96
STROMALYSER WH
BUAH
97
BUAH
24
24
98
BUAH
99
BUAH
BOTOL
1 ###
###
1 ###
###
55
85
1
###
12
3
3
###
24
OBAT GIGI
1
ARSEN
ARTIKULATING PAPER
KOTAK
BOTOL
73
73
BEIN GIGI
SET
CALCIDOR
POT
CEVITRON
BUAH
150
150
CHKM
POT
21
21
CRESOPEN
BOTOL
DENTORIT
BOTOL
10
DYCAL
BOTOL
11
ETIL KLORIDA SPRAY
BOTOL
134
134
12
EUGENOL CAIRAN
BOTOL
639
639
13
IODOFORM PASTA
POT
17
17
14
GLASS IONOMER ART
SET
24
24
15
OCO / TSR
BOTOL
16
BOTOL
17
SET
15
15
5
2
10
-
1
1
1
1
5
-
NO
NAMA OBAT
PEMAKAIAN
SATUAN
STOCK AWAL
PENERIMAAN
PERSEDIAA
N
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
6=4+5
10
11
12
13
14
18
TEMPORARY STROPPING FLETCHER SERBUK DAN CAIRAN
SET
PWK
JBG
CTK
15
16
17
Cilegon,
Januari 2015
Kepala Seksi Farmasi dan Peralatan Kesehatan
Dra.E.Yolanda P,Apt.MKM
Riris Sinaga,S.Si,Apt
Nip. 19660223 199203 2 002
Nip.19740620 200312 2 003
NO
1
2
3
4
5
6
NAMA OBAT
PEMAKAIAN
(1 BULAN)
SISA STOK
KETERSEDIAN
(DALAM BULAN)
4,701
400
12
375
20,000
1,700
12
1,700
10,400
1,800
1,700
209
25
25
4,500
4,000
4,000
ACYCLOVIR 5 GR KRIM
8
9
10
ALBOTYL
11
12
8,610
#DIV/0!
1,757
8,000
300
13
10,000
14
29,900
15
16
28,700
400
72
17
47,700
10,000
18
#DIV/0!
8,300
12,300
-
18=(7s/d17)
1
Mengetahui'
Kepala Bidang Sumber Daya Kesehatan
JUMLAH
NO
PEMAKAIAN
NAMA OBAT
SATUAN
STOCK AWAL
PENERIMAAN
PERSEDIAA
N
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
6=4+5
10
11
12
13
14
15
16
17
1
19
1,710
20
86
10
20
15,253
1,600
10
1,650
21
68,800
9,300
5,880
22
190,300
43,200
32,400
23
2,970
600
630
24
158,400
15,000
11
13,000
25

142,100
22,200
20,000
400
400
26
ANTASIDA SUSPENSI
2,574
27

6,140
400
15
450
28

SALISILAT 3 %)
84
150
44
29
ANTI HEMOROID DOEN
1,410
200
90
30
31
173,000
27,000
27,200
32
414,600
20,000
21
22,600
33
12,600
600
21
34
ATROPIN SULFAT INJ
141
47
97,300
4,000
24
5,350
35
36
AZITHROMYCIN 500 MG
37
BEKARBON
38
39
40
41
42
43
BISOPROLOL 5 MG
44
45
46
CALAMIN LOTION
47
48
49
50
CEFIXIME 100 MG
51
CEFOTAXIME INJ 1G
#DIV/0!
18,160
#DIV/0!
2,000
180
20
1,391
500
586
990
120
#DIV/0!
2,120
516
74
1,600
200
131,400
1,400
94
600
100
33
428
80
673,800
10,000
67
12,000
227,400
14,000
16
14,900
264
70
80
16,850
2,100
2,050
15
50
104
JUMLAH
18=(7s/d17)
NO
PEMAKAIAN
NAMA OBAT
SATUAN
STOCK AWAL
PENERIMAAN
PERSEDIAA
N
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
6=4+5
10
11
12
13
14
15
16
17
180
15
12
40
64
CETIRIZINE DROP
12
6,000
3,200
52
CEFTRIAXON INJ
53
54
55
CETIRIZIN 10 MG
56
CIMETIDIN TABLET
57
58
9,500
59
6,800
60
32,700
118,600
2,700
-
44
6,500
2,400
#DIV/0!
500
1,700
1,600
300,800
49,000
48,000
15,000
2,500
61
62
200
63
7,000
64
308
62
65
448
149
66
107,400
#DIV/0!
28,800
26,000
67
68
2,582
20
129
13
69
DIAZEPAM TABLET
2,000
500
1,000
70
206
71
DIFENHIDRAMIN INJ
210
10
21
10
72
51,400
200
257
100
73
200
74
DOMPERIDON 10 MG
2,400
75
#DIV/0!
76
77
78
79
ERYTHROMYCIN 250 MG
80
81
ETAMBUTOL 500 MG
82
83
ETANOL 70 % 1000 ML
84
85
9,400
#DIV/0!
#VALUE!
#VALUE!
57
26
50
1,260
56
23
65
17,400
200
87
100
44,100
1,100
40
600
43,000
400
108
1,000
197
11
18
19
614
16
38
8,200
200
41
200
7,000
86
FENOL GLISEROL 10 %
2,040
110
19
87
FITOMENADION INJ
90
88
1,100
6,700
#DIV/0!
96
1,300
JUMLAH
18=(7s/d17)
NO
PEMAKAIAN
NAMA OBAT
SATUAN
STOCK AWAL
PENERIMAAN
PERSEDIAA
N
DINAS
PROGRAM
P2KP
6=4+5
1
89
FLUCONAZOL 150 MG
90
91
92
GAMEKSAN
200
20
10
220
10
22
20,000
400
50
200
#DIV/0!
350
93
6,800
94
2,025
300
95
4,000
200
20
150
96
859,100
12,000
72
13,200
97
GLIMEPIRIDE 2 MG
1,000
740
640
98

20,310
500
41
1,020
99
611,000
28,750
21
21,000
100 GLISERIN LARUTAN
3,400
#DIV/0!
3,500
700
12,100
21,300

900
1,600
1,200
2,000
11
2,300
456
12
38
10
6,000
300
20
1,080
32,924
500
66
556
800
87
22
780
200
220

2,500
900
300
31,100
11,800
12,600
5,000
7,000
400
#DIV/0!
18
1,000
65
859
45
19
400
200
100
90
13,800

1,100
103,300
25
7,400
120 KANAMYCINE 2 GR
75
121 KAOLIN SUSPENSI
1,400
1,200
900
700
5,417
250
22
334
2,200
600
900
#DIV/0!
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
PEMAKAIAN
NO
NAMA OBAT
SATUAN
STOCK AWAL
PENERIMAAN
PERSEDIAA
N
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
6=4+5
10
11
12
13
14
15
16
17
624
17
37
93
-
2,500
200
428
50
10
1,345
400
200
2,982
250
12
144
300
#DIV/0!
2,250
500
250

MG KRIM
3,969
444
420

PARASETAMOL 400 MG
46,800
2,700
200
14
120
5,384
150
36
400
30,450
2,500
12
4,000
20,070
400
50

+ CTM
1,950

GUAIAKOLATSULFONAT
6,825
65,760
#DIV/0!


GG + CTM SYRUP

TABLET
SYRUP
143 KOMB.NEOMYCIN SULFAT 0,5 % + PLACENTA EXTRAC 100
MG
#DIV/0!
50
530
13
860
5,000
13
4,320
370
134
16
22
400

SYRUP / TREMENZA SYRUP
1,921
400
578

14,750
6,000
3,300
JUMLAH
18=(7s/d17)
PEMAKAIAN
NO
NAMA OBAT
SATUAN
STOCK AWAL
PENERIMAAN
PERSEDIAA
N
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
6=4+5
10
11
12
13
14
15
16
17

ACID 200 MG TABLET
21,500
6,000
5,500
7,365
550
13
650
15,600
6,600
9,600
15,040
100
150
200
4,300
300
14
650
11,400
300
38
700
1,600
18
48
21
23,900
300
80
1,300
5,000

154 LISOL
157 MELOXICAM 15 MG
856
196,500
3,400
5,000
39
1,700
#DIV/0!
500
5,600
4,900
-
200
43

20
#DIV/0!
14,300
3,300
4,100
45
23
6,700
400
17
600
108
46
145
13,500
200
68
23,300
1,300
18

#DIV/0!
1,400
-
601
30
20
10
3,086
100
31
145
1,191
1,000
1,200
62,400
6,200
10
5,700
53,000
1,000
53
2,000
52,600
5,000
11
3,850
6,400
2,000
1,600
13
30
47

#DIV/0!
98,200
2,600
38
2,700
200
14
6,400
-
JUMLAH
18=(7s/d17)
PEMAKAIAN
NO
NAMA OBAT
SATUAN
STOCK AWAL
PENERIMAAN
PERSEDIAA
N
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
6=4+5
10
11
12
13
14
15
16
17

183 OBH
3,300
200
17
200
123
20
13,752
2,200
1,580

-
#DIV/0!
500
#DIV/0!
5,050
100
51
187 ONDENSETRON INJ
415
20
21
85
18,500
400
46
475
-

50
18,100
2,000

1,400
9,104
10
3,300
#DIV/0!
#DIV/0!
140
65
48,381
2,000
24
2,450
1,126,800
84,000
13
62,300
17,200
25
100
172
308
100
47,900
200
240
260,000
13,000
20
10,000
18,800
8,300
11,200
203 OXYTOCIN INJ
3,590
50
72
30
1,095
30
37
24
349
39
153
77
85,000
5,000
17
6,000
202 PIROXICAM
1,700
200
69,000
11,000
12,600
1,235
100
12
115
1,483
#DIV/0!
162

41,900
400
2,409
150
74,500
#DIV/0!
573
105
1,000
16
328
#DIV/0!
8,600
JUMLAH
18=(7s/d17)
PEMAKAIAN
NO
NAMA OBAT
SATUAN
STOCK AWAL
PENERIMAAN
PERSEDIAA
N
DINAS
6=4+5
4,600
PROGRAM
P2KP
9
-

417
52
60
23,200
3,000
2,500
16,700
2,200
2,300
542
90
74
4,700
800
1,200
4,906
350
14
94
1,511
56
27
70
7,800
400
20
8,200
1,400
1,000
4,320
200
22
670
140,000
2,000
70
50
354
10
35
83,500
5,000
17
7,100
15
220 SALEP 2 - 4

225
25
919
14
66
6,680
100
67
48
105,400
7,200
15
7,100
4,100
300
14
300
44,300
1,500
30
1,500

1
4
5
30
147,000
19,000
22,000
39,700
1,000
40
500
1,350
200
245
31
200,900
4,500
45
7,100
77,000
7,000
50,800
6,000
32
3,400
200
17
600
19,900
1,500
13
1,538
#DIV/0!
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
NO
PEMAKAIAN
NAMA OBAT
SATUAN
STOCK AWAL
PENERIMAAN
PERSEDIAA
N
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
6=4+5
10
11
12
13
14
15
16
17
1
10
6,700
100
67
11
900
100
12
150
#DIV/0!
13
ALAT PEMERIKSAAN HB
#DIV/0!
51
1,700
9
6
102,100
2,000
200
50
14
ALCOHOL SWABS
15
16
44
11
17
AQUABIDEST
18
928
100
130
19
BISTURI
100
80
200
20
BLOOD LANCET
21
22
23
CATGUT CHROMIC
#DIV/0!
24
#DIV/0!
25
DENGUE N5 1 ANTIGEN
#DIV/0!
26
DEX GLASS
81
#DIV/0!
27
96
#DIV/0!
28
FESCOPLAST
#DIV/0!
29
FOLEY CATETHER
#DIV/0!
230
13
60
1
9,900
6,332
1
85
#DIV/0!
#DIV/0!
#DIV/0!
50
8,190
630
127
6
-
60
30
GLUCOSA TEST TIP
31
GOLONGAN DARAH KIT
17
32
H2O2
11
11
33
82,200
5,000
16
5,400
34
HAND SCONE STERILE
1,600
100
16
100
35
3,920
300
13
505
#DIV/0!
36
HEMASITO METER
37
ISI AUTOCLIX
12,090
1,750
1,530
38
INFUSION SET ANAK
365
22
17
125
39
INFUSION SET DEWASA
220
66
163
40
IODIUM TEST
300
41
IV CATETHER
3,127
42
JARUM JAHIT
328
43
KACA MULUT
44
253
14
45
KAPSUL KOSONG NO.0
20,000
#DIV/0!
46
KAPSUL KOSONG NO.1
30,000
#DIV/0!
#DIV/0!
150
8
21
175
41
22
#DIV/0!
56
18
15
JUMLAH
18=(7s/d17)
NO
PEMAKAIAN
NAMA OBAT
SATUAN
STOCK AWAL
PENERIMAAN
PERSEDIAA
N
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
6=4+5
10
11
12
13
14
15
16
17
790
80
10
210
47
48
49
KASSA STERIL
1,346
80
17
70
50
KASSA 4 M X 15 CM
2,520
200
13
350
51
LAMPU SPIRITUS
#DIV/0!
52
#DIV/0!
53
#DIV/0!
54
55
METILEN BLUE 250 ML
56
MICROPIPET 3 UKURAN
57
MASKER
58
139
#DIV/0!
59
142
#DIV/0!
60
#DIV/0!
61
#DIV/0!
62
#DIV/0!
63
MATA SCALLER
64
NASO GASTRIC TUBE
65
66
129
4
11,450
16
#DIV/0!
#DIV/0!
3,000
2,850
#DIV/0!
30
#DIV/0!
146
#DIV/0!
146
#DIV/0!
31
61
1
-
67
NEEDLE
68
OBJECT GLASS
69
OIL IMERSI
70
OSE
71
PENJEPIT TABUNG
72
PIPET BESAR
73
PIPET KECIL
74
PLESTER
75
POT DAHAK
76
77
16
78
SELANG O2 ANAK
85
79
SELANG O2 DEWASA
80
SGOT/SGPT TEST
81
50
82
STRIP HB
327
41
32
83
STRIP GULA DARAH
140
16
12
267
-
67
#DIV/0!
#DIV/0!
22
#DIV/0!
#DIV/0!
#DIV/0!
443
30
#DIV/0!
#DIV/0!
15
48
#DIV/0!
66
#DIV/0!
#DIV/0!
7
-
JUMLAH
18=(7s/d17)
NO
NAMA OBAT
SATUAN
STOCK AWAL
PENERIMAAN
PERSEDIAA
N
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
84
85
STRIP KOLESTEROL
86
VENOJECT
#DIV/0!
87
YELLOW TIP
#DIV/0!
37
#DIV/0!
88
TABUNG REAKSI BESAR
89
TABUNG REAKSI KECIL
90
TORNIKUET
91
92
128
10
#DIV/0!
13
25
63
#DIV/0!
103
#DIV/0!
#DIV/0!
304
#DIV/0!
93
URINE BAG
315
#DIV/0!
85
94
#DIV/0!
95
WIDAL TEST
#DIV/0!
96
WHITE TIP
24
#DIV/0!
97
#DIV/0!
98
POCH PACK D
#DIV/0!
POCH PACK L
#DIV/0!
100 CHECK CONTROL HEMATOANALYZER
#DIV/0!
12
101 CELL CLEAN HEMATOANALYZER
#DIV/0!
CALIBRATION SCS
#DIV/0!
#DIV/0!
STROMALYSER WH
#DIV/0!
#DIV/0!
24
#DIV/0!
#DIV/0!
#DIV/0!
OBAT GIGI
#DIV/0!
ARSEN
#DIV/0!
ARTIKULATING PAPER
#DIV/0!
73
#DIV/0!
10
BEIN GIGI
#DIV/0!
11
CALCIDOR
#DIV/0!
12
CEVITRON
145
#DIV/0!
13
CHKM
19
#DIV/0!
14
CRESOPEN
#DIV/0!
15
DENTORIT
#DIV/0!
16
DYCAL
#DIV/0!
17
ETIL KLORIDA SPRAY
124
20
99
5
6
8
7
5
2
10
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
NO
1
18
NAMA OBAT
SATUAN
STOCK AWAL
PENERIMAAN
PERSEDIAA
N
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
EUGENOL CAIRAN
639
#DIV/0!
IODOFORM PASTA
16
GLASS IONOMER ART
19
OCO / TSR
#DIV/0!
#DIV/0!
14
#DIV/0!
#DIV/0!
#DIV/0!
3
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
Pemberian
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
4,701
ACYCLOVIR 5 GR KRIM
2,152
25
53,800
50
107,600
20,000
534
100
53,400
300
160,200
10,400
648
100
64,800
300
194,400
4,500
104
1,500
156,000
300
31,200
8,610
210
3,300
10,000
29,900
86
104
28,700
102
47,700
187
30
5,610
440
1,500
2,520
129,000
471,240
200
1,020
15,253
3,700
100
370,000
200
68,800
200
1,200
240,000
190,300
220
3,000
660,000
3,000
116
142,100

ANTASIDA SUSPENSI
4,000
1,500
50
121,500
-
471,719
44
50
1,410
174,000
1,866
84
880,000
1,500
6,140
740,000
81
2,574
190,740
1,710
2,970
4,750
158,400
17,200
126,500

SALISILAT 3 %)
2,491
ANTI HEMOROID DOEN
3,025
1,800
-
93,300
124,550
20
60,500
10
30,250
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
CLG
Harga
Pemakaian
Pemakaian
Harga
19=6-18
32
173,000
159
414,600
12,600
141
97,300
928
18,160
180
1,391
795,000
2,000
318,000
1,500
150,000
1,500
150,000
100
100
1,100
ATROPIN SULFAT INJ
1,100

AQUABIDEST
AZITHROMYCIN 500 MG
BEKARBON
10,000
5,000
330
900
15,400
2,900
30
11,000
102
200
12,185
1,524
100
87,000
297,000
20,400
750
247,500
152,400
924
25,300
6,199
BISOPROLOL 5 MG
2,300
281
12,100
100
66,000
428
CALAMIN LOTION
12,650
516
1,600
131,400
-
25,300
37,194
673,800
63
227,400
88
10,588
958
200
264
16,850
15
180

CEFIXIME 100 MG
CEFOTAXIME INJ 1G
5,000
CEFTRIAXON INJ
5,500
94,500
1,000
63,000
1,000
88,000
500
44,000
10,440
CETIRIZINE DROP
28,050
181
CIMETIDIN TABLET
116
300
CETIRIZIN 10 MG
191,600
32,700
1,500
2,000
362,000
-
54,300
-
245
9,500
361
6,800
527
200
105,400
300
158,100
3,000
72,000
7,000
168,000
118,600
300,800
15,000
-

700
-
171,500
-
24
122
1,379
2,000
48,000
73,500
300
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
CLG
Harga
Pemakaian
Pemakaian
Harga
19=6-18
99
308
5,060
448
5,727
3,960
69
3,000
207,000
2,000
6,000
30
2,368
800
91
107,400
2,582
2,000
DIAZEPAM TABLET
206
210
DIFENHIDRAMIN INJ
51,400
1,500
103,500
3,624
DOMPERIDON 10 MG
404
220
10
81,000
25
180,500
9,400
-
57
8,100
7,220
20
1,260
17,400
ERYTHROMYCIN 250 MG
440
44,100
921
300
43,000
ETAMBUTOL 500 MG
420
2,212
25,300
604
65
197
614

ETANOL 70 % 1000 ML
1,000
420,000
144,400
276,300
8,200
7,000
2,040
FENOL GLISEROL 10 %
1,008
FITOMENADION INJ
1,450
579
200
6,700
115,800
200
FLUCONAZOL 150 MG
22,000
220
19,080
91
1,469
895
54
500
80
40,000
20,000
6,800
GAMEKSAN
2,025
4,000
859,100
1,000
20,310
GLIMEPIRIDE 2 MG
292
60
5,500
330,000
1,500
-
81,000
-
50
-
73,450
-
300
16,200
60
30,000
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
CLG
Harga
Pemakaian
Pemakaian
Harga
19=6-18
611,000
-

GLISERIN LARUTAN
23
4,730
2,000
-
46,000
-
6,000
138,000
3,500
200
12,100
165
21,300
246
456
14,724
36,000
600
2,805,000
48
115,152
6,000
4,675
480
32,924
2,399
50
-
87
780
300
55,550
4,499
2,500
93
31,100
146
44
5,000
ISONIAZID 100 MG
7,000
ISONIAZID 300 MG
2,244,000
1,000
-
146,000
-
55,550
1,500 1500X149
-
10
44,990
100
9,300
1,000
146,000
107
55,000
10
4,950
97
1,444

ITRAKONAZOL 100 MG
IMUNOSTIMULAN SIRUP
1,100
859
1,000
107,000
119,950
94,000
10
47
103,300
2,000
550,000
550,000
75
KANAMYCINE 2 GR
19,800
1,400
KAOLIN SUSPENSI
12,012
1,200
300
5,417
4,164
2,200
KETOPROFEN 100 MG
1,350
200
270,000
KETOROLAC INJ 10 MG
2,539
15,234
624
24
245
1,562
428
99,936
4,500
1,345
5,280
50
264,000
2,982
1,599
24
38,376
300
2,250
950
250
237,500
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
CLG
Harga
Pemakaian
Pemakaian
Harga
19=6-18
3,969
46,800
KOMB.BETAMETASON VALERAT 1 MG + NEOMISIN SULFAT 5

MG KRIM
KOMB.BROMHEKSIN 8 MG + DIPHENHIDRAMIN HCL 25 MG +
PARASETAMOL 400 MG
8,289
-
312
60
-
5,384
30,450

KOMB.DEKSTROMETORFAN HBR + FENILPROPANOLAMIN +

GG + CTM SYRUP
KOMB.BETAMETASON, DEKSKLORFENIRAMIN MALEAT
KOMB.METHAMPYRON + DIAZEPAM
6,825
65,760
134
1,921
14,750
KOMB.DEXTROMETHORPHAN + THIOKOL + PARASETAMOL +

CTM
GUAIAKOLATSULFONAT
TABLET
KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM SYRUP
MG
KOMB.TEOFILIN + SALBUTAMOL TABLET
SYRUP
/ TREMENZA
KOMB.TRIPOLIDIN
2,5SYRUP
MG + PSEUDOEFEDRIN 60 MG TABLET
/ LIBROFED TABLET
21,500
7,365
KOMB.VIT B1 100 MG + VIT B6 100 MG + VIT B12 200 MG +

ACID 200 MG TABLET
20,000
10,000
200
10
120
100,000
10
140,690
150
296,250
100
197,500
159
1,500
238,500
1,000
159,000
50
1,154
500
1,030
520
13,200
LISOL
990
1,688,280
208,080
10
1,925
63,250
360
14,069
1,056
1,265,000
856
1,584,000
578
7,920
1,500
71,500
15,040
11,400
10
1,975
15,600
4,300
6,325
15,855
825
1,950
1,056
20,070
7,150
497,340
-
7,376
2,700
577,000
50
57,700
100
103,000
100
26,400
66,000
103,000
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
CLG
Harga
Pemakaian
Pemakaian
Harga
19=6-18
23,900
1,300
196,500
1,700
91
MELOXICAM 7,5 MG
234
100
MELOXICAM 15 MG
348
METFORMIN 500 MG
105
METFORMIN 850 MG
260
140
3,685
296
14,300
45
6,700
108
13,500
23,300
-
1,000
105,000
375
300
44,000
89
100
2,830
123
164
200
MICONAZOLE SALEP
8,900
112,500
23,400
601
17,800
3,086
13,750
1,191
20,000
40,000
120
50
1,000,000
500
264,000
MULTIVITAMIN TABLET
528
100
52,800
53,000
14
52,600
134
300
40,200
6,400
176
300
52,800
13
4,900
62,400
2,400,000
32,800
1,000
14,000
9,800
112
100
2,700
640
3,300
407
30,800
4,950
300
98,200
123
13,752
-

OBH
OBH PLUS PARASETAMOL + PSEUDOEPHEDRIN + CTM +
7,000
-
OFLOXACIN 400 MG
873
ONDENSETRON INJ
2,400
OFLOXACIN 200 MG
413
5,050
415
500
11,200
1,485,000
60
297,000
12,000
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
CLG
Harga
Pemakaian
Pemakaian
Harga
19=6-18
18,500
3,590
9
18,100
1,450
100
2,100
145,000
-
OXYTOCIN INJ
13,913
PANTOCAIN 0,5 % TETES MATA
16,100
119
25
36,250
530
60
PARASETAMOL 100 MG
32
PARASETAMOL SUPPOSITORIA
1,400
9,104
48,381
1,126,800
-
PARASETAMOL DROPS
5,227
1,319
PARASETAMOL 500 MG
84
200
16,800
300
PERMETHRIN KRIM 5 %
12,925
25,200
200
263,800
150
197,850
10,800
907,200
4,000
336,000
17,200
290
47,900
PIRAZINAMID 500 MG
198
14
260,000
18,800
209
1,095

PIROXICAM
ALBOTYL
65
28,600
3,500
1,500
97,500
200
143,000
143,000
-
13,000
349
14,500
153
POVIDON IODIDA 1 L
42,000
57
PROPANOLOL 40 MG
120
RANITIDIN TABLET
110
100
1,928
85,000
1,700
69,000
1,235
1,483
41,900
2,409
74,500
417
11,000
1,000
-
57,000
-
2,000
220,000
2,000
1,000
114,000
110,000
RETINOL 100,000 IU
14,300
162
2,316,600
RETINOL 200,000 IU
19,600
573
11,230,800
RIFAMPICIN 450 MG
660
5,200
1,500
1,781
215,600
1,000
15,600
660,000
20
23,200
83
16,700
96
100
9,600
4,312,000
-
200
16,600
100
8,300
200
19,200
100
9,600
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
SALEP 2 - 4
4,950
4,700
SALISIL BEDAK 2 %
1,250
100
125,000
100
4,906
3,630
20
72,600
1,511
SEFADROKSIL SYRUP
5,248
7,800
SEFADROKSIL 250 MG
468
8,200
SEFADROKSIL 500 MG
4,320
140,000
542
354
83,500

147,000
39,700
1,350
245
200,900
50,800
100
70
12
520
58,300
116,600
798,210
600
2,090
3,226
6,680
521
11,403
919
4,100
104,200
125,000
391
44,300
200
23,540
SIMVASTATIN TABLET
225
105,400
52,100

968
1,000
186
1,050
700
38
431

1,000
234,600
1,050,000
2,000
76,000
968,000
1,000
38,000
200
86,200
189
5,400
40
500
107
474
6,000

NEO KAOMINAL SUSPENSI

1,000
474,000
500
20,000
237,000
32
110,000
3,400
2,662
19,900
2,420
100
200
6,700
7,750
100
900
3,300
150
8,360
50
525,000
275
6
102,100
ALAT PEMERIKSAAN HB
ALCOHOL SWABS
2,100,000
-
100*3120
775,000
418,000
484,000
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
CLG
Harga
Pemakaian
Pemakaian
Harga
19=6-18
100
9,900
6,332
BISTURI
BLOOD LANCET
8,230
100
396
823,000
-
823,000
-
902,000
78,100
100
CATGUT CHROMIC
5,415,500
1,650,000
DENGUE N5 1 ANTIGEN
2,420,000
81
DEX GLASS
39,050
96
302,500
FESCOPLAST
85
FOLEY CATETHER
11,000
30
30
330,000
GLUCOSA TEST TIP
8,323
60
499,380
935,000
18,755
418
500
10,890
5,500
27,500
8,190
17
GOLONGAN DARAH KIT
11
H2O2
82,200
1,600
HAND SCONE STERILE
3,920
12,090
HEMASITO METER
330,000
209,000
302,500
-
83,600
200
ISI AUTOCLIX
1,632
300
365
INFUSION SET ANAK
9,900
220
INFUSION SET DEWASA
8,800
300
IODIUM TEST
20,900
3,127
IV CATETHER
22,000
328
JARUM JAHIT
71,000
KACA MULUT
96,800
7 7*20790
20,130
KAPSUL KOSONG NO.0
44
30,000
KAPSUL KOSONG NO.1
33
1,980
10
790
40,260
7*20790
20,000
253
489,600
19,800
136,694
1,346
KASSA STERIL
6,820
2,520
KASSA 4 M X 15 CM
5,104
20
102,080
LAMPU SPIRITUS
129
-
METILEN BLUE 250 ML
46,200
101,750
37,400
STOCK
AKHIR
NAMA OBAT
HARGA
DINAS
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
CLG
Harga
Pemakaian
Pemakaian
Harga
19=6-18
4
11,450
MICROPIPET 3 UKURAN
MASKER
2,090,000
1,436
1,000
1,436,000
500
718,000
100
143,600
139
22,000
142
22,000
95,700
95,700
95,700
95,700
95,700
95,700
95,700
95,700
95,700
MATA SCALLER
236,500
NASO GASTRIC TUBE
21,450
146
40,700
146
30
61
267
NEEDLE
OBJECT GLASS
OIL IMERSI
OSE
40,700
34,991
13,500
5,400
110,000
5 (2*34991)+(3*34
PENJEPIT TABUNG
PIPET BESAR
PIPET KECIL
PLESTER
110,000
22
443
23,100
69,300
946,000
16
702,240
85
SELANG O2 ANAK
13,200
66
SELANG O2 DEWASA
13,200
1,082,950
62,150
POT DAHAK
SGOT/SGPT TEST
191,500
32
6,128,000
STRIP GULA DARAH
95,000
12
1,140,000
77,000
STRIP KOLESTEROL
175,450
VENOJECT
220,000
YELLOW TIP
327
STRIP HB
140
128
877,250
95,700
37
TABUNG REAKSI BESAR
2,015
63
TABUNG REAKSI KECIL
2,015
103
TORNIKUET
22,000
STOCK
AKHIR
NAMA OBAT
HARGA
DINAS
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
CLG
Harga
Pemakaian
Pemakaian
Harga
19=6-18
-
132,000
304
13,200
315
URINE BAG
4,950
30
148,500
247,500
247,500
1,396,000
133,100
WIDAL TEST
24
WHITE TIP
POCH PACK D
594,000
POCH PACK L
1,870,000
943,000
1,132,500
CALIBRATION SCS
1,942,295
1,768,800
STROMALYSER WH
1,171,500
94,020
1,197,900
1,937,600
OBAT GIGI
ARSEN
484,000
484,000
484,000
ARTIKULATING PAPER
214,500
214,500
214,500
73
BEIN GIGI
145
19
225,500
3,740,000
CALCIDOR
209,000
CEVITRON
115,500
70,000
CHKM
CRESOPEN
551,000
DENTORIT
154,000
DYCAL
333,300
124
ETIL KLORIDA SPRAY
145,200
639
EUGENOL CAIRAN
3,178
16
IODOFORM PASTA
302,500
19
GLASS IONOMER ART
715,000
OCO / TSR
330,000
1,265,000
14
418,000
726,000
715,000
STOCK
AKHIR
NAMA OBAT
HARGA
DINAS
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
7
36,300
703,110
22,915,400
8,638,200
22,398,838
26,381,944
STOCK
AKHIR
19=6-18
NAMA OBAT
HARGA
DINAS
Pemakaian
PROGRAM
Harga
Pemakaian
Harga
P2KP
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
STOCK
AKHIR
19=6-18
NAMA OBAT
HARGA
DINAS
Pemakaian
PROGRAM
Harga
Pemakaian
Harga
P2KP
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
STOCK
AKHIR
19=6-18
NAMA OBAT
HARGA
DINAS
Pemakaian
PROGRAM
Harga
Pemakaian
Harga
P2KP
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
STOCK
AKHIR
19=6-18
NAMA OBAT
HARGA
DINAS
Pemakaian
PROGRAM
Harga
Pemakaian
Harga
P2KP
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
STOCK
AKHIR
19=6-18
NAMA OBAT
HARGA
DINAS
Pemakaian
PROGRAM
Harga
Pemakaian
Harga
P2KP
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
STOCK
AKHIR
19=6-18
NAMA OBAT
HARGA
DINAS
Pemakaian
PROGRAM
Harga
Pemakaian
Harga
P2KP
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
STOCK
AKHIR
19=6-18
NAMA OBAT
HARGA
DINAS
Pemakaian
PROGRAM
Harga
Pemakaian
Harga
P2KP
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
STOCK
AKHIR
19=6-18
NAMA OBAT
HARGA
DINAS
Pemakaian
PROGRAM
Harga
Pemakaian
Harga
P2KP
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
STOCK
AKHIR
19=6-18
NAMA OBAT
HARGA
DINAS
Pemakaian
PROGRAM
Harga
Pemakaian
Harga
P2KP
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
STOCK
AKHIR
19=6-18
NAMA OBAT
HARGA
DINAS
Pemakaian
PROGRAM
Harga
Pemakaian
Harga
P2KP
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
STOCK
AKHIR
19=6-18
NAMA OBAT
HARGA
DINAS
Pemakaian
PROGRAM
Harga
Pemakaian
Harga
P2KP
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
50
107,600
100
215,200
50
107,600
300
160,200
300
160,200
200
106,800
400
259,200
200
129,600
300
194,400
100
64,800
400
41,600
31,200
500
52,000
Harga
100
215,200
807,000
500
267,000
907,800
300
194,400
1,101,600
1,000
104,000
416,000
300
1,500
-
280,500
-
1,500
129,000
2,100
3,000
180,600
561,000
1,500
1,200
129,000
224,400
500
1,020
43,000
190,740
-
47,500
300
1,110,000
6,105,000
1,200
240,000
1,176,000
6,000
1,320,000
7,128,000
400
1,480,000
300
1,110,000
360
72,000
960
192,000
1,080
216,000
6,000
1,320,000
5,000
1,100,000
4,200
924,000
4,200
924,000
510
1,530,000
120
360,000
2,500
3,000
3,000
202,500
-
50
632,500
124,550
100
10
249,100
20
30,250
1
50
60,500
3,500
93,300
406,000
93,300
-
126,500
124,550
75
186,825
5,000
93,300
25
62,275
200
1,890,000
580,000
1,508,000
648,000
1,620,000
373,200
746,400
4,245,471
759,000
100
249,100
1,120,950
8,000
50
243,000
50
43,200
-
216,000
3,000
24
36,000
20
1,080
162,000
2,000
243,000
4,245,471
9
50
348,000
2,300,100
1,295,000
10
375,870
713,800
350
2,010
86,000
47,500
1,000
30
90,750
79,200
272,250
CBB
Pemakaian
-
CWD
Harga
Pemakaian
-
PM
Harga
Pemakaian
-
PWK
Harga
Pemakaian
-
JBG
Harga
Pemakaian
-
CTK
Harga
Pemakaian
-
Harga
-
2,000
318,000
1,000
159,000
2,200
349,800
5,000
795,000
5,000
795,000
5,000
795,000
4,324,800
2,500
250,000
2,000
200,000
5,000
500,000
3,000
300,000
1,000
100,000
6,000
600,000
2,260,000
5,500
600
198,000
750
247,500
1,200
100
480
400
72
40,800
109,728
52X3190
396,000
600
198,000
250
82,500
5,500
300
99,000
1,765,500
#VALUE!
100
152,400
48
110,880
48,960
73,152
200
120
20,400
182,880
360
50
36,720
76,200
480
96
48,960
146,304
216,240
893,064
120
37,194
300
168,600
300
84,300
84,300
110,880
25,300
94,500
2,700
170,100
2,000
126,000
1,800
113,400
500
31,500
1,000
63,000
756,000
1,000
88,000
2,900
255,200
2,000
176,000
4,500
396,000
1,000
88,000
2,000
176,000
1,311,200
30
317,640
20
211,760
30
317,640
150
143,700
400
383,200
1,000
958,000
300
200,000
64
320,000
220,000
1,500
847,040
1,963,900
520,000
220,000
-
287,400
40
40
1,000
500
-
181,000
122,500
-
400
400
-
72,400
98,000
-
200
105,400
300
158,100
5,000
120,000
7,000
168,000
1,000
181,000
500
5,000
180,500
120,000
300
54,300
500
90,500
181,000
1,176,500
500
100
52,700
500
263,500
843,200
2,000
48,000
10,000
240,000
1,152,000
7,000
168,000
1,000
122,500
-
588,000
180,500
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
3,500
4,000
276,000
10,000
10,000
26,000
1,000
30,000
30,000
1,000
69,000
4,000
276,000
2,000
138,000
7,000
483,000
241,500
1,794,000
10
8,000
8,000
100
9,100
9,100
405,000
469,300
5
100
-
40,500
40,500
30
243,000
72,200
10
72,200
44,000
10
100
200
420,000
11
24,332
#VALUE!
50,600
151,800
120,800
120,800
92,100
-
11,060
3X2200
50,600
50,600
184,200
44,000
552,600
200
24
500
18,200
-
24
24,192
24
24,192
24
24,192
600
200
25
500
-
36,725
27,000
-
60
24,192
347,400
18,200
100
146,900
50
44,750
2,500
135,000
500
250,000
330,000
125
183,625
25
50
44,750
2,000
108,000
300
-
3,000
-
36,725
162,000
-
1,650,000
400
-
21,600
-
600
-
289,500
96,768
752,700
-
36,725
514,150
50
44,750
134,250
3,000
162,000
712,800
25
320,000
5,610,000
3,300,000
CBB
Pemakaian
3,000
-
CWD
Harga
Pemakaian
69,000
-
4,000
PM
Harga
Pemakaian
92,000
-
60,000
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
Harga
Pemakaian
500
500
82,500
500
123,000
100
20,000
300
200
33,000
200
49,200
500
123,000
4,000
100
92,000
CTK
24,600
2,000
Harga
46,000
-
483,000
-
100,000
180,000
500
82,500
198,000
1,000
246,000
565,800
5,049,000
72
172,728
96
230,304
72
172,728
172,728
50
119,950
230,304
1,333,844
111,100
55,550
222,200
50
224,950
20
400
134,970
58,400
2,400
40
100
400
18,800
1,000
2400X149
4,000
584,000
1,600
2,200,000
9,700
47,000
89,980
233,600
96
30
72
10
44,990
100
200
18,600
500
73,000
200
449,900
29,200
989,780
27,900
#VALUE!
107,000
3,575,000
9,700
275,000
1,000
47,000
3,000
141,000
347,800
-
500
150,000
100
30,000
210,000
60
249,840
36
20
83,280
144
676,800
#VALUE!
121,600
#VALUE!
100
30,000
30
124,920
20
15,234
500
30
75
24
38,376
83,280
300*608)+(300*13
76,170
129,489
200
236,127
22,500
25
132,000
50
264,000
1,056,000
24
38,376
24
38,376
230,256
396,000
-
51
22*4164+(14*4700
48
76,752
22,500
45,000
237,500
CBB
Pemakaian
CWD
Harga
Pemakaian
30
PM
Harga
Pemakaian
248,670
Harga
Pemakaian
60
-
PWK
Harga
Pemakaian
60
497,340
JBG
Harga
Pemakaian
10
497,340
CTK
200
82,890
Harga
1,657,800
3,481,380
10
50
10
50
73,760
50
368,800
120
357,500
100
858,000
500
105,600
-
100
50
140,690
50,000
120
1,688,280
900
-
1,000
1,000
990,000
1,012,968
1,000
950,400
1,000
296,250
500
79,500
500
79,500
500
200
10,000
100
115,400
100
103,000
200
100
103,000
66,000
79,500
206,000
50
703,450
100
792,750
1,581,250
5,439,500
624,240
2,496,960
220,000
1,406,900
8,131,882
1,980,000
50,000
1,478,400
990,000
150
1,350,624
2,000
98,750
1,400
50
-
96
4,224,000
1,080
-
1,056,000
990,000
211,200
250
316,250
72
1,387,200
-
2,860,000
50
2,400
-
632,500
715,000
100
885,120
200
1,056,000
632,500
-
5
-
10
100
277,440
-
1,000
316,250
480
368,800
100
739,200
-
632,500
700
73,760
-
792,750
858,000
528,000
-
50
120
3,484,800
500
495,000
5,445,000
50
98,750
50
98,750
100
197,500
1,283,750
1,000
159,000
600
95,400
1,000
159,000
1,049,400
100
103,000
39,600
10,000
750,100
721,000
277,200
79,200
CBB
Pemakaian
500
500
100
CWD
Harga
Pemakaian
-
117,000
52,500
14,000
2,000
700
PM
Harga
Pemakaian
-
468,000
73,500
2,500
1,500
PWK
Harga
Pemakaian
-
585,000
157,500
1,310,400
1,000
105,000
200
21,000
514,500
28,000
158,455
158,455
300
112,500
500
220,000
187,500
1,000
375,000
-
100
8,900
200
17,800
53,400
10
28,300
120
339,600
410,350
200
15
300
300
-
49,200
-
10
17,800
1,000
178,000
375,000
42,450
49,200
-
100
-
16,400
-
1,000
-
300
-
375,000
-
49,200
229,600
-
178,000
10
137,500
60
825,000
25
343,750
2,000,000
144
2,880,000
192
3,840,000
192
3,840,000
200
4,000,000
1,000
528,000
1,000
528,000
200
105,600
1,400
739,200
1,500
792,000
1,000
14,000
28,000
1,500
201,000
515,900
281,600
230,300
150
20,100
300
40,200
1,600
214,400
100
17,600
600
105,600
600
105,600
10
200
49,000
22,400
20
1,000
100
100
495,000
300
98,000
112,000
40,700
1,485,000
10
24,000
4,000
48,000
78,400
10
200
49,000
22,400
687,500
1,993,750
4,000,000
24,000,000
200
100
5
-
700
24,500
50
200
154,000
-
20
448,000
220,000
1,537,500
100
43
14,000
Harga
100
Pemakaian
200
117,000
Harga
32,800
Pemakaian
Harga
CTK
500
JBG
61,600
420
2,079,000
50
120,000
100
495,000
300
22,400
40,700
1,485,000
3,009,600
716,800
81,400
215,600
7,821,000
204,000
CBB
Pemakaian
100
10
-
CWD
Harga
Pemakaian
145,000
139,130
-
Harga
Pemakaian
108,750
75
PWK
Harga
Pemakaian
108,750
20
278,260
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
100
417,390
200
56
292,712
250
329,750
9,000
756,000
100
29,000
400
5
26,000
17,500
10
52,270
350
461,650
10,800
907,200
395,700
100
131,900
7,200
604,800
5,000
420,000
29,000
4,000
56,000
1,000
65,000
143,000
10
286,000
14,000
10
35,000
2,000
2,000
130,000
220,000
1,600
104,000
2,000
2,000
28,000
114,000
-
3,000
330,000
100
192,800
42,000
84,000
1,000
57,000
342,000
1,500
165,000
26,000
400
600,000
300
450,000
2,000
3,000,000
1,400
2,100,000
8,300
-
100
101,500
84,000
1,040,000
715,000
17,500
728,000
200
195,000
520,000
8,624,000
3,000
3,000
14,500
100
-
97,500
140,000
1,500
42,000
104,000
1,000
14,000
20
5,233,200
40
3,231,550
791,400
1,260,000
600
15,000
100
19,280
300
42,000
10
659,500
1,609,916
500
522,700
110,000
20
104,540
10
52,270
1,000
112
585,424
58,000
392,700
29,000
2,000
238,000
688,750
23,800
145,000
1,000
119,000
JBG
100
11,900
75
PM
110,000
9,640
16,600
1,000
83,000
400
300
28,800
1,000
96,000
1,386,000
221,720
2,316,600
11,230,800
660,000
1,705,600
500
-
750,000
-
4,000
-
6,000,000
12,900,000
12,936,000
33,200
110,000
1,000
200
1,000
200
16,600
300
24,900
207,500
100
9,600
500
48,000
220,800
CBB
Pemakaian
CWD
Harga
Pemakaian
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
Harga
Pemakaian
24
118,800
50
247,500
250,000
200
250,000
100
125,000
100
125,000
300
24
87,120
20
72,600
30
108,900
341,220
30
157,440
20
20
104,960
367,360
200
104,200
200
104,200
300
500
408,100
100
156,400
117,700
24
77,424
1,000
1,000
391,000
1,000
117,700
353,100
154,848
24
77,424
1,000
580,800
1,000
968,000
500
10,000
525,000
380,000
300
152,000
100
43,100
43,200
1,000
40,000
400
1,000
474,000
1,000
4,000
24,000
474,000
1,936,000
2,000
484,000
600
500
968,000
474,000
2,776,100
1,000
1,173,000
117,700
3,000
24,000
117,300
300
600
312,800
600
38,000
800
521,000
7,640,010
391,000
5,701,500
968,000
1,000
1,140,300
366,300
1,500,000
400
375,000
291,500
156,300
Harga
200
104,960
CTK
125,000
100
PM
1,000
38,000
55,800
-
6,872,800
55,800
1,575,000
-
3,000
114,000
836,000
86,200
215,500
200
43,200
16,000
2,000
500
80,000
237,000
2,000
1,000
80,000
474,000
284,000
2,844,000
500
1,331,000
1,597,200
200
484,000
238
100
266,200
200
484,000
400
100
775,000
968,000
575,960
200
484,000
#VALUE!
418,000
2,625,000
200
1
-
525,000
-
1,000
275,000
500
137,500
55,000
1,550,000
467,500
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
1,646,000
10
4,686,000
30
2,343,000
20
1,562,000
781,000
302,500
55
55
605,000
18,755
18,755
1,000
418,000
800
334,400
1,200
605,000
935,000
501,600
30
499,380
935,000
30
400
330,000
167,200
300
125,400
1,000
330,000
418,000
37,510
2,257,200
50
544,500
50
544,500
100
550,000
100
550,000
300
210
25
247,500
100
990,000
1,237,500
50
440,000
100
880,000
1,434,400
3,850,000
#VALUE!
10
20
7
2
88,000
440,000
2*20790)+(5*968
40,260
100
2,200,000
50
1,100,000
5
-
20
1,420,000
677,600
677,600
40,260
80,520
1*27500)+(21*710
342,720
26,400
110,000
677,600
677,600
1,020
2,530,000
1,650,000
1,664,640
1,089,000
2,777,500
2,496,960
677,600
#VALUE!
100,650
301,950
200
415,800
20
136,400
50
341,000
477,400
20
102,080
200
1,020,800
100
203,500
10
51,040
396,000
203,500
-
510,400
1,786,400
CBB
Pemakaian
150
CWD
Harga
Pemakaian
-
215,400
300
PM
Harga
Pemakaian
-
430,800
500
PWK
Harga
Pemakaian
-
718,000
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
300
Harga
430,800
95,700
95,700
95,700
95,700
95,700
95,700
95,700
95,700
95,700
95,700
95,700
95,700
95,700
95,700
4,092,600
-
95,700
765,600
95,700
765,600
95,700
669,900
236,500
236,500
81,400
81,400
81,400
81,400
110,000
440,000
110,000
110,000
#VALUE!
115,500
10
231,000
20
462,000
115,500
115,500
1,108,800
702,240
702,240
26,400
66,000
92,400
26,400
66,000
92,400
6,128,000
1,140,000
10
10
4,386,250
1,754,500
1,754,500
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
420,750
55
272,250
247,500
5,658,000
2,829,000
2,829,000
1,768,800
1,768,800
3,537,600
1,171,500
1,171,500
2,343,000
564,120
564,120
1,128,240
2,395,800
2,395,800
4,791,600
1,937,600
1,937,600
3,875,200
484,000
968,000
484,000
484,000
484,000
3,872,000
214,500
214,500
214,500
214,500
214,500
1,501,500
462,000
577,500
140,000
115,500
140,000
1,452,000
290,400
302,500
715,000
715,000
145,200
302,500
3,575,000
418,000
1,430,000
290,400
418,000
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
Harga
Pemakaian
54,172,045
PWK
52,223,865
Harga
Pemakaian
36,300
JBG
54,770,953
CTK
Harga
Pemakaian
Harga
30,851,774
24,394,673
53,851,111
36,300
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga

DI KOTA CILEGON
Propinsi
: BANTEN
Alamat
: 9 Unit
Bulan
: Februari
Tahun
: 2015
PEMAKAIAN
NO
NAMA OBAT
SATUAN
STOCK AWAL
PENERIMAAN
PERSEDIAA
N
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
6=4+5
10
11
12
13
14
15
16
17
ACYCLOVIR 5 GR KRIM
TUBE
4,701
4,701
50
TABLET
20,000
20,000
200
TABLET
10,400
10,400
TABLET
4,500
4,500
TABLET
8,610
8,610
BOTOL
10,000
10,000
TABLET
29,900
29,900
TABLET
TABLET
28,700
28,700
10
TABLET
47,700
47,700
11
TABLET
12
VIAL
1,710
1,710
13
BOTOL
15,253
15,253
14
KAPLET
68,800
68,800
15
KAPLET
190,300
190,300
16
TABLET
2,970
2,970
17
TABLET
158,400
158,400
18

MG)
TABLET
142,100
142,100
19
ANTASIDA SUSPENSI
BOTOL
2,574
2,574
20
VIAL
21
AMPUL
44
44
22

TUBE
6,140
6,140
23

SALISILAT 3 %)
POT
84
84
24
ANTI HEMOROID DOEN
SUPP
1,410
1,410
50
100
100
200
25
75
300
1,000
200
300
1,000
500
200
300
800
100
510
18=(7s/d17)
150
450
1,700
300
3,000
300
JUMLAH
400
2,600
1,000
4,500
720
1,830
300
50
300
450
300
500
400
500
2,800
1,000
500
1,000
1,400
2,500
1,500
1,000
2,500
12,200
100
30
1,740
510
960
1,500
100
1,200
2,100
8,040
-
30
100 ###
400
2,000
250
5,000
30
200
200
300
1,200
960
1,800
2,040
600
2,400
9,000
8,000
5,000
4,700
14,400
5,000
10,000
54,500
120
300
1,500
1,500 ###
50
150
400
120
1,700
240
1,000
3,000
2,000
4,500
2,000
3,000
17,300
1,000
3,000
5,800
3,500
2,500
10,000
28,800
100
100
100
50
50
250
700
10
25
50
5
125
25
20
20
30
20
100
50
30
70
29
25
350
70
50
220
NO
NAMA OBAT
SATUAN
STOCK AWAL
PENERIMAAN
PERSEDIAA
N
6=4+5
PEMAKAIAN
JUMLAH
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
2,500
1,500
3,000
10,000
4,000
3,000
20,000
44,000
2,000
2,500
2,000
6,000
3,500
2,500
4,000
24,200
18=(7s/d17)
25
TABLET
26
TABLET
173,000
173,000
27
TABLET
414,600
414,600
28
TABLET
12,600
12,600
29
ATROPIN SULFAT INJ
AMPUL
141
141
30
TABLET
97,300
97,300
31
AQUABIDEST
BOTOL
32
BOTOL
928
928
33
AZITHROMYCIN 500 MG
KAPSUL
34
BEKARBON
TABLET
18,160
18,160
35
VIAL
180
180
36
TUBE
1,391
1,391
37
TABLET
38
BOTOL
39
SUPP
516
516
40
BISOPROLOL 5 MG
TABLET
1,600
1,600
41
TABLET
131,400
131,400
42
BOTOL
43
BOTOL
100
100
44
CALAMIN LOTION
BOTOL
428
428
45
TABLET
673,800
673,800
46
TABLET
227,400
227,400
1,000
47
BOTOL
264
264
48
48
CEFIXIME 100 MG
KAPSUL
16,850
16,850
49
CEFIXIME 200 MG
50
CEFOTAXIME INJ 1G
51
CEFTRIAXON INJ
52
53
CETIRIZINE DROP
BOTOL
54
CETIRIZIN 10 MG
TABLET
55
CIMETIDIN TABLET
TABLET
56
TABLET
118,600
118,600
57
KAPSUL
9,500
9,500
200
58
KAPSUL
6,800
6,800
150
59
TABLET
300,800
300,800
60
TABLET
15,000
15,000
61
BOTOL
300
400
1,000
100
100
200
-
600
450
300
750
1,200
1,050
500
600
5,450
-
24
200
226
-
400
1,000
480
96
125
96
400
360
1,200
3,840
25
72
513
24
75
200
100
300
600
600
-
###
7
-
400
100
700
3,000
3,000
3,000
2,000
3,000
15,100
500
1,500
3,000
4,000
3,500
3,000
16,500
100
1,800
10
500
100
500
10
10
500
78
VIAL
15
15
15
15
VIAL
180
180
40
40
BOTOL
32,700
-
32,700
300
300
500
500
400
1,000
3,000
-
300 ###
3,600
1,000
7,200
400
1,000
400
500
500
4,600
1,000
10,800
15,000
700
300
4,400
100
800
200
300
1,150
10,800
7,200
14,800
74,000
3,000
4,000
-
NO
NAMA OBAT
SATUAN
STOCK AWAL
PENERIMAAN
PERSEDIAA
N
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
62
TABLET
63
BOTOL
308
308
64
BOTOL
448
448
65
BOTOL
66
TABLET
67
68
JUMLAH
18=(7s/d17)
-
10
3
-
107,400
107,400
VIAL
2,582
2,582
DIAZEPAM TABLET
TABLET
2,000
2,000
69
AMPUL
206
206
70
DIFENHIDRAMIN INJ
AMPUL
210
210
71
TABLET
51,400
51,400
72
BOTOL
73
DOMPERIDON 10 MG
TABLET
74
KAPSUL
75
TABLET
76
AMPUL
57
57
77
BOTOL
1,260
1,260
78
ERYTHROMYCIN 250 MG
KAPSUL
17,400
17,400
79
TABLET
44,100
44,100
80
ETAMBUTOL 500 MG
TABLET
43,000
43,000
81
BOTOL
197
197
82
ETANOL 70 % 1000 ML
BOTOL
614
614
83
KAPSUL
8,200
8,200
84
TABLET
7,000
7,000
85
FENOL GLISEROL 10 %
BOTOL
2,040
2,040
86
FITOMENADION INJ
AMPUL
87
TABLET
6,700
6,700
88
FLUCONAZOL 150 MG
TABLET
200
200
89
AMPUL
220
220
90
TABLET
20,000
20,000
91
GAMEKSAN
BOTOL
92
SACHET
6,800
6,800
93
TUBE
2,025
2,025
100
94
BOTOL
4,000
4,000
50
95
TABLET
859,100
859,100
96
GLIMEPIRIDE 2 MG
TABLET
1,000
1,000
97

50 MG
TABLET
20,310
20,310
9,400
1,000
3,000
2,500
3,000
6,000
5,500
4,000
10,000
77
35,000
82
100
100
200
9,400
24
10
10
44
200
200
500
100
10
2 ###
10
5
21
-
48
24
###
96
200
100
200
100
200
800
200
200
-
200
200
200
600
100
50
200
100
60
50
1,000
125
3,000
50
25
50
50
50
50 ###
4,000
3,500
400
25
475
2,000
14,200
250
500
600
120
180
NO
NAMA OBAT
SATUAN
STOCK AWAL
PENERIMAAN
PERSEDIAA
N
6=4+5
98
TABLET
99
GLISERIN LARUTAN
BOTOL
611,000
3,500
3,500
TABLET
12,100
12,100
TABLET
21,300
21,300
AMPUL
456
456
TUBE

P2KP
GRG
CLG
CBB
CWD
10
11
12
2,000
5,000
5,000
PWK
JBG
CTK
13
14
15
16
17
5,000
10,000
4,000
3,000
7,000
18=(7s/d17)
41,000
-
300
500
200
100
400
1,000
1,500
500
1,000
12
1,700
12
-
TABLET
6,000
6,000
TUBE
32,924
32,924
210
300
600
120
75
48
96
24
TABLET
SUPP
87
87
1
10
BOTOL
780
780
TABLET
2,500
2,500
TABLET
31,100
31,100
TABLET
5,000
5,000
TABLET
7,000
7,000
BOTOL
859
859
TABLET
TABLET
KAPSUL
TABLET
1,100
103,300
1,200
72
50
510
2,820
24
509
-
30
11
20
10
50
300 ###
2,500
600
1,500
5,200
2,000
120
600
200
12,000
-
20
10
40
24
10
104
1,100
100
100
103,300
1,000
TABLET
121 KANAMYCINE 2 GR
VIAL
75
75
122 KAOLIN SUSPENSI
BOTOL
1,400
1,400
20
TABLET
1,200
1,200
100
JUMLAH
PM
TABLET
DINAS
611,000
PEMAKAIAN
PROGRAM
1,000
1,000
10,000
13,000
-
5,417
2,200
AMPUL
624
624
KAPSUL
TUBE
428
428
BOTOL
1,345
1,345
BOTOL
2,982
2,982
TABLET
300
300
TABLET
2,250
2,250
300
18
60
20
700
100
1,200
2,200
BOTOL
48
1,000
5,417
20
90
TUBE
50
100
5
60
TABLET
24
10
72
48
125
100
75
150
96
48
422
1,100
12
30
5
25
200
50
50
55
100
475
168
582
-
500
500
NO
NAMA OBAT
134 KOMB.BETAMETASON VALERAT 1 MG + NEOMISIN

SULFAT 5 MG KRIM
SATUAN
STOCK AWAL
PENERIMAAN
PERSEDIAA
N
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
10
11
12
TUBE
3,969
3,969
TABLET
46,800
46,800
BOTOL
2,700
2,700
BOTOL 60
ML
5,384
5,384
120
TABLET
30,450
30,450
1,000
TABLET
20,070
20,070
141 KOMB.DEXTROMETHORPHAN + THIOKOL +

PARASETAMOL + CTM
BOTOL
1,950
1,950
50
100

GUAIAKOLATSULFONAT
BOTOL
6,825
6,825
50
100

TABLET
TABLET
65,760
65,760

SYRUP
BOTOL
145 KOMB.NEOMYCIN SULFAT 0,5 % + PLACENTA EXTRAC

100 MG
TUBE
134
134
135 KOMB.BROMHEKSIN 8 MG + DIPHENHIDRAMIN HCL 25

MG + PARASETAMOL 400 MG
36
50
CWD
PM
13
14
10
PWK
JBG
15
84
16
72
JUMLAH
CTK
17
40
18=(7s/d17)
250
542
-
136 KOMB. BUDENOSID FORMATEROL 80/4,5 MCG INHALER

60 DOSISI
138 KOMB.DEKSTROMETORFAN HBR +
FENILPROPANOLAMIN + GG + CTM SYRUP
TABLET
20 ###
10
200
120
120
100
600
1,000
570
800
40
50
200
820
1,000
500
5,000
1,000
480
1,200
600
1,570
150
480
150
150
50
300
800
600
2,400
120
2,400
8,280
-
10
10

BOTOL 60
ML
1,921
1,921

TABLET
14,750
14,750
100
149 KOMB.VIT B1 100 MG + VIT B6 100 MG + VIT B12 200 MG

GLUTAMIC ACID 200 MG TABLET
TABLET
21,500
21,500
200
BOTOL
7,365
7,365
TABLET
15,600
15,600
TABLET
15,040
15,040
TABLET
4,300
4,300
AMPUL
11,400
11,400
TABLET
156 LISOL
BOTOL
856
856
5
500
120
48
500
500
1,000
1,000
50
200
500
800
###
500
1,300
120
50
200
546
500
200
2,800
3,000
1,500
1,000
8,200
50
100
150
200
750
500
1,000
500
300
8,900
100
100
100
100
100
100
100
200
100
200
800
-
22
NO
NAMA OBAT
SATUAN
STOCK AWAL
PENERIMAAN
PERSEDIAA
N
6=4+5
TABLET
23,900
23,900
TABLET
1,300
1,300
159 MELOXICAM 15 MG
TABLET
TABLET
TABLET
TABLET
AMPUL
TABLET
TABLET
VIAL
196,500
1,700
14,300
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
-
400
400
500
1,300
1,000
800
500
9,400
196,500
100
1,000
###
1,000
4,000
1,700
300
200
100
600
14,300
500
500
500
45
45
TABLET
6,700
6,700
500
BOTOL
108
108
60
TABLET
13,500
13,500
TABLET
23,300
23,300
1,500
200
100
200
1,000
4,200
800
60
1,000
100
300
400
1,000
1,000
400
200
1,000
3,400
TUBE
BOTOL
TUBE
601
601
BOTOL
3,086
3,086
BOTOL
1,191
1,191
TABLET
62,400
62,400
TABLET
53,000
53,000
TABLET
52,600
TABLET
6,400
TUBE
BOTOL
13
-
20
50
50
100
200
2,000
2,000
52,600
500
200
200
6,400
500
200
600
13
10
240
30
100
220
144
288
20
67
300
1,191
500
1,700
1,500
1,000
8,900
-
500
1,500
2,400
700
2,500
-
BOTOL
TABLET
98,200
98,200
TABLET
2,700
2,700
TABLET
3,300
3,300
BOTOL
123
123
187 OBH
BOTOL
13,752
13,752
188 OBH PLUS PARASETAMOL + PSEUDOEPHEDRIN + CTM

BOTOL
TABLET
500
500
13
100
100
1,000
3,100
###
1,000
100
200
5,400
100
100
###
400
20
1
200
180
200
300
300
20
540
300
600
2,621
-
100
100
NO
NAMA OBAT
SATUAN
STOCK AWAL
PENERIMAAN
PERSEDIAA
N
6=4+5
TABLET
5,050
5,050
191 ONDENSETRON INJ
AMPUL
415
415
18,500
18,500
TUBE
TUBE
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
25
###
50
40
100
50
100
AMPUL
3,590
3,590
BOTOL
TABLET
18,100
18,100
1,000
AMPUL
TABLET
TABLET
SUPP
200 PARASETAMOL SUPPOS 160MG/PROPIRETIC
1,400
100
145
50
400
-
18=(7s/d17)
100
194 OXYTOCIN INJSINTOCYNON
100
JUMLAH
10
60
50
60
10
50
240
300
200
2,000
3,500
1,400
BOTOL
9,104
9,104
10
56
50
150
64
100
430
BOTOL
48,381
48,381
200
150
200
400
600
300
250
700
2,800
TABLET
1,126,800
1,126,800
8,000
7,200
10,800
7,200
18,000
7,200
8,000
25,200
92,000
TUBE
TABLET
17,200
17,200
TABLET
47,900
47,900
TABLET
260,000
260,000
208 PIROXICAM
TABLET
18,800
18,800
BOTOL
209
209
BOTOL
1,095
1,095

BOTOL
349
349
BOTOL
153
153
TABLET
85,000
85,000
TABLET
1,700
1,700
TABLET
69,000
69,000
AMPUL
1,235
1,235
BOTOL
1,483
1,483
BOTOL
TABLET
100
200
300
-
2,000
200
1
3,000
###
3,000
2,000
3,000
1,000
5,000
19,000
1,000
1,000
3,000
1,500
1,000
3,000
10,900
10
32
10
41
10
15
41,900
12
1
1,000 ###
1,000
1,500
200 ###
5,000
3,000
2,000
100
1,000
100
800
2,000
1,500
5,000
10
10
100
150
1,500
2,000
LABU
2,409
2,409
74,500
74,500
TABLET
AMPUL
417
417
1,700
1,000
15,200
275
-
41,900
TABLET
13,000
400
200
10
20
140
200
2,000
1,000
1,500
4,000
1,000
376
500
10,200
20
70
50
NO
NAMA OBAT
SATUAN
STOCK AWAL
PENERIMAAN
PERSEDIAA
N
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
TABLET
23,200
23,200
100
TABLET
16,700
16,700
100
542
542
228 SALEP 2 - 4
POT
KOTAK
4,700
4,700
BOTOL
4,906
4,906
BOTOL
1,511
1,511
KAPSUL
7,800
7,800
KAPSUL
8,200
8,200
TABLET
4,320
4,320
TABLET
140,000
140,000
AMPUL
TUBE
354
354
83,500
83,500

TABLET
TUBE
225
225
VIAL
919
919
200 ###
100
KAPSUL
4,100
4,100
100
TABLET
44,300
44,300
39,700
39,700
1,350
1,350
AMPUL
245
245
TABLET
200,900
200,900
TABLET
TABLET
50,800
2,800
200
50
20
10
15
200
100
200
1,000
50
111
24
70
500
100
700
500
100
1,100
2,000
300
600
2,000
1,500
400
3,000
15
24
1,000
500
1,500
24
3,000
1,500
1,500
3,000
100
13,500
200
-
2,000
4,000
2,000
50
4,000
5,000
5,000
2,000
6,000
30,000
200
200
200
100
500
1,200
50
500
200
800
-
200
500
1,000
300
500
700
500
1,000
400
1,000
2,000
5,400
1,200
1,000
2,000
8,900
50,800
8,300
-
TABLET
100
KAPSUL
3,400
500
1,500
###
500
6,680
400
105,400
147,000
1,000
18=(7s/d17)
300
2,000
6,680
700
600
105,400
147,000
100
200
200
BOTOL
AMPUL
500
30
TABLET
TABLET
700
###

500
24
300
JUMLAH
2,000
SET
32
32
BUAH
3,400
3,400
BUAH
19,900
19,900
BUAH
6,700
6,700
BUAH
900
900
BUAH
150
150
100
200
100
300
400
100
200
200
1,500
100
NO
NAMA OBAT
ALAT PEMERIKSAAN HB
ALCOHOL SWABS
SATUAN
STOCK AWAL
PENERIMAAN
PERSEDIAA
N
6=4+5
BUAH
SACHET
102,100
102,100
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
-
200
300
400
400
400
500
2,200
BISTURI
BUAH
100
100
10
BLOOD LANCET
BUAH
9,900
9,900
11
GALON
12
SACHET
13
CATGUT CHROMIC
ROLL
14
SET
15
DENGUE N5 1 ANTIGEN
SET
16
DEX GLASS
BUAH
81
81
17
BUAH
96
96
18
FESCOPLAST
ROLL
19
FOLEY CATETHER
BUAH
85
85
20
GLUCOSA TEST TIP
TIP
8,190
8,190
21
GOLONGAN DARAH KIT
SET
17
17
22
H2O2
11
11
23
LEMBAR
82,200
82,200
24
HAND SCONE STERILE
PASANG
1,600
1,600
25
SACHET
3,920
3,920
26
HEMASITO METER
BUAH
27
ISI AUTOCLIX
KOTAK
12,090
12,090
28
INFUSION SET ANAK
SET
365
365
29
INFUSION SET DEWASA
SET
220
220
30
IODIUM TEST
BOTOL
300
300
31
IV CATETHER
SACHET
3,127
32
JARUM JAHIT
BUAH
33
KACA MULUT
BUAH
34
BUNGKUS
35
KAPSUL KOSONG NO.0
36
KAPSUL KOSONG NO.1
37
LEMBAR
38
39
KASSA STERIL
40
41
BOTOL
6,332
6,332
30
50
35
1
1
400
200 ###
600
2,000
600
50
50
100
50
50
175
1
2,000
25
50
5
4
600
6,600
120
300
510
30
30
10
30
3,127
30
50
60
328
328
10
253
253
BUAH
20,000
20,000
BUAH
30,000
30,000
790
790
90
35
33
ROLL
10
210
2
600
1,740
10
78
10
87
-
10 ###
160
10
20
-
16
-
100
100
200
50
100
KOTAK
1,346
1,346
50
KASSA 4 M X 15 CM
ROLL
2,520
2,520
LAMPU SPIRITUS
BUAH
42
BOTOL
43
BOTOL
50 ###
100
50
100
100
450
NO
NAMA OBAT
SATUAN
STOCK AWAL
PENERIMAAN
PERSEDIAA
N
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
10
11
12
CWD
PM
13
14
1
JBG
CTK
15
16
17
JUMLAH
18=(7s/d17)
44
KOTAK
129
129
45
METILEN BLUE 250 ML
BOTOL
46
MICROPIPET 3 UKURAN
BUAH
47
MASKER
BUAH
11,450
11,450
48
BUAH
139
139
49
BUAH
142
142
50
BUAH
51
BUAH
52
BUAH
53
MATA SCALLER
BUAH
54
NASO GASTRIC TUBE
TUBE
30
30
55
BUAH
146
146
56
BUAH
146
146
57
NEEDLE
BUAH
61
61
58
OBJECT GLASS
BUAH
267
267
59
OIL IMERSI
BOTOL
60
OSE
BUAH
61
PENJEPIT TABUNG
BUAH
22
22
62
PIPET BESAR
BUAH
63
PIPET KECIL
BUAH
64
PLESTER
ROLL
443
443
65
POT DAHAK
BUAH
66
BUAH
67
VIAL
16
16
68
SELANG O2 ANAK
BUAH
85
85
69
SELANG O2 DEWASA
BUAH
66
66
70
SGOT/SGPT TEST
71
72
SET
PWK
6
-
750
400
100
600
300
500
400
100
3,150
-
1
1
20
10
1
4
6
6
50
-
SACHET
STRIP ASAM URAT
BOX
73
STRIP HB
BOX
327
327
74
STRIP GULA DARAH
BOX
140
140
75
BOX
76
STRIP KOLESTEROL
BOX
128
128
77
VENOJECT
KOTAK
78
YELLOW TIP
BUAH
79
TABUNG REAKSI BESAR
BUAH
37
37
80
TABUNG REAKSI KECIL
BUAH
63
63
2
6
8
-
1
1
6
1
NO
NAMA OBAT
SATUAN
STOCK AWAL
PENERIMAAN
PERSEDIAA
N
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
81
TERMOMETER DIGITAL
82
TORNIKUET
BUAH
103
103
83
BUAH
84
BUAH
304
304
85
URINE BAG
BUAH
315
315
35
86
KOTAK
87
WIDAL TEST
KOTAK
88
WHITE TIP
BUAH
24
24
89
KOTAK
90
POCH PACK D
BUAH
91
POCH PACK L
BUAH
92
BUAH
93
BUAH
94
CALIBRATION SCS
BUAH
95
BUAH
96
STROMALYSER WH
BUAH
97
BUAH
98
BUAH
99
BUAH
10
45
1
OBAT GIGI
1
ARSEN
BOTOL
ARTIKULATING PAPER
KOTAK
BOTOL
73
73
BEIN GIGI
SET
CALCIDOR
POT
CEVITRON
BUAH
145
145
CHKM
POT
19
19
CRESOPEN
BOTOL
2
2
DENTORIT
BOTOL
10
DYCAL
BOTOL
11
ETIL KLORIDA SPRAY
BOTOL
124
124
12
EUGENOL CAIRAN
BOTOL
639
639
###
13
IODOFORM PASTA
POT
16
16
14
GLASS IONOMER ART
SET
19
19
15
OCO / TSR
BOTOL
16
BOTOL
75
75
6
75
14
75
75 ###
###
450
-
NO
1
NAMA OBAT
2
SATUAN
STOCK AWAL
PENERIMAAN
PERSEDIAA
N
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
10
11
12
13
14
15
17
SET
14
14
18

CAIRAN
SET
Cilegon,
JBG
CTK
16
17
Februari 2015
Nip. 19660223 199203 2 002
Nip.19740620 200312 2 003
18=(7s/d17)
2
###
Mengetahui'
JUMLAH
NO
NAMA OBAT
SATUAN
STOCK AWAL
PENERIMAAN
PERSEDIAA
N
NO
NAMA OBAT
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
6=4+5
10
11
12
13
14
15
16
17
SATUAN
MENURUT
KARTU
SEDIAAN
MENURUT
STOCK
OPNAME
SELISIH
LEBIH
KURANG
1 ACYCLOVIR 5 GR KR TUBE
4,251
4,251
2 ACYCLOVIR 200 MG TABLET
18,300
18,300
7,800
7,800
BOTOL
177
177
5 ALLOPURINOL 300 M TABLET
6,780
6,780
4 ALBOTYL
6 AMBROXOL SYRUP 15BOTOL
7,200
7,200
7 AMBROXOL TABLET 3 TABLET
17,700
17,700
8 AMITRIPTILIN 25 MG TABLET
28,600
28,600
9 AMLODIPIN 5 MG TAB TABLET
39,660
39,660
1,680
1,680
10 AMPICILLIN SERBUK IVIAL

11 AMOXICILLIN SIRUP KBOTOL
13,553
13,553
12 AMOXICILLIN 250 M KAPLET
59,800
59,800
13 AMOXICILLIN 500 M KAPLET
135,800
135,800
14 AMOXICILLIN + AS.K TABLET
2,730
2,730
15 ANTALGIN 500 MG TA TABLET
141,100
141,100
16 ANTASIDA DOEN TAB TABLET
113,300
113,300
17 ANTASIDA SUSPENSI BOTOL
1,874
1,874
18 ANTI BAKTERI DOEN STUBE
5,790
5,790
14
14
1,190
1,190
21 ASAM ASCORBIT (VIT TABLET
129,000
129,000
22 ASAM MEFENAMAT 5 TABLET
390,400
390,400
23 ASAM TRANEKSAMATTABLET
12,400
12,400
24 ATROPIN SULFAT INJ AMPUL
141
141
25 ATTAPULGIT / MOLAGTABLET
91,850
91,850
26 BEKARBON
14,320
14,320
27 BENZATIN BENZIL PENI

VIAL
180
180
28 BETAMETASONE KRIMTUBE
878
878
29 BISACODYL 10 MG S SUPP
516
516
TABLET
1,300
1,300
31 BROMHEKSIN HCL 8 TABLET
130,800
130,800
32 BROMHEKSIN HCL 8 MBOTOL
94
94
19 ANTI FUNGI DOEN (K POT

20 ANTI HEMOROID DOESUPP
30 BISOPROLOL 5 MG
TABLET
JUMLAH
18=(7s/d17)
NO
NAMA OBAT
SATUAN
STOCK AWAL
PENERIMAAN
5
33 CALAMIN LOTION
PERSEDIAA
N
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
BOTOL
428
428
34 CAPTOPRIL 12,5 MG TABLET
658,700
658,700
35 CAPTOPRIL 25 MG TA TABLET
210,900
210,900
36 CEFIXIME SYRUP KE BOTOL
186
186
15,050
15,050
140
140
37 CEFIXIME 100 MG
KAPSUL
38 CEFTRIAXON INJ
VIAL
39 CETIRIZIN 10 MG
TABLET
29,700
29,700
40 CIPROFLOXACIN 500 TABLET
114,200
114,200
41 CLINDAMYCIN 150 M KAPSUL
8,700
8,700
42 CLINDAMYCIN 300 M KAPSUL
5,650
5,650
43 CHLORPHENIRAMIN MTABLET
226,800
226,800
44 CHLORPROMAZINE 1 TABLET
11,000
11,000
45 DEKSTROSA LARUTANBOTOL
298
298
46 DEKSTROSA LARUTANBOTOL
445
445
47 DEXAMETHASON 0,5 TABLET
72,400
72,400
48 DEXAMETHASON INJ VIAL
2,500
2,500
49 DIAZEPAM TABLET
TABLET
2,000
2,000
50 DIAZEPAM INJ 5 MG/ AMPUL
206
206
51 DIFENHIDRAMIN INJ AMPUL
210
210
52 DIGOKSIN 0,25 MG T TABLET
51,200
51,200
53 DOXYCYCLINE 100 M KAPSUL
9,400
9,400
54 EPINEFRIN (ADRENALIAMPUL
52
52
55 ERYTHROMYCIN 200 BOTOL
1,216
1,216
56 ERYTHROMYCIN 250 KAPSUL
17,400
17,400
57 ERYTHROMYCIN 500 TABLET
43,600
43,600
58 ETAMBUTOL 500 MG TABLET
43,000
43,000
59 ETAKRIDIN 0,1 % / R BOTOL
187
187
60 ETANOL 70 % 1000 M BOTOL
593
593
61 FENITOIN 100 MG KA KAPSUL
8,200
8,200
62 FENOBARBITAL 30 M TABLET
7,000
7,000
63 FENOL GLISEROL 10 BOTOL
1,944
1,944
64 FITOMENADION 10 M TABLET
5,900
5,900
65 FLUTICASONE PROPIO
AMPUL
220
220
66 FUROSEMID 40 MG T TABLET
19,400
19,400
67 GARAM ORALIT II SE SACHET
6,800
6,800
68 GENTAMYCIN SALEP TUBE
1,550
1,550
69 GENTIAN VIOLET 1 % BOTOL
3,750
3,750
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
NO
NAMA OBAT
SATUAN
STOCK AWAL
PENERIMAAN
PERSEDIAA
N
6=4+5
70 GLIBENCLAMIDE 5 M TABLET
71 GLIMEPIRIDE 2 MG
PEMAKAIAN
DINAS
7
844,900
PROGRAM
P2KP
844,900
TABLET
400
400
72 GLIKOSAMIN 500 MG TABLET
20,130
20,130
73 GLISERIL GUAIAKOLT TABLET
570,000
570,000
74 GRISEOFULVIN 125 M TABLET
3,100
3,100
75 HALOPERIDOL 0,5 MGTABLET
10,600
10,600
19,600
19,600
77 HALOPERIDOL 5 MG I AMPUL
444
444
3,180
3,180
32,415
32,415
79 HIDROKORTISON KRIM
TUBE
76
76
81 IBUPROFEN 200 MG BOTOL
660
660
1,900
1,900
19,100
19,100
84 ISONIAZID 100 MG
TABLET
5,000
5,000
85 ISONIAZID 300 MG
TABLET
7,000
7,000
86 IMUNOSTIMULAN SIR BOTOL
755
755
87 ISOSORBIT DINITRAT TABLET
1,000
1,000
88 KALCIUM LACTAT 500 TABLET
90,300
90,300
70
70
1,310
1,310
91 KETOKONAZOL KRIM TUBE
4,995
4,995
92 KETOPROFEN 100 M TABLET
1,100
1,100
AMPUL
594
594
94 KLORAMFENIKOL SU BOTOL
373
373
95 KLORAMFENIKOL 0,5 BOTOL
870
870
96 KLORAMFINEKOL 3 %BOTOL
2,400
2,400
97 KLARITROMISIN 500 TABLET
300
300
98 KODEIN FOSFAT 20 M TABLET
1,750
1,750
99 KOMB.BETAMETASONTUBE
3,427
3,427
100 KOMB.BROMHEKSIN 8TABLET
46,800
46,800
101 KOMB.POLIMIKSIN SUBOTOL
2,660
2,660
89 KANAMYCINE 2 GR
VIAL
90 KAOLIN SUSPENSI
BOTOL
93 KETOROLAC INJ 10
102 KOMB.DEKSTROMETOR
BOTOL 60 ML
4,564
4,564
103 KOMB.BETAMETASONTABLET
25,450
25,450
104 KOMB.METHAMPYRONTABLET
18,500
18,500
105 KOMB.DEXTROMETHOR
BOTOL
1,800
1,800
106 KOMB.DIFENHIDRAMIBOTOL
6,025
6,025
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
NO
NAMA OBAT
SATUAN
STOCK AWAL
PENERIMAAN
PERSEDIAA
N
6=4+5
107 KOMB.FENILPROPANOTABLET
108 KOMB.NEOMYCIN SULTUBE
PEMAKAIAN
DINAS
PROGRAM
P2KP
51,120
51,120
124
124
1,375
1,375
110 KOMB.TRIPOLIDIN 2, TABLET
11,950
11,950
109 KOMB.TRIPOLIDIN 1, BOTOL 60 ML

111 KOMB.VIT B1 100 MG TABLET
13,300
13,300
112 KOTRIMOKSAZOL SU BOTOL
6,615
6,615
113 KOTRIMOKSAZOL ADUTABLET
13,700
13,700
114 KOTRIMOKSAZOL PEDTABLET
14,940
14,940
115 LEVOFLOXACIN 500 TABLET
4,200
4,200
116 LIDOCAIN INJ 2 % HCLAMPUL
10,600
10,600
117 LISOL
BOTOL
834
834
118 LOPERAMID 2 MG TA TABLET
23,900
23,900
119 METFORMIN 500 MG TABLET
187,100
187,100
120 METHILERGOMETRIN TABLET
1,100
1,100
121 METHYLPREDNISOLOTABLET
10,100
10,100
122 METHYLPREDNISOLON
VIAL
45
45
123 METOCLOPRAMIDE HTABLET
5,900
5,900
124 METOCLOPRAMIDE SYBOTOL
48
48
125 METRONIDAZOL 250 TABLET
12,500
12,500
126 METRONIDAZOL 500 TABLET
19,900
19,900
601
601
127 MOMETHASON KRIM 0TUBE

128 MULTIVITAMIN ANAK BOTOL
2,866
2,866
129 MULTIVITAMIN TABLE TABLET
53,500
53,500
130 NATRIUM BIKARBONATABLET
53,000
53,000
131 NATRIUM DIKLOFENA TABLET
50,200
50,200
132 NATRIUM DIKLOFENA TABLET
3,900
3,900
133 NIFEDIPINE 10 MG T TABLET
92,800
92,800
2,600
2,600
135 NYSTATIN VAGINAL TATABLET
2,900
2,900
136 NYSTATIN SUSPENSI 1BOTOL
103
103
BOTOL
11,131
11,131
138 OFLOXACIN 200 MG TABLET
400
400
139 OFLOXACIN 400 MG TABLET
4,950
4,950
140 ONDENSETRON INJ AMPUL
270
270
18,125
18,125
142 PANTOCAIN 0,5 % TE BOTOL
143 PAPAVERIN 40 MG TA TABLET
14,600
14,600
137 OBH
141 OXYTETRASIKLIN HCLTUBE
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
NO
NAMA OBAT
SATUAN
STOCK AWAL
PENERIMAAN
PERSEDIAA
N
6=4+5
144 PARAFORMALDEHID TTABLET
PEMAKAIAN
DINAS
PROGRAM
P2KP
1,400
1,400
145 PARASETAMOL DROPBOTOL
8,674
8,674
146 PARASETAMOL SYROPBOTOL
45,581
45,581
147 PARASETAMOL 500 M TABLET
1,034,800
1,034,800
148 PIRANTEL PAMOAT 1 TABLET
16,900
16,900
149 PIRAZINAMID 500 MG TABLET
47,900
47,900
150 PIRIDOKSIN (VIT B6 ) TABLET
241,000
241,000
151 PIROXICAM
TABLET
7,900
7,900
152 OXYTOCIN INJ
AMPUL
3,350
3,350
153 POVIDON IODIDA 60 BOTOL
1,054
1,054
154 POVIDON IODIDA 300 BOTOL
337
337
155 POVIDON IODIDA 1 L BOTOL
52
52
156 PREDNISON TABLET TABLET
72,000
72,000
157 PROPANOLOL 40 MG TABLET
1,500
1,500
53,800
53,800
TABLET
159 RANITIDIN INJ 25 MG AMPUL
960
960
160 RETINOL 100,000 IU BOTOL
1,483
1,483
161 RIFAMPICIN 450 MG TABLET
41,900
41,900
2,033
2,033
64,300
64,300
164 SALBUTAMOL 2,5 MG AMPUL
347
347
165 SALBUTAMOL 2 MG T TABLET
19,800
19,800
13,900
13,900
518
518
162 RINGER LAKTAT LAR LABU
167 SALEP 2 - 4
POT
KOTAK
3,700
3,700
169 SALISIL MENTOL BED BOTOL
4,836
4,836
170 SEFADROKSIL SYRU BOTOL
1,400
1,400
171 SEFADROKSIL 250 M KAPSUL
7,100
7,100
172 SEFADROKSIL 500 M KAPSUL
7,100
7,100
173 SETRALINE 50 MG TA TABLET
4,320
4,320
174 SIANOCOBALAMIN TATABLET
138,000
138,000
354
354
175 SILVER SULFADIAZIN TUBE

