Obat

PUSKESMAS DUREN JAYA
DINAS KESEHATAN KOTA BEKASI

BUKU PEMBANTU PERSEDIAAN PER JENIS
BULAN : JANUARI 2016 SUMBER : APBD

JENIS : OBAT
MUTASI
SALDO AWAL
TAMBAH (PENERIMAAN) KURANG (PEMAKAIAN)
PENERIMAAN DARI
PENERIMAAN DARI UPTD POPPF PEMAKAIAN PUSKESMAS EXP DATE
SUMBER HARGA PER UNIT SUMBER DANA JKN
NO URAIAN SATUAN JUMLAH
ANGGARAN JUMLAH HARGA JUMLAH JUMLAH JUMLAH JUMLAH JUMLAH HARGA JUMLAH JUMLAH
UNIT JUMLAH HARGA
UNIT UNIT HARGA UNIT UNIT HARGA
unit Rp unit Rp unit Rp unit Rp unit Rp
1 Albendazol tab 400 mg PROG 2015 Tablet 1,356.00 - - - - - -

2 Alopurinol tablet 100 mg DAK 2014 tablet 86.00 - - - - - -
3 Alopurinol tablet 300 mg DAK 2013 tablet 200.00 - - - - -
4 Alopurinol tablet 300 mg DAK 2014 tablet 199.50 240 47,880.00 - - - -
5 Ambroksol sirup 15 mg/ 5 ml APBD 2015 btl/60 ml 3,000.00 679 2,037,000.00 - - 197 591,000.00 -
6 Ambroksol sirup 15 mg/ 5 ml DAK 2015 btl/60 ml 3,300.00 - - - - -
7 Ambroksol tablet 30 mg APBD 2015 tablet 120.00 11,166 1,339,920.00 - - 1,571 188,520.00 -
8 Amlodipin tablet 10mg INS 2015 tablet 1,354.23 - - - - -
9 Amoksisilin Kaplet 500 mg DAK 2013 kaplet 220.00 16,173 3,558,060.00 25,000 5,500,000.00 - 7,973 1,754,060.00 -
10 Amoksisilin Kaplet 500 mg DAK 2014 tablet 272.00 - - - - -
11 Amoksisilin Kapsul 250 mg DAK 2013 kapsul 200.00 - - - - - -
12 Amoksisilin Sirup Kering 125 mg/5 ml DAK 2013 btl/60 ml 2,300.00 350 805,000.00 - - 101 232,300.00 -
13 Amoksisilin Sirup Kering 125 mg/5 ml JKN 2015 2,445.00 - - - - -
14 Antalgin tab 500 mg DAK 2012 Tablet 125.01 1,385 173,138.85 - - - -
15 Antasida DOEN I tab kunyah, kombinasi: DAK 2014 tablet 75.00 5,330 399,750.00 - - 2,710 203,250.00 -
16 Antasida DOEN II suspensi, kombinasi: DAK 2014 btl/60 ml 2,100.00 429 900,900.00 - - 25 52,500.00 -
17 Anti diare tablet (Molagit) DAK 2013 Tablet 366.67 - - - - - -
18 Anti diare tablet (Puralex) DAK 2014 tablet 190.00 1,637 311,030.00 1,500 285,000.00 - 557 105,830.00 -
19 Anti Hemmoroid supp / DAK 2013 supp 2,000.00 - - - - - -
20 Antidiare suspensi (Neokaominal) DDL 2012 Btl/60 ml 4,568.00 91 415,688.00 - - 31 141,608.00 -
21 Antimigren : Ergotamin Tartrat 1 mg + KaDAK 2013 tablet 123.00 - - - - - -
22 Asam asetil salisilat 100 mg DAK 2014 tablet 116.00 - - - - - -
23 Asam Askorbat (Vit C) tablet 250 mg DAK 2014 tablet 159.00 - - - - - -
24 Asam mefenamat 500 mg DAK 2014 tablet 112.00 2,000 224,000.00 3,500 392,000.00 - 580 64,960.00 -
25 Asiklovir Krim 5%- 5 g DAK 2013 tube 2,152.00 109 234,568.00 100 215,200.00 - 44 94,688.00 -
26 Asiklovir Krim 5%- 5 g DAK 2015 tube 3,135.00 - - - - -
27 Asiklovir tab 200 mg DAK 2010 Tablet 350.00 617 215,950.00 200 70,000.00 - 117 40,950.00 -
28 Asiklovir tab 200 mg DAK 2013 tablet 239.00 - - - - -
29 Asiklovir tab 400 mg DAK 2013 tablet 350.00 1,500 525,000.00 200 70,000.00 - 10 3,500.00 -
30 Azitromisin 500 mg DAK 2014 tablet 4,500.00 - - - - - -
31 Betametason Krim 0,1 % DAK 2013 tube 1,520.00 6 9,120.00 - - 6 9,120.00 -
32 Deksametason tablet 0,5 mg BS 2015 tablet 84.00 - - - - - -
33 Diazepam tablet 2 mg DAK 2013 tablet 35.00 200 7,000.00 - - - -
34 Dietil Karbamazin tab PROG 2010 tablet 73.50 - - - - - -
35 Digoksin tab 0,25 mg DAK 2012 Tablet 119.97 - - - - - -
36 Doksisiklin kaps 100 mg DAK 2012 kaps 212.26 - - - - -
37 Doksisiklin kaps 100 mg DAK 2013 kaps 220.00 - - - - - -
38 Domperidon susp 5 mg/5 ml DAK 2014 botol 3,333.00 5 16,665.00 - - 5 16,665.00 -
39 Domperidon tab 10 mg DAK 2014 tablet 167.00 219 36,573.00 - - 60 10,020.00 -
40 Efedrin HCl Tablet 25 mg DAK 2013 tablet 213.00 1,000 213,000.00 - - - -
41 Ekstrak Belladona tab 10 mg DAK 2012 Tablet 26.58 1,000 26,580.00 - - - -
42 Eritromisin kaps/kaplet 500 mg DAK 2013 kapsul 920.00 354 325,680.00 - - 174 160,080.00 -
43 Eritromisin sirup 200 mg/5 ml DAK 2013 btl/60 ml 7,220.00 72 519,840.00 - - 13 93,860.00 -
44 Etambutol tablet 250 mg DAK 2013 tablet 305.00 - - - - - -
45 Fenol Gliserol tetes telinga 10% DAK 2013 botol 1,008.00 56 56,448.00 24 24,192.00 - 8 8,064.00 -
46 Fitomenadion (Vit K1) tab sal gula 10 mgDAK 2014 tablet 634.00 190 120,460.00 - - 47 29,798.00 -
47 Flukonazole 150 mg DAK 2014 tablet 22,000.00 - - - - - -
48 Furosemid Tablet 40 mg DAK 2014 tablet 85.00 200 17,000.00 100 8,500.00 - - -
49 Garam oralit I serbuk kombinasi DAK 2013 sachet 292.00 473 138,116.00 200 58,400.00 - 162 47,304.00 -
50 Gentamisin salep kulit 0,1% DAK 2015 Tube@ 5 gr 2,035.00 2 4,070.00 144 293,040.00 - 26 52,910.00 -
51 Glibenklamid tablet 5 mg DAK 2013 tablet 54.00 470 25,380.00 - - 10 540.00 -
52 Glimepiride 2 mg DAK 2014 tablet 436.00 270 117,720.00 - - 30 13,080.00 -
53 Gliseril Guayakolat Tablet 100 mg DAK 2015 Tablet 33.00 6,750 222,750.00 2,000 66,000.00 - 700 23,100.00 -
54 Glukosa larutan Infus 5 % DAK 2014 Btl/500 ml 5,200.00 - - - - - -
55 Griseofulvin tablet 125 mg, micronized DAK 2013 tablet 228.00 520 118,560.00 - - 25 5,700.00 -
56 Griseofulvin tablet 125 mg, micronized DAK 2014 tablet 219.00 - - - - -
57 Haloperidol tab. 5 mg DAK 2014 tablet 96.00 - - - - - -
Hidroklortiazid tab (HCT) tab 25 mg

58 DAK 2011 tab 36.30 1,000 36,300.00 - - - -
59 Hidrokortison Krim 2,5 % - 5 g DAK 2014 tube 2,798.00 148 414,104.00 - - 55 153,890.00 -
60 Hyosin Butilbromid Tab 10 mg/ Hyorex DAK 2013 tablet 530.00 100 53,000.00 - - - -
61 Ibuprofen 200 mg DAK 2014 tablet 110.00 507 55,770.00 - - 369 40,590.00 -
62 Isoniazida 100 mg Tablet DAK 2013 tablet 44.00 - - - - - -
63 Isosorbid Dinitrat tab sublingual 5 mg DAK 2014 tablet 88.00 100 8,800.00 - - - -
64 Kalsium Laktat tab 500 mg DAK 2013 tablet 45.00 - - - - - -
65 Kaptopril 12,5 mg DAK 2014 tablet 62.00 380 23,560.00 700 43,400.00 - 135 8,370.00 -
66 Kaptopril 25 mg DAK 2013 tablet 88.00 1,330 117,040.00 1,500 132,000.00 - 300 26,400.00 -
67 Kaptopril 50 mg DAK 2014 tablet 140.00 - - - - - -
68 Ketokonazol tab 200 mg DAK 2014 tablet 300.00 70 21,000.00 - - - -
69 Kloramfenikol salep mata 1% DAK 2012 Tube 5g 1,311.00 - - - - - -
70 Kloramfenikol kap 250 mg APBD 2015 kapsul 280.00 70 19,600.00 240 67,200.00 - 16 4,480.00 -
71 Kloramfenikol Tetes Mata APBD 2015 Btl 6,600.00 47 310,200.00 25 165,000.00 - 10 66,000.00 -
72 Kloramfenikol Tetes Telinga APBD 2015 Btl 5,000.00 78 390,000.00 - - 11 55,000.00 -
73 Klorfeniramin Maleat (CTM) Tablet 4 mg BS 2015 tablet 32.00 - - - - - -
74 Klorfeniramin Maleat (CTM) Tablet 4 mg INS 2015 tablet 30.00 - - - - -
75 Kodein tablet 10 mg DAK 2012 Tablet 358.49 - - - - - -
76 Kotrimoksazol suspensi : Kombinasi DAK 2013 btl/60 ml 2,574.00 121 311,454.00 - - 65 167,310.00 -
77 Kotrimoksazol tab DOEN I (dewasa) kombDAK 2014 tablet 149.00 2,794 416,306.00 2,000 298,000.00 - - -
78 Larutan infus (CaCl2, KCl, Na asetat)/ Asering
DAK 2013 Btl/500 ml 15,900.00 - - - - - -
79 Metformin tab. 500 mg DAK 2014 tablet 112.50 480 54,000.00 - - 80 9,000.00 -
80 Metilergometrin maleat tab salut 0,125 DAK 2011 Tablet 109.90 100 10,990.00 - - - -
81 Metilergometrin maleat tab salut 0,125 DAK 2012 Tablet 101.51 - - - - -
82 Metronidazol tab 250 mg DAK 2011 Tablet 130.00 210 27,300.00 300 39,000.00 - 50 6,500.00 -
83 Mikonazol krim 2% (nitrat) DAK 2014 Tube 10g 3,000.00 - - - - - -
84 Multivitamin sirup APBD 2015 Btl/60 ml 3,900.00 300 1,170,000.00 - - 100 390,000.00 -
85 Multivitamin tablet APBD 2015 Tab 440.00 3,180 1,399,200.00 4,000 1,760,000.00 - 2,677 1,177,880.00 -
86 Natrium Bikarbonat tab 500 mg DAK 2011 Tablet 143.00 - - - - - -
Natrium Diklofenak tab 50 mg
87 DAK 2014 tablet 200.00 - - - - - -
Btl/ 500 ml
88 Natrium Klorida larutan infus 0,9% DAK 2013 4,900.00 1 4,900.00 - - - -
89 Nifedipin tab 10 mg DAK 2014 tablet 100.00 - - - - - -
90 Nistatin Vaginal Tab 100.000 IU DAK 2011 tabvag 345.00 - - - - -
91 Nistatin Vaginal Tab 100.000 IU DAK 2014 tabvag 480.00 259 124,320.00 - - 16 7,680.00 -
92 OAT FDC Kategori Anak PROG 2015 Paket 214,900.00 4 859,600.00 - - - -
93 OAT FDC Kategori I DAK 2014 paket 359,900.00 5 1,799,500.00 10 3,599,000.00 - - -
94 OAT FDC Kategori I Program 2015 paket 359,900.00 - - - - -
95 OAT FDC Kategori II PROG 2015 (2) Paket 1,199,900.00 1 1,199,900.00 1 1,199,900.00 - - -
96 OAT FDC sisipan DAK 2013 paket 159,898.00 - - - - - -
97 Obat Batuk Hitam (OBH) Cairan DAK 2013 Btl/ 100 ml 1,258.95 186 234,164.70 - - 141 177,511.95 -
98 Oksitetrasiklin HCl salep mata 1% DAK 2012 Tube 3,5g 1,761.00 31 54,591.00 50 88,050.00 - 13 22,893.00 -
99 Oksitetrasiklin salep kulit 3% DAK 2015 Tube 5g 1,749.00 50 87,450.00 50 87,450.00 - 35 61,215.00 -
100 Omeprazol Kaps 20 mg DAK 2013 Kapsul 265.00 240 63,600.00 - - 240 63,600.00 -
101 Papaverin tab 40 mg DAK 2012 Tablet 83.48 - - - - - -
102 Parasetamol sirup 120 mg/5 ml DAK 2014 btl/60 ml 1,438.00 557 800,966.00 168 241,584.00 - 138 198,444.00 -
103 - - - - -
104 Parasetamol tablet 500 mg DAK 2014 tablet 89.00 22,634 2,014,426.00 20,000 1,780,000.00 - 11,409 1,015,401.00 -
105 Pirantel tab 125 mg DAK 2014 tablet 296.00 - - - - - -
106 Pirazinamide tablet 500 mg DAK 2013 tablet 198.00 - - - - - -
107 Piridoksin (Vit B 6) tablet 10 mg DAK 2013 tablet 16.00 4,280 68,480.00 3,000 48,000.00 - 1,249 19,984.00 -
108 Polikresulen ( Kondensasi Metakresol Su DAK 2012 Btl/10 ml 22,527.00 3 67,581.00 - - - -
109 Prednison Tablet 5 mg DAK 2015 tablet 154.00 5,557 855,778.00 3,000 462,000.00 - 2,850 438,900.00 -
110 Propanolol tab 10 mg (HCl) DAK 2011 Tablet 77.00 - - - - - -
111 Ranitidin tab. 150 mg DAK 2014 tablet 120.00 976 117,120.00 3,000 360,000.00 - 1,298 155,760.00 -
112 Retinol (Vit A) 100.000 IU Kaps lunak DAK 2014 Kapsul 260.00 - - 700 182,000.00 - 700 182,000.00 -
113 Retinol (Vit.A) 200.000 IU Kaps lunak DAK 2014 kapsul 459.00 - - 5,800 2,662,200.00 - 5,800 2,662,200.00 -
114 Rifampisin 300 mg DAK 2013 kapsul 376.00 - - - - - -
115 Ringer Laktat Larutan Infus Steril DAK 2013 Btl/ 500 ml 5,200.00 - - - - - -
116 Salbutamol 2 mg DAK 2014 tablet 59.00 216 12,744.00 400 23,600.00 - 142 8,378.00 -
117 Salbutamol tablet 4 mg DAK 2013 tablet 85.00 - - - - - -
118 Salep 2-4 , kombinasi : Asam salisilat 2 DAK 2014 Pot 2,000.00 - - - - - -
119 Salep luka bakar/levertran ( minyak ikan )DAK 2012 Pot 15g 2,181.00 13 28,353.00 - - 2 4,362.00 -
120 Salisil Bedak 2% DAK 2014 Kotak 50 gr 1,250.00 222 277,500.00 - - 87 108,750.00 -
121 Sefiksim 100 mg DAK 2014 Kapsul 859.00 - - - - - -
122 Sianokobalamin (Vit. B12) tab. 50 mcg DAK 2013 tablet 14.00 - - - - - -
123 Simvastatin tablet 10 mg DAK 2014 tablet 169.00 - - - - -
124 Simvastatin tablet 10 mg INS 2015 tablet 410.40 - - - - -
125 Siprofloksasin tablet 500 mg DAK 2013 tablet 250.00 1,610 402,500.00 - - 770 192,500.00 -
126 Tablet tambah Darah kombinasi (Besi II suProgram 2015 Tablet 50.00 6,130 306,500.00 - - 340 17,000.00 -
tablet
127 Tiamin HCl/Nitrat (Vit B1) tab 50 mg DAK 2015 44.00 10,365 456,060.00 5,000 220,000.00 - 1,688 74,272.00 -
128 Tiamfenikol kap 500 mg DAK 2015 Kapsul 605.00 251 151,855.00 - - 121 73,205.00 -
129 Triamsinolon oral base krem 5 g DAK 2015 Tube 5 g 17,490.00 7 122,430.00 24 419,760.00 - 9 157,410.00 -
130 Vitamin B kompleks tablet DAK 2013 tablet 20.00 8,000 160,000.00 3,000 60,000.00 - 945 18,900.00 -
131 Zink tab 20 mg DAK 2014 tablet 473.00 2,024 957,352.00 - - 2,024 957,352.00 -
132 Anti Influensa tab untuk dewasa DAK 2015 Tab 330.00 850 280,500.00 500 165,000.00 - 60 19,800.00 -
133 Obat Batuk Sirup untuk anak DAK 2015 Btl/60 ml 7,480.00 171 1,279,080.00 - - 24 179,520.00 -
Obat batuk kering tablet kombinasi
134 dewasa DAK 2015 Tablet 176.00 150 26,400.00 500 88,000.00 - 60 10,560.00 -
135 Anti Koagulan Topical gel DAK 2015 Tube 10 g 37,510.00 3 112,530.00 - - - -
Nistatin drop 100.000 IU/ml suspensi

