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LAPORAN PEMAKAIAN DAN LEMBAR

Kode :
Instansi :
Kecamatan :
Kabupaten/Kota KABUPATEN SEMARANG

Penerimaan
Harga
Kode Nama Barang Kekuatan Satuan Awal Nilai Awal Seksi Jumlah Harga Seksi Persediaan Nilai Persediaan
Satuan Lain Jumlah Harga Lain
Farmasi Farmasi
1 2 3 4 5 6 7 8 9 10 11 12 13

0001 Albendasol 400 Mg 400 Mg Tablet 365 0 0 0 0 0 0 0 0


0002 Alupurinol Tab 100 Mg 100 Mg Tablet 104 0 0 0 0 0 0 0 0
0003 Aminopilin Inj 24 Mg/Ml 24 Mg / Ml Ampul 3,240 0 0 0 0 0 0 0 0
0004 Aminopilin Tab Salut 200 Mg 200 Mg Tablet 90 0 0 0 0 0 0 0 0
0005 Amitriptiline 25 Mg 25 Mg Tablet 112 0 0 0 0 0 0 0 0
0006 Amoksisilin Kaplet 250 Mg 250 Mg Kapsul 200 0 0 0 0 0 0 0 0
0007 Amoksisilin Kaplet 500 Mg 500 Mg Tablet 272 0 0 0 0 0 0 0 0
0008 Amoksisilin Kaplet 500 Mg ,As.Clavulanic125 Mg 500 Mg + 125 Mg Tablet 4,550 0 0 0 0 0 0 0 0
0009 Amoksisilin Serbuk Inj. 1000 Mg 1000 Mg Vial 7,500 0 0 0 0 0 0 0 0
0010 Amoksisilin Sirup Kering 125Mg/ 5Ml 125 Mg / 5 Ml Botol 2,445 0 0 0 0 0 0 0 0
0012 Antasida Doen Suspensi Suspensi Botol 2,160 0 0 0 0 0 0 0 0
0013 Antasida Doen Tablet Kombinasi Tablet Kunyah Tablet 75 0 0 0 0 0 0 0 0
0014 Antibacteri Tube 2,516 0 0 0 0 0 0 0 0
0015 Antidiare Suspensi Botol 5,720 0 0 0 0 0 0 0 0
0016 Antiinfluenza (Noza) Tablet 399 0 0 0 0 0 0 0 0
0017 Antiinfluenza Syr (Protexinal) Botol 6,350 0 0 0 0 0 0 0 0
0018 Aqua Pro Injeksi, Bebas Pirogen Vial 5,000 0 0 0 0 0 0 0 0
0019 Asam Asetyl Salisilat (Miniaspi) 80 Mg Tablet 148 0 0 0 0 0 0 0 0
0020 Asam Askorbat (Vit. C) Tab 50Mg 50 Mg Tablet 95 0 0 0 0 0 0 0 0
0021 Asam Folat 1 Mg 1 Mg Tablet 48 0 0 0 0 0 0 0 0
0022 Asam Mefenamat Kaplet 500 Mg 500 Mg Tablet 112 0 0 0 0 0 0 0 0
0023 Asering 500Cc 500 Cc Botol 8,999 0 0 0 0 0 0 0 0

hal. 1 LPLPO Puskesmas


Penerimaan
Harga
Kode Nama Barang Kekuatan Satuan Awal Nilai Awal Seksi Jumlah Harga Seksi Persediaan Nilai Persediaan
Satuan Lain Jumlah Harga Lain
Farmasi Farmasi

0024 Asiklovir Tab 200Mg 200 Mg Tablet 226 0 0 0 0 0 0 0 0


0025 Asiklovir Tab 200Mg 200 Mg Tablet 226 0 0 0 0 0 0 0 0
0026 Asiklovir Tab 400Mg 400 Mg Tablet 350 0 0 0 0 0 0 0 0
0027 Atenolol Tablet 50 Mg 50 Mg Tablet 346 0 0 0 0 0 0 0 0
0028 Atropin 0,5 Mg 0.5 Mg Tablet 68 0 0 0 0 0 0 0 0
0029 Atropin Inj 0.25 Mg/Ml 0.25 Mg / Ml Ampul 1,230 0 0 0 0 0 0 0 0
0030 Azitromisin 500 Mg 500 Mg Tablet 4,500 0 0 0 0 0 0 0 0
0032 Batugin Elixir Botol 18,100 0 0 0 0 0 0 0 0
0033 Betametason Valerat 0.1%+Neomisin Sulfat 0.5% Tube 5gr 6,500 0 0 0 0 0 0 0 0
0034 Bisakodil 10 Mg Suppositoria 10 Mg Suppositori 6,045 0 0 0 0 0 0 0 0
0035 Bisoprolol 5 Mg 5 Mg Tablet 1,935 0 0 0 0 0 0 0 0
0036 Bromheksin Tablet Tablet 51 0 0 0 0 0 0 0 0
0037 Budesonide Tube 200 Tube 84,545 0 0 0 0 0 0 0 0
0038 Clobazam 10 Mg 10 Mg Tablet 760 0 0 0 0 0 0 0 0
0039 Clozapine 100 Mg 100 Mg Tablet 2,500 0 0 0 0 0 0 0 0
0040 Dexametason Inj. 5Mg/1Ml 5 Mg / Ml Ampul 1,580 0 0 0 0 0 0 0 0
0042 Diazepam 2 Mg 2 Mg Tablet 45 0 0 0 0 0 0 0 0
0043 Diazepam Rectal 11,524 0 0 0 0 0 0 0 0
0044 Dietilcarbamazin 100Mg 100 Mg Tablet 0 0 0 0 0 0 0 0 0
0045 Difenhidramin Hcl Inj. 10 Mg/1Ml 10 Mg / Ml Ampul 960 0 0 0 0 0 0 0 0
0046 Digoksin 0,25 mG Tablet 91 0 0 0 0 0 0 0 0
0047 Diltiazem Hcl 30 Mg 30 Mg Tablet 123 0 0 0 0 0 0 0 0
0048 Dimenhidrinat 50 Mg 50 Mg Tablet 95 0 0 0 0 0 0 0 0
0049 Domperidon Tab. 10 Mg 10 Mg Tablet 176 0 0 0 0 0 0 0 0
0050 Doksisiklin 100 Mg 100 Mg Tablet 220 0 0 0 0 0 0 0 0
0051 Epinefrin (Adrenalin) Inj. 0.1% Ampul 1,500 0 0 0 0 0 0 0 0
0052 Eritromisin Kapsul 250 Mg 250 Mg Tablet 493 0 0 0 0 0 0 0 0
0053 Eritromisin Syrup Botol 7,700 0 0 0 0 0 0 0 0
0054 Ethambutol Tab.250 Mg 250 Mg Tablet 305 0 0 0 0 0 0 0 0
0055 Fenobarbital Inj. I.M/I.V 50Mg/Ml 50 Mg / Ml Ampul 1,716 0 0 0 0 0 0 0 0
0056 Fenolgliserol TT Botol 1,008 0 0 0 0 0 0 0 0
0057 Fitominadion Inj./ 10Mg/Ml 2Mg / Ml Ampul 3,417 0 0 0 0 0 0 0 0

hal. 2 LPLPO Puskesmas


Penerimaan
Harga
Kode Nama Barang Kekuatan Satuan Awal Nilai Awal Seksi Jumlah Harga Seksi Persediaan Nilai Persediaan
Satuan Lain Jumlah Harga Lain
Farmasi Farmasi

0058 Flukonasol 50 Mg 50 Mg Tablet 4,862 0 0 0 0 0 0 0 0


0059 Furosemid Inj. Iv/Im 10 Mg 10 Mg Ampul 1,751 0 0 0 0 0 0 0 0
0060 Furosemid Inj. Iv/Im 10 Mg 10 Mg Ampul 1,829 0 0 0 0 0 0 0 0
0061 Furosemida Tab 40Mg 40 Mg Tablet 85 0 0 0 0 0 0 0 0
0062 Furosemida Tab 40Mg 40 Mg Tablet 85 0 0 0 0 0 0 0 0
0063 Garam Oralit Untuk 200Ml Air Sachet 262 0 0 0 0 0 0 0 0
0064 Garam Oralit Untuk 200Ml Air Sachet 292 0 0 0 0 0 0 0 0
0065 Gentamicin 40Mg/Ml Inj 40 Mg / Ml Ampul 3,399 0 0 0 0 0 0 0 0
0066 Gentamicin Salep Mata 0.3% 3.5 Gram Botol 2,600 0 0 0 0 0 0 0 0
0067 Gentian Violet 1%,10 Ml Botol 895 0 0 0 0 0 0 0 0
0068 Glimepirid 2 Mg 2 Mg Tablet 436 0 0 0 0 0 0 0 0
0069 Gliseril Guaiakolat Tab 100Mg 100 Mg Tablet 25 0 0 0 0 0 0 0 0
0070 Glukose Larutan 10% Botol 5,727 0 0 0 0 0 0 0 0
0071 Glukose Larutan Infus 5% Steril Botol 4,727 0 0 0 0 0 0 0 0
0072 Griseovulfin Tab.125 Mg 125 Mg Tablet 219 0 0 0 0 0 0 0 0
0073 Haloperidol Tab 0,5Mg 0.5 Mg Tablet 59 0 0 0 0 0 0 0 0
0074 Haloperidol Tab 0,5Mg 0.5 Mg Tablet 60 0 0 0 0 0 0 0 0
0075 Haloperidol Tab 1,5Mg 1.5 Mg Tablet 69 0 0 0 0 0 0 0 0
0076 Haloperidol Tab 5Mg 5 Mg Tablet 96 0 0 0 0 0 0 0 0
0077 Hidrokortison Salep Kulit 2.5 % Tube 2,700 0 0 0 0 0 0 0 0
0078 Hiosina N Butil Bromida 10 Mg 10 Mg Tablet 1,040 0 0 0 0 0 0 0 0
0079 Hiosina N Butil Bromida Inj/ Spashi Inj 20Mg/Ml 20 Mg / Ml Tablet 225 0 0 0 0 0 0 0 0
0080 Ibuprofen Suspensi 100Mg/5Ml 100 Mg / 5 Ml Botol 3,499 0 0 0 0 0 0 0 0
0081 Isosorbid Dinitrat Tab.Sub Lingual 5Mg 5 Mg Tablet 88 0 0 0 0 0 0 0 0
0082 Kalsium Laktat (Kalk) Tab.500Mg 500 Mg Tablet 44 0 0 0 0 0 0 0 0
0083 Kalsium Laktat (Kalk) Tab.500Mg 500 Mg Tablet 48 0 0 0 0 0 0 0 0
0084 Kaptopril Tablet 12,5 Mg 12.5 Mg Tablet 72 0 0 0 0 0 0 0 0
0085 Kaptopril Tablet 25 Mg 25 Mg Tablet 88 0 0 0 0 0 0 0 0
0086 Ketokonazole 200Mg 200 Mg Tablet 150 0 0 0 0 0 0 0 0
0087 Ketokonazole 200Mg 200 Mg Tablet 150 0 0 0 0 0 0 0 0
0088 Ketokonazole Krim 2% Tube 2,569 0 0 0 0 0 0 0 0
0090 Klidamisin 300 Mg 300 Mg Tablet 550 0 0 0 0 0 0 0 0

hal. 3 LPLPO Puskesmas


Penerimaan
Harga
Kode Nama Barang Kekuatan Satuan Awal Nilai Awal Seksi Jumlah Harga Seksi Persediaan Nilai Persediaan
Satuan Lain Jumlah Harga Lain
Farmasi Farmasi

0092 Klonidin Tab 0.15Mg 0.15 Mg Tablet 184 0 0 0 0 0 0 0 0


0093 Kloramfenikol Kapsul 250 Mg 250 Mg Kapsul 240 0 0 0 0 0 0 0 0
0094 Kloramfenikol Serbuk Inj.1000Mg/Vial 1000 Mg / Vial Vial 7,260 0 0 0 0 0 0 0 0
0095 Kloramfenikol Serbuk Inj.1000Mg/Vial 1000 Mg / Vial Vial 13,200 0 0 0 0 0 0 0 0
0096 Kloramfenikol Tetes Mata 1% Botol 5,500 0 0 0 0 0 0 0 0
0097 Klorpromazine 100 mg 100mG Tablet 144 0 0 0 0 0 0 0 0
0098 Kodein 10 Mg 10 Mg Tablet 500 0 0 0 0 0 0 0 0
0099 Kotrimoksazol 120 Mg 120 Mg Tablet 76 0 0 0 0 0 0 0 0
0100 Kotrimoksazol 480 Mg 480 Mg Tablet 140 0 0 0 0 0 0 0 0
0101 Kotrimoksazol Suspensi Botol 2,350 0 0 0 0 0 0 0 0
0102 Levofloksasin 500 Mg 500 Mg Tablet 528 0 0 0 0 0 0 0 0
0103 Linkomisin Kapsul 500 Mg 500 Mg Kapsul 520 0 0 0 0 0 0 0 0
0104 Loperamide Tab.2 Mg 2 Mg Tablet 89 0 0 0 0 0 0 0 0
0105 Mdt Mb Dewasa Blister 20,906 0 0 0 0 0 0 0 0
0106 Mdt Pb Blister 8,323 0 0 0 0 0 0 0 0
0107 Mdt Pb Dewasa Blister 6,539 0 0 0 0 0 0 0 0
0108 Mdt Pb Anak Blister 8,712 0 0 0 0 0 0 0 0
0109 Metamisol + diazepam (Metaneuron) Tablet 1,142 0 0 0 0 0 0 0 0
0110 Metformin 500 Mg 500 Mg Tablet 105 0 0 0 0 0 0 0 0
0111 Methilergometrin Maleat Inj. 0.200Mg/Ml 0.2 Mg / Ml Tablet 3,500 0 0 0 0 0 0 0 0
0112 Metil Prednisolon Inj500 Mg 500 Mg Ampul 19,200 0 0 0 0 0 0 0 0
0113 Metoklopramid 10 Mg 10 Mg Tablet 89 0 0 0 0 0 0 0 0
0114 Metoklopramid Syrup Botol 2,600 0 0 0 0 0 0 0 0
0115 Metoklopramid 5 Mg/ 5 Ml Inj 5 Mg / 5Ml Ampul 960 0 0 0 0 0 0 0 0
0116 Metronidasol Supositoria Suppositori 3,220 0 0 0 0 0 0 0 0
0117 Mikonazole Krim/Salep 2% Tube 3,000 0 0 0 0 0 0 0 0
0118 Multivitamin & Mineral Tablet (Caviplex) Tablet 348 0 0 0 0 0 0 0 0
0119 Multivitamin & Mineral Tablet& Fe (Fitomega) Tablet 1,153 0 0 0 0 0 0 0 0
0120 Multivitamin Anak Syr Botol 7,150 0 0 0 0 0 0 0 0
0121 Natrium Diklofenak 25Mg 25 Mg Tablet 134 0 0 0 0 0 0 0 0
0122 Natrium Klorida Lar. Infus 0,9% Botol 4,272 0 0 0 0 0 0 0 0
0123 Natrium Tiroksin 100 Mg 100 Mg Tablet 1,390 0 0 0 0 0 0 0 0

hal. 4 LPLPO Puskesmas


Penerimaan
Harga
Kode Nama Barang Kekuatan Satuan Awal Nilai Awal Seksi Jumlah Harga Seksi Persediaan Nilai Persediaan
Satuan Lain Jumlah Harga Lain
Farmasi Farmasi

0124 Neurotropik (Molaneuron) Tablet 440 0 0 0 0 0 0 0 0


0125 Nifedipin 10 Mg 10 Mg Kapsul 100 0 0 0 0 0 0 0 0
0126 Nistatin 500.000 Iu Tablet Salut 500.000 Iu Tablet 640 0 0 0 0 0 0 0 0
0127 Oat Kategori 1 (Fdc) Paket 359,900 0 0 0 0 0 0 0 0
0128 Oat Kategori Anak (Fdc) Paket 214,990 0 0 0 0 0 0 0 0
0129 Obat Batuk & Flu Sirup Botol 8,000 0 0 0 0 0 0 0 0
0130 Obat Batuk & Flu Tablet Tab 238 0 0 0 0 0 0 0 0
0131 Obh Cairan Berasa Botol 4,400 0 0 0 0 0 0 0 0
0132 Ofloksasin Tab.200Mg Tablet 590 0 0 0 0 0 0 0 0
0133 Oksitetrasiklin Salep Mata 1% Tube 1,600 0 0 0 0 0 0 0 0
0134 Oksitetrasiklin Salep Klulit 3% Tube 2,010 0 0 0 0 0 0 0 0
0135 Oksitosin Inj Ampul 2,650 0 0 0 0 0 0 0 0
0136 Ondansentro 4 Mg 4 Mg Tablet 716 0 0 0 0 0 0 0 0
0137 Papaverin Inj 40Mg / Ml Ampul 1,150 0 0 0 0 0 0 0 0
0138 Parasetamol 500Mg 500 Mg Tablet 81 0 0 0 0 0 0 0 0
0139 Parasetamol Drop 15Mg 15 Mg Botol 5,227 0 0 0 0 0 0 0 0
0140 Parasetamol Sirup 125Mg/5Ml 125 Mg / 5 Ml Botol 1,319 0 0 0 0 0 0 0 0
0141 Piracetam Inj 200Mg / Ml 200Mg / Ml Ampul 1,925 0 0 0 0 0 0 0 0
0142 Pirantel 125 Mg Suspensi 125 Mg Botol 8,250 0 0 0 0 0 0 0 0
0143 Pirazinamida Tab. 500Mg 500 Mg Tablet 198 0 0 0 0 0 0 0 0
0144 Piridoksin Tab. 10Mg 10 Mg Tablet 15 0 0 0 0 0 0 0 0
0145 Piroksikam Tab.10Mg 10 Mg Tablet 84 0 0 0 0 0 0 0 0
0146 Polikrosulen Konsentrat Botol 24,970 0 0 0 0 0 0 0 0
0147 Prednison Tab. 5Mg 5 Mg Tablet 114 0 0 0 0 0 0 0 0
0148 Prednison Tab. 5Mg 5 Mg Tablet 64 0 0 0 0 0 0 0 0
0149 Propanolol Tab.10Mg 10 Mg Tablet 77 0 0 0 0 0 0 0 0
0150 Propanolol Tab.10Mg 10 Mg Tablet 77 0 0 0 0 0 0 0 0
0151 Ranitidin 150 Mg 150 Mg Tablet 120 0 0 0 0 0 0 0 0
0152 Resperidon 2 Mg 2 Mg Tablet 1,008 0 0 0 0 0 0 0 0
0153 Rifampisin 300 Mg 300 Mg Tablet 376 0 0 0 0 0 0 0 0
0154 Rifampisin 450 Mg 450 Mg Tablet 660 0 0 0 0 0 0 0 0
0155 Rifampisin 450 Mg 450 Mg Kapsul 594 0 0 0 0 0 0 0 0

hal. 5 LPLPO Puskesmas


Penerimaan
Harga
Kode Nama Barang Kekuatan Satuan Awal Nilai Awal Seksi Jumlah Harga Seksi Persediaan Nilai Persediaan
Satuan Lain Jumlah Harga Lain
Farmasi Farmasi

