STOCK PENERI

NO NAMA OBAT SATUAN

AWAL MAAN
1 2 3 4 5 6
Alat Kesehatan
1 Alat suntik sekali pakai 1 ml Pcs 50 100
2 Alat suntik sekali pakai 3 ml Pcs 0 300
3 Alat suntik sekali pakai 5 ml Pcs 115 100
4 Alat Suntik sekali pakai 10 ml Pcs 240 0
5 Alat Suntik sekali pakai 20 ml Pcs 90 0
6 Alkohol Swab Pcs 200 0
7 Blood Lancet Pcs 0 0
8 Bload Tranfusion set Pcs 20 0
9 Catgut / Benang Bedah No. 3/0 dengan jarum bedah Pcs 10 0
10 Catgut / Benang Bedah No. 3/0 Rol 9 0
11 Dower catheter/Nelaton catheter No. 12 Pcs 5 0
12 Dower catheter/Nelaton catheter No. 16 Pcs 5 0
13 Dermavix Pcs 10 0
14 Foley Catheter 2 Way No. 18 Pcs 30 0
15 Foley Catheter 2 Way No. 20 Pcs 19 0
16 Infusion set anak Pcs 165 0
17 Infusion set dewasa Pcs 40 200
18 IV Catheter No. 18 Pcs 100 0
19 IV Catheter No. 20 Pcs 50 50
20 IV Catheter No. 22 Pcs 50 200
21 IV Catheter No. 24 Pcs 20 100
22 Jeli untuk kateter (Cathejell lidocain) Tube 5 0
23 Kapas Pembalut / Absorben 250 g Pcs 2 3 1
24 Kasa Hidrofil panjang 40 m x 80 cm Rol 0 8
25 Kasa hidrofil steril 16 x 16 cm Kotak 17 0
26 Masker Tis On Pcs 100
27 Masker Ear Lop Pcs 250 0
28 Masker Nebule Pcs 10 0
29 Masker N95 Pcs 10 0
30 Nasal Canula Bayi Pcs 5 0
31 Nasal Canula Anak Pcs 12 0
32 Nasal Canula Dewasa Pcs 17 0
33 Pembalut Gips Pcs 0
34 Plester 5 yards x 2 inch Pcs 5 0
35 Plester Prarmavix Pcs 19 0
36 Sarung Tangan Steril Pcs 40 100
37 Sarung Tangan Non Steril Pcs 100 400
38 Sarung Tangan Panjang (Obgyn) Pcs 15 0
39 Scalvin 25 Pcs 10 0
40 Scalvin 27 Pcs 5 0
41 Silk (Benang Bedah Sutera) No. 3/0 dengan jarum bedah Pcs 53 0
42 Silk (Benang Bedah Sutera) No. 3/0 Rol 10 0
43 Stomach Tube/NGT No. 12 Pcs 8 0
44 Stomach Tube/NGT No. 18 Pcs 4 0
45 Surgical Blades / Mess Pcs 26 0
46 Surgical Needles / jarum hecting kulit Pcs 10 0
47 Surgical Needles / jarum hecting Otot Pcs 12 0
48 Urine bag Pcs 15 0
49 Underpet Pcs 0 20
50 Tes kehamilan Pcs 0 0
51 RDT Combo Card (Tes Malaria) pink Kotak 0 0
52 RDT Combo Card (Tes Malaria) kuning Kotak 0 0
53 Rapid Test DBD Pcs 0 0
54 Catgut Plain 3/0 Pcs 120 24

