DETASEMEN KESEHATAN 05.04.

04 SURABAYA
FKTP KLINIK DKT 02 SIDOARJO
FORM LAPORAN STOK OPNAME
REKAPITULASI MATERIIL KESEHATAN
KOMODITI : STOK OPNAME
KESATUAN : FKTP KLINIK DKT 02 SIDOARJO
POSISI : PER 2 JANUARI TA 2019

NAMA - MATKES SATUAN STOCK AWAL MASUK KELUAR

2 3 4 5 6
ANTIBIOTIK
Amoxicillin / yusimox syr Botol 40 0 40
Amoxicillin tab 500 tab Tablet 811 0 176
Cefadroxil caps Kapsul 620 300 220
Cefadroxil syr 125mg Botol 6 25 2
cefadroxil syr 250 mg Botol 20 0 4
Cefixime caps Kapsul 181 0 77
Ciprofloxacin 500 Tablet 1700 0 96
cotrimoxaxol sirup Botol 20 0 20
Cotrimoxazole tab Tablet 1300 0 98
Metronidazole tab Tablet 829 254 129
Thiamphenicol caps Kapsul 440 0 30
Erytromycin tab Tablet 110 0 74
ketonazol tab Tablet 228 128 28
Tetracyclin tab Tablet 310 0 160

VITAMIN / IMUNOMODULATOR
Anelat tab Tablet 1185 0 60
Calcium kaleng Tablet 700 0 700
Caviplex tablet Botol 657 200 407
Etabion caps Kapsul 1200 0 56
vit bcomplex inj inj 2 0 0
Vit Bcomplex tab Tablet 500 0 500
Vit C tab Tablet 250 0 250
ISPA
Ambroxol syr Botol 12 25 12
Ambroxol tab Tablet 180 1000 280
Flucadex tab Tablet 762 0 743
GG tab Tablet 1200 0 600
Salbutamol tab 4mg Tablet 130 0 370
Baby Cough Botol 18 0 8
HISTAMIN / ALERGI
Cetirizine sirup Tablet 5 4 9
Ctm tab Tablet 350 0 150
Loratadine tab Tablet 456 400 74

PENCERNAAN
Antasida tab Tablet 688 0 612
Loperamide tab Tablet 610 0 84
Omeprazole caps Kapsul 120 500 30
Oralit Sachet Sachet 60 10 8
Ranitidin tab Tablet 569 0 485
Zink kid Syr Botol 26 0 18
Spasminal tab Tablet 392 0 348
HIPERTENSI
captropil 12,5mg tab Tablet 1039 0 20
captropil 25mg tab Tablet 645 0 30
Amlodipine 10 mg tab Tablet 450 0 410
Amlodipine 5 mg tab Tablet 1350 450 170
nefedipin 10mg tab Tablet 704 0
ANALGESIK & ANTIPIRETIK
Ibuprofen 400 tab Tablet 332 0 129
Na Diclofenac tab Tablet 320 0 92
Paracetamol 500 tab Tablet 658 300 704
Paracetamol syr Botol 1 5 5
asam nefenamat tab Tablet 1015 0 950
eperisone hydrochloride tab Tablet 288 0 60
Piroxicam tab 10 mgg Tablet 0 0 0
Piroxicam tab 20 mgg Tablet 300 0 5
KORTIKOSTEROID
Dexamethason inj inj 11 0 3
Dexamethason tab Tablet 1470 0 1470
Methylprednisolon 4 mg Tablet 568 0 535

EMETIK
Domperidon tab Tablet 638 400 295
ANTI DIABETES
glimepiride 1 mg Tablet 636 0 57
Metformin 500 mg tab Tablet 1176 0 10
Glimepiride 2 mg Tablet 540 0 140

ASAM URAT
Allopurinol 100 mg tab Tablet 0 0 0
Allopurinol 300 mg tab Tablet 345 100 104
.
KOLESTEROL
Simvastatin tab Tablet 280 100 140

ANTI FUNGI
Ketoconazole 10 tab Tablet 380 110 162
Miconazole salep Tube 8 0 8

ANTI VIRUS
Acyclovir 200 mg tab Tablet 363 0 10
Acyclovir 400 mg tab Tablet 384 0 70
Acyclovir salep Tube 5 0 5
VERTIGO
Histigo tab Tablet 258 0 44

