DATA KETERSEDIAAN OBAT PER 3

UPTD KESEHATAN GALESONG

TAHUN 2014
SUMBER : JKN

HARGA STOK AWAL

NO NAMA OBAT KEMASAN SATUAN
SATUAN

1 2 3 4 5 6
1 Amoxicillin 500 mg tab box @ 100 tab tab 292 0
2 Amoxicillin sirup btl @ 60 ml btl 2560 0
3 Acyclovir cr box @ 25 tube tube 2360 0
4 Antasida sirup btl @ 60 ml btl 2300 0
5 Allopurinol box @ 100 tab tab 90 0
6 Ambroxol tab box @ 100 tab tab 137 0
7 Asam Mefenamat box @ 100 tab tab 122 0
8 a. Asering Lar. Infus btl btl 9000 0
b. Asering Lar. Infus btl btl 15000 0
9 Alat suntik 1 ml box @ 100 pcs pcs 748 0
10 Alat suntik 3 ml box @ 100 pcs pcs 808 0
11 Alat suntik 5 ml box @ 100 pcs pcs 810 0
12 Blood lancet btl @ 100 pcs pcs 500 0
13 b. Bisturi box @ 24pcs pcs 2680 0
14 a. Catgut 3/0 box @ 24 pcs pcs 24568.75 0
b. Catgut 3/0 box @ 100 pcs pcs 30450 0
15 CTM box @ 1000 tab tab 29 0
16 Ciprofloxacin box @ 100 tab tab 265 0
17 Captopril 25 mg box @ 100 tab tab 100 0
18 Cefadroxil 500 mg kaps box @ 100 kaps kaps 529 0
19 Dexametason tab box @ 100 tab tab 74 0
20 a. Etil klorida semprot btl @ 200 ml btl 104950 0
b. Etil klorida semprot btl @ 200 ml tab 125000 0
21 Gliseril guayakolat tablet 100 mg box @ 1000 tab tab 32.5 0
22 Hidrokortison krim 2,5 % box @ 24 tube tab 5450 0
23 a. Handscoen non steril box @ 50 psg psg 4250 0
b. Handscoen non steril box @ 50 psg psg 6036 0
24 a. Handscoen panjang psg psg 15750 0
b. Handscoen panjang psg psg 16000 0
25 Handscoen steril No. 6,5 psg psg 5775 0
26 Handscoen steril No. 7 psg psg 5775 0
27 Handscoen steril No. 7,5 psg psg 5775 0
28 Handscoen steril No. 6,5 psg psg 5700 0
29 Handscoen steril No. 7 psg psg 5700 0
30 Handscoen steril No. 7,5 psg psg 5700 0
31 Ibuprofen 400 mg box @ 100 tab tab 157 0
31 Infuzet anak Pcs pcs 5000 0
33 a. Infuzet dewasa Pcs pcs 3500 0
b. Infuzet dewasa Pcs pcs 9000 0
34 I.V Cateter No.20 Pcs pcs 9000 0
35 I.V Cateter No.22 Pcs pcs 9000 0
36 Lidokain inj box @ 30 amp amp 1246.66 0
37 kasa hidrofil uk.40 m 80 cm roll roll 125000 0