Bahan Laboratorium
1 Blue Tip Bungkus 0
2 Covesr Glass Box 0
3 Cuvete Humalyzer Junior Box 0
4 Drabkin Btl 1 0
5 Golongan Darah + Rhesus anti D Lembar 3 0
6 HBsAg Srip/ Rapit Tes DBD Box 0
7 Hb Strip ( Hemoglobin Mission / Acon) Box 15 0
8 Human Hemoglobin Tes ( Dabkin) Kit 0
9 Human Glucosa Test Kit 0
10 Human Urit Acid Test Kit 0
11 Human Cholesterol Test Kit 0
12 Human TrycliceridTest Kit 0
13 Kertas Lensa Miscroscope Exempler 0
14 Kertas Saring Whatman No.1 Box 0
15 Methanol Absolute Botol 0
16 PCR Tube Bungkus 0
17 Plester Bulat / Plesterin Box 0
18 Stick Tes gula darah Accucheck Active Kotak 0
19 Stick Tes gula darah Glucosure Star Kotak 0
20 Stick Tes gula darah Nesco Strip Kotak 0
21 Stick Tes asam urat Nesco Strip Kotak 0
22 Stick Tes kolesterol Nesco Strip Kotak 0
23 Stick Tes gula darah Easy Touch Kotak 0
24 Stick Tes asam urat Easy Touch Kotak 0
25 Stick Tes kolesterol Easy Touch Kotak 0
26 Stick urine multites (10 parameter) Kotak 0
27 Stick Tes urine (3 parameter) Kotak 0
28 Slide ( Object Glass) Box 0
29 Stanbino Glucose Kit 0
30 Stanbino Urid Acid Kit 0
31 Stanbino Cholesterol Kit 0
32 Urine Rapid Test (Gluko Protein Tes) Pcs 90 0
33 Yello Tip Bungkus 0
34 Benedick 100ml Botol 10 0
35 Cholesterol Liquid Test Set 2 0
36 EDTA 10% 250ml Botol 10 0
37 Giemsa 200ml Botol 9 0
38 HCl 0,1N 100ml Botol 9 0
39 Hydrogen Pyroxide 3% 100ml Botol 62 0
40 Larutan Asam Asetat 6% 100 ml Botol 19 0
41 NaCl 0,9% 100ml Botol 9 0
42 Oil Imersi 100ml Botol 0 0
43 Oil Imersi 100ml Botol 6 0
44 Pewarna Zeelh Neelsen Kotak 10 0
45 Pipet Tetes Pcs 30 0
46 Stick Test Asam Urat Easy Touch Kotak 30 0
47 Stick Test Gula Darah Easy Touch Kotak 30 0
48 Stick Test Kolesterol Easy Touch Kotak 30 0
49 Tusuk Sate Pak 6 0
50 Urid Acid Set 2 0

