Nama Obat

BERITA ACARA STOK OPNAME BARANG HABIS PAKAI
PER 31 DESEMBER 2017

Nomor : 1.1. 1331 / XII / 2017
Pada hari ini tanggal Dua Puluh Sembilan Bulan Desember Tahun Dua Ribu Tujuh Belas yang bertanda tangan
Dibawah ini :
1 . Pejabat Pembuat Komitmen ( PPK ) Dinas Kesehatan Kabupaten Karo
2 . Pejabat Penerima Hasil Pekerjaan ( PPHP ) Dinas Kesehatan Kabupaten Karo
3 . Penggurus Barang Pembantu Dinas Kesehatan Kabupaten Karo telah memeriksa dan menghitung jumlah
Persediaan per 31 Desember 2017 yang ada di tempat penyimpanan barang dengan teliti dan seksama
Berdasarkan Laporan Persediaan Per 31 Desember 2017 dengan Hasil Sebagai Berikut :
NO NAMA BARANG SATUAN JUMLAH HARGA KONDISI
1 Accuchek strep stik 100 42,000,000 BAIK

2 accuchek safe t pro uno lancet 75 9,528,750 BAIK
3 Air untuk Injeksi 25 ml botol 10,974 30,178,500 BAIK
4 Alat Suntik (Syringe) 1 ml Buah 20,700 15,768,000 BAIK
7 Albendazol tablet 400 mg Tablet 100,000 31,300,000 BAIK
8 Alcohol Swab Box 174,235 40,674,785 BAIK
9 Alopurinol tablet 100 mg Tablet 511,000 50,523,000 BAIK
10 Aminofilin tablet 200 mg Tablet 24,000 2,208,000 BAIK
11 Aminofilin inj ampul 3,000 10,047,000 BAIK
12 Amitrippilin Tablet 28,900 4,335,000 BAIK
13 Amlodipin tablet 5 mg Tablet 349,480 32,462,400 BAIK
14 Amoksisilin sirup Kering 125 mg/5 ml Botol 13,136 25,948,672 BAIK
15 Amoksisilin sirup kering forte 250 mg/5 ml Botol 16,860 66,580,140 BAIK
16 Amoksisilin tablet 500 mg Tablet 1,250,800 255,413,000 BAIK
17 Antasida DOEN suspensi Botol 9,550 19,720,750 BAIK
18 Antasida DOEN tablet kunyah Tablet 1,603,000 98,989,000 BAIK
19 Antifungi DOEN salep Pot 4,800 21,478,800 BAIK
20 antihemaroid tablet 27,000 86,319,000 BAIK
21 Asam Asetilsalisilat (asetosal) tablet 80 mg (Miniaspi) Tablet 25,600 3,020,800 BAIK
22 Asam askorbat (Vitamin C) tablet 50 mg Tablet 1,309,100 142,691,900 BAIK
23 Asam mefenamat kaplet 500 mg Kaplet 503,900 51,436,800 BAIK
24 Asiclovir tablet 200 mg Tablet 22,770 5,829,450 BAIK
25 Asiclovir tablet 400 mg Tablet 61,460 23,048,200 BAIK
26 Atropin injeksi 0.25 mg/ml Ampul 2,500 4,061,200 BAIK
27 Attapulgit tablet 600 mg Tablet 200,000 30,400,000 BAIK