176 SIMVASTATIN TABLET TABLET
75,200
75,200
177 STESOLID RECTAL S TUBE
210
210
178 STREPTOMISIN SERBU

VIAL
919
919
179 SULFASETAMIDA NAT BOTOL
6,656
6,656
180 TABLET TAMBAH DARATABLET
91,900
91,900
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
NO
NAMA OBAT
SATUAN
STOCK AWAL
PENERIMAAN
PERSEDIAA
N
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
3,900
3,900
182 TEOFILIN 300 MG TA TABLET
44,300
44,300
183 THIAMIN (VIT.B1) 50 TABLET
117,000
117,000
184 THIAMPHENIKOL 500 KAPSUL
38,500
38,500
185 TRAMADOL HCI 50 M TABLET
550
550
186 TRAMADOL HCI 50 MGAMPUL
245
245
187 TRIHEKSILPHENIDIL TABLET
195,500
195,500
188 ZINC / ZINCDIAR TAB TABLET
41,900
41,900

1 ALAT AUTOCLIX/LAN SET
32
32
2 ALAT SUNTIK SEKALI BUAH
3,400
3,400
18,400
18,400
6,600
6,600
900
900
150
150
7 ALAT PEMERIKSAAN BUAH
99,900
99,900
9 ANTI TETANUS SERUMAMPUL
17
17
10 AQUA PRO INJEKSI 2 BOTOL
702
702
11 BISTURI
BUAH
100
100
12 BLOOD LANCET
BUAH
9,900
9,900
8 ALCOHOL SWABS
SACHET
13 CATGUT DENGAN JA SACHET
6,242
6,242
14 CATGUT CHROMIC
ROLL
15 DEX GLASS
BUAH
81
81
16 EDTA VACUM TUBE 5 BUAH
96
96
17 FOLEY CATETHER
50
50
8,190
8,190
12
12
21 HAND SCONE / SURG LEMBAR
75,600
75,600
22 HAND SCONE STERILPASANG
1,500
1,500
23 HCG CASETTE / PP T SACHET
3,745
3,745
BUAH
18 GLUCOSA TEST TIP TIP

19 GOLONGAN DARAH KSET
20 H2O2
24 ISI AUTOCLIX
BOTOL
10,350
10,350
25 INFUSION SET ANAK SET
KOTAK
287
287
26 INFUSION SET DEWA SET
133
133
27 IODIUM TEST
BOTOL
300
300
28 IV CATETHER
SACHET
2,967
2,967
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
NO
NAMA OBAT
SATUAN
STOCK AWAL
PENERIMAAN
5
29 JARUM JAHIT
PERSEDIAA
N
6=4+5
BUAH
30 KAPAS PEMBALUT 25 BUNGKUS
PEMAKAIAN
DINAS
PROGRAM
P2KP
308
308
237
237
31 KAPSUL KOSONG NO BUAH
20,000
20,000
32 KAPSUL KOSONG NO BUAH
30,000
30,000
33 KASSA HIDROFIL 40 XLEMBAR
590
590
1,246
1,246
2,070
2,070
123
123
BUAH
8,300
8,300
39 MASKER OXYGEN FOBUAH
139
139
40 MASKER OXYGEN FOBUAH
138
138
BUAH
42 NASO GASTRIC TUBETUBE
30
30
43 NEBULIZE MASK FOR BUAH
139
139
44 NEBULIZE MASK FOR BUAH
34 KASSA STERIL
KOTAK
35 KASSA 4 M X 15 CM ROLL
36 LOMATUELL H 10 X 1 KOTAK
37 MICROPIPET 3 UKUR BUAH
38 MASKER
41 MATA SCALLER
140
140
45 NEEDLE
BUAH
60
60
46 OBJECT GLASS
BUAH
261
261
47 OSE
BUAH
48 PENJEPIT TABUNG
BUAH
22
22
49 PLESTER
ROLL
393
393
50 POWDER ENZIMATIC BUAH
51 PURIFIED PROTEIN D VIAL
15
15
52 SELANG O2 ANAK
BUAH
85
85
53 SELANG O2 DEWASA BUAH
66
66
54 SGOT/SGPT TEST
SET
55 STRIP HB
BOX
320
320
56 STRIP GULA DARAH BOX
132
132
57 STRIP KOLESTEROL BOX
104
104
BUAH
59 TABUNG REAKSI BES BUAH
37
37
60 TABUNG REAKSI KEC BUAH
63
63
58 YELLOW TIP
61 TORNIKUET
BUAH
103
103
62 UNDER PAD 80 X 180 BUAH
304
304
63 URINE BAG
270
270
24
24
BUAH
64 URINE TEST 3 PARA KOTAK

65 WHITE TIP
BUAH
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
NO
NAMA OBAT
SATUAN
STOCK AWAL
PENERIMAAN
PERSEDIAA
N
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
OBAT GIGI
1 AIR RAKSA DENTAL BOTOL
2 CEVITRON
BUAH
3 CHKM
POT
73
73
143
143
17
17
4 ETIL KLORIDA SPRAY BOTOL
110
110
5 EUGENOL CAIRAN
BOTOL
189
189
6 IODOFORM PASTA
POT
16
16
7 GLASS IONOMER AR SET
14
14
8 SEMEN SENG FOSFATSET
12
12
9 TEMPORARY STROPPSET
JUMLAH
18=(7s/d17)
Pemberian
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
Pemakaian
PROGRAM
Pemakaian
Harga
P2KP
Pemakaian
Harga
GRG
Pemakaian
Harga
CLG
Pemakaian
Harga
Harga
19=6-18
4,251
375
2,152
25
50
107,600
18,300
1,700
534
200
106,800
7,800
1,700
648
100
64,800
4,000
104
100
200
20,800
210
3,300
86
800
6,780
7,200
17,700
ACYCLOVIR 5 GR KRIM
8,300
10,400
68,800
53,800
300
63,000
300
990,000
50
165,000
1,000
86,000
500
43,000
104
28,600
102
39,660
187
30
440
1,680
10
4,750
13,553
1,650
3,700
100
59,800
5,880
200
135,800
32,400
220
400
3,000
630
2,730
141,100
12,300
13,000
113,300
116

1
20,000
400
1,874
34,800
81
ANTASIDA SUSPENSI
300
88,000
5,610
50
-
15
126,500
2,491
44

SALISILAT 3 %)
1,800
90
ANTI HEMOROID DOEN
3,025
93,300
1,500
370,000
1,100,000
174,000
121,500
-
10
1,265,000
50
124,550
-
325,380
5,000
62,275
100
1,500
25
-
121,500
471,719
1,190
14
450
1,866

440,000
1,500
5,790
2,000
370,000
1,740
20
60,500
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
Pemakaian
PROGRAM
Pemakaian
Harga
P2KP
Pemakaian
Harga
GRG
Pemakaian
Harga
CLG
Pemakaian
Harga
Harga
19=6-18
-
129,000
390,400
32
27,200
159
22,600
12,400
141
91,850
5,350
702
130
100
300
1,100
ATROPIN SULFAT INJ
1,100
330
600
15,400
2,900
24
11,000
102
12,185
1,524
24

AQUABIDEST
AZITHROMYCIN 500 MG
2,120
586
120
14,320
180
878
BEKARBON

6
516
-
30,000
400
40,000
69,600
1,000
-
100,000
198,000
5,800
2,500
397,500
2,000
200,000
450
148,500
36,576
75
114,300
924
25,300
6,199
2,300
600
281
93
66,000
66,000
CALAMIN LOTION
12,650
400
1,300
130,800
BISOPROLOL 5 MG
428
658,700
12,000
63
700
44,100
210,900
14,900
88
1,000
88,000
500
44,000
10,588
48
508,224
958
100
95,800
500
186
80
15,050
2,050

CEFIXIME 100 MG
104
140
40
CEFTRIAXON INJ
CETIRIZINE DROP
29,700
-
1
1
6,500
-
25,200
479,000
5,000
5,500
10,440
28,050
181
300
300
CIMETIDIN TABLET
116
300
CEFOTAXIME INJ 1G
CETIRIZIN 10 MG
54,300
114,200
2,400
245
300
73,500
8,700
500
361
200
72,200
5,650
1,600
527
150
79,050
21
7,200
151,200
122
1,379
226,800
11,000
48,000
3,600
75,600
73,500
54,300
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
Pemakaian
PROGRAM
Pemakaian
Harga
P2KP
Pemakaian
Harga
GRG
Pemakaian
Harga
CLG
Pemakaian
Harga
Harga
19=6-18
-
99
298
5,060
445
5,727
3,960
72,400
2,000
26,000
13
2,500
1
1,000

DIAZEPAM TABLET
206
210
10
DIFENHIDRAMIN INJ
51,200
100
69
2,000
30
2,368
800
91
1,000
69,000
3,000
207,000
3,624
DOMPERIDON 10 MG
404
220
52
50
8,100
9,400
1,216
65
7,220
24
17,400
100
ERYTHROMYCIN 250 MG
440
43,600
600
921
100
ETAMBUTOL 500 MG
420
2,200
25,300
604
65
92,100
43,000
1,000
187
19
593
8,200
200
7,000
1,944
96
FENOL GLISEROL 10 %
1,008
FITOMENADION INJ
1,450
579
200
5,900
1,300

ETANOL 70 % 1000 ML
50,600
115,800
100
173,280
50,600
57,900
FLUCONAZOL 150 MG
22,000
220
19,080
19,400
200
91
1,469
100
146,900
895
50
44,750
54
100
6,800
1,550
GAMEKSAN
350

3,750
150
844,900
13,200
400
640
20,130
GLIMEPIRIDE 2 MG
292
500

1,020
60
5,500
330,000
5,400
-
200
10,800
100
50,000
50
73,450
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
Pemakaian
PROGRAM
Pemakaian
Harga
P2KP
Pemakaian
Harga
GRG
Pemakaian
Harga
CLG
Pemakaian
Harga
Harga
19=6-18
570,000
21,000
23
4,730
200
1,200
165
2,300
246
14,724
36,000
3,100
900
10,600
19,600
444
32,415
-
GLISERIN LARUTAN
1,080
3,180
1
556
4,675
2,399

4
76
2,000
46,000
115,000
300
1,402,500
600
2,805,000
120
287,880
75
179,925
210
981,750
5,000
300
55,550
55,550
44,990
220
4,499
10
1,900
300
93
19,100
12,600
146
5,000
ISONIAZID 100 MG
44
7,000
ISONIAZID 300 MG
107
660
1,000
IMUNOSTIMULAN SIRUP
55,000
20
4,950
100
97
1,444
47
70
KANAMYCINE 2 GR
19,800
1,310
KAOLIN SUSPENSI
12,012
300
4,700
24
608
2,539
700
334
900
KETOPROFEN 100 MG
93
KETOROLAC INJ 10 MG
245
1,562
373
10
3,800
870
200
5,280
25
2,400
144
1,599
72
7,400
ITRAKONAZOL 100 MG
90,300
1,100,000
365,000
65
755
-
1,000
2,500
4,995
1,100
594
300
1,750
250
950
500
115,128
475,000
112,800
132,000
-
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
Pemakaian
PROGRAM
Pemakaian
Harga
P2KP
Pemakaian
Harga
GRG
Pemakaian
Harga
CLG
Pemakaian
Harga
Harga
19=6-18
3,427
420

MG KRIM
46,800
-
8,289
36
-
298,404
312
2,660
120

400

GG SYRUP
4,564
25,450
1
4,000
50

CTM
1,800
6,025
860
57,480
1
4,320

GUAIAKOLATSULFONAT
TABLET
124
-
22

MG
578
11,950
1
3,300
13,300
1
5,500
6,615
650

KOMB.TRIPOLIDIN 2,5 MG + PSEUDOEFEDRIN 60 MG TABLET
/ LIBROFED TABLET
ACID 200 MG TABLET
607,750
100
500
70,335
-
528,000
-
495,000
5
-
500
198,000
990
200
316,250
693,600
105,600
1,056
42,201
14,067
792,750
50
-
50
1,200
10,000
277,440
71,500
1,056,000
1,000
480
10
858,000
578
120
1,925
6,325
7,920
1
1,375
570
15,855

-
1,100
7,150
1,056
KOMB.DEKSAMETASON, DEKSKLORFENIRAMIN MALEAT

1
18,500
7,376
1,975
159
50
6,700
9,600
14,940
200
4,200
650
1,154
10,600
700
1,030
520
834
21

LISOL
13,200
66,000
1,300
206,700
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
Pemakaian
PROGRAM
Pemakaian
Harga
P2KP
Pemakaian
Harga
GRG
Pemakaian
Harga
CLG
Pemakaian
Harga
Harga
19=6-18
23,900
187,100
91
MELOXICAM 7,5 MG
234
MELOXICAM 15 MG
348
METFORMIN 500 MG
105
100
260
5,600
4,900
METFORMIN 850 MG
1,100

1
200
1
1
4,100
5
45
5,900
48
500
44,000
89
2,830
123
164
10
2,866
145
105,000
-
MICONAZOLE SALEP
601
375
1,000
-
296
145
1,400
19,900
600
-
12,500
3,685
140
43
10,100
10,500
100
187,500
16,400
-
17,800
13,750
1,200
20,000
40,000
240
528
4,800,000
20
275,000
50
1,000,000
200
105,600
53,500
5,700
MULTIVITAMIN TABLET
53,000
2,000
14
50,200
3,850
134
500
67,000
3,900
1,600
176
500
88,000
47
92,800
6,400
2,600
2,900
200
103
11,131
1,580
112
640
407

OBH
4,950
4,950
200
413
7,000
OFLOXACIN 200 MG
100
30,800

-
14,700
400
4,900
990,000
40,700
180
-
891,000
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
Pemakaian
PROGRAM
Pemakaian
Harga
P2KP
Pemakaian
Harga
GRG
Pemakaian
Harga
CLG
Pemakaian
Harga
Harga
19=6-18
-
OFLOXACIN 400 MG
873
270
85
ONDENSETRON INJ
2,400
18,100
475
1,450
25
36,250
25
2,100
30
OXYTOCIN INJ
13,913
16,100
119
530
60
PARASETAMOL 100 MG
32
4,950
3,350
6
14,600
1,400
3,300
8,674
308
45,581
2,450
1,034,800
62,300
10
52,270
1,319
200
263,800
150
197,850
PARASETAMOL 500 MG
84
400
8,000
672,000
7,200
604,800
PERMETHRIN KRIM 5 %
12,925
290
100
PIRAZINAMID 500 MG
198
14
200
114,400
7,000
16,900
100
47,900
241,000
10,000
7,900
11,200
PIROXICAM
25
5,227
177
ALBOTYL
65
28,600
28,600
33,600
13,000
2,000
29,000
28,000
-
3,000
13,000
57,200
1,054
337
14,500
152
POVIDON IODIDA 1 L
42,000
72,000
6,000
57
120
1,500
180,000
22,000
200
12,600
PROPANOLOL 40 MG
57,000
-
57,000
-
200
800
88,000
10
19,280
RETINOL 100,000 IU
14,300
573
RETINOL 200,000 IU
19,600
41,900
1,000
RIFAMPICIN 450 MG
660
2,033
328
5,200
1,500
200
1,781
115
1,483
162
64,300
-
1
1
8,600
-
347

1
60
-
215,600
-
1,000
300,000
-
110,000
1,000
29,000
110
RANITIDIN TABLET
960
22,000
1,000
1,928
53,800
X218*18
200
3,500
24
36,250
PARASETAMOL DROPS
10
2,000
3,000,000
52,000
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
Pemakaian
PROGRAM
Pemakaian
Harga
P2KP
Pemakaian
Harga
GRG
Pemakaian
Harga
CLG
Pemakaian
Harga
Harga
19=6-18
19,800
2,500
83
100
8,300
200
13,900
2,300
96
100
9,600
518
74
SALEP 2 - 4
4,950
3,700
1,200
SALISIL BEDAK 2 %
1,250
100
100
4,836
125,000
4,897
200
16,600
125,000
94
3,630
1,400
70
SEFADROKSIL SYRUP
5,248
7,100
SEFADROKSIL 250 MG
468
SEFADROKSIL 500 MG
521
200
11,403
12
1,000
7,100
4,320
670
138,000
354
75,200
7,100

SIMVASTATIN TABLET
104,200
520
58,300
391
500
195,500
210
15
23,540
919
2,090
48
3,226
6,656
91,900
1
7,100
3,900
300
44,300
1,500
-
117,000
550
22,000
8
245
195,500
-
1
1
7,100
6,000
41,900
-
186
100
1,050
700
1,500
-
38
431
189
50
5,400
40
107
474
6,000


119
32
968

500
38,500


-
110,000
1,000
1,452,000
2,000
18,600
968,000
-
76,000
4,000
152,000
200
500
9,450
3,400
600
2,662
18,400
1,538
3,120
100
6,600
8,000
237,000
312,000
500
700
200
20,000
331,800
624,000
200
7,750
900
3,300
150
50
8,360
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
Pemakaian
PROGRAM
Pemakaian
Harga
P2KP
Pemakaian
Harga
GRG
Pemakaian
Harga
CLG
Pemakaian
Harga
Harga
19=6-18
6
99,900
1,700
100
200
9,900
-
ALAT PEMERIKSAAN HB
ALCOHOL SWABS
BISTURI
525,000
275
200
8,230
396
902,000
78,100
5,415,500
55,000
60
CATGUT CHROMIC
1,650,000
2,420,000
81
39,050
302,500
6,242
DEX GLASS
1
96
50
230
FOLEY CATETHER
11,000
8,190
60
GLUCOSA TEST TIP
8,323
12
GOLONGAN DARAH KIT
935,000
935,000
H2O2
18,755
200
83,600
FESCOPLAST
75,600
5,400
1,500
100
HAND SCONE STERILE
3,745
505
18,755
418
400
167,200
200
10,890
5,500
25
HEMASITO METER
83,600
137,500
-
10,350
1,530
ISI AUTOCLIX
1,632
120
287
125
INFUSION SET ANAK
9,900
133
163
INFUSION SET DEWASA
8,800
195,840
300
489,600
IODIUM TEST
20,900
2,967
175
IV CATETHER
22,000
308
22
JARUM JAHIT
71,000
56
KACA MULUT
96,800
237
15
20,130
KAPSUL KOSONG NO.0
44
300
20,000
KAPSUL KOSONG NO.1
590
210
1,246
70
2,070
350
30,000
40,260
33
1,980
136,694
KASSA STERIL
6,820
KASSA 4 M X 15 CM
5,104
50
LAMPU SPIRITUS
46,200
255,200
50
255,200
STOCK
AKHIR
NAMA OBAT
HARGA
DINAS
Pemakaian
PROGRAM
Pemakaian
Harga
P2KP
Pemakaian
Harga
GRG
Pemakaian
Harga
CLG
Pemakaian
Harga
Harga
19=6-18
2
123
METILEN BLUE 250 ML
MICROPIPET 3 UKURAN
8,300
2,850
MASKER
101,750
37,400
2,090,000
1,436
750
1,077,000
400
574,400
100
143,600
139
22,000
138
22,000
95,700
95,700
95,700
236,500
NASO GASTRIC TUBE
21,450
139
40,700
140
40,700
60
NEEDLE
110,000
261
OBJECT GLASS
34,100
30
MATA SCALLER
OIL IMERSI
OSE
22
PENJEPIT TABUNG
393
48
PLESTER
POT DAHAK
81,400
13,500
5,400
PIPET BESAR
PIPET KECIL
23,100
946,000
702,240
23,100
69,300
15
85
SELANG O2 ANAK
13,200
66
SELANG O2 DEWASA
13,200
1,082,950
62,150
320
32
STRIP HB
191,500
132
12
STRIP GULA DARAH
95,000
77,000
122
25
STRIP KOLESTEROL
175,450
175,450
VENOJECT
220,000
YELLOW TIP
95,700
37
TABUNG REAKSI BESAR
2,015
63
TABUNG REAKSI KECIL
2,015
574,500
526,350
STOCK
AKHIR
NAMA OBAT
HARGA
DINAS
Pemakaian
PROGRAM
Pemakaian
Harga
P2KP
Pemakaian
Harga
GRG
Pemakaian
Harga
CLG
Pemakaian
Harga
Harga
19=6-18
103
22,000
132,000
304
13,200
270
85
24
TORNIKUET
URINE BAG
WIDAL TEST
4,950
247,500
1,396,000
133,100
594,000
1,870,000
12
943,000
1,132,500
1,942,295
1,768,800
1,171,500
24
94,020
1,197,900
1,937,600
OBAT GIGI
ARSEN
484,000
ARTIKULATING PAPER
214,500
225,500
3,740,000
CALCIDOR
209,000
115,500
70,000
73
143
CEVITRON
17
CHKM
CRESOPEN
551,000
DENTORIT
154,000
DYCAL
333,300
110
10
ETIL KLORIDA SPRAY
145,200
189
290,400
EUGENOL CAIRAN
3,178
75
16
IODOFORM PASTA
302,500
14
GLASS IONOMER ART
715,000
330,000
1,265,000
OCO / TSR
238,350
STOCK
AKHIR
NAMA OBAT
HARGA
DINAS
Pemakaian
PROGRAM
Pemakaian
Harga
P2KP
Pemakaian
Harga
GRG
Pemakaian
Harga
CLG
Pemakaian
Harga
Harga
19=6-18
12
418,000

1
36,300
1,920,901
1,119,440
4,150,810
21,123,290
23,974,059
STOCK
AKHIR
19=6-18
NAMA OBAT
HARGA
DINAS
Pemakaian
PROGRAM
Harga
Pemakaian
Harga
P2KP
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
STOCK
AKHIR
19=6-18
NAMA OBAT
HARGA
DINAS
Pemakaian
PROGRAM
Harga
Pemakaian
Harga
P2KP
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
STOCK
AKHIR
19=6-18
NAMA OBAT
HARGA
DINAS
Pemakaian
PROGRAM
Harga
Pemakaian
Harga
P2KP
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
STOCK
AKHIR
19=6-18
NAMA OBAT
HARGA
DINAS
Pemakaian
PROGRAM
Harga
Pemakaian
Harga
P2KP
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
STOCK
AKHIR
19=6-18
NAMA OBAT
HARGA
DINAS
Pemakaian
PROGRAM
Harga
Pemakaian
Harga
P2KP
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
STOCK
AKHIR
19=6-18
NAMA OBAT
HARGA
DINAS
Pemakaian
PROGRAM
Harga
Pemakaian
Harga
P2KP
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
STOCK
AKHIR
19=6-18
NAMA OBAT
HARGA
DINAS
Pemakaian
PROGRAM
Harga
Pemakaian
Harga
P2KP
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
STOCK
AKHIR
19=6-18
NAMA OBAT
HARGA
DINAS
Pemakaian
PROGRAM
Harga
Pemakaian
Harga
P2KP
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
CBB
Pemakaian
CWD
Pemakaian
Harga
PWK
Pemakaian
Harga
JBG
Pemakaian
Harga
CTK
Pemakaian
Harga
100
215,200
25
53,800
75
161,400
150
300
160,200
1,000
534,000
200
106,800
300
194,400
1,000
648,000
500
324,000
300
3,000
312,000
50
200
107,600
PM
Pemakaian
Harga
20,800
-
300
63,000
300
990,000
450
1,485,000
1,000
86,000
1,400
120,400
107,100
300
990,000
2,500
215,000
500
1,650,000
400
1,320,000
1,500
129,000
1,000
86,000
100
1,200
250
95,370
925,000
960
200
179,520
-
1,500
-
280,500
-
151,200
720
510
510
194,400
30
142,500
740,000
200
740,000
300
Harga
322,800
259,200
1,684,800
1,000
104,000
468,000
500
9,240,000
2,500
215,000
1,049,200
10,200
224,400
150
555,000
384,300
1,650,000
1,110,000
907,800
400
1,022,200
2,100
400
392,700
1,480,000
10,200
1,503,480
142,500
6,290,000
1,200
240,000
960
192,000
1,800
360,000
2,040
408,000
600
120,000
2,400
480,000
1,800,000
8,000
1,760,000
5,000
1,100,000
4,700
1,034,000
14,400
3,168,000
5,000
1,100,000
10,000
2,200,000
11,990,000
120
360,000
120
360,000
3,000
348,000
2,000
232,000
1,000
116,000
1,000
3,000
81,000
100
5
186,600
632,500
243,000
100
186,600
90,750
186,600
632,500
90,750
93,300
810,000
2,332,800
466,500
1,306,200
1,138,500
3,668,500
62,275
871,850
50
720,000
2,006,800
25
211,750
250
249,100
90,000
70
3,000
348,000
10,000
100
50
202,500
50
30
93,300
60,500
2,500
283,500
50
62,275
36,000
20
4,500
522,000
3,500
25
20
469,800
100
311,375
30
2,000
232,000
5,800
125
151,250
126,000
665,500
CBB
Pemakaian
-
CWD
Pemakaian
Harga
-
PM
Pemakaian
Harga
-
PWK
Pemakaian
Harga
-
JBG
Pemakaian
Harga
-
CTK
Pemakaian
Harga
-
Harga
-
1,500
238,500
3,000
477,000
10,000
1,590,000
4,000
636,000
3,000
477,000
20,000
3,180,000
6,996,000
2,500
250,000
2,000
200,000
6,000
600,000
3,500
350,000
2,500
250,000
4,000
400,000
2,420,000
100
110,000
100
110,000
300
99,000
750
247,500
1,200
200
400
96
40,800
146,304
1,000
125
102,000
190,500
480
96
396,000
580,000
48,960
146,304
1,050
346,500
500
165,000
600
198,000
400
40,800
360
25
36,720
38,100
1,200
72
122,400
109,728
220,000
1,798,500
655,400
391,680
781,812
200
100
230,000
690,000
600
168,600
168,600
3,000
189,000
1,500
132,000
100
95,800
3,000
189,000
3,000
264,000
10
105,880
500
479,000
500
66,000
-
3,000
189,000
4,000
352,000
479,000
460,000
330,000
2,000
126,000
3,500
308,000
10
105,880
10
105,880
-
462,000
-
3,000
189,000
951,300
3,000
264,000
1,452,000
100
95,800
825,864
1,724,400
-
15
75,000
75,000
40
220,000
220,000
500
1,000
245,000
400
90,500
98,000
500
263,500
10,800
226,800
4,600
96,600
1,000
122,000
500
-
90,500
-
400
-
1,000
245,000
400
500
180,500
15,000
315,000
72,400
98,000
-
1,000
-
181,000
-
700
171,500
300
100
36,100
200
105,400
300
158,100
10,800
226,800
7,200
151,200
14,800
3,000
-
73,500
(800*21)+(14000*24)
366,000
-
543,000
1,078,000
288,800
606,050
#VALUE!
488,000
-
CBB
Pemakaian
-
CWD
Pemakaian
Harga
-
25,300
17,181
2,500
172,500
10,000
PM
Pemakaian
Harga
-
PWK
Pemakaian
Harga
Harga
CTK
Pemakaian
Harga
Harga
50,600
17,181
25,300
6,000
414,000
77
154,000
3,000
JBG
Pemakaian
207,000
5,500
379,500
4,000
276,000
10,000
690,000
2,415,000
164,000
100
100
40,500
317,680
40,500
9,100
10
200
10
22,000
22,000
75,900
531,300
75,900
101,200
50,600
184,200
-
10
200
72,200
18,200
72,200
9,100
184,200
126,500
48
24
24
200
200
200
50
1,000
-
73,450
54,000
-
125
-
48,384
18,200
183,625
-
3,000
162,000
500
250,000
50
73,450
50
44,750
4,000
216,000
24,192
115,800
18,200
200
57,900
200
4,400,000
4,400,000
18,200
50
44,750
50
44,750
3,500
189,000
400
21,600
-
50
96,768
463,200
25
115,800
73,450
200
36,725
100
24,192
460,500
54,600
-
36,725
697,775
50
44,750
223,750
2,000
108,000
766,800
25
300,000
120
-
660,000
990,000
CBB
Pemakaian
5,000
CWD
Pemakaian
Harga
115,000
5,000
300
500
82,500
12
48
2
PM
Pemakaian
Harga
115,000
-
115,152
111,100
96
5
92,000
3,000
69,000
7,000
161,000
100
200
60,000
176,688
-
230,304
277,750
1,200
5,610,000
24
57,576
72
20,000
80,000
1,000
165,000
247,500
500
123,000
172,728
50
1,000
246,000
119,950
24
57,576
1,221,091
134,970
20
30
5,200
759,200
2,000
89,980
292,000
10
44,990
50
224,950
300
27,900
300
27,900
200
29,200
10
550,000
40
2,200,000
24
1,320,000
10
550,000
100
1,000
20
240,240
10
100
30,000
50
235,000
47,000
120,120
-
1,000
47,000
60
720,720
1,081,080
1,000
300,000
360,000
940,000
1,983,400
20
94,000
48
300
182,400
19,000
125
660,000
100
528,000
75
396,000
50
150
239,850
96
153,504
48
76,752
48
76,752
99,000
20
94,000
200
425,600
100
60,800
668,800
12
30,468
76,170
264,000
-
50
2,508,000
168
268,632
930,618
#VALUE!
528,000
(28*4500)+(22*3800)
100
99,000
282,000
60
700
-
611,000
30,000
100
9,700
45,702
470,000
5,720,000
18
10,000
55,800
1,752,000
47,000
539,880
611,050
225,600
1,000
9,700
13,183,500
176,688
2,384,250
418,200
510
166,650
943,000
219,000
49,200
Harga
1,500
4,000
Harga
87,600
230,000
Harga
CTK
Pemakaian
600
Harga
JBG
Pemakaian
10,000
PWK
Pemakaian
475,000
CBB
Pemakaian
CWD
Pemakaian
Harga
50
PM
Pemakaian
Harga
10
414,450
PWK
Pemakaian
Harga
84
82,890
JBG
Pemakaian
Harga
72
696,276
CTK
Pemakaian
Harga
40
596,808
Harga
250
331,560
2,072,250
4,492,638
200
120
1,430,000
100
100
100
632,500
346,800
120
-
500
500
2,378,250
1,897,500
5,060,000
1,387,200
4,785,840
100,000
-
200
2,813,400
7,680,582
211,200
2,956,800
200
528,000
1,500
1,000
990,000
8,118,000
98,750
200
395,000
50
98,750
100
197,500
150
296,250
200
395,000
1,481,250
500
79,500
800
127,200
500
79,500
500
79,500
300
47,700
779,100
100
100
100
103,000
2,970,000
50
-
990,000
500
3,000
1,707,750
703,350
50
1,000
1,688,040
528,000
990,000
5,280,000
120
500
1,000
675,216
528,000
48
1,688,040
528,000
-
69,360
100,000
528,000
2,400
10
-
316,250
5,863,000
300
120
1,387,200
1,430,000
50
948,750
346,800
2,400
295,040
500
1,056,000
948,750
150
600
277,440
1,000
150
1,100,000
147,520
200
357,500
844,800
50
800
480
1,000
20
147,520
1,056,000
600
1,000
-
20
-
858,000
633,600
1,585,500
120
600
-
858,000
105,600
-
1,000
159,000
100
5,000
115,400
103,000
100
66,000
103,000
200
4
206,000
52,800
1,485,000
5,000
115,400
100
6
103,000
79,200
200
2
206,000
26,400
824,000
290,400
CBB
Pemakaian
CWD
Pemakaian
Harga
PM
Pemakaian
Harga
PWK
Pemakaian
Harga
400
1,000
-
105,000
-
1,000
-
187,500
4,000
-
42,000
187,500
1,000
-
28,000
-
500
44,500
100
60
169,800
1,000
123,000
1,000
164,000
400
65,600
-
50
687,500
100
2,000,000
2,000
1,056,000
400
30
2,000
-
412,500
1,056,000
-
100
200
40,700
990,000
1,000
200
-
17,800
32,800
-
1,000
375,000
1,575,000
71,200
169,800
123,000
1,000
-
164,000
-
557,600
-
300
6,000,000
23,820,000
897,600
1,500
792,000
1,000
528,000
4,699,200
88,000
3,025,000
1,500
201,000
321,600
700
123,200
440,000
200
22,400
100
64,000
64,000
100
40,700
162,800
3,100
347,200
20
616,000
300
1,485,000
65,600
200
75,000
1,700
84,000
264,000
8,900
500
1,485,000
200
100
300
987,000
562,500
52,500
304,200
1,340,000
112,000
67
500
500
117,000
5,760,000
105,600
11,200
84,000
20
600
288
35,200
100
93,600
500
2,880,000
200
Harga
144
800
Harga
1,375,000
26,800
CTK
Pemakaian
275,000
200
49,000
105,000
26,800
200
10
1,500
49,200
93,600
400
14,000
300
Harga
100
500
420,000
200
300
500
105,000
JBG
Pemakaian
1,000
100
540
40,700
2,673,000
112,000
300
-
1,485,000
600
2,970,000
604,800
616,000
12,973,950
100
63,700
41,300
41,300
CBB
Pemakaian
CWD
Pemakaian
Harga
PM
Pemakaian
Harga
Harga
Harga
CTK
Pemakaian
Harga
Harga
100
87,300
87,300
40
96,000
100
240,000
12,000
348,000
50
72,500
100
145,000
100
50
72,500
580,000
72,500
-
834,780
50
48,300
1,000
119,000
300
100
292,712
200
10,800
50
261,350
263,800
400
527,600
600
907,200
7,200
604,800
18,000
200
3,000
58,000
X218*18
1,000
65,000
1,000
65,000
143,000
143,000
14,000
2
1,000
-
29,000
57,000
-
4
-
150
5,000
285,000
100
12,000
35,700
784,050
10
200
23,800
334,528
791,400
300
395,700
250
329,750
1,512,000
7,200
604,800
8,000
672,000
50
2,000
695,650
238,000
2,247,610
700
923,300
3,693,200
25,200
2,116,800
7,728,000
28,000
3,000
3,000
195,000
1,500
10
35,000
15
2
42,000
3,000
171,000
97,500
52,500
2,000
220,000
1,500
165,000
5,000
550,000
10
19,280
100
192,800
150
289,200
70,000
#VALUE!
1,000
65,000
3,000
195,000
708,500
10
286,000
143,000
915,200
10
35,000
143,500
100
12,000
2,000
220,000
2,000
-
114,000
-
174,000
42,000
741,000
204,000
1,000
110,000
1,672,000
9,640
530,200
1,500
165,000
87,000
5,000
29,000
14,000
1,000
29,000
AO218*18
48,300
416,500
522,700
2,000
3,339,120
64
58,000
139,130
60
60
834,780
56
695,650
145,000
10
139,130
JBG
Pemakaian
50
PWK
Pemakaian
1,955,200
15,300,000
20
104,000
1,000
1,500,000
140
728,000
1,500
2,250,000
200
1,040,000
31,200
4,000
6,000,000
1,000
1,500,000
50
10,780,000
-
500
-
20
-
750,000
4,312,000
15,092,000
-
CBB
Pemakaian
CWD
Pemakaian
Harga
PM
Pemakaian
Harga
PWK
Pemakaian
Harga
JBG
Pemakaian
Harga
300
24,900
500
41,500
700
58,100
500
41,500
600
100
9,600
700
67,200
1,000
96,000
400
38,400
100
125,000
200
250,000
200
50
181,500
20
72,600
30
157,440
10
52,480
15
78,720
200
93,600
500
234,000
200
104,200
100
500
260,500
52,100
250,000
-
Harga
49,800
-
Harga
300
24,900
270,497
500
48,000
268,800
24
118,800
100
125,000
200
250,000
50
327,600
100
573,100
52,100
262,400
300
117,300
600
117,700
500
24
234,600
2,000
24,000
77,424
1,500
484,000
2,000
782,000
1,500
586,500
117,700
3,000
1,452,000
1,500
2,904,000
400
156,400
117,700
1,500
1,452,000
3,000
1,173,000
254,100
582,528
24,000
3,245,300
353,100
77,424
3,000
1,452,000
100
18,600
2,904,000
13,068,000
37,200
-
4,000
152,000
5,000
190,000
5,000
190,000
2,000
76,000
6,000
228,000
1,140,000
200
86,200
200
86,200
200
86,200
100
43,100
500
215,500
517,200
50
9,450
500
94,500
200
37,800
151,200
2,000
1,000
500
76,000
118,800
1,250,000
31,488
CTK
Pemakaian
40,000
237,000
300
1,000
12,000
474,000
400
2,000
948,000
1,200
16,000
568,800
1,000
1,000
40,000
474,000
2,000
2,000
80,000
948,000
216,000
4,218,600
4,680,000
775,000
100
312,000
300
936,000
400
1,248,000
775,000
200
624,000
200
624,000
100
CBB
Pemakaian
CWD
Pemakaian
Harga
PM
Pemakaian
Harga
Harga
Harga
Harga
300
50
2,343,000
110,000
3,905,000
400
10
110,000
781,000
400
Harga
400
CTK
Pemakaian
82,500
JBG
Pemakaian
30
PWK
Pemakaian
110,000
500
137,500
605,000
7,029,000
35
75,020
2,758,800
18,755
2,000
836,000
600
50
275,000
385,000
935,000
250,800
1,870,000
37,510
2,000
836,000
600
250,800
600
50
544,500
50
544,500
1,089,000
50
275,000
50
275,000
962,500
510
832,320
210
33
326,700
30
297,000
10
88,000
30
264,000
660,000
50
10
710,000
3
100
60,390
1,100,000
30
-
20,130
60
100
198,000
342,720
17,600
979,200
49,500
10
99,000
772,200
44,000
10
88,000
765,600
10
100,650
198,000
50
341,000
50
50
255,200
100
341,000
600
1,320,000
510,400
100
250,800
264,000
4,675,000
30
935,000
385,000
2,839,680
10
220,000
3,520,000
10
710,000
1,420,000
100
510,400
220,000
100,650
510,400
322,080
396,000
682,000
2,296,800
CBB
Pemakaian
CWD
Pemakaian
Harga
Harga
Harga
Harga
CTK
Pemakaian
Harga
Harga
600
861,600
300
430,800
500
203,500
JBG
Pemakaian
101,750
PWK
Pemakaian
203,500
PM
Pemakaian
718,000
574,400
100
143,600
610,500
4,523,400
203,500
203,500
68,200
136,400
244,200
110,000
204,600
383,000
175,450
6
-
702,240
570,000
220,000
115,500
40,700
115,500
1
-
284,900
10
231,000
110,000
88,000
20
462,000
88,000
138,600
400
101,750
1,155,000
702,240
383,000
1,340,500
190,000
760,000
1,052,700
220,000
175,450
CBB
Pemakaian
CWD
Pemakaian
Harga
PM
Pemakaian
Harga
PWK
Pemakaian
Harga
JBG
Pemakaian
Harga
CTK
Pemakaian
Harga
Harga
-
35
173,250
10
222,750
247,500
247,500
49,500
231,000
140,000
871,200
75
75
238,350
75
231,000
580,800
75
238,350
290,400
715,000
238,350
75
140,000
238,350
1,430,000
238,350
1,430,000
2,032,800
1,430,100
3,575,000
CBB
Pemakaian
-
CWD
Pemakaian
Harga
-
PM
Pemakaian
Harga
-
34,231,456
PWK
Pemakaian
Harga
-
41,315,730
JBG
Harga
836,000
2
-
82,439,973
Pemakaian
-
CTK
Pemakaian
Harga
-
72,600
49,745,589
Harga
-
836,000
2
-
32,615,110
72,600
67,442,058
145,200
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga

DI KOTA CILEGON
Propinsi
: BANTEN
Alamat
: 9 Unit
Bulan
: Maret
Tahun
2015
NO
NAMA OBAT
SATUAN
STOCK AWAL
PENERIMAAN
PERSEDIAAN
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
ACYCLOVIR 5 GR KRIM
TUBE
4,251
4,251
50
50
100
75
TABLET
18,300
18,300
300
300
200
200
TABLET
7,800
7,800
100
500
200
TABLET
TABLET
6,780
6,780
BOTOL
7,200
7,200
TABLET
17,700
17,700
TABLET
TABLET
28,600
28,600
10
TABLET
39,660
39,660
11
TABLET
12
VIAL
1,680
1,680
13
BOTOL
13,553
13,553
14
KAPLET
59,800
59,800
1,440
15
KAPLET
135,800
135,800
5,000
16
TABLET
2,730
2,730
17
TABLET
141,100
141,100
18

MG)
TABLET
113,300
113,300
19
ANTASIDA SUSPENSI
BOTOL
1,874
1,874
20
VIAL
21
AMPUL
15
15
22

TUBE
5,790
5,790
25
23

SALISILAT 3 %)
POT
14
14
25
JUMLAH
STOCK
AKHIR
18=(7s/d17)
19=6-18
300
3,951
100
1,100
17,200
100
900
6,900
90
10
1,000
1,020
510
500
200
1,500
1,000
1,800
210
210
1,020
5,160
1,620
150
450
200
300
400
300
2,510
4,690
500
1,500
3,000
1,700
1,800
4,000
16,000
1,700
60
1,020
600
960
1,050
900
1,000
27,600
3,000
7,590
32,070
50
250
400
2,040
7,000
8,000
4,000
1,000
50
1,630
11,203
1,200
9,240
50,560
6,000
53,200
82,600
400
100
600
1,680
1,800
1,080
5,300
9,500
8,400
240
2,490
1,000
400
3,000
1,000
5,000
1,000
5,000
16,400
124,700
2,500
2,000
1,500
2,000
3,500
3,600
10,000
26,300
87,000
25
50
100
150
425
1,449
100
14
2,350
200
240
200
1,000
200 ###
300
10
50
125
50
15
75
325
14
5,465
-
NO
NAMA OBAT
SATUAN
STOCK AWAL
PENERIMAAN
PERSEDIAAN
6=4+5
SUPP
1,190
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
10
24
ANTI HEMOROID DOEN
25
TABLET
26
TABLET
129,000
129,000
27
TABLET
390,400
390,400
28
TABLET
12,400
12,400
29
ATROPIN SULFAT INJ
AMPUL
141
141
30
TABLET
91,850
91,850
31
AQUABIDEST
BOTOL
32
BOTOL
702
702
33
AZITHROMYCIN 500 MG
KAPSUL
34
BEKARBON
TABLET
35
36
37
38
39
516
516
40
BISOPROLOL 5 MG
TABLET
1,300
1,300
41
TABLET
130,800
130,800
42
BOTOL
43
BOTOL
93
93
44
CALAMIN LOTION
BOTOL
428
428
45
TABLET
658,700
658,700
46
TABLET
210,900
210,900
47
BOTOL
186
186
14
48
CEFIXIME 100 MG
KAPSUL
15,050
15,050
1,000
49
CEFIXIME 200 MG
50
CEFOTAXIME INJ 1G
VIAL
51
CEFTRIAXON INJ
VIAL
140
140
52
BOTOL
53
CETIRIZINE DROP
BOTOL
54
CETIRIZIN 10 MG
TABLET
55
CIMETIDIN TABLET
TABLET
56
TABLET
114,200
114,200
57
KAPSUL
8,700
8,700
58
KAPSUL
5,650
5,650
59
TABLET
226,800
60
TABLET
11,000
1,190
CBB
11
20
12
40
30
CWD
PM
13
14
30
PWK
15
20
JBG
CTK
16
17
70
60
14,320
VIAL
180
180
TUBE
878
878
TABLET
BOTOL
JUMLAH
STOCK
AKHIR
18=(7s/d17)
19=6-18
270
-
1,000
1,000
500
1,000
2,500
1,000
2,000
1,500
2,000
4,000
2,000
4,000
3,000
4,000
450
750
20
900
100
16,500
373,900
136
2,100
89,750
120
582
320
72
150
96
3,120
-
180
96
736
142
150
1,000
12,400
1,200
72
400
116,000
200
920
13,000
-
14,320
SUPP
CLG
100
300
1,200
1
1,200
1
28
11,200
516
300
1,000
2,400
128,400
91
28
400
1,000
300
1,500
2,000
2,500
2,000
500
2,000
11,800
646,900
1,300
700
2,000
2,000
3,000
4,000
500
2,000
15,500
195,400
20
10
50
15
10
50
176
10
300
300
400
1,000
100
400
500
4,000
11,050
29,700
-
40
100
29,700
40
600
300
400
700
500
1,500
400
300
100
300
200
300
226,800
10,800
7,200
14,400
11,000
1,000
500
1,000
3,900
500
500
400
4,600
109,600
800
7,900
300
1,000
2,600
3,050
7,200
18,000
61,200
165,600
2,000
9,000
300
100
500
300
100
400
3,600
400
1,000
25,800
-
NO
NAMA OBAT
SATUAN
STOCK AWAL
PENERIMAAN
PERSEDIAAN
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
STOCK
AKHIR
18=(7s/d17)
19=6-18
61
BOTOL
62
TABLET
63
BOTOL
298
298
10
288
64
BOTOL
445
445
440
65
BOTOL
66
TABLET
72,400
72,400
2,000
67
VIAL
2,500
2,500
68
DIAZEPAM TABLET
TABLET
2,000
2,000
69
AMPUL
206
206
70
DIFENHIDRAMIN INJ
AMPUL
210
210
210
71
TABLET
51,200
51,200
51,200
72
BOTOL
73
DOMPERIDON 10 MG
TABLET
74
KAPSUL
75
TABLET
76
AMPUL
52
52
77
BOTOL
1,216
1,216
78
ERYTHROMYCIN 250 MG
KAPSUL
17,400
17,400
79
TABLET
43,600
43,600
80
ETAMBUTOL 500 MG
TABLET
43,000
43,000
81
BOTOL
187
187
82
ETANOL 70 % 1000 ML
BOTOL
593
593
83
KAPSUL
8,200
8,200
84
TABLET
7,000
7,000
85
FENOL GLISEROL 10 %
BOTOL
1,944
1,944
86
FITOMENADION INJ
AMPUL
87
TABLET
88
FLUCONAZOL 150 MG
TABLET
89
AMPUL
220
220
220
90
TABLET
19,400
19,400
91
GAMEKSAN
BOTOL
92
SACHET
6,800
6,800
93
TUBE
1,550
1,550
50
94
BOTOL
3,750
3,750
50
95
TABLET
844,900
844,900
96
GLIMEPIRIDE 2 MG
TABLET
400
400
9,400
-
5,900
3,000
5,000
3,000
7,200
4,500
3,000 ###
5
1,000
10
9,400
100
41,700
2,492
1,000
1,000
10
196
10
10
100
100
200
48
42
1,186
200
300
17,100
300
600
43,000
1,000
42,000
24
163
10
24
11
700
500
200
200
8,200
7,000
96
1,848
1,600
200
500 ###
50
125
50
50
3,000
1,000
50
1,000
3,500
582
100
30
24
100
9,300
10
5,900
10
1,000
11
30,700
100
4,300
19,200
-
6,800
25 ###
275
1,275
###
200
3,550
2,000
11,500
833,400
300
350
50
NO
NAMA OBAT
SATUAN
STOCK AWAL
PENERIMAAN
PERSEDIAAN
6=4+5
97

50 MG
TABLET
20,130
20,130
98
TABLET
570,000
570,000
99
GLISERIN LARUTAN
BOTOL
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
10
11
12
CWD
PM
PWK
JBG
CTK
13
14
15
16
17
90
6,000
7,000
3,000
6,000
10,000
JUMLAH
STOCK
AKHIR
18=(7s/d17)
19=6-18
90
20,040
32,000
538,000
TABLET
3,100
3,100
TABLET
10,600
10,600
TABLET
19,600
19,600
AMPUL
444
444
444
TUBE

BOTOL
TABLET
3,180
3,180
TUBE
32,415
32,415
300
400
200
500
1,000
1,000
9,600
1,000
1,400
18,200
300
600
50
25
TABLET
SUPP
76
76
BOTOL
660
660
1,260
48
48
96
100
20
1,020
3,180
72
439
50
2,600
31,976
71
75
585
TABLET
1,900
1,900
TABLET
19,100
19,100
TABLET
5,000
5,000
5,000
TABLET
7,000
7,000
7,000
BOTOL
755
755
TABLET
TABLET
KAPSUL
TABLET
TABLET
VIAL
70
70
70
1,310
1,310
121 KANAMYCINE 2 GR
122 KAOLIN SUSPENSI
BOTOL
TABLET
1,000
90,300
1,000
2,500
1,000
1,500
2,500
2,000
400
500
900
1,000
700
1,000
12,200
6,900
20
20
1,000
90,300
2,000
1,000
1,000
1,000
6,000
2,000
3,000
100
16,000
100
-
TUBE
4,995
4,995
60
TABLET
1,100
1,100
AMPUL
594
594
KAPSUL
TUBE
BOTOL
373
373
BOTOL
870
870
100
BOTOL
2,400
2,400
100
12
30
30
60
120
735
1,000
74,300
1,210
-
313
4,682
100
1,000
54
540
50
323
100
54
50
50
150
96
48
100
100
50
100
650
220
96
96
24
120
580
1,820
NO
NAMA OBAT
SATUAN
STOCK AWAL
PENERIMAAN
PERSEDIAAN
6=4+5
TABLET
300
300
TABLET
1,750
1,750
TUBE
3,427
3,427
TABLET
46,800
46,800
134 KOMB.BETAMETASON VALERAT 1 MG + NEOMISIN

SULFAT 5 MG KRIM
135 KOMB.BROMHEKSIN 8 MG + DIPHENHIDRAMIN HCL 25
MG + PARASETAMOL 400 MG
136 KOMB. BUDENOSID FORMATEROL 80/4,5 MCG INHALER

60 DOSISI
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
STOCK
AKHIR
18=(7s/d17)
19=6-18
500
250
60
36
20
10
24
300
750
1,000
384
3,043
46,800
84
2,576
200
520
4,044
1,200
3,900
21,550
500
18,000
300
400
1,400
84
150
BOTOL
2,660
2,660
24
BOTOL 60
ML
4,564
4,564
120
20
120
60
139 KOMB.DEKSAMETASON, DEKSKLORFENIRAMIN

140 MALEAT
TABLET
25,450
25,450
500
100
600
600
TABLET
18,500
18,500
141 KOMB.DEXTROMETHORPHAN + THIOKOL +

PARASETAMOL + CTM
BOTOL
1,800
1,800

GUAIAKOLATSULFONAT
BOTOL
6,025
6,025

TABLET
TABLET
57,480
57,480

145 SYRUP
BOTOL
TUBE
124
124
138 KOMB.DEKSTROMETORFAN HBR +

FENILPROPANOLAMIN + GG + CTM SYRUP
JUMLAH
100
40
100
100
900
20
200
100
10
360
100
600
10
600
600
200
200
300
810
5,215
6,360
360
120
9,000
48,480
10
23
101
100 MG
TABLET

BOTOL 60
ML
1,375
1,375
10
10
120
15

TABLET
11,950
11,950
100
50
500
100
149 KOMB.VIT B1 100 MG + VIT B6 100 MG + VIT B12 200 MG

TABLET
13,300
13,300
300
500
BOTOL
6,615
6,615
TABLET
6,700
6,700
50
100
144
144
100
72
615
760
300
700
1,000
900
700
600
4,950
7,000
1,000
1,200
3,000
3,000
1,500
1,000
11,500
1,800
50
100
200
100
600
6,015
6,700
NO
NAMA OBAT
SATUAN
STOCK AWAL
PENERIMAAN
PERSEDIAAN
6=4+5
TABLET
14,940
14,940
TABLET
4,200
4,200
AMPUL
10,600
10,600
TABLET
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
200
200
150
100
200
STOCK
AKHIR
18=(7s/d17)
19=6-18
200
100
30
JUMLAH
100
3,900
580
10,020
156 LISOL
BOTOL
834
834
TABLET
23,900
23,900
TABLET
159 MELOXICAM 15 MG
TABLET
TABLET
TABLET
TABLET
AMPUL
TABLET
TABLET
VIAL
187,100
1,100
-
187,100
5
200
100
1,000
500
1,500
1,000
700
10,100
45
45
824
23,700
4,800
10,100
10
600
500
300
1,000
###
200
1,100
14,740
300
3,400
-
182,300
1,100
6,700
45
TABLET
5,900
5,900
200
200
BOTOL
48
48
15
15
33
TABLET
12,500
12,500
200
200
12,300
TABLET
19,900
19,900
200
2,000
17,900
100
400
400
400
500
5,700
TUBE
BOTOL
TUBE
601
601
BOTOL
2,866
2,866
BOTOL
TABLET
53,500
53,500
TABLET
53,000
53,000
TABLET
50,200
50,200
TABLET
3,900
3,900
10
10
100
1,200
2,000
100 ###
TUBE
BOTOL
BOTOL
TABLET
92,800
92,800
TABLET
2,600
2,600
TABLET
2,900
2,900
BOTOL
103
103
10
591
310
2,556
700
2,000
500
1,300
3,500
1,000
12,200
-
100
500
600
200
400
1,000
500
200
600
300
600
-
500
-
1,000
###
500
400
100
10
200
53,000
2,800
47,400
3,700
200
100
41,300
1,200
91,600
2,600
100
2,800
10
93
NO
NAMA OBAT
SATUAN
STOCK AWAL
PENERIMAAN
PERSEDIAAN
6=4+5
187 OBH
BOTOL
188 OBH PLUS PARASETAMOL + PSEUDOEPHEDRIN + CTM

BOTOL
TABLET
TABLET
191 ONDENSETRON INJ
AMPUL
TUBE
TUBE
11,131
-
10
11
12
13
14
180 ###
360
420
47
JBG
CTK
15
16
17
500
250
360
JUMLAH
STOCK
AKHIR
18=(7s/d17)
19=6-18
2,297
400
270
270
18,100
18,100
14,600
1,400
8,674
20
50
25
###
10
30
20
250
17,950
40
-
200
100
1,000
500
300
200
500
2,800
-
1,400
8,674
20
BOTOL
45,581
45,581
10
10
TABLET
1,034,800
1,034,800
200
100
TUBE
400
56
150
10,800 ###
30
56
300
600
300
8,500
7,200
56
168
386
6
11,800
1,400
8,288
400
500
3,020
42,561
9,000
25,200
82,600
952,200
TABLET
16,900
16,900
TABLET
47,900
47,900
TABLET
241,000
241,000
208 PIROXICAM
TABLET
7,900
7,900
BOTOL
177
177
BOTOL
1,054
1,054
BOTOL
337
337
BOTOL
152
152
TABLET
72,000
72,000
TABLET
TABLET
53,800
53,800
AMPUL
960
960
BOTOL
1,483
1,483
3,000
2,200
###
500
6,000
4,000
20
7,900
16,900
47,900
235,000
-
25
152
10
17
1,037
11
326
1,000
2,000
1,000
BOTOL
TABLET
41,900
41,900
LABU
2,033
2,033
3,310
350
400
10,800
800
150
-
50
14,600
211
8,834
4,950
TABLET
SUPP
PWK
BOTOL
PM
CWD
400
3,350
200 PARASETAMOL SUPPOS 160 MG/PROPIRETIC
CBB
4,950
TABLET
CLG
400
3,350
GRG
4,950
BOTOL
AMPUL
P2KP
AMPUL
TABLET
PROGRAM
DINAS
11,131
PEMAKAIAN
4,000
-
2,500
800
2,000
2,000
3,000
150
50
1,500
1,800
1,000
14,600
140
10
39,200
200
760
1,482
20
152
68,000
41,900
170
1,863
NO
NAMA OBAT
SATUAN
STOCK AWAL
PENERIMAAN
PERSEDIAAN
6=4+5
TABLET
TABLET
AMPUL
347
347
TABLET
19,800
19,800
TABLET
13,900
13,900
518
518
228 SALEP 2 - 4
64,300
POT
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
1,000
2,000
64,300
200
4,000
1,000
20
20
JUMLAH
STOCK
AKHIR
18=(7s/d17)
19=6-18
8,200
56,100
40
307
300
500
400
600
100
300
500
24
2,100
17,700
###
200
1,700
12,200
24 ###
72
446
400
3,300
KOTAK
3,700
3,700
BOTOL
4,836
4,836
BOTOL
1,400
1,400
30
KAPSUL
7,100
7,100
100
200
KAPSUL
7,100
7,100
TABLET
4,320
4,320
4,320
TABLET
138,000
138,000
138,000
AMPUL
TUBE
354
354

75,200
75,200
TABLET
TUBE
210
210
VIAL
919
919
BOTOL
6,656
6,656

TABLET
91,900
91,900
KAPSUL
3,900
3,900
TABLET
44,300
44,300
AMPUL
TABLET
117,000
117,000
KAPSUL
38,500
38,500
TABLET
550
550
AMPUL
245
245
TABLET
195,500
195,500
TABLET
TABLET

1
SET
100
20
100
200
500
200
50
30
200
10
400
70
4,766
30
105
1,295
200
500
6,600
300
1,700
5,400
4
100
500
200
500
300
1,000
1,000
500
1,000
5
24
1,500 ###
1,500
1,500
1,500 ###
100
300
41,900
100
400
3,000
2,000
2,000
300
300
5,100
70,100
205
919
24
6,632
9,000
82,900
100
3,800
300
44,000
16,000
101,000
500
1,100
37,400
100
450
100
200
1,500
600
500
3,000
5,800
300
5,300
500 ###
500
2,000
1,000
500
8,000
41,900
350
1,000
245
189,700
36,600
32
32
32
NO
NAMA OBAT
SATUAN
STOCK AWAL
PENERIMAAN
PERSEDIAAN
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
BUAH
3,400
3,400
100
BUAH
18,400
18,400
100
BUAH
6,600
6,600
100
BUAH
900
900
BUAH
150
150
ALAT PEMERIKSAAN HB
BUAH
ALCOHOL SWABS
99,900
99,900
SACHET
BISTURI
BUAH
100
100
10
BLOOD LANCET
BUAH
9,900
9,900
200
200
200
10
STOCK
AKHIR
18=(7s/d17)
19=6-18
200
3,200
700
17,700
100
6,500
900
10
140
400
1,000
600
200
600
6
97,100
100
9,900
11
GALON
SACHET
13
CATGUT CHROMIC
ROLL
14
SET
15
DENGUE N5 1 ANTIGEN
SET
16
DEX GLASS
BUAH
81
81
81
17
BUAH
96
96
96
18
FESCOPLAST
ROLL
19
FOLEY CATETHER
BUAH
50
50
50
20
GLUCOSA TEST TIP
TIP
8,190
8,190
21
GOLONGAN DARAH KIT
SET
12
12
22
H2O2
23
LEMBAR
75,600
75,600
24
HAND SCONE STERILE
PASANG
1,500
1,500
25
SACHET
3,745
3,745
26
HEMASITO METER
BUAH
27
ISI AUTOCLIX
KOTAK
28
INFUSION SET ANAK
29
INFUSION SET DEWASA
30
IODIUM TEST
BOTOL
300
300
31
IV CATETHER
SACHET
2,967
2,967
32
JARUM JAHIT
BUAH
308
308
33
KACA MULUT
BUAH
34
BUNGKUS
237
237
35
KAPSUL KOSONG NO.0
BUAH
20,000
20,000
36
KAPSUL KOSONG NO.1
BUAH
30,000
30,000
37
LEMBAR
590
590
38
ROLL
6,242
2,800
12
BOTOL
100
JUMLAH
6,242
30
10
45
120
1
300
800
600
1,000
600
700
250
250
250 ###
1,000
50
250 ###
250
250
10,350
10,350
SET
287
287
SET
133
133
120
8,070
11
500
210
600
30
300
70,100
50
1,450
2,000
1,745
1,410
41
5
2
100
8,940
287
33
100
30
5,500
300
6,197
300
75
2,892
303
12
225
20,000
30,000
100
490
NO
NAMA OBAT
39
KASSA STERIL
40
SATUAN
STOCK AWAL
PENERIMAAN
PERSEDIAAN
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
STOCK
AKHIR
18=(7s/d17)
19=6-18
KOTAK
1,246
1,246
KASSA 4 M X 15 CM
ROLL
2,070
2,070
41
LAMPU SPIRITUS
BUAH
42
BOTOL
43
BOTOL
44
KOTAK
123
123
45
METILEN BLUE 250 ML
BOTOL
46
MICROPIPET 3 UKURAN
BUAH
47
MASKER
BUAH
8,300
8,300
48
BUAH
139
139
139
49
BUAH
138
138
138
50
BUAH
51
BUAH
52
BUAH
53
MATA SCALLER
BUAH
54
NASO GASTRIC TUBE
TUBE
30
30
30
55
BUAH
139
139
139
56
BUAH
140
140
140
57
NEEDLE
BUAH
60
60
58
OBJECT GLASS
BUAH
261
261
261
59
OIL IMERSI
BOTOL
60
OSE
BUAH
61
PENJEPIT TABUNG
BUAH
22
22
22
62
PIPET BESAR
BUAH
63
PIPET KECIL
BUAH
64
PLESTER
ROLL
393
393
31
362
65
POT DAHAK
BUAH
66
BUAH
67
VIAL
15
15
68
SELANG O2 ANAK
BUAH
85
69
SELANG O2 DEWASA
BUAH
66
70
SGOT/SGPT TEST
71
72
STRIP ASAM URAT
73
SET
100
JUMLAH
50
50
50
100
1,146
150
1,920
700
200
250
500
600
###
300
500
300
15
400
3,750
120
4
4,550
58
14
85
85
66
66
SACHET
STRIP HB
BOX
320
320
74
STRIP GULA DARAH
BOX
132
132
75
BOX
10
316
14
118
NO
NAMA OBAT
76
STRIP KOLESTEROL
77
SATUAN
STOCK AWAL
PENERIMAAN
PERSEDIAAN
6=4+5
BOX
122
122
VENOJECT
KOTAK
78
YELLOW TIP
BUAH
79
TABUNG REAKSI BESAR
80
TABUNG REAKSI KECIL
81
TERMOMETER DIGITAL
82
TORNIKUET
BUAH
83
BUAH
84
85
86
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
10
11
CBB
CWD
PM
12
13
14
PWK
JBG
15
16
50
CTK
17
10
JUMLAH
STOCK
AKHIR
18=(7s/d17)
19=6-18
63
59
BUAH
37
37
37
BUAH
63
63
63
103
103
103
BUAH
304
304
304
URINE BAG
BUAH
270
270
20
250
KOTAK
87
WIDAL TEST
KOTAK
88
WHITE TIP
BUAH
24
24
24
89
KOTAK
90
POCH PACK D
BUAH
91
POCH PACK L
BUAH
92
BUAH
93
BUAH
94
CALIBRATION SCS
BUAH
95
BUAH
96
STROMALYSER WH
BUAH
97
BUAH
98
BUAH
99
BUAH
20
OBAT GIGI
1
ARSEN
BOTOL
ARTIKULATING PAPER
KOTAK
BOTOL
73
73
73
BEIN GIGI
SET
CALCIDOR
POT
CEVITRON
BUAH
143
143
CHKM
POT
17
17
17
CRESOPEN
BOTOL
DENTORIT
BOTOL
10
DYCAL
BOTOL
11
ETIL KLORIDA SPRAY
BOTOL
110
110
139
102
NO
NAMA OBAT
SATUAN
STOCK AWAL
PENERIMAAN
PERSEDIAAN
6=4+5
12
EUGENOL CAIRAN
BOTOL
189
189
13
IODOFORM PASTA
POT
16
16
14
GLASS IONOMER ART
SET
14
14
15
OCO / TSR
BOTOL
16
BOTOL
17
SET
18

CAIRAN
SET
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
STOCK
AKHIR
18=(7s/d17)
19=6-18
2
1
187
16
12
12
12
Cilegon,
Maret 2015
Mengetahui'
JUMLAH
Nip. 19660223 199203 2 002
Nip.19740620 200312 2 003
Pemberian
NAMA OBAT
1 ACYCLOVIR 5 GR KRIM
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
Pemakaian
2,152
25
534
648
1 ALLOPURINOL 100 MG TABLET
104
210
90
3,300
10
33,000
1 AMBROXOL TABLET 30 MG
86
1 AMINOFILIN 200 MG TABLET
104
102
1 AMLODIPIN 5 MG TABLET
187
60
440
1,000
18,900
86,000
11,220
53,800
CBB
50
107,600
50
300
160,200
300
100
64,800
500
214,200
510
107,100
500
1,650,000
200
660,000
150
1,500
129,000
1,000
86,000
500
3,700
200
200
1,440
288,000
220
5,000
1,100,000
3,000
116
1 ANTALGIN 500 MG TABLET
1
200
16,200
81
740,000
1,000
-
1,020
200
7,000
1,000
81,000
25
471,719
126,500

1 SALISILAT 3 %)
2,491
1,800
116,000
46,650
632,500
250
2,040
8,000
400
50
50
62,275
-
25,200
600
2,000
25
14
-
1,540,000
202,500
740,000
2,500

190,740
1,866
ANTASIDA SUSPENSI
1,020
4,750
NAMA OBAT
1 ANTI HEMOROID DOEN

1 ASAM ASCORBIT (VIT.C) 50 MG TABLET
1 ASAM MEFENAMAT 500 MG
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
20
159
100
ATROPIN SULFAT INJ
1,100
367
15,400
2,900
20
11,000
102
12,185
1,524
924
25,300
6,199
2,300

AZITHROMYCIN 500 MG
1 BEKARBON
1 BETAMETASONE KRIM 0,1 %
BISOPROLOL 5 MG
1 BROMHEKSIN HCL 8 MG TABLET
1 CALAMIN LOTION
1 CAPTOPRIL 25 MG TABLET
CEFIXIME 100 MG
Pemakaian
32
AQUABIDEST
Harga
3,025
1,100
1 ATTAPULGIT / MOLAGIT TABLET
GRG
1,000
100,000
121,000
-
30
-
1,000
159,000
500
79,500
1,000
1,000
100,000
2,000
200,000
1,500
450
200
400
72
281
1,000
63,000
300
1,300
114,400
63
58,000
20,400
109,728
1
-
66,000
-
150
V41*AE41-200X33
228,600
5
-
72
18,900
1,500
2,000
88
700
61,600
10,588
14
148,232
20
211,760
10
958
1,000
958,000
300
287,400
300
10,440
28,050
1 CETIRIZIN 10 MG
1 CIMETIDIN TABLET
181
116
600
245
361
527
21
122
CEFOTAXIME INJ 1G
CEFTRIAXON INJ
5,500
CETIRIZINE DROP
1 CHLORPROMAZINE 100 MG
40
5,000
1 CHLORPHENIRAMIN MALEAT (CTM) 4 MG
Pemakaian
12,650
60,500
Harga
66,000
Pemakaian
Harga
CBB
66,000
CLG
300
300
100
108,600
73,500
54,300
-
400
-
500
122,500
1,500
300
108,300
100
300
158,100
200
10,800
226,800
7,200
1,000
122,000
52,700
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
CBB
Harga
Pemakaian
1,379
99
5,060
5,727
3,960
69
2,000
30
2,368

1 DEKSTROMETORPHAN HBR TABLET 15 MG
1 DEXAMETHASON 0,5 MG TABLET

1 DIAZEPAM TABLET
25,300
2,000
138,000
6,000
3,000
207,000
5,000
10
800
91
3,624
167
220
8,100
7,220
10
ERYTHROMYCIN 250 MG
440
921
100
420
2,200
25,300
604
65
1 FENOL GLISEROL 10 %
1,008
FITOMENADION INJ
1,450

DIFENHIDRAMIN INJ
1 DIGOKSIN 0,25 MG TABLET
1 DOMPERIDON 10 MG
1 ETAMBUTOL 500 MG
579
1 FLUCONAZOL 150 MG
22,000
1 FLUTICASONE PROPIONATE 0,5 MG / 2 ML
1 ETAKRIDIN 0,1 % / RIVANOL

1 ETANOL 70 % 1000 ML
1 FENITOIN 100 MG KAPSUL
1 FENOBARBITAL 30 MG TABLET
1 FITOMENADION 10 MG TABLET
1 FUROSEMID 40 MG TABLET

1 GENTIAN VIOLET 1 % - 10 ML
1 GLIBENCLAMIDE 5 MG TABLET
1 GLIMEPIRIDE 2 MG
184,200
100
-
11
48
100
19,080
91
292
1,469
50
73,450
895
50
44,750
50
54
500
500
27,000
3,000
500
50
25,000
GAMEKSAN
1 GARAM ORALIT II SERBUK
200
5
-
1,000
420,000
92,100
72,200
48,384
27,000
-
24
-
24,192
57,900
100
NAMA OBAT
DINAS
HARGA
Harga
Pemakaian
1 GLISERIN LARUTAN
Pemakaian
P2KP
Harga
Pemakaian
5,500
1 GLISERIL GUAIAKOLT 100 MG TABLET
PROGRAM
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
CBB
Harga
Pemakaian
23
4,730
90
-
6,000
138,000
7,000
200
165
246
400
14,724
36,000
600
2,805,000
25
59,975
4,675
300
2,399
50

1,402,500
119,950
48
300
55,550
55,550
4,499
22,495
93
146
1 ISONIAZID 100 MG
44
1 ISONIAZID 300 MG
107
IMUNOSTIMULAN SIRUP
55,000
4,950
97
1,444
47

12,012
300
4,700
KAOLIN SUSPENSI
1 KETOPROFEN 100 MG
KETOROLAC INJ 10 MG
19,800
KANAMYCINE 2 GR
1,000
2,000
146,000
94,000
4,700
2,500
1,000
365,000
47,000
60
1,000
1,000
-
282,000
12
56,400
30
608
2,539
245
1,562
3,800
5,280
100
528,000
50
1,599
100
159,900
264,000
-
150
96
NAMA OBAT
HARGA

1
DINAS
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
CBB
Harga
Pemakaian
500
250
950
MG KRIM
PROGRAM
8,289
475,000
-
60
237,500
36
497,340
20
298,404
312

7,376

GG SYRUP
7,150
1 KOMB.DEKSAMETASON, DEKSKLORFENIRAMIN MALEAT
1,056
1

GUAIAKOLATSULFONAT
1 TABLET
1 MG
1 / LIBROFED TABLET

ACID 200 MG TABLET
10,000
1,925
10
100
990
297,000
50
159
300
105,600
98,750
-
100
495,000
211,035
528,000
500
15
500
1,975
100,000
1,688,280
52,800
300
10
120
50
600
-
140,690
100
63,250
10
208,080
105,600
1,056
140,690
14,069
100
10
360
105,600
-
100
-
528,000
143,000
110,000
500
20
100
858,000
110,000
120
100
177,024
578
6,325
7,920
24
-
15,855
1,100
CTM
1,000
-
100
-
197,500
-
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
50
1,154
200
1,030
520
GRG
Harga
Pemakaian
-
CLG
Harga
Pemakaian
CBB
Harga
Pemakaian
30
230,800
30,900
150
13,200
91
200
1 MELOXICAM 7,5 MG
234
1 MELOXICAM 15 MG
348
1 METFORMIN 500 MG
105
100
500
METFORMIN 850 MG
260

1 LISOL

1
140
3,685
10,500
-
66,000
300
600
44,000
89
2,830
123
164
MICONAZOLE SALEP
296
105,000
1,000
18,200
100
180,000
16,400
-
400
-
17,800
13,750
10
20,000
528
700
14
134
100
176

4,900
13,400
-
500
-
65,600
-
369,600
67,000
-
1,200
-
400
-
137,500
633,600
-
100
2,000
-
600
80,400
200
500
88,000
200
112
100
640
407
30,800
11,200
NAMA OBAT
OBH
DINAS
HARGA
Harga
Pemakaian
4,950

PROGRAM
Pemakaian
-
Harga
Pemakaian
-
7,000
P2KP
GRG
Harga
Pemakaian
-
180
CLG
Harga
Pemakaian
891,000
180
CBB
Harga
Pemakaian
891,000
360
-
OFLOXACIN 200 MG
413
OFLOXACIN 400 MG
873
ONDENSETRON INJ
2,400
1,450
50
2,100
72,500
50
OXYTOCIN INJ
13,913
10
PANTOCAIN 5% TETES MATA
16,100
119
200
100
530
60
32
20
104,540
56
PARASETAMOL 100 MG
PARASETAMOL DROPS
5,227
23,800
1,319
10
13,190
10
13,190
400
527,600
150
197,850
300
84
200
16,800
100
8,400
10,800
907,200
10,800
907,200
8,500
12,925
290
198
18
1 PIROXICAM
65
800
28,600
3,500
14,500
42,000
ALBOTYL
7,000
52,000
14,500
57
1 PROPANOLOL 40 MG
120
1 RANITIDIN TABLET
110
1,928
RETINOL 100,000 IU
14,300
RETINOL 200,000 IU
19,600
RIFAMPICIN 450 MG
660
5,200
20
2,500
275,000
1,000
800
57,000
88,000
14,300
2,000
-
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
1,500
200
1,781

1
215,600
-
Harga
Pemakaian
300,000
-
20
-
59
CLG
Pemakaian
6,000,000
-
4,312,000
500
96
300
100
1 SALEP 2 - 4
4,950
24
1 SALISIL BEDAK 2 %
1,250
3,630
SEFADROKSIL SYRUP
5,248
26,240
30
SEFADROKSIL 250 MG
468
100
46,800
200
SEFADROKSIL 500 MG
521
100
11,403
12
520
58,300
391
100

28,800
Harga
4,000
CBB
52,100
500
39,100
200
500
104,200
195,500
78,200
500
117,700
23,540
2,090
3,226

1 MG+ASAM FOLAT 0,25 MG
968
1,500
-
186
1,050
300
700
315,000
200
1,500
1,452,000
1,500
1,452,000
38
3,000
114,000
431
300
129,300
189
5,400
40
200
-
1,000
38,000
8,000
60,000
107
474
500
6,000

110,000
237,000
500
119
1,500
2,000
237,000
500
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
CBB
Harga
Pemakaian
2,662
100
266,200
3,120
100
312,000
200
7,750
100
775,000
3,300
8,360
10
525,000
275
8,230
396
902,000
78,100
5,415,500
1,650,000
2,420,000
39,050
ALAT PEMERIKSAAN HB
ALCOHOL SWABS
BISTURI
BLOOD LANCET
CAIRAN ANTISEPTIK
CATGUT CHROMIC
DEX GLASS
302,500
FESCOPLAST
83,600
624,000
390,500
100
200
30
FOLEY CATETHER
11,000
GLUCOSA TEST TIP
8,323
935,000
18,755
418
500
209,000
300
800
10,890
5,500
250
GOLONGAN DARAH KIT

H2O2
HAND SCONE STERILE
125,400
1,375,000
250
334,400
1,375,000
250
ISI AUTOCLIX
1,632
300
INFUSION SET ANAK
9,900
INFUSION SET DEWASA
8,800
30
IODIUM TEST
20,900
IV CATETHER
22,000
30
JARUM JAHIT
71,000
KACA MULUT
96,800
20,130
44
HEMASITO METER
KAPSUL KOSONG NO.0

KAPSUL KOSONG NO.1
26,400
489,600
40,260
33
1,980
100
136,694
NAMA OBAT
HARGA
DINAS
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
CBB
Harga
Pemakaian
KASSA STERIL
6,820
KASSA 4 M X 15 CM
5,104
50
LAMPU SPIRITUS
46,200
101,750
37,400
2,090,000
1,436
700
22,000
22,000
95,700
95,700
95,700
236,500
NASO GASTRIC TUBE
21,450
40,700
40,700
110,000
34,991

METILEN BLUE 250 ML
MICROPIPET 3 UKURAN
MASKER
MATA SCALLER
NEEDLE
OBJECT GLASS
1,005,200
200
287,200
250
V306*5882
359,000
500
13,500
5,400
PIPET BESAR
PIPET KECIL
OIL IMERSI
OSE
PENJEPIT TABUNG
PLESTER
23,100
115,500
946,000
702,240
SELANG O2 ANAK
13,200
SELANG O2 DEWASA
13,200
1,082,950
62,150
POT DAHAK
191,500
STRIP GULA DARAH
95,000
77,000
STRIP HB
NAMA OBAT
HARGA
DINAS
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
CBB
Harga
Pemakaian
STRIP KOLESTEROL
175,450
VENOJECT
220,000
YELLOW TIP
95,700
TABUNG REAKSI BESAR
2,015
TABUNG REAKSI KECIL
2,015
TORNIKUET
URINE BAG
WIDAL TEST
526,350
22,000
132,000
13,200
4,950
247,500
1,396,000
133,100
594,000
1,870,000
943,000
1,132,500
1,942,295
1,768,800
1,171,500
94,020
1,197,900
1,937,600
ARSEN
484,000
ARTIKULATING PAPER
214,500
225,500
3,740,000
CALCIDOR
209,000
CEVITRON
115,500
70,000
CRESOPEN
551,000
DENTORIT
154,000
DYCAL
333,300
ETIL KLORIDA SPRAY
145,200
OBAT GIGI
CHKM
231,000
290,400
NAMA OBAT
HARGA
DINAS
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
CBB
Harga
Pemakaian
EUGENOL CAIRAN
3,178
6,356
IODOFORM PASTA
302,500
GLASS IONOMER ART
715,000
OCO / TSR
330,000
1,265,000
418,000

