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rekapan penggunaan obat DAN PERBEKES

puskesmas selama 1 tahun


tahun 2015

SKPD :
KABUPATEN :
PROVINSI : SULAWESI TENGARA

No Nama Obat Satuan / Kemasan Saldo Awal 2015 Mutasi


1 Januari 2015
Jumlah Harga Satuan (Rp) Nilai (Rp) Jumlah
1 2 3 4 5 6 9
OBAT
Air untuk injeksi amp 25 ml (aqua pro injeksi)
Ampul 0 6,050 -
1
16 2,200 35,200
2 Albendazol tab 400 mg Tab 18 12,750
### 0
3 Alopurinol tab 100 mg Tab -
4 Alprazolam tab 1 mg Tab 0 245 -
105 245 25,725 0
5 Albothyl cairan Botol 0 18,635 -
6 Ambroksol tablet 30 mg Tab 0 138 -
613 138 84,594 0

7 Ambroksol sirup Botol 0 2,722 -


45 2,722 122,490
8 Aminofilin inj 24 mg/ml Ampul 0 4,204 -
9 Aminofilin tab 200 mg Tab 100 86 8,600
10 Amitriptilin tab sal 25 mg Tab sal 0 123 -
100 123 12,300
11 Amlodipin tab 10 mg Tab 1,863 -
12 Amlodipin tab 5 mg Tab -
13 Amoksisilin sir kering 125 mg/5 ml Botol 0 2,560 -
0 2,560 - 0
0 -
122 2,560 312,320 0
14 Amoksisilin tab 250 mg Tab 0 220 -
0 220 - 0
450 220 99,000 0
15 Amoksisilin tab 500 mg Tab 0 279 -
0 279 - 0
1770 279 493,830 0
Anestetik lokal gigi kombinasi : lidokain hcl 2%
16 + epinefrin 1 : 80.000 inj 2 ml Ampul 0 -

Antasida, kombinasi : aluminium hidroksida 200


17 mg + magnesium hidroksida 200 mg Tab kunyah 0 78 -

626 78 48,828 0
Antasida, kombinasi : aluminium hidroksida 200
18 mg + magnesium hidroksida 200 mg Suspensi Botol 0 2,213 -

0 2,213 - 0
0 0
Antibakteri, kombinasi : basitrasin 500 UI/g+
19 Polimiskin B 10.000 UI/g Tube 7 2,767 19,369

Antifungi salep, kombinasi : asam benzoat 6%+


20 asam salisilat 3% Tube 14 2,096 29,344

Antihemoroid, kombinasi: bismut subgalat 150 mg


+ heksaklorofen 2,5 mg + lidokain lidokain 10
21 mg+ seng oksida 120 mg + sup ad 2 g Suppo 0 33,000 -

10 2,200 22,000 0
Anti Parkinson kombinasi : benzerasid 25 mg +
22 Kaps -
levodopa 100 mg
Anti Migren, kombinasi : ergotamin 1 mg+ kafein
23 Tab 7 149 1,043
50 mg
100 149 14,900 0
24 Antalgin (metampirom) tablet 100 mg Tab 0 155 -
25 Antalgin (metampirom) injeksi 250 mg/ml-2 ml Ampul 0 1,346 -
26 Asam asetilsalisilat (asetosal) tab 100 mg Tab 60 110 6,600
1000 127 127,000 0
27 Asam asetilsalisilat (asetosal) tab 500 mg Tab 0 178 -
28 Asam asetilsalisilat (asetosal) tab 80 mg (Miniaspi Tab -
29 80)
Asam askorbat (vitamin C) tab 50 mg Tab 0 105 -
0 105 - 0
30 Asam folat tab 1 mg Tab 0 52 -
1000 52 52,000 0

31 Asam mefenamat kaps 250 mg Kaps -


32 Asam mefenamat kaps 500 mg Kaps 0 127 -
0 127 - 0
2120 127 269,240 0
33 Asam traneksamat inj 50 mg/ml Ampul 25 3,650 91,250 0
Asam traneksamat tab 500 mg Tab
0 1,265 -
34

180 1,265 227,700

35 Asering larutan infus Botol 22 15,900 349,800


Asiklovir salep kulit Tube
82,500
36
37 Asiklovir tab 200 mg Tab 0 251 -
8 251 2,008
38 Atropin inj 0,25 mg/ml (i.m./i.v./s.k) Ampul 35 1,400 49,000
39 Atropin tab 0,5 mg Tab 0 81 -
40 Atropin tts mata 0,5% (Cendotropin 0,5%) Botol -
41 Bedak salisil serb 2% Botol 0 1,180 -
25 1,350 33,750 0
Besi (II) sulfat 200 mg + asam folat 0.25 mg (tablet
tambah darah) Sachet 0 73 -
42
55 0
43 Becefort syrup Botol 0 22,727 -
4 22,727 90,908 0
44 Betametason krim 0,1% Tube 0 1,596 -
86 1,596 137,256 0
45 Betahistin mesilate tablet tablet -
46 Bisakodil sup 10 mg (Stolax) Botol -
47 Bisakodil tab sal 5 mg Tab sal -
48 Bismecon salep tube -
Budesonid-formoterol (fixed combination)* ih 80/4,5
49 mcg Botol -

50 Bromheksin tablet tablet 0 42 -


51 Deksametason tab 0,5 mg Tab 0 68 -
3070 68 208,760 0
0
52 Deksametason inj 5 mg/ml (i.v./i.m.) Vial 74 1,738 128,612
53 Desoksimetason salep 0,25% Tube -
3 9,983 29,949 0
54 Diazepam inj 5 mg/ml (i.v./i.m.) Vial -
53 2,578 136,634 0
55 Diazepam lar rektal 10 mg/2,5 ml (Stesolid) Botol -
56 Diazepam supposutoria suppo -
57 Diazepam tab 2 mg Tab 0 28 -
58 Diazepam tab 5 mg Tab 85 28 2,380
59 Dietilkarbamazin tab 100 mg Tab -
60 Difenhidramin inj 10 mg/ml (i.v./i.m.) Ampul 47 1,160 54,520
61 Digoksin tab 0,25 mg Tab 100 103 10,300
62 Diltiazem kaps SR 100 mg Kaps -
63 Diltiazem tab 30 mg Tab 0 141 -
330 141 46,530 0
64 Doksisiklin tablet 100 mg Tab 0 278 -
65 Domperidon susp 5 mg/5 ml Botol 0 3,490 -
15 3,490 52,350
66 Domperidon tab 10 mg Tab 130 174 22,620
600 174 104,400 0
67 Efedrin HCl tablet Tab 0 56 -
68 Ekstrak belladon tablet 10 mg tab 160 42 6,720
3000 42 126,000 0
69 Epinefrin (adrenalin) inj 0,1% (i.v./s.k./i.m.) Ampul 30 8,910 267,300
70 Eritromisin kaps 250 mg Kaps 840 522 438,480
500 522 261,000 0
71 Eritromisin sir 200 mg/5 ml Botol 49 7,581 371,469
72 Eritromisin tab 500 mg Tab 500 1,013
### 0
73 Etanol 70% cairan 70% Botol 0 2,625 -
0 2,625 -
103 2,625 270,375 0
74 Etakridin (rivanol) larutan 0.1% Botol 0 4,695 -
1 4,695 4,695
75 Etil klorida semprot 100 ml Botol -
76 Famotidin tablet 20 mg Tab 0 124 -
200 124 24,800
77 Fenitoin Na inj 50 mg/ml Ampul -
78 Fenitoin Na kaps 100 mg Kaps -
100 146 14,600 0
79 Fenobarbital inj 50 mg/ml Ampul 0 1,980 -
90 1,980 178,200 0
80 Fenobarbital tab 100 mg Tab 0 37 -
81 Fenobarbital tab 30 mg Tab 100 37 3,700
Fitomenadion (vitamin K 1) inj 2 mg/ml (i.m.) Vial
0 1,723 -
82
83 Fitomenadion (vitamin K 1) tab sal 10 mg Tab sal 100 698 69,800
84 Flukonazol kaps 150 mg Kaps 0 24,200 -
85 Flusinolon asetonid krim 0,025% Tube -
86 Flunarizin tablet tablet -
87 Furosemid inj 10 mg/ml (i.v./i.m.) Ampul 39 2,012 78,468
88 Furosemid tab 40 mg Tab 0 84 -
560 84 47,040 0
Garam oralit kombinasi : natrium klorida 0,52 g +
kalium klorida 0,30 g + trinatrium sitrat 0,58 g + Sachet 0 317 -
89 glukosa anhidrat 2,7 g
2680 317 0
90 Gameksan lotion 1 % Botol 0 2,420 -
91 Gemfibrozil kaps 300 mg Kaps 323 -
92 Gemfibrozil kaps 600 mg Kaps -
93 Gentamisin inj 10 mg/ml Ampul 0 3,739 -
94 Gentamisin salep mata 0,3% Tube -
95 Gentamisin salep Kulit Tube 0 2,340 -
54 1,469 79,326

96 Gentamisin tts mata 0,3% Botol 3,194 -


97 Glibenklamid tab 5 mg Tab 0 61 -
320 61 19,520
98 Glimepirid tab 4 mg Tab 0 -

99 Glipizid tablet 5 mg (Glucotrol 5 mg) Tab -


100 Gliseril Guaiakolat tab 100 mg Tab 0 31 -
0 31 - 0
12166 31 377,146 0
101 Gliserin lar 50% Botol -
102 Glukosamin tablet 500 mg Tab -
103 Glukosa Larutan Infus 5% steril Botol 38 5,720 217,360
104 Glukosa Larutan Infus 10% steril Botol 15 6,270 94,050
105 Glukosa Larutan Infus 40% steril Botol -
106 Griseofulvin (micronized) tab 125 mg Tab 0 230 -
125 230 28,750
107 Haloperidol tab 0,5 mg Tab 0 62 -
108 Haloperidol tab 1,5 mg Tab 0 76 -
200 76 15,200 0
109 Haloperidol tab 5 mg Tab 0 105 -
0 - 0
0 105 - 0
110 Hidrogen peroksida (H2O2) cairan 3% Botol 0 38,500 -
111 Hidroklorotiazid (HCT) tab 25 mg Tab 0 40 -
4590 40 183,600 0
112 Hidrokortison krim 2,5% Tube -
113 Hiosina butilbromida tab 10 mg Tab 0 330 -
114 Ibuprofen susp 100 mg/5 ml Botol 0 4,949 -
115 Ibuprofen tab 200 mg Tab 272 127 34,558
500 121 60,500 0
116 Ibuprofen tab 400 mg Tab 0 157 -
550 157 86,350 0
117 Ipratropium bromida nebulizer 0,025% (Atroven sol. Botol -
118 for inhalation
Isoniazid 0.025%)
tab 300 mg Tab -
119 Isosorbid dinitrat inj 10 mg/10 ml (Fasorbid) Vial -
120 Isosorbid dinitrat tab 5 mg Tab 0 98 -
160 98 15,680
121 KA-EN 3B Cairan Infus Botol 17 10,000 170,000
122 Kalsium glukonat inj 100 mg/ml Ampul 20 9,519 190,380
123 Kalsium laktat (kalk) tab 500 mg Tab 0 51 -
0 76 - 0
630 76 47,880 0
124 Kaptopril tab 12,5 mg Tab 0 69 -
1970 69 135,930 0
125 Kaptopril tab 25 mg Tab 0 97 -
0 97 -
126 Karbamazepin tab 200 mg Tab -
127 Karbo adsorben (Norit) tab 500 mg Tab -
128 Ketamin inj 50 mg/ml (i.v.) Ampul 0 110,000 -
129 Ketokonazol tab 200 mg Tab 0 320 -
220 320 70,400 0
130 Ketokonazol krim 2% Tube 0 5,150 -
1 5,150 5,150
131 Ketorolak inj 10 mg/ml Ampul 0 2,665 -
90 2,665 239,850 0
132 Klaritromisin tab 500 mg Tab -
133 Klindamisin kaps 150 mg Kaps 0 405 -

134 Kloramfenikol tts mata 0,5% Botol -


135 Kloramfenikol kaps 250 mg Kaps 110 275 30,250

136 Kloramfenikol salep mata 1% Tube 0 1,680 -


19 1,680 31,920 0
137 Kloramfenikol susp 125 mg/5 ml Botol 14 4,016 56,224
138 Klorfeniramin (CTM) tab 4 mg Tab 0 26 -
0 26 -
7065 26 186,516 0
139 Klorpromazin inj 25 mg/ml (i.m.) Ampul 0 1,210 -
140 Klorpromazin tab sal 100 mg Tab sal 0 152 -
141 Klorpromazin tab sal 25 mg Tab sal 94 50 4,700
Kombinasi : Pirimethamin 25 mg + sulfadoksin
142 Tab 0 531 -
Kombinasi: ipratropium Br 0,5 mg+ salbutamol 2,5
mg nebules (Combivent UDV)
143 Vial -

Kotrimoksazol (dewasa) kombinasi : Tab


sulfametoksazol 400 mg+ trimetoprim 80 mg 0 152 -
144
0 152 -
2633 152 400,216 0
Kotrimoksazol (anak) kombinasi : sulfametoksazol Tab
100 mg+ trimetoprim 20 mg 0 79 -
145
480 79 37,920 0
Kotrimoksazol (dewasa) kombinasi tiap 5 ml
suspensi : sulfametoksazol 200 mg + trimetoprim Botol 15 2,298 34,470
146 40 mg
147 Kuinin inj 25% (i.v.) Vial 0 6,820 -
148 Kloroquin tab 150 mg Tab 0 112 -
149 Lansoprazol kaps 30 mg Kaps -
150 Levofloksasin tab 500 mg Tab 0 581 -
151 Lidokain gel 2% Tube -
152 Lidokain inj 2% (hcl) Vial 0 1,499 -
0 1,499 -
0 0
153 Lisol Botol 0 54,995 -
0 54,995 - 0
154 Loperamid tab 2 mg Tab 0 97 -
205 97 19,885 0
155 Loratadin tab 10 mg Tab 0 170 -
156 Magnesium sulfat inj 20% Vial 0 7,260 -
### 0
157 Magnesium sulfat inj 40% Vial 0 7,260 -
20 7,260 145,200 0
158 Magnesium sulfat serb, ktg 30 g Sachet 0 1,130 -
159 Mebendazol sir 50 mg/ml Botol 0 3,887 -
160 Mebendazol tab 100 mg Tan 90 248 22,320
161 Metformin tab 500 mg Tab -
162 Metformin tab 850 mg Tab -
163 Metilergometrin inj 0,2 mg/ml Ampul 0 1,639 -
164 Metilergometrin tab salut 0,125 mg Tab sal 80 133 10,648
165 Metilprednisolon tab 4 mg Tab -
166 Metoklopramid inj 5 mg/ml Vial 0 1,100 -
0 1,100 - 0
6 1,100 6,600 0
Metoklopramid sir 5 mg/5 ml (Lexapram sirup)
Botol -
167
168 Metoklopramid tab 10 mg Tab 187 100 18,700
169 Metronidazol supposutoria 500 mg suppo -
170 Metronidazol larutan infus Botol 0 12,980 -
9 12,980 116,820 0
171 Metronidazol tab 250 mg Tab 0 116 -
397 116 46,052 0
172 Metronidazol tab 500 mg Tab -
833 169 140,777 0
173 Mikonazol krim 2% Tube 0 3,150 -
34 3,150 107,100 0
174 Natrium diklofenak tab 25 mg Tab 0 146 -
0 146 - 0
460 146 67,160 0
175 Natrium diklofenak tab 50 mg Tab 0 193 -
0 193 - 0
0 193 -
580 193 111,940 0
176 NaCl 0,9% Larutan infus Botol 0 5,170 -
0 5,170 -
35 5,170 180,950 0
177 Nifedipin kaps 10 mg Kaps 0 127 -
944 127 119,888 0
Nistatin tab salut 500.000 UI Tab
0 704 -
178
179 Nistatin tab vaginal 100.000 UI Tab 190 448 85,120
180 Obat Batuk Hitam (OBH) Botol 0 2,310 -
60 2,310 138,600 0
181 Ofloksasin tab 200 mg Tab 0 440 -
182 Ofloksasin tab 400 mg Tab 0 700 -
40 700 28,000 0
183 Oksitetrasiklin hcl inj 500 mg/ml Vial 0 3,410 -
184 Oksitetrasiklin hcl salep kulit 3% Tube 0 2,010 -
0 1,646 - 0
80 1,646 131,680 0
185 Oksitetrasiklin hcl salep mata 1 % Tube 0 2,772 -
152 2,772 421,344 0
186 Oksitosin inj 10 UI/ml Ampul 0 6,875 -
19 1,900 36,100
187 Omeprazol kaps 20 mg Kaps 0 221 -
0 221 -
0 221 -
188 Papaverin tablet 40 mg Tab 0 109 -
2930 109 319,370 0
189 Parasetamol sir 120 mg/5 ml Botol 0 1,535 -
0 1,535 - 0
51 1,535 78,285 0
190 Parasetamol tab 100 mg Tab 0 105 -
400 105 42,000 0
191 Parasetamol tab 500 mg Tab 0 88 -
0 88 - 0
1545 88 135,960 0
192 Parasetamol rectal suppo 0 -
193 Pehavral tablet multivitamin Tab 0 849 -
0 849 - 0
0 297 -
485 297 144,045 0
194 Perak sulfadiazin krim 1% (Burnazin 35 gr) Tube 0 25,350 - 0
3 25,350 76,050 0
195 Phenylbutazon tablet 200 mg Tab 800 107 85,600
0
196 Piracetam tablet 800 mg Tab 0 964 -
260 964 250,640 0
197 Piracetam tablet 1200 mg Tab 0 854 -
150 854 128,100 0
198 Piracetam injeksi 1 g/5 ml Ampul 0 60,500 -
199 Pirantel pamoat susp 125 mg/5 ml Botol 0 9,100 -
200 Pirantel pamoat tab scored 125 mg Tab 0 318 -
0 318 - 0
201 Piridoksin (vitamin B6) tab 25 mg Tab 0 19 -
180 19 3,420 0
202 Piroksikam tablet 20 mg Tab 0 116 -
540 116 62,640 0
203 Polikresulen Botol 0 18,635 -
3 18,635 55,905
204 Povidon iodin lar 100 mg/ml Botol 30 ml 0 2,344 -
43 2,344 100,792
Povidon iodin lar 100 mg/ml Botol 300 ml
205 0 15,386 -

5 15,386 76,930

Povidon iodin lar 100 mg/ml Botol 1000


206 ml 0 -

207 Prednison tab 5 mg Tab 844 98 82,290


0
208 Primakuin tab 15 mg Tab 985 125 123,125
209 Procurma syrup Botol 0 12,021 -
19 12,021 228,399 0
210 Propiltiourasil tab 100 mg Tab 200 297 59,400
211 Propranolol tab 40 mg Tab 90 80 7,200
212 Ranitidin inj 25 mg/ml Ampul -
213 Ranitidin tab 150 mg Tab 0 128 -
1050 128 134,400 0
214 Reserpin tablet 0.25 mg Tab -
215 Rifampisin kaps 300 mg Kaps 0 440 -
216 Rifampisin tab 450 mg Tab 0 624 -
217 Rifampisin tab 600 mg Tab 0 863 -
218 Ringer Laktat Larutan infus Botol 0 5,720 -
64 5,720 366,080 0
219 Salbutamol tab 2 mg Tab 0 92 -
0 65 - 0
350 65 22,750 0
220 Salbutamol tab 4 mg Tab 0 93 -
790 93 73,470 0
Salep 2-4, kombinasi : asam salisilat 2 %+
belerang endap 4 % Tube 0 1,980 - 0
221
19 2,200 41,800 0
222 Scabicid salep Tube -
223 Sefadroksil kaps 250 mg Vial -
224 Sefadroksil kaps/tab 500 mg Tab 0 548 -
### 0
225 Sefadroksil sir kering 125 mg/5 ml Botol 0 5,286 -
67 5,286 354,162 0
226 Sefiksim kapsul 100 mg Tab -
227 Sefotaksim serb inj 1.000 mg/vial Vial 0 -
228 Seftriakson serb inj 1.000 mg/vial Vial 0 5,414 -
229 Setirizin tab 10 mg Tab -
230 Sianokobalamin (vitamin B12) inj 500 mcg/ml Vial 0 1,451 -
231 Sianokobalamin (vitamin B12) tab 50 mcg Tab 0 150 -
232 Simetidin tablet 200 mg Tab 0 138 -
0 138 - 0
233 Simvastatin tab sal 10 mg Tab sal 0 177 -
234 Simvastatin tab sal 20 mg Tab sal 0 480 -
235 Siprofloksasin inf 2 mg/ml Botol -
236 Siprofloksasin tab scored 500 mg Tab 0 312 -
237 Spironolakton tab 100 mg Tab -
200 350 70,000 0
238 Sulfasetamid Natrium Tetes mata 1.5% Botol -
239 Sukralfat susp 500 mg/5 ml (Ulsafate) Botol -
240 Sukralfat tab 500 mg (Ulsidex) Tab -
200 477 95,400 0
241 Teofilin tab SR 300 mg (Rethapyl) Tab -
100 1,155 115,500 0
242 Tetrasiklin kaps 250 mg Kaps 0 183 -
243 Tetrasiklin kaps 500 mg Kaps 0 283 -
244 Tiamin (vitamin B1) mononitrat tab 50 mg Tab 0 42 -
0
245 Tiamin (vitamin B1) injeksi 100 mg/ml Tab -
246 Tramadol inj 50 mg/ml Ampul 0 2,680 -
247 Tramadol tablet 500 mg Tab 70 363 25,410
248 Triheksifenidil tab 2 mg Tab 0 45 -
160 45 7,200 0
249 Vitamin B12 tablet 50 mcg Tab 0 -
250 Vitamin B kompleks injeksi Vial 0 -
251 Vitamin B kompleks Tab 0 112 -
0 112 - 0
2180 112 229,760 0
252 Zinc tab disp 20 mg Tab 0 521 -
0 521 -
### 0
253 Zinc sirup 20 mg / 5 ml Botol -
16 8,140 130,240 0
254 Larutan PK botol 0 573 -
2 6,975 13,950 0
255 Kanamisin inj Vial 6 10,395 62,370
256 Antalgin 500mg tab 0 155 -
1000 141 141,000
257 Klorpromazin inj 25 mg/ml (i.m.) Ampul -
0
Kalsium laktat (kalk) tab 500 mg Tab
0 57 -
258
259 Kloroquin tab 250 mg Tab 0 116 -
0
260 Klonidin 0,15 mg Tab 100 191 19,100
261 Kloramfenikol kaps 250 mg Kaps -
0
262 Klorpromazin tab sal 100 mg Tab sal 0 -
263 Fenolgliserol TT 10% Kotak 0 1,108 -
0 1,109 -
265 Tetrasiklin kaps 250 mg Kaps 0 -
266 Kloroquin tab 250 mg 0 116 -
267 Papaverin tablet 40 mg -
268 Prednison tab 5 mg Tab -
269 Pirantel pamoat tab scored 125 mg Tab -
270 Hidroklorotiazid (HCT) tab 25 mg Tab -
271 Triheksifenidil tab 2 mg Tab -
272 Piracetam tablet 1200 mg Tab 854 -
273 Vical suspensi btl -
274 Lexavit tab -
275 Gliseril Guaiakolat tab 100 mg Tab 31 -
276 Efedrin HCl tablet Tab -
B.OBAT GIGI -
1 Bonding Botol -
0
2 Calcium hidrosida cement pasta (hycal) Kotak -
3 Comfosite Tube -
0
4 Devitalisasi Pasta (Non Arsen) Kotak 0 390,000 -
2 390,000 0
5 Eugenol cair Botol 0 18,333 34,610
0 18,333 - 0
6 Etil Klorida spray Botol 1 105,000 105,000 0
0
7 Etza Tube -
8 Glass Ionomer Cement ART Set 0 395,000 -
1 197,895 197,895 0
9 Klorfenol Kamfer Menthol (CHKM) Botol 1 55,000 55,000
10 Semen Seng Fosfat serbuk dan cairan Set 0 93,500 -
2 93,500 187,000 0
11 Temporari stoping pletcher Set 0 34,000 -
0 0
12 Mummiyng pasta Kotak 0 176,000 -
C.OBAT PROGRAM -
1 Albedazole 400mg Tab 0 425 -
2 Artemether inj 80 mg/ml Ampul -
3 Artesunat serb inj 60 mg/ml (i.v./i.m.) Vial 0 27,569 -
8 27,569 220,552
4 Dietilkarbamazin tab 100 mg Tab 0 104 -
2000 104 208,000 0
5 Imersion oil Botol -
6 Iodina Test Botol 0 -
7 Obat Anti Tuberculosis FDC Kategori Anak Paket 0 236,490 -
8 Obat Anti Tuberculosis FDC Kategori I Paket 0 396,000 -
9 Obat Anti Tuberculosis FDC Kategori II Paket 0 1,319,990 -
10 Obat Anti Tuberculosis FDC Kategori Sisipan Paket 0 175,899 -
11 Reagen Zenit Nelson Botol -
12 RDT Dangue DBD Set 0 -
13 RDT malaria (care star ) Set -
14 RDT HIV (intec) Set 0 -
15 RDT HIV (vikia) Set 0 -
16 RDT HIV (Oncoprobe) Set 0 -
17 Taburia Kotak -
18 Quinina injeksi Ampul 0 4,438 -
19 Vaksin BCG inj (i.k) Vial -
20 Vaksin campak inj (s.k.) Vial -
21 Vaksin jerap difteri tetanus pertusis (DTP) inj (i.m.) Vial -
22 Vaksin jerap difteri tetanus (DT) Vial -
23 Vaksin kombinasi DPT + hepatitis B inj (i.m.) Vial -
24 Vaksin polio drops 10 dosis Vial -
Vaksin rabies, untuk manusia serb inj (s.k./i.k) + Vial
booster 0 695,752 -
25
Retinol (Vit.A) 200.000 IU kap lunak 0 412 -
Retinol (Vit.A) 100.000 IU kap lunak 0 286 -
zink tab.20mg 0 497 -
Doxiciklin tab -
D.BAHAN MEDIS HABIS PAKAI (BHMP) -
1 Alat suntik sekali pakai 1 ml Set 0 1,093 -
0 848 - 0
146 848 123,845 0
2 Alat suntik sekali pakai 2,5 ml Set 0 1,038 -
100 848 84,825
3 Alat suntik sekali pakai 3 ml Set 0 1,038 -
0 848 - 0
91 848 77,191

4 Alat suntik sekali pakai 5 ml Set 0 1,038 -


317 979 310,264 0
5 Bisturi no. 20 Buah 0 2,099 -
103 2,100 216,300
6 Bisturi no. 15 Buah 0 2,099 -
76 2,100 159,600
7 Catgut No 2/0 Set 25 6,400 160,000
24 25,920 622,080 0
8 Catgut No 3/0 Set 0 5,900 -
24 27,000 648,000 0
9 Handscoen no. 6 Pasang -
10 Handscoen no. 6,5 Pasang -
11 Handscoen no. 7 Pasang 0 4,250 -
0
12 Handscoen no. 7,5 Pasang 0 4,250 -
94 7,684 722,296 0
13 Infuset dewasa Set 0 3,500 -
26 4,176 108,576 0
14 Infusion set anak Set 7 4,000 28,000 0
0
15 IV Catheter No.16 G Set -
15 IV Catheter No.18 G Set 0 6,600 -
16 IV Catheter No.24 G Set 12 7,787 93,444
0
17 IV Catheter No. 20 G Set 0 7,787 -
41 7,937 325,417
18 IV Catheter No. 22 G Set 30 7,787 233,610
19 Folley Catheter 16 Set -
19 Folley Catheter 18 Set 0 8,495 -
0
20 Folley catheter 22 Set 0 8,495 -
0
21 Folley catheter 24 Set 0 495 -
0
22 Kapas Berlemak 250 gram Rol 0 7,500 -
3 27,821 83,463 0
23 Kapas Berlemak 500 gram Rol 0 17,250 -
24 Kasa Pembalut 4m x 3 cm Rol -
25 Kasa Pembalut 4m x 5 cm Rol 0 887 -
26 Kasa Pembalut 4m x 10 cm Rol 0 607 -
52 6,121 318,292 0
27 Kasa Pembalut 4m x 15 cm Rol -
28 Kasa Kompres 40/40 steril Buah 0 1,871 -
0 0
29 Kasa Steril 16 X 16 Buah 0 8,600 -
0
30 Kasa pembalut 2 x 80 Rol 0 10,467 -
11 13,221 145,431 0
31 Kasa Pembalut 40 x 80 Rol -
0 0

32 Kasa Pembalut 36 x 80 cm Rol 0 55,200 -


0 133,821 - 0
33 Pembalut Gips Buah 2 32,500 65,000
34 Plester 5 yard x 2 inc Rol 0 23,625 -
10 23,625 236,250 0
35 Silk Set 0 5,082 -
46 18,781 863,926 0
36 Selang oksigen anak Set -
37 Selang oksigen dewasa Set -
38 Sofratulle Set -
39 Urine bag Set 0 4,000 -
40 Wing Needle No. 21 G Set -
200 5,770 1,154,000 0
41 Wing Needle No. 23 G Set 69 5,770 398,130
199 5,770 1,148,230 0
42 Wing Needle No.25 G Set 0 5,770 -
200 5,770 1,154,000 0
43 Wing Needle No. 27 G Set 0 5,770 -
44 NGT No. 3 ( Feeding Tube ) Set -
45 NGT No. 5 ( Feeding Tube ) Set -
46 Masker Buah 0 1,125 -
3 1,125 3,375 0
47 Tes gula darah Set 0 200,455 -
75 8,018 601,350
48 Tes Narkoba 3 parameter Set -
49 Tes Narkoba 5 parameter Set -
50 Tes Kehamilan Sachet 0 6,825 -
10,084,894
TOTAL 25,590,181

Mengetahui
Kepala Puskesmas Rumbia

Rahmat, AMK
Nip. 19721021 199403 1 004
Mutasi Masuk Mutasi Pengeluaran Saldo Akhir
Obat Puskesmas bulan januari Per 31 Desember 2015
Harga Satuan Nilai ( Rp) Jumlah Harga Satuan Nilai (Rp) Jumlah Harga Satuan
10 11 7 8 12

2,200 - 0 6,050 - 0 6,050

2,200 - 2 2,200 4,400 14 2,200


363 - 12,750 - 18 12,750
363 - 0 363 - 363
90 - - 0
245 - 0 245 - 0 245
245 - 0 245 - 105 245
18,635 - 0 18,635 - 0 18,635
- 0 138 - 0 138
138 - 20 138 2,760 593 138
0
2,722 - 0 2,722 - 0 2,722
2,722 - 0 2,722 - 45 2,722
4,204 - 4,204 - 0 4,204
86 - 86 - 100 86
123 - 123 - 0 123
123 - 0 123 - 100 123
352 - 1,863 - 0 1,863
197 - - 0
2,560 - 0 2,560 - 0 2,560
2,560 - 0 2,560 - 0 2,560
2,560 - 0 2,560 - 0 2,560
2,560 - 46 2,560 117,760 76 2,560
220 - 0 220 - 0 220
220 - 0 220 - 0 220
220 - 100 220 22,000 350 220
279 - 0 279 - 0 279
279 - 0 279 - 0 279
279 - 700 279 195,300 1070 279

1,499 - - 0

78 - 0 78 - 0 78

78 - 456 78 35,568 170 78

2,213 - 0 2,213 - 0 2,213

2,213 - 0 2,213 - 0 2,213


2,213 - 0 2,213 - 0 2,213

2,767 - 0 2,767 - 7 2,767

2,096 - 1 2,096 2,096 13 2,096

2,200 - 0 33,000 - 0 33,000

2,200 - 10 2,200 22,000 0 2,200

1,650 - - 0

149 - 0 149 - 7 149


149 - 0 149 - 100 149
155 - 155 - 0 155
1,346 - 0 1,346 - 0 1,346
127 - 0 110 - 60 110
127 - 0 127 - 1000 127
178 - 178 - 0 178
163 - - 0
105 - 0 - - 0 105
105 - 0 105 - 0 105
52 - 52 - 0 52
52 - 300 52 15,600 700 52

- - 0
127 - 0 127 - 0 127
127 - 0 127 - 0 127
127 - 840 127 106,680 1280 127
3,650 - 0 3,650 - 25 3,650

1,265 - 0 1,265 - 0 1,265

1,265 - 100 1,265 126,500 80 1,265

9,000 - 15,900 - 22 15,900

2,367 - 1 82,500 82,500

251 - 0 251 - 0 251


251 - 8 251 2,008 0 251
1,400 - 1 1,400 1,400 34 1,400
81 - 0 81 - 0 81
13,500 - - 0
1,350 - 0 1,180 - 0 1,180
1,350 - 12 1,350 16,200 13 1,350

55 - 0 73 - 0 73

55 - 520 55 28,600 55
22,727 - 0 22,727 - 0 22,727
22,727 - 0 22,727 - 4 22,727
1,596 - 0 1,596 - 0 1,596
1,596 - 30 1,596 47,880 56 1,596
600 - - 0
6,045 - - 0
4,990 - - 0
- - 0

110,500 - - 0

423 - 42 - 0 42
68 - 0 68 - 0 68
68 - 350 68 23,800 2720 68

1,738 - 0 1,738 - 74 1,738


9,983 - - 0
9,983 - 0 9,983 - 3 9,983
2,578 - 0 2,578 - 0 2,578
2,578 - 0 2,578 - 53 2,578
18,461 - - 0
- - 0
47 - 0 28 - 0 28
53 - 0 28 - 85 28
104 - - 0
1,160 - 0 1,160 - 47 1,160
103 - 0 103 - 100 103
4,033 - - 0
- 141 - 0 141
141 - 70 141 9,870 260 141
298 - 278 - 0 278
3,490 - 3,490 - 0 3,490
3,490 - 0 3,490 - 15 3,490
174 - 130 174 22,620 0 174
174 - 80 174 13,920 520 174
56 - 56 - 0 56
42 - 0 42 - 160 42
42 - 0 42 - 3000 42
8,910 - 0 8,910 - 30 8,910
522 - 522 - 840 522
522 - 0 522 7,250 500 522
8,090 - 7,581 - 49 7,581
1,023 - 1,013 - 500 1,013
1,023 - 0 1,013 - 0 1,023
2,625 - 0 2,625 - 0 2,625
2,625 - 0 2,625 - 0 2,625
2,625 - 15 2,625 39,375 88 2,625
- 0 4,695 - 0 4,695
4,695 - 0 4,695 - 1 4,695
105,000 - - 0 124
124 - 124 - 0
124 - 30 124 3,720 170 124
20,857 - - 0
146 - - 0 -
146 - 0 146 - 100 146
1,980 - 1,980 - 0 37
1,980 - 0 1,980 - 90 1,980
1,075 - 37 - 0
37 - 100 37 3,700 0 37

3,754 - 0 1,723 - 0 698

698 - 698 - 100 698


24,200 - 24,200 - 0
2,700 - - 0
2,400 - - 0 2,012
2,012 - 0 2,012 - 39 2,012
- 0 84 - 0 84
84 - 30 84 2,520 530 84
317 - 0 317 - 0 317

317 - 31 317 2649 317


2,420 - 2,420 - 0 2,420
318 - 323 - 0 323
747 - - 0
3,739 - 0 3,739 - 0 3,739
2,786 - - 0
1,469 - 0 2,340 - 0 2,340
1,469 - 7 1,469 10,283 47 1,469

3,513 - 3,194 - 0 3,194


61 - 0 61 - 0 61
61 - 0 61 - 320 61
0

3,000 - - 0
31 - 0 31 - 0 31
31 - 0 31 - 0 31
31 - 386 31 11,966 11780 31
5,867 - - 0
660 - - 0
5,720 - 0 5,720 - 38 5,720
6,270 - 0 6,270 - 15 6,270
6,270 - - 0
230 - 0 230 - 0 230
230 - 5 230 1,150 120 230
62 - 0 62 - 0 62
76 - 0 76 - 0 76
76 - 0 76 - 200 76
105 - 105 - 0 105
105 - 0 105 - 0 105
105 - 0 105 - 0 105
38,500 - 38,500 - 0 38,500
40 - 0 40 - 0 40
40 - 90 40 3,600 4500 40
2,938 - - 0
330 - 0 330 - 0 330
3,849 - 0 4,949 - 0 4,949
121 - 62 127 7,877 210 127
121 - 0 121 - 500 121
157 - 0 157 - 0 157
157 - 240 157 37,680 310 157
90,000 - - 0
174 - - 0
36,960 - - 0
98 - 98 - 0 98
98 - 0 98 - 160 98
10,000 - 10,000 - 17 10,000
7,800 - 9,519 - 20 9,519
76 - 0 51 - 0 51
76 - 0 76 - 0 76
76 - 310 76 23,560 320 76
69 - 69 - 0 69
69 - 300 69 20,700 1670 69
0 97 - 0 97
97 - 0 97 - 0 97
269 - - 0 269
- - 0
63,400 - 110,000 - 0 110,000
320 - 0 320
320 - 0 320 - 220 320
5,150 - 0 5,150 - 0 5,150
5,150 - 1 5,150 5,150 0 5,150
2,665 - 2,665 - 0 2,665
2,665 - 0 2,665 - 90 2,665
3,600 - - 0
0 405 - 0 405
-
1,680 - - 0 1,680
20 275 5,500 90 275
275 - 275
1,680 - 0 1,680 - 0 1,680
1,680 - 0 1,680 - 19 1,680
4,016 - 0 4,016 - 14 4,016
26 - 0 26 - 0 26
26 - 0 26 - 0 26
26 - 426 26 11,246 6639 26
1,210 - 0 1,210 - 0 1,210
162 - 152 - 0 152
75 - 0 50 - 94 50

531 - 531 - 0 531

5,990 - - 0

152 - 0 152 - 0 152

152 - 0 152 - 0 152


152 - 50 152 7,600 2583 152

79 - 0 79 - 0 79

79 - 0 79 - 480 79

2,298 - 8 2,298 18,384 7 2,298

- - 0 6,820
6,820 - 0 6,820
116 - 112 - 0 112
521 - - 0
581 - 581 - 0 581
40,000 - - 0
929 - 0 1,499 - 0 1,499
929 - 0 1,499 - 0 1,499
929 - 0 1,499 - 0 1,499
54,995 - 0 54,995 - 0 54,995
54,995 - 0 54,995 - 0 54,995
97 - 97 - 0 97
97 - 0 97 - 205 97
170 - 170 - 0 170
7,260 - 7,260 - 0 7,260
7,260 - 1 7,260 7,260 7,260
7,260 - 7,260 - 0 7,260
7,260 - 0 7,260 - 20 7,260
1,130 - 1,130 - 0 1,130
3,887 - 3,887 - 0 3,887
248 - 0 248 - 90 248
125 - - 0
280 - - 0
2,750 - 0 1,639 - 0 1,639
169 - 0 133 - 80 133
230 - - 0
1,100 - 0 1,100 - 0 1,100
1,100 - 0 1,100 - 0 1,100
1,100 - 5 1,100 5,500 1 1,100

2,900 - - 0

100 - 103 100 10,300 84 100


3,655 - 0 - 0
12,980 - 12,980 - 0 12,980
12,980 - 0 12,980 - 9 12,980
116 - 0 - 0 116
116 - 37 116 4,292 360 116
169 - - 0
169 - 245 169 41,405 588 169
3,150 - 0 3,150 - 0 3,150
3,150 - 0 3,150 - 34 3,150
146 - 0 146 - 0 146
146 - 0 146 - 0 146
146 - 175 146 25,550 285 146
193 - 0 193 - 0 193
193 - 0 193 - 0 193
193 - 193 - 0 193
193 - 170 193 32,810 410 193
5,170 - 0 5,170 - 0 5,170
5,170 - 0 5,170 - 0 5,170
5,170 - 0 5,170 - 35 5,170
127 - 0 127 - 0 127
127 - 0 127 - 944 127

704 - 704 - 0 704

528 - 0 448 - 190 448


2,310 - 0 2,310 - 0 2,310
2,310 - 21 2,310 48,510 39 2,310
440 - 0 440 - 0 440
700 - 700 - 0 700
700 - 0 700 - 40 700
3,410 - 0 3,410 - 0 3,410
1,646 - 0 2,010 - 0 2,010
1,646 - 0 1,646 - 0 1,646
1,646 - 5 1,646 8,230 75 1,646
2,772 - 0 2,772 - 0 2,772
2,772 - 6 2,772 16,632 146 2,772
1,900 - 0 6,875 - 0 6,875
1,900 - 0 1,900 - 19 1,900
221 - 0 221 - 0 221
221 - 0 221 - 0 221
221 - 0 221 - 0 221
109 - 0 109 - 0 109
109 - 0 109 - 2930 109
1,535 - 0 1,535 - 0 1,535
1,535 - 0 1,535 - 0 1,535
1,535 - 31 1,535 47,585 20 1,535
105 - 0 105 - 0 105
105 - 300 105 31,500 100 105
88 - 0 88 - 0 88
88 - 0 88 - 0 88
88 - 600 88 52,800 945 88
- - 0
297 - 0 849 - 0 849
297 - 0 297 - 0 297
297 - 0 297 - 0 297
297 - 385 297 114,345 100 297
25,350 - 0 25,350 - 0 25,350
25,350 - 1 25,350 25,350 2 25,350
107 - 0 107 - 800 107
107 - 0 107 - 0 107
964 - 0 964 - 0 964
964 - 10 964 9,640 250 964
854 - 0 854 - 0 854
854 - 20 854 17,080 130 854
6,050 - 0 60,500 - 0 60,500
9,100 - 9,100 - 0 9,100
318 - 0 318 - 0 318
318 - 0 318 - 0 318
19 - 0 19 - 0 19
19 - 180 19 3,420 0 19
116 - 0 116 - 0 116
116 - 350 116 40,600 190 116
18,635 - 18,635 - 0 18,635
18,635 - 3 18,635 55,905 0 18,635
0 2,344 - 0 2,344
2,344 - 0 2,344 - 43 2,344

15,386 - 0 15,386 - 0 15,386

15,386 - 1 15,386 15,386 4 15,386

- 0 40,202

40,202 - 40,202
530 98 51,675 314 98
98 - 0 98
125 - 0 125 - 985 125
12,021 - 12,021 - 0 12,021
12,021 - 17 12,021 204,357 2 12,021
351 - 297 - 200 297
114 - 0 80 - 90 80
1,340 - - 0
128 - 0 128 - 0 128
128 - 570 128 72,960 480 128
968 - - 0
440 - 440 - 0 440
624 - 624 - 0 624
863 - 863 - 0 863
5,720 - 0 5,720 - 0 5,720
5,720 - 38 5,720 217,360 26 5,720
65 - 0 92 - 0 92
65 - 0 65 - 0 65
65 - 30 65 1,950 320 65
93 - 0 93 - 0 93
93 - 80 93 7,440 710 93

2,200 - 0 1,980 - 0 1,980


2,200 - 1 2,200 2,200 18 2,200
- - 0
564 - - 0
548 - 548 - 0 548
548 - 471 548 548
5,286 - 5,286 - 0 5,286
5,286 - 7 5,286 37,002 60 5,286
1,000 - - 0
3,500 - - 0
3,900 - 0 5,414 - 0 5,414
190 - - 0
1,150 - 0 1,451 - 0 1,451
15 - 0 150 - 0 150
138 - 138 - 0 138
138 - 138 - 0 138
177 - 0 177 - 0 177
480 - 0 480 - 0 480
22,000 - - 0
290 - 312 - 0 312
350 - - 0
350 - 0 350 - 200 350
3,549 - - 0
14,450 - - 0
477 - - 0
477 - 200 477 95,400 0 477
1,155 - - 0
1,155 - 0 1,155 - 100 1,155
162 - 183 - 0 183
325 - 283 - 0 283
0 42 - 0 42
42 - 0 42
770 - - 0 770
2,680 - 2,680 - 0 2,680
363 - 38 363 13,794 32 363
45 - 0 45 - 0 45
45 - 0 45 - 160 45
63 - - 0 63
7,392 - - 0 7,392
112 - 0 112 - 0 112
112 - 0 112 - 0 112
112 - 780 112 87,360 1400 112
0 521 - 0 521
521 - 0 521 - 0 521
521 - 1130 521 521
8,140 - - 0 8,140
8,140 - 4 8,140 32,560 12 8,140
6,975 - 0 573 - 0 573
6,975 - 0 6,975 - 2 6,975
5,929 - 0 10,395 - 6 10,395
141 - 0 155 - 0 155
141 - 0 141 - 1000 141
-
1,210 - 0 1,210 - 0 1,210

76 - 57 - 0 57

116 - 0 116
572 - 0 572
193 - 191 - 100 191
- 0 275
275 - 0 0 275
162 - - 0 162
1,109 - 0 1,108 - 0 1,108
1,109 - 0 1,109 - 0 1,109
162 - - 0 162
112 - 116 - 0 116
167 - - 0 167
125 - - 0 125
318 - - 0 318
109 - - 0 109
45 - - 0 45
854 - 854 - 0 854
22,727 - - 0 22,727
480 - - 0 480
31 - 31 - 0 31
56 - - 0 56
- - 0
- 0 765,000
765,000 - 0 765,000
242,000 - - 0 242,000
- 0 338,800
338,800 - 0 338,800
390,000 - 0 390,000 - 0 390,000
390,000 - 0 390,000 - 0 390,000
18,333 - 0 18,333 34,610 0 18,333
18,333 - 0 18,333 - 0 18,333
105,000 - 1 105,000 0 105,000
105,000 - 0 105,000
170,000 - - 0 170,000
197,895 - 395,000 - 0 395,000
197,895 - 1 197,895 0 197,895
55,000 - - 1 55,000
93,500 - 93,500 - 0 93,500
93,500 - 0 93,500 - 2 93,500
34,000 - 0 34,000
34,000 - 0 34,000
176,000 - 176,000 - 0 176,000
- - 0
363 - 425 - 0 425
24,384 - - 0 24,384
27,569 - 27,569 - 0 27,569
27,569 - 27,569 - 8 27,569
104 - 104 - 0 104
104 - 0 104 - 2000 104
825,000 - - 0 825,000
4,545 - - 0 4,545
236,490 - 236,490 - 0 236,490
396,000 - 396,000 - 0 396,000
1,319,990 - 1,319,990 - 0 1,319,990
175,990 - 175,899 - 0 175,899
145,000 - - 0 145,000
150,000 - - 0 150,000
168,300 - - 0 168,300
46,200 - - 0 46,200
45,560 - - 0 45,560
42,350 - - 0 42,350
20,454 - - 0 20,454
- 4,438 - 0 4,438
- - 0
- - 0
- - 0
- - 0
- - 0
285,000 - - 0 285,000

78,000 - 695,752 - 0 695,752

505 - 412 - 0 412


286 - 286 - 0 286
- 497 - 0 497
- - 0
- - 0
848 - 0 1,093 - 0 1,093
848 - 0 848 - 0 848
848 - 17 848 14,420 129 848
848 - 1,038 - 0 1,038
848 - 0 848 - 100 848
848 - 0 1,038 - 0 1,038
848 - 0 848 - 0 848
848 - 20 848 16,965 71 848

979 - 0 1,038 - 0 1,038


979 - 7 979 6,851 310 979
0 2,099 - 0 2,099
2,100 - 0 2,100 - 103 2,100
2,100 - 2,099 - 0 2,099
2,100 - 0 2,100 - 76 2,100
25,920 - 0 6,400 - 25 6,400
25,920 - 0 25,920 - 24 25,920
27,000 - 0 5,900 - 0 5,900
27,000 - 0 27,000 - 24 27,000
6,595 - - 0 6,595
6,595 - - 0 6,595
0 4,250 - 0 4,250
7,684 - 0 7,684
0 4,250 - 0 4,250
7,684 - 82 7,684 630,088 12 7,684
0 3,500 - 0 3,500
4,176 - 7 4,176 29,232 19 4,176
4,000 - 1 4,000 4,000 6 4,000
4,568 - 0 4,568
7,937 - - 0 7,937
7,937 - 0 6,600 - 0 6,600
3 7,787 23,361 9 7,787
7,937 - -
7,937 - 0 7,787 - 0 7,787
7,937 - 8 7,937 63,496 33 7,937
7,937 - 5 7,787 38,935 25 7,787
10,440 - - 0 10,440
0 8,495 - 0 8,495
10,440 - 0 10,440 - 0 10,440
10,440 - 8,495 - 0 8,495
10,440 - 0 10,440 - 0 10,440
10,440 - 495 - 0 495
10,440 - 0 10,440 - 0 10,440
0 7,500 - 0 7,500
27,821 - 2 27,821 55,642 1 27,821
21,533 - 0 17,250 - 0 17,250
800 - - 0 800
4,921 - 887 - 0 887
6,121 - 607 - 0 607
6,121 - 3 6,121 18,363 49 6,121
887 - - 0 887
5,621 - 0 1,871 - 0 1,871
5,621 - 0 5,621 - 0 5,621
11,724 - 8,600 - 0 8,600
11,724 - 0 11,724 - 0 11,724
10,467 - 0 10,467
13,221 - 4 13,221 52,884 7 13,221
- - 0
137,025 - 0 137,025 - 0 137,025

133,821 - 0 55,200 - 0 55,200


133,821 - 0 133,821 - 0 133,821
32,500 - 32,500 - 2 32,500
- 0 23,625 - 0 23,625
23,625 - 1 23,625 23,625 9 23,625
18,781 - 0 5,082 - 0 5,082
18,781 - 4 18,781 75,124 42 18,781
- - 0
- - 0
- - 0
4,000 - 0 4,000 - 0 4,000
- 0 5,770
5,770 - 0 5,770 - 200 5,770
5,770 - 5,770 - 69 5,770
5,770 - 0 5,770 - 199 5,770
5,770 - 0 5,770
5,770 - 0 5,770 - 200 5,770
5,700 - 5,770 - 0 5,770
22,000 - - 0 22,000
22,000 - - 0 22,000
0 1,125 - 0 1,125
1,125 - 0 1,125 - 3 1,125
8,018 - 200,455 - 0 200,455
8,018 - 0 8,018 - 75 8,018
68,181 - - 0 68,181
68,181 - - 0 68,181
3,413 - 0 6,825 - 0 6,825
- 1,052,987
- 3,563,978

Penanggung Jawab
Laporan

Wa Ode Wahyuni Hambe, S. Si, Apt


Nip. 19870305 201101 2 019
Saldo Akhir
1 Desember 2015
Nilai (Rp)
13

30,800

-
-
-
25,725
-
-
81,834

-
122,490
-
8,600
-
12,300
-
-
-
-
-
194,560
-
-
77,000
-
-
298,530

13,260

-
-

19,369

27,248

1,043
14,900
-
-
6,600
127,000
-
-
-
-
-
36,400

-
-
-
162,560
91,250

101,200

349,800

-
-
47,600
-
-
-
17,550

-
-
90,908
-
89,376
-
-
-
-

-
-
184,960

128,612
-
29,949
-
136,634
-
-
-
2,380
-
54,520
10,300
-
-
36,660
-
-
52,350
-
90,480
-
6,720
126,000
267,300
438,480

371,469
506,385
-
-
-
231,000
-
4,695
-
-
21,080
-
-
14,600
-
178,200
-
-

69,800
-
-
-
78,468
-
44,520
-

-
-
-
-
-
-
69,043

-
-
19,520

-
-
-
365,180
-
-
217,360
94,050
-
-
27,600
-
-
15,200
-
-
-
-
-
180,000
-
-
-
26,681
60,500
-
48,670
-
-
-
-
15,680
170,000
190,380
-
-
24,320
-
115,230
-
-
-
-
-
-
70,400
-
-
-
239,850
-
-
-
-
24,750
-
-
31,920
56,224
-
-
175,270
-
-
4,700

-
392,616

37,920

16,086

-
-
-
-
-
-
-
-
-
-
-
-
19,885
-
-
-
-
145,200
-
-
22,320
-
-
-
10,648
-
-
-
1,100

8,400
-
-
116,820
-
41,760
-
99,372
-
107,100
-
-
41,610
-
-
-
79,130
-
-
180,950
-
119,888

85,120
-
90,090
-
-
28,000
-
-
-
123,450
-
404,712
-
36,100
-
-
-
-
319,370
-
-
30,700
-
10,500
-
-
83,160
-
-
-
-
29,700
-
50,700
85,600
-
-
241,000
-
111,020
-
-
-
-
-
-
-
22,040
-
-
-
100,792

61,544

-
30,615
-
123,125
-
24,042
59,400
7,200
-
-
61,440
-
-
-
-
-
148,720
-
-
20,800
-
66,030

-
39,600
-
-
-
-
-
317,160
-
-
-
-
-
-
-
-
-
-
-
-
-
70,000
-
-
-
-
-
115,500
-
-
-
-
-
-
11,616
-
7,200
-
-
-
-
156,800
-
-
-
-
97,680
-
13,950
62,370
-
141,000
-
-

-
-
19,100
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-

-
-
-
-
-
-
-
55,000
-
187,000
-
-
-
-
-
-
-
220,552
-
208,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-

-
-
-
-
-
-
-
109,424
-
84,825
-
-
60,226

-
303,413
-
216,300
-
159,600
160,000
622,080
-
648,000
-
-
-
-
-
92,208
-
79,344
24,000
-
-
-
70,083
-
-
261,921
194,675
-
-
-
-
-
-
-
-
27,821
-
-
-
-
299,929
-
-
-
-
-
-
92,547
-
-

-
-
65,000
-
212,625
-
788,802
-
-
-
-
-
1,154,000
398,130
1,148,230
-
1,154,000
-
-
-
-
3,375
-
601,350
-
-
-
9,031,908
22,026,203
REKAPAN PENGGUNAAN OBAT DAN PERBE
PUSKESMAS SELAMA 1 TAHUN
TAHUN 2016

SKPD : PUSKESMAS RUMBIA


KABUPATEN : BOMBANA
PROVINSI : SULAWESI TENGARA

Saldo Awal 2016 Mutasi Masuk


Satuan /
No Nama Obat 1 Januari 2016 Januari 2016
Kemasan
Jumlah Harga Satuan (Rp) Nilai (Rp) Jumlah Harga Satuan
1 2 3 4 5 6 7 8
OBAT

1 Air untuk injeksi amp 25 ml (aqua pro injeksi) Ampul 0 6,050 - 6,050

14 2,200 30,800 2,200

2 Albendazol tab 400 mg Tab 12,750 12,750


363 - 363

3 Alopurinol tab 100 mg Tab 0 -

4 Alprazolam tab 1 mg Tab 0 245 - 245


105 245 25,725 245

5 Albothyl cairan Botol 0 18,635 - 18,635

6 Ambroksol tablet 30 mg Tab 0 138 - 138


593 138 81,834 138
0
7 Ambroksol sirup Botol 0 2,722 - 2,722
45 2,722 122,490 2,722

8 Aminofilin inj 24 mg/ml Ampul 0 4,204 - 4,204

9 Aminofilin tab 200 mg Tab 100 86 8,600 86


86

10 Amitriptilin tab sal 25 mg Tab sal 0 123 - 123


100 123 12,300 123

11 Amlodipin tab 10 mg Tab 0 1,863 - 1,863

12 Amlodipin tab 5 mg Tab 0 -

13 Amoksisilin sir kering 125 mg/5 ml Botol 0 2,560 - 2,560


0 2,560 - 2,560
0 2,560 - 2,560
76 2,560 194,560 60 2,560

14 Amoksisilin tab 250 mg Tab 0 220 - 220


0 220 - 220
350 220 77,000 220

15 Amoksisilin tab 500 mg Tab 0 279 - 279


0 279 - 279
1070 279 298,530 279

Anestetik lokal gigi kombinasi : lidokain hcl


16 2% + epinefrin 1 : 80.000 inj 2 ml Ampul 0 -
Antasida, kombinasi : aluminium hidroksida
17 Tab kunyah 0 78 - 78
200 mg + magnesium hidroksida 200 mg

170 78 13,260 1,000 78

Antasida, kombinasi : aluminium hidroksida


18 200 mg + magnesium hidroksida 200 mg Botol 0 2,213 - 74 2,213
Suspensi
0 2,213 - 2,213
0 2,213 - 2,213

Antibakteri, kombinasi : basitrasin 500 UI/g+


19 Tube 7 2,767 19,369 2,767
Polimiskin B 10.000 UI/g
Antifungi salep, kombinasi : asam benzoat 6%
+ asam salisilat 3%
20 Tube 13 2,096 27,248 2,096

mg + heksaklorofen 2,5 mg + lidokain


lidokain 10 mg+ seng oksida 120 mg + sup
21 ad 2 g Suppo 0 33,000 - 33,000

0 2,200 - 10 2,200

Anti Parkinson kombinasi : benzerasid 25 mg +


22 Kaps 0 -
levodopa 100 mg

Anti Migren, kombinasi : ergotamin 1 mg+


23 Tab 7 149 1,043 149
kafein 50 mg
100 149 14,900 149

24 Antalgin (metampirom) tablet 100 mg Tab 0 155 - 155

25 Antalgin (metampirom) injeksi 250 mg/ml-2 ml Ampul 0 1,346 - 1,346


26 Asam asetilsalisilat (asetosal) tab 100 mg Tab 60 110 6,600 110
1000 127 127,000 127

27 Asam asetilsalisilat (asetosal) tab 500 mg Tab 0 178 - 178

Asam asetilsalisilat (asetosal) tab 80 mg


28 Tab 0 -
(Miniaspi 80)

29 Asam askorbat (vitamin C) tab 50 mg Tab 0 105 - 105


0 105 - 1,000 105

30 Asam folat tab 1 mg Tab 0 52 - 52


700 52 36,400 52

31 Asam mefenamat kaps 250 mg Kaps 0 -

32 Asam mefenamat kaps 500 mg Kaps 0 127 - 127


0 127 - 127
1280 127 162,560 400 127

33 Asam traneksamat inj 50 mg/ml Ampul 25 3,650 91,250 3,650

34 Asam traneksamat tab 500 mg Tab 0 1,265 - 1,265

80 1,265 101,200 1,265

35 Asering larutan infus Botol 22 15,900 349,800 15,900

36 Asiklovir salep kulit Tube 82,500 - 25 82,500


37 Asiklovir tab 200 mg Tab 0 251 - 251
0 251 - 100 251

38 Atropin inj 0,25 mg/ml (i.m./i.v./s.k) Ampul 34 1,400 47,600 1,400

39 Atropin tab 0,5 mg Tab 0 81 - 81

40 Atropin tts mata 0,5% (Cendotropin 0,5%) Botol 0 -

41 Bedak salisil serb 2% Botol 0 1,180 - 1,180


13 1,350 17,550 10 1,350

Besi (II) sulfat 200 mg + asam folat 0.25 mg


42 Sachet 0 73 - 73
(tablet tambah darah)
55 - 55

43 Becefort syrup Botol 0 22,727 - 22,727


4 22,727 90,908 22,727

44 Betametason krim 0,1% Tube 0 1,596 - 1,596


56 1,596 89,376 25 1,596

45 Betahistin mesilate tablet tablet 0 -

46 Bisakodil sup 10 mg (Stolax) Botol 0 -

47 Bisakodil tab sal 5 mg Tab sal 0 -

48 Bismecon salep tube 0 -


Budesonid-formoterol (fixed combination)* ih
49 Botol 0 -
80/4,5 mcg

50 Bromheksin tablet tablet 0 42 - 42

51 Deksametason tab 0,5 mg Tab 0 68 - 68


2720 68 184,960 68

52 Deksametason inj 5 mg/ml (i.v./i.m.) Vial 74 1,738 128,612 1,738

53 Desoksimetason salep 0,25% Tube 0 -


3 9,983 29,949 9,983

54 Diazepam inj 5 mg/ml (i.v./i.m.) Vial 0 2,578 - 2,578


53 2,578 136,634 2,578

55 Diazepam lar rektal 10 mg/2,5 ml (Stesolid) Botol 0 -

56 Diazepam supposutoria suppo 0 -

57 Diazepam tab 2 mg Tab 0 28 - 28

58 Diazepam tab 5 mg Tab 85 28 2,380 28

59 Dietilkarbamazin tab 100 mg Tab 0 -

60 Difenhidramin inj 10 mg/ml (i.v./i.m.) Ampul 47 1,160 54,520 1,160

61 Digoksin tab 0,25 mg Tab 100 103 10,300 103

62 Diltiazem kaps SR 100 mg Kaps 0 -


63 Diltiazem tab 30 mg Tab 0 141 - 141
260 141 36,660 141

64 Doksisiklin tablet 100 mg Tab 0 278 - 100 278

65 Domperidon susp 5 mg/5 ml Botol 0 3,490 - 3,490


15 3,490 52,350 60 3,490

66 Domperidon tab 10 mg Tab 0 174 - 174


520 174 90,480 174

67 Efedrin HCl tablet Tab 0 56 - 56

68 Ekstrak belladon tablet 10 mg tab 160 42 6,720 42


3000 42 126,000 42

69 Epinefrin (adrenalin) inj 0,1% (i.v./s.k./i.m.) Ampul 30 8,910 267,300 8,910

70 Eritromisin kaps 250 mg Kaps 840 522 438,480 522


522 522

71 Eritromisin sir 200 mg/5 ml Botol 49 7,581 371,469 7,581

72 Eritromisin tab 500 mg Tab 500 1,013 506,385 1,013


0 1,023 - 1,023

73 Etanol 70% cairan 70% Botol 0 2,625 - 2,625


0 2,625 - 2,625
88 2,625 231,000 2,625

74 Etakridin (rivanol) larutan 0.1% Botol 0 4,695 - 4,695


1 4,695 4,695 4,695
75 Etil klorida semprot 100 ml Botol 0 124 - 124

76 Famotidin tablet 20 mg Tab 0 -


170 124 21,080 124

77 Fenitoin Na inj 50 mg/ml Ampul 0 -

78 Fenitoin Na kaps 100 mg Kaps 0 - - -


100 146 14,600 146

79 Fenobarbital inj 50 mg/ml Ampul 0 37 - 37


90 1,980 178,200 1,980

80 Fenobarbital tab 100 mg Tab 0 -

81 Fenobarbital tab 30 mg Tab 0 37 - 37

82 Fitomenadion (vitamin K 1) inj 2 mg/ml (i.m.) Vial 0 698 - 698

83 Fitomenadion (vitamin K 1) tab sal 10 mg Tab sal 100 698 69,800 698

84 Flukonazol kaps 150 mg Kaps 0 -

85 Flusinolon asetonid krim 0,025% Tube 0 -

86 Flunarizin tablet tablet 0 2,012 - 2,012

87 Furosemid inj 10 mg/ml (i.v./i.m.) Ampul 39 2,012 78,468 2,012

88 Furosemid tab 40 mg Tab 0 84 - 84


530 84 44,520 84
Garam oralit kombinasi : natrium klorida 0,52
g + kalium klorida 0,30 g + trinatrium sitrat
89 Sachet 0 317 - 317
0,58 g + glukosa anhidrat 2,7 g

317 317

90 Gameksan lotion 1 % Botol 0 2,420 - 2,420

91 Gemfibrozil kaps 300 mg Kaps 0 323 - 323

92 Gemfibrozil kaps 600 mg Kaps 0 -

93 Gentamisin inj 10 mg/ml Ampul 0 3,739 - 3,739

94 Gentamisin salep mata 0,3% Tube 0 -

95 Gentamisin salep Kulit Tube 0 2,340 - 2,340


47 1,469 69,043 1,469

96 Gentamisin tts mata 0,3% Botol 0 3,194 - 3,194

97 Glibenklamid tab 5 mg Tab 0 61 - 61


320 61 19,520 61

98 Glimepirid tab 4 mg Tab 0

99 Glipizid tablet 5 mg (Glucotrol 5 mg) Tab 0 -

100 Gliseril Guaiakolat tab 100 mg Tab 0 31 - 31


0 31 - 31
11780 31 365,180 31
101 Gliserin lar 50% Botol 0 -

102 Glukosamin tablet 500 mg Tab 0 -

103 Glukosa Larutan Infus 5% steril Botol 38 5,720 217,360 5,720

104 Glukosa Larutan Infus 10% steril Botol 15 6,270 94,050 6,270

105 Glukosa Larutan Infus 40% steril Botol 0 -

106 Griseofulvin (micronized) tab 125 mg Tab 0 230 - 230


120 230 27,600 230

107 Haloperidol tab 0,5 mg Tab 0 62 - 62

108 Haloperidol tab 1,5 mg Tab 0 76 - 76


200 76 15,200 76

109 Haloperidol tab 5 mg Tab 0 105 - 105


0 105 - 105
0 105 - 105

110 Hidrogen peroksida (H2O2) cairan 3% Botol 0 38,500 - 38,500

111 Hidroklorotiazid (HCT) tab 25 mg Tab 0 40 - 40


4500 40 180,000 40

112 Hidrokortison krim 2,5% Tube 0 -

113 Hiosina butilbromida tab 10 mg Tab 0 330 - 330

114 Ibuprofen susp 100 mg/5 ml Botol 0 4,949 - 4,949


115 Ibuprofen tab 200 mg Tab 210 127 26,681 127
500 121 60,500 121

116 Ibuprofen tab 400 mg Tab 0 157 - 157


310 157 48,670 157

Ipratropium bromida nebulizer 0,025%


117 Botol 0 -
(Atroven sol. for inhalation 0.025%)

118 Isoniazid tab 300 mg Tab 0 -

119 Isosorbid dinitrat inj 10 mg/10 ml (Fasorbid) Vial 0 -

120 Isosorbid dinitrat tab 5 mg Tab 0 98 - 98


160 98 15,680 98

121 KA-EN 3B Cairan Infus Botol 17 10,000 170,000 10,000

122 Kalsium glukonat inj 100 mg/ml Ampul 20 9,519 190,380 9,519

123 Kalsium laktat (kalk) tab 500 mg Tab 0 51 - 51


0 76 - 76
320 76 24,320 76

124 Kaptopril tab 12,5 mg Tab 0 69 - 69


1670 69 115,230 69

125 Kaptopril tab 25 mg Tab 0 97 - 97


0 97 - 97

126 Karbamazepin tab 200 mg Tab 0 269 - 269


127 Karbo adsorben (Norit) tab 500 mg Tab 0 -

128 Ketamin inj 50 mg/ml (i.v.) Ampul 0 110,000 - 110,000

129 Ketokonazol tab 200 mg Tab 0 320 - 320


220 320 70,400 320

130 Ketokonazol krim 2% Tube 0 5,150 - 5,150


0 5,150 - 5,150

131 Ketorolak inj 10 mg/ml Ampul 0 2,665 - 2,665


90 2,665 239,850 2,665

132 Klaritromisin tab 500 mg Tab 0 -

133 Klindamisin kaps 150 mg Kaps 0 405 - 405


-
134 Kloramfenikol tts mata 0,5% Botol 0 1,680 - 1,680

135 Kloramfenikol kaps 250 mg Kaps 90 275 24,750 275


275 - 275

136 Kloramfenikol salep mata 1% Tube 0 1,680 - 1,680


19 1,680 31,920 1,680

137 Kloramfenikol susp 125 mg/5 ml Botol 14 4,016 56,224 4,016

138 Klorfeniramin (CTM) tab 4 mg Tab 0 26 - 26


0 26 - 26
6639 26 175,270 26

139 Klorpromazin inj 25 mg/ml (i.m.) Ampul 0 1,210 - 1,210


140 Klorpromazin tab sal 100 mg Tab sal 0 152 - 152

141 Klorpromazin tab sal 25 mg Tab sal 94 50 4,700 50

142 Kombinasi : Pirimethamin 25 mg + sulfadoksin Tab 0 531 - 531

Kombinasi: ipratropium Br 0,5 mg+


salbutamol 2,5 mg nebules (Combivent UDV)
143 Vial 0 -

Kotrimoksazol (dewasa) kombinasi :


sulfametoksazol 400 mg+ trimetoprim 80
144 Tab 0 152 - 152
mg

0 152 - 152
2583 152 392,616 152

Kotrimoksazol (anak) kombinasi :


sulfametoksazol 100 mg+ trimetoprim 20
145 Tab 0 79 - 79
mg

480 79 37,920 79

Kotrimoksazol (dewasa) kombinasi tiap 5 ml


146 suspensi : sulfametoksazol 200 mg + Botol 7 2,298 16,086 25 2,298
trimetoprim 40 mg

147 Kuinin inj 25% (i.v.) Vial 0 6,820 - 6,820


0 6,820 - 6,820

148 Kloroquin tab 150 mg Tab 0 112 - 112

149 Lansoprazol kaps 30 mg Kaps 0 -


150 Levofloksasin tab 500 mg Tab 0 581 - 581

151 Lidokain gel 2% Tube 0 -

152 Lidokain inj 2% (hcl) Vial 0 1,499 - 1,499


0 1,499 - 1,499
0 1,499 - 1,499

153 Lisol Botol 0 54,995 - 54,995


0 54,995 - 54,995

154 Loperamid tab 2 mg Tab 0 97 - 97


205 97 19,885 97

155 Loratadin tab 10 mg Tab 0 170 - 170

156 Magnesium sulfat inj 20% Vial 0 7,260 - 7,260


7,260 - 7,260

157 Magnesium sulfat inj 40% Vial 0 7,260 - 7,260


20 7,260 145,200 7,260

158 Magnesium sulfat serb, ktg 30 g Sachet 0 1,130 - 1,130

159 Mebendazol sir 50 mg/ml Botol 0 3,887 - 3,887

160 Mebendazol tab 100 mg Tan 90 248 22,320 248

161 Metformin tab 500 mg Tab 0 -

162 Metformin tab 850 mg Tab 0 -

163 Metilergometrin inj 0,2 mg/ml Ampul 0 1,639 - 1,639


164 Metilergometrin tab salut 0,125 mg Tab sal 80 133 10,648 133

165 Metilprednisolon tab 4 mg Tab 0 -

166 Metoklopramid inj 5 mg/ml Vial 0 1,100 - 1,100


0 1,100 - 1,100
1 1,100 ### 30 1,100

167 Metoklopramid sir 5 mg/5 ml (Lexapram sirup) Botol 0 -

168 Metoklopramid tab 10 mg Tab 84 100 8,400 100

169 Metronidazol supposutoria 500 mg suppo 0 -

170 Metronidazol larutan infus Botol 0 12,980 - 12,980


9 12,980 116,820 12,980

171 Metronidazol tab 250 mg Tab 0 116 - 116


360 116 41,760 116

172 Metronidazol tab 500 mg Tab 0 -


588 169 99,372 169

173 Mikonazol krim 2% Tube 0 3,150 - 3,150


34 3,150 107,100 3,150

174 Natrium diklofenak tab 25 mg Tab 0 146 - 146


0 146 - 146
285 146 41,610 146
175 Natrium diklofenak tab 50 mg Tab 0 193 - 193
0 193 - 193
0 193 - 193
410 193 79,130 400 193

176 NaCl 0,9% Larutan infus Botol 0 5,170 - 5,170


0 5,170 - 5,170
35 5,170 180,950 5,170

177 Nifedipin kaps 10 mg Kaps 0 127 - 127


944 127 119,888 127

178 Nistatin tab salut 500.000 UI Tab 0 704 - 704

179 Nistatin tab vaginal 100.000 UI Tab 190 448 85,120 448

180 Obat Batuk Hitam (OBH) Botol 0 2,310 - 2,310


39 2,310 90,090 5 2,310

181 Ofloksasin tab 200 mg Tab 0 440 - 440

182 Ofloksasin tab 400 mg Tab 0 700 - 700


40 700 28,000 700

183 Oksitetrasiklin hcl inj 500 mg/ml Vial 0 3,410 - 3,410

184 Oksitetrasiklin hcl salep kulit 3% Tube 0 2,010 - 2,010


0 1,646 - 1,646
75 1,646 123,450 1,646
185 Oksitetrasiklin hcl salep mata 1 % Tube 0 2,772 - 2,772
146 2,772 404,712 2,772

186 Oksitosin inj 10 UI/ml Ampul 0 6,875 - 6,875


19 1,900 36,100 1,900

187 Omeprazol kaps 20 mg Kaps 0 221 - 221


0 221 - 221
0 221 - 221

188 Papaverin tablet 40 mg Tab 0 109 - 109


2930 109 319,370 109

189 Parasetamol sir 120 mg/5 ml Botol 0 1,535 - 1,535


0 1,535 - 1,535
20 1,535 30,700 70 1,535

190 Parasetamol tab 100 mg Tab 0 105 - 105


100 105 10,500 100 105

191 Parasetamol tab 500 mg Tab 0 88 - 88


0 88 - 88
945 88 83,160 500 88

192 Parasetamol rectal suppo 0 -

193 Pehavral tablet multivitamin Tab 0 849 - 849


0 297 - 297
0 297 - 297
100 297 29,700 297

194 Perak sulfadiazin krim 1% (Burnazin 35 gr) Tube 0 25,350 - 25,350


2 25,350 50,700 25,350

195 Phenylbutazon tablet 200 mg Tab 800 107 85,600 107


0 107 - 107

196 Piracetam tablet 800 mg Tab 0 964 - 964


250 964 241,000 964

197 Piracetam tablet 1200 mg Tab 0 854 - 854


130 854 111,020 854

198 Piracetam injeksi 1 g/5 ml Ampul 0 60,500 - 60,500

199 Pirantel pamoat susp 125 mg/5 ml Botol 0 9,100 - 9,100

200 Pirantel pamoat tab scored 125 mg Tab 0 318 - 318


0 318 - 30 318

201 Piridoksin (vitamin B6) tab 25 mg Tab 0 19 - 19


0 19 - 19

202 Piroksikam tablet 20 mg Tab 0 116 - 116


190 116 22,040 400 116

203 Polikresulen Botol 0 18,635 - 18,635


0 18,635 - 18,635

204 Povidon iodin lar 100 mg/ml Botol 30 ml 0 2,344 - 2,344

43 2,344 100,792 2,344

Botol 300
205 Povidon iodin lar 100 mg/ml 0 15,386 - 15,386
ml
4 15,386 61,544 15,386

Botol 1000
206 Povidon iodin lar 100 mg/ml 0 40,202 - 40,202
ml
40,202 - 40,202

207 Prednison tab 5 mg Tab 314 98 30,615 98


0 98 - 1,000 98

208 Primakuin tab 15 mg Tab 985 125 123,125 125

209 Procurma syrup Botol 0 12,021 - 12,021


2 12,021 24,042 30 12,021

210 Propiltiourasil tab 100 mg Tab 200 297 59,400 297

211 Propranolol tab 40 mg Tab 90 80 7,200 80

212 Ranitidin inj 25 mg/ml Ampul 0 -

213 Ranitidin tab 150 mg Tab 0 128 - 128


480 128 61,440 900 128

214 Reserpin tablet 0.25 mg Tab 0 -

215 Rifampisin kaps 300 mg Kaps 0 440 - 440

216 Rifampisin tab 450 mg Tab 0 624 - 624

217 Rifampisin tab 600 mg Tab 0 863 - 863

218 Ringer Laktat Larutan infus Botol 0 5,720 - 5,720


26 5,720 148,720 40 5,720
219 Salbutamol tab 2 mg Tab 0 92 - 92
0 65 - 65
320 65 20,800 65

220 Salbutamol tab 4 mg Tab 0 93 - 93


710 93 66,030 93

Salep 2-4, kombinasi : asam salisilat 2 %+


221 Tube 0 1,980 - 1,980
belerang endap 4 %
18 2,200 39,600 2,200

222 Scabicid salep Tube 0 -


223 Sefadroksil kaps 250 mg Vial 0 -

224 Sefadroksil kaps/tab 500 mg Tab 0 548 - 548


548 - 548

225 Sefadroksil sir kering 125 mg/5 ml Botol 0 5,286 - 5,286


60 5,286 317,160 5,286

226 Sefiksim kapsul 100 mg Tab 0 -

227 Sefotaksim serb inj 1.000 mg/vial Vial 0 -

228 Seftriakson serb inj 1.000 mg/vial Vial 0 5,414 - 5,414

229 Setirizin tab 10 mg Tab 0 -

230 Sianokobalamin (vitamin B12) inj 500 mcg/ml Vial 0 1,451 - 1,451
231 Sianokobalamin (vitamin B12) tab 50 mcg Tab 0 150 - 150

232 Simetidin tablet 200 mg Tab 0 138 - 138


0 138 - 200 138

233 Simvastatin tab sal 10 mg Tab sal 0 177 - 177

234 Simvastatin tab sal 20 mg Tab sal 0 480 - 480

235 Siprofloksasin inf 2 mg/ml Botol 0 -

236 Siprofloksasin tab scored 500 mg Tab 0 312 - 312

237 Spironolakton tab 100 mg Tab 0 -


200 350 70,000 350

238 Sulfasetamid Natrium Tetes mata 1.5% Botol 0 -

239 Sukralfat susp 500 mg/5 ml (Ulsafate) Botol 0 -

240 Sukralfat tab 500 mg (Ulsidex) Tab 0 -


0 477 - 200 477

241 Teofilin tab SR 300 mg (Rethapyl) Tab 0 -


100 1,155 115,500 1,155

242 Tetrasiklin kaps 250 mg Kaps 0 183 - 183

243 Tetrasiklin kaps 500 mg Kaps 0 283 - 283

244 Tiamin (vitamin B1) mononitrat tab 50 mg Tab 0 42 - 42


0 42 - 42

245 Tiamin (vitamin B1) injeksi 100 mg/ml Tab 0 770 - 770

246 Tramadol inj 50 mg/ml Ampul 0 2,680 - 2,680

247 Tramadol tablet 500 mg Tab 32 363 11,616 363

248 Triheksifenidil tab 2 mg Tab 0 45 - 45


160 45 7,200 45

249 Vitamin B12 tablet 50 mcg Tab 0 63 - 63

250 Vitamin B kompleks injeksi Vial 0 7,392 - 7,392

251 Vitamin B kompleks Tab 0 112 - 112


0 112 - 112
1400 112 156,800 1,000 112

252 Zinc tab disp 20 mg Tab 0 521 - 521


0 521 - 521
521 - 521

253 Zinc sirup 20 mg / 5 ml Botol 0 8,140 - 8,140


12 8,140 97,680 8,140

254 Larutan PK botol 0 573 - 573


2 6,975 13,950 6,975

255 Kanamisin inj Vial 6 10,395 62,370 10,395

256 Antalgin 500mg tab 0 155 - 155


1000 141 141,000 141
257 Klorpromazin inj 25 mg/ml (i.m.) Ampul -
0 1,210 - 1,210

258 Kalsium laktat (kalk) tab 500 mg Tab 0 57 - 57

259 Kloroquin tab 250 mg Tab 0 116 - 116


0 572 - 572

260 Klonidin 0,15 mg Tab 100 191 19,100 191

261 Kloramfenikol kaps 250 mg Kaps 0 275 - 275


0 275 - 275

262 Klorpromazin tab sal 100 mg Tab sal 0 162 - 162

263 Fenolgliserol TT 10% Kotak 0 1,108 - 1,108


0 1,109 - 1,109

265 Tetrasiklin kaps 250 mg Kaps 0 162 - 162

266 Kloroquin tab 250 mg 0 116 - 116

267 Papaverin tablet 40 mg 0 167 - 167

268 Prednison tab 5 mg Tab 0 125 - 125

269 Pirantel pamoat tab scored 125 mg Tab 0 318 - 318

270 Hidroklorotiazid (HCT) tab 25 mg Tab 0 109 - 109


271 Triheksifenidil tab 2 mg Tab 0 45 - 45

272 Piracetam tablet 1200 mg Tab 0 854 - 854

273 Vical suspensi btl 0 42,727 - 42,727


42,727

274 Lexavit tab 0 1,480 - 1,480


400 1,480

275 Gliseril Guaiakolat tab 100 mg Tab 0 31 - 31

276 Efedrin HCl tablet Tab 0 56 - 56

B.OBAT GIGI 0 -
1 Bonding Botol 0 765,000 - 765,000
0 765,000 - 765,000

2 Calcium hidrosida cement pasta (hycal) Kotak 0 242,000 - 242,000

3 Comfosite Tube 0 338,800 - 338,800


0 338,800 - 338,800

4 Devitalisasi Pasta (Non Arsen) Kotak 0 390,000 - 390,000


0 390,000 390,000

5 Eugenol cair Botol 0 18,333 - 18,333


0 18,333 - 18,333

6 Etil Klorida spray Botol 0 105,000 - 105,000


0 105,000 - 105,000

7 Etza Tube 0 170,000 - 170,000


8 Glass Ionomer Cement ART Set 0 395,000 - 395,000
0 197,895 - 197,895

9 Klorfenol Kamfer Menthol (CHKM) Botol 1 55,000 55,000 55,000

10 Semen Seng Fosfat serbuk dan cairan Set 0 93,500 - 93,500


2 93,500 187,000 93,500

11 Temporari stoping pletcher Set 0 34,000 - 34,000


0 34,000 - 34,000

12 Mummiyng pasta Kotak 0 176,000 - 176,000

C.OBAT PROGRAM 0 -
1 Albedazole 400mg Tab 0 425 - 425
2 Artemether inj 80 mg/ml Ampul 0 24,384 - 24,384
3 Artesunat serb inj 60 mg/ml (i.v./i.m.) Vial 0 27,569 - 27,569
8 27,569 220,552 27,569

4 Dietilkarbamazin tab 100 mg Tab 0 104 - 104


2000 104 208,000 104

5 Imersion oil Botol 0 825,000 - 825,000


6 Iodina Test Botol 0 4,545 - 4,545
7 Obat Anti Tuberculosis FDC Kategori Anak Paket 0 236,490 - 236,490
8 Obat Anti Tuberculosis FDC Kategori I Paket 0 396,000 - 396,000
9 Obat Anti Tuberculosis FDC Kategori II Paket 0 1,319,990 - 1,319,990

10 Obat Anti Tuberculosis FDC Kategori Sisipan Paket 0 175,899 - 175,899

11 Reagen Zenit Nelson Botol 0 145,000 - 145,000


12 RDT Dangue DBD Set 0 150,000 - 150,000
13 RDT malaria (care star ) Set 0 168,300 - 168,300
14 RDT HIV (intec) Set 0 46,200 - 46,200
15 RDT HIV (vikia) Set 0 45,560 - 45,560
16 RDT HIV (Oncoprobe) Set 0 42,350 - 42,350
17 Taburia Kotak 0 20,454 - 20,454
18 Quinina injeksi Ampul 0 4,438 - 4,438
19 Vaksin BCG inj (i.k) Vial 0 -
20 Vaksin campak inj (s.k.) Vial 0 -
21 Vaksin jerap difteri tetanus pertusis (DTP) inj (i Vial 0 -
22 Vaksin jerap difteri tetanus (DT) Vial 0 -
23 Vaksin kombinasi DPT + hepatitis B inj (i.m.) Vial 0 -
24 Vaksin polio drops 10 dosis Vial 0 285,000 - 285,000
Vaksin rabies, untuk manusia serb inj (s.k./i.k)
25 Vial 0 695,752 - 695,752
+ booster
Retinol (Vit.A) 200.000 IU kap lunak 0 412 - 412
Retinol (Vit.A) 100.000 IU kap lunak 0 286 - 286
zink tab.20mg 0 497 - 497
Doxiciklin tab 0 -
D.BAHAN MEDIS HABIS PAKAI (BHMP) 0 -
1 Alat suntik sekali pakai 1 ml Set 0 1,093 - 1,093
0 848 - 848
129 848 109,424 848

2 Alat suntik sekali pakai 2,5 ml Set 0 1,038 - 1,038


100 848 84,825 848

3 Alat suntik sekali pakai 3 ml Set 0 1,038 - 1,038


0 848 - 848
71 848 60,226 848

4 Alat suntik sekali pakai 5 ml Set 0 1,038 - 1,038


310 979 303,413 979

5 Bisturi no. 20 Buah 0 2,099 - 2,099


103 2,100 216,300 2,100

6 Bisturi no. 15 Buah 0 2,099 - 2,099


76 2,100 159,600 2,100

7 Catgut No 2/0 Set 25 6,400 160,000 6,400


24 25,920 622,080 25,920

8 Catgut No 3/0 Set 0 5,900 - 5,900


24 27,000 648,000 27,000

9 Handscoen no. 6 Pasang 0 6,595 - 6,595

10 Handscoen no. 6,5 Pasang 0 6,595 - 6,595

11 Handscoen no. 7 Pasang 0 4,250 - 4,250


0 7,684 - 7,684

12 Handscoen no. 7,5 Pasang 0 4,250 - 4,250


12 7,684 92,208 50 7,684

13 Infuset dewasa Set 0 3,500 - 3,500


19 4,176 79,344 10 4,176

14 Infusion set anak Set 6 4,000 24,000 4,000


0 4,568 - 4,568

15 IV Catheter No.16 G Set 0 7,937 - 7,937

15 IV Catheter No.18 G Set 0 6,600 - 6,600

16 IV Catheter No.24 G Set 9 7,787 70,083 7,787


- ### -
17 IV Catheter No. 20 G Set 0 7,787 - 7,787
33 7,937 261,921 7,937

18 IV Catheter No. 22 G Set 25 7,787 194,675 7,787

19 Folley Catheter 16 Set 0 10,440 - 10,440

19 Folley Catheter 18 Set 0 8,495 - 8,495


0 10,440 - 10,440

20 Folley catheter 22 Set 0 8,495 - 8,495


0 10,440 - 10,440

21 Folley catheter 24 Set 0 495 - 495


0 10,440 - 10,440

22 Kapas Berlemak 250 gram Rol 0 7,500 - 7,500


1 27,821 27,821 27,821

23 Kapas Berlemak 500 gram Rol 0 17,250 - 17,250

24 Kasa Pembalut 4m x 3 cm Rol 0 800 - 800

25 Kasa Pembalut 4m x 5 cm Rol 0 887 - 887

26 Kasa Pembalut 4m x 10 cm Rol 0 607 - 607


49 6,121 299,929 6,121

27 Kasa Pembalut 4m x 15 cm Rol 0 887 - 887

28 Kasa Kompres 40/40 steril Buah 0 1,871 - 1,871


0 5,621 - 5,621
29 Kasa Steril 16 X 16 Buah 0 8,600 - 8,600
0 11,724 - 11,724

30 Kasa pembalut 2 x 80 Rol 0 10,467 - 10,467


7 13,221 92,547 13,221

31 Kasa Pembalut 40 x 80 Rol 0 -


0 137,025 - 137,025

32 Kasa Pembalut 36 x 80 cm Rol 0 55,200 - 55,200


0 133,821 - 2 133,821

33 Pembalut Gips Buah 2 32,500 65,000 32,500

34 Plester 5 yard x 2 inc Rol 0 23,625 - 23,625


9 23,625 212,625 23,625

35 Silk Set 0 5,082 - 5,082


42 18,781 788,802 18,781

36 Selang oksigen anak Set 0 -

37 Selang oksigen dewasa Set 0 -

38 Sofratulle Set 0 -

39 Urine bag Set 0 4,000 - 4,000

40 Wing Needle No. 21 G Set 0 5,770 - 5,770


200 5,770 1,154,000 5,770

41 Wing Needle No. 23 G Set 69 5,770 398,130 5,770


199 5,770 1,148,230 5,770
42 Wing Needle No.25 G Set 0 5,770 - 5,770
200 5,770 1,154,000 5,770

43 Wing Needle No. 27 G Set 0 5,770 - 5,770

44 NGT No. 3 ( Feeding Tube ) Set 0 22,000 - 22,000

45 NGT No. 5 ( Feeding Tube ) Set 0 22,000 - 22,000

46 Masker Buah 0 1,125 - 1,125


3 1,125 3,375 1,125

47 Tes gula darah Set 0 200,455 - 200,455


75 8,018 601,350 8,018

48 Tes Narkoba 3 parameter Set 0 68,181 - 68,181

49 Tes Narkoba 5 parameter Set 0 68,181 - 68,181

50 Tes Kehamilan Sachet 0 6,825 - 6,825


9,031,908
22,026,203

Mengetahui
Kepala Puskesmas Rumbia

Rahmat, AMK
Nip. 19721021 199403 1 004
AN OBAT DAN PERBEKES
SELAMA 1 TAHUN
UN 2016

BULAN : JANUARI
TAHUN : 2016

asi Masuk Mutasi Pengeluaran Saldo Akhir


uari 2016 Obat Puskesmas bulan januari Per 31 Januari 2016
Nilai ( Rp) Jumlah Harga Satuan Nilai (Rp) Jumlah Harga Satuan Nilai (Rp)
9 10 11 12 13 14 15

- 6,050 - 0 6,050 -

- 5 2,200 11,000 9 2,200 19,800


- - 0 -
- 12,750 - 0 12,750 -
- 363 - 0 363 -
- - 0 -
- - 0 -
- - 0 -
- 245 - 0 245 -
- 245 - 105 245 25,725
- - 0 -
- 18,635 - 0 18,635 -
- - 0 -
- 138 - 0 138 -
- 50 138 6,900 543 138 74,934
- - 0 -
- - 0 -
- 2,722 - 0 2,722 -
- 2 2,722 5,444 43 2,722 117,046
- - 0 -
- 4,204 - 0 4,204 -
- - 0 -
- 86 - 100 86 8,600
- 86 - 0 86 -

- 123 - 0 123 -
- 123 - 100 123 12,300
- - 0 -
- 1,863 - 0 1,863 -
- - 0 -
- - 0 -
- - 0 -
- 2,560 - 0 2,560 -
- 2,560 - 0 2,560 -
- 2,560 - 0 2,560 -
153,600 33 2,560 84,480 103 2,560 263,680
- - 0 -
- 220 - 0 220 -
- 220 - 0 220 -
- 210 220 46,200 140 220 30,800
- - 0 -
- 279 - 0 279 -
- 279 - 0 279 -
- 970 279 270,630 100 279 27,900
- - 0 -

- - 0 -

- - 0 -
- 78 - 0 78 -

78,000 630 78 49,140 540 78 42,120


- - 0 -

163,762 12 2,213 26,556 62 2,213 137,206

- 2,213 - 0 2,213 -
- 2,213 - 0 2,213 -
- - 0 -

- 2,767 - 7 2,767 19,369

- - 0 -

- 2,096 - 13 2,096 27,248

- - 0 -

- 33,000 - 0 33,000 -

22,000 0 2,200 - 10 2,200 22,000


- - 0 -

- - 0 -

- - 0 -

- 7 149 1,043 0 149 -

- 19 149 2,831 81 149 12,069


- - 0 -
- 155 - 0 155 -
- - 0 -
- 1,346 - 0 1,346 -
- - 0 -
- 110 - 60 110 6,600
- 127 - 1000 127 127,000
- - 0 -
- 178 - 0 178 -
- - 0 -
- - 0 -
- - 0 -
- 105 - 0 105 -
105,000 370 105 38,850 630 105 66,150
- - 0 -
- 52 - 0 52 -
- 56 52 2,912 644 52 33,488
- - 0 -
- - 0 -
- - 0 -
- 127 - 0 127 -
- 127 - 0 127 -
50,800 1010 127 128,270 670 127 85,090
- - 0 -
- 3,650 - 25 3,650 91,250
- - 0 -

- 1,265 - 0 1,265 -

- 1,265 - 80 1,265 101,200

- - 0 -

- 15,900 - 22 15,900 349,800


- - 0 -

2,062,500 9 82,500 742,500 16 82,500 1,320,000


- - 0 -

- 251 - 0 251 -
25,100 100 251 25,100 0 251 -
- - 0 -
- 1,400 - 34 1,400 47,600
- - 0 -
- 81 - 0 81 -
- - 0 -

- - 0 -

- - 0 -
- 1,180 - 0 1,180 -
13,500 10 1,350 13,500 13 1,350 17,550
- - 0 -

- 73 - 0 73 -

- 55 - 0 55 -
- - 0 -
- 22,727 - 0 22,727 -
- 22,727 - 4 22,727 90,908
- - 0 -
- 1,596 - 0 1,596 -
39,900 39 1,596 62,244 42 1,596 67,032
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -

- - 0 -
- 42 - 0 42 -
- - 0 -
- 68 - 0 68 -
- 170 68 11,560 2550 68 173,400
- - 0 -
- 1,738 - 74 1,738 128,612
- - 0 -
- - 0 -
- 9,983 - 3 9,983 29,949
- - 0 -
- 2,578 - 0 2,578 -
- 2,578 - 53 2,578 136,634
- - 0 -

- - 0 -

- - 0 -
- - 0 -
- - 0 -
- 28 - 0 28 -
- - 0 -
- 28 - 85 28 2,380
- - 0 -
- - 0 -
- - 0 -
- 1,160 - 47 1,160 54,520
- - 0 -
- 103 - 100 103 10,300
- - 0 -
- - 0 -
- - 0 -
- 141 - 0 141 -
- 141 - 260 141 36,660
- - 0 -
27,830 0 278 - 100 278 27,830
- - 0 -
- 3,490 - 0 3,490 -
209,400 10 3,490 34,900 65 3,490 226,850
- - 0 -
- 174 - 0 174 -
- 174 - 520 174 90,480
- - 0 -
- 56 - 0 56 -
- - 0 -
- 42 - 160 42 6,720
- 42 - 3000 42 126,000
- - 0 -

- 8,910 - 30 8,910 267,300

- - 0 -
- 522 - 840 522 438,480
- 522 - 0 522 -
- - 0 -
- 7,581 - 49 7,581 371,469
- - 0 -
- 1,013 - 500 1,013 506,385
- 1,023 - 0 1,023 -
- - 0 -
- 2,625 - 0 2,625 -
- 2,625 - 0 2,625 -
- 15 2,625 39,375 73 2,625 191,625
- - 0 -
- 4,695 - 0 4,695 -
- 1 4,695 4,695 0 4,695 -
- - 0 -
- 124 - 0 124 -
- - 0 -
- - 0 -
- 170 124 21,080 0 124 -
- - 0 -
- - 0 -
- - 0 -
- - - 0 - -
- 146 - 100 146 14,600
- - 0 -
- 37 - 0 37 -
- 1,980 - 90 1,980 178,200
- - 0 -
- - 0 -
- - 0 -
- 37 - 0 37 -
- - 0 -

- 698 - 0 698 -

- - 0 -
- 698 - 100 698 69,800
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- 2,012 - 0 2,012 -
- - 0 -
- 2,012 - 39 2,012 78,468
- - 0 -
- 84 - 0 84 -
- 170 84 14,280 360 84 30,240
- - 0 -

- 317 - 0 317 -

- 317 - 0 317 -
- - 0 -
- 2,420 - 0 2,420 -
- - 0 -
- 323 - 0 323 -
- - 0 -
- - 0 -
- - 0 -
- 3,739 - 0 3,739 -
- - 0 -
- - 0 -
- - 0 -
- 2,340 - 0 2,340 -
- 35 1,469 51,415 12 1,469 17,628
- - 0 -
- 3,194 - 0 3,194 -
- - 0 -
- 61 - 0 61 -
- 61 - 320 61 19,520
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- 31 - 0 31 -
- 31 - 0 31 -
- 490 31 15,190 11290 31 349,990
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- 5,720 - 38 5,720 217,360
- - 0 -
- 6,270 - 15 6,270 94,050
- - 0 -
- - 0 -
- - 0 -
- 230 - 0 230 -
- 100 230 23,000 20 230 4,600
- - 0 -
- 62 - 0 62 -
- - 0 -
- 76 - 0 76 -
- 10 76 760 190 76 14,440
- - 0 -
- 105 - 0 105 -
- 105 - 0 105 -
- 105 - 0 105 -
- - 0 -
- 38,500 - 0 38,500 -
- - 0 -
- 40 - 0 40 -
- 40 - 4500 40 180,000
- - 0 -
- - 0 -
- - 0 -
- 330 - 0 330 -
- - 0 -
- 4,949 - 0 4,949 -
- - 0 -
- 40 127 5,082 170 127 21,599
- 121 - 500 121 60,500
- - 0 -
- 157 - 0 157 -
- 50 157 7,850 260 157 40,820
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- 98 - 0 98 -
- 70 98 6,860 90 98 8,820
- - 0 -
- 10,000 - 17 10,000 170,000
- - 0 -
- 9,519 - 20 9,519 190,380
- - 0 -
- 51 - 0 51 -
- 76 - 0 76 -
- 210 76 15,960 110 76 8,360
- - 0 -
- 69 - 0 69 -
- 720 69 49,680 950 69 65,550
- - 0 -
- 97 - 0 97 -
- 97 - 0 97 -
- - 0 -
- 269 - 0 269 -
- - 0 -
- - 0 -
- - 0 -
- 110,000 - 0 110,000 -
- - 0 -
- 320 - 0 320 -
- 320 - 220 320 70,400
- - 0 -
- 5,150 - 0 5,150 -
- 5,150 - 0 5,150 -
- - 0 -
- 2,665 - 0 2,665 -
- 2,665 - 90 2,665 239,850
- - 0 -
- - 0 -
- - 0 -
- 405 - 0 405 -
- - 0 -
- 1,680 - 0 1,680 -
- - 0 -
- 275 - 90 275 24,750
- 275 - 0 275 -
- - 0 -
- 1,680 - 0 1,680 -
- 6 1,680 10,080 13 1,680 21,840
- - 0 -
- 1 4,016 4,016 13 4,016 52,208
- - 0 -
- 26 - 0 26 -
- 26 - 0 26 -
- 1780 26 46,992 4859 26 128,278
- - 0 -
- 1,210 - 0 1,210 -
- - 0 -
- 152 - 0 152 -
- - 0 -
- 50 - 94 50 4,700
- - 0 -

- 531 - 0 531 -

- - 0 -

- - 0 -

- - 0 -

- 152 - 0 152 -

- 152 - 0 152 -
- 152 - 2583 152 392,616
- - 0 -

- 79 - 0 79 -

- 79 - 480 79 37,920
- - 0 -

57,450 22 2,298 50,556 10 2,298 22,980

- - 0 -
- 6,820 - 0 6,820 -
- 6,820 - 0 6,820 -
- - 0 -
- 112 - 0 112 -
- - 0 -
- - 0 -
- - 0 -
- 581 - 0 581 -
- - 0 -
- - 0 -
- - 0 -
- 1,499 - 0 1,499 -
- 1,499 - 0 1,499 -
- 1,499 - 0 1,499 -
- - 0 -
- 54,995 - 0 54,995 -
- 54,995 - 0 54,995 -
- - 0 -
- 97 - 0 97 -
- 97 - 205 97 19,885
- - 0 -
- 170 - 0 170 -
- - 0 -
- 7,260 - 0 7,260 -
- 7,260 - 0 7,260 -
- - 0 -
- 7,260 - 0 7,260 -
- 7,260 - 20 7,260 145,200
- - 0 -
- 1,130 - 0 1,130 -
- - 0 -
- 3,887 - 0 3,887 -
- - 0 -
- 248 - 90 248 22,320
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- 1,639 - 0 1,639 -
- - 0 -
- 40 133 5,324 40 133 5,324
- - 0 -
- - 0 -
- - 0 -
- 1,100 - 0 1,100 -
- 1,100 - 0 1,100 -
33,000 1 1,100 1,100 30 1,100 33,000
- - 0 -

- - 0 -

- - 0 -
- 7 100 700 77 100 7,700
- - 0 -
- - 0 -
- - 0 -
- 12,980 - 0 12,980 -
- 12,980 - 9 12,980 116,820
- - 0 -
- 116 - 0 116 -
- 10 116 1,160 350 116 40,600
- - 0 -
- - 0 -
- 218 169 36,842 370 169 62,530
- - 0 -
- 3,150 - 0 3,150 -
- 14 3,150 44,100 20 3,150 63,000
- - 0 -
- 146 - 0 146 -
- 146 - 0 146 -
- 205 146 29,930 80 146 11,680
- - 0 -
- 193 - 0 193 -
- 193 - 0 193 -
- 193 - 0 193 -
77,200 470 193 90,710 340 193 65,620
- - 0 -
- 5,170 - 0 5,170 -
- 5,170 - 0 5,170 -
- 25 5,170 129,250 10 5,170 51,700
- - 0 -
- 127 - 0 127 -
- 40 127 5,080 904 127 114,808
- - 0 -

- 704 - 0 704 -

- - 0 -

- 448 - 190 448 85,120


- - 0 -
- 2,310 - 0 2,310 -
11,550 29 2,310 66,990 15 2,310 34,650
- - 0 -
- 440 - 0 440 -
- - 0 -
- 700 - 0 700 -
- 700 - 40 700 28,000
- - 0 -
- 3,410 - 0 3,410 -
- - 0 -
- 2,010 - 0 2,010 -
- 1,646 - 0 1,646 -
- 9 1,646 14,814 66 1,646 108,636
- - 0 -
- 2,772 - 0 2,772 -
- 2 2,772 5,544 144 2,772 399,168
- - 0 -
- 6,875 - 0 6,875 -
- 1 1,900 1,900 18 1,900 34,200
- - 0 -
- 221 - 0 221 -
- 221 - 0 221 -
- 221 - 0 221 -
- - 0 -
- 109 - 0 109 -
- 20 109 2,180 2910 109 317,190
- - 0 -
- 1,535 - 0 1,535 -
- 1,535 - 0 1,535 -
107,450 54 1,535 82,890 36 1,535 55,260
- - 0 -
- 105 - 0 105 -
10,500 100 105 10,500 100 105 10,500
- - 0 -
- 88 - 0 88 -
- 88 - 0 88 -
44,000 1445 88 127,160 0 88 -
- - 0 -
- - 0 -
- - 0 -
- 849 - 0 849 -
- 297 - 0 297 -
- 297 - 0 297 -
- 297 - 100 297 29,700
- - 0 -

- 25,350 - 0 25,350 -
- 1 25,350 25,350 1 25,350 25,350
- - 0 -
- 107 - 800 107 85,600
- 107 - 0 107 -
- - 0 -
- 964 - 0 964 -
- 964 - 250 964 241,000
- - 0 -
- 854 - 0 854 -
- 854 - 130 854 111,020
- - 0 -
- 60,500 - 0 60,500 -
- - 0 -
- 9,100 - 0 9,100 -
- - 0 -
- 318 - 0 318 -
9,540 0 318 - 30 318 9,540
- - 0 -
- 19 - 0 19 -
- 19 - 0 19 -
- - 0 -
- 116 - 0 116 -
46,400 170 116 19,720 420 116 48,720
- - 0 -
- 18,635 - 0 18,635 -
- 18,635 - 0 18,635 -
- - 0 -

- 2,344 - 0 2,344 -

- 2 2,344 4,688 41 2,344 96,104


- - 0 -

- 15,386 - 0 15,386 -
- 4 15,386 61,544 0 15,386 -
- - 0 -

- 40,202 - 0 40,202 -

- 40,202 - 0 40,202 -
- - 0 -
- 314 98 30,615 0 98 -
98,000 116 98 11,368 884 98 86,632
- - 0 -
- 125 - 985 125 123,125
- - 0 -
- 12,021 - 0 12,021 -
360,630 8 12,021 96,168 24 12,021 288,504
- - 0 -
- 100 297 29,700 100 297 29,700
- - 0 -
- 80 - 90 80 7,200
- - 0 -
- - 0 -
- - 0 -
- 128 - 0 128 -
115,200 540 128 69,120 840 128 107,520
- - 0 -
- - 0 -
- - 0 -
- 440 - 0 440 -
- - 0 -
- 624 - 0 624 -
- - 0 -
- 863 - 0 863 -
- - 0 -
- 5,720 - 0 5,720 -
228,800 25 5,720 143,000 41 5,720 234,520
- - 0 -
- 92 - 0 92 -
- 65 - 0 65 -
- 40 65 2,600 280 65 18,200
- - 0 -
- 93 - 0 93 -
- 60 93 5,580 650 93 60,450
- - 0 -

- 1,980 - 0 1,980 -

- 2 2,200 4,400 16 2,200 35,200


- - 0 -
- - 0 -
- - 0 -
- - 0 -
- 548 - 0 548 -
- 548 - 0 548 -
- - 0 -
- 5,286 - 0 5,286 -
- 5 5,286 26,430 55 5,286 290,730
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- 5,414 - 0 5,414 -
- - 0 -
- - 0 -
- - 0 -