0156 Ringer Laktat Larutan Infus Botol 5,200 0 0 0 0 0 0 0 0


0157 Salep 2-4 Pot 2,000 0 0 0 0 0 0 0 0
0158 Salbutamol Inhaler Botol 57,955 0 0 0 0 0 0 0 0
0159 Sefadroksil 500 Mg 500 Mg Kapsul 463 0 0 0 0 0 0 0 0
0160 Sefadroksil Syr Botol 4,896 0 0 0 0 0 0 0 0
0161 Sefalexin 500 Mg 500 Mg Tablet 972 0 0 0 0 0 0 0 0
0163 Sefiksim Syr 100 Mg/5 Mg 100 Mg/ 5 Ml Botol 8,800 0 0 0 0 0 0 0 0
0164 Sefotaksim Inj Vial 6,800 0 0 0 0 0 0 0 0
0165 Sefriakson Inj.1 G/Vial 1 G / Vial Vial 4,000 0 0 0 0 0 0 0 0
0166 Sianokobalamin (B12) Inj Ampul 1,077 0 0 0 0 0 0 0 0
0167 Simetidin Tab. 200 Mg Tablet 115 0 0 0 0 0 0 0 0
0168 Simvastatin Tab.10 Mg 10 Mg Tablet 563 0 0 0 0 0 0 0 0
0169 Siprofloxacin Tab 500Mg 500 Mg Tablet 250 0 0 0 0 0 0 0 0
0170 Spirolactone 100Mg Tablet 950 0 0 0 0 0 0 0 0
0171 Tetrasiklin 500 Mg 500 Mg Kapsul 206 0 0 0 0 0 0 0 0
0172 Thiamin Hcl (Vit B1) Inj. 100Mg/-1Ml 100 Mg / 1 Ml Ampul 680 0 0 0 0 0 0 0 0
0173 Thiamin Hcl (Vit B1) Tablet 50Mg 50 Mg Tablet 38 0 0 0 0 0 0 0 0
0174 Tiamfenikol Kapsul 500Mg 500 Mg Kapsul 431 0 0 0 0 0 0 0 0
0175 Tramadol hcl 50 mg/mL Inj 50 Mg / Ml Ampul 2,395 0 0 0 0 0 0 0 0
0176 Trifluoperazine 5 Mg 5 Mg Tablet 4,455 0 0 0 0 0 0 0 0
0177 Valsatran 80mG 80 mG Kapsul 3,900 0 0 0 0 0 0 0 0
0178 Vitamin A Kapsul 100.000 Iu 100.000 Iu Kapsul 260 0 0 0 0 0 0 0 0
0179 Vitamin A Kapsul 100.000 Iu 100.000 Iu Kapsul 260 0 0 0 0 0 0 0 0
0180 Vitamin A Kapsul 200.000 Iu 200.000 Iu Kapsul 459 0 0 0 0 0 0 0 0
0181 Yodium Povidon Lart. 10 % 30 Ml 30 Ml Botol 2,000 0 0 0 0 0 0 0 0
0182 Yodium Povidon Lart. 10 % 300 Ml 300 Ml Botol 14,203 0 0 0 0 0 0 0 0
0183 Zink Tablet Tablet 433 0 0 0 0 0 0 0 0
0184 Sediaan Menjaga Fungsi Kes. Hati Tablet 2,540 0 0 0 0 0 0 0 0
0185 Sediaan Menjaga Fungsi Kes. Hati Tablet 2,794 0 0 0 0 0 0 0 0
0186 Sediaan Meringankan Wasir (Haemorogard) Kapsul 1,407 0 0 0 0 0 0 0 0
0187 Sediaan Menjaga Fungsi Kes. Hati (Hepagard) Tablet 2,794 0 0 0 0 0 0 0 0
0188 Sediaan Menjaga Kesehatan Mata (Ocugard) Kapsul 4,723 0 0 0 0 0 0 0 0

hal. 6 LPLPO Puskesmas


Penerimaan
Harga
Kode Nama Barang Kekuatan Satuan Awal Nilai Awal Seksi Jumlah Harga Seksi Persediaan Nilai Persediaan
Satuan Lain Jumlah Harga Lain
Farmasi Farmasi

0189 Sediaan Meringankan Wasir (Haemorogard) Kapsul 1,551 0 0 0 0 0 0 0 0


0190 Minyak Telon Botol 15,100 0 0 0 0 0 0 0 0
0191 Glass Ionomer (Fuji Ix) Botol 715,000 0 0 0 0 0 0 0 0
0192 Semen Seng Fosfat Serbuk & Cairan Botol 187,000 0 0 0 0 0 0 0 0
0193 Monoklor Kamfr Cairan/ Chkm Botol 74,965 0 0 0 0 0 0 0 0
0194 Devitalisasi Pasta (Devitec) Botol 519,200 0 0 0 0 0 0 0 0
0195 Etil Klorid Semprot Botol 100m 115,500 0 0 0 0 0 0 0 0
0196 Kalsidor Botol 314,985 0 0 0 0 0 0 0 0
0197 Mumyfiying Pasta Botol 256,960 0 0 0 0 0 0 0 0
0198 Spongostan (Curaspon 2 X 30) Kotak 334,500 0 0 0 0 0 0 0 0
0199 Trikresol Formalin (Tkf) Botol 89,980 0 0 0 0 0 0 0 0
0200 Tumpatan Sementara / Caviton Botol 187,990 0 0 0 0 0 0 0 0
0201 Amonium Oksalat Botol 47,000 0 0 0 0 0 0 0 0
0202 Anti A Botol 250,000 0 0 0 0 0 0 0 0
0203 Anti B Botol 226,667 0 0 0 0 0 0 0 0
0204 Anti AB Botol 283,333 0 0 0 0 0 0 0 0
0205 Anti D / Resus Botol 450,000 0 0 0 0 0 0 0 0
0206 Antigen S (Parathypi Ao) 50221 Botol 243,750 0 0 0 0 0 0 0 0
0207 Antigen S (Thypi O) 50281 Botol 231,250 0 0 0 0 0 0 0 0
0208 Antigens (Parathypi Ah) 50211 Botol 231,250 0 0 0 0 0 0 0 0
0209 Asam Asetat 6% Botol 100m 45,000 0 0 0 0 0 0 0 0
0210 Carbol Fuchsin Botol 100,430 0 0 0 0 0 0 0 0
0211 Diluent Kit 3,917,100 0 0 0 0 0 0 0 0
0212 Hb Hemoglobin Test (Mision) Box/ 50 400,000 0 0 0 0 0 0 0 0
0213 Hbsag Entebe Box 660,000 0 0 0 0 0 0 0 0
0214 Iodin Tes Botol 5,250 0 0 0 0 0 0 0 0
0215 KOH 10% Botol 250 105,000 0 0 0 0 0 0 0 0
0216 Larutan EDTA 10% Botol 95,000 0 0 0 0 0 0 0 0
0217 Larutan Eosin 2 % Botol 155,000 0 0 0 0 0 0 0 0
0218 Larutan Gabbet Botol 55,000 0 0 0 0 0 0 0 0
0219 Larutan Giemsa Stain Botol 592,900 0 0 0 0 0 0 0 0
0220 Larutan Hayem Botol 41,800 0 0 0 0 0 0 0 0

hal. 7 LPLPO Puskesmas


Penerimaan
Harga
Kode Nama Barang Kekuatan Satuan Awal Nilai Awal Seksi Jumlah Harga Seksi Persediaan Nilai Persediaan
Satuan Lain Jumlah Harga Lain
Farmasi Farmasi

0221 Larutan Hcl 0.1 N Botol 11,000 0 0 0 0 0 0 0 0


0222 Larutan Turk Botol 49,500 0 0 0 0 0 0 0 0
0223 Lyse 960mL Botol 4,243,800 0 0 0 0 0 0 0 0
0224 Metanol Botol 332,600 0 0 0 0 0 0 0 0
0225 Ph Paper Pak 50,000 0 0 0 0 0 0 0 0
0226 Rapid Tes Hiv (Intec) Test 20,227 0 0 0 0 0 0 0 0
0227 Reagen Ziechl Nealson Kit 5X 100 267,550 0 0 0 0 0 0 0 0
0228 Syphilis Reagen (Tpha) STRIP 17,204 0 0 0 0 0 0 0 0
0229 Tes Kehamilan Piecis 1,500 0 0 0 0 0 0 0 0
0230 Xylol Botol 77,000 0 0 0 0 0 0 0 0
0231 Ads 0.05Ml Piecis 3,000 0 0 0 0 0 0 0 0
0232 Ads 0.05Ml Piecis 3,000 0 0 0 0 0 0 0 0
0234 Alat Suntik Sekali Pakai 1 ml Tuberculin Piecis 1,045 0 0 0 0 0 0 0 0
0235 Alat Suntik Sekali Pakai 10 ml Piecis 1,320 0 0 0 0 0 0 0 0
0236 Alat Suntik Sekali Pakai 3 ml Piecis 957 0 0 0 0 0 0 0 0
0237 Bisturi No 11 Piecis 2,200 0 0 0 0 0 0 0 0
0238 Box Slide Piecis 3,600 0 0 0 0 0 0 0 0
0239 Cairan Cuci Tangan Bilas (Hand Wash) Botol 52,800 0 0 0 0 0 0 0 0
0240 Cairan Cuci Tangan Tanpa Bilas (Hand Scrap) Botol 88,000 0 0 0 0 0 0 0 0
0241 Catgut 2/0 Set 26,620 0 0 0 0 0 0 0 0
0242 Clorin / Naocl Botol 6,900 0 0 0 0 0 0 0 0
0243 Cotton Aplikator Box 121,000 0 0 0 0 0 0 0 0
0244 Dec Glass Box 220 0 0 0 0 0 0 0 0
0245 Dressing Penutup Luka Roll 101,090 0 0 0 0 0 0 0 0
0246 Etanol 70% Botol 2,500 0 0 0 0 0 0 0 0
0247 Gel Untuk Ekg 82gr Tube 44,000 0 0 0 0 0 0 0 0
0248 H2O2 2 % Botol 9,800 0 0 0 0 0 0 0 0
0249 Handscoon / Steril No. 6 Pasang 4,235 0 0 0 0 0 0 0 0
0250 Handscoon / Steril No. 6,5 Pasang 4,235 0 0 0 0 0 0 0 0
0251 Handscoon / Steril No. 7 Pasang 4,235 0 0 0 0 0 0 0 0
0252 Handscoon / Steril No.8 Pasang 8,736 0 0 0 0 0 0 0 0
0255 Infuset Anak Set 3,325 0 0 0 0 0 0 0 0

hal. 8 LPLPO Puskesmas


Penerimaan
Harga
Kode Nama Barang Kekuatan Satuan Awal Nilai Awal Seksi Jumlah Harga Seksi Persediaan Nilai Persediaan
Satuan Lain Jumlah Harga Lain
Farmasi Farmasi

0256 Masker Nebul Anak Set 30,000 0 0 0 0 0 0 0 0


0257 Masker Nebul Dewasa Set 30,000 0 0 0 0 0 0 0 0
0258 Kaca Mulut + Handle Set 24,530 0 0 0 0 0 0 0 0
0259 Kasa Pembalut Hidrofil 4M X 15 Cm Roll 3,355 0 0 0 0 0 0 0 0
0260 Lancet Piecis 175 0 0 0 0 0 0 0 0
0261 Masker Telinga/Earloop Piecis 990 0 0 0 0 0 0 0 0
0262 Needle No.20 Piecis 500 0 0 0 0 0 0 0 0
0263 Needle No.23 Piecis 500 0 0 0 0 0 0 0 0
0265 Objek Glass Piecis 271 0 0 0 0 0 0 0 0
0266 Objek Glass Piecis 271 0 0 0 0 0 0 0 0
0267 Plester Roll 24,970 0 0 0 0 0 0 0 0
0268 Safety Box 2.5 Lt Piecis 20,700 0 0 0 0 0 0 0 0
0269 Silk 2/0 Set 23,100 0 0 0 0 0 0 0 0
0270 Silk 3/0 Set 6,930 0 0 0 0 0 0 0 0
0271 Urin Bag Buah 8,000 0 0 0 0 0 0 0 0
0272 Wing Needle No. 23 Set 5,500 0 0 0 0 0 0 0 0
0273 Alkohol Swab Piecis 100 0 0 0 0 0 0 0 0
0274 Masker Tali/Tie On Piecis 990 0 0 0 0 0 0 0 0
0275 Pot Sputum Piecis 2,790 0 0 0 0 0 0 0 0
0276 Pot Sputum Piecis 2,930 0 0 0 0 0 0 0 0
0277 Iv. Catteter (Introcan) No 24 Pcs 8,751 0 0 0 0 0 0 0 0
0278 Alat Suntik 5 mL Terumo Pcs 1,348 0 0 0 0 0 0 0 0
0279 Nistatin 100.000 Iu 500.000 Iu Tablet 640 0 0 0 0 0 0 0 0
0280 Gentamicin Tetes Mata 0,3% Botol 3,194 0 0 0 0 0 0 0 0
0281 Bisakodil (Bicolax) 5mG Tablet 867 0 0 0 0 0 0 0 0
0282 Dexamethasone 0.5Mg 0.5 MG Tablet 67 0 0 0 0 0 0 0 0
0283 Gentamicin Salep Mata 0,3%(Genoint) Tube 2,600 0 0 0 0 0 0 0 0
0284 Vitamin B.Complek Tablet 111 0 0 0 0 0 0 0 0
0285 Lidokain + ephinefrin (Pehacain) Ampul 3,153 0 0 0 0 0 0 0 0
0286 Iv. Catteter (Introcan) No 22 Pcs 8,751 0 0 0 0 0 0 0 0
0287 Iv. Catteter (Introcan) No 24 Pcs 8,751 0 0 0 0 0 0 0 0
0288 Sianokobalaimin (Vit. B12) Tablet Tablet 57 0 0 0 0 0 0 0 0

hal. 9 LPLPO Puskesmas


Penerimaan
Harga
Kode Nama Barang Kekuatan Satuan Awal Nilai Awal Seksi Jumlah Harga Seksi Persediaan Nilai Persediaan
Satuan Lain Jumlah Harga Lain
Farmasi Farmasi

0289 Salbutamol 2Mg Tablet 59 0 0 0 0 0 0 0 0


0290 Diazepam (Valdimex) 5Mg Tablet 1,210 0 0 0 0 0 0 0 0
0291 Chlorpheniramine Maleat (Ctm) 4mG Tablet 51 0 0 0 0 0 0 0 0
0292 Strip Cholesterol (Nesco) Box 143,000 0 0 0 0 0 0 0 0
0293 Strip Asam Urat (Nesco) Box 93,500 0 0 0 0 0 0 0 0
0294 Strip Gula (Nesco) Box 88,000 0 0 0 0 0 0 0 0
0296 Kloramphenicol Injeksi (Chlorbiotic) Ampul 7,260 0 0 0 0 0 0 0 0
0297 Fenobarbital (Sibital) 50Mg Tablet 1,573 0 0 0 0 0 0 0 0
0298 Metronidazol 500Mg Tablet 176 0 0 0 0 0 0 0 0
0299 Metronidazol 250 Mg Tablet 122 0 0 0 0 0 0 0 0
0300 Antidiare (Omegdiar) Tab 250 0 0 0 0 0 0 0 0
0301 Kapas Pembalut Hidrofil Drc25 Rol 24,000 0 0 0 0 0 0 0 0
0302 Kasa Kompres 40X40 Rol 1,800 0 0 0 0 0 0 0 0
0303 Kasa Hidrofil 2Mx80Cm Pad 9,400 0 0 0 0 0 0 0 0
0304 Amoksisilin Sirup Kering 125Mg/ 5Ml 125 Mg / 5 mL Botol 2,445 0 0 0 0 0 0 0 0
0306 Infuset T-Y ( Dewasa) Pcs 4,975 0 0 0 0 0 0 0 0
0307 Omeprazole Kapsul 211 0 0 0 0 0 0 0 0
0308 Biosat 1.5 Ampul 123,338 0 0 0 0 0 0 0 0
0309 Tablet Tambah Darah Tablet 42 0 0 0 0 0 0 0 0
0233 Ads 0.5Ml Piecis 2,517 0 0 0 0 0 0 0 0
0311 Catgut 3/0 Set 24,530 0 0 0 0 0 0 0 0
0312 Bisakodil (Dulcolax) 5 Mg Suppositori 4,990 0 0 0 0 0 0 0 0
0313 Cetirizine Kapsul 313 0 0 0 0 0 0 0 0
0314 Serum Anti Tetanus (Biosat 1.500 IU) Ampul 123,338 0 0 0 0 0 0 0 0
0315 Bedak Salisil 2% Box 1,250 0 0 0 0 0 0 0 0
0316 Bedak Salisil 2% Box 1,250 0 0 0 0 0 0 0 0
0317 Bedak Salisil 2% Box 1,250 0 0 0 0 0 0 0 0
0319 Bedak Salisil 2% Box 1,250 0 0 0 0 0 0 0 0
0320 Bedak Salisil 2% Box 1,250 0 0 0 0 0 0 0 0
0322 Bedak Salisil 2% Box 1,250 0 0 0 0 0 0 0 0
0323 Calcii Gluconas i.m./i.v Injeksi 100 mg/mL Ampul 7,800 0 0 0 0 0 0 0 0
0324 Antigen S (Thypi H) 50271 Botol 231,250 0 0 0 0 0 0 0 0

hal. 10 LPLPO Puskesmas


Penerimaan
Harga
Kode Nama Barang Kekuatan Satuan Awal Nilai Awal Seksi Jumlah Harga Seksi Persediaan Nilai Persediaan
Satuan Lain Jumlah Harga Lain
Farmasi Farmasi

0325 Ibuprofen tablet 400mg 400mg Tablet 150 0 0 0 0 0 0 0 0


0326 Methilergometrin Maleat Tablet 154 0 0 0 0 0 0 0 0
0327 Betametason Valerat 0.1% Tube 1,520 0 0 0 0 0 0 0 0
0328 Tule Grase Piecis 14,300 0 0 0 0 0 0 0 0
0329 Glibenklamid 5 mG Tablet 56 0 0 0 0 0 0 0 0
0330 Cleaner Botol 960m 2,612,500 0 0 0 0 0 0 0 0
0331 Rapid Tes HIV 3 (Vikia) Card 20,237 0 0 0 0 0 0 0 0
0332 Rapid Tes HIV (Oncoprobe) Strip 22,268 0 0 0 0 0 0 0 0
0333 Uric acid lc Kit 798,600 0 0 0 0 0 0 0 0
0334 Alat Suntik Sekali Pakai 5 ml Pcs 13,487 0 0 0 0 0 0 0 0
0335 Asam Mefenamat Kaplet 500 Mg Tablet 0 0 0 0 0 0 0 0 0
0336 Cairan Cuci Tangan Bilas ( One Scrub) 500mL Botol 62,500 0 0 0 0 0 0 0 0
0337 Ibuprofen tablet 200mg 200mG Tablet 110 0 0 0 0 0 0 0 0
0338 Obat Tetes Hidung oksimetazolin ( Iliadin Drop) Box 28,652 0 0 0 0 0 0 0 0
0339 Oksitetrasiklin Salep Mata 1% 1% Tube 3,220 0 0 0 0 0 0 0 0
0340 Fitominadion Inj./ 2Mg/Ml 2Mg/Ml Ampul 3,417 0 0 0 0 0 0 0 0
0341 Fenobarbital Inj. I.M/I.V 50Mg/Ml 50Mg/Ml Ampul 1,800 0 0 0 0 0 0 0 0
0342 Vitamin A Kapsul 100.000 Iu Kapsul 260 0 0 0 0 0 0 0 0
0343 Vitamin A Kapsul 200.000 Iu 200.000 Iu Kapsul 450 0 0 0 0 0 0 0 0
0344 Iodin Tes Botol 2,750 0 0 0 0 0 0 0 0
0345 Fenitoin Natrium 30Mg 30mG Tablet 133 0 0 0 0 0 0 0 0
0347 Glucose Kit 822,200 0 0 0 0 0 0 0 0
0348 Metil Prednisolon Tablet 205 0 0 0 0 0 0 0 0
0349 Triheksipenidil (Hexymer) 2mG Tablet 334 0 0 0 0 0 0 0 0
0351 Iv. Catteter No 16 Otsuka Piecis 7,755 0 0 0 0 0 0 0 0
0352 Glucose 112191 Kit 4x100m 822,800 0 0 0 0 0 0 0 0
0353 Uric Acid 103692 Kit 1,730,300 0 0 0 0 0 0 0 0
0354 Cholesterol 101592 Botol 1,936,000 0 0 0 0 0 0 0 0
0355 SGPT Box 1,277,760 0 0 0 0 0 0 0 0
0356 SGOT Kit 1,277,760 0 0 0 0 0 0 0 0
0357 Triglycerid 116392 Kit 2,795,100 0 0 0 0 0 0 0 0
0358 Urea 110491 Kit 638,880 0 0 0 0 0 0 0 0

hal. 11 LPLPO Puskesmas


Penerimaan
Harga
Kode Nama Barang Kekuatan Satuan Awal Nilai Awal Seksi Jumlah Harga Seksi Persediaan Nilai Persediaan
Satuan Lain Jumlah Harga Lain
Farmasi Farmasi

