Rekapitulasi Mutasi Persediaan Tahun 2014

UPTD Puskesmas Wangi - Wangi

Saldo per Januari Pembelian Tahun 2014 Pengeluaran Tahun 2014

2014
No Uraian

Jumlah Barang Jan Feb Mar Apr Mei Juni Juli Ags Sep Okt Nov Des Jumlah Jan Feb Mar Apr Mei Juni Juli Ags Sep Okt Nov Des

1 2 3 4

1 ABBOCATH NO 18 0 SET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 ABBOCATH NO 20 200 SET 300 0 0 0 0 0 0 0 0 0 0 0 300 0 6 0 494 0 0 0 0 0 0 0 0
3 ABBOCATH NO 22 200 SET 300 0 0 0 0 0 0 0 0 0 0 0 300 0 6 0 494 0 0 0 0 0 0 0 0
4 ABBOCATH NO 24 0 SET 300 0 0 0 0 0 0 0 0 0 0 0 300 0 15 5 83 0 0 0 0 7 3 3 0
5 ACICLOVIR 400 MG 170 TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0
6 AIR RAKSA DENTAL USE 0 BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 ALAT SUNTIK SEKALI PAKAI 1 ML 300 SET 0 0 0 0 0 0 0 0 0 300 0 600 900 200 18 0 0 10 0 10 12 0 20 330 5
8 ALAT SUNTIK SEKALI PAKAI 2,5 ML 500 SET 0 0 0 0 0 0 0 0 400 0 0 0 400 0 125 105 20 160 26 64 0 50 20 5 30
9 ALAT SUNTIK SEKALI PAKAI 5 ML 400 SET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 12 0 0 0 73 0 50 30 0 10
10 ALBENDAZOL TABLET 400 MG 116 TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 74 12 0 0 0 0 0 0 30 0 0
11 ALBOTHYL CONCRETATE 0 BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 ALOPURINOL TABLET 100 MG 0 TABLET 500 0 0 0 0 0 0 0 0 0 0 0 500 200 0 30 100 20 0 50 100 0 0 0 0
13 AMBROXOL TABLET 30 MG 0 TABLET 3000 0 0 0 0 200 0 0 0 0 0 0 3200 200 0 0 0 0 380 0 120 100 0 30 0
14 AMBROXOL 15 MG/5 ML SYRUP 0 BOTOL 100 0 0 0 0 10 0 0 0 0 0 0 110 50 0 0 0 0 0 4 6 0 0 0 0
15 AMINOFILIN INJEKSI 20 MG / ML - 10 ML 0 AMPUL 90 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 5 0 1
16 AMINOFILIN TABLET 200 MG 0 TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
17 AMITRIPTILIN HCL TABLET SALUT 25 MG 0 TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 AMOKSISILIN KAPLET 500 MG 10400 KAPLET 0 0 0 0 0 0 0 0 0 0 0 0 0 1600 3400 3200 1385 815 0 0 0 0 0 0 0
19 AMOKSISILIN KAPSUL 250 MG 0 KAPSUL 1200 0 0 0 0 0 0 0 0 0 0 0 1200 500 500 0 0 50 150 0 0 0 0 0 0
20 AMOKSISILIN SIRUP KERING 125 MG / 5 ML 0 BOTOL 240 0 0 300 0 20 0 0 0 240 0 0 800 60 25 91 22 18 20 40 4 63 13 15 38
21 AMOKSISILINA INJEKSI 0 VIAL 0 0 0 20 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0
22 ANTALGIN (METAMPIRON) TABLET 500 MG (SELESGIN) 2000 TABLET 5000 0 0 0 0 100 0 0 0 0 0 0 5100 1000 0 200 200 300 0 0 400 400 400 700 0
23 ANTALGIN TABLET 500 MG 0 TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 ANTALGIN INJEKSI 250 MG / ML - 2 ML 60 AMPUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
25 ANTASIDA DOEN TABLET, KOMBINASI 0 TABLET 5000 0 0 1000 0 0 1000 0 0 3500 0 0 10500 500 2300 550 400 800 450 250 50 1200 250 100 50
26 ANTASIDA SYRUP 0 BOTOL 200 0 0 0 0 50 100 0 0 200 0 0 550 50 12 27 50 29 44 20 18 15 10 67 4
27 ANTIHAEMOROID DOEN KOMBINASI (SUPERHOID) 0 SUPP 60 0 0 0 0 12 0 0 0 0 0 30 102 18 6 6 0 0 6 0 0 6 18 12 0
28 ANTIMIGRAIN DOEN KOMBINASI 0 TABLET 1000 0 0 0 0 0 0 0 0 0 0 0 1000 0 0 0 0 0 100 100 0 0 0 0 0
29 ANTIPARKINSON DOEN TABLET KOMBINASI 0 TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
30 AQUA PROINJEKSI STERIL BEBAS PIROGEN 0 VIAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
31 AQUADEST STERIL 0 BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 ASAM ASKORBAT (VIT C) TABLET 250 MG 700 TABLET 1000 0 0 0 0 0 0 0 0 0 0 0 1000 250 750 0 0 600 0 0 100 0 0 0 0
33 ASAM ASKORBAT (VIT C) TABLET 50 MG 6500 TABLET 4000 0 0 0 0 0 0 0 0 0 0 0 4000 2200 350 1000 990 260 1000 400 300 1000 1000 200 300
34 ASAM FOLAT TABLET 300 TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 300 0 0 0
35 ASAM MEFENAMAT 500 MG 4500 TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 600 2350 550 1000 0 0 0 0 0 0 0 0
36 ASAM SULFASILISILAT 20 % 0 BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
37 ASETOSAL TABLET 100 MG 1500 TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 700 0 0 0 0 0 500 0 0 0 0 0
38 ASETOSAL TABLET 500 MG 1000 TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 ATROPIN SULFAT INJEKSI 0,25 MG / ML - 1 ML 0 AMPUL 0 0 0 60 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0
40 ATROPIN SULFAT TABLET 0,5 MG 0 TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
41 ATROPIN SULFAT TETES MATA 0,5 % 0 BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
42 BASITRACIN CREAM 0 TUBE 25 0 0 0 0 0 0 0 0 0 0 125 150 25 0 0 0 0 0 0 0 0 0 0 25
43 BENZATIN BENZIL PENISILIN INJ. 1,2 JUTA IU / VIAL 0 VIAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
44 BENZATIN BENZIL PENISILIN INJ. 2,4 JUTA IU / VIAL 0 VIAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
45 BETAMETASON KRIM 0,1 % 0 TUBE 0 0 0 72 0 48 48 0 0 48 0 0 216 0 0 0 0 27 35 20 38 8 20 8 29
46 CAPTOPRIL 12,5 MG TABLET 0 TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
47 CAPTOPRIL 25 MG TABLET 0 TABLET 3000 0 0 3000 0 300 2400 0 0 1000 0 0 9700 100 350 1430 80 270 1470 400 400 550 750 100 150
48 CATGUT / BENANG BEDAH NO. 2/0 - 3 / 0 0 SAK 0 0 0 36 0 0 60 0 0 36 0 60 192 0 0 0 0 33 1 26 0 0 13 23 25
49 CIPROFLOXACIN 500 MG 0 TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
50 CIMETIDIN TABLET 200 MG 2700 TABLET 3000 0 0 0 0 200 0 0 0 0 0 0 3200 1000 0 100 100 0 200 0 500 100 900 0 0
51 CLINDAMICIN KAPSUL 30 MG 0 KAPSUL 500 0 0 0 0 0 0 0 0 1500 0 0 2000 50 0 0 0 250 0 200 0 0 0 0 0
52 CO-AMOXICLAV KAPLET 625 MG 0 KAPLET 300 0 0 300 0 300 600 0 0 900 0 240 2640 60 0 0 120 420 300 300 0 300 210 570 330
53 DEKSAMETASON INJ. 5 MG / ML - 1 ML 200 AMPUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 200 0 0 0 0 0
54 DEKSAMETASON TABLET 0,5 MG 0 TABLET 5000 0 0 6000 0 500 0 0 0 3000 0 1000 15500 500 850 2350 100 1450 310 1000 640 1500 250 1200 1350
55 DEKSTRAN 70 - LARUTAN INFUS 6 % STERIL 0 BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 DEKSTROMETORFAN HBr SIRUP 10 MG / 5 ML 150 BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 10 18 6 17 12 0 20 15 4 0 17 0
57 DEKTROMETORFAN HBr TABLET 15 MG 0 TABLET 3000 0 0 0 0 0 0 0 0 0 0 0 3000 1000 400 0 100 0 100 400 0 200 50 0 100
58 DEVITALISASI PASTA (NON ARSEN) 0 BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
59 DIAZEPAM INJ. 5 MG / ML - 2 ML 29 AMPUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 2
60 DIAZEPAM TABLET 2 MG 0 TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
61 DIAZEPAM TABLET 5 MG 0 TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
62 DIFENHIDRAMIN HCl INJ. 10 MG / ML - 1 ML 220 AMPUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 10 0 0 0
63 DIGOKSIN TABLET 0,25 MG 0 TABLET 100 0 0 0 0 0 0 0 0 0 0 0 100 0 0 0 0 0 0 0 0 0 0 0 0
64 DOKSISIKLIN 100MG 600 KAPSUL 1000 0 0 0 0 0 0 0 0 0 0 0 1000 0 100 0 0 0 170 0 0 30 0 0 0
65 DOMPERIDONE TABLET 10 MG 0 TABLET 500 0 0 0 0 0 0 0 0 0 0 0 500 100 0 0 0 0 0 0 0 0 100 0 0
66 EFEDRIN HCL TABLET 25 MG 0 TABLET 3000 0 0 0 0 0 0 0 0 0 0 0 3000 1000 0 0 0 0 300 0 0 200 500 0 0
67 EKSTRAK BELADON TABLET 10 MG 0 TABLET 1000 0 0 0 0 0 0 0 0 0 0 0 1000 0 0 0 0 0 0 0 0 200 0 0 0
68 EPINEFRIN HCL (ADRENALIN) INJ. 0,1 % - 1ML 0 AMPUL 90 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0
69 ETAKRIDIN (RIVANOL) LARUTAN 0,1 % 8 BOTOL 25 0 0 0 0 0 0 0 0 25 0 0 50 8 0 3 2 0 0 0 0 20 3 1 21
70 ETAMBUTOL HCL TABLET 250 MG 0 TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
71 ETANOL 70 % 0 BOTOL 0 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 0 0 0 0 0 0 0 0 3
72 ETIL ALKOHOL (TISSUE) 0 LEMBAR 0 0 0 0 0 0 0 0 0 0 0 300 300 0 0 0 0 0 0 0 0 0 0 0 80
73 ETIL KLORIDA SEMPROT 2 BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
74 EUGENOL CAIRAN 0 BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
75 FENITOIN NATRIUM INJEKSI 50 MG / ML 0 AMPUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
76 FENITOIN NATRIUM KAPSUL 100 MG 0 KAPSUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
77 FENITOIN NATRIUM KAPSUL 300 MG 0 KAPSUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
78 FENIL BUTAZONE 1000 TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
79 FENOBARBITAL INJEKSI 50 MG / ML - 2 ML 0 AMPUL 0 0 30 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0
80 FENOBARBITAL TABLET 100 MG 33 TABLET 0 0 500 0 0 0 0 0 0 0 0 0 500 18 15 0 250 0 0 33 6 17 0 3 191
81 FENOBARBITAL TABLET 30 MG 0 TABLET 0 0 0 0 0 0 0 0 0 0 0 300 300 0 0 0 0 0 0 0 0 0 0 0 0
82 FENOKSIMETIL PENISILIN TABLET 250 MG 0 TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
83 FENOKSIMETIL PENISILIN TABLET 500 MG 0 TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
84 FENOL GLISEROL TETES TELINGA 10 % 21 BOTOL 0 0 0 48 0 0 0 0 0 0 0 0 48 0 21 0 0 0 0 0 0 24 0 0 0
85 FITOMENADION (VIT K1) INJ. 10 MG / ML - 1 ML 130 AMPUL 120 0 0 0 0 0 0 0 0 0 0 0 120 120 0 30 0 30 10 48 0 12 0 0 0
86 FITOMENADION (VIT K1) TABLET SALUT 10 MG 900 TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 0 100 0 0 0 0 0

