23 Dexa harsen Inj Tablet 100 200 200 100 Rp 217 Rp 21,700
24 Demacolin Tablet 200 1500 1200 500 Rp 358 Rp 179,000
25 Deponeo Vial - 20 20 0 Rp 7,500 Rp -
Mengetahui,
Kepala Pos Kesehatan 05.10.06 Nganjuk,
Anom Wiryono
Pelda NRP 21960279200177
VIII/2017
us 2017
KET ED
DETASEMEN KESEHATAN WILAYAH MADIUN Lampiran Surat
POS KESEHATAN 05.10.06 NGANJUK Nomor :B/ / XI/ 2017
Tanggal : November 2017
Mengetahui,
Kepala Pos Kesehatan 05.10.06 Nganjuk,
Anom Wiryono
Pelda NRP 21960279200177
XI/ 2017
mber 2017
KET ED
DETASEMEN KESEHATAN WILAYAH MADIUN Lampiran Surat
POS KESEHATAN 05.10.06 NGANJUK Nomor :B/ / X/ 2017
Tanggal : Oktober 2017
Anom Wiryono
Pelda NRP 21960279200177
X/ 2017
er 2017
KET ED
DETASEMEN KESEHATAN WILAYAH MADIUN Lampiran Surat
POS KESEHATAN 05.10.06 NGANJUK Nomor : B/ /IX/2017
Tanggal : September 2017
1 Allupurinol 100 balatif Tablet 300 600 700 200 Rp 294 Rp 58,800
2 Alkohol Swab Box - 1 1 0 Rp 9,400 Rp -
3 Antrain Ampul - 3 0 3 Rp 29,400 Rp 88,200
4 Ambeven Kapsul 100 300 300 0 Rp 960 Rp -
5 Ambroxol Tablet 0 600 500 100 Rp 259 Rp 25,900
6 Amlodipin 5 HJ Tablet 90 450 480 60 Rp 424 Rp 25,440
7 Amoxcillin Eta Tablet 400 600 800 200 Rp 282 Rp 56,400
8 Amoxcillin Nova Tablet 100 2000 1900 200 Rp 238 Rp 47,600
9 Asam Mefenamat Eta Tablet 300 1500 1600 200 Rp 177 Rp 35,400
10 Aquadest steril Box 2 8 8 2 Rp 12,000 Rp 24,000
11 Berlosid Tablet - 2000 1500 500 Rp 218 Rp 109,000
12 Berlosid Syr Botol 4 25 20 9 Rp 8,500 Rp 76,500
13 Betahistin Tablet 200 800 700 300 Rp 259 Rp 77,700
14 Betamin Tablet - 1000 800 200 Rp 156 Rp 31,200
15 Calvera Kapsul - 200 200 0 Rp 36 Rp -
16 Captopril 12,5 dexa Tablet - 700 600 100 Rp 122 Rp 12,200
17 Cefadroxil Nova Kapsul 0 200 200 0 Rp 685 Rp -
18 Cefadroxyl 125 Syr Fls 1 8 9 0 Rp 70,500 Rp -
19 Chol stik ET Biji 30 50 40 40 Rp 20,100 Rp 804,000
20 Ciprofloxacin Nova Tablet 200 800 800 200 Rp 391 Rp 78,200
21 Colortusin Tablet 0 300 300 0 Rp 311 Rp -
22 Cover Glass Box 0 1 1 0 Rp 35,000 Rp -
23 Demacolin Tablet 500 700 1000 200 Rp 358 Rp 71,600
24 Dentorit Box 0 1 1 0 Rp 263,000 Rp -
25 Dexamethasone Tablet 1000 3000 4000 0 Rp 47 Rp -
26 Dextaf Tablet 200 500 600 100 Rp 184 Rp 18,400
27 Dextemm Plus Tablet 300 800 1000 100 Rp 296 Rp 29,600
