BERITA ACARA STOCK OPNAME PERSEDIAN OBAT-OBATAN

PUSKESMAS PURUK CAHU

TAHUN ANGGARAN 2012
Pada hari ini senin tanggal 31 Desember 2012, telah dilakukan Opname Fisik Persediaan Obat-obatan pada Gudang
Obat Puskesmas Puruk Cahu Kabupaten Murung Raya dengan hasil sebagai bereikut :

Sisa Harga Satuan Jumlah

No Nama Sediaan satuan
Barang ( Rp ) (Rp)
1 Abocate No. 20 11 Pcs 7,788 85,668
2 Abocate No. 22 26 Pcs 7,788 202,488
3 Abocate No. 24 0 Pcs 8,566 -
4 Alat suntik sekali pakai 1 ml 630 Pcs -
5 Alat suntik sekali pakai 2,5 ml 2300 Pcs -
6 Alat suntik sekali pakai 5 ml 910 Pcs -
7 Allopurinol 100mg tablet 4400 Tablet -
8 Ambroxol 100mg 0 Tablet -
9 Ambroxol 15mg/5ml sirup 0 Botol -
10 Aminopillin inj. 24mg/5ml 10 Ampul -
11 Aminopillin 100mg tablet 1900 Tablet -
12 Amoksisilin 250mg capsul 12840 Tablet -
13 Amoksisilin 500 mg tablet 23000 Tablet -
14 Amoksisilin sirup krng 125 mg 1302 Botol -
15 Antalgin 250 mg/ml inj 710 Tablet -
16 Antalgin 500 mg tablet 9500 Tablet -
17 Antasida doen srp 315 Botol -
18 Antasida doen tablet 24000 Tablet -
19 Antimigrain Kombinasi tablet 350 Tablet -
20 Antihaemaroid suppositoria 65 Tablet -
21 Aqua pro injeksi 137 Vial -
22 Asiklovir 200mg tablet 400 Tablet -
23 Asiklovir 400mg tablet 0 Tablet -
24 Asiklovir cream 25 Tube -
25 As. Ascorbat 50 mg tab 19000 Tablet -
26 As. ascorbat 250 mg tab 2000 Tablet -
27 As. Mefenamatt 500 mg tab 12400 Tablet -
28 Asetosal 500 tab 800 Tablet -
29 Atropin sulfat inj. 0.25mg/ml 0 Ampul -
30 Atropin sulfat 0.5mg tablet 0 Tablet -
31 Betametason cream 420 Tube -
32 Catgut benang bedah no.2/0,3/0 30 sachet -
33 Cimetidine tab 2800 Tablet -
34 Captopril 12,5 mg tab 6240 Tablet -
35 Captopril 25 mg tab 5540 Tablet -
36 Dexsametason 0,5 mg tab 24600 Tablet -
37 Dexsametason 5 mg/ml inj 1020 Ampul -
38 Dextromethorphan 15mg tab 22900 Tablet -
39 Dextromethorphan 15mg/5ml srp 55 Botol -
40 Difenhidramin Hcl Inj 1050 Ampul -
41 Diazepam 5mg/2ml inj 7 Ampul -
42 Diazepam 5mg tab 1835 Tablet -
43 Diazepam 2mg tab 5170 Tablet -
44 Digoksin 0,25 tablet 30 Tablet -
45 Ephedrin 25mg tab 6000 Tablet -
46 Epeneprin HCL /Bitartat(adrenalin) 5 Ampul -
47 Ektrak beladon 100mg tab 800 Tablet -
48 Erytromisin 250mg cap 1800 Tablet -
49 Erytromisin 500mg tab 1000 Tablet -
50 Erytromisin 125mg/5ml srp krg 450 Botol -
51 Etyl klorida semprot 7 Botol -
52 Etanol 70% 17 Botol -
53 Etakridina (rivanol) lar. 0.1% 3 Botol -
54 Etambuthol HCL 500mg tablet 155 Tablet -
55 Fenobarbital 30mg tab 6700 Tablet -
56 Fenobarbital inj. 28 Ampul -
57 Fenol gliserol 56 Botol -
58 Fitomenadion 10mg tab 1400 Tablet -
59 Fitomenadion 10mg/ml inj 84 Ampul -
60 Furosemid 40mg tab 1290 Tablet -
61 Garam oralit 1780 sachet -
62 Gentamisin salep 0.1% 155 Tube -
63 Gentamisin tetes mata 0.3% 40 Botol -
64 Gentian violet 230 Botol -
65 Glibenklamid 5mg tablet 2050 Tablet -
66 Gliseril guaiacolat 100mg tab 35100 Tablet -
67 Griseufulvin 125mg tab 1000 Tablet -
68 Glukosa lar. Infus 5% 18 Botol -
69 Hidrocortison krim 2,5% 203 Tube -
70 Haloperidol 0.5mg tablet 0 Tablet -
71 Haloperidol 1.5mg tablet 400 Tablet -
72 Haloperidol 5mg tablet 200 Tablet -
73 Hidroklortiazid HCT 25mg tablet 1000 Tablet -
74 Ibuprofen 400mg tab 5130 Tablet -
75 Ibuprofen 200mg tab 5170 Tablet -
76 Kalsium laktat 500mg tab 18000 Tablet -
77 Kapas pembalut 500gr 17 Rol -
78 Kloramfenicol 125mg/5 suspensi 355 Botol -
79 Kloramfenicol kapsul 250 mg 10580 Tablet -
80 Kloramfenicol tts telinga 3 % 126 Botol -
81 Kloramfenicol salep mata 1% 81 Tube -
82 Klorfeniramini Maleat 4mg tab 53000 Tablet -
 83 Kloroquin 250mg tab 0 Tablet -
84 Klorpromazine HCL 25mg tablet 0 Tablet -
85 Klorpromazine HCL 100mg tablet 1860 Tablet -
86 Klorpromazine HCL inj. 5mg/2ml 0 Ampul -
87 Kotrimoxazol 120mg tab 650 Tablet -
88 Kotrimoxazol 480mg tab 6150 Tablet -
89 Kotrimoxazol Suspensi 800 Botol -
90 Lidokain komp. Inj 605 Ampul -
91 Methilergometrin maleat inj 150 Ampul -
92 Methilergometrin maleat tab 0 Tablet -
93 Metronidazol 250mg tab 4950 Tablet -
94 Metronidazol 500mg tab 4050 Tablet -
95 Natrium Diklofenak tab 930 Tablet -
96 Natrium klorida lar. Infus 0.9% 10 Botol -
97 Nistatin 100.000 IU/g tab vag 280 Tablet vaginal -
98 Nistatin 500.000 IU tablet 100 Tablet -
99 Nipedipin tab 1500 Tablet -
100 Obat batuk hitam 170 Tablet -
101 Oksitetrasiklin inj 100 Tablet -
102 Oksitetrasiklin Hcl salep kulit 3% 350 Tube -
103 Oksitetrasiklin Hcl salep 1% 75 Tube -
104 Oksitosin 10IU/ml inj 205 Ampul -
105 Parasetamol 120mg/5ml srp 970 Botol -
106 Parasetamol 100mg tab 0 Tablet -
107 Parasetamol 500mg tab 50000 Tablet -
108 Papaverin tab 6000 Tablet -
109 Piridoksin 10mg tab 17700 Tablet -
110 Piroksikam 10mg tab 4500 Tablet -
111 Piroksikam 20mg tab 3400 Tablet -
112 Pyrantel pamoat tab 140 Tablet -
113 Povidon iodida 10% 30ml 24 Botol -
114 Povidon iodida 10% 300ml 9 Botol -
115 Prednison tab 28000 Tablet -
116 Primakuin 15mg tab 200 Tablet -
117 Propanolol HCL 40mg tablet 50 Tablet -
118 Propilthiourasil (PTU) 100mg tablet 80 Tablet -
119 Ringer laktat lar inf 25 Botol -
120 Salbutamol 2mg tablet 1200 Tablet -
121 Sarung tangan steril No. 6.5 0 Tablet -
122 Sarung tangan steril No. 7 400 Tablet -
123 Sarung tangan steril No. 7.5 208 Tablet -
124 Sefadroxil 500mg kapsul 1000 Tablet -
125 Salep 2-4 komb 135 Pot -
126 Salisil bedak 2% 145 Box -
127 Sianokobalamin (vit B12) inj 995 Ampul -
 128 Silk benang bedah sutra No. 3/0 20 sachet -
129 Simvastatin 10mg tablet 300 Tablet -
130 Siprofloksasin HCL 500mg tablet 500 Tablet -
131 Sulfadoksin tab komb 200 Tablet -
132 Sulfacetamid tts mata 15% 96 Botol -
133 Tablet tambah darah 34500 Tablet -
134 Tetrasiklin Hcl cap 250mg cap 4700 Capsul -
135 Tetrasiklin Hcl cap 500mg cap 3600 Capsul -
136 Thiamin Hcl 50mg tab 1600 Tablet -
137 Thiamin Hcl 100mg/ml inj 240 Ampul -
138 Tramadol 50mg kasul 300 Capsul -
139 Vitamin B komplek tab 25300 Tablet -
TOTAL PERSEDIAAN PER 31 DESEMBER 2012
-obatan pada Gudang