OBAT - OBATAN
Tablet, Kaplet, Kapsul dan Serbuk
1 Albendazol tablet 400 mg Tablet 1200 0
2 Alopurinol tablet 100 mg Tablet 730 1000
3 Aminofilin tablet 200 mg Tablet 0
4 Amitriptilin HCl tablet salut 25 mg Tablet 0
5 Amlodipin tablet 10 mg Tablet 2150 0
6 Amlodipin tablet 5 mg Tablet 750 1200 90
7 Amoksisilin kaplet 500 mg Kaplet 1600 3000 400
Antasida DOEN tablet,kombinasi: Mg-Hidroksida 200mg+Al.
8 Tablet 130 2800 100
Hidroksida. 200 mg
Anti Malaria tablet kombinasi (Dehidroartemisin +
9 Kotak 0
Piperaquin)
Antimigren, kombinasi: Ergotamin Tartrat 1 mg + Kofein 50
10 Tablet 960 0
mg
11 Asam Asetil Salisilat/Asetosal tablet 80 mg ( Miniaspi ) Tablet 2000 900
12 Asam Askorbat (Vitamin C) tablet 50 mg Tablet 100 3500
13 Asam Askorbat (Vitamin C) tablet 250 mg Tablet 850 0 100
14 Asam Folat tablet 1 mg Tablet 50 0
15 Asam Mefenamat kaplet 500 mg Kaplet 1350 1000 300 200
16 Asiklovir tablet 400 mg Tablet 1200 0
17 Acetylcysteine 200 mg Tablet 2100 0 300 300
18 Atapulgit tablet 600 mg Tablet 500 0 150
19 Curcuma tablet untuk hepatoprotector Tablet 1460 0 300
20 Calsium Laktat (Kalk) tablet 500 mg Tablet 200 3000 100
21 Captopril tablet 12,5 mg Tablet 0
22 Captopril tablet 25 mg Tablet 400 0
23 Carbamazepin tablet 200 mg Tablet 400 0
24 Cloramfenikol kapsul 250 mg Kapsul 4900 0
25 Cloramfenikol kapsul 500 mg Kapsul 1100 0 200
26 Clorfeniramin Maleat (CTM) tablet 4 mg Tablet 49700 0
27 Clorpromazin tablet 100 mg Tablet 300 500
Cotrimoksazol tablet kombinasi: Sulfametoksazol 400 mg
28 Tablet 1000 0 200 200 200
+Trimetropin 80 mg
29 Clindamisin 150 mg tablet Tablet 0
30 Clindamisin 300 mg tablet Tablet 0
31 Cetirizin tablet 10 mg Tablet 450 0
32 Ciprofloksasin 500 mg (ktk 100 tab) Kaplet 1400 0
33 Deksametason tablet 0,5 mg Tablet 920 1000 400 200
34 Diazepam tablet 2 mg Tablet 680 0
35 Diazepam tablet 5 mg Tablet 20 0
36 Digoksin tablet 0,25 mg Tablet 300 0
37 Dimenhidrinat tablet Tablet 600 0 100
38 Doksisiklin 100 mg Kaplet 300 0
39 Domperidon tablet 10 mg Tablet 2400 0 500
40 Eritromicin Kapsul 250 mg Tablet 300 0
41 Eritromicin Kapsul 500 mg Tablet 700 0
42 Fenobarbital tablet 30 mg Tablet 1000 0
43 Fitomenadion (Vit.K1) tablet salut gula 10 mg Tablet 300 0
44 Furosemid tablet 40 mg Tablet 200 0
45 Garam Oralit untuk 200 ml air Sachet 1200 0
46 Glibenklamid tablet 5 mg Tablet 1200 0
47 Glimepiride tablet 1 mg Tablet 0 1000 250
48 Glimepiride tablet 2 mg Tablet 0 500 100
49 Griseofulvin tablet 125 mg Tablet 100 500
50 Haloperidol tablet 0,5 mg Tablet 770 0
51 Haloperidol tablet 1,5 mg Tablet 650 0
52 Haloperidol tablet 5 mg Tablet 1970 0
53 Hidroklorotiazid (HCT) tablet 25 mg Tablet 800 0
54 Ibuprofen tablet 200 mg Tablet 0
55 Ibuprofen tablet 400 mg Tablet 50 4000
56 Isoniazid tablet 100 mg Tablet 600 0
 57 Isosorbid Dinitrat tablet sublingual 5 mg Tablet 0 300
58 Ketokonazol tablet 200 mg Tablet 850 0
59 Kombipak (Azitromisin + Cefixim) Tablet 0
60 Loperamid tablet 2 mg Tablet 1150 0
61 Loratadin tablet 10 mg Tablet 400 0 200
62 Metformin tablet 500 mg Tablet 50 1000 200
63 Metilergometrin Maleat Tablet Tablet 0
64 Metilprednisolon tablet 4 mg Tablet 750 1000
65 Metronidazol tablet 250 mg Tablet 800 0
66 Metronidazol tablet 500 mg Tablet 550 500 200
67 Mineral Mix Sachet 8 0
68 Natrium Diklofenak tablet 25 mg Tablet 2350 0 200
69 Natrium Diklofenak tablet 50 mg Tablet 3500 0
70 Nifedipin tablet 10 mg Tablet 500
71 Nistatin tablet salut 500.000 IU/g Tablet 500 0
72 Nistatin tablet vaginal 100.000 IU/g (ovula) Tab Ovula 440 0
73 OAT Kategori 1,3 FDC Paket 0
74 OAT Kategori 2 FDC Paket 0
75 OAT Kategori Anak FDC Paket 0
76 Omeprazol kapsul 30 mg Kapsul 450 900 300
77 Parasetamol tablet 500 mg Tablet 300 4000 200
78 Pirantel tablet 125 mg Tablet 40 0
79 Piridoksin HCl (Vitamin B6) tablet 10 mg Tablet 1000 1000
80 Piroxicam tablet 20 mg Tablet 1000 2000 200
81 Prednison tablet 5 mg Tablet 1800 0
82 Primakuin tablet 15 mg Tablet 900 0
83 Propiltiourasil tablet 100 mg Tablet 0
84 Pirimetamin tablet 25 mg Tablet 0
85 Propanolol HCl tablet 10 mg Tablet 980 0
29 Quinin (Kina) tablet 200 mg Tablet 720 0
86 Ranitidin tablet 150 mg Tablet 2200 0
87 Retinol (vitamin A) kapsul 100,000 IU (Biru) Tablet 50 0
88 Retinol (vitamin A) kapsul 200,000 IU (Merah) Tablet 1550 0
89 Risperidon tablet 3 mg Tablet 100 0
90 Salbutamol tablet 2 mg Tablet 0
91 Salbutamol tablet 4 mg Tablet 450 0
92 Simvastatin tablet 10 mg Tablet 400 300 200
93 Simvastatin tablet 20 mg Tablet 1110 0
94 Tablet Tambah Darah Sachet 20 6000
95 Tetrasiklin HCl kapsul 250 mg Kapsul 0
96 Tetrasiklin HCl kapsul 500 mg Kapsul 0 0
97 Tiamfenikol kapsul 500 mg Kapsul 0
98 Tiamin HCl (Vitamin B1) tablet 50 mg Tablet 2900 0
99 Triheksifenidil HCl tablet 2 mg Tablet 10850 0
100 Teofilin Tablet Tablet 1000 0
101 Vitamin B Kompleks tablet Tablet 400 4000 200 150
102 Zink tablet dispersibel Tablet 500 500
103 Klonidin 0,15 mg Tablet 180 0
104 Betahistin 6 mg Tablet 0 0
105 Camabion Tablet 12950 0 750 600