136 DAK 2015 Btl/12ml 34,980.00 - - - - -
137 Boraks Gliserin DAK 2015 Btl/10ml 4,125.00 24 99,000.00 24 99,000.00 - 8 33,000.00 -
OBH Plus decongestan dan anti
138 histamin DAK 2015 Btl/100ml 10,494.00 346 3,630,924.00 - - 53 556,182.00 -
139 MB Anak Program 2015 Blister 19,800.00 - - - - -
140 MB Dewasa Program 2015(I)Blister 25,742.00 25 643,550.00 - - - -
141 PB Anak Program 2015 Blister 8,712.00 - - - - -
142 PB Dewasa Program 2015 Blister 8,712.00 - - - - - -
143 OBAT INJEKSI - - - - -
144 Amoksisilin serbuk injeksi DAK 2013 vial 7,396.00 - - - - -
145 Aqua pro injeksi steril DAK 2013 vial 5,000.00 - - - - -
146 Benzatin Benzil Penisilin injeksi DAK 2014 vial 13,400.00 - - - - -
147 Deksametason inj 5 mg/ml DAK 2013 ampul 1,400.00 - - - - -
148 Epinefrina (adrenalin) injeksi 0,1% (sbg HDAK 2014 Ampul 8,100.00 - - - - -
149 Fitomenadion (Vit K1) Injeksi 10 mg/ ml- DAK 2013 ampul 1,566.00 - - - - -
150 Glukosa kalsikus injeksi 10% Program 2015 Ampul 7,800.00 - - - - -
151 Hyosina N. Butilbromida 20 mg/ml (Busc DAK 2012 Ampul 1,702.70 - - - - -
152 Kanamisin injeksi DAK 2013 Vial 6,000.00 - - - - -
153 Lidocain inj 2 % DAK 2013 ampul 850.00 40 34,000.00 30 25,500.00 - 14 11,900.00 -
154 Lidokain Komp. Injeksi, Kombinasi: DAK 2013 Ampul 1,295.00 43 55,685.00 - - - -
155 Metilergometrin Maleat injeksi 0,200mg-DAK 2013 Ampul 1,490.00 - - - - -
156 Magnesium sulfat injeksi 20% Program 2015 Vial 5,500.00 - - - - -
157 Metoklorpamid inj 5 mg/ml (Ethiferan) DAK 2012 Ampul 839.00 - - - - -
158 Ranitidin inj. 25mg/2 ml DAK 2013 Ampul 1,542.00 - - - - -
159 Salbutamol cairan inhalasi 0,1% JKN 2015 ampul/2,5 ml 6,600.00 - - - - -
160 OBAT LUAR - - - - -
161 Etakridin (Rivanol) larutan 0,1 % DAK 2012 Btl/300 ml 1,510.00 - - - - -
162 Etanol 70 % DAK 2013 Btl/1000 ml 20,000.00 2 40,000.00 - - 0.50 10,000.00 -
163 Etanol 70 % DAK 2014 Btl/100 ml 2,500.00 - - - - -
164 Hidrogen peroksida 3% DAK 2013 Btl/1000 ml 22,000.00 2 44,000.00 - - - -
165 Jelly 80 g untuk USG/Doppler DAK 2013 tube 25,000.00 - - - - -
166 Lisol mengandung Kresol Tersabun 50% DAK 2013 Btl/1000 ml 25,000.00 - - - - -
167 Povidon Iodida 10% DAK 2012 Btl/300 ml 12,165.00 4 48,660.00 - - - -
168 OBAT GIGI - - - - -
169 Devitalisasi pasta DAK 2015 btl 1,375,000.00 1 1,375,000.00 - - - -
170 Etil Klorida Spray DAK 2013 Vial/Can 100 ml 105,000.00 14 1,470,000.00 - - 1 105,000.00 -
171 Eugenol cairan DAK 2012 btl/10 g 41,950.00 4 167,800.00 4 167,800.00 - 2 83,900.00 -
172 Glass Ionomer Cement ART (GC-IX)/ Fuji IX DAK 2012 btl/set 492,493.00 - - - - -
173 Glass Ionomer Cement ART (GC-IX)/ Fuji IX DAK 2013 Botol/set 500,000.00 9 4,500,000.00 - - - -
174 Glass Ionomer Cement ART (GC-IX)/ Fuji IX DAK 2015 Botol/ 10 g 779,900.00 - 2 1,559,800.00 - - -
175 Kalsium hidroksida pasta DAK 2012 2 tube/ktk 243,645.00 - 1 243,645.00 - - -
176 Kalsium hidroksida pasta DAK 2013 2tube/ktk 242,000.00 - - - - -
177 Klorfenol Kamfer Mentol (CHKM) DAK 2011 Btl/10 ml 55,000.00 2 110,000.00 2 110,000.00 - 0.50 27,500.00 -
178 Klorfenol Kamfer Mentol (CHKM) DAK 2013 Btl/10 ml 55,000.00 - - - - -
180 Mummyfying pasta DAK 2012 Btl 188,775.00 - - - - -
181 Mummyfying pasta DAK 2015 Btl 234,300.00 1 234,300.00 - - - -
182 Semen seng fosfar serbuk dan cair DAK 2015 set 129,470.00 - - - - -
183 Temporary Stopping Fletcher (Fletcher) DAK 2013 Botol/set @ 100 gr 34,000.00 4 136,000.00 - - 1 34,000.00 -
JUMLAH PERSEDIAAN OBAT 43,516,570.55 23,379,221.00 - 13,737,906.95 -
BPJS KESEHATAN JKN
1 Alopurinol tablet 100 mg JKN 2015 tablet 86.00 1,200 103,200.00 - - -
2 Alopurinol tablet 300 mg JKN 2015 -
3 Amlodipin tablet 10 mg JKN 2015 330.00 9,000 2,970,000.00 - 450 148,500.00
4 Amlodipin tablet 5 mg JKN 2015 tablet 187.00 5,100 953,700.00 - 300 56,100.00
5 Amoksisilin Kapsul 250 mg JKN 2015 211.00 13,000 2,743,000.00 - -
6 Amoksisilin Sirup Kering 125 mg/5 ml JKN 2015 2,445.00 1,500 3,667,500.00 - -
7 Antasida DOEN JKN 2015 75.00 - - - -
8 Antasida DOEN II suspensi, kombinasi: JKN 2015 2,100.00 250 525,000.00 - -
9 Anti Hemmoroid supp / JKN 2015 3,045.00 250 761,250.00 - 30 91,350.00
10 Asam Askorbat (Vit C) tablet 250 mg JKN 2015 tablet 159.00 4,500 715,500.00 - 24 3,816.00
11 Betametason Krim 0,1 % JKN 2015 tube 1,520.00 250 380,000.00 - -
12 Cetirizine 10 mg JKN 2015 tablet 181.00 15,000 2,715,000.00 - -
13 Cendo liters tts mata JKN 2015 15,750.00 24 378,000.00 - -
14 Domperidon susp 5 mg JKN 2015 tablet 3,333.00 50 166,650.00 -
15 Domperidon tab 10 mg JKN 2015 tablet 167.00 2,500 417,500.00 - -
16 Fitomenadion (Vit K1) tab sal gula 10 mgJKN 2015 tablet 634.00 800 507,200.00 - -
17 fenolgliserol tts telinga JKN 2015 2,042.00 75 153,150.00 - -
18 Garam oralit I serbuk kombinasi JKN 2015 sachet 285.00 1,200 342,000.00 - -
19 Glibenklamid tablet 5 mg JKN 2015 tablet 56.00 400 22,400.00 - -
20 Glimepiride 2 mg JKN 2015 tablet 436.00 700 305,200.00 - -
21 Griseofulvin tablet 125 mg, micronized JKN 2015 tablet 219.00 200 43,800.00 - -
22 Hidrocortison krim 2,5 % JKN 2015 Tube 2,798.00 - - -
23 Ibu Profen susp JKN 2015 botol 3,499.00 - - -
24 Isosorbid Dinitrat Tab Sublingual 5 mg JKN 2015 tablet 88.00 - - -
25 Kalsium Laktat tab 500 mg JKN 2015 tablet 70.00 30,000 2,100,000.00 - 7,000 490,000.00
26 Ketokonazol tab 200 mg JKN 2015 tablet 300.00 1,200 360,000.00 - -
27 Kloramfenikol salep mata 1% JKN 2015 Tube 5g 1,600.00 260 416,000.00 - -
28 Klorfeniramin Maleat (CTM) Tablet 4 mg JKN 2015 tablet 51.00 100,000 5,100,000.00 - 10,000 510,000.00
29 Kotrimoksazol suspensi : Kombinasi JKN 2015 btl/60 ml 2,145.00 550 1,179,750.00 - -
30 Kotrimoksazol tab DOEN I (dewasa) kombJKN 2015 tablet 149.00 19,000 2,831,000.00 - -
31 Metronidazol tab 500 mg JKN 2015 Tablet 160.00 1,000 160,000.00 - -
32 Masker Plus 3 ply JKN 2015 BOK 22,000.00 - - -
33 Mikonazol krim 2% (nitrat) JKN 2015 Tube 10g 3,000.00 500 1,500,000.00 - 20 60,000.00
34 Natrium Diklofenak tab 50 mg JKN 2015 tablet 200.00 16,000 3,200,000.00 - 2,700 540,000.00
35 Omeprazol Kaps 20 mg JKN 2015 Kapsul 211.00 900 189,900.00 - -
36 Parasetamol sirup 120 mg/5 ml JKN 2015 btl/60 ml 1,438.00 1,850 2,660,300.00 - -
37 Parasetamol tablet 500 mg JKN 2015 tablet 89.00 - - -
38 Piroksixam 20 mg JKN 2015 - - -
39 Pantocain tts mata JKN 2015 11,500.00 5 57,500.00 - 5 57,500.00
40 Pirantel tab 125 mg JKN 2015 tablet 296.00 200 59,200.00 - -
41 Ranitidin tab. 150 mg JKN 2015 tablet 120.00 14,000 1,680,000.00 - -
42 Retinol (Vit.A) 200.000 IU Kaps lunak JKN 2015 kapsul 459.00 10,000 4,590,000.00 - -
43 Salep 2-4 , kombinasi : Asam salisilat 2 JKN 2015 Pot 2,000.00 168 336,000.00 - 24 48,000.00
44 Salisil Bedak 2% JKN 2015 Kotak 50 gr 1,250.00 800 1,000,000.00 - -
45 Safe glove Examition JKN 2015 32,500.00 - - -
46 Sefiksim 100 mg JKN 2015 Kapsul 859.00 - - -
47 Sianokobalamin (Vit. B12) tab. 50 mcg JKN 2015 tablet 57.00 16,000 912,000.00 - 1,000 57,000.00
48 Simvastatin 10 mg JKN 2015 - - -
49 Triamsinolon oral base krem 5 g JKN 2015 Tube 5 g 17,490.00 - - -
50 Vitamin B kompleks tablet JKN 2015 tablet 107.00 24,000 2,568,000.00 - -
51 Povidon Iodida 10% JKN 2015 Btl/30 ml 2,163.00 15 32,445.00 - -
52 Eugenol cairan JKN 2015 16,667.00 30 500,010.00 - -
JUMLAH PERSEDIAAN OBAT 49,302,155.00 - - 2,062,266.00 -
Jumlah Total 92,818,725.55 23,379,221.00 15,800,172.95
100,397,773.60
Mengetahui : Pengurus Barang

