Songgon 02022018

CATATAN :
1. saldo awal saja => Permintaan untuk meniadakan koma, jadi di view jmlh item tiada koma sedangkan untuk nilai tetep mem
2. Nilai Sisa Stok => Diperoleh dari Perkalian Jumlah sisa stok * harga
LAPORAN TAHUNAN PUSKESMAS [ SONGGON ]
No. Obat Id Kode Nama Harga Tahun
1 2078 1700525004 Alat Suntik sekali pakai - 1 ml 650 2015

3 2103 1700514001 Alkohol 70 % 100ml 2,500.00 2015
4 2110 1700505009 Alkohol 70% 1L 21,500.00 2015
5 2069 1700509005 Alopurinol tablet 100 mg 85.998 2015
6 2150 1700509005 Alopurinol tablet 100 mg 86 2015
7 9 1700509007 Alprazolam tablet 0,25 mg 380 2014
8 15 1700509015 Aminofilin tablet 200 mg 80 2014
9 2063 1700509015 Aminofilin tablet 200 mg 80 2015
10 17 1700509019 Amlodipin tablet 10 mg 330 2014
13 6845 1700509024 Amoksisilin kap 232 2016
14 19 1700509024 Amoksisilin kaplet 500 mg 261 2014
16 21 1700509026 Amoksisilin sirup kering 125 mg/ 5 ml 2,445.00 2014
17 2102 1700509026 Amoksisilin sirup kering 125 mg/ 5 ml 2,445.00 2015
18 2111 1700511033 Antalgin tab 500 mg 220 2015
19 25 1700509032 Antasida DOEN I tablet kunyah 72 2014
20 2062 1700509032 Antasida DOEN I tablet kunyah 72 2015
21 26 1700509033 Antasida DOEN II suspensi 2,160.00 2014
23 27 1700509034 Anti Bakteri DOEN salep kombinasi 2,491.00 2013
24 28 1700509034 Anti Bakteri DOEN salep kombinasi 2,516.00 2014
25 29 17015010042 Antifungi 3-6 salep Doen kombinasi 1,718.75 2013
26 2101 1700509036 Antihemoroid DOEN kombinasi 3,045.00 2015
Antimigren Doen kombinasi / Ergotamin
27 2100 1700509038 kofein 135 2015
28 30 1700513027 Aqua Pro Injeksi 25 cc 5,000.00 2013
29 1998 1700513027 Aqua Pro Injeksi 25 cc 2,200.00 2015
30 31 1700509047 Asam Askorbat (Vitamin C) tablet 50 mg 95 2014

32 33 1700509048 Asam Folat tablet 1 mg 48 2014
33 2123 1700511046 Asam mefenamat 500 mg 220 2015
34 1997 1700507013 Asering Lart infus 9,000.00 2015
35 6562 1700507013 Asering Lart infus 9,275.00 2016
36 2 1700511004 Asiklovir 400 mg 336 2014
37 2043 1700511004 Asiklovir 400 mg 336 2015
38 38 17015010055 Atropin sulfat injeksi 1,264.96 2013
39 39 1700511014 Azitromicin 500 Tab 4,500.00 2014
40 2098 1700509074 Betametason krim 0,1 % (sebagai Valerat) 1,520.00 2015

41 6555 1700513045 Bricasma inj. 6,850.00 2016
42 2108 1700525014 Catgut 134,000.00 2015
43 45 1700502084 Cavit 195,000.30 2014
44 1504 1700502084 Cavit 209,000.00 2015
45 2070 1700509081 Cetirizine tablet 10 mg 181.005 2015
46 52 1700509087 Deksametason injeksi i.v. 5 mg/ml 1,400.00 2013
47 2042 1700509087 Deksametason injeksi i.v. 5 mg/ml 1,580.00 2015
48 2072 1700509088 Deksametason tablet 0,5 mg 62 2015
49 2114 1700511525 Desinfektan (klorin 5,25%) 18,700.00 2015
50 1511 1700507021 Devitalisasi Pasta 160,000.00 2015
51 564 1700511130 Diazepam 5 mg 56 2013
52 562 1700509093 Diazepam tablet 2 mg 35 2011
53 57 1700509093 Diazepam tablet 2 mg 35 2013
54 59 1700509099 Difenhidramin injeksi i.m. 10 mg/ml (HCl) 1,050.00 2014

55 60 1700509100 Digoksin tablet 0,25 mg 97 2014
56 2052 1700509100 Digoksin tablet 0,25 mg 97 2015
57 2097 1700509106 Dimenhidrinat tablet 50 mg 104 2015
58 67 1700519047 Domperidon drop 15,600.00 2014
59 68 17015010107 Efedrin Hcl tablet 25 ml 51.26 2013
60 69 17015010108 Ekstrak Belladon tablet 10 mg 26.4 2013
Epinefrin (Adrenalin) injeksi 0,1 % (sebagai
61 70 1700509113 HCl) 8,100.00 2014
62 72 1700509116 Eritromisin kaplet 500 mg 930 2014
63 73 1700509117 Eritromisin sirup 200 mg/ 5 ml 7,700.00 2014
64 1505 1700507028 Etil Klorida semprot 110,000.00 2015
65 77 17015010116 Eugenol Cairan 43,541.67 2013
66 78 1700511163 Face masker 2 ply 1,125.03 2012
67 2107 1700511163 Face Masker 2 Ply 16,500.00 2015
68 81 17015010120 Fenitoin Natrium kapsul 30 mg 93 2013
Fitomenadion (Vit.K1) tablet salut gula 10
69 90 1700509136 mg 630 2014
70 88 17005110377 Fitomenadion Inj 10 mg 1,566.00 2013
71 93 1700509140 Flukonazole 150 mg 22,000.00 2013
72 96 1700509144 Furosemid tablet 40 mg 85 2014
73 97 1700507035 Garam Oralit 200 ml 288 2014
74 1506 1700511186 Glass Ionomer 395,000.00 2015
75 2040 1700509161 Glibenklamida tablet 5 mg 56 2015
76 104 1700509489 Gliclazide tablet 80 mg 236 2014
77 105 1700509164 Glimepiride tablet 2 mg 436 2014
78 2128 1700511191 Gliseril Guayakolat tab 100 mg 44 2015
79 2085 1700532009 Glove/Handscun 4,180.00 2015
80 2048 1700509174 Glukosa larutan infus 10 % steril 5,700.00 2015
83 111 1700511194 Griseofulvin tab 125 mg 194 2013
86 2039 1700511205 Haloperidol 5 mg tab 96 2015
87 2096 1700511207 Hidroklortiazide Tablet 25 mg 149 2015
88 2095 1700509185 Hidrokortison krim 2,5 % 2,798.00 2015
89 118 1700525097 I.V. Catheter 18 9,603.00 2013
90 2118 1700525098 I.V. Catheter 20 7,018.00 2015
91 2119 1700525102 I.V. Catheter 22 7,018.00 2015
92 2120 1700525106 I.V. Catheter 24 7,018.00 2015
93 2033 1700511657 Ibuprofen 200 mg Tablet 110 2015
95 122 1700509188 Ibuprofen suspensi 100 mg/5 ml 3,499.00 2014
96 2104 1700509191 Ibuprofen tablet 400 mg 150 2015
97 2081 1700525115 Infusion set anak 3,500.00 2015
98 129 1700509196 Isosorbid Dinitrat tablet sublingual 5 mg 92 2013
99 2038 1700509196 Isosorbid Dinitrat tablet sublingual 5 mg 88 2015

100 6563 1700507043 KAEN - 3 A 10,050.00 2016
101 6564 1700507044 KAEN - 3 B 10,050.00 2016
102 2087 1700507048 Kalsium Laktat tab 500 mg 70 2015
103 2083 1700525120 Kapas Pembalut 250 g 12,500.00 2015
104 44 1700509207 Kaptopril tablet 25 mg 84 2014
105 2077 1700509207 Kaptopril tablet 25 mg 84 2015
106 138 1700509209 Karbamazepin tablet 200 mg 245 2014
107 142 17015010208 Kasa pembalut Hidrofil 4 M x 10 Cm 2,952.40 2013
108 143 17015010210 Kasa pembalut Hidrofil 4 M x 5 Cm 303.49 2012
109 145 1700509211 Ketokonazol tablet 200 mg 300 2014
110 51 1700509219 Klindamisin kapsul 150 mg 361 2014
111 147 1700509227 Kloramfenikol kapsul 250 mg 231 2013
112 2094 1700509227 Kloramfenikol kapsul 250 mg 249 2015
113 2093 1700509229 Kloramfenikol salep mata 1 % 1,600.00 2015
114 1510 1700507058 Klorfenol kamfer Menthol (CHKM) 45,100.00 2015
115 150 1700511257 Klorpromazin 100 mg tab 133 2013
116 153 1700509488 Kombinasi parafin+gliserin+fenoltalein 12,450.00 2014
117 158 1700507060 Kotrimoksasol susp. 2,167.00 2014
118 154 1700509245 Kotrimoksazol DOEN I (dewasa) tablet 165 2012
121 157 17015010226 Kotrimoksazol pediatrik tablet 75.9 2013
122 163 1700509261 Lidokain Injeksi Kompositum 1,363.00 2014
123 166 1700509270 Loratadin tablet 10 mg 154 2014
125 164 1700514058 Lysol 55,000.00 2013
126 167 17015010237 Magnesium Sulfat Injeksi 20 % - 25 ml 1,539.78 2013
127 168 17015010238 Magnesium Sulfat Injeksi 40 % - 25 ml 1,947.88 2013
128 2115 1700509285 Metformin HCl tablet 500 mg 230 2015
129 1992 1700513145 Metilergometrin Maleat inj.0.200 mg-1ml 2,750.00 2015

130 172 1700509288 Metilergometrin tablet salut 0,125 mg 121 2013
131 173 1700509288 Metilergometrin tablet salut 0,125 mg 154 2014
132 174 1700509293 Metilprednisolon tablet 4 mg 295.83 2013
133 176 1700509298 Metoklopramide tablet 5 mg 108 2014
134 177 1700509300 Metronidazol tablet 250 mg 122.8 2013
135 2106 1700509300 Metronidazol tablet 250 mg 110 2015
138 2001 1700507069 Multivitamin sirup 11,000.00 2015
139 2054 1700511488 Natrium Diklofenak tab 25 mg 133 2015
140 184 1700509309 Natrium Diklofenak tab 50 mg 176 2014
141 278 1700509312 Natrium Klorida larutan infus 0,9 % 4,700.00 2014
142 2046 1700509312 Natrium Klorida larutan infus 0,9 % 4,700.00 2015
143 2000 1700507072 Neurotropik tab 528 2015
144 185 17015010271 Nifedipin tablet 10 mg 112 2013
145 186 1700509324 Obat Anti Tuberkulosis FDC Kategori Anak 214,950.00 2013
146 1989 1700507078 Oksitosin inj. 10 IU/ml 2,200.00 2015
147 190 1700509337 Omeprazol kapsul 20 mg 211 2014
148 6554 17015023808 ONDANSETRON 4 INJ 1,650.00 2016
149 191 1700533213 Ondansetron 4 mg 716 2014
150 194 1700507080 Parasetamol sirup 120 mg/5ml 1,318.90 2013
152 198 1700509344 Parasetamol tablet 500 mg 79 2014
153 2076 1700509344 Parasetamol tablet 500 mg 79 2015
154 199 1700509487 Permetrin Krim 11,475.00 2014
155 203 17015010296 Pirasetam tab 400 mg 194 2013
156 204 1700507082 Piridoksina HCl tab 10 mg 17.38 2013
157 2092 1700507082 Piridoksina HCl tab 10 mg 110 2015
158 2112 1700507083 Piroksikam 20 mg tablet 143 2015
159 205 1700525492 Polikresulen 10 ml 17,393.00 2014
160 240 1700509368 Povidon Iodida larutan 10% 30 ml 2,163.00 2014
162 206 1700511374 Prednison 5 mg 64 2013
163 2090 1700511374 Prednison 5 mg 114 2015
164 2065 17015024158 Ranitidin Injeksi 25 mg/ml 1,140.00 2015
165 211 1700509389 Ranitidin tablet 150 mg 120 2014
166 2116 1700509389 Ranitidin tablet 150 mg 120 2015
167 2045 1700507087 Ringer laktat inf 5,200.00 2015
169 2032 1700509405 Salbutamol tablet 2 mg (sebagai Sulfat) 59 2015
170 217 1700509406 Salbutamol tablet 4 mg (sebagai Sulfat) 89 2014
171 218 1700509407 Salep 2-4 Kombinasi 1,800.00 2013
172 2030 1700509407 Salep 2-4 Kombinasi 2,000.00 2015
173 220 1700509408 Salisil Bedak 2 % 1,250.00 2014
174 2050 1700509408 Salisil Bedak 2 % 1,250.00 2015
175 1500 1700520002 Serum Anti Bisa Ular Polivalen Inj. 5 ml 473,000.00 2015
176 1501 1700513036 Serum Anti Tetanus Inj.1.500 IU / Amp 126,500.00 2015
177 2064 1700509440 Simvastatin tablet 20 mg 391 2015
178 50 1700509447 Siprofloksasin tablet 500 mg ( sebagai HCI) 255 2014

179 230 1700509452 Spironolakton tablet 25 mg 315 2014
180 232 1700507100 Tetrasiklin HCl kapsul 250 mg 149 2014
181 234 17015021742 THIAMPHENICOL 500 TAB 431 2014
182 1502 1700511444 Tiamin Hcl ( Vit B1 ) Tablet 50 mg 57 2015
183 235 1700502085 Tri Kresol Formalin 95,000.40 2014
184 238 1700507105 Urine bag 3,918.20 2013
185 6556 1700513247 Ventolin Nebulizer 4,000.00 2016
186 227 1700511466 Vit B12 Tablet 12.359 2012
187 2088 1700511466 Vit B12 Tablet 57 2015
188 2091 1700511471 Vitamin B Kompleks tab 107 2015
189 6651 1700511004 Acyclovir 400mg 349 2016
191 6058 1700525207 Alat Suntik sekali pakai - 10 ml 1,298.00 2016
196 5065 17015010007 Alat suntik sekali pakai 0.05 ml soloshot 165,550.00 2016
200 5082 1700505009 Alkohol 70% 1L 21,500.00 2016
201 6170 1700514160 Alkohol Swab 100 2016
202 6324 1700509005 alopurinol tab 100 mg 90 2016
203 6431 1700509015 aminofilin tab 200 mg 186 2016
204 5106 1700509015 Aminofilin tablet 200 mg 8,000.00 2016
205 6261 1700509019 Amlodipin Tablet 10 mg 145 2016
206 6371 1700509026 amoksisilin sir kering 125 mg/5 mL 2,090.00 2016
207 6338 1700509024 amoksisilin tab 500 mg 232 2016
208 6397 1700509032 antasida tablet kunyah 62 2016
209 6415 17015010042 antifungi / salep 3-6 4,158.00 2016
210 6339 1700509036 antihemoroid, kombinasi : suppositoria 3,045.00 2016
211 6340 1700509047 asam askorbat (vitamin C) tab 50 mg 104 2016
212 5310 1700509048 Asam Folat tablet 1 mg 4,800.00 2016
213 6185 17015080002 Aseptan 500 cc + pump 30,000.00 2016
214 6398 1700509408 bedak salisil serb 2% 1,025.00 2016
215 6202 1700518011 Bioplacenton Tule 10,750.00 2016
216 6186 1700525319 Blood Lancet 145.66 2016
217 5180 1700525010 Blood set 3,600.00 2016
218 5190 1700511083 Carbamazepine Kimia Farma 24,500.00 2016
219 6509 1700525014 Catgut 363,000.00 2016
220 6305 1700525014 Catgut 5,583.33 2016
221 6210 1700525014 Catgut 1,310,000.00 2016
222 6208 1700525014 Catgut 1,335,000.00 2016
223 5214 1700509079 Cetirizin sirup 5 mg/5 ml 7,999.00 2016
224 6341 1700509088 deksametason tab 0,5 mg 44 2016
225 6416 1700509099 difenhidramin cairan inj i.v./i.m. 10 mg/mL 1,175.00 2016
226 5255 1700509099 Difenhidramin injeksi i.m. 10 mg/ml (HCl) 31,500.00 2016
227 6387 1700509100 digoksin tab 0,25 mg 105 2016
228 6343 1700509109 domperidon sir 5 mg/5 mL 3,000.00 2016
229 6258 1700509110 Domperidon Tablet 10 mg 118 2016
230 5270 17015020623 Dulcolax 10mg Supp 36,270.00 2016
epinefrin (adrenalin) cairan inj i.v./i.m./s.k.
231 6401 1700509113 0,1% 2,204.00 2016
232 6344 1700509117 eritromisin sir kering 200 mg/5 mL 6,700.00 2016
233 6294 1700511163 Face Masker 2 Ply 330 2016
234 6171 1700511974 Feeding Tube 5 8,841.00 2016
235 6403 1700509136 fitomenadion (vitamin K1) tab salut 10 mg 691 2016
236 5609 17005110377 Fitomenadion Inj 102,510.00 2016
237 5307 1700525066 Folley catheter 18 8,000.00 2016
238 6225 17015010136 Folley Catheter 20 8,000.00 2016
239 5953 1700525339 Folley Catheter 22 8,000.00 2016
240 6226 1700525059 Folley catheter 24 8,000.00 2016
241 5286 1700525493 Folley chateter 16 8,000.00 2015
242 6306 1700525493 Folley Chateter 16 8,000.00 2016
243 6328 1700509144 furosemid tablet 40 mg 78 2016
244 5321 1700509144 Furosemid tablet 40 mg 8,500.00 2016
245 6404 1700507035 garam oralit 264 2016
246 6329 1700509164 Glimepirid Tablet 2 mg 289 2016
247 5375 1700532009 Glove/Handscun 60,049.00 2016
248 6229 1700532009 Glove/Handscun 650 2016
249 6181 1700532009 Glove/Handscun 4,600.00 2016
250 6330 1700509176 glukosa 5% lar infus 6,900.00 2016
251 5353 1700511194 Griseofulvin tab 125 mg 20,900.00 2016
252 6347 1700511207 hidroklorotiazid tab 25 mg 149 2016
253 6348 1700509185 hidrokortison krim 2,5% 2,650.00 2016
254 6239 17015010529 I.V Catheter 26 4,100.00 2016
255 5400 1700525097 I.V. Catheter 18 3,800.00 2016
256 5402 1700525098 I.V. Catheter 20 3,800.00 2016
257 5403 1700525102 I.V. Catheter 22 3,800.00 2016
258 5404 1700525106 I.V. Catheter 24 3,800.00 2016
259 5406 1700509191 Ibuprofen 400 mg Tablet 11,000.00 2016
260 6335 1700511657 ibuprofen tab 200 mg 105 2016
261 6349 1700509191 ibuprofen tab 400 mg 127 2016
262 6172 1700525113 Infuset Dewasa 7,321.00 2016
263 5420 1700525113 Infuset Dewasa 3,200.00 2016
264 6173 1700525115 Infusion set Anak 10,406.00 2016
265 6378 1700507048 kalsium laktat (kalk) tab 500 mg 63 2016
266 6757 1700525120 Kapas pembalut Hidrofil DRC 250 gr 24,237.57 2016
267 6400 1700509207 Kaptopril tab 25 mg 68 2016
268 6379 1700509209 karbamazepin tab 200 mg 270 2016
269 5472 1700525128 Kasa hidrofil 16 / 16 Steril 5,800.00 2016
270 6759 1700525124 Kasa Kompres - 40/40 steril 1,816.67 2016
271 6756 17015010205 Kasa pembalut 36 M x 80 Cm 130,792.00 2016
272 6760 1700525126 Kasa pembalut Hidrofil DRC 4 m x 15 cm 3,818.89 2016
273 6763 17015010210 Kasa pembalut Hidrofil DRC 4 m x 5 cm 1,107.07 2016
274 6761 1700525128 Kasa Steril 16x16 7,931.69 2016
275 6351 1700509210 ketokonazol krim 2% 2,545.00 2016
276 6352 1700509229 kloramfenikol salep mata 1% 1,798.00 2016
277 5229 1700507057 Klorfeniramin Maleat tab 4 mg 5,100.00 2016
278 6353 1700507057 klorfeniramin tab 4 mg 42 2016
279 6380 1700511257 klorpromazin tab sal selaput 100 mg 162 2016
280 5494 1700507060 Kotrimoksasol susp. 2,167.00 2016
kotrimoksazol (dewasa) kombinasi tab 480
281 6336 1700509245 mg 151 2016
282 6687 1700507060 Kotrimoksazol Susp 2,140.00 2016
283 6356 1700512114 laktulosa sir 3,335 g/5 mL 14,500.00 2016
284 5899 1700525139 Leukoplast 3x5 BDF 35,531.96 2015
285 5502 17015023517 Leukoplast 7,5x4,5 35,532.00 2016
286 6418 1700509261 lidokain kombinasi epinefrin cairan inj 2 mL 1,845.00 2016
287 5507 1700514058 Lysol 41,000.00 2016
288 6147 1700509285 Metformin HCL Tablet 500 mg 100 2016
289 6391 1700509297 metoklopramid tab 10 mg 90 2016
290 6409 1700509301 metronidazol tab 500 mg 133 2016
291 5852 1700511304 Metronidazole Suspensi 4,100.00 2016
292 6358 1700509302 mikonazol krim 2% 3,250.00 2016
293 6257 1700518070 My Jelly 29,549.83 2016
294 6192 17015020735 Nasal Canul Oksigen Anak 5,500.00 2016
295 6193 17015020736 Nasal Canul Oksigen Bayi 5,500.00 2016
296 6194 17015020737 Nasal Canul Oksigen Dewasa 5,500.00 2016
297 5537 1700511488 Natrium Diklofenak tab 25 mg 6,650.00 2016
298 5549 1700509309 Natrium Diklofenak tab 50 mg 8,800.00 2016
299 6410 1700511488 natrium diklofenak tab sal enterik 25 mg 145 2016
300 6411 1700509309 natrium diklofenak tab sal enterik 50 mg 159 2016
301 6259 17015010271 Nifedipin Tablet 10 mg 104 2016
302 5566 1700509318 Nistatin vaginal tablet 100.000 IU/ g 48,000.00 2016
303 6390 1700507078 oksitosin cairan inj 10 IU/mL 1,900.08 2016
304 5599 1700509341 Parasetamol drops 5,200.00 2016
306 5968 1700509487 Permetrin Krim 12,155.00 2016
307 6359 1700507082 piridoksin (vitamin B6) tab 10 mg 118 2016
308 6762 1700525364 Polifix 10 cm x 5 m 74,391.55 2016
312 6420 17015022545 propanolol tab 10 mg 60 2016
313 5658 1700511826 PULAREX ACTIVATED ATTAPULGITE 630MG 9,500.00 2016
314 6260 1700509389 Ranitidin Tablet 150 mg 105 2016
315 6287 17015030353 Rivanol 2,550.00 2016
316 5670 1700515027 rivanol 2,550.00 2016
317 6360 1700509406 salbutamol tab 4 mg 83 2016
318 6421 1700509407 salep 2-4 2,429.00 2016
319 6322 1700513036 Serum Anti Tetanus Inj.1.500 IU / Amp 170,000.00 2016
320 6333 17015021332 setirizin sir 5 mg/5 mL 6,745.00 2016
321 6422 17015010341 sianokobalamin inj 500 mcg/ mL 1,098.00 2016
322 5764 1700525450 Silk ( Benang Bedah Sutra ) 110,000.00 2016
323 6361 1700509440 simvastatin tab sal selaput 20 mg 252 2016
324 6369 1700509452 spironolakton tab 25 mg 294 2016
325 6367 1700518056 stesolid lar rektal 5 mg/2,5 mL 11,517.00 2016
326 6010 1700510242 Stetoskop 213,412.47 2016
327 6293 1700525472 Surgical Blade 3,030.00 2016
328 6302 1700525237 Tes Kehamilan 1,939.00 2016
329 6587 1700511444 Tiamin Hcl ( Vit B1 ) Tablet 50 mg 86 2016
330 6174 1700525239 Transfusi Set 13,976.00 2016
331 5793 1700508096 Umbilical Cord Nylon OM 1,000.00 2016
332 6303 1700525501 Under pad 4,620.00 2016
333 5799 1700507105 Urine bag 3,000.00 2016
334 6693 1700511462 Valdimex 5mg 847 2016
335 5804 1700511466 Vit B12 Tablet 5,700.00 2016
336 5809 1700511526 Zinc Dispersible tab 47,400.00 2016
337 6334 1700511526 zinc tab dispersible 20 mg 514 2016
338 2153 1700509004 Albendazol tablet/tablet kunyah 400 mg 344 2015
339 1043 1700509004 Albendazol tablet/tablet kunyah 400 mg 230.98 2015

340 2154 1700509037 Antimalaria DOEN kombinasi 4,216.00 2015
341 259 1700507035 Garam Oralit 200 ml 288 2014
342 2127 1700507035 Garam Oralit 200 ml 288 2015
343 6100 1700511257 Klorpromazine 100 mg tab 144 2016
345 6125 1700509303 MINERAL MIX 2,695.00 2016
346 2159 1700509325 Obat Anti Tuberculosis FDC Kategori 1 359,990.00 2016
347 1995 1700509325 Obat Anti Tuberkulosis FDC Kategori 1 359,990.00 2015
348 2003 1700509326 Obat Anti Tuberkulosis FDC Kategori 2 1,199,990.00 2015
349 2007 1700509324 Obat Anti Tuberkulosis FDC Kategori Anak 214,990.00 2015
350 2020 17015010298 Piridoksin Hcl 50mg Tablet 75 2015
351 267 1700511374 Prednison 5 mg 64 2013
352 1042 1700509392 Retinol (Vitamin A) 100.000 IU kapsul lunak 260 2015
353 1041 1700509393 Retinol (Vitamin A) 200.000 IU kapsul lunak 407 2015
354 271 1700507097 Tablet Tambah Darah 66.57 2013
355 2156 1700507097 Tablet Tambah Darah 44 2016
356 2126 1700511526 Zinc Dispersible tab 474 2015
358 2165 1700509026 Amoksisilin sirup kering 125 mg / 5 ml 2,445.00 2016
360 2167 1700509053 Asiklovir Cream 2,864.00 2016
361 247 1700525014 Catgut 24,583.30 2013
362 2168 1700509088 Deksametason tablet 0,5 mg 82 2016
363 2170 1700509161 Glibenklamide tablet 5 mg 80 2016
364 2171 1700509229 Kloramfenikol salep mata 1,600.00 2016
365 2173 1700509269 Loperamid tablet 2 mg 89 2016
366 2176 17015010256 Miconazole krim 2 % 89 2016
367 2175 1700509309 Natrium Diklofenak 50 mg 176 2016
368 2177 17015030839 Neurovit E tablet 504 2016
369 2179 1700507075 Obat Batuk Hitam 100 ml 1,716.00 2016
370 2182 1700511471 Vitamin B Kompleks Tablet 770 2016
371 852 17015010425 Bactricid 480 mg tablet 367.4 2011
372 853 17015010426 Benocetam 800 mg tablet 2,970.00 2011
373 859 17015010430 Farmalat 440 2011
374 868 17015010435 Kifarox 500 mg tablet 3,789.50 2011
375 877 17015010442 Thimelon 8 mg tablet 1,920.00 2011
379 4955 1700532009 Glove/Handscun 6,880.00 2016
380 4956 1700532009 Glove/Handscun 6,880.00 2016
381 4957 1700532009 Glove/Handscun 13,100.00 2016
382 4960 17015022231 KASA HYDROFIL 40X80 950 2016
383 4964 1700525239 Transfusi set 29,530.00 2016
384 4965 1700525501 Under pad 6,600.00 2016
385 4933 1700514001 Alkohol 70 % 100 ml 2,500.00 2016

388 4936 1700511046 Asam mefenamat 500 mg 112 2016
389 4938 1700507140 Becefort 660 2016
390 4939 1700518010 Bioplacenton 15 gr 10,500.00 2016
391 4940 17015020666 CENDO GENTAMISIN SM 2,600.00 2016
392 4941 1700515071 CENDO LYTREES 15,750.00 2016
393 4942 17015010463 Demacolin 204 2016
394 4943 1700507142 Dextrofen 7,315.00 2016
395 4944 1700507035 Garam Oralit 200 ml 288 2016
397 4946 1700525120 Kapas Pembalut 250 g 10,359.00 2016
398 4947 1700525128 Kasa hidrofil 16 / 16 Steril 7,995.00 2016
399 4948 1700507138 Lysofit 17,000.00 2016
400 4950 17015030839 NEUROFIT E 504 2016
401 4951 1700507137 Nodia 773 2016
402 4937 1700511826 PULAREX ACTIVATED ATTAPULGITE 630MG 190 2016

403 4952 1700509408 Salisil Bedak 2% 1,250.00 2016
404 4953 1700507139 Zentra 14,000.00 2016
407 4913 1700505009 Alkohol 70% 1 liter 24,500.00 2016
408 5894 1700511033 Antalgin tab 500 mg 130 2016
409 5897 1700519021 Betadin 10 ml 4,750.00 2016
410 6142 1700511525 Desinfektan (klorin 5,25%) 2,200.00 2016
411 5889 1700532009 Glove/Handscun 5,720.00 2016
412 4920 1700532017 IUD Coper T 13,156.00 2016
413 4922 17015010205 Kasa pembalut 36 M x 80 Cm 20,900.00 2016
414 4923 1700532019 Kondom 411.736 2016
415 5893 1700509344 Parasetamol 500 mg tab 130 2016
416 4927 1705250622 Pil KB 2,085.00 2016
417 5950 1705250622 Pil KB 1,945.00 2016
418 5850 1700507125 Safety Box 21,395.00 2016
419 4931 1700532020 Suntik KB 6,116.00 2016
420 5948 1700532020 Suntik KB 6,100.00 2016
421 5895 1700525472 Surgical Blade 1,978.00 2016
422 4919 1700507095 Susuk KB 270,028.00 2016
423 5851 1700507095 Susuk KB 257,500.00 2016
424 4908 1700511033 Antalgin tab 500 mg 220,000.00 2016
425 4909 1700511046 Asam mefenamat 500 mg 29,000.00 2016
426 4910 1700511191 Gliseril Guayakolat tab 100 mg 44,000.00 2016
427 4911 1700507082 Piridoksina HCl tab 10 mg 110,000.00 2016
428 4912 1700511444 Tiamin Hcl ( Vit B1 ) Tablet 50 mg 11,250.00 2016
429 6495 1700509081 Cetirizine tablet 10 mg 143 2016
Kotrimoksazol DOEN I (dewasa) kombinasi :

430 6491 1700509245 Sulfametoksazol 400 mg Trimetoprim 80 mg 151 2016
431 6314 17015023517 Leukoplast 7,5x4,5 35,532.00 2016
433 6524 17015010271 Nifedipin tablet 104 2016
435 6522 1700513230 Serum antitetanus (A.T.S) 170,000.00 2016
TOT
da koma sedangkan untuk nilai tetep memakai jmlh yg koma.
SALDO AWAL Terima dari Mutasi

Sumber Satuan
Item Nilai 1 2 3 4 5 6 7 8
APBD set 0 0 200
APBD set 0 0 500 500 400 500
APBD botol 0 0 10
APBD botol 1 liter 0 0 4 5
APBD tablet 0 0 1000
APBD tablet 0 0 200 500
APBD tablet 200 76,000.00
APBD tablet 1685 134,800.00 2000
APBD tablet 0 0 300
APBD kaplet 0 0 10000 10000
APBD kaplet 6249 1,630,989.00
APBD botol 108 264,060.00 64
APBD botol 0 0 120 56
APBD tablet 0 0 4000 2000 1000 1000
APBD tablet 8115 584,280.00
APBD tablet 0 0 7200 14400 7200 7200
APBD botol 4 8,640.00
APBD botol 0 0 60
APBD tube 30 74,730.00
APBD tube 0 0 25 50 25
APBD pot 26 44,687.50 24 120
APBD Supp 0 0 10
APBD tablet 0 0 200

APBD 8 40,000.00
APBD ampul 0 0 120
APBD tablet 76 7,220.00 1000
APBD tablet 0 0 300

APBD tablet 1536 73,728.00
APBD tablet 0 0 3000 1000 100
APBD botol 0 0 60
APBD botol 0 0
APBD tablet 69 23,184.00 200 100
APBD tablet 0 0
APBD ampul 30 37,948.89
APBD tablet 100 450,000.00
APBD tube 0 0 100 50 100 100

APBD ampul 0 0
APBD kotak 0 0 1
APBD set/ktk 0 0 1
APBD botol 0 0
APBD ampul 77 107,800.00
APBD ampul 0 0 30
APBD botol 0 0 5 5
APBD botol 0 0 1
APBD 96 5,376.00
APBD 637 22,295.00
APBD tablet 1000 35,000.00
APBD ampul 53 55,650.00

APBD tablet 0 0
APBD botol 13 202,800.00
APBD tablet 1880 49,632.00
APBD ampul 265 2,146,500.00

APBD tablet 63 58,590.00 100 100
APBD botol 69 531,300.00 120
APBD botol 3 330,000.00 10
APBD biji 1200 1,350,030.00
APBD kotak 0 0 10
APBD kapsul 0 0
APBD tablet 129 81,270.00 500 300

APBD ampul 159 248,994.00
APBD tablet 100 2,200,000.00
APBD tablet 413 35,105.00 200 200
APBD sase 179 51,552.00 1000
APBD kotak 0 0 1
APBD tablet 0 0 600
APBD tablet 0 0
APBD tablet 317 138,212.00 300 300 600 300
APBD tablet 0 0 10000 3000 10000 4000 5000 2000
APBD pcs 0 0 50 50 100
APBD botol 0 0
APBD botol 18 93,600.00
APBD botol 0 0 40
APBD tablet 0 0 100
APBD tablet 0 0 200
APBD tube 0 0 72 48
APBD biji 62 595,386.00
APBD biji 0 0 50 100
APBD biji 0 0 50 50
APBD biji 0 0 50 100
APBD tablet 1000 110,000.00 1000 1000 500
APBD tablet 0 0 2000 2000 1000 2000
APBD set 0 0 50
APBD tablet 0 0 100

APBD botol 0 0
APBD botol 0 0
APBD tablet 0 0 2000 3000 1000 1000
APBD biji 0 0 10 5
APBD tablet 4526 380,184.00 900
APBD roll 30 88,572.00
APBD roll 105 31,866.45 100
APBD tablet 90 27,000.00 100
APBD kapsul 439 158,479.00 200 500
APBD kapsul 231 53,361.00 1500
APBD kapsul 0 0 300 200
APBD tube 0 0 24 48
APBD botol 0 0 1
APBD botol 10 124,500.00
APBD botol 3 6,501.00 50 100
APBD tablet 878 144,870.00
APBD tablet 0 0 600
APBD tablet 206 15,635.40 500 1000 300
APBD ampul 19 25,897.00 60
APBD tablet 0 0 200
APBD botol 2 110,000.00
APBD vial 0 0 5
APBD vial 0 0 5
APBD ampul 20 55,000.00

APBD tablet 0 0 200
APBD tablet 340 100,582.20
APBD tablet 114 12,312.00 200 500
APBD tablet 0 0
APBD tablet 490 78,400.00 500
APBD Botol 41 192,700.00
APBD tablet 800 422,400.00 200
APBD tablet 124 13,888.00 500
APBD paket 0 0 2
APBD ampul 18 39,600.00 10
APBD kapsul 139 29,329.00 60
APBD ampul 0 0
APBD tablet 388 277,808.00 300
APBD botol 84 110,787.60 84
APBD tablet 983 77,657.00 20000
APBD tablet 0 0 30000 10000
APBD tube 59 677,025.00
APBD tablet 1087 18,892.06
APBD tablet 0 0 3000 1000 1000
APBD tablet 0 0 1000 400 100
APBD botol 24 417,432.00
APBD botol 10 21,630.00
APBD botol 6 85,218.00 3
APBD tablet 2339 149,696.00 2000
APBD ampul 0 0 60 60 100 100
APBD tablet 288 34,560.00 1500
APBD botol 200 1,040,000.00 80
APBD tablet 0 0
APBD tablet 540 48,060.00 200 200
APBD pot 49 88,200.00
APBD pot 0 0 24 24 48 24
APBD ktk 45 56,250.00
APBD dus 0 0 100 50 10
APBD Vial 2 946,000.00 1
APBD ampul 1 126,500.00 1

APBD kapsul 1235 184,015.00
APBD kapsul 30 12,930.00
APBD tablet 0 0 2000 1000 1000 1000
APBD botol 1 95,000.40 1
APBD biji 3 11,754.60 10
APBD ampul 0 0
APBD tablet 4657 57,555.86
APBD tablet 0 0 600
JKN tablet 0 0
JKN set 0 0
JKN set 0 0
JKN Box 5 325,000.00
JKN set 0 0
JKN box 2 150,000.00
JKN set 0 0
JKN box 5 827,750.00
JKN pcs 0 0
JKN pcs 0 0
JKN 18 2,979,900.00
JKN botol 5 107,500.00
JKN pcs 0 0
JKN tablet 0 0
JKN tablet 0 0
JKN botol 10 80,000.00
JKN tablet 0 0
JKN botol 0 0
JKN tablet 0 0
JKN tablet 0 0
JKN pot 0 0
JKN supp 0 0
JKN tablet 0 0
JKN btl 20 96,000.00
JKN botol 0 0
JKN box 0 0
JKN lembar 0 0
JKN pcs 0 0
JKN BH 100 360,000.00
JKN BOX 1 24,500.00
JKN 0 0
JKN pak 0 0
JKN roll 0 0
JKN roll 0 0
JKN BTL 5 39,995.00
JKN tablet 0 0
JKN ampul 0 0
JKN dos 5 157,500.00

JKN tablet 0 0
JKN botol 0 0
JKN tablet 0 0
JKN 3 108,810.00
JKN ampul 0 0
JKN botol 0 0
JKN pcs 0 0
JKN pcs 0 0
JKN tablet 0 0
JKN 15 1,537,650.00
JKN pcs 10 80,000.00
JKN pcs 0 0
JKN pcs 0 0
JKN pcs 0 0
JKN pcs 10 80,000.00
JKN pcs 0 0
JKN tablet 0 0
JKN KTK 20 170,000.00
JKN sachet 0 0
JKN tablet 0 0
JKN 2 120,098.00
JKN Pasang 0 0
JKN pcs 0 0
JKN botol 0 0
JKN DOS 2 41,800.00
JKN tablet 0 0
JKN tube 0 0
JKN pcs 0 0
JKN pcs 50 190,000.00
JKN pcs 50 190,000.00
JKN pcs 50 190,000.00
JKN pcs 50 190,000.00
JKN 200 2,200,000.00
JKN tablet 0 0
JKN tablet 0 0
JKN pcs 0 0
JKN pcs 300 960,000.00
JKN pcs 0 0
JKN tablet 0 0
JKN roll 0 0
JKN tablet 0 0
JKN tablet 0 0
JKN pcs 50 290,000.00
JKN roll 0 0
JKN 0 0
JKN roll 0 0
JKN roll 0 0
JKN box 0 0
JKN tube 0 0
JKN tube 0 0
JKN Dus 1000 5,100,000.00
JKN tablet 0 0
JKN tablet 0 0
JKN Botol 50 108,350.00
JKN tablet 0 0
JKN 0 0
JKN botol 0 0
JKN roll 30 1,065,958.80
JKN roll 0 0
JKN ampul 0 0
JKN botol 0 0
JKN tablet 0 0
JKN tablet 0 0
JKN tablet 0 0
JKN botol 20 82,000.00
JKN tube 0 0
JKN tube 0 0
JKN pcs 0 0
JKN pcs 0 0
JKN pcs 0 0
JKN 50 332,500.00
JKN dus 50 440,000.00
JKN tablet 0 0
JKN tablet 0 0
JKN tablet 0 0
JKN dos 2 96,000.00
JKN ampul 0 0
JKN botol 0 0
JKN botol 50 71,900.00
JKN Tube 0 0
JKN tablet 0 0
JKN roll 0 0
JKN botol 0 0
JKN btl 10 180,000.00
JKN botol 0 0
JKN tablet 0 0
JKN BOX 10 95,000.00
JKN tablet 0 0
JKN botol 0 0
JKN 10 25,500.00
JKN tablet 0 0
JKN pot 0 0
JKN 0 0
JKN botol 0 0
JKN ampul 0 0
JKN Box 5 550,000.00
JKN tablet 0 0
JKN tablet 0 0
JKN botol 0 0
JKN Unit 0 0
JKN pcs 0 0
JKN pcs 0 0
JKN tablet 0 0
JKN pcs 0 0
JKN pcs 0 0
JKN pcs 0 0
JKN pcs 20 60,000.00
JKN 0 0
JKN Dus 100 570,000.00
JKN BOX 10 474,000.00
JKN tablet 0 0
PROGRAM tablet 0 0 9000
PROGRAM tablet 3918 904,979.64

PROGRAM 0 0
PROGRAM tablet 0 0 300 1200
PROGRAM sase 0 0
PROGRAM tablet 0 0
PROGRAM sachet 0 0
PROGRAM paket 0 0 16 16
PROGRAM paket 0 0 16 5 16
PROGRAM paket 0 0 1
PROGRAM paket 0 0 2 1
PROGRAM tablet 0 0
PROGRAM kapsul 0 0 450 900
PROGRAM kapsul 0 0 4250 8400

PROGRAM tablet 69417 4,621,089.69
GAKIN tablet 0 0 5000
GAKIN botol 0 0
GAKIN botol 0 0 60
GAKIN tube 0 0 25
GAKIN set 25 614,582.53
GAKIN tablet 0 0 1000 1000 1000
GAKIN tablet 0 0 200 300 500
GAKIN tube 0 0 24
GAKIN tablet 0 0 200 300
GAKIN tube 0 0 24 24
GAKIN botol 0 0 36 12 12
ASKES tablet 280 102,872.00
ASKES tablet 400 1,188,000.00
ASKES tablet 313 1,186,113.50
JKN PERSALINAN Buah 3 15,300.00
JKN PERSALINAN buah 3 8,865.00
JKN PERSALINAN pcs 11 75,680.00
JKN PERSALINAN 64 60,800.00
JKN PERSALINAN 7 46,200.00
BANTUAN RAUNG 10 25,000.00
BANTUAN RAUNG Tab 1500 391,500.00

BANTUAN RAUNG tube 20 210,000.00
BANTUAN RAUNG Tube 48 124,800.00
BANTUAN RAUNG Btl 50 365,750.00
BANTUAN RAUNG Sachet 600 172,800.00
BANTUAN RAUNG Roll 2 20,718.00

BANTUAN RAUNG Bks 50 62,500.00
ALOKON biji 0 0
ALOKON biji 0 0
ALOKON botol 0 0
ALOKON tablet 0 0
ALOKON botol 0 0
ALOKON botol 0 0
ALOKON Pasang 0 0
ALOKON set 0 0
ALOKON roll 0 0
ALOKON pcs 0 0
ALOKON tablet 0 0
ALOKON Strip 20 41,700.00
ALOKON tablet 0 0
ALOKON biji 0 0
ALOKON Vial 50 305,800.00
ALOKON Vial 0 0
ALOKON biji 0 0
ALOKON set 0 0
ALOKON set 0 0
JAMKESMAS kaleng 2 440,000.00
JAMKESMAS box 20 580,000.00
JAMKESMAS 3 33,750.00
DAK tablet 0 0
DAK tablet 0 0
DAK roll 0 0
DAK tablet 0 0
DAK tablet 0 0
DAK botol 0 0
DAK ampul 0 0
TOTAL : 137536 56,223,299.67
Terima dari Mutasi Terima Pencairan
9 10 11 12 Total Nilai 1 2 3 4 5 6 7 8 9 10 11
200 130,000.00
1900 1,235,000.00
10 25,000.00
5 14 301,000.00
1000 85,998.00
700 60,200.00
0
2000 160,000.00
2000 160,000.00
0
900 1200 396,000.00
300 300 300 900 3000 561,000.00
10000 5000 10000 45000 10,440,000.00
0
10000 2,610,000.00
64 156,480.00
176 430,320.00
8000 1,760,000.00
0
5000 2000 43000 3,096,000.00
0
60 129,600.00
0
100 251,600.00
144 247,500.00
10 20 60,900.00
200 27,000.00
0
120 264,000.00
1000 2000 4000 380,000.00
300 28,500.00
0
4100 902,000.00
60 540,000.00
300 300 2,782,500.00
300 100,800.00
500 500 168,000.00
0
0
350 532,000.00
20 20 137,000.00
1 134,000.00
1 195,000.30
2 2 418,000.00
200 36,201.00
0
30 47,400.00
3500 217,000.00
10 187,000.00
1 160,000.00
0
0
0
0
0
100 100 9,700.00
100 700 72,800.00
0
0
0
0
200 186,000.00
120 924,000.00
10 1,100,000.00
0
0
10 165,000.00
200 200 18,600.00
800 504,000.00
0
0
400 34,000.00
1000 288,000.00
1 395,000.00
600 33,600.00
500 500 1000 236,000.00
1500 654,000.00
1000 2000 37000 1,628,000.00
200 836,000.00
40 40 228,000.00
0
40 208,000.00
0
100 20,900.00
200 41,800.00
0
500 1500 223,500.00
120 335,760.00
0
150 1,052,700.00
100 701,800.00
150 1,052,700.00
2500 275,000.00
0
0
1000 8000 1,200,000.00
50 175,000.00
100 8,800.00
100 100 1,005,000.00
60 60 603,000.00
7000 490,000.00
15 187,500.00
900 75,600.00
1000 84,000.00
0
0
100 200 60,698.00
100 30,000.00
700 252,700.00
1500 346,500.00
500 124,500.00
72 115,200.00
1 45,100.00
0
0
150 325,050.00
0
600 82,800.00
1000 700 3700 510,600.00
1800 136,620.00
60 81,780.00
0
200 30,800.00
0
5 7,698.90
5 9,739.40
600 138,000.00
0
0
200 30,800.00
0
100 800 86,400.00
0
300 300 33,000.00
500 80,000.00
800 128,000.00
0
1700 226,100.00
0
0
140 658,000.00
200 105,600.00
500 56,000.00
2 429,900.00
10 22,000.00
60 12,660.00
50 50 82,500.00
300 214,800.00
84 110,787.60
252 362,376.00
20000 1,580,000.00
12000 10000 20000 82000 6,478,000.00
0
0
0
1000 1500 7500 825,000.00
1500 214,500.00
0
0
3 42,609.00
2000 128,000.00
2000 228,000.00
50 370 421,800.00
1500 180,000.00
500 2000 4000 480,000.00
80 416,000.00
540 3,861,000.00
800 1000 1800 106,200.00
400 35,600.00
0
120 240,000.00
0
160 200,000.00
1 473,000.00
1 126,500.00
1200 469,200.00
0
0
0
0
5000 285,000.00
2 3 285,001.19
10 10 30 117,546.00
40 40 160,000.00
0
600 34,200.00
1500 160,500.00
0 1000
0 1000
0 100
0
0 3000
0
0 500
0 1000
0 3300
0
0 40
0 2000
0 8000
0 2000
0
0 500
0 1000
0
0 40000
0 500
0 50
0 2000
0
0 10
0 350
0 200
0 2000
0
0
0 1
0 720
0 1
0 1
0
0 40000
0 300
0
0 200
0 20
0 100
0
0 60
0 300
0 7500
0 50
0 1000
0
0 60
0 30
0 30
0 20
0
0 60
0 3000
0
0 3000
0 2000
0
0 4750
0 200
0 100
0
0 1000
0 1000
0 50
0 200
0 500
0 300
0 300
0
0 10000
0 25000
0 600
0
0 100
0 2000
0 60
0 25000
0 200
0
0 30
0 60
0 300
0 100
0 3000
0 100
0 50
0
0 60000
0 100
0
0 2000
0 300
0 30
0
0 70
0 1200
0 15
0 500
0 1000
0 1000
0
0 200
0 30
0 10
0 10
0 25
0
0
0 10000
0 6000
0 500
0
0 100
0 200
0
0 60
0 6000
0 15
0 100
0
0 40
0 200
0
0 3000
0 30
0
0 2000
0 500
0 10
0 50
0 200
0
0 8000
0 400
0 10
0 5
0 400
0 400
0 6000
0 180
0 25
0 200
0
0 100
0
0
0 4000
9000 3,096,000.00
0
18 18 75,888.00
500 2000 576,000.00
8400 8400 2,419,200.00
100 100 14,400.00
1000 138,000.00
4000 4000 10,780,000.00
16 5 53 19,079,470.00
37 13,319,630.00
1 1 3 3,599,970.00
3 644,970.00
1000 1000 2000 150,000.00
1000 2000 128,000.00
1350 351,000.00
12650 5,148,550.00
0
3000 24000 1,056,000.00
500 2000 948,000.00
5000 1,305,000.00
60 60 146,700.00
60 129,600.00
25 71,600.00
0
3000 246,000.00
1000 80,000.00
24 38,400.00
500 1000 89,000.00
48 4,272.00
200 35,200.00
300 151,200.00
60 102,960.00
500 385,000.00
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0 500 500
0 500 1000
0 1 2
0 500
0 12
0 12
0 100 100
0 25 100 100 150
0 1
0 144 288 288 288
0 500
0 1000 1000
0 1000 1500
0 10 5 3
0 500 500
0 500 1000
0 100
0 30
0 60 60 60 120
0
0
0
0
0
500 500 71,500.00
300 300 45,300.00