- 1,451 - 0 1,451 -

- - 0 -
- 150 - 0 150 -

- - 0 -
- 138 - 0 138 -
27,600 200 138 27,600 0 138 -
- - 0 -
- 177 - 0 177 -
- - 0 -
- 480 - 0 480 -
- - 0 -
- - 0 -
- - 0 -
- 312 - 0 312 -
- - 0 -
- - 0 -
- 350 - 200 350 70,000
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
95,400 200 477 95,400 0 477 -
- - 0 -
- - 0 -
- 1,155 - 100 1,155 115,500
- - 0 -
- 183 - 0 183 -
- - 0 -
- 283 - 0 283 -
- - 0 -

- 42 - 0 42 -
- 42 - 0 42 -
- - 0 -
- 770 - 0 770 -
- - 0 -
- 2,680 - 0 2,680 -
- - 0 -
- 10 363 3,630 22 363 7,986
- - 0 -
- 45 - 0 45 -
- 45 - 160 45 7,200
- - 0 -
- 63 - 0 63 -
- - 0 -
- 7,392 - 0 7,392 -
- - 0 -
- 112 - 0 112 -
- 112 - 0 112 -
112,000 2200 112 246,400 200 112 22,400
- - 0 -
- 521 - 0 521 -
- 521 - 0 521 -
- 521 - 0 521 -
- - 0 -
- 8,140 - 0 8,140 -
- 5 8,140 40,700 7 8,140 56,980
- - 0 -
- 573 - 0 573 -
- 6,975 - 2 6,975 13,950
- - 0 -
- 2 10,395 20,790 4 10,395 41,580
- - 0 -
- 155 - 0 155 -
- 141 - 1000 141 141,000
- - 0 -
- - 0 -
- 1,210 - 0 1,210 -
- - 0 -

- 57 - 0 57 -

- - 0 -

- 116 - 0 116 -
- 572 - 0 572 -
- - 0 -
- 191 - 100 191 19,100
- - 0 -
- 275 - 0 275 -
- 275 - 0 275 -
- - 0 -
- 162 - 0 162 -
- - 0 -
- 1,108 - 0 1,108 -
- 1,109 - 0 1,109 -
- - 0 -
- 162 - 0 162 -
- - 0 -
- 116 - 0 116 -
- - 0 -
- 167 - 0 167 -
- - 0 -
- 125 - 0 125 -
- - 0 -
- 318 - 0 318 -
- - 0 -
- 109 - 0 109 -
- - 0 -
- 45 - 0 45 -
- - 0 -
- 854 - 0 854 -
- - 0 -
- 42,727 - 0 42,727 -
- 42,727 - 0 42,727 -

- 1,480 - 0 1,480 -
592,000 150 1,480 222,000 250 1,480 370,000

- 31 - 0 31 -
- - 0 -
- 56 - 0 56 -
- - 0 -
- - 0 -
- 765,000 - 0 765,000 -
- 765,000 - 0 765,000 -
- - 0 -
- 242,000 - 0 242,000 -
- - 0 -
- 338,800 - 0 338,800 -
- 338,800 - 0 338,800 -
- - 0 -
- 390,000 - 0 390,000 -
- 390,000 - 0 390,000 -
- - 0 -
- 18,333 - 0 18,333 -
- 18,333 - 0 18,333 -
- - 0 -
- 105,000 - 0 105,000 -
- 105,000 - 0 105,000 -
- - 0 -
- 170,000 - 0 170,000 -
- - 0 -
- 395,000 - 0 395,000 -
- 197,895 - 0 197,895 -
- - 0 -
- 55,000 - 1 55,000 55,000
- - 0 -
- 93,500 - 0 93,500 -
- 93,500 - 2 93,500 187,000
- - 0 -
- 34,000 - 0 34,000 -
- 34,000 - 0 34,000 -
- - 0 -
- 176,000 - 0 176,000 -
- - 0 -
- - 0 -
- 425 - 0 425 -
- 24,384 - 0 24,384 -
- 27,569 - 0 27,569 -
- 27,569 - 8 27,569 220,552
- - 0 -
- 104 - 0 104 -
- 104 - 2000 104 208,000
- - 0 -
- 825,000 - 0 825,000 -
- 4,545 - 0 4,545 -
- 236,490 - 0 236,490 -
- 396,000 - 0 396,000 -
- 1,319,990 - 0 1,319,990 -

- 175,899 - 0 175,899 -

- 145,000 - 0 145,000 -
- 150,000 - 0 150,000 -
- 168,300 - 0 168,300 -
- 46,200 - 0 46,200 -
- 45,560 - 0 45,560 -
- 42,350 - 0 42,350 -
- 20,454 - 0 20,454 -
- 4,438 - 0 4,438 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- 285,000 - 0 285,000 -

- 695,752 - 0 695,752 -

- 412 - 0 412 -
- 286 - 0 286 -
- 497 - 0 497 -
- - 0 -
- - 0 -
- 1,093 - 0 1,093 -
- 848 - 0 848 -
- 18 848 15,269 111 848 94,156
- - 0 -
- 1,038 - 0 1,038 -
- 33 848 27,992 67 848 56,833
- - 0 -
- 1,038 - 0 1,038 -
- 848 - 0 848 -
- 35 848 29,689 36 848 30,537
- - 0 -
- 1,038 - 0 1,038 -
- 14 979 13,703 296 979 289,710
- - 0 -
- 2,099 - 0 2,099 -
- 2,100 - 103 2,100 216,300
- - 0 -
- 2,099 - 0 2,099 -
- 26 2,100 54,600 50 2,100 105,000
- - 0 -
- 6,400 - 25 6,400 160,000
- 25,920 - 24 25,920 622,080
- - 0 -
- 5,900 - 0 5,900 -
- 27,000 - 24 27,000 648,000
- - 0 -
- 6,595 - 0 6,595 -
- - 0 -
- 6,595 - 0 6,595 -
- - 0 -
- 4,250 - 0 4,250 -
- 7,684 - 0 7,684 -
- - 0 -
- 4,250 - 0 4,250 -
384,200 50 7,684 384,200 12 7,684 92,208
- - 0 -
- 3,500 - 0 3,500 -
41,760 16 4,176 66,816 13 4,176 54,288
- - 0 -
- 2 4,000 8,000 4 4,000 16,000
- 4,568 - 0 4,568 -
- - 0 -
- 7,937 - 0 7,937 -
- - 0 -
- 6,600 - 0 6,600 -
- - 0 -
- 3 7,787 23,361 6 7,787 46,722
- - - 0 - -
- 7,787 - 0 7,787 -
- 3 7,937 23,811 30 7,937 238,110
- - 0 -
- 11 7,787 85,657 14 7,787 109,018
- - 0 -
- 10,440 - 0 10,440 -
- - 0 -
- 8,495 - 0 8,495 -
- 10,440 - 0 10,440 -
- - 0 -
- 8,495 - 0 8,495 -
- 10,440 - 0 10,440 -
- - 0 -
- 495 - 0 495 -
- 10,440 - 0 10,440 -
- - 0 -
- 7,500 - 0 7,500 -
- 1 27,821 27,821 0 27,821 -
- - 0 -
- 17,250 - 0 17,250 -
- - 0 -
- 800 - 0 800 -
- - 0 -
- 887 - 0 887 -
- - 0 -
- 607 - 0 607 -
- 28 6,121 171,388 21 6,121 128,541
- - 0 -
- 887 - 0 887 -
- - 0 -
- 1,871 - 0 1,871 -
- 5,621 - 0 5,621 -
- - 0 -
- 8,600 - 0 8,600 -
- 11,724 - 0 11,724 -
- - 0 -
- 10,467 - 0 10,467 -
- 7 13,221 92,547 0 13,221 -
- - 0 -
- - 0 -
- 137,025 - 0 137,025 -
- - 0 -
- 55,200 - 0 55,200 -
267,642 2 133,821 267,642 0 133,821 -
- - 0 -
- 32,500 - 2 32,500 65,000
- - 0 -
- 23,625 - 0 23,625 -
- 2 23,625 47,250 7 23,625 165,375
- - 0 -
- 5,082 - 0 5,082 -
- 18 18,781 338,058 24 18,781 450,744
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- 4,000 - 0 4,000 -
- - 0 -
- 5,770 - 0 5,770 -
- 5,770 - 200 5,770 1,154,000
- - 0 -
- 5,770 - 69 5,770 398,130
- 5,770 - 199 5,770 1,148,230
- - 0 -
- 5,770 - 0 5,770 -
- 5,770 - 200 5,770 1,154,000
- - 0 -
- 5,770 - 0 5,770 -
- - 0 -
- 22,000 - 0 22,000 -
- - 0 -
- 22,000 - 0 22,000 -
- - 0 -
- 1,125 - 0 1,125 -
- 1,125 - 3 1,125 3,375
- - 0 -
- 200,455 - 0 200,455 -
- 8,018 - 75 8,018 601,350
- - 0 -
- 68,181 - 0 68,181 -
- - 0 -
- 68,181 - 0 68,181 -
- - 0 -
- 6,825 - 0 6,825 -
693,602 1,677,803 8,047,707
5,671,714 5,451,711 22,246,206

Rumbia, 31 Januari 2016

Penanggung Jawab
Laporan

Wa Ode Wahyuni Hambe, S. Si, Apt


Nip. 19870305 201101 2 019
REKAPAN PENGGUNAAN OBAT DAN PERBE
PUSKESMAS SELAMA 1 TAHUN
TAHUN 2016

SKPD : PUSKESMAS RUMBIA


KABUPATEN : BOMBANA
PROVINSI : SULAWESI TENGARA

Saldo Awal 2016 Mutasi Masuk


Satuan /
No Nama Obat 1 Februari 2016 Februari 2016
Kemasan
Jumlah Harga Satuan (Rp) Nilai (Rp) Jumlah Harga Satuan
1 2 3 4 5 6 7 8
OBAT

1 Air untuk injeksi amp 25 ml (aqua pro injeksi) Ampul 0 6,050 - 6,050

9 2,200 19,800 2,200


0 - - -
2 Albendazol tab 400 mg Tab 0 12,750 - 12,750
0 363 - 363
0 - - -
3 Alopurinol tab 100 mg Tab 0 - - -
0 - - -
4 Alprazolam tab 1 mg Tab 0 245 - 245
105 245 25,725 245
0 - - -
5 Albothyl cairan Botol 0 18,635 - 18,635
0 - - -
6 Ambroksol tablet 30 mg Tab 0 138 - 138
543 138 74,934 138
0 - - -
0 - - -
7 Ambroksol sirup Botol 0 2,722 - 2,722
43 2,722 117,046 2,722
0 - - -
8 Aminofilin inj 24 mg/ml Ampul 0 4,204 - 4,204
0 - - -
9 Aminofilin tab 200 mg Tab 100 86 8,600 86
0 86 - 86

10 Amitriptilin tab sal 25 mg Tab sal 0 123 - 123


100 123 12,300 123
0 - - -
11 Amlodipin tab 10 mg Tab 0 1,863 - 1,863
0 - - -
12 Amlodipin tab 5 mg Tab 0 - - -
0 - - -
13 Amoksisilin sir kering 125 mg/5 ml Botol 0 2,560 - 2,560
0 2,560 - 2,560
0 2,560 - 2,560
103 2,560 263,680 200 2,560
0 - - -
14 Amoksisilin tab 250 mg Tab 0 220 - 220
0 220 - 220
140 220 30,800 220
0 - - -
15 Amoksisilin tab 500 mg Tab 0 279 - 279
0 279 - 279
100 279 27,900 3,100 279
0 - - -
Anestetik lokal gigi kombinasi : lidokain hcl
16 2% + epinefrin 1 : 80.000 inj 2 ml Ampul 0 - - -

0 - - -
Antasida, kombinasi : aluminium hidroksida
17 Tab kunyah 0 78 - 78
200 mg + magnesium hidroksida 200 mg

540 78 42,120 2,000 78


0 - - -
Antasida, kombinasi : aluminium hidroksida
18 200 mg + magnesium hidroksida 200 mg Botol 62 2,213 137,206 2,213
Suspensi
0 2,213 - 100 2,213
0 2,213 - 2,213
0 - - -
Antibakteri, kombinasi : basitrasin 500 UI/g+
19 Tube 7 2,767 19,369 2,767
Polimiskin B 10.000 UI/g
Antifungi salep, kombinasi : asam benzoat 6% 0 - - -
+ asam salisilat 3%
20 Tube 13 2,096 27,248 2,096

0 - - -
mg + heksaklorofen 2,5 mg + lidokain
lidokain 10 mg+ seng oksida 120 mg + sup
21 ad 2 g Suppo 0 33,000 - 50 33,000

10 2,200 22,000 2,200


0 - - -
Anti Parkinson kombinasi : benzerasid 25 mg +
22 Kaps 0 - - -
levodopa 100 mg
0 - - -
Anti Migren, kombinasi : ergotamin 1 mg+
23 Tab 0 149 - 149
kafein 50 mg
81 149 12,069 149
0 - - -
24 Antalgin (metampirom) tablet 100 mg Tab 0 155 - 155
0 - - -
25 Antalgin (metampirom) injeksi 250 mg/ml-2 ml Ampul 0 1,346 - 1,346
0 - - -
26 Asam asetilsalisilat (asetosal) tab 100 mg Tab 60 110 6,600 110
1000 127 127,000 100 127
0 - - -
27 Asam asetilsalisilat (asetosal) tab 500 mg Tab 0 178 - 178
0 - - -
Asam asetilsalisilat (asetosal) tab 80 mg
28 Tab 0 - - -
(Miniaspi 80)
0 - - -
29 Asam askorbat (vitamin C) tab 50 mg Tab 0 105 - 105
630 105 66,150 2,000 105
0 - - -
30 Asam folat tab 1 mg Tab 0 52 - 52
644 52 33,488 52
0 - - -
31 Asam mefenamat kaps 250 mg Kaps 0 - - -
0 - - -
32 Asam mefenamat kaps 500 mg Kaps 0 127 - 127
0 127 - 127
670 127 85,090 3,000 127
0 - - -
33 Asam traneksamat inj 50 mg/ml Ampul 25 3,650 91,250 3,650
0 - - -

34 Asam traneksamat tab 500 mg Tab 0 1,265 - 1,265

80 1,265 101,200 300 1,265

0 - - -

35 Asering larutan infus Botol 22 15,900 349,800 15,900


0 - - -

36 Asiklovir salep kulit Tube 16 82,500 1,320,000 25 82,500


0 - - -

37 Asiklovir tab 200 mg Tab 0 251 - 251


0 251 - 200 251
0 - - -
38 Atropin inj 0,25 mg/ml (i.m./i.v./s.k) Ampul 34 1,400 47,600 1,400
0 - - -
39 Atropin tab 0,5 mg Tab 0 81 - 81
0 - - -

40 Atropin tts mata 0,5% (Cendotropin 0,5%) Botol 0 - - -

0 - - -
41 Bedak salisil serb 2% Botol 0 1,180 - 1,180
13 1,350 17,550 35 1,350
0 - - -
Besi (II) sulfat 200 mg + asam folat 0.25 mg
42 Sachet 0 73 - 73
(tablet tambah darah)
0 55 - 55
0 - - -
43 Becefort syrup Botol 0 22,727 - 22,727
4 22,727 90,908 22,727
0 - - -
44 Betametason krim 0,1% Tube 0 1,596 - 1,596
42 1,596 67,032 75 1,596
0 - - -
45 Betahistin mesilate tablet tablet 0 - - -
0 - - -
46 Bisakodil sup 10 mg (Stolax) Botol 0 - - -
0 - - -
47 Bisakodil tab sal 5 mg Tab sal 0 - - -
0 - - -
48 Bismecon salep tube 0 - - -
0 - - -
Budesonid-formoterol (fixed combination)* ih
49 Botol 0 - - -
80/4,5 mcg
0 - - -
50 Bromheksin tablet tablet 0 42 - 42
0 - - -
51 Deksametason tab 0,5 mg Tab 0 68 - 68
2550 68 173,400 68
0 - - -
52 Deksametason inj 5 mg/ml (i.v./i.m.) Vial 74 1,738 128,612 1,738
0 - - -
53 Desoksimetason salep 0,25% Tube 0 - - -
3 9,983 29,949 9,983
0 - - -
54 Diazepam inj 5 mg/ml (i.v./i.m.) Vial 0 2,578 - 2,578
53 2,578 136,634 2,578
0 - - -

55 Diazepam lar rektal 10 mg/2,5 ml (Stesolid) Botol 0 - - -

0 - - -
56 Diazepam supposutoria suppo 0 - - -
0 - - -
57 Diazepam tab 2 mg Tab 0 28 - 28
0 - - -
58 Diazepam tab 5 mg Tab 85 28 2,380 28
0 - - -
59 Dietilkarbamazin tab 100 mg Tab 0 - - -
0 - - -
60 Difenhidramin inj 10 mg/ml (i.v./i.m.) Ampul 47 1,160 54,520 1,160
0 - - -
61 Digoksin tab 0,25 mg Tab 100 103 10,300 103
0 - - -
62 Diltiazem kaps SR 100 mg Kaps 0 - - -
0 - - -
63 Diltiazem tab 30 mg Tab 0 141 - 141
260 141 36,660 300 141
0 - - -
64 Doksisiklin tablet 100 mg Tab 100 278 27,830 100 278
0 - - -
65 Domperidon susp 5 mg/5 ml Botol 0 3,490 - 3,490
65 3,490 226,850 40 3,490
0 - - -
66 Domperidon tab 10 mg Tab 0 174 - 174
520 174 90,480 100 174
0 - - -
67 Efedrin HCl tablet Tab 0 56 - 200 56
0 - - -
68 Ekstrak belladon tablet 10 mg tab 160 42 6,720 42
3000 42 126,000 1,000 42
0 - - -

69 Epinefrin (adrenalin) inj 0,1% (i.v./s.k./i.m.) Ampul 30 8,910 267,300 60 8,910

0 - - -
70 Eritromisin kaps 250 mg Kaps 840 522 438,480 522
0 522 - 522
0 - - -
71 Eritromisin sir 200 mg/5 ml Botol 49 7,581 371,469 7,581
0 - - -
72 Eritromisin tab 500 mg Tab 500 1,013 506,385 1,013
0 1,023 - 1,023
0 - - -
73 Etanol 70% cairan 70% Botol 0 2,625 - 2,625
0 2,625 - 2,625
73 2,625 191,625 40 2,625
0 - - -
74 Etakridin (rivanol) larutan 0.1% Botol 0 4,695 - 4,695
0 4,695 - 1 4,695
0 - - -
75 Etil klorida semprot 100 ml Botol 0 124 - 124
0 - - -
76 Famotidin tablet 20 mg Tab 0 - - -
0 124 - 124
0 - - -
77 Fenitoin Na inj 50 mg/ml Ampul 0 - - -
0 - - -
78 Fenitoin Na kaps 100 mg Kaps 0 - - -
100 146 14,600 146
0 - - -
79 Fenobarbital inj 50 mg/ml Ampul 0 37 - 37
90 1,980 178,200 1,980
0 - - -
80 Fenobarbital tab 100 mg Tab 0 - - -
0 - - -
81 Fenobarbital tab 30 mg Tab 0 37 - 37
0 - - -

82 Fitomenadion (vitamin K 1) inj 2 mg/ml (i.m.) Vial 0 698 - 698

0 - - -
83 Fitomenadion (vitamin K 1) tab sal 10 mg Tab sal 100 698 69,800 698
0 - - -
84 Flukonazol kaps 150 mg Kaps 0 - - -
0 - - -
85 Flusinolon asetonid krim 0,025% Tube 0 - - -
0 - - -
86 Flunarizin tablet tablet 0 2,012 - 2,012
0 - - -
87 Furosemid inj 10 mg/ml (i.v./i.m.) Ampul 39 2,012 78,468 2,012
0 - - -
88 Furosemid tab 40 mg Tab 0 84 - 84
360 84 30,240 84
0 - - -
Garam oralit kombinasi : natrium klorida 0,52
g + kalium klorida 0,30 g + trinatrium sitrat
89 Sachet 0 317 - 317
0,58 g + glukosa anhidrat 2,7 g

0 317 - 317
0 - - -
90 Gameksan lotion 1 % Botol 0 2,420 - 2,420
0 - - -
91 Gemfibrozil kaps 300 mg Kaps 0 323 - 323
0 - - -
92 Gemfibrozil kaps 600 mg Kaps 0 - - -
0 - - -
93 Gentamisin inj 10 mg/ml Ampul 0 3,739 - 3,739
0 - - -
94 Gentamisin salep mata 0,3% Tube 0 - - -
0 - - -
95 Gentamisin salep Kulit Tube 0 2,340 - 2,340
12 1,469 17,628 1,469
0 - - -
96 Gentamisin tts mata 0,3% Botol 0 3,194 - 3,194
0 - - -
97 Glibenklamid tab 5 mg Tab 0 61 - 61
320 61 19,520 61
0 - - -
98 Glimepirid tab 4 mg Tab 0 - - -
0 - - -
99 Glipizid tablet 5 mg (Glucotrol 5 mg) Tab 0 - - -
0 - - -
100 Gliseril Guaiakolat tab 100 mg Tab 0 31 - 31
0 31 - 31
11290 31 349,990 31
0 - - -
101 Gliserin lar 50% Botol 0 - - -
0 - - -
102 Glukosamin tablet 500 mg Tab 0 - - -
0 - - -
103 Glukosa Larutan Infus 5% steril Botol 38 5,720 217,360 5,720
0 - - -
104 Glukosa Larutan Infus 10% steril Botol 15 6,270 94,050 6,270
0 - - -
105 Glukosa Larutan Infus 40% steril Botol 0 - - -
0 - - -
106 Griseofulvin (micronized) tab 125 mg Tab 0 230 - 230
20 230 4,600 230
0 - - -
107 Haloperidol tab 0,5 mg Tab 0 62 - 62
0 - - -
108 Haloperidol tab 1,5 mg Tab 0 76 - 76
190 76 14,440 76
0 - - -
109 Haloperidol tab 5 mg Tab 0 105 - 105
0 105 - 105
0 105 - 105
0 - - -
110 Hidrogen peroksida (H2O2) cairan 3% Botol 0 38,500 - 38,500
0 - - -
111 Hidroklorotiazid (HCT) tab 25 mg Tab 0 40 - 40
4500 40 180,000 5,000 40
0 - - -
112 Hidrokortison krim 2,5% Tube 0 - - -
0 - - -
113 Hiosina butilbromida tab 10 mg Tab 0 330 - 330
0 - - -
114 Ibuprofen susp 100 mg/5 ml Botol 0 4,949 - 4,949
0 - - -
115 Ibuprofen tab 200 mg Tab 170 127 21,599 127
500 121 60,500 121
0 - - -
116 Ibuprofen tab 400 mg Tab 0 157 - 157
260 157 40,820 700 157
0 - - -
Ipratropium bromida nebulizer 0,025%
117 Botol 0 - - -
(Atroven sol. for inhalation 0.025%)
0 - - -
118 Isoniazid tab 300 mg Tab 0 - - -
0 - - -
119 Isosorbid dinitrat inj 10 mg/10 ml (Fasorbid) Vial 0 - - -
0 - - -
120 Isosorbid dinitrat tab 5 mg Tab 0 98 - 98
90 98 8,820 98
0 - - -
121 KA-EN 3B Cairan Infus Botol 17 10,000 170,000 10,000
0 - - -
122 Kalsium glukonat inj 100 mg/ml Ampul 20 9,519 190,380 9,519
0 - - -
123 Kalsium laktat (kalk) tab 500 mg Tab 0 51 - 51
0 76 - 76
110 76 8,360 1,000 76
0 - - -
124 Kaptopril tab 12,5 mg Tab 0 69 - 69
950 69 65,550 500 69
0 - - -
125 Kaptopril tab 25 mg Tab 0 97 - 97
0 97 - 600 97
0 - - -
126 Karbamazepin tab 200 mg Tab 0 269 - 269
0 - - -
127 Karbo adsorben (Norit) tab 500 mg Tab 0 - - -
0 - - -
128 Ketamin inj 50 mg/ml (i.v.) Ampul 0 110,000 - 110,000
0 - - -
129 Ketokonazol tab 200 mg Tab 0 320 - 320
220 320 70,400 320
0 - - -
130 Ketokonazol krim 2% Tube 0 5,150 - 5,150
0 5,150 - 5,150
0 - - -
131 Ketorolak inj 10 mg/ml Ampul 0 2,665 - 2,665
90 2,665 239,850 2,665
0 - - -
132 Klaritromisin tab 500 mg Tab 0 - - -
0 - - -
133 Klindamisin kaps 150 mg Kaps 0 405 - 405
0 - - -
134 Kloramfenikol tts mata 0,5% Botol 0 1,680 - 1,680
0 - - -
135 Kloramfenikol kaps 250 mg Kaps 90 275 24,750 275
0 275 - 275
0 - - -
136 Kloramfenikol salep mata 1% Tube 0 1,680 - 1,680
13 1,680 21,840 1,680
0 - - -
137 Kloramfenikol susp 125 mg/5 ml Botol 13 4,016 52,208 4,016
0 - - -
138 Klorfeniramin (CTM) tab 4 mg Tab 0 26 - 26
0 26 - 26
4859 26 128,278 26
0 - - -
139 Klorpromazin inj 25 mg/ml (i.m.) Ampul 0 1,210 - 1,210
0 - - -
140 Klorpromazin tab sal 100 mg Tab sal 0 152 - 152
0 - - -
141 Klorpromazin tab sal 25 mg Tab sal 94 50 4,700 50
0 - - -

142 Kombinasi : Pirimethamin 25 mg + sulfadoksin Tab 0 531 - 531

Kombinasi: ipratropium Br 0,5 mg+ 0 - - -


salbutamol 2,5 mg nebules (Combivent UDV)
143 Vial 0 - - -

0 - - -
Kotrimoksazol (dewasa) kombinasi :
sulfametoksazol 400 mg+ trimetoprim 80
144 Tab 0 152 - 1,100 152
mg

0 152 - 152
2583 152 392,616 152
0 - - -
Kotrimoksazol (anak) kombinasi :
sulfametoksazol 100 mg+ trimetoprim 20
145 Tab 0 79 - 79
mg

480 79 37,920 79
0 - - -
Kotrimoksazol (dewasa) kombinasi tiap 5 ml
146 suspensi : sulfametoksazol 200 mg + Botol 10 2,298 22,980 2,298
trimetoprim 40 mg
0 - - -
147 Kuinin inj 25% (i.v.) Vial 0 6,820 - 6,820
0 6,820 - 6,820
0 - - -
148 Kloroquin tab 150 mg Tab 0 112 - 112
0 - - -
149 Lansoprazol kaps 30 mg Kaps 0 - - -
0 - - -
150 Levofloksasin tab 500 mg Tab 0 581 - 581
0 - - -
151 Lidokain gel 2% Tube 0 - - -
0 - - -
152 Lidokain inj 2% (hcl) Vial 0 1,499 - 1,499
0 1,499 - 150 1,499
0 1,499 - 1,499
0 - - -
153 Lisol Botol 0 54,995 - 54,995
0 54,995 - 54,995
0 - - -
154 Loperamid tab 2 mg Tab 0 97 - 97
205 97 19,885 97
0 - - -
155 Loratadin tab 10 mg Tab 0 170 - 170
0 - - -
156 Magnesium sulfat inj 20% Vial 0 7,260 - 7,260
0 7,260 - 7,260
0 - - -
157 Magnesium sulfat inj 40% Vial 0 7,260 - 7,260
20 7,260 145,200 7,260
0 - - -
158 Magnesium sulfat serb, ktg 30 g Sachet 0 1,130 - 1,130
0 - - -
159 Mebendazol sir 50 mg/ml Botol 0 3,887 - 3,887
0 - - -
160 Mebendazol tab 100 mg Tan 90 248 22,320 248
0 - - -
161 Metformin tab 500 mg Tab 0 - - -
0 - - -
162 Metformin tab 850 mg Tab 0 - - -
0 - - -
163 Metilergometrin inj 0,2 mg/ml Ampul 0 1,639 - 1,639
0 - - -
164 Metilergometrin tab salut 0,125 mg Tab sal 40 133 5,324 133
0 - - -
165 Metilprednisolon tab 4 mg Tab 0 - - -
0 - - -
166 Metoklopramid inj 5 mg/ml Vial 0 1,100 - 1,100
0 1,100 - 1,100
30 1,100 33,000 30 1,100
0 - - -

167 Metoklopramid sir 5 mg/5 ml (Lexapram sirup) Botol 0 - - -

0 - - -
168 Metoklopramid tab 10 mg Tab 77 100 7,700 200 100
0 - - -
169 Metronidazol supposutoria 500 mg suppo 0 - - -
0 - - -
170 Metronidazol larutan infus Botol 0 12,980 - 12,980
9 12,980 116,820 12,980
0 - - -
171 Metronidazol tab 250 mg Tab 0 116 - 116
350 116 40,600 100 116
0 - - -
172 Metronidazol tab 500 mg Tab 0 - - -
370 169 62,530 600 169
0 - - -
173 Mikonazol krim 2% Tube 0 3,150 - 3,150
20 3,150 63,000 3,150
0 - - -
174 Natrium diklofenak tab 25 mg Tab 0 146 - 146
0 146 - 146
80 146 11,680 1,000 146
0 - - -
175 Natrium diklofenak tab 50 mg Tab 0 193 - 193
0 193 - 193
0 193 - 193
340 193 65,620 1,400 193
0 - - -
176 NaCl 0,9% Larutan infus Botol 0 5,170 - 5,170
0 5,170 - 5,170
10 5,170 51,700 20 5,170
0 - - -
177 Nifedipin kaps 10 mg Kaps 0 127 - 127
904 127 114,808 127
0 - - -

178 Nistatin tab salut 500.000 UI Tab 0 704 - 704

0 - - -

179 Nistatin tab vaginal 100.000 UI Tab 190 448 85,120 448
0 - - -
180 Obat Batuk Hitam (OBH) Botol 0 2,310 - 2,310
15 2,310 34,650 60 2,310
0 - - -
181 Ofloksasin tab 200 mg Tab 0 440 - 440
0 - - -
182 Ofloksasin tab 400 mg Tab 0 700 - 700
40 700 28,000 700
0 - - -
183 Oksitetrasiklin hcl inj 500 mg/ml Vial 0 3,410 - 3,410
0 - - -
184 Oksitetrasiklin hcl salep kulit 3% Tube 0 2,010 - 2,010
0 1,646 - 1,646
66 1,646 108,636 1,646
0 - - -
185 Oksitetrasiklin hcl salep mata 1 % Tube 0 2,772 - 2,772
144 2,772 399,168 2,772
0 - - -
186 Oksitosin inj 10 UI/ml Ampul 0 6,875 - 6,875
18 1,900 34,200 1,900
0 - - -
187 Omeprazol kaps 20 mg Kaps 0 221 - 221
0 221 - 221
0 221 - 221
0 - - -
188 Papaverin tablet 40 mg Tab 0 109 - 109
2910 109 317,190 109
0 - - -
189 Parasetamol sir 120 mg/5 ml Botol 0 1,535 - 1,535
0 1,535 - 1,535
36 1,535 55,260 168 1,535
0 - - -
190 Parasetamol tab 100 mg Tab 0 105 - 105
100 105 10,500 700 105
0 - - -
191 Parasetamol tab 500 mg Tab 0 88 - 88
0 88 - 88
0 88 - 2,200 88
0 - - -
192 Parasetamol rectal suppo 0 - - -
0 - - -
193 Pehavral tablet multivitamin Tab 0 849 - 849
0 297 - 297
0 297 - 297
100 297 29,700 297
0 - - -

194 Perak sulfadiazin krim 1% (Burnazin 35 gr) Tube 0 25,350 - 25,350


1 25,350 25,350 3 25,350
0 - - -
195 Phenylbutazon tablet 200 mg Tab 800 107 85,600 107
0 107 - 107
0 - - -
196 Piracetam tablet 800 mg Tab 0 964 - 964
250 964 241,000 964
0 - - -
197 Piracetam tablet 1200 mg Tab 0 854 - 854
130 854 111,020 854
0 - - -
198 Piracetam injeksi 1 g/5 ml Ampul 0 60,500 - 50 60,500
0 - - -
199 Pirantel pamoat susp 125 mg/5 ml Botol 0 9,100 - 50 9,100
0 - - -
200 Pirantel pamoat tab scored 125 mg Tab 0 318 - 318
30 318 9,540 60 318
0 - - -
201 Piridoksin (vitamin B6) tab 25 mg Tab 0 19 - 19
0 19 - 1,000 19
0 - - -
202 Piroksikam tablet 20 mg Tab 0 116 - 116
420 116 48,720 1,200 116
0 - - -
203 Polikresulen Botol 0 18,635 - 18,635
0 18,635 - 12 18,635
0 - - -

204 Povidon iodin lar 100 mg/ml Botol 30 ml 0 2,344 - 2,344

41 2,344 96,104 2,344


0 - - -
Botol 300
205 Povidon iodin lar 100 mg/ml 0 15,386 - 2 15,386
ml
0 15,386 - 15,386
0 - - -
Botol 1000
206 Povidon iodin lar 100 mg/ml 0 40,202 - 40,202
ml
0 40,202 - 40,202
0 - - -
207 Prednison tab 5 mg Tab 0 98 - 98
884 98 86,632 2,000 98
0 - - -
208 Primakuin tab 15 mg Tab 985 125 123,125 125
0 - - -
209 Procurma syrup Botol 0 12,021 - 12,021
24 12,021 288,504 50 12,021
0 - - -
210 Propiltiourasil tab 100 mg Tab 100 297 29,700 297
0 - - -
211 Propranolol tab 40 mg Tab 90 80 7,200 80
0 - - -
212 Ranitidin inj 25 mg/ml Ampul 0 - - -
0 - - -
213 Ranitidin tab 150 mg Tab 0 128 - 128
840 128 107,520 128
0 - - -
214 Reserpin tablet 0.25 mg Tab 0 - - -
0 - - -
215 Rifampisin kaps 300 mg Kaps 0 440 - 440
0 - - -
216 Rifampisin tab 450 mg Tab 0 624 - 624
0 - - -
217 Rifampisin tab 600 mg Tab 0 863 - 863
0 - - -
218 Ringer Laktat Larutan infus Botol 0 5,720 - 5,720
41 5,720 234,520 60 5,720
0 - - -
219 Salbutamol tab 2 mg Tab 0 92 - 92
0 65 - 65
280 65 18,200 300 65
0 - - -
220 Salbutamol tab 4 mg Tab 0 93 - 93
650 93 60,450 93
0 - - -
Salep 2-4, kombinasi : asam salisilat 2 %+
221 Tube 0 1,980 - 1,980
belerang endap 4 %
16 2,200 35,200 2,200
0 - - -
222 Scabicid salep Tube 0 - - -
223 Sefadroksil kaps 250 mg Vial 0 - - -
0 - - -
224 Sefadroksil kaps/tab 500 mg Tab 0 548 - 548
0 548 - 900 548
0 - - -
225 Sefadroksil sir kering 125 mg/5 ml Botol 0 5,286 - 5,286
55 5,286 290,730 5,286
0 - - -
226 Sefiksim kapsul 100 mg Tab 0 - - -
0 - - -
227 Sefotaksim serb inj 1.000 mg/vial Vial 0 - - -
0 - - -
228 Seftriakson serb inj 1.000 mg/vial Vial 0 5,414 - 5,414
0 - - -
229 Setirizin tab 10 mg Tab 0 - - -
0 - - -

230 Sianokobalamin (vitamin B12) inj 500 mcg/ml Vial 0 1,451 - 100 1,451

0 - - -
231 Sianokobalamin (vitamin B12) tab 50 mcg Tab 0 150 - 150

0 - - -
232 Simetidin tablet 200 mg Tab 0 138 - 138
0 138 - 138
0 - - -
233 Simvastatin tab sal 10 mg Tab sal 0 177 - 177
0 - - -
234 Simvastatin tab sal 20 mg Tab sal 0 480 - 480
0 - - -
235 Siprofloksasin inf 2 mg/ml Botol 0 - - -
0 - - -
236 Siprofloksasin tab scored 500 mg Tab 0 312 - 700 312
0 - - -
237 Spironolakton tab 100 mg Tab 0 - - -
200 350 70,000 350
0 - - -
238 Sulfasetamid Natrium Tetes mata 1.5% Botol 0 - - -
0 - - -
239 Sukralfat susp 500 mg/5 ml (Ulsafate) Botol 0 - - -
0 - - -
240 Sukralfat tab 500 mg (Ulsidex) Tab 0 - - -
0 477 - 200 477
0 - - -
241 Teofilin tab SR 300 mg (Rethapyl) Tab 0 - - -
100 1,155 115,500 1,155
0 - - -
242 Tetrasiklin kaps 250 mg Kaps 0 183 - 183
0 - - -
243 Tetrasiklin kaps 500 mg Kaps 0 283 - 283
0 - - -

244 Tiamin (vitamin B1) mononitrat tab 50 mg Tab 0 42 - 42


0 42 - 42
0 - - -
245 Tiamin (vitamin B1) injeksi 100 mg/ml Tab 0 770 - 770
0 - - -
246 Tramadol inj 50 mg/ml Ampul 0 2,680 - 2,680
0 - - -
247 Tramadol tablet 500 mg Tab 22 363 7,986 363
0 - - -
248 Triheksifenidil tab 2 mg Tab 0 45 - 45
160 45 7,200 45
0 - - -
249 Vitamin B12 tablet 50 mcg Tab 0 63 - 63
0 - - -
250 Vitamin B kompleks injeksi Vial 0 7,392 - 7,392
0 - - -
251 Vitamin B kompleks Tab 0 112 - 112
0 112 - 112
200 112 22,400 3,000 112
0 - - -
252 Zinc tab disp 20 mg Tab 0 521 - 521
0 521 - 400 521
0 521 - 521
0 - - -
253 Zinc sirup 20 mg / 5 ml Botol 0 8,140 - 8,140
7 8,140 56,980 8,140
0 - - -
254 Larutan PK botol 0 573 - 573
2 6,975 13,950 6,975
0 - - -
255 Kanamisin inj Vial 4 10,395 41,580 10,395
0 - - -
256 Antalgin 500mg tab 0 155 - 155
1000 141 141,000 141
0 - - -
257 Klorpromazin inj 25 mg/ml (i.m.) Ampul 0 - - -
0 1,210 - 1,210
0 - - -

258 Kalsium laktat (kalk) tab 500 mg Tab 0 57 - 57

0 - - -

259 Kloroquin tab 250 mg Tab 0 116 - 116


0 572 - 572
0 - - -
260 Klonidin 0,15 mg Tab 100 191 19,100 191
0 - - -
261 Kloramfenikol kaps 250 mg Kaps 0 275 - 275
0 275 - 275
0 - - -
262 Klorpromazin tab sal 100 mg Tab sal 0 162 - 162
0 - - -
263 Fenolgliserol TT 10% Kotak 0 1,108 - 1,108
0 1,109 - 24 1,109
0 - - -
265 Tetrasiklin kaps 250 mg Kaps 0 162 - 162
0 - - -
266 Kloroquin tab 250 mg 0 116 - 116
0 - - -
267 Papaverin tablet 40 mg 0 167 - 167
0 - - -
268 Prednison tab 5 mg Tab 0 125 - 125
0 - - -
269 Pirantel pamoat tab scored 125 mg Tab 0 318 - 318
0 - - -
270 Hidroklorotiazid (HCT) tab 25 mg Tab 0 109 - 109
0 - - -
271 Triheksifenidil tab 2 mg Tab 0 45 - 45
0 - - -
272 Piracetam tablet 1200 mg Tab 0 854 - 854
0 - - -
273 Vical suspensi btl 0 42,727 - 42,727
0 42,727 - 20 42,727
0 - - -
274 Lexavit tab 0 1,480 - 1,480
250 1,480 370,000 1,000 1,480
0 - - -
275 Gliseril Guaiakolat tab 100 mg Tab 0 31 - 31
0 - - -
276 Efedrin HCl tablet Tab 0 56 - 56
0 - - -
B.OBAT GIGI 0 - - -
1 Bonding Botol 0 765,000 - 765,000
0 765,000 - 2 765,000
0 - - -
2 Calcium hidrosida cement pasta (hycal) Kotak 0 242,000 - 242,000
0 - - -
3 Comfosite Tube 0 338,800 - 338,800
0 338,800 - 2 338,800
0 - - -
4 Devitalisasi Pasta (Non Arsen) Kotak 0 390,000 - 390,000
0 390,000 - 390,000
0 - - -
5 Eugenol cair Botol 0 18,333 - 18,333
0 18,333 - 18,333
0 - - -
6 Etil Klorida spray Botol 0 105,000 - 105,000
0 105,000 - 4 105,000
0 - - -
7 Etza Tube 0 170,000 - 170,000
0 - - -
8 Glass Ionomer Cement ART Set 0 395,000 - 395,000
0 197,895 - 2 197,895
0 - - -
9 Klorfenol Kamfer Menthol (CHKM) Botol 1 55,000 55,000 55,000
0 - - -
10 Semen Seng Fosfat serbuk dan cairan Set 0 93,500 - 93,500
2 93,500 187,000 93,500
0 - - -
11 Temporari stoping pletcher Set 0 34,000 - 34,000
0 34,000 - 34,000
0 - - -
12 Mummiyng pasta Kotak 0 176,000 - 176,000
0 - - -
C.OBAT PROGRAM 0 - - -
1 Albedazole 400mg Tab 0 425 - 425
2 Artemether inj 80 mg/ml Ampul 0 24,384 - 24,384
3 Artesunat serb inj 60 mg/ml (i.v./i.m.) Vial 0 27,569 - 27,569
8 27,569 220,552 27,569
0 - - -
4 Dietilkarbamazin tab 100 mg Tab 0 104 - 104
2000 104 208,000 104
0 - - -
5 Imersion oil Botol 0 825,000 - 825,000
6 Iodina Test Botol 0 4,545 - 4,545
7 Obat Anti Tuberculosis FDC Kategori Anak Paket 0 236,490 - 236,490
8 Obat Anti Tuberculosis FDC Kategori I Paket 0 396,000 - 396,000
9 Obat Anti Tuberculosis FDC Kategori II Paket 0 1,319,990 - 1,319,990

10 Obat Anti Tuberculosis FDC Kategori Sisipan Paket 0 175,899 - 175,899

11 Reagen Zenit Nelson Botol 0 145,000 - 145,000


12 RDT Dangue DBD Set 0 150,000 - 150,000
13 RDT malaria (care star ) Set 0 168,300 - 168,300
14 RDT HIV (intec) Set 0 46,200 - 46,200
15 RDT HIV (vikia) Set 0 45,560 - 45,560
16 RDT HIV (Oncoprobe) Set 0 42,350 - 42,350
17 Taburia Kotak 0 20,454 - 20,454
18 Quinina injeksi Ampul 0 4,438 - 4,438
19 Vaksin BCG inj (i.k) Vial 0 - - -
20 Vaksin campak inj (s.k.) Vial 0 - - -
21 Vaksin jerap difteri tetanus pertusis (DTP) inj (i Vial 0 - - -
22 Vaksin jerap difteri tetanus (DT) Vial 0 - - -
23 Vaksin kombinasi DPT + hepatitis B inj (i.m.) Vial 0 - - -
24 Vaksin polio drops 10 dosis Vial 0 285,000 - 285,000
Vaksin rabies, untuk manusia serb inj (s.k./i.k)
25 Vial 0 695,752 - 695,752
+ booster
Retinol (Vit.A) 200.000 IU kap lunak 0 412 - 412
Retinol (Vit.A) 100.000 IU kap lunak 0 286 - 286
zink tab.20mg 0 497 - 497
Doxiciklin tab 0 - - -
D.BAHAN MEDIS HABIS PAKAI (BHMP) 0 - - -
1 Alat suntik sekali pakai 1 ml Set 0 1,093 - 1,093
0 848 - 848
111 848 94,156 100 848
0 - - -
2 Alat suntik sekali pakai 2,5 ml Set 0 1,038 - 1,038
67 848 56,833 848
0 - - -
3 Alat suntik sekali pakai 3 ml Set 0 1,038 - 1,038
0 848 - 848
36 848 30,537 100 848
0 - - -
4 Alat suntik sekali pakai 5 ml Set 0 1,038 - 1,038
296 979 289,710 979
0 - - -
5 Bisturi no. 20 Buah 0 2,099 - 2,099
103 2,100 216,300 2,100
0 - - -
6 Bisturi no. 15 Buah 0 2,099 - 2,099
50 2,100 105,000 2,100
0 - - -
7 Catgut No 2/0 Set 25 6,400 160,000 6,400
24 25,920 622,080 25,920
0 - - -
8 Catgut No 3/0 Set 0 5,900 - 5,900
24 27,000 648,000 27,000
0 - - -
9 Handscoen no. 6 Pasang 0 6,595 - 6,595
0 - - -
10 Handscoen no. 6,5 Pasang 0 6,595 - 6,595
0 - - -
11 Handscoen no. 7 Pasang 0 4,250 - 4,250
0 7,684 - 7,684
0 - - -
12 Handscoen no. 7,5 Pasang 0 4,250 - 4,250
12 7,684 92,208 200 7,684
0 - - -
13 Infuset dewasa Set 0 3,500 - 3,500
13 4,176 54,288 20 4,176
0 - - -
14 Infusion set anak Set 4 4,000 16,000 4,000
0 4,568 - 7 4,568
0 - - -
15 IV Catheter No.16 G Set 0 7,937 - 7,937
0 - - -
15 IV Catheter No.18 G Set 0 6,600 - 6,600
0 - - -
16 IV Catheter No.24 G Set 6 7,787 46,722 7,787
0 - - -
17 IV Catheter No. 20 G Set 0 7,787 - 7,787
30 7,937 238,110 7,937
0 - - -
18 IV Catheter No. 22 G Set 14 7,787 109,018 50 7,787
0 - - -
19 Folley Catheter 16 Set 0 10,440 - 10,440
0 - - -
19 Folley Catheter 18 Set 0 8,495 - 8,495
0 10,440 - 10,440
0 - - -
20 Folley catheter 22 Set 0 8,495 - 8,495
0 10,440 - 10,440
0 - - -
21 Folley catheter 24 Set 0 495 - 495
0 10,440 - 10,440
0 - - -
22 Kapas Berlemak 250 gram Rol 0 7,500 - 7,500
0 27,821 - 4 27,821
0 - - -
23 Kapas Berlemak 500 gram Rol 0 17,250 - 17,250
0 - - -
24 Kasa Pembalut 4m x 3 cm Rol 0 800 - 800
0 - - -
25 Kasa Pembalut 4m x 5 cm Rol 0 887 - 887
0 - - -
26 Kasa Pembalut 4m x 10 cm Rol 0 607 - 607
21 6,121 128,541 6,121
0 - - -
27 Kasa Pembalut 4m x 15 cm Rol 0 887 - 887
0 - - -
28 Kasa Kompres 40/40 steril Buah 0 1,871 - 1,871
0 5,621 - 5,621
0 - - -
29 Kasa Steril 16 X 16 Buah 0 8,600 - 8,600
0 11,724 - 11,724
0 - - -
30 Kasa pembalut 2 x 80 Rol 0 10,467 - 10,467
0 13,221 - 13,221
0 - - -
31 Kasa Pembalut 40 x 80 Rol 0 - - -
0 137,025 - 137,025
0 - - -
32 Kasa Pembalut 36 x 80 cm Rol 0 55,200 - 55,200
0 133,821 - 4 133,821
0 - - -
33 Pembalut Gips Buah 2 32,500 65,000 32,500
0 - - -
34 Plester 5 yard x 2 inc Rol 0 23,625 - 23,625
7 23,625 165,375 23,625
0 - - -
35 Silk Set 0 5,082 - 5,082
24 18,781 450,744 18,781
0 - - -
36 Selang oksigen anak Set 0 - - -
0 - - -
37 Selang oksigen dewasa Set 0 - - -
0 - - -
38 Sofratulle Set 0 - - -
0 - - -
39 Urine bag Set 0 4,000 - 4,000
0 - - -
40 Wing Needle No. 21 G Set 0 5,770 - 5,770
200 5,770 1,154,000 5,770
0 - - -
41 Wing Needle No. 23 G Set 69 5,770 398,130 5,770
199 5,770 1,148,230 5,770
0 - - -
42 Wing Needle No.25 G Set 0 5,770 - 5,770
200 5,770 1,154,000 5,770
0 - - -
43 Wing Needle No. 27 G Set 0 5,770 - 5,770
0 - - -
44 NGT No. 3 ( Feeding Tube ) Set 0 22,000 - 22,000
0 - - -
45 NGT No. 5 ( Feeding Tube ) Set 0 22,000 - 22,000
0 - - -
46 Masker Buah 0 1,125 - 1,125
3 1,125 3,375 150 1,125
0 - - -
47 Tes gula darah Set 0 200,455 - 200,455
75 8,018 601,350 125 8,018
0 - - -
48 Tes Narkoba 3 parameter Set 0 68,181 - 68,181
0 - - -
49 Tes Narkoba 5 parameter Set 0 68,181 - 68,181
0 - - -
50 Tes Kehamilan Sachet 0 6,825 - 6,825
8,047,707
22,246,206

Mengetahui
Kepala Puskesmas Rumbia

Rahmat, AMK
Nip. 19721021 199403 1 004
AN OBAT DAN PERBEKES
SELAMA 1 TAHUN
UN 2016

BULAN : FEBRUARI
TAHUN : 2016

asi Masuk Mutasi Pengeluaran Saldo Akhir


uari 2016 Obat Puskesmas bulan Februari Per 28 Februari 2016
Nilai ( Rp) Jumlah Harga Satuan Nilai (Rp) Jumlah Harga Satuan Nilai (Rp)
9 10 11 12 13 14 15

- 6,050 - 0 6,050 -

- 3 2,200 6,600 6 2,200 13,200


- - - 0 - -
- 12,750 - 0 12,750 -
- 363 - 0 363 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 245 - 0 245 -
- 245 - 105 245 25,725
- - - 0 - -
- 18,635 - 0 18,635 -
- - - 0 - -
- 138 - 0 138 -
- 263 138 36,294 280 138 38,640
- - - 0 - -
- - - 0 - -
- 2,722 - 0 2,722 -
- 2,722 - 43 2,722 117,046
- - - 0 - -
- 4,204 - 0 4,204 -
- - - 0 - -
- 86 - 100 86 8,600
- 86 - 0 86 -

- 123 - 0 123 -
- 123 - 100 123 12,300
- - - 0 - -
- 1,863 - 0 1,863 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 2,560 - 0 2,560 -
- 2,560 - 0 2,560 -
- 2,560 - 0 2,560 -
512,000 72 2,560 184,320 231 2,560 591,360
- - - 0 - -
- 220 - 0 220 -
- 220 - 0 220 -
- 140 220 30,800 0 220 -
- - - 0 - -
- 279 - 0 279 -
- 279 - 0 279 -
864,900 320 279 89,280 2880 279 803,520
- - - 0 - -

- - - 0 - -

- - - 0 - -
- 78 - 0 78 -

156,000 290 78 22,620 2250 78 175,500


- - - 0 - -

- 2,213 - 62 2,213 137,206

221,300 39 2,213 86,307 61 2,213 134,993


- 2,213 - 0 2,213 -
- - - 0 - -

- 2,767 - 7 2,767 19,369

- - - 0 - -

- 2 2,096 4,192 11 2,096 23,056

- - - 0 - -

1,650,000 12 33,000 396,000 38 33,000 1,254,000

- 2,200 - 10 2,200 22,000


- - - 0 - -

- - - 0 - -

- - - 0 - -

- 149 - 0 149 -

- 10 149 1,490 71 149 10,579


- - - 0 - -
- 155 - 0 155 -
- - - 0 - -
- 1,346 - 0 1,346 -
- - - 0 - -
- 110 - 60 110 6,600
12,700 127 - 1100 127 139,700
- - - 0 - -
- 178 - 0 178 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 105 - 0 105 -
210,000 1040 105 109,200 1590 105 166,950
- - - 0 - -
- 52 - 0 52 -
- 60 52 3,120 584 52 30,368
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 127 - 0 127 -
- 127 - 0 127 -
381,000 845 127 107,315 2825 127 358,775
- - - 0 - -
- 3,650 - 25 3,650 91,250
- - - 0 - -

- 1,265 - 0 1,265 -

379,500 1,265 - 380 1,265 480,700

- - - 0 - -

- 15,900 - 22 15,900 349,800


- - - 0 - -

2,062,500 3 82,500 247,500 38 82,500 3,135,000


- - - 0 - -

- 251 - 0 251 -
50,200 0 251 - 200 251 50,200
- - - 0 - -
- 1,400 - 34 1,400 47,600
- - - 0 - -
- 81 - 0 81 -
- - - 0 - -

- - - 0 - -

- - - 0 - -
- 1,180 - 0 1,180 -
47,250 9 1,350 12,150 39 1,350 52,650
- - - 0 - -

- 73 - 0 73 -

- 55 - 0 55 -
- - - 0 - -
- 22,727 - 0 22,727 -
- 22,727 - 4 22,727 90,908
- - - 0 - -
- 1,596 - 0 1,596 -
119,700 30 1,596 47,880 87 1,596 138,852
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -

- - - 0 - -
- 42 - 0 42 -
- - - 0 - -
- 68 - 0 68 -
- 680 68 46,240 1870 68 127,160
- - - 0 - -
- 1,738 - 74 1,738 128,612
- - - 0 - -
- - - 0 - -
- 9,983 - 3 9,983 29,949
- - - 0 - -
- 2,578 - 0 2,578 -
- 2,578 - 53 2,578 136,634
- - - 0 - -

- - - 0 - -

- - - 0 - -
- - - 0 - -
- - - 0 - -
- 28 - 0 28 -
- - - 0 - -
- 28 - 85 28 2,380
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 1,160 - 47 1,160 54,520
- - - 0 - -
- 103 - 100 103 10,300
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 141 - 0 141 -
42,300 141 - 560 141 78,960
- - - 0 - -
27,830 10 278 2,783 190 278 52,877
- - - 0 - -
- 3,490 - 0 3,490 -
139,600 21 3,490 73,290 84 3,490 293,160
- - - 0 - -
- 174 - 0 174 -
17,400 71 174 12,354 549 174 95,526
- - - 0 - -
11,278 56 - 200 56 11,278
- - - 0 - -
- 42 - 160 42 6,720
42,000 42 - 4000 42 168,000
- - - 0 - -

534,600 8,910 - 90 8,910 801,900

- - - 0 - -
- 522 - 840 522 438,480
- 522 - 0 522 -
- - - 0 - -
- 7,581 - 49 7,581 371,469
- - - 0 - -
- 1,013 - 500 1,013 506,385
- 1,023 - 0 1,023 -
- - - 0 - -
- 2,625 - 0 2,625 -
- 2,625 - 0 2,625 -
105,000 22 2,625 57,750 91 2,625 238,875
- - - 0 - -
- 4,695 - 0 4,695 -
4,695 1 4,695 4,695 0 4,695 -
- - - 0 - -
- 124 - 0 124 -
- - - 0 - -
- - - 0 - -
- 124 - 0 124 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 146 - 100 146 14,600
- - - 0 - -
- 37 - 0 37 -
- 1,980 - 90 1,980 178,200
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 37 - 0 37 -
- - - 0 - -

- 698 - 0 698 -

- - - 0 - -
- 698 - 100 698 69,800
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 2,012 - 0 2,012 -
- - - 0 - -
- 2,012 - 39 2,012 78,468
- - - 0 - -
- 84 - 0 84 -
- 84 - 360 84 30,240
- - - 0 - -

- 317 - 0 317 -

- 317 - 0 317 -
- - - 0 - -
- 2,420 - 0 2,420 -
- - - 0 - -
- 323 - 0 323 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 3,739 - 0 3,739 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 2,340 - 0 2,340 -
- 2 1,469 2,938 10 1,469 14,690
- - - 0 - -
- 3,194 - 0 3,194 -
- - - 0 - -
- 61 - 0 61 -
- 61 - 320 61 19,520
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 31 - 0 31 -
- 31 - 0 31 -
- 300 31 9,300 10990 31 340,690
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 1 5,720 5,720 37 5,720 211,640
- - - 0 - -
- 6,270 - 15 6,270 94,050
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 230 - 0 230 -
- 20 230 4,600 0 230 -
- - - 0 - -
- 62 - 0 62 -
- - - 0 - -
- 76 - 0 76 -
- 76 - 190 76 14,440
- - - 0 - -
- 105 - 0 105 -
- 105 - 0 105 -
- 105 - 0 105 -
- - - 0 - -
- 38,500 - 0 38,500 -
- - - 0 - -
- 40 - 0 40 -
200,000 40 - 9500 40 380,000
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 330 - 0 330 -
- - - 0 - -
- 4,949 - 0 4,949 -
- - - 0 - -
- 80 127 10,164 90 127 11,435
- 121 - 500 121 60,500
- - - 0 - -
- 157 - 0 157 -
109,900 160 157 25,120 800 157 125,600
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 98 - 0 98 -
- 98 - 90 98 8,820
- - - 0 - -
- 10,000 - 17 10,000 170,000
- - - 0 - -
- 9,519 - 20 9,519 190,380
- - - 0 - -
- 51 - 0 51 -
- 76 - 0 76 -
76,000 300 76 22,800 810 76 61,560
- - - 0 - -
- 69 - 0 69 -
34,500 570 69 39,330 880 69 60,720
- - - 0 - -
- 97 - 0 97 -
58,200 10 97 970 590 97 57,230
- - - 0 - -
- 269 - 0 269 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 110,000 - 0 110,000 -
- - - 0 - -
- 320 - 0 320 -
- 30 320 9,600 190 320 60,800
- - - 0 - -
- 5,150 - 0 5,150 -
- 5,150 - 0 5,150 -
- - - 0 - -
- 2,665 - 0 2,665 -
- 2,665 - 90 2,665 239,850
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 405 - 0 405 -
- - - 0 - -
- 1,680 - 0 1,680 -
- - - 0 - -
- 275 - 90 275 24,750
- 275 - 0 275 -
- - - 0 - -
- 1,680 - 0 1,680 -
- 1,680 - 13 1,680 21,840
- - - 0 - -
- 4,016 - 13 4,016 52,208
- - - 0 - -
- 26 - 0 26 -
- 26 - 0 26 -
- 860 26 22,704 3999 26 105,574
- - - 0 - -
- 1,210 - 0 1,210 -
- - - 0 - -
- 152 - 0 152 -
- - - 0 - -
- 50 50 2,500 44 50 2,200
- - - 0 - -

- 531 - 0 531 -

- - - 0 - -

- - - 0 - -

- - - 0 - -

167,200 152 - 1100 152 167,200

- 152 - 0 152 -
- 152 - 2583 152 392,616
- - - 0 - -

- 79 - 0 79 -

- 79 - 480 79 37,920
- - - 0 - -

- 7 2,298 16,086 3 2,298 6,894

- - - 0 - -
- 6,820 - 0 6,820 -
- 6,820 - 0 6,820 -
- - - 0 - -
- 112 - 0 112 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 581 - 0 581 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 1,499 - 0 1,499 -
224,850 35 1,499 52,465 115 1,499 172,385
- 1,499 - 0 1,499 -
- - - 0 - -
- 54,995 - 0 54,995 -
- 54,995 - 0 54,995 -
- - - 0 - -
- 97 - 0 97 -
- 100 97 9,700 105 97 10,185
- - - 0 - -
- 170 - 0 170 -
- - - 0 - -
- 7,260 - 0 7,260 -
- 7,260 - 0 7,260 -
- - - 0 - -
- 7,260 - 0 7,260 -
- 7,260 - 20 7,260 145,200
- - - 0 - -
- 1,130 - 0 1,130 -
- - - 0 - -
- 3,887 - 0 3,887 -
- - - 0 - -
- 248 - 90 248 22,320
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 1,639 - 0 1,639 -
- - - 0 - -
- 30 133 3,993 10 133 1,331
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 1,100 - 0 1,100 -
- 1,100 - 0 1,100 -
33,000 5 1,100 5,500 55 1,100 60,500
- - - 0 - -

- - - 0 - -

- - - 0 - -
20,000 35 100 3,500 242 100 24,200
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 12,980 - 0 12,980 -
- 12,980 - 9 12,980 116,820
- - - 0 - -
- 116 - 0 116 -
11,600 250 116 29,000 200 116 23,200
- - - 0 - -
- - - 0 - -
101,400 170 169 28,730 800 169 135,200
- - - 0 - -
- 3,150 - 0 3,150 -
- 9 3,150 28,350 11 3,150 34,650
- - - 0 - -
- 146 - 0 146 -
- 146 - 0 146 -
146,000 610 146 89,060 470 146 68,620
- - - 0 - -
- 193 - 0 193 -
- 193 - 0 193 -
- 193 - 0 193 -
270,200 450 193 86,850 1290 193 248,970
- - - 0 - -
- 5,170 - 0 5,170 -
- 5,170 - 0 5,170 -
103,400 12 5,170 62,040 18 5,170 93,060
- - - 0 - -
- 127 - 0 127 -
- 10 127 1,270 894 127 113,538
- - - 0 - -

- 704 - 0 704 -

- - - 0 - -

- 448 - 190 448 85,120


- - - 0 - -
- 2,310 - 0 2,310 -
138,600 12 2,310 27,720 63 2,310 145,530
- - - 0 - -
- 440 - 0 440 -
- - - 0 - -
- 700 - 0 700 -
- 700 - 40 700 28,000
- - - 0 - -
- 3,410 - 0 3,410 -
- - - 0 - -
- 2,010 - 0 2,010 -
- 1,646 - 0 1,646 -
- 6 1,646 9,876 60 1,646 98,760
- - - 0 - -
- 2,772 - 0 2,772 -
- 5 2,772 13,860 139 2,772 385,308
- - - 0 - -
- 6,875 - 0 6,875 -
- 4 1,900 7,600 14 1,900 26,600
- - - 0 - -
- 221 - 0 221 -
- 221 - 0 221 -
- 221 - 0 221 -
- - - 0 - -
- 109 - 0 109 -
- 60 109 6,540 2850 109 310,650
- - - 0 - -
- 1,535 - 0 1,535 -
- 1,535 - 0 1,535 -
257,880 80 1,535 122,800 124 1,535 190,340
- - - 0 - -
- 105 - 0 105 -
73,500 200 105 21,000 600 105 63,000
- - - 0 - -
- 88 - 0 88 -
- 88 - 0 88 -
193,600 1115 88 98,120 1085 88 95,480
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 849 - 0 849 -
- 297 - 0 297 -
- 297 - 0 297 -
- 100 297 29,700 0 297 -
- - - 0 - -

- 25,350 - 0 25,350 -
76,050 1 25,350 25,350 3 25,350 76,050
- - - 0 - -
- 107 - 800 107 85,600
- 107 - 0 107 -
- - - 0 - -
- 964 - 0 964 -
- 30 964 28,920 220 964 212,080
- - - 0 - -
- 854 - 0 854 -
- 854 - 130 854 111,020
- - - 0 - -
3,025,000 60,500 - 50 60,500 3,025,000
- - - 0 - -
455,000 9,100 - 50 9,100 455,000
- - - 0 - -
- 318 - 0 318 -
19,080 7 318 2,226 83 318 26,394
- - - 0 - -
- 19 - 0 19 -
19,000 20 19 380 980 19 18,620
- - - 0 - -
- 116 - 0 116 -
139,200 400 116 46,400 1220 116 141,520
- - - 0 - -
- 18,635 - 0 18,635 -
223,620 2 18,635 37,270 10 18,635 186,350
- - - 0 - -

- 2,344 - 0 2,344 -

- 14 2,344 32,816 27 2,344 63,288


- - - 0 - -

30,772 15,386 - 2 15,386 30,772


- 15,386 - 0 15,386 -
- - - 0 - -

- 40,202 - 0 40,202 -

- 40,202 - 0 40,202 -
- - - 0 - -
- 98 - 0 98 -
196,000 50 98 4,900 2834 98 277,732
- - - 0 - -
- 125 - 985 125 123,125
- - - 0 - -
- 12,021 - 0 12,021 -
601,050 16 12,021 192,336 58 12,021 697,218
- - - 0 - -
- 297 - 100 297 29,700
- - - 0 - -
- 80 - 90 80 7,200
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 128 - 0 128 -
- 720 128 92,160 120 128 15,360
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 440 - 0 440 -
- - - 0 - -
- 624 - 0 624 -
- - - 0 - -
- 863 - 0 863 -
- - - 0 - -
- 5,720 - 0 5,720 -
343,200 74 5,720 423,280 27 5,720 154,440
- - - 0 - -
- 92 - 0 92 -
- 65 - 0 65 -
19,500 110 65 7,150 470 65 30,550
- - - 0 - -
- 93 - 0 93 -
- 90 93 8,370 560 93 52,080
- - - 0 - -

- 1,980 - 0 1,980 -

- 3 2,200 6,600 13 2,200 28,600


- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 548 - 0 548 -
493,200 550 548 301,400 350 548 191,800
- - - 0 - -
- 5,286 - 0 5,286 -
- 12 5,286 63,432 43 5,286 227,298
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 5,414 - 0 5,414 -
- - - 0 - -
- - - 0 - -
- - - 0 - -

145,062 1 1,451 1,451 99 1,451 143,611

- - - 0 - -
- 150 - 0 150 -

- - - 0 - -
- 138 - 0 138 -
- 138 - 0 138 -
- - - 0 - -
- 177 - 0 177 -
- - - 0 - -
- 480 - 0 480 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
218,680 312 - 700 312 218,680
- - - 0 - -
- - - 0 - -
- 350 - 200 350 70,000
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
95,400 477 - 200 477 95,400
- - - 0 - -
- - - 0 - -
- 1,155 - 100 1,155 115,500
- - - 0 - -
- 183 - 0 183 -
- - - 0 - -
- 283 - 0 283 -
- - - 0 - -

- 42 - 0 42 -
- 42 - 0 42 -
- - - 0 - -
- 770 - 0 770 -
- - - 0 - -
- 2,680 - 0 2,680 -
- - - 0 - -
- 363 - 22 363 7,986
- - - 0 - -
- 45 - 0 45 -
- 45 - 160 45 7,200
- - - 0 - -
- 63 - 0 63 -
- - - 0 - -
- 7,392 - 0 7,392 -
- - - 0 - -
- 112 - 0 112 -
- 112 - 0 112 -
336,000 1310 112 146,720 1890 112 211,680
- - - 0 - -
- 521 - 0 521 -
208,400 521 - 400 521 208,400
- 521 - 0 521 -
- - - 0 - -
- 8,140 - 0 8,140 -
- 2 8,140 16,280 5 8,140 40,700
- - - 0 - -
- 573 - 0 573 -
- 6,975 - 2 6,975 13,950
- - - 0 - -
- 10,395 - 4 10,395 41,580
- - - 0 - -
- 155 - 0 155 -
- 141 - 1000 141 141,000
- - - 0 - -
- - - 0 - -
- 1,210 - 0 1,210 -
- - - 0 - -

- 57 - 0 57 -

- - - 0 - -

- 116 - 0 116 -
- 572 - 0 572 -
- - - 0 - -
- 191 - 100 191 19,100
- - - 0 - -
- 275 - 0 275 -
- 275 - 0 275 -
- - - 0 - -
- 162 - 0 162 -
- - - 0 - -
- 1,108 - 0 1,108 -
26,616 1 1,109 1,109 23 1,109 25,507
- - - 0 - -
- 162 - 0 162 -
- - - 0 - -
- 116 - 0 116 -
- - - 0 - -
- 167 - 0 167 -
- - - 0 - -
- 125 - 0 125 -
- - - 0 - -
- 318 - 0 318 -
- - - 0 - -
- 109 - 0 109 -
- - - 0 - -
- 45 - 0 45 -
- - - 0 - -
- 854 - 0 854 -
- - - 0 - -
- 42,727 - 0 42,727 -
854,540 5 42,727 213,635 15 42,727 640,905
- -
- 1,480 - 0 1,480 -
1,480,000 250 1,480 370,000 1000 1,480 1,480,000
- -
- 31 - 0 31 -
- - - 0 - -
- 56 - 0 56 -
- - - 0 - -
- - - 0 - -
- 765,000 - 0 765,000 -
1,530,000 765,000 - 2 765,000 1,530,000
- - - 0 - -
- 242,000 - 0 242,000 -
- - - 0 - -
- 338,800 - 0 338,800 -
677,600 338,800 - 2 338,800 677,600
- - - 0 - -
- 390,000 - 0 390,000 -
- 390,000 - 0 390,000 -
- - - 0 - -
- 18,333 - 0 18,333 -
- 18,333 - 0 18,333 -
- - - 0 - -
- 105,000 - 0 105,000 -
420,000 105,000 - 4 105,000 420,000
- - - 0 - -
- 170,000 - 0 170,000 -
- - - 0 - -
- 395,000 - 0 395,000 -
395,790 2 197,895 395,790 0 197,895 -
- - - 0 - -
- 55,000 - 1 55,000 55,000
- - - 0 - -
- 93,500 - 0 93,500 -
- 93,500 - 2 93,500 187,000
- - - 0 - -
- 34,000 - 0 34,000 -
- 34,000 - 0 34,000 -
- - - 0 - -
- 176,000 - 0 176,000 -
- - - 0 - -
- - - 0 - -
- 425 - 0 425 -
- 24,384 - 0 24,384 -
- 27,569 - 0 27,569 -
- 27,569 - 8 27,569 220,552
- - - 0 - -
- 104 - 0 104 -
- 104 - 2000 104 208,000
- - - 0 - -
- 825,000 - 0 825,000 -
- 4,545 - 0 4,545 -
- 236,490 - 0 236,490 -
- 396,000 - 0 396,000 -
- 1,319,990 - 0 1,319,990 -

- 175,899 - 0 175,899 -

- 145,000 - 0 145,000 -
- 150,000 - 0 150,000 -
- 168,300 - 0 168,300 -
- 46,200 - 0 46,200 -
- 45,560 - 0 45,560 -
- 42,350 - 0 42,350 -
- 20,454 - 0 20,454 -
- 4,438 - 0 4,438 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 285,000 - 0 285,000 -

- 695,752 - 0 695,752 -

- 412 - 0 412 -
- 286 - 0 286 -
- 497 - 0 497 -
- - - 0 - -
- - - 0 - -
- 1,093 - 0 1,093 -
- 848 - 0 848 -
84,825 17 848 14,420 194 848 164,561
- - - 0 - -
- 1,038 - 0 1,038 -
- 17 848 14,420 50 848 42,413
- - - 0 - -
- 1,038 - 0 1,038 -
- 848 - 0 848 -
84,825 25 848 21,206 111 848 94,156
- - - 0 - -
- 1,038 - 0 1,038 -
- 48 979 46,980 248 979 242,730
- - - 0 - -
- 2,099 - 0 2,099 -
- 2,100 - 103 2,100 216,300
- - - 0 - -
- 2,099 - 0 2,099 -
- 13 2,100 27,300 37 2,100 77,700
- - - 0 - -
- 6,400 - 25 6,400 160,000
- 25,920 - 24 25,920 622,080
- - - 0 - -
- 5,900 - 0 5,900 -
- 27,000 - 24 27,000 648,000
- - - 0 - -
- 6,595 - 0 6,595 -
- - - 0 - -
- 6,595 - 0 6,595 -
- - - 0 - -
- 4,250 - 0 4,250 -
- 7,684 - 0 7,684 -
- - - 0 - -
- 4,250 - 0 4,250 -
1,536,800 27 7,684 207,468 185 7,684 1,421,540
- - - 0 - -
- 3,500 - 0 3,500 -
83,520 18 4,176 75,168 15 4,176 62,640
- - - 0 - -
- 4,000 - 4 4,000 16,000
31,976 4,568 - 7 4,568 31,976
- - - 0 - -
- 7,937 - 0 7,937 -
- - - 0 - -
- 6,600 - 0 6,600 -
- - - 0 - -
- 7,787 - 6 7,787 46,722
- - - 0 - -
- 7,787 - 0 7,787 -
- 1 7,937 7,937 29 7,937 230,173
- - - 0 - -
389,350 7,787 - 64 7,787 498,368
- - - 0 - -
- 10,440 - 0 10,440 -
- - - 0 - -
- 8,495 - 0 8,495 -
- 10,440 - 0 10,440 -
- - - 0 - -
- 8,495 - 0 8,495 -
- 10,440 - 0 10,440 -
- - - 0 - -
- 495 - 0 495 -
- 10,440 - 0 10,440 -
- - - 0 - -
- 7,500 - 0 7,500 -
111,284 27,821 - 4 27,821 111,284
- - - 0 - -
- 17,250 - 0 17,250 -
- - - 0 - -
- 800 - 0 800 -
- - - 0 - -
- 887 - 0 887 -
- - - 0 - -
- 607 - 0 607 -
- 21 6,121 128,541 0 6,121 -
- - - 0 - -
- 887 - 0 887 -
- - - 0 - -
- 1,871 - 0 1,871 -
- 5,621 - 0 5,621 -
- - - 0 - -
- 8,600 - 0 8,600 -
- 11,724 - 0 11,724 -
- - - 0 - -
- 10,467 - 0 10,467 -
- 13,221 - 0 13,221 -
- - - 0 - -
- - - 0 - -
- 137,025 - 0 137,025 -
- - - 0 - -
- 55,200 - 0 55,200 -
535,284 1 133,821 133,821 3 133,821 401,463
- - - 0 - -
- 32,500 - 2 32,500 65,000
- - - 0 - -
- 23,625 - 0 23,625 -
- 3 23,625 70,875 4 23,625 94,500
- - - 0 - -
- 5,082 - 0 5,082 -
- 1 18,781 18,781 23 18,781 431,963
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 4,000 - 0 4,000 -
- - - 0 - -
- 5,770 - 0 5,770 -
- 5,770 - 200 5,770 1,154,000
- - - 0 - -
- 5,770 - 69 5,770 398,130
- 5,770 - 199 5,770 1,148,230
- - - 0 - -
- 5,770 - 0 5,770 -
- 5,770 - 200 5,770 1,154,000
- - - 0 - -
- 5,770 - 0 5,770 -
- - - 0 - -
- 22,000 - 0 22,000 -
- - - 0 - -
- 22,000 - 0 22,000 -
- - - 0 - -
- 1,125 - 0 1,125 -
168,750 1,125 - 153 1,125 172,125
- - - 0 - -
- 200,455 - 0 200,455 -
1,002,250 125 8,018 1,002,250 75 8,018 601,350
- - - 0 - -
- 68,181 - 0 68,181 -
- - - 0 - -
- 68,181 - 0 68,181 -
- - - 0 - -
- 6,825 - 0 6,825 -
4,028,864 1,769,168 10,307,403
25,869,207 6,678,828 41,436,584

Rumbia, 28 Februari 2016

Penanggung Jawab
Laporan

Wa Ode Wahyuni Hambe, S. Si, Apt


Nip. 19870305 201101 2 019
REKAPAN PENGGUNAAN OBAT DAN PERBE
PUSKESMAS SELAMA 1 TAHUN
TAHUN 2016

SKPD : PUSKESMAS RUMBIA


KABUPATEN : BOMBANA
PROVINSI : SULAWESI TENGARA

Saldo Awal 2016 Mutasi Masuk


Satuan /
No Nama Obat 1 Maret 2016 Maret 2016
Kemasan
Jumlah Harga Satuan (Rp) Nilai (Rp) Jumlah Harga Satuan
1 2 3 4 5 6 7 8
OBAT

1 Air untuk injeksi amp 25 ml (aqua pro injeksi) Ampul 0 6,050 - 6,050

6 2,200 13,200 2,200


0 - - -
2 Albendazol tab 400 mg Tab 0 12,750 - 12,750
0 363 - 363
0 - - -
3 Alopurinol tab 100 mg Tab 0 - - -
0 - - -
4 Alprazolam tab 1 mg Tab 0 245 - 245
105 245 25,725 100 245
0 - - -
5 Albothyl cairan Botol 0 18,635 - 18,635
0 - - -
6 Ambroksol tablet 30 mg Tab 0 138 - 138
280 138 38,640 200 138
0 - - -
0 - - -
7 Ambroksol sirup Botol 0 2,722 - 2,722
43 2,722 117,046 2,722
0 - - -
8 Aminofilin inj 24 mg/ml Ampul 0 4,204 - 4,204
0 - - -
9 Aminofilin tab 200 mg Tab 100 86 8,600 86
0 86 - 86

10 Amitriptilin tab sal 25 mg Tab sal 0 123 - 123


100 123 12,300 123
0 - - -
11 Amlodipin tab 10 mg Tab 0 1,863 - 1,863
0 - - -
12 Amlodipin tab 5 mg Tab 0 - - -
0 - - -
13 Amoksisilin sir kering 125 mg/5 ml Botol 0 2,560 - 2,560
0 2,560 - 2,560
0 2,560 - 2,560
231 2,560 591,360 2,560
0 - - -
14 Amoksisilin tab 250 mg Tab 0 220 - 220
0 220 - 220
0 220 - 220
0 - - -
15 Amoksisilin tab 500 mg Tab 0 279 - 279
0 279 - 279
2880 279 803,520 279
0 - - -
Anestetik lokal gigi kombinasi : lidokain hcl
16 2% + epinefrin 1 : 80.000 inj 2 ml Ampul 0 - - -

0 - - -
Antasida, kombinasi : aluminium hidroksida
17 Tab kunyah 0 78 - 78
200 mg + magnesium hidroksida 200 mg

2250 78 175,500 78
0 - - -
Antasida, kombinasi : aluminium hidroksida
18 200 mg + magnesium hidroksida 200 mg Botol 62 2,213 137,206 2,213
Suspensi
61 2,213 134,993 2,213
0 2,213 - 2,213
0 - - -
Antibakteri, kombinasi : basitrasin 500 UI/g+
19 Tube 7 2,767 19,369 2,767
Polimiskin B 10.000 UI/g
Antifungi salep, kombinasi : asam benzoat 6% 0 - - -
+ asam salisilat 3%
20 Tube 11 2,096 23,056 2,096

0 - - -
mg + heksaklorofen 2,5 mg + lidokain
lidokain 10 mg+ seng oksida 120 mg + sup
21 ad 2 g Suppo 38 33,000 1,254,000 33,000

10 2,200 22,000 2,200


0 - - -
Anti Parkinson kombinasi : benzerasid 25 mg +
22 Kaps 0 - - -
levodopa 100 mg
0 - - -
Anti Migren, kombinasi : ergotamin 1 mg+
23 Tab 0 149 - 149
kafein 50 mg
71 149 10,579 149
0 - - -
24 Antalgin (metampirom) tablet 100 mg Tab 0 155 - 155
0 - - -
25 Antalgin (metampirom) injeksi 250 mg/ml-2 ml Ampul 0 1,346 - 1,346
0 - - -
26 Asam asetilsalisilat (asetosal) tab 100 mg Tab 60 110 6,600 110
1100 127 139,700 127
0 - - -
27 Asam asetilsalisilat (asetosal) tab 500 mg Tab 0 178 - 178
0 - - -
Asam asetilsalisilat (asetosal) tab 80 mg
28 Tab 0 - - -
(Miniaspi 80)
0 - - -
29 Asam askorbat (vitamin C) tab 50 mg Tab 0 105 - 105
1590 105 166,950 500 105
0 - - -
30 Asam folat tab 1 mg Tab 0 52 - 52
584 52 30,368 52
0 - - -
31 Asam mefenamat kaps 250 mg Kaps 0 - - -
0 - - -
32 Asam mefenamat kaps 500 mg Kaps 0 127 - 127
0 127 - 127
2825 127 358,775 127
0 - - -
33 Asam traneksamat inj 50 mg/ml Ampul 25 3,650 91,250 3,650
0 - - -

34 Asam traneksamat tab 500 mg Tab 0 1,265 - 1,265

380 1,265 480,700 1,265

0 - - -

35 Asering larutan infus Botol 22 15,900 349,800 15,900


0 - - -

36 Asiklovir salep kulit Tube 38 82,500 3,135,000 82,500


0 - - -

37 Asiklovir tab 200 mg Tab 0 251 - 251


200 251 50,200 251
0 - - -
38 Atropin inj 0,25 mg/ml (i.m./i.v./s.k) Ampul 34 1,400 47,600 1,400
0 - - -
39 Atropin tab 0,5 mg Tab 0 81 - 81
0 - - -

40 Atropin tts mata 0,5% (Cendotropin 0,5%) Botol 0 - - -

0 - - -
41 Bedak salisil serb 2% Botol 0 1,180 - 1,180
39 1,350 52,650 1,350
0 - - -
Besi (II) sulfat 200 mg + asam folat 0.25 mg
42 Sachet 0 73 - 73
(tablet tambah darah)
0 55 - 55
0 - - -
43 Becefort syrup Botol 0 22,727 - 22,727
4 22,727 90,908 22,727
0 - - -
44 Betametason krim 0,1% Tube 0 1,596 - 1,596
87 1,596 138,852 1,596
0 - - -
45 Betahistin mesilate tablet tablet 0 - - -
0 - - -
46 Bisakodil sup 10 mg (Stolax) Botol 0 - - -
0 - - -
47 Bisakodil tab sal 5 mg Tab sal 0 - - -
0 - - -
48 Bismecon salep tube 0 - - -
0 - - -
Budesonid-formoterol (fixed combination)* ih
49 Botol 0 - - -
80/4,5 mcg
0 - - -
50 Bromheksin tablet tablet 0 42 - 42
0 - - -
51 Deksametason tab 0,5 mg Tab 0 68 - 68
1870 68 127,160 68
0 - - -
52 Deksametason inj 5 mg/ml (i.v./i.m.) Vial 74 1,738 128,612 1,738
0 - - -
53 Desoksimetason salep 0,25% Tube 0 - - -
3 9,983 29,949 9,983
0 - - -
54 Diazepam inj 5 mg/ml (i.v./i.m.) Vial 0 2,578 - 2,578
53 2,578 136,634 2,578
0 - - -

55 Diazepam lar rektal 10 mg/2,5 ml (Stesolid) Botol 0 - - -

0 - - -
56 Diazepam supposutoria suppo 0 - - -
0 - - -
57 Diazepam tab 2 mg Tab 0 28 - 28
0 - - -
58 Diazepam tab 5 mg Tab 85 28 2,380 28
0 - - -
59 Dietilkarbamazin tab 100 mg Tab 0 - - -
0 - - -
60 Difenhidramin inj 10 mg/ml (i.v./i.m.) Ampul 47 1,160 54,520 1,160
0 - - -
61 Digoksin tab 0,25 mg Tab 100 103 10,300 103
0 - - -
62 Diltiazem kaps SR 100 mg Kaps 0 - - -
0 - - -
63 Diltiazem tab 30 mg Tab 0 141 - 141
560 141 78,960 141
0 - - -
64 Doksisiklin tablet 100 mg Tab 190 278 52,877 278
0 - - -
65 Domperidon susp 5 mg/5 ml Botol 0 3,490 - 3,490
84 3,490 293,160 3,490
0 - - -
66 Domperidon tab 10 mg Tab 0 174 - 174
549 174 95,526 174
0 - - -
67 Efedrin HCl tablet Tab 200 56 11,278 56
0 - - -
68 Ekstrak belladon tablet 10 mg tab 160 42 6,720 42
4000 42 168,000 42
0 - - -

69 Epinefrin (adrenalin) inj 0,1% (i.v./s.k./i.m.) Ampul 90 8,910 801,900 8,910

0 - - -
70 Eritromisin kaps 250 mg Kaps 840 522 438,480 522
0 522 - 522
0 - - -
71 Eritromisin sir 200 mg/5 ml Botol 49 7,581 371,469 7,581
0 - - -
72 Eritromisin tab 500 mg Tab 500 1,013 506,385 1,013
0 1,023 - 1,023
0 - - -
73 Etanol 70% cairan 70% Botol 0 2,625 - 2,625
0 2,625 - 2,625
91 2,625 238,875 2,625
0 - - -
74 Etakridin (rivanol) larutan 0.1% Botol 0 4,695 - 4,695
0 4,695 - 4,695
0 - - -
75 Etil klorida semprot 100 ml Botol 0 124 - 124
0 - - -
76 Famotidin tablet 20 mg Tab 0 - - -
0 124 - 124
0 - - -
77 Fenitoin Na inj 50 mg/ml Ampul 0 - - -
0 - - -
78 Fenitoin Na kaps 100 mg Kaps 0 - - -
100 146 14,600 146
0 - - -
79 Fenobarbital inj 50 mg/ml Ampul 0 37 - 37
90 1,980 178,200 1,980
0 - - -
80 Fenobarbital tab 100 mg Tab 0 - - -
0 - - -
81 Fenobarbital tab 30 mg Tab 0 37 - 37
0 - - -

82 Fitomenadion (vitamin K 1) inj 2 mg/ml (i.m.) Vial 0 698 - 698

0 - - -
83 Fitomenadion (vitamin K 1) tab sal 10 mg Tab sal 100 698 69,800 698
0 - - -
84 Flukonazol kaps 150 mg Kaps 0 - - -
0 - - -
85 Flusinolon asetonid krim 0,025% Tube 0 - - -
0 - - -
86 Flunarizin tablet tablet 0 2,012 - 2,012
0 - - -
87 Furosemid inj 10 mg/ml (i.v./i.m.) Ampul 39 2,012 78,468 2,012
0 - - -
88 Furosemid tab 40 mg Tab 0 84 - 84
360 84 30,240 84
0 - - -
Garam oralit kombinasi : natrium klorida 0,52
g + kalium klorida 0,30 g + trinatrium sitrat
89 Sachet 0 317 - 317
0,58 g + glukosa anhidrat 2,7 g

0 317 - 317
0 - - -
90 Gameksan lotion 1 % Botol 0 2,420 - 2,420
0 - - -
91 Gemfibrozil kaps 300 mg Kaps 0 323 - 323
0 - - -
92 Gemfibrozil kaps 600 mg Kaps 0 - - -
0 - - -
93 Gentamisin inj 10 mg/ml Ampul 0 3,739 - 3,739
0 - - -
94 Gentamisin salep mata 0,3% Tube 0 - - -
0 - - -
95 Gentamisin salep Kulit Tube 0 2,340 - 2,340
10 1,469 14,690 20 1,469
0 - - -
96 Gentamisin tts mata 0,3% Botol 0 3,194 - 3,194
0 - - -
97 Glibenklamid tab 5 mg Tab 0 61 - 61
320 61 19,520 61
0 - - -
98 Glimepirid tab 4 mg Tab 0 - - -
0 - - -
99 Glipizid tablet 5 mg (Glucotrol 5 mg) Tab 0 - - -
0 - - -
100 Gliseril Guaiakolat tab 100 mg Tab 0 31 - 31
0 31 - 31
10990 31 340,690 31
0 - - -
101 Gliserin lar 50% Botol 0 - - -
0 - - -
102 Glukosamin tablet 500 mg Tab 0 - - -
0 - - -
103 Glukosa Larutan Infus 5% steril Botol 37 5,720 211,640 5,720
0 - - -
104 Glukosa Larutan Infus 10% steril Botol 15 6,270 94,050 6,270
0 - - -
105 Glukosa Larutan Infus 40% steril Botol 0 - - -
0 - - -
106 Griseofulvin (micronized) tab 125 mg Tab 0 230 - 230
0 230 - 230
0 - - -
107 Haloperidol tab 0,5 mg Tab 0 62 - 62
0 - - -
108 Haloperidol tab 1,5 mg Tab 0 76 - 76
190 76 14,440 76
0 - - -
109 Haloperidol tab 5 mg Tab 0 105 - 105
0 105 - 105
0 105 - 105
0 - - -
110 Hidrogen peroksida (H2O2) cairan 3% Botol 0 38,500 - 38,500
0 - - -
111 Hidroklorotiazid (HCT) tab 25 mg Tab 0 40 - 40
9500 40 380,000 40
0 - - -
112 Hidrokortison krim 2,5% Tube 0 - - -
0 - - -
113 Hiosina butilbromida tab 10 mg Tab 0 330 - 330
0 - - -
114 Ibuprofen susp 100 mg/5 ml Botol 0 4,949 - 4,949
0 - - -
115 Ibuprofen tab 200 mg Tab 90 127 11,435 127
500 121 60,500 121
0 - - -
116 Ibuprofen tab 400 mg Tab 0 157 - 157
800 157 125,600 200 157
0 - - -
Ipratropium bromida nebulizer 0,025%
117 Botol 0 - - -
(Atroven sol. for inhalation 0.025%)
0 - - -
118 Isoniazid tab 300 mg Tab 0 - - -
0 - - -
119 Isosorbid dinitrat inj 10 mg/10 ml (Fasorbid) Vial 0 - - -
0 - - -
120 Isosorbid dinitrat tab 5 mg Tab 0 98 - 98
90 98 8,820 98
0 - - -
121 KA-EN 3B Cairan Infus Botol 17 10,000 170,000 10,000
0 - - -
122 Kalsium glukonat inj 100 mg/ml Ampul 20 9,519 190,380 9,519
0 - - -
123 Kalsium laktat (kalk) tab 500 mg Tab 0 51 - 51
0 76 - 76
810 76 61,560 76
0 - - -
124 Kaptopril tab 12,5 mg Tab 0 69 - 69
880 69 60,720 69
0 - - -
125 Kaptopril tab 25 mg Tab 0 97 - 97
590 97 57,230 97
0 - - -
126 Karbamazepin tab 200 mg Tab 0 269 - 269
0 - - -
127 Karbo adsorben (Norit) tab 500 mg Tab 0 - - -
0 - - -
128 Ketamin inj 50 mg/ml (i.v.) Ampul 0 110,000 - 110,000
0 - - -
129 Ketokonazol tab 200 mg Tab 0 320 - 320
190 320 60,800 320
0 - - -
130 Ketokonazol krim 2% Tube 0 5,150 - 5,150
0 5,150 - 5,150
0 - - -
131 Ketorolak inj 10 mg/ml Ampul 0 2,665 - 2,665
90 2,665 239,850 2,665
0 - - -
132 Klaritromisin tab 500 mg Tab 0 - - -
0 - - -
133 Klindamisin kaps 150 mg Kaps 0 405 - 405
0 - - -
134 Kloramfenikol tts mata 0,5% Botol 0 1,680 - 1,680
0 - - -
135 Kloramfenikol kaps 250 mg Kaps 90 275 24,750 275
0 275 - 275
0 - - -
136 Kloramfenikol salep mata 1% Tube 0 1,680 - 1,680
13 1,680 21,840 1,680
0 - - -
137 Kloramfenikol susp 125 mg/5 ml Botol 13 4,016 52,208 4,016
0 - - -
138 Klorfeniramin (CTM) tab 4 mg Tab 0 26 - 26
0 26 - 26
3999 26 105,574 26
0 - - -
139 Klorpromazin inj 25 mg/ml (i.m.) Ampul 0 1,210 - 1,210
0 - - -
140 Klorpromazin tab sal 100 mg Tab sal 0 152 - 152
0 - - -
141 Klorpromazin tab sal 25 mg Tab sal 44 50 2,200 50
0 - - -

142 Kombinasi : Pirimethamin 25 mg + sulfadoksin Tab 0 531 - 531

Kombinasi: ipratropium Br 0,5 mg+ 0 - - -


salbutamol 2,5 mg nebules (Combivent UDV)
143 Vial 0 - - -

0 - - -
Kotrimoksazol (dewasa) kombinasi :
sulfametoksazol 400 mg+ trimetoprim 80
144 Tab 1100 152 167,200 152
mg

0 152 - 152
2583 152 392,616 152
0 - - -
Kotrimoksazol (anak) kombinasi :
sulfametoksazol 100 mg+ trimetoprim 20
145 Tab 0 79 - 79
mg

480 79 37,920 79
0 - - -
Kotrimoksazol (dewasa) kombinasi tiap 5 ml
146 suspensi : sulfametoksazol 200 mg + Botol 3 2,298 6,894 2,298
trimetoprim 40 mg
0 - - -
147 Kuinin inj 25% (i.v.) Vial 0 6,820 - 6,820
0 6,820 - 6,820
0 - - -
148 Kloroquin tab 150 mg Tab 0 112 - 112
0 - - -
149 Lansoprazol kaps 30 mg Kaps 0 - - -
0 - - -
150 Levofloksasin tab 500 mg Tab 0 581 - 581
0 - - -
151 Lidokain gel 2% Tube 0 - - -
0 - - -
152 Lidokain inj 2% (hcl) Vial 0 1,499 - 1,499
115 1,499 172,385 1,499
0 1,499 - 1,499
0 - - -
153 Lisol Botol 0 54,995 - 54,995
0 54,995 - 54,995
0 - - -
154 Loperamid tab 2 mg Tab 0 97 - 97
105 97 10,185 97
0 - - -
155 Loratadin tab 10 mg Tab 0 170 - 170
0 - - -
156 Magnesium sulfat inj 20% Vial 0 7,260 - 7,260
0 7,260 - 7,260
0 - - -
157 Magnesium sulfat inj 40% Vial 0 7,260 - 7,260
20 7,260 145,200 7,260
0 - - -
158 Magnesium sulfat serb, ktg 30 g Sachet 0 1,130 - 1,130
0 - - -
159 Mebendazol sir 50 mg/ml Botol 0 3,887 - 3,887
0 - - -
160 Mebendazol tab 100 mg Tan 90 248 22,320 248
0 - - -
161 Metformin tab 500 mg Tab 0 - - -
0 - - -
162 Metformin tab 850 mg Tab 0 - - -
0 - - -
163 Metilergometrin inj 0,2 mg/ml Ampul 0 1,639 - 1,639
0 - - -
164 Metilergometrin tab salut 0,125 mg Tab sal 10 133 1,331 133
0 - - -
165 Metilprednisolon tab 4 mg Tab 0 - - -
0 - - -
166 Metoklopramid inj 5 mg/ml Vial 0 1,100 - 1,100
0 1,100 - 1,100
55 1,100 60,500 1,100
0 - - -

167 Metoklopramid sir 5 mg/5 ml (Lexapram sirup) Botol 0 - - -

0 - - -
168 Metoklopramid tab 10 mg Tab 242 100 24,200 100
0 - - -
169 Metronidazol supposutoria 500 mg suppo 0 - - -
0 - - -
170 Metronidazol larutan infus Botol 0 12,980 - 12,980
9 12,980 116,820 12,980
0 - - -
171 Metronidazol tab 250 mg Tab 0 116 - 116
200 116 23,200 116
0 - - -
172 Metronidazol tab 500 mg Tab 0 - - -
800 169 135,200 169
0 - - -
173 Mikonazol krim 2% Tube 0 3,150 - 3,150
11 3,150 34,650 3,150
0 - - -
174 Natrium diklofenak tab 25 mg Tab 0 146 - 146
0 146 - 146
470 146 68,620 146
0 - - -
175 Natrium diklofenak tab 50 mg Tab 0 193 - 193
0 193 - 193
0 193 - 193
1290 193 248,970 193
0 - - -
176 NaCl 0,9% Larutan infus Botol 0 5,170 - 5,170
0 5,170 - 5,170
18 5,170 93,060 20 5,170
0 - - -
177 Nifedipin kaps 10 mg Kaps 0 127 - 127
894 127 113,538 127
0 - - -

178 Nistatin tab salut 500.000 UI Tab 0 704 - 704

0 - - -

179 Nistatin tab vaginal 100.000 UI Tab 190 448 85,120 448
0 - - -
180 Obat Batuk Hitam (OBH) Botol 0 2,310 - 2,310
63 2,310 145,530 2,310
0 - - -
181 Ofloksasin tab 200 mg Tab 0 440 - 440
0 - - -
182 Ofloksasin tab 400 mg Tab 0 700 - 700
40 700 28,000 700
0 - - -
183 Oksitetrasiklin hcl inj 500 mg/ml Vial 0 3,410 - 3,410
0 - - -
184 Oksitetrasiklin hcl salep kulit 3% Tube 0 2,010 - 2,010
0 1,646 - 1,646
60 1,646 98,760 1,646
0 - - -
185 Oksitetrasiklin hcl salep mata 1 % Tube 0 2,772 - 2,772
139 2,772 385,308 2,772
0 - - -
186 Oksitosin inj 10 UI/ml Ampul 0 6,875 - 6,875
14 1,900 26,600 1,900
0 - - -
187 Omeprazol kaps 20 mg Kaps 0 221 - 221
0 221 - 221
0 221 - 221
0 - - -
188 Papaverin tablet 40 mg Tab 0 109 - 109
2850 109 310,650 109
0 - - -
189 Parasetamol sir 120 mg/5 ml Botol 0 1,535 - 1,535
0 1,535 - 1,535
124 1,535 190,340 150 1,535
0 - - -
190 Parasetamol tab 100 mg Tab 0 105 - 105
600 105 63,000 105
0 - - -
191 Parasetamol tab 500 mg Tab 0 88 - 88
0 88 - 88
1085 88 95,480 1,400 88
0 - - -
192 Parasetamol rectal suppo 0 - - -
0 - - -
193 Pehavral tablet multivitamin Tab 0 849 - 849
0 297 - 297
0 297 - 297
0 297 - 297
0 - - -

194 Perak sulfadiazin krim 1% (Burnazin 35 gr) Tube 0 25,350 - 25,350


3 25,350 76,050 25,350
0 - - -
195 Phenylbutazon tablet 200 mg Tab 800 107 85,600 107
0 107 - 107
0 - - -
196 Piracetam tablet 800 mg Tab 0 964 - 964
220 964 212,080 964
0 - - -
197 Piracetam tablet 1200 mg Tab 0 854 - 854
130 854 111,020 854
0 - - -
198 Piracetam injeksi 1 g/5 ml Ampul 50 60,500 3,025,000 60,500
0 - - -
199 Pirantel pamoat susp 125 mg/5 ml Botol 50 9,100 455,000 9,100
0 - - -
200 Pirantel pamoat tab scored 125 mg Tab 0 318 - 318
83 318 26,394 318
0 - - -
201 Piridoksin (vitamin B6) tab 25 mg Tab 0 19 - 19
980 19 18,620 19
0 - - -
202 Piroksikam tablet 20 mg Tab 0 116 - 116
1220 116 141,520 116
0 - - -
203 Polikresulen Botol 0 18,635 - 18,635
10 18,635 186,350 18,635
0 - - -

204 Povidon iodin lar 100 mg/ml Botol 30 ml 0 2,344 - 2,344

27 2,344 63,288 2,344


0 - - -
Botol 300
205 Povidon iodin lar 100 mg/ml 2 15,386 30,772 15,386
ml
0 15,386 - 15,386
0 - - -
Botol 1000
206 Povidon iodin lar 100 mg/ml 0 40,202 - 40,202
ml
0 40,202 - 40,202
0 - - -
207 Prednison tab 5 mg Tab 0 98 - 98
2834 98 277,732 98
0 - - -
208 Primakuin tab 15 mg Tab 985 125 123,125 125
0 - - -
209 Procurma syrup Botol 0 12,021 - 12,021
58 12,021 697,218 12,021
0 - - -
210 Propiltiourasil tab 100 mg Tab 100 297 29,700 297
0 - - -
211 Propranolol tab 40 mg Tab 90 80 7,200 80
0 - - -
212 Ranitidin inj 25 mg/ml Ampul 0 - - -
0 - - -
213 Ranitidin tab 150 mg Tab 0 128 - 128
120 128 15,360 100 128
0 - - -
214 Reserpin tablet 0.25 mg Tab 0 - - -
0 - - -
215 Rifampisin kaps 300 mg Kaps 0 440 - 440
0 - - -
216 Rifampisin tab 450 mg Tab 0 624 - 624
0 - - -
217 Rifampisin tab 600 mg Tab 0 863 - 863
0 - - -
218 Ringer Laktat Larutan infus Botol 0 5,720 - 5,720
27 5,720 154,440 140 5,720
0 - - -
219 Salbutamol tab 2 mg Tab 0 92 - 92
0 65 - 65
470 65 30,550 65
0 - - -
220 Salbutamol tab 4 mg Tab 0 93 - 93
560 93 52,080 93
0 - - -
Salep 2-4, kombinasi : asam salisilat 2 %+
221 Tube 0 1,980 - 1,980
belerang endap 4 %
13 2,200 28,600 2,200
0 - - -
222 Scabicid salep Tube 0 - - -
223 Sefadroksil kaps 250 mg Vial 0 - - -
0 - - -
224 Sefadroksil kaps/tab 500 mg Tab 0 548 - 548
350 548 191,800 500 548
0 - - -
225 Sefadroksil sir kering 125 mg/5 ml Botol 0 5,286 - 5,286
43 5,286 227,298 5,286
0 - - -
226 Sefiksim kapsul 100 mg Tab 0 - - -
0 - - -
227 Sefotaksim serb inj 1.000 mg/vial Vial 0 - - -
0 - - -
228 Seftriakson serb inj 1.000 mg/vial Vial 0 5,414 - 5,414
0 - - -
229 Setirizin tab 10 mg Tab 0 - - -
0 - - -

230 Sianokobalamin (vitamin B12) inj 500 mcg/ml Vial 99 1,451 143,611 1,451

0 - - -
231 Sianokobalamin (vitamin B12) tab 50 mcg Tab 0 150 - 150

0 - - -
232 Simetidin tablet 200 mg Tab 0 138 - 138
0 138 - 138
0 - - -
233 Simvastatin tab sal 10 mg Tab sal 0 177 - 177
0 - - -
234 Simvastatin tab sal 20 mg Tab sal 0 480 - 480
0 - - -
235 Siprofloksasin inf 2 mg/ml Botol 0 - - -
0 - - -
236 Siprofloksasin tab scored 500 mg Tab 700 312 218,680 312
0 - - -
237 Spironolakton tab 100 mg Tab 0 - - -
200 350 70,000 350
0 - - -
238 Sulfasetamid Natrium Tetes mata 1.5% Botol 0 - - -
0 - - -
239 Sukralfat susp 500 mg/5 ml (Ulsafate) Botol 0 - - -
0 - - -
240 Sukralfat tab 500 mg (Ulsidex) Tab 0 - - -
200 477 95,400 477
0 - - -
241 Teofilin tab SR 300 mg (Rethapyl) Tab 0 - - -
100 1,155 115,500 1,155
0 - - -
242 Tetrasiklin kaps 250 mg Kaps 0 183 - 183
0 - - -
243 Tetrasiklin kaps 500 mg Kaps 0 283 - 283
0 - - -

244 Tiamin (vitamin B1) mononitrat tab 50 mg Tab 0 42 - 42


0 42 - 42
0 - - -
245 Tiamin (vitamin B1) injeksi 100 mg/ml Tab 0 770 - 770
0 - - -
246 Tramadol inj 50 mg/ml Ampul 0 2,680 - 2,680
0 - - -
247 Tramadol tablet 500 mg Tab 22 363 7,986 363
0 - - -
248 Triheksifenidil tab 2 mg Tab 0 45 - 45
160 45 7,200 45
0 - - -
249 Vitamin B12 tablet 50 mcg Tab 0 63 - 63
0 - - -
250 Vitamin B kompleks injeksi Vial 0 7,392 - 7,392
0 - - -
251 Vitamin B kompleks Tab 0 112 - 112
0 112 - 112
1890 112 211,680 1,000 112
0 - - -
252 Zinc tab disp 20 mg Tab 0 521 - 521
400 521 208,400 521
0 521 - 521
0 - - -
253 Zinc sirup 20 mg / 5 ml Botol 0 8,140 - 8,140
5 8,140 40,700 8,140
0 - - -
254 Larutan PK botol 0 573 - 573
2 6,975 13,950 6,975
0 - - -
255 Kanamisin inj Vial 4 10,395 41,580 10,395
0 - - -
256 Antalgin 500mg tab 0 155 - 155
1000 141 141,000 141
0 - - -
257 Klorpromazin inj 25 mg/ml (i.m.) Ampul 0 - - -
0 1,210 - 1,210
0 - - -