0359 Creatinin 105191 Kit 200ml 678,810 0 0 0 0 0 0 0 0


0360 Ondansentro 4 Mg/2mL 4mG Ampul 2,400 0 0 0 0 0 0 0 0
0361 Ringer Laktat Larutan Infus Botol 500m 5,200 0 0 0 0 0 0 0 0
0362 Natrium Klorida Lar. Infus 0,9% Botol 4,700 0 0 0 0 0 0 0 0
0363 Urinarix 10 Parameter Tube 261,750 0 0 0 0 0 0 0 0
0364 Yellow Tip Piecis 121 0 0 0 0 0 0 0 0
0365 Blue Tips Piecis 61 0 0 0 0 0 0 0 0
0366 Clopidogrel 75mG 75mG Kapsul 3,400 0 0 0 0 0 0 0 0
0367 Infuset Anak Piecis 4,400 0 0 0 0 0 0 0 0
0368 Wing Needle No. 25 Set 5,500 0 0 0 0 0 0 0 0
0370 Metil Prednisolon 500 mG Tablet 205 0 0 0 0 0 0 0 0
0371 Oat Kategori 2 Paket 1,199,990 0 0 0 0 0 0 0 0
0372 Rapid Tes Hiv (Oncoprobe) Box 1,375,000 0 0 0 0 0 0 0 0
0373 Ranitidin 150 Mg 150 mG Tablet 120 0 0 0 0 0 0 0 0
0374 Kloramfenikol Tetes Mata (Reco 5mL) Botol 6,050 0 0 0 0 0 0 0 0
0375 Parasetamol 500Mg 500mG Tablet 89 0 0 0 0 0 0 0 0
0376 Nistatin 500.000 Iu Tablet Salut 500.000 Iu Tablet 640 0 0 0 0 0 0 0 0
0377 Fitominadion 10mG 10 mG Tablet 630 0 0 0 0 0 0 0 0
0378 Amoksisilin Kaplet 500 Mg 500mG Tablet 272 0 0 0 0 0 0 0 0
0379 Betametason Valerat 0.1% Tube 1,520 0 0 0 0 0 0 0 0
0380 Antihemoroid supp Suppositori 3,045 0 0 0 0 0 0 0 0
0381 Kloramfenikol salep kulit ( Bufacetin) 15g Tube 3,876 0 0 0 0 0 0 0 0
0382 Permethrin 5% (Scabimite) 10 G Tube 11,475 0 0 0 0 0 0 0 0
0383 Mineral Mix Sachet 2,450 0 0 0 0 0 0 0 0
0384 Alat Test Cepat Garam Beryodium Kit 34,837 0 0 0 0 0 0 0 0
0385 MgSO4 20% Ampul 7,800 0 0 0 0 0 0 0 0
0386 CA Glukonas 10 24 Amp/10 CC - E Ampul 2,800 0 0 0 0 0 0 0 0
0387 Albendasol 400 Mg 400mG Tablet 344 0 0 0 0 0 0 0 0
0388 Serum Anti Bisa Ular I (Biosave) 5mL Vial 461,175 0 0 0 0 0 0 0 0
0389 Amlodipin 5mG 5mG Tablet 187 0 0 0 0 0 0 0 0
0390 Amlodipin 10mG 10mG Tablet 330 0 0 0 0 0 0 0 0
0391 Rapid Tes HIV 3 (Vikia) Card 49,500 0 0 0 0 0 0 0 0

hal. 12 LPLPO Puskesmas


Penerimaan
Harga
Kode Nama Barang Kekuatan Satuan Awal Nilai Awal Seksi Jumlah Harga Seksi Persediaan Nilai Persediaan
Satuan Lain Jumlah Harga Lain
Farmasi Farmasi

0392 Rapid Tes Hiv (Intec) Card 55,000 0 0 0 0 0 0 0 0


0393 Haloperidol Tab 1,5Mg 1,5mG Tablet 69 0 0 0 0 0 0 0 0
0394 Acid Sulfuric @ 35 KG BTL 200,000 0 0 0 0 0 0 0 0
0396 Eritromisin Kapsul 250 Mg 250MG Tablet 497 0 0 0 0 0 0 0 0
0397 Masker Telinga Plus Piecis 440 0 0 0 0 0 0 0 0
0398 Ibuprofen Suspensi 100Mg/5Ml 100 mG/5mL Botol 3,499 0 0 0 0 0 0 0 0
0399 Alat Suntik Sekali Pakai 1 ml Tuberculin Terumo Piecis 1,540 0 0 0 0 0 0 0 0
0400 Dihidro Artemisin + Piperakuin (DHP) Tablet 4,216 0 0 0 0 0 0 0 0
0401 Primakuin 15mG 15mg Tablet 2,607 0 0 0 0 0 0 0 0
0402 Artesunate inj. 60mG 60 mG Vial 33,792 0 0 0 0 0 0 0 0
0403 hidrokortison Salep Kulit 2.5 % 2,5% Tube 2,798 0 0 0 0 0 0 0 0
0404 Needle No.26 Piecis 550 0 0 0 0 0 0 0 0
0406 Oksitetrasiklin Salep Klulit 3% 3% tube 2,010 0 0 0 0 0 0 0 0
0407 Gliseril Guaiakolat Tab 100Mg 100 mg Tablet 41 0 0 0 0 0 0 0 0
0408 Vitamin B1 (Thiamin) 50 mG Tablet 40 0 0 0 0 0 0 0 0
0409 Hiosina N Butil Bromida 10 Mg (Scopma) 10 mG Tablet 1,440 0 0 0 0 0 0 0 0
0410 Bur Diamond BC 31 Piecis 23,000 0 0 0 0 0 0 0 0
0411 BUR Diamond BR 45 Piecis 23,000 0 0 0 0 0 0 0 0
0412 BUR Diamond BR 46 Piecis 23,000 0 0 0 0 0 0 0 0
0413 Bur Diamond TC 21 Piecis 23,000 0 0 0 0 0 0 0 0
0414 Klorpromazine 100 mg 100mG Tablet 144 0 0 0 0 0 0 0 0
0415 Pot Sputum Piecis 1,750 0 0 0 0 0 0 0 0
0416 Metronidazol 500 MG/ML Infus 500 MG/ML Botol 9,950 0 0 0 0 0 0 0 0
0417 Trifluoperazine 5 Mg 5 MG Tablet 405 0 0 0 0 0 0 0 0
0418 Asam Mefenamat Kaplet 500 Mg (Licostan) 500mG Tablet 112 0 0 0 0 0 0 0 0
0419 Ondansentro 4 Mg 4mG Tablet 716 0 0 0 0 0 0 0 0
0420 Asam Asetyl Salisilat (Miniaspi) 80 MG Tablet 148 0 0 0 0 0 0 0 0
0421 Glibenklamid 5MG Tablet 56 0 0 0 0 0 0 0 0
0422 Rifampisin 450 Mg 450 MG Tablet 789 0 0 0 0 0 0 0 0
0423 Haloperidol Tab 5Mg 5 MG Tablet 96 0 0 0 0 0 0 0 0
0424 Urinarix 10 Parameter Tube 268,125 0 0 0 0 0 0 0 0
0425 Bisoprolol 5 Mg 5 MG Tablet 645 0 0 0 0 0 0 0 0

hal. 13 LPLPO Puskesmas


Penerimaan
Harga
Kode Nama Barang Kekuatan Satuan Awal Nilai Awal Seksi Jumlah Harga Seksi Persediaan Nilai Persediaan
Satuan Lain Jumlah Harga Lain
Farmasi Farmasi

0426 Flunarisin 10MG (Seremig) 10MG Tablet 2,200 0 0 0 0 0 0 0 0


0427 Obh Cairan Berasa Botol 6,050 0 0 0 0 0 0 0 0
0428 Betahistin 6MG 6MG Tablet 924 0 0 0 0 0 0 0 0
0429 Sediaan mengandung heparin (Hyco Gel) Tube 15 gr 20,020 0 0 0 0 0 0 0 0
0430 Sediaan mengandung ekstrak plasenta dan neomycin sulfat (Neocenta gel) Tube 15 gr 12,309 0 0 0 0 0 0 0 0
0431 Sediaan minimal mengandung pancreatin dan dimethylpolysiloxane (BerzympTablet 1,650 0 0 0 0 0 0 0 0
0432 Sediaan Mminimal mengandung ekstrak jahe dan Vit B6 (Nuvogin) tab 3,295 0 0 0 0 0 0 0 0
0433 Sediaan mengandung ekstrak Curcuma (Cavicur) Tablet 495 0 0 0 0 0 0 0 0
0434 Sediaan mengandung glucosamin HCL, Chondroitin sulfate, vit C, Mn (OsteotiTablet 3,284 0 0 0 0 0 0 0 0
0435 Sediaan mengandung ekstak apii herba dan ekstrak orthosipon folium (TensigTablet 2,127 0 0 0 0 0 0 0 0
0436 Metamisol + diazepam (Metaneuron) Tablet 1,139 0 0 0 0 0 0 0 0
0437 Ambroxol syrup 15mg/5ml 15mg/ 5ml Botol 3,297 0 0 0 0 0 0 0 0
0438 Kloramfenikol tetes telinga Botol 5ml 2,365 0 0 0 0 0 0 0 0
0439 Sulfasetamid Tetes mata Botol 5ml 3,443 0 0 0 0 0 0 0 0
0440 Sediaan Menjaga Kesehatan Fungsi Hati (Hepagard) Tablet 2,794 0 0 0 0 0 0 0 0
0441 Asiklovir Krim 5% 5% Tube 5gr 2,998 0 0 0 0 0 0 0 0
0442 Triamsinolon Asetonida 1mg (Bufacom) Tube 5gr 15,950 0 0 0 0 0 0 0 0
0443 Multivitamin & Mineral Tablet& Fe (Vitalamin) Kaplet 303 0 0 0 0 0 0 0 0
0444 Kasa Elastis 4 X 15 Roll 16,500 0 0 0 0 0 0 0 0
0445 Yellow Tip Piecis 98 0 0 0 0 0 0 0 0
0446 Blue Tips Piecis 110 0 0 0 0 0 0 0 0
0447 Lancet ( Lotus) Piecis 145 0 0 0 0 0 0 0 0
0448 Tabung Vacumtainer EDTA 3ml (onemed) Piecis 1,210 0 0 0 0 0 0 0 0
0449 Asering 500Cc 500cc Botol 9,000 0 0 0 0 0 0 0 0
0451 Minyak kayu Putih Botol 17,300 0 0 0 0 0 0 0 0
0452 Etanol 70% 100ml 70% Botol 4,900 0 0 0 0 0 0 0 0
0453 Plester (leukoplast) piecis 9,400 0 0 0 0 0 0 0 0
0454 Plester (leukoplast) Piecis 9,400 0 0 0 0 0 0 0 0
0455 Yodium Povidon (Betadine) 5ml Botol 3,600 0 0 0 0 0 0 0 0
0456 Rivanol Piecis 5,500 0 0 0 0 0 0 0 0
0457 Kasa Piecis 1,200 0 0 0 0 0 0 0 0
0458 Alat Test Cepat Garam Beryodium Kit 31,650 0 0 0 0 0 0 0 0

hal. 14 LPLPO Puskesmas


Penerimaan
Harga
Kode Nama Barang Kekuatan Satuan Awal Nilai Awal Seksi Jumlah Harga Seksi Persediaan Nilai Persediaan
Satuan Lain Jumlah Harga Lain
Farmasi Farmasi

0459 Tablet Tambah Darah Tablet 42 0 0 0 0 0 0 0 0


0460 Lamivudine (3TC) 150 mg 150 mg Tablet 1,400 0 0 0 0 0 0 0 0
0461 Nevirapine 200mG 200 mg Tablet 2,800 0 0 0 0 0 0 0 0
0462 Tenofovir (TDF) 300 mG 300mg Tablet 8,100 0 0 0 0 0 0 0 0
0463 Efavirenz 600mG 600mG Tablet 6,375 0 0 0 0 0 0 0 0
0464 Zidovudine + Lamivudine (300mg/150mg) Tablet 3,429 0 0 0 0 0 0 0 0
0465 Dewasa FDC Triple : Tenofovir 300mG + Lamivudine 300mG + Efavirenz 600mG
Tablet 11,100 0 0 0 0 0 0 0 0
0466 Zidovudine (ZDV) + Lamivudine (3TC) 30mG + Nevirapin (NVP) 50mG Tablet 2,850 0 0 0 0 0 0 0 0
0467 Rapid Tes HIV (SD) Card 22,330 0 0 0 0 0 0 0 0
0468 Rapid Tes Hiv (Intec) Card 22,358 0 0 0 0 0 0 0 0
0469 Rapid Tes Hiv (Oncoprobe) Card 22,385 0 0 0 0 0 0 0 0
0470 Haloperidol Tab 0,5Mg 0.5 Mg Tablet 59 0 0 0 0 0 0 0 0
0473 Alat Tes Kehamilan (terdiri dari 100 strip, untuk 100kali pemeriksaan) PKT @100 S 132,000 0 0 0 0 0 0 0 0
0474 Golongan Darah Anti A Botol 10mL 84,425 0 0 0 0 0 0 0 0
0475 Golongan Darah Anti B Botol 10mL 84,425 0 0 0 0 0 0 0 0
0476 Golongan Darah Anti AB Botol 10mL 84,425 0 0 0 0 0 0 0 0
0477 Golongan Darah Anti D Botol 10mL 84,425 0 0 0 0 0 0 0 0
0478 Kartu Golongan darah PKT @100 27,500 0 0 0 0 0 0 0 0
0479 Autolick Device Buah 27,500 0 0 0 0 0 0 0 0
0480 Jarum autolick Device PKT @100 16,500 0 0 0 0 0 0 0 0
0481 Alat Tes Hemoglobin Tes Metode Sahli (Reagen HCL 0.1N) BTL 100mL 104,500 0 0 0 0 0 0 0 0
0482 Buku Petunjuk Tehnis Penggunaan Alat Deteksi Dini Ibu Hamil Pelayanan atenaBuah 22,000 0 0 0 0 0 0 0 0
0485 Alat Gluko Protein Urine (pemeriksaan 3 parameter : pH, Glucose, Protein). UPKT @100 S 77,000 0 0 0 0 0 0 0 0
0486 Tempat Penampung Urine Cup 16,500 0 0 0 0 0 0 0 0
0487 Cleaner Botol 2,612,500 0 0 0 0 0 0 0 0
0488 Lyse Botol 4,243,800 0 0 0 0 0 0 0 0
0489 Diluent Botol 3,917,100 0 0 0 0 0 0 0 0
0490 Dengue Rapid Test (Right Sign) Box 715,000 0 0 0 0 0 0 0 0
0491 Amoksisilin Sirup Kering 125Mg/ 5Ml Botol 60mL 2,223 0 0 0 0 0 0 0 0
0492 Parasetamol Sirup 120Mg/5Ml Botol 60mL 1,307 0 0 0 0 0 0 0 0
0493 Antasida Doen Tablet Kombinasi Tablet 75 0 0 0 0 0 0 0 0
0494 Asam Askorbat (Vit. C) Tab 50Mg Tablet 95 0 0 0 0 0 0 0 0

hal. 15 LPLPO Puskesmas


Penerimaan
Harga
Kode Nama Barang Kekuatan Satuan Awal Nilai Awal Seksi Jumlah Harga Seksi Persediaan Nilai Persediaan
Satuan Lain Jumlah Harga Lain
Farmasi Farmasi

0495 Parasetamol 500mG 500 mG Tablet 89 0 0 0 0 0 0 0 0


0496 zidovudine (ZDV) 100 mg (REVIRAL) 100mg tablet 1,575 0 0 0 0 0 0 0 0
0497 zidovudine (ZDV) 100 mg 100mg Tablet 1,575 0 0 0 0 0 0 0 0
0498 Alat Suntik Sekali Pakai 3 Ml (Terumo) 3 ml Piecis 957 0 0 0 0 0 0 0 0
0499 creatinin 10051 Kit 200ml 550,000 0 0 0 0 0 0 0 0
0500 Triglycerid 10724 Kit 4x100m 3,509,000 0 0 0 0 0 0 0 0
0501 Uric Acid 10691 Kit 4x100m 3,529,900 0 0 0 0 0 0 0 0
0502 Glucose 10260 Kit 4x100m 1,081,300 0 0 0 0 0 0 0 0
0503 SGOT 12011 kit 10 x 10 687,500 0 0 0 0 0 0 0 0
0504 SGPT 12012 kit 10 x 10 687,500 0 0 0 0 0 0 0 0
0505 Total Protein 157004 Kit 4x100m 579,700 0 0 0 0 0 0 0 0
0506 Albumin 156004 Kit 4x100m 489,500 0 0 0 0 0 0 0 0
0507 Urea 10505 kit 2x200m 610,500 0 0 0 0 0 0 0 0
0508 Hemoglobin 10751 Kit 20 x 25 1,299,100 0 0 0 0 0 0 0 0
0509 Mumyfiying Pasta Botol 520,000 0 0 0 0 0 0 0 0
0510 Spongostan (Curaspon 2 X 30) Kotak 375,000 0 0 0 0 0 0 0 0
0511 Tumpatan Sementara (Caviton) Botol 200,000 0 0 0 0 0 0 0 0
0512 Amoksisilin Kaplet 500 Mg 500 mG Tablet 370 0 0 0 0 0 0 0 0
0513 Amoksisilin Sirup Kering 125Mg/ 5Ml 125 mG/5mL Botol 3,696 0 0 0 0 0 0 0 0
0514 Parasetamol Sirup 120Mg/5Ml 120mG/5mL Botol 2,872 0 0 0 0 0 0 0 0
0515 Parasetamol Drop 15mL 15mL Botol 6,857 0 0 0 0 0 0 0 0
0516 Ibuprofen tablet 200mg 200mG Tablet 208 0 0 0 0 0 0 0 0
0517 Ambroxol syrup 15mg/5ml 15mG/5mL Botol 3,297 0 0 0 0 0 0 0 0
0518 Amlodipin 5mG 5 mG Tablet 959 0 0 0 0 0 0 0 0
0519 Alat Suntik Sekali Pakai 3 Ml (Nipro) 3mL Piecis 792 0 0 0 0 0 0 0 0
0520 Parasetamol 500Mg (Trifamol) 500mG Tablet 89 0 0 0 0 0 0 0 0
0521 Kalsium Laktat (Kalk) Tab.500Mg 500mG Tablet 70 0 0 0 0 0 0 0 0
0522 Ibuprofen tablet 400mg 400mG Tablet 150 0 0 0 0 0 0 0 0
0523 Etanol 70% 70% Botol 100m 2,500 0 0 0 0 0 0 0 0
0524 Furosemida Tab 40Mg 40mG Tablet 85 0 0 0 0 0 0 0 0
0525 Isosorbid Dinitrat Tab.Sub Lingual 5Mg 5mG Tablet 88 0 0 0 0 0 0 0 0
0526 Tablet Tambah Darah Tablet 50 0 0 0 0 0 0 0 0

hal. 16 LPLPO Puskesmas


Penerimaan
Harga
Kode Nama Barang Kekuatan Satuan Awal Nilai Awal Seksi Jumlah Harga Seksi Persediaan Nilai Persediaan
Satuan Lain Jumlah Harga Lain
Farmasi Farmasi

0527 Glass Ionomer (Fuji Ix) Set 643,500 0 0 0 0 0 0 0 0


0528 Kalium Aspartat (Kalipar) Tablet 700 0 0 0 0 0 0 0 0
0529 Seftriakson Inj.1 G/Vial 1G / Vial vial 15,400 0 0 0 0 0 0 0 0
0530 Sefotaksim Inj 1G Vial 13,640 0 0 0 0 0 0 0 0
0531 Ranitidin 50mg / 2mL 50mg / 2mL Vial 1,200 0 0 0 0 0 0 0 0
0532 Tramadol hcl 50Mg/Ml Inj 50mg / mL Vial 3,457 0 0 0 0 0 0 0 0
0533 Lidokain + ephinefrin (Pehacain) 20x2mL Ampul 3,113 0 0 0 0 0 0 0 0
0534 Amoksisilin Serbuk Inj. 1000 Mg 1GR/10 Vial vial 9,000 0 0 0 0 0 0 0 0
0535 Parasetamol 500Mg (Itamol) 500mg Tablet 89 0 0 0 0 0 0 0 0
0536 Antasida Doen Tablet Kombinasi Tablet Kunyah Tablet 75 0 0 0 0 0 0 0 0
0537 Glukose Larutan Infus 5% Steril 5% Botol 6,900 0 0 0 0 0 0 0 0
0538 Infuset Anak Piecis 7,920 0 0 0 0 0 0 0 0
0539 Natrium Klorida Lar. Infus 0,9% 0.90% Botol 6,410 0 0 0 0 0 0 0 0
0540 Ringer Laktat Larutan Infus Botol 7,150 0 0 0 0 0 0 0 0
0541 Needle No.23 No.23 Piecis 539 0 0 0 0 0 0 0 0
0542 Needle No.26 Piecis 539 0 0 0 0 0 0 0 0
0543 Etanol 70% 1000mL Botol 100m 33,000 0 0 0 0 0 0 0 0
0544 Polikrosulen Konsentrat (Aptil) Botol 17,393 0 0 0 0 0 0 0 0
0545 Hbsag Entebe Kit 660,000 0 0 0 0 0 0 0 0
0546 1,8-dihidroxy 2(4 sulfophenylazo) naphthalene -3, 6 disulfonic acid trisodium kit 3,190,000 0 0 0 0 0 0 0 0
0547 Acetic Acid (glasial) 100% Pak 569,000 0 0 0 0 0 0 0 0
0548 AgNO3 Pak 1,562,000 0 0 0 0 0 0 0 0
0549 Amonium acetat 1 976,000 0 0 0 0 0 0 0 0
0550 Amphetamin test Pak 792,000 0 0 0 0 0 0 0 0
0551 Barium chlorida anhidrat Kit 743,000 0 0 0 0 0 0 0 0
0552 Benzodiazepines test Box 792,000 0 0 0 0 0 0 0 0
0553 Borax test kit Kit 5,500,000 0 0 0 0 0 0 0 0
0554 Brilliant Green Lactosa Broth Pak 1,456,000 0 0 0 0 0 0 0 0
0555 Cocaine test Box 792,000 0 0 0 0 0 0 0 0
0556 CRM Flourida Kit 880,000 0 0 0 0 0 0 0 0
0557 CRM Mangan Kit 1,045,000 0 0 0 0 0 0 0 0
0558 Extran MA 02 neutral Botol 885,000 0 0 0 0 0 0 0 0

hal. 17 LPLPO Puskesmas


Penerimaan
Harga
Kode Nama Barang Kekuatan Satuan Awal Nilai Awal Seksi Jumlah Harga Seksi Persediaan Nilai Persediaan
Satuan Lain Jumlah Harga Lain
Farmasi Farmasi