10 10 355,320.00
300 300 40,200.00
200 200 20,800.00
200 200 1,430,000.00
5 5 850,000.00
428394 134,214,255.39
Pencairan Habis Pakai
12 Total Nilai 1 2 3 4 5 6 7 8 9 10 11 12
0 100 20 80
0 160 304 303 42 190 242 188 86 243
0 1 2 2 2 3
0 1 3 2 1 2 0
0 26 66 238 130 128 210 202
0 46 320 276 58
0
0 564 758 517 1007 839
0 700 10 408 882 0
0 16 24 61 3
0 31 56 162 51 778 122
0 424 832 510 236 482
0 4537 6014 5827 4650 7755 3756 7634
0 4422 1827
0 3359 4376 2265 0
0 46 29 33 43 21
0 41 12 37 44 29 0 13
0 0 136 2410 1454 1789 1211 1000 0
0 2921 3393 1801 0
0 1569 3677 5716 4562 3812 4359 3561 6335 3166 4243
0 4
0 13 26 21 0
0 3 27
0 0 25 50 25 0
0 26 7 10 39 88
0 0 4 6 0 5 5
0
0 8
0 20 40 10 4 17 5
0 76 106 110 218 350 250 74 438 454
0 50 26 124 0 100 0
0 270 60 200 385 189 157 100 110 65
0 0 206 1290 1543 961 100 0
0 0 24 1 35 0
0 10
0 57 66 20 20 10 30 44 122
0 144 163 70 82
0 4
0
0 1 25 26 20 128 42 59 49 0
0
0 1
0 1
0 0 0 2
0 0 6 94 30 32 38 0
0 3 3 1 70
0 2 1 3 24
0 0 3238 262
0 2 3 2 2 1
0 0 1 0
0 3 3 7 6
0 637
0 1000
0 9 10 4 7 14 9
0 6 10 20 8 20 36 22 52 19
0 10 10 61 19
0 0 146 154 0 208 60 10 16 40 66
0 1 1 4 1 2 4
0 6 132 7 48 40 10
0 227 58 1595 0
0 8 12 8 7 10 6 14 3
0 40 20 10 30 120 43 0
0 13 7 6 8 10 6 5 10 3 8 14
0 3 2 2 2 3 1 0
0 1 1 0
0 60 20 260 300 92 118 80 106 80 74 10
0 2 4 4
0
0 129 246 216 38 300

0 7 8 6 9 7 25 97
0 100
0 106 86 217 132 272
0 179 289 144 304 84 179
0 1 0 0
0 0 600 0
0 0 500 440 60
0 317 300 300 600 300 0
0 0 3110 5085 4805 9385 3985 4019 1611 3000 1958 42
0 50 0 50 90 10
0 40
0 9 9
0 4 9 10 17
0 47 10 8
0 42 58
0 32 80 60 28
0 10
0 0 256 243 92 225 74 55 82 24
0 8 39 25 48
0 14 24 24
0 44 6 38 36 26
0 26 24 24 22 4
0 22 26 60 27 5 10
0 1000 1000 1000
500 0
0 102 240 120
0 2 5 0
0 171 1029 1428 481 1891 0 3000
0 12 8 4 3
0 90
0 10 6 84
0
0
0 0 560 521 919 1804 975 335 691 830 154 211
0 1 4 2 2 1 2 2 1
0 1192 1406 1164 1664
0 1000
0 10 20 30 10 10 20 10 30 30 20 0
0 30
0 10 25 30 40 77 17 3 68 35
0 20 70 30 10 20 6
0 290 154 195 0 500 0
0 231 407 224 465 352 52
0 300 200 0
0 24 48 0
0 1 0
0 50 10 50 30 10 50 20 20 40
0 2 2 1 2
0 3 9 22 26 20 16 15 12 22 8
0 568 275 35
0 467 133
0 1000 873 127 810 190 0 700
0 206 140 260 100 310 490 200 168 132 0
0 19 59 1 0 0
0 54
0 40 60 10 40 32 18 0
0 1 1
0 0
0 0
0 0 28 572 0
0 2 3 6 1
0 105 102
0 84 116
0 88 4 18 230
0 114 200 6 125 149 132 88 52
0 70 70 26 14
0 20 172 108
0 250 261 330 149
0 300 473 27 0
0 3 6
0 200 1500 0
0 166 0
0 27 14
0 19 21 20 20 39 21 0
0 180 40 580 156 44 0
0 26 94 4 0 118 86 128 168 0
0 2
0 10 8 10
0 30 40 30 39 31 29 0
0 50
0 30 20 338 220 80
0 54 54 54 6
0 52 65 76 59
0 983 6813 7682 5505
0 13861 8602 7537 10000 9895 8079 10273
0 17 8 10 1 5 7 11
0 20 20 230
0 727 360
0 321 921 1104 875 779 0 1000 1882 618
0 0 10 110 320 690 167 103 100 0
0 2 2 2 6 2 3 2 2 3
0 3 7
0 1 2 3 1 2
0 1961 1741 637
0 128 1240 632 0
0 0 59 11 46 104 69 25 56 0
0 288 140 260 280 820
0 55 430 546 469 465 35 0 20
0 120 60 73 27 0
0 124 215 109 85 7
0 245 159 708
0 230 230 104 64 158 154 0
0 40 9
0 24 24 33 39
0 16 23 6
0 14 20 30 18 21 25 6 8 17 1
0 2 1 0 0
0 0 1 1 0
0 10 124 160 120 90 134 120 256 186
0 84
0 100 6 24 10 100 2
0 36 124 30 30 40 20 20 60 50 75 100
0 30 0 0
0 0 1705 1295 1000 1000 0
0 1 1 0 2
0 3 10 0 4
0 5
0 1543 1570 1311 233
0 600 0
0 0 1500 0 0
1000 349,000.00 6
1000 990,000.00 12 14
100 129,800.00
0 2 3
3000 2,376,000.00 163 238
0 1 1
500 489,500.00 29 92
0 3 2
1000 1,655,500.00 57 66
3300 5,463,150.00 161 456
0 3 3 2 5 2 3
40 860,000.00 1 2 2 1 5
2000 200,000.00 100
8000 720,000.00 52 398
2000 372,000.00 182 399
0 2 2 2 4
500 72,500.00 26 169 305
1000 2,090,000.00 2 47
60000 60000 13,920,000.00
40000 2,480,000.00 237
500 2,079,000.00 49 57
50 152,250.00 5 6
2000 208,000.00 22
0 9 7 2 1 1
10 300,000.00 3
350 358,750.00 2 26
200 2,150,000.00 10
2000 291,320.00
0 3 4 18 20 9 2 12 12 3 10
0 1
1 363,000.00 1
720 4,019,997.60 9
1 1,310,000.00 1
1 1,335,000.00 1
0 2 1 2
40000 1,760,000.00 40 2720 2515
300 352,500.00 32
0 1 1 1 1 1
200 21,000.00 15 26
20 60,000.00 2 8
100 11,800.00
0 1 1 1
60 132,240.00
300 2,010,000.00
7500 2,475,000.00 35 11
50 442,050.00
1000 691,000.00 557

0 1 1 1 12
60 480,000.00 4 5 1 1
30 240,000.00
30 240,000.00
20 160,000.00
0 6 4
60 480,000.00 3 2
3000 234,000.00 32 602
0 2 1 2 2 13
3000 792,000.00 4 452
2000 578,000.00 659 693
0 2
4750 3,087,500.00 399 1242
200 920,000.00
100 690,000.00 37
0 1 1
1000 149,000.00
1000 2,650,000.00 41 45 76
50 205,000.00
200 760,000.00 27 23 1 36
500 1,900,000.00 50 11 26
300 1,140,000.00 50 22 17
300 1,140,000.00 16 12 19 5
0 200
10000 1,050,000.00 3271 3433
25000 3,175,000.00 100 293 4148
600 4,392,600.00 18 36
0 80 50 105 65
100 1,040,600.00 4 3
2000 126,000.00 10 942
60 1,454,254.20 2 8
25000 1,700,000.00 396
200 54,000.00 40 50
0 20 9 8 13
30 54,500.10
60 7,847,520.00 4 3
300 1,145,667.00
100 110,707.00 40
3000 23,795,070.00 50 20
100 254,500.00
50 89,900.00 4 46
0 1000
60000 2,520,000.00 5684 2385
100 16,200.00
0 2 31 17
2000 302,000.00 35 659

300 642,000.00 8 42
30 435,000.00
0 3 2 9 7 6 3
70 2,487,240.00 4 4
1200 2,214,000.00 4 168

15 615,000.00 2
500 50,000.00 174 94 232
1000 90,000.00
1000 133,000.00 471
0 5 1
200 650,000.00 13 21 37
30 886,494.90 2
10 55,000.00
10 55,000.00
25 137,500.00
0 22 26 2
0 2 32 11 5
10000 1,450,000.00 48 686
6000 954,000.00 18 430

500 52,000.00 50 414
0 1 1
100 190,008.00 2
200 1,040,000.00 88
0 50
60 729,300.00 12 13
6000 708,000.00
15 1,115,873.25 1
100 290,000.00 10
0 2 2 3 3
40 720,000.00 5
200 12,000.00
0 5 3 2
3000 315,000.00 378 338 758
30 76,500.00 5
0 5 2 3
2000 166,000.00
500 1,214,500.00 9 66
10 1,700,000.00
50 337,250.00
200 219,600.00 64
0 1 1 1 1 1
8000 2,016,000.00 252 164 129
400 117,600.00
10 115,170.00
5 1,067,062.35
400 1,212,000.00
400 775,600.00 11 5
6000 516,000.00
180 2,515,680.00
25 25,000.00
200 924,000.00 10
0 7 6 6 1
100 84,700.00
0 3 59 24 14
0 2 3 3 2
4000 2,056,000.00 320
0 361
0 3918
0 14
0 300 461 316 286 372 265
0
0 50 10
0 1000
0
0 16 16 16 5
0 18 19
0 1 2
0 3
0 212 1172
0 450 550 828
0 352 412 338
0 3001 264 3512 842 18

0 1020 7710 5298 55389
0 3004 4240 13756 0 3000
0 0 54 563 383 0 167 270 410 153
0 5000
0 48 12
0 25 35
0 4 9 8 1 3
0 25
0 1000 1000 599 401
0 200 300 476 24
0 24
0 80 62 68 230 106 192 182 30
0 24 15 9
0 200
0 60 240
0 24 9 6 13 8 0
0 500 0
0 20 260
0
0 42 390
0 10 303
0 270
0 1 2
0 3
0 1 1 1
0 11
0 11
0 2
0 45 19
0 1
0 4 3
0 10
0 1500
0 2000
0 1000 1000
0 300
0 9 8 3
0 48
0 50
0 400 200 180 220
0 50
0 600
0 1000
0 2
0 10
0 20
0 480
0 500
0 500
0 50
0 22 11 15
1000 1,518,000.00 250 210 40 120 200 180
1500 1,822,500.00 100 210 190 150
3 73,500.00 1 2
500 65,000.00 500
12 57,000.00 12
12 26,400.00
200 1,144,000.00 100
375 4,933,500.00 10 5 5 20 35 10 40 50 10 1
1 20,900.00 1
1008 415,029.89 50 28 16 100 95 143 80 98 110 16 96
500 65,000.00 500
2000 4,170,000.00 15 505 400 40 250 395 207 208
2500 4,862,500.00 315 629 12 593
18 385,110.00 10 5 3
1000 6,116,000.00 50 250 210 40 120 200 93 87
1500 9,150,000.00 3 202 196 53 151
100 197,800.00 35 8 13 15
30 8,100,840.00 28 2
300 77,250,000.00 50 10 9 51 35 22 77 39
0 1 1
0 7 13
0 2
0 1
0 3
0 30
0
0 6
0
0
0 96
0
389777 269,202,534.29
Jumlah Jumlah Nilai
Nilai Stok
Total Nilai Stok Sisa Stok Sisa Stok
200 130,000.00 200 0 130,000.00 0
1758 1,142,700.00 1900 142 1,235,000.00 92,300.00
10 25,000.00 10 0 25,000.00 0
9 193,500.00 14 5 301,000.00 107,500.00
1000 85,998.00 1000 0 85,998.00 0
700 60,200.00 700 0 60,200.00 0
0 200 200 76,000.00 76,000.00
3685 294,800.00 3685 0 294,800.00 0
2000 160,000.00 2000 0 160,000.00 0
104 34,320.00 104 0 34,320.00 0
1200 396,000.00 1200 0 396,000.00 0
2484 464,508.00 3000 516 561,000.00 96,492.00
40173 9,320,136.00 45000 4827 10,440,000.00 1,119,864.00
6249 1,630,989.00 6249 0 1,630,989.00 0
10000 2,610,000.00 10000 0 2,610,000.00 0
172 420,540.00 172 0 420,540.00 0
176 430,320.00 176 0 430,320.00 0
8000 1,760,000.00 8000 0 1,760,000.00 0
8115 584,280.00 8115 0 584,280.00 0
41000 2,952,000.00 43000 2000 3,096,000.00 144,000.00
4 8,640.00 4 0 8,640.00 0
60 129,600.00 60 0 129,600.00 0
30 74,730.00 30 0 74,730.00 0
100 251,600.00 100 0 251,600.00 0
170 292,187.50 170 0 292,187.50 0
20 60,900.00 20 0 60,900.00 0
0 200 200 27,000.00 27,000.00

8 40,000.00 8 0 40,000.00 0
96 211,200.00 120 24 264,000.00 52,800.00
2076 197,220.00 4076 2000 387,220.00 190,000.00
300 28,500.00 300 0 28,500.00 0

1536 73,728.00 1536 0 73,728.00 0
4100 902,000.00 4100 0 902,000.00 0
60 540,000.00 60 0 540,000.00 0
10 92,750.00 300 290 2,782,500.00 2,689,750.00
369 123,984.00 369 0 123,984.00 0
459 154,224.00 500 41 168,000.00 13,776.00
4 5,059.85 30 26 37,948.89 32,889.04
0 100 100 450,000.00 450,000.00
350 532,000.00 350 0 532,000.00 0

0 20 20 137,000.00 137,000.00
1 134,000.00 1 0 134,000.00 0
1 195,000.30 1 0 195,000.30 0
2 418,000.00 2 0 418,000.00 0
200 36,201.00 200 0 36,201.00 0
77 107,800.00 77 0 107,800.00 0
30 47,400.00 30 0 47,400.00 0
3500 217,000.00 3500 0 217,000.00 0
10 187,000.00 10 0 187,000.00 0
1 160,000.00 1 0 160,000.00 0
19 1,064.00 96 77 5,376.00 4,312.00
637 22,295.00 637 0 22,295.00 0
1000 35,000.00 1000 0 35,000.00 0
53 55,650.00 53 0 55,650.00 0
193 18,721.00 193 0 18,721.00 0
100 9,700.00 100 0 9,700.00 0
700 72,800.00 700 0 72,800.00 0
13 202,800.00 13 0 202,800.00 0
243 12,456.18 297 54 15,224.22 2,768.04
1880 49,632.00 1880 0 49,632.00 0
68 550,800.00 265 197 2,146,500.00 1,595,700.00

263 244,590.00 263 0 244,590.00 0
90 693,000.00 189 99 1,455,300.00 762,300.00
13 1,430,000.00 13 0 1,430,000.00 0
2 87,083.33 2 0 87,083.33 0
1200 1,350,030.00 1200 0 1,350,030.00 0
10 165,000.00 10 0 165,000.00 0
0 200 200 18,600.00 18,600.00
929 585,270.00 929 0 585,270.00 0

159 248,994.00 159 0 248,994.00 0
100 2,200,000.00 100 0 2,200,000.00 0
813 69,105.00 813 0 69,105.00 0
1179 339,552.00 1179 0 339,552.00 0
1 395,000.00 1 0 395,000.00 0
600 33,600.00 600 0 33,600.00 0
1000 236,000.00 1000 0 236,000.00 0
1817 792,212.00 1817 0 792,212.00 0
37000 1,628,000.00 37000 0 1,628,000.00 0
200 836,000.00 200 0 836,000.00 0
40 228,000.00 40 0 228,000.00 0
18 93,600.00 18 0 93,600.00 0
40 208,000.00 40 0 208,000.00 0
65 12,610.00 65 0 12,610.00 0
100 20,900.00 100 0 20,900.00 0
200 41,800.00 200 0 41,800.00 0
10 960 100 90 9,600.00 8,640.00
1051 156,599.00 1500 449 223,500.00 66,901.00
120 335,760.00 120 0 335,760.00 0
62 595,386.00 62 0 595,386.00 0
150 1,052,700.00 150 0 1,052,700.00 0
100 701,800.00 100 0 701,800.00 0
150 1,052,700.00 150 0 1,052,700.00 0
3500 385,000.00 3500 0 385,000.00 0
462 69,300.00 462 0 69,300.00 0
7 24,493.00 7 0 24,493.00 0
8000 1,200,000.00 8000 0 1,200,000.00 0
27 94,500.00 50 23 175,000.00 80,500.00
90 8,280.00 90 0 8,280.00 0
100 8,800.00 100 0 8,800.00 0

0 100 100 1,005,000.00 1,005,000.00
0 60 60 603,000.00 603,000.00
7000 490,000.00 7000 0 490,000.00 0
15 187,500.00 15 0 187,500.00 0
5426 455,784.00 5426 0 455,784.00 0
1000 84,000.00 1000 0 84,000.00 0
190 46,550.00 190 0 46,550.00 0
30 88,572.00 30 0 88,572.00 0
305 92,564.45 305 0 92,564.45 0
156 46,800.00 190 34 57,000.00 10,200.00
1139 411,179.00 1139 0 411,179.00 0
1731 399,861.00 1731 0 399,861.00 0
500 124,500.00 500 0 124,500.00 0
72 115,200.00 72 0 115,200.00 0
1 45,100.00 1 0 45,100.00 0
280 37,240.00 280 0 37,240.00 0
7 87,150.00 10 3 124,500.00 37,350.00
153 331,551.00 153 0 331,551.00 0
878 144,870.00 878 0 144,870.00 0
600 82,800.00 600 0 82,800.00 0
3700 510,600.00 3700 0 510,600.00 0
2006 152,255.40 2006 0 152,255.40 0
79 107,677.00 79 0 107,677.00 0
54 8,316.00 54 0 8,316.00 0
200 30,800.00 200 0 30,800.00 0
2 110,000.00 2 0 110,000.00 0
0 0 5 5 7,698.90 7,698.90
0 0 5 5 9,739.40 9,739.40
600 138,000.00 600 0 138,000.00 0
12 33,000.00 20 8 55,000.00 22,000.00

207 25,047.00 207 0 25,047.00 0
200 30,800.00 200 0 30,800.00 0
340 100,582.20 340 0 100,582.20 0
866 93,528.00 914 48 98,712.00 5,184.00
180 22,104.00 180 0 22,104.00 0
300 33,000.00 300 0 33,000.00 0
990 158,400.00 990 0 158,400.00 0
800 128,000.00 800 0 128,000.00 0
9 99,000.00 9 0 99,000.00 0
1700 226,100.00 1700 0 226,100.00 0
166 29,216.00 166 0 29,216.00 0
41 192,700.00 41 0 192,700.00 0
140 658,000.00 140 0 658,000.00 0
1000 528,000.00 1000 0 528,000.00 0
624 69,888.00 624 0 69,888.00 0
2 429,900.00 2 0 429,900.00 0
28 61,600.00 28 0 61,600.00 0
199 41,989.00 199 0 41,989.00 0
50 82,500.00 50 0 82,500.00 0
688 492,608.00 688 0 492,608.00 0
168 221,575.20 168 0 221,575.20 0
252 362,376.00 252 0 362,376.00 0
20983 1,657,657.00 20983 0 1,657,657.00 0
68247 5,391,513.00 82000 13753 6,478,000.00 1,086,487.00
59 677,025.00 59 0 677,025.00 0
270 52,380.00 270 0 52,380.00 0
1087 18,892.06 1087 0 18,892.06 0
7500 825,000.00 7500 0 825,000.00 0
1500 214,500.00 1500 0 214,500.00 0
24 417,432.00 24 0 417,432.00 0
10 21,630.00 10 0 21,630.00 0
9 127,827.00 9 0 127,827.00 0
4339 277,696.00 4339 0 277,696.00 0
2000 228,000.00 2000 0 228,000.00 0
370 421,800.00 370 0 421,800.00 0
1788 214,560.00 1788 0 214,560.00 0
2020 242,400.00 4000 1980 480,000.00 237,600.00
280 1,456,000.00 280 0 1,456,000.00 0
540 3,861,000.00 540 0 3,861,000.00 0
1112 65,608.00 1800 688 106,200.00 40,592.00
940 83,660.00 940 0 83,660.00 0
49 88,200.00 49 0 88,200.00 0
120 240,000.00 120 0 240,000.00 0
45 56,250.00 45 0 56,250.00 0
160 200,000.00 160 0 200,000.00 0
3 1,419,000.00 3 0 1,419,000.00 0
2 253,000.00 2 0 253,000.00 0
1200 469,200.00 1200 0 469,200.00 0
84 21,420.00 84 0 21,420.00 0
242 76,230.00 300 58 94,500.00 18,270.00
585 87,165.00 1235 650 184,015.00 96,850.00
30 12,930.00 30 0 12,930.00 0
5000 285,000.00 5000 0 285,000.00 0
4 380,001.59 4 0 380,001.59 0
17 66,609.40 33 16 129,300.60 62,691.20
5 20,000.00 40 35 160,000.00 140,000.00
4657 57,555.86 4657 0 57,555.86 0
600 34,200.00 600 0 34,200.00 0
1500 160,500.00 1500 0 160,500.00 0
6 2,094.00 1000 994 349,000.00 346,906.00
26 25,740.00 1000 974 990,000.00 964,260.00
0 100 100 129,800.00 129,800.00
5 325,000.00 5 0 325,000.00 0
401 317,592.00 3000 2599 2,376,000.00 2,058,408.00
2 150,000.00 2 0 150,000.00 0
121 118,459.00 500 379 489,500.00 371,041.00
5 827,750.00 5 0 827,750.00 0
123 203,626.50 1000 877 1,655,500.00 1,451,873.50

617 1,021,443.50 3300 2683 5,463,150.00 4,441,706.50
18 2,979,900.00 18 0 2,979,900.00 0
11 236,500.00 45 34 967,500.00 731,000.00
100 10,000.00 2000 1900 200,000.00 190,000.00
450 40,500.00 8000 7550 720,000.00 679,500.00
581 108,066.00 2000 1419 372,000.00 263,934.00
10 80,000.00 10 0 80,000.00 0
500 72,500.00 500 0 72,500.00 0
49 102,410.00 1000 951 2,090,000.00 1,987,590.00
0 60000 60000 13,920,000.00 13,920,000.00
237 14,694.00 40000 39763 2,480,000.00 2,465,306.00
106 440,748.00 500 394 2,079,000.00 1,638,252.00
11 33,495.00 50 39 152,250.00 118,755.00
22 2,288.00 2000 1978 208,000.00 205,712.00
20 96,000.00 20 0 96,000.00 0
3 90,000.00 10 7 300,000.00 210,000.00
28 28,700.00 350 322 358,750.00 330,050.00
10 107,500.00 200 190 2,150,000.00 2,042,500.00
0 2000 2000 291,320.00 291,320.00
93 334,800.00 100 7 360,000.00 25,200.00
1 24,500.00 1 0 24,500.00 0
1 363,000.00 1 0 363,000.00 0
9 50,249.97 720 711 4,019,997.60 3,969,747.63
1 1,310,000.00 1 0 1,310,000.00 0
1 1,335,000.00 1 0 1,335,000.00 0
5 39,995.00 5 0 39,995.00 0
5275 232,100.00 40000 34725 1,760,000.00 1,527,900.00
32 37,600.00 300 268 352,500.00 314,900.00
5 157,500.00 5 0 157,500.00 0
41 4,305.00 200 159 21,000.00 16,695.00
10 30,000.00 20 10 60,000.00 30,000.00
0 100 100 11,800.00 11,800.00
3 108,810.00 3 0 108,810.00 0
0 60 60 132,240.00 132,240.00
0 300 300 2,010,000.00 2,010,000.00
46 15,180.00 7500 7454 2,475,000.00 2,459,820.00
0 50 50 442,050.00 442,050.00
557 384,887.00 1000 443 691,000.00 306,113.00

15 1,537,650.00 15 0 1,537,650.00 0
11 88,000.00 70 59 560,000.00 472,000.00
0 30 30 240,000.00 240,000.00
0 30 30 240,000.00 240,000.00
0 20 20 160,000.00 160,000.00
10 80,000.00 10 0 80,000.00 0
5 40,000.00 60 55 480,000.00 440,000.00
634 49,452.00 3000 2366 234,000.00 184,548.00
20 170,000.00 20 0 170,000.00 0
456 120,384.00 3000 2544 792,000.00 671,616.00
1352 390,728.00 2000 648 578,000.00 187,272.00
2 120,098.00 2 0 120,098.00 0
1641 1,066,650.00 4750 3109 3,087,500.00 2,020,850.00
0 200 200 920,000.00 920,000.00
37 255,300.00 100 63 690,000.00 434,700.00
2 41,800.00 2 0 41,800.00 0
0 1000 1000 149,000.00 149,000.00
162 429,300.00 1000 838 2,650,000.00 2,220,700.00
0 50 50 205,000.00 205,000.00
87 330,600.00 250 163 950,000.00 619,400.00
87 330,600.00 550 463 2,090,000.00 1,759,400.00
89 338,200.00 350 261 1,330,000.00 991,800.00
52 197,600.00 350 298 1,330,000.00 1,132,400.00
200 2,200,000.00 200 0 2,200,000.00 0
6704 703,920.00 10000 3296 1,050,000.00 346,080.00
4541 576,707.00 25000 20459 3,175,000.00 2,598,293.00
54 395,334.00 600 546 4,392,600.00 3,997,266.00
300 960,000.00 300 0 960,000.00 0
7 72,842.00 100 93 1,040,600.00 967,758.00
952 59,976.00 2000 1048 126,000.00 66,024.00
10 242,375.70 60 50 1,454,254.20 1,211,878.50
396 26,928.00 25000 24604 1,700,000.00 1,673,072.00
90 24,300.00 200 110 54,000.00 29,700.00
50 290,000.00 50 0 290,000.00 0
0 30 30 54,500.10 54,500.10
7 915,544.00 60 53 7,847,520.00 6,931,976.00
0 300 300 1,145,667.00 1,145,667.00
40 44,282.80 100 60 110,707.00 66,424.20
70 555,218.30 3000 2930 23,795,070.00 23,239,851.70
0 100 100 254,500.00 254,500.00
50 89,900.00 50 0 89,900.00 0
1000 5,100,000.00 1000 0 5,100,000.00 0
8069 338,898.00 60000 51931 2,520,000.00 2,181,102.00
0 100 100 16,200.00 16,200.00
50 108,350.00 50 0 108,350.00 0
694 104,794.00 2000 1306 302,000.00 197,206.00

50 107,000.00 300 250 642,000.00 535,000.00
0 30 30 435,000.00 435,000.00
30 1,065,958.80 30 0 1,065,958.80 0
8 284,256.00 70 62 2,487,240.00 2,202,984.00
172 317,340.00 1200 1028 2,214,000.00 1,896,660.00

2 82,000.00 15 13 615,000.00 533,000.00
500 50,000.00 500 0 50,000.00 0
0 1000 1000 90,000.00 90,000.00
471 62,643.00 1000 529 133,000.00 70,357.00
6 24,600.00 20 14 82,000.00 57,400.00
71 230,750.00 200 129 650,000.00 419,250.00
2 59,099.66 30 28 886,494.90 827,395.24
0 10 10 55,000.00 55,000.00
0 10 10 55,000.00 55,000.00
0 25 25 137,500.00 137,500.00
50 332,500.00 50 0 332,500.00 0
50 440,000.00 50 0 440,000.00 0
734 106,430.00 10000 9266 1,450,000.00 1,343,570.00
448 71,232.00 6000 5552 954,000.00 882,768.00

464 48,256.00 500 36 52,000.00 3,744.00
2 96,000.00 2 0 96,000.00 0
2 3,800.16 100 98 190,008.00 186,207.84
88 457,600.00 200 112 1,040,000.00 582,400.00
50 71,900.00 50 0 71,900.00 0
25 303,875.00 60 35 729,300.00 425,425.00
0 6000 6000 708,000.00 708,000.00
1 74,391.55 15 14 1,115,873.25 1,041,481.70
10 29,000.00 100 90 290,000.00 261,000.00
10 180,000.00 10 0 180,000.00 0
5 90,000.00 40 35 720,000.00 630,000.00
0 200 200 12,000.00 12,000.00
10 95,000.00 10 0 95,000.00 0
1474 154,770.00 3000 1526 315,000.00 160,230.00
5 12,750.00 30 25 76,500.00 63,750.00
10 25,500.00 10 0 25,500.00 0
0 2000 2000 166,000.00 166,000.00
75 182,175.00 500 425 1,214,500.00 1,032,325.00
0 10 10 1,700,000.00 1,700,000.00
0 50 50 337,250.00 337,250.00
64 70,272.00 200 136 219,600.00 149,328.00
5 550,000.00 5 0 550,000.00 0
545 137,340.00 8000 7455 2,016,000.00 1,878,660.00
0 400 400 117,600.00 117,600.00
0 10 10 115,170.00 115,170.00
0 5 5 1,067,062.35 1,067,062.35
0 400 400 1,212,000.00 1,212,000.00
16 31,024.00 400 384 775,600.00 744,576.00
0 6000 6000 516,000.00 516,000.00
0 180 180 2,515,680.00 2,515,680.00
0 25 25 25,000.00 25,000.00
10 46,200.00 200 190 924,000.00 877,800.00
20 60,000.00 20 0 60,000.00 0
0 100 100 84,700.00 84,700.00
100 570,000.00 100 0 570,000.00 0
10 474,000.00 10 0 474,000.00 0
320 164,480.00 4000 3680 2,056,000.00 1,891,520.00
361 124,184.00 9000 8639 3,096,000.00 2,971,816.00
3918 904,979.64 3918 0 904,979.64 0

14 59,024.00 18 4 75,888.00 16,864.00
2000 576,000.00 2000 0 576,000.00 0
0 8400 8400 2,419,200.00 2,419,200.00
60 8,640.00 100 40 14,400.00 5,760.00
1000 138,000.00 1000 0 138,000.00 0
0 4000 4000 10,780,000.00 10,780,000.00
53 19,079,470.00 53 0 19,079,470.00 0
37 13,319,630.00 37 0 13,319,630.00 0
3 3,599,970.00 3 0 3,599,970.00 0
3 644,970.00 3 0 644,970.00 0
1384 103,800.00 2000 616 150,000.00 46,200.00
1828 116,992.00 2000 172 128,000.00 11,008.00
1102 286,520.00 1350 248 351,000.00 64,480.00
7637 3,108,259.00 12650 5013 5,148,550.00 2,040,291.00

69417 4,621,089.69 69417 0 4,621,089.69 0
24000 1,056,000.00 24000 0 1,056,000.00 0
2000 948,000.00 2000 0 948,000.00 0
5000 1,305,000.00 5000 0 1,305,000.00 0
60 146,700.00 60 0 146,700.00 0
60 129,600.00 60 0 129,600.00 0
25 71,600.00 25 0 71,600.00 0
25 614,582.52 25 0 614,582.53 0
3000 246,000.00 3000 0 246,000.00 0
1000 80,000.00 1000 0 80,000.00 0
24 38,400.00 24 0 38,400.00 0
950 84,550.00 1000 50 89,000.00 4,450.00
48 4,272.00 48 0 4,272.00 0
200 35,200.00 200 0 35,200.00 0
300 151,200.00 300 0 151,200.00 0
60 102,960.00 60 0 102,960.00 0
500 385,000.00 500 0 385,000.00 0
280 102,872.00 280 0 102,872.00 0
0 400 400 1,188,000.00 1,188,000.00
432 190,080.00 432 0 190,080.00 0
313 1,186,113.50 313 0 1,186,113.50 0
270 518,400.00 270 0 518,400.00 0
3 15,300.00 3 0 15,300.00 0
3 7,215.00 3 0 7,215.00 0
3 8,865.00 3 0 8,865.00 0
11 75,680.00 11 0 75,680.00 0
11 75,680.00 11 0 75,680.00 0
2 26,200.00 2 0 26,200.00 0
64 60,800.00 64 0 60,800.00 0
1 29,530.00 1 0 29,530.00 0
7 46,200.00 7 0 46,200.00 0
10 25,000.00 10 0 25,000.00 0
1500 391,500.00 1500 0 391,500.00 0
2000 190,000.00 2000 0 190,000.00 0

2000 224,000.00 2000 0 224,000.00 0
300 198,000.00 300 0 198,000.00 0
20 210,000.00 20 0 210,000.00 0
48 124,800.00 48 0 124,800.00 0
50 787,500.00 50 0 787,500.00 0
1000 204,000.00 1000 0 204,000.00 0
50 365,750.00 50 0 365,750.00 0
600 172,800.00 600 0 172,800.00 0
1000 150,000.00 1000 0 150,000.00 0
2 20,718.00 2 0 20,718.00 0
10 79,950.00 10 0 79,950.00 0
20 340,000.00 20 0 340,000.00 0
480 241,920.00 480 0 241,920.00 0
500 386,500.00 500 0 386,500.00 0
500 95,000.00 500 0 95,000.00 0

50 62,500.00 50 0 62,500.00 0
48 672,000.00 48 0 672,000.00 0
1000 1,518,000.00 1000 0 1,518,000.00 0
650 789,750.00 1500 850 1,822,500.00 1,032,750.00
3 73,500.00 3 0 73,500.00 0
500 65,000.00 500 0 65,000.00 0
12 57,000.00 12 0 57,000.00 0
0 12 12 26,400.00 26,400.00
100 572,000.00 200 100 1,144,000.00 572,000.00
186 2,447,016.00 375 189 4,933,500.00 2,486,484.00
1 20,900.00 1 0 20,900.00 0
832 342,564.35 1008 176 415,029.89 72,465.54
500 65,000.00 500 0 65,000.00 0
2020 4,211,700.00 2020 0 4,211,700.00 0
1549 3,012,805.00 2500 951 4,862,500.00 1,849,695.00
18 385,110.00 18 0 385,110.00 0
1050 6,421,800.00 1050 0 6,421,800.00 0
605 3,690,500.00 1500 895 9,150,000.00 5,459,500.00
71 140,438.00 100 29 197,800.00 57,362.00
30 8,100,840.00 30 0 8,100,840.00 0
293 75,447,500.00 300 7 77,250,000.00 1,802,500.00
2 440,000.00 2 0 440,000.00 0
20 580,000.00 20 0 580,000.00 0
2 88,000.00 2 0 88,000.00 0
1 110,000.00 1 0 110,000.00 0
3 33,750.00 3 0 33,750.00 0
30 4,290.00 500 470 71,500.00 67,210.00
0 300 300 45,300.00 45,300.00

6 213,192.00 10 4 355,320.00 142,128.00
0 300 300 40,200.00 40,200.00
0 200 200 20,800.00 20,800.00
96 686,400.00 200 104 1,430,000.00 743,600.00
0 5 5 850,000.00 850,000.00
558290 281,515,512.96 955707 397417 459,640,089.35 178,124,576.37
CATATAN :
1. saldo awal saja => Permintaan untuk meniadakan koma, jadi di view jmlh item tiada koma sedangkan untuk nilai tetep mem
2. Nilai Sisa Stok => Diperoleh dari Perkalian Jumlah sisa stok * harga
LAPORAN TAHUNAN PUSKESMAS [ SONGGON ]
No. Obat Id Kode Nama Harga Tahun Sumber
1 2079 1700525006 Alat Suntik sekali pakai - 3 ml 650 2015 APBD

2 6970 1701413015 Alat ukur Gula darah dan Cholesterol - 197,600.00 2017 APBD
3 6968 1700510272 Alat ukur tinggi badan - 50,000.00 2017 APBD
4 2110 1700505009 Alkohol 70% 1L 21,500.00 2015 APBD
5 9 1700509007 Alprazolam tablet 0,25 mg 380 2014 APBD
6 2121 1700509017 Amlodipin tablet 5 mg 187 2015 APBD
7 6845 1700509024 Amoksisilin kap 232 2016 APBD
8 2068 17015010029 Ampisillin Injeksi 1000 mg / ml 5,100.00 2015 APBD
9 2062 1700509032 Antasida DOEN I tablet kunyah 72 2015 APBD
Antimigren Doen kombinasi / Ergotamin
10 2100 1700509038 kofein 135 2015 APBD
11 1998 1700513027 Aqua Pro Injeksi 25 cc 2,200.00 2015 APBD
12 31 1700509047 Asam Askorbat (Vitamin C) tablet 50 mg 95 2014 APBD
13 2099 1700509047 Asam Askorbat (Vitamin C) tablet 50 mg 95 2015 APBD

14 2051 1700509048 Asam Folat tablet 1 mg 48 2015 APBD
15 6562 1700507013 Asering Lart infus 9,275.00 2016 APBD
16 2043 1700511004 Asiklovir 400 mg 336 2015 APBD
17 38 17015010055 Atropin sulfat injeksi 1,264.96 2013 APBD
18 39 1700511014 Azitromicin 500 Tab 4,500.00 2014 APBD
19 6555 1700513045 Bricasma inj. 6,850.00 2016 APBD
20 6599 17015010070 Cefixime 100 mg 2,860.00 2016 APBD
21 6972 1700504001 Cholesterol Stick 233,750.00 2017 APBD
22 564 1700511130 Diazepam 5 mg 56 2013 APBD
23 68 17015010107 Efedrin Hcl tablet 25 ml 51.26 2013 APBD
24 70 1700509113 HCl) 8,100.00 2014 APBD
25 73 1700509117 Eritromisin sirup 200 mg/ 5 ml 7,700.00 2014 APBD
26 7246 1700507028 Etil Klorida semprot 119,999.00 2017 APBD
27 81 17015010120 Fenitoin Natrium kapsul 30 mg 93 2013 APBD
28 104 1700509489 Gliclazide tablet 80 mg 236 2014 APBD
29 6594 1700511191 Gliseril Guayakolat tab 100 mg 111 2016 APBD
30 7251 1700511191 Gliseril Guayakolat tab 100 mg - 144.1 2017 APBD
31 6971 1700505286 Glucose Stick 155,100.00 2017 APBD
32 2039 1700511205 Haloperidol 5 mg tab 96 2015 APBD
33 2096 1700511207 Hidroklortiazide Tablet 25 mg 149 2015 APBD
34 6597 1700513450 Hyosin N Butilbromide injeksi - 10 mg 9,900.00 2016 APBD
35 2104 1700509191 Ibuprofen tablet 400 mg 150 2015 APBD
36 2081 1700525115 Infusion set anak 3,500.00 2015 APBD
37 6563 1700507043 KAEN - 3 A 10,050.00 2016 APBD
38 6564 1700507044 KAEN - 3 B 10,050.00 2016 APBD
39 143 17015010210 Kasa pembalut Hidrofil 4 M x 5 Cm 303.49 2012 APBD
40 145 1700509211 Ketokonazol tablet 200 mg 300 2014 APBD
41 6590 1700509212 Ketoprofen Injeksi 6,600.00 2016 APBD
42 6600 17015010217 Kloramfenikol tetes telinga 3 % 7,975.00 2016 APBD
43 2152 1700507057 Klorfeniramin Maleat tab 4 mg 195 2015 APBD
44 153 1700509488 Kombinasi parafin+gliserin+fenoltalein 12,450.00 2014 APBD
45 167 17015010237 Magnesium Sulfat Injeksi 20 % - 25 ml 1,539.78 2013 APBD
46 168 17015010238 Magnesium Sulfat Injeksi 40 % - 25 ml 1,947.88 2013 APBD
47 6596 1700513420 Metamizol Inj 8,800.00 2016 APBD
48 1992 1700513145 Metilergometrin Maleat inj.0.200 mg-1ml 2,750.00 2015 APBD

49 6591 1700509295 Metoklopramide Injeksi 5 mg / ml 4,400.00 2016 APBD
50 176 1700509298 Metoklopramide tablet 5 mg 108 2014 APBD
51 2105 1700509301 Metronidazol tablet 500 mg 160 2015 APBD
52 6588 1700507069 Multivitamin sirup 11,000.00 2016 APBD
53 6974 1700505124 Obyek Glass - 20,746.00 2017 APBD
54 6554 17015023808 ONDANSETRON 4 INJ 1,650.00 2016 APBD
55 6598 1700533213 Ondansetron 4 mg 1,478.00 2016 APBD
56 2076 1700509344 Parasetamol tablet 500 mg 79 2015 APBD
57 6976 1700507115 Pelilit Kapas/Cotton Aplicator/Lidi Watten - 1,670.00 2017 APBD