258 Kalsium laktat (kalk) tab 500 mg Tab 0 57 - 57

0 - - -

259 Kloroquin tab 250 mg Tab 0 116 - 116


0 572 - 572
0 - - -
260 Klonidin 0,15 mg Tab 100 191 19,100 191
0 - - -
261 Kloramfenikol kaps 250 mg Kaps 0 275 - 275
0 275 - 275
0 - - -
262 Klorpromazin tab sal 100 mg Tab sal 0 162 - 162
0 - - -
263 Fenolgliserol TT 10% Kotak 0 1,108 - 1,108
23 1,109 25,507 1,109
0 - - -
265 Tetrasiklin kaps 250 mg Kaps 0 162 - 162
0 - - -
266 Kloroquin tab 250 mg 0 116 - 116
0 - - -
267 Papaverin tablet 40 mg 0 167 - 167
0 - - -
268 Prednison tab 5 mg Tab 0 125 - 125
0 - - -
269 Pirantel pamoat tab scored 125 mg Tab 0 318 - 318
0 - - -
270 Hidroklorotiazid (HCT) tab 25 mg Tab 0 109 - 109
0 - - -
271 Triheksifenidil tab 2 mg Tab 0 45 - 45
0 - - -
272 Piracetam tablet 1200 mg Tab 0 854 - 854
0 - - -
273 Vical suspensi btl 0 42,727 - 42,727
15 42,727 640,905 42,727
0 - - -
274 Lexavit tab 0 1,480 - 1,480
1000 1,480 1,480,000 1,480
0 - - -
275 Gliseril Guaiakolat tab 100 mg Tab 0 31 - 31
0 - - -
276 Efedrin HCl tablet Tab 0 56 - 56
0 - - -
B.OBAT GIGI 0 - - -
1 Bonding Botol 0 765,000 - 765,000
2 765,000 1,530,000 765,000
0 - - -
2 Calcium hidrosida cement pasta (hycal) Kotak 0 242,000 - 242,000
0 - - -
3 Comfosite Tube 0 338,800 - 338,800
2 338,800 677,600 338,800
0 - - -
4 Devitalisasi Pasta (Non Arsen) Kotak 0 390,000 - 390,000
0 390,000 - 390,000
0 - - -
5 Eugenol cair Botol 0 18,333 - 18,333
0 18,333 - 18,333
0 - - -
6 Etil Klorida spray Botol 0 105,000 - 105,000
4 105,000 420,000 105,000
0 - - -
7 Etza Tube 0 170,000 - 170,000
0 - - -
8 Glass Ionomer Cement ART Set 0 395,000 - 395,000
0 197,895 - 197,895
0 - - -
9 Klorfenol Kamfer Menthol (CHKM) Botol 1 55,000 55,000 55,000
0 - - -
10 Semen Seng Fosfat serbuk dan cairan Set 0 93,500 - 93,500
2 93,500 187,000 93,500
0 - - -
11 Temporari stoping pletcher Set 0 34,000 - 34,000
0 34,000 - 34,000
0 - - -
12 Mummiyng pasta Kotak 0 176,000 - 176,000
0 - - -
C.OBAT PROGRAM 0 - - -
1 Albedazole 400mg Tab 0 425 - 425
2 Artemether inj 80 mg/ml Ampul 0 24,384 - 24,384
3 Artesunat serb inj 60 mg/ml (i.v./i.m.) Vial 0 27,569 - 27,569
8 27,569 220,552 27,569
0 - - -
4 Dietilkarbamazin tab 100 mg Tab 0 104 - 104
2000 104 208,000 104
0 - - -
5 Imersion oil Botol 0 825,000 - 825,000
6 Iodina Test Botol 0 4,545 - 4,545
7 Obat Anti Tuberculosis FDC Kategori Anak Paket 0 236,490 - 236,490
8 Obat Anti Tuberculosis FDC Kategori I Paket 0 396,000 - 396,000
9 Obat Anti Tuberculosis FDC Kategori II Paket 0 1,319,990 - 1,319,990

10 Obat Anti Tuberculosis FDC Kategori Sisipan Paket 0 175,899 - 175,899

11 Reagen Zenit Nelson Botol 0 145,000 - 145,000


12 RDT Dangue DBD Set 0 150,000 - 150,000
13 RDT malaria (care star ) Set 0 168,300 - 168,300
14 RDT HIV (intec) Set 0 46,200 - 46,200
15 RDT HIV (vikia) Set 0 45,560 - 45,560
16 RDT HIV (Oncoprobe) Set 0 42,350 - 42,350
17 Taburia Kotak 0 20,454 - 20,454
18 Quinina injeksi Ampul 0 4,438 - 4,438
19 Vaksin BCG inj (i.k) Vial 0 - - -
20 Vaksin campak inj (s.k.) Vial 0 - - -
21 Vaksin jerap difteri tetanus pertusis (DTP) inj (i Vial 0 - - -
22 Vaksin jerap difteri tetanus (DT) Vial 0 - - -
23 Vaksin kombinasi DPT + hepatitis B inj (i.m.) Vial 0 - - -
24 Vaksin polio drops 10 dosis Vial 0 285,000 - 285,000
Vaksin rabies, untuk manusia serb inj (s.k./i.k)
25 Vial 0 695,752 - 695,752
+ booster
Retinol (Vit.A) 200.000 IU kap lunak 0 412 - 412
Retinol (Vit.A) 100.000 IU kap lunak 0 286 - 286
zink tab.20mg 0 497 - 497
Doxiciklin tab 0 - - -
D.BAHAN MEDIS HABIS PAKAI (BHMP) 0 - - -
1 Alat suntik sekali pakai 1 ml Set 0 1,093 - 1,093
0 848 - 848
194 848 164,561 848
0 - - -
2 Alat suntik sekali pakai 2,5 ml Set 0 1,038 - 1,038
50 848 42,413 848
0 - - -
3 Alat suntik sekali pakai 3 ml Set 0 1,038 - 1,038
0 848 - 848
111 848 94,156 848
0 - - -
4 Alat suntik sekali pakai 5 ml Set 0 1,038 - 1,038
248 979 242,730 979
0 - - -
5 Bisturi no. 20 Buah 0 2,099 - 2,099
103 2,100 216,300 2,100
0 - - -
6 Bisturi no. 15 Buah 0 2,099 - 2,099
37 2,100 77,700 2,100
0 - - -
7 Catgut No 2/0 Set 25 6,400 160,000 6,400
24 25,920 622,080 25,920
0 - - -
8 Catgut No 3/0 Set 0 5,900 - 5,900
24 27,000 648,000 27,000
0 - - -
9 Handscoen no. 6 Pasang 0 6,595 - 6,595
0 - - -
10 Handscoen no. 6,5 Pasang 0 6,595 - 6,595
0 - - -
11 Handscoen no. 7 Pasang 0 4,250 - 4,250
0 7,684 - 7,684
0 - - -
12 Handscoen no. 7,5 Pasang 0 4,250 - 4,250
185 7,684 1,421,540 7,684
0 - - -
13 Infuset dewasa Set 0 3,500 - 3,500
15 4,176 62,640 39 4,176
0 - - -
14 Infusion set anak Set 4 4,000 16,000 4,000
7 4,568 31,976 4,568
0 - - -
15 IV Catheter No.16 G Set 0 7,937 - 7,937
0 - - -
15 IV Catheter No.18 G Set 0 6,600 - 6,600
0 - - -
16 IV Catheter No.24 G Set 6 7,787 46,722 7,787
0 - - 9 7,787
17 IV Catheter No. 20 G Set 0 7,787 - 7,787
29 7,937 230,173 7,937
0 - - -
18 IV Catheter No. 22 G Set 64 7,787 498,368 7,787
0 - - -
19 Folley Catheter 16 Set 0 10,440 - 10,440
0 - - -
19 Folley Catheter 18 Set 0 8,495 - 8,495
0 10,440 - 10,440
0 - - -
20 Folley catheter 22 Set 0 8,495 - 8,495
0 10,440 - 10,440
0 - - -
21 Folley catheter 24 Set 0 495 - 495
0 10,440 - 10,440
0 - - -
22 Kapas Berlemak 250 gram Rol 0 7,500 - 7,500
4 27,821 111,284 27,821
0 - - -
23 Kapas Berlemak 500 gram Rol 0 17,250 - 17,250
0 - - -
24 Kasa Pembalut 4m x 3 cm Rol 0 800 - 800
0 - - -
25 Kasa Pembalut 4m x 5 cm Rol 0 887 - 887
0 - - -
26 Kasa Pembalut 4m x 10 cm Rol 0 607 - 607
0 6,121 - 6,121
0 - - -
27 Kasa Pembalut 4m x 15 cm Rol 0 887 - 887
0 - - -
28 Kasa Kompres 40/40 steril Buah 0 1,871 - 1,871
0 5,621 - 5,621
0 - - -
29 Kasa Steril 16 X 16 Buah 0 8,600 - 8,600
0 11,724 - 11,724
0 - - -
30 Kasa pembalut 2 x 80 Rol 0 10,467 - 10,467
0 13,221 - 13,221
0 - - -
31 Kasa Pembalut 40 x 80 Rol 0 - - -
0 137,025 - 137,025
0 - - -
32 Kasa Pembalut 36 x 80 cm Rol 0 55,200 - 55,200
3 133,821 401,463 1 133,821
0 - - -
33 Pembalut Gips Buah 2 32,500 65,000 32,500
0 - - -
34 Plester 5 yard x 2 inc Rol 0 23,625 - 23,625
4 23,625 94,500 3 23,625
0 - - -
35 Silk Set 0 5,082 - 5,082
23 18,781 431,963 18,781
0 - - -
36 Selang oksigen anak Set 0 - - -
0 - - -
37 Selang oksigen dewasa Set 0 - - -
0 - - -
38 Sofratulle Set 0 - - -
0 - - -
39 Urine bag Set 0 4,000 - 4,000
0 - - -
40 Wing Needle No. 21 G Set 0 5,770 - 5,770
200 5,770 1,154,000 5,770
0 - - -
41 Wing Needle No. 23 G Set 69 5,770 398,130 5,770
199 5,770 1,148,230 5,770
0 - - -
42 Wing Needle No.25 G Set 0 5,770 - 5,770
200 5,770 1,154,000 5,770
0 - - -
43 Wing Needle No. 27 G Set 0 5,770 - 5,770
0 - - -
44 NGT No. 3 ( Feeding Tube ) Set 0 22,000 - 22,000
0 - - -
45 NGT No. 5 ( Feeding Tube ) Set 0 22,000 - 22,000
0 - - -
46 Masker Buah 0 1,125 - 1,125
153 1,125 172,125 1,125
0 - - -
47 Tes gula darah Set 0 200,455 - 200,455
75 8,018 601,350 8,018
0 - - -
48 Tes Narkoba 3 parameter Set 0 68,181 - 68,181
0 - - -
49 Tes Narkoba 5 parameter Set 0 68,181 - 68,181
0 - - -
50 Tes Kehamilan Sachet 0 6,825 - 6,825
10,307,403
41,436,584

Mengetahui
Kepala Puskesmas Rumbia

Rahmat, AMK
Nip. 19721021 199403 1 004
AN OBAT DAN PERBEKES
SELAMA 1 TAHUN
UN 2016

BULAN : MARET
TAHUN : 2016

asi Masuk Mutasi Pengeluaran Saldo Akhir


ret 2016 Obat Puskesmas bulan Maret Per 31 Maret 2016
Nilai ( Rp) Jumlah Harga Satuan Nilai (Rp) Jumlah Harga Satuan Nilai (Rp)
9 10 11 12 13 14 15

- 6,050 - 0 6,050 -

- 1 2,200 2,200 5 2,200 11,000


- - - 0 - -
- 12,750 - 0 12,750 -
- 363 - 0 363 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 245 - 0 245 -
24,500 245 - 205 245 50,225
- - - 0 - -
- 18,635 - 0 18,635 -
- - - 0 - -
- 138 - 0 138 -
27,600 250 138 34,500 230 138 31,740
- - - 0 - -
- - - 0 - -
- 2,722 - 0 2,722 -
- 16 2,722 43,552 27 2,722 73,494
- - - 0 - -
- 4,204 - 0 4,204 -
- - - 0 - -
- 86 - 100 86 8,600
- 86 - 0 86 -

- 123 - 0 123 -
- 123 - 100 123 12,300
- - - 0 - -
- 1,863 - 0 1,863 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 2,560 - 0 2,560 -
- 2,560 - 0 2,560 -
- 2,560 - 0 2,560 -
- 92 2,560 235,520 139 2,560 355,840
- - - 0 - -
- 220 - 0 220 -
- 220 - 0 220 -
- 220 - 0 220 -
- - - 0 - -
- 279 - 0 279 -
- 279 - 0 279 -
- 1980 279 552,420 900 279 251,100
- - - 0 - -

- - - 0 - -

- - - 0 - -
- 78 - 0 78 -

- 240 78 18,720 2010 78 156,780


- - - 0 - -

- 23 2,213 50,899 39 2,213 86,307

- 2,213 - 61 2,213 134,993


- 2,213 - 0 2,213 -
- - - 0 - -

- 2,767 - 7 2,767 19,369

- - - 0 - -

- 1 2,096 2,096 10 2,096 20,960

- - - 0 - -

- 1 33,000 33,000 37 33,000 1,221,000

- 2,200 - 10 2,200 22,000


- - - 0 - -

- - - 0 - -

- - - 0 - -

- 149 - 0 149 -

- 10 149 1,490 61 149 9,089


- - - 0 - -
- 155 - 0 155 -
- - - 0 - -
- 1,346 - 0 1,346 -
- - - 0 - -
- 110 - 60 110 6,600
- 127 - 1100 127 139,700
- - - 0 - -
- 178 - 0 178 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 105 - 0 105 -
52,500 1790 105 187,950 300 105 31,500
- - - 0 - -
- 52 - 0 52 -
- 52 - 584 52 30,368
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 127 - 0 127 -
- 127 - 0 127 -
- 1640 127 208,280 1185 127 150,495
- - - 0 - -
- 3,650 - 25 3,650 91,250
- - - 0 - -

- 1,265 - 0 1,265 -

- 1,265 - 380 1,265 480,700

- - - 0 - -

- 15,900 - 22 15,900 349,800


- - - 0 - -

- 3 82,500 247,500 35 82,500 2,887,500


- - - 0 - -

- 251 - 0 251 -
- 30 251 7,530 170 251 42,670
- - - 0 - -
- 1,400 - 34 1,400 47,600
- - - 0 - -
- 81 - 0 81 -
- - - 0 - -

- - - 0 - -

- - - 0 - -
- 1,180 - 0 1,180 -
- 14 1,350 18,900 25 1,350 33,750
- - - 0 - -

- 73 - 0 73 -

- 55 - 0 55 -
- - - 0 - -
- 22,727 - 0 22,727 -
- 22,727 - 4 22,727 90,908
- - - 0 - -
- 1,596 - 0 1,596 -
- 25 1,596 39,900 62 1,596 98,952
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -

- - - 0 - -
- 42 - 0 42 -
- - - 0 - -
- 68 - 0 68 -
- 645 68 43,860 1225 68 83,300
- - - 0 - -
- 1,738 - 74 1,738 128,612
- - - 0 - -
- - - 0 - -
- 2 9,983 19,966 1 9,983 9,983
- - - 0 - -
- 2,578 - 0 2,578 -
- 2,578 - 53 2,578 136,634
- - - 0 - -

- - - 0 - -

- - - 0 - -
- - - 0 - -
- - - 0 - -
- 28 - 0 28 -
- - - 0 - -
- 28 - 85 28 2,380
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 1,160 - 47 1,160 54,520
- - - 0 - -
- 103 - 100 103 10,300
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 141 - 0 141 -
- 141 - 560 141 78,960
- - - 0 - -
- 278 - 190 278 52,877
- - - 0 - -
- 3,490 - 0 3,490 -
- 24 3,490 83,760 60 3,490 209,400
- - - 0 - -
- 174 - 0 174 -
- 218 174 37,932 331 174 57,594
- - - 0 - -
- 100 56 5,639 100 56 5,639
- - - 0 - -
- 42 - 160 42 6,720
- 42 - 4000 42 168,000
- - - 0 - -

- 8,910 - 90 8,910 801,900

- - - 0 - -
- 522 - 840 522 438,480
- 522 - 0 522 -
- - - 0 - -
- 49 7,581 371,469 0 7,581 -
- - - 0 - -
- 1,013 - 500 1,013 506,385
- 1,023 - 0 1,023 -
- - - 0 - -
- 2,625 - 0 2,625 -
- 2,625 - 0 2,625 -
- 20 2,625 52,500 71 2,625 186,375
- - - 0 - -
- 4,695 - 0 4,695 -
- 4,695 - 0 4,695 -
- - - 0 - -
- 124 - 0 124 -
- - - 0 - -
- - - 0 - -
- 124 - 0 124 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 146 - 100 146 14,600
- - - 0 - -
- 37 - 0 37 -
- 1,980 - 90 1,980 178,200
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 37 - 0 37 -
- - - 0 - -

- 698 - 0 698 -

- - - 0 - -
- 698 - 100 698 69,800
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 2,012 - 0 2,012 -
- - - 0 - -
- 2,012 - 39 2,012 78,468
- - - 0 - -
- 84 - 0 84 -
- 84 - 360 84 30,240
- - - 0 - -

- 317 - 0 317 -

- 317 - 0 317 -
- - - 0 - -
- 2,420 - 0 2,420 -
- - - 0 - -
- 323 - 0 323 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 3,739 - 0 3,739 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 2,340 - 0 2,340 -
29,380 10 1,469 14,690 20 1,469 29,380
- - - 0 - -
- 3,194 - 0 3,194 -
- - - 0 - -
- 61 - 0 61 -
- 61 - 320 61 19,520
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 31 - 0 31 -
- 31 - 0 31 -
- 820 31 25,420 10170 31 315,270
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 5,720 - 37 5,720 211,640
- - - 0 - -
- 6,270 - 15 6,270 94,050
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 230 - 0 230 -
- 230 - 0 230 -
- - - 0 - -
- 62 - 0 62 -
- - - 0 - -
- 76 - 0 76 -
- 76 - 190 76 14,440
- - - 0 - -
- 105 - 0 105 -
- 105 - 0 105 -
- 105 - 0 105 -
- - - 0 - -
- 38,500 - 0 38,500 -
- - - 0 - -
- 40 - 0 40 -
- 40 - 9500 40 380,000
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 330 - 0 330 -
- - - 0 - -
- 4,949 - 0 4,949 -
- - - 0 - -
- 90 127 11,435 0 127 -
- 121 - 500 121 60,500
- - - 0 - -
- 157 - 0 157 -
31,400 592 157 92,944 408 157 64,056
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 98 - 0 98 -
- 98 - 90 98 8,820
- - - 0 - -
- 10,000 - 17 10,000 170,000
- - - 0 - -
- 9,519 - 20 9,519 190,380
- - - 0 - -
- 51 - 0 51 -
- 76 - 0 76 -
- 570 76 43,320 240 76 18,240
- - - 0 - -
- 69 - 0 69 -
- 650 69 44,850 230 69 15,870
- - - 0 - -
- 97 - 0 97 -
- 97 - 590 97 57,230
- - - 0 - -
- 269 - 0 269 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 110,000 - 0 110,000 -
- - - 0 - -
- 320 - 0 320 -
- 40 320 12,800 150 320 48,000
- - - 0 - -
- 5,150 - 0 5,150 -
- 5,150 - 0 5,150 -
- - - 0 - -
- 2,665 - 0 2,665 -
- 2,665 - 90 2,665 239,850
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 405 - 0 405 -
- - - 0 - -
- 1,680 - 0 1,680 -
- - - 0 - -
- 275 - 90 275 24,750
- 275 - 0 275 -
- - - 0 - -
- 1,680 - 0 1,680 -
- 1,680 - 13 1,680 21,840
- - - 0 - -
- 4,016 - 13 4,016 52,208
- - - 0 - -
- 26 - 0 26 -
- 26 - 0 26 -
- 1030 26 27,192 2969 26 78,382
- - - 0 - -
- 1,210 - 0 1,210 -
- - - 0 - -
- 152 - 0 152 -
- - - 0 - -
- 50 - 44 50 2,200
- - - 0 - -

- 531 - 0 531 -

- - - 0 - -

- - - 0 - -

- - - 0 - -

- 152 - 1100 152 167,200

- 152 - 0 152 -
- 152 - 2583 152 392,616
- - - 0 - -

- 79 - 0 79 -

- 20 79 1,580 460 79 36,340


- - - 0 - -

- 3 2,298 6,894 0 2,298 -

- - - 0 - -
- 6,820 - 0 6,820 -
- 6,820 - 0 6,820 -
- - - 0 - -
- 112 - 0 112 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 581 - 0 581 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 1,499 - 0 1,499 -
- 64 1,499 95,936 51 1,499 76,449
- 1,499 - 0 1,499 -
- - - 0 - -
- 54,995 - 0 54,995 -
- 54,995 - 0 54,995 -
- - - 0 - -
- 97 - 0 97 -
- 90 97 8,730 15 97 1,455
- - - 0 - -
- 170 - 0 170 -
- - - 0 - -
- 7,260 - 0 7,260 -
- 7,260 - 0 7,260 -
- - - 0 - -
- 7,260 - 0 7,260 -
- 7,260 - 20 7,260 145,200
- - - 0 - -
- 1,130 - 0 1,130 -
- - - 0 - -
- 3,887 - 0 3,887 -
- - - 0 - -
- 248 - 90 248 22,320
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 1,639 - 0 1,639 -
- - - 0 - -
- 10 133 1,331 0 133 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 1,100 - 0 1,100 -
- 1,100 - 0 1,100 -
- 55 1,100 60,500 0 1,100 -
- - - 0 - -

- - - 0 - -

- - - 0 - -
- 10 100 1,000 232 100 23,200
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 12,980 - 0 12,980 -
- 12,980 - 9 12,980 116,820
- - - 0 - -
- 116 - 0 116 -
- 20 116 2,320 180 116 20,880
- - - 0 - -
- - - 0 - -
- 220 169 37,180 580 169 98,020
- - - 0 - -
- 3,150 - 0 3,150 -
- 5 3,150 15,750 6 3,150 18,900
- - - 0 - -
- 146 - 0 146 -
- 146 - 0 146 -
- 410 146 59,860 60 146 8,760
- - - 0 - -
- 193 - 0 193 -
- 193 - 0 193 -
- 193 - 0 193 -
- 760 193 146,680 530 193 102,290
- - - 0 - -
- 5,170 - 0 5,170 -
- 5,170 - 0 5,170 -
103,400 18 5,170 93,060 20 5,170 103,400
- - - 0 - -
- 127 - 0 127 -
- 34 127 4,318 860 127 109,220
- - - 0 - -

- 704 - 0 704 -

- - - 0 - -

- 448 - 190 448 85,120


- - - 0 - -
- 2,310 - 0 2,310 -
- 14 2,310 32,340 49 2,310 113,190
- - - 0 - -
- 440 - 0 440 -
- - - 0 - -
- 700 - 0 700 -
- 700 - 40 700 28,000
- - - 0 - -
- 3,410 - 0 3,410 -
- - - 0 - -
- 2,010 - 0 2,010 -
- 1,646 - 0 1,646 -
- 9 1,646 14,814 51 1,646 83,946
- - - 0 - -
- 2,772 - 0 2,772 -
- 8 2,772 22,176 131 2,772 363,132
- - - 0 - -
- 6,875 - 0 6,875 -
- 1,900 - 14 1,900 26,600
- - - 0 - -
- 221 - 0 221 -
- 221 - 0 221 -
- 221 - 0 221 -
- - - 0 - -
- 109 - 0 109 -
- 20 109 2,180 2830 109 308,470
- - - 0 - -
- 1,535 - 0 1,535 -
- 1,535 - 0 1,535 -
230,250 152 1,535 233,320 122 1,535 187,270
- - - 0 - -
- 105 - 0 105 -
- 200 105 21,000 400 105 42,000
- - - 0 - -
- 88 - 0 88 -
- 88 - 0 88 -
123,200 1765 88 155,320 720 88 63,360
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 849 - 0 849 -
- 297 - 0 297 -
- 297 - 0 297 -
- 297 - 0 297 -
- - - 0 - -

- 25,350 - 0 25,350 -
- 25,350 - 3 25,350 76,050
- - - 0 - -
- 107 - 800 107 85,600
- 107 - 0 107 -
- - - 0 - -
- 964 - 0 964 -
- 10 964 9,640 210 964 202,440
- - - 0 - -
- 854 - 0 854 -
- 854 - 130 854 111,020
- - - 0 - -
- 60,500 - 50 60,500 3,025,000
- - - 0 - -
- 1 9,100 9,100 49 9,100 445,900
- - - 0 - -
- 318 - 0 318 -
- 4 318 1,272 79 318 25,122
- - - 0 - -
- 19 - 0 19 -
- 430 19 8,170 550 19 10,450
- - - 0 - -
- 116 - 0 116 -
- 210 116 24,360 1010 116 117,160
- - - 0 - -
- 18,635 - 0 18,635 -
- 18,635 - 10 18,635 186,350
- - - 0 - -

- 2,344 - 0 2,344 -

- 5 2,344 11,720 22 2,344 51,568


- - - 0 - -

- 15,386 - 2 15,386 30,772


- 15,386 - 0 15,386 -
- - - 0 - -

- 40,202 - 0 40,202 -

- 40,202 - 0 40,202 -
- - - 0 - -
- 98 - 0 98 -
- 570 98 55,860 2264 98 221,872
- - - 0 - -
- 125 - 985 125 123,125
- - - 0 - -
- 12,021 - 0 12,021 -
- 18 12,021 216,378 40 12,021 480,840
- - - 0 - -
- 297 - 100 297 29,700
- - - 0 - -
- 80 - 90 80 7,200
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 128 - 0 128 -
12,800 220 128 28,160 0 128 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 440 - 0 440 -
- - - 0 - -
- 624 - 0 624 -
- - - 0 - -
- 863 - 0 863 -
- - - 0 - -
- 5,720 - 0 5,720 -
800,800 124 5,720 709,280 43 5,720 245,960
- - - 0 - -
- 92 - 0 92 -
- 65 - 0 65 -
- 190 65 12,350 280 65 18,200
- - - 0 - -
- 93 - 0 93 -
- 160 93 14,880 400 93 37,200
- - - 0 - -

- 1,980 - 0 1,980 -

- 2,200 - 13 2,200 28,600


- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 548 - 0 548 -
274,000 850 548 465,800 548 -
- - - 0 - -
- 5,286 - 0 5,286 -
- 14 5,286 74,004 29 5,286 153,294
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 5,414 - 0 5,414 -
- - - 0 - -
- - - 0 - -
- - - 0 - -

- 40 1,451 58,025 59 1,451 85,587

- - - 0 - -
- 150 - 0 150 -

- - - 0 - -
- 138 - 0 138 -
- 138 - 0 138 -
- - - 0 - -
- 177 - 0 177 -
- - - 0 - -
- 480 - 0 480 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 312 - 700 312 218,680
- - - 0 - -
- - - 0 - -
- 350 - 200 350 70,000
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 100 477 47,700 100 477 47,700
- - - 0 - -
- - - 0 - -
- 1,155 - 100 1,155 115,500
- - - 0 - -
- 183 - 0 183 -
- - - 0 - -
- 283 - 0 283 -
- - - 0 - -

- 42 - 0 42 -
- 42 - 0 42 -
- - - 0 - -
- 770 - 0 770 -
- - - 0 - -
- 2,680 - 0 2,680 -
- - - 0 - -
- 363 - 22 363 7,986
- - - 0 - -
- 45 - 0 45 -
- 45 - 160 45 7,200
- - - 0 - -
- 63 - 0 63 -
- - - 0 - -
- 7,392 - 0 7,392 -
- - - 0 - -
- 112 - 0 112 -
- 112 - 0 112 -
112,000 1530 112 171,360 1360 112 152,320
- - - 0 - -
- 521 - 0 521 -
- 521 - 400 521 208,400
- 521 - 0 521 -
- - - 0 - -
- 8,140 - 0 8,140 -
- 8,140 - 5 8,140 40,700
- - - 0 - -
- 573 - 0 573 -
- 6,975 - 2 6,975 13,950
- - - 0 - -
- 4 10,395 41,580 0 10,395 -
- - - 0 - -
- 155 - 0 155 -
- 141 - 1000 141 141,000
- - - 0 - -
- - - 0 - -
- 1,210 - 0 1,210 -
- - - 0 - -

- 57 - 0 57 -

- - - 0 - -

- 116 - 0 116 -
- 572 - 0 572 -
- - - 0 - -
- 191 - 100 191 19,100
- - - 0 - -
- 275 - 0 275 -
- 275 - 0 275 -
- - - 0 - -
- 162 - 0 162 -
- - - 0 - -
- 1,108 - 0 1,108 -
- 7 1,109 7,763 16 1,109 17,744
- - - 0 - -
- 162 - 0 162 -
- - - 0 - -
- 116 - 0 116 -
- - - 0 - -
- 167 - 0 167 -
- - - 0 - -
- 125 - 0 125 -
- - - 0 - -
- 318 - 0 318 -
- - - 0 - -
- 109 - 0 109 -
- - - 0 - -
- 45 - 0 45 -
- - - 0 - -
- 854 - 0 854 -
- - - 0 - -
- 42,727 - 0 42,727 -
- 3 42,727 128,181 12 42,727 512,724
- -
- 1,480 - 0 1,480 -
- 265 1,480 392,200 735 1,480 1,087,800
- -
- 31 - 0 31 -
- - - 0 - -
- 56 - 0 56 -
- - - 0 - -
- - - 0 - -
- 765,000 - 0 765,000 -
- 765,000 - 2 765,000 1,530,000
- - - 0 - -
- 242,000 - 0 242,000 -
- - - 0 - -
- 338,800 - 0 338,800 -
- 338,800 - 2 338,800 677,600
- - - 0 - -
- 390,000 - 0 390,000 -
- 390,000 - 0 390,000 -
- - - 0 - -
- 18,333 - 0 18,333 -
- 18,333 - 0 18,333 -
- - - 0 - -
- 105,000 - 0 105,000 -
- 105,000 - 4 105,000 420,000
- - - 0 - -
- 170,000 - 0 170,000 -
- - - 0 - -
- 395,000 - 0 395,000 -
- 197,895 - 0 197,895 -
- - - 0 - -
- 55,000 - 1 55,000 55,000
- - - 0 - -
- 93,500 - 0 93,500 -
- 93,500 - 2 93,500 187,000
- - - 0 - -
- 34,000 - 0 34,000 -
- 34,000 - 0 34,000 -
- - - 0 - -
- 176,000 - 0 176,000 -
- - - 0 - -
- - - 0 - -
- 425 - 0 425 -
- 24,384 - 0 24,384 -
- 27,569 - 0 27,569 -
- 27,569 - 8 27,569 220,552
- - - 0 - -
- 104 - 0 104 -
- 104 - 2000 104 208,000
- - - 0 - -
- 825,000 - 0 825,000 -
- 4,545 - 0 4,545 -
- 236,490 - 0 236,490 -
- 396,000 - 0 396,000 -
- 1,319,990 - 0 1,319,990 -

- 175,899 - 0 175,899 -

- 145,000 - 0 145,000 -
- 150,000 - 0 150,000 -
- 168,300 - 0 168,300 -
- 46,200 - 0 46,200 -
- 45,560 - 0 45,560 -
- 42,350 - 0 42,350 -
- 20,454 - 0 20,454 -
- 4,438 - 0 4,438 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 285,000 - 0 285,000 -

- 695,752 - 0 695,752 -

- 412 - 0 412 -
- 286 - 0 286 -
- 497 - 0 497 -
- - - 0 - -
- - - 0 - -
- 1,093 - 0 1,093 -
- 848 - 0 848 -
- 15 848 12,724 179 848 151,837
- - - 0 - -
- 1,038 - 0 1,038 -
- 49 848 41,564 1 848 848
- - - 0 - -
- 1,038 - 0 1,038 -
- 848 - 0 848 -
- 848 - 111 848 94,156
- - - 0 - -
- 1,038 - 0 1,038 -
- 979 - 248 979 242,730
- - - 0 - -
- 2,099 - 0 2,099 -
- 2,100 - 103 2,100 216,300
- - - 0 - -
- 2,099 - 0 2,099 -
- 2,100 - 37 2,100 77,700
- - - 0 - -
- 6,400 - 25 6,400 160,000
- 25,920 - 24 25,920 622,080
- - - 0 - -
- 5,900 - 0 5,900 -
- 18 27,000 486,000 6 27,000 162,000
- - - 0 - -
- 6,595 - 0 6,595 -
- - - 0 - -
- 6,595 - 0 6,595 -
- - - 0 - -
- 4,250 - 0 4,250 -
- 7,684 - 0 7,684 -
- - - 0 - -
- 4,250 - 0 4,250 -
- 180 7,684 1,383,120 5 7,684 38,420
- - - 0 - -
- 3,500 - 0 3,500 -
162,864 27 4,176 112,752 27 4,176 112,752
- - - 0 - -
- 4 4,000 16,000 0 4,000 -
- 1 4,568 4,568 6 4,568 27,408
- - - 0 - -
- 7,937 - 0 7,937 -
- - - 0 - -
- 6,600 - 0 6,600 -
- - - 0 - -
- 6 7,787 46,722 0 7,787 -
70,083 2 7,787 15,574 7 7,787 54,509
- 7,787 - 0 7,787 -
- 18 7,937 142,866 11 7,937 87,307
- - - 0 - -
- 7,787 - 64 7,787 498,368
- - - 0 - -
- 10,440 - 0 10,440 -
- - - 0 - -
- 8,495 - 0 8,495 -
- 10,440 - 0 10,440 -
- - - 0 - -
- 8,495 - 0 8,495 -
- 10,440 - 0 10,440 -
- - - 0 - -
- 495 - 0 495 -
- 10,440 - 0 10,440 -
- - - 0 - -
- 7,500 - 0 7,500 -
- 27,821 - 4 27,821 111,284
- - - 0 - -
- 17,250 - 0 17,250 -
- - - 0 - -
- 800 - 0 800 -
- - - 0 - -
- 887 - 0 887 -
- - - 0 - -
- 607 - 0 607 -
- 6,121 - 0 6,121 -
- - - 0 - -
- 887 - 0 887 -
- - - 0 - -
- 1,871 - 0 1,871 -
- 5,621 - 0 5,621 -
- - - 0 - -
- 8,600 - 0 8,600 -
- 11,724 - 0 11,724 -
- - - 0 - -
- 10,467 - 0 10,467 -
- 13,221 - 0 13,221 -
- - - 0 - -
- - - 0 - -
- 137,025 - 0 137,025 -
- - - 0 - -
- 55,200 - 0 55,200 -
133,821 2 133,821 267,642 2 133,821 267,642
- - - 0 - -
- 32,500 - 2 32,500 65,000
- - - 0 - -
- 23,625 - 0 23,625 -
70,875 5 23,625 118,125 2 23,625 47,250
- - - 0 - -
- 5,082 - 0 5,082 -
- 12 18,781 225,372 11 18,781 206,591
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 4,000 - 0 4,000 -
- - - 0 - -
- 5,770 - 0 5,770 -
- 5,770 - 200 5,770 1,154,000
- - - 0 - -
- 2 5,770 11,540 67 5,770 386,590
- 5,770 - 199 5,770 1,148,230
- - - 0 - -
- 5,770 - 0 5,770 -
- 5,770 - 200 5,770 1,154,000
- - - 0 - -
- 5,770 - 0 5,770 -
- - - 0 - -
- 22,000 - 0 22,000 -
- - - 0 - -
- 22,000 - 0 22,000 -
- - - 0 - -
- 1,125 - 0 1,125 -
- 66 1,125 74,250 87 1,125 97,875
- - - 0 - -
- 200,455 - 0 200,455 -
- 8,018 - 75 8,018 601,350
- - - 0 - -
- 68,181 - 0 68,181 -
- - - 0 - -
- 68,181 - 0 68,181 -
- - - 0 - -
- 6,825 - 0 6,825 -
437,643 2,958,819 7,786,227
2,259,473 9,035,124 34,660,933

Rumbia, 31 Maret 2016

Penanggung Jawab
Laporan

Wa Ode Wahyuni Hambe, S. Si, Apt


Nip. 19870305 201101 2 019
REKAPAN PENGGUNAAN OBAT DAN PERBE
PUSKESMAS SELAMA 1 TAHUN
TAHUN 2016

SKPD : PUSKESMAS RUMBIA


KABUPATEN : BOMBANA
PROVINSI : SULAWESI TENGARA

Saldo Awal 2016 Mutasi Masuk


Satuan /
No Nama Obat 1 April 2016
Kemasan
Jumlah Harga Satuan (Rp) Nilai (Rp) Jumlah Harga Satuan
1 2 3 4 5 6 7 8
OBAT

1 Air untuk injeksi amp 25 ml (aqua pro injeksi) Ampul 0 6,050 - 6,050

5 2,200 11,000 30 2,200


0 - - -
2 Albendazol tab 400 mg Tab 0 12,750 - 12,750
0 363 - 363
0 - - -
3 Alopurinol tab 100 mg Tab 0 - - -
0 - - -
4 Alprazolam tab 1 mg Tab 0 245 - 245
205 245 50,225 245
0 - - -
5 Albothyl cairan Botol 0 18,635 - 18,635
0 - - -
6 Ambroksol tablet 30 mg Tab 0 138 - 138
230 138 31,740 700 138
0 - - -
0 - - -
7 Ambroksol sirup Botol 0 2,722 - 2,722
27 2,722 73,494 2,722
0 - - -
8 Aminofilin inj 24 mg/ml Ampul 0 4,204 - 4,204
0 - - -
9 Aminofilin tab 200 mg Tab 100 86 8,600 86
0 86 - 400 86

10 Amitriptilin tab sal 25 mg Tab sal 0 123 - 123


100 123 12,300 123
0 - - -
11 Amlodipin tab 10 mg Tab 0 1,863 - 1,863
0 - - -
12 Amlodipin tab 5 mg Tab 0 - - -
0 - - -
13 Amoksisilin sir kering 125 mg/5 ml Botol 0 2,560 - 2,560
0 2,560 - 2,560
0 2,560 - 2,560
139 2,560 355,840 120 2,560
0 - - -
14 Amoksisilin tab 250 mg Tab 0 220 - 220
0 220 - 220
0 220 - 220
0 - - -
15 Amoksisilin tab 500 mg Tab 0 279 - 279
0 279 - 279
900 279 251,100 3,200 279
0 - - -
Anestetik lokal gigi kombinasi : lidokain hcl
16 2% + epinefrin 1 : 80.000 inj 2 ml Ampul 0 - - -

0 - - -
Antasida, kombinasi : aluminium hidroksida
17 Tab kunyah 0 78 - 78
200 mg + magnesium hidroksida 200 mg

2010 78 156,780 600 78


0 - - -
Antasida, kombinasi : aluminium hidroksida
18 200 mg + magnesium hidroksida 200 mg Botol 39 2,213 86,307 2,213
Suspensi
61 2,213 134,993 2,213
0 2,213 - 2,213
0 - - -
Antibakteri, kombinasi : basitrasin 500 UI/g+
19 Tube 7 2,767 19,369 2,767
Polimiskin B 10.000 UI/g
Antifungi salep, kombinasi : asam benzoat 6% 0 - - -
+ asam salisilat 3%
20 Tube 10 2,096 20,960 2,096

0 - - -
mg + heksaklorofen 2,5 mg + lidokain
lidokain 10 mg+ seng oksida 120 mg + sup
21 ad 2 g Suppo 37 33,000 1,221,000 33,000

10 2,200 22,000 2,200


0 - - -
Anti Parkinson kombinasi : benzerasid 25 mg +
22 Kaps 0 - - -
levodopa 100 mg
0 - - -
Anti Migren, kombinasi : ergotamin 1 mg+
23 Tab 0 149 - 149
kafein 50 mg
61 149 9,089 500 149
0 - - -
24 Antalgin (metampirom) tablet 100 mg Tab 0 155 - 155
0 - - -
25 Antalgin (metampirom) injeksi 250 mg/ml-2 ml Ampul 0 1,346 - 1,346
0 - - -
26 Asam asetilsalisilat (asetosal) tab 100 mg Tab 60 110 6,600 110
1100 127 139,700 127
0 - - -
27 Asam asetilsalisilat (asetosal) tab 500 mg Tab 0 178 - 178
0 - - -
Asam asetilsalisilat (asetosal) tab 80 mg
28 Tab 0 - - -
(Miniaspi 80)
0 - - -
29 Asam askorbat (vitamin C) tab 50 mg Tab 0 105 - 105
300 105 31,500 4,000 105
0 - - -
30 Asam folat tab 1 mg Tab 0 52 - 52
584 52 30,368 52
0 - - -
31 Asam mefenamat kaps 250 mg Kaps 0 - - -
0 - - -
32 Asam mefenamat kaps 500 mg Kaps 0 127 - 127
0 127 - 127
1185 127 150,495 3,500 127
0 - - -
33 Asam traneksamat inj 50 mg/ml Ampul 25 3,650 91,250 3,650
0 - - -

34 Asam traneksamat tab 500 mg Tab 0 1,265 - 1,265

380 1,265 480,700 1,265

0 - - -

35 Asering larutan infus Botol 22 15,900 349,800 15,900


0 - - -

36 Asiklovir salep kulit Tube 35 82,500 2,887,500 82,500


0 - - -

37 Asiklovir tab 200 mg Tab 0 251 - 251


170 251 42,670 200 251
0 - - -
38 Atropin inj 0,25 mg/ml (i.m./i.v./s.k) Ampul 34 1,400 47,600 1,400
0 - - -
39 Atropin tab 0,5 mg Tab 0 81 - 81
0 - - -

40 Atropin tts mata 0,5% (Cendotropin 0,5%) Botol 0 - - -

0 - - -
41 Bedak salisil serb 2% Botol 0 1,180 - 1,180
25 1,350 33,750 30 1,350
0 - - -
Besi (II) sulfat 200 mg + asam folat 0.25 mg
42 Sachet 0 73 - 73
(tablet tambah darah)
0 55 - 3,000 55
0 - - -
43 Becefort syrup Botol 0 22,727 - 22,727
4 22,727 90,908 22,727
0 - - -
44 Betametason krim 0,1% Tube 0 1,596 - 1,596
62 1,596 98,952 50 1,596
0 - - -
45 Betahistin mesilate tablet tablet 0 - - -
0 - - -
46 Bisakodil sup 10 mg (Stolax) Botol 0 - - -
0 - - -
47 Bisakodil tab sal 5 mg Tab sal 0 - - -
0 - - -
48 Bismecon salep tube 0 - - -
0 - - -
Budesonid-formoterol (fixed combination)* ih
49 Botol 0 - - -
80/4,5 mcg
0 - - -
50 Bromheksin tablet tablet 0 42 - 42
0 - - -
51 Deksametason tab 0,5 mg Tab 0 68 - 68
1225 68 83,300 1,000 68
0 - - -
52 Deksametason inj 5 mg/ml (i.v./i.m.) Vial 74 1,738 128,612 1,738
0 - - -
53 Desoksimetason salep 0,25% Tube 0 - - -
1 9,983 9,983 2 9,983
0 - - -
54 Diazepam inj 5 mg/ml (i.v./i.m.) Vial 0 2,578 - 2,578
53 2,578 136,634 2,578
0 - - -

55 Diazepam lar rektal 10 mg/2,5 ml (Stesolid) Botol 0 - - -

0 - - -
56 Diazepam supposutoria suppo 0 - - -
0 - - -
57 Diazepam tab 2 mg Tab 0 28 - 28
0 - - -
58 Diazepam tab 5 mg Tab 85 28 2,380 28
0 - - -
59 Dietilkarbamazin tab 100 mg Tab 0 - - -
0 - - -
60 Difenhidramin inj 10 mg/ml (i.v./i.m.) Ampul 47 1,160 54,520 1,160
0 - - -
61 Digoksin tab 0,25 mg Tab 100 103 10,300 103
0 - - -
62 Diltiazem kaps SR 100 mg Kaps 0 - - -
0 - - -
63 Diltiazem tab 30 mg Tab 0 141 - 141
560 141 78,960 141
0 - - -
64 Doksisiklin tablet 100 mg Tab 190 278 52,877 278
0 - - -
65 Domperidon susp 5 mg/5 ml Botol 0 3,490 - 3,490
60 3,490 209,400 3,490
0 - - -
66 Domperidon tab 10 mg Tab 0 174 - 174
331 174 57,594 400 174
0 - - -
67 Efedrin HCl tablet Tab 100 56 5,639 56
0 - - 300 56

68 Ekstrak belladon tablet 10 mg tab 160 42 6,720 42


4000 42 168,000 1,000 42
0 - - -

69 Epinefrin (adrenalin) inj 0,1% (i.v./s.k./i.m.) Ampul 90 8,910 801,900 8,910

0 - - -
70 Eritromisin kaps 250 mg Kaps 840 522 438,480 522
0 522 - 522
0 - - -
71 Eritromisin sir 200 mg/5 ml Botol 0 7,581 - 29 7,581
0 - - -
72 Eritromisin tab 500 mg Tab 500 1,013 506,385 1,013
0 1,023 - 1,023
0 - - -
73 Etanol 70% cairan 70% Botol 0 2,625 - 2,625
0 2,625 - 2,625
71 2,625 186,375 40 2,625
0 - - -
74 Etakridin (rivanol) larutan 0.1% Botol 0 4,695 - 4,695
0 4,695 - 4 4,695
0 - - -
75 Etil klorida semprot 100 ml Botol 0 124 - 124
0 - - -
76 Famotidin tablet 20 mg Tab 0 - - -
0 124 - 124
0 - - -
77 Fenitoin Na inj 50 mg/ml Ampul 0 - - -
0 - - -
78 Fenitoin Na kaps 100 mg Kaps 0 - - -
100 146 14,600 146
0 - - -
79 Fenobarbital inj 50 mg/ml Ampul 0 37 - 37
90 1,980 178,200 1,980
0 - - -
80 Fenobarbital tab 100 mg Tab 0 - - -
0 - - -
81 Fenobarbital tab 30 mg Tab 0 37 - 37
0 - - -

82 Fitomenadion (vitamin K 1) inj 2 mg/ml (i.m.) Vial 0 698 - 698

0 - - -
83 Fitomenadion (vitamin K 1) tab sal 10 mg Tab sal 100 698 69,800 698
0 - - -
84 Flukonazol kaps 150 mg Kaps 0 - - -
0 - - -
85 Flusinolon asetonid krim 0,025% Tube 0 - - -
0 - - -
86 Flunarizin tablet tablet 0 2,012 - 2,012
0 - - -
87 Furosemid inj 10 mg/ml (i.v./i.m.) Ampul 39 2,012 78,468 2,012
0 - - -
88 Furosemid tab 40 mg Tab 0 84 - 84
360 84 30,240 84
0 - - -
Garam oralit kombinasi : natrium klorida 0,52
g + kalium klorida 0,30 g + trinatrium sitrat
89 Sachet 0 317 - 317
0,58 g + glukosa anhidrat 2,7 g

0 317 - 317
0 - - -
90 Gameksan lotion 1 % Botol 0 2,420 - 2,420
0 - - -
91 Gemfibrozil kaps 300 mg Kaps 0 323 - 323
0 - - -
92 Gemfibrozil kaps 600 mg Kaps 0 - - -
0 - - -
93 Gentamisin inj 10 mg/ml Ampul 0 3,739 - 3,739
0 - - -
94 Gentamisin salep mata 0,3% Tube 0 - - -
0 - - -
95 Gentamisin salep Kulit Tube 0 2,340 - 2,340
20 1,469 29,380 20 1,469
0 - - -
96 Gentamisin tts mata 0,3% Botol 0 3,194 - 3,194
0 - - -
97 Glibenklamid tab 5 mg Tab 0 61 - 61
320 61 19,520 61
0 - - -
98 Glimepirid tab 4 mg Tab 0 - - -
0 - - -
99 Glipizid tablet 5 mg (Glucotrol 5 mg) Tab 0 - - -
0 - - -
100 Gliseril Guaiakolat tab 100 mg Tab 0 31 - 31
0 31 - 31
10170 31 315,270 1,000 31
0 - - -
101 Gliserin lar 50% Botol 0 - - -
0 - - -
102 Glukosamin tablet 500 mg Tab 0 - - -
0 - - -
103 Glukosa Larutan Infus 5% steril Botol 37 5,720 211,640 5,720
0 - - -
104 Glukosa Larutan Infus 10% steril Botol 15 6,270 94,050 6,270
0 - - -
105 Glukosa Larutan Infus 40% steril Botol 0 - - -
0 - - -
106 Griseofulvin (micronized) tab 125 mg Tab 0 230 - 230
0 230 - 300 230
0 - - -
107 Haloperidol tab 0,5 mg Tab 0 62 - 62
0 - - -
108 Haloperidol tab 1,5 mg Tab 0 76 - 76
190 76 14,440 76
0 - - -
109 Haloperidol tab 5 mg Tab 0 105 - 105
0 105 - 105
0 105 - 105
0 - - -
110 Hidrogen peroksida (H2O2) cairan 3% Botol 0 38,500 - 38,500
0 - - -
111 Hidroklorotiazid (HCT) tab 25 mg Tab 0 40 - 40
9500 40 380,000 40
0 - - -
112 Hidrokortison krim 2,5% Tube 0 - - -
0 - - -
113 Hiosina butilbromida tab 10 mg Tab 0 330 - 330
0 - - -
114 Ibuprofen susp 100 mg/5 ml Botol 0 4,949 - 4,949
0 - - -
115 Ibuprofen tab 200 mg Tab 0 127 - 127
500 121 60,500 500 121
0 - - -
116 Ibuprofen tab 400 mg Tab 0 157 - 157
408 157 64,056 800 157
0 - - -
Ipratropium bromida nebulizer 0,025%
117 Botol 0 - - -
(Atroven sol. for inhalation 0.025%)
0 - - -
118 Isoniazid tab 300 mg Tab 0 - - -
0 - - -
119 Isosorbid dinitrat inj 10 mg/10 ml (Fasorbid) Vial 0 - - -
0 - - -
120 Isosorbid dinitrat tab 5 mg Tab 0 98 - 98
90 98 8,820 98
0 - - -
121 KA-EN 3B Cairan Infus Botol 17 10,000 170,000 10,000
0 - - -
122 Kalsium glukonat inj 100 mg/ml Ampul 20 9,519 190,380 9,519
0 - - -
123 Kalsium laktat (kalk) tab 500 mg Tab 0 51 - 51
0 76 - 76
240 76 18,240 1,200 76
0 - - -
124 Kaptopril tab 12,5 mg Tab 0 69 - 69
230 69 15,870 69
0 - - -
125 Kaptopril tab 25 mg Tab 0 97 - 97
590 97 57,230 97
0 - - -
126 Karbamazepin tab 200 mg Tab 0 269 - 269
0 - - -
127 Karbo adsorben (Norit) tab 500 mg Tab 0 - - -
0 - - -
128 Ketamin inj 50 mg/ml (i.v.) Ampul 0 110,000 - 110,000
0 - - -
129 Ketokonazol tab 200 mg Tab 0 320 - 320
150 320 48,000 320
0 - - -
130 Ketokonazol krim 2% Tube 0 5,150 - 5,150
0 5,150 - 5,150
0 - - -
131 Ketorolak inj 10 mg/ml Ampul 0 2,665 - 2,665
90 2,665 239,850 2,665
0 - - -
132 Klaritromisin tab 500 mg Tab 0 - - -
0 - - -
133 Klindamisin kaps 150 mg Kaps 0 405 - 405
0 - - -
134 Kloramfenikol tts mata 0,5% Botol 0 1,680 - 1,680
0 - - -
135 Kloramfenikol kaps 250 mg Kaps 90 275 24,750 275
0 275 - 275
0 - - -
136 Kloramfenikol salep mata 1% Tube 0 1,680 - 1,680
13 1,680 21,840 1,680
0 - - -
137 Kloramfenikol susp 125 mg/5 ml Botol 13 4,016 52,208 4,016
0 - - -
138 Klorfeniramin (CTM) tab 4 mg Tab 0 26 - 26
0 26 - 26
2969 26 78,382 4,000 26
0 - - -
139 Klorpromazin inj 25 mg/ml (i.m.) Ampul 0 1,210 - 1,210
0 - - -
140 Klorpromazin tab sal 100 mg Tab sal 0 152 - 152
0 - - -
141 Klorpromazin tab sal 25 mg Tab sal 44 50 2,200 200 50
0 - - -

142 Kombinasi : Pirimethamin 25 mg + sulfadoksin Tab 0 531 - 531

Kombinasi: ipratropium Br 0,5 mg+ 0 - - -


salbutamol 2,5 mg nebules (Combivent UDV)
143 Vial 0 - - -

0 - - -
Kotrimoksazol (dewasa) kombinasi :
sulfametoksazol 400 mg+ trimetoprim 80
144 Tab 1100 152 167,200 152
mg

0 152 - 152
2583 152 392,616 4,000 152
0 - - -
Kotrimoksazol (anak) kombinasi :
sulfametoksazol 100 mg+ trimetoprim 20
145 Tab 0 79 - 79
mg

460 79 36,340 79
0 - - -
Kotrimoksazol (dewasa) kombinasi tiap 5 ml
146 suspensi : sulfametoksazol 200 mg + Botol 0 2,298 - 2,298
trimetoprim 40 mg
0 - - -
147 Kuinin inj 25% (i.v.) Vial 0 6,820 - 6,820
0 6,820 - 6,820
0 - - -
148 Kloroquin tab 150 mg Tab 0 112 - 112
0 - - -
149 Lansoprazol kaps 30 mg Kaps 0 - - -
0 - - -
150 Levofloksasin tab 500 mg Tab 0 581 - 581
0 - - -
151 Lidokain gel 2% Tube 0 - - -
0 - - -
152 Lidokain inj 2% (hcl) Vial 0 1,499 - 1,499
51 1,499 76,449 150 1,499
0 1,499 - 1,499
0 - - -
153 Lisol Botol 0 54,995 - 54,995
0 54,995 - 54,995
0 - - -
154 Loperamid tab 2 mg Tab 0 97 - 97
15 97 1,455 800 97
0 - - -
155 Loratadin tab 10 mg Tab 0 170 - 170
0 - - -
156 Magnesium sulfat inj 20% Vial 0 7,260 - 7,260
0 7,260 - 7,260
0 - - -
157 Magnesium sulfat inj 40% Vial 0 7,260 - 7,260
20 7,260 145,200 7,260
0 - - -
158 Magnesium sulfat serb, ktg 30 g Sachet 0 1,130 - 1,130
0 - - -
159 Mebendazol sir 50 mg/ml Botol 0 3,887 - 3,887
0 - - -
160 Mebendazol tab 100 mg Tan 90 248 22,320 248
0 - - -
161 Metformin tab 500 mg Tab 0 - - -
0 - - -
162 Metformin tab 850 mg Tab 0 - - -
0 - - -
163 Metilergometrin inj 0,2 mg/ml Ampul 0 1,639 - 1,639
0 - - -
164 Metilergometrin tab salut 0,125 mg Tab sal 0 133 - 200 133
0 - - -
165 Metilprednisolon tab 4 mg Tab 0 - - -
0 - - -
166 Metoklopramid inj 5 mg/ml Vial 0 1,100 - 1,100
0 1,100 - 1,100
0 1,100 - 1,100
0 - - -

167 Metoklopramid sir 5 mg/5 ml (Lexapram sirup) Botol 0 - - -

0 - - -
168 Metoklopramid tab 10 mg Tab 232 100 23,200 100
0 - - -
169 Metronidazol supposutoria 500 mg suppo 0 - - -
0 - - -
170 Metronidazol larutan infus Botol 0 12,980 - 12,980
9 12,980 116,820 12,980
0 - - -
171 Metronidazol tab 250 mg Tab 0 116 - 116
180 116 20,880 500 116
0 - - -
172 Metronidazol tab 500 mg Tab 0 - - -
580 169 98,020 600 169
0 - - -
173 Mikonazol krim 2% Tube 0 3,150 - 3,150
6 3,150 18,900 3,150
0 - - -
174 Natrium diklofenak tab 25 mg Tab 0 146 - 146
0 146 - 146
60 146 8,760 900 146
0 - - -
175 Natrium diklofenak tab 50 mg Tab 0 193 - 193
0 193 - 193
0 193 - 193
530 193 102,290 800 193
0 - - -
176 NaCl 0,9% Larutan infus Botol 0 5,170 - 5,170
0 5,170 - 5,170
20 5,170 103,400 60 5,170
0 - - -
177 Nifedipin kaps 10 mg Kaps 0 127 - 127
860 127 109,220 127
0 - - -

178 Nistatin tab salut 500.000 UI Tab 0 704 - 704

0 - - 400 704

179 Nistatin tab vaginal 100.000 UI Tab 190 448 85,120 448
0 - - -
180 Obat Batuk Hitam (OBH) Botol 0 2,310 - 2,310
49 2,310 113,190 70 2,310
0 - - -
181 Ofloksasin tab 200 mg Tab 0 440 - 440
0 - - -
182 Ofloksasin tab 400 mg Tab 0 700 - 700
40 700 28,000 700
0 - - -
183 Oksitetrasiklin hcl inj 500 mg/ml Vial 0 3,410 - 3,410
0 - - -
184 Oksitetrasiklin hcl salep kulit 3% Tube 0 2,010 - 2,010
0 1,646 - 1,646
51 1,646 83,946 1,646
0 - - -
185 Oksitetrasiklin hcl salep mata 1 % Tube 0 2,772 - 2,772
131 2,772 363,132 2,772
0 - - -
186 Oksitosin inj 10 UI/ml Ampul 0 6,875 - 6,875
14 1,900 26,600 1,900
0 - - -
187 Omeprazol kaps 20 mg Kaps 0 221 - 221
0 221 - 221
0 221 - 180 221
0 - - -
188 Papaverin tablet 40 mg Tab 0 109 - 109
2830 109 308,470 109
0 - - -
189 Parasetamol sir 120 mg/5 ml Botol 0 1,535 - 1,535
0 1,535 - 1,535
122 1,535 187,270 300 1,535
0 - - -
190 Parasetamol tab 100 mg Tab 0 105 - 105
400 105 42,000 500 105
0 - - -
191 Parasetamol tab 500 mg Tab 0 88 - 88
0 88 - 88
720 88 63,360 4,800 88
0 - - -
192 Parasetamol rectal suppo 0 - - -
0 - - -
193 Pehavral tablet multivitamin Tab 0 849 - 849
0 297 - 297
0 297 - 297
0 297 - 297
0 - - -

194 Perak sulfadiazin krim 1% (Burnazin 35 gr) Tube 0 25,350 - 25,350

3 25,350 76,050 25,350


0 - - -
195 Phenylbutazon tablet 200 mg Tab 800 107 85,600 107
0 107 - 107
0 - - -
196 Piracetam tablet 800 mg Tab 0 964 - 964
210 964 202,440 964
0 - - -
197 Piracetam tablet 1200 mg Tab 0 854 - 854
130 854 111,020 854
0 - - -
198 Piracetam injeksi 1 g/5 ml Ampul 50 60,500 3,025,000 60,500
0 - - -
199 Pirantel pamoat susp 125 mg/5 ml Botol 49 9,100 445,900 9,100
0 - - -
200 Pirantel pamoat tab scored 125 mg Tab 0 318 - 318
79 318 25,122 390 318
0 - - -
201 Piridoksin (vitamin B6) tab 25 mg Tab 0 19 - 19
550 19 10,450 1,000 19
0 - - -
202 Piroksikam tablet 20 mg Tab 0 116 - 116
1010 116 117,160 116
0 - - -
203 Polikresulen Botol 0 18,635 - 18,635
10 18,635 186,350 18,635
0 - - -

204 Povidon iodin lar 100 mg/ml Botol 30 ml 0 2,344 - 2,344

22 2,344 51,568 10 2,344


0 - - -
Botol 300
205 Povidon iodin lar 100 mg/ml 2 15,386 30,772 15,386
ml
0 15,386 - 4 15,386
0 - - -
Botol 1000
206 Povidon iodin lar 100 mg/ml 0 40,202 - 40,202
ml
0 40,202 - 40,202
0 - - -
207 Prednison tab 5 mg Tab 0 98 - 98
2264 98 221,872 1,000 98
0 - - -
208 Primakuin tab 15 mg Tab 985 125 123,125 125
0 - - -
209 Procurma syrup Botol 0 12,021 - 12,021
40 12,021 480,840 20 12,021
0 - - -
210 Propiltiourasil tab 100 mg Tab 100 297 29,700 200 297
0 - - -
211 Propranolol tab 40 mg Tab 90 80 7,200 80
0 - - -
212 Ranitidin inj 25 mg/ml Ampul 0 - - -
0 - - -
213 Ranitidin tab 150 mg Tab 0 128 - 128
0 128 - 2,100 128
0 - - -
214 Reserpin tablet 0.25 mg Tab 0 - - -
0 - - -
215 Rifampisin kaps 300 mg Kaps 0 440 - 440
0 - - -
216 Rifampisin tab 450 mg Tab 0 624 - 624
0 - - -
217 Rifampisin tab 600 mg Tab 0 863 - 863
0 - - -
218 Ringer Laktat Larutan infus Botol 0 5,720 - 5,720
43 5,720 245,960 200 5,720
0 - - -
219 Salbutamol tab 2 mg Tab 0 92 - 92
0 65 - 65
280 65 18,200 400 65
0 - - -
220 Salbutamol tab 4 mg Tab 0 93 - 93
400 93 37,200 100 93
0 - - -
Salep 2-4, kombinasi : asam salisilat 2 %+
221 Tube 0 1,980 - 1,980
belerang endap 4 %
13 2,200 28,600 2,200
0 - - -
222 Scabicid salep Tube 0 - - -
223 Sefadroksil kaps 250 mg Vial 0 - - -
0 - - -
224 Sefadroksil kaps/tab 500 mg Tab 0 548 - 548
0 548 - 3,500 548
0 - - -
225 Sefadroksil sir kering 125 mg/5 ml Botol 0 5,286 - 5,286
29 5,286 153,294 5,286
0 - - -
226 Sefiksim kapsul 100 mg Tab 0 - - -
0 - - -
227 Sefotaksim serb inj 1.000 mg/vial Vial 0 - - -
0 - - -
228 Seftriakson serb inj 1.000 mg/vial Vial 0 5,414 - 5,414
0 - - -
229 Setirizin tab 10 mg Tab 0 - - -
0 - - -
230 Sianokobalamin (vitamin B12) inj 500 mcg/ml Vial 59 1,451 85,587 1,451

0 - - -

231 Sianokobalamin (vitamin B12) tab 50 mcg Tab 0 150 - 150

0 - - -
232 Simetidin tablet 200 mg Tab 0 138 - 138
0 138 - 800 138
0 - - -
233 Simvastatin tab sal 10 mg Tab sal 0 177 - 177
0 - - -
234 Simvastatin tab sal 20 mg Tab sal 0 480 - 480
0 - - -
235 Siprofloksasin inf 2 mg/ml Botol 0 - - -
0 - - -
236 Siprofloksasin tab scored 500 mg Tab 700 312 218,680 312
0 - - -
237 Spironolakton tab 100 mg Tab 0 - - -
200 350 70,000 350
0 - - -
238 Sulfasetamid Natrium Tetes mata 1.5% Botol 0 - - -
0 - - -
239 Sukralfat susp 500 mg/5 ml (Ulsafate) Botol 0 - - -
0 - - -
240 Sukralfat tab 500 mg (Ulsidex) Tab 0 - - -
100 477 47,700 400 477
0 - - -
241 Teofilin tab SR 300 mg (Rethapyl) Tab 0 - - -
100 1,155 115,500 1,155
0 - - -
242 Tetrasiklin kaps 250 mg Kaps 0 183 - 700 183
0 - - -
243 Tetrasiklin kaps 500 mg Kaps 0 283 - 283
0 - - -

244 Tiamin (vitamin B1) mononitrat tab 50 mg Tab 0 42 - 42

0 42 - 42
0 - - -
245 Tiamin (vitamin B1) injeksi 100 mg/ml Tab 0 770 - 770
0 - - -
246 Tramadol inj 50 mg/ml Ampul 0 2,680 - 2,680
0 - - -
247 Tramadol tablet 500 mg Tab 22 363 7,986 363
0 - - -
248 Triheksifenidil tab 2 mg Tab 0 45 - 45
160 45 7,200 45
0 - - -
249 Vitamin B12 tablet 50 mcg Tab 0 63 - 63
0 - - -
250 Vitamin B kompleks injeksi Vial 0 7,392 - 7,392
0 - - -
251 Vitamin B kompleks Tab 0 112 - 112
0 112 - 112
1360 112 152,320 6,000 112
0 - - -
252 Zinc tab disp 20 mg Tab 0 521 - 521
400 521 208,400 521
0 521 - 521
0 - - -
253 Zinc sirup 20 mg / 5 ml Botol 0 8,140 - 8,140
5 8,140 40,700 10 8,140
0 - - -
254 Larutan PK botol 0 573 - 573
2 6,975 13,950 6,975
0 - - -
255 Kanamisin inj Vial 0 10,395 - 50 10,395
0 - - -
256 Antalgin 500mg tab 0 155 - 155
1000 141 141,000 141
0 - - -
257 Klorpromazin inj 25 mg/ml (i.m.) Ampul 0 - - -
0 1,210 - 1,210
0 - - -

258 Kalsium laktat (kalk) tab 500 mg Tab 0 57 - 57

0 - - -

259 Kloroquin tab 250 mg Tab 0 116 - 116


0 572 - 572
0 - - -
260 Klonidin 0,15 mg Tab 100 191 19,100 191
0 - - -
261 Kloramfenikol kaps 250 mg Kaps 0 275 - 275
0 275 - 275
0 - - -
262 Klorpromazin tab sal 100 mg Tab sal 0 162 - 162
0 - - -
263 Fenolgliserol TT 10% Kotak 0 1,108 - 1,108
16 1,109 17,744 1,109
0 - - -
265 Tetrasiklin kaps 250 mg Kaps 0 162 - 162
0 - - -
266 Kloroquin tab 250 mg 0 116 - 116
0 - - -
267 Papaverin tablet 40 mg 0 167 - 167
0 - - -
268 Prednison tab 5 mg Tab 0 125 - 125
0 - - -
269 Pirantel pamoat tab scored 125 mg Tab 0 318 - 318
0 - - -
270 Hidroklorotiazid (HCT) tab 25 mg Tab 0 109 - 109
0 - - -
271 Triheksifenidil tab 2 mg Tab 0 45 - 45
0 - - -
272 Piracetam tablet 1200 mg Tab 0 854 - 854
0 - - -
273 Vical suspensi btl 0 42,727 - 42,727
12 42,727 512,724 42,727
0 - - -
274 Lexavit tab 0 1,480 - 1,480
735 1,480 1,087,800 400 1,480
0 - - -
275 Gliseril Guaiakolat tab 100 mg Tab 0 31 - 31
0 - - -
276 Efedrin HCl tablet Tab 0 56 - 56
0 - - -
B.OBAT GIGI 0 - - -
1 Bonding Botol 0 765,000 - 765,000
2 765,000 1,530,000 765,000
0 - - -
2 Calcium hidrosida cement pasta (hycal) Kotak 0 242,000 - 242,000
0 - - -
3 Comfosite Tube 0 338,800 - 338,800
2 338,800 677,600 338,800
0 - - -
4 Devitalisasi Pasta (Non Arsen) Kotak 0 390,000 - 390,000
0 390,000 - 390,000
0 - - -
5 Eugenol cair Botol 0 18,333 - 18,333
0 18,333 - 1 18,333
0 - - -
6 Etil Klorida spray Botol 0 105,000 - 105,000
4 105,000 420,000 105,000
0 - - -
7 Etza Tube 0 170,000 - 170,000
0 - - -
8 Glass Ionomer Cement ART Set 0 395,000 - 395,000
0 197,895 - 1 197,895
0 - - -
9 Klorfenol Kamfer Menthol (CHKM) Botol 1 55,000 55,000 55,000
0 - - -
10 Semen Seng Fosfat serbuk dan cairan Set 0 93,500 - 93,500
2 93,500 187,000 93,500
0 - - -
11 Temporari stoping pletcher Set 0 34,000 - 34,000
0 34,000 - 34,000
0 - - -
12 Mummiyng pasta Kotak 0 176,000 - 176,000
0 - - -
C.OBAT PROGRAM 0 - - -
1 Albedazole 400mg Tab 0 425 - 425
2 Artemether inj 80 mg/ml Ampul 0 24,384 - 24,384
3 Artesunat serb inj 60 mg/ml (i.v./i.m.) Vial 0 27,569 - 27,569
8 27,569 220,552 27,569
0 - - -
4 Dietilkarbamazin tab 100 mg Tab 0 104 - 104
2000 104 208,000 104
0 - - -
5 Imersion oil Botol 0 825,000 - 825,000
6 Iodina Test Botol 0 4,545 - 4,545
7 Obat Anti Tuberculosis FDC Kategori Anak Paket 0 236,490 - 236,490
8 Obat Anti Tuberculosis FDC Kategori I Paket 0 396,000 - 396,000
9 Obat Anti Tuberculosis FDC Kategori II Paket 0 1,319,990 - 1,319,990

10 Obat Anti Tuberculosis FDC Kategori Sisipan Paket 0 175,899 - 175,899


11 Reagen Zenit Nelson Botol 0 145,000 - 145,000
12 RDT Dangue DBD Set 0 150,000 - 150,000
13 RDT malaria (care star ) Set 0 168,300 - 168,300
14 RDT HIV (intec) Set 0 46,200 - 46,200
15 RDT HIV (vikia) Set 0 45,560 - 45,560
16 RDT HIV (Oncoprobe) Set 0 42,350 - 42,350
17 Taburia Kotak 0 20,454 - 20,454
18 Quinina injeksi Ampul 0 4,438 - 4,438
19 Vaksin BCG inj (i.k) Vial 0 - - -
20 Vaksin campak inj (s.k.) Vial 0 - - -
21 Vaksin jerap difteri tetanus pertusis (DTP) inj (i Vial 0 - - -
22 Vaksin jerap difteri tetanus (DT) Vial 0 - - -
23 Vaksin kombinasi DPT + hepatitis B inj (i.m.) Vial 0 - - -
24 Vaksin polio drops 10 dosis Vial 0 285,000 - 285,000
Vaksin rabies, untuk manusia serb inj (s.k./i.k)
25 Vial 0 695,752 - 695,752
+ booster
Retinol (Vit.A) 200.000 IU kap lunak 0 412 - 412
Retinol (Vit.A) 100.000 IU kap lunak 0 286 - 286
zink tab.20mg 0 497 - 497
Doxiciklin tab 0 - - -
D.BAHAN MEDIS HABIS PAKAI (BHMP) 0 - - -
1 Alat suntik sekali pakai 1 ml Set 0 1,093 - 1,093
0 848 - 848
179 848 151,837 848
0 - - -
2 Alat suntik sekali pakai 2,5 ml Set 0 1,038 - 1,038
1 848 848 100 848
0 - - -
3 Alat suntik sekali pakai 3 ml Set 0 1,038 - 1,038
0 848 - 848
111 848 94,156 100 848
0 - - -
4 Alat suntik sekali pakai 5 ml Set 0 1,038 - 1,038
248 979 242,730 200 979
0 - - -
5 Bisturi no. 20 Buah 0 2,099 - 2,099
103 2,100 216,300 2,100
0 - - -
6 Bisturi no. 15 Buah 0 2,099 - 2,099
37 2,100 77,700 2,100
0 - - -
7 Catgut No 2/0 Set 25 6,400 160,000 6,400
24 25,920 622,080 24 25,920
0 - - -
8 Catgut No 3/0 Set 0 5,900 - 5,900
6 27,000 162,000 27,000
0 - - -
9 Handscoen no. 6 Pasang 0 6,595 - 6,595
0 - - -
10 Handscoen no. 6,5 Pasang 0 6,595 - 6,595
0 - - -
11 Handscoen no. 7 Pasang 0 4,250 - 4,250
0 7,684 - 7,684
0 - - -
12 Handscoen no. 7,5 Pasang 0 4,250 - 4,250
5 7,684 38,420 7,684
0 - - -
13 Infuset dewasa Set 0 3,500 - 3,500
27 4,176 112,752 50 4,176
0 - - -
14 Infusion set anak Set 0 4,000 - 4,000
6 4,568 27,408 5 4,568
0 - - -
15 IV Catheter No.16 G Set 0 7,937 - 7,937
0 - - -
15 IV Catheter No.18 G Set 0 6,600 - 6,600
0 - - -
16 IV Catheter No.24 G Set 0 7,787 - 7,787
7 7,787 54,509 50 7,787
0 - -
17 IV Catheter No. 20 G Set 0 7,787 - 7,787
11 7,937 87,307 50 7,937
0 - - -
18 IV Catheter No. 22 G Set 64 7,787 498,368 7,787
0 - - -
19 Folley Catheter 16 Set 0 10,440 - 10,440
0 - - -
19 Folley Catheter 18 Set 0 8,495 - 8,495
0 10,440 - 10,440
0 - - -
20 Folley catheter 22 Set 0 8,495 - 8,495
0 10,440 - 10,440
0 - - -
21 Folley catheter 24 Set 0 495 - 495
0 10,440 - 10 10,440
0 - - -
22 Kapas Berlemak 250 gram Rol 0 7,500 - 7,500
4 27,821 111,284 27,821
0 - - -
23 Kapas Berlemak 500 gram Rol 0 17,250 - 17,250
0 - - -
24 Kasa Pembalut 4m x 3 cm Rol 0 800 - 800
0 - - -
25 Kasa Pembalut 4m x 5 cm Rol 0 887 - 887
0 - - -
26 Kasa Pembalut 4m x 10 cm Rol 0 607 - 607
0 6,121 - 50 6,121
0 - - -
27 Kasa Pembalut 4m x 15 cm Rol 0 887 - 887
0 - - -
28 Kasa Kompres 40/40 steril Buah 0 1,871 - 1,871
0 5,621 - 5,621
0 - - -
29 Kasa Steril 16 X 16 Buah 0 8,600 - 8,600
0 11,724 - 11,724
0 - - -
30 Kasa pembalut 2 x 80 Rol 0 10,467 - 10,467
0 13,221 - 13,221
0 - - -
31 Kasa Pembalut 40 x 80 Rol 0 - - -
0 137,025 - 137,025
0 - - -
32 Kasa Pembalut 36 x 80 cm Rol 0 55,200 - 55,200
2 133,821 267,642 5 133,821
0 - - -
33 Pembalut Gips Buah 2 32,500 65,000 32,500
0 - - -
34 Plester 5 yard x 2 inc Rol 0 23,625 - 23,625
2 23,625 47,250 6 23,625
0 - - -
35 Silk Set 0 5,082 - 5,082
11 18,781 206,591 72 18,781
0 - - -
36 Selang oksigen anak Set 0 - - -
0 - - -
37 Selang oksigen dewasa Set 0 - - -
0 - - -
38 Sofratulle Set 0 - - -
0 - - -
39 Urine bag Set 0 4,000 - 4,000
0 - - -
40 Wing Needle No. 21 G Set 0 5,770 - 5,770
200 5,770 1,154,000 5,770
0 - - -
41 Wing Needle No. 23 G Set 67 5,770 386,590 5,770
199 5,770 1,148,230 5,770
0 - - -
42 Wing Needle No.25 G Set 0 5,770 - 5,770
200 5,770 1,154,000 5,770
0 - - -
43 Wing Needle No. 27 G Set 0 5,770 - 5,770
0 - - -
44 NGT No. 3 ( Feeding Tube ) Set 0 22,000 - 22,000
0 - - -
45 NGT No. 5 ( Feeding Tube ) Set 0 22,000 - 22,000
0 - - -
46 Masker Buah 0 1,125 - 1,125
87 1,125 97,875 1,125
0 - - -
47 Tes gula darah Set 0 200,455 - 200,455
75 8,018 601,350 5 8,018
0 - - -
48 Tes Narkoba 3 parameter Set 0 68,181 - 68,181
0 - - -
49 Tes Narkoba 5 parameter Set 0 68,181 - 68,181
0 - - -
50 Tes Kehamilan Sachet 0 6,825 - 6,825
7,786,227
34,660,933

Mengetahui
Kepala Puskesmas Rumbia
Rahmat, AMK
Nip. 19721021 199403 1 004
AN OBAT DAN PERBEKES
SELAMA 1 TAHUN
UN 2016

BULAN : APRIL
TAHUN : 2016

asi Masuk Mutasi Pengeluaran Saldo Akhir


Obat Puskesmas bulan April Per 30 April 2016
Nilai ( Rp) Jumlah Harga Satuan Nilai (Rp) Jumlah Harga Satuan Nilai (Rp)
9 10 11 12 13 14 15

- 6,050 - 0 6,050 -

66,000 3 2,200 6,600 32 2,200 70,400


- - - 0 - -
- 12,750 - 0 12,750 -
- 363 - 0 363 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 245 - 0 245 -
- 1 245 245 204 245 49,980
- - - 0 - -
- 18,635 - 0 18,635 -
- - - 0 - -
- 138 - 0 138 -
96,600 500 138 69,000 430 138 59,340
- - - 0 - -
- - - 0 - -
- 2,722 - 0 2,722 -
- 14 2,722 38,108 13 2,722 35,386
- - - 0 - -
- 4,204 - 0 4,204 -
- - - 0 - -
- 86 - 100 86 8,600
34,400 86 - 400 86 34,400
- - 0 -
- 123 - 0 123 -
- 123 - 100 123 12,300
- - - 0 - -
- 1,863 - 0 1,863 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 2,560 - 0 2,560 -
- 2,560 - 0 2,560 -
- 2,560 - 0 2,560 -
307,200 59 2,560 151,040 200 2,560 512,000
- - - 0 - -
- 220 - 0 220 -
- 220 - 0 220 -
- 220 - 0 220 -
- - - 0 - -
- 279 - 0 279 -
- 279 - 0 279 -
892,800 1605 279 447,795 2495 279 696,105
- - - 0 - -

- - - 0 - -

- - - 0 - -
- 78 - 0 78 -

46,800 560 78 43,680 2050 78 159,900


- - - 0 - -

- 30 2,213 66,390 9 2,213 19,917

- 2,213 - 61 2,213 134,993


- 2,213 - 0 2,213 -
- - - 0 - -

- 2,767 - 7 2,767 19,369

- - - 0 - -

- 1 2,096 2,096 9 2,096 18,864

- - - 0 - -

- 18 33,000 594,000 19 33,000 627,000

- 2,200 - 10 2,200 22,000


- - - 0 - -

- - - 0 - -

- - - 0 - -

- 149 - 0 149 -

74,500 30 149 4,470 531 149 79,119


- - - 0 - -
- 155 - 0 155 -
- - - 0 - -
- 1,346 - 0 1,346 -
- - - 0 - -
- 110 - 60 110 6,600
- 127 - 1100 127 139,700
- - - 0 - -
- 178 - 0 178 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 105 - 0 105 -
420,000 540 105 56,700 3760 105 394,800
- - - 0 - -
- 52 - 0 52 -
- 100 52 5,200 484 52 25,168
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 127 - 0 127 -
- 127 - 0 127 -
444,500 695 127 88,265 3990 127 506,730
- - - 0 - -
- 3,650 - 25 3,650 91,250
- - - 0 - -

- 1,265 - 0 1,265 -

- 1,265 - 380 1,265 480,700

- - - 0 - -

- 15,900 - 22 15,900 349,800


- - - 0 - -

- 9 82,500 742,500 26 82,500 2,145,000


- - - 0 - -

- 251 - 0 251 -
50,200 95 251 23,845 275 251 69,025
- - - 0 - -
- 1,400 - 34 1,400 47,600
- - - 0 - -
- 81 - 0 81 -
- - - 0 - -

- - - 0 - -

- - - 0 - -
- 1,180 - 0 1,180 -
40,500 11 1,350 14,850 44 1,350 59,400
- - - 0 - -

- 73 - 0 73 -

165,000 1440 55 79,200 1560 55 85,800


- - - 0 - -
- 22,727 - 0 22,727 -
- 22,727 - 4 22,727 90,908
- - - 0 - -
- 1,596 - 0 1,596 -
79,800 30 1,596 47,880 82 1,596 130,872
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -

- - - 0 - -
- 42 - 0 42 -
- - - 0 - -
- 68 - 0 68 -
68,000 880 68 59,840 1345 68 91,460
- - - 0 - -
- 4 1,738 6,952 70 1,738 121,660
- - - 0 - -
- - - 0 - -
19,966 9,983 - 3 9,983 29,949
- - - 0 - -
- 2,578 - 0 2,578 -
- 1 2,578 2,578 52 2,578 134,056
- - - 0 - -

- - - 0 - -

- - - 0 - -
- - - 0 - -
- - - 0 - -
- 28 - 0 28 -
- - - 0 - -
- 28 - 85 28 2,380
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 1,160 - 47 1,160 54,520
- - - 0 - -
- 103 - 100 103 10,300
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 141 - 0 141 -
- 141 - 560 141 78,960
- - - 0 - -
- 278 - 190 278 52,877
- - - 0 - -
- 3,490 - 0 3,490 -
- 21 3,490 73,290 39 3,490 136,110
- - - 0 - -
- 174 - 0 174 -
69,600 288 174 50,112 443 174 77,082
- - - 0 - -
- 100 56 5,639 0 56 -
16,917 20 56 1,128 280 56 15,789
- - 0 -
- 42 - 160 42 6,720
42,000 42 - 5000 42 210,000
- - - 0 - -

- 8,910 - 90 8,910 801,900

- - - 0 - -
- 522 - 840 522 438,480
- 522 - 0 522 -
- - - 0 - -
219,849 5 7,581 37,905 24 7,581 181,944
- - - 0 - -
- 1,013 - 500 1,013 506,385
- 1,023 - 0 1,023 -
- - - 0 - -
- 2,625 - 0 2,625 -
- 2,625 - 0 2,625 -
105,000 9 2,625 23,625 102 2,625 267,750
- - - 0 - -
- 4,695 - 0 4,695 -
18,780 4,695 - 4 4,695 18,780
- - - 0 - -
- 124 - 0 124 -
- - - 0 - -
- - - 0 - -
- 124 - 0 124 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 146 - 100 146 14,600
- - - 0 - -
- 37 - 0 37 -
- 1,980 - 90 1,980 178,200
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 37 - 0 37 -
- - - 0 - -

- 698 - 0 698 -

- - - 0 - -
- 698 - 100 698 69,800
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 2,012 - 0 2,012 -
- - - 0 - -
- 2,012 - 39 2,012 78,468
- - - 0 - -
- 84 - 0 84 -
- 84 - 360 84 30,240
- - - 0 - -

- 317 - 0 317 -

- 317 - 0 317 -
- - - 0 - -
- 2,420 - 0 2,420 -
- - - 0 - -
- 323 - 0 323 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 3,739 - 0 3,739 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 2,340 - 0 2,340 -
29,380 5 1,469 7,345 35 1,469 51,415
- - - 0 - -
- 3,194 - 0 3,194 -
- - - 0 - -
- 61 - 0 61 -
- 120 61 7,320 200 61 12,200
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 31 - 0 31 -
- 31 - 0 31 -
31,000 1150 31 35,650 10020 31 310,620
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 10 5,720 57,200 27 5,720 154,440
- - - 0 - -
- 6,270 - 15 6,270 94,050
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 230 - 0 230 -
69,000 230 - 300 230 69,000
- - - 0 - -
- 62 - 0 62 -
- - - 0 - -
- 76 - 0 76 -
- 76 - 190 76 14,440
- - - 0 - -
- 105 - 0 105 -
- 105 - 0 105 -
- 105 - 0 105 -
- - - 0 - -
- 38,500 - 0 38,500 -
- - - 0 - -
- 40 - 0 40 -
- 40 - 9500 40 380,000
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 330 - 0 330 -
- - - 0 - -
- 4,949 - 0 4,949 -
- - - 0 - -
- 127 - 0 127 -
60,500 110 121 13,310 890 121 107,690
- - - 0 - -
- 157 - 0 157 -
125,600 428 157 67,196 780 157 122,460
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 98 - 0 98 -
- 98 - 90 98 8,820
- - - 0 - -
- 10,000 - 17 10,000 170,000
- - - 0 - -
- 9,519 - 20 9,519 190,380
- - - 0 - -
- 51 - 0 51 -
- 76 - 0 76 -
91,200 540 76 41,040 900 76 68,400
- - - 0 - -
- 69 - 0 69 -
- 150 69 10,350 80 69 5,520
- - - 0 - -
- 97 - 0 97 -
- 70 97 6,790 520 97 50,440
- - - 0 - -
- 269 - 0 269 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 110,000 - 0 110,000 -
- - - 0 - -
- 320 - 0 320 -
- 60 320 19,200 90 320 28,800
- - - 0 - -
- 5,150 - 0 5,150 -
- 5,150 - 0 5,150 -
- - - 0 - -
- 2,665 - 0 2,665 -
- 2,665 - 90 2,665 239,850
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 405 - 0 405 -
- - - 0 - -
- 1,680 - 0 1,680 -
- - - 0 - -
- 275 - 90 275 24,750
- 275 - 0 275 -
- - - 0 - -
- 1,680 - 0 1,680 -
- 1,680 - 13 1,680 21,840
- - - 0 - -
- 4,016 - 13 4,016 52,208
- - - 0 - -
- 26 - 0 26 -
- 26 - 0 26 -
105,600 1410 26 37,224 5559 26 146,758
- - - 0 - -
- 1,210 - 0 1,210 -
- - - 0 - -
- 152 - 0 152 -
- - - 0 - -
10,000 50 - 244 50 12,200
- - - 0 - -

- 531 - 0 531 -

- - - 0 - -

- - - 0 - -

- - - 0 - -

- 50 152 7,600 1050 152 159,600

- 152 - 0 152 -
608,000 152 - 6583 152 1,000,616
- - - 0 - -

- 79 - 0 79 -

- 80 79 6,320 380 79 30,020


- - - 0 - -

- 2,298 - 0 2,298 -

- - - 0 - -
- 6,820 - 0 6,820 -
- 6,820 - 0 6,820 -
- - - 0 - -
- 112 - 0 112 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 581 - 0 581 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 1,499 - 0 1,499 -
224,850 34 1,499 50,966 167 1,499 250,333
- 1,499 - 0 1,499 -
- - - 0 - -
- 54,995 - 0 54,995 -
- 54,995 - 0 54,995 -
- - - 0 - -
- 97 - 0 97 -
77,600 110 97 10,670 705 97 68,385
- - - 0 - -
- 170 - 0 170 -
- - - 0 - -
- 7,260 - 0 7,260 -
- 7,260 - 0 7,260 -
- - - 0 - -
- 7,260 - 0 7,260 -
- 7,260 - 20 7,260 145,200
- - - 0 - -
- 1,130 - 0 1,130 -
- - - 0 - -
- 3,887 - 0 3,887 -
- - - 0 - -
- 248 - 90 248 22,320
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 1,639 - 0 1,639 -
- - - 0 - -
26,620 10 133 1,331 190 133 25,289
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 1,100 - 0 1,100 -
- 1,100 - 0 1,100 -
- 1,100 - 0 1,100 -
- - - 0 - -

- - - 0 - -

- - - 0 - -
- 100 - 232 100 23,200
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 12,980 - 0 12,980 -
- 1 12,980 12,980 8 12,980 103,840
- - - 0 - -
- 116 - 0 116 -
58,000 80 116 9,280 600 116 69,600
- - - 0 - -
- - - 0 - -
101,400 560 169 94,640 620 169 104,780
- - - 0 - -
- 3,150 - 0 3,150 -
- 3,150 - 6 3,150 18,900
- - - 0 - -
- 146 - 0 146 -
- 146 - 0 146 -
131,400 146 - 960 146 140,160
- - - 0 - -
- 193 - 0 193 -
- 193 - 0 193 -
- 193 - 0 193 -
154,400 770 193 148,610 560 193 108,080
- - - 0 - -
- 5,170 - 0 5,170 -
- 5,170 - 0 5,170 -
310,200 25 5,170 129,250 55 5,170 284,350
- - - 0 - -
- 127 - 0 127 -
- 49 127 6,223 811 127 102,997
- - - 0 - -

- 704 - 0 704 -

281,600 704 - 400 704 281,600

- - 0 -

- 448 - 190 448 85,120


- - - 0 - -
- 2,310 - 0 2,310 -
161,700 21 2,310 48,510 98 2,310 226,380
- - - 0 - -
- 440 - 0 440 -
- - - 0 - -
- 700 - 0 700 -
- 700 - 40 700 28,000
- - - 0 - -
- 3,410 - 0 3,410 -
- - - 0 - -
- 2,010 - 0 2,010 -
- 1,646 - 0 1,646 -
- 14 1,646 23,044 37 1,646 60,902
- - - 0 - -
- 2,772 - 0 2,772 -
- 3 2,772 8,316 128 2,772 354,816
- - - 0 - -
- 6,875 - 0 6,875 -
- 1 1,900 1,900 13 1,900 24,700
- - - 0 - -
- 221 - 0 221 -
- 221 - 0 221 -
39,780 221 - 180 221 39,780
- - - 0 - -
- 109 - 0 109 -
- 109 - 2830 109 308,470
- - - 0 - -
- 1,535 - 0 1,535 -
- 1,535 - 0 1,535 -
460,500 60 1,535 92,100 362 1,535 555,670
- - - 0 - -
- 105 - 0 105 -
52,500 105 - 900 105 94,500
- - - 0 - -
- 88 - 0 88 -
- 88 - 0 88 -
422,400 1030 88 90,640 4490 88 395,120
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 849 - 0 849 -
- 297 - 0 297 -
- 297 - 0 297 -
- 297 - 0 297 -
- - - 0 - -

- 25,350 - 0 25,350 -

- 25,350 - 3 25,350 76,050


- - - 0 - -
- 107 - 800 107 85,600
- 107 - 0 107 -
- - - 0 - -
- 964 - 0 964 -
- 10 964 9,640 200 964 192,800
- - - 0 - -
- 854 - 0 854 -
- 10 854 8,540 120 854 102,480
- - - 0 - -
- 60,500 - 50 60,500 3,025,000
- - - 0 - -
- 1 9,100 9,100 48 9,100 436,800
- - - 0 - -
- 318 - 0 318 -
124,020 318 - 469 318 149,142
- - - 0 - -
- 19 - 0 19 -
19,000 350 19 6,650 1200 19 22,800
- - - 0 - -
- 116 - 0 116 -
- 515 116 59,740 495 116 57,420
- - - 0 - -
- 18,635 - 0 18,635 -
- 18,635 - 10 18,635 186,350
- - - 0 - -

- 2,344 - 0 2,344 -

23,440 22 2,344 51,568 10 2,344 23,440


- - - 0 - -

- 1 15,386 15,386 1 15,386 15,386

61,544 15,386 - 4 15,386 61,544


- - - 0 - -

- 40,202 - 0 40,202 -

- 40,202 - 0 40,202 -
- - - 0 - -
- 98 - 0 98 -
98,000 830 98 81,340 2434 98 238,532
- - - 0 - -
- 125 - 985 125 123,125
- - - 0 - -
- 12,021 - 0 12,021 -
240,420 9 12,021 108,189 51 12,021 613,071
- - - 0 - -
59,400 100 297 29,700 200 297 59,400
- - - 0 - -
- 80 - 90 80 7,200
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 128 - 0 128 -
268,800 630 128 80,640 1470 128 188,160
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 440 - 0 440 -
- - - 0 - -
- 624 - 0 624 -
- - - 0 - -
- 863 - 0 863 -
- - - 0 - -
- 5,720 - 0 5,720 -
1,144,000 33 5,720 188,760 210 5,720 1,201,200
- - - 0 - -
- 92 - 0 92 -
- 65 - 0 65 -
26,000 100 65 6,500 580 65 37,700
- - - 0 - -
- 93 - 0 93 -
9,300 100 93 9,300 400 93 37,200
- - - 0 - -

- 1,980 - 0 1,980 -

- 2,200 - 13 2,200 28,600


- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 548 - 0 548 -
1,918,000 730 548 400,040 2770 548 1,517,960
- - - 0 - -
- 5,286 - 0 5,286 -
- 13 5,286 68,718 16 5,286 84,576
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 5,414 - 0 5,414 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 1 1,451 1,451 58 1,451 84,136

- - - 0 - -

- 150 - 0 150 -

- - - 0 - -
- 138 - 0 138 -
110,400 12 138 1,656 788 138 108,744
- - - 0 - -
- 177 - 0 177 -
- - - 0 - -
- 480 - 0 480 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 312 - 700 312 218,680
- - - 0 - -
- - - 0 - -
- 350 - 200 350 70,000
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
190,800 100 477 47,700 400 477 190,800
- - - 0 - -
- - - 0 - -
- 1,155 - 100 1,155 115,500
- - - 0 - -
128,398 183 - 700 183 128,398
- - - 0 - -
- 283 - 0 283 -
- - - 0 - -

- 42 - 0 42 -

- 42 - 0 42 -
- - - 0 - -
- 770 - 0 770 -
- - - 0 - -
- 2,680 - 0 2,680 -
- - - 0 - -
- 10 363 3,630 12 363 4,356
- - - 0 - -
- 45 - 0 45 -
- 45 - 160 45 7,200
- - - 0 - -
- 63 - 0 63 -
- - - 0 - -
- 7,392 - 0 7,392 -
- - - 0 - -
- 112 - 0 112 -
- 112 - 0 112 -
672,000 1940 112 217,280 5420 112 607,040
- - - 0 - -
- 521 - 0 521 -
- 521 - 400 521 208,400
- 521 - 0 521 -
- - - 0 - -
- 8,140 - 0 8,140 -
81,400 2 8,140 16,280 13 8,140 105,820
- - - 0 - -
- 573 - 0 573 -
- 6,975 - 2 6,975 13,950
- - - 0 - -
519,750 10,395 - 50 10,395 519,750
- - - 0 - -
- 155 - 0 155 -
- 141 - 1000 141 141,000
- - - 0 - -
- - - 0 - -
- 1,210 - 0 1,210 -
- - - 0 - -

- 57 - 0 57 -

- - - 0 - -

- 116 - 0 116 -
- 572 - 0 572 -
- - - 0 - -
- 191 - 100 191 19,100
- - - 0 - -
- 275 - 0 275 -
- 275 - 0 275 -
- - - 0 - -
- 162 - 0 162 -
- - - 0 - -
- 1,108 - 0 1,108 -
- 1,109 - 16 1,109 17,744
- - - 0 - -
- 162 - 0 162 -
- - - 0 - -
- 116 - 0 116 -
- - - 0 - -
- 167 - 0 167 -
- - - 0 - -
- 125 - 0 125 -
- - - 0 - -
- 318 - 0 318 -
- - - 0 - -
- 109 - 0 109 -
- - - 0 - -
- 45 - 0 45 -
- - - 0 - -
- 854 - 0 854 -
- - - 0 - -
- 42,727 - 0 42,727 -
- 7 42,727 299,089 5 42,727 213,635
- - - 0 - -
- 1,480 - 0 1,480 -
592,000 465 1,480 688,200 670 1,480 991,600
- - - 0 - -
- 31 - 0 31 -
- - - 0 - -
- 56 - 0 56 -
- - - 0 - -
- - - 0 - -
- 765,000 - 0 765,000 -
- 1 765,000 765,000 1 765,000 765,000
- - - 0 - -
- 242,000 - 0 242,000 -
- - - 0 - -
- 338,800 - 0 338,800 -
- 1 338,800 338,800 1 338,800 338,800
- - - 0 - -
- 390,000 - 0 390,000 -
- 390,000 - 0 390,000 -
- - - 0 - -
- 18,333 - 0 18,333 -
18,333 18,333 - 1 18,333 18,333
- - - 0 - -
- 105,000 - 0 105,000 -
- 1 105,000 105,000 3 105,000 315,000
- - - 0 - -
- 170,000 - 0 170,000 -
- - - 0 - -
- 395,000 - 0 395,000 -
197,895 197,895 - 1 197,895 197,895
- - - 0 - -
- 55,000 - 1 55,000 55,000
- - - 0 - -
- 93,500 - 0 93,500 -
- 93,500 - 2 93,500 187,000
- - - 0 - -
- 34,000 - 0 34,000 -
- 34,000 - 0 34,000 -
- - - 0 - -
- 176,000 - 0 176,000 -
- - - 0 - -
- - - 0 - -
- 425 - 0 425 -
- 24,384 - 0 24,384 -
- 27,569 - 0 27,569 -
- 27,569 - 8 27,569 220,552
- - - 0 - -
- 104 - 0 104 -
- 104 - 2000 104 208,000
- - - 0 - -
- 825,000 - 0 825,000 -
- 4,545 - 0 4,545 -
- 236,490 - 0 236,490 -
- 396,000 - 0 396,000 -
- 1,319,990 - 0 1,319,990 -

- 175,899 - 0 175,899 -
- 145,000 - 0 145,000 -
- 150,000 - 0 150,000 -
- 168,300 - 0 168,300 -
- 46,200 - 0 46,200 -
- 45,560 - 0 45,560 -
- 42,350 - 0 42,350 -
- 20,454 - 0 20,454 -
- 4,438 - 0 4,438 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 285,000 - 0 285,000 -

- 695,752 - 0 695,752 -

- 412 - 0 412 -
- 286 - 0 286 -
- 497 - 0 497 -
- - - 0 - -
- - - 0 - -
- 1,093 - 0 1,093 -
- 848 - 0 848 -
- 26 848 22,055 153 848 129,782
- - - 0 - -
- 1,038 - 0 1,038 -
84,825 50 848 42,413 51 848 43,261
- - - 0 - -
- 1,038 - 0 1,038 -
- 848 - 0 848 -
84,825 30 848 25,448 181 848 153,533
- - - 0 - -
- 1,038 - 0 1,038 -
195,750 979 - 448 979 438,480
- - - 0 - -
- 2,099 - 0 2,099 -
- 2,100 - 103 2,100 216,300
- - - 0 - -
- 2,099 - 0 2,099 -
- 8 2,100 16,800 29 2,100 60,900
- - - 0 - -
- 6,400 - 25 6,400 160,000
622,080 25,920 - 48 25,920 1,244,160
- - - 0 - -
- 5,900 - 0 5,900 -
- 27,000 - 6 27,000 162,000
- - - 0 - -
- 6,595 - 0 6,595 -
- - - 0 - -
- 6,595 - 0 6,595 -
- - - 0 - -
- 4,250 - 0 4,250 -
- 7,684 - 0 7,684 -
- - - 0 - -
- 4,250 - 0 4,250 -
- 5 7,684 38,420 0 7,684 -
- - - 0 - -
- 3,500 - 0 3,500 -
208,800 12 4,176 50,112 65 4,176 271,440
- - - 0 - -
- 4,000 - 0 4,000 -
22,840 4 4,568 18,272 7 4,568 31,976
- - - 0 - -
- 7,937 - 0 7,937 -
- - - 0 - -
- 6,600 - 0 6,600 -
- - - 0 - -
- 7,787 - 0 7,787 -
389,350 2 7,787 15,574 55 7,787 428,285
- - - 0 - -
- 7,787 - 0 7,787 -
396,850 6 7,937 47,622 55 7,937 436,535
- - - 0 - -
- 7,787 - 64 7,787 498,368
- - - 0 - -
- 10,440 - 0 10,440 -
- - - 0 - -
- 8,495 - 0 8,495 -
- 10,440 - 0 10,440 -
- - - 0 - -
- 8,495 - 0 8,495 -
- 10,440 - 0 10,440 -
- - - 0 - -
- 495 - 0 495 -
104,400 1 10,440 10,440 9 10,440 93,960
- - - 0 - -
- 7,500 - 0 7,500 -
- 27,821 - 4 27,821 111,284
- - - 0 - -
- 17,250 - 0 17,250 -
- - - 0 - -
- 800 - 0 800 -
- - - 0 - -
- 887 - 0 887 -
- - - 0 - -
- 607 - 0 607 -
306,050 6,121 - 50 6,121 306,050
- - - 0 - -
- 887 - 0 887 -
- - - 0 - -
- 1,871 - 0 1,871 -
- 5,621 - 0 5,621 -
- - - 0 - -
- 8,600 - 0 8,600 -
- 11,724 - 0 11,724 -
- - - 0 - -
- 10,467 - 0 10,467 -
- 13,221 - 0 13,221 -
- - - 0 - -
- - - 0 - -
- 137,025 - 0 137,025 -
- - - 0 - -
- 55,200 - 0 55,200 -
669,105 3 133,821 401,463 4 133,821 535,284
- - - 0 - -
- 32,500 - 2 32,500 65,000
- - - 0 - -
- 23,625 - 0 23,625 -
141,750 2 23,625 47,250 6 23,625 141,750
- - - 0 - -
- 5,082 - 0 5,082 -
1,352,232 3 18,781 56,343 80 18,781 1,502,480
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 4,000 - 0 4,000 -
- - - 0 - -
- 5,770 - 0 5,770 -
- 5,770 - 200 5,770 1,154,000
- - - 0 - -
- 5,770 - 67 5,770 386,590
- 5,770 - 199 5,770 1,148,230
- - - 0 - -
- 5,770 - 0 5,770 -
- 5,770 - 200 5,770 1,154,000
- - - 0 - -
- 5,770 - 0 5,770 -
- - - 0 - -
- 22,000 - 0 22,000 -
- - - 0 - -
- 22,000 - 0 22,000 -
- - - 0 - -
- 1,125 - 0 1,125 -
- 55 1,125 61,875 32 1,125 36,000
- - - 0 - -
- 200,455 - 0 200,455 -
40,090 8,018 - 80 8,018 641,440
- - - 0 - -
- 68,181 - 0 68,181 -
- - - 0 - -
- 68,181 - 0 68,181 -
- - - 0 - -
- 6,825 - 0 6,825 -
4,618,947 854,086 11,551,088
18,033,489 8,259,920 44,434,502

Rumbia, 30 April 2016

Penanggung Jawab
Laporan
Wa Ode Wahyuni Hambe, S. Si, Apt
Nip. 19870305 201101 2 019
REKAPAN PENGGUNAAN OBAT DAN PERBE
PUSKESMAS SELAMA 1 TAHUN
TAHUN 2016

SKPD : PUSKESMAS RUMBIA


KABUPATEN : BOMBANA
PROVINSI : SULAWESI TENGARA

Saldo Awal 2016 Mutasi Masuk


Satuan /
No Nama Obat 1 Mei 2016 Mei 2016
Kemasan
Jumlah Harga Satuan (Rp) Nilai (Rp) Jumlah Harga Satuan
1 2 3 4 5 6 7 8
OBAT

1 Air untuk injeksi amp 25 ml (aqua pro injeksi) Ampul 0 6,050 - 6,050

32 2,200 70,400 2,200

2 Albendazol tab 400 mg Tab 0 12,750 - 12,750


0 363 - 363

3 Alopurinol tab 100 mg Tab 0 - - -


0 - - -
4 Alprazolam tab 1 mg Tab 0 245 - 245
204 245 49,980 245

5 Albothyl cairan Botol 0 18,635 - 18,635


0 - - -
6 Ambroksol tablet 30 mg Tab 0 138 - 138
430 138 59,340 500 138
0 - - -
7 Ambroksol sirup Botol 0 2,722 - 2,722
13 2,722 35,386 2,722

8 Aminofilin inj 24 mg/ml Ampul 0 4,204 - 4,204

9 Aminofilin tab 200 mg Tab 100 86 8,600 86


400 86 34,400 86

10 Amitriptilin tab sal 25 mg Tab sal 0 123 - 123


100 123 12,300 123

11 Amlodipin tab 10 mg Tab 0 1,863 - 1,863

12 Amlodipin tab 5 mg Tab 0 - - -

13 Amoksisilin sir kering 125 mg/5 ml Botol 0 2,560 - 2,560


0 2,560 - 2,560
0 2,560 - 2,560
200 2,560 512,000 2,560

14 Amoksisilin tab 250 mg Tab 0 220 - 220


0 220 - 220
0 220 - 220

15 Amoksisilin tab 500 mg Tab 0 279 - 279


0 279 - 279
2495 279 696,105 279

Anestetik lokal gigi kombinasi : lidokain hcl


16 2% + epinefrin 1 : 80.000 inj 2 ml Ampul 0 - - -
Antasida, kombinasi : aluminium hidroksida
17 Tab kunyah 0 78 - 78
200 mg + magnesium hidroksida 200 mg

2050 78 159,900 78

Antasida, kombinasi : aluminium hidroksida


18 200 mg + magnesium hidroksida 200 mg Botol 9 2,213 19,917 2,213
Suspensi
61 2,213 134,993 2,213
0 2,213 - 2,213

Antibakteri, kombinasi : basitrasin 500 UI/g+


19 Tube 7 2,767 19,369 2,767
Polimiskin B 10.000 UI/g
Antifungi salep, kombinasi : asam benzoat 6%
+ asam salisilat 3%
20 Tube 9 2,096 18,864 2,096

mg + heksaklorofen 2,5 mg + lidokain


lidokain 10 mg+ seng oksida 120 mg + sup
21 ad 2 g Suppo 19 33,000 627,000 33,000