87 FLUOR TABLET 0,5 MG 0 TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

88 FOLEY CATHETHER NO. 22 6 SET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0
89 FOLEY CATHETHER NO.20 6 SET 0 0 0 0 0 0 0 0 0 20 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0
90 FUROSEMID TABLET 40 MG 0 TABLET 0 0 0 2000 0 0 0 0 0 0 0 0 2000 0 0 0 0 0 800 0 0 100 0 100 0
91 GAMEKSAN EMULSI 1 % 0 SAK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
92 GARAM ORALIT UNTUK 1000 ML AIR 0 SAK 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
93 GARAM ORALIT UNTUK 200 ML AIR 4000 SAK 1200 0 0 0 0 400 0 0 0 0 0 0 1600 2450 265 110 10 0 365 700 0 100 0 140 10
94 GENTAMICIN INJ 15 AMPUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0
95 GENTAMICIN KRIM 86 TUBE 0 0 0 50 0 0 0 0 0 0 0 0 50 25 0 23 10 25 2 0 26 5 5 0 2
96 GENTIAN VIOLET LARUTAN 1 % 0 BOTOL 30 0 0 0 0 0 0 0 0 0 0 0 30 5 3 2 3 7 0 3 2 0 0 0 0
97 GLIBENKLAMID TABLET 5 MG 500 TABLET 3000 0 0 0 0 200 0 0 0 0 0 0 3200 0 1000 100 100 0 0 0 0 0 0 0 300
98 GLISERIL GUAYAKOLAT TABLET 100 MG 3000 TABLET 8000 0 0 0 0 0 0 0 0 0 0 0 8000 300 500 200 550 1100 350 0 0 100 200 100 150
99 GLISERIN 0 BOTOL 0 0 0 10 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 1 0 0
100 GLUKOSA LARUTAN INFUS 10 % STERIL 31 BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 3 0 0 0 0 0 0 0 0 0
101 GRISEOFULFIN TABLET 125 MG, MICRONIZED 0 TABLET 1000 0 0 0 0 100 0 0 0 0 0 0 1100 0 0 200 0 0 0 0 0 100 0 0 0
102 HANDSCOEN NO. 7 197 PCS 10 0 0 0 0 10 0 0 0 200 0 200 420 10 36 12 3 23 0 40 43 40 0 100 10
103 HALOPERIDOL TABLET 0,5 MG 0 TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
104 HALOPERIDOL TABLET 1,5 MG 0 TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
105 HALOPERIDOL TABLET 5 MG 0 TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
106 HIDROKLOROTIAZID (HCT) TABLET 25 MG 0 TABLET 2000 0 0 0 0 0 0 0 0 0 0 0 2000 1000 0 0 0 0 0 0 0 0 0 0 0
107 HIDROKORTISON KRIM 2,5 % 0 TUBE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
108 IBUPROFEN TABLET 200 MG 0 TABLET 1000 0 0 0 0 0 0 0 0 0 0 0 1000 100 100 0 100 0 0 0 0 0 100 100 0
109 IBUPROFEN TABLET 400 MG 1000 TABLET 3000 0 0 0 0 200 0 0 0 0 0 0 3200 100 700 440 480 1980 100 0 0 0 0 0 0
110 INFUSION SET ANAK 0 SET 100 0 0 0 0 0 0 0 0 0 0 0 100 5 0 2 3 3 4 0 0 3 5 0 0
111 INFUSION SET DEWASA 0 SET 100 0 0 0 0 0 50 0 0 0 0 0 150 10 12 14 8 18 10 25 25 0 5 0 9
112 IODIAL KAPSUL LUNAK 0 KAPSUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
113 IPEKA SIRUP 0,14 % 0 BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
114 ISONIAZID TABLET 300 MG 0 TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
115 ISOSORBID DINITRAT TABLET SUBLINGUAL 5 MG 0 TABLET 1000 0 0 0 0 0 0 0 0 0 0 0 1000 100 0 0 0 0 0 100 100 0 100 0 0
116 JARUM JAHIT (BEDAH) NO. 9 S/D 14 0 SET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
117 KALIUM PERMANGANAT SERBUK 0 POT 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
118 KALSIUM HIROKSIDA PASTA 0 TUBE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
119 KALSIUM LAKTAT (KALK) TABLET 500 MG 3000 TABLET 2000 0 0 0 0 0 0 0 0 0 0 0 2000 1000 2600 280 450 0 670 0 0 0 0 0 0
120 KAPAS BERLEMAK 500 GR 0 ROL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
121 KAPAS PEMBALUT / ADSORBEN 250 GR 5 ROL 10 0 0 0 0 0 0 0 0 20 0 0 30 1 3 3 3 2 0 1 0 1 1 1 2
122 KARBAMAZEPIN TABLET 200 MG 0 TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
123 KASSA KOMPRES 40 / 40 STERIL 0 ROL 0 0 0 600 0 0 0 0 0 0 0 0 600 0 0 0 0 240 0 0 0 0 0 0 0
124 KASSA PEMBALUT 2 M x 80 CM 130 ROL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 6 0 13 0 0 0 0 0 0
125 KASSA PEMBALUT HIDROFIL 4 M x 15 CM 0 ROL 0 0 0 250 0 5 0 0 0 0 0 0 255 0 0 0 0 0 0 0 0 0 0 0 0
126 KASSA PEMBALUT HIDROFIL 4 M x 3 CM 200 ROL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 25 0 0 0 0 0 0 0 0
127 KASSA PEMBALUT 36 X 80 CM 20 ROL 20 0 0 0 0 0 0 0 0 0 0 0 20 1 3 1 1 2 3 1 0 0 2 1 2
128 KETOCONAZOLE KRIM 2% 0 TUBE 36 0 0 0 0 0 24 0 0 0 0 0 60 12 0 0 0 0 11 1 0 2 0 0 0
129 KLORAMFENIKOL KAPSUL 250 MG 900 KAPSUL 1000 0 0 0 0 0 0 0 0 0 0 0 1000 0 0 0 0 0 0 0 0 0 0 0 0
130 KLORAMFENIKOL SALEP MATA 1 % 0 TUBE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

131 KLORAMFENIKOL TETES TELINGA 3 % 0 BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

132 KLORFENIRAMINI MALEAT (CTM) TABLET 4 MG 0 TABLET 8000 0 0 0 0 0 0 0 0 0 0 0 8000 1000 700 450 350 2200 300 2000 1000 0 0 0 0
133 KLOROKUIN FOSFAT TABLET 250 MG 0 TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
134 KLORPROMAZIN HCL INJ. 25 MG / ML - 1 ML 0 AMPUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
135 KLORPROMAZIN HCL INJ. 5 MG / ML - 2 ML 0 AMPUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
136 KLORPROMAZIN HCL TABLET SALUT 100 MG 0 TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
137 KLORPROMAZIN HCL TABLET SALUT 25 MG 0 TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
138 KLORPROPAMID TABLET 100 MG 0 TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
139 KOTRIMOKSAZOL DEWASA TABLET 1100 TABLET 3000 0 0 0 0 500 2000 0 0 0 0 0 5500 650 500 300 1160 190 800 0 1000 300 0 100 250
140 KOTRIMOKSAZOL PEDRIATIK TABLET 200 TABLET 1000 0 0 0 0 0 0 0 0 0 0 0 1000 200 0 0 100 0 0 0 0 0 300 0 0
141 KOTRIMOKSAZOL SUSPENSI 150 BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 3 8 12 11 24 24 8 5 17 8 0 13
142 KUININ HIDROKLORIDA INJ. 25 % - 2 ML 0 AMPUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
143 KUININ SULFAT TABLET 222 MG (7 H20) 0 TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
144 LEVOTHYROXINE SODIUM (EUTHYROX) 0 TABLET 1000 0 0 0 0 0 0 0 0 0 0 0 1000 100 0 900 0 0 0 0 0 0 0 0 0
145 LIDOKAIN KOMPOSITUM INJEKSI 300 AMPUL 90 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 13 30 0 47 100 10 0 0 0
146 LISOL 0 BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
147 MAGNESIUM SULFAT INJEKSI (iv) 20 % - 25 ML 40 VIAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
148 MAGNESIUM SULFAT INJEKSI (iv) 40 % - 25 ML 45 VIAL 0 0 0 20 0 0 0 0 0 0 0 0 20 0 0 45 0 0 0 0 0 0 0 0 0
149 MASKER 100 PCS 0 0 0 0 0 24 0 0 200 200 0 0 424 30 20 50 0 0 0 24 0 50 150 50 50
150 MEBENDAZOL SIRUP 100 MG / 5 ML 0 BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
151 MEBENDAZOL TABLET 100 MG 0 TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
152 METANOL 0 TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
153 METIL ERGOMETRIN MALEAT INJ. 0,200MG - 1ML 80 AMPUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
154 METIL ERGOMETRIN MALEAT TABLET SALUT 0,125 MG 0 TABLET 1000 0 0 0 0 0 0 0 0 0 0 0 1000 0 100 0 100 0 0 100 0 0 100 0 0
155 METOCLOPRAMIDE TABLET 10 MG 0 TABLET 1000 0 0 0 0 0 0 0 0 0 0 0 1000 100 0 0 0 0 100 0 0 0 300 0 0
156 METRONIDAZOL TABLET 250 MG 0 TABLET 2000 0 0 0 0 0 0 0 0 0 0 0 2000 0 650 50 50 0 50 200 100 0 550 0 0
157 MONOKLORKAMFER MENTOL CAIRAN 0 BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
158 MUMMIFYING PASTA 0 BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
159 NATRIUM BIKARBONAT TABLET 500 MG 0 TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
160 NATRIUM FLUORESEIN TETES MATA 2 % 0 BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
161 NATRIUM KLORIDA LARUTAN INFUS 0,9 % STERIL 80 BOTOL 0 0 0 0 0 20 0 0 0 0 0 0 20 5 11 12 6 8 8 0 0 0 5 0 0
162 NIFEDIPIN TABLET 10 MG 0 TABLET 900 0 0 300 0 0 0 0 0 0 0 0 1200 0 0 480 30 40 150 0 0 0 200 0
163 NATRIUM TIOSULFAT INJEKSI 25 % - 10 ML 0 AMPUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
164 NISTATIN 100.000 IU/GR TABLET VAGINA 100 TABLET 0 0 0 500 0 0 0 0 0 0 0 0 500 0 0 100 0 0 0 0 0 0 0 0 0
165 NISTATIN 500.000 IU/GR TABLET VAGINA 200 TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
166 OBAT ANTI TUBERKULOSIS KATEGORI 1 0 PAKET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
167 OBAT ANTI TUBERKULOSIS KATEGORI 2 0 PAKET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
168 OBAT BATUK HITAM ( OBH ) CAIRAN 30 BOTOL 120 0 0 0 0 30 0 0 0 0 0 120 270 20 32 5 13 5 1 31 13 5 12 30 13
169 OKSITETRASIKLIN HCL INJ. 50 MG / ML - 10 ML 0 VIAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
170 OKSITETRASIKLIN HCL SALEP KULIT 3 % 30 TUBE 120 0 0 48 0 0 0 0 0 0 0 0 168 16 23 39 18 36 7 19 16 24 0 0 0
171 OKSITETRASIKLIN HCL SALEP MATA 1 % 0 TUBE 0 0 0 50 0 0 0 0 0 0 0 0 50 0 0 0 25 0 24 1 0 0 0 0 0
172 OKSITOSIN INJEKSI 10 IU / ML - 1 ML 100 AMPUL 200 0 0 50 50 0 0 0 0 0 0 100 400 300 0 0 50 0 0 0 10 0 0 23 17
173 PARAFORMALDEHID TABLET 1 GR 0 TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
174 PARASETAMOL SIRUP 120 MG / 5 ML 300 BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 63 84 78 31 35 9 0 0 0 0 0 0
175 PARASETAMOL TABLET 100 MG 0 TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
176 PARASETAMOL TABLET 500 MG 8500 TABLET 10000 0 0 0 0 1000 0 0 0 0 0 0 11000 1300 200 2550 2050 1500 700 1200 2000 200 1300 800 0
177 PEMBALUT GIPS 0 ROL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
178 PILOKARPIN HCL / NITRAT TETES MATA 2 % 0 BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
179 PIRANTEL PAMOAT TABLET 365 MG 0 TABLET 0 0 0 150 0 30 500 0 0 0 0 0 680 0 0 0 0 0 90 380 30 30 0 30 30
180 PIRIDOKSIN HCL TABLET 10 MG 6000 TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 0 100 0 0 800 100 0 0 100
181 PLESTER 5 YARD x 2 INCH 10 ROL 0 0 0 0 0 0 0 0 0 0 0 0 0 4 4 0 2 0 0 0 0 0 0
182 PLESTER 5 YARD x 4,5 M 0 ROL 18 0 0 0 0 12 42 0 0 0 0 0 72 0 0 4 0 7 12 9 10 1 0 4 0
183 POLIKRESULEN 0 BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
184 PREDNISON TABLET 5 MG 0 TABLET 3000 0 0 0 0 0 0 0 0 0 0 0 3000 1000 0 0 0 0 1000 0 0 0 0 0 0
185 PRIMAKUIN TABLET 15 MG 0 TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
186 PROKAIN BENZIL PENISILIN INJEKSI 3 JUTA IU / VIAL 0 VIAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
187 PROPANOLOL HCL TABLET 40 MG 100 TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 0 0 0 0
188 PROPILTIOURASIL TABLET 100 MG 100 TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100
189 RABIES IMMUNE GLOBULIN (HUMAN) 150 IU / ML 0 VIAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
190 RESERPIN 0,10 MG 0 TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
191 RESERPIN 0,25 MG 0 TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
192 RETINOL (VITAMIN A) KAPSUL 200.000 IU 0 KAPSUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
193 RIFAMPISIN KAPLET 600 MG 0 KAPLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
194 RIFAMPISIN KAPSUL 300 MG 0 KAPSUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
195 RIFAMPISIN KAPSUL 450 MG 0 KAPSUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
196 RINGER LAKTAT LARUTAN INFUS STERIL 350 BOTOL 0 0 0 0 0 0 0 0 0 0 0 60 60 87 18 20 11 48 16 50 20 0 10 20 28
197 SALBUTAMOL TABLET 2 MG 1000 TABLET 1000 0 0 0 0 200 0 0 0 0 0 0 1200 1000 600 50 40 0 70 40 100 0 100 100 0
198 SALBUTAMOL TABLET 4 MG 1100 TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1100 0 0 0 0 0 0 0 0 0 0
199 SALEP 2-4 KOMBINASI 0 POT 96 0 0 0 0 24 288 0 0 0 0 0 408 24 3 13 6 0 36 13 13 50 0 12 8
200 SALISIL BEDAK 2 % 28 KOTAK 36 0 0 0 0 0 0 0 0 0 0 0 36 2 22 23 8 0 7 2 0 0 0 0 0
201 SALISIL SPIRITUS 10 % 0 BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
202 SEMEN SENG FOSFAT SERBUK DAN CAIRAN 0 SET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
203 SERUM ANTI BISA ULAR POLIVALEN INJ. 5 ML (ABU) 0 VIAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
204 SERUM ANTI BISA ULAR POLIVALEN INJ. 50 ML (ABU) 0 VIAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
205 SERUM ANTI DIFTERI INJ. 20.000 IU / VIAL (a.d.s) 0 VIAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
206 SERUM ANTI TETANUS INJ. 1.500 IU / AMPUL (ats) 0 VIAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
207 SERUM ANTI TETANUS INJ. 20.000 IU / AMPUL (ats) 0 VIAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
208 SIANOKOBALAMIN (VIT B 12) INJ.500 MCG / ML 0 AMPUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
209 SILK (BENANG BEDAH SUTERA) NO. 3/0 0 SAK 108 0 0 0 0 0 0 0 0 0 0 0 108 0 0 0 8 0 0 0 0 0 0 24 6
210 SILVER AMALGAM SERBUK 65 - 75 % 0 BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
211 SPONS GELATIN CUBICLE CUBICLES 1x1x1 CM 0 TBG 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
212 STREPTOMISIN SULFAT SERBUK INJ. 1000 MG / VIAL 0 VIAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
213 STREPTOMISIN SULFAT SERBUK INJ. 1500 MG / VIAL 0 VIAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
214 SULFADIMIDIN TABLET 500 MG 0 TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
215 SULFADOKSIN 500MG+PIRIMETAMIN 25MG TABLET 0 TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
216 SULFASETAMID NATRIUM TETES MATA 15 % 0 BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
217 TABLET TAMBAH DARAH KOMBINASI 750 TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 120 0 630 0 0 0 0 0 0
218 TEMPORARY STOPPING FLETCHER SERBUK+CAIRAN 0 SET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
219 TETRASIKLIN HCL TETES MATA 0 BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
220 TETRASIKLIN HCL KAPSUL 250 MG 0 KAPSUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
221 TETRASIKLIN HCL KAPSUL 500 MG 0 KAPSUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
222 TIAMIN HCL (VIT B 1) INJ. 100 MG / ML - 1 ML 90 AMPUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 90 0 0 0 0 0
223 TIAMIN HCL MONONITRAT (VIT B 1) TABLET 5 MG 0 TABLET 8000 0 0 0 0 0 0 0 0 0 0 0 8000 1000 450 1250 360 1600 1000 790 500 500 0 100 450
224 TIOPENTAL NATRIUM SERBUK INJ. 1000 MG / AMP 0 VIAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
225 TRIHEKSIFENIDIL HCL TABLET 2 MG 0 TABLET 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
226 TRIKRESOL FORMALIN (TKF) CAIRAN 0 BOTOL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
227 VAKSIN RABIES VERO 0 VIAL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
228 VITAMIN B KOMPLEKS TABLET 1800 TABLET 8000 0 0 2000 0 2000 10000 0 0 0 0 0 22000 300 2770 7190 1750 660 2900 1000 1000 1000 1100 200 700
229 YODIUM POVIDON LARUTSN 10 % 30 ML 30 BOTOL 72 0 0 0 0 12 0 0 0 0 0 0 84 0 0 3 3 0 10 28 10 12 5 2 0
230 YODIUM POVIDON LARUTSN 10 % 300 ML 4 BOTOL 30 0 0 0 0 4 0 0 0 0 0 0 34 0 2 1 0 7 1 1 1 1 0 0
231 FENOBARBITAL INJEKSI 50 MG/ ML 0 AMPUL 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
232 HIDGAL 0 TUBE 0 0 0 2 0 0 0 0 0 0 0 0 2 0 0 0 0 2 0 0 0 0 0 0 0
233 GLASS IONOMER 0 TUBE 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0
234 PARACETAMOL DROPS 0 BOTOL 0 0 0 336 0 56 0 0 0 0 0 0 392 0 0 0 0 76 63 3 74 9 43 10 46
235 PAPAVERIN HCL TAB 0 TABLET 0 0 0 0 0 0 400 0 0 0 0 0 400 0 0 0 0 0 0 300 0 100 0 0 0
236 CEFOTAXIM INJ 0 VIAL 0 0 0 20 0 0 0 0 0 0 0 6 26 0 0 0 0 4 0 0 0 0 0 0 2
 Saldo Per 30 November 2014