Ket
 DAFTAR MUTASI OBAT - OBATAN
PUSKESMAS PURUK CAHU KABUPATEN MURUNG RAYA
Bulan : JANUARI
Tahun : 2015

SALDO AKHIR MUTASI SELAMA BULAN DESEMBER 2014

SALDO AKHIR
per 30 November 2014 MASUK KELUAR
NO Nama persediaan Harga Harga Harga Harga
Jumlah Jumlah Jumlah Jumlah
Vol Satuan satuan Vol Satuan satuan Vol Satuan satuan Vol Satuan satuan
(Rp) (Rp) (Rp) (Rp) (Rp) (Rp) (Rp) (Rp)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Abocate No. 20 0 Pcs 8,566.00 - 0 Pcs 8,565.00 - 0 Pcs 8,565.00 - 0 Pcs 8,565.00 -
2 Abocate No. 22 0 Pcs 8,565.00 - 0 Pcs 17,600.00 - 0 Pcs 17,600.00 - 0 Pcs 17,600.00 -
3 Abocate No. 24 0 Pcs 8,570.00 - 0 Pcs 17,600.00 - 0 Pcs 17,600.00 - 0 Pcs 17,600.00 -
4 Alat suntik sekali pakai 1 ml 20 Pcs 1,250.00 25,000.00 0 Pcs 1,250.00 - 0 Pcs 1,250.00 - 20 Pcs 1,250.00 25,000.00
5 Alat suntik sekali pakai 2,5ml 0 Pcs 1,140.00 - 0 Pcs 1,142.00 - 0 Pcs 1,142.00 - 0 Pcs 1,142.00 -
6 Alat suntik sekali pakai 3 ml 115 Pcs 1,140.00 131,100.00 200 Pcs 1,142.00 228,400.00 135 Pcs 1,142.00 154,170.00 180 Pcs 1,142.00 205,560.00
7 Alat suntik sekali pakai 5 ml 100 Pcs 1,141.80 114,180.00 0 Pcs 1,142.00 - 20 Pcs 1,142.00 22,840.00 80 Pcs 1,142.00 91,360.00
8 Allopurinol 100mg tablet 850 Tablet 145.00 123,250.00 500 Tablet 90.00 45,000.00 300 Tablet 90.00 27,000.00 1050 Tablet 90.00 94,500.00
9 Ambroxol 100mg tablet 0 Tablet 137.00 - 1000 Tablet 168.00 168,000.00 300 Tablet 168.00 50,400.00 700 Tablet 168.00 117,600.00
10 Ambroxol 15mg/5ml sirup 0 Botol 2,665.00 - 100 Botol 4,425.00 442,500.00 35 Botol 4,425.00 154,875.00 65 Botol 4,425.00 287,625.00
11 Amlodipin 5mg tab 220 Tablet 240.00 52,800.00 600 Tablet 197.00 118,200.00 360 Tablet 197.00 70,920.00 460 Tablet 197.00 90,620.00
12 Amlodipin 10mg tab 0 Tablet 440.00 - 0 Tablet 440.00 - 0 Tablet 440.00 - 0 Tablet 440.00 -
13 Amitrippilin 25 mg tab 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
14 Aminopillin inj. 24mg/5ml 0 Ampul 3,300.00 - 10 Ampul 3,300.00 33,000.00 0 Ampul 3,300.00 - 10 Ampul 3,300.00 33,000.00
15 Aminopillin 100mg tablet 300 Tablet 103.00 30,900.00 0 Tablet 86.00 - 0 Tablet 86.00 - 300 Tablet 86.00 25,800.00
16 Amoksisilin 250mg capsul 840 Capsul 150.00 126,000.00 600 Capsul 220.00 132,000.00 120 Capsul 220.00 26,400.00 1320 Capsul 220.00 290,400.00
17 Amoksisilin 500 mg tablet 300 Tablet 226.00 67,800.00 2000 Tablet 279.00 558,000.00 1300 Tablet 279.00 362,700.00 1000 Tablet 279.00 279,000.00
18 Amoksisilin sirup krng 125 mg 40 Botol 2,438.00 97,520.00 120 Botol 2,560.00 307,200.00 100 Botol 2,560.00 256,000.00 60 Botol 2,560.00 153,600.00
19 Antalgin 250 mg/ml inj (Noralges inj 500mg/2 ml) 0 Ampul 163.90 - 150 Ampul 164.00 24,600.00 40 Ampul 164.00 6,560.00 110 Ampul 164.00 18,040.00
20 Antalgin 500 mg tablet 1290 Tablet 163.90 211,431.00 0 Tablet 2,200.00 - 0 Tablet 2,200.00 - 1290 Tablet 2,200.00 2,838,000.00
21 Antasida doen srp 38 Botol 2,700.00 102,600.00 50 Botol 2,213.00 110,650.00 20 Botol 2,213.00 44,260.00 68 Botol 2,213.00 150,484.00
22 Antasida doen tablet 210 Tablet 73.12 15,355.20 2000 Tablet 73.00 146,000.00 1600 Tablet 73.00 116,800.00 610 Tablet 73.00 44,530.00
23 Antibakteri DOEN komb (basitrasinpollimiksin) salep 0 Tube 2,768.00 - 0 Tube 2,768.00 - 0 Tube 2,768.00 - 0 Tube 2,768.00 -
24 Antimalaria DOEN komb (suldox) tab 300 Tablet 525.00 157,500.00 0 Tablet 525.00 - 0 Tablet 525.00 - 300 Tablet 525.00 157,500.00
25 Antiparkinson tab 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
26 Antimigrain Kombinasi tablet 300 Tablet 135.00 40,500.00 0 Tablet 135.00 - 0 Tablet 135.00 - 300 Tablet 135.00 40,500.00
27 Antihaemaroid suppositoria 0 Supp 2,200.00 - 0 Supp - - 0 Supp - - 0 Supp - -
28 Aqua pro injeksi 0 Vial 6,050.00 - 20 Vial 4,000.00 80,000.00 20 Vial 4,000.00 80,000.00 0 Vial 4,000.00 -
29 Asiklovir 200mg tablet 0 Tablet 110.00 - 0 Tablet 245.00 - 0 Tablet 245.00 - 0 Tablet 245.00 -
30 Asiklovir 400mg tablet 0 Tablet 427.00 - 0 Tablet 354.00 - 0 Tablet 354.00 - 0 Tablet 354.00 -
31 Asiklovir cream 6 Tube 5,000.00 30,000.00 0 Tube 3,300.00 - 0 Tube 3,300.00 - 6 Tube 3,300.00 19,800.00
32 As. Ascorbat 50 mg tab 2500 Tablet 28.00 70,000.00 0 Tablet 105.00 - 200 Tablet 105.00 21,000.00 2300 Tablet 105.00 241,500.00
33 As. ascorbat 250 mg tab 0 Tablet 154.00 - 0 Tablet 154.00 - 0 Tablet 154.00 - 0 Tablet 154.00 -
34 As. Mefenamatt 500 mg tab 0 Tablet 114.84 - 2000 Tablet 122.00 244,000.00 700 Tablet 122.00 85,400.00 1300 Tablet 122.00 158,600.00
35 As. Tranexamat 250mg capsul/ Kalnex 250mg cap 350 Capsul 1,875.00 656,250.00 0 Capsul 2,025.00 - 0 Capsul 2,025.00 - 350 Capsul 2,025.00 708,750.00
36 Asetosal 100mg tablet 300 Tablet 110.00 33,000.00 0 Tablet 110.00 - 0 Tablet 110.00 - 300 Tablet 110.00 33,000.00
37 Asetosal 500mg tablet 0 Tablet 171.00 - 0 Tablet 171.00 - 0 Tablet 171.00 - 0 Tablet 171.00 -
38 Atropin sulfat inj. 0.25mg/ml 0 Ampul 1,210.00 - 0 Ampul 1,210.00 - 0 Ampul 1,210.00 - 0 Ampul 1,210.00 -
39 Atropin sulfat 0.5mg tablet 0 Tablet 75.00 - 0 Tablet 75.00 - 0 Tablet 75.00 - 0 Tablet 75.00 -
40 Benzatil penisilin 1,2,juta IU/vial injeksi 0 Vial - - 0 Vial - - 0 Vial - - 0 Vial - -
41 Benzatil penisilin 2,4,juta IU/vial injeksi 0 Vial - - 0 Vial - - 0 Vial - - 0 Vial - -
42 Betametason cream 18 Tube 1,669.00 30,042.00 50 Tube 1,669.00 83,450.00 28 Tube 1,669.00 46,732.00 40 Tube 1,669.00 66,760.00
43 Catgut benang bedah no.2/0,3/0 7 Pcs 10,000.00 70,000.00 10 Pcs 10,000.00 100,000.00 5 Pcs 10,000.00 50,000.00 12 Pcs 10,000.00 120,000.00
44 Calcidol syr 0 Botol 24,968.00 - 0 Botol 24,968.00 - 0 Botol 24,968.00 - 0 Botol 24,968.00 -
45 Caviplex tablet 0 Tablet 437.05 - 1000 Tablet 437.05 437,050.00 300 Tablet 437.05 131,115.00 700 Tablet 437.05 305,935.00
46 Caviplex Syr 0 Botol 6,620.00 - 120 Botol 6,620.00 794,400.00 30 Botol 6,620.00 198,600.00 90 Botol 6,620.00 595,800.00
47 Ceterizine 10mg cap / Lerzin capsul 310 Capsul 987.50 306,125.00 0 Capsul 987.50 - 0 Capsul 987.50 - 310 Capsul 987.50 306,125.00
48 Cimetidine tab 0 Tablet 105.97 - 0 Tablet 105.97 - 0 Tablet 105.97 - 0 Tablet 105.97 -
49 Captopril 12,5 mg tab 850 Tablet 79.00 67,150.00 0 Tablet 79.00 - 100 Tablet 79.00 7,900.00 750 Tablet 79.00 59,250.00
50 Captopril 25mg tab/ Dexacap 25mg tab 950 Tablet 495.00 470,250.00 0 Tablet 495.00 - 350 Tablet 495.00 173,250.00 600 Tablet 495.00 297,000.00
51 Dexsametason 0,5 mg tab 300 Tablet 81.00 24,300.00 1500 Tablet 68.00 102,000.00 1200 Tablet 68.00 81,600.00 600 Tablet 68.00 40,800.00
52 Dexsametason 5 mg/ml inj 35 Ampul 1,750.00 61,250.00 100 Ampul 1,750.00 175,000.00 35 Ampul 1,750.00 61,250.00 100 Ampul 1,750.00 175,000.00
53 Diethylcarbamazin sitrat 100mg tab 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
54 Difenhidramin Hcl Inj 40 Ampul 1,056.00 42,240.00 30 Ampul 1,160.00 34,800.00 0 Ampul 1,160.00 - 70 Ampul 1,160.00 81,200.00
55 Diazepam 5mg/2ml inj 11 Ampul 2,605.00 28,655.00 0 Ampul 2,605.00 - 0 Ampul 2,605.00 - 11 Ampul 2,605.00 28,655.00
56 Diazepam 5mg tab 0 Tablet 52.00 - 0 Tablet 52.00 - 0 Tablet 52.00 - 0 Tablet 52.00 -
57 Diazepam 2mg tab 0 Tablet 39.00 - 200 Tablet 39.00 7,800.00 50 Tablet 39.00 1,950.00 150 Tablet 39.00 5,850.00
58 Digoksin 0,25 tablet 110 Tablet 96.84 10,652.40 0 Tablet 96.84 - 0 Tablet 96.84 - 110 Tablet 96.84 10,652.40
59 Doksisiklin 100mg capsul 0 Capsul - - 0 Capsul - - 0 Capsul - - 0 Capsul - -
60 Domperidom 10mg tab/ Vesverum 10mg tab 800 Tablet 318.75 255,000.00 0 Tablet 174.00 - 0 Tablet 174.00 - 800 Tablet 174.00 139,200.00
61 Domperidom syr/ Vesverum syr 30 Botol 5,982.00 179,460.00 50 Botol 3,490.00 174,500.00 10 Botol 3,490.00 34,900.00 70 Botol 3,490.00 244,300.00
62 Dulcolax 5mg tab 200 Tablet 2,290.75 458,150.00 0 Tablet 2,290.75 - 0 Tablet 2,290.75 - 200 Tablet 2,290.75 458,150.00
63 Dulcolax supp 40 Supp 19,195.00 767,800.00 0 Supp 19,195.00 - 0 Supp 19,195.00 - 40 Supp 19,195.00 767,800.00
64 Efedrin tab 0 Tablet 56.39 - 0 Tablet 56.39 - 0 Tablet 56.39 - 0 Tablet 56.39 -
65 Enzyplex tablet 150 Tab 955.50 143,325.00 0 Tablet 955.50 - 0 Tablet 955.50 - 150 Tablet 955.50 143,325.00
66 Epineprin HCL (adrenalin) Inj 0,1% /1ml 8 Ampul 5,145.50 41,164.00 0 Ampul 5,145.00 - 0 Ampul 5,145.00 - 8 Ampul 5,145.00 41,160.00
67 Ektrak beladon 100mg tab 100 Tablet 42.00 4,200.00 0 Tablet 42.00 - 0 Tablet 42.00 - 100 Tablet 42.00 4,200.00
68 Erytromisin 250mg cap 250 Capsul 542.00 135,500.00 0 Capsul 509.00 - 0 Capsul 509.00 - 250 Capsul 509.00 127,250.00
69 Erytromisin 500mg tab 860 Tablet 912.94 785,128.40 0 Tablet 1,023.00 - 0 Tablet 1,023.00 - 860 Tablet 1,023.00 879,780.00
70 Erytromisin 125mg/5ml srp krg 77 Botol 8,910.00 686,070.00 0 Botol 8,090.00 - 30 Botol 8,090.00 242,700.00 47 Botol 8,090.00 380,230.00
71 Etyl klorida semprot 1 Botol 115,500.00 115,500.00 1 Botol 115,500.00 115,500.00 1 Botol 115,500.00 115,500.00 1 Botol 115,500.00 115,500.00
72 Etanol 70% 1000 ml 1 Botol 32,500.00 32,500.00 3 Botol 32,500.00 97,500.00 2 Botol 32,500.00 65,000.00 2 Botol 32,500.00 65,000.00
73 Etanol 70% 100 ml 0 Botol 2,625.00 - 0 Botol 2,625.00 0 Botol 2,625.00 - 0 2,625.00 -
74 Etakridina (rivanol) lar. 0.1% 0 Botol 10,625.00 - 0 Botol 10,625.00 - 0 Botol 10,625.00 - 0 Botol 10,625.00 -
75 Etambuthol HCL 500mg tablet 0 Tablet 525.00 - 0 Tablet 525.00 - 0 Tablet 525.00 - 0 Tablet 525.00 -
76 Famotidine tab 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
77 Fenobarbital inj. 10 Ampul - - 10 Ampul - - 0 Ampul - - 20 Ampul - -
78 Fenobarbital 30mg tab. 0 Tablet 51.15 - 0 Tablet 51.15 - 0 Tablet 51.15 - 0 Tablet 51.15 -
79 Fenol gliserol 15 Botol 1,108.80 16,632.00 0 Botol 1,980.00 - 0 Botol 1,980.00 - 15 Botol 1,980.00 29,700.00
80 Fitomenadion 10mg tab 234 Tablet 123.75 28,957.50 0 Tablet 123.75 - 0 Tablet 123.75 - 234 Tablet 123.75 28,957.50
81 Fitomenadion 10mg/ml inj 105 Ampul 2,833.33 297,499.65 0 Ampul 2,833.33 - 0 Ampul 2,833.33 - 105 Ampul 2,833.33 297,499.65
82 Folley Cateter no. 16 10 Pcs 12,000.00 120,000.00 0 Pcs 12,000.00 - 0 Pcs 12,000.00 - 10 Pcs 12,000.00 120,000.00
83 Folley Cateter no. 18 5 Pcs 12,000.00 60,000.00 0 Pcs 12,000.00 - 0 Pcs 12,000.00 - 5 Pcs 12,000.00 60,000.00
84 Furosemid tab 50 Ampul 92.00 4,600.00 0 Ampul 92.00 - 0 Ampul 92.00 - 50 Ampul 92.00 4,600.00
85 Furosemid Injeksi 50 Tablet 1,926.00 96,300.00 0 Tablet 1,926.00 - 0 Tablet 1,926.00 - 50 Tablet 1,926.00 96,300.00
86 Garam oralit 330 Sachet 322.00 106,260.00 0 Sachet 322.00 - 0 Sachet 322.00 - 330 Sachet 322.00 106,260.00
87 Gentamisin salep 0.1% 26 Tube 1,469.00 38,194.00 0 Tube 2,019.00 - 0 Tube 2,019.00 - 26 Tube 2,019.00 52,494.00
88 Gentamisin tetes mata 0.3% 0 Botol 3,194.00 - 0 Botol 3,125.00 - 0 Botol 3,125.00 - 0 Botol 3,125.00 -
89 Gentamisin Injeksi 0 Ampul - - 10 Ampul - - 0 Ampul - - 10 Ampul - -
90 Gentian violet 12 Botol 3,125.00 37,500.00 0 Botol 3,125.00 - 0 Botol 3,125.00 - 12 Botol 3,125.00 37,500.00
91 Glibenklamid 5mg tablet 0 Tablet 66.00 - 0 Tablet 66.00 - 0 Tablet 66.00 - 0 Tablet 66.00 -
92 Gliseril guaiacolat 100mg tab 0 Tablet 30.00 - 2000 Tablet 35.00 70,000.00 2000 Tablet 35.00 70,000.00 0 Tablet 35.00 -
93 Griseufulvin 125mg tab 700 Tablet 199.00 139,300.00 500 Tablet 224.00 112,000.00 200 Tablet 224.00 44,800.00 1000 Tablet 224.00 224,000.00
94 Glukosa lar. Infus 5% 70 Botol 5,844.00 409,080.00 40 Botol 5,844.00 233,760.00 10 Botol 5,844.00 58,440.00 100 Botol 5,844.00 584,400.00
95 Hidrocortison krim 2,5% 0 Tube 2,459.00 - 24 Tube 3,575.00 85,800.00 10 Tube 3,575.00 35,750.00 14 Tube 3,575.00 50,050.00
96 Haloperidol 0.5mg tablet 0 Tablet 66.26 - 0 Tablet 66.26 - 0 Tablet 66.26 - 0 Tablet 66.26 -
97 Haloperidol 1.5mg tablet 80 Tablet 90.84 7,267.20 0 Tablet 90.84 - 0 Tablet 90.84 - 80 Tablet 90.84 7,267.20
98 Haloperidol 5mg tablet 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
99 Hidroklortiazid HCT 25mg tab 0 Tablet 39.93 - 0 Tablet 39.93 - 0 Tablet 39.93 - 0 Tablet 39.93 -
100 Hufalysin syr 0 Botol 8,896.00 - 150 Botol 8,896.00 1,334,400.00 25 Botol 8,896.00 222,400.00 125 Botol 8,896.00 1,112,000.00
101 Ibuprofen 400mg tab 800 Tablet 96.21 76,968.00 0 Tablet 157.00 - 0 Tablet 157.00 - 800 Tablet 157.00 125,600.00
102 Ibuprofen 200mg tab 240 Tablet 152.50 36,600.00 500 Tablet 151.00 75,500.00 200 Tablet 151.00 30,200.00 540 Tablet 151.00 81,540.00
103 Infusion set anak 0 Pcs 6,000.00 - 0 Pcs 8,000.00 - 0 Pcs 8,000.00 - 0 Pcs 8,000.00 -
104 Infusion set dewasa 0 Pcs 6,000.00 - 0 Pcs 8,000.00 - 0 Pcs 8,000.00 - 0 Pcs 8,000.00 -
105 Intunal Forte tablet 0 Tablet 891.00 - 1000 Tablet 891.00 891,000.00 200 Tablet 891.00 178,200.00 800 Tablet 891.00 712,800.00
106 Isoniazid 300mg tab 140 Tablet 106.70 14,938.00 0 Tablet 106.70 - 0 Tablet 106.70 - 140 Tablet 106.70 14,938.00
107 Isosorbit Dinitrat 5mg tab sublingual 20 Tablet 107.09 2,141.80 0 Tablet 107.09 - 0 Tablet 107.09 - 20 Tablet 107.09 2,141.80
108 Kalsium laktat 500mg tab 1200 Tablet 57.20 68,640.00 0 Tablet 57.20 - 500 Tablet 57.20 28,600.00 700 Tablet 57.20 40,040.00
109 Kapas pembalut 500gr 3 Rol 20,878.00 62,634.00 0 Rol 20,878.00 - 3 Rol 20,878.00 62,634.00 0 Rol 20,878.00 -
110 Karbamazepin 200mg tab 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
111 Kasa Hidrofil 40 x 40 steril/ 16 X 16 cm 10 Ktk 10,000.00 100,000.00 10 Ktk 10,000.00 100,000.00 5 Ktk 10,000.00 50,000.00 15 Ktk 10,000.00 150,000.00
112 Kasa Hidrofil 36m X 80cm/40 Y X 80cm 0 Rol 155,000.00 - 0 Rol 155,000.00 - 0 Rol 155,000.00 - 0 Rol 155,000.00 -
113 Kasa Pembalut 2M X 80cm 5 Rol 25,000.00 125,000.00 0 Rol 25,000.00 - 0 Rol 25,000.00 - 5 Rol 25,000.00 125,000.00
114 Kasa Pembalut Hidrofil 4m X 15cm 0 Rol - - 0 Rol - - 0 Rol - - 0 Rol - -
115 Ketoconazole 2 % krim 24 Tube - - 0 Tube 2,633.00 - 0 Tube 2,633.00 - 24 Tube 2,633.00 63,192.00
116 Ketoconazole 200mg tab 150 Tablet 267.00 40,050.00 0 Tablet - - 0 Tablet - - 150 Tablet - -
117 Ketorolac 10mg inj 0 Ampul 2,020.00 - 0 Ampul 2,020.00 - 0 Ampul 2,020.00 - 0 Ampul 2,020.00 -
118 Ketorolac 30mg inj 0 Ampul 2,665.00 - 0 Ampul 2,665.00 - 0 Ampul 2,665.00 - 0 Ampul 2,665.00 -
119 Kloramfenicol 125mg/5 susp 38 Botol 4,016.00 152,608.00 50 Botol 4,050.00 202,500.00 20 Botol 4,050.00 81,000.00 68 Botol 4,050.00 275,400.00
120 Kloramfenicol kapsul 250 mg 0 Capsul 264.00 - 1000 Capsul 264.00 264,000.00 1000 Capsul 264.00 264,000.00 0 Capsul 264.00 -
121 Kloramfenicol tts telinga 3 % 0 Botol 1,760.00 - 48 Botol 2,228.00 106,944.00 20 Botol 2,228.00 44,560.00 28 Botol 2,228.00 62,384.00
122 Kloramfenicol salep mata 1%(cendo Fenicol) 0 Tube 22,205.00 - 0 Tube 22,205.00 - 0 Tube 22,205.00 - 0 Tube 22,205.00 -
123 Klorfeniramini Maleat 4mg tab 0 Tablet 23.00 - 5000 Tablet 25.00 125,000.00 2500 Tablet 25.00 62,500.00 2500 Tablet 25.00 62,500.00
124 Kloroquin 250mg tab 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
125 Klorpromazine HCL 25mg tab 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
126 Klorpromazine HCL 100mg tab 0 Tablet 605.00 - 0 Tablet 605.00 - 0 Tablet 605.00 - 0 Tablet 605.00 -
127 Klorpromazine HCL inj. 5mg/2ml 20 Ampul - - 0 Ampul - - 0 Ampul - - 20 Ampul - -
128 Kotrimoxazol 120mg tab 300 Tablet 79.00 23,700.00 0 Tablet 79.00 - 0 Tablet 79.00 - 300 Tablet 79.00 23,700.00
129 Kotrimoxazol 480mg tab 1130 Tablet 152.20 171,986.00 0 Tablet 152.20 - 50 Tablet 152.20 7,610.00 1080 Tablet 152.20 164,376.00
130 Kotrimoxazol Suspensi 23 Botol 2,212.94 50,897.62 50 Botol 2,298.00 114,900.00 30 Botol 2,298.00 68,940.00 43 Botol 2,298.00 98,814.00
131 Lisol 0 Botol 52,600.00 - 0 Botol 52,600.00 - 0 Botol 52,600.00 - 0 Botol 52,600.00 -
132 Lidokain 2 % inj 0 Ampul 950.00 - 0 Ampul 929.00 - 0 Ampul 929.00 - 0 Ampul 929.00 -
133 Lidokain komp. Inj 30 Ampul 1,485.00 44,550.00 60 Ampul 1,485.00 89,100.00 20 Ampul 1,485.00 29,700.00 70 Ampul 1,485.00 103,950.00
134 Masker 0 Pcs 1,225.00 - 0 Pcs 1,000.00 - 0 Pcs 1,000.00 - 0 Pcs 1,000.00 -
135 Magnesium Sulfat injeksi (IV) 20% - 25ml 0 Vial 4,419.00 - 0 Vial 4,419.00 - 0 Vial 4,419.00 - 0 Vial 4,419.00 -
136 Magnesium Sulfat injeksi (IV) 40% - 25ml 0 Vial 5,891.00 - 0 Vial 5,891.00 - 0 Vial 5,891.00 - 0 Vial 5,891.00 -
137 Metilprednisolon 4mg tab/ Vadrol 4mg tab 0 Tablet 400.50 - 0 Tablet 400.50 - 0 Tablet 400.50 - 0 Tablet 400.50 -
138 Metilprednisolon inj 8 Ampul 48,778.00 390,224.00 0 Ampul 48,778.00 - 0 Ampul 48,778.00 - 8 Ampul 48,778.00 390,224.00
139 Metoclorprofamid 10mg tab 200 Tablet 91.00 18,200.00 0 Tablet 91.00 - 0 Tablet 91.00 - 200 Tablet 91.00 18,200.00
140 Methilergometrin maleat inj 10 Ampul 4,600.00 46,000.00 30 Ampul 4,600.00 138,000.00 0 Ampul 4,600.00 - 40 Ampul 4,600.00 184,000.00
141 Methilergometrin maleat tab 100 Tablet 147.00 14,700.00 0 Tablet 147.00 - 0 Tablet 147.00 - 100 Tablet 147.00 14,700.00
142 Metronidazol 250mg tab 500 Tablet 129.00 64,500.00 0 Tablet 116.00 - 0 Tablet 116.00 - 500 Tablet 116.00 58,000.00
143 Metronidazol 500mg tab 700 Tablet 174.00 121,800.00 0 Tablet 169.00 - 0 Tablet 169.00 - 700 Tablet 169.00 118,300.00
144 Miconazole cream 6 Tube 3,300.00 19,800.00 0 Tube 3,300.00 - 0 Tube 3,300.00 - 6 Tube 3,300.00 19,800.00
145 Microlax enema 3 Tube 18,840.00 56,520.00 0 Tube 22,000.00 - 0 Tube 22,000.00 - 3 Tube 22,000.00 66,000.00
146 Natrium Diklofenak 50mg tab 500 Tab - - 0 0 239.00 - 0 Tablet 239.00 - 500 0 239.00 119,500.00
147 Natrium klorida lar. Infus 0.9% 58 Botol 5,390.00 312,620.00 0 Botol 5,390.00 - 0 Botol 5,390.00 - 58 Botol 5,390.00 312,620.00
148 Neurobion inj 0 Ampul 7,493.00 - 140 Ampul 7,493.00 1,049,020.00 60 Ampul 7,493.00 449,580.00 80 Ampul 7,493.00 599,440.00
149 Neurodex tab 450 Tablet 579.38 260,721.00 1400 Tablet 579.00 810,600.00 400 Tablet 579.00 231,600.00 1450 Tablet 579.00 839,550.00
150 NGT Nasogastric Tube no. 10 0 Tube 22,500.00 - 0 Tube 22,500.00 - 0 Tube 22,500.00 - 0 Tube 22,500.00 -
151 Nistatin 100.000 IU/g tab vag 195 Tablet 448.00 87,360.00 0 Tablet 448.00 - 0 Tablet 448.00 - 195 Tablet 448.00 87,360.00
152 Nistatin 500.000 IU tablet 70 Tablet 704.00 49,280.00 0 Tablet 704.00 - 0 Tablet 704.00 - 70 Tablet 704.00 49,280.00
153 Nipedipin tab 0 Tablet 115.00 - 0 Tablet 115.00 - 0 Tablet 115.00 - 0 Tablet 115.00 -
154 Obat batuk hitam 0 Botol 1,610.00 - 0 Botol 2,050.00 - 0 Botol 2,050.00 - 0 Botol 2,050.00 -
155 Oksitetrasiklin inj 0 Vial 3,410.00 - 0 Vial 3,588.00 - 0 Vial 3,588.00 - 0 Vial 3,588.00 -
156 Oksitetrasiklin Hcl salep kulit 3% 0 Tube 1,646.00 - 0 Tube 14,350.00 - 0 Tube 14,350.00 - 0 Tube 14,350.00 -
157 Oksitetrasiklin Hcl salep 1% 0 Tube 2,112.00 - 0 Tube 687.00 - 0 Tube 687.00 - 0 Tube 687.00 -
158 Oksitosin 10IU/ml inj 0 Ampul 11,687.00 - 60 Ampul 125.00 7,500.00 10 Ampul 125.00 1,250.00 50 Ampul 125.00 6,250.00
159 Omeperazol 0 Capsul - - 0 Capsul - - 0 Capsul - - 0 Capsul - -
160 Paracetamol drops 4 Botol 5,749.00 22,996.00 0 Botol 133.10 - 0 Botol 133.10 - 4 Botol 133.10 532.40
161 Parasetamol 120mg/5ml srp 20 Botol 2,530.00 50,600.00 50 Botol 329.53 16,476.50 30 Botol 329.53 9,885.90 40 Botol 329.53 13,181.20
162 Parasetamol 100mg tab 0 Tablet - - 0 Tablet 490.00 - 0 Tablet 490.00 - 0 Tablet 490.00 -
163 Parasetamol 500mg tab 2000 Tablet 84.80 169,600.00 4000 Tablet 119.00 476,000.00 2500 Tablet 119.00 297,500.00 3500 Tablet 119.00 416,500.00
164 Papaverin tab 0 Tablet 125.00 - 0 Tablet 1,157.00 - 0 Tablet 1,157.00 - 0 Tablet 1,157.00 -
165 Piracetam 400mg tablet 270 Tablet 194.00 52,380.00 0 Tablet - - 30 Tablet - - 240 Tablet - -
166 Piracetam 1g injeksi 20 Vial 1,925.00 38,500.00 0 Vial - - 0 Vial - - 20 Vial - -
167 Piridoksin 10mg tab 300 Tablet 35.00 10,500.00 1000 Tablet - - 500 Tablet - - 800 Tablet - -
168 Piroksikam 10mg tab 0 Tablet 90.00 - 500 Tablet - - 300 Tablet - - 200 Tablet - -
169 Piroksikam 20mg tab 0 Tablet 90.00 - 1000 Tablet 440.00 440,000.00 600 Tablet 440.00 264,000.00 400 Tablet 440.00 176,000.00
170 Plester 5 yard X 2 inc 3 Rol 65,000.00 195,000.00 5 Rol - - 0 Rol - - 8 Rol - -
171 Pyrantel pamoat tab 400 Tablet 343.00 137,200.00 0 Tablet 825.00 - 0 Tablet 825.00 - 400 Tablet 825.00 330,000.00
172 Povidon iodida 10% 30ml 3 Botol 2,050.00 6,150.00 0 Botol - - 0 Botol - - 3 Botol - -
173 Povidon iodida 10% 60ml 0 Botol 3,588.00 - 0 Botol 3,588.00 - 0 Botol 3,588.00 - 0 Botol 3,588.00 -
174 Povidon iodida 10% 300ml 2 Botol 14,350.00 28,700.00 0 Botol 14,350.00 - 0 Botol 14,350.00 - 2 Botol 14,350.00 28,700.00
175 Prednison tab 0 Tablet 69.00 - 4000 Tablet 687.00 2,748,000.00 2000 Tablet 687.00 1,374,000.00 2000 Tablet 687.00 1,374,000.00
176 Primakuin 15mg tab 700 Tablet 125.00 87,500.00 0 Tablet 125.00 - 0 Tablet 125.00 - 700 Tablet 125.00 87,500.00
177 Propanolol HCL 40mg tablet 126 Tablet 133.10 16,770.60 0 Tablet 133.10 - 0 Tablet 133.10 - 126 Tablet 133.10 16,770.60
178 Propilthiourasil (PTU) 100mg tablet 80 Tablet 329.53 26,362.40 200 Tablet 330.00 66,000.00 30 Tablet 330.00 9,900.00 250 Tablet 330.00 82,500.00
179 Ramabion capsul 0 Capsul 490.00 - 0 Capsul 490.00 - 0 Capsul 490.00 - 0 Capsul 490.00 -
180 Ranitidine 150mg tablet 370 Tablet 119.00 44,030.00 300 Tablet 119.00 35,700.00 100 Tablet 119.00 11,900.00 570 Tablet 119.00 67,830.00
181 Ranitidine 25mg/2ml injeksi 3 Tablet 1,157.00 3,471.00 0 Tablet 1,157.00 - 0 Tablet 1,157.00 - 3 Tablet 1,157.00 3,471.00
182 Reserpin 0,10mg tablet 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
183 Reserpin 0,25mg tablet 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
184 Retinol (Vit A) 100.000 IU kapsul lunak 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
185 Retinol (Vit A) 200.000 IU kapsul lunak 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
186 Rifampisin 300mg kapsul 0 Capsul 440.00 - 0 Capsul 440.00 - 0 Capsul 440.00 - 0 Capsul 440.00 -
187 Rifampisin 450mg kaplet 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
188 Rifampisin 600mg kaplet 0 Tablet 825.00 - 0 Tablet 825.00 - 0 Tablet 825.00 - 0 Tablet 825.00 -
189 Ringer laktat lar inf 66 Botol 5,720.00 377,520.00 0 Botol 5,200.00 - 0 Botol 5,200.00 - 66 Botol 5,200.00 343,200.00
190 Salbutamol 2mg tablet 300 Tablet 69.00 20,700.00 0 Tablet 69.00 - 100 Tablet 69.00 6,900.00 200 Tablet 69.00 13,800.00
191 Sarung tangan steril No. 6.5 36 Pcs 5,000.00 180,000.00 100 Pcs 10,000.00 1,000,000.00 0 Pcs 10,000.00 - 136 Pcs 10,000.00 1,360,000.00
192 Sarung tangan steril No. 7 30 Pcs 5,000.00 150,000.00 0 Pcs 10,000.00 - 0 Pcs 10,000.00 - 30 Pcs 10,000.00 300,000.00
193 Sarung tangan steril No. 7.5 30 Pcs 5,000.00 150,000.00 0 Pcs 10,000.00 - 0 Pcs 10,000.00 - 30 Pcs 10,000.00 300,000.00
194 Sarung Tangan steril No. 8 0 Pcs - - 0 Pcs 10,000.00 - 0 Pcs 10,000.00 - 0 Pcs 10,000.00 -
195 Sefadroxil 500mg kapsul 0 Capsul 521.00 - 1500 Capsul 529.00 793,500.00 500 Capsul 529.00 264,500.00 1000 Capsul 529.00 529,000.00
196 Salep 2-4 komb 14 pot - - 0 pot - - 0 pot - - 14 pot - -
 197 Salisil bedak 2% 0 Kotak 1,180.00 - 0 Kotak 1,180.00 - 0 Kotak 1,180.00 - 0 Kotak 1,180.00 -
198 Sefotaksim injeksi 12 Vial 2,426.00 29,112.00 0 Vial 2,426.00 - 0 Vial 2,426.00 - 12 Vial 2,426.00 29,112.00
199 Seftriakson injeksi 0 Vial 2,578.00 - 0 Vial 2,578.00 - 0 Vial 2,578.00 - 0 Vial 2,578.00 -
200 Selang Oksigen 0 Pcs 15,000.00 - 0 Pcs 15,000.00 - 0 Pcs 15,000.00 - 0 Pcs 15,000.00 -
201 Sianokobalamin (vit B12) inj 0 Ampul 1,067.00 - 100 Ampul 1,174.00 117,400.00 68 Ampul 1,174.00 79,832.00 32 Ampul 1,174.00 37,568.00
202 Silk benang bedah sutra No. 3/0 19 Pcs 8,333.00 158,327.00 0 Pcs 8,333.00 - 0 Pcs 8,333.00 - 19 Pcs 8,333.00 158,327.00
203 Simvastatin 10mg tablet 0 Tablet 180.00 - 0 Tablet 180.00 - 0 Tablet 180.00 - 0 Tablet 180.00 -
204 Siprofloksasin HCL 500mg tablet 0 Tablet 241.00 - 500 Tablet 265.00 132,500.00 500 Tablet 265.00 132,500.00 0 Tablet 265.00 -
205 Surgical Blade 175 Pcs 3,500.00 612,500.00 0 0 3,500.00 - 30 0 3,500.00 105,000.00 145 0 3,500.00 507,500.00
206 Sulfacetamid tts mata 15% 0 Botol 3,700.00 - 0 Botol 3,850.00 - 0 Botol 3,850.00 - 0 Botol 3,850.00 -
207 Tablet tambah darah 0 Sacht 2,200.00 - 0 0 2,200.00 - 0 0 2,200.00 - 0 0 2,200.00 -
208 Tetrasiklin Hcl cap 250mg cap 50 Capsul 183.00 9,150.00 0 Capsul 183.00 - 0 Capsul 183.00 - 50 Capsul 183.00 9,150.00
209 Tetrasiklin Hcl cap 500mg cap 0 Capsul 282.00 - 300 Capsul 409.00 122,700.00 0 Capsul 409.00 - 300 Capsul 409.00 122,700.00
210 Thiamin Hcl 50mg tab 0 Tablet 38.00 - 0 Tablet 53.00 - 0 Tablet 53.00 - 0 Tablet 53.00 -
211 Thiamin Hcl 100mg/ml inj 0 Ampul 770.00 - 0 Ampul 770.00 - 0 Ampul 770.00 - 0 Ampul 770.00 -
212 Tramadol 50mg kasul 300 Capsul 196.35 58,905.00 0 Capsul 541.00 - 0 Capsul 541.00 - 300 Capsul 541.00 162,300.00
213 Ultraproct N suppositoria 0 Supp - - 0 Supp - - 0 Supp - - 0 Supp - -
214 Urine Bag 0 Pcs 7,500.00 - 0 Pcs 7,500.00 - 0 Pcs 7,500.00 - 0 Pcs 7,500.00 -
215 Vitamin B komplek tab 1800 Tablet 24.42 43,956.00 1000 Tablet 112.00 112,000.00 500 Tablet 112.00 56,000.00 2300 Tablet 112.00 257,600.00
216 Zinc 0 Tablet 522.00 - 0 Tablet 522.00 - 0 Tablet 522.00 - 0 Tablet 522.00 -
TOTAL 13,253,606.77 16,629,850.50 0 7,323,503.90 26,091,561.75