Sirup, Suspensi dan Drop

1 Amoksisilin sirup kering 125 mg/5ml Botol 60 ml 60 150 20
2 Antasida DOEN suspensi Botol 60 ml 170 0 19
Cotrimoksazol Suspensi komb: Sulfametoksazol 200 mg +
3 Botol 60 ml 20 100 15
Trimetoprim 40 mg / 5 ml
4 Cloramfenikol Suspensi 125 mg/ml Botol 80 0 10
5 Metronidazole Suspensi Botol 0
6 Domperidon suspensi 5 mg/5 ml Botol 45 0
7 Nistatin Oral Drop Botol 12 0
8 Parasetamol sirup 120 mg/5 ml Botol 60 ml 0 50
0
0
Injeksi dan Pelarut 0
1 Aminofilin injeksi Ampul 30 0
2 Ampisilin injeksi 1000 mg/vial Vial 0
3 Aquades, pelarut 1 liter Botol 2 0
4 Aqua pro Injeksi steril, bebas pirogen Vial 75 0
5 Artesunate Injeksi Vial 0
6 Clorpromazin injeksi i.m. 25 mg/ml Ampul 0
7 Cefotaksim injeksi 1 g Vial 10 0
8 Deksametason injeksi Ampul 100 0
9 Diazepam injeksi 5 mg / ml - 2 ml Ampul 2 0
10 Difenhidramin injeksi Ampul 90 0
11 Epinefrina HCl/Bitartrat(Adrenalina) inj.0,1%-1ml Ampul 10 0
12 Fenobarbital injeksi i.m. 50 mg/ml - 2 ml Ampul 0
13 Fitomenadion (Vit.K1) injeksi 10 mg/ml - 1 ml Ampul 30 0
14 Glukonas Kalsikus 10% injeksi Ampul 0
15 Haloperidol injeksi 50 mg base/ml (Haldol) Ampul 0
Kombinasi Ipratropium Bromida 0,5 mg + Salbutamol 2,5 mg
16 Vial 0 0
nebule (Farbivent/Combivent)
 Lidokain komp. injeksi, Kombinasi: Lidokain HCl 2% +
17 Ampul 50 0 20
Epinefrin 1:80.000 - 2 ml
18 Magnesium Sulfat inj (IV) 20% - 25 ml Vial 40 0
19 Magnesium Sulfat inj (IV) 40% - 25 ml Vial 20 0
20 Metilergometrin Maleat inj 0,200 mg-1 ml Ampul 20 10
21 Oksitosin injeksi 10 IU / ml - 1 ml Ampul 200 0
22 Qina injeksi (kotak 100 ampul) Ampul 0
0
0
0
Tetes Mata, Tetes Telinga, Salep dan sed. Topikal 0
Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g +
1 Tube 32 0
Polimiksin 10.000 IU/g
Antifungi DOEN Kombinasi: Asam Benzoat 6% + Asam
2 Pot 90 0
Salisilat 3%
3 Asiklovir salep kulit Tube 10 25
4 Betametason krim 0.1% Tube 0 25
5 Cloramfenikol Salep mata 1 % Tube 40 0
6 Cloramfenikol tetes mata 0,5 % Botol 10 ml 0
7 Cloramfenikol tetes telinga 0,1 % ( Erlamycetin) Botol 10 ml 4 5
8 Cloramfenikol salep kulit 0,2 % ( Bufacetin) Tube 45 0
9 Fenol Gliserol 10 % tetes telinga Botol 40 0
10 Gentian Violet larutan 1 % Botol 10 ml 0
11 Hidrokortison krim 2,5 % Tube 0 24
9 Mikonazol salep 2 % Tube 60 0
10 Oksitetrasiklin HCl salep mata 1 % Tube 0
11 Perak Sulfadiazin krim 1 % Tube 5 0
12 Permetrin salep (Scabimite) Tube 45 0
Salep 2-4 , Kombinasi: Asam Salisilat 2% + Belerang Endap
13 Pot 195 0 24
4%
14 Salisil Bedak 2 % Kotak 7 10
15 Tetrakain HCl Tetes Mata 0,5% Botol 5 ml 0
16 Bacitracin Polymicin B Salep Kulit Tube 25 0 17
0
0
0
0
0
Suppositoria dan Larutan Rektal 0