28 Eugenol Botol - 1 1 0 Rp 158,800 Rp -
29 Etamox Fls 2 10 10 2 Rp 4,100 Rp 8,200
30 Flacoid 0,5 mg Tablet 0 5000 5000 0 Rp 23 Rp -
31 Flucadex Tablet 300 1500 1700 100 Rp 434 Rp 43,400
32 Flucadex syr Botol 5 15 16 4 Rp 9,400 Rp 37,600
33 Formacresol Botol - 1 1 0 Rp 26,400 Rp -
34 Gratazone Box 0 1000 800 200 Rp 114 Rp 22,800
35 GDA stik ET Biji 40 100 60 80 Rp 6,315 Rp 505,200
36 Gentamicin Salep KF Biji 2 10 11 1 Rp 2,900 Rp 2,900
37 Grafadone Tablet 300 800 1000 100 Rp 184 Rp 18,400
38 Griseovulvin Darya Varia Tablet 0 50 45 5 Rp 1,700 Rp 8,500
39 Hufabion Kaleng - 1000 800 200 Rp 2,810 Rp 562,000
40 Hydrocortison 2,5% Kalbe Kaleng 5 5 8 2 Rp 6,200 Rp 12,400
41 ifidex Tablet - 4000 2000 2000 Rp 63 Rp 126,000
42 Ifitamol Botol 1000 2000 2000 1000 Rp 90 Rp 90,000
43 Ibuprofen 400 Nova Tablet 200 800 900 100 Rp 212 Rp 21,200
44 Jarum Terumo 25 G box 0 2 2 0 Rp 70,700 Rp -
45 Kaotin Syr Box 6 10 14 2 Rp 7,300 Rp 14,600
46 Kapas One Med 250 gram] Biji 2 2 3 1 Rp 17,200 Rp 17,200
47 Kasa Indah Box 3 15 12 6 Rp 4,300 Rp 25,800
48 Kerta Puyer Box 1 2 2 1 Rp 125,000 Rp 125,000
49 Ketorolac Ampul 0 4 3 1 Rp 5,200 Rp 5,200
50 Lidokain Inj Ampul 20 20 40 0 Rp 8,185 Rp -
51 Lodecon Tablet 100 1000 800 300 Rp 350 Rp 105,000
52 Lostacef 125 Syr Botol 3 13 15 1 Rp 9,700 Rp 9,700
53 Nufacort Tube 1 7 5 3 Rp 6,400 Rp 19,200
54 Natrium Diklofenak Tablet 0 3 3 0 Rp 31,900 Rp -
55 Neurodex Tablet 200 3000 2400 800 Rp 449 Rp 359,200
56 Novaflox Tablet 200 300 500 0 Rp 396 Rp -
57 Novagesic Tablet 0 800 800 0 Rp 153 Rp -
58 Nystatin Ovula Biji 0 25 22 3 Rp 700 Rp 2,100
59 Omedom Tablet 300 2000 2100 200 Rp 700 Rp 140,000
60 Orafil Plus 40gr Denpro Box 0 1 1 0 Rp 55,000 Rp 55,000
61 Omeprazole erita Kapsul 30 300 300 60 Rp 434 Rp 26,040
62 Plesterin Biji 0 3 1 2 Rp 18,000 Rp 36,000
63 Piroxicam 20mg Tablet 300 1000 1100 200 Rp 180 Rp 36,000
64 Plastik klip Besar Pack 2 10 12 0 Rp 21,000 Rp -
65 Plastik Klip Kecil Pack 1 8 6 2 Rp 20,000 Rp 40,000
66 Ranitidine dx Tablet 500 1000 1200 300 Rp 178 Rp 53,400
67 Salep lespain Tube 5 8 8 5 Rp 7,800 Rp 39,000
68 Salep nufacort Tube 3 8 10 1 Rp 6,400 Rp 6,400
69 Salep synalten Tube 4 7 9 2 Rp 5,700 Rp 11,400