OBAT GIGI
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Dental Mercury 100gr 0 Botol - - 0 Botol - - 0 Botol - - 0 Botol - -
2 Devitalisasi Pasta (Non Arsen)/ Devitec 0 Kotak - - 1 Kotak - - 1 Kotak - - 0 Kotak - -
3 Eugenol cairan 0 Botol 50,417.00 - 3 Botol 50,417.00 151,251.00 1 Botol 50,417.00 50,417.00 2 Botol 50,417.00 100,834.00
4 Bahan TUMPATAN PERMANEN 0 Kotak - - 5 Kotak - - 2 Kotak - - 3 Kotak - -
5 Kalsium Hidroksida Pasta/ Dorident Calcidor 0 Kotak 170,000.00 - 3 Kotak 170,000.00 510,000.00 1 Kotak 170,000.00 170,000.00 2 Kotak 170,000.00 340,000.00
6 Mummifying Pasta/ Iodoform Paste 0 Pcs 193,600.00 - 0 Pcs 193,600.00 - 0 Pcs 193,600.00 - 0 Pcs 193,600.00 -
7 Cholrfenol Camfer Mentol (CHKM) 0 Botol - - 0 Botol - - 0 Botol - - 0 Botol - -
8 TKF 0 Botol - - 0 Botol - - 0 Botol - - 0 Botol - -
9 Bahan TUMPATAN SEMENTARA 0 Kotak - - 0 Kotak - - 0 Kotak - - 0 Kotak - -
10 Fletcher (powder + Liquid) 0 Set - - 0 Set - - 0 Set - - 0 Set - -
11 Zink Phosphat cement (Powder + Liquid) 0 Set - - 0 Set - - 0 Set - - 0 Set - -
12 Alvogyl 0 Kotak - - 0 Kotak - - 0 Kotak - - 0 Kotak - -
TOTAL - 661,251.00 220,417.00 440,834.00

Laboratorium Reagent
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 HBsAG Stick 0 Strip 11,797.50 - 50 Strip 11,797.50 589,875.00 3 Strip 11,797.50 35,392.50 47 Strip 11,797.50 554,482.50
2 Reagent Benedict 4 Botol 89,700.00 358,800.00 0 Botol 89,700.00 - 0 Botol 89,700.00 - 4 Botol 89,700.00 358,800.00
3 Reagent Rees & Ecker 4 Botol - - 0 Botol - - 0 Botol - - 4 Botol - -
4 Reagent Turk 4 Botol 56,250.00 225,000.00 0 Botol 56,250.00 - 0 Botol 56,250.00 - 4 Botol 56,250.00 225,000.00
5 Reagent Gol Darah A 5 Botol 150,000.00 750,000.00 0 Botol 150,000.00 - 0 Botol 150,000.00 - 5 Botol 150,000.00 750,000.00
6 Reagent Gol Darah B 5 Botol 150,000.00 750,000.00 0 Botol 150,000.00 - 0 Botol 150,000.00 - 5 Botol 150,000.00 750,000.00
7 Reagent Widal Type O 3 Botol 190,000.00 570,000.00 0 Botol 190,000.00 - 0 Botol 190,000.00 - 3 Botol 190,000.00 570,000.00
8 Reagent Widal Type H 3 Botol 190,000.00 570,000.00 0 Botol 190,000.00 - 0 Botol 190,000.00 - 3 Botol 190,000.00 570,000.00
9 Stick Asam Urat Nesco 10 Strip 5,584.00 55,840.00 500 Strip 5,584.00 2,792,000.00 30 Strip 5,584.00 167,520.00 480 Strip 5,584.00 2,680,320.00
10 Stick Gula darah 0 Strip 5,584.00 - 300 Strip 5,584.00 1,675,200.00 25 Strip 5,584.00 139,600.00 275 Strip 5,584.00 1,535,600.00
11 Stick Kolesterol 0 Strip 31,500.00 - 400 Strip 31,500.00 12,600,000.00 100 Strip 31,500.00 3,150,000.00 300 Strip 31,500.00 9,450,000.00
TOTAL 3,279,640.00 17,657,075.00 3,492,512.50 17,444,202.50

NB. Pada per 1 januari 2015 ada perubahan harga satuan pada beberapa item obat.

Mengetahui Puruk Cahu, 31 Januari 2015

Kepala Puskesmas Puruk Cahu Yang Membuat Laporan

SRI RAHAYU FITRI AGUSYANI

NIP. 19700306 200212 2006 NIP. 19790811 200003 2002
 DAFTAR MUTASI OBAT - OBATAN
PUSKESMAS PURUK CAHU KABUPATEN MURUNG RAYA
Bulan : PEBRUARI
Tahun : 2015