Harga Nilai
Jumlah Jumlah barang Satuan Persediaan

5 6=(3+4-5) 7 8=(6x7)

0 0 SET 7,788 -
500 0 SET 7,788 -
500 0 SET 7,788 -
116 184 SET 7,788 1,432,992
30 140 TABLET 480 67,200
0 0 BOTOL - -
605 595 SET - -
605 295 SET 682 201,190
190 210 SET 817 171,570
116 0 TABLET 447 -
0 0 BOTOL - -
500 0 TABLET 145 -
830 2370 TABLET 8,931 21,166,470
60 50 BOTOL 2,722 136,100
6 84 AMPUL 3,300 277,200
0 0 TABLET 125 -
0 0 TABLET - -
10400 0 KAPLET 407 -
1200 0 KAPSUL 316 -
409 391 BOTOL 4,070 1,591,370
0 20 VIAL 81,350 1,627,000
3600 3500 TABLET 164 574,000
0 0 TABLET 164 -
0 60 AMPUL 1,800 108,000
6900 3600 TABLET 178 640,800
346 204 BOTOL 4,235 863,940
72 30 SUPP 2,200 66,000
 200 800 TABLET 136 108,800
0 0 TABLET - -
0 0 VIAL 6,050 -
0 0 BOTOL - -
1700 0 TABLET 142 -
9000 1500 TABLET 35 52,500
300 0 TABLET 75 -
4500 0 TABLET 194 -
0 0 BOTOL - -
1200 300 TABLET 1,056 316,800
0 1000 TABLET 171 171,000
0 60 AMPUL 1,392 83,520
0 0 TABLET 77 -
0 0 BOTOL - -
50 100 TUBE 2,741 274,100
0 0 VIAL - -
0 0 VIAL - -
185 31 TUBE 2,220 68,820
0 0 TABLET - -
6050 3650 TABLET 151 551,150
121 71 SAK 9,782 694,522
0 0 TABLET - -
2900 3000 TABLET 127 381,000
500 1500 KAPSUL 579 868,500
2610 30 KAPLET 5,283 158,490
200 0 AMPUL 1,958 -
11500 4000 TABLET 96 384,000
0 0 BOTOL - -
119 31 BOTOL 3,152 97,712
2350 650 TABLET 53 34,450
0 0 BOTOL - -
10 19 AMPUL 2,605 49,495
0 0 TABLET 35 -
0 0 TABLET - -
40 180 AMPUL 1,056 190,080
0 100 TABLET 157 15,700
300 1300 KAPSUL 278 361,400
200 300 TABLET 192 57,600
2000 1000 TABLET 60 60,000
200 800 TABLET 35 28,000
0 90 AMPUL 1,364 122,760
58 0 BOTOL 2,520 -
0 0 TABLET - -
3 0 BOTOL 30,763 -
80 220 BOTOL - -
0 2 BOTOL 115,500 231,000
0 0 BOTOL - -
0 0 AMPUL - -
0 0 KAPSUL - -
0 0 KAPSUL - -
0 1000 TABLET - -
0 30 AMPUL 1,716 51,480
533 0 TABLET 160 -
0 300 TABLET 61 18,300
0 0 TABLET 2,882 -
0 0 TABLET 5,112 -
45 24 BOTOL 1,106 26,544
250 0 AMPUL 1,914 -
200 700 TABLET 749 524,300
0 0 TABLET - -
6 0 SET 16,480 -
0 26 SET 16,480 428,480
1000 1000 TABLET 112 112,000
0 0 SAK - -
0 0 SAK - -
4150 1450 SAK 418 606,100
15 0 AMPUL 4,066 -
123 13 TUBE 2,021 26,273
25 5 BOTOL 495 2,475
1500 2200 TABLET 79 173,800
3550 7450 TABLET 31 230,950
1 9 BOTOL 5,203 46,827
 11 20 BOTOL 6,300 126,000
300 800 TABLET 264 211,200
317 300 PCS 7,492 2,247,600
0 0 TABLET - -
0 0 TABLET 91 -
0 0 TABLET 135 -
1000 1000 TABLET 40 40,000
0 0 TUBE 3,277 -
500 500 TABLET 127 63,500
3800 400 TABLET 225 90,000
25 75 SET 4,000 300,000
136 14 SET 3,400 47,600
0 0 KAPSUL - -
0 0 BOTOL - -
0 0 TABLET - -
400 600 TABLET 107 64,200
0 0 SET - -
0 0 POT - -
0 0 TUBE - -
5000 0 TABLET 57 -
0 0 ROL - -
18 17 ROL 8,000 136,000
0 0 TABLET - -
240 360 ROL 1,599 575,640
20 110 ROL 10,101 1,111,110
0 255 ROL 3,705 944,775
50 150 ROL 842 126,300
17 23 ROL 120,635 2,774,605
26 34 TUBE 642 21,828
0 1900 KAPSUL 254 482,600
0 0 TUBE - -
0 0 BOTOL - -
8000 0 TABLET 26 -
0 0 TABLET 94 -
0 0 AMPUL 796 -
0 0 AMPUL - -
 0 0 TABLET - -
0 0 TABLET - -
0 0 TABLET - -
5250 1350 TABLET 181 244,350
600 600 TABLET 83 49,800
133 17 BOTOL 4,356 74,052
0 0 AMPUL 4,649 -
0 0 TABLET 440 -
1000 0 TABLET 1,748 -
200 190 AMPUL 1,251 237,690
0 0 BOTOL - -
0 40 VIAL 1,694 67,760
45 20 VIAL 2,143 42,860
424 100 PCS 495 49,500
0 0 BOTOL - -
0 0 TABLET - -
0 0 TABLET - -
0 80 AMPUL 1,639 131,120
400 600 TABLET 1,331 798,600
500 500 TABLET 121 60,500
1650 350 TABLET 1,573 550,550
0 0 BOTOL - -
0 0 BOTOL - -
0 0 TABLET 16 -
0 0 BOTOL - -
55 45 BOTOL 5,390 242,550
900 300 TABLET 142 42,600
0 0 AMPUL - -
100 500 TABLET 407 203,500
0 200 TABLET 660 132,000
0 0 PAKET - -
0 0 PAKET - -
180 120 BOTOL 1,573 188,760
0 0 VIAL - -
198 0 TUBE 2,112 -
50 0 TUBE 1,816 -
 400 100 AMPUL 1,964 196,400
0 0 TABLET - -
300 0 BOTOL 2,530 -
0 0 TABLET 46 -
13800 5700 TABLET 116 661,200
0 0 ROL 6,675 -
0 0 BOTOL - -
590 90 TABLET 682 61,380
1200 4800 TABLET 19 91,200
10 0 ROL 23,625 -
47 25 ROL 25,000 625,000
0 0 BOTOL - -
2000 1000 TABLET 69 69,000
0 0 TABLET 110 -
0 0 VIAL - -
100 0 TABLET 85 -
100 0 TABLET 330 -
0 0 VIAL - -
0 0 TABLET - -
0 0 TABLET - -
0 0 KAPSUL - -
0 0 KAPLET - -
0 0 KAPSUL - -
0 0 KAPSUL - -
328 82 BOTOL 5,720 469,040
2100 100 TABLET 82 8,200
1100 0 TABLET 107 -
178 230 POT 1,352 310,960
64 0 KOTAK 1,573 -
0 0 BOTOL - -
0 0 SET - -
0 0 VIAL - -
0 0 VIAL - -
0 0 VIAL - -
0 0 VIAL - -
0 0 VIAL - -
 0 0 AMPUL - -
38 70 SAK 6,984 488,880
0 0 BOTOL - -
0 0 TBG - -
0 0 VIAL - -
0 0 VIAL - -
0 0 TABLET - -
0 0 TABLET - -
0 0 BOTOL - -
750 0 TABLET 67 -
0 0 SET - -
0 0 BOTOL - -
0 0 KAPSUL - -
0 0 KAPSUL - -
90 0 AMPUL 843 -
8000 0 TABLET 42 -
0 0 VIAL - -
0 0 TABLET - -
0 0 BOTOL - -
0 0 VIAL - -
20570 3230 TABLET 24 77,520
73 41 BOTOL 2,640 108,240
14 24 BOTOL 15,950 382,800
0 0 AMPUL - -
2 0 TUBE 24,200 -
1 0 TUBE 434,500 -
324 68 BOTOL 5,808 394,944
400 0 TABLET 109 -
6 20 VIAL 1,524 30,480
 LAMPIRAN 1
LAPORAN PENCACAHAN OBAT AKHIR TAHUN 2014