10 2,200 22,000 2,200

Anti Parkinson kombinasi : benzerasid 25 mg +


22 Kaps 0 - - -
levodopa 100 mg

Anti Migren, kombinasi : ergotamin 1 mg+


23 Tab 0 149 - 149
kafein 50 mg
531 149 79,119 149

24 Antalgin (metampirom) tablet 100 mg Tab 0 155 - 155

25 Antalgin (metampirom) injeksi 250 mg/ml-2 ml Ampul 0 1,346 - 1,346


26 Asam asetilsalisilat (asetosal) tab 100 mg Tab 60 110 6,600 110
1100 127 139,700 127

27 Asam asetilsalisilat (asetosal) tab 500 mg Tab 0 178 - 178

Asam asetilsalisilat (asetosal) tab 80 mg


28 Tab 0 - - -
(Miniaspi 80)

29 Asam askorbat (vitamin C) tab 50 mg Tab 0 105 - 105


3760 105 394,800 105

30 Asam folat tab 1 mg Tab 0 52 - 52


484 52 25,168 52

31 Asam mefenamat kaps 250 mg Kaps 0 - - -

32 Asam mefenamat kaps 500 mg Kaps 0 127 - 127


0 127 - 127
3990 127 506,730 127

33 Asam traneksamat inj 50 mg/ml Ampul 25 3,650 91,250 3,650

34 Asam traneksamat tab 500 mg Tab 0 1,265 - 1,265

380 1,265 480,700 1,265

35 Asering larutan infus Botol 22 15,900 349,800 15,900

36 Asiklovir salep kulit Tube 26 82,500 2,145,000 82,500


37 Asiklovir tab 200 mg Tab 0 251 - 251
275 251 69,025 251

38 Atropin inj 0,25 mg/ml (i.m./i.v./s.k) Ampul 34 1,400 47,600 1,400

39 Atropin tab 0,5 mg Tab 0 81 - 81

40 Atropin tts mata 0,5% (Cendotropin 0,5%) Botol 0 - - -

41 Bedak salisil serb 2% Botol 0 1,180 - 1,180


44 1,350 59,400 1,350

Besi (II) sulfat 200 mg + asam folat 0.25 mg


42 Sachet 0 73 - 73
(tablet tambah darah)
1560 55 85,800 55

43 Becefort syrup Botol 0 22,727 - 22,727


4 22,727 90,908 22,727

44 Betametason krim 0,1% Tube 0 1,596 - 1,596


82 1,596 130,872 1,596

45 Betahistin mesilate tablet tablet 0 - - -

46 Bisakodil sup 10 mg (Stolax) Botol 0 - - -

47 Bisakodil tab sal 5 mg Tab sal 0 - - -

48 Bismecon salep tube 0 - - -


Budesonid-formoterol (fixed combination)* ih
49 Botol 0 - - -
80/4,5 mcg

50 Bromheksin tablet tablet 0 42 - 42

51 Deksametason tab 0,5 mg Tab 0 68 - 68


1345 68 91,460 68

52 Deksametason inj 5 mg/ml (i.v./i.m.) Vial 70 1,738 121,660 100 1,738

53 Desoksimetason salep 0,25% Tube 0 - - -


3 9,983 29,949 9,983

54 Diazepam inj 5 mg/ml (i.v./i.m.) Vial 0 2,578 - 2,578


52 2,578 134,056 2,578

55 Diazepam lar rektal 10 mg/2,5 ml (Stesolid) Botol 0 - - -

56 Diazepam supposutoria suppo 0 - - -

57 Diazepam tab 2 mg Tab 0 28 - 28

58 Diazepam tab 5 mg Tab 85 28 2,380 28

59 Dietilkarbamazin tab 100 mg Tab 0 - - -

60 Difenhidramin inj 10 mg/ml (i.v./i.m.) Ampul 47 1,160 54,520 1,160

61 Digoksin tab 0,25 mg Tab 100 103 10,300 103

62 Diltiazem kaps SR 100 mg Kaps 0 - - -


63 Diltiazem tab 30 mg Tab 0 141 - 141
560 141 78,960 141

64 Doksisiklin tablet 100 mg Tab 190 278 52,877 278

65 Domperidon susp 5 mg/5 ml Botol 0 3,490 - 3,490


39 3,490 136,110 3,490

66 Domperidon tab 10 mg Tab 0 174 - 174


443 174 77,082 174
67 Efedrin HCl tablet Tab 0 56 - 56
280 56 15,789 56

68 Ekstrak belladon tablet 10 mg tab 160 42 6,720 42


5000 42 210,000 42

69 Epinefrin (adrenalin) inj 0,1% (i.v./s.k./i.m.) Ampul 90 8,910 801,900 8,910

70 Eritromisin kaps 250 mg Kaps 840 522 438,480 522


0 522 - 522

71 Eritromisin sir 200 mg/5 ml Botol 24 7,581 181,944 7,581

72 Eritromisin tab 500 mg Tab 500 1,013 506,385 1,013


0 1,023 - 1,023

73 Etanol 70% cairan 70% Botol 0 2,625 - 2,625


0 2,625 - 2,625
102 2,625 267,750 2,625

74 Etakridin (rivanol) larutan 0.1% Botol 0 4,695 - 4,695


4 4,695 18,780 4,695

75 Etil klorida semprot 100 ml Botol 0 124 - 124

76 Famotidin tablet 20 mg Tab 0 - - -


0 124 - 124

77 Fenitoin Na inj 50 mg/ml Ampul 0 - - -

78 Fenitoin Na kaps 100 mg Kaps 0 - - -


100 146 14,600 146
79 Fenobarbital inj 50 mg/ml Ampul 0 37 - 37
90 1,980 178,200 1,980

80 Fenobarbital tab 100 mg Tab 0 - - -

81 Fenobarbital tab 30 mg Tab 0 37 - 37

82 Fitomenadion (vitamin K 1) inj 2 mg/ml (i.m.) Vial 0 698 - 30 698

83 Fitomenadion (vitamin K 1) tab sal 10 mg Tab sal 100 698 69,800 698

84 Flukonazol kaps 150 mg Kaps 0 - - -

85 Flusinolon asetonid krim 0,025% Tube 0 - - -

86 Flunarizin tablet tablet 0 2,012 - 2,012

87 Furosemid inj 10 mg/ml (i.v./i.m.) Ampul 39 2,012 78,468 2,012

88 Furosemid tab 40 mg Tab 0 84 - 84


360 84 30,240 84

Garam oralit kombinasi : natrium klorida 0,52


g + kalium klorida 0,30 g + trinatrium sitrat
89 Sachet 0 317 - 317
0,58 g + glukosa anhidrat 2,7 g

0 317 - 317

90 Gameksan lotion 1 % Botol 0 2,420 - 2,420

91 Gemfibrozil kaps 300 mg Kaps 0 323 - 323


92 Gemfibrozil kaps 600 mg Kaps 0 - - -

93 Gentamisin inj 10 mg/ml Ampul 0 3,739 - 3,739

94 Gentamisin salep mata 0,3% Tube 0 - - -

95 Gentamisin salep Kulit Tube 0 2,340 - 2,340


35 1,469 51,415 1,469

96 Gentamisin tts mata 0,3% Botol 0 3,194 - 3,194

97 Glibenklamid tab 5 mg Tab 0 61 - 61


200 61 12,200 61

98 Glimepirid tab 4 mg Tab 0 - - -

99 Glipizid tablet 5 mg (Glucotrol 5 mg) Tab 0 - - -

100 Gliseril Guaiakolat tab 100 mg Tab 0 31 - 31


0 31 - 31
10020 31 310,620 31

101 Gliserin lar 50% Botol 0 - - -

102 Glukosamin tablet 500 mg Tab 0 - - -

103 Glukosa Larutan Infus 5% steril Botol 27 5,720 154,440 5,720

104 Glukosa Larutan Infus 10% steril Botol 15 6,270 94,050 6,270

105 Glukosa Larutan Infus 40% steril Botol 0 - - -


106 Griseofulvin (micronized) tab 125 mg Tab 0 230 - 230
300 230 69,000 230

107 Haloperidol tab 0,5 mg Tab 0 62 - 62

108 Haloperidol tab 1,5 mg Tab 0 76 - 76


190 76 14,440 76

109 Haloperidol tab 5 mg Tab 0 105 - 105


0 105 - 105
0 105 - 105

110 Hidrogen peroksida (H2O2) cairan 3% Botol 0 38,500 - 38,500

111 Hidroklorotiazid (HCT) tab 25 mg Tab 0 40 - 40


9500 40 380,000 40

112 Hidrokortison krim 2,5% Tube 0 - - -

113 Hiosina butilbromida tab 10 mg Tab 0 330 - 330

114 Ibuprofen susp 100 mg/5 ml Botol 0 4,949 - 4,949

115 Ibuprofen tab 200 mg Tab 0 127 - 127


890 121 107,690 121

116 Ibuprofen tab 400 mg Tab 0 157 - 157


780 157 122,460 157

Ipratropium bromida nebulizer 0,025%


117 Botol 0 - - -
(Atroven sol. for inhalation 0.025%)

118 Isoniazid tab 300 mg Tab 0 - - -


119 Isosorbid dinitrat inj 10 mg/10 ml (Fasorbid) Vial 0 - - -

120 Isosorbid dinitrat tab 5 mg Tab 0 98 - 98


90 98 8,820 98

121 KA-EN 3B Cairan Infus Botol 17 10,000 170,000 10,000

122 Kalsium glukonat inj 100 mg/ml Ampul 20 9,519 190,380 9,519

123 Kalsium laktat (kalk) tab 500 mg Tab 0 51 - 51


0 76 - 76
900 76 68,400 76

124 Kaptopril tab 12,5 mg Tab 0 69 - 69


80 69 5,520 69

125 Kaptopril tab 25 mg Tab 0 97 - 97


520 97 50,440 600 97

126 Karbamazepin tab 200 mg Tab 0 269 - 269

127 Karbo adsorben (Norit) tab 500 mg Tab 0 - - -

128 Ketamin inj 50 mg/ml (i.v.) Ampul 0 110,000 - 110,000

129 Ketokonazol tab 200 mg Tab 0 320 - 320


90 320 28,800 320

130 Ketokonazol krim 2% Tube 0 5,150 - 5,150


0 5,150 - 5,150
131 Ketorolak inj 10 mg/ml Ampul 0 2,665 - 2,665
90 2,665 239,850 2,665

132 Klaritromisin tab 500 mg Tab 0 - - -

133 Klindamisin kaps 150 mg Kaps 0 405 - 405

134 Kloramfenikol tts mata 0,5% Botol 0 1,680 - 1,680

135 Kloramfenikol kaps 250 mg Kaps 90 275 24,750 275


0 275 - 275

136 Kloramfenikol salep mata 1% Tube 0 1,680 - 1,680


13 1,680 21,840 1,680

137 Kloramfenikol susp 125 mg/5 ml Botol 13 4,016 52,208 4,016

138 Klorfeniramin (CTM) tab 4 mg Tab 0 26 - 26


0 26 - 26
5559 26 146,758 26

139 Klorpromazin inj 25 mg/ml (i.m.) Ampul 0 1,210 - 1,210

140 Klorpromazin tab sal 100 mg Tab sal 0 152 - 152

141 Klorpromazin tab sal 25 mg Tab sal 244 50 12,200 50

142 Kombinasi : Pirimethamin 25 mg + sulfadoksin Tab 0 531 - 531

Kombinasi: ipratropium Br 0,5 mg+


salbutamol 2,5 mg nebules (Combivent UDV)
143 Vial 0 - - -
Kotrimoksazol (dewasa) kombinasi :
sulfametoksazol 400 mg+ trimetoprim 80
144 Tab 1050 152 159,600 152
mg

0 152 - 152
6583 152 1,000,616 152

Kotrimoksazol (anak) kombinasi :


sulfametoksazol 100 mg+ trimetoprim 20
145 Tab 0 79 - 79
mg

380 79 30,020 79

Kotrimoksazol (dewasa) kombinasi tiap 5 ml


146 suspensi : sulfametoksazol 200 mg + Botol 0 2,298 - 2,298
trimetoprim 40 mg

147 Kuinin inj 25% (i.v.) Vial 0 6,820 - 6,820


0 6,820 - 6,820

148 Kloroquin tab 150 mg Tab 0 112 - 112

149 Lansoprazol kaps 30 mg Kaps 0 - - -

150 Levofloksasin tab 500 mg Tab 0 581 - 581

151 Lidokain gel 2% Tube 0 - - -

152 Lidokain inj 2% (hcl) Vial 0 1,499 - 1,499


167 1,499 250,333 1,499
0 1,499 - 1,499

153 Lisol Botol 0 54,995 - 54,995


0 54,995 - 54,995
154 Loperamid tab 2 mg Tab 0 97 - 97
705 97 68,385 97

155 Loratadin tab 10 mg Tab 0 170 - 170

156 Magnesium sulfat inj 20% Vial 0 7,260 - 7,260


0 7,260 - 7,260

157 Magnesium sulfat inj 40% Vial 0 7,260 - 7,260


20 7,260 145,200 7,260

158 Magnesium sulfat serb, ktg 30 g Sachet 0 1,130 - 1,130

159 Mebendazol sir 50 mg/ml Botol 0 3,887 - 3,887

160 Mebendazol tab 100 mg Tan 90 248 22,320 248

161 Metformin tab 500 mg Tab 0 - - -

162 Metformin tab 850 mg Tab 0 - - -

163 Metilergometrin inj 0,2 mg/ml Ampul 0 1,639 - 1,639

164 Metilergometrin tab salut 0,125 mg Tab sal 190 133 25,289 133

165 Metilprednisolon tab 4 mg Tab 0 - - -

166 Metoklopramid inj 5 mg/ml Vial 0 1,100 - 1,100


0 1,100 - 1,100
0 1,100 - 1,100
167 Metoklopramid sir 5 mg/5 ml (Lexapram sirup) Botol 0 - - -

168 Metoklopramid tab 10 mg Tab 232 100 23,200 100

169 Metronidazol supposutoria 500 mg suppo 0 - - -

170 Metronidazol larutan infus Botol 0 12,980 - 12,980


8 12,980 103,840 12,980

171 Metronidazol tab 250 mg Tab 0 116 - 116


600 116 69,600 116

172 Metronidazol tab 500 mg Tab 0 - - -


620 169 104,780 500 169

173 Mikonazol krim 2% Tube 0 3,150 - 3,150


6 3,150 18,900 17 3,150

174 Natrium diklofenak tab 25 mg Tab 0 146 - 146


0 146 - 146
960 146 140,160 146

175 Natrium diklofenak tab 50 mg Tab 0 193 - 193


0 193 - 193
0 193 - 193
560 193 108,080 193

176 NaCl 0,9% Larutan infus Botol 0 5,170 - 5,170


0 5,170 - 5,170
55 5,170 284,350 5,170
177 Nifedipin kaps 10 mg Kaps 0 127 - 127
811 127 102,997 127

178 Nistatin tab salut 500.000 UI Tab 0 704 - 704

400 704 281,600 704

179 Nistatin tab vaginal 100.000 UI Tab 190 448 85,120 448

180 Obat Batuk Hitam (OBH) Botol 0 2,310 - 2,310


98 2,310 226,380 2,310

181 Ofloksasin tab 200 mg Tab 0 440 - 440

182 Ofloksasin tab 400 mg Tab 0 700 - 700


40 700 28,000 700

183 Oksitetrasiklin hcl inj 500 mg/ml Vial 0 3,410 - 3,410

184 Oksitetrasiklin hcl salep kulit 3% Tube 0 2,010 - 2,010


0 1,646 - 1,646
37 1,646 60,902 1,646

185 Oksitetrasiklin hcl salep mata 1 % Tube 0 2,772 - 2,772


128 2,772 354,816 2,772

186 Oksitosin inj 10 UI/ml Ampul 0 6,875 - 6,875


13 1,900 24,700 1,900

187 Omeprazol kaps 20 mg Kaps 0 221 - 221


0 221 - 221
180 221 39,780 221

188 Papaverin tablet 40 mg Tab 0 109 - 109


2830 109 308,470 109

189 Parasetamol sir 120 mg/5 ml Botol 0 1,535 - 1,535


0 1,535 - 1,535
362 1,535 555,670 1,535

190 Parasetamol tab 100 mg Tab 0 105 - 105


900 105 94,500 105

191 Parasetamol tab 500 mg Tab 0 88 - 88


0 88 - 88
4490 88 395,120 88

192 Parasetamol rectal suppo 0 - - -

193 Pehavral tablet multivitamin Tab 0 849 - 849


0 297 - 297
0 297 - 297
0 297 - 297

194 Perak sulfadiazin krim 1% (Burnazin 35 gr) Tube 0 25,350 - 25,350

3 25,350 76,050 25,350

195 Phenylbutazon tablet 200 mg Tab 800 107 85,600 107


0 107 - 107

196 Piracetam tablet 800 mg Tab 0 964 - 964


200 964 192,800 964
197 Piracetam tablet 1200 mg Tab 0 854 - 854
120 854 102,480 854

198 Piracetam injeksi 1 g/5 ml Ampul 50 60,500 3,025,000 60,500

199 Pirantel pamoat susp 125 mg/5 ml Botol 48 9,100 436,800 9,100

200 Pirantel pamoat tab scored 125 mg Tab 0 318 - 318


469 318 149,142 318

201 Piridoksin (vitamin B6) tab 25 mg Tab 0 19 - 19


1200 19 22,800 19

202 Piroksikam tablet 20 mg Tab 0 116 - 116


495 116 57,420 116

203 Polikresulen Botol 0 18,635 - 18,635


10 18,635 186,350 18,635

204 Povidon iodin lar 100 mg/ml Botol 30 ml 0 2,344 - 2,344

10 2,344 23,440 2,344

Botol 300
205 Povidon iodin lar 100 mg/ml 1 15,386 15,386 15,386
ml
4 15,386 61,544 15,386

Botol 1000
206 Povidon iodin lar 100 mg/ml 0 40,202 - 40,202
ml
0 40,202 - 40,202

207 Prednison tab 5 mg Tab 0 98 - 98


2434 98 238,532 98

208 Primakuin tab 15 mg Tab 985 125 123,125 125

209 Procurma syrup Botol 0 12,021 - 12,021


51 12,021 613,071 12,021

210 Propiltiourasil tab 100 mg Tab 200 297 59,400 297

211 Propranolol tab 40 mg Tab 90 80 7,200 80

212 Ranitidin inj 25 mg/ml Ampul 0 - - -

213 Ranitidin tab 150 mg Tab 0 128 - 128


1470 128 188,160 128

214 Reserpin tablet 0.25 mg Tab 0 - - -

215 Rifampisin kaps 300 mg Kaps 0 440 - 440

216 Rifampisin tab 450 mg Tab 0 624 - 624

217 Rifampisin tab 600 mg Tab 0 863 - 863

218 Ringer Laktat Larutan infus Botol 0 5,720 - 5,720


210 5,720 1,201,200 5,720

219 Salbutamol tab 2 mg Tab 0 92 - 92


0 65 - 65
580 65 37,700 65

220 Salbutamol tab 4 mg Tab 0 93 - 93


400 93 37,200 93
Salep 2-4, kombinasi : asam salisilat 2 %+
221 Tube 0 1,980 - 1,980
belerang endap 4 %
13 2,200 28,600 2,200

222 Scabicid salep Tube 0 - - -


223 Sefadroksil kaps 250 mg Vial 0 - - -

224 Sefadroksil kaps/tab 500 mg Tab 0 548 - 548


2770 548 1,517,960 548

225 Sefadroksil sir kering 125 mg/5 ml Botol 0 5,286 - 5,286


16 5,286 84,576 5,286

226 Sefiksim kapsul 100 mg Tab 0 - - -

227 Sefotaksim serb inj 1.000 mg/vial Vial 0 - - -

228 Seftriakson serb inj 1.000 mg/vial Vial 0 5,414 - 5,414

229 Setirizin tab 10 mg Tab 0 - - -

230 Sianokobalamin (vitamin B12) inj 500 mcg/ml Vial 58 1,451 84,136 1,451

231 Sianokobalamin (vitamin B12) tab 50 mcg Tab 0 150 - 150

232 Simetidin tablet 200 mg Tab 0 138 - 138


788 138 108,744 138

233 Simvastatin tab sal 10 mg Tab sal 0 177 - 177


234 Simvastatin tab sal 20 mg Tab sal 0 480 - 480

235 Siprofloksasin inf 2 mg/ml Botol 0 - - -

236 Siprofloksasin tab scored 500 mg Tab 700 312 218,680 312

237 Spironolakton tab 100 mg Tab 0 - - -


200 350 70,000 350

238 Sulfasetamid Natrium Tetes mata 1.5% Botol 0 - - -

239 Sukralfat susp 500 mg/5 ml (Ulsafate) Botol 0 - - -


240 Sukralfat tab 500 mg (Ulsidex) Tab 0 - - -
400 477 190,800 477

241 Teofilin tab SR 300 mg (Rethapyl) Tab 0 - - -


100 1,155 115,500 1,155

242 Tetrasiklin kaps 250 mg Kaps 700 183 128,398 183

243 Tetrasiklin kaps 500 mg Kaps 0 283 - 283

244 Tiamin (vitamin B1) mononitrat tab 50 mg Tab 0 42 - 42

0 42 - 42

245 Tiamin (vitamin B1) injeksi 100 mg/ml Tab 0 770 - 770

246 Tramadol inj 50 mg/ml Ampul 0 2,680 - 2,680

247 Tramadol tablet 500 mg Tab 12 363 4,356 363

248 Triheksifenidil tab 2 mg Tab 0 45 - 45


160 45 7,200 45

249 Vitamin B12 tablet 50 mcg Tab 0 63 - 63

250 Vitamin B kompleks injeksi Vial 0 7,392 - 7,392

251 Vitamin B kompleks Tab 0 112 - 112


0 112 - 112
5420 112 607,040 112

252 Zinc tab disp 20 mg Tab 0 521 - 521


400 521 208,400 521
0 521 - 521

253 Zinc sirup 20 mg / 5 ml Botol 0 8,140 - 8,140


13 8,140 105,820 8,140

254 Larutan PK botol 0 573 - 573


2 6,975 13,950 6,975

255 Kanamisin inj Vial 50 10,395 519,750 10,395

256 Antalgin 500mg tab 0 155 - 155


1000 141 141,000 141

257 Klorpromazin inj 25 mg/ml (i.m.) Ampul 0 - - -


0 1,210 - 1,210

258 Kalsium laktat (kalk) tab 500 mg Tab 0 57 - 57

259 Kloroquin tab 250 mg Tab 0 116 - 116


0 572 - 572

260 Klonidin 0,15 mg Tab 100 191 19,100 191

261 Kloramfenikol kaps 250 mg Kaps 0 275 - 275


0 275 - 275

262 Klorpromazin tab sal 100 mg Tab sal 0 162 - 162

263 Fenolgliserol TT 10% Kotak 0 1,108 - 1,108


16 1,109 17,744 1,109
265 Tetrasiklin kaps 250 mg Kaps 0 162 - 162

266 Kloroquin tab 250 mg 0 116 - 116

267 Papaverin tablet 40 mg 0 167 - 167

268 Prednison tab 5 mg Tab 0 125 - 125

269 Pirantel pamoat tab scored 125 mg Tab 0 318 - 318

270 Hidroklorotiazid (HCT) tab 25 mg Tab 0 109 - 109

271 Triheksifenidil tab 2 mg Tab 0 45 - 45

272 Piracetam tablet 1200 mg Tab 0 854 - 854

273 Vical suspensi btl 0 42,727 - 42,727


5 42,727 213,635 42,727

274 Lexavit tab 0 1,480 - 1,480


670 1,480 991,600 1,480

275 Gliseril Guaiakolat tab 100 mg Tab 0 31 - 31

276 Efedrin HCl tablet Tab 0 56 - 56

B.OBAT GIGI 0 - - -
1 Bonding Botol 0 765,000 - 765,000
1 765,000 765,000 765,000

2 Calcium hidrosida cement pasta (hycal) Kotak 0 242,000 - 242,000

3 Comfosite Tube 0 338,800 - 338,800


1 338,800 338,800 338,800

4 Devitalisasi Pasta (Non Arsen) Kotak 0 390,000 - 390,000


0 390,000 - 390,000

5 Eugenol cair Botol 0 18,333 - 18,333


1 18,333 18,333 18,333

6 Etil Klorida spray Botol 0 105,000 - 105,000


3 105,000 315,000 105,000

7 Etza Tube 0 170,000 - 170,000

8 Glass Ionomer Cement ART Set 0 395,000 - 395,000


1 197,895 197,895 197,895

9 Klorfenol Kamfer Menthol (CHKM) Botol 1 55,000 55,000 55,000

10 Semen Seng Fosfat serbuk dan cairan Set 0 93,500 - 93,500


2 93,500 187,000 93,500

11 Temporari stoping pletcher Set 0 34,000 - 34,000


0 34,000 - 34,000

12 Mummiyng pasta Kotak 0 176,000 - 176,000

C.OBAT PROGRAM 0 - - -
1 Albedazole 400mg Tab 0 425 - 425
2 Artemether inj 80 mg/ml Ampul 0 24,384 - 24,384
3 Artesunat serb inj 60 mg/ml (i.v./i.m.) Vial 0 27,569 - 27,569
8 27,569 220,552 27,569

4 Dietilkarbamazin tab 100 mg Tab 0 104 - 104


2000 104 208,000 104

5 Imersion oil Botol 0 825,000 - 825,000


6 Iodina Test Botol 0 4,545 - 4,545
7 Obat Anti Tuberculosis FDC Kategori Anak Paket 0 236,490 - 236,490
8 Obat Anti Tuberculosis FDC Kategori I Paket 0 396,000 - 396,000
9 Obat Anti Tuberculosis FDC Kategori II Paket 0 1,319,990 - 1,319,990

10 Obat Anti Tuberculosis FDC Kategori Sisipan Paket 0 175,899 - 175,899

11 Reagen Zenit Nelson Botol 0 145,000 - 145,000


12 RDT Dangue DBD Set 0 150,000 - 150,000
13 RDT malaria (care star ) Set 0 168,300 - 168,300
14 RDT HIV (intec) Set 0 46,200 - 46,200
15 RDT HIV (vikia) Set 0 45,560 - 45,560
16 RDT HIV (Oncoprobe) Set 0 42,350 - 42,350
17 Taburia Kotak 0 20,454 - 20,454
18 Quinina injeksi Ampul 0 4,438 - 4,438
19 Vaksin BCG inj (i.k) Vial 0 - - -
20 Vaksin campak inj (s.k.) Vial 0 - - -
21 Vaksin jerap difteri tetanus pertusis (DTP) inj (i Vial 0 - - -
22 Vaksin jerap difteri tetanus (DT) Vial 0 - - -
23 Vaksin kombinasi DPT + hepatitis B inj (i.m.) Vial 0 - - -
24 Vaksin polio drops 10 dosis Vial 0 285,000 - 285,000
Vaksin rabies, untuk manusia serb inj (s.k./i.k)
25 Vial 0 695,752 - 695,752
+ booster
Retinol (Vit.A) 200.000 IU kap lunak 0 412 - 412
Retinol (Vit.A) 100.000 IU kap lunak 0 286 - 286
zink tab.20mg 0 497 - 497
Doxiciklin tab 0 - - -
D.BAHAN MEDIS HABIS PAKAI (BHMP) 0 - - -
1 Alat suntik sekali pakai 1 ml Set 0 1,093 - 1,093
0 848 - 848
153 848 129,782 848
2 Alat suntik sekali pakai 2,5 ml Set 0 1,038 - 1,038
51 848 43,261 848

3 Alat suntik sekali pakai 3 ml Set 0 1,038 - 1,038


0 848 - 848
181 848 153,533 848

4 Alat suntik sekali pakai 5 ml Set 0 1,038 - 1,038


448 979 438,480 979

5 Bisturi no. 20 Buah 0 2,099 - 2,099


103 2,100 216,300 2,100

6 Bisturi no. 15 Buah 0 2,099 - 2,099


29 2,100 60,900 2,100

7 Catgut No 2/0 Set 25 6,400 160,000 6,400


48 25,920 1,244,160 25,920

8 Catgut No 3/0 Set 0 5,900 - 5,900


6 27,000 162,000 27,000

9 Handscoen no. 6 Pasang 0 6,595 - 6,595

10 Handscoen no. 6,5 Pasang 0 6,595 - 6,595

11 Handscoen no. 7 Pasang 0 4,250 - 4,250


0 7,684 - 7,684

12 Handscoen no. 7,5 Pasang 0 4,250 - 4,250


0 7,684 - 100 7,684
13 Infuset dewasa Set 0 3,500 - 3,500
65 4,176 271,440 4,176

14 Infusion set anak Set 0 4,000 - 4,000


7 4,568 31,976 4,568

15 IV Catheter No.16 G Set 0 7,937 - 7,937

15 IV Catheter No.18 G Set 0 6,600 - 6,600

16 IV Catheter No.24 G Set 0 7,787 - 7,787


55 7,787 428,285 7,787

17 IV Catheter No. 20 G Set 0 7,787 - 7,787


55 7,937 436,535 7,937

18 IV Catheter No. 22 G Set 64 7,787 498,368 7,787

19 Folley Catheter 16 Set 0 10,440 - 10,440

19 Folley Catheter 18 Set 0 8,495 - 8,495


0 10,440 - 10,440

20 Folley catheter 22 Set 0 8,495 - 8,495


0 10,440 - 10,440

21 Folley catheter 24 Set 0 495 - 495


9 10,440 93,960 10,440

22 Kapas Berlemak 250 gram Rol 0 7,500 - 7,500


4 27,821 111,284 27,821

23 Kapas Berlemak 500 gram Rol 0 17,250 - 17,250


24 Kasa Pembalut 4m x 3 cm Rol 0 800 - 800

25 Kasa Pembalut 4m x 5 cm Rol 0 887 - 887

26 Kasa Pembalut 4m x 10 cm Rol 0 607 - 607


50 6,121 306,050 6,121

27 Kasa Pembalut 4m x 15 cm Rol 0 887 - 887

28 Kasa Kompres 40/40 steril Buah 0 1,871 - 1,871


0 5,621 - 5,621

29 Kasa Steril 16 X 16 Buah 0 8,600 - 8,600


0 11,724 - 11,724

30 Kasa pembalut 2 x 80 Rol 0 10,467 - 10,467


0 13,221 - 13,221

31 Kasa Pembalut 40 x 80 Rol 0 - - -


0 137,025 - 137,025

32 Kasa Pembalut 36 x 80 cm Rol 0 55,200 - 55,200


4 133,821 535,284 133,821

33 Pembalut Gips Buah 2 32,500 65,000 32,500

34 Plester 5 yard x 2 inc Rol 0 23,625 - 23,625


6 23,625 141,750 23,625

35 Silk Set 0 5,082 - 5,082


80 18,781 1,502,480 18,781
36 Selang oksigen anak Set 0 - - -

37 Selang oksigen dewasa Set 0 - - -

38 Sofratulle Set 0 - - -

39 Urine bag Set 0 4,000 - 4,000

40 Wing Needle No. 21 G Set 0 5,770 - 5,770


200 5,770 1,154,000 5,770

41 Wing Needle No. 23 G Set 67 5,770 386,590 5,770


199 5,770 1,148,230 5,770

42 Wing Needle No.25 G Set 0 5,770 - 5,770


200 5,770 1,154,000 5,770

43 Wing Needle No. 27 G Set 0 5,770 - 5,770

44 NGT No. 3 ( Feeding Tube ) Set 0 22,000 - 22,000

45 NGT No. 5 ( Feeding Tube ) Set 0 22,000 - 22,000

46 Masker Buah 0 1,125 - 1,125


32 1,125 36,000 1,125

47 Tes gula darah Set 0 200,455 - 200,455


80 8,018 641,440 8,018

48 Tes Narkoba 3 parameter Set 0 68,181 - 68,181

49 Tes Narkoba 5 parameter Set 0 68,181 - 68,181


50 Tes Kehamilan Sachet 0 6,825 - 6,825
11,551,088
44,434,502

Mengetahui
Kepala Puskesmas Rumbia

Rahmat, AMK
Nip. 19721021 199403 1 004
AN OBAT DAN PERBEKES
SELAMA 1 TAHUN
UN 2016

BULAN : MEI
TAHUN : 2016

asi Masuk Mutasi Pengeluaran Saldo Akhir


ei 2016 Obat Puskesmas bulan Mei Per 31 Mei 2016
Nilai ( Rp) Jumlah Harga Satuan Nilai (Rp) Jumlah Harga Satuan Nilai (Rp)
9 10 11 12 13 14 15

- 6,050 - 0 6,050 -

- 6 2,200 13,200 26 2,200 57,200

- 12,750 - 0 12,750 -
- 363 - 0 363 -

- - - 0 - -
- - - 0 - -
- 245 - 0 245 -
- 18 245 4,410 186 245 45,570

- 18,635 - 0 18,635 -
- - - 0 - -
- 138 - 0 138 -
69,000 160 138 22,080 770 138 106,260
- - - 0 - -
- 2,722 - 0 2,722 -
- 2,722 - 13 2,722 35,386

- 4,204 - 0 4,204 -

- 86 - 100 86 8,600
- 86 - 400 86 34,400

- 123 - 0 123 -
- 123 - 100 123 12,300

- 1,863 - 0 1,863 -

- - - 0 - -

- 2,560 - 0 2,560 -
- 2,560 - 0 2,560 -
- 2,560 - 0 2,560 -
- 46 2,560 117,760 154 2,560 394,240

- 220 - 0 220 -
- 220 - 0 220 -
- 220 - 0 220 -

- 279 - 0 279 -
- 279 - 0 279 -
- 1135 279 316,665 1360 279 379,440

- - - 0 - -
- 78 - 0 78 -

- 420 78 32,760 1630 78 127,140

- 9 2,213 19,917 0 2,213 -

- 25 2,213 55,325 36 2,213 79,668


- 2,213 - 0 2,213 -

- 2,767 - 7 2,767 19,369

- 2,096 - 9 2,096 18,864

- 33,000 - 19 33,000 627,000

- 2,200 - 10 2,200 22,000

- - - 0 - -

- 149 - 0 149 -

- 34 149 5,066 497 149 74,053

- 155 - 0 155 -

- 1,346 - 0 1,346 -
- 110 - 60 110 6,600
- 127 - 1100 127 139,700

- 178 - 0 178 -

- - - 0 - -

- 105 - 0 105 -
- 860 105 90,300 2900 105 304,500

- 52 - 0 52 -
- 54 52 2,808 430 52 22,360

- - - 0 - -

- 127 - 0 127 -
- 127 - 0 127 -
- 996 127 126,492 2994 127 380,238

- 3,650 - 25 3,650 91,250

- 1,265 - 0 1,265 -

- 100 1,265 126,500 280 1,265 354,200

- 15,900 - 22 15,900 349,800

- 1 82,500 82,500 25 82,500 2,062,500


- 251 - 0 251 -
- 251 - 275 251 69,025

- 1,400 - 34 1,400 47,600

- 81 - 0 81 -

- - - 0 - -

- 1,180 - 0 1,180 -
- 8 1,350 10,800 36 1,350 48,600

- 73 - 0 73 -

- 1000 55 55,000 560 55 30,800

- 22,727 - 0 22,727 -
- 22,727 - 4 22,727 90,908

- 1,596 - 0 1,596 -
- 37 1,596 59,052 45 1,596 71,820

- - - 0 - -

- - - 0 - -

- - - 0 - -

- - - 0 - -
- - - 0 - -

- 42 - 0 42 -

- 68 - 0 68 -
- 655 68 44,540 690 68 46,920

173,800 2 1,738 3,476 168 1,738 291,984

- - - 0 - -
- 9,983 - 3 9,983 29,949

- 2,578 - 0 2,578 -
- 2,578 - 52 2,578 134,056

- - - 0 - -

- - - 0 - -

- 28 - 0 28 -

- 8 28 224 77 28 2,156

- - - 0 - -

- 1,160 - 47 1,160 54,520

- 103 - 100 103 10,300

- - - 0 - -
- 141 - 0 141 -
- 141 - 560 141 78,960

- 278 - 190 278 52,877

- 3,490 - 0 3,490 -
- 3,490 - 39 3,490 136,110

- 174 - 0 174 -
- 174 - 443 174 77,082
- 56 - 0 56 -
- 111 56 6,259 169 56 9,530

- 42 - 160 42 6,720
- 42 - 5000 42 210,000

- 8,910 - 90 8,910 801,900

- 522 - 840 522 438,480


- 522 - 0 522 -

- 7,581 - 24 7,581 181,944

- 1,013 - 500 1,013 506,385


- 1,023 - 0 1,023 -

- 2,625 - 0 2,625 -
- 2,625 - 0 2,625 -
- 20 2,625 52,500 82 2,625 215,250

- 4,695 - 0 4,695 -
- 1 4,695 4,695 3 4,695 14,085

- 124 - 0 124 -

- - - 0 - -
- 124 - 0 124 -

- - - 0 - -

- - - 0 - -
- 146 - 100 146 14,600
- 37 - 0 37 -
- 1,980 - 90 1,980 178,200

- - - 0 - -

- 37 - 0 37 -

20,940 5 698 3,490 25 698 17,450

- 698 - 100 698 69,800

- - - 0 - -

- - - 0 - -

- 2,012 - 0 2,012 -

- 2,012 - 39 2,012 78,468

- 84 - 0 84 -
- 84 - 360 84 30,240

- 317 - 0 317 -

- 317 - 0 317 -

- 2,420 - 0 2,420 -

- 323 - 0 323 -
- - - 0 - -

- 3,739 - 0 3,739 -

- - - 0 - -

- 2,340 - 0 2,340 -
- 11 1,469 16,159 24 1,469 35,256

- 3,194 - 0 3,194 -

- 61 - 0 61 -
- 61 - 200 61 12,200

- - - 0 - -

- - - 0 - -

- 31 - 0 31 -
- 31 - 0 31 -
- 940 31 29,140 9080 31 281,480

- - - 0 - -

- - - 0 - -

- 5,720 - 27 5,720 154,440

- 6,270 - 15 6,270 94,050

- - - 0 - -
- 230 - 0 230 -
- 80 230 18,400 220 230 50,600

- 62 - 0 62 -

- 76 - 0 76 -
- 76 - 190 76 14,440

- 105 - 0 105 -
- 105 - 0 105 -
- 105 - 0 105 -

- 38,500 - 0 38,500 -

- 40 - 0 40 -
- 40 - 9500 40 380,000

- - - 0 - -

- 330 - 0 330 -

- 4,949 - 0 4,949 -

- 127 - 0 127 -
- 80 121 9,680 810 121 98,010

- 157 - 0 157 -
- 410 157 64,370 370 157 58,090

- - - 0 - -

- - - 0 - -
- - - 0 - -

- 98 - 0 98 -
- 98 - 90 98 8,820

- 10,000 - 17 10,000 170,000

- 9,519 - 20 9,519 190,380

- 51 - 0 51 -
- 76 - 0 76 -
- 450 76 34,200 450 76 34,200

- 69 - 0 69 -
- 10 69 690 70 69 4,830

- 97 - 0 97 -
58,200 530 97 51,410 590 97 57,230

- 269 - 0 269 -

- - - 0 - -

- 110,000 - 0 110,000 -

- 320 - 0 320 -
- 80 320 25,600 10 320 3,200

- 5,150 - 0 5,150 -
- 5,150 - 0 5,150 -
- 2,665 - 0 2,665 -
- 2,665 - 90 2,665 239,850

- - - 0 - -

- 405 - 0 405 -

- 1,680 - 0 1,680 -

- 275 - 90 275 24,750


- 275 - 0 275 -

- 1,680 - 0 1,680 -
- 1,680 - 13 1,680 21,840

- 4,016 - 13 4,016 52,208

- 26 - 0 26 -
- 26 - 0 26 -
- 1200 26 31,680 4359 26 115,078

- 1,210 - 0 1,210 -

- 152 - 0 152 -

- 50 - 244 50 12,200

- 531 - 0 531 -

- - - 0 - -
- 200 152 30,400 850 152 129,200

- 152 - 0 152 -
- 152 - 6583 152 1,000,616

- 79 - 0 79 -

- 79 - 380 79 30,020

- 2,298 - 0 2,298 -

- 6,820 - 0 6,820 -
- 6,820 - 0 6,820 -

- 112 - 0 112 -

- - - 0 - -

- 581 - 0 581 -

- - - 0 - -

- 1,499 - 0 1,499 -
- 85 1,499 127,415 82 1,499 122,918
- 1,499 - 0 1,499 -

- 54,995 - 0 54,995 -
- 54,995 - 0 54,995 -
- 97 - 0 97 -
- 180 97 17,460 525 97 50,925

- 170 - 0 170 -

- 7,260 - 0 7,260 -
- 7,260 - 0 7,260 -

- 7,260 - 0 7,260 -
- 7,260 - 20 7,260 145,200

- 1,130 - 0 1,130 -

- 3,887 - 0 3,887 -

- 248 - 90 248 22,320

- - - 0 - -

- - - 0 - -

- 1,639 - 0 1,639 -

- 133 - 190 133 25,289

- - - 0 - -

- 1,100 - 0 1,100 -
- 1,100 - 0 1,100 -
- 1,100 - 0 1,100 -
- - - 0 - -

- 2 100 200 230 100 23,000

- - - 0 - -

- 12,980 - 0 12,980 -
- 12,980 - 8 12,980 103,840

- 116 - 0 116 -
- 120 116 13,920 480 116 55,680

- - - 0 - -
84,500 300 169 50,700 820 169 138,580

- 3,150 - 0 3,150 -
53,550 2 3,150 6,300 21 3,150 66,150

- 146 - 0 146 -
- 146 - 0 146 -
- 480 146 70,080 480 146 70,080

- 193 - 0 193 -
- 193 - 0 193 -
- 193 - 0 193 -
- 420 193 81,060 140 193 27,020

- 5,170 - 0 5,170 -
- 5,170 - 0 5,170 -
- 5,170 - 55 5,170 284,350
- 127 - 0 127 -
- 101 127 12,827 710 127 90,170

- 704 - 0 704 -

- 704 - 400 704 281,600

- 448 - 190 448 85,120

- 2,310 - 0 2,310 -
- 5 2,310 11,550 93 2,310 214,830

- 440 - 0 440 -

- 700 - 0 700 -
- 700 - 40 700 28,000

- 3,410 - 0 3,410 -

- 2,010 - 0 2,010 -
- 1,646 - 0 1,646 -
- 9 1,646 14,814 28 1,646 46,088

- 2,772 - 0 2,772 -
- 1 2,772 2,772 127 2,772 352,044

- 6,875 - 0 6,875 -
- 1,900 - 13 1,900 24,700

- 221 - 0 221 -
- 221 - 0 221 -
- 90 221 19,890 90 221 19,890

- 109 - 0 109 -
- 109 - 2830 109 308,470

- 1,535 - 0 1,535 -
- 1,535 - 0 1,535 -
- 58 1,535 89,030 304 1,535 466,640

- 105 - 0 105 -
- 222 105 23,310 678 105 71,190

- 88 - 0 88 -
- 88 - 0 88 -
- 1255 88 110,440 3235 88 284,680

- - - 0 - -

- 849 - 0 849 -
- 297 - 0 297 -
- 297 - 0 297 -
- 297 - 0 297 -

- 25,350 - 0 25,350 -

- 25,350 - 3 25,350 76,050

- 107 - 800 107 85,600


- 107 - 0 107 -

- 964 - 0 964 -
- 964 - 200 964 192,800
- 854 - 0 854 -
- 10 854 8,540 110 854 93,940

- 60,500 - 50 60,500 3,025,000

- 3 9,100 27,300 45 9,100 409,500

- 318 - 0 318 -
- 318 - 469 318 149,142

- 19 - 0 19 -
- 19 - 1200 19 22,800

- 116 - 0 116 -
- 116 - 495 116 57,420

- 18,635 - 0 18,635 -
- 18,635 - 10 18,635 186,350

- 2,344 - 0 2,344 -

- 4 2,344 9,376 6 2,344 14,064

- 15,386 - 1 15,386 15,386

- 15,386 - 4 15,386 61,544

- 40,202 - 0 40,202 -

- 40,202 - 0 40,202 -

- 98 - 0 98 -
- 230 98 22,540 2204 98 215,992

- 125 - 985 125 123,125

- 12,021 - 0 12,021 -
- 4 12,021 48,084 47 12,021 564,987

- 297 - 200 297 59,400

- 80 - 90 80 7,200

- - - 0 - -

- 128 - 0 128 -
- 730 128 93,440 740 128 94,720

- - - 0 - -

- 440 - 0 440 -

- 624 - 0 624 -

- 863 - 0 863 -

- 5,720 - 0 5,720 -
- 37 5,720 211,640 173 5,720 989,560

- 92 - 0 92 -
- 65 - 0 65 -
- 65 - 580 65 37,700

- 93 - 0 93 -
- 120 93 11,160 280 93 26,040
- 1,980 - 0 1,980 -

- 1 2,200 2,200 12 2,200 26,400

- - - 0 - -
- - - 0 - -

- 548 - 0 548 -
- 610 548 334,280 2160 548 1,183,680

- 5,286 - 0 5,286 -
- 13 5,286 68,718 3 5,286 15,858

- - - 0 - -

- - - 0 - -

- 5,414 - 0 5,414 -

- - - 0 - -

- 6 1,451 8,704 52 1,451 75,432

- 150 - 0 150 -

- 138 - 0 138 -
- 48 138 6,624 740 138 102,120

- 177 - 0 177 -
- 480 - 0 480 -

- - - 0 - -

- 312 - 700 312 218,680

- - - 0 - -
- 350 - 200 350 70,000

- - - 0 - -

- - - 0 - -
- - - 0 - -
- 477 - 400 477 190,800

- - - 0 - -
- 1,155 - 100 1,155 115,500

- 183 - 700 183 128,398

- 283 - 0 283 -

- 42 - 0 42 -

- 42 - 0 42 -

- 770 - 0 770 -

- 2,680 - 0 2,680 -

- 12 363 4,356 0 363 -

- 45 - 0 45 -
- 45 - 160 45 7,200

- 63 - 0 63 -

- 7,392 - 0 7,392 -

- 112 - 0 112 -
- 112 - 0 112 -
- 1310 112 146,720 4110 112 460,320

- 521 - 0 521 -
- 55 521 28,655 345 521 179,745
- 521 - 0 521 -

- 8,140 - 0 8,140 -
- 8,140 - 13 8,140 105,820

- 573 - 0 573 -
- 6,975 - 2 6,975 13,950

- 10,395 - 50 10,395 519,750

- 155 - 0 155 -
- 141 - 1000 141 141,000

- - - 0 - -
- 1,210 - 0 1,210 -

- 57 - 0 57 -

- 116 - 0 116 -
- 572 - 0 572 -

- 191 - 100 191 19,100

- 275 - 0 275 -
- 275 - 0 275 -

- 162 - 0 162 -

- 1,108 - 0 1,108 -
- 1,109 - 16 1,109 17,744
- 162 - 0 162 -

- 116 - 0 116 -

- 167 - 0 167 -

- 125 - 0 125 -

- 318 - 0 318 -

- 109 - 0 109 -

- 45 - 0 45 -

- 854 - 0 854 -

- 42,727 - 0 42,727 -
- 5 42,727 213,635 0 42,727 -

- 1,480 - 0 1,480 -
- 370 1,480 547,600 300 1,480 444,000

- 31 - 0 31 -

- 56 - 0 56 -

- - - 0 - -
- 765,000 - 0 765,000 -
- 765,000 - 1 765,000 765,000

- 242,000 - 0 242,000 -

- 338,800 - 0 338,800 -
- 338,800 - 1 338,800 338,800

- 390,000 - 0 390,000 -
- 390,000 - 0 390,000 -

- 18,333 - 0 18,333 -
- 18,333 - 1 18,333 18,333

- 105,000 - 0 105,000 -
- 1 105,000 105,000 2 105,000 210,000

- 170,000 - 0 170,000 -

- 395,000 - 0 395,000 -
- 197,895 - 1 197,895 197,895

- 55,000 - 1 55,000 55,000

- 93,500 - 0 93,500 -
- 93,500 - 2 93,500 187,000

- 34,000 - 0 34,000 -
- 34,000 - 0 34,000 -

- 176,000 - 0 176,000 -

- - - 0 - -
- 425 - 0 425 -
- 24,384 - 0 24,384 -
- 27,569 - 0 27,569 -
- 27,569 - 8 27,569 220,552

- 104 - 0 104 -
- 104 - 2000 104 208,000

- 825,000 - 0 825,000 -
- 4,545 - 0 4,545 -
- 236,490 - 0 236,490 -
- 396,000 - 0 396,000 -
- 1,319,990 - 0 1,319,990 -

- 175,899 - 0 175,899 -

- 145,000 - 0 145,000 -
- 150,000 - 0 150,000 -
- 168,300 - 0 168,300 -
- 46,200 - 0 46,200 -
- 45,560 - 0 45,560 -
- 42,350 - 0 42,350 -
- 20,454 - 0 20,454 -
- 4,438 - 0 4,438 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 285,000 - 0 285,000 -

- 695,752 - 0 695,752 -

- 412 - 0 412 -
- 286 - 0 286 -
- 497 - 0 497 -
- - - 0 - -
- - - 0 - -
- 1,093 - 0 1,093 -
- 848 - 0 848 -
- 15 848 12,724 138 848 117,059
- 1,038 - 0 1,038 -
- 20 848 16,965 31 848 26,296

- 1,038 - 0 1,038 -
- 848 - 0 848 -
- 1 848 848 180 848 152,685

- 1,038 - 0 1,038 -
- 8 979 7,830 440 979 430,650

- 2,099 - 0 2,099 -
- 2,100 - 103 2,100 216,300

- 2,099 - 0 2,099 -
- 13 2,100 27,300 16 2,100 33,600

- 13 6,400 83,200 12 6,400 76,800


- 25,920 - 48 25,920 1,244,160

- 5,900 - 0 5,900 -
- 27,000 - 6 27,000 162,000

- 6,595 - 0 6,595 -

- 6,595 - 0 6,595 -

- 4,250 - 0 4,250 -
- 7,684 - 0 7,684 -

- 4,250 - 0 4,250 -
768,400 2 7,684 15,368 98 7,684 753,032
- 3,500 - 0 3,500 -
- 11 4,176 45,936 54 4,176 225,504

- 4,000 - 0 4,000 -
- 2 4,568 9,136 5 4,568 22,840

- 7,937 - 0 7,937 -

- 6,600 - 0 6,600 -

- 7,787 - 0 7,787 -
- 9 7,787 70,083 46 7,787 358,202

- 7,787 - 0 7,787 -
- 3 7,937 23,811 52 7,937 412,724

- 7,787 - 64 7,787 498,368

- 10,440 - 0 10,440 -

- 8,495 - 0 8,495 -
- 10,440 - 0 10,440 -

- 8,495 - 0 8,495 -
- 10,440 - 0 10,440 -

- 495 - 0 495 -
- 10,440 - 9 10,440 93,960

- 7,500 - 0 7,500 -
- 2 27,821 55,642 2 27,821 55,642

- 17,250 - 0 17,250 -
- 800 - 0 800 -

- 887 - 0 887 -

- 607 - 0 607 -
- 18 6,121 110,178 32 6,121 195,872

- 887 - 0 887 -

- 1,871 - 0 1,871 -
- 5,621 - 0 5,621 -

- 8,600 - 0 8,600 -
- 11,724 - 0 11,724 -

- 10,467 - 0 10,467 -
- 13,221 - 0 13,221 -

- - - 0 - -
- 137,025 - 0 137,025 -

- 55,200 - 0 55,200 -
- 4 133,821 535,284 0 133,821 -

- 32,500 - 2 32,500 65,000

- 23,625 - 0 23,625 -
- 3 23,625 70,875 3 23,625 70,875

- 5,082 - 0 5,082 -
- 6 18,781 112,686 74 18,781 1,389,794
- - - 0 - -

- - - 0 - -

- - - 0 - -

- 4,000 - 0 4,000 -

- 5,770 - 0 5,770 -
- 5,770 - 200 5,770 1,154,000

- 5,770 - 67 5,770 386,590


- 5,770 - 199 5,770 1,148,230

- 5,770 - 0 5,770 -
- 5,770 - 200 5,770 1,154,000

- 5,770 - 0 5,770 -

- 22,000 - 0 22,000 -

- 22,000 - 0 22,000 -

- 1,125 - 0 1,125 -
- 32 1,125 36,000 0 1,125 -

- 200,455 - 0 200,455 -
- 8,018 - 80 8,018 641,440

- 68,181 - 0 68,181 -

- 68,181 - 0 68,181 -
- 6,825 - 0 6,825 -
768,400 1,233,866 11,085,622
1,228,390 5,351,754 40,311,138

Rumbia, 31 Mei 2016

Penanggung Jawab
Laporan

Wa Ode Wahyuni Hambe, S. Si, Apt


Nip. 19870305 201101 2 019
REKAPAN PENGGUNAAN OBAT DAN PERBE
PUSKESMAS SELAMA 1 TAHUN
TAHUN 2016

SKPD : PUSKESMAS RUMBIA


KABUPATEN : BOMBANA
PROVINSI : SULAWESI TENGARA

Saldo Awal 2016 Mutasi Masuk


Satuan /
No Nama Obat 1 Juni 2016 Juni 2016
Kemasan
Jumlah Harga Satuan (Rp) Nilai (Rp) Jumlah Harga Satuan
1 2 3 4 5 6 7 8
OBAT

1 Air untuk injeksi amp 25 ml (aqua pro injeksi) Ampul 0 6,050 - 6,050

26 2,200 57,200 2,200


0 - - -
2 Albendazol tab 400 mg Tab 0 12,750 - 12,750
0 363 - 363
0 - - -
3 Alopurinol tab 100 mg Tab 0 - - -
0 - - -
4 Alprazolam tab 1 mg Tab 0 245 - 245
186 245 45,570 245
0 - - -
5 Albothyl cairan Botol 0 18,635 - 18,635
0 - - -
6 Ambroksol tablet 30 mg Tab 0 138 - 138
770 138 106,260 138
0 - - -
0 - - -
7 Ambroksol sirup Botol 0 2,722 - 2,722
13 2,722 35,386 2,722
0 - - -
8 Aminofilin inj 24 mg/ml Ampul 0 4,204 - 4,204
0 - - -
9 Aminofilin tab 200 mg Tab 100 86 8,600 86
400 86 34,400 86
0 - - -
10 Amitriptilin tab sal 25 mg Tab sal 0 123 - 123
100 123 12,300 123
0 - - -
11 Amlodipin tab 10 mg Tab 0 1,863 - 1,863
0 - - -
12 Amlodipin tab 5 mg Tab 0 - - -
0 - - -
13 Amoksisilin sir kering 125 mg/5 ml Botol 0 2,560 - 2,560
0 2,560 - 2,560
0 2,560 - 2,560
154 2,560 394,240 2,560
0 - - -
14 Amoksisilin tab 250 mg Tab 0 220 - 220
0 220 - 220
0 220 - 220
0 - - -
15 Amoksisilin tab 500 mg Tab 0 279 - 279
0 279 - 279
1360 279 379,440 279
0 - - -
Anestetik lokal gigi kombinasi : lidokain hcl
16 2% + epinefrin 1 : 80.000 inj 2 ml Ampul 0 - - -

0 - - -
Antasida, kombinasi : aluminium hidroksida
17 Tab kunyah 0 78 - 78
200 mg + magnesium hidroksida 200 mg

1630 78 127,140 78
0 - - -
Antasida, kombinasi : aluminium hidroksida
18 200 mg + magnesium hidroksida 200 mg Botol 0 2,213 - 2,213
Suspensi
36 2,213 79,668 2,213
0 2,213 - 2,213
0 - - -
Antibakteri, kombinasi : basitrasin 500 UI/g+
19 Tube 7 2,767 19,369 2,767
Polimiskin B 10.000 UI/g
Antifungi salep, kombinasi : asam benzoat 6% 0 - - -
+ asam salisilat 3%
20 Tube 9 2,096 18,864 2,096

0 - - -
mg + heksaklorofen 2,5 mg + lidokain
lidokain 10 mg+ seng oksida 120 mg + sup
21 ad 2 g Suppo 19 33,000 627,000 33,000

10 2,200 22,000 2,200


0 - - -
Anti Parkinson kombinasi : benzerasid 25 mg +
22 Kaps 0 - - -
levodopa 100 mg
0 - - -
Anti Migren, kombinasi : ergotamin 1 mg+
23 Tab 0 149 - 149
kafein 50 mg
497 149 74,053 149
0 - - -
24 Antalgin (metampirom) tablet 100 mg Tab 0 155 - 155
0 - - -
25 Antalgin (metampirom) injeksi 250 mg/ml-2 ml Ampul 0 1,346 - 1,346
0 - - -
26 Asam asetilsalisilat (asetosal) tab 100 mg Tab 60 110 6,600 110
1100 127 139,700 127
0 - - -
27 Asam asetilsalisilat (asetosal) tab 500 mg Tab 0 178 - 178
0 - - -
Asam asetilsalisilat (asetosal) tab 80 mg
28 Tab 0 - - -
(Miniaspi 80)
0 - - -
29 Asam askorbat (vitamin C) tab 50 mg Tab 0 105 - 105
2900 105 304,500 105
0 - - -
30 Asam folat tab 1 mg Tab 0 52 - 52
430 52 22,360 52
0 - - -
31 Asam mefenamat kaps 250 mg Kaps 0 - - -
0 - - -
32 Asam mefenamat kaps 500 mg Kaps 0 127 - 127
0 127 - 127
2994 127 380,238 127
0 - - -
33 Asam traneksamat inj 50 mg/ml Ampul 25 3,650 91,250 3,650
0 - - -

34 Asam traneksamat tab 500 mg Tab 0 1,265 - 1,265

280 1,265 354,200 1,265

0 - - -

35 Asering larutan infus Botol 22 15,900 349,800 15,900


0 - - -

36 Asiklovir salep kulit Tube 25 82,500 2,062,500 82,500


0 - - -

37 Asiklovir tab 200 mg Tab 0 251 - 251


275 251 69,025 251
0 - - -
38 Atropin inj 0,25 mg/ml (i.m./i.v./s.k) Ampul 34 1,400 47,600 1,400
0 - - -
39 Atropin tab 0,5 mg Tab 0 81 - 81
0 - - -

40 Atropin tts mata 0,5% (Cendotropin 0,5%) Botol 0 - - -

0 - - -
41 Bedak salisil serb 2% Botol 0 1,180 - 1,180
36 1,350 48,600 1,350
0 - - -
Besi (II) sulfat 200 mg + asam folat 0.25 mg
42 Sachet 0 73 - 73
(tablet tambah darah)
560 55 30,800 55
0 - - -
43 Becefort syrup Botol 0 22,727 - 22,727
4 22,727 90,908 22,727
0 - - -
44 Betametason krim 0,1% Tube 0 1,596 - 1,596
45 1,596 71,820 25 1,596
0 - - -
45 Betahistin mesilate tablet tablet 0 - - -
0 - - -
46 Bisakodil sup 10 mg (Stolax) Botol 0 - - -
0 - - -
47 Bisakodil tab sal 5 mg Tab sal 0 - - -
0 - - -
48 Bismecon salep tube 0 - - -
0 - - -
Budesonid-formoterol (fixed combination)* ih
49 Botol 0 - - -
80/4,5 mcg
0 - - -
50 Bromheksin tablet tablet 0 42 - 42
0 - - -
51 Deksametason tab 0,5 mg Tab 0 68 - 68
690 68 46,920 500 68
0 - - -
52 Deksametason inj 5 mg/ml (i.v./i.m.) Vial 168 1,738 291,984 1,738
0 - - -
53 Desoksimetason salep 0,25% Tube 0 - - -
3 9,983 29,949 9,983
0 - - -
54 Diazepam inj 5 mg/ml (i.v./i.m.) Vial 0 2,578 - 2,578
52 2,578 134,056 2,578
0 - - -

55 Diazepam lar rektal 10 mg/2,5 ml (Stesolid) Botol 0 - - -

0 - - -
56 Diazepam supposutoria suppo 0 - - -
0 - - -
57 Diazepam tab 2 mg Tab 0 28 - 28
0 - - -
58 Diazepam tab 5 mg Tab 77 28 2,156 28
0 - - -
59 Dietilkarbamazin tab 100 mg Tab 0 - - -
0 - - -
60 Difenhidramin inj 10 mg/ml (i.v./i.m.) Ampul 47 1,160 54,520 1,160
0 - - -
61 Digoksin tab 0,25 mg Tab 100 103 10,300 103
0 - - -
62 Diltiazem kaps SR 100 mg Kaps 0 - - -
0 - - -
63 Diltiazem tab 30 mg Tab 0 141 - 141
560 141 78,960 141
0 - - -
64 Doksisiklin tablet 100 mg Tab 190 278 52,877 278
0 - - -
65 Domperidon susp 5 mg/5 ml Botol 0 3,490 - 3,490
39 3,490 136,110 3,490
0 - - -
66 Domperidon tab 10 mg Tab 0 174 - 174
443 174 77,082 174
0 - - -
67 Efedrin HCl tablet Tab 0 56 - 56
169 56 9,530 100 56
0 - - -
68 Ekstrak belladon tablet 10 mg tab 160 42 6,720 42
5000 42 210,000 42
0 - - -

69 Epinefrin (adrenalin) inj 0,1% (i.v./s.k./i.m.) Ampul 90 8,910 801,900 8,910

0 - - -
70 Eritromisin kaps 250 mg Kaps 840 522 438,480 522
0 522 - 522
0 - - -
71 Eritromisin sir 200 mg/5 ml Botol 24 7,581 181,944 7,581
0 - - -
72 Eritromisin tab 500 mg Tab 500 1,013 506,385 1,013
0 1,023 - 1,023
0 - - -
73 Etanol 70% cairan 70% Botol 0 2,625 - 2,625
0 2,625 - 2,625
82 2,625 215,250 2,625
0 - - -
74 Etakridin (rivanol) larutan 0.1% Botol 0 4,695 - 4,695
3 4,695 14,085 4,695
0 - - -
75 Etil klorida semprot 100 ml Botol 0 124 - 124
0 - - -
76 Famotidin tablet 20 mg Tab 0 - - -
0 124 - 124
0 - - -
77 Fenitoin Na inj 50 mg/ml Ampul 0 - - -
0 - - -
78 Fenitoin Na kaps 100 mg Kaps 0 - - -
100 146 14,600 146
0 - - -
79 Fenobarbital inj 50 mg/ml Ampul 0 37 - 37
90 1,980 178,200 1,980
0 - - -
80 Fenobarbital tab 100 mg Tab 0 - - -
0 - - -
81 Fenobarbital tab 30 mg Tab 0 37 - 37
0 - - -

82 Fitomenadion (vitamin K 1) inj 2 mg/ml (i.m.) Vial 25 698 17,450 698

0 - - -
83 Fitomenadion (vitamin K 1) tab sal 10 mg Tab sal 100 698 69,800 698
0 - - -
84 Flukonazol kaps 150 mg Kaps 0 - - -
0 - - -
85 Flusinolon asetonid krim 0,025% Tube 0 - - -
0 - - -
86 Flunarizin tablet tablet 0 2,012 - 2,012
0 - - -
87 Furosemid inj 10 mg/ml (i.v./i.m.) Ampul 39 2,012 78,468 2,012
0 - - -
88 Furosemid tab 40 mg Tab 0 84 - 84
360 84 30,240 84
0 - - -
Garam oralit kombinasi : natrium klorida 0,52
g + kalium klorida 0,30 g + trinatrium sitrat
89 Sachet 0 317 - 317
0,58 g + glukosa anhidrat 2,7 g

0 317 - 317
0 - - -
90 Gameksan lotion 1 % Botol 0 2,420 - 2,420
0 - - -
91 Gemfibrozil kaps 300 mg Kaps 0 323 - 323
0 - - -
92 Gemfibrozil kaps 600 mg Kaps 0 - - -
0 - - -
93 Gentamisin inj 10 mg/ml Ampul 0 3,739 - 3,739
0 - - -
94 Gentamisin salep mata 0,3% Tube 0 - - -
0 - - -
95 Gentamisin salep Kulit Tube 0 2,340 - 2,340
24 1,469 35,256 30 1,469
0 - - -
96 Gentamisin tts mata 0,3% Botol 0 3,194 - 3,194
0 - - -
97 Glibenklamid tab 5 mg Tab 0 61 - 61
200 61 12,200 61
0 - - -
98 Glimepirid tab 4 mg Tab 0 - - -
0 - - -
99 Glipizid tablet 5 mg (Glucotrol 5 mg) Tab 0 - - -
0 - - -
100 Gliseril Guaiakolat tab 100 mg Tab 0 31 - 31
0 31 - 31
9080 31 281,480 31
0 - - -
101 Gliserin lar 50% Botol 0 - - -
0 - - -
102 Glukosamin tablet 500 mg Tab 0 - - -
0 - - -
103 Glukosa Larutan Infus 5% steril Botol 27 5,720 154,440 5,720
0 - - -
104 Glukosa Larutan Infus 10% steril Botol 15 6,270 94,050 6,270
0 - - -
105 Glukosa Larutan Infus 40% steril Botol 0 - - -
0 - - -
106 Griseofulvin (micronized) tab 125 mg Tab 0 230 - 230
220 230 50,600 230
0 - - -
107 Haloperidol tab 0,5 mg Tab 0 62 - 62
0 - - -
108 Haloperidol tab 1,5 mg Tab 0 76 - 76
190 76 14,440 76
0 - - -
109 Haloperidol tab 5 mg Tab 0 105 - 105
0 105 - 105
0 105 - 105
0 - - -
110 Hidrogen peroksida (H2O2) cairan 3% Botol 0 38,500 - 38,500
0 - - -
111 Hidroklorotiazid (HCT) tab 25 mg Tab 0 40 - 40
9500 40 380,000 40
0 - - -
112 Hidrokortison krim 2,5% Tube 0 - - -
0 - - -
113 Hiosina butilbromida tab 10 mg Tab 0 330 - 330
0 - - -
114 Ibuprofen susp 100 mg/5 ml Botol 0 4,949 - 4,949
0 - - -
115 Ibuprofen tab 200 mg Tab 0 127 - 127
810 121 98,010 121
0 - - -
116 Ibuprofen tab 400 mg Tab 0 157 - 157
370 157 58,090 157
0 - - -
Ipratropium bromida nebulizer 0,025%
117 Botol 0 - - -
(Atroven sol. for inhalation 0.025%)
0 - - -
118 Isoniazid tab 300 mg Tab 0 - - -
0 - - -
119 Isosorbid dinitrat inj 10 mg/10 ml (Fasorbid) Vial 0 - - -
0 - - -
120 Isosorbid dinitrat tab 5 mg Tab 0 98 - 98
90 98 8,820 98
0 - - -
121 KA-EN 3B Cairan Infus Botol 17 10,000 170,000 10,000
0 - - -
122 Kalsium glukonat inj 100 mg/ml Ampul 20 9,519 190,380 9,519
0 - - -
123 Kalsium laktat (kalk) tab 500 mg Tab 0 51 - 51
0 76 - 76
450 76 34,200 300 76
0 - - -
124 Kaptopril tab 12,5 mg Tab 0 69 - 69
70 69 4,830 69
0 - - -
125 Kaptopril tab 25 mg Tab 0 97 - 97
590 97 57,230 600 97
0 - - -
126 Karbamazepin tab 200 mg Tab 0 269 - 269
0 - - -
127 Karbo adsorben (Norit) tab 500 mg Tab 0 - - -
0 - - -
128 Ketamin inj 50 mg/ml (i.v.) Ampul 0 110,000 - 110,000
0 - - -
129 Ketokonazol tab 200 mg Tab 0 320 - 320
10 320 3,200 320
0 - - -
130 Ketokonazol krim 2% Tube 0 5,150 - 5,150
0 5,150 - 5,150
0 - - -
131 Ketorolak inj 10 mg/ml Ampul 0 2,665 - 2,665
90 2,665 239,850 2,665
0 - - -
132 Klaritromisin tab 500 mg Tab 0 - - -
0 - - -
133 Klindamisin kaps 150 mg Kaps 0 405 - 405
0 - - -
134 Kloramfenikol tts mata 0,5% Botol 0 1,680 - 1,680
0 - - -
135 Kloramfenikol kaps 250 mg Kaps 90 275 24,750 275
0 275 - 275
0 - - -
136 Kloramfenikol salep mata 1% Tube 0 1,680 - 1,680
13 1,680 21,840 1,680
0 - - -
137 Kloramfenikol susp 125 mg/5 ml Botol 13 4,016 52,208 4,016
0 - - -
138 Klorfeniramin (CTM) tab 4 mg Tab 0 26 - 26
0 26 - 26
4359 26 115,078 26
0 - - -
139 Klorpromazin inj 25 mg/ml (i.m.) Ampul 0 1,210 - 1,210
0 - - -
140 Klorpromazin tab sal 100 mg Tab sal 0 152 - 152
0 - - -
141 Klorpromazin tab sal 25 mg Tab sal 244 50 12,200 50
0 - - -

142 Kombinasi : Pirimethamin 25 mg + sulfadoksin Tab 0 531 - 531

Kombinasi: ipratropium Br 0,5 mg+ 0 - - -


salbutamol 2,5 mg nebules (Combivent UDV)
143 Vial 0 - - -
0 - - -
Kotrimoksazol (dewasa) kombinasi :
sulfametoksazol 400 mg+ trimetoprim 80
144 Tab 850 152 129,200 152
mg

0 152 - 152
6583 152 1,000,616 152
0 - - -
Kotrimoksazol (anak) kombinasi :
sulfametoksazol 100 mg+ trimetoprim 20
145 Tab 0 79 - 79
mg

380 79 30,020 79
0 - - -
Kotrimoksazol (dewasa) kombinasi tiap 5 ml
146 suspensi : sulfametoksazol 200 mg + Botol 0 2,298 - 2,298
trimetoprim 40 mg
0 - - -
147 Kuinin inj 25% (i.v.) Vial 0 6,820 - 6,820
0 6,820 - 6,820
0 - - -
148 Kloroquin tab 150 mg Tab 0 112 - 112
0 - - -
149 Lansoprazol kaps 30 mg Kaps 0 - - -
0 - - -
150 Levofloksasin tab 500 mg Tab 0 581 - 581
0 - - -
151 Lidokain gel 2% Tube 0 - - -
0 - - -
152 Lidokain inj 2% (hcl) Vial 0 1,499 - 1,499
82 1,499 122,918 1,499
0 1,499 - 1,499
0 - - -
153 Lisol Botol 0 54,995 - 54,995
0 54,995 - 54,995
0 - - -
154 Loperamid tab 2 mg Tab 0 97 - 97
525 97 50,925 97
0 - - -
155 Loratadin tab 10 mg Tab 0 170 - 170
0 - - -
156 Magnesium sulfat inj 20% Vial 0 7,260 - 7,260
0 7,260 - 7,260
0 - - -
157 Magnesium sulfat inj 40% Vial 0 7,260 - 7,260
20 7,260 145,200 7,260
0 - - -
158 Magnesium sulfat serb, ktg 30 g Sachet 0 1,130 - 1,130
0 - - -
159 Mebendazol sir 50 mg/ml Botol 0 3,887 - 3,887
0 - - -
160 Mebendazol tab 100 mg Tan 90 248 22,320 248
0 - - -
161 Metformin tab 500 mg Tab 0 - - -
0 - - -
162 Metformin tab 850 mg Tab 0 - - -
0 - - -
163 Metilergometrin inj 0,2 mg/ml Ampul 0 1,639 - 1,639
0 - - -
164 Metilergometrin tab salut 0,125 mg Tab sal 190 133 25,289 133
0 - - -
165 Metilprednisolon tab 4 mg Tab 0 - - -
0 - - -
166 Metoklopramid inj 5 mg/ml Vial 0 1,100 - 1,100
0 1,100 - 1,100
0 1,100 - 1,100
0 - - -
167 Metoklopramid sir 5 mg/5 ml (Lexapram sirup) Botol 0 - - -

0 - - -
168 Metoklopramid tab 10 mg Tab 230 100 23,000 100
0 - - -
169 Metronidazol supposutoria 500 mg suppo 0 - - -
0 - - -
170 Metronidazol larutan infus Botol 0 12,980 - 12,980
8 12,980 103,840 12,980
0 - - -
171 Metronidazol tab 250 mg Tab 0 116 - 116
480 116 55,680 116
0 - - -
172 Metronidazol tab 500 mg Tab 0 - - -
820 169 138,580 169
0 - - -
173 Mikonazol krim 2% Tube 0 3,150 - 3,150
21 3,150 66,150 24 3,150
0 - - -
174 Natrium diklofenak tab 25 mg Tab 0 146 - 146
0 146 - 146
480 146 70,080 146
0 - - -
175 Natrium diklofenak tab 50 mg Tab 0 193 - 193
0 193 - 193
0 193 - 193
140 193 27,020 400 193
0 - - -
176 NaCl 0,9% Larutan infus Botol 0 5,170 - 5,170
0 5,170 - 5,170
55 5,170 284,350 5,170
0 - - -
177 Nifedipin kaps 10 mg Kaps 0 127 - 127
710 127 90,170 127
0 - - -
178 Nistatin tab salut 500.000 UI Tab 0 704 - 704
400 704 281,600 704
0 - - -
179 Nistatin tab vaginal 100.000 UI Tab 190 448 85,120 448
0 - - -
180 Obat Batuk Hitam (OBH) Botol 0 2,310 - 2,310
93 2,310 214,830 2,310
0 - - -
181 Ofloksasin tab 200 mg Tab 0 440 - 440
0 - - -
182 Ofloksasin tab 400 mg Tab 0 700 - 700
40 700 28,000 700
0 - - -
183 Oksitetrasiklin hcl inj 500 mg/ml Vial 0 3,410 - 3,410
0 - - -
184 Oksitetrasiklin hcl salep kulit 3% Tube 0 2,010 - 2,010
0 1,646 - 1,646
28 1,646 46,088 1,646
0 - - -
185 Oksitetrasiklin hcl salep mata 1 % Tube 0 2,772 - 2,772
127 2,772 352,044 2,772
0 - - -
186 Oksitosin inj 10 UI/ml Ampul 0 6,875 - 6,875
13 1,900 24,700 1,900
0 - - -
187 Omeprazol kaps 20 mg Kaps 0 221 - 221
0 221 - 221
90 221 19,890 221
0 - - -
188 Papaverin tablet 40 mg Tab 0 109 - 109
2830 109 308,470 109
0 - - -
189 Parasetamol sir 120 mg/5 ml Botol 0 1,535 - 1,535
0 1,535 - 1,535
304 1,535 466,640 1,535
0 - - -
190 Parasetamol tab 100 mg Tab 0 105 - 105
678 105 71,190 105
0 - - -
191 Parasetamol tab 500 mg Tab 0 88 - 88
0 88 - 88
3235 88 284,680 88
0 - - -
192 Parasetamol rectal suppo 0 - - -
0 - - -
193 Pehavral tablet multivitamin Tab 0 849 - 849
0 297 - 297
0 297 - 297
0 297 - 297
0 - - -

194 Perak sulfadiazin krim 1% (Burnazin 35 gr) Tube 0 25,350 - 25,350

3 25,350 76,050 25,350


0 - - -
195 Phenylbutazon tablet 200 mg Tab 800 107 85,600 107
0 107 - 107
0 - - -
196 Piracetam tablet 800 mg Tab 0 964 - 964
200 964 192,800 964
0 - - -
197 Piracetam tablet 1200 mg Tab 0 854 - 854
110 854 93,940 854
0 - - -
198 Piracetam injeksi 1 g/5 ml Ampul 50 60,500 3,025,000 60,500
0 - - -
199 Pirantel pamoat susp 125 mg/5 ml Botol 45 9,100 409,500 9,100
0 - - -
200 Pirantel pamoat tab scored 125 mg Tab 0 318 - 318
469 318 149,142 318
0 - - -
201 Piridoksin (vitamin B6) tab 25 mg Tab 0 19 - 19
1200 19 22,800 19
0 - - -
202 Piroksikam tablet 20 mg Tab 0 116 - 116
495 116 57,420 116
0 - - -
203 Polikresulen Botol 0 18,635 - 18,635
10 18,635 186,350 18,635
0 - - -

204 Povidon iodin lar 100 mg/ml Botol 30 ml 0 2,344 - 2,344

6 2,344 14,064 2,344


0 - - -
Botol 300
205 Povidon iodin lar 100 mg/ml 1 15,386 15,386 15,386
ml
4 15,386 61,544 15,386
0 - - -
Botol 1000
206 Povidon iodin lar 100 mg/ml 0 40,202 - 40,202
ml
0 40,202 - 40,202
0 - - -
207 Prednison tab 5 mg Tab 0 98 - 98
2204 98 215,992 98
0 - - -
208 Primakuin tab 15 mg Tab 985 125 123,125 125
0 - - -
209 Procurma syrup Botol 0 12,021 - 12,021
47 12,021 564,987 12,021
0 - - -
210 Propiltiourasil tab 100 mg Tab 200 297 59,400 297
0 - - -
211 Propranolol tab 40 mg Tab 90 80 7,200 80
0 - - -
212 Ranitidin inj 25 mg/ml Ampul 0 - - -
0 - - -
213 Ranitidin tab 150 mg Tab 0 128 - 128
740 128 94,720 128
0 - - -
214 Reserpin tablet 0.25 mg Tab 0 - - -
0 - - -
215 Rifampisin kaps 300 mg Kaps 0 440 - 440
0 - - -
216 Rifampisin tab 450 mg Tab 0 624 - 624
0 - - -
217 Rifampisin tab 600 mg Tab 0 863 - 863
0 - - -
218 Ringer Laktat Larutan infus Botol 0 5,720 - 5,720
173 5,720 989,560 5,720
0 - - -
219 Salbutamol tab 2 mg Tab 0 92 - 92
0 65 - 65
580 65 37,700 65
0 - - -
220 Salbutamol tab 4 mg Tab 0 93 - 93
280 93 26,040 93
0 - - -
Salep 2-4, kombinasi : asam salisilat 2 %+
221 Tube 0 1,980 - 1,980
belerang endap 4 %
12 2,200 26,400 2,200
0 - - -
222 Scabicid salep Tube 0 - - -
223 Sefadroksil kaps 250 mg Vial 0 - - -
0 - - -
224 Sefadroksil kaps/tab 500 mg Tab 0 548 - 548
2160 548 1,183,680 548
0 - - -
225 Sefadroksil sir kering 125 mg/5 ml Botol 0 5,286 - 5,286
3 5,286 15,858 20 5,286
0 - - -
226 Sefiksim kapsul 100 mg Tab 0 - - -
0 - - -
227 Sefotaksim serb inj 1.000 mg/vial Vial 0 - - -
0 - - -
228 Seftriakson serb inj 1.000 mg/vial Vial 0 5,414 - 5,414
0 - - -
229 Setirizin tab 10 mg Tab 0 - - -
0 - - -

230 Sianokobalamin (vitamin B12) inj 500 mcg/ml Vial 52 1,451 75,432 1,451

0 - - -

231 Sianokobalamin (vitamin B12) tab 50 mcg Tab 0 150 - 150


0 - - -
232 Simetidin tablet 200 mg Tab 0 138 - 138
740 138 102,120 138
0 - - -
233 Simvastatin tab sal 10 mg Tab sal 0 177 - 177
0 - - -
234 Simvastatin tab sal 20 mg Tab sal 0 480 - 480
0 - - -
235 Siprofloksasin inf 2 mg/ml Botol 0 - - -
0 - - -
236 Siprofloksasin tab scored 500 mg Tab 700 312 218,680 312
0 - - -
237 Spironolakton tab 100 mg Tab 0 - - -
200 350 70,000 350
0 - - -
238 Sulfasetamid Natrium Tetes mata 1.5% Botol 0 - - -
0 - - -
239 Sukralfat susp 500 mg/5 ml (Ulsafate) Botol 0 - - -
0 - - -
240 Sukralfat tab 500 mg (Ulsidex) Tab 0 - - -
400 477 190,800 477
0 - - -
241 Teofilin tab SR 300 mg (Rethapyl) Tab 0 - - -
100 1,155 115,500 1,155
0 - - -
242 Tetrasiklin kaps 250 mg Kaps 700 183 128,398 183
0 - - -
243 Tetrasiklin kaps 500 mg Kaps 0 283 - 283
0 - - -

244 Tiamin (vitamin B1) mononitrat tab 50 mg Tab 0 42 - 42

0 42 - 42
0 - - -
245 Tiamin (vitamin B1) injeksi 100 mg/ml Tab 0 770 - 770
0 - - -
246 Tramadol inj 50 mg/ml Ampul 0 2,680 - 2,680
0 - - -
247 Tramadol tablet 500 mg Tab 0 363 - 363
0 - - -
248 Triheksifenidil tab 2 mg Tab 0 45 - 45
160 45 7,200 45
0 - - -
249 Vitamin B12 tablet 50 mcg Tab 0 63 - 63
0 - - -
250 Vitamin B kompleks injeksi Vial 0 7,392 - 7,392
0 - - -
251 Vitamin B kompleks Tab 0 112 - 112
0 112 - 112
4110 112 460,320 112
0 - - -
252 Zinc tab disp 20 mg Tab 0 521 - 521
345 521 179,745 521
0 521 - 521
0 - - -
253 Zinc sirup 20 mg / 5 ml Botol 0 8,140 - 8,140
13 8,140 105,820 8,140
0 - - -
254 Larutan PK botol 0 573 - 573
2 6,975 13,950 6,975
0 - - -
255 Kanamisin inj Vial 50 10,395 519,750 10,395
0 - - -
256 Antalgin 500mg tab 0 155 - 155
1000 141 141,000 141
0 - - -
257 Klorpromazin inj 25 mg/ml (i.m.) Ampul 0 - - -
0 1,210 - 1,210
0 - - -

258 Kalsium laktat (kalk) tab 500 mg Tab 0 57 - 57

0 - - -

259 Kloroquin tab 250 mg Tab 0 116 - 116


0 572 - 572
0 - - -
260 Klonidin 0,15 mg Tab 100 191 19,100 191
0 - - -
261 Kloramfenikol kaps 250 mg Kaps 0 275 - 275
0 275 - 275
0 - - -
262 Klorpromazin tab sal 100 mg Tab sal 0 162 - 162
0 - - -
263 Fenolgliserol TT 10% Kotak 0 1,108 - 1,108
16 1,109 17,744 1,109
0 - - -
265 Tetrasiklin kaps 250 mg Kaps 0 162 - 162
0 - - -
266 Kloroquin tab 250 mg 0 116 - 116
0 - - -
267 Papaverin tablet 40 mg 0 167 - 167
0 - - -
268 Prednison tab 5 mg Tab 0 125 - 125
0 - - -
269 Pirantel pamoat tab scored 125 mg Tab 0 318 - 318
0 - - -
270 Hidroklorotiazid (HCT) tab 25 mg Tab 0 109 - 109
0 - - -
271 Triheksifenidil tab 2 mg Tab 0 45 - 45
0 - - -
272 Piracetam tablet 1200 mg Tab 0 854 - 854
0 - - -
273 Vical suspensi btl 0 42,727 - 42,727
0 42,727 - 42,727
0 - - -
274 Lexavit tab 0 1,480 - 1,480
300 1,480 444,000 1,480
0 - - -
275 Gliseril Guaiakolat tab 100 mg Tab 0 31 - 31
0 - - -
276 Efedrin HCl tablet Tab 0 56 - 56
0 - - -
B.OBAT GIGI 0 - - -
1 Bonding Botol 0 765,000 - 765,000
1 765,000 765,000 765,000
0 - - -
2 Calcium hidrosida cement pasta (hycal) Kotak 0 242,000 - 242,000
0 - - -
3 Comfosite Tube 0 338,800 - 338,800
1 338,800 338,800 338,800
0 - - -
4 Devitalisasi Pasta (Non Arsen) Kotak 0 390,000 - 390,000
0 390,000 - 390,000
0 - - -
5 Eugenol cair Botol 0 18,333 - 18,333
1 18,333 18,333 18,333
0 - - -
6 Etil Klorida spray Botol 0 105,000 - 105,000
2 105,000 210,000 105,000
0 - - -
7 Etza Tube 0 170,000 - 170,000
0 - - -
8 Glass Ionomer Cement ART Set 0 395,000 - 395,000
1 197,895 197,895 197,895
0 - - -
9 Klorfenol Kamfer Menthol (CHKM) Botol 1 55,000 55,000 55,000
0 - - -
10 Semen Seng Fosfat serbuk dan cairan Set 0 93,500 - 93,500
2 93,500 187,000 93,500
0 - - -
11 Temporari stoping pletcher Set 0 34,000 - 34,000
0 34,000 - 34,000
0 - - -
12 Mummiyng pasta Kotak 0 176,000 - 176,000
0 - - -
C.OBAT PROGRAM 0 - - -
1 Albedazole 400mg Tab 0 425 - 425
2 Artemether inj 80 mg/ml Ampul 0 24,384 - 24,384
3 Artesunat serb inj 60 mg/ml (i.v./i.m.) Vial 0 27,569 - 27,569
8 27,569 220,552 27,569
0 - - -
4 Dietilkarbamazin tab 100 mg Tab 0 104 - 104
2000 104 208,000 104
0 - - -
5 Imersion oil Botol 0 825,000 - 825,000
6 Iodina Test Botol 0 4,545 - 4,545
7 Obat Anti Tuberculosis FDC Kategori Anak Paket 0 236,490 - 236,490
8 Obat Anti Tuberculosis FDC Kategori I Paket 0 396,000 - 396,000
9 Obat Anti Tuberculosis FDC Kategori II Paket 0 1,319,990 - 1,319,990

10 Obat Anti Tuberculosis FDC Kategori Sisipan Paket 0 175,899 - 175,899

11 Reagen Zenit Nelson Botol 0 145,000 - 145,000


12 RDT Dangue DBD Set 0 150,000 - 150,000
13 RDT malaria (care star ) Set 0 168,300 - 168,300
14 RDT HIV (intec) Set 0 46,200 - 46,200
15 RDT HIV (vikia) Set 0 45,560 - 45,560
16 RDT HIV (Oncoprobe) Set 0 42,350 - 42,350
17 Taburia Kotak 0 20,454 - 20,454
18 Quinina injeksi Ampul 0 4,438 - 4,438
19 Vaksin BCG inj (i.k) Vial 0 - - -
20 Vaksin campak inj (s.k.) Vial 0 - - -
21 Vaksin jerap difteri tetanus pertusis (DTP) inj (i Vial 0 - - -
22 Vaksin jerap difteri tetanus (DT) Vial 0 - - -
23 Vaksin kombinasi DPT + hepatitis B inj (i.m.) Vial 0 - - -
24 Vaksin polio drops 10 dosis Vial 0 285,000 - 285,000
Vaksin rabies, untuk manusia serb inj (s.k./i.k)
25 Vial 0 695,752 - 695,752
+ booster
Retinol (Vit.A) 200.000 IU kap lunak 0 412 - 412
Retinol (Vit.A) 100.000 IU kap lunak 0 286 - 286
zink tab.20mg 0 497 - 497
Doxiciklin tab 0 - - -
D.BAHAN MEDIS HABIS PAKAI (BHMP) 0 - - -
1 Alat suntik sekali pakai 1 ml Set 0 1,093 - 1,093
0 848 - 848
138 848 117,059 848
0 - - -
2 Alat suntik sekali pakai 2,5 ml Set 0 1,038 - 1,038
31 848 26,296 848
0 - - -
3 Alat suntik sekali pakai 3 ml Set 0 1,038 - 1,038
0 848 - 848
180 848 152,685 848
0 - - -
4 Alat suntik sekali pakai 5 ml Set 0 1,038 - 1,038
440 979 430,650 979
0 - - -
5 Bisturi no. 20 Buah 0 2,099 - 2,099
103 2,100 216,300 2,100
0 - - -
6 Bisturi no. 15 Buah 0 2,099 - 2,099
16 2,100 33,600 2,100
0 - - -
7 Catgut No 2/0 Set 12 6,400 76,800 6,400
48 25,920 1,244,160 25,920
0 - - -
8 Catgut No 3/0 Set 0 5,900 - 5,900
6 27,000 162,000 27,000
0 - - -
9 Handscoen no. 6 Pasang 0 6,595 - 6,595
0 - - -
10 Handscoen no. 6,5 Pasang 0 6,595 - 100 6,595
0 - - -
11 Handscoen no. 7 Pasang 0 4,250 - 4,250
0 7,684 - 7,684
0 - - -
12 Handscoen no. 7,5 Pasang 0 4,250 - 4,250
98 7,684 753,032 7,684
0 - - -
13 Infuset dewasa Set 0 3,500 - 3,500
54 4,176 225,504 4,176
0 - - -
14 Infusion set anak Set 0 4,000 - 4,000
5 4,568 22,840 4,568
0 - - -
15 IV Catheter No.16 G Set 0 7,937 - 7,937
0 - - -
15 IV Catheter No.18 G Set 0 6,600 - 6,600
0 - - -
16 IV Catheter No.24 G Set 0 7,787 - 7,787
46 7,787 358,202 7,787
0 - - -
17 IV Catheter No. 20 G Set 0 7,787 - 7,787
52 7,937 412,724 7,937
0 - - -
18 IV Catheter No. 22 G Set 64 7,787 498,368 7,787
0 - - -
19 Folley Catheter 16 Set 0 10,440 - 10,440
0 - - -
19 Folley Catheter 18 Set 0 8,495 - 8,495
0 10,440 - 10,440
0 - - -
20 Folley catheter 22 Set 0 8,495 - 8,495
0 10,440 - 10,440
0 - - -
21 Folley catheter 24 Set 0 495 - 495
9 10,440 93,960 10,440
0 - - -
22 Kapas Berlemak 250 gram Rol 0 7,500 - 7,500
2 27,821 55,642 27,821
0 - - -
23 Kapas Berlemak 500 gram Rol 0 17,250 - 17,250
0 - - -
24 Kasa Pembalut 4m x 3 cm Rol 0 800 - 800
0 - - -
25 Kasa Pembalut 4m x 5 cm Rol 0 887 - 887
0 - - -
26 Kasa Pembalut 4m x 10 cm Rol 0 607 - 607
32 6,121 195,872 6,121
0 - - -
27 Kasa Pembalut 4m x 15 cm Rol 0 887 - 887
0 - - -
28 Kasa Kompres 40/40 steril Buah 0 1,871 - 1,871
0 5,621 - 5,621
0 - - -
29 Kasa Steril 16 X 16 Buah 0 8,600 - 8,600
0 11,724 - 11,724
0 - - -
30 Kasa pembalut 2 x 80 Rol 0 10,467 - 10,467
0 13,221 - 13,221
0 - - -
31 Kasa Pembalut 40 x 80 Rol 0 - - -
0 137,025 - 137,025
0 - - -
32 Kasa Pembalut 36 x 80 cm Rol 0 55,200 - 55,200
0 133,821 - 1 133,821
0 - - -
33 Pembalut Gips Buah 2 32,500 65,000 32,500
0 - - -
34 Plester 5 yard x 2 inc Rol 0 23,625 - 23,625
3 23,625 70,875 23,625
0 - - -
35 Silk Set 0 5,082 - 5,082
74 18,781 1,389,794 18,781
0 - - -
36 Selang oksigen anak Set 0 - - -
0 - - -
37 Selang oksigen dewasa Set 0 - - -
0 - - -
38 Sofratulle Set 0 - - -
0 - - -
39 Urine bag Set 0 4,000 - 4,000
0 - - -
40 Wing Needle No. 21 G Set 0 5,770 - 5,770
200 5,770 1,154,000 5,770
0 - - -
41 Wing Needle No. 23 G Set 67 5,770 386,590 5,770
199 5,770 1,148,230 5,770
0 - - -
42 Wing Needle No.25 G Set 0 5,770 - 5,770
200 5,770 1,154,000 5,770
0 - - -
43 Wing Needle No. 27 G Set 0 5,770 - 5,770
0 - - -
44 NGT No. 3 ( Feeding Tube ) Set 0 22,000 - 22,000
0 - - -
45 NGT No. 5 ( Feeding Tube ) Set 0 22,000 - 22,000
0 - - -
46 Masker Buah 0 1,125 - 1,125
0 1,125 - 1,125
0 - - -
47 Tes gula darah Set 0 200,455 - 200,455
80 8,018 641,440 8,018
0 - - -
48 Tes Narkoba 3 parameter Set 0 68,181 - 68,181
0 - - -
49 Tes Narkoba 5 parameter Set 0 68,181 - 68,181
0 - - -
50 Tes Kehamilan Sachet 0 6,825 - 6,825
11,085,622
40,311,138

Mengetahui
Kepala Puskesmas Rumbia

Rahmat, AMK
Nip. 19721021 199403 1 004
AN OBAT DAN PERBEKES
SELAMA 1 TAHUN
UN 2016

BULAN : JUNI
TAHUN : 2016

asi Masuk Mutasi Pengeluaran Saldo Akhir


ni 2016 Obat Puskesmas bulan Juni Per 30 Juni 2016
Nilai ( Rp) Jumlah Harga Satuan Nilai (Rp) Jumlah Harga Satuan Nilai (Rp)
9 10 11 12 13 14 15

- 6,050 - 0 6,050 -

- 1 2,200 2,200 25 2,200 55,000


- - - - -
- 12,750 - 0 12,750 -
- 363 - 0 363 -
- - - - -
- - - 0 - -
- - - 0 - -
- 245 - 0 245 -
- 3 245 735 183 245 44,835
- - - - -
- 18,635 - 0 18,635 -
- - - 0 - -
- 138 - 0 138 -
- 260 138 35,880 510 138 70,380
- - - 0 - -
- - - - -
- 2,722 - 0 2,722 -
- 6 2,722 16,332 7 2,722 19,054
- - - - -
- 4,204 - 0 4,204 -
- - - - -
- 86 - 100 86 8,600
- 86 - 400 86 34,400
- - - - -
- 123 - 0 123 -
- 123 - 100 123 12,300
- - - - -
- 1,863 - 0 1,863 -
- - - - -
- - - 0 - -
- - - - -
- 2,560 - 0 2,560 -
- 2,560 - 0 2,560 -
- 2,560 - 0 2,560 -
- 47 2,560 120,320 107 2,560 273,920
- - - - -
- 220 - 0 220 -
- 220 - 0 220 -
- 220 - 0 220 -
- - - - -
- 279 - 0 279 -
- 279 - 0 279 -
- 1060 279 295,740 300 279 83,700
- - - - -

- - - 0 - -

- - - - -
- 78 - 0 78 -

- 960 78 74,880 670 78 52,260


- - - - -

- 2,213 - 0 2,213 -

- 16 2,213 35,408 20 2,213 44,260


- 2,213 - 0 2,213 -
- - - - -

- 2,767 - 7 2,767 19,369

- - - - -

- 1 2,096 2,096 8 2,096 16,768

- - - - -

- 9 33,000 297,000 10 33,000 330,000

- 2,200 - 10 2,200 22,000


- - - - -

- - - 0 - -

- - - - -

- 149 - 0 149 -

- 149 - 497 149 74,053


- - - - -
- 155 - 0 155 -
- - - - -
- 1,346 - 0 1,346 -
- - - - -
- 110 - 60 110 6,600
- 127 - 1100 127 139,700
- - - - -
- 178 - 0 178 -
- - - - -
- - - 0 - -
- - - - -
- 105 - 0 105 -
- 850 105 89,250 2050 105 215,250
- - - - -
- 52 - 0 52 -
- 260 52 13,520 170 52 8,840
- - - - -
- - - 0 - -
- - - - -
- 127 - 0 127 -
- 127 - 0 127 -
- 904 127 114,808 2090 127 265,430
- - - - -
- 3,650 - 25 3,650 91,250
- - - - -

- 1,265 - 0 1,265 -

- 220 1,265 278,300 60 1,265 75,900

- - - - -

- 15,900 - 22 15,900 349,800


- - - - -

- 1 82,500 82,500 24 82,500 1,980,000


- - - - -

- 251 - 0 251 -
- 251 - 275 251 69,025
- - - - -
- 5 1,400 7,000 29 1,400 40,600
- - - - -
- 81 - 0 81 -
- - - - -

- - - 0 - -

- - - - -
- 1,180 - 0 1,180 -
- 3 1,350 4,050 33 1,350 44,550
- - - - -

- 73 - 0 73 -

- 560 55 30,800 0 55 -
- - - - -
- 22,727 - 0 22,727 -
- 22,727 - 4 22,727 90,908
- - - - -
- 1,596 - 0 1,596 -
39,900 18 1,596 28,728 52 1,596 82,992
- - - - -
- - - 0 - -
- - - - -
- - - 0 - -
- - - - -
- - - 0 - -
- - - - -
- - - 0 - -
- - - - -
- - - 0 - -

- - - - -
- 42 - 0 42 -
- - - - -
- 68 - 0 68 -
34,000 530 68 36,040 660 68 44,880
- - - - -
- 1,738 - 168 1,738 291,984
- - - - -
- - - 0 - -
- 9,983 - 3 9,983 29,949
- - - - -
- 2,578 - 0 2,578 -
- 1 2,578 2,578 51 2,578 131,478
- - - - -

- - - 0 - -

- - - - -
- - - 0 - -
- - - - -
- 28 - 0 28 -
- - - - -
- 28 - 77 28 2,156
- - - - -
- - - 0 - -
- - - - -
- 2 1,160 2,320 45 1,160 52,200
- - - - -
- 103 - 100 103 10,300
- - - - -
- - - 0 - -
- - - - -
- 141 - 0 141 -
- 141 - 560 141 78,960
- - - - -
- 30 278 8,349 160 278 44,528
- - - - -
- 3,490 - 0 3,490 -
- 2 3,490 6,980 37 3,490 129,130
- - - - -
- 174 - 0 174 -
- 150 174 26,100 293 174 50,982
- - - - -
- 56 - 0 56 -
5,639 159 56 8,966 110 56 6,203
- - - - -
- 42 - 160 42 6,720
- 42 - 5000 42 210,000
- - - - -

- 8,910 - 90 8,910 801,900

- - - - -
- 20 522 10,440 820 522 428,040
- 522 - 0 522 -
- - - - -
- 7,581 - 24 7,581 181,944
- - - - -
- 35 1,013 35,447 465 1,013 470,938
- 1,023 - 0 1,023 -
- - - - -
- 2,625 - 0 2,625 -
- 2,625 - 0 2,625 -
- 19 2,625 49,875 63 2,625 165,375
- - - - -
- 4,695 - 0 4,695 -
- 1 4,695 4,695 2 4,695 9,390
- - - - -
- 124 - 0 124 -
- - - - -
- - - 0 - -
- 124 - 0 124 -
- - - - -
- - - 0 - -
- - - - -
- - - 0 - -
- 146 - 100 146 14,600
- - - - -
- 37 - 0 37 -
- 1,980 - 90 1,980 178,200
- - - - -
- - - 0 - -
- - - - -
- 37 - 0 37 -
- - - - -

- 5 698 3,490 20 698 13,960

- - - - -
- 698 - 100 698 69,800
- - - - -
- - - 0 - -
- - - - -
- - - 0 - -
- - - - -
- 2,012 - 0 2,012 -
- - - - -
- 5 2,012 10,060 34 2,012 68,408
- - - - -
- 84 - 0 84 -
- 84 - 360 84 30,240
- - - - -

- 317 - 0 317 -

- 317 - 0 317 -
- - - - -
- 2,420 - 0 2,420 -
- - - - -
- 323 - 0 323 -
- - - - -
- - - 0 - -
- - - - -
- 3,739 - 0 3,739 -
- - - - -
- - - 0 - -
- - - - -
- 2,340 - 0 2,340 -
44,070 14 1,469 20,566 40 1,469 58,760
- - - - -
- 3,194 - 0 3,194 -
- - - - -
- 61 - 0 61 -
- 70 61 4,270 130 61 7,930
- - - - -
- - - 0 - -
- - - - -
- - - 0 - -
- - - - -
- 31 - 0 31 -
- 31 - 0 31 -
- 710 31 22,010 8370 31 259,470
- - - - -
- - - 0 - -
- - - - -
- - - 0 - -
- - - - -
- 5,720 - 27 5,720 154,440
- - - - -
- 6,270 - 15 6,270 94,050
- - - - -
- - - 0 - -
- - - - -
- 230 - 0 230 -
- 120 230 27,600 100 230 23,000
- - - - -
- 62 - 0 62 -
- - - - -
- 76 - 0 76 -
- 76 - 190 76 14,440
- - - - -
- 105 - 0 105 -
- 105 - 0 105 -
- 105 - 0 105 -
- - - - -
- 38,500 - 0 38,500 -
- - - - -
- 40 - 0 40 -
- 40 - 9500 40 380,000
- - - - -
- - - 0 - -
- - - - -
- 330 - 0 330 -
- - - - -
- 4,949 - 0 4,949 -
- - - - -
- 127 - 0 127 -
- 340 121 41,140 470 121 56,870
- - - - -
- 157 - 0 157 -
- 210 157 32,970 160 157 25,120
- - - - -
- - - 0 - -
- - - - -
- - - 0 - -
- - - - -
- - - 0 - -
- - - - -
- 98 - 0 98 -
- 98 - 90 98 8,820
- - - - -
- 10,000 - 17 10,000 170,000
- - - - -
- 9,519 - 20 9,519 190,380
- - - - -
- 51 - 0 51 -
- 76 - 0 76 -
22,800 300 76 22,800 450 76 34,200
- - - - -
- 69 - 0 69 -
- 69 - 70 69 4,830
- - - - -
- 97 - 0 97 -
58,200 308 97 29,876 882 97 85,554
- - - - -
- 269 - 0 269 -
- - - - -
- - - 0 - -
- - - - -
- 110,000 - 0 110,000 -
- - - - -
- 320 - 0 320 -
- 10 320 3,200 0 320 -
- - - - -
- 5,150 - 0 5,150 -
- 5,150 - 0 5,150 -
- - - - -
- 2,665 - 0 2,665 -
- 2,665 - 90 2,665 239,850
- - - - -
- - - 0 - -
- - - - -
- 405 - 0 405 -
- - - - -
- 1,680 - 0 1,680 -
- - - - -
- 275 - 90 275 24,750
- 275 - 0 275 -
- - - - -
- 1,680 - 0 1,680 -
- 1,680 - 13 1,680 21,840
- - - - -
- 4,016 - 13 4,016 52,208
- - - - -
- 26 - 0 26 -
- 26 - 0 26 -
- 960 26 25,344 3399 26 89,734
- - - - -
- 1,210 - 0 1,210 -
- - - - -
- 152 - 0 152 -
- - - - -
- 50 - 244 50 12,200
- - - - -

- 531 - 0 531 -

- - - - -

- - - 0 - -
- - - - -

- 50 152 7,600 800 152 121,600

- 152 - 0 152 -
- 152 - 6583 152 1,000,616
- - - - -

- 79 - 0 79 -

- 79 - 380 79 30,020
- - - - -

- 2,298 - 0 2,298 -

- - - - -
- 6,820 - 0 6,820 -
- 6,820 - 0 6,820 -
- - - - -
- 112 - 0 112 -
- - - - -
- - - 0 - -
- - - - -
- 581 - 0 581 -
- - - - -
- - - 0 - -
- - - - -
- 1,499 - 0 1,499 -
- 23 1,499 34,477 59 1,499 88,441
- 1,499 - 0 1,499 -
- - - - -
- 54,995 - 0 54,995 -
- 54,995 - 0 54,995 -
- - - - -
- 97 - 0 97 -
- 86 97 8,342 439 97 42,583
- - - - -
- 170 - 0 170 -
- - - - -
- 7,260 - 0 7,260 -
- 7,260 - 0 7,260 -
- - - - -
- 7,260 - 0 7,260 -
- 7,260 - 20 7,260 145,200
- - - - -
- 1,130 - 0 1,130 -
- - - - -
- 3,887 - 0 3,887 -
- - - - -
- 248 - 90 248 22,320
- - - - -
- - - 0 - -
- - - - -
- - - 0 - -
- - - - -
- 1,639 - 0 1,639 -
- - - - -
- 20 133 2,662 170 133 22,627
- - - - -
- - - 0 - -
- - - - -
- 1,100 - 0 1,100 -
- 1,100 - 0 1,100 -
- 1,100 - 0 1,100 -
- - - - -
- - - 0 - -