36,300
611,536
7,911,632
715,000
23,592,376
29,812,726
CBB
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
107,600
100
215,200
75
161,400
160,200
200
106,800
200
106,800
100
53,400
587,400
324,000
200
129,600
100
64,800
583,200
300
63,000
1,800
378,000
210
44,100
210
44,100
1,020
214,200
1,083,600
495,000
450
1,485,000
200
660,000
300
990,000
400
1,320,000
300
990,000
8,283,000
43,000
1,500
129,000
3,000
258,000
1,700
146,200
1,800
154,800
4,000
344,000
1,376,000
112,200
-
960
925,000
400
408,000
1,760,000
46,400
179,520
4,000
3,000
1,480,000
880,000
348,000
1,500
162,000
93,300
-
561,000
1,419,330
50
740,000
400
1,480,000
100
370,000
600
2,220,000
1,680
336,000
1,800
360,000
1,080
216,000
1,200
240,000
1,848,000
5,300
1,166,000
9,500
2,090,000
8,400
1,848,000
6,000
1,320,000
11,704,000
240
720,000
5,000
580,000
1,000
116,000
3,500
162,000
-
100
-
311,375
1,000
237,500
8,695,000
720,000
116,000
5,000
580,000
1,902,400
291,600
10,000
810,000
2,130,300
150
279,900
793,050
10
186,600
1,265,000
1,897,500
124,550
3,600
50
283,500
3,000
200
102,000
124,550
168,300
102,000
237,500
125
900
1,000
2,000
186,600
196,350
121,500
100
1,050
645,600
75
186,825
809,575
25,200
CBB
CWD
Harga
Pemakaian
90,750
-
PM
Harga
Pemakaian
90,750
30
159,000
2,500
397,500
150,000
2,000
200,000
5,500
-
750
100
40,800
109,728
1,000
150
20
PWK
Harga
Pemakaian
60,500
2,000
200,000
70
4,000
900
320
96
228,600
636,000
102,000
211,750
Pemakaian
290,000
Harga
V41*330
JBG
CTK
Harga
Pemakaian
Harga
60
4,000
636,000
3,000
300,000
4,000
181,500
400,000
816,750
2,067,000
1,650,000
5,500
#VALUE!
AM41*330
32,640
146,304
100
152,400
1,200
96
122,400
146,304
348,000
318,240
1,121,664
300
690,000
674,400
28
354,200
1,200
337,200
690,000
-
1,200
337,200
132,000
354,200
94,500
2,000
126,000
2,500
157,500
2,000
126,000
500
31,500
2,000
126,000
743,400
176,000
2,000
176,000
3,000
264,000
4,000
352,000
500
44,000
2,000
176,000
1,364,000
105,880
74,116
50
529,400
15
158,820
10
105,880
50
529,400
1,863,488
287,400
400
383,200
1,000
958,000
100
95,800
400
383,200
500
479,000
3,832,000
40
400
72,400
-
700
-
126,700
-
367,500
400
36,100
105,400
300
158,100
151,200
14,400
302,400
98,000
-
220,000
500
122,500
500
300
108,300
3,600
-
75,600
-
400
72,400
122,500
210,800
500
-
90,500
-
1,000
-
181,000
-
705,900
-
500
122,500
400
100
36,100
300
158,100
1,000
527,000
1,370,200
18,000
378,000
1,285,200
7,200
151,200
1,000
122,000
98,000
220,000
1,127,000
288,800
244,000
CBB
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Harga
Pemakaian
25,300
50,600
28,635
28,635
345,000
10,000
3,000
207,000
23,680
7,200
1,000
496,800
30,000
4,500
310,500
3,000
207,000
3,000
207,000
2,118,300
16,000
30,000
23,680
100
81,000
10
40,500
-
40,500
22,000
-
10
72,200
216,600
200
88,000
132,000
300
276,300
552,600
420,000
52,800
44,000
24,200
10
22,000
50,600
6,600
75,900
24
200
57,900
101,200
72,200
22,000
24,192
-
96,768
-
200
25
25
36,725
403,975
50
44,750
179,000
2,000
108,000
621,000
300
150,000
175,000
125
183,625
50
44,750
50
44,750
162,000
1,000
54,000
1,000
-
73,450
54,000
-
3,500
-
18,200
189,000
-
36,725
115,800
278,300
500
289,500
50,600
700
405,300
926,400
18,200
CBB
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
495,000
161,000
-
Harga
Pemakaian
3,000
PWK
69,000
-
Harga
Pemakaian
Harga
Pemakaian
Harga
6,000
CTK
138,000
10,000
230,000
495,000
200
40,000
100,000
736,000
-
300
1,000
165,000
165,000
1,000
246,000
344,400
98,400
60,000
JBG
115,152
48
115,152
146,000
1,500
166,650
219,000
1,260
5,890,500
96
2,500
365,000
2,000
230,304
55,550
292,000
100
239,900
1,020
4,768,500
14,866,500
72
172,728
1,053,161
277,750
20
89,980
50
224,950
337,425
400
37,200
500
46,500
83,700
700
102,200
1,000
146,000
1,781,200
20
47,000
1,000
1,100,000
47,000
282,000
141,000
6,000
94,000
3,000
141,000
1,100,000
752,000
100
120
60,800
137,106
2,000
60
141,000
100
60,800
54
50
190,000
792,000
100
528,000
100
528,000
50
264,000
100
528,000
3,432,000
153,504
48
96
153,504
96
153,504
24
38,376
120
191,880
927,420
76,752
137,106
564,000
1,201,200
30
282,000
1,201,200
1,471,100
190,000
CBB
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
Harga
Pemakaian
165,780
24
82,890
84
198,936
696,276
120
-
60
858,000
600
633,600
100
-
346,800
346,800
-
3
-
990,000
1,188,000
-
50
150
20
712,500
1,243,350
3,182,976
147,520
619,584
1,430,000
3,718,000
1,267,200
4,118,400
550,000
300
4,756,500
6,342,000
1,265,000
300
1,897,500
5,123,250
208,080
120
69,360
5,202,000
230,000
-
1,406,900
72
1,012,968
8,652,435
739,200
600
633,600
5,227,200
1,485,000
1,000
990,000
11,385,000
395,000
100
197,500
1,185,000
700
1,500
2,970,000
100
100
3,000
98,750
100,000
-
950,400
2,970,000
900
3,000
2,025,936
1,056,000
10
144
1,000
2,025,936
739,200
1,200
3,676,080
-
360
144
700
1,265,000
316,800
200
6,360
30,000
346,800
200
-
Harga
600
1,200
220,000
600
950,400
200
Pemakaian
200
-
900
632,500
633,600
Harga
295,040
429,000
600
110,000
1,585,500
40
-
CTK
Pemakaian
10
Harga
JBG
PWK
197,500
-
200
-
CBB
CWD
Harga
Pemakaian
-
100
154,500
-
100
-
PM
Harga
Pemakaian
-
V164*574
103,000
-
Harga
Pemakaian
JBG
Harga
Pemakaian
200
10,000
200
206,000
CTK
Harga
Pemakaian
Harga
10,000
#VALUE!
597,400
132,000
18,200
100
103,000
700
52,500
-
1,500
-
66,000
PWK
157,500
-
500
(400*300)+(100*3
300
90,000
1,000
300,000
200
17,800
15
42,450
500
65,600
-
400
-
65,600
-
1,375,000
1,056,000
26,800
35,200
10
2,000
-
178,000
1,056,000
-
400
53,600
600
105,600
82,000
-
17,800
42,450
24,600
200
32,800
328,000
100
686,400
1,000
134,000
300
52,800
600
1,300
105,600
#VALUE!
264,000
300,000
24,600
1,000
200
500
504,000
73,500
105,000
1,000
3,500
1,375,000
1,848,000
100
1,000
1,375,000
528,000
500
88,000
1,000
176,000
178,000
4,262,500
6,441,600
375,200
651,200
500
400
100
40,700
10
308,000
56,000
308,000
40,700
-
44,800
200
22,400
134,400
-
CBB
CWD
Harga
Pemakaian
1,782,000
420
PM
Harga
Pemakaian
2,079,000
47
PWK
Harga
Pemakaian
232,650
500
JBG
Harga
Pemakaian
2,475,000
250
CTK
Harga
Pemakaian
1,237,500
360
Harga
1,782,000
20
48,000
25
36,250
25
30
72,500
139,130
11,900
1,000
119,000
500
59,500
300
11,370,150
35,700
200
23,800
500
36,250
417,390
59,500
48,000
217,500
556,520
333,200
56
292,712
292,712
30
156,810
56
292,712
395,700
600
791,400
300
395,700
714,000
7,200
604,800
400
527,600
500
659,500
3,983,380
9,000
756,000
25,200
2,116,800
6,938,400
400
143,000
17,500
10
72,500
220,000
2,000
-
2,000
220,000
150
289,200
104,000
140
728,000
3,000
54,000
2,200
143,000
500
32,500
20
572,000
35,000
96,400
1,500
59,500
50
715,000
3,000
513,500
165,000
260,000
4,000
1,800
198,000
108,000
54,000
330,000
43,500
3,000
114,000
2,017,622
907,200
878,136
461,650
168
350
29,000
10,800
26,000
1,000
1,000
57,000
110,000
159,500
228,000
1,606,000
385,600
14,300
10
52,000
884,000
CBB
CWD
Harga
Pemakaian
-
1,000
-
PM
Harga
Pemakaian
1,500,000
-
20
-
PWK
Harga
Pemakaian
Harga
Pemakaian
4,312,000
JBG
1,000
-
400
23,600
600
35,400
400
9,600
300
28,800
500
48,000
24
100
100
125,000
20
72,600
157,440
30
93,600
260,500
200
400
104,200
157,440
10
Harga
Pemakaian
1,500,000
2,000
Harga
3,000,000
12,300,000
-
29,500
118,800
CTK
52,480
208,400
23,600
8,624,000
-
200
11,800
123,900
500
48,000
163,200
118,800
24
118,800
356,400
125,000
200
250,000
500,000
50
181,500
254,100
30
157,440
551,040
200
93,600
234,000
300
156,300
885,700
195,500
300
117,300
233,200
1,000
391,000
1,000
391,000
500
195,500
1,000
391,000
24
77,424
1,452,000
100
76,000
18,600
1,500
-
117,700
77,424
1,500
1,452,000
1,452,000
1,500
1,452,000
8,712,000
18,600
315,000
300
100
600
500
237,000
233,200
1,994,100
18,900
24,000
8,000
304,000
608,000
500
215,500
474,100
129,300
20,000
-
76,000
300
120,000
142,200
232,000
-
500
237,000
3,000
18,900
1,000
474,000
2,000
2,000
948,000
2,512,200
CBB
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
Harga
Pemakaian
Harga
266,200
624,000
200
400
2,343,000
110,000
1,000
275,000
600
CTK
532,400
2,184,000
775,000
624,000
165,000
55,000
600
165,000
770,000
10
120
998,760
935,000
600
250,800
50
544,500
250
1,375,000
1,375,000
1,000
250
998,760
418,000
1,375,000
1
600
250
781,000
200
83,600
935,000
250,800
1,375,000
250
292,600
1,375,000
250
1,375,000
210
660,000
979,200
300
489,600
2,299,000
544,500
11,000,000
2,301,120
290,400
-
41
902,000
1,650,000
355,000
355,000
198,000
-
100,650
88,000
600
418,000
342,720
1,000
264,000
700
3,514,500
100,650
241,560
198,000
-
CBB
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
100
682,000
50
255,200
50
101,750
Harga
Harga
Pemakaian
-
682,000
#VALUE!
255,200
718,000
600
101,750
CTK
861,600
300
430,800
500
718,000
300
430,800
400
101,750
574,400
305,250
5,385,000
110,000
110,000
220,000
138,600
15
346,500
115,500
716,100
766,000
1,330,000
702,240
766,000
380,000
10
950,000
-
702,240
CBB
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
Harga
Pemakaian
CTK
Harga
Pemakaian
1,754,500
Harga
50
10
8,772,500
JBG
11,053,350
20
99,000
99,000
290,400
231,000
580,800
462,000
1,161,600
CBB
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
1,430,000
-
1,430,000
6,356
3,575,000
31,217,306
37,002,364
41,188,879
41,204,744
36,005,643
49,977,878
36,005,643
49,977,878

DI KOTA CILEGON
Propinsi
: BANTEN
Alamat
: 9 Unit
Bulan
: April
Tahun
: 2015
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
18=(7s/d17)
ACYCLOVIR 5 GR KRIM
TUBE
3,951
3,951
50
75
50
125
50
200
575
TABLET
17,200
17,200
100
300
100
300
100
1,000
1,900
TABLET
6,900
6,900
100
500
250
500
1,000
2,350
TABLET
TABLET
1,620
1,620
BOTOL
4,690
4,690
TABLET
1,700
1,700
100
TABLET
TABLET
27,600
27,600
10
TABLET
32,070
32,070
11
TABLET
12
VIAL
1,630
1,630
13
BOTOL
11,203
11,203
350
14
KAPLET
50,560
50,560
300
1,100
15
KAPLET
82,600
82,600
200
1,000
16
TABLET
2,490
2,490
17
TABLET
124,700
124,700
18

TABLET
87,000
87,000
19
ANTASIDA SUSPENSI
BOTOL
1,449
1,449
20
VIAL
21
AMPUL
22

SALISILAT 3 %)
23
TUBE
POT
5,465
-
25
JUMLAH
480
200
50
300
300
500
100
1,000
400
400
100
400
1,380
400
400
500
2,555
1,700
60
1,020
510
540
3,000
1,200
900
3,000
200 ###
350
6,000
300
500
400
100
2,040
960
1,260
2,400
1,560
240
9,860
10,000
3,000
7,300
8,400
8,400
10,000
54,300
1,000
2,000
1,800
3,000
8,500
30
240
700
200
200
1,000
2,500
3,000
1,000
3,000
3,000
3,000
6,000
22,700
50
20
50
100
100
100
50
200
670
-
2,600
270
5,465
10,230
25
75
50
150
25
325
-
24
ANTI HEMOROID DOEN
SUPP
920
25
TABLET
26
TABLET
116,000
116,000
27
TABLET
373,900
373,900
28
TABLET
12,400
12,400
29
ATROPIN SULFAT INJ
AMPUL
136
136
30
TABLET
89,750
89,750
31
AQUABIDEST
BOTOL
32
BOTOL
582
582
33
AZITHROMYCIN 500 MG
KAPSUL
34
BEKARBON
TABLET
35
36
37
38
39
40
BISOPROLOL 5 MG
TABLET
1,000
1,000
41
TABLET
128,400
128,400
42
BOTOL
43
BOTOL
91
91
44
CALAMIN LOTION
BOTOL
400
400
45
TABLET
646,900
646,900
46
TABLET
195,400
195,400
47
BOTOL
10
10
48
CEFIXIME 100 MG
KAPSUL
11,050
11,050
49
CEFIXIME 200 MG
50
CEFOTAXIME INJ 1G
VIAL
51
CEFTRIAXON INJ
VIAL
100
100
52
BOTOL
53
CETIRIZINE DROP
BOTOL
54
CETIRIZIN 10 MG
TABLET
55
CIMETIDIN TABLET
TABLET
56
TABLET
109,600
109,600
57
KAPSUL
7,900
7,900
58
KAPSUL
3,050
3,050
59
TABLET
165,600
165,600
60
TABLET
9,000
9,000
61
BOTOL
62
TABLET
920
20
20
100
2,000
30
40
30
60
90
1,000
2,000
7,500
5,000
3,500
2,000
4,500
4,000
30
320
5,300
7,000
29,900
2,000
6,000
25,800
800
1,000
2,000
200
300
300 ###
400
600
600
1,500
300
20
20
150
3,450
-
20
20
40
11,200
11,200
VIAL
180
180
TUBE
142
142
TABLET
BOTOL
SUPP
516
516
200
1,000
840
2,040
-
75
67
142
-
24
24
100
300
1,200
400
1,200
2,400
60
100
700
1,000
1,000
1,500
3,000
2,000
500
1,000
1,500
4,000
4,000
600
400
1,500
200
60
###
10,500
1,000
10
50
1,000
200
12,800
10
500
4,450
25,800
-
42
40
82
-
25,800
100
500
300
1,000
700
800
300
400
700
300
3,700
100
3,650
50
300 ###
500
1,000
200
3,000
200
300
100
200
3,600
7,200
7,200
400
7,200
7,200
3,000
300
1,300
12,000
50,400
2,000
2,000
63
BOTOL
288
288
64
BOTOL
440
440
65
BOTOL
66
TABLET
41,700
41,700
67
VIAL
2,492
2,492
68
DIAZEPAM TABLET
TABLET
1,000
1,000
69
AMPUL
196
196
70
DIFENHIDRAMIN INJ
AMPUL
210
210
71
TABLET
51,200
51,200
72
BOTOL
73
DOMPERIDON 10 MG
TABLET
74
KAPSUL
75
TABLET
76
AMPUL
42
42
77
BOTOL
1,186
1,186
78
ERYTHROMYCIN 250 MG
KAPSUL
17,100
17,100
79
TABLET
43,000
43,000
100
80
ETAMBUTOL 500 MG
TABLET
42,000
42,000
200
81
BOTOL
163
163
82
ETANOL 70 % 1000 ML
BOTOL
582
582
83
KAPSUL
8,200
8,200
84
TABLET
7,000
7,000
85
FENOL GLISEROL 10 %
BOTOL
1,848
1,848
86
FITOMENADION INJ
AMPUL
87
TABLET
88
FLUCONAZOL 150 MG
TABLET
89
AMPUL
220
220
90
TABLET
19,200
19,200
91
GAMEKSAN
BOTOL
92
SACHET
6,800
6,800
93
TUBE
1,275
1,275
94
BOTOL
3,550
3,550
95
TABLET
833,400
833,400
96
GLIMEPIRIDE 2 MG
TABLET
50
50
97
GLIKOSAMIN 500 MG + CHONDROITIN 400 MG + VIT C 50

MG
TABLET
20,040
20,040
98
TABLET
538,000
538,000
99
GLISERIN LARUTAN
BOTOL
TABLET
9,300
4,300
2,600
2
10
10
-
1,000
4,000
3,500
2,000
2,200
6,000
10
2,000
10,000
10
20
1,000
1,000
60
60
30
30
-
9,300
10
10
15
35
300
1,000
600
200
5
7
###
25
100
100
-
24
48
48
100
200
300
24 ###
168
4,300
600
-
100
200
100
200
600
50
100
50
300
125
30
50
2,000
50
50
1,000
4,000
25
380
4,000
11,800
###
500
200
50
50
-
2,000
10,000
5,000
7,000
8,000
3,000
200
100
2,600
30,700
8,000
43,000
300
TABLET
9,600
9,600
TABLET
18,200
18,200
AMPUL
444
444
TUBE
BOTOL
TABLET
TUBE
SUPP
71
71
BOTOL
585
585
TABLET
1,000
1,000
TABLET
6,900
6,900
TABLET
5,000
5,000
TABLET
7,000
7,000
BOTOL
735
735
TABLET
TABLET
KAPSUL
TABLET
TABLET
VIAL
BOTOL
TABLET
200
31,976
TABLET
122 KAOLIN SUSPENSI
500
500 ###
1,500
1,200
31,976
121 KANAMYCINE 2 GR
1,000
1,000
74,300
48
48
48
120
24
792
-
10
20
1,500
500
20
8
10
200
1,000
1,200
2,200
60
500
700
500
6,900
-
1,000
1,000
60
15
75
-
1,000
100
100
74,300
2,000
1,000
1,000
10,000
7,000
21,000
70
70
1,210
1,210
20
20
TUBE
4,682
4,682
TABLET
1,000
1,000
12
30
20
48
66
24
100
60
150
320
AMPUL
540
540
KAPSUL
TUBE
BOTOL
323
323
BOTOL
220
220
220
BOTOL
1,820
1,820
40
TABLET
300
TABLET
1,000
1,000

MG KRIM
TUBE
3,043
3,043

PARASETAMOL 400 MG
TABLET
46,800
46,800
190
10
10
25
220
250
198
246
198
222
198
174
294
500
1,820
500
48
50
96
96
30
250
575
136 KOMB. BUDENOSID FORMATEROL 80/4,5 MCG INHALER, 60

DOSIS
BOTOL
2,576
2,576
100
50
50
BOTOL 60
ML
4,044
4,044
60
35
100
120
TABLET
21,550
21,550
1,000
100
600
TABLET
18,000
18,000

+ CTM
BOTOL
1,400
1,400

GUAIAKOLATSULFONAT
BOTOL
5,215
5,215
100
150

TABLET
TABLET
48,480
48,480
240
600

145 SYRUP
BOTOL
TUBE
101
101

GG + CTM SYRUP
50
50
50
###
350
180
495
1,000
1,000
100
3,700
1,000
1,150
100
300
500
150
200
300
900
600
960
3,600
2,400
8,760
100
360
MG
TABLET

BOTOL 60
ML
760
760

TABLET
7,000
7,000

ACID 200 MG TABLET
TABLET
1,800
1,800
BOTOL
6,015
6,015
TABLET
TABLET
TABLET
3,900
3,900
AMPUL
10,020
10,020
TABLET
156 LISOL
BOTOL
824
824
TABLET
23,700
23,700
TABLET
159 MELOXICAM 15 MG
TABLET
14,740
50
240
10
10
800
300
300
600
112
144
100
144
760
1,200
1,000
600
1,000
5,850
1,400
1,800
200
200
100
150
200 ###
650
14,740
1,000
100
100
120
150
50
100
120
1,000
200
100
640
20
2
200
2
100
300
TABLET
TABLET
TABLET
AMPUL
TABLET
TABLET

VIAL
TABLET
182,300
1,100
6,700
182,300
500
1,000
200
600
BOTOL
33
33
10
12,300
12,300
100
TABLET
17,900
17,900
TUBE
591
591
BOTOL
2,556
2,556
500
100
100
23
600
33
100
300
600
10
200
1,700
30
50
50
20
36
40
200
100
556
1,500
300
3,000
2,000
500
1,500
3,500
1,000
13,300
300
1,000
500
700
700
1,500
700
1,000
6,400
BOTOL
41,300
41,300
TABLET
53,000
53,000
TABLET
47,400
47,400
200
200
-
10
TABLET
200
TUBE
BOTOL
BOTOL
TABLET
91,600
TABLET
TABLET
200
-
91,600
100
500
2,600
2,600
100
2,800
2,800
BOTOL
93
93
30
187 OBH
BOTOL
8,834
8,834
120

BOTOL
TABLET
TABLET
191 ONDENSETRON INJ
AMPUL
250
250
17,950
17,950
TUBE
300
3,900
10
TABLET
100
1,000
100
TUBE
200
1,200
700
100
TABLET
200
100
BOTOL
7,000
-
100
6,700
45
###
5,700
1,000
45
TUBE
2,000
1,100
5,700
1,500
###
1,000
500
1,000
100
200
100
100
38
180
100
3,100
360
5
660
10 ###
250
93
600
2,270
400
400
4,950
4,950
AMPUL
3,310
BOTOL
20
100
25
70
75
90
100
100
400
3,310
50
2
###
100
TABLET
11,800
AMPUL
TABLET
TABLET
SUPP
200 PARASETAMOL SUPPOS 160 MG/ PROPIRETIC
1,400
11,800
100
8,288
8,288
42,561
42,561
100
TABLET
952,200
952,200
400
TUBE
TABLET
TABLET
47,900
47,900
TABLET
235,000
235,000
208 PIROXICAM
TABLET
209 POLIKRESULEN SOLL
BOTOL
152
152
BOTOL
1,037
1,037
BOTOL
BOTOL
326
326
BOTOL
152
152
TABLET
68,000
68,000
TABLET
TABLET
AMPUL
760
760
BOTOL
1,482
1,482
BOTOL
TABLET
41,900
30
20
56
30
140
20
100
376
200
150
300
300
600
400
700
2,770
3,600
10,000
12,000
7,200
10,800
10,800
21,000
85,800
100
100
2,000
11,000
10
25
10
37
10
16,900
300
3,000
2,000
300
1,000
3,000
10
6
15
5
1,000 ###
1,000
39,200
500
1,500
1,000
2,000
2,000
87
100
3,200
1,600
14,800
197
41,900
300
300
1,863
1,863
60
140
56,100
56,100
2,500
200
1,000
TABLET
AMPUL
307
307
TABLET
17,700
17,700
200
200
300
TABLET
12,200
12,200
100
300
300
446
446
24
24
24
100
200
20
12
POT
1,000
LABU
228 SALEP 2 - 4
2,000
10
TABLET
3,000
10,000
1,500
-
BOTOL
39,200
500
BOTOL
400
16,900
300
1,400
200
160
10 ###
3,000
388
1,000
7,700
-
20
24
300
KOTAK
3,300
3,300
BOTOL
4,766
4,766
100 ###
BOTOL
1,295
1,295
KAPSUL
6,600
6,600
200
KAPSUL
5,400
5,400
1,000
20
30
100
10
200
300
800
1,000
2,800
700
1,000
2,500
72
100
200
800
32
15
75
200
400
300
200
2,000
TABLET
4,320
4,320
TABLET
138,000
138,000
AMPUL
TUBE
350
350
70,100
70,100

TABLET
TUBE
205
205
VIAL
919
919
BOTOL
6,632
6,632

TABLET
82,900
82,900
KAPSUL
3,800
3,800
TABLET
44,000
44,000
AMPUL
TABLET
101,000
101,000
KAPSUL
37,400
37,400
TABLET
450
450
AMPUL
245
245
TABLET
189,700
189,700
TABLET
TABLET
36,600
90
90
2,000
2,000
-
5
300
500
500
24
20
1,500
500
2,000
5,300
44
-
48
100
1,500
24
48
100
96
316
1,500
400
100
1,000
4,600
-
2,000
5,000
100
200
2,000
4,000
1,000
14,000
300
50
50
10
1,500
700
700
300
###
300
20
400
1,200
2,000
6,100
1,000
500
1,000
4,000
36,600
500

1
SET
32
32
BUAH
3,200
3,200
BUAH
17,700
17,700
BUAH
6,500
6,500
100
100
BUAH
900
900
100
100
BUAH
140
140
ALAT PEMERIKSAAN HB
ALCOHOL SWABS
BUAH
SACHET
97,100
97,100
BISTURI
BUAH
100
100
10
BLOOD LANCET
BUAH
9,900
9,900
11
GALON
12
SACHET
6,197
6,197
13
CATGUT CHROMIC
ROLL
14
SET
15
DENGUE N5 1 ANTIGEN
16
DEX GLASS
SET
BUAH
81
100
100
300
100
900
400
200
100
100 ###
2,200
200
300
500
600
600
###
2,800
100
100
81
100
20
16
1
10
146
1
17
BUAH
96
96
18
FESCOPLAST
ROLL
19
FOLEY CATETHER
BUAH
50
50
20
GLUCOSA TEST TIP
TIP
8,070
8,070
21
GOLONGAN DARAH KIT
SET
11
11
22
H2O2
BOTOL
23
LEMBAR
70,100
70,100
24
HAND SCONE STERILE
PASANG
1,450
1,450
25
SACHET
1,745
1,745
26
HEMASITO METER
BUAH
27
ISI AUTOCLIX
KOTAK
28
INFUSION SET ANAK
29
INFUSION SET DEWASA
30
90
90
-
800
400
500
2,000
400
1,700
700
1,000
50
7,500
50
-
8,940
8,940
300
300
SET
287
287
10
10
SET
100
100
30
20
IODIUM TEST
BOTOL
300
300
31
IV CATETHER
SACHET
2,892
2,892
50
32
JARUM JAHIT
BUAH
303
303
10
33
KACA MULUT
34
35
KAPSUL KOSONG NO.0
36
KAPSUL KOSONG NO.1
37
38
210
810
20
50
100
-
30
20
104
10
BUAH
BUNGKUS
225
225
BUAH
20,000
20,000
BUAH
30,000
30,000
LEMBAR
490
490
ROLL
39
KASSA STERIL
KOTAK
1,146
1,146
40
KASSA 4 M X 15 CM
ROLL
1,920
1,920
41
LAMPU SPIRITUS
BUAH
42
BOTOL
43
BOTOL
44
KOTAK
120
120
45
METILEN BLUE 250 ML
BOTOL
46
MICROPIPET 3 UKURAN
BUAH
47
MASKER
BUAH
4,550
4,550
48
BUAH
139
139
49
BUAH
138
138
50
BUAH
51
BUAH
52
BUAH
53
MATA SCALLER
BUAH
54
NASO GASTRIC TUBE
TUBE
30
30
10
27
50
150
20
77
200
50
50
470
3
-
250
1,000
200
300
150
200
800
500
300
3,700
2
2
55
BUAH
139
139
56
BUAH
140
140
57
NEEDLE
BUAH
58
58
58
OBJECT GLASS
BUAH
261
261
59
OIL IMERSI
BOTOL
60
OSE
BUAH
61
PENJEPIT TABUNG
BUAH
22
22
62
PIPET BESAR
BUAH
63
PIPET KECIL
BUAH
64
PLESTER
ROLL
362
362
65
POT DAHAK
BUAH
66
BUAH
67
VIAL
14
14
68
SELANG O2 ANAK
BUAH
85
85
69
SELANG O2 DEWASA
BUAH
66
66
70
SGOT/SGPT TEST
SET
71
72
STRIP ASAM URAT
73
STRIP HB
BOX
316
316
74
STRIP GULA DARAH
BOX
118
118
75
BOX
76
STRIP KOLESTEROL
BOX
59
59
77
VENOJECT
KOTAK
78
YELLOW TIP
BUAH
79
TABUNG REAKSI BESAR
BUAH
37
37
80
TABUNG REAKSI KECIL
BUAH
63
63
81
TERMOMETER DIGITAL
82
TORNIKUET
BUAH
103
103
83
BUAH
84
BUAH
304
304
85
URINE BAG
BUAH
250
250
86
KOTAK
87
WIDAL TEST
KOTAK
88
WHITE TIP
BUAH
24
24
89
KOTAK
90
POCH PACK D
BUAH
91
POCH PACK L
BUAH
92
BUAH
93
BUAH
SACHET
2
-
17
10
12
20
15
81
8
8
6
4
4
-
15
20
41
100
100
94
CALIBRATION SCS
BUAH
95
BUAH
96
STROMALYSER WH
BUAH
97
BUAH
98
BUAH
99
BUAH
OBAT GIGI
ARSEN
BOTOL
ARTIKULATING PAPER
KOTAK
BOTOL
73
73
BEIN GIGI
SET
CALCIDOR
POT
CEVITRON
BUAH
139
139
CHKM
POT
17
17
CRESOPEN
BOTOL
DENTORIT
BOTOL
10
DYCAL
BOTOL
11
ETIL KLORIDA SPRAY
BOTOL
102
102
12
EUGENOL CAIRAN
BOTOL
187
187
13
IODOFORM PASTA
POT
16
16
14
GLASS IONOMER ART
15
OCO / TSR
BOTOL
16
BOTOL
17
SET
18
SET
SET
10
12
12
April 2014
Mengetahui'
2
3
4
5
Nip. 19660223 199203 2 002
Nip.19740620 200312 2 003
32
-
Cilegon,
1
10
8
5,200
ACYCLOVIR 5 GR KRIM
10
32,950
11
11,750
12
ALBOTYL
13
42,300
14
9,300
15
16
17
37,700
18
30,200
19
24,000
20
21
1,870
22
29,803
23
143,720
24
585,300
25
26
27

28
ANTASIDA SUSPENSI
5,914
29

9,662
30

SALISILAT 3 %)
31
ANTI HEMOROID DOEN
32
33
34
35
36
ATROPIN SULFAT INJ
37
38
AZITHROMYCIN 500 MG
39
BEKARBON
40
41
6,324
42
8,640
135
10,187
-
600
292,600
183,600
891
3,590
164,000
589,400
146
38,950
33,260
190
43
44
BISOPROLOL 5 MG
4,000
45
1,400
46
47
CALAMIN LOTION
48
754,200
49
350,600
50
51
CEFIXIME 100 MG
52
CEFOTAXIME INJ 1G
515
53
CEFTRIAXON INJ
360
54
594
55
CETIRIZINE DROP
56
CETIRIZIN 10 MG
57
CIMETIDIN TABLET
15,500
58
59,750
59
60
61
62
63
64
65
343
66
475
67
68
69
2,700
70
DIAZEPAM TABLET
7,000
71
72
DIFENHIDRAMIN INJ
73
74
75
DOMPERIDON 10 MG
6,650
76
9,700
77
78
79
80
ERYTHROMYCIN 250 MG
18,800
81
54,600
125
501
897
33,850
77
9,830
21,300
442,000
39,000
8,023
74,600
330,500
206
30
2,900
130
1,731
48,000
82
ETAMBUTOL 500 MG
83
84
ETANOL 70 % 1000 ML
85
9,000
86
7,000
87
FENOL GLISEROL 10 %
88
FITOMENADION INJ
89
90
FLUCONAZOL 150 MG
91
92
93
GAMEKSAN
95
353
3,121
15,975
6,300
200
250
22,800
-
94
19,500
95
5,000
96
97
98
GLIMEPIRIDE 2 MG
99

MG

101 GLISERIN LARUTAN
5,500
846,600
2,190
853,000
79
8,200
28,100
33,500
492
73
37,022
32,000

86
-
9,300
2,700
5,000
11,713
679
4,320
2,000

500
76,900
120 KANAMYCINE 2 GR
85
5,550
1,773
7,500
894
13,580
1,348
742
5,875
5,159
6,250

MG KRIM
7,996

4,491
GG SYRUP

+ CTM
GUAIAKOLATSULFONAT
5,410
7,888

TABLET
64,320

SYRUP
3,183

MG
ACID 200 MG TABLET
278
787
27,300
30,900
11,850
31,700
15,740
2,815
15,163
12,000
151 LISOL
323
25,100
19,950
154 MELOXICAM 15 MG
26,450
248,400
20,000
5,900

210
2,500
39,600
1

5,300
7

14,800
5,000
956
2,070
2,867
39,100
78,000
4,150
(400)

(7)
25,200
1,000
1,200

180 OBH
216
10,173

41
500
5,100
184 ONDENSETRON INJ

21,875
2,525
36,300
(20)
1,400
10,631
66,043
1,836,600
92
17,500
50,000

198 PIROXICAM
199 OXYTOCIN INJ
364,000
94,800
-
333
327

63
127,000
6,000
171,200
1,294
1,350
1,215
46,500
4,113
3,300
14,310

254
31,800
36,400
216 SALEP 2 - 4
1,226
1,228
3,509
1,975
11,900
18,600
1,200
148,000

500
310
26,300
286
990
7,687

90,800
5,800
60
47,000
4,800
246,700
663,000
102,590
278
578
7
8
33
10
5,000
11
13,048
12
7,400
13
1,000
14
ALAT PEMERIKSAAN HB
15
ALCOHOL SWABS
16
20
17
18
AQUABIDEST
19
815
20
BISTURI
700
11
40,300
6,821
21
22
CATGUT CHROMIC
23
DEX GLASS
83
24
25
FESCOPLAST
26
FOLEY CATETHER
350
27
GLUCOSA TEST TIP
28
GOLONGAN DARAH KIT
29
H2O2
30
31
HAND SCONE STERILE
1,600
32
5,985
33
HEMASITO METER
34
ISI AUTOCLIX
35
INFUSION SET ANAK
451
36
INFUSION SET DEWASA
458
37
IODIUM TEST
100
38
IV CATETHER
3,631
39
JARUM JAHIT
162
40
KACA MULUT
41
42
KAPSUL KOSONG NO.0
43
KAPSUL KOSONG NO.1
2
18
57,400
10,740
76
304
1,150
44
45
46
KASSA STERIL
1,086
47
KASSA 4 M X 15 CM
2,685
48
LAMPU SPIRITUS
49
50
51
43
52
METILEN BLUE 250 ML
53
MICROPIPET 3 UKURAN
54
MASKER
55
56
57
58
MATA SCALLER
59
NASO GASTRIC TUBE
45
9,450
2
45
60
61
62
NEEDLE
63
OBJECT GLASS
64
OIL IMERSI
65
OSE
66
PENJEPIT TABUNG
22
67
PIPET BESAR
68
PIPET KECIL
69
PLESTER
70
POT DAHAK
71
56
178
2
231
7
28
72
73
SELANG O2 ANAK
127
74
SELANG O2 DEWASA
109
75
76
STRIP HB
77
STRIP GULA DARAH
78
79
STRIP KOLESTEROL
45
9
VENOJECT
YELLOW TIP
1
TABUNG REAKSI BESAR
37
TABUNG REAKSI KECIL
63
TORNIKUET
URINE BAG
436
WIDAL TEST
7
8
OBAT GIGI
ARSEN
10
ARTIKULATING PAPER
11
12
CALCIDOR
13
CEVITRON
167
14
CHKM
15
CRESOPEN
16
DENTORIT
17
DYCAL
8
9
75
ME
OB
AT
JIW
A
AP
RIL
201 ETIL KLORIDA SPRAY
5 EUGENOL CAIRAN
4
675
11
IODOFORM PASTA
20
NO GLASS IONOMER ART
OCO / TSR

8
5
6
NAMA OBAT
SEDIAAN STOK AKHIR
CLOBAZAM
TABLET
CLOZAPINE
TABLET
142400
67250
CHLORPROMAZINE
TABLET
146000
FORANSI
TABLET
81090
STELOSI
TABLET
132600
SETRALINE
TABLET
4320
Pemberian
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
3,376
2,152
50
107,600
15,300
534
100
53,400
4,550
648
100
64,800
104
240
210
3,300
16,500
200
2,135
660,000
50
165,000
43,000
86
100
8,600
500
104
27,600
102
21,840
187
60
11,220
440
1,630
4,750
8,603
1,020
3,700
350
1,295,000
200
740,000
200
40,700
200
300
60,000
1,100
220,000
28,300
220
200
44,000
1,000
220,000
3,000
30
90,000
116
2,220
116,200
64,300

1
779
81
ANTASIDA SUSPENSI
200
16,200
1,000
-
81,000
1,866
50
93,300
471,719
126,500
2,491

1 SALISILAT 3 %)
1,800
740,000
1,320,000
81,200
202,500
20
37,320
25
700
190,740
2,500
5,140
6,000
62,275
600
86,100
348,100
11,800
116
86,300
542
9,160
180
-
20
60,500
32
159
100
15,900
100
800
1,100
ATROPIN SULFAT INJ
1,100
367
300
300
15,400
2,900
11,000
116
200
12,185
1,524
75
924
25,300
6,199
2,300
281


AQUABIDEST
AZITHROMYCIN 500 MG
1 BEKARBON
492
600
126,000
BISOPROLOL 5 MG
91
340

1 CALAMIN LOTION
636,400
182,600
6,600

CEFIXIME 100 MG
3,025
110,100
1,200
80,000
337,200
20
60,500
-
2,000
318,000
1,000
100,000
110,100
V45*102
30
2,000
300
12,650
63
88
700
100
8,800
958
50
47,900
1,000
958,000
200
200,000
110,100
114,300
66,000
10,588
90,750
61,600
191,600
1,000
63,000
500
44,000
10
105,880
CEFOTAXIME INJ 1G
5,000
18
CEFTRIAXON INJ
5,500
10,440
CETIRIZINE DROP
28,050
181
100
18,100
500
300
22,100
105,950
7,700
1,750
115,200
7,000
-
1 CETIRIZIN 10 MG
1 CIMETIDIN TABLET
90,500
116
245
50
12,250
300
361
527
21
122
1,379
99

3,000
54,300
73,500
63,000
300
73,500
200
72,200
300
158,100
3,600
75,600
286
430
11,000
2,472
136
180
51,200
9,300
5,060
5,727
3,960
69
2,000
30
2,368
960
91
3,624
404
220

1 DIAZEPAM TABLET
DIFENHIDRAMIN INJ
1 DOMPERIDON 10 MG
1,000
69,000
4,000
42
8,100
7,220
10
1,151
10,120
276,000
72,200
17,100
ERYTHROMYCIN 250 MG
440
42,000
921
420
41,800
1 ETAMBUTOL 500 MG
158
557
1 ETANOL 70 % 1000 ML
2,200
25,300
604
65
8,100
7,000
1,680
1,008
FITOMENADION INJ
1,450
3,700
220
18,600
6,800
895
3,350
821,600
20,040
2,300
177,100
75,900
579
1 FLUCONAZOL 150 MG
22,000
19,080
91
100
GAMEKSAN
1 GLIMEPIRIDE 2 MG
292
50
895
54
300
500

1 GLISERIN LARUTAN
9,100
1,469
5,500
495,000
177,100
73,450
16,200
-
4,730
200
2,000
(1000*23)+(1000
28
10,000
280,000
165
17,000
246
444
14,724
36,000
8,100
4,675
2,399
31,184
63
525
300
55,550
4,499
10
44,990
300
93
146
44
5,000
1 ISONIAZID 100 MG
6,000
1 ISONIAZID 300 MG
1,500
219,000
107
660
IMUNOSTIMULAN SIRUP
55,000
4,950
97
100
1,444
47
900
53,300

2,000
9,700
94,000
70
KANAMYCINE 2 GR
19,800
1,190
KAOLIN SUSPENSI
12,012
300
4,700
12
608
2,539
4,362
1,000
1 KETOPROFEN 100 MG
350
KETOROLAC INJ 10 MG
245
1,562
298
3,800
5,280
220
1,161,600
1,599
40
63,960
250
500

1
2,468
500
312
8,289
46,800
198
950
MG KRIM
399,750
475,000
-
19,000
316,602
48
56,400
397,872
-
2,226

3,549

GG SYRUP
17,850
16,850

GUAIAKOLATSULFONAT
1 TABLET

1 MG
10,450
-
1
5,365
13,740

ACID 200 MG TABLET
3,700
9,380
804
23,400

1 LISOL
1,925
140,690
300
844,800
-
10
3,376,560
52,800
800
240
50
-
990
158,400
1,045,000
1,056
240
100
10,000


1 / LIBROFED TABLET
660
250,250
-
1,056,000
55,000
429,000
368,800
35
1,000
50
15,855
14,069
1,150
50
737,600
60
7,920
100
-
1,100
CTM
4,315
900
93
7,150
1,056
39,720
7,376

1
316,800
-
1,975
100
159
50
574
1,030
100
100
520
13,200
91
1 MELOXICAM 7,5 MG
234
1 MELOXICAM 15 MG
348
103,000
66,000
-
200
18,200
197,500
103,000
175,300
900
2,800
45
5,100
-
1 METFORMIN 500 MG
105
500
METFORMIN 850 MG
260
140

3,685
375
44,000
89
2,830

500
MICONAZOLE SALEP
17,800
2,000
13,750
100
20,000
528
28,000
53,000
14
41,000
133
300
176

-
4,900
1,500
1,375,000
792,000
39,900
-
10
300
-
137,500
158,400
-
1,000
133,000
200
35,200
2,400
640
2,700
407
30,800
30
924,000
4,000
120
480,000
180

112
OBH
82,000
541
164
6,564
123
88,500
300
16,200
12,200
-
52,500
7,000
720,000
400
OFLOXACIN 200 MG
413
4,950
OFLOXACIN 400 MG
873
160
ONDENSETRON INJ
2,400
1,450
100
25
2,100
13,913
16,100
17,550
3,210
-
OXYTOCIN INJ
145,000
36,250
10,300
1,400

PARASETAMOL 100 MG
530
60
32
119
PARASETAMOL SUPPOS 160 MG/ PROPIRETIC
5,227
1,319
100
131,900
20
84
400
33,600
12,925
PARASETAMOL DROPS
7,912
39,791
866,400
26,380
30
156,810
200
263,800
150
197,850
3,600
302,400
10,000
840,000
16,800
290
47,600
198
18
1 PIROXICAM
65
127
ALBOTYL
28,600
10
3,500
224,000
1,000
316
14,500
147
42,000
65,000
24,400
286,000
36,000
57
1 RANITIDIN TABLET
110
500
55,000
1,000
1,500
57,000
165,000
1,000
1,000
57,000
110,000
1,928
RETINOL 100,000 IU
14,300
RETINOL 200,000 IU
19,600
2,000
72,500
120
563
660
5,200
10,400
1,500
2,500
3,750,000
1,781
41,600
RIFAMPICIN 450 MG
1,475
-
54,000
1 PROPANOLOL 40 MG
1,482
48,400
3,000
283

1
253,260
-
14,900
59
300
200
9,700
96
100
9,600
1 SALEP 2 - 4
4,950
24
118,800
2,500
1 SALISIL BEDAK 2 %
1,250
100
100
125,000
4,734
3,630
1,220
SEFADROKSIL SYRUP
5,248
20
6,200
SEFADROKSIL 250 MG
468
3,400
SEFADROKSIL 500 MG
521
374
17,700
125,000
11,800
104,960
4,230
11,403
90
136,000
12
345
64,800

520
58,300
391
300
291,500
1,026,270
117,300
161
23,540
919
2,090
6,316
3,226
48
78,300

3,800
44,000
87,000

V253*1023
1,500
-
1,452,000
186
1,050
700
2,000
76,000
5,000
190,000
100
43,100
200
86,200
189
50
9,450
5,400
40
107
474
500
6,000
300
225

32,600
-
154,848
968
100
38
400
431
37,100
183,600

119
32
110,000
237,000
1,500
700
60,000
331,800
3,100
2,662
15,500
3,120
100
6,400
7,750
3,300
8,360
525,000
275
200
300
8,230
396
902,000
78,100
100
800
140
6
94,300
-
ALAT PEMERIKSAAN HB
ALCOHOL SWABS
BISTURI
9,900
6,051
312,000
55,000
7,810,000
936,000
82,500
5,415,500
1,650,000
2,420,000
39,050
81
CATGUT CHROMIC
DEX GLASS
96
302,500
FESCOPLAST
50
FOLEY CATETHER
11,000
GLUCOSA TEST TIP
8,323
935,000
18,755
880
800
400
305,800
500
10,890
50
544,500
5,500
7,980
11
GOLONGAN DARAH KIT
H2O2
62,600
1,400
HAND SCONE STERILE
1,745
8,130
267
-
HEMASITO METER
704,000
440,000
ISI AUTOCLIX
1,632
300
INFUSION SET ANAK
9,900
INFUSION SET DEWASA
8,800
489,600
300
IODIUM TEST
20,900
2,788
IV CATETHER
22,000
293
JARUM JAHIT
71,000
KACA MULUT
96,800
215
20,000
KAPSUL KOSONG NO.0
30,000
KAPSUL KOSONG NO.1
490
-
20,130
44
60,390
33
1,980
136,694
1,069
KASSA STERIL
6,820
27
184,140
1,450
KASSA 4 M X 15 CM
5,882
150
882,300
LAMPU SPIRITUS
46,200
101,750
37,400
2,090,000
117
4
METILEN BLUE 250 ML
MICROPIPET 3 UKURAN
1,436
250
137
22,000
136
22,000
850
MASKER
359,000
1,000
1,436,000
200
287,200
300
430,800
95,700
95,700
MATA SCALLER
28
NASO GASTRIC TUBE
95,700
236,500
21,450
137
140
57
261
40,700
40,700
110,000
34,991
13,500
5,400
NEEDLE
OBJECT GLASS
OIL IMERSI
OSE
110,000
22
PENJEPIT TABUNG
PIPET BESAR
PIPET KECIL
17
281
PLESTER
23,100
392,700
92,400
POT DAHAK
946,000
14
702,240
77
SELANG O2 ANAK
13,200
79,200
58
SELANG O2 DEWASA
13,200
79,200
1,082,950
62,150
1
-
310
STRIP HB
191,500
114
STRIP GULA DARAH
95,000
77,000
18
STRIP KOLESTEROL
175,450
15
VENOJECT
220,000
YELLOW TIP
95,700
2,631,750
1,149,000
526,350
37
TABUNG REAKSI BESAR
2,015
63
TABUNG REAKSI KECIL
2,015
103
TORNIKUET
204
250
URINE BAG
WIDAL TEST
24
22,000
132,000
13,200
4,950
247,500
1,396,000
133,100
594,000
1,870,000
943,000
1,132,500
1,942,295
1,768,800
1,171,500
94,020
1,197,900
1,937,600
OBAT GIGI
ARSEN
484,000
ARTIKULATING PAPER
214,500
73
225,500
3,740,000
CALCIDOR
209,000
137
CEVITRON
115,500
70,000
17
CHKM
CRESOPEN
551,000
DENTORIT
154,000
DYCAL
333,300
70
ETIL KLORIDA SPRAY
145,200
185
EUGENOL CAIRAN
3,178
16
IODOFORM PASTA
302,500
GLASS IONOMER ART
715,000
OCO / TSR
330,000
1,265,000
418,000
12
36,300
1,434,780
15,196,890
435,600
3,649,580
18,806,658
22,348,619
CBB
Pemakaian
CWD
Harga
Pemakaian
75
161,400
50
300
160,200
500
324,000
PM
Harga
Pemakaian
107,600
25
100
53,400
250
162,000
PWK
Harga
Pemakaian
53,800
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
125
269,000
50
107,600
200
430,400
1,237,400
300
160,200
100
53,400
1,000
534,000
1,014,600
500
324,000
1,000
648,000
1,522,800
400
84,000
100
21,000
400
84,000
289,800
400
1,320,000
400
1,320,000
500
1,650,000
8,431,500
480
100,800
300
990,000
300
990,000
400
100
8,600
1,000
86,000
1,320,000
146,200
510
95,370
540
100,980
3,000
561,000
1,200
224,400
900
168,300
3,000
561,000
1,913,010
350
1,295,000
300
1,110,000
500
1,850,000
400
1,480,000
100
370,000
200
740,000
2,040
408,000
960
192,000
1,260
252,000
2,400
480,000
1,560
312,000
240
48,000
1,972,000
10,000
2,200,000
3,000
660,000
7,300
1,606,000
8,400
1,848,000
8,400
1,848,000
10,000
2,200,000
11,946,000
240
720,000
3,000
1,000
1,000
243,000
50
93,300
75
116,000
186,825
81,000
100
232,000
3,000
186,600
243,000
100
186,600
50
124,550
1,800
3,000
243,000
100
208,800
186,600
243,000
50
93,300
150
373,650
810,000
348,000
986,000
200
486,000
1,838,700
373,200
1,250,220
25
3,000
6,000
3,000
2,000
9,620,000
62,275
809,575
40
-
121,000
-
30
-
90,750
-
60
-
181,500
-
90
-
272,250
-
30
-
90,750
-
968,000
-
1,000
159,000
2,000
318,000
7,500
1,192,500
5,000
795,000
5,300
842,700
7,000
1,113,000
4,754,100
3,500
350,000
2,000
200,000
4,500
450,000
4,000
400,000
2,000
200,000
6,000
600,000
2,580,000
200
220,000
440,000
600
20
1,000
220,200
58,000
116,000
400
20
58,000
1,500
550,500
20
22,000
22,000
300
150
55,050
1,266,150
110,100
660,000
116,000
#VALUE!
840
216,408
-
AM45*V45-680X10
67
148,776
300
920,000
674,400
102,108
24
148,776
100
230,000
1,200
337,200
690,000
-
60
759,000
759,000
1,000
63,000
1,500
94,500
3,000
189,000
2,000
126,000
2,000
126,000
661,500
1,000
88,000
1,500
132,000
4,000
352,000
4,000
352,000
1,000
88,000
1,126,400
600
574,800
42
1,000
300
-
400
383,200
231,000
181,000
73,500
-
1,500
40
400
-
1,437,000
700
126,700
98,000
-
100
52,700
200
105,400
7,200
151,200
7,200
151,200
800
700
200
191,600
500
479,000
105,880
4,263,100
-
451,000
300
220,000
144,800
171,500
7,200
151,200
500
-
122,500
-
400
210,800
7,200
151,200
1,000
245,000
3,000
63,000
100
-
54,300
24,500
-
669,700
894,250
72,200
300
158,100
685,100
12,000
252,000
1,058,400
2,000
244,000
244,000
3,500
241,500
10
20,000
2,000
138,000
10
2,200
57,270
151,800
60
6,000
1,000
414,000
30,000
2,000
138,000
10
20,000
10,120
57,270
10,000
690,000
2,118,300
40,000
30,000
142,080
#VALUE!
15
252,700
921,000
84,000
30
10
(20*800)+(10*960
142,080
72,200
100
92,100
600
200
84,000
11,000
101,200
50,600
60,400
108,300
552,600
300
100
48
24
-
24,192
-
48,384
-
24,192
24
24,192
60,400
169,344
200
347,400
100
54,600
30
18,200
-
100
146,900
50
44,750
125
183,625
50
44,750
2,000
108,000
50
25,000
5,000
140,000
1,000
-
9,100
54,000
-
300
200
-
18,200
44,070
50
44,750
216,000
500
196,000
50
4,000
7,000
173,700
24
11,000
632,500
200
115,800
48
50,600
100
57,900
48,384
276,300
200
27,000
-
8,000
73,450
224,000
40,000
100
558,220
50
44,750
179,000
4,000
216,000
637,200
25,000
3,000
36,725
25
84,000
20,000
8,000
224,000
#VALUE!
60,000
200
1,000
165,000
48
115,152
48
20
500
1,000
89,980
73,000
107,000
115,152
111,100
48
20
146,000
115,152
89,980
1,000
277,750
1,200
175,200
120
1
500
123,000
287,880
55,550
500
82,500
247,500
500
123,000
295,200
24
444,400
269,940
57,576
690,912
10
44,990
200
18,600
500
46,500
65,100
73,000
1,007,400
2,200
15
321,200
500
107,000
4,125,000
60
9,700
20
30
66
1,000
47,000
240,240
141,000
167,574
1,000
825,000
3,300,000
49,200
47,000
10,000
470,000
7,000
329,000
987,000
-
240,240
150
20
24
94,000
60,936
48
100
225,600
253,900
705,000
482,410
60
282,000
1,504,000
10
95,000
1,161,600
246
393,354
198
316,602
222
354,978
198
38,000
316,602
10
174
38,000
278,226
294
50
414,450
-
96
41,445
-
96
795,744
-
30
795,744
-
2,910,180
-
475,000
250
248,670
470,106
2,072,250
4,766,175
50
368,800
100
120
715,000
100
-
858,000
100
100
1,585,500
1,567,500
600
600
-
30,000
-
140,690
316,800
2,025,936
1,267,200
198,000
198,000
150
150
86,100
50
28,700
100
103,000
123,600
123,600
26,400
120
100
9,100
26,400
200
#VALUE!
#VALUE!
80,000
2,025,936
10,692,440
1,056,000
6,177,600
1,386,000
1,782,000
395,000
1,283,750
1,000
1,400
-
120
296,250
633,600
7,927,500
144
4,756,500
1,584,000
-
1,406,900
1,056,000
600
200
1,265,000
100
1,000
1,100,000
2,400
3,907,200
(210*6325)+(90*1045
237,600
-
300
-
1,575,728
633,600
144
1,200
200
-
360
112
600
3,539,250
300
2,376,000
50,000
-
3,600
1,000
-
2,090,000
633,600
5
300
1,567,500
1,056,000
1,585,500
2,581,600
200
960
10
(480*578)+(120*6
100
150
-
396,000
368,800
-
1,000
1,056,000
50
-
1,000
150
1,287,000
110,000
368,800
633,600
50
368,800
180
600
105,600
50
-
395,000
50,000
114,800
100
1,000
200
50,000
79,200
103,000
66,000
659,200
264,000
27,300
1,000
105,000
1,500
157,500
2,000
210,000
1,000
100
200
75,000
600
225,000
700
262,500
1,200
100
10
28,300
100
12,300
100
16,400
300
600
10
178,000
50
687,500
20
3,000
500
-
1,584,000
66,500
-
2,000
700
-
275,000
1,056,000
93,100
-
36
500
700
-
450,000
495,000
264,000
93,100
-
200
-
26,700
100
23
65,090
98,400
-
200
-
10
40
550,000
200
792,000
-
1,500
14,000
1200*134)+(300*1
-
1,000
3,500
700
-
105,000
28,000
75,000
-
1,000
375,000
-
53,400
93,390
12,300
278,800
32,800
-
2,750,000
1,848,000
93,100
-
30
534,000
890,000
100
1,375,000
7,645,000
1,000
1,000
-
528,000
133,000
-
500
100
64,000
100
100
400,000
360
56,000
40,700
1,440,000
1,000
38
-
112,000
500
56,000
100
64,000
1,170,400
-
5
660
154,000
AM198*4950
250
10
308,000
(174*4950)+(76*
1,000
-
7,022,400
#VALUE!
35,200
-
11,200
1,462,500
8,900
100
735,000
178,000
1,500
300
100
8,900
8,900
49,200
14,000
100
105,000
112,000
-
347,200
128,000
40,700
10
308,000
2,864,400
600
2,400,000
#VALUE!
216,000
20
48,000
70
75
108,750
168,000
50
32,200
695,650
-
100
145,000
580,000
50
100
145,000
695,650
-
1,391,300
32,200
100
11,900
200
23,800
300
35,700
400
47,600
500
59,500
178,500
56
292,712
30
156,810
140
731,780
20
104,540
100
522,700
1,965,352
300
395,700
300
395,700
600
791,400
400
527,600
700
923,300
3,653,630
12,000
1,008,000
7,200
604,800
10,800
907,200
10,800
907,200
21,000
1,764,000
7,207,200
10,000
840,000
100
300
59,400
1,000
18,000
143,000
3,000
54,000
2,000
10
15
29,000
36,000
286,000
59,400
198,000
715,000
-
10
29,000
29,000
43,500
145,000
84,000
126,000
210,000
2,000
220,000
2,000
220,000
87
167,736
100
192,800
300
198,000
60
312,000
140
728,000
200
300,000
1,000
1,500,000
506,520
3,200
176,000
57,000
-
2,000
220,000
19,280
10
160
832,000
31,200
2
-
1,600
20
506,520
11,800
300
17,700
300
28,800
300
28,800
100
24
118,800
100
125,000
20
72,600
30
157,440
10
200
352,000
1,000
9,600
1,000
110,000
171,000
1,628,000
379,816
198,000
10
52,000
10
52,000
2,017,600
3,000
4,500,000
1,000
1,500,000
11,550,000
4,801,580
5,814,620
47,200
1,000
59,000
165,200
700
67,200
1,000
96,000
240,000
24
118,800
100
800
200
250,000
12
43,560
116,160
15
78,720
393,600
200
93,600
187,200
300
156,300
200
1,042,000
200
93,600
1,000
521,000
200
52,480
104,200
300
156,300
125,000
104,200
200
250,000
356,400
1,000,000
500
195,500
500
195,500
24
564,960
20
470,800
24
77,424
1,500
V253*1023
48
154,848
400
-
2,000
1,500
1,026,270
24,000
291,500
24,000
586,500
500
195,500
2,000
782,000
2,072,300
1,035,760
100
322,600
100
387,200
AM253*1023
96
309,696
1,019,416
968,000
#VALUE!
1,000
-
532,000
129,300
10
54,000
10
54,000
108,000
300
12,000
400
2,000
80,000
244,000
2,000
700
300
76,000
28,000
142,200
4,000
1,000
152,000
16,000
474,000
1,000
1,200
500
38,000
48,000
237,000
1,000
474,000
9,450
1,896,000
100
266,200
200
624,000
100
775,000
775,000
100
330,000
330,000
600
500
600
165,000
600
165,000
165,000
6,864,000
770,000
823,000
20
16
1,249,600
10
5,415,500
5,415,500
100
823,000
137,500
100
312,000
266,200
100
312,000
900
400
1,248,000
312,000
2,808,000
100
1,562,000
781,000
11,402,600
90
2,000
1,760,000
400
352,000
1,700
1,496,000
749,070
6,553,800
700
749,070
616,000
1,000
880,000
544,500
300
1,321,920
10
99,000
10
99,000
30
264,000
20
176,000
50
50
10
-
1,100,000
710,000
-
30
-
440,000
210
198,000
880,000
2,288,000
710,000
100,650
342,720
660,000
5
40,260
489,600
88,000
20
201,300
341,000
525,140
117,640
200
2,764,540
305,250
50
20
101,750
440,000
203,500
287,200
1,176,400
294,100
294,100
215,400
200
5,313,200
44,000
44,000
44,000
44,000
500
718,000
50
150
800
1,148,800
50
300
430,800
42,900
42,900
81,400
110,000
15
10
81,400
231,000
12
277,200
20
462,000
69,300
346,500
1,871,100
26,400
105,600
26,400
105,600
20
175,450
3,509,000
1,149,000
380,000
7,193,450
380,000
350,900
100
1,320,000
1,320,000
231,000
290,400
6,356
1,430,000
231,000
10
290,400
715,000
10
1,452,000
715,000
726,000
1,452,000
1,430,000
4,646,400
6,356
4,290,000
35,925,111
29,055,578
45,128,064
51,263,146
26,570,208
48,655,856

DI KOTA CILEGON
Propinsi
: BANTEN
Alamat
: 9 Unit
Bulan
: Mei
Tahun
: 2015
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
TUBE
3,376
3,376
TABLET
15,300
15,300
TABLET
4,550
4,550
TABLET
TABLET
240
240
BOTOL
2,135
2,135
TABLET
TABLET
TABLET
27,600
27,600
10
TABLET
21,840
21,840
11
TABLET
12
VIAL
1,630
1,630
13
BOTOL
8,603
8,603
200
14
KAPLET
40,700
40,700
1,200
15
KAPLET
28,300
28,300
5,000
16
TABLET
2,220
2,220
17
TABLET
116,200
116,200
18

TABLET
64,300
64,300
19
ANTASIDA SUSPENSI
BOTOL
779
779
20
VIAL
21
AMPUL
22

SALISILAT 3 %)
23
TUBE
POT
5,140
-
100 ###
50
75
125
200
500
500
500
350
550
400
50
100
19=6-18
ACYCLOVIR 5 GR KRIM
200
25
18=(7s/d17)
100
200
STOCK
AKHIR
25 ###
JUMLAH
100
240
2,100
2,450
400
150
200
240
300
300
300
200
100
600
1,500
450
2,550
1,500
1,850
6,000
250
5,000
20
70
200
200
3,000
9,600
12,240
90
2,100
6,503
1,200
7,000
1,000
3,600
14,000
26,700
3,000
4,200
5,100
28,300
1,000
1,500
2,000
2,000
1,500
4,000
160
4,000
100
2,220
1,800
4,000
9,600
106,600
3,000
10,000
28,100
36,200
25
100
435
344
25
1,540
500
500
50
100
2,000
50
400
300
50 ###
27,000
100
285
600
-
250
500
2,901
13,600
5,140
475
1,700
50
100
325
-
4,815
-
NO
NAMA OBAT
24
ANTI HEMOROID DOEN
25
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
10
11
SUPP
600
600
TABLET
26
TABLET
86,100
86,100
27
TABLET
348,100
348,100
28
TABLET
11,800
11,800
29
ATROPIN SULFAT INJ
AMPUL
116
116
30
TABLET
86,300
86,300
31
AQUABIDEST
BOTOL
32
BOTOL
542
542
33
AZITHROMYCIN 500 MG
KAPSUL
34
BEKARBON
TABLET
35
36
37
38
39
40
BISOPROLOL 5 MG
41
TABLET
42
BOTOL
43
BOTOL
91
91
44
CALAMIN LOTION
BOTOL
340
340
45
TABLET
636,400
636,400
1,500
46
TABLET
182,600
182,600
1,500
47
BOTOL
48
CEFIXIME 100 MG
KAPSUL
49
CEFIXIME 200 MG
50
CEFOTAXIME INJ 1G
VIAL
51
CEFTRIAXON INJ
VIAL
18
18
52
BOTOL
53
CETIRIZINE DROP
BOTOL
54
CETIRIZIN 10 MG
TABLET
55
CIMETIDIN TABLET
TABLET
56
TABLET
105,950
105,950
57
KAPSUL
7,700
7,700
58
KAPSUL
1,750
1,750
59
TABLET
115,200
115,200
CBB
12
30
50
CWD
PM
13
14
10
PWK
15
80
JBG
CTK
16
17
90
50
JUMLAH
STOCK
AKHIR
18=(7s/d17)
19=6-18
310
-
1,500
2,000
2,500 ###
3,000
600
3,000
2,000
200
5,500
3,000
150
450
600
1,200
8,000
17,100
69,000
3,500
4,000
26,000
322,100
500
11,300
300
600
800
900
300 ###
20
96
5,450
80,850
750
900
VIAL
180
180
180
TUBE
TABLET
BOTOL
SUPP
492
492
30
462
TABLET
600
600
126,000
126,000
30
100
300
900
1,200
2
2,000
###
2,000
2,500
2,000
5,000
3,000
100
500
2,400
123,600
84
82
258
600
12,200
624,200
1,000
11,000
171,600
6,600
300
200
600
500
1,000
6,010
80
600
3,150
9,160
6,600
750
537
9,160
750
2,000
20
150
290
200
500
3,300
3,300
22,100
-
18
18
22,100
1,000
200
500
300
200
100
1,000
3,300
500
300
500
500
300
2,900
103,050
400
100
6,750
400
100
800
300
600
200
400
100
4,000
3,600
2,000
3,600
3,600
6,000
50
950
150
1,750
10,800
33,700
18,800
-
81,500
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
7,000
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
61
BOTOL
62
TABLET
63
BOTOL
286
286
64
BOTOL
430
430
65
BOTOL
66
TABLET
11,000
11,000
1,500
67
VIAL
2,472
2,472
68
DIAZEPAM TABLET
TABLET
69
AMPUL
136
136
136
70
DIFENHIDRAMIN INJ
AMPUL
180
180
71
TABLET
51,200
51,200
72
BOTOL
73
DOMPERIDON 10 MG
TABLET
74
KAPSUL
75
TABLET
76
AMPUL
42
42
77
BOTOL
1,151
1,151
78
ERYTHROMYCIN 250 MG
KAPSUL
17,100
17,100
79
TABLET
42,000
42,000
80
ETAMBUTOL 500 MG
TABLET
41,800
41,800
81
BOTOL
158
158
82
ETANOL 70 % 1000 ML
BOTOL
557
557
83
KAPSUL
8,100
8,100
84
TABLET
7,000
7,000
85
FENOL GLISEROL 10 %
BOTOL
1,680
1,680
86
FITOMENADION INJ
AMPUL
87
TABLET
88
FLUCONAZOL 150 MG
TABLET
89
AMPUL
220
220
220
90
TABLET
18,600
18,600
91
GAMEKSAN
BOTOL
92
SACHET
93
TUBE
895
895
94
BOTOL
3,350
3,350
95
TABLET
821,600
821,600
6,800
1,000
19=6-18
TABLET
1,000
18=(7s/d17)
3,700
1,000
STOCK
AKHIR
60
9,300
7,000
JUMLAH
3,000
5
5
2,000
3,000
1,800
700
700
800
425
300
300
5
50
11,000
100
9,300
30
20
300
10
200
37
110
1,041
17,100
700
41,300
1,000
40,800
15
143
552
200
200
7,900
7,000
240
1,440
200
100
48
24
100
300
100
24
96
900
400
600
6,800
400
100
50 ###
1,500
100
9,000
25
10
1
100
180
51,100
3,700
2,469
200
24
200
1,000
24
279
100
7
-
500
4,000
100
75
25
1,000
3,100
400
50 ###
2,800
18,000
6,400
500
395
24
50
199
3,151
400
500
6,500
815,100
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
GLIMEPIRIDE 2 MG
TABLET
97

MG
TABLET
20,040
20,040
98
TABLET
495,000
495,000
99
GLISERIN LARUTAN
BOTOL
6=4+5
96
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
STOCK
AKHIR
18=(7s/d17)
19=6-18
600
3,000
4,000
1,000
6,000
3,000
4,000
19,440
21,000
474,000
TABLET
8,100
8,100
TABLET
17,000
17,000
AMPUL
444
444
444
TUBE
BOTOL
TABLET
TUBE
300
200
100
200
300
TABLET
31,184
2,300
600
2,300
PEMAKAIAN
500 ###
1,000
7,100
500
1,000
16,000
31,184
24
100
72
72
48
24
72
2,000
72
120
604
30,580
TABLET
SUPP
63
63
BOTOL
525
525
TABLET
300
300
TABLET
TABLET
5,000
5,000
5,000
TABLET
6,000
6,000
6,000
BOTOL
660
660
TABLET
TABLET
900
900
KAPSUL
TABLET
TABLET
121 KANAMYCINE 2 GR
VIAL
122 KAOLIN SUSPENSI
BOTOL
TABLET
53,300
-
50
50
61
10
110
415
300
300
48
100
100
200
1,500
1,000
148
300
500
400
500
6,000
11,300
70
70
1,190
48
72
120
120
374
36
24
TABLET
1,000
1,000
AMPUL
350
350
114
236
KAPSUL
TUBE
BOTOL
298
298
75
223
12
12
10
24
70
1,070
4,362
900
72
4,362
50
42,000
TUBE
24 ###
512
100
1,000 ###
53,300
1,190
-
100
1,000
90
10
50
3,988
-
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
STOCK
AKHIR
18=(7s/d17)
19=6-18
BOTOL
BOTOL
TABLET
TABLET
500
500
500

MG KRIM
TUBE
2,468
2,468

PARASETAMOL 400 MG
TABLET
46,800
46,800

DOSIS
60
20
70
120
40
180
640
1,828
46,800
BOTOL
2,226
2,226
100
BOTOL 60
ML
3,549
3,549
120
25
TABLET
17,850
17,850
1,000
100
TABLET
16,850
16,850

+ CTM
BOTOL
900
900

GUAIAKOLATSULFONAT
BOTOL
4,315
4,315
100
50

TABLET
TABLET
39,720
39,720
720
240

145 SYRUP
BOTOL
TUBE
93
93
TABLET
BOTOL 60
ML
TABLET

GG + CTM SYRUP
150
###
100 ###
40
150
50
60
600
50
70
200
200
1,000
30
100
490
1,736
96
150
601
2,948
1,000
500
4,400
13,450
550
16,300
150
250
650
300
600
3,715
11,160
28,560
100
100
50
100
840
960
6,000
1,200 ###
14
79
10
MG
1,150
1,150
300
700
1,000
150
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
-
6=4+5

ACID 200 MG TABLET
TABLET
BOTOL
TABLET
TABLET
13,740
13,740
TABLET
3,700
3,700
AMPUL
9,380
9,380
TABLET
5,365
-
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
STOCK
AKHIR
18=(7s/d17)
19=6-18
5,365
200
100
100
100
500
200
30
50
60
200
100
100
3,600
120
460
8,920
156 LISOL
BOTOL
804
804
TABLET
23,400
23,400
TABLET
159 MELOXICAM 15 MG
TABLET
TABLET
TABLET
TABLET
900
900
AMPUL
TABLET
TABLET

VIAL
TABLET
175,300
2,800
1,500
###
400
200
1,000
1,000
500
500
100
2,800
45
45
5,100
BOTOL
TABLET
12,200
12,200
TABLET
16,200
16,200
100
175,300
5,100
-
600
200
500
800
700
500
14
790
23,100
4,400
100
200
600
300
1,200
-
100
600
500
170,900
-
1,200
-
45
3,900
12,200
15,000
TUBE
BOTOL
TUBE
541
541
BOTOL
2,000
2,000
BOTOL
TABLET
28,000
28,000
TABLET
53,000
53,000
TABLET
41,000
41,000
TABLET
TUBE
BOTOL
2,800
200
300
200
13,540
4,865
200
20
8
144
100
20
10
120
###
30
511
512
1,488
200
500
1,000
1,000
1,000
1,000
1,500
1,000
500
500
500
1,000
2,000
500
6,700
2,000
8,500
1,000
21,300
53,000
32,500
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
STOCK
AKHIR
18=(7s/d17)
19=6-18
BOTOL
TABLET
88,500
88,500
100
500
TABLET
2,400
2,400
100
200
TABLET
2,700
2,700
BOTOL
187 OBH
BOTOL

BOTOL
TABLET
400
400
100
100
300
TABLET
4,950
4,950
100
100
4,850
191 ONDENSETRON INJ
AMPUL

194 OXYTOCIN INJ
TUBE
TUBE
AMPUL
BOTOL
TABLET
AMPUL
TABLET
TABLET
200 PARASETAMOL SUPP 160 MG/ PROPIRETIC
SUPP
BOTOL
6,564
-
JUMLAH
PEMAKAIAN
160
1,400
7,912
400
10
10
60
125
25
20
80
700
500
400
100
100
200
10,000 ###
56 ###
100
300
400
400
10,000
7,200
10,800
14,400
###
8,000
20,000
TABLET
47,600
47,600
TABLET
224,000
224,000
208 PIROXICAM
TABLET
209 POLIKRESULEN SOLUTION
BOTOL
127
127
BOTOL
1,000
1,000
BOTOL
BOTOL
316
316
1
5
147
147
65,000
65,000
TABLET
5,000
3,000
5
2
1,000 ###
2,000
1,000
7,520
37,591
12,000
16,800
47,600
212,000
18
109
18
982
1,400
775,800
2,000
8,600
2,200
2,000
3,090
90,600
-
16,800
BOTOL
1,700
392
TABLET
TABLET
80
17,350
180
80
100
4,310
200
2,254
2,500
500
7,912
39,791
2,000
200
120
866,400
400
20
39,791
300
1,400
866,400
-
500
BOTOL
16,800
274
50
10,300
TABLET
TUBE
360
87,800
3,210

120
700
300
17,550
10,300
100
###
160
-
100
100
6,564
17,550
3,210
308
140
5,000
60,000
NO
NAMA OBAT
SATUAN
PENERIMAA PERSEDIAA
N
N
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
17
10
11
12
13
14
15
16
24,400
24,400
1,500
1,000
2,000
2,000
6,000
2,000
1,800
AMPUL
563
563
10
25
150
BOTOL
1,482
1,482
BOTOL
TABLET
41,600
41,600
LABU
1,475
1,475
TABLET
48,400
48,400
500
2,000
1,000
TABLET
AMPUL
283
283
10
20
30
TABLET
14,900
14,900
200 ###
500
500
700
TABLET
9,700
9,700
200 ###
100
500
800
374
374
24
50
48
24
200
200
100
228 SALEP 2 - 4
DINAS
TABLET
PEMAKAIAN
STOCK
AWAL
6=4+5
18=(7s/d17)
19=6-18
190
-
20
240
1,400
20 ###
8,100
373
1,482
41,600
267
1,208
4,900
43,500
105
178
2,600
12,300
2,500
7,200
POT
KOTAK
2,500
2,500
BOTOL
4,734
4,734
BOTOL
1,220
1,220
KAPSUL
6,200
6,200
KAPSUL
3,400
3,400
TABLET
4,230
4,230
TABLET
136,000
136,000
AMPUL
TUBE
345
345
STOCK
AKHIR
16,300
JUMLAH
64,800
64,800
TABLET
TUBE
161
161
VIAL
919
919
200
100
500
700
300
24
10
30
100
50
300
300
100
500
20
200
100
700
500
200
146
228
1,100
1,400
24
4,710
60
1,160
650
5,550
2,400
1,000
1,000
2,000
5
1,000
100
3,000
1,000
100
10
2,000
4,000
11,300
53,500
15
146
919
BOTOL
6,316
6,316
78,300
78,300
KAPSUL
3,800
3,800
3,800
TABLET
44,000
44,000
44,000
AMPUL
TABLET
87,000
87,000
KAPSUL
37,100
37,100
TABLET
400
400
AMPUL
225
225
1,200
1,000
48
335
TABLET
1,000
24
10

700
48
600
133,000
24
2,500
4,230
###
144
6,172
4,900
73,400
2,000 ###
4,000
100
150
500
4,000
200
2,000
3,000
17,000
70,000
1,000
1,800
35,300
50
200
200
220
NO
NAMA OBAT
SATUAN
3
TABLET
TABLET
TABLET
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
183,600
32,600
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
183,600
300
1,000
300
300
400
400
1,000
STOCK
AKHIR
18=(7s/d17)
19=6-18
3,700
32,600
1,000
300
1,000
1,500
1,000
27,800
32
SET
BUAH
3,100
3,100
BUAH
15,500
15,500
BUAH
6,400
6,400
6,400
BUAH
800
800
800
BUAH
140
140
140
ALAT PEMERIKSAAN HB
BUAH
ALCOHOL SWABS
94,300
94,300
BISTURI
10
BLOOD LANCET
BUAH
11
GALON
12
SACHET
13
CATGUT CHROMIC
ROLL
14
SET
15
DENGUE N5 1 ANTIGEN
SET
16
DEX GLASS
BUAH
81
81
81
17
BUAH
96
96
96
18
FESCOPLAST
ROLL
19
FOLEY CATETHER
BUAH
50
50
50
20
GLUCOSA TEST TIP
TIP
7,980
7,980
21
GOLONGAN DARAH KIT
SET
11
11
22
H2O2
BOTOL
23
LEMBAR
62,600
62,600
24
HAND SCONE STERILE
PASANG
1,400
1,400
25
SACHET
1,745
1,745
26
HEMASITO METER
BUAH
27
ISI AUTOCLIX
KOTAK
28
INFUSION SET ANAK
29
INFUSION SET DEWASA
30
IODIUM TEST
BUAH
SET
9,900
6,051
32
4,800
179,900
SACHET
32
JUMLAH
100 ###
200
100
600
600
600
100
700
100
200
1,800
400
9,900
6,051
15
50
65
260
500
25
700
1,000
1,000
100
100
260
700
300
1,000
8,130
267
267
SET
BOTOL
300
300
5,200
9,900
5,986
7,720
11
7
57,400
300
500
900
300
425
1,320
300
510
10
24
6
92,300
100
8,130
2,000
3,100
13,700
30
36
15
210
600
74
24
36
30
42
1,620
6,510
99
168
222
78
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
10
11
12
10
CWD
PM
PWK
JBG
CTK
13
14
15
16
17
40
150
JUMLAH
STOCK
AKHIR
18=(7s/d17)
19=6-18
31
IV CATETHER
SACHET
2,788
2,788
32
JARUM JAHIT
BUAH
293
293
33
KACA MULUT
BUAH
34
BUNGKUS
215
215
35
KAPSUL KOSONG NO.0
36
KAPSUL KOSONG NO.1
BUAH
20,000
20,000
20,000
BUAH
30,000
30,000
30,000
37
38
LEMBAR
490
490
ROLL
39
KASSA STERIL
KOTAK
1,069
1,069
40
KASSA 4 M X 15 CM
ROLL
1,450
1,450
41
LAMPU SPIRITUS
BUAH
42
BOTOL
43
BOTOL
44
KOTAK
117
117
45
METILEN BLUE 250 ML
BOTOL
46
MICROPIPET 3 UKURAN
BUAH
47
MASKER
BUAH
850
850
48
BUAH
137
137
131
49
BUAH
136
136
130
50
BUAH
51
BUAH
52
BUAH
53
MATA SCALLER
BUAH
54
NASO GASTRIC TUBE
TUBE
28
28
28
55
BUAH
137
137
137
56
BUAH
140
140
140
57
NEEDLE
BUAH
57
57
57
58
OBJECT GLASS
BUAH
261
261
19
242
59
OIL IMERSI
BOTOL
60
OSE
BUAH
61
PENJEPIT TABUNG
BUAH
22
22
22
62
PIPET BESAR
BUAH
63
PIPET KECIL
BUAH
64
PLESTER
ROLL
281
281
56
225
65
POT DAHAK
BUAH
66
BUAH
2
1
50
200
2,588
291
19
196
50
30
50
100
10
90
979
50
150
1,300
50
800
10
10
10
850
30
440
111
4
-
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
10
11
12
13
14
15
CTK
16
17
STOCK
AKHIR
18=(7s/d17)
19=6-18
VIAL
14
14
68
SELANG O2 ANAK
BUAH
77
77
10
69
SELANG O2 DEWASA
BUAH
58
58
10
70
SGOT/SGPT TEST
SET
71
72
STRIP ASAM URAT
73
STRIP HB
BOX
310
310
74
STRIP GULA DARAH
BOX
114
114
75
BOX
76
STRIP KOLESTEROL
BOX
18
18
77
VENOJECT
KOTAK
78
YELLOW TIP
BUAH
79
TABUNG REAKSI BESAR
BUAH
37
37
37
80
TABUNG REAKSI KECIL
BUAH
63
63
63
81
TERMOMETER DIGITAL
BUAH
82
TORNIKUET
BUAH
103
103
103
83
BUAH
84
BUAH
204
204
100
104
85
URINE BAG
BUAH
250
250
250
86
KOTAK
87
WIDAL TEST
KOTAK
88
WHITE TIP
BUAH
24
24
24
89
KOTAK
90
POCH PACK D
BUAH
91
POCH PACK L
BUAH
92
BUAH
93
BUAH
94
CALIBRATION SCS
BUAH
95
BUAH
96
STROMALYSER WH
BUAH
97
BUAH
98
BUAH
99
BUAH
OBAT GIGI
JUMLAH
67
SACHET
JBG
11
13
64
13
45
100
100
210
110
13
100
1
18
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
STOCK
AKHIR
18=(7s/d17)
19=6-18
ARSEN
BOTOL
ARTIKULATING PAPER
KOTAK
BOTOL
73
73
73
BEIN GIGI
SET
CALCIDOR
POT
CEVITRON
BUAH
137
137
137
CHKM
POT
17
17
17
CRESOPEN
BOTOL
DENTORIT
BOTOL
10
DYCAL
BOTOL
11
ETIL KLORIDA SPRAY
BOTOL
70
70
12
EUGENOL CAIRAN
BOTOL
185
13
IODOFORM PASTA
POT
16
14
GLASS IONOMER ART
SET
15
OCO / TSR
BOTOL
16
BOTOL
17
SET
18
SET
19
51
185
185
16
16
12
12
12
10
Cilegon, 30 Mei 2015

Mengetahui'
Nip. 19660223 199203 2 002
Nip.19740620 200312 2 003
Pemberian
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
CBB
Harga
Pemakaian
2,152
25
53,800
25
53,800
25
534
100
53,400
200
106,800
200
648
100
64,800
100
64,800
500
104
210
240
3,300
400
113
104
102
100
240
600
440
4,750
3,700
200
200
1,200
240,000
285
5,000
1,425,000
3,000
116
300
1
100
-
81
8,100
1,320,000
740,000
34,800
1,500
-
50
471,719
126,311
2,491
50
1,713
192,500
124,550
6,000
2,000
121,500

1 SALISILAT 3 %)
250
495,000
144,000
925,000
1,710,000
232,000
2,000
3,850
ANTASIDA SUSPENSI
150
1,500
250
5,000
500
2,000
162,000
50
192,500
25
62,275
200
50
100
-
NAMA OBAT

DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
30
159
1,500
238,500
2,000
318,000
3,000
100
2,500
250,000
2,500
250,000
3,000
ATROPIN SULFAT INJ
1,100
367
150
55,050
450
15,400
2,900
11,000
116
750
12,185
1,524
924
25,300
6,199
2,300
281
66,000
264,000
12,650
63
AZITHROMYCIN 500 MG
BISOPROLOL 5 MG

1 CALAMIN LOTION
CEFIXIME 100 MG
300
25,300
1,500
94,500
600
1,500
132,000
958
300
28,050
1 CETIRIZIN 10 MG
188
1 CIMETIDIN TABLET
116
245
CETIRIZINE DROP
10,440
87,000
14,500
1,200
-
5,500
220,200
200
600
CEFTRIAXON INJ
165,150
50
88
CEFOTAXIME INJ 1G
287,400
200
37,800
191,600
500
1,000
2,000
1,500
600
-
188,000
122,500
300
37,600
73,500
500
300
158,100
600
316,200
200
21
100
4,000
84,000
3,600
75,600
2,000
400
2,100
200
527

55,050
150
90,750
10,588
5,000
Pemakaian
1 BEKARBON
Harga
Pemakaian
32
AQUABIDEST
Harga
CBB
3,025
1,045
CLG
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
CBB
Harga
Pemakaian
122
1,379
99
5,060
5,727
3,960
69
2,000
30
2,368
960
91
3,624
404
220


1 DIAZEPAM TABLET
DIFENHIDRAMIN INJ
1 DOMPERIDON 10 MG
1,500
103,500
6,000
1,033
7,220
50
ERYTHROMYCIN 250 MG
440
921
300
420
2,200
25,300
604
65
1,008
FITOMENADION INJ
1,450
579
1 FLUCONAZOL 150 MG

361,000
216,600
24
100
22,000
19,080
91
1,000
420,000
30
-
276,300
50,600
24,192
57,900
24
200
292
1,469
25
36,725
100
146,900
100
895
50
44,750
50
44,750
25
54
1,500
81,000
GAMEKSAN
2,000
-
1 ETANOL 70 % 1000 ML
34,500
10,120
1 ETAMBUTOL 500 MG
500
122,000
1,000
NAMA OBAT
1 GLIMEPIRIDE 2 MG
DINAS
HARGA
Harga
Pemakaian
500
Pemakaian
-
P2KP
Harga
Pemakaian
-
2,200
PROGRAM
GRG
Harga
Pemakaian
-
CLG
Harga
Pemakaian
-
600
-
1,320,000
200
165
246
14,724
36,000
28
2,399
24
300
55,550
4,499
93
146
1 ISONIAZID 100 MG
44
1 ISONIAZID 300 MG
107
3,000
200
50
IMUNOSTIMULAN SIRUP
60,500
48
4,950
97
1,444
47
KANAMYCINE 2 GR
1 KETOPROFEN 100 MG
410
4,700
608
19,800
12,012
239,900
72
172,728
55,550
72
-
1,000
224,950
2,904,000
47,000
49,200
4,000
-
100
84,000
-
57,576
Pemakaian
Harga
4,730
1 GLISERIN LARUTAN
CBB
1,000
47,000
24
112,800
300
-
24
112,800
50
2,539
12
245
1,600
3,800
KETOROLAC INJ 10 MG
19,000
NAMA OBAT
HARGA
DINAS
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
CBB
Harga
Pemakaian
5,280
1,599

1

GG SYRUP
1,925
13,090
158,400
300
-
522,500
50
240
100
-
475,200
110,000
1,045,000
50
50
720
18,200
1,056
154,000
100
110,000
150
100
100
182,000
10,000
739,200
1,000
100
-
25
100
120
737,600
660
100
-
10,450
6,160

1 / LIBROFED TABLET

GUAIAKOLATSULFONAT
150
497,340
-
7,920
60
-

1 MG
1,100

CTM

1 TABLET
1
7,376
182
8,289
950
MG KRIM
316,800
NAMA OBAT

ACID 200 MG TABLET
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
Harga
Pemakaian
990
P2KP
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
CBB
Harga
Pemakaian
395,000
1,975
200
159
50
574
1,030
30
520
100
197,500
100
13,200
91
100
1 MELOXICAM 7,5 MG
234
1 MELOXICAM 15 MG
348
1 METFORMIN 500 MG
105
400
METFORMIN 850 MG
260
121

1 LISOL

3,685
1,500
157,500
26,400
296
300
600
44,000
91
200

180,000
200
60,000
500
2,830
123
164
100
MICONAZOLE SALEP
17,800
13,750
110,000
144
10,670
528
200
105,600
500
14
133
216
4,900
1,000
-
1,980,000
264,000
133,000
-
16,400
100
1,000
500
-
528,000
66,500
-
1,000
500
-
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
CBB
Harga
Pemakaian
112
100
11,200
640
100
64,000
470
30,800
4,000
300