0559 Iron (III) chloride hexyahydrate Pak 913,000 0 0 0 0 0 0 0 0


0560 Larutan standar Fe Kit 1,026,000 0 0 0 0 0 0 0 0
0561 Lauryl Tryptose Broth Pak 1,063,000 0 0 0 0 0 0 0 0
0562 Manganese (II) sulfate monohydrate Pak 756,000 0 0 0 0 0 0 0 0
0563 Marijuana Test Box 792,000 0 0 0 0 0 0 0 0
0564 Mercury II Sulfat Kit 3,506,000 0 0 0 0 0 0 0 0
0565 Methampetamine Test Box 792,000 0 0 0 0 0 0 0 0
0566 Methanyl Yellow Test Kit kit 5,280,000 0 0 0 0 0 0 0 0
0567 Morphin Test Box 792,000 0 0 0 0 0 0 0 0
0568 Na Acetat Kit 759,000 0 0 0 0 0 0 0 0
0569 Na Arsenit Pak 1,087,000 0 0 0 0 0 0 0 0
0570 NItric Acid Botol 1,280,000 0 0 0 0 0 0 0 0
0571 Pemanis Test Kit Kit 5,500,000 0 0 0 0 0 0 0 0
0572 Potassium hydroxide Pak 440,000 0 0 0 0 0 0 0 0
0573 Potassium peroxodisulfate Pak 708,400 0 0 0 0 0 0 0 0
0574 Reagen Pemeriksaan Arsen Kit 2,480,000 0 0 0 0 0 0 0 0
0575 Reagen Pemeriksaan Cadmium kit 3,875,000 0 0 0 0 0 0 0 0
0576 Reagen pemeriksaan Cr Kit 3,816,000 0 0 0 0 0 0 0 0
0577 Reagen Pemeriksaan pH kit 2,413,000 0 0 0 0 0 0 0 0
0578 Reagen pemeriksaan Sulfide Kit 3,668,000 0 0 0 0 0 0 0 0
0579 Rhodamin B test Kit Kit 5,500,000 0 0 0 0 0 0 0 0
0580 Sodium dietyl dithiocarbamat Pak 1,762,000 0 0 0 0 0 0 0 0
0581 SPANDS Hac Kit 770,000 0 0 0 0 0 0 0 0
0582 Zirconil klorida Kit 3,793,000 0 0 0 0 0 0 0 0
0583 Mdt Pb Anak Blister 9,570 0 0 0 0 0 0 0 0
0584 Mdt Mb Dewasa Blister 30,595 0 0 0 0 0 0 0 0
0585 HDL Cholest Precipitan 4x80ml Kit 1,509,200 0 0 0 0 0 0 0 0
0586 Antigen S (Parathypi AH) HUMATEX Kit 2,225,300 0 0 0 0 0 0 0 0
0587 Antigen S (Thypi H) HUMATEX Kit 2,225,300 0 0 0 0 0 0 0 0
0588 Antigen S (Thypi O) HUMATEX Kit 2,225,300 0 0 0 0 0 0 0 0
0589 Gamma - GT Liq 10x10ml Kit 962,500 0 0 0 0 0 0 0 0
0590 Anti A HUMATYPE vial 269,133 0 0 0 0 0 0 0 0

hal. 18 LPLPO Puskesmas


Penerimaan
Harga
Kode Nama Barang Kekuatan Satuan Awal Nilai Awal Seksi Jumlah Harga Seksi Persediaan Nilai Persediaan
Satuan Lain Jumlah Harga Lain
Farmasi Farmasi

0591 Anti B HUMATYPE vial 269,133 0 0 0 0 0 0 0 0


0592 Cholesterol Liq 4x100ml kit 2,288,000 0 0 0 0 0 0 0 0
0593 Uric Acid liq 4x100 ml kit 3,529,900 0 0 0 0 0 0 0 0
0594 Glucose liq 4x100 ml kit 1,081,300 0 0 0 0 0 0 0 0
0595 Strip Asam Urat (Nesco) Box 99,000 0 0 0 0 0 0 0 0
0596 Strip Cholesterol (Nesco) Box 172,700 0 0 0 0 0 0 0 0
0597 Strip Gula (Nesco) Box 96,800 0 0 0 0 0 0 0 0
0598 CRM COD Kit 791,000 0 0 0 0 0 0 0 0
0599 Reagen Pemeriksaan CU Kit 4,288,000 0 0 0 0 0 0 0 0
0600 Risperidone 2mg 2mg Tablet 1,008 0 0 0 0 0 0 0 0
0601 Reagen pemeriksaan Cn Kit 3,046,000 0 0 0 0 0 0 0 0
0602 Reagen pemeriksaan NH4 Kit 1,510,000 0 0 0 0 0 0 0 0
0603 Oat Kategori 1 Dewasa Kombipak Paket 288,199 0 0 0 0 0 0 0 0
0604 Isoniazid 100 mg 100 mg Tablet 125 0 0 0 0 0 0 0 0
0605 Reagen Ziechl Nealson Kit 276,600 0 0 0 0 0 0 0 0
0606 Pot Sputum Piecis 2,950 0 0 0 0 0 0 0 0
0607 Box Slide Box 57,100 0 0 0 0 0 0 0 0
0608 Reagen ZN Kit 276,000 0 0 0 0 0 0 0 0
0609 Kloramphenicol Injeksi (Chloramex) 1 gr Ampul 12,100 0 0 0 0 0 0 0 0
0610 Permethrin 5% (Scabimite) 10 g Tube 12,155 0 0 0 0 0 0 0 0
0611 Kasa Pembalut Hidrofil 4M X 15 Cm Roll 3,801 0 0 0 0 0 0 0 0
0612 Klindamisin 300 Mg 300 mg Kapsul 553 0 0 0 0 0 0 0 0
0613 Dengue IGG/IGM (Nova test) Box 990,000 0 0 0 0 0 0 0 0
0614 Urin 10 Parameter Tube 268,125 0 0 0 0 0 0 0 0
0615 Griseovulfin Tab.125 Mg 125mg Tablet 219 0 0 0 0 0 0 0 0
0616 Serum Anti Tetanus (Biosat 1.500 IU) 1.500 IU Ampul 123,338 0 0 0 0 0 0 0 0
0617 Natrium Diklofenak 50mg 50mg Tablet 200 0 0 0 0 0 0 0 0
0618 Tenofovir (TDF) 300 mg 300mg Tablet 1,400 0 0 0 0 0 0 0 0
0619 Zidovudine + Lamivudine (300mg/150mg) 300mg/150mg Tablet 3,117 0 0 0 0 0 0 0 0
0620 Zidovudine (ZDV) + Lamivudine (3TC) 30mG + Nevirapin (NVP) 50mG Tablet 700 0 0 0 0 0 0 0 0
0621 Kotrimoksazol 480 mg 480 mg Tablet 135 0 0 0 0 0 0 0 0
0622 Nistatin 100.000 Iu 100.000 Iu Tablet 480 0 0 0 0 0 0 0 0

hal. 19 LPLPO Puskesmas


Penerimaan
Harga
Kode Nama Barang Kekuatan Satuan Awal Nilai Awal Seksi Jumlah Harga Seksi Persediaan Nilai Persediaan
Satuan Lain Jumlah Harga Lain
Farmasi Farmasi

0623 Urin 10 Parameter Kit 135,200 0 0 0 0 0 0 0 0


0624 Loperamide Tab 2 mg 2 mg Tablet 85 0 0 0 0 0 0 0 0
0625 Kalium Aspartat (Kalipar) Tablet 690 0 0 0 0 0 0 0 0
0626 Clopidogrel 75mG 75mg Tablet 2,000 0 0 0 0 0 0 0 0
0627 Kloramfenikol Sirup 125 mg 125 mg Botol 3,955 0 0 0 0 0 0 0 0
0628 Asam Traneksamat Inj. Ampul 2,445 0 0 0 0 0 0 0 0
0629 Sefadroksil 500 Mg 500 mg Kapsul 510 0 0 0 0 0 0 0 0
0630 Kloramfenikol 1% salep mata 1% 5G Tube 1,600 0 0 0 0 0 0 0 0
0631 Vitamin B.Complek Tablet 115 0 0 0 0 0 0 0 0
0632 Asam Asetyl Salisilat (Miniaspi) 80 mg Tablet 114 0 0 0 0 0 0 0 0
0633 Plester (leukoplast) Roll 35,532 0 0 0 0 0 0 0 0
0634 Amlodipin 10mG 10 mg Tablet 145 0 0 0 0 0 0 0 0
0635 Sefotaksim Inj 1G Ampul 4,898 0 0 0 0 0 0 0 0
0636 Alprazolam 0.25mg 0.25mg Tablet 380 0 0 0 0 0 0 0 0
0637 Bedak Salisil 2% Box 1,025 0 0 0 0 0 0 0 0
0638 Masker Telinga Plus (Surgical Mask 3 PLY) Piecis 440 0 0 0 0 0 0 0 0
0639 Alkohol 70% Botol 1L 21,500 0 0 0 0 0 0 0 0
0640 Folly Catteter No.16 Piecis 13,090 0 0 0 0 0 0 0 0
0641 Folly Catteter No.18 Piecis 13,090 0 0 0 0 0 0 0 0
0642 Masker Tali (Face Mask 3 PLY) Piecis 726 0 0 0 0 0 0 0 0
0643 Cairan Cuci Tangan bilas (Softaskin) 500ml Botol 58,539 0 0 0 0 0 0 0 0
0644 cairan Cuci Tangan Tanpa Bilas (Softaman) 500ml Botol 78,750 0 0 0 0 0 0 0 0
0645 Diazepam Rectal (Stesolid) 5mg Tube 11,517 0 0 0 0 0 0 0 0
0646 Nifedipin 10 Mg 100mg Kapsul 104 0 0 0 0 0 0 0 0
0647 Kloramphenicol Injeksi (Chloramex) 100mg/vial Vial 7,953 0 0 0 0 0 0 0 0
0648 Asam Askorbat (Vit. C) Tab 50Mg 50mg Tablet 104 0 0 0 0 0 0 0 0
0649 Rapid 1 HIV (SD) Test 21,815 0 0 0 0 0 0 0 0
0650 Rapid 3 HIV (Oncoprobe) Test 22,475 0 0 0 0 0 0 0 0
0651 Rapid 1 HIV (Intec) Test 22,450 0 0 0 0 0 0 0 0
0652 Asiklovir Tab 200Mg 200mg Tablet 249 0 0 0 0 0 0 0 0
0653 Diltiazem Hcl 30 Mg 30mg Tablet 127 0 0 0 0 0 0 0 0
0654 Eugenol Cairan (WTD) 10ml Botol 18,100 0 0 0 0 0 0 0 0

hal. 20 LPLPO Puskesmas


Penerimaan
Harga
Kode Nama Barang Kekuatan Satuan Awal Nilai Awal Seksi Jumlah Harga Seksi Persediaan Nilai Persediaan
Satuan Lain Jumlah Harga Lain
Farmasi Farmasi

0655 Yodium Povidon Lart. 10 % 60 Ml 10% Botol 6,550 0 0 0 0 0 0 0 0


0656 Hidrokortison Salep Kulit 2.5 % 2,5% Tube 2,798 0 0 0 0 0 0 0 0
0657 Methilergometrin Maleat Inj. 0.200Mg/Ml Ampul 2,684 0 0 0 0 0 0 0 0
0658 Catgut Chromic 2/0 75c 30mm Piecis 22,500 0 0 0 0 0 0 0 0
0659 Catgut Chromic 2/0 75c 37mm Piecis 29,167 0 0 0 0 0 0 0 0
0660 Masker Telinga (E-Care) Pasang 439 0 0 0 0 0 0 0 0
0661 ADS (BD Syringe Soloshot mini) 0.05 ml 0.05ml Piecis 1,656 0 0 0 0 0 0 0 0
0662 ADS (BD Syringe Soloshot mini) 0.5 ml 0.5ml Piecis 1,656 0 0 0 0 0 0 0 0
0663 Handscoon No. 6 Piecis 6,595 0 0 0 0 0 0 0 0
0664 Handscoon No. 6,5 Piecis 6,595 0 0 0 0 0 0 0 0
0665 Handscoon No. 7 Piecis 6,595 0 0 0 0 0 0 0 0
0666 Handscoon No. 7,5 Piecis 6,595 0 0 0 0 0 0 0 0
0667 Strip Cholesterol (Nesco) Box 170,500 0 0 0 0 0 0 0 0
0668 Strip Gula (Nesco) Box 90,200 0 0 0 0 0 0 0 0
0669 Hb Hemoglobin Test (Mision) Box 440,000 0 0 0 0 0 0 0 0
0670 Tablet Tambah Darah sachet 1,925 0 0 0 0 0 0 0 0
0671 Alat Suntik Sekali Pakai 3 ml 3ml Piecis 957 0 0 0 0 0 0 0 0
0672 Difenhidramin Hcl Inj. 10 Mg/1Ml 10mg/1ml Ampul 1,176 0 0 0 0 0 0 0 0
0673 Ephinefrin 0.1% 0.10% Ampul 2,204 0 0 0 0 0 0 0 0
0674 Lidokain 2% 2% Ampul 860 0 0 0 0 0 0 0 0
0675 Aminopilin Inj 24 Mg/Ml 24mg/ml Ampul 3,345 0 0 0 0 0 0 0 0
0676 Natrium Diklofenak 25Mg 25mg Tablet 145 0 0 0 0 0 0 0 0
0677 Fenobarbital Inj 50mg/ml 50mg/ml Ampul 1,969 0 0 0 0 0 0 0 0
0678 Catgut Chromic 3/0 75c 37mm Piecis 28,750 0 0 0 0 0 0 0 0
0679 Bioplacenton Tulle Piecis 10,400 0 0 0 0 0 0 0 0
0680 Antidiare (Omegdiar) Tablet 352 0 0 0 0 0 0 0 0
0681 ondansentron 4 Mg 4mg Tablet 472 0 0 0 0 0 0 0 0
0682 Lansoprasol 30mg 30mg Kapsul 319 0 0 0 0 0 0 0 0
0683 Alat Suntik 5 mL Terumo 5ml Piecis 1,348 0 0 0 0 0 0 0 0
0684 Antasida Doen Suspensi Botol 2,025 0 0 0 0 0 0 0 0
0685 Betametason Krim 5mg 5mg Tube 1,381 0 0 0 0 0 0 0 0
0686 Kotrimoksazol Suspensi 5ml Botol 2,140 0 0 0 0 0 0 0 0

hal. 21 LPLPO Puskesmas


Penerimaan
Harga
Kode Nama Barang Kekuatan Satuan Awal Nilai Awal Seksi Jumlah Harga Seksi Persediaan Nilai Persediaan
Satuan Lain Jumlah Harga Lain
Farmasi Farmasi

0687 Cairan Cuci Tangan Bilas ( One Scrub) Botol 500m 62,500 0 0 0 0 0 0 0 0
0688 cairan Cuci Tangan Tanpa Bilas (Aseptan) Botol 500m 30,000 0 0 0 0 0 0 0 0
0689 Alkohol 70% Botol 1L 21,500 0 0 0 0 0 0 0 0
0690 Alat Tes Kehamilan (Ultra One) Strip 1,939 0 0 0 0 0 0 0 0
0691 Plester (Plesterin bulat) Box isi 200 24,750 0 0 0 0 0 0 0 0
0692 Strip Gula (Nesco) Box 90,200 0 0 0 0 0 0 0 0
0693 Strip Cholesterol (Nesco) Box 170,500 0 0 0 0 0 0 0 0
0694 Right Sign AMP Device Box 412,500 0 0 0 0 0 0 0 0
0695 Amoksisilin Kaplet 500 Mg 500mg Tablet 232 0 0 0 0 0 0 0 0
0696 Cetirizine 10mg 10mg Kapsul 143 0 0 0 0 0 0 0 0
0697 Asering 500Cc 500cc Botol 9,275 0 0 0 0 0 0 0 0
0698 Sefiksim 100mg 100mg Kapsul 590 0 0 0 0 0 0 0 0
0699 Urin Bag 2Lt (T Valve) Piecis 3,000 0 0 0 0 0 0 0 0
0700 Lancet (Onemed) Piecis 146 0 0 0 0 0 0 0 0
0701 Mumyfiying Pasta Pot 519,200 0 0 0 0 0 0 0 0
0702 Klorpromazine 100 mg 100mg Tablet 162 0 0 0 0 0 0 0 0
0703 Alat Suntik Sekali Pakai 3 Ml (Terumo) Piecis 957 0 0 0 0 0 0 0 0
0704 Asam Mefenamat Kaplet 500 Mg (Licostan) 500mg Tablet 106 0 0 0 0 0 0 0 0
0705 Glass Ionomer (Fuji Ix) Set 521,235 0 0 0 0 0 0 0 0
0706 Tumpatan Sementara (Caviton Pink) Piecis 154,000 0 0 0 0 0 0 0 0
0707 Tumpatan Sementara (Caviton White) Piecis 154,000 0 0 0 0 0 0 0 0
0708 Gliseril Guaiakolat Tab 100Mg 100mg Tablet 53 0 0 0 0 0 0 0 0
0709 Obat Batuk Kombinasi Mengandung Dekstrometorfan (Dextrofen) Sirup Botol 8,047 0 0 0 0 0 0 0 0
0710 Obh Cairan Rasa Jeruk Nipis blister 6,050 0 0 0 0 0 0 0 0
0711 Ambroxol syrup 15mg/5ml 15mg/5ml Botol 2,551 0 0 0 0 0 0 0 0
0712 Ambroxol Tablet 30mg 30mg Tablet 143 0 0 0 0 0 0 0 0
0713 Bromheksin Tablet 8mg Tablet 183 0 0 0 0 0 0 0 0
0714 Piroksikam Tab.20Mg 10mg Tablet 163 0 0 0 0 0 0 0 0
0715 Simetidin Tab. 200 Mg 200ng Tablet 164 0 0 0 0 0 0 0 0
0716 Tiamfenikol Kapsul 500Mg 500mg Kapsul 739 0 0 0 0 0 0 0 0
0717 Handscoon / Steril No. 6 Piecis 6,595 0 0 0 0 0 0 0 0
0718 Doksisiklin 100 Mg 100mg Tablet 269 0 0 0 0 0 0 0 0

hal. 22 LPLPO Puskesmas


Penerimaan
Harga
Kode Nama Barang Kekuatan Satuan Awal Nilai Awal Seksi Jumlah Harga Seksi Persediaan Nilai Persediaan
Satuan Lain Jumlah Harga Lain
Farmasi Farmasi