- - - - -
- 100 - 230 100 23,000
- - - - -
- - - 0 - -
- - - - -
- 12,980 - 0 12,980 -
- 12,980 - 8 12,980 103,840
- - - - -
- 116 - 0 116 -
- 90 116 10,440 390 116 45,240
- - - - -
- - - 0 - -
- 210 169 35,490 610 169 103,090
- - - - -
- 3,150 - 0 3,150 -
75,600 14 3,150 44,100 31 3,150 97,650
- - - - -
- 146 - 0 146 -
- 146 - 0 146 -
- 420 146 61,320 60 146 8,760
- - - - -
- 193 - 0 193 -
- 193 - 0 193 -
- 193 - 0 193 -
77,200 120 193 23,160 420 193 81,060
- - - - -
- 5,170 - 0 5,170 -
- 5,170 - 0 5,170 -
- 18 5,170 93,060 37 5,170 191,290
- - - - -
- 127 - 0 127 -
- 10 127 1,270 700 127 88,900
- - - - -
- 704 - 0 704 -
- 704 - 400 704 281,600
- - - - -
- 448 - 190 448 85,120
- - - - -
- 2,310 - 0 2,310 -
- 22 2,310 50,820 71 2,310 164,010
- - - - -
- 440 - 0 440 -
- - - - -
- 700 - 0 700 -
- 700 - 40 700 28,000
- - - - -
- 3,410 - 0 3,410 -
- - - - -
- 2,010 - 0 2,010 -
- 1,646 - 0 1,646 -
- 5 1,646 8,230 23 1,646 37,858
- - - - -
- 2,772 - 0 2,772 -
- 9 2,772 24,948 118 2,772 327,096
- - - - -
- 6,875 - 0 6,875 -
- 10 1,900 19,000 3 1,900 5,700
- - - - -
- 221 - 0 221 -
- 221 - 0 221 -
- 90 221 19,890 0 221 -
- - - - -
- 109 - 0 109 -
- 50 109 5,450 2780 109 303,020
- - - - -
- 1,535 - 0 1,535 -
- 1,535 - 0 1,535 -
- 65 1,535 99,775 239 1,535 366,865
- - - - -
- 105 - 0 105 -
- 278 105 29,190 400 105 42,000
- - - - -
- 88 - 0 88 -
- 88 - 0 88 -
- 1345 88 118,360 1890 88 166,320
- - - - -
- - - 0 - -
- - - - -
- 849 - 0 849 -
- 297 - 0 297 -
- 297 - 0 297 -
- 297 - 0 297 -
- - - - -

- 25,350 - 0 25,350 -

- 25,350 - 3 25,350 76,050


- - - - -
- 107 - 800 107 85,600
- 107 - 0 107 -
- - - - -
- 964 - 0 964 -
- 964 - 200 964 192,800
- - - - -
- 854 - 0 854 -
- 10 854 8,540 100 854 85,400
- - - - -
- 60,500 - 50 60,500 3,025,000
- - - - -
- 2 9,100 18,200 43 9,100 391,300
- - - - -
- 318 - 0 318 -
- 318 - 469 318 149,142
- - - - -
- 19 - 0 19 -
- 19 - 1200 19 22,800
- - - - -
- 116 - 0 116 -
- 20 116 2,320 475 116 55,100
- - - - -
- 18,635 - 0 18,635 -
- 1 18,635 18,635 9 18,635 167,715
- - - - -

- 2,344 - 0 2,344 -

- 2,344 - 6 2,344 14,064


- - - - -

- 1 15,386 15,386 0 15,386 -

- 15,386 - 4 15,386 61,544


- - - - -

- 40,202 - 0 40,202 -

- 40,202 - 0 40,202 -
- - - - -
- 98 - 0 98 -
- 610 98 59,780 1594 98 156,212
- - - - -
- 125 - 985 125 123,125
- - - - -
- 12,021 - 0 12,021 -
- 4 12,021 48,084 43 12,021 516,903
- - - - -
- 100 297 29,700 100 297 29,700
- - - - -
- 80 - 90 80 7,200
- - - - -
- - - 0 - -
- - - - -
- 128 - 0 128 -
- 420 128 53,760 320 128 40,960
- - - - -
- - - 0 - -
- - - - -
- 440 - 0 440 -
- - - - -
- 624 - 0 624 -
- - - - -
- 863 - 0 863 -
- - - - -
- 5,720 - 0 5,720 -
- 30 5,720 171,600 143 5,720 817,960
- - - - -
- 92 - 0 92 -
- 65 - 0 65 -
- 30 65 1,950 550 65 35,750
- - - - -
- 93 - 0 93 -
- 60 93 5,580 220 93 20,460
- - - - -

- 1,980 - 0 1,980 -

- 4 2,200 8,800 8 2,200 17,600


- - - - -
- - - 0 - -
- - - 0 - -
- - - - -
- 548 - 0 548 -
- 720 548 394,560 1440 548 789,120
- - - - -
- 5,286 - 0 5,286 -
105,720 5,286 - 23 5,286 121,578
- - - - -
- - - 0 - -
- - - - -
- - - 0 - -
- - - - -
- 5,414 - 0 5,414 -
- - - - -
- - - 0 - -
- - - - -

- 3 1,451 4,352 49 1,451 71,080

- - - - -

- 150 - 0 150 -
- - - - -
- 138 - 0 138 -
- 50 138 6,900 690 138 95,220
- - - - -
- 177 - 0 177 -
- - - - -
- 480 - 0 480 -
- - - - -
- - - 0 - -
- - - - -
- 312 - 700 312 218,680
- - - - -
- - - 0 - -
- 350 - 200 350 70,000
- - - - -
- - - 0 - -
- - - - -
- - - 0 - -
- - - - -
- - - 0 - -
- 477 - 400 477 190,800
- - - - -
- - - 0 - -
- 1,155 - 100 1,155 115,500
- - - - -
- 183 - 700 183 128,398
- - - - -
- 283 - 0 283 -
- - - - -

- 42 - 0 42 -

- 42 - 0 42 -
- - - - -
- 770 - 0 770 -
- - - - -
- 2,680 - 0 2,680 -
- - - - -
- 363 - 0 363 -
- - - - -
- 45 - 0 45 -
- 45 - 160 45 7,200
- - - - -
- 63 - 0 63 -
- - - - -
- 7,392 - 0 7,392 -
- - - - -
- 112 - 0 112 -
- 112 - 0 112 -
- 1010 112 113,120 3100 112 347,200
- - - - -
- 521 - 0 521 -
- 521 - 345 521 179,745
- 521 - 0 521 -
- - - - -
- 8,140 - 0 8,140 -
- 8,140 - 13 8,140 105,820
- - - - -
- 573 - 0 573 -
- 6,975 - 2 6,975 13,950
- - - - -
- 2 10,395 20,790 48 10,395 498,960
- - - - -
- 155 - 0 155 -
- 141 - 1000 141 141,000
- - - - -
- - - 0 - -
- 1,210 - 0 1,210 -
- - - - -

- 57 - 0 57 -

- - - - -

- 116 - 0 116 -
- 572 - 0 572 -
- - - - -
- 191 - 100 191 19,100
- - - - -
- 275 - 0 275 -
- 275 - 0 275 -
- - - - -
- 162 - 0 162 -
- - - - -
- 1,108 - 0 1,108 -
- 1,109 - 16 1,109 17,744
- - - - -
- 162 - 0 162 -
- - - - -
- 116 - 0 116 -
- - - - -
- 167 - 0 167 -
- - - - -
- 125 - 0 125 -
- - - - -
- 318 - 0 318 -
- - - - -
- 109 - 0 109 -
- - - - -
- 45 - 0 45 -
- - - - -
- 854 - 0 854 -
- - - - -
- 42,727 - 0 42,727 -
- 42,727 - 0 42,727 -
- - - - -
- 1,480 - 0 1,480 -
- 260 1,480 384,800 40 1,480 59,200
- - - - -
- 31 - 0 31 -
- - - - -
- 56 - 0 56 -
- - - - -
- - - 0 - -
- 765,000 - 0 765,000 -
- 765,000 - 1 765,000 765,000
- - - - -
- 242,000 - 0 242,000 -
- - - - -
- 338,800 - 0 338,800 -
- 338,800 - 1 338,800 338,800
- - - - -
- 390,000 - 0 390,000 -
- 390,000 - 0 390,000 -
- - - - -
- 18,333 - 0 18,333 -
- 18,333 - 1 18,333 18,333
- - - - -
- 105,000 - 0 105,000 -
- 1 105,000 105,000 1 105,000 105,000
- - - - -
- 170,000 - 0 170,000 -
- - - - -
- 395,000 - 0 395,000 -
- 197,895 - 1 197,895 197,895
- - - - -
- 55,000 - 1 55,000 55,000
- - - - -
- 93,500 - 0 93,500 -
- 93,500 - 2 93,500 187,000
- - - - -
- 34,000 - 0 34,000 -
- 34,000 - 0 34,000 -
- - - - -
- 176,000 - 0 176,000 -
- - - - -
- - - 0 - -
- 425 - 0 425 -
- 24,384 - 0 24,384 -
- 27,569 - 0 27,569 -
- 27,569 - 8 27,569 220,552
- - - - -
- 104 - 0 104 -
- 104 - 2000 104 208,000
- - - - -
- 825,000 - 0 825,000 -
- 4,545 - 0 4,545 -
- 236,490 - 0 236,490 -
- 396,000 - 0 396,000 -
- 1,319,990 - 0 1,319,990 -

- 175,899 - 0 175,899 -

- 145,000 - 0 145,000 -
- 150,000 - 0 150,000 -
- 168,300 - 0 168,300 -
- 46,200 - 0 46,200 -
- 45,560 - 0 45,560 -
- 42,350 - 0 42,350 -
- 20,454 - 0 20,454 -
- 4,438 - 0 4,438 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 285,000 - 0 285,000 -

- 695,752 - 0 695,752 -

- 412 - 0 412 -
- 286 - 0 286 -
- 497 - 0 497 -
- - - 0 - -
- - - 0 - -
- 1,093 - 0 1,093 -
- 848 - 0 848 -
- 12 848 10,179 126 848 106,880
- - - - -
- 1,038 - 0 1,038 -
- 31 848 26,296 0 848 -
- - - - -
- 1,038 - 0 1,038 -
- 848 - 0 848 -
- 12 848 10,179 168 848 142,506
- - - - -
- 1,038 - 0 1,038 -
- 3 979 2,936 437 979 427,714
- - - - -
- 2,099 - 0 2,099 -
- 10 2,100 21,000 93 2,100 195,300
- - - - -
- 2,099 - 0 2,099 -
- 14 2,100 29,400 2 2,100 4,200
- - - - -
- 5 6,400 32,000 7 6,400 44,800
- 25,920 - 48 25,920 1,244,160
- - - - -
- 5,900 - 0 5,900 -
- 3 27,000 81,000 3 27,000 81,000
- - - - -
- 6,595 - 0 6,595 -
- - - - -
659,500 6,595 - 100 6,595 659,500
- - - - -
- 4,250 - 0 4,250 -
- 7,684 - 0 7,684 -
- - - - -
- 4,250 - 0 4,250 -
- 95 7,684 729,980 3 7,684 23,052
- - - - -
- 3,500 - 0 3,500 -
- 9 4,176 37,584 45 4,176 187,920
- - - - -
- 4,000 - 0 4,000 -
- 4,568 - 5 4,568 22,840
- - - - -
- 7,937 - 0 7,937 -
- - - - -
- 6,600 - 0 6,600 -
- - - - -
- 7,787 - 0 7,787 -
- 7,787 - 46 7,787 358,202
- - - - -
- 7,787 - 0 7,787 -
- 8 7,937 63,496 44 7,937 349,228
- - - - -
- 8 7,787 62,296 56 7,787 436,072
- - - - -
- 10,440 - 0 10,440 -
- - - - -
- 8,495 - 0 8,495 -
- 10,440 - 0 10,440 -
- - - - -
- 8,495 - 0 8,495 -
- 10,440 - 0 10,440 -
- - - - -
- 495 - 0 495 -
- 1 10,440 10,440 8 10,440 83,520
- - - - -
- 7,500 - 0 7,500 -
- 27,821 - 2 27,821 55,642
- - - - -
- 17,250 - 0 17,250 -
- - - - -
- 800 - 0 800 -
- - - - -
- 887 - 0 887 -
- - - - -
- 607 - 0 607 -
- 22 6,121 134,662 10 6,121 61,210
- - - - -
- 887 - 0 887 -
- - - - -
- 1,871 - 0 1,871 -
- 5,621 - 0 5,621 -
- - - - -
- 8,600 - 0 8,600 -
- 11,724 - 0 11,724 -
- - - - -
- 10,467 - 0 10,467 -
- 13,221 - 0 13,221 -
- - - - -
- - - 0 - -
- 137,025 - 0 137,025 -
- - - - -
- 55,200 - 0 55,200 -
133,821 1 133,821 133,821 0 133,821 -
- - - - -
- 32,500 - 2 32,500 65,000
- - - - -
- 23,625 - 0 23,625 -
- 3 23,625 70,875 0 23,625 -
- - - - -
- 5,082 - 0 5,082 -
- 5 18,781 93,905 69 18,781 1,295,889
- - - - -
- - - 0 - -
- - - - -
- - - 0 - -
- - - - -
- - - 0 - -
- - - - -
- 4,000 - 0 4,000 -
- - - - -
- 5,770 - 0 5,770 -
- 5,770 - 200 5,770 1,154,000
- - - - -
- 5,770 - 67 5,770 386,590
- 5,770 - 199 5,770 1,148,230
- - - - -
- 5,770 - 0 5,770 -
- 5,770 - 200 5,770 1,154,000
- - - - -
- 5,770 - 0 5,770 -
- - - - -
- 22,000 - 0 22,000 -
- - - - -
- 22,000 - 0 22,000 -
- - - - -
- 1,125 - 0 1,125 -
- 1,125 - 0 1,125 -
- - - - -
- 200,455 - 0 200,455 -
- 8,018 - 80 8,018 641,440
- - - - -
- 68,181 - 0 68,181 -
- - - - -
- 68,181 - 0 68,181 -
- - - - -
- 6,825 - 0 6,825 -
793,321 1,550,049 10,328,894
1,256,450 5,684,153 35,883,435

Rumbia, 30 Juni 2016

Penanggung Jawab
Laporan

Wa Ode Wahyuni Hambe, S. Si, Apt


Nip. 19870305 201101 2 019
REKAPAN PENGGUNAAN OBAT DAN PERBE
PUSKESMAS SELAMA 1 TAHUN
TAHUN 2016

SKPD : PUSKESMAS RUMBIA


KABUPATEN : BOMBANA
PROVINSI : SULAWESI TENGARA

Saldo Awal 2016 Mutasi Masuk


Satuan /
No Nama Obat 1 Juli 2016 Juli 2016
Kemasan
Jumlah Harga Satuan (Rp) Nilai (Rp) Jumlah Harga Satuan
1 2 3 4 5 6 7 8
OBAT

1 Air untuk injeksi amp 25 ml (aqua pro injeksi) Ampul 0 6,050 - 6,050

25 2,200 55,000 2,200


0 - - -
2 Albendazol tab 400 mg Tab 0 12,750 - 12,750
0 363 - 363
0 - - -
3 Alopurinol tab 100 mg Tab 0 - - 90
0 - - -
4 Alprazolam tab 1 mg Tab 0 245 - 245
183 245 44,835 245
0 - - -
5 Albothyl cairan Botol 0 18,635 - 18,635
0 - - -
6 Ambroksol tablet 30 mg Tab 0 138 - 138
510 138 70,380 900 138
0 - - -
7 Ambroksol sirup Botol 0 2,722 - 2,722
7 2,722 19,054 20 2,722
0 - - -
8 Aminofilin inj 24 mg/ml Ampul 0 4,204 - 4,204
0 - - 4,200

9 Aminofilin tab 200 mg Tab 100 86 8,600 86


400 86 34,400 86
0 - - -
10 Amitriptilin tab sal 25 mg Tab sal 0 123 - 123
100 123 12,300 123
0 - - -
11 Amlodipin tab 10 mg Tab 0 1,863 - 1,863
0 - - 352

12 Amlodipin tab 5 mg Tab 0 - - 197


0 - - -
13 Amoksisilin sir kering 125 mg/5 ml Botol 0 2,560 - 2,560
107 2,560 273,920 30 2,560
0 - - -
14 Amoksisilin tab 250 mg Tab 0 220 - 220
0 220 - 220
0 - - -
15 Amoksisilin tab 500 mg Tab 0 279 - 279
300 279 83,700 2,700 279
0 - - -
Anestetik lokal gigi kombinasi : lidokain hcl
16 2% + epinefrin 1 : 80.000 inj 2 ml Ampul 0 - - 1,499

0 - - -

Antasida, kombinasi : aluminium hidroksida


17 Tab kunyah 0 78 - 78
200 mg + magnesium hidroksida 200 mg

670 78 52,260 2,000 78


0 - - -
Antasida, kombinasi : aluminium hidroksida
18 200 mg + magnesium hidroksida 200 mg Botol 0 2,213 - 2,213
Suspensi
20 2,213 44,260 2,213
0 - - -
Antibakteri, kombinasi : basitrasin 500 UI/g+
19 Tube 7 2,767 19,369 2,767
Polimiskin B 10.000 UI/g
Antifungi salep, kombinasi : asam benzoat 6% 0 - - -
+ asam salisilat 3%
20 Tube 8 2,096 16,768 2,096

0 - - -
mg + heksaklorofen 2,5 mg + lidokain
lidokain 10 mg+ seng oksida 120 mg + sup
21 ad 2 g Suppo 10 33,000 330,000 33,000

10 2,200 22,000 2,200


0 - - 40 33,000

Anti Parkinson kombinasi : benzerasid 25 mg +


22 Kaps 0 - - 1,650
levodopa 100 mg
0 - - -
Anti Migren, kombinasi : ergotamin 1 mg+
23 Tab 0 149 - 149
kafein 50 mg
497 149 74,053 149
0 - - -
24 Antalgin (metampirom) tablet 100 mg Tab 0 155 - 155
0 - - -
25 Antalgin (metampirom) injeksi 250 mg/ml-2 ml Ampul 0 1,346 - 1,346
0 - - -
26 Asam asetilsalisilat (asetosal) tab 100 mg Tab 60 110 6,600 110
1100 127 139,700 127
0 - - 110

27 Asam asetilsalisilat (asetosal) tab 500 mg Tab 0 178 - 178


0 - - -
Asam asetilsalisilat (asetosal) tab 80 mg
28 Tab 0 - - 163
(Miniaspi 80)
0 - - -
29 Asam askorbat (vitamin C) tab 50 mg Tab 0 105 - 105
2050 105 215,250 1,200 105
0 - - -
30 Asam folat tab 1 mg Tab 0 52 - 52
170 52 8,840 500 52
0 - - -
31 Asam mefenamat kaps 250 mg Kaps 0 - - -
0 - - -
32 Asam mefenamat kaps 500 mg Kaps 0 127 - 127
2090 127 265,430 1,600 127
0 - - -
33 Asam traneksamat inj 50 mg/ml Ampul 25 3,650 91,250 3,650
0 - - -

34 Asam traneksamat tab 500 mg Tab 0 1,265 - 1,265

60 1,265 75,900 300 1,265

0 - - -

35 Asering larutan infus Botol 22 15,900 349,800 15,900


0 - - 9,000

36 Asiklovir salep kulit Tube 24 82,500 1,980,000 82,500

0 - - 2,367

37 Asiklovir tab 200 mg Tab 0 251 - 251


275 251 69,025 251
0 - - -
38 Atropin inj 0,25 mg/ml (i.m./i.v./s.k) Ampul 29 1,400 40,600 1,400
0 - - -
39 Atropin tab 0,5 mg Tab 0 81 - 81
0 - - -

40 Atropin tts mata 0,5% (Cendotropin 0,5%) Botol 0 - - 13,500

0 - - -
41 Bedak salisil serb 2% Botol 0 1,180 - 1,180
33 1,350 44,550 1,350
0 - - 1,180
Besi (II) sulfat 200 mg + asam folat 0.25 mg
42 Sachet 0 73 - 73
(tablet tambah darah)
0 55 - 55
0 - - 3,000 2,200

43 Becefort syrup Botol 0 22,727 - 22,727


4 22,727 90,908 22,727
0 - - -
44 Betametason krim 0,1% Tube 0 1,596 - 1,596
52 1,596 82,992 50 1,596
0 - - -
45 Betahistin mesilate tablet tablet 0 - - 60 600
0 - -
46 Bisakodil sup 10 mg (Stolax) Botol 0 - - -
0 - - -
47 Bisakodil tab sal 5 mg Tab sal 0 - - -
0 - - -
48 Bismecon salep tube 0 - - -
0 - - -
Budesonid-formoterol (fixed combination)* ih
49 Botol 0 - - -
80/4,5 mcg
0 - - -
50 Bromheksin tablet tablet 0 42 - 42
0 - - -
51 Deksametason tab 0,5 mg Tab 0 68 - 68
660 68 44,880 500 68
0 - - -
52 Deksametason inj 5 mg/ml (i.v./i.m.) Vial 168 1,738 291,984 1,738
0 - - -
53 Desoksimetason salep 0,25% Tube 0 - - -
3 9,983 29,949 9,983
0 - - -
54 Diazepam inj 5 mg/ml (i.v./i.m.) Vial 0 2,578 - 2,578
51 2,578 131,478 2,578
0 - - -

55 Diazepam lar rektal 10 mg/2,5 ml (Stesolid) Botol 0 - - -

0 - - -
56 Diazepam supposutoria suppo 0 - - -
0 - - -
57 Diazepam tab 2 mg Tab 0 28 - 28
0 - - -
58 Diazepam tab 5 mg Tab 77 28 2,156 28
0 - - -
59 Dietilkarbamazin tab 100 mg Tab 0 - - -
0 - - -
60 Difenhidramin inj 10 mg/ml (i.v./i.m.) Ampul 45 1,160 52,200 1,160
0 - - -
61 Digoksin tab 0,25 mg Tab 100 103 10,300 103
0 - - -
62 Diltiazem kaps SR 100 mg Kaps 0 - - -
0 - - -
63 Diltiazem tab 30 mg Tab 0 141 - 141
560 141 78,960 141
0 - - -
64 Doksisiklin tablet 100 mg Tab 160 278 44,528 278
0 - - -
65 Domperidon susp 5 mg/5 ml Botol 0 3,490 - 3,490
37 3,490 129,130 3,490
0 - - -
66 Domperidon tab 10 mg Tab 0 174 - 174
293 174 50,982 500 174
0 - - -
67 Efedrin HCl tablet Tab 0 56 - 56
110 56 6,203 500 56
0 - - -
68 Ekstrak belladon tablet 10 mg tab 160 42 6,720 42
5000 42 210,000 42
0 - - -

69 Epinefrin (adrenalin) inj 0,1% (i.v./s.k./i.m.) Ampul 90 8,910 801,900 8,910

0 - - -
70 Eritromisin kaps 250 mg Kaps 820 522 428,040 522
0 522 - 522
0 - - -
71 Eritromisin sir 200 mg/5 ml Botol 24 7,581 181,944 7,581
0 - - -
72 Eritromisin tab 500 mg Tab 465 1,013 470,938 1,013
0 1,023 - 1,023
0 - - -
73 Etanol 70% cairan 70% Botol 0 2,625 - 2,625
0 2,625 - 2,625
63 2,625 165,375 20 2,625
0 - - -
74 Etakridin (rivanol) larutan 0.1% Botol 0 4,695 - 4,695
2 4,695 9,390 3 4,695
0 - - -
75 Etil klorida semprot 100 ml Botol 0 124 - 124
0 - - -
76 Famotidin tablet 20 mg Tab 0 - - -
0 124 - 124
0 - - -
77 Fenitoin Na inj 50 mg/ml Ampul 0 - - -
0 - - -
78 Fenitoin Na kaps 100 mg Kaps 0 - - -
100 146 14,600 146
0 - - -
79 Fenobarbital inj 50 mg/ml Ampul 0 37 - 37
90 1,980 178,200 1,980
0 - - -
80 Fenobarbital tab 100 mg Tab 0 - - -
0 - - -
81 Fenobarbital tab 30 mg Tab 0 37 - 37
0 - - -

82 Fitomenadion (vitamin K 1) inj 2 mg/ml (i.m.) Vial 20 698 13,960 698

0 - - -
83 Fitomenadion (vitamin K 1) tab sal 10 mg Tab sal 100 698 69,800 698
0 - - -
84 Flukonazol kaps 150 mg Kaps 0 - - -
0 - - -
85 Flusinolon asetonid krim 0,025% Tube 0 - - -
0 - - -
86 Flunarizin tablet tablet 0 2,012 - 2,012
0 - - -
87 Furosemid inj 10 mg/ml (i.v./i.m.) Ampul 34 2,012 68,408 2,012
0 - - -
88 Furosemid tab 40 mg Tab 0 84 - 84
360 84 30,240 84
0 - - -
Garam oralit kombinasi : natrium klorida 0,52
g + kalium klorida 0,30 g + trinatrium sitrat
89 Sachet 0 317 - 317
0,58 g + glukosa anhidrat 2,7 g

0 317 - 317
0 - - -
90 Gameksan lotion 1 % Botol 0 2,420 - 2,420
0 - - -
91 Gemfibrozil kaps 300 mg Kaps 0 323 - 323
0 - - -
92 Gemfibrozil kaps 600 mg Kaps 0 - - -
0 - - -
93 Gentamisin inj 10 mg/ml Ampul 0 3,739 - 3,739
0 - - -
94 Gentamisin salep mata 0,3% Tube 0 - - -
0 - - -
95 Gentamisin salep Kulit Tube 0 2,340 - 2,340
40 1,469 58,760 1,469
0 - - 30 3,513

96 Gentamisin tts mata 0,3% Botol 0 3,194 - 3,194


0 - - -
97 Glibenklamid tab 5 mg Tab 0 61 - 61
130 61 7,930 61
0 - - -
98 Glimepirid tab 4 mg Tab 0 - - -
0 - - -
99 Glipizid tablet 5 mg (Glucotrol 5 mg) Tab 0 - - -
0 - - -
100 Gliseril Guaiakolat tab 100 mg Tab 0 31 - 31
8370 31 259,470 31
0 - - -
101 Gliserin lar 50% Botol 0 - - -
0 - - -
102 Glukosamin tablet 500 mg Tab 0 - - -
0 - - -
103 Glukosa Larutan Infus 5% steril Botol 27 5,720 154,440 5,720
0 - - -
104 Glukosa Larutan Infus 10% steril Botol 15 6,270 94,050 6,270
0 - - -
105 Glukosa Larutan Infus 40% steril Botol 0 - - -
0 - - -
106 Griseofulvin (micronized) tab 125 mg Tab 0 230 - 230
100 230 23,000 200 230
0 - - -
107 Haloperidol tab 0,5 mg Tab 0 62 - 62
0 - - -
108 Haloperidol tab 1,5 mg Tab 0 76 - 76
190 76 14,440 76
0 - - -
109 Haloperidol tab 5 mg Tab 0 105 - 105
0 105 - 105
0 - - -
110 Hidrogen peroksida (H2O2) cairan 3% Botol 0 38,500 - 38,500
0 - - -
111 Hidroklorotiazid (HCT) tab 25 mg Tab 0 40 - 40
9500 40 380,000 40
0 - - -
112 Hidrokortison krim 2,5% Tube 0 - - 24
0 - - 10 3,200

113 Hiosina butilbromida tab 10 mg Tab 0 330 - 330


0 - - -
114 Ibuprofen susp 100 mg/5 ml Botol 0 4,949 - 4,949
0 - - -
115 Ibuprofen tab 200 mg Tab 0 127 - 127
470 121 56,870 121
0 - - 600 127

116 Ibuprofen tab 400 mg Tab 0 157 - 157


160 157 25,120 157
0 - - -
Ipratropium bromida nebulizer 0,025%
117 Botol 0 - - -
(Atroven sol. for inhalation 0.025%)
0 - - -
118 Isoniazid tab 300 mg Tab 0 - - -
0 - - -
119 Isosorbid dinitrat inj 10 mg/10 ml (Fasorbid) Vial 0 - - -
0 - - -
120 Isosorbid dinitrat tab 5 mg Tab 0 98 - 98
90 98 8,820 98
0 - - -
121 KA-EN 3B Cairan Infus Botol 17 10,000 170,000 10,000
0 - - -
122 Kalsium glukonat inj 100 mg/ml Ampul 20 9,519 190,380 9,519
0 - - -
123 Kalsium laktat (kalk) tab 500 mg Tab 0 51 - 51
450 76 34,200 76
0 - - -
124 Kaptopril tab 12,5 mg Tab 0 69 - 69
70 69 4,830 69
0 - - -
125 Kaptopril tab 25 mg Tab 0 97 - 97
882 97 85,554 800 97
0 - - -
126 Karbamazepin tab 200 mg Tab 0 269 - 269
0 - - -
127 Karbo adsorben (Norit) tab 500 mg Tab 0 - - -
0 - - -
128 Ketamin inj 50 mg/ml (i.v.) Ampul 0 110,000 - 110,000
0 - - -
129 Ketokonazol tab 200 mg Tab 0 320 - 320
0 320 - 320
0 - - -
130 Ketokonazol krim 2% Tube 0 5,150 - 5,150
0 5,150 - 5,150
0 - - -
131 Ketorolak inj 10 mg/ml Ampul 0 2,665 - 2,665
90 2,665 239,850 2,665
0 - - -
132 Klaritromisin tab 500 mg Tab 0 - - -
0 - - -
133 Klindamisin kaps 150 mg Kaps 0 405 - 405
0 - - -
134 Kloramfenikol tts mata 0,5% Botol 0 1,680 - 1,680
0 - - -
135 Kloramfenikol kaps 250 mg Kaps 90 275 24,750 275
0 275 - 275
0 - - -
136 Kloramfenikol salep mata 1% Tube 0 1,680 - 1,680
13 1,680 21,840 1,680
0 - - -
137 Kloramfenikol susp 125 mg/5 ml Botol 13 4,016 52,208 4,016
0 - - -
138 Klorfeniramin (CTM) tab 4 mg Tab 0 26 - 26
3399 26 89,734 1,000 26
0 - - -
139 Klorpromazin inj 25 mg/ml (i.m.) Ampul 0 1,210 - 1,210
0 - - -
140 Klorpromazin tab sal 100 mg Tab sal 0 152 - 152
0 - - -
141 Klorpromazin tab sal 25 mg Tab sal 244 50 12,200 50
0 - - -

142 Kombinasi : Pirimethamin 25 mg + sulfadoksin Tab 0 531 - 531

Kombinasi: ipratropium Br 0,5 mg+ 0 - - -


salbutamol 2,5 mg nebules (Combivent UDV)
143 Vial 0 - - -

0 - - -
Kotrimoksazol (dewasa) kombinasi :
sulfametoksazol 400 mg+ trimetoprim 80
144 Tab 800 152 121,600 152
mg

6583 152 1,000,616 152


0 - - -
Kotrimoksazol (anak) kombinasi :
sulfametoksazol 100 mg+ trimetoprim 20
145 Tab 0 79 - 79
mg

380 79 30,020 79
0 - - -
Kotrimoksazol (dewasa) kombinasi tiap 5 ml
146 suspensi : sulfametoksazol 200 mg + Botol 0 2,298 - 2,298
trimetoprim 40 mg
0 - - -
147 Kuinin inj 25% (i.v.) Vial 0 6,820 - 6,820
0 6,820 - 6,820
0 - - -
148 Kloroquin tab 150 mg Tab 0 112 - 112
0 - - -
149 Lansoprazol kaps 30 mg Kaps 0 - - -
0 - - -
150 Levofloksasin tab 500 mg Tab 0 581 - 581
0 - - -
151 Lidokain gel 2% Tube 0 - - -
0 - - -
152 Lidokain inj 2% (hcl) Vial 0 1,499 - 1,499
59 1,499 88,441 1,499
0 - - 180 929

153 Lisol Botol 0 54,995 - 54,995


0 54,995 - 54,995
0 - - -
154 Loperamid tab 2 mg Tab 0 97 - 97
439 97 42,583 97
0 - - -
155 Loratadin tab 10 mg Tab 0 170 - 50 170
0 - - -
156 Magnesium sulfat inj 20% Vial 0 7,260 - 7,260
0 7,260 - 7,260
0 - - -
157 Magnesium sulfat inj 40% Vial 0 7,260 - 7,260
20 7,260 145,200 7,260
0 - - -
158 Magnesium sulfat serb, ktg 30 g Sachet 0 1,130 - 1,130
0 - - -
159 Mebendazol sir 50 mg/ml Botol 0 3,887 - 3,887
0 - - -
160 Mebendazol tab 100 mg Tan 90 248 22,320 248
0 - - -
161 Metformin tab 500 mg Tab 0 - - -
0 - - -
162 Metformin tab 850 mg Tab 0 - - -
0 - - -
163 Metilergometrin inj 0,2 mg/ml Ampul 0 1,639 - 1,639
0 - - -
164 Metilergometrin tab salut 0,125 mg Tab sal 170 133 22,627 133
0 - - -
165 Metilprednisolon tab 4 mg Tab 0 - - -
0 - - -
166 Metoklopramid inj 5 mg/ml Vial 0 1,100 - 1,100
0 1,100 - 1,100
0 - - -

167 Metoklopramid sir 5 mg/5 ml (Lexapram sirup) Botol 0 - - -

0 - - -
168 Metoklopramid tab 10 mg Tab 230 100 23,000 100
0 - - -
169 Metronidazol supposutoria 500 mg suppo 0 - - -
0 - - -
170 Metronidazol larutan infus Botol 0 12,980 - 12,980
8 12,980 103,840 12,980
0 - - -
171 Metronidazol tab 250 mg Tab 0 116 - 116
390 116 45,240 400 116
0 - - -
172 Metronidazol tab 500 mg Tab 0 - - -
610 169 103,090 1,100 169
0 - - -
173 Mikonazol krim 2% Tube 0 3,150 - 3,150
31 3,150 97,650 3,150
0 - - -
174 Natrium diklofenak tab 25 mg Tab 0 146 - 146
60 146 8,760 650 146
0 - - -
175 Natrium diklofenak tab 50 mg Tab 0 193 - 193
420 193 81,060 750 193
0 - - -
176 NaCl 0,9% Larutan infus Botol 0 5,170 - 5,170
37 5,170 191,290 5,170
0 - - -
177 Nifedipin kaps 10 mg Kaps 0 127 - 127
700 127 88,900 127
0 - - -
178 Nistatin tab salut 500.000 UI Tab 0 704 - 704
400 704 281,600 704
0 - - -
179 Nistatin tab vaginal 100.000 UI Tab 190 448 85,120 448
0 - - -
180 Obat Batuk Hitam (OBH) Botol 0 2,310 - 2,310
71 2,310 164,010 20 2,310
0 - - -
181 Ofloksasin tab 200 mg Tab 0 440 - 440
0 - - -
182 Ofloksasin tab 400 mg Tab 0 700 - 700
40 700 28,000 700
0 - - -
183 Oksitetrasiklin hcl inj 500 mg/ml Vial 0 3,410 - 3,410
0 - - -
184 Oksitetrasiklin hcl salep kulit 3% Tube 0 2,010 - 2,010
23 1,646 37,858 1,646
0 - - -
185 Oksitetrasiklin hcl salep mata 1 % Tube 0 2,772 - 2,772
118 2,772 327,096 25 2,772
0 - - -
186 Oksitosin inj 10 UI/ml Ampul 0 6,875 - 6,875
3 1,900 5,700 1,900
0 - - 20 6,875

187 Omeprazol kaps 20 mg Kaps 0 221 - 221


0 221 - 221
0 - - -
188 Papaverin tablet 40 mg Tab 0 109 - 109
2780 109 303,020 109
0 - - -
189 Parasetamol sir 120 mg/5 ml Botol 0 1,535 - 1,535
239 1,535 366,865 1,535
0 - - -
190 Parasetamol tab 100 mg Tab 0 105 - 105
400 105 42,000 100 105
0 - - -
191 Parasetamol tab 500 mg Tab 0 88 - 88
1890 88 166,320 2,500 88
0 - - -
192 Parasetamol rectal suppo 0 - - -
0 - - -
193 Pehavral tablet multivitamin Tab 0 849 - 849
0 297 - 297
0 - - -

194 Perak sulfadiazin krim 1% (Burnazin 35 gr) Tube 0 25,350 - 25,350

3 25,350 76,050 25,350


0 - - -
195 Phenylbutazon tablet 200 mg Tab 800 107 85,600 107
0 107 - 107
0 - - -
196 Piracetam tablet 800 mg Tab 0 964 - 964
200 964 192,800 964
0 - - -
197 Piracetam tablet 1200 mg Tab 0 854 - 854
100 854 85,400 854
0 - - -
198 Piracetam injeksi 1 g/5 ml Ampul 50 60,500 3,025,000 60,500
0 - - -
199 Pirantel pamoat susp 125 mg/5 ml Botol 43 9,100 391,300 9,100
0 - - -
200 Pirantel pamoat tab scored 125 mg Tab 0 318 - 318
469 318 149,142 318
0 - - -
201 Piridoksin (vitamin B6) tab 25 mg Tab 0 19 - 19
1200 19 22,800 19
0 - - -
202 Piroksikam tablet 20 mg Tab 0 116 - 116
475 116 55,100 600 116
0 - - -
203 Polikresulen Botol 0 18,635 - 18,635
9 18,635 167,715 18,635
0 - - -

204 Povidon iodin lar 100 mg/ml Botol 30 ml 0 2,344 - 2,344

6 2,344 14,064 2,344


0 - - -
Botol 300
205 Povidon iodin lar 100 mg/ml 0 15,386 - 15,386
ml
4 15,386 61,544 15,386
0 - - -
Botol 1000
206 Povidon iodin lar 100 mg/ml 0 40,202 - 40,202
ml
0 40,202 - 40,202
0 - - -
207 Prednison tab 5 mg Tab 0 98 - 98
1594 98 156,212 1,000 98
0 - - -
208 Primakuin tab 15 mg Tab 985 125 123,125 125
0 - - -
209 Procurma syrup Botol 0 12,021 - 12,021
43 12,021 516,903 12,021
0 - - -
210 Propiltiourasil tab 100 mg Tab 100 297 29,700 100 297
0 - - -
211 Propranolol tab 40 mg Tab 90 80 7,200 80
0 - - -
212 Ranitidin inj 25 mg/ml Ampul 0 - - -
0 - - -
213 Ranitidin tab 150 mg Tab 0 128 - 128
320 128 40,960 1,800 128
0 - - -
214 Reserpin tablet 0.25 mg Tab 0 - - -
0 - - -
215 Rifampisin kaps 300 mg Kaps 0 440 - 440
0 - - -
216 Rifampisin tab 450 mg Tab 0 624 - 624
0 - - -
217 Rifampisin tab 600 mg Tab 0 863 - 863
0 - - -
218 Ringer Laktat Larutan infus Botol 0 5,720 - 5,720
143 5,720 817,960 5,720
0 - - -
219 Salbutamol tab 2 mg Tab 0 92 - 92
550 65 35,750 65
0 - - -
220 Salbutamol tab 4 mg Tab 0 93 - 93
220 93 20,460 400 93
0 - - -
Salep 2-4, kombinasi : asam salisilat 2 %+
221 Tube 0 1,980 - 1,980
belerang endap 4 %
8 2,200 17,600 2,200
0 - - -
222 Scabicid salep Tube 0 - - -
223 Sefadroksil kaps 250 mg Vial 0 - - -
0 - - -
224 Sefadroksil kaps/tab 500 mg Tab 0 548 - 548
1440 548 789,120 548
0 - - -
225 Sefadroksil sir kering 125 mg/5 ml Botol 0 5,286 - 5,286
23 5,286 121,578 5,286
0 - - 50 6,285

226 Sefiksim kapsul 100 mg Tab 0 - - -


0 - - -
227 Sefotaksim serb inj 1.000 mg/vial Vial 0 - - -
0 - - -
228 Seftriakson serb inj 1.000 mg/vial Vial 0 5,414 - 5,414
0 - - -
229 Setirizin tab 10 mg Tab 0 - - -
0 - - -

230 Sianokobalamin (vitamin B12) inj 500 mcg/ml Vial 49 1,451 71,080 1,451

0 - - -

231 Sianokobalamin (vitamin B12) tab 50 mcg Tab 0 150 - 150

0 - - -
232 Simetidin tablet 200 mg Tab 0 138 - 138
690 138 95,220 138
0 - - -
233 Simvastatin tab sal 10 mg Tab sal 0 177 - 177
0 - - -
234 Simvastatin tab sal 20 mg Tab sal 0 480 - 480
0 - - -
235 Siprofloksasin inf 2 mg/ml Botol 0 - - -
0 - - -
236 Siprofloksasin tab scored 500 mg Tab 700 312 218,680 312
0 - - -
237 Spironolakton tab 100 mg Tab 0 - - -
200 350 70,000 350
0 - - -
238 Sulfasetamid Natrium Tetes mata 1.5% Botol 0 - - -
0 - - -
239 Sukralfat susp 500 mg/5 ml (Ulsafate) Botol 0 - - -
0 - - -
240 Sukralfat tab 500 mg (Ulsidex) Tab 0 - - -
400 477 190,800 477
0 - - -
241 Teofilin tab SR 300 mg (Rethapyl) Tab 0 - - -
100 1,155 115,500 1,155
0 - - -
242 Tetrasiklin kaps 250 mg Kaps 700 183 128,398 183
0 - - -
243 Tetrasiklin kaps 500 mg Kaps 0 283 - 283
0 - - -

244 Tiamin (vitamin B1) mononitrat tab 50 mg Tab 0 42 - 42

0 42 - 42
0 - - -
245 Tiamin (vitamin B1) injeksi 100 mg/ml Tab 0 770 - 770
0 - - -
246 Tramadol inj 50 mg/ml Ampul 0 2,680 - 2,680
0 - - -
247 Tramadol tablet 500 mg Tab 0 363 - 100 363
0 - - -
248 Triheksifenidil tab 2 mg Tab 0 45 - 45
160 45 7,200 45
0 - - -
249 Vitamin B12 tablet 50 mcg Tab 0 63 - 63
0 - - -
250 Vitamin B kompleks injeksi Vial 0 7,392 - 7,392
0 - - -
251 Vitamin B kompleks Tab 0 112 - 112
3100 112 347,200 3,600 112
0 - - -
252 Zinc tab disp 20 mg Tab 0 521 - 521
345 521 179,745 521
0 - - -
253 Zinc sirup 20 mg / 5 ml Botol 0 8,140 - 8,140
13 8,140 105,820 8,140
0 - - -
254 Larutan PK botol 0 573 - 573
2 6,975 13,950 6,975
0 - - -
255 Kanamisin inj Vial 48 10,395 498,960 10,395
0 - - -
256 Antalgin 500mg tab 0 155 - 155
1000 141 141,000 141
0 - - -
257 Klorpromazin inj 25 mg/ml (i.m.) Ampul 0 - - -
0 1,210 - 1,210
0 - - -

258 Kalsium laktat (kalk) tab 500 mg Tab 0 57 - 57

0 - - -

259 Kloroquin tab 250 mg Tab 0 116 - 116


0 572 - 572
0 - - -
260 Klonidin 0,15 mg Tab 100 191 19,100 191
0 - - -
261 Kloramfenikol kaps 250 mg Kaps 0 275 - 275
0 275 - 275
0 - - -
262 Klorpromazin tab sal 100 mg Tab sal 0 162 - 162
0 - - -
263 Fenolgliserol TT 10% Kotak 0 1,108 - 1,108
16 1,109 17,744 1,109
0 - - -
265 Tetrasiklin kaps 250 mg Kaps 0 162 - 162
0 - - -
266 Kloroquin tab 250 mg 0 116 - 116
0 - - -
267 Papaverin tablet 40 mg 0 167 - 167
0 - - -
268 Prednison tab 5 mg Tab 0 125 - 125
0 - - -
269 Pirantel pamoat tab scored 125 mg Tab 0 318 - 318
0 - - -
270 Hidroklorotiazid (HCT) tab 25 mg Tab 0 109 - 109
0 - - -
271 Triheksifenidil tab 2 mg Tab 0 45 - 45
0 - - -
272 Piracetam tablet 1200 mg Tab 0 854 - 854
0 - - -
273 Vical suspensi btl 0 42,727 - 42,727
0 42,727 - 42,727
0 - - -
274 Lexavit tab 0 1,480 - 1,480
40 1,480 59,200 1,000 1,480
0 - - -
275 Gliseril Guaiakolat tab 100 mg Tab 0 31 - 31
0 - - -
276 Efedrin HCl tablet Tab 0 56 - 56
0 - - -
B.OBAT GIGI 0 - - -
1 Bonding Botol 0 765,000 - 765,000
1 765,000 765,000 1 765,000
0 - - -
2 Calcium hidrosida cement pasta (hycal) Kotak 0 242,000 - 242,000
0 - - -
3 Comfosite Tube 0 338,800 - 338,800
1 338,800 338,800 1 338,800
0 - - -
4 Devitalisasi Pasta (Non Arsen) Kotak 0 390,000 - 390,000
0 390,000 - 390,000
0 - - -
5 Eugenol cair Botol 0 18,333 - 18,333
1 18,333 18,333 18,333
0 - - -
6 Etil Klorida spray Botol 0 105,000 - 105,000
1 105,000 105,000 3 105,000
0 - - -
7 Etza Tube 0 170,000 - 170,000
0 - - -
8 Glass Ionomer Cement ART Set 0 395,000 - 395,000
1 197,895 197,895 197,895
0 - - -
9 Klorfenol Kamfer Menthol (CHKM) Botol 1 55,000 55,000 55,000
0 - - -
10 Semen Seng Fosfat serbuk dan cairan Set 0 93,500 - 93,500
2 93,500 187,000 93,500
0 - - -
11 Temporari stoping pletcher Set 0 34,000 - 34,000
0 34,000 - 34,000
0 - - -
12 Mummiyng pasta Kotak 0 176,000 - 176,000
0 - - -
C.OBAT PROGRAM 0 - - -
1 Albedazole 400mg Tab 0 425 - 425
2 Artemether inj 80 mg/ml Ampul 0 24,384 - 24,384
3 Artesunat serb inj 60 mg/ml (i.v./i.m.) Vial 0 27,569 - 27,569
8 27,569 220,552 27,569
0 - - -
4 Dietilkarbamazin tab 100 mg Tab 0 104 - 104
2000 104 208,000 104
0 - - -
5 Imersion oil Botol 0 825,000 - 825,000
6 Iodina Test Botol 0 4,545 - 4,545
7 Obat Anti Tuberculosis FDC Kategori Anak Paket 0 236,490 - 236,490
8 Obat Anti Tuberculosis FDC Kategori I Paket 0 396,000 - 396,000
9 Obat Anti Tuberculosis FDC Kategori II Paket 0 1,319,990 - 1,319,990

10 Obat Anti Tuberculosis FDC Kategori Sisipan Paket 0 175,899 - 175,899

11 Reagen Zenit Nelson Botol 0 145,000 - 145,000


12 RDT Dangue DBD Set 0 150,000 - 150,000
13 RDT malaria (care star ) Set 0 168,300 - 168,300
14 RDT HIV (intec) Set 0 46,200 - 46,200
15 RDT HIV (vikia) Set 0 45,560 - 45,560
16 RDT HIV (Oncoprobe) Set 0 42,350 - 42,350
17 Taburia Kotak 0 20,454 - 20,454
18 Quinina injeksi Ampul 0 4,438 - 4,438
19 Vaksin BCG inj (i.k) Vial 0 - - -
20 Vaksin campak inj (s.k.) Vial 0 - - -
21 Vaksin jerap difteri tetanus pertusis (DTP) inj (i Vial 0 - - -
22 Vaksin jerap difteri tetanus (DT) Vial 0 - - -
23 Vaksin kombinasi DPT + hepatitis B inj (i.m.) Vial 0 - - -
24 Vaksin polio drops 10 dosis Vial 0 285,000 - 285,000
Vaksin rabies, untuk manusia serb inj (s.k./i.k)
25 Vial 0 695,752 - 695,752
+ booster
Retinol (Vit.A) 200.000 IU kap lunak 0 412 - 412
Retinol (Vit.A) 100.000 IU kap lunak 0 286 - 286
zink tab.20mg 0 497 - 497
Doxiciklin tab 0 - - -
D.BAHAN MEDIS HABIS PAKAI (BHMP) 0 - - -
1 Alat suntik sekali pakai 1 ml Set 0 1,093 - 1,093
126 848 106,880 848
100 990
0 - - -
2 Alat suntik sekali pakai 2,5 ml Set 0 1,038 - 1,038
0 848 - 848
0 - - 650

3 Alat suntik sekali pakai 3 ml Set 0 1,038 - 1,038


168 848 142,506 848
0 - - 100 792

4 Alat suntik sekali pakai 5 ml Set 0 1,038 - 1,038


437 979 427,714 979
0 - - -
5 Bisturi no. 20 Buah 0 2,099 - 2,099
93 2,100 195,300 2,100
0 - - 100 2,099
6 Bisturi no. 15 Buah 0 2,099 - 2,099
2 2,100 4,200 2,100
0 - - 50 2,099

7 Catgut No 2/0 Set 7 6,400 44,800 6,400


48 25,920 1,244,160 25,920
0 - - 48 6,400

8 Catgut No 3/0 Set 0 5,900 - 5,900


3 27,000 81,000 27,000
0 - - 24 5,900

9 Handscoen no. 6 Pasang 0 6,595 - 6,595


0 - - 11,990

10 Handscoen no. 6,5 Pasang 100 6,595 659,500 6,595


0 - - 11,990

11 Handscoen no. 7 Pasang 0 4,250 - 4,250


0 7,684 - 7,684
0 - - 11,990

12 Handscoen no. 7,5 Pasang 0 4,250 - 4,250


3 7,684 23,052 7,684
0 - - 100 11,990

13 Infuset dewasa Set 0 3,500 - 3,500


45 4,176 187,920 4,176
0 - - 25 9,900

14 Infusion set anak Set 0 4,000 - 4,000


5 4,568 22,840 4,568
0 - - 8 9,900
15 IV Catheter No.16 G Set 0 7,937 - 7,937
0 - - 7,018

15 IV Catheter No.18 G Set 0 6,600 - 6,600


0 - - 20,900

16 IV Catheter No.24 G Set 0 7,787 - 7,787


46 7,787 358,202 7,787
0 - - 20 7,018

17 IV Catheter No. 20 G Set 0 7,787 - 7,787


44 7,937 349,228 7,937
0 - - 7,018

18 IV Catheter No. 22 G Set 56 7,787 436,072 7,787


0 - - 20 7,018

19 Folley Catheter 16 Set 0 10,440 - 10,440


0 - - 8,000

19 Folley Catheter 18 Set 0 8,495 - 8,495


0 10,440 - 10,440
0 - - 8,000
20 Folley catheter 22 Set 0 8,495 - 8,495
0 10,440 - 10,440
0 - - 8,000

21 Folley catheter 24 Set 0 495 - 495


8 10,440 83,520 10,440
0 - - 8,000

22 Kapas Berlemak 250 gram Rol 0 7,500 - 7,500


2 27,821 55,642 27,821
0 - - 1 24,000

23 Kapas Berlemak 500 gram Rol 0 17,250 - 17,250


0 - - -
24 Kasa Pembalut 4m x 3 cm Rol 0 800 - 800
0 - - -
25 Kasa Pembalut 4m x 5 cm Rol 0 887 - 887
0 - - 1,100

26 Kasa Pembalut 4m x 10 cm Rol 0 607 - 607


10 6,121 61,210 6,121
0 - - 40 2,300

27 Kasa Pembalut 4m x 15 cm Rol 0 887 - 887


0 - - 3,800

28 Kasa Kompres 40/40 steril Buah 0 1,871 - 1,871


0 5,621 - 5,621
0 - - 1,800

29 Kasa Steril 16 X 16 Buah 0 8,600 - 8,600


0 11,724 - 11,724
0 - - 7,900

30 Kasa pembalut 2 x 80 Rol 0 10,467 - 10,467


0 13,221 - 13,221
0 - - 9,400

31 Kasa Pembalut 40 x 80 Rol 0 - - -


0 137,025 - 137,025
0 - - 104,500

32 Kasa Pembalut 36 x 80 cm Rol 0 55,200 - 55,200


0 133,821 - 133,821
0 - - 3 130,000

33 Pembalut Gips Buah 2 32,500 65,000 32,500


0 - - -
34 Plester 5 yard x 2 inc Rol 0 23,625 - 23,625
0 23,625 - 16 23,625
0 - - -
35 Silk Set 0 5,082 - 5,082
69 18,781 1,295,889 18,781
0 - - 5,082
36 Selang oksigen anak Set 0 - - -
0 - - -
37 Selang oksigen dewasa Set 0 - - -
0 - - -
38 Sofratulle Set 0 - - -
0 - - -
39 Urine bag Set 0 4,000 - 4,000
0 - - -
40 Wing Needle No. 21 G Set 0 5,770 - 5,770
200 5,770 1,154,000 5,770
0 - - -
41 Wing Needle No. 23 G Set 67 5,770 386,590 5,770
199 5,770 1,148,230 5,770
0 - - -
42 Wing Needle No.25 G Set 0 5,770 - 5,770
200 5,770 1,154,000 5,770
0 - - -
43 Wing Needle No. 27 G Set 0 5,770 - 5,770
0 - - -
44 NGT No. 3 ( Feeding Tube ) Set 0 22,000 - 22,000
0 - - -
45 NGT No. 5 ( Feeding Tube ) Set 0 22,000 - 22,000
0 - - -
46 Masker Buah 0 1,125 - 1,125
0 1,125 - 50 1,125
0 - - -
47 Tes gula darah Set 0 200,455 - 200,455
80 8,018 641,440 8,018
0 - - -
48 Tes Narkoba 3 parameter Set 0 68,181 - 68,181
0 - - -
49 Tes Narkoba 5 parameter Set 0 68,181 - 68,181
0 - - -
50 Tes Kehamilan Sachet 0 6,825 - 6,825
3,413

10,328,894
35,883,435

Mengetahui
Kepala Puskesmas Rumbia

Rahmat, AMK
Nip. 19721021 199403 1 004
AN OBAT DAN PERBEKES
SELAMA 1 TAHUN
UN 2016

BULAN : JULI
TAHUN : 2016

asi Masuk Mutasi Pengeluaran Saldo Akhir


li 2016 Obat Puskesmas bulan Juli Per 30 Juli 2016
Nilai ( Rp) Jumlah Harga Satuan Nilai (Rp) Jumlah Harga Satuan Nilai (Rp)
9 10 11 12 13 14 15

- 6,050 - 0 6,050 -

- 2,200 - 25 2,200 55,000


- - - - -
- 12,750 - 0 12,750 -
- 363 - 0 363 -
- - - - -
- - - 0 - -
- - - 0 - -
- 245 - 0 245 -
- 2 245 490 181 245 44,345
- - - - -
- 18,635 - 0 18,635 -
- - - 0 - -
- 138 - 0 138 -
124,200 180 138 24,840 1230 138 169,740
- - - - -
- 2,722 - 0 2,722 -
54,440 5 2,722 13,610 22 2,722 59,884
- - - - -
- 4,204 - 0 4,204 -
- 4,200 - 0 4,200 -
- - -
- 86 - 100 86 8,600
- 86 - 400 86 34,400
- - - - -
- 123 - 0 123 -
- 123 - 100 123 12,300
- - - - -
- 1,863 - 0 1,863 -
- 352 - 0 352 -
- - -
- 197 - 0 197 -
- - - - -
- 2,560 - 0 2,560 -
76,800 53 2,560 135,680 84 2,560 215,040
- - - - -
- 220 - 0 220 -
- 220 - 0 220 -
- - - - -
- 279 - 0 279 -
753,300 1100 279 306,900 1900 279 530,100
- - - - -

- 1,499 - 0 1,499 -

- - - - -

- 78 - 0 78 -

156,000 440 78 34,320 2230 78 173,940


- - - - -

- 2,213 - 0 2,213 -

- 17 2,213 37,621 3 2,213 6,639


- - - - -

- 2,767 - 7 2,767 19,369

- - - - -

- 2,096 - 8 2,096 16,768

- - - - -

- 7 33,000 231,000 3 33,000 99,000

- 2,200 - 10 2,200 22,000


1,320,000 33,000 - 40 33,000 1,320,000
- - -

- 1,650 - 0 1,650 -

- - - - -
- 149 - 0 149 -

- 10 149 1,490 487 149 72,563


- - - - -
- 155 - 0 155 -
- - - - -
- 1,346 - 0 1,346 -
- - - - -
- 110 - 60 110 6,600
- 127 - 1100 127 139,700
- 110 - 0 110 -
- - -
- 178 - 0 178 -
- - - - -
- 163 - 0 163 -
- - - - -
- 105 - 0 105 -
126,000 830 105 87,150 2420 105 254,100
- - - - -
- 52 - 0 52 -
26,000 70 52 3,640 600 52 31,200
- - - - -
- - - 0 - -
- - - - -
- 127 - 0 127 -
203,200 933 127 118,491 2757 127 350,139
- - - - -
- 3,650 - 25 3,650 91,250
- - - - -

- 1,265 - 0 1,265 -

379,500 20 1,265 25,300 340 1,265 430,100

- - - - -

- 15,900 - 22 15,900 349,800


- 9,000 - 0 9,000 -
- - -

- 82,500 - 24 82,500 1,980,000

- 2,367 - 0 2,367 -
- - -
- 251 - 0 251 -
- 251 - 275 251 69,025
- - - - -
- 1,400 - 29 1,400 40,600
- - - - -
- 81 - 0 81 -
- - - - -

- 13,500 - 0 13,500 -

- - - - -
- 1,180 - 0 1,180 -
- 3 1,350 4,050 30 1,350 40,500
- 1,180 - 0 1,180 -
- - -

- 73 - 0 73 -

- 55 - 0 55 -
6,600,000 1170 2,200 2,574,000 1830 2,200 4,026,000
- - -
- 22,727 - 0 22,727 -
- 22,727 - 4 22,727 90,908
- - - - -
- 1,596 - 0 1,596 -
79,800 13 1,596 20,748 89 1,596 142,044
- - - - -
36,000 60 600 36,000 0 600 -
- - 0 - -
- - - 0 - -
- - - - -
- - - 0 - -
- - - - -
- - - 0 - -
- - - - -

- - - 0 - -

- - - - -
- 42 - 0 42 -
- - - - -
- 68 - 0 68 -
34,000 430 68 29,240 730 68 49,640
- - - - -
- 1,738 - 168 1,738 291,984
- - - - -
- - - 0 - -
- 9,983 - 3 9,983 29,949
- - - - -
- 2,578 - 0 2,578 -
- 2,578 - 51 2,578 131,478
- - - - -

- - - 0 - -

- - - - -
- - - 0 - -
- - - - -
- 28 - 0 28 -
- - - - -
- 1 28 28 76 28 2,128
- - - - -
- - - 0 - -
- - - - -
- 1,160 - 45 1,160 52,200
- - - - -
- 103 - 100 103 10,300
- - - - -
- - - 0 - -
- - - - -
- 141 - 0 141 -
- 141 - 560 141 78,960
- - - - -
- 278 - 160 278 44,528
- - - - -
- 3,490 - 0 3,490 -
- 11 3,490 38,390 26 3,490 90,740
- - - - -
- 174 - 0 174 -
87,000 85 174 14,790 708 174 123,192
- - - - -
- 56 - 0 56 -
28,195 120 56 6,767 490 56 27,631
- - - - -
- 42 - 160 42 6,720
- 42 - 5000 42 210,000
- - - - -

- 8,910 - 90 8,910 801,900

- - - - -
- 522 - 820 522 428,040
- 522 - 0 522 -
- - - - -
- 7,581 - 24 7,581 181,944
- - - - -
- 1,013 - 465 1,013 470,938
- 1,023 - 0 1,023 -
- - - - -
- 2,625 - 0 2,625 -
- 2,625 - 0 2,625 -
52,500 5 2,625 13,125 78 2,625 204,750
- - - - -
- 4,695 - 0 4,695 -
14,085 4,695 - 5 4,695 23,475
- - - - -
- 124 - 0 124 -
- - - - -
- - - 0 - -
- 124 - 0 124 -
- - - - -
- - - 0 - -
- - - - -
- - - 0 - -
- 146 - 100 146 14,600
- - - - -
- 37 - 0 37 -
- 1,980 - 90 1,980 178,200
- - - - -
- - - 0 - -
- - - - -
- 37 - 0 37 -
- - - - -

- 4 698 2,792 16 698 11,168

- - - - -
- 698 - 100 698 69,800
- - - - -
- - - 0 - -
- - - - -
- - - 0 - -
- - - - -
- 2,012 - 0 2,012 -
- - - - -
- 2,012 - 34 2,012 68,408
- - - - -
- 84 - 0 84 -
- 84 - 360 84 30,240
- - - - -

- 317 - 0 317 -

- 317 - 0 317 -
- - - - -
- 2,420 - 0 2,420 -
- - - - -
- 323 - 0 323 -
- - - - -
- - - 0 - -
- - - - -
- 3,739 - 0 3,739 -
- - - - -
- - - 0 - -
- - - - -
- 2,340 - 0 2,340 -
- 10 1,469 14,690 30 1,469 44,070
105,390 3,513 - 30 3,513 105,390
- - -
- 3,194 - 0 3,194 -
- - - - -
- 61 - 0 61 -
- 61 - 130 61 7,930
- - - - -
- - - 0 - -
- - - - -
- - - 0 - -
- - - - -
- 31 - 0 31 -
- 557 31 17,267 7813 31 242,203
- - - - -
- - - 0 - -
- - - - -
- - - 0 - -
- - - - -
- 1 5,720 5,720 26 5,720 148,720
- - - - -
- 6,270 - 15 6,270 94,050
- - - - -
- - - 0 - -
- - - - -
- 230 - 0 230 -
46,000 230 - 300 230 69,000
- - - - -
- 62 - 0 62 -
- - - - -
- 76 - 0 76 -
- 76 - 190 76 14,440
- - - - -
- 105 - 0 105 -
- 105 - 0 105 -
- - - - -
- 38,500 - 0 38,500 -
- - - - -
- 40 - 0 40 -
- 40 - 9500 40 380,000
- - - - -
- 24 - 0 24 -
32,000 10 3,200 32,000 0 3,200 -
- - -
- 330 - 0 330 -
- - - - -
- 4,949 - 0 4,949 -
- - - - -
- 127 - 0 127 -
- 448 121 54,208 22 121 2,662
76,200 127 - 600 127 76,200
- - -
- 157 - 0 157 -
- 100 157 15,700 60 157 9,420
- - - - -
- - - 0 - -
- - - - -
- - - 0 - -
- - - - -
- - - 0 - -
- - - - -
- 98 - 0 98 -
- 98 - 90 98 8,820
- - - - -
- 10,000 - 17 10,000 170,000
- - - - -
- 9,519 - 20 9,519 190,380
- - - - -
- 51 - 0 51 -
- 140 76 10,640 310 76 23,560
- - - - -
- 69 - 0 69 -
- 69 - 70 69 4,830
- - - - -
- 97 - 0 97 -
77,600 385 97 37,345 1297 97 125,809
- - - - -
- 269 - 0 269 -
- - - - -
- - - 0 - -
- - - - -
- 110,000 - 0 110,000 -
- - - - -
- 320 - 0 320 -
- 320 - 0 320 -
- - - - -
- 5,150 - 0 5,150 -
- 5,150 - 0 5,150 -
- - - - -
- 2,665 - 0 2,665 -
- 12 2,665 31,980 78 2,665 207,870
- - - - -
- - - 0 - -
- - - - -
- 405 - 0 405 -
- - - - -
- 1,680 - 0 1,680 -
- - - - -
- 275 - 90 275 24,750
- 275 - 0 275 -
- - - - -
- 1,680 - 0 1,680 -
- 1,680 - 13 1,680 21,840
- - - - -
- 4,016 - 13 4,016 52,208
- - - - -
- 26 - 0 26 -
26,400 840 26 22,176 3559 26 93,958
- - - - -
- 1,210 - 0 1,210 -
- - - - -
- 152 - 0 152 -
- - - - -
- 50 - 244 50 12,200
- - - - -

- 531 - 0 531 -

- - - - -

- - - 0 - -

- - - - -

- 50 152 7,600 750 152 114,000

- 152 - 6583 152 1,000,616


- - - - -
- 79 - 0 79 -

- 79 - 380 79 30,020
- - - - -

- 2,298 - 0 2,298 -

- - - - -
- 6,820 - 0 6,820 -
- 6,820 - 0 6,820 -
- - - - -
- 112 - 0 112 -
- - - - -
- - - 0 - -
- - - - -
- 581 - 0 581 -
- - - - -
- - - 0 - -
- - - - -
- 1,499 - 0 1,499 -
- 26 1,499 38,974 33 1,499 49,467
167,220 929 - 180 929 167,220
- - -
- 54,995 - 0 54,995 -
- 54,995 - 0 54,995 -
- - - - -
- 97 - 0 97 -
- 274 97 26,578 165 97 16,005
- - - - -
8,500 170 - 50 170 8,500
- - - - -
- 7,260 - 0 7,260 -
- 7,260 - 0 7,260 -
- - - - -
- 7,260 - 0 7,260 -
- 2 7,260 14,520 18 7,260 130,680
- - - - -
- 1,130 - 0 1,130 -
- - - - -
- 3,887 - 0 3,887 -
- - - - -
- 248 - 90 248 22,320
- - - - -
- - - 0 - -
- - - - -
- - - 0 - -
- - - - -
- 1,639 - 0 1,639 -
- - - - -
- 133 - 170 133 22,627
- - - - -
- - - 0 - -
- - - - -
- 1,100 - 0 1,100 -
- 1,100 - 0 1,100 -
- - - - -

- - - 0 - -

- - - - -
- 100 - 230 100 23,000
- - - - -
- - - 0 - -
- - - - -
- 12,980 - 0 12,980 -
- 1 12,980 12,980 7 12,980 90,860
- - - - -
- 116 - 0 116 -
46,400 100 116 11,600 690 116 80,040
- - - - -
- - - 0 - -
185,900 190 169 32,110 1520 169 256,880
- - - - -
- 3,150 - 0 3,150 -
- 5 3,150 15,750 26 3,150 81,900
- - - - -
- 146 - 0 146 -
94,900 30 146 4,380 680 146 99,280
- - - - -
- 193 - 0 193 -
144,750 610 193 117,730 560 193 108,080
- - - - -
- 5,170 - 0 5,170 -
- 6 5,170 31,020 31 5,170 160,270
- - - - -
- 127 - 0 127 -
- 127 - 700 127 88,900
- - - - -
- 704 - 0 704 -
- 704 - 400 704 281,600
- - - - -
- 448 - 190 448 85,120
- - - - -
- 2,310 - 0 2,310 -
46,200 13 2,310 30,030 78 2,310 180,180
- - - - -
- 440 - 0 440 -
- - - - -
- 700 - 0 700 -
- 700 - 40 700 28,000
- - - - -
- 3,410 - 0 3,410 -
- - - - -
- 2,010 - 0 2,010 -
- 6 1,646 9,876 17 1,646 27,982
- - - - -
- 2,772 - 0 2,772 -
69,300 9 2,772 24,948 134 2,772 371,448
- - - - -
- 6,875 - 0 6,875 -
- 3 1,900 5,700 0 1,900 -
137,500 2 6,875 13,750 18 6,875 123,750
- - -
- 221 - 0 221 -
- 221 - 0 221 -
- - - - -
- 109 - 0 109 -
- 500 109 54,500 2280 109 248,520
- - - - -
- 1,535 - 0 1,535 -
- 70 1,535 107,450 169 1,535 259,415
- - - - -
- 105 - 0 105 -
10,500 100 105 10,500 400 105 42,000
- - - - -
- 88 - 0 88 -
220,000 995 88 87,560 3395 88 298,760
- - - - -
- - - 0 - -
- - - - -
- 849 - 0 849 -
- 297 - 0 297 -
- - - - -

- 25,350 - 0 25,350 -

- 25,350 - 3 25,350 76,050


- - - - -
- 107 - 800 107 85,600
- 107 - 0 107 -
- - - - -
- 964 - 0 964 -
- 964 - 200 964 192,800
- - - - -
- 854 - 0 854 -
- 854 - 100 854 85,400
- - - - -
- 60,500 - 50 60,500 3,025,000
- - - - -
- 1 9,100 9,100 42 9,100 382,200
- - - - -
- 318 - 0 318 -
- 5 318 1,590 464 318 147,552
- - - - -
- 19 - 0 19 -
- 90 19 1,710 1110 19 21,090
- - - - -
- 116 - 0 116 -
69,600 180 116 20,880 895 116 103,820
- - - - -
- 18,635 - 0 18,635 -
- 18,635 - 9 18,635 167,715
- - - - -

- 2,344 - 0 2,344 -

- 2,344 - 6 2,344 14,064


- - - - -

- 15,386 - 0 15,386 -

- 15,386 - 4 15,386 61,544


- - - - -

- 40,202 - 0 40,202 -

- 40,202 - 0 40,202 -
- - - - -
- 98 - 0 98 -
98,000 810 98 79,380 1784 98 174,832
- - - - -
- 125 - 985 125 123,125
- - - - -
- 12,021 - 0 12,021 -
- 3 12,021 36,063 40 12,021 480,840
- - - - -
29,700 297 - 200 297 59,400
- - - - -
- 80 - 90 80 7,200
- - - - -
- - - 0 - -
- - - - -
- 128 - 0 128 -
230,400 560 128 71,680 1560 128 199,680
- - - - -
- - - 0 - -
- - - - -
- 440 - 0 440 -
- - - - -
- 624 - 0 624 -
- - - - -
- 863 - 0 863 -
- - - - -
- 5,720 - 0 5,720 -
- 12 5,720 68,640 131 5,720 749,320
- - - - -
- 92 - 0 92 -
- 150 65 9,750 400 65 26,000
- - - - -
- 93 - 0 93 -
37,200 110 93 10,230 510 93 47,430
- - - - -

- 1,980 - 0 1,980 -

- 2,200 - 8 2,200 17,600


- - - - -
- - - 0 - -
- - - 0 - -
- - - - -
- 548 - 0 548 -
- 650 548 356,200 790 548 432,920
- - - - -
- 5,286 - 0 5,286 -
- 5,286 - 23 5,286 121,578
314,250 6,285 - 50 6,285 314,250
- - -
- - - 0 - -
- - - - -
- - - 0 - -
- - - - -
- 5,414 - 0 5,414 -
- - - - -
- - - 0 - -
- - - - -

- 11 1,451 15,957 38 1,451 55,124

- - - - -

- 150 - 0 150 -

- - - - -
- 138 - 0 138 -
- 50 138 6,900 640 138 88,320
- - - - -
- 177 - 0 177 -
- - - - -
- 480 - 0 480 -
- - - - -
- - - 0 - -
- - - - -
- 312 - 700 312 218,680
- - - - -
- - - 0 - -
- 350 - 200 350 70,000
- - - - -
- - - 0 - -
- - - - -
- - - 0 - -
- - - - -
- - - 0 - -
- 477 - 400 477 190,800
- - - - -
- - - 0 - -
- 1,155 - 100 1,155 115,500
- - - - -
- 183 - 700 183 128,398
- - - - -
- 283 - 0 283 -
- - - - -

- 42 - 0 42 -

- 42 - 0 42 -
- - - - -
- 770 - 0 770 -
- - - - -
- 2,680 - 0 2,680 -
- - - - -
36,300 2 363 726 98 363 35,574
- - - - -
- 45 - 0 45 -
- 45 - 160 45 7,200
- - - - -
- 63 - 0 63 -
- - - - -
- 7,392 - 0 7,392 -
- - - - -
- 112 - 0 112 -
403,200 1010 112 113,120 5690 112 637,280
- - - - -
- 521 - 0 521 -
- 45 521 23,445 300 521 156,300
- - - - -
- 8,140 - 0 8,140 -
- 8,140 - 13 8,140 105,820
- - - - -
- 573 - 0 573 -
- 6,975 - 2 6,975 13,950
- - - - -
- 10,395 - 48 10,395 498,960
- - - - -
- 155 - 0 155 -
- 141 - 1000 141 141,000
- - - - -
- - - 0 - -
- 1,210 - 0 1,210 -
- - - - -

- 57 - 0 57 -

- - - - -

- 116 - 0 116 -
- 572 - 0 572 -
- - - - -
- 191 - 100 191 19,100
- - - - -
- 275 - 0 275 -
- 275 - 0 275 -
- - - - -
- 162 - 0 162 -
- - - - -
- 1,108 - 0 1,108 -
- 1,109 - 16 1,109 17,744
- - - - -
- 162 - 0 162 -
- - - - -
- 116 - 0 116 -
- - - - -
- 167 - 0 167 -
- - - - -
- 125 - 0 125 -
- - - - -
- 318 - 0 318 -
- - - - -
- 109 - 0 109 -
- - - - -
- 45 - 0 45 -
- - - - -
- 854 - 0 854 -
- - - - -
- 42,727 - 0 42,727 -
- 42,727 - 0 42,727 -
- - - - -
- 1,480 - 0 1,480 -
1,480,000 120 1,480 177,600 920 1,480 1,361,600
- - - - -
- 31 - 0 31 -
- - - - -
- 56 - 0 56 -
- - - - -
- - - 0 - -
- 765,000 - 0 765,000 -
765,000 765,000 - 2 765,000 1,530,000
- - - - -
- 242,000 - 0 242,000 -
- - - - -
- 338,800 - 0 338,800 -
338,800 338,800 - 2 338,800 677,600
- - - - -
- 390,000 - 0 390,000 -
- 390,000 - 0 390,000 -
- - - - -
- 18,333 - 0 18,333 -
- 18,333 - 1 18,333 18,333
- - - - -
- 105,000 - 0 105,000 -
315,000 105,000 - 4 105,000 420,000
- - - - -
- 170,000 - 0 170,000 -
- - - - -
- 395,000 - 0 395,000 -
- 197,895 - 1 197,895 197,895
- - - - -
- 55,000 - 1 55,000 55,000
- - - - -
- 93,500 - 0 93,500 -
- 93,500 - 2 93,500 187,000
- - - - -
- 34,000 - 0 34,000 -
- 34,000 - 0 34,000 -
- - - - -
- 176,000 - 0 176,000 -
- - - - -
- - - 0 - -
- 425 - 0 425 -
- 24,384 - 0 24,384 -
- 27,569 - 0 27,569 -
- 27,569 - 8 27,569 220,552
- - - - -
- 104 - 0 104 -
- 104 - 2000 104 208,000
- - - - -
- 825,000 - 0 825,000 -
- 4,545 - 0 4,545 -
- 236,490 - 0 236,490 -
- 396,000 - 0 396,000 -
- 1,319,990 - 0 1,319,990 -

- 175,899 - 0 175,899 -

- 145,000 - 0 145,000 -
- 150,000 - 0 150,000 -
- 168,300 - 0 168,300 -
- 46,200 - 0 46,200 -
- 45,560 - 0 45,560 -
- 42,350 - 0 42,350 -
- 20,454 - 0 20,454 -
- 4,438 - 0 4,438 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 285,000 - 0 285,000 -

- 695,752 - 0 695,752 -

- 412 - 0 412 -
- 286 - 0 286 -
- 497 - 0 497 -
- - - 0 - -
- - - 0 - -
- 1,093 - 0 1,093 -
- 119 848 100,942 7 848 5,938
99,000 990 - 100 990 99,000
- - - - -
- 1,038 - 0 1,038 -
- 848 - 0 848 -
- 650 - 0 650 -
- - -
- 1,038 - 0 1,038 -
- 14 848 11,876 154 848 130,631
79,200 792 - 100 792 79,200
- - -
- 1,038 - 0 1,038 -
- 979 - 437 979 427,714
- - - - -
- 2,099 - 0 2,099 -
- 15 2,100 31,500 78 2,100 163,800
209,900 2,099 - 100 2,099 209,900
- - -
- 2,099 - 0 2,099 -
- 2,100 - 2 2,100 4,200
104,950 2,099 - 50 2,099 104,950
- - -
- 7 6,400 44,800 0 6,400 -
- 3 25,920 77,760 45 25,920 1,166,400
307,200 6,400 - 48 6,400 307,200
- - -
- 5,900 - 0 5,900 -
- 3 27,000 81,000 0 27,000 -
141,600 4 5,900 23,600 20 5,900 118,000
- - -
- 6,595 - 0 6,595 -
- 11,990 - 0 11,990 -
- - -
- 50 6,595 329,750 50 6,595 329,750
- 11,990 - 0 - -
- - -
- 4,250 - 0 4,250 -
- 7,684 - 0 7,684 -
- 11,990 - 0 11,990 -
- - -
- 4,250 - 0 4,250 -
- 3 7,684 23,052 0 7,684 -
1,199,000 21 11,990 251,790 79 11,990 947,210
- - -
- 3,500 - 0 3,500 -
- 6 4,176 25,056 39 4,176 162,864
247,500 9,900 - 25 9,900 247,500
- - -
- 4,000 - 0 4,000 -
- 2 4,568 9,136 3 4,568 13,704
79,200 9,900 - 8 9,900 79,200
- - -
- 7,937 - 0 7,937 -
- 7,018 - 0 7,018 -
- - -
- 6,600 - 0 6,600 -
- 20,900 - 0 20,900 -
- - -
- 7,787 - 0 7,787 -
- 6 7,787 46,722 40 7,787 311,480
140,360 7,018 - 20 7,018 140,360
- - -
- 7,787 - 0 7,787 -
- 6 7,937 47,622 38 7,937 301,606
- 7,018 - 0 7,018 -
- - -
- 5 7,787 38,935 51 7,787 397,137
140,360 7,018 - 20 7,018 140,360
- - -
- 10,440 - 0 10,440 -
- 8,000 - 0 8,000 -
- - -
- 8,495 - 0 8,495 -
- 10,440 - 0 10,440 -
- 8,000 - 0 8,000 -
- - -
- 8,495 - 0 8,495 -
- 10,440 - 0 10,440 -
- 8,000 - 0 8,000 -
- - -
- 495 - 0 495 -
- 10,440 - 8 10,440 83,520
- 8,000 - 0 8,000 -
- - -
- 7,500 - 0 7,500 -
- 1 27,821 27,821 1 27,821 27,821
24,000 24,000 - 1 24,000 24,000
- - -
- 17,250 - 0 17,250 -
- - - - -
- 800 - 0 800 -
- - - - -
- 887 - 0 887 -
- 1,100 - 0 1,100 -
- - -
- 607 - 0 607 -
- 4 6,121 24,484 6 6,121 36,726
92,000 2,300 - 40 2,300 92,000
- - -
- 887 - 0 887 -
- 3,800 - 0 3,800 -
- - -
- 1,871 - 0 1,871 -
- 5,621 - 0 5,621 -
- 1,800 - 0 1,800 -
- - -
- 8,600 - 0 8,600 -
- 11,724 - 0 11,724 -
- 7,900 - 0 7,900 -
- - -
- 10,467 - 0 10,467 -
- 13,221 - 0 13,221 -
- 9,400 - 0 9,400 -
- - -
- - - 0 - -
- 137,025 - 0 137,025 -
- 104,500 - 0 104,500 -
- - -
- 55,200 - 0 55,200 -
- 133,821 - 0 133,821 -
390,000 130,000 - 3 130,000 390,000
- - -
- 32,500 - 2 32,500 65,000
- - - - -
- 23,625 - 0 23,625 -
378,000 4 23,625 94,500 12 23,625 283,500
- - - - -
- 5,082 - 0 5,082 -
- 7 18,781 131,467 62 18,781 1,164,422
- 5,082 - 0 5,082 -
- - -
- - - 0 - -
- - - - -
- - - 0 - -
- - - - -
- - - 0 - -
- - - - -
- 4,000 - 0 4,000 -
- - - - -
- 5,770 - 0 5,770 -
- 5,770 - 200 5,770 1,154,000
- - - - -
- 5,770 - 67 5,770 386,590
- 5,770 - 199 5,770 1,148,230
- - - - -
- 5,770 - 0 5,770 -
- 5,770 - 200 5,770 1,154,000
- - - - -
- 5,770 - 0 5,770 -
- - - - -
- 22,000 - 0 22,000 -
- - - - -
- 22,000 - 0 22,000 -
- - - - -
- 1,125 - 0 1,125 -
56,250 8 1,125 9,000 42 1,125 47,250
- - - - -
- 200,455 - 0 200,455 -
- 8,018 - 80 8,018 641,440
- - - - -
- 68,181 - 0 68,181 -
- - - - -
- 68,181 - 0 68,181 -
- - - - -
- 6,825 - 0 6,825 -
- 3,413 - 0 3,413 -

3,688,520 1,430,812 12,586,602


19,451,750 7,093,527 48,241,658

Rumbia, 31 Juli 2016

Penanggung Jawab
Laporan

Wa Ode Wahyuni Hambe, S. Si, Apt


Nip. 19870305 201101 2 019
REKAPAN PENGGUNAAN OBAT DAN PERB
PUSKESMAS SELAMA 1 TAHUN
TAHUN 2016

SKPD : PUSKESMAS RUMBIA


KABUPATEN : BOMBANA
PROVINSI : SULAWESI TENGARA

Saldo Awal 2016 Mutasi Masuk


Satuan /
No Nama Obat 1 Agustus 2016 Agustus 2016
Kemasan
Jumlah Harga Satuan (Rp) Nilai (Rp) Jumlah Harga Satuan
1 2 3 4 5 6 7 8
OBAT

1 Air untuk injeksi amp 25 ml (aqua pro injeksi) Ampul 0 6,050 - 6,050

25 2,200 55,000 2,200


0 - - -
2 Albendazol tab 400 mg Tab 0 12,750 - 12,750
0 363 - 363
0 - - -
3 Alopurinol tab 100 mg Tab 0 - - -
0 - - -
4 Alprazolam tab 1 mg Tab 0 245 - 245
181 245 44,345 245
0 - - -
5 Albothyl cairan Botol 0 18,635 - 18,635
0 - - -
6 Ambroksol tablet 30 mg Tab 0 138 - 138
1230 138 169,740 138
0 - - -
7 Ambroksol sirup Botol 0 2,722 - 2,722
22 2,722 59,884 2,722
0 - - -
8 Aminofilin inj 24 mg/ml Ampul 0 4,204 - 4,204
0 4,200 - 4,200
0 - - -
9 Aminofilin tab 200 mg Tab 100 86 8,600 86
400 86 34,400 86
0 - - -
10 Amitriptilin tab sal 25 mg Tab sal 0 123 - 123
100 123 12,300 123
0 - - -
11 Amlodipin tab 10 mg Tab 0 1,863 - 1,863
0 352 - 352
0 - - -
12 Amlodipin tab 5 mg Tab 0 197 - 197
0 - - -
13 Amoksisilin sir kering 125 mg/5 ml Botol 0 2,560 - 2,560
84 2,560 215,040 60 2,560
0 - - -
14 Amoksisilin tab 250 mg Tab 0 220 - 220
0 220 - 220
0 - - -
15 Amoksisilin tab 500 mg Tab 0 279 - 279
1900 279 530,100 279
0 - - -
Anestetik lokal gigi kombinasi : lidokain hcl
16 2% + epinefrin 1 : 80.000 inj 2 ml Ampul 0 1,499 - 1,499

0 - - -

Antasida, kombinasi : aluminium hidroksida


17 Tab kunyah 0 78 - 78
200 mg + magnesium hidroksida 200 mg

2230 78 173,940 78
0 - - -
Antasida, kombinasi : aluminium hidroksida
18 200 mg + magnesium hidroksida 200 mg Botol 0 2,213 - 2,213
Suspensi
3 2,213 6,639 2,213
0 - - -
Antibakteri, kombinasi : basitrasin 500 UI/g+
19 Tube 7 2,767 19,369 2,767
Polimiskin B 10.000 UI/g
Antifungi salep, kombinasi : asam benzoat 6% 0 - - -
+ asam salisilat 3%
20 Tube 8 2,096 16,768 2,096

0 - - -
mg + heksaklorofen 2,5 mg + lidokain
lidokain 10 mg+ seng oksida 120 mg + sup
21 ad 2 g Suppo 3 33,000 99,000 33,000

10 2,200 22,000 2,200


40 33,000 1,320,000 33,000
0 - - -
Anti Parkinson kombinasi : benzerasid 25 mg +
22 Kaps 0 1,650 - 1,650
levodopa 100 mg
0 - - -
Anti Migren, kombinasi : ergotamin 1 mg+
23 Tab 0 149 - 149
kafein 50 mg
487 149 72,563 149
0 - - -
24 Antalgin (metampirom) tablet 100 mg Tab 0 155 - 155
0 - - -
25 Antalgin (metampirom) injeksi 250 mg/ml-2 ml Ampul 0 1,346 - 1,346
0 - - -
26 Asam asetilsalisilat (asetosal) tab 100 mg Tab 60 110 6,600 110
1100 127 139,700 127
0 110 - 110
0 - - -
27 Asam asetilsalisilat (asetosal) tab 500 mg Tab 0 178 - 178
0 - - -
Asam asetilsalisilat (asetosal) tab 80 mg
28 Tab 0 163 - 163
(Miniaspi 80)
0 - - -
29 Asam askorbat (vitamin C) tab 50 mg Tab 0 105 - 105
2420 105 254,100 105
0 - - -
30 Asam folat tab 1 mg Tab 0 52 - 52
600 52 31,200 52
0 - - -
31 Asam mefenamat kaps 250 mg Kaps 0 - - -
0 - - -
32 Asam mefenamat kaps 500 mg Kaps 0 127 - 127
2757 127 350,139 127
0 - - -
33 Asam traneksamat inj 50 mg/ml Ampul 25 3,650 91,250 3,650
0 - - -

34 Asam traneksamat tab 500 mg Tab 0 1,265 - 1,265

340 1,265 430,100 1,265

0 - - -

35 Asering larutan infus Botol 22 15,900 349,800 15,900


0 9,000 - 9,000
0 - - -

36 Asiklovir salep kulit Tube 24 82,500 1,980,000 82,500

0 2,367 - 2,367
0 - - -
37 Asiklovir tab 200 mg Tab 0 251 - 251
275 251 69,025 251
0 - - -
38 Atropin inj 0,25 mg/ml (i.m./i.v./s.k) Ampul 29 1,400 40,600 1,400
0 - - -
39 Atropin tab 0,5 mg Tab 0 81 - 81
0 - - -
40 Atropin tts mata 0,5% (Cendotropin 0,5%) Botol 0 13,500 - 13,500

0 - - -
41 Bedak salisil serb 2% Botol 0 1,180 - 1,180
30 1,350 40,500 1,350
0 1,180 - 1,180
0 - - -
Besi (II) sulfat 200 mg + asam folat 0.25 mg
42 Sachet 0 73 - 73
(tablet tambah darah)
0 55 - 55
1830 2,200 4,026,000 2,200
0 - - -
43 Becefort syrup Botol 0 22,727 - 22,727
4 22,727 90,908 22,727
0 - - -
44 Betametason krim 0,1% Tube 0 1,596 - 1,596
89 1,596 142,044 1,596
0 - - -
45 Betahistin mesilate tablet tablet 0 600 - 600
0 - - -
46 Bisakodil sup 10 mg (Stolax) Botol 0 - - -
0 - - -
47 Bisakodil tab sal 5 mg Tab sal 0 - - -
0 - - -
48 Bismecon salep tube 0 - - -
0 - - -
Budesonid-formoterol (fixed combination)* ih
49 Botol 0 - - -
80/4,5 mcg
0 - - -
50 Bromheksin tablet tablet 0 42 - 42
0 - - -
51 Deksametason tab 0,5 mg Tab 0 68 - 68
730 68 49,640 68
0 - - -
52 Deksametason inj 5 mg/ml (i.v./i.m.) Vial 168 1,738 291,984 1,738
0 - - -
53 Desoksimetason salep 0,25% Tube 0 - - -
3 9,983 29,949 9,983
0 - - -
54 Diazepam inj 5 mg/ml (i.v./i.m.) Vial 0 2,578 - 2,578
51 2,578 131,478 2,578
0 - - -

55 Diazepam lar rektal 10 mg/2,5 ml (Stesolid) Botol 0 - - -

0 - - -
56 Diazepam supposutoria suppo 0 - - -
0 - - -
57 Diazepam tab 2 mg Tab 0 28 - 28
0 - - -
58 Diazepam tab 5 mg Tab 76 28 2,128 28
0 - - -
59 Dietilkarbamazin tab 100 mg Tab 0 - - -
0 - - -
60 Difenhidramin inj 10 mg/ml (i.v./i.m.) Ampul 45 1,160 52,200 1,160
0 - - -
61 Digoksin tab 0,25 mg Tab 100 103 10,300 103
0 - - -
62 Diltiazem kaps SR 100 mg Kaps 0 - - -
0 - - -
63 Diltiazem tab 30 mg Tab 0 141 - 141
560 141 78,960 141
0 - - -
64 Doksisiklin tablet 100 mg Tab 160 278 44,528 278
0 - - -
65 Domperidon susp 5 mg/5 ml Botol 0 3,490 - 3,490
26 3,490 90,740 3,490
0 - - -
66 Domperidon tab 10 mg Tab 0 174 - 174
708 174 123,192 174
0 - - -
67 Efedrin HCl tablet Tab 0 56 - 56
490 56 27,631 56
0 - - -
68 Ekstrak belladon tablet 10 mg tab 160 42 6,720 42
5000 42 210,000 42
0 - - -

69 Epinefrin (adrenalin) inj 0,1% (i.v./s.k./i.m.) Ampul 90 8,910 801,900 8,910

0 - - -
70 Eritromisin kaps 250 mg Kaps 820 522 428,040 522
0 522 - 522
0 - - -
71 Eritromisin sir 200 mg/5 ml Botol 24 7,581 181,944 7,581
0 - - -
72 Eritromisin tab 500 mg Tab 465 1,013 470,938 1,013
0 1,023 - 1,023
0 - - -
73 Etanol 70% cairan 70% Botol 0 2,625 - 2,625
0 2,625 - 2,625
78 2,625 204,750 2,625
0 - - -
74 Etakridin (rivanol) larutan 0.1% Botol 0 4,695 - 4,695
5 4,695 23,475 4,695
0 - - -
75 Etil klorida semprot 100 ml Botol 0 124 - 124
0 - - -
76 Famotidin tablet 20 mg Tab 0 - - -
0 124 - 124
0 - - -
77 Fenitoin Na inj 50 mg/ml Ampul 0 - - -
0 - - -
78 Fenitoin Na kaps 100 mg Kaps 0 - - -
100 146 14,600 146
0 - - -
79 Fenobarbital inj 50 mg/ml Ampul 0 37 - 37
90 1,980 178,200 1,980
0 - - -
80 Fenobarbital tab 100 mg Tab 0 - - -
0 - - -
81 Fenobarbital tab 30 mg Tab 0 37 - 37
0 - - -

82 Fitomenadion (vitamin K 1) inj 2 mg/ml (i.m.) Vial 16 698 11,168 698

0 - - -
83 Fitomenadion (vitamin K 1) tab sal 10 mg Tab sal 100 698 69,800 698
0 - - -
84 Flukonazol kaps 150 mg Kaps 0 - - -
0 - - -
85 Flusinolon asetonid krim 0,025% Tube 0 - - -
0 - - -
86 Flunarizin tablet tablet 0 2,012 - 2,012
0 - - -
87 Furosemid inj 10 mg/ml (i.v./i.m.) Ampul 34 2,012 68,408 2,012
0 - - -
88 Furosemid tab 40 mg Tab 0 84 - 84
360 84 30,240 84
0 - - -
Garam oralit kombinasi : natrium klorida 0,52
g + kalium klorida 0,30 g + trinatrium sitrat
89 Sachet 0 317 - 317
0,58 g + glukosa anhidrat 2,7 g

0 317 - 317
0 - - -
90 Gameksan lotion 1 % Botol 0 2,420 - 2,420
0 - - -
91 Gemfibrozil kaps 300 mg Kaps 0 323 - 323
0 - - -
92 Gemfibrozil kaps 600 mg Kaps 0 - - -
0 - - -
93 Gentamisin inj 10 mg/ml Ampul 0 3,739 - 3,739
0 - - -
94 Gentamisin salep mata 0,3% Tube 0 - - -
0 - - -
95 Gentamisin salep Kulit Tube 0 2,340 - 2,340
30 1,469 44,070 1,469
30 3,513 105,390 3,513
0 - - -
96 Gentamisin tts mata 0,3% Botol 0 3,194 - 3,194
0 - - -
97 Glibenklamid tab 5 mg Tab 0 61 - 61
130 61 7,930 61
0 - - -
98 Glimepirid tab 4 mg Tab 0 - - -
0 - - -
99 Glipizid tablet 5 mg (Glucotrol 5 mg) Tab 0 - - -
0 - - -
100 Gliseril Guaiakolat tab 100 mg Tab 0 31 - 31
7813 31 242,203 31
0 - - -
101 Gliserin lar 50% Botol 0 - - -
0 - - -
102 Glukosamin tablet 500 mg Tab 0 - - -
0 - - -
103 Glukosa Larutan Infus 5% steril Botol 26 5,720 148,720 5,720
0 - - -
104 Glukosa Larutan Infus 10% steril Botol 15 6,270 94,050 6,270
0 - - -
105 Glukosa Larutan Infus 40% steril Botol 0 - - -
0 - - -
106 Griseofulvin (micronized) tab 125 mg Tab 0 230 - 230
300 230 69,000 230
0 - - -
107 Haloperidol tab 0,5 mg Tab 0 62 - 62
0 - - -
108 Haloperidol tab 1,5 mg Tab 0 76 - 76
190 76 14,440 76
0 - - -
109 Haloperidol tab 5 mg Tab 0 105 - 105
0 105 - 105
0 - - -
110 Hidrogen peroksida (H2O2) cairan 3% Botol 0 38,500 - 38,500
0 - - -
111 Hidroklorotiazid (HCT) tab 25 mg Tab 0 40 - 40
9500 40 380,000 40
0 - - -
112 Hidrokortison krim 2,5% Tube 0 24 - 24
0 3,200 - 3,200
0 - - -
113 Hiosina butilbromida tab 10 mg Tab 0 330 - 330
0 - - -
114 Ibuprofen susp 100 mg/5 ml Botol 0 4,949 - 4,949
0 - - -
115 Ibuprofen tab 200 mg Tab 0 127 - 127
22 121 2,662 121
600 127 76,200 127
0 - - -
116 Ibuprofen tab 400 mg Tab 0 157 - 157
60 157 9,420 157
0 - - -
Ipratropium bromida nebulizer 0,025%
117 Botol 0 - - -
(Atroven sol. for inhalation 0.025%)
0 - - -
118 Isoniazid tab 300 mg Tab 0 - - -
0 - - -
119 Isosorbid dinitrat inj 10 mg/10 ml (Fasorbid) Vial 0 - - -
0 - - -
120 Isosorbid dinitrat tab 5 mg Tab 0 98 - 98
90 98 8,820 98
0 - - -
121 KA-EN 3B Cairan Infus Botol 17 10,000 170,000 10,000
0 - - -
122 Kalsium glukonat inj 100 mg/ml Ampul 20 9,519 190,380 9,519
0 - - -
123 Kalsium laktat (kalk) tab 500 mg Tab 0 51 - 51
310 76 23,560 1,000 76
0 - - -
124 Kaptopril tab 12,5 mg Tab 0 69 - 69
70 69 4,830 69
0 - - -
125 Kaptopril tab 25 mg Tab 0 97 - 97
1297 97 125,809 97
0 - - -
126 Karbamazepin tab 200 mg Tab 0 269 - 269
0 - - -
127 Karbo adsorben (Norit) tab 500 mg Tab 0 - - -
0 - - -
128 Ketamin inj 50 mg/ml (i.v.) Ampul 0 110,000 - 110,000
0 - - -
129 Ketokonazol tab 200 mg Tab 0 320 - 320
0 320 - 320
0 - - -
130 Ketokonazol krim 2% Tube 0 5,150 - 5,150
0 5,150 - 5,150
0 - - -
131 Ketorolak inj 10 mg/ml Ampul 0 2,665 - 2,665
78 2,665 207,870 2,665
0 - - -
132 Klaritromisin tab 500 mg Tab 0 - - -
0 - - -
133 Klindamisin kaps 150 mg Kaps 0 405 - 405
0 - - -
134 Kloramfenikol tts mata 0,5% Botol 0 1,680 - 1,680
0 - - -
135 Kloramfenikol kaps 250 mg Kaps 90 275 24,750 275
0 275 - 275
0 - - -
136 Kloramfenikol salep mata 1% Tube 0 1,680 - 1,680
13 1,680 21,840 1,680
0 - - -
137 Kloramfenikol susp 125 mg/5 ml Botol 13 4,016 52,208 4,016
0 - - -
138 Klorfeniramin (CTM) tab 4 mg Tab 0 26 - 26
3559 26 93,958 26
0 - - -
139 Klorpromazin inj 25 mg/ml (i.m.) Ampul 0 1,210 - 1,210
0 - - -
140 Klorpromazin tab sal 100 mg Tab sal 0 152 - 152
0 - - -
141 Klorpromazin tab sal 25 mg Tab sal 244 50 12,200 50
0 - - -
142 Kombinasi : Pirimethamin 25 mg + sulfadoksin Tab 0 531 - 531

Kombinasi: ipratropium Br 0,5 mg+ 0 - - -


salbutamol 2,5 mg nebules (Combivent UDV)
143 Vial 0 - - -

0 - - -
Kotrimoksazol (dewasa) kombinasi :
sulfametoksazol 400 mg+ trimetoprim 80
144 Tab 750 152 114,000 152
mg

6583 152 1,000,616 152


0 - - -
Kotrimoksazol (anak) kombinasi :
sulfametoksazol 100 mg+ trimetoprim 20
145 Tab 0 79 - 79
mg

380 79 30,020 79
0 - - -
Kotrimoksazol (dewasa) kombinasi tiap 5 ml
146 suspensi : sulfametoksazol 200 mg + Botol 0 2,298 - 50 2,298
trimetoprim 40 mg
0 - - -
147 Kuinin inj 25% (i.v.) Vial 0 6,820 - 6,820
0 6,820 - 6,820
0 - - -
148 Kloroquin tab 150 mg Tab 0 112 - 112
0 - - -
149 Lansoprazol kaps 30 mg Kaps 0 - - -
0 - - -
150 Levofloksasin tab 500 mg Tab 0 581 - 581
0 - - -
151 Lidokain gel 2% Tube 0 - - -
0 - - -
152 Lidokain inj 2% (hcl) Vial 0 1,499 - 1,499
33 1,499 49,467 1,499
180 929 167,220 100 929
0 - - -
153 Lisol Botol 0 54,995 - 54,995
0 54,995 - 54,995
0 - - -
154 Loperamid tab 2 mg Tab 0 97 - 97
165 97 16,005 97
0 - - -
155 Loratadin tab 10 mg Tab 50 170 8,500 170
0 - - -
156 Magnesium sulfat inj 20% Vial 0 7,260 - 7,260
0 7,260 - 7,260
0 - - -
157 Magnesium sulfat inj 40% Vial 0 7,260 - 7,260
18 7,260 130,680 7,260
0 - - -
158 Magnesium sulfat serb, ktg 30 g Sachet 0 1,130 - 1,130
0 - - -
159 Mebendazol sir 50 mg/ml Botol 0 3,887 - 3,887
0 - - -
160 Mebendazol tab 100 mg Tan 90 248 22,320 248
0 - - -
161 Metformin tab 500 mg Tab 0 - - -
0 - - -
162 Metformin tab 850 mg Tab 0 - - -
0 - - -
163 Metilergometrin inj 0,2 mg/ml Ampul 0 1,639 - 1,639
0 - - -
164 Metilergometrin tab salut 0,125 mg Tab sal 170 133 22,627 133
0 - - -
165 Metilprednisolon tab 4 mg Tab 0 - - -
0 - - -
166 Metoklopramid inj 5 mg/ml Vial 0 1,100 - 1,100
0 1,100 - 1,100
0 - - -

167 Metoklopramid sir 5 mg/5 ml (Lexapram sirup) Botol 0 - - -

0 - - -
168 Metoklopramid tab 10 mg Tab 230 100 23,000 100
0 - - -
169 Metronidazol supposutoria 500 mg suppo 0 - - -
0 - - -
170 Metronidazol larutan infus Botol 0 12,980 - 12,980
7 12,980 90,860 12,980
0 - - -
171 Metronidazol tab 250 mg Tab 0 116 - 116
690 116 80,040 116
0 - - -
172 Metronidazol tab 500 mg Tab 0 - - -
1520 169 256,880 169
0 - - -
173 Mikonazol krim 2% Tube 0 3,150 - 3,150
26 3,150 81,900 3,150
0 - - -
174 Natrium diklofenak tab 25 mg Tab 0 146 - 146
680 146 99,280 146
0 - - -
175 Natrium diklofenak tab 50 mg Tab 0 193 - 193
560 193 108,080 193
0 - - -
176 NaCl 0,9% Larutan infus Botol 0 5,170 - 5,170
31 5,170 160,270 5,170
0 - - -
177 Nifedipin kaps 10 mg Kaps 0 127 - 127
700 127 88,900 127
0 - - -
178 Nistatin tab salut 500.000 UI Tab 0 704 - 704
400 704 281,600 704
0 - - -
179 Nistatin tab vaginal 100.000 UI Tab 190 448 85,120 448
0 - - -
180 Obat Batuk Hitam (OBH) Botol 0 2,310 - 2,310
78 2,310 180,180 2,310
0 - - -
181 Ofloksasin tab 200 mg Tab 0 440 - 440
0 - - -
182 Ofloksasin tab 400 mg Tab 0 700 - 700
40 700 28,000 700
0 - - -
183 Oksitetrasiklin hcl inj 500 mg/ml Vial 0 3,410 - 3,410
0 - - -
184 Oksitetrasiklin hcl salep kulit 3% Tube 0 2,010 - 2,010
17 1,646 27,982 1,646
0 - - -
185 Oksitetrasiklin hcl salep mata 1 % Tube 0 2,772 - 2,772
134 2,772 371,448 2,772
0 - - -
186 Oksitosin inj 10 UI/ml Ampul 0 6,875 - 6,875
0 1,900 - 1,900
18 6,875 123,750 6,875
0 - - -
187 Omeprazol kaps 20 mg Kaps 0 221 - 221
0 221 - 221
0 - - -
188 Papaverin tablet 40 mg Tab 0 109 - 109
2280 109 248,520 109
0 - - -
189 Parasetamol sir 120 mg/5 ml Botol 0 1,535 - 1,535
169 1,535 259,415 1,535
0 - - -
190 Parasetamol tab 100 mg Tab 0 105 - 105
400 105 42,000 105
0 - - -
191 Parasetamol tab 500 mg Tab 0 88 - 88
3395 88 298,760 88
0 - - -
192 Parasetamol rectal suppo 0 - - -
0 - - -
193 Pehavral tablet multivitamin Tab 0 849 - 849
0 297 - 297
0 - - -

194 Perak sulfadiazin krim 1% (Burnazin 35 gr) Tube 0 25,350 - 25,350

3 25,350 76,050 25,350


0 - - -
195 Phenylbutazon tablet 200 mg Tab 800 107 85,600 107
0 107 - 107
0 - - -
196 Piracetam tablet 800 mg Tab 0 964 - 964
200 964 192,800 964
0 - - -
197 Piracetam tablet 1200 mg Tab 0 854 - 854
100 854 85,400 854
0 - - -
198 Piracetam injeksi 1 g/5 ml Ampul 50 60,500 3,025,000 60,500
0 - - -
199 Pirantel pamoat susp 125 mg/5 ml Botol 42 9,100 382,200 9,100
0 - - -
200 Pirantel pamoat tab scored 125 mg Tab 0 318 - 318
464 318 147,552 318
0 - - -
201 Piridoksin (vitamin B6) tab 25 mg Tab 0 19 - 19
1110 19 21,090 19
0 - - -
202 Piroksikam tablet 20 mg Tab 0 116 - 116
895 116 103,820 116
0 - - -
203 Polikresulen Botol 0 18,635 - 18,635
9 18,635 167,715 18,635
0 - - -