OBH
1,200,000
120
480,000
7,000
OFLOXACIN 200 MG
413
OFLOXACIN 400 MG
873
ONDENSETRON INJ
6,050
10
1,450
50
2,100
13,913
20
16,100
119
500
530
60
PARASETAMOL 100 MG
32
PARASETAMOL DROPS
5,227
100
522,700
1,319
400
527,600
200
263,800
100
84
100
8,400
10,000
840,000
10,000
840,000
10,000
12,925
290
198
18
32,780
2,163
OXYTOCIN INJ

1 PIROXICAM
ALBOTYL
100
8,400
2,400
14,500
14,500
42,000
210,000
57
120
1 PROPANOLOL 40 MG
72,500
1,000
-
6,489
14,500
57,000
-
2,000
1,000
-
36,000
57,000
-
NAMA OBAT
1 RANITIDIN TABLET
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
CBB
Harga
Pemakaian
110
1,500
165,000
1,000
110,000
1,928
10
19,280
9,640
RETINOL 100,000 IU
14,300
RETINOL 200,000 IU
19,600
RIFAMPICIN 450 MG
660
5,200
15,600
20,800
1,400
500
700,000
2,000
2,800,000
1,781

1
253,260
-
10
-
2,532,600
-
20
-
1,266,300
-
200
11,800
200
11,800
500
19,200
200
19,200
100
96
200
1 SALISIL BEDAK 2 %
1,430
200
3,630
SEFADROKSIL SYRUP
5,248
SEFADROKSIL 250 MG
468
100
SEFADROKSIL 500 MG
521
300
11,403
12
520
42,350
391
59
4,950
1 SALEP 2 - 4
2,000
100
10
52,480
30
46,800
50
23,400
300
156,300
100
52,100
500
286,000
1,000
391,000
100
39,100
1,000
5
1,000
23,540
2,090
3,226
24

1,023
700
-
1,000
716,100
1,023,000
186
1,050
700
35
431
323
150
48,450
5,400
2,000
70,000
100
43,100
500
50
2,000
70,000
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
Pemakaian
40
300
107
474
6,000

119
1,000
12,000
CBB
474,000
1,000
300
40,000
142,200
300
1,000
110,000
2,662
3,120
100
7,750
3,300
8,360
525,000
127
100
1,920
396
902,000
78,100
15
5,415,500
1,650,000
2,420,000
39,050
302,500
ALAT PEMERIKSAAN HB
ALCOHOL SWABS
BISTURI

CATGUT CHROMIC
DEX GLASS
FESCOPLAST
12,700
312,000
100
312,000
200
FOLEY CATETHER
11,000
GLUCOSA TEST TIP
8,316
935,000
18,755
880
500
GOLONGAN DARAH KIT

H2O2
HAND SCONE STERILE
10,890
5,500
25
137,500
100
HEMASITO METER
ISI AUTOCLIX
1,632
300
INFUSION SET ANAK
8,800
9,790
20,900
24
INFUSION SET DEWASA

IODIUM TEST
501,600
30
440,000
550,000
489,600
627,000
700
100
10
36
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
CBB
Harga
Pemakaian
IV CATETHER
22,000
JARUM JAHIT
6,820
KACA MULUT
96,800
19,800
KAPSUL KOSONG NO.0
44
KAPSUL KOSONG NO.1
33
1,980
50
136,694
KASSA STERIL
6,600
KASSA 4 M X 15 CM
5,882
100
LAMPU SPIRITUS
19,800
46,200
101,750
37,400
1,078,000
1,436
50
22,000
22,000
95,700
95,700
95,700
236,500
NASO GASTRIC TUBE
21,450
40,700
40,700

METILEN BLUE 250 ML
MICROPIPET 3 UKURAN
MASKER
MATA SCALLER
NEEDLE
OBJECT GLASS
59,400
101,750
13,640
39,600
588,200
203,500
10
4
110,000
34,991
71,800
13,500
5,400
PIPET BESAR
PIPET KECIL
OIL IMERSI
OSE
PENJEPIT TABUNG
PLESTER
23,100
POT DAHAK
943,500
69,300
10
NAMA OBAT
HARGA
DINAS
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
CBB
Harga
Pemakaian
702,240
SELANG O2 ANAK
13,200
SELANG O2 DEWASA
13,200
1,082,950
62,150
191,500
STRIP GULA DARAH
95,000
77,000
STRIP KOLESTEROL
175,450
VENOJECT
440,000
YELLOW TIP
STRIP HB
95,700
TABUNG REAKSI BESAR
2,015
TABUNG REAKSI KECIL
2,015
TORNIKUET
URINE BAG
WIDAL TEST
OBAT GIGI
13,200
4,950
247,500
1,396,000
133,100
22,000
132,000
NAMA OBAT
HARGA
DINAS
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
CBB
Harga
Pemakaian
ARSEN
484,000
ARTIKULATING PAPER
192,500
225,500
3,740,000
CALCIDOR
209,000
CEVITRON
115,500
70,000
CRESOPEN
551,000
DENTORIT
154,000
DYCAL
333,300
ETIL KLORIDA SPRAY
145,200
EUGENOL CAIRAN
3,178
IODOFORM PASTA
302,500
GLASS IONOMER ART
715,000
OCO / TSR
330,000
1,265,000
418,000
CHKM

36,300
791,025
388,226
420,000
290,400
1,430,000
28,531,519
21,890,865
CBB
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
53,800
50
107,600
75
161,400
125
269,000
50
106,800
200
106,800
500
267,000
500
267,000
324,000
350
226,800
550
356,400
400
259,200
100
107,600
100
Harga
315,000
64,800
1,122,000
907,800
1,360,800
50,400
50,400
660,000
300
200
990,000
300
990,000
300
990,000
660,000
6,105,000
10,200
500
51,000
61,200
360,000
450
3,000
720,000
2,304,000
400
1,480,000
100
370,000
500
1,850,000
7,770,000
1,000
200,000
3,600
720,000
2,800,000
5,100
1,453,500
8,065,500
925,000
1,425,000
58,000
108,000
-
20
70
200
740,000
200
740,000
1,200
240,000
7,000
1,400,000
3,000
855,000
4,200
1,197,000
1,000
116,000
4,000
121,500
-
160
4,000
324,000
332,500
162,000
249,100
612,000
95,000
1,500
192,500
2,550
616,000
360,000
1,800
208,800
3,000
324,000
25
50
96,250
124,550
427,500
4,000
243,000
464,000
1,113,600
810,000
2,276,100
385,000
1,674,750
10,000
1,500
100
-
100
249,100
809,575
CBB
CWD
Harga
Pemakaian
151,250
-
10
-
PM
Harga
Pemakaian
30,250
-
477,000
600
95,400
300,000
2,000
200,000
209,000
440,400
80
PWK
Harga
Pemakaian
242,000
90
JBG
Harga
Pemakaian
272,250
5,500
550,000
300
313,500
20
22,000
600
220,200
800
293,600
3,000
900
300,000
330,300
CTK
Harga
Pemakaian
50
Harga
151,250
-
937,750
-
2,000
318,000
8,000
1,272,000
2,718,900
3,500
350,000
4,000
400,000
2,600,000
300
110,100
300
110,100
522,500
22,000
2,000,150
14,500
750
750
185,970
100
230,000
84,300
230,000
-
30
900
87,000
185,970
252,900
132,000
80
1,012,000
126,000
2,000
126,000
2,500
157,500
132,000
2,000
176,000
5,000
440,000
574,800
500
479,000
18
800
300
-
1,000
958,000
122,500
99,000
150,400
73,500
-
3,000
189,000
66,000
-
200
968,000
191,600
500
400
122,500
-
105,400
400
210,800
100
52,700
42,000
3,600
75,600
3,600
75,600
100
500
500
479,000
3,161,400
-
1,037,300
37,600
768,600
200
462,000
674,400
-
88,000
337,200
365,400
37,800
1,200
104,400
600
900
1,000
87,000
99,000
18,800
122,500
1,000
300
188,000
73,500
710,500
100
50
150
79,050
922,250
10,800
226,800
707,700
6,000
126,000
620,400
CBB
CWD
Harga
Pemakaian
-
PM
Harga
Pemakaian
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
366,000
25,300
35,420
28,635
28,635
138,000
3,000
207,000
1,800
124,200
700
48,300
1,000
700
122,000
Harga
1,000
122,000
PWK
48,300
800
55,200
759,000
6,000
9,100
-
100
300
66,000
5,165
794,200
9,100
66,000
5,165
20
144,400
10
200
644,700
420,000
10
22,000
33,000
50,600
126,500
120,800
120,800
200
184,200
-
200
48
24,192
115,800
11,000
25,300
48,384
-
24,192
-
24,192
96
96,768
241,920
521,100
100
54,600
146,900
22,375
-
100
1,000
9,100
146,900
54,000
100
75
3,100
9,100
300
400
173,700
24
100
57,900
24
200
115,800
184,200
72,200
36,400
400
116,800
50
73,450
50
73,450
734,500
24
21,480
50
44,750
178,105
400
21,600
500
27,000
351,000
110,175
167,400
116,800
CBB
CWD
Harga
Pemakaian
-
PM
Harga
Pemakaian
-
112,000
Harga
Pemakaian
-
1,000
PWK
28,000
JBG
Harga
Pemakaian
-
6,000
168,000
300
100
200
172,728
48
115,152
24
60,000
49,200
57,576
72
Harga
Pemakaian
-
24,600
CTK
3,000
-
172,728
84,000
-
4,000
1,320,000
112,000
-
60,000
500
82,500
500
500
123,000
246,000
72
82,500
588,000
172,728
120
165,000
287,880
1,448,996
55,550
111,100
50
10
44,990
494,890
300
27,900
100
#VALUE!
100
100
14,100
1,500
27,900
9,700
70,500
200
1,000
48
30,468
36
12
10
12*55000)+(88*6
19,400
47,000
235,000
224,950
169,200
30,468
23,500
576,576
-
72
72
900
547,200
90
228,510
338,400
9,700
282,000
24
112,800
120
100
60,800
38,800
531,100
-
112,800
6,000
24
38,000
500
Harga
864,864
564,000
1,441,440
1,757,800
608,000
289,446
10
38,000
50
190,000
285,000
CBB
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
20
1,243,350
70
165,780
120
580,230
40
994,680
180
331,560
1,492,020
5,304,960
40
70
50
30
100
737,600
295,040
60
924,000
-
369,600
600
109,200
200
55,000
2
-
20,000
2
20,000
700
792,000
-
605,000
3,135,000
6,270,000
792,000
7,365,600
140,000
1,056,000
100,000
800,800
1,200
10
739,200
3,702,160
91,000
300
1,200
924,000
150
-
3,960,000
-
500
3,614,240
6,000
633,600
182,000
1,045,000
554,400
-
110,000
960
591,360
1,000
737,600
150
840
182,000
100
100
221,280
96
1,000
522,500
36,400
200
220,000
368,800
-
516,320
-
CBB
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
197,500
PWK
Harga
Pemakaian
200
39,600
50
-
51,500
-
61,800
Pemakaian
100
206,000
-
987,500
10,000
197,500
100
57,400
57,400
120
123,600
473,800
39,600
200
18,200
42,000
1,000
105,000
500
150,000
18,200
800
(100*140)+(400*
240,000
100
700
AM173*140
39,600
Harga
10,000
200
Harga
9,100
39,600
60
Pemakaian
CTK
Harga
30,900
JBG
210,000
-
105,000
500
52,500
-
#VALUE!
840,000
500
600
500
20
356,000
10
20
275,000
120
528,000
66,500
-
1,000
500
-
528,000
66,500
-
1,000
1,000
-
528,000
133,000
-
200
18,200
98,400
-
1,650,000
100
9,100
178,000
200
120
500
1,500
2,000
-
792,000
266,000
-
1,000
-
133,000
-
18,200
82,000
2,000
-
196,800
-
534,000
1,650,000
264,000
266,000
-
7,040,000
3,537,600
1,130,500
-
109,200
462,000
1,375,000
27,300
45,500
1,000
184,800
CBB
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
Harga
Pemakaian
500
56,000
100
200
128,000
100
64,000
256,000
100
47,000
100
47,000
94,000
360
1,440,000
274
1,096,000
500
2,000,000
300
Harga
CTK
11,200
1,200,000
10
60,500
60
363,000
78,400
400
1,600,000
9,016,000
100
41,300
100
87,300
41,300
87,300
484,000
125
25
1,669,560
500
278,260
-
20
278,260
80
1,113,040
36,250
700
83,300
180
940,860
131,900
300
395,700
400
527,600
400
527,600
840,000
7,200
604,800
10,800
907,200
14,400
1,209,600
56
8,000
290,000
59,500
181,250
60,500
59,500
292,712
672,000
202,300
56
292,712
2,048,984
400
527,600
2,901,800
20,000
1,680,000
7,610,400
163,900
196,680
4,326
17,304
10,815
-
2,000
-
36,000
-
65,560
-
29,000
84,000
2,000
114,000
90,000
5,000
1,000
-
29,000
57,000
-
163,900
54,000
216,000
590,040
38,934
116,000
294,000
285,000
29,000
3,000
CBB
CWD
Harga
Pemakaian
220,000
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
2,000
220,000
6,000
660,000
25
48,200
150
289,200
104,000
-
1,000
-
9,600
143,000
1,793,000
366,320
240
1,388,400
1,400,000
-
1,248,000
30
7,597,800
20
-
41,300
48,000
800
76,800
118,800
50
247,500
48
237,600
24
118,800
286,000
100
143,000
300
286,000
200
24
87,120
157,440
20
140,400
260,500
100
52,100
700
364,700
211,750
211,750
391,000
100
39,100
2,500
977,500
117,700
10
235,400
77,424
500
-
260,500
-
700
104,960
104,200
200
67,200
429,000
722,700
1,573,000
314,880
304,200
1,250,400
36,000
423,500
2,000
782,000
600
234,600
4,000
1,564,000
240,000
93,600
48
153,400
87,120
1,200
26,592,300
154,848
2,000
24,000
200
6,860,000
24
5,065,200
500
1,960,000
20
700
200
29,500
500
29,500
1,400
5,065,200
12,000
198,000
Harga
1,800
Pemakaian
2,000
220,000
Harga
500
Pemakaian
5,065,200
29,500
Harga
CTK
20
-
JBG
1,000
1,227,600
24
77,424
1,023,000
48
4,418,300
353,100
-
154,848
464,544
1,023,000
5,012,700
1,000
-
4,000
140,000
215,500
200
86,200
16,150
27,000
4,000
140,000
2,000
70,000
3,000
105,000
595,000
1,000
431,000
775,800
64,600
27,000
CBB
CWD
Harga
Pemakaian
12,000
474,000
-
300
PM
Harga
Pemakaian
12,000
400
1,500
PWK
Harga
Pemakaian
16,000
711,000
400
JBG
Harga
Pemakaian
16,000
1,000
CTK
Harga
Pemakaian
40,000
Harga
1,000
474,000
148,000
2,275,200
5,616,000
624,000
600
1,872,000
600
1,872,000
100
312,000
100
312,000
600
200
76,200
700
50
88,900
25,400
400
50,800
254,000
5,076,500
260
2,162,160
1,171,500
616,000
V290*8800
1,089,000
300
3,267,000
#VALUE!
300
1,650,000
2,337,500
2,643,840
#VALUE!
510
15
132,000
74
24
832,320
(63*9900)+(11*8
501,600
210
36
342,720
752,400
600
30
979,200
627,000
1,000
42
880,000
100
300
264,000
880,000
700
616,000
1,000
880,000
752,400
2,162,160
1,000
88,000
3,905,000
877,800
4,576,000
4,639,800
CBB
CWD
Harga
Pemakaian
220,000
PM
Harga
Pemakaian
Harga
Pemakaian
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
4,400,000
13,640
376,200
99,000
79,200
99,000
150
39,600
3,300,000
JBG
40
880,000
PWK
30
800
101,750
198,000
1,148,800
50
118,800
19,800
10
66,000
594,000
50
294,100
882,300
610,500
1,220,600
330,000
203,500
132,000
132,000
132,000
132,000
10
664,829
1,293,600
231,000
10
349,910
231,000
30
174,955
693,000
69,300
139,964
CBB
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
Harga
Pemakaian
Harga
Pemakaian
Harga
Pemakaian
Harga
10
132,000
39,600
171,600
10
132,000
39,600
171,600
1,404,480
2,106,720
100
19,150,000
19,150,000
380,000
380,000
3,158,100
13
877,250
702,240
CTK
JBG
PWK
2,280,850
100
247,500
1,320,000
247,500
1,320,000
CBB
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
290,400
10
2,145,000
715,000
-
1,452,000
726,000
2,758,800
-
24,157,702
29,315,651
80,052,413
28,484,760
18,310,810
43,082,922

DI KOTA CILEGON
Propinsi
: BANTEN
Alamat
: Jl.Pangeran Jayakarta No. 46 Cilegon
: 9 Unit
Bulan
: Juni
Tahun
: 2015
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
150
500
400
450
TUBE
2,901
2,100
5,001
TABLET
13,600
4,100
17,700
TABLET
2,450
20,000
22,450
TABLET
60,000
60,000
TABLET
2,000
2,000
2,000
BOTOL
285
26,800
27,085
285
26,800
TABLET
25,500
25,500
25,500
TABLET
1,000
1,000
1,000
TABLET
27,000
14,500
41,500
200
41,300
10
TABLET
12,240
11,010
23,250
7,980
15,270
11
TABLET
12
VIAL
1,540
13
BOTOL
6,503
14
KAPLET
26,700
15
KAPLET
16
TABLET
2,220
17
TABLET
18

19
ANTASIDA SUSPENSI
20
21
22

80
150
150
700
1,020
600
600
###
500
100
50
100
120
125
19=6-18
ACYCLOVIR 5 GR KRIM
25
500
18=(7s/d17)
150
50
200
STOCK
AKHIR
25
JUMLAH
100
900
720
1,020
3,000
20,003
4,626
16,000
2,450
20,000
1,540
13,500
375
1,700
20
3
50
100
200
2,600
200
100
200
1,420
100
300
1,353
18,650
3,600
2,600
3,500
26,700
91,100
540,000
106,600
97,400
204,000
100
1,000
TABLET
36,200
237,600
273,800
100
2,500
BOTOL
344
4,150
4,494
VIAL
20
20
20
AMPUL
50
50
50
4,815
2,220
4,815
3,700
120
400
64,400
TUBE
3,500
540,000
7,000
60,000
210
50
75
64,400
540,000
210
2,010
500
1,000
3,000
2,500
3,000
11,100
192,900
1,500
2,000
2,000
3,000
5,000
6,000
22,100
251,700
100
100
19
25
100
344
4,150
25
50
75
100
50 ###
475
4,340
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
POT
SUPP
290
TABLET
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
STOCK
AKHIR
18=(7s/d17)
19=6-18
23

SALISILAT 3 %)
24
ANTI HEMOROID DOEN
25
26
TABLET
69,000
69,000
27
TABLET
322,100
322,100
28
TABLET
11,300
11,300
29
ATROPIN SULFAT INJ
AMPUL
96
96
30
TABLET
80,850
80,850
31
AQUABIDEST
BOTOL
32
BOTOL
537
537
537
33
AZITHROMYCIN 500 MG
KAPSUL
34
BEKARBON
TABLET
35
VIAL
180
36
TUBE
37
TABLET
38
BOTOL
39
SUPP
462
462
40
BISOPROLOL 5 MG
TABLET
500
41
TABLET
123,600
42
BROMHEKSIN HCL SYRUP
BOTOL
43
BOTOL
84
44
CALAMIN LOTION
BOTOL
258
45
TABLET
624,200
46
TABLET
171,600
47
BOTOL
48
CEFIXIME 100 MG
KAPSUL
49
CEFIXIME 200 MG
50
CEFOTAXIME INJ 1G
51
CEFTRIAXON INJ
52
53
CETIRIZINE DROP
BOTOL
54
CETIRIZIN 10 MG
TABLET
55
CIMETIDIN TABLET
TABLET
56
TABLET
103,050
103,050
57
KAPSUL
6,750
6,750
6,010
3,300
JUMLAH
2,250
2,540
532,700
532,700
10
50 ###
30
50
30
40
30
290
-
1,000
1,000
2,000
400
1,000
2,500
3,000
5,500
500
4,000
1,000
8,000
19,900
49,100
2,000
6,000
21,000
301,100
200
11,100
300
2,250
532,700
3,000
200
600
300
600
1,800
500
500
16,500
22,510
180
180
7,300
7,300
7,300
810
96
79,050
10
1,510
3,000
15,000
3,000
3,000
1,200
600
3,000
1,200
1,500
84
1,200
###
1,310
123,600
1,500
750
1,458
1
2
50
624,200
1,000
1,000
2,000
26,000
197,600
800
1,000
1,000
810
810
21,600
24,900
1,500
700
400
500
456
1,310
108,600
1,500
83
52
1,406
2,000
500
2,000
10,000
614,200
2,000
800
1,000
6,600
191,000
150
500
21,000
100
1,400
3,250
810
21,650
VIAL
VIAL
BOTOL
700
700
700
1,200
20,000
18,800
-
20,000
500
700
1,000
400
1,500
300
200
100
100
200
3,500
2,100
5,800
97,250
800
5,950
20,000
1,000
200
300
400
100
1,000
16,500
20,000
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
58
KAPSUL
59
TABLET
81,500
60
TABLET
4,000
61
BOTOL
62
TABLET
63
BOTOL
279
279
64
BOTOL
425
65
BOTOL
100
66
TABLET
67
68
DIAZEPAM TABLET
TABLET
69
AMPUL
70
DIFENHIDRAMIN INJ
AMPUL
71
TABLET
72
BOTOL
73
DOMPERIDON 10 MG
TABLET
74
KAPSUL
75
TABLET
76
AMPUL
37
77
BOTOL
78
ERYTHROMYCIN 250 MG
79
80
VIAL
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
620,000
STOCK
AKHIR
18=(7s/d17)
19=6-18
701,500
1,000
7,200
7,500
7,200
3,600
4,000
JUMLAH
6,000
10,800
1,000
658,200
1,000
3,000
274
425
425
100
100
450,000
450,000
450,000
117
2,352
40,200
40,200
40,200
136
136
136
180
180
51,100
51,100
2,469
43,300
2,469
1,800
1,800
28,100
28,100
9,000
10
100
100
9,000
200
187
10
10
1,041
1,041
20
10
KAPSUL
17,100
17,100
TABLET
41,300
41,300
ETAMBUTOL 500 MG
TABLET
40,800
40,800
81
BOTOL
143
143
82
ETANOL 70 % 1000 ML
BOTOL
552
552
83
KAPSUL
7,900
84
TABLET
7,000
7,000
85
FENOL GLISEROL 10 %
BOTOL
1,440
1,440
86
FITOMENADION INJ
AMPUL
87
TABLET
88
FLUCONAZOL 150 MG
TABLET
89
AMPUL
220
220
90
TABLET
18,000
18,000
91
GAMEKSAN
BOTOL
92
SACHET
93
TUBE
2,800
-
150
2,400
100
5,010
15,000
17,800
4,500
4,500
28
100
5
3
51,000
1,800
28,100
200
8,800
20
167
68
973
17,100
400
40,900
40,800
5
3
10,300
5,010
200
10
100
24
48
24
24 ###
100
200
100
500
533
100
10,200
7,000
144
1,296
1,000
-
100
200
###
500
6,400
47,700
54,100
200
500
395
1,800
2,195
25
50
500
300
138
19
100
180
100
5,010
16,800
4,500
220
17,500
-
100
500
200
1,000
3,300
50,800
50
50
50
100
325
1,870
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
94
BOTOL
3,151
3,151
95
TABLET
815,100
815,100
96
GLIMEPIRIDE 2 MG
TABLET
97

MG
TABLET
19,440
19,440
98
TABLET
474,000
474,000
99
GLISERIN LARUTAN
BOTOL
7,600
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
10
11
1,000
CBB
CWD
PM
PWK
12
13
14
15
50
50
600
2,000
JBG
CTK
16
17
50
2,900
5,000
1,000
8,000
1,000
1,000
3,000
19=6-18
2,901
4,000
16,500
798,600
4,000
7,600
150
19,290
18,000
456,000
TABLET
2,000
TABLET
7,100
7,100
TABLET
16,000
16,000
AMPUL
444
444
444
TUBE
250
250
250
BOTOL
500
500
500
TABLET
12,510
12,510
12,510
TUBE
700
29,880
15,000
30,580
12,000
TABLET
SUPP
61
61
BOTOL
415
415
TABLET
TABLET
TABLET
TABLET
15,000
300
1,000
30,580
200
10,000
18=(7s/d17)
250
90
1,000
STOCK
AKHIR
100
7,600
60
JUMLAH
96
72
300
100
72
48
48
72
1,000
1,400
5,700
500
1,000
2,800
13,200
72
120
2
5
15
50
55
80
335
171,700
171,700
5,000
5,000
5,000
6,000
6,000
6,000
BOTOL
512
512
TABLET
TABLET
500
500
500
KAPSUL
TABLET
TABLET
121 KANAMYCINE 2 GR
VIAL
122 KAOLIN SUSPENSI
BOTOL
TABLET
TUBE
171,700
11,500
400
15,000
10
500
42,000
42,000
20
1000
200
10
500
20
1000
100
1800
120
600
1500
6,000
320
12,600
17,000
70
70
1,070
1,070
17,000
50
10,000
3,988
TABLET
AMPUL
236
KAPSUL
10,000
3,988
5,300
50
24
50
24
36
72
5,300
236
32,000
30
32,000
24
120
192
29,400
17,000
70
30
1,040
10,000
400
3,588
5,300
6
-
230
32,000
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
TUBE
BOTOL
223
BOTOL

TABLET
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
STOCK
AKHIR
18=(7s/d17)
19=6-18
3,500
3,500
8,900
8,900
8,900
BOTOL
1,600
1,600
1,600
TABLET
600
600
600
500
5,000
5,500
3,600
5,428

MG KRIM
TUBE
1,828

PARASETAMOL 400 MG
TABLET
46,800

DOSIS
6=4+5
PEMAKAIAN
223
500
80
100
50
20
130
100
40
200
46,800
3,500
218
500
5,000
720
4,708
46,800
BOTOL
1,736
1,736
BOTOL 60
ML
2,948
2,948
TABLET
13,450
TABLET
16,300
16,300

+ CTM
BOTOL
650
650

GUAIAKOLATSULFONAT
BOTOL
3,715
5,000
8,715

TABLET
TABLET
28,560
20,000
48,560

SYRUP
BOTOL
1,734
1,734

MG
TUBE
79
50
129
TABLET
1,300
1,300
1,300
BOTOL 60
ML
3,800
3,800
3,800

GG + CTM SYRUP

9,000
22,450
1
500
180
100
100
15
150
120
100
50
500
100
100
200
100
200
980
756
100
200
586
2,362
1,000
1,000
300
3,450
19,000
100
200
1,000
1,400
14,900
25
360
200
600
144
840
360
840
200
569
8,146
1,440
4,440
44,120
10
650
21
1,734
108
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
STOCK
AKHIR
18=(7s/d17)
19=6-18

TABLET
150
62,000
62,150
62,150

ACID 200 MG TABLET
TABLET
60,000
60,000
60,000
30,000
30,000
BOTOL
TABLET
4,865
TABLET
13,540
TABLET
3,600
AMPUL
8,920
TABLET
4,865
100
4,300
50
20,040
20,040
8,920
BOTOL
790
790
TABLET
23,100
23,100
TABLET
19,500
159 MELOXICAM 15 MG
TABLET
42,500
TABLET
TABLET
TABLET
300
AMPUL
TABLET
TABLET
VIAL
TABLET
170,900
12,200
TABLET
15,000
10,800
-
48,000
100
100
100
300
100
200
600
200
100
1,200
12,200
15,000
1,488
1,488
1,000 ###
48,000
BOTOL
TABLET
1,000
2,600
300
511
32,500
3,000
300
511
53,000
200
4,300
TUBE
TABLET
1,000 ###
4,000
TABLET
20,040
42,500
8,200
19,500
BOTOL
720
21,300
120
BOTOL
4,150
42,500
TUBE
TABLET
13,240
150
19,500
120
300
100
300
170,900
190
30,000
779
45
BOTOL
120
4,415
22,800
3,900
TABLET
60
200
450
11
45
110
100 ###
300
3,900
50
13,540
100
700
156 LISOL
100
3,000
300
400
300
1,000
500
3,000
11,511
11,511
40,000
61,300
10
100
20
500
1,000
2,000
63,500
200
1,000
800
1,000
25,000
25,000
500
1,200
2,600
45
2,700
12,200
12,500
3,000
-
90
340
1,148
3,000
1,000
8,200
53,100
1,000
52,000
1,000
2,000
10,500
53,000
1,000
200
48,000
501
120
600
300
10
-
100
4,000
10
53,000
31,000
2,500
160,100
11,511
25,000
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
STOCK
AKHIR
18=(7s/d17)
19=6-18
TUBE
500
500
BOTOL
300
300
300
BOTOL
1,500
1,500
1,500
TABLET
87,800
87,800
TABLET
2,000
2,000
TABLET
2,500
2,500
BOTOL
187 OBH
BOTOL

BOTOL
TABLET
TABLET
191 ONDENSETRON INJ
AMPUL

194 OXYTOCIN INJ/SINTOCYNON
TUBE
TUBE
AMPUL
4,310
100
100
500
100
100
100
100
###
1,200
86,600
200
1,800
300
2,200
500
300
300
300
4,850
4,850
4,850
80
80
17,350
17,350
AMPUL
TABLET
TABLET
SUPP
150
96
274
400
300
20
25
50 ###
100
50
100
10
200
1,000
###
1,400
1,400
948
1,400
-
948
948
BOTOL
7,520
7,520
BOTOL
37,591
37,591
50
TABLET
775,800
1,298,800
100
1,000
5,900
16,800
3,080
523,000
60
16,975
2,700
500
20
500
21,028
375
10
8,600
1,412
3,090
8,600
144
3,090
BOTOL
48
500
TABLET
TUBE
200
22,440
200
18,130
200 PARASETAMOL SUPP 160 MG/PROPIRETIC
100
500
1,000
25
50
56
112
423
7,097
300
150
150
200
180
100
100
200
500
1,750
35,841
5,000
12,000
10,000
7,200
10,800
10,800
10,800
15,000
82,700
1,216,100
1,000
1,000
16,800
16,800
TABLET
TABLET
47,600
47,600
TABLET
212,000
212,000
208 PIROXICAM
TABLET
209 POLIKRESULEN CAIRAN
BOTOL
109
BOTOL
982
982
BOTOL
BOTOL
308
308
BOTOL
140
140
118,200
118,200
100
209
1,000
3,000
1,000
5,000
10,000
-
2
4
2
1
118,200
204
11
971
47,600
202,000
302
136
NO
NAMA OBAT
SATUAN
3
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
TABLET
TABLET
TABLET
8,100
AMPUL
373
BOTOL
1,482
BOTOL
TABLET
60,000
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
1,000
2,000
1,000
60,000
6=4+5
PEMAKAIAN
2,000
137,500
145,600
1,000
600
1,500
373
1,000
41,600
1,000
4,000
25
100
1,000
140
233
1,000
1,208
1,208
20
40
43,500
600
1,500
200
1,000
TABLET
AMPUL
178
TABLET
12,300
TABLET
7,200
120
1,000
1,000
3,000
60,000
54
38,500
50,800
1,000
28,000
35,200
400
4,100
5,500
20
1,482
1,000
40,600
185
1,023
8,300
35,200
178
137,500
43,500
60,000
74
104
POT
228
228
KOTAK
1,400
BOTOL
4,710
4,710
BOTOL
1,160
1,160
KAPSUL
5,550
5,550
KAPSUL
1,000
TABLET
4,230
4,230
TABLET
133,000
133,000
AMPUL
TUBE
335
335
10
51,000
8,100
-
LABU
19=6-18
9,000
1,000
TABLET
228 SALEP 2 - 4
18=(7s/d17)
1,482
41,600
60,000
STOCK
AKHIR
225 SALBUTAMOL INHALER 100 MCG, 200 DOSIS
3,000
JUMLAH
TABLET
53,500
4,000
30,900
200
72
84,400
TUBE
146
146
VIAL
919
919
24
300
500
900
800
100
100
600
600
100
300
24
100 ###
12
200
48
100
200
4,200
46,600
1,000
3,300
31,900
200
1,100
4,400
48
4,662
24 ###
100
228
48
50 ###
30
100
5,000
300
200 ###
###
100
20
20
100
300
100
50
600
400
220
940
900
4,650
900
4,100
2,000
3
200
200
300
1,000
300
500
20
919
KAPSUL
3,800
3,800
3,800
TABLET
44,000
44,000
44,000
AMPUL
TABLET
70,000
100
24
121
6,172
1,500
24
76,700
25
73,400
1,500
500
7,700
BOTOL
200
24
2,500
321
TABLET
129,700
3,000
700
14

56,300
30
2,000
4,230
131,000
6,172
2,000
1,500
43,000
113,000
102
6,070
8,300
121,400
1,000
5,000
4,000
3,000
3,000
16,000
97,000
NO
NAMA OBAT
SATUAN
3
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
6=4+5
KAPSUL
35,300
35,300
TABLET
200
200
AMPUL
220
220
TABLET
179,900
179,900
TABLET
TABLET
27,800
800,000
800,000
14,200
42,000
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
200
1,000
200
JUMLAH
STOCK
AKHIR
18=(7s/d17)
19=6-18
1,200
220
500
2,000
600
100
400
2,000
3,000
8,600
500
1,000
400
300
300
700
1,000
4,200
34,100
200
171,300
800,000
37,800
SET
32
32
BUAH
3,100
3,100
BUAH
13,700
5,000
18,700
BUAH
6,400
2,000
8,400
8,400
BUAH
800
800
800
BUAH
140
140
140
ALAT PEMERIKSAAN HB
ALCOHOL SWABS
BUAH
SACHET
17
92,300
-
100
BISTURI
BUAH
BLOOD LANCET
BUAH
807
11
GALON
12
SACHET
13
CATGUT CHROMIC
ROLL
14
SET
15
DENGUE N5 1 ANTIGEN
SET
16
DEX GLASS
BUAH
17
BUAH
18
FESCOPLAST
ROLL
19
FOLEY CATETHER
BUAH
50
50
20
GLUCOSA TEST TIP
TIP
7,720
1,200
8,920
21
GOLONGAN DARAH KIT
SET
11
25
36
22
H2O2
BOTOL
10
17
23
LEMBAR
57,400
57,400
24
HAND SCONE STERILE
PASANG
900
900
25
SACHET
1,320
26
HEMASITO METER
BUAH
27
ISI AUTOCLIX
KOTAK
9,900
5,986
200
500
800
100
200
1
100
200
100
1,000
300
600
807
9,900
15
300
23
92,300
10
100
2,200
16,500
22
2,300
90,000
100
15
5,986
3,000
100
120
15
20
32
100
155
807
9,800
15
5,831
81
81
81
96
96
96
1,000
2,320
19,050
25,560
6,510
20
20
30
210
210
8,710
34
16
5,100
52,300
1
1
300
400 ###
1,000
100
200
250
800
1,700
300
200
100
200
200
200 ###
200
700
1,250
1,070
300
930
150
420
1,800
23,760
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
168
STOCK
AKHIR
18=(7s/d17)
19=6-18
28
INFUSION SET ANAK
SET
168
29
INFUSION SET DEWASA
SET
30
IODIUM TEST
BOTOL
78
31
IV CATETHER
SACHET
2,588
32
JARUM JAHIT
BUAH
33
KACA MULUT
34
35
KAPSUL KOSONG NO.0
BUAH
20,000
24,000
24,000
36
KAPSUL KOSONG NO.1
BUAH
30,000
30,000
30,000
37
LEMBAR
440
440
440
38
ROLL
39
KASSA STERIL
KOTAK
979
979
40
KASSA 4 M X 15 CM
ROLL
1,300
1,300
41
LAMPU SPIRITUS
BUAH
42
BOTOL
43
BOTOL
44
KOTAK
111
45
METILEN BLUE 250 ML
BOTOL
46
MICROPIPET 3 UKURAN
BUAH
47
MASKER
BUAH
48
BUAH
131
49
BUAH
130
50
BUAH
45
45
51
BUAH
45
52
BUAH
45
53
MATA SCALLER
BUAH
54
NASO GASTRIC TUBE
55
56
1,000
1,000
2,700
5,288
BUAH
196
10
-
78
291
BUNGKUS
10
JUMLAH
291
80
100
16
44,000
420
10
80
2
78
551
4,737
21
270
100
80
187
100
42
937
320
980
16
16
111
16
80
20
196
4,000
30
158
1,000
20
20
50
50
20
100 ###
110
16
16
44,000
44,000
131
10
10
121
130
10
10
120
45
45
45
45
45
TUBE
28
28
10
18
BUAH
137
137
10
10
127
BUAH
140
140
10
10
130
57
NEEDLE
BUAH
57
57
58
OBJECT GLASS
BUAH
242
18
260
59
OIL IMERSI
BOTOL
16
60
OSE
BUAH
61
PENJEPIT TABUNG
BUAH
62
PIPET BESAR
BUAH
10
55
20
240
16
16
22
22
22
10
1
10
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
STOCK
AKHIR
18=(7s/d17)
19=6-18
63
PIPET KECIL
BUAH
64
PLESTER
ROLL
225
65
POT DAHAK
BUAH
66
BUAH
67
VIAL
11
68
SELANG O2 ANAK
BUAH
64
64
69
SELANG O2 DEWASA
BUAH
45
45
70
SGOT/SGPT TEST
SET
71
756
756
72
STRIP ASAM URAT
73
201
32
78
144
756
47
322
369
16
10
10
10
13
58
40
SACHET
STRIP HB
BOX
210
210
74
STRIP GULA DARAH
BOX
110
110
75
BOX
76
STRIP KOLESTEROL
BOX
77
VENOJECT
KOTAK
78
YELLOW TIP
BUAH
79
TABUNG REAKSI BESAR
BUAH
37
80
TABUNG REAKSI KECIL
BUAH
63
81
TERMOMETER DIGITAL
BUAH
82
TORNIKUET
BUAH
103
83
BUAH
18,000
18,000
84
BUAH
104
104
104
85
URINE BAG
BUAH
250
250
21
229
86
KOTAK
87
WIDAL TEST
KOTAK
88
WHITE TIP
BUAH
24
24
24
89
KOTAK
90
POCH PACK D
BUAH
91
POCH PACK L
BUAH
92
BUAH
93
BUAH
94
CALIBRATION SCS
BUAH
95
BUAH
96
STROMALYSER WH
BUAH
97
BUAH
98
BUAH
5
4
4
4
20
18
18
18
18
19
19
37
37
63
63
30
30
103
18,000
20
30
102
NO
NAMA OBAT
1
99
2
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
BUAH
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
STOCK
AKHIR
18=(7s/d17)
19=6-18
OBAT GIGI
1
ARSEN
BOTOL
ARTIKULATING PAPER
KOTAK
BOTOL
73
73
73
BEIN GIGI
SET
CALCIDOR
POT
CEVITRON
BUAH
137
137
CHKM
POT
17
17
CRESOPEN
BOTOL
DENTORIT
BOTOL
10
DYCAL
BOTOL
16
16
11
ETIL KLORIDA SPRAY
BOTOL
51
175
226
12
EUGENOL CAIRAN
BOTOL
185
185
13
IODOFORM PASTA
POT
16
16
14
GLASS IONOMER ART
SET
50
15
OCO / TSR
BOTOL
10
16
BOTOL
17
18
10
136
16
10
10
16
10
216
185
2
1
14
50
50
10
10
SET
12
12
12
SET
Cilegon, 30 Juni 2015

kepala Bidang Sumber Daya Kesehatan
Riris Sinaga, S.Si., Apt.
Nip. 19660223 199203 2 002
NIP. 19740620 200312 2 003
Pemberian
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
3,150
25
534
CLG
Harga
Pemakaian
78,750
-
Harga
Pemakaian
50
157,500
25
200
106,800
500
400
259,200
450
648
150
86
199.50
3,300
16,500
80
150
-
97,200
CBB
264,000
124.85
80
102
100
240
120
440
4,750
3,700
11,100
50
185,000
200
200
40,000
261
3,000
116
100
1
81
ANTASIDA SUSPENSI
100
-
3,850
473,000
126,500
600
144,000
100
370,000
200
2,600
520,000
210
630,000
1,000
116,000
740,000
2,500
200
7,000
-
1,500
202,500
100
50
-
600
244,800
-
1,020
-
8,100
-
2,491
11,600
28,800
75
124,550
25
186,825
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
Harga
Pemakaian
Harga
Pemakaian
Harga
Pemakaian
Harga
Pemakaian
3,025
10
30,250
50
95
159
100
1,100
200
ATROPIN SULFAT INJ
1,100
367
600
15,400
2,900
AZITHROMYCIN 500 MG
4,500
116
10
1,160
12,185
1,520
924
25,300
BISACODIL SUPP
6,199
BISOPROLOL 5 MG
2,300
281
CBB
CLG
1,713
GRG

1 SALISILAT 3 %)
P2KP
1,000
100,000
151,250
-
1,000
159,000
1,000
100,000
50
-
151,250
-
30
-
2,000
318,000
400
2,500
250,000
3,000
220,200
12,100
1 BROMHEKSIN HCL 8 MG / 4 ML SOL
66,000
1 CALAMIN LOTION
12,650
25,300
63
88
8,800
958
4,015
CEFOTAXIME INJ 1G
AQUABIDEST
1 BEKARBON
3,000
843,000
150
143,700
5,000
CEFTRIAXON INJ
5,500
7,999
28,050
188

CEFIXIME 100 MG
1 CETIRIZINE DROP
1 CETIRIZIN 10 MG
CIMETIDIN TABLET
3,000
843,000
1,200
337,200
1,000
63,000
1,000
800
70,400
1,000
700
670,600
400
66,000
-
383,200
500
500
700
114.84
245
94,000
1,000
-
245,000
-
400
200
98,000
-
1,500
100
NAMA OBAT
1 CLINDAMYCIN 300 MG KAPSUL
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
Pemakaian
527
21.00
122
1,379
99
5,060
5,727
1 DEKSTROSA LARUTAN INFUS 40 %
3,960
62
2,000
45
2,344
960
91
3,333
DOMPERIDON 10 MG
167
220
200

1 DEKSTROMETORPHAN HBR SYRUP

1 DEXAMETHASON INJEKSI
DIAZEPAM TABLET
1 DIFENHIDRAMIN INJ
1 DOMPERIDON 5 MG SUSPENSI
1,000
CBB
21,000
4,000
7,200
151,200
7,500
8,100
7,220
440
1 ERYTHROMYCIN 500 MG TABLET
921
200
1 ETAMBUTOL 500 MG
420
2,200
11,000
25,300
126,500
133
65
1,008
24
3,417
579
100
1 FLUCONAZOL 150 MG
22,000
19,080
91
100
292
200
1,469
25
ERYTHROMYCIN 250 MG

1 ETANOL 70 % 1000 ML
FENOL GLISEROL 10 %
1 FITOMENADION INJ
1 GAMEKSAN
1 GENTAMYCIN SALEP KULIT
75,900
184,200
9,100
-
24,192
57,900
100
58,400
500
146,000
500
36,725
50
73,450
NAMA OBAT
GLIMEPIRIDE 2 MG
DINAS
HARGA
Harga
Pemakaian
Harga
Pemakaian
GRG
Harga
Pemakaian
54
436
60
5,500
Pemakaian
P2KP
895

1
PROGRAM
330,000
1,000
-
CLG
Harga
Pemakaian
-
54,000
-
CBB
Harga
Pemakaian
50
44,750
600
32,400
28
4,730
200
200
165
246
14,724
51,975
1 HEPAPROTEKTOR SYRUP
34,391.50
1 HEPAPROTEKTOR TABLET
4,730
2,399
96
72
1,265
55,550
4,499
93
149
ISONIAZID 100 MG
44
1 ISONIAZID 300 MG
107
60,500
50
5,280
98
1,400
47
200
9,400
355.30
KANAMYCINE 2 GR
19,800
1 KAOLIN SUSPENSI
12,012
300
4,700
50
KETOPROFEN 100 MG
1,342
KETOROLAC INJ 10 MG
2,539
310
1 GLISERIN LARUTAN


ITRAKONAZOL 100 MG
230,304
1,000
28,000
90
172,728
3,025,000
8,000
1,000
100
20
1,000
224,000
40,000
246,000
239,900
55,550
1,210,000
47,000
235,000
24
1,000
-
72
3
10
500
-
112,800
50
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
CBB
Harga
Pemakaian
1,600
3,800
5,995
1,815
3,200

KLARITOMISISN
950

MG KRIM
8,289

312

GG SYRUP
1
6,160
-

CTM
GUAIAKOLATSULFONAT

1 TABLET
15,855
10,450
660
8,030
1 MG
10,000
209
10
-
600
-
261,250
200
237,600
25
110,000
360
-
15,840
100
50
18,200
150
92,400
100
15
91,000
100
1,327,680
180
-
500
50
828,900
1,100
100
663,120
6,160
80
182
1
7,376
KOMB.BETAMETASON, DEKSKLORFENIRAMIN MALEAT
475,000

1 VALERAT 1 MG + NEOMISIN SULFAT 5 MG TETES MATA
500
-
110,500
P2KP
100,000
NAMA OBAT

/ LIBROFED TABLET
ACID 200 MG TABLET
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
1,100
Harga
Pemakaian
1,056
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
CBB
1,975
100
138
50
574
1,030
110
60
638
13,200
91
MELOXICAM 7,5 MG
682
1 MELOXICAM 15 MG
1,199
1 LISOL
113,300
METFORMIN 500 MG
105
1 METFORMIN 850 MG
260
154
100
2,750
1,000
105,000
1,000
197,500
61,800
26,400
105,000
15,400
100
120
3
200
-
205
300
59,000
91
100
200
2,830
123

9,100
164
300
3,000
4,070
17,800
13,750
10
20,680
528
100

MICONAZOLE SALEP
14
133
200
26,600
200
176
52,800
26,600
-
500
1,000
-
264,000
133,000
-
1,000
800
-
49,200
137,500
528,000
106,400
-
400
100
2,000
1,000
-
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
CBB
Harga
Pemakaian
15,895
4,700
11,110
112
100
640
407
100
30,800
4,000
48

NATRIUM KLORIDA100 ML

OBH
10,725
11,200
40,700
192,000
200
22,400
144
576,000
150
-
OFLOXACIN 200 MG
413
OFLOXACIN 400 MG
873
1 ONDENSETRON INJ
6,050
1,450
25
50

36,250
72,500
50
2,100
13,913
10
16,100
119
500
530
1 OXYTOCIN INJ
72,500
139,130
59,500
200
60
32
7,040
1 PARASETAMOL DROPS
5,227
25
PARASETAMOL SUUP 160 MG/PROPIRETIC
50
1,319
50
65,950
84
100
8,400
11,475
290
198
18
1 PIROXICAM
83.93
ALBOTYL
28,600
2,163
3,500
14,500
POVIDON IODIDA 1 L
42,000

1,000
130,675
84,000
300
395,700
150
197,850
150
5,000
420,000
12,000
1,008,000
10,000
1,000
18,000
126,000
3,000
54,000
8,652
29,000
-
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
57
PROPANOLOL 40 MG
120
RANITIDIN TABLET
110
1,928
1,000
1,000
CLG
Harga
Pemakaian
57,000
110,000
2,000
600
CBB
Harga
Pemakaian
114,000
66,000
1,000
1,500
14,300
459
1 RIFAMPICIN 450 MG
660
5,200
15,600
10,400
20
1,500
600
900,000
1,500
2,250,000
200
1,008

1
215,600
1,000
59,000
200
96
400
38,400
1 SALISIL BEDAK 2 %
1,250
3,630
SEFADROKSIL SYRUP
5,248
468
521
12,100
SIMVASTATIN TABLET
11,800
300
17,700
300
200
19,200
200
19,200
100
72
356,400
24
118,800
24
100
125,000
100
125,000
50
262,400
50
100
46,800
100
12
11,642,400
59
253,260
SALEP 2 - 4
660,000
54
4,950
1,000
520
391
200
291,500
58,300
262,400
52,100
-
174,900
300
117,300
78,200
300
-
200
30
100
78,200
1,000
23,540
2,090
3,226

1,023
200
-
1,500
204,600
30
1,500
1,534,500
186
1,050
700
69.96
1,000
69,960
5,000
349,800
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
431
189
200
5,400
40
107
474
6,000
GRG
Harga
Pemakaian
Harga
Pemakaian
CBB
Harga
Pemakaian
500
500
110,000
2,662
100
3,120
100
300
7,750
3,300
8,360
525,000
ALCOHOL SWABS
275
100
BISTURI
550
396
100
902,000
78,100
120
15
5,415,500
1,375,000
1,196,250
39,050
302,500


ALAT PEMERIKSAAN HB

CATGUT CHROMIC
DEX GLASS
312,000
39,600
9,372,000
CLG
37,800
20,000
237,000
27,500
2,000
1,000
200
80,000
474,000
936,000
55,000
600
400
200
1
-
FOLEY CATETHER
15,400
GLUCOSA TEST TIP
8,323
935,000
20,900
880
300
400
8,800
13,200
200
HEMASITO METER
ISI AUTOCLIX
FESCOPLAST
GOLONGAN DARAH KIT

H2O2
HAND SCONE STERILE
1,632
264,000
352,000
2,640,000
935,000
-
400
352,000
100
880,000
250
3,300,000
300
489,600
1,000
200
-
NAMA OBAT
INFUSION SET ANAK
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
CBB
Harga
Pemakaian
8,800
7,321
IODIUM TEST
20,900
IV CATETHER
22,000
JARUM JAHIT
71,000
20
KACA MULUT
102,300
20,130
KAPSUL KOSONG NO.0
34.65
KAPSUL KOSONG NO.1
34.65
1,980
130,000
KASSA STERIL
6,820
13,640
KASSA 4 M X 15 CM
5,882
50
LAMPU SPIRITUS
26,999.50
101,750
64,900
2,090,000
330
22,000
22,000
24,970
24,970
24,970
236,500
NASO GASTRIC TUBE
21,450
40,700
40,700
110,000
34,991
10
280,500
INFUSION SET DEWASA

METILEN BLUE 250 ML
MICROPIPET 3 UKURAN
MASKER
MATA SCALLER
NEEDLE
OBJECT GLASS
OIL IMERSI
OSE
PENJEPIT TABUNG
PIPET BESAR
20
136,400
30
110,000
919,000
60,390
294,100
50
13,500
5,400
NAMA OBAT
HARGA
PIPET KECIL
PLESTER
23,100.00
POT DAHAK
DINAS
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
-
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
Pemakaian
115,500
CBB
46,200
138,600
10
946,000
702,240
13,200
SELANG O2 ANAK
13,200
1,082,950
3,055.56
3,212
191,500
STRIP GULA DARAH
95,000
94,996
STRIP KOLESTEROL
13,904
VENOJECT
242,000
YELLOW TIP
66,660
TABUNG REAKSI BESAR
2,015
TABUNG REAKSI KECIL
2,015
34,320
22,000
1,000
13,200
4,950
4,950
247,500
1,396,000
133,100
SELANG O2 DEWASA
STRIP HB
TORNIKUET
URINE BAG
WIDAL TEST
380,000
NAMA OBAT
HARGA
DINAS
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
CBB
Harga
Pemakaian
ARSEN
484,000
ARTIKULATING PAPER
291,500
225,500
3,740,000
CALCIDOR
209,000
115,500
CEVITRON
70,000
CRESOPEN
770,000
DENTORIT
154,000
DYCAL
ETIL KLORIDA SPRAY
534,600
145,200
EUGENOL CAIRAN
3,178
IODOFORM PASTA
302,500
GLASS IONOMER ART
687,500
OCO / TSR
110,000
1,265,000
OBAT GIGI
CHKM

418,000
36,300
290,400
618,760
12,102,204
145,200
14,899,700
145,200
15,504,383
27,877,044
CBB
CWD
Harga
Pemakaian
78,750
267,000
291,600
150
PM
Harga
Pemakaian
-
97,200
700
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
150
472,500
125
393,750
1,338,750
500
267,000
500
267,000
1,014,600
500
324,000
100
64,800
1,846,800
453,600
940,500
-
495,000
50
165,000
10,200
100
10,200
20,400
144,000
900
720
172,800
740,000
1,400,000
20
3,500
216,000
95,000
700,000
100
3,700
475,000
740,000
1,020
244,800
3,000
720,000
2,059,200
570,000
400
1,480,000
100
370,000
300
1,110,000
5,746,100
3,600
720,000
2,600
520,000
3,500
700,000
5,340,000
1,260,000
500
58,000
2,000
121,500
385,000
116,000
2,000
162,000
100
3,000
162,000
-
75
124,550
290,000
5,000
73,150
348,000
1,403,600
486,000
1,992,600
385,000
1,324,400
6,000
96,250
100
50
249,100
3,000
405,000
25
100
186,825
2,500
243,000
19
385,000
348,000
3,000
50
62,275
1,000
50
124,550
124,550
1,370,050
CBB
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
90,750
-
Harga
Pemakaian
50
PWK
151,250
Harga
Pemakaian
30
JBG
90,750
Pemakaian
121,000
500
220,000
300
750
750
400,000
100,000
110,100
87,000
3,000
477,000
2,000
200,000
300
110,100
8,000
1,272,000
3,482,100
6,000
600,000
2,350,000
600
220,200
87,000
37,194
880,800
175,160
37,194
600
132,000
50
632,500
657,800
2,000
126,000
500
31,500
2,000
126,000
693,000
2,000
176,000
800
70,400
1,000
88,000
651,200
63,000
2,000
126,000
88,000
1,000
88,000
479,000
3,000
1,500
843,000
94,500
1,200
-
337,200
100
95,800
3,000
1,400
220,000
168,600
1,000
1,028,500
300,000
4,000
90,750
5,500
30
50,000
874,500
Harga
63,600
Harga
40
CTK
843,000
1,341,200
4,552,200
3,496,700
-
131,600
367,500
-
1,000
300
-
188,000
73,500
-
100
18,800
200
200
400
37,600
49,000
-
300
100
73,500
-
1,000
2,100
-
188,000
514,500
-
658,000
1,519,000
-
CBB
CWD
Harga
Pemakaian
-
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
Harga
Pemakaian
157,500
151,200
3,600
75,600
CTK
Harga
Pemakaian
-
6,000
126,000
1,000
122,000
10,800
Harga
226,800
1,060,500
122,000
25,300
234,000
10,000
25,300
7,200
JBG
100
9,100
44,000
44,000
10
20,000
100
200,000
9,100
10
81,000
10
81,000
162,000
20
144,400
10
72,200
10
100
48
24
200
75,900
-
57,900
-
92,100
48,384
100
25,300
368,400
22,000
13,300
24,192
115,800
200
50
V103*288
490,960
13,300
202,160
50,600
146,000
92,100
28
100
100
300
72,200
29,200
500
73,450
50
18,200
-
24
100
24,192
57,900
24
500
126,500
24,192
289,500
607,200
169,344
636,900
200
146,000
200
73,450
50
18,200
-
45,500
-
58,400
1,000
292,000
#VALUE!
73,450
100
146,900
550,875
CBB
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
50
44,750
2,000
108,000
495,000
28,000
2,900
-
PWK
Harga
Pemakaian
-
156,600
-
Harga
Pemakaian
50
44,750
5,000
270,000
1,000
-
CTK
Harga
Pemakaian
-
54,000
-
300
400
66,000
500
123,000
60,000
100
89,500
268,500
4,000
216,000
923,400
3,000
Harga
825,000
1,000
28,000
JBG
84,000
4,000
112,000
728,000
140,000
300
172,728
166,650
48
-
10
605,000
115,152
-
115,152
111,100
72
-
172,728
-
172,728
-
231,000
1,000
246,000
934,800
120
-
287,880
1,919,200
388,850
120
1,210,000
100
6,050,000
15
67,485
165,000
22,495
72
1,000
20
44,990
48
73,800
50
224,950
7,260,000
359,920
20,570,000
23,500
1,000
47,000
1,800
30
235,000
24
112,800
36
84,600
360,360
169,200
600
28,200
1,500
70,500
6,000
282,000
639,200
360,360
72
338,400
15,234
-
24
112,800
120
564,000
1,992,800
15,234
CBB
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
-
JBG
Harga
Pemakaian
19,000
CTK
Harga
Pemakaian
19,000
20
414,450
130
165,780
-
100
1,077,570
Harga
40
828,900
200
331,560
1,657,800
100
924,000
100
739,200
9,100
-
2,090,000
554,400
-
237,600
60,000
-
2,090,000
6,207,300
950,400
2,930,400
310,000
50,000
1,650,000
5
-
1,100,000
-
554,400
646,100
1,440
54,600
200
-
840
3,702,160
1,504,800
1,232,000
1,000
220,000
182,000
8,556,160
300
200
144
360
616,000
110,000
-
840
396,000
100
1,475,200
200
1,000
182,000
200
737,600
100
1,000
100
1,475,200
91,000
200
737,600
500
737,600
120
6,796,980
-
737,600
475,000
CBB
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
100
123,600
39,600
Pemakaian
50
98,750
-
200
50
28,700
190
195,700
120
39,600
Harga
Pemakaian
Harga
15,000
86,100
803,400
123,600
39,600
100
57,400
120
123,600
100
197,500
100
10,000
197,500
1,086,250
171,600
300
27,300
21,000
3,000
100
315,000
15,400
2,600
100
27,300
CTK
Pemakaian
5,000
Harga
JBG
Harga
197,500
PWK
273,000
15,400
1,000
105,000
1,000
105,000
1,000
105,000
1,239,000
61,600
600
109,200
18,200
65,600
54,600
18,200
9,100
300
500
10
178,000
178,000
20
275,000
120
90
1,056,000
133,000
-
600
500
-
66,500
-
1,200
-
1,650,000
316,800
159,600
-
1,000
164,000
100
1,375,000
49,200
200
1,000
14,000
2,600
345,800
3,000
1,000
-
1,584,000
133,000
-
1,000
2,000
-
82,000
1,237,500
528,000
266,000
-
459,200
-
4,812,500
4,857,600
14,000
1,502,900
-
CBB
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
200
22,400
100
156,800
100
64,000
128,000
600,000
96
384,000
500
56,000
100
100
64,000
100
40,700
100
400
274
11,200
1,096,000
1,200,000
122,100
6,224,000
20
121,000
100
278,260
1,000
119,000
300
121,000
1,600,000
40,700
23,800
11,200
145,000
50
72,500
100
1,000
145,000
119,000
616,250
380,800
180
940,860
56
292,712
261,350
112
585,424
2,341,696
197,850
200
263,800
100
131,900
100
131,900
200
263,800
500
659,500
2,506,100
840,000
7,200
604,800
10,800
907,200
10,800
907,200
10,800
907,200
15,000
1,260,000
7,954,800
234,000
1,000
18,000
42,000
5,000
-
90,000
57,200
29,000
-
85,800
143,000
10,815
28,119
116,000
168,000
2
-
29,000
-
CBB
CWD
Harga
Pemakaian
57,000
165,000
-
PM
Harga
Pemakaian
-
957,000
192,800
10
40
208,000
300,000
1,000
1,500,000
20
-
120
17,700
500
9,600
269,920
660,000
1,000
-
1,500,000
-
1,000
-
1,500,000
-
627,000
624,000
171,000
9,640
3,000
19,280
-
4,312,000
-
3,000
-
4,500,000
972,400
14,700,000
15,954,400
47,200
200
900
53,100
800
100
9,600
600
57,600
600
57,600
100
9,600
1,000
96,000
336,000
48
237,600
24
118,800
24
118,800
1,247,400
300
375,000
100
125,000
200
250,000
1,500,000
12
200
250,000
100
48
174,240
157,440
46,800
100
46,800
156,300
100
52,100
400
20
125,000
104,960
208,400
-
349,800
300
117,300
500
195,500
117,700
20
470,800
1,534,500
20
104,960
50
600
280,800
421,200
521,000
24,000
100
24
77,424
3,000
102,300
24,000
265,500
2,000
11,800
29,500
59,400
96,780
100
104,000
391,000
48,200
Harga
25
-
Pemakaian
-
114,000
Harga
440,000
Pemakaian
-
4,000
-
Harga
CTK
110,000
JBG
2,000
1,000
Pemakaian
118,800
Harga
PWK
262,400
174,240
1,416,960
991,100
2,000
782,000
700
273,700
2,500
977,500
3,128,000
329,052
24
77,424
500
3,069,000
24
77,424
511,500
588,500
1,500
-
1,534,500
10,025,400
1,469,160
4,000
279,840
3,000
209,880
3,000
209,880
CBB
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
Harga
Pemakaian
Harga
200
400
24,000
189,600
100
-
4,000
-
16,000
-
80,000
-
120,000
-
37,800
424,000
-
300
200
266,200
624,000
500
1,560,000
800
2,496,000
100
312,000
1,000
474,000
517,200
700
331,800
3,000
431,000
142,200
2,000
1,000
300
142,200
86,200
CTK
624,000
2,464,800
266,200
7,800,000
525,000
300
525,000
-
100
39,600
12,105,500
1,171,500
27,500
275,000
82,500
600
165,000
687,500
20
308,000
308,000
210
1,747,830
1,747,830
2,805,000
20
880,000
2,640,000
1,562,000
1,000
935,000
-
20,900
300
264,000
800
704,000
100
880,000
200
2,640,000
200
150
930
1,517,760
1,700
1,496,000
244,800
2,640,000
200
200
420
176,000
2,640,000
685,440
20,900
4,840,000
2,640,000
19,800,000
3,427,200
CBB
CWD
Harga
Pemakaian
-
10
660,000
80
PM
Harga
Pemakaian
Harga
Pemakaian
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
88,000
1,760,000
420
9,240,000
132,000
10
71,000
1,909,000
220,000
12,122,000
241,560
20
136,400
20
117,640
100
40,260
294,100
JBG
88,000
PWK
60,390
20,130
588,200
100
588,200
286,440
2,176,340
101,750
101,750
10
220,000
220,000
10
220,000
220,000
10
214,500
10
407,000
407,000
10
407,000
407,000
110,000
220,000
10
349,910
-
214,500
110,000
349,910
699,820
CBB
CWD
Harga
Pemakaian
-
231,000
10
PM
Harga
Pemakaian
-
231,000
10
PWK
Harga
Pemakaian
-
231,000
JBG
Harga
Pemakaian
-
92,400
CTK
Harga
Pemakaian
Harga
1,224,300
-
2,106,720
1,404,480
702,240
66,000
13,200
79,200
66,000
66,000
1,723,500
3,040,000
957,500
766,000
380,000
20
22,000
20
103,950
22,000
380,000
99,000
1,900,000
CBB
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
580,800
-
Harga
2
-
290,400
-
115,500
115,500
70,000
70,000
1,597,200
302,500
31,698,623
30,545,286
44,810,671
20,288,353
302,500
605,000
21,291,246
50,464,200

DI KOTA CILEGON
Propinsi
: BANTEN
Alamat
Unit
: 9 Unit
Bulan
: Juli
Tahun
: 2015
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
ACYCLOVIR 5 GR KRIM
TUBE
4,626
4,626
TABLET
16,000
16,000
TABLET
20,000
20,000
TABLET
60,000
60,000
TABLET
2,000
2,000
BOTOL
26,800
26,800
TABLET
25,500
25,500
TABLET
1,000
1,000
TABLET
41,300
41,300
10
TABLET
15,270
15,270
11
TABLET
12
VIAL
1,420
1,420
13
BOTOL
18,650
18,650
100
14
KAPLET
64,400
64,400
800
15
KAPLET
540,000
540,000
800
16
TABLET
2,010
2,010
17
TABLET
192,900
192,900
800
18

TABLET
251,700
251,700
800
19
ANTASIDA SUSPENSI
BOTOL
4,150
4,150
100
20
VIAL
20
20
21
AMPUL
22

TUBE
25
75
50
100
200
25
1,000
900
200
400
1,000
JUMLAH
18=(7s/d17)
50
150
475
100
400
2,600
-
400
200
150
200
100
100
50
300
2,000
1,000
1,000
1,000
1,000
1,000
1,000 ###
4,200
-
2,000
500
500
1,400
1,000
10,500
500
500
3,000
13,530
2,010
600
2,010
900
5,010
50
50
200
200
50
2,000
6,000
7,000
1,000
1,500
1,500 ###
1,500
50
450
4,000
8,000
5,000
9,600
25
75
1,100
6,000
19,900
4,000
10,000
45,400
210
210
2,500
2,000
11,800
2,000
5,000
4,000
5,000
6,000
27,300
50
100
100
150
550
50
4,340
1,450
3,000
50
350
2,000
4,340
50
50
2
125
50
8
75
350
NO
NAMA OBAT
SATUAN
STOCK
AWAL
POT
PENERIMAA PERSEDIAA
N
N
5
6=4+5
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
23

SALISILAT 3 %)
24
ANTI HEMOROID DOEN
25
TABLET
26
TABLET
49,100
49,100
27
TABLET
301,100
301,100
28
TABLET
11,100
11,100
29
ATROPIN SULFAT INJ
AMPUL
96
96
30
30
TABLET
79,050
79,050
1,200
31
AQUABIDEST
BOTOL
32
BOTOL
537
537
33
AZITHROMYCIN 500 MG
KAPSUL
500
500
34
BEKARBON
TABLET
21,000
21,000
35
VIAL
180
180
36
TUBE
7,300
7,300
37
TABLET
38
BOTOL
39
SUPP
456
456
40
BISOPROLOL 5 MG
TABLET
1,310
1,310
41
TABLET
108,600
108,600
42
BOTOL
1,500
1,500
43
BOTOL
83
83
44
CALAMIN LOTION
BOTOL
1,406
1,406
45
TABLET
614,200
614,200
46
TABLET
191,000
191,000
47
BOTOL
810
810
48
CEFIXIME 100 MG
KAPSUL
21,650
21,650
49
CEFIXIME 200 MG
50
CEFOTAXIME INJ 1G
VIAL
51
CEFTRIAXON INJ
VIAL
52
BOTOL
700
700
53
CETIRIZINE DROP
BOTOL
54
CETIRIZIN 10 MG
TABLET
16,500
16,500
55
CIMETIDIN TABLET
TABLET
20,000
20,000
800
56
TABLET
97,250
97,250
400
57
KAPSUL
5,950
5,950
SUPP
PEMAKAIAN
2,250
2,250
532,700
532,700
30
50
50
40
60
30
20
280
-
800
100
200
1,500
1,000
1,000
###
2,000
2,000
2,000
5,000
2,000
3,000
4,000
17,800
6,000
3,500
5,000
2,000
24,800
200
200
30
900
450
600
600
600
600
450
5,400
-
60
100
20
20
200
760
760
-
100 ###
150
75
50
100
575
-
12
18
12
42
-
300
2,700
1,200
600
1,200
6,000
-
10
300
1,000
700
300
50
2,000
2,000
2,000
2,000
1,700
60
2,000
500
9,500
5,000
600
10,600
-
210
210
1,000
700
300
700
800
500
500
500
400
1,000
400
500
200
100
500
200
1,500
500 ###
600
200
4,900
3,800
300
1,400
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
PEMAKAIAN
JUMLAH
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
7,200
7,200
3,600
10,800
58
KAPSUL
59
TABLET
658,200
658,200
60
TABLET
3,000
3,000
61
BOTOL
62
TABLET
63
BOTOL
274
274
64
BOTOL
425
425
65
BOTOL
100
100
66
TABLET
450,000
450,000
67
VIAL
2,352
2,352
68
DIAZEPAM TABLET
TABLET
40,200
40,200
69
AMPUL
136
136
70
DIFENHIDRAMIN INJ
AMPUL
180
180
71
TABLET
51,000
51,000
72
BOTOL
1,800
1,800
100
73
DOMPERIDON 10 MG
TABLET
28,100
28,100
100
74
KAPSUL
8,800
8,800
75
TABLET
76
AMPUL
167
167
77
BOTOL
973
973
78
ERYTHROMYCIN 250 MG
KAPSUL
17,100
17,100
79
TABLET
40,900
40,900
80
ETAMBUTOL 500 MG
TABLET
40,800
40,800
81
BOTOL
138
138
82
ETANOL 70 % 1000 ML
BOTOL
533
533
83
KAPSUL
10,200
10,200
84
TABLET
7,000
7,000
85
FENOL GLISEROL 10 %
BOTOL
1,296
1,296
86
FITOMENADION INJ
AMPUL
5,010
5,010
87
TABLET
16,800
16,800
88
FLUCONAZOL 150 MG
TABLET
4,500
4,500
89
AMPUL
220
220
90
TABLET
17,500
17,500
91
GAMEKSAN
BOTOL
92
SACHET
50,800
50,800
93
TUBE
1,870
1,870
6=4+5
18=(7s/d17)
800
1,000
10,000
5,000
2,000
1,000
45,600
3,000
800
20
2,000
5,000
3,500
20
10
1,000
5,000
29
29
15
5,000
3,000
6,000
31,300
-
200
200
10
50
50
10
50
100
1,000
370
1,100
-
60
60
24
20
15
24
85
100
200
1,000
2,400
800
300
5
5
5
3
14
21
2,900
###
5,800
24 ###
120
90 ###
300
24
48
30
30
60
200
300
500
-
200
100
200
100
600
400
3,400
100
475
800
75
300
200
300
500
700
50
75
100
50
25
200
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
10
94
BOTOL
2,901
2,901
50
95
TABLET
798,600
798,600
1,500
96
GLIMEPIRIDE 2 MG
TABLET
7,600
7,600
97

MG
TABLET
19,290
19,290
90
600
98
TABLET
456,000
456,000
4,000
2,000
99
GLISERIN LARUTAN
BOTOL
CLG
CBB
11
12
CWD
PM
13
14
40
300
400
100
PWK
15
60
JBG
CTK
16
17
3,000
200
2,000
2,000
1,700
1,000
1,000
200
1,000
18=(7s/d17)
50
2,010
7,000
JUMLAH
7,000
300
8,200
600
2,900
1,020
3,720
4,000 ###
32,000
TABLET
11,500
11,500
TABLET
5,700
5,700
TABLET
13,200
13,200
AMPUL
444
444
TUBE
250
250

BOTOL
500
500
TABLET
12,510
12,510
TUBE
29,880
29,880
TABLET
500
200
100
200
1,300
15
1,020
3,060
24
96
900
510
510
120
25
100
100
96
200
100
15,000
15,000
SUPP
55
55
BOTOL
335
335
300
96
120
24
144
825
1,000
100
1,000
2,400
4
50
55
TABLET
TABLET
171,700
171,700
TABLET
5,000
5,000
TABLET
6,000
6,000
BOTOL
192
192
TABLET
TABLET
500
500
KAPSUL
TABLET
29,400
TABLET
17,000
96,000
125,400
17,000
70
70
121 KANAMYCINE 2 GR
VIAL
122 KAOLIN SUSPENSI
BOTOL
1,040
1,040
TABLET
10,000
10,000
TUBE
3,588
3,588
TABLET
5,300
5,300
AMPUL
230
230
KAPSUL
32,000
32,000
1,500
3,000
1,000
2,000
9,000
4,000
600
1,000
22,100
-
40
20
30
100
192
2000
500
400
2000
500
1500
1600
4,000
12,500
-
48
50
20
24
100
50
72
48
150
24
500
100
600
100
200
390
600
-
200
1,000
1,900
NO
NAMA OBAT
SATUAN
STOCK
AWAL
TUBE
PENERIMAA PERSEDIAA
N
N
5
3,500
6=4+5
3,500
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
10
CLG
CBB
11
96
75
12
24
CWD
PM
13
14
PWK
15
50
50
24
16
25
17
24
18=(7s/d17)
25
393
BOTOL
218
218
BOTOL
8,900
8,900
100
100
50
75
25
100
100
50
100
700
BOTOL
1,600
1,600
96
96
48
72
48
96
48
48
100
652
TABLET
600
600
TABLET
5,000
5,000

MG KRIM
TUBE
4,708
4,708

PARASETAMOL 400 MG/hustab/tuzalos
TABLET
46,800
46,800

JUMLAH
CTK
136 KOMB. BUDENOSID FORMATEROL 80/4,5 MCG,60 DOSIS
15
JBG
1,000
1,000
48
100
150
20
100
40
250
828
BOTOL 60
ML
2,362
2,362
180
200
60
139 KOMB.BETAMETASON, DEKSKLORFENIRAMIN

MALEAT/zestam
TABLET
19,000
19,000
1,500
1,000
900
140 KOMB.METHAMPYRON + DIAZEPAM/danalgin
TABLET
14,900
14,900

+ CTM/febrinex
BOTOL
650
650

GUAIAKOLATSULFONAT/benacol
BOTOL
8,146
8,146

TABLET/flutab
TABLET
44,120
44,120

SYRUP/protexinal
BOTOL
1,734
1,734

MG
TUBE
108
108
TABLET
1,300
1,300
BOTOL 60
ML
3,800
3,800

120
756
146 KOMB.TEOFILIN + SALBUTAMOL TABLET/teosal
35
756

GG + CTM SYRUP/dextral
15
BOTOL
120
40
160
300
1,000
1,000 ###
200
150
20
960
150
600
10
100
840
960
4,320
1,080
500
700
100
250
200
470
1,440
10,200
110
###
100
5
6,400
100
50
100
1,440
96
120
24
100
10
100
200
120
615
NO
NAMA OBAT
SATUAN
3
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
6=4+5

TABLET / tremenza TABLET
TABLET
62,150
62,150

ACID 200 MG TABLET
TABLET
60,000
60,000
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
150
500
BOTOL
4,415
4,415
100
TABLET
30,000
30,000
800
TABLET
13,240
13,240
TABLET
4,150
4,150
AMPUL
8,200
8,200
TABLET
20,040
20,040
300
2,000
1,500
1,500
800
2,000
700
1,000 ###
2,500
500
1,500
300
1,500
1,000
100
50
600
800
1,000
70
200
90
130
210
500
300
500
779
779
22,800
TABLET
19,500
19,500
159 MELOXICAM 15 MG
TABLET
42,500
42,500
1,500
500
1,000
1,500
3,000
500
TABLET
160,100
160,100
500
600
1,000
3,000
1,500
800
TABLET
TABLET
4,000
4,000
100
AMPUL
300
300
10
TABLET
TABLET
800
60
200
22,800
VIAL
10
500
BOTOL
200
45
45
680
1,000
2,700
2,700
3,200
22
200
1,200
1,000
1,000
2,000
8,000
1,000
2,000
10,400
-
400
200
700
10
100
120
1,000
5,700
200
1,000
500
200
600
500
1,000
500
200
TABLET
BOTOL
TABLET
12,200
12,200
200
300
120
48,000
350
7,700
48,000
9,300
600
TABLET
1,000 ###
100
8,150
500
156 LISOL
18=(7s/d17)
200
50 ###
1,000
JUMLAH
200
800
300
1,300
TABLET
12,500
12,500
TUBE
3,000
3,000
BOTOL
TUBE
501
501
20
BOTOL
1,148
1,148
90
BOTOL
11,511
11,511
TABLET
53,100
53,100
TABLET
52,000
52,000
TABLET
53,000
53,000
200
100
24 ###
400
24
700
24
24
500
48
2,000
168
-
200
600
24
10
144
10
100
50
100
96
100
216
1,000
3,000
500
500
1,500
800
1,500
1,000
1,600
3,000
200
800
50
94
120
474
120
882
2,000
8,700
1,000
1,000
2,000
11,300
NO
NAMA OBAT
SATUAN
3
TABLET
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
6=4+5
25,000
25,000
TUBE
500
500
BOTOL
300
300
BOTOL
1,500
1,500
TABLET
86,600
86,600
TABLET
1,800
1,800
TABLET
2,200
2,200
BOTOL
187 OBH
BOTOL
21,028
21,028

BOTOL
500
500
TABLET
300
300
TABLET
4,850
4,850
191 ONDENSETRON INJ
AMPUL
60
60
16,975
16,975
TUBE
TUBE
194 OXYTOCIN INJ/SYNTOCINON INJ
AMPUL
BOTOL
TABLET
AMPUL
TABLET
TABLET
3,080
5,900
1,400
-
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
500
100
1,000
800
JUMLAH
18=(7s/d17)
500
2,000
4,900
10
10
114
500
200
20
60
20
800
700
20
2,200
100
100
100
100
100
100
144
250
288
480
400
100
100
100
50
75
10
50
25
50
60
100
50
25
10
30
200
300
20
100
50
210
500
2,600
400
1,000
200
1,400
SUPP
948
948
BOTOL
7,097
7,097
475
-
3,080
5,900
1,762
25
56
15
200
20
112
428
BOTOL
35,841
35,841
100
100
150
200
150
300
350
200
600
2,150
TABLET
1,216,100
1,216,100
800
15,000
7,200
10,800
8,000
10,800
10,800
12,000
15,000
90,400
TUBE
1,000
1,000
20
12
10
50
10
50
100
252
TABLET
16,800
16,800
TABLET
47,600
47,600
TABLET
202,000
202,000
2,000
208 PIROXICAM
TABLET
118,200
118,200
1,560
600
600
600
2,040
BOTOL
204
204
BOTOL
971
971
BOTOL
1,000
1,000
2,040
1,080 ###
10
10
3,000
7,000
9,600
29
21
-
NO
NAMA OBAT
SATUAN
STOCK
AWAL
BOTOL
PENERIMAA PERSEDIAA
N
N
5
302
6=4+5
302
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
10
11
CBB
12
2
BOTOL
136
136
TABLET
51,000
51,000
TABLET
TABLET
137,500
137,500
AMPUL
233
233
BOTOL
1,482
1,482
BOTOL
1,000
1,000
TABLET
40,600
40,600
LABU
1,023
1,023
TABLET
35,200
35,200
200
TABLET
60,000
60,000
100
AMPUL
104
104
TABLET
46,600
46,600
TABLET
31,900
31,900
228 SALEP 2 - 4
13
14
15
JBG
CTK
16
17
JUMLAH
18=(7s/d17)
105
2
4,000
1,000 ###
4,000
10,000
1,000
17,200
800
2,000
67
2,000
1,000
2,500
2,000
100
133
2,000
3,700
200
233
15
18
15
18
13
15
20
19
200
88
78
120
100
117
78
111
122
814
40
180
10
10
254
1,500
1,700
500
500
1,000
2,100
12
POT
800
200 ###
4,400
4,400
BOTOL
4,662
4,662
100
###
800
1,000
200
500
4,000
800
700
100
1,000
2,800
300
300
50
BOTOL
940
940
KAPSUL
4,650
4,650
500
KAPSUL
4,100
4,100
500
TABLET
4,230
4,230
TABLET
131,000
131,000
AMPUL
TUBE
321
321
76,700
76,700
TABLET
200
100
KOTAK
PWK
PM
CWD
TUBE
121
121
VIAL
919
919
BOTOL
6,070
6,070

TABLET
121,400
121,400
KAPSUL
3,800
3,800
TABLET
44,000
44,000
96
50
50
200
48
24
24
170
462
10
300
1,000
10
200
300
600
700
300
500
2,150
1,000
4,000
-
3,000
3,000
-
2
700
6
400
200
200
500
1,800
1,200
50
72
48
24
2,000
1,300
200
3,000
8,000
56
-
400
200
1,000
500
200
200
144
1,500
7,300
200
-
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
-
6=4+5
AMPUL
TABLET
97,000
97,000
KAPSUL
34,100
34,100
TABLET
PEMAKAIAN
JUMLAH
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
3,000
2,000
2,000
1,000
6,000
5,000
4,000
5,000
28,000
500
800
18=(7s/d17)
-
300
AMPUL
220
220
TABLET
171,300
171,300
2,000
400
500
600
30
700
2,000
30
TABLET
800,000
800,000
10,000
1,000
2,000
1,000
5,000
3,000
TABLET
37,800
37,800
1,000
200
700
700
6,200
5,000
27,000
2,600
-
SET
32
32
BUAH
3,000
3,000
3
4
BUAH
16,500
16,500
BUAH
8,400
8,400
BUAH
800
800
BUAH
140
140
ALAT PEMERIKSAAN HB
BUAH
22
22
ALCOHOL SWABS
90,000
90,000
BISTURI
BUAH
807
807
10
BLOOD LANCET
BUAH
9,800
9,800
11
GALON
15
15
12
SACHET
5,831
5,831
13
CATGUT CHROMIC
ROLL
14
SET
15
DENGUE N5 1 ANTIGEN
SET
16
DEX GLASS
BUAH
81
81
17
BUAH
96
96
18
FESCOPLAST
ROLL
19
FOLEY CATETHER
BUAH
30
30
20
GLUCOSA TEST TIP
TIP
8,710
8,710
21
GOLONGAN DARAH KIT
SET
34
34
22
H2O2
BOTOL
16
16
23
LEMBAR
52,300
52,300
24
HAND SCONE STERILE
PASANG
700
700
25
SACHET
1,070
1,070
SACHET
400
100
200
100
100
200
300
100
1,100
-
10
10
1,000
100
###
400
600
100
2,000
300
200
200
-
12
20
10
100
144
10
30
15
150
180
1
3
100
500 ###
1,500
1,000
2,000
100
20
3
800
500
1,000
7,900
120
210
210
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
-
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
26
HEMASITO METER
BUAH
27
ISI AUTOCLIX
KOTAK
28
INFUSION SET ANAK
SET
158
158
29
INFUSION SET DEWASA
SET
1,000
1,000
30
IODIUM TEST
BOTOL
78
78
31
IV CATETHER
SACHET
4,737
4,737
32
JARUM JAHIT
BUAH
270
270
33
KACA MULUT
34
35
KAPSUL KOSONG NO.0
36
KAPSUL KOSONG NO.1
37
38
23,760
JUMLAH
18=(7s/d17)
23,760
30
510
450
10
7
10
150
100
20
71
60
168
210
600
1,800
16
281
-
25
344
20
20
BUAH
80
80
BUNGKUS
187
187
BUAH
24,000
24,000
24,000
BUAH
30,000
30,000
30,000
LEMBAR
440
440
ROLL
100
100
39
KASSA STERIL
KOTAK
937
937
40
KASSA 4 M X 15 CM
ROLL
980
980
41
LAMPU SPIRITUS
BUAH
42
BOTOL
43
BOTOL
16
16
44
KOTAK
110
110
45
METILEN BLUE 250 ML
BOTOL
16
16
46
MICROPIPET 3 UKURAN
BUAH
47
MASKER
BUAH
44,000
44,000
48
BUAH
121
121
49
BUAH
120
120
50
BUAH
45
45
51
BUAH
45
45
52
BUAH
45
45
53
MATA SCALLER
BUAH
54
NASO GASTRIC TUBE
TUBE
18
18
55
BUAH
127
127
56
BUAH
130
130
57
NEEDLE
BUAH
55
55
58
OBJECT GLASS
BUAH
240
240
59
OIL IMERSI
BOTOL
16
16
60
OSE
BUAH
16
24,000
30,000
100
100
100
140
440
-
21
12
10
100
30
50
50
400
123
100
650
1
-
350
200
500
500
1,000
450
1,000
500
4,500
5
-
2
1
46
2
10
56
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
61
PENJEPIT TABUNG
BUAH
22
22
62
PIPET BESAR
BUAH
63
PIPET KECIL
BUAH
64
PLESTER
ROLL
322
322
65
POT DAHAK
BUAH
66
BUAH
67
VIAL
13
13
68
SELANG O2 ANAK
BUAH
58
58
10
10
69
SELANG O2 DEWASA
BUAH
40
40
10
10
70
SGOT/SGPT TEST
71
48
108
72
STRIP ASAM URAT
73
SET
20
36
-
###
SACHET
756
756
STRIP HB
BOX
201
201
74
STRIP GULA DARAH
BOX
78
78
75
BOX
76
STRIP KOLESTEROL
BOX
77
VENOJECT
KOTAK
18
18
78
YELLOW TIP
BUAH
19
19
79
TABUNG REAKSI BESAR
BUAH
37
37
80
TABUNG REAKSI KECIL
BUAH
63
63
81
TERMOMETER DIGITAL
BUAH
30
30
82
TORNIKUET
BUAH
102
102
83
BUAH
18,000
18,000
84
BUAH
104
104
85
URINE BAG
BUAH
229
229
86
KOTAK
87
WIDAL TEST
KOTAK
88
WHITE TIP
BUAH
24
24
89
KOTAK
90
POCH PACK D
BUAH
91
POCH PACK L
BUAH
92
BUAH
93
BUAH
94
CALIBRATION SCS
BUAH
95
BUAH
96
STROMALYSER WH
BUAH
60
20
30
50
100
150
-
10
20
30
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
97
BUAH
98
BUAH
99
BUAH
1
2
OBAT GIGI
ARSEN
BOTOL
ARTIKULATING PAPER
KOTAK
BOTOL
73
73
BEIN GIGI
SET
CALCIDOR
POT
CEVITRON
BUAH
136
136
CHKM
POT
16
16
10
CRESOPEN
BOTOL
10
10
11
DENTORIT
BOTOL
12
DYCAL
BOTOL
16
16
13
ETIL KLORIDA SPRAY
BOTOL
216
216
14
EUGENOL CAIRAN
BOTOL
185
185
15
IODOFORM PASTA
POT
14
14
16
GLASS IONOMER ART
SET
50
50
17
OCO / TSR
BOTOL
10
10
18
BOTOL
SET
12
12
SET
2 ###
Cilegon, 30 Juli 2015