INSTALASI FARMASI PUSKESMAS WANGI-WANGI

KABUPATEN WAKATOBI

STOK PENERIMAAN PERSEDIAAN PENGELUARAN Saldo Per 31 Desember 2014

NO URAIAN KEMASAN
AWAL Jumlah Jumlah Jumlah barang Harga Satuan
1 2 3 4 5 6 7 8=(3+5-7) 9
1 ABBOCATH NO 18 0 SET 0 0 0 0 SET 7,788
2 ABBOCATH NO 20 380 SET 400 780 780 0 SET 7,788
3 ABBOCATH NO 22 300 SET 400 700 600 100 SET 7,788
4 ABBOCATH NO 24 0 SET 400 400 216 184 SET 7,788
5 ACYCLOVIR 400 MG 170 TABLET 0 170 30 140 TABLET 480
6 ACYCLOVIR 200 MG 200 TABLET 450 650 627 23 TABLET 533
7 AIR RAKSA DENTAL USE 0 BOTOL 0 0 0 0 BOTOL -
8 ALAT SUNTIK SEKALI PAKAI 1 ML 562 SET 900 1462 667 795 SET 912
9 ALAT SUNTIK SEKALI PAKAI 2,5 ML 1000 SET 0 1000 900 100 SET 682
10 ALAT SUNTIK SEKALI PAKAI 3 ML 0 SET 900 900 700 200 SET 1,000
11 ALAT SUNTIK SEKALI PAKAI 5 ML 1050 SET 100 1150 740 410 SET 817
12 ALBENDAZOL TABLET 400 MG 393 TABLET 0 393 300 93 TABLET 447
13 ALBOTHYL CONCRETATE 0 BOTOL 0 0 0 0 BOTOL -
14 ALLOPURINOL TABLET 100 MG 397 TABLET 500 897 897 0 TABLET 145
15 AMBROXOL TABLET 30 MG 0 TABLET 4500 4500 2130 2370 TABLET 8,931
16 AMBROXOL 15 MG/5 ML SYRUP 0 BOTOL 210 210 117 93 BOTOL 2,722
17 AMINOFILIN INJEKSI 20 MG / ML - 10 ML 0 AMPUL 90 90 6 84 AMPUL 3,300
18 AMINOFILIN TABLET 200 MG 0 TABLET 0 0 0 0 TABLET 125
19 AMITRIPTILIN HCL TABLET SALUT 25 MG 0 TABLET 0 0 0 0 TABLET -
20 AMOKSISILIN KAPLET 500 MG 10716 KAPLET 0 10716 10716 0 KAPLET -
21 AMOKSISILIN KAPSUL 250 MG 0 KAPSUL 4200 4200 4200 0 KAPSUL -
22 AMOKSISILIN SIRUP KERING 125 MG / 5 ML 0 BOTOL 1580 1580 1094 486 BOTOL 4,070
23 AMOKSISILINA INJEKSI 0 VIAL 20 20 0 20 VIAL 81,350
24 ANTALGIN (METAMPIRON) TABLET 500 MG (SELESGIN) 3870 TABLET 3300 7170 5946 0 TABLET -
25 ANTALGIN TABLET 500 MG 0 TABLET 5000 5000 1500 3500 TABLET 164
26 ANTALGIN INJEKSI 250 MG / ML - 2 ML 86 AMPUL 90 176 76 100 AMPUL 1,800
27 ANTASIDA DOEN TABLET, KOMBINASI 0 TABLET 17500 17500 12453 5047 TABLET 73
28 ANTASIDA SYRUP 0 BOTOL 650 650 407 243 BOTOL 4,235
29 ANTIHAEMOROID DOEN KOMBINASI (SUPERHOID) 0 SUPP 102 102 72 30 SUPP 2,200
30 ANTIMIGRAIN DOEN KOMBINASI 0 TABLET 1000 1000 200 800 TABLET 136
31 ANTIPARKINSON DOEN TABLET KOMBINASI 0 TABLET 0 0 0 0 TABLET -
32 AQUA PROINJEKSI STERIL BEBAS PIROGEN 0 VIAL 0 0 0 0 VIAL 6,050
33 AQUADEST STERIL 0 BOTOL 0 0 0 0 BOTOL -
34 ASAM ASKORBAT (VIT C) TABLET 250 MG 700 TABLET 2000 2700 2700 0 TABLET 142
35 ASAM ASKORBAT (VIT C) TABLET 50 MG 14531 TABLET 4000 18531 17031 1500 TABLET 35
36 ASAM FOLAT TABLET 300 TABLET 1000 1300 1300 0 TABLET 75
37 ASAM MEFENAMAT 500 MG 9185 TABLET 0 9185 9185 0 TABLET 194
38 ASAM SULFASILISILAT 20 % 0 BOTOL 0 0 0 0 BOTOL -
39 ASETOSAL TABLET 100 MG 1500 TABLET 0 1500 1200 300 TABLET 1,056
40 ASETOSAL TABLET 500 MG 1000 TABLET 0 1000 0 1000 TABLET 171
41 ATROPIN SULFAT INJEKSI 0,25 MG / ML - 1 ML 20 AMPUL 60 80 20 60 AMPUL 1,392
42 ATROPIN SULFAT TABLET 0,5 MG 0 TABLET 0 0 0 0 TABLET 77
43 ATROPIN SULFAT TETES MATA 0,5 % 0 BOTOL 0 0 0 0 BOTOL -
44 BASITRACIN CREAM 0 TUBE 150 150 50 100 TUBE 2,741
45 BENZATIN BENZIL PENISILIN INJ. 1,2 JUTA IU / VIAL 0 VIAL 0 0 0 0 VIAL -
46 BENZATIN BENZIL PENISILIN INJ. 2,4 JUTA IU / VIAL 0 VIAL 0 0 0 0 VIAL -
47 BETAMETASON KRIM 0,1 % 0 TUBE 340 340 282 58 TUBE 2,220
48 CAPTOPRIL 12,5 MG TABLET 0 TABLET 0 0 0 0 TABLET -
49 CAPTOPRIL 25 MG TABLET 20 TABLET 13700 13720 9284 4436 TABLET 151
50 CATGUT / BENANG BEDAH NO. 2/0 - 3 / 0 8 SAK 216 224 141 83 SAK 9,782
51 CIPROFLOXACIN 500 MG 0 TABLET 0 0 0 0 TABLET -
52 CIMETIDIN TABLET 200 MG 2850 TABLET 6200 9050 5683 3367 TABLET 127
53 CLINDAMICIN KAPSUL 30 MG 0 KAPSUL 2000 2000 500 1500 KAPSUL 579
54 CO-AMOXICLAV KAPLET 625 MG 0 KAPLET 2640 2640 2610 30 KAPLET 5,283
55 DEKSAMETASON INJ. 5 MG / ML - 1 ML 200 AMPUL 0 200 200 0 AMPUL 1,958
56 DEKSAMETASON TABLET 0,5 MG 0 TABLET 28000 28000 22584 5416 TABLET 96
57 DEKSTRAN 70 - LARUTAN INFUS 6 % STERIL 0 BOTOL 0 0 0 0 BOTOL -
58 DEKSTROMETORFAN HBr SIRUP 10 MG / 5 ML 150 BOTOL 0 150 119 31 BOTOL 3,152
59 DEKTROMETORFAN HBr TABLET 15 MG 1057 TABLET 3000 4057 3407 650 TABLET 53
60 DEVITALISASI PASTA (NON ARSEN) 0 BOTOL 0 0 0 0 BOTOL -
61 DIAZEPAM INJ. 5 MG / ML - 2 ML 57 AMPUL 0 57 14 43 AMPUL 2,605
62 DIAZEPAM TABLET 2 MG 50 TABLET 0 50 15 35 TABLET 35
63 DIAZEPAM TABLET 5 MG 0 TABLET 0 0 0 0 TABLET -
64 DIFENHIDRAMIN HCl INJ. 10 MG / ML - 1 ML 220 AMPUL 0 220 40 180 AMPUL 1,056
65 DIGOKSIN TABLET 0,25 MG 0 TABLET 100 100 0 100 TABLET 157
66 DOKSISIKLIN 100MG 600 KAPSUL 1000 1600 300 1300 KAPSUL 278
67 DOMPERIDONE TABLET 10 MG 0 TABLET 500 500 200 300 TABLET 192
68 EFEDRIN HCL TABLET 25 MG 2434 TABLET 5000 7434 6434 1000 TABLET 60
69 EKSTRAK BELADON TABLET 10 MG 2039 TABLET 1000 3039 352 2687 TABLET 35
70 EPINEFRIN HCL (ADRENALIN) INJ. 0,1 % - 1ML 0 AMPUL 90 90 0 90 AMPUL 1,364
71 ETAKRIDIN (RIVANOL) LARUTAN 0,1 % 12 BOTOL 61 73 71 2 BOTOL 2,520
72 ETAMBUTOL HCL TABLET 250 MG 0 TABLET 0 0 0 0 TABLET -
73 ETANOL 70 % 0 BOTOL 3 3 3 0 BOTOL 30,763
74 ETIL ALKOHOL (TISSUE) 0 LEMBAR 300 300 80 220 BOTOL -
75 ETIL KLORIDA SEMPROT 2 BOTOL 0 2 0 2 BOTOL 115,500
76 EUGENOL CAIRAN 12 BOTOL 0 12 0 12 BOTOL 50,417
77 FENITOIN NATRIUM INJEKSI 50 MG / ML 0 AMPUL 0 0 0 0 AMPUL -
78 FENITOIN NATRIUM KAPSUL 100 MG 0 KAPSUL 0 0 0 0 KAPSUL -
79 FENITOIN NATRIUM KAPSUL 300 MG 0 KAPSUL 0 0 0 0 KAPSUL -
80 FENIL BUTAZONE 1000 TABLET 0 1000 0 1000 TABLET -
81 FENOBARBITAL INJEKSI 50 MG / ML - 2 ML 0 AMPUL 30 30 0 30 AMPUL 1,716
82 FENOBARBITAL TABLET 100 MG 33 TABLET 500 533 533 0 TABLET 160
83 FENOBARBITAL TABLET 30 MG 0 TABLET 600 600 103 497 TABLET 61
84 FENOKSIMETIL PENISILIN TABLET 250 MG 0 TABLET 0 0 0 0 TABLET 2,882
85 FENOKSIMETIL PENISILIN TABLET 500 MG 0 TABLET 0 0 0 0 TABLET 5,112
86 FENOL GLISEROL TETES TELINGA 10 % 21 BOTOL 48 69 45 24 BOTOL 1,106
87 FITOMENADION (VIT K1) INJ. 10 MG / ML - 1 ML 145 AMPUL 120 265 251 14 AMPUL 1,914
88 FITOMENADION (VIT K1) TABLET SALUT 10 MG 900 TABLET 0 900 200 700 TABLET 749
89 FLUOR TABLET 0,5 MG 0 TABLET 0 0 0 0 TABLET -
90 FOLEY CATHETHER NO. 22 25 SET 0 25 6 19 SET 16,480
91 FOLEY CATHETHER NO.20 6 SET 20 26 0 26 SET 16,480
92 FOLLEY CATHETHER NO.18 16 SET 0 16 2 14 SET 16,480
93 FUROSEMID TABLET 40 MG 284 TABLET 2000 2284 1284 1000 TABLET 112
94 GAMEKSAN EMULSI 1 % 0 SAK 0 0 0 0 SAK -
95 GARAM ORALIT UNTUK 1000 ML AIR 0 SAK 0 0 0 0 SAK -
96 GARAM ORALIT UNTUK 200 ML AIR 4500 SAK 3400 7900 6048 1852 SAK 418
97 GENTAMICIN INJ 22 AMPUL 0 22 22 0 AMPUL 4,066
98 GENTAMICIN KRIM 146 TUBE 300 446 404 42 TUBE 2,021
99 GENTIAN VIOLET LARUTAN 1 % 10 BOTOL 52 62 46 16 BOTOL 495
100 GLASS IONOMER CEMENT ART 1 SET/BOTOL 0 1 0 1 BOTOL 434,500
101 GLIBENKLAMID TABLET 5 MG 990 TABLET 3700 4690 1990 2700 TABLET 79
102 GLISERIL GUAYAKOLAT TABLET 100 MG 7474 TABLET 12000 19474 11241 8233 TABLET 31
103 GLISERIN 0 BOTOL 10 10 1 9 BOTOL 5,203
104 GLUKOSA LARUTAN INFUS 10 % STERIL 33 BOTOL 0 33 11 22 BOTOL 6,300
105 GRISEOFULFIN TABLET 125 MG, MICRONIZED 100 TABLET 1400 1500 640 860 TABLET 264
106 HANDSCOEN NO. 7 297 PCS 320 617 457 160 PCS 4,600
107 HANDSCOEN NO. 7,5 0 PCS 300 300 238 62 PCS 4,600
108 HANDSCOON NO.M (RUBBER GLOVES) 0 PCS 210 210 20 190 PCS 2,300
109 HALOPERIDOL TABLET 0,5 MG 0 TABLET 0 0 0 0 TABLET -
110 HALOPERIDOL TABLET 1,5 MG 120 TABLET 0 120 10 110 TABLET 91
111 HALOPERIDOL TABLET 5 MG 100 TABLET 0 100 0 100 TABLET 135
112 HIDROKLOROTIAZID (HCT) TABLET 25 MG 863 TABLET 4000 4863 2147 2716 TABLET 40
113 HIDROKORTISON KRIM 2,5 % 0 TUBE 0 0 0 0 TUBE 3,277
114 IBUPROFEN TABLET 200 MG 578 TABLET 3000 3578 3021 557 TABLET 127
115 IBUPROFEN TABLET 400 MG 1000 TABLET 7200 8200 7200 1000 TABLET 225
116 INFUSION SET ANAK 0 SET 150 150 40 110 SET 4,000
117 INFUSION SET DEWASA 0 SET 250 250 185 65 SET 3,400
118 IODIAL KAPSUL LUNAK 0 KAPSUL 0 0 0 0 KAPSUL -
119 IPEKA SIRUP 0,14 % 0 BOTOL 0 0 0 0 BOTOL -
120 ISONIAZID TABLET 300 MG 0 TABLET 0 0 0 0 TABLET -
121 ISOSORBID DINITRAT TABLET SUBLINGUAL 5 MG 0 TABLET 1000 1000 400 600 TABLET 107
122 JARUM JAHIT (BEDAH) NO. 9 S/D 14 0 SET 0 0 0 0 SET -
123 KALIUM PERMANGANAT SERBUK 0 POT 0 0 0 0 POT -
124 KALSIUM HIROKSIDA PASTA 0 TUBE 0 0 0 0 TUBE -