204 Povidon iodin lar 100 mg/ml Botol 30 ml 0 2,344 - 2,344

6 2,344 14,064 2,344


0 - - -
Botol 300
205 Povidon iodin lar 100 mg/ml 0 15,386 - 15,386
ml
4 15,386 61,544 15,386
0 - - -
Botol 1000
206 Povidon iodin lar 100 mg/ml 0 40,202 - 40,202
ml
0 40,202 - 40,202
0 - - -
207 Prednison tab 5 mg Tab 0 98 - 98
1784 98 174,832 98
0 - - -
208 Primakuin tab 15 mg Tab 985 125 123,125 125
0 - - -
209 Procurma syrup Botol 0 12,021 - 12,021
40 12,021 480,840 12,021
0 - - -
210 Propiltiourasil tab 100 mg Tab 200 297 59,400 297
0 - - -
211 Propranolol tab 40 mg Tab 90 80 7,200 80
0 - - -
212 Ranitidin inj 25 mg/ml Ampul 0 - - -
0 - - -
213 Ranitidin tab 150 mg Tab 0 128 - 128
1560 128 199,680 128
0 - - -
214 Reserpin tablet 0.25 mg Tab 0 - - -
0 - - -
215 Rifampisin kaps 300 mg Kaps 0 440 - 440
0 - - -
216 Rifampisin tab 450 mg Tab 0 624 - 624
0 - - -
217 Rifampisin tab 600 mg Tab 0 863 - 863
0 - - -
218 Ringer Laktat Larutan infus Botol 0 5,720 - 5,720
131 5,720 749,320 5,720
0 - - -
219 Salbutamol tab 2 mg Tab 0 92 - 92
400 65 26,000 65
0 - - -
220 Salbutamol tab 4 mg Tab 0 93 - 93
510 93 47,430 93
0 - - -
Salep 2-4, kombinasi : asam salisilat 2 %+
221 Tube 0 1,980 - 1,980
belerang endap 4 %
8 2,200 17,600 2,200
0 - - -
222 Scabicid salep Tube 0 - - -
223 Sefadroksil kaps 250 mg Vial 0 - - -
0 - - -
224 Sefadroksil kaps/tab 500 mg Tab 0 548 - 548
790 548 432,920 548
0 - - -
225 Sefadroksil sir kering 125 mg/5 ml Botol 0 5,286 - 5,286
23 5,286 121,578 5,286
50 6,285 314,250 6,285
0 - - -
226 Sefiksim kapsul 100 mg Tab 0 - - -
0 - - -
227 Sefotaksim serb inj 1.000 mg/vial Vial 0 - - -
0 - - -
228 Seftriakson serb inj 1.000 mg/vial Vial 0 5,414 - 5,414
0 - - -
229 Setirizin tab 10 mg Tab 0 - - -
0 - - -

230 Sianokobalamin (vitamin B12) inj 500 mcg/ml Vial 38 1,451 55,124 1,451

0 - - -

231 Sianokobalamin (vitamin B12) tab 50 mcg Tab 0 150 - 150

0 - - -
232 Simetidin tablet 200 mg Tab 0 138 - 138
640 138 88,320 138
0 - - -
233 Simvastatin tab sal 10 mg Tab sal 0 177 - 177
0 - - -
234 Simvastatin tab sal 20 mg Tab sal 0 480 - 480
0 - - -
235 Siprofloksasin inf 2 mg/ml Botol 0 - - -
0 - - -
236 Siprofloksasin tab scored 500 mg Tab 700 312 218,680 312
0 - - -
237 Spironolakton tab 100 mg Tab 0 - - -
200 350 70,000 350
0 - - -
238 Sulfasetamid Natrium Tetes mata 1.5% Botol 0 - - -
0 - - -
239 Sukralfat susp 500 mg/5 ml (Ulsafate) Botol 0 - - -
0 - - -
240 Sukralfat tab 500 mg (Ulsidex) Tab 0 - - -
400 477 190,800 477
0 - - -
241 Teofilin tab SR 300 mg (Rethapyl) Tab 0 - - -
100 1,155 115,500 1,155
0 - - -
242 Tetrasiklin kaps 250 mg Kaps 700 183 128,398 183
0 - - -
243 Tetrasiklin kaps 500 mg Kaps 0 283 - 283
0 - - -

244 Tiamin (vitamin B1) mononitrat tab 50 mg Tab 0 42 - 42

0 42 - 42
0 - - -
245 Tiamin (vitamin B1) injeksi 100 mg/ml Tab 0 770 - 770
0 - - -
246 Tramadol inj 50 mg/ml Ampul 0 2,680 - 2,680
0 - - -
247 Tramadol tablet 500 mg Tab 98 363 35,574 363
0 - - -
248 Triheksifenidil tab 2 mg Tab 0 45 - 45
160 45 7,200 45
0 - - -
249 Vitamin B12 tablet 50 mcg Tab 0 63 - 63
0 - - -
250 Vitamin B kompleks injeksi Vial 0 7,392 - 7,392
0 - - -
251 Vitamin B kompleks Tab 0 112 - 112
5690 112 637,280 112
0 - - -
252 Zinc tab disp 20 mg Tab 0 521 - 521
300 521 156,300 521
0 - - -
253 Zinc sirup 20 mg / 5 ml Botol 0 8,140 - 8,140
13 8,140 105,820 8,140
0 - - -
254 Larutan PK botol 0 573 - 573
2 6,975 13,950 6,975
0 - - -
255 Kanamisin inj Vial 48 10,395 498,960 10,395
0 - - -
256 Antalgin 500mg tab 0 155 - 155
1000 141 141,000 141
0 - - -
257 Klorpromazin inj 25 mg/ml (i.m.) Ampul 0 - - -
0 1,210 - 1,210
0 - - -
258 Kalsium laktat (kalk) tab 500 mg Tab 0 57 - 57

0 - - -

259 Kloroquin tab 250 mg Tab 0 116 - 116


0 572 - 572
0 - - -
260 Klonidin 0,15 mg Tab 100 191 19,100 191
0 - - -
261 Kloramfenikol kaps 250 mg Kaps 0 275 - 275
0 275 - 275
0 - - -
262 Klorpromazin tab sal 100 mg Tab sal 0 162 - 162
0 - - -
263 Fenolgliserol TT 10% Kotak 0 1,108 - 1,108
16 1,109 17,744 1,109
0 - - -
265 Tetrasiklin kaps 250 mg Kaps 0 162 - 162
0 - - -
266 Kloroquin tab 250 mg 0 116 - 116
0 - - -
267 Papaverin tablet 40 mg 0 167 - 167
0 - - -
268 Prednison tab 5 mg Tab 0 125 - 125
0 - - -
269 Pirantel pamoat tab scored 125 mg Tab 0 318 - 318
0 - - -
270 Hidroklorotiazid (HCT) tab 25 mg Tab 0 109 - 109
0 - - -
271 Triheksifenidil tab 2 mg Tab 0 45 - 45
0 - - -
272 Piracetam tablet 1200 mg Tab 0 854 - 854
0 - - -
273 Vical suspensi btl 0 42,727 - 42,727
0 42,727 - 42,727
0 - - -
274 Lexavit tab 0 1,480 - 1,480
920 1,480 1,361,600 1,480
0 - - -
275 Gliseril Guaiakolat tab 100 mg Tab 0 31 - 31
0 - - -
276 Efedrin HCl tablet Tab 0 56 - 56
0 - - -
B.OBAT GIGI 0 - - -
1 Bonding Botol 0 765,000 - 765,000
2 765,000 1,530,000 765,000
0 - - -
2 Calcium hidrosida cement pasta (hycal) Kotak 0 242,000 - 242,000
0 - - -
3 Comfosite Tube 0 338,800 - 338,800
2 338,800 677,600 338,800
0 - - -
4 Devitalisasi Pasta (Non Arsen) Kotak 0 390,000 - 390,000
0 390,000 - 390,000
0 - - -
5 Eugenol cair Botol 0 18,333 - 18,333
1 18,333 18,333 18,333
0 - - -
6 Etil Klorida spray Botol 0 105,000 - 105,000
4 105,000 420,000 105,000
0 - - -
7 Etza Tube 0 170,000 - 170,000
0 - - -
8 Glass Ionomer Cement ART Set 0 395,000 - 395,000
1 197,895 197,895 197,895
0 - - -
9 Klorfenol Kamfer Menthol (CHKM) Botol 1 55,000 55,000 55,000
0 - - -
10 Semen Seng Fosfat serbuk dan cairan Set 0 93,500 - 93,500
2 93,500 187,000 93,500
0 - - -
11 Temporari stoping pletcher Set 0 34,000 - 34,000
0 34,000 - 34,000
0 - - -
12 Mummiyng pasta Kotak 0 176,000 - 176,000
0 - - -
C.OBAT PROGRAM 0 - - -
1 Albedazole 400mg Tab 0 425 - 425
2 Artemether inj 80 mg/ml Ampul 0 24,384 - 24,384
3 Artesunat serb inj 60 mg/ml (i.v./i.m.) Vial 0 27,569 - 27,569
8 27,569 220,552 27,569
0 - - -
4 Dietilkarbamazin tab 100 mg Tab 0 104 - 104
2000 104 208,000 104
0 - - -
5 Imersion oil Botol 0 825,000 - 825,000
6 Iodina Test Botol 0 4,545 - 4,545
7 Obat Anti Tuberculosis FDC Kategori Anak Paket 0 236,490 - 236,490
8 Obat Anti Tuberculosis FDC Kategori I Paket 0 396,000 - 396,000
9 Obat Anti Tuberculosis FDC Kategori II Paket 0 1,319,990 - 1,319,990

10 Obat Anti Tuberculosis FDC Kategori Sisipan Paket 0 175,899 - 175,899

11 Reagen Zenit Nelson Botol 0 145,000 - 145,000


12 RDT Dangue DBD Set 0 150,000 - 150,000
13 RDT malaria (care star ) Set 0 168,300 - 168,300
14 RDT HIV (intec) Set 0 46,200 - 46,200
15 RDT HIV (vikia) Set 0 45,560 - 45,560
16 RDT HIV (Oncoprobe) Set 0 42,350 - 42,350
17 Taburia Kotak 0 20,454 - 20,454
18 Quinina injeksi Ampul 0 4,438 - 4,438
19 Vaksin BCG inj (i.k) Vial 0 - - -
20 Vaksin campak inj (s.k.) Vial 0 - - -
21 Vaksin jerap difteri tetanus pertusis (DTP) inj (i Vial 0 - - -
22 Vaksin jerap difteri tetanus (DT) Vial 0 - - -
23 Vaksin kombinasi DPT + hepatitis B inj (i.m.) Vial 0 - - -
24 Vaksin polio drops 10 dosis Vial 0 285,000 - 285,000
Vaksin rabies, untuk manusia serb inj (s.k./i.k)
25 Vial 0 695,752 - 695,752
+ booster
Retinol (Vit.A) 200.000 IU kap lunak 0 412 - 412
Retinol (Vit.A) 100.000 IU kap lunak 0 286 - 286
zink tab.20mg 0 497 - 497
Doxiciklin tab 0 - - -
D.BAHAN MEDIS HABIS PAKAI (BHMP) 0 - - -
1 Alat suntik sekali pakai 1 ml Set 0 1,093 - 1,093
7 848 5,938 848
100 990 99,000 990
0 - - -
2 Alat suntik sekali pakai 2,5 ml Set 0 1,038 - 1,038
0 848 - 848
0 650 - 650
0 - - -
3 Alat suntik sekali pakai 3 ml Set 0 1,038 - 1,038
154 848 130,631 848
100 792 79,200 792
0 - - -
4 Alat suntik sekali pakai 5 ml Set 0 1,038 - 1,038
437 979 427,714 979
0 - - -
5 Bisturi no. 20 Buah 0 2,099 - 2,099
78 2,100 163,800 2,100
100 2,099 209,900 2,099
0 - - -
6 Bisturi no. 15 Buah 0 2,099 - 2,099
2 2,100 4,200 2,100
50 2,099 104,950 2,099
0 - - -
7 Catgut No 2/0 Set 0 6,400 - 6,400
45 25,920 1,166,400 25,920
48 6,400 307,200 6,400
0 - - -
8 Catgut No 3/0 Set 0 5,900 - 5,900
0 27,000 - 27,000
20 5,900 118,000 5,900
0 - - -
9 Handscoen no. 6 Pasang 0 6,595 - 6,595
0 11,990 - 11,990
0 - - -
10 Handscoen no. 6,5 Pasang 50 6,595 329,750 6,595
0 - - -
0 - - -
11 Handscoen no. 7 Pasang 0 4,250 - 4,250
0 7,684 - 7,684
0 11,990 - 11,990
0 - - -
12 Handscoen no. 7,5 Pasang 0 4,250 - 4,250
0 7,684 - 7,684
79 11,990 947,210 11,990
0 - - -
13 Infuset dewasa Set 0 3,500 - 3,500
39 4,176 162,864 4,176
25 9,900 247,500 9,900
0 - - -
14 Infusion set anak Set 0 4,000 - 4,000
3 4,568 13,704 4,568
8 9,900 79,200 9,900
0 - - -
15 IV Catheter No.16 G Set 0 7,937 - 7,937
0 7,018 - 7,018
0 - - -
15 IV Catheter No.18 G Set 0 6,600 - 6,600
0 20,900 - 20,900
0 - - -
16 IV Catheter No.24 G Set 0 7,787 - 7,787
40 7,787 311,480 7,787
20 7,018 140,360 7,018
0 - - -
17 IV Catheter No. 20 G Set 0 7,787 - 7,787
38 7,937 301,606 7,937
0 7,018 - 7,018
0 - - -
18 IV Catheter No. 22 G Set 51 7,787 397,137 7,787
20 7,018 140,360 7,018
0 - - -
19 Folley Catheter 16 Set 0 10,440 - 10,440
0 8,000 - 8,000
0 - - -
19 Folley Catheter 18 Set 0 8,495 - 8,495
0 10,440 - 10,440
0 8,000 - 8,000
0 - - -
20 Folley catheter 22 Set 0 8,495 - 8,495
0 10,440 - 10,440
0 8,000 - 8,000
0 - - -
21 Folley catheter 24 Set 0 495 - 495
8 10,440 83,520 10,440
0 8,000 - 8,000
0 - - -
22 Kapas Berlemak 250 gram Rol 0 7,500 - 7,500
1 27,821 27,821 27,821
1 24,000 24,000 24,000
0 - - -
23 Kapas Berlemak 500 gram Rol 0 17,250 - 17,250
0 - - -
24 Kasa Pembalut 4m x 3 cm Rol 0 800 - 800
0 - - -
25 Kasa Pembalut 4m x 5 cm Rol 0 887 - 887
0 1,100 - 1,100
0 - - -
26 Kasa Pembalut 4m x 10 cm Rol 0 607 - 607
6 6,121 36,726 6,121
40 2,300 92,000 2,300
0 - - -
27 Kasa Pembalut 4m x 15 cm Rol 0 887 - 887
0 3,800 - 3,800
0 - - -
28 Kasa Kompres 40/40 steril Buah 0 1,871 - 1,871
0 5,621 - 5,621
0 1,800 - 1,800
0 - - -
29 Kasa Steril 16 X 16 Buah 0 8,600 - 8,600
0 11,724 - 11,724
0 7,900 - 7,900
0 - - -
30 Kasa pembalut 2 x 80 Rol 0 10,467 - 10,467
0 13,221 - 13,221
0 9,400 - 9,400
0 - - -
31 Kasa Pembalut 40 x 80 Rol 0 - - -
0 137,025 - 137,025
0 104,500 - 104,500
0 - - -
32 Kasa Pembalut 36 x 80 cm Rol 0 55,200 - 55,200
0 133,821 - 133,821
3 130,000 390,000 130,000
0 - - -
33 Pembalut Gips Buah 2 32,500 65,000 32,500
0 - - -
34 Plester 5 yard x 2 inc Rol 0 23,625 - 23,625
12 23,625 283,500 23,625
0 - - -
35 Silk Set 0 5,082 - 5,082
62 18,781 1,164,422 18,781
0 5,082 - 5,082
0 - - -
36 Selang oksigen anak Set 0 - - -
0 - - -
37 Selang oksigen dewasa Set 0 - - -
0 - - -
38 Sofratulle Set 0 - - -
0 - - -
39 Urine bag Set 0 4,000 - 4,000
0 - - -
40 Wing Needle No. 21 G Set 0 5,770 - 5,770
200 5,770 1,154,000 5,770
0 - - -
41 Wing Needle No. 23 G Set 67 5,770 386,590 5,770
199 5,770 1,148,230 5,770
0 - - -
42 Wing Needle No.25 G Set 0 5,770 - 5,770
200 5,770 1,154,000 5,770
0 - - -
43 Wing Needle No. 27 G Set 0 5,770 - 5,770
0 - - -
44 NGT No. 3 ( Feeding Tube ) Set 0 22,000 - 22,000
0 - - -
45 NGT No. 5 ( Feeding Tube ) Set 0 22,000 - 22,000
0 - - -
46 Masker Buah 0 1,125 - 1,125
42 1,125 47,250 1,125
0 - - -
47 Tes gula darah Set 0 200,455 - 200,455
80 8,018 641,440 8,018
0 - - -
48 Tes Narkoba 3 parameter Set 0 68,181 - 68,181
0 - - -
49 Tes Narkoba 5 parameter Set 0 68,181 - 68,181
0 - - -
50 Tes Kehamilan Sachet 0 6,825 - 6,825
0 3,413 - 3,413

12,586,602
48,241,658

Mengetahui
Kepala Puskesmas Rumbia

Rahmat, AMK
Nip. 19721021 199403 1 004
AAN OBAT DAN PERBEKES
SELAMA 1 TAHUN
UN 2016

BULAN : AGUSTUS
TAHUN : 2016

asi Masuk Mutasi Pengeluaran Saldo Akhir


stus 2016 Obat Puskesmas bulan Agustus Per 31 Agustus 2016
Nilai ( Rp) Jumlah Harga Satuan Nilai (Rp) Jumlah Harga Satuan Nilai (Rp)
9 10 11 12 13 14 15

- 6,050 - 0 6,050 -

- 1 2,200 2,200 24 2,200 52,800


- - - 0 - -
- 12,750 - 0 12,750 -
- 363 - 0 363 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 245 - 0 245 -
- 8 245 1,960 173 245 42,385
- - - 0 - -
- 18,635 - 0 18,635 -
- - - 0 - -
- 138 - 0 138 -
- 420 138 57,960 810 138 111,780
- - - 0 - -
- 2,722 - 0 2,722 -
- 2,722 - 22 2,722 59,884
- - - 0 - -
- 4,204 - 0 4,204 -
- 4,200 - 0 4,200 -
- - - 0 - -
- 86 - 100 86 8,600
- 86 - 400 86 34,400
- - - 0 - -
- 123 - 0 123 -
- 123 - 100 123 12,300
- - - 0 - -
- 1,863 - 0 1,863 -
- 352 - 0 352 -
- - - 0 - -
- 197 - 0 197 -
- - - 0 - -
- 2,560 - 0 2,560 -
153,600 25 2,560 64,000 119 2,560 304,640
- - - 0 - -
- 220 - 0 220 -
- 220 - 0 220 -
- - - 0 - -
- 279 - 0 279 -
- 860 279 239,940 1040 279 290,160
- - - 0 - -

- 1,499 - 0 1,499 -

- - - 0 - -

- 78 - 0 78 -

- 520 78 40,560 1710 78 133,380


- - - 0 - -

- 2,213 - 0 2,213 -

- 3 2,213 6,639 0 2,213 -


- - - 0 - -

- 2,767 - 7 2,767 19,369

- - - 0 - -

- 5 2,096 10,480 3 2,096 6,288

- - - 0 - -

- 3 33,000 99,000 0 33,000 -

- 7 2,200 15,400 3 2,200 6,600


- 33,000 - 40 33,000 1,320,000
- - - 0 - -
- 1,650 - 0 1,650 -

- - - 0 - -

- 149 - 0 149 -

- 149 - 487 149 72,563


- - - 0 - -
- 155 - 0 155 -
- - - 0 - -
- 1,346 - 0 1,346 -
- - - 0 - -
- 110 - 60 110 6,600
- 127 - 1100 127 139,700
- 110 - 0 110 -
- - - 0 - -
- 178 - 0 178 -
- - - 0 - -
- 163 - 0 163 -
- - - 0 - -
- 105 - 0 105 -
- 750 105 78,750 1670 105 175,350
- - - 0 - -
- 52 - 0 52 -
- 80 52 4,160 520 52 27,040
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 127 - 0 127 -
- 703 127 89,281 2054 127 260,858
- - - 0 - -
- 3,650 - 25 3,650 91,250
- - - 0 - -

- 1,265 - 0 1,265 -

- 100 1,265 126,500 240 1,265 303,600

- - - 0 - -

- 15,900 - 22 15,900 349,800


- 9,000 - 0 9,000 -
- - - 0 - -

- 1 82,500 82,500 23 82,500 1,897,500

- 2,367 - 0 2,367 -
- - - 0 - -
- 251 - 0 251 -
- 20 251 5,020 255 251 64,005
- - - 0 - -
- 1,400 - 29 1,400 40,600
- - - 0 - -
- 81 - 0 81 -
- - - 0 - -
- 13,500 - 0 13,500 -

- - - 0 - -
- 1,180 - 0 1,180 -
- 7 1,350 9,450 23 1,350 31,050
- 1,180 - 0 1,180 -
- - - 0 - -

- 73 - 0 73 -

- 55 - 0 55 -
- 1000 2,200 2,200,000 830 2,200 1,826,000
- - - 0 - -
- 22,727 - 0 22,727 -
- 22,727 - 4 22,727 90,908
- - - 0 - -
- 1,596 - 0 1,596 -
- 7 1,596 11,172 82 1,596 130,872
- - - 0 - -
- 600 - 0 600 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -

- - - 0 - -

- - - 0 - -
- 42 - 0 42 -
- - - 0 - -
- 68 - 0 68 -
- 255 68 17,340 475 68 32,300
- - - 0 - -
- 1,738 - 168 1,738 291,984
- - - 0 - -
- - - 0 - -
- 9,983 - 3 9,983 29,949
- - - 0 - -
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- - - 0 - -

- - - 0 - -

- - - 0 - -
- - - 0 - -
- - - 0 - -
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- - - 0 - -
- - - 0 - -
- 1,160 - 45 1,160 52,200
- - - 0 - -
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- - - 0 - -
- - - 0 - -
- - - 0 - -
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- - - 0 - -
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- - - 0 - -
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- - - 0 - -
- 174 - 0 174 -
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- - - 0 - -
- 42 - 160 42 6,720
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- - - 0 - -

- 8,910 - 90 8,910 801,900

- - - 0 - -
- 522 - 820 522 428,040
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- - - 0 - -
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- - - 0 - -
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- - - 0 - -
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- 2,625 - 0 2,625 -
- 10 2,625 26,250 68 2,625 178,500
- - - 0 - -
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- - - 0 - -
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- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
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- - - 0 - -
- - - 0 - -
- - - 0 - -
- 37 - 0 37 -
- - - 0 - -

- 698 - 16 698 11,168

- - - 0 - -
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- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
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- - - 0 - -
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- - - 0 - -

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- - - 0 - -
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- - - 0 - -
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- - - 0 - -
- - - 0 - -
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- - - 0 - -
- - - 0 - -
- - - 0 - -
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- - - 0 - -
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- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 31 - 0 31 -
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- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 5,720 - 26 5,720 148,720
- - - 0 - -
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- - - 0 - -
- - - 0 - -
- - - 0 - -
- 230 - 0 230 -
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- - - 0 - -
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- - - 0 - -
- 76 - 0 76 -
- 15 76 1,140 175 76 13,300
- - - 0 - -
- 105 - 0 105 -
- 105 - 0 105 -
- - - 0 - -
- 38,500 - 0 38,500 -
- - - 0 - -
- 40 - 0 40 -
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- - - 0 - -
- 24 - 0 24 -
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- - - 0 - -
- 330 - 0 330 -
- - - 0 - -
- 4,949 - 0 4,949 -
- - - 0 - -
- 127 - 0 127 -
- 22 121 2,662 0 121 -
- 365 127 46,355 235 127 29,845
- - - 0 - -
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- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 98 - 0 98 -
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- - - 0 - -
- 10,000 - 17 10,000 170,000
- - - 0 - -
- 9,519 - 20 9,519 190,380
- - - 0 - -
- 51 - 0 51 -
76,000 530 76 40,280 780 76 59,280
- - - 0 - -
- 69 - 0 69 -
- 69 - 70 69 4,830
- - - 0 - -
- 97 - 0 97 -
- 607 97 58,879 690 97 66,930
- - - 0 - -
- 269 - 0 269 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 110,000 - 0 110,000 -
- - - 0 - -
- 320 - 0 320 -
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- - - 0 - -
- 5,150 - 0 5,150 -
- 5,150 - 0 5,150 -
- - - 0 - -
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- - - 0 - -
- - - 0 - -
- - - 0 - -
- 405 - 0 405 -
- - - 0 - -
- 1,680 - 0 1,680 -
- - - 0 - -
- 275 - 90 275 24,750
- 275 - 0 275 -
- - - 0 - -
- 1,680 - 0 1,680 -
- 1,680 - 13 1,680 21,840
- - - 0 - -
- 4,016 - 13 4,016 52,208
- - - 0 - -
- 26 - 0 26 -
- 620 26 16,368 2939 26 77,590
- - - 0 - -
- 1,210 - 0 1,210 -
- - - 0 - -
- 152 - 0 152 -
- - - 0 - -
- 12 50 600 232 50 11,600
- - - 0 - -
- 531 - 0 531 -

- - - 0 - -

- - - 0 - -

- - - 0 - -

- 50 152 7,600 700 152 106,400

- 152 - 6583 152 1,000,616


- - - 0 - -

- 79 - 0 79 -

- 79 - 380 79 30,020
- - - 0 - -

114,900 19 2,298 43,662 31 2,298 71,238

- - - 0 - -
- 6,820 - 0 6,820 -
- 6,820 - 0 6,820 -
- - - 0 - -
- 112 - 0 112 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 581 - 0 581 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 1,499 - 0 1,499 -
- 33 1,499 49,467 0 1,499 -
92,900 72 929 66,888 208 929 193,232
- - - 0 - -
- 54,995 - 0 54,995 -
- 54,995 - 0 54,995 -
- - - 0 - -
- 97 - 0 97 -
- 160 97 15,520 5 97 485
- - - 0 - -
- 170 - 50 170 8,500
- - - 0 - -
- 7,260 - 0 7,260 -
- 7,260 - 0 7,260 -
- - - 0 - -
- 7,260 - 0 7,260 -
- 7,260 - 18 7,260 130,680
- - - 0 - -
- 1,130 - 0 1,130 -
- - - 0 - -
- 3,887 - 0 3,887 -
- - - 0 - -
- 248 - 90 248 22,320
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 1,639 - 0 1,639 -
- - - 0 - -
- 10 133 1,331 160 133 21,296
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 1,100 - 0 1,100 -
- 1,100 - 0 1,100 -
- - - 0 - -

- - - 0 - -

- - - 0 - -
- 8 100 800 222 100 22,200
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 12,980 - 0 12,980 -
- 12,980 - 7 12,980 90,860
- - - 0 - -
- 116 - 0 116 -
- 100 116 11,600 590 116 68,440
- - - 0 - -
- - - 0 - -
- 90 169 15,210 1430 169 241,670
- - - 0 - -
- 3,150 - 0 3,150 -
- 9 3,150 28,350 17 3,150 53,550
- - - 0 - -
- 146 - 0 146 -
- 360 146 52,560 320 146 46,720
- - - 0 - -
- 193 - 0 193 -
- 420 193 81,060 140 193 27,020
- - - 0 - -
- 5,170 - 0 5,170 -
- 12 5,170 62,040 19 5,170 98,230
- - - 0 - -
- 127 - 0 127 -
- 70 127 8,890 630 127 80,010
- - - 0 - -
- 704 - 0 704 -
- 704 - 400 704 281,600
- - - 0 - -
- 448 - 190 448 85,120
- - - 0 - -
- 2,310 - 0 2,310 -
- 6 2,310 13,860 72 2,310 166,320
- - - 0 - -
- 440 - 0 440 -
- - - 0 - -
- 700 - 0 700 -
- 700 - 40 700 28,000
- - - 0 - -
- 3,410 - 0 3,410 -
- - - 0 - -
- 2,010 - 0 2,010 -
- 2 1,646 3,292 15 1,646 24,690
- - - 0 - -
- 2,772 - 0 2,772 -
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- - - 0 - -
- 6,875 - 0 6,875 -
- 1,900 - 0 1,900 -
- 6,875 - 18 6,875 123,750
- - - 0 - -
- 221 - 0 221 -
- 221 - 0 221 -
- - - 0 - -
- 109 - 0 109 -
- 109 - 2280 109 248,520
- - - 0 - -
- 1,535 - 0 1,535 -
- 56 1,535 85,960 113 1,535 173,455
- - - 0 - -
- 105 - 0 105 -
- 200 105 21,000 200 105 21,000
- - - 0 - -
- 88 - 0 88 -
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- - - 0 - -
- - - 0 - -
- - - 0 - -
- 849 - 0 849 -
- 297 - 0 297 -
- - - 0 - -

- 25,350 - 0 25,350 -

- 1 25,350 25,350 2 25,350 50,700


- - - 0 - -
- 107 - 800 107 85,600
- 107 - 0 107 -
- - - 0 - -
- 964 - 0 964 -
- 964 - 200 964 192,800
- - - 0 - -
- 854 - 0 854 -
- 854 - 100 854 85,400
- - - 0 - -
- 60,500 - 50 60,500 3,025,000
- - - 0 - -
- 3 9,100 27,300 39 9,100 354,900
- - - 0 - -
- 318 - 0 318 -
- 26 318 8,268 438 318 139,284
- - - 0 - -
- 19 - 0 19 -
- 400 19 7,600 710 19 13,490
- - - 0 - -
- 116 - 0 116 -
- 106 116 12,296 789 116 91,524
- - - 0 - -
- 18,635 - 0 18,635 -
- 2 18,635 37,270 7 18,635 130,445
- - - 0 - -

- 2,344 - 0 2,344 -

- 2,344 - 6 2,344 14,064


- - - 0 - -

- 15,386 - 0 15,386 -

- 1 15,386 15,386 3 15,386 46,158


- - - 0 - -

- 40,202 - 0 40,202 -

- 40,202 - 0 40,202 -
- - - 0 - -
- 98 - 0 98 -
- 270 98 26,460 1514 98 148,372
- - - 0 - -
- 125 - 985 125 123,125
- - - 0 - -
- 12,021 - 0 12,021 -
- 4 12,021 48,084 36 12,021 432,756
- - - 0 - -
- 297 - 200 297 59,400
- - - 0 - -
- 80 - 90 80 7,200
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 128 - 0 128 -
- 410 128 52,480 1150 128 147,200
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 440 - 0 440 -
- - - 0 - -
- 624 - 0 624 -
- - - 0 - -
- 863 - 0 863 -
- - - 0 - -
- 5,720 - 0 5,720 -
- 10 5,720 57,200 121 5,720 692,120
- - - 0 - -
- 92 - 0 92 -
- 30 65 1,950 370 65 24,050
- - - 0 - -
- 93 - 0 93 -
- 110 93 10,230 400 93 37,200
- - - 0 - -
- 1,980 - 0 1,980 -

- 2,200 - 8 2,200 17,600


- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 548 - 0 548 -
- 370 548 202,760 420 548 230,160
- - - 0 - -
- 5,286 - 0 5,286 -
- 23 5,286 121,578 0 5,286 -
- 8 6,285 50,280 42 6,285 263,970
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 5,414 - 0 5,414 -
- - - 0 - -
- - - 0 - -
- - - 0 - -

- 1,451 - 38 1,451 55,124

- - - 0 - -

- 150 - 0 150 -

- - - 0 - -
- 138 - 0 138 -
- 138 - 640 138 88,320
- - - 0 - -
- 177 - 0 177 -
- - - 0 - -
- 480 - 0 480 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 312 - 700 312 218,680
- - - 0 - -
- - - 0 - -
- 350 - 200 350 70,000
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 477 - 400 477 190,800
- - - 0 - -
- - - 0 - -
- 1,155 - 100 1,155 115,500
- - - 0 - -
- 183 - 700 183 128,398
- - - 0 - -
- 283 - 0 283 -
- - - 0 - -

- 42 - 0 42 -

- 42 - 0 42 -
- - - 0 - -
- 770 - 0 770 -
- - - 0 - -
- 2,680 - 0 2,680 -
- - - 0 - -
- 5 363 1,815 93 363 33,759
- - - 0 - -
- 45 - 0 45 -
- 45 - 160 45 7,200
- - - 0 - -
- 63 - 0 63 -
- - - 0 - -
- 7,392 - 0 7,392 -
- - - 0 - -
- 112 - 0 112 -
- 1170 112 131,040 4520 112 506,240
- - - 0 - -
- 521 - 0 521 -
- 130 521 67,730 170 521 88,570
- - - 0 - -
- 8,140 - 0 8,140 -
- 8,140 - 13 8,140 105,820
- - - 0 - -
- 573 - 0 573 -
- 1 6,975 6,975 1 6,975 6,975
- - - 0 - -
- 1 10,395 10,395 47 10,395 488,565
- - - 0 - -
- 155 - 0 155 -
- 141 - 1000 141 141,000
- - - 0 - -
- - - 0 - -
- 1,210 - 0 1,210 -
- - - 0 - -
- 57 - 0 57 -

- - - 0 - -

- 116 - 0 116 -
- 572 - 0 572 -
- - - 0 - -
- 191 - 100 191 19,100
- - - 0 - -
- 275 - 0 275 -
- 275 - 0 275 -
- - - 0 - -
- 162 - 0 162 -
- - - 0 - -
- 1,108 - 0 1,108 -
- 1,109 - 16 1,109 17,744
- - - 0 - -
- 162 - 0 162 -
- - - 0 - -
- 116 - 0 116 -
- - - 0 - -
- 167 - 0 167 -
- - - 0 - -
- 125 - 0 125 -
- - - 0 - -
- 318 - 0 318 -
- - - 0 - -
- 109 - 0 109 -
- - - 0 - -
- 45 - 0 45 -
- - - 0 - -
- 854 - 0 854 -
- - - 0 - -
- 42,727 - 0 42,727 -
- 42,727 - 0 42,727 -
- - - 0 - -
- 1,480 - 0 1,480 -
- 265 1,480 392,200 655 1,480 969,400
- - - 0 - -
- 31 - 0 31 -
- - - 0 - -
- 56 - 0 56 -
- - - 0 - -
- - - 0 - -
- 765,000 - 0 765,000 -
- 765,000 - 2 765,000 1,530,000
- - - 0 - -
- 242,000 - 0 242,000 -
- - - 0 - -
- 338,800 - 0 338,800 -
- 1 338,800 338,800 1 338,800 338,800
- - - 0 - -
- 390,000 - 0 390,000 -
- 390,000 - 0 390,000 -
- - - 0 - -
- 18,333 - 0 18,333 -
- 18,333 - 1 18,333 18,333
- - - 0 - -
- 105,000 - 0 105,000 -
- 1 105,000 105,000 3 105,000 315,000
- - - 0 - -
- 170,000 - 0 170,000 -
- - - 0 - -
- 395,000 - 0 395,000 -
- 197,895 - 1 197,895 197,895
- - - 0 - -
- 55,000 - 1 55,000 55,000
- - - 0 - -
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- - - 0 - -
- 34,000 - 0 34,000 -
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- - - 0 - -
- 176,000 - 0 176,000 -
- - - 0 - -
- - - 0 - -
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- - - 0 - -
- 104 - 0 104 -
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- - - 0 - -
- 825,000 - 0 825,000 -
- 4,545 - 0 4,545 -
- 236,490 - 0 236,490 -
- 396,000 - 0 396,000 -
- 1,319,990 - 0 1,319,990 -

- 175,899 - 0 175,899 -

- 145,000 - 0 145,000 -
- 150,000 - 0 150,000 -
- 168,300 - 0 168,300 -
- 46,200 - 0 46,200 -
- 45,560 - 0 45,560 -
- 42,350 - 0 42,350 -
- 20,454 - 0 20,454 -
- 4,438 - 0 4,438 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 285,000 - 0 285,000 -
- 695,752 - 0 695,752 -

- 412 - 0 412 -
- 286 - 0 286 -
- 497 - 0 497 -
- - - 0 - -
- - - 0 - -
- 1,093 - 0 1,093 -
- 1 848 848 6 848 5,090
- 990 - 100 990 99,000
- - - 0 - -
- 1,038 - 0 1,038 -
- 848 - 0 848 -
- 650 - 0 650 -
- - - 0 - -
- 1,038 - 0 1,038 -
- 5 848 4,241 149 848 126,389
- 792 - 100 792 79,200
- - - 0 - -
- 1,038 - 0 1,038 -
- 16 979 15,660 421 979 412,054
- - - 0 - -
- 2,099 - 0 2,099 -
- 11 2,100 23,100 67 2,100 140,700
- 2,099 - 100 2,099 209,900
- - - 0 - -
- 2,099 - 0 2,099 -
- 2 2,100 4,200 0 2,100 -
- 5 2,099 10,495 45 2,099 94,455
- - - 0 - -
- 6,400 - 0 6,400 -
- 25,920 - 45 25,920 1,166,400
- 6,400 - 48 6,400 307,200
- - - 0 - -
- 5,900 - 0 5,900 -
- 27,000 - 0 27,000 -
- 2 5,900 11,800 18 5,900 106,200
- - - 0 - -
- 6,595 - 0 6,595 -
- 11,990 - 0 11,990 -
- - - 0 - -
- 41 6,595 270,395 9 6,595 59,355
- - - 0 - -
- - - 0 - -
- 4,250 - 0 4,250 -
- 7,684 - 0 7,684 -
- 11,990 - 0 11,990 -
- - - 0 - -
- 4,250 - 0 4,250 -
- 7,684 - 0 7,684 -
- 41 11,990 491,590 38 11,990 455,620
- - - 0 - -
- 3,500 - 0 3,500 -
- 8 4,176 33,408 31 4,176 129,456
- 9,900 - 25 9,900 247,500
- - - 0 - -
- 4,000 - 0 4,000 -
- 4,568 - 3 4,568 13,704
- 9,900 - 8 9,900 79,200
- - - 0 - -
- 7,937 - 0 7,937 -
- 7,018 - 0 7,018 -
- - - 0 - -
- 6,600 - 0 6,600 -
- 20,900 - 0 20,900 -
- - - 0 - -
- 7,787 - 0 7,787 -
- 1 7,787 7,787 39 7,787 303,693
- 7,018 - 20 7,018 140,360
- - - 0 - -
- 7,787 - 0 7,787 -
- 7,937 - 38 7,937 301,606
- 7,018 - 0 7,018 -
- - - 0 - -
- 5 7,787 38,935 46 7,787 358,202
- 7,018 - 20 7,018 140,360
- - - 0 - -
- 10,440 - 0 10,440 -
- 8,000 - 0 8,000 -
- - - 0 - -
- 8,495 - 0 8,495 -
- 10,440 - 0 10,440 -
- 8,000 - 0 8,000 -
- - - 0 - -
- 8,495 - 0 8,495 -
- 10,440 - 0 10,440 -
- 8,000 - 0 8,000 -
- - - 0 - -
- 495 - 0 495 -
- 10,440 - 8 10,440 83,520
- 8,000 - 0 8,000 -
- - - 0 - -
- 7,500 - 0 7,500 -
- 1 27,821 27,821 0 27,821 -
- 24,000 - 1 24,000 24,000
- - - 0 - -
- 17,250 - 0 17,250 -
- - - 0 - -
- 800 - 0 800 -
- - - 0 - -
- 887 - 0 887 -
- 1,100 - 0 1,100 -
- - - 0 - -
- 607 - 0 607 -
- 6 6,121 36,726 0 6,121 -
- 30 2,300 69,000 10 2,300 23,000
- - - 0 - -
- 887 - 0 887 -
- 3,800 - 0 3,800 -
- - - 0 - -
- 1,871 - 0 1,871 -
- 5,621 - 0 5,621 -
- 1,800 - 0 1,800 -
- - - 0 - -
- 8,600 - 0 8,600 -
- 11,724 - 0 11,724 -
- 7,900 - 0 7,900 -
- - - 0 - -
- 10,467 - 0 10,467 -
- 13,221 - 0 13,221 -
- 9,400 - 0 9,400 -
- - - 0 - -
- - - 0 - -
- 137,025 - 0 137,025 -
- 104,500 - 0 104,500 -
- - - 0 - -
- 55,200 - 0 55,200 -
- 133,821 - 0 133,821 -
- 1 130,000 130,000 2 130,000 260,000
- - - 0 - -
- 32,500 - 2 32,500 65,000
- - - 0 - -
- 23,625 - 0 23,625 -
- 1 23,625 23,625 11 23,625 259,875
- - - 0 - -
- 5,082 - 0 5,082 -
- 15 18,781 281,715 47 18,781 882,707
- 5,082 - 0 5,082 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 4,000 - 0 4,000 -
- - - 0 - -
- 5,770 - 0 5,770 -
- 5,770 - 200 5,770 1,154,000
- - - 0 - -
- 1 5,770 5,770 66 5,770 380,820
- 5,770 - 199 5,770 1,148,230
- - - 0 - -
- 5,770 - 0 5,770 -
- 5,770 - 200 5,770 1,154,000
- - - 0 - -
- 5,770 - 0 5,770 -
- - - 0 - -
- 22,000 - 0 22,000 -
- - - 0 - -
- 22,000 - 0 22,000 -
- - - 0 - -
- 1,125 - 0 1,125 -
- 7 1,125 7,875 35 1,125 39,375
- - - 0 - -
- 200,455 - 0 200,455 -
- 8,018 - 80 8,018 641,440
- - - 0 - -
- 68,181 - 0 68,181 -
- - - 0 - -
- 68,181 - 0 68,181 -
- - - 0 - -
- 6,825 - 0 6,825 -
- 3,413 - 0 3,413 -

- 1,494,992 11,091,611
437,400 7,393,189 41,285,869

Rumbia, 31 Agustus 2016

Penanggung Jawab
Laporan

Wa Ode Wahyuni Hambe, S. Si, Apt


Nip. 19870305 201101 2 019
REKAPAN PENGGUNAAN OBAT DAN PERBEK
PUSKESMAS SELAMA 1 TAHUN
TAHUN 2016

SKPD : PUSKESMAS RUMBIA


KABUPATEN : BOMBANA
PROVINSI : SULAWESI TENGARA

Saldo Awal 2016 Mutasi Masuk


Satuan /
No Nama Obat 1 September 2016 bulan September 2016
Kemasan
Jumlah Harga Satuan (Rp) Nilai (Rp) Jumlah Harga Satuan
1 2 3 4 5 6 7 8
OBAT

1 Air untuk injeksi amp 25 ml (aqua pro injeksi) Ampul 0 6,050 - 6,050

24 2,200 52,800 2,200


0 - - -
2 Albendazol tab 400 mg Tab 0 12,750 - 12,750
0 363 - 363
0 - - -
3 Alopurinol tab 100 mg Tab 0 - - -
0 - - -
4 Alprazolam tab 1 mg Tab 0 245 - 245
173 245 42,385 245
0 - - -
5 Albothyl cairan Botol 0 18,635 - 18,635
0 - - -
6 Ambroksol tablet 30 mg Tab 0 138 - 138
810 138 111,780 138
0 - - -
7 Ambroksol sirup Botol 0 2,722 - 2,722
22 2,722 59,884 2,722
0 - - -
8 Aminofilin inj 24 mg/ml Ampul 0 4,204 - 4,204
0 4,200 - 4,200
0 - - -
9 Aminofilin tab 200 mg Tab 100 86 8,600 86
400 86 34,400 86
0 - - -
10 Amitriptilin tab sal 25 mg Tab sal 0 123 - 123
100 123 12,300 123
0 - - -
11 Amlodipin tab 10 mg Tab 0 1,863 - 1,863
0 352 - 352
0 - - -
12 Amlodipin tab 5 mg Tab 0 197 - 197
0 - - -
13 Amoksisilin sir kering 125 mg/5 ml Botol 0 2,560 - 2,560
119 2,560 304,640 15 2,560
0 - - -
14 Amoksisilin tab 250 mg Tab 0 220 - 220
0 220 - 220
0 - - -
15 Amoksisilin tab 500 mg Tab 0 279 - 279
1040 279 290,160 1,000 279
0 - - -
Anestetik lokal gigi kombinasi : lidokain hcl
16 2% + epinefrin 1 : 80.000 inj 2 ml Ampul 0 1,499 - 1,499

0 - - -

Antasida, kombinasi : aluminium hidroksida


17 Tab kunyah 0 78 - 78
200 mg + magnesium hidroksida 200 mg

1710 78 133,380 78
0 - - -
Antasida, kombinasi : aluminium hidroksida
18 200 mg + magnesium hidroksida 200 mg Botol 0 2,213 - 2,213
Suspensi
0 2,213 - 5 2,213
0 - - -
Antibakteri, kombinasi : basitrasin 500 UI/g+
19 Tube 7 2,767 19,369 2,767
Polimiskin B 10.000 UI/g
Antifungi salep, kombinasi : asam benzoat 6% 0 - - -
+ asam salisilat 3%
20 Tube 3 2,096 6,288 2,096

0 - - -
mg + heksaklorofen 2,5 mg + lidokain
lidokain 10 mg+ seng oksida 120 mg + sup
21 ad 2 g Suppo 0 33,000 - 33,000

3 2,200 6,600 2,200


40 33,000 1,320,000 33,000
0 - - -
Anti Parkinson kombinasi : benzerasid 25 mg +
22 Kaps 0 1,650 - 1,650
levodopa 100 mg
0 - - -
Anti Migren, kombinasi : ergotamin 1 mg+
23 Tab 0 149 - 149
kafein 50 mg
487 149 72,563 149
0 - - -
24 Antalgin (metampirom) tablet 100 mg Tab 0 155 - 155
0 - - -
25 Antalgin (metampirom) injeksi 250 mg/ml-2 ml Ampul 0 1,346 - 1,346
0 - - -
26 Asam asetilsalisilat (asetosal) tab 100 mg Tab 60 110 6,600 110
1100 127 139,700 127
0 110 - 110
0 - - -
27 Asam asetilsalisilat (asetosal) tab 500 mg Tab 0 178 - 178
0 - - -
Asam asetilsalisilat (asetosal) tab 80 mg
28 Tab 0 163 - 163
(Miniaspi 80)
0 - - -
29 Asam askorbat (vitamin C) tab 50 mg Tab 0 105 - 105
1670 105 175,350 105
0 - - -
30 Asam folat tab 1 mg Tab 0 52 - 52
520 52 27,040 52
0 - - -
31 Asam mefenamat kaps 250 mg Kaps 0 - - -
0 - - -
32 Asam mefenamat kaps 500 mg Kaps 0 127 - 127
2054 127 260,858 500 127
0 - - -
33 Asam traneksamat inj 50 mg/ml Ampul 25 3,650 91,250 3,650
0 - - -

34 Asam traneksamat tab 500 mg Tab 0 1,265 - 1,265

240 1,265 303,600 1,265

0 - - -

35 Asering larutan infus Botol 22 15,900 349,800 15,900


0 9,000 - 9,000
0 - - -

36 Asiklovir salep kulit Tube 23 82,500 1,897,500 82,500

0 2,367 - 2,367
0 - - -
37 Asiklovir tab 200 mg Tab 0 251 - 251
255 251 64,005 251
0 - - -
38 Atropin inj 0,25 mg/ml (i.m./i.v./s.k) Ampul 29 1,400 40,600 1,400
0 - - -
39 Atropin tab 0,5 mg Tab 0 81 - 81
0 - - -

40 Atropin tts mata 0,5% (Cendotropin 0,5%) Botol 0 13,500 - 13,500

0 - - -
41 Bedak salisil serb 2% Botol 0 1,180 - 1,180
23 1,350 31,050 1,350
0 1,180 - 1,180
0 - - -
Besi (II) sulfat 200 mg + asam folat 0.25 mg
42 Sachet 0 73 - 73
(tablet tambah darah)
0 55 - 55
830 2,200 1,826,000 2,200
0 - - -
43 Becefort syrup Botol 0 22,727 - 22,727
4 22,727 90,908 22,727
0 - - -
44 Betametason krim 0,1% Tube 0 1,596 - 1,596
82 1,596 130,872 1,596
0 - - -
45 Betahistin mesilate tablet tablet 0 600 - 600
0 - - -
46 Bisakodil sup 10 mg (Stolax) Botol 0 - - -
0 - - -
47 Bisakodil tab sal 5 mg Tab sal 0 - - -
0 - - -
48 Bismecon salep tube 0 - - -
0 - - -
Budesonid-formoterol (fixed combination)* ih
49 Botol 0 - - -
80/4,5 mcg
0 - - -
50 Bromheksin tablet tablet 0 42 - 42
0 - - -
51 Deksametason tab 0,5 mg Tab 0 68 - 68
475 68 32,300 68
0 - - -
52 Deksametason inj 5 mg/ml (i.v./i.m.) Vial 168 1,738 291,984 1,738
0 - - -
53 Desoksimetason salep 0,25% Tube 0 - - -
3 9,983 29,949 9,983
0 - - -
54 Diazepam inj 5 mg/ml (i.v./i.m.) Vial 0 2,578 - 2,578
51 2,578 131,478 2,578
0 - - -

55 Diazepam lar rektal 10 mg/2,5 ml (Stesolid) Botol 0 - - -


0 - - -
56 Diazepam supposutoria suppo 0 - - -
0 - - -
57 Diazepam tab 2 mg Tab 0 28 - 28
0 - - -
58 Diazepam tab 5 mg Tab 55 28 1,540 28
0 - - -
59 Dietilkarbamazin tab 100 mg Tab 0 - - -
0 - - -
60 Difenhidramin inj 10 mg/ml (i.v./i.m.) Ampul 45 1,160 52,200 1,160
0 - - -
61 Digoksin tab 0,25 mg Tab 100 103 10,300 103
0 - - -
62 Diltiazem kaps SR 100 mg Kaps 0 - - -
0 - - -
63 Diltiazem tab 30 mg Tab 0 141 - 141
560 141 78,960 141
0 - - -
64 Doksisiklin tablet 100 mg Tab 160 278 44,528 278
0 - - -
65 Domperidon susp 5 mg/5 ml Botol 0 3,490 - 3,490
15 3,490 52,350 50 3,490
0 - - -
66 Domperidon tab 10 mg Tab 0 174 - 174
613 174 106,662 174
0 - - -
67 Efedrin HCl tablet Tab 0 56 - 56
350 56 19,737 56
0 - - -
68 Ekstrak belladon tablet 10 mg tab 160 42 6,720 42
5000 42 210,000 42
0 - - -

69 Epinefrin (adrenalin) inj 0,1% (i.v./s.k./i.m.) Ampul 90 8,910 801,900 8,910

0 - - -
70 Eritromisin kaps 250 mg Kaps 820 522 428,040 522
0 522 - 522
0 - - -
71 Eritromisin sir 200 mg/5 ml Botol 24 7,581 181,944 7,581
0 - - -
72 Eritromisin tab 500 mg Tab 465 1,013 470,938 1,013
0 1,023 - 1,023
0 - - -
73 Etanol 70% cairan 70% Botol 0 2,625 - 2,625
0 2,625 - 2,625
68 2,625 178,500 2,625
0 - - -
74 Etakridin (rivanol) larutan 0.1% Botol 0 4,695 - 4,695
5 4,695 23,475 4,695
0 - - -
75 Etil klorida semprot 100 ml Botol 0 124 - 124
0 - - -
76 Famotidin tablet 20 mg Tab 0 - - -
0 124 - 124
0 - - -
77 Fenitoin Na inj 50 mg/ml Ampul 0 - - -
0 - - -
78 Fenitoin Na kaps 100 mg Kaps 0 - - -
100 146 14,600 146
0 - - -
79 Fenobarbital inj 50 mg/ml Ampul 0 37 - 37
90 1,980 178,200 1,980
0 - - -
80 Fenobarbital tab 100 mg Tab 0 - - -
0 - - -
81 Fenobarbital tab 30 mg Tab 0 37 - 37
0 - - -

82 Fitomenadion (vitamin K 1) inj 2 mg/ml (i.m.) Vial 16 698 11,168 698

0 - - -
83 Fitomenadion (vitamin K 1) tab sal 10 mg Tab sal 100 698 69,800 698
0 - - -
84 Flukonazol kaps 150 mg Kaps 0 - - -
0 - - -
85 Flusinolon asetonid krim 0,025% Tube 0 - - -
0 - - -
86 Flunarizin tablet tablet 0 2,012 - 2,012
0 - - -
87 Furosemid inj 10 mg/ml (i.v./i.m.) Ampul 34 2,012 68,408 2,012
0 - - -
88 Furosemid tab 40 mg Tab 0 84 - 84
360 84 30,240 84
0 - - -
Garam oralit kombinasi : natrium klorida 0,52
g + kalium klorida 0,30 g + trinatrium sitrat
89 Sachet 0 317 - 317
0,58 g + glukosa anhidrat 2,7 g

0 317 - 317
0 - - -
90 Gameksan lotion 1 % Botol 0 2,420 - 2,420
0 - - -
91 Gemfibrozil kaps 300 mg Kaps 0 323 - 323
0 - - -
92 Gemfibrozil kaps 600 mg Kaps 0 - - -
0 - - -
93 Gentamisin inj 10 mg/ml Ampul 0 3,739 - 3,739
0 - - -
94 Gentamisin salep mata 0,3% Tube 0 - - -
0 - - -
95 Gentamisin salep Kulit Tube 0 2,340 - 2,340
27 1,469 39,663 1,469
30 3,513 105,390 3,513
0 - - -
96 Gentamisin tts mata 0,3% Botol 0 3,194 - 3,194
0 - - -
97 Glibenklamid tab 5 mg Tab 0 61 - 61
120 61 7,320 61
0 - - -
98 Glimepirid tab 4 mg Tab 0 - - -
0 - - -
99 Glipizid tablet 5 mg (Glucotrol 5 mg) Tab 0 - - -
0 - - -
100 Gliseril Guaiakolat tab 100 mg Tab 0 31 - 31
6680 31 207,080 31
0 - - -
101 Gliserin lar 50% Botol 0 - - -
0 - - -
102 Glukosamin tablet 500 mg Tab 0 - - -
0 - - -
103 Glukosa Larutan Infus 5% steril Botol 26 5,720 148,720 5,720
0 - - -
104 Glukosa Larutan Infus 10% steril Botol 15 6,270 94,050 6,270
0 - - -
105 Glukosa Larutan Infus 40% steril Botol 0 - - -
0 - - -
106 Griseofulvin (micronized) tab 125 mg Tab 0 230 - 230
130 230 29,900 230
0 - - -
107 Haloperidol tab 0,5 mg Tab 0 62 - 62
0 - - -
108 Haloperidol tab 1,5 mg Tab 0 76 - 76
175 76 13,300 76
0 - - -
109 Haloperidol tab 5 mg Tab 0 105 - 105
0 105 - 105
0 - - -
110 Hidrogen peroksida (H2O2) cairan 3% Botol 0 38,500 - 38,500
0 - - -
111 Hidroklorotiazid (HCT) tab 25 mg Tab 0 40 - 40
9500 40 380,000 40
0 - - -
112 Hidrokortison krim 2,5% Tube 0 24 - 24
0 3,200 - 3,200
0 - - -
113 Hiosina butilbromida tab 10 mg Tab 0 330 - 330
0 - - -
114 Ibuprofen susp 100 mg/5 ml Botol 0 4,949 - 4,949
0 - - -
115 Ibuprofen tab 200 mg Tab 0 127 - 127
0 121 - 121
235 127 29,845 127
0 - - -
116 Ibuprofen tab 400 mg Tab 0 157 - 157
60 157 9,420 157
0 - - -
Ipratropium bromida nebulizer 0,025%
117 Botol 0 - - -
(Atroven sol. for inhalation 0.025%)
0 - - -
118 Isoniazid tab 300 mg Tab 0 - - -
0 - - -
119 Isosorbid dinitrat inj 10 mg/10 ml (Fasorbid) Vial 0 - - -
0 - - -
120 Isosorbid dinitrat tab 5 mg Tab 0 98 - 98
90 98 8,820 98
0 - - -
121 KA-EN 3B Cairan Infus Botol 17 10,000 170,000 10,000
0 - - -
122 Kalsium glukonat inj 100 mg/ml Ampul 20 9,519 190,380 9,519
0 - - -
123 Kalsium laktat (kalk) tab 500 mg Tab 0 51 - 51
780 76 59,280 76
0 - - -
124 Kaptopril tab 12,5 mg Tab 0 69 - 69
70 69 4,830 69
0 - - -
125 Kaptopril tab 25 mg Tab 0 97 - 97
690 97 66,930 300 97
0 - - -
126 Karbamazepin tab 200 mg Tab 0 269 - 269
0 - - -
127 Karbo adsorben (Norit) tab 500 mg Tab 0 - - -
0 - - -
128 Ketamin inj 50 mg/ml (i.v.) Ampul 0 110,000 - 110,000
0 - - -
129 Ketokonazol tab 200 mg Tab 0 320 - 320
0 320 - 320
0 - - -
130 Ketokonazol krim 2% Tube 0 5,150 - 5,150
0 5,150 - 5,150
0 - - -
131 Ketorolak inj 10 mg/ml Ampul 0 2,665 - 2,665
78 2,665 207,870 2,665
0 - - -
132 Klaritromisin tab 500 mg Tab 0 - - -
0 - - -
133 Klindamisin kaps 150 mg Kaps 0 405 - 405
0 - - -
134 Kloramfenikol tts mata 0,5% Botol 0 1,680 - 1,680
0 - - -
135 Kloramfenikol kaps 250 mg Kaps 90 275 24,750 275
0 275 - 275
0 - - -
136 Kloramfenikol salep mata 1% Tube 0 1,680 - 1,680
13 1,680 21,840 1,680
0 - - -
137 Kloramfenikol susp 125 mg/5 ml Botol 13 4,016 52,208 4,016
0 - - -
138 Klorfeniramin (CTM) tab 4 mg Tab 0 26 - 26
2939 26 77,590 26
0 - - -
139 Klorpromazin inj 25 mg/ml (i.m.) Ampul 0 1,210 - 1,210
0 - - -
140 Klorpromazin tab sal 100 mg Tab sal 0 152 - 152
0 - - -
141 Klorpromazin tab sal 25 mg Tab sal 232 50 11,600 50
0 - - -

142 Kombinasi : Pirimethamin 25 mg + sulfadoksin Tab 0 531 - 531

Kombinasi: ipratropium Br 0,5 mg+ 0 - - -


salbutamol 2,5 mg nebules (Combivent UDV)
143 Vial 0 - - -

0 - - -
Kotrimoksazol (dewasa) kombinasi :
sulfametoksazol 400 mg+ trimetoprim 80
144 Tab 700 152 106,400 152
mg

6583 152 1,000,616 152


0 - - -
Kotrimoksazol (anak) kombinasi :
sulfametoksazol 100 mg+ trimetoprim 20
145 Tab 0 79 - 79
mg

380 79 30,020 79
0 - - -
Kotrimoksazol (dewasa) kombinasi tiap 5 ml
146 suspensi : sulfametoksazol 200 mg + Botol 31 2,298 71,238 2,298
trimetoprim 40 mg
0 - - -
147 Kuinin inj 25% (i.v.) Vial 0 6,820 - 6,820
0 6,820 - 6,820
0 - - -
148 Kloroquin tab 150 mg Tab 0 112 - 112
0 - - -
149 Lansoprazol kaps 30 mg Kaps 0 - - -
0 - - -
150 Levofloksasin tab 500 mg Tab 0 581 - 581
0 - - -
151 Lidokain gel 2% Tube 0 - - -
0 - - -
152 Lidokain inj 2% (hcl) Vial 0 1,499 - 1,499
0 1,499 - 1,499
208 929 193,232 929
0 - - -
153 Lisol Botol 0 54,995 - 54,995
0 54,995 - 54,995
0 - - -
154 Loperamid tab 2 mg Tab 0 97 - 97
5 97 485 200 97
0 - - -
155 Loratadin tab 10 mg Tab 50 170 8,500 170
0 - - -
156 Magnesium sulfat inj 20% Vial 0 7,260 - 7,260
0 7,260 - 7,260
0 - - -
157 Magnesium sulfat inj 40% Vial 0 7,260 - 7,260
18 7,260 130,680 7,260
0 - - -
158 Magnesium sulfat serb, ktg 30 g Sachet 0 1,130 - 1,130
0 - - -
159 Mebendazol sir 50 mg/ml Botol 0 3,887 - 3,887
0 - - -
160 Mebendazol tab 100 mg Tan 90 248 22,320 248
0 - - -
161 Metformin tab 500 mg Tab 0 - - -
0 - - -
162 Metformin tab 850 mg Tab 0 - - -
0 - - -
163 Metilergometrin inj 0,2 mg/ml Ampul 0 1,639 - 1,639
0 - - -
164 Metilergometrin tab salut 0,125 mg Tab sal 160 133 21,296 133
0 - - -
165 Metilprednisolon tab 4 mg Tab 0 - - -
0 - - -
166 Metoklopramid inj 5 mg/ml Vial 0 1,100 - 1,100
0 1,100 - 1,100
0 - - -

167 Metoklopramid sir 5 mg/5 ml (Lexapram sirup) Botol 0 - - -

0 - - -
168 Metoklopramid tab 10 mg Tab 222 100 22,200 100
0 - - -
169 Metronidazol supposutoria 500 mg suppo 0 - - -
0 - - -
170 Metronidazol larutan infus Botol 0 12,980 - 12,980
7 12,980 90,860 12,980
0 - - -
171 Metronidazol tab 250 mg Tab 0 116 - 116
590 116 68,440 116
0 - - -
172 Metronidazol tab 500 mg Tab 0 - - -
1430 169 241,670 169
0 - - -
173 Mikonazol krim 2% Tube 0 3,150 - 3,150
17 3,150 53,550 3,150
0 - - -
174 Natrium diklofenak tab 25 mg Tab 0 146 - 146
320 146 46,720 146
0 - - -
175 Natrium diklofenak tab 50 mg Tab 0 193 - 193
140 193 27,020 600 193
0 - - -
176 NaCl 0,9% Larutan infus Botol 0 5,170 - 5,170
19 5,170 98,230 5,170
0 - - -
177 Nifedipin kaps 10 mg Kaps 0 127 - 127
630 127 80,010 200 127
0 - - -
178 Nistatin tab salut 500.000 UI Tab 0 704 - 704
400 704 281,600 704
0 - - -
179 Nistatin tab vaginal 100.000 UI Tab 190 448 85,120 448
0 - - -
180 Obat Batuk Hitam (OBH) Botol 0 2,310 - 2,310
72 2,310 166,320 2,310
0 - - -
181 Ofloksasin tab 200 mg Tab 0 440 - 440
0 - - -
182 Ofloksasin tab 400 mg Tab 0 700 - 700
40 700 28,000 700
0 - - -
183 Oksitetrasiklin hcl inj 500 mg/ml Vial 0 3,410 - 3,410
0 - - -
184 Oksitetrasiklin hcl salep kulit 3% Tube 0 2,010 - 2,010
15 1,646 24,690 1,646
0 - - -
185 Oksitetrasiklin hcl salep mata 1 % Tube 0 2,772 - 2,772
133 2,772 368,676 2,772
0 - - -
186 Oksitosin inj 10 UI/ml Ampul 0 6,875 - 6,875
0 1,900 - 1,900
18 6,875 123,750 6,875
0 - - -
187 Omeprazol kaps 20 mg Kaps 0 221 - 221
0 221 - 221
0 - - -
188 Papaverin tablet 40 mg Tab 0 109 - 109
2280 109 248,520 109
0 - - -
189 Parasetamol sir 120 mg/5 ml Botol 0 1,535 - 1,535
113 1,535 173,455 1,535
0 - - -
190 Parasetamol tab 100 mg Tab 0 105 - 105
200 105 21,000 105
0 - - -
191 Parasetamol tab 500 mg Tab 0 88 - 88
2595 88 228,360 88
0 - - -
192 Parasetamol rectal suppo 0 - - -
0 - - -
193 Pehavral tablet multivitamin Tab 0 849 - 849
0 297 - 297
0 - - -

194 Perak sulfadiazin krim 1% (Burnazin 35 gr) Tube 0 25,350 - 25,350

2 25,350 50,700 25,350


0 - - -
195 Phenylbutazon tablet 200 mg Tab 800 107 85,600 107
0 107 - 107
0 - - -
196 Piracetam tablet 800 mg Tab 0 964 - 964
200 964 192,800 964
0 - - -
197 Piracetam tablet 1200 mg Tab 0 854 - 854
100 854 85,400 854
0 - - -
198 Piracetam injeksi 1 g/5 ml Ampul 50 60,500 3,025,000 60,500
0 - - -
199 Pirantel pamoat susp 125 mg/5 ml Botol 39 9,100 354,900 9,100
0 - - -
200 Pirantel pamoat tab scored 125 mg Tab 0 318 - 318
438 318 139,284 318
0 - - -
201 Piridoksin (vitamin B6) tab 25 mg Tab 0 19 - 19
710 19 13,490 19
0 - - -
202 Piroksikam tablet 20 mg Tab 0 116 - 116
789 116 91,524 116
0 - - -
203 Polikresulen Botol 0 18,635 - 18,635
7 18,635 130,445 18,635
0 - - -

204 Povidon iodin lar 100 mg/ml Botol 30 ml 0 2,344 - 2,344

6 2,344 14,064 2,344


0 - - -
Botol 300
205 Povidon iodin lar 100 mg/ml 0 15,386 - 15,386
ml
3 15,386 46,158 15,386
0 - - -
Botol 1000
206 Povidon iodin lar 100 mg/ml 0 40,202 - 40,202
ml
0 40,202 - 40,202
0 - - -
207 Prednison tab 5 mg Tab 0 98 - 98
1514 98 148,372 98
0 - - -
208 Primakuin tab 15 mg Tab 985 125 123,125 125
0 - - -
209 Procurma syrup Botol 0 12,021 - 12,021
36 12,021 432,756 12,021
0 - - -
210 Propiltiourasil tab 100 mg Tab 200 297 59,400 297
0 - - -
211 Propranolol tab 40 mg Tab 90 80 7,200 80
0 - - -
212 Ranitidin inj 25 mg/ml Ampul 0 - - -
0 - - -
213 Ranitidin tab 150 mg Tab 0 128 - 128
1150 128 147,200 128
0 - - -
214 Reserpin tablet 0.25 mg Tab 0 - - -
0 - - -
215 Rifampisin kaps 300 mg Kaps 0 440 - 440
0 - - -
216 Rifampisin tab 450 mg Tab 0 624 - 624
0 - - -
217 Rifampisin tab 600 mg Tab 0 863 - 863
0 - - -
218 Ringer Laktat Larutan infus Botol 0 5,720 - 5,720
121 5,720 692,120 5,720
0 - - -
219 Salbutamol tab 2 mg Tab 0 92 - 92
370 65 24,050 65
0 - - -
220 Salbutamol tab 4 mg Tab 0 93 - 93
400 93 37,200 93
0 - - -
Salep 2-4, kombinasi : asam salisilat 2 %+
221 Tube 0 1,980 - 1,980
belerang endap 4 %
8 2,200 17,600 2,200
0 - - -
222 Scabicid salep Tube 0 - - -
223 Sefadroksil kaps 250 mg Vial 0 - - -
0 - - -
224 Sefadroksil kaps/tab 500 mg Tab 0 548 - 548
420 548 230,160 548
0 - - -
225 Sefadroksil sir kering 125 mg/5 ml Botol 0 5,286 - 5,286
0 5,286 - 5,286
42 6,285 263,970 6,285
0 - - -
226 Sefiksim kapsul 100 mg Tab 0 - - -
0 - - -
227 Sefotaksim serb inj 1.000 mg/vial Vial 0 - - -
0 - - -
228 Seftriakson serb inj 1.000 mg/vial Vial 0 5,414 - 5,414
0 - - -
229 Setirizin tab 10 mg Tab 0 - - -
0 - - -

230 Sianokobalamin (vitamin B12) inj 500 mcg/ml Vial 38 1,451 55,124 1,451

0 - - -

231 Sianokobalamin (vitamin B12) tab 50 mcg Tab 0 150 - 150

0 - - -
232 Simetidin tablet 200 mg Tab 0 138 - 138
640 138 88,320 138
0 - - -
233 Simvastatin tab sal 10 mg Tab sal 0 177 - 177
0 - - -
234 Simvastatin tab sal 20 mg Tab sal 0 480 - 480
0 - - -
235 Siprofloksasin inf 2 mg/ml Botol 0 - - -
0 - - -
236 Siprofloksasin tab scored 500 mg Tab 700 312 218,680 312
0 - - -
237 Spironolakton tab 100 mg Tab 0 - - -
200 350 70,000 350
0 - - -
238 Sulfasetamid Natrium Tetes mata 1.5% Botol 0 - - -
0 - - -
239 Sukralfat susp 500 mg/5 ml (Ulsafate) Botol 0 - - -
0 - - -
240 Sukralfat tab 500 mg (Ulsidex) Tab 0 - - -
400 477 190,800 477
0 - - -
241 Teofilin tab SR 300 mg (Rethapyl) Tab 0 - - -
100 1,155 115,500 1,155
0 - - -
242 Tetrasiklin kaps 250 mg Kaps 700 183 128,398 183
0 - - -
243 Tetrasiklin kaps 500 mg Kaps 0 283 - 283
0 - - -

244 Tiamin (vitamin B1) mononitrat tab 50 mg Tab 0 42 - 42

0 42 - 42
0 - - -
245 Tiamin (vitamin B1) injeksi 100 mg/ml Tab 0 770 - 770
0 - - -
246 Tramadol inj 50 mg/ml Ampul 0 2,680 - 2,680
0 - - -
247 Tramadol tablet 500 mg Tab 93 363 33,759 50 363
0 - - -
248 Triheksifenidil tab 2 mg Tab 0 45 - 45
160 45 7,200 45
0 - - -
249 Vitamin B12 tablet 50 mcg Tab 0 63 - 63
0 - - -
250 Vitamin B kompleks injeksi Vial 0 7,392 - 7,392
0 - - -
251 Vitamin B kompleks Tab 0 112 - 112
4520 112 506,240 112
0 - - -
252 Zinc tab disp 20 mg Tab 0 521 - 521
170 521 88,570 521
0 - - -
253 Zinc sirup 20 mg / 5 ml Botol 0 8,140 - 8,140
13 8,140 105,820 8,140
0 - - -
254 Larutan PK botol 0 573 - 573
1 6,975 6,975 6,975
0 - - -
255 Kanamisin inj Vial 47 10,395 488,565 10,395
0 - - -
256 Antalgin 500mg tab 0 155 - 155
1000 141 141,000 141
0 - - -
257 Klorpromazin inj 25 mg/ml (i.m.) Ampul 0 - - -
0 1,210 - 1,210
0 - - -

258 Kalsium laktat (kalk) tab 500 mg Tab 0 57 - 57


0 - - -

259 Kloroquin tab 250 mg Tab 0 116 - 116


0 572 - 572
0 - - -
260 Klonidin 0,15 mg Tab 100 191 19,100 191
0 - - -
261 Kloramfenikol kaps 250 mg Kaps 0 275 - 275
0 275 - 275
0 - - -
262 Klorpromazin tab sal 100 mg Tab sal 0 162 - 162
0 - - -
263 Fenolgliserol TT 10% Kotak 0 1,108 - 1,108
16 1,109 17,744 1,109
0 - - -
265 Tetrasiklin kaps 250 mg Kaps 0 162 - 162
0 - - -
266 Kloroquin tab 250 mg 0 116 - 116
0 - - -
267 Papaverin tablet 40 mg 0 167 - 167
0 - - -
268 Prednison tab 5 mg Tab 0 125 - 125
0 - - -
269 Pirantel pamoat tab scored 125 mg Tab 0 318 - 318
0 - - -
270 Hidroklorotiazid (HCT) tab 25 mg Tab 0 109 - 109
0 - - -
271 Triheksifenidil tab 2 mg Tab 0 45 - 45
0 - - -
272 Piracetam tablet 1200 mg Tab 0 854 - 854
0 - - -
273 Vical suspensi btl 0 42,727 - 42,727
0 42,727 - 42,727
0 - - -
274 Lexavit tab 0 1,480 - 1,480
655 1,480 969,400 1,480
0 - - -
275 Gliseril Guaiakolat tab 100 mg Tab 0 31 - 31
0 - - -
276 Efedrin HCl tablet Tab 0 56 - 56
0 - - -
B.OBAT GIGI 0 - - -
1 Bonding Botol 0 765,000 - 765,000
2 765,000 1,530,000 765,000
0 - - -
2 Calcium hidrosida cement pasta (hycal) Kotak 0 242,000 - 242,000
0 - - -
3 Comfosite Tube 0 338,800 - 338,800
1 338,800 338,800 338,800
0 - - -
4 Devitalisasi Pasta (Non Arsen) Kotak 0 390,000 - 390,000
0 390,000 - 390,000
0 - - -
5 Eugenol cair Botol 0 18,333 - 18,333
1 18,333 18,333 18,333
0 - - -
6 Etil Klorida spray Botol 0 105,000 - 105,000
3 105,000 315,000 105,000
0 - - -
7 Etza Tube 0 170,000 - 170,000
0 - - -
8 Glass Ionomer Cement ART Set 0 395,000 - 395,000
1 197,895 197,895 197,895
0 - - -
9 Klorfenol Kamfer Menthol (CHKM) Botol 1 55,000 55,000 55,000
0 - - -
10 Semen Seng Fosfat serbuk dan cairan Set 0 93,500 - 93,500
2 93,500 187,000 93,500
0 - - -
11 Temporari stoping pletcher Set 0 34,000 - 34,000
0 34,000 - 34,000
0 - - -
12 Mummiyng pasta Kotak 0 176,000 - 176,000
0 - - -
C.OBAT PROGRAM 0 - - -
1 Albedazole 400mg Tab 0 425 - 425
2 Artemether inj 80 mg/ml Ampul 0 24,384 - 24,384
3 Artesunat serb inj 60 mg/ml (i.v./i.m.) Vial 0 27,569 - 27,569
8 27,569 220,552 27,569
0 - - -
4 Dietilkarbamazin tab 100 mg Tab 0 104 - 104
2000 104 208,000 104
0 - - -
5 Imersion oil Botol 0 825,000 - 825,000
6 Iodina Test Botol 0 4,545 - 4,545
7 Obat Anti Tuberculosis FDC Kategori Anak Paket 0 236,490 - 236,490
8 Obat Anti Tuberculosis FDC Kategori I Paket 0 396,000 - 396,000
9 Obat Anti Tuberculosis FDC Kategori II Paket 0 1,319,990 - 1,319,990

10 Obat Anti Tuberculosis FDC Kategori Sisipan Paket 0 175,899 - 175,899

11 Reagen Zenit Nelson Botol 0 145,000 - 145,000


12 RDT Dangue DBD Set 0 150,000 - 150,000
13 RDT malaria (care star ) Set 0 168,300 - 168,300
14 RDT HIV (intec) Set 0 46,200 - 46,200
15 RDT HIV (vikia) Set 0 45,560 - 45,560
16 RDT HIV (Oncoprobe) Set 0 42,350 - 42,350
17 Taburia Kotak 0 20,454 - 20,454
18 Quinina injeksi Ampul 0 4,438 - 4,438
19 Vaksin BCG inj (i.k) Vial 0 - - -
20 Vaksin campak inj (s.k.) Vial 0 - - -
21 Vaksin jerap difteri tetanus pertusis (DTP) inj (i Vial 0 - - -
22 Vaksin jerap difteri tetanus (DT) Vial 0 - - -
23 Vaksin kombinasi DPT + hepatitis B inj (i.m.) Vial 0 - - -
24 Vaksin polio drops 10 dosis Vial 0 285,000 - 285,000
Vaksin rabies, untuk manusia serb inj (s.k./i.k)
25 Vial 0 695,752 - 695,752
+ booster
Retinol (Vit.A) 200.000 IU kap lunak 0 412 - 412
Retinol (Vit.A) 100.000 IU kap lunak 0 286 - 286
zink tab.20mg 0 497 - 497
Doxiciklin tab 0 - - -
D.BAHAN MEDIS HABIS PAKAI (BHMP) 0 - - -
1 Alat suntik sekali pakai 1 ml Set 0 1,093 - 1,093
6 848 5,090 848
100 990 99,000 990
0 - - -
2 Alat suntik sekali pakai 2,5 ml Set 0 1,038 - 1,038
0 848 - 848
0 650 - 650
0 - - -
3 Alat suntik sekali pakai 3 ml Set 0 1,038 - 1,038
149 848 126,389 848
100 792 79,200 792
0 - - -
4 Alat suntik sekali pakai 5 ml Set 0 1,038 - 1,038
421 979 412,054 979
0 - - -
5 Bisturi no. 20 Buah 0 2,099 - 2,099
67 2,100 140,700 2,100
100 2,099 209,900 2,099
0 - - -
6 Bisturi no. 15 Buah 0 2,099 - 2,099
0 2,100 - 2,100
45 2,099 94,455 2,099
0 - - -
7 Catgut No 2/0 Set 0 6,400 - 6,400
45 25,920 1,166,400 25,920
48 6,400 307,200 6,400
0 - - -
8 Catgut No 3/0 Set 0 5,900 - 5,900
0 27,000 - 27,000
18 5,900 106,200 5,900
0 - - -
9 Handscoen no. 6 Pasang 0 6,595 - 6,595
0 11,990 - 11,990
0 - - -
10 Handscoen no. 6,5 Pasang 9 6,595 59,355 6,595
0 - - -
0 - - -
11 Handscoen no. 7 Pasang 0 4,250 - 4,250
0 7,684 - 7,684
0 11,990 - 11,990
0 - - -
12 Handscoen no. 7,5 Pasang 0 4,250 - 4,250
0 7,684 - 7,684
38 11,990 455,620 50 11,990
0 - - -
13 Infuset dewasa Set 0 3,500 - 3,500
31 4,176 129,456 4,176
25 9,900 247,500 9,900
0 - - -
14 Infusion set anak Set 0 4,000 - 4,000
3 4,568 13,704 4,568
8 9,900 79,200 9,900
0 - - -
15 IV Catheter No.16 G Set 0 7,937 - 7,937
0 7,018 - 7,018
0 - - -
15 IV Catheter No.18 G Set 0 6,600 - 6,600
0 20,900 - 20,900
0 - - -
16 IV Catheter No.24 G Set 0 7,787 - 7,787
39 7,787 303,693 7,787
20 7,018 140,360 7,018
0 - - -
17 IV Catheter No. 20 G Set 0 7,787 - 7,787
38 7,937 301,606 7,937
0 7,018 - 7,018
0 - - -
18 IV Catheter No. 22 G Set 46 7,787 358,202 7,787
20 7,018 140,360 7,018
0 - - -
19 Folley Catheter 16 Set 0 10,440 - 10,440
0 8,000 - 8,000
0 - - -
19 Folley Catheter 18 Set 0 8,495 - 8,495
0 10,440 - 10,440
0 8,000 - 8,000
0 - - -
20 Folley catheter 22 Set 0 8,495 - 8,495
0 10,440 - 10,440
0 8,000 - 8,000
0 - - -
21 Folley catheter 24 Set 0 495 - 495
8 10,440 83,520 10,440
0 8,000 - 8,000
0 - - -
22 Kapas Berlemak 250 gram Rol 0 7,500 - 7,500
0 27,821 - 27,821
1 24,000 24,000 24,000
0 - - -
23 Kapas Berlemak 500 gram Rol 0 17,250 - 17,250
0 - - -
24 Kasa Pembalut 4m x 3 cm Rol 0 800 - 800
0 - - -
25 Kasa Pembalut 4m x 5 cm Rol 0 887 - 887
0 1,100 - 1,100
0 - - -
26 Kasa Pembalut 4m x 10 cm Rol 0 607 - 607
0 6,121 - 6,121
10 2,300 23,000 2,300
0 - - -
27 Kasa Pembalut 4m x 15 cm Rol 0 887 - 887
0 3,800 - 3,800
0 - - -
28 Kasa Kompres 40/40 steril Buah 0 1,871 - 1,871
0 5,621 - 5,621
0 1,800 - 1,800
0 - - -
29 Kasa Steril 16 X 16 Buah 0 8,600 - 8,600
0 11,724 - 11,724
0 7,900 - 7,900
0 - - -
30 Kasa pembalut 2 x 80 Rol 0 10,467 - 10,467
0 13,221 - 13,221
0 9,400 - 9,400
0 - - -
31 Kasa Pembalut 40 x 80 Rol 0 - - -
0 137,025 - 137,025
0 104,500 - 104,500
0 - - -
32 Kasa Pembalut 36 x 80 cm Rol 0 55,200 - 55,200
0 133,821 - 133,821
2 130,000 260,000 130,000
0 - - -
33 Pembalut Gips Buah 2 32,500 65,000 32,500
0 - - -
34 Plester 5 yard x 2 inc Rol 0 23,625 - 23,625
11 23,625 259,875 23,625
0 - - -
35 Silk Set 0 5,082 - 5,082
47 18,781 882,707 18,781
0 5,082 - 5,082
0 - - -
36 Selang oksigen anak Set 0 - - -
0 - - -
37 Selang oksigen dewasa Set 0 - - -
0 - - -
38 Sofratulle Set 0 - - -
0 - - -
39 Urine bag Set 0 4,000 - 4,000
0 - - -
40 Wing Needle No. 21 G Set 0 5,770 - 5,770
200 5,770 1,154,000 5,770
0 - - -
41 Wing Needle No. 23 G Set 66 5,770 380,820 5,770
199 5,770 1,148,230 5,770
0 - - -
42 Wing Needle No.25 G Set 0 5,770 - 5,770
200 5,770 1,154,000 5,770
0 - - -
43 Wing Needle No. 27 G Set 0 5,770 - 5,770
0 - - -
44 NGT No. 3 ( Feeding Tube ) Set 0 22,000 - 22,000
0 - - -
45 NGT No. 5 ( Feeding Tube ) Set 0 22,000 - 22,000
0 - - -
46 Masker Buah 0 1,125 - 1,125
35 1,125 39,375 1,125
0 - - -
47 Tes gula darah Set 0 200,455 - 200,455
80 8,018 641,440 8,018
0 - - -
48 Tes Narkoba 3 parameter Set 0 68,181 - 68,181
0 - - -
49 Tes Narkoba 5 parameter Set 0 68,181 - 68,181
0 - - -
50 Tes Kehamilan Sachet 0 6,825 - 6,825
0 3,413 - 3,413

11,091,611
41,285,869

Mengetahui
Kepala Puskesmas Rumbia

Rahmat, AMK
Nip. 19721021 199403 1 004
N OBAT DAN PERBEKES
LAMA 1 TAHUN
N 2016

BULAN : SEPTEMBER
TAHUN : 2016

asi Masuk Mutasi Pengeluaran Saldo Akhir


ptember 2016 Obat Puskesmas bulan September Per 30 September 2016
Nilai ( Rp) Jumlah Harga Satuan Nilai (Rp) Jumlah Harga Satuan Nilai (Rp)
9 10 11 12 13 14 15

- 6,050 - 0 6,050 -

- 2,200 - 24 2,200 52,800


- - - 0 - -
- 12,750 - 0 12,750 -
- 363 - 0 363 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 245 - 0 245 -
- 28 245 6,860 145 245 35,525
- - - 0 - -
- 18,635 - 0 18,635 -
- - - 0 - -
- 138 - 0 138 -
- 140 138 19,320 670 138 92,460
- - - 0 - -
- 2,722 - 0 2,722 -
- 2,722 - 22 2,722 59,884
- - - 0 - -
- 4,204 - 0 4,204 -
- 4,200 - 0 4,200 -
- - - 0 - -
- 86 - 100 86 8,600
- 86 - 400 86 34,400
- - - 0 - -
- 123 - 0 123 -
- 123 - 100 123 12,300
- - - 0 - -
- 1,863 - 0 1,863 -
- 352 - 0 352 -
- - - 0 - -
- 197 - 0 197 -
- - - 0 - -
- 2,560 - 0 2,560 -
38,400 40 2,560 102,400 94 2,560 240,640
- - - 0 - -
- 220 - 0 220 -
- 220 - 0 220 -
- - - 0 - -
- 279 - 0 279 -
279,000 1085 279 302,715 955 279 266,445
- - - 0 - -

- 1,499 - 0 1,499 -

- - - 0 - -

- 78 - 0 78 -

- 450 78 35,100 1260 78 98,280


- - - 0 - -

- 2,213 - 0 2,213 -

11,065 5 2,213 11,065 0 2,213 -


- - - 0 - -

- 2,767 - 7 2,767 19,369

- - - 0 - -

- 2,096 - 3 2,096 6,288

- - - 0 - -

- 33,000 - 0 33,000 -

- 3 2,200 6,600 0 2,200 -


- 6 33,000 198,000 34 33,000 1,122,000
- - - 0 - -

- 1,650 - 0 1,650 -

- - - 0 - -

- 149 - 0 149 -

- 149 - 487 149 72,563


- - - 0 - -
- 155 - 0 155 -
- - - 0 - -
- 1,346 - 0 1,346 -
- - - 0 - -
- 30 110 3,300 30 110 3,300
- 127 - 1100 127 139,700
- 110 - 0 110 -
- - - 0 - -
- 178 - 0 178 -
- - - 0 - -
- 163 - 0 163 -
- - - 0 - -
- 105 - 0 105 -
- 660 105 69,300 1010 105 106,050
- - - 0 - -
- 52 - 0 52 -
- 52 - 520 52 27,040
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 127 - 0 127 -
63,500 834 127 105,918 1720 127 218,440
- - - 0 - -
- 3,650 - 25 3,650 91,250
- - - 0 - -

- 1,265 - 0 1,265 -

- 40 1,265 50,600 200 1,265 253,000

- - - 0 - -

- 4 15,900 63,600 18 15,900 286,200


- 9,000 - 0 9,000 -
- - - 0 - -

- 1 82,500 82,500 22 82,500 1,815,000

- 2,367 - 0 2,367 -
- - - 0 - -
- 251 - 0 251 -
- 251 - 255 251 64,005
- - - 0 - -
- 1,400 - 29 1,400 40,600
- - - 0 - -
- 81 - 0 81 -
- - - 0 - -

- 13,500 - 0 13,500 -

- - - 0 - -
- 1,180 - 0 1,180 -
- 13 1,350 17,550 10 1,350 13,500
- 1,180 - 0 1,180 -
- - - 0 - -

- 73 - 0 73 -

- 55 - 0 55 -
- 830 2,200 1,826,000 0 2,200 -
- - - 0 - -
- 22,727 - 0 22,727 -
- 22,727 - 4 22,727 90,908
- - - 0 - -
- 1,596 - 0 1,596 -
- 19 1,596 30,324 63 1,596 100,548
- - - 0 - -
- 600 - 0 600 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -

- - - 0 - -

- - - 0 - -
- 42 - 0 42 -
- - - 0 - -
- 68 - 0 68 -
- 275 68 18,700 200 68 13,600
- - - 0 - -
- 1,738 - 168 1,738 291,984
- - - 0 - -
- - - 0 - -
- 9,983 - 3 9,983 29,949
- - - 0 - -
- 2,578 - 0 2,578 -
- 2,578 - 51 2,578 131,478
- - - 0 - -

- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 28 - 0 28 -
- - - 0 - -
- 28 - 55 28 1,540
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 1,160 - 45 1,160 52,200
- - - 0 - -
- 103 - 100 103 10,300
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 141 - 0 141 -
- 141 - 560 141 78,960
- - - 0 - -
- 278 - 160 278 44,528
- - - 0 - -
- 3,490 - 0 3,490 -
174,500 5 3,490 17,450 60 3,490 209,400
- - - 0 - -
- 174 - 0 174 -
- 65 174 11,310 548 174 95,352
- - - 0 - -
- 56 - 0 56 -
- 50 56 2,820 300 56 16,917
- - - 0 - -
- 42 - 160 42 6,720
- 42 - 5000 42 210,000
- - - 0 - -

- 8,910 - 90 8,910 801,900

- - - 0 - -
- 522 - 820 522 428,040
- 522 - 0 522 -
- - - 0 - -
- 7,581 - 24 7,581 181,944
- - - 0 - -
- 1,013 - 465 1,013 470,938
- 1,023 - 0 1,023 -
- - - 0 - -
- 2,625 - 0 2,625 -
- 2,625 - 0 2,625 -
- 13 2,625 34,125 55 2,625 144,375
- - - 0 - -
- 4,695 - 0 4,695 -
- 4,695 - 5 4,695 23,475
- - - 0 - -
- 124 - 0 124 -
- - - 0 - -
- - - 0 - -
- 124 - 0 124 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 146 - 100 146 14,600
- - - 0 - -
- 37 - 0 37 -
- 1,980 - 90 1,980 178,200
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 37 - 0 37 -
- - - 0 - -

- 4 698 2,792 12 698 8,376

- - - 0 - -
- 698 - 100 698 69,800
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 2,012 - 0 2,012 -
- - - 0 - -
- 2,012 - 34 2,012 68,408
- - - 0 - -
- 84 - 0 84 -
- 84 - 360 84 30,240
- - - 0 - -

- 317 - 0 317 -

- 317 - 0 317 -
- - - 0 - -
- 2,420 - 0 2,420 -
- - - 0 - -
- 323 - 0 323 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 3,739 - 0 3,739 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 2,340 - 0 2,340 -
- 9 1,469 13,221 18 1,469 26,442
- 3,513 - 30 3,513 105,390
- - - 0 - -
- 3,194 - 0 3,194 -
- - - 0 - -
- 61 - 0 61 -
- 61 - 120 61 7,320
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 31 - 0 31 -
- 480 31 14,880 6200 31 192,200
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 5,720 - 26 5,720 148,720
- - - 0 - -
- 6,270 - 15 6,270 94,050
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 230 - 0 230 -
- 60 230 13,800 70 230 16,100
- - - 0 - -
- 62 - 0 62 -
- - - 0 - -
- 76 - 0 76 -
- 76 - 175 76 13,300
- - - 0 - -
- 105 - 0 105 -
- 105 - 0 105 -
- - - 0 - -
- 38,500 - 0 38,500 -
- - - 0 - -
- 40 - 0 40 -
- 40 - 9500 40 380,000
- - - 0 - -
- 24 - 0 24 -
- 3,200 - 0 3,200 -
- - - 0 - -
- 330 - 0 330 -
- - - 0 - -
- 4,949 - 0 4,949 -
- - - 0 - -
- 127 - 0 127 -
- 121 - 0 121 -
- 235 127 29,845 0 127 -
- - - 0 - -
- 157 - 0 157 -
- 60 157 9,420 0 157 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 98 - 0 98 -
- 98 - 90 98 8,820
- - - 0 - -
- 10,000 - 17 10,000 170,000
- - - 0 - -
- 9,519 - 20 9,519 190,380
- - - 0 - -
- 51 - 0 51 -
- 310 76 23,560 470 76 35,720
- - - 0 - -
- 69 - 0 69 -
- 69 - 70 69 4,830
- - - 0 - -
- 97 - 0 97 -
29,100 278 97 26,966 712 97 69,064
- - - 0 - -
- 269 - 0 269 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 110,000 - 0 110,000 -
- - - 0 - -
- 320 - 0 320 -
- 320 - 0 320 -
- - - 0 - -
- 5,150 - 0 5,150 -
- 5,150 - 0 5,150 -
- - - 0 - -
- 2,665 - 0 2,665 -
- 2,665 - 78 2,665 207,870
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 405 - 0 405 -
- - - 0 - -
- 1,680 - 0 1,680 -
- - - 0 - -
- 90 275 24,750 0 275 -
- 275 - 0 275 -
- - - 0 - -
- 1,680 - 0 1,680 -
- 1 1,680 1,680 12 1,680 20,160
- - - 0 - -
- 4,016 - 13 4,016 52,208
- - - 0 - -
- 26 - 0 26 -
- 570 26 15,048 2369 26 62,542
- - - 0 - -
- 1,210 - 0 1,210 -
- - - 0 - -
- 152 - 0 152 -
- - - 0 - -
- 50 - 232 50 11,600
- - - 0 - -

- 531 - 0 531 -

- - - 0 - -

- - - 0 - -

- - - 0 - -

- 90 152 13,680 610 152 92,720

- 152 - 6583 152 1,000,616


- - - 0 - -

- 79 - 0 79 -

- 200 79 15,800 180 79 14,220


- - - 0 - -
- 2,298 - 31 2,298 71,238

- - - 0 - -
- 6,820 - 0 6,820 -
- 6,820 - 0 6,820 -
- - - 0 - -
- 112 - 0 112 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 581 - 0 581 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 1,499 - 0 1,499 -
- 1,499 - 0 1,499 -
- 177 929 164,433 31 929 28,799
- - - 0 - -
- 54,995 - 0 54,995 -
- 54,995 - 0 54,995 -
- - - 0 - -
- 97 - 0 97 -
19,400 100 97 9,700 105 97 10,185
- - - 0 - -
- 170 - 50 170 8,500
- - - 0 - -
- 7,260 - 0 7,260 -
- 7,260 - 0 7,260 -
- - - 0 - -
- 7,260 - 0 7,260 -
- 7,260 - 18 7,260 130,680
- - - 0 - -
- 1,130 - 0 1,130 -
- - - 0 - -
- 3,887 - 0 3,887 -
- - - 0 - -
- 248 - 90 248 22,320
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 1,639 - 0 1,639 -
- - - 0 - -
- 133 - 160 133 21,296
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 1,100 - 0 1,100 -
- 1,100 - 0 1,100 -
- - - 0 - -

- - - 0 - -

- - - 0 - -
- 20 100 2,000 202 100 20,200
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 12,980 - 0 12,980 -
- 12,980 - 7 12,980 90,860
- - - 0 - -
- 116 - 0 116 -
- 10 116 1,160 580 116 67,280
- - - 0 - -
- - - 0 - -
- 190 169 32,110 1240 169 209,560
- - - 0 - -
- 3,150 - 0 3,150 -
- 8 3,150 25,200 9 3,150 28,350
- - - 0 - -
- 146 - 0 146 -
- 260 146 37,960 60 146 8,760
- - - 0 - -
- 193 - 0 193 -
115,800 150 193 28,950 590 193 113,870
- - - 0 - -
- 5,170 - 0 5,170 -
- 6 5,170 31,020 13 5,170 67,210
- - - 0 - -
- 127 - 0 127 -
25,400 127 - 830 127 105,410
- - - 0 - -
- 704 - 0 704 -
- 704 - 400 704 281,600
- - - 0 - -
- 448 - 190 448 85,120
- - - 0 - -
- 2,310 - 0 2,310 -
- 1 2,310 2,310 71 2,310 164,010
- - - 0 - -
- 440 - 0 440 -
- - - 0 - -
- 700 - 0 700 -
- 700 - 40 700 28,000
- - - 0 - -
- 3,410 - 0 3,410 -
- - - 0 - -
- 2,010 - 0 2,010 -
- 8 1,646 13,168 7 1,646 11,522
- - - 0 - -
- 2,772 - 0 2,772 -
- 1 2,772 2,772 132 2,772 365,904
- - - 0 - -
- 6,875 - 0 6,875 -
- 1,900 - 0 1,900 -
- 10 6,875 68,750 8 6,875 55,000
- - - 0 - -
- 221 - 0 221 -
- 221 - 0 221 -
- - - 0 - -
- 109 - 0 109 -
- 109 - 2280 109 248,520
- - - 0 - -
- 1,535 - 0 1,535 -
- 39 1,535 59,865 74 1,535 113,590
- - - 0 - -
- 105 - 0 105 -
- 100 105 10,500 100 105 10,500
- - - 0 - -
- 88 - 0 88 -
- 791 88 69,608 1804 88 158,752
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 849 - 0 849 -
- 297 - 0 297 -
- - - 0 - -

- 25,350 - 0 25,350 -

- 1 25,350 25,350 1 25,350 25,350


- - - 0 - -
- 107 - 800 107 85,600
- 107 - 0 107 -
- - - 0 - -
- 964 - 0 964 -
- 964 - 200 964 192,800
- - - 0 - -
- 854 - 0 854 -
- 854 - 100 854 85,400
- - - 0 - -
- 60,500 - 50 60,500 3,025,000
- - - 0 - -
- 1 9,100 9,100 38 9,100 345,800
- - - 0 - -
- 318 - 0 318 -
- 4 318 1,272 434 318 138,012
- - - 0 - -
- 19 - 0 19 -
- 280 19 5,320 430 19 8,170
- - - 0 - -
- 116 - 0 116 -
- 254 116 29,464 535 116 62,060
- - - 0 - -
- 18,635 - 0 18,635 -
- 18,635 - 7 18,635 130,445
- - - 0 - -

- 2,344 - 0 2,344 -

- 2,344 - 6 2,344 14,064


- - - 0 - -

- 15,386 - 0 15,386 -

- 15,386 - 3 15,386 46,158


- - - 0 - -

- 40,202 - 0 40,202 -

- 40,202 - 0 40,202 -
- - - 0 - -
- 98 - 0 98 -
- 350 98 34,300 1164 98 114,072
- - - 0 - -
- 125 - 985 125 123,125
- - - 0 - -
- 12,021 - 0 12,021 -
- 8 12,021 96,168 28 12,021 336,588
- - - 0 - -
- 297 - 200 297 59,400
- - - 0 - -
- 80 - 90 80 7,200
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 128 - 0 128 -
- 510 128 65,280 640 128 81,920
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 440 - 0 440 -
- - - 0 - -
- 624 - 0 624 -
- - - 0 - -
- 863 - 0 863 -
- - - 0 - -
- 5,720 - 0 5,720 -
- 15 5,720 85,800 106 5,720 606,320
- - - 0 - -
- 92 - 0 92 -
- 160 65 10,400 210 65 13,650
- - - 0 - -
- 93 - 0 93 -
- 120 93 11,160 280 93 26,040
- - - 0 - -

- 1,980 - 0 1,980 -

- 2 2,200 4,400 6 2,200 13,200


- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 548 - 0 548 -
- 340 548 186,320 80 548 43,840
- - - 0 - -
- 5,286 - 0 5,286 -
- 5,286 - 0 5,286 -
- 8 6,285 50,280 34 6,285 213,690
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 5,414 - 0 5,414 -
- - - 0 - -
- - - 0 - -
- - - 0 - -

- 1,451 - 38 1,451 55,124

- - - 0 - -

- 150 - 0 150 -

- - - 0 - -
- 138 - 0 138 -
- 138 - 640 138 88,320
- - - 0 - -
- 177 - 0 177 -
- - - 0 - -
- 480 - 0 480 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 312 - 700 312 218,680
- - - 0 - -
- - - 0 - -
- 350 - 200 350 70,000
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 477 - 400 477 190,800
- - - 0 - -
- - - 0 - -
- 1,155 - 100 1,155 115,500
- - - 0 - -
- 183 - 700 183 128,398
- - - 0 - -
- 283 - 0 283 -
- - - 0 - -

- 42 - 0 42 -

- 42 - 0 42 -
- - - 0 - -
- 770 - 0 770 -
- - - 0 - -
- 2,680 - 0 2,680 -
- - - 0 - -
18,150 31 363 11,253 112 363 40,656
- - - 0 - -
- 45 - 0 45 -
- 45 - 160 45 7,200
- - - 0 - -
- 63 - 0 63 -
- - - 0 - -
- 7,392 - 0 7,392 -
- - - 0 - -
- 112 - 0 112 -
- 520 112 58,240 4000 112 448,000
- - - 0 - -
- 521 - 0 521 -
- 170 521 88,570 0 521 -
- - - 0 - -
- 8,140 - 0 8,140 -
- 1 8,140 8,140 12 8,140 97,680
- - - 0 - -
- 573 - 0 573 -
- 1 6,975 6,975 0 6,975 -
- - - 0 - -
- 10,395 - 47 10,395 488,565
- - - 0 - -
- 155 - 0 155 -
- 141 - 1000 141 141,000
- - - 0 - -
- - - 0 - -
- 1,210 - 0 1,210 -
- - - 0 - -

- 57 - 0 57 -
- - - 0 - -

- 116 - 0 116 -
- 572 - 0 572 -
- - - 0 - -
- 191 - 100 191 19,100
- - - 0 - -
- 275 - 0 275 -
- 275 - 0 275 -
- - - 0 - -
- 162 - 0 162 -
- - - 0 - -
- 1,108 - 0 1,108 -
- 1,109 - 16 1,109 17,744
- - - 0 - -
- 162 - 0 162 -
- - - 0 - -
- 116 - 0 116 -
- - - 0 - -
- 167 - 0 167 -
- - - 0 - -
- 125 - 0 125 -
- - - 0 - -
- 318 - 0 318 -
- - - 0 - -
- 109 - 0 109 -
- - - 0 - -
- 45 - 0 45 -
- - - 0 - -
- 854 - 0 854 -
- - - 0 - -
- 42,727 - 0 42,727 -
- 42,727 - 0 42,727 -
- - - 0 - -
- 1,480 - 0 1,480 -
- 430 1,480 636,400 225 1,480 333,000
- - - 0 - -
- 31 - 0 31 -
- - - 0 - -
- 56 - 0 56 -
- - - 0 - -
- - - 0 - -
- 765,000 - 0 765,000 -
- 765,000 - 2 765,000 1,530,000
- - - 0 - -
- 242,000 - 0 242,000 -
- - - 0 - -
- 338,800 - 0 338,800 -
- 338,800 - 1 338,800 338,800
- - - 0 - -
- 390,000 - 0 390,000 -
- 390,000 - 0 390,000 -
- - - 0 - -
- 18,333 - 0 18,333 -
- 1 18,333 18,333 0 18,333 -
- - - 0 - -
- 105,000 - 0 105,000 -
- 2 105,000 210,000 1 105,000 105,000
- - - 0 - -
- 170,000 - 0 170,000 -
- - - 0 - -
- 395,000 - 0 395,000 -
- 197,895 - 1 197,895 197,895
- - - 0 - -
- 55,000 - 1 55,000 55,000
- - - 0 - -
- 93,500 - 0 93,500 -
- 93,500 - 2 93,500 187,000
- - - 0 - -
- 34,000 - 0 34,000 -
- 34,000 - 0 34,000 -
- - - 0 - -
- 176,000 - 0 176,000 -
- - - 0 - -
- - - 0 - -
- 425 - 0 425 -
- 24,384 - 0 24,384 -
- 27,569 - 0 27,569 -
- 27,569 - 8 27,569 220,552
- - - 0 - -
- 104 - 0 104 -
- 104 - 2000 104 208,000
- - - 0 - -
- 825,000 - 0 825,000 -
- 4,545 - 0 4,545 -
- 236,490 - 0 236,490 -
- 396,000 - 0 396,000 -
- 1,319,990 - 0 1,319,990 -

- 175,899 - 0 175,899 -

- 145,000 - 0 145,000 -
- 150,000 - 0 150,000 -
- 168,300 - 0 168,300 -
- 46,200 - 0 46,200 -
- 45,560 - 0 45,560 -
- 42,350 - 0 42,350 -
- 20,454 - 0 20,454 -
- 4,438 - 0 4,438 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 285,000 - 0 285,000 -