58 6969 1705251074 Pengukur Lingkar perut - 35,000.00 2017 APBD
59 199 1700509487 Permetrin Krim 11,475.00 2014 APBD
60 6592 1700509353 Piracetam injeksi 3 g/15 ml 20,017.52 2016 APBD
61 6975 1700505230 Pot Sputum - 2,728.00 2017 APBD
62 2116 1700509389 Ranitidin tablet 150 mg 120 2015 APBD
63 2032 1700509405 Salbutamol tablet 2 mg (sebagai Sulfat) 59 2015 APBD
64 6146 17015010333 Sefotaxim 1 g inj 4,898.00 2016 APBD
65 230 1700509452 Spironolakton tablet 25 mg 315 2014 APBD
66 232 1700507100 Tetrasiklin HCl kapsul 250 mg 149 2014 APBD
67 6602 17015021742 THIAMPHENICOL 500 TAB 1,265.00 2016 APBD
68 235 1700502085 Tri Kresol Formalin 95,000.40 2014 APBD
69 238 1700507105 Urine bag 3,918.20 2013 APBD
70 6556 1700513247 Ventolin Nebulizer 4,000.00 2016 APBD
71 6651 1700511004 Acyclovir 400mg 349 2016 JKN
72 6057 1700525004 Alat Suntik sekali pakai - 1 ml 990 2016 JKN
73 6058 1700525207 Alat Suntik sekali pakai - 10 ml 1,298.00 2016 JKN
76 5067 17015010007 Alat suntik sekali pakai 0.05 ml soloshot 1,655.50 2016 JKN
77 5070 1700525262 Alat suntik sekali pakai 0.5 ml soloshot 1,655.50 2016 JKN
78 5082 1700505009 Alkohol 70% 1L 21,500.00 2016 JKN
79 6170 1700514160 Alkohol Swab 100 2016 JKN
80 6324 1700509005 alopurinol tab 100 mg 90 2016 JKN
81 6431 1700509015 aminofilin tab 200 mg 186 2016 JKN
82 6371 1700509026 amoksisilin sir kering 125 mg/5 mL 2,090.00 2016 JKN
83 6338 1700509024 amoksisilin tab 500 mg 232 2016 JKN
84 6397 1700509032 antasida tablet kunyah 62 2016 JKN
85 6415 17015010042 antifungi / salep 3-6 4,158.00 2016 JKN
86 6339 1700509036 antihemoroid, kombinasi : suppositoria 3,045.00 2016 JKN
87 6340 1700509047 asam askorbat (vitamin C) tab 50 mg 104 2016 JKN
88 6185 17015080002 Aseptan 500 cc + pump 30,000.00 2016 JKN
89 6398 1700509408 bedak salisil serb 2% 1,025.00 2016 JKN
90 6202 1700518011 Bioplacenton Tule 10,750.00 2016 JKN
91 6186 1700525319 Blood Lancet 145.66 2016 JKN
92 5180 1700525010 Blood set 3,600.00 2016 JKN
93 6305 1700525014 Catgut 5,583.33 2016 JKN
94 6341 1700509088 deksametason tab 0,5 mg 44 2016 JKN
95 6416 1700509099 difenhidramin cairan inj i.v./i.m. 10 mg/mL 1,175.00 2016 JKN
96 6387 1700509100 digoksin tab 0,25 mg 105 2016 JKN
97 6343 1700509109 domperidon sir 5 mg/5 mL 3,000.00 2016 JKN
98 6258 1700509110 Domperidon Tablet 10 mg 118 2016 JKN
epinefrin (adrenalin) cairan inj i.v./i.m./s.k.
99 6401 1700509113 0,1% 2,204.00 2016 JKN
100 6344 1700509117 eritromisin sir kering 200 mg/5 mL 6,700.00 2016 JKN
101 6294 1700511163 Face Masker 2 Ply 330 2016 JKN
102 6171 1700511974 Feeding Tube 5 8,841.00 2016 JKN
103 6403 1700509136 fitomenadion (vitamin K1) tab salut 10 mg 691 2016 JKN
104 5307 1700525066 Folley catheter 18 8,000.00 2016 JKN
105 6225 17015010136 Folley Catheter 20 8,000.00 2016 JKN
106 5953 1700525339 Folley Catheter 22 8,000.00 2016 JKN
107 6226 1700525059 Folley catheter 24 8,000.00 2016 JKN
108 6306 1700525493 Folley Chateter 16 8,000.00 2016 JKN
109 6328 1700509144 furosemid tablet 40 mg 78 2016 JKN
110 6404 1700507035 garam oralit 264 2016 JKN
111 6329 1700509164 Glimepirid Tablet 2 mg 289 2016 JKN
112 6229 1700532009 Glove/Handscun 650 2016 JKN
113 6181 1700532009 Glove/Handscun 4,600.00 2016 JKN
114 6330 1700509176 glukosa 5% lar infus 6,900.00 2016 JKN
115 6347 1700511207 hidroklorotiazid tab 25 mg 149 2016 JKN
116 6348 1700509185 hidrokortison krim 2,5% 2,650.00 2016 JKN
117 6239 17015010529 I.V Catheter 26 4,100.00 2016 JKN
118 5400 1700525097 I.V. Catheter 18 3,800.00 2016 JKN
119 5402 1700525098 I.V. Catheter 20 3,800.00 2016 JKN
120 5403 1700525102 I.V. Catheter 22 3,800.00 2016 JKN
121 5404 1700525106 I.V. Catheter 24 3,800.00 2016 JKN
122 6335 1700511657 ibuprofen tab 200 mg 105 2016 JKN
123 6349 1700509191 ibuprofen tab 400 mg 127 2016 JKN
124 6172 1700525113 Infuset Dewasa 7,321.00 2016 JKN
125 6173 1700525115 Infusion set Anak 10,406.00 2016 JKN
126 6378 1700507048 kalsium laktat (kalk) tab 500 mg 63 2016 JKN
127 6757 1700525120 Kapas pembalut Hidrofil DRC 250 gr 24,237.57 2016 JKN
128 6400 1700509207 Kaptopril tab 25 mg 68 2016 JKN
129 6379 1700509209 karbamazepin tab 200 mg 270 2016 JKN
130 6759 1700525124 Kasa Kompres - 40/40 steril 1,816.67 2016 JKN
131 6756 17015010205 Kasa pembalut 36 M x 80 Cm 130,792.00 2016 JKN
132 6760 1700525126 Kasa pembalut Hidrofil DRC 4 m x 15 cm 3,818.89 2016 JKN
133 6763 17015010210 Kasa pembalut Hidrofil DRC 4 m x 5 cm 1,107.07 2016 JKN
134 6761 1700525128 Kasa Steril 16x16 7,931.69 2016 JKN
135 6351 1700509210 ketokonazol krim 2% 2,545.00 2016 JKN
136 6353 1700507057 klorfeniramin tab 4 mg 42 2016 JKN
137 6380 1700511257 klorpromazin tab sal selaput 100 mg 162 2016 JKN
kotrimoksazol (dewasa) kombinasi tab 480
138 6336 1700509245 mg 151 2016 JKN
139 6687 1700507060 Kotrimoksazol Susp 2,140.00 2016 JKN
140 6356 1700512114 laktulosa sir 3,335 g/5 mL 14,500.00 2016 JKN
141 5502 17015023517 Leukoplast 7,5x4,5 35,532.00 2016 JKN
142 6418 1700509261 lidokain kombinasi epinefrin cairan inj 2 mL 1,845.00 2016 JKN
143 5507 1700514058 Lysol 41,000.00 2016 JKN
144 6391 1700509297 metoklopramid tab 10 mg 90 2016 JKN
145 6409 1700509301 metronidazol tab 500 mg 133 2016 JKN
146 5852 1700511304 Metronidazole Suspensi 4,100.00 2016 JKN
147 6358 1700509302 mikonazol krim 2% 3,250.00 2016 JKN
148 6257 1700518070 My Jelly 29,549.83 2016 JKN
149 6192 17015020735 Nasal Canul Oksigen Anak 5,500.00 2016 JKN
150 6193 17015020736 Nasal Canul Oksigen Bayi 5,500.00 2016 JKN
151 6194 17015020737 Nasal Canul Oksigen Dewasa 5,500.00 2016 JKN
152 6410 1700511488 natrium diklofenak tab sal enterik 25 mg 145 2016 JKN
153 6411 1700509309 natrium diklofenak tab sal enterik 50 mg 159 2016 JKN
154 6259 17015010271 Nifedipin Tablet 10 mg 104 2016 JKN
155 6390 1700507078 oksitosin cairan inj 10 IU/mL 1,900.08 2016 JKN
156 5599 1700509341 Parasetamol drops 5,200.00 2016 JKN
157 5968 1700509487 Permetrin Krim 12,155.00 2016 JKN
158 6359 1700507082 piridoksin (vitamin B6) tab 10 mg 118 2016 JKN
159 6762 1700525364 Polifix 10 cm x 5 m 74,391.55 2016 JKN
160 6286 1700509368 Povidon Iodida larutan 10% 30 ml 2,900.00 2016 JKN
161 5650 1700509370 Povidon Iodida larutan 10% 300 ml 18,000.00 2016 JKN
162 6420 17015022545 propanolol tab 10 mg 60 2016 JKN
163 6260 1700509389 Ranitidin Tablet 150 mg 105 2016 JKN
164 6287 17015030353 Rivanol 2,550.00 2016 JKN
165 6360 1700509406 salbutamol tab 4 mg 83 2016 JKN
166 6421 1700509407 salep 2-4 2,429.00 2016 JKN
167 6322 1700513036 Serum Anti Tetanus Inj.1.500 IU / Amp 170,000.00 2016 JKN
168 6333 17015021332 setirizin sir 5 mg/5 mL 6,745.00 2016 JKN
169 6422 17015010341 sianokobalamin inj 500 mcg/ mL 1,098.00 2016 JKN
170 6361 1700509440 simvastatin tab sal selaput 20 mg 252 2016 JKN
171 6369 1700509452 spironolakton tab 25 mg 294 2016 JKN
172 6367 1700518056 stesolid lar rektal 5 mg/2,5 mL 11,517.00 2016 JKN
173 6010 1700510242 Stetoskop 213,412.47 2016 JKN
174 6293 1700525472 Surgical Blade 3,030.00 2016 JKN
175 6302 1700525237 Tes Kehamilan 1,939.00 2016 JKN
176 6587 1700511444 Tiamin Hcl ( Vit B1 ) Tablet 50 mg 86 2016 JKN
177 6174 1700525239 Transfusi Set 13,976.00 2016 JKN
178 5793 1700508096 Umbilical Cord Nylon OM 1,000.00 2016 JKN
179 6303 1700525501 Under pad 4,620.00 2016 JKN
180 6693 1700511462 Valdimex 5mg 847 2016 JKN
181 6334 1700511526 zinc tab dispersible 20 mg 514 2016 JKN
182 2153 1700509004 Albendazol tablet/tablet kunyah 400 mg 344 2015 PROGRAM
183 6136 1700509004 Albendazol tablet/tablet kunyah 400 mg 344 2016 PROGRAM
184 2154 1700509037 Antimalaria DOEN kombinasi 4,216.00 2015 PROGRAM
185 2157 1700509037 Antimalaria DOEN kombinasi 4,216.00 2016 PROGRAM
186 6075 17015020434 Calcii Glukonas Inj 10,425.00 2016 PROGRAM
187 2161 1700507127 Combipak IMS 288,199.00 2016 PROGRAM
188 6077 17015010122 Fenobarbital Injeksi 50 mg / ml 1,980.00 2016 PROGRAM
189 2127 1700507035 Garam Oralit 200 ml 288 2015 PROGRAM
190 6076 1700509154 Gentamisin injeksi 40 mg/ ml 3,399.00 2016 PROGRAM
191 2139 1700511205 Haloperidol 5 mg tab 88 2015 PROGRAM
192 6100 1700511257 Klorpromazine 100 mg tab 144 2016 PROGRAM
193 6074 17015010238 Magnesium Sulfat Injeksi 40 % - 25 ml 2,629.00 2016 PROGRAM
194 7047 1700533309 MDT MB - Dewasa 28,424.00 2017 PROGRAM
195 6948 1700533309 MDT MB - Dewasa 30,595.00 2017 PROGRAM
196 6125 1700509303 MINERAL MIX 2,695.00 2016 PROGRAM
197 2159 1700509325 Obat Anti Tuberculosis FDC Kategori 1 359,990.00 2016 PROGRAM
200 1995 1700509325 Obat Anti Tuberkulosis FDC Kategori 1 359,990.00 2015 PROGRAM
201 2003 1700509326 Obat Anti Tuberkulosis FDC Kategori 2 1,199,990.00 2015 PROGRAM
202 6135 1700509324 Obat Anti Tuberkulosis FDC Kategori Anak 214,990.00 2016 PROGRAM
203 7054 1700509326 Obat Antituberkulosis FDC Kategori 2 - paket 1,199,990.00 2017 PROGRAM
Obat Antituberkulosis FDC Kategori Anak -
204 7053 1700509324 paket 203,259.00 2017 PROGRAM
205 2020 17015010298 Piridoksin Hcl 50mg Tablet 75 2015 PROGRAM
206 267 1700511374 Prednison 5 mg 64 2013 PROGRAM
207 6073 1700509379 Prokain Benzil Penisillin inj 3 juta ui/vial 7,190.00 2016 PROGRAM
208 1042 1700509392 Retinol (Vitamin A) 100.000 IU kapsul lunak 260 2015 PROGRAM
212 5837 1700508087 Sikzonoat inj 55,000.00 2016 PROGRAM
213 6920 1700508087 Sikzonoat inj 55,000.00 2017 PROGRAM
214 6899 1700511458 Trihexypenidhil 2 mg 88 2017 PROGRAM
215 6131 1700511526 Zinc Dispersible tab 474 2016 PROGRAM
216 2173 1700509269 Loperamid tablet 2 mg 89 2016 GAKIN
217 853 17015010426 Benocetam 800 mg tablet 2,970.00 2011 ASKES
218 5949 1700525006 Alat Suntik sekali pakai - 3 ml 1,215.00 2016 ALOKON
219 6910 1700525006 Alat Suntik sekali pakai - 3 ml 1,215.00 2017 ALOKON
220 6914 1700514199 Alkohol 70% 100 cc 4,675.00 2017 ALOKON
221 7117 1700525824 Dermafix - 4,633.00 2017 ALOKON
222 6142 1700511525 Desinfektan (klorin 5,25%) 2,200.00 2016 ALOKON
223 7119 1700511163 Face Masker 848 2017 ALOKON
224 5889 1700532009 Glove/Handscun 5,720.00 2016 ALOKON
225 6907 1700532009 Glove/Handscun 4,180.00 2017 ALOKON
226 7120 1700525362 Handscoen Steril - 4,598.00 2017 ALOKON
227 7122 1700525364 hipafix 58,575.00 2017 ALOKON
228 4920 1700532017 IUD Coper T 13,156.00 2016 ALOKON
229 6903 1700532017 IUD Coper T 13,156.00 2017 ALOKON
230 4923 1700532019 Kondom 411.736 2016 ALOKON
231 6905 1700532019 Kondom 411.74 2017 ALOKON
232 6911 1700532019 Kondom Aroma 666.67 2017 ALOKON
233 7109 17015010231 Lidokain Injeksi - 860 2017 ALOKON
234 7118 1700525149 Mess 15 - Aesculap 2,090.00 2017 ALOKON
235 5950 1705250622 Pil KB 1,945.00 2016 ALOKON
236 6904 1705250622 Pil KB 1,945.00 2017 ALOKON
237 6923 1705250622 Pil KB 1,518.00 2017 ALOKON
238 7123 1700509368 Povidon Iodida larutan 10% - btl 30 ml 3,335.00 2017 ALOKON
239 6908 1700507125 Safety Box 21,395.00 2017 ALOKON
240 5948 1700532020 Suntik KB 6,100.00 2016 ALOKON
241 6885 1700532020 Suntik KB 6,100.00 2017 ALOKON
242 5895 1700525472 Surgical Blade 1,978.00 2016 ALOKON
243 6909 1700525472 Surgical Blade 1,978.00 2017 ALOKON
244 5851 1700507095 Susuk KB 257,500.00 2016 ALOKON
245 6906 1700507095 Susuk KB II 257,500.00 2017 ALOKON
246 6924 1700507095 Susuk KB II 212,500.00 2017 ALOKON
247 6542 1700533175 Acetylcystein 200 mg 426 2016 DAK
248 6568 1700525006 Alat Suntik sekali pakai - 3 ml 956.997 2016 DAK
249 6569 1700525007 Alat Suntik sekali pakai - 5 ml 979 2016 DAK
250 6498 1700505009 Alkohol 70% 1 L 25,000.00 2016 DAK
251 6529 1700509005 Alopurinol tablet 100 mg 90 2016 DAK
252 6978 1700509013 Aminofilin injeksi 24 mg/ml 3,345.00 2017 DAK
253 6619 1700509015 Aminofilin tablet 200 mg 163 2016 DAK
254 6489 1700511024 Amitriptillin 25 mg - HCl 143 2016 DAK
255 6494 1700509019 Amlodipin tablet 10 mg 145 2016 DAK
256 6544 1700509017 Amlodipin tablet 5 mg 105 2016 DAK
257 6661 1700511033 Antalgin tab 500 mg 219 2016 DAK
Antasida DOEN I tablet kunyah,kombinasi :

Aluminium Hidroksida 200 mg dan
258 6621 1700509032 Magnesium Hidroksida 200 mg 245 2016 DAK
259 6622 1700509033 Antasida DOEN II suspensi 6,177.00 2016 DAK
260 7256 1700509033 Antasida DOEN suspensi 2,025.00 2017 DAK
Anti Bakteri DOEN salep kombinasi:

Basitrasin 500 IU/g + Polimiksin 10.000 dan
261 7167 1700509034 IU/g 2,924.00 2017 DAK
262 6994 1700509036 Antihemoroid DOEN kombinasi 3,600.00 2017 DAK
263 6565 1700513027 Aqua PI 25 cc - Otsuka 2,750.00 2016 DAK
264 6662 1700511046 Asam mefenamat 500 mg 279 2016 DAK
265 7038 1700511046 Asam Mefenamat 500mg Tablet - 106 2017 DAK
266 6660 1700511004 Asiklovir 400 mg 734 2016 DAK
267 6625 1700509053 Asiklovir krim 5% 4,048.00 2016 DAK
268 6541 1700511826 ATTAPULGITE 630MG 145 2016 DAK
269 6626 1700509073 Betahistin Mesilat tablet 6 mg 849 2016 DAK
270 7233 1700509073 Betahistin Mesilat tablet 6 mg 149 2017 DAK
271 6627 1700509074 Betametason krim 0,1 % (sebagai Valerat) 3,136.00 2016 DAK
Betametason krim 0,1 % (sebagai Valerat) -
272 6988 1700509074 tube 5 gram 1,349.00 2017 DAK
273 6628 1700509078 Bromheksin tablet 8 mg 163 2016 DAK
274 6603 1700502084 Cavit 198,000.00 2016 DAK
275 6495 1700509081 Cetirizine tablet 10 mg 143 2016 DAK
276 6684 17015010461 Citicholin injeksi 21,235.00 2016 DAK
277 7033 1700513295 Combivent 2,5mL Injeksi - 5,700.00 2017 DAK
278 6525 1700509087 Deksametason injeksi i.v. 5 mg/ml 1,518.00 2016 DAK
279 6545 1700509088 Deksametason tablet 0,5 mg 44 2016 DAK
280 6670 1700511525 Desinfektan (klorin 5,25%) 16,988.00 2016 DAK
281 6607 1700507021 Devitalisasi Pasta 289,575.00 2016 DAK
282 6629 1700509092 Diazepam injeksi 5 mg/ml 15,572.00 2016 DAK
283 6486 1700509100 Digoksin tablet 0,25 mg 105 2016 DAK
284 6633 1700509106 Dimenhidrinat tablet 50 mg 182 2016 DAK
285 6979 1700509113 HCl) 2,204.00 2017 DAK
286 6634 1700509116 Eritromisin kaplet 500 mg 1,769.00 2016 DAK
287 6608 1700507028 Etil Klorida Semprot 167,310.00 2016 DAK
288 6676 17015010116 Eugenol Cairan 167,310.00 2016 DAK
Fitomenadion (Vit.K1) tablet salut gula 10
289 6980 1700509136 mg 691 2017 DAK
290 6585 1700525066 Folley catheter 18 11,000.00 2016 DAK
291 6515 17015010136 Folley Catheter 2 Way No. 20 8,000.00 2016 DAK
292 6531 1700509144 Furosemid tablet 40 mg 78 2016 DAK
293 6672 1700511615 Gentamisin Salep Kulit 3,049.00 2016 DAK
294 6679 17015010146 Gentamisin Tetes Mata 11,778.00 2016 DAK
295 6680 17015010147 Gentian Violet Lart 1 % 2,831.00 2016 DAK
296 6664 1700511186 Glass Ionomer 671,170.00 2016 DAK
297 6635 1700509161 Glibenklamida tablet 5 mg 117 2016 DAK
298 6636 1700509162 Glimepiride tablet 1 mg 752 2016 DAK
299 6997 1700509166 Glimepiride tablet 3 mg - ktk 5 x 10 tablet 283 2017 DAK
300 6551 1700532009 Glove/Handscun-- 598 2016 DAK
301 6606 1700504012 Glukosa 40 % 10,193.00 2016 DAK
302 6533 1700509176 Glukosa larutan infus 5 % steril - btl 500 ml 6,900.00 2016 DAK
303 6665 1700511194 Griseofulvin tab 125 mg 293 2016 DAK
304 6681 17015010169 Hyoscine N Butilbromide 10 mg 1,905.00 2016 DAK
305 6570 1700525097 I.V. Catheter 18 7,018.00 2016 DAK
306 6143 1700525098 I.V. Catheter 20 8,355.00 2016 DAK
307 6549 1700525102 I.V. Catheter 22 9,000.00 2016 DAK
308 6493 1700511657 IBUPROFEN 200 105 2016 DAK
309 6487 1700509196 Isosorbid Dinitrat tablet sublingual 5 mg 88 2016 DAK

310 6610 1700507047 Kalsium Hidroksida Pasta 186,615.00 2016 DAK
311 6611 1700507048 Kalsium Laktat tab 500 mg 90 2016 DAK
312 6534 1700509209 Karbamazepin tablet 200 mg 270 2016 DAK
313 6642 1700509211 Ketokonazol tablet 200 mg 527 2016 DAK
314 6643 1700509219 Klindamisin kapsul 150 mg 656 2016 DAK
315 7036 1700509221 Klindamisin kapsul 300 mg 603 2017 DAK
316 6644 1700509227 Kloramfenikol kapsul 250 mg 485 2016 DAK
317 6991 1700518138 Kloramfenikol salep mata 9,400.00 2017 DAK
318 6645 1700509231 Kloramfenikol tetes mata 0,5 % 8,211.00 2016 DAK
319 6613 1700507060 Kotrimoksasol susp 4,054.00 2016 DAK

320 6646 1700509245 Sulfametoksazol 400 mg Trimetoprim 80 mg 205 2016 DAK

321 6491 1700509245 Sulfametoksazol 400 mg Trimetoprim 80 mg 151 2016 DAK
322 6314 17015023517 Leukoplast 7,5x4,5 35,532.00 2016 DAK
323 6682 17015010231 lidokain cairan inj 2% 2,123.00 2016 DAK
Lidokain injeksi 2% (HCl) + Epinefrin 1 :
324 6647 1700509261 80.000 - 2ml 4,005.00 2016 DAK
325 6526 1700509270 Loratadin tablet 10 mg 134 2016 DAK
326 6566 17015010237 Magnesium Sulfat Injeksi 20 % - 25 ml 3,200.00 2016 DAK
327 6648 1700509285 Metformin HCl tablet 500 mg 232 2016 DAK
Metilergometrin Maleat (Metilergometrin)
328 6649 1700509288 tablet salut 0,125 mg 347 2016 DAK
329 6987 1700509293 Metilprednisolon tablet 4 mg 150 2017 DAK
330 6985 1700509298 Metoklopramide tablet 5 mg 115 2017 DAK
331 6650 1700509301 Metronidazol tablet 500 mg 404 2016 DAK
Mikonazol krim/salep 2 % (Nitrat) - tube 10
332 6986 1700509302 gram 3,250.00 2017 DAK
333 7037 1700511866 MINIASPI 80MG - 100TAB/BOX 114 2017 DAK
334 6982 1700511488 NATRIUM DIKLOFENAK 25 MG - 145 2017 DAK
335 6653 1700509309 Natrium Diklofenak tablet 50 mg 335 2016 DAK
Natrium Klorida larutan infus 0,9 % - btl 500
336 6535 1700509312 ml 6,410.00 2016 DAK
337 6524 17015010271 Nifedipin tablet 104 2016 DAK
338 6615 1700507075 Obat Batuk Hitam 100 ml 6,534.00 2016 DAK
339 6995 1700509330 Oksitetrasiklin HCl salep mata 1 % 3,050.00 2017 DAK
340 6993 1700507078 Oksitosin injeksi 10 IU/ml 1,900.00 2017 DAK
341 6926 1700509337 Omeprazol 20 mg 160 2017 DAK
342 7039 1700507080 Parasetamol sirup 120 mg/5ml - 1,010.00 2017 DAK
343 6654 1700509344 Parasetamol tablet 500 mg 134 2016 DAK
344 6616 1700507082 Piridoksina HCl tab 10 mg 119 2016 DAK
345 6617 1700507083 Piroksikam 20 174 2016 DAK
346 6667 1700511374 Prednison - 5 mg 182 2016 DAK
347 6916 17015024158 RANITIDIN INJ - 1,458.00 2017 DAK
348 6521 1700509389 Ranitidin tablet 150 mg 105 2016 DAK
Retinol (Vitamin A) 100.000 IU kapsul lunak
349 6989 1700509392 - btl 50 kapsul lunak 284 2017 DAK
350 6656 1700509393 Retinol (Vitamin A) 200.000 IU kapsul lunak 592 2016 DAK
351 6527 1700507087 Ringer laktat inf 7,150.00 2016 DAK
352 6547 1700533139 Risperidon 2 mg 495 2016 DAK
353 6488 1700509405 Salbutamol tablet 2 mg 66 2016 DAK
354 6683 17015010336 Semen Seng 212,355.00 2016 DAK
355 6522 1700513230 Serum antitetanus (A.T.S) 170,000.00 2016 DAK
356 6559 1700525450 silk 3/0 - DEMETECH 15,300.00 2016 DAK
357 6658 1700509447 Siprofloksasin tablet 500 mg 366 2016 DAK
358 6492 1700509447 Siprofloksasin tablet 500 mg 281 2016 DAK
359 7131 1700514089 Stabimed sol 1 ltr - 620,000.00 2017 DAK
360 6618 1700507097 Tablet Tambah Darah 514 2016 DAK
361 6984 1700507097 Tablet Tambah Darah - 355 2017 DAK
362 6925 1700511444 Tiamin Hcl ( Vit B1 ) Tablet 50 mg 86 2017 DAK
363 6499 1700507105 Urine bag 3,000.00 2016 DAK
364 6668 1700511466 Vit B12 86 2016 DAK
365 6669 1700511471 Vitamin B Kompleks tab 34 2016 DAK
366 6671 1700511526 Zinc Dispersible tab 609 2016 DAK
TOTAL :
angkan untuk nilai tetep memakai jmlh yg koma.
SALDO AWAL Terima dari Mutasi

Satuan
Item Nilai 1 2 3 4 5 6 7 8 9 10 11 12
set 142 92,300.00
pcs 0 0 9
pcs 0 0 9
botol 1 liter 5 107,500.00
tablet 200 76,000.00
tablet 516 96,492.00
kaplet 4827 1,119,864.00
ampul 0 0 300
tablet 2000 144,000.00
tablet 200 27,000.00 200

ampul 24 52,800.00
tablet 2000 190,000.00
tablet 0 0 5000
tablet 0 0 500 500
botol 290 2,689,750.00
tablet 41 13,776.00
ampul 26 32,889.04
tablet 100 450,000.00
ampul 20 137,000.00 20
kapsul 0 0 200 500 200
pcs 0 0 9
77 4,312.00
tablet 54 2,768.04
ampul 197 1,595,700.00

botol 99 762,300.00
can 100 ml 0 0 100
kapsul 200 18,600.00
tablet 0 0 500
tablet 0 0 4600 5000 15000 5000 3000 1000
tablet 0 0 8000
pcs 0 0 9
tablet 90 8,640.00
tablet 449 66,901.00 300
ampul 0 0 100 50
tablet 0 0 2000
set 23 80,500.00
botol 100 1,005,000.00
botol 60 603,000.00
roll 0 0 50
tablet 34 10,200.00
ampul 0 0 200
botol 0 0 50 50 100
tablet 0 0 2000
botol 3 37,350.00
vial 5 7,698.90
vial 5 9,739.40
ampul 0 0 150 30
ampul 8 22,000.00
ampul 0 0 200
tablet 48 5,184.00
tablet 0 0 300
botol 0 0 48
box 0 0 5
ampul 0 0 150 150
tablet 0 0 600 450
tablet 13753 1,086,487.00 5000 5000
pcs 0 0 100
pcs 0 0 9
tube 0 0 60 118
ampul 0 0 40 20
pot 0 0 600
tablet 1980 237,600.00
tablet 688 40,592.00
Vial 0 0 100
tablet 58 18,270.00
kapsul 650 96,850.00
kapsul 0 0 300 1000 500
botol 0 0 2
biji 16 62,691.20
ampul 35 140,000.00 20 60 60 20
tablet 994 346,906.00
set 974 964,260.00
set 100 129,800.00
set 2599 2,058,408.00
set 379 371,041.00
pcs 877 1,451,873.50

pcs 2683 4,441,706.50
botol 34 731,000.00
pcs 1900 190,000.00
tablet 7550 679,500.00
tablet 1419 263,934.00
botol 951 1,987,590.00
tablet 60000 13,920,000.00
tablet 39763 2,465,306.00
pot 394 1,638,252.00
supp 39 118,755.00
tablet 1978 205,712.00
botol 7 210,000.00
box 322 330,050.00
lembar 190 2,042,500.00
pcs 2000 291,320.00
BH 7 25,200.00
pak 711 3,969,747.63
tablet 34725 1,527,900.00
ampul 268 314,900.00

tablet 159 16,695.00
botol 10 30,000.00
tablet 100 11,800.00
ampul 60 132,240.00
botol 300 2,010,000.00
pcs 7454 2,459,820.00
pcs 50 442,050.00
tablet 443 306,113.00

pcs 59 472,000.00
pcs 30 240,000.00
pcs 30 240,000.00
pcs 20 160,000.00
pcs 55 440,000.00
tablet 2366 184,548.00
sachet 2544 671,616.00
tablet 648 187,272.00
Pasang 3109 2,020,850.00
pcs 200 920,000.00
botol 63 434,700.00
tablet 1000 149,000.00
tube 838 2,220,700.00
pcs 50 205,000.00
pcs 163 619,400.00
pcs 463 1,759,400.00
pcs 261 991,800.00
pcs 298 1,132,400.00
tablet 3296 346,080.00
tablet 20459 2,598,293.00
pcs 546 3,997,266.00
pcs 93 967,758.00
tablet 1048 66,024.00
roll 50 1,211,878.50
tablet 24604 1,673,072.00
tablet 110 29,700.00
roll 30 54,500.10
53 6,931,976.00
roll 300 1,145,667.00
roll 60 66,424.20
box 2930 23,239,851.70
tube 100 254,500.00
tablet 51931 2,181,102.00
tablet 100 16,200.00
tablet 1306 197,206.00

250 535,000.00
botol 30 435,000.00
roll 62 2,202,984.00
ampul 1028 1,896,660.00

botol 13 533,000.00
tablet 1000 90,000.00
tablet 529 70,357.00
botol 14 57,400.00
tube 129 419,250.00
tube 28 827,395.24
pcs 10 55,000.00
pcs 10 55,000.00
pcs 25 137,500.00
tablet 9266 1,343,570.00
tablet 5552 882,768.00

tablet 36 3,744.00
ampul 98 186,207.84
botol 112 582,400.00
Tube 35 425,425.00
tablet 6000 708,000.00
roll 14 1,041,481.70
botol 90 261,000.00
botol 35 630,000.00
tablet 200 12,000.00
tablet 1526 160,230.00
botol 25 63,750.00
tablet 2000 166,000.00
pot 425 1,032,325.00
10 1,700,000.00
botol 50 337,250.00
ampul 136 149,328.00
tablet 7455 1,878,660.00
tablet 400 117,600.00
botol 10 115,170.00
Unit 5 1,067,062.35
pcs 400 1,212,000.00
pcs 384 744,576.00
tablet 6000 516,000.00
pcs 180 2,515,680.00
pcs 25 25,000.00
pcs 190 877,800.00
100 84,700.00
tablet 3680 1,891,520.00
tablet 8639 2,971,816.00
tablet 0 0 10080
4 16,864.00
tablet 0 0 9
ampul 0 0 15
paket 0 0 30
ampul 0 0 19
sase 8400 2,419,200.00
biji 0 0 65
tablet 0 0 100
tablet 40 5,760.00
ampul 0 0 6 8
Blister 0 0 6
Blister 0 0 6
sachet 4000 10,780,000.00
paket 0 0 16 16
paket 0 0 16
paket 0 0 16 10 16 16
paket 0 0
paket 0 0 1 1
paket 0 0 2
paket 0 0 1
paket 0 0 1 1
tablet 616 46,200.00
tablet 172 11,008.00
Vial 0 0 3
kapsul 248 64,480.00
kapsul 0 0 450
kapsul 5013 2,040,291.00
kapsul 0 0 4250
ampul 0 0 5
ampul 0 0 5
tablet 0 0 100
tablet 0 0 1000 5000
tablet 50 4,450.00
tablet 400 1,188,000.00
biji 850 1,032,750.00
biji 0 0
botol 0 0
lembar 0 0
botol 12 26,400.00
lembar 0 0
Pasang 100 572,000.00
Pasang 0 0
Pasang 0 0
roll 0 0
set 189 2,486,484.00
set 0 0
pcs 176 72,465.54
pcs 0 0
pcs 0 0
ampul 0 0
pcs 0 0
tablet 951 1,849,695.00
tablet 0 0
Strip 0 0
botol 0 0
biji 0 0
Vial 895 5,459,500.00
Vial 0 0
biji 29 57,362.00
pcs 0 0
set 7 1,802,500.00
set 0 0
set 0 0
kapsul 0 0 3000
pcs 0 0 1000
pcs 0 0 300 500 300 500
botol 1 liter 0 0 10
tablet 0 0 1000 1000
ampul 0 0 10
tablet 0 0 1000 2000 500
tablet 0 0 100
tablet 0 0 1800
tablet 0 0 1800
tablet 0 0 2000 5000 3000 3000
tablet 0 0 20000 3000

botol 0 0 72 72
botol 0 0 50
Tube 0 0 50
Supp 0 0 20 50
ampul 0 0 240
tablet 0 0 2000 3000 10000
kaplet 0 0 2000
tablet 0 0 1000 600 300
Tube 0 0 50 50
tablet 0 0 1700
tablet 0 0 300 300
tablet 0 0 600
Tube 0 0 48 96
tube 0 0 100
tablet 0 0 2000
botol 0 0 2 2
tablet 470 67,210.00 500 500 500 300
ampul 0 0 30
Vial 0 0 200
ampul 0 0 100
tablet 0 0 10000
botol 0 0 10 10
botol 0 0 1 1 2
ampul 0 0 5 10
tablet 0 0 200 100 300
tablet 0 0 300 500 300
ampul 0 0 30
tablet 0 0 500 300
botol 0 0 5 10
biji 0 0 2 2 1
tablet 0 0 500 1000

pcs 0 0 20
pcs 0 0 50
tablet 0 0 1000 200
Tube 0 0 48 48
botol 0 0 72
botol 0 0 48 24
biji 0 0 2 3 2
tablet 0 0 4000
tablet 0 0 1000 500
tablet 0 0 300
biji 0 0 500 3000
ampul 0 0 30
botol 0 0 40 100
tablet 0 0 1000 300
tablet 0 0 1000 500
pcs 0 0 100
pcs 0 0 50
pcs 0 0 50 100 100
tablet 0 0 3000 5000 5000
tablet 0 0 200
kotak 0 0 2 1
tablet 0 0 10000
tablet 0 0 100 200
tablet 0 0 1000
kapsul 0 0 500
kapsul 0 0 500
kapsul 0 0 1000 2000
tube 0 0 50 50
botol 0 0 50 50 100
botol 0 0 100 200
tablet 0 0 5000
tablet 300 45,300.00

roll 4 142,128.00
ampul 0 0 100
ampul 0 0 600
tablet 300 40,200.00 1000
ampul 0 0 6
tablet 0 0 500 500 500
tablet 0 0 200
tablet 0 0 500 1000
tablet 0 0 300 1000
tablet 0 0 1000 700 3000
Tube 0 0 48 48
tablet 0 0 500
tablet 0 0 1000 1000
tablet 0 0 1500
botol 0 0 200 60
tablet 200 20,800.00 100 200
botol 0 0 60
Tube 0 0 100
ampul 0 0 30 30
kapsul 0 0 300 900
botol 0 0 300
tablet 0 0 40000 33600
tablet 0 0 2000 2000
tablet 0 0 500 1000 2000
tablet 0 0 3000 5000 2000
ampul 0 0 300
tablet 0 0 5000 3000
kapsul 0 0 400
kapsul 0 0 3800
botol 104 743,600.00 1000
tablet 0 0 100
tablet 0 0 3000
biji 0 0 2 2
ampul 5 850,000.00 5 5
pcs 0 0 60 240
tablet 0 0 500
tablet 0 0 500 500 500
botol 0 0 3
tablet 0 0 44800 33600
tablet 0 0 38400
tablet 0 0 5000 2000 2000
pcs 0 0 50
tablet 0 0 5000 2000 3000
tablet 0 0 3000 10000 5000
tablet 0 0 1200
TOTAL : 397417 178,124,576.37
Terima Pencairan
Total Nilai 1 2 3 4 5 6 7 8 9 10 11 12 Total Nilai 1 2 3
0 0 112 24 6
9 1,778,400.00 0
9 450,000.00 0
0 0 2 2
0 0
0 0 214 178 124
0 0 4001 826
300 1,530,000.00 0
0 0 1984 16
200 27,000.00 0
0 0 20 4 0
0 0 300 27 450
5000 475,000.00 0 0
1000 48,000.00 0
0 0 70 220 0
0 0
0 0
0 0 1
20 137,000.00 0
900 2,574,000.00 0 45 97 10
9 2,103,750.00 0
0 0
0 0 10 44
0 0 1 5 1
0 0 17 9 17
100 11,999,900.00 0
0 0
500 118,000.00 0 25 33 27
33600 3,729,600.00 0 1190 6113
8000 1,152,800.00 0
9 1,395,900.00 0
0 0 10 10
300 44,700.00 0 60 30 60
150 1,485,000.00 0 0
2000 300,000.00 0 0
0 0 6 5
0 0
0 0
50 15,174.50 0 0
0 0 6 20 8
200 1,320,000.00 0
200 1,595,000.00 0 1 8
2000 390,000.00 0
0 0
0 0
0 0
180 1,584,000.00 0
0 0 1 0
200 880,000.00 0 0
0 0 48 0
300 48,000.00 0 0
48 528,000.00 0
5 103,730.00 0
300 495,000.00 0
1050 1,551,900.00 0 124
10000 790,000.00 0 5830 4143 13780
100 167,000.00 0
9 315,000.00 0
178 2,042,550.00 0 0
60 1,201,051.20 0 0
600 1,636,800.00 0
0 0 3 90
0 0 304 207 177
100 489,800.00 0
0 0 5 6
0 0 60 42 134
1800 2,277,000.00 0 42 60
2 190,000.80 0 0
0 0 6 10 0
160 640,000.00 0 14 11
0 0 128 175 146
0 0 12 20 58
0 0 10
0 0 4 99 343
0 0 49 21 114
0 0 70 75 79
0 0 492 600 573
0 0 1
0 0 100
0 0 464 479 446
0 0 559 530 330
0 0 59 48 71
0 0 1968 3340 7328
0 0 4266 1858 5330
0 0 41 33 33
0 0 7 3
0 0 805 887 286
0 0 1
0 0 14 16 32
0 0
0 0
0 0 3 4
0 0 7 2 5
0 0 1622 2950 3496
0 0 12 8 7
0 0 51 22 26
0 0 1 3 6
0 0
0 0 4
0 0
0 0 52 145 96
0 0
0 0 119 73 133
0 0 6 3 7
0 0
0 0
0 0
0 0 17 17 8
0 0 262 190 515
0 0 314 328 370
0 0 276 19 30
0 0 534 781 757
0 0
0 0 16
0 0
0 0 68 35 62
0 0
0 0 56 58 40
0 0 41 24 19
0 0 29
0 0 22 3 10
0 0 581 486 816
0 0 2312 3299 3533
0 0 44 45 33
0 0 5
0 0 476 225 347
0 0 2
0 0 1501 1730 2186
0 0 30 30 40
0 0
0 0 4
0 0 20
0 0 50
0 0
0 0 4 4
0 0 7895 7768 9422
0 0
0 0 702 184 420

0 0 41 42 54
0 0
0 0 5 3 4
0 0 66 74 83
0 0
0 0 149 79 273
0 0 68 211 250
0 0 1
0 0 33 19 48
0 0
0 0
0 0
0 0
0 0 786 1251 1835
0 0 231 173 266

0 0 6 2
0 0
0 0 16 19 35
0 0 4 3 7
0 0 851 827 1384
0 0
0 0
0 0 1 1
0 0
0 0 483 427 616
0 0 1
0 0 86
0 0 20 29 12
0 0
0 0 2
0 0 55 58 23
0 0 98 88 71
0 0
0 0
0 0
0 0
0 0
0 0 967 1263 2099
0 0 1
0 0
0 0 2
0 0
0 0 380 363 691
0 0
10080 3,467,520.00 0
0 0
9 37,944.00 0
15 156,375.00 0
30 8,645,970.00 0
19 37,620.00 0
0 0 12 110
65 220,935.00 0
100 8,800.00 0
0 0 30
14 36,806.00 0
6 170,544.00 0
6 183,570.00 0
0 0
32 11,519,680.00 0 16 16
16 5,759,840.00 0
58 20,879,130.00 0
0 0
2 2,399,980.00 0 1
2 429,980.00 0
1 1,199,990.00 0
2 406,518.00 0
0 0 616
0 0 149 23
3 21,570.00 0
0 0 248
450 117,000.00 0 415 35
0 0 4885
4250 1,729,750.00 0 3267 142

5 275,000.00 0
5 275,000.00 0
100 8,800.00 0
6000 2,844,000.00 0
0 0 18 16 16
0 0 55 40 45
0 0 111 118 114
0 500 500 100 1100 1,336,500.00
0 10 5 15 70,125.00
0 80 80 370,640.00
0 0 1
0 50 50 42,400.00
0 0
0 50 50 209,000.00
0 50 50 229,900.00
0 1 1 58,575.00
0 0 2
0 25 25 50 657,800.00
0 0 12
0 576 576 237,162.24
0 432 432 288,001.44
0 100 100 86,000.00
0 20 20 41,800.00
0 0 20 12 20
0 1000 1000 1,945,000.00
0 500 500 759,000.00
0 10 10 33,350.00
0 2 2 2 6 128,370.00
0 0 111 117 122
0 500 500 1000 6,100,000.00
0 0 6
0 25 25 49,450.00
0 0 5 2
0 120 120 30,900,000.00 73
0 80 80 160 34,000,000.00
3000 1,278,000.00 0 0
1000 956,997.00 0
1600 1,566,400.00 0
10 250,000.00 0
2000 180,000.00 0
10 33,450.00 0
3500 570,500.00 0 178
100 14,300.00 0
1800 261,000.00 0
1800 189,000.00 0
13000 2,847,000.00 0 897
23000 5,635,000.00 0
144 889,488.00 0
50 101,250.00 0
50 146,200.00 0
70 252,000.00 0
240 660,000.00 0
15000 4,185,000.00 0 136 1295 1340
2000 212,000.00 0
1900 1,394,600.00 0
100 404,800.00 0
1700 246,500.00 0
600 509,400.00 0 10
600 89,400.00 0
144 451,584.00 0 2 18
100 134,900.00 0
2000 326,000.00 0
4 792,000.00 0
1800 257,400.00 0 118 107 151
30 637,050.00 0
200 1,140,000.00 0
100 151,800.00 0 9
10000 440,000.00 0
20 339,760.00 0
4 1,158,300.00 0 1
15 233,580.00 0
600 63,000.00 0
1100 200,200.00 0 30 79
30 66,120.00 0
800 1,415,200.00 0 36
15 2,509,650.00 0 1
5 836,550.00 0 1
1500 1,036,500.00 0
20 220,000.00 0
50 400,000.00 0
1200 93,600.00 0
96 292,704.00 0 15 22
72 848,016.00 0
72 203,832.00 0 2
7 4,698,190.00 0 1 1
4000 468,000.00 0
1500 1,128,000.00 0 99 369 359
300 84,900.00 0
3500 2,093,000.00 0
30 305,790.00 0
140 966,000.00 0
1300 380,900.00 0
1500 2,857,500.00 0
100 701,800.00 0
50 417,750.00 0
250 2,250,000.00 0 29 21
13000 1,365,000.00 0
200 17,600.00 0
3 559,845.00 0
10000 900,000.00 0
300 81,000.00 0
1000 527,000.00 0 0
500 328,000.00 0 20 40 60
500 301,500.00 0
3000 1,455,000.00 0 50 36 278
100 940,000.00 0
200 1,642,200.00 0 2 9 5
300 1,216,200.00 0
5000 1,025,000.00 0
0 0 300
0 0
100 212,300.00 0
600 2,403,000.00 0
1000 134,000.00 0 12 18 31
6 19,200.00 0
1500 348,000.00 0
200 69,400.00 0
1500 225,000.00 0
1300 149,500.00 0
4700 1,898,800.00 0 80 136 97
96 312,000.00 0
500 57,000.00 0
2000 290,000.00 0
1500 502,500.00 0
260 1,666,600.00 0 3 26
300 31,200.00 0
60 392,040.00 0
100 305,000.00 0
60 114,000.00 0
1200 192,000.00 0
300 303,000.00 0
73600 9,862,400.00 0
4000 476,000.00 0
3500 609,000.00 0 20 170 119
10000 1,820,000.00 0 127 927
300 437,400.00 0
8000 840,000.00 0
400 113,600.00 0
3800 2,249,600.00 0
1000 7,150,000.00 0 106 57
100 49,500.00 0
3000 198,000.00 0
4 849,420.00 0
10 1,700,000.00 0 2 3
300 4,590,000.00 0
500 183,000.00 0 80
1500 421,500.00 0
3 1,860,000.00 0
78400 40,297,600.00 0 4050 4380 4675
38400 13,632,000.00 0
9000 774,000.00 0
50 150,000.00 0
10000 860,000.00 0
18000 612,000.00 0 35 571 750
1200 730,800.00 0
513298 272,361,944.50 5345 77,543,073.68
Habis Pakai Jumlah Jumlah
4 5 6 7 8 9 10 11 12 Total Nilai Stok Sisa Stok
0 142 92,300.00 142 0
9 9 1,778,400.00 9 0
9 9 450,000.00 9 0
1 0 5 107,500.00 5 0
8 8 4 180 200 76,000.00 200 0
0 516 96,492.00 516 0
4827 1,119,864.00 4827 0
0 300 300
2000 144,000.00 2000 0
7 9 2 18 2,430.00 400 382

24 52,800.00 24 0
477 393 319 34 0 0 2000 190,000.00 2000 0
255 343 4402 5000 475,000.00 5000 0

270 210 20 72 320 108 1000 48,000.00 1000 0
290 2,689,750.00 290 0
41 41 13,776.00 41 0
0 26 26
1 4,500.00 100 99
7 10 1 18 123,300.00 40 22
161 181 119 49 36 22 70 790 2,259,400.00 900 110
9 9 2,103,750.00 9 0
33 38 2 4 77 4,312.00 77 0
0 54 2,768.04 54 0
4 186 197 1,595,700.00 197 0

4 14 1 7 27 3 99 762,300.00 99 0
0 100 100
200 200 18,600.00 200 0
25 71 20 299 500 118,000.00 500 0
4482 4496 3192 3842 4112 2173 1752 2248 33600 3,729,600.00 33600 0
0 8000 8000
9 9 1,395,900.00 9 0
20 5 20 65 6,240.00 90 25
167 4 8 24 32 385 57,365.00 749 364
1 10 10 33 4 10 68 673,200.00 150 82
0 964 1036 2000 300,000.00 2000 0
11 38,500.00 23 12
40 5 6 2 53 532,650.00 100 47
60 60 603,000.00 60 0
0 0 50 50
34 10,200.00 34 0
0 200 200
13 12 4 8 7 7 5 6 24 95 757,625.00 200 105
2000 2000 390,000.00 2000 0
1 1 2 24,900.00 3 1
1 1 1,539.78 5 4
1 1 1,947.88 5 4
29 1 7 9 22 3 71 624,800.00 180 109
2 4 0 1 8 22,000.00 8 0
28 4 16 24 7 7 86 378,400.00 200 114
48 5,184.00 48 0
10 85 6 199 300 48,000.00 300 0
2 1 4 2 2 3 14 154,000.00 48 34
5 5 103,730.00 5 0
15 79 4 13 20 42 16 189 311,850.00 300 111
154 52 30 187 53 85 81 284 1050 1,551,900.00 1050 0
23753 1,876,487.00 23753 0
100 100 167,000.00 100 0

9 9 315,000.00 9 0
9 30 21 0 1 61 699,975.00 178 117
4 6 2 12 240,210.24 60 48
60 60 163,680.00 600 540
670 438 537 242 1980 237,600.00 1980 0
688 40,592.00 688 0
0 100 100
14 8 19 52 16,380.00 58 6
49 22 45 70 50 26 0 152 650 96,850.00 650 0
97 10 20 4 125 20 50 56 484 612,260.00 1800 1316
1 1 2 190,000.80 2 0
16 62,691.20 16 0
30 3 24 33 20 16 14 20 185 740,000.00 195 10
89 243 179 21 13 994 346,906.00 994 0
69 47 19 54 92 32 15 16 36 470 465,300.00 974 504
10 12,980.00 100 90
281 233 182 215 465 60 34 315 179 2410 1,908,720.00 2599 189
144 14 37 379 371,041.00 379 0
44 100 368 609,224.00 877 509

10 1000 2675 4,428,462.50 2683 8
2 2 2 3 16 1 7 34 731,000.00 34 0
200 81 80 1439 1900 190,000.00 1900 0
363 105 292 454 117 319 561 898 580 5078 457,020.00 7550 2472
1419 263,934.00 1419 0
45 37 40 27 46 44 21 57 26 521 1,088,890.00 951 430
5163 6245 3934 5408 4337 4798 2185 6842 3409 54957 12,750,024.00 60000 5043
4244 3804 3506 1614 3387 2476 1158 5138 1805 38586 2,392,332.00 39763 1177
22 19 18 15 24 3 2 13 11 234 972,972.00 394 160
6 2 4 5 12 39 118,755.00 39 0
1978 205,712.00 1978 0
2 1 4 120,000.00 7 3
26 28 22 15 12 16 15 15 17 228 233,700.00 322 94
10 10 107,500.00 190 180
2000 2000 291,320.00 2000 0
7 25,200.00 7 0
4 12 97 10 16 9 21 15 198 1,105,499.34 711 513
2019 2351 1861 1545 1780 1549 435 2664 949 23221 1,021,724.00 34725 11504
16 8 9 8 140 12 7 227 266,725.00 268 41