0719 Parasetamol Sirup 120Mg/5Ml 120mg/5ml Botol 1,074 0 0 0 0 0 0 0 0


0720 Kloramfenikol 1% salep mata 1% 5mg Tube 1,798 0 0 0 0 0 0 0 0
0721 Amlodipin 5mG 5mg Tablet 105 0 0 0 0 0 0 0 0
0722 Lidokain 2% + ephinefrin 2% Box 1,845 0 0 0 0 0 0 0 0
0723 Amitriptiline 25 Mg 25mg Tablet 143 0 0 0 0 0 0 0 0
0724 Kotrimoksazol 480 Mg 480mg Tablet 151 0 0 0 0 0 0 0 0
0725 Hbsag Entebe strip 15,400 0 0 0 0 0 0 0 0
0726 Antigen S (Parathypi AH) HUMATEX Botol 278,163 0 0 0 0 0 0 0 0
0727 Antigen S (Thypi H) HUMATEX Botol 278,163 0 0 0 0 0 0 0 0
0728 Antigen S (Thypi O) HUMATEX Botol 278,163 0 0 0 0 0 0 0 0
0729 Golongan Darah Anti A Botol 269,133 0 0 0 0 0 0 0 0
0730 Golongan Darah Anti B Botol 269,133 0 0 0 0 0 0 0 0
0731 Domperidon Suspensi 5mg/ 5ml 5mg/ 5ml Botol 60mL 3,000 0 0 0 0 0 0 0 0
0732 Ibuprofen tablet 200mg 200mg Tablet 105 0 0 0 0 0 0 0 0
0733 Chlorpheniramine Maleat (Ctm) 4mg Tablet 42 0 0 0 0 0 0 0 0
0734 Omeprazole 20mg 20mg Kapsul 160 0 0 0 0 0 0 0 0
0735 Siprofloxacin Tab 500Mg 500mg Tablet 281 0 0 0 0 0 0 0 0
0736 Vitamin B1 (Thiamin) Tablet 86 0 0 0 0 0 0 0 0
0737 Diluent botol 10L 4,060,000 0 0 0 0 0 0 0 0
0738 Cleaner Botol 960m 2,710,000 0 0 0 0 0 0 0 0
0739 Lyse Botol 960m 4,400,000 0 0 0 0 0 0 0 0
0740 Hemoglobin (HB) Kit 10 x 50 1,170,000 0 0 0 0 0 0 0 0
0741 SGOT Kit 8 x 50m 1,720,000 0 0 0 0 0 0 0 0
0742 Uric Acid Kit 4x100m 1,590,000 0 0 0 0 0 0 0 0
0743 SGPT Kit 8 x 50m 1,720,000 0 0 0 0 0 0 0 0
0744 Triglycerid Kit 4x100m 2,570,000 0 0 0 0 0 0 0 0
0745 Ureum kit 2 x 100 590,000 0 0 0 0 0 0 0 0
0746 Creatinin Kit 200ml 630,000 0 0 0 0 0 0 0 0
0747 Cholesterol Kit 4x100m 1,780,000 0 0 0 0 0 0 0 0
0748 HDL Cholest Precipitan kit 4 x 80ml 910,000 0 0 0 0 0 0 0 0
0749 Glucose Kit 4x100m 760,000 0 0 0 0 0 0 0 0
0750 Bilirubin kit 2 x 100 730,000 0 0 0 0 0 0 0 0

hal. 23 LPLPO Puskesmas


Penerimaan
Harga
Kode Nama Barang Kekuatan Satuan Awal Nilai Awal Seksi Jumlah Harga Seksi Persediaan Nilai Persediaan
Satuan Lain Jumlah Harga Lain
Farmasi Farmasi

0751 Aqua gel (82g) 82g Pak 42,588 0 0 0 0 0 0 0 0


0752 Glimepirid 2 Mg 2mg Tablet 436 0 0 0 0 0 0 0 0
0753 Ondansentro 4 Mg/2mL 4mg/2ml Ampul 1,650 0 0 0 0 0 0 0 0
0754 Ibuprofen Suspensi 100Mg/5Ml 100mg/5ml Botol 2,475 0 0 0 0 0 0 0 0
0755 Ventolin Inhaler can 63,750 0 0 0 0 0 0 0 0
0756 Salbutamol (Ventolin) Nebules 2,5mg 2,5mg Ampul 4,000 0 0 0 0 0 0 0 0
0757 Aminopilin Tab Salut 200 Mg 200mg Tablet 171 0 0 0 0 0 0 0 0
0758 Asiklovir Krim 5% Tube 2,970 0 0 0 0 0 0 0 0
0759 Bromheksin Syrup (Hustab P elixir) 4mg/5ml Botol 8,030 0 0 0 0 0 0 0 0
0760 Enzim pencernaan anak (Elsazym) Sachet 13,750 0 0 0 0 0 0 0 0
0761 Flunarisin 5mg (Cevadil) 5mg Tablet 1,100 0 0 0 0 0 0 0 0
0762 Glibenklamid 5mg Tablet 95 0 0 0 0 0 0 0 0
0763 Hiosina N Butil Bromida Inj (Spashi Inj 20Mg/Ml) 20mg/ml Ampul 9,900 0 0 0 0 0 0 0 0
0764 Kloramfenikol Tetes Mata (Reco) 0,5% Botol 6,380 0 0 0 0 0 0 0 0
0765 Oksitetrasiklin Salep Klulit 3% Tube 1,649 0 0 0 0 0 0 0 0
0766 Sediaan mengandung curcumin, cynarin, silymarin (Hepagard) Kapsul 2,795 0 0 0 0 0 0 0 0
0767 Sediaan mengandung ekstrak Apii herba dan ekstrak orthosiphon folium (TenKapsul 2,126 0 0 0 0 0 0 0 0
0768 Sediaan mengandung glucosamin HCl , Chondroitin sulfate, Vit C , Mn (OsteoKapsul 3,284 0 0 0 0 0 0 0 0
0769 Sediaan mengandung Ekstrac graptophylli folium dan Citrus bioflavonoid ( Kapsul 1,540 0 0 0 0 0 0 0 0
0770 Sediaan mengandung metamizol 500 mg dan diazepam 2 mg (Metaneuron) Kaplet 935 0 0 0 0 0 0 0 0
0771 Meloksikam tablet 7.5 mg 7.5mg Tablet 829 0 0 0 0 0 0 0 0
0772 Seftriakson injeksi 1 gr/vial 1gr/vial Vial 11,605 0 0 0 0 0 0 0 0
0773 Triamsinolon asetonida IOB (Bufacomb) Tube 15,950 0 0 0 0 0 0 0 0
0774 Prednison tablet 5 mg 5mg Tablet 97 0 0 0 0 0 0 0 0
0775 Multivitamin (Panviton) Tablet 825 0 0 0 0 0 0 0 0
0776 Multivitamin syrup (Pacdin Vitcur) Botol 8,800 0 0 0 0 0 0 0 0
0777 Antidiare (Omegdiar) Tablet 352 0 0 0 0 0 0 0 0
0778 Antidiare Syrup (Omegdiar Syrup) Botol 7,733 0 0 0 0 0 0 0 0
0779 Rapid Tes HIV 1 (SD) Card 37,000 0 0 0 0 0 0 0 0
0780 Rapid Tes HIV 2 (Intec) Card 41,000 0 0 0 0 0 0 0 0
0781 Rapid Tes HIV 3 (Oncoprobe) Card 52,200 0 0 0 0 0 0 0 0
0782 Salep 2-4 Pot 2,429 0 0 0 0 0 0 0 0

hal. 24 LPLPO Puskesmas


Penerimaan
Harga
Kode Nama Barang Kekuatan Satuan Awal Nilai Awal Seksi Jumlah Harga Seksi Persediaan Nilai Persediaan
Satuan Lain Jumlah Harga Lain
Farmasi Farmasi

0783 Salep Antifungi Doen Kombinasi 30gr 30gr Tube 4,158 0 0 0 0 0 0 0 0


0784 Eritromisin Kapsul 250 Mg 250mg Kapsul 566 0 0 0 0 0 0 0 0
0785 Masker Nebul Dewasa Set 28,300 0 0 0 0 0 0 0 0
0786 Masker Nebul Anak set 28,300 0 0 0 0 0 0 0 0
0787 Golongan Darah Anti A Botol 269,133 0 0 0 0 0 0 0 0
0788 Salbutamol 2mg 2mg Tablet 105 0 0 0 0 0 0 0 0
0789 Betametason + Neomisin Sulfat (Nisagon Cream) Tube 6,380 0 0 0 0 0 0 0 0
0790 Ektra plasenta + Neomisin Sulfat (Neocenta Gel) Tube 24,882 0 0 0 0 0 0 0 0
0791 Heparin (Hico) Tube 31,405 0 0 0 0 0 0 0 0
0792 Sediaan mengandung Vit B 1 100 mg, B6 200 mg, B12 200 mcg (Nuralix) Tablet 638 0 0 0 0 0 0 0 0
0793 Serum Anti Bisa Ular I (Biosave) 5mL 5 ml Vial 473,000 0 0 0 0 0 0 0 0
0794 Syphilis Device (Tpha) Strip 23,375 0 0 0 0 0 0 0 0
0795 Antiinfluenza (Noza) Tablet 798 0 0 0 0 0 0 0 0
0796 Triheksipenidil 2mg Tablet 88 0 0 0 0 0 0 0 0
0797 Simvastatin Tab.10 Mg 10mg Tablet 131 0 0 0 0 0 0 0 0
0798 Karbamazepin 200mg 200mg Tablet 270 0 0 0 0 0 0 0 0
0799 Betahistin Mesilat Tablet 149 0 0 0 0 0 0 0 0
0800 Selang Oksigen (Oxyflow soft) Dewasa Piecis 5,500 0 0 0 0 0 0 0 0
0801 Selang Oksigen (Oxyflow soft) Anak Piecis 5,500 0 0 0 0 0 0 0 0
0802 Albendasol 400 Mg 400mg Tablet 259 0 0 0 0 0 0 0 0
0803 Handscoon No. 6,5 Pasang 6,595 0 0 0 0 0 0 0 0
0804 Handscoon No. 7 Pasang 6,595 0 0 0 0 0 0 0 0
0805 Strip Asam Urat (Nesco) Box 99,000 0 0 0 0 0 0 0 0
0806 Metformin 500 Mg 500mg Tablet 100 0 0 0 0 0 0 0 0
0807 Handscoon No. 6 Pasang 6,595 0 0 0 0 0 0 0 0
0808 Asam Mefenamat Kaplet 500 Mg 500mg Tablet 140 0 0 0 0 0 0 0 0
0809 Metil Prednisolon 4mg 4mg Tablet 194 0 0 0 0 0 0 0 0
0810 Dexametason Inj. 5Mg/1Ml 5mg/1ml Ampul 2,002 0 0 0 0 0 0 0 0
0811 Nistatin 500.000 Iu Tablet Salut 500.000 IU Tablet 745 0 0 0 0 0 0 0 0
0812 Lamivudine (3TC) 150 mg 150 Tablet 1,500 0 0 0 0 0 0 0 0
0813 Dewasa FDC Triple : Tenofovir 300mG + Lamivudine 300mG + Efavirenz 600mG
Tablet 3,365 0 0 0 0 0 0 0 0
0814 zidovudine (ZDV) 100 mg 100mg Tablet 1,700 0 0 0 0 0 0 0 0

hal. 25 LPLPO Puskesmas


Penerimaan
Harga
Kode Nama Barang Kekuatan Satuan Awal Nilai Awal Seksi Jumlah Harga Seksi Persediaan Nilai Persediaan
Satuan Lain Jumlah Harga Lain
Farmasi Farmasi

0815 Oat Kategori 1 (FDC) Paket 359,985 0 0 0 0 0 0 0 0


0816 Oat Kategori 2 Paket 1,199,985 0 0 0 0 0 0 0 0
0817 Oat Kategori Anak (Fdc) Paket 214,985 0 0 0 0 0 0 0 0
0818 Gentamicin Salep Mata 0,3%(Genoint) 0.30% Tube 2,830 0 0 0 0 0 0 0 0
0819 Metronidazol 500Mg 500mg kaptab 133 0 0 0 0 0 0 0 0
0820 Dressing Penutup Luka (Hypafix) Pcs 70,903 0 0 0 0 0 0 0 0
0821 Plesterin (Coverplast transparent 19x40MM) Box isi 100 30,393 0 0 0 0 0 0 0 0
0822 Sefadroksil Syr 125mg/ml Botol 4,485 0 0 0 0 0 0 0 0
0823 Hbsag Entebe Box 770,000 0 0 0 0 0 0 0 0
0824 Strip Asam Urat (Nesco) Box 96,800 0 0 0 0 0 0 0 0
0825 Plesterin (Coverplast transparent 19x40MM) Box isi 100 33,770 0 0 0 0 0 0 0 0
0826 Dexamethasone 0.5Mg 0.5Mg Tablet 44 0 0 0 0 0 0 0 0
0827 Etil Klorida Spray Botol 100m 126,500 0 0 0 0 0 0 0 0
0828 Amoksisilin Sirup Kering 125Mg/ 5Ml Botol 60mL 3,150 0 0 0 0 0 0 0 0
0829 Kalsium Laktat 500 mg Tablet 110 0 0 0 0 0 0 0 0
0830 Diazepam (Stesolid) Injeksi Ampul 17,622 0 0 0 0 0 0 0 0
0831 Efavirenz 600mg 600mg Tablet 1,406 0 0 0 0 0 0 0 0
0832 Pediatrik FDC Triple : Zidovudine + Lamivudine + Nevirapin Tablet 684 0 0 0 0 0 0 0 0
0833 Rapid 2 HIV (Intec) Test 22,440 0 0 0 0 0 0 0 0
0834 Rapid 3 HIV (Oncoprobe) Test 22,440 0 0 0 0 0 0 0 0
0835 Iv. Catteter (Introcan) No 22 Pcs 8,751 0 0 0 0 0 0 0 0
0836 Formalin test (Formaldehyd Macherey Nagel) Kit 1,210,000 0 0 0 0 0 0 0 0
0837 Flukonasol 150mg 150mg Kapsul 18,000 0 0 0 0 0 0 0 0
0838 Mikonazole Krim/Salep 2% 2% Tube 3,250 0 0 0 0 0 0 0 0
0839 Vitamin B.Complek Tablet 43 0 0 0 0 0 0 0 0
0840 Serum Anti Tetanus (Biosat 1.500 IU) 1.500 IU Ampul 126,500 0 0 0 0 0 0 0 0
0841 Handscoon (Maxter) M Piecis 583 0 0 0 0 0 0 0 0
0842 Handscoon (Maxter) S Piecis 583 0 0 0 0 0 0 0 0
0843 Sarung Tangan Disposible Box 49,610 0 0 0 0 0 0 0 0
0844 Swab Desinfektan Kotak @100 235,000 0 0 0 0 0 0 0 0
0845 KOH 10% Botol 18,000 0 0 0 0 0 0 0 0
0846 NaCl 0.9% Botol 18,500 0 0 0 0 0 0 0 0

hal. 26 LPLPO Puskesmas


Penerimaan
Harga
Kode Nama Barang Kekuatan Satuan Awal Nilai Awal Seksi Jumlah Harga Seksi Persediaan Nilai Persediaan
Satuan Lain Jumlah Harga Lain
Farmasi Farmasi

0847 MB (Methylen Blue) 0.3% Botol 57,600 0 0 0 0 0 0 0 0


0848 Xylol Botol 66,000 0 0 0 0 0 0 0 0
0849 Zidovudine (ZDV) 300 mg + Lamivudine (3TC) 150 mg Tablet 3,700 0 0 0 0 0 0 0 0
0850 Dewasa FDC Triple : Tenofovir 300mG + Lamivudine 300mG + Efavirenz 600mG
Tablet 11,894 0 0 0 0 0 0 0 0
0851 Pediatrik FDC Triple : Zidovudine + Lamivudine + Nevirapin Botol (60 t 41,064 0 0 0 0 0 0 0 0
0852 Iv. Catteter (Introcan) No 22 Pcs 8,751 0 0 0 0 0 0 0 0
0853 Iv. Catteter (Introcan) No 24 Pcs 8,751 0 0 0 0 0 0 0 0
0854 Handscoon S (Stardec Latex) Pasang 476 0 0 0 0 0 0 0 0
0855 Handscoon M (Stardec Latex) Pasang 476 0 0 0 0 0 0 0 0
0856 cairan Cuci Tangan Tanpa Bilas (Softaman) Botol 500m 78,750 0 0 0 0 0 0 0 0
0857 Cairan Cuci Tangan bilas (Softaskin) Botol 500m 58,539 0 0 0 0 0 0 0 0
0858 Aminopilin Inj 24 mg/ml 24 mg/ml Ampul 3,345 0 0 0 0 0 0 0 0
0859 Amoksisilin Kapsul 250 Mg 250mg Kapsul 195 0 0 0 0 0 0 0 0
0860 Amoksisilin Sirup Kering 125Mg/ 5Ml 125mg/5ml Botol 2,223 0 0 0 0 0 0 0 0
0861 Eritromisin Kapsul 500mg 500mg Kapsul 730 0 0 0 0 0 0 0 0
0863 Fitominadion 10mg 10mg Tablet 691 0 0 0 0 0 0 0 0
0864 Chlorpheniramine Maleat (Ctm) 4mg Tablet 42 0 0 0 0 0 0 0 0
0865 Klorpromazine 25 mg/ml 25 mg/ml Tablet 148 0 0 0 0 0 0 0 0
0866 Oksitosin Inj. 10 Ul/ml 10 Ul/ml Ampul 1,900 0 0 0 0 0 0 0 0
0867 Sefotaksim Serbuk Inj. 1mg 1mg vial 4,898 0 0 0 0 0 0 0 0
0868 Alat suntik 1ml (Stera) 1ml Pcs 670 0 0 0 0 0 0 0 0
0869 Alat suntik 2,5ml (Stera) 2,5ml Pcs 670 0 0 0 0 0 0 0 0
0870 Alat suntik 5ml (Stera) 5ml Pcs 670 0 0 0 0 0 0 0 0
0871 Sarung Tangan (Safeglove PF) No.6,5 6,5 Pasang 7,195 0 0 0 0 0 0 0 0
0872 Sarung Tangan (Safeglove PF) No.7 7 Pasang 7,195 0 0 0 0 0 0 0 0
0873 Serum Anti Tetanus (Biosat 1.500 IU) 1.500 IU Ampul 160,875 0 0 0 0 0 0 0 0
0874 Iv. Catteter (Introcan) No 24 Pcs 8,751 0 0 0 0 0 0 0 0
0875 Needle 23 G x 32mm (Agani) 23 G Pcs 330 0 0 0 0 0 0 0 0
0876 Needle 26 G x 13mm (Agani) 26 G Pcs 330 0 0 0 0 0 0 0 0
0877 Sefadroksil 500 Mg 500mg Tablet 510 0 0 0 0 0 0 0 0
0878 Ranitidin 150 Mg 150MG Tablet 105 0 0 0 0 0 0 0 0
0879 Alat Suntik Sekali Pakai 3 ml 3 ml Pcs 1,138 0 0 0 0 0 0 0 0

hal. 27 LPLPO Puskesmas


Penerimaan
Harga
Kode Nama Barang Kekuatan Satuan Awal Nilai Awal Seksi Jumlah Harga Seksi Persediaan Nilai Persediaan
Satuan Lain Jumlah Harga Lain
Farmasi Farmasi

0880 Alat Suntik Sekali Pakai 5 ml 5 ml Pcs 1,600 0 0 0 0 0 0 0 0


0881 Vitamin A Kapsul 100.000 Iu 100.000 Iu Kapsul 284 0 0 0 0 0 0 0 0
0882 Vitamin A Kapsul 200.000 Iu 200.000 IU Kapsul 459 0 0 0 0 0 0 0 0
0883 Pot Dahak Steril Pcs 5,890 0 0 0 0 0 0 0 0
0884 sarung tangan (E-Care) no. 6,5 Pasang 4,500 0 0 0 0 0 0 0 0
0885 Cairan Cuci Tangan Tanpa Bilas (Hand Scrub) Botol 74,000 0 0 0 0 0 0 0 0
0886 Cairan Cuci Tangan Tanpa Bilas (Hand Rub) Botol 60,800 0 0 0 0 0 0 0 0
0887 Masker Tali (E-Care) Pcs 439 0 0 0 0 0 0 0 0
0888 Kapas Pembalut OM 1000gr Rol 54,560 0 0 0 0 0 0 0 0
0889 Alkohol 70% 1L Botol 25,000 0 0 0 0 0 0 0 0
0890 Alat Tes Kehamilan (Ultra One) Strip 1,939 0 0 0 0 0 0 0 0
0891 Plesterin Bulat Soft Pcs 154 0 0 0 0 0 0 0 0
0892 Alat Suntik Sekali Pakai 10 ml Pcs 1,302 0 0 0 0 0 0 0 0
0893 Antihemoroid supp (Bismut subgalat 150mg, heksaklorofen 2.5mg , lidokain Suppositori 3,045 0 0 0 0 0 0 0 0
0894 Dexamethasone 0.5mg 0.5mg Tablet 44 0 0 0 0 0 0 0 0
0895 Eritromisin Sirup kering 200mg/5ml 200mg/5ml Botol 6,700 0 0 0 0 0 0 0 0
0896 Fenobarbital Tablet 30mg 30mg Tablet 150 0 0 0 0 0 0 0 0
0897 Haloperidol Tab 1,5Mg 1.5mg Tablet 66 0 0 0 0 0 0 0 0
0898 Ringer Laktat Larutan Infus Botol 500m 6,950 0 0 0 0 0 0 0 0
0899 Alat Suntik Sekali Pakai 3 Ml (Terumo) 3ml Pcs 1,138 0 0 0 0 0 0 0 0
0900 Alat suntik 1ml (Terumo) 1ml Pcs 1,614 0 0 0 0 0 0 0 0
0901 Alat Suntik 5ml (Terumo) 5ml Pcs 1,600 0 0 0 0 0 0 0 0
0902 Alat suntik 1ml (Terumo) 1ml Pcs 1,614 0 0 0 0 0 0 0 0
0903 Alat Suntik 5ml (Terumo) 5ml Pcs 1,600 0 0 0 0 0 0 0 0
0904 Alat Suntik Sekali Pakai 3 Ml (Terumo) 3ml Pcs 1,138 0 0 0 0 0 0 0 0
0905 Permethrin 5% (Scabimite) 5% Tube 12,155 0 0 0 0 0 0 0 0
0906 Kalsium Laktat (Kalk) Tab.500mg 500mg Tablet 63 0 0 0 0 0 0 0 0
0907 Amoksisilin Sirup Kering 125mg/5ml 125mg/5ml Botol 2,090 0 0 0 0 0 0 0 0
0908 Asam Mefenamat Kaplet 500 Mg 500mg Kaplet 106 0 0 0 0 0 0 0 0
0909 Parasetamol 500mg tablet 500mg Tablet 56 0 0 0 0 0 0 0 0
0910 Simvastatin Tab.10mg 10mg Tablet 131 0 0 0 0 0 0 0 0
0911 Trikresol Formalin (Tkf) Botol 60,500 0 0 0 0 0 0 0 0

hal. 28 LPLPO Puskesmas


Penerimaan
Harga
Kode Nama Barang Kekuatan Satuan Awal Nilai Awal Seksi Jumlah Harga Seksi Persediaan Nilai Persediaan
Satuan Lain Jumlah Harga Lain
Farmasi Farmasi