Ka UPTD Puskesmas Duren Jaya Puskesmas Duren Jaya
Dwi Wahyuningsih Mkes Suherman Susilo

NIP.19711109 199203 2 005 NIP 19800516 200312 1 005
Mengetahui : Pengurus dan penyimpan barang
Ka UPTD Puskesmas Duren Jaya UPTD Puskesmas Duren Jaya
Dwi Wahyuningsih.Mkes Suherman Susilo

NIP.19711109 199203 2 005 NIP.19800516 200312 1 005
INAS KESEHATAN KOTA BEKASI
PEMBANTU PERSEDIAAN PER JENIS
SUMBER : APBD
SALDO AKHIR
JUMLAH JUMLAH HARGA

UNIT
unit Rp
- -
- -
- -
240 47,880.00
482 1,446,000.00
- -
9,595 1,151,400.00
- -
33,200 7,304,000.00
- -
- -
249 572,700.00
- -
1,385 173,138.85
2,620 196,500.00
404 848,400.00
- -
2,580 490,200.00
- -
60 274,080.00
- -
- -
- -
4,920 551,040.00
165 355,080.00
- -
700 245,000.00
- -
1,690 591,500.00
- -
- -
- -
200 7,000.00
- -
- -
- -
- -
- -
159 26,553.00
1,000 213,000.00
1,000 26,580.00
180 165,600.00
59 425,980.00
- -
72 72,576.00
143 90,662.00
- -
300 25,500.00
511 149,212.00
120 244,200.00
460 24,840.00
240 104,640.00
8,050 265,650.00
- -
495 112,860.00
- -
- -
1,000 36,300.00
93 260,214.00
100 53,000.00
138 15,180.00
- -
100 8,800.00
- -
945 58,590.00
2,530 222,640.00
- -
70 21,000.00
- -
294 82,320.00
62 409,200.00
67 335,000.00
- -
- -
- -
56 144,144.00
4,794 714,306.00
- -
400 45,000.00
100 10,990.00
- -
460 59,800.00
- -
200 780,000.00
4,503 1,981,320.00
- -
- -
1 4,900.00
- -
- -
243 116,640.00
4 859,600.00
15 5,398,500.00
- -
2 2,399,800.00
- -
45 56,652.75
68 119,748.00
65 113,685.00
- -
- -
587 844,106.00
- -
31,225 2,779,025.00
- -
- -
6,031 96,496.00
3 67,581.00
5,707 878,878.00
- -
2,678 321,360.00
- -
- -
- -
- -
474 27,966.00
- -
- -
11 23,991.00
135 168,750.00
- -
- -
- -
- -
840 210,000.00
5,790 289,500.00
13,677 601,788.00
130 78,650.00
22 384,780.00
10,055 201,100.00
- -
1,290 425,700.00
147 1,099,560.00
590 103,840.00
3 112,530.00
- -
40 165,000.00
293 3,074,742.00
- -
25 643,550.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
56 47,600.00
43 55,685.00
- -
- -
- -
- -
- -
- -
- -
2 30,000.00
- -
2 44,000.00
- -
- -
4 48,660.00
- -
1 1,375,000.00
13 1,365,000.00
6 251,700.00
- -
9 4,500,000.00
2 1,559,800.00
1 243,645.00
- -
4 192,500.00
- -
- -
- -
1 234,300.00
- -
3 102,000.00
53,157,884.60
1,200 103,200.00
-
8,550 2,821,500.00
4,800 897,600.00
13,000 2,743,000.00
1,500 3,667,500.00
- -
250 525,000.00
220 669,900.00
4,476 711,684.00
250 380,000.00
15,000 2,715,000.00
24 378,000.00
50 166,650.00
2,500 417,500.00
800 507,200.00
75 153,150.00
1,200 342,000.00
400 22,400.00
700 305,200.00
200 43,800.00
- -
- -
- -
23,000 1,610,000.00
1,200 360,000.00
260 416,000.00
90,000 4,590,000.00
550 1,179,750.00
19,000 2,831,000.00
1,000 160,000.00
- -
480 1,440,000.00
13,300 2,660,000.00
900 189,900.00
1,850 2,660,300.00
- -
- -
- -
200 59,200.00
14,000 1,680,000.00
10,000 4,590,000.00
144 288,000.00
800 1,000,000.00
- -
- -
15,000 855,000.00
- -
- -
24,000 2,568,000.00
15 32,445.00
30 500,010.00
47,239,889.00
100,397,773.60
NIP 19800516 200312 1 005

Pengurus dan penyimpan barang
UPTD Puskesmas Duren Jaya
Suherman Susilo
NIP.19800516 200312 1 005
BULAN : FEB 2016 SUMBER : APBD

JENIS : OBAT
MUTASI
SALDO AWAL
PENERIMAAN DARI
SUMBER HARGA PER UNIT SUMBER DANA JKN
ANGGARAN JUMLAH HARGA JUMLAH JUMLAH JUMLAH JUMLAH JUMLAH HARGA
UNIT JUMLAH HARGA JUMLAH UNIT
UNIT UNIT HARGA UNIT
unit Rp unit Rp unit Rp unit Rp unit
1 Albendazol tab 400 mg PROG 2015 Tablet 1,356.00 - - - - -

4 Alopurinol tablet 300 mg DAK 2014 tablet 199.50 240 47,880.00 - - -
5 Ambroksol sirup 15 mg/ 5 ml APBD 2015 btl/60 ml 3,000.00 482 1,446,000.00 100 300,000.00 - 282 846,000.00
7 Ambroksol tablet 30 mg APBD 2015 tablet 120.00 9,595 1,151,400.00 - - 2,535 304,200.00
9 Amoksisilin Kaplet 500 mg DAK 2013 kaplet 220.00 33,200 7,304,000.00 - - 8,190 1,801,800.00
11 Amoksisilin Kapsul 250 mg DAK 2013 kapsul 200.00 - - - - -
12 Amoksisilin Sirup Kering 125 mg/5 ml DAK 2013 btl/60 ml 2,300.00 249 572,700.00 - - 249 572,700.00
14 Antalgin tab 500 mg DAK 2012 Tablet 125.01 1,385 173,138.85 - - -
15 Antasida DOEN I tab kunyah, kombinasi: DAK 2014 tablet 75.00 2,620 196,500.00 - - 2,515 188,625.00
16 Antasida DOEN II suspensi, kombinasi: DAK 2014 btl/60 ml 2,100.00 404 848,400.00 - - 54 113,400.00
17 Anti diare tablet (Molagit) DAK 2013 Tablet 366.67 - - - - -
18 Anti diare tablet (Puralex) DAK 2014 tablet 190.00 2,580 490,200.00 - - 325 61,750.00
19 Anti Hemmoroid supp / DAK 2013 supp 2,000.00 - - - - -
20 Antidiare suspensi (Neokaominal) DDL 2012 Btl/60 ml 4,568.00 60 274,080.00 - - 18 82,224.00
21 Antimigren : Ergotamin Tartrat 1 mg + KaDAK 2013 tablet 123.00 - - - - -
22 Asam asetil salisilat 100 mg DAK 2014 tablet 116.00 - - - - -
23 Asam Askorbat (Vit C) tablet 250 mg DAK 2014 tablet 159.00 - - - - -
24 Asam mefenamat 500 mg DAK 2014 tablet 112.00 4,920 551,040.00 3,500 392,000.00 - 770 86,240.00
25 Asiklovir Krim 5%- 5 g DAK 2013 tube 2,152.00 165 355,080.00 100 215,200.00 - 22 47,344.00
27 Asiklovir tab 200 mg DAK 2010 Tablet 350.00 700 245,000.00 200 70,000.00 - 45 15,750.00
29 Asiklovir tab 400 mg DAK 2013 tablet 350.00 1,690 591,500.00 200 70,000.00 - 60 21,000.00
30 Azitromisin 500 mg DAK 2014 tablet 4,500.00 - - - - -
31 Betametason Krim 0,1 % DAK 2013 tube 1,520.00 - - - - -
32 Deksametason tablet 0,5 mg BS 2015 tablet 84.00 - - - - -
33 Diazepam tablet 2 mg DAK 2013 tablet 35.00 200 7,000.00 - - -
34 Dietil Karbamazin tab PROG 2010 tablet 73.50 - - - - -
35 Digoksin tab 0,25 mg DAK 2012 Tablet 119.97 - - - - -
38 Domperidon susp 5 mg/5 ml DAK 2014 botol 3,333.00 - - - - -
39 Domperidon tab 10 mg DAK 2014 tablet 167.00 159 26,553.00 - - 59 9,853.00
40 Efedrin HCl Tablet 25 mg DAK 2013 tablet 213.00 1,000 213,000.00 - - -
41 Ekstrak Belladona tab 10 mg DAK 2012 Tablet 26.58 1,000 26,580.00 - - -
42 Eritromisin kaps/kaplet 500 mg DAK 2013 kapsul 920.00 180 165,600.00 - - 180 165,600.00
43 Eritromisin sirup 200 mg/5 ml DAK 2013 btl/60 ml 7,220.00 59 425,980.00 - - 10 72,200.00
44 Etambutol tablet 250 mg DAK 2013 tablet 305.00 - - - - -
45 Fenol Gliserol tetes telinga 10% DAK 2013 botol 1,008.00 72 72,576.00 - - 13 13,104.00
46 Fitomenadion (Vit K1) tab sal gula 10 mgDAK 2014 tablet 634.00 143 90,662.00 - - 43 27,262.00
47 Flukonazole 150 mg DAK 2014 tablet 22,000.00 - - - - -
48 Furosemid Tablet 40 mg DAK 2014 tablet 85.00 300 25,500.00 - - 10 850.00
49 Garam oralit I serbuk kombinasi DAK 2013 sachet 292.00 511 149,212.00 - - 87 25,404.00
50 Gentamisin salep kulit 0,1% DAK 2015 Tube@ 5 gr 2,035.00 120 244,200.00 - - 48 97,680.00
51 Glibenklamid tablet 5 mg DAK 2013 tablet 54.00 460 24,840.00 - - 130 7,020.00
52 Glimepiride 2 mg DAK 2014 tablet 436.00 240 104,640.00 - - 10 4,360.00
53 Gliseril Guayakolat Tablet 100 mg DAK 2015 Tablet 33.00 8,050 265,650.00 1,000 33,000.00 - 1,140 37,620.00
54 Glukosa larutan Infus 5 % DAK 2014 Btl/500 ml 5,200.00 - - - - -
55 Griseofulvin tablet 125 mg, micronized DAK 2013 tablet 228.00 495 112,860.00 - - 95 21,660.00
57 Haloperidol tab. 5 mg DAK 2014 tablet 96.00 - - - - -