38 kasa hidrofil steril uk. 18 cm x 22 cm box @ 12 pcs pcs 375 0
39 kasa hidrofil steril uk. 16 cm x 16 cm box @ 16 pcs pcs 500 0
40 Kalium permanganat serbuk pot pot 1000 0
a. Kloramfenikol Kap 250 mg box @ 100 kaps kaps 274 0
b. Kloramfenikol Kap 250 mg box @ 100 kaps kaps 387 0
41 a. Kalsium laktat box @ 1000 tab tab 57.2 0
b. Kalsium laktat box @ 1000 tab tab 72 0
42 Kotrimoksazole tab box @ 100 tab tab 152 0
43 Kaen 3 B lar. Infus btl btl 19000 0
44 Masker box @ 20 pcs pcs 1125 0
45 Mikonazole krim 2 % box @ 24 tube tube 3187.5 0
46 Natrium diklofenak 50 mg box @ 50 tab tab 193 0
47 a. Oksitosin injeksi box @ 100 amp amp 2000 0
b. Oksitosin injeksi box @ 100 amp amp 3025 0
48 a. Oksitetrasiklin Salep kulit box @ 25 tube tube 1646 0
b. Oksitetrasiklin Salep kulit box @ 25 tube tube 1912 0
49 a. Oksitetrasiklin Salep mata box @ 25 tube tube 3198 0
b. Oksitetrasiklin Salep mata box @ 25 tube tube 3196 0
50 a. Plester 5 yard x 2 inch roll roll 23625 0
b. Plester 5 yard x 2 inch roll roll 28750 0
51 Penjepit tali pusar pcs pcs 1500 0
52 a. Prednison box @ 1000 tab tab 57 0
b. Prednison box @ 1000 tab tab 106.1 0
53 Piroxicam 20 mg box @ 100 tab tab 130 0
54 Paracetamol sirup btl @ 60 ml btl 1500 0
55 Ranitidin tab box @ 100 tab tab 132 0
56 Ranitidin inj amp amp 2600 0
57 Strip GDS box @ 25 strip strip 8000 0
58 Strip Asam Urat box @ 25 strip strip 8400 0
59 Strip Kolesterol box @ 10 strip strip 30000 0
60 a. Silk no. 3/0 box @ 36 pcs pcs 6983.33 0
b. Silk no. 3/0 box @ 36 pcs box 9222.22 0
61 Saflon Jergen @ 5 Ltr ltr 1464000 0
62 Tablet tambah darah (SF) box @ 100 tabx30 tab sak 1350 0
63 Vit. C 50 mg tab box @ 100 tab tab 105 0
64 a. Vit. B1 tab box @ 100 tab tab 15 0
b. Vit. B1 tab box @ 1000 tab tab 41.5 0
65 Vit. Bcom box @ 100 tab tab 112 0
66 Vit. B6 box @ 1000 tab tab 19.1 0
67 Vit. B12 box @ 100 tab tab 181.5 0
68 a. Widal Test paket paket 1120000 0
b. Widal Test paket paket 1251400 0
69 Yodium povidon larutan 10% 30 ml btl @ 30 ml btl 2100 0
Total