0912 Amlodipin 10mg 10mg Tablet 145 0 0 0 0 0 0 0 0


0913 Tablet Tambah Darah Tablet 367 0 0 0 0 0 0 0 0
0862 Fitomenadion Inj. 2mg/ml 2mg/ml Ampul 4,250 0 0 0 0 0 0 0 0
0916 Devitalisasi Pasta (Devitec) Box 260,000 0 0 0 0 0 0 0 0
0917 Etil Klorid Semprot Botol kaca Botol 132,990 0 0 0 0 0 0 0 0
0918 Vitamin B.Complek Tablet 115 0 0 0 0 0 0 0 0
0919 Hidrokortison Salep Kulit 2.5 % Tube 2,650 0 0 0 0 0 0 0 0
0920 Asam Askorbat (Vit. C) Tab 50Mmg 50mg Tablet 104 0 0 0 0 0 0 0 0
0921 Eugenol Botol 18,099 0 0 0 0 0 0 0 0
0922 Dexamethasone 0.5mg 5mg Tablet 44 0 0 0 0 0 0 0 0
0923 Haloperidol Tab 5MG 5MG Tablet 75 0 0 0 0 0 0 0 0
0924 Klorpromazine 100 mg 100mg Tablet 162 0 0 0 0 0 0 0 0
0925 Atropin 0,5mg Tablet 73 0 0 0 0 0 0 0 0
0926 Antasida Doen Tablet Kombinasi Tablet Kunyah Tablet 62 0 0 0 0 0 0 0 0
0927 Allopurinol Tablet 100mg 100mg Tablet 90 0 0 0 0 0 0 0 0
0928 Sefotaksim Inj 1G Vial 4,898 0 0 0 0 0 0 0 0
0929 Amoksisilin Kaplet 500 mg 500mg Kaplet 232 0 0 0 0 0 0 0 0
0930 Spongostan (Curaspon 2 X 30) Botol 346,500 0 0 0 0 0 0 0 0
0931 Glass Ionomer (Fuji Ix) Box 521,235 0 0 0 0 0 0 0 0
0932 Tumpatan Sementara (Caviton) Botol 154,000 0 0 0 0 0 0 0 0
0933 Strip Gula (Nesco) Box 87,750 0 0 0 0 0 0 0 0
0934 Strip Asam Urat (Nesco) Box 93,600 0 0 0 0 0 0 0 0
0935 Strip Cholesterol (Nesco) Box 170,500 0 0 0 0 0 0 0 0
0936 Bedak Salisil 2% Kotak 1,025 0 0 0 0 0 0 0 0
0937 Metronidazol 500Mg 500mg kaptab 133 0 0 0 0 0 0 0 0
0938 Ibuprofen Suspensi 100Mg/5Ml 100mg/5ml Botol 2,475 0 0 0 0 0 0 0 0
0939 Antasida Doen Suspensi Botol 2,025 0 0 0 0 0 0 0 0
0940 Albumin liq 4x100 ml (156004) Kit 492,800 0 0 0 0 0 0 0 0
0941 HUMATEX F .Antigen S (Typhi AH) 50211 Kit 2,230,800 0 0 0 0 0 0 0 0
0942 HUMATEX F .Antigen S (Typhi H) 50271 Kit 2,230,800 0 0 0 0 0 0 0 0
0943 HUMATEX F .Antigen S (Typhi O) 50281 Kit 2,230,800 0 0 0 0 0 0 0 0
0944 Uric Acid liq 4x100 ml (10691) Kit 3,556,300 0 0 0 0 0 0 0 0

hal. 29 LPLPO Puskesmas


Penerimaan
Harga
Kode Nama Barang Kekuatan Satuan Awal Nilai Awal Seksi Jumlah Harga Seksi Persediaan Nilai Persediaan
Satuan Lain Jumlah Harga Lain
Farmasi Farmasi

0945 Cholesterol Liq 4x100ml (10028) Kit 2,288,000 0 0 0 0 0 0 0 0


0946 HDL Cholest Precipitan 4x80ml (10018) Kit 1,520,200 0 0 0 0 0 0 0 0
0947 Creatinin liq 200ml (10051) kit 550,000 0 0 0 0 0 0 0 0
0948 Gamma - GT Liq 10x10ml (12013) Kit 962,500 0 0 0 0 0 0 0 0
0949 Glucose liq 4x100 ml (10260) kit 1,091,200 0 0 0 0 0 0 0 0
0950 Hemoglobin 20x25 ml (10751) kit 1,312,300 0 0 0 0 0 0 0 0
0951 Total Protein liq 4x100ml (157004) Kit 583,000 0 0 0 0 0 0 0 0
0952 Triglycerides liq 4x100ml (10724) Kit 3,536,500 0 0 0 0 0 0 0 0
0953 Urea Liq 2x100ml (10505) Kit 614,900 0 0 0 0 0 0 0 0
0954 Golongan Darah (HUMATYPE) Anti A 71012 Botol 271,700 0 0 0 0 0 0 0 0
0955 ADS (BD Syringe Soloshot mini) 0.05 ml Piecis 1,656 0 0 0 0 0 0 0 0
0956 ADS (BD Syringe Soloshot mini) 0.5 ml Piecis 1,656 0 0 0 0 0 0 0 0
0957 Haloperidol Tab 5mg 5mg Tablet 75 0 0 0 0 0 0 0 0
0958 Klorpromazine 100 mg 100mg Tablet 162 0 0 0 0 0 0 0 0
0959 Triheksipenidil 2mg 2mg Tablet 88 0 0 0 0 0 0 0 0
0960 Ibuprofen tablet 200mg 200mg Tablet 105 0 0 0 0 0 0 0 0
0961 ondansentron inj. 4 Mg 4mg Ampul 1,650 0 0 0 0 0 0 0 0
0962 Ketokonazole Krim 2% Tube 2,547 0 0 0 0 0 0 0 0
0963 Nistatin 500.000 Iu Tablet Salut 500.000Iu Tablet 745 0 0 0 0 0 0 0 0
0964 Natrium Diklofenak 25Mg 25mg Tablet 145 0 0 0 0 0 0 0 0
0965 Glass Ionomer (Fuji Ix) Set 521,235 0 0 0 0 0 0 0 0
0966 Kasa Kompres 40X40 DRC Rol 1,800 0 0 0 0 0 0 0 0
0967 Kasa Pembalut Hidrofil 4M X 15 Cm Rol 3,800 0 0 0 0 0 0 0 0
0968 Kasa Hidrofil 2Mx80Cm Rol 9,400 0 0 0 0 0 0 0 0
0969 Kapas Pembalut Hidrofil Drc25 Rol 24,000 0 0 0 0 0 0 0 0
0970 Plester (leukoplast) Rol 35,532 0 0 0 0 0 0 0 0
0971 Dressing Penutup Luka (FIXOMULL) 10cm Pcs 70,903 0 0 0 0 0 0 0 0
0972 Chlorpheniramine Maleat (Ctm) 4mg Tablet 42 0 0 0 0 0 0 0 0
0973 Salep 2-4 Pot 2,429 0 0 0 0 0 0 0 0
0974 Ringer Laktat Larutan Infus (Widatra) Botol 7,150 0 0 0 0 0 0 0 0
0975 Glukose Larutan Infus 5% (Widatra) Botol 6,900 0 0 0 0 0 0 0 0
0976 Natrium Klorida Lar. Infus 0,9% (Widatra) Botol 6,410 0 0 0 0 0 0 0 0

hal. 30 LPLPO Puskesmas


Penerimaan
Harga
Kode Nama Barang Kekuatan Satuan Awal Nilai Awal Seksi Jumlah Harga Seksi Persediaan Nilai Persediaan
Satuan Lain Jumlah Harga Lain
Farmasi Farmasi

0977 mineral mix Sachet 2,727 0 0 0 0 0 0 0 0


0978 Aminopilin Inj 24 Mg/Ml 24 mg/ml Ampul 3,345 0 0 0 0 0 0 0 0
0979 Kasa Kompres 40X40 DRC Rol 1,800 0 0 0 0 0 0 0 0
0980 Kasa Hidrofil 2Mx80Cm Rol 9,400 0 0 0 0 0 0 0 0
0981 Kasa Pembalut Hidrofil 4M X 15 Cm Rol 3,800 0 0 0 0 0 0 0 0
0982 Kapas Pembalut Hidrofil Drc25 Rol 24,000 0 0 0 0 0 0 0 0
0983 Serum Anti Bisa Ular I (Biosave) 5mL Vial 624,517 0 0 0 0 0 0 0 0
0984 Strip Gula (Nesco) box isi 25 87,753 0 0 0 0 0 0 0 0
0985 Strip Asam Urat (Nesco) box isi 25 93,610 0 0 0 0 0 0 0 0
0986 Strip Cholesterol (Nesco) box isi 10 170,500 0 0 0 0 0 0 0 0
0987 Oat Kategori 2 Paket 1,199,985 0 0 0 0 0 0 0 0
0988 Fluticason Propionat (Flixotide) nebules 0.5mg/2ml 0.5mg/2ml Nebules 14,500 0 0 0 0 0 0 0 0
0989 Bisakodil (Dulcolax) 5mg 5mg Suppositori 5,670 0 0 0 0 0 0 0 0
0990 Bisakodil (Dulcolax) 10mg 10mg Suppositori 5,800 0 0 0 0 0 0 0 0
0992 Prednison Tab. 5Mg Pot 100 127 0 0 0 0 0 0 0 0
0993 Betametason Krim Tube 3,256 0 0 0 0 0 0 0 0
0994 Masker Oksigen (Stardec) Dewasa Pcs 19,800 0 0 0 0 0 0 0 0
0995 Masker Oksigen (Stardec) Anak Pcs 19,800 0 0 0 0 0 0 0 0
0996 Cleaner Botol 2,612,500 0 0 0 0 0 0 0 0
0997 Lyse Botol 4,243,800 0 0 0 0 0 0 0 0
0998 Diluent Botol 3,917,100 0 0 0 0 0 0 0 0
0999 Larutan Hcl 0.1 N (Biomedika) Botol 30,800 0 0 0 0 0 0 0 0
1000 Asam Askorbat (Vit. C) Tab 50mg 50mg Tablet 39 0 0 0 0 0 0 0 0
1001 Vitamin B.Complek Tablet 43 0 0 0 0 0 0 0 0
1002 Glibenklamid 5mg tab 5mg Tablet 92 0 0 0 0 0 0 0 0
1003 Vitamin B1 (Thiamin) Tablet 86 0 0 0 0 0 0 0 0
1004 Bromheksin Tablet (Hustab P) Tablet 183 0 0 0 0 0 0 0 0
1005 Furosemida Tab 40Mg 40mg Tablet 78 0 0 0 0 0 0 0 0
1006 Glukose Larutan Infus 5% (Widatra) Botol 6,900 0 0 0 0 0 0 0 0
1007 Ambroxol kaplet 30mg 30mg Kaplet 101 0 0 0 0 0 0 0 0
1008 Gliseril Guaiakolat Tab 100Mg (Guaifenesin) 100mg Tablet 74 0 0 0 0 0 0 0 0
1009 Selang Oksigen (Nasal Canulla) M - Infant Pcs 5,082 0 0 0 0 0 0 0 0

hal. 31 LPLPO Puskesmas


Penerimaan
Harga
Kode Nama Barang Kekuatan Satuan Awal Nilai Awal Seksi Jumlah Harga Seksi Persediaan Nilai Persediaan
Satuan Lain Jumlah Harga Lain
Farmasi Farmasi

1010 Selang Oksigen (Nasal Canulla) L - Adult Pcs 5,082 0 0 0 0 0 0 0 0


1011 Masker Telinga (Earloop) Jilbab Piecis 396 0 0 0 0 0 0 0 0
1012 Sarung Tangan (Medicdent) No.8 Pcs 5,000 0 0 0 0 0 0 0 0
1013 Aqua gel (82g) 82g Pak 42,588 0 0 0 0 0 0 0 0
1014 Sefadroksil Syr 125mg/ml 125mg/ml Botol 4,485 0 0 0 0 0 0 0 0
1015 Hb Hemoglobin Test (Mision) Box/ 50 400,000 0 0 0 0 0 0 0 0
1016 Hbsag Entebe Kit 825,000 0 0 0 0 0 0 0 0
1017 1,8-dihidroxy 2(4 sulfophenylazo) cat.107998.0025 Botol 3,348,400 0 0 0 0 0 0 0 0
1018 AgNO3 cat. 1.01512.0025 Botol 1,640,100 0 0 0 0 0 0 0 0
1019 Amonium acetat cat. 1.01116.0500 Botol 1,025,200 0 0 0 0 0 0 0 0
1020 Amonium iron (II) sulfat hexadirat cat. 1.03792.0500 Botol 1,526,800 0 0 0 0 0 0 0 0
1021 Amonium solution 25% cat. 1.05432.2500 Botol 577,500 0 0 0 0 0 0 0 0
1022 Barium chlorida anhidrat cat. 1.01719.0500 Botol 779,900 0 0 0 0 0 0 0 0
1023 Borax test kit Kit 5,500,000 0 0 0 0 0 0 0 0
1024 Brilliant Green Lactosa Broth cat. 105454.0500 Botol 1,529,000 0 0 0 0 0 0 0 0
1025 Extran MA 02 neutral cat. 1.07553.2500 Botol 929,500 0 0 0 0 0 0 0 0
1026 Iron (III) chloride hexyahydrate cat. 1.03943.0250 Botol 959,200 0 0 0 0 0 0 0 0
1027 Lauryl Tryptose Broth cat. 1.10266.0500 Botol 1,150,600 0 0 0 0 0 0 0 0
1028 Manganese (II) sulfate monohydrate cat. 105941.0250 Botol 794,200 0 0 0 0 0 0 0 0
1029 Mercury II Sulfat cat. 1.04480.0250 Botol 3,681,700 0 0 0 0 0 0 0 0
1030 Methanyl Yellow Test Kit Kit 5,280,000 0 0 0 0 0 0 0 0
1031 NItric Acid cat. 1.01799.2500 Botol 1,344,200 0 0 0 0 0 0 0 0
1032 Pemanis Test Kit Kit 5,500,000 0 0 0 0 0 0 0 0
1033 Ph Indikator Box 279,400 0 0 0 0 0 0 0 0
1034 Potassium hydroxide cat. 1.05033.0500 Botol 462,000 0 0 0 0 0 0 0 0
1035 Potassium peroxodisulfate cat. 1.05091.0250 Botol 744,700 0 0 0 0 0 0 0 0
1036 Reagen pemeriksaan Cn Cat. 1.05091.0250 Kit 3,198,800 0 0 0 0 0 0 0 0
1037 Reagen pemeriksaan Cr cat. 1.14758.0001 Kit 4,007,300 0 0 0 0 0 0 0 0
1038 Reagen Pemeriksaan Cu cat. 1.14767.0001 Kit 4,502,300 0 0 0 0 0 0 0 0
1039 Reagen Pemeriksaan Fe cat. 1.14761.0002 Kit 4,785,000 0 0 0 0 0 0 0 0
1040 Reagen Pemeriksaan Mn cat. 1.14770.0001 Kit 4,658,500 0 0 0 0 0 0 0 0
1041 Reagen pemeriksaan Pb cat. 1.09717.0001 Kit 2,843,000 0 0 0 0 0 0 0 0

hal. 32 LPLPO Puskesmas


Penerimaan
Harga
Kode Nama Barang Kekuatan Satuan Awal Nilai Awal Seksi Jumlah Harga Seksi Persediaan Nilai Persediaan
Satuan Lain Jumlah Harga Lain
Farmasi Farmasi

1042 Rhodamin B test Kit Kit 5,500,000 0 0 0 0 0 0 0 0


1043 Sodium Hidroksida (NaOH) Cat. 1.06498.1000 Botol 602,800 0 0 0 0 0 0 0 0
1044 SPADNS Hach Cat. 44449 Botol 770,000 0 0 0 0 0 0 0 0
1045 CRM Cadmium Cat. 1.19777.0500 Botol 839,300 0 0 0 0 0 0 0 0
1046 Reagen Pemeriksaan Arsen Cat. 1.17917.0001 Kit 2,603,700 0 0 0 0 0 0 0 0
1047 Reagen Pemeriksaan Zn Cat. 1.14412.0001 Kit 3,913,800 0 0 0 0 0 0 0 0
1048 Sarung tangan (E-Care) no. 6,5 Pasang 4,500 0 0 0 0 0 0 0 0
1049 Sarung tangan (E-Care) no. 7 Pasang 4,500 0 0 0 0 0 0 0 0
1050 Zidovudine (ZDV) 300 mg + Lamivudine (3TC) 150 mg Tablet 3,700 0 0 0 0 0 0 0 0
1051 Pediatrik FDC Triple : Zidovudine + Lamivudine + Nevirapin Tablet 692 0 0 0 0 0 0 0 0
1052 Rapid 1 HIV (SD) Test 22,385 0 0 0 0 0 0 0 0
1053 Rapid 2 HIV (Intec) Test 22,396 0 0 0 0 0 0 0 0
1054 Rapid 3 HIV (Oncoprobe) Test 23,386 0 0 0 0 0 0 0 0
1055 Loratadin 10mg 10mg Kaplet 134 0 0 0 0 0 0 0 0
1056 Reagen ZN Kit 276,500 0 0 0 0 0 0 0 0
1057 Catgut Chromic 2/0 75c 37mm Piecis 29,167 0 0 0 0 0 0 0 0
1058 Catgut Chromic 3/0 75c 37mm Piecis 28,750 0 0 0 0 0 0 0 0
1059 Metoklopramid 10mg/2ml 10mg/2ml Ampul 3,395 0 0 0 0 0 0 0 0
1060 Zink Tablet Dispersible 20mg 20mg Tablet 514 0 0 0 0 0 0 0 0
1061 Tablet Tambah Darah Tablet 352 0 0 0 0 0 0 0 0
1062 Zink Tablet Dispersible 20mg 20mg Tablet 513 0 0 0 0 0 0 0 0
1063 Dec Glass Pak (isi 100 14,461 0 0 0 0 0 0 0 0
1064 Lancet (Onemed) Piecis 146 0 0 0 0 0 0 0 0
1065 Yodium Povidon Lart. 10 % 60ml 60ml Botol 3,700 0 0 0 0 0 0 0 0
1066 Aqua Destilata Botol 1L 14,960 0 0 0 0 0 0 0 0
1067 Dietilcarbamazin 100Mg 100mg Tablet 119 0 0 0 0 0 0 0 0
1068 Urin 10 Parameter (Cybow) Kit 135,200 0 0 0 0 0 0 0 0
1069 Propanolol Tab.10Mg 10mg Tablet 60 0 0 0 0 0 0 0 0
1070 Dexametason Inj. 5Mg/1Ml 5mg/ml Ampul 1,518 0 0 0 0 0 0 0 0
1071 Parasetamol 500mg tablet 500mg Tablet 49 0 0 0 0 0 0 0 0
1072 Klindamisin 300 Mg 300mg Tablet 578 0 0 0 0 0 0 0 0
1073 Dressing Penutup Luka (FIXOMULL) 10cm Pcs 70,903 0 0 0 0 0 0 0 0

hal. 33 LPLPO Puskesmas


Penerimaan
Harga
Kode Nama Barang Kekuatan Satuan Awal Nilai Awal Seksi Jumlah Harga Seksi Persediaan Nilai Persediaan
Satuan Lain Jumlah Harga Lain
Farmasi Farmasi