70 Seltifort jeruk syr Botol 2 8 6 4 Rp 7,000 Rp 28,000
71 Seltifort strawberry syr Botol 0 8 5 3 Rp 7,000 Rp 21,000
72 Simvastatin 10novel Tablet 60 300 360 0 Rp 12,800 Rp -
73 Spasminal Tablet 0 50 50 0 Rp 50 Rp -
74 Spuid Terumo 3 cc Biji 0 200 200 0 Rp 3,500 Rp -
75 Tabung Edta Box 0 1 1 0 Rp 350,000 Rp -
76 Tera F Tablet 200 800 900 100 Rp 273 Rp 27,300
77 Kresek Obat Pak 2 22 20 4 Rp 3,000 Rp 12,000
78 TKF Botol - 1 1 0 Rp 73,000 Rp -
79 Triocid Tablet - 500 300 200 Rp 215 Rp 43,000
80 UA stik ET Biji 40 100 80 60 Rp 1,410 Rp 84,600
81 Vit B Complek Tablet 100 700 500 300 Rp 47 Rp 14,100
82 Vit B1 Mef 250's Tablet 250 1000 750 500 Rp 52 Rp 26,000
83 Yusimox syr Botol 3 20 18 5 Rp 5,200 Rp 26,000
84 Zetamol syrup Botol 4 18 15 7 Rp 4,500 Rp 31,500
TOTAL Rp 4,568,480
Mengetahui,
Kepala Pos Kesehatan 05.10.06 Nganjuk,
Anom Wiryono
Pelda NRP 21960279200177
X/2017
mber 2017
KET ED
DETASEMEN KESEHATAN WILAYAH MADIUN
POS KESEHATAN 05.10.06 NGANJUK
STOCK STOCK
NO NAMA - MATKES SATUAN MASUK KELUAR
AWAL AKHIR
11 Betamin Zack - 3 3 -
12 Blood lancet Box - 2 1 1
13 Betadine 5ml Botol 1 5 6 -
14 Betahistin Box 1 5 4 2
15 Captopril 12,5 pharos Box 1 15 16 -
16 Cefadroxyl 125 syr Fls 2 10 11 1
17 Calvera Box - 3 3 -
18 Ciprofloxacin nova Box 1 5 4 2
19 Chol stik ET Box 1 5 3 3
20 Colortusin Box - 3 3 -
21 Dextaf Box 1 15 14 2
22 Dexteem plus Box 3 6 6 3
26 Dentorit Box - 1 1 -
27 Ethylchloride spray Botol - 2 1 1
28 Erlamycetin TM Buah 2 10 8 4
29 Erlamycetin TT Biji 2 10 6 6
39 Glibencamid Box 2 10 10 2
40 Grafadone Box 2 10 9 3
41 Hydrocortison 2,5% kalbe Tube 3 10 8 5
43 Histigo Box 2 10 10 2
44 Ifitamol Kaleng 1 4 4 1
45 Ibuprofen 400 nova Box 3 5 6 2
56 Maxter M Box - 2 2 -
57 Metronidazole nova Box - 2 1 1
58 Metronidazole mutifa Box - 1 1 -
59 Metronidazole FM Box - 1 1 -
60 Metronidazole Phyto Box 2 2 3 1
61 Novamox Box 1 8 7 2
62 Na Diklofenak Box 2 20 22 -
63 Neurodex Box 1 10 10 1
64 OBH Itrasal Fls 2 5 6 1
68 Omedom Box 1 7 5 3
72 Plesterin Box - 2 2 -
73 Pot urine 50ml Biji - 70 25 45
74 Ranitidine dx Box 3 15 13 5
85 Tera F Box 2 10 10 2
86 UA stik ET Box 1 5 4 2
87 Vastarel Box 2 5 4 3
91 Yusimox Box - 18 15 3
92 Yusimox syr Botol - 25 22 3
93 Zetamol syrup Botol 2 12 10 4