58 DAK 2011 tab 36.30 1,000 36,300.00 - - -
59 Hidrokortison Krim 2,5 % - 5 g DAK 2014 tube 2,798.00 93 260,214.00 - - 81 226,638.00
60 Hyosin Butilbromid Tab 10 mg/ Hyorex DAK 2013 tablet 530.00 100 53,000.00 - - -
61 Ibuprofen 200 mg DAK 2014 tablet 110.00 138 15,180.00 - - 38 4,180.00
62 Isoniazida 100 mg Tablet DAK 2013 tablet 44.00 - - - - -
63 Isosorbid Dinitrat tab sublingual 5 mg DAK 2014 tablet 88.00 100 8,800.00 - - -
64 Kalsium Laktat tab 500 mg DAK 2013 tablet 45.00 - - - - -
65 Kaptopril 12,5 mg DAK 2014 tablet 62.00 945 58,590.00 - - 75 4,650.00
66 Kaptopril 25 mg DAK 2013 tablet 88.00 2,530 222,640.00 - - 300 26,400.00
67 Kaptopril 50 mg DAK 2014 tablet 140.00 - - - - -
68 Ketokonazol tab 200 mg DAK 2014 tablet 300.00 70 21,000.00 - - -
69 Kloramfenikol salep mata 1% DAK 2012 Tube 5g 1,311.00 - - - - -
70 Kloramfenikol kap 250 mg APBD 2015 kapsul 280.00 294 82,320.00 - - 184 51,520.00
71 Kloramfenikol Tetes Mata APBD 2015 Btl 6,600.00 62 409,200.00 - - 13 85,800.00
72 Kloramfenikol Tetes Telinga APBD 2015 Btl 5,000.00 67 335,000.00 - - 10 50,000.00
73 Klorfeniramin Maleat (CTM) Tablet 4 mg BS 2015 tablet 32.00 - - - - -
75 Kodein tablet 10 mg DAK 2012 Tablet 358.49 - - - - -
76 Kotrimoksazol suspensi : Kombinasi DAK 2013 btl/60 ml 2,574.00 56 144,144.00 - - -
77 Kotrimoksazol tab DOEN I (dewasa) kombDAK 2014 tablet 149.00 4,794 714,306.00 - - 294 43,806.00
DAK 2013 Btl/500 ml 15,900.00 - - - - -
79 Metformin tab. 500 mg DAK 2014 tablet 112.50 400 45,000.00 - - 170 19,125.00
80 Metilergometrin maleat tab salut 0,125 DAK 2011 Tablet 109.90 100 10,990.00 - - -
82 Metronidazol tab 250 mg DAK 2011 Tablet 130.00 460 59,800.00 - - 60 7,800.00
83 Mikonazol krim 2% (nitrat) DAK 2014 Tube 10g 3,000.00 - - - - -
84 Multivitamin sirup APBD 2015 Btl/60 ml 3,900.00 200 780,000.00 300 1,170,000.00 - 140 546,000.00
85 Multivitamin tablet APBD 2015 Tab 440.00 4,503 1,981,320.00 3,000 1,320,000.00 - 2,856 1,256,640.00
86 Natrium Bikarbonat tab 500 mg DAK 2011 Tablet 143.00 - - - - -
87 DAK 2014 tablet 200.00 - - - - -
Btl/ 500 ml
88 Natrium Klorida larutan infus 0,9% DAK 2013 4,900.00 1 4,900.00 - - 1 2,450.00
89 Nifedipin tab 10 mg DAK 2014 tablet 100.00 - - - - -
91 Nistatin Vaginal Tab 100.000 IU DAK 2014 tabvag 480.00 243 116,640.00 - - 18 8,640.00
92 OAT FDC Kategori Anak PROG 2015 Paket 214,900.00 4 859,600.00 - - -
93 OAT FDC Kategori I DAK 2014 paket 359,900.00 15 5,398,500.00 - - -
95 OAT FDC Kategori II PROG 2015 (2) Paket 1,199,900.00 2 2,399,800.00 - - -
96 OAT FDC sisipan DAK 2013 paket 159,898.00 - - - - -
97 Obat Batuk Hitam (OBH) Cairan DAK 2013 Btl/ 100 ml 1,258.95 45 56,652.75 - - 45 56,652.75
98 Oksitetrasiklin HCl salep mata 1% DAK 2012 Tube 3,5g 1,761.00 68 119,748.00 25 44,025.00 - 23 40,503.00
99 Oksitetrasiklin salep kulit 3% DAK 2015 Tube 5g 1,749.00 65 113,685.00 25 43,725.00 - 55 96,195.00
100 Omeprazol Kaps 20 mg DAK 2013 Kapsul 265.00 - - - - -
101 Papaverin tab 40 mg DAK 2012 Tablet 83.48 - - - - -
102 Parasetamol sirup 120 mg/5 ml DAK 2014 btl/60 ml 1,438.00 587 844,106.00 - - 157 225,766.00
103 - - - - -
104 Parasetamol tablet 500 mg DAK 2014 tablet 89.00 31,225 2,779,025.00 5,000 445,000.00 - 12,940 1,151,660.00
105 Pirantel tab 125 mg DAK 2014 tablet 296.00 - - - - -
106 Pirazinamide tablet 500 mg DAK 2013 tablet 198.00 - - - - -
107 Piridoksin (Vit B 6) tablet 10 mg DAK 2013 tablet 16.00 6,031 96,496.00 - - 2,341 37,456.00
108 Polikresulen ( Kondensasi Metakresol Su DAK 2012 Btl/10 ml 22,527.00 3 67,581.00 - - -
109 Prednison Tablet 5 mg DAK 2015 tablet 154.00 5,707 878,878.00 3,000 462,000.00 - 4,002 616,308.00
110 Propanolol tab 10 mg (HCl) DAK 2011 Tablet 77.00 - - - - -
111 Ranitidin tab. 150 mg DAK 2014 tablet 120.00 2,678 321,360.00 1,500 180,000.00 - 1,382 165,840.00
112 Retinol (Vit A) 100.000 IU Kaps lunak DAK 2014 Kapsul 260.00 - - - - -
113 Retinol (Vit.A) 200.000 IU Kaps lunak DAK 2014 kapsul 459.00 - - - - -
114 Rifampisin 300 mg DAK 2013 kapsul 376.00 - - - - -
115 Ringer Laktat Larutan Infus Steril DAK 2013 Btl/ 500 ml 5,200.00 - - - - -
116 Salbutamol 2 mg DAK 2014 tablet 59.00 474 27,966.00 - - 174 10,266.00
117 Salbutamol tablet 4 mg DAK 2013 tablet 85.00 - - - - -
118 Salep 2-4 , kombinasi : Asam salisilat 2 DAK 2014 Pot 2,000.00 - - - - -
119 Salep luka bakar/levertran ( minyak ikan )DAK 2012 Pot 15g 2,181.00 11 23,991.00 - - -
120 Salisil Bedak 2% DAK 2014 Kotak 50 gr 1,250.00 135 168,750.00 100 125,000.00 - 70 87,500.00
121 Sefiksim 100 mg DAK 2014 Kapsul 859.00 - - - - -
122 Sianokobalamin (Vit. B12) tab. 50 mcg DAK 2013 tablet 14.00 - - - - -
125 Siprofloksasin tablet 500 mg DAK 2013 tablet 250.00 840 210,000.00 - - 840 210,000.00
126 Tablet tambah Darah kombinasi (Besi II suProgram 2015 Tablet 50.00 5,790 289,500.00 - - 2,160 108,000.00
tablet
127 Tiamin HCl/Nitrat (Vit B1) tab 50 mg DAK 2015 44.00 13,677 601,788.00 - - 1,897 83,468.00
128 Tiamfenikol kap 500 mg DAK 2015 Kapsul 605.00 130 78,650.00 300 181,500.00 - 130 78,650.00
129 Triamsinolon oral base krem 5 g DAK 2015 Tube 5 g 17,490.00 22 384,780.00 24 419,760.00 - 13 227,370.00
130 Vitamin B kompleks tablet DAK 2013 tablet 20.00 10,055 201,100.00 - - 1,200 24,000.00
131 Zink tab 20 mg DAK 2014 tablet 473.00 - - - - -
132 Anti Influensa tab untuk dewasa DAK 2015 Tab 330.00 1,290 425,700.00 - - 135 44,550.00
133 Obat Batuk Sirup untuk anak DAK 2015 Btl/60 ml 7,480.00 147 1,099,560.00 - - 50 374,000.00
134 dewasa DAK 2015 Tablet 176.00 590 103,840.00 - - 62 10,912.00
135 Anti Koagulan Topical gel DAK 2015 Tube 10 g 37,510.00 3 112,530.00 3 112,530.00 - 2 75,020.00

136 DAK 2015 Btl/12ml 34,980.00 - - - - -
137 Boraks Gliserin DAK 2015 Btl/10ml 4,125.00 40 165,000.00 24 99,000.00 - 14 57,750.00
138 histamin DAK 2015 Btl/100ml 10,494.00 293 3,074,742.00 - - 135 1,416,690.00
140 MB Dewasa Program 2015(I)Blister 25,742.00 25 643,550.00 - - -
142 PB Dewasa Program 2015 Blister 8,712.00 - - - - -
151 Hyosina N. Butilbromida 20 mg/ml (BuscDAK 2012 Ampul 1,702.70 - - - - -
153 Lidocain inj 2 % DAK 2013 ampul 850.00 56 47,600.00 - - 25 21,250.00
154 Lidokain Komp. Injeksi, Kombinasi: DAK 2013 Ampul 1,295.00 43 55,685.00 - - -
160 OBAT LUAR - - - - -
162 Etanol 70 % DAK 2013 Btl/1000 ml 20,000.00 2 30,000.00 - - 1 20,000.00
163 Etanol 70 % DAK 2014 Btl/100 ml 2,500.00 - - - - -
164 Hidrogen peroksida 3% DAK 2013 Btl/1000 ml 22,000.00 2 44,000.00 - - -
167 Povidon Iodida 10% DAK 2012 Btl/300 ml 12,165.00 4 48,660.00 - - -
168 OBAT GIGI - - - - -
169 Devitalisasi pasta DAK 2015 btl 1,375,000.00 1 1,375,000.00 - - -
170 Etil Klorida Spray DAK 2013 Vial/Can 100 ml 105,000.00 13 1,365,000.00 - - -
171 Eugenol cairan DAK 2012 btl/10 g 41,950.00 6 251,700.00 1 41,950.00 - 3 125,850.00
173 Glass Ionomer Cement ART (GC-IX)/ Fuji IX DAK 2013 Botol/set 500,000.00 9 4,500,000.00 - - -
174 Glass Ionomer Cement ART (GC-IX)/ Fuji IX DAK 2015 Botol/ 10 g 779,900.00 2 1,559,800.00 2 1,559,800.00 - -
175 Kalsium hidroksida pasta DAK 2012 2 tube/ktk 243,645.00 1 243,645.00 1 243,645.00 - -
177 Klorfenol Kamfer Mentol (CHKM) DAK 2011 Btl/10 ml 55,000.00 4 192,500.00 - - -
181 Mummyfying pasta DAK 2015 Btl 234,300.00 1 234,300.00 - - -
183 Temporary Stopping Fletcher (Fletcher) DAK 2013 Botol/set @ 100 gr 34,000.00 3 102,000.00 - - -
JUMLAH PERSEDIAAN OBAT 53,157,884.60 7,528,135.00 - 12,322,951.75
BPJS KESEHATAN
1 Alopurinol tablet 100 mg JKN 2015 tablet 86.00 1,200 103,200.00 - -
2 Alopurinol tablet 300 mg JKN 2015 - -
5 Amoksisilin Kapsul 250 mg JKN 2015 211.00 13,000 2,743,000.00 - 1,770 373,470.00
6 Amoksisilin Sirup Kering 125 mg/5 ml JKN 2015 2,445.00 1,500 3,667,500.00 - 14 34,230.00
10 Asam Askorbat (Vit C) tablet 250 mg JKN 2015 tablet 159.00 4,476 711,684.00 - 888 141,192.00
11 Betametason Krim 0,1 % JKN 2015 tube 1,520.00 250 380,000.00 - -
13 Cendo liters tts mata JKN 2015 15,750.00 24 378,000.00 - 15 236,250.00
14 Domperidon susp 5 mg JKN 2015 tablet 3,333.00 50 166,650.00 -
16 Fitomenadion (Vit K1) tab sal gula 10 mgJKN 2015 tablet 634.00 800 507,200.00 - -
22 Hidrocortison krim 2,5 % JKN 2015 Tube 2,798.00 - - - -
23 Ibu Profen susp JKN 2015 botol 3,499.00 - - - -
24 Isosorbid Dinitrat Tab Sublingual 5 mg JKN 2015 tablet 88.00 - - - -
26 Ketokonazol tab 200 mg JKN 2015 tablet 300.00 1,200 360,000.00 - -
31 Metronidazol tab 500 mg JKN 2015 Tablet 160.00 1,000 160,000.00 - 55 8,800.00
32 Masker Plus 3 ply JKN 2015 BOK 22,000.00 - - - -
35 Omeprazol Kaps 20 mg JKN 2015 Kapsul 211.00 900 189,900.00 - 30 6,330.00
37 Parasetamol tablet 500 mg JKN 2015 tablet 89.00 - - - -
38 Piroksixam 20 mg JKN 2015 - - - -
39 Pantocain tts mata JKN 2015 11,500.00 - - - -
45 Safe glove Examition JKN 2015 32,500.00 - - - -
46 Sefiksim 100 mg JKN 2015 Kapsul 859.00 - - - -
48 Simvastatin 10 mg JKN 2015 - - - -
49 Triamsinolon oral base krem 5 g JKN 2015 Tube 5 g 17,490.00 - - - -
JUMLAH PERSEDIAAN OBAT 47,239,889.00 - - 2,073,087.00
Jumlah Total 100,397,773.60 7,528,135.00 14,396,038.75
93,529,869.85


NIP.19711109 199203 2 005 NIP 19800516 200312 1 005
Mengetahui : Pengurus dan penyimpan b
Ka UPTD Puskesmas Duren Jaya UPTD Puskesmas Duren J

NIP.19711109 199203 2 005 NIP.19800516 200312 1 0
SUMBER : APBD
MUTASI
SALDO AKHIR
KURANG (PEMAKAIAN)
EXP DATE
JUMLAH JUMLAH UNIT JUMLAH HARGA

HARGA
Rp unit Rp
- - -
- - -
- - -
- 240 47,880.00
- 300 900,000.00
- - -
- 7,060 847,200.00
- - -
- 25,010 5,502,200.00
- - -
- - -
- - -
- - -
- 1,385 173,138.85
- 105 7,875.00
- 350 735,000.00
- - -
- 2,255 428,450.00
- - -
- 42 191,856.00
- - -
- - -
- - -
- 7,650 856,800.00
- 243 522,936.00
- - -
- 855 299,250.00
- - -
- 1,830 640,500.00
- - -
- - -
- - -
- 200 7,000.00
- - -
- - -
- - -
- - -
- - -
- 100 16,700.00
- 1,000 213,000.00
- 1,000 26,580.00
- - -
- 49 353,780.00
- - -
- 59 59,472.00
- 100 63,400.00
- - -
- 290 24,650.00
- 424 123,808.00
- 72 146,520.00
- 330 17,820.00
- 230 100,280.00
- 7,910 261,030.00
- - -
- 400 91,200.00
- - -
- - -
- 1,000 36,300.00
- 12 33,576.00
- 100 53,000.00
- 100 11,000.00
- - -
- 100 8,800.00
- - -
- 870 53,940.00
- 2,230 196,240.00
- - -
- 70 21,000.00
- - -
- 110 30,800.00
- 49 323,400.00
- 57 285,000.00
- - -
- - -
- - -
- 56 144,144.00
- 4,500 670,500.00
- - -
- 230 25,875.00
- 100 10,990.00
- - -
- 400 52,000.00
- - -
- 360 1,404,000.00
- 4,647 2,044,680.00
- - -
- - -
- 1 2,450.00
- - -
- - -
- 225 108,000.00
- 4 859,600.00
- 15 5,398,500.00
- - -
- 2 2,399,800.00
- - -
- - -
- 70 123,270.00
- 35 61,215.00
- - -
- - -
- 430 618,340.00
- - -
- 23,285 2,072,365.00
- - -
- - -
- 3,690 59,040.00
- 3 67,581.00
- 4,705 724,570.00
- - -
- 2,796 335,520.00
- - -
- - -
- - -
- - -
- 300 17,700.00
- - -
- - -
- 11 23,991.00
- 165 206,250.00
- - -
- - -
- - -
- - -
- - -
- 3,630 181,500.00
- 11,780 518,320.00
- 300 181,500.00
- 33 577,170.00
- 8,855 177,100.00
- - -
- 1,155 381,150.00
- 97 725,560.00
- 528 92,928.00
- 4 150,040.00
- - -
- 50 206,250.00
- 158 1,658,052.00
- - -
- 25 643,550.00
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 31 26,350.00
- 43 55,685.00
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 1 10,000.00
- - -
- 2 44,000.00
- - -
- - -
- 4 48,660.00
- - -
- 1 1,375,000.00
- 13 1,365,000.00
- 4 167,800.00
- - -
- 9 4,500,000.00
- 4 3,119,600.00
- 2 487,290.00
- - -
- 4 192,500.00
- - -
- - -
- - -
- 1 234,300.00
- - -
- 3 102,000.00
- 48,363,067.85
1,200 103,200.00
-
8,095 2,671,350.00
4,330 809,710.00
11,230 2,369,530.00
1,486 3,633,270.00
- -
250 525,000.00
196 596,820.00
3,588 570,492.00
250 380,000.00
15,000 2,715,000.00
9 141,750.00
50 166,650.00
2,500 417,500.00
800 507,200.00
75 153,150.00
1,200 342,000.00
400 22,400.00
700 305,200.00
200 43,800.00
- -
- -
- -
21,550 1,508,500.00
1,200 360,000.00
260 416,000.00
82,035 4,183,785.00
550 1,179,750.00
19,000 2,831,000.00
945 151,200.00
- -
440 1,320,000.00
12,142 2,428,400.00
870 183,570.00
1,850 2,660,300.00
- -
- -
- -
200 59,200.00
14,000 1,680,000.00
10,000 4,590,000.00
131 262,000.00
800 1,000,000.00
- -
- -
13,660 778,620.00
- -
- -
24,000 2,568,000.00
15 32,445.00
30 500,010.00
- 45,166,802.00
93,529,869.85
Pengurus Barang
Puskesmas Duren Jaya
Suherman Susilo
NIP 19800516 200312 1 005
Suherman Susilo
NIP.19800516 200312 1 005
BULAN : MARET 2016 SUMBER : APBD