Nip. 19660223 199203 2 002
NIP. 19740620 200312 2 003
Pemberian
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
4,151
3,150
25
78,750
75
13,400
534
20,000
648
400
55,800
86
2,000
199.50
3,300
150
495,000
200
660,000
2,000
249,700
1,000
124,850
25,400
1 AMBROXOL SYRUP 15 MG / 5 ML
200
-
17,200
-
15,000
124.85
1,000
80
40,800
102
240
440
1,740
-
2,000
249,700
34,400
236,250
1,370
4,750
17,200
3,700
100
370,000
50
44,500
211
800
168,800
494,600
261
800
208,800
300
181,100
116
800
224,400

1,800
1
3,600
800
-
81
64,800
522,000
1,500
-
200
6,000
1,500
121,500
3,850
50
15
473,000
42
126,500
2,491
1,566,000
174,000
121,500

740,000
1,500
100
385,000
3,990
ANTASIDA SUSPENSI
92,800
2,000
185,000
192,500
253,000
25
-
62,275
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
1,970

1 SALISILAT 3 %)
1,713
3,300
95
31,300
159
800
127,200
200
20,000
10,900
66
73,650
537
300
20,240
180
6,725

1 ATROPIN SULFAT INJ
AQUABIDEST
1 AZITHROMYCIN 500 MG
BEKARBON
1 BENZATIN BENZIL PENISILIN 2,4 JUTA IU
414
1,310
102,600
1,500
83
1,346
1 BISOPROLOL 5 MG
100
100
10,000
1,100
1,100
30
367
1,200
15,400
1,000
100,000
532,700
276,300
30
1,500
238,500
1,000
100,000
2,000
33,000
440,400
900
330,300
450
165,150
2,900
4,500
60
270,000
100
116
12,185
1,520
100
924
25,300
6,199
12
2,300
281
450,000
152,000
100
-
152,000
74,388
1 BROMHEKSIN HCL SYRUP
12,100
66,000
1 CALAMIN LOTION
12,650
63
300
18,900
1,000
63,000
180,400
88
700
61,600
300
8,800
21,440
200,000
604,700
810
99,000

CEFIXIME 100 MG
859
210
4,015
26,400
(160*859)+(50*958
CEFOTAXIME INJ 1G
5,000
CEFTRIAXON INJ
5,500
7,999
28,050
700
-
1 CETIRIZINE 5 MG SYRUP
1 CETIRIZINE DROP
11,600
CETIRIZIN 10 MG
18,500
CIMETIDIN TABLET
93,450
4,550
188
114.84
800
91,872
245
400
98,000
500
1,000
188,000
700
131,600
300
56,400
122,500
-
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
612,600
-

527
21.00
800
122
1,379
99
(400*90.97)+(400*21
1,000
21,000
10,000
210,000
2,000
244,000
245
5,060
20,240
396
5,727
22,908
85
3,960
62
800
2,000
418,700
2,352
40,000

310,000
200
960
91
3,333
100
333,300
10
DOMPERIDON 10 MG
167
100
16,700
220
60

486,000
9,000
5,000
DIFENHIDRAMIN INJ
8,800
124,000
180
27,000
2,000
45
1 DIAZEPAM INJ 5 MG/ML
1,430
49,600
2,344
DIAZEPAM TABLET
136
51,000
33,330
107
8,100
888
7,220
14,440
24
300
17,100
1 ERYTHROMYCIN 250 MG
440
38,500
921
800
40,800
1 ETAMBUTOL 500 MG
420
2,200
8,800
25,300
101,200
133
124
512
1 ETANOL 70 % 1000 ML
4,400
7,000

736,800
-
276,300
173,280
126,500
65
1,176
1,008
24
4,710
1 FITOMENADION INJ
3,417
637
22,000
19,080
91
200
288
800
300
86,400
1,850
75
50
92,510
16,300
4,500
220
16,900
-
1 FLUCONAZOL 150 MG
GAMEKSAN
47,400
1,395
18,200
230,400
-
138,765
24,192
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
2,701
790,400
4,700
GLIMEPIRIDE 2 MG
15,570
50
44,750
54
1,500
81,000
300
16,200
436
100
43,600

1
424,000
895
5,500

1 GLISERIN LARUTAN
90
-
495,000
3,300,000
28
2,000
56,000
4,730
4,000
112,000
600
7,000
11,500
200
5,700
165
11,900
246
500
444
14,724
51,975
235
500
9,450
29,055
12,600
51
280
149,600

900
4,257,000
510
2,412,300
2,399
25
59,975
24
57,576
1,265
55,550
4,499
93

6,000
1 ISONIAZID 300 MG
500
112,900
259,875
4,730
1 ISONIAZID 100 MG
123,000
34,391.50
ITRAKONAZOL 100 MG
149
44
100
239,900
200
253,000
96
230,304
196,000
5,000
-
1,500
223,500
3,000
447,000
107
60,500
121,000
5,280
98
1,400
47
355.30
2,000
94,000
500
23,500
70
1 KANAMYCINE 2 GR
19,800
992
KAOLIN SUSPENSI
12,012
300
20
17,000
9,850
3,198
4,700
KETOPROFEN 100 MG
1,342
KETOROLAC INJ 10 MG
2,539
310
200
230
30,100
94,000
4,700
24
112,800
62,084
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
3,107
183

1,600
96
153,600
75
120,000
24
38,400
3,800
15
57,000
5,995
100
599,500
100
599,500
50
299,750
948
1,815
96
174,240
96
174,240
48
87,120
600
3,200
1,100
8,200
4,000
3,880

1 MG KRIM
46,800

8,289
922
12,600
7,376

GG SYRUP
6,160

1
14,200
182
1,100
400

1 CTM
7,676
33,920
1,100
3,185

10,000
209
15,840
80,300
-
792,000
10
50
-
209,000
633,600
-
20
960
273,000
8,030

1 MG
1,500
1,108,800
660

1
180
10,450
TABLET
1,624
98
15,855

GUAIAKOLATSULFONAT
1
828,900
-
100
1,100,000
1,000
-
397,872
110,500
596
48
312
5
-
79,200
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
54,000

/ LIBROFED TABLET
50,700

ACID 200 MG TABLET
4,065
22,300
13,240

3,550
7,520
16,840
757

1 LISOL
21,600
150
1,100
165,000
1,056
500
-
50
98,750
50
98,750
138
800
110,400
1,000
138,000
1,500
207,000
50
574
500
1,030
70
72,100
638
13,200
10
91
800
638
72,800
1 METFORMIN 850 MG
260
45
1,400
-
200
127,600
500
39,600
18,200
132,000
42,300
100
105
1,199
287,000
1 METFORMIN 500 MG
2,750
200
149,700
154
197,500
2,112,000
100
MELOXICAM 15 MG
180
330,000
-
34,500
2,000
1 MELOXICAM 7,5 MG
3,300
300
1,650,000
1,975
17,500
1,500
550,000
57,400
319,000
1,500
500
1,798,500
500
599,500
52,500
600
63,000
205
300
200
60,000
59,000

1,000
300,000
500
150,000
200
60,000
91
2,830
12,000
123
200
24,600
10,500
164
300
49,200
100
16,400
3,000
24
72,000
24
72,000
2,832
1 MICONAZOLE SALEP
4,070
407
17,800
20
674
13,750
90
20,680
528
200
14
133
600
10,629
44,400
MULTIVITAMIN TABLET
51,000
41,700
356,000
(12*16335)+(137
105,600
79,800
10
137,500
50
1,034,000
1,000
528,000
800
106,400
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
20,100
500
186

176
15,895
4,700
18,800
500
1,480
11,110
84,400
112
800
640
407
30,800
4,000
100
100
1,700
2,100
19,266
400

OBH
10,725
89,600
400,000
23,500
400,000
144
88,000
576,000
300
OFLOXACIN 200 MG
413
4,850
1 OFLOXACIN 400 MG
873
ONDENSETRON INJ
6,050
1,450
100
50
2,100
200
16,500
2,870
3,300
1,400
948
6,669
33,691
1 OXYTOCIN INJ/SYNTOCINON INJ
13,913
145,000
10
139,130
16,100
119
400
530
60
32
7,040
5,227
25
130,675
1,319
100
131,900
100
131,900
150
197,850
67,200
15,000
1,260,000
7,200
604,800
20
229,500
12
137,700

PARASETAMOL DROPS
47,600
1,125,700
84
800
748
PERMETHRIN KRIM 5 %
11,475
72,500
23,800
16,800
290
47,600
198
18
2,000
36,000
83.93
1,560
130,931
600
50,358
85,800
195,000
108,600
1 PIROXICAM
28,600
57,200
950
2,163
6,489
3,500
175
1 ALBOTYL
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
197
14,000
134
POVIDON IODIDA 1 L
42,000
57
120
120
800
1,928
41,000
120,300
PROPANOLOL 40 MG
1 RANITIDIN TABLET
4,000
56,000
228,000
96,000
1,282
14,300
67
186
459
40,600
1 RIFAMPICIN 450 MG
660
5,200
12
33,500
1,500
57,900
1,008
769
104
253,260
42,600
4,100
2,000
59
800
96
1,000
2,000
62,400
63,750
240,000
958,100
47,200
1,000
-
57,000
120,000
-
18
88
40,392
78
35,802
10,400
200
11,800
200
100
9,600
1 SALISIL BEDAK 2 %
1,250
3,630
50
240,000
1,000
28,000
15
4,200
57,000
257,400
4,950
214,500
1 SALEP 2 - 4
29,100
-
181,500
96
930
1 SEFADROKSIL SYRUP
5,248
2,500
468
500
234,000
50
100
SEFADROKSIL 500 MG
254,500
300
348,480
23,400
509
500
4,230
12,100
128,000
12
520
58,300
116,600
391
700
273,700
400
315
68,700
SIMVASTATIN TABLET
233,200
153,900
11,800
156,400
23,540
919
2,090
5,926
3,226
65
114,100

3,600
44,000

1
1,023
400
-
409,200
200
-
1,000
204,600
1,023,000
186
1,050
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
69,000
33,300
190

165,100
773,000
35,200
700
69.96
431
323
5,400
209,880
2,000
139,920
300
129,300
3,000
40
2,000
80,000
107
10,000
1,070,000
474
6,000
32
110,000
2,800
2,662
15,400
3,120
400
100
8,400
7,750
3,300
10
790
1,248,000
312,000
33,000
200
624,000
8,360
550,000
ALCOHOL SWABS
275
BISTURI
550
100
396
902,000
78,100
12
5,415,500
1,375,000
1,196,250
81
DEX GLASS
39,050
96
302,500
FESCOPLAST
15
FOLEY CATETHER
15,400
GLUCOSA TEST TIP
8,323
30
249,690
935,000
20,900
880
100
500
8,800
13,200
140
22
88,000
507
ALAT PEMERIKSAAN HB
9,600
15
5,687
-
8,530

CATGUT CHROMIC
33
GOLONGAN DARAH KIT
13
H2O2
44,400
580
HAND SCONE STERILE
860
937,200
88,000
55,000
440,000
500
440,000
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
21,960
HEMASITO METER
ISI AUTOCLIX
1,632.00
30
48,960
142
INFUSION SET ANAK
8,800
35,200
719
INFUSION SET DEWASA
7,321
29,284
20
36,605
78
IODIUM TEST
20,900
4,393
IV CATETHER
22,000
25
250
JARUM JAHIT
20,900
80
KACA MULUT
102,300
20,130
171
51,247
550,000
80,520
440,000
KAPSUL KOSONG NO.0
34.65
24,000
831,600
KAPSUL KOSONG NO.1
34.65
30,000
1,039,500
1,980
130,000
21
143,220
10
100
814
KASSA STERIL
6,820
330
KASSA 4 M X 15 CM
5,882
12
81,840
68,200
LAMPU SPIRITUS
16
26,999.50
101,750
64,900
2,090,000
330
350
121
22,000
120
22,000
45
24,970
45
24,970
45
24,970
236,500
NASO GASTRIC TUBE
21,450
40,700
40,700
110,000
28,000
46
280,500
13,500
109
16
METILEN BLUE 250 ML
MICROPIPET 3 UKURAN
39,500
1
13
127
128
53
184
16
2
MASKER
MATA SCALLER
NEEDLE
OBJECT GLASS
OIL IMERSI
OSE
1,300,200
115,500
81,400
200
66,000
STOCK
AKHIR
NAMA OBAT
HARGA
DINAS
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
22
PENJEPIT TABUNG
PIPET BESAR
PIPET KECIL
20
286
PLESTER
5,400
8,166.67
163,333
16,333
POT DAHAK
946,000
702,240
48
SELANG O2 ANAK
13,200
30
SELANG O2 DEWASA
13,200
1,082,950
3,055.56
3,212
191,500
STRIP GULA DARAH
95,000
94,996
STRIP KOLESTEROL
13,904
18
VENOJECT
242,000
19
YELLOW TIP
66,660
37
TABUNG REAKSI BESAR
2,015
63
TABUNG REAKSI KECIL
2,015
34,320
22,000
1
648
201
48
8

STRIP HB
30
102
TORNIKUET
1,000
17,850
7
9
URINE BAG
WIDAL TEST
13,200
247,500
1,396,000
133,100
104
199
24
STOCK
AKHIR
NAMA OBAT
HARGA
DINAS
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
-
ARSEN
484,000
ARTIKULATING PAPER
291,500
225,500
3,740,000
OBAT GIGI
73
-
CALCIDOR
209,000
136
CEVITRON
115,500
70,000
16
CHKM
10
CRESOPEN
770,000
DENTORIT
154,000
DYCAL
534,600
207
ETIL KLORIDA SPRAY
145,200
185
EUGENOL CAIRAN
3,178
14
IODOFORM PASTA
302,500
50
GLASS IONOMER ART
687,500
10
OCO / TSR
110,000
1,265,000
12
418,000
16
36,300
1,158,786
13,893,913
435,600
6,748,300
27,512,985
22,804,041
CBB
Pemakaian
CWD
Harga
Pemakaian
50
157,500
100
200
106,800
PM
Harga
Pemakaian
315,000
200
Pemakaian
25
78,750
1,000
534,000
900
400
34,400
1,000
Pemakaian
-
480,600
86,000
Pemakaian
Harga
50
157,500
150
472,500
1,496,250
100
53,400
400
213,600
1,388,400
1,000
86,000
86,000
1,000
50
165,000
300
990,000
500
1,650,000
4,620,000
1,000
124,850
1,000
124,850
1,000
124,850
1,000
124,850
500
1,000
124,850
1,310,925
62,425
361,200
330,000
Harga
100
Harga
CTK
330,000
Harga
JBG
100
17,200
PWK
500
51,000
51,000
3,000
720,000
3,247,200
2,010
482,400
200
7,000
740,000
1,827,000
600
144,000
50
1,000
185,000
261,000
1,500
2,000
121,500
192,500
946,000
253,000
186,825
5,010
1,202,400
50
50
185,000
450
1,665,000
4,000
844,000
8,000
1,688,000
1,100
232,100
6,000
1,266,000
4,198,900
5,000
1,305,000
9,600
2,505,600
4,000
1,044,000
10,000
2,610,000
11,849,400
210
63,000
63,000
2,000
232,000
1,368,800
486,000
2,211,300
2,000
232,000
3,000
348,000
4,000
405,000
237,500
350
2,500
324,000
385,000
100
946,000
253,000
385,000
125
-
290,000
5,000
100
216,000
237,500
900
162,000
50
482,400
5,000
75
2,010
473,000
253,000
50
311,375
#VALUE!
6,000
405,000
AQ24*2277
150
577,500
2,117,500
2,365,000
1,012,000
75
124,550
186,825
871,850
CBB
Pemakaian
CWD
Harga
Pemakaian
165,000
-
1,500
238,500
2,000
200,000
200
220,000
600
Harga
Pemakaian
50
PM
220,200
165,000
2,000
200,000
Pemakaian
Harga
Pemakaian
40
JBG
132,000
-
5,000
795,000
6,000
600,000
Harga
Pemakaian
60
CTK
198,000
-
2,000
318,000
3,500
350,000
30
-
Harga
99,000
-
3,000
477,000
5,000
500,000
20
-
66,000
-
4,000
2,000
200,000
2,480,000
450
220,200
600
220,200
600
220,200
20
20
165,150
760
150
50
18
111,582
12
300
260,358
74,388
84,300
2,700
758,700
1,200
337,200
600
168,600
337,200
1,686,000
-
50
632,500
759,000
2,000
126,000
500
31,500
598,500
5,000
440,000
600
52,800
932,800
#VALUE!
2,000
126,000
176,000
2,000
176,000
1,700
107,100
1,200
126,000
874,000
2,000
-
152,000
88,160
2,000
100
126,500
76,000
10
114,000
33,000
1,981,800
75
220,000
720,000
228,000
88,160
2,830,200
600
924,000
636,000
Harga
50
PWK
500
700
500
200
131,600
122,500
-
800
400
-
150,400
98,000
-
500
94,000
400
500
57,420
200
22,968
1,000
245,000
500
122,500
500
600
200
100
75,200
300
94,000
122,500
-
921,200
172,260
931,000
-
CBB
Pemakaian
5,000
CWD
Harga
Pemakaian
-
105,000
PM
Harga
Pemakaian
Pemakaian
7,200
151,200
1,000
122,000
28,635
5
1,000
217,000
Harga
3,500
PWK
JBG
Harga
-
7,200
Pemakaian
AM70*90.97
3,600
CTK
Harga
Pemakaian
-
75,600
Harga
-
10,800
226,800
#VALUE!
366,000
146,740
166,083
20
101,200
20
114,540
19,800
10
39,600
62,000
5,000
310,000
5,000
25,300
310,000
3,000
186,000
6,000
372,000
59,400
1,940,600
9,000
50
166,650
10
1,000
167,000
183,700
-
50
166,650
33,330
50
166,650
100
333,300
1,233,210
486,000
20
15
100
200
11,000
11,000
30,800
126,500
50,600
531,300
2,900
385,700
50,600
30
102,510
144,400
92,100
-
30
75,900
921,000
48,384
24
24,192
24
24,192
120,960
60
205,020
90
307,530
90
307,530
1,025,100
127,400
300
200
100
9,100
86,400
191,100
200
500
50
18,200
-
2,900
385,700
2,210,400
48
V104*1469
1,000
102,510
100
613,700
57,600
(65*1469)+(10*18
173,280
75
184,200
24
300
200
108,300
771,400
-
318,500
100
144,000
700
201,600
200
92,510
25
46,255
57,600
-
400
100
9,100
115,200
AQ104*1469
54,600
979,200
#VALUE!
CBB
Pemakaian
CWD
Harga
Pemakaian
40
35,800
400
21,600
PM
Harga
Pemakaian
Pemakaian
Harga
Pemakaian
Harga
Pemakaian
60
53,700
50
108,000
1,700
91,800
300
16,200
442,800
1,000
436,000
1,000
436,000
200
87,200
600
261,600
1,264,400
5,610,000
20,460,000
112,000
896,000
2,010
-
179,000
1,020
-
200
200
1,000
49,200
155,925
100
2
2,412,300
120
567,600
100
239,900
96
230,304
96
100
126,500
4
5
1,000
40
103,950
510
24,600
7,000
196,000
3,000
28,000
11,055,000
Harga
2,000
44,750
CTK
108,000
84,000
Harga
JBG
2,000
PWK
230,304
1,020
120
287,880
1,000
1,265,000
57,576
100
126,500
222,200
22,495
50
149,000
2,420,000
2,000
20
298,000
1,210,000
9,000
30
1,341,000
4,000
596,000
600
224,950
89,400
319,800
-
259,875
779,625
4,824,600
14,473,800
144
345,456
1,979,175
1,000
1,265,000
3,036,000
222,200
247,445
1,000
100
1,815,000
49,200
24
4,000
112,000
300
73,800
4,000
149,000
6,050,000
3,292,900
11,616,000
400
18,800
2,000
94,000
500
23,500
1,500
70,500
1,600
75,200
4,000
48
100
30,000
72
338,400
15,000
50
235,000
500
600
671,000
186,252
24
112,800
100
134,200
100
31,042
587,500
-
50
188,000
576,576
940,000
576,576
45,000
1,833,000
200
-
805,200
1,000
310,420
589,798
CBB
Pemakaian
50
-
CWD
Harga
Pemakaian
80,000
50
Harga
Pemakaian
80,000
24
PWK
Harga
Pemakaian
38,400
25
JBG
Harga
Pemakaian
40,000
24
CTK
Harga
Pemakaian
38,400
25
Harga
40,000
628,800
19,000
15
57,000
75
449,625
25
149,875
100
599,500
100
599,500
50
299,750
100
599,500
4,196,500
72
130,680
48
87,120
96
174,240
48
87,120
48
87,120
100
181,500
1,183,380
PM
150
20
1,243,350
100
165,780
120
828,900
40
994,680
133,000
1,100,000
250
331,560
2,072,250
6,863,292
120
40
200
1,232,000
1,000
182,000
150
150
600
100
960
803,000
100
5
-
96
1,584,000
120
1,520,640
24
1,900,800
3,963,750
2,090,000
4,911,500
950,400
6,732,000
883,300
5
-
100
380,160
1,585,500
770,000
550,000
1,440
712,800
50,000
-
1,080
1,164,800
200
-
2,851,200
4,320
182,000
100
-
1,045,000
633,600
20,900
554,400
100
4,558,400
500
220,000
1,848,000
1,000
182,000
1,180,160
300
200
840
396,000
182,000
1,000
1,000
295,040
163,800
1,567,500
2,378,250
369,600
900
100
60
-
885,120
100
50,000
100,000
20,900
41,800
1,900,800
9,741,600
120
1,584,000
CBB
Pemakaian
CWD
Harga
Pemakaian
200
Harga
Pemakaian
800
220,000
2,500
2,640,000
82,800
800
Harga
Pemakaian
1,500
110,400
JBG
Harga
Pemakaian
700
2,200,000
528,000
-
PWK
2,000
880,000
500
600
PM
1,584,000
-
1,000
Pemakaian
1,500
138,000
Harga
1,000
1,100,000
316,800
-
Harga
1,000
770,000
300
CTK
1,100,000
8,965,000
1,056,000
9,820,800
1,000
1,584,000
100
197,500
50
98,750
691,250
1,000
138,000
1,000
138,000
1,062,600
344,400
700,400
60
61,800
90
92,700
130
133,900
210
216,300
120
200
127,600
500
319,000
300
191,400
500
319,000
26,400
39,600
52,800
109,200
1,276,000
9,592,000
200
18,200
-
1,000
638,000
1,000
1,199,000
1,500
1,798,500
3,000
3,597,000
500
599,500
1,000
105,000
3,000
315,000
1,500
157,500
800
84,000
100
15,400
10
27,500
-
600
180,000
-
400
500
61,600
150,000
200
1,000
30,800
10
-
300,000
-
1,000
500
-
105,000
27,500
150,000
-
2,000
200
290,400
1,092,000
107,800
100
-
210,000
2,041,600
60,000
275,000
1,000
300,000
330,000
1,710,000
118,300
800
24,600
700
500
65,600
24
72,000
24
144
72,000
V185*16335
24
72,000
114,800
-
328,000
504,000
-
24
427,200
50
890,000
1,375,000
120
1,650,000
#VALUE!
120
2,481,600
18,239,760
1,985,280
100
2,068,000
216
4,466,880
3,000
1,584,000
500
264,000
500
264,000
1,500
792,000
199,500
82,000
100
96
1,500
137,500
2,068,000
-
144,000
100
-
48
10
300
27,300
638,000
400
72,800
638,000
1,000
200
18,200
1,000
123,600
1,000
133,000
1,600
212,800
3,000
399,000
200
4,136,000
1,673,200
2,000
1,056,000
4,593,600
1,000
14,000
14,000
2,000
266,000
1,502,900
800
106,400
CBB
Pemakaian
100
CWD
Harga
Pemakaian
17,600
20
1,000
-
700
250
Harga
Pemakaian
176,000
94,000
100
PM
64,000
800
140,800
10
20
222,200
78,400
40,700
Harga
Pemakaian
-
500
288
1,152,000
480
56,000
Harga
Pemakaian
88,000
2,000
23,500
10
200
22,400
862,400
47,000
535,800
222,200
246,400
64,000
40,700
400
352,000
1,920,000
Harga
500
CTK
47,000
JBG
282,000
1,072,500
Pemakaian
60
100
100
Harga
1,000,000
PWK
1,600,000
7,048,000
1,072,500
-
10
60,500
50
302,500
363,000
25
36,250
50
72,500
100
75
30
300
108,750
417,390
35,700
20
278,260
145,000
50
72,500
100
500
1,000
119,000
200
23,800
25
1,391,300
50
36,250
695,650
59,500
688,750
2,921,730
309,400
112
56
292,712
200
10,800
15
78,405
263,800
150
907,200
8,000
10
200
1,045,400
197,850
300
672,000
10,800
114,750
50
104,540
395,700
350
461,650
200
263,800
907,200
10,800
907,200
12,000
1,008,000
573,750
10
114,750
50
573,750
100
1,000
18,000
600
50,358
600
50,358
2,040
171,217
57,200
143,000
57,200
3
-
5
-
2,040
-
171,217
-
10
-
2,237,156
600
791,400
2,835,850
15,000
1,260,000
7,593,600
1,147,500
2,891,700
3,000
1,080
90,644
10
286,000
585,424
18,000
1,000
20
54,000
126,000
1,080
90,644
805,728
143,000
829,400
6,489
CBB
Pemakaian
1
CWD
Harga
Pemakaian
14,000
PM
Harga
Pemakaian
2,500
300,000
2,000
240,000
100
192,800
133
256,424
15
214,500
18
257,400
120
55,080
100
45,900
40
208,000
200
300,000
100
100,800
500
180
936,000
504,000
100
100
9,600
181,500
48
Pemakaian
-
84,000
240,000
-
13
185,900
117
53,703
5,900
174,240
JBG
Harga
Pemakaian
28,000
-
3,700
-
444,000
-
15
214,500
78
35,802
10
500
52,000
504,000
200
20
50,949
2,550,000
2,116,800
800
47,200
1,000
59,000
200
11,800
500
29,500
236,000
800
76,800
700
67,200
100
9,600
1,000
96,000
268,800
24
87,120
-
24
87,120
170
700
1,000
509,000
300
600
305,400
300
500
195,500
1,177,000
50
72
200
373,626
511,500
55,998
1,008,000
500
122
2,250,000
93,600
117,700
19
2,860,000
1,000
449,224
271,700
1,500
200
2,064,000
1,320,800
78,200
120,000
84,000
570,000
1,000
228,000
1,495,000
4,000
52,000
200
Harga
10
111
93,600
78,200
24,000
286,000
52,480
Pemakaian
-
10
200
Harga
200
152,700
CTK
11,800
50
Harga
200
-
2,000
PWK
232,272
2,000
204,600
3,000
-
152,700
36,000
-
1,800
703,800
23,540
48
154,848
1,300
2,046,000
300
617,100
327,600
375,000
-
375,000
1,677,060
52,480
500
234,000
1,006,200
1,000
509,000
2,037,200
36,000
1,200
469,200
3,000
1,173,000
349,800
3,128,000
464,544
24
77,424
200
1,329,900
1,500
204,600
200
1,318,240
37,200
-
1,534,500
7,467,900
37,200
CBB
Pemakaian
2,000
CWD
Harga
Pemakaian
-
139,920
1,000
PM
Harga
Pemakaian
-
69,960
6,000
PWK
Harga
Pemakaian
-
419,760
5,000
JBG
Harga
Pemakaian
-
349,800
4,000
CTK
Harga
Pemakaian
-
279,840
Harga
-
5,000
349,800
1,958,880
215,500
344,800
500
162,000
30
162,000
400
16,000
500
20,000
600
24,000
700
28,000
2,000
80,000
1,000
107,000
2,000
214,000
1,000
107,000
5,000
535,000
3,000
321,000
200
94,800
331,800
700
331,800
1,000
(500*474)+(475*5
700
5,000
535,000
248,000
2,889,000
#VALUE!
100
266,200
100
266,200
532,400
300
936,000
100
312,000
3,432,000
33,000
-
600
100
20
55,000
1,562,000
100
10
55,000
781,000
1,000
200
100
275,000
79,200
7,810,000
400
110,000
165,000
550,000
165,000
79,200
11,246,400
156,200
231,000
1,498,140
935,000
77,000
1,500
1,320,000
10
154,000
1,248,450
-
62,700
1,000
880,000
2,000
1,760,000
880,000
20
176,000
100
150
1
800
935,000
704,000
500
210
440,000
2,772,000
1,000
880,000
62,700
6,952,000
1,056,000
2,772,000
CBB
Pemakaian
CWD
Harga
Pemakaian
510
10
88,000
10
73,210
150
71
1,562,000
1,098,150
-
450
100
168
PWK
Harga
Pemakaian
-
734,400
732,100
3,696,000
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
210
342,720
600
17,600
140,800
36,605
2,057,201
979,200
2,937,600
7,568,000
418,000
831,600
1,039,500
100
140
838,860
100,650
198,000
-
30
204,600
50
341,000
50
294,100
400
2,352,800
100
20,130
198,000
80,520
40,260
277,200
322,080
871,200
3,823,300
101,750
1
500
101,750
165,000
500
165,000
1,000
330,000
100
450
588,200
100
588,200
832,320
418,000
20
198,000
Pemakaian
1,320,000
Harga
60
100
PM
148,500
1,000
330,000
500
165,000
1,485,000
107,250
81,400
10
110,000
107,250
110,000
341,000
220,000
1,641,200
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
40,833
49,000
24,500
1,404,480
10
132,000
132,000
10
132,000
132,000
48
330,000
60
183,334
146,667
50
50,000
100
20
264,000
132,000
190,000
190,000
100,000
2,808,960
2,850,000
150,000
#VALUE!
570,000
20
1,404,480
10
294,000
1,900,000
396,000
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
290,400
47,537,034
29,763,924
78,744,159
290,400
44,793,562
290,400
1,306,800
36,571,780
73,820,760

DI KOTA CILEGON
Propinsi
: BANTEN
Alamat
: 9 Unit
Bulan
: Agustus
Tahun
: 2015
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
ACYCLOVIR 5 GR KRIM
TUBE
4,151
4,151
TABLET
13,400
13,400
TABLET
20,000
20,000
TABLET
55,800
55,800
TABLET
2,000
2,000
BOTOL
25,400
25,400
TABLET
15,000
15,000
TABLET
1,000
1,000
TABLET
40,800
40,800
10
TABLET
1,740
1,740
11
TABLET
12
VIAL
1,370
1,370
13
BOTOL
17,200
17,200
14
KAPLET
44,500
44,500
15
KAPLET
494,600
494,600
16
TABLET
1,800
1,800
17
TABLET
181,100
181,100
18

TABLET
224,400
224,400
200
19
ANTASIDA SUSPENSI
BOTOL
3,600
3,600
20
VIAL
15
15
21
AMPUL
42
42
22

SALISILAT 3 %)
3,990
3,990
23
TUBE
POT
25
50
400
500
300
500
75
JUMLAH
18=(7s/d17)
75
301
100
1,000
-
200
200
1,000
700
300
2,000
5,200
100
200
1,800
200
300
500
200
150
200
400
50
400
1,000
1,000
1,000
1,300
1,200
500 ###
7,000
-
420
270
510
30
510
1,740
-
120
200
50
250
500
2,000 ###
7,000
120
50
100
450
1,100
8,000
42,000
7,000
1,100
9,000
6,000
1,200
3,500
2,000 ###
4,000
3,500
5,000
6,000
24,600
100
50
100
505
2,000
6,000
500
1,500
3,000
50
100
8,600
300
300
400
500
1,000
100
300
10,000
2
50
125
9
50
225
-
NO
NAMA OBAT
SATUAN
STOCK
AWAL
SUPP
PENERIMAA PERSEDIAA
N
N
5
6=4+5
1,970
532,700
532,700
DINAS
PROGRAM
P2KP
GRG
10
20
CLG
CBB
CWD
PM
12
13
14
11
30
###
JBG
15
16
JUMLAH
CTK
17
25
TABLET
26
TABLET
31,300
31,300
27
TABLET
276,300
276,300
28
TABLET
10,900
10,900
29
ATROPIN SULFAT INJ
AMPUL
66
66
30
TABLET
73,650
73,650
31
AQUABIDEST
BOTOL
32
BOTOL
537
537
33
AZITHROMYCIN 500 MG
KAPSUL
300
300
34
BEKARBON
TABLET
20,240
20,240
35
VIAL
180
180
36
TUBE
6,725
6,725
37
TABLET
38
BOTOL
39
414
414
40
BISOPROLOL 5 MG
TABLET
1,310
1,310
41
TABLET
102,600
102,600
42
BOTOL
1,500
1,500
43
BOTOL
83
83
44
CALAMIN LOTION
BOTOL
1,346
1,346
45
TABLET
604,700
604,700
46
TABLET
180,400
180,400
47
BOTOL
810
810
48
CEFIXIME 100 MG
KAPSUL
21,440
21,440
49
CEFIXIME 200 MG
50
CEFOTAXIME INJ 1G
VIAL
51
CEFTRIAXON INJ
VIAL
52
BOTOL
700
700
53
CETIRIZINE DROP
BOTOL
54
CETIRIZIN 10 MG
TABLET
11,600
11,600
100
55
CIMETIDIN TABLET
TABLET
18,500
18,500
100
300
200
56
TABLET
93,450
93,450
100
1,000
300
57
KAPSUL
4,550
4,550
58
KAPSUL
59
TABLET
300
1,600
2,000
50
18=(7s/d17)
ANTI HEMOROID DOEN
1,000
10
PWK
24
SUPP
1,970
PEMAKAIAN
500
50
500
2,000
190
1,500
1,000
2,000
###
2,000
100
5,000
2,800
2,500
2,500
7,000
14,600
4,000
2,500
4,000
24,500
100
250
-
900
300
600
1,050
600
900
4,350
-
100
120
220
20
10
160
40
70
750
930
100
575
100
100
100
6
100
300
100
600
900
125
50
24
18
12
60
100
190
100
590
3,000
###
7,800
-
7
-
800
500
500
20
30
10
210
210
510
300
150
1,000
2,000
2,000
2,500
700
4,000
500
1,000
9,800
10
1,020
6,000
70
210
1,200
3,510
612,600
100
10
50
50
700
1,000
1,000
500
700
300
200
100
3,600
4,000
10
100
325
100
1,500
7,400
500
300 ###
400
600
1,200
500
3,400
500
400
612,600
1,200
-
1,000
1,500
10,800
7,200
###
35,300
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
60
TABLET
61
BOTOL
62
TABLET
63
BOTOL
245
245
64
BOTOL
396
396
65
BOTOL
85
85
66
TABLET
418,700
418,700
500
67
VIAL
2,352
2,352
68
DIAZEPAM TABLET
TABLET
40,000
40,000
69
AMPUL
136
136
70
DIFENHIDRAMIN INJ
AMPUL
180
180
71
TABLET
51,000
51,000
72
BOTOL
1,430
1,430
50
73
DOMPERIDON 10 MG
TABLET
27,000
27,000
500
1,000
74
KAPSUL
8,800
8,800
200
100
75
TABLET
76
AMPUL
107
107
77
BOTOL
888
888
78
ERYTHROMYCIN 250 MG
KAPSUL
17,100
17,100
79
TABLET
38,500
38,500
80
ETAMBUTOL 500 MG
TABLET
40,800
40,800
81
BOTOL
124
124
82
ETANOL 70 % 1000 ML
BOTOL
512
512
83
KAPSUL
4,400
4,400
84
TABLET
7,000
7,000
85
FENOL GLISEROL 10 %
BOTOL
1,176
1,176
86
FITOMENADION INJ
AMPUL
4,710
4,710
87
TABLET
16,300
16,300
88
FLUCONAZOL 150 MG
TABLET
4,500
4,500
89
AMPUL
220
220
90
TABLET
16,900
16,900
91
GAMEKSAN
BOTOL
92
SACHET
47,400
47,400
93
TUBE
1,395
1,395
50
94
BOTOL
2,701
2,701
50
95
TABLET
790,400
790,400
1,000
1,000
2,000
50
5,500
4,500
3,000
7,000
100
24,500
153
-
16
16
100
1,000
200
100
100
10
60
1,500
100
100
1,800
300
100
500
100
1,000
100
100
100
100
900
100
100
200
1,900
2,000
2,000
3
3
5
800
18
1,000
1,200
3,000
-
48
48
30
100
300
30
200
30
24
90
168
180
400
1,000
-
100
400
200
200
900
300
500
600
600
100
50
50
100
50
25
24
100
224
300
2,000
5,000
1,000
3,000
800
1,500
13,600
200 ###
50
500
2,900
150
575
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
96
GLIMEPIRIDE 2 MG
TABLET
4,700
4,700
97

MG
TABLET
15,570
15,570
98
TABLET
424,000
424,000
99
GLISERIN LARUTAN
BOTOL
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
300
1,000
JUMLAH
18=(7s/d17)
400
1,700
90
90
2,000
2,000
3,000
2,000
5,000
14,000
-
TABLET
TABLET
5,700
5,700
TABLET
11,900
11,900
AMPUL
444
444
TUBE
235
235
BOTOL
500
500
TABLET
9,450
9,450
TUBE
29,055
29,055
TABLET
12,600
12,600
SUPP
51
51
BOTOL
280
280
TABLET
TABLET
149,600
149,600
TABLET
5,000
5,000
TABLET
6,000
6,000

11,500
PEMAKAIAN
11,500
BOTOL
TABLET
TABLET
500
500
KAPSUL
TABLET
112,900
112,900
TABLET
17,000
17,000
VIAL
70
70
122 KAOLIN SUSPENSI
BOTOL
992
992
TABLET
9,850
9,850
TUBE
3,198
3,198
TABLET
4,700
4,700

AMPUL
230
230
KAPSUL
30,100
30,100
TUBE
3,107
3,107
BOTOL
183
183
200
400
1,000
400
300
300
1,000
500
2,000
12
3,500
12
8
-
210
96
510
50 ###
72
210
48
300
120
1,230
192
72
600
1 ###
623
600
8
50
50
1,000
6,000
2,000
1,500
1,000
500
100
###
100
300
121 KANAMYCINE 2 GR
200
300
500
100
1500
200
1000
200
1500
7,000
100
12,300
600
-
30
150
16
100
24
50
200
12
100
72
72
102
300
850
###
284
-
10
50
48
50
5
120
50
48
130
50
72
500
500
50
418
10
15
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
10
11
CBB
12
CWD
PM
PWK
JBG
13
14
15
16
JUMLAH
CTK
17
18=(7s/d17)
BOTOL
8,200
8,200
50
75
50
100
100
50
100
525
BOTOL
948
948
24
48
48
72
48
24
48
312
TABLET
600
600
TABLET
4,000
4,000
100

MG KRIM/mytaderm
TUBE
3,880
3,880
15

TABLET
46,800
46,800
136 KOMB. BUDENOSID FORMATEROL 80/4,5 MCG, 60 DOSIS

BOTOL
596
596
BOTOL 60
ML
922
922
TABLET
12,600
12,600
TABLET
14,200
14,200

+ CTM/febrinex
BOTOL
400
400

BOTOL
7,676
7,676

TABLET/flutab
TABLET
33,920
33,920

SYRUP/protexinal
BOTOL
1,624
1,624

MG
TUBE
98
98
TABLET
1,100
1,100
BOTOL 60
ML
TABLET
3,185
3,185
54,000
54,000

ACID 200 MG TABLET
TABLET
50,700
BOTOL
4,065

/ TREMENZA
148 SYRUP
KOMB.TRIPOLIDIN
2,5SYRUP
MG + PSEUDOEFEDRIN 60 MG
400
500
60
80
100
20
160
120
20
300
900
889
900

MALEAT/zestam
20 ###
50 ###
20
200
50
500
120
120
60
300
1,200
1,000
1,800
500
50
120
20
50
1,440
1,200
100
840
140
120
440
500
5,550
###
96
1,560
1,000
100
100
50
300
666
1,800
600
7,560
50
5
50
12
100
100
200
72
500
200
500
1,500
50,700
300
200
500
1,500
4,065
50
100
120
150
144
694
800
500
1,500
5,600
2,000
1,500
7,000

1,000
###
50
###
200
NO
NAMA OBAT
SATUAN
3
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
TABLET
22,300
22,300
TABLET
13,240
13,240
TABLET
3,550
3,550
AMPUL
7,520
7,520
TABLET
16,840
16,840
156 LISOL
BOTOL
757
757
TABLET
21,600
21,600
TABLET
17,500
17,500
200
159 MELOXICAM 15 MG
TABLET
34,500
34,500
100
TABLET
149,700
149,700
TABLET
TABLET
3,300
3,300
AMPUL
180
180
TABLET
TABLET

VIAL
TABLET
42,300
800
800
18=(7s/d17)
500
1,000
500
100
100
800
60
90
60
200
500
210
500
5
870
6
14
300
800
700
500
500
###
1,000
500
1,000
1,600
3,000
1,200
600
500
4,200
1,000
1,000 ###
8,700
-
10
10
1,000
800
58
86
1,000
100
1,500
200
100
900
100
1,900
45
1,400
200 ###
5
BOTOL
TABLET
12,000
12,000
1,000
500
1,500
100
500
TABLET
10,500
10,500
TUBE
2,832
2,832
BOTOL
TUBE
407
407
BOTOL
674
674
BOTOL
10,629
10,629
48
TABLET
44,400
44,400
1,200
TABLET
51,000
51,000
TABLET
41,700
41,700
TABLET
20,100
20,100
500
500
TUBE
BOTOL
186
186
BOTOL
1,480
1,480
TABLET
84,400
84,400
TABLET
1,700
1,700
TABLET
2,100
2,100
6,300
28
-
2,000
42,300
45
2,600
1,000
100
1,400
-
500
JUMLAH
500
100
300
500
800
100
400
3,200
-
15
12
48
800 ###
700
700
48
50
72
1,000
1,000
2,000
1,000
400
500
10
10
100
2,000
500
300
240
1,000
2,000
250
20
47
60
130
168
500 ###
2,000
9,000
1,200
1,000
500
976
6,800
200
4,300
1,700
-
3
800
10
1,000
40
1,600
54
40
40
300
3,700
100
100
100
100
###
200
300
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
BOTOL
187 OBH
BOTOL
19,266
19,266

BOTOL
400
400
TABLET
300
300
100
100
TABLET
4,850
4,850
200
300
191 ONDENSETRON INJ
AMPUL

194 PITOGIN/OXYTOCIN INJ/SYNTOCYNON INJ
TUBE
TUBE
AMPUL
BOTOL
TABLET
AMPUL
TABLET
PEMAKAIAN
16,500
2,870
80
60
24
200
480
150
50
300
200
168
1,282
50
102
100
300
200
1,100
16,500
50
25
75
50
10
20
50
100
180
3,300
1,400
200
-
2,870
3,300
100
200
1,000
SUPP
948
948
BOTOL
6,669
6,669
56
BOTOL
33,691
33,691
80
TABLET
1,125,700
1,125,700
400
2,900
748
748
16,800
16,800
TABLET
TABLET
47,600
47,600
TABLET
195,000
195,000
208 PIROXICAM
TABLET
108,600
108,600
BOTOL
175
175
BOTOL
950
950
BOTOL
BOTOL
197
197
1,300
-
1,400
TABLET
TUBE
18=(7s/d17)
JUMLAH
48
300
150
350
350
5,000
6,000
8,000
10,800
10,800
15,000 ###
73,900
500
2,000
1,000
1,800
1,000 ###
7,300
2,000
3,000
200
10
20
56
200
100
197
1,733
-
1,000
240
600
600
2,040
2,400
20
1,080
2,040
9,000
10 ###
32
10
30
-
1,000
2,000
500
1,000
BOTOL
134
134
TABLET
41,000
41,000
1,000
TABLET
TABLET
AMPUL
BOTOL
1,282
1,282
BOTOL
186
186
120,300
-
1
3,000
7,000
120,300
-
200
1,500
1,000
5,500
2,500
500
1,000
13,700
-
NO
NAMA OBAT

SATUAN
3
TABLET
LABU
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
40,600
40,600
769
769
20
200
300
TABLET
33,500
33,500
TABLET
57,900
57,900
AMPUL
104
104
TABLET
42,600
42,600
100
TABLET
29,100
29,100
200
228 SALEP 2 - 4
18=(7s/d17)
1,000
JUMLAH
1,000
40
100
163
2,000
2,500
-
10
300
200
500
200 ###
100
26
POT
1,000
1,000
400
800
100
2,500
800
KOTAK
4,100
4,100
BOTOL
4,200
4,200
3,400
-
100
100
25
100
48
300
100
173
100
500
750
BOTOL
930
930
KAPSUL
2,500
2,500
KAPSUL
100
100
TABLET
4,230
4,230
90
90
90
90
90
450
TABLET
128,000
128,000
2,000
2,000
2,000
2,000
2,000
10,000
AMPUL
TUBE
315
315
10
41
68,700
68,700
500
600
200
500
1,200
2,800
1,000
1,500
8,300

TABLET
TUBE
65
65
VIAL
919
919
BOTOL
5,926
5,926

TABLET
114,100
114,100
KAPSUL
3,600
3,600
TABLET
44,000
44,000
AMPUL
TABLET
69,000
69,000
KAPSUL
33,300
33,300
TABLET
100
50
50
59
-
48
100
1,000
500
300
1,000
100
24
72
144
3,000
10,500
2,000
1,500
1,000
500
1,900
500
2,900
-
1,000 ###
2,000
500
1,000
200
4,000
4,000
2,000
100
800
AMPUL
190
190
TABLET
165,100
165,100
TABLET
773,000
773,000
TABLET
35,200
35,200
15,000
-
50
200
1,000
300
200 ###
###
50
600
1,000
500
1,000
1,000
1,500
1,500
4,000
2,000
1,000
700
600
700
500
3,000
6,500
11,000
1,000
5,200
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)

1
SET
BUAH
2,800
2,800
BUAH
15,400
15,400
BUAH
8,400
8,400
BUAH
790
790
BUAH
140
140
ALAT PEMERIKSAAN HB
ALCOHOL SWABS
BUAH
SACHET
32
32
22
22
88,000
88,000
300
969
100
300
500
200
100
400
100
300
###
1,800
200
1,169
100
100
30
30
100
600
1,000
400
200
2,800
BISTURI
BUAH
507
507
10
BLOOD LANCET
BUAH
9,600
9,600
11
GALON
15
15
12
SACHET
5,687
5,687
13
CATGUT CHROMIC
ROLL
14
SET
15
DENGUE N5 1 ANTIGEN
SET
16
DEX GLASS
BUAH
81
81
17
BUAH
96
96
18
FESCOPLAST
ROLL
19
FOLEY CATETHER
BUAH
15
15
20
GLUCOSA TEST TIP
TIP
8,530
8,530
21
GOLONGAN DARAH KIT
SET
33
33
22
H2O2
BOTOL
13
13
23
LEMBAR
44,400
44,400
1,800
24
HAND SCONE STERILE
PASANG
580
580
30
25
SACHET
860
860
26
HEMASITO METER
BUAH
27
ISI AUTOCLIX
KOTAK
28
INFUSION SET ANAK
29
INFUSION SET DEWASA
30
21,960
21,960
SET
142
142
SET
719
719
IODIUM TEST
BOTOL
78
78
31
IV CATETHER
SACHET
4,393
4,393
32
JARUM JAHIT
BUAH
250
250
1 ###
30
10
159
7
-
5
-
1 ###
3
400
500
1,000
300
2,000
3
800
50
800
7,600
100
30
210
300
300
180
90
380
-
60
1
210
300 ###
1,470
10
20
150
11
50
225
-
30
30
10
20
60
120
32
NO
NAMA OBAT
33
KACA MULUT
34
35
36
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
BUAH
80
80
BUNGKUS
171
171
KAPSUL KOSONG NO.0
BUAH
KAPSUL KOSONG NO.1
BUAH
37
LEMBAR
38
ROLL
100
100
39
KASSA STERIL
KOTAK
814
814
40
KASSA 4 M X 15 CM
ROLL
330
330
41
LAMPU SPIRITUS
BUAH
42
BOTOL
43
BOTOL
16
16
44
KOTAK
109
109
45
METILEN BLUE 250 ML
BOTOL
16
16
46
MICROPIPET 3 UKURAN
BUAH
47
MASKER
BUAH
39,500
39,500
48
BUAH
121
121
49
BUAH
120
120
50
BUAH
45
45
51
BUAH
45
45
52
BUAH
45
45
53
MATA SCALLER
BUAH
54
NASO GASTRIC TUBE
TUBE
13
13
55
BUAH
127
127
56
BUAH
128
128
57
NEEDLE
BUAH
53
53
58
OBJECT GLASS
BUAH
184
184
59
OIL IMERSI
BOTOL
16
16
60
OSE
BUAH
61
PENJEPIT TABUNG
BUAH
22
22
62
PIPET BESAR
BUAH
63
PIPET KECIL
BUAH
64
PLESTER
ROLL
286
286
65
POT DAHAK
BUAH
66
BUAH
67
VIAL
68
SELANG O2 ANAK
BUAH
48
48
20
34
2 ###
5
49
60
100
50
10
70
16
218
100 ###
330
###
4
-
1,000
400
100
700
1,000
500
450
600
500
5,250
10
13
10
12
5
2
2
20
10
50
10
12
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
BUAH
30
30
SET
648
648
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
10
CLG
CBB
CWD
PM
11
12
13
14
JBG
CTK
15
16
17
10
JUMLAH
18=(7s/d17)
69
SELANG O2 DEWASA
70
SGOT/SGPT TEST
71
72
STRIP ASAM URAT
73
STRIP HB
BOX
201
201
74
STRIP GULA DARAH
BOX
48
48
75
BOX
76
STRIP KOLESTEROL
BOX
77
VENOJECT
KOTAK
18
18
78
YELLOW TIP
BUAH
19
19
79
TABUNG REAKSI BESAR
BUAH
37
37
80
TABUNG REAKSI KECIL
BUAH
63
63
81
TERMOMETER DIGITAL
BUAH
30
30
82
TORNIKUET
BUAH
102
102
83
BUAH
17,850
17,850
84
BUAH
104
104
85
URINE BAG
BUAH
199
199
86
KOTAK
87
WIDAL TEST
KOTAK
88
WHITE TIP
BUAH
24
24
89
KOTAK
90
POCH PACK D
BUAH
91
POCH PACK L
BUAH
92
BUAH
93
BUAH
94
CALIBRATION SCS
BUAH
95
BUAH
96
STROMALYSER WH
BUAH
97
BUAH
98
BUAH
99
BUAH
SACHET
PWK
12
-
10
20
15
45
1
2
###
13
15
10
10
OBAT GIGI
1
ARSEN
BOTOL
ARTIKULATING PAPER
KOTAK
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
BOTOL
73
73
BEIN GIGI
SET
CALCIDOR
POT
CEVITRON
BUAH
136
136
CHKM
POT
16
16
CRESOPEN
BOTOL
10
10
DENTORIT
BOTOL
10
DYCAL
BOTOL
16
16
11
ETIL KLORIDA SPRAY
BOTOL
207
207
12
EUGENOL CAIRAN
BOTOL
185
185
13
IODOFORM PASTA
POT
14
14
14
GLASS IONOMER ART
SET
50
50
15
OCO / TSR
BOTOL
10
10
16
BOTOL
17
SET
12
12
18
SET
10 ###
10
10
10
10
10
70
1
1
-
3
1
2
5
5
2
19
-
Cilegon, 31 Agustus 2015

Nip. 19660223 199203 2 002
NIP. 19740620 200312 2 003
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
Nama Obat
ED
Jumlah
Keluar
No
1
2
3
4
5
Ambroxol Syrup
Okt-15
10
Amixicillin 500 mg
Jul-14
600
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
NO
NAMA OBAT
SATUAN
STOCK
AWAL
Amoxicillin Syrup
PENERIMAA PERSEDIAA
N
N
5
Nov-14
10
Antacida tab
Jul-14
200
Antalgin 500 mg
Mei-16
400
10
Anti Bakteri Salep
Ags-17
10
11
Asam Ascorbat 250 mg
Sep-14
2,000
12
Asam Mefenamat
Jul-14
400
13
Captopril 25 mg
Ags-17
200
14
Co Amoxiclav
Jun-14
60
15
Cotrimoxazol 480 mg
Mei-17
400
16
CTM
17
Dexametason
18
Etanol
19
Jul-14
600
Ags-17
400
Garam Oralit
Ags-17
200
20
Hidrokortison Salep
Jun-14
21
Kassa
22
Kotrimoxazol 120 mg
Mar-14
400
23
Metronodazol 500 mg
Apr-14
200
24
Natrium Diklofenak
Jul-14
100
25
Oxytetrasiklin 3 %
Jun-14
10
26
Piridoxin
Sep-14
2,000
27
Povidon Iodida 60 ml
Nov-14
28
Prednison
Jun-14
600
29
Salbutamol 2 mg
Jun-14
200
30
Salisil bedak
Mei-16
10
31
Simvastatin
Ags-17
100
Tablet Tambah Darah
Apr-14
12,000
Thiamin tab
Mar-14
2,000
Vitamin A 200.000 IU
Jan-14
150
Vitamin B Komplek
Sep-14
2,000
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
Pemberian
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
3,850
3,150
3,150
25
78,750
213,600
12,400
534
400
20,000
648
50,600
86
200
1,800
210
3,300
300
23,600
25,800
990,000
150
495,000
1,000
124,850
125
500
80
40,800
102
240
420
440
62,425
300
1,000
8,000
17,200
1,250
4,750
16,100
2,277
200
35,900
211
452,600
261
3,000
116
300
72
200
14,400
400
3,850
19,250
100
473,000
126,311
2,491
1,500
171,100
199,800
3,095
ANTASIDA SUSPENSI
15
33
3,765
-
1 ANTI BAKTERI DOEN SALEP (KOMB.BASITRASIN 500 IU/G +

1 SALISILAT 3 %)
1,713
5,832
455,400
522,000
34,800
-
50
2,000
-
113,850
522,000
-
500
58,000
1,000
72,000
2,000
100,800
385,000
252,622
-
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
3,025
20
60,500
95
159
251,800
100
10,650
1 ASAM TRANEKSAMAT 500 MG
1,045
50
52,250
1,100
367
900
1,780
529,900
16,700
66
69,300
317
230
19,310
180
6,025
ANTI HEMOROID DOEN

ATROPIN SULFAT INJ

100
AZITHROMYCIN 500 MG
4,500
1 BEKARBON
76
1,346
95,000
200,000
30
500
50,000
90,750
-
1,600
254,400
500
50,000
104,500
2,000
200,000
100
300
20
330,300
290,000
-
110,100
116
160
1,520
100
924
25,300
6,199
2,300
100
281
300
12,100
66,000
264,000
12,650
500
1 BISACODYL 10 MG SUPP
BISOPROLOL 5 MG
CALAMIN LOTION
18,560
90,000
12,185
1,500
2,900
720
2,000
15,400
94,800
AQUABIDEST
354
1,000
84,300
168,600
230,000
66,000
-
598,700
63
800
170,600
88
300
8,800
20
176,000
859
150
210
180,390
4,015
5,000
5,500
10,440
100
740
17,930
375
4,200
17,300
90,050
3,350
577,300

CEFIXIME 100 MG
CEFOTAXIME INJ 1G
1 CEFTRIAXON INJ
50,400
600
37,194
152,000
128,850
28,050
CETIRIZIN 10 MG
188
100
18,800
500
CIMETIDIN TABLET
116
100
11,600
300
34,800
245
100
24,500
1,000
245,000
527
91
CETIRIZINE DROP
1 CIPROFLOXACIN 500 MG TABLET

1,000
90,970
94,000
26,400
1,044,000
-
10
-
300
56,400
300
200
23,200
300
73,500
500
200
1,500
136,455
3,600
31,500
-
104,400
56,400
122,500
327,492
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
CLG
Harga
Pemakaian
Pemakaian
Harga
19=6-18
-
245
122
1,379
99
5,060
396
5,727
85
3,960
69
500
34,500
2,000
6,000
45
2,368
16
960
91
3,333
DOMPERIDON 10 MG
167
220
8,100
7,220
394,200
2,199
40,000
120
180
50,900
1,370
25,500
7,000
107
888

1 DIAZEPAM TABLET
1 DIFENHIDRAMIN INJ

1 ERYTHROMYCIN 200 MG SYRUP
200
100
44,000
300
100
92,100
1,000
220,000
440
36,600
921
38,800
1 ETAMBUTOL 500 MG
420

1 ETANOL 70 % 1000 ML
1,400
50,600
604
65
48
4,530
44,500
770
2,477
776,800

75,900
48,384
V98*579
126,500
634
100
63,400
300
22,000
19,080
91
1 GAMEKSAN
6,600
3,417
16,000
1 FITOMENADION INJ
22,000
1,008
220
276,300
100
FLUCONAZOL 150 MG
44,000
1,008
37,888
2,200
4,500
2,000
840,000
25,300
7,000
15,300
69,000
494
1,000
-
16,200
121
200
126,800
288
200
57,600
200
57,600
1,850
50
92,510
100
185,020
895
50
44,750
54
300
16,200
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
3,000
1 GLIMEPIRIDE 2 MG
15,480
1
410,000
-
436
1 GLISERIN LARUTAN
495,000
5,500
90
300
130,800
28
4,730
2,000
11,100
200
200
4,700
165
8,400
246
400
14,724
432
227
56,000
40,000
98,400
51,975
155,925
34,391.50
8,220
4,730
210
993,300
28,432
2,399
96
50
50
119,950
12,000
1,265
55,550
4,499
93
146
500
43
230
143,600
HEPAPROTEKTOR SYRUP

230,304
119,950
55,550
1
2,000
55,550
292,000
5,000
1 ISONIAZID 100 MG
44
6,000
1 ISONIAZID 300 MG
107
IMUNOSTIMULAN SIRUP
55,000
4,950
97
100
1,444
70
500
35,000
355.30
100
200
100,600
16,400

70
KANAMYCINE 2 GR
19,800
890
KAOLIN SUSPENSI
12,012
410
150
9,700
61,500
9,000
2,914
4,700
16
75,200
24
4,700
KETOPROFEN 100 MG
1,342
KETOROLAC INJ 10 MG
2,539
310
1,600
50
3,800
100
29,600
2,689
168
80,000
-
35,530
48
-
112,800
76,800
-
STOCK
AKHIR
NAMA OBAT
HARGA
DINAS
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
7,675
5,995
50
299,750
636
1,815
24
43,560
600
3,500
2,991

1 MG KRIM
45,900

456
482

1 GG SYRUP
7,050
13,200

1 CTM
GUAIAKOLATSULFONAT
26,360

1 TABLET
1,574
2,491
48,400

SYRUP
/ TREMENZA
KOMB.TRIPOLIDIN
2,5SYRUP
MG + PSEUDOEFEDRIN 60 MG TABLET
/ LIBROFED TABLET
43,700
3,865

ACID 200 MG TABLET
110,000
60
396,000
-
528,000
-
20
20
200
36,400
50
120
79,200
660
-
950,400
-
5
50,000
10,000
-
47,520
100
-
1,100
-
110,000
1,056
200
3,168,000
70,000
5
550,000
220,000
200
316,800
50
79,200
200
300
-
500
209,000
-
20
522,500
50
-
123,200
-
1,440
91,000
147,520
20
500
10,450
147,520
-
15,885
9,100
80
6,160
1,975
440,000
15,840
400
7,376
209
312
182
99,000
6,600
8,030
MG
15

1
1,000
100
1,100
7,010
86
1,100
1
300
98,750
211,200
-
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
19,700
12,240
2,750
7,310
15,970
743
20,800

LISOL
138
50
574
500
1,030
287,000
1,000
100
-
100
63,800
200
13,200
91
500
300
45,500
127,600
30,300
1 MELOXICAM 15 MG
1,199
100
119,900
500
141,000
1 METFORMIN 500 MG
105
METFORMIN 850 MG
260
154
599,500
1,000
105,000
2,750
296
300
200
44,000
91

599,500
17
27,300
127,600
500
94
500
57,400
200
36,000
638
638
MELOXICAM 7,5 MG
3,300
15,500
50,000
5,500
60,000
200
60,000
220,000
2,830
10,100
123
1,000
123,000
7,600
164
500
82,000
500
2,832
1 MICONAZOLE SALEP
3,000
4,070
12
82,000
360
17,800
35,600
544
16,335
20,680
48
992,640
48
992,640
1,265
1,200
1,518,000
800
1,012,000
9,653
37,600

MULTIVITAMIN TABLET
16,400
196,020
-
800
1,012,000
2,000
28,000
400
53,200
52,800
42,000
14
37,400
133
700
18,400
176
700
300
15,895
4,700
500
123,200
4,700
1,440
11,110
80,700
112
800
1,500
640
1,800
407
100
132
89,600
100
93,100
40,700
14,100
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
17,984
298

OBH
30,800
4,000
80

3,750
16,300
2,690
2,000
1,400
948
6,472
1 OFLOXACIN 200 MG
21,450
10,725
-
320,000
60
240,000
24
-
413
100
41,300
OFLOXACIN 400 MG
873
200
174,600
1 ONDENSETRON INJ
6,050
1,450
2,100
OXYTOCIN INJ
13,913
10
16,100
119
100
530
60
11,900
32
7,040
1 PARASETAMOL DROPS
5,227
10,454
56
292,712
263,800
PARASETAMOL SUPP 160 MG/ PROPIRETIC
1,319
3,957
80
105,520
200
1,051,800
PARASETAMOL 500 MG
84
400
33,600
2,900
243,600
748
11,475
290
500
198
18
83.93
240
28,600
31,958
9,500
47,600
192,000
99,600
143

1 PIROXICAM
1 ALBOTYL
920
2163
2,400
193
14,000
133
POVIDON IODIDA 1 L
42,000
57
34,000
106,600
-
96,000
0
-
171,600
14,000
42,000
1,000
57,000
1,000
5,000
28,000
57,000
1
2,000
26,135
420,000
145,000
20,143
0
14,000
114,000
1 PROPANOLOL 40 MG
120
1 RANITIDIN TABLET
120
200
24,000
500
1,928
139,130
60,000
1,000
120,000
1,282
14,300
186
19,600
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
660
5,200
31,000
1,500
200
57,900
1,008
39,600
606
78
1 RIFAMPICIN 450 MG
15,600
300,000
253,260
759,780
63,750
40,100
59
100
5,900
300
17,700
25,700
89
200
17,800
200
17,800
200
4,950
1,250
100
3,630
930
1 SEFADROKSIL SYRUP
5,248
1,750
SEFADROKSIL 250 MG
468
100
100
SEFADROKSIL 500 MG
509
3,800
4,027
1 SALEP 2 - 4
SALISIL BEDAK 2 %
46,800
50
-
17,800
125,000
23,400
-
3,780
12,100
90
1,089,000
118,000
12
2,000
24,000
520
58,300
291,500
174,900
391
500
195,500
600
234,600
94,160
274
60,400

SIMVASTATIN TABLET
23,540
919
2,090
5,782
3,226
48
103,600
700

54,000
1,000
1,023
102,300
186
1,023,000
154,848
500
-
511,500
306,900
1,050
700
35
1,000
35,000
1,000
35,000
431
500
323
140
5,400
40
200
200
32,500
158,600
762,000
107
30,000
475
300
142,500
1,000
-
215,500
300
44,000
-
100
107,000
-
8,000
95,000
200
95,000
STOCK
AKHIR
NAMA OBAT
HARGA
DINAS
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
6,000
300
936,000
100
200
1,550,000
110,000
2,500
2,662
13,600
3,120
7,231
7,750
969
3,300
110
8,360
30
22
525,000
ALCOHOL SWABS
275
BISTURI
550
9,600
396
32
690
85,200
507
ALAT PEMERIKSAAN HB
7,509,750
-
312,000
100
902,000
78,100
250,800
902,000
27,500
902,000
902,000
5,415,500
1,650,000
2,420,000
39,050
302,500
5,528
-

CATGUT CHROMIC
81
DEX GLASS
89
907,500
FESCOPLAST
10
FOLEY CATETHER
15,400
GLUCOSA TEST TIP
8,323
935,000
18,755
880
1,800
1,584,000
400
8,800
30
264,000
13,200
30
300
8,530
24
GOLONGAN DARAH KIT
10
H2O2
36,800
400
HAND SCONE STERILE
480
20,490
HEMASITO METER
ISI AUTOCLIX
1,632
60
97,920
131
INFUSION SET ANAK
8,800
494
INFUSION SET DEWASA
7,321
78
IODIUM TEST
20,900
4,273
IV CATETHER
22,000
218
JARUM JAHIT
20,900
AC287*511500
1
352,000
500
935,000
440,000
396,000
489,600
8,800
41,800
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
80
137
KACA MULUT
96,800
20,130
20
KAPSUL KOSONG NO.0
44
KAPSUL KOSONG NO.1
33
1,980
84
130,000
260,000
KASSA STERIL
6,820
34,100
13,640
KASSA 4 M X 15 CM
5,882
50
294,100
LAMPU SPIRITUS
16
46,200
101,750
105
49
402,600
351,078
60,390
101,750
596
40,260
260,000
37,400
1,078,000
330
400
132,000
100
108
22,000
22,000
108
22,000
45
95,700
45
95,700
45
95,700
236,500
16
METILEN BLUE 250 ML
MICROPIPET 3 UKURAN
34,250
MASKER
1,000
330,000
33,000
MATA SCALLER
NASO GASTRIC TUBE
55,000
125
40,700
126
52
175
16
2
NEEDLE
OBJECT GLASS
40,700
110,000
34,991
OIL IMERSI
OSE
13,500
5,400
174,955
22
PENJEPIT TABUNG
PIPET BESAR
PIPET KECIL
236
PLESTER
8,167
16,333
40,833
24,500
POT DAHAK
943,500
702,240
13,200
36
SELANG O2 ANAK
26,400
STOCK
AKHIR
NAMA OBAT
HARGA
DINAS
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
18
SELANG O2 DEWASA
1
603
13,200
1,082,950
3,056
10
200
STRIP HB
191,500
26,400
30,556
191,500
STRIP GULA DARAH
95,000
190,000
95,000
77,000
77,000
STRIP KOLESTEROL
159,500
18
VENOJECT
440,000
19
YELLOW TIP
95,700
37
TABUNG REAKSI BESAR
2,015
63
TABUNG REAKSI KECIL
2,015
15
TERMOMETER DIGITAL
34,320
35
102,960
462,000
17,850
1,000
104
13,200
102
189
TORNIKUET
URINE BAG
WIDAL TEST
24
4,950
247,500
1,396,000
133,100
OBAT GIGI
ARSEN
484,000
ARTIKULATING PAPER
291,500
STOCK
AKHIR
NAMA OBAT
HARGA
DINAS
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
73
225,500
3,740,000
CALCIDOR
209,000
66
CEVITRON
115,500
10
15
CHKM
70,000
1,155,000
10
1,155,000
CRESOPEN
770,000
DENTORIT
154,000
11
DYCAL
534,600
188
ETIL KLORIDA SPRAY
145,200
185
EUGENOL CAIRAN
3,178
14
IODOFORM PASTA
302,500
45
GLASS IONOMER ART
687,500
10
OCO / TSR
110,000
1,265,000
12
418,000
36,300
3,486,756
19,892,337
5,946,725
145,200
21,238,079
18,485,588
STOCK
AKHIR
19=6-18
NAMA OBAT
HARGA
DINAS
Pemakaian
PROGRAM
Harga
Pemakaian
Harga
P2KP
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
STOCK
AKHIR
19=6-18
NAMA OBAT
HARGA
DINAS
Pemakaian
PROGRAM
Harga
Pemakaian
Harga
P2KP
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
STOCK
AKHIR
19=6-18
NAMA OBAT
HARGA
DINAS
Pemakaian
PROGRAM
Harga
Pemakaian
Harga
P2KP
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
Harga
Pemakaian
50
157,500
75
500
267,000
100
500
43,000
-
200
17,200
1,000
236,250
JBG
86,000
700
236,250
60,200
300
Pemakaian
-
53,400
25,800
711,900
534,000
2,000
172,000
42,000
400
1,320,000
50
165,000
400
1,320,000
100
330,000
200
660,000
5,940,000
1,000
124,850
1,000
124,850
1,300
162,305
1,200
149,820
500
62,425
500
62,425
873,950
447,200
200
Harga
660,000
Harga
200
75
CTK
42,000
510
-
570,000
270
64,800
250
569,250
-
7,000
1,827,000
510
-
500
105,500
2,000
522,000
500
1,500
V29*81
122,400
3,000
58,000
V29*81
30
7,200
120
570,000
50
113,850
100
227,700
450
-
6,000
1,566,000
7,000
1,477,000
1,100
232,100
9,000
2,349,000
6,000
1,566,000
2,088,000
300
900,000
139,200
3,500
406,000
2,000
232,000
2,000
232,000
4,000
288,000
3,500
252,000
5,000
360,000
6,000
486,000
385,000
50
192,500
100
1,024,650
1,200
8,000
122,400
417,600
2,504,700
1,814,600
10,962,000
900,000
1,160,000
#VALUE!
50
-
192,500
-
100
-
252,622
50
124,550
100
385,000
378,933
-
126,311
125
311,375
126,311
-
50
385,000
1,944,250
1,136,799
124,550
560,475
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
Harga
Pemakaian
Harga
Pemakaian
Harga
Pemakaian
10
28,500
1,500
142,500
1,000
159,000
2,500
397,500
2,500
397,500
7,000
1,113,000
2,321,400
2,000
200,000
4,000
400,000
2,500
250,000
4,000
400,000
2,450,000
600
200,000
220,200
5,000
500,000
100
104,500
1,050
120
100
152,000
100
152,000
385,350
-
600
50
Harga
90,750
CTK
30
50
151,250
JBG
300
2,000
30,250
PWK
900
220,200
151,250
-
330,300
574,750
266,000
261,250
1,596,450
638,000
10
125
348,000
190,000
50
45,000
40
180,000
315,000
750
87,000
105,560
76,000
100
152,000
874,000
371,940
100
230,000
100
230,000
3,000
843,000
462,000
900
500
-
31,500
-
252,900
24
148,776
63,000
2,000
126,000
2,000
176,000
2,500
220,000
264,000
10
88,000
210
180,390
510
438,090
5
700
-
52,200
131,600
-
50
1,000
-
522,000
188,000
-
1,020
876,180
190
AM51*V51-58050
100
230,000
4,000
210
352,000
180,390
700
44,100
500
88,000
10
88,000
10
522,000
-
75,200
843,000
1,000
50
3,000
1,000
188,000
400
600
69,600
100
104,400
18,800
-
1,030,800
378,000
862,400
616,000
3,015,090
100
1,500
1,044,000
282,000
3,393,000
1,109,200
139,200
500
833,000
500
400
4,000
363,880
10,800
982,476
7,200
654,984
122,500
1,200
31,500
#VALUE!
2,191,800
300
73,500
12
74,388
100
700
171,500
1,000
30
-
132,000
18
111,582
7,200
654,984
3,211,241
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
1,000
69,000
50
100,000
2,000
138,000
5,500
379,500
200,000
100
100
9,100
4,500
37,888
9,100
10
199,980
250,500
396,000
1,000
167,000
200
44,000
100
22,000
100
100
100
44,000
100
44,000
100
100
92,100
100
92,100
200
5
1,000
44,000
396,000
184,200
126,500
1,749,900
840,000
6,600
75,900
455,400
1,200
724,800
#VALUE!
24
48
102,510
V94*133
30
22,000
102,510
100
30
22,000
483,200
306,000
800
33,330
92,100
1,690,500
921,000
483,000
83,500
1,000
7,000
166,650
207,000
50
220,000
3,000
500
500
310,500
48,384
30
102,510
90
253,600
307,530
24,192
120,960
615,060
400
#VALUE!
100
81,900
500
144,000
835,200
150
277,530
1,063,865
9,100
-
400
-
36,400
-
200
-
18,200
-
200
-
18,200
300
86,400
500
144,000
600
172,800
600
172,800
50
92,510
50
92,510
100
185,020
50
92,510
25
46,255
24
21,480
100
89,500
200,480
800
43,200
1,500
81,000
734,400
2,000
108,000
50
44,750
5,000
270,000
1,000
54,000
3,000
162,000
CBB
Pemakaian
-
CWD
Harga
Pemakaian
-
1,000
PM
Harga
Pemakaian
436,000
Harga
Pemakaian
-
2,000
PWK
56,000
Harga
Pemakaian
-
3,000
JBG
84,000
400
CTK
Harga
Pemakaian
174,400
2,000
56,000
200
300
73,800
300
12
176,688
210
300
1,419,000
460,608
510
2,412,300
72
172,728
2
1,500
111,100
219,000
48
1
1,000
115,152
55,550
146,000
993,300
73,800
5,000
495,000
140,000
392,000
80,000
165,000
165,000
500
123,000
2,000
492,000
861,000
5,817,900
120
287,880
192
600
759,000
55,550
500
55,550
73,000
72
55,550
741,200
1,000
40,000
Harga
259,875
172,728
176,688
415,800
1,679,300
759,000
444,400
50
1,000
224,950
146,000
224,950
876,000
100
29,100
100
9,700
300
21,000
1,500
105,000
200
71,060
200
71,060
70,000
100
35,530
30
200
82,000
100
50
235,000
12
72
338,400
10
50
5
25,390
-
56,400
120
80,000
50
19,000
80,000
-
48
-
304,680
76,800
-
50
-
80,000
-
105,000
41,000
1,500
100
360,360
1,000
9,700
(4600*46)+(2400*70)
#VALUE!
213,180
72
864,864
300
123,000
348,500
72
338,400
1,156,200
330,070
500
155,210
155,210
50
80,000
668,800
10
38,000
57,000
72
-
7,000
41,000
115,200
-
1,225,224
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
75
449,625
50
299,750
100
599,500
100
599,500
50
299,750
100
599,500
3,147,375
48
87,120
48
87,120
72
130,680
48
87,120
24
43,560
48
87,120
566,280
100
20
V145*8289
132,000
160
V145*8289
20
792,000
120
550,000
300
AO145*8289
1,980,000
900
-
#VALUE!
280,800
50
50
280,800
-
120
739,200
300
792,000
50
554,400
401,500
20,900
-
72
1,140,480
98,750
1,500
550,000
500
1,056,000
50
120
1,650,000
528,000
1,900,800
150
880,000
50
2,376,000
98,750
144
550,000
1,588,500
3,135,000
6,959,700
396,000
4,989,600
401,500
120,000
20,900
2,280,960
10,992,960
1,650,000
6,160,000
1,584,000
7,392,000
98,750
395,000
1,500
2,112,000
1,588,500
1,500
2,000
-
1,100,000
500
1,584,000
550,000
800
1,500
1,188,000
1,010,100
600
2,710,400
91,000
300
522,500
1,800
500
1,000
1,029,600
-
739,200
100
50
1,003,200
1,032,640
500
500
1,045,000
327,600
96
1,560
368,800
120
1,800
100
840
182,000
368,800
-
369,600
1,000
550,000
522,500
1,200
218,400
500
60
739,200
1,200
50
100
54,600
120
50
CBB
Pemakaian
500
-
CWD
Harga
Pemakaian
69,000
-
Harga
Pemakaian
500
50,000
401,800
216,300
510,400
184,800
92,700
-
61,800
500
319,000
66,000
700
26,400
60
500
599,500
1,000
1,199,000
1,600
1,918,400
500
52,500
3,000
315,000
1,200
126,000
10
-
27,500
-
Harga
90
Pemakaian
800
10
-
1,000
300,000
800
264,000
100
9,100
27,500
240,000
110,400
Harga
800
61,800
Pemakaian
60
110,400
Harga
CTK
13,200
Pemakaian
JBG
57,400
Harga
PWK
100
PM
1,000
1,500
450,000
264,000
500
45,500
200
1,000
446,600
105,000
6
600
1,000
16,500
300,000
18,200
58
-
79,200
382,800
105,000
500
1,000
69,000
319,000
105,000
358,800
72,800
1,276,000
5,035,800
913,500
236,500
159,500
-
100
30,000
220,000
100
9,100
450,000
1,890,000
264,000
1,232,000
81,900
100
12,300
135,300
300
100
16,400
400
10
49,200
15
267,000
48
784,080
10
163,350
50
1,034,000
72
1,488,960
1,000
1,265,000
1,000
1,265,000
1,000
14,000
500
66,500
500
66,500
500
100
-
82,000
2,068,000
-
800
131,200
178,000
-
980,100
2,123,550
3,474,240
20,183,680
1,265,000
500
632,500
500
28,000
2,000
28,000
1,000
2,000
28,000
1,200
159,600
88,000
200
500
40
188,000
40
444,400
300
33,600
1,000
112,000
100
64,000
1,600
179,200
100
836,600
60
168
10
356,000
524,800
5,170,000
4,963,200
2,000
20
65,600
250
240
47,000
1,500
1,000
(400*1287)+(100*528)
133,000
#VALUE!
126,000
571,900
253,800
444,400
414,400
100
64,000
128,000
100
40,700
122,100
40,700
35,200
299,200
CBB
Pemakaian
CWD
Harga
Pemakaian
200
50
300
50
20
200
Harga
Pemakaian
-
(146*5225)+(54*4
536,250
100
PM
41,300
(250*654)+(50*87
278,260
23,800
Pemakaian
-
480
300
36,250
75
JBG
Harga
Pemakaian
-
1,920,000
25
Harga
72,500
PWK
150
261,900
108,750
200
Harga
Pemakaian
-
600,000
CTK
174,600
168
Harga
-
672,000
#VALUE!
536,250
1,093,950
50
-
100
41,300
123,900
200
174,600
#VALUE!
50
2,504,340
50
695,650
100
1,391,300
1,000
72,500
290,000
119,000
154,700
20
104,540
56
48
250,896
300
6,000
-
10
52,270
395,700
150
197,850
350
461,650
350
461,650
200
263,800
504,000
8,000
672,000
10,800
907,200
10,800
907,200
15,000
1,260,000
2,000
600
-
580,000
50,358
0
1,000
-
290,000
-
1,000
18,000
600
50,358
2,040
171,217
85,800
85,800
1,800
522,000
2,400
20
201,432
43260
1,000
2,000
290,000
36,000
292,712
1,029,719
100
131,900
2,285,827
15,000
1,260,000
6,207,600
1,000
290,000
2,117,000
54,000
1,080
90,644
2,040
171,217
755,370
10
286,000
10
286,000
915,200
10
21630
64,890
56,000
42,000
399,000
1,500
180,000
1,000
120,000
3,000
5,500
171,000
660,000
2,500
300,000
500
60,000
1,000
120,000
1,644,000
CBB
Pemakaian
1,000
CWD
Harga
Pemakaian
(600*660)+(400*5
PM
Harga
Pemakaian
-
104,000
40
300
450,000
10
759,780
-
11,800
200
100
V238*96
Harga
100
500
-
29,500
-
Pemakaian
-
2,000
-
Harga
3,000,000
#VALUE!
847,600
3,750,000
4,052,160
400
23,600
100
8,900
800
59,000
V238*96
800
71,200
100
125,000
100
48
174,240
100
90,750
Harga
25
1,000
Pemakaian
1,000
Harga
CTK
JBG
520,000
2,532,600
-
Pemakaian
-
20
208,000
PWK
100
125,000
46,800
-
71,200
147,500
#VALUE!
375,000
627,990
351,000
500
-
363,000
234,000
-
90
1,089,000
90
1,089,000
90
1,089,000
90
1,089,000
5,445,000
2,000
24,000
2,000
24,000
2,000
24,000
2,000
24,000
120,000
291,500
291,500
291,500
291,500
174,900
10
583,000
2,390,300
200
78,200
500
195,500
1,200
469,200
2,800
1,094,800
1,000
391,000
1,500
586,500
3,245,300
117,700
1,177,000
50
24
1,000
100
1,023,000
200
-
2,000
102,300
1,500
1,000
1,534,500
1,023,000
93,000
353,400
93,000
500
86,200
-
1,000
35,000
4,000
140,000
43,100
100
4,000
464,544
3,069,000
10,741,500
539,400
140,000
2,000
70,000
525,000
344,800
270,000
50
270,000
8,000
600
24,000
1,000
40,000
500
20,000
1,000
40,000
1,000
107,000
1,500
160,500
1,500
160,500
4,000
428,000
2,000
214,000
1,000
475,000
700
332,500
600
285,000
700
332,500
500
237,500
500
232,272
200
70,000
1,900
72
3,000
2,046,000
2,000
77,424
1,388,860
3,000
1,000
120,000
475,000
260,000
1,177,000
2,470,000
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
798,600
100
300
936,000
500
1,560,000
200
532,400
100
266,200
400
1,248,000
100
312,000
100
600
165,000
1,000
902,000
902,000
30
2,343,000
10
781,000
330,000
275,000
902,000
5,616,000
9,059,750
330,000
250,800
200
8,118,000
400
110,000
1,804,000
390,500
902,000
55,000
632,500
-
3,514,500
2,117,500
77,000
302,500
#VALUE!
1,000
77,000
907,500
312,000
880,000
935,000
-
300
264,000
440,000
5
3
56,265
2,000
1,760,000
50
210
300
20
-
146,420
-
10
88,000
150
1,098,150
4,675,000
50
-
30
660,000
30
660,000
60
10
209,000
20
418,000
2,772,000
489,600
366,050
1,320,000
-
1
800
935,000
704,000
56,265
800
704,000
6,688,000
880,000
1,584,000
100
90
210
342,720
300
489,600
300
1,188,000
489,600
4,356,000
2,399,040
2,640,000
668,800
36,605
96,800
1,647,225
CBB
Pemakaian
2
CWD
Harga
Pemakaian
-
Harga
Pemakaian
-
PWK
Harga
Pemakaian
-
JBG
Harga
Pemakaian
-
CTK
Harga
Pemakaian
Harga
684,420
40,260
260,000
PM
40,260
100,650
390,000
650,000
260,000
2,080,000
682,000
13,640
1,503,658
100
588,200
100
60
409,200
100
10
58,820
70
407,000
-
101,750
101,750
411,740
101,750
588,200
700
231,000
44,000
44,000
165,000
450
10
220,000
286,000
10
220,000
264,000
275,000
81,400
81,400
110,000
81,400
81,400
275,000
148,500
600
198,000
500
165,000
500
1,000
330,000
1,941,060
1,732,500
408,334
57,167
20
163,333
110,000
24,500
10
81,667
139,964
314,919
10
158,400
132,000
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
10
137,500
191,500
20
61,111
15
45,833
380,000
77,000
132,000
JBG
154,000
570,000
158,400
1,235,000
308,000
514,800
102,960
102,960
102,960
102,960
49,500
10
49,500
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
8,085,000
10
1,155,000
10
1,155,000
10
1,155,000
10
1,155,000
70,000
70,000
770,000
770,000
2,673,000
3
3
435,600
1,603,800
2,062,500
1,069,200
726,000
1,375,000
10
1,155,000
290,400
1,161,600
2,758,800
311,761,529
3,437,500
39,768,677
34,170,037
57,638,110
48,978,788
37,927,152
53,555,098
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga

DI KOTA CILEGON
Propinsi
: BANTEN
Alamat
: 9 Unit
Bulan
: September
Tahun
: 2015
NO
NAMA OBAT
ACYCLOVIR 5 GR KRIM
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
10
CLG
CBB
11
12
CWD
PM
13
14
TUBE
3,850
3,850
25
50
50
25
TABLET
12,400
12,400
200
150
500
200
TABLET
20,000
20,000
200
100
1,000
300
TABLET
50,600
50,600
300
300
TABLET
1,800
1,800
BOTOL
23,600
23,600
TABLET
8,000
8,000
100
TABLET
1,000
1,000
40,800
40,800
TABLET
10
TABLET
11
TABLET
12
13
14
100
500 ###
300
1,500
100
100
1,000
CTK
15
16
17
25
JUMLAH
18=(7s/d17)
125
300
1,000
2,050
200
400
1,000
3,200
500
700
600
2,000
5,500
150
350
200
400
1,605
1,000
1,000
400
1,000
2,000
8,000
300
500
1,250
BOTOL
16,100
16,100
KAPLET
35,900
35,900
15
KAPLET
452,600
452,600
16
TABLET
1,500
1,500
17
TABLET
171,100
171,100
18

TABLET
199,800
199,800
19
ANTASIDA SUSPENSI
BOTOL
3,095
3,095
50
20
VIAL
15
15
21
AMPUL
33
33
22

TUBE
3,765
3,765
25
23

SALISILAT 3 %)
POT
120
24
ANTI HEMOROID DOEN
SUPP
100
200
150
3,000
6,000
300
1,000
250
7,000
250
120
100
550
1,700
2,000
3,000
7,000
9,600
6,000
14,000
55,800
500
2,500
1,500
4,000
10,800
1,500
4,000
3,500
2,000
10,000
24,500
200
150
100
250
800
1,000
1,000
5,000
5,000
1,000
300
1,500 ###
500
###
2
2
2
100
2
125
50
8
100
1,780
500
-
1,250
1,780
JBG
300
VIAL
PWK
400
20
50
20
60
40
30
220
NO
NAMA OBAT
SATUAN
3
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
529,900
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
529,900
1,500
JUMLAH
18=(7s/d17)
25
TABLET
26
TABLET
16,700
16,700
27
TABLET
251,800
251,800
28
TABLET
10,650
10,650
29
ATROPIN SULFAT INJ
AMPUL
66
66
30
TABLET
69,300
69,300
31
AQUABIDEST
BOTOL
32
BOTOL
317
317
33
AZITHROMYCIN 500 MG
KAPSUL
230
230
34
BEKARBON
TABLET
19,310
19,310
35
VIAL
180
180
36
TUBE
6,150
6,150
37
TABLET
38
BOTOL
39
SUPP
354
354
40
BISOPROLOL 5 MG
TABLET
720
720
41
TABLET
94,800
94,800
42
BOTOL
1,500
1,500
43
BOTOL
76
76
44
CALAMIN LOTION
BOTOL
1,346
1,346
45
TABLET
598,700
598,700
46
TABLET
170,600
170,600
47
BOTOL
740
740
48
CEFIXIME 100 MG
KAPSUL
17,930
17,930
49
CEFIXIOME 200 MG
50
CEFOTAXIME INJ 1G
VIAL
51
CEFTRIAXON INJ
VIAL
52
BOTOL
375
375
53
CETIRIZINE DROP
BOTOL
54
CETIRIZIN 10 MG
TABLET
4,200
4,200
55
CIMETIDIN TABLET
TABLET
17,300
17,300
56
TABLET
90,050
90,050
57
KAPSUL
3,350
3,350
58
KAPSUL
59
TABLET
60
TABLET
61
BOTOL
62
TABLET
63
BOTOL
245
245
1,500
100
1,000
2,000
2,500
2,000
200
3,500
1,000
2,500
5,500
3,000
2,000
2,200
3,700
4,800
11,000
6,000
26,600
200
200
-
750
150
750
600
300
750
3,300
-
20
40
40
20
750
120
###
1,500
-
50
100
50
50
125
100
475
-
12
12
-
600
600
3,900
5,100
-
5
1,000 ###
500
1,500
60
50
20
210 ###
3,000
3,000
1,700
1,500
3,000
14,700
1,000
3,000
3,500
1,500
3,000
13,500
10
100
260
120
1,020
2,940
10
10
210
150
1,020
577,300
10
50
10
70
-
500
300
1,000
1,000
600
100
200
300
100
300
200
400
500
3,500
200
400
300
1,200
2,700
600
200
1,000
577,300
2,400
-
1,000
3,600
7,200
2,000
14,400
28,200
10
10
20
NO
NAMA OBAT
SATUAN
STOCK
AWAL
BOTOL
PENERIMAA PERSEDIAA
N
N
5
396
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
10
11
12
13
14
CTK
15
16
17
JUMLAH
18=(7s/d17)
65
BOTOL
85
85
66
TABLET
394,200
394,200
2,000
67
VIAL
2,199
2,199
100
68
DIAZEPAM TABLET
TABLET
40,000
40,000
69
AMPUL
120
120
70
DIFENHIDRAMIN INJ
AMPUL
180
180
71
TABLET
50,900
50,900
72
BOTOL
1,370
1,370
73
DOMPERIDON 10 MG
TABLET
25,500
25,500
74
KAPSUL
7,000
7,000
75
TABLET
76
AMPUL
107
107
77
BOTOL
888
888
78
ERYTHROMYCIN 250 MG
KAPSUL
16,200
16,200
79
TABLET
36,600
36,600
80
ETAMBUTOL 500 MG
TABLET
38,800
38,800
81
BOTOL
121
121
82
ETANOL 70 % 1000 ML
BOTOL
494
494
83
KAPSUL
1,400
1,400
84
TABLET
7,000
7,000
85
FENOL GLISEROL 10 %
BOTOL
1,008
1,008
24
24
86
FITOMENADION INJ
AMPUL
4,530
4,530
30
90
60
180
87
TABLET
15,300
15,300
100
500
1,100
88
FLUCONAZOL 150 MG
TABLET
4,500
4,500
89
AMPUL
220
220
90
TABLET
16,000
16,000
91
GAMEKSAN
BOTOL
92
SACHET
93
TUBE
94
BOTOL
95
TABLET
776,800
776,800
96
GLIMEPIRIDE 2 MG
TABLET
3,000
3,000
97

MG
TABLET
15,480
15,480
98
TABLET
410,000
410,000
99
GLISERIN LARUTAN
BOTOL
10
JBG
64
44,500
396
PWK
2,000
10
20
1,000
5,000
100
100
20
30
4,500
3,500
7,000
26,000
1,000
1,000
###
400
30
500
10
30
100
200
50
800
-
2
5
200
500
24
100
12
15
44
100
100
200
1,000
-
21
-
100
200
200
48
200
200
500
820
820
50
2,477
2,477
200
1,000
40
50
50
26
400
500
700
700
100
30
50
50
1,000
1,000
200
1,500
50 ###
3,000
500
TABLET
11,100
11,100
TABLET
4,700
4,700
4,100
420
50 ###
226
3,000
10,100
600
750
3,000
20,000
30
120
5,000
3,000
2,000
1,000
6,000
400
200
125
-
44,500
1,000
10
100
600
500
2,000
2,600
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
TABLET
8,400
8,400
AMPUL
432
432
TUBE
227
227
BOTOL
500
500
TABLET
8,220
8,220
TUBE
28,432
28,432
TABLET
12,000
12,000

SUPP
43
43
BOTOL
230
230
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
500
400
JUMLAH
18=(7s/d17)
500 ###
1,900
-
3
210
210
48
48
124
96
100
148
100
464
200
2
10
100
10
25
50
195
1,500
1,500
1,000
8,000
TABLET
TABLET
143,600
143,600
TABLET
5,000
5,000
TABLET
6,000
6,000
BOTOL
TABLET
TABLET
200
200
KAPSUL
TABLET
100,600
100,600
TABLET
16,400
16,400
VIAL
70
70
122 KAOLIN SUSPENSI
BOTOL
890
890
TABLET
9,000
9,000
TUBE
2,914
2,914
TABLET
4,700
4,700
AMPUL
100
100
KAPSUL
29,600
29,600
1,000
200
200
121 KANAMYCINE 2 GR
1,500 ###
600
1000
500
1000
2000
9,000
14,100
-
12
60
100
50
24
20
100
24
300
10
36
48
48
800
1,050
192
332
500
800
54
100
-
TUBE
2,689
2,689
BOTOL
168
168
24
BOTOL
7,675
7,675
BOTOL
636
636
TABLET
600
600
TABLET
3,500
3,500

MG KRIM/mytaderm
TUBE
2,991
2,991

TABLET
45,900
45,900
100
24
24
25
100
72
80
72
100
20
24
48
221
24
50
74
75
150
450
72
100
144
20
264
584
-
NO
NAMA OBAT
SATUAN
STOCK
AWAL
136 KOMB. BUDENOSIDE FORMATEROL 80/4,5 MCG INHALER,

60 DOSIS
PENERIMAA PERSEDIAA
N
N
5
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
BOTOL
456
456
BOTOL 60
ML
482
482

MALEAT/zestam
TABLET
7,050
7,050
TABLET
13,200
13,200

+ CTM/febrinex
BOTOL
300
300

BOTOL
7,010
7,010

TABLET/flutab
TABLET
26,360
26,360

145 SYRUP/protexinal
BOTOL
1,574
1,574
TUBE
86
86
100
20
20
20
52
100
60
1,500
200
50 ###
1,000
100
1,500
100
50
120
48
50
240
360
100
5
50
240
148
50
2,400
340
350
482
500
4,500
1,000
1,400
200
250
100
446
###
5,760
10
10
110
3
10
34
MG
TABLET
1,000
1,000

BOTOL 60
ML
2,491
2,491
96
10
100
72
72
144
150
192
736

TABLET
48,400
48,400
500
100
500
300
800
1,000
2,000
5,200

ACID 200 MG TABLET
TABLET
43,700
43,700
400
100
200
2,500
1,500
1,000
6,700
50
50
200
1,000
300
2,800
1,000
BOTOL
3,865
3,865
TABLET
19,700
19,700
TABLET
12,240
12,240
TABLET
2,750
2,750
AMPUL
7,310
7,310
60
120
TABLET
15,970
15,970
300
20
156 LISOL
BOTOL
743
743
TABLET
20,800
20,800
TABLET
15,500
15,500
159 MELOXICAM 15 MG
TABLET
30,300
30,300
100
600
300
TABLET
141,000
141,000
200
1,500
200
TABLET
100
100
500
700
300
200
50
50
90
100
200
600
4
920
6
16
500
700
1,000 ###
1,000
500
2,700
1,000
500
570
2,000
1,000
2,000
1,500
7,900
-
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
TABLET
3,300
3,300
AMPUL
94
94
TABLET
TABLET
36,000
36,000
VIAL
17
17
TABLET
500
500
BOTOL
TABLET
10,100
10,100
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
100
10
JUMLAH
18=(7s/d17)
200
300
25
35
-
100
1,000
300
200
600
800
700
100
2,000
5,800
11
-
100
TABLET
7,300
7,300
TUBE
2,832
2,832
BOTOL
TUBE
360
360
BOTOL
544
544
34
10
250
BOTOL
9,653
9,653
60
200
50
74
72
250
240
TABLET
37,600
37,600
2,000
700
300
1,000
400
500
1,500
TABLET
42,000
42,000
TABLET
37,400
37,400
100
300
600
500
1,200
2,500
TABLET
18,400
18,400
500
500
24
300
100
24
24
100
500
900
72
-
10
50 ###
10
250
150
544
300
1,496
500 ###
7,400
-
500
1,300
1,500
200
8,000
700
TUBE
BOTOL
132
132
BOTOL
1,440
1,440
TABLET
80,700
80,700
TABLET
1,500
1,500
TABLET
1,800
1,800
BOTOL
187 OBH
BOTOL
17,984
17,984

BOTOL
298
298
TABLET
TABLET
191 ONDENSETRON INJ
AMPUL

194 OXYTOCIN INJ/SYNTOCYNON INJ
TUBE
TUBE
AMPUL
BOTOL
TABLET
3,750
16,300
2,690
2,000
20
40
63
20
1,500
3,000
20
2,000
###
8,500
-
100
100
200
10
200
24
200
3,750
150
250
200
200
100
230
16,300
100
25
2,690
30
20
10
100
160
2,000
834
500
500
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
AMPUL
TABLET
TABLET
SUPP
948
948
6=4+5
1,400
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
-
1,400
BOTOL
6,472
6,472
BOTOL
31,958
31,958
TABLET
1,051,800
1,051,800
12
2
20
33,400
12
24
50
10
72
10
300
100
100
400
450
20
3,200
7,200
4,000
8,000
12,800
10,800
168
330
200
600
2,172
15,000
20,000
114,400
25
37
748
748
TABLET
9,500
9,500
TABLET
47,600
47,600
TABLET
192,000
192,000
2,000
3,000
208 PIROXICAM
TABLET
99,600
99,600
480
360
BOTOL
143
143
BOTOL
920
920
BOTOL
BOTOL
193
193
BOTOL
133
133
TABLET
34,000
34,000
TABLET
TABLET
AMPUL
BOTOL
1,282
1,282
BOTOL
186
186
TABLET
39,600
39,600
606
606
TUBE
PROGRAM
PEMAKAIAN
DINAS
LABU
106,600
-
12
2
10
2,000 ###
600
600
1,560
1,080
5
10
14,000
3,600
8,280
15
24
10
32
-
2
-
2,000 ###
1,000
###
6,000
106,600
2,000
1,000
3,000
1,000
5,000
1,200
600
13,800
-
2,000
2,000
10
TABLET
31,000
31,000
TABLET
57,900
57,900
AMPUL
78
78
TABLET
40,100
40,100
1,000
300
TABLET
25,700
25,700
500
100
228 SALEP 2 - 4
3,000
2,000
150
40
40
1,400
200
100
10
100
1,400
3,150
1,000
1,100
-
POT
100
100
500
400
500
2,900
100
1,000
1,700
300
700
KOTAK
3,800
3,800
100 ###
100
100
BOTOL
4,027
4,027
BOTOL
930
930
50
KAPSUL
1,750
1,750
200
KAPSUL
100
100
TABLET
3,780
3,780
48
30
10
100
100 ###
30
248
120
500
800
NO
NAMA OBAT
SATUAN
3
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
TABLET
AMPUL
TUBE
274
274
60,400
60,400

TABLET
118,000
6=4+5
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
118,000
TUBE
VIAL
919
919
BOTOL
5,782
5,782

TABLET
103,600
103,600
KAPSUL
700
700
TABLET
44,000
44,000
AMPUL
PEMAKAIAN
DINAS
JUMLAH
18=(7s/d17)
-
2
500 ###
500
2
1,000
1,200
1,000
3,000
7,700
-
24
200
600
2,000
24 ###
500
1,000
72
1,500
200
5,800
200
-
TABLET
54,000
54,000
KAPSUL
32,500
32,500
2,000
3,000
1,000
2,000
100
200
100
1,000
4,000 ###
17,000
TABLET
AMPUL
140
140
TABLET
158,600
158,600
300
1,000
500
500
500
TABLET
762,000
762,000
700
3,000
1,500
1,000
2,000
5,000
2,000
4,000
19,200
TABLET
30,000
30,000
500
300
1,000
500
1,000
500
1,000
4,800
32
32
500
900
-
10
10
1,000 ###
4,800

1
SET
BUAH
2,500
2,500
BUAH
13,600
13,600
BUAH
7,231
7,231
BUAH
690
690
BUAH
110
110
ALAT PEMERIKSAAN HB
BUAH
22
22
ALCOHOL SWABS
85,200
85,200
BISTURI
BUAH
507
507
10
BLOOD LANCET
BUAH
9,600
9,600
11
GALON
12
SACHET
5,528
5,528
13
CATGUT CHROMIC
ROLL
14
SET
1 ###
1 ###
15
DENGUE N5 1 ANTIGEN
SET
1 ###
1 ###
16
DEX GLASS
BUAH
81
81
17
BUAH
89
89
SACHET
300
200
100
500
800
300
300
100
400
100
2,300
-
100
100
200
600
1,500
100
400
100
400
3,300
-
10
10
7
7
-
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
-
6=4+5
18
FESCOPLAST
ROLL
19
FOLEY CATETHER
BUAH
10
10
20
GLUCOSA TEST TIP
TIP
8,530
8,530
21
GOLONGAN DARAH KIT
SET
24
24
22
H2O2
BOTOL
10
10
23
LEMBAR
36,800
36,800
24
HAND SCONE STERILE
PASANG
400
400
25
SACHET
480
480
26
HEMASITO METER
BUAH
27
ISI AUTOCLIX
KOTAK
28
INFUSION SET ANAK
29
INFUSION SET DEWASA
30
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
20,490
20,490
SET
131
131
SET
494
494
IODIUM TEST
BOTOL
78
78
31
IV CATETHER
SACHET
4,273
4,273
32
JARUM JAHIT
BUAH
218
218
33
KACA MULUT
34
35
36
5
30
10
150
180
1,000
6,800
3
200
600
500
1,000
2,000
3
700
800
100
30 ###
100
210
270
-
300
510
300
210
300
1,620
10
2
10
50
10
100
162
78
20
49
150
10
234
-
BUAH
80
80
BUNGKUS
137
137
KAPSUL KOSONG NO.0
BUAH
KAPSUL KOSONG NO.1
BUAH
37
LEMBAR
38
ROLL
84
84
39
KASSA STERIL
KOTAK
596
596
40
KASSA 4 M X 15 CM
ROLL
41
LAMPU SPIRITUS
BUAH
42
BOTOL
43
BOTOL
16
16
44
KOTAK
105
105
45
METILEN BLUE 250 ML
BOTOL
16
16
46
MICROPIPET 3 UKURAN
BUAH
47
MASKER
BUAH
34,250
34,250
48
BUAH
108
108
49
BUAH
108
108
50
BUAH
45
45
51
BUAH
45
45
52
BUAH
45
45
53
MATA SCALLER
BUAH
54
NASO GASTRIC TUBE
TUBE
55
BUAH
125
125
2 ###
15
2 ###
30
100
17
2
135
2,000
400
200
700
1,000
700
400
600
500
6,500
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
126
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
56
BUAH
126
57
NEEDLE
BUAH
52
52
58
OBJECT GLASS
BUAH
175
175
59
OIL IMERSI
BOTOL
16
16
60
OSE
BUAH
61
PENJEPIT TABUNG
BUAH
22
22
62
PIPET BESAR
BUAH
63
PIPET KECIL
BUAH
64
PLESTER
ROLL
236
236
65
POT DAHAK
BUAH
66
BUAH
67
VIAL
68
SELANG O2 ANAK
BUAH
36
36
69
SELANG O2 DEWASA
BUAH
18
18
70
SGOT/SGPT TEST
SET
71
SACHET
603
603
72
STRIP ASAM URAT
73
STRIP HB
BOX
200
200
74
STRIP GULA DARAH
BOX
35
35
75
BOX
76
STRIP KOLESTEROL
BOX
77
VENOJECT
KOTAK
18
18
78
YELLOW TIP
BUAH
19
19
79
TABUNG REAKSI BESAR
BUAH
37
37
80
TABUNG REAKSI KECIL
BUAH
63
63
81
TERMOMETER DIGITAL
BUAH
15
15
82
TORNIKUET
BUAH
102
102
83
BUAH
17,850
17,850
84
BUAH
104
104
85
URINE BAG
BUAH
189
189
10
86
KOTAK
87
WIDAL TEST
KOTAK
88
WHITE TIP
BUAH
24
24
89
KOTAK
90
POCH PACK D
BUAH
91
POCH PACK L
BUAH
92
BUAH
93
BUAH
94
CALIBRATION SCS
BUAH
10
10
23
20
24
10
69
10
10
10
15
15
25
10
200
200
20
29
###
10
20
1
1 ###
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
95
BUAH
96
STROMALYSER WH
BUAH
97
BUAH
98
BUAH
99
BUAH
OBAT GIGI
1
ARSEN
BOTOL
ARTIKULATING PAPER
KOTAK
BOTOL
73
73
BEIN GIGI
SET
CALCIDOR
POT
CEVITRON
BUAH
66
66
CHKM
POT
15
15
CRESOPEN
BOTOL
DENTORIT
BOTOL
10
DYCAL
BOTOL
11
11
11
ETIL KLORIDA SPRAY
BOTOL
188
188
12
EUGENOL CAIRAN
BOTOL
185
185
13
IODOFORM PASTA
POT
14
14
14
GLASS IONOMER ART
SET
45
45
15
OCO / TSR
BOTOL
10
10
16
BOTOL
17
SET
12
12
18
SET
Cilegon, 30 September 2015

11
Nip. 19660223 199203 2 002
NIP. 19740620 200312 2 003
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6
7
8
Ambroxol Syrup
Okt-15
10
Amixicillin 500 mg
Jul-14
600
10
Amoxicillin Syrup
Nov-14
10
11
Antacida tab
Jul-14
200
12
Antalgin 500 mg
Mei-16
400
13
Anti Bakteri Salep
Ags-17
10
14
Sep-14
2,000
15
Asam Mefenamat
Jul-14
400
16
Captopril 25 mg
Ags-17
200
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
17
Co Amoxiclav
Jun-14
60
18
Cotrimoxazol 480 mg
Mei-17
400
19
CTM
Jul-14
600
20
Dexametason
Ags-17
400
21
Etanol
22
Garam Oralit
Ags-17
200
23
Hidrokortison Salep
Jun-14
24
Kassa
25
Kotrimoxazol 120 mg
Mar-14
400
26
Metronodazol 500 mg
Apr-14
200
27
Natrium Diklofenak
Jul-14
100
28
Oxytetrasiklin 3 %
Jun-14
10
29
Piridoxin
Sep-14
2,000
30
Nov-14
31
Prednison
Jun-14
600
Salbutamol 2 mg
Jun-14
200
Salisil bedak
Mei-16
10
Simvastatin
Ags-17
100
Tablet Tambah Darah
Apr-14
12,000
Thiamin tab
Mar-14
2,000
Jan-14
150
Vitamin B Komplek
Sep-14
2,000
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
Pemberian
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
3,150
25
78,750
50
157,500
10,350
534
200
106,800
150
80,100
16,800
648
200
129,600
100
64,800
45,100
86
100
500
43,000
500
43,000
1,500
210
3,300
16,500
300
3,550
21,995
125
100
12,485
1,000
80
40,300
102
240
187
8,600
14,400
2,277
100
28,900
211
396,800
175,300
261
200
52,200
5,056
116
300

2,295
ANTASIDA SUSPENSI
12
25
3,365
1
1,560


1 SALISILAT 3 %)
ANTI HEMOROID DOEN
72
124,850
1,000
4,750
160,300
330,000
100
1,130
1,500
990,000
1,500
187,275
3,000
227,700
783,000
34,800
1,500
-
150
6,000
1,000
341,550
1,566,000
116,000
1,500
108,000
108,000
3,850
50
192,500
473,000
473,000
126,311
2,491
3,025
1,713
20
60,500
62,275
-
252,622
25
50
151,250
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
526,200
5,700

225,200
10,450
66
66,000
-
ATROPIN SULFAT INJ

AQUABIDEST
159
95
1,500
238,500
2,000
200,000
100
100
10,000
1,045
1,100
367
750
15,400
1,000
100,000
275,250
2,500
150
250,000
55,050
317
2,900
110
AZITHROMYCIN 500 MG
4,500
20
90,000
40
116
750
12,185
1,520
50
924
25,300
6,199
645
281
600
12,100
66,000
12,650
63
1,000
63,000
1,500
132,000
50
440,000
20
176,000
180,390
210
180,390
17,810
180
5,675
342
720
89,700
1,500
76
1,341
1 BEKARBON
BISOPROLOL 5 MG
CALAMIN LOTION
584,000
157,100
480
14,990
305

CEFIXIME 100 MG
CEFOTAXIME INJ 1G
1 CEFTRIAXON INJ
180,000
87,000
76,000
168,600
100
1,000
152,000
63,000
88
8,800
60
859
210
4,015
5,000
5,500
10,440
10
28,050
300
528,000
104,400
-
CETIRIZINE DROP
700
CETIRIZIN 10 MG
188
500
CIMETIDIN TABLET
116
200
245
300
100
500
91
122
1,379
99
5,060
16,900
87,350
950
549,100

225
527
94,000
1,000
23,200
90,970
3,600
56,400
73,500
327,492
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
376
5,727
55
3,960
368,200
1,799
39,000
1 DIAZEPAM TABLET
120
180

1 DIFENHIDRAMIN INJ
50,900
7,000
-
69
2,000
138,000
2,000
100
200,000
45
2,368
960
DOMPERIDON 10 MG
167
220
8,100

7,220
440
35,600
921
200
184,200
500
38,800
1 ETAMBUTOL 500 MG
420
2,200
25,300
133
65
1,008
1 FITOMENADION INJ
3,417
115
473
1 ETANOL 70 % 1000 ML
7,000
960
4,350
14,200

4,500
220
FLUCONAZOL 150 MG
15,800
40,400
400
2,251
766,700
3,000
1 GLIMEPIRIDE 2 MG
14,730
1
390,000
-

1 GLISERIN LARUTAN
24
24
24,192
30
102,510
460,500
100
100
22,000
19,080
91
288
1,850
895
54
436
30
92,100
75,900
-
500
144,000
50
92,510
40
74,008
50
44,750
200
400
21,600
10,800
-
1,000
-
63,400
173,280
165,000
5,500
16,200
16,665
634
1 GAMEKSAN
36,100
1,400
69,000
16,100
844
1,000
95
91
24,700
3,333
1,245
54,000
-
120
-
660,000
28
4,730
5,000
140,000
10,500
200
2,100
165
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
6,500
432
224
246
500
14,724
51,975
155,925
500
HEPAPROTEKTOR SYRUP
123,000
8,010
4,730
27,968
2,399
48
11,800
1,265
100
55,550
4,499
41
35
93
146
135,600
1,500
115,152
219,000
210
-
1,500
993,300
126,500
219,000
5,000
1 ISONIAZID 100 MG
44
6,000
1 ISONIAZID 300 MG
28,600
IMUNOSTIMULAN SIRUP
55,000
4,950
97
1,444
70
600
86,500
16,400

42,000
1,000
70,000
70
KANAMYCINE 2 GR
19,800
842
KAOLIN SUSPENSI
12,012
410
100
41,000
112,800
7,950
2,582
4,700
12
56,400
60
282,000
24
KETOPROFEN 100 MG
1,342
300
402,600
KETOROLAC INJ 10 MG
3,900
2,539
29,600
310
2,468
1,600
8,000
24
94
3,800
5,995
100
492
1,815
600
7,225
3,500
1
2,407
45,900
1,100

1 MG KRIM
6,600

312
149,875
-
80
599,500
25
38,400
528,000
-
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
116
2,550

1 GG SYRUP
50
1 CTM
6,564

GUAIAKOLATSULFONAT
20,600

1 TABLET
1,464
52
800
1,755
43,200
37,000
3,665

/ LIBROFED TABLET
ACID 200 MG TABLET
12,240
2,700
6,740
727
20,300

LISOL
220,000
-
120
-
50,000
80,300
100,000
10
1,520,640
500
-
10
10
96
803,000
-
158,400
100
501,600
1,100
15,840
240
-
110,000
100
48
123,200
-
273,000
5
209
79,200
660
147,520
20
1,500
-
20
10,450
737,600
100
10,000

200
15,885

MG
8,030
16,900
15,050
1,100
6,160
1 KOMB.FENILPROPANOLAMIN + PARASETAMOL + CTM SYRUP
7,376
182
11,800
110,500
158,400
100
550,000
400
110,000
100
1,056
422,400
1,975
50
98,750
138
500
50
574
50
1,030
60
61,800
638
300
191,400
13,200
91
28,700
105,600
-
69,000
-
12,800
MELOXICAM 7,5 MG
638
28,300
1 MELOXICAM 15 MG
1,199
100
119,900
600
719,400
300
359,700
133,100
1 METFORMIN 500 MG
105
200
21,000
1,500
157,500
200
21,000
METFORMIN 850 MG
260
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
3,000
59
154
6
500
-
296
100
-
15,400
300
100
30,000
300
90,000
200
220,000
91
2,830
123
6,400
164
2,760
1 MICONAZOLE SALEP
3,000
4,070
1,000
300,000
44,000
10,000
2,750
30,200
60,000
350
17,800
16,335
50
816,750
50
816,750
20,680
60
1,240,800
200
4,136,000
50
1,034,000
2,000
2,574,000
700
900,900
300
386,100
8,157
1,287
42,000
14
29,400
133
100
17,700
176
30,200
500
69
MULTIVITAMIN TABLET

13,300
-
300
-
39,900
-
600
79,800
500
88,000
4,700
14,100
1,420
11,110
72,200
112
1,500
640
1,600
407
100
30,800
5,225
10
17,150
298

OBH
10,725
3,550
16,070
2,530
1,500
1 OFLOXACIN 200 MG
413
OFLOXACIN 400 MG
654
1 ONDENSETRON INJ
52,250
200
1,045,000
24
40,700
125,400
6,050
1,450
7,250
100
2,100
OXYTOCIN INJ
13,913
30
16,100
119
145,000
417,390
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
1,400
924
6,142

60
530
12
84,480
1 PARASETAMOL DROPS
5,227
50
261,350
10
52,270
20
300
395,700
100
131,900
3,200
268,800
7,200
604,800
137,700
2,638
711
119
91,320
84
178,000
1,319
47,600
32
PARASETAMOL 500 MG
9,500
7,040
937,400
29,786
33,400
2,805,600
26,380
11,475
12
290
198
18
2,000
36,000
3,000
54,000
83.93
480
40,286
360
30,215

1 PIROXICAM
1 ALBOTYL
28,600
2,163
2,400
191
14,000
133
POVIDON IODIDA 1 L
42,000
57
1 PROPANOLOL 40 MG
120
1 RANITIDIN TABLET
120
92,800
2,000
2,000
114,000
240,000
2,000
1,000
4326
28,000
114,000
120,000
1,928
1,282
14,300
186
19,600
37,600
1 RIFAMPICIN 450 MG
594
10
21630
888
28,000
2,000
1,188,000
5,200
27,850
1,500
150
56,800
1,008
506
78
253,260
37,200
24,000
1,000
83,000
300
24,900
100
44,500
100
8,900
500
1,250
100
3,630
810
1 SEFADROKSIL SYRUP
5,248
50
950
SEFADROKSIL 250 MG
468
200
100
SEFADROKSIL 500 MG
509
12,100
3,779
3,780
SALISIL BEDAK 2 %
2,100,000
83
3,100
63,750
1,400
89
1 SALEP 2 - 4
4,950
225,000
125,000
-
100
8,300
125,000
262,400
93,600
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
118,000
272
52,700
SIMVASTATIN TABLET
58,300
391
500
12
195,500
500
195,500
23,540
919
2,090
5,710
3,226
97,800
520

204,600
600
-
613,800
186
1,050
700
35
3,000
105,000
431
100
43,100
323
130
5,400
40
300
12,000
1,000
40,000
107
700
74,900
3,000
321,000
475
500
237,500
300
142,500
6,000
300
500
200
1,023
44,000
37,000
31,600
153,800
742,800
25,200

2,000
70,000
110,000
2,100
2,662
11,300
3,120
200
7,231
7,750
3,300
32
590
798,600
624,000
-
8,360
525,000
ALCOHOL SWABS
275
100
BISTURI
550
9,600
396
902,000
78,100
5,415,500
1,650,000
1,650,000
1,650,000
2,420,000
2,420,000
2,420,000
39,050
302,500
110
22
81,900
507
5,518
-
ALAT PEMERIKSAAN HB

CATGUT CHROMIC
81
DEX GLASS
85
27,500
200
55,000
302,500
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
8,350
21
7
30,000
FOLEY CATETHER
GLUCOSA TEST TIP
GOLONGAN DARAH KIT
H2O2
300
HAND SCONE STERILE
210
18,870
15,400
FESCOPLAST
8,323
30
249,690
511,500
20,900
880
200
8,800
13,200
30
HEMASITO METER
176,000
396,000
600
30
528,000
396,000
-
ISI AUTOCLIX
1,632
300
121
INFUSION SET ANAK
8,800
332
INFUSION SET DEWASA
7,321
IODIUM TEST
16,500
4,039
IV CATETHER
22,000
218
JARUM JAHIT
20,900
80
KACA MULUT
96,800
20,130
122
110,000
40,260
489,600
14,642
40,260
KAPSUL KOSONG NO.0
44
KAPSUL KOSONG NO.1
33
1,980
67
130,000
260,000
KASSA STERIL
7,317
21,951
KASSA 4 M X 15 CM
2,680
LAMPU SPIRITUS
16
46,200
101,750
37,400
1,078,000
330
108
22,000
108
22,000
461
105
16
METILEN BLUE 250 ML
MICROPIPET 3 UKURAN
27,750
MASKER
260,000
2,000
660,000
400
132,000
200
66,000
45
95,700
45
95,700
45
95,700
236,500
MATA SCALLER
NASO GASTRIC TUBE
55,000
40,700
125
STOCK
AKHIR
NAMA OBAT
HARGA
DINAS
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
126
52
152
16
2

NEEDLE
OBJECT GLASS
34,991
10
13,500
5,400
40,700
OIL IMERSI
OSE
22
PENJEPIT TABUNG
PIPET BESAR
PIPET KECIL
167
110,000
PLESTER
8,167
349,910
24,500
POT DAHAK
943,500
702,240
13,200
26
3
SELANG O2 ANAK
SELANG O2 DEWASA
1
578
13,200
1,082,950
3,056
10
191,500
STRIP GULA DARAH
95,000
77,000
STRIP KOLESTEROL
159,500
18
VENOJECT
440,000
19
YELLOW TIP
95,700
2,015
STRIP HB
6
3
-
30,556
95,000
37
TABUNG REAKSI BESAR
63
TABUNG REAKSI KECIL
2,015
TERMOMETER DIGITAL
34,320
462,000
17,850
1,000
104
13,200
102
169
TORNIKUET
URINE BAG
WIDAL TEST
24
4,950
247,500
1,396,000
133,100
STOCK
AKHIR
NAMA OBAT
HARGA
DINAS
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
-
OBAT GIGI
-
ARSEN
484,000
ARTIKULATING PAPER
291,500
225,500
3,740,000
73
-
CALCIDOR
209,000
66
CEVITRON
115,500
15
CHKM
70,000
CRESOPEN
770,000
DENTORIT
154,000
11
DYCAL
534,600
177
ETIL KLORIDA SPRAY
145,200
185
EUGENOL CAIRAN
3,178
14
IODOFORM PASTA
302,500
42
GLASS IONOMER ART
687,500
10
OCO / TSR
110,000
1,265,000
12
418,000
36,300
290,400
145,200
1,795,488
2,805,600
8,607,735
29,481,889
25,597,697
STOCK
AKHIR
19=6-18
NAMA OBAT
HARGA
DINAS
Pemakaian
PROGRAM
Harga
Pemakaian
Harga
P2KP
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
STOCK
AKHIR
19=6-18
NAMA OBAT
HARGA
DINAS
Pemakaian
PROGRAM
Harga
Pemakaian
Harga
P2KP
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
Pemakaian
CTK
Harga
Pemakaian
Harga
50
157,500
25
78,750
25
125
393,750
945,000
500
267,000
200
106,800
1,000
534,000
1,094,700
1,000
648,000
300
194,400
200
129,600
400
259,200
1,000
648,000
2,073,600
300
25,800
300
25,800
500
700
60,200
600
51,600
2,000
172,000
473,000
300
63,000
100
330,000
1,000
124,850
250
7,000
5,296,500
1,000
124,850
400
49,940
1,000
124,850
2,000
249,700
998,800
500
120
252,622
500
570,000
570,000
250
569,250
300
211,000
5,000
1,305,000
5,000
1,305,000
1,000
116,000
500
200
-
770,000
2,500
2,505,600
290,000
3,500
288,000
550
1,252,350
3,870,900
633,000
1,477,000
6,000
1,566,000
14,000
3,654,000
14,563,800
1,500
100
252,622
20
60,500
181,500
4,000
385,000
252,622
250
464,000
1,252,800
720,000
1,764,000
962,500
3,080,000
1,419,000
1,010,488
100
124,550
249,100
996,400
40
10,000
60
174,000
50
311,375
144,000
946,000
3,000
252,000
51,000
422,000
577,500
51,000
227,700
2,000
125
100
2
-
2,000
150
249,100
58,000
9,600
683,100
4,000
108,000
1,000
100
211,000
1,500
192,500
1,000
36,000
1,320,000
63,000
400
660,000
1,827,000
200
1,155,000
350
495,000
569,250
150
43,000
50
78,750
JBG
Harga
121,000
30
90,750
665,500
CBB
Pemakaian
-
CWD
Harga
Pemakaian
-
PM
Harga
Pemakaian
-
2,000
318,000
200
31,800
3,500
350,000
1,000
100,000
PWK
Harga
Pemakaian
5,500
550,000
JBG
Harga
Pemakaian
1,500
142,500
2,500
397,500
3,000
300,000
2,000
200,000
209,000
200
750
40
50
76,000
50
600
220,200
300
750
275,250
209,000
1,211,100
20
750
125
100
74,388
63,250
76,000
190,000
600
210
2,660,000
88,000
600,000
12
180,390
6,000
10
4,800
1,749,000
351,500
763,200
180,000
31,500
209,000
110,100
2,200
500
Harga
Pemakaian
275,250
CTK
Harga
74,388
168,600
540,000
90,000
63,250
3,900
87,000
152,000
1,095,900
174,000
722,000
-
1,433,100
-
3,000
189,000
3,000
189,000
1,700
107,100
1,500
94,500
3,000
189,000
926,100
1,000
88,000
3,000
264,000
3,500
308,000
1,500
132,000
3,000
264,000
1,188,000
100
880,000
2,288,000
1,020
876,180
2,525,460
10
88,000
150
128,850
1,020
876,180
10
88,000
120
103,080
50
10
730,800
100
18,800
658,000
200
23,200
46,400
1,200
294,000
661,500
1,000
300
188,000
73,500
1,000
200
188,000
49,000
600
400
522,000
112,800
98,000
300
73,500
104,400
-
600
200
10
101,200
50,600
10
50,600
7,200
654,984
2,000
181,940
1,000
14,400
1,309,968
2,565,354
CBB
Pemakaian
CWD
Harga
Pemakaian
Pemakaian
PWK
Harga
Pemakaian
10
57,270
10
57,270
10
39,600
20
79,200
1,000
69,000
5,000
345,000
100
200,000
100
200,000
30
2,000
138,000
PM
Harga
Pemakaian
Pemakaian
114,540
118,800
7,000
483,000
1,794,000
100
200,000
800,000
1,000
45,000
45,000
99,990
3,500
241,500
Harga
4,500
310,500
CTK
Harga
10
33,330
30
99,990
50
16,700
200
33,400
166,650
416,625
100
133,600
40,500
97,200
15
108,300
317,680
100
44,000
44,000
200
184,200
921,000
13,200
13,200
50,600
500
83,500
JBG
Harga
531,300
24
24,192
48,384
90
307,530
60
205,020
615,060
200
100
63,400
500
317,000
697,400
200
18,200
500
144,000
700
201,600
700
201,600
200
57,600
1,500
432,000
1,180,800
185,020
30
55,506
50
92,510
50
92,510
50
92,510
777,084
50
44,750
50
44,750
50
44,750
202,270
1,000
54,000
500
27,000
3,000
162,000
545,400
126,500
40,500
50
92,510
100
26
23,270
1,000
-
126,800
54,000
-
3,000
126,500
84,000
200
126,800
2,000
151,800
56,000
3,000
-
1,000
400
100
162,000
-
16,500
18,200
28,000
80,000
-
200
-
6,000
168,000
40,000
-
600
-
3,300,000
4,125,000
84,000
560,000
120,000
500
82,500
3,000
2,000
330,000
429,000
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
48
111,100
115,152
-
500
35,000
10
44,990
124
100
Pemakaian
98,400
297,476
449,900
96
10
500
CTK
Harga
Pemakaian
123,000
230,304
44,990
100
25
123,000
155,925
993,300
148
126,500
112,475
50
355,052
224,950
253,000
111,100
877,305
200
19,400
1,000
19,400
70,000
219,000
1,500
2,000
219,000
140,000
1,000
9,000
1,113,136
1,500
467,400
146,000
500
Harga
1,000
400
JBG
Harga
146,000
630,000
1,168,000
987,000
-
48
576,576
100
800
328,000
430,500
192
902,400
1,560,400
500
671,000
1,073,600
253,900
50
20,500
20
94,000
24
10
24
-
25,390
38,400
36
91,404
54
24
72
112,800
137,106
38,400
72
115,200
24
100
599,500
75
72
130,680
130,680
24
41,000
48
76,800
353,600
91,200
50
190,000
281,200
449,625
150
899,250
2,697,750
20
660,000
-
132,000
-
100
-
20
660,000
261,360
-
264
132,000
576,576
38,400
100
1,742,400
3,854,400
CBB
Pemakaian
CWD
Harga
Pemakaian
20
52
320,320
50
794,250
30,000
-
100
20,900
72
-
2,640,000
3,801,600
883,300
340,000
41,800
3,041,280
11,658,240
2,200,000
5,720,000
1,056,000
7,075,200
50
98,750
395,000
300
41,400
386,400
1,000
1,584,000
700
28,700
200
20
2
26,400
90
2
92,700
26,400
100
2
103,000
26,400
600
382,800
52,800
700
1,584,000
12,760
4,660,700
123,600
41,400
1,045,000
96,600
300
3,971,250
2,000
1,500
100
3,177,000
100,000
-
1,100,000
1,540,000
192
1,000
197,500
1,100,000
120
500
20,900
2,376,000
880,000
-
100
819,000
10
150
800
2,500
211,200
60,000
2,280,960
330,000
144
300
200
91,000
2,400
-
1,140,480
550,000
1,056,000
72
500
1,000
1,140,480
2,969,120
100
522,500
2,156,000
200
1,000
1,584,000
-
50
1,546,600
2,507,840
500
273,000
2,400
-
148
522,500
110,000
368,800
350
1,500
158,400
100
50
182,000
237,600
50
240
522,500
368,800
Harga
50
1,000
360
50
Pemakaian
CTK
Harga
Pemakaian
737,600
369,600
JBG
Harga
100
Pemakaian
147,520
60
PWK
Harga
Pemakaian
PM
Harga
52,500
-
1,000
-
105,000
-
1,000
1,199,000
1,000
-
446,600
105,000
-
1,000
6
1,000
2,000
-
138,000
79,200
638,000
210,000
-
206,000
587,100
586,960
211,200
500
45,500
45,500
1,000
638,000
1,722,600
1,500
-
157,500
-
2,398,000
829,500
-
CBB
Pemakaian
-
CWD
Harga
Pemakaian
-
PM
Harga
Pemakaian
-
10
-
PWK
Harga
Pemakaian
-
27,500
Pemakaian
-
Pemakaian
-
30,800
46,200
68,750
96,250
25
-
600
180,000
800
264,000
484,000
100
12,300
12,300
300
49,200
100
16,400
500
24
72,000
24
72,000
72,000
10
240,000
178,000
700
200
Harga
CTK
Harga
24
JBG
Harga
210,000
100
30,000
2,000
600,000
82,000
1,740,000
147,600
216,000
178,000
34
555,390
10
163,350
250
4,083,750
150
2,450,250
8,886,240
74
1,530,320
72
1,488,960
250
5,170,000
240
4,963,200
250
5,170,000
300
6,204,000
30,937,280
1,000
1,287,000
400
514,800
500
643,500
1,500
1,930,500
500
643,500
500
643,500
9,523,800
500
66,500
-
1,200
-
159,600
-
2,500
-
20
100
200
168,000
1,045,000
25
278,260
20
222,200
3,000
336,000
20
40
188,000
332,500
-
1,500
94,000
1,300
172,900
200
35,200
123,200
296,100
222,200
81,400
150
2,000
224,000
40,700
200
100
100
130,800
145,000
2,000
250
224,000
1,306,250
952,000
4,357,650
783,750
1,064,000
139,130
199,500
1,500
10
36,250
130,800
333,500
2,226,080
1,391,300
500
59,500
59,500
CBB
Pemakaian
CWD
Harga
Pemakaian
12
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
168,960
20
84,480
72
376,344
10
52,270
100
131,900
400
527,600
450
593,550
4,000
336,000
8,000
672,000
12,800
1,075,200
10,800
104,540
907,200
168
878,136
1,724,910
200
263,800
600
791,400
2,864,868
15,000
1,260,000
20,000
1,680,000
9,609,600
286,875
424,575
25
600
50,358
57,200
57,200
0
36,000
3,000
54,000
2,000
600
50,358
1,560
130,931
143,000
2,000
10
21630
36,000
2,000
36,000
252,000
1,080
90,644
3,600
302,148
694,940
15
429,000
10
21630
686,400
0
69,216
28,000
3,000
360,000
1,000
120,000
5,000
600,000
1,000
57,000
1,200
144,000
1,000
600
57,000
72,000
342,000
1,656,000
1,188,000
10
52,000
520,000
1,400
2,100,000
4,725,000
1,000
1,008,000
1,108,800
10
100
52,000
100,800
40
208,000
200
8,300
40
100
208,000
500
41,500
300,000
-
400
33,200
500
41,500
240,700
8,900
1,000
89,000
151,300
100
100
300
375,000
875,000
100
363,000
900,240
100
-
125,000
-
174,240
157,440
100
10
52,480
30
100
46,800
500
30
157,440
48
125,000
363,000
-
629,760
374,400
234,000
CBB
Pemakaian
CWD
Harga
Pemakaian
116,600
500
195,500
PM
Harga
Pemakaian
1,000
391,000
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
1,200
469,200
CTK
Harga
Pemakaian
1,000
391,000
Harga
3,000
1,173,000
24
24
2,000
77,424
500
2,046,000
511,500
1,000
-
200
1,000
2,000
70,000
200
86,200
100
43,100
10
54,000
77,424
232,272
1,534,500
5,933,400
1,500
37,200
37,200
4,000
140,000
500
215,500
54,000
4,000
140,000
595,000
387,900
500
20,000
500
20,000
500
20,000
1,000
40,000
1,000
40,000
192,000
1,500
160,500
1,000
107,000
2,000
214,000
5,000
535,000
2,000
214,000
4,000
428,000
2,054,400
1,000
475,000
500
237,500
1,000
475,000
500
237,500
1,000
475,000
2,280,000
1,000
35,000
24
1,023,000
35,000
77,424
116,600
3,010,700
100
-
312,000
-
500
-
1,560,000
-
800
-
2,496,000
-
100
300
-
936,000
-
300
-
936,000
-
100
266,200
1,064,800
100
312,000
7,176,000
600
902,000
781,000
10
-
781,000
-
165,000
1,500
412,500
902,000
400
110,000
100
27,500
400
110,000
907,500
-
1,650,000
1,650,000
1,650,000
1,650,000
1,650,000
11,550,000
2,420,000
2,420,000
2,420,000
2,420,000
2,420,000
16,940,000
1,210,000
605,000
302,500
CBB
Pemakaian
CWD
Harga
Pemakaian
500
440,000
1,000
PM
Harga
Pemakaian
-
77,000
511,500
880,000
150
2,000
1,760,000
210
510
10
88,000
50
366,050
100
20
6
73,210
440,000
49
120,780
832,320
1,078,000
62,700
1,248,450
2,772,000
Pemakaian
10
PWK
Harga
JBG
Harga
Pemakaian
-
700
616,000
704,000
880,000
100
150
732,100
3,300,000
210
385,600
77,000
800
489,600
Pemakaian
300
CTK
Harga
300
Harga
154,000
1,498,140
1,000
1,023,000
880,000
1,534,500
62,700
5,984,000
880,000
3,564,000
2,686,720
489,600
88,000
1,186,002
1,630,200
10
220,000
5,148,000
301,950
100,650
2,210,000
987,795
390,000
390,000
650,000
260,000
219,510
100
731,700
30
700
231,000
1,000
330,000
700
231,000
400
132,000
600
14,634
198,000
500
165,000
2,145,000
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
10
57,167
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
10
20
349,910
163,333
24
196,000
Harga
804,793
104,973
81,667
40,833
563,500
10
132,000
132,000
10
132,000
198,000
76,389
200
38,300,000
38,300,000
20
1,900,000
66,000
15
45,833
380,000
77,000
2,755,000
77,000
10
49,500
10
99,000
247,500
247,500
102,960
380,000
49,500
-
102,960
205,920
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
1,597,200
-
145,200
726,000
290,400
2,062,500
687,500
1,375,000
26,675,773
32,733,433
51,356,558
33,928,073
78,014,686
79,203,262
51,356,558
32,553,073
78,014,686
79,203,262
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga

DI KOTA CILEGON
Propinsi
: BANTEN
Alamat
: 9 Unit
Bulan
: Oktober
Tahun
: 2015
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
ACYCLOVIR 5 GR KRIM
TUBE
3,550
3,550
TABLET
10,350
10,350
100
200
TABLET
16,800
16,800
100
150
1,000
TABLET
45,100
45,100
1,000
200
300
TABLET
1,500
1,500
BOTOL
21,995
21,995
TABLET
TABLET
1,000
1,000
TABLET
40,300
40,300
10
TABLET
11
TABLET
12
VIAL
1,130
1,130
13
BOTOL
14,400
14,400
200
14
KAPLET
28,900
28,900
15
KAPLET
396,800
396,800
16
TABLET
1,500
1,500
17
TABLET
160,300
160,300
100
1,500
18

TABLET
175,300
175,300
500
1,500
300
19
ANTASIDA SUSPENSI
BOTOL
2,295
2,295
100
30
50
20
VIAL
12
12
21
AMPUL
22

TUBE
23

SALISILAT 3 %)
POT
24
ANTI HEMOROID DOEN
1,560
1,560
10
30
25
TABLET
526,200
526,200
1,000
700
26
TABLET
5,700
5,700
500
800
SUPP
300
50
100
50
100
1,000
100
25
150
300
575
600
2,450
300
1,500
700
100
300
500
300
100
400
200
400
300
1,500
5,500
1,200
450
2,156
-
1,000
150
100
1,000
150
200
250
350
2,000
1,000
2,000
2,000
5,000 ###
2,000
4,000
6,000
9,600
1,500
1,600
350
300
1,750
1,000
3,500
11,500
7,000
8,000
46,600
3,000
1,000
5,000
13,700
3,000
5,000
4,000
2,000
7,000
23,300
150
50
50
250
680
25
25
3,365
3,365
25
100
18=(7s/d17)
50 ###
JUMLAH
25
25
5
8
100
50
75
300
-
30
2,000
100
1,000
40
70
20
4,000
500
50
250
5,000
12,800
2,000
4,800
NO
NAMA OBAT
SATUAN
3
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
6=4+5
PEMAKAIAN
JUMLAH
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
2,000
2,000
3,100
1,000
4,000
1,500
4,000
500
500
18=(7s/d17)
27
TABLET
225,200
225,200
28
TABLET
10,450
10,450
18,600
29
ATROPIN SULFAT INJ
AMPUL
66
66
30
TABLET
66,000
66,000
31
AQUABIDEST
BOTOL
32
BOTOL
317
317
33
AZITHROMYCIN 500 MG
KAPSUL
110
110
34
BEKARBON
TABLET
17,810
17,810
35
VIAL
180
180
36
TUBE
5,675
5,675
37
TABLET
38
BOTOL
39
SUPP
342
342
40
BISOPROLOL 5 MG
TABLET
720
720
41
TABLET
89,700
89,700
42
BOTOL
1,500
1,500
43
BOTOL
76
76
44
CALAMIN LOTION
BOTOL
1,341
1,341
45
TABLET
584,000
584,000
2,000
1,000
1,200
5,000
1,300
2,500
1,000
2,000
16,000
46
TABLET
157,100
157,100
2,000
400
300
3,000
2,500
3,500
1,000
4,000
16,700
47
BOTOL
480
480
30
20
20
50
15
48
CEFIXIME 100 MG
KAPSUL
14,990
14,990
300
300
600
1,500
120
49
CEFIXIME 200 MG
50
CEFOTAXIME INJ 1G
VIAL
51
CEFTRIAXON INJ
VIAL
52
BOTOL
305
305
53
CETIRIZINE DROP
BOTOL
54
CETIRIZIN 10 MG
TABLET
700
700
55
CIMETIDIN TABLET
TABLET
16,900
16,900
56
TABLET
87,350
87,350
57
KAPSUL
950
950
58
KAPSUL
59
TABLET
60
TABLET
61
BOTOL
62
TABLET
63
BOTOL
225
225
64
BOTOL
376
376
10
65
BOTOL
55
55
20
20
66
TABLET
368,200
368,200
2,000
5,000
150
300
600
1,050
900
450
900
4,350
-
30
20
20
40
750 ###
110
1,500
-
50
100
25
100
50
25
125
475
-
90
12
12
2,100
7,500
90
300
600
2,700
180
1,800
2
50
1,110
150
2
50
135
1,110
5,190
549,100
549,100
50
50
20
120
700
500
500
200 ###
1,000
300
800
450
700
200
700
1,000
4,000
500
950
-
2,000
7,200
7,200
10,800
7,200
7,200
3,600
10,800
56,000
1,000
1,500
10
1,600
12
10
40
5,000
5,000 ###
26,100
NO
NAMA OBAT
67
68
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
10
CLG
CBB
CWD
PM
PWK
JBG
CTK
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
VIAL
1,799
1,799
DIAZEPAM TABLET
TABLET
39,000
39,000
500
69
AMPUL
120
120
70
DIFENHIDRAMIN INJ
AMPUL
180
180
71
TABLET
50,900
50,900
100
72
BOTOL
1,245
1,245
100
73
DOMPERIDON 10 MG
TABLET
24,700
24,700
74
KAPSUL
7,000
7,000
75
TABLET
76
AMPUL
95
95
77
BOTOL
844
844
78
ERYTHROMYCIN 250 MG
KAPSUL
16,100
16,100
79
TABLET
35,600
35,600
80
ETAMBUTOL 500 MG
TABLET
38,800
38,800
81
BOTOL
115
115
82
ETANOL 70 % 1000 ML
BOTOL
473
473
83
KAPSUL
1,400
1,400
84
TABLET
7,000
7,000
85
FENOL GLISEROL 10 %
BOTOL
960
960
86
FITOMENADION INJ
AMPUL
4,350
4,350
87
TABLET
14,200
14,200
200
88
FLUCONAZOL 150 MG
TABLET
4,500
4,500
200
89
AMPUL
220
220
90
TABLET
15,800
15,800
91
GAMEKSAN
BOTOL
92
SACHET
93
TUBE
400
400
94
BOTOL
2,251
2,251
95
TABLET
766,700
766,700
96
GLIMEPIRIDE 2 MG
TABLET
3,000
3,000
250
97

MG
TABLET
14,730
14,730
100
98
TABLET
390,000
390,000
99
GLISERIN LARUTAN
BOTOL
40,400
3
500
1,000
100
15
10
200
50 ###
100
200
300
225
200
15
20
500
300
35
100
300
900
400
1,000
1,700
-
10
3
15
10
24
24
24
60
100
200
200 ###
1,000
200
-
100
200
300
-
200
300
300
50
40
50 ###
1,000
600
200
2,000
6,000
500
500
30
50
40
50
100
50
50
200
500
2,000
3,000
800
50
2,000
100
300
1,000
3,000
700
5,000
200
1,000
3,700
40
100
350
2,000
150
501
3,000
11,100
2,900
360
460
3,000
22,000
10,500
10,500
TABLET
2,100
2,100
TABLET
6,500
6,500
AMPUL
432
432
TUBE
224
224
BOTOL
500
500
72
60
100
TABLET
30
-
40,400
1,000
200
600
200
100
300
600
500
1,100
600
1,000
2,600
-
3
50
4
50
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
TABLET
8,010
8,010
TUBE
27,968
27,968
TABLET
11,800
11,800
SUPP
41
41
BOTOL
35
35
TABLET
TABLET
135,600
135,600
TABLET
5,000
5,000
TABLET
6,000
6,000
BOTOL
TABLET
TABLET
KAPSUL
TABLET
86,500
86,500
TABLET
16,400
16,400
48
192
508
2
35
35
1,500
1,000
2,000
1,500
1,000
2,000
10,000
500
600
70
70
842
842
TABLET
7,950
7,950
TUBE
2,582
2,582
TABLET
3,900
3,900
AMPUL
KAPSUL
29,600
29,600
TUBE
2,468
2,468
BOTOL
94
94
BOTOL
7,225
7,225
50 ###
BOTOL
492
492
48
TABLET
600
600
TABLET
3,500
3,500

MG KRIM/mytaderm
TUBE
2,407
2,407
80 ###

PARASETAMOL 400 MG/hustab
TABLET
45,900
45,900
300 ###

124
1,000
VIAL

24
BOTOL

DOSIS
1,440
72
1 ###
122 KAOLIN SUSPENSI
210
48
121 KANAMYCINE 2 GR
210
18=(7s/d17)

1,020
JUMLAH
500
300
1000
500
1500
2000
3,000
200
9,300
800
-
20
50
1
72
50
24 ###
100
36
36
84
92
200
120
100 ###
325
200
100
50
24
48
100
48
96
24
200
72
362
5
50
24
50
100
100
48
96
72
50
125
24 ###
580
341
-
100
100
30
120
70
30
300
220
630
900
BOTOL
116
116
BOTOL 60
ML
50
20
20
26
116
-
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17

MALEAT/zestam
TABLET
2,550
2,550
TABLET
11,800
11,800

+ CTM/febrinex
BOTOL
50
50

BOTOL
6,564
6,564
240

TABLET/flutab/tuzalos
TABLET
20,600
20,600
600
100

SYRUP/protexinal
BOTOL
1,464
1,464
150
10

MG
TUBE
52
52
800
800

BOTOL 60
ML
TABLET
1,755
1,755

TABLET
43,200
43,200

ACID 200 MG TABLET
TABLET
37,000
37,000
BOTOL
3,665
3,665
TABLET
16,900
16,900
TABLET
12,240
12,240
TABLET
2,700
2,700
AMPUL
6,740
6,740
TABLET
15,050
15,050
500
100
300
50
400
700
1,400
1,000
1,000
1,200
50
50
100
240
858
600
1,200
6,000
160
100
100
10
96
144
96
288
144
855
800
100
400
2,000
800
700
1,000
5,800
1,000
100
1,000
500
3,000
100
2,500
1,300
9,600
300
800
200
300
1,000
50
200
250
500
3,100
-
30
60
160
250
100
BOTOL
727
727
20,300
20,300
TABLET
12,800
12,800
1,000
300
159 MELOXICAM 15 MG
TABLET
28,300
28,300
1,000
TABLET
133,100
133,100
1,000
TABLET
TABLET
3,000
3,000
12
AMPUL
59
59
TABLET
TABLET
500
600
20
300
100
1,700
300
500
1,000
2,500
600
800
2,500
5,000
900
4,000
300
5,600
3,000
17,800
100
100
-
30,200
72
TABLET
180
2,550
100
5
30,200
48
18=(7s/d17)
1,500
100
156 LISOL
250
JUMLAH
1,000
200
600
500
1,000
100
2,500
5,900
NO
NAMA OBAT
SATUAN
STOCK
AWAL
VIAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
TABLET
500
500
BOTOL
TABLET
10,000
10,000
TABLET
6,400
6,400
TUBE
2,760
2,760
BOTOL
TUBE
350
350
BOTOL
BOTOL
8,157
8,157
TABLET
30,200
30,200
1,000
TABLET
42,000
42,000
1,000
TABLET
29,400
29,400
700
TABLET
17,700
17,700
500
300
20
48
400
200
200
1,000
10
48
24
24
178
10
30
24
10
20
94
100
96
300
240
192
216
1,193
700
800
1,000
1,500
600
6,000
1,000
1,000
2,500
1,200
6,800
400
1,200
48
400
1,000
400
TUBE
500
500
10
BOTOL
69
69
BOTOL
1,420
1,420
TABLET
72,200
72,200
1,500
TABLET
1,500
1,500
100
TABLET
1,600
1,600
BOTOL
187 OBH
BOTOL
17,150
17,150

BOTOL
298
298
TABLET
TABLET
191 ONDENSETRON INJ
AMPUL
TUBE
TUBE
AMPUL
3,550
16,070
2,530
15
48
###
25
1,000
2,500
100
-
200
50
400
100
400
200
500
1,850
50
50
50
50
16,070
25
50
100
25
75
AMPUL
TABLET
TABLET
SUPP
924
924
20
20
1,500
400
200
200
800
1,400
BOTOL
6,142
6,142
BOTOL
29,786
29,786
275
-
2,530
BOTOL
1,400
10
5
10
TABLET
3,550
1,500
100
24
100
200
18=(7s/d17)
JUMLAH
12
10
112
10
200
100
12
122
300
600
200
112
112 ###
300
200
590
650
2,550
NO
NAMA OBAT
SATUAN
3
TABLET
TUBE
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
6=4+5
937,400
937,400
711
711
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
10
11
12
13
10,800
7,200
6,000
14,400
10
JUMLAH
PWK
JBG
14
15
16
17
12,800
10,800
7,200
25,200
50
CTK
18=(7s/d17)
20
94,400
80
TABLET
9,500
9,500
TABLET
47,600
47,600
TABLET
178,000
178,000
208 PIROXICAM
TABLET
91,320
91,320
BOTOL
119
119
BOTOL
888
888
BOTOL
BOTOL
191
191
2,000
4,000
600 ###
1
3,000
240
10
3
360
5
1,800
###
1,080
12,000
2,640
10
7,320
26
20
35
-
2 ###
13
BOTOL
133
133
TABLET
28,000
28,000
TABLET
TABLET
AMPUL
BOTOL
1,282
1,282
BOTOL
186
186
TABLET
37,600
37,600
506
506
LABU
92,800
-
3,000 ###
1,000
5,200
2,000
1,800
11,000
-
1,000
1,200
1,000
1,500
1,500
15,200
-
2 ###
TABLET
27,850
27,850
500
TABLET
56,800
56,800
500
AMPUL
78
78
TABLET
37,200
37,200
TABLET
24,000
24,000
228 SALEP 2 - 4
4
1,000
92,800
2
3,000
140
100
244
200
1,000
1,000
50
500
2,200
1,000
2,550
78
78
POT
500
300 ###
100
500
200 ###
1,200
600
600
500
4,600
800
600
100
500
2,400
KOTAK
3,100
3,100
BOTOL
3,779
3,779
BOTOL
810
810
KAPSUL
950
950
KAPSUL
100
100
TABLET
3,780
3,780
TABLET
118,000
118,000
AMPUL
TUBE
272
272
52,700
52,700

TABLET
TUBE
VIAL
919
919
BOTOL
5,710
5,710
100 ###
200
200 ###
800
24
5
10
24
10
20
200
48
650
93
850
5
100
2,000
500
5
500
1,000
1,000
1,000
1,500
4,500
12,100
6
-
24
72
96
NO
NAMA OBAT
SATUAN
3
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
97,800
6=4+5
PEMAKAIAN
JUMLAH
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
1,000
5,000
4,500
1,500
TABLET
KAPSUL
500
500
TABLET
44,000
44,000
97,800
AMPUL
TABLET
37,000
37,000
KAPSUL
31,600
31,600
TABLET
AMPUL
130
130
TABLET
153,800
153,800
TABLET
742,800
742,800
TABLET
25,200
25,200
500 ###
700
18=(7s/d17)

13,700
2,000
3,000
1,000
100 ###
2,000
2,000
100
200
3,000
2,000
4,000
###
19,000
700
-
10
300
100
10
500
800
500
700
1,000
1,000
4,000
1,500
1,500
1,500
2,000
1,500
1,300
4,000
2,500
2,000
4,000
3,000
8,800
2,500
16,000
3,000 ###
17,400

1
SET
32
32
BUAH
2,100
2,100
BUAH
11,300
11,300
BUAH
7,231
7,231
350
350
BUAH
590
590
100
100
BUAH
110
110
ALAT PEMERIKSAAN HB
ALCOHOL SWABS
BUAH
SACHET
22
22
81,900
81,900
400
200
200
600
500
400
200
100
1,800
200
100
500
1,500
600
100
1,000
4,000
BISTURI
BUAH
507
507
10
BLOOD LANCET
BUAH
9,600
9,600
11
GALON
12
SACHET
5,518
5,518
13
CATGUT CHROMIC
ROLL
14
SET
15
DENGUE N5 1 ANTIGEN
SET
16
DEX GLASS
BUAH
81
81
17
BUAH
85
85
18
FESCOPLAST
ROLL
19
FOLEY CATETHER
BUAH
20
GLUCOSA TEST TIP
TIP
8,350
8,350
21
GOLONGAN DARAH KIT
SET
21
21
22
H2O2
BOTOL
23
LEMBAR
30,000
30,000
500
1,500
600
24
HAND SCONE STERILE
PASANG
300
300
50
50
50
25
SACHET
210
210
100
1
100
###
3
24
31
5
2
5
4
-
60
150
210
-
30
4,000
1
700
200
1,000
8,500
150
30
60
120
NO
NAMA OBAT
SATUAN
STOCK
AWAL
26
HEMASITO METER
BUAH
27
ISI AUTOCLIX
KOTAK
28
INFUSION SET ANAK
29
INFUSION SET DEWASA
30
IODIUM TEST
BOTOL
31
IV CATETHER
SACHET
32
JARUM JAHIT
33
KACA MULUT
34
35
36
PENERIMAA PERSEDIAA
N
N
5
-
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
18=(7s/d17)
18,870
18,870
60
SET
121
121
50
SET
332
332
10
100
50
55
100
JUMLAH
300
210
240
300
510
1,620
10
67
10
172
4,039
4,039
155
BUAH
218
218
BUAH
80
80
BUNGKUS
122
122
KAPSUL KOSONG NO.0
BUAH
KAPSUL KOSONG NO.1
BUAH
37
LEMBAR
38
ROLL
67
67
39
KASSA STERIL
KOTAK
461
461
40
KASSA 4 M X 15 CM
ROLL
41
LAMPU SPIRITUS
BUAH
42
BOTOL
43
BOTOL
16
16
44
KOTAK
105
105
45
METILEN BLUE 250 ML
BOTOL
16
16
46
MICROPIPET 3 UKURAN
BUAH
47
MASKER
BUAH
27,750
27,750
48
BUAH
108
108
49
BUAH
108
108
50
BUAH
45
45
51
BUAH
45
45
52
BUAH
45
45
53
MATA SCALLER
BUAH
54
NASO GASTRIC TUBE
TUBE
55
BUAH
125
125
56
BUAH
126
126
57
NEEDLE
BUAH
52
52
58
OBJECT GLASS
BUAH
152
152
59
OIL IMERSI
BOTOL
16
16
60
OSE
BUAH
61
PENJEPIT TABUNG
BUAH
22
22
62
PIPET BESAR
BUAH
63
PIPET KECIL
BUAH
12
12
50
55
300
100
200
600
1,100
500
800
100
3,700
2
5
2
5
10
20
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
10
CLG
CBB
11
12
13
14
15
PWK
15
24
JBG
CTK
16
17
JUMLAH
18=(7s/d17)
PLESTER
ROLL
167
167
65
POT DAHAK
BUAH
66
BUAH
67
VIAL
68
SELANG O2 ANAK
BUAH
26
26
10
69
SELANG O2 DEWASA
BUAH
70
SGOT/SGPT TEST
SET
71
578
578
72
STRIP ASAM URAT
73
STRIP HB
BOX
74
STRIP GULA DARAH
BOX
75
BOX
76
STRIP KOLESTEROL
BOX
77
VENOJECT
KOTAK
18
18
78
YELLOW TIP
BUAH
19
19
79
TABUNG REAKSI BESAR
BUAH
37
37
80
TABUNG REAKSI KECIL
BUAH
63
63
81
TERMOMETER DIGITAL
BUAH
82
TORNIKUET
BUAH
102
102
83
BUAH
17,850
17,850
84
BUAH
104
104
85
URINE BAG
BUAH
169
169
10
86
KOTAK
87
WIDAL TEST
KOTAK
88
WHITE TIP
BUAH
24
24
89
KOTAK
90
POCH PACK D
BUAH
91
POCH PACK L
BUAH
92
BUAH
93
BUAH
94
CALIBRATION SCS
BUAH
95
BUAH
96
STROMALYSER WH
BUAH
97
BUAH
98
BUAH
99
BUAH
OBAT GIGI
PM
64
SACHET
3 ###
CWD
58
-
15
3
1
15
50
10
75
10
1
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
ARSEN
BOTOL
ARTIKULATING PAPER
KOTAK
BOTOL
73
73
BEIN GIGI
SET
CALCIDOR
POT
CEVITRON
BUAH
66
66
CHKM
POT
15
15
CRESOPEN
BOTOL
DENTORIT
BOTOL
10
DYCAL
BOTOL
11
11
2
2
1
10
22
11
ETIL KLORIDA SPRAY
BOTOL
177
177
12
EUGENOL CAIRAN
BOTOL
185
185
13
IODOFORM PASTA
POT
14
14
14
GLASS IONOMER ART
SET
42
42
15
OCO / TSR
BOTOL
10
10
16
BOTOL
17
SET
12
12
18
SET
Cilegon, 30 Oktober 2015

Nip. 19660223 199203 2 002
NIP. 19740620 200312 2 003
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
Nama Obat
ED
Jumlah
Keluar
No
1
2
3
Ambroxol Syrup
Okt-15
10
Amixicillin 500 mg
Jul-14
600
Amoxicillin Syrup
Nov-14
10
Antacida tab
Jul-14
200
Antalgin 500 mg
Mei-16
400
Anti Bakteri Salep
Ags-17
10
Sep-14
2,000
10
Asam Mefenamat
Jul-14
400
11
Captopril 25 mg
Ags-17
200
12
Co Amoxiclav
Jun-14
60
13
Cotrimoxazol 480 mg
Mei-17
400
14
CTM
Jul-14
600
15
Dexametason
Ags-17
400
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
MENURUT
KARTU
PERSEDIAA
N
2,775
MENURUT
STOK
OPNAME
SELISIH
LEBIH/KURA
NG
16
Etanol
17
Garam Oralit
Ags-17
200
18
Hidrokortison Salep
Jun-14
19
Kassa
20
Kotrimoxazol 120 mg
Mar-14
400
21
Metronodazol 500 mg
Apr-14
200
22
Natrium Diklofenak
Jul-14
100
23
Oxytetrasiklin 3 %
Jun-14
10
24
Piridoxin
Sep-14
2,000
25
Nov-14
26
Prednison
Jun-14
600
27
Salbutamol 2 mg
Jun-14
200
28
Salisil bedak
Mei-16
10
29
Simvastatin
Ags-17
100
30
Tablet Tambah Darah
Apr-14
12,000
31
Thiamin tab
Mar-14
2,000
Jan-14
150
Vitamin B Komplek
Sep-14
2,000
NO
1
NAMA OBAT
SATUAN
ACYCLOVIR 5 GR KRIM
2,775
TABLET
23,800
23,800
TABLET
5,950
5,950
ALBOTYL
BOTOL
288
288
TABLET
19,200
19,200
TABLET
8,800
8,800
BOTOL
282
282
10
TABLET
59,600
59,600
11
TABLET
36,400
36,400
12
TABLET
28,700
28,700
13
VIAL
1,770
1,770
14
BOTOL
19,603
19,603
TUBE
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
NO
NAMA OBAT
SATUAN
3
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
15
KAPLET
93,080
93,080
16
KAPLET
303,700
303,700
17
TABLET
203,500
203,500
18

TABLET
205,400
205,400
19
ANTASIDA SUSPENSI
BOTOL
3,624
3,624
20

TUBE
7,140
7,140
21

SALISILAT 3 %)
POT
281
281
22
ANTI HEMOROID DOEN
SUPP
1,970
1,970
23
TABLET
480,200
480,200
24
TABLET
12,600
12,600
25
ATROPIN SULFAT INJ
AMPUL
146
146
26
TABLET
110,050
110,050
27
BEKARBON
TABLET
23,480
23,480
28
VIAL
180
180
29
TUBE
2,884
2,884
30
TABLET
1,290
1,290
31
534
534
32
BISOPROLOL 5 MG
TABLET
1,900
1,900
33
BOTOL
105
105
34
CALAMIN LOTION
BOTOL
860
860
35
TABLET
707,800
707,800
36
TABLET
270,700
270,700
37
BOTOL
424
424
38
CEFIXIME 100 MG
KAPSUL
22,700
22,700
39
CEFOTAXIME INJ 1G
VIAL
263
263
40
CEFTRIAXON INJ
VIAL
280
280
41
BOTOL
193
193
42
CIMETIDIN TABLET
TABLET
8,700
8,700
43
TABLET
124,900
124,900
44
KAPSUL
11,000
11,000
45
TABLET
445,800
445,800
46
TABLET
20,000
20,000
47
BOTOL
7,623
7,623
48
TABLET
74,200
74,200
49
BOTOL
313
313
50
BOTOL
463
463
6=4+5
SUPP
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
NO
NAMA OBAT
SATUAN
3
STOCK
AWAL
4
PENERIMAA PERSEDIAA
N
N
5
6=4+5
179,600
179,600
VIAL
2,660
2,660
TABLET
3,000
3,000
AMPUL
206
206
DIFENHIDRAMIN INJ
AMPUL
220
220
56
TABLET
51,900
51,900
57
BOTOL
129
129
58
DOMPERIDON 10 MG
TABLET
590
590
59
KAPSUL
9,700
9,700
60
BOTOL
1,410
1,410
61
ERYTHROMYCIN 250 MG
KAPSUL
17,600
17,600
62
TABLET
45,200
45,200
63
ETAMBUTOL 500 MG
TABLET
45,000
45,000
64
BOTOL
225
225
65
ETANOL 70 % 1000 ML
BOTOL
657
657
66
KAPSUL
8,600
8,600
67
TABLET
7,000
7,000
68
FENOL GLISEROL 10 %
BOTOL
2,304
2,304
69
FITOMENADION INJ
AMPUL
15,525
15,525
70
TABLET
10,100
10,100
71
FLUCONAZOL 150 MG
TABLET
200
200
72
AMPUL
230
230
73
TABLET
21,000
21,000
74
SACHET
7,400
7,400
75
TUBE
2,950
2,950
76
BOTOL
4,650
4,650
77
TABLET
792,100
792,100
78
GLIMEPIRIDE 2 MG
TABLET
2,680
2,680
79

MG
TABLET
23,250
23,250
80
TABLET
684,000
684,000
81
GLISERIN LARUTAN
BOTOL
79
79
82
TABLET
5,400
5,400
83
TABLET
16,700
16,700
84
TABLET
25,100
25,100
85
AMPUL
456
456
86
TUBE
15
15
87
TABLET
8,430
8,430
88
TUBE
34,385
34,385
89
TABLET
30,100
30,100
51
52
53
DIAZEPAM TABLET
54
55
TABLET
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
92
6,200
6,200
24,800
24,800
5,000
5,000
TABLET
8,713
8,713
IMUNOSTIMULAN SIRUP
BOTOL
999
999
TABLET
800
800
97
TABLET
1,600
1,600
98
TABLET
123,900
123,900
99
KANAMYCINE 2 GR
85
85
90
SUPP
91
TABLET
92
TABLET
93
ISONIAZID 100 MG
TABLET
94
ISONIAZID 300 MG
95
96
VIAL
92
100 KAOLIN SUSPENSI
BOTOL
1,400
1,400
TABLET
650
650
TUBE
1,051
1,051
TABLET
4,500
4,500
AMPUL
846
846
KAPSUL
5,900
5,900
TUBE
165
165
BOTOL
443
443
BOTOL
2,120
2,120
BOTOL
3,616
3,616
TABLET
3,250
3,250

MG KRIM
TUBE
5,320
5,320

BOTOL
3,025
3,025

GG + CTM SYRUP
BOTOL 60
ML
6,364
6,364
TABLET
40,300
40,300
TABLET
23,720
23,720

GUAIAKOLATSULFONAT
BOTOL
8,573
8,573

TABLET
TABLET
80,400
80,400
201
201

MG
TUBE
BOTOL 60
ML
3,289
3,289
-
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
NO
NAMA OBAT
SATUAN
3
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N

TABLET
26,200
26,200

ACID 200 MG TABLET
TABLET
49,900
49,900
6=4+5
-
BOTOL
9,195
9,195
TABLET
25,200
25,200
TABLET
15,240
15,240
TABLET
5,150
5,150
AMPUL
12,763
12,763
TABLET
440
440
128 LISOL
BOTOL
922
922
TABLET
24,300
24,300
TABLET
14,700
14,700
131 MELOXICAM 15 MG
TABLET
6,950
6,950
TABLET
210,800
210,800
TABLET
TABLET
2,600
2,600
AMPUL
160
160
TABLET
17,500
17,500
50
50
TABLET
3,300
3,300
BOTOL
363
363
TABLET
13,500
13,500
TABLET
26,500
26,500
VIAL
TUBE
691
691
BOTOL
3,508
3,508
BOTOL
4,487
4,487
TABLET
79,100
79,100
TABLET
76,000
76,000
TABLET
22,950
22,950
TABLET
900
900
BOTOL
108
108
TABLET
112,400
112,400
TABLET
1,400
1,400
TABLET
2,400
2,400
BOTOL
130
130
154 OBH
BOTOL
10,998
10,998
TABLET
500
500
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
TABLET
5,100
5,100
TUBE
19,825
19,825
TUBE
2,050
2,050
BOTOL
TABLET
25,200
25,200
TABLET
1,400
1,400
BOTOL
9,768
9,768
BOTOL
53,385
53,385
TABLET
1,335,100
1,335,100
TABLET
17,300
17,300
TABLET
48,900
48,900
TABLET
304,000
304,000
168 PIROXICAM
TABLET
48,700
48,700
169 OXYTOCIN INJ
AMPUL
3,820
3,820
BOTOL
159
159
BOTOL
262
262
BOTOL
58
58
TABLET
98,000
98,000
TABLET
5,800
5,800
TABLET
104,100
104,100
AMPUL
1,552
1,552
BOTOL
1,245
1,245
BOTOL
573
573
TABLET
44,500
44,500
LABU
3,089
3,089
527
527

AMPUL
TABLET
12,900
12,900
TABLET
23,600
23,600
740
740
184 SALEP 2 - 4
POT
BOTOL
1,656
1,656
KAPSUL
8,600
8,600
KAPSUL
11,800
11,800
TABLET
5,170
5,170
TABLET
142,000
142,000
AMPUL
450
450
TUBE
375
375
TUBE
266
266
934
934
6,896
6,896
VIAL
BOTOL
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
NO
NAMA OBAT
SATUAN
3
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
6=4+5