1074 Handscoon M (Stardec Latex) Pasang 476 0 0 0 0 0 0 0 0


1075 Reagen pemeriksaan Fluoride cat.1.114598.0001 Kit 3,169,100 0 0 0 0 0 0 0 0
1076 CRM Mangan cat.1.19789.0500 Kit 1,097,800 0 0 0 0 0 0 0 0
1077 Reagen Pemeriksaan Cadmium cat.1.01745.0001 Kit 4,068,900 0 0 0 0 0 0 0 0
1078 Reagen Pemeriksaan PO4 cat.1.00798.0001 Kit 2,691,700 0 0 0 0 0 0 0 0
1079 Amphetamin test (Intec) Kit 990,000 0 0 0 0 0 0 0 0
1080 Benzodeasepin Strip Test (Intec) Kit 990,000 0 0 0 0 0 0 0 0
1081 THC Strip Test (Intec) Kit 990,000 0 0 0 0 0 0 0 0
1082 Methampetamine Test (Intec) Kit 990,000 0 0 0 0 0 0 0 0
1083 Morphin Test (Intec) Kit 990,000 0 0 0 0 0 0 0 0
1084 Formalin test Cat.1.08028.0001 Kit 2,644,400 0 0 0 0 0 0 0 0
1085 Handscoon M (Mas Examination) Pcs 462 0 0 0 0 0 0 0 0
1086 Handscoon S (Mas Examination) Pcs 462 0 0 0 0 0 0 0 0
1087 Chlorpheniramine Maleat (Ctm) 4mg 4 mg Tablet 37 0 0 0 0 0 0 0 0
1088 Alkohol 70% 1L Botol 1L 25,000 0 0 0 0 0 0 0 0
1089 Objek Glass Box isi 72 17,604 0 0 0 0 0 0 0 0
1090 Kokain strip test (Answer) Box isi 50 680,020 0 0 0 0 0 0 0 0
1091 Salbutamol (Ventolin) Nebules 2,5mg 2,5mg Ampul 9,887 0 0 0 0 0 0 0 0
1092 Dihidro Artemisin 40mg + Piperakuin 320mg (DHP) Tablet 3,498 0 0 0 0 0 0 0 0
1093 Primakuin 15mg 15mg Tablet 224 0 0 0 0 0 0 0 0
1094 Lidokain + ephineprin (Pehacain) Inj 20x20ML Ampul 3,113 0 0 0 0 0 0 0 0
1095 EPHINEPHRINE INJ. 0.1% Ampul 6,084 0 0 0 0 0 0 0 0
1096 Silk 2/0 75CC 30M C (DEMESILK) Set 15,000 0 0 0 0 0 0 0 0
1097 Bioplacenton Tulle Pcs 10,400 0 0 0 0 0 0 0 0
1098 Ektra plasenta + Neomisin Sulfat (Neocenta Gel) 15g Tube 14,014 0 0 0 0 0 0 0 0
1099 Gliseril Guaiakolat Tab 100Mg (Guaifenesin) 100mg Tablet 74 0 0 0 0 0 0 0 0
1100 Ambroxol Tablet 30mg 30mg Tablet 101 0 0 0 0 0 0 0 0
1101 Infuset Anak (Microdrip) Piecis 7,920 0 0 0 0 0 0 0 0
1102 Infuset Dewasa (Otsu Y) Piecis 7,920 0 0 0 0 0 0 0 0
1103 MgSO4 20% (OTSU) Ampul 3,200 0 0 0 0 0 0 0 0
1104 Diazepam Rectal (Stesolid) 5mg Tube 12,090 0 0 0 0 0 0 0 0
1105 Fitominadion 10mG 10mg Tablet 686 0 0 0 0 0 0 0 0

hal. 34 LPLPO Puskesmas


Penerimaan
Harga
Kode Nama Barang Kekuatan Satuan Awal Nilai Awal Seksi Jumlah Harga Seksi Persediaan Nilai Persediaan
Satuan Lain Jumlah Harga Lain
Farmasi Farmasi

1106 Fitomenadion Inj. 2mg/ml 2mg/ml Ampul 3,550 0 0 0 0 0 0 0 0


1107 Lidokain 2% 2% Ampul 1,110 0 0 0 0 0 0 0 0
1108 Serum Anti Tetanus (Biosat 1.500 IU) 1.500 IU Ampul 126,500 0 0 0 0 0 0 0 0
1109 Aqua Pro Injeksi, Bebas Pirogen Vial 6,600 0 0 0 0 0 0 0 0
1110 Fluticason Propionat (Flixotide) nebules 0.5mg/2ml 0.5mg/2ml Nebules 14,500 0 0 0 0 0 0 0 0
1111 Oksitosin Inj. 10 Ul/ml (Ekocin1) 10 IU Ampul 1,900 0 0 0 0 0 0 0 0
1112 Epinephrine Inj 1mg (Ekepii1) 1mg Ampul 1,749 0 0 0 0 0 0 0 0
1113 Metformin 500 Mg 500mg Tablet 94 0 0 0 0 0 0 0 0
1114 Catgut Chromic 3/0 75c 37mm Piecis 28,750 0 0 0 0 0 0 0 0
1115 Catgut Chromic 2/0 75c 37mm Piecis 29,167 0 0 0 0 0 0 0 0
1116 Silk 3/0 75CC 30M C (DEMESILK) Piecis 15,000 0 0 0 0 0 0 0 0
1117 Aqua Pro Injeksi, Bebas Pirogen Vial 2,301 0 0 0 0 0 0 0 0
1118 Lidokain 2% + ephinefrin 2% Ampul 1,845 0 0 0 0 0 0 0 0
1119 Salep 2-4 Pot 2,527 0 0 0 0 0 0 0 0
1120 Tablet Tambah Darah Tablet 352 0 0 0 0 0 0 0 0
1121 Salbutamol Inhaler 100mcg/dosis (Dipsamol) 100mcg Botol 41,250 0 0 0 0 0 0 0 0
1122 Glimepirid 2 Mg 2mg Tablet 231 0 0 0 0 0 0 0 0
1123 Iv. Catteter (Introcan) No 20 Pcs 8,751 0 0 0 0 0 0 0 0
1124 Iv. Catteter (Introcan) No 24 Pcs 8,751 0 0 0 0 0 0 0 0
1125 Furosemid Inj. Iv/Im 10 Mg 10mg Ampul 1,516 0 0 0 0 0 0 0 0
1126 cairan Cuci Tangan Tanpa Bilas (Softaman) Botol 78,750 0 0 0 0 0 0 0 0
1127 Cetirizine 10mg 10mg Tablet 96 0 0 0 0 0 0 0 0
1128 Kasa Pembalut 4m x 5cm Rol 750 0 0 0 0 0 0 0 0
1129 Kasa Pembalut 4m x 10cm Rol 1,500 0 0 0 0 0 0 0 0
1130 CRM Ammonium Cat.1.25027.0100 Botol 830,500 0 0 0 0 0 0 0 0
1131 CRM Nitrat Cat1 1.125040.0100 Botol 830,500 0 0 0 0 0 0 0 0
1132 CRm Nitrit Cat 1.25042.0100 Botol 830,500 0 0 0 0 0 0 0 0
1133 CRM Sulfat (SO4) Cat.1.25053.0100 Botol 830,500 0 0 0 0 0 0 0 0
1134 Reagen Pemeriksaan Ammonium (NH4) Kit 1,586,200 0 0 0 0 0 0 0 0
1135 Metil Prednisolon 4mg 4mg Tablet 194 0 0 0 0 0 0 0 0
1136 Tensocrepe (Pro Crepe) 7.5cm x 4.22m Piecis 27,830 0 0 0 0 0 0 0 0
1137 Tensocrepe (Pro Crepe) 10cm x 4.22m Piecis 33,000 0 0 0 0 0 0 0 0

hal. 35 LPLPO Puskesmas


Penerimaan
Harga
Kode Nama Barang Kekuatan Satuan Awal Nilai Awal Seksi Jumlah Harga Seksi Persediaan Nilai Persediaan
Satuan Lain Jumlah Harga Lain
Farmasi Farmasi

1138 Tensocrepe (Pro Crepe) 15cm x 4.22m Piecis 41,910 0 0 0 0 0 0 0 0


1139 Ondansentron 4 Mg 4mg Tablet 455 0 0 0 0 0 0 0 0
1140 Doksisiklin 100 Mg 100mg Tablet 268 0 0 0 0 0 0 0 0
1141 Dexametason Inj. 5Mg/1Ml 5mg/ml Ampul 1,567 0 0 0 0 0 0 0 0
1142 Metoklopramid 10mg/2ml 10mg/2ml Ampul 3,395 0 0 0 0 0 0 0 0
1143 Bisturi (Aesculap) No 11 Piecis 3,000 0 0 0 0 0 0 0 0
1144 Kloramfenikol Tetes Mata 0.5 % (Decacetine)) Botol 3,250 0 0 0 0 0 0 0 0
1145 Gentamicin 0.1% Salep Kulit Tube 1,835 0 0 0 0 0 0 0 0
1146 Meloksikam tablet 7.5 mg 7.5mg Tablet 518 0 0 0 0 0 0 0 0
1147 Asiklovir Tab 400Mg 40mg Tablet 343 0 0 0 0 0 0 0 0
1148 Furosemida Tab 40Mg 40mg Tablet 80 0 0 0 0 0 0 0 0
1149 Allopurinol Tablet 100mg 100mg Tablet 89 0 0 0 0 0 0 0 0
1150 Bisakodil 5mg Tablet 5mg Tablet 300 0 0 0 0 0 0 0 0
1151 Gentamicin 0.1% Salep Kulit Tube 1,835 0 0 0 0 0 0 0 0
1152 Meloksikam tablet 7.5 mg 7.5mg Tablet 518 0 0 0 0 0 0 0 0
1153 Domperidon Suspensi 5mg/ 5ml 5mg/5ml Botol 3,000 0 0 0 0 0 0 0 0
1154 Foley Catteter No.16 Piecis 8,000 0 0 0 0 0 0 0 0
1155 Safety Box 5 Lt (ONEMED) Piecis 15,708 0 0 0 0 0 0 0 0
1156 Ranitidin 50mg/2ml Inj 50mg/2ml Ampul 1,458 0 0 0 0 0 0 0 0
1157 Tabung Vacumtainer EDTA 3ml Piecis 1,691 0 0 0 0 0 0 0 0
1158 Seftriakson injeksi 1 gr/vial 1gr Vial 8,500 0 0 0 0 0 0 0 0
1159 Seftriakson injeksi 1 gr/vial 1gr Vial 8,500 0 0 0 0 0 0 0 0
1160 Kloramfenikol Tetes Telinga 3% (RECO) 5ml Botol 5,940 0 0 0 0 0 0 0 0
1161 Gentamicin Tetes Mata 0,3% (GAREXIN) 5ML Botol 8,800 0 0 0 0 0 0 0 0
1162 Atropin Inj 0.25 Mg/Ml 0.25 MG Ampul 1,540 0 0 0 0 0 0 0 0
1163 Yodium Povidon Lart. 10 % 60 Ml 60ml Botol 60mL 3,700 0 0 0 0 0 0 0 0
1164 Alkohol 70% 1L Botol 1L 24,992 0 0 0 0 0 0 0 0
1165 Obat Tetes Hidung oksimetazolin ( Iliadin Drop) Box 31,301 0 0 0 0 0 0 0 0
1166 Obat Tetes Hidung oksimetazolin ( Iliadin Drop) Box 31,301 0 0 0 0 0 0 0 0
1167 Flunarisin 5mg (Cevadil) 5MG Tablet 990 0 0 0 0 0 0 0 0
1168 NEUROTROPIK KAPLET Tablet 594 0 0 0 0 0 0 0 0
1169 Kloramfenikol Tetes Telinga 3% (RECO) 5ML Botol 5,940 0 0 0 0 0 0 0 0

hal. 36 LPLPO Puskesmas


Penerimaan
Harga
Kode Nama Barang Kekuatan Satuan Awal Nilai Awal Seksi Jumlah Harga Seksi Persediaan Nilai Persediaan
Satuan Lain Jumlah Harga Lain
Farmasi Farmasi

1170 Urin 10 Parameter (Cybow) Kit 135,200 0 0 0 0 0 0 0 0


1171 Serum Anti Bisa Ular I (Biosave) 5mL 5ML Vial 462,000 0 0 0 0 0 0 0 0
1172 Alat Suntik Sekali Pakai 5 ml (RD) 5ml Piecis 903 0 0 0 0 0 0 0 0
1173 Metamisol + diazepam (Metaneuron) Kaplet 1,142 0 0 0 0 0 0 0 0
1174 Salep Antifungi Doen Kombinasi 30gr 3gr Tube 4,323 0 0 0 0 0 0 0 0
1175 SUPLEMEN MAKANAN (LIVRON B-PLEX) Tablet 242 0 0 0 0 0 0 0 0
1176 Amitriptiline 25 Mg 25 mg Tablet 102 0 0 0 0 0 0 0 0
1177 Clozapine 25 Mg 25 MG Tablet 1,550 0 0 0 0 0 0 0 0
1178 Klorpromazine 100 mg 100MG Tablet 162 0 0 0 0 0 0 0 0
1179 Risperidone 2mg 2MG Tablet 1,008 0 0 0 0 0 0 0 0
1180 Fenobarbital Tablet 30mg 30MG Tablet 150 0 0 0 0 0 0 0 0
1181 cairan Cuci Tangan Tanpa Bilas (Softaman) 500ML Botol 86,625 0 0 0 0 0 0 0 0
1182 Rapid Tes HIV 3 (Oncoprobe) Test 57,750 0 0 0 0 0 0 0 0
1183 Rapid Tes HIV 2 (Intec) Test 41,800 0 0 0 0 0 0 0 0
1184 Rapid Tes Hiv (Vikia) Card 19,500 0 0 0 0 0 0 0 0
1185 Objek Glass Box isi 72 20,000 0 0 0 0 0 0 0 0
1186 Masker 3M 1860 S N95 Box 396,500 0 0 0 0 0 0 0 0
1187 Masker 3M 1860 N95 Box 396,500 0 0 0 0 0 0 0 0
1188 Masker 3M 1870 + Aura N95 Box 426,500 0 0 0 0 0 0 0 0
1189 Sediaan mengandung ekstak apii herba dan ekstrak orthosipon folium (TensigTablet 2,127 0 0 0 0 0 0 0 0
1190 Sediaan mengandung glucosamin HCl , Chondroitin sulfate, Vit C , Mn (OsteoTablet 3,284 0 0 0 0 0 0 0 0
1191 Sediaan mengandung lutein dan ekstrac buah bilberry (Ocugard) Tablet 4,728 0 0 0 0 0 0 0 0
1192 Obat Batuk Kombinasi Mengandung Dekstrometorfan (Dextr
60ml Botol 8,047 0 0 0 0 0 0 0 0
1193 Bromheksin Tablet (Hustab P) 8mg Tablet 183 0 0 0 0 0 0 0 0
1194 Kotrimoksazol 480 Mg 480mg Tablet 248 0 0 0 0 0 0 0 0
1195 Kalsium Laktat (Kalk) Tab.500Mg 500MG Tablet 151 0 0 0 0 0 0 0 0
1196 Parasetamol Sirup Botol 5,066 0 0 0 0 0 0 0 0
1197 Azitromisin 500 Mg 500MG Tablet 1,888 0 0 0 0 0 0 0 0
1198 Flukonasol 150mg 150MG Tablet 18,000 0 0 0 0 0 0 0 0
1199 Simvastatin Tab.10 Mg Tablet 111 0 0 0 0 0 0 0 0
1200 Vitamin B1 (Thiamin) Tablet 82 0 0 0 0 0 0 0 0
1201 Piridoksin (B6) Tab. 10Mg Tablet 118 0 0 0 0 0 0 0 0

hal. 37 LPLPO Puskesmas


Penerimaan
Harga
Kode Nama Barang Kekuatan Satuan Awal Nilai Awal Seksi Jumlah Harga Seksi Persediaan Nilai Persediaan
Satuan Lain Jumlah Harga Lain
Farmasi Farmasi

1202 Oksitetrasiklin Salep Klulit 3% Tube 2,010 0 0 0 0 0 0 0 0


1203 Bromheksin Syrup (Lexavon) Botol 6,050 0 0 0 0 0 0 0 0
1204 Mikonazole Krim/Salep 2% (Moladerm) Tube 7,480 0 0 0 0 0 0 0 0
1205 Mikonazole Krim/Salep 2% (Moladerm) Tube 7,480 0 0 0 0 0 0 0 0
1206 Hbsag (Fokus Diagnostic) Box isi 25 263,675 0 0 0 0 0 0 0 0
1207 Sediaan mengandung metamizol 500 mg dan diazepam 2 mg (Metaneuron) Tablet 1,142 0 0 0 0 0 0 0 0
1208 Antiinfluenza (Noza) Tablet 798 0 0 0 0 0 0 0 0
1209 Diluent Botol 3,917,100 0 0 0 0 0 0 0 0
1210 Cleaner Botol 2,612,500 0 0 0 0 0 0 0 0
1211 lyse Botol 4,243,800 0 0 0 0 0 0 0 0
1212 Bromheksin Syrup (Lexavon) 60ml Botol 6,050 0 0 0 0 0 0 0 0
1213 Vitamin A Kapsul 200.000 Iu 200.000 IU Kapsul 519 0 0 0 0 0 0 0 0
1214 Furosemid Inj. Iv/Im 10 Mg 10 MG Ampul 1,516 0 0 0 0 0 0 0 0
1215 Nifedipin 10 Mg 10MG Tablet 99 0 0 0 0 0 0 0 0
1216 Sefotaksim Inj 1G Vial 4,282 0 0 0 0 0 0 0 0
1217 Domperidon Tab. 10 Mg 10 MG Tablet 95 0 0 0 0 0 0 0 0
1218 Garam Oralit Serbuk Sachet 288 0 0 0 0 0 0 0 0
1219 Garam Oralit Serbuk Sachet 264 0 0 0 0 0 0 0 0
1220 Tetrasiklin 500 Mg 500MG Kapsul 310 0 0 0 0 0 0 0 0
1221 Loperamide Tab 2 mg 2 mg Tablet 80 0 0 0 0 0 0 0 0
1222 Obh Molex Sirup 60ml Botol 5,500 0 0 0 0 0 0 0 0
1223 Obh Molex Sirup 60ML Botol 5,500 0 0 0 0 0 0 0 0
1224 Bisoprolol 5 Mg 5mg Tablet 260 0 0 0 0 0 0 0 0
1225 Sefiksim 100mg 100MG Tablet 750 0 0 0 0 0 0 0 0
1226 Metformin 500 Mg 500mg Tablet 94 0 0 0 0 0 0 0 0
1227 Ranitidin 150 Mg 150mg Tablet 98 0 0 0 0 0 0 0 0
1228 Bromheksin Tablet (Hustab P) Tablet 183 0 0 0 0 0 0 0 0
1231 Antasida Doen Tablet Kunyah Tablet 62 0 0 0 0 0 0 0 0
1232 Ergotamin Caffein 1mg, 5mg Tablet 201 0 0 0 0 0 0 0 0
1233 Allopurinol Tablet 100mg 100MG Tablet 90 0 0 0 0 0 0 0 0
1234 Gentian Violet 1%,10 Ml 10ML Botol 10mL 1,420 0 0 0 0 0 0 0 0
1235 Propanolol Tab 40Mg 40mg Tablet 110 0 0 0 0 0 0 0 0

hal. 38 LPLPO Puskesmas


Penerimaan
Harga
Kode Nama Barang Kekuatan Satuan Awal Nilai Awal Seksi Jumlah Harga Seksi Persediaan Nilai Persediaan
Satuan Lain Jumlah Harga Lain
Farmasi Farmasi