125 KALSIUM LAKTAT (KALK) TABLET 500 MG 5800 TABLET 2000 7800 7096 704 TABLET 57
126 KAPAS BERLEMAK 500 GR 0 ROL 0 0 0 0 ROL -
127 KAPAS PEMBALUT / ADSORBEN 250 GR 5 ROL 40 45 25 20 ROL 8,000
128 KARBAMAZEPIN TABLET 200 MG 0 TABLET 0 0 0 0 TABLET -
129 KASSA KOMPRES 40 / 40 STERIL 100 ROL 700 800 440 360 ROL 1,599
130 KASSA PEMBALUT 2 M x 80 CM 140 ROL 10 150 30 120 ROL 10,101
131 KASSA PEMBALUT HIDROFIL 4 M x 15 CM 40 ROL 305 345 65 280 ROL 3,705
132 KASSA PEMBALUT HIDROFIL 4 M x 3 CM 240 ROL 250 490 140 350 ROL 842
133 KASSA PEMBALUT 36 X 80 CM 22 ROL 28 50 22 28 ROL 120,635
134 KETOCONAZOLE KRIM 2% 0 TUBE 60 60 26 34 TUBE 642
135 KLORAMFENIKOL KAPSUL 250 MG 1200 KAPSUL 1000 2200 300 1900 KAPSUL 254
136 KLORAMFENIKOL SALEP MATA 1 % 0 TUBE 0 0 0 0 TUBE -
137 KLORAMFENIKOL TETES TELINGA 3 % 0 BOTOL 0 0 0 0 BOTOL -
138 KLORFENIRAMINI MALEAT (CTM) TABLET 4 MG 4690 TABLET 12000 16690 15784 906 TABLET 26
139 KLOROKUIN FOSFAT TABLET 250 MG 0 TABLET 0 0 0 0 TABLET 94
140 KLORPROMAZIN HCL INJ. 25 MG / ML - 1 ML 0 AMPUL 0 0 0 0 AMPUL 796
141 KLORPROMAZIN HCL INJ. 5 MG / ML - 2 ML 0 AMPUL 0 0 0 0 AMPUL -
142 KLORPROMAZIN HCL TABLET SALUT 100 MG 0 TABLET 0 0 0 0 TABLET -
143 KLORPROMAZIN HCL TABLET SALUT 25 MG 0 TABLET 0 0 0 0 TABLET -
144 KLORPROPAMID TABLET 100 MG 0 TABLET 0 0 0 0 TABLET -
145 KOTRIMOKSAZOL DEWASA TABLET 2844 TABLET 10500 13344 10838 2506 TABLET 181
146 KOTRIMOKSAZOL PEDRIATIK TABLET 698 TABLET 1000 1698 848 850 TABLET 83
147 KOTRIMOKSAZOL SUSPENSI 150 BOTOL 0 150 133 17 BOTOL 4,356
148 KUININ HIDROKLORIDA INJ. 25 % - 2 ML 0 AMPUL 0 0 0 0 AMPUL 4,649
149 KUININ SULFAT TABLET 222 MG (7 H20) 0 TABLET 0 0 0 0 TABLET 440
150 LEVOTHYROXINE SODIUM (EUTHYROX) 0 TABLET 1500 1500 1500 0 TABLET 1,748
151 LIDOKAIN KOMPOSITUM INJEKSI 520 AMPUL 290 810 450 360 AMPUL 1,251
152 LISOL 0 BOTOL 0 0 0 0 BOTOL -
153 MAGNESIUM SULFAT INJEKSI (iv) 20 % - 25 ML 40 VIAL 0 40 0 40 VIAL 1,694
154 MAGNESIUM SULFAT INJEKSI (iv) 40 % - 25 ML 55 VIAL 20 75 45 30 VIAL 2,143
155 MASKER 195 PCS 524 719 589 130 PCS 495
156 MEBENDAZOL SIRUP 100 MG / 5 ML 0 BOTOL 0 0 0 0 BOTOL -
157 MEBENDAZOL TABLET 100 MG 0 TABLET 0 0 0 0 TABLET -
158 METANOL 0 TABLET 0 0 0 0 TABLET -
159 METIL ERGOMETRIN MALEAT INJ. 0,200MG - 1ML 126 AMPUL 0 126 25 101 AMPUL 1,639
160 METIL ERGOMETRIN MALEAT TABLET SALUT 0,125 MG 210 TABLET 1500 1710 805 905 TABLET 1,331
161 METOCLOPRAMIDE TABLET 10 MG 0 TABLET 1000 1000 500 500 TABLET 121
162 METRONIDAZOL TABLET 250 MG 900 TABLET 2000 2900 2550 350 TABLET 1,573
163 METRONIDAZOL TABLET 500 MG 0 TABLET 2000 2000 2000 0 TABLET -
164 MICONAZOLE SALEP KULIT 2% 32 TUBE 24 56 56 0 TUBE 3,300
165 MONOKLORKAMFER MENTOL CAIRAN 0 BOTOL 0 0 0 0 BOTOL -
166 MUMMIFYING PASTA 0 BOTOL 0 0 0 0 BOTOL -
167 NATRIUM BIKARBONAT TABLET 500 MG 0 TABLET 0 0 0 0 TABLET 16
168 NATRIUM FLUORESEIN TETES MATA 2 % 0 BOTOL 0 0 0 0 BOTOL -
169 NATRIUM KLORIDA LARUTAN INFUS 0,9 % STERIL 107 BOTOL 40 147 82 65 BOTOL 5,390
170 NIFEDIPIN TABLET 10 MG 100 TABLET 1200 1300 1000 300 TABLET 142
171 NATRIUM TIOSULFAT INJEKSI 25 % - 10 ML 0 AMPUL 0 0 0 0 AMPUL -
172 NISTATIN 100.000 IU/GR TABLET VAGINA 100 TABLET 500 600 100 500 TABLET 407
173 NISTATIN 500.000 IU/GR TABLET VAGINA 700 TABLET 200 900 203 697 TABLET 660
174 OBAT ANTI TUBERKULOSIS KATEGORI 1 0 PAKET 0 0 0 0 PAKET -
175 OBAT ANTI TUBERKULOSIS KATEGORI 2 0 PAKET 0 0 0 0 PAKET -
176 OBAT BATUK HITAM ( OBH ) CAIRAN 60 BOTOL 270 330 195 135 BOTOL 1,573
177 OKSITETRASIKLIN HCL INJ. 50 MG / ML - 10 ML 0 VIAL 0 0 0 0 VIAL -
178 OKSITETRASIKLIN HCL SALEP KULIT 3 % 95 TUBE 240 335 318 17 TUBE 2,112
179 OKSITETRASIKLIN HCL SALEP MATA 1 % 30 TUBE 175 205 195 10 TUBE 1,816
180 OKSITOSIN INJEKSI 10 IU / ML - 1 ML 100 AMPUL 500 600 500 100 AMPUL 1,964
181 PARAFORMALDEHID TABLET 1 GR 0 TABLET 0 0 0 0 TABLET -
182 PARASETAMOL SIRUP 120 MG / 5 ML 344 BOTOL 0 344 344 0 BOTOL 2,530
183 PARASETAMOL TABLET 100 MG 0 TABLET 0 0 0 0 TABLET 46
184 PARASETAMOL TABLET 500 MG 16077 TABLET 19000 35077 27363 7714 TABLET 116
185 PEMBALUT GIPS 1 ROL 0 1 0 1 ROL 6,675
186 PILOKARPIN HCL / NITRAT TETES MATA 2 % 0 BOTOL 0 0 0 0 BOTOL -
187 PIRANTEL PAMOAT TABLET 365 MG 0 TABLET 0 0 0 0 TABLET 682
188 PIRIDOKSIN HCL TABLET 10 MG 8800 TABLET 1000 9800 3754 6046 TABLET 19
189 PLESTER 5 YARD x 2 INCH 21 ROL 24 45 32 13 ROL 23,625
190 PLESTER 5 YARD x 4,5 M 0 ROL 72 72 47 25 ROL 25,000
191 POLIKRESULEN 0 BOTOL 0 0 0 0 BOTOL -
192 PREDNISON TABLET 5 MG 1991 TABLET 7000 8991 7529 1462 TABLET 69
193 PRIMAKUIN TABLET 15 MG 0 TABLET 0 0 0 0 TABLET 110
194 PROKAIN BENZIL PENISILIN INJEKSI 3 JUTA IU / VIAL 30 VIAL 0 30 1 29 VIAL 8,123
187 PROPANOLOL HCL TABLET 40 MG 270 TABLET 0 270 270 0 TABLET 85
188 PROPILTIOURASIL TABLET 100 MG 400 TABLET 0 400 100 300 TABLET 330
189 RABIES IMMUNE GLOBULIN (HUMAN) 150 IU / ML 0 VIAL 0 0 0 0 VIAL -
190 RESERPIN 0,10 MG 0 TABLET 0 0 0 0 TABLET -
191 RESERPIN 0,25 MG 0 TABLET 0 0 0 0 TABLET -
192 RETINOL (VITAMIN A) KAPSUL 200.000 IU 0 KAPSUL 0 0 0 0 KAPSUL -
193 RIFAMPISIN KAPLET 600 MG 0 KAPLET 0 0 0 0 KAPLET -
194 RIFAMPISIN KAPSUL 300 MG 0 KAPSUL 0 0 0 0 KAPSUL -
195 RIFAMPISIN KAPSUL 450 MG 0 KAPSUL 0 0 0 0 KAPSUL -
196 RINGER LAKTAT LARUTAN INFUS STERIL 401 BOTOL 140 541 399 142 BOTOL 5,720
197 SALBUTAMOL TABLET 2 MG 1000 TABLET 1200 2200 2100 100 TABLET 82
198 SALBUTAMOL TABLET 4 MG 1570 TABLET 200 1770 1647 123 TABLET 107
199 SALEP 2-4 KOMBINASI 108 POT 408 516 186 330 POT 1,352
200 SALISIL BEDAK 2 % 49 KOTAK 54 103 103 0 KOTAK 1,573
201 SALISIL SPIRITUS 10 % 0 BOTOL 0 0 0 0 BOTOL -
202 SEMEN SENG FOSFAT SERBUK DAN CAIRAN 1 SET 0 1 0 1 SET 102,850
203 SERUM ANTI BISA ULAR POLIVALEN INJ. 5 ML (ABU) 0 VIAL 0 0 0 0 VIAL -
204 SERUM ANTI BISA ULAR POLIVALEN INJ. 50 ML (ABU) 0 VIAL 0 0 0 0 VIAL -
205 SERUM ANTI DIFTERI INJ. 20.000 IU / VIAL (a.d.s) 0 VIAL 0 0 0 0 VIAL -
206 SERUM ANTI TETANUS INJ. 1.500 IU / AMPUL (ats) 0 VIAL 0 0 0 0 VIAL -
207 SERUM ANTI TETANUS INJ. 20.000 IU / AMPUL (ats) 0 VIAL 0 0 0 0 VIAL -
208 SIANOKOBALAMIN (VIT B 12) INJ.500 MCG / ML 151 AMPUL 0 151 51 100 AMPUL 1,141
209 SILK (BENANG BEDAH SUTERA) NO. 3/0 50 SAK 180 230 154 76 SAK 6,984
210 SILVER AMALGAM SERBUK 65 - 75 % 0 BOTOL 0 0 0 0 BOTOL -
211 SPONS GELATIN CUBICLE CUBICLES 1x1x1 CM 0 TBG 0 0 0 0 TBG -
212 STREPTOMISIN SULFAT SERBUK INJ. 1000 MG / VIAL 0 VIAL 0 0 0 0 VIAL -
213 STREPTOMISIN SULFAT SERBUK INJ. 1500 MG / VIAL 0 VIAL 0 0 0 0 VIAL -
214 SULFADIMIDIN TABLET 500 MG 0 TABLET 0 0 0 0 TABLET -
215 SULFADOKSIN 500MG+PIRIMETAMIN 25MG TABLET 0 TABLET 0 0 0 0 TABLET -
216 SULFASETAMID NATRIUM TETES MATA 15 % 0 BOTOL 0 0 0 0 BOTOL -
217 TABLET TAMBAH DARAH KOMBINASI 750 TABLET 0 750 750 0 TABLET 67
218 TEMPORARY STOPPING FLETCHER SERBUK+CAIRAN 0 SET 0 0 0 0 SET -
219 TETRASIKLIN HCL TETES MATA 0 BOTOL 0 0 0 0 BOTOL -
220 TETRASIKLIN HCL KAPSUL 250 MG 900 KAPSUL 2000 2900 1625 1275 KAPSUL 167
221 TETRASIKLIN HCL KAPSUL 500 MG 0 KAPSUL 0 0 0 0 KAPSUL -
222 TIAMIN HCL (VIT B 1) INJ. 100 MG / ML - 1 ML 140 AMPUL 0 140 140 0 AMPUL 843
223 TIAMIN HCL MONONITRAT (VIT B 1) TABLET 5 MG 4000 TABLET 10000 14000 13439 561 TABLET 42
224 TIOPENTAL NATRIUM SERBUK INJ. 1000 MG / AMP 0 VIAL 0 0 0 0 VIAL -
225 TRIHEKSIFENIDIL HCL TABLET 2 MG 0 TABLET 0 0 0 0 TABLET -
226 TRIKRESOL FORMALIN (TKF) CAIRAN 0 BOTOL 0 0 0 0 BOTOL -
227 URINE BAG 98 SET 0 98 0 98 SET 9,338
228 VAKSIN RABIES VERO 0 VIAL 0 0 0 0 VIAL -
229 VITAMIN B KOMPLEKS TABLET 5927 TABLET 30000 35927 32697 3230 TABLET 24
230 WING NEEDLE NO. 27G 0 PCS 100 100 0 100 PCS 5,770
231 YODIUM POVIDON LARUTSN 10 % 30 ML 36 BOTOL 96 132 82 50 BOTOL 2,640
232 YODIUM POVIDON LARUTSN 10 % 300 ML 8 BOTOL 42 50 23 27 BOTOL 15,950
233 ZINK 255 TABLET 1000 1255 1255 0 TABLET 531
234 FENOBARBITAL INJEKSI 50 MG/ ML 0 AMPUL 0 0 0 0 AMPUL -
235 HIDGAL 0 TUBE 2 2 2 0 TUBE 24,200
236 GLASS IONOMER 0 TUBE 1 1 1 0 TUBE 434,500
237 PARACETAMOL DROPS 0 BOTOL 560 560 459 101 BOTOL 5,808
238 PAPAVERIN HCL TAB 0 TABLET 1400 1400 680 720 TABLET 109
239 PIRANTEL PAMOAT TABLET 125 MG 0 TABLET 680 680 590 90 TABLET 10,260
240 CEFTRIAXON INJ. 0 VIAL 6 6 0 6 VIAL 5,252
241 CEFOTAXIM INJ 0 VIAL 26 26 6 20 VIAL 1,524