SALDO AKHIR MUTASI SELAMA BULAN JANUARI 2015

SALDO AKHIR
per 31 JANUARI 2015 MASUK KELUAR
NO Nama persediaan Harga Harga Harga Harga
Jumlah Jumlah Jumlah Jumlah
Vol Satuan satuan Vol Satuan satuan Vol Satuan satuan Vol Satuan satuan
(Rp) (Rp) (Rp) (Rp) (Rp) (Rp) (Rp) (Rp)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Abocate No. 20 0 Pcs 8,565.00 - 0 Pcs 8,565.00 - 0 Pcs 8,565.00 - 0 Pcs 8,565.00 -
2 Abocate No. 22 0 Pcs 17,600.00 - 0 Pcs 17,600.00 - 0 Pcs 17,600.00 - 0 Pcs 17,600.00 -
3 Abocate No. 24 0 Pcs 17,600.00 - 0 Pcs 17,600.00 - 0 Pcs 17,600.00 - 0 Pcs 17,600.00 -
4 Alat suntik sekali pakai 1 ml 20 Pcs 1,250.00 25,000.00 100 Pcs 1,250.00 125,000.00 120 Pcs 1,250.00 150,000.00 0 Pcs 1,250.00 -
5 Alat suntik sekali pakai 2,5ml 0 Pcs 1,142.00 - 0 Pcs 1,142.00 - 0 Pcs 1,142.00 - 0 Pcs 1,142.00 -
6 Alat suntik sekali pakai 3 ml 180 Pcs 1,142.00 205,560.00 200 Pcs 1,142.00 228,400.00 300 Pcs 1,142.00 342,600.00 80 Pcs 1,142.00 91,360.00
7 Alat suntik sekali pakai 5 ml 80 Pcs 1,142.00 91,360.00 100 Pcs 1,142.00 114,200.00 100 Pcs 1,142.00 114,200.00 80 Pcs 1,142.00 91,360.00
8 Allopurinol 100mg tablet 1050 Tablet 90.00 94,500.00 0 Tablet 90.00 - 500 Tablet 90.00 45,000.00 550 Tablet 90.00 49,500.00
9 Ambroxol 100mg tablet 700 Tablet 168.00 117,600.00 0 Tablet 168.00 - 400 Tablet 168.00 67,200.00 300 Tablet 168.00 50,400.00
10 Ambroxol 15mg/5ml sirup 65 Botol 4,425.00 287,625.00 0 Botol 4,425.00 - 30 Botol 4,425.00 132,750.00 35 Botol 4,425.00 154,875.00
11 Amlodipin 5mg tab 460 Tablet 197.00 90,620.00 600 Tablet 197.00 118,200.00 600 Tablet 197.00 118,200.00 460 Tablet 197.00 90,620.00
12 Amlodipin 10mg tab 0 Tablet 440.00 - 0 Tablet 440.00 - 0 Tablet 440.00 - 0 Tablet 440.00 -
13 Amitrippilin 25 mg tab 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
14 Aminopillin inj. 24mg/5ml 10 Ampul 3,300.00 33,000.00 0 Ampul 3,300.00 - 0 Ampul 3,300.00 - 10 Ampul 3,300.00 33,000.00
15 Aminopillin 100mg tablet 300 Tablet 86.00 25,800.00 0 Tablet 86.00 - 0 Tablet 86.00 - 300 Tablet 86.00 25,800.00
16 Amoksisilin 250mg capsul 1320 Capsul 220.00 290,400.00 0 Capsul 220.00 - 600 Capsul 220.00 132,000.00 720 Capsul 220.00 158,400.00
17 Amoksisilin 500 mg tablet 1000 Tablet 279.00 279,000.00 2000 Tablet 279.00 558,000.00 2100 Tablet 279.00 585,900.00 900 Tablet 279.00 251,100.00
18 Amoksisilin sirup krng 125 mg 60 Botol 2,560.00 153,600.00 150 Botol 2,560.00 384,000.00 168 Botol 2,560.00 430,080.00 42 Botol 2,560.00 107,520.00
19 Antalgin 250 mg/ml inj (Noralges inj 500mg/2 ml) 110 Ampul 164.00 18,040.00 0 Ampul 164.00 - 50 Ampul 164.00 8,200.00 60 Ampul 164.00 9,840.00
20 Antalgin 500 mg tablet 1290 Tablet 2,200.00 2,838,000.00 0 Tablet 2,200.00 - 300 Tablet 2,200.00 660,000.00 990 Tablet 2,200.00 2,178,000.00
21 Antasida doen srp 68 Botol 2,213.00 150,484.00 50 Botol 2,213.00 110,650.00 50 Botol 2,213.00 110,650.00 68 Botol 2,213.00 150,484.00
22 Antasida doen tablet 610 Tablet 73.00 44,530.00 2000 Tablet 73.00 146,000.00 2300 Tablet 73.00 167,900.00 310 Tablet 73.00 22,630.00
23 Antibakteri DOEN komb (basitrasinpollimiksin) s 0 Tube 2,768.00 - 0 Tube 2,768.00 - 0 Tube 2,768.00 - 0 Tube 2,768.00 -
24 Antimalaria DOEN komb (suldox) tab 300 Tablet 525.00 157,500.00 0 Tablet 525.00 - 0 Tablet 525.00 - 300 Tablet 525.00 157,500.00
25 Antiparkinson tab 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
26 Antimigrain Kombinasi tablet 300 Tablet 135.00 40,500.00 0 Tablet 135.00 - 0 Tablet 135.00 - 300 Tablet 135.00 40,500.00
27 Antihaemaroid suppositoria 0 Supp - - 0 Supp - - 0 Supp - - 0 Supp - -
28 Aqua pro injeksi 0 Vial 4,000.00 - 50 Vial 4,000.00 200,000.00 35 Vial 4,000.00 140,000.00 15 Vial 4,000.00 60,000.00
29 Asiklovir 200mg tablet 0 Tablet 245.00 - 500 Tablet 245.00 122,500.00 200 Tablet 245.00 49,000.00 300 Tablet 245.00 73,500.00
30 Asiklovir 400mg tablet 0 Tablet 354.00 - 0 Tablet 354.00 - 0 Tablet 354.00 - 0 Tablet 354.00 -
31 Asiklovir cream 6 Tube 3,300.00 19,800.00 0 Tube 3,300.00 - 6 Tube 3,300.00 19,800.00 0 Tube 3,300.00 -
32 As. Ascorbat 50 mg tab 2300 Tablet 105.00 241,500.00 0 Tablet 105.00 - 500 Tablet 105.00 52,500.00 1800 Tablet 105.00 189,000.00
33 As. ascorbat 250 mg tab 0 Tablet 154.00 - 0 Tablet 154.00 - 0 Tablet 154.00 - 0 Tablet 154.00 -
34 As. Mefenamatt 500 mg tab 1300 Tablet 122.00 158,600.00 1000 Tablet 122.00 122,000.00 1200 Tablet 122.00 146,400.00 1100 Tablet 122.00 134,200.00
35 As. Tranexamat 250mg capsul/ Kalnex 250mg c 350 Capsul 2,025.00 708,750.00 0 Capsul 2,025.00 - 200 Capsul 2,025.00 405,000.00 150 Capsul 2,025.00 303,750.00
36 Asetosal 100mg tablet 300 Tablet 110.00 33,000.00 0 Tablet 110.00 - 0 Tablet 110.00 - 300 Tablet 110.00 33,000.00
37 Asetosal 500mg tablet 0 Tablet 171.00 - 0 Tablet 171.00 - 0 Tablet 171.00 - 0 Tablet 171.00 -
38 Atropin sulfat inj. 0.25mg/ml 0 Ampul 1,210.00 - 0 Ampul 1,210.00 - 0 Ampul 1,210.00 - 0 Ampul 1,210.00 -
39 Atropin sulfat 0.5mg tablet 0 Tablet 75.00 - 0 Tablet 75.00 - 0 Tablet 75.00 - 0 Tablet 75.00 -
40 Benzatil penisilin 1,2,juta IU/vial injeksi 0 Vial - - 0 Vial - - 0 Vial - - 0 Vial - -
41 Benzatil penisilin 2,4,juta IU/vial injeksi 0 Vial - - 0 Vial - - 0 Vial - - 0 Vial - -
42 Betametason cream 40 Tube 1,669.00 66,760.00 25 Tube 1,669.00 41,725.00 30 Tube 1,669.00 50,070.00 35 Tube 1,669.00 58,415.00
43 Catgut benang bedah no.2/0,3/0 12 Pcs 10,000.00 120,000.00 0 Pcs 10,000.00 - 5 Pcs 10,000.00 50,000.00 7 Pcs 10,000.00 70,000.00
44 Calcidol syr 0 Botol 24,968.00 - 0 Botol 24,968.00 - 0 Botol 24,968.00 - 0 Botol 24,968.00 -
45 Caviplex tablet 700 Tablet 437.05 305,935.00 1000 Tablet 437.05 437,050.00 700 Tablet 437.05 305,935.00 1000 Tablet 437.05 437,050.00
46 Caviplex Syr 90 Botol 6,620.00 595,800.00 0 Botol 6,620.00 - 48 Botol 6,620.00 317,760.00 42 Botol 6,620.00 278,040.00
47 Ceterizine 10mg cap / Lerzin capsul 310 Capsul 987.50 306,125.00 0 Capsul 987.50 - 150 Capsul 987.50 148,125.00 160 Capsul 987.50 158,000.00
48 Cimetidine tab 0 Tablet 105.97 - 0 Tablet 105.97 - 0 Tablet 105.97 - 0 Tablet 105.97 -
49 Captopril 12,5 mg tab 750 Tablet 79.00 59,250.00 0 Tablet 79.00 - 600 Tablet 79.00 47,400.00 150 Tablet 79.00 11,850.00
50 Captopril 25mg tab/ Dexacap 25mg tab 600 Tablet 495.00 297,000.00 0 Tablet 495.00 - 300 Tablet 495.00 148,500.00 300 Tablet 495.00 148,500.00
51 Dexsametason 0,5 mg tab 600 Tablet 68.00 40,800.00 2000 Tablet 68.00 136,000.00 2300 Tablet 68.00 156,400.00 300 Tablet 68.00 20,400.00
52 Dexsametason 5 mg/ml inj 100 Ampul 1,750.00 175,000.00 0 Ampul 1,750.00 - 50 Ampul 1,750.00 87,500.00 50 Ampul 1,750.00 87,500.00
53 Diethylcarbamazin sitrat 100mg tab 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
54 Difenhidramin Hcl Inj 70 Ampul 1,160.00 81,200.00 0 Ampul 1,160.00 - 30 Ampul 1,160.00 34,800.00 40 Ampul 1,160.00 46,400.00
55 Diazepam 5mg/2ml inj 11 Ampul 2,605.00 28,655.00 0 Ampul 2,605.00 - 0 Ampul 2,605.00 - 11 Ampul 2,605.00 28,655.00
56 Diazepam 5mg tab 0 Tablet 52.00 - 0 Tablet 52.00 - 0 Tablet 52.00 - 0 Tablet 52.00 -
57 Diazepam 2mg tab 150 Tablet 39.00 5,850.00 0 Tablet 39.00 - 150 Tablet 39.00 5,850.00 0 Tablet 39.00 -
58 Digoksin 0,25 tablet 110 Tablet 96.84 10,652.40 0 Tablet 96.84 - 0 Tablet 96.84 - 110 Tablet 96.84 10,652.40
59 Doksisiklin 100mg capsul 0 Capsul - - 0 Capsul - - 0 Capsul - - 0 Capsul - -
60 Domperidom 10mg tab/ Vesverum 10mg tab 800 Tablet 174.00 139,200.00 0 Tablet 174.00 - 300 Tablet 174.00 52,200.00 500 Tablet 174.00 87,000.00
61 Domperidom syr/ Vesverum syr 70 Botol 3,490.00 244,300.00 0 Botol 3,490.00 - 30 Botol 3,490.00 104,700.00 40 Botol 3,490.00 139,600.00
62 Dulcolax 5mg tab 200 Tablet 2,290.75 458,150.00 0 Tablet 2,290.75 - 0 Tablet 2,290.75 - 200 Tablet 2,290.75 458,150.00
63 Dulcolax supp 40 Supp 19,195.00 767,800.00 0 Supp 19,195.00 - 5 Supp 19,195.00 95,975.00 35 Supp 19,195.00 671,825.00
64 Efedrin tab 0 Tablet 56.39 - 0 Tablet 56.39 - 0 Tablet 56.39 - 0 Tablet 56.39 -
65 Enzyplex tablet 150 Tab 955.50 143,325.00 0 955.50 - 150 Tablet 955.50 143,325.00 0 Tablet 955.50 -
66 Epineprin HCL (adrenalin) Inj 0,1% /1ml 8 Ampul 5,145.00 41,160.00 0 Ampul 5,145.00 - 0 Ampul 5,145.00 - 8 Ampul 5,145.00 41,160.00
67 Ektrak beladon 100mg tab 100 Tablet 42.00 4,200.00 0 Tablet 42.00 - 0 Tablet 42.00 - 100 Tablet 42.00 4,200.00
68 Erytromisin 250mg cap 250 Capsul 509.00 127,250.00 0 Capsul 509.00 - 0 Capsul 509.00 - 250 Capsul 509.00 127,250.00
69 Erytromisin 500mg tab 860 Tablet 1,023.00 879,780.00 0 Tablet 1,023.00 - 200 Tablet 1,023.00 204,600.00 660 Tablet 1,023.00 675,180.00
70 Erytromisin 125mg/5ml srp krg 47 Botol 8,090.00 380,230.00 0 Botol 8,090.00 - 30 Botol 8,090.00 242,700.00 17 Botol 8,090.00 137,530.00
71 Etyl klorida semprot 1 Botol 115,500.00 115,500.00 3 Botol 115,500.00 346,500.00 1 Botol 115,500.00 115,500.00 3 Botol 115,500.00 346,500.00
72 Etanol 70% 1000 ml 2 Botol 32,500.00 65,000.00 3 Botol 32,500.00 97,500.00 4 Botol 32,500.00 130,000.00 1 Botol 32,500.00 32,500.00
73 Etanol 70% 100ml 0 Botol 2,625.00 - 0 Botol 2,625.00 0 Botol 2,625.00 - 0 Botol 2,625.00 -
74 Etakridina (rivanol) lar. 0.1% 0 Botol 10,625.00 - 0 Botol 10,625.00 - 0 Botol 10,625.00 - 0 Botol 10,625.00 -
75 Etambuthol HCL 500mg tablet 0 Tablet 525.00 - 0 Tablet 525.00 - 0 Tablet 525.00 - 0 Tablet 525.00 -
76 Famotidine tab 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
77 Fenobarbital inj. 20 Ampul - - 0 Ampul - - 0 Ampul - - 20 Ampul - -
78 Fenobarbital 30mg tab. 0 Tablet 51.15 - 0 Tablet 51.15 - 0 Tablet 51.15 - 0 Tablet 51.15 -
79 Fenol gliserol 15 Botol 1,980.00 29,700.00 0 Botol 1,980.00 - 0 Botol 1,980.00 - 15 Botol 1,980.00 29,700.00
80 Fitomenadion 10mg tab 234 Tablet 123.75 28,957.50 0 Tablet 123.75 - 0 Tablet 123.75 - 234 Tablet 123.75 28,957.50
81 Fitomenadion 10mg/ml inj 105 Ampul 2,833.33 297,499.65 0 Ampul 2,833.33 - 0 Ampul 2,833.33 - 105 Ampul 2,833.33 297,499.65
82 Folley Cateter no. 16 10 Pcs 12,000.00 120,000.00 0 Pcs 12,000.00 - 0 Pcs 12,000.00 - 10 Pcs 12,000.00 120,000.00
83 Folley Cateter no. 18 5 Pcs 12,000.00 60,000.00 0 Pcs 12,000.00 - 0 Pcs 12,000.00 - 5 Pcs 12,000.00 60,000.00
84 Furosemid 10mg/ml inj 50 Ampul 92.00 4,600.00 0 Ampul 92.00 - 0 Ampul 92.00 - 50 Ampul 92.00 4,600.00
85 Furosemid 40mg tab 50 Tablet 1,926.00 96,300.00 200 Tablet 1,926.00 385,200.00 80 Tablet 1,926.00 154,080.00 170 Tablet 1,926.00 327,420.00
86 Garam oralit 330 Sachet 322.00 106,260.00 0 Sachet 322.00 - 100 Sachet 322.00 32,200.00 230 Sachet 322.00 74,060.00
87 Gentamisin salep 0.1% 26 Tube 2,019.00 52,494.00 0 Tube 2,019.00 - 20 Tube 2,019.00 40,380.00 6 Tube 2,019.00 12,114.00
88 Gentamisin tetes mata 0.3% 0 Botol 3,125.00 - 0 Botol 3,125.00 - 0 Botol 3,125.00 - 0 Botol 3,125.00 -
89 Gentamisin Injeksi 10 Ampul - - 10 Ampul - - 0 Ampul - - 20 Ampul - -
90 Gentian violet 12 Botol 3,125.00 37,500.00 0 Botol 3,125.00 - 0 Botol 3,125.00 - 12 Botol 3,125.00 37,500.00
91 Glibenklamid 5mg tablet 0 Tablet 66.00 - 0 Tablet 66.00 - 0 Tablet 66.00 - 0 Tablet 66.00 -
92 Gliseril guaiacolat 100mg tab 0 Tablet 35.00 - 3000 Tablet 35.00 105,000.00 2000 Tablet 35.00 70,000.00 1000 Tablet 35.00 35,000.00
 93 Griseufulvin 125mg tab 1000 Tablet 224.00 224,000.00 0 Tablet 224.00 - 200 Tablet 224.00 44,800.00 800 Tablet 224.00 179,200.00
94 Glukosa lar. Infus 5% 100 Botol 5,844.00 584,400.00 0 Botol 5,844.00 - 10 Botol 5,844.00 58,440.00 90 Botol 5,844.00 525,960.00
95 Hidrocortison krim 2,5% 14 Tube 3,575.00 50,050.00 24 Tube 3,575.00 85,800.00 12 Tube 3,575.00 42,900.00 26 Tube 3,575.00 92,950.00
96 Haloperidol 0.5mg tablet 0 Tablet 66.26 - 0 Tablet 66.26 - 0 Tablet 66.26 - 0 Tablet 66.26 -
97 Haloperidol 1.5mg tablet 80 Tablet 90.84 7,267.20 100 Tablet 90.84 9,084.00 50 Tablet 90.84 4,542.00 130 Tablet 90.84 11,809.20
98 Haloperidol 5mg tablet 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
99 Hidroklortiazid HCT 25mg tab 0 Tablet 39.93 - 0 Tablet 39.93 - 0 Tablet 39.93 - 0 Tablet 39.93 -
100 Hufalysin syr 125 Botol 8,896.00 1,112,000.00 0 Botol 8,896.00 - 68 Botol 8,896.00 604,928.00 57 Botol 8,896.00 507,072.00
101 Ibuprofen 400mg tab 800 Tablet 157.00 125,600.00 0 Tablet 157.00 - 400 Tablet 157.00 62,800.00 400 Tablet 157.00 62,800.00
102 Ibuprofen 200mg tab 540 Tablet 151.00 81,540.00 0 Tablet 151.00 - 200 Tablet 151.00 30,200.00 340 Tablet 151.00 51,340.00
103 Infusion set anak 0 Pcs 8,000.00 - 0 Pcs 8,000.00 - 0 Pcs 8,000.00 - 0 Pcs 8,000.00 -
104 Infusion set dewasa 0 Pcs 8,000.00 - 0 Pcs 8,000.00 - 0 Pcs 8,000.00 - 0 Pcs 8,000.00 -
105 Intunal Forte tablet 800 Tablet 891.00 712,800.00 0 Tablet 891.00 - 400 Tablet 891.00 356,400.00 400 Tablet 891.00 356,400.00
106 Isoniazid 300mg tab 140 Tablet 106.70 14,938.00 0 Tablet 106.70 - 0 Tablet 106.70 - 140 Tablet 106.70 14,938.00
107 Isosorbit Dinitrat 5mg tab sublingual 20 Tablet 107.09 2,141.80 0 Tablet 107.09 - 0 Tablet 107.09 - 20 Tablet 107.09 2,141.80
108 Kalsium laktat 500mg tab 700 Tablet 57.20 40,040.00 0 Tablet 57.20 - 700 Tablet 57.20 40,040.00 0 Tablet 57.20 -
109 Kapas pembalut 500gr 0 Rol 20,878.00 - 0 Rol 20,878.00 - 0 Rol 20,878.00 - 0 Rol 20,878.00 -
110 Karbamazepin 200mg tab 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
111 Kasa Hidrofil 40 x 40 steril/ 16 X 16 cm 15 Ktk 10,000.00 150,000.00 0 Ktk 10,000.00 - 10 Ktk 10,000.00 100,000.00 5 Ktk 10,000.00 50,000.00
112 Kasa Hidrofil 36m X 80cm/40 Y X 80cm 0 Rol 155,000.00 - 0 Rol 155,000.00 - 0 Rol 155,000.00 - 0 Rol 155,000.00 -
113 Kasa Pembalut 2M X 80cm 5 Rol 25,000.00 125,000.00 0 Rol 25,000.00 - 5 Rol 25,000.00 125,000.00 0 Rol 25,000.00 -
114 Kasa Pembalut Hidrofil 4m X 15cm 0 Rol - - 0 Rol - - 0 Rol - - 0 Rol - -
115 Ketoconazole 2 % krim 24 Tube 2,633.00 63,192.00 0 Tube 2,633.00 - 0 Tube 2,633.00 - 24 Tube 2,633.00 63,192.00
116 Ketoconazole 200mg tab 150 Tablet - - 0 Tablet - - 0 Tablet - - 150 Tablet - -
117 Ketorolac 10mg inj 0 Ampul 2,020.00 - 0 Ampul 2,020.00 - 0 Ampul 2,020.00 - 0 Ampul 2,020.00 -
118 Ketorolac 30mg inj 0 Ampul 2,665.00 - 0 Ampul 2,665.00 - 0 Ampul 2,665.00 - 0 Ampul 2,665.00 -
119 Kloramfenicol 125mg/5 susp 68 Botol 4,050.00 275,400.00 0 Botol 4,050.00 - 25 Botol 4,050.00 101,250.00 43 Botol 4,050.00 174,150.00
120 Kloramfenicol kapsul 250 mg 0 Capsul 264.00 - 2000 Capsul 264.00 528,000.00 1000 Capsul 264.00 264,000.00 1000 Capsul 264.00 264,000.00
121 Kloramfenicol tts telinga 3 % 28 Botol 2,228.00 62,384.00 0 Botol 2,228.00 - 15 Botol 2,228.00 33,420.00 13 Botol 2,228.00 28,964.00
122 Kloramfenicol salep mata 1%(cendo Fenicol) 0 Tube 22,205.00 - 0 Tube 22,205.00 - 0 Tube 22,205.00 - 0 Tube 22,205.00 -
123 Klorfeniramini Maleat 4mg tab 2500 Tablet 25.00 62,500.00 3000 Tablet 25.00 75,000.00 3300 Tablet 25.00 82,500.00 2200 Tablet 25.00 55,000.00
124 Kloroquin 250mg tab 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
125 Klorpromazine HCL 25mg tab 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
126 Klorpromazine HCL 100mg tab 0 Tablet 605.00 - 0 Tablet 605.00 - 0 Tablet 605.00 - 0 Tablet 605.00 -
127 Klorpromazine HCL inj. 5mg/2ml 20 Ampul - - 0 Ampul - - 0 Ampul - - 20 Ampul - -
128 Kotrimoxazol 120mg tab 300 Tablet 79.00 23,700.00 0 Tablet 79.00 - 0 Tablet 79.00 - 300 Tablet 79.00 23,700.00
129 Kotrimoxazol 480mg tab 1080 Tablet 152.20 164,376.00 0 Tablet 152.20 - 300 Tablet 152.20 45,660.00 780 Tablet 152.20 118,716.00
130 Kotrimoxazol Suspensi 43 Botol 2,298.00 98,814.00 60 Botol 2,298.00 137,880.00 50 Botol 2,298.00 114,900.00 53 Botol 2,298.00 121,794.00
131 Lisol 0 Botol 52,600.00 - 0 Botol 52,600.00 - 0 Botol 52,600.00 - 0 Botol 52,600.00 -
132 Lidokain 2 % inj 0 Ampul 929.00 - 0 Ampul 929.00 - 0 Ampul 929.00 - 0 Ampul 929.00 -
133 Lidokain komp. Inj 70 Ampul 1,485.00 103,950.00 60 Ampul 1,485.00 89,100.00 30 Ampul 1,485.00 44,550.00 100 Ampul 1,485.00 148,500.00
134 Masker 0 Pcs 1,000.00 - 200 Pcs 1,000.00 200,000.00 2 Pcs 1,000.00 2,000.00 198 Pcs 1,000.00 198,000.00
135 Magnesium Sulfat injeksi (IV) 20% - 25ml 0 Vial 4,419.00 - 0 Vial 4,419.00 - 0 Vial 4,419.00 - 0 Vial 4,419.00 -
136 Magnesium Sulfat injeksi (IV) 40% - 25ml 0 Vial 5,891.00 - 0 Vial 5,891.00 - 0 Vial 5,891.00 - 0 Vial 5,891.00 -
137 Metilprednisolon 4mg tab/ Vadrol 4mg tab 0 Tablet 400.50 - 0 Tablet 400.50 - 0 Tablet 400.50 - 0 Tablet 400.50 -
138 Metilprednisolon inj 8 Ampul 48,778.00 390,224.00 0 Ampul 48,778.00 - 0 Ampul 48,778.00 - 8 Ampul 48,778.00 390,224.00
139 Metoclorprofamid 10mg tab 200 Tablet 91.00 18,200.00 0 Tablet 91.00 - 0 Tablet 91.00 - 200 Tablet 91.00 18,200.00
140 Methilergometrin maleat inj 40 Ampul 4,600.00 184,000.00 0 Ampul 4,600.00 - 0 Ampul 4,600.00 - 40 Ampul 4,600.00 184,000.00
141 Methilergometrin maleat tab 100 Tablet 147.00 14,700.00 0 Tablet 147.00 - 0 Tablet 147.00 - 100 Tablet 147.00 14,700.00
142 Metronidazol 250mg tab 500 Tablet 116.00 58,000.00 0 Tablet 116.00 - 100 Tablet 116.00 11,600.00 400 Tablet 116.00 46,400.00
143 Metronidazol 500mg tab 700 Tablet 169.00 118,300.00 0 Tablet 169.00 - 250 Tablet 169.00 42,250.00 450 Tablet 169.00 76,050.00
144 Miconazole cream 6 Tube 3,300.00 19,800.00 0 Tube 3,300.00 - 0 Tube 3,300.00 - 6 Tube 3,300.00 19,800.00
145 Microlax enema 3 Tube 22,000.00 66,000.00 0 Tube 22,000.00 - 0 Tube 22,000.00 - 3 Tube 22,000.00 66,000.00
146 Natrium Diklofenak 50mg tab 500 Tab 239.00 119,500.00 0 0 239.00 - 0 Tablet 239.00 - 500 0 239.00 119,500.00
147 Natrium klorida lar. Infus 0.9% 58 Botol 5,390.00 312,620.00 0 Botol 5,390.00 - 0 Botol 5,390.00 - 58 Botol 5,390.00 312,620.00
148 Neurobion inj 80 Ampul 7,493.00 599,440.00 60 Ampul 7,493.00 449,580.00 84 Ampul 7,493.00 629,412.00 56 Ampul 7,493.00 419,608.00
149 Neurodex tab 1450 Tablet 579.00 839,550.00 600 Tablet 579.00 347,400.00 1200 Tablet 579.00 694,800.00 850 Tablet 579.00 492,150.00
150 NGT Nasogastric Tube no. 10 0 Tube 22,500.00 - 0 Tube 22,500.00 - 0 Tube 22,500.00 - 0 Tube 22,500.00 -
151 Nistatin 100.000 IU/g tab vag 195 Tablet 448.00 87,360.00 0 Tablet 448.00 - 0 Tablet 448.00 - 195 Tablet 448.00 87,360.00
152 Nistatin 500.000 IU tablet 70 Tablet 704.00 49,280.00 0 Tablet 704.00 - 0 Tablet 704.00 - 70 Tablet 704.00 49,280.00
153 Nipedipin tab 0 Tablet 115.00 - 0 Tablet 115.00 - 0 Tablet 115.00 - 0 Tablet 115.00 -
154 Obat batuk hitam 0 Botol 2,050.00 - 0 Botol 2,050.00 - 0 Botol 2,050.00 - 0 Botol 2,050.00 -
155 Oksitetrasiklin inj 0 Vial 3,588.00 - 0 Vial 3,588.00 - 0 Vial 3,588.00 - 0 Vial 3,588.00 -
156 Oksitetrasiklin Hcl salep kulit 3% 0 Tube 14,350.00 - 0 Tube 14,350.00 - 0 Tube 14,350.00 - 0 Tube 14,350.00 -
157 Oksitetrasiklin Hcl salep 1% 0 Tube 687.00 - 0 Tube 687.00 - 0 Tube 687.00 - 0 Tube 687.00 -
158 Oksitosin 10IU/ml inj 50 Ampul 125.00 6,250.00 60 Ampul 125.00 7,500.00 50 Ampul 125.00 6,250.00 60 Ampul 125.00 7,500.00
159 Omeperazol 0 Capsul - - 0 Capsul - - 0 Capsul - - 0 Capsul - -
160 Paracetamol drops 4 Botol 133.10 532.40 0 Botol 133.10 - 0 Botol 133.10 - 4 Botol 133.10 532.40
161 Parasetamol 120mg/5ml srp 40 Botol 329.53 13,181.20 0 Botol 329.53 - 40 Botol 329.53 13,181.20 0 Botol 329.53 -
162 Parasetamol 100mg tab 0 Tablet 490.00 - 0 Tablet 490.00 - 0 Tablet 490.00 - 0 Tablet 490.00 -
163 Parasetamol 500mg tab 3500 Tablet 119.00 416,500.00 5000 Tablet 119.00 595,000.00 4000 Tablet 119.00 476,000.00 4500 Tablet 119.00 535,500.00
164 Papaverin tab 0 Tablet 1,157.00 - 0 Tablet 1,157.00 - 0 Tablet 1,157.00 - 0 Tablet 1,157.00 -
165 Piracetam 400mg tablet 240 Tablet - - 0 Tablet - - 50 Tablet - - 190 Tablet - -
166 Piracetam 1g injeksi 20 Vial - - 0 Vial - - 0 Vial - - 20 Vial - -
167 Piridoksin 10mg tab 800 Tablet - - 2000 Tablet - - 1000 Tablet - - 1800 Tablet - -
168 Piroksikam 10mg tab 200 Tablet - - 1000 Tablet - - 300 Tablet - - 900 Tablet - -
169 Piroksikam 20mg tab 400 Tablet 440.00 176,000.00 1000 Tablet 440.00 440,000.00 700 Tablet 440.00 308,000.00 700 Tablet 440.00 308,000.00
170 Plester 5 yard X 2 inc 8 Rol - - 0 Rol - - 3 Rol - - 5 Rol - -
171 Pyrantel pamoat tab 400 Tablet 825.00 330,000.00 0 Tablet 825.00 - 0 Tablet 825.00 - 400 Tablet 825.00 330,000.00
172 Povidon iodida 10% 30ml 3 Botol - - 0 Botol - - 0 Botol - - 0 Botol - -
173 Povidon iodida 10% 60ml 0 Botol 3,588.00 - 0 Botol 3,588.00 - 0 Botol 3,588.00 - 0 Botol 3,588.00 -
174 Povidon iodida 10% 300ml 2 Botol 14,350.00 28,700.00 0 Botol 14,350.00 - 0 Botol 14,350.00 - 2 Botol 14,350.00 28,700.00
175 Prednison tab 2000 Tablet 687.00 1,374,000.00 0 Tablet 687.00 - 2000 Tablet 687.00 1,374,000.00 0 Tablet 687.00 -
176 Primakuin 15mg tab 700 Tablet 125.00 87,500.00 0 Tablet 125.00 - 20 Tablet 125.00 2,500.00 106 Tablet 125.00 13,250.00
177 Propanolol HCL 40mg tablet 126 Tablet 133.10 16,770.60 0 Tablet 133.10 - 0 Tablet 133.10 - 250 Tablet 133.10 33,275.00
178 Propilthiourasil (PTU) 100mg tablet 250 Tablet 330.00 82,500.00 0 Tablet 330.00 - 30 Tablet 330.00 9,900.00 220 Tablet 330.00 72,600.00
179 Ramabion capsul 0 Capsul 490.00 - 0 Capsul 490.00 - 0 Capsul 490.00 - 0 Capsul 490.00 -
180 Ranitidine 150mg tablet 570 Tablet 119.00 67,830.00 0 Tablet 119.00 - 300 Tablet 119.00 35,700.00 270 Tablet 119.00 32,130.00
181 Ranitidine 25mg/2ml injeksi 3 Tablet 1,157.00 3,471.00 0 Tablet 1,157.00 - 0 Tablet 1,157.00 - 3 Tablet 1,157.00 3,471.00
182 Reserpin 0,10mg tablet 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
183 Reserpin 0,25mg tablet 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
184 Retinol (Vit A) 100.000 IU kapsul lunak 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
185 Retinol (Vit A) 200.000 IU kapsul lunak 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
186 Rifampisin 300mg kapsul 0 Capsul 440.00 - 0 Capsul 440.00 - 0 Capsul 440.00 - 0 Capsul 440.00 -
187 Rifampisin 450mg kaplet 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
188 Rifampisin 600mg kaplet 0 Tablet 825.00 - 0 Tablet 825.00 - 0 Tablet 825.00 - 0 Tablet 825.00 -
189 Ringer laktat lar inf 66 Botol 5,200.00 343,200.00 0 Botol 5,200.00 - 0 Botol 5,200.00 - 66 Botol 5,200.00 343,200.00
190 Salbutamol 2mg tablet 200 Tablet 69.00 13,800.00 0 Tablet 69.00 - 200 Tablet 69.00 13,800.00 0 Tablet 69.00 -
191 Sarung tangan steril No. 6.5 136 Pcs 10,000.00 1,360,000.00 0 Pcs 10,000.00 - 20 Pcs 10,000.00 200,000.00 116 Pcs 10,000.00 1,160,000.00
192 Sarung tangan steril No. 7 30 Pcs 10,000.00 300,000.00 0 Pcs 10,000.00 - 20 Pcs 10,000.00 200,000.00 10 Pcs 10,000.00 100,000.00
193 Sarung tangan steril No. 7.5 30 Pcs 10,000.00 300,000.00 0 Pcs 10,000.00 - 30 Pcs 10,000.00 300,000.00 0 Pcs 10,000.00 -
194 Sarung Tangan steril No. 8 0 Pcs 10,000.00 - 100 Pcs 10,000.00 1,000,000.00 20 Pcs 10,000.00 200,000.00 80 Pcs 10,000.00 800,000.00
195 Sefadroxil 500mg kapsul 1000 Capsul 529.00 529,000.00 800 Capsul 529.00 423,200.00 700 Capsul 529.00 370,300.00 1100 Capsul 529.00 581,900.00
196 Salep 2-4 komb 14 pot - - 0 pot - - 0 pot - - 14 pot - -
197 Salisil bedak 2% 0 Kotak 1,180.00 - 800 Kotak 1,180.00 944,000.00 700 Kotak 1,180.00 826,000.00 100 Kotak 1,180.00 118,000.00
198 Sefotaksim injeksi 12 Vial 2,426.00 29,112.00 0 Vial 2,426.00 - 0 Vial 2,426.00 - 12 Vial 2,426.00 29,112.00
199 Seftriakson injeksi 0 Vial 2,578.00 - 0 Vial 2,578.00 - 0 Vial 2,578.00 - 0 Vial 2,578.00 -
200 Selang Oksigen 0 Pcs 15,000.00 - 0 Pcs 15,000.00 - 0 Pcs 15,000.00 - 0 Pcs 15,000.00 -
201 Sianokobalamin (vit B12) inj 32 Ampul 1,174.00 37,568.00 100 Ampul 1,174.00 117,400.00 68 Ampul 1,174.00 79,832.00 64 Ampul 1,174.00 75,136.00
202 Silk benang bedah sutra No. 3/0 19 Pcs 8,333.00 158,327.00 0 Pcs 8,333.00 - 0 Pcs 8,333.00 - 19 Pcs 8,333.00 158,327.00
203 Simvastatin 10mg tablet 0 Tablet 180.00 - 0 Tablet 180.00 - 0 Tablet 180.00 - 0 Tablet 180.00 -
204 Siprofloksasin HCL 500mg tablet 0 Tablet 265.00 - 500 Tablet 265.00 132,500.00 500 Tablet 265.00 132,500.00 0 Tablet 265.00 -
205 Surgical Blade 145 Pcs 3,500.00 507,500.00 0 0 3,500.00 - 30 0 3,500.00 105,000.00 115 0 3,500.00 402,500.00
206 Sulfacetamid tts mata 15% 0 Botol 3,850.00 - 24 Botol 3,850.00 92,400.00 24 Botol 3,850.00 92,400.00 0 Botol 3,850.00 -
207 Tablet tambah darah 0 Sacht 2,200.00 - 0 0 2,200.00 - 0 0 2,200.00 - 0 0 2,200.00 -
208 Tetrasiklin Hcl cap 250mg cap 50 Capsul 183.00 9,150.00 0 Capsul 183.00 - 0 Capsul 183.00 - 50 Capsul 183.00 9,150.00
209 Tetrasiklin Hcl cap 500mg cap 300 Capsul 409.00 122,700.00 0 Capsul 409.00 - 200 Capsul 409.00 81,800.00 100 Capsul 409.00 40,900.00
210 Thiamin Hcl 50mg tab 0 Tablet 53.00 - 0 Tablet 53.00 - 0 Tablet 53.00 - 0 Tablet 53.00 -
211 Thiamin Hcl 100mg/ml inj 0 Ampul 770.00 - 0 Ampul 770.00 0 Ampul 770.00 - 0 Ampul 770.00 -
212 Tramadol 50mg kasul 300 Capsul 541.00 162,300.00 0 Capsul 541.00 - 0 Capsul 541.00 - 300 Capsul 541.00 162,300.00
213 Ultraproct N suppositoria 0 Supp - - 0 Supp - - 0 Supp - - 0 Supp - -
214 Urine Bag 0 Pcs 7,500.00 - 0 Pcs 7,500.00 - 0 Pcs 7,500.00 - 0 Pcs 7,500.00 -
215 Vitamin B komplek tab 2300 Tablet 112.00 257,600.00 200 Tablet 112.00 22,400.00 300 Tablet 112.00 33,600.00 2200 Tablet 112.00 246,400.00
216 Zinc 0 Tablet 522.00 - 0 Tablet 522.00 - 0 Tablet 522.00 - 0 Tablet 522.00 -
TOTAL 26,091,561.75 9,474,169.00 15,012,535.20 20,497,949.95
 OBAT GIGI
1 2 14 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Dental Mercury 100gr 0 Botol - - 0 Botol - - 0 Botol - - 0 Botol - -
2 Devitalisasi Pasta (Non Arsen)/ Devitec 0 Kotak - - 1 Kotak - - 1 Kotak - - 0 Kotak - -
3 Eugenol cairan 2 Botol 50,417.00 100,834.00 3 Botol 50,417.00 151,251.00 1 Botol 50,417.00 50,417.00 4 Botol 50,417.00 201,668.00
4 Bahan TUMPATAN PERMANEN 3 Kotak - - 5 Kotak - - 2 Kotak - - 6 Kotak - -
5 Kalsium Hidroksida Pasta/ Dorident Calcidor 2 Kotak 170,000.00 340,000.00 3 Kotak 170,000.00 510,000.00 1 Kotak 170,000.00 170,000.00 4 Kotak 170,000.00 680,000.00
6 Mummifying Pasta/ Iodoform Paste 0 Pcs 193,600.00 - 2 Pcs 193,600.00 387,200.00 0 Pcs 193,600.00 - 2 Pcs 193,600.00 387,200.00
7 Cholrfenol Camfer Mentol (CHKM) 0 Botol - - 0 Botol - - 0 Botol - - 0 Botol - -
8 TKF 0 Botol - - 0 Botol - - 0 Botol - - 0 Botol - -
9 Bahan TUMPATAN SEMENTARA 0 Kotak - - 0 Kotak - - 0 Kotak - - 0 Kotak - -
10 Fletcher (powder + Liquid) 0 Set - - 0 Set - - 0 Set - - 0 Set - -
11 Zink Phosphat cement (Powder + Liquid) 0 Set - - 0 Set - - 0 Set - - 0 Set - -
12 Alvogyl 0 Kotak - - 0 Kotak - - 0 Kotak - - 0 Kotak - -
TOTAL 440,834.00 1,048,451.00 220,417.00 1,268,868.00