15 45 159 16,695.00 159 0
10 30,000.00 10 0
5 5 590 100 95
56 60 132,240.00 60 0
1 10 1 5 3 20 134,000.00 300 280
175 162 108 90 96 35 32 117 1108 365,640.00 7454 6346
0 50 50
118 443 306,113.00 443 0

2 4 12 6 1 2 1 44 352,000.00 59 15
29 1 30 240,000.00 30 0
23 1 24 192,000.00 30 6
10 10 80,000.00 20 10
5 2 1 3 53 424,000.00 55 2
158 245 124 178 130 92 72 371 29 2366 184,548.00 2366 0
354 348 127 568 135 2544 671,616.00 2544 0
31 24 12 60 20 6 10 488 141,032.00 648 160
663 74 300 3109 2,020,850.00 3109 0
2 67 36 95 200 920,000.00 200 0
28 14 2 3 63 434,700.00 63 0
0 1000 1000
38 34 45 28 43 38 29 81 40 541 1,433,650.00 838 297
23 3 3 5 6 40 164,000.00 50 10
9 163 619,400.00 163 0
26 19 16 60 38 34 80 34 391 1,485,800.00 463 72
14 30 25 163 261 991,800.00 261 0
7 5 17 20 6 17 1 108 410,400.00 298 190
1177 236 3296 346,080.00 3296 0
2400 2524 1863 2611 1917 20459 2,598,293.00 20459 0
37 44 34 36 51 36 44 23 427 3,126,067.00 546 119
6 4 2 6 2 25 260,150.00 93 68
1048 66,024.00 1048 0
1 1 2 24 3 1 34 824,077.38 50 16
1473 1306 1095 1557 1078 1293 192 1648 1339 16398 1,115,064.00 24604 8206
10 110 29,700.00 110 0
30 30 54,500.10 30 0
2 4 4 2 3 2 3 24 3,139,008.00 53 29
30 4 54 206,220.06 300 246
10 60 66,424.20 60 0
8 8 16 126,907.04 2930 2914
2 15 10 11 14 12 13 11 96 244,320.00 100 4
6847 6773 5188 6149 1889 51931 2,181,102.00 51931 0
100 100 16,200.00 100 0
1306 197,206.00 1306 0

35 30 19 29 250 535,000.00 250 0
1 2 12 15 30 435,000.00 30 0
3 9 4 5 4 5 8 2 52 1,847,664.00 62 10
61 80 149 447 68 1028 1,896,660.00 1028 0

3 3 123,000.00 13 10
220 211 68 1000 90,000.00 1000 0
529 70,357.00 529 0
1 1 4 1 1 9 36,900.00 14 5
25 4 0 129 419,250.00 129 0
1 1 29,549.83 28 27
0 10 10
0 10 10
0 25 25
988 987 776 707 800 1072 64 9266 1,343,570.00 9266 0
166 264 164 347 467 36 331 1375 1131 4951 787,209.00 5552 601
28 36 3,744.00 36 0
35 15 8 13 12 4 11 98 186,207.84 98 0
35 7 112 582,400.00 112 0
2 4 6 5 4 35 425,425.00 35 0
1044 889 868 137 6000 708,000.00 6000 0
0 14 14
2 2 5,800.00 90 88
1 2 2 7 126,000.00 35 28
60 60 3,600.00 200 140
1526 160,230.00 1526 0
1 2,550.00 25 24
239 6 26 10 367 30,461.00 2000 1633
16 21 17 25 22 14 6 45 45 272 660,688.00 425 153
3 3 6 1,020,000.00 10 4
2 1 5 33,725.00 50 45
136 149,328.00 136 0
67 289 67 316 206 156 31 249 44 1682 423,864.00 7455 5773
16 10 5 10 41 12,054.00 400 359
1 3 3 3 10 115,170.00 10 0
5 5 1,067,062.35 5 0
5 8 2 2 17 51,510.00 400 383
3 7 11 6 4 21 52 100,828.00 384 332
1671 6000 516,000.00 6000 0
8 6 5 5 11 14 7 6 63 880,488.00 180 117
4 21 25 25,000.00 25 0
11 15 6 17 12 23 11 97 448,140.00 190 93
15 22 37 31,339.00 100 63
380 270 266 694 355 281 3680 1,891,520.00 3680 0
4096 4096 1,409,024.00 8639 4543
0 10080 10080
4 4 16,864.00 4 0
9 9 37,944.00 9 0
0 15 15
30 30 8,645,970.00 30 0
19 19 37,620.00 19 0
56 70 206 119 275 450 166 6936 8400 2,419,200.00 8400 0
0 65 65
0 100 100
10 40 5,760.00 40 0
0 14 14
6 6 170,544.00 6 0
6 6 183,570.00 6 0
14 47 3939 4000 10,780,000.00 4000 0
32 11,519,680.00 32 0
14 2 16 5,759,840.00 16 0
2 8 1 12 18 1 42 15,119,370.00 58 16
5 11 16 5,759,840.00 0 -16
1 2 2,399,980.00 2 0
2 2 429,980.00 2 0
0 1 1
1 1 203,259.00 2 1
616 46,200.00 616 0
172 11,008.00 172 0
3 3 21,570.00 3 0
248 64,480.00 248 0
450 117,000.00 450 0
128 5013 2,040,291.00 5013 0
116 128 597 4250 1,729,750.00 4250 0

2 2 110,000.00 5 3
0 5 5
0 100 100
177 85 613 250 1125 533,250.00 6000 4875
50 4,450.00 50 0
62 71 13 20 20 23 20 20 11 400 1,188,000.00 400 0
131 131 60 181 4 850 1,032,750.00 850 0
86 129 184 45 356 800 972,000.00 1100 300
2 5 7 32,725.00 15 8
0 80 80
2 9 12 26,400.00 12 0
50 50 42,400.00 50 0
35 65 100 572,000.00 100 0
18 30 2 50 209,000.00 50 0
9 2 39 50 229,900.00 50 0
0 1 1
1 2 1 3 7 16 210,496.00 189 173
0 50 50
48 36 80 176 72,465.54 176 0
492 6 6 504 207,516.96 576 72
30 18 48 32,000.16 432 384
0 100 100
0 20 20
44 29 21 29 26 15 21 18 48 303 589,335.00 951 648
0 1000 1000
0 500 500
0 10 10
4 2 6 128,370.00 6 0
125 137 60 181 42 895 5,459,500.00 895 0
108 133 191 89 210 731 4,459,100.00 1000 269
6 17 29 57,362.00 29 0
25 25 49,450.00 25 0
7 1,802,500.00 7 0
20 24 3 120 30,900,000.00 120 0
4 29 29 45 36 9 8 160 34,000,000.00 160 0
63 104 45 130 38 70 72 1252 1774 755,724.00 3000 1226
0 1000 1000
480 480 469,920.00 1600 1120
1 1 25,000.00 10 9
43 0 335 22 400 36,000.00 2000 1600
0 10 10
379 405 325 422 506 458 124 178 253 3228 526,164.00 3500 272
0 100 100
9 8 25 346 520 855 37 1800 261,000.00 1800 0
72 189 216 225 552 463 83 1800 189,000.00 1800 0
842 1222 998 1202 1047 918 369 1322 564 9381 2,054,439.00 13000 3619
0 23000 23000
1 13 7 16 8 12 5 5 2 69 426,213.00 144 75
0 50 50
0 50 50
10 10 20 72,000.00 70 50
10 10 7 8 12 6 187 240 660,000.00 240 0
1218 1360 1067 1731 1757 2037 892 1841 326 15000 4,185,000.00 15000 0
6 1511 1517 160,802.00 2000 483
46 162 46 138 279 174 207 1052 772,168.00 1900 848
13 10 1 1 6 8 11 23 11 84 340,032.00 100 16
92 48 222 80 239 150 574 252 1657 240,265.00 1700 43
28 66 68 94 304 30 600 509,400.00 600 0
0 600 600
7 13 9 20 16 6 3 1 12 107 335,552.00 144 37
0 100 100
40 40 6,520.00 2000 1960
1 1 2 4 792,000.00 4 0
154 197 139 202 203 242 238 240 146 2137 305,591.00 2270 133
0 30 30
4 4 22,800.00 200 196
3 1 33 12 58 88,044.00 100 42
0 10000 10000
2 2 4 67,952.00 20 16
1 1 1 4 1,158,300.00 4 0
1 1 4 6 93,432.00 15 9
20 26 43 60 61 66 24 300 31,500.00 600 300
72 92 4 118 139 78 152 144 908 165,256.00 1100 192
14 13 27 59,508.00 30 3
57 68 84 138 10 40 10 87 63 593 1,049,017.00 800 207
1 3 2 4 11 1,840,410.00 15 4
1 1 3 501,930.00 5 2
96 81 38 179 29 423 292,293.00 1500 1077

0 20 20
0 50 50
88 88 6,864.00 1200 1112
31 14 14 96 292,704.00 96 0
1 1 11,778.00 72 71
13 3 2 10 3 8 5 8 3 57 161,367.00 72 15
2 1 1 6 4,027,020.00 7 1
15 246 177 316 459 542 465 608 366 3194 373,698.00 4000 806
273 52 6 10 1168 878,336.00 1500 332
0 300 300
744 686 1430 855,140.00 3500 2070
0 30 30
10 1 11 75,900.00 140 129
10 69 37 63 120 139 32 57 20 547 160,271.00 1300 753
10 18 90 102 22 18 64 126 450 857,250.00 1500 1050
8 24 32 224,576.00 100 68
0 50 50
35 29 114 1,026,000.00 250 136
800 2016 1658 1761 632 4081 626 1426 13000 1,365,000.00 13000 0
14 72 67 47 200 17,600.00 200 0

1 1 1 3 559,845.00 3 0
762 1252 961 1202 899 376 71 322 378 6223 560,070.00 10000 3777
70 40 10 20 10 10 10 20 190 51,300.00 300 110
39 20 8 20 10 60 10 167 88,009.00 1000 833
160 140 80 500 328,000.00 500 0
82 46 10 53 20 211 127,233.00 500 289
20 168 58 152 92 112 32 377 56 1431 694,035.00 3000 1569
5 5 4 13 2 29 272,600.00 100 71
14 19 8 24 14 11 23 41 16 186 1,527,246.00 200 14
24 22 19 11 23 6 105 425,670.00 300 195
519 411 368 595 531 528 160 432 291 3835 786,175.00 5000 1165
300 45,300.00 300 0

1 1 35,532.00 4 3
17 6 11 19 53 112,519.00 100 47
22 120 25 108 37 312 1,249,560.00 600 288

44 58 23 44 64 294 39,396.00 1300 1006
0 6 6
59 57 142 97 110 202 333 1000 232,000.00 1500 500
6 20 10 6 42 14,574.00 200 158

30 61 256 66 413 61,950.00 1500 1087
184 134 119 106 543 62,445.00 1300 757
433 474 132 484 356 314 66 190 184 2946 1,190,184.00 4700 1754
1 4 1 57 5 68 221,000.00 96 28
10 10 1,140.00 500 490
535 184 719 104,255.00 2000 1281
27 54 81 27,135.00 1500 1419
26 17 24 11 13 14 3 137 878,170.00 260 123
8 89 40 40 66 98 50 83 26 500 52,000.00 500 0
9 22 7 15 7 60 392,040.00 60 0
0 100 100
3 3 6 11,400.00 60 54
90 480 630 1200 192,000.00 1200 0
6 36 31 46 86 205 207,050.00 300 95
8739 10248 6650 8110 17730 8211 3248 9937 727 73600 9,862,400.00 73600 0
706 755 679 269 352 211 2972 353,668.00 4000 1028
189 396 291 201 171 179 24 155 84 1999 347,826.00 3500 1501
965 1369 907 954 905 975 715 795 688 9327 1,697,514.00 10000 673
51 43 31 12 137 199,746.00 300 163
536 739 640 630 1035 905 4485 470,925.00 8000 3515
373 373 105,932.00 400 27
2519 20 142 8 2689 1,591,888.00 3800 1111

72 98 63 73 68 66 119 28 750 5,362,500.00 1104 354
0 100 100
25 266 184 188 290 358 133 473 109 2026 133,716.00 3000 974
1 1 1 3 637,065.00 4 1
5 10 1,700,000.00 15 5
0 8 32 40 612,000.00 300 260
223 193 4 500 183,000.00 500 0
229 34 290 47 302 104 1006 282,686.00 1500 494
0 3 3
5035 4799 945 10466 4260 1252 415 2445 34796 77518 39,844,252.00 78400 882
30762 30762 10,920,510.00 38400 7638
53 1408 2110 1191 438 1611 708 7519 646,634.00 9000 1481
13 8 9 1 31 93,000.00 50 19
1950 1301 344 663 175 379 1039 659 6510 559,860.00 10000 3490
1208 1005 1059 1263 1906 1298 674 1576 1052 12397 421,498.00 18000 5603
196 196 119,364.00 1200 1004
724189 372,991,119.24 916060 191871
Nilai
Nilai Stok
Sisa Stok
92,300.00 0
1,778,400.00 0
450,000.00 0
107,500.00 0
76,000.00 0
96,492.00 0
1,119,864.00 0
1,530,000.00 1,530,000.00
144,000.00 0
54,000.00 51,570.00
52,800.00 0
190,000.00 0
475,000.00 0
48,000.00 0
2,689,750.00 0
13,776.00 0
32,889.04 32,889.04
450,000.00 445,500.00
274,000.00 150,700.00
2,574,000.00 314,600.00
2,103,750.00 0
4,312.00 0
2,768.04 0
1,595,700.00 0
762,300.00 0
11,999,900.00 11,999,900.00
18,600.00 0
118,000.00 0
3,729,600.00 0
1,152,800.00 1,152,800.00
1,395,900.00 0
8,640.00 2,400.00
111,601.00 54,236.00
1,485,000.00 811,800.00
300,000.00 0
80,500.00 42,000.00
1,005,000.00 472,350.00
603,000.00 0
15,174.50 15,174.50
10,200.00 0
1,320,000.00 1,320,000.00
1,595,000.00 837,375.00
390,000.00 0
37,350.00 12,450.00
7,698.90 6,159.12
9,739.40 7,791.52
1,584,000.00 959,200.00
22,000.00 0
880,000.00 501,600.00
5,184.00 0
48,000.00 0
528,000.00 374,000.00
103,730.00 0
495,000.00 183,150.00
1,551,900.00 0
1,876,487.00 0
167,000.00 0
315,000.00 0
2,042,550.00 1,342,575.00
1,201,051.20 960,840.96
1,636,800.00 1,473,120.00
237,600.00 0
40,592.00 0
489,800.00 489,800.00
18,270.00 1,890.00
96,850.00 0
2,277,000.00 1,664,740.00
190,000.80 0
62,691.20 0
780,000.00 40,000.00
346,906.00 0
964,260.00 498,960.00
129,800.00 116,820.00
2,058,408.00 149,688.00
371,041.00 0
1,451,873.50 842,649.50
4,441,706.50 13,244.00
731,000.00 0
190,000.00 0
679,500.00 222,480.00
263,934.00 0
1,987,590.00 898,700.00
13,920,000.00 1,169,976.00
2,465,306.00 72,974.00
1,638,252.00 665,280.00
118,755.00 0
205,712.00 0
210,000.00 90,000.00
330,050.00 96,350.00
2,042,500.00 1,935,000.00
291,320.00 0
25,200.00 0
3,969,747.63 2,864,248.29
1,527,900.00 506,176.00
314,900.00 48,175.00
16,695.00 0
30,000.00 0
11,800.00 11,210.00
132,240.00 0
2,010,000.00 1,876,000.00
2,459,820.00 2,094,180.00
442,050.00 442,050.00
306,113.00 0
472,000.00 120,000.00
240,000.00 0
240,000.00 48,000.00
160,000.00 80,000.00
440,000.00 16,000.00
184,548.00 0
671,616.00 0
187,272.00 46,240.00
2,020,850.00 0
920,000.00 0
434,700.00 0
149,000.00 149,000.00
2,220,700.00 787,050.00
205,000.00 41,000.00
619,400.00 0
1,759,400.00 273,600.00
991,800.00 0
1,132,400.00 722,000.00
346,080.00 0
2,598,293.00 0
3,997,266.00 871,199.00
967,758.00 707,608.00
66,024.00 0
1,211,878.50 387,801.12
1,673,072.00 558,008.00
29,700.00 0
54,500.10 0
6,931,976.00 3,792,968.00
1,145,667.00 939,446.94
66,424.20 0
23,239,851.70 23,112,944.66
254,500.00 10,180.00
2,181,102.00 0
16,200.00 0
197,206.00 0
535,000.00 0
435,000.00 0
2,202,984.00 355,320.00
1,896,660.00 0
533,000.00 410,000.00
90,000.00 0
70,357.00 0
57,400.00 20,500.00
419,250.00 0
827,395.24 797,845.41
55,000.00 55,000.00
55,000.00 55,000.00
137,500.00 137,500.00
1,343,570.00 0
882,768.00 95,559.00
3,744.00 0
186,207.84 0
582,400.00 0
425,425.00 0
708,000.00 0
1,041,481.70 1,041,481.70
261,000.00 255,200.00
630,000.00 504,000.00
12,000.00 8,400.00
160,230.00 0
63,750.00 61,200.00
166,000.00 135,539.00
1,032,325.00 371,637.00
1,700,000.00 680,000.00
337,250.00 303,525.00
149,328.00 0
1,878,660.00 1,454,796.00
117,600.00 105,546.00
115,170.00 0
1,067,062.35 0
1,212,000.00 1,160,490.00
744,576.00 643,748.00
516,000.00 0
2,515,680.00 1,635,192.00
25,000.00 0
877,800.00 429,660.00
84,700.00 53,361.00
1,891,520.00 0
2,971,816.00 1,562,792.00
3,467,520.00 3,467,520.00
16,864.00 0
37,944.00 0
156,375.00 156,375.00
8,645,970.00 0
37,620.00 0
2,419,200.00 0
220,935.00 220,935.00
8,800.00 8,800.00
5,760.00 0
36,806.00 36,806.00
170,544.00 0
183,570.00 0
10,780,000.00 0
11,519,680.00 0
5,759,840.00 0
20,879,130.00 5,759,760.00
0 -5,759,840.00
2,399,980.00 0
429,980.00 0
1,199,990.00 1,199,990.00
406,518.00 203,259.00
46,200.00 0
11,008.00 0
21,570.00 0
64,480.00 0
117,000.00 0
2,040,291.00 0
1,729,750.00 0
275,000.00 165,000.00
275,000.00 275,000.00
8,800.00 8,800.00
2,844,000.00 2,310,750.00
4,450.00 0
1,188,000.00 0
1,032,750.00 0
1,336,500.00 364,500.00
70,125.00 37,400.00
370,640.00 370,640.00
26,400.00 0
42,400.00 0
572,000.00 0
209,000.00 0
229,900.00 0
58,575.00 58,575.00
2,486,484.00 2,275,988.00
657,800.00 657,800.00
72,465.54 0
237,162.24 29,645.28
288,001.44 256,001.28
86,000.00 86,000.00
41,800.00 41,800.00
1,849,695.00 1,260,360.00
1,945,000.00 1,945,000.00
759,000.00 759,000.00
33,350.00 33,350.00
128,370.00 0
5,459,500.00 0
6,100,000.00 1,640,900.00
57,362.00 0
49,450.00 0
1,802,500.00 0
30,900,000.00 0
34,000,000.00 0
1,278,000.00 522,276.00
956,997.00 956,997.00
1,566,400.00 1,096,480.00
250,000.00 225,000.00
180,000.00 144,000.00
33,450.00 33,450.00
570,500.00 44,336.00
14,300.00 14,300.00
261,000.00 0
189,000.00 0
2,847,000.00 792,561.00
5,635,000.00 5,635,000.00
889,488.00 463,275.00
101,250.00 101,250.00
146,200.00 146,200.00
252,000.00 180,000.00
660,000.00 0
4,185,000.00 0
212,000.00 51,198.00
1,394,600.00 622,432.00
404,800.00 64,768.00
246,500.00 6,235.00
509,400.00 0
89,400.00 89,400.00
451,584.00 116,032.00
134,900.00 134,900.00
326,000.00 319,480.00
792,000.00 0
324,610.00 19,019.00
637,050.00 637,050.00
1,140,000.00 1,117,200.00
151,800.00 63,756.00
440,000.00 440,000.00
339,760.00 271,808.00
1,158,300.00 0
233,580.00 140,148.00
63,000.00 31,500.00
200,200.00 34,944.00
66,120.00 6,612.00
1,415,200.00 366,183.00
2,509,650.00 669,240.00
836,550.00 334,620.00
1,036,500.00 744,207.00
220,000.00 220,000.00
400,000.00 400,000.00
93,600.00 86,736.00
292,704.00 0
848,016.00 836,238.00
203,832.00 42,465.00
4,698,190.00 671,170.00
468,000.00 94,302.00
1,128,000.00 249,664.00
84,900.00 84,900.00
2,093,000.00 1,237,860.00
305,790.00 305,790.00
966,000.00 890,100.00
380,900.00 220,629.00
2,857,500.00 2,000,250.00
701,800.00 477,224.00
417,750.00 417,750.00
2,250,000.00 1,224,000.00
1,365,000.00 0
17,600.00 0
559,845.00 0
900,000.00 339,930.00
81,000.00 29,700.00
527,000.00 438,991.00
328,000.00 0
301,500.00 174,267.00
1,455,000.00 760,965.00
940,000.00 667,400.00
1,642,200.00 114,954.00
1,216,200.00 790,530.00
1,025,000.00 238,825.00
45,300.00 0
142,128.00 106,596.00
212,300.00 99,781.00
2,403,000.00 1,153,440.00
174,200.00 134,804.00
19,200.00 19,200.00
348,000.00 116,000.00
69,400.00 54,826.00
225,000.00 163,050.00
149,500.00 87,055.00
1,898,800.00 708,616.00
312,000.00 91,000.00
57,000.00 55,860.00
290,000.00 185,745.00
502,500.00 475,365.00
1,666,600.00 788,430.00
52,000.00 0
392,040.00 0
305,000.00 305,000.00
114,000.00 102,600.00
192,000.00 0
303,000.00 95,950.00
9,862,400.00 0
476,000.00 122,332.00
609,000.00 261,174.00
1,820,000.00 122,486.00
437,400.00 237,654.00
840,000.00 369,075.00
113,600.00 7,668.00
2,249,600.00 657,712.00
7,893,600.00 2,531,100.00
49,500.00 49,500.00
198,000.00 64,284.00
849,420.00 212,355.00
2,550,000.00 850,000.00
4,590,000.00 3,978,000.00
183,000.00 0
421,500.00 138,814.00
1,860,000.00 1,860,000.00
40,297,600.00 453,348.00
13,632,000.00 2,711,490.00
774,000.00 127,366.00
150,000.00 57,000.00
860,000.00 300,140.00
612,000.00 190,502.00
730,800.00 611,436.00
528,029,594.55 155,038,475.32
No Kode barang Nama Obat Harga harga terbaru Satuan
1 atenolol 341 341
2 fenobarbital 100mg tab 236.5 236.5
3 fitomenadion 3905 3905
4 gliseril trinitrat 1485 1485
5 kalamin lotio
6 kloramfenikol 5170 5170
7 kolkisin 3025 3025
8 lidokain spray oral 10% 187440 187440
9 Metamizol injeksi / norages
10 natrium bikarbonat 500 mg 79.86 79.86
11 tetrakain tetes mata 21185.89 21185.89
12 amoksisilin 250 mg 198 198
13 isosorbid dinitrat 10 mg 217.8 217.8
14 1700533175 Acetylcystein 200 mg 426 517 kapsul
15 1700511004 Acyclovir 400mg 349 401.5 tablet
16 1700513003 Adona inj 10 cc - 32500 ampul
17 1700509004 Albendazol tablet/tablet kunyah 400 mg 366 431.2 kaplet
18 1700511015 Alinamin F injeksi 8310 ampul
19 1700509005 alopurinol tab 100 mg 90 97.9 tablet
20 1700509006 alopurinol tab 300 mg 220 231 tablet
21 1700509007 Alprazolam tablet 0,25 mg 380 tablet
22 1700509008 Alprazolam tablet 0,5 mg 214 tablet
23 1700509010 Ambroxol sirup 15 mg/ml 4180 Botol
24 1700509011 Ambroxol tablet 30 mg 85.93
25 1700509013 aminofilin cairan inj 24 mg/mL 3345 3297.8 ampul
26 1700509015 aminofilin tab 200 mg 186 100.1 tablet
27 1700514003 Aminovel Infus 99000 fles
28 1700511024 Amitriptillin 25 mg 120 172.7
29 1700509017 amlodipin tab 5 mg 105 93.5 tablet
30 1700509019 Amlodipin tablet 10 mg 330 114.4 tablet
31 1700509024 Amoksisilin kap 232 209 kaplet
32 1700509026 amoksisilin sir kering 125 mg/5 mL 2090 2069.1 botol
33 1700507007 amoksisilin sir kering 250 mg/5 mL 3984 3820.3 botol
34 17015010029 Ampisillin Injeksi 1000 mg / ml 4000 12265.77 vial
35 17015010424 Anafen syr 14000 botol
36 1700507008 Antalgin inj. 250 mg/ml 1200
37 1700511033 Antalgin tab 500 mg 220 tablet
38 1700509032 Antasida DOEN I tablet kunyah 72 63.8 tablet
39 1700509033 Antasida DOEN II suspensi 2160 2115.3 botol
40 1700509034 Anti Bakteri DOEN salep kombinasi 2491 tube
41 17015010042 antifungi / salep 3-6 4158 4755.3 pot
42 1700509036 Antihemoroid DOEN kombinasi 1980 3685
43 1700509037 Antimalaria DOEN kombinasi 4216
44 1700509038 Antimigren Doen kombinasi / Ergotamin kofein 135 183.7 tablet
45 17015010451 Antrain Injeksi 15500 ampul
46 1700513027 Aqua PI 25 cc - Otsuka 2750 3025 ampul
47 1700509043 Asam Asetilsalisilat tablet 100 mg (Asetosal) 100 101.2 tablet
48 1700511041 asam askorbat (vitamin C) tab 250 mg 125 125.4 tablet
49 1700509047 asam askorbat (vitamin C) tab 50 mg 104 114.4 tablet
50 1700509048 asam folat tab 1 mg 267 73.7 tablet
51 1700511046 Asam mefenamat 500 mg 220 110 tablet
52 1700509050 Asam Mefenamat tablet 250mg 299 365.42 tablet
53 1700513031 Asam Traneksamat Injeksi 2445 5242.93 ampul
54 1700507013 Asering Lart infus 9000 botol
55 1700509057 Asiklovir 200 mg 249 264 tablet
56 1700509053 Asiklovir Cream 2864 4948.9 tube
57 17015010055 atropin cairan inj i.v./i.m./s.k. 0,25 mg/mL 1671.9 1694 ampul
58 1700513036 ATS 1500UI - Bio Farma 126500 ampul
59 1700511826 ATTAPULGITE 630MG 145 154 tablet
60 1700511014 Azitromicin 500 Tab 4500 tablet
61 17015010425 Bactricid 480 mg tablet 367.4 tablet
62 1700509408 bedak salisil serb 2% 1025 1122 box
63 17015010426 Benocetam 800 mg tablet 2970 tablet
64 1700509070 Benzatin Benzil Penisilin 2,4 juta IU/vial 13400 15950 vial
65 1700509073 Betahistin Mesilat tablet 6 mg 1078 TAB
66 1700509074 Betametason krim 0,1 % (sebagai Valerat) 1520 1483.9 tube
67 1700518010 Bioplacenton 15 gr 15400 tube
68 1700518011 Bioplacenton Tule 109199.4 box
69 1700509077 Bisoprolol tablet 5 mg 511 tablet
70 1700513045 Bricasma inj. 6850 ampul
71 1700509078 Bromheksin tablet 8 mg 38.5
72 17015023012 Burnazin Krim 1% 63635 Tube
73 17015010457 Buscopan Inj 38480 tablet
74 17015020434 Calcii Glukonas Inj 10425 ampul
75 17015010070 Cefixime 100 mg 1000 tablet
76 1700515045 Cendo Lyteers 15mL TM - Cendo 19164.6 botol
77 17015030321 Cendo Pantocain 17339 botol
78 1700509079 Cetirizin sirup 5 mg/5 ml 7999 BTL
79 1700509081 Cetirizine tablet 10 mg 181.005 tablet
80 17015010076 Cimetidine 200 mg 220 Tablet
81 17015010461 Citicholin inj 18772 ampul
82 1700533138 Clobazam 10 mg 970 tablet
83 1700508023 Clozapin 25 mg tab 1550 tablet
84 17015023327 Colme TM 26400 botol
85 17015023328 Colme TT 24200 botol
86 17015020394 Combantrin Susp 17818 10461 botol
87 1700511767 Combantrin Tablet 250mg 7016 8572.85 tablet
88 1700507127 Combipak IMS 33000 paket
89 1700513295 Combivent 2,5mL Injeksi - 5700 Vial
90 17015010462 Curcuma tab 613 tablet
91 1700519083 Decacetin Tetes Mata - 3250 botol
92 1700509087 Deksametason injeksi i.v. 5 mg/ml 1400 1723.7
93 1700509088 deksametason tab 0,5 mg 44 45.1 tablet
94 1700511525 Desinfektan (klorin 5,25%) 16988 botol
95 1700507021 Devitalisasi Pasta 385000 TUBE
96 1700533223 Dexycol 500 mg Kapsul 853 tablet
97 1700509093 Diazepam 2 mg 148 179.08 tablet
98 1700511130 Diazepam 5 mg 56 113.3
99 1700509092 Diazepam injeksi 5 mg/ml 2368.08 17995.12
100 1700509098 dietilkarbamazin tab 100 mg 119 172.7 tablet
101 1700509099 difenhidramin cairan inj i.v./i.m. 10 mg/mL 1175 1166 ampul
102 1700509100 digoksin tab 0,25 mg 105 114.4 tablet
103 1700509105 diltiazem tab 30 mg (HCl) 127 148.5 tablet
104 1700509106 dimenhidrinat tab 50 mg 186 108.9 tablet
105 1700512125 Dionicol 12350 botol
106 1700509108 doksisiklin kaps 100 mg 269 294.8 kapsul
107 1700519047 Domperidon drop 15600 botol
108 1700509109 domperidon sir 5 mg/5 mL 3000 3986.4 botol
109 1700509110 Domperidon tablet 10 mg 167 104.5 tablet
110 17015020623 dulcolax sup 10 mg 5800 6380 supp
111 17015020624 dulcolax sup 5 mg 5670 6380 supp
112 17015010466 Dulcolax tab 5mg 1463 330 tablet
113 17015010107 Efedrin Hcl tablet 25 ml 51.26
114 17015010108 Ekstrak Belladon tablet 10 mg 26.4 tablet
115 1700509113 epinefrin (adrenalin) cairan inj i.v./i.m./s.k. 0,1% 2204 1923.9 ampul
116 1700509116 Eritromisin kaplet 500 mg 864.25 803 tablet
117 1700509117 eritromisin sir kering 200 mg/5 mL 6700 6765 botol
118 1700507028 Etil Klorida semprot 95704.398 148516.61 can 100 ml
119 17015010116 Eugenol Cairan 43541.699
120 1700509123 Famotidin 40mg Tabet 350 tablet
121 1700509127 fenitoin cairan inj 50 mg/mL 7980 5451.6 ampul
122 1700509126 fenitoin kaps 100 mg 154 167.2 tablet
123 17015010120 Fenitoin Natrium kapsul 30 mg 93 873.62
124 17015010122 Fenobarbital Injeksi 50 mg / ml 17016 1914
125 17015010123 Fenobarbital tablet 30 mg 62 168.3
126 1700509133 Fenoksimetil Penisilin tablet 250 mg 262 385
127 1700509134 Fenoksimetil Penisilin tablet 500 mg 370.63 665.5
128 17015010127 Fenol Gliserol tetes telinga 10% 1008 2750 botol
129 1700509136 Fitomenadion (Vit.K1) tablet salut gula 10 mg 680.63 754.6 tablet
130 17005110377 Fitomenadion Inj 1566 4583.7
131 1700509485 Flufenazin dekanoat 55000 63250 ampul
132 1700509140 Flukonazol tablet 150 mg - ktk 10 tablet 18000 tablet
133 17005110478 Fluoksetin 250 247.5 tablet
134 1700513464 Furamin Injeksi 13750 ampul
135 1700509143 Furosemid injeksi 13500 1926.1 ampul
136 1700509144 Furosemid tablet 40 mg 85 88 tablet
137 1700507035 garam oralit 264 286 sachet
138 1700513103 GAVISTAL INJ 8664 ampul
139 1700509154 Gentamisin injeksi 40 mg/ ml 3399 ampul
140 1700511615 Gentamisin Salep Kulit 1350 tube
141 17015010146 Gentamisin Sulfat tetes mata 0,3 % 3194 botol
142 17015010147 Gentian Violet Lart 1 % 900 botol
143 1700511186 Glass Ionomer 394900 botol
144 1700509161 Glibenklamida tablet 5 mg 72 174.24
145 1700509489 Gliclazide tablet 80 mg 236 tablet
146 1700509164 Glimepirid Tablet 2 mg 289 254.1 tablet
147 1700509162 Glimepiride tablet 1 mg 752 213.4 tablet
148 1700509166 Glimepiride tablet 3 mg - ktk 5 x 10 tablet 283 tablet
149 1700511191 Gliseril Guayakolat tab 100 mg 44 tablet
150 1700509173 Gliserin 5332.8 botol
151 1700504012 Glukosa 40 % 10000
152 1700509176 glukosa 5% lar infus 6900 7590 botol
153 1700509174 Glukosa larutan infus 10 % steril 5726.6
154 1700529022 Glukose 4 x 100 ml 10800 botol
155 1700511194 Griseofulvin tab 125 mg 194 269.5 tablet
156 1700509177 Griseofulvin tablet 250 mg 209 tablet
157 1700511195 Grivin Forte 5054.5 tablet
158 17015030336 h2o2 3% 30000 36655.74 botol
159 1700511995 HALDOL DECANOAS AMP 83333 107250 ampul
160 1700511204 haloperidol 1,5 mg 66 67.1 tablet
161 1700511205 Haloperidol 5 mg tab 122.23 75.9
162 1700507132 haloperidol cairan inj i.m. 5 mg/mL (HCl) 4974 4400 ampul
163 1700509182 haloperidol tab 2 mg 110 103.4 tablet
164 1700507133 haloperidol tetes 2 mg/mL 17099 19800 botol
165 1700511207 hidroklorotiazid tab 25 mg 149 163.9 tablet
166 1700509185 Hidrokortison krim 2,5 % 2798 2904 tube
167 17015010169 Hyoscine N Butilbromide 10 mg 299.99 47018.18
168 1700513450 Hyosin N Butilbromide - 10 mg 38850 3058.88 ampul
169 1700511657 IBUPROFEN 200 105 112.2 tablet
170 1700509191 Ibuprofen 400 mg Tablet 150 122.1 tablet
171 1700509188 ibuprofen susp 100 mg/5 ml 2475 2722.5 botol
172 1700509189 Ibuprofen suspensi 200 mg/5 ml 4550 botol
173 17015010185 isoniazid tab 100 mg 71 81.4 tablet
174 1700509195 isoniazid tab 300 mg 173 187 tablet
175 1700509196 isosorbid dinitrat tab sublingual 5 mg 88 99 tablet
176 1700507043 KAEN - 3 A 10000 botol
177 1700507044 KAEN - 3 B 10000 botol
178 1700507048 kalsium laktat (kalk) tab 500 mg 63 61.6 tablet
179 1700511081 Kaptopril 12,5 mg 62 68.2
180 17015020017 Kaptopril 12.5 mg 59
181 1700509207 Kaptopril tab 25 mg 68 88 tablet
182 1700509209 karbamazepin tab 200 mg 270 250.8 tablet
183 1700513120 Karbazokrom Inj 322000 box
184 1700507050 Karbozokrom 557 TAB
185 1700509210 Ketokonazol krim 2% 4700 2855.6 tube
186 1700509211 ketokonazol tab 200 mg 533 308 tablet
187 1700509212 Ketoprofen Injeksi 6600 ampul
188 1700509216 Ketorolac injeksi 10 mg 14579 ampul
189 1700509217 Ketorolac injeksi 30 mg 2300 ampul
190 1700509219 Klindamisin kapsul 150 mg 382 810.7
191 1700509221 Klindamisin kapsul 300 mg 361 635.8 tablet
192 1700509227 kloramfenikol kaps 250 mg 556 680.02 tablet
193 1700509229 Kloramfenikol salep mata 1600 tube
194 1700518138 Kloramfenikol salep mata 9400 1991 tube
195 1700509231 Kloramfenikol tetes mata 0,5 % 8250 3575 btl 5ml
196 17015010217 Kloramfenikol tetes telinga 3 % 999.99 29574.82
197 1700507057 Klorfeniramin Maleat tab 4 mg 51 39.6 tablet
198 1700511257 Klorpromazin 100 mg tab 133 158.4 tablet
199 1700509237 klorpromazin cairan inj i.m. 5 mg/mL 1412 1601.6 ampul
200 17015010223 klorpromazin tab sal selaput 25 mg 148 179.3 tablet
201 1700509240 kodein tab 10 mg 550 605 tablet
202 1700509242 kodein tab 20 mg 1210 tablet
203 1700509488 Kombinasi parafin+gliserin+fenoltalein 12450 141.9 botol
204 1700507060 Kotrimoksasol susp 4054 2514.6 botol
205 1700509245 kotrimoksazol (dewasa) kombinasi tab 480 mg 151 141.9 tablet
206 17015010226 Kotrimoksazol pediatrik tablet 75.9 tablet
207 1700512114 laktulosa sir 3,335 g/5 mL 14500 botol
208 1700509258 Levofloksasin tablet 500 mg 570
209 17015010231 lidokain cairan inj 2% 860 1224.3 ampul
210 1700509261 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml 4005 2130.7 ampul
211 17015020055 LISINOPRIL 10 TAB - 319 tablet
212 17015020056 LISINOPRIL 5 TAB - 269 tablet
213 1700509269 Loperamid tablet 2 mg 89 tablet
214 1700509270 Loratadin tablet 10 mg 160 135.3
215 17015010237 Magnesium Sulfat Injeksi 20 % - 25 ml 1539.78 3520
216 17015010238 Magnesium Sulfat Injeksi 40 % - 25 ml 1947.88 4015 vial
217 1700533309 MDT MB - Dewasa 28424 Blister
218 1700513142 Mecobalamin inj - 9615 ampul
219 1700518122 Melavita Cream - 0,1 % 9750 Tube
220 1700511285 Meloxicam 15 1430 TABLET
221 1700511511 Merlopam 2 mg 4290 tablet
222 1700511287 Mersibion Injeksi 6900
223 1700513420 Metamizol Inj 8800 13977.92 ampul
224 1700509286 Metformin HCl tab 850 mg 185 171.6 tablet
225 1700509285 Metformin HCl tablet 500 mg 105 103.4
226 17015020142 Metherinal Tablet 0.125mg 572 tablet
227 17015010244 Methylergometrin Inj. 0,200 mg - 1 mg - 2849 3141.6 ampul
228 1700513145 metilergometrin cairan inj 0,2 mg/mL 2683.84 3133.9 ampul
229 1700509288 Metilergometrin Maleat (Metilergometrin) tablet salu 347 699.38 tablet
230 1700509293 Metilprednisolon tablet 4 mg 295.83 165 tablet
231 1700509295 Metoklopramid injeksi 12900 3734.5 ampul
232 1700509297 metoklopramid tab 10 mg 90 95.7 tablet
233 1700509296 Metoklopramide sirup 5 mg/ 5 ml 2600 botol
234 1700509298 Metoklopramide tablet 5 mg 108 tablet
235 1700509299 Metronidazol infus 500 mg/100 ml - btl 100 ml 28600 9377.5 botol
236 1700511304 metronidazol sir 125 mg/5 mL 3800 4180 botol
237 1700509300 metronidazol tab 250 mg 94 99 tablet
238 1700509301 metronidazol tab 500 mg 133 124.3 tablet
239 17015010256 Miconazole Krim 2 % 2999.7 5111.7 tube
240 1700509302 mikonazol krim 2% 3250 3932.5 tube
241 1700509303 MINERAL MIX 2695 sachet
242 1700511866 MINIASPI 80MG 14800 box
243 1700533296 Mometason Cream 0.1% 18340 tube
244 1700507069 Multivitamin sirup 11000 botol
245 17015010261 Mummifying Pasta 232100
246 1700511488 NATRIUM DIKLOFENAK 25 MG - 145 145.2 tablet
247 1700509309 Natrium Diklofenak 50 mg 176 134.2 tablet
248 1700509312 Natrium Klorida larutan infus 0,9 % 4900 Botol
249 17015022593 NEUROBION 5000 INJ - 10000 ampul
250 1700513167 Neurosanbe inj 6292
251 1700513474 Neurotropik injeksi 7150 ampul
252 1700507072 Neurotropik tab 528 tablet
253 17015030839 Neurovit E tablet 504 tablet
254 17015010271 Nifedipin tablet 104 108.9 tablet
255 1700509317 nistatin tab sal gula 500.000 UI/mL 745 841.5 tablet
256 1700509318 nistatin tab vaginal 100.000 IU 523 599.5 tablet
257 1700533295 Nitral Tablet 0.5mg 1500 tablet
258 1700513175 NORAGES INJ 11880 ampul
259 1700509325 Obat Anti Tuberculosis FDC Kategori 1 359990 paket
260 1700509326 Obat Anti Tuberculosis FDC Kategori 2 1199990 paket
261 1700509324 Obat Anti Tuberkulosis FDC Kategori Anak 214950 paket
262 1700507075 Obat Batuk Hitam 100 ml 4180 botol
263 1700509330 Oksitetrasiklin HCl salep mata 1 % 1600 tube
264 1700507078 oksitosin cairan inj 10 IU/mL 1900.08 2090 ampul
265 1700509337 omeprazol 20 mg 530 154 tablet
266 17015023808 ONDANSETRON 4 INJ 1650 ampul
267 1700533213 Ondansetron 4 mg 716 tablet
268 1700509340 Papaverin tablet 40 mg 187 Tablet
269 1700509344 Parasetamol 500 mg tab 130 53.9 tablet
270 1700509341 Parasetamol drops 5227 6292 botol
271 1700507080 Parasetamol sirup 120 mg/5ml 1318.9 1111 botol
272 17015010441 Paratusin tablet 710.5 tablet
273 1700529178 Perak Sulfadiazin Cream - 20700 22770 tube
274 1700509487 Permetrin Krim 11475 13370.5 tube
275 1705250622 Pil KB 1945 tablet
276 1700509352 Piracetam injeksi 1 g/5 ml 1925 ampul
277 1700509353 Piracetam injeksi 3 g/15 ml 20017.52 ampul
278 1700513149 Piralen Inj 12900 ampul
279 1700511364 Pirantel Pamoat tab 125 mg 297.999 295.9 tablet
280 1700509360 Pirantel tablet score (base) 365 mg 311 tablet
281 17015010294 Pirasetam inj 27037 ampul
282 17015010296 Pirasetam tab 400 mg 194 tablet
283 1700507082 piridoksin (vitamin B6) tab 10 mg 118 129.8 tablet
284 17015010298 Piridoksin Hcl 50mg Tablet 75 tablet
285 1700507083 Piroksikam 20 174 tablet
286 1700525492 Polikresulen 10 ml 17393 botol
287 1700511374 Prednison - 5 mg 182 83.6 tablet
288 1700507181 PRIMAQUIN - 15 mg tablet 224
289 1700509379 Prokain Benzil Penisillin inj 3 juta ui/vial 7190 10424.7 Vial
290 17015022545 PROPANOLOL 10 TAB - 52 72.6 tablet
291 1700509381 Propanolol tablet 40 mg (HCl) 108
292 1700509383 propiltiourasil tab 100 mg 415 506.99 tablet
293 17015024158 RANITIDIN INJ 1458 ampul
294 1700509389 Ranitidin tablet 150 mg 120 107.8 tablet
295 17015010315 Reserpin Tablet 0,25 mg 88
296 1700509392 Retinol (Vitamin A) 100.000 IU kapsul lunak 260 312.4 kapsul
297 1700509393 Retinol (Vitamin A) 200.000 IU kapsul lunak 419.86 kapsul
298 1700507087 Ringer laktat inf 5199.7 7865 botol
299 1700533139 Risperidon 2 mg 1008 381.7 tablet
300 1700509406 salbutamol tab 4 mg 83 88 tablet
301 1700509405 Salbutamol tablet 2 mg 66 85.8 tablet
302 1700513451 Saldona Injeksi 13200 ampul
303 1700509407 salep 2-4 2429 2779.7 pot
304 1700518050 Salep kulit anti eksim 11132 TUBE
305 17015010331 Sefadroksil 500 mg 509 kapsul
306 1700509409 Sefadroksil sirup kering 125 mg/5ml 4896 botol
307 17015010333 Sefotaksim injeksi 8750 ampul
308 17015010334 Seftriakson injeksi 1 g 14300 Vial
309 1700520002 serum anti bisa ular A.B.U.I 614900 508200 vial
310 1700513039 Serum Anti Tetanus 1500 IU injeksi 148500 139150 ampul
311 1700513230 Serum antitetanus (A.T.S) 170000 ampul
312 17015021332 setirizin sir 5 mg/5 mL 6745 3465 botol
313 17015010341 sianokobalamin inj 500 mcg/ mL 1098 1195.7 ampul
314 1700508087 Sikzonoat inj 55000 ampul
315 17005094899 Simvastatin 10 MG 249 122.1 tablet
316 1700509440 simvastatin tab sal selaput 20 mg 252 251.9 tablet
317 1700509447 Siprofloksasin Tablet 500 mg 281 264 tablet
318 1700533294 Spasmolit Tablet 10mg 2503 tablet
319 1700509452 spironolakton tab 25 mg 294 268.4 tablet
320 1700513220 Stesolid Injeksi 4400.62 ampul
321 17005110426 stesolid lar rektal 10 mg/2,5mL 16742 19334.7 botol
322 1700518056 stesolid lar rektal 5 mg/2,5 mL 11517 13299 botol
323 1700518089 STOLAX SUPPOSITORIA 6045 biji
324 17015010348 Sulfasetamide Natrium Tetes Mata 15 % 3850 BOTOL
325 1700532020 Suntik KB 6116 Vial
326 1700507097 Tablet Tambah Darah 66.57 390.5 tablet
327 1700507100 Tetrasiklin HCl kapsul 250 mg 152 182.6
328 1700509464 tetrasiklin kaps 500 mg (HCl) 310 341 tablet
329 17015021742 Thiamfenikol 500mg 852 tablet
330 1700533299 Thiamfilex Kapsul 500mg 1210 tablet
331 17005110399 Thiamfilex Sirup 12350 botol
332 17015010355 Thiamine Hcl ( Vit.B.1 ) Inj.100 mg / 1 ml 680 ampul
333 17015010442 Thimelon 8 mg tablet 1920 tablet
334 1700511444 Tiamin Hcl ( Vit B1 ) Tablet 50 mg 57 90.2 tablet
335 17015024000 Tomit Injeksi 12900 ampul
336 1700502085 Tri Kresol Formalin 95000.398 botol
337 1700533297 Trifacort Tablet 5mg 126 tablet
338 1700511452 Trifluoperazin 5 mg 405 tablet
339 1700511458 Trihexypenidhil 2 mg 40 88
340 1700507105 Urine bag 3000 pcs
341 1700511462 Valdimex 5mg 847
342 17015023001 Ventolin MDI 244816 botol
343 1700513247 Ventolin Nebulizer 4000 ampul
344 1700519082 Visto Tetes Mata - 10973 botol
345 1700511466 Vit B12 86 56.1 tablet
346 1700511471 vitamin b kompleks 115 126.5 tablet
347 1700508120 Xylocain Spray 399500 botol
348 1700511526 Zinc Dispersible tab 473 564.3 tablet
pemakaian th 2016 pemakaian th 2017 pemakaian rata2 1 bulan kebutuhan 18 bulan
1 - 1,774.00 73.92 1,330.50