Antihemoroid DOEN supositoria, kombinasi: Bismut subgalat

1 Supp 10 0
150 mg + Heksaklorofen 2,5 mg
2 Bisakodil Suppositoria 5 mg (Dulcolax anak) Supp 4 0
3 Diazepam Larutan Rektal 5 mg/2,5 ml ( Stesolit) Tube 2 0
0
0
 0
Desinfektan dan Antiseptik 0
1 Etakridin ( Rivanol ) larutan 0,1% Btl 300 ml 10 0
2 Etanol 70% Btl 1000 ml 7 0
3 E-care hand R Btl 500 ml 20 0
4 Antiseptik kumur Botol 11 0
5 Lisol, mengandung Kresol tersabun 50% Btl 1000 ml 12 0
6 Paraformaldehid/Formalin cair Btl 1000 ml 0 0
7 Povidon Iodida 10 % Btl 30 ml 25 0
8 Povidon Iodida 10 % Btl 300 ml 8 0 1
9 Povidon Iodida 10 % Btl 1 L 2 0
10 Policresulen 36 % ( Aptil) Botol 30 0
0
0
Larutan Elektrolit dan Cairan Infus 0
1 Glukosa larutan infus 5 % steril, produk lokal Btl 500 ml 0 40
2 Glukosa larutan infus 10 % steril, produk lokal Btl 500 ml 0 60
3 Natrium Klorida larutan infus 0,9 % steril, produk lokal Btl 500 ml 0 80
4 Ringer Laktat larutan infus steril, produk lokal Btl 500 ml 60 140 20
5 Ringer Asetat (Asering) larutan infus steril Btl 500 ml 55 80 20
0
Obat Gigi 0
1 - Calsidor (Kalsium Hidroksida) Kotak 4 0
2 - Cavit Set 2 0
3 - Etil Klorida spray Kaleng 4 0 1
4 - Eugenol larutan Botol 8 0 1
5 - Iodoform Pasta Kotak 0
6 - Klorfenol kamfer Menthol (CHKM)/Camphenol Btl 10 ml 0
7 - Temporary Stopping Fletcher serbuk & cairan Btl 100 ml 0
8 - Devitalisasi Pasta Arsen Set 0
9 - Fletcher set (serbuk & larutan) Set 1 0
10 - Fluor tablet 1 mg Tablet 0
11 - Fuji GC IX Besar Set 1 0
12 - Fuji GC IX Kecil Set 0
13 - Glass Ionomer ART Set 0
14 - Tri Kresol Formalin (TKF) Set 0
15 - White spot/tooth mouse Set 0
16 - Xylestesin Gel/tropical anesthesi gel Tube 0
17 D-Pulp 7,5 G Box 1 0
18 Pulp. X 6g Box 2 0
Vaksin dan Serum 0
1 Serum Anti Bisa Ular Polivalen injeksi 5 ml (ABU I) Vial 3 0
Serum Anti Tetanus injeksi 250.000 IU/ampul (ATS)
2 Vial 4 0
(Tetagram)
3 Vaksin BCG Vial 0
4 Vaksin TT Vial 0
5 Vaksin DPT / DPT-HB / DPT-HB-Hib Vial 0