TOTAL

Wangi-Wangi, 31 Desember 2014

Mengetahui, Petugas Pengelola Obat Puskesmas
Kepala UPTD Puskesmas Wangi-Wangi

SUHARTINI ISMAIL, AM.Keb Hendriawati, S.Si.,Apt

NIP.19750421 199402 2 001 NIP. 19820802 200904 2 002
Saldo Per 31 Desember 2014
Nilai Persediaan
10=(8x9)
-
-
778,800
1,432,992
67,200
12,259
-
725,040
68,200
200,000
334,970
41,571
-
-
21,166,470
253,146
277,200
-
-
-
-
1,978,020
1,627,000
-
 574,000
180,000
368,431
1,029,105
66,000
108,800
-
-
-
-
52,500
-
-
-
316,800
171,000
83,520
-
-
274,100
-
-
128,760
-
669,836
811,906
-
427,609
868,500
158,490
-
519,936
-
97,712
34,450
-
112,015
1,225
-
190,080
15,700
361,400
57,600
60,000
94,045
122,760
5,040
-
-
-
231,000
605,004
-
-
-
-
51,480
-
30,317
-
-
26,544
26,796
524,300
-
313,120
428,480
230,720
112,000
-
-
774,136
 -
84,882
7,920
434,500
213,300
255,223
46,827
138,600
227,040
736,000
285,200
437,000
-
10,010
13,500
108,640
-
70,739
225,000
440,000
221,000
-
-
-
64,200
-
-
-
40,128
-
160,000
-
575,640
1,212,120
1,037,400
294,700
3,377,780
21,828
482,600
-
-
23,556
-
-
-
-
-
-
453,586
70,550
74,052
-
-
-
450,360
-
67,760
64,290
64,350
-
-
-
165,539
1,204,555
60,500
550,550
-
-
-
-
-
-
350,350
42,600
-
203,500
460,020
-
-
212,355
-
35,904
18,160
196,400
-
-
-
894,824
6,675
-
-
114,874
307,125
625,000
-
100,878
-
235,567
-
99,000
-
-
-
-
-
-
-
812,240
 8,200
13,161
446,160
-
-
102,850
-
-
-
-
-
114,100
530,784
-
-
-
-
-
-
-
-
-
-
212,925
-
-
23,562
-
-
-
915,124
-
77,520
577,000
132,000
430,650
 -
-
-
-
586,608
78,480
923,400
31,512
30,480

64,699,498
 BERITA ACARA PERHITUNGAN FISIK PERSEDIAAN

Perincian Hasil Pemeriksaan barang habis pakai menurut stok opname dan administrasinya adalah sebagai
berikut

JUMLAH PERSEDIAAN PER 31 DESEMBER 2014

NO URAIAN SATUAN MENURUT MENURUT SELISIH KET.