834.00 2,087.00 121.71 2,190.75
- - - -
2 4,279.00 4,096.00 348.96 6,281.25
- - - -
3 2,150.00 5,478.00 317.83 5,721.00
4 - - - -
- 200.00 8.33 150.00
- - - -
- - - -
- - - -
5 - - - -
6 6,276.00 4,647.00 455.13 8,192.25
- - - -
7 - - - -
8 2,484.00 2,316.00 200.00 3,600.00
9 1,804.00 1,800.00 150.17 2,703.00
10 62,922.00 59,784.00 5,112.75 92,029.50
11 457.00 521.00 40.75 733.50
12 - - - -
13 - - - -
- - - -
- - - -
8,000.00 9,381.00 724.21 13,035.75
14 49,352.00 40,586.00 3,747.42 67,453.50
15 124.00 69.00 8.04 144.75
130.00 - 5.42 97.50
16 276.00 234.00 21.25 382.50
17 31.00 59.00 3.75 67.50
14.00 13.00 1.13 20.25
18 - 18.00 0.75 13.50
- - - -
19 104.00 264.00 15.33 276.00
20 - - - -
21 - - - -
22 2,398.00 8,978.00 474.00 8,532.00
23 1,556.00 1,000.00 106.50 1,917.00
24 4,100.00 16,517.00 859.04 15,462.75
25 - - - -
26 - - - -
70.00 290.00 15.00 270.00
27 - - - -
28 25.00 84.00 4.54 81.75
29 4.00 - 0.17 3.00
2.00 6.00 0.33 6.00
30 10.00 1,657.00 69.46 1,250.25
- 1.00 0.04 0.75
280.00 - 11.67 210.00
31 233.00 228.00 19.21 345.75
- 400.00 16.67 300.00
32 - - - -
- 600.00 25.00 450.00
33 350.00 107.00 19.04 342.75
- - - -
10.00 10.00 0.83 15.00
- - - -
- 18.00 0.75 13.50
- 40.00 1.67 30.00
- - - -
- - - -
- - - -
- 790.00 32.92 592.50
- - - -
- - - -
5.00 - 0.21 3.75
200.00 2,137.00 97.38 1,752.75
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
34 - - - -
35 - - - -
- 30.00 1.25 22.50
- 4.00 0.17 3.00
- - - -
- - - -
36 107.00 58.00 6.88 123.75
37 11,775.00 23,221.00 1,458.17 26,247.00
10.00 16.00 1.08 19.50
1.00 4.00 0.21 3.75
- - - -
38 1,637.00 - 68.21 1,227.75
39 19.00 77.00 4.00 72.00
40 - 6.00 0.25 4.50
41 - - - -
42 90.00 227.00 13.21 237.75
43 334.00 459.00 33.04 594.75
44 - - - -
45 700.00 908.00 67.00 1,206.00
- - - -
46 - - - -
13.00 - 0.54 9.75
47 10.00 10.00 0.83 15.00
48 - 5.00 0.21 3.75
49 3.00 - 0.13 2.25
50 - - - -
51 - - - -
243.00 54.00 12.38 222.75
1,880.00 - 78.33 1,410.00
52 68.00 284.00 14.67 264.00
53 263.00 593.00 35.67 642.00
54 90.00 119.00 8.71 156.75
55 13.00 11.00 1.00 18.00
2.00 3.00 0.21 3.75
- - - -
56 - - - -
57 - - - -
58 - 200.00 8.33 150.00
59 - 19.00 0.79 14.25
60 - - - -
61 - - - -
62 - - - -
- - - -
63 1,486.00 866.00 98.00 1,764.00
64 174.00 - 7.25 130.50
65 - - - -
100.00 - 4.17 75.00
66 - - - -
- - - -
67 - - - -
68 1,467.00 2,454.00 163.38 2,940.75
69 3,635.00 10,944.00 607.46 10,934.25
- - - -
- - - -
- 96.00 4.00 72.00
- 1.00 0.04 0.75
- 57.00 2.38 42.75
1.00 6.00 0.29 5.25
70 1,600.00 3,194.00 199.75 3,595.50
1,000.00 500.00 62.50 1,125.00
71 3,169.00 488.00 152.38 2,742.75
72 - 1,168.00 48.67 876.00
- - - -
37,000.00 33,600.00 2,941.67 52,950.00
- - - -
- - - -
73 95.00 74.00 7.04 126.75
40.00 - 1.67 30.00
- - - -
74 367.00 547.00 38.08 685.50
- - - -
- - - -
- - - -
75 - - - -
76 - - - -
77 10.00 65.00 3.13 56.25
78 - - - -
79 - - - -
80 - - - -
81 1,051.00 385.00 59.83 1,077.00
82 282.00 541.00 34.29 617.25
83 - 450.00 18.75 337.50
84 - 68.00 2.83 51.00
85 10,204.00 16,296.00 1,104.17 19,875.00
86 13,203.00 22,459.00 1,485.92 26,746.50
87 7.00 - 0.29 5.25
- - - -
88 - - - -
89 - - - -
90 190.00 200.00 16.25 292.50
- 53.00 2.21 39.75
91 - 60.00 2.50 45.00
92 7,952.00 7,271.00 634.29 11,417.25
- - - -
- - - -
93 6,822.00 16,398.00 967.50 17,415.00
94 280.00 300.00 24.17 435.00
- - - -
- - - -
95 - 96.00 4.00 72.00
96 156.00 201.00 14.88 267.75
- - - -
- - - -
- - - -
97 1,139.00 500.00 68.29 1,229.25
98 - 211.00 8.79 158.25
99 2,231.00 1,431.00 152.58 2,746.50
100 146.00 - 6.08 109.50
101 - 29.00 1.21 21.75
102 - 186.00 7.75 139.50
- 95.00 3.96 71.25
103 9,069.00 53,931.00 2,625.00 47,250.00
104 340.00 140.00 20.00 360.00
105 - - - -
- - - -
106 - - - -
- - - -
7.00 2.00 0.38 6.75
107 253.00 355.00 25.33 456.00
108 6,872.00 5,441.00 513.04 9,234.75
2,006.00 - 83.58 1,504.50
- 30.00 1.25 22.50
- - - -
109 - 53.00 2.21 39.75
110 251.00 1,340.00 66.29 1,193.25
- - - -
- - - -
950.00 50.00 41.67 750.00
111 254.00 294.00 22.83 411.00
112 - 1.00 0.04 0.75
113 - 1.00 0.04 0.75
- 12.00 0.50 9.00
- - - -
- - - -
- - - -
- - - -
- - - -
- 71.00 2.96 53.25
114 - - - -
115 1,100.00 1,000.00 87.50 1,575.00
- - - -
116 - - - -
12.00 8.00 0.83 15.00
117 407.00 42.00 18.71 336.75
118 340.00 413.00 31.38 564.75
119 - 86.00 3.58 64.50
120 - 1,000.00 41.67 750.00
- - - -
866.00 591.00 60.71 1,092.75
121 - - - -
122 6.00 9.00 0.63 11.25
123 480.00 - 20.00 360.00
124 2,261.00 3,775.00 251.50 4,527.00
125 48.00 - 2.00 36.00
71.00 197.00 11.17 201.00
- 4,000.00 166.67 3,000.00
- 10.00 0.42 7.50
- - - -
9.00 14.00 0.96 17.25
- - - -
126 2,484.00 9,985.00 519.54 9,351.75
127 864.00 5,032.00 245.67 4,422.00
181.00 137.00 13.25 238.50
- - - -
- - - -
- - - -
1,000.00 - 41.67 750.00
300.00 - 12.50 225.00
128 1,088.00 536.00 67.67 1,218.00
129 - - - -
130 2.00 - 0.08 1.50
- - - -
- - - -
90.00 106.00 8.17 147.00
3.00 2.00 0.21 3.75
5.00 3.00 0.33 6.00
60.00 60.00 5.00 90.00
- - - -
131 30.00 104.00 5.58 100.50
132 199.00 1,200.00 58.29 1,049.25
50.00 189.00 9.96 179.25
688.00 1,050.00 72.42 1,303.50
- - - -
133 89,230.00 97,353.00 7,774.29 139,937.25
134 88.00 112.00 8.33 150.00
135 470.00 205.00 28.13 506.25
- - - -
136 - - - -
137 84.00 96.00 7.50 135.00
- 303.00 12.63 227.25
- - - -
- 12.00 0.50 9.00
- - - -
138 - - - -
- - - -
- - - -
270.00 - 11.25 202.50
139 8,587.00 8,972.00 731.63 13,169.25
1,384.00 616.00 83.33 1,500.00
1,500.00 1,999.00 145.79 2,624.25
24.00 - 1.00 18.00
140 8,167.00 9,499.00 736.08 13,249.50
- - - -
141 - 3.00 0.13 2.25
- 60.00 2.50 45.00
142 - - - -
143 - - - -
370.00 137.00 21.13 380.25
144 5,282.00 7,991.00 553.04 9,954.75
- - - -
145 1,102.00 1,071.00 90.54 1,629.75
7,637.00 11,952.00 816.21 14,691.75
146 820.00 750.00 65.42 1,177.50
147 - - - -
148 940.00 367.00 54.46 980.25
149 1,112.00 2,714.00 159.42 2,869.50
- - - -
150 244.00 272.00 21.50 387.00
- - - -
- - - -
- - - -
- - - -
- - - -
151 3.00 - 0.13 2.25
152 - - - -
- 10.00 0.42 7.50
153 - 5.00 0.21 3.75
154 64.00 136.00 8.33 150.00
- 2.00 0.08 1.50
155 - - - -
156 1,745.00 1,682.00 142.79 2,570.25
157 84.00 1,506.00 66.25 1,192.50
- - - -
158 242.00 93.00 13.96 251.25
- - - -
159 - - - -
160 - 10.00 0.42 7.50
- - - -
- - - -
- 1,626.00 67.75 1,219.50
161 93,417.00 108,280.00 8,404.04 151,272.75
162 585.00 650.00 51.46 926.25
163 - - - -
30.00 484.00 21.42 385.50
- - - -
- - - -
- - - -
270.00 - 11.25 202.50
164 5,000.00 13,519.00 771.63 13,889.25
- - - -
4.00 2.00 0.25 4.50
- - - -
- - - -
165 - - - -
37.00 47.00 3.50 63.00
- 37.00 1.54 27.75
- - - -
5.00 185.00 7.92 142.50
- - - -
166 5,357.00 6,510.00 494.46 8,900.25
167 2,000.00 12,397.00 599.88 10,797.75
- - - -
168 2,330.00 5,001.00 305.46 5,498.25
sisa stok pengadaan rencana pengadaan nilai rencana pengadaan
1,226.00 104.50 104.50 44,517.00

848.00 1,342.75 1,342.75 468,619.75
- - - -
14,623.00 - 8,341.75 - -
- - - -
4,072.00 1,649.00 1,649.00 148,410.00
- - - -
- 150.00 150.00 57,000.00
- - - -
- - - -
- - - -
10.00 - 10.00 - -
272.00 7,920.25 7,920.25 1,473,166.50
- - - -
100.00 - 100.00 - -
- 3,600.00 3,600.00 378,000.00
- 2,703.00 2,703.00 891,990.00
5,043.00 86,986.50 86,986.50 20,180,868.00
430.00 303.50 303.50 634,315.00
- - - -
- - - -
- - - -
- - - -
3,619.00 9,416.75 9,416.75 2,071,685.00
24,177.00 43,276.50 43,276.50 3,115,908.00
125.00 19.75 19.75 42,660.00
50.00 47.50 47.50 118,322.50
160.00 222.50 222.50 925,155.00
50.00 17.50 17.50 34,650.00
- 20.25 20.25 85,374.00
- 13.50 13.50 1,822.50
- - - -
- 276.00 276.00 759,000.00
- - - -
- - - -
- 8,532.00 8,532.00 887,328.00
- 1,917.00 1,917.00 511,839.00
483.00 14,979.75 14,979.75 3,295,545.00
- - - -
- - - -
- 270.00 270.00 2,430,000.00
- - - -
16.00 65.75 65.75 188,308.00
- 3.00 3.00 5,015.70
4.00 2.00 2.00 253,000.00
43.00 1,207.25 1,207.25 175,051.25
- 0.75 0.75 3,375.00
- 210.00 210.00 77,154.00
94.00 251.75 251.75 258,043.75
- 300.00 300.00 891,000.00
- - - -
600.00 - 150.00 - -
137.00 205.75 205.75 312,740.00
- - - -
180.00 - 165.00 - -
- - - -
- 13.50 13.50 92,475.00
1,960.00 - 1,930.00 - -
- - - -
- - - -
15.00 - 15.00 - -
- 592.50 592.50 592,500.00
- - - -
- - - -
- 3.75 3.75 29,996.25
133.00 1,619.75 1,619.75 293,182.85
- - - -
30.00 - 30.00 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 22.50 22.50 742,500.00
196.00 - 193.00 - -
- - - -
- - - -
42.00 81.75 81.75 114,450.00
21,504.00 4,743.00 4,743.00 208,692.00
16.00 3.50 3.50 59,458.00
- 3.75 3.75 1,443,750.00
- - - -
- 1,227.75 1,227.75 181,707.00
- 72.00 72.00 4,032.00
9.00 - 4.50 - -
- - - -
41.00 196.75 196.75 231,181.25
300.00 294.75 294.75 30,948.75
- - - -
192.00 1,014.00 1,014.00 188,604.00
- - - -
- - - -
- 9.75 9.75 152,100.00
- 15.00 15.00 45,000.00
95.00 - 91.25 - -
- 2.25 2.25 13,050.00
- - - -
- - - -
- 222.75 222.75 11,418.17
- 1,410.00 1,410.00 37,224.00
3.00 261.00 261.00 575,244.00
207.00 435.00 435.00 375,948.75
- 156.75 156.75 1,050,225.00
4.00 14.00 14.00 1,339,861.57
2.00 1.75 1.75 76,197.97
- - - -
- - - -
- - - -
- 150.00 150.00 13,950.00
- 14.25 14.25 242,478.00
- - - -
- - - -
- - - -
- - - -
1,077.00 687.00 687.00 467,592.81
- 130.50 130.50 204,363.00
- - - -
- 75.00 75.00 1,350,000.00
- - - -
- - - -
- - - -
1,112.00 1,828.75 1,828.75 155,443.75
- 10,934.25 10,934.25 2,886,642.00
- - - -
65.00 - 65.00 - -
- 72.00 72.00 97,200.00
71.00 - 70.25 - -
15.00 27.75 27.75 24,975.00
1.00 4.25 4.25 1,678,325.00
806.00 2,789.50 2,789.50 200,844.00
- 1,125.00 1,125.00 265,500.00
- 2,742.75 2,742.75 792,654.75
332.00 544.00 544.00 409,088.00
300.00 - 300.00 - -
- 52,950.00 52,950.00 2,329,800.00
- - - -
30.00 - 30.00 - -
129.00 - 2.25 - -
- 30.00 30.00 171,798.00
- - - -
753.00 - 67.50 - -
- - - -
- - - -
- - - -
- - - -
- - - -
100.00 - 43.75 - -
- - - -
- - - -
- - - -
- 1,077.00 1,077.00 160,473.00
- 617.25 617.25 1,727,065.50
1,050.00 - 712.50 - -
- 51.00 51.00 1,981,350.00
- 19,875.00 19,875.00 2,086,875.00
- 26,746.50 26,746.50 4,011,975.00
- 5.25 5.25 12,993.75
- - - -
- - - -
- - - -
- 292.50 292.50 25,740.00
- 39.75 39.75 397,500.00
- 45.00 45.00 450,000.00
3,777.00 7,640.25 7,640.25 481,335.75
- - - -
- - - -
- 17,415.00 17,415.00 1,184,220.00
110.00 325.00 325.00 87,750.00
- - - -
- - - -
- 72.00 72.00 338,400.00
833.00 - 565.25 - -
- - - -
- - - -
- - - -
- 1,229.25 1,229.25 469,573.50
289.00 - 130.75 - -
1,569.00 1,177.50 1,177.50 654,690.00
- 109.50 109.50 175,200.00
71.00 - 49.25 - -
14.00 125.50 125.50 1,035,375.00
- 71.25 71.25 71,249.29
- 47,250.00 47,250.00 2,409,750.00
- 360.00 360.00 47,880.00
- - - -
- - - -
- - - -
- - - -
- 6.75 6.75 84,037.50
195.00 261.00 261.00 1,058,094.00
1,165.00 8,069.75 8,069.75 1,218,532.25
- 1,504.50 1,504.50 114,191.55
- 22.50 22.50 326,250.00
- - - -
147.00 - 107.25 - -
288.00 905.25 905.25 3,625,526.25
- - - -
- - - -
- 750.00 750.00 66,750.00
1,006.00 - 595.00 - -
6.00 - 5.25 - -
- 0.75 0.75 1,460.91
- 9.00 9.00 255,816.00
- - - -
- - - -
- - - -
- - - -
- - - -
- 53.25 53.25 468,600.00
- - - -
500.00 1,075.00 1,075.00 112,875.00
- - - -
- - - -
- 15.00 15.00 40,257.60
158.00 178.75 178.75 62,026.25
1,087.00 - 522.25 - -
- 64.50 64.50 832,050.00
- 750.00 750.00 67,500.00
- - - -
757.00 335.75 335.75 36,261.00
- - - -
- 11.25 11.25 42,750.00
- 360.00 360.00 33,840.00
1,754.00 2,773.00 2,773.00 368,809.00
- 36.00 36.00 107,989.20
28.00 173.00 173.00 562,250.00
- 3,000.00 3,000.00 8,085,000.00
490.00 - 482.50 - -
- - - -
- 17.25 17.25 189,750.00
- - - -
1,281.00 8,070.75 8,070.75 1,170,258.75
1,419.00 3,003.00 3,003.00 528,528.00
123.00 115.50 115.50 565,950.00
- - - -
- - - -
- - - -
- 750.00 750.00 396,000.00
- 225.00 225.00 113,400.00
- 1,218.00 1,218.00 126,672.00
- - - -
- 1.50 1.50 784.50
- - - -
- - - -
- 147.00 147.00 52,918,530.00
- 3.75 3.75 4,499,962.50
- 6.00 6.00 1,289,700.00
- 90.00 90.00 376,200.00
100.00 - 100.00 - -
54.00 46.50 46.50 88,353.72
- 1,049.25 1,049.25 556,102.50
- 179.25 179.25 295,762.50
- 1,303.50 1,303.50 933,306.00
- - - -
- 139,937.25 139,937.25 18,191,842.50
- 150.00 150.00 784,050.00
95.00 411.25 411.25 542,397.63
- - - -
- - - -
- 135.00 135.00 1,549,125.00
- 227.25 227.25 442,001.25
- - - -
- 9.00 9.00 180,157.68
- - - -
- - - -
- - - -
- - - -
- 202.50 202.50 39,285.00
1,028.00 12,141.25 12,141.25 1,432,667.50
- 1,500.00 1,500.00 112,500.00
1,501.00 1,123.25 1,123.25 195,445.50
- 18.00 18.00 313,074.00
673.00 12,576.50 12,576.50 2,288,923.00
- - - -
- 2.25 2.25 16,177.50
- 45.00 45.00 2,340.00
- - - -
- - - -
163.00 217.25 217.25 316,750.50
3,515.00 6,439.75 6,439.75 772,770.00
- - - -
27.00 1,602.75 1,602.75 416,715.00
1,111.00 13,580.75 13,580.75 5,702,013.70
354.00 823.50 823.50 4,281,952.95
100.00 - 100.00 - -
- 980.25 980.25 81,360.75
974.00 1,895.50 1,895.50 125,103.00
- - - -
- 387.00 387.00 940,023.00
- - - -
- - - -
- - - -
- - - -
- - - -
- 2.25 2.25 1,383,525.00
- - - -
5.00 2.50 2.50 425,000.00
- 3.75 3.75 25,293.75
- 150.00 150.00 164,700.00
- 1.50 1.50 82,500.00
- - - -
- 2,570.25 2,570.25 647,703.00
494.00 698.50 698.50 196,278.50
- - - -
- 251.25 251.25 73,867.50
- - - -
- - - -
- 7.50 7.50 86,377.50
- - - -
- - - -
- 1,219.50 1,219.50 7,458,462.00
8,520.00 142,752.75 142,752.75 9,503,050.57
- 926.25 926.25 140,790.00
- - - -
- 385.50 385.50 328,446.00
- - - -
- - - -
- - - -
- 202.50 202.50 388,800.00
1,481.00 12,408.25 12,408.25 707,270.25
- - - -
- 4.50 4.50 427,501.79
- - - -
- - - -
- - - -
19.00 44.00 44.00 132,000.00
- 27.75 27.75 23,504.25
- - - -
- 142.50 142.50 570,000.00
- - - -
3,490.00 5,410.25 5,410.25 465,281.50
5,603.00 5,194.75 5,194.75 597,396.25
- - - -
1,004.00 4,494.25 4,494.25 2,125,780.25
No Kode barang Nama Obat Harga
269 1,700,509,344 Parasetamol 500 mg tab 130

247 1,700,509,309 Natrium Diklofenak 50 mg 176
170 1,700,509,191 Ibuprofen 400 mg Tablet 150
31 1,700,509,024 Amoksisilin kap 232
197 1,700,507,057 Klorfeniramin Maleat tab 4 mg 51
51 1,700,511,046 Asam mefenamat 500 mg 220
30 1,700,509,019 Amlodipin tablet 10 mg 330
225 1,700,509,285 Metformin HCl tablet 500 mg 105
265 1,700,509,337 omeprazol 20 mg 530
169 1,700,511,657 IBUPROFEN 200 105
29 1,700,509,017 amlodipin tab 5 mg 105
146 1,700,509,164 Glimepirid Tablet 2 mg 289
294 1,700,509,389 Ranitidin tablet 150 mg 120
19 1,700,509,005 alopurinol tab 100 mg 90
59 1,700,511,826 ATTAPULGITE 630MG 145
210 1,700,509,261 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.00 4,005
274 1,700,509,487 Permetrin Krim 11,475
271 1,700,507,080 Parasetamol sirup 120 mg/5ml 1,319
39 1,700,509,033 Antasida DOEN II suspensi 2,160
118 1,700,507,028 Etil Klorida semprot 95,704
273 1,700,529,178 Perak Sulfadiazin Cream - 20,700
322 1,700,518,056 stesolid lar rektal 5 mg/2,5 mL 11,517
326 1,700,507,097 Tablet Tambah Darah 67
298 1,700,507,087 Ringer laktat inf 5,200
38 1,700,509,032 Antasida DOEN I tablet kunyah 72
137 1,700,507,035 garam oralit 264
287 1,700,511,374 Prednison - 5 mg 182
348 1,700,511,526 Zinc Dispersible tab 473
168 1,700,513,450 Hyosin N Butilbromide - 10 mg 38,850
166 1,700,509,185 Hidrokortison krim 2,5 % 2,798
26 1,700,509,015 aminofilin tab 200 mg 186
283 1,700,507,082 piridoksin (vitamin B6) tab 10 mg 118
309 1,700,520,002 serum anti bisa ular A.B.U.I 614,900
205 1,700,509,245 kotrimoksazol (dewasa) kombinasi tab 480 m 151
181 1,700,509,207 Kaptopril tab 25 mg 68
246 1,700,511,488 NATRIUM DIKLOFENAK 25 MG - 145
204 1,700,507,060 Kotrimoksasol susp 4,054
117 1,700,509,117 eritromisin sir kering 200 mg/5 mL 6,700
195 1,700,509,231 Kloramfenikol tetes mata 0,5 % 8,250
303 1,700,509,407 salep 2-4 2,429
41 17,015,010,042 antifungi / salep 3-6 4,158
49 1,700,509,047 asam askorbat (vitamin C) tab 50 mg 104
231 1,700,509,295 Metoklopramid injeksi 12,900
270 1,700,509,341 Parasetamol drops 5,227
46 1,700,513,027 Aqua PI 25 cc - Otsuka 2,750
334 1,700,511,444 Tiamin Hcl ( Vit B1 ) Tablet 50 mg 57
192 1,700,509,227 kloramfenikol kaps 250 mg 556
316 1,700,509,440 simvastatin tab sal selaput 20 mg 252
32 1,700,509,026 amoksisilin sir kering 125 mg/5 mL 2,090
346 1,700,511,471 vitamin b kompleks 115
115 1,700,509,113 epinefrin (adrenalin) cairan inj i.v./i.m./s.k. 0 2,204
50 1,700,509,048 asam folat tab 1 mg 267
178 1,700,507,048 kalsium laktat (kalk) tab 500 mg 63
190 1,700,509,219 Klindamisin kapsul 150 mg 382
129 1,700,509,136 Fitomenadion (Vit.K1) tablet salut gula 10 mg 681
345 1,700,511,466 Vit B12 86
177 1,700,507,044 KAEN - 3 B 10,000
296 1,700,509,392 Retinol (Vitamin A) 100.000 IU kapsul lunak 260
147 1,700,509,162 Glimepiride tablet 1 mg 752
116 1,700,509,116 Eritromisin kaplet 500 mg 864
238 1,700,509,301 metronidazol tab 500 mg 133
185 1,700,509,210 Ketokonazol krim 2% 4,700
66 1,700,509,074 Betametason krim 0,1 % (sebagai Valerat) 1,520
62 1,700,509,408 bedak salisil serb 2% 1,025
124 17,015,010,122 Fenobarbital Injeksi 50 mg / ml 17,016
101 1,700,509,099 difenhidramin cairan inj i.v./i.m. 10 mg/mL 1,175
93 1,700,509,088 deksametason tab 0,5 mg 44
130 17,005,110,377 Fitomenadion Inj 1,566
144 1,700,509,161 Glibenklamida tablet 5 mg 72
317 1,700,509,447 Siprofloksasin Tablet 500 mg 281
104 1,700,509,106 dimenhidrinat tab 50 mg 186
56 1,700,509,053 Asiklovir Cream 2,864
97 1,700,509,093 Diazepam 2 mg 148
193 1,700,509,229 Kloramfenikol salep mata 1,600
313 17,015,010,341 sianokobalamin inj 500 mcg/ mL 1,098
165 1,700,511,207 hidroklorotiazid tab 25 mg 149
136 1,700,509,144 Furosemid tablet 40 mg 85
327 1,700,507,100 Tetrasiklin HCl kapsul 250 mg 152
254 17,015,010,271 Nifedipin tablet 104
301 1,700,509,405 Salbutamol tablet 2 mg 66
92 1,700,509,087 Deksametason injeksi i.v. 5 mg/ml 1,400
239 17,015,010,256 Miconazole Krim 2 % 3,000
264 1,700,507,078 oksitosin cairan inj 10 IU/mL 1,900
182 1,700,509,209 karbamazepin tab 200 mg 270
300 1,700,509,406 salbutamol tab 4 mg 83
319 1,700,509,452 spironolakton tab 25 mg 294
232 1,700,509,297 metoklopramid tab 10 mg 90
229 1,700,509,288 Metilergometrin Maleat (Metilergometrin) ta 347
198 1,700,511,257 Klorpromazin 100 mg tab 133
108 1,700,509,109 domperidon sir 5 mg/5 mL 3,000
14 1,700,533,175 Acetylcystein 200 mg 426
236 1,700,511,304 metronidazol sir 125 mg/5 mL 3,800
42 1,700,509,036 Antihemoroid DOEN kombinasi 1,980
237 1,700,509,300 metronidazol tab 250 mg 94
102 1,700,509,100 digoksin tab 0,25 mg 105
175 1,700,509,196 isosorbid dinitrat tab sublingual 5 mg 88
312 17,015,021,332 setirizin sir 5 mg/5 mL 6,745
289 1,700,509,379 Prokain Benzil Penisillin inj 3 juta ui/vial 7,190
123 17,015,010,120 Fenitoin Natrium kapsul 30 mg 93
110 17,015,020,623 dulcolax sup 10 mg 5,800
171 1,700,509,188 ibuprofen susp 100 mg/5 ml 2,475
57 17,015,010,055 atropin cairan inj i.v./i.m./s.k. 0,25 mg/mL 1,672
98 1,700,511,130 Diazepam 5 mg 56
44 1,700,509,038 Antimigren Doen kombinasi / Ergotamin kofe 135
216 17,015,010,238 Magnesium Sulfat Injeksi 40 % - 25 ml 1,948
256 1,700,509,318 nistatin tab vaginal 100.000 IU 523
17 1,700,509,004 Albendazol tablet/tablet kunyah 400 mg 366
20 1,700,509,006 alopurinol tab 300 mg 220
25 1,700,509,013 aminofilin cairan inj 24 mg/mL 3,345
28 1,700,511,024 Amitriptillin 25 mg 120
33 1,700,507,007 amoksisilin sir kering 250 mg/5 mL 3,984
34 17,015,010,029 Ampisillin Injeksi 1000 mg / ml 4,000
47 1,700,509,043 Asam Asetilsalisilat tablet 100 mg (Asetosal) 100
48 1,700,511,041 asam askorbat (vitamin C) tab 250 mg 125
52 1,700,509,050 Asam Mefenamat tablet 250mg 299
53 1,700,513,031 Asam Traneksamat Injeksi 2,445
55 1,700,509,057 Asiklovir 200 mg 249
64 1,700,509,070 Benzatin Benzil Penisilin 2,4 juta IU/vial 13,400
86 17,015,020,394 Combantrin Susp 17,818
87 1,700,511,767 Combantrin Tablet 250mg 7,016
99 1,700,509,092 Diazepam injeksi 5 mg/ml 2,368
100 1,700,509,098 dietilkarbamazin tab 100 mg 119
103 1,700,509,105 diltiazem tab 30 mg (HCl) 127
106 1,700,509,108 doksisiklin kaps 100 mg 269
109 1,700,509,110 Domperidon tablet 10 mg 167
111 17,015,020,624 dulcolax sup 5 mg 5,670
112 17,015,010,466 Dulcolax tab 5mg 1,463
121 1,700,509,127 fenitoin cairan inj 50 mg/mL 7,980
122 1,700,509,126 fenitoin kaps 100 mg 154
125 17,015,010,123 Fenobarbital tablet 30 mg 62
126 1,700,509,133 Fenoksimetil Penisilin tablet 250 mg 262
127 1,700,509,134 Fenoksimetil Penisilin tablet 500 mg 371
131 1,700,509,485 Flufenazin dekanoat 55,000
133 17,005,110,478 Fluoksetin 250
135 1,700,509,143 Furosemid injeksi 13,500
152 1,700,509,176 glukosa 5% lar infus 6,900
155 1,700,511,194 Griseofulvin tab 125 mg 194
159 1,700,511,995 HALDOL DECANOAS AMP 83,333
160 1,700,511,204 haloperidol 1,5 mg 66
161 1,700,511,205 Haloperidol 5 mg tab 122
162 1,700,507,132 haloperidol cairan inj i.m. 5 mg/mL (HCl) 4,974
163 1,700,509,182 haloperidol tab 2 mg 110
164 1,700,507,133 haloperidol tetes 2 mg/mL 17,099
167 17,015,010,169 Hyoscine N Butilbromide 10 mg 300
173 17,015,010,185 isoniazid tab 100 mg 71
174 1,700,509,195 isoniazid tab 300 mg 173
186 1,700,509,211 ketokonazol tab 200 mg 533
191 1,700,509,221 Klindamisin kapsul 300 mg 361
194 1,700,518,138 Kloramfenikol salep mata 9,400
199 1,700,509,237 klorpromazin cairan inj i.m. 5 mg/mL 1,412
201 1,700,509,240 kodein tab 10 mg 550
209 17,015,010,231 lidokain cairan inj 2% 860
214 1,700,509,270 Loratadin tablet 10 mg 160
215 17,015,010,237 Magnesium Sulfat Injeksi 20 % - 25 ml 1,540
224 1,700,509,286 Metformin HCl tab 850 mg 185
227 17,015,010,244 Methylergometrin Inj. 0,200 mg - 1 mg - 2,849
230 1,700,509,293 Metilprednisolon tablet 4 mg 296
235 1,700,509,299 Metronidazol infus 500 mg/100 ml - btl 100 28,600
255 1,700,509,317 nistatin tab sal gula 500.000 UI/mL 745
279 1,700,511,364 Pirantel Pamoat tab 125 mg 298
291 1,700,509,381 Propanolol tablet 40 mg (HCl) 108
292 1,700,509,383 propiltiourasil tab 100 mg 415
299 1,700,533,139 Risperidon 2 mg 1,008
310 1,700,513,039 Serum Anti Tetanus 1500 IU injeksi 148,500
315 17,005,094,899 Simvastatin 10 MG 249
321 17,005,110,426 stesolid lar rektal 10 mg/2,5mL 16,742
328 1,700,509,464 tetrasiklin kaps 500 mg (HCl) 310
339 1,700,511,458 Trihexypenidhil 2 mg 40
1 atenolol 341
2 fenobarbital 100mg tab 237
3 fitomenadion 3,905
4 gliseril trinitrat 1,485
5 kalamin lotio
6 kloramfenikol 5,170
7 kolkisin 3,025
8 lidokain spray oral 10% 187,440
9 Metamizol injeksi / norages
10 natrium bikarbonat 500 mg 80
11 tetrakain tetes mata 21,186
12 amoksisilin 250 mg 198
13 isosorbid dinitrat 10 mg 218
15 1,700,511,004 Acyclovir 400mg 349
16 1,700,513,003 Adona inj 10 cc - 32,500
18 1,700,511,015 Alinamin F injeksi 8,310
21 1,700,509,007 Alprazolam tablet 0,25 mg 380
22 1,700,509,008 Alprazolam tablet 0,5 mg 214
23 1,700,509,010 Ambroxol sirup 15 mg/ml 4,180
24 1,700,509,011 Ambroxol tablet 30 mg 86
27 1,700,514,003 Aminovel Infus 99,000
35 17,015,010,424 Anafen syr 14,000
36 1,700,507,008 Antalgin inj. 250 mg/ml 1,200
37 1,700,511,033 Antalgin tab 500 mg 220
40 1,700,509,034 Anti Bakteri DOEN salep kombinasi 2,491
43 1,700,509,037 Antimalaria DOEN kombinasi 4,216
45 17,015,010,451 Antrain Injeksi 15,500
54 1,700,507,013 Asering Lart infus 9,000
58 1,700,513,036 ATS 1500UI - Bio Farma 126,500
60 1,700,511,014 Azitromicin 500 Tab 4,500
61 17,015,010,425 Bactricid 480 mg tablet 367
63 17,015,010,426 Benocetam 800 mg tablet 2,970
65 1,700,509,073 Betahistin Mesilat tablet 6 mg 1,078
67 1,700,518,010 Bioplacenton 15 gr 15,400
68 1,700,518,011 Bioplacenton Tule 109,199
69 1,700,509,077 Bisoprolol tablet 5 mg 511
70 1,700,513,045 Bricasma inj. 6,850
71 1,700,509,078 Bromheksin tablet 8 mg 39
72 17,015,023,012 Burnazin Krim 1% 63,635
73 17,015,010,457 Buscopan Inj 38,480
74 17,015,020,434 Calcii Glukonas Inj 10,425
75 17,015,010,070 Cefixime 100 mg 1,000
76 1,700,515,045 Cendo Lyteers 15mL TM - Cendo 19,165
77 17,015,030,321 Cendo Pantocain 17,339
78 1,700,509,079 Cetirizin sirup 5 mg/5 ml 7,999
79 1,700,509,081 Cetirizine tablet 10 mg 181
80 17,015,010,076 Cimetidine 200 mg 220
81 17,015,010,461 Citicholin inj 18,772
82 1,700,533,138 Clobazam 10 mg 970
83 1,700,508,023 Clozapin 25 mg tab 1,550
84 17,015,023,327 Colme TM 26,400
85 17,015,023,328 Colme TT 24,200
88 1,700,507,127 Combipak IMS 33,000
89 1,700,513,295 Combivent 2,5mL Injeksi - 5,700
90 17,015,010,462 Curcuma tab 613
91 1,700,519,083 Decacetin Tetes Mata - 3,250
94 1,700,511,525 Desinfektan (klorin 5,25%) 16,988
95 1,700,507,021 Devitalisasi Pasta 385,000
96 1,700,533,223 Dexycol 500 mg Kapsul 853
105 1,700,512,125 Dionicol 12,350
107 1,700,519,047 Domperidon drop 15,600
113 17,015,010,107 Efedrin Hcl tablet 25 ml 51
114 17,015,010,108 Ekstrak Belladon tablet 10 mg 26
119 17,015,010,116 Eugenol Cairan 43,542
120 1,700,509,123 Famotidin 40mg Tabet 350
128 17,015,010,127 Fenol Gliserol tetes telinga 10% 1,008
132 1,700,509,140 Flukonazol tablet 150 mg - ktk 10 tablet 18,000
134 1,700,513,464 Furamin Injeksi 13,750
138 1,700,513,103 GAVISTAL INJ 8,664
139 1,700,509,154 Gentamisin injeksi 40 mg/ ml 3,399
140 1,700,511,615 Gentamisin Salep Kulit 1,350
141 17,015,010,146 Gentamisin Sulfat tetes mata 0,3 % 3,194
142 17,015,010,147 Gentian Violet Lart 1 % 900
143 1,700,511,186 Glass Ionomer 394,900
145 1,700,509,489 Gliclazide tablet 80 mg 236
148 1,700,509,166 Glimepiride tablet 3 mg - ktk 5 x 10 tablet 283
149 1,700,511,191 Gliseril Guayakolat tab 100 mg 44
150 1,700,509,173 Gliserin 5,333
151 1,700,504,012 Glukosa 40 % 10,000
153 1,700,509,174 Glukosa larutan infus 10 % steril 5,727
154 1,700,529,022 Glukose 4 x 100 ml 10,800
156 1,700,509,177 Griseofulvin tablet 250 mg 209
157 1,700,511,195 Grivin Forte 5,055
158 17,015,030,336 h2o2 3% 30,000
172 1,700,509,189 Ibuprofen suspensi 200 mg/5 ml 4,550
176 1,700,507,043 KAEN - 3 A 10,000
179 1,700,511,081 Kaptopril 12,5 mg 62
180 17,015,020,017 Kaptopril 12.5 mg 59
183 1,700,513,120 Karbazokrom Inj 322,000
184 1,700,507,050 Karbozokrom 557
187 1,700,509,212 Ketoprofen Injeksi 6,600
188 1,700,509,216 Ketorolac injeksi 10 mg 14,579
189 1,700,509,217 Ketorolac injeksi 30 mg 2,300
196 17,015,010,217 Kloramfenikol tetes telinga 3 % 1,000
200 17,015,010,223 klorpromazin tab sal selaput 25 mg 148
202 1,700,509,242 kodein tab 20 mg 1,210
203 1,700,509,488 Kombinasi parafin+gliserin+fenoltalein 12,450
206 17,015,010,226 Kotrimoksazol pediatrik tablet 76
207 1,700,512,114 laktulosa sir 3,335 g/5 mL 14,500
208 1,700,509,258 Levofloksasin tablet 500 mg 570
211 17,015,020,055 LISINOPRIL 10 TAB - 319
212 17,015,020,056 LISINOPRIL 5 TAB - 269
213 1,700,509,269 Loperamid tablet 2 mg 89
217 1,700,533,309 MDT MB - Dewasa 28,424
218 1,700,513,142 Mecobalamin inj - 9,615
219 1,700,518,122 Melavita Cream - 0,1 % 9,750
220 1,700,511,285 Meloxicam 15 1,430
221 1,700,511,511 Merlopam 2 mg 4,290
222 1,700,511,287 Mersibion Injeksi 6,900
223 1,700,513,420 Metamizol Inj 8,800
226 17,015,020,142 Metherinal Tablet 0.125mg 572
228 1,700,513,145 metilergometrin cairan inj 0,2 mg/mL 2,684
233 1,700,509,296 Metoklopramide sirup 5 mg/ 5 ml 2,600
234 1,700,509,298 Metoklopramide tablet 5 mg 108
240 1,700,509,302 mikonazol krim 2% 3,250
241 1,700,509,303 MINERAL MIX 2,695
242 1,700,511,866 MINIASPI 80MG 14,800
243 1,700,533,296 Mometason Cream 0.1% 18,340
244 1,700,507,069 Multivitamin sirup 11,000
245 17,015,010,261 Mummifying Pasta 232,100
248 1,700,509,312 Natrium Klorida larutan infus 0,9 % 4,900
249 17,015,022,593 NEUROBION 5000 INJ - 10,000
250 1,700,513,167 Neurosanbe inj 6,292
251 1,700,513,474 Neurotropik injeksi 7,150
252 1,700,507,072 Neurotropik tab 528
253 17,015,030,839 Neurovit E tablet 504
257 1,700,533,295 Nitral Tablet 0.5mg 1,500
258 1,700,513,175 NORAGES INJ 11,880
259 1,700,509,325 Obat Anti Tuberculosis FDC Kategori 1 359,990
260 1,700,509,326 Obat Anti Tuberculosis FDC Kategori 2 1,199,990
261 1,700,509,324 Obat Anti Tuberkulosis FDC Kategori Anak 214,950
262 1,700,507,075 Obat Batuk Hitam 100 ml 4,180
263 1,700,509,330 Oksitetrasiklin HCl salep mata 1 % 1,600
266 17,015,023,808 ONDANSETRON 4 INJ 1,650
267 1,700,533,213 Ondansetron 4 mg 716
268 1,700,509,340 Papaverin tablet 40 mg 187
272 17,015,010,441 Paratusin tablet 711
275 1,705,250,622 Pil KB 1,945
276 1,700,509,352 Piracetam injeksi 1 g/5 ml 1,925
277 1,700,509,353 Piracetam injeksi 3 g/15 ml 20,018
278 1,700,513,149 Piralen Inj 12,900
280 1,700,509,360 Pirantel tablet score (base) 365 mg 311
281 17,015,010,294 Pirasetam inj 27,037
282 17,015,010,296 Pirasetam tab 400 mg 194
284 17,015,010,298 Piridoksin Hcl 50mg Tablet 75
285 1,700,507,083 Piroksikam 20 174
286 1,700,525,492 Polikresulen 10 ml 17,393
288 1,700,507,181 PRIMAQUIN - 15 mg tablet 224
290 17,015,022,545 PROPANOLOL 10 TAB - 52
293 17,015,024,158 RANITIDIN INJ 1,458
295 17,015,010,315 Reserpin Tablet 0,25 mg 88
297 1,700,509,393 Retinol (Vitamin A) 200.000 IU kapsul lunak 420
302 1,700,513,451 Saldona Injeksi 13,200
304 1,700,518,050 Salep kulit anti eksim 11,132
305 17,015,010,331 Sefadroksil 500 mg 509
306 1,700,509,409 Sefadroksil sirup kering 125 mg/5ml 4,896
307 17,015,010,333 Sefotaksim injeksi 8,750
308 17,015,010,334 Seftriakson injeksi 1 g 14,300
311 1,700,513,230 Serum antitetanus (A.T.S) 170,000
314 1,700,508,087 Sikzonoat inj 55,000
318 1,700,533,294 Spasmolit Tablet 10mg 2,503
320 1,700,513,220 Stesolid Injeksi 4,401
323 1,700,518,089 STOLAX SUPPOSITORIA 6,045
324 17,015,010,348 Sulfasetamide Natrium Tetes Mata 15 % 3,850
325 1,700,532,020 Suntik KB 6,116
329 17,015,021,742 Thiamfenikol 500mg 852
330 1,700,533,299 Thiamfilex Kapsul 500mg 1,210
331 17,005,110,399 Thiamfilex Sirup 12,350
332 17,015,010,355 Thiamine Hcl ( Vit.B.1 ) Inj.100 mg / 1 ml 680
333 17,015,010,442 Thimelon 8 mg tablet 1,920
335 17,015,024,000 Tomit Injeksi 12,900
336 1,700,502,085 Tri Kresol Formalin 95,000
337 1,700,533,297 Trifacort Tablet 5mg 126
338 1,700,511,452 Trifluoperazin 5 mg 405
340 1,700,507,105 Urine bag 3,000
341 1,700,511,462 Valdimex 5mg 847
342 17,015,023,001 Ventolin MDI 244,816
343 1,700,513,247 Ventolin Nebulizer 4,000
344 1,700,519,082 Visto Tetes Mata - 10,973
347 1,700,508,120 Xylocain Spray 399,500
harga terbaru Satuan pemakaian th 2016 pemakaian th 2017
54 tablet 133 89,230 97,353