TABLET
100,500
100,500
KAPSUL
4,800
4,800
TABLET
199,000
199,000
KAPSUL
41,600
41,600
TABLET
1,700
1,700
AMPUL
253
253
TABLET
217,600
217,600
TABLET
499,000
499,000
TABLET
65,400
65,400
BOTOL
144
144
SET
32
32
BUAH
4,100
4,100
BUAH
24,438
24,438
BUAH
7,000
7,000
BUAH
900
900
ALAT PEMERIKSAAN HB
BUAH
11
11
ALCOHOL SWABS
109,000
109,000
10
SACHET
VIAL
11
BOTOL
1,224
1,224
12
BISTURI
BUAH
500
500
13
BLOOD LANCET
BUAH
9,900
9,900
14
SACHET
6,463
6,463
15
CATGUT CHROMIC
ROLL
16
DEX GLASS
BUAH
81
81
17
BUAH
97
97
18
FOLEY CATETHER
BUAH
325
325
19
GLUCOSA TEST TIP
TIP
8,400
8,400
20
GOLONGAN DARAH KIT
SET
20
20
21
H2O2
BOTOL
14
14
22
LEMBAR
97,600
97,600
23
HAND SCONE STERILE
PASANG
1,750
1,750
24
SACHET
4,675
4,675
25
ISI AUTOCLIX
KOTAK
11,940
11,940
26
INFUSION SET ANAK
SET
535
535
27
INFUSION SET DEWASA
SET
477
477
28
IODIUM TEST
BOTOL
300
300
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
3,221
3,221
BUAH
355
355
BUAH
66
66
BUNGKUS
297
297
29
IV CATETHER
SACHET
30
JARUM JAHIT
31
KACA MULUT
32
33
KAPSUL KOSONG NO.0
BUAH
20,000
20,000
34
KAPSUL KOSONG NO.1
BUAH
30,000
30,000
35
LEMBAR
1,150
1,150
36
ROLL
37
KASSA STERIL
KOTAK
1,479
1,479
38
KASSA 4 M X 15 CM
ROLL
3,370
3,370
39
KOTAK
134
134
40
MICROPIPET 3 UKURAN
BUAH
41
MASKER
BUAH
22,900
22,900
42
BUAH
148
148
43
BUAH
148
148
44
BUAH
45
BUAH
46
BUAH
47
MATA SCALLER
BUAH
48
NASO GASTRIC TUBE
TUBE
30
30
49
BUAH
150
150
50
BUAH
150
150
51
NEEDLE
BUAH
67
67
52
OBJECT GLASS
BUAH
274
274
53
OSE
BUAH
54
PENJEPIT TABUNG
BUAH
22
22
55
PLESTER
ROLL
562
562
56
BUAH
57
VIAL
24
24
58
SELANG O2 ANAK
BUAH
107
107
59
SELANG O2 DEWASA
BUAH
88
88
60
SGOT/SGPT TEST
61
62
SET
SACHET
66
66
STRIP HB
BOX
392
392
63
STRIP GULA DARAH
BOX
185
185
64
STRIP KOLESTEROL
BOX
160
160
65
VENOJECT
KOTAK
66
YELLOW TIP
BUAH
67
TABUNG REAKSI BESAR
BUAH
37
37
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
68
TABUNG REAKSI KECIL
BUAH
63
63
69
TORNIKUET
BUAH
105
105
70
BUAH
304
304
URINE BAG
BUAH
410
410
WHITE TIP
BUAH
24
24
OBAT GIGI
ARSEN
BOTOL
ARTIKULATING PAPER
KOTAK
BOTOL
73
73
CEVITRON
BUAH
153
153
CHKM
POT
21
21
ETIL KLORIDA SPRAY
BOTOL
177
177
EUGENOL CAIRAN
BOTOL
651
651
10
IODOFORM PASTA
POT
18
18
11
GLASS IONOMER ART
SET
28
28
SET
15
15
SET
8
-
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
Pemberian
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
2,975
3,150
50
157,500
50
157,500
9,750
534
100
53,400
200
106,800
14,350
648
100
64,800
150
97,200
39,600
86
1,000
86,000
200
17,200
300
210
3,300
19,800
300
19,839
990,000
100
21,000
100
330,000
113
1,000
80
39,300
102
240
187
4,750
12,650
2,445
200
489,000
100
17,400
211
2,000
422,000
350,200
261
5,000
1,305,000
3,000
116
100
980
1,500
146,600
152,000
72
1,615
ANTASIDA SUSPENSI
11,600
500
-
36,000
3,850
100
385,000
473,000
17
126,311
1,310
513,400
900

1 POLIMIKSIN B 10,000IU/G )
2,491

1 SALISILAT 3 %)
1,713
ANTI HEMOROID DOEN

1,500
174,000
108,000
30
2
115,500
252,622
25
-
1,305,000
1,500
7
3,065
5,000
244,500
62,275
-
3,025
10
30,250
30
90,750
95
1,000
95,000
700
66,500
159
500
79,500
800
127,200
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
100
500
1,045
1,100
367
150
15,400
2,900
AZITHROMYCIN 500 MG
4,500
30
116
12,185
1,520
50
206,600
10,450
66
61,650
317
16,310
180
5,200
ATROPIN SULFAT INJ

AQUABIDEST
1 BEKARBON
1,500
74
1,291
185
6,199
645
90
281
300
12,100
66,000
12,650
63
2,000
126,000
1,000
2,000
176,000
400
35,200
30
264,000
300
257,700
BISOPROLOL 5 MG
CALAMIN LOTION

CEFIXIME 100 MG
CEFOTAXIME INJ 1G
1 CEFTRIAXON INJ
88
8,800
953,490
58,050
1,110
5,000
5,500
10,440
50
28,050
CETIRIZIN 10 MG
188
CIMETIDIN TABLET
116
500
58,000
245
500
200
49,000
200
493,100
213
122,500
450
91
122
1,379
99
5,060
5,727
15
3,960
69
49,000
527
366
342,100
522,000
63,000
859
CETIRIZINE DROP
83,350
84,300
4,015
150
128,850
16,200
152,000
55,050
140,400
9,800
100
200,000
568,000
345
76,000
2,000
82,200
50,000
924
540
135,000
500
25,300
330
50,000
2,000
1,000
181,940
69,000
7,200
1,500
654,984
10,120
103,500
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
1,796
38,000
1 DIAZEPAM TABLET
120
180

1 DIFENHIDRAMIN INJ
50,800
1,020
7,000
6,000
45
500
22,500
2,368
960
91
100
9,100
333,300
3,333
100
DOMPERIDON 10 MG
167
220
8,100
15
23,700
2,000
88
49,995
7,220
15,200
440
500
33,900
921
300
38,800
1 ETAMBUTOL 500 MG
420
2,200
25,300
75,900
133
65
1,008
24
1 FITOMENADION INJ
3,417
634
200
126,800
22,000
200
4,400,000
19,080
91
100
288
200
57,600
300
86,400
1,850
50
92,510
40
74,008
895
895
50
44,750
50
44,750
54
1,000
54,000
600
32,400
436
250
109,000
200
87,200
809
16,200
15
105
443
1 ETANOL 70 % 1000 ML
1,400
7,000
888
4,290
13,200

4,300
220
FLUCONAZOL 150 MG
15,500
36,700
50
1 GAMEKSAN
1,750
755,600
100
1 GLIMEPIRIDE 2 MG
14,270

1
368,000
-
100
550,000
5,500

1 GLISERIN LARUTAN
220,000
276,300
9,100
-
100
126,500
24,192
63,400
56,000
28
4,730
200
2,000
108,300
6,000
168,000
-
10,300
200
1,000
165
3,900
246
600
432
14,724
51,975
51,975
34,391.50
50
220
450

HEPAPROTEKTOR SYRUP
1,719,575
40,000
147,600
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
6,570
4,730
210
993,300
27,460
2,399
48
115,152
11,800
1,265
55,550
4,499
93
146
39
125,600
1,020
1,000
4,824,600
55,550
146,000
1
1,500
55,550
219,000
5,000
1 ISONIAZID 100 MG
44
6,000
1 ISONIAZID 300 MG
107
IMUNOSTIMULAN SIRUP
28,600
4,950
97
1,444
70
500
35,000
500
35,000
355.30
600
213,180
200
71,060
77,200
15,600
70
KANAMYCINE 2 GR
19,800
750
KAOLIN SUSPENSI
12,012
410
50
20,500
24
112,800
7,750
2,257
4,700
4,700
24
3,700
KETOPROFEN 100 MG
1,342
KETOROLAC INJ 10 MG
2,539
310
29,400
2,106
89
1,600
3,800
50
5,995
29,975
50
1,815
9,075
48
600
3,200
100
1,100
1,777

1 MG KRIM
6,600
45,000

312
80,000
38,400
299,750
50
299,750
87,120
24
43,560
110,000
80
300
24
528,000
80
-
3,400
151
6,645
112,800
528,000
300
93,600
-
93,600
-
110,500
-

1 GG SYRUP
7,376
6,160
50
-
20
368,800
147,520
-
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
-
10,600
-
1 CTM
5,706
14,600

GUAIAKOLATSULFONAT
1 TABLET
1,304

MG
900

27,400
3,415

/ LIBROFED TABLET
ACID 200 MG TABLET
13,800
12,240
2,700
6,490
14,450
707
20,300

LISOL
79,200
15,840
-
1,100
100
100
5
20,900
66,000
-
800
158,400
100
880,000
1,000
110,000
100
1,056
105,600
1,975
138
300
50
574
1,030
30
638
14,850
12
91
178,200
1,056,000
3
-
10
1,140,480
80,300
72
1,204,500
70,400
10
100
464,640
150
110,000
2,508,000
600
100
-
240
91,000
110,000
100
-
500
-
13,200
704
209
10,450
15,885
8,030
700
37,400

1
43
1,100
182
41,400
30,900
V167*13200
-
105,600
50
98,750
800
110,400
60
61,800
11,100
MELOXICAM 7,5 MG
682
1,000
682,000
300
204,600
22,700
1 MELOXICAM 15 MG
1,199
1,000
1,199,000
300
359,700
115,300
1 METFORMIN 500 MG
105
1,000
105,000
600
63,000
METFORMIN 850 MG
260
154
100
15,400
2,900
59
296
300
2,750
24,300
1,000
300,000
200
60,000
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
6
500
-

44,000
91
2,830
48
9,900
123
5,400
164
2,582
1 MICONAZOLE SALEP
3,000
4,070
144,000
200
32,800
24
72,000
256
17,800
13,750
20,680
20,680
48
992,640
6,964
1,287
1,000
1,287,000
41,000
14
1,000
14,000
22,600
133
700
93,100
16,500
176
500
88,000
15,895
10
158,950
4,700
14,100
11,110
55,550
112
1,400
640
1,600
407
30,800
5,225
24,200
485
21
1,395
69,700
15,300
248
MULTIVITAMIN TABLET


OBH
10,725
3,500
15,795
2,510
700
1,400
912
5,552
27,236
400
-
514,800
-
23,500
200
1,045,000
50
261,250
413
OFLOXACIN 400 MG
654
50
1 ONDENSETRON INJ
6,050
1,450
25
2,100
OXYTOCIN INJ
13,913
16,100
119
530
60
1 OFLOXACIN 200 MG
32,700
36,250
32
7,040
1 PARASETAMOL DROPS
5,227
10
52,270
112
585,424
10
52,270
1,319
200
263,800
100
131,900
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
843,000
PARASETAMOL 500 MG
84
631
11,475
290
198
18
83.93
28,600
28,600
2,163
9,500
47,600
166,000
84,000
93

1 PIROXICAM
1 ALBOTYL
853
10,800
4,000
600
50,358
600
50,358
10
286,000
6,489
2,400
14,000
129
POVIDON IODIDA 1 L
42,000
57
1 PROPANOLOL 40 MG
120
1 RANITIDIN TABLET
120
1,928
3,000
1,000
28,000
171,000
120,000
2
2
3,000
1,200
4,326
28,000
171,000
144,000
1,282
14,300
186
19,600
37,600
1 RIFAMPICIN 450 MG
594
5,200
10,400
25,650
1,500
500
750,000
54,250
1,008
500
504,000
262
2,000
77,600
604,800
72,000
7,200
36,000
178
17,000
907,200
253,620
63,750
32,600
59
500
21,600
89
4,950
1 SALEP 2 - 4
1,000
10,400
1,008,000
29,500
300
17,700
300
17,700
200
17,800
200
17,800
1,250
100
3,630
717
1 SEFADROKSIL SYRUP
5,248
26,240
10
100
SEFADROKSIL 250 MG
468
200
100
SEFADROKSIL 500 MG
509
2,300
3,755
SALISIL BEDAK 2 %
125,000
93,600
100
125,000
52,480
3,780
12,100
118,000
12
520
58,300
291,500
391
195,500
267
40,600
-

SIMVASTATIN TABLET
100
39,100
2,000
782,000
500
23,540
141,240
919
2,090
5,614
3,226
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
84,100
500

44,000
-
1,023
500
-
500
511,500
511,500
186
1,050
700
35
2,000
70,000
3,000
105,000
431
100
43,100
100
43,100
323
120
5,400
40
300
12,000
500
18,000
30,900
20,000
32,000
145,000
726,800
107
475
100
47,500
7,800

1,000
2,000
800
4,000
950,000
1,500
712,500
32
110,000
1,700
2,662
9,500
3,120
200
6,881
7,750
3,300
8,360
490
110
22
77,900
525,000
ALCOHOL SWABS
275
200
BISTURI
ALAT PEMERIKSAAN HB
55,000
100
624,000
27,500
550
9,500
396
902,000
5,487
78,100
507
902,000
902,000
5,415,500
1,650,000
2,420,000
39,050
302,500
CATGUT CHROMIC
76
DEX GLASS
81
FESCOPLAST
FOLEY CATETHER
11,000
GLUCOSA TEST TIP
8,323
60
511,500
20,900
880
500
440,000
8,800
50
440,000
13,200
8,140
21
6
21,500
150
90
GOLONGAN DARAH KIT

H2O2
HAND SCONE STERILE
499,380
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
-
ISI AUTOCLIX
1,870
60
112,213
300
INFUSION SET ANAK
8,800
17,600
INFUSION SET DEWASA
7,321
14,642
IODIUM TEST
16,500
3,884
IV CATETHER
22,000
218
JARUM JAHIT
20,900
80
KACA MULUT
96,800
110
17,250
54
160
-
HEMASITO METER
20,130
561,066
2
-
40,260
KAPSUL KOSONG NO.0
44
KAPSUL KOSONG NO.1
33
1,980
55
130,000
KASSA STERIL
7,317
KASSA 4 M X 15 CM
2,680
LAMPU SPIRITUS
16
46,200
101,750
406
105
36,585
260,000
37,400
1,078,000
330
300
108
22,000
108
22,000
45
95,700
45
95,700
45
95,700
236,500
16
METILEN BLUE 250 ML
MICROPIPET 3 UKURAN
24,050
MASKER
99,000
100
33,000
MATA SCALLER
NASO GASTRIC TUBE
55,000
124
40,700
125
47
132
16
2
NEEDLE
OBJECT GLASS
40,700
110,000
34,991
OIL IMERSI
OSE
13,500
5,400
22
PENJEPIT TABUNG
PIPET BESAR
PIPET KECIL
STOCK
AKHIR
NAMA OBAT
HARGA
DINAS
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
109
PLESTER
POT DAHAK
11
SELANG O2 ANAK
SELANG O2 DEWASA
503
943,500
702,240
13,200
8,167
24,500
24,500
13,200
1,082,950
3,056
162,500
STRIP GULA DARAH
95,000
77,000
STRIP KOLESTEROL
159,500
18
VENOJECT
440,000
19
YELLOW TIP
95,700
2,015
STRIP HB
2
-
37
TABUNG REAKSI BESAR
63
TABUNG REAKSI KECIL
2,015
TERMOMETER DIGITAL
34,320
462,000
17,850
1,000
104
13,200
102
TORNIKUET
4,950
247,500
1,396,000
133,100
159
URINE BAG
WIDAL TEST
24
OBAT GIGI
STOCK
AKHIR
NAMA OBAT
HARGA
DINAS
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
-
ARSEN
484,000
ARTIKULATING PAPER
192,500
225,500
3,740,000
CALCIDOR
209,000
64
CEVITRON
115,500
13
CHKM
70,000
73
CRESOPEN
770,000
DENTORIT
154,000
DYCAL
534,600
155
ETIL KLORIDA SPRAY
176,000
185
EUGENOL CAIRAN
3,178
14
IODOFORM PASTA
302,500
42
GLASS IONOMER ART
687,500
10
OCO / TSR
330,000
1,265,000
418,000
12
36,300
1,277,910
3,000,690
176,000
41,384,516
18,731,748
STOCK
AKHIR
19=6-18
NAMA OBAT
HARGA
DINAS
Pemakaian
PROGRAM
Harga
Pemakaian
Harga
P2KP
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
STOCK
AKHIR
19=6-18
NAMA OBAT
HARGA
DINAS
Pemakaian
PROGRAM
Harga
Pemakaian
Harga
P2KP
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
STOCK
AKHIR
19=6-18
NAMA OBAT
HARGA
DINAS
Pemakaian
PROGRAM
Harga
Pemakaian
Harga
P2KP
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
STOCK
AKHIR
19=6-18
NAMA OBAT
HARGA
DINAS
Pemakaian
PROGRAM
Harga
Pemakaian
Harga
P2KP
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
STOCK
AKHIR
19=6-18
NAMA OBAT
HARGA
DINAS
Pemakaian
PROGRAM
Harga
Pemakaian
Harga
P2KP
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
STOCK
AKHIR
19=6-18
NAMA OBAT
HARGA
DINAS
Pemakaian
PROGRAM
Harga
Pemakaian
Harga
P2KP
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
STOCK
AKHIR
19=6-18
NAMA OBAT
HARGA
DINAS
Pemakaian
PROGRAM
Harga
Pemakaian
Harga
P2KP
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
STOCK
AKHIR
19=6-18
NAMA OBAT
HARGA
DINAS
Pemakaian
PROGRAM
Harga
Pemakaian
Harga
P2KP
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
STOCK
AKHIR
19=6-18
NAMA OBAT
HARGA
DINAS
Pemakaian
PROGRAM
Harga
Pemakaian
Harga
P2KP
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
STOCK
AKHIR
19=6-18
NAMA OBAT
HARGA
DINAS
Pemakaian
PROGRAM
Harga
Pemakaian
Harga
P2KP
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
CBB
Pemakaian
50
CWD
Harga
Pemakaian
157,500
Harga
Pemakaian
100
315,000
100
PWK
Harga
Pemakaian
315,000
300
160,200
648,000
100
64,800
1,000
648,000
100
300
25,800
50
1,000
PM
JBG
Harga
Pemakaian
157,500
-
64,800
25
CTK
Harga
Pemakaian
78,750
Harga
472,500
150
1,811,250
320,400
1,587,600
300
25,800
1,500
129,000
700
60,200
300
63,000
500
105,000
300
63,000
400
1,320,000
200
660,000
400
300
990,000
450
150
712,500
712,500
350
855,750
350
300
200
489,000
250
1,000
211,000
2,000
422,000
2,000
422,000
2,000
522,000
4,000
1,044,000
6,000
1,566,000
300
1,500
192,500
25
1,419,000
378,933
3,000
360,000
2,505,600
348,000
192,500
946,000
378,933
100
-
90,750
40
121,000
100
9,500
1,000
159,000
4,000
380,000
#VALUE!
7,000
1,827,000
8,000
2,088,000
12,162,600
1,000
116,000
5,000
144,000
50
192,500
250
1,589,200
504,000
1,677,600
962,500
2,618,000
2,365,000
1,010,488
75
186,825
747,300
500
580,000
124,550
20
7,000
211,750
102,000
2,426,500
70
AQ24*2277
738,500
50
102,000
1,000
252,000
7,114,800
3,500
249,100
1,485,000
473,000
211,000
288,000
50
1,000
2,000
577,500
30
4,000
190,000
185,600
9,600
AM24*2277
150
62,275
1,600
5,000
25
2,000
174,000
216,000
-
62,275
3,000
21,600
50
V24*2277
1,320,000
129,000
1,500
60,500
79,500
50
151,250
756,250
5,000
475,000
1,216,000
2,000
318,000
763,200
CBB
Pemakaian
2,000
CWD
Harga
Pemakaian
200,000
3,100
PM
Harga
Pemakaian
310,000
1,000
PWK
Harga
Pemakaian
100,000
4,000
JBG
Harga
Pemakaian
400,000
1,500
CTK
Harga
Pemakaian
150,000
4,000
Harga
400,000
300
110,100
600
20
25
38,000
100
220,200
1,050
385,350
900
330,300
450
20
750
25
90,000
152,000
50
76,000
165,150
90,000
AO45*V45-190X127
38,000
900
-
330,300
87,000
#VALUE!
125
190,000
12
90
600
50
632,500
758,700
58,050
5,000
315,000
1,300
81,900
2,500
157,500
1,000
300
26,400
3,000
264,000
2,500
220,000
3,500
308,000
20
176,000
20
176,000
50
440,000
300
257,700
600
515,400
1,500
1,288,500
505,800
75,600
1,200
1,800
750
495,000
2,700
1,596,450
180,000
40
168,600
1,860,000
2,100
-
74,388
590,100
132,000
-
722,000
74,388
116,100
2,107,500
132,000
632,500
63,000
2,000
126,000
1,008,000
1,000
88,000
4,000
352,000
1,469,600
15
132,000
103,080
1,110
120
50
20
1,252,800
700
200
23,200
81,200
1,000
245,000
980,000
1,000
245,000
300
73,500
800
522,000
196,000
208,800
953,490
1,188,000
131,600
4,458,210
131,600
500
7,200
654,984
10,800
982,476
7,200
654,984
7,200
654,984
3,600
327,492
10,800
982,476
5,094,320
10
50,600
60,720
10
57,270
57,270
1,600
110,400
20
79,200
20
79,200
2,000
138,000
5,000
345,000
5,000
345,000
5,000
345,000
5,000
345,000
158,400
1,800,900
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
500
10
33,330
50
166,650
50
166,650
749,925
100
16,700
200
300
50,100
200
33,400
167,000
200
33,400
33,400
Harga
6,000
45,000
9,100
22,500
56,700
20
144,400
252,700
100
44,000
300
132,000
396,000
400
368,400
1,000
921,000
1,565,700
10
22,000
22,000
15
126,500
24
24
24,192
40,500
379,500
200
200
126,800
63,400
200
27,300
86,400
500
144,000
500
144,000
700
30
55,506
50
92,510
40
74,008
201,600
-
74,008
100
185,020
647,570
150
134,250
448,395
3,000
162,000
89,500
50
44,750
50
44,750
27,000
2,000
108,000
3,000
162,000
800
43,200
50
21,800
2,000
872,000
100
43,600
300
130,800
599,400
1,264,400
360
-
2,530,000
84,000
616,000
40,000
600
99,000
500
82,500
181,500
100
300
600
147,600
1,000
246,000
639,600
24,600
73,800
2,000
56,000
1,980,000
5,000
140,000
3,000
84,000
1,000
28,000
40
500
4,400,000
1,065,600
100
634,000
288,000
10,800
205,020
1,000
44,750
126,800
57,600
50
200
200
200
72,576
205,020
126,800
60
300
24,192
759,000
100
18,200
50,600
155,925
-
3,000
207,900
1,719,575
CBB
Pemakaian
210
CWD
Harga
Pemakaian
993,300
PM
Harga
Pemakaian
-
Harga
Pemakaian
-
Harga
Pemakaian
-
Harga
Pemakaian
-
111,100
35
300
21,000
1,000
146,000
70,000
2,000
500
292,000
35,000
1,500
1,500
219,000
105,000
1,000
2,000
284,240
72
100
100
48
50
169,200
-
31,042
76,800
48
299,750
36
84
-
394,800
-
76,800
96
100
41,000
134,200
153,600
651,000
20,500
169,200
210,000
1,460,000
240,240
36
3,000
292,000
157,465
50
140,000
2,000
157,465
1,218,692
20
-
146,000
192
460,608
6,811,200
48
115,152
Harga
72
124
297,476
CTK
24
57,576
JBG
1,000
172,728
PWK
100
24
864,864
-
82,000
120
564,000
1,527,500
100
134,200
268,400
-
31,042
38,400
72
1,105,104
62,084
115,200
579,200
50
299,750
100
599,500
100
599,500
50
299,750
125
749,375
3,477,100
87,120
96
174,240
72
130,680
24
43,560
24
43,560
618,915
48
110,000
30
-
300
120
198,000
93,600
70
792,000
30
462,000
220
198,000
1,452,000
4,158,000
20
26
280,800
-
147,520
-
191,776
-
855,616
CBB
Pemakaian
CWD
Harga
Pemakaian
400
96
-
400
500
1,284,800
118,800
20,900
2,280,960
13,543,200
1,100,000
6,380,000
1,372,800
10,137,600
493,750
427,800
1,000
1,300
2,640,000
200
395,000
69,000
500
160
257,500
500
382,800
#VALUE!
1,159,400
100
63,800
164,800
74,250
-
1,000
138,000
4,266,240
144
2,500
844,800
26,400
-
770,000
105,600
8,966,100
300
41,400
3,168,000
700
100
2,508,000
4,561,920
880,000
794,250
288
800
794,250
200
27,600
528,000
1,320,000
1,100,000
1,200
422,400
1,520,640
2,200,000
3,000
464,100
240
1,045,000
96
2,000
2,280,960
440,000
1,056,000
1,000
50
144
1,520,640
1,000
600
Harga
100
704,000
Pemakaian
1,000
Harga
273,000
985,600
CTK
1,500
Pemakaian
1,400
26,400
522,500
492,800
Harga
1,881,000
JBG
50
700
Pemakaian
45,500
281,600
Harga
180
501,600
PWK
250
54,600
Pemakaian
48
Harga
300
-
PM
300
204,600
100
68,200
500
599,500
1,000
1,199,000
2,500
2,997,500
800
84,000
2,500
262,500
5,000
525,000
600
180,000
900
500
94,500
319,000
150,000
4,000
-
1,000
420,000
300,000
300
359,700
6,714,400
3,000
315,000
1,869,000
15,400
100
30,000
2,500
750,000
1,770,000
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
100
12,300
12,300
200
32,800
164,000
24
72,000
534,000
400
65,600
200
32,800
10
30,000
48
144,000
24
10
100
178,000
2,068,000
30
-
24
-
10
-
178,000
-
20
-
356,000
-
1,673,200
-
300
6,204,000
240
4,963,200
192
3,970,560
216
4,466,880
24,671,240
900,900
800
1,029,600
1,000
1,287,000
1,500
1,930,500
600
772,200
7,722,000
700
1,000
133,000
52,800
1,000
300
20
1,500
168,000
100
64,000
400
427,200
1,985,280
53,200
534,000
96
400
72,000
94,000
-
2,090,000
133,000
2,500
332,500
400
1,000
112,000
100
23,500
23,500
-
522,500
5
-
400
2,090,000
904,400
70,400
14,000
111,100
159,600
1,200
10
200
211,200
238,425
10
47,000
225,600
10
111,100
277,750
280,000
64,000
1,045,000
79,475
500
2,612,500
9,666,250
536,250
536,250
50
-
32,700
100
278,260
200
95,200
50
20
72,500
278,260
145,000
75
108,750
398,750
400
84,480
12
300
84,480
395,700
47,600
122
637,694
600
791,400
200
263,800
25
36,250
23,800
200
23,800
112
585,424
112
585,424
112
585,424
3,083,930
300
395,700
200
263,800
650
857,350
3,363,450
CBB
Pemakaian
CWD
Harga
Pemakaian
6,000
504,000
10
114,750
PM
Harga
Pemakaian
Harga
Pemakaian
12,800
1,075,200
50
573,750
14,400
1,209,600
PWK
JBG
Harga
Pemakaian
Harga
Pemakaian
7,200
604,800
20
229,500
10,800
907,200
CTK
25,200
Harga
2,116,800
-
918,000
-
3,000
54,000
1,800
151,074
240
20,143
360
30,215
143,000
10
10,815
20
70,000
84,000
1,000
120,000
1,500
180,000
(3*28600)+(7*17
28,000
84,000
3,000
171,000
5,200
624,000
2
1,000
2,000
43,260
28,000
57,000
240,000
1,080
90,644
7,929,600
3,000
54,000
2,640
221,575
614,368
182,000
168,000
627,000
1,000
1,800
57,000
216,000
1,500
216,000
10,815
180,000
#VALUE!
75,705
1,824,000
140
1,268,800
728,000
100
520,000
200
300,000
50
50,400
78
19,782,360
100
5,900
500
29,500
200
24
10
52,480
1,000
-
1,500,000
-
500
750,000
3,300,000
1,000
1,008,000
2,570,400
19,782,360
-
1,200
70,800
600
35,400
600
35,400
500
29,500
271,400
800
71,200
600
53,400
100
8,900
500
44,500
213,600
250,000
87,120
200
250,000
-
200
-
20
104,960
48
304,200
250,000
251,904
1,000,000
87,120
488,064
650
397,800
291,500
500
195,500
1,000
24
391,000
77,424
1,000
391,000
1,000
391,000
1,500
586,500
4,500
72
1,759,500
232,272
4,731,100
141,240
309,696
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
1,000
-
PWK
Harga
Pemakaian
5,000
1,023,000
JBG
Harga
Pemakaian
700
5,115,000
CTK
Harga
Pemakaian
4,500
716,100
Harga
1,500
4,603,500
1,534,500
14,015,100
2,000
70,000
2,000
70,000
100
43,100
200
86,200
10
54,000
700
28,000
1,000
500
35,000
20,000
1,500
1,300
1,500
617,500
4,000
105,000
140,000
665,000
200
86,200
301,700
2,000
70,000
54,000
2,000
3,000
1,000
40,000
1,500
1,900,000
4,000
3,000
2,500
4,000
1,187,500
80,000
3,000
120,000
352,000
1,425,000
8,265,000
2,500
1,425,000
3,000
400
1,064,800
1,064,800
500
1,560,000
200
100
200
624,000
600
1,872,000
624,000
312,000
5,616,000
350
2,712,500
2,712,500
100
330,000
330,000
500
100
902,000
137,500
1,874,400
1,500
412,500
600
165,000
27,500
39,600
1,000
275,000
1,100,000
39,600
2,706,000
2,421,100
24
1,210,000
150
1,747,830
20,900
20,900
4,000
3,520,000
605,000
1,500
1,320,000
600
528,000
50
440,000
50
440,000
30
396,000
605,000
700
30
546,700
100
616,000
396,000
200
1,248,450
176,000
1,000
60
195,250
880,000
792,000
195,250
7,480,000
1,320,000
1,584,000
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
210
44,000
50
440,000
10
73,210
100
732,100
50
Harga
Pemakaian
-
392,746
366,050
Harga
Pemakaian
-
448,853
300
CTK
Harga
Pemakaian
-
561,066
Harga
-
510
953,812
3,029,756
10
88,000
589,600
10
73,210
1,259,212
3,410,000
55
1,210,000
100
240
JBG
PWK
2,200,000
1
-
4
20,130
5
80,520
100,650
241,560
1,560,000
390,000
260,000
390,000
365,850
402,435
260,000
50
200
66,000
600
198,000
1,100
363,000
500
165,000
800
264,000
100
33,000
1,221,000
40,700
40,700
220,000
174,955
110,000
349,910
40,700
550,000
10
174,955
220,000
40,700
699,820
CBB
Pemakaian
CWD
Harga
Pemakaian
Harga
Pemakaian
Harga
Pemakaian
Harga
Pemakaian
Harga
Pemakaian
Harga
3,511,200
3,511,200
10
132,000
66,000
198,000
39,600
1
-
1,082,950
-
15
45,833
40,833
473,667
-
39,600
1,082,950
229,167
50
152,778
10
30,556
190,000
570,000
77,000
77,000
380,000
24,500
CTK
24
196,000
JBG
15
122,500
PWK
40,833
PM
10
49,500
49,500
247,500
495,000
247,500
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
231,000
231,000
140,000
140,000
1,069,200
1,069,200
880,000
#VALUE!
10
39,829,919
1,760,000
43,355,325
704,000
2*145200
68,645,950
32,365,326
40,984,679
61,885,284
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga

DI KOTA CILEGON
Propinsi
: BANTEN
Alamat
: 9 Unit
Bulan
: November
Tahun
: 2015
NO
NAMA OBAT
ACYCLOVIR 5 GR KRIM
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
TUBE
2,975
2,975
TABLET
9,750
9,750
TABLET
14,350
14,350
TABLET
39,600
39,600
TABLET
300
300
BOTOL
19,839
19,839
TABLET
TABLET
1,000
1,000
39,300
39,300
30,000
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
10
25
CLG
11
25
50
PM
13
14
75
PWK
JBG
CTK
15
16
17
100
200
100
200
400
300
500
250
1,000
500
JUMLAH
18=(7s/d17)
150
500
300
700
500
1,500
200
1,500
5,000
400
600
1,950
300
200
200
250
30,000
100
TABLET
TABLET
11
TABLET
12
VIAL
13
BOTOL
14
KAPLET
17,400
45,000
62,400
500
15
KAPLET
350,200
100,000
450,200
3,000
16
TABLET
1,500
1,500
17
TABLET
146,600
146,600
18

TABLET
152,000
19
ANTASIDA SUSPENSI
BOTOL
1,615
1,615
20
VIAL
21
AMPUL
17
17
22

TUBE
3,065
3,065
23

SALISILAT 3 %)
POT
24
ANTI HEMOROID DOEN
25
SUPP
CWD
75
1,000
TABLET
12
50
100 ###
10
100
-
102,900
980
980
12,650
123,900
102,900
12,650
CBB
275,900
900
480
300
200
50
300
300
900
600
900
4,380
180
360
600
1,810
980
120
1,000
2,000
5,500
4,000
###
6,000
3,000
1,500
4,500
9,600
7,000
6,000
43,100
1,000
200
1,000
1,000
3,500
1,500
3,600
11,800
1,500
1,000
2,000
4,000
3,000
3,000
8,000
24,500
50
50
50
50
50
100
350
2,000
2
50
1
###
25
75
3
50
250
-
1,310
1,310
30
40
10
50
60
50
20
30
290
513,400
513,400
2,000
500
2,000
1,000
1,500
3,000
2,000
10,000
22,000
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
26
TABLET
900
900
27
TABLET
206,600
206,600
28
TABLET
10,450
10,450
29
ATROPIN SULFAT INJ
AMPUL
66
66
30
TABLET
61,650
61,650
31
AQUABIDEST
BOTOL
32
BOTOL
317
33
AZITHROMYCIN 500 MG
KAPSUL
34
BEKARBON
TABLET
35
VIAL
180
180
36
TUBE
5,200
5,200
37
TABLET
38
39
40
BISOPROLOL 5 MG
TABLET
540
540
41
TABLET
82,200
82,200
42
BOTOL
1,500
1,500
43
BOTOL
74
74
44
CALAMIN LOTION
BOTOL
1,291
1,291
10
20
30
45
TABLET
568,000
568,000
3,000
500
1,500
4,000
3,000
1,700
1,500
3,000
18,200
46
TABLET
140,400
140,400
3,000
200
300
2,000
3,000
4,000
1,500
3,500
17,500
47
BOTOL
345
345
10
20
20
10
50
48
CEFIXIME 100 MG
KAPSUL
9,800
9,800
450
180
210
120
1,020
2,520
49
CEFIXIME 200 MG
50
CEFOTAXIME INJ 1G
VIAL
51
CEFTRIAXON INJ
VIAL
52
BOTOL
185
185
53
CETIRIZINE DROP
BOTOL
54
CETIRIZIN 10 MG
TABLET
55
CIMETIDIN TABLET
TABLET
16,200
16,200
56
TABLET
83,350
83,350
57
KAPSUL
58
KAPSUL
59
TABLET
60
TABLET
61
BOTOL
62
TABLET
63
BOTOL
213
213
64
BOTOL
366
366
2,000
16,310
3,500
1,000
50
4,500
3,500
750
450
600
600
25,000
150
5
1,050
450
150
4,050
317
BOTOL
1,000
1,000
SUPP
330
750
750
-
25
25
50
100
50
75
75
25
100
12
12
120
600 ###
1,200
900
600
90
210
3,900
7,800
-
420
120
110
24,000
5,000
493,100
625
-
330
5,000
6,000
16,310
24,000
2,000
100
2,000
6,000
493,100
2,000
6,000
2,500
100
100
10
50
50
115
-
500
300
500
1,000
300
500
400
300
200
500
2,700
500
400
1,000
2,700
-
3,600
10,800
3,600
3,600
7,200
3,600
7,200
40,100
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
65
BOTOL
15
66
TABLET
342,100
67
68
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
15
2,000
1,000
200
1,000
VIAL
1,796
DIAZEPAM TABLET
TABLET
38,000
38,000
69
AMPUL
120
120
70
DIFENHIDRAMIN INJ
AMPUL
180
180
71
TABLET
50,800
50,800
72
BOTOL
1,020
1,020
73
DOMPERIDON 10 MG
TABLET
23,700
23,700
74
KAPSUL
7,000
7,000
75
TABLET
76
AMPUL
88
88
77
BOTOL
809
809
78
ERYTHROMYCIN 250 MG
KAPSUL
15,200
15,200
79
TABLET
33,900
33,900
80
ETAMBUTOL 500 MG
TABLET
38,800
38,800
81
BOTOL
105
105
82
ETANOL 70 % 1000 ML
BOTOL
443
443
83
KAPSUL
1,400
1,400
84
TABLET
7,000
7,000
85
FENOL GLISEROL 10 %
BOTOL
888
888
86
FITOMENADION INJ
AMPUL
4,290
4,290
87
TABLET
13,200
13,200
88
FLUCONAZOL 150 MG
TABLET
4,300
4,300
89
AMPUL
220
220
90
TABLET
15,500
15,500
91
GAMEKSAN
BOTOL
92
SACHET
93
TUBE
50
94
BOTOL
1,750
1,750
50
95
TABLET
755,600
755,600
1,500
96
GLIMEPIRIDE 2 MG
TABLET
100
100
97

MG
TABLET
14,270
14,270
98
TABLET
368,000
368,000
99
GLISERIN LARUTAN
BOTOL
TABLET
10,300
TABLET
1,000
TABLET
3,900
2,000
3,000
5,500
4,000
5,000
4,900
100
1,300
-
10
-
25
500 ###
50
10
400
500
50
20
50
205
200
400
2,500
-
30
200
10
50
80
500
200
700
500
500
1,200
-
3
3
14
100
100
-
24
24
60
100
200
###
72
60
100
120
500
300
1,200
20
20
-
200
200
-
200
500
500
300
1,700
-
400
500
50
50
1,000
2,000
50 ###
1,200
250
1,000
100
1,650 ###
1,650
1,650
1,650
3,000
2,000
3,000
6,000
10,000
1,650 ###
5,000
5,000
11,400
200
4,950
10,300
24,500
1,796
36,700
2,000
2,096
36,700
18=(7s/d17)
-
342,100
300
JUMLAH
7,600
100
11,550
6,000
40,000
-
200
200
1,000
1,000
1,000
15,300
1,000
1,000
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
AMPUL
432
432
TUBE
220
220
BOTOL
450
450
TABLET
6,570
6,570
TUBE
27,460
27,460
TABLET
11,800
11,800

SUPP
39
39
BOTOL
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
10
10
540
96
300
300
###
600
48
240
100
1,740
100
###
9
-
TABLET
TABLET
125,600
125,600
TABLET
5,000
5,000
TABLET
6,000
6,000
500
1,000
1,000
4,000
1,000
500
8,000
BOTOL
1,000
1,000
TABLET
10,000
10,000
TABLET
KAPSUL
TABLET
77,200
77,200
TABLET
2500
15,600
15,600
121 KANAMYCINE 2 GR
VIAL
70
70
122 KAOLIN SUSPENSI
BOTOL
750
750
TABLET
7,750
7,750
300
TUBE
2,257
2,257
60
TABLET
3,700
3,700

AMPUL
KAPSUL
29,400
29,400
210
1000
500
1000
900
1,000
1500
10,000
100
17,400
1,100
-
38
48
86
50
12
150
200
50
20
700
144
100
286
100
210
100
10
10
50
100
2,106
2,106
89
89
BOTOL
6,645
6,645
BOTOL
151
151
TABLET
600
600
TABLET
3,400
3,400

MG KRIM/mytaderm
TUBE
1,777
1,777

TABLET
45,000
45,000
100
24
19
50 ###
100
24
40
600 ###
24
60
600
48 ###
1,000
TUBE
100
24
500
BOTOL
48
200

DOSIS
200
193
50
89
350
24
48
120
50
120
120
40
200
630
600
600
600
600
900
5,100
-
NO
NAMA OBAT

SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
BOTOL
BOTOL 60
ML

MALEAT/zestam
TABLET
TABLET

+ CTM/febrinex
BOTOL

BOTOL
5,706

TABLET/flutab/tuzalos
TABLET
14,600
14,600

SYRUP/protexinal
BOTOL
1,304
1,304

MG
TUBE
43
43

10,600
10,600
200
500
2,100
7,806
96
100
1,000
100
48
400
192
1,000
192
2,500
TABLET
700
700

BOTOL 60
ML
900
900

TABLET
37,400
37,400
200
500

ACID 200 MG TABLET
TABLET
27,400
27,400
100
2,500
BOTOL
3,415
3,415
TABLET
13,800
13,800
600
400
TABLET
12,240
12,240
1,500
1,200
TABLET
2,700
2,700
50
AMPUL
6,490
TABLET
14,450
14,450
200
700
156 LISOL
BOTOL
707
707
TABLET
20,300
20,300
TABLET
11,100
11,100
300
159 MELOXICAM 15 MG
TABLET
22,700
22,700
100
TABLET
115,300
115,300
TABLET
TABLET
2,900
500
1,200
528
2,000
100
144
96
300
100
500
100
1,000
120
100
200
1,500
200
3,000
8,300
100
240
1,000 ###
100
200 ###
200
144
849
3,600
2,000
8,800
200 ###
1,200
1,000
500 ###
3,200
1,500
1,500 ###
8,700
###
100
6,990
6,490
100
1,000
500 ###
900
6
300
12
2,200
200
1,000 ###
300
1,000
1,500
2,500
4,000
300
500
1,000
4,000
2,900
700
20,300
3,500
6,200
500
10,500
-
100
100
200
NO
NAMA OBAT
SATUAN
STOCK
AWAL
AMPUL
TABLET
TABLET

VIAL
TABLET
PENERIMAA PERSEDIAA
N
N
5
59
-
6=4+5
400
459
18,800
18,800
24,300
6
3,000
3,500
1,000
1,000
BOTOL
TABLET
9,900
9,900
TABLET
5,400
5,400
TUBE
2,582
2,582
500
GRG
CLG
10
11
TUBE
BOTOL
2,800
2,800
BOTOL
6,964
2,500
9,464
TABLET
24,200
40,000
64,200
TABLET
41,000
41,000
TABLET
22,600
22,600
TABLET
256
48
100
2,000
300
700
1,000
200
TABLET
69,700
69,700
TABLET
1,400
1,400
TABLET
1,600
1,600
BOTOL
187 OBH
BOTOL
15,300
4,000
19,300

BOTOL
248
132
380
TABLET
TABLET
191 ONDENSETRON INJ
AMPUL
AMPUL
TABLET
700
300
1,500
100
500
721
60
96
192
360
400
360
1,705
600
2,000
1,000
6,600
1,000
1,000
1,200
300
400
500
1,500 ###
6,400
1,000
2,700
15
2
5
50
100
1,000
55
1,700
100
2,900
100
100
200
1,450
150
100
300
400
300
100
100
100
400
15,795
2,510
100
-
150
100
75
25
50 ###
450
2,510
1,400
20
400
4,300
10
3,500
15,795
300
3,500
1,400
800
1,000
1,395
600
300
144
1,395
15
BOTOL
700
18=(7s/d17)
TABLET
600
30
21
300
256
BOTOL
17
BOTOL
16
5
300
15
AMPUL
15
500
14
JUMLAH
100
485
13
CTK
16,500
TUBE
12
JBG
500
485
PWK
500
16,500
PM
200
TUBE
TUBE
CWD
10
CBB
500
P2KP
500
DINAS
24,300
PEMAKAIAN
PROGRAM
30
40
100
170
700
700
7,000
100
7,700
100
1,400
NO
NAMA OBAT
SATUAN
STOCK
AWAL
TABLET
PENERIMAA PERSEDIAA
N
N
5
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
SUPP
912
912
BOTOL
5,552
5,552
12
224 ###
BOTOL
27,236
27,236
TABLET
843,000
843,000
TUBE
631
631
10
300
100
200
500
500
300
200
500
2,600
8,000
7,200
12,200
10,800
10,800
18,000
85,300
9,500
47,600
TABLET
166,000
166,000
1,000
208 PIROXICAM
TABLET
84,000
84,000
960
BOTOL
93
BOTOL
853
BOTOL
BOTOL
178
178
129
TABLET
TABLET
AMPUL
BOTOL
10,000
87,600
BOTOL
186
TABLET
37,600
262
8,000
1,800
1,080
2,880
9,240
15
19
10
13
10
19
5
1,000
2,000
-
2,000
500
3,000
2,000
5,000
1,000
2,500
500
650
100
836
100
1
37,600
2,000
2,262
25,650
350
54,250
100
AMPUL
100
200
140
1,000
500
383
200
1,000
1,000
1,000
1,550
2,000
5,600
-
100
TABLET
32,600
32,600
200
TABLET
21,600
21,600
200
300
100
400
200
400
500
1,900
500
500
200
1,500
3,100
100
100
100 ###
672
KOTAK
2,300
2,300
BOTOL
3,755
3,755
BOTOL
717
717
KAPSUL
100
KAPSUL
100
TABLET
3,780
3,780
TABLET
118,000
118,000
AMPUL
10,000
40
672
16,500
-
1,282
54,250
3,000
25,650
1,440
1,000
1,000
TABLET
POT
360
3,000
TABLET
228 SALEP 2 - 4
480
240
300
1,282
LABU
2,000

2,000
70
-
853
17,000
77,600
30 ###
193
129
1,792
50
9,500
17,000
224 ###
7,200
47,600
BOTOL
48
224
200
TABLET
TABLET
12
224
10,800
TABLET
24
224
200
224
150
18=(7s/d17)
-
100
JUMLAH
100
100
100
10,100
100
15
50
10
200
300
500
60
90
500
96
96
200
275
500
2,600
100
500
500
150
-
NO
NAMA OBAT

SATUAN
STOCK
AWAL
TUBE
TABLET
PENERIMAA PERSEDIAA
N
N
5
6=4+5
267
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
267
40,600
40,600
50
1,500
1,500
1,500
1,000
10
1,000
2,000
9,400
37
VIAL
919
919
BOTOL
5,614
5,614
24

TABLET
84,100
320,710
600
KAPSUL
500
500
TABLET
44,000
44,000
AMPUL
TABLET
18,000
18,000
KAPSUL
30,900
30,900
TABLET
AMPUL
120
120
TABLET
145,000
145,000
TABLET
726,800
TABLET
7,800
5 ###
200
TUBE
236,610
50
700
###
1,500
1,500
3,000
1,000
4,000
48
1,500
200
4,000
1,000
4,000
200
3,000
2,000
4,000
18,000
100
100
500
900
200
726,800
21,100
13,100
500
1,000
200
1,000
200
1,200
2,000
2,000
1,500
2,500
5,000
28,900
1,500
2,000
7,100
3,000
16,500
1,500
1,500

1
SET
32
32
BUAH
1,700
1,700
BUAH
9,500
9,500
BUAH
6,881
6,881
BUAH
490
490
BUAH
110
110
ALAT PEMERIKSAAN HB
BUAH
22
22
ALCOHOL SWABS
77,900
77,900
SACHET
507
100
300
100
200
100
600
200
300
300
50
###
200
300
200
300
300
300 ###
1,900
1,700
100
100
50
100
-
200 ###
1,000
1,500
400
2,000
BISTURI
BUAH
507
BLOOD LANCET
BUAH
9,500
11
GALON
12
SACHET
5,487
5,487
13
CATGUT CHROMIC
ROLL
14
SET
15
DENGUE N5 1 ANTIGEN
SET
16
DEX GLASS
BUAH
76
76
17
BUAH
81
81
18
FESCOPLAST
ROLL
19
FOLEY CATETHER
BUAH
110
110
100
5,900
10
3,000
200
600
300
12,500
120
10
96
24
250
###
NO
NAMA OBAT
SATUAN
STOCK
AWAL
20
GLUCOSA TEST TIP
21
GOLONGAN DARAH KIT
22
H2O2
23
24
25
26
HEMASITO METER
BUAH
27
ISI AUTOCLIX
KOTAK
28
INFUSION SET ANAK
29
INFUSION SET DEWASA
30
IODIUM TEST
31
IV CATETHER
SACHET
32
JARUM JAHIT
BUAH
33
KACA MULUT
34
35
36
PENERIMAA PERSEDIAA
N
N
5
6=4+5
TIP
8,140
8,140
SET
21
21
BOTOL
LEMBAR
21,500
21,500
HAND SCONE STERILE
PASANG
150
700
850
SACHET
90
1,800
1,890
DINAS
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
300
1 ###
600 ###
1
700
10
1,000
3,000
400
200
50
30 ###
54
500
554
SET
160
5,000
5,160
BOTOL
137
137
100
3,984
218
7,200
60
30
30
30
240
300
150
-
17,250
SET
18=(7s/d17)
6
1
700
JUMLAH
300
17,250
3,884
PEMAKAIAN
PROGRAM
300
4
240
20
1,200
2,280
54
54
50
79
200
279
70
218
BUAH
80
80
BUNGKUS
110
110
KAPSUL KOSONG NO.0
BUAH
KAPSUL KOSONG NO.1
BUAH
37
LEMBAR
38
ROLL
55
39
KASSA STERIL
KOTAK
406
40
KASSA 4 M X 15 CM
ROLL
41
LAMPU SPIRITUS
BUAH
42
BOTOL
43
BOTOL
16
16
44
KOTAK
105
105
45
METILEN BLUE 250 ML
BOTOL
16
16
46
MICROPIPET 3 UKURAN
BUAH
47
MASKER
BUAH
24,050
24,050
48
BUAH
108
108
49
BUAH
108
108
50
BUAH
45
45
51
BUAH
45
45
52
BUAH
45
45
53
MATA SCALLER
BUAH
54
NASO GASTRIC TUBE
TUBE
55
BUAH
124
124
56
BUAH
125
125
57
NEEDLE
BUAH
47
47
58
OBJECT GLASS
BUAH
132
132
120
120
55
200
606
1,000
1,000
2
10
54
50
###
10
119
-
###
2
-
150
400
300
1,000
500
1,200
400
200
4,150
10
NO
NAMA OBAT
SATUAN
STOCK
AWAL
59
OIL IMERSI
BOTOL
60
OSE
BUAH
61
PENJEPIT TABUNG
BUAH
62
PIPET BESAR
BUAH
63
PIPET KECIL
64
PENERIMAA PERSEDIAA
N
N
5
6=4+5
16
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
16
22
22
BUAH
PLESTER
ROLL
109
109
65
POT DAHAK
BUAH
66
BUAH
67
VIAL
68
SELANG O2 ANAK
BUAH
11
100
111
69
SELANG O2 DEWASA
BUAH
100
100
70
SGOT/SGPT TEST
SET
71
SACHET
503
72
STRIP ASAM URAT
73
STRIP HB
BOX
74
STRIP GULA DARAH
BOX
75
BOX
76
STRIP KOLESTEROL
BOX
7,600
77
VENOJECT
KOTAK
18
18
78
YELLOW TIP
BUAH
19
19
79
TABUNG REAKSI BESAR
BUAH
37
37
80
TABUNG REAKSI KECIL
BUAH
63
63
81
TERMOMETER DIGITAL
BUAH
82
TORNIKUET
BUAH
102
102
83
BUAH
17,850
17,850
84
BUAH
104
85
URINE BAG
BUAH
159
159
86
KOTAK
87
WIDAL TEST
KOTAK
88
WHITE TIP
BUAH
24
24
89
KOTAK
90
POCH PACK D
BUAH
91
POCH PACK L
BUAH
92
BUAH
93
BUAH
94
CALIBRATION SCS
BUAH
95
BUAH
96
STROMALYSER WH
BUAH
97
BUAH
15
24
200
10
50
1,000
36
11
101
-
18,000
2
7,600
57
18,000
503
1,000
10
304
10
10
-
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
98
BUAH
99
BUAH
OBAT GIGI
1
ARSEN
BOTOL
ARTIKULATING PAPER
KOTAK
BOTOL
73
73
BEIN GIGI
SET
CALCIDOR
POT
CEVITRON
BUAH
64
64
CHKM
POT
13
13
CRESOPEN
BOTOL
DENTORIT
BOTOL
10
DYCAL
BOTOL
11
ETIL KLORIDA SPRAY
BOTOL
155
155
12
EUGENOL CAIRAN
BOTOL
185
185
13
IODOFORM PASTA
POT
14
14
14
GLASS IONOMER ART
SET
42
42
15
OCO / TSR
BOTOL
10
10
16
BOTOL
17
SET
12
12
18
SET
10
Cilegon, 30 November 2015

1
-
Nip. 19660223 199203 2 002
NIP. 19740620 200312 2 003
15
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
Nama Obat
ED
Jumlah
Keluar
No
1
2
3
Ambroxol Syrup
Okt-15
10
Amixicillin 500 mg
Jul-14
600
Amoxicillin Syrup
Nov-14
10
Antacida tab
Jul-14
200
Antalgin 500 mg
Mei-16
400
Anti Bakteri Salep
Ags-17
10
Sep-14
2,000
10
Asam Mefenamat
Jul-14
400
11
Captopril 25 mg
Ags-17
200
12
Co Amoxiclav
Jun-14
60
13
Cotrimoxazol 480 mg
Mei-17
400
14
CTM
Jul-14
600
15
Dexametason
Ags-17
400
16
Etanol
17
Garam Oralit
2
Ags-17
200
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
NO
NAMA OBAT
SATUAN
STOCK
AWAL
Jun-14
PENERIMAA PERSEDIAA
N
N
18
Hidrokortison Salep
19
Kassa
20
Kotrimoxazol 120 mg
Mar-14
400
21
Metronodazol 500 mg
Apr-14
200
22
Natrium Diklofenak
Jul-14
100
23
Oxytetrasiklin 3 %
Jun-14
10
24
Piridoxin
Sep-14
2,000
25
Nov-14
26
Prednison
Jun-14
600
27
Salbutamol 2 mg
Jun-14
200
28
Salisil bedak
Mei-16
10
29
Simvastatin
Ags-17
100
30
Tablet Tambah Darah
Apr-14
12,000
31
Thiamin tab
Mar-14
2,000
Jan-14
150
Vitamin B Komplek
Sep-14
2,000
6=4+5
MENURUT
STOK
OPNAME
SELISIH
LEBIH/KURA
NG
6
5
NO
1
NAMA OBAT
SATUAN
MENURUT
KARTU
PERSEDIAA
N
2,350
ACYCLOVIR 5 GR KRIM
2,350
TABLET
22,600
22,600
TABLET
3,400
3,400
ALBOTYL
BOTOL
266
266
TABLET
12,200
12,200
TABLET
8,640
8,640
TABLET
47,000
47,000
10
TABLET
35,400
35,400
11
TABLET
28,700
28,700
12
VIAL
1,770
1,770
17,903
81,640
TUBE
13
BOTOL
17,903
14
KAPLET
81,640
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
NO
NAMA OBAT
SATUAN
3
STOCK
AWAL
4
PENERIMAA PERSEDIAA
N
N
15
KAPLET
255,500
255,500
16
TABLET
185,400
185,400
17

TABLET
184,100
184,100
18
ANTASIDA SUSPENSI
BOTOL
3,424
3,424
19

TUBE
6,765
6,765
20

SALISILAT 3 %)
POT
21
ANTI HEMOROID DOEN
SUPP
6=4+5
202
202
1,720
1,720
459,100
22
TABLET
459,100
23
TABLET
12,600
12,600
24
ATROPIN SULFAT INJ
AMPUL
146
146
25
TABLET
105,600
105,600
26
BEKARBON
TABLET
21,880
21,880
27
VIAL
180
180
TUBE
2,420
2,420
TABLET
690
690
SUPP
528
528
28
29
30
31
BISOPROLOL 5 MG
TABLET
1,800
1,800
32
BOTOL
101
101
550
33
CALAMIN LOTION
BOTOL
550
34
TABLET
695,800
695,800
35
TABLET
254,700
254,700
36
BOTOL
374
374
37
CEFIXIME 100 MG
KAPSUL
19,950
19,950
38
CEFOTAXIME INJ 1G
VIAL
173
173
VIAL
230
230
39
CEFTRIAXON INJ
40
BOTOL
108
108
41
CIMETIDIN TABLET
TABLET
8,000
8,000
42
TABLET
121,000
121,000
43
KAPSUL
8,900
8,900
375,800
44
TABLET
375,800
45
TABLET
18,000
18,000
46
BOTOL
7,623
7,623
47
TABLET
74,200
74,200
48
BOTOL
308
308
49
BOTOL
458
458
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
NO
NAMA OBAT
SATUAN
3
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
6=4+5
155,400
155,400
VIAL
2,625
2,625
TABLET
3,000
3,000
AMPUL
206
206
DIFENHIDRAMIN INJ
AMPUL
220
220
TABLET
51,700
51,700
94
50
51
52
DIAZEPAM TABLET
53
54
55
TABLET
56
BOTOL
94
57
KAPSUL
9,700
9,700
58
BOTOL
1,325
1,325
59
ERYTHROMYCIN 250 MG
KAPSUL
17,500
17,500
60
TABLET
44,900
44,900
61
ETAMBUTOL 500 MG
TABLET
44,000
44,000
62
BOTOL
220
220
63
ETANOL 70 % 1000 ML
BOTOL
640
640
64
KAPSUL
8,500
8,500
65
TABLET
7,000
7,000
66
FENOL GLISEROL 10 %
BOTOL
2,184
2,184
15,525
67
FITOMENADION INJ
AMPUL
15,525
68
TABLET
8,400
8,400
69
FLUCONAZOL 150 MG
TABLET
200
200
70
AMPUL
220
220
71
TABLET
20,400
20,400
72
SACHET
6,800
6,800
73
TUBE
2,600
2,600
74
BOTOL
4,300
4,300
75
TABLET
780,900
780,900
76
GLIMEPIRIDE 2 MG
TABLET
1,900
1,900
77

MG
TABLET
21,930
21,930
78
TABLET
645,000
645,000
79
GLISERIN LARUTAN
BOTOL
79
79
80
TABLET
5,000
5,000
81
TABLET
15,500
15,500
82
TABLET
24,600
24,600
83
AMPUL
456
456
84
TUBE
85
TABLET
7,890
7,890
86
TUBE
33,722
33,722
87
TABLET
30,100
30,100
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
5,000
5,000
18,600
18,600
5,000
5,000
TABLET
8,000
8,000
BOTOL
969
969
400
400
SUPP
89
TABLET
90
TABLET
91
ISONIAZID 100 MG
TABLET
92
ISONIAZID 300 MG
93
IMUNOSTIMULAN SIRUP
91
6=4+5
91
88
94
TABLET
95
TABLET
1,300
1,300
96
TABLET
116,900
116,900
97
KANAMYCINE 2 GR
VIAL
75
75
98
KAOLIN SUSPENSI
BOTOL
1,400
1,400
99
TABLET
3,000
3,000
824
824
TABLET
4,300
4,300
AMPUL
786
786
KAPSUL
5,780
5,780
TUBE
141
141
BOTOL
438
438
BOTOL
1,745
1,745
BOTOL
3,394
3,394
TABLET
2,750
2,750
4,818
4,818
2,900
2,900
5,854
5,854
37,450
37,450
23,270
23,270
8,300
8,300
74,940
74,940
171
171
2,747
2,747
TUBE

MG KRIM
TUBE

BOTOL

GG + CTM SYRUP
BOTOL 60
ML
TABLET
TABLET

GUAIAKOLATSULFONAT
BOTOL

TABLET
TABLET

MG
TUBE
BOTOL 60
ML
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
20,950
20,950
6=4+5

TABLET

ACID 200 MG TABLET
TABLET
42,200
42,200
BOTOL
8,845
8,845
TABLET
25,200
25,200
TABLET
15,240
15,240
TABLET
5,050
5,050
AMPUL
12,373
12,373
125 LISOL
BOTOL
892
892
TABLET
24,100
24,100
TABLET
12,600
12,600
128 MELOXICAM 15 MG
TABLET
650
650
TABLET
205,900
205,900
TABLET
2,100
2,100
AMPUL
55
55
22,800
22,800
50
50

TABLET
VIAL
TABLET
2,800
2,800
BOTOL
273
273
TABLET
13,500
13,500
TABLET
25,000
25,000
TUBE
631
631
BOTOL
3,326
3,326
BOTOL
3,253
3,253
TABLET
73,400
73,400
TABLET
75,000
75,000
TABLET
17,650
17,650
BOTOL
73
73
TABLET
108,800
108,800
TABLET
1,200
1,200
TABLET
2,200
2,200
BOTOL
130
130
149 OBH
BOTOL
8,827
8,827
TABLET
500
500
TABLET
5,100
5,100
TUBE
19,375
19,375
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
NO
NAMA OBAT
SATUAN
STOCK
AWAL
TUBE
PENERIMAA PERSEDIAA
N
N
5
2,050
6=4+5
2,050
BOTOL
TABLET
21,900
21,900
TABLET
1,400
1,400
BOTOL
9,578
9,578
BOTOL
51,881
51,881
TABLET
1,260,300
1,260,300
TABLET
17,300
17,300
TABLET
47,900
47,900
TABLET
287,000
287,000
163 PIROXICAM
TABLET
38,800
38,800
164 OXYTOCIN INJ
AMPUL
3,750
3,750
BOTOL
134
134
BOTOL
256
256
BOTOL
56
56
TABLET
94,000
94,000
TABLET
5,700
5,700
TABLET
92,900
92,900
AMPUL
1,402
1,402
BOTOL
1,245
1,245
BOTOL
573
573
TABLET
43,500
43,500
LABU
2,829
2,829
TABLET
86,300
86,300
AMPUL
517
517
TABLET
9,500
9,500
TABLET
21,500
21,500
690
690
180 SALEP 2 - 4
POT
BOTOL
1,616
1,616
KAPSUL
7,800
7,800
KAPSUL
10,100
10,100
TABLET
5,080
5,080
TABLET
142,000
142,000
AMPUL
450
450
TUBE
361
361
TUBE
255
255
VIAL
934
934
BOTOL
6,752
6,752
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5

TABLET
91,500
91,500
KAPSUL
4,800
4,800
TABLET
185,000
185,000
KAPSUL
40,900
40,900
TABLET
1,550
1,550
AMPUL
253
253
TABLET
212,700
212,700
TABLET
479,000
479,000
TABLET
60,900
60,900
BOTOL
144
144
SET
5
6
32
32
BUAH
4,100
4,100
BUAH
22,938
22,938
BUAH
6,900
6,900
BUAH
900
900
ALAT PEMERIKSAAN HB
ALCOHOL SWABS
10
11
12
BISTURI
13
BLOOD LANCET
14
15
CATGUT CHROMIC
16
17
11
11
105,700
105,700
BOTOL
1,158
1,158
BUAH
400
400
BUAH
9,900
9,900
SACHET
6,418
6,418
ROLL
DEX GLASS
BUAH
81
81
BUAH
97
97
BUAH
315
315
BUAH
SACHET
VIAL
18
FOLEY CATETHER
19
GLUCOSA TEST TIP
TIP
8,400
8,400
20
GOLONGAN DARAH KIT
SET
18
18
21
H2O2
BOTOL
13
13
22
LEMBAR
93,300
93,300
23
HAND SCONE STERILE
PASANG
1,700
1,700
24
SACHET
4,550
4,550
25
ISI AUTOCLIX
KOTAK
10,860
10,860
26
INFUSION SET ANAK
SET
505
505
27
INFUSION SET DEWASA
SET
433
433
28
IODIUM TEST
BOTOL
300
300
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
3,132
3,132
BUAH
350
350
BUAH
66
66
29
IV CATETHER
SACHET
30
JARUM JAHIT
31
KACA MULUT
32
33
KAPSUL KOSONG NO.0
BUNGKUS
281
281
BUAH
20,000
20,000
30,000
30,000
34
KAPSUL KOSONG NO.1
BUAH
35
LEMBAR
1,110
1,110
36
KASSA STERIL
KOTAK
1,446
1,446
37
KASSA 4 M X 15 CM
ROLL
3,170
3,170
38
KOTAK
134
134
39
MICROPIPET 3 UKURAN
BUAH
40
MASKER
BUAH
18,800
18,800
41
BUAH
146
146
42
BUAH
146
146
43
BUAH
44
BUAH
45
BUAH
46
MATA SCALLER
BUAH
47
NASO GASTRIC TUBE
TUBE
30
30
48
BUAH
145
145
49
BUAH
145
145
50
NEEDLE
BUAH
66
66
51
OBJECT GLASS
BUAH
274
274
52
OSE
BUAH
53
PENJEPIT TABUNG
BUAH
22
22
54
PLESTER
ROLL
510
510
55
BUAH
19
56
VIAL
19
57
SELANG O2 ANAK
BUAH
101
101
58
SELANG O2 DEWASA
BUAH
82
82
59
SGOT/SGPT TEST
SET
60
SACHET
61
STRIP HB
BOX
368
368
62
STRIP GULA DARAH
BOX
157
157
63
STRIP KOLESTEROL
BOX
155
155
64
VENOJECT
KOTAK
65
YELLOW TIP
BUAH
66
TABUNG REAKSI BESAR
BUAH
37
37
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
67
TABUNG REAKSI KECIL
BUAH
63
63
68
TORNIKUET
BUAH
105
105
69
BUAH
304
304
URINE BAG
BUAH
400
400
WHITE TIP
BUAH
24
24
OBAT GIGI
ARSEN
BOTOL
ARTIKULATING PAPER
KOTAK
BOTOL
73
73
CEVITRON
BUAH
150
150
CHKM
POT
21
21
ETIL KLORIDA SPRAY
BOTOL
149
149
EUGENOL CAIRAN
BOTOL
651
651
10
IODOFORM PASTA
POT
17
17
11
GLASS IONOMER ART
SET
26
26
SET
15
15
SET
8
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
18=(7s/d17)
Pemberian
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
2,475
3,150
25
78,750
25
78,750
50
9,050
534
100
53,400
100
53,400
12,850
648
50
32,400
100
64,800
200
129,600
34,600
86
1,000
86,000
300
25,800
300
210
3,300
300
121
17,889
30,000
157,500
990,000
900
80
39,300
102
240
187
900
200
489,000
50
-
98,520
168,300
4,750
10,840
2,445
120
56,900
211
500
105,500
407,100
3,000
783,000
1,500
134,800
251,400
261
116

ANTASIDA SUSPENSI
14
2,815
1,020
491,400

1 POLIMIKSIN B 10,000IU/G )
1 SALISILAT 3 %)
ANTI HEMOROID DOEN
3,000
72
1,265
293,400
2,000
-
480
-
4,000
1,000
144,000
50
473,000
126,311
2,491
-
1,713
50
-
1,044,000
116,000
192,500
252,622
124,550
108,000
122,250
1,500
3,850
89,760
3,025
30
90,750
40
121,000
95
2,000
190,000
500
47,500
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
800
181,600
10,300
61
57,600
317
2,000
15,560
180
ATROPIN SULFAT INJ

1,500
73
1,261
100
1,045
1,100
367
750
15,400
2,500
250,000
275,250
2,000
450
200,000
165,150
AZITHROMYCIN 500 MG
4,500
127
12,185
1,520
25
38,000
25
924
28,600
6,199
12
645
281
600
12,100
66,000
66,000
12,650
10
126,500
20
253,000
1 BEKARBON
74,400
6,000
330
318
2,900
AQUABIDEST
4,575
1,000
159

BISOPROLOL 5 MG
CALAMIN LOTION
38,000
50
76,000
74,388
168,600
600
-
168,600
-
549,800
63
3,000
189,000
500
31,500
122,900
88
3,000
264,000
200
17,600
8,800
10
88,000
859
420
4,015
5,000
5,500
10,440
52,200
28,050
235
7,280

CEFIXIME 100 MG
24,000
-
CEFOTAXIME INJ 1G
1 CEFTRIAXON INJ
70
2,300
15,700
80,650
10
104,400
CETIRIZIN 10 MG
500
CIMETIDIN TABLET
116
245
527
91

366
213
360,780
188
CETIRIZINE DROP
453,000

3,600
94,000
327,492
300
10,800
56,400
982,476
122
1,379
99
5,060
5,727
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
15
317,600
300
36,700
1 DIAZEPAM TABLET
120
170

1 DIFENHIDRAMIN INJ
50,800
815
7,000
69
2,000
45
200
2,368
960
91
2,000
138,000
9,000
1,000
69,000
45,000
3,333
167
500
220
8,100
78
83,500
25
83,325
500
83,500
7,220
30
14,500
440
32,700
921
200
38,800
1 ETAMBUTOL 500 MG
420
2,200
6,600
25,300
75,900
75,900
133
65
1,008
24
1 FITOMENADION INJ
3,417
634
100
22,000
19,080
91
288
200
1,850
895
50
44,750
54
1,500
81,000
400
436
729
1,000
DOMPERIDON 10 MG
21,200
3,960
100
429
1 ETANOL 70 % 1000 ML
1,300
7,000
816
4,170
12,000

4,280
220
FLUCONAZOL 150 MG
15,300
-
1 GAMEKSAN
35,000
4,950
1,500
748,000
-
1 GLIMEPIRIDE 2 MG
2,720

1
328,000
10,100
14,300
5,500
184,200
-
4,400
24,192
63,400
1,650
-
216,600
60
205,020
200
126,800
57,600
21,600
-
1,650
9,075,000
28
4,730
200
200
165
246
1 GLISERIN LARUTAN
3,000
84,000
9,075,000
10,000
280,000
40,000
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
432
211
440
HEPAPROTEKTOR SYRUP
14,724
51,975
51,975
34,391.50
10
259,875
343,915
540
2,554,200
4,830
4,730
27,220
2,399
96
11,700
1,265
55,550
4,499
30
93
146
500
117,600
230,304
73,000
111,100
5,000
1 ISONIAZID 100 MG
44
6,000
1 ISONIAZID 300 MG
107
1,000
IMUNOSTIMULAN SIRUP
28,600
10,000
5,280
97
1,444
70
2,500
175,000
355.30
1,000
355,300
59,800
14,500

70,000
70
KANAMYCINE 2 GR
19,800
664
KAOLIN SUSPENSI
12,012
38
456,456
48
576,576
410
300
123,000
282,000
12
7,050
1,971
4,700
60
3,600
KETOPROFEN 100 MG
1,342
KETOROLAC INJ 10 MG
2,300
28,400
310
1,913
1,600
48
210
6,295
31
600
1,600
5,995
5,280
50
1,815
3,200
1,100
1,147

1 MG KRIM
6,600

110,500
76,800
264,000
24
43,560
264,000
40
60
264,000
600
-
50
56,400
312
100
3,400
39,900
1,000
396,000
600
187,200
-
187,200
-
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
-


1 GG SYRUP
7,376
-

1 CTM
7,278
6,300

GUAIAKOLATSULFONAT
1 TABLET
1,299
600
51

33,800

/ LIBROFED TABLET
18,600

ACID 200 MG TABLET
2,215
10,600
3,540
2,600
500
13,550
695

LISOL
70,400
704
-
200
100
138
200
27,600
2,280,960
550,000
300
2,500
66,000
-
500
40,150
144
70,400
5
105,600
1,056
704,000
220,000
1,100
100
15,840
1,975
1,000
13,200
209
330,000
100
2,640,000
105,600
200
395,000
200
395,000
600
82,800
400
55,200
1,200
60,000
50
1,500
75,000
574
50
28,700
1,030
638
14,850
91
7,600
MELOXICAM 7,5 MG
682
300
204,600
16,500
1 MELOXICAM 15 MG
1,199
100
119,900
104,800
1 METFORMIN 500 MG
105
500
METFORMIN 850 MG
260
154
2,700
100
10,450
15,885
8,030
MG

1
38
1,100
6,160
182
9,900
1,000
682,000
52,500
200
500
136,400
52,500
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
444
2,750
10
-
27,500
18,800
205
20,000
300
200
3,000
1,000

44,000
91
500
45,500
2,830
9,800
123
4,000
164
300
2,582
1 MICONAZOLE SALEP
3,000
4,070
500
196
17,800
2,800
13,750
20,680
7,759
103,400
144
2,977,920
48
992,640
2,000
2,574,000
300
386,100
1,287
14
16,200
133
13,800
176
15,895
4,700
11,110
470
719
1,340
66,800
MULTIVITAMIN TABLET
49,200
40,000
57,600
60,000
1,000
133,000
200
26,600
500
88,000
15
238,425
9,400
-
55,550
112
100
1,400
640
1,500
17,850
280

OBH
11,200
407
30,800
5,225
150

10,725
783,750
100
522,500
1 OFLOXACIN 200 MG
413
3,400
OFLOXACIN 400 MG
654
400
1 ONDENSETRON INJ
2,400
1,450
150
100
2,100
OXYTOCIN INJ
13,913
30
16,100
119
530
60
15,345
2,340
7,000
100
1,400
217,500
145,000
417,390
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
864
3,760
32
7,040
1 PARASETAMOL DROPS
5,227
224
1,170,848
12
84,480
224
1,170,848
1,319
150
197,850
200
263,800
50
65,950
757,700
PARASETAMOL 500 MG
84
100
8,400
200
16,800
10,800
907,200
7,200
604,800
561
11,475
10
114,750
300
87,000
24,636
9,200
47,600
158,000
74,760
174
290
198
18
1,000
18,000
83.93
960
80,573
240
17,393
2,163

1 PIROXICAM
1 ALBOTYL
840
20,143
6,489
2,400
159
14,000
124
POVIDON IODIDA 1 L
42,000
57
65
120
1,928
100
1,430,000
19,600
15,000
2,000
71,100
-
1 PROPANOLOL 40 MG
1 RANITIDIN TABLET
1,000
2,000
57,000
240,000
500
1,182
14,300
835
19,600
37,600
1 RIFAMPICIN 450 MG
594
5,200
24,100
1,500
350
525,000
48,650
1,008
100
100,800
1,879
59
89
4,950
1,250
3,630
1 SEFADROKSIL SYRUP
5,248
SEFADROKSIL 250 MG
468
100
46,800
SEFADROKSIL 500 MG
509
100
50,900
500
18,500
442
7,500
1 SALEP 2 - 4
SALISIL BEDAK 2 %
60,000
-
15,600
1,008,000
30,700
3,659
63,750
1,800
100
672
215,600
1,000
28,000
200
11,800
300
200
17,800
15
254,500
17,700
78,720
-
200
101,800
726,000
3,630
12,100
60
118,000
12
520
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
267
31,200
13

SIMVASTATIN TABLET
58,300
1,500
586,500
700
273,700
83,740
83,740
2,090
5,566
3,226
24
500
44,000
391

16,748
919
307,610
1,023
77,424
600
-
1,500
613,800
1,534,500
186
1,050
700
35
431
30,000
200
120
4,000
140,000
1,000
189
5,400
40
137,900
710,300
107
27,400
475

500
1,000
35,000
40,000
2,000
32
110,000
1,400
2,662
100
7,600
3,120
300
200
624,000
5,181
7,750
200
1,550,000
3,300
8,360
525,000
ALCOHOL SWABS
275
200
BISTURI
550
200
12,500
396
902,000
78,100
120
5,415,500
1,650,000
2,420,000
39,050
302,500
390
10
22
72,000
207
5,237
-
ALAT PEMERIKSAAN HB

CATGUT CHROMIC
1
1
76
DEX GLASS
77
FESCOPLAST
110
FOLEY CATETHER
11,000
936,000
110,000
9,372,000
266,200
55,000
200
55,000
STOCK
AKHIR
NAMA OBAT
DINAS
HARGA
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
7,840
15
5
14,300
790
1,740
14,970
500
GLUCOSA TEST TIP