JENIS : OBAT 51,002,253.80
MUTASI
SALDO AWAL
PENERIMAAN DARI SUMBER
SUMBER HARGA PER UNIT DANA JKN
ANGGARAN JUMLAH HARGA JUMLAH JUMLAH JUMLAH HARGA JUMLAH JUMLAH HARGA JUMLAH
UNIT JUMLAH HARGA
UNIT UNIT UNIT UNIT

5 Ambroksol sirup 15 mg/ 5 ml APBD 2015 btl/60 ml 3,000.00 300 900,000.00 500 1,500,000.00 - 416 1,248,000.00
7 Ambroksol tablet 30 mg APBD 2015 tablet 120.00 7,060 847,200.00 1,000 120,000.00 - 3,215 385,800.00
9 Amoksisilin Kaplet 500 mg DAK 2013 kaplet 220.00 25,010 5,502,200.00 5,000 1,100,000.00 - 10,995 2,418,900.00
12 Amoksisilin Sirup Kering 125 mg/5 ml DAK 2013 btl/60 ml 2,300.00 - - - - -
14 Antalgin tab 500 mg DAK 2012 Tablet 125.01 1,385 173,138.85 - - 105 13,126.05
15 Antasida DOEN I tab kunyah, kombinasi: DAK 2014 tablet 75.00 105 7,875.00 - - 105 7,875.00
18 Anti diare tablet (Puralex) DAK 2014 tablet 190.00 2,255 428,450.00 1,500 285,000.00 - -
24 Asam mefenamat 500 mg DAK 2014 tablet 112.00 7,650 856,800.00 3,500 392,000.00 - 710 79,520.00
27 Asiklovir tab 200 mg DAK 2010 Tablet 350.00 855 299,250.00 200 70,000.00 - 55 19,250.00
29 Asiklovir tab 400 mg DAK 2013 tablet 350.00 1,830 640,500.00 200 70,000.00 - 185 64,750.00
42 Eritromisin kaps/kaplet 500 mg DAK 2013 kapsul 920.00 - - - - -
43 Eritromisin sirup 200 mg/5 ml DAK 2013 btl/60 ml 7,220.00 49 353,780.00 - - 41 296,020.00
46 Fitomenadion (Vit K1) tab sal gula 10 mgDAK 2014 tablet 634.00 100 63,400.00 - - 100 63,400.00
48 Furosemid Tablet 40 mg DAK 2014 tablet 85.00 290 24,650.00 - - -
50 Gentamisin salep kulit 0,1% DAK 2015 Tube@ 5 gr 2,035.00 72 146,520.00 - - 49 99,715.00
51 Glibenklamid tablet 5 mg DAK 2013 tablet 54.00 330 17,820.00 - - 40 2,160.00
52 Glimepiride 2 mg DAK 2014 tablet 436.00 230 100,280.00 - - -
53 Gliseril Guayakolat Tablet 100 mg DAK 2015 Tablet 33.00 7,910 261,030.00 1,000 33,000.00 - 1,500 49,500.00
55 Griseofulvin tablet 125 mg, micronized DAK 2013 tablet 228.00 400 91,200.00 - - -

58 DAK 2011 tab 36.30 1,000 36,300.00 - - -
59 Hidrokortison Krim 2,5 % - 5 g DAK 2014 tube 2,798.00 12 33,576.00 - - 12 33,576.00
61 Ibuprofen 200 mg DAK 2014 tablet 110.00 100 11,000.00 - - -
66 Kaptopril 25 mg DAK 2013 tablet 88.00 2,230 196,240.00 300 26,400.00 - 320 28,160.00
70 Kloramfenikol kap 250 mg APBD 2015 kapsul 280.00 110 30,800.00 600 168,000.00 - 40 11,200.00
71 Kloramfenikol Tetes Mata APBD 2015 Btl 6,600.00 49 323,400.00 25 165,000.00 - 13 85,800.00
72 Kloramfenikol Tetes Telinga APBD 2015 Btl 5,000.00 57 285,000.00 - - -
77 Kotrimoksazol tab DOEN I (dewasa) kombDAK 2014 tablet 149.00 4,500 670,500.00 - - -
DAK 2013 Btl/500 ml 15,900.00 - - - - -
79 Metformin tab. 500 mg DAK 2014 tablet 112.50 230 25,875.00 - - 140 15,750.00
82 Metronidazol tab 250 mg DAK 2011 Tablet 130.00 400 52,000.00 - - -
84 Multivitamin sirup APBD 2015 Btl/60 ml 3,900.00 360 1,404,000.00 - - 210 819,000.00
87 DAK 2014 tablet 200.00 - - - - -
Btl/ 500 ml
88 Natrium Klorida larutan infus 0,9% DAK 2013 4,900.00 1 2,450.00 - - -
89 Nifedipin tab 10 mg DAK 2014 tablet 100.00 - - 1,000 100,000.00 - 40 4,000.00
93 OAT FDC Kategori I DAK 2014 paket 359,900.00 15 5,398,500.00 10 3,599,000.00 - 1 359,900.00
95 OAT FDC Kategori II PROG 2015 (2) Paket 1,199,900.00 2 2,399,800.00 1 1,199,900.00 - -
97 Obat Batuk Hitam (OBH) Cairan DAK 2013 Btl/ 100 ml 1,258.95 - - - - -
99 Oksitetrasiklin salep kulit 3% DAK 2015 Tube 5g 1,749.00 35 61,215.00 50 87,450.00 - 29 50,721.00
102 Parasetamol sirup 120 mg/5 ml DAK 2014 btl/60 ml 1,438.00 430 618,340.00 336 483,168.00 - 193 277,534.00
103 - - - - -
104 Parasetamol tablet 500 mg DAK 2014 tablet 89.00 23,285 2,072,365.00 15,000 1,335,000.00 - 14,680 1,306,520.00
107 Piridoksin (Vit B 6) tablet 10 mg DAK 2013 tablet 16.00 3,690 59,040.00 4,000 64,000.00 - 1,710 27,360.00
109 Prednison Tablet 5 mg DAK 2015 tablet 154.00 4,705 724,570.00 8,000 1,232,000.00 - 3,958 609,532.00
111 Ranitidin tab. 150 mg DAK 2014 tablet 120.00 2,796 335,520.00 2,000 240,000.00 - 2,388 286,560.00
116 Salbutamol 2 mg DAK 2014 tablet 59.00 300 17,700.00 400 23,600.00 - 210 12,390.00
120 Salisil Bedak 2% DAK 2014 Kotak 50 gr 1,250.00 165 206,250.00 - - 152 190,000.00
125 Siprofloksasin tablet 500 mg DAK 2013 tablet 250.00 - - - - -
126 Tablet tambah Darah kombinasi (Besi II suProgram 2015 Tablet 50.00 3,630 181,500.00 3,000 150,000.00 - 330 16,500.00
tablet
127 Tiamin HCl/Nitrat (Vit B1) tab 50 mg DAK 2015 44.00 11,780 518,320.00 1,000 44,000.00 - 2,396 105,424.00
128 Tiamfenikol kap 500 mg DAK 2015 Kapsul 605.00 300 181,500.00 300 181,500.00 - 60 36,300.00
130 Vitamin B kompleks tablet DAK 2013 tablet 20.00 8,855 177,100.00 3,000 60,000.00 - 1,345 26,900.00
131 Zink tab 20 mg DAK 2014 tablet 473.00 - - - - -
132 Anti Influensa tab untuk dewasa DAK 2015 Tab 330.00 1,155 381,150.00 500 165,000.00 - 139 45,870.00
133 Obat Batuk Sirup untuk anak DAK 2015 Btl/60 ml 7,480.00 97 725,560.00 150 1,122,000.00 - 62 463,760.00
134 dewasa DAK 2015 Tablet 176.00 528 92,928.00 300 52,800.00 - 58 10,208.00
135 Anti Koagulan Topical gel DAK 2015 Tube 10 g 37,510.00 4 150,040.00 2 75,020.00 - -

136 DAK 2015 Btl/12ml 34,980.00 - - - - -
137 Boraks Gliserin DAK 2015 Btl/10ml 4,125.00 50 206,250.00 - - 14 57,750.00
138 histamin DAK 2015 Btl/100ml 10,494.00 158 1,658,052.00 48 503,712.00 - 139 1,458,666.00
153 Lidocain inj 2 % DAK 2013 ampul 850.00 31 26,350.00 - - 19 16,150.00
160 OBAT LUAR - - - - -
162 Etanol 70 % DAK 2013 Btl/1000 ml 20,000.00 1 10,000.00 - - -
163 Etanol 70 % DAK 2014 Btl/100 ml 2,500.00 - - - - -
168 OBAT GIGI - - - - -
170 Etil Klorida Spray DAK 2013 Vial/Can 100 ml 105,000.00 13 1,365,000.00 3 315,000.00 - 3 315,000.00
171 Eugenol cairan DAK 2012 btl/10 g 41,950.00 4 167,800.00 3 125,850.00 - 3 125,850.00
174 Glass Ionomer Cement ART (GC-IX)/ Fuji IX DAK 2015 Botol/ 10 g 779,900.00 4 3,119,600.00 2 1,559,800.00 - 4 3,119,600.00
175 Kalsium hidroksida pasta DAK 2012 2 tube/ktk 243,645.00 2 487,290.00 1 243,645.00 - -
177 Klorfenol Kamfer Mentol (CHKM) DAK 2011 Btl/10 ml 55,000.00 4 192,500.00 2 110,000.00 - 1.00 55,000.00
183 Temporary Stopping Fletcher (Fletcher) DAK 2013 Botol/set @ 100 gr 34,000.00 3 102,000.00 - - 1 34,000.00
BPJS KESEHATAN
1 Alopurinol tablet 100 mg JKN 2015 tablet 86.00 1,200 103,200.00 - - 80 6,880.00
10 Asam Askorbat (Vit C) tablet 250 mg JKN 2015 tablet 159.00 3,588 570,492.00 - 3,373 536,307.00
11 Betametason Krim 0,1 % JKN 2015 tube 1,520.00 250 380,000.00 - 63 95,760.00
14 Domperidon susp 5 mg JKN 2015 tablet 3,333.00 50 166,650.00 1 3,333.00
16 Fitomenadion (Vit K1) tab sal gula 10 mgJKN 2015 tablet 634.00 800 507,200.00 - 64 40,576.00
25 Kalsium Laktat tab 500 mg JKN 2015 tablet 70.00 21,550 1,508,500.00 - 998 69,860.00
26 Ketokonazol tab 200 mg JKN 2015 tablet 300.00 1,200 360,000.00 - 55 16,500.00
31 Metronidazol tab 500 mg JKN 2015 Tablet 160.00 945 151,200.00 - 135 21,600.00
38 Piroksixam 20 mg JKN 2015 - - - -
48 Simvastatin 10 mg JKN 2015 - - - -
JUMLAH PERSEDIAAN OBAT 45,166,802.00 - - 3,304,391.00
Jumlah Total 93,529,869.85 19,484,855.00 20,150,060.05
92,864,664.80

NIP.19711109 199203 2 005 NIP 19800516 200312 1 005
Mengetahui : Pengurus dan penyimpan
Ka UPTD Puskesmas Duren Jaya UPTD Puskesmas Duren

NIP.19711109 199203 2 005 NIP.19800516 200312 1
U PEMBANTU PERSEDIAAN PER JENIS
SUMBER : APBD
MUTASI
SALDO AKHIR
KURANG (PEMAKAIAN)
EXP DATE