BAYAR (UMUM)
JUMLAH KUNJUNGAN
JUMLAH RESEP

MENGETAHUI, YANG MENYERAHKAN,

Plt.KEPALA DINAS KESEHATAN KAB. DOMPU KEPALA UPTD IFK DOMPU

Gatot Gunawan PP, SKM,M.MKes. Indi Hartini

NIP. 19651122 198903 1 014
 PENGELUARAN PER TANGGAL

7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30

100
10
6

2
40
20
 JAKKAD

NIP. 19690307 198903 2 013

 TOTAL STOCK STOCK PERMIN PEMBERIAAN
PENGELUARAN AKHIR OPTIMUM TAAN SUMBER DANA JUMLAH
31

- 150 100
- 300 500
- 215 500
- 240
- 90
- 200 200
- -
- 20
- 10 96
- 9
- 5
- 5
- 10
- 30
- 19
- 165 100
- 240 200
- 100
- 100 100
- 250 100
- 120 150
- 5 5
1 4 5
- 8 8
- 17 20
- 100 100
- 250
- 10
- 10
- 5
- 12
- 17
- -
- 5 20
- 19
- 140
100 400 500
- 15
- 10
- 5
- 53
- 10
- 8
- 4
- 26
- 10
- 12
- 15
- 20 20
- -
- -
- -
- -
- 144
- -
- -
- -
- -
- -
- 1
- 3
- -
- 15
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
 - -
- -
- -
- -
- -
- 90
- -
- 10
- 2
- 10
- 9
- 9
- 62
- 19
- 9
- -
- 6
- 10
10 20
6 24
- 30
- 30
2 4
- 2
- -
- -
- -
- -
- -
- -
- -
- 1,200
- 1,730 1500
- -
- -
- 2,150
90 1,860
400 4,200 3000

100 2,830 3000

- -

- 960

- 2,900
- 3,600 3000
100 750
- 50
500 1,850 2000
- 1,200
600 1,500 3000
150 350 1000
300 1,160 1000
100 3,100 3000
- -
- 400 1000
- 400
- 4,900
200 900 500
- 49,700
- 800

600 400 1000

- -
- -
- 450 2000
- 1,400 1000
600 1,320 1000
- 680
- 20
- 300
100 500 1000
- 300
500 1,900
- 300
- 700
- 1,000
- 300
- 200
- 1,200
- 1,200
250 750
100 400
- 600
- 770 500
- 650 500
- 1,970
- 800
- -
- 4,050 4000
- 600
 - 300
- 850
- -
- 1,150
200 200 1000
200 850 1500
- -
- 1,750 2000
- 800
200 850 1000
- 8
200 2,150 3000
- 3,500 2000
- 500 500
- 500
- 440
- -
- -
- -
300 1,050 900
200 4,100 4000
- 40
- 2,000
200 2,800 3000
- 1,800 2000
- 900
- -
- -
- 980
- 720
- 2,200 2000
- 50
- 1,550
- 100
- -
- 450
200 500
- 1,110
- 6,020 6000
- -
- -
- -
- 2,900 2000
- 10,850
- 1,000
 350 4,050 4000
- 1,000
- 180
- - 500
1,350 11,600
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
20 190 150
19 151 200

15 105 100

10 70
- -
- 45 50
- 12
- 50 100
- -
- -
- -
- 30
- -
- 2
- 75
- -
- -
- 10
- 100
- 2
- 90
- 10
- -
- 30
- -
- -

- -
20 30 100

- 40
- 20
- 30
- 200 100
- -
- -
- -
- -
- -

- 32

- 90

- 35 25
- 25 50
- 40
- -
- 9 10
- 45 50
- 40
- -
- 24 48
- 60
- -
- 5
- 45

24 171

- 17
- -
17 8 50
- -
- -
- -
- -
- -
- -

- 10

- 4 20
- 2
- -
- -
 - -
- -
- 10
- 7 5
- 20
- 11
- 12
- -
- 25
1 7
- 2
- 30
- -
- -
- -
- 40 60
- 60 40
- 80 120
60 140 120
40 95 60
- -
- -
- 4
- 2
1 3
1 7
- -
- -
- -
- -
- 1
- -
- 1
- -
- -
- -
- -
- -
- 1
- 2
- -
- 3

- 4

- -
- -
- -

JKN TOTAL
-
-

YANG MEMINTA, YANG MENERIMA,

KEPALA UPTD PUSKESMAS PETUGAS PUSKESMAS

Faisal, SKM Laurensius Saunoah, S. Farm

NIP. 19770826 199703 1 003 NRPK. 23.7.0501272
EMBERIAAN
TANGGAL KADALUARSA
Feb-18
0
MENERIMA,
PUSKESMAS

aunoah, S. Farm
23.7.0501272