1236 Gliseril Guaiakolat Tab 100Mg (Guaifenesin) 100mg Tablet 74 0 0 0 0 0 0 0 0


1237 Risperidone 2mg 2mg Tablet 347 0 0 0 0 0 0 0 0
1238 Gentamicin Salep Mata 0,3% (GAREXIN) 5gr Tube 8,800 0 0 0 0 0 0 0 0
1239 Antidiare Suspensi (Kanina) Botol 5,800 0 0 0 0 0 0 0 0
1240 Hiosina N Butil Bromida 10 Mg (Scopma) Tablet 1,440 0 0 0 0 0 0 0 0
1241 Antidiare Suspensi (Kanina) Botol 5,800 0 0 0 0 0 0 0 0
1242 Hiosina N Butil Bromida 10 Mg (Scopma) Kaplet 1,440 0 0 0 0 0 0 0 0
1243 Nistatin Drop 100.000 12 ml Botol 19,360 0 0 0 0 0 0 0 0
1244 Triamsinolon Asetonida 1mg (Bufacom) 5 gr Tube 16,500 0 0 0 0 0 0 0 0
1245 Triamsinolon Asetonida 1mg (Bufacom) 5 gr Tube 16,500 0 0 0 0 0 0 0 0
1246 Vitamin B.Complek (Nova B-Complex) Tablet 78 0 0 0 0 0 0 0 0
1247 Tiamfenikol Kapsul 500Mg 500 Kapsul 921 0 0 0 0 0 0 0 0
1248 Yodium Povidon Lart. 10 % 60 Ml 60 ml Botol 60mL 3,696 0 0 0 0 0 0 0 0
1249 Amoksisilin Sirup Kering 125mg/5ml 60 ml Botol 2,400 0 0 0 0 0 0 0 0
1250 Simetidin Tab. 200 Mg 200 mg Tablet 164 0 0 0 0 0 0 0 0
1251 Tiamfenikol Kapsul 500Mg 500 mg Tablet 921 0 0 0 0 0 0 0 0
1252 Sediaan mengandung Ekstrac graptophylli folium dan Citrus bioflavonoid ( Tablet 1,552 0 0 0 0 0 0 0 0
1253 Suplemen Makanan (LIVRON B-PLEX) Tablet 242 0 0 0 0 0 0 0 0
1254 Plester (leukoplast) Rol 35,532 0 0 0 0 0 0 0 0
1255 Larutan Na Citrat 3,13% Botol 21,761 0 0 0 0 0 0 0 0
1256 Larutan Na Citrat 3,13% Botol 21,761 0 0 0 0 0 0 0 0
1257 Larutan Turk Botol 26,036 0 0 0 0 0 0 0 0
1258 Larutan Hayem Botol 31,750 0 0 0 0 0 0 0 0
1259 Larutan Eosin 2 % Botol 178,525 0 0 0 0 0 0 0 0
1260 Immersion Oil Botol 201,800 0 0 0 0 0 0 0 0
1261 Larutan Giemsa Stain Botol 358,550 0 0 0 0 0 0 0 0
1262 Larutan Na Citrat 3,13% Botol 21,761 0 0 0 0 0 0 0 0
1263 Larutan Turk Botol 26,036 0 0 0 0 0 0 0 0
1264 Eritromisin Sirup kering 200mg/5ml 60 ml Botol 6,150 0 0 0 0 0 0 0 0
1265 Kloramfenikol Sirup 125 mg/5 ml 60 ml Botol 4,700 0 0 0 0 0 0 0 0
1266 Siprofloxacin Tab 500Mg 500 mg Tablet 240 0 0 0 0 0 0 0 0
1267 Ibuprofen tablet 200mg 200 mg Tablet 102 0 0 0 0 0 0 0 0

hal. 39 LPLPO Puskesmas


Penerimaan
Harga
Kode Nama Barang Kekuatan Satuan Awal Nilai Awal Seksi Jumlah Harga Seksi Persediaan Nilai Persediaan
Satuan Lain Jumlah Harga Lain
Farmasi Farmasi

1268 Ketokonazole 200Mg 200 mg Tablet 280 0 0 0 0 0 0 0 0


1269 Antiinfluenza Syr (Molexflu) 60 ml Botol 6,274 0 0 0 0 0 0 0 0
1270 Antiinfluenza Syr (Molexflu) 60 ml Botol 6,274 0 0 0 0 0 0 0 0
1271 Syphilis Test (Hexagon) Test 26,798 0 0 0 0 0 0 0 0
1272 Kasa Kompres 40X40 Rol 1,600 0 0 0 0 0 0 0 0
1273 Kasa Hidrofil 2Mx80Cm Rol 7,700 0 0 0 0 0 0 0 0
1274 Kasa Pembalut Hidrofil 4M X 15 Cm Rol 2,099 0 0 0 0 0 0 0 0
1275 Hb Hemoglobin Test (Mision) Box/ 50 400,000 0 0 0 0 0 0 0 0
1276 Omeprazole 20mg 20mg Kapsul 140 0 0 0 0 0 0 0 0
1277 Lansoprasol 30mg 30 mg Kapsul 286 0 0 0 0 0 0 0 0
1278 Ibuprofen Suspensi 200Mg/5Ml 60 ml Botol 4,943 0 0 0 0 0 0 0 0
1279 Bacitracin Polymyxin Salep Kulit 5g Tube 2,924 0 0 0 0 0 0 0 0
1280 Antidiare (Omegdiar) Tablet 277 0 0 0 0 0 0 0 0
1281 Gliseril Guaiakolat Tab 100Mg (Guaifenesin) 100 mg Tablet 81 0 0 0 0 0 0 0 0
1282 Asam Askorbat (Vit. C) Tab 25 Mg 25 mg Tablet 45 0 0 0 0 0 0 0 0
1283 Obat Batuk Kombinasi Mengandung Dekstrometorfan ( BROCON) Tablet Tablet 377 0 0 0 0 0 0 0 0
1284 Multivitamin syrup (Pacdin Vitcur) Botol 8,800 0 0 0 0 0 0 0 0
1285 Antidiare (Omegdiar) Tablet 277 0 0 0 0 0 0 0 0
1286 Gliseril Guaiakolat Tab 100Mg (Guaifenesin) 100 mg Tablet 81 0 0 0 0 0 0 0 0
1287 Obat Batuk Kombinasi Mengandung Dekstrometorfan ( BROCON) Tablet Tablet 377 0 0 0 0 0 0 0 0
1288 Sediaan Mengandung Pancreatin dan Simethicone (XEPAZYM) Tablet Tablet 2,695 0 0 0 0 0 0 0 0
1289 Kloramfenikol salep kulit ( Bufacetin) 15 gr Tube 2,735 0 0 0 0 0 0 0 0

BPJS

KU
UMUM
GENERIK

hal. 40 LPLPO Puskesmas


Penerimaan
Harga
Kode Nama Barang Kekuatan Satuan Awal Nilai Awal Seksi Jumlah Harga Seksi Persediaan Nilai Persediaan
Satuan Lain Jumlah Harga Lain
Farmasi Farmasi

hal. 41 LPLPO Puskesmas


MBAR PERMINTAAN OBAT (LPLPO)

Bulan :
Permintaan :

Pengeluaran
Nilai
Jumlah Harga Jumlah Harga Jumlah Harga Pengeluaran Nilai Pengeluaran Sisa Nilai Sisa Optimal Permintaan Pemberian Ket
Pemakaian ED/Rusak Relokasi Pemberian
Pemakaian ED/Rusak Relokasi
14 15 16 17 18 19 20 21 22 23 24 25 26 27 28

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

hal. 42 LPLPO Puskesmas


Pengeluaran
Nilai
Jumlah Harga Jumlah Harga Jumlah Harga Pengeluaran Nilai Pengeluaran Sisa Nilai Sisa Optimal Permintaan Pemberian Ket
Pemakaian ED/Rusak Relokasi Pemberian
Pemakaian ED/Rusak Relokasi

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

hal. 43 LPLPO Puskesmas


Pengeluaran
Nilai
Jumlah Harga Jumlah Harga Jumlah Harga Pengeluaran Nilai Pengeluaran Sisa Nilai Sisa Optimal Permintaan Pemberian Ket
Pemakaian ED/Rusak Relokasi Pemberian
Pemakaian ED/Rusak Relokasi

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

hal. 44 LPLPO Puskesmas


Pengeluaran
Nilai
Jumlah Harga Jumlah Harga Jumlah Harga Pengeluaran Nilai Pengeluaran Sisa Nilai Sisa Optimal Permintaan Pemberian Ket
Pemakaian ED/Rusak Relokasi Pemberian
Pemakaian ED/Rusak Relokasi

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

hal. 45 LPLPO Puskesmas


Pengeluaran
Nilai
Jumlah Harga Jumlah Harga Jumlah Harga Pengeluaran Nilai Pengeluaran Sisa Nilai Sisa Optimal Permintaan Pemberian Ket
Pemakaian ED/Rusak Relokasi Pemberian
Pemakaian ED/Rusak Relokasi

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

hal. 46 LPLPO Puskesmas


Pengeluaran
Nilai
Jumlah Harga Jumlah Harga Jumlah Harga Pengeluaran Nilai Pengeluaran Sisa Nilai Sisa Optimal Permintaan Pemberian Ket
Pemakaian ED/Rusak Relokasi Pemberian
Pemakaian ED/Rusak Relokasi

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

hal. 47 LPLPO Puskesmas


Pengeluaran
Nilai
Jumlah Harga Jumlah Harga Jumlah Harga Pengeluaran Nilai Pengeluaran Sisa Nilai Sisa Optimal Permintaan Pemberian Ket
Pemakaian ED/Rusak Relokasi Pemberian
Pemakaian ED/Rusak Relokasi

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

hal. 48 LPLPO Puskesmas


Pengeluaran
Nilai
Jumlah Harga Jumlah Harga Jumlah Harga Pengeluaran Nilai Pengeluaran Sisa Nilai Sisa Optimal Permintaan Pemberian Ket
Pemakaian ED/Rusak Relokasi Pemberian
Pemakaian ED/Rusak Relokasi

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

hal. 49 LPLPO Puskesmas


Pengeluaran
Nilai
Jumlah Harga Jumlah Harga Jumlah Harga Pengeluaran Nilai Pengeluaran Sisa Nilai Sisa Optimal Permintaan Pemberian Ket
Pemakaian ED/Rusak Relokasi Pemberian
Pemakaian ED/Rusak Relokasi

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

hal. 50 LPLPO Puskesmas


Pengeluaran
Nilai
Jumlah Harga Jumlah Harga Jumlah Harga Pengeluaran Nilai Pengeluaran Sisa Nilai Sisa Optimal Permintaan Pemberian Ket
Pemakaian ED/Rusak Relokasi Pemberian
Pemakaian ED/Rusak Relokasi

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

hal. 51 LPLPO Puskesmas


Pengeluaran
Nilai
Jumlah Harga Jumlah Harga Jumlah Harga Pengeluaran Nilai Pengeluaran Sisa Nilai Sisa Optimal Permintaan Pemberian Ket
Pemakaian ED/Rusak Relokasi Pemberian
Pemakaian ED/Rusak Relokasi

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

hal. 52 LPLPO Puskesmas


Pengeluaran
Nilai
Jumlah Harga Jumlah Harga Jumlah Harga Pengeluaran Nilai Pengeluaran Sisa Nilai Sisa Optimal Permintaan Pemberian Ket
Pemakaian ED/Rusak Relokasi Pemberian
Pemakaian ED/Rusak Relokasi

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

hal. 53 LPLPO Puskesmas


Pengeluaran
Nilai
Jumlah Harga Jumlah Harga Jumlah Harga Pengeluaran Nilai Pengeluaran Sisa Nilai Sisa Optimal Permintaan Pemberian Ket
Pemakaian ED/Rusak Relokasi Pemberian
Pemakaian ED/Rusak Relokasi

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

hal. 54 LPLPO Puskesmas


Pengeluaran
Nilai
Jumlah Harga Jumlah Harga Jumlah Harga Pengeluaran Nilai Pengeluaran Sisa Nilai Sisa Optimal Permintaan Pemberian Ket
Pemakaian ED/Rusak Relokasi Pemberian
Pemakaian ED/Rusak Relokasi

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

hal. 55 LPLPO Puskesmas


Pengeluaran
Nilai
Jumlah Harga Jumlah Harga Jumlah Harga Pengeluaran Nilai Pengeluaran Sisa Nilai Sisa Optimal Permintaan Pemberian Ket
Pemakaian ED/Rusak Relokasi Pemberian
Pemakaian ED/Rusak Relokasi

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

hal. 56 LPLPO Puskesmas


Pengeluaran
Nilai
Jumlah Harga Jumlah Harga Jumlah Harga Pengeluaran Nilai Pengeluaran Sisa Nilai Sisa Optimal Permintaan Pemberian Ket
Pemakaian ED/Rusak Relokasi Pemberian
Pemakaian ED/Rusak Relokasi

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

hal. 57 LPLPO Puskesmas


Pengeluaran
Nilai
Jumlah Harga Jumlah Harga Jumlah Harga Pengeluaran Nilai Pengeluaran Sisa Nilai Sisa Optimal Permintaan Pemberian Ket
Pemakaian ED/Rusak Relokasi Pemberian
Pemakaian ED/Rusak Relokasi

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

hal. 58 LPLPO Puskesmas


Pengeluaran
Nilai
Jumlah Harga Jumlah Harga Jumlah Harga Pengeluaran Nilai Pengeluaran Sisa Nilai Sisa Optimal Permintaan Pemberian Ket
Pemakaian ED/Rusak Relokasi Pemberian
Pemakaian ED/Rusak Relokasi

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

hal. 59 LPLPO Puskesmas


Pengeluaran
Nilai
Jumlah Harga Jumlah Harga Jumlah Harga Pengeluaran Nilai Pengeluaran Sisa Nilai Sisa Optimal Permintaan Pemberian Ket
Pemakaian ED/Rusak Relokasi Pemberian
Pemakaian ED/Rusak Relokasi

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

hal. 60 LPLPO Puskesmas


Pengeluaran
Nilai
Jumlah Harga Jumlah Harga Jumlah Harga Pengeluaran Nilai Pengeluaran Sisa Nilai Sisa Optimal Permintaan Pemberian Ket
Pemakaian ED/Rusak Relokasi Pemberian
Pemakaian ED/Rusak Relokasi

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

hal. 61 LPLPO Puskesmas


Pengeluaran
Nilai
Jumlah Harga Jumlah Harga Jumlah Harga Pengeluaran Nilai Pengeluaran Sisa Nilai Sisa Optimal Permintaan Pemberian Ket
Pemakaian ED/Rusak Relokasi Pemberian
Pemakaian ED/Rusak Relokasi

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

hal. 62 LPLPO Puskesmas


Pengeluaran
Nilai
Jumlah Harga Jumlah Harga Jumlah Harga Pengeluaran Nilai Pengeluaran Sisa Nilai Sisa Optimal Permintaan Pemberian Ket
Pemakaian ED/Rusak Relokasi Pemberian
Pemakaian ED/Rusak Relokasi

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

hal. 63 LPLPO Puskesmas


Pengeluaran
Nilai
Jumlah Harga Jumlah Harga Jumlah Harga Pengeluaran Nilai Pengeluaran Sisa Nilai Sisa Optimal Permintaan Pemberian Ket
Pemakaian ED/Rusak Relokasi Pemberian
Pemakaian ED/Rusak Relokasi

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

hal. 64 LPLPO Puskesmas


Pengeluaran
Nilai
Jumlah Harga Jumlah Harga Jumlah Harga Pengeluaran Nilai Pengeluaran Sisa Nilai Sisa Optimal Permintaan Pemberian Ket
Pemakaian ED/Rusak Relokasi Pemberian
Pemakaian ED/Rusak Relokasi

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

hal. 65 LPLPO Puskesmas


Pengeluaran
Nilai
Jumlah Harga Jumlah Harga Jumlah Harga Pengeluaran Nilai Pengeluaran Sisa Nilai Sisa Optimal Permintaan Pemberian Ket
Pemakaian ED/Rusak Relokasi Pemberian
Pemakaian ED/Rusak Relokasi

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

hal. 66 LPLPO Puskesmas


Pengeluaran
Nilai
Jumlah Harga Jumlah Harga Jumlah Harga Pengeluaran Nilai Pengeluaran Sisa Nilai Sisa Optimal Permintaan Pemberian Ket
Pemakaian ED/Rusak Relokasi Pemberian
Pemakaian ED/Rusak Relokasi

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

hal. 67 LPLPO Puskesmas


Pengeluaran
Nilai
Jumlah Harga Jumlah Harga Jumlah Harga Pengeluaran Nilai Pengeluaran Sisa Nilai Sisa Optimal Permintaan Pemberian Ket
Pemakaian ED/Rusak Relokasi Pemberian
Pemakaian ED/Rusak Relokasi

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

hal. 68 LPLPO Puskesmas


Pengeluaran
Nilai
Jumlah Harga Jumlah Harga Jumlah Harga Pengeluaran Nilai Pengeluaran Sisa Nilai Sisa Optimal Permintaan Pemberian Ket
Pemakaian ED/Rusak Relokasi Pemberian
Pemakaian ED/Rusak Relokasi

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

hal. 69 LPLPO Puskesmas


Pengeluaran
Nilai
Jumlah Harga Jumlah Harga Jumlah Harga Pengeluaran Nilai Pengeluaran Sisa Nilai Sisa Optimal Permintaan Pemberian Ket
Pemakaian ED/Rusak Relokasi Pemberian
Pemakaian ED/Rusak Relokasi

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

hal. 70 LPLPO Puskesmas


Pengeluaran
Nilai
Jumlah Harga Jumlah Harga Jumlah Harga Pengeluaran Nilai Pengeluaran Sisa Nilai Sisa Optimal Permintaan Pemberian Ket
Pemakaian ED/Rusak Relokasi Pemberian
Pemakaian ED/Rusak Relokasi

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

hal. 71 LPLPO Puskesmas


Pengeluaran
Nilai
Jumlah Harga Jumlah Harga Jumlah Harga Pengeluaran Nilai Pengeluaran Sisa Nilai Sisa Optimal Permintaan Pemberian Ket
Pemakaian ED/Rusak Relokasi Pemberian
Pemakaian ED/Rusak Relokasi

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

hal. 72 LPLPO Puskesmas


Pengeluaran
Nilai
Jumlah Harga Jumlah Harga Jumlah Harga Pengeluaran Nilai Pengeluaran Sisa Nilai Sisa Optimal Permintaan Pemberian Ket
Pemakaian ED/Rusak Relokasi Pemberian
Pemakaian ED/Rusak Relokasi

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

hal. 73 LPLPO Puskesmas


Pengeluaran
Nilai
Jumlah Harga Jumlah Harga Jumlah Harga Pengeluaran Nilai Pengeluaran Sisa Nilai Sisa Optimal Permintaan Pemberian Ket
Pemakaian ED/Rusak Relokasi Pemberian
Pemakaian ED/Rusak Relokasi

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

hal. 74 LPLPO Puskesmas


Pengeluaran
Nilai
Jumlah Harga Jumlah Harga Jumlah Harga Pengeluaran Nilai Pengeluaran Sisa Nilai Sisa Optimal Permintaan Pemberian Ket
Pemakaian ED/Rusak Relokasi Pemberian
Pemakaian ED/Rusak Relokasi

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

hal. 75 LPLPO Puskesmas


Pengeluaran
Nilai
Jumlah Harga Jumlah Harga Jumlah Harga Pengeluaran Nilai Pengeluaran Sisa Nilai Sisa Optimal Permintaan Pemberian Ket
Pemakaian ED/Rusak Relokasi Pemberian
Pemakaian ED/Rusak Relokasi

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

hal. 76 LPLPO Puskesmas


Pengeluaran
Nilai
Jumlah Harga Jumlah Harga Jumlah Harga Pengeluaran Nilai Pengeluaran Sisa Nilai Sisa Optimal Permintaan Pemberian Ket
Pemakaian ED/Rusak Relokasi Pemberian
Pemakaian ED/Rusak Relokasi

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

hal. 77 LPLPO Puskesmas


Pengeluaran
Nilai
Jumlah Harga Jumlah Harga Jumlah Harga Pengeluaran Nilai Pengeluaran Sisa Nilai Sisa Optimal Permintaan Pemberian Ket
Pemakaian ED/Rusak Relokasi Pemberian
Pemakaian ED/Rusak Relokasi

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

hal. 78 LPLPO Puskesmas


Pengeluaran
Nilai
Jumlah Harga Jumlah Harga Jumlah Harga Pengeluaran Nilai Pengeluaran Sisa Nilai Sisa Optimal Permintaan Pemberian Ket
Pemakaian ED/Rusak Relokasi Pemberian
Pemakaian ED/Rusak Relokasi

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

hal. 79 LPLPO Puskesmas


Pengeluaran
Nilai
Jumlah Harga Jumlah Harga Jumlah Harga Pengeluaran Nilai Pengeluaran Sisa Nilai Sisa Optimal Permintaan Pemberian Ket
Pemakaian ED/Rusak Relokasi Pemberian
Pemakaian ED/Rusak Relokasi

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

hal. 80 LPLPO Puskesmas


Pengeluaran
Nilai
Jumlah Harga Jumlah Harga Jumlah Harga Pengeluaran Nilai Pengeluaran Sisa Nilai Sisa Optimal Permintaan Pemberian Ket
Pemakaian ED/Rusak Relokasi Pemberian
Pemakaian ED/Rusak Relokasi

0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0

KUNJUNGAN RESEP KUNJUNGAN PERESEPAN

UMUM ASKES JUMLAH R/ GENERIK R/ ESENSIAL R/ ANTIBIOTIK R/ PATEN R/ TOTAL


0 0
KUNJUNGAN PERESEPAN
UMUM
TOTAL TOTAL TOTAL

hal. 81 LPLPO Puskesmas


Pengeluaran
Nilai
Jumlah Harga Jumlah Harga Jumlah Harga Pengeluaran Nilai Pengeluaran Sisa Nilai Sisa Optimal Permintaan Pemberian Ket
Pemakaian ED/Rusak Relokasi Pemberian
Pemakaian ED/Rusak Relokasi

Mengetahui :
Kepala, Pengelola Obat,

hal. 82 LPLPO Puskesmas

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