28 Atenolol 50 mg Tablet 30,000 9,900,000 BAIK
29 Bedak salisil serbuk 2% Kotak 7,554 7,856,160 BAIK
30 Betametason krim 0,1% Tube 9,216 12,966,912 BAIK
31 Catgut / benang bedah No. 2/0 plain Set 4,380 224,861,820 BAIK
32 Catgut / benang bedah No. 3/0 plain Kotak 3,147 139,659,633 BAIK
33 Catgut / benang bedah No. 2/0 chromik kotak 2,628 140,912,772 BAIK
34 Catgut / benang bedah No. 3/0 chromik kotak 3,568 185,207,652 BAIK
35 Cefixime 200 mg 109,000 275,661,000 BAIK
36 Deksametason injeksi iv 5 mg/ml Ampul - - -
37 Deksametason tablet 0,5 mg Tablet 330,200 14,787,200 BAIK
38 depakote tab - - -
39 Diazepam tablet 2 mg Tablet 203,100 6,905,400 BAIK
40 Difenhidramin injeksi Ampul 11,550 13,895,700 BAIK
41 Digoksin tablet 0,25 mg Tablet 2,789 278,900 BAIK
42 Diltiazem tablet 30,000 3,810,000 BAIK
43 Doksisiklin kapsul 100 mg Tablet 29,600 8,167,200 BAIK
44 Domperidon tablet 10 mg Tablet 12,800 1,510,400 BAIK
45 domperidon sirup botol 12,400 38,391,000 BAIK
46 Eritromisin kapsul 250 mg Kapsul 207,500 122,205,000 BAIK
47 Eritromisin sirup kering 200 mg/ 5 ml botol 2,500 16,039,500 BAIK
48 Ecolab Hydrex Surgical Scrub 5 lt galon 180 177,508,800 BAIK
49 Epinefrin (adrenalin) injeksi 1 mg/ml Ampul - - -
50 Eugeniol botol 3,748 71,230,740 BAIK
51 Etanol 70% cairan Botol 3,064 88,090,000 BAIK
52 kolkisin / rekolfar Tablet 29,500 113,427,500 BAIK
53 Fenitoin kapsul kapsul 30,000 4,620,000 BAIK
54 Fenitoin Injeksi Ampul 1,410 11,294,100 BAIK
55 Fitamenadion (Vit. K) tablet Tablet 6,380 4,605,480 BAIK
56 Fitamenadion (Vit. K) inj ampul 6,330 23,598,240 BAIK
57 Furosemida tablet 40 mg Tablet 73,900 5,985,900 BAIK
58 Garam oralit I serbuk Sachet - - -
59 Glibenklamida tablet 5 mg Tablet - - -
60 Glipizid tablet 5 mg Tablet - - -
61 Glukosa larutan infus 5 % steril Botol 6,880 47,472,000 BAIK
62 glukonas kalium inj ampul - - -
63 Griseofulvin tablet 125 mg Tablet 500,000 122,500,000 BAIK
64 Hand Rub Antiseptik Botol 95 6,061,000 BAIK
65 haloperidol tablet tablet 29,300 2,080,300 BAIK
66 Hidroklortiazid tablet 25 mg Tablet 97,900 15,272,400 BAIK
67 Hidrokortison krim 2,5% Tube 12,144 32,151,120 BAIK
68 Humases Glucose Test Strips Dus 150 38,445,000 BAIK
69 Humases Cholesterol Test Strips Dus 150 82,260,000 BAIK
70 Humases Uric Acid Test Strips Dus 150 83,220,000 BAIK
71 Human Humasens Plus Unit 150 126,742,500 BAIK
72 Ibuprofen tablet 200 mg Tablet 200,000 21,300,000 BAIK
73 Ibuprofen tablet 400 mg Tablet 312,000 40,560,000 BAIK
74 Ibu Profen Syrup 200 mg / 5 ml Botol 11,400 59,177,400 BAIK

75 Infus zet dewasa Set 5,250 31,521,150 BAIK
76 Infus zet adult Set 2,500 9,117,500 BAIK
77 Infuset Anak set 2,650 12,942,600 BAIK
78 Isosorbit dinitrat tablet 5 mg Tablet 78,000 7,254,000 BAIK
79 IV Catheter No. 18 G x 32 Buah 6,300 57,129,000 BAIK
82 Kalsium Laktat tablet 500 mg Tablet 335,900 21,899,400 BAIK
83 Kantong Sampah Lembar - - -
84 Kapas Pembalut 250 mg Rol 10,257 167,583,750 BAIK
85 Kaptopril tablet 12,5 mg Tablet 277,970 17,234,140 BAIK
86 Kaptopril tablet 25 mg Tablet 395,450 32,031,450 BAIK
87 Karbogliserin tetes telinga 10% Botol 816 2,040,000 BAIK
88 Kasa Pembalut Hidrofil 4 m x 10 cm Rol 33,005 66,870,330 BAIK
89 KasaSteril DRC 16 cm X 16 cm (16 pads ) Box 1,800 15,498,000 BAIK
90 Kasa hidrofil non sterile 5cm x 4 cm roll 20,000 18,000,000 BAIK
91 Ketokonazol krim 2% Tube 4,600 11,809,000 BAIK
92 Ketamin injeksi ampul 960 69,811,200 BAIK
93 Klindamisin kapsul 300 mg Kapsul 58,900 37,107,000 BAIK
94 Kloramfenikol kapsul 250 mg Kapsul 269,300 240,928,600 BAIK
95 Kloramfenikol Salep kulit tube 9,720 31,006,800 BAIK
96 Kloramfenikol suspensi 125 mg / 5 ml Botol 9,250 41,111,500 BAIK
97 Kloramfenikol salep mata tube 4,872 8,759,856 BAIK
98 Klorfeniramin maleat tablet 4 mg Tablet 2,365,500 97,516,500 BAIK
99 Klorpromazin tablet tablet 3,000 465,000 BAIK
100 Klorpromazin injeksi ampul 3,000 423,000 BAIK
101 Kodein HCl tablet 10 mg Tablet 100,000 57,700,000 BAIK
102 Kotrimoksazol DOEN I tablet 800 mg Tablet 400,000 129,200,000 BAIK
103 Kotrimoksazol DOEN I tablet 480 mg 815,500 114,087,000 BAIK
104 Kotrimoxazol Suspensi Botol 20,100 45,688,300 BAIK
105 Lidokain 2% ampul 1,100 957,000 BAIK
106 Lidokain injeksi 2% (HCl) + Epinefrin Ampul 10,110 20,084,070 BAIK
107 Loratadin tablet 10 mg Kaplet - - -
108 Lysol 1 liter Botol 2,301 108,492,150 BAIK
109 Masker Kotak 12,118 235,425,558 BAIK
110 Metformin HCl tablet 500 mg