- 695,752 - 0 695,752 -

- 412 - 0 412 -
- 286 - 0 286 -
- 497 - 0 497 -
- - - 0 - -
- - - 0 - -
- 1,093 - 0 1,093 -
- 848 - 6 848 5,090
- 990 - 100 990 99,000
- - - 0 - -
- 1,038 - 0 1,038 -
- 848 - 0 848 -
- 650 - 0 650 -
- - - 0 - -
- 1,038 - 0 1,038 -
- 71 848 60,226 78 848 66,164
- 792 - 100 792 79,200
- - - 0 - -
- 1,038 - 0 1,038 -
- 15 979 14,681 406 979 397,373
- - - 0 - -
- 2,099 - 0 2,099 -
- 2,100 - 67 2,100 140,700
- 2,099 - 100 2,099 209,900
- - - 0 - -
- 2,099 - 0 2,099 -
- 2,100 - 0 2,100 -
- 36 2,099 75,564 9 2,099 18,891
- - - 0 - -
- 6,400 - 0 6,400 -
- 4 25,920 103,680 41 25,920 1,062,720
- 6,400 - 48 6,400 307,200
- - - 0 - -
- 5,900 - 0 5,900 -
- 27,000 - 0 27,000 -
- 8 5,900 47,200 10 5,900 59,000
- - - 0 - -
- 6,595 - 0 6,595 -
- 11,990 - 0 11,990 -
- - - 0 - -
- 9 6,595 59,355 0 6,595 -
- - - 0 - -
- - - 0 - -
- 4,250 - 0 4,250 -
- 7,684 - 0 7,684 -
- 11,990 - 0 11,990 -
- - - 0 - -
- 4,250 - 0 4,250 -
- 7,684 - 0 7,684 -
599,500 40 11,990 479,600 48 11,990 575,520
- - - 0 - -
- 3,500 - 0 3,500 -
- 6 4,176 25,056 25 4,176 104,400
- 9,900 - 25 9,900 247,500
- - - 0 - -
- 4,000 - 0 4,000 -
- 4,568 - 3 4,568 13,704
- 9,900 - 8 9,900 79,200
- - - 0 - -
- 7,937 - 0 7,937 -
- 7,018 - 0 7,018 -
- - - 0 - -
- 6,600 - 0 6,600 -
- 20,900 - 0 20,900 -
- - - 0 - -
- 7,787 - 0 7,787 -
- 3 7,787 23,361 36 7,787 280,332
- 7,018 - 20 7,018 140,360
- - - 0 - -
- 7,787 - 0 7,787 -
- 7,937 - 38 7,937 301,606
- 7,018 - 0 7,018 -
- - - 0 - -
- 7,787 - 46 7,787 358,202
- 7,018 - 20 7,018 140,360
- - - 0 - -
- 10,440 - 0 10,440 -
- 8,000 - 0 8,000 -
- - - 0 - -
- 8,495 - 0 8,495 -
- 10,440 - 0 10,440 -
- 8,000 - 0 8,000 -
- - - 0 - -
- 8,495 - 0 8,495 -
- 10,440 - 0 10,440 -
- 8,000 - 0 8,000 -
- - - 0 - -
- 495 - 0 495 -
- 10,440 - 8 10,440 83,520
- 8,000 - 0 8,000 -
- - - 0 - -
- 7,500 - 0 7,500 -
- 27,821 - 0 27,821 -
- 24,000 - 1 24,000 24,000
- - - 0 - -
- 17,250 - 0 17,250 -
- - - 0 - -
- 800 - 0 800 -
- - - 0 - -
- 887 - 0 887 -
- 1,100 - 0 1,100 -
- - - 0 - -
- 607 - 0 607 -
- 6,121 - 0 6,121 -
- 5 2,300 11,500 5 2,300 11,500
- - - 0 - -
- 887 - 0 887 -
- 3,800 - 0 3,800 -
- - - 0 - -
- 1,871 - 0 1,871 -
- 5,621 - 0 5,621 -
- 1,800 - 0 1,800 -
- - - 0 - -
- 8,600 - 0 8,600 -
- 11,724 - 0 11,724 -
- 7,900 - 0 7,900 -
- - - 0 - -
- 10,467 - 0 10,467 -
- 13,221 - 0 13,221 -
- 9,400 - 0 9,400 -
- - - 0 - -
- - - 0 - -
- 137,025 - 0 137,025 -
- 104,500 - 0 104,500 -
- - - 0 - -
- 55,200 - 0 55,200 -
- 133,821 - 0 133,821 -
- 1 130,000 130,000 1 130,000 130,000
- - - 0 - -
- 32,500 - 2 32,500 65,000
- - - 0 - -
- 23,625 - 0 23,625 -
- 2 23,625 47,250 9 23,625 212,625
- - - 0 - -
- 5,082 - 0 5,082 -
- 9 18,781 169,029 38 18,781 713,678
- 5,082 - 0 5,082 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 4,000 - 0 4,000 -
- - - 0 - -
- 5,770 - 0 5,770 -
- 5,770 - 200 5,770 1,154,000
- - - 0 - -
- 6 5,770 34,620 60 5,770 346,200
- 5,770 - 199 5,770 1,148,230
- - - 0 - -
- 5,770 - 0 5,770 -
- 5,770 - 200 5,770 1,154,000
- - - 0 - -
- 5,770 - 0 5,770 -
- - - 0 - -
- 22,000 - 0 22,000 -
- - - 0 - -
- 22,000 - 0 22,000 -
- - - 0 - -
- 1,125 - 0 1,125 -
- 1,125 - 35 1,125 39,375
- - - 0 - -
- 200,455 - 0 200,455 -
- 8,018 - 80 8,018 641,440
- - - 0 - -
- 68,181 - 0 68,181 -
- - - 0 - -
- 68,181 - 0 68,181 -
- - - 0 - -
- 6,825 - 0 6,825 -
- 3,413 - 0 3,413 -

599,500 1,281,122 10,409,989


1,373,815 6,714,152 35,945,532

Rumbia, 30 September 2016

Penanggung Jawab
Laporan

Wa Ode Wahyuni Hambe, S. Si, Apt


Nip. 19870305 201101 2 019
REKAPAN PENGGUNAAN OBAT DAN PERBEK
PUSKESMAS SELAMA 1 TAHUN
TAHUN 2016

SKPD : PUSKESMAS RUMBIA


KABUPATEN : BOMBANA
PROVINSI : SULAWESI TENGARA

Saldo Awal 2016 Mutasi Masuk


Satuan /
No Nama Obat 1 Oktober 2016 bulan Oktober 2016
Kemasan
Jumlah Harga Satuan (Rp) Nilai (Rp) Jumlah Harga Satuan
1 2 3 4 5 6 7 8
OBAT

1 Air untuk injeksi amp 25 ml (aqua pro injeksi) Ampul 0 6,050 - 6,050

24 2,200 52,800 100 2,200


0 - - -
2 Albendazol tab 400 mg Tab 0 12,750 - 12,750
0 363 - 363
0 - - -
3 Alopurinol tab 100 mg Tab 0 - - -
0 - - -
4 Alprazolam tab 1 mg Tab 0 245 - 245
145 245 35,525 100 245
0 - - -
5 Albothyl cairan Botol 0 18,635 - 2 18,635
0 - - -
6 Ambroksol tablet 30 mg Tab 0 138 - 138
670 138 92,460 138
0 - - -
7 Ambroksol sirup Botol 0 2,722 - 2,722
22 2,722 59,884 2,722
0 - - -
8 Aminofilin inj 24 mg/ml Ampul 0 4,204 - 4,204
0 4,200 - 60 4,200
0 - - -
9 Aminofilin tab 200 mg Tab 100 86 8,600 86
400 86 34,400 86
0 - - -
10 Amitriptilin tab sal 25 mg Tab sal 0 123 - 123
100 123 12,300 123
0 - - -
11 Amlodipin tab 10 mg Tab 0 1,863 - 1,863
0 352 - 352
0 - - -
12 Amlodipin tab 5 mg Tab 0 197 - 197
0 - - -
13 Amoksisilin sir kering 125 mg/5 ml Botol 0 2,560 - 2,560
94 2,560 240,640 2,560
0 - - -
14 Amoksisilin tab 250 mg Tab 0 220 - 220
0 220 - 220
0 - - -
15 Amoksisilin tab 500 mg Tab 0 279 - 279
955 279 266,445 3,100 279
0 - - -
Anestetik lokal gigi kombinasi : lidokain hcl
16 2% + epinefrin 1 : 80.000 inj 2 ml Ampul 0 1,499 - 1,499

0 - - -

Antasida, kombinasi : aluminium hidroksida


17 Tab kunyah 0 78 - 78
200 mg + magnesium hidroksida 200 mg

1260 78 98,280 800 78


0 - - -
Antasida, kombinasi : aluminium hidroksida
18 200 mg + magnesium hidroksida 200 mg Botol 0 2,213 - 2,213
Suspensi
0 2,213 - 2,213
0 - - -
Antibakteri, kombinasi : basitrasin 500 UI/g+
19 Tube 7 2,767 19,369 2,767
Polimiskin B 10.000 UI/g
Antifungi salep, kombinasi : asam benzoat 6% 0 - - -
+ asam salisilat 3%
20 Tube 3 2,096 6,288 48 2,096

0 - - -
mg + heksaklorofen 2,5 mg + lidokain
lidokain 10 mg+ seng oksida 120 mg + sup
21 ad 2 g Suppo 0 33,000 - 33,000

0 2,200 - 2,200
34 33,000 1,122,000 20 33,000
0 - - -
Anti Parkinson kombinasi : benzerasid 25 mg +
22 Kaps 0 1,650 - 1,650
levodopa 100 mg
0 - - -
Anti Migren, kombinasi : ergotamin 1 mg+
23 Tab 0 149 - 149
kafein 50 mg
487 149 72,563 500 149
0 - - -
24 Antalgin (metampirom) tablet 100 mg Tab 0 155 - 155
0 - - -
25 Antalgin (metampirom) injeksi 250 mg/ml-2 ml Ampul 0 1,346 - 1,346
0 - - -
26 Asam asetilsalisilat (asetosal) tab 100 mg Tab 30 110 3,300 110
1100 127 139,700 127
0 110 - 110
0 - - -
27 Asam asetilsalisilat (asetosal) tab 500 mg Tab 0 178 - 178
0 - - -
Asam asetilsalisilat (asetosal) tab 80 mg
28 Tab 0 163 - 163
(Miniaspi 80)
0 - - -
29 Asam askorbat (vitamin C) tab 50 mg Tab 0 105 - 105
1010 105 106,050 2,500 105
0 - - -
30 Asam folat tab 1 mg Tab 0 52 - 52
520 52 27,040 52
0 - - -
31 Asam mefenamat kaps 250 mg Kaps 0 - - -
0 - - -
32 Asam mefenamat kaps 500 mg Kaps 0 127 - 127
1720 127 218,440 2,000 127
0 - - -
33 Asam traneksamat inj 50 mg/ml Ampul 25 3,650 91,250 3,650
0 - - -

34 Asam traneksamat tab 500 mg Tab 0 1,265 - 1,265

200 1,265 253,000 1,265

0 - - -

35 Asering larutan infus Botol 18 15,900 286,200 15,900


0 9,000 - 9,000
0 - - -

36 Asiklovir salep kulit Tube 22 82,500 1,815,000 82,500

0 2,367 - 2,367
0 - - -
37 Asiklovir tab 200 mg Tab 0 251 - 251
255 251 64,005 251
0 - - -
38 Atropin inj 0,25 mg/ml (i.m./i.v./s.k) Ampul 29 1,400 40,600 1,400
0 - - -
39 Atropin tab 0,5 mg Tab 0 81 - 81
0 - - -

40 Atropin tts mata 0,5% (Cendotropin 0,5%) Botol 0 13,500 - 13,500

0 - - -
41 Bedak salisil serb 2% Botol 0 1,180 - 1,180
10 1,350 13,500 1,350
0 1,180 - 1,180
0 - - -
Besi (II) sulfat 200 mg + asam folat 0.25 mg
42 Sachet 0 73 - 73
(tablet tambah darah)
0 55 - 55
0 2,200 - 3,000 2,200
0 - - -
43 Becefort syrup Botol 0 22,727 - 22,727
4 22,727 90,908 22,727
0 - - -
44 Betametason krim 0,1% Tube 0 1,596 - 1,596
63 1,596 100,548 1,596
0 - - -
45 Betahistin mesilate tablet tablet 0 600 - 210 600
0 - - -
46 Bisakodil sup 10 mg (Stolax) Botol 0 - - -
0 - - -
47 Bisakodil tab sal 5 mg Tab sal 0 - - -
0 - - -
48 Bismecon salep tube 0 - - -
0 - - -
Budesonid-formoterol (fixed combination)* ih
49 Botol 0 - - -
80/4,5 mcg
0 - - -
50 Bromheksin tablet tablet 0 42 - 42
0 - - -
51 Deksametason tab 0,5 mg Tab 0 68 - 68
200 68 13,600 68
0 - - -
52 Deksametason inj 5 mg/ml (i.v./i.m.) Vial 168 1,738 291,984 1,738
0 - - -
53 Desoksimetason salep 0,25% Tube 0 - - -
3 9,983 29,949 5 9,983
0 - - -
54 Diazepam inj 5 mg/ml (i.v./i.m.) Vial 0 2,578 - 2,578
51 2,578 131,478 2,578
0 - - -

55 Diazepam lar rektal 10 mg/2,5 ml (Stesolid) Botol 0 - - -

0 - - -
56 Diazepam supposutoria suppo 0 - - -
0 - - -
57 Diazepam tab 2 mg Tab 0 28 - 28
0 - - -
58 Diazepam tab 5 mg Tab 55 28 1,540 28
0 - - -
59 Dietilkarbamazin tab 100 mg Tab 0 - - -
0 - - -
60 Difenhidramin inj 10 mg/ml (i.v./i.m.) Ampul 45 1,160 52,200 30 1,160
0 - - -
61 Digoksin tab 0,25 mg Tab 100 103 10,300 400 103
0 - - -
62 Diltiazem kaps SR 100 mg Kaps 0 - - -
0 - - -
63 Diltiazem tab 30 mg Tab 0 141 - 141
560 141 78,960 141
0 - - -
64 Doksisiklin tablet 100 mg Tab 160 278 44,528 278
0 - - -
65 Domperidon susp 5 mg/5 ml Botol 0 3,490 - 3,490
60 3,490 209,400 3,490
0 - - -
66 Domperidon tab 10 mg Tab 0 174 - 174
548 174 95,352 200 174
0 - - -
67 Efedrin HCl tablet Tab 0 56 - 56
300 56 16,917 300 56
0 - - -
68 Ekstrak belladon tablet 10 mg tab 160 42 6,720 42
5000 42 210,000 42
0 - - -

69 Epinefrin (adrenalin) inj 0,1% (i.v./s.k./i.m.) Ampul 90 8,910 801,900 30 8,910


0 - - -
70 Eritromisin kaps 250 mg Kaps 820 522 428,040 522
0 522 - 522
0 - - -
71 Eritromisin sir 200 mg/5 ml Botol 24 7,581 181,944 7,581
0 - - -
72 Eritromisin tab 500 mg Tab 465 1,013 470,938 1,013
0 1,023 - 1,023
0 - - -
73 Etanol 70% cairan 70% Botol 0 2,625 - 2,625
0 2,625 - 2,625
55 2,625 144,375 3 2,625
0 - - -
74 Etakridin (rivanol) larutan 0.1% Botol 0 4,695 - 4,695
5 4,695 23,475 4,695
0 - - -
75 Etil klorida semprot 100 ml Botol 0 124 - 124
0 - - -
76 Famotidin tablet 20 mg Tab 0 - - -
0 124 - 124
0 - - -
77 Fenitoin Na inj 50 mg/ml Ampul 0 - - -
0 - - -
78 Fenitoin Na kaps 100 mg Kaps 0 - - -
100 146 14,600 146
0 - - -
79 Fenobarbital inj 50 mg/ml Ampul 0 37 - 37
90 1,980 178,200 1,980
0 - - -
80 Fenobarbital tab 100 mg Tab 0 - - -
0 - - -
81 Fenobarbital tab 30 mg Tab 0 37 - 37
0 - - -
82 Fitomenadion (vitamin K 1) inj 2 mg/ml (i.m.) Vial 12 698 8,376 698

0 - - -
83 Fitomenadion (vitamin K 1) tab sal 10 mg Tab sal 100 698 69,800 698
0 - - -
84 Flukonazol kaps 150 mg Kaps 0 - - -
0 - - -
85 Flusinolon asetonid krim 0,025% Tube 0 - - -
0 - - -
86 Flunarizin tablet tablet 0 2,012 - 2,012
0 - - -
87 Furosemid inj 10 mg/ml (i.v./i.m.) Ampul 34 2,012 68,408 2,012
0 - - -
88 Furosemid tab 40 mg Tab 0 84 - 84
360 84 30,240 84
0 - - -
Garam oralit kombinasi : natrium klorida 0,52
g + kalium klorida 0,30 g + trinatrium sitrat
89 Sachet 0 317 - 317
0,58 g + glukosa anhidrat 2,7 g

0 317 - 700 317


0 - - -
90 Gameksan lotion 1 % Botol 0 2,420 - 2,420
0 - - -
91 Gemfibrozil kaps 300 mg Kaps 0 323 - 323
0 - - -
92 Gemfibrozil kaps 600 mg Kaps 0 - - -
0 - - -
93 Gentamisin inj 10 mg/ml Ampul 0 3,739 - 3,739
0 - - -
94 Gentamisin salep mata 0,3% Tube 0 - - -
0 - - -
95 Gentamisin salep Kulit Tube 0 2,340 - 2,340
18 1,469 26,442 1,469
30 3,513 105,390 3,513
0 - - -
96 Gentamisin tts mata 0,3% Botol 0 3,194 - 3,194
0 - - -
97 Glibenklamid tab 5 mg Tab 0 61 - 61
120 61 7,320 61
0 - - -
98 Glimepirid tab 4 mg Tab 0 - - -
0 - - -
99 Glipizid tablet 5 mg (Glucotrol 5 mg) Tab 0 - - -
0 - - -
100 Gliseril Guaiakolat tab 100 mg Tab 0 31 - 31
6200 31 192,200 31
0 - - -
101 Gliserin lar 50% Botol 0 - - -
0 - - -
102 Glukosamin tablet 500 mg Tab 0 - - -
0 - - -
103 Glukosa Larutan Infus 5% steril Botol 26 5,720 148,720 5,720
0 - - -
104 Glukosa Larutan Infus 10% steril Botol 15 6,270 94,050 6,270
0 - - -
105 Glukosa Larutan Infus 40% steril Botol 0 - - -
0 - - -
106 Griseofulvin (micronized) tab 125 mg Tab 0 230 - 230
70 230 16,100 300 230
0 - - -
107 Haloperidol tab 0,5 mg Tab 0 62 - 62
0 - - -
108 Haloperidol tab 1,5 mg Tab 0 76 - 76
175 76 13,300 76
0 - - -
109 Haloperidol tab 5 mg Tab 0 105 - 105
0 105 - 105
0 - - -
110 Hidrogen peroksida (H2O2) cairan 3% Botol 0 38,500 - 1 38,500
0 - - -
111 Hidroklorotiazid (HCT) tab 25 mg Tab 0 40 - 40
9500 40 380,000 300 40
0 - - -
112 Hidrokortison krim 2,5% Tube 0 24 - 24
0 3,200 - 24 3,200
0 - - -
113 Hiosina butilbromida tab 10 mg Tab 0 330 - 330
0 - - -
114 Ibuprofen susp 100 mg/5 ml Botol 0 4,949 - 4,949
0 - - -
115 Ibuprofen tab 200 mg Tab 0 127 - 127
0 121 - 121
0 127 - 500 127
0 - - -
116 Ibuprofen tab 400 mg Tab 0 157 - 157
0 157 - 157
0 - - -
Ipratropium bromida nebulizer 0,025%
117 Botol 0 - - -
(Atroven sol. for inhalation 0.025%)
0 - - -
118 Isoniazid tab 300 mg Tab 0 - - -
0 - - -
119 Isosorbid dinitrat inj 10 mg/10 ml (Fasorbid) Vial 0 - - -
0 - - -
120 Isosorbid dinitrat tab 5 mg Tab 0 98 - 98
90 98 8,820 98
0 - - -
121 KA-EN 3B Cairan Infus Botol 17 10,000 170,000 10,000
0 - - -
122 Kalsium glukonat inj 100 mg/ml Ampul 20 9,519 190,380 9,519
0 - - -
123 Kalsium laktat (kalk) tab 500 mg Tab 0 51 - 51
470 76 35,720 76
0 - - -
124 Kaptopril tab 12,5 mg Tab 0 69 - 69
70 69 4,830 69
0 - - -
125 Kaptopril tab 25 mg Tab 0 97 - 97
712 97 69,064 1,000 97
0 - - -
126 Karbamazepin tab 200 mg Tab 0 269 - 269
0 - - -
127 Karbo adsorben (Norit) tab 500 mg Tab 0 - - -
0 - - -
128 Ketamin inj 50 mg/ml (i.v.) Ampul 0 110,000 - 110,000
0 - - -
129 Ketokonazol tab 200 mg Tab 0 320 - 320
0 320 - 320
0 - - -
130 Ketokonazol krim 2% Tube 0 5,150 - 5,150
0 5,150 - 5,150
0 - - -
131 Ketorolak inj 10 mg/ml Ampul 0 2,665 - 2,665
78 2,665 207,870 12 2,665
0 - - -
132 Klaritromisin tab 500 mg Tab 0 - - -
0 - - -
133 Klindamisin kaps 150 mg Kaps 0 405 - 405
0 - - -
134 Kloramfenikol tts mata 0,5% Botol 0 1,680 - 1,680
0 - - -
135 Kloramfenikol kaps 250 mg Kaps 0 275 - 275
0 275 - 275
0 - - -
136 Kloramfenikol salep mata 1% Tube 0 1,680 - 1,680
12 1,680 20,160 1,680
0 - - -
137 Kloramfenikol susp 125 mg/5 ml Botol 13 4,016 52,208 4,016
0 - - -
138 Klorfeniramin (CTM) tab 4 mg Tab 0 26 - 26
2369 26 62,542 6,000 26
0 - - -
139 Klorpromazin inj 25 mg/ml (i.m.) Ampul 0 1,210 - 1,210
0 - - -
140 Klorpromazin tab sal 100 mg Tab sal 0 152 - 152
0 - - -
141 Klorpromazin tab sal 25 mg Tab sal 232 50 11,600 50
0 - - -

142 Kombinasi : Pirimethamin 25 mg + sulfadoksin Tab 0 531 - 200 531

Kombinasi: ipratropium Br 0,5 mg+ 0 - - -


salbutamol 2,5 mg nebules (Combivent UDV)
143 Vial 0 - - 4 5,990

0 - - -
Kotrimoksazol (dewasa) kombinasi :
sulfametoksazol 400 mg+ trimetoprim 80
144 Tab 610 152 92,720 152
mg

6583 152 1,000,616 152


0 - - -
Kotrimoksazol (anak) kombinasi :
sulfametoksazol 100 mg+ trimetoprim 20
145 Tab 0 79 - 79
mg
180 79 14,220 1,500 79
0 - - -
Kotrimoksazol (dewasa) kombinasi tiap 5 ml
146 suspensi : sulfametoksazol 200 mg + Botol 31 2,298 71,238 2,298
trimetoprim 40 mg
0 - - -
147 Kuinin inj 25% (i.v.) Vial 0 6,820 - 6,820
0 6,820 - 6,820
0 - - -
148 Kloroquin tab 150 mg Tab 0 112 - 112
0 - - -
149 Lansoprazol kaps 30 mg Kaps 0 - - -
0 - - -
150 Levofloksasin tab 500 mg Tab 0 581 - 581
0 - - -
151 Lidokain gel 2% Tube 0 - - -
0 - - -
152 Lidokain inj 2% (hcl) Vial 0 1,499 - 1,499
0 1,499 - 1,499
31 929 28,799 100 929
0 - - -
153 Lisol Botol 0 54,995 - 54,995
0 54,995 - 2 54,995
0 - - -
154 Loperamid tab 2 mg Tab 0 97 - 97
105 97 10,185 2,100 97
0 - - -
155 Loratadin tab 10 mg Tab 50 170 8,500 170
0 - - -
156 Magnesium sulfat inj 20% Vial 0 7,260 - 7,260
0 7,260 - 7,260
0 - - -
157 Magnesium sulfat inj 40% Vial 0 7,260 - 7,260
18 7,260 130,680 7,260
0 - - -
158 Magnesium sulfat serb, ktg 30 g Sachet 0 1,130 - 1,130
0 - - -
159 Mebendazol sir 50 mg/ml Botol 0 3,887 - 3,887
0 - - -
160 Mebendazol tab 100 mg Tan 90 248 22,320 248
0 - - -
161 Metformin tab 500 mg Tab 0 - - 400 125
0 - - -
162 Metformin tab 850 mg Tab 0 - - -
0 - - -
163 Metilergometrin inj 0,2 mg/ml Ampul 0 1,639 - 1,639
0 - - -
164 Metilergometrin tab salut 0,125 mg Tab sal 160 133 21,296 133
0 - - -
165 Metilprednisolon tab 4 mg Tab 0 - - -
0 - - -
166 Metoklopramid inj 5 mg/ml Vial 0 1,100 - 1,100
0 1,100 - 1,100
0 - - -

167 Metoklopramid sir 5 mg/5 ml (Lexapram sirup) Botol 0 - - -

0 - - -
168 Metoklopramid tab 10 mg Tab 202 100 20,200 100
0 - - -
169 Metronidazol supposutoria 500 mg suppo 0 - - -
0 - - -
170 Metronidazol larutan infus Botol 0 12,980 - 12,980
7 12,980 90,860 12,980
0 - - -
171 Metronidazol tab 250 mg Tab 0 116 - 116
580 116 67,280 100 116
0 - - -
172 Metronidazol tab 500 mg Tab 0 - - -
1240 169 209,560 169
0 - - -
173 Mikonazol krim 2% Tube 0 3,150 - 3,150
9 3,150 28,350 24 3,150
0 - - -
174 Natrium diklofenak tab 25 mg Tab 0 146 - 146
60 146 8,760 500 146
0 - - -
175 Natrium diklofenak tab 50 mg Tab 0 193 - 193
590 193 113,870 750 193
0 - - -
176 NaCl 0,9% Larutan infus Botol 0 5,170 - 5,170
13 5,170 67,210 5,170
0 - - -
177 Nifedipin kaps 10 mg Kaps 0 127 - 127
830 127 105,410 127
0 - - -
178 Nistatin tab salut 500.000 UI Tab 0 704 - 704
400 704 281,600 400 704
0 - - -
179 Nistatin tab vaginal 100.000 UI Tab 190 448 85,120 448
0 - - -
180 Obat Batuk Hitam (OBH) Botol 0 2,310 - 2,310
71 2,310 164,010 2,310
0 - - -
181 Ofloksasin tab 200 mg Tab 0 440 - 150 440
0 - - -
182 Ofloksasin tab 400 mg Tab 0 700 - 700
40 700 28,000 100 700
0 - - -
183 Oksitetrasiklin hcl inj 500 mg/ml Vial 0 3,410 - 3,410
0 - - -
184 Oksitetrasiklin hcl salep kulit 3% Tube 0 2,010 - 2,010
7 1,646 11,522 1,646
0 - - -
185 Oksitetrasiklin hcl salep mata 1 % Tube 0 2,772 - 2,772
132 2,772 365,904 2,772
0 - - -
186 Oksitosin inj 10 UI/ml Ampul 0 6,875 - 6,875
0 1,900 - 1,900
8 6,875 55,000 20 6,875
0 - - -
187 Omeprazol kaps 20 mg Kaps 0 221 - 221
0 221 - 300 221
0 - - -
188 Papaverin tablet 40 mg Tab 0 109 - 109
2280 109 248,520 109
0 - - -
189 Parasetamol sir 120 mg/5 ml Botol 0 1,535 - 1,535
74 1,535 113,590 1,535
0 - - -
190 Parasetamol tab 100 mg Tab 0 105 - 105
100 105 10,500 105
0 - - -
191 Parasetamol tab 500 mg Tab 0 88 - 88
1804 88 158,752 1,900 88
0 - - -
192 Parasetamol rectal suppo 0 - - -
0 - - -
193 Pehavral tablet multivitamin Tab 0 849 - 849
0 297 - 297
0 - - -
194 Perak sulfadiazin krim 1% (Burnazin 35 gr) Tube 0 25,350 - 25,350

1 25,350 25,350 25,350


0 - - -
195 Phenylbutazon tablet 200 mg Tab 800 107 85,600 107
0 107 - 107
0 - - -
196 Piracetam tablet 800 mg Tab 0 964 - 964
200 964 192,800 300 964
0 - - -
197 Piracetam tablet 1200 mg Tab 0 854 - 854
100 854 85,400 420 854
0 - - -
198 Piracetam injeksi 1 g/5 ml Ampul 50 60,500 3,025,000 400 60,500
0 - - -
199 Pirantel pamoat susp 125 mg/5 ml Botol 38 9,100 345,800 9,100
0 - - -
200 Pirantel pamoat tab scored 125 mg Tab 0 318 - 318
434 318 138,012 700 318
0 - - -
201 Piridoksin (vitamin B6) tab 25 mg Tab 0 19 - 19
430 19 8,170 2,000 19
0 - - -
202 Piroksikam tablet 20 mg Tab 0 116 - 116
535 116 62,060 400 116
0 - - -
203 Polikresulen Botol 0 18,635 - 18,635
7 18,635 130,445 18,635
0 - - -

204 Povidon iodin lar 100 mg/ml Botol 30 ml 0 2,344 - 2,344

6 2,344 14,064 50 2,344


0 - - -
Botol 300
205 Povidon iodin lar 100 mg/ml 0 15,386 - 15,386
ml
3 15,386 46,158 15,386
0 - - -
Botol 1000
206 Povidon iodin lar 100 mg/ml 0 40,202 - 40,202
ml
0 40,202 - 15 40,202
0 - - -
207 Prednison tab 5 mg Tab 0 98 - 98
1164 98 114,072 2,000 98
0 - - -
208 Primakuin tab 15 mg Tab 985 125 123,125 125
0 - - -
209 Procurma syrup Botol 0 12,021 - 12,021
28 12,021 336,588 10 12,021
0 - - -
210 Propiltiourasil tab 100 mg Tab 200 297 59,400 297
0 - - -
211 Propranolol tab 40 mg Tab 90 80 7,200 700 80
0 - - -
212 Ranitidin inj 25 mg/ml Ampul 0 - - -
0 - - -
213 Ranitidin tab 150 mg Tab 0 128 - 128
640 128 81,920 500 128
0 - - -
214 Reserpin tablet 0.25 mg Tab 0 - - -
0 - - -
215 Rifampisin kaps 300 mg Kaps 0 440 - 440
0 - - -
216 Rifampisin tab 450 mg Tab 0 624 - 624
0 - - -
217 Rifampisin tab 600 mg Tab 0 863 - 200 863
0 - - -
218 Ringer Laktat Larutan infus Botol 0 5,720 - 5,720
106 5,720 606,320 5,720
0 - - -
219 Salbutamol tab 2 mg Tab 0 92 - 92
210 65 13,650 500 65
0 - - -
220 Salbutamol tab 4 mg Tab 0 93 - 93
280 93 26,040 500 93
0 - - -
Salep 2-4, kombinasi : asam salisilat 2 %+
221 Tube 0 1,980 - 1,980
belerang endap 4 %
6 2,200 13,200 2,200
0 - - -
222 Scabicid salep Tube 0 - - -
223 Sefadroksil kaps 250 mg Vial 0 - - -
0 - - -
224 Sefadroksil kaps/tab 500 mg Tab 0 548 - 548
80 548 43,840 1,700 548
0 - - -
225 Sefadroksil sir kering 125 mg/5 ml Botol 0 5,286 - 5,286
0 5,286 - 5,286
34 6,285 213,690 50 6,285
0 - - -
226 Sefiksim kapsul 100 mg Tab 0 - - -
0 - - -
227 Sefotaksim serb inj 1.000 mg/vial Vial 0 - - -
0 - - -
228 Seftriakson serb inj 1.000 mg/vial Vial 0 5,414 - 5,414
0 - - -
229 Setirizin tab 10 mg Tab 0 - - -
0 - - -
230 Sianokobalamin (vitamin B12) inj 500 mcg/ml Vial 38 1,451 55,124 1,451

0 - - -

231 Sianokobalamin (vitamin B12) tab 50 mcg Tab 0 150 - 150

0 - - -
232 Simetidin tablet 200 mg Tab 0 138 - 138
640 138 88,320 138
0 - - -
233 Simvastatin tab sal 10 mg Tab sal 0 177 - 177
0 - - -
234 Simvastatin tab sal 20 mg Tab sal 0 480 - 480
0 - - -
235 Siprofloksasin inf 2 mg/ml Botol 0 - - -
0 - - -
236 Siprofloksasin tab scored 500 mg Tab 700 312 218,680 312
0 - - -
237 Spironolakton tab 100 mg Tab 0 - - -
200 350 70,000 350
0 - - -
238 Sulfasetamid Natrium Tetes mata 1.5% Botol 0 - - -
0 - - -
239 Sukralfat susp 500 mg/5 ml (Ulsafate) Botol 0 - - -
0 - - -
240 Sukralfat tab 500 mg (Ulsidex) Tab 0 - - -
400 477 190,800 477
0 - - -
241 Teofilin tab SR 300 mg (Rethapyl) Tab 0 - - -
100 1,155 115,500 1,155
0 - - -
242 Tetrasiklin kaps 250 mg Kaps 700 183 128,398 183
0 - - -
243 Tetrasiklin kaps 500 mg Kaps 0 283 - 283
0 - - -

244 Tiamin (vitamin B1) mononitrat tab 50 mg Tab 0 42 - 5,000 42

0 42 - 42
0 - - -
245 Tiamin (vitamin B1) injeksi 100 mg/ml Tab 0 770 - 770
0 - - -
246 Tramadol inj 50 mg/ml Ampul 0 2,680 - 2,680
0 - - -
247 Tramadol tablet 500 mg Tab 112 363 40,656 500 363
0 - - -
248 Triheksifenidil tab 2 mg Tab 0 45 - 45
160 45 7,200 45
0 - - -
249 Vitamin B12 tablet 50 mcg Tab 0 63 - 63
0 - - -
250 Vitamin B kompleks injeksi Vial 0 7,392 - 90 7,392
0 - - -
251 Vitamin B kompleks Tab 0 112 - 112
4000 112 448,000 100 112
0 - - -
252 Zinc tab disp 20 mg Tab 0 521 - 521
0 521 - 521
0 - - -
253 Zinc sirup 20 mg / 5 ml Botol 0 8,140 - 8,140
12 8,140 97,680 8,140
0 - - -
254 Larutan PK botol 0 573 - 573
0 6,975 - 6,975
0 - - -
255 Kanamisin inj Vial 47 10,395 488,565 10,395
0 - - -
256 Antalgin 500mg tab 0 155 - 155
1000 141 141,000 141
0 - - -
257 Klorpromazin inj 25 mg/ml (i.m.) Ampul 0 - - -
0 1,210 - 1,210
0 - - -

258 Kalsium laktat (kalk) tab 500 mg Tab 0 57 - 57

0 - - -

259 Kloroquin tab 250 mg Tab 0 116 - 116


0 572 - 572
0 - - -
260 Klonidin 0,15 mg Tab 100 191 19,100 191
0 - - -
261 Kloramfenikol kaps 250 mg Kaps 0 275 - 275
0 275 - 275
0 - - -
262 Klorpromazin tab sal 100 mg Tab sal 0 162 - 162
0 - - -
263 Fenolgliserol TT 10% Kotak 0 1,108 - 1,108
16 1,109 17,744 1,109
0 - - -
265 Tetrasiklin kaps 250 mg Kaps 0 162 - 162
0 - - -
266 Kloroquin tab 250 mg 0 116 - 1,000 116
0 - - -
267 Papaverin tablet 40 mg 0 167 - 167
0 - - -
268 Prednison tab 5 mg Tab 0 125 - 125
0 - - -
269 Pirantel pamoat tab scored 125 mg Tab 0 318 - 318
0 - - -
270 Hidroklorotiazid (HCT) tab 25 mg Tab 0 109 - 109
0 - - -
271 Triheksifenidil tab 2 mg Tab 0 45 - 45
0 - - -
272 Piracetam tablet 1200 mg Tab 0 854 - 854
0 - - -
273 Vical suspensi btl 0 42,727 - 42,727
0 42,727 - 42,727
0 - - -
274 Lexavit tab 0 1,480 - 1,480
225 1,480 333,000 1,000 1,480
0 - - -
275 Gliseril Guaiakolat tab 100 mg Tab 0 31 - 31
0 - - -
276 Efedrin HCl tablet Tab 0 56 - 56
0 - - -
B.OBAT GIGI 0 - - -
1 Bonding Botol 0 765,000 - 765,000
2 765,000 1,530,000 765,000
0 - - -
2 Calcium hidrosida cement pasta (hycal) Kotak 0 242,000 - 242,000
0 - - -
3 Comfosite Tube 0 338,800 - 338,800
1 338,800 338,800 1 338,800
0 - - -
4 Devitalisasi Pasta (Non Arsen) Kotak 0 390,000 - 390,000
0 390,000 - 390,000
0 - - -
5 Eugenol cair Botol 0 18,333 - 18,333
0 18,333 - 1 18,333
0 - - -
6 Etil Klorida spray Botol 0 105,000 - 105,000
1 105,000 105,000 105,000
0 - - -
7 Etza Tube 0 170,000 - 170,000
0 - - -
8 Glass Ionomer Cement ART Set 0 395,000 - 395,000
1 197,895 197,895 197,895
0 - - -
9 Klorfenol Kamfer Menthol (CHKM) Botol 1 55,000 55,000 55,000
0 - - -
10 Semen Seng Fosfat serbuk dan cairan Set 0 93,500 - 93,500
2 93,500 187,000 93,500
0 - - -
11 Temporari stoping pletcher Set 0 34,000 - 34,000
0 34,000 - 34,000
0 - - -
12 Mummiyng pasta Kotak 0 176,000 - 176,000
0 - - -
C.OBAT PROGRAM 0 - - -
1 Albedazole 400mg Tab 0 425 - 425
2 Artemether inj 80 mg/ml Ampul 0 24,384 - 24,384
3 Artesunat serb inj 60 mg/ml (i.v./i.m.) Vial 0 27,569 - 27,569
8 27,569 220,552 27,569
0 - - -
4 Dietilkarbamazin tab 100 mg Tab 0 104 - 104
2000 104 208,000 104
0 - - -
5 Imersion oil Botol 0 825,000 - 825,000
6 Iodina Test Botol 0 4,545 - 4,545
7 Obat Anti Tuberculosis FDC Kategori Anak Paket 0 236,490 - 236,490
8 Obat Anti Tuberculosis FDC Kategori I Paket 0 396,000 - 396,000
9 Obat Anti Tuberculosis FDC Kategori II Paket 0 1,319,990 - 1,319,990

10 Obat Anti Tuberculosis FDC Kategori Sisipan Paket 0 175,899 - 175,899

11 Reagen Zenit Nelson Botol 0 145,000 - 145,000


12 RDT Dangue DBD Set 0 150,000 - 150,000
13 RDT malaria (care star ) Set 0 168,300 - 168,300
14 RDT HIV (intec) Set 0 46,200 - 46,200
15 RDT HIV (vikia) Set 0 45,560 - 45,560
16 RDT HIV (Oncoprobe) Set 0 42,350 - 42,350
17 Taburia Kotak 0 20,454 - 20,454
18 Quinina injeksi Ampul 0 4,438 - 4,438
19 Vaksin BCG inj (i.k) Vial 0 - - -
20 Vaksin campak inj (s.k.) Vial 0 - - -
21 Vaksin jerap difteri tetanus pertusis (DTP) inj (i Vial 0 - - -
22 Vaksin jerap difteri tetanus (DT) Vial 0 - - -
23 Vaksin kombinasi DPT + hepatitis B inj (i.m.) Vial 0 - - -
24 Vaksin polio drops 10 dosis Vial 0 285,000 - 285,000
Vaksin rabies, untuk manusia serb inj (s.k./i.k)
25 Vial 0 695,752 - 695,752
+ booster
Retinol (Vit.A) 200.000 IU kap lunak 0 412 - 412
Retinol (Vit.A) 100.000 IU kap lunak 0 286 - 286
zink tab.20mg 0 497 - 497
Doxiciklin tab 0 - - -
D.BAHAN MEDIS HABIS PAKAI (BHMP) 0 - - -
1 Alat suntik sekali pakai 1 ml Set 0 1,093 - 1,093
6 848 5,090 848
100 990 99,000 100 990
0 - - -
2 Alat suntik sekali pakai 2,5 ml Set 0 1,038 - 1,038
0 848 - 848
0 650 - 650
0 - - -
3 Alat suntik sekali pakai 3 ml Set 0 1,038 - 1,038
78 848 66,164 848
100 792 79,200 792
0 - - -
4 Alat suntik sekali pakai 5 ml Set 0 1,038 - 1,038
406 979 397,373 979
0 - - -
5 Bisturi no. 20 Buah 0 2,099 - 2,099
67 2,100 140,700 2,100
100 2,099 209,900 100 2,099
0 - - -
6 Bisturi no. 15 Buah 0 2,099 - 2,099
0 2,100 - 2,100
9 2,099 18,891 100 2,099
0 - - -
7 Catgut No 2/0 Set 0 6,400 - 6,400
41 25,920 1,062,720 25,920
48 6,400 307,200 6,400
0 - - -
8 Catgut No 3/0 Set 0 5,900 - 5,900
0 27,000 - 27,000
10 5,900 59,000 24 5,900
0 - - -
9 Handscoen no. 6 Pasang 0 6,595 - 6,595
0 11,990 - 11,990
0 - - -
10 Handscoen no. 6,5 Pasang 0 6,595 - 6,595
0 - - -
0 - - -
11 Handscoen no. 7 Pasang 0 4,250 - 4,250
0 7,684 - 7,684
0 11,990 - 50 11,990
0 - - -
12 Handscoen no. 7,5 Pasang 0 4,250 - 4,250
0 7,684 - 7,684
48 11,990 575,520 50 11,990
0 - - -
13 Infuset dewasa Set 0 3,500 - 3,500
25 4,176 104,400 4,176
25 9,900 247,500 9,900
0 - - -
14 Infusion set anak Set 0 4,000 - 4,000
3 4,568 13,704 4,568
8 9,900 79,200 9,900
0 - - -
15 IV Catheter No.16 G Set 0 7,937 - 7,937
0 7,018 - 7,018
0 - - -
15 IV Catheter No.18 G Set 0 6,600 - 6,600
0 20,900 - 20 20,900
0 - - -
16 IV Catheter No.24 G Set 0 7,787 - 7,787
36 7,787 280,332 7,787
20 7,018 140,360 7,018
0 - - -
17 IV Catheter No. 20 G Set 0 7,787 - 7,787
38 7,937 301,606 7,937
0 7,018 - 7,018
0 - - -
18 IV Catheter No. 22 G Set 46 7,787 358,202 7,787
20 7,018 140,360 7,018
0 - - -
19 Folley Catheter 16 Set 0 10,440 - 10,440
0 8,000 - 8,000
0 - - -
19 Folley Catheter 18 Set 0 8,495 - 8,495
0 10,440 - 10,440
0 8,000 - 8,000
0 - - -
20 Folley catheter 22 Set 0 8,495 - 8,495
0 10,440 - 10,440
0 8,000 - 8,000
0 - - -
21 Folley catheter 24 Set 0 495 - 495
8 10,440 83,520 10,440
0 8,000 - 8,000
0 - - -
22 Kapas Berlemak 250 gram Rol 0 7,500 - 7,500
0 27,821 - 27,821
1 24,000 24,000 3 24,000
0 - - -
23 Kapas Berlemak 500 gram Rol 0 17,250 - 10 17,250
0 - - -
24 Kasa Pembalut 4m x 3 cm Rol 0 800 - 800
0 - - -
25 Kasa Pembalut 4m x 5 cm Rol 0 887 - 887
0 1,100 - 1,100
0 - - -
26 Kasa Pembalut 4m x 10 cm Rol 0 607 - 607
0 6,121 - 6,121
5 2,300 11,500 30 2,300
0 - - -
27 Kasa Pembalut 4m x 15 cm Rol 0 887 - 887
0 3,800 - 3,800
0 - - -
28 Kasa Kompres 40/40 steril Buah 0 1,871 - 1,871
0 5,621 - 5,621
0 1,800 - 1,800
0 - - -
29 Kasa Steril 16 X 16 Buah 0 8,600 - 8,600
0 11,724 - 11,724
0 7,900 - 7,900
0 - - -
30 Kasa pembalut 2 x 80 Rol 0 10,467 - 10,467
0 13,221 - 13,221
0 9,400 - 9,400
0 - - -
31 Kasa Pembalut 40 x 80 Rol 0 - - -
0 137,025 - 137,025
0 104,500 - 104,500
0 - - -
32 Kasa Pembalut 36 x 80 cm Rol 0 55,200 - 55,200
0 133,821 - 133,821
1 130,000 130,000 2 130,000
0 - - -
33 Pembalut Gips Buah 2 32,500 65,000 32,500
0 - - -
34 Plester 5 yard x 2 inc Rol 0 23,625 - 23,625
9 23,625 212,625 3 23,625
0 - - -
35 Silk Set 0 5,082 - 5,082
38 18,781 713,678 18,781
0 5,082 - 5,082
0 - - -
36 Selang oksigen anak Set 0 - - -
0 - - -
37 Selang oksigen dewasa Set 0 - - -
0 - - -
38 Sofratulle Set 0 - - -
0 - - -
39 Urine bag Set 0 4,000 - 4,000
0 - - -
40 Wing Needle No. 21 G Set 0 5,770 - 5,770
200 5,770 1,154,000 100 5,770
0 - - -
41 Wing Needle No. 23 G Set 60 5,770 346,200 5,770
199 5,770 1,148,230 5,770
0 - - -
42 Wing Needle No.25 G Set 0 5,770 - 5,770
200 5,770 1,154,000 30 5,770
0 - - -
43 Wing Needle No. 27 G Set 0 5,770 - 5,770
0 - - -
44 NGT No. 3 ( Feeding Tube ) Set 0 22,000 - 22,000
0 - - -
45 NGT No. 5 ( Feeding Tube ) Set 0 22,000 - 22,000
0 - - -
46 Masker Buah 0 1,125 - 1,125
35 1,125 39,375 1,125
0 - - -
47 Tes gula darah Set 0 200,455 - 200,455
80 8,018 641,440 75 8,018
0 - - -
48 Tes Narkoba 3 parameter Set 0 68,181 - 68,181
0 - - -
49 Tes Narkoba 5 parameter Set 0 68,181 - 68,181
0 - - -
50 Tes Kehamilan Sachet 0 6,825 - 6,825
0 3,413 - 3,413

10,409,989
35,945,532

Mengetahui
Kepala Puskesmas Rumbia
Rahmat, AMK
Nip. 19721021 199403 1 004
N OBAT DAN PERBEKES
LAMA 1 TAHUN
N 2016

BULAN : OKTOBER
TAHUN : 2016

asi Masuk Mutasi Pengeluaran Saldo Akhir


ktober 2016 Obat Puskesmas bulan Oktober Per 31 Oktober 2016
Nilai ( Rp) Jumlah Harga Satuan Nilai (Rp) Jumlah Harga Satuan Nilai (Rp)
9 10 11 12 13 14 15

- 6,050 - 0 6,050 -

220,000 2 2,200 4,400 122 2,200 268,400


- - - 0 - -
- 12,750 - 0 12,750 -
- 363 - 0 363 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 245 - 0 245 -
24,500 18 245 4,410 227 245 55,615
- - - 0 - -
37,270 18,635 - 2 18,635 37,270
- - - 0 - -
- 138 - 0 138 -
- 375 138 51,750 295 138 40,710
- - - 0 - -
- 2,722 - 0 2,722 -
- 22 2,722 59,884 0 2,722 -
- - - 0 - -
- 4,204 - 0 4,204 -
252,000 4,200 - 60 4,200 252,000
- - - 0 - -
- 86 - 100 86 8,600
- 86 - 400 86 34,400
- - - 0 - -
- 123 - 0 123 -
- 123 - 100 123 12,300
- - - 0 - -
- 1,863 - 0 1,863 -
- 352 - 0 352 -
- - - 0 - -
- 197 - 0 197 -
- - - 0 - -
- 2,560 - 0 2,560 -
- 31 2,560 79,360 63 2,560 161,280
- - - 0 - -
- 220 - 0 220 -
- 220 - 0 220 -
- - - 0 - -
- 279 - 0 279 -
864,900 870 279 242,730 3185 279 888,615
- - - 0 - -

- 1,499 - 0 1,499 -

- - - 0 - -

- 78 - 0 78 -

62,400 590 78 46,020 1470 78 114,660


- - - 0 - -

- 2,213 - 0 2,213 -

- 2,213 - 0 2,213 -
- - - 0 - -

- 2,767 - 7 2,767 19,369

- - - 0 - -

100,608 1 2,096 2,096 50 2,096 104,800

- - - 0 - -

- 33,000 - 0 33,000 -

- 2,200 - 0 2,200 -
660,000 19 33,000 627,000 35 33,000 1,155,000
- - - 0 - -

- 1,650 - 0 1,650 -

- - - 0 - -

- 149 - 0 149 -

74,500 506 149 75,394 481 149 71,669


- - - 0 - -
- 155 - 0 155 -
- - - 0 - -
- 1,346 - 0 1,346 -
- - - 0 - -
- 110 - 30 110 3,300
- 127 - 1100 127 139,700
- 110 - 0 110 -
- - - 0 - -
- 178 - 0 178 -
- - - 0 - -
- 163 - 0 163 -
- - - 0 - -
- 105 - 0 105 -
262,500 660 105 69,300 2850 105 299,250
- - - 0 - -
- 52 - 0 52 -
- 120 52 6,240 400 52 20,800
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 127 - 0 127 -
254,000 920 127 116,840 2800 127 355,600
- - - 0 - -
- 3,650 - 25 3,650 91,250
- - - 0 - -

- 1,265 - 0 1,265 -

- 20 1,265 25,300 180 1,265 227,700

- - - 0 - -

- 18 15,900 286,200 0 15,900 -


- 9,000 - 0 9,000 -
- - - 0 - -

- 4 82,500 330,000 18 82,500 1,485,000

- 2,367 - 0 2,367 -
- - - 0 - -
- 251 - 0 251 -
- 31 251 7,781 224 251 56,224
- - - 0 - -
- 1,400 - 29 1,400 40,600
- - - 0 - -
- 81 - 0 81 -
- - - 0 - -

- 13,500 - 0 13,500 -

- - - 0 - -
- 1,180 - 0 1,180 -
- 2 1,350 2,700 8 1,350 10,800
- 1,180 - 0 1,180 -
- - - 0 - -

- 73 - 0 73 -

- 55 - 0 55 -
6,600,000 980 2,200 2,156,000 2020 2,200 4,444,000
- - - 0 - -
- 22,727 - 0 22,727 -
- 22,727 - 4 22,727 90,908
- - - 0 - -
- 1,596 - 0 1,596 -
- 8 1,596 12,768 55 1,596 87,780
- - - 0 - -
126,000 30 600 18,000 180 600 108,000
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -

- - - 0 - -

- - - 0 - -
- 42 - 0 42 -
- - - 0 - -
- 68 - 0 68 -
- 160 68 10,880 40 68 2,720
- - - 0 - -
- 1,738 - 168 1,738 291,984
- - - 0 - -
- - - 0 - -
49,915 9,983 - 8 9,983 79,864
- - - 0 - -
- 2,578 - 0 2,578 -
- 2,578 - 51 2,578 131,478
- - - 0 - -

- - - 0 - -

- - - 0 - -
- - - 0 - -
- - - 0 - -
- 28 - 0 28 -
- - - 0 - -
- 55 28 1,540 0 28 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
34,800 1,160 - 75 1,160 87,000
- - - 0 - -
41,200 103 - 500 103 51,500
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 141 - 0 141 -
- 141 - 560 141 78,960
- - - 0 - -
- 278 - 160 278 44,528
- - - 0 - -
- 3,490 - 0 3,490 -
- 5 3,490 17,450 55 3,490 191,950
- - - 0 - -
- 174 - 0 174 -
34,800 170 174 29,580 578 174 100,572
- - - 0 - -
- 56 - 0 56 -
16,917 210 56 11,842 390 56 21,992
- - - 0 - -
- 42 - 160 42 6,720
- 42 - 5000 42 210,000
- - - 0 - -

267,300 8,910 - 120 8,910 1,069,200


- - - 0 - -
- 522 - 820 522 428,040
- 522 - 0 522 -
- - - 0 - -
- 7,581 - 24 7,581 181,944
- - - 0 - -
- 1,013 - 465 1,013 470,938
- 1,023 - 0 1,023 -
- - - 0 - -
- 2,625 - 0 2,625 -
- 2,625 - 0 2,625 -
7,875 23 2,625 60,375 35 2,625 91,875
- - - 0 - -
- 4,695 - 0 4,695 -
- 4,695 - 5 4,695 23,475
- - - 0 - -
- 124 - 0 124 -
- - - 0 - -
- - - 0 - -
- 124 - 0 124 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 146 - 100 146 14,600
- - - 0 - -
- 37 - 0 37 -
- 1,980 - 90 1,980 178,200
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 37 - 0 37 -
- - - 0 - -
- 4 698 2,792 8 698 5,584

- - - 0 - -
- 100 698 69,800 0 698 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 2,012 - 0 2,012 -
- - - 0 - -
- 2,012 - 34 2,012 68,408
- - - 0 - -
- 84 - 0 84 -
- 84 - 360 84 30,240
- - - 0 - -

- 317 - 0 317 -

221,900 23 317 7,291 677 317 214,609


- - - 0 - -
- 2,420 - 0 2,420 -
- - - 0 - -
- 323 - 0 323 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 3,739 - 0 3,739 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 2,340 - 0 2,340 -
- 8 1,469 11,752 10 1,469 14,690
- 3,513 - 30 3,513 105,390
- - - 0 - -
- 3,194 - 0 3,194 -
- - - 0 - -
- 61 - 0 61 -
- 20 61 1,220 100 61 6,100
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 31 - 0 31 -
- 480 31 14,880 5720 31 177,320
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 5,720 - 26 5,720 148,720
- - - 0 - -
- 6,270 - 15 6,270 94,050
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 230 - 0 230 -
69,000 100 230 23,000 270 230 62,100
- - - 0 - -
- 62 - 0 62 -
- - - 0 - -
- 76 - 0 76 -
- 76 - 175 76 13,300
- - - 0 - -
- 105 - 0 105 -
- 105 - 0 105 -
- - - 0 - -
38,500 38,500 - 1 38,500 38,500
- - - 0 - -
- 40 - 0 40 -
12,000 40 - 9800 40 392,000
- - - 0 - -
- 24 - 0 24 -
76,800 10 3,200 32,000 14 3,200 44,800
- - - 0 - -
- 330 - 0 330 -
- - - 0 - -
- 4,949 - 0 4,949 -
- - - 0 - -
- 127 - 0 127 -
- 121 - 0 121 -
63,500 80 127 10,160 420 127 53,340
- - - 0 - -
- 157 - 0 157 -
- 157 - 0 157 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 98 - 0 98 -
- 98 - 90 98 8,820
- - - 0 - -
- 17 10,000 170,000 0 10,000 -
- - - 0 - -
- 9,519 - 20 9,519 190,380
- - - 0 - -
- 51 - 0 51 -
- 330 76 25,080 140 76 10,640
- - - 0 - -
- 69 - 0 69 -
- 69 - 70 69 4,830
- - - 0 - -
- 97 - 0 97 -
97,000 452 97 43,844 1260 97 122,220
- - - 0 - -
- 269 - 0 269 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 110,000 - 0 110,000 -
- - - 0 - -
- 320 - 0 320 -
- 320 - 0 320 -
- - - 0 - -
- 5,150 - 0 5,150 -
- 5,150 - 0 5,150 -
- - - 0 - -
- 2,665 - 0 2,665 -
31,980 2,665 - 90 2,665 239,850
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 405 - 0 405 -
- - - 0 - -
- 1,680 - 0 1,680 -
- - - 0 - -
- 275 - 0 275 -
- 275 - 0 275 -
- - - 0 - -
- 1,680 - 0 1,680 -
- 7 1,680 11,760 5 1,680 8,400
- - - 0 - -
- 3 4,016 12,048 10 4,016 40,160
- - - 0 - -
- 26 - 0 26 -
158,400 690 26 18,216 7679 26 202,726
- - - 0 - -
- 1,210 - 0 1,210 -
- - - 0 - -
- 152 - 0 152 -
- - - 0 - -
- 200 50 10,000 32 50 1,600
- - - 0 - -

106,150 531 - 200 531 106,150

- - - 0 - -

23,960 4 5,990 23,960 0 5,990 -

- - - 0 - -

- 85 152 12,920 525 152 79,800

- 152 - 6583 152 1,000,616


- - - 0 - -

- 79 - 0 79 -
118,500 300 79 23,700 1380 79 109,020
- - - 0 - -

- 7 2,298 16,086 24 2,298 55,152

- - - 0 - -
- 6,820 - 0 6,820 -
- 6,820 - 0 6,820 -
- - - 0 - -
- 112 - 0 112 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 581 - 0 581 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 1,499 - 0 1,499 -
- 1,499 - 0 1,499 -
92,900 63 929 58,527 68 929 63,172
- - - 0 - -
- 54,995 - 0 54,995 -
109,990 1 54,995 54,995 1 54,995 54,995
- - - 0 - -
- 97 - 0 97 -
203,700 130 97 12,610 2075 97 201,275
- - - 0 - -
- 170 - 50 170 8,500
- - - 0 - -
- 7,260 - 0 7,260 -
- 7,260 - 0 7,260 -
- - - 0 - -
- 7,260 - 0 7,260 -
- 7,260 - 18 7,260 130,680
- - - 0 - -
- 1,130 - 0 1,130 -
- - - 0 - -
- 3,887 - 0 3,887 -
- - - 0 - -
- 248 - 90 248 22,320
- - - 0 - -
50,000 20 125 2,500 380 125 47,500
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 1,639 - 0 1,639 -
- - - 0 - -
- 133 - 160 133 21,296
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 1,100 - 0 1,100 -
- 1,100 - 0 1,100 -
- - - 0 - -

- - - 0 - -

- - - 0 - -
- 20 100 2,000 182 100 18,200
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 12,980 - 0 12,980 -
- 12,980 - 7 12,980 90,860
- - - 0 - -
- 116 - 0 116 -
11,600 80 116 9,280 600 116 69,600
- - - 0 - -
- - - 0 - -
- 270 169 45,630 970 169 163,930
- - - 0 - -
- 3,150 - 0 3,150 -
75,600 11 3,150 34,650 22 3,150 69,300
- - - 0 - -
- 146 - 0 146 -
73,000 146 - 560 146 81,760
- - - 0 - -
- 193 - 0 193 -
144,750 530 193 102,290 810 193 156,330
- - - 0 - -
- 5,170 - 0 5,170 -
- 6 5,170 31,020 7 5,170 36,190
- - - 0 - -
- 127 - 0 127 -
- 127 - 830 127 105,410
- - - 0 - -
- 704 - 0 704 -
281,600 704 - 800 704 563,200
- - - 0 - -
- 190 448 85,120 0 448 -
- - - 0 - -
- 2,310 - 0 2,310 -
- 3 2,310 6,930 68 2,310 157,080
- - - 0 - -
66,000 440 - 150 440 66,000
- - - 0 - -
- 700 - 0 700 -
70,000 700 - 140 700 98,000
- - - 0 - -
- 3,410 - 0 3,410 -
- - - 0 - -
- 2,010 - 0 2,010 -
- 3 1,646 4,938 4 1,646 6,584
- - - 0 - -
- 2,772 - 0 2,772 -
- 2 2,772 5,544 130 2,772 360,360
- - - 0 - -
- 6,875 - 0 6,875 -
- 1,900 - 0 1,900 -
137,500 1 6,875 6,875 27 6,875 185,625
- - - 0 - -
- 221 - 0 221 -
66,300 221 - 300 221 66,300
- - - 0 - -
- 109 - 0 109 -
- 1590 109 173,310 690 109 75,210
- - - 0 - -
- 1,535 - 0 1,535 -
- 67 1,535 102,845 7 1,535 10,745
- - - 0 - -
- 105 - 0 105 -
- 100 105 10,500 0 105 -
- - - 0 - -
- 88 - 0 88 -
167,200 929 88 81,752 2775 88 244,200
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 849 - 0 849 -
- 297 - 0 297 -
- - - 0 - -
- 25,350 - 0 25,350 -

- 25,350 - 1 25,350 25,350


- - - 0 - -
- 107 - 800 107 85,600
- 107 - 0 107 -
- - - 0 - -
- 964 - 0 964 -
289,200 10 964 9,640 490 964 472,360
- - - 0 - -
- 854 - 0 854 -
358,680 854 - 520 854 444,080
- - - 0 - -
24,200,000 60,500 - 450 60,500 27,225,000
- - - 0 - -
- 9,100 - 38 9,100 345,800
- - - 0 - -
- 318 - 0 318 -
222,600 6 318 1,908 1128 318 358,704
- - - 0 - -
- 19 - 0 19 -
38,000 340 19 6,460 2090 19 39,710
- - - 0 - -
- 116 - 0 116 -
46,400 116 - 935 116 108,460
- - - 0 - -
- 18,635 - 0 18,635 -
- 18,635 - 7 18,635 130,445
- - - 0 - -

- 2,344 - 0 2,344 -

117,200 2 2,344 4,688 54 2,344 126,576


- - - 0 - -
- 15,386 - 0 15,386 -

- 15,386 - 3 15,386 46,158


- - - 0 - -

- 40,202 - 0 40,202 -

603,030 40,202 - 15 40,202 603,030


- - - 0 - -
- 98 - 0 98 -
196,000 700 98 68,600 2464 98 241,472
- - - 0 - -
- 125 - 985 125 123,125
- - - 0 - -
- 12,021 - 0 12,021 -
120,210 6 12,021 72,126 32 12,021 384,672
- - - 0 - -
- 40 297 11,880 160 297 47,520
- - - 0 - -
56,000 80 - 790 80 63,200
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 128 - 0 128 -
64,000 510 128 65,280 630 128 80,640
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 440 - 0 440 -
- - - 0 - -
- 624 - 0 624 -
- - - 0 - -
172,600 863 - 200 863 172,600
- - - 0 - -
- 5,720 - 0 5,720 -
- 22 5,720 125,840 84 5,720 480,480
- - - 0 - -
- 92 - 0 92 -
32,500 70 65 4,550 640 65 41,600
- - - 0 - -
- 93 - 0 93 -
46,500 90 93 8,370 690 93 64,170
- - - 0 - -

- 1,980 - 0 1,980 -

- 2 2,200 4,400 4 2,200 8,800


- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 548 - 0 548 -
931,600 170 548 93,160 1610 548 882,280
- - - 0 - -
- 5,286 - 0 5,286 -
- 5,286 - 0 5,286 -
314,250 20 6,285 125,700 64 6,285 402,240
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 5,414 - 0 5,414 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 1,451 - 38 1,451 55,124

- - - 0 - -

- 150 - 0 150 -

- - - 0 - -
- 138 - 0 138 -
- 138 - 640 138 88,320
- - - 0 - -
- 177 - 0 177 -
- - - 0 - -
- 480 - 0 480 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 312 - 700 312 218,680
- - - 0 - -
- - - 0 - -
- 350 - 200 350 70,000
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 477 - 400 477 190,800
- - - 0 - -
- - - 0 - -
- 1,155 - 100 1,155 115,500
- - - 0 - -
- 183 - 700 183 128,398
- - - 0 - -
- 283 - 0 283 -
- - - 0 - -

207,900 42 - 5000 42 207,900

- 42 - 0 42 -
- - - 0 - -
- 770 - 0 770 -
- - - 0 - -
- 2,680 - 0 2,680 -
- - - 0 - -
181,500 363 - 612 363 222,156
- - - 0 - -
- 45 - 0 45 -
- 45 - 160 45 7,200
- - - 0 - -
- 63 - 0 63 -
- - - 0 - -
665,280 7,392 - 90 7,392 665,280
- - - 0 - -
- 112 - 0 112 -
11,200 860 112 96,320 3240 112 362,880
- - - 0 - -
- 521 - 0 521 -
- 521 - 0 521 -
- - - 0 - -
- 8,140 - 0 8,140 -
- 8,140 - 12 8,140 97,680
- - - 0 - -
- 573 - 0 573 -
- 6,975 - 0 6,975 -
- - - 0 - -
- 10,395 - 47 10,395 488,565
- - - 0 - -
- 155 - 0 155 -
- 141 - 1000 141 141,000
- - - 0 - -
- - - 0 - -
- 1,210 - 0 1,210 -
- - - 0 - -

- 57 - 0 57 -

- - - 0 - -

- 116 - 0 116 -
- 572 - 0 572 -
- - - 0 - -
- 191 - 100 191 19,100
- - - 0 - -
- 275 - 0 275 -
- 275 - 0 275 -
- - - 0 - -
- 162 - 0 162 -
- - - 0 - -
- 1,108 - 0 1,108 -
- 1,109 - 16 1,109 17,744
- - - 0 - -
- 162 - 0 162 -
- - - 0 - -
115,500 116 - 1000 116 115,500
- - - 0 - -
- 167 - 0 167 -
- - - 0 - -
- 125 - 0 125 -
- - - 0 - -
- 318 - 0 318 -
- - - 0 - -
- 109 - 0 109 -
- - - 0 - -
- 45 - 0 45 -
- - - 0 - -
- 854 - 0 854 -
- - - 0 - -
- 42,727 - 0 42,727 -
- 42,727 - 0 42,727 -
- - - 0 - -
- 1,480 - 0 1,480 -
1,480,000 195 1,480 288,600 1030 1,480 1,524,400
- - - 0 - -
- 31 - 0 31 -
- - - 0 - -
- 56 - 0 56 -
- - - 0 - -
- - - 0 - -
- 765,000 - 0 765,000 -
- 765,000 - 2 765,000 1,530,000
- - - 0 - -
- 242,000 - 0 242,000 -
- - - 0 - -
- 338,800 - 0 338,800 -
338,800 338,800 - 2 338,800 677,600
- - - 0 - -
- 390,000 - 0 390,000 -
- 390,000 - 0 390,000 -
- - - 0 - -
- 18,333 - 0 18,333 -
18,333 18,333 - 1 18,333 18,333
- - - 0 - -
- 105,000 - 0 105,000 -
- 105,000 - 1 105,000 105,000
- - - 0 - -
- 170,000 - 0 170,000 -
- - - 0 - -
- 395,000 - 0 395,000 -
- 197,895 - 1 197,895 197,895
- - - 0 - -
- 55,000 - 1 55,000 55,000
- - - 0 - -
- 93,500 - 0 93,500 -
- 93,500 - 2 93,500 187,000
- - - 0 - -
- 34,000 - 0 34,000 -
- 34,000 - 0 34,000 -
- - - 0 - -
- 176,000 - 0 176,000 -
- - - 0 - -
- - - 0 - -
- 425 - 0 425 -
- 24,384 - 0 24,384 -
- 27,569 - 0 27,569 -
- 27,569 - 8 27,569 220,552
- - - 0 - -
- 104 - 0 104 -
- 104 - 2000 104 208,000
- - - 0 - -
- 825,000 - 0 825,000 -
- 4,545 - 0 4,545 -
- 236,490 - 0 236,490 -
- 396,000 - 0 396,000 -
- 1,319,990 - 0 1,319,990 -

- 175,899 - 0 175,899 -

- 145,000 - 0 145,000 -
- 150,000 - 0 150,000 -
- 168,300 - 0 168,300 -
- 46,200 - 0 46,200 -
- 45,560 - 0 45,560 -
- 42,350 - 0 42,350 -
- 20,454 - 0 20,454 -
- 4,438 - 0 4,438 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 285,000 - 0 285,000 -

- 695,752 - 0 695,752 -

- 412 - 0 412 -
- 286 - 0 286 -
- 497 - 0 497 -
- - - 0 - -
- - - 0 - -
- 1,093 - 0 1,093
- 848 - 6 848 5,090
99,000 990 - 200 990 198,000
- - - 0 - -
- 1,038 - 0 1,038 -
- 848 - 0 848 -
- 650 - 0 650 -
- - - 0 - -
- 1,038 - 0 1,038 -
- 42 848 35,627 36 848 30,537
- 792 - 100 792 79,200
- - - 0 - -
- 1,038 - 0 1,038 -
- 20 979 19,575 386 979 377,798
- - - 0 - -
- 2,099 - 0 2,099 -
- 2,100 - 67 2,100 140,700
209,900 2,099 - 200 2,099 419,800
- - - 0 - -
- 2,099 - 0 2,099 -
- 2,100 - 0 2,100 -
209,900 9 2,099 18,891 100 2,099 209,900
- - - 0 - -
- 6,400 - 0 6,400 -
- 25,920 - 41 25,920 1,062,720
- 6,400 - 48 6,400 307,200
- - - 0 - -
- 5,900 - 0 5,900 -
- 27,000 - 0 27,000 -
141,600 2 5,900 11,800 32 5,900 188,800
- - - 0 - -
- 6,595 - 0 6,595 -
- 11,990 - 0 11,990 -
- - - 0 - -
- 6,595 - 0 6,595 -
- - - 0 - -
- - - 0 - -
- 4,250 - 0 4,250 -
- 7,684 - 0 7,684 -
599,500 22 11,990 263,780 28 11,990 335,720
- - - 0 - -
- 4,250 - 0 4,250 -
- 7,684 - 0 7,684 -
599,500 40 11,990 479,600 58 11,990 695,420
- - - 0 - -
- 3,500 - 0 3,500 -
- 10 4,176 41,760 15 4,176 62,640
- 9,900 - 25 9,900 247,500
- - - 0 - -
- 4,000 - 0 4,000 -
- 1 4,568 4,568 2 4,568 9,136
- 9,900 - 8 9,900 79,200
- - - 0 - -
- 7,937 - 0 7,937 -
- 7,018 - 0 7,018 -
- - - 0 - -
- 6,600 - 0 6,600 -
418,000 20,900 - 20 20,900 418,000
- - - 0 - -
- 7,787 - 0 7,787 -
- 7,787 - 36 7,787 280,332
- 7,018 - 20 7,018 140,360
- - - 0 - -
- 7,787 - 0 7,787 -
- 7,937 - 38 7,937 301,606
- 7,018 - 0 7,018 -
- - - 0 - -
- 15 7,787 116,805 31 7,787 241,397
- 7,018 - 20 7,018 140,360
- - - 0 - -
- 10,440 - 0 10,440 -
- 8,000 - 0 8,000 -
- - - 0 - -
- 8,495 - 0 8,495 -
- 10,440 - 0 10,440 -
- 8,000 - 0 8,000 -
- - - 0 - -
- 8,495 - 0 8,495 -
- 10,440 - 0 10,440 -
- 8,000 - 0 8,000 -
- - - 0 - -
- 495 - 0 495 -
- 10,440 - 8 10,440 83,520
- 8,000 - 0 8,000 -
- - - 0 - -
- 7,500 - 0 7,500 -
- 27,821 - 0 27,821 -
72,000 24,000 - 4 24,000 96,000
- - - 0 - -
172,500 1 17,250 17,250 9 17,250 155,250
- - - 0 - -
- 800 - 0 800 -
- - - 0 - -
- 887 - 0 887 -
- 1,100 - 0 1,100 -
- - - 0 - -
- 607 - 0 607 -
- 6,121 - 0 6,121 -
69,000 1 2,300 2,300 34 2,300 78,200
- - - 0 - -
- 887 - 0 887 -
- 3,800 - 0 3,800 -
- - - 0 - -
- 1,871 - 0 1,871 -
- 5,621 - 0 5,621 -
- 1,800 - 0 1,800 -
- - - 0 - -
- 8,600 - 0 8,600 -
- 11,724 - 0 11,724 -
- 7,900 - 0 7,900 -
- - - 0 - -
- 10,467 - 0 10,467 -
- 13,221 - 0 13,221 -
- 9,400 - 0 9,400 -
- - - 0 - -
- - - 0 - -
- 137,025 - 0 137,025 -
- 104,500 - 0 104,500 -
- - - 0 - -
- 55,200 - 0 55,200 -
- 133,821 - 0 133,821 -
260,000 1 130,000 130,000 2 130,000 260,000
- - - 0 - -
- 2 32,500 65,000 0 32,500 -
- - - 0 - -
- 23,625 - 0 23,625 -
70,875 2 23,625 47,250 10 23,625 236,250
- - - 0 - -
- 5,082 - 0 5,082 -
- 10 18,781 187,810 28 18,781 525,868
- 5,082 - 0 5,082 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 4,000 - 0 4,000 -
- - - 0 - -
- 5,770 - 0 5,770 -
577,000 5,770 - 300 5,770 1,731,000
- - - 0 - -
- 1 5,770 5,770 59 5,770 340,430
- 5,770 - 199 5,770 1,148,230
- - - 0 - -
- 5,770 - 0 5,770 -
173,100 5,770 - 230 5,770 1,327,100
- - - 0 - -
- 5,770 - 0 5,770 -
- - - 0 - -
- 22,000 - 0 22,000 -
- - - 0 - -
- 22,000 - 0 22,000 -
- - - 0 - -
- 1,125 - 0 1,125 -
- 16 1,125 18,000 19 1,125 21,375
- - - 0 - -
- 200,455 - 0 200,455 -
601,350 80 8,018 641,440 75 8,018 601,350
- - - 0 - -
- 68,181 - 0 68,181 -
- - - 0 - -
- 68,181 - 0 68,181 -
- - - 0 - -
- 6,825 - 0 6,825 -
- 3,413 - 0 3,413 -

4,273,225 2,107,226 12,575,988


47,659,823 8,822,412 74,782,943

Rumbia, 31 Oktober 2016

Penanggung Jawab
Laporan
Wa Ode Wahyuni Hambe, S. Si, Apt
Nip. 19870305 201101 2 019
REKAPAN PENGGUNAAN OBAT DAN PERBEK
PUSKESMAS SELAMA 1 TAHUN
TAHUN 2016

SKPD : PUSKESMAS RUMBIA


KABUPATEN : BOMBANA
PROVINSI : SULAWESI TENGARA

Saldo Awal 2016 Mutasi Masuk


Satuan /
No Nama Obat 1 November 2016 bulan November 2016
Kemasan
Jumlah Harga Satuan (Rp) Nilai (Rp) Jumlah Harga Satuan
1 2 3 4 5 6 7 8
OBAT

1 Air untuk injeksi amp 25 ml (aqua pro injeksi) Ampul 0 6,050 - 6,050

122 2,200 268,400 2,200


0 - - -
2 Albendazol tab 400 mg Tab 0 12,750 - 12,750
0 363 - 363
0 - - -
3 Alopurinol tab 100 mg Tab 0 - - -
0 - - -
4 Alprazolam tab 1 mg Tab 0 245 - 245
227 245 55,615 245
0 - - -
5 Albothyl cairan Botol 2 18,635 37,270 18,635
0 - - -
6 Ambroksol tablet 30 mg Tab 0 138 - 138
295 138 40,710 138
0 - - -
7 Ambroksol sirup Botol 0 2,722 - 2,722
0 2,722 - 2,722
0 - - -
8 Aminofilin inj 24 mg/ml Ampul 0 4,204 - 4,204
60 4,200 252,000 4,200
0 - - -
9 Aminofilin tab 200 mg Tab 100 86 8,600 86
400 86 34,400 86
0 - - -
10 Amitriptilin tab sal 25 mg Tab sal 0 123 - 123
100 123 12,300 123
0 - - -
11 Amlodipin tab 10 mg Tab 0 1,863 - 1,863
0 352 - 352
0 - - -
12 Amlodipin tab 5 mg Tab 0 197 - 197
0 - - -
13 Amoksisilin sir kering 125 mg/5 ml Botol 0 2,560 - 2,560
63 2,560 161,280 30 2,560
0 - - -
14 Amoksisilin tab 250 mg Tab 0 220 - 220
0 220 - 220
0 - - -
15 Amoksisilin tab 500 mg Tab 0 279 - 279
3185 279 888,615 279
0 - - -
Anestetik lokal gigi kombinasi : lidokain hcl
16 2% + epinefrin 1 : 80.000 inj 2 ml Ampul 0 1,499 - 1,499

0 - - -

Antasida, kombinasi : aluminium hidroksida


17 Tab kunyah 0 78 - 78
200 mg + magnesium hidroksida 200 mg

1470 78 114,660 78
0 - - -
Antasida, kombinasi : aluminium hidroksida
18 200 mg + magnesium hidroksida 200 mg Botol 0 2,213 - 2,213
Suspensi
0 2,213 - 2,213
0 - - -
Antibakteri, kombinasi : basitrasin 500 UI/g+
19 Tube 7 2,767 19,369 2,767
Polimiskin B 10.000 UI/g
Antifungi salep, kombinasi : asam benzoat 6% 0 - - -
+ asam salisilat 3%
20 Tube 50 2,096 104,800 2,096

0 - - -
mg + heksaklorofen 2,5 mg + lidokain
lidokain 10 mg+ seng oksida 120 mg + sup
21 ad 2 g Suppo 0 33,000 - 33,000

0 2,200 - 2,200
35 33,000 1,155,000 10 33,000
0 - - -
Anti Parkinson kombinasi : benzerasid 25 mg +
22 Kaps 0 1,650 - 1,650
levodopa 100 mg
0 - - -
Anti Migren, kombinasi : ergotamin 1 mg+
23 Tab 0 149 - 149
kafein 50 mg
481 149 71,669 149
0 - - -
24 Antalgin (metampirom) tablet 100 mg Tab 0 155 - 155
0 - - -
25 Antalgin (metampirom) injeksi 250 mg/ml-2 ml Ampul 0 1,346 - 1,346
0 - - -
26 Asam asetilsalisilat (asetosal) tab 100 mg Tab 30 110 3,300 110
1100 127 139,700 127
0 110 - 110
0 - - -
27 Asam asetilsalisilat (asetosal) tab 500 mg Tab 0 178 - 178
0 - - -
Asam asetilsalisilat (asetosal) tab 80 mg
28 Tab 0 163 - 163
(Miniaspi 80)
0 - - -
29 Asam askorbat (vitamin C) tab 50 mg Tab 0 105 - 105
2850 105 299,250 105
0 - - -
30 Asam folat tab 1 mg Tab 0 52 - 52
400 52 20,800 52
0 - - -
31 Asam mefenamat kaps 250 mg Kaps 0 - - -
0 - - -
32 Asam mefenamat kaps 500 mg Kaps 0 127 - 127
2800 127 355,600 127
0 - - -
33 Asam traneksamat inj 50 mg/ml Ampul 25 3,650 91,250 3,650
0 - - -

34 Asam traneksamat tab 500 mg Tab 0 1,265 - 1,265

180 1,265 227,700 1,265

0 - - -

35 Asering larutan infus Botol 0 15,900 - 15,900


0 9,000 - 9,000
0 - - -

36 Asiklovir salep kulit Tube 18 82,500 1,485,000 82,500

0 2,367 - 2,367
0 - - -
37 Asiklovir tab 200 mg Tab 0 251 - 251
224 251 56,224 251
0 - - -
38 Atropin inj 0,25 mg/ml (i.m./i.v./s.k) Ampul 29 1,400 40,600 1,400
0 - - -
39 Atropin tab 0,5 mg Tab 0 81 - 81
0 - - -

40 Atropin tts mata 0,5% (Cendotropin 0,5%) Botol 0 13,500 - 13,500

0 - - -
41 Bedak salisil serb 2% Botol 0 1,180 - 1,180
8 1,350 10,800 1,350
0 1,180 - 1,180
0 - - -
Besi (II) sulfat 200 mg + asam folat 0.25 mg
42 Sachet 0 73 - 73
(tablet tambah darah)
0 55 - 55
2020 2,200 4,444,000 2,200
0 - - -
43 Becefort syrup Botol 0 22,727 - 22,727
4 22,727 90,908 22,727
0 - - -
44 Betametason krim 0,1% Tube 0 1,596 - 1,596
55 1,596 87,780 1,596
0 - - -
45 Betahistin mesilate tablet tablet 180 600 108,000 150 600
0 - - -
46 Bisakodil sup 10 mg (Stolax) Botol 0 - - -
0 - - -
47 Bisakodil tab sal 5 mg Tab sal 0 - - -
0 - - -
48 Bismecon salep tube 0 - - -
0 - - -
Budesonid-formoterol (fixed combination)* ih
49 Botol 0 - - -
80/4,5 mcg
0 - - -
50 Bromheksin tablet tablet 0 42 - 42
0 - - -
51 Deksametason tab 0,5 mg Tab 0 68 - 68
40 68 2,720 68
0 - - -
52 Deksametason inj 5 mg/ml (i.v./i.m.) Vial 168 1,738 291,984 1,738
0 - - -
53 Desoksimetason salep 0,25% Tube 0 - - -
8 9,983 79,864 9,983
0 - - -
54 Diazepam inj 5 mg/ml (i.v./i.m.) Vial 0 2,578 - 2,578
51 2,578 131,478 2,578
0 - - -

55 Diazepam lar rektal 10 mg/2,5 ml (Stesolid) Botol 0 - - -

0 - - -
56 Diazepam supposutoria suppo 0 - - -
0 - - -
57 Diazepam tab 2 mg Tab 0 28 - 28
0 - - -
58 Diazepam tab 5 mg Tab 0 28 - 28
0 - - -
59 Dietilkarbamazin tab 100 mg Tab 0 - - -
0 - - -
60 Difenhidramin inj 10 mg/ml (i.v./i.m.) Ampul 75 1,160 87,000 1,160
0 - - -
61 Digoksin tab 0,25 mg Tab 500 103 51,500 103
0 - - -
62 Diltiazem kaps SR 100 mg Kaps 0 - - -
0 - - -
63 Diltiazem tab 30 mg Tab 0 141 - 141
560 141 78,960 141
0 - - -
64 Doksisiklin tablet 100 mg Tab 160 278 44,528 278
0 - - -
65 Domperidon susp 5 mg/5 ml Botol 0 3,490 - 3,490
55 3,490 191,950 3,490
0 - - -
66 Domperidon tab 10 mg Tab 0 174 - 174
578 174 100,572 174
0 - - -
67 Efedrin HCl tablet Tab 0 56 - 56
390 56 21,992 200 56
0 - - -
68 Ekstrak belladon tablet 10 mg tab 160 42 6,720 42
5000 42 210,000 42
0 - - -

69 Epinefrin (adrenalin) inj 0,1% (i.v./s.k./i.m.) Ampul 120 8,910 1,069,200 8,910

0 - - -
70 Eritromisin kaps 250 mg Kaps 820 522 428,040 522
0 522 - 522
0 - - -
71 Eritromisin sir 200 mg/5 ml Botol 24 7,581 181,944 7,581
0 - - -
72 Eritromisin tab 500 mg Tab 465 1,013 470,938 1,013
0 1,023 - 1,023
0 - - -
73 Etanol 70% cairan 70% Botol 0 2,625 - 2,625
0 2,625 - 2,625
35 2,625 91,875 2,625
0 - - -
74 Etakridin (rivanol) larutan 0.1% Botol 0 4,695 - 4,695
5 4,695 23,475 4,695
0 - - -
75 Etil klorida semprot 100 ml Botol 0 124 - 124
0 - - -
76 Famotidin tablet 20 mg Tab 0 - - -
0 124 - 124
0 - - -
77 Fenitoin Na inj 50 mg/ml Ampul 0 - - -
0 - - -
78 Fenitoin Na kaps 100 mg Kaps 0 - - -
100 146 14,600 146
0 - - -
79 Fenobarbital inj 50 mg/ml Ampul 0 37 - 37
90 1,980 178,200 1,980
0 - - -
80 Fenobarbital tab 100 mg Tab 0 - - -
0 - - -
81 Fenobarbital tab 30 mg Tab 0 37 - 37
0 - - -

82 Fitomenadion (vitamin K 1) inj 2 mg/ml (i.m.) Vial 8 698 5,584 698

0 - - -
83 Fitomenadion (vitamin K 1) tab sal 10 mg Tab sal 0 698 - 698
0 - - -
84 Flukonazol kaps 150 mg Kaps 0 - - -
0 - - -
85 Flusinolon asetonid krim 0,025% Tube 0 - - -
0 - - -
86 Flunarizin tablet tablet 0 2,012 - 2,012
0 - - -
87 Furosemid inj 10 mg/ml (i.v./i.m.) Ampul 34 2,012 68,408 25 2,012
0 - - -
88 Furosemid tab 40 mg Tab 0 84 - 84
360 84 30,240 84
0 - - -
Garam oralit kombinasi : natrium klorida 0,52
g + kalium klorida 0,30 g + trinatrium sitrat
89 Sachet 0 317 - 317
0,58 g + glukosa anhidrat 2,7 g

677 317 214,609 317


0 - - -
90 Gameksan lotion 1 % Botol 0 2,420 - 2,420
0 - - -
91 Gemfibrozil kaps 300 mg Kaps 0 323 - 323
0 - - -
92 Gemfibrozil kaps 600 mg Kaps 0 - - -
0 - - -
93 Gentamisin inj 10 mg/ml Ampul 0 3,739 - 3,739
0 - - -
94 Gentamisin salep mata 0,3% Tube 0 - - -
0 - - -
95 Gentamisin salep Kulit Tube 0 2,340 - 2,340
10 1,469 14,690 1,469
30 3,513 105,390 3,513
0 - - -
96 Gentamisin tts mata 0,3% Botol 0 3,194 - 3,194
0 - - -
97 Glibenklamid tab 5 mg Tab 0 61 - 61
100 61 6,100 61
0 - - -
98 Glimepirid tab 4 mg Tab 0 - - -
0 - - -
99 Glipizid tablet 5 mg (Glucotrol 5 mg) Tab 0 - - -
0 - - -
100 Gliseril Guaiakolat tab 100 mg Tab 0 31 - 31
5720 31 177,320 2,000 31
0 - - -
101 Gliserin lar 50% Botol 0 - - -
0 - - -
102 Glukosamin tablet 500 mg Tab 0 - - -
0 - - -
103 Glukosa Larutan Infus 5% steril Botol 26 5,720 148,720 5,720
0 - - -
104 Glukosa Larutan Infus 10% steril Botol 15 6,270 94,050 6,270
0 - - -
105 Glukosa Larutan Infus 40% steril Botol 0 - - -
0 - - -
106 Griseofulvin (micronized) tab 125 mg Tab 0 230 - 230
270 230 62,100 230
0 - - -
107 Haloperidol tab 0,5 mg Tab 0 62 - 62
0 - - -
108 Haloperidol tab 1,5 mg Tab 0 76 - 76
175 76 13,300 76
0 - - -
109 Haloperidol tab 5 mg Tab 0 105 - 105
0 105 - 105
0 - - -
110 Hidrogen peroksida (H2O2) cairan 3% Botol 1 38,500 38,500 38,500
0 - - -
111 Hidroklorotiazid (HCT) tab 25 mg Tab 0 40 - 40
9800 40 392,000 40
0 - - -
112 Hidrokortison krim 2,5% Tube 0 24 - 24
14 3,200 44,800 3,200
0 - - -
113 Hiosina butilbromida tab 10 mg Tab 0 330 - 330
0 - - -
114 Ibuprofen susp 100 mg/5 ml Botol 0 4,949 - 4,949
0 - - -
115 Ibuprofen tab 200 mg Tab 0 127 - 127
0 121 - 121
420 127 53,340 400 127
0 - - -
116 Ibuprofen tab 400 mg Tab 0 157 - 157
0 157 - 157
0 - - -
Ipratropium bromida nebulizer 0,025%
117 Botol 0 - - -
(Atroven sol. for inhalation 0.025%)
0 - - -
118 Isoniazid tab 300 mg Tab 0 - - -
0 - - -
119 Isosorbid dinitrat inj 10 mg/10 ml (Fasorbid) Vial 0 - - -
0 - - -
120 Isosorbid dinitrat tab 5 mg Tab 0 98 - 98
90 98 8,820 98
0 - - -
121 KA-EN 3B Cairan Infus Botol 0 10,000 - 10,000
0 - - -
122 Kalsium glukonat inj 100 mg/ml Ampul 20 9,519 190,380 9,519
0 - - -
123 Kalsium laktat (kalk) tab 500 mg Tab 0 51 - 51
140 76 10,640 1,000 76
0 - - -
124 Kaptopril tab 12,5 mg Tab 0 69 - 69
70 69 4,830 69
0 - - -
125 Kaptopril tab 25 mg Tab 0 97 - 97
1260 97 122,220 97
0 - - -
126 Karbamazepin tab 200 mg Tab 0 269 - 269
0 - - -
127 Karbo adsorben (Norit) tab 500 mg Tab 0 - - -
0 - - -
128 Ketamin inj 50 mg/ml (i.v.) Ampul 0 110,000 - 110,000
0 - - -
129 Ketokonazol tab 200 mg Tab 0 320 - 320
0 320 - 320
0 - - -
130 Ketokonazol krim 2% Tube 0 5,150 - 5,150
0 5,150 - 5,150
0 - - -
131 Ketorolak inj 10 mg/ml Ampul 0 2,665 - 2,665
90 2,665 239,850 2,665
0 - - -
132 Klaritromisin tab 500 mg Tab 0 - - -
0 - - -
133 Klindamisin kaps 150 mg Kaps 0 405 - 405
0 - - -
134 Kloramfenikol tts mata 0,5% Botol 0 1,680 - 1,680
0 - - -
135 Kloramfenikol kaps 250 mg Kaps 0 275 - 275
0 275 - 275
0 - - -
136 Kloramfenikol salep mata 1% Tube 0 1,680 - 1,680
5 1,680 8,400 24 1,680
0 - - -
137 Kloramfenikol susp 125 mg/5 ml Botol 10 4,016 40,160 4,016
0 - - -
138 Klorfeniramin (CTM) tab 4 mg Tab 0 26 - 26
7679 26 202,726 26
0 - - -
139 Klorpromazin inj 25 mg/ml (i.m.) Ampul 0 1,210 - 1,210
0 - - -
140 Klorpromazin tab sal 100 mg Tab sal 0 152 - 152
0 - - -
141 Klorpromazin tab sal 25 mg Tab sal 32 50 1,600 50
0 - - -

142 Kombinasi : Pirimethamin 25 mg + sulfadoksin Tab 200 531 106,150 531

Kombinasi: ipratropium Br 0,5 mg+ 0 - - -


salbutamol 2,5 mg nebules (Combivent UDV)
143 Vial 0 5,990 - 5,990

0 - - -
Kotrimoksazol (dewasa) kombinasi :
sulfametoksazol 400 mg+ trimetoprim 80
144 Tab 525 152 79,800 152
mg

6583 152 1,000,616 152


0 - - -
Kotrimoksazol (anak) kombinasi :
sulfametoksazol 100 mg+ trimetoprim 20
145 Tab 0 79 - 79
mg

1380 79 109,020 79
0 - - -
Kotrimoksazol (dewasa) kombinasi tiap 5 ml
146 suspensi : sulfametoksazol 200 mg + Botol 24 2,298 55,152 2,298
trimetoprim 40 mg
0 - - -
147 Kuinin inj 25% (i.v.) Vial 0 6,820 - 6,820
0 6,820 - 6,820
0 - - -
148 Kloroquin tab 150 mg Tab 0 112 - 112
0 - - -
149 Lansoprazol kaps 30 mg Kaps 0 - - -
0 - - -
150 Levofloksasin tab 500 mg Tab 0 581 - 581
0 - - -
151 Lidokain gel 2% Tube 0 - - -
0 - - -
152 Lidokain inj 2% (hcl) Vial 0 1,499 - 1,499
0 1,499 - 1,499
68 929 63,172 60 929
0 - - -
153 Lisol Botol 0 54,995 - 54,995
1 54,995 54,995 54,995
0 - - -
154 Loperamid tab 2 mg Tab 0 97 - 97
2075 97 201,275 97
0 - - -
155 Loratadin tab 10 mg Tab 50 170 8,500 170
0 - - -
156 Magnesium sulfat inj 20% Vial 0 7,260 - 7,260
0 7,260 - 7,260
0 - - -
157 Magnesium sulfat inj 40% Vial 0 7,260 - 7,260
18 7,260 130,680 7,260
0 - - -
158 Magnesium sulfat serb, ktg 30 g Sachet 0 1,130 - 1,130
0 - - -
159 Mebendazol sir 50 mg/ml Botol 0 3,887 - 3,887
0 - - -
160 Mebendazol tab 100 mg Tan 90 248 22,320 248
0 - - -
161 Metformin tab 500 mg Tab 380 125 47,500 125
0 - - -
162 Metformin tab 850 mg Tab 0 - - -
0 - - -
163 Metilergometrin inj 0,2 mg/ml Ampul 0 1,639 - 1,639
0 - - -
164 Metilergometrin tab salut 0,125 mg Tab sal 160 133 21,296 133
0 - - -
165 Metilprednisolon tab 4 mg Tab 0 - - -
0 - - -
166 Metoklopramid inj 5 mg/ml Vial 0 1,100 - 1,100
0 1,100 - 1,100
0 - - -

167 Metoklopramid sir 5 mg/5 ml (Lexapram sirup) Botol 0 - - -

0 - - -
168 Metoklopramid tab 10 mg Tab 182 100 18,200 100
0 - - -
169 Metronidazol supposutoria 500 mg suppo 0 - - -
0 - - -
170 Metronidazol larutan infus Botol 0 12,980 - 12,980
7 12,980 90,860 12,980
0 - - -
171 Metronidazol tab 250 mg Tab 0 116 - 116
600 116 69,600 116
0 - - -
172 Metronidazol tab 500 mg Tab 0 - - -
970 169 163,930 169
0 - - -
173 Mikonazol krim 2% Tube 0 3,150 - 3,150
22 3,150 69,300 12 3,150
0 - - -
174 Natrium diklofenak tab 25 mg Tab 0 146 - 146
560 146 81,760 146
0 - - -
175 Natrium diklofenak tab 50 mg Tab 0 193 - 193
810 193 156,330 450 193
0 - - -
176 NaCl 0,9% Larutan infus Botol 0 5,170 - 5,170
7 5,170 36,190 20 5,170
0 - - -
177 Nifedipin kaps 10 mg Kaps 0 127 - 127
830 127 105,410 127
0 - - -
178 Nistatin tab salut 500.000 UI Tab 0 704 - 704
800 704 563,200 704
0 - - -
179 Nistatin tab vaginal 100.000 UI Tab 0 448 - 448
0 - - -
180 Obat Batuk Hitam (OBH) Botol 0 2,310 - 2,310
68 2,310 157,080 2,310
0 - - -
181 Ofloksasin tab 200 mg Tab 150 440 66,000 440
0 - - -
182 Ofloksasin tab 400 mg Tab 0 700 - 700
140 700 98,000 700
0 - - -
183 Oksitetrasiklin hcl inj 500 mg/ml Vial 0 3,410 - 3,410
0 - - -
184 Oksitetrasiklin hcl salep kulit 3% Tube 0 2,010 - 2,010
4 1,646 6,584 1,646
0 - - -
185 Oksitetrasiklin hcl salep mata 1 % Tube 0 2,772 - 2,772
130 2,772 360,360 2,772
0 - - -
186 Oksitosin inj 10 UI/ml Ampul 0 6,875 - 6,875
0 1,900 - 1,900
27 6,875 185,625 6,875
0 - - -
187 Omeprazol kaps 20 mg Kaps 0 221 - 221
300 221 66,300 221
0 - - -
188 Papaverin tablet 40 mg Tab 0 109 - 109
690 109 75,210 109
0 - - -
189 Parasetamol sir 120 mg/5 ml Botol 0 1,535 - 1,535
7 1,535 10,745 140 1,535
0 - - -
190 Parasetamol tab 100 mg Tab 0 105 - 105
0 105 - 105
0 - - -
191 Parasetamol tab 500 mg Tab 0 88 - 88
2775 88 244,200 88
0 - - -
192 Parasetamol rectal suppo 0 - - -
0 - - -
193 Pehavral tablet multivitamin Tab 0 849 - 849
0 297 - 297
0 - - -

194 Perak sulfadiazin krim 1% (Burnazin 35 gr) Tube 0 25,350 - 25,350


1 25,350 25,350 25,350
0 - - -
195 Phenylbutazon tablet 200 mg Tab 800 107 85,600 107
0 107 - 107
0 - - -
196 Piracetam tablet 800 mg Tab 0 964 - 964
490 964 472,360 964
0 - - -
197 Piracetam tablet 1200 mg Tab 0 854 - 854
520 854 444,080 854
0 - - -
198 Piracetam injeksi 1 g/5 ml Ampul 450 60,500 27,225,000 60,500
0 - - -
199 Pirantel pamoat susp 125 mg/5 ml Botol 38 9,100 345,800 9,100
0 - - -
200 Pirantel pamoat tab scored 125 mg Tab 0 318 - 318
1128 318 358,704 318
0 - - -
201 Piridoksin (vitamin B6) tab 25 mg Tab 0 19 - 19
2090 19 39,710 19
0 - - -
202 Piroksikam tablet 20 mg Tab 0 116 - 116
935 116 108,460 116
0 - - -
203 Polikresulen Botol 0 18,635 - 18,635
7 18,635 130,445 18,635
0 - - -

204 Povidon iodin lar 100 mg/ml Botol 30 ml 0 2,344 - 2,344

54 2,344 126,576 2,344


0 - - -
Botol 300
205 Povidon iodin lar 100 mg/ml 0 15,386 - 15,386
ml
3 15,386 46,158 15,386
0 - - -
Botol 1000
206 Povidon iodin lar 100 mg/ml 0 40,202 - 40,202
ml
15 40,202 603,030 40,202
0 - - -
207 Prednison tab 5 mg Tab 0 98 - 98
2464 98 241,472 98
0 - - -
208 Primakuin tab 15 mg Tab 985 125 123,125 125
0 - - -
209 Procurma syrup Botol 0 12,021 - 12,021
32 12,021 384,672 12,021
0 - - -
210 Propiltiourasil tab 100 mg Tab 160 297 47,520 297
0 - - -
211 Propranolol tab 40 mg Tab 790 80 63,200 80
0 - - -
212 Ranitidin inj 25 mg/ml Ampul 0 - - -
0 - - -
213 Ranitidin tab 150 mg Tab 0 128 - 128
630 128 80,640 128
0 - - -
214 Reserpin tablet 0.25 mg Tab 0 - - -
0 - - -
215 Rifampisin kaps 300 mg Kaps 0 440 - 440
0 - - -
216 Rifampisin tab 450 mg Tab 0 624 - 624
0 - - -
217 Rifampisin tab 600 mg Tab 200 863 172,600 863
0 - - -
218 Ringer Laktat Larutan infus Botol 0 5,720 - 5,720
84 5,720 480,480 5,720
0 - - -
219 Salbutamol tab 2 mg Tab 0 92 - 92
640 65 41,600 65
0 - - -
220 Salbutamol tab 4 mg Tab 0 93 - 93
690 93 64,170 93
0 - - -
Salep 2-4, kombinasi : asam salisilat 2 %+
221 Tube 0 1,980 - 1,980
belerang endap 4 %
4 2,200 8,800 2,200
0 - - -
222 Scabicid salep Tube 0 - - -
223 Sefadroksil kaps 250 mg Vial 0 - - -
0 - - -
224 Sefadroksil kaps/tab 500 mg Tab 0 548 - 548
1610 548 882,280 548
0 - - -
225 Sefadroksil sir kering 125 mg/5 ml Botol 0 5,286 - 5,286
0 5,286 - 5,286
64 6,285 402,240 70 6,285
0 - - -
226 Sefiksim kapsul 100 mg Tab 0 - - -
0 - - -
227 Sefotaksim serb inj 1.000 mg/vial Vial 0 - - -
0 - - -
228 Seftriakson serb inj 1.000 mg/vial Vial 0 5,414 - 5,414
0 - - -
229 Setirizin tab 10 mg Tab 0 - - -
0 - - -
230 Sianokobalamin (vitamin B12) inj 500 mcg/ml Vial 38 1,451 55,124 1,451

0 - - -

231 Sianokobalamin (vitamin B12) tab 50 mcg Tab 0 150 - 150

0 - - -
232 Simetidin tablet 200 mg Tab 0 138 - 138
640 138 88,320 138
0 - - -
233 Simvastatin tab sal 10 mg Tab sal 0 177 - 177
0 - - -
234 Simvastatin tab sal 20 mg Tab sal 0 480 - 480
0 - - -
235 Siprofloksasin inf 2 mg/ml Botol 0 - - -
0 - - -
236 Siprofloksasin tab scored 500 mg Tab 700 312 218,680 312
0 - - -
237 Spironolakton tab 100 mg Tab 0 - - -
200 350 70,000 350
0 - - -
238 Sulfasetamid Natrium Tetes mata 1.5% Botol 0 - - -
0 - - -
239 Sukralfat susp 500 mg/5 ml (Ulsafate) Botol 0 - - -
0 - - -
240 Sukralfat tab 500 mg (Ulsidex) Tab 0 - - -
400 477 190,800 477
0 - - -
241 Teofilin tab SR 300 mg (Rethapyl) Tab 0 - - -
100 1,155 115,500 1,155
0 - - -
242 Tetrasiklin kaps 250 mg Kaps 700 183 128,398 183
0 - - -
243 Tetrasiklin kaps 500 mg Kaps 0 283 - 283
0 - - -

244 Tiamin (vitamin B1) mononitrat tab 50 mg Tab 5000 42 207,900 42

0 42 - 42
0 - - -
245 Tiamin (vitamin B1) injeksi 100 mg/ml Tab 0 770 - 770
0 - - -
246 Tramadol inj 50 mg/ml Ampul 0 2,680 - 2,680
0 - - -
247 Tramadol tablet 500 mg Tab 612 363 222,156 363
0 - - -
248 Triheksifenidil tab 2 mg Tab 0 45 - 45
160 45 7,200 45
0 - - -
249 Vitamin B12 tablet 50 mcg Tab 0 63 - 63
0 - - -
250 Vitamin B kompleks injeksi Vial 90 7,392 665,280 7,392
0 - - -
251 Vitamin B kompleks Tab 0 112 - 112
3240 112 362,880 112
0 - - -
252 Zinc tab disp 20 mg Tab 0 521 - 521
0 521 - 521
0 - - -
253 Zinc sirup 20 mg / 5 ml Botol 0 8,140 - 8,140
12 8,140 97,680 8,140
0 - - -
254 Larutan PK botol 0 573 - 573
0 6,975 - 6,975
0 - - -
255 Kanamisin inj Vial 47 10,395 488,565 10,395
0 - - -
256 Antalgin 500mg tab 0 155 - 155
1000 141 141,000 141
0 - - -
257 Klorpromazin inj 25 mg/ml (i.m.) Ampul 0 - - -
0 1,210 - 1,210
0 - - -