TOTAL
Mengetahui,
Kepala Pos Kesehatan 05.10
Anom Wiryono
Pelda NRP 219602792
Lampiran Surat
Nomor : B/ /VIII/2017
Tanggal : Agustus 2017
S 05.10.06 NGANJUK
HARGA HARGA
KET ED
SATUAN TOTAL
Rp 61,700 Rp 123,400
Rp 35,400 Rp 70,800
Rp 70,500 Rp 141,000
Rp 17,000 Rp 17,000
Rp 28,200 Rp 451,200
Rp 12,700 Rp 50,800
Rp 25,600 Rp 128,000
Rp 17,700 Rp 442,500
Rp 17,700 Rp 106,200
Rp 8,500 Rp 127,500
Rp 15,600 Rp 46,800
Rp 236,000 Rp 472,000
Rp 4,900 Rp 24,500
Rp 25,900 Rp 129,500
Rp 12,200 Rp 183,000
Rp 70,500 Rp 705,000
Rp 36,000 Rp 108,000
Rp 39,100 Rp 195,500
Rp 201,000 Rp 1,005,000
Rp 31,100 Rp 93,300
Rp 18,400 Rp 276,000
Rp 29,600 Rp 177,600
Rp 21,700 Rp 43,400
Rp 35,800 Rp 537,000
Rp 150,000 Rp 150,000
Rp 263,000 Rp 263,000
Rp 113,900 Rp 227,800
Rp 13,600 Rp 136,000
Rp 6,200 Rp 62,000
Rp 421,000 Rp 421,000
Rp 43,400 Rp 651,000
Rp 9,400 Rp 141,000
Rp 22,900 Rp 91,600
Rp 23,100 Rp 115,500
Rp 2,900 Rp 29,000
Rp 63,100 Rp 63,100
Rp 352,000 Rp 352,000
Rp 126,300 Rp 631,500
Rp 14,400 Rp 144,000
Rp 18,400 Rp 184,000
Rp 6,200 Rp 62,000
Rp 46,000 Rp 138,000
Rp 28,300 Rp 283,000
Rp 91,000 Rp 364,000
Rp 21,200 Rp 106,000
Rp 70,700 Rp 212,100
Rp 7,300 Rp 109,500
Rp 3,000 Rp 15,000
Rp 6,300 Rp 63,000
Rp 57,900 Rp 115,800
Rp 30,800 Rp 154,000
Rp 47,000 Rp 47,000
Rp 4,300 Rp 129,000
Rp 9,700 Rp 97,000
Rp 25,000 Rp 50,000
Rp 46,000 Rp 92,000
Rp 19,600 Rp 39,200
Rp 17,800 Rp 17,800
Rp 24,200 Rp 24,200
Rp 19,600 Rp 39,200
Rp 33,800 Rp 270,400
Rp 17,100 Rp 342,000
Rp 89,700 Rp 897,000
Rp 6,700 Rp 33,500
Rp 6,600 Rp 33,000
Rp 23,100 Rp 231,000
Rp 13,000 Rp 130,000
Rp 23,100 Rp 161,700
Rp 18,000 Rp 360,000
Rp 105,000 Rp 105,000
Rp 65,500 Rp 131,000
Rp 76,000 Rp 152,000
Rp 4,200 Rp 294,000
Rp 17,800 Rp 267,000
Rp 28,000 Rp 56,000
Rp 7,000 Rp 70,000
Rp 7,000 Rp 70,000
Rp 8,600 Rp 68,800
Rp 350,000 Rp 1,050,000
Rp 5,300 Rp 15,900
Rp 16,600 Rp 166,000
Rp 5,700 Rp 45,600
Rp 7,800 Rp 78,000
Rp 6,400 Rp 51,200
Rp 27,300 Rp 273,000
Rp 141,000 Rp 705,000
Rp 31,800 Rp 159,000
Rp 47,000 Rp 188,000
Rp 10,000 Rp 40,000
Rp 67,100 Rp 134,200
Rp 36,300 Rp 653,400
Rp 5,200 Rp 130,000
Rp 4,000 Rp 48,000
Rp 18,885,000
Mengetahui,
Kepala Pos Kesehatan 05.10.06 Nganjuk,
Anom Wiryono
Pelda NRP 21960279200177