Laboratorium Reagent
1 2 14 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 HBsAG Stick 47 Strip 11,797.50 554,482.50 0 Strip 11,797.50 - 5 Strip 11,797.50 58,987.50 42 Strip 11,797.50 495,495.00
2 Reagent Benedict 4 Botol 89,700.00 358,800.00 0 Botol 89,700.00 - 0 Botol 89,700.00 - 4 Botol 89,700.00 358,800.00
3 Reagent Rees & Ecker 4 Botol - - 0 Botol - - 0 Botol - - 4 Botol - -
4 Reagent Turk 4 Botol 56,250.00 225,000.00 0 Botol 56,250.00 - 0 Botol 56,250.00 - 4 Botol 56,250.00 225,000.00
5 Reagent Gol Darah A 5 Botol 150,000.00 750,000.00 0 Botol 150,000.00 - 0 Botol 150,000.00 - 5 Botol 150,000.00 750,000.00
6 Reagent Gol Darah B 5 Botol 150,000.00 750,000.00 0 Botol 150,000.00 - 0 Botol 150,000.00 - 5 Botol 150,000.00 750,000.00
7 Reagent Widal Type O 3 Botol 190,000.00 570,000.00 0 Botol 190,000.00 - 0 Botol 190,000.00 - 3 Botol 190,000.00 570,000.00
8 Reagent Widal Type H 3 Botol 190,000.00 570,000.00 0 Botol 190,000.00 - 0 Botol 190,000.00 - 3 Botol 190,000.00 570,000.00
9 Stick Asam Urat Nesco 480 Strip 5,584.00 2,680,320.00 0 Strip 5,584.00 - 30 Strip 5,584.00 167,520.00 450 Strip 5,584.00 2,512,800.00
10 Stick Gula darah 275 Strip 5,584.00 1,535,600.00 0 Strip 5,584.00 - 30 Strip 5,584.00 167,520.00 245 Strip 5,584.00 1,368,080.00
11 Stick Kolesterol 300 Strip 31,500.00 9,450,000.00 0 Strip 31,500.00 - 100 Strip 31,500.00 3,150,000.00 200 Strip 31,500.00 6,300,000.00
TOTAL 17,444,202.50 - 3,544,027.50 13,900,175.00

Mengetahui Puruk Cahu, 28 Februari 2015

Kepala Puskesmas Puruk Cahu Yang Membuat Laporan

SRI RAHAYU FITRI AGUSYANI

NIP. 19700306 200212 2006 NIP. 19790811 200003 2002
 DAFTAR MUTASI OBAT - OBATAN
PUSKESMAS PURUK CAHU KABUPATEN MURUNG RAYA
Bulan : MARET
Tahun : 2015