134 tablet 127 864 5,032
122 tablet 86 13,203 22,459
209 kaplet 10 62,922 59,784
40 tablet 103 9,069 53,931
110 tablet 24 4,100 16,517
114 tablet 9 1,804 1,800
103 115 1,100 1,000
154 tablet 132 199 1,200
112 tablet 85 10,204 16,296
94 tablet 8 2,484 2,316
254 tablet 71 3,169 488
108 tablet 144 5,282 7,991
98 tablet 3 2,150 5,478
154 tablet 30 10 1,657
2,131 ampul 110 251 1,340
13,371 tube 137 84 96
1,111 botol 135 470 205
2,115 botol 15 124 69
148,517 can 100 ml 55 13 11
22,770 tube 136 - -
13,299 botol 160 - 10
391 tablet 161 93,417 108,280
7,865 botol 146 820 750
64 tablet 14 49,352 40,586
286 sachet 69 3,635 10,944
84 tablet 140 8,167 9,499
564 tablet 168 2,330 5,001
3,059 ampul 84 - 68
2,904 tube 82 282 541
100 tablet 6 6,276 4,647
130 tablet 139 8,587 8,972
508,200 vial 151 3 -
142 tablet 108 6,872 5,441
88 tablet 93 6,822 16,398
145 tablet 126 2,484 9,985
2,515 botol 107 253 355
6,765 botol 54 90 119
3,575 btl 5ml 102 - 186
2,780 pot 150 244 272
4,755 pot 16 276 234
114 tablet 22 2,398 8,978
3,735 ampul 119 - 86
6,292 botol 134 88 112
3,025 ampul 19 104 264
90 tablet 164 5,000 13,519
680 tablet 99 2,231 1,431
252 tablet 156 1,745 1,682
2,069 botol 11 457 521
127 tablet 167 2,000 12,397
1,924 ampul 52 68 284
74 tablet 23 1,556 1,000
62 tablet 92 7,952 7,271
811 97 1,139 500
755 tablet 63 1,486 866
56 tablet 166 5,357 6,510
botol 91 - 60
312 kapsul 145 1,102 1,071
213 tablet 72 - 1,168
803 tablet 53 263 593
124 tablet 124 2,261 3,775
2,856 tube 95 - 96
1,484 tube 33 350 107
1,122 box 31 233 228
1,914 59 - 19
1,166 ampul 42 90 227
45 tablet 37 11,775 23,221
4,584 64 174 -
174 70 1,600 3,194
264 tablet 157 84 1,506
109 tablet 45 700 908
4,949 tube 28 25 84
179 tablet 38 1,637 -
tube 100 146 -
1,196 ampul 154 64 136
164 tablet 81 1,051 385
88 tablet 68 1,467 2,454
183 162 585 650
109 tablet 128 1,088 536
86 tablet 149 1,112 2,714
1,724 36 107 58
5,112 tube 125 48 -
2,090 ampul 131 30 104
251 tablet 94 280 300
88 tablet 148 940 367
268 tablet 158 242 93
96 tablet 120 - 1,000
699 tablet 117 407 42
158 tablet 104 340 140
3,986 botol 47 10 10
517 kapsul 1 - 1,774
4,180 botol 122 6 9
3,685 17 31 59
99 tablet 123 480 -
114 tablet 43 334 459
99 tablet 90 190 200
3,465 botol 153 - 5
10,425 Vial 141 - 3
874 58 - 200
6,380 supp 49 3 -
2,723 botol 87 7 -
1,694 ampul 29 4 -
113 39 19 77
184 tablet 18 - 18
4,015 vial 113 - 1
600 tablet 130 2 -
431 kaplet 2 4,279 4,096
231 tablet 4 - -
3,298 ampul 5 - -
173 7 - -
3,820 botol 12 - -
12,266 vial 13 - -
101 tablet 20 - -
125 tablet 21 - -
365 tablet 25 - -
5,243 ampul 26 - -
264 tablet 27 - -
15,950 vial 32 - -
10,461 botol 34 - -
8,573 tablet 35 - -
17,995 40 - 6
173 tablet 41 - -
149 tablet 44 - -
295 kapsul 46 - -
105 tablet 48 - 5
6,380 supp 50 - -
330 tablet 51 - -
5,452 ampul 56 - -
167 tablet 57 - -
168 60 - -
385 61 - -
666 62 - -
63,250 ampul 65 - -
248 tablet 66 - -
1,926 ampul 67 - -
7,590 botol 73 95 74
270 tablet 74 367 547
107,250 ampul 75 - -
67 tablet 76 - -
76 77 10 65
4,400 ampul 78 - -
103 tablet 79 - -
19,800 botol 80 - -
47,018 83 - 450
81 tablet 88 - -
187 tablet 89 - -
308 tablet 96 156 201
636 tablet 98 - 211
1,991 tube 101 - 29
1,602 ampul 105 - -
605 tablet 106 - -
1,224 ampul 109 - 53
135 111 254 294
3,520 112 - 1
172 tablet 114 - -
3,142 ampul 116 - -
165 tablet 118 340 413
9,378 botol 121 - -
842 tablet 129 - -
296 tablet 138 - -
142 - -
507 tablet 143 - -
382 tablet 147 - -
139,150 ampul 152 - -
122 tablet 155 - -
19,335 botol 159 - -
341 tablet 163 - -
88 165 - -
341
237
3,905
1,485
5,170
3,025
187,440
80
21,186
198
218
402 tablet 834 2,087
ampul - -
ampul - -
tablet - 200
tablet - -
Botol - -
- -
fles - -
botol - -
- -
tablet 8,000 9,381
tube 130 -
14 13
ampul - -
botol 70 290
ampul 2 6
tablet - 1
tablet 280 -
tablet - 400
TAB - 600
tube - -
box 10 10
tablet - -
ampul - 18
- 40
Tube - -
tablet - -
ampul - -
tablet - 790
botol - -
botol - -
BTL 5 -
tablet 200 2,137
Tablet - -
ampul - -
tablet - -
tablet - -
botol - -
botol - -
paket - 30
Vial - 4
tablet - -
botol - -
botol 10 16
TUBE 1 4
tablet - -
botol - -
botol 13 -
243 54
tablet 1,880 -
2 3
tablet - -
2,750 botol - -
tablet 100 -
ampul - -
ampul - -
ampul - -
tube - 96
botol - 1
botol - 57
botol 1 6
tablet 1,000 500
tablet - -
tablet 37,000 33,600
botol - -
- -
40 -
botol - -
tablet - -
tablet - -
36,656 botol - -
botol - -
botol - 53
68 - -
- -
box - -
TAB - -
ampul - -
ampul - -
ampul - -
29,575 - 95
179 tablet - -
tablet - -
142 botol 7 2
tablet 2,006 -
botol - 30
- -
tablet - -
tablet - -
tablet 950 50
Blister - 12
ampul - -
Tube - -
TABLET - -
tablet - -
- -
13,978 ampul - 71
tablet - -
3,134 ampul 12 8
botol - -
tablet 866 591
3,933 tube 71 197
sachet - 4,000
box - 10
tube - -
botol 9 14
- -
Botol 181 137
ampul - -
- -
ampul - -
tablet 1,000 -
tablet 300 -
tablet - -
ampul - -
paket 90 106
paket 3 2
paket 5 3
botol 60 60
tube - -
ampul 50 189
tablet 688 1,050
Tablet - -
tablet - -
tablet - 303
ampul - -
ampul - 12
ampul - -
tablet - -
ampul - -
tablet 270 -
tablet 1,384 616
tablet 1,500 1,999
botol 24 -
- -
73 tablet - 60
ampul 370 137
- -
kapsul 7,637 11,952
ampul - -
TUBE - -
kapsul - -
botol - -
ampul - -
Vial - -
ampul - 10
ampul - 2
tablet - -
ampul - -
biji - -
BOTOL - -
Vial - 1,626
tablet 30 484
tablet - -
botol - -
ampul - -
tablet 270 -
ampul - -
botol 4 2
tablet - -
tablet - -
pcs 37 47
- 37
botol - -
ampul 5 185
botol - -
botol - -
pagu 48,474,090.00
belanja 48,473,749.50
sisa 340.50
pengadaan rencana pengadaan 1

pemakaian rata2 1 bulan kebutuhan 18 bulan sisa stok thn
7,774 139,937 - 139,937 50,000
246 4,422 1,419 3,003 13,000
1,486 26,747 - 26,747 30,000
5,113 92,030 5,043 86,987 30,000
2,625 47,250 - 47,250 -
859 15,463 483 14,980 30,000
150 2,703 - 2,703 -
88 1,575 500 1,075 5,000
58 1,049 - 1,049 5,000
1,104 19,875 - 19,875 10,000
200 3,600 - 3,600 -
152 2,743 - 2,743 7,000
553 9,955 3,515 6,440 10,000
318 5,721 4,072 1,649 5,000
69 1,250 43 1,207 -
66 1,193 288 905 600
8 135 - 135 -
28 506 95 411 -
8 145 125 20 200
1 18 4 14 50
- - - - 50
0 8 - 8 50
8,404 151,273 8,520 142,753 -
65 1,178 354 824 -
3,747 67,454 24,177 43,277 40,000
607 10,934 - 10,934 -
736 13,250 673 12,577 10,000
305 5,498 1,004 4,494 -
3 51 - 51 -
34 617 - 617 -
455 8,192 272 7,920 -
732 13,169 1,028 12,141 15,000
0 2 - 2 -
513 9,235 1,165 8,070 -
968 17,415 - 17,415 5,000
520 9,352 1,281 8,071 5,000
25 456 195 261 -
9 157 - 157 -
8 140 14 126 150
22 387 - 387 96
21 383 160 223 -
474 8,532 - 8,532 10,000
4 65 - 65 -
8 150 - 150 100
15 276 - 276 -
772 13,889 1,481 12,408 25,000
153 2,747 1,569 1,178 -
143 2,570 - 2,570 -
41 734 430 304 -
600 10,798 5,603 5,195 -
15 264 3 261 -
107 1,917 - 1,917 -
634 11,417 3,777 7,640 -
68 1,229 - 1,229 -
98 1,764 1,077 687 100
494 8,900 3,490 5,410
3 45 - 45
91 1,630 27 1,603
49 876 332 544 5,000
36 642 207 435
252 4,527 1,754 2,773
4 72 - 72
19 343 137 206 200
19 346 94 252
1 14 - 14
13 238 41 197
1,458 26,247 21,504 4,743
7 131 - 131
200 3,596 806 2,790 5,000
66 1,193 494 699
67 1,206 192 1,014
5 82 16 66
68 1,228 - 1,228
6 110 - 110 200
8 150 - 150 200
60 1,077 - 1,077
163 2,941 1,112 1,829
51 926 - 926
68 1,218 - 1,218
159 2,870 974 1,896
7 124 42 82
2 36 - 36
6 101 54 47 100
24 435 110 325
54 980 - 980 10,000
14 251 - 251
42 750 - 750
19 337 158 179
20 360 - 360
1 15 - 15
74 1,331 1,226 105
1 11 - 11
4 68 50 18 100
20 360 - 360
33 595 300 295
16 293 - 293
0 4 - 4 50
0 2 - 2
8 150 - 150
0 2 - 2
0 5 - 5 230
0 3 - 3
4 72 - 72
1 14 - 14
0 1 - 1
0 2 - 2
349 6,281 14,623 - 8,342 -
- - - - -
- - 10 - 10 -
- - 100 - 100 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
0 5 9 - 5 -
- - - - -
- - - - -
- - - - -
0 4 95 - 91 -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
7 127 129 - 2 -
38 686 753 - 68 -
- - - - -
- - - - -
3 56 100 - 44 -
- - - - -
- - - - -
- - - - -
19 338 1,050 - 713 -
- - - - -
- - - - -
15 268 833 - 565 -
9 158 289 - 131 -
1 22 71 - 49
- - - - -
- - - - -
2 40 147 - 107 -
23 411 1,006 - 595 -
0 1 6 - 5 -
- - - - -
- - - - -
31 565 1,087 - 522 -
- - - - 100
- - - - -
- - - - -
- - - - -
- - - - -
- - 100 - 100 -
- - - - -
- - - - -
- - - - 50
- - - - -
- - - - -
100
100
122 2,191 848 1,343

- - - -
- - - -
8 150 - 150
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
724 13,036 3,619 9,417
5 98 50 48
1 20 - 20
- - - -
15 270 - 270
0 6 4 2
0 1 - 1
12 210 - 210
17 300 - 300
25 450 600 - 150
- - - -
1 15 180 - 165
- - - -
1 14 - 14
2 30 1,960 - 1,930
- - - -
- - - -
- - 15 - 15
33 593 - 593
- - - -
- - - -
0 4 - 4
97 1,753 133 1,620
- - - -
- - 30 - 30
- - - -
- - - -
- - - -
- - - -
1 23 - 23
0 3 196 - 193
- - - -
- - - -
1 20 16 4
0 4 - 4
- - - -
- - - -
1 10 - 10
12 223 - 223
78 1,410 - 1,410
0 4 2 2
- - - -
- - - -
4 75 - 75
- - - -
- - - -
- - 65 - 65
4 72 - 72
0 1 71 - 70
2 43 15 28
0 5 1 4
63 1,125 - 1,125
- - 300 - 300
2,942 52,950 - 52,950
- - - -
- - 30 - 30
2 30 - 30
- - - -
- - - -
- - - -
- - - -
- - - -
2 40 - 40
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
4 71 - 71 100
- - - -
- - - -
0 7 - 7
84 1,505 - 1,505
1 23 - 23
- - - -
- - - -
- - - -
42 750 - 750
1 9 - 9
- - - -
- - - -
- - - -
- - - -
- - - -
3 53 - 53
- - - -
1 15 - 15
- - - -
61 1,093 757 336
11 201 28 173
167 3,000 - 3,000
0 8 490 - 483
- - - -
1 17 - 17
- - - -
13 239 123 116
- - - -
- - - -
- - - -
42 750 - 750
13 225 - 225
- - - -
- - - -
8 147 - 147
0 4 - 4
0 6 - 6
5 90 - 90
- - 100 - 100
10 179 - 179
72 1,304 - 1,304
- - - -
- - - -
13 227 - 227
- - - -
1 9 - 9
- - - -
- - - -
- - - -
11 203 - 203
83 1,500 - 1,500
146 2,624 1,501 1,123
1 18 - 18
- - - -
3 45 - 45
21 380 163 217
- - - -
816 14,692 1,111 13,581
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
0 8 5 3
0 2 - 2
- - - - -
- - - -
- - - -
- - - -
68 1,220 - 1,220
21 386 - 386
- - - -
- - - -
- - - - 25,000
11 203 - 203
- - - -
0 5 - 5
- - - -
- - - -
4 63 19 44
2 28 - 28
- - - -
8 143 - 143
- - - - -
- - - - -
500,000.00
nilai rencana pengadaan pembelian pkm belanja pkm
18,191,843 80,000 4,312,000

528,528 50,000 6,710,000
4,011,975 40,000 4,884,000
20,180,868 30,000 6,270,000
2,409,750 20,000 792,000
3,295,545 10,000 1,100,000
891,990 9,990 1,142,856
112,875 9,000 930,600
556,103 8,000 1,232,000
2,086,875 6,000 673,200
378,000 6,000 561,000
792,655 5,000 1,270,500
772,770 5,000 539,000
148,410 5,000 489,500
175,051 1,600 246,400
3,625,526 600 1,278,420
1,549,125 500 6,685,250
542,398 213 236,643
42,660 200 423,060
1,339,862 50 7,425,831
- 50 1,138,500
86,378 10 132,990
9,503,051 -
4,281,953 -
3,115,908 -
2,886,642 -
2,288,923 -
2,125,780 -
1,981,350 -
1,727,066 -
1,473,167 -
1,432,668 -
1,383,525 -
1,218,532 -
1,184,220 -
1,170,259 -
1,058,094 -
1,050,225 -
1,035,375 -
940,023 -
925,155 -
887,328 -
832,050 -
784,050 -
759,000 -
707,270 -
654,690 -
647,703 -
634,315 -
597,396 -
575,244 -
511,839 -
481,336 -
469,574 -
467,593 -
465,282 -
450,000 -
416,715 -
409,088 -
375,949 -
368,809 -
338,400 -
312,740 -
258,044 -
242,478 -
231,181 -
208,692 -
204,363 -
200,844 -
196,279 -
188,604 -
188,308 -
181,707 -
175,200 -
164,700 -
160,473 -
155,444 -
140,790 -
126,672 -
125,103 -
114,450 -
107,989 -
88,354 -
87,750 -
81,361 -
73,868 -
67,500 -
62,026 -
47,880 -
45,000 -
44,517 -
42,750 -
34,650 -
33,840 -
30,949 -
25,740 -
25,294 -
16,178 -
13,950 -
13,050 -
12,994 -
5,016 -
4,032 -
1,823 -
1,461 -
785 -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
48,473,750
468,620
-
-
57,000
-
-
-
-
-
-
2,071,685
118,323
85,374
-
2,430,000
253,000
3,375
77,154
891,000
-
-
-
-
92,475
-
-
-
-
592,500
-
-
29,996
293,183
-
-
-
-
-
-
742,500
-
-
-
59,458
1,443,750
-
-
152,100
11,418
37,224
76,198
-
-
1,350,000
-
-
-
97,200
-
24,975
1,678,325
265,500
-
2,329,800
-
-
171,798
-
-
-
-
-
397,500
-
-
-
-
-
-
-
71,249
-
-
84,038
114,192
326,250
-
-
-
66,750
255,816
-
-
-
-
-
468,600
-
40,258
-
36,261
562,250
8,085,000
-
-
189,750
-
565,950
-
-
-
396,000
113,400
-
-
52,918,530
4,499,963
1,289,700
376,200
-
295,763
933,306
-
-
442,001
-
180,158
-
-
-
39,285
112,500
195,446
313,074
-
2,340
316,751
-
5,702,014
-
-
-
-
-
-
425,000
82,500
-
-
-
-
7,458,462
328,446
-
-
-
388,800
-
427,502
-
-
132,000
23,504
-
570,000
-
-
Rencana Anggaran Biaya (RAB) Obat
Kegiatan : Jaminan Kesehatan Puskesmas Songgon
Tahun Anggaran 2018
Nama Obat Harga Satuan Kebutuhan Nilai

1 alopurinol tab 100 mg 98 tablet 5,000 489,500.00
2 amlodipin tab 5 mg 94 tablet 6,000 561,000.00
3 Amlodipin tablet 10 mg 114 tablet 9,990 1,142,856.00
4 Amoksisilin kap 209 kaplet 30,000 6,270,000.00
5 Antasida DOEN II suspensi 2,115 botol 200 423,060.00
6 Asam mefenamat 500 mg 110 tablet 10,000 1,100,000.00
7 ATTAPULGITE 630MG 154 tablet 1,600 246,400.00
8 Etil Klorida semprot 148,517 can 100 ml 50 7,425,830.50
9 Glimepirid Tablet 2 mg 254 tablet 5,000 1,270,500.00
10 IBUPROFEN 200 112 tablet 6,000 673,200.00
11 Ibuprofen 400 mg Tablet 122 tablet 40,000 4,884,000.00
12 Klorfeniramin Maleat tab 4 mg 40 tablet 20,000 792,000.00
Lidokain injeksi 2% (HCl) + Epinefrin 1 :
13 80.000 - 2ml 2,131 ampul 600 1,278,420.00
14 Metformin HCl tablet 500 mg 103 9,000 930,600.00
15 Natrium Diklofenak 50 mg 134 tablet 50,000 6,710,000.00
16 omeprazol 20 mg 154 tablet 8,000 1,232,000.00
17 Parasetamol 500 mg tab 54 tablet 80,000 4,312,000.00
18 Parasetamol sirup 120 mg/5ml 1,111 botol 213 236,643.00
19 Perak Sulfadiazin Cream - 22,770 tube 50 1,138,500.00
20 Permetrin Krim 13,371 tube 500 6,685,250.00
21 Ranitidin tablet 150 mg 108 tablet 5,000 539,000.00
22 stesolid lar rektal 5 mg/2,5 mL 13,299 botol 10 132,990.00
Jumlah 48,473,749.50
Pagu 48,474,090.00
Sisa Mati 340.50
Banyuwangi, 2 Januari 2018
Mengetahui, Kepala Puskesmas Songgon

Kepala Bidang SDK Dinas Kesehatan Banyuwangi
Kabupaten Banyuwangi
Mujito, SKM Wawan Prayitno,S.Kep

NIP. 19690524 19920524 1 003 NIP 19691225 199203 1 008
1 Alat Kesehatan dibawah 300rb
2 1700510272 Alat ukur tinggi badan - 1 50000
3 1700504026 Autoclik Lancet - 1 19353
4 1700510022 Bak instrumen sedang 1 82500
5 1700510020 Bak instrumen tertutup 1 165000
6 1700525277 Bein besar 1 75000
7 1700510028 Bengkok besar 23 cm 1 37500
8 1700510032 Bola Tensi 1 53654
9 1705250976 Buli Buli panas dingin - WWZ 1 37500
10 1705250975 Buli-buli panas dingin (ice cup) - 1 37500
11 1705250977 Bur fisure 1 30000
12 17015010511 Celemek Plastik 1 41150
13 1700510043 Cervical collar S, M, L - Tenso 1 118000
14 1700510053 Dental pinset 1 28500
15 17015060190 Diamon Boor Round 1 127500
16 1705250978 Duk Lubang Besar - 50x50 1 37500
17 1705250979 Duk Lubang Kecil - 30x30 1 21450
18 1700510080 Excavator kecil 1 131924
19 1705250980 Forsep/penjepit spong 1 75150
20 1700510087 Gunting angkat jahitan 1 22500
21 17015010523 Gunting bedah standar , lurus, ujung tajam 1 21000
22 17015010524 Gunting bedah standar , lurus, ujung tumpul 1 21000
23 1700510093 Gunting bedah standart lurus 1 21000
24 1700510089 Gunting bengkok besar lancip 1 43500
25 1700510088 Gunting bengkok kecil lancip 1 21750
26 1700510092 Gunting episiotomi 14 cm 1 31500
27 1705250981 Gunting lengkung/menzenbum 1 43500
28 1700510094 Gunting lurus besar lancip 1 38250
29 1700510095 Gunting perban 1 28500
30 1700510096 Gunting tali pusat 14cm 1 31500
31 1700510125 Kaca mata goggle 1 82500
32 1700510126 Kaca Mulut 1 31650
33 17015010537 Kaca Mulut 1 15000
34 17015010504 Klem arteri bengkok 1 26250
35 1700510014 Klem arteri kokcer 1 26250
36 1705250982 Klem arteri kokcer bengkok besar 18 1 56250
37 1700510013 Klem arteri lurus 1 26250
38 1705250983 Klem lurus kecil 1 21750
39 1705250984 Klem pemegang jarum jahit 18cm 1 43500
40 1705250985 Klem setengah kokcer 1 24000
41 1705250986 Korentang 1 68250
42 1705250987 Korentang penjepit sponge 1 82500
43 1705250988 Lempeg Kaca Pengaduk Semen 1 8250
44 1700502045 Mata Bor Lowspeed Fissure 1 37400
45 17015010552 Meteran/Metline 1 11250
46 1700510161 Needle holder 1 26250
47 1705250989 Palu Pengukur Reflkes 1 56250
48 1705250990 Pen light (senter) 1 52500
49 1700510205 Pengait cerumen dan sendok serumen 1 19500
50 1705251074 Pengukur Lingkar perut - 1 35000
51 1705250991 Pengungkit akar gigi kanan mesial 1 189000
52 1705250992 Pengungkit akar gigi kiri mesial 1 189000
53 1700510200 Pincet Chirurgis 1 15000
54 1700510199 Pinset anatomi 1 12750
55 1700510010 Pinset anatomis 18 cm 1 21750
56 1700510202 Pinset hidung 1 21750
57 1700525263 pispot / stikpan stainles- 1 242000
58 1700510206 Plastik Filling 1 24000
59 1700510288 Scaler 1 24000
60 1705250994 Silinder tempat korentang 1 67500
61 1705250995 Skalpel 1 5250
62 1700510227 Skort Plastik 1 52500
63 1700510229 Sonde gigi 1 22000
64 1705250996 Sonde lengkung 1 24000
65 1705250997 Spatula semen gigi (spatula pengaduk semen) 1 24000
66 1700510242 Stetoskop 1 213412.47
67 1705250998 Tang pencabut akar gigi bawah anak 1 117000
68 1705250999 Tang Pencabut Gigi Geraham Bawah Anak 1 117000
69 1705251000 Tang pencabut gigi seri dan taring atas anak 1 117000
70 1705251001 Tang pencabut gigi seri dan taring bawah anak 1 117000
71 1705251002 Tangkai kaca mulut 1 30000
72 1700510262 Tensimeter 1 178681.75
73 1700510275 Timbangan Badan Dewasa 1 127500
74 1700510257 Tounge spatel 1 11250
75 1700510283 Tromol kasa kecil 1 232500
76
77 Bahan Habis Pakai
78 1700525004 Alat Suntik sekali pakai - 1 ml 5100
79 1700525207 Alat Suntik sekali pakai - 10 ml 1789.89
83 17015010007 Alat suntik sekali pakai 0.05 ml soloshot 1655.5
84 1700525262 Alat suntik sekali pakai 0.5 ml soloshot 1655.5
85 1701413015 Alat ukur Gula darah dan Cholesterol - 197600
86 1700514001 Alkohol 70 % 100ml 4675
87 1700514199 Alkohol 70% 100 cc 4675
88 1700505009 Alkohol 70% 1L 21500
89 1700515036 Alkohol 95% 67500
90 1700514160 Alkohol Swab 157.3
91 1700514040 Antiseptik Hand Rub 5L 597500
92 1700504032 Apron Plastik OM 52500
93 1700513027 Aqua Pro Injeksi 25 cc 2200
94 1700502002 Articulating Paper - Hanell 175500
95 17015080002 Aseptan 500 cc + pump 30000
96 1700514214 BAYCLIN 100 ML - 2200
97 1700519021 Betadin 10 ml 4750
98 17015021586 BETADIN 60 9240
99 1700518011 Bioplacenton Tule 10750
100 17015024200 Bioplacenton Tulle - 10400
101 1700525319 Blood Lancet 145.66
102 1700525010 Blood set 13976
103 1700525014 Catgut 13400
104 1700502084 Cavit 231000
105 1700504001 Cholesterol Stick 233750
106 1700505040 Cover glass uk. 20 x 20 125743.94
107 1700525824 Dermafix - 4633
108 1700511525 Desinfektan (klorin 5,25%) 18700
109 1700507021 Devitalisasi Pasta 372250
110 1700620047 Duk Lubang 59000
111 1705250768 ELEKTRODA SKINTACT - 65882
112 1700511156 Etakridina lart 0,1% 2551
113 1700502014 Etsa Preparator (email propatory) 154500
114 17015010116 Eugenol Cairan 150000
115 1700511163 Face Masker 848
116 1700511974 Feeding Tube 5 8841
117 1700525589 FM Crepe Flash 10 cm 33000
118 1700525590 FM Crepe Flash 15 cm 41910
119 17015023442 Folley Catheter 12 8000
120 17015022215 Folley Catheter 14 8000
121 17015023443 Folley Catheter 14 8000
122 1700525493 Folley catheter 16 11000
123 1700525066 Folley catheter 18 8000
124 17015010136 Folley Catheter 20 8000
125 1700525339 Folley Catheter 22 8000
126 1700525059 Folley catheter 24 8000
127 1700511186 Glass Ionomer 504000
128 1700532009 Glove/Handscun 4600
129 17005110489 Glucose Protein - 1156
130 1700505286 Glucose Stick 155100
131 1700525362 handscon steril 5500
132 1700507116 Hansaplast 86550
133 1700525092 Hansaplast Standar BDF 269.5
134 1700505085 HCl 0,1 N - 36630
135 1700525097 I.V Catheter 18 8355
136 1700525098 I.V Catheter 20 8355
137 1700525102 I.V Catheter 22 8355
138 1700525106 I.V Catheter 24 8355
139 17015010529 I.V Catheter 26 4100
140 1700525096 I.V. Catheter 16 8355
141 1700525113 Infuset Dewasa - 7321
142 1700525115 Infusion set anak 3500
143 1700532017 IUD Coper T 11187
144 1700525640 IV Catheter 26 4100
145 17015010189 Jarum Jahit Bedah 21000
146 1700507042 Jarum Jahit no. 9 s/d 14 31350
147 1700525117 Jarum Jahit, Lengkung, 1/2 Lingkaran, Penampang Bulat 237
148 1700504013 Jelly Aqua 36028
149 1700507047 Kalsium Hidroksida Pasta 541500
150 1700532027 Kantong Mayat 262500
151 17015010197 Kapas Berlemak 500 gr 34428.57
152 1700525733 Kapas Pembalut 1000 gr 54560
153 1700525120 Kapas Pembalut 250 g 12500
154 17015022231 KASA HYDROFIL 40X80 105000
155 1700525124 Kasa Kompres 40/40 steril 1600
156 1700525125 Kasa pembalut 2 M x 80 Cm 9450
157 17015010205 Kasa pembalut 36 M x 80 Cm 130792
158 17015010208 Kasa pembalut Hidrofil 4 M x 10 Cm 1500
159 1700525126 Kasa Pembalut Hidrofil 4m x 15 cm 2100
160 1700525127 Kasa Pembalut Hidrofil 4m x 3cm 590
161 17015010210 Kasa pembalut Hidrofil DRC 4 m x 5 cm 1107.07
162 1700525128 Kasa Steril 16x16 7931.69
163 1700503016 Kertas EKG 1 Channel 24900
164 17015010544 Kertas Puyer/Kertas roti 100
165 1700507058 Klorfenol kamfer Menthol (CHKM) 55850
166 1700502033 Komposit Nano Warna A2 462000
167 1700502034 Komposit Nano Warna A3 462000
168 1700532019 Kondom 412
169 17015021626 LEUKOPLAST 2,5 x 4,5 12076
170 1700525139 Leukoplast 3X5 BDF 35532
171 17015023517 Leukoplast 7,5x4,5 27830
172 1700514058 Lysol 41000
173 17015020723 MASKER 02 ANAK - 23650
174 17015020725 MASKER 02 DEWASA - 23650
175 17015020724 Masker Oksigen Bayi 10833.6
176 1700525278 Master Bond Biodinamika (Cobra Dental)/Bonding 375000
177 1700525149 Mess 15 - Aesculap 2090
178 1700525153 MUCUS EXTRACTOR 14700
179 1700518070 My Jelly 29549.83
180 17015020735 Nasal Canul Oksigen Anak 5500
181 17015020736 Nasal Canul Oksigen Bayi 5500
182 17015020737 Nasal Canul Oksigen Dewasa 5500
183 17015020695 Nasogastrik 16 13000
184 17015020696 Nasogastrik 18 13000
185 1700525830 Nasogastrik No. 10 13000
186 1700507120 Needle Venoject/Flash back vacuntainer needle - 1880
187 1700504053 Obyek glass 29700
188 1700505124 Obyek Glass - 20746
189 1700525160 Oxyflow dewasa 455400
190 1700507079 PapSmear Kit 37500
191 1705250838 PAPSMEAR KIT - 19360
192 1700507115 Pelilit Kapas/Cotton Aplicator/Lidi Watten - 1670
193 1700525828 Pembalut Elastis 10 cm x 4,55 m 33182.91
194 17015020754 Plester 5 x 4.5 35500
195 1700525166 Plester 5 Yards x 2 Inch 37400
196 1705250588 Plesterin Anti Air - 76232.76
197 1700525586 Poliban 10 cm x 2,7 m 15225
198 1700508140 Policrepe 10 x 4.55 m 33000
199 1700525364 Polifix 10 cm x 5 m 74391.55
200 17015020756 POLIFIX 15X5 39445.57
201 1700505230 Pot Sputum - 2728
202 1700509371 Povidon Iodida larutan 10% 1000 ml 79650
206 17015030353 Rivanol 2550
207 1700515027 Rivanol 300mL - Onemed 2992
208 1700507125 Safety Box 21395
209 1700505157 SAHLI TEST - one med 66670
210 1700525185 Selang Oxigen Anak 10450
211 1700525186 Selang Oxigen Dewasa 10450
212 17015010336 Semen Seng 247500
213 1700525450 Silk 968310
214 1700513299 Sofratul 24750
215 1700525205 Spongostan 115500
216 17015010563 Spongostan Dental 82500
217 1700514089 Stabimed sol 1 ltr - 620000
218 1705251114 Steril Pouch 9 x 26 cm 422.18
219 1700525827 Steril Pouch with Indicator (Roll) 35cm x 200m 1144101.96
220 1700505404 Stik HB - 402000
221 1700525141 Stomach tube 16 7370
222 17015020694 Stomach Tube FR 14 7370
223 1700525142 Stomach tube no. 18 7370
224 1705251113 Suction Cathether - FR.18 4345
225 1700525472 Surgical Blade 1978
226 1700525826 Surgical Scrub 500ml 88616
227 1700525825 Surgical Tape 8416.67
228 1700507095 Susuk KB 257500
229 1700529068 Tabung Venoject 1808.73
230 1700525478 termometer - 55608.35
231 1700525237 Test kehamilan - 2150
232 1700505233 Tourniquet 27500
233 1700525239 Transfusi set 29530
234 1700502085 Tri Kresol Formalin 112500
235 1700508096 Umbilical Cord Nylon OM 1000
236 1700525501 Under pad 6930
237 1700507105 Urinal 6750
238 1700507105 Urine bag 3000
239 1700505302 Urine stik 223750
240 17015080035 Washlap kain 7500
241 1700525829 Winged Needle 27 1400
Pemakaian 2016 Pemakaian 2017 pemakaian rata-rata perbulan kebutuhan 18 bulan
pcs - 9 0 7
pcs - - - -
biji - - - -
biji - - - -
biji - - - -
biji - - - -
biji - - - -
pcs - - - -
pcs - - - -
botol - - - -
PCS - - - -
pcs - - - -
biji - - - -
set - - - -
lembar - - - -
lembar - - - -
pcs - - - -
biji - - - -
biji - - - -
biji - - - -
biji - - - -
biji - - - -
biji - - - -
biji - - - -
biji - - - -
biji - - - -
biji - - - -
biji - - - -
biji - - - -
biji - - - -
pcs - - - -
biji - - - -
biji - - - -
biji - - - -
biji - - - -
biji - - - -
biji - - - -
biji - - - -
biji - - - -
biji - - - -
biji - - - -
biji - - - -
Bh - - - -
biji - - - -
biji - - - -
biji - - - -
biji - - - -
biji - - - -
pcs - 9 0 7
- - - -
- - - -
biji - - - -
biji - - - -
biji - - - -
biji - - - -
biji - - - -
roll - - - -
biji - - - -
- - - -
- - - -
biji - - - -
biji - - - -
- - - -
- - - -
Unit - 5 0 4
- - - -
biji - - - -
- - - -
- - - -
- - - -
Unit - - - -
- - - -
biji - - - -
- - - -
- - - -
- - - -
Buah 229 470 29 524
pcs - 10 0 8
Pcs - - - -
Buah 2,167 4,202 265 4,777
buah 126 859 41 739
pcs 128 368 21 372
pcs 635 2,675 138 2,483
pcs - 9 0 7
botol 20 - 1 15
botol - 7 0 5
botol 20 40 3 45
- - - -
pcs 100 1,900 83 1,500
botol - - - -
biji - - - -
104 264 15 276
roll - - - -
botol 3 4 0 5
botol - - - -
botol - - - -
botol - - - -
lembar 10 10 1 15
- - - -
pcs - 2,000 83 1,500
pcs 93 7 4 75
BUAH 38 198 10 177
botol 3 4 0 5
pcs - 9 0 7
pak - - - -
lembar - - - -
botol 10 16 1 20
botol 1 4 0 4
pcs - - - -
set - - - -
botol - - - -
botol - - - -
botol 2 3 0 4
lembar 1,256 1,158 101 1,811
pcs - - - -
Pcs - - - -
Pcs - - - -
pcs - - - -
pcs - - - -
- - - -
pcs 15 53 3 51
pcs 11 44 2 41
pcs - 30 1 23
pcs - 24 1 18
pcs - 10 0 8
botol 1 6 0 5
pcs 1,867 4,889 282 5,067
pcs - - - -
pcs - 9 0 7
set - 50 2 38
BOX - - - -
pcs - - - -
botol - - - -
pcs 149 195 14 258
pcs 237 391 26 471
pcs 189 375 24 423
pcs 202 108 13 233
pcs - 40 2 30
pcs - - - -
Unit 354 427 33 586
pcs 34 36 3 53
set - 16 1 12
- - - -
biji - - - -
BUNGKUS - - - -
BIJI - - - -
PCS - - - -
botol - 3 0 2
pcs - - - -
roll - - - -
roll - - - -
roll 25 34 2 44
roll 64 - 3 48
lembar - 30 1 23
pak - - - -
Roll 7 24 1 23
pcs 30 - 1 23
roll - 54 2 41
roll - - - -
roll 345 60 17 304
box 120 16 6 102
- - - -
- - - -
botol 1 - 0 1
botol - - - -
botol - - - -
pcs - 728 30 546
roll - - - -
30 - 1 23
roll 8 53 3 46
botol 4 3 0 5
pcs - - - -
pcs - - - -
pcs - - - -
- - - -
pcs - - - -
pcs - - - -
tube 2 1 0 2
pcs - - - -
pcs - - - -
pcs - - - -
pcs - - - -
pcs - - - -
pcs - - - -
set - - - -
BOX - - - -
box - 5 0 4
box - - - -
set - - - -
set - - - -
pcs - 100 4 75
roll - - - -
roll - - - -
Rol - - - -
roll - - - -
roll - - - -
PCS - - - -
roll 1 - 0 1
roll - - - -
pot - 60 3 45
botol - - - -
botol 30 2 1 24
botol 14 7 1 16
- - - -
botol 5 1 0 5
botol 10 - 0 8
biji - 6 0 5
set - - - -
set - - - -
set - - - -
- 3 0 2
pcs 5 40 2 34
biji - - - -
box - - - -
Pak/10 - - - -
botol - - - -
pcs - - - -
roll - - - -
box - - - -
biji - - - -
pcs - - - -
set - - - -
pcs - - - -
biji - 71 3 53
botol - - - -
pcs - - - -
set - 287 12 215
pcs - - - -
Unit - - - -
Strip 16 52 3 51
biji - - - -
Buah 1 63 3 48
botol 4 2 0 5
pcs - 25 1 19
pcs 17 97 5 86
biji 37 47 4 63
pcs 37 47 4 63
box - - - -
biji - - - -
pcs - - - -
sisa stok rencana pembelian renana pembelian
0 7 7
0 - -
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0 - -
0 - -
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504 20 20
90 - 83 -
0 - -
1489 3,288 3,288
1120 - 381 -
509 - 137 -
8 2,475 2,475
0 7 7
0 15 15
8- 3 -
9 36 36
0 - -
0 1,500 1,500
0 - -
0 - -
0 276 276
0 - -
3 2 2
0 - -
0 - -
0 - -
180 - 165 -
0 - -
0 1,500 1,500
0 75 75
513 - 336 -
0 5 5
0 7 7
0 - -
80 - 80 -
16 4 4
0 4 4
0 - -
0 - -
0 - -
0 - -
2 2 2
6346 - 4,536 -
50 - 50 -
0 - -
0 - -
0 - -
0 - -
0 - -
2 49 49
35 6 6
50 - 28 -
6 12 12
10 - 3 -
1 4 4
2070 2,997 2,997
0 - -
0 7 7
0 38 38
0 - -
0 - -
0 - -
68 190 190
122 349 349
136 287 287
190 43 43
10 20 20
0 - -
119 467 467
80 - 28 -
223 - 211 -
0 - -
0 - -
0 - -
0 - -
0 - -
0 2 2
0 - -
0 - -
0 - -
16 28 28
0 48 48
0 23 23
0 - -
29 - 6 -
0 23 23
246 - 206 -
0 - -
50 254 254
2914 - 2,812 -
0 - -
0 - -
0 1 1
0 - -
0 - -
456 90 90
0 - -
0 23 23
13 33 33
10 - 5 -
0 - -
0 - -
0 - -
0 - -
20 - 20 -
0 - -
27 - 25 -
10 - 10 -
10 - 10 -
25 - 25 -
0 - -
0 - -
0 - -
0 - -
0 - -
0 4 4
0 - -
0 - -
0 - -
0 75 75
0 - -
0 - -
0 - -
0 - -
0 - -
0 - -
15 - 14 -
0 - -
540 - 495 -
0 - -
98 - 74 -
28 - 12 -
0 - -
24 - 20 -
0 8 8
0 5 5
0 - -
0 - -
0 - -
1 1 1
260 - 226 -
0 - -
0 - -
0 - -
3- 3 -
0 - -
0 - -
0 - -
0 - -
0 - -
0 - -
0 - -
383 - 330 -
0 - -
0 - -
0 215 215
0 - -
0 - -
332 - 281 -
0 - -
117 - 69 -
0 5 5
0 19 19
93 - 8 -
19 44 44
19 44 44
0 - -
0 - -
0 - -
1 Alat Kesehatan dibawah 300rb
handscun panjang siku
termometer klinis
48 1,705,250,990 Pen light (senter) 1
74 1,700,510,257 Tounge spatel 1
15 17,015,060,190 Diamon Boor Round 1
45 17,015,010,552 Meteran/Metline 1
46 1,700,510,161 Needle holder 1
handscun rumah tangga
64 1,705,250,996 Sonde lengkung 1
7 1,700,510,028 Bengkok besar 23 cm 1
8 1,700,510,032 Bola Tensi 1
5 1,700,510,020 Bak instrumen tertutup 1
47 1,705,250,989 Palu Pengukur Reflkes 1
12 17,015,010,511 Celemek Plastik 1
16 1,705,250,978 Duk Lubang Besar - 50x50 1
17 1,705,250,979 Duk Lubang Kecil - 30x30 1
31 1,700,510,125 Kaca mata goggle 1
32 1,700,510,126 Kaca Mulut 1
56 1,700,510,202 Pinset hidung 1
62 1,700,510,227 Skort Plastik 1
65 1,705,250,997 Spatula semen gigi (spatula pengaduk semen) 1
29 1,700,510,095 Gunting perban 1
75 1,700,510,283 Tromol kasa kecil 1
2 1,700,510,272 Alat ukur tinggi badan - 1
6 1,700,525,277 Bein besar 1
Bein kecil
21 17,015,010,523 Gunting bedah standar , lurus, ujung tajam 1
23 1,700,510,093 Gunting bedah standart lurus 1
37 1,700,510,013 Klem arteri lurus 1
60 1,705,250,994 Silinder tempat korentang 1
63 1,700,510,229 Sonde gigi 1
41 1,705,250,986 Korentang 1
gelas ukur 10ml
gelas ukur 100ml
gelas ukur 250ml
tes buta warna isihara
termohigrometer
Batang Pengaduk
Corong
Cawan Penguap Porselen (d.5-15cm)
Gelas Piala 100mL
Gelas Piala 500mL
Gelas Piala 1L
Pipet Berskala
Termometer skala 100
50 1,705,251,074 Pengukur Lingkar perut - 1
66 1,700,510,242 Stetoskop 1
3 1,700,504,026 Autoclik Lancet - 1
4 1,700,510,022 Bak instrumen sedang 1
9 1,705,250,976 Buli Buli panas dingin - WWZ 1
10 1,705,250,975 Buli-buli panas dingin (ice cup) - 1
11 1,705,250,977 Bur fisure 1
13 1,700,510,043 Cervical collar S, M, L - Tenso 1
14 1,700,510,053 Dental pinset 1
18 1,700,510,080 Excavator kecil 1
19 1,705,250,980 Forsep/penjepit spong 1
20 1,700,510,087 Gunting angkat jahitan 1
22 17,015,010,524 Gunting bedah standar , lurus, ujung tumpul 1
24 1,700,510,089 Gunting bengkok besar lancip 1
25 1,700,510,088 Gunting bengkok kecil lancip 1
26 1,700,510,092 Gunting episiotomi 14 cm 1
27 1,705,250,981 Gunting lengkung/menzenbum 1
28 1,700,510,094 Gunting lurus besar lancip 1
30 1,700,510,096 Gunting tali pusat 14cm 1
33 17,015,010,537 Kaca Mulut 1
34 17,015,010,504 Klem arteri bengkok 1
35 1,700,510,014 Klem arteri kokcer 1
36 1,705,250,982 Klem arteri kokcer bengkok besar 18 1
38 1,705,250,983 Klem lurus kecil 1
39 1,705,250,984 Klem pemegang jarum jahit 18cm 1
40 1,705,250,985 Klem setengah kokcer 1
42 1,705,250,987 Korentang penjepit sponge 1
43 1,705,250,988 Lempeg Kaca Pengaduk Semen 1
44 1,700,502,045 Mata Bor Lowspeed Fissure 1
49 1,700,510,205 Pengait cerumen dan sendok serumen 1
51 1,705,250,991 Pengungkit akar gigi kanan mesial 1
52 1,705,250,992 Pengungkit akar gigi kiri mesial 1
53 1,700,510,200 Pincet Chirurgis 1
54 1,700,510,199 Pinset anatomi 1
55 1,700,510,010 Pinset anatomis 18 cm 1
57 1,700,525,263 pispot / stikpan stainles- 1
58 1,700,510,206 Plastik Filling 1
59 1,700,510,288 Scaler 1
61 1,705,250,995 Skalpel 1
67 1,705,250,998 Tang pencabut akar gigi bawah anak 1
68 1,705,250,999 Tang Pencabut Gigi Geraham Bawah Anak 1
69 1,705,251,000 Tang pencabut gigi seri dan taring atas anak 1
70 1,705,251,001 Tang pencabut gigi seri dan taring bawah anak 1
71 1,705,251,002 Tangkai kaca mulut 1
72 1,700,510,262 Tensimeter 1
73 1,700,510,275 Timbangan Badan Dewasa 1
76
77 Bahan Habis Pakai
101 1,700,525,319 Blood Lancet
90 1,700,514,160 Alkohol Swab
115 1,700,511,163 Face Masker
128 1,700,532,009 Glove/Handscun
81 1,700,525,006 Alat Suntik sekali pakai - 3 ml
141 1,700,525,113 Infuset Dewasa -
137 1,700,525,102 I.V Catheter 22
136 1,700,525,098 I.V Catheter 20
135 1,700,525,097 I.V Catheter 18
174 17,015,020,725 MASKER 02 DEWASA -
171 17,015,023,517 Leukoplast 7,5x4,5
173 17,015,020,723 MASKER 02 ANAK -
Aquadest
88 1,700,505,009 Alkohol 70% 1L
150 1,700,532,027 Kantong Mayat
215 1,700,525,205 Spongostan
132 1,700,507,116 Hansaplast
232 1,700,505,233 Tourniquet
jarum hecting kulit
jarum hecting otot
104 1,700,502,084 Cavit
127 1,700,511,186 Glass Ionomer
109 1,700,507,021 Devitalisasi Pasta
Needle no. 23G
149 1,700,507,047 Kalsium Hidroksida Pasta
114 17,015,010,116 Eugenol Cairan
212 17,015,010,336 Semen Seng
165 1,700,507,058 Klorfenol kamfer Menthol (CHKM)
213 1,700,525,450 Silk
234 1,700,502,085 Tri Kresol Formalin
Needle no. 19G
84 1,700,525,262 Alat suntik sekali pakai 0.5 ml soloshot
93 1,700,513,027 Aqua Pro Injeksi 25 cc
161 17,015,010,210 Kasa pembalut Hidrofil DRC 4 m x 5 cm
228 1,700,507,095 Susuk KB
168 1,700,532,019 Kondom
102 1,700,525,010 Blood set
192 1,700,507,115 Pelilit Kapas/Cotton Aplicator/Lidi Watten -
122 1,700,525,493 Folley catheter 16
154 17,015,022,231 KASA HYDROFIL 40X80
237 1,700,507,105 Urinal
238 1,700,507,105 Urine bag
138 1,700,525,106 I.V Catheter 24
131 1,700,525,362 handscon steril
153 1,700,525,120 Kapas Pembalut 250 g
170 1,700,525,139 Leukoplast 3X5 BDF
155 1,700,525,124 Kasa Kompres 40/40 steril
158 17,015,010,208 Kasa pembalut Hidrofil 4 M x 10 Cm
139 17,015,010,529 I.V Catheter 26
235 1,700,508,096 Umbilical Cord Nylon OM
86 1,700,514,001 Alkohol 70 % 100ml
125 1,700,525,339 Folley Catheter 22
207 1,700,515,027 Rivanol 300mL - Onemed
105 1,700,504,001 Cholesterol Stick
85 1,701,413,015 Alat ukur Gula darah dan Cholesterol -
130 1,700,505,286 Glucose Stick
123 1,700,525,066 Folley catheter 18
208 1,700,507,125 Safety Box
188 1,700,505,124 Obyek Glass -
108 1,700,511,525 Desinfektan (klorin 5,25%)
95 17,015,080,002 Aseptan 500 cc + pump
219 1,700,525,827 Steril Pouch with Indicator (Roll) 35cm x 200m
217 1,700,514,089 Stabimed sol 1 ltr -
91 1,700,514,040 Antiseptik Hand Rub 5L
166 1,700,502,033 Komposit Nano Warna A2
167 1,700,502,034 Komposit Nano Warna A3
189 1,700,525,160 Oxyflow dewasa
220 1,700,505,404 Stik HB -
176 1,700,525,278 Master Bond Biodinamika (Cobra Dental)/Bonding
239 1,700,505,302 Urine stik
94 1,700,502,002 Articulating Paper - Hanell
113 1,700,502,014 Etsa Preparator (email propatory)
157 17,015,010,205 Kasa pembalut 36 M x 80 Cm
106 1,700,505,040 Cover glass uk. 20 x 20
226 1,700,525,826 Surgical Scrub 500ml
216 17,015,010,563 Spongostan Dental
202 1,700,509,371 Povidon Iodida larutan 10% 1000 ml
196 1,705,250,588 Plesterin Anti Air -
199 1,700,525,364 Polifix 10 cm x 5 m
89 1,700,515,036 Alkohol 95%
209 1,700,505,157 SAHLI TEST - one med
111 1,705,250,768 ELEKTRODA SKINTACT -
110 1,700,620,047 Duk Lubang
230 1,700,525,478 termometer -
152 1,700,525,733 Kapas Pembalut 1000 gr
92 1,700,504,032 Apron Plastik OM
118 1,700,525,590 FM Crepe Flash 15 cm
172 1,700,514,058 Lysol
200 17,015,020,756 POLIFIX 15X5
190 1,700,507,079 PapSmear Kit
195 1,700,525,166 Plester 5 Yards x 2 Inch
134 1,700,505,085 HCl 0,1 N -
148 1,700,504,013 Jelly Aqua
194 17,015,020,754 Plester 5 x 4.5
151 17,015,010,197 Kapas Berlemak 500 gr
193 1,700,525,828 Pembalut Elastis 10 cm x 4,55 m
117 1,700,525,589 FM Crepe Flash 10 cm
198 1,700,508,140 Policrepe 10 x 4.55 m
146 1,700,507,042 Jarum Jahit no. 9 s/d 14
187 1,700,504,053 Obyek glass
179 1,700,518,070 My Jelly
233 1,700,525,239 Transfusi set
163 1,700,503,016 Kertas EKG 1 Channel
214 1,700,513,299 Sofratul
145 17,015,010,189 Jarum Jahit Bedah
191 1,705,250,838 PAPSMEAR KIT -
197 1,700,525,586 Poliban 10 cm x 2,7 m
178 1,700,525,153 MUCUS EXTRACTOR
103 1,700,525,014 Catgut
183 17,015,020,695 Nasogastrik 16
184 17,015,020,696 Nasogastrik 18
185 1,700,525,830 Nasogastrik No. 10
169 17,015,021,626 LEUKOPLAST 2,5 x 4,5
143 1,700,532,017 IUD Coper T
175 17,015,020,724 Masker Oksigen Bayi
99 1,700,518,011 Bioplacenton Tule
210 1,700,525,185 Selang Oxigen Anak
211 1,700,525,186 Selang Oxigen Dewasa
100 17,015,024,200 Bioplacenton Tulle -
156 1,700,525,125 Kasa pembalut 2 M x 80 Cm
98 17,015,021,586 BETADIN 60
116 1,700,511,974 Feeding Tube 5
227 1,700,525,825 Surgical Tape
140 1,700,525,096 I.V. Catheter 16
119 17,015,023,442 Folley Catheter 12
120 17,015,022,215 Folley Catheter 14
121 17,015,023,443 Folley Catheter 14
124 17,015,010,136 Folley Catheter 20
126 1,700,525,059 Folley catheter 24
162 1,700,525,128 Kasa Steril 16x16
240 17,015,080,035 Washlap kain
221 1,700,525,141 Stomach tube 16
222 17,015,020,694 Stomach Tube FR 14
223 1,700,525,142 Stomach tube no. 18
236 1,700,525,501 Under pad
180 17,015,020,735 Nasal Canul Oksigen Anak
181 17,015,020,736 Nasal Canul Oksigen Bayi
182 17,015,020,737 Nasal Canul Oksigen Dewasa
97 1,700,519,021 Betadin 10 ml
87 1,700,514,199 Alkohol 70% 100 cc
107 1,700,525,824 Dermafix -
224 1,705,251,113 Suction Cathether - FR.18
144 1,700,525,640 IV Catheter 26
142 1,700,525,115 Infusion set anak
201 1,700,505,230 Pot Sputum -
112 1,700,511,156 Etakridina lart 0,1%
206 17,015,030,353 Rivanol
96 1,700,514,214 BAYCLIN 100 ML -
231 1,700,525,237 Test kehamilan -
159 1,700,525,126 Kasa Pembalut Hidrofil 4m x 15 cm
177 1,700,525,149 Mess 15 - Aesculap
225 1,700,525,472 Surgical Blade
186 1,700,507,120 Needle Venoject/Flash back vacuntainer needle -
229 1,700,529,068 Tabung Venoject
83 17,015,010,007 Alat suntik sekali pakai 0.05 ml soloshot
241 1,700,525,829 Winged Needle 27
129 17,005,110,489 Glucose Protein -
160 1,700,525,127 Kasa Pembalut Hidrofil 4m x 3cm
218 1,705,251,114 Steril Pouch 9 x 26 cm
133 1,700,525,092 Hansaplast Standar BDF
147 1,700,525,117 Jarum Jahit, Lengkung, 1/2 Lingkaran, Penampang Bulat
164 17,015,010,544 Kertas Puyer/Kertas roti
Pemakaian 2016 Pemakaian 2017 pemakaian rata-rata perbulan
41,995.80
21,600.00
52,500.00 biji - - -
11,250.00 biji - - -
127,500.00 set - - -
11,250.00 biji - - -
26,250.00 biji - - -
29,997.00
24,000.00 - - -
37,500.00 biji - - -
53,654.00 biji - - -
165,000.00 biji - - -
56,250.00 biji - - -
41,150.00 PCS - - -
37,500.00 lembar - - -
21,450.00 lembar - - -
82,500.00 biji - - -
31,650.00 pcs - - -
21,750.00 biji - - -
52,500.00 biji - - -
24,000.00 - - -
28,500.00 biji - - -
232,500.00 - - -
50,000.00 pcs - 9 0
75,000.00 biji - - -
75,000.00
21,000.00 biji - - -
21,000.00 biji - - -
26,250.00 biji - - -
67,500.00 - - -
22,000.00 biji - - -
68,250.00 biji - - -
337,100.00
337,100.00
337,100.00
239,700.00
188,100.00
7,500.00
83,100.00
45,000.00
70,000.00
86,700.00
86,700.00
151,500.00
28,500.00
35,000.00 pcs - 9 0
213,412.47 Unit - 5 0
19,353.00 pcs - - -
82,500.00 biji - - -
37,500.00 pcs - - -
37,500.00 pcs - - -
30,000.00 botol - - -
118,000.00 pcs - - -
28,500.00 biji - - -
131,924.00 pcs - - -
75,150.00 biji - - -
22,500.00 biji - - -
21,000.00 biji - - -
43,500.00 biji - - -
21,750.00 biji - - -
31,500.00 biji - - -
43,500.00 biji - - -
38,250.00 biji - - -
31,500.00 biji - - -
15,000.00 biji - - -
26,250.00 biji - - -
26,250.00 biji - - -
56,250.00 biji - - -
21,750.00 biji - - -
43,500.00 biji - - -
24,000.00 biji - - -
82,500.00 biji - - -
8,250.00 biji - - -
37,400.00 Bh - - -
19,500.00 biji - - -
189,000.00 - - -
189,000.00 - - -
15,000.00 biji - - -
12,750.00 biji - - -
21,750.00 biji - - -
242,000.00 biji - - -
24,000.00 roll - - -
24,000.00 biji - - -
5,250.00 - - -
117,000.00 - - -
117,000.00 biji - - -
117,000.00 - - -
117,000.00 - - -
30,000.00 - - -
178,681.75 Unit - - -
127,500.00 - - -
- - -
- - -
145.66 pcs - 2,000 83
157.30 pcs 100 1,900 83
848.00 lembar 1,256 1,158 101
4,600.00 pcs 1,867 4,889 282
2,405.00 Buah 2,167 4,202 265
7,321.00 Unit 354 427 33
8,355.00 pcs 189 375 24
8,355.00 pcs 237 391 26
8,355.00 pcs 149 195 14
23,650.00 pcs - - -
27,830.00 roll 8 53 3
23,650.00 pcs - - -
66,600.00 jerigen
21,500.00 botol 20 40 3
262,500.00 pcs - - -
115,500.00 box - - -
86,550.00 BOX - - -
27,500.00 biji - - -
27,997.20 buah
27,997.20 buah
231,000.00 botol 3 4 0
504,000.00 botol 1 6 0
372,250.00 botol 1 4 0
149,985.00 box
541,500.00 botol - 3 0
150,000.00 botol 2 3 0
247,500.00 - 3 0
55,850.00 botol 1 - 0
968,310.00 pcs 5 40 2
112,500.00 botol 4 2 0
149,985.00 box
1,655.50 pcs 635 2,675 138
2,200.00 104 264 15
1,107.07 roll 345 60 17
257,500.00 set - 287 12
412.00 pcs - 728 30
13,976.00 pcs 93 7 4
1,670.00 pcs - 100 4
11,000.00 pcs 15 53 3
105,000.00 roll 64 - 3
6,750.00 biji 37 47 4
3,000.00 pcs 37 47 4
8,355.00 pcs 202 108 13
5,500.00 set - 50 2
12,500.00 roll 25 34 2
35,532.00 30 - 1
1,600.00 lembar - 30 1
1,500.00 pcs 30 - 1
5,100.00 Buah 229 470 29
4,100.00 pcs - 40 2
1,000.00 pcs - 25 1
4,675.00 botol 20 - 1
8,000.00 pcs - 24 1
2,992.00 botol 10 - 0
233,750.00 pcs - 9 0
197,600.00 pcs - 9 0
155,100.00 pcs - 9 0
8,000.00 pcs 11 44 2
21,395.00 biji - 6 0
20,746.00 box - 5 0
18,700.00 botol 10 16 1
30,000.00 botol 3 4 0
1,144,101.96 roll - - -
620,000.00 botol - - -
597,500.00 botol - - -
462,000.00 botol - - -
462,000.00 botol - - -
455,400.00 box - - -
402,000.00 box - - -
375,000.00 - - -
223,750.00 box - - -
175,500.00 roll - - -
154,500.00 botol - - -
130,792.00 Roll 7 24 1
125,743.94 pak - - -
88,616.00 botol - - -
82,500.00 Pak/10 - - -
79,650.00 botol - - -
76,232.76 roll - - -
74,391.55 roll 1 - 0
67,500.00 - - -
66,670.00 set - - -
65,882.00 set - - -
59,000.00 pcs - - -
55,608.35 Unit - - -
54,560.00 roll - - -
52,500.00 biji - - -
41,910.00 Pcs - - -
41,000.00 botol 4 3 0
39,445.57 roll - - -
37,500.00 set - - -
37,400.00 Rol - - -
36,630.00 botol - - -
36,028.00 PCS - - -
35,500.00 roll - - -
34,428.57 roll - - -
33,182.91 roll - - -
33,000.00 Pcs - - -
33,000.00 PCS - - -
31,350.00 BUNGKUS - - -
29,700.00 BOX - - -
29,549.83 tube 2 1 0
29,530.00 Buah 1 63 3
24,900.00 - - -
24,750.00 biji - - -
21,000.00 biji - - -
19,360.00 set - - -
18,000.00 botol 14 7 1
15,225.00 roll - - -
14,700.00 pcs - - -
13,400.00 BUAH 38 198 10
13,000.00 pcs - - -
13,000.00 pcs - - -
13,000.00 pcs - - -
12,076.00 roll - - -
11,187.00 set - 16 1
10,833.60 pcs - - -
10,750.00 lembar 10 10 1
10,450.00 set - - -
10,450.00 set - - -
10,400.00 - - -
9,450.00 pak - - -
9,240.00 botol - - -
8,841.00 pcs - - -
8,416.67 pcs - - -
8,355.00 pcs - - -
8,000.00 pcs - - -
8,000.00 pcs - - -
8,000.00 - - -
8,000.00 pcs - 30 1
8,000.00 pcs - 10 0
7,931.69 box 120 16 6
7,500.00 biji - - -
7,370.00 biji - - -
7,370.00 pcs - - -
7,370.00 set - - -
6,930.00 pcs 17 97 5
5,500.00 pcs - - -
5,500.00 pcs - - -
5,500.00 pcs - - -
4,750.00 botol - - -
4,675.00 botol - 7 0
4,633.00 lembar - - -
4,345.00 pcs - - -
4,100.00 - - -
3,700.00 - - -
3,500.00 pcs 34 36 3
2,955.00 buah 126 859 41
2,900.00 botol 30 2 1
2,728.00 pot - 60 3
2,551.00 botol - - -
2,550.00 botol 5 1 0
2,200.00 Pcs - - -
2,200.00 botol - - -
2,150.00 Strip 16 52 3
2,100.00 roll - 54 2
2,090.00 pcs - - -
1,978.00 biji - 71 3
1,880.00 set - - -
1,808.73 pcs - - -
1,789.89 pcs - 10 0
1,655.50 pcs 128 368 21
1,400.00 pcs - - -
1,156.00 pcs - - -
590.00 roll - - -
422.18 pcs - - -
269.50 pcs - - -
237.00 BIJI - - -
100.00 - - -
pagu 77,326,855
belanja 77,319,516 7,339
sisa 7,339
kebutuhan 18 bulan sisa stok rencana pembelian renana pembelian pembelian pkm
50
30
- - - - 13
- - - - 11
- - - - 10
- - - - 10
- - - - 10
10
- - - - 10
- - - - 8
- - - - 8
- - - - 7
- - - - 6
- - - - 5
- - - - 5
- - - - 5
- - - - 5
- - - - 5
- - - - 5
- - - - 5
- - - - 5
- - - - 4
- - - - 4
7 - 7 7 2
- - - - 2
2
- - - - 2
- - - - 2
- - - - 2
- - - - 2
- - - - 2
- - - - 1
1
1
1
1
1
1
1
1
1
1
1
1
1
7 - 7 7
4 - 4 4
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
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- - - -
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- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
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- - - -
- - - -
- - - -
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- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
1,500 - 1,500 1,500 20,000
1,500 - 1,500 1,500 10,000
1,811 6,346 - 4,536 - 5,000
5,067 2,070 2,997 2,997 3,060
4,777 1,489 3,288 3,288 2,000
586 119 467 467 500
423 136 287 287 400
471 122 349 349 200
258 68 190 190 200
- - - - 100
46 13 33 33 50
- - - - 50
42
45 9 36 36 10
- - - - 10
- - - - 10
- - - - 10
- - - - 10
10
10
5 - 5 5 6
5 1 4 4 6
4 - 4 4 6
5
2 - 2 2 3
4 2 2 2 3
2 1 1 1 3
1 - 1 1 3
34 260 - 226 - 2
5 - 5 5 1
1
2,483 8 2,475 2,475
276 - 276 276
304 50 254 254
215 - 215 215
546 456 90 90
75 - 75 75
75 - 75 75
51 2 49 49
48 - 48 48
63 19 44 44
63 19 44 44
233 190 43 43
38 - 38 38
44 16 28 28
23 - 23 23
23 - 23 23
23 - 23 23
524 504 20 20
30 10 20 20
19 - 19 19
15 - 15 15
18 6 12 12
8 - 8 8
7 - 7 7
7 - 7 7
7 - 7 7
41 35 6 6
5 - 5 5
4 - 4 4
20 16 4 4
5 3 2 2
- - - -
- 3 - 3 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
23 29 - 6 -
- - - -
- - - -
- - - -
- - - -
- - - -
1 15 - 14 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
5 10 - 5 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
2 27 - 25 -
48 117 - 69 -
- - - -
- - - -
- - - -
- - - -
16 28 - 12 -
- - - -
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177 513 - 336 -
- - - -
- - - -
- - - -
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12 223 - 211 -
- - - -
15 180 - 165 -
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- - - -
- - - -
- - - -
- - - -
- 50 - 50 -
- - - -
- - - -
- - - -
- - - -
- - - -
23 50 - 28 -
8 10 - 3 -
102 2,914 - 2,812 -
- - - -
- - - -
- - - -
- - - -
86 93 - 8 -
- 10 - 10 -
- 10 - 10 -
- 25 - 25 -
- - - -
5 8 - 3 -
- 80 - 80 -
- - - -
- - - -
- - - -
53 80 - 28 -
739 1,120 - 381 -
24 98 - 74 -
45 540 - 495 -
- - - -
5 24 - 20 -
- - - -
- - - -
51 332 - 281 -
41 246 - 206 -
- 20 - 20 -
53 383 - 330 -
- - - -
- - - -
8 90 - 83 -
372 509 - 137 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
jumlah belanja
2,099,790
648,000
682,500
123,750
1,275,000
112,500
262,500
299,970
240,000
300,000
429,232
1,155,000
337,500
205,750
187,500
107,250
412,500
158,250
108,750
262,500
120,000
114,000
930,000
100,000
150,000
150,000
42,000
42,000
52,500
135,000
44,000
68,250
337,100
337,100
337,100
239,700
188,100
7,500
83,100
45,000
70,000
86,700
86,700
151,500
28,500
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
2,913,200
1,573,000
4,240,000
14,076,000
4,810,000
3,660,500
3,342,000
1,671,000
1,671,000
2,365,000
1,391,500
1,182,500
2,797,200
215,000
2,625,000
1,155,000
865,500
275,000
279,972
279,972
1,386,000
3,024,000
2,233,500
749,925
1,624,500
450,000
742,500
167,550
1,936,620
112,500
149,985
-
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77,319,516
Rencana Anggaran Biaya (RAB) BMHP
Tahun Anggaran 2018
No Nama Harga Satuan Kebutuhan Nilai