HARGA
Rp unit Rp
- - -
- - -
- - -
- 240 47,880.00
- 384 1,152,000.00
- - -
- 4,845 581,400.00
- - -
- 19,015 4,183,300.00
- - -
- - -
- - -
- - -
- 1,280 160,012.80
- - -
- 305 640,500.00
- - -
- 3,755 713,450.00
- - -
- 25 114,200.00
- - -
- - -
- - -
- 10,440 1,169,280.00
- 301 647,752.00
- - -
- 1,000 350,000.00
- - -
- 1,845 645,750.00
- - -
- - -
- - -
- 200 7,000.00
- - -
- - -
- - -
- - -
- - -
- 70 11,690.00
- 1,000 213,000.00
- 1,000 26,580.00
- - -
- 8 57,760.00
- - -
- 55 55,440.00
- - -
- - -
- 290 24,650.00
- 330 96,360.00
- 23 46,805.00
- 290 15,660.00
- 230 100,280.00
- 7,410 244,530.00
- - -
- 400 91,200.00
- - -
- - -
- 1,000 36,300.00
- - -
- 100 53,000.00
- 100 11,000.00
- - -
- 100 8,800.00
- - -
- 780 48,360.00
- 2,210 194,480.00
- - -
- 70 21,000.00
- - -
- 670 187,600.00
- 61 402,600.00
- 57 285,000.00
- - -
- - -
- - -
- 56 144,144.00
- 4,500 670,500.00
- - -
- 90 10,125.00
- 100 10,990.00
- - -
- 400 52,000.00
- - -
- 150 585,000.00
- 5,793 2,548,920.00
- - -
- - -
- 1 2,450.00
- 960 96,000.00
- - -
- 217 104,160.00
- 4 859,600.00
- 24 8,637,600.00
- - -
- 3 3,599,700.00
- - -
- - -
- 98 172,578.00
- 56 97,944.00
- - -
- - -
- 573 823,974.00
- - -
- 23,605 2,100,845.00
- - -
- - -
- 5,980 95,680.00
- 3 67,581.00
- 8,747 1,347,038.00
- - -
- 2,408 288,960.00
- - -
- - -
- - -
- - -
- 490 28,910.00
- - -
- - -
- 11 23,991.00
- 13 16,250.00
- - -
- - -
- - -
- - -
- - -
- 6,300 315,000.00
- 10,384 456,896.00
- 540 326,700.00
- 29 507,210.00
- 10,510 210,200.00
- - -
- 1,516 500,280.00
- 185 1,383,800.00
- 770 135,520.00
- 6 225,060.00
- - -
- 36 148,500.00
- 67 703,098.00
- - -
- 25 643,550.00
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 12 10,200.00
- 43 55,685.00
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 1 10,000.00
- - -
- 2 44,000.00
- - -
- - -
- 4 48,660.00
- - -
- 1 1,375,000.00
- 13 1,365,000.00
- 4 167,800.00
- - -
- 9 4,500,000.00
- 2 1,559,800.00
- 3 730,935.00
- - -
- 5 247,500.00
- - -
- - -
- - -
- 1 234,300.00
- - -
- 2 68,000.00
- 51,002,253.80
1,120 96,320.00
-
7,475 2,466,750.00
3,860 721,820.00
8,605 1,815,655.00
1,297 3,171,165.00
- -
250 525,000.00
184 560,280.00
215 34,185.00
187 284,240.00
15,000 2,715,000.00
1 15,750.00
49 163,317.00
2,500 417,500.00
736 466,624.00
75 153,150.00
1,200 342,000.00
400 22,400.00
700 305,200.00
200 43,800.00
- -
- -
- -
20,552 1,438,640.00
1,145 343,500.00
260 416,000.00
71,630 3,653,130.00
550 1,179,750.00
19,000 2,831,000.00
810 129,600.00
- -
398 1,194,000.00
11,010 2,202,000.00
802 169,222.00
1,850 2,660,300.00
- -
- -
- -
200 59,200.00
14,000 1,680,000.00
10,000 4,590,000.00
123 246,000.00
800 1,000,000.00
- -
- -
11,394 649,458.00
- -
- -
24,000 2,568,000.00
15 32,445.00
30 500,010.00
- 41,862,411.00
92,864,664.80
Pengurus Barang
Puskesmas Duren Jaya
Suherman Susilo
NIP 19800516 200312 1 005
Suherman Susilo
NIP.19800516 200312 1 005
BULAN : APRIL SUMBER : APBD

JENIS : OBAT 52,675,309.10
MUTASI
SALDO AWAL
UNIT JUMLAH HARGA
UNIT UNIT UNIT UNIT

5 Ambroksol sirup 15 mg/ 5 ml APBD 2015 btl/60 ml 3,000.00 384 1,152,000.00 400 1,200,000.00 - 377 1,131,000.00
7 Ambroksol tablet 30 mg APBD 2015 tablet 120.00 4,845 581,400.00 - - -
12 Amoksisilin Sirup Kering 125 mg/5 ml DAK 2013 btl/60 ml 2,300.00 - - - - -
15 Antasida DOEN I tab kunyah, kombinasi: DAK 2014 tablet 75.00 - - - - 155 11,625.00
16 Antasida DOEN II suspensi, kombinasi: DAK 2014 btl/60 ml 2,100.00 305 640,500.00 - - -
18 Anti diare tablet (Puralex) DAK 2014 tablet 190.00 3,755 713,450.00 - - -
24 Asam mefenamat 500 mg DAK 2014 tablet 112.00 10,440 1,169,280.00 - - 820 91,840.00
25 Asiklovir Krim 5%- 5 g DAK 2013 tube 2,152.00 301 647,752.00 - - 32 68,864.00
27 Asiklovir tab 200 mg DAK 2010 Tablet 350.00 1,000 350,000.00 - - 42 14,700.00
29 Asiklovir tab 400 mg DAK 2013 tablet 350.00 1,845 645,750.00 - - 15 5,250.00
42 Eritromisin kaps/kaplet 500 mg DAK 2013 kapsul 920.00 - - - - -
43 Eritromisin sirup 200 mg/5 ml DAK 2013 btl/60 ml 7,220.00 8 57,760.00 48 346,560.00 - 21 151,620.00
46 Fitomenadion (Vit K1) tab sal gula 10 mgDAK 2014 tablet 634.00 - - - - -
50 Gentamisin salep kulit 0,1% DAK 2015 Tube@ 5 gr 2,035.00 23 46,805.00 60 122,100.00 - 77 156,695.00
51 Glibenklamid tablet 5 mg DAK 2013 tablet 54.00 290 15,660.00 - - -
53 Gliseril Guayakolat Tablet 100 mg DAK 2015 Tablet 33.00 7,410 244,530.00 - - -

58 DAK 2011 tab 36.30 1,000 36,300.00 - - -
59 Hidrokortison Krim 2,5 % - 5 g DAK 2014 tube 2,798.00 - - - - -
61 Ibuprofen 200 mg DAK 2014 tablet 110.00 100 11,000.00 500 55,000.00 - -
66 Kaptopril 25 mg DAK 2013 tablet 88.00 2,210 194,480.00 - - 235 20,680.00
70 Kloramfenikol kap 250 mg APBD 2015 kapsul 280.00 670 187,600.00 - - 2 560.00
71 Kloramfenikol Tetes Mata APBD 2015 Btl 6,600.00 61 402,600.00 25 165,000.00 - 5 33,000.00
76 Kotrimoksazol suspensi : Kombinasi DAK 2013 btl/60 ml 2,574.00 56 144,144.00 - - 25 64,350.00
DAK 2013 Btl/500 ml 15,900.00 - - - - -
79 Metformin tab. 500 mg DAK 2014 tablet 112.50 90 10,125.00 300 33,750.00 - 190 21,375.00
84 Multivitamin sirup APBD 2015 Btl/60 ml 3,900.00 150 585,000.00 300 1,170,000.00 - 256 998,400.00
87 DAK 2014 tablet 200.00 - - - - -
Btl/ 500 ml
88 Natrium Klorida larutan infus 0,9% DAK 2013 4,900.00 1 2,450.00 2 9,800.00 - -
89 Nifedipin tab 10 mg DAK 2014 tablet 100.00 960 96,000.00 1,000 100,000.00 - 200 20,000.00
93 OAT FDC Kategori I DAK 2014 paket 359,900.00 24 8,637,600.00 - - 4 1,439,600.00
97 Obat Batuk Hitam (OBH) Cairan DAK 2013 Btl/ 100 ml 1,258.95 - - - - -
99 Oksitetrasiklin salep kulit 3% DAK 2015 Tube 5g 1,749.00 56 97,944.00 - - 22 38,478.00
102 Parasetamol sirup 120 mg/5 ml DAK 2014 btl/60 ml 1,438.00 573 823,974.00 84 120,792.00 - 189 271,782.00
103 - - - - -
104 Parasetamol tablet 500 mg DAK 2014 tablet 89.00 23,605 2,100,845.00 20,000 1,780,000.00 - 13,489 1,200,521.00
107 Piridoksin (Vit B 6) tablet 10 mg DAK 2013 tablet 16.00 5,980 95,680.00 - - 1,790 28,640.00
108 Polikresulen ( Kondensasi Metakresol Su DAK 2012 Btl/10 ml 22,527.00 3 67,581.00 - - 2 45,054.00
109 Prednison Tablet 5 mg DAK 2015 tablet 154.00 8,747 1,347,038.00 3,000 462,000.00 - 4,445 684,530.00
111 Ranitidin tab. 150 mg DAK 2014 tablet 120.00 2,408 288,960.00 - - -
116 Salbutamol 2 mg DAK 2014 tablet 59.00 490 28,910.00 300 17,700.00 - -
119 Salep luka bakar/levertran ( minyak ikan )DAK 2012 Pot 15g 2,181.00 11 23,991.00 - - 1 2,181.00
120 Salisil Bedak 2% DAK 2014 Kotak 50 gr 1,250.00 13 16,250.00 - - -
123 Simvastatin tablet 10 mg DAK 2014 tablet 169.00 - - 1,000 169,000.00 - -
126 Tablet tambah Darah kombinasi (Besi II suProgram 2015 Tablet 50.00 6,300 315,000.00 3,000 150,000.00 - 1,260 63,000.00
tablet
127 Tiamin HCl/Nitrat (Vit B1) tab 50 mg DAK 2015 44.00 10,384 456,896.00 - - 1,664 73,216.00
128 Tiamfenikol kap 500 mg DAK 2015 Kapsul 605.00 540 326,700.00 - - 22 13,310.00
130 Vitamin B kompleks tablet DAK 2013 tablet 20.00 10,510 210,200.00 - - -
131 Zink tab 20 mg DAK 2014 tablet 473.00 - - 1,000 473,000.00 - 470 222,310.00
132 Anti Influensa tab untuk dewasa DAK 2015 Tab 330.00 1,516 500,280.00 - - 60 19,800.00
133 Obat Batuk Sirup untuk anak DAK 2015 Btl/60 ml 7,480.00 185 1,383,800.00 - - 46 344,080.00
134 dewasa DAK 2015 Tablet 176.00 770 135,520.00 - - 20 3,520.00
135 Anti Koagulan Topical gel DAK 2015 Tube 10 g 37,510.00 6 225,060.00 - - -

136 DAK 2015 Btl/12ml 34,980.00 - - - - -
137 Boraks Gliserin DAK 2015 Btl/10ml 4,125.00 36 148,500.00 - - 10 41,250.00
138 histamin DAK 2015 Btl/100ml 10,494.00 67 703,098.00 48 503,712.00 - -
153 Lidocain inj 2 % DAK 2013 ampul 850.00 12 10,200.00 - - -
154 Lidokain Komp. Injeksi, Kombinasi: DAK 2013 Ampul 1,295.00 43 55,685.00 - - 19 24,605.00
160 OBAT LUAR - - - - -
162 Etanol 70 % DAK 2013 Btl/1000 ml 20,000.00 1 10,000.00 - - -
163 Etanol 70 % DAK 2014 Btl/100 ml 2,500.00 - - - - -
165 Jelly 80 g untuk USG/Doppler DAK 2013 tube 25,000.00 - - 10 250,000.00 - -
167 Povidon Iodida 10% DAK 2012 Btl/300 ml 12,165.00 4 48,660.00 2 24,330.00 - -
168 OBAT GIGI - - - - -
170 Etil Klorida Spray DAK 2013 Vial/Can 100 ml 105,000.00 13 1,365,000.00 - - 4 420,000.00
171 Eugenol cairan DAK 2012 btl/10 g 41,950.00 4 167,800.00 - - 3 125,850.00
173 Glass Ionomer Cement ART (GC-IX)/ Fuji IX DAK 2013 Botol/set 500,000.00 9 4,500,000.00 10 5,000,000.00 - 3 1,500,000.00
174 Glass Ionomer Cement ART (GC-IX)/ Fuji IX DAK 2015 Botol/ 10 g 779,900.00 2 1,559,800.00 - - -
175 Kalsium hidroksida pasta DAK 2012 2 tube/ktk 243,645.00 3 730,935.00 - - -
183 Temporary Stopping Fletcher (Fletcher) DAK 2013 Botol/set @ 100 gr 34,000.00 2 68,000.00 - - 1 34,000.00
BPJS KESEHATAN
7 Antasida DOEN JKN 2015 162.00 - - 5,000 810,000.00 1,006 162,972.00
10 Asam Askorbat (Vit C) tablet 250 mg JKN 2015 tablet 159.00 215 34,185.00 - 215 34,185.00
12 Cetirizine 10 mg JKN 2015 tablet 181.00 15,000 2,715,000.00 - 136 24,616.00
38 Piroksixam 20 mg JKN 2015 97.00 - - 2,000 194,000.00 300 29,100.00
44 Salisil Bedak 2% JKN 2015 Kotak 50 gr 1,250.00 800 1,000,000.00 - 131 163,750.00
48 Simvastatin 10 mg JKN 2015 160.00 - - 2,000 320,000.00 120 19,200.00
Jumlah Total 92,864,664.80 16,360,529.00 16,366,401.70
92,858,792.10


NIP.19711109 199203 2 005 NIP 19800516 200312 1 005
Mengetahui : Pengurus dan penyimpa
Ka UPTD Puskesmas Duren Jaya UPTD Puskesmas Dure