LEBIH
OPNAME ADMINISTRASI KURANG

1 2 4 5 6 7 8
1 ABBOCATH NO 18 SET - - 0 0
2 ABBOCATH NO 20 SET - - 0 0
3 ABBOCATH NO 22 SET 100 100 0 0
4 ABBOCATH NO 24 SET 184 184 0 0
5 ACYCLOVIR 400 MG TABLET 140 140 0 0
6 ACYCLOVIR 200 MG TABLET 23 23 0 0
7 AIR RAKSA DENTAL USE BOTOL - - 0 0
8 ALAT SUNTIK SEKALI PAKAI 1 ML SET 795 795 0 0
9 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 100 100 0 0
10 ALAT SUNTIK SEKALI PAKAI 3 ML SET 200 200 0 0
11 ALAT SUNTIK SEKALI PAKAI 5 ML SET 410 410 0 0
12 ALBENDAZOL TABLET 400 MG TABLET 93 93 0 0
13 ALBOTHYL CONCRETATE BOTOL - - 0 0
14 ALLOPURINOL TABLET 100 MG TABLET - - 0 0
15 AMBROXOL TABLET 30 MG TABLET 2,370 2,370 0 0
16 AMBROXOL 15 MG/5 ML SYRUP BOTOL 93 93 0 0
17 AMINOFILIN INJEKSI 20 MG / ML - 10 ML AMPUL 84 84 0 0
18 AMINOFILIN TABLET 200 MG TABLET - - 0 0
19 AMITRIPTILIN HCL TABLET SALUT 25 MG TABLET - - 0 0
20 AMOKSISILIN KAPLET 500 MG KAPLET - - 0 0
21 AMOKSISILIN KAPSUL 250 MG KAPSUL - - 0 0
22 AMOKSISILIN SIRUP KERING 125 MG / 5 ML BOTOL 486 486 0 0
23 AMOKSISILINA INJEKSI VIAL 20 20 0 0
24 ANTALGIN (METAMPIRON) TABLET 500 MG (SELESGIN) TABLET - - 0 0
25 ANTALGIN TABLET 500 MG TABLET 3,500 3,500 0 0
26 ANTALGIN INJEKSI 250 MG / ML - 2 ML AMPUL 100 100 0 0
27 ANTASIDA DOEN TABLET, KOMBINASI TABLET 5,047 5,047 0 0
28 ANTASIDA SYRUP BOTOL 243 243 0 0
29 ANTIHAEMOROID DOEN KOMBINASI (SUPERHOID) SUPP 30 30 0 0
30 ANTIMIGRAIN DOEN KOMBINASI TABLET 800 800 0 0
31 ANTIPARKINSON DOEN TABLET KOMBINASI TABLET - - 0 0
32 AQUA PROINJEKSI STERIL BEBAS PIROGEN VIAL - - 0 0
33 AQUADEST STERIL BOTOL - - 0 0
34 ASAM ASKORBAT (VIT C) TABLET 250 MG TABLET - - 0 0
35 ASAM ASKORBAT (VIT C) TABLET 50 MG TABLET 1,500 1,500 0 0
36 ASAM FOLAT TABLET TABLET - - 0 0
37 ASAM MEFENAMAT 500 MG TABLET - - 0 0
38 ASAM SULFASILISILAT 20 % BOTOL - - 0 0
39 ASETOSAL TABLET 100 MG TABLET 300 300 0 0
40 ASETOSAL TABLET 500 MG TABLET 1,000 1,000 0 0
41 ATROPIN SULFAT INJEKSI 0,25 MG / ML - 1 ML AMPUL 60 60 0 0
42 ATROPIN SULFAT TABLET 0,5 MG TABLET - - 0 0
43 ATROPIN SULFAT TETES MATA 0,5 % BOTOL - - 0 0
44 BASITRACIN CREAM TUBE 100 100 0 0
45 BENZATIN BENZIL PENISILIN INJ. 1,2 JUTA IU / VIAL VIAL - - 0 0
46 BENZATIN BENZIL PENISILIN INJ. 2,4 JUTA IU / VIAL VIAL - - 0 0
47 BETAMETASON KRIM 0,1 % TUBE 58 58 0 0
48 CAPTOPRIL 12,5 MG TABLET TABLET - - 0 0
49 CAPTOPRIL 25 MG TABLET TABLET 4,436 4,436 0 0
50 CATGUT / BENANG BEDAH NO. 2/0 - 3 / 0 SAK 83 83 0 0
51 CIPROFLOXACIN 500 MG TABLET - - 0 0
52 CIMETIDIN TABLET 200 MG TABLET 3,367 3,367 0 0
53 CLINDAMICIN KAPSUL 30 MG KAPSUL 1,500 1,500 0 0
54 CO-AMOXICLAV KAPLET 625 MG KAPLET 30 30 0 0
55 DEKSAMETASON INJ. 5 MG / ML - 1 ML AMPUL - - 0 0
56 DEKSAMETASON TABLET 0,5 MG TABLET 5,416 5,416 0 0
57 DEKSTRAN 70 - LARUTAN INFUS 6 % STERIL BOTOL - - 0 0
58 DEKSTROMETORFAN HBr SIRUP 10 MG / 5 ML BOTOL 31 31 0 0
59 DEKTROMETORFAN HBr TABLET 15 MG TABLET 650 650 0 0
60 DEVITALISASI PASTA (NON ARSEN) BOTOL - - 0 0
61 DIAZEPAM INJ. 5 MG / ML - 2 ML AMPUL 43 43 0 0
62 DIAZEPAM TABLET 2 MG TABLET 35 35 0 0
63 DIAZEPAM TABLET 5 MG TABLET - - 0 0
64 DIFENHIDRAMIN HCl INJ. 10 MG / ML - 1 ML AMPUL 180 180 0 0
65 DIGOKSIN TABLET 0,25 MG TABLET 100 100 0 0
66 DOKSISIKLIN 100MG KAPSUL 1,300 1,300 0 0
67 DOMPERIDONE TABLET 10 MG TABLET 300 300 0 0
68 EFEDRIN HCL TABLET 25 MG TABLET 1,000 1,000 0 0
69 EKSTRAK BELADON TABLET 10 MG TABLET 2,687 2,687 0 0
70 EPINEFRIN HCL (ADRENALIN) INJ. 0,1 % - 1ML AMPUL 90 90 0 0
71 ETAKRIDIN (RIVANOL) LARUTAN 0,1 % BOTOL 2 2 0 0
72 ETAMBUTOL HCL TABLET 250 MG TABLET - - 0 0
73 ETANOL 70 % BOTOL - - 0 0
74 ETIL ALKOHOL (TISSUE) LEMBAR 220 220 0 0
75 ETIL KLORIDA SEMPROT BOTOL 2 2 0 0
76 EUGENOL CAIRAN BOTOL 12 12 0 0
77 FENITOIN NATRIUM INJEKSI 50 MG / ML AMPUL - - 0 0
78 FENITOIN NATRIUM KAPSUL 100 MG KAPSUL - - 0 0
79 FENITOIN NATRIUM KAPSUL 300 MG KAPSUL - - 0 0
80 FENIL BUTAZONE TABLET 1,000 1,000 0 0
81 FENOBARBITAL INJEKSI 50 MG / ML - 2 ML AMPUL 30 30 0 0
82 FENOBARBITAL TABLET 100 MG TABLET - - 0 0
83 FENOBARBITAL TABLET 30 MG TABLET 497 497 0 0
84 FENOKSIMETIL PENISILIN TABLET 250 MG TABLET - - 0 0
85 FENOKSIMETIL PENISILIN TABLET 500 MG TABLET - - 0 0
86 FENOL GLISEROL TETES TELINGA 10 % BOTOL 24 24 0 0
87 FITOMENADION (VIT K1) INJ. 10 MG / ML - 1 ML AMPUL 14 14 0 0
88 FITOMENADION (VIT K1) TABLET SALUT 10 MG TABLET 700 700 0 0
89 FLUOR TABLET 0,5 MG TABLET - - 0 0
90 FOLEY CATHETHER NO. 22 SET 19 19 0 0
91 FOLEY CATHETHER NO.20 SET 26 26 0 0
92 FOLLEY CATHETHER NO.18 SET 14 14 0 0
93 FUROSEMID TABLET 40 MG TABLET 1,000 1,000 0 0
94 GAMEKSAN EMULSI 1 % SAK - - 0 0
95 GARAM ORALIT UNTUK 1000 ML AIR SAK - - 0 0
96 GARAM ORALIT UNTUK 200 ML AIR SAK 1,852 1,852 0 0
97 GENTAMICIN INJ AMPUL - - 0 0
98 GENTAMICIN KRIM TUBE 42 42 0 0
99 GENTIAN VIOLET LARUTAN 1 % BOTOL 16 16 0 0
100 GLASS IONOMER CEMENT ART SET/BOTOL 1 1 0 0
101 GLIBENKLAMID TABLET 5 MG TABLET 2,700 2,700 0 0
102 GLISERIL GUAYAKOLAT TABLET 100 MG TABLET 8,233 8,233 0 0
103 GLISERIN BOTOL 9 9 0 0
104 GLUKOSA LARUTAN INFUS 10 % STERIL BOTOL 22 22 0 0
105 GRISEOFULFIN TABLET 125 MG, MICRONIZED TABLET 860 860 0 0
106 HANDSCOEN NO. 7 PCS 160 160 0 0
107 HANDSCOEN NO. 7,5 PCS 62 62 0 0
108 HANDSCOON NO.M (RUBBER GLOVES) PCS 190 190 0 0
109 HALOPERIDOL TABLET 0,5 MG TABLET - - 0 0
110 HALOPERIDOL TABLET 1,5 MG TABLET 110 110 0 0
111 HALOPERIDOL TABLET 5 MG TABLET 100 100 0 0
112 HIDROKLOROTIAZID (HCT) TABLET 25 MG TABLET 2,716 2,716 0 0
113 HIDROKORTISON KRIM 2,5 % TUBE - - 0 0
114 IBUPROFEN TABLET 200 MG TABLET 557 557 0 0
115 IBUPROFEN TABLET 400 MG TABLET 1,000 1,000 0 0
116 INFUSION SET ANAK SET 110 110 0 0
117 INFUSION SET DEWASA SET 65 65 0 0
118 IODIAL KAPSUL LUNAK KAPSUL - - 0 0
119 IPEKA SIRUP 0,14 % BOTOL - - 0 0
120 ISONIAZID TABLET 300 MG TABLET - - 0 0
121 ISOSORBID DINITRAT TABLET SUBLINGUAL 5 MG TABLET 600 600 0 0
122 JARUM JAHIT (BEDAH) NO. 9 S/D 14 SET - - 0 0
123 KALIUM PERMANGANAT SERBUK POT - - 0 0
124 KALSIUM HIROKSIDA PASTA TUBE - - 0 0
125 KALSIUM LAKTAT (KALK) TABLET 500 MG TABLET 704 704 0 0
126 KAPAS BERLEMAK 500 GR ROL - - 0 0
127 KAPAS PEMBALUT / ADSORBEN 250 GR ROL 20 20 0 0
128 KARBAMAZEPIN TABLET 200 MG TABLET - - 0 0
129 KASSA KOMPRES 40 / 40 STERIL ROL 360 360 0 0
130 KASSA PEMBALUT 2 M x 80 CM ROL 120 120 0 0
131 KASSA PEMBALUT HIDROFIL 4 M x 15 CM ROL 280 280 0 0
132 KASSA PEMBALUT HIDROFIL 4 M x 3 CM ROL 350 350 0 0
133 KASSA PEMBALUT 36 X 80 CM ROL 28 28 0 0
134 KETOCONAZOLE KRIM 2% TUBE 34 34 0 0
135 KLORAMFENIKOL KAPSUL 250 MG KAPSUL 1,900 1,900 0 0
136 KLORAMFENIKOL SALEP MATA 1 % TUBE - - 0 0
137 KLORAMFENIKOL TETES TELINGA 3 % BOTOL - - 0 0
138 KLORFENIRAMINI MALEAT (CTM) TABLET 4 MG TABLET 906 906 0 0
139 KLOROKUIN FOSFAT TABLET 250 MG TABLET - - 0 0
140 KLORPROMAZIN HCL INJ. 25 MG / ML - 1 ML AMPUL - - 0 0
141 KLORPROMAZIN HCL INJ. 5 MG / ML - 2 ML AMPUL - - 0 0
142 KLORPROMAZIN HCL TABLET SALUT 100 MG TABLET - - 0 0
143 KLORPROMAZIN HCL TABLET SALUT 25 MG TABLET - - 0 0
144 KLORPROPAMID TABLET 100 MG TABLET - - 0 0
145 KOTRIMOKSAZOL DEWASA TABLET TABLET 2,506 2,506 0 0
146 KOTRIMOKSAZOL PEDRIATIK TABLET TABLET 850 850 0 0
147 KOTRIMOKSAZOL SUSPENSI BOTOL 17 17 0 0
148 KUININ HIDROKLORIDA INJ. 25 % - 2 ML AMPUL - - 0 0
149 KUININ SULFAT TABLET 222 MG (7 H20) TABLET - - 0 0
150 LEVOTHYROXINE SODIUM (EUTHYROX) TABLET - - 0 0
151 LIDOKAIN KOMPOSITUM INJEKSI AMPUL 360 360 0 0
152 LISOL BOTOL - - 0 0
153 MAGNESIUM SULFAT INJEKSI (iv) 20 % - 25 ML VIAL 40 40 0 0
154 MAGNESIUM SULFAT INJEKSI (iv) 40 % - 25 ML VIAL 30 30 0 0
155 MASKER PCS 130 130 0 0
156 MEBENDAZOL SIRUP 100 MG / 5 ML BOTOL - - 0 0
157 MEBENDAZOL TABLET 100 MG TABLET - - 0 0
158 METANOL TABLET - - 0 0
159 METIL ERGOMETRIN MALEAT INJ. 0,200MG - 1ML AMPUL 101 101 0 0
160 METIL ERGOMETRIN MALEAT TABLET SALUT 0,125 MG TABLET 905 905 0 0
161 METOCLOPRAMIDE TABLET 10 MG TABLET 500 500 0 0
162 METRONIDAZOL TABLET 250 MG TABLET 350 350 0 0
163 METRONIDAZOL TABLET 500 MG TABLET - - 0 0
164 MICONAZOLE SALEP KULIT 2% TUBE - - 0 0
165 MONOKLORKAMFER MENTOL CAIRAN BOTOL - - 0 0
166 MUMMIFYING PASTA BOTOL - - 0 0
167 NATRIUM BIKARBONAT TABLET 500 MG TABLET - - 0 0
168 NATRIUM FLUORESEIN TETES MATA 2 % BOTOL - - 0 0
169 NATRIUM KLORIDA LARUTAN INFUS 0,9 % STERIL BOTOL 65 65 0 0
170 NIFEDIPIN TABLET 10 MG TABLET 300 300 0 0
171 NATRIUM TIOSULFAT INJEKSI 25 % - 10 ML AMPUL - - 0 0
172 NISTATIN 100.000 IU/GR TABLET VAGINA TABLET 500 500 0 0
173 NISTATIN 500.000 IU/GR TABLET VAGINA TABLET 697 697 0 0
174 OBAT ANTI TUBERKULOSIS KATEGORI 1 PAKET - - 0 0
175 OBAT ANTI TUBERKULOSIS KATEGORI 2 PAKET - - 0 0
176 OBAT BATUK HITAM ( OBH ) CAIRAN BOTOL 135 135 0 0
177 OKSITETRASIKLIN HCL INJ. 50 MG / ML - 10 ML VIAL - - 0 0
178 OKSITETRASIKLIN HCL SALEP KULIT 3 % TUBE 17 17 0 0
179 OKSITETRASIKLIN HCL SALEP MATA 1 % TUBE 10 10 0 0
180 OKSITOSIN INJEKSI 10 IU / ML - 1 ML AMPUL 100 100 0 0
181 PARAFORMALDEHID TABLET 1 GR TABLET - - 0 0
182 PARASETAMOL SIRUP 120 MG / 5 ML BOTOL - - 0 0
183 PARASETAMOL TABLET 100 MG TABLET - - 0 0
184 PARASETAMOL TABLET 500 MG TABLET 7,714 7,714 0 0
185 PEMBALUT GIPS ROL 1 1 0 0
186 PILOKARPIN HCL / NITRAT TETES MATA 2 % BOTOL - - 0 0
187 PIRANTEL PAMOAT TABLET 365 MG TABLET - - 0 0
188 PIRIDOKSIN HCL TABLET 10 MG TABLET 6,046 6,046 0 0
189 PLESTER 5 YARD x 2 INCH ROL 13 13 0 0
190 PLESTER 5 YARD x 4,5 M ROL 25 25 0 0
191 POLIKRESULEN BOTOL - - 0 0
192 PREDNISON TABLET 5 MG TABLET 1,462 1,462 0 0
193 PRIMAKUIN TABLET 15 MG TABLET - - 0 0
194 PROKAIN BENZIL PENISILIN INJEKSI 3 JUTA IU / VIAL VIAL 29 29 0 0
187 PROPANOLOL HCL TABLET 40 MG TABLET - - 0 0
188 PROPILTIOURASIL TABLET 100 MG TABLET 300 300 0 0
189 RABIES IMMUNE GLOBULIN (HUMAN) 150 IU / ML VIAL - - 0 0
190 RESERPIN 0,10 MG TABLET - - 0 0
191 RESERPIN 0,25 MG TABLET - - 0 0
192 RETINOL (VITAMIN A) KAPSUL 200.000 IU KAPSUL - - 0 0
193 RIFAMPISIN KAPLET 600 MG KAPLET - - 0 0
194 RIFAMPISIN KAPSUL 300 MG KAPSUL - - 0 0
195 RIFAMPISIN KAPSUL 450 MG KAPSUL - - 0 0
196 RINGER LAKTAT LARUTAN INFUS STERIL BOTOL 142 142 0 0
197 SALBUTAMOL TABLET 2 MG TABLET 100 100 0 0
198 SALBUTAMOL TABLET 4 MG TABLET 123 123 0 0
199 SALEP 2-4 KOMBINASI POT 330 330 0 0
200 SALISIL BEDAK 2 % KOTAK - - 0 0
201 SALISIL SPIRITUS 10 % BOTOL - - 0 0
202 SEMEN SENG FOSFAT SERBUK DAN CAIRAN SET 1 1 0 0
203 SERUM ANTI BISA ULAR POLIVALEN INJ. 5 ML (ABU) VIAL - - 0 0
204 SERUM ANTI BISA ULAR POLIVALEN INJ. 50 ML (ABU) VIAL - - 0 0
205 SERUM ANTI DIFTERI INJ. 20.000 IU / VIAL (a.d.s) VIAL - - 0 0
206 SERUM ANTI TETANUS INJ. 1.500 IU / AMPUL (ats) VIAL - - 0 0
207 SERUM ANTI TETANUS INJ. 20.000 IU / AMPUL (ats) VIAL - - 0 0
208 SIANOKOBALAMIN (VIT B 12) INJ.500 MCG / ML AMPUL 100 100 0 0
209 SILK (BENANG BEDAH SUTERA) NO. 3/0 SAK 76 76 0 0
210 SILVER AMALGAM SERBUK 65 - 75 % BOTOL - - 0 0
211 SPONS GELATIN CUBICLE CUBICLES 1x1x1 CM TBG - - 0 0
212 STREPTOMISIN SULFAT SERBUK INJ. 1000 MG / VIAL VIAL - - 0 0
213 STREPTOMISIN SULFAT SERBUK INJ. 1500 MG / VIAL VIAL - - 0 0
214 SULFADIMIDIN TABLET 500 MG TABLET - - 0 0
215 SULFADOKSIN 500MG+PIRIMETAMIN 25MG TABLET TABLET - - 0 0
216 SULFASETAMID NATRIUM TETES MATA 15 % BOTOL - - 0 0
217 TABLET TAMBAH DARAH KOMBINASI TABLET - - 0 0
218 TEMPORARY STOPPING FLETCHER SERBUK+CAIRAN SET - - 0 0
219 TETRASIKLIN HCL TETES MATA BOTOL - - 0 0
220 TETRASIKLIN HCL KAPSUL 250 MG KAPSUL 1,275 1,275 0 0
221 TETRASIKLIN HCL KAPSUL 500 MG KAPSUL - - 0 0
222 TIAMIN HCL (VIT B 1) INJ. 100 MG / ML - 1 ML AMPUL - - 0 0
223 TIAMIN HCL MONONITRAT (VIT B 1) TABLET 5 MG TABLET 561 561 0 0
224 TIOPENTAL NATRIUM SERBUK INJ. 1000 MG / AMP VIAL - - 0 0
225 TRIHEKSIFENIDIL HCL TABLET 2 MG TABLET - - 0 0
226 TRIKRESOL FORMALIN (TKF) CAIRAN BOTOL - - 0 0
227 URINE BAG SET 98 98 0 0
228 VAKSIN RABIES VERO VIAL - - 0 0
229 VITAMIN B KOMPLEKS TABLET TABLET 3,230 3,230 0 0
230 WING NEEDLE NO. 27G PCS 100 100 0 0
231 YODIUM POVIDON LARUTSN 10 % 30 ML BOTOL 50 50 0 0
232 YODIUM POVIDON LARUTSN 10 % 300 ML BOTOL 27 27 0 0
233 ZINK TABLET - - 0 0
234 FENOBARBITAL INJEKSI 50 MG/ ML AMPUL - - 0 0
235 HIDGAL TUBE - - 0 0
236 GLASS IONOMER TUBE - - 0 0
237 PARACETAMOL DROPS BOTOL 101 101 0 0
238 PAPAVERIN HCL TAB TABLET 720 720 0 0
239 PIRANTEL PAMOAT TABLET 125 MG TABLET 90 90 0 0
240 CEFTRIAXON INJ. VIAL 6 6 0 0
241 CEFOTAXIM INJ VIAL 20 20 0 0