Keterangan : a. Jan - Agst 2014

b. Agst - des 2014

Mengetahui
Kepala UPT Dinas Kesehatan Galesong Utara

Hj. St. Jasmanih, SY, S.Sit, SKM, M.Kes

Nip. 19670426 198602 2 002
Total 69,213,750
ATA KETERSEDIAAN OBAT PER 31 DESEMBER
UPTD KESEHATAN GALESONG UTARA
TAHUN 2014

HARGA PENERIMAA HARGA PERSEDIAAN HARGA PEMAKAIAN HARGA SISA STOK

N

7 8 9 10 = (6+8) 11 12 12 14 = (10-12)
0 11800 3445600 11800 3445600 11800 3445600 0
0 180 460800 180 460800 180 460800 0
0 225 531000 225 531000 210 495600 15
0 99 227700 99 227700 99 227700 0
0 500 45000 500 45000 500 45000 0
0 1700 232900 1700 232900 1700 232900 0
0 2000 244000 2000 244000 2000 244000 0
0 120 1080000 120 1080000 120 1080000 0
0 5 75000 5 75000 0 0 5
0 600 448800 600 448800 600 448800 0
0 300 242400 300 242400 300 242400 0
0 500 405000 500 405000 500 405000 0
0 800 400000 800 400000 800 400000 0
0 400 1072000 400 1072000 380 1018400 20
0 528 12972300 528 12972300 528 12972300 0
0 192 5846400 192 5846400 192 5846400 0
0 10000 290000 10000 290000 10000 290000 0
0 300 79500 300 79500 300 79500 0
0 500 50000 500 50000 500 50000 0
0 2000 1058000 2000 1058000 2000 1058000 0
0 14100 1043400 14100 1043400 14100 1043400 0
0 18 1889100 18 1889100 18 1889100 0
0 10 1250000 10 1250000 8 1000000 2
0 27000 877500 27000 877500 26000 845000 1000
0 96 523200 96 523200 96 523200 0
0 4300 18275000 4300 18275000 4300 18275000 0
0 800 4828800 800 4828800 800 4828800 0
0 11 173250 11 173250 11 173250 0
0 10 160000 10 160000 10 160000 0
0 80 462000 80 462000 80 462000 0
0 84 485100 84 485100 84 485100 0
0 80 462000 80 462000 80 462000 0
0 30 171000 30 171000 30 171000 0
0 30 171000 30 171000 30 171000 0
0 20 114000 20 114000 20 114000 0
0 4500 706500 4500 706500 4500 706500 0
0 12 60000 12 60000 12 60000 0
0 14 49000 14 49000 14 49000 0
0 80 720000 80 720000 80 720000 0
0 60 540000 60 540000 60 540000 0
0 60 540000 60 540000 60 540000 0
0 570 710596.2 570 710596.2 540 673196.4 30
0 50 6250000 50 6250000 49 6125000 1
0 408 153000 408 153000 408 153000 0
0 480 240000 480 240000 480 240000 0
0 10 10000 10 10000 10 10000 0
0 5000 1370000 5000 1370000 5000 1370000 0
0 1700 657900 1700 657900 1700 657900 0
0 12000 686400 12000 686400 12000 686400 0
0 3000 216000 3000 216000 2000 144000 1000
0 6500 988000 6500 988000 6500 988000 0
0 65 1235000 65 1235000 60 1140000 5
0 2540 2857500 2540 2857500 2500 2812500 40
0 216 688500 216 688500 192 612000 24
0 2100 405300 2100 405300 2100 405300 0
0 226 452000 226 452000 226 452000 0
0 200 605000 200 605000 180 544500 20
0 250 411500 250 411500 250 411500 0
0 275 525800 275 525800 275 525800 0
0 100 319800 100 319800 100 319800 0
0 50 159800 50 159800 50 159800 0
0 78 1842750 78 1842750 78 1842750 0
0 38 1092500 38 1092500 37 1063750 1
0 173 259500 173 259500 173 259500 0
0 11000 627000 11000 627000 11000 627000 0
0 4000 424400 4000 424400 4000 424400 0
0 500 65000 500 65000 500 65000 0
0 1 1500 1 1500 1 1500 0
0 800 105600 800 105600 800 105600 0
0 10 26000 10 26000 10 26000 0
0 850 6800000 850 6800000 850 6800000 0
0 575 4830000 575 4830000 575 4830000 0
0 200 6000000 200 6000000 200 6000000 0
0 324 2262598.92 324 2262598.92 324 2262598.92 0
0 216 1991999.52 216 1991999.52 180 1659999.6 36
0 6 8784000 6 8784000 6 8784000 0
0 1200 1620000 1200 1620000 1000 1350000 200
0 18100 1900500 18100 1900500 18000 1890000 100
0 800 12000 800 12000 800 12000 0
0 8000 332000 8000 332000 8000 332000 0
0 22600 2531200 22600 2531200 22600 2531200 0
0 8000 152800 8000 152800 8000 152800 0
0 4200 762300 4200 762300 4200 762300 0
0 5 5600000 5 5600000 5 5600000 0
0 4 5005600 4 5005600 4 5005600 0
0 59 123900 59 123900 59 123900 0
134802494.64 133203344.92
Pembulatan 134,802,500 133,203,350

Galesong Utara, 31 Desember 2014

Pengelola Obat

Marlina, S.Si
Nip. 19840713 201001 2 022
68,607,475 606,275
HARGA

15
0
0
35400
0
0
0
0
0
75000
0
0
0
0
53600
0
0
0
0
0
0
0
0
250000
32500
0
0
0
0
0
0
0
0
0
0
0
0
 0
0
0
0
0
37399.8
125000
0
0
0
0
0
0
72000
0
95000
45000
76500
0
0
60500
0
0
0
0
0
28750
0
0
0
0
0
0
0
0
0
0
0
331999.92
0
270000
10500
0
0
 0
0
0
0
0
0
1599149.72
1,599,150