NIP.19711109 199203 2 005 NIP.19800516 200312
SUMBER : APBD
MUTASI
SALDO AKHIR
KURANG (PEMAKAIAN)
EXP DATE

HARGA
Rp unit Rp
- - -
- - -
- - -
- 240 47,880.00
- 407 1,221,000.00
- - -
- 4,845 581,400.00
- - -
- 14,203 3,124,660.00
- - -
- - -
- - -
- - -
- 1,010 126,260.10
- (155) (11,625.00)
- 305 640,500.00
- - -
- 3,755 713,450.00
- - -
- 14 63,952.00
- - -
- - -
- - -
- 9,620 1,077,440.00
- 269 578,888.00
- - -
- 958 335,300.00
- - -
- 1,830 640,500.00
- - -
- - -
- - -
- 200 7,000.00
- - -
- - -
- - -
- - -
- - -
- - -
- 1,000 213,000.00
- 1,000 26,580.00
- - -
- 35 252,700.00
- - -
- 48 48,384.00
- - -
- - -
- 290 24,650.00
- 273 79,716.00
- 6 12,210.00
- 290 15,660.00
- 230 100,280.00
- 7,410 244,530.00
- - -
- 400 91,200.00
- - -
- - -
- 1,000 36,300.00
- - -
- 100 53,000.00
- 600 66,000.00
- - -
- 100 8,800.00
- - -
- 660 40,920.00
- 1,975 173,800.00
- - -
- 70 21,000.00
- - -
- 668 187,040.00
- 81 534,600.00
- 57 285,000.00
- - -
- - -
- - -
- 31 79,794.00
- 4,500 670,500.00
- - -
- 200 22,500.00
- 100 10,990.00
- - -
- 400 52,000.00
- - -
- 194 756,600.00
- 5,900 2,596,000.00
- - -
- - -
- 3 12,250.00
- 1,760 176,000.00
- - -
- 208 99,840.00
- 4 859,600.00
- 20 7,198,000.00
- - -
- 3 3,599,700.00
- - -
- - -
- 76 133,836.00
- 34 59,466.00
- - -
- - -
- 468 672,984.00
- - -
- 30,116 2,680,324.00
- - -
- - -
- 4,190 67,040.00
- 1 22,527.00
- 7,302 1,124,508.00
- - -
- 2,408 288,960.00
- - -
- - -
- - -
- - -
- 790 46,610.00
- - -
- - -
- 10 21,810.00
- 13 16,250.00
- - -
- - -
- 1,000 169,000.00
- - -
- - -
- 8,040 402,000.00
- 8,720 383,680.00
- 518 313,390.00
- 34 594,660.00
- 10,510 210,200.00
- 530 250,690.00
- 1,456 480,480.00
- 139 1,039,720.00
- 750 132,000.00
- 6 225,060.00
- - -
- 26 107,250.00
- 115 1,206,810.00
- - -
- 25 643,550.00
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 12 10,200.00
- 24 31,080.00
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 1 10,000.00
- - -
- 2 44,000.00
- 10 250,000.00
- - -
- 6 72,990.00
- - -
- 1 1,375,000.00
- 9 945,000.00
- 1 41,950.00
- - -
- 16 8,000,000.00
- 2 1,559,800.00
- 3 730,935.00
- - -
- 5 247,500.00
- - -
- - -
- - -
- 1 234,300.00
- - -
- 1 34,000.00
- 52,675,309.10
980 84,280.00
-
6,880 2,270,400.00
3,465 647,955.00
6,615 1,395,765.00
1,178 2,880,210.00
3,994 647,028.00
250 525,000.00
180 548,100.00
- -
120 182,400.00
14,864 2,690,384.00
- -
44 146,652.00
2,500 417,500.00
660 418,440.00
75 153,150.00
1,200 342,000.00
400 22,400.00
700 305,200.00
200 43,800.00
- -
- -
- -
19,105 1,337,350.00
1,075 322,500.00
260 416,000.00
62,411 3,182,961.00
550 1,179,750.00
19,000 2,831,000.00
734 117,440.00
- -
360 1,080,000.00
9,242 1,848,400.00
700 147,700.00
1,850 2,660,300.00
- -
1,700 164,900.00
- -
200 59,200.00
14,000 1,680,000.00
10,000 4,590,000.00
107 214,000.00
669 836,250.00
- -
- -
6,909 393,813.00
1,880 300,800.00
- -
24,000 2,568,000.00
15 32,445.00
30 500,010.00
- 40,183,483.00
92,858,792.10
Suherman Susilo
NIP.19800516 200312 1 005
BULAN : APRIL SUMBER : APBD

JENIS : OBAT 52,312,725.00
MUTASI
SALDO AWAL
UNIT JUMLAH HARGA
UNIT UNIT UNIT UNIT
1 Albendazol tab 400 mg PROG 2015 Tablet 1,356.00 - - - -

2 Alopurinol tablet 100 mg DAK 2014 tablet 86.00 - - - -
3 Alopurinol tablet 300 mg DAK 2013 tablet 200.00 - - - -
5 Ambroksol sirup 15 mg/ 5 ml APBD 2015 btl/60 ml 3,000.00 407 1,221,000.00 700 2,100,000.00 - 223 669,000.00
6 Ambroksol sirup 15 mg/ 5 ml DAK 2015 btl/60 ml 3,300.00 - - - -
7 Ambroksol tablet 30 mg APBD 2015 tablet 120.00 4,845 581,400.00 - - 1,233 147,960.00
8 Amlodipin tablet 10mg INS 2015 tablet 1,354.23 - - - -
10 Amoksisilin Kaplet 500 mg DAK 2014 tablet 272.00 - - - -
11 Amoksisilin Kapsul 250 mg DAK 2013 kapsul 200.00 - - - -
12 Amoksisilin Sirup Kering 125 mg/5 ml DAK 2013 btl/60 ml 2,300.00 - - - -
13 Amoksisilin Sirup Kering 125 mg/5 ml JKN 2015 2,445.00 - - - -
15 Antasida DOEN I tab kunyah, kombinasi: DAK 2014 tablet 75.00 155 11,625.00 - - -
17 Anti diare tablet (Molagit) DAK 2013 Tablet 366.67 - - - -
18 Anti diare tablet (Puralex) DAK 2014 tablet 190.00 3,755 713,450.00 - - -
19 Anti Hemmoroid supp / DAK 2013 supp 2,000.00 - - - -
20 Antidiare suspensi (Neokaominal) DDL 2012 Btl/60 ml 4,568.00 14 63,952.00 - - -
21 Antimigren : Ergotamin Tartrat 1 mg + KaDAK 2013 tablet 123.00 - - - -
22 Asam asetil salisilat 100 mg DAK 2014 tablet 116.00 - - - -
23 Asam Askorbat (Vit C) tablet 250 mg DAK 2014 tablet 159.00 - - - -
24 Asam mefenamat 500 mg DAK 2014 tablet 112.00 9,620 1,077,440.00 - - 510 57,120.00
26 Asiklovir Krim 5%- 5 g DAK 2015 tube 3,135.00 - - - -
27 Asiklovir tab 200 mg DAK 2010 Tablet 350.00 958 335,300.00 - - 108 37,800.00
28 Asiklovir tab 200 mg DAK 2013 tablet 239.00 - - - -
29 Asiklovir tab 400 mg DAK 2013 tablet 350.00 1,830 640,500.00 - - 120 42,000.00
30 Azitromisin 500 mg DAK 2014 tablet 4,500.00 - - - -
31 Betametason Krim 0,1 % DAK 2013 tube 1,520.00 - - - -
32 Deksametason tablet 0,5 mg BS 2015 tablet 84.00 - - - -
34 Dietil Karbamazin tab PROG 2010 tablet 73.50 - - - -
35 Digoksin tab 0,25 mg DAK 2012 Tablet 119.97 - - - -
36 Doksisiklin kaps 100 mg DAK 2012 kaps 212.26 - - - -
37 Doksisiklin kaps 100 mg DAK 2013 kaps 220.00 - - - -
38 Domperidon susp 5 mg/5 ml DAK 2014 botol 3,333.00 - - - -
39 Domperidon tab 10 mg DAK 2014 tablet 167.00 - - - -
42 Eritromisin kaps/kaplet 500 mg DAK 2013 kapsul 920.00 - - - -
43 Eritromisin sirup 200 mg/5 ml DAK 2013 btl/60 ml 7,220.00 35 252,700.00 - - -
44 Etambutol tablet 250 mg DAK 2013 tablet 305.00 - - - -
45 Fenol Gliserol tetes telinga 10% DAK 2013 botol 1,008.00 48 48,384.00 - - -
46 Fitomenadion (Vit K1) tab sal gula 10 mgDAK 2014 tablet 634.00 - - - -
47 Flukonazole 150 mg DAK 2014 tablet 22,000.00 - - - -
49 Garam oralit I serbuk kombinasi DAK 2013 sachet 292.00 273 79,716.00 - - -
50 Gentamisin salep kulit 0,1% DAK 2015 Tube@ 5 gr 2,035.00 6 12,210.00 - - -
51 Glibenklamid tablet 5 mg DAK 2013 tablet 54.00 290 15,660.00 - - -
53 Gliseril Guayakolat Tablet 100 mg DAK 2015 Tablet 33.00 7,410 244,530.00 - - -
54 Glukosa larutan Infus 5 % DAK 2014 Btl/500 ml 5,200.00 - - - -
56 Griseofulvin tablet 125 mg, micronized DAK 2014 tablet 219.00 - - - -
57 Haloperidol tab. 5 mg DAK 2014 tablet 96.00 - - - -

58 DAK 2011 tab 36.30 1,000 36,300.00 - - -
59 Hidrokortison Krim 2,5 % - 5 g DAK 2014 tube 2,798.00 - - - -
61 Ibuprofen 200 mg DAK 2014 tablet 110.00 600 66,000.00 - - -
62 Isoniazida 100 mg Tablet DAK 2013 tablet 44.00 - - - -
64 Kalsium Laktat tab 500 mg DAK 2013 tablet 45.00 - - - -
65 Kaptopril 12,5 mg DAK 2014 tablet 62.00 660 40,920.00 - - -
66 Kaptopril 25 mg DAK 2013 tablet 88.00 1,975 173,800.00 - - -
67 Kaptopril 50 mg DAK 2014 tablet 140.00 - - - -
69 Kloramfenikol salep mata 1% DAK 2012 Tube 5g 1,311.00 - - - -
70 Kloramfenikol kap 250 mg APBD 2015 kapsul 280.00 668 187,040.00 - - -
71 Kloramfenikol Tetes Mata APBD 2015 Btl 6,600.00 81 534,600.00 - - -
73 Klorfeniramin Maleat (CTM) Tablet 4 mg BS 2015 tablet 32.00 - - - -
74 Klorfeniramin Maleat (CTM) Tablet 4 mg INS 2015 tablet 30.00 - - - -
75 Kodein tablet 10 mg DAK 2012 Tablet 358.49 - - - -
DAK 2013 Btl/500 ml 15,900.00 - - - -
79 Metformin tab. 500 mg DAK 2014 tablet 112.50 200 22,500.00 - - -
81 Metilergometrin maleat tab salut 0,125 DAK 2012 Tablet 101.51 - - - -
83 Mikonazol krim 2% (nitrat) DAK 2014 Tube 10g 3,000.00 - - - -
84 Multivitamin sirup APBD 2015 Btl/60 ml 3,900.00 194 756,600.00 - - -
85 Multivitamin tablet APBD 2015 Tab 440.00 5,900 2,596,000.00 - - -
86 Natrium Bikarbonat tab 500 mg DAK 2011 Tablet 143.00 - - - -
87 DAK 2014 tablet 200.00 - - - -
Btl/ 500 ml
88 Natrium Klorida larutan infus 0,9% DAK 2013 4,900.00 3 12,250.00 - - -
89 Nifedipin tab 10 mg DAK 2014 tablet 100.00 1,760 176,000.00 - - -
90 Nistatin Vaginal Tab 100.000 IU DAK 2011 tabvag 345.00 - - - -
91 Nistatin Vaginal Tab 100.000 IU DAK 2014 tabvag 480.00 208 99,840.00 - - -
93 OAT FDC Kategori I DAK 2014 paket 359,900.00 20 7,198,000.00 - - -
94 OAT FDC Kategori I Program 2015 paket 359,900.00 - - - -
96 OAT FDC sisipan DAK 2013 paket 159,898.00 - - - -
97 Obat Batuk Hitam (OBH) Cairan DAK 2013 Btl/ 100 ml 1,258.95 - - - -
98 Oksitetrasiklin HCl salep mata 1% DAK 2012 Tube 3,5g 1,761.00 76 133,836.00 - - -
99 Oksitetrasiklin salep kulit 3% DAK 2015 Tube 5g 1,749.00 34 59,466.00 - - -
100 Omeprazol Kaps 20 mg DAK 2013 Kapsul 265.00 - - - -
101 Papaverin tab 40 mg DAK 2012 Tablet 83.48 - - - -
102 Parasetamol sirup 120 mg/5 ml DAK 2014 btl/60 ml 1,438.00 468 672,984.00 - - -
103 - - - -
104 Parasetamol tablet 500 mg DAK 2014 tablet 89.00 30,116 2,680,324.00 - - -
105 Pirantel tab 125 mg DAK 2014 tablet 296.00 - - - -
106 Pirazinamide tablet 500 mg DAK 2013 tablet 198.00 - - - -
107 Piridoksin (Vit B 6) tablet 10 mg DAK 2013 tablet 16.00 4,190 67,040.00 - - -
109 Prednison Tablet 5 mg DAK 2015 tablet 154.00 7,302 1,124,508.00 - - -
110 Propanolol tab 10 mg (HCl) DAK 2011 Tablet 77.00 - - - -
111 Ranitidin tab. 150 mg DAK 2014 tablet 120.00 2,408 288,960.00 - - -
112 Retinol (Vit A) 100.000 IU Kaps lunak DAK 2014 Kapsul 260.00 - - - -
113 Retinol (Vit.A) 200.000 IU Kaps lunak DAK 2014 kapsul 459.00 - - - -
114 Rifampisin 300 mg DAK 2013 kapsul 376.00 - - - -
115 Ringer Laktat Larutan Infus Steril DAK 2013 Btl/ 500 ml 5,200.00 - - - -
116 Salbutamol 2 mg DAK 2014 tablet 59.00 790 46,610.00 - - -
117 Salbutamol tablet 4 mg DAK 2013 tablet 85.00 - - - -
118 Salep 2-4 , kombinasi : Asam salisilat 2 DAK 2014 Pot 2,000.00 - - - -
120 Salisil Bedak 2% DAK 2014 Kotak 50 gr 1,250.00 13 16,250.00 - - -
121 Sefiksim 100 mg DAK 2014 Kapsul 859.00 - - - -
122 Sianokobalamin (Vit. B12) tab. 50 mcg DAK 2013 tablet 14.00 - - - -
123 Simvastatin tablet 10 mg DAK 2014 tablet 169.00 1,000 169,000.00 - - -
124 Simvastatin tablet 10 mg INS 2015 tablet 410.40 - - - -
126 Tablet tambah Darah kombinasi (Besi II suProgram 2015 Tablet 50.00 8,040 402,000.00 - - -
tablet
127 Tiamin HCl/Nitrat (Vit B1) tab 50 mg DAK 2015 44.00 8,720 383,680.00 - - -
128 Tiamfenikol kap 500 mg DAK 2015 Kapsul 605.00 518 313,390.00 - - -
129 Triamsinolon oral base krem 5 g DAK 2015 Tube 5 g 17,490.00 34 594,660.00 - - -
130 Vitamin B kompleks tablet DAK 2013 tablet 20.00 10,510 210,200.00 - - -
131 Zink tab 20 mg DAK 2014 tablet 473.00 530 250,690.00 - - -
132 Anti Influensa tab untuk dewasa DAK 2015 Tab 330.00 1,456 480,480.00 - - -
133 Obat Batuk Sirup untuk anak DAK 2015 Btl/60 ml 7,480.00 139 1,039,720.00 - - -
134 dewasa DAK 2015 Tablet 176.00 750 132,000.00 - - -
135 Anti Koagulan Topical gel DAK 2015 Tube 10 g 37,510.00 6 225,060.00 - - -