1 Alat Suntik sekali pakai - 3 ml 2,405.00 Buah 2,000 4,810,000.00
2 Alat ukur tinggi badan - 50,000.00 pcs 2 100,000.00
3 Alkohol 70% 1L 21,500.00 botol 10 215,000.00
4 Alkohol Swab 157.30 pcs 10,000 1,573,000.00
5 Aquadest 66,600.00 jerigen 42 2,797,200.00
6 Bak instrumen tertutup 165,000.00 biji 7 1,155,000.00
7 Batang Pengaduk 7,500.00 biji 1 7,500.00
8 Bein besar 75,000.00 biji 2 150,000.00
9 Bein kecil 75,000.00 biji 2 150,000.00
10 Bengkok besar 23 cm 37,500.00 biji 8 300,000.00
11 Blood Lancet 145.66 pcs 20,000 2,913,200.00
12 Bola Tensi 53,654.00 biji 8 429,232.00
13 Cavit 231,000.00 botol 6 1,386,000.00
14 Cawan Penguap Porselen (d.5-15cm) 45,000.00 biji 1 45,000.00
15 Celemek Plastik 41,150.00 PCS 5 205,750.00
16 Corong 83,100.00 biji 1 83,100.00
17 Devitalisasi Pasta 372,250.00 botol 6 2,233,500.00
18 Diamon Boor Round 127,500.00 set 10 1,275,000.00
19 Duk Lubang Besar - 50x50 37,500.00 lembar 5 187,500.00
20 Duk Lubang Kecil - 30x30 21,450.00 lembar 5 107,250.00
21 Eugenol Cairan 150,000.00 botol 3 450,000.00
22 Face Masker 848.00 lembar 5,000 4,240,000.00
23 Gelas Piala 100mL 70,000.00 biji 1 70,000.00
24 Gelas Piala 1L 86,700.00 biji 1 86,700.00
25 Gelas Piala 500mL 86,700.00 biji 1 86,700.00
26 gelas ukur 100ml 337,100.00 biji 1 337,100.00
29 Glass Ionomer 504,000.00 botol 6 3,024,000.00
30 Glove/Handscun 4,600.00 pcs 3,060 14,076,000.00
31 Gunting bedah standar , lurus, ujung tajam 21,000.00 biji 2 42,000.00
32 Gunting bedah standart lurus 21,000.00 biji 2 42,000.00
33 Gunting perban 28,500.00 biji 4 114,000.00
34 handscun panjang siku 41,995.80 psg 50 2,099,790.00
35 handscun rumah tangga 29,997.00 psg 10 299,970.00
36 Hansaplast 86,550.00 BOX 10 865,500.00
37 I.V Catheter 18 8,355.00 pcs 200 1,671,000.00
38 I.V Catheter 20 8,355.00 pcs 200 1,671,000.00
39 I.V Catheter 22 8,355.00 pcs 400 3,342,000.00
40 Infuset Dewasa - 7,321.00 Unit 500 3,660,500.00
41 jarum hecting kulit 27,997.20 buah 10 279,972.00
42 jarum hecting otot 27,997.20 buah 10 279,972.00
43 Kaca mata goggle 82,500.00 biji 5 412,500.00
44 Kaca Mulut 31,650.00 pcs 5 158,250.00
45 Kalsium Hidroksida Pasta 541,500.00 botol 3 1,624,500.00
46 Kantong Mayat 262,500.00 pcs 10 2,625,000.00
47 Klem arteri lurus 26,250.00 biji 2 52,500.00
48 Klorfenol kamfer Menthol (CHKM) 55,850.00 botol 3 167,550.00
49 Korentang 68,250.00 biji 1 68,250.00
50 Leukoplast 7,5x4,5 27,830.00 roll 50 1,391,500.00
51 MASKER 02 ANAK - 23,650.00 pcs 50 1,182,500.00
52 MASKER 02 DEWASA - 23,650.00 pcs 100 2,365,000.00
53 Meteran/Metline 11,250.00 biji 10 112,500.00
54 Needle holder 26,250.00 biji 10 262,500.00
55 Needle no. 19G 149,985.00 box 1 149,985.00
56 Needle no. 23G 149,985.00 box 5 749,925.00
57 Palu Pengukur Reflkes 56,250.00 biji 6 337,500.00
58 Pen light (senter) 52,500.00 biji 13 682,500.00
59 Pinset hidung 21,750.00 biji 5 108,750.00
60 Pipet Berskala 151,500.00 biji 1 151,500.00
61 Semen Seng 247,500.00 botol 3 742,500.00
62 Silinder tempat korentang 67,500.00 biji 2 135,000.00
63 Silk 968,310.00 pcs 2 1,936,620.00
64 Skort Plastik 52,500.00 biji 5 262,500.00
65 Sonde gigi 22,000.00 biji 2 44,000.00
66 Sonde lengkung 24,000.00 biji 10 240,000.00
67 Spatula semen gigi (spatula pengaduk semen) 24,000.00 biji 5 120,000.00
68 Spongostan 115,500.00 box 10 1,155,000.00
69 termohigrometer 188,100.00 biji 1 188,100.00
70 termometer klinis 21,600.00 biji 30 648,000.00
71 Termometer skala 100 28,500.00 biji 1 28,500.00
72 tes buta warna isihara 239,700.00 biji 1 239,700.00
73 Tounge spatel 11,250.00 biji 11 123,750.00
74 Tourniquet 27,500.00 biji 10 275,000.00
75 Tri Kresol Formalin 112,500.00 botol 1 112,500.00
76 Tromol kasa kecil 232,500.00 biji 4 930,000.00
Jumlah 77,319,516.00
Pagu 77,326,855.00
Sisa Mati 7,339.00
Mengetahui, Kepala Puskesmas Songgon

Kepala Bidang SDK Dinas Kesehatan Banyuwangi
Kabupaten Banyuwangi
Mujito, SKM Wawan Prayitno,S.Kep

NIP. 19690524 19920524 1 003 NIP 19691225 199203 1 008
RENCANA ANGGARAN BIAYA
KEGIATAN : JAMINAN PELAYANAN KESEHATAN BANYUWANGI PUSKESMAS SONGGON

OBYEK BELANJA : ALKED
NO NAMA BARANG VOLUME SATUAN HARGA ONGKIR HARGA TOTAL

Baki logam Tempat Alat
1 steril tertutup 3 Buah 707,000 707,000
2 Barometer 1 Unit 2,549,100 2,549,100
SERENITY Cervical Collar
3 SR-N1 1 Set 114,000 200,000 314,000
MEDIGLOBE Stainless
5 Steel Treatment Trolley B-32 2 Unit 3,552,120 910,000 4,462,120
6 Jangka panggul 1 Buah 473,100 473,100
7 INDOMED Meja Mayo SS 2 Bh 3,552,120 3,552,120 7,104,240
HOHLKORPEL Minor
8 Surgery Set 1 Unit 3,552,120 3,552,120 7,104,240
ELITECH MINI/MEDICAL
COMPRESSOR
9 NEBULIZER PROMIST 1 1 Unit 910,000 910,000 1,820,000
GEMMY
INDUSTRIAL Orbital Shaker
10 VRN-210 1 Pc 5,412,516 239,000 5,651,516
FRIMED KALLMORGEN
Vaginal speculum Fig. 1 70 x
11 40 mm 2 Pc 718,400 68,000 786,400
FRIMED KALLMORGEN
Vaginal speculum Fig. 2 90 x
12 40 mm 1 Pc 718,400 68,000 786,400
TRIMED EXACTA Mercurial

Sphygmomanometer Desk
Model (Tensimeter Air
13 Raksa) 2 Pc 1,110,000 84,000 1,194,000
SERENITY Spine Board SR-
14 S1 2 Buah 1,132,000 1,000,000 2,132,000
15 Tenda PPGD 1 Set 6,500,000 6,500,000
17 Timbangan dewasa + TB 10 Unit 1,449,900 1,449,900
SERENITY Folding
Stretcher with Wheels SR-
18 F2 2 Buah 1,603,000 1,000,000 2,603,000
JUMLAH
SISA MATI
TOTAL

Mengetahui
Kuasa Pengguna Anggaran PenanggungJawab
Kepala Bidang SDK Kepala Puskesmas Songgon
MUJITO,SKM WAWAN PRAYITNO,S.Kep

NIP. 19690524 199103 1 003 NIP.19691225 199203 1 008
KESMAS SONGGON
JUMLAH
2,121,000 page 82
2,549,100 page 5
314,000 page 60
8,924,240 page 10
473,100 page 85
14,208,480 page 63
7,104,240 page 2
1,820,000 page 5
5,651,516 page 112 5,412,516.00 239,000.00
1,572,800 page 103 718,400.00 68,000.00
786,400 718,400.00 68,000.00
2,388,000 page 8 1,110,000.0084,000.00
4,264,000 page 10 1,132,000.00 1,000,000.00

6,500,000 Keb.RT 62
14,499,000 page 65
5,206,000 page 10 1,603,000.00 1,000,000.00

-
78,381,876 66,537,650
75,924 78,457,800
78,457,800 -
78,381,876
2 Januari 2017
ngJawab
mas Songgon
YITNO,S.Kep
199203 1 008
239,000.00
68,000.00
68,000.00
1,000,000.00
1,000,000.00
Rencana Anggaran Biaya (RAB) Bahan dan Alat Laboratorium
No Nama Obat Harga Satuan Kebutuhan

1 Blood lancet 145,993.00 box 10.00
2 Reagen BTA 307,300 set 5.00
3 Stick glukosa 228,000 box 102.00
4 Stik kolesterol 331,100 box 50.00
5 ACON Hb Hemoglobin Strip 50 test Mission 435,000.00 box 110.00
GENERAL LIFE BIOTECHNOLOGY CO. LTD

BeneCheck Plus Total Cholesterol Test Strip
6 10's 289,000.00 box 11.00
7 BeneCheck Plus Glucose Test Strip 50's 207,600.00 box 11.00
8 BeneCheck Plus Uric Test Strip 25's 184,500.00 box 11.00
9 object glass onemed 18,132.00 box 5.00
10 cover glass menzel 129,515.00 pack 3.00
STANDARD DIAGNOSTICS, INC. Rapid Test SD
11 Bioline HIV 1/2 3.0 14,344.00 tes 700.00
INTEC PRODUCTS, INC.P.R., CHINA Advanced

Quality One Step TP (Treponema 11,100.00 tes 600.00
Pallidium/Syphilis) Test Card (Serum/Plasma)
12
LORNE LABORATORIES Anti-A Monoclonal 498,200.00 vial 4.00
13 Golongan Darah (Vial 10 ml)
LORNE LABORATORIES Anti-B Monoclonal 498,200.00 vial 4.00
14 Golongan Darah (Vial 10 ml)
15 EDTA 10% 100ml 99,100.00 botol 1.00
16 Termometer ruangan 224,250.00 buah 1.00
17 Termometer kulkas 28,500.00 buah 3.00
18 Widal Shield 1,515,300.00 set 4.00
19 Diluent Mindray 2,881,700.00 box 4.00
20 Lyse Mindray 3,293,300 botol 4.00
21 Urinalysis tes 255,000.00 box 7.00
22 Reagen Gula 1,013,100.00 kit 4.00
23 reagen cholesterol 2,184,100.00 kit 3.00
24 Reagen Trigliserid 2,041,200.00 kit 2.00
25 Reagen SGOT 1,574,600.00 kit 2.00
26 Reagen SGPT 1,574,600.00 kit 2.00
27 Reagen Ziehl Nielsen 265,000 kit 5.00
28 Reagen urea 1,643,500.00 kit 2.00
29 Reagen creatinin 1,007,000.00 kit 2.00
30 Probe cleanser 171,000.00 botol 5.00
31 Metanol 90% 37,100.00 botol 5.00
BECTON DICKINSON (BD) Tube edta plh
32 13X75 3.0 blblce lav 169,092.00 box 5.00
33 Yellow tip 185,200.00 sak 3.00
34 Blue tip 236,600.00 sak 1.00
35 Rak pengecatan 435,700.00 buah 1.00
36 Lidi watten 307,700 box 3.00
37 Torniquet karet 27,500.00 biji 6.00
38 Oil immersion 292,100.00 botol 2.00
39 Paper lens 50,000.00 pak 2.00
40 Xylol 307,700 3.00
Jumlah
Pagu
Sisa Mati

Mengetahui
Kuasa Pengguna Anggaran PenanggungJawab
Kepala Bidang SDK Kepala Puskesmas Songgon
MUJITO,SKM WAWAN PRAYITNO,S.Kep

Penata Penata
NIP. 19690524 199103 1 003 NIP.19691225 199203 1 008
orium
Nilai pagu:
1,459,930.00
1,536,500.00 S
23,256,000.00 S
16,555,000.00 S
47,850,000.00
3,179,000.00
2,283,600.00
2,029,500.00
90,660.00
388,545.00
10,040,800.00
6,660,000.00
1,992,800.00
1,992,800.00
99,100.00
224,250.00
85,500.00
6,061,200.00 s
11,526,800.00 S
13,173,200.00 S hal 26 no 233
1,785,000.00
4,052,400.00 s
6,552,300.00 s
4,082,400.00 s
3,149,200.00 s
3,149,200.00 s
1,325,000.00 s
3,287,000.00 s
2,014,000.00 s
855,000.00 s
185,500.00
845,460.00
555,600.00
236,600.00
435,700.00
923,100.00
165,000.00
584,200.00
100,000.00
923,100.00
185,690,945.00
185,692,900.00
1,955.00
, 02 Januari 2018
ggungJawab
kesmas Songgon
RAYITNO,S.Kep
25 199203 1 008
Badean
LABORATORIUM kebutuhan 2017 pembelian 2017 pembelian jkn sisa kebutuhan
1 Hematologi Analizer -
2 Fotometer -
3 Sentrifuge -
4 Mikroskop -
5 Urine Analizer -
6 Mikropipet 5µl -
7 Mikropipet 10µl -
13 Rotator -
14 Hb Elektrik 10 10 -
Safety Container -
-
KEDOKTERAN GIGI -
1 alat gigi dasar 25 25
2 Dental Unit -
3 High speed (gigi) 1 1
4 Intra Oral Camera set 1 1
5 knabel tang 5 5
6 light cure 1 1
7 Panthom Gigi 12 12
8 Scaller Electric + Tip 1 1
9 Sitojek 2 2
10 Tang Pencabutan Gigi Dewasa 6 6 -
11 Tang Pencabutan Gigi Sulung -
12 Tooth Elevator (bein + crayer) -
-
KEDOKTERAN UMUM -
1 Ambu bag anak 6 6
2 Ambu bag bayi 6 6
3 Ambu bag dewasa 6 6
4 Aritimer 9 9
5 Autoclave 3 1 2
6 Bed 3 Crank -
7 Bed Gynaecolog 4 1 3
8 Bed Periksa 5 5 -
9 Bed Side Cabinet -
10 Brankart -
11 Desk Dopler 1 1 -
12 diagnostic set 1 1 -
13 EKG -
14 Velt Bed 2 2
15 Food Trolley -
16 Foot step 5 - 5
17 Head Lamp 6 6
18 Hechting set 7 7 -
19 Incenerator -
20 Incubator bayi -
21 incubator Rujuk -
22 Infant Warmer -
23 Infuse Stand 5 Legs 5 3 2
24 Instrument Cabinet 8 5 3
25 Instrument Trolley 2 2 -
26 Kursi Roda 2 1 1
27 Kursi tunggu 15 15
28 Lampu Tindakan Helogen 6 1 5
29 Laundry Trolley -
30 lemari narkotik 1 1
31 Meja Resusitasi bayi -
32 Mesin cuci kesehatan -
33 Minor surgery 1 1
34 Monitor Pasien -
35 Nebulizer 3 3
36 oksimetri tes -
37 Panthom bayi 1 1
38 Panthom manusia 1 1
39 Panthom payudara 1 1
40 Partus Set -
41 Pengukur suhu kulkas -
42 Pocket Doppler 11 11 -
43 Radiologi -
44 ranjang Anak -
45 scoop strecher 1 1
46 sealing puyer 1 1
47 spalk air spain 1 1
48 Sterilisator kering 5 5
49 Stetoskop anak 6 6 -
50 Stetoskop Dewasa 5 5 -
51 sucction pump mobile 1 1
52 Suction Pump -
53 Tensi Meter Aneroid 7 7
54 Tensimeter Desk Model 4 4 -
55 Tensimeter Mobile -
56 THT set 2 2
57 Timbangan + Tinggi badan 8 8
58 Timbangan Bayi -
59 Trolley Emergency -
60 USG -
61 Vein finder -
-
LAIN-LAIN -
-
Tabung Oksigen Besar + Regulator -
Tabung Oksigen Kecil + Regulator -
GDA Cheek -
Bak Instrument -
Tromol -
Medicine Cabinet 3 3
Neck Kollar -
Water Bath -
A1C -
ESR ( Eritrosit Sedimen Rote ) -
Rak Pengering + Stirilisator -
Full Automatic Analiser -
Reagen ( Gol. Darah ) -
A P D Set -
Safety Box ( B T A ) -
Regulator Oksigen -
X Ray Fiewer 3 3
Cautr Laser -
Hammer -
I U D Kit -
Implant Kit ( Klaim O ) -
U K S Kit -
GDA -
Kolesterol -
Asam Urat -
Termometer Digital -
Lemari Obat -
Matras Anak -
Matras Bed -
Rak Mikropet -
Rak Tabung Serologi -
Okhulat Stainles -
Whelchair -
Oxygen Concetrator -
Cervical Collar -
Halmometer -
Kacamata Google -
Emergency Resucitation Kit -
Needle Destroyer -
Multi Purpose Strecher -
JARINGAN PELAYANAN PUSKESMAS
Puskesmas Keliling
Puskesmas Keliling I
PUSKESMAS
PERALATAN UNTUK PELAYANAN LUAR GEDUNG PUSKESMAS
Set Keperawatan Kesehatan Masyarakat
Kit Imunisasi
Kit UKS
Kit Bidan
Kit Posyandu
Kit UKGS
Kit Kesehatan Lingkungan
RUANG PELAYANAN
Ruangan Persalinan dan Resusitasi Bayi
Ruangan KIA, KB & Imunisasi
Ruangan Pemeriksaan Umum/BP Umum
Ruangan Gawat Darurat(RI) / Tindakan(NRI)

Ruangan Rawat Pasca Persalinan
Ruangan Sterilisasi
Ruangan Kes Gigi & Mulut

Ruangan ASI / Laktasi
Ruangan Farmasi/Kamar Obat
Laboratorium
Ruangan Promosi Kesehatan
Stetoskop anak 1 1 1 0 1
Semprit Air 1 1 1 0 1
Skeler, Standar, Bentuk Bulan Sabit (Type Sickle) 1 0 0 0
Irigator dengan konektor nilon, lurus 1 0 0 0
Timbangan bayi 1 1 1 0 1
Tang Pencabut Gigi Geraham Atas Kanan 1 0 0 0
Tang Pencabut Akar Gigi Seri dan Sisa Akar Bawah 1 0 0 0
Spalk 1 0 0 0
Klem Arteri, Lurus (Kelly/(Kocher) 2 0 0 0
Tangkai kaca mulut 1 0 0 0
Tensimeter anak 1 1 1 0 1
Skeler Standar , Bentuk Cangkul Kanan (Type Chisel/Mesial) 1 0 0 0
Bein lurus besar 1 0 0 0
Torniket Karet 1 0 0 0
Pengungkit Akar Gigi (Cryer Distal) 1 0 0 0
Tandu Lipat 1 1 1 0 1
Sonde Bengkok 1 0 0 0
Microphone Tanpa Kabel 1 0 0 0
Gunting Bedah Standar, Lengkung 2 0 0 0
Penumpat Plastis 1 0 0 0
Pinset Anatomis, 18 2 2 2 0 2
Tang Pencabut Gigi Geraham Besar Bawah 1 0 0 0
Spekulum Vagina (Cocor Bebek) Sedang 1 1 1 0 1
Skeler Standar , Bentuk Cangkul Kiri (Type Chisel/Distal) 1 0 0 0
Tempat Alkohol (Dappen Glas) 1 0 0 0
Klem/pemegang jarum jahit 2 2 2 0 2
Ekskavator Berujung Dua (Kecil) 1 0 0 0
Skeler, Black Kiri dan Kanan (Type Hoe) 1 0 0 0
Tang Pencabut Akar Gigi Terakhir Bawah 1 0 0 0
Stereo Sound System 1 0 0 0
Implant Kit 1 0 0 0
Silinder Korentang Kecil 1 0 0 0
Stetoskop/Stetoskop Dewasa 1 1 1 0 1
Semprit Untuk Telinga dan Luka 1 0 0 0
Ekskavator Berujung Dua (Besar) 1 0 0 0
Termometer Dewasa 1 0 0 0
Sonde Uterus (Uterine Sound) 1 0 0 0
VCD/ DVD Player dan Karoeke yang kompatible dengan berbagai media 1 0 0 0
Gunting Pembalut 2 2 2 0 2
Kaca Mulut Datar No.4 1 0 0 0
Waskom Cekung 1 0 0 0
Tang Pencabut Akar Gigi Depan Atas 1 0 0 0
Tensimeter Anaeroid 1 0 0 0
Bein Lurus Kecil 1 0 0 0
Tang Pencabut Gigi Geraham Kecil kecil dan taring bawah 1 0 0 0
Sudip lidah logam / Spatula Lidah Logam panjang 16,5 cm 1 0 0 0
Skalpel, Mata Pisau Bedah (No.10) 1 0 0 0
Meteran 1 1 1 0 1
Timbangan dewasa; 1 1 1 0 1
Tang Pencabut Gigi Geraham Atas Kiri 1 0 0 0
Stetoskop Janin/ Fetoscope 1 0 0 0
Spekulum Vagina (Cocor Bebek) Besar 1 0 0 0
Klem Kasa Lurus (Sponge Foster Straight) 1 0 0 0
Tang Pencabut Akar Gigi Terakhir Atas 1 0 0 0
Spatula Pengaduk Semen Gigi 1 0 0 0
IUD Kit 1 0 0 0
Semprit, Gliserin 1 0 0 0
Nonpowered breast pump/breast pump manual 1 0 0 0
Termometer Anak 1 0 0 0
Sterilisator Portable 1 0 0 0
Skeler Standar, Bentuk Tombak (Type Hoe) 1 0 0 0
Bleeding time device/Lancet 1 0 0 0
Pinset gigi 1 0 0 0
Waskom Bengkok 1 0 0 0
Tang Pencabut Akar Gigi Atas Bentuk Bayonet 1 0 0 0
Sonde Lurus 1 0 0 0
Reflex hammer/Palu pengukur reflex 1 0 0 0
Spekulum Vagina (Cocor Bebek) Kecil 1 0 0 0
Pengungkit Akar Gigi (Cryer Mesial) 1 0 0 0
Tang Pencabut Gigi Geraham Kecil Atas 1 0 0 0
korentang, lengkung, penjepit alat steril, 23(Cheattle) 1 0 0 0
Baki Logam tempat alat steril tertutup 2 0 0 0
Skalpel Tangkai Pisau Operasi 1 0 0 0
Klem/Penjepit Porsio, 25 cm(Schroder) 2 0 0 0
Generator Set mini 1 0 0 0
Pinset Anatomis, 14,5 cm 2 0 1 0
Proyektor / LCD Proyektor 1 0 0 0
Alat pengukur panjang bayi 1 0 0 0
Sudip lidah logam / Spatula Lidah Logam panjang 12 cm 1 0 0 0
DUNG PUSKESMAS
Kom dilengkapi tutup 1 0 0 0

Gunting Iris Lurus 1 0 0 0
Tensimeter, Air Raksa dengan manset anak dan dewasa 1 0 0 0
Kom Iodine 1 0 0 0
Tensimeter Digital 1 0 0 0
Gunting Bedah 1 0 0 0
Pen Light / Lampu Senter 1 0 0 0
Kom Kapas Steril 1 0 0 0
Pinset Chirurgical 1 1 1 0 1
Nierbeken 1 0 0 0
Alat Test Darah Portable / rapid diagnostic test ( Hb, Gula darah, Asam Urat, Kolesterol) 1 0 0 0
Termometer digital 1 0 0 0
Gunting Angkat Jahitan 1 0 0 0
Gunting Verband 1 1 1 0 1
Peak-flow meter for spirometry 1 0 0 0
Pinset anatomis 1 1 1 0 1
Bak Instrumen dengan tutup 1 1 1 0 1
Vaksin Carrier 1 16 16 0 16
Cool box immunization / Cold Chain (untuk penyimpan vaksin) 2 2 0 2
Spekulum hidung 1 0 0 0
Stetoskop/Stetoskop Dewasa 1 0 0 0
Pengait serumen 1 0 0 0
Tes buta warna (ISHIHARA) 1 1 1 0 1
Garpu tala 1 1 0 0 1
Termometer air raksa 1 1 1 0 1
Tensimeter, Air Raksa dengan manset anak dan dewasa 1 1 1 0 1
Snellen, alat untuk pemeriksaan visus 1 0 0 0
Pengukur Tinggi Badan (Microtoise) 1 1 0 0 1
Spekulum telinga P.241 (Ukuran Kecil, Besar, Sedang) 1 0 0 0
Pinhole 1 0 0 0
Aspirator/Vacuum/Suction pump portable 1 0 0 0

Pelvimeter Obstetrik 1 0 0 0
Pita Pengukur Lila 1 1 1 0 1
Pinset Anatomi Panjang 2 0 0 0
Meteran 2 2 2 0 2
Waskom Bengkok 1 1 1 0 1
Doppler 1 0 0 0
Spekulum Vagina (Cocor Bebek) Besar 1 1 1 0 1
Korcher Tang 2 0 0 0
Tromol Kasa / Kain Steril 1 0 0 0
Termometer Dahi dan Telinga 1 0 0 0
Pengukur lingkar kepala 1 1 1 0 1
Spekulum Sims 1 0 0 0
Analisa Hb 1 0 0 0
Penjepit Uterus 2 0 0 0
Baby scale with tray 1 0 0 0
Balon penghisap (bulb syringe)/bola karet penghisap lendir 1 0 0 0
Pisau Pencukur 2 0 0 0
Mangkok untuk larutan 2 0 0 0
Gunting episiotomi 2 0 0 0
Resusitasi Bayi beserta masker 1 0 0 0
bengkok besar 2 0 0 0
Tampon tang 1 1 1 0 1
Sonde Uterus (Uterine Sound) 2 0 0 0
Pinset Anatomi Pendek 2 0 0 0
Alat pemecah selaput ketuban atau 1/2 kocher 2 0 0 0
Alat pengukur panjang bayi 1 1 1 0 1
Silinder Korentang Steril 2 0 0 0
Gunting tali pusat 2 0 0 0
Timbangan dewasa; 1 0 0 0
Penutup Mata (Okluder) 1 0 0 0
Waskom Cekung 1 0 0 0
Gunting benang 2 0 0 0
Spekulum Vagina (Cocor Bebek) Kecil 1 1 1 0 1
Sonde Mulut 1 0 0 0
Pinset Bedah/Operasi 2 0 0 0
Tabung untuk bilas vagina 1 0 0 0
Pengukur Tinggi Badan (Microtoise) 1 0 0 0
Resusitasi Dewasa beserta masker 1 0 0 0
bengkok kecil 2 0 0 0
Toples Kapas/Kasa Steril 1 0 0 0
Stetoskop bayi 1 0 0 0
Klem tali pusat 2 0 0 0
Termometer Anak 1 1 1 0 1
Food Model 1 1 1 0 1
Gunting Perban 1 0 0 0
Alat Permainan Edukatif (APE) 2 2 2 0 2

Tang Sisa Akar Rahang Bawah Anak 1 0 0 0
Hatchet 1 0 0 0
Spoon Excavator Large / Eksavator Berbentuk Sendok Ukuran Besar 1 0 0 0
Skeler Standar, Bentuk Tombak (Type Hoe) 1 0 0 0
Kaca Mulut Datar No.4 5 0 0 0
Tang Molar Susu Rehang Atas Anak 1 0 0 0
Enamel Access Cutter 1 0 0 0
Sonde Lengkung 5 0 0 0
Ekskavator Berujung Dua (Besar) 5 0 0 0
Tang Gigi Anterior Rahang Atas Dewasa 1 0 0 0
Skeler, Standar, Bentuk Bulan Sabit (Type Sickle) 1 0 0 0
Spoon Excavator Medium / Eksavator Berbentuk Sendok Ukuran Sedang 1 0 0 0
Spatula Plastik 1 0 0 0
Tang Molar Rehang Bawah Anak 1 0 0 0
Spatula Pengaduk Semen 2 0 0 0
Pinset gigi 5 0 0 0
Tang Molar Rehang Atas Anak 1 0 0 0
Kursi Gigi Lapangan 1 0 0 0
Batu Asah 1 0 0 0
Sterilisator (Pressure Cooker) 1 0 0 0
Tang Pencabutan Anak 1 0 0 0
Skeler, Black Kiri dan Kanan (Type Hoe) 1 0 0 0
Double Ended Applier and Carve 1 0 0 0
Tang Gigi Anterior Rehang Bawah Anak 1 0 0 0
Spoon Excavator Small / Eksavator Berbentuk Sendok Ukuran Kecil 1 0 0 0
Sonde Lurus 5 0 0 0
Tang Gigi Anterior Rahang Atas Anak 1 0 0 0
Pipetting and diluting system for clinical use/Perangkat pipet 1 0 0 0