258 Kalsium laktat (kalk) tab 500 mg Tab 0 57 - 57

0 - - -

259 Kloroquin tab 250 mg Tab 0 116 - 116


0 572 - 572
0 - - -
260 Klonidin 0,15 mg Tab 100 191 19,100 191
0 - - -
261 Kloramfenikol kaps 250 mg Kaps 0 275 - 275
0 275 - 275
0 - - -
262 Klorpromazin tab sal 100 mg Tab sal 0 162 - 162
0 - - -
263 Fenolgliserol TT 10% Kotak 0 1,108 - 1,108
16 1,109 17,744 1,109
0 - - -
265 Tetrasiklin kaps 250 mg Kaps 0 162 - 162
0 - - -
266 Kloroquin tab 250 mg 1000 116 115,500 116
0 - - -
267 Papaverin tablet 40 mg 0 167 - 167
0 - - -
268 Prednison tab 5 mg Tab 0 125 - 125
0 - - -
269 Pirantel pamoat tab scored 125 mg Tab 0 318 - 318
0 - - -
270 Hidroklorotiazid (HCT) tab 25 mg Tab 0 109 - 109
0 - - -
271 Triheksifenidil tab 2 mg Tab 0 45 - 45
0 - - -
272 Piracetam tablet 1200 mg Tab 0 854 - 854
0 - - -
273 Vical suspensi btl 0 42,727 - 42,727
0 42,727 - 42,727
0 - - -
274 Lexavit tab 0 1,480 - 1,480
1030 1,480 1,524,400 1,480
0 - - -
275 Gliseril Guaiakolat tab 100 mg Tab 0 31 - 31
0 - - -
276 Efedrin HCl tablet Tab 0 56 - 56
0 - - -
B.OBAT GIGI 0 - - -
1 Bonding Botol 0 765,000 - 765,000
2 765,000 1,530,000 765,000
0 - - -
2 Calcium hidrosida cement pasta (hycal) Kotak 0 242,000 - 242,000
0 - - -
3 Comfosite Tube 0 338,800 - 338,800
2 338,800 677,600 338,800
0 - - -
4 Devitalisasi Pasta (Non Arsen) Kotak 0 390,000 - 390,000
0 390,000 - 390,000
0 - - -
5 Eugenol cair Botol 0 18,333 - 18,333
1 18,333 18,333 18,333
0 - - -
6 Etil Klorida spray Botol 0 105,000 - 105,000
1 105,000 105,000 105,000
0 - - -
7 Etza Tube 0 170,000 - 170,000
0 - - -
8 Glass Ionomer Cement ART Set 0 395,000 - 395,000
1 197,895 197,895 197,895
0 - - -
9 Klorfenol Kamfer Menthol (CHKM) Botol 1 55,000 55,000 55,000
0 - - -
10 Semen Seng Fosfat serbuk dan cairan Set 0 93,500 - 93,500
2 93,500 187,000 93,500
0 - - -
11 Temporari stoping pletcher Set 0 34,000 - 34,000
0 34,000 - 34,000
0 - - -
12 Mummiyng pasta Kotak 0 176,000 - 176,000
0 - - -
C.OBAT PROGRAM 0 - - -
1 Albedazole 400mg Tab 0 425 - 425
2 Artemether inj 80 mg/ml Ampul 0 24,384 - 24,384
3 Artesunat serb inj 60 mg/ml (i.v./i.m.) Vial 0 27,569 - 27,569
8 27,569 220,552 27,569
0 - - -
4 Dietilkarbamazin tab 100 mg Tab 0 104 - 104
2000 104 208,000 104
0 - - -
5 Imersion oil Botol 0 825,000 - 825,000
6 Iodina Test Botol 0 4,545 - 4,545
7 Obat Anti Tuberculosis FDC Kategori Anak Paket 0 236,490 - 236,490
8 Obat Anti Tuberculosis FDC Kategori I Paket 0 396,000 - 396,000
9 Obat Anti Tuberculosis FDC Kategori II Paket 0 1,319,990 - 1,319,990

10 Obat Anti Tuberculosis FDC Kategori Sisipan Paket 0 175,899 - 175,899

11 Reagen Zenit Nelson Botol 0 145,000 - 145,000


12 RDT Dangue DBD Set 0 150,000 - 150,000
13 RDT malaria (care star ) Set 0 168,300 - 168,300
14 RDT HIV (intec) Set 0 46,200 - 46,200
15 RDT HIV (vikia) Set 0 45,560 - 45,560
16 RDT HIV (Oncoprobe) Set 0 42,350 - 42,350
17 Taburia Kotak 0 20,454 - 20,454
18 Quinina injeksi Ampul 0 4,438 - 4,438
19 Vaksin BCG inj (i.k) Vial 0 - - -
20 Vaksin campak inj (s.k.) Vial 0 - - -
21 Vaksin jerap difteri tetanus pertusis (DTP) inj (i Vial 0 - - -
22 Vaksin jerap difteri tetanus (DT) Vial 0 - - -
23 Vaksin kombinasi DPT + hepatitis B inj (i.m.) Vial 0 - - -
24 Vaksin polio drops 10 dosis Vial 0 285,000 - 285,000
Vaksin rabies, untuk manusia serb inj (s.k./i.k)
25 Vial 0 695,752 - 695,752
+ booster
Retinol (Vit.A) 200.000 IU kap lunak 0 412 - 412
Retinol (Vit.A) 100.000 IU kap lunak 0 286 - 286
zink tab.20mg 0 497 - 497
Doxiciklin tab 0 - - -
D.BAHAN MEDIS HABIS PAKAI (BHMP) 0 - - -
1 Alat suntik sekali pakai 1 ml Set 0 1,093 - 1,093
6 848 5,090 848
200 990 198,000 990
0 - - -
2 Alat suntik sekali pakai 2,5 ml Set 0 1,038 - 1,038
0 848 - 848
0 650 - 100 650
0 - - -
3 Alat suntik sekali pakai 3 ml Set 0 1,038 - 1,038
36 848 30,537 848
100 792 79,200 792
0 - - -
4 Alat suntik sekali pakai 5 ml Set 0 1,038 - 1,038
386 979 377,798 979
0 - - -
5 Bisturi no. 20 Buah 0 2,099 - 2,099
67 2,100 140,700 2,100
200 2,099 419,800 2,099
0 - - -
6 Bisturi no. 15 Buah 0 2,099 - 2,099
0 2,100 - 2,100
100 2,099 209,900 2,099
0 - - -
7 Catgut No 2/0 Set 0 6,400 - 6,400
41 25,920 1,062,720 25,920
48 6,400 307,200 6,400
0 - - -
8 Catgut No 3/0 Set 0 5,900 - 5,900
0 27,000 - 27,000
32 5,900 188,800 5,900
0 - - -
9 Handscoen no. 6 Pasang 0 6,595 - 6,595
0 11,990 - 11,990
0 - - -
10 Handscoen no. 6,5 Pasang 0 6,595 - 6,595
0 - - -
0 - - -
11 Handscoen no. 7 Pasang 0 4,250 - 4,250
0 7,684 - 7,684
28 11,990 335,720 50 11,990
0 - - -
12 Handscoen no. 7,5 Pasang 0 4,250 - 4,250
0 7,684 - 7,684
58 11,990 695,420 11,990
0 - - -
13 Infuset dewasa Set 0 3,500 - 3,500
15 4,176 62,640 4,176
25 9,900 247,500 9,900
0 - - -
14 Infusion set anak Set 0 4,000 - 4,000
2 4,568 9,136 4,568
8 9,900 79,200 9,900
0 - - -
15 IV Catheter No.16 G Set 0 7,937 - 7,937
0 7,018 - 7,018
0 - - -
15 IV Catheter No.18 G Set 0 6,600 - 6,600
20 20,900 418,000 20,900
0 - - -
16 IV Catheter No.24 G Set 0 7,787 - 7,787
36 7,787 280,332 7,787
20 7,018 140,360 7,018
0 - - -
17 IV Catheter No. 20 G Set 0 7,787 - 7,787
38 7,937 301,606 7,937
0 7,018 - 7,018
0 - - -
18 IV Catheter No. 22 G Set 31 7,787 241,397 7,787
20 7,018 140,360 7,018
0 - - -
19 Folley Catheter 16 Set 0 10,440 - 10,440
0 8,000 - 8,000
0 - - -
19 Folley Catheter 18 Set 0 8,495 - 8,495
0 10,440 - 10,440
0 8,000 - 8,000
0 - - -
20 Folley catheter 22 Set 0 8,495 - 8,495
0 10,440 - 10,440
0 8,000 - 8,000
0 - - -
21 Folley catheter 24 Set 0 495 - 495
8 10,440 83,520 10,440
0 8,000 - 8,000
0 - - -
22 Kapas Berlemak 250 gram Rol 0 7,500 - 7,500
0 27,821 - 27,821
4 24,000 96,000 24,000
0 - - -
23 Kapas Berlemak 500 gram Rol 9 17,250 155,250 17,250
0 - - -
24 Kasa Pembalut 4m x 3 cm Rol 0 800 - 800
0 - - -
25 Kasa Pembalut 4m x 5 cm Rol 0 887 - 887
0 1,100 - 1,100
0 - - -
26 Kasa Pembalut 4m x 10 cm Rol 0 607 - 607
0 6,121 - 6,121
34 2,300 78,200 2,300
0 - - -
27 Kasa Pembalut 4m x 15 cm Rol 0 887 - 887
0 3,800 - 3,800
0 - - -
28 Kasa Kompres 40/40 steril Buah 0 1,871 - 1,871
0 5,621 - 5,621
0 1,800 - 1,800
0 - - -
29 Kasa Steril 16 X 16 Buah 0 8,600 - 8,600
0 11,724 - 11,724
0 7,900 - 7,900
0 - - -
30 Kasa pembalut 2 x 80 Rol 0 10,467 - 10,467
0 13,221 - 13,221
0 9,400 - 9,400
0 - - -
31 Kasa Pembalut 40 x 80 Rol 0 - - -
0 137,025 - 137,025
0 104,500 - 104,500
0 - - -
32 Kasa Pembalut 36 x 80 cm Rol 0 55,200 - 55,200
0 133,821 - 133,821
2 130,000 260,000 130,000
0 - - -
33 Pembalut Gips Buah 0 32,500 - 32,500
0 - - -
34 Plester 5 yard x 2 inc Rol 0 23,625 - 23,625
10 23,625 236,250 23,625
0 - - -
35 Silk Set 0 5,082 - 5,082
28 18,781 525,868 18,781
0 5,082 - 5,082
0 - - -
36 Selang oksigen anak Set 0 - - -
0 - - -
37 Selang oksigen dewasa Set 0 - - -
0 - - -
38 Sofratulle Set 0 - - -
0 - - -
39 Urine bag Set 0 4,000 - 4,000
0 - - -
40 Wing Needle No. 21 G Set 0 5,770 - 5,770
300 5,770 1,731,000 5,770
0 - - -
41 Wing Needle No. 23 G Set 59 5,770 340,430 5,770
199 5,770 1,148,230 5,770
0 - - -
42 Wing Needle No.25 G Set 0 5,770 - 5,770
230 5,770 1,327,100 5,770
0 - - -
43 Wing Needle No. 27 G Set 0 5,770 - 5,770
0 - - -
44 NGT No. 3 ( Feeding Tube ) Set 0 22,000 - 22,000
0 - - -
45 NGT No. 5 ( Feeding Tube ) Set 0 22,000 - 22,000
0 - - -
46 Masker Buah 0 1,125 - 1,125
19 1,125 21,375 50 1,125
0 - - -
47 Tes gula darah Set 0 200,455 - 200,455
75 8,018 601,350 8,018
0 - - -
48 Tes Narkoba 3 parameter Set 0 68,181 - 68,181
0 - - -
49 Tes Narkoba 5 parameter Set 0 68,181 - 68,181
0 - - -
50 Tes Kehamilan Sachet 0 6,825 - 6,825
0 3,413 - 3,413

12,575,988
74,782,943

Mengetahui
Kepala Puskesmas Rumbia
Rahmat, AMK
Nip. 19721021 199403 1 004
N OBAT DAN PERBEKES
LAMA 1 TAHUN
N 2016

BULAN : NOVEMBER
TAHUN : 2016

asi Masuk Mutasi Pengeluaran Saldo Akhir


vember 2016 Obat Puskesmas bulan November Per 30 November 2016
Nilai ( Rp) Jumlah Harga Satuan Nilai (Rp) Jumlah Harga Satuan Nilai (Rp)
9 10 11 12 13 14 15

- 6,050 - 0 6,050 -

- 5 2,200 11,000 117 2,200 257,400


- - - 0 - -
- 12,750 - 0 12,750 -
- 363 - 0 363 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 245 - 0 245 -
- 245 - 227 245 55,615
- - - 0 - -
- 1 18,635 18,635 1 18,635 18,635
- - - 0 - -
- 138 - 0 138 -
- 145 138 20,010 150 138 20,700
- - - 0 - -
- 2,722 - 0 2,722 -
- 2,722 - 0 2,722 -
- - - 0 - -
- 4,204 - 0 4,204 -
- 4,200 - 60 4,200 252,000
- - - 0 - -
- 86 - 100 86 8,600
- 86 - 400 86 34,400
- - - 0 - -
- 123 - 0 123 -
- 123 - 100 123 12,300
- - - 0 - -
- 1,863 - 0 1,863 -
- 352 - 0 352 -
- - - 0 - -
- 197 - 0 197 -
- - - 0 - -
- 2,560 - 0 2,560 -
76,800 25 2,560 64,000 68 2,560 174,080
- - - 0 - -
- 220 - 0 220 -
- 220 - 0 220 -
- - - 0 - -
- 279 - 0 279 -
- 860 279 239,940 2325 279 648,675
- - - 0 - -

- 1,499 - 0 1,499 -

- - - 0 - -

- 78 - 0 78 -

- 680 78 53,040 790 78 61,620


- - - 0 - -

- 2,213 - 0 2,213 -

- 2,213 - 0 2,213 -
- - - 0 - -

- 7 2,767 19,369 0 2,767 -

- - - 0 - -

- 2,096 - 50 2,096 104,800

- - - 0 - -

- 33,000 - 0 33,000 -

- 2,200 - 0 2,200 -
330,000 3 33,000 99,000 42 33,000 1,386,000
- - - 0 - -

- 1,650 - 0 1,650 -

- - - 0 - -

- 149 - 0 149 -

- 149 - 481 149 71,669


- - - 0 - -
- 155 - 0 155 -
- - - 0 - -
- 1,346 - 0 1,346 -
- - - 0 - -
- 110 - 30 110 3,300
- 127 - 1100 127 139,700
- 110 - 0 110 -
- - - 0 - -
- 178 - 0 178 -
- - - 0 - -
- 163 - 0 163 -
- - - 0 - -
- 105 - 0 105 -
- 890 105 93,450 1960 105 205,800
- - - 0 - -
- 52 - 0 52 -
- 200 52 10,400 200 52 10,400
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 127 - 0 127 -
- 770 127 97,790 2030 127 257,810
- - - 0 - -
- 3,650 - 25 3,650 91,250
- - - 0 - -

- 1,265 - 0 1,265 -

- 1,265 - 180 1,265 227,700

- - - 0 - -

- 15,900 - 0 15,900 -
- 9,000 - 0 9,000 -
- - - 0 - -

- 82,500 - 18 82,500 1,485,000

- 2,367 - 0 2,367 -
- - - 0 - -
- 251 - 0 251 -
- 4 251 1,004 220 251 55,220
- - - 0 - -
- 1,400 - 29 1,400 40,600
- - - 0 - -
- 81 - 0 81 -
- - - 0 - -

- 13,500 - 0 13,500 -

- - - 0 - -
- 1,180 - 0 1,180 -
- 5 1,350 6,750 3 1,350 4,050
- 1,180 - 0 1,180 -
- - - 0 - -

- 73 - 0 73 -

- 55 - 0 55 -
- 1380 2,200 3,036,000 640 2,200 1,408,000
- - - 0 - -
- 22,727 - 0 22,727 -
- 22,727 - 4 22,727 90,908
- - - 0 - -
- 1,596 - 0 1,596 -
- 8 1,596 12,768 47 1,596 75,012
- - - 0 - -
90,000 240 600 144,000 90 600 54,000
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -

- - - 0 - -

- - - 0 - -
- 42 - 0 42 -
- - - 0 - -
- 68 - 0 68 -
- 68 - 40 68 2,720
- - - 0 - -
- 1,738 - 168 1,738 291,984
- - - 0 - -
- - - 0 - -
- 9,983 - 8 9,983 79,864
- - - 0 - -
- 2,578 - 0 2,578 -
- 2,578 - 51 2,578 131,478
- - - 0 - -

- - - 0 - -

- - - 0 - -
- - - 0 - -
- - - 0 - -
- 28 - 0 28 -
- - - 0 - -
- 28 - 0 28 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 1 1,160 1,160 74 1,160 85,840
- - - 0 - -
- 103 - 500 103 51,500
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 141 - 0 141 -
- 141 - 560 141 78,960
- - - 0 - -
- 278 - 160 278 44,528
- - - 0 - -
- 3,490 - 0 3,490 -
- 9 3,490 31,410 46 3,490 160,540
- - - 0 - -
- 174 - 0 174 -
- 86 174 14,964 492 174 85,608
- - - 0 - -
- 56 - 0 56 -
11,278 50 56 2,820 540 56 30,451
- - - 0 - -
- 160 42 6,720 0 42 -
- 1840 42 77,280 3160 42 132,720
- - - 0 - -

- 8,910 - 120 8,910 1,069,200

- - - 0 - -
- 522 - 820 522 428,040
- 522 - 0 522 -
- - - 0 - -
- 7,581 - 24 7,581 181,944
- - - 0 - -
- 1,013 - 465 1,013 470,938
- 1,023 - 0 1,023 -
- - - 0 - -
- 2,625 - 0 2,625 -
- 2,625 - 0 2,625 -
- 2 2,625 5,250 33 2,625 86,625
- - - 0 - -
- 4,695 - 0 4,695 -
- 2 4,695 9,390 3 4,695 14,085
- - - 0 - -
- 124 - 0 124 -
- - - 0 - -
- - - 0 - -
- 124 - 0 124 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 146 - 100 146 14,600
- - - 0 - -
- 37 - 0 37 -
- 1,980 - 90 1,980 178,200
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 37 - 0 37 -
- - - 0 - -

- 3 698 2,094 5 698 3,490

- - - 0 - -
- 698 - 0 698 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 2,012 - 0 2,012 -
- - - 0 - -
50,300 2,012 - 59 2,012 118,708
- - - 0 - -
- 84 - 0 84 -
- 50 84 4,200 310 84 26,040
- - - 0 - -

- 317 - 0 317 -

- 80 317 25,360 597 317 189,249


- - - 0 - -
- 2,420 - 0 2,420 -
- - - 0 - -
- 323 - 0 323 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 3,739 - 0 3,739 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 2,340 - 0 2,340 -
- 10 1,469 14,690 0 1,469 -
- 7 3,513 24,591 23 3,513 80,799
- - - 0 - -
- 3,194 - 0 3,194 -
- - - 0 - -
- 61 - 0 61 -
- 90 61 5,490 10 61 610
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 31 - 0 31 -
62,000 4440 31 137,640 3280 31 101,680
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 5,720 - 26 5,720 148,720
- - - 0 - -
- 6,270 - 15 6,270 94,050
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 230 - 0 230 -
- 50 230 11,500 220 230 50,600
- - - 0 - -
- 62 - 0 62 -
- - - 0 - -
- 76 - 0 76 -
- 76 - 175 76 13,300
- - - 0 - -
- 105 - 0 105 -
- 105 - 0 105 -
- - - 0 - -
- 38,500 - 1 38,500 38,500
- - - 0 - -
- 40 - 0 40 -
- 40 - 9800 40 392,000
- - - 0 - -
- 24 - 0 24 -
- 14 3,200 44,800 0 3,200 -
- - - 0 - -
- 330 - 0 330 -
- - - 0 - -
- 4,949 - 0 4,949 -
- - - 0 - -
- 127 - 0 127 -
- 121 - 0 121 -
50,800 480 127 60,960 340 127 43,180
- - - 0 - -
- 157 - 0 157 -
- 157 - 0 157 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 98 - 0 98 -
- 98 - 90 98 8,820
- - - 0 - -
- 10,000 - 0 10,000 -
- - - 0 - -
- 9,519 - 20 9,519 190,380
- - - 0 - -
- 51 - 0 51 -
76,000 320 76 24,320 820 76 62,320
- - - 0 - -
- 69 - 0 69 -
- 69 - 70 69 4,830
- - - 0 - -
- 97 - 0 97 -
- 495 97 48,015 765 97 74,205
- - - 0 - -
- 269 - 0 269 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 110,000 - 0 110,000 -
- - - 0 - -
- 320 - 0 320 -
- 320 - 0 320 -
- - - 0 - -
- 5,150 - 0 5,150 -
- 5,150 - 0 5,150 -
- - - 0 - -
- 2,665 - 0 2,665 -
- 1 2,665 2,665 89 2,665 237,185
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 405 - 0 405 -
- - - 0 - -
- 1,680 - 0 1,680 -
- - - 0 - -
- 275 - 0 275 -
- 275 - 0 275 -
- - - 0 - -
- 1,680 - 0 1,680 -
40,320 2 1,680 3,360 27 1,680 45,360
- - - 0 - -
- 4,016 - 10 4,016 40,160
- - - 0 - -
- 26 - 0 26 -
- 910 26 24,024 6769 26 178,702
- - - 0 - -
- 1,210 - 0 1,210 -
- - - 0 - -
- 152 - 0 152 -
- - - 0 - -
- 50 - 32 50 1,600
- - - 0 - -

- 531 - 200 531 106,150

- - - 0 - -

- 5,990 - 0 5,990 -

- - - 0 - -

- 92 152 13,984 433 152 65,816

- 152 - 6583 152 1,000,616


- - - 0 - -

- 79 - 0 79 -

- 79 - 1380 79 109,020
- - - 0 - -
- 9 2,298 20,682 15 2,298 34,470

- - - 0 - -
- 6,820 - 0 6,820 -
- 6,820 - 0 6,820 -
- - - 0 - -
- 112 - 0 112 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 581 - 0 581 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 1,499 - 0 1,499 -
- 1,499 - 0 1,499 -
55,740 48 929 44,592 80 929 74,320
- - - 0 - -
- 54,995 - 0 54,995 -
- 1 54,995 54,995 0 54,995 -
- - - 0 - -
- 97 - 0 97 -
- 110 97 10,670 1965 97 190,605
- - - 0 - -
- 170 - 50 170 8,500
- - - 0 - -
- 7,260 - 0 7,260 -
- 7,260 - 0 7,260 -
- - - 0 - -
- 7,260 - 0 7,260 -
- 7,260 - 18 7,260 130,680
- - - 0 - -
- 1,130 - 0 1,130 -
- - - 0 - -
- 3,887 - 0 3,887 -
- - - 0 - -
- 90 248 22,320 0 248 -
- - - 0 - -
- 180 125 22,500 200 125 25,000
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 1,639 - 0 1,639 -
- - - 0 - -
- 10 133 1,331 150 133 19,965
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 1,100 - 0 1,100 -
- 1,100 - 0 1,100 -
- - - 0 - -

- - - 0 - -

- - - 0 - -
- 10 100 1,000 172 100 17,200
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 12,980 - 0 12,980 -
- 12,980 - 7 12,980 90,860
- - - 0 - -
- 116 - 0 116 -
- 10 116 1,160 590 116 68,440
- - - 0 - -
- - - 0 - -
- 220 169 37,180 750 169 126,750
- - - 0 - -
- 3,150 - 0 3,150 -
37,800 17 3,150 53,550 17 3,150 53,550
- - - 0 - -
- 146 - 0 146 -
- 90 146 13,140 470 146 68,620
- - - 0 - -
- 193 - 0 193 -
86,850 610 193 117,730 650 193 125,450
- - - 0 - -
- 5,170 - 0 5,170 -
103,400 11 5,170 56,870 16 5,170 82,720
- - - 0 - -
- 127 - 0 127 -
- 100 127 12,700 730 127 92,710
- - - 0 - -
- 704 - 0 704 -
- 704 - 800 704 563,200
- - - 0 - -
- 448 - 0 448 -
- - - 0 - -
- 2,310 - 0 2,310 -
- 18 2,310 41,580 50 2,310 115,500
- - - 0 - -
- 440 - 150 440 66,000
- - - 0 - -
- 700 - 0 700 -
- 700 - 140 700 98,000
- - - 0 - -
- 3,410 - 0 3,410 -
- - - 0 - -
- 2,010 - 0 2,010 -
- 1,646 - 4 1,646 6,584
- - - 0 - -
- 2,772 - 0 2,772 -
- 3 2,772 8,316 127 2,772 352,044
- - - 0 - -
- 6,875 - 0 6,875 -
- 1,900 - 0 1,900 -
- 4 6,875 27,500 23 6,875 158,125
- - - 0 - -
- 221 - 0 221 -
- 70 221 15,470 230 221 50,830
- - - 0 - -
- 109 - 0 109 -
- 280 109 30,520 410 109 44,690
- - - 0 - -
- 1,535 - 0 1,535 -
214,900 81 1,535 124,335 66 1,535 101,310
- - - 0 - -
- 105 - 0 105 -
- 105 - 0 105 -
- - - 0 - -
- 88 - 0 88 -
- 1145 88 100,760 1630 88 143,440
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 849 - 0 849 -
- 297 - 0 297 -
- - - 0 - -

- 25,350 - 0 25,350 -
- 25,350 - 1 25,350 25,350
- - - 0 - -
- 107 - 800 107 85,600
- 107 - 0 107 -
- - - 0 - -
- 964 - 0 964 -
- 964 - 490 964 472,360
- - - 0 - -
- 854 - 0 854 -
- 100 854 85,400 420 854 358,680
- - - 0 - -
- 20 60,500 1,210,000 430 60,500 26,015,000
- - - 0 - -
- 9,100 - 38 9,100 345,800
- - - 0 - -
- 318 - 0 318 -
- 114 318 36,252 1014 318 322,452
- - - 0 - -
- 19 - 0 19 -
- 1300 19 24,700 790 19 15,010
- - - 0 - -
- 116 - 0 116 -
- 50 116 5,800 885 116 102,660
- - - 0 - -
- 18,635 - 0 18,635 -
- 18,635 - 7 18,635 130,445
- - - 0 - -

- 2,344 - 0 2,344 -

- 2,344 - 54 2,344 126,576


- - - 0 - -

- 15,386 - 0 15,386 -

- 15,386 - 3 15,386 46,158


- - - 0 - -

- 40,202 - 0 40,202 -

- 40,202 - 15 40,202 603,030


- - - 0 - -
- 98 - 0 98 -
- 660 98 64,680 1804 98 176,792
- - - 0 - -
- 125 - 985 125 123,125
- - - 0 - -
- 12,021 - 0 12,021 -
- 7 12,021 84,147 25 12,021 300,525
- - - 0 - -
- 297 - 160 297 47,520
- - - 0 - -
- 80 - 790 80 63,200
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 128 - 0 128 -
- 630 128 80,640 0 128 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 440 - 0 440 -
- - - 0 - -
- 624 - 0 624 -
- - - 0 - -
- 863 - 200 863 172,600
- - - 0 - -
- 5,720 - 0 5,720 -
- 24 5,720 137,280 60 5,720 343,200
- - - 0 - -
- 92 - 0 92 -
- 40 65 2,600 600 65 39,000
- - - 0 - -
- 93 - 0 93 -
- 120 93 11,160 570 93 53,010
- - - 0 - -

- 1,980 - 0 1,980 -

- 2,200 - 4 2,200 8,800


- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 548 - 0 548 -
- 550 548 301,400 1060 548 580,880
- - - 0 - -
- 5,286 - 0 5,286 -
- 5,286 - 0 5,286 -
439,950 85 6,285 534,225 49 6,285 307,965
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 5,414 - 0 5,414 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 1 1,451 1,451 37 1,451 53,673

- - - 0 - -

- 150 - 0 150 -

- - - 0 - -
- 138 - 0 138 -
- 10 138 1,380 630 138 86,940
- - - 0 - -
- 177 - 0 177 -
- - - 0 - -
- 480 - 0 480 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 312 - 700 312 218,680
- - - 0 - -
- - - 0 - -
- 350 - 200 350 70,000
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 477 - 400 477 190,800
- - - 0 - -
- - - 0 - -
- 1,155 - 100 1,155 115,500
- - - 0 - -
- 700 183 128,398 0 183 -
- - - 0 - -
- 283 - 0 283 -
- - - 0 - -

- 2000 42 83,160 3000 42 124,740

- 42 - 0 42 -
- - - 0 - -
- 770 - 0 770 -
- - - 0 - -
- 2,680 - 0 2,680 -
- - - 0 - -
- 20 363 7,260 592 363 214,896
- - - 0 - -
- 45 - 0 45 -
- 45 - 160 45 7,200
- - - 0 - -
- 63 - 0 63 -
- - - 0 - -
- 1 7,392 7,392 89 7,392 657,888
- - - 0 - -
- 112 - 0 112 -
- 820 112 91,840 2420 112 271,040
- - - 0 - -
- 521 - 0 521 -
- 521 - 0 521 -
- - - 0 - -
- 8,140 - 0 8,140 -
- 7 8,140 56,980 5 8,140 40,700
- - - 0 - -
- 573 - 0 573 -
- 6,975 - 0 6,975 -
- - - 0 - -
- 10,395 - 47 10,395 488,565
- - - 0 - -
- 155 - 0 155 -
- 141 - 1000 141 141,000
- - - 0 - -
- - - 0 - -
- 1,210 - 0 1,210 -
- - - 0 - -

- 57 - 0 57 -

- - - 0 - -

- 116 - 0 116 -
- 572 - 0 572 -
- - - 0 - -
- 191 - 100 191 19,100
- - - 0 - -
- 275 - 0 275 -
- 275 - 0 275 -
- - - 0 - -
- 162 - 0 162 -
- - - 0 - -
- 1,108 - 0 1,108 -
- 1,109 - 16 1,109 17,744
- - - 0 - -
- 162 - 0 162 -
- - - 0 - -
- 116 - 1000 116 115,500
- - - 0 - -
- 167 - 0 167 -
- - - 0 - -
- 125 - 0 125 -
- - - 0 - -
- 318 - 0 318 -
- - - 0 - -
- 109 - 0 109 -
- - - 0 - -
- 45 - 0 45 -
- - - 0 - -
- 854 - 0 854 -
- - - 0 - -
- 42,727 - 0 42,727 -
- 42,727 - 0 42,727 -
- - - 0 - -
- 1,480 - 0 1,480 -
- 485 1,480 717,800 545 1,480 806,600
- - - 0 - -
- 31 - 0 31 -
- - - 0 - -
- 56 - 0 56 -
- - - 0 - -
- - - 0 - -
- 765,000 - 0 765,000 -
- 765,000 - 2 765,000 1,530,000
- - - 0 - -
- 242,000 - 0 242,000 -
- - - 0 - -
- 338,800 - 0 338,800 -
- 338,800 - 2 338,800 677,600
- - - 0 - -
- 390,000 - 0 390,000 -
- 390,000 - 0 390,000 -
- - - 0 - -
- 18,333 - 0 18,333 -
- 18,333 - 1 18,333 18,333
- - - 0 - -
- 105,000 - 0 105,000 -
- 1 105,000 105,000 0 105,000 -
- - - 0 - -
- 170,000 - 0 170,000 -
- - - 0 - -
- 395,000 - 0 395,000 -
- 197,895 - 1 197,895 197,895
- - - 0 - -
- 55,000 - 1 55,000 55,000
- - - 0 - -
- 93,500 - 0 93,500 -
- 93,500 - 2 93,500 187,000
- - - 0 - -
- 34,000 - 0 34,000 -
- 34,000 - 0 34,000 -
- - - 0 - -
- 176,000 - 0 176,000 -
- - - 0 - -
- - - 0 - -
- 425 - 0 425 -
- 24,384 - 0 24,384 -
- 27,569 - 0 27,569 -
- 27,569 - 8 27,569 220,552
- - - 0 - -
- 104 - 0 104 -
- 104 - 2000 104 208,000
- - - 0 - -
- 825,000 - 0 825,000 -
- 4,545 - 0 4,545 -
- 236,490 - 0 236,490 -
- 396,000 - 0 396,000 -
- 1,319,990 - 0 1,319,990 -

- 175,899 - 0 175,899 -

- 145,000 - 0 145,000 -
- 150,000 - 0 150,000 -
- 168,300 - 0 168,300 -
- 46,200 - 0 46,200 -
- 45,560 - 0 45,560 -
- 42,350 - 0 42,350 -
- 20,454 - 0 20,454 -
- 4,438 - 0 4,438 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 285,000 - 0 285,000 -

- 695,752 - 0 695,752 -

- 412 - 0 412 -
- 286 - 0 286 -
- 497 - 0 497 -
- - - 0 - -
- - - 0 - -
- 1,093 - 0 1,093 -
- 848 - 6 848 5,090
- 990 - 200 990 198,000
- - - 0 - -
- 1,038 - 0 1,038 -
- 848 - 0 848 -
65,000 650 - 100 650 65,000
- - - 0 - -
- 1,038 - 0 1,038 -
- 36 848 30,537 0 848 -
- 9 792 7,128 91 792 72,072
- - - 0 - -
- 1,038 - 0 1,038 -
- 9 979 8,809 377 979 368,989
- - - 0 - -
- 2,099 - 0 2,099 -
- 11 2,100 23,100 56 2,100 117,600
- 2,099 - 200 2,099 419,800
- - - 0 - -
- 2,099 - 0 2,099 -
- 2,100 - 0 2,100 -
- 21 2,099 44,079 79 2,099 165,821
- - - 0 - -
- 6,400 - 0 6,400 -
- 1 25,920 25,920 40 25,920 1,036,800
- 6,400 - 48 6,400 307,200
- - - 0 - -
- 5,900 - 0 5,900 -
- 27,000 - 0 27,000 -
- 5 5,900 29,500 27 5,900 159,300
- - - 0 - -
- 6,595 - 0 6,595 -
- 11,990 - 0 11,990 -
- - - 0 - -
- 6,595 - 0 6,595 -
- - - 0 - -
- - - 0 - -
- 4,250 - 0 4,250 -
- 7,684 - 0 7,684 -
599,500 28 11,990 335,720 50 11,990 599,500
- - - 0 - -
- 4,250 - 0 4,250 -
- 7,684 - 0 7,684 -
- 23 11,990 275,770 35 11,990 419,650
- - - 0 - -
- 3,500 - 0 3,500 -
- 13 4,176 54,288 2 4,176 8,352
- 9,900 - 25 9,900 247,500
- - - 0 - -
- 4,000 - 0 4,000 -
- 4,568 - 2 4,568 9,136
- 9,900 - 8 9,900 79,200
- - - 0 - -
- 7,937 - 0 7,937 -
- 7,018 - 0 7,018 -
- - - 0 - -
- 6,600 - 0 6,600 -
- 1 20,900 20,900 19 20,900 397,100
- - - 0 - -
- 7,787 - 0 7,787 -
- 1 7,787 7,787 35 7,787 272,545
- 7,018 - 20 7,018 140,360
- - - 0 - -
- 7,787 - 0 7,787 -
- 10 7,937 79,370 28 7,937 222,236
- 7,018 - 0 7,018 -
- - - 0 - -
- 5 7,787 38,935 26 7,787 202,462
- 7,018 - 20 7,018 140,360
- - - 0 - -
- 10,440 - 0 10,440 -
- 8,000 - 0 8,000 -
- - - 0 - -
- 8,495 - 0 8,495 -
- 10,440 - 0 10,440 -
- 8,000 - 0 8,000 -
- - - 0 - -
- 8,495 - 0 8,495 -
- 10,440 - 0 10,440 -
- 8,000 - 0 8,000 -
- - - 0 - -
- 495 - 0 495 -
- 10,440 - 8 10,440 83,520
- 8,000 - 0 8,000 -
- - - 0 - -
- 7,500 - 0 7,500 -
- 27,821 - 0 27,821 -
- 24,000 - 4 24,000 96,000
- - - 0 - -
- 17,250 - 9 17,250 155,250
- - - 0 - -
- 800 - 0 800 -
- - - 0 - -
- 887 - 0 887 -
- 1,100 - 0 1,100 -
- - - 0 - -
- 607 - 0 607 -
- 6,121 - 0 6,121 -
- 4 2,300 9,200 30 2,300 69,000
- - - 0 - -
- 887 - 0 887 -
- 3,800 - 0 3,800 -
- - - 0 - -
- 1,871 - 0 1,871 -
- 5,621 - 0 5,621 -
- 1,800 - 0 1,800 -
- - - 0 - -
- 8,600 - 0 8,600 -
- 11,724 - 0 11,724 -
- 7,900 - 0 7,900 -
- - - 0 - -
- 10,467 - 0 10,467 -
- 13,221 - 0 13,221 -
- 9,400 - 0 9,400 -
- - - 0 - -
- - - 0 - -
- 137,025 - 0 137,025 -
- 104,500 - 0 104,500 -
- - - 0 - -
- 55,200 - 0 55,200 -
- 133,821 - 0 133,821 -
- 1 130,000 130,000 1 130,000 130,000
- - - 0 - -
- 32,500 - 0 32,500 -
- - - 0 - -
- 23,625 - 0 23,625 -
- 3 23,625 70,875 7 23,625 165,375
- - - 0 - -
- 5,082 - 0 5,082 -
- 18 18,781 338,058 10 18,781 187,810
- 5,082 - 0 5,082 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 4,000 - 0 4,000 -
- - - 0 - -
- 5,770 - 0 5,770 -
- 5,770 - 300 5,770 1,731,000
- - - 0 - -
- 2 5,770 11,540 57 5,770 328,890
- 5,770 - 199 5,770 1,148,230
- - - 0 - -
- 5,770 - 0 5,770 -
- 5,770 - 230 5,770 1,327,100
- - - 0 - -
- 5,770 - 0 5,770 -
- - - 0 - -
- 22,000 - 0 22,000 -
- - - 0 - -
- 22,000 - 0 22,000 -
- - - 0 - -
- 1,125 - 0 1,125 -
56,250 65 1,125 73,125 4 1,125 4,500
- - - 0 - -
- 200,455 - 0 200,455 -
- 8,018 - 75 8,018 601,350
- - - 0 - -
- 68,181 - 0 68,181 -
- - - 0 - -
- 68,181 - 0 68,181 -
- - - 0 - -
- 6,825 - 0 6,825 -
- 3,413 - 0 3,413 -

720,750 1,614,641 11,682,097


2,446,888 10,736,328 66,493,502

Rumbia, 30 November 2016

Penanggung Jawab
Laporan
Wa Ode Wahyuni Hambe, S. Si, Apt
Nip. 19870305 201101 2 019
REKAPAN PENGGUNAAN OBAT DAN PERBEK
PUSKESMAS SELAMA 1 TAHUN
TAHUN 2016

SKPD : PUSKESMAS RUMBIA


KABUPATEN : BOMBANA
PROVINSI : SULAWESI TENGARA

Saldo Awal 2016 Mutasi Masuk


Satuan /
No Nama Obat 1 Desember 2016 Bulan Desember 2016
Kemasan
Jumlah Harga Satuan (Rp) Nilai (Rp) Jumlah Harga Satuan
1 2 3 4 5 6 7 8
OBAT

1 Air untuk injeksi amp 25 ml (aqua pro injeksi) Ampul 0 6,050 - 6,050

117 2,200 257,400 2,200


0 - - -
2 Albendazol tab 400 mg Tab 0 12,750 - 12,750
0 363 - 363
0 - - -
3 Alopurinol tab 100 mg Tab 0 - - -
0 - - -
4 Alprazolam tab 1 mg Tab 0 245 - 245
227 245 55,615 245
0 - - -
5 Albothyl cairan Botol 1 18,635 18,635 18,635
0 - - -
6 Ambroksol tablet 30 mg Tab 0 138 - 138
150 138 20,700 138
0 - - -
7 Ambroksol sirup Botol 0 2,722 - 2,722
0 2,722 - 2,722
0 - - -
8 Aminofilin inj 24 mg/ml Ampul 0 4,204 - 4,204
60 4,200 252,000 4,200
0 - - -
9 Aminofilin tab 200 mg Tab 100 86 8,600 86
400 86 34,400 86
0 - - -
10 Amitriptilin tab sal 25 mg Tab sal 0 123 - 123
100 123 12,300 123
0 - - -
11 Amlodipin tab 10 mg Tab 0 1,863 - 1,863
0 352 - 352
0 - - -
12 Amlodipin tab 5 mg Tab 0 197 - 197
0 - - -
13 Amoksisilin sir kering 125 mg/5 ml Botol 0 2,560 - 2,560
68 2,560 174,080 50 2,560
0 - - -
14 Amoksisilin tab 250 mg Tab 0 220 - 220
0 220 - 220
0 - - -
15 Amoksisilin tab 500 mg Tab 0 279 - 279
2325 279 648,675 279
0 - - -
Anestetik lokal gigi kombinasi : lidokain hcl
16 2% + epinefrin 1 : 80.000 inj 2 ml Ampul 0 1,499 - 1,499

0 - - -

Antasida, kombinasi : aluminium hidroksida


17 Tab kunyah 0 78 - 78
200 mg + magnesium hidroksida 200 mg

790 78 61,620 78
0 - - -
Antasida, kombinasi : aluminium hidroksida
18 200 mg + magnesium hidroksida 200 mg Botol 0 2,213 - 2,213
Suspensi
0 2,213 - 50 2,213
0 - - -
Antibakteri, kombinasi : basitrasin 500 UI/g+
19 Tube 0 2,767 - 2,767
Polimiskin B 10.000 UI/g
Antifungi salep, kombinasi : asam benzoat 6% 0 - - -
+ asam salisilat 3%
20 Tube 50 2,096 104,800 2,096

0 - - -
mg + heksaklorofen 2,5 mg + lidokain
lidokain 10 mg+ seng oksida 120 mg + sup
21 ad 2 g Suppo 0 33,000 - 33,000
0 2,200 - 2,200
42 33,000 1,386,000 33,000
0 - - -
Anti Parkinson kombinasi : benzerasid 25 mg +
22 Kaps 0 1,650 - 1,650
levodopa 100 mg
0 - - -
Anti Migren, kombinasi : ergotamin 1 mg+
23 Tab 0 149 - 149
kafein 50 mg
481 149 71,669 149
0 - - -
24 Antalgin (metampirom) tablet 100 mg Tab 0 155 - 155
0 - - -
25 Antalgin (metampirom) injeksi 250 mg/ml-2 ml Ampul 0 1,346 - 1,346
0 - - -
26 Asam asetilsalisilat (asetosal) tab 100 mg Tab 30 110 3,300 110
1100 127 139,700 127
0 110 - 110
0 - - -
27 Asam asetilsalisilat (asetosal) tab 500 mg Tab 0 178 - 178
0 - - -
Asam asetilsalisilat (asetosal) tab 80 mg
28 Tab 0 163 - 163
(Miniaspi 80)
0 - - -
29 Asam askorbat (vitamin C) tab 50 mg Tab 0 105 - 105
1960 105 205,800 105
0 - - -
30 Asam folat tab 1 mg Tab 0 52 - 52
200 52 10,400 52
0 - - -
31 Asam mefenamat kaps 250 mg Kaps 0 - - -
0 - - -
32 Asam mefenamat kaps 500 mg Kaps 0 127 - 127
2030 127 257,810 127
0 - - -
33 Asam traneksamat inj 50 mg/ml Ampul 25 3,650 91,250 3,650
0 - - -

34 Asam traneksamat tab 500 mg Tab 0 1,265 - 1,265

180 1,265 227,700 1,265

0 - - -

35 Asering larutan infus Botol 0 15,900 - 15,900


0 9,000 - 9,000
0 - - -

36 Asiklovir salep kulit Tube 18 82,500 1,485,000 82,500

0 2,367 - 2,367
0 - - -
37 Asiklovir tab 200 mg Tab 0 251 - 251
220 251 55,220 251
0 - - -
38 Atropin inj 0,25 mg/ml (i.m./i.v./s.k) Ampul 29 1,400 40,600 1,400
0 - - -
39 Atropin tab 0,5 mg Tab 0 81 - 81
0 - - -

40 Atropin tts mata 0,5% (Cendotropin 0,5%) Botol 0 13,500 - 13,500

0 - - -
41 Bedak salisil serb 2% Botol 0 1,180 - 1,180
3 1,350 4,050 1,350
0 1,180 - 25 1,180
0 - - -
Besi (II) sulfat 200 mg + asam folat 0.25 mg
42 Sachet 0 73 - 73
(tablet tambah darah)
0 55 - 55
640 2,200 1,408,000 2,200
0 - - -
43 Becefort syrup Botol 0 22,727 - 22,727
4 22,727 90,908 22,727
0 - - -
44 Betametason krim 0,1% Tube 0 1,596 - 1,596
47 1,596 75,012 1,596
0 - - -
45 Betahistin mesilate tablet tablet 90 600 54,000 600
0 - - -
46 Bisakodil sup 10 mg (Stolax) Botol 0 - - -
0 - - -
47 Bisakodil tab sal 5 mg Tab sal 0 - - -
0 - - -
48 Bismecon salep tube 0 - - -
0 - - -
Budesonid-formoterol (fixed combination)* ih
49 Botol 0 - - -
80/4,5 mcg
0 - - -
50 Bromheksin tablet tablet 0 42 - 42
0 - - -
51 Deksametason tab 0,5 mg Tab 0 68 - 68
40 68 2,720 700 68
0 - - -
52 Deksametason inj 5 mg/ml (i.v./i.m.) Vial 168 1,738 291,984 1,738
0 - - -
53 Desoksimetason salep 0,25% Tube 0 - - -
8 9,983 79,864 9,983
0 - - -
54 Diazepam inj 5 mg/ml (i.v./i.m.) Vial 0 2,578 - 2,578
51 2,578 131,478 2,578
0 - - -

55 Diazepam lar rektal 10 mg/2,5 ml (Stesolid) Botol 0 - - -

0 - - -
56 Diazepam supposutoria suppo 0 - - -
0 - - -
57 Diazepam tab 2 mg Tab 0 28 - 28
0 - - -
58 Diazepam tab 5 mg Tab 0 28 - 28
0 - - -
59 Dietilkarbamazin tab 100 mg Tab 0 - - -
0 - - -
60 Difenhidramin inj 10 mg/ml (i.v./i.m.) Ampul 74 1,160 85,840 1,160
0 - - -
61 Digoksin tab 0,25 mg Tab 500 103 51,500 103
0 - - -
62 Diltiazem kaps SR 100 mg Kaps 0 - - -
0 - - -
63 Diltiazem tab 30 mg Tab 0 141 - 141
560 141 78,960 141
0 - - -
64 Doksisiklin tablet 100 mg Tab 160 278 44,528 278
0 - - -
65 Domperidon susp 5 mg/5 ml Botol 0 3,490 - 3,490
46 3,490 160,540 3,490
0 - - -
66 Domperidon tab 10 mg Tab 0 174 - 174
492 174 85,608 174
0 - - -
67 Efedrin HCl tablet Tab 0 56 - 56
540 56 30,451 56
0 - - -
68 Ekstrak belladon tablet 10 mg tab 0 42 - 42
3160 42 132,720 42
0 - - -

69 Epinefrin (adrenalin) inj 0,1% (i.v./s.k./i.m.) Ampul 120 8,910 1,069,200 8,910

0 - - -
70 Eritromisin kaps 250 mg Kaps 820 522 428,040 522
0 522 - 522
0 - - -
71 Eritromisin sir 200 mg/5 ml Botol 24 7,581 181,944 7,581
0 - - -
72 Eritromisin tab 500 mg Tab 465 1,013 470,938 1,013
0 1,023 - 1,023
0 - - -
73 Etanol 70% cairan 70% Botol 0 2,625 - 2,625
0 2,625 - 2,625
33 2,625 86,625 1 2,625
0 - - -
74 Etakridin (rivanol) larutan 0.1% Botol 0 4,695 - 4,695
3 4,695 14,085 4,695
0 - - -
75 Etil klorida semprot 100 ml Botol 0 124 - 124
0 - - -
76 Famotidin tablet 20 mg Tab 0 - - -
0 124 - 124
0 - - -
77 Fenitoin Na inj 50 mg/ml Ampul 0 - - -
0 - - -
78 Fenitoin Na kaps 100 mg Kaps 0 - - -
100 146 14,600 146
0 - - -
79 Fenobarbital inj 50 mg/ml Ampul 0 37 - 37
90 1,980 178,200 1,980
0 - - -
80 Fenobarbital tab 100 mg Tab 0 - - -
0 - - -
81 Fenobarbital tab 30 mg Tab 0 37 - 37
0 - - -

82 Fitomenadion (vitamin K 1) inj 2 mg/ml (i.m.) Vial 5 698 3,490 698

0 - - -
83 Fitomenadion (vitamin K 1) tab sal 10 mg Tab sal 0 698 - 698
0 - - -
84 Flukonazol kaps 150 mg Kaps 0 - - -
0 - - -
85 Flusinolon asetonid krim 0,025% Tube 0 - - -
0 - - -
86 Flunarizin tablet tablet 0 2,012 - 2,012
0 - - -
87 Furosemid inj 10 mg/ml (i.v./i.m.) Ampul 59 2,012 118,708 2,012
0 - - -
88 Furosemid tab 40 mg Tab 0 84 - 84
310 84 26,040 84
0 - - -
Garam oralit kombinasi : natrium klorida 0,52
g + kalium klorida 0,30 g + trinatrium sitrat
89 Sachet 0 317 - 317
0,58 g + glukosa anhidrat 2,7 g

597 317 189,249 317


0 - - -
90 Gameksan lotion 1 % Botol 0 2,420 - 2,420
0 - - -
91 Gemfibrozil kaps 300 mg Kaps 0 323 - 323
0 - - -
92 Gemfibrozil kaps 600 mg Kaps 0 - - -
0 - - -
93 Gentamisin inj 10 mg/ml Ampul 0 3,739 - 3,739
0 - - -
94 Gentamisin salep mata 0,3% Tube 0 - - -
0 - - -
95 Gentamisin salep Kulit Tube 0 2,340 - 2,340
0 1,469 - 1,469
23 3,513 80,799 3,513
0 - - -
96 Gentamisin tts mata 0,3% Botol 0 3,194 - 3,194
0 - - -
97 Glibenklamid tab 5 mg Tab 0 61 - 61
10 61 610 61
0 - - -
98 Glimepirid tab 4 mg Tab 0 - - -
0 - - -
99 Glipizid tablet 5 mg (Glucotrol 5 mg) Tab 0 - - -
0 - - -
100 Gliseril Guaiakolat tab 100 mg Tab 0 31 - 31
3280 31 101,680 31
0 - - -
101 Gliserin lar 50% Botol 0 - - -
0 - - -
102 Glukosamin tablet 500 mg Tab 0 - - -
0 - - -
103 Glukosa Larutan Infus 5% steril Botol 26 5,720 148,720 5,720
0 - - -
104 Glukosa Larutan Infus 10% steril Botol 15 6,270 94,050 6,270
0 - - -
105 Glukosa Larutan Infus 40% steril Botol 0 - - -
0 - - -
106 Griseofulvin (micronized) tab 125 mg Tab 0 230 - 230
220 230 50,600 230
0 - - -
107 Haloperidol tab 0,5 mg Tab 0 62 - 62
0 - - -
108 Haloperidol tab 1,5 mg Tab 0 76 - 76
175 76 13,300 76
0 - - -
109 Haloperidol tab 5 mg Tab 0 105 - 105
0 105 - 105
0 - - -
110 Hidrogen peroksida (H2O2) cairan 3% Botol 1 38,500 38,500 38,500
0 - - -
111 Hidroklorotiazid (HCT) tab 25 mg Tab 0 40 - 40
9800 40 392,000 40
0 - - -
112 Hidrokortison krim 2,5% Tube 0 24 - 24
0 3,200 - 24 3,200
0 - - -
113 Hiosina butilbromida tab 10 mg Tab 0 330 - 330
0 - - -
114 Ibuprofen susp 100 mg/5 ml Botol 0 4,949 - 4,949
0 - - -
115 Ibuprofen tab 200 mg Tab 0 127 - 127
0 121 - 121
340 127 43,180 127
0 - - -
116 Ibuprofen tab 400 mg Tab 0 157 - 157
0 157 - 400 157
0 - - -
Ipratropium bromida nebulizer 0,025%
117 Botol 0 - - -
(Atroven sol. for inhalation 0.025%)
0 - - -
118 Isoniazid tab 300 mg Tab 0 - - -
0 - - -
119 Isosorbid dinitrat inj 10 mg/10 ml (Fasorbid) Vial 0 - - -
0 - - -
120 Isosorbid dinitrat tab 5 mg Tab 0 98 - 98
90 98 8,820 98
0 - - -
121 KA-EN 3B Cairan Infus Botol 0 10,000 - 10,000
0 - - -
122 Kalsium glukonat inj 100 mg/ml Ampul 20 9,519 190,380 9,519
0 - - -
123 Kalsium laktat (kalk) tab 500 mg Tab 0 51 - 51
820 76 62,320 76
0 - - -
124 Kaptopril tab 12,5 mg Tab 0 69 - 69
70 69 4,830 69
0 - - -
125 Kaptopril tab 25 mg Tab 0 97 - 97
765 97 74,205 97
0 - - -
126 Karbamazepin tab 200 mg Tab 0 269 - 269
0 - - -
127 Karbo adsorben (Norit) tab 500 mg Tab 0 - - -
0 - - -
128 Ketamin inj 50 mg/ml (i.v.) Ampul 0 110,000 - 110,000
0 - - -
129 Ketokonazol tab 200 mg Tab 0 320 - 320
0 320 - 320
0 - - -
130 Ketokonazol krim 2% Tube 0 5,150 - 5,150
0 5,150 - 5,150
0 - - -
131 Ketorolak inj 10 mg/ml Ampul 0 2,665 - 2,665
89 2,665 237,185 2,665
0 - - -
132 Klaritromisin tab 500 mg Tab 0 - - -
0 - - -
133 Klindamisin kaps 150 mg Kaps 0 405 - 405
0 - - -
134 Kloramfenikol tts mata 0,5% Botol 0 1,680 - 1,680
0 - - -
135 Kloramfenikol kaps 250 mg Kaps 0 275 - 275
0 275 - 275
0 - - -
136 Kloramfenikol salep mata 1% Tube 0 1,680 - 1,680
27 1,680 45,360 1,680
0 - - -
137 Kloramfenikol susp 125 mg/5 ml Botol 10 4,016 40,160 4,016
0 - - -
138 Klorfeniramin (CTM) tab 4 mg Tab 0 26 - 26
6769 26 178,702 26
0 - - -
139 Klorpromazin inj 25 mg/ml (i.m.) Ampul 0 1,210 - 1,210
0 - - -
140 Klorpromazin tab sal 100 mg Tab sal 0 152 - 152
0 - - -
141 Klorpromazin tab sal 25 mg Tab sal 32 50 1,600 50
0 - - -

142 Kombinasi : Pirimethamin 25 mg + sulfadoksin Tab 200 531 106,150 531

Kombinasi: ipratropium Br 0,5 mg+ 0 - - -


salbutamol 2,5 mg nebules (Combivent UDV)
143 Vial 0 5,990 - 5,990

0 - - -
Kotrimoksazol (dewasa) kombinasi :
sulfametoksazol 400 mg+ trimetoprim 80
144 Tab 433 152 65,816 152
mg

6583 152 1,000,616 152


0 - - -
Kotrimoksazol (anak) kombinasi :
sulfametoksazol 100 mg+ trimetoprim 20
145 Tab 0 79 - 79
mg

1380 79 109,020 79
0 - - -
Kotrimoksazol (dewasa) kombinasi tiap 5 ml
146 suspensi : sulfametoksazol 200 mg + Botol 15 2,298 34,470 2,298
trimetoprim 40 mg
0 - - -
147 Kuinin inj 25% (i.v.) Vial 0 6,820 - 6,820
0 6,820 - 6,820
0 - - -
148 Kloroquin tab 150 mg Tab 0 112 - 112
0 - - -
149 Lansoprazol kaps 30 mg Kaps 0 - - -
0 - - -
150 Levofloksasin tab 500 mg Tab 0 581 - 581
0 - - -
151 Lidokain gel 2% Tube 0 - - -
0 - - -
152 Lidokain inj 2% (hcl) Vial 0 1,499 - 1,499
0 1,499 - 1,499
80 929 74,320 929
0 - - -
153 Lisol Botol 0 54,995 - 54,995
0 54,995 - 54,995
0 - - -
154 Loperamid tab 2 mg Tab 0 97 - 97
1965 97 190,605 97
0 - - -
155 Loratadin tab 10 mg Tab 50 170 8,500 170
0 - - -
156 Magnesium sulfat inj 20% Vial 0 7,260 - 7,260
0 7,260 - 7,260
0 - - -
157 Magnesium sulfat inj 40% Vial 0 7,260 - 7,260
18 7,260 130,680 7,260
0 - - -
158 Magnesium sulfat serb, ktg 30 g Sachet 0 1,130 - 1,130
0 - - -
159 Mebendazol sir 50 mg/ml Botol 0 3,887 - 3,887
0 - - -
160 Mebendazol tab 100 mg Tan 0 248 - 248
0 - - -
161 Metformin tab 500 mg Tab 200 125 25,000 125
0 - - -
162 Metformin tab 850 mg Tab 0 - - -
0 - - -
163 Metilergometrin inj 0,2 mg/ml Ampul 0 1,639 - 1,639
0 - - -
164 Metilergometrin tab salut 0,125 mg Tab sal 150 133 19,965 133
0 - - -
165 Metilprednisolon tab 4 mg Tab 0 - - -
0 - - -
166 Metoklopramid inj 5 mg/ml Vial 0 1,100 - 1,100
0 1,100 - 1,100
0 - - -

167 Metoklopramid sir 5 mg/5 ml (Lexapram sirup) Botol 0 - - -

0 - - -
168 Metoklopramid tab 10 mg Tab 172 100 17,200 100
0 - - -
169 Metronidazol supposutoria 500 mg suppo 0 - - -
0 - - -
170 Metronidazol larutan infus Botol 0 12,980 - 12,980
7 12,980 90,860 12,980
0 - - -
171 Metronidazol tab 250 mg Tab 0 116 - 116
590 116 68,440 116
0 - - -
172 Metronidazol tab 500 mg Tab 0 - - -
750 169 126,750 169
0 - - -
173 Mikonazol krim 2% Tube 0 3,150 - 3,150
17 3,150 53,550 3,150
0 - - -
174 Natrium diklofenak tab 25 mg Tab 0 146 - 146
470 146 68,620 146
0 - - -
175 Natrium diklofenak tab 50 mg Tab 0 193 - 193
650 193 125,450 193
0 - - -
176 NaCl 0,9% Larutan infus Botol 0 5,170 - 5,170
16 5,170 82,720 20 5,170
0 - - -
177 Nifedipin kaps 10 mg Kaps 0 127 - 127
730 127 92,710 127
0 - - -
178 Nistatin tab salut 500.000 UI Tab 0 704 - 704
800 704 563,200 704
0 - - -
179 Nistatin tab vaginal 100.000 UI Tab 0 448 - 448
0 - - -
180 Obat Batuk Hitam (OBH) Botol 0 2,310 - 2,310
50 2,310 115,500 2,310
0 - - -
181 Ofloksasin tab 200 mg Tab 150 440 66,000 440
0 - - -
182 Ofloksasin tab 400 mg Tab 0 700 - 700
140 700 98,000 700
0 - - -
183 Oksitetrasiklin hcl inj 500 mg/ml Vial 0 3,410 - 3,410
0 - - -
184 Oksitetrasiklin hcl salep kulit 3% Tube 0 2,010 - 2,010
4 1,646 6,584 1,646
0 - - -
185 Oksitetrasiklin hcl salep mata 1 % Tube 0 2,772 - 2,772
127 2,772 352,044 2,772
0 - - -
186 Oksitosin inj 10 UI/ml Ampul 0 6,875 - 6,875
0 1,900 - 1,900
23 6,875 158,125 6,875
0 - - -
187 Omeprazol kaps 20 mg Kaps 0 221 - 221
230 221 50,830 221
0 - - -
188 Papaverin tablet 40 mg Tab 0 109 - 109
410 109 44,690 109
0 - - -
189 Parasetamol sir 120 mg/5 ml Botol 0 1,535 - 1,535
66 1,535 101,310 1,535
0 - - -
190 Parasetamol tab 100 mg Tab 0 105 - 105
0 105 - 105
0 - - -
191 Parasetamol tab 500 mg Tab 0 88 - 88
1630 88 143,440 88
0 - - -
192 Parasetamol rectal suppo 0 - - -
0 - - -
193 Pehavral tablet multivitamin Tab 0 849 - 849
0 297 - 297
0 - - -

194 Perak sulfadiazin krim 1% (Burnazin 35 gr) Tube 0 25,350 - 25,350

1 25,350 25,350 25,350


0 - - -
195 Phenylbutazon tablet 200 mg Tab 800 107 85,600 107
0 107 - 107
0 - - -
196 Piracetam tablet 800 mg Tab 0 964 - 964
490 964 472,360 964
0 - - -
197 Piracetam tablet 1200 mg Tab 0 854 - 854
420 854 358,680 854
0 - - -
198 Piracetam injeksi 1 g/5 ml Ampul 430 60,500 26,015,000 60,500
0 - - -
199 Pirantel pamoat susp 125 mg/5 ml Botol 38 9,100 345,800 9,100
0 - - -
200 Pirantel pamoat tab scored 125 mg Tab 0 318 - 318
1014 318 322,452 318
0 - - -
201 Piridoksin (vitamin B6) tab 25 mg Tab 0 19 - 19
790 19 15,010 19
0 - - -
202 Piroksikam tablet 20 mg Tab 0 116 - 116
885 116 102,660 116
0 - - -
203 Polikresulen Botol 0 18,635 - 18,635
7 18,635 130,445 18,635
0 - - -

204 Povidon iodin lar 100 mg/ml Botol 30 ml 0 2,344 - 2,344

54 2,344 126,576 2,344


0 - - -
Botol 300
205 Povidon iodin lar 100 mg/ml 0 15,386 - 15,386
ml
3 15,386 46,158 15,386
0 - - -
Botol 1000
206 Povidon iodin lar 100 mg/ml 0 40,202 - 40,202
ml
15 40,202 603,030 40,202
0 - - -
207 Prednison tab 5 mg Tab 0 98 - 98
1804 98 176,792 98
0 - - -
208 Primakuin tab 15 mg Tab 985 125 123,125 125
0 - - -
209 Procurma syrup Botol 0 12,021 - 12,021
25 12,021 300,525 12,021
0 - - -
210 Propiltiourasil tab 100 mg Tab 160 297 47,520 297
0 - - -
211 Propranolol tab 40 mg Tab 790 80 63,200 80
0 - - -
212 Ranitidin inj 25 mg/ml Ampul 0 - - -
0 - - -
213 Ranitidin tab 150 mg Tab 0 128 - 128
0 128 - 128
0 - - -
214 Reserpin tablet 0.25 mg Tab 0 - - -
0 - - -
215 Rifampisin kaps 300 mg Kaps 0 440 - 440
0 - - -
216 Rifampisin tab 450 mg Tab 0 624 - 624
0 - - -
217 Rifampisin tab 600 mg Tab 200 863 172,600 863
0 - - -
218 Ringer Laktat Larutan infus Botol 0 5,720 - 5,720
60 5,720 343,200 5,720
0 - - -
219 Salbutamol tab 2 mg Tab 0 92 - 92
600 65 39,000 65
0 - - -
220 Salbutamol tab 4 mg Tab 0 93 - 93
570 93 53,010 93
0 - - -
Salep 2-4, kombinasi : asam salisilat 2 %+
221 Tube 0 1,980 - 1,980
belerang endap 4 %
4 2,200 8,800 2,200
0 - - -
222 Scabicid salep Tube 0 - - -
223 Sefadroksil kaps 250 mg Vial 0 - - -
0 - - -
224 Sefadroksil kaps/tab 500 mg Tab 0 548 - 548
1060 548 580,880 548
0 - - -
225 Sefadroksil sir kering 125 mg/5 ml Botol 0 5,286 - 5,286
0 5,286 - 5,286
49 6,285 307,965 6,285
0 - - -
226 Sefiksim kapsul 100 mg Tab 0 - - -
0 - - -
227 Sefotaksim serb inj 1.000 mg/vial Vial 0 - - -
0 - - -
228 Seftriakson serb inj 1.000 mg/vial Vial 0 5,414 - 5,414
0 - - -
229 Setirizin tab 10 mg Tab 0 - - -
0 - - -

230 Sianokobalamin (vitamin B12) inj 500 mcg/ml Vial 37 1,451 53,673 1,451

0 - - -

231 Sianokobalamin (vitamin B12) tab 50 mcg Tab 0 150 - 150

0 - - -
232 Simetidin tablet 200 mg Tab 0 138 - 138
630 138 86,940 138
0 - - -
233 Simvastatin tab sal 10 mg Tab sal 0 177 - 177
0 - - -
234 Simvastatin tab sal 20 mg Tab sal 0 480 - 480
0 - - -
235 Siprofloksasin inf 2 mg/ml Botol 0 - - -
0 - - -
236 Siprofloksasin tab scored 500 mg Tab 700 312 218,680 312
0 - - -
237 Spironolakton tab 100 mg Tab 0 - - -
200 350 70,000 350
0 - - -
238 Sulfasetamid Natrium Tetes mata 1.5% Botol 0 - - -
0 - - -
239 Sukralfat susp 500 mg/5 ml (Ulsafate) Botol 0 - - -
0 - - -
240 Sukralfat tab 500 mg (Ulsidex) Tab 0 - - -
400 477 190,800 477
0 - - -
241 Teofilin tab SR 300 mg (Rethapyl) Tab 0 - - -
100 1,155 115,500 1,155
0 - - -
242 Tetrasiklin kaps 250 mg Kaps 0 183 - 183
0 - - -
243 Tetrasiklin kaps 500 mg Kaps 0 283 - 283
0 - - -

244 Tiamin (vitamin B1) mononitrat tab 50 mg Tab 3000 42 124,740 42

0 42 - 42
0 - - -
245 Tiamin (vitamin B1) injeksi 100 mg/ml Tab 0 770 - 770
0 - - -
246 Tramadol inj 50 mg/ml Ampul 0 2,680 - 2,680
0 - - -
247 Tramadol tablet 500 mg Tab 592 363 214,896 363
0 - - -
248 Triheksifenidil tab 2 mg Tab 0 45 - 45
160 45 7,200 45
0 - - -
249 Vitamin B12 tablet 50 mcg Tab 0 63 - 63
0 - - -
250 Vitamin B kompleks injeksi Vial 89 7,392 657,888 7,392
0 - - -
251 Vitamin B kompleks Tab 0 112 - 112
2420 112 271,040 112
0 - - -
252 Zinc tab disp 20 mg Tab 0 521 - 521
0 521 - 521
0 - - -
253 Zinc sirup 20 mg / 5 ml Botol 0 8,140 - 8,140
5 8,140 40,700 8,140
0 - - -
254 Larutan PK botol 0 573 - 573
0 6,975 - 6,975
0 - - -
255 Kanamisin inj Vial 47 10,395 488,565 10,395
0 - - -
256 Antalgin 500mg tab 0 155 - 155
1000 141 141,000 141
0 - - -
257 Klorpromazin inj 25 mg/ml (i.m.) Ampul 0 - - -
0 1,210 - 1,210
0 - - -

258 Kalsium laktat (kalk) tab 500 mg Tab 0 57 - 57

0 - - -

259 Kloroquin tab 250 mg Tab 0 116 - 116


0 572 - 572
0 - - -
260 Klonidin 0,15 mg Tab 100 191 19,100 191
0 - - -
261 Kloramfenikol kaps 250 mg Kaps 0 275 - 275
0 275 - 275
0 - - -
262 Klorpromazin tab sal 100 mg Tab sal 0 162 - 162
0 - - -
263 Fenolgliserol TT 10% Kotak 0 1,108 - 1,108
16 1,109 17,744 1,109
0 - - -
265 Tetrasiklin kaps 250 mg Kaps 0 162 - 162
0 - - -
266 Kloroquin tab 250 mg 1000 116 115,500 116
0 - - -
267 Papaverin tablet 40 mg 0 167 - 167
0 - - -
268 Prednison tab 5 mg Tab 0 125 - 125
0 - - -
269 Pirantel pamoat tab scored 125 mg Tab 0 318 - 318
0 - - -
270 Hidroklorotiazid (HCT) tab 25 mg Tab 0 109 - 109
0 - - -
271 Triheksifenidil tab 2 mg Tab 0 45 - 45
0 - - -
272 Piracetam tablet 1200 mg Tab 0 854 - 854
0 - - -
273 Vical suspensi btl 0 42,727 - 42,727
0 42,727 - 42,727
0 - - -
274 Lexavit tab 0 1,480 - 1,480
545 1,480 806,600 1,480
0 - - -
275 Gliseril Guaiakolat tab 100 mg Tab 0 31 - 31
0 - - -
276 Efedrin HCl tablet Tab 0 56 - 56
0 - - -
B.OBAT GIGI 0 - - -
1 Bonding Botol 0 765,000 - 765,000
2 765,000 1,530,000 765,000
0 - - -
2 Calcium hidrosida cement pasta (hycal) Kotak 0 242,000 - 242,000
0 - - -
3 Comfosite Tube 0 338,800 - 338,800
2 338,800 677,600 338,800
0 - - -
4 Devitalisasi Pasta (Non Arsen) Kotak 0 390,000 - 390,000
0 390,000 - 390,000
0 - - -
5 Eugenol cair Botol 0 18,333 - 18,333
1 18,333 18,333 18,333
0 - - -
6 Etil Klorida spray Botol 0 105,000 - 105,000
0 105,000 - 105,000
0 - - -
7 Etza Tube 0 170,000 - 170,000
0 - - -
8 Glass Ionomer Cement ART Set 0 395,000 - 395,000
1 197,895 197,895 197,895
0 - - -
9 Klorfenol Kamfer Menthol (CHKM) Botol 1 55,000 55,000 55,000
0 - - -
10 Semen Seng Fosfat serbuk dan cairan Set 0 93,500 - 93,500
2 93,500 187,000 93,500
0 - - -
11 Temporari stoping pletcher Set 0 34,000 - 34,000
0 34,000 - 34,000
0 - - -
12 Mummiyng pasta Kotak 0 176,000 - 176,000
0 - - -
C.OBAT PROGRAM 0 - - -
1 Albedazole 400mg Tab 0 425 - 425
2 Artemether inj 80 mg/ml Ampul 0 24,384 - 24,384
3 Artesunat serb inj 60 mg/ml (i.v./i.m.) Vial 0 27,569 - 27,569
8 27,569 220,552 27,569
0 - - -
4 Dietilkarbamazin tab 100 mg Tab 0 104 - 104
2000 104 208,000 104
0 - - -
5 Imersion oil Botol 0 825,000 - 825,000
6 Iodina Test Botol 0 4,545 - 4,545
7 Obat Anti Tuberculosis FDC Kategori Anak Paket 0 236,490 - 236,490
8 Obat Anti Tuberculosis FDC Kategori I Paket 0 396,000 - 396,000
9 Obat Anti Tuberculosis FDC Kategori II Paket 0 1,319,990 - 1,319,990

10 Obat Anti Tuberculosis FDC Kategori Sisipan Paket 0 175,899 - 175,899

11 Reagen Zenit Nelson Botol 0 145,000 - 145,000


12 RDT Dangue DBD Set 0 150,000 - 150,000
13 RDT malaria (care star ) Set 0 168,300 - 168,300
14 RDT HIV (intec) Set 0 46,200 - 46,200
15 RDT HIV (vikia) Set 0 45,560 - 45,560
16 RDT HIV (Oncoprobe) Set 0 42,350 - 42,350
17 Taburia Kotak 0 20,454 - 20,454
18 Quinina injeksi Ampul 0 4,438 - 4,438
19 Vaksin BCG inj (i.k) Vial 0 - - -
20 Vaksin campak inj (s.k.) Vial 0 - - -
21 Vaksin jerap difteri tetanus pertusis (DTP) inj (i Vial 0 - - -
22 Vaksin jerap difteri tetanus (DT) Vial 0 - - -
23 Vaksin kombinasi DPT + hepatitis B inj (i.m.) Vial 0 - - -
24 Vaksin polio drops 10 dosis Vial 0 285,000 - 285,000
Vaksin rabies, untuk manusia serb inj (s.k./i.k)
25 Vial 0 695,752 - 695,752
+ booster
Retinol (Vit.A) 200.000 IU kap lunak 0 412 - 412
Retinol (Vit.A) 100.000 IU kap lunak 0 286 - 286
zink tab.20mg 0 497 - 497
Doxiciklin tab 0 - - -
D.BAHAN MEDIS HABIS PAKAI (BHMP) 0 - - -
1 Alat suntik sekali pakai 1 ml Set 0 1,093 - 1,093
6 848 5,090 848
200 990 198,000 990
0 - - -
2 Alat suntik sekali pakai 2,5 ml Set 0 1,038 - 1,038
0 848 - 848
100 650 65,000 650
0 - - -
3 Alat suntik sekali pakai 3 ml Set 0 1,038 - 1,038
0 848 - 848
91 792 72,072 792
0 - - -
4 Alat suntik sekali pakai 5 ml Set 0 1,038 - 1,038
377 979 368,989 979
0 - - -
5 Bisturi no. 20 Buah 0 2,099 - 2,099
56 2,100 117,600 2,100
200 2,099 419,800 2,099
0 - - -
6 Bisturi no. 15 Buah 0 2,099 - 2,099
0 2,100 - 2,100
79 2,099 165,821 2,099
0 - - -
7 Catgut No 2/0 Set 0 6,400 - 6,400
40 25,920 1,036,800 25,920
48 6,400 307,200 6,400
0 - - -
8 Catgut No 3/0 Set 0 5,900 - 5,900
0 27,000 - 27,000
27 5,900 159,300 5,900
0 - - -
9 Handscoen no. 6 Pasang 0 6,595 - 6,595
0 11,990 - 11,990
0 - - -
10 Handscoen no. 6,5 Pasang 0 6,595 - 6,595
0 - - -
0 - - -
11 Handscoen no. 7 Pasang 0 4,250 - 4,250
0 7,684 - 7,684
50 11,990 599,500 11,990
0 - - -
12 Handscoen no. 7,5 Pasang 0 4,250 - 4,250
0 7,684 - 7,684
35 11,990 419,650 11,990
0 - - -
13 Infuset dewasa Set 0 3,500 - 3,500
2 4,176 8,352 4,176
25 9,900 247,500 9,900
0 - - -
14 Infusion set anak Set 0 4,000 - 4,000
2 4,568 9,136 4,568
8 9,900 79,200 9,900
0 - - -
15 IV Catheter No.16 G Set 0 7,937 - 7,937
0 7,018 - 7,018
0 - - -
15 IV Catheter No.18 G Set 0 6,600 - 6,600
19 20,900 397,100 20,900
0 - - -
16 IV Catheter No.24 G Set 0 7,787 - 7,787
35 7,787 272,545 7,787
20 7,018 140,360 7,018
0 - - -
17 IV Catheter No. 20 G Set 0 7,787 - 7,787
28 7,937 222,236 7,937
0 7,018 - 7,018
0 - - -
18 IV Catheter No. 22 G Set 26 7,787 202,462 7,787
20 7,018 140,360 7,018
0 - - -
19 Folley Catheter 16 Set 0 10,440 - 10,440
0 8,000 - 8,000
0 - - -
19 Folley Catheter 18 Set 0 8,495 - 8,495
0 10,440 - 10,440
0 8,000 - 8,000
0 - - -
20 Folley catheter 22 Set 0 8,495 - 8,495
0 10,440 - 10,440
0 8,000 - 8,000
0 - - -
21 Folley catheter 24 Set 0 495 - 495
8 10,440 83,520 10,440
0 8,000 - 8,000
0 - - -
22 Kapas Berlemak 250 gram Rol 0 7,500 - 7,500
0 27,821 - 27,821
4 24,000 96,000 24,000
0 - - -
23 Kapas Berlemak 500 gram Rol 9 17,250 155,250 17,250
0 - - -
24 Kasa Pembalut 4m x 3 cm Rol 0 800 - 800
0 - - -
25 Kasa Pembalut 4m x 5 cm Rol 0 887 - 887
0 1,100 - 1,100
0 - - -
26 Kasa Pembalut 4m x 10 cm Rol 0 607 - 607
0 6,121 - 6,121
30 2,300 69,000 2,300
0 - - -
27 Kasa Pembalut 4m x 15 cm Rol 0 887 - 887
0 3,800 - 3,800
0 - - -
28 Kasa Kompres 40/40 steril Buah 0 1,871 - 1,871
0 5,621 - 5,621
0 1,800 - 1,800
0 - - -
29 Kasa Steril 16 X 16 Buah 0 8,600 - 8,600
0 11,724 - 11,724
0 7,900 - 7,900
0 - - -
30 Kasa pembalut 2 x 80 Rol 0 10,467 - 10,467
0 13,221 - 13,221
0 9,400 - 9,400
0 - - -
31 Kasa Pembalut 40 x 80 Rol 0 - - -
0 137,025 - 137,025
0 104,500 - 104,500
0 - - -
32 Kasa Pembalut 36 x 80 cm Rol 0 55,200 - 55,200
0 133,821 - 133,821
1 130,000 130,000 3 130,000
0 - - -
33 Pembalut Gips Buah 0 32,500 - 32,500
0 - - -
34 Plester 5 yard x 2 inc Rol 0 23,625 - 23,625
7 23,625 165,375 23,625
0 - - -
35 Silk Set 0 5,082 - 5,082
10 18,781 187,810 18,781
0 5,082 - 5,082
0 - - -
36 Selang oksigen anak Set 0 - - -
0 - - -
37 Selang oksigen dewasa Set 0 - - -
0 - - -
38 Sofratulle Set 0 - - -
0 - - -
39 Urine bag Set 0 4,000 - 4,000
0 - - -
40 Wing Needle No. 21 G Set 0 5,770 - 5,770
300 5,770 1,731,000 5,770
0 - - -
41 Wing Needle No. 23 G Set 57 5,770 328,890 5,770
199 5,770 1,148,230 5,770
0 - - -
42 Wing Needle No.25 G Set 0 5,770 - 5,770
230 5,770 1,327,100 5,770
0 - - -
43 Wing Needle No. 27 G Set 0 5,770 - 5,770
0 - - -
44 NGT No. 3 ( Feeding Tube ) Set 0 22,000 - 22,000
0 - - -
45 NGT No. 5 ( Feeding Tube ) Set 0 22,000 - 22,000
0 - - -
46 Masker Buah 0 1,125 - 1,125
4 1,125 4,500 1,125
0 - - -
47 Tes gula darah Set 0 200,455 - 200,455
75 8,018 601,350 8,018
0 - - -
48 Tes Narkoba 3 parameter Set 0 68,181 - 68,181
0 - - -
49 Tes Narkoba 5 parameter Set 0 68,181 - 68,181
0 - - -
50 Tes Kehamilan Sachet 0 6,825 - 6,825
0 3,413 - 3,413

11,682,097
66,493,502
Mengetahui
Kepala Puskesmas Rumbia

Rahmat, AMK
Nip. 19721021 199403 1 004
N OBAT DAN PERBEKES
LAMA 1 TAHUN
N 2016

BULAN : DESEMBER
TAHUN : 2016

asi Masuk Mutasi Pengeluaran Saldo Akhir


esember 2016 Obat Puskesmas bulan Desember Per 31 Desember 2016
Nilai ( Rp) Jumlah Harga Satuan Nilai (Rp) Jumlah Harga Satuan Nilai (Rp)
9 10 11 12 13 14 15

- 6,050 - 0 6,050 -

- 1 2,200 2,200 116 2,200 255,200


- - - 0 - -
- 12,750 - 0 12,750 -
- 363 - 0 363 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 245 - 0 245 -
- 245 - 227 245 55,615
- - - 0 - -
- 18,635 - 1 18,635 18,635
- - - 0 - -
- 138 - 0 138 -
- 150 138 20,700 0 138 -
- - - 0 - -
- 2,722 - 0 2,722 -
- 2,722 - 0 2,722 -
- - - 0 - -
- 4,204 - 0 4,204 -
- 4,200 - 60 4,200 252,000
- - - 0 - -
- 86 - 100 86 8,600
- 86 - 400 86 34,400
- - - 0 - -
- 123 - 0 123 -
- 123 - 100 123 12,300
- - - 0 - -
- 1,863 - 0 1,863 -
- 352 - 0 352 -
- - - 0 - -
- 197 - 0 197 -
- - - 0 - -
- 2,560 - 0 2,560 -
128,000 27 2,560 69,120 91 2,560 232,960
- - - 0 - -
- 220 - 0 220 -
- 220 - 0 220 -
- - - 0 - -
- 279 - 0 279 -
- 745 279 207,855 1580 279 440,820
- - - 0 - -

- 1,499 - 0 1,499 -

- - - 0 - -

- 78 - 0 78 -

- 570 78 44,460 220 78 17,160


- - - 0 - -

- 2,213 - 0 2,213 -

110,650 9 2,213 19,917 41 2,213 90,733


- - - 0 - -

- 2,767 - 0 2,767 -

- - - 0 - -

- 4 2,096 8,384 46 2,096 96,416

- - - 0 - -

- 33,000 - 0 33,000 -
- 2,200 - 0 2,200 -
- 6 33,000 198,000 36 33,000 1,188,000
- - - 0 - -

- 1,650 - 0 1,650 -

- - - 0 - -

- 149 - 0 149 -

- 90 149 13,410 391 149 58,259


- - - 0 - -
- 155 - 0 155 -
- - - 0 - -
- 1,346 - 0 1,346 -
- - - 0 - -
- 110 - 30 110 3,300
- 127 - 1100 127 139,700
- 110 - 0 110 -
- - - 0 - -
- 178 - 0 178 -
- - - 0 - -
- 163 - 0 163 -
- - - 0 - -
- 105 - 0 105 -
- 540 105 56,700 1420 105 149,100
- - - 0 - -
- 52 - 0 52 -
- 52 - 200 52 10,400
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 127 - 0 127 -
- 770 127 97,790 1260 127 160,020
- - - 0 - -
- 2 3,650 7,300 23 3,650 83,950
- - - 0 - -

- 1,265 - 0 1,265 -

- 20 1,265 25,300 160 1,265 202,400

- - - 0 - -

- 15,900 - 0 15,900 -
- 9,000 - 0 9,000 -
- - - 0 - -

- 9 82,500 742,500 9 82,500 742,500

- 2,367 - 0 2,367 -
- - - 0 - -
- 251 - 0 251 -
- 251 - 220 251 55,220
- - - 0 - -
- 1,400 - 29 1,400 40,600
- - - 0 - -
- 81 - 0 81 -
- - - 0 - -

- 13,500 - 0 13,500 -

- - - 0 - -
- 1,180 - 0 1,180 -
- 3 1,350 4,050 0 1,350 -
29,500 3 1,180 3,540 22 1,180 25,960
- - - 0 - -

- 73 - 0 73 -

- 55 - 0 55 -
- 640 2,200 1,408,000 0 2,200 -
- - - 0 - -
- 22,727 - 0 22,727 -
- 22,727 - 4 22,727 90,908
- - - 0 - -
- 1,596 - 0 1,596 -
- 24 1,596 38,304 23 1,596 36,708
- - - 0 - -
- 10 600 6,000 80 600 48,000
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -

- - - 0 - -
- 42 - 0 42 -
- - - 0 - -
- 68 - 0 68 -
47,600 170 68 11,560 570 68 38,760
- - - 0 - -
- 1,738 - 168 1,738 291,984
- - - 0 - -
- - - 0 - -
- 9,983 - 8 9,983 79,864
- - - 0 - -
- 2,578 - 0 2,578 -
- 50 2,578 128,900 1 2,578 2,578
- - - 0 - -

- - - 0 - -

- - - 0 - -
- - - 0 - -
- - - 0 - -
- 28 - 0 28 -
- - - 0 - -
- 28 - 0 28 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 1 1,160 1,160 73 1,160 84,680
- - - 0 - -
- 103 - 500 103 51,500
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 141 - 0 141 -
- 190 141 26,790 370 141 52,170
- - - 0 - -
- 278 - 160 278 44,528
- - - 0 - -
- 3,490 - 0 3,490 -
- 15 3,490 52,350 31 3,490 108,190
- - - 0 - -
- 174 - 0 174 -
- 59 174 10,266 433 174 75,342
- - - 0 - -
- 56 - 0 56 -
- 56 - 540 56 30,451
- - - 0 - -
- 42 - 0 42 -
- 3160 42 132,720 0 42 -
- - - 0 - -

- 2 8,910 17,820 118 8,910 1,051,380

- - - 0 - -
- 522 - 820 522 428,040
- 522 - 0 522 -
- - - 0 - -
- 7,581 - 24 7,581 181,944
- - - 0 - -
- 1,013 - 465 1,013 470,938
- 1,023 - 0 1,023 -
- - - 0 - -
- 2,625 - 0 2,625 -
- 2,625 - 0 2,625 -
2,625 4 2,625 10,500 30 2,625 78,750
- - - 0 - -
- 4,695 - 0 4,695 -
- 4,695 - 3 4,695 14,085
- - - 0 - -
- 124 - 0 124 -
- - - 0 - -
- - - 0 - -
- 124 - 0 124 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 146 - 100 146 14,600
- - - 0 - -
- 37 - 0 37 -
- 1,980 - 90 1,980 178,200
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 37 - 0 37 -
- - - 0 - -

- 3 698 2,094 2 698 1,396

- - - 0 - -
- 698 - 0 698 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 2,012 - 0 2,012 -
- - - 0 - -
- 2,012 - 59 2,012 118,708
- - - 0 - -
- 84 - 0 84 -
- 9 84 756 301 84 25,284
- - - 0 - -

- 317 - 0 317 -

- 16 317 5,072 581 317 184,177


- - - 0 - -
- 2,420 - 0 2,420 -
- - - 0 - -
- 323 - 0 323 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 3,739 - 0 3,739 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 2,340 - 0 2,340 -
- 1,469 - 0 1,469 -
- 18 3,513 63,234 5 3,513 17,565
- - - 0 - -
- 3,194 - 0 3,194 -
- - - 0 - -
- 61 - 0 61 -
- 10 61 610 0 61 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 31 - 0 31 -
- 1420 31 44,020 1860 31 57,660
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 1 5,720 5,720 25 5,720 143,000
- - - 0 - -
- 6,270 - 15 6,270 94,050
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 230 - 0 230 -
- 90 230 20,700 130 230 29,900
- - - 0 - -
- 62 - 0 62 -
- - - 0 - -
- 76 - 0 76 -
- 76 - 175 76 13,300
- - - 0 - -
- 105 - 0 105 -
- 105 - 0 105 -
- - - 0 - -
- 38,500 - 1 38,500 38,500
- - - 0 - -
- 40 - 0 40 -
- 40 - 9800 40 392,000
- - - 0 - -
- 24 - 0 24 -
76,800 16 3,200 51,200 8 3,200 25,600
- - - 0 - -
- 330 - 0 330 -
- - - 0 - -
- 4,949 - 0 4,949 -
- - - 0 - -
- 127 - 0 127 -
- 121 - 0 121 -
- 310 127 39,370 30 127 3,810
- - - 0 - -
- 157 - 0 157 -
62,800 157 - 400 157 62,800
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 98 - 0 98 -
- 98 - 90 98 8,820
- - - 0 - -
- 10,000 - 0 10,000 -
- - - 0 - -
- 9,519 - 20 9,519 190,380
- - - 0 - -
- 51 - 0 51 -
- 554 76 42,104 266 76 20,216
- - - 0 - -
- 69 - 0 69 -
- 50 69 3,450 20 69 1,380
- - - 0 - -
- 97 - 0 97 -
- 368 97 35,696 397 97 38,509
- - - 0 - -
- 269 - 0 269 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 110,000 - 0 110,000 -
- - - 0 - -
- 320 - 0 320 -
- 320 - 0 320 -
- - - 0 - -
- 5,150 - 0 5,150 -
- 5,150 - 0 5,150 -
- - - 0 - -
- 2,665 - 0 2,665 -
- 1 2,665 2,665 88 2,665 234,520
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 405 - 0 405 -
- - - 0 - -
- 1,680 - 0 1,680 -
- - - 0 - -
- 275 - 0 275 -
- 275 - 0 275 -
- - - 0 - -
- 1,680 - 0 1,680 -
- 1 1,680 1,680 26 1,680 43,680
- - - 0 - -
- 4,016 - 10 4,016 40,160
- - - 0 - -
- 26 - 0 26 -
- 850 26 22,440 5919 26 156,262
- - - 0 - -
- 1,210 - 0 1,210 -
- - - 0 - -
- 152 - 0 152 -
- - - 0 - -
- 50 - 32 50 1,600
- - - 0 - -

- 531 - 200 531 106,150

- - - 0 - -

- 5,990 - 0 5,990 -

- - - 0 - -

- 170 152 25,840 263 152 39,976

- 152 - 6583 152 1,000,616


- - - 0 - -

- 79 - 0 79 -

- 79 - 1380 79 109,020
- - - 0 - -

- 9 2,298 20,682 6 2,298 13,788

- - - 0 - -
- 6,820 - 0 6,820 -
- 6,820 - 0 6,820 -
- - - 0 - -
- 112 - 0 112 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 581 - 0 581 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 1,499 - 0 1,499 -
- 1,499 - 0 1,499 -
- 53 929 49,237 27 929 25,083
- - - 0 - -
- 54,995 - 0 54,995 -
- 54,995 - 0 54,995 -
- - - 0 - -
- 97 - 0 97 -
- 153 97 14,841 1812 97 175,764
- - - 0 - -
- 170 - 50 170 8,500
- - - 0 - -
- 7,260 - 0 7,260 -
- 7,260 - 0 7,260 -
- - - 0 - -
- 7,260 - 0 7,260 -
- 7,260 - 18 7,260 130,680
- - - 0 - -
- 1,130 - 0 1,130 -
- - - 0 - -
- 3,887 - 0 3,887 -
- - - 0 - -
- 248 - 0 248 -
- - - 0 - -
- 30 125 3,750 170 125 21,250
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 1,639 - 0 1,639 -
- - - 0 - -
- 133 - 150 133 19,965
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 1,100 - 0 1,100 -
- 1,100 - 0 1,100 -
- - - 0 - -

- - - 0 - -

- - - 0 - -
- 100 - 172 100 17,200
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 12,980 - 0 12,980 -
- 12,980 - 7 12,980 90,860
- - - 0 - -
- 116 - 0 116 -
- 330 116 38,280 260 116 30,160
- - - 0 - -
- - - 0 - -
- 169 - 750 169 126,750
- - - 0 - -
- 3,150 - 0 3,150 -
- 1 3,150 3,150 16 3,150 50,400
- - - 0 - -
- 146 - 0 146 -
- 106 146 15,476 364 146 53,144
- - - 0 - -
- 193 - 0 193 -
- 500 193 96,500 150 193 28,950
- - - 0 - -
- 5,170 - 0 5,170 -
103,400 8 5,170 41,360 28 5,170 144,760
- - - 0 - -
- 127 - 0 127 -
- 127 - 730 127 92,710
- - - 0 - -
- 704 - 0 704 -
- 704 - 800 704 563,200
- - - 0 - -
- 448 - 0 448 -
- - - 0 - -
- 2,310 - 0 2,310 -
- 8 2,310 18,480 42 2,310 97,020
- - - 0 - -
- 440 - 150 440 66,000
- - - 0 - -
- 700 - 0 700 -
- 700 - 140 700 98,000
- - - 0 - -
- 3,410 - 0 3,410 -
- - - 0 - -
- 2,010 - 0 2,010 -
- 3 1,646 4,938 1 1,646 1,646
- - - 0 - -
- 2,772 - 0 2,772 -
- 13 2,772 36,036 114 2,772 316,008
- - - 0 - -
- 6,875 - 0 6,875 -
- 1,900 - 0 1,900 -
- 5 6,875 34,375 18 6,875 123,750
- - - 0 - -
- 221 - 0 221 -
- 230 221 50,830 0 221 -
- - - 0 - -
- 109 - 0 109 -
- 190 109 20,710 220 109 23,980
- - - 0 - -
- 1,535 - 0 1,535 -
- 50 1,535 76,750 16 1,535 24,560
- - - 0 - -
- 105 - 0 105 -
- 105 - 0 105 -
- - - 0 - -
- 88 - 0 88 -
- 530 88 46,640 1100 88 96,800
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 849 - 0 849 -
- 297 - 0 297 -
- - - 0 - -

- 25,350 - 0 25,350 -

- 1 25,350 25,350 0 25,350 -


- - - 0 - -
- 107 - 800 107 85,600
- 107 - 0 107 -
- - - 0 - -
- 964 - 0 964 -
- 10 964 9,640 480 964 462,720
- - - 0 - -
- 854 - 0 854 -
- 854 - 420 854 358,680
- - - 0 - -
- 60,500 - 430 60,500 26,015,000
- - - 0 - -
- 9,100 - 38 9,100 345,800
- - - 0 - -
- 318 - 0 318 -
- 40 318 12,720 974 318 309,732
- - - 0 - -
- 19 - 0 19 -
- 210 19 3,990 580 19 11,020
- - - 0 - -
- 116 - 0 116 -
- 154 116 17,864 731 116 84,796
- - - 0 - -
- 18,635 - 0 18,635 -
- 18,635 - 7 18,635 130,445
- - - 0 - -

- 2,344 - 0 2,344 -

- 2,344 - 54 2,344 126,576


- - - 0 - -

- 15,386 - 0 15,386 -

- 15,386 - 3 15,386 46,158


- - - 0 - -

- 40,202 - 0 40,202 -

- 40,202 - 15 40,202 603,030


- - - 0 - -
- 98 - 0 98 -
- 360 98 35,280 1444 98 141,512
- - - 0 - -
- 125 - 985 125 123,125
- - - 0 - -
- 12,021 - 0 12,021 -
- 8 12,021 96,168 17 12,021 204,357
- - - 0 - -
- 297 - 160 297 47,520
- - - 0 - -
- 80 - 790 80 63,200
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 128 - 0 128 -
- 128 - 0 128 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 440 - 0 440 -
- - - 0 - -
- 624 - 0 624 -
- - - 0 - -
- 863 - 200 863 172,600
- - - 0 - -
- 5,720 - 0 5,720 -
- 13 5,720 74,360 47 5,720 268,840
- - - 0 - -
- 92 - 0 92 -
- 100 65 6,500 500 65 32,500
- - - 0 - -
- 93 - 0 93 -
- 30 93 2,790 540 93 50,220
- - - 0 - -

- 1,980 - 0 1,980 -

- 2 2,200 4,400 2 2,200 4,400


- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 548 - 0 548 -
- 500 548 274,000 560 548 306,880
- - - 0 - -
- 5,286 - 0 5,286 -
- 5,286 - 0 5,286 -
- 21 6,285 131,985 28 6,285 175,980
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 5,414 - 0 5,414 -
- - - 0 - -
- - - 0 - -
- - - 0 - -

- 1,451 - 37 1,451 53,673

- - - 0 - -

- 150 - 0 150 -

- - - 0 - -
- 138 - 0 138 -
- 220 138 30,360 410 138 56,580
- - - 0 - -
- 177 - 0 177 -
- - - 0 - -
- 480 - 0 480 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 312 - 700 312 218,680
- - - 0 - -
- - - 0 - -
- 350 - 200 350 70,000
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 477 - 400 477 190,800
- - - 0 - -
- - - 0 - -
- 1,155 - 100 1,155 115,500
- - - 0 - -
- 183 - 0 183 -
- - - 0 - -
- 283 - 0 283 -
- - - 0 - -

- 2860 42 118,919 140 42 5,821

- 42 - 0 42 -
- - - 0 - -
- 770 - 0 770 -
- - - 0 - -
- 2,680 - 0 2,680 -
- - - 0 - -
- 363 - 592 363 214,896
- - - 0 - -
- 45 - 0 45 -
- 45 - 160 45 7,200
- - - 0 - -
- 63 - 0 63 -
- - - 0 - -
- 2 7,392 14,784 87 7,392 643,104
- - - 0 - -
- 112 - 0 112 -
- 840 112 94,080 1580 112 176,960
- - - 0 - -
- 521 - 0 521 -
- 521 - 0 521 -
- - - 0 - -
- 8,140 - 0 8,140 -
- 3 8,140 24,420 2 8,140 16,280
- - - 0 - -
- 573 - 0 573 -
- 6,975 - 0 6,975 -
- - - 0 - -
- 1 10,395 10,395 46 10,395 478,170
- - - 0 - -
- 155 - 0 155 -
- 141 - 1000 141 141,000
- - - 0 - -
- - - 0 - -
- 1,210 - 0 1,210 -
- - - 0 - -

- 57 - 0 57 -

- - - 0 - -

- 116 - 0 116 -
- 572 - 0 572 -
- - - 0 - -
- 191 - 100 191 19,100
- - - 0 - -
- 275 - 0 275 -
- 275 - 0 275 -
- - - 0 - -
- 162 - 0 162 -
- - - 0 - -
- 1,108 - 0 1,108 -
- 1,109 - 16 1,109 17,744
- - - 0 - -
- 162 - 0 162 -
- - - 0 - -
- 116 - 1000 116 115,500
- - - 0 - -
- 167 - 0 167 -
- - - 0 - -
- 125 - 0 125 -
- - - 0 - -
- 318 - 0 318 -
- - - 0 - -
- 109 - 0 109 -
- - - 0 - -
- 45 - 0 45 -
- - - 0 - -
- 854 - 0 854 -
- - - 0 - -
- 42,727 - 0 42,727 -
- 42,727 - 0 42,727 -
- - - 0 - -
- 1,480 - 0 1,480 -
- 110 1,480 162,800 435 1,480 643,800
- - - 0 - -
- 31 - 0 31 -
- - - 0 - -
- 56 - 0 56 -
- - - 0 - -
- - - 0 - -
- 765,000 - 0 765,000 -
- 765,000 - 2 765,000 1,530,000
- - - 0 - -
- 242,000 - 0 242,000 -
- - - 0 - -
- 338,800 - 0 338,800 -
- 338,800 - 2 338,800 677,600
- - - 0 - -
- 390,000 - 0 390,000 -
- 390,000 - 0 390,000 -
- - - 0 - -
- 18,333 - 0 18,333 -
- 18,333 - 1 18,333 18,333
- - - 0 - -
- 105,000 - 0 105,000 -
- 105,000 - 0 105,000 -
- - - 0 - -
- 170,000 - 0 170,000 -
- - - 0 - -
- 395,000 - 0 395,000 -
- 197,895 - 1 197,895 197,895
- - - 0 - -
- 55,000 - 1 55,000 55,000
- - - 0 - -
- 93,500 - 0 93,500 -
- 93,500 - 2 93,500 187,000
- - - 0 - -
- 34,000 - 0 34,000 -
- 34,000 - 0 34,000 -
- - - 0 - -
- 176,000 - 0 176,000 -
- - - 0 - -
- - - 0 - -
- 425 - 0 425 -
- 24,384 - 0 24,384 -
- 27,569 - 0 27,569 -
- 27,569 - 8 27,569 220,552
- - - 0 - -
- 104 - 0 104 -
- 104 - 2000 104 208,000
- - - 0 - -
- 825,000 - 0 825,000 -
- 4,545 - 0 4,545 -
- 236,490 - 0 236,490 -
- 396,000 - 0 396,000 -
- 1,319,990 - 0 1,319,990 -

- 175,899 - 0 175,899 -

- 145,000 - 0 145,000 -
- 150,000 - 0 150,000 -
- 168,300 - 0 168,300 -
- 46,200 - 0 46,200 -
- 45,560 - 0 45,560 -
- 42,350 - 0 42,350 -
- 20,454 - 0 20,454 -
- 4,438 - 0 4,438 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 285,000 - 0 285,000 -

- 695,752 - 0 695,752 -

- 412 - 0 412 -
- 286 - 0 286 -
- 497 - 0 497 -
- - - 0 - -
- - - 0 - -
- 1,093 - 0 1,093 -
- 6 848 5,090 0 848 -
- 62 990 61,380 138 990 136,620
- - - 0 - -
- 1,038 - 0 1,038 -
- 848 - 0 848 -
- 6 650 3,900 94 650 61,100
- - - 0 - -
- 1,038 - 0 1,038 -
- 848 - 0 848 -
- 39 792 30,888 52 792 41,184
- - - 0 - -
- 1,038 - 0 1,038 -
- 7 979 6,851 370 979 362,138
- - - 0 - -
- 2,099 - 0 2,099 -
- 12 2,100 25,200 44 2,100 92,400
- 2,099 - 200 2,099 419,800
- - - 0 - -
- 2,099 - 0 2,099 -
- 2,100 - 0 2,100 -
- 5 2,099 10,495 74 2,099 155,326
- - - 0 - -
- 6,400 - 0 6,400 -
- 1 25,920 25,920 39 25,920 1,010,880
- 6,400 - 48 6,400 307,200
- - - 0 - -
- 5,900 - 0 5,900 -
- 27,000 - 0 27,000 -
- 5 5,900 29,500 22 5,900 129,800
- - - 0 - -
- 6,595 - 0 6,595 -
- 11,990 - 0 11,990 -
- - - 0 - -
- 6,595 - 0 6,595 -
- - - 0 - -
- - - 0 - -
- 4,250 - 0 4,250 -
- 7,684 - 0 7,684 -
- 6 11,990 71,940 44 11,990 527,560
- - - 0 - -
- 4,250 - 0 4,250 -
- 7,684 - 0 7,684 -
- 35 11,990 419,650 0 11,990 -
- - - 0 - -
- 3,500 - 0 3,500 -
- 2 4,176 8,352 0 4,176 -
- 2 9,900 19,800 23 9,900 227,700
- - - 0 - -
- 4,000 - 0 4,000 -
- 1 4,568 4,568 1 4,568 4,568
- 9,900 - 8 9,900 79,200
- - - 0 - -
- 7,937 - 0 7,937 -
- 7,018 - 0 7,018 -
- - - 0 - -
- 6,600 - 0 6,600 -
- 1 20,900 20,900 18 20,900 376,200
- - - 0 - -
- 7,787 - 0 7,787 -
- 7,787 - 35 7,787 272,545
- 7,018 - 20 7,018 140,360
- - - 0 - -
- 7,787 - 0 7,787 -
- 7,937 - 28 7,937 222,236
- 7,018 - 0 7,018 -
- - - 0 - -
- 7,787 - 26 7,787 202,462
- 7,018 - 20 7,018 140,360
- - - 0 - -
- 10,440 - 0 10,440 -
- 8,000 - 0 8,000 -
- - - 0 - -
- 8,495 - 0 8,495 -
- 10,440 - 0 10,440 -
- 8,000 - 0 8,000 -
- - - 0 - -
- 8,495 - 0 8,495 -
- 10,440 - 0 10,440 -
- 8,000 - 0 8,000 -
- - - 0 - -
- 495 - 0 495 -
- 10,440 - 8 10,440 83,520
- 8,000 - 0 8,000 -
- - - 0 - -
- 7,500 - 0 7,500 -
- 27,821 - 0 27,821 -
- 24,000 - 4 24,000 96,000
- - - 0 - -
- 1 17,250 17,250 8 17,250 138,000
- - - 0 - -
- 800 - 0 800 -
- - - 0 - -
- 887 - 0 887 -
- 1,100 - 0 1,100 -
- - - 0 - -
- 607 - 0 607 -
- 6,121 - 0 6,121 -
- 10 2,300 23,000 20 2,300 46,000
- - - 0 - -
- 887 - 0 887 -
- 3,800 - 0 3,800 -
- - - 0 - -
- 1,871 - 0 1,871 -
- 5,621 - 0 5,621 -
- 1,800 - 0 1,800 -
- - - 0 - -
- 8,600 - 0 8,600 -
- 11,724 - 0 11,724 -
- 7,900 - 0 7,900 -
- - - 0 - -
- 10,467 - 0 10,467 -
- 13,221 - 0 13,221 -
- 9,400 - 0 9,400 -
- - - 0 - -
- - - 0 - -
- 137,025 - 0 137,025 -
- 104,500 - 0 104,500 -
- - - 0 - -
- 55,200 - 0 55,200 -
- 133,821 - 0 133,821 -
390,000 130,000 - 4 130,000 520,000
- - - 0 - -
- 32,500 - 0 32,500 -
- - - 0 - -
- 23,625 - 0 23,625 -
- 2 23,625 47,250 5 23,625 118,125
- - - 0 - -
- 5,082 - 0 5,082 -
- 2 18,781 37,562 8 18,781 150,248
- 5,082 - 0 5,082 -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- - - 0 - -
- 4,000 - 0 4,000 -
- - - 0 - -
- 5,770 - 0 5,770 -
- 5,770 - 300 5,770 1,731,000
- - - 0 - -
- 12 5,770 69,240 45 5,770 259,650
- 5,770 - 199 5,770 1,148,230
- - - 0 - -
- 5,770 - 0 5,770 -
- 5,770 - 230 5,770 1,327,100
- - - 0 - -
- 5,770 - 0 5,770 -
- - - 0 - -
- 22,000 - 0 22,000 -
- - - 0 - -
- 22,000 - 0 22,000 -
- - - 0 - -
- 1,125 - 0 1,125 -
- 4 1,125 4,500 0 1,125 -
- - - 0 - -
- 200,455 - 0 200,455 -
- 8,018 - 75 8,018 601,350
- - - 0 - -
- 68,181 - 0 68,181 -
- - - 0 - -
- 68,181 - 0 68,181 -
- - - 0 - -
- 6,825 - 0 6,825 -
- 3,413 - 0 3,413 -

390,000 943,236 11,128,862


951,375 6,398,323 61,046,555

Rumbia, 31 Desember 2016


Penanggung Jawab
Laporan

Wa Ode Wahyuni Hambe, S. Si, Apt


Nip. 19870305 201101 2 019

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