136 DAK 2015 Btl/12ml 34,980.00 - - - -
137 Boraks Gliserin DAK 2015 Btl/10ml 4,125.00 26 107,250.00 - - -
138 histamin DAK 2015 Btl/100ml 10,494.00 115 1,206,810.00 - - -
139 MB Anak Program 2015 Blister 19,800.00 - - - -
141 PB Anak Program 2015 Blister 8,712.00 - - - -
142 PB Dewasa Program 2015 Blister 8,712.00 - - - -
Serum PPD Mantox 1
143 OBAT INJEKSI - - - -
144 Amoksisilin serbuk injeksi DAK 2013 vial 7,396.00 - - - -
145 Aqua pro injeksi steril DAK 2013 vial 5,000.00 - - - -
146 Benzatin Benzil Penisilin injeksi DAK 2014 vial 13,400.00 - - - -
147 Deksametason inj 5 mg/ml DAK 2013 ampul 1,400.00 - - - -
148 Epinefrina (adrenalin) injeksi 0,1% (sbg HDAK 2014 Ampul 8,100.00 - - - -
149 Fitomenadion (Vit K1) Injeksi 10 mg/ ml- DAK 2013 ampul 1,566.00 - - - -
150 Glukosa kalsikus injeksi 10% Program 2015 Ampul 7,800.00 - - - -
151 Hyosina N. Butilbromida 20 mg/ml (BuscDAK 2012 Ampul 1,702.70 - - - -
152 Kanamisin injeksi DAK 2013 Vial 6,000.00 - - - -
Lidocain inj 1 % 40
153 Lidocain inj 2 % DAK 2013 ampul 850.00 12 10,200.00 - - -
155 Metilergometrin Maleat injeksi 0,200mg-DAK 2013 Ampul 1,490.00 - - - -
156 Magnesium sulfat injeksi 20% Program 2015 Vial 5,500.00 - - - -
157 Metoklorpamid inj 5 mg/ml (Ethiferan) DAK 2012 Ampul 839.00 - - - -
158 Ranitidin inj. 25mg/2 ml DAK 2013 Ampul 1,542.00 - - - -
159 Salbutamol cairan inhalasi 0,1% JKN 2015 ampul/2,5 ml 6,600.00 - - - -
160 OBAT LUAR - - - -
161 Etakridin (Rivanol) larutan 0,1 % DAK 2012 Btl/300 ml 1,510.00 - - - -
162 Etanol 70 % DAK 2013 Btl/1000 ml 20,000.00 1 10,000.00 - - -
163 Etanol 70 % DAK 2014 Btl/100 ml 2,500.00 - - - -
165 Jelly 80 g untuk USG/Doppler DAK 2013 tube 25,000.00 10 250,000.00 - - -
166 Lisol mengandung Kresol Tersabun 50% DAK 2013 Btl/1000 ml 25,000.00 - - - -
168 OBAT GIGI - - - -
170 Etil Klorida Spray DAK 2013 Vial/Can 100 ml 105,000.00 9 945,000.00 - - -
171 Eugenol cairan DAK 2012 btl/10 g 41,950.00 1 41,950.00 - - -
172 Glass Ionomer Cement ART (GC-IX)/ Fuji IX DAK 2012 btl/set 492,493.00 - - - -
174 Glass Ionomer Cement ART (GC-IX)/ Fuji IX DAK 2015 Botol/ 10 g 779,900.00 2 1,559,800.00 - - -
175 Kalsium hidroksida pasta DAK 2012 2 tube/ktk 243,645.00 3 730,935.00 - - -
176 Kalsium hidroksida pasta DAK 2013 2tube/ktk 242,000.00 - - - -
178 Klorfenol Kamfer Mentol (CHKM) DAK 2013 Btl/10 ml 55,000.00 - - - -
179 Klorfenol Kamfer Mentol (CHKM) DAK 2015 Btl/10 ml 84,590.00 - - - -
180 Mummyfying pasta DAK 2012 Btl 188,775.00 - - - -
182 Semen seng fosfar serbuk dan cair DAK 2015 set 129,470.00 - - - -
183 Temporary Stopping Fletcher (Fletcher) DAK 2013 Botol/set @ 100 gr 34,000.00 1 34,000.00 - - -
BPJS KESEHATAN
7 Antasida DOEN JKN 2015 162.00 - - 5,000 810,000.00 1,006 162,972.00
10 Asam Askorbat (Vit C) tablet 250 mg JKN 2015 tablet 159.00 215 34,185.00 - 215 34,185.00
12 Cetirizine 10 mg JKN 2015 tablet 181.00 15,000 2,715,000.00 - 136 24,616.00
38 Piroksixam 20 mg JKN 2015 97.00 - - 2,000 194,000.00 300 29,100.00
44 Salisil Bedak 2% JKN 2015 Kotak 50 gr 1,250.00 800 1,000,000.00 - 131 163,750.00
48 Simvastatin 10 mg JKN 2015 160.00 - - 2,000 320,000.00 120 19,200.00
Jumlah Total 94,560,970.10 6,777,800.00 8,842,562.10
92,496,208.00


NIP.19711109 199203 2 005 NIP 19800516 200312 1 005
Mengetahui : Pengurus dan penyimpa
Ka UPTD Puskesmas Duren Jaya UPTD Puskesmas Dure

NIP.19711109 199203 2 005 NIP.19800516 200312
SUMBER : APBD
MUTASI
SALDO AKHIR
KURANG (PEMAKAIAN)
EXP DATE

HARGA
Rp unit Rp
- - -
- - -
- - -
- 240 47,880.00
- 884 2,652,000.00
- - -
- 3,612 433,440.00
- - -
- 7,643 1,681,460.00
- - -
- - -
- - -
- - -
- 1,000 125,010.00
- 155 11,625.00
- 291 611,100.00
- - -
- 3,755 713,450.00
- - -
- 14 63,952.00
- - -
- - -
- - -
- 9,110 1,020,320.00
- 242 520,784.00
- - -
- 850 297,500.00
- - -
- 1,710 598,500.00
- - -
- - -
- - -
- 200 7,000.00
- - -
- - -
- - -
- - -
- - -
- - -
- 1,000 213,000.00
- 1,000 26,580.00
- - -
- 35 252,700.00
- - -
- 48 48,384.00
- - -
- - -
- 290 24,650.00
- 273 79,716.00
- 6 12,210.00
- 290 15,660.00
- 230 100,280.00
- 7,410 244,530.00
- - -
- 400 91,200.00
- - -
- - -
- 1,000 36,300.00
- - -
- 100 53,000.00
- 600 66,000.00
- - -
- 100 8,800.00
- - -
- 660 40,920.00
- 1,975 173,800.00
- - -
- 70 21,000.00
- - -
- 668 187,040.00
- 81 534,600.00
- 57 285,000.00
- - -
- - -
- - -
- 31 79,794.00
- 4,500 670,500.00
- - -
- 200 22,500.00
- 100 10,990.00
- - -
- 400 52,000.00
- - -
- 194 756,600.00
- 5,900 2,596,000.00
- - -
- - -
- 3 12,250.00
- 1,760 176,000.00
- - -
- 208 99,840.00
- 4 859,600.00
- 20 7,198,000.00
- - -
- 3 3,599,700.00
- - -
- - -
- 76 133,836.00
- 34 59,466.00
- - -
- - -
- 468 672,984.00
- - -
- 30,116 2,680,324.00
- - -
- - -
- 4,190 67,040.00
- 1 22,527.00
- 7,302 1,124,508.00
- - -
- 2,408 288,960.00
- - -
- - -
- - -
- - -
- 790 46,610.00
- - -
- - -
- 10 21,810.00
- 13 16,250.00
- - -
- - -
- 1,000 169,000.00
- - -
- - -
- 8,040 402,000.00
- 8,720 383,680.00
- 518 313,390.00
- 34 594,660.00
- 10,510 210,200.00
- 530 250,690.00
- 1,456 480,480.00
- 139 1,039,720.00
- 750 132,000.00
- 6 225,060.00
- - -
- 26 107,250.00
- 115 1,206,810.00
- - -
- 25 643,550.00
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 12 10,200.00
- 24 31,080.00
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 1 10,000.00
- - -
- 2 44,000.00
- 10 250,000.00
- - -
- 6 72,990.00
- - -
- 1 1,375,000.00
- 9 945,000.00
- 1 41,950.00
- - -
- 16 8,000,000.00
- 2 1,559,800.00
- 3 730,935.00
- - -
- 5 247,500.00
- - -
- - -
- - -
- 1 234,300.00
- - -
- 1 34,000.00
- 52,312,725.00
980 84,280.00
-
6,880 2,270,400.00
3,465 647,955.00
6,615 1,395,765.00
1,178 2,880,210.00
3,994 647,028.00
250 525,000.00
180 548,100.00
- -
120 182,400.00
14,864 2,690,384.00
- -
44 146,652.00
2,500 417,500.00
660 418,440.00
75 153,150.00
1,200 342,000.00
400 22,400.00
700 305,200.00
200 43,800.00
- -
- -
- -
19,105 1,337,350.00
1,075 322,500.00
260 416,000.00
62,411 3,182,961.00
550 1,179,750.00
19,000 2,831,000.00
734 117,440.00
- -
360 1,080,000.00
9,242 1,848,400.00
700 147,700.00
1,850 2,660,300.00
- -
1,700 164,900.00
- -
200 59,200.00
14,000 1,680,000.00
10,000 4,590,000.00
107 214,000.00
669 836,250.00
- -
- -
6,909 393,813.00
1,880 300,800.00
- -
24,000 2,568,000.00
15 32,445.00
30 500,010.00
- 40,183,483.00
92,496,208.00
Suherman Susilo
NIP.19800516 200312 1 005
4,351,657,055.00
49,302,155.00
4,400,959,210.00
4,351,657,055.00

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PUSKESMAS DUREN JAYA

DINAS KESEHATAN KOTA BEKASI

BULAN : JANUARI 2016 SUMBER : APBD

unit Rp unit Rp unit Rp unit Rp unit Rp

1 Albendazol tab 400 mg PROG 2015 Tablet 1,356.00 - - - - - -

Hidroklortiazid tab (HCT) tab 25 mg

Nistatin drop 100.000 IU/ml suspensi

Mengetahui : Pengurus Barang

Dwi Wahyuningsih Mkes Suherman Susilo

Dwi Wahyuningsih.Mkes Suherman Susilo

JUMLAH JUMLAH HARGA

NIP 19800516 200312 1 005

BULAN : FEB 2016 SUMBER : APBD

unit Rp unit Rp unit Rp unit Rp unit

1 Albendazol tab 400 mg PROG 2015 Tablet 1,356.00 - - - - -

Hidroklortiazid tab (HCT) tab 25 mg

Nistatin drop 100.000 IU/ml suspensi

Mengetahui : Pengurus Barang

Dwi Wahyuningsih Mkes Suherman Susilo

Dwi Wahyuningsih.Mkes Suherman Susilo

JUMLAH JUMLAH UNIT JUMLAH HARGA

BULAN : MARET 2016 SUMBER : APBD

unit Rp unit Rp unit Rp unit Rp unit

1 Albendazol tab 400 mg PROG 2015 Tablet 1,356.00 - - - - -

Hidroklortiazid tab (HCT) tab 25 mg

Nistatin drop 100.000 IU/ml suspensi

Dwi Wahyuningsih Mkes Suherman Susilo

Dwi Wahyuningsih.Mkes Suherman Susilo

JUMLAH JUMLAH UNIT JUMLAH HARGA

BULAN : APRIL SUMBER : APBD

unit Rp unit Rp unit Rp unit Rp unit

1 Albendazol tab 400 mg PROG 2015 Tablet 1,356.00 - - - - -

Hidroklortiazid tab (HCT) tab 25 mg

Nistatin drop 100.000 IU/ml suspensi

Mengetahui : Pengurus Barang

Dwi Wahyuningsih Mkes Suherman Susilo

Dwi Wahyuningsih.Mkes Suherman Susilo

JUMLAH JUMLAH UNIT JUMLAH HARGA

BULAN : APRIL SUMBER : APBD

unit Rp unit Rp unit Rp unit Rp unit

1 Albendazol tab 400 mg PROG 2015 Tablet 1,356.00 - - - -

Hidroklortiazid tab (HCT) tab 25 mg

Nistatin drop 100.000 IU/ml suspensi

Mengetahui : Pengurus Barang

Dwi Wahyuningsih Mkes Suherman Susilo

Dwi Wahyuningsih.Mkes Suherman Susilo

JUMLAH JUMLAH UNIT JUMLAH HARGA

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