Fly sweep net (fly griil) 1 0 0 0
Alat untuk pengukur jumlah cacing dalam tanah (Soil test kit) 1 0 0 0
Comparator untuk mengukur (iron, magnese,nitrat, nitrit, total hardness, total dissolved solid) 1 0 0 0
Botol sampel air bermulut lebar 1 0 0 0
Penangkap nyamuk dan larva 1 0 0 0
Komparator untuk mengukur chlor (chlor meter) 1 0 0 0
Digital Ph meter 1 0 0 0
Alat pengukur kontaminasi makanan dan minuman (food sanitation kit) 1 0 0 0
Turbidity meter 1 0 0 0
Cakram (kekeruhan kolam renang) 1 0 0 0
Hygrometer 1 0 0 0
Tabung Pengukur Kekeruhan 1 0 0 0
Pisau pemotong yang steril 1 0 0 0
Colorimeter, photometer, or spectrophotometer for clinical use/Kolorimeter, fotometer, spektrofotometer 1 0 0 0
Fogging Machine 1 1 1 0 1
Digital chlorin test kit 1 0 0 0
Alat pengukur kebutuhan nutrisi rumah tangga 1 0 0 0
Botol sampel air berpemberat 1 0 0 0
Pengukur colinesterase (cholisterase kit) 1 0 0 0
Sonde Uterus Sims 3 0 0 0

Bak instrumen tertutup besar (Obgin) 3 0 0 0
Spekulum Cocor Bebek Grave Besar 5 0 0 0
Klem Linen Backhauss 3 0 0 0
Spekulum Cocor Bebek Grave Kecil 5 0 0 0
Needle Holder / Pemegang jarum 3 0 0 0
Retraktor Finsen Tajam 1 0 0 0
Aligator Ekstraktor AKDR 3 0 0 0
Silinder Korentang Kecil 2 0 0 0
Infant radiant warmer 1 0 0 0
spekulum Sims Kecil 5 0 0 0
Gunting Mayo CVD 3 0 0 0
Klem Mosquito Halsted Lengkung 3 0 0 0
Gunting tali pusat 3 0 0 0
Kanula/Nasal oxygen cannula 2 0 0 0
Pinset Jaringan Semken 3 0 0 0
Bak instrumen tertutup Medium 3 0 0 0
Klem Pemasang Klip Hegenbarth 3 0 0 0
Skalpel No. 3 3 0 0 0
Gynecological Bed/Obstetric table and accessories 1 0 0 0
Gunting benang 3 0 0 0
Gunting Operasi Lurus 3 0 0 0
Meja Periksa / Tempat tidur periksa / Examination Table 1 0 0 0
Pipa endotrakheal no. 3.5 mm diameter internal 1 0 0 0
Resusitator Dewasa 1 0 0 0
Klem ovum 3 0 0 0
Meja Mayo / Meja instrumen / Intrumen table 2 0 0 0
Doyeri Probe Lengkung 1 0 0 0
Dressing Forceps/korentang 3 0 0 0
Stetoskop/Stetoskop Dewasa 1 0 0 0
Klem Mosquito Halsted Lurus 3 0 0 0
Spekulum Sims Besar 5 0 0 0
Baby Suction Pump 1 0 0 0
Stetoskop Duplex Neonatus 1 0 0 0
Lampu periksa Halogen 1 0 0 0
Pinset Chirurgical 3 0 0 0
Oxygen Concentrator / Portable Oxygen Generator. 1 0 0 0
Gunting Iris Lengkung 3 0 0 0
Tenakulum Schroeder 3 0 0 0
Bak instrumen tertutup kecil 3 0 0 0
Laringoskop neonatus bilah lurus 1 0 0 0
Skalpel No. 4 3 0 0 0
Spekulum Cocor Bebek Grave Medium 5 0 0 0
Infant T piece resuscitator dengan PEEP 1 0 0 0
Tabung Oksigen 1 Meterkubik dan Regulator 1 0 0 0
Pipa endotrakeal Anak 2,5 1 0 0 0
Spekulum Sims Sedang 5 0 0 0
Pipa endotrakeal No. 2,5 mm diameter internal 4 0 0 0
Pinset anatomis 3 0 0 0
Fenster klem 3 0 0 0
Rigid laryngoscope / Laryngoscope Bilah Lurus 1 0 0 0
Penghisap Lendir DeLee (neonatus) 1 0 0 0
Klem Penarik Benang AKDR 3 0 0 0
Tiang infus 1 0 0 0
Doppler 1 0 0 0
Infant T piece System 1 0 0 0
Pelvimeter Obstetrik 1 0 0 0
Gunting episiotomi 3 0 0 0
Stetoskop Pediatric 1 1 1 0 1
Meja Periksa / Tempat tidur periksa / Examination Table 1 1 1 0 1
Meja Periksa Ginekologi dan kursi pemeriksa 1 1 1 0 1
Spekulum Vagina (Cocor Bebek) Besar 3 3 3 0 3
Korcher Tang 1 1 1 0 1
IUD Kit 1 1 1 0 1
Doppler 1 2 1 0 2
Timbangan anak 1 1 0 0 1
Tampon tang 1 1 0 0 1
Meja Mayo / Meja instrumen / Intrumen table 1 1 1 0 1
Implant Kit 1 1 1 0 1
Stetoskop Janin/ Fetoscope 1 1 1 0 1
Pinset Anatomi Pendek 1 1 0 0 1
Tensimeter, Air Raksa 1 1 1 0 1
Spekulum Vagina (Cocor Bebek) Kecil 2 2 2 0 2
Gunting benang 1 1 1 0 1
Termometer Anak 1 1 1 0 1
Alat pengukur panjang bayi 1 1 1 0 1
Reflex hammer/Palu pengukur reflex 1 1 1 0 1
Pengukur tinggi badan anak 1 1 1 0 1
Mangkok untuk larutan 1 1 1 0 1
Vaksin Carrier 1 1 0 0 1
Sudip lidah logam / Spatula Lidah Logam panjang 16,5 cm 2 2 2 0 2
Silinder Korentang Steril 1 1 0 0 1
Flowmeter neonatus (low flow) 1 0 0 0
Pinset Anatomi Panjang 1 1 1 0 1
Anuskop 3 0 0 0
Stand lamp (untuk tindakan) 1 0 0 0
Pinset Bedah/Operasi 1 0 0 0
Flowmeter anak (high flow) 1 0 0 0
Pen Lancet 1 0 0 0
Tensimeter Anaeroid / Sphygmomanometer Aneroid 1 0 0 0
Refrigerator, Vaksin 1 0 0 0
Examination light / Examination lamp / Lampu periksa / Hanging lamp 1 0 0 0
Sonde Mulut 1 0 0 0
Spekulum Sims 1 0 0 0
Pengukur lingkar kepala 1 0 0 0
Sudip lidah logam / Spatula Lidah Logam panjang 12 cm 2 2 2 0 2
Tensimeter Anaeroid 1 4 4 0 4
Termometer Dewasa 1 2 2 0 2
Lampu kepala / head lamp 1 1 1 0 1
Pen Light / Lampu Senter 1 1 1 0 1
Baki Logam tempat alat steril tertutup 2 2 2 0 2
Nierbekhen besar 1 1 1 0 1
Handle kaca nasopharing 1 0 0 0
Opthalmoscope 1 0 0 0
Lensa uji coba untuk pemeriksaan refraksi 1 0 0 0
Spekulum telinga P.241 (Ukuran Kecil, Besar, Sedang) 1 0 0 0
Lup/Kaca Pembesar 1 0 0 0
Otoscope 1 0 0 0
Buku Ishihara-kanehara 1 1 1 0 1
Kaca nasopharing ukuran 2,4,5,6 1 0 0 0
Metline(pengukur lingkar pinggang 1 0 0 0
Lup Binokuler 3-5 dioptri 1 0 0 0
Snellen Chart 2 jenis (E Chart + Alphabet Chart) 1 0 0 0
Handle kaca laring 1 0 0 0
Garputala 512 Hz, 1024 Hz, 2084 Hz 1 0 0 0
Bingkai ujicoba trial lens (trial frame) 1 0 0 0
Skinfold Calliper 1 0 0 0
Anuskop 3 0 0 0
Tonometer Schiotz 1 0 0 0
Cotton Applicator / Pelilit Kapas 1 0 0 0
Kaca laring ukuran 2,4,5,6 1 0 0 0
Pinset telinga 1 1 1 0 1
Baki Logam tempat alat steril tertutup 3 3 3 0 3
Spekulum telinga P.241 (Ukuran Kecil, Besar, Sedang) 1 1 1 0 1
Gunting Bedah Standar, Lengkung 3 3 3 0 3
Gunting Bedah Standar, Lengkung, Ujung Tajam/Tajam 3 3 3 0 3
Gunting Bedah Standar, Lengkung, Ujung Tajam/Tumpul 3 3 3 0 3
Gunting Bedah Standar, Lurus, Ujung Tajam/Tajam 3 1 1 0 1
Gunting Pembalut 1 1 1 0 1
Gunting Pembuka Jahitan Lurus 3 3 3 0 3
Klem/pemegang jarum jahit 3 4 4 0 4
Pinset Bedah 18 cm 3 3 3 0 3
Klem Arteri, 12 Cm, Lurus Dengan Gigi 1 X 2 (Halstead-Mosquito) 3 1 1 0 1
Tiang infus 2 7 7 0 7
Resusitator Dewasa 1 1 1 0 1
Kursi roda 1 2 2 0 2
Lampu kepala / head lamp 1 1 1 0 1
Nebulizer 1 1 1 0 1
Stand lamp (untuk tindakan) 1 1 1 0 1
Stretcher/Brankar 1 1 1 0 1
Nierbekhen besar 2 2 2 0 2
Kanula hidung dewasa 1 1 1 0 1
Tabung Oksigen 1 Meterkubik dan Regulator 1 1 1 0 1
Pinset Bedah, 14,5 cm 3 3 3 0 3
Pinset Anatomis, 14,5 cm 3 3 3 0 3
Gunting Bedah Standar, Lurus, Ujung Tumpul/Tumpul 3 3 3 0 3
Gunting Bedah Standar, Lurus, Ujung Tumpul/Tajam 3 3 3 0 3
Gunting Bedah Standar, Lengkung, Ujung Tumpul/Tumpul 3 3 3 0 3
Silinder Korentang Steril 1 1 1 0 1
Skalpel Tangkai Pisau Operasi 3 3 3 0 3
Tensimeter anak 1 1 1 0 1
Klem Arteri, 12 Cm, Lurus Tanpa Gigi 1 X 2 (Halstead-Mosquito) 3 3 3 0 3
bengkok 3 3 3 0 3
Handle kaca laring 1 0 0 0
Forceps Aligator 3 0 0 0
Sungkup besar/dewasa 1 0 0 0
Doppler 1 0 0 0
Resusitator Anak 1 0 0 0
Retraktor, Pembuka Kelopak Mata 1 0 0 0
Laringoskop 1 0 0 0
Klem Arteri, 12 Cm, Lengkung Tanpa Gigi (Halstead-Mosquito) 3 0 0 0
Tensimeter Anaeroid 1 1 1 0 1
Otoscope 1 0 0 0
Kaca laring ukuran 2,4,5,6 1 0 0 0
Neck Collar, Anak 1 0 0 0
Pinset Anatomis, 18 3 0 0 0
Timbangan anak 1 0 0 0
Guedel Airway / Oropharyngeal airway 2 0 0 0
Kait dan kuret serumen 1 0 0 0
ECG/EKG/Electrocardiograph 1 0 0 0
Laringoskop anak 1 0 0 0
Pinset Untuk Insisi Hordeolum/Chalazion (Desmares) 1 0 0 0
korentang, lengkung, penjepit alat steril, 23(Cheattle) 2 0 0 0
Sungkup sedang/anak 1 0 0 0
Resusitator bayi/neonatus 1 0 0 0
Hooked probes 1 0 0 0
Laringoskop neonatus bilah lurus 1 0 0 0
Spalk 1 0 0 0
Klem arteri 14 cm(kocher) 3 0 0 0
Sungkup kecil/bayi/neonatus 1 0 0 0
Kanula hidung anak 1 0 0 0
Spekulum Mata 1 0 0 0
Klem arteri, 12 Cm, Lengkung Dengan Gigi 1 X 2 (Halstead-Mosquito) 3 0 0 0
Semprit, Gliserin 1 0 0 0
Forceps Bayonet 3 0 0 0
Handle kaca nasopharing 1 0 0 0
Pinset Epilasi 1 0 0 0
Dressing Forceps/korentang 1 3 3 0 3
Tissue Forceps 1 0 0 0
Neck Collar, Dewasa 1 0 0 0
Aspirator/Vacuum/Suction pump portable 1 1 1 0 1
Kaca nasopharing ukuran 2,4,5,6 1 0 0 0
Magill forcep 3 0 0 0
Vena section 1 1 0 1
Minor Surgery Set 1 1 0 1
Hecting set 3 3 0 3
Sterilisator suhu rendah 1 0 0 1
Lampu sorot 1 1 0 1
Tromol 3 3 0 3
Defibrilator 1 1 0 1
Food step 6 6 0 6
Apgar timer 1 0 0 0
Tabung Oksigen 6 Meterkubik dan Regulator 1 0 0 0
Stetoskop anak 1 0 0 0
Box/TT Bayi/bed baby 1 0 0 0
Timbangan bayi 1 0 0 0
Bed patient 1 0 0 0
Tiang infus 1 0 0 0
Silinder Korentang Steril 3 0 0 0

Autoclave 1 0 0 0
Atraumatic Restorative Treatment (ART) 1 0 0 0

Batu Asah 1 0 0 0
Bein lurus besar 1 2 2 0 2
Bein Lurus Kecil 1 1 1 0 1
Bor Intan (Diamond Bur Assorted) untuk Air Jet Hand Piece (Kecepatan Tinggi) (round, inverted dan fissure) 1 0 0 0
Bor Intan Kontra Angle Hand Piece Conventional (Kecepatan Rendah) (round, inverted dan fissure) 1 0 0 0
Compressor Oil less / Kompresor Oil less 1 1 1 0 1
Cuspidor Unit 1 0 0 0
Dental chair/Dental chair/kursi gigi 1 1 1 0 1
Dental handpiece and accessories/Contra angle hand piece 1 0 0 0
Dental unit 1 1 0 1
Double Ended Applier and Carve 1 0 0 0
Ekskavator Berujung Dua (Besar) 5 2 2 0 2
Enamel Access Cutter 1 0 0 0
Foot Controller untuk Handpiece 1 0 0 0
Gunting Operasi Gusi ( Wagner ) (12 cm ) 1 0 0 0
Handpiece Straight 1 0 0 0
Hatchet 1 0 0 0
Jarum exterpasi 1 0 0 0
Jarum K-File (15-40) 1 0 0 0
Jarum K-File (45-80) 1 0 0 0
Kaca Mulut Datar No.4 5 9 13 0 9
Klem/pemegang jarum jahit 1 0 0 0
Light Curing 1 0 0 0
Meja Mayo / Meja instrumen / Intrumen table 1 0 0 0
Mikromotor denken Straight dan Contra Angle Hand Piece 1 0 0 0
Pelindung Jari 1 0 0 0
Pemegang Matriks (Matrix Holder) 1 0 0 0
Penahan Lidah 1 0 0 0
Pengungkit Akar Gigi Kanan Mesial (Cryer Distal) 1 0 0 0
Pengungkit Akar Gigi Kanan Mesial (Cryer Mesial) 1 0 0 0
Penumpat Semen Berujung Dua 1 0 0 0
Periodontal Probe 1 0 0 0
Pinset gigi 5 8 8 0 8
Polishing Bur 1 0 0 0
Set Kursi Gigi Elektrik 1 0 0 0
Skalpel Tangkai Pisau Operasi 1 0 0 0
Skalpel, Mata Pisau Bedah (Besar) 1 0 0 0
Skalpel, Mata Pisau Bedah (Kecil) 1 0 0 0
Skeler Standar, Bentuk Tombak (Type Hook) 1 2 2 0 2
Skeler Standar, Black Kiri dan Kanan (Type Chisel/Mesial) 1 0 0 0
Skeler Standar, Black Kiri dan Kiri (Type Chisel/Distal) 1 0 0 0
Skeler Ultrasonik 1 0 0 0
Sonde Lengkung 5 1 1 0 1
Sonde Lurus 5 5 5 0 5
Spatula Pengaduk Semen Gigi 1 3 2 0 3
Spatula Pengaduk Semen Ionomer 1 0 0 0
Spoon Excavator Large / Eksavator Berbentuk Sendok Ukuran Besar 1 0 0 0
Spoon Excavator Medium / Eksavator Berbentuk Sendok Ukuran Sedang 1 2 2 0 2
Spoon Excavator Small / Eksavator Berbentuk Sendok Ukuran Kecil 1 2 2 0 2
Tang Gigi Anterior dan Premolar Rahang Bawah 1 0 0 0
Tang Gigi Anterior Rahang Atas Anak 1 0 0 0
Tang Gigi Anterior Rahang Atas Dewasa 1 0 0 0
Tang Gigi Anterior Rehang Bawah Anak 1 0 0 0
Tang Gigi Molar 3 Rahang Bawah 1 0 0 0
Tang Gigi Molar Kanan Rahang Atas 1 0 0 0
Tang Gigi Molar Kiri Rahang Atas 1 0 0 0
Tang Gigi Molar Rahang Bawah Kanan / Kiri 1 0 0 0
Tang Gigi Premolar Rahang Atas 1 0 0 0
Tang Molar 3 Rahang Atas 1 0 0 0
Tang Molar Rehang Atas Anak 1 0 0 0
Tang Molar Susu Rehang Atas Anak 1 0 0 0
Tang Sisa Akar Gigi Anterior Rahang Atas 1 0 0 0
Tang Sisa Akar Gigi Posterior Rahang Atas 1 0 0 0
Tang Sisa Akar Rahang Atas Anak 1 0 0 0
Tang Sisa Akar Rahang Bawah Anak 1 0 0 0
Nonpowered breast pump/breast pump manual 1 0 0 0

Gelas Pengukur 10 mL 1 0 0 0
Sudip/penekan lidah/Tongue depressor 1 0 0 0
Batang pengaduk / Strirring Rod 1 0 0 0
Gelas Piala 500 mL 1 0 0 0
Cawan Penguap Porselen (d.5-15cm) 1 0 0 0
Micro balance 1 0 0 0
Gelas Piala 100mL 1 0 0 0
Gelas Pengukur 100mL 1 0 0 0
Corong 1 0 0 0
Gelas Piala 1L 1 0 0 0
Gelas Pengukur 250 mL 1 0 0 0
Rotator 1 2 2 0 2
Tally Counter 1 1 1 0 1
Centrifugal chemistry analyzer for clinical use/centrifuge kimia klinik 1 1 1 0 1
Discrete photometric chemistry analyzer for clinical use/fotometer 1 1 1 0 1
Tabung Reaksi (12 mm) 1 4 4 0 4
Microscope binocular 1 1 1 0 1
Lemari Es 1 1 0 0 1
Batang pengaduk / Strirring Rod 3 3 3 0 3
Tabung Sentrifus 6 6 6 0 6
Pipet Mikro 5-50, 100-200, 500-1000 ul 1 1 1 0 1
Westergren 3 3 2 0 3
Pot spesimen dahak mulut lebar 1 1 1 0 1
Pipet Berskala (Vol 1 cc) 3 1 1 0 1
Tip Pipet 3 0 0 0
Erlenmeyer flask 2 0 0 0
Tabung Reaksi dengan tutup karet gabus 12 0 0 0
Hemositometer set 1 0 0 0
Wadah Aquades 1 0 0 0
Sentrifuse Mikrohematokrit 1 0 0 0
Botol pencuci 1 0 0 0
Gelas Pengukur 100mL 1 0 0 0
pipet Berskala (Vol 10 cc) 3 0 0 0
Automated hemoglobin system/hematology analizer 1 1 1 0 1
Corong Gelas (5 cm) 3 0 0 0
Gelas Ukur 500 cc 1 0 0 0
Beaker Glass 3 0 0 0
Urinometer 1 0 0 0
Pot Spesimen Urine(mulut lebar) 1 1 1 0 1
Tabung Kapiler Mikrohematokrit 1 1 1 0 1
Automated urinalysis system/urin analizer 1 1 0 1
Cetakan Jamban 1 1 1 0 1
Poster-Poster 1 1 1 0 1
Fantom Mata Ukuran Besar (Fiberglass) 1 0 0 0
Biblioterapi 1 0 0 0
Komputer dan Printer 1 1 1 0 1
Leaflet-Leaflet 1 1 1 0 1
Gambar Anatomi Gigi 1 1 1 0 1
VCD/ DVD Player 1 1 1 0 1
Proyektor / LCD Proyektor 1 1 0 0 1
Kamera Foto / Handy Camp 1 1 1 0 1
Layar Ukuran 1 x 1,5 M / Screen 1 1 1 0 1
Fantom Panggul Wanita 1 0 0 0
Buletin Board / Papan Informasi 1 1 1 0 1
Fantom Gigi Anak 2 0 0 0
Laptop 1 1 1 0 1
Gambar Panggul Laki-Laki 1 0 0 0
Papan Tulis Putih 1 1 1 0 1
Gambar Anatomi Mata 60 x 90 1 0 0 0
Alat Permainan Edukatif (APE) 1 0 0 0
Food Model 1 1 1 0 1
Televisi dan Antena 1 1 1 0 1
Boneka Bayi 1 1 1 0 1
Fantom Mata Ukuran Asli 1 0 0 0
Megaphone 1 1 1 0 1
Gambar Anatomi Mata 1 0 0 0
Wireless System / Amplifier & Wireless Microphone 1 0 0 0
Alat Peraga Cara Menyusui yang Benar (Boneka dan Pantom payudara) 1 0 0 0
Radio Kaset/ Tape Recorder 1 1 1 0 1
Cetakan Sumur Gali (Cicin) 1 0 0 0
Flip Chart dan Stand 1 0 0 0
Fantom Gigi Dewasa 2 2 2 0 2
42
30
5
4
21
56
8
65
7
29
71
52
13
47
26
53
46
60
66
63
43
27
1
20
61
17
34
58
38
16
50
40
23
19
57
9
49
14
39
31
62
69
35
12
41
24
68
10
11
3
44
15
6
2
45
18
25
48
59
36
70
28
55
51
54
32
33
64
67
37
22
72
Formulir Pemenuhan ASPAK Tah
JARINGAN PELAYANAN PUSKESMAS No.

Puskesmas Keliling
Puskesmas Keliling I
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
PUSKESMAS
PERALATAN UNTUK PELAYANAN LUAR GEDUNG PUSKESMAS
Set Keperawatan Kesehatan Masyarakat
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
Kit Imunisasi
1
2
Kit UKS
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Kit Bidan
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
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Kit Posyandu
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Kit UKGS
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Kit Kesehatan Lingkungan

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RUANG PELAYANAN
Ruangan Persalinan dan Resusitasi Bayi
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Ruangan KIA, KB & Imunisasi

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Ruangan Pemeriksaan Umum/BP Umum

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Ruangan Gawat Darurat(RI) / Tindakan(NRI)
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Ruangan Rawat Pasca Persalinan

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Ruangan Sterilisasi
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Ruangan Kes Gigi & Mulut

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Ruangan ASI / Laktasi

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Ruangan Farmasi/Kamar Obat

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Laboratorium
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Ruangan Promosi Kesehatan

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Formulir Pemenuhan ASPAK Tahun 2018
Nama
Alat pengukur panjang bayi

Baki Logam tempat alat steril tertutup
Bein lurus besar
Bein Lurus Kecil
Bleeding time device/Lancet
Ekskavator Berujung Dua (Besar)
Ekskavator Berujung Dua (Kecil)
Gunting Bedah Standar, Lengkung
Gunting Pembalut
Implant Kit
Irigator dengan konektor nilon, lurus
IUD Kit
Kaca Mulut Datar No.4
Klem Arteri, Lurus (Kelly/(Kocher)
Klem Kasa Lurus (Sponge Foster Straight)
Klem/pemegang jarum jahit
Klem/Penjepit Porsio, 25 cm(Schroder)
korentang, lengkung, penjepit alat steril, 23(Cheattle)
Meteran
Nonpowered breast pump/breast pump manual
Pengungkit Akar Gigi (Cryer Distal)
Pengungkit Akar Gigi (Cryer Mesial)
Penumpat Plastis
Pinset Anatomis, 14,5 cm
Pinset Anatomis, 18
Pinset gigi
Reflex hammer/Palu pengukur reflex
Semprit Air
Semprit Untuk Telinga dan Luka
Semprit, Gliserin
Silinder Korentang Kecil
Skalpel Tangkai Pisau Operasi
Skalpel, Mata Pisau Bedah (No.10)
Skeler Standar , Bentuk Cangkul Kanan (Type Chisel/Mesial)
Skeler Standar , Bentuk Cangkul Kiri (Type Chisel/Distal)
Skeler Standar, Bentuk Tombak (Type Hoe)
Skeler, Black Kiri dan Kanan (Type Hoe)
Skeler, Standar, Bentuk Bulan Sabit (Type Sickle)
Sonde Bengkok
Sonde Lurus
Sonde Uterus (Uterine Sound)
Spalk
Spatula Pengaduk Semen Gigi
Spekulum Vagina (Cocor Bebek) Besar
Spekulum Vagina (Cocor Bebek) Kecil
Spekulum Vagina (Cocor Bebek) Sedang
Sterilisator Portable
Stetoskop anak
Stetoskop Janin/ Fetoscope
Stetoskop/Stetoskop Dewasa
Sudip lidah logam / Spatula Lidah Logam panjang 12 cm
Sudip lidah logam / Spatula Lidah Logam panjang 16,5 cm
Tandu Lipat
Tang Pencabut Akar Gigi Atas Bentuk Bayonet
Tang Pencabut Akar Gigi Depan Atas
Tang Pencabut Akar Gigi Seri dan Sisa Akar Bawah
Tang Pencabut Akar Gigi Terakhir Atas
Tang Pencabut Akar Gigi Terakhir Bawah
Tang Pencabut Gigi Geraham Atas Kanan
Tang Pencabut Gigi Geraham Atas Kiri
Tang Pencabut Gigi Geraham Besar Bawah
Tang Pencabut Gigi Geraham Kecil Atas
Tang Pencabut Gigi Geraham Kecil kecil dan taring bawah
Tangkai kaca mulut
Tensimeter Anaeroid
Tensimeter anak
Termometer Anak
Termometer Dewasa
Timbangan bayi
Timbangan dewasa
Torniket Karet
Waskom Bengkok
Waskom Cekung
R GEDUNG PUSKESMAS
at
Kom dilengkapi tutup
Gunting Iris Lurus
Tensimeter, Air Raksa dengan manset anak dan dewasa
Timbangan dewasa
Kom Iodine
Tensimeter Digital
Gunting Bedah
Pen Light / Lampu Senter
Kom Kapas Steril
Pinset Chirurgical
Nierbeken
Alat Test Darah Portable / rapid diagnostic test ( Hb, Gula darah, Asam Urat, Kolesterol)
Termometer digital
Gunting Angkat Jahitan
Stetoskop anak
Gunting Verband
Peak-flow meter for spirometry
Pinset anatomis
Bak Instrumen dengan tutup
Vaksin Carrier
Cool box immunization / Cold Chain (untuk penyimpan vaksin)
Timbangan dewasa
Spekulum hidung
Pengait serumen
Tes buta warna (ISHIHARA)
Garpu tala
Termometer air raksa
Tensimeter, Air Raksa dengan manset anak dan dewasa
Snellen, alat untuk pemeriksaan visus
Pengukur Tinggi Badan (Microtoise)
Torniket Karet
Spekulum telinga P.241 (Ukuran Kecil, Besar, Sedang)
Tensimeter Digital
Pinhole
Aspirator/Vacuum/Suction pump portable

Pelvimeter Obstetrik
Gunting Verband
Tensimeter Anaeroid
Pita Pengukur Lila
Pinset Anatomi Panjang
Meteran
Waskom Bengkok
Doppler
Korcher Tang
Tromol Kasa / Kain Steril
Termometer Dahi dan Telinga
Pengukur lingkar kepala
Spekulum Sims
Analisa Hb
Timbangan bayi
Penjepit Uterus
Baby scale with tray
Balon penghisap (bulb syringe)/bola karet penghisap lendir
Termometer Dewasa
Mangkok untuk larutan
Gunting episiotomi
Resusitasi Bayi beserta masker
bengkok besar
Tampon tang
Sonde Uterus (Uterine Sound)
Pinset Anatomi Pendek
Alat pemecah selaput ketuban atau 1/2 kocher
Torniket Karet
Silinder Korentang Steril
Gunting tali pusat
Timbangan dewasa
Penutup Mata (Okluder)
Waskom Cekung
Gunting benang
Sonde Mulut
Pinset Bedah/Operasi
Termometer digital
Tabung untuk bilas vagina
Pengukur Tinggi Badan (Microtoise)
Resusitasi Dewasa beserta masker
bengkok kecil
Toples Kapas/Kasa Steril
Stetoskop bayi
Klem tali pusat
Termometer Anak
Food Model
Timbangan dewasa
Gunting Perban
Timbangan bayi 1
Alat Permainan Edukatif (APE)

Tang Sisa Akar Rahang Bawah Anak
Hatchet
Spoon Excavator Large / Eksavator Berbentuk Sendok Ukuran Besar
Skeler Standar, Bentuk Tombak (Type Hoe)
Tang Molar Susu Rehang Atas Anak
Enamel Access Cutter
Sonde Lengkung
Tang Gigi Anterior Rahang Atas Dewasa
Skeler, Standar, Bentuk Bulan Sabit (Type Sickle)
Tangkai kaca mulut
Spoon Excavator Medium / Eksavator Berbentuk Sendok Ukuran Sedang
Spatula Plastik
Tang Molar Rehang Bawah Anak
Spatula Pengaduk Semen
Pinset gigi
Tang Molar Rehang Atas Anak
Kursi Gigi Lapangan
Sterilisator (Pressure Cooker)
Tang Pencabutan Anak
Skeler, Black Kiri dan Kanan (Type Hoe)
Penumpat Plastis
Double Ended Applier and Carve
Tang Gigi Anterior Rehang Bawah Anak
Spoon Excavator Small / Eksavator Berbentuk Sendok Ukuran Kecil
Sonde Lurus
Tang Gigi Anterior Rahang Atas Anak
Pipetting and diluting system for clinical use/Perangkat pipet

Alat untuk pengukur jumlah cacing dalam tanah (Soil test kit)
Comparator untuk mengukur (iron, magnese,nitrat, nitrit, total hardness, total dissolved solid)
Botol sampel air bermulut lebar
Komparator untuk mengukur chlor (chlor meter)
Digital Ph meter
Alat pengukur kontaminasi makanan dan minuman (food sanitation kit)
Turbidity meter
Cakram (kekeruhan kolam renang)
Hygrometer
Tabung Pengukur Kekeruhan
Pisau pemotong yang steril
Colorimeter, photometer, or spectrophotometer for clinical use/Kolorimeter, fotometer, spektrofotometer
Fogging Machine
Digital chlorin test kit
Alat pengukur kebutuhan nutrisi rumah tangga
Botol sampel air berpemberat
Pengukur colinesterase (cholisterase kit)
Termometer digital
ayi
Sonde Uterus Sims
Bak instrumen tertutup besar (Obgin)
Spekulum Cocor Bebek Grave Besar
Klem Linen Backhauss
Spekulum Cocor Bebek Grave Kecil
Needle Holder / Pemegang jarum
Retraktor Finsen Tajam
Aligator Ekstraktor AKDR
Silinder Korentang Kecil
Infant radiant warmer
spekulum Sims Kecil
Gunting Mayo CVD
Klem Mosquito Halsted Lengkung
Gunting tali pusat
Kanula/Nasal oxygen cannula
Pinset Jaringan Semken
Bak instrumen tertutup Medium
Klem Pemasang Klip Hegenbarth
Skalpel No. 3
Gynecological Bed/Obstetric table and accessories
Gunting benang
Gunting Operasi Lurus
Meja Periksa / Tempat tidur periksa / Examination Table
Pipa endotrakheal no. 3.5 mm diameter internal
Resusitator Dewasa
Klem ovum
Meja Mayo / Meja instrumen / Intrumen table
Doyeri Probe Lengkung
Dressing Forceps/korentang
Klem Mosquito Halsted Lurus
Spekulum Sims Besar
Baby Suction Pump
Stetoskop Duplex Neonatus
Lampu periksa Halogen
Pinset Chirurgical
Tensimeter Anaeroid
Oxygen Concentrator / Portable Oxygen Generator.
Gunting Iris Lengkung
Tenakulum Schroeder
Bak instrumen tertutup kecil
Laringoskop neonatus bilah lurus
Skalpel No. 4
Spekulum Cocor Bebek Grave Medium
Infant T piece resuscitator dengan PEEP
Tabung Oksigen 1 Meterkubik dan Regulator
Pipa endotrakeal Anak 2,5
Spekulum Sims Sedang
Pipa endotrakeal No. 2,5 mm diameter internal
Pinset anatomis
Termometer Dewasa
Fenster klem
Rigid laryngoscope / Laryngoscope Bilah Lurus
Penghisap Lendir DeLee (neonatus)
Klem Penarik Benang AKDR
Tiang infus
Doppler
Infant T piece System
Pelvimeter Obstetrik
Tensimeter Digital
Gunting episiotomi
Stetoskop Pediatric
Meja Periksa Ginekologi dan kursi pemeriksa
Korcher Tang
IUD Kit
Doppler
Timbangan anak
Timbangan dewasa;
Tampon tang
Implant Kit
Pinset Anatomi Pendek
Tensimeter, Air Raksa
Gunting benang
Gunting Verband
Termometer Anak
Termometer Dewasa
Pengukur tinggi badan anak
Mangkok untuk larutan
Vaksin Carrier
Flowmeter neonatus (low flow)
Pinset Anatomi Panjang
Timbangan bayi
Anuskop
Stand lamp (untuk tindakan)
Pinset Bedah/Operasi
Flowmeter anak (high flow)
Pen Lancet
Tensimeter Anaeroid / Sphygmomanometer Aneroid
Refrigerator, Vaksin
Examination light / Examination lamp / Lampu periksa / Hanging lamp
Sonde Mulut
Torniket Karet
Spekulum Sims
Pengukur lingkar kepala
m
Tensimeter Anaeroid
Termometer Dewasa
Lampu kepala / head lamp
Pen Light / Lampu Senter
Timbangan dewasa;
Nierbekhen besar
Handle kaca nasopharing
Opthalmoscope
Lensa uji coba untuk pemeriksaan refraksi
Lup/Kaca Pembesar
Otoscope
Tensimeter Digital
Buku Ishihara-kanehara
Kaca nasopharing ukuran 2,4,5,6
Metline(pengukur lingkar pinggang
Lup Binokuler 3-5 dioptri
Snellen Chart 2 jenis (E Chart + Alphabet Chart)
Handle kaca laring
Garputala 512 Hz, 1024 Hz, 2084 Hz
Bingkai ujicoba trial lens (trial frame)
Skinfold Calliper
Anuskop
Tonometer Schiotz
Spekulum hidung
Cotton Applicator / Pelilit Kapas
Kaca laring ukuran 2,4,5,6
(NRI)
Pinset telinga
Gunting Bedah Standar, Lengkung
Gunting Bedah Standar, Lengkung, Ujung Tajam/Tajam
Gunting Bedah Standar, Lengkung, Ujung Tajam/Tumpul
Gunting Bedah Standar, Lurus, Ujung Tajam/Tajam 3
Gunting Pembalut
Gunting Pembuka Jahitan Lurus
Pinset Bedah 18 cm
Klem Arteri, 12 Cm, Lurus Dengan Gigi 1 X 2 (Halstead-Mosquito)
Tiang infus
Resusitator Dewasa
Kursi roda
Lampu kepala / head lamp
Nebulizer
Stetoskop anak
Stand lamp (untuk tindakan)
Stretcher/Brankar
Nierbekhen besar
Kanula hidung dewasa
Pinset Bedah, 14,5 cm
Pinset Anatomis, 14,5 cm
Gunting Bedah Standar, Lurus, Ujung Tumpul/Tumpul
Gunting Bedah Standar, Lurus, Ujung Tumpul/Tajam
Gunting Bedah Standar, Lengkung, Ujung Tumpul/Tumpul
Tensimeter anak
Klem Arteri, 12 Cm, Lurus Tanpa Gigi 1 X 2 (Halstead-Mosquito)
bengkok
Handle kaca laring
Forceps Aligator
Sungkup besar/dewasa
Termometer Anak
Doppler
Resusitator Anak
Retraktor, Pembuka Kelopak Mata
Laringoskop
Klem Arteri, 12 Cm, Lengkung Tanpa Gigi (Halstead-Mosquito)
Tensimeter Anaeroid
Otoscope
Kaca laring ukuran 2,4,5,6
Neck Collar, Anak
Pinset Anatomis, 18
Timbangan anak
Guedel Airway / Oropharyngeal airway
Spekulum hidung
Kait dan kuret serumen
Torniket Karet
ECG/EKG/Electrocardiograph
Laringoskop anak
Pinset Untuk Insisi Hordeolum/Chalazion (Desmares)
korentang, lengkung, penjepit alat steril, 23(Cheattle)
Sungkup sedang/anak
Resusitator bayi/neonatus
Hooked probes
Laringoskop neonatus bilah lurus
Spalk
Klem arteri 14 cm(kocher)
Sungkup kecil/bayi/neonatus
Tensimeter Digital
Kanula hidung anak
Spekulum Mata
Klem arteri, 12 Cm, Lengkung Dengan Gigi 1 X 2 (Halstead-Mosquito)
Semprit, Gliserin
Forceps Bayonet
Handle kaca nasopharing
Pinset Epilasi
Termometer Dewasa
Dressing Forceps/korentang
Tissue Forceps
Neck Collar, Dewasa
Aspirator/Vacuum/Suction pump portable
Timbangan dewasa;
Kaca nasopharing ukuran 2,4,5,6
Magill forcep
Vena section
Minor Surgery Set
Hecting set
Sterilisator suhu rendah
Lampu sorot
Tromol
Defibrilator
Food step
Apgar timer
Termometer Dewasa
Tensimeter Anaeroid
Termometer Anak
Stetoskop anak
Box/TT Bayi/bed baby
Timbangan bayi
Bed patient
Tiang infus

Autoclave
Atraumatic Restorative Treatment (ART)

Bein lurus besar
Bein Lurus Kecil
Bor Intan (Diamond Bur Assorted) untuk Air Jet Hand Piece (Kecepatan Tinggi) (round, inverted dan fissure)
Bor Intan Kontra Angle Hand Piece Conventional (Kecepatan Rendah) (round, inverted dan fissure)
Compressor Oil less / Kompresor Oil less
Cuspidor Unit
Dental chair/Dental chair/kursi gigi
Dental handpiece and accessories/Contra angle hand piece
Dental unit
Double Ended Applier and Carve
Enamel Access Cutter
Foot Controller untuk Handpiece
Gunting Operasi Gusi ( Wagner ) (12 cm )
Handpiece Straight
Hatchet
Jarum exterpasi
Jarum K-File (15-40)
Jarum K-File (45-80)
Light Curing
Mikromotor denken Straight dan Contra Angle Hand Piece
Pelindung Jari
Pemegang Matriks (Matrix Holder)
Penahan Lidah
Pengungkit Akar Gigi Kanan Mesial (Cryer Distal)
Pengungkit Akar Gigi Kanan Mesial (Cryer Mesial)
Penumpat Plastis
Penumpat Semen Berujung Dua
Periodontal Probe
Pinset gigi
Polishing Bur
Set Kursi Gigi Elektrik
Skalpel, Mata Pisau Bedah (Besar)
Skalpel, Mata Pisau Bedah (Kecil)
Skeler Standar, Bentuk Tombak (Type Hook)
Skeler Standar, Black Kiri dan Kanan (Type Chisel/Mesial)
Skeler Standar, Black Kiri dan Kiri (Type Chisel/Distal)
Skeler Ultrasonik
Sonde Lengkung 5
Sonde Lurus
Spatula Pengaduk Semen Gigi
Spatula Pengaduk Semen Ionomer
Spoon Excavator Large / Eksavator Berbentuk Sendok Ukuran Besar
Spoon Excavator Medium / Eksavator Berbentuk Sendok Ukuran Sedang
Spoon Excavator Small / Eksavator Berbentuk Sendok Ukuran Kecil
Tang Gigi Anterior dan Premolar Rahang Bawah
Tang Gigi Anterior Rahang Atas Anak
Tang Gigi Anterior Rahang Atas Dewasa
Tang Gigi Anterior Rehang Bawah Anak
Tang Gigi Molar 3 Rahang Bawah
Tang Gigi Molar Kanan Rahang Atas
Tang Gigi Molar Kiri Rahang Atas
Tang Gigi Molar Rahang Bawah Kanan / Kiri
Tang Gigi Premolar Rahang Atas
Tang Molar 3 Rahang Atas
Tang Molar Rehang Atas Anak
Tang Molar Susu Rehang Atas Anak
Tang Sisa Akar Gigi Anterior Rahang Atas
Tang Sisa Akar Gigi Posterior Rahang Atas
Tang Sisa Akar Rahang Atas Anak
Tang Sisa Akar Rahang Bawah Anak
Tangkai kaca mulut
Nonpowered breast pump/breast pump manual
Gelas Pengukur 10 mL
Sudip/penekan lidah/Tongue depressor
Batang pengaduk / Strirring Rod
Gelas Piala 500 mL
Cawan Penguap Porselen (d.5-15cm)
Pipetting and diluting system for clinical use/Perangkat pipet
Micro balance
Gelas Piala 100mL
Gelas Pengukur 100mL
Corong
Gelas Piala 1L
Gelas Pengukur 250 mL
Rotator
Tally Counter
Centrifugal chemistry analyzer for clinical use/centrifuge kimia klinik
Discrete photometric chemistry analyzer for clinical use/fotometer
Tabung Reaksi (12 mm)
Microscope binocular
Batang pengaduk / Strirring Rod
Tabung Sentrifus 6
Pipet Mikro 5-50, 100-200, 500-1000 ul
Westergren
Pot spesimen dahak mulut lebar
Pipet Berskala (Vol 1 cc) 3
Tip Pipet
Erlenmeyer flask
Termometer digital
Tabung Reaksi dengan tutup karet gabus 1
Hemositometer set
Pipetting and diluting system for clinical use/Perangkat pipet 1
Wadah Aquades
Sentrifuse Mikrohematokrit
Botol pencuci
Gelas Pengukur 100mL
pipet Berskala (Vol 10 cc)
Automated hemoglobin system/hematology analizer
Corong Gelas (5 cm)
Gelas Ukur 500 cc
Beaker Glass
Urinometer
Pot Spesimen Urine(mulut lebar)
Tabung Kapiler Mikrohematokrit
Automated urinalysis system/urin analizer
Fantom Mata Ukuran Besar (Fiberglass)

Biblioterapi
Leaflet-Leaflet
Fantom Panggul Wanita
Fantom Gigi Anak
Food Model
Boneka Bayi
Fantom Mata Ukuran Asli
Alat Peraga Cara Menyusui yang Benar (Boneka dan Pantom payudara)
Fantom Gigi Dewasa
Sudah 111,825,300.00
Pengadaan
Tersedia/B Jumlah
Puskesmas
elum
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8 303,475.00 2427800 SANI-INDONESIA Timbangan D
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1 117000 117000
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1 31650 31650
1 117000 117000
0
0
0
1 117000 117000
0
0
0
0
0
0
1 28500 28500
1 117000 117000
0
0
0
1 117000 117000
0
0
0
1 117000 117000
0
0
0
1 117000 117000
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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10 728000 7280000 ABN SPHYGMED Me
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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0
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10,586,950.00
ONESIA Timbangan Dewasa BR3010
ABN SPHYGMED Mercurial Sphygmomanometer (Tensimeter Merkuri) 42000000-AKS-000409143

Songgon 02022018

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CATATAN :

LAPORAN TAHUNAN PUSKESMAS [ SONGGON ]

No. Obat Id Kode Nama Harga Tahun

1 2078 1700525004 Alat Suntik sekali pakai - 1 ml 650 2015

30 31 1700509047 Asam Askorbat (Vitamin C) tablet 50 mg 95 2014

31 2099 1700509047 Asam Askorbat (Vitamin C) tablet 50 mg 95 2015

40 2098 1700509074 Betametason krim 0,1 % (sebagai Valerat) 1,520.00 2015

54 59 1700509099 Difenhidramin injeksi i.m. 10 mg/ml (HCl) 1,050.00 2014

98 129 1700509196 Isosorbid Dinitrat tablet sublingual 5 mg 92 2013

99 2038 1700509196 Isosorbid Dinitrat tablet sublingual 5 mg 88 2015

129 1992 1700513145 Metilergometrin Maleat inj.0.200 mg-1ml 2,750.00 2015

178 50 1700509447 Siprofloksasin tablet 500 mg ( sebagai HCI) 255 2014

338 2153 1700509004 Albendazol tablet/tablet kunyah 400 mg 344 2015

339 1043 1700509004 Albendazol tablet/tablet kunyah 400 mg 230.98 2015

387 4935 1700509047 Asam Askorbat (Vitamin C) tablet 50 mg 95 2016

402 4937 1700511826 PULAREX ACTIVATED ATTAPULGITE 630MG 190 2016

Kotrimoksazol DOEN I (dewasa) kombinasi :

SALDO AWAL Terima dari Mutasi

APBD tablet 0 0 200

APBD tablet 76 7,220.00 1000

APBD tablet 0 0 300

APBD tube 0 0 100 50 100 100

APBD ampul 53 55,650.00

APBD ampul 265 2,146,500.00

APBD tablet 129 81,270.00 500 300

APBD tablet 90 8,280.00

APBD tablet 0 0 100

APBD ampul 20 55,000.00

APBD tablet 84 21,420.00

JKN box 5 827,750.00

JKN dos 5 157,500.00

PROGRAM tablet 0 0 9000

PROGRAM tablet 3918 904,979.64

PROGRAM kapsul 0 0 4250 8400

BANTUAN RAUNG Tab 2000 190,000.00

BANTUAN RAUNG Tab 500 95,000.00

1000 2000 4000 380,000.00

300 300 45,300.00

0 76 106 110 218 350 250 74 438 454

0 129 246 216 38 300

1000 691,000.00 557

2000 302,000.00 35 659

1200 2,214,000.00 4 168

10000 1,450,000.00 48 686

6000 954,000.00 18 430

0 3001 264 3512 842 18

0 200 200 27,000.00 27,000.00

2076 197,220.00 4076 2000 387,220.00 190,000.00

300 28,500.00 300 0 28,500.00 0

350 532,000.00 350 0 532,000.00 0

68 550,800.00 265 197 2,146,500.00 1,595,700.00

929 585,270.00 929 0 585,270.00 0

100 8,800.00 100 0 8,800.00 0

12 33,000.00 20 8 55,000.00 22,000.00

123 203,626.50 1000 877 1,655,500.00 1,451,873.50

32 37,600.00 300 268 352,500.00 314,900.00

557 384,887.00 1000 443 691,000.00 306,113.00

694 104,794.00 2000 1306 302,000.00 197,206.00

172 317,340.00 1200 1028 2,214,000.00 1,896,660.00

734 106,430.00 10000 9266 1,450,000.00 1,343,570.00

448 71,232.00 6000 5552 954,000.00 882,768.00

361 124,184.00 9000 8639 3,096,000.00 2,971,816.00

3918 904,979.64 3918 0 904,979.64 0