Wangi-Wangi, 31 Desember 2014

Mengetahui,
Kepala UPTD Puskesmas Wangi-Wangi Petugas Pengelola Obat Puskesmas

SUHARTINI ISMAIL, AM.Keb Hendriawati, S.Si, Apt

NIP.19750421 199402 2 001 NIP. 19820802 200904 2 002
 PEMERINTAH KABUPATEN WAKATOBI
RINCIAN BARANG PERSEDIAAN PER 31 DESEMBER 2013
UPTD PUSKESMAS WANGI-WANGI

STOK PER 31 HARGA

NO URAIAN MEREK SATUAN DESEMBER
2014 SATUAN

1 2 4 5 6
1 ABBOCATH NO 18 PT. JAYAMAS MEDICA INDUSTRI SET - 7,788
2 ABBOCATH NO 20 PT. JAYAMAS MEDICA INDUSTRI SET - 7,788
3 ABBOCATH NO 22 PT. JAYAMAS MEDICA INDUSTRI SET 100 7,788
4 ABBOCATH NO 24 PT. GEA MEDICA SET 184 7,788
5 ACYCLOVIR 400 MG PT. NOVELL TABLET 140 480
6 ACYCLOVIR 200 MG PT. Phapros TABLET 23 533
7 AIR RAKSA DENTAL USE BOTOL - -
8 ALAT SUNTIK SEKALI PAKAI 1 ML PT. JAYAMAS MEDICA INDUSTRI SET 795 912
9 ALAT SUNTIK SEKALI PAKAI 2,5 ML PT. MITRA RAJA BANJARAN SET 100 682
10 ALAT SUNTIK SEKALI PAKAI 3 ML PT. JAYAMAS MEDICA INDUSTRI SET 200 1,000
11 ALAT SUNTIK SEKALI PAKAI 5 ML PT. MITRA RAJA BANJARAN SET 410 817
12 ALBENDAZOL TABLET 400 MG TABLET 93 447
13 ALBOTHYL CONCRETATE BOTOL - -
14 ALLOPURINOL TABLET 100 MG PT. INDOFARMA TABLET - 145
15 AMBROXOL TABLET 30 MG PT. NOVAPHARIN TABLET 2,370 8,931
16 AMBROXOL 15 MG/5 ML SYRUP PT. INDOFARMA BOTOL 93 2,722
17 AMINOFILIN INJEKSI 20 MG / ML - 10 ML PT. LUCAS DJAJA AMPUL 84 3,300
18 AMINOFILIN TABLET 200 MG PT. INDOFARMA TABLET - 125
19 AMITRIPTILIN HCL TABLET SALUT 25 MG PT. PHAPROS TABLET - -
20 AMOKSISILIN KAPLET 500 MG PT. ERRITA PHARMA KAPLET - -
21 AMOKSISILIN KAPSUL 250 MG PT. LUCAS DJAJA KAPSUL - -
22 AMOKSISILIN SIRUP KERING 125 MG / 5 ML PT. NOVAPHARIN BOTOL 486 4,070
23 AMOKSISILINA INJEKSI PT. PHAPROS VIAL 20 81,350
24 ANTALGIN (METAMPIRON) TABLET 500 MG (SELESGIN) PT. SEJAHTERA LESTARI FARMA TABLET - -
25 ANTALGIN TABLET 500 MG PT. RAMA EMERALD MS TABLET 3,500 164
26 ANTALGIN INJEKSI 250 MG / ML - 2 ML PT. PHAPROS AMPUL 100 1,800
27 ANTASIDA DOEN TABLET, KOMBINASI PT. PRODMEDRAHADJO TABLET 5,047 73
28 ANTASIDA SYRUP PT. NOVAPHARIN BOTOL 243 4,235
29 ANTIHAEMOROID DOEN KOMBINASI (SUPERHOID) PT. TRIMAN SUPP 30 2,200
30 ANTIMIGRAIN DOEN KOMBINASI PT. PHAPROS TABLET 800 136
31 ANTIPARKINSON DOEN TABLET KOMBINASI PT. PHAPROS TABLET - -
32 AQUA PROINJEKSI STERIL BEBAS PIROGEN PT. LUCAS PHARMACEUTICAL VIAL - 6,050
33 AQUADEST STERIL BOTOL - -
34 ASAM ASKORBAT (VIT C) TABLET 250 MG PT. KIMIA FARMA TABLET - 142
35 ASAM ASKORBAT (VIT C) TABLET 50 MG PT.SEJAHTERA LESTARI FARMA TABLET 1,500 35
36 ASAM FOLAT TABLET PT. Marin Liza Farma TABLET - 75
37 ASAM MEFENAMAT 500 MG PT. NOVAPHARIN TABLET - 194
38 ASAM SULFASILISILAT 20 % BOTOL - -
39 ASETOSAL TABLET 100 MG PT. PHAPROS TABLET 300 1,056
40 ASETOSAL TABLET 500 MG PT. PHAPROS TABLET 1,000 171
41 ATROPIN SULFAT INJEKSI 0,25 MG / ML - 1 ML PT. INDOFARMA AMPUL 60 1,392
42 ATROPIN SULFAT TABLET 0,5 MG PT. INDOFARMA TABLET - 77
43 ATROPIN SULFAT TETES MATA 0,5 % PT. INDOFARMA BOTOL - -
44 BASITRACIN CREAM PT.INDOFARMA TUBE 100 2,741
45 BENZATIN BENZIL PENISILIN INJ. 1,2 JUTA IU / VIAL VIAL - -
46 BENZATIN BENZIL PENISILIN INJ. 2,4 JUTA IU / VIAL VIAL - -
47 BETAMETASON KRIM 0,1 % PT. RAMA EMERALD MS TUBE 58 2,220
48 CAPTOPRIL 12,5 MG TABLET PT. KIMIA FARMA TABLET - -
49 CAPTOPRIL 25 MG TABLET PT. INDOFARMA TABLET 4,436 151
50 CATGUT / BENANG BEDAH NO. 2/0 - 3 / 0 PT. SERENITY GLOBAL SAK 83 9,782
51 CIPROFLOXACIN 500 MG PT. NOVAPHARIN TABLET - -
52 CIMETIDIN TABLET 200 MG PT. NOVAPHARIN TABLET 3,367 127
53 CLINDAMICIN KAPSUL 30 MG PT. INDOFARMA KAPSUL 1,500 579
54 CO-AMOXICLAV KAPLET 625 MG PT. INDOFARMA KAPLET 30 5,283
55 DEKSAMETASON INJ. 5 MG / ML - 1 ML PT. Phapros AMPUL - 1,958
56 DEKSAMETASON TABLET 0,5 MG PT. PRODMEDRAHARDJO TABLET 5,416 96
57 DEKSTRAN 70 - LARUTAN INFUS 6 % STERIL PT. WIDATRA BHAKTI BOTOL - -
58 DEKSTROMETORFAN HBr SIRUP 10 MG / 5 ML PT. NOVAPHARIN BOTOL 31 3,152
59 DEKTROMETORFAN HBr TABLET 15 MG PT. INDOFARMA TABLET 650 53
60 DEVITALISASI PASTA (NON ARSEN) BOTOL - -
61 DIAZEPAM INJ. 5 MG / ML - 2 ML PT. INDOFARMA AMPUL 43 2,605
62 DIAZEPAM TABLET 2 MG PT. INDOFARMA TABLET 35 35
63 DIAZEPAM TABLET 5 MG PT. INDOFARMA TABLET - -
64 DIFENHIDRAMIN HCl INJ. 10 MG / ML - 1 ML PT PHAPROS AMPUL 180 1,056
65 DIGOKSIN TABLET 0,25 MG PT. YARINDO FARMATAMA TABLET 100 157
66 DOKSISIKLIN 100MG PT. INDOFARMA KAPSUL 1,300 278
67 DOMPERIDONE TABLET 10 MG PT. NOVAPHARIN TABLET 300 192
68 EFEDRIN HCL TABLET 25 MG PT. ERELA TABLET 1,000 60
69 EKSTRAK BELADON TABLET 10 MG PT. PHAPROS TABLET 2,687 35
70 EPINEFRIN HCL (ADRENALIN) INJ. 0,1 % - 1ML PT. PHAPROS AMPUL 90 1,364
71 ETAKRIDIN (RIVANOL) LARUTAN 0,1 % PT. HOLI PHARMA BOTOL 2 2,520
72 ETAMBUTOL HCL TABLET 250 MG TABLET - -
73 ETANOL 70 % PT. JAYAMAS MEDICA INDUSTRI BOTOL - 30,763
74 ETIL ALKOHOL (TISSUE) PT. JAYAMAS MEDICA INDUSTRI LEMBAR 220 -
75 ETIL KLORIDA SEMPROT PT. GRAHA ISMAYA BOTOL 2 115,500
76 EUGENOL CAIRAN PT. JAYAMAS MEDICA INDUSTRI BOTOL 12 50,417
77 FENITOIN NATRIUM INJEKSI 50 MG / ML AMPUL - -
78 FENITOIN NATRIUM KAPSUL 100 MG KAPSUL - -
79 FENITOIN NATRIUM KAPSUL 300 MG KAPSUL - -
80 FENIL BUTAZONE PT. Indofarma TABLET 1,000 -
81 FENOBARBITAL INJEKSI 50 MG / ML - 2 ML PT. PHAPROS AMPUL 30 1,716
82 FENOBARBITAL TABLET 100 MG PT. YARINDO FARMATAMA TABLET - 160
83 FENOBARBITAL TABLET 30 MG PT. INDOFARMA TABLET 497 61
84 FENOKSIMETIL PENISILIN TABLET 250 MG PT. PHAPROS TABLET - 2,882
85 FENOKSIMETIL PENISILIN TABLET 500 MG PT. PHAPROS TABLET - 5,112
86 FENOL GLISEROL TETES TELINGA 10 % PT. SANDAI FARMA BOTOL 24 1,106
87 FITOMENADION (VIT K1) INJ. 10 MG / ML - 1 ML PT. PHAPROS AMPUL 14 1,914
88 FITOMENADION (VIT K1) TABLET SALUT 10 MG PT. PHAPROS TABLET 700 749
89 FLUOR TABLET 0,5 MG TABLET - -
90 FOLEY CATHETHER NO. 22 PT. Uro Technology SET 19 16,480
91 FOLEY CATHETHER NO.20 PT. Uro Technology SET 26 16,480
92 FOLLEY CATHETHER NO.18 PT. Uro Technology SET 14 16,480
93 FUROSEMID TABLET 40 MG PT. KIMIA FARMA TABLET 1,000 112
94 GAMEKSAN EMULSI 1 % SAK - -
95 GARAM ORALIT UNTUK 1000 ML AIR SAK - -
96 GARAM ORALIT UNTUK 200 ML AIR PT. PHAPROS SAK 1,852 418
97 GENTAMICIN INJ AMPUL - 4,066
98 GENTAMICIN KRIM PT. INDOFARMA TUBE 42 2,021
99 GENTIAN VIOLET LARUTAN 1 % PT. CLUBROS FARMA BOTOL 16 495
100 GLASS IONOMER CEMENT ART SET/BOTOL 1 434,500
101 GLIBENKLAMID TABLET 5 MG PT. INDOFARMA TABLET 2,700 79
102 GLISERIL GUAYAKOLAT TABLET 100 MG PT. NOVAPHARIN TABLET 8,233 31
103 GLISERIN PT. LUCAS BOTOL 9 5,203
104 GLUKOSA LARUTAN INFUS 10 % STERIL PT. Widatra Bhakti BOTOL 22 6,300
105 GRISEOFULFIN TABLET 125 MG, MICRONIZED PT. PHAPROS TABLET 860 264
106 HANDSCOEN NO. 7 PT. PRIMA ALKESINDO PCS 160 4,600
107 HANDSCOEN NO. 7,5 PT. PRIMA ALKESINDO PCS 62 4,600
108 HANDSCOON NO.M (RUBBER GLOVES) PCS 190 2,300
109 HALOPERIDOL TABLET 0,5 MG TABLET - -
110 HALOPERIDOL TABLET 1,5 MG PT. INDOFARMA TABLET 110 91
111 HALOPERIDOL TABLET 5 MG PT. INDOFARMA TABLET 100 135
112 HIDROKLOROTIAZID (HCT) TABLET 25 MG PT. INDOFARMA TABLET 2,716 40
113 HIDROKORTISON KRIM 2,5 % PT. PHAPROS TUBE - 3,277
114 IBUPROFEN TABLET 200 MG PT. NOVAPHARIN TABLET 557 127
115 IBUPROFEN TABLET 400 MG PT. NOVAPHARIN TABLET 1,000 225
116 INFUSION SET ANAK PT. GEA MEDICAL SET 110 4,000
117 INFUSION SET DEWASA PT. GENERAL CARE SET 65 3,400
118 IODIAL KAPSUL LUNAK KAPSUL - -
119 IPEKA SIRUP 0,14 % BOTOL - -
120 ISONIAZID TABLET 300 MG TABLET - -
121 ISOSORBID DINITRAT TABLET SUBLINGUAL 5 MG PT. INDOFARMA TABLET 600 107
122 JARUM JAHIT (BEDAH) NO. 9 S/D 14 SET - -
123 KALIUM PERMANGANAT SERBUK POT - -
124 KALSIUM HIROKSIDA PASTA TUBE - -
125 KALSIUM LAKTAT (KALK) TABLET 500 MG PT. Phapros TABLET 704 57
126 KAPAS BERLEMAK 500 GR PT. Jayamas Medica Industri ROL - -
127 KAPAS PEMBALUT / ADSORBEN 250 GR PT. PRYA FARMASI ROL 20 8,000
128 KARBAMAZEPIN TABLET 200 MG PT. Phapros TABLET - -
129 KASSA KOMPRES 40 / 40 STERIL PT. JAYAMAS MEDICA INDUSTRI ROL 360 1,599
130 KASSA PEMBALUT 2 M x 80 CM PT. JAYAMAS MEDICA INDUSTRI ROL 120 10,101
131 KASSA PEMBALUT HIDROFIL 4 M x 15 CM PT. JAYAMAS MEDICA INDUSTRI ROL 280 3,705
132 KASSA PEMBALUT HIDROFIL 4 M x 3 CM PT. JAYAMAS MEDICA INDUSTRI ROL 350 842
133 KASSA PEMBALUT 36 X 80 CM PT. AHMADARIS ROL 28 120,635
134 KETOCONAZOLE KRIM 2% PT. NOVELL TUBE 34 642
135 KLORAMFENIKOL KAPSUL 250 MG PT. PHAPROS KAPSUL 1,900 254
136 KLORAMFENIKOL SALEP MATA 1 % TUBE - -
137 KLORAMFENIKOL TETES TELINGA 3 % PT. ERELA BOTOL - -
138 KLORFENIRAMINI MALEAT (CTM) TABLET 4 MG PT. NOVAPHARIN TABLET 906 26
139 KLOROKUIN FOSFAT TABLET 250 MG TABLET - 94
140 KLORPROMAZIN HCL INJ. 25 MG / ML - 1 ML AMPUL - 796
141 KLORPROMAZIN HCL INJ. 5 MG / ML - 2 ML PT. Phapros AMPUL - -
142 KLORPROMAZIN HCL TABLET SALUT 100 MG TABLET - -
143 KLORPROMAZIN HCL TABLET SALUT 25 MG TABLET - -
144 KLORPROPAMID TABLET 100 MG TABLET - -
145 KOTRIMOKSAZOL DEWASA TABLET PT. PROMEDRAHARDJO TABLET 2,506 181
146 KOTRIMOKSAZOL PEDRIATIK TABLET PT. PHAPROS TABLET 850 83
147 KOTRIMOKSAZOL SUSPENSI PT. LUCAS DJAJA BOTOL 17 4,356
148 KUININ HIDROKLORIDA INJ. 25 % - 2 ML PT. Indofarma AMPUL - 4,649
149 KUININ SULFAT TABLET 222 MG (7 H20) PT. Indofarma TABLET - 440
150 LEVOTHYROXINE SODIUM (EUTHYROX) PT. MERCK TABLET - 1,748
151 LIDOKAIN KOMPOSITUM INJEKSI PT. Phapros AMPUL 360 1,251
152 LISOL BOTOL - -
153 MAGNESIUM SULFAT INJEKSI (iv) 20 % - 25 ML PT. Otsuka Indonesia VIAL 40 1,694
154 MAGNESIUM SULFAT INJEKSI (iv) 40 % - 25 ML PT. Otsuka Indonesia VIAL 30 2,143
155 MASKER PT. GENERAL CARE PCS 130 495
156 MEBENDAZOL SIRUP 100 MG / 5 ML BOTOL - -
157 MEBENDAZOL TABLET 100 MG TABLET - -
158 METANOL TABLET - -
159 METIL ERGOMETRIN MALEAT INJ. 0,200MG - 1ML PT. Lucas djaja AMPUL 101 1,639
160 METIL ERGOMETRIN MALEAT TABLET SALUT 0,125 MG PT. Etica TABLET 905 1,331
161 METOCLOPRAMIDE TABLET 10 MG PT. KIMIA FARMA TABLET 500 121
162 METRONIDAZOL TABLET 250 MG PT. KIMIA FARMA TABLET 350 1,573
163 METRONIDAZOL TABLET 500 MG PT. Novapharin TABLET - -
164 MICONAZOLE SALEP KULIT 2% PT. KIMIA FARMA TUBE - 3,300
165 MONOKLORKAMFER MENTOL CAIRAN BOTOL - -
166 MUMMIFYING PASTA BOTOL - -
167 NATRIUM BIKARBONAT TABLET 500 MG PT. Marlin TABLET - 16
168 NATRIUM FLUORESEIN TETES MATA 2 % BOTOL - -
169 NATRIUM KLORIDA LARUTAN INFUS 0,9 % STERIL PT. Braun Medical BOTOL 65 5,390
170 NIFEDIPIN TABLET 10 MG PT. KIMIA FARMA TABLET 300 142
171 NATRIUM TIOSULFAT INJEKSI 25 % - 10 ML AMPUL - -
172 NISTATIN 100.000 IU/GR TABLET VAGINA PT. Phapros TABLET 500 407
173 NISTATIN 500.000 IU/GR TABLET VAGINA PT. Phapros TABLET 697 660
174 OBAT ANTI TUBERKULOSIS KATEGORI 1 PAKET - -
175 OBAT ANTI TUBERKULOSIS KATEGORI 2 PAKET - -
176 OBAT BATUK HITAM ( OBH ) CAIRAN PT. ERELA BOTOL 135 1,573
177 OKSITETRASIKLIN HCL INJ. 50 MG / ML - 10 ML VIAL - -
178 OKSITETRASIKLIN HCL SALEP KULIT 3 % PT. ERELA TUBE 17 2,112
179 OKSITETRASIKLIN HCL SALEP MATA 1 % PT. Novapharin TUBE 10 1,816
180 OKSITOSIN INJEKSI 10 IU / ML - 1 ML PT. TUNGGAL IDAMAN ABDI AMPUL 100 1,964
181 PARAFORMALDEHID TABLET 1 GR TABLET - -
182 PARASETAMOL SIRUP 120 MG / 5 ML PT. Novapharin Pharmaceutical BOTOL - 2,530
183 PARASETAMOL TABLET 100 MG PT. Novapharin Pharmaceutical TABLET - 46
184 PARASETAMOL TABLET 500 MG PT. PROMEDRAHARDJO TABLET 7,714 116
185 PEMBALUT GIPS PT. Jayamas Medica Industri ROL 1 6,675
186 PILOKARPIN HCL / NITRAT TETES MATA 2 % BOTOL - -
187 PIRANTEL PAMOAT TABLET 365 MG PT. Indofarma TABLET - 682
188 PIRIDOKSIN HCL TABLET 10 MG PT. SEJAHTERA LESTARI FARMA TABLET 6,046 19
189 PLESTER 5 YARD x 2 INCH PT. Prima Alkesindo Nusantara ROL 13 23,625
190 PLESTER 5 YARD x 4,5 M PT. INDO ABADI SARI MAKMUR ROL 25 25,000
191 POLIKRESULEN BOTOL - -
192 PREDNISON TABLET 5 MG PT. PHAPROS TABLET 1,462 69
193 PRIMAKUIN TABLET 15 MG PT. Indofarma TABLET - 110
194 PROKAIN BENZIL PENISILIN INJEKSI 3 JUTA IU / VIAL VIAL 29 8,123
187 PROPANOLOL HCL TABLET 40 MG PT. Indofarma TABLET - 85
188 PROPILTIOURASIL TABLET 100 MG PT. Indofarma TABLET 300 330
189 RABIES IMMUNE GLOBULIN (HUMAN) 150 IU / ML VIAL - -
190 RESERPIN 0,10 MG PT. Indofarma TABLET - -
191 RESERPIN 0,25 MG PT. Indofarma TABLET - -
192 RETINOL (VITAMIN A) KAPSUL 200.000 IU KAPSUL - -
193 RIFAMPISIN KAPLET 600 MG KAPLET - -
194 RIFAMPISIN KAPSUL 300 MG KAPSUL - -
195 RIFAMPISIN KAPSUL 450 MG KAPSUL - -
196 RINGER LAKTAT LARUTAN INFUS STERIL PT. WIDATRA BHAKTI BOTOL 142 5,720
197 SALBUTAMOL TABLET 2 MG PT. KIMIA FARMA TABLET 100 82
198 SALBUTAMOL TABLET 4 MG PT. PHAPROS TABLET 123 107
199 SALEP 2-4 KOMBINASI PT. MATRIN POT 330 1,352
200 SALISIL BEDAK 2 % PT. KIMIA FARMA KOTAK - 1,573
201 SALISIL SPIRITUS 10 % BOTOL - -
202 SEMEN SENG FOSFAT SERBUK DAN CAIRAN SET 1 102,850
203 SERUM ANTI BISA ULAR POLIVALEN INJ. 5 ML (ABU) VIAL - -
204 SERUM ANTI BISA ULAR POLIVALEN INJ. 50 ML (ABU) VIAL - -
205 SERUM ANTI DIFTERI INJ. 20.000 IU / VIAL (a.d.s) VIAL - -
206 SERUM ANTI TETANUS INJ. 1.500 IU / AMPUL (ats) VIAL - -
207 SERUM ANTI TETANUS INJ. 20.000 IU / AMPUL (ats) VIAL - -
208 SIANOKOBALAMIN (VIT B 12) INJ.500 MCG / ML PT. Indofarma AMPUL 100 1,141
209 SILK (BENANG BEDAH SUTERA) NO. 3/0 PT. PRIMA ALKESINDO SAK 76 6,984
210 SILVER AMALGAM SERBUK 65 - 75 % BOTOL - -
211 SPONS GELATIN CUBICLE CUBICLES 1x1x1 CM TBG - -
212 STREPTOMISIN SULFAT SERBUK INJ. 1000 MG / VIAL VIAL - -
213 STREPTOMISIN SULFAT SERBUK INJ. 1500 MG / VIAL VIAL - -
214 SULFADIMIDIN TABLET 500 MG TABLET - -
215 SULFADOKSIN 500MG+PIRIMETAMIN 25MG TABLET TABLET - -
216 SULFASETAMID NATRIUM TETES MATA 15 % BOTOL - -
217 TABLET TAMBAH DARAH KOMBINASI PT. Erella TABLET - 67
218 TEMPORARY STOPPING FLETCHER SERBUK+CAIRAN SET - -
219 TETRASIKLIN HCL TETES MATA BOTOL - -
220 TETRASIKLIN HCL KAPSUL 250 MG PT. Novapharin KAPSUL 1,275 167
221 TETRASIKLIN HCL KAPSUL 500 MG PT. Novapharin KAPSUL - -
222 TIAMIN HCL (VIT B 1) INJ. 100 MG / ML - 1 ML PT. Phapros AMPUL - 843
223 TIAMIN HCL MONONITRAT (VIT B 1) TABLET 5 MG PT. INDOFARMA TABLET 561 42
224 TIOPENTAL NATRIUM SERBUK INJ. 1000 MG / AMP VIAL - -
225 TRIHEKSIFENIDIL HCL TABLET 2 MG TABLET - -
226 TRIKRESOL FORMALIN (TKF) CAIRAN BOTOL - -
227 URINE BAG PT. Jayamas Medica SET 98 9,338
228 VAKSIN RABIES VERO VIAL - -
229 VITAMIN B KOMPLEKS TABLET PT. NOVAPHARIN TABLET 3,230 24
230 WING NEEDLE NO. 27G PT. Phapros PCS 100 5,770
231 YODIUM POVIDON LARUTSN 10 % 30 ML PT. NOVAPHAIN BOTOL 50 2,640
232 YODIUM POVIDON LARUTSN 10 % 300 ML PT. LUCAS DJAJA BOTOL 27 15,950
233 ZINK PT. INDOFARMA TABLET - 531
234 FENOBARBITAL INJEKSI 50 MG/ ML AMPUL - -
235 HIDGAL TUBE - 24,200
236 GLASS IONOMER TUBE - 434,500
237 PARACETAMOL DROPS PT. INDOFARMA BOTOL 101 5,808
238 PAPAVERIN HCL TAB PT. KIMIA FARMA TABLET 720 109
239 PIRANTEL PAMOAT TABLET 125 MG PT. INDOFARMA TABLET 90 10,260
240 CEFTRIAXON INJ. PT. Phapros VIAL 6 5,252
241 CEFOTAXIM INJ PT. INDOFARMA VIAL 20 1,524

TOTAL

Wangi-Wangi, 31 Desember 20
Mengetahui,
Kepala UPTD Puskesmas Wangi-Wangi Petugas Pengelola Obat Puskes

SUHARTINI ISMAIL, AM.Keb Hendriawati, S.Si, Apt

NIP.19750421 199402 2 001 NIP. 19820802 200904 2 002
 JUMLAH
KET.
HARGA (Rp)
7
0
0
778,800
1,432,992
67,200
12,259
-
725,040
68,200
200,000
334,970
41,571
0
0
21,166,470
253,146
277,200
0
0
0
0
1,978,020
1,627,000
0
574,000
180,000
368,431
1,029,105
66,000
108,800
0
0
0
0
52,500
0
0
0
316,800
171,000
83,520
0
0
274,100
-
 -
128,760
-
669,836
811,906
-
427,609
868,500
158,490
-
519,936
-
97,712
34,450
-
112,015
1,225
-
190,080
15,700
361,400
57,600
60,000
94,045
122,760
5,040
-
-
-
231,000
605,004
-
-
-
-
51,480
-
30,317
-
-
26,544
26,796
524,300
-
313,120
428,480
230,720
112,000
-
-
774,136
-
84,882
7,920
 434,500
213,300
255,223
46,827
138,600
227,040
736,000
285,200
437,000
-
10,010
13,500
108,640
-
70,739
225,000
440,000
221,000
-
-
-
64,200
-
-
-
40,128
-
160,000
-
575,640
1,212,120
1,037,400
294,700
3,377,780
21,828
482,600
-
-
23,556
-
-
-
-
-
-
453,586
70,550
74,052
-
-
-
450,360
-
67,760
 64,290
64,350
-
-
-
165,539
1,204,555
60,500
550,550
-
-
-
-
-
-
350,350
42,600
-
203,500
460,020
-
-
212,355
-
35,904
18,160
196,400
-
-
-
894,824
6,675
-
-
114,874
307,125
625,000
-
100,878
-
235,567
-
99,000
-
-
-
-
-
-
-
812,240
8,200
13,161
446,160
 -
-
102,850
-
-
-
-
-
114,100
530,784
-
-
-
-
-
-
-
-
-
-
212,925
-
-
23,562
-
-
-
915,124
-
77,520
577,000
132,000
430,650
-
-
-
-
586,608
78,480
923,400
31,512
30,480

64,699,498

gi, 31 Desember 2014

gelola Obat Puskesmas

iawati, S.Si, Apt

0802 200904 2 002