GOLONGAN DARAH KIT
H2O2
HAND SCONE STERILE
8,316
511,500
1,023,000
20,900
20,900
880
700
600
600
528,000
8,800
10
88,000
13,200
30
396,000
30
HEMASITO METER
616,000
ISI AUTOCLIX
1,870
300
INFUSION SET ANAK
8,800
7,321
137
IODIUM TEST
16,500
3,705
IV CATETHER
24,200
218
JARUM JAHIT
20,900
80
KACA MULUT
96,800
5,081
105
528,000
INFUSION SET DEWASA
1,023,000
396,000
561,066
36,605
96,800
20,130
KAPSUL KOSONG NO.0
44
KAPSUL KOSONG NO.1
33
120
1,980
130,000
KASSA STERIL
7,317
10
73,170
KASSA 4 M X 15 CM
2,680
45
487
1,000
29,284
54
60,390
395,118
40,260
260,000
LAMPU SPIRITUS
16
101,750
103
46,200
37,400
1,078,000
330
150
400
108
22,000
108
22,000
16
METILEN BLUE 250 ML
MICROPIPET 3 UKURAN
19,900
MASKER
49,500
132,000
300
99,000
45
95,700
45
95,700
45
95,700
236,500
MATA SCALLER
NASO GASTRIC TUBE
55,000
124
40,700
125
37
129
NEEDLE
OBJECT GLASS
40,700
110,000
34,991
330,000
-
STOCK
AKHIR
NAMA OBAT
HARGA
DINAS
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
16
2
13,500
5,400
OIL IMERSI
OSE
22
PENJEPIT TABUNG
PIPET BESAR
PIPET KECIL
52
PLESTER
15
POT DAHAK
943,500
702,240
8,167
122,500
40,833
100
SELANG O2 ANAK
13,200
100
SELANG O2 DEWASA
18,600
1,082,950
3,056
3,212
162,500
3,795
77,000
STRIP KOLESTEROL
13,904
402
1,000
18,000
7,600
STRIP HB
STRIP GULA DARAH
15,278
18
VENOJECT
440,000
19
YELLOW TIP
95,700
37
TABUNG REAKSI BESAR
2,015
63
TABUNG REAKSI KECIL
2,015
TERMOMETER DIGITAL
34,320
TORNIKUET
22,000
17,850
1,000
294
13,200
10
4,950
247,500
102
159
1
URINE BAG
247,500
1,396,000
133,100
5
24
WIDAL TEST
STOCK
AKHIR
NAMA OBAT
HARGA
DINAS
PROGRAM
Harga
Pemakaian
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
19=6-18
-
OBAT GIGI
-
ARSEN
484,000
ARTIKULATING PAPER
192,500
225,500
3,740,000
73
-
CALCIDOR
209,000
64
CEVITRON
115,500
13
CHKM
70,000
CRESOPEN
770,000
DENTORIT
154,000
DYCAL
534,600
ETIL KLORIDA SPRAY
176,500
140
185
EUGENOL CAIRAN
3,178
14
IODOFORM PASTA
302,500
42
GLASS IONOMER ART
687,500
10
OCO / TSR
330,000
1,265,000
12
418,000
36,300
2,886,551
12,717,058
39,327,331
36,093,320
STOCK
AKHIR
19=6-18
NAMA OBAT
HARGA
DINAS
Pemakaian
PROGRAM
Harga
Pemakaian
Harga
P2KP
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
STOCK
AKHIR
19=6-18
NAMA OBAT
HARGA
DINAS
Pemakaian
PROGRAM
Harga
Pemakaian
Harga
P2KP
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
STOCK
AKHIR
19=6-18
NAMA OBAT
HARGA
DINAS
Pemakaian
PROGRAM
Harga
Pemakaian
Harga
P2KP
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
STOCK
AKHIR
19=6-18
NAMA OBAT
HARGA
DINAS
Pemakaian
PROGRAM
Harga
Pemakaian
Harga
P2KP
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
STOCK
AKHIR
19=6-18
NAMA OBAT
HARGA
DINAS
Pemakaian
PROGRAM
Harga
Pemakaian
Harga
P2KP
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
STOCK
AKHIR
19=6-18
NAMA OBAT
HARGA
DINAS
Pemakaian
PROGRAM
Harga
Pemakaian
Harga
P2KP
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
STOCK
AKHIR
19=6-18
NAMA OBAT
HARGA
DINAS
Pemakaian
PROGRAM
Harga
Pemakaian
Harga
P2KP
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
STOCK
AKHIR
19=6-18
NAMA OBAT
HARGA
DINAS
Pemakaian
PROGRAM
Harga
Pemakaian
Harga
P2KP
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
STOCK
AKHIR
19=6-18
NAMA OBAT
HARGA
DINAS
Pemakaian
PROGRAM
Harga
Pemakaian
Harga
P2KP
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
STOCK
AKHIR
19=6-18
NAMA OBAT
HARGA
DINAS
Pemakaian
PROGRAM
Harga
Pemakaian
Harga
P2KP
Pemakaian
GRG
Harga
Pemakaian
CLG
Harga
Pemakaian
Harga
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
75
236,250
75
200
106,800
400
259,200
500
43,000
200
660,000
200
660,000
1,000
250
236,250
86,000
825,000
JBG
Harga
Pemakaian
150
472,500
1,575,000
300
160,200
373,800
250
162,000
500
324,000
972,000
500
43,000
200
1,500
129,000
430,000
400
100
56,100
56,100
900
168,300
733,500
180
440,100
360
500
105,500
1,500
316,500
6,000
1,566,000
4,500
1,174,500
200
23,200
1,000
3,000
1,000
116,000
2,000
72,000
50
783,000
192,500
124,550
192,500
116,000
9,600
3,500
192,500
2,505,600
406,000
6,435,000
-
900
600
1,467,000
4,425,450
168,300
-
819,060
-
1,000
211,000
2,000
422,000
1,160,500
7,000
1,827,000
6,000
1,566,000
11,249,100
1,500
174,000
3,600
192,500
126,311
75
-
417,600
1,368,800
100
576,000
1,764,000
385,000
1,347,500
378,933
50
186,825
8,000
216,000
1,980,000
8,000
8,000
3,000
600
50
1,320,000
216,000
62,275
880,200
17,200
25
-
112,200
3,000
288,000
50
4,000
1,000
144,000
50
50
600
300
300
Harga
300
Pemakaian
100
315,000
CTK
Harga
124,550
622,750
10
30,250
50
151,250
60
181,500
50
151,250
20
60,500
30
90,750
877,250
2,000
190,000
1,000
95,000
1,500
142,500
3,000
285,000
2,000
190,000
10,000
950,000
2,090,000
CBB
Pemakaian
-
CWD
Harga
Pemakaian
-
3,500
350,000
50
52,250
600
220,200
PM
Harga
Pemakaian
100
15,900
1,000
100,000
5,500
600
220,200
PWK
Harga
Pemakaian
-
4,500
450,000
100
104,500
1,050
385,350
3,500
JBG
Harga
Pemakaian
-
350,000
2,000
150
95,288
450
165,150
750
75
114,000
2,500,000
76,000
600,000
15,900
6,000
50
200,000
Harga
152,000
Pemakaian
Harga
100
CTK
75
114,000
25
95,288
38,000
100
55,050
152,000
156,750
5,500
1,486,350
798,000
111,582
120
77,400
900
252,900
600
37,194
1,200
337,200
168,600
90
58,050
135,450
3,900
1,095,900
2,191,800
66,000
379,500
94,500
4,000
252,000
3,000
189,000
1,700
107,100
1,500
94,500
3,000
189,000
1,146,600
300
26,400
2,000
176,000
3,000
264,000
4,000
352,000
1,500
132,000
3,500
308,000
1,540,000
20
176,000
20
176,000
10
88,000
50
440,000
450
386,550
180
154,620
120
210
180,390
120
103,080
1,500
103,080
1,020
876,180
968,000
2,164,680
50
50
1,200,600
500
1,000
245,000
300
522,000
94,000
73,500
500
94,000
300
34,800
400
98,000
522,000
-
94,000
400
500
200
23,200
58,000
1,000
245,000
661,500
-
3,600
327,492
3,600
327,492
7,200
654,984
75,200
3,600
327,492
7,200
654,984
507,600
3,602,412
CBB
Pemakaian
2,000
CWD
Harga
Pemakaian
-
138,000
2,000
100
PM
Harga
Pemakaian
-
138,000
4,500
4,800
-
3,000
PWK
Harga
Pemakaian
-
207,000
5,500
JBG
Harga
Pemakaian
-
379,500
4,000
CTK
Harga
Pemakaian
-
276,000
5,000
Harga
345,000
1,690,500
58,500
9,600
166,650
4,800
-
50
166,650
10
33,330
50
20
66,660
50
166,650
683,265
400
66,800
500
83,500
200
33,400
400
66,800
417,500
-
81,000
577,600
40,500
40,500
50
361,000
500
220,000
200
88,000
308,000
500
460,500
500
460,500
1,105,200
11,000
24
100
63,400
126,500
75,900
354,200
100
13,300
13,300
24,192
24
60
205,020
410,040
500
317,000
300
190,200
760,800
440,000
440,000
24,192
72,576
20
200
18,200
300
500
144,000
500
500
1,650
27,000
-
1,650
9,075,000
2,000
144,000
56,000
200
-
57,600
-
489,600
-
50
44,750
50
44,750
50
44,750
50
44,750
223,750
54,000
2,000
108,000
1,200
64,800
1,000
54,000
410,400
100
43,600
43,600
9,075,000
63,525,000
168,000
1,120,000
1,650
84,000
86,400
1,000
9,075,000
3,000
18,200
9,075,000
6,000
168,000
1,650
5,000
140,000
1,650
9,075,000
5,000
140,000
6,000
40,000
1,000
165,000
165,000
1,000
246,000
246,000
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
155,925
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
-
467,775
600
575,760
126,500
300
1,419,000
96
230,304
48
115,152
100
1,000
146,000
Harga
146,000
Pemakaian
1,419,000
1,000
Harga
300
277,750
CTK
4,000
584,000
55,550
126,500
2,838,000
1,000
146,000
500
55,550
73,000
343,915
8,230,200
499,950
1,168,000
900
500
35,000
1,000
70,000
63,000
1,500
105,000
35,530
100
1,033,032
150
61,500
200
82,000
50
235,000
20
94,000
144
100
134,200
100
31,042
24
38,400
24
38,400
200
-
62,084
-
200
-
62,084
-
48
76,800
76,800
308,800
50
100
528,000
50
100
24
43,560
24
48
50
-
600
187,200
-
120
330,000
600
120
792,000
600
187,200
528,000
600
187,200
40
792,000
87,120
1,848,000
217,800
200
600
1,320,000
4,158,000
280,800
1,591,200
900
187,200
264,000
187,200
-
48
134,200
310,420
10
264,000
287,000
1,344,200
155,210
10
390,830
500
19
-
676,800
43,560
1,218,000
700,000
50
20,500
10,000
CBB
Pemakaian
CWD
Harga
Pemakaian
96
400
281,600
79,200
144
1,520,640
500
110,000
1,000
2,280,960
550,000
1,056,000
1,900,800
3,168,000
40,150
66,000
20,900
3,801,600
13,448,160
1,100,000
3,960,000
2,112,000
9,292,800
200
395,000
2,370,000
500
69,000
500
69,000
441,600
1,500
75,000
1,500
75,000
435,000
574,200
178,200
28,700
1,500
75,000
395,000
1,000
138,000
1,500
75,000
200
127,600
700
446,600
44,550
44,550
5,843,200
2,000
200
100
5,517,600
395,000
1,000
1,100,000
105,600
240
3,000
200
1,584,000
200
395,000
20,900
1,000
100
770,000
100
550,000
1,408,000
100
120
844,800
2,000
1,200
2,006,400
1,760,000
192
96
100
704,000
500
2,500
2,006,400
1,000
Harga
192
Pemakaian
501,600
-
Harga
CTK
48
Pemakaian
1,003,200
220,000
Harga
JBG
Pemakaian
200
Harga
PWK
50
Pemakaian
Harga
PM
9,100
-
300
300
359,700
1,000
1,199,000
1,500
157,500
2,500
262,500
4,000
27,300
4,796,000
6
-
89,100
-
1,000
682,000
2,200
200,200
236,600
1,000
682,000
2,387,000
300
359,700
500
599,500
1,000
105,000
4,000
420,000
500
100
15,400
100
15,400
57,400
52,500
7,433,800
1,102,500
30,800
CBB
Pemakaian
CWD
Harga
Pemakaian
300
Harga
Pemakaian
PM
90,000
600
Harga
Pemakaian
PWK
180,000
600
Harga
Pemakaian
5
-
JBG
180,000
800
Harga
Pemakaian
13,750
CTK
240,000
300
Harga
90,000
1,500
450,000
41,250
1,290,000
45,500
100
12,300
300
300
49,200
500
100
2,068,000
700
900,900
1,000
133,000
30
-
49,200
-
534,000
-
96
1,985,280
600
772,200
1,000
14,000
360
1,200
159,600
400
70,400
500
7,444,800
178,000
-
20
-
2,000
2,574,000
1,000
1,287,000
8,494,200
1,500
199,500
1,000
176,000
1,500
50
555,500
1,000
112,000
100
100
300
400
1,072,500
300
238,425
9,400
611,050
324,800
11,200
1,567,500
200
100
50
36,250
1,045,000
40,700
7,576,250
72,500
50
65,400
72,500
1,391,300
1,072,500
65,400
652,500
-
100
700
40
556,520
25
40,700
108,750
14,000
851,200
475,200
199,500
-
75
35,259,400
1,068,000
7,444,800
356,000
360
2,090,000
8,272,000
1,567,500
12,300
229,600
400
300
190,400
1,700
88,000
10
100
52,800
192
3,970,560
82,000
83,300
2,365,210
83,300
CBB
Pemakaian
-
CWD
Harga
Pemakaian
-
PM
Harga
Pemakaian
-
168,960
12
84,480
1,170,848
224
1,170,848
263,800
500
659,500
500
672,000
7,200
604,800
12,200
200
8,000
-
300
28,000
10
-
30,215
21,630
-
1,440
120,859
15
260,895
10
140,000
210,000
10,800
360
659,500
69,572
Pemakaian
1,024,800
40,286
Harga
1,170,848
JBG
224
480
Pemakaian
24
1,170,848
Harga
224
224
PWK
200
263,800
907,200
30
344,250
30
Harga
-
337,920
1,170,848
9,366,784
500
659,500
3,429,400
18,000
1,512,000
7,165,200
344,250
803,250
224
87,000
-
3,000
54,000
1,000
18,000
3,000
54,000
144,000
1,800
151,074
1,080
90,644
2,880
241,718
775,513
330,467
28,119
266,000
210,000
114,000
42,000
28,000
5,000
10,800
2,000
907,200
3,000
395,700
240,000
Pemakaian
1,170,848
360,000
Harga
224
CTK
600,000
1,000
120,000
1,000
2,500
57,000
300,000
500
60,000
1,980,000
1,430,000
19,600
1,991,600
1,000
1,500,000
2,325,000
1,000
1,008,000
40
208,000
200
300,000
200
1,000
100
1,008,000
1,040,000
5,900
140
500
728,000
504,000
400
23,600
500
44,500
500
400
200
17,800
200
100
500
50
-
125,000
262,400
-
300
152,700
90
1,089,000
10
500
52,480
254,500
500
125,000
254,500
100
44,500
125,000
23,600
2,016,000
5,644,800
100
17,800
2,000
500
29,500
112,100
1,500
133,500
275,900
100
96
348,480
348,480
200
1,049,600
1,443,200
46,800
1,323,400
254,500
125,000
125,000
100
625,000
1,815,000
CBB
Pemakaian
-
CWD
Harga
Pemakaian
-
PM
Harga
Pemakaian
-
PWK
Harga
Pemakaian
-
JBG
Harga
Pemakaian
-
200
78,200
1,500
586,500
1,500
586,500
1,000
391,000
83,740
10
167,480
83,740
33,496
CTK
Harga
Pemakaian
-
2,000
782,000
3,675,400
83,740
619,676
24
1,534,500
3,000
-
1,000
3,069,000
1,500
1,000
391,000
Harga
4,000
1,023,000
77,424
154,848
1,534,500
13,401,300
1,500
4,092,000
200
200
8,000
2,000
1,000
86,200
4,000
140,000
105,000
2,000
70,000
4,000
140,000
630,000
43,100
100
43,100
500
215,500
387,900
100
40,000
1,500
200
8,000
2,500
1,200
100
266,200
100
266,200
798,600
200
2,325,000
300
2,325,000
300
100
330,000
50
418,000
2,325,000
624,000
300
936,000
5,928,000
300
2,325,000
300
2,325,000
13,175,000
330,000
836,000
10
781,000
165,000
400
100
55,000
165,000
19,525,000
96
7,497,600
605,000
24
1,874,400
110,000
2,000
550,000
600
1,500
412,500
624,000
200
275,000
3,000
300
1,000
284,000
712,500
80,000
-
1,872,000
712,500
2,000
-
600
418,000
60,000
-
312,000
50
1,500
1,500
100
48,000
5,000
3,000
605,000
1,622,500
1,210,000
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
700
30
616,000
396,000
1,000
880,000
50
440,000
3,000
2,640,000
30
Harga
Pemakaian
300
2,494,800
511,500
400
396,000
30
352,000
396,000
1
200
511,500
176,000
2,494,800
3,069,000
20,900
6,336,000
528,000
1,980,000
240
448,853
240
54
475,200
475,200
50
366,050
578,359
#VALUE!
20
5
146,420
121,000
70
(23*22000)+(47*2
200
4,840,000
448,853
Harga
CTK
300
561,066
1,200
2,244,264
4,264,102
100,650
260,000
260,000
365,850
260,000
1,300,000
50
870,723
400
1,000
330,000
500
101,750
165,000
1,200
396,000
36,585
260,000
132,000
200
101,750
66,000
203,500
1,369,500
110,000
1,100,000
104,973
104,973
220,000
-
4
-
440,000
-
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
10
465,500
79,200
24
196,000
24,500
2,808,960
2,808,960
152,778
145,200
50
308,612
154,000
154,000
36
110,000
66,000
10
30,556
81,667
742,500
495,000
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
770,000
10
353,000
529,500
770,000
1,765,000
2,647,500
38,602,148
41,099,271
70,018,578
35,522,189
64,280,072
71,486,480
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
CBB
Pemakaian
CWD
Harga
Pemakaian
PM
Harga
Pemakaian
PWK
Harga
Pemakaian
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga

DI KOTA CILEGON
Propinsi
: BANTEN
Alamat
: 9 Unit
Bulan
:Desember
Tahun
: 2015
NO
NAMA OBAT
ACYCLOVIR 5 GR KRIM
Pemberian
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
10
11
12
13
14
TUBE
2,475
2,475
75
25
50
TABLET
9,050
9,050
300
300
1,000
TABLET
12,850
12,850
300
500
TABLET
34,600
34,600
TABLET
300
300
BOTOL
17,889
17,889
29
300
150
200
200
300
TABLET
30,000
30,000
2,000
2,000
1,000
500
1,000
2,000
TABLET
900
900
TABLET
39,300
39,300
10
TABLET
11
TABLET
12
VIAL
13
BOTOL
14
KAPLET
56,900
56,900
500
15
KAPLET
407,100
407,100
500
16
TABLET
1,500
1,500
17
TABLET
134,800
134,800
18

TABLET
251,400
251,400
19
ANTASIDA SUSPENSI
BOTOL
1,265
1,265
20
VIAL
21
AMPUL
14
14
22

TUBE
2,815
2,815

SALISILAT 3 %)
POT
23
500 ###
100
1,000
200
1,500
PWK
JBG
CTK
15
16
17
300
200
510 ###
300
2,075
1,000
3,000
6,050
400
500
3,000
9,850
200
1,000
3,900
30,700
300
300
400
200
2,079
15,810
1,000
2,000
11,500
18,500
1,020
1,500
600
1,500
50
100
200
3,000
3,000
360
300
120
300
800
38,800
5,940
200
100
1,430
92,580
9,410
1,000
1,000
500
2,000
1,000
2,000
8,000
48,900
5,000
3,000
6,500
10,000
7,000
13,000
51,000
356,100
120
1,380
120
500
500
10,840

100
-
98,520
-
10,840
19=6-18
400
98,520
18=(7s/d17)
NAMA OBAT
400
100
300
STOCK
AKHIR
150
100
200
JUMLAH
1,000
100
1,500
2,000
4,000
1,500
5,000
15,600
119,200
2,000
1,200
1,000
6,000
3,000
3,000
10,000
26,500
224,900
100
50
50
200
480
785
400
2,415
50
30
3
25
50
2
50
50
75
150

MG)
ANTASIDA SUSPENSI
1
-
24
ANTI HEMOROID DOEN
1,020
1,020
20
25
TABLET
SUPP
491,400
491,400
500
26
TABLET
800
800
27
TABLET
181,600
181,600
28
TABLET
10,300
10,300
29
ATROPIN SULFAT INJ
AMPUL
61
61
30
TABLET
57,600
57,600
31
AQUABIDEST
BOTOL
32
BOTOL
317
317
33
AZITHROMYCIN 500 MG
KAPSUL
2,000
2,000
40
10
30
1,000
1,000
30 ###
2,500
3,500
2,000
3,000
160
860
13,500
477,900
2,000
500
2,000
2,000
100
1,000
4,500
2,500
2,000
5,000
100
15
300
300
450
300
300
1,500
600
600
120
500
60
20
900
800

ANTI FUNGI DOEN (KOMB.ASAM BENZOAT 6 % +
ASAM SALISILAT 3 %)
ANTI HEMOROID DOEN

21,500
160,100
200
10,100
15
46
5,250
52,350
10
130
187
100
680
1,320
ATROPIN SULFAT INJ

AQUABIDEST
AZITHROMYCIN 500 MG
NO
NAMA OBAT
34
BEKARBON
35
36
37
SATUAN
3
TABLET
STOCK
AWAL
4
PENERIMAA PERSEDIAA
N
N
5
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
480
18=(7s/d17)
19=6-18
3,360
180
180
TUBE
4,575
4,575
150
TABLET
6,000
6,000
1,020
38
BOTOL
1,000
1,000
39
SUPP
318
318
40
BISOPROLOL 5 MG
TABLET
330
330
41
TABLET
74,400
74,400
42
BOTOL
1,500
1,500
43
BOTOL
73
73
44
CALAMIN LOTION
BOTOL
1,261
1,261
45
TABLET
549,800
549,800
3,000
2,500
4,000
6,000
8,000
6,500
46
TABLET
122,900
122,900
1,000
100
800
2,000
4,000
3,000
47
BOTOL
235
235
100
10
48
CEFIXIME 100 MG
KAPSUL
7,280
7,280
49
CEFIXIME 200 MG
KAPSUL
24,000
24,000
50
CEFOTAXIME INJ 1G
VIAL
51
CEFTRIAXON INJ
VIAL
1 CEFTRIAXON INJ
52
BOTOL
70
70
70
53
CETIRIZINE DROP
BOTOL
CETIRIZINE DROP
54
CETIRIZIN 10 MG
TABLET
2,300
2,300
CETIRIZIN 10 MG
55
CIMETIDIN TABLET
TABLET
15,700
15,700
500
56
TABLET
80,650
80,650
300
57
KAPSUL
58
KAPSUL
59
TABLET
60
TABLET
61
BOTOL
62
TABLET
63
BOTOL
213
213
213
64
BOTOL
366
366
366
65
BOTOL
15
15
10
66
TABLET
317,600
317,600
67
300
300
68
DIAZEPAM TABLET
TABLET
36,700
36,700
69
AMPUL
120
120
70
DIFENHIDRAMIN INJ
AMPUL
170
170
71
TABLET
50,800
50,800
72
BOTOL
815
815
73
DOMPERIDON 10 MG
TABLET
21,200
21,200
74
KAPSUL
7,000
7,000
75
TABLET
76
AMPUL
78
78
77
BOTOL
729
729
78
ERYTHROMYCIN 250 MG
KAPSUL
14,500
14,500
79
TABLET
32,700
32,700
80
ETAMBUTOL 500 MG
TABLET
38,800
38,800
81
BOTOL
100
100
75
50
510
510
36
900
300
25
200
675
3,900
900
120
510
1,020
4,590
1,410
60
24
3,600
12
156
300
2,100
50
10
2,010
210
150
210
750
50
90
240
66,300
500
3,600
7,200
200
1,000
###
7,200
300
10,800
3,600
150
21,600
1,000
5,600
39,000
510,800
3,000
13,900
109,000
25
195
40
3,470
3,810
1,000
500
18,000
5
2,000
2,000
2,500
2,500
6,500
50
50
5,500
2,300
14,000
2,750
77,900
77,600
500
300
50
100
20
400
1,500
300
6,000
31,000
286,600
50
160
140
50 ###
200
1,000
200
5
10
50
200
200
375,400
4,000
72
CALAMIN LOTION

CEFIXIME 100 MG
24,000
1,700
50
5,000
200
200
1,200
50
500
BISOPROLOL 5 MG
61
100
1,500
69
120
20
162
4
10
4,000
1,000
8,100
-
4
1
75
90
900
180
100
24
12,200
1 BEKARBON
VIAL
VIAL
1,440
NAMA OBAT
15,560
453,000
480
STOCK
AKHIR
15,560
453,000
960
JUMLAH
36,700
55
65
170
50,800
270
545
3,900
17,300
500
6,500
73
132
597
CEFOTAXIME INJ 1G
CIMETIDIN TABLET


1 DIAZEPAM TABLET
1 DIFENHIDRAMIN INJ
DOMPERIDON 10 MG
14,500
200
32,500
200
38,600
1 ETAMBUTOL 500 MG
100
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
10
11
12
13
14
PWK
JBG
15
16
17
STOCK
AKHIR
18=(7s/d17)
19=6-18
429
429
83
KAPSUL
1,300
1,300
1,300
84
TABLET
7,000
7,000
7,000
85
FENOL GLISEROL 10 %
BOTOL
816
816
86
FITOMENADION INJ
AMPUL
4,170
4,170
87
TABLET
12,000
12,000
88
FLUCONAZOL 150 MG
TABLET
4,280
4,280
89
AMPUL
220
220
90
TABLET
15,300
15,300
91
GAMEKSAN
BOTOL
92
SACHET
35,000
35,000
500
93
TUBE
4,950
4,950
50
94
BOTOL
1,500
1,500
95
TABLET
748,000
748,000
96
GLIMEPIRIDE 2 MG
TABLET
97

MG
TABLET
2,720
2,720
98
TABLET
99
GLISERIN LARUTAN
BOTOL
72
744
270
90
510
3,660
100
200
500
11,500
100
120
4,160
20
200
200
-
300
500
###
50
100
1,500
3,000
328,000
-
FLUCONAZOL 150 MG
15,100
-
10,100
1 GAMEKSAN
2,000
4,100
30,900
100
450
4,500
50
25
50
200
1,300
3,000
1,000
2,500
11,000
737,000
5,000
7,000
7,000
TABLET
TABLET
14,300
14,300
AMPUL
432
432
TUBE
211
211
3,000
200
2,520
10,100
BOTOL
440
440
TABLET
4,830
4,830
TUBE
27,220
27,220
TABLET
22,000
-
200
500
200
1,000
1 GLIMEPIRIDE 2 MG
150
900
72
72
10,100
12,400
24
416
1,950
2,880
48
192
27,028
600
11,100
27

30
BOTOL
TABLET
TABLET
117,600
117,600
TABLET
5,000
5,000
TABLET
6,000
6,000
BOTOL
1,000
1,000
20
TABLET
10,000
10,000
500
TABLET
100
1,500
500
KAPSUL
TABLET
59,800
59,800
TABLET
14,500
14,500
1 ISONIAZID 100 MG
1 ISONIAZID 300 MG
100
120
880
1,000
1,500
8,500
VIAL
70
70
122 KAOLIN SUSPENSI
BOTOL
664
664
TABLET
7,050
7,050
TUBE
1,971
1,971
TABLET
3,600
3,600
AMPUL
210
210
KAPSUL
28,400
28,400
200
2500
2,000
200
100
5
12
24
50
200
4,900
54,900
300
14,200
65
KANAMYCINE 2 GR
48
616
KAOLIN SUSPENSI
300
350
6,700
168
264
1,707
100
100
3,500
KETOPROFEN 100 MG
10
120
90
200
28,200
48
60
IMUNOSTIMULAN SIRUP
48
50
12
5,000
200
108,100
HEPAPROTEKTOR SYRUP
5,000
121 KANAMYCINE 2 GR
9,500
1,000
1,000
300
11,700
4,000
196
30
1,500
15
11,700
500
1 GLISERIN LARUTAN
10
SUPP
1,500
432
500
1,900
306,000

50 MG
24
300 ###
50
200
328,000
1 FITOMENADION INJ
200
600
100
25
220
TABLET
24
60
24
200
###
414
1 ETANOL 70 % 1000 ML
BOTOL
60
15
NAMA OBAT
ETANOL 70 % 1000 ML
30
JUMLAH
82
10
CTK
KETOROLAC INJ 10 MG
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
TUBE
1,913
1,913
BOTOL
BOTOL
6,295
6,295
BOTOL
31
31
TABLET
600
600
TABLET
3,400
3,400

MG KRIM/mytaderm
TUBE
1,147
1,147

TABLET
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
10
11
12
13
14
48
24
24
75
24
50
24
PWK
JBG
15
16
48
75
CTK
17
24
144
50 ###
24
JUMLAH
STOCK
AKHIR
18=(7s/d17)
19=6-18
360
1,553
300
5,995
24
100
2,000
150
60
50
20
150
90
250
NAMA OBAT
2,100
1,300
770
377
100
100
100
BOTOL
BOTOL 60
ML

MALEAT/zestam
TABLET
TABLET
9,900
9,900

+ CTM/febrinex
BOTOL

BOTOL
7,278
7,278
96

TABLET/flutab/Tuzalos
TABLET
6,300
6,300
200

SYRUP/protexinal
BOTOL

DOSIS

146 MG
KOMB.TEOFILIN + SALBUTAMOL TABLET/teosal


1
39,900

600
39,900

300
300
600
39,300

MG + PARASETAMOL 400 MG/hustab/tuzalos
100
100
1,000
1,200
-
96
400
288
600
96
150
2,000
8,700
283
1,105
6,173
1,000
4,200
2,100
1,299
1,299
1
TUBE
38
38
38
TABLET
600
600
600

BOTOL 60
ML
51
51

TABLET
33,800
33,800

ACID 200 MG TABLET
TABLET
18,600
18,600
24 ###
200
1,000
300
100
500
1,500
BOTOL
2,215
2,215
TABLET
10,600
10,600
TABLET
3,540
3,540
TABLET
2,600
2,600
AMPUL
500
500
TABLET
13,550
13,550
156 LISOL
BOTOL
695
695
TABLET
TABLET
7,600
7,600
500
150
159 MELOXICAM 15 MG
TABLET
16,500
16,500
200
300
500
TABLET
104,800
104,800
200
1,000
20
60
6,300
27,500

3,000
100
2,000
1,000
7,600
11,000
KOMB.VIT B1 100 MG + VIT B6 100 MG + VIT B12 200

MG + VITAMIN E 30 MG + NICOTINAMIC ACID 20 MG +
700
80
100
2,115
2,200
8,400
3,540
300
1,300
1,300
20
380
120
700
12,850
24
671
500 ###
60
500
200
6
1,000
1,000
500
2,500
KOMB.TRIPOLIDIN 1,25 MG + PSEUDOEFEDRIN 30

MG SYRUP / TREMENZA SYRUP
1,000
200
12

100 MG
500
200
100

SYRUP
700
1,000
40

TABLET
2,000
100
300
48
PARASETAMOL + CTM
GUAIAKOLATSULFONAT
1
1,299

MATA
FENILPROPANOLAMIN + GG SYRUP
MALEAT
1
###

SULFAT 5 MG KRIM
3,000
1,600
2,000
1,000

1

LISOL
2,650
4,950
MELOXICAM 7,5 MG
1,500
15,000
1 MELOXICAM 15 MG
11,500
93,300
1 METFORMIN 500 MG
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
TABLET
TABLET
2,700
2,700
200
AMPUL
444
444
TABLET
18,800
18,800
TABLET
20,000
20,000
1,000
100
2,000
1,000
200
100
200
100
800
600
1,500
VIAL
TABLET
3,000
3,000
500
BOTOL
1,000
1,000
60
TABLET
9,800
9,800
500
TABLET
4,000
4,000
TUBE
2,582
2,582
48
BOTOL
500
500
15
300
1,000
JUMLAH
STOCK
AKHIR
18=(7s/d17)
19=6-18
200
2,500
104
340
2,000
16,800
6,800
13,200
500
TUBE
196
196
BOTOL
2,800
2,800
60
BOTOL
7,759
7,759
TABLET
57,600
57,600
TABLET
40,000
40,000
TABLET
16,200
16,200
TABLET
13,800
13,800
90
96
120
192
144
96
216
500
700
1,000
1,000
300
200

1,900
160
840
700
9,100
300
1,000
3,000
48
144
2,438
1 MICONAZOLE SALEP
15
485
20
20
176
90
120
626
2,174
240
240
168
1,296
6,463
1,000
3,000
1,000
8,200
49,400
400
METFORMIN 850 MG
1,100
200
24
50
200
50 ###
200
24
100
NAMA OBAT

MULTIVITAMIN TABLET
40,000
500
1,000
500
2,600
13,600
300
500
500
1,300
12,500
470
70
649
50
1,290
500
3,200
63,600
200
200
1,200
200
1,300
TUBE
470
470
BOTOL
719
719
60
BOTOL
1,340
1,340
40
10
TABLET
66,800
66,800
500
100
TABLET
1,400
1,400
TABLET
1,500
1,500
BOTOL
187 OBH
BOTOL
17,850
17,850

BOTOL
280
280
TABLET
TABLET
3,400
3,400
3,400
OFLOXACIN 400 MG
191 ONDENSETRON INJ
AMPUL
400
400
172
228
1 ONDENSETRON INJ
15,345
15,345
1,275
14,070
TUBE
TUBE
AMPUL
2,340
2,340
BOTOL
TABLET
7,000
7,000
500
100
1,500
5 ###
100 ###
100 ###
200
250
450
300
50
20
75
150
100
200
50
250
30
100
200 ###
500
600
2,000
15,850
96
146
134
2
200
150
20
200
250
50
200
2,140
500
1,000
2,600
10
15
4,400
AMPUL
100
100
TABLET
1,400
1,400
1,400
TABLET
SUPP
864
864
96
768

BOTOL
3,760
3,760
BOTOL
24,636
24,636
TABLET
757,700
757,700
TUBE
561
561
9,200
9,200
TABLET
12
12
112 ###
50 ###
100
14
24
48
85

OBH
OBH PLUS PARASETAMOL + PSEUDOEPHEDRIN +
CTM + AMONIUM CHLORIDA + SUCCUS LIQUIRITIAE
SYRUP
1 OFLOXACIN 200 MG

OXYTOCIN INJ
1 PARASETAMOL DROPS
112
112
224
224
224
112
1,352
2,408
400
100
250
300
500
450
200
400
2,700
21,936
5,000
6,000
7,000
9,000
15,800
10,000
10,000
20,000
82,900
674,800
PARASETAMOL 500 MG
14
547
9,200
NO
NAMA OBAT
SATUAN
3
STOCK
AWAL
4
PENERIMAA PERSEDIAA
N
N
5
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
STOCK
AKHIR
18=(7s/d17)
19=6-18
NAMA OBAT
TABLET
47,600
47,600
200
TABLET
158,000
158,000
2,000
208 PIROXICAM
TABLET
74,760
74,760
360
BOTOL
174
174
BOTOL
840
840
BOTOL
BOTOL
159
159
BOTOL
124
124
TABLET
15,000
15,000
TABLET
2,000
2,000
TABLET
71,100
71,100
AMPUL
BOTOL
1,182
1,182
1,182
BOTOL
835
835
835
TABLET
37,600
37,600
200
37,400
1 RIFAMPICIN 450 MG
LABU
1,879
1,879
411
1,468
TABLET
24,100
24,100
3,350
20,750
TABLET
48,650
48,650
3,500
45,150
AMPUL
14
1,000
3,000
17,000
141,000
2,040
1,800
600
3,120
7,920
66,840
51
123
31
809
150
17
107
POVIDON IODIDA 1 L
5,000
10,000
200
200
1,800
2,000
14,500
56,600
10
###
11
2,000
1,500
2,000
5
5
1,000
1,000
1,000
6,000
1,000
2,000
200
3
20
200
180
150
1,000
1,000
5
200
2,000
500
1,000
1,000
100
100
30,700
30,700
2,000
400
TABLET
18,500
18,500
2,000
400
200
200
3,000
20
47,400
2,000
TABLET
300
1,500
500
200
1,000
500
24
200
200
100
100
24
48
24
50
200
1 ALBOTYL
1 PROPANOLOL 40 MG
1 RANITIDIN TABLET
SALBUTAMOL 2,5 MG / 2 ML + IPATOPATRIUM BR

NEBUL
100
5,100
25,600
4,100
14,400
48
96
576
300
1,300
500
120
362
3,297
50
385
57
1 SALEP 2 - 4
672
672
KOTAK
1,800
1,800
200
BOTOL
3,659
3,659
96
BOTOL
442
442
100
KAPSUL
KAPSUL
7,500
7,500
TABLET
3,630
3,630
3,630
TABLET
118,000
118,000
118,000
AMPUL
TUBE
267
267
31,200
31,200
13
13

TABLET
TUBE
VIAL
919
919
BOTOL
5,566
5,566

TABLET
307,610
307,610
KAPSUL
500
500
TABLET
44,000
44,000
24
1 PIROXICAM
POT
2,000
10

228 SALEP 2 - 4
4,000
200
100
100
30
500
200
300
100
500
200
500
2,300
300
300
200
2,000
2,000
1,500
1,000
10
31,550
30,550
29,850
30,550
30,550
33,550
9,300
21,900
500
3,900
5,326
253,210
54,400
500
AMPUL
TABLET
KAPSUL
30,000
30,000
100
TABLET
200
200
50
AMPUL
120
120
TABLET
137,900
137,900
200
1,000
50
500
200
1,000
1,000
1,500
2,000
SIMVASTATIN TABLET


40,100
100
919
240
3,900
100
2,000
32,550
SEFADROKSIL 500 MG
262
96 ###
34,050
SEFADROKSIL 250 MG
5,200
48
1 SEFADROKSIL SYRUP
SALISIL BEDAK 2 %

1,300
28,700
100
100
120
6,400
131,500
NO
NAMA OBAT
SATUAN
3
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
2,000
1,500
3,500
4,000
TABLET
710,300
710,300
2,000
500
TABLET
27,400
27,400
1,000
500
1,000
JUMLAH
STOCK
AKHIR
18=(7s/d17)
19=6-18
NAMA OBAT
5,000
18,500
691,800
2,000
4,500
22,900

SET
32
32
BUAH
1,400
1,400
BUAH
7,600
7,600
BUAH
5,181
5,181
BUAH
390
390
BUAH
10
10
ALAT PEMERIKSAAN HB
ALCOHOL SWABS
BISTURI
10
BLOOD LANCET
BUAH
22
22
72,000
72,000
BUAH
207
207
BUAH
12,500
12,500
SACHET
11
GALON
12
SACHET
5,237
5,237
13
CATGUT CHROMIC
ROLL
14
SET
15
DENGUE N5 1 ANTIGEN
SET
16
DEX GLASS
BUAH
76
76
17
BUAH
77
77
18
FESCOPLAST
ROLL
19
FOLEY CATETHER
BUAH
110
110
20
GLUCOSA TEST TIP
TIP
7,840
21
GOLONGAN DARAH KIT
SET
22
H2O2
BOTOL
23
24
32
400
1,000
1,300
6,300
200
200
4,981
100
100
290
10
100
100
300
100
300
600
200
200 ###
600
100
2,000
600
400
3,000
100
100
1
48
10
24
24
10
22
7,000
65,000
200
100
12,400
116
5,121
ALAT PEMERIKSAAN HB
ALCOHOL SWABS
BISTURI

CATGUT CHROMIC
76
DEX GLASS
70
FESCOPLAST
10
20
90
FOLEY CATETHER
7,840
450
450
7,390
15
15
GOLONGAN DARAH KIT
H2O2
LEMBAR
14,300
14,300
HAND SCONE STERILE
PASANG
790
25
SACHET
26
HEMASITO METER
BUAH
27
ISI AUTOCLIX
KOTAK
28
INFUSION SET ANAK
29
INFUSION SET DEWASA
30
IODIUM TEST
31
2
10
200
100
400
700
1,000
1,000
790
100
50
140
1,740
1,740
30
600
1,000
100
60
300
600
180
1,560
2,280
12,690
100
155
345
100
124
4,957

HAND SCONE STERILE
HEMASITO METER
500
500
SET
5,081
5,081
BOTOL
137
137
IV CATETHER
SACHET
3,705
3,705
32
JARUM JAHIT
BUAH
218
218
33
KACA MULUT
BUAH
80
80
34
BUNGKUS
105
105
35
KAPSUL KOSONG NO.0
BUAH
KAPSUL KOSONG NO.0
36
KAPSUL KOSONG NO.1
BUAH
KAPSUL KOSONG NO.1
37
LEMBAR
120
120
120
38
ROLL
45
45
39
KASSA STERIL
KOTAK
487
487
40
KASSA 4 M X 15 CM
ROLL
1,000
1,000
41
LAMPU SPIRITUS
BUAH
20
300
400
SET
50
240
390
14,970
1
240
30
9,300
14,970
600
60
5,000
GLUCOSA TEST TIP
90
50
10
2
51
2
4
20
20
100 ###
INFUSION SET ANAK

INFUSION SET DEWASA
137
IODIUM TEST
144
3,561
IV CATETHER
10
208
JARUM JAHIT
80
KACA MULUT
ISI AUTOCLIX
101
37
55
432
KASSA STERIL
240
760
KASSA 4 M X 15 CM
LAMPU SPIRITUS
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
STOCK
AKHIR
18=(7s/d17)
19=6-18
NAMA OBAT
42
BOTOL
43
BOTOL
16
16
16
44
KOTAK
103
103
45
METILEN BLUE 250 ML
BOTOL
16
16
46
MICROPIPET 3 UKURAN
BUAH
47
MASKER
BUAH
19,900
19,900
48
BUAH
108
49
BUAH
50
BUAH
51
52
1
1
300
400
MICROPIPET 3 UKURAN
5,000
14,900
108
15
20
88
108
108
15
20
88
45
45
45
BUAH
45
45
45
BUAH
45
45
45
53
MATA SCALLER
BUAH
54
NASO GASTRIC TUBE
TUBE
55
BUAH
124
124
124
56
BUAH
125
125
125
57
NEEDLE
BUAH
37
37
58
OBJECT GLASS
BUAH
129
129
59
OIL IMERSI
BOTOL
16
16
16
60
OSE
BUAH
61
PENJEPIT TABUNG
BUAH
22
22
22
PENJEPIT TABUNG
62
PIPET BESAR
BUAH
PIPET BESAR
63
PIPET KECIL
BUAH
PIPET KECIL
64
PLESTER
ROLL
52
52
52
PLESTER
65
POT DAHAK
BUAH
66
BUAH
67
VIAL
68
SELANG O2 ANAK
BUAH
100
100
69
SELANG O2 DEWASA
BUAH
100
100
70
SGOT/SGPT TEST
SET
71
72
STRIP ASAM URAT
BOX
73
STRIP HB
BOX
74
STRIP GULA DARAH
BOX
75
BOX
76
STRIP KOLESTEROL
BOX
7,600
7,600
7,600
77
VENOJECT
KOTAK
18
18
78
YELLOW TIP
BUAH
19
79
TABUNG REAKSI BESAR
BUAH
80
TABUNG REAKSI KECIL
81
3 ###
402
402
1,000
28
124
24
10
5
5
5
10
10
36
10
50
10
MASKER
MATA SCALLER
NASO GASTRIC TUBE
NEEDLE
OBJECT GLASS
OIL IMERSI
OSE
POT DAHAK
21
79
SELANG O2 ANAK
25
75
SELANG O2 DEWASA
101
301
1,000
18,000
1,000
-
150
METILEN BLUE 250 ML
1,000
SACHET
500
16
700
1,950
102
18,000
STRIP HB
18,000
STRIP GULA DARAH

STRIP KOLESTEROL
17
VENOJECT
19
19
YELLOW TIP
37
37
37
TABUNG REAKSI BESAR
BUAH
63
63
62
TABUNG REAKSI KECIL
TERMOMETER DIGITAL
BUAH
TERMOMETER DIGITAL
82
TORNIKUET
BUAH
102
102
102
83
BUAH
17,850
17,850
17,850
84
BUAH
294
294
55
239
85
URINE BAG
BUAH
159
159
159
86
KOTAK
87
WIDAL TEST
KOTAK
WIDAL TEST
88
WHITE TIP
BUAH
24
24
24
89
KOTAK
50
TORNIKUET
URINE BAG
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
STOCK
AKHIR
18=(7s/d17)
19=6-18
90
POCH PACK D
BUAH
91
POCH PACK L
BUAH
92
BUAH
93
BUAH
94
CALIBRATION SCS
BUAH
95
BUAH
96
STROMALYSER WH
BUAH
97
BUAH
98
BUAH
99
BUAH
NAMA OBAT
OBAT GIGI
OBAT GIGI
ARSEN
BOTOL
ARTIKULATING PAPER
KOTAK
BOTOL
73
73
73
BEIN GIGI
SET
CALCIDOR
POT
CALCIDOR
CEVITRON
BUAH
64
64
64
CEVITRON
CHKM
POT
13
13
11
CHKM
CRESOPEN
BOTOL
DENTORIT
BOTOL
10
DYCAL
BOTOL
11
ETIL KLORIDA SPRAY
BOTOL
140
140
12
EUGENOL CAIRAN
BOTOL
185
185
13
IODOFORM PASTA
POT
14
14
14
GLASS IONOMER ART
SET
42
42
15
OCO / TSR
BOTOL
10
16
BOTOL
17
18
ARSEN
ARTIKULATING PAPER
CRESOPEN
DENTORIT
19
121
ETIL KLORIDA SPRAY
185
EUGENOL CAIRAN
13
IODOFORM PASTA
40
GLASS IONOMER ART
10
10
OCO / TSR
SET
12
12
12
SET
10
1
2
Cilegon, 30 Desember 2015

Nip. 19660223 199203 2 002
NIP. 19740620 200312 2 003
DYCAL

CAIRAN
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
Nama Obat
ED
Jumlah
Keluar
No
1
2
Ambroxol Syrup
Okt-15
10
3
4
Amixicillin 500 mg
Jul-14
600
Amoxicillin Syrup
Nov-14
10
5
6
Antacida tab
Jul-14
200
Antalgin 500 mg
Mei-16
400
Anti Bakteri Salep
Ags-17
10
Sep-14
2,000
Asam Mefenamat
Jul-14
400
10
Captopril 25 mg
Ags-17
200
11
Co Amoxiclav
Jun-14
60
12
Cotrimoxazol 480 mg
Mei-17
400
13
CTM
Jul-14
600
14
Dexametason
Ags-17
400
15
Etanol
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
STOCK
AKHIR
18=(7s/d17)
19=6-18
NAMA OBAT
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
16
Garam Oralit
Ags-17
200
17
Hidrokortison Salep
Jun-14
18
Kassa
19
Kotrimoxazol 120 mg
Mar-14
400
20
Metronodazol 500 mg
Apr-14
200
21
Natrium Diklofenak
Jul-14
100
22
Oxytetrasiklin 3 %
Jun-14
10
23
Piridoxin
Sep-14
2,000
24
Nov-14
25
Prednison
Jun-14
600
26
Salbutamol 2 mg
Jun-14
200
27
Salisil bedak
Mei-16
10
28
Simvastatin
Ags-17
100
29
Tablet Tambah Darah
Apr-14
12,000
30
Thiamin tab
Mar-14
2,000
31
Jan-14
150
Vitamin B Komplek
Sep-14
2,000
6=4+5
NO
NAMA OBAT
SATUAN
MENURUT
KARTU
STOK
MENURUT
STOK
OPNAME
SELISIH
KURANG /
LEBIH
1
2
TUBE
5,076
5,076
TABLET
21,700
21,700
TABLET
12,100
12,100
ALBOTYL
BOTOL
234
234
TABLET
8,500
8,500
TABLET
8,610
8,610
BOTOL
10,000
10,000
TABLET
38,200
38,200
10
TABLET
28,700
28,700
11
TABLET
60,000
60,000
12
VIAL
1,720
1,720
13
BOTOL
16,903
16,903
14
KAPLET
74,680
74,680
15
KAPLET
222,700
222,700
16
TABLET
3,600
3,600
17
TABLET
171,400
171,400
18

TABLET
162,100
162,100
ACYCLOVIR 5 GR KRIM
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
STOCK
AKHIR
18=(7s/d17)
19=6-18
NAMA OBAT
NO
NAMA OBAT
SATUAN
STOCK
AWAL
19
ANTASIDA SUSPENSI
BOTOL
20

TUBE
21

SALISILAT 3 %)
POT
22
ANTI HEMOROID DOEN
SUPP
23
24
PENERIMAA PERSEDIAA
N
N
5
6=4+5
2,974
2,974
6,590
6,590
128
128
1,500
1,500
TABLET
200,200
200,200
TABLET
437,200
437,200
25
TABLET
12,600
12,600
26
ATROPIN SULFAT INJ
AMPUL
146
146
27
TABLET
102,650
102,650
28
BEKARBON
TABLET
20,280
20,280
29
VIAL
180
180
30
TUBE
1,977
1,977
31
TABLET
120
120
32
SUPP
522
522
33
BISOPROLOL 5 MG
TABLET
1,600
1,600
34
TABLET
132,000
132,000
35
BOTOL
100
100
36
CALAMIN LOTION
BOTOL
430
430
37
TABLET
685,800
685,800
38
TABLET
242,300
242,300
39
BOTOL
344
344
40
CEFIXIME 100 MG
KAPSUL
18,900
18,900
41
CEFOTAXIME INJ 1G
VIAL
119
119
42
CEFTRIAXON INJ
VIAL
220
220
43
CETIRIZIN 10 MG
TABLET
39,200
39,200
44
TABLET
121,000
121,000
45
KAPSUL
10,000
10,000
46
KAPSUL
8,700
8,700
47
TABLET
348,800
348,800
48
TABLET
15,000
15,000
49
BOTOL
7,623
7,623
50
TABLET
74,200
74,200
51
BOTOL
308
308
52
BOTOL
448
448
53
TABLET
133,400
133,400
54
VIAL
2,595
2,595
55
DIAZEPAM TABLET
TABLET
3,000
3,000
56
AMPUL
206
206
57
DIFENHIDRAMIN INJ
AMPUL
220
220
58
TABLET
51,500
51,500
59
KAPSUL
9,400
9,400
60
AMPUL
107
107
61
BOTOL
1,325
1,325
62
ERYTHROMYCIN 250 MG
KAPSUL
17,500
17,500
63
TABLET
44,700
44,700
64
ETAMBUTOL 500 MG
TABLET
44,000
44,000
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
STOCK
AKHIR
18=(7s/d17)
19=6-18
NAMA OBAT
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
620
620
8,400
8,400
7,000
7,000
BOTOL
2,136
2,136
TABLET
8,000
8,000
71
FLUCONAZOL 150 MG
TABLET
200
200
72
AMPUL
220
220
73
TABLET
20,200
20,200
74
SACHET
6,800
6,800
75
TUBE
2,375
2,375
76
BOTOL
4,150
4,150
77
TABLET
872,300
872,300
78
GLIMEPIRIDE 2 MG
TABLET
1,640
1,640
79

MG
TABLET
21,330
21,330
80
TABLET
632,000
632,000
81
TABLET
4,400
4,400
82
TABLET
13,300
13,300
83
TABLET
23,600
23,600
84
AMPUL
456
456
85
TABLET
7,080
7,080
86
TUBE
33,480
33,480
87
SUPP
91
91
88
BOTOL
1,000
1,000
89
TABLET
2,800
2,800
90
TABLET
43,700
43,700
91
ISONIAZID 100 MG
TABLET
5,000
5,000
92
ISONIAZID 300 MG
TABLET
8,000
8,000
93
IMUNOSTIMULAN SIRUP
BOTOL
924
924
94
TABLET
1,200
1,200
95
TABLET
110,700
110,700
96
KANAMYCINE 2 GR
VIAL
75
75
97
KAOLIN SUSPENSI
BOTOL
1,400
1,400
98
TABLET
1,900
1,900
99
TUBE
5,751
5,751
TABLET
3,100
3,100
AMPUL
717
717
BOTOL
438
438
BOTOL
1,545
1,545
BOTOL
3,126
3,126
TABLET
300
300
TABLET
2,500
2,500
4,389
4,389
46,800
46,800
BOTOL
66
ETANOL 70 % 1000 ML
BOTOL
67
KAPSUL
68
TABLET
69
FENOL GLISEROL 10 %
70

MG KRIM
TUBE

PARASETAMOL 400 MG
TABLET
216
6=4+5
216
65
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
STOCK
AKHIR
18=(7s/d17)
19=6-18
NAMA OBAT
NO
NAMA OBAT


GG + CTM SYRUP
SATUAN
STOCK
AWAL
6=4+5
BOTOL
BOTOL 60
ML
TABLET
TABLET

+ CTM
BOTOL

GUAIAKOLATSULFONAT
BOTOL

TABLET
TABLET

MG
PENERIMAA PERSEDIAA
N
N
2,820
2,820
5,784
5,784
34,450
34,450
20,070
20,070
2,000
2,000
7,685
7,685
70,080
70,080
156
156
2,499
2,499
18,050
18,050
TUBE

BOTOL 60
ML

TABLET

ACID 200 MG TABLET
TABLET
27,000
27,000
BOTOL
8,015
8,015
TABLET
25,200
25,200
TABLET
15,240
15,240
TABLET
4,950
4,950
AMPUL
12,100
12,100
125 LISOL
BOTOL
877
877
TABLET
23,900
23,900
TABLET
6,900
6,900
TABLET
201,400
201,400
TABLET
1,900
1,900
AMPUL
TABLET
VIAL
43
43
18,400
18,400
50
50
TABLET
7,300
7,300
BOTOL
253
253
TABLET
13,500
13,500
TABLET
24,700
24,700
TUBE
611
611
BOTOL
3,231
3,231
BOTOL
2,391
2,391
TABLET
68,100
68,100
TABLET
55,000
55,000
TABLET
56,450
56,450
TABLET
8,000
8,000
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
STOCK
AKHIR
18=(7s/d17)
19=6-18
NAMA OBAT
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
BOTOL
60
60
TABLET
104,600
104,600
TABLET
2,700
2,700
TABLET
3,500
3,500
BOTOL
130
130
149 OBH
BOTOL
15,332
15,332
TABLET
500
500
TABLET
5,050
5,050
152 ONDENSETRON INJ
AMPUL
500
500
TUBE
18,975
18,975
BOTOL
TABLET
21,400
21,400
TABLET
1,400
1,400
BOTOL
9,412
9,412
BOTOL
50,831
50,831
TABLET
1,189,100
1,189,100
TABLET
17,300
17,300
TABLET
47,900
47,900
TABLET
270,000
270,000
163 PIROXICAM
TABLET
30,000
30,000
164 OXYTOCIN INJ
AMPUL
3,620
3,620
BOTOL
1,119
1,119
BOTOL
356
356
BOTOL
55
55
TABLET
91,000
91,000
TABLET
1,700
1,700
TABLET
81,600
81,600
AMPUL
1,350
1,350
BOTOL
1,645
1,645
BOTOL
573
573
TABLET
42,900
42,900
LABU
2,737
2,737
TABLET
83,100
83,100
AMPUL
477
477
TABLET
25,700
25,700
TABLET
19,000
19,000
616
616
180 SALEP 2 - 4
POT
KOTAK
5,900
5,900
BOTOL
5,000
5,000
BOTOL
1,581
1,581
KAPSUL
7,800
7,800
KAPSUL
9,200
9,200
TABLET
4,990
4,990
TABLET
140,000
140,000
361
361
90,600
90,600
240
240

TUBE
TABLET
TUBE
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
STOCK
AKHIR
18=(7s/d17)
19=6-18
NAMA OBAT
NO
NAMA OBAT
SATUAN
STOCK
AWAL
VIAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
919
919
6,728
6,728
BOTOL

TABLET
112,500
112,500
KAPSUL
4,400
4,400
TABLET
45,800
45,800
TABLET
169,000
169,000
KAPSUL
40,200
40,200
TABLET
1,350
1,350
AMPUL
253
253
TABLET
208,000
208,000
TABLET
56,800
56,800

1
SET
32
32
BUAH
4,000
4,000
BUAH
21,438
21,438
BUAH
6,900
6,900
BUAH
900
900
BUAH
200
200
ALAT PEMERIKSAAN HB
BUAH
11
11
ALCOHOL SWABS
103,800
103,800
10
VIAL
11
AMPUL
50
50
12
BOTOL
1,058
1,058
13
BISTURI
BUAH
300
300
14
BLOOD LANCET
BUAH
9,900
9,900
15
SACHET
6,392
6,392
16
CATGUT CHROMIC
ROLL
17
DEX GLASS
BUAH
81
81
18
BUAH
97
97
19
FOLEY CATETHER
BUAH
315
315
20
GLUCOSA TEST TIP
TIP
8,250
8,250
21
GOLONGAN DARAH KIT
SET
18
18
22
H2O2
BOTOL
13
13
23
LEMBAR
87,600
87,600
24
HAND SCONE STERILE
PASANG
1,700
1,700
25
SACHET
4,425
4,425
26
ISI AUTOCLIX
KOTAK
13,620
13,620
27
INFUSION SET ANAK
SET
490
490
28
INFUSION SET DEWASA
SET
388
388
29
IODIUM TEST
BOTOL
300
300
30
IV CATETHER
SACHET
3,302
3,302
31
JARUM JAHIT
BUAH
350
350
32
KACA MULUT
BUAH
56
56
33
268
268
34
KAPSUL KOSONG NO.0
20,000
20,000
SACHET
BUNGKUS
BUAH
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
STOCK
AKHIR
18=(7s/d17)
19=6-18
NAMA OBAT
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
35
KAPSUL KOSONG NO.1
BUAH
30,000
30,000
36
LEMBAR
1,000
1,000
37
KASSA STERIL
KOTAK
1,416
1,416
38
KASSA 4 M X 15 CM
ROLL
2,870
2,870
39
KOTAK
131
131
40
MICROPIPET 3 UKURAN
BUAH
41
MASKER
BUAH
14,300
14,300
42
BUAH
144
144
43
BUAH
144
144
44
BUAH
45
BUAH
46
BUAH
47
MATA SCALLER
BUAH
48
NASO GASTRIC TUBE
TUBE
30
30
49
BUAH
143
143
50
BUAH
143
143
51
NEEDLE
BUAH
65
65
52
OBJECT GLASS
BUAH
272
272
53
OSE
BUAH
54
PENJEPIT TABUNG
BUAH
22
22
55
PLESTER
ROLL
487
487
56
BUAH
57
VIAL
17
17
58
SELANG O2 ANAK
BUAH
92
92
59
SELANG O2 DEWASA
BUAH
73
73
60
SGOT/SGPT TEST
SET
61
STRIP HB
BOX
359
359
62
STRIP GULA DARAH
BOX
152
152
63
STRIP KOLESTEROL
BOX
153
153
64
VENOJECT
KOTAK
65
YELLOW TIP
BUAH
66
TABUNG REAKSI BESAR
BUAH
37
37
67
TABUNG REAKSI KECIL
BUAH
63
63
68
TORNIKUET
BUAH
103
103
69
BUAH
304
304
70
URINE BAG
BUAH
400
400
71
KOTAK
10
10
72
WHITE TIP
BUAH
24
24
73
POCH PACK D
BUAH
74
POCH PACK L
BUAH
75
BUAH
12
12
76
BUAH
77
CALIBRATION SCS
BUAH
78
BUAH
79
STROMALYSER WH
BUAH
80
BUAH
24
24
81
BUAH
BUAH
6=4+5
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
STOCK
AKHIR
18=(7s/d17)
19=6-18
NAMA OBAT
NO
NAMA OBAT
SATUAN
STOCK
AWAL
PENERIMAA PERSEDIAA
N
N
5
6=4+5
-
OBAT GIGI
ARSEN
BOTOL
ARTIKULATING PAPER
KOTAK
BOTOL
73
73
CEVITRON
BUAH
150
150
CHKM
POT
21
21
ETIL KLORIDA SPRAY
BOTOL
134
134
EUGENOL CAIRAN
BOTOL
639
639
IODOFORM PASTA
POT
17
17
10
GLASS IONOMER ART
SET
24
24
11
SET
15
15
SET
8
PEMAKAIAN
DINAS
PROGRAM
P2KP
GRG
CLG
CBB
CWD
PM
PWK
JBG
CTK
10
11
12
13
14
15
16
17
JUMLAH
STOCK
AKHIR
18=(7s/d17)
19=6-18
NAMA OBAT
DINAS
HARGA
Pemakai
an
PROGRAM
Harga
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Pemakai
an
Harga
CBB
Pemakai
an
Harga
CWD
Pemakai
an
Harga
PM
Harga
Pemakaian
PWK
Pemakaia
n
Harga
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
3,150
75
236,250
25
9,927,225
50
157,500
100
534
300
160,200
300
160,200
1,000
534,000
648
300
194,400
500
324,000
100
64,800
1,000
648,000
200
86
500
500
43,000
200
17,200
1,500
129,000
210
3,300
29
95,700
300
990,000
150
495,000
200
660,000
200
660,000
300
990,000
300
121
2,000
242,000
2,000
242,000
1,000
121,000
500
60,500
1,000
121,000
2,000
242,000
80
102
300
240
187
510
4,750
2,445
43,000
-
30,600
95,370
200
510
95,370
300
20,400
56,100
150
472,500
11,108,475
400
213,600
1,000
534,000
1,602,000
400
259,200
500
324,000
1,944,000
200
17,200
1,000
86,000
335,400
300
63,000
63,000
315,000
129,600
990,000
400
1,320,000
200
660,000
6,860,700
2,000
242,000
1,391,500
1,000
121,000
100
8,000
1,020
190,740
1,500
280,500
600
112,200
8,000
51,000
1,500
50
100
200
360
300
120
300
122,250
211
500
105,500
261
500
130,500
3,000
72
500
200
26,800
3,850
50
473,000
126,311
100
13,400
3,000
244,500
783,000
36,000
-
3,000
-
489,000
783,000
880,200
733,500
293,400
1,110,780
733,500
3,496,350
1,000
211,000
1,000
211,000
500
105,500
2,000
422,000
1,000
211,000
2,000
422,000
1,688,000
5,000
1,305,000
3,000
783,000
6,500
1,696,500
10,000
2,610,000
7,000
1,827,000
13,000
3,393,000
13,311,000
120
360,000
1,000
72,000
100
7,200
1,500
108,000
2,000
144,000
4,000
288,000
1,500
108,000
5,000
360,000
2,000
268,000
1,200
160,800
1,000
134,000
6,000
804,000
3,000
402,000
3,000
402,000
10,000
1,340,000
115,500
192,500
200
770,000
360,000
1,123,200
3,551,000
134
2,491
-
1,713
30
192,500
25
-
62,275
20
60,500
40
95
500
47,500
100
2,000
1,045
1,100
367
300
110,100
15,400
2,900
4,500
300
121,000
-
100
385,000
50
192,500
50
946,000
473,000
1,419,000
252,622
1,136,799
505,244
124,550
50
-
30
90,750
1,000
95,000
1,000
95,000
2,500
-
124,550
237,500
-
186,825
-
3,500
-
332,500
-
373,650
996,400
30
90,750
30
90,750
484,000
2,000
190,000
3,000
285,000
1,282,500
100
104,500
450
120
348,000
10
29,000
377,000
500
60
270,000
20
100
450,000
3,060,000
110,100
2,250,000
165,150
300
100
104,500
15
16,500
300
110,100
2,150,000
110,100
1,500
550,500
-
600
220,200
600
200,000
220,200
90,000
5,000
250,000
2,000
100,000
450,000
2,500
150
1,000
200,000
4,500
75
50,000
200,000
2,000
124,550
30,250
50
10
1,848,000
500
200,000
2,000
378,933
50
3,025
159
280,500
900
500,000
330,300
-
209,000
16,500
1,926,750
-
DINAS
HARGA
Pemakai
an
PROGRAM
Harga
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Pemakai
an
Harga
CBB
Pemakai
an
Harga
CWD
Pemakai
an
Harga
PM
Harga
Pemakaian
PWK
Pemakaia
n
Harga
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
127
960
12,185
1,520
924
28,600
6,199
645
281
900
12,100
66,000
12,650
12,650
63
88
8,800
2,010
121,968
-
150
252,900
1,020
900
3,000
-
480
24
252,900
189,000
300
2,500
84,300
157,500
100
-
50
942,480
60,984
510
471,240
-
510
-
100
471,240
-
900
-
831,600
-
120
-
36
223,164
90
58,050
264,000
50
632,500
8,000
504,000
6,500
4,000
148,776
252,000
800
10
88,000
150
128,850
210
6,000
378,000
2,000
-
60
75
3,600
371,940
1,011,600
-
4,000
24
1,440
-
182,952
-
25
110,880
148,776
510
12
480
-
60,984
-
471,240
74,388
1,020
942,480
-
967,044
300
264,000
100
880,000
10
750
644,250
2,100
10
126,500
409,500
4,000
252,000
88,000
50
440,000
25
120
103,080
3,000
84,300
5,000
590,100
220,000
1,716,000
3,000
5,500
10,440
20
50
200
180,390
208,800
522,000
730,800
-
188
100
18,800
500
114.84
500
57,420
245
300
73,500
300
527
91
3,600
122
1,379
327,492
7,200
654,984
7,200
654,984
10,800
73,500
982,476
500
300
3,600
94,000
73,500
327,492
1,000
114,840
150
36,750
200
21,600
1,964,952
49,000
37,600
2,963,550
-
28,050
94,000
771,650
2,457,000
2,276,100
315,000
5,000
180,390
58,050
4,241,160
1,726,590
859
426,888
-
200
4,015
210
75
1,000
-
1,000
200
22,968
1,000
245,000
500
5,600
509,432
18,000
188,000
122,500
1,637,460
432,400
195,228
673,750
7,059,272
5,060
5,727
3,960
19,800
19,800
99
69
2,500
172,500
2,500
172,500
6,500
448,500
5,500
4,000
276,000
6,000
414,000
2,139,000
1,580
7,900
50
79,000
50
79,000
7,900
50
79,000
252,800
45
2,368
50
960
91
3,333
50
166,650
100
333,300
20
66,660
50
166,650
50
166,650
899,910
167
500
400
66,800
1,500
250,500
300
50,100
200
33,400
1,000
167,000
651,300
220
300
8,100
7,220
440
921
420
2,200
2,000
138,000
2,000
138,000
83,500
200
10
200
66,000
84,000
-
379,500
118,400
130,240
11,840
110,000
40,500
40,500
50
361,000
200
184,200
84,000
72,200
44,000
184,200
72
519,840
953,040
DINAS
HARGA
Pemakai
an
PROGRAM
Harga
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Pemakai
an
Harga
CBB
Pemakai
an
Harga
CWD
Pemakai
an
Harga
PM
Harga
Pemakaian
PWK
Pemakaia
n
Harga
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
25,300
10
379,500
133
65
1,008
24
24,192
24
24,192
24
24,192
72,576
3,417
30
205,020
1,742,670
634
200
22,000
19,080
91
126,800
-
60
270
922,590
90
307,530
100
63,400
200
126,800
317,000
100
2,200,000
2,640,000
500
144,000
600
100
176,000
500
1,760
50
895
50
54
436
1,100,000
5,500
86,400
44,750
50
88,000
100
25
22,375
1,500
-
81,000
-
3,000
-
4,730
200
165
246
14,724
51,975
34,391.50
4,730
2,399
1,265
55,550
4,499
200
300
93
146
259,875
1,500
219,000
300
500
1,100,000
123,000
709,500
900
4,257,000
72
172,728
200
7,000
616,000
825,396
196,000
10
300
1,419,000
9,223,500
48
115,152
460,608
72
172,728
500
632,500
100
126,500
1,000
467,400
49,200
246,000
519,750
-
779,625
825,396
759,000
166,650
500
166,650
584,000
1,500
219,000
73,000
1,387,000
107,000
3,432,000
500
1,444
70
200
14,000
200
355.30
200
71,060
19,800
12,012
50
12
300
4,700
12
1,342
2,300
310
56,400
-
24
150
5,280
196,000
28,600
594,000
135,000
2,500
179,000
54,000
1,180,800
1,000
576,000
162,000
2,000
3,000
57,600
#VALUE!
200
44,750
4,000
18,200
176,000
219,000
50
1,500
100
73,000
22,375
88,000
1,419,000
172,800
25
500
7,000
440,000
50
20
44,750
162,000
50
107,000
49,200
44
1,000
140,000
107
97
1,419,000
5,000
84,000
3,000
176,000
28
18,200
200
V104*1850.2
300
200
205,020
288
144,000
126,500
102,510
60
253,000
572,000
100
15,000
56,400
24
14,000
50
-
2,860,000
1,000
20
2,500
100
35,530
99,000
48
300
90,000
105,000
168
789,600
1,240,800
175,000
112,800
-
48
-
225,600
-
200
100
134,200
10
62,084
60
-
2,000
140,000
576,576
106,590
99,000
576,576
134,200
62,084
343,000
DINAS
HARGA
Pemakai
an
PROGRAM
Harga
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Pemakai
an
Harga
CBB
Pemakai
an
Harga
CWD
Pemakai
an
Harga
PM
Harga
Pemakaian
PWK
Pemakaia
n
Harga
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
1,600
4,500
5,995
75
1,815
3,200
1,100
100
110,000
2,000
300
48
2,200,000
24
24
38,400
24
24
50
299,750
75
24
43,560
60
50
396,000
449,625
50
144
230,400
576,000
299,750
1,798,500
299,750
50
2,310,000
150
90
990,000
38,400
24
76,800
132,000
48
20
330,000
38,400
594,000
300
-
7,376
-
6,160
-
182
-
1,650,000
100
110,000
93,600
140,800
96
1,267,200
281,600
110,000
1,267,200
1,100,000
1,320,000
283
1,980,000
1,408,000
1,000
150
2,000
96
3,801,600
422,400
100
288
600
1,267,200
400
96
187,200
-
1,267,200
5,082,000
200
96
704
13,200
15,885
43,560
250
-
110,500
1,100
38,400
449,625
990,000
38,400
150
-
93,600
76,800
312
6,600
(173*10450)+(110*13200
#VALUE!
1,000
-
704,000
2,956,800
13,200
209
8,030
15,840
200
-
138
574
1,000
40
41,200
638
14,850
12
574,000
-
300
41,400
110,000
550,000
200
27,600
2,200,000
380,160
770,000
700
550,000
96,600
500
197,500
69,000
500
300
20
20,600
60
61,800
44,550
103,000
150
102,300
500
599,500
91
500
341,000
1,199
200
239,800
300
359,700
105
200
21,000
1,000
105,000
200
21,000
80
82,400
200
682
100
500
-
500
599,500
2,500
262,500
3,000
315,000
1,600
61,800
44,550
60
168,000
6
1,000
2,000
760,320
1,100,000
6,930,000
1,056,000
8,025,600
1,000
2,112,000
100
380,160
1,000
2,000
105,600
-
24
500
100
3,168,000
-
24
700
3,000
2,000
1,584,000
-
500
1,500
100
178,200
330,000
50
1,030
1,100,000
300
1,000
1,056
220,000
1,100
1,975
20
69,000
-
682,000
210,000
1,000
1,000
303,600
-
172,200
746,200
20,600
391,400
-
89,100
197,500
682,000
105,000
356,400
1,807,300
1,798,500
1,207,500
DINAS
HARGA
Pemakai
an
PROGRAM
Harga
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Pemakai
an
Harga
CBB
Pemakai
an
Harga
CWD
Pemakai
an
Harga
PM
Harga
Pemakaian
PWK
Pemakaia
n
Harga
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
260
154
2,750
200
41,000
200
60,000
600
200
4
30,800
11,000
2,000
44,000
91
500
45,500
100
2,600
60
156,000
123
500
61,500
164
500
82,000
200
32,800
3,000
48
144,000
24
72,000
24
4,070
15
17,800
16,720
60
1,003,200
50
90
1,504,800
96
1,605,120
120
2,006,400
90
20,680
192
3,970,560
144
2,977,920
96
1,985,280
216
4,466,880
240
4,963,200
240
1,287
500
643,500
700
900,900
1,000
1,287,000
1,000
1,287,000
1,000
1,287,000
3,000
14
133
400
176
15,895
4,700
836,000
53,200
200
180,000
72,000
1,500
450,000
-
800
30,000
30,000
100
300,000
100
205,000
300
1,000
205
600,000
1,000
164,000
-
90,000
-
100
-
1,000
-
100,100
50
130,000
416,000
200
24,600
50
130,000
300
49,200
164,000
48
144,000
432,000
20
356,000
356,000
1,504,800
120
2,006,400
10,466,720
4,963,200
168
3,474,240
26,801,280
3,861,000
1,000
1,287,000
10,553,400
500
66,500
1,000
133,000
500
66,500
345,800
300
52,800
500
88,000
500
88,000
228,800
26,600
60
282,000
23,500
112
500
56,000
100
640
480
30,800
5,225
100
100
200
250
450
300
600
50
96
86,100
27,300
10,725
410,000
2,040,000
300
11,200
300,000
30,800
286,000
18,200
11,110
275,000
200
9,100
300
1,500
536,250
168,000
23,500
329,000
555,500
40
444,400
10
111,100
500
56,000
100
11,200
500
56,000
358,400
200
128,000
128,000
100
100
48,000
96,000
48,000
-
1,029,600
1,565,850
-
413
654
2,400
20
48,000
100
4,800
412,800
1,450
75
150
200
290,000
150
217,500
2,100
13,913
30
16,100
127
200
573
60
32
7,040
12
84,480
108,750
5,227
1,319
50
65,950
84
100
8,400
11,475
14
160,650
290
50
65,950
25,300
200
12
240,000
50
120,000
362,500
200
250
100
500
217,500
417,390
25,300
84,480
24
168,960
48
1,391,300
63,250
337,920
20
200
290,000
278,260
-
250
50
362,500
695,650
-
1,848,750
2,782,600
-
500
63,250
1,000
126,500
328,900
2,865
10
5,730
8,595
675,840
25,300
112
585,424
112
585,424
112
585,424
112
585,424
224
1,170,848
224
1,170,848
224
1,170,848
112
585,424
6,439,664
400
527,600
100
131,900
250
329,750
300
395,700
500
659,500
450
593,550
200
263,800
400
527,600
3,561,300
5,000
420,000
6,000
504,000
7,000
588,000
9,000
756,000
15,800
1,327,200
10,000
840,000
10,000
840,000
20,000
1,680,000
6,963,600
160,650
DINAS
HARGA
Pemakai
an
PROGRAM
Harga
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Pemakai
an
Harga
CBB
Pemakai
an
Harga
CWD
Pemakai
an
Harga
PM
Harga
Pemakaian
PWK
Pemakaia
n
Harga
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
198
200
39,600
18
2,000
36,000
360
30,215
10
173,930
6,489
83.93
17,393
14
243,502
2,163
6,489
2,400
14,000
42,000
11
57
65
120
462,000
86,965
1,000
1,500
28,000
57,000
180,000
20
4,000
72,000
2,000
42,000
240,000
2,000
1,000
36,000
34,786
210,000
120,000
39,600
2,000
36,000
3,000
54,000
1,000
18,000
3,000
54,000
306,000
2,040
171,217
1,800
151,074
600
50,358
10
173,930
2,000
6,000
28,000
114,000
720,000
3,120
261,862
664,726
10
173,930
887,043
10,815
67,053
43,260
1,000
57,000
1,000
2,000
70,000
57,000
240,000
126,000
714,000
285,000
200
13,000
13,000
2,000
240,000
1,740,000
1,928
14,300
19,600
594
200
118,800
5,200
15,600
2,137,200
1,500
1,008
215,600
118,800
1,000
15,600
1,008,000
20
104,000
200
150
225,000
1,000
1,040,000
1,008,000
180
26,000
200
300,000
2,000
3,000,000
500
504,000
1,000
1,008,000
936,000
59
2,000
118,000
400
23,600
200
178,000
400
35,600
24
118,800
100
125,000
200
250,000
200
250,000
100
125,000
24
87,120
48
174,240
24
87,120
26,240
200
11,800
63,750
11,800
17,700
1,500
88,500
200
17,800
1,000
89,000
500
5,025,000
3,528,000
500
29,500
300,900
364,900
89
2,000
4,950
1,250
200
250,000
100
3,630
96
348,480
5,248
100
524,800
30
468
509
500
300
12,100
12
520
58,300
254,500
200
101,800
391
300
117,300
16,748
2,090
3,226
10
385
38.50
1,050
3,900
700
35
431
157,440
152,700
100
200
33,496
30,550
(14700*1023)+(19
29,850
1,176,175
50,900
78,200
117,300
300
31,550
-
186
125,000
2,000
48
254,500
200
1,500
83,740
154,848
34,050
1,176,175
101,800
782,000
44,500
-
2,000
782,000
30,550
1,149,225
500
118,800
48
237,600
475,200
100
125,000
300
375,000
1,625,000
50
181,500
120
435,600
1,314,060
200
1,049,600
50
262,400
2,020,480
500
254,500
33,496
309,696
33,550
1,176,175
1,170,700
-
391,000
96
1,000
586,500
24
30,550
1,310,925
1,500,000
300
1,000
2,000
291,500
291,500
782,000
3,636,300
150,732
96
309,696
774,240
1,253,175
#VALUE!
32,550
1,291,675
93,000
500
4,095,000
100
43,100
100
15,950
4,095,000
319
50
5,400
40
200
8,000
500
20,000
200
8,000
1,000
40,000
1,000
40,000
100
43,100
50
15,950
43,100
1,500
60,000
1,000
93,000
431,000
2,000
80,000
560,300
31,900
256,000
DINAS
HARGA
Pemakai
an
PROGRAM
Harga
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Pemakai
an
Harga
CBB
Pemakai
an
Harga
CWD
Pemakai
an
Harga
PM
Harga
Pemakaian
PWK
Pemakaia
n
Harga
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
475
110,000
2,662
3,120
100
7,750
200
3,300
100
8,360
525,000
275
200
200
600
550
100
100
396
902,000
78,100
48
5,415,500
1,650,000
2,420,000
39,050
302,500
312,000
2,000
1,000
500
300
3,748,800
1,500
475,000
500
2,000
237,500
936,000
100
100
300
266,200
600
2,000
-
10
39,600
781,000
11,000
10
624,000
600
400
10
1,874,400
110,000
200
24
1,872,000
24
1,874,400
605,000
902,000
9,059,600
2,117,500
10
110,000
220,000
3,745,350
3,069,000
450
3,745,350
2,557,500
20,900
880
200
176,000
400
600
6,930
13,200
700
616,000
1,000
880,000
1,000
880,000
100
693,000
50
346,500
140
970,200
100
693,000
30
396,000
60
792,000
60
300
600
1,122,132
240
448,853
520,300
7,321
5,830
24,200
20,900
96,800
20,130
44
33
1,980
130,000
4
-
7,317
51
2,070
373,167
96,800
21,963
240
448,853
300
396,000
561,066
4,400,000
2,702,700
2,376,000
600
1,122,132
4,264,102
52,030
50
100
1,040,600
1,612,930
100
732,100
907,804
90
-
20
20
50
(10*21065)+(4
0*24200)
(90*21065)
30
880,000
146,420
41,400
792,000
1,000
130,000
528,000
511,500
20
40,260
39,600
7,321
10,406
781,000
561,066
1,870
4,056,000
1,064,800
352,000
798,600
8,323
88,000
950,000
3,000
511,500
100
2,000
2,137,500
1,512,500
5,000
902,000
100
475,000
4,000
312,000
1,000
3,500
107
#VALUE!
209,000
10
209,000
80,520
100
40,260
260,000
41,400
-
260,000
130,000
29,268
207,000
100
207,000
260,000
1,040,000
402,435
496,800
-
DINAS
HARGA
Pemakai
an
PROGRAM
Harga
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Pemakai
an
Harga
CBB
Pemakai
an
Harga
CWD
Pemakai
an
Harga
PM
Harga
Pemakaian
PWK
Pemakaia
n
Harga
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
26,999
101,750
101,750
64,900
2,090,000
2,090,000
101,750
2,090,000
330
500
700
231,000
1,000
330,000
300
1,650,000
22,000
110,000
15
330,000
440,000
22,000
110,000
15
330,000
440,000
95,700
95,700
95,700
1,950
643,500
165,000
150
49,500
171,600
522,500
951,500
140,000
140,000
21,450
40,700
40,700
104,500
28,000
13,500
5,400
132,000
8,167
400
236,500
429,000
99,000
171,600
24
10
946,000
702,240
6,600
33,000
10
66,000
33,000
10
10
66,000
10
308,612
6,600
6,600
1,082,950
3,056
36
15,278
66,000
110,000
50
152,778
30,556
33,000
138,600
165,000
3,212
191,500
3,795
77,000
13,904
242,000
95,700
2,015
2,015
2,015
2,015
34,320
22,000
1,000
13,200
50
4,950
247,500
935,000
133,100
DINAS
HARGA
Pemakai
an
PROGRAM
Harga
Pemakaian
P2KP
Harga
Pemakaian
GRG
Harga
Pemakaian
CLG
Pemakai
an
Harga
CBB
Pemakai
an
Harga
CWD
Pemakai
an
Harga
PM
Harga
Pemakaian
PWK
Pemakaia
n
Harga
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
484,000
192,500
225,500
3,740,000
209,000
115,500
70,000
70,000
140,000
770,000
770,000
770,000
154,000
534,600
534,600
534,600
176,500
353,000
3,178
302,500
687,500
330,000
1,265,000
418,000
36,300
882,500
302,500
10
302,500
1,375,000
353,000
1,375,000
1,765,000
2,902,892
6,879,992
14,781,297
24,609,635
20,201,631
3,353,500
70,000
39,343,484
29,797,185
75,614,350
31,328,290
43,002,818
60,967,528
DINAS
HARGA
Pemakai
an
Harga
PROGRAM
Pemakaian
Harga
P2KP
Pemakaian
-
GRG
Harga
Pemakaian
CLG
Harga
Pemakai
an
CBB
Harga
Pemakai
an
CWD
Harga
Pemakai
an
Harga
PM
Pemakaian
PWK
Harga
Pemakaia
n
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
DINAS
HARGA
Pemakai
an
Harga
PROGRAM
Pemakaian
Harga
P2KP
Pemakaian
-
GRG
Harga
Pemakaian
CLG
Harga
Pemakai
an
CBB
Harga
Pemakai
an
CWD
Harga
Pemakai
an
Harga
PM
Pemakaian
PWK
Harga
Pemakaia
n
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
DINAS
HARGA
Pemakai
an
Harga
PROGRAM
Pemakaian
Harga
P2KP
Pemakaian
-
GRG
Harga
Pemakaian
CLG
Harga
Pemakai
an
CBB
Harga
Pemakai
an
CWD
Harga
Pemakai
an
Harga
PM
Pemakaian
PWK
Harga
Pemakaia
n
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
DINAS
HARGA
Pemakai
an
Harga
PROGRAM
Pemakaian
Harga
P2KP
Pemakaian
-
GRG
Harga
Pemakaian
CLG
Harga
Pemakai
an
CBB
Harga
Pemakai
an
CWD
Harga
Pemakai
an
Harga
PM
Pemakaian
PWK
Harga
Pemakaia
n
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
DINAS
HARGA
Pemakai
an
Harga
PROGRAM
Pemakaian
Harga
P2KP
Pemakaian
-
GRG
Harga
Pemakaian
CLG
Harga
Pemakai
an
CBB
Harga
Pemakai
an
CWD
Harga
Pemakai
an
Harga
PM
Pemakaian
PWK
Harga
Pemakaia
n
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
DINAS
HARGA
Pemakai
an
Harga
PROGRAM
Pemakaian
Harga
P2KP
Pemakaian
-
GRG
Harga
Pemakaian
CLG
Harga
Pemakai
an
CBB
Harga
Pemakai
an
CWD
Harga
Pemakai
an
Harga
PM
Pemakaian
PWK
Harga
Pemakaia
n
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
DINAS
HARGA
Pemakai
an
Harga
PROGRAM
Pemakaian
Harga
P2KP
Pemakaian
-
GRG
Harga
Pemakaian
CLG
Harga
Pemakai
an
CBB
Harga
Pemakai
an
CWD
Harga
Pemakai
an
Harga
PM
Pemakaian
PWK
Harga
Pemakaia
n
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
DINAS
HARGA
Pemakai
an
Harga
PROGRAM
Pemakaian
Harga
P2KP
Pemakaian
-
GRG
Harga
Pemakaian
CLG
Harga
Pemakai
an
CBB
Harga
Pemakai
an
CWD
Harga
Pemakai
an
Harga
PM
Pemakaian
PWK
Harga
Pemakaia
n
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga
DINAS
HARGA
Pemakai
an
Harga
PROGRAM
Pemakaian
Harga
P2KP
Pemakaian
-
GRG
Harga
Pemakaian
CLG
Harga
Pemakai
an
CBB
Harga
Pemakai
an
CWD
Harga
Pemakai
an
Harga
PM
Pemakaian
PWK
Harga
Pemakaia
n
JBG
Harga
Pemakaian
CTK
Harga
Pemakaian
Harga

MUTASI 2015 hARGA UNTUK PUSKESMAS

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MUTASI 2015 hARGA UNTUK PUSKESMAS

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OKT 14

ACYCLOVIR 200 MG TABLET

ACYCLOVIR 400 MG TABLET

ALLOPURINOL 100 MG TABLET

ALLOPURINOL 300 MG TABLET

AMINOFILIN 200 MG TABLET

AMPICILLIN SERBUK INJ IM/IV 1000MG/ML

AMOXICILLIN SIRUP KERING 125 MG / 5 ML

AMOXICILLIN 250 MG KAPLET

AMOXICILLIN 500 MG KAPLET

ANTALGIN 500 MG TABLET

ANTASIDA DOEN TABLET (KOMB. MAGNESIUM

ANTI BISA ULAR (ABU) SERUM

ANTI TETANUS SERUM 1500 UI

ANTI BAKTERI DOEN SALEP (KOMB.BASITRASIN 500

ANTI FUNGI DOEN (KOMB.ASAM BENZOAT 6 % + ASAM

ANTI HEMOROID DOEN

ASAM ASCORBIT (VIT.C) 50 MG TABLET

ASAM ASCORBIT (VIT.C) 250 MG TABLET

ASAM MEFENAMAT 500 MG

ASAM TRANEKSAMAT 500 MG

ATROPIN SULFAT INJ

ATTAPULGIT / MOLAGIT TABLET

AQUA PRO INJEKSI 25 ML

BENZATIN BENZIL PENISILIN 2,4 JUTA IU

BETAMETASONE KRIM 0,1 %

BETAHISTIN MESILAT 6 MG TABLET

BETAKAROTEN 500 IU SYRUP

BROMHEKSIN HCL 8 MG TABLET

BROMHEKSIN HCL 8 MG SYRUP

BROMHEKSIN HCL 8 MG / 4 ML SOL

CAPTOPRIL 12,5 MG TABLET

CEFIXIME SYRUP KERING 100 MG

CIPROFLOXACIN 500 MG TABLET

CLINDAMYCIN 150 MG KAPSUL

CLINDAMYCIN 300 MG KAPSUL

CHLORPHENIRAMIN MALEAT (CTM) 4 MG

DEKSTROMETORPHAN HBR SYRUP

DEKSTROMETORPHAN HBR TABLET 15 MG

DEKSTROSA LARUTAN INFUS 5 %

DEKSTROSA LARUTAN INFUS 10 %

DEKSTROSA LARUTAN INFUS 40 %

DEXAMETHASON 0,5 MG TABLET

DIAZEPAM INJ 5 MG/ML

DIGOKSIN 0,25 MG TABLET

DOXYCYCLINE 100 MG KAPSUL

EKSTRAK BELLADONNA TABLET 10 MG

EPINEFRIN (ADRENALIN) INJ 0,1%

ERYTHROMYCIN 200 MG SYRUP

ERYTHROMYCIN 500 MG TABLET

ETAKRIDIN 0,1 % / RIVANOL

FENITOIN 100 MG KAPSUL

FLUTICASONE PROPIONATE 0,5 MG / 2 ML

GARAM ORALIT II SERBUK

GENTAMYCIN SALEP KULIT

GLIKOSAMIN 500 MG + CHONDROITIN 400 MG + VIT C

GLISERIL GUAIAKOLT 100 MG TABLET

GRISEOFULVIN 125 MG TABLET

HALOPERIDOL 0,5 MG TABLET

HEPARIN 200,000 IU GEL

HIDROKORTISON KRIM 2,5 %

HYOSINE N BUTILBROMIDA TABLET

IBUPROFEN 125 MG SUPP