LAIN - LAIN
Hydrocortison salep Tube 25 0 0
Benodon Inj Vial 4 0 0
Recodryl inj Vial 2 0 1
erlamicetin tts telingga Ampul 11 0 4
Ranitidin Inj Ampul 16 0 8
Pehacain Inj Ampul 25 20 25
lidocain inj inj 30 0 0
Ventolin nebul Ampul 3 0 1
grantusif tab Tablet 1110 0 495
Demacolin tab Tablet 80 0 80
Mixalgin tab Tablet 410 0 294
alinaminF tab Tablet 394 100 200
mulsanol sirup sirup 12 5 12
glisiovulfin tab Tablet 378 0 110
thyampenicol / dionicol sirup sirup 14 0 5
vesperum sirup sirup 6 7 13
guanistrep sirup sirup 3 24 27
betason N salep Tube 12 0 1
bisocodyl tab Tablet 207 0 32
gom tts Tube 35 0 20
hico salep Tube 8 0 8
nistatin supp supp 542 0 0
scabimite salep salep 1 14 0
genoid salep kulit Tube 22 0 14
genoid salep mata salep 28 0 25
sominal/dhimenhidramine tab Tablet 564 0 40
atapulgit /new diare tab Tablet 200 0 199
buscopan inj inj 104 0 103
antrain inj inj 1 2 0
bedak salisil botol, 6 0 0
armacord salep salep 16 0 1
Litrol Tetes mata Botol 9 0 8
JUMLAH TOTAL
2
 TAHUN
STOCK HARGA HARGA
PEROLEHAN / KET
AKHIR SATUAN TOTAL
PENGADAAN
7 8 9 10 11

0 7800 312,000 2018

987 500 88,000 2019 x
1140 500 110,000 2019 x
33 13500 27,000 2018
16 25000 100,000 2019
104 916 70,532 2018
1604 600 57,600 2018
0 7000 140,000 2019
1202 398 39,004 2019 x
954 1945 250,905 2018
410 290 8,700 2018
36 950 70,300 2019
778 990 27,720 2019
150 800 128,000 2020

1125 220 13,200 2018

0 200 140,000 2018
450 500 203,500 2018
1144 350 19,600 2019
2 20000 - 2019
0 200 100,000 2018
0 275 68,750 2018

25 8000 96,000 2019 x

900 220 61,600 2019 x
19 850 631,550 2018
600 200 120,000 2018
500 122 45,140 2019 x
10 5000 40,000 2019 x

0 8500 76,500 2018

200 50 7,500 2018
 930 500 37,000 2018

1300 116 70,992 2018

526 656 55,104 2017
590 750 22,500 2018
62 750 6,000 2018
84 750 363,750 2018
8 35000 630,000 2018
44 1800 626,400 2018

1019 180 3,600 2019

615 187 5,610 2020
40 1200 492,000 2018
1630 880 149,600 2019 x
704 174 - 2011

203 800 103,200 2018

228 300 27,600 2018
254 309 217,536 2018
1 4000 20,000 2018
65 230 218,500 2021
228 1900 114,000 2018
0 130 - 2018
295 150 750 2022

8 1400 4,200 2020

0 100 147,000 2018
33 440 235,400 2018

743 224 66,080 2018

579 250 14250 2019

1166 135 1350 2019
400 200 28000 2020

0 184 - 2019
341 338 35,152 2022

240 600 33,600 2021

328 750 121500 2019
0 6000 48,000.00 2019

353 700 7,000 2019

314 1200 84,000 2019
0 4600 23,000 2019

214 875 38,500 2019

25 7500 - 2019
4 9500 - 2019
1 2300 2,300 2019
7 17000 68,000 2020
8 2400 19,200 2019
20 3500 87,500 2020
30 2500 - 2019
2 15000 15,000 2020
615 450 222,750 2020
0 500 40,000 2022 v
116 500 147,000 2020
294 1200 240,000 2020
5 23500 282,000 2020
268 450 49,500 2022
9 15000 75,000 2019
0 10200 132,600 2019
0 8200 221,400 2019
11 16800 16,800 2019
175 123 3,936 2020
15 5450 109,000 2019
0 18500 148,000 2019
542 1150 - 2019
15 54750 - 11-Jul
8 6950 97,300 2019
3 10500 262,500 2019
524 490 19,600 2022
1 697 138,703 2020
1 41600 4,284,800 2019
3 2250 - 2019
6 8500 - 2019
15 10000 10,000 2019
1 13000 104,000 2019
13,901,164
 Mengetahui,
Kepala FKTP Klinik DKT 02 Sidoarjo

Tery Prihastutik
LETDA Ckm (K) NRP. 21000144441079