1 Desember 2014
 DATA KETERSEDIAAN OBAT PER 31 D
UPTD KESEHATAN GALESONG U
TAHUN 2014
SUMBER : JAMKESDA

HARGA STOK AWAL

NO NAMA OBAT KEMASAN SATUAN
SATUAN

1 2 3 4 5 6

1 Blood lancet btl @ 100 pcs pcs 500 0

2 a. Bisturi box @ 100 pcs pcs 2680 0
3 b. Bisturi box @ 100 pcs pcs 986 0
4 Catgut 3/0 box @ 24 pcs pcs 24568.75 0
5 Etil klorida semprot btl @ 200 ml tab 104950 0
6 Gliseril guayakolat tablet 100 mg box @ 1000 tab tab 32.5 0
7 Hidrokortison krim 2,5 % box @ 24 tube tab 2518.75 0
8 Handscoen non steril box @ 50 psg psg 4250 0
9 Handscoen panjang psg psg 15750 0
10 kasa hidrofil uk.40 m 80 cm roll roll 125000 0
11 kasa hidrofil steril uk. 18 cm x 22 cm box @ 12 pcs pcs 375 0
12 kasa hidrofil steril uk. 16 cm x 16 cm box @ 16 pcs pcs 500 0
13 Kalium permanganat serbuk pot pot 1000 0
14 Kloramfenikol Kap 250 mg box @ 100 kaps kaps 274 0
15 Lidokain kompositum injeksi box @ 30 amp amp 1498.33 0
16 Masker box @ 20 pcs pcs 1125 0
17 Mikonazole krim 2 % box @ 24 tube tube 3150 0
18 Oksitosin injeksi 10 IU/ml-1 ml box @ 100 amp amp 2000 0
19 Plaster 5 yard x 2 inch roll roll 23625 0
20 Penjepit tali pusar pcs pcs 1500 0
21 Strip GDS box @ 25 strip strip 8000 0
22 Strip Asam Urat box @ 25 strip strip 8400 0
23 Strip Kolesterol box @ 10 strip strip 30000 0
24 Silk (benang bedah sutra) no. 3/0 box @ 36 pcs pcs 6983.33 0
25 slide box box 99500 0
26 Tablet tambah darah (SF) box @ 100 tabx30 tab sak 1350 0
27 Widal Test paket paket 1120000 0
27 Yodium povidon larutan 10% 30 ml btl @ 30 ml btl 2100 0
TOTAL
Pembulatan
Keterangan : a. Jan - Agst 2014
b. Agst - des 2014

Mengetahui
Kepala UPT Dinas Kesehatan Galesong Utara
Hj. St. Jasmanih, SY, S.Sit, SKM, M.Kes
Nip. 19670426 198602 2 002
Total 69,213,750
ATA KETERSEDIAAN OBAT PER 31 DESEMBER
UPTD KESEHATAN GALESONG UTARA
TAHUN 2014

HARGA PENERIMAA HARGA PERSEDIAAN HARGA PEMAKAIAN HARGA SISA STOK

N

7 8 9 10 = (6+8) 11 12 12 14 = (10-12)

0 1000 500000 1000 500000 1000 500000 0

0 700 1876000 700 1876000 700 1876000 0
0 400 394400 400 394400 400 394400 0
0 432 10613700 432 10613700 432 10613700 0
0 52 5457400 52 5457400 50 5247500 2
0 32000 1040000 32000 1040000 32000 1040000 0
0 192 483600 192 483600 192 483600 0
0 3750 15937500 3750 15937500 3750 15937500 0
0 50 787500 50 787500 50 787500 0
0 37 4625000 37 4625000 37 4625000 0
0 192 72000 192 72000 192 72000 0
0 64 32000 64 32000 64 32000 0
0 59 59000 59 59000 59 59000 0
0 4000 1096000 4000 1096000 4000 1096000 0
0 600 898998 600 898998 570 854048.1 30
0 3200 3600000 3200 3600000 3160 3555000 40
0 288 907200 288 907200 264 831600 24
0 400 800000 400 800000 380 760000 20
0 34 803250 34 803250 34 803250 0
0 242 363000 242 363000 242 363000 0
0 600 4800000 600 4800000 600 4800000 0
0 200 1680000 200 1680000 200 1680000 0
0 80 2400000 80 2400000 80 2400000 0
0 324 2262598.92 324 2262598.92 324 2262598.92 0
0 9 895500 9 895500 9 895500 0
0 800 1080000 800 1080000 800 1080000 0
0 5 5600000 5 5600000 5 5600000 0
0 71 149100 71 149100 71 149100 0
69213746.92 69213746.92 68798297
69,213,750 69,213,750 68,798,300

Galesong Utara, 31 Desember 2014

Pengelola Obat
Marlina, S.Si
Nip. 19840713 201001 2 022
68,607,475 606,275
 HARGA

15

0
0
0
0
209900
0
0
0
0
0
0
0
0
0
44949.9
45000
75600
40000
0
0
0
0
0
0
0
0
0
0
415449.9
415,450

a, 31 Desember 2014
201001 2 022