SALDO AKHIR MUTASI SELAMA BULAN MARET 2015

SALDO AKHIR
PER 28 PEBRUARI 2015 MASUK KELUAR
NO Nama persediaan Harga Harga Harga Harga
Jumlah Jumlah Jumlah Jumlah
Vol Satuan satuan Vol Satuan satuan Vol Satuan satuan Vol Satuan satuan
(Rp) (Rp) (Rp) (Rp) (Rp) (Rp) (Rp) (Rp)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Abocate No. 20 0 Pcs 8,565.00 - 0 Pcs 8,565.00 - 0 Pcs 8,565.00 - 0 Pcs 8,565.00 -
2 Abocate No. 22 0 Pcs 17,600.00 - 0 Pcs 17,600.00 - 0 Pcs 17,600.00 - 0 Pcs 17,600.00 -
3 Abocate No. 24 0 Pcs 17,600.00 - 0 Pcs 17,600.00 - 0 Pcs 17,600.00 - 0 Pcs 17,600.00 -
4 Alat suntik sekali pakai 1 ml 0 Pcs 1,250.00 - 100 Pcs 1,250.00 125,000.00 80 Pcs 1,250.00 100,000.00 20 Pcs 1,250.00 25,000.00
5 Alat suntik sekali pakai 2,5ml 0 Pcs 1,142.00 - 0 Pcs 1,142.00 - 0 Pcs 1,142.00 - 0 Pcs 1,142.00 -
6 Alat suntik sekali pakai 3 ml 80 Pcs 1,142.00 91,360.00 400 Pcs 1,142.00 456,800.00 350 Pcs 1,142.00 399,700.00 130 Pcs 1,142.00 148,460.00
7 Alat suntik sekali pakai 5 ml 80 Pcs 1,142.00 91,360.00 100 Pcs 1,142.00 114,200.00 100 Pcs 1,142.00 114,200.00 80 Pcs 1,142.00 91,360.00
8 Allopurinol 100mg tablet 550 Tablet 90.00 49,500.00 0 Tablet 90.00 - 500 Tablet 90.00 45,000.00 50 Tablet 90.00 4,500.00
9 Ambroxol 100mg tablet 300 Tablet 168.00 50,400.00 0 Tablet 168.00 - 250 Tablet 168.00 42,000.00 50 Tablet 168.00 8,400.00
10 Ambroxol 15mg/5ml sirup 35 Botol 4,425.00 154,875.00 0 Botol 4,425.00 - 20 Botol 4,425.00 88,500.00 15 Botol 4,425.00 66,375.00
11 Amlodipin 5mg tab 460 Tablet 197.00 90,620.00 600 Tablet 197.00 118,200.00 450 Tablet 197.00 88,650.00 610 Tablet 197.00 120,170.00
12 Amlodipin 10mg tab 0 Tablet 440.00 - 0 Tablet 440.00 - 0 Tablet 440.00 - 0 Tablet 440.00 -
13 Amitrippilin 25 mg tab 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
14 Aminopillin inj. 24mg/5ml 10 Ampul 3,300.00 33,000.00 0 Ampul 3,300.00 - 0 Ampul 3,300.00 - 10 Ampul 3,300.00 33,000.00
15 Aminopillin 100mg tablet 300 Tablet 86.00 25,800.00 0 Tablet 86.00 - 0 Tablet 86.00 - 300 Tablet 86.00 25,800.00
16 Amoksisilin 250mg capsul 720 Capsul 220.00 158,400.00 0 Capsul 220.00 - 480 Capsul 220.00 105,600.00 240 Capsul 220.00 52,800.00
17 Amoksisilin 500 mg tablet 900 Tablet 279.00 251,100.00 2000 Tablet 279.00 558,000.00 1800 Tablet 279.00 502,200.00 1100 Tablet 279.00 306,900.00
18 Amoksisilin sirup krng 125 mg 42 Botol 2,560.00 107,520.00 150 Botol 2,560.00 384,000.00 136 Botol 2,560.00 348,160.00 56 Botol 2,560.00 143,360.00
19 Antalgin 250 mg/ml inj (Noralges inj 500mg/2 ml) 60 Ampul 164.00 9,840.00 0 Ampul 164.00 - 30 Ampul 164.00 4,920.00 30 Ampul 164.00 4,920.00
20 Antalgin 500 mg tablet 990 Tablet 2,200.00 2,178,000.00 0 Tablet 2,200.00 - 300 Tablet 2,200.00 660,000.00 690 Tablet 2,200.00 1,518,000.00
21 Antasida doen srp 68 Botol 2,213.00 150,484.00 0 Botol 2,213.00 - 40 Botol 2,213.00 88,520.00 28 Botol 2,213.00 61,964.00
22 Antasida doen tablet 310 Tablet 73.00 22,630.00 2000 Tablet 73.00 146,000.00 1900 Tablet 73.00 138,700.00 410 Tablet 73.00 29,930.00
23 Antibakteri DOEN komb (basitrasinpollimiksin) s 0 Tube 2,768.00 - 0 Tube 2,768.00 - 0 Tube 2,768.00 - 0 Tube 2,768.00 -
24 Antimalaria DOEN komb (suldox) tab 300 Tablet 525.00 157,500.00 0 Tablet 525.00 - 0 Tablet 525.00 - 300 Tablet 525.00 157,500.00
25 Antiparkinson tab 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
26 Antimigrain Kombinasi tablet 300 Tablet 135.00 40,500.00 0 Tablet 135.00 - 0 Tablet 135.00 - 300 Tablet 135.00 40,500.00
27 Antihaemaroid suppositoria 0 Supp - - 0 Supp - - 0 Supp - - 0 Supp - -
28 Aqua pro injeksi 15 Vial 4,000.00 60,000.00 0 Vial 4,000.00 - 15 Vial 4,000.00 60,000.00 0 Vial 4,000.00 -
29 Asiklovir 200mg tablet 300 Tablet 245.00 73,500.00 0 Tablet 245.00 - 200 Tablet 245.00 49,000.00 100 Tablet 245.00 24,500.00
30 Asiklovir 400mg tablet 0 Tablet 354.00 - 0 Tablet 354.00 - 0 Tablet 354.00 - 0 Tablet 354.00 -
31 Asiklovir cream 0 Tube 3,300.00 - 0 Tube 3,300.00 - 0 Tube 3,300.00 - 0 Tube 3,300.00 -
32 As. Ascorbat 50 mg tab 1800 Tablet 105.00 189,000.00 0 Tablet 105.00 - 1000 Tablet 105.00 105,000.00 800 Tablet 105.00 84,000.00
33 As. ascorbat 250 mg tab 0 Tablet 154.00 - 0 Tablet 154.00 - 0 Tablet 154.00 - 0 Tablet 154.00 -
34 As. Mefenamatt 500 mg tab 1100 Tablet 122.00 134,200.00 1000 Tablet 122.00 122,000.00 1250 Tablet 122.00 152,500.00 850 Tablet 122.00 103,700.00
35 As. Tranexamat 250mg capsul/ Kalnex 250mg c 150 Capsul 2,025.00 303,750.00 0 Capsul 2,025.00 - 100 Capsul 2,025.00 202,500.00 50 Capsul 2,025.00 101,250.00
36 Asetosal 100mg tablet 300 Tablet 110.00 33,000.00 0 Tablet 110.00 - 0 Tablet 110.00 - 300 Tablet 110.00 33,000.00
37 Asetosal 500mg tablet 0 Tablet 171.00 - 0 Tablet 171.00 - 0 Tablet 171.00 - 0 Tablet 171.00 -
38 Atropin sulfat inj. 0.25mg/ml 0 Ampul 1,210.00 - 0 Ampul 1,210.00 - 0 Ampul 1,210.00 - 0 Ampul 1,210.00 -
39 Atropin sulfat 0.5mg tablet 0 Tablet 75.00 - 0 Tablet 75.00 - 0 Tablet 75.00 - 0 Tablet 75.00 -
40 Benzatil penisilin 1,2,juta IU/vial injeksi 0 Vial - - 0 Vial - - 0 Vial - - 0 Vial - -
41 Benzatil penisilin 2,4,juta IU/vial injeksi 0 Vial - - 0 Vial - - 0 Vial - - 0 Vial - -
42 Betametason cream 35 Tube 1,669.00 58,415.00 0 Tube 1,669.00 - 23 Tube 1,669.00 38,387.00 12 Tube 1,669.00 20,028.00
43 Catgut benang bedah no.2/0,3/0 7 Pcs 10,000.00 70,000.00 0 Pcs 10,000.00 - 0 Pcs 10,000.00 - 7 Pcs 10,000.00 70,000.00
44 Calcidol syr 0 Botol 24,968.00 - 0 Botol 24,968.00 - 0 Botol 24,968.00 - 0 Botol 24,968.00 -
45 Caviplex tablet 1000 Tablet 437.05 437,050.00 0 Tablet 437.05 - 500 Tablet 437.05 218,525.00 500 Tablet 437.05 218,525.00
46 Caviplex Syr 42 Botol 6,620.00 278,040.00 48 Botol 6,620.00 317,760.00 42 Botol 6,620.00 278,040.00 48 Botol 6,620.00 317,760.00
47 Ceterizine 10mg cap / Lerzin capsul 160 Capsul 987.50 158,000.00 0 Capsul 987.50 - 100 Capsul 987.50 98,750.00 60 Capsul 987.50 59,250.00
48 Cimetidine tab 0 Tablet 105.97 - 0 Tablet 105.97 - 0 Tablet 105.97 - 0 Tablet 105.97 -
49 Captopril 12,5 mg tab 150 Tablet 79.00 11,850.00 1200 Tablet 79.00 94,800.00 1000 Tablet 79.00 79,000.00 350 Tablet 79.00 27,650.00
50 Captopril 25mg tab/ Dexacap 25mg tab 300 Tablet 495.00 148,500.00 600 Tablet 495.00 297,000.00 650 Tablet 495.00 321,750.00 250 Tablet 495.00 123,750.00
51 Dexsametason 0,5 mg tab 300 Tablet 68.00 20,400.00 3000 Tablet 68.00 204,000.00 2500 Tablet 68.00 170,000.00 800 Tablet 68.00 54,400.00
52 Dexsametason 5 mg/ml inj 50 Ampul 1,750.00 87,500.00 100 Ampul 1,750.00 175,000.00 60 Ampul 1,750.00 105,000.00 90 Ampul 1,750.00 157,500.00
53 Diethylcarbamazin sitrat 100mg tab 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
54 Difenhidramin Hcl Inj 40 Ampul 1,160.00 46,400.00 0 Ampul 1,160.00 - 20 Ampul 1,160.00 23,200.00 20 Ampul 1,160.00 23,200.00
55 Diazepam 5mg/2ml inj 11 Ampul 2,605.00 28,655.00 0 Ampul 2,605.00 - 0 Ampul 2,605.00 - 11 Ampul 2,605.00 28,655.00
56 Diazepam 5mg tab 0 Tablet 52.00 - 0 Tablet 52.00 - 0 Tablet 52.00 - 0 Tablet 52.00 -
57 Diazepam 2mg tab 0 Tablet 39.00 - 200 Tablet 39.00 7,800.00 150 Tablet 39.00 5,850.00 50 Tablet 39.00 1,950.00
58 Digoksin 0,25 tablet 110 Tablet 96.84 10,652.40 0 Tablet 96.84 - 0 Tablet 96.84 - 110 Tablet 96.84 10,652.40
59 Doksisiklin 100mg capsul 0 Capsul - - 0 Capsul - - 0 Capsul - - 0 Capsul - -
60 Domperidom 10mg tab/ Vesverum 10mg tab 500 Tablet 174.00 87,000.00 0 Tablet 174.00 - 200 Tablet 174.00 34,800.00 300 Tablet 174.00 52,200.00
61 Domperidom syr/ Vesverum syr 40 Botol 3,490.00 139,600.00 0 Botol 3,490.00 - 20 Botol 3,490.00 69,800.00 20 Botol 3,490.00 69,800.00
62 Dulcolax 5mg tab 200 Tablet 2,290.75 458,150.00 0 Tablet 2,290.75 - 50 Tablet 2,290.75 114,537.50 150 Tablet 2,290.75 343,612.50
63 Dulcolax supp 35 Supp 19,195.00 671,825.00 0 Supp 19,195.00 - 5 Supp 19,195.00 95,975.00 30 Supp 19,195.00 575,850.00
64 Efedrin tab 0 Tablet 56.39 - 0 Tablet 56.39 - 0 Tablet 56.39 - 0 Tablet 56.39 -
65 Enzyplex tablet 0 Tab 955.50 - 0 0 955.50 - 0 0 955.50 - 0 0 955.50 -
66 Epineprin HCL (adrenalin) Inj 0,1% /1ml 8 Ampul 5,145.00 41,160.00 0 Ampul 5,145.00 - 0 Ampul 5,145.00 - 8 Ampul 5,145.00 41,160.00
67 Ektrak beladon 100mg tab 100 Tablet 42.00 4,200.00 0 Tablet 42.00 - 0 Tablet 42.00 - 100 Tablet 42.00 4,200.00
68 Erytromisin 250mg cap 250 Capsul 509.00 127,250.00 0 Capsul 509.00 - 0 Capsul 509.00 - 250 Capsul 509.00 127,250.00
69 Erytromisin 500mg tab 660 Tablet 1,023.00 675,180.00 0 Tablet 1,023.00 - 300 Tablet 1,023.00 306,900.00 360 Tablet 1,023.00 368,280.00
70 Erytromisin 125mg/5ml srp krg 17 Botol 8,090.00 137,530.00 50 Botol 8,090.00 404,500.00 32 Botol 8,090.00 258,880.00 35 Botol 8,090.00 283,150.00
71 Etyl klorida semprot 3 Botol 115,500.00 346,500.00 0 Botol 115,500.00 - 2 Botol 115,500.00 231,000.00 1 Botol 115,500.00 115,500.00
72 Etanol 70% 1000 ml 1 Botol 32,500.00 32,500.00 3 Botol 32,500.00 97,500.00 2 Botol 32,500.00 65,000.00 2 Botol 32,500.00 65,000.00
73 Etanol 70% 100ml 0 Botol 2,625.00 - 5 Botol 2,625.00 5 Botol 2,625.00 13,125.00 0 2,625.00 -
74 Etakridina (rivanol) lar. 0.1% 0 Botol 10,625.00 - 0 Botol 10,625.00 - 0 Botol 10,625.00 - 0 Botol 10,625.00 -
75 Etambuthol HCL 500mg tablet 0 Tablet 525.00 - 0 Tablet 525.00 - 0 Tablet 525.00 - 0 Tablet 525.00 -
76 Famotidine tab 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
77 Fenobarbital inj. 20 Ampul - - 0 Ampul - - 0 Ampul - - 20 Ampul - -
78 Fenobarbital 30mg tab. 0 Tablet 51.15 - 0 Tablet 51.15 - 0 Tablet 51.15 - 0 Tablet 51.15 -
79 Fenol gliserol 15 Botol 1,980.00 29,700.00 0 Botol 1,980.00 - 10 Botol 1,980.00 19,800.00 5 Botol 1,980.00 9,900.00
80 Fitomenadion 10mg tab 234 Tablet 123.75 28,957.50 0 Tablet 123.75 - 0 Tablet 123.75 - 234 Tablet 123.75 28,957.50
81 Fitomenadion 10mg/ml inj 105 Ampul 2,833.33 297,499.65 0 Ampul 2,833.33 - 0 Ampul 2,833.33 - 105 Ampul 2,833.33 297,499.65
82 Folley Cateter no. 16 10 Pcs 12,000.00 120,000.00 0 Pcs 12,000.00 - 0 Pcs 12,000.00 - 10 Pcs 12,000.00 120,000.00
83 Folley Cateter no. 18 5 Pcs 12,000.00 60,000.00 0 Pcs 12,000.00 - 0 Pcs 12,000.00 - 5 Pcs 12,000.00 60,000.00
84 Furosemid 10mg/ml inj 50 Ampul 92.00 4,600.00 0 Ampul 92.00 - 0 Ampul 92.00 - 50 Ampul 92.00 4,600.00
85 Furosemid 40mg tab 170 Tablet 1,926.00 327,420.00 0 Tablet 1,926.00 - 80 Tablet 1,926.00 154,080.00 90 Tablet 1,926.00 173,340.00
86 Garam oralit 230 Sachet 322.00 74,060.00 0 Sachet 322.00 - 100 Sachet 322.00 32,200.00 130 Sachet 322.00 41,860.00
87 Gentamisin salep 0.1% 6 Tube 2,019.00 12,114.00 0 Tube 2,019.00 - 6 Tube 2,019.00 12,114.00 0 Tube 2,019.00 -
88 Gentamisin tetes mata 0.3% 0 Botol 3,125.00 - 0 Botol 3,125.00 - 0 Botol 3,125.00 - 0 Botol 3,125.00 -
89 Gentamisin Injeksi 20 Ampul - - 0 Ampul - - 0 Ampul - - 20 Ampul - -
90 Gentian violet 12 Botol 3,125.00 37,500.00 0 Botol 3,125.00 - 0 Botol 3,125.00 - 12 Botol 3,125.00 37,500.00
91 Glibenklamid 5mg tablet 0 Tablet 66.00 - 0 Tablet 66.00 - 0 Tablet 66.00 - 0 Tablet 66.00 -
92 Gliseril guaiacolat 100mg tab 1000 Tablet 35.00 35,000.00 3000 Tablet 35.00 105,000.00 3000 Tablet 35.00 105,000.00 1000 Tablet 35.00 35,000.00
 93 Griseufulvin 125mg tab 800 Tablet 224.00 179,200.00 0 Tablet 224.00 - 400 Tablet 224.00 89,600.00 400 Tablet 224.00 89,600.00
94 Glukosa lar. Infus 5% 90 Botol 5,844.00 525,960.00 0 Botol 5,844.00 - 10 Botol 5,844.00 58,440.00 80 Botol 5,844.00 467,520.00
95 Hidrocortison krim 2,5% 26 Tube 3,575.00 92,950.00 24 Tube 3,575.00 85,800.00 20 Tube 3,575.00 71,500.00 30 Tube 3,575.00 107,250.00
96 Haloperidol 0.5mg tablet 0 Tablet 66.26 - 0 Tablet 66.26 - 0 Tablet 66.26 - 0 Tablet 66.26 -
97 Haloperidol 1.5mg tablet 130 Tablet 90.84 11,809.20 0 Tablet 90.84 - 60 Tablet 90.84 5,450.40 70 Tablet 90.84 6,358.80
98 Haloperidol 5mg tablet 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
99 Hidroklortiazid HCT 25mg tab 0 Tablet 39.93 - 0 Tablet 39.93 - 0 Tablet 39.93 - 0 Tablet 39.93 -
100 Hufalysin syr 57 Botol 8,896.00 507,072.00 60 Botol 8,896.00 533,760.00 50 Botol 8,896.00 444,800.00 67 Botol - -
101 Ibuprofen 400mg tab 400 Tablet 157.00 62,800.00 500 Tablet 157.00 78,500.00 500 Tablet 157.00 78,500.00 400 Tablet 157.00 62,800.00
102 Ibuprofen 200mg tab 340 Tablet 151.00 51,340.00 500 Tablet 151.00 75,500.00 400 Tablet 151.00 60,400.00 440 Tablet 151.00 66,440.00
103 Infusion set anak 0 Pcs 8,000.00 - 0 Pcs 8,000.00 - 0 Pcs 8,000.00 - 0 Pcs 8,000.00 -
104 Infusion set dewasa 0 Pcs 8,000.00 - 0 Pcs 8,000.00 - 0 Pcs 8,000.00 - 0 Pcs 8,000.00 -
105 Intunal Forte tablet 400 Tablet 891.00 356,400.00 200 Tablet 891.00 178,200.00 500 Tablet 891.00 445,500.00 100 Tablet 891.00 89,100.00
106 Isoniazid 300mg tab 140 Tablet 106.70 14,938.00 0 Tablet 106.70 - 0 Tablet 106.70 - 140 Tablet 106.70 14,938.00
107 Isosorbit Dinitrat 5mg tab sublingual 20 Tablet 107.09 2,141.80 0 Tablet 107.09 - 0 Tablet 107.09 - 20 Tablet 107.09 2,141.80
108 Kalsium laktat 500mg tab 0 Tablet 57.20 - 0 Tablet 57.20 - 0 Tablet 57.20 - 0 Tablet 57.20 -
109 Kapas pembalut 500gr 0 Rol 20,878.00 - 5 Rol 20,878.00 104,390.00 3 Rol 20,878.00 62,634.00 2 Rol 20,878.00 41,756.00
110 Karbamazepin 200mg tab 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
111 Kasa Hidrofil 40 x 40 steril/ 16 X 16 cm 5 Ktk 10,000.00 50,000.00 10 Ktk 10,000.00 100,000.00 10 Ktk 10,000.00 100,000.00 5 Ktk 10,000.00 50,000.00
112 Kasa Hidrofil 36m X 80cm/40 Y X 80cm 0 Rol 155,000.00 - 0 Rol 155,000.00 - 0 Rol 155,000.00 - 0 Rol 155,000.00 -
113 Kasa Pembalut 2M X 80cm 0 Rol 25,000.00 - 0 Rol 25,000.00 - 0 Rol 25,000.00 - 0 Rol 25,000.00 -
114 Kasa Pembalut Hidrofil 4m X 15cm 0 Rol - - 0 Rol - - 0 Rol - - 0 Rol - -
115 Ketoconazole 2 % krim 24 Tube 2,633.00 63,192.00 0 Tube 2,633.00 - 5 Tube 2,633.00 13,165.00 19 Tube 2,633.00 50,027.00
116 Ketoconazole 200mg tab 150 Tablet - - 0 Tablet - - 0 Tablet - - 150 Tablet - -
117 Ketorolac 10mg inj 0 Ampul 2,020.00 - 0 Ampul 2,020.00 - 0 Ampul 2,020.00 - 0 Ampul 2,020.00 -
118 Ketorolac 30mg inj 0 Ampul 2,665.00 - 0 Ampul 2,665.00 - 0 Ampul 2,665.00 - 0 Ampul 2,665.00 -
119 Kloramfenicol 125mg/5 susp 43 Botol 4,050.00 174,150.00 0 Botol 4,050.00 - 20 Botol 4,050.00 81,000.00 23 Botol 4,050.00 93,150.00
120 Kloramfenicol kapsul 250 mg 1000 Capsul 264.00 264,000.00 0 Capsul 264.00 - 1000 Capsul 264.00 264,000.00 0 Capsul 264.00 -
121 Kloramfenicol tts telinga 3 % 13 Botol 2,228.00 28,964.00 0 Botol 2,228.00 - 10 Botol 2,228.00 22,280.00 3 Botol 2,228.00 6,684.00
122 Kloramfenicol salep mata 1%(cendo Fenicol) 0 Tube 22,205.00 - 0 Tube 22,205.00 - 0 Tube 22,205.00 - 0 Tube 22,205.00 -
123 Klorfeniramini Maleat 4mg tab 2200 Tablet 25.00 55,000.00 3000 Tablet 25.00 75,000.00 4000 Tablet 25.00 100,000.00 1200 Tablet 25.00 30,000.00
124 Kloroquin 250mg tab 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
125 Klorpromazine HCL 25mg tab 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
126 Klorpromazine HCL 100mg tab 0 Tablet 605.00 - 0 Tablet 605.00 - 0 Tablet 605.00 - 0 Tablet 605.00 -
127 Klorpromazine HCL inj. 5mg/2ml 20 Ampul - - 0 Ampul - - 0 Ampul - - 20 Ampul - -
128 Kotrimoxazol 120mg tab 300 Tablet 79.00 23,700.00 0 Tablet 79.00 - 0 Tablet 79.00 - 300 Tablet 79.00 23,700.00
129 Kotrimoxazol 480mg tab 780 Tablet 152.20 118,716.00 0 Tablet 152.20 - 500 Tablet 152.20 76,100.00 280 Tablet 152.20 42,616.00
130 Kotrimoxazol Suspensi 53 Botol 2,298.00 121,794.00 60 Botol 2,298.00 137,880.00 50 Botol 2,298.00 114,900.00 63 Botol 2,298.00 144,774.00
131 Lisol 0 Botol 52,600.00 - 0 Botol 52,600.00 - 0 Botol 52,600.00 - 0 Botol 52,600.00 -
132 Lidokain 2 % inj 0 Ampul 929.00 - 0 Ampul 929.00 - 0 Ampul 929.00 - 0 Ampul 929.00 -
133 Lidokain komp. Inj 100 Ampul 1,485.00 148,500.00 60 Ampul 1,485.00 89,100.00 60 Ampul 1,485.00 89,100.00 100 Ampul 1,485.00 148,500.00
134 Masker 198 Pcs 1,000.00 198,000.00 3 Pcs 1,000.00 3,000.00 3 Pcs 1,000.00 3,000.00 198 Pcs 1,000.00 198,000.00
135 Magnesium Sulfat injeksi (IV) 20% - 25ml 0 Vial 4,419.00 - 0 Vial 4,419.00 - 0 Vial 4,419.00 - 0 Vial 4,419.00 -
136 Magnesium Sulfat injeksi (IV) 40% - 25ml 0 Vial 5,891.00 - 0 Vial 5,891.00 - 0 Vial 5,891.00 - 0 Vial 5,891.00 -
137 Metilprednisolon 4mg tab/ Vadrol 4mg tab 0 Tablet 400.50 - 0 Tablet 400.50 - 0 Tablet 400.50 - 0 Tablet 400.50 -
138 Metilprednisolon inj 8 Ampul 48,778.00 390,224.00 0 Ampul 48,778.00 - 0 Ampul 48,778.00 - 8 Ampul 48,778.00 390,224.00
139 Metoclorprofamid 10mg tab 200 Tablet 91.00 18,200.00 0 Tablet 91.00 - 0 Tablet 91.00 - 200 Tablet 91.00 18,200.00
140 Methilergometrin maleat inj 40 Ampul 4,600.00 184,000.00 0 Ampul 4,600.00 - 0 Ampul 4,600.00 - 40 Ampul 4,600.00 184,000.00
141 Methilergometrin maleat tab 100 Tablet 147.00 14,700.00 0 Tablet 147.00 - 0 Tablet 147.00 - 100 Tablet 147.00 14,700.00
142 Metronidazol 250mg tab 400 Tablet 116.00 46,400.00 0 Tablet 116.00 - 100 Tablet 116.00 11,600.00 300 Tablet 116.00 34,800.00
143 Metronidazol 500mg tab 450 Tablet 169.00 76,050.00 500 Tablet 169.00 84,500.00 300 Tablet 169.00 50,700.00 650 Tablet 169.00 109,850.00
144 Miconazole cream 6 Tube 3,300.00 19,800.00 20 Tube 3,300.00 66,000.00 10 Tube 3,300.00 33,000.00 16 Tube 3,300.00 52,800.00
145 Microlax enema 3 Tube 22,000.00 66,000.00 0 Tube 22,000.00 - 3 Tube 22,000.00 66,000.00 0 Tube 22,000.00 -
146 Natrium Diklofenak 50mg tab 500 Tab 239.00 119,500.00 0 0 239.00 - 200 Tablet 239.00 47,800.00 300 0 239.00 71,700.00
147 Natrium klorida lar. Infus 0.9% 58 Botol 5,390.00 312,620.00 0 Botol 5,390.00 - 10 Botol 5,390.00 53,900.00 48 Botol 5,390.00 258,720.00
148 Neurobion inj 56 Ampul 7,493.00 419,608.00 0 Ampul 7,493.00 - 40 Ampul 7,493.00 299,720.00 16 Ampul 7,493.00 119,888.00
149 Neurodex tab 850 Tablet 579.00 492,150.00 0 Tablet 579.00 - 800 Tablet 579.00 463,200.00 50 Tablet 579.00 28,950.00
150 NGT Nasogastric Tube no. 10 0 Tube 22,500.00 - 0 Tube 22,500.00 - 0 Tube 22,500.00 - 0 Tube 22,500.00 -
151 Nistatin 100.000 IU/g tab vag 195 Tablet 448.00 87,360.00 0 Tablet 448.00 - 20 Tablet 448.00 8,960.00 175 Tablet 448.00 78,400.00
152 Nistatin 500.000 IU tablet 70 Tablet 704.00 49,280.00 0 Tablet 704.00 - 0 Tablet 704.00 - 70 Tablet 704.00 49,280.00
153 Nipedipin tab 0 Tablet 115.00 - 0 Tablet 115.00 - 0 Tablet 115.00 - 0 Tablet 115.00 -
154 Obat batuk hitam 0 Botol 2,050.00 - 0 Botol 2,050.00 - 0 Botol 2,050.00 - 0 Botol 2,050.00 -
155 Oksitetrasiklin inj 0 Vial 3,588.00 - 0 Vial 3,588.00 - 0 Vial 3,588.00 - 0 Vial 3,588.00 -
156 Oksitetrasiklin Hcl salep kulit 3% 0 Tube 14,350.00 - 0 Tube 14,350.00 - 0 Tube 14,350.00 - 0 Tube 14,350.00 -
157 Oksitetrasiklin Hcl salep 1% 0 Tube 687.00 - 0 Tube 687.00 - 0 Tube 687.00 - 0 Tube 687.00 -
158 Oksitosin 10IU/ml inj 60 Ampul 125.00 7,500.00 0 Ampul 125.00 - 30 Ampul 125.00 3,750.00 30 Ampul 125.00 3,750.00
159 Omeperazol 0 Capsul - - 0 Capsul - - 0 Capsul - - 0 Capsul - -
160 Paracetamol drops 4 Botol 133.10 532.40 0 Botol 133.10 - 4 Botol 133.10 532.40 0 Botol 133.10 -
161 Parasetamol 120mg/5ml srp 0 Botol 329.53 - 120 Botol 329.53 39,543.60 80 Botol 329.53 26,362.40 40 Botol 329.53 13,181.20
162 Parasetamol 100mg tab 0 Tablet 490.00 - 0 Tablet 490.00 - 0 Tablet 490.00 - 0 Tablet 490.00 -
163 Parasetamol 500mg tab 4500 Tablet 119.00 535,500.00 3000 Tablet 119.00 357,000.00 4000 Tablet 119.00 476,000.00 3500 Tablet 119.00 416,500.00
164 Papaverin tab 0 Tablet 1,157.00 - 0 Tablet 1,157.00 - 0 Tablet 1,157.00 - 0 Tablet 1,157.00 -
165 Piracetam 400mg tablet 190 Tablet - - 0 Tablet - - 30 Tablet - - 160 Tablet - -
166 Piracetam 1g injeksi 20 Vial - - 0 Vial - - 0 Vial - - 20 Vial - -
167 Piridoksin 10mg tab 1800 Tablet - - 1000 Tablet - - 1000 Tablet - - 1800 Tablet - -
168 Piroksikam 10mg tab 900 Tablet - - 1000 Tablet - - 700 Tablet - - 1200 Tablet - -
169 Piroksikam 20mg tab 700 Tablet 440.00 308,000.00 1000 Tablet 440.00 440,000.00 700 Tablet 440.00 308,000.00 1000 Tablet 440.00 440,000.00
170 Plester 5 yard X 2 inc 5 Rol - - 0 Rol - - 3 Rol - - 2 Rol - -
171 Pyrantel pamoat tab 400 Tablet 825.00 330,000.00 0 Tablet 825.00 - 0 Tablet 825.00 - 400 Tablet 825.00 330,000.00
172 Povidon iodida 10% 30ml 0 Botol - - 0 Botol - - 0 Botol - - 0 Botol - -
173 Povidon iodida 10% 60ml 0 Botol 3,588.00 - 0 Botol 3,588.00 - 0 Botol 3,588.00 - 0 Botol 3,588.00 -
174 Povidon iodida 10% 300ml 2 Botol 14,350.00 28,700.00 0 Botol 14,350.00 - 0 Botol 14,350.00 - 2 Botol 14,350.00 28,700.00
175 Prednison tab 0 Tablet 687.00 - 2000 Tablet 687.00 1,374,000.00 2000 Tablet 687.00 1,374,000.00 0 Tablet 687.00 -
176 Primakuin 15mg tab 106 Tablet 125.00 13,250.00 0 Tablet 125.00 - 50 Tablet 125.00 6,250.00 200 Tablet 125.00 25,000.00
177 Propanolol HCL 40mg tablet 250 Tablet 133.10 33,275.00 0 Tablet 133.10 - 0 Tablet 133.10 - 220 Tablet 133.10 29,282.00
178 Propilthiourasil (PTU) 100mg tablet 220 Tablet 330.00 72,600.00 0 Tablet 330.00 - 100 Tablet 330.00 33,000.00 120 Tablet 330.00 39,600.00
179 Ramabion capsul 0 Capsul 490.00 - 0 Capsul 490.00 - 0 Capsul 490.00 - 0 Capsul 490.00 -
180 Ranitidine 150mg tablet 270 Tablet 119.00 32,130.00 0 Tablet 119.00 - 270 Tablet 119.00 32,130.00 0 Tablet 119.00 -
181 Ranitidine 25mg/2ml injeksi 3 Tablet 1,157.00 3,471.00 0 Tablet 1,157.00 - 0 Tablet 1,157.00 - 3 Tablet 1,157.00 3,471.00
182 Reserpin 0,10mg tablet 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
183 Reserpin 0,25mg tablet 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
184 Retinol (Vit A) 100.000 IU kapsul lunak 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
185 Retinol (Vit A) 200.000 IU kapsul lunak 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
186 Rifampisin 300mg kapsul 0 Capsul 440.00 - 0 Capsul 440.00 - 0 Capsul 440.00 - 0 Capsul 440.00 -
187 Rifampisin 450mg kaplet 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
188 Rifampisin 600mg kaplet 0 Tablet 825.00 - 0 Tablet 825.00 - 0 Tablet 825.00 - 0 Tablet 825.00 -
189 Ringer laktat lar inf 66 Botol 5,200.00 343,200.00 0 Botol 5,200.00 - 0 Botol 5,200.00 - 66 Botol 5,200.00 343,200.00
190 Salbutamol 2mg tablet 0 Tablet 69.00 - 0 Tablet 69.00 - 0 Tablet 69.00 - 0 Tablet 69.00 -
191 Sarung tangan steril No. 6.5 116 Pcs 10,000.00 1,160,000.00 0 Pcs 10,000.00 - 10 Pcs 10,000.00 100,000.00 106 Pcs 10,000.00 1,060,000.00
192 Sarung tangan steril No. 7 10 Pcs 10,000.00 100,000.00 50 Pcs 10,000.00 500,000.00 50 Pcs 10,000.00 500,000.00 10 Pcs 10,000.00 100,000.00
193 Sarung tangan steril No. 7.5 0 Pcs 10,000.00 - 0 Pcs 10,000.00 - 0 Pcs 10,000.00 - 0 Pcs 10,000.00 -
194 Sarung Tangan steril No. 8 80 Pcs 10,000.00 800,000.00 0 Pcs 10,000.00 - 5 Pcs 10,000.00 50,000.00 75 Pcs 10,000.00 750,000.00
195 Sefadroxil 500mg kapsul 1100 Capsul 529.00 581,900.00 0 Capsul 529.00 - 600 Capsul 529.00 317,400.00 500 Capsul 529.00 264,500.00
196 Salep 2-4 komb 14 pot - - 0 pot - - 0 pot - - 14 pot - -
197 Salisil bedak 2% 100 Kotak 1,180.00 118,000.00 0 Kotak 1,180.00 - 0 Kotak 1,180.00 - 100 Kotak 1,180.00 118,000.00
198 Sefotaksim injeksi 12 Vial 2,426.00 29,112.00 0 Vial 2,426.00 - 0 Vial 2,426.00 - 12 Vial 2,426.00 29,112.00
199 Seftriakson injeksi 0 Vial 2,578.00 - 0 Vial 2,578.00 - 0 Vial 2,578.00 - 0 Vial 2,578.00 -
200 Selang Oksigen 0 Pcs 15,000.00 - 100 Pcs 15,000.00 1,500,000.00 70 Pcs 15,000.00 1,050,000.00 30 Pcs 15,000.00 450,000.00
201 Sianokobalamin (vit B12) inj 64 Ampul 1,174.00 75,136.00 0 Ampul 1,174.00 - 5 Ampul 1,174.00 5,870.00 59 Ampul 1,174.00 69,266.00
202 Silk benang bedah sutra No. 3/0 19 Pcs 8,333.00 158,327.00 0 Pcs 8,333.00 - 0 Pcs 8,333.00 - 19 Pcs 8,333.00 158,327.00
203 Simvastatin 10mg tablet 0 Tablet 180.00 - 1000 Tablet 180.00 180,000.00 1000 Tablet 180.00 180,000.00 0 Tablet 180.00 -
204 Siprofloksasin HCL 500mg tablet 0 Tablet 265.00 - 0 Tablet 265.00 - 0 Tablet 265.00 - 0 Tablet 265.00 -
205 Surgical Blade 115 Pcs 3,500.00 402,500.00 0 Pcs 3,500.00 - 30 Pcs 3,500.00 105,000.00 85 0 3,500.00 297,500.00
206 Sulfacetamid tts mata 15% 0 Botol 3,850.00 - 24 Botol 3,850.00 92,400.00 10 Botol 3,850.00 38,500.00 14 Botol 3,850.00 53,900.00
207 Tablet tambah darah 0 Sacht 2,200.00 - 100 Sachet 2,200.00 220,000.00 60 Sachet 2,200.00 132,000.00 40 Sachet 2,200.00 88,000.00
208 Tetrasiklin Hcl cap 250mg cap 50 Capsul 183.00 9,150.00 0 Capsul 183.00 - 0 Capsul 183.00 - 50 Capsul 183.00 9,150.00
209 Tetrasiklin Hcl cap 500mg cap 100 Capsul 409.00 40,900.00 0 Capsul 409.00 - 0 Capsul 409.00 - 100 Capsul 409.00 40,900.00
210 Thiamin Hcl 50mg tab 0 Tablet 53.00 - 0 Tablet 53.00 - 0 Tablet 53.00 - 0 Tablet 53.00 -
211 Thiamin Hcl 100mg/ml inj 0 Ampul 770.00 - 0 Ampul 770.00 0 Ampul 770.00 - 0 Ampul 770.00 -
212 Tramadol 50mg kasul 300 Capsul 541.00 162,300.00 0 Capsul 541.00 - 0 Capsul 541.00 - 300 Capsul 541.00 162,300.00
213 Ultraproct N suppositoria 0 Supp - - 0 Supp - - 0 Supp - - 0 Supp - -
214 Urine Bag 0 Pcs 7,500.00 - 0 Pcs 7,500.00 - 0 Pcs 7,500.00 - 0 Pcs 7,500.00 -
215 Vitamin B komplek tab 2200 Tablet 112.00 246,400.00 0 Tablet 112.00 - 0 Tablet 112.00 - 2200 Tablet 112.00 246,400.00
216 Zinc 0 Tablet 522.00 - 0 Tablet 522.00 - 0 Tablet 522.00 - 0 Tablet 522.00 -
TOTAL 20,497,949.95 10,042,133.60 14,100,907.70 15,870,275.85
 1
1
2
3
4
5
6 OBAT GIGI
7 2 14 4 5 6 7 8 9 10 11 12 13 14 15 16 17
8 Dental Mercury 100gr 0 Botol - - 0 Botol - - 0 Botol - - 0 Botol - -
9 Devitalisasi Pasta (Non Arsen)/ Devitec 0 Kotak - - 0 Kotak - - 0 Kotak - - 0 Kotak - -
10 Eugenol cairan 4 Botol 50,417.00 201,668.00 0 Botol 50,417.00 - 0 Botol 50,417.00 - 4 Botol 50,417.00 201,668.00
11 Bahan TUMPATAN PERMANEN 6 Kotak - - 0 Kotak - - 0 Kotak - - 6 Kotak - -
12 Kalsium Hidroksida Pasta/ Dorident Calcidor 4 Kotak 170,000.00 680,000.00 0 Kotak 170,000.00 - 0 Kotak 170,000.00 - 4 Kotak 170,000.00 680,000.00
Mummifying Pasta/ Iodoform Paste 2 Pcs 193,600.00 387,200.00 0 Pcs 193,600.00 - 0 Pcs 193,600.00 - 2 Pcs 193,600.00 387,200.00
Cholrfenol Camfer Mentol (CHKM) 0 Botol - - 0 Botol - - 0 Botol - - 0 Botol - -
LaborTKF 0 Botol - - 0 Botol - - 0 Botol - - 0 Botol - -
1 Bahan TUMPATAN SEMENTARA 0 Kotak - - 0 Kotak - - 0 Kotak - - 0 Kotak - -
1 Fletcher (powder + Liquid) 0 Set - - 0 Set - - 0 Set - - 0 Set - -
2 Zink Phosphat cement (Powder + Liquid) 0 Set - - 0 Set - - 0 Set - - 0 Set - -
3 Alvogyl 0 Kotak - - 0 Kotak - - 0 Kotak - - 0 Kotak - -
4 TOTAL 1,268,868.00 - - 1,268,868.00
5
6
7 2 14 4 5 6 7 8 9 10 11 12 13 14 15 16 17
8 HBsAG Stick 42 Strip 11,797.50 495,495.00 0 Strip 11,797.50 - 10 Strip 11,797.50 117,975.00 32 Strip 11,797.50 377,520.00
9 Reagent Benedict 4 Botol 89,700.00 358,800.00 0 Botol 89,700.00 - 0 Botol 89,700.00 - 4 Botol 89,700.00 358,800.00
10 Reagent Rees & Ecker 4 Botol - - 0 Botol - - 0 Botol - - 4 Botol - -
11 Reagent Turk 4 Botol 56,250.00 225,000.00 0 Botol 56,250.00 - 0 Botol 56,250.00 - 4 Botol 56,250.00 225,000.00
Reagent Gol Darah A 5 Botol 150,000.00 750,000.00 0 Botol 150,000.00 - 1 Botol 150,000.00 150,000.00 4 Botol 150,000.00 600,000.00
Reagent Gol Darah B 5 Botol 150,000.00 750,000.00 0 Botol 150,000.00 - 1 Botol 150,000.00 150,000.00 4 Botol 150,000.00 600,000.00
Reagent Widal Type O 3 Botol 190,000.00 570,000.00 0 Botol 190,000.00 - 2 Botol 190,000.00 380,000.00 1 Botol 190,000.00 190,000.00
Reagent Widal Type H 3 Botol 190,000.00 570,000.00 0 Botol 190,000.00 - 2 Botol 190,000.00 380,000.00 1 Botol 190,000.00 190,000.00
Stick Asam Urat Nesco 450 Strip 5,584.00 2,512,800.00 0 Strip 5,584.00 - 50 Strip 5,584.00 279,200.00 400 Strip 5,584.00 2,233,600.00
Stick Gula darah 245 Strip 5,584.00 1,368,080.00 0 Strip 5,584.00 - 30 Strip 5,584.00 167,520.00 215 Strip 5,584.00 1,200,560.00
Stick Kolesterol 200 Strip 31,500.00 6,300,000.00 0 Strip 31,500.00 - 100 Strip 31,500.00 3,150,000.00 100 Strip 31,500.00 3,150,000.00
TOTAL 13,900,175.00 - 4,774,695.00 9,125,480.00

Mengetahui Puruk Cahu, 28 Februari 2015

Kepala Puskesmas Puruk Cahu Yang Membuat Laporan

SRI RAHAYU FITRI AGUSYANI

NIP. 19700306 200212 2006 NIP. 19790811 200003 2002
 DAFTAR MUTASI OBAT - OBATAN
PUSKESMAS PURUK CAHU KABUPATEN MURUNG RAYA
Bulan : JANUARI
Tahun : 2015

SALDO AKHIR MUTASI SELAMA BULAN DESEMBER 2014

SALDO AKHIR
per 30 November 2014 MASUK KELUAR
NO Nama persediaan Harga Harga Harga Harga
Jumlah Jumlah Jumlah Jumlah
Vol Satuan satuan Vol Satuan satuan Vol Satuan satuan Vol Satuan satuan
(Rp) (Rp) (Rp) (Rp) (Rp) (Rp) (Rp) (Rp)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Abocate No. 20 0 Pcs 8,565.00 - 0 Pcs 8,565.00 - 0 Pcs 8,565.00 - 0 Pcs 8,565.00 -
2 Abocate No. 22 0 Pcs 17,600.00 - 0 Pcs 17,600.00 - 0 Pcs 17,600.00 - 0 Pcs 17,600.00 -
3 Abocate No. 24 0 Pcs 17,600.00 - 0 Pcs 17,600.00 - 0 Pcs 17,600.00 - 0 Pcs 17,600.00 -
4 Alat suntik sekali pakai 1 ml 0 Pcs 1,250.00 - 100 Pcs 1,250.00 125,000.00 80 Pcs 1,250.00 100,000.00 20 Pcs 1,250.00 25,000.00
5 Alat suntik sekali pakai 2,5ml 0 Pcs 1,142.00 - 0 Pcs 1,142.00 - 0 Pcs 1,142.00 - 0 Pcs 1,142.00 -
6 Alat suntik sekali pakai 3 ml 80 Pcs 1,142.00 91,360.00 400 Pcs 1,142.00 456,800.00 350 Pcs 1,142.00 399,700.00 130 Pcs 1,142.00 148,460.00
7 Alat suntik sekali pakai 5 ml 80 Pcs 1,142.00 91,360.00 100 Pcs 1,142.00 114,200.00 100 Pcs 1,142.00 114,200.00 80 Pcs 1,142.00 91,360.00
8 Allopurinol 100mg tablet 550 Tablet 90.00 49,500.00 0 Tablet 90.00 - 500 Tablet 90.00 45,000.00 50 Tablet 90.00 4,500.00
9 Ambroxol 100mg tablet 300 Tablet 168.00 50,400.00 0 Tablet 168.00 - 250 Tablet 168.00 42,000.00 50 Tablet 168.00 8,400.00
10 Ambroxol 15mg/5ml sirup 35 Botol 4,425.00 154,875.00 0 Botol 4,425.00 - 20 Botol 4,425.00 88,500.00 15 Botol 4,425.00 66,375.00
11 Amlodipin 5mg tab 460 Tablet 197.00 90,620.00 600 Tablet 197.00 118,200.00 450 Tablet 197.00 88,650.00 610 Tablet 197.00 120,170.00
12 Amlodipin 10mg tab 0 Tablet 440.00 - 0 Tablet 440.00 - 0 Tablet 440.00 - 0 Tablet 440.00 -
13 Amitrippilin 25 mg tab 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
14 Aminopillin inj. 24mg/5ml 10 Ampul 3,300.00 33,000.00 0 Ampul 3,300.00 - 0 Ampul 3,300.00 - 10 Ampul 3,300.00 33,000.00
15 Aminopillin 100mg tablet 300 Tablet 86.00 25,800.00 0 Tablet 86.00 - 0 Tablet 86.00 - 300 Tablet 86.00 25,800.00
16 Amoksisilin 250mg capsul 720 Capsul 220.00 158,400.00 0 Capsul 220.00 - 480 Capsul 220.00 105,600.00 240 Capsul 220.00 52,800.00
17 Amoksisilin 500 mg tablet 900 Tablet 279.00 251,100.00 2000 Tablet 279.00 558,000.00 1800 Tablet 279.00 502,200.00 1100 Tablet 279.00 306,900.00
18 Amoksisilin sirup krng 125 mg 42 Botol 2,560.00 107,520.00 150 Botol 2,560.00 384,000.00 136 Botol 2,560.00 348,160.00 56 Botol 2,560.00 143,360.00
19 Antalgin 250 mg/ml inj (Noralges inj 500mg/2 ml) 60 Ampul 164.00 9,840.00 0 Ampul 164.00 - 30 Ampul 164.00 4,920.00 30 Ampul 164.00 4,920.00
20 Antalgin 500 mg tablet 990 Tablet 2,200.00 2,178,000.00 0 Tablet 2,200.00 - 300 Tablet 2,200.00 660,000.00 690 Tablet 2,200.00 1,518,000.00
21 Antasida doen srp 68 Botol 2,213.00 150,484.00 0 Botol 2,213.00 - 40 Botol 2,213.00 88,520.00 28 Botol 2,213.00 61,964.00
22 Antasida doen tablet 310 Tablet 73.00 22,630.00 2000 Tablet 73.00 146,000.00 1900 Tablet 73.00 138,700.00 410 Tablet 73.00 29,930.00
23 Antibakteri DOEN komb (basitrasinpollimiksin) salep 0 Tube 2,768.00 - 0 Tube 2,768.00 - 0 Tube 2,768.00 - 0 Tube 2,768.00 -
24 Antimalaria DOEN komb (suldox) tab 300 Tablet 525.00 157,500.00 0 Tablet 525.00 - 0 Tablet 525.00 - 300 Tablet 525.00 157,500.00
25 Antiparkinson tab 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
26 Antimigrain Kombinasi tablet 300 Tablet 135.00 40,500.00 0 Tablet 135.00 - 0 Tablet 135.00 - 300 Tablet 135.00 40,500.00
27 Antihaemaroid suppositoria 0 Supp - - 0 Supp - - 0 Supp - - 0 Supp - -
28 Aqua pro injeksi 15 Vial 4,000.00 60,000.00 0 Vial 4,000.00 - 15 Vial 4,000.00 60,000.00 0 Vial 4,000.00 -
29 Asiklovir 200mg tablet 300 Tablet 245.00 73,500.00 0 Tablet 245.00 - 200 Tablet 245.00 49,000.00 100 Tablet 245.00 24,500.00
30 Asiklovir 400mg tablet 0 Tablet 354.00 - 0 Tablet 354.00 - 0 Tablet 354.00 - 0 Tablet 354.00 -
31 Asiklovir cream 0 Tube 3,300.00 - 0 Tube 3,300.00 - 0 Tube 3,300.00 - 0 Tube 3,300.00 -
32 As. Ascorbat 50 mg tab 1800 Tablet 105.00 189,000.00 0 Tablet 105.00 - 1000 Tablet 105.00 105,000.00 800 Tablet 105.00 84,000.00
33 As. ascorbat 250 mg tab 0 Tablet 154.00 - 0 Tablet 154.00 - 0 Tablet 154.00 - 0 Tablet 154.00 -
34 As. Mefenamatt 500 mg tab 1100 Tablet 122.00 134,200.00 1000 Tablet 122.00 122,000.00 1250 Tablet 122.00 152,500.00 850 Tablet 122.00 103,700.00
35 As. Tranexamat 250mg capsul/ Kalnex 250mg cap 150 Capsul 2,025.00 303,750.00 0 Capsul 2,025.00 - 100 Capsul 2,025.00 202,500.00 50 Capsul 2,025.00 101,250.00
36 Asetosal 100mg tablet 300 Tablet 110.00 33,000.00 0 Tablet 110.00 - 0 Tablet 110.00 - 300 Tablet 110.00 33,000.00
37 Asetosal 500mg tablet 0 Tablet 171.00 - 0 Tablet 171.00 - 0 Tablet 171.00 - 0 Tablet 171.00 -
38 Atropin sulfat inj. 0.25mg/ml 0 Ampul 1,210.00 - 0 Ampul 1,210.00 - 0 Ampul 1,210.00 - 0 Ampul 1,210.00 -
39 Atropin sulfat 0.5mg tablet 0 Tablet 75.00 - 0 Tablet 75.00 - 0 Tablet 75.00 - 0 Tablet 75.00 -
40 Benzatil penisilin 1,2,juta IU/vial injeksi 0 Vial - - 0 Vial - - 0 Vial - - 0 Vial - -
41 Benzatil penisilin 2,4,juta IU/vial injeksi 0 Vial - - 0 Vial - - 0 Vial - - 0 Vial - -
42 Betametason cream 35 Tube 1,669.00 58,415.00 0 Tube 1,669.00 - 23 Tube 1,669.00 38,387.00 12 Tube 1,669.00 20,028.00
43 Catgut benang bedah no.2/0,3/0 7 Pcs 10,000.00 70,000.00 0 Pcs 10,000.00 - 0 Pcs 10,000.00 - 7 Pcs 10,000.00 70,000.00
44 Calcidol syr 0 Botol 24,968.00 - 0 Botol 24,968.00 - 0 Botol 24,968.00 - 0 Botol 24,968.00 -
45 Caviplex tablet 1000 Tablet 437.05 437,050.00 0 Tablet 437.05 - 500 Tablet 437.05 218,525.00 500 Tablet 437.05 218,525.00
46 Caviplex Syr 42 Botol 6,620.00 278,040.00 48 Botol 6,620.00 317,760.00 42 Botol 6,620.00 278,040.00 48 Botol 6,620.00 317,760.00
47 Ceterizine 10mg cap / Lerzin capsul 160 Capsul 987.50 158,000.00 0 Capsul 987.50 - 100 Capsul 987.50 98,750.00 60 Capsul 987.50 59,250.00
48 Cimetidine tab 0 Tablet 105.97 - 0 Tablet 105.97 - 0 Tablet 105.97 - 0 Tablet 105.97 -
49 Captopril 12,5 mg tab 150 Tablet 79.00 11,850.00 1200 Tablet 79.00 94,800.00 1000 Tablet 79.00 79,000.00 350 Tablet 79.00 27,650.00
50 Captopril 25mg tab/ Dexacap 25mg tab 300 Tablet 495.00 148,500.00 600 Tablet 495.00 297,000.00 650 Tablet 495.00 321,750.00 250 Tablet 495.00 123,750.00
51 Dexsametason 0,5 mg tab 300 Tablet 68.00 20,400.00 3000 Tablet 68.00 204,000.00 2500 Tablet 68.00 170,000.00 800 Tablet 68.00 54,400.00
52 Dexsametason 5 mg/ml inj 50 Ampul 1,750.00 87,500.00 100 Ampul 1,750.00 175,000.00 60 Ampul 1,750.00 105,000.00 90 Ampul 1,750.00 157,500.00
53 Diethylcarbamazin sitrat 100mg tab 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
54 Difenhidramin Hcl Inj 40 Ampul 1,160.00 46,400.00 0 Ampul 1,160.00 - 20 Ampul 1,160.00 23,200.00 20 Ampul 1,160.00 23,200.00
55 Diazepam 5mg/2ml inj 11 Ampul 2,605.00 28,655.00 0 Ampul 2,605.00 - 0 Ampul 2,605.00 - 11 Ampul 2,605.00 28,655.00
56 Diazepam 5mg tab 0 Tablet 52.00 - 0 Tablet 52.00 - 0 Tablet 52.00 - 0 Tablet 52.00 -
57 Diazepam 2mg tab 0 Tablet 39.00 - 200 Tablet 39.00 7,800.00 150 Tablet 39.00 5,850.00 50 Tablet 39.00 1,950.00
58 Digoksin 0,25 tablet 110 Tablet 96.84 10,652.40 0 Tablet 96.84 - 0 Tablet 96.84 - 110 Tablet 96.84 10,652.40
59 Doksisiklin 100mg capsul 0 Capsul - - 0 Capsul - - 0 Capsul - - 0 Capsul - -
60 Domperidom 10mg tab/ Vesverum 10mg tab 500 Tablet 174.00 87,000.00 0 Tablet 174.00 - 200 Tablet 174.00 34,800.00 300 Tablet 174.00 52,200.00
61 Domperidom syr/ Vesverum syr 40 Botol 3,490.00 139,600.00 0 Botol 3,490.00 - 20 Botol 3,490.00 69,800.00 20 Botol 3,490.00 69,800.00
62 Dulcolax 5mg tab 200 Tablet 2,290.75 458,150.00 0 Tablet 2,290.75 - 50 Tablet 2,290.75 114,537.50 150 Tablet 2,290.75 343,612.50
63 Dulcolax supp 35 Supp 19,195.00 671,825.00 0 Supp 19,195.00 - 5 Supp 19,195.00 95,975.00 30 Supp 19,195.00 575,850.00
64 Efedrin tab 0 Tablet 56.39 - 0 Tablet 56.39 - 0 Tablet 56.39 - 0 Tablet 56.39 -
65 Enzyplex tablet 0 Tab 955.50 - 0 0 955.50 - 0 0 955.50 - 0 0 955.50 -
66 Epineprin HCL (adrenalin) Inj 0,1% /1ml 8 Ampul 5,145.00 41,160.00 0 Ampul 5,145.00 - 0 Ampul 5,145.00 - 8 Ampul 5,145.00 41,160.00
67 Ektrak beladon 100mg tab 100 Tablet 42.00 4,200.00 0 Tablet 42.00 - 0 Tablet 42.00 - 100 Tablet 42.00 4,200.00
68 Erytromisin 250mg cap 250 Capsul 509.00 127,250.00 0 Capsul 509.00 - 0 Capsul 509.00 - 250 Capsul 509.00 127,250.00
69 Erytromisin 500mg tab 660 Tablet 1,023.00 675,180.00 0 Tablet 1,023.00 - 300 Tablet 1,023.00 306,900.00 360 Tablet 1,023.00 368,280.00
70 Erytromisin 125mg/5ml srp krg 17 Botol 8,090.00 137,530.00 50 Botol 8,090.00 404,500.00 32 Botol 8,090.00 258,880.00 35 Botol 8,090.00 283,150.00
71 Etyl klorida semprot 3 Botol 115,500.00 346,500.00 0 Botol 115,500.00 - 2 Botol 115,500.00 231,000.00 1 Botol 115,500.00 115,500.00
72 Etanol 70% 1000 ml 1 Botol 32,500.00 32,500.00 3 Botol 32,500.00 97,500.00 2 Botol 32,500.00 65,000.00 2 Botol 32,500.00 65,000.00
73 Etanol 70% 100ml 0 Botol 2,625.00 - 5 Botol 2,625.00 5 Botol 2,625.00 13,125.00 0 2,625.00 -
74 Etakridina (rivanol) lar. 0.1% 0 Botol 10,625.00 - 0 Botol 10,625.00 - 0 Botol 10,625.00 - 0 Botol 10,625.00 -
75 Etambuthol HCL 500mg tablet 0 Tablet 525.00 - 0 Tablet 525.00 - 0 Tablet 525.00 - 0 Tablet 525.00 -
76 Famotidine tab 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
77 Fenobarbital inj. 20 Ampul - - 0 Ampul - - 0 Ampul - - 20 Ampul - -
78 Fenobarbital 30mg tab. 0 Tablet 51.15 - 0 Tablet 51.15 - 0 Tablet 51.15 - 0 Tablet 51.15 -
79 Fenol gliserol 15 Botol 1,980.00 29,700.00 0 Botol 1,980.00 - 10 Botol 1,980.00 19,800.00 5 Botol 1,980.00 9,900.00
80 Fitomenadion 10mg tab 234 Tablet 123.75 28,957.50 0 Tablet 123.75 - 0 Tablet 123.75 - 234 Tablet 123.75 28,957.50
81 Fitomenadion 10mg/ml inj 105 Ampul 2,833.33 297,499.65 0 Ampul 2,833.33 - 0 Ampul 2,833.33 - 105 Ampul 2,833.33 297,499.65
82 Folley Cateter no. 16 10 Pcs 12,000.00 120,000.00 0 Pcs 12,000.00 - 0 Pcs 12,000.00 - 10 Pcs 12,000.00 120,000.00
83 Folley Cateter no. 18 5 Pcs 12,000.00 60,000.00 0 Pcs 12,000.00 - 0 Pcs 12,000.00 - 5 Pcs 12,000.00 60,000.00
84 Furosemid 10mg/ml inj 50 Ampul 92.00 4,600.00 0 Ampul 92.00 - 0 Ampul 92.00 - 50 Ampul 92.00 4,600.00
85 Furosemid 40mg tab 170 Tablet 1,926.00 327,420.00 0 Tablet 1,926.00 - 80 Tablet 1,926.00 154,080.00 90 Tablet 1,926.00 173,340.00
86 Garam oralit 230 Sachet 322.00 74,060.00 0 Sachet 322.00 - 100 Sachet 322.00 32,200.00 130 Sachet 322.00 41,860.00
87 Gentamisin salep 0.1% 6 Tube 2,019.00 12,114.00 0 Tube 2,019.00 - 6 Tube 2,019.00 12,114.00 0 Tube 2,019.00 -
88 Gentamisin tetes mata 0.3% 0 Botol 3,125.00 - 0 Botol 3,125.00 - 0 Botol 3,125.00 - 0 Botol 3,125.00 -
89 Gentamisin Injeksi 20 Ampul - - 0 Ampul - - 0 Ampul - - 20 Ampul - -
90 Gentian violet 12 Botol 3,125.00 37,500.00 0 Botol 3,125.00 - 0 Botol 3,125.00 - 12 Botol 3,125.00 37,500.00
91 Glibenklamid 5mg tablet 0 Tablet 66.00 - 0 Tablet 66.00 - 0 Tablet 66.00 - 0 Tablet 66.00 -
92 Gliseril guaiacolat 100mg tab 1000 Tablet 35.00 35,000.00 3000 Tablet 35.00 105,000.00 3000 Tablet 35.00 105,000.00 1000 Tablet 35.00 35,000.00
93 Griseufulvin 125mg tab 800 Tablet 224.00 179,200.00 0 Tablet 224.00 - 400 Tablet 224.00 89,600.00 400 Tablet 224.00 89,600.00
94 Glukosa lar. Infus 5% 90 Botol 5,844.00 525,960.00 0 Botol 5,844.00 - 10 Botol 5,844.00 58,440.00 80 Botol 5,844.00 467,520.00
95 Hidrocortison krim 2,5% 26 Tube 3,575.00 92,950.00 24 Tube 3,575.00 85,800.00 20 Tube 3,575.00 71,500.00 30 Tube 3,575.00 107,250.00
96 Haloperidol 0.5mg tablet 0 Tablet 66.26 - 0 Tablet 66.26 - 0 Tablet 66.26 - 0 Tablet 66.26 -
97 Haloperidol 1.5mg tablet 130 Tablet 90.84 11,809.20 0 Tablet 90.84 - 60 Tablet 90.84 5,450.40 70 Tablet 90.84 6,358.80
98 Haloperidol 5mg tablet 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
99 Hidroklortiazid HCT 25mg tab 0 Tablet 39.93 - 0 Tablet 39.93 - 0 Tablet 39.93 - 0 Tablet 39.93 -
100 Hufalysin syr 57 Botol 8,896.00 507,072.00 60 Botol 8,896.00 533,760.00 50 Botol 8,896.00 444,800.00 67 Botol - -
101 Ibuprofen 400mg tab 400 Tablet 157.00 62,800.00 500 Tablet 157.00 78,500.00 500 Tablet 157.00 78,500.00 400 Tablet 157.00 62,800.00
102 Ibuprofen 200mg tab 340 Tablet 151.00 51,340.00 500 Tablet 151.00 75,500.00 400 Tablet 151.00 60,400.00 440 Tablet 151.00 66,440.00
103 Infusion set anak 0 Pcs 8,000.00 - 0 Pcs 8,000.00 - 0 Pcs 8,000.00 - 0 Pcs 8,000.00 -
104 Infusion set dewasa 0 Pcs 8,000.00 - 0 Pcs 8,000.00 - 0 Pcs 8,000.00 - 0 Pcs 8,000.00 -
105 Intunal Forte tablet 400 Tablet 891.00 356,400.00 200 Tablet 891.00 178,200.00 500 Tablet 891.00 445,500.00 100 Tablet 891.00 89,100.00
106 Isoniazid 300mg tab 140 Tablet 106.70 14,938.00 0 Tablet 106.70 - 0 Tablet 106.70 - 140 Tablet 106.70 14,938.00
107 Isosorbit Dinitrat 5mg tab sublingual 20 Tablet 107.09 2,141.80 0 Tablet 107.09 - 0 Tablet 107.09 - 20 Tablet 107.09 2,141.80
108 Kalsium laktat 500mg tab 0 Tablet 57.20 - 0 Tablet 57.20 - 0 Tablet 57.20 - 0 Tablet 57.20 -
109 Kapas pembalut 500gr 0 Rol 20,878.00 - 5 Rol 20,878.00 104,390.00 3 Rol 20,878.00 62,634.00 2 Rol 20,878.00 41,756.00
110 Karbamazepin 200mg tab 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
111 Kasa Hidrofil 40 x 40 steril/ 16 X 16 cm 5 Ktk 10,000.00 50,000.00 10 Ktk 10,000.00 100,000.00 10 Ktk 10,000.00 100,000.00 5 Ktk 10,000.00 50,000.00
112 Kasa Hidrofil 36m X 80cm/40 Y X 80cm 0 Rol 155,000.00 - 0 Rol 155,000.00 - 0 Rol 155,000.00 - 0 Rol 155,000.00 -
113 Kasa Pembalut 2M X 80cm 0 Rol 25,000.00 - 0 Rol 25,000.00 - 0 Rol 25,000.00 - 0 Rol 25,000.00 -
114 Kasa Pembalut Hidrofil 4m X 15cm 0 Rol - - 0 Rol - - 0 Rol - - 0 Rol - -
115 Ketoconazole 2 % krim 24 Tube 2,633.00 63,192.00 0 Tube 2,633.00 - 5 Tube 2,633.00 13,165.00 19 Tube 2,633.00 50,027.00
116 Ketoconazole 200mg tab 150 Tablet - - 0 Tablet - - 0 Tablet - - 150 Tablet - -
117 Ketorolac 10mg inj 0 Ampul 2,020.00 - 0 Ampul 2,020.00 - 0 Ampul 2,020.00 - 0 Ampul 2,020.00 -
118 Ketorolac 30mg inj 0 Ampul 2,665.00 - 0 Ampul 2,665.00 - 0 Ampul 2,665.00 - 0 Ampul 2,665.00 -
119 Kloramfenicol 125mg/5 susp 43 Botol 4,050.00 174,150.00 0 Botol 4,050.00 - 20 Botol 4,050.00 81,000.00 23 Botol 4,050.00 93,150.00
120 Kloramfenicol kapsul 250 mg 1000 Capsul 264.00 264,000.00 0 Capsul 264.00 - 1000 Capsul 264.00 264,000.00 0 Capsul 264.00 -
121 Kloramfenicol tts telinga 3 % 13 Botol 2,228.00 28,964.00 0 Botol 2,228.00 - 10 Botol 2,228.00 22,280.00 3 Botol 2,228.00 6,684.00
122 Kloramfenicol salep mata 1%(cendo Fenicol) 0 Tube 22,205.00 - 0 Tube 22,205.00 - 0 Tube 22,205.00 - 0 Tube 22,205.00 -
123 Klorfeniramini Maleat 4mg tab 2200 Tablet 25.00 55,000.00 3000 Tablet 25.00 75,000.00 4000 Tablet 25.00 100,000.00 1200 Tablet 25.00 30,000.00
124 Kloroquin 250mg tab 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
125 Klorpromazine HCL 25mg tab 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
126 Klorpromazine HCL 100mg tab 0 Tablet 605.00 - 0 Tablet 605.00 - 0 Tablet 605.00 - 0 Tablet 605.00 -
127 Klorpromazine HCL inj. 5mg/2ml 20 Ampul - - 0 Ampul - - 0 Ampul - - 20 Ampul - -
128 Kotrimoxazol 120mg tab 300 Tablet 79.00 23,700.00 0 Tablet 79.00 - 0 Tablet 79.00 - 300 Tablet 79.00 23,700.00
129 Kotrimoxazol 480mg tab 780 Tablet 152.20 118,716.00 0 Tablet 152.20 - 500 Tablet 152.20 76,100.00 280 Tablet 152.20 42,616.00
130 Kotrimoxazol Suspensi 53 Botol 2,298.00 121,794.00 60 Botol 2,298.00 137,880.00 50 Botol 2,298.00 114,900.00 63 Botol 2,298.00 144,774.00
131 Lisol 0 Botol 52,600.00 - 0 Botol 52,600.00 - 0 Botol 52,600.00 - 0 Botol 52,600.00 -
132 Lidokain 2 % inj 0 Ampul 929.00 - 0 Ampul 929.00 - 0 Ampul 929.00 - 0 Ampul 929.00 -
133 Lidokain komp. Inj 100 Ampul 1,485.00 148,500.00 60 Ampul 1,485.00 89,100.00 60 Ampul 1,485.00 89,100.00 100 Ampul 1,485.00 148,500.00
134 Masker 198 Pcs 1,000.00 198,000.00 3 Pcs 1,000.00 3,000.00 3 Pcs 1,000.00 3,000.00 198 Pcs 1,000.00 198,000.00
135 Magnesium Sulfat injeksi (IV) 20% - 25ml 0 Vial 4,419.00 - 0 Vial 4,419.00 - 0 Vial 4,419.00 - 0 Vial 4,419.00 -
136 Magnesium Sulfat injeksi (IV) 40% - 25ml 0 Vial 5,891.00 - 0 Vial 5,891.00 - 0 Vial 5,891.00 - 0 Vial 5,891.00 -
137 Metilprednisolon 4mg tab/ Vadrol 4mg tab 0 Tablet 400.50 - 0 Tablet 400.50 - 0 Tablet 400.50 - 0 Tablet 400.50 -
138 Metilprednisolon inj 8 Ampul 48,778.00 390,224.00 0 Ampul 48,778.00 - 0 Ampul 48,778.00 - 8 Ampul 48,778.00 390,224.00
139 Metoclorprofamid 10mg tab 200 Tablet 91.00 18,200.00 0 Tablet 91.00 - 0 Tablet 91.00 - 200 Tablet 91.00 18,200.00
140 Methilergometrin maleat inj 40 Ampul 4,600.00 184,000.00 0 Ampul 4,600.00 - 0 Ampul 4,600.00 - 40 Ampul 4,600.00 184,000.00
141 Methilergometrin maleat tab 100 Tablet 147.00 14,700.00 0 Tablet 147.00 - 0 Tablet 147.00 - 100 Tablet 147.00 14,700.00
142 Metronidazol 250mg tab 400 Tablet 116.00 46,400.00 0 Tablet 116.00 - 100 Tablet 116.00 11,600.00 300 Tablet 116.00 34,800.00
143 Metronidazol 500mg tab 450 Tablet 169.00 76,050.00 500 Tablet 169.00 84,500.00 300 Tablet 169.00 50,700.00 650 Tablet 169.00 109,850.00
144 Miconazole cream 6 Tube 3,300.00 19,800.00 20 Tube 3,300.00 66,000.00 10 Tube 3,300.00 33,000.00 16 Tube 3,300.00 52,800.00
145 Microlax enema 3 Tube 22,000.00 66,000.00 0 Tube 22,000.00 - 3 Tube 22,000.00 66,000.00 0 Tube 22,000.00 -
146 Natrium Diklofenak 50mg tab 500 Tab 239.00 119,500.00 0 0 239.00 - 200 Tablet 239.00 47,800.00 300 0 239.00 71,700.00
147 Natrium klorida lar. Infus 0.9% 58 Botol 5,390.00 312,620.00 0 Botol 5,390.00 - 10 Botol 5,390.00 53,900.00 48 Botol 5,390.00 258,720.00
148 Neurobion inj 56 Ampul 7,493.00 419,608.00 0 Ampul 7,493.00 - 40 Ampul 7,493.00 299,720.00 16 Ampul 7,493.00 119,888.00
149 Neurodex tab 850 Tablet 579.00 492,150.00 0 Tablet 579.00 - 800 Tablet 579.00 463,200.00 50 Tablet 579.00 28,950.00
150 NGT Nasogastric Tube no. 10 0 Tube 22,500.00 - 0 Tube 22,500.00 - 0 Tube 22,500.00 - 0 Tube 22,500.00 -
151 Nistatin 100.000 IU/g tab vag 195 Tablet 448.00 87,360.00 0 Tablet 448.00 - 20 Tablet 448.00 8,960.00 175 Tablet 448.00 78,400.00
152 Nistatin 500.000 IU tablet 70 Tablet 704.00 49,280.00 0 Tablet 704.00 - 0 Tablet 704.00 - 70 Tablet 704.00 49,280.00
153 Nipedipin tab 0 Tablet 115.00 - 0 Tablet 115.00 - 0 Tablet 115.00 - 0 Tablet 115.00 -
154 Obat batuk hitam 0 Botol 2,050.00 - 0 Botol 2,050.00 - 0 Botol 2,050.00 - 0 Botol 2,050.00 -
155 Oksitetrasiklin inj 0 Vial 3,588.00 - 0 Vial 3,588.00 - 0 Vial 3,588.00 - 0 Vial 3,588.00 -
156 Oksitetrasiklin Hcl salep kulit 3% 0 Tube 14,350.00 - 0 Tube 14,350.00 - 0 Tube 14,350.00 - 0 Tube 14,350.00 -
157 Oksitetrasiklin Hcl salep 1% 0 Tube 687.00 - 0 Tube 687.00 - 0 Tube 687.00 - 0 Tube 687.00 -
158 Oksitosin 10IU/ml inj 60 Ampul 125.00 7,500.00 0 Ampul 125.00 - 30 Ampul 125.00 3,750.00 30 Ampul 125.00 3,750.00
159 Omeperazol 0 Capsul - - 0 Capsul - - 0 Capsul - - 0 Capsul - -
160 Paracetamol drops 4 Botol 133.10 532.40 0 Botol 133.10 - 4 Botol 133.10 532.40 0 Botol 133.10 -
161 Parasetamol 120mg/5ml srp 0 Botol 329.53 - 120 Botol 329.53 39,543.60 80 Botol 329.53 26,362.40 40 Botol 329.53 13,181.20
162 Parasetamol 100mg tab 0 Tablet 490.00 - 0 Tablet 490.00 - 0 Tablet 490.00 - 0 Tablet 490.00 -
163 Parasetamol 500mg tab 4500 Tablet 119.00 535,500.00 3000 Tablet 119.00 357,000.00 4000 Tablet 119.00 476,000.00 3500 Tablet 119.00 416,500.00
164 Papaverin tab 0 Tablet 1,157.00 - 0 Tablet 1,157.00 - 0 Tablet 1,157.00 - 0 Tablet 1,157.00 -
165 Piracetam 400mg tablet 190 Tablet - - 0 Tablet - - 30 Tablet - - 160 Tablet - -
166 Piracetam 1g injeksi 20 Vial - - 0 Vial - - 0 Vial - - 20 Vial - -
167 Piridoksin 10mg tab 1800 Tablet - - 1000 Tablet - - 1000 Tablet - - 1800 Tablet - -
168 Piroksikam 10mg tab 900 Tablet - - 1000 Tablet - - 700 Tablet - - 1200 Tablet - -
169 Piroksikam 20mg tab 700 Tablet 440.00 308,000.00 1000 Tablet 440.00 440,000.00 700 Tablet 440.00 308,000.00 1000 Tablet 440.00 440,000.00
170 Plester 5 yard X 2 inc 5 Rol - - 0 Rol - - 3 Rol - - 2 Rol - -
171 Pyrantel pamoat tab 400 Tablet 825.00 330,000.00 0 Tablet 825.00 - 0 Tablet 825.00 - 400 Tablet 825.00 330,000.00
172 Povidon iodida 10% 30ml 0 Botol - - 0 Botol - - 0 Botol - - 0 Botol - -
173 Povidon iodida 10% 60ml 0 Botol 3,588.00 - 0 Botol 3,588.00 - 0 Botol 3,588.00 - 0 Botol 3,588.00 -
174 Povidon iodida 10% 300ml 2 Botol 14,350.00 28,700.00 0 Botol 14,350.00 - 0 Botol 14,350.00 - 2 Botol 14,350.00 28,700.00
175 Prednison tab 0 Tablet 687.00 - 2000 Tablet 687.00 1,374,000.00 2000 Tablet 687.00 1,374,000.00 0 Tablet 687.00 -
176 Primakuin 15mg tab 106 Tablet 125.00 13,250.00 0 Tablet 125.00 - 50 Tablet 125.00 6,250.00 200 Tablet 125.00 25,000.00
177 Propanolol HCL 40mg tablet 250 Tablet 133.10 33,275.00 0 Tablet 133.10 - 0 Tablet 133.10 - 220 Tablet 133.10 29,282.00
178 Propilthiourasil (PTU) 100mg tablet 220 Tablet 330.00 72,600.00 0 Tablet 330.00 - 100 Tablet 330.00 33,000.00 120 Tablet 330.00 39,600.00
179 Ramabion capsul 0 Capsul 490.00 - 0 Capsul 490.00 - 0 Capsul 490.00 - 0 Capsul 490.00 -
180 Ranitidine 150mg tablet 270 Tablet 119.00 32,130.00 0 Tablet 119.00 - 270 Tablet 119.00 32,130.00 0 Tablet 119.00 -
181 Ranitidine 25mg/2ml injeksi 3 Tablet 1,157.00 3,471.00 0 Tablet 1,157.00 - 0 Tablet 1,157.00 - 3 Tablet 1,157.00 3,471.00
182 Reserpin 0,10mg tablet 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
183 Reserpin 0,25mg tablet 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
184 Retinol (Vit A) 100.000 IU kapsul lunak 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
185 Retinol (Vit A) 200.000 IU kapsul lunak 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
186 Rifampisin 300mg kapsul 0 Capsul 440.00 - 0 Capsul 440.00 - 0 Capsul 440.00 - 0 Capsul 440.00 -
187 Rifampisin 450mg kaplet 0 Tablet - - 0 Tablet - - 0 Tablet - - 0 Tablet - -
188 Rifampisin 600mg kaplet 0 Tablet 825.00 - 0 Tablet 825.00 - 0 Tablet 825.00 - 0 Tablet 825.00 -
189 Ringer laktat lar inf 66 Botol 5,200.00 343,200.00 0 Botol 5,200.00 - 0 Botol 5,200.00 - 66 Botol 5,200.00 343,200.00
190 Salbutamol 2mg tablet 0 Tablet 69.00 - 0 Tablet 69.00 - 0 Tablet 69.00 - 0 Tablet 69.00 -
191 Sarung tangan steril No. 6.5 116 Pcs 10,000.00 1,160,000.00 0 Pcs 10,000.00 - 10 Pcs 10,000.00 100,000.00 106 Pcs 10,000.00 1,060,000.00
192 Sarung tangan steril No. 7 10 Pcs 10,000.00 100,000.00 50 Pcs 10,000.00 500,000.00 50 Pcs 10,000.00 500,000.00 10 Pcs 10,000.00 100,000.00
193 Sarung tangan steril No. 7.5 0 Pcs 10,000.00 - 0 Pcs 10,000.00 - 0 Pcs 10,000.00 - 0 Pcs 10,000.00 -
194 Sarung Tangan steril No. 8 80 Pcs 10,000.00 800,000.00 0 Pcs 10,000.00 - 5 Pcs 10,000.00 50,000.00 75 Pcs 10,000.00 750,000.00
195 Sefadroxil 500mg kapsul 1100 Capsul 529.00 581,900.00 0 Capsul 529.00 - 600 Capsul 529.00 317,400.00 500 Capsul 529.00 264,500.00
196 Salep 2-4 komb 14 pot - - 0 pot - - 0 pot - - 14 pot - -
197 Salisil bedak 2% 100 Kotak 1,180.00 118,000.00 0 Kotak 1,180.00 - 0 Kotak 1,180.00 - 100 Kotak 1,180.00 118,000.00
198 Sefotaksim injeksi 12 Vial 2,426.00 29,112.00 0 Vial 2,426.00 - 0 Vial 2,426.00 - 12 Vial 2,426.00 29,112.00
199 Seftriakson injeksi 0 Vial 2,578.00 - 0 Vial 2,578.00 - 0 Vial 2,578.00 - 0 Vial 2,578.00 -
200 Selang Oksigen 0 Pcs 15,000.00 - 100 Pcs 15,000.00 1,500,000.00 70 Pcs 15,000.00 1,050,000.00 30 Pcs 15,000.00 450,000.00
201 Sianokobalamin (vit B12) inj 64 Ampul 1,174.00 75,136.00 0 Ampul 1,174.00 - 5 Ampul 1,174.00 5,870.00 59 Ampul 1,174.00 69,266.00
202 Silk benang bedah sutra No. 3/0 19 Pcs 8,333.00 158,327.00 0 Pcs 8,333.00 - 0 Pcs 8,333.00 - 19 Pcs 8,333.00 158,327.00
203 Simvastatin 10mg tablet 0 Tablet 180.00 - 1000 Tablet 180.00 180,000.00 1000 Tablet 180.00 180,000.00 0 Tablet 180.00 -
204 Siprofloksasin HCL 500mg tablet 0 Tablet 265.00 - 0 Tablet 265.00 - 0 Tablet 265.00 - 0 Tablet 265.00 -
205 Surgical Blade 115 Pcs 3,500.00 402,500.00 0 Pcs 3,500.00 - 30 Pcs 3,500.00 105,000.00 85 0 3,500.00 297,500.00
206 Sulfacetamid tts mata 15% 0 Botol 3,850.00 - 24 Botol 3,850.00 92,400.00 10 Botol 3,850.00 38,500.00 14 Botol 3,850.00 53,900.00
207 Tablet tambah darah 0 Sacht 2,200.00 - 100 Sachet 2,200.00 220,000.00 60 Sachet 2,200.00 132,000.00 40 Sachet 2,200.00 88,000.00
208 Tetrasiklin Hcl cap 250mg cap 50 Capsul 183.00 9,150.00 0 Capsul 183.00 - 0 Capsul 183.00 - 50 Capsul 183.00 9,150.00
209 Tetrasiklin Hcl cap 500mg cap 100 Capsul 409.00 40,900.00 0 Capsul 409.00 - 0 Capsul 409.00 - 100 Capsul 409.00 40,900.00
210 Thiamin Hcl 50mg tab 0 Tablet 53.00 - 0 Tablet 53.00 - 0 Tablet 53.00 - 0 Tablet 53.00 -
211 Thiamin Hcl 100mg/ml inj 0 Ampul 770.00 - 0 Ampul 770.00 0 Ampul 770.00 - 0 Ampul 770.00 -
212 Tramadol 50mg kasul 300 Capsul 541.00 162,300.00 0 Capsul 541.00 - 0 Capsul 541.00 - 300 Capsul 541.00 162,300.00
213 Ultraproct N suppositoria 0 Supp - - 0 Supp - - 0 Supp - - 0 Supp - -
214 Urine Bag 0 Pcs 7,500.00 - 0 Pcs 7,500.00 - 0 Pcs 7,500.00 - 0 Pcs 7,500.00 -
215 Vitamin B komplek tab 2200 Tablet 112.00 246,400.00 0 Tablet 112.00 - 0 Tablet 112.00 - 2200 Tablet 112.00 246,400.00
216 Zinc 0 Tablet 522.00 - 0 Tablet 522.00 - 0 Tablet 522.00 - 0 Tablet 522.00 -
TOTAL 20,497,949.95 10,042,133.60 14,100,907.70 15,870,275.85

OBAT GIGI
1 2 14 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Dental Mercury 100gr 0 Botol - - 0 Botol - - 0 Botol - - 0 Botol - -
2 Devitalisasi Pasta (Non Arsen)/ Devitec 0 Kotak - - 0 Kotak - - 0 Kotak - - 0 Kotak - -
3 Eugenol cairan 4 Botol 50,417.00 201,668.00 0 Botol 50,417.00 - 0 Botol 50,417.00 - 4 Botol 50,417.00 201,668.00
4 Bahan TUMPATAN PERMANEN 6 Kotak - - 0 Kotak - - 0 Kotak - - 6 Kotak - -
5 Kalsium Hidroksida Pasta/ Dorident Calcidor 4 Kotak 170,000.00 680,000.00 0 Kotak 170,000.00 - 0 Kotak 170,000.00 - 4 Kotak 170,000.00 680,000.00
6 Mummifying Pasta/ Iodoform Paste 2 Pcs 193,600.00 387,200.00 0 Pcs 193,600.00 - 0 Pcs 193,600.00 - 2 Pcs 193,600.00 387,200.00
7 Cholrfenol Camfer Mentol (CHKM) 0 Botol - - 0 Botol - - 0 Botol - - 0 Botol - -
8 TKF 0 Botol - - 0 Botol - - 0 Botol - - 0 Botol - -
9 Bahan TUMPATAN SEMENTARA 0 Kotak - - 0 Kotak - - 0 Kotak - - 0 Kotak - -
10 Fletcher (powder + Liquid) 0 Set - - 0 Set - - 0 Set - - 0 Set - -
11 Zink Phosphat cement (Powder + Liquid) 0 Set - - 0 Set - - 0 Set - - 0 Set - -
12 Alvogyl 0 Kotak - - 0 Kotak - - 0 Kotak - - 0 Kotak - -
TOTAL 1,268,868.00 - - 1,268,868.00

Laboratorium Reagent
1 2 14 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 HBsAG Stick 42 Strip 11,797.50 495,495.00 0 Strip 11,797.50 - 10 Strip 11,797.50 117,975.00 32 Strip 11,797.50 377,520.00
2 Reagent Benedict 4 Botol 89,700.00 358,800.00 0 Botol 89,700.00 - 0 Botol 89,700.00 - 4 Botol 89,700.00 358,800.00
3 Reagent Rees & Ecker 4 Botol - - 0 Botol - - 0 Botol - - 4 Botol - -
4 Reagent Turk 4 Botol 56,250.00 225,000.00 0 Botol 56,250.00 - 0 Botol 56,250.00 - 4 Botol 56,250.00 225,000.00
5 Reagent Gol Darah A 5 Botol 150,000.00 750,000.00 0 Botol 150,000.00 - 1 Botol 150,000.00 150,000.00 4 Botol 150,000.00 600,000.00
6 Reagent Gol Darah B 5 Botol 150,000.00 750,000.00 0 Botol 150,000.00 - 1 Botol 150,000.00 150,000.00 4 Botol 150,000.00 600,000.00
7 Reagent Widal Type O 3 Botol 190,000.00 570,000.00 0 Botol 190,000.00 - 2 Botol 190,000.00 380,000.00 1 Botol 190,000.00 190,000.00
8 Reagent Widal Type H 3 Botol 190,000.00 570,000.00 0 Botol 190,000.00 - 2 Botol 190,000.00 380,000.00 1 Botol 190,000.00 190,000.00
9 Stick Asam Urat Nesco 450 Strip 5,584.00 2,512,800.00 0 Strip 5,584.00 - 50 Strip 5,584.00 279,200.00 400 Strip 5,584.00 2,233,600.00
10 Stick Gula darah 245 Strip 5,584.00 1,368,080.00 0 Strip 5,584.00 - 30 Strip 5,584.00 167,520.00 215 Strip 5,584.00 1,200,560.00
11 Stick Kolesterol 200 Strip 31,500.00 6,300,000.00 0 Strip 31,500.00 - 100 Strip 31,500.00 3,150,000.00 100 Strip 31,500.00 3,150,000.00
TOTAL 13,900,175.00 - 4,774,695.00 9,125,480.00

Mengetahui Puruk Cahu, 28 Februari 2015

Kepala Puskesmas Puruk Cahu Yang Membuat Laporan

SRI RAHAYU FITRI AGUSYANI

NIP. 19700306 200212 2006 NIP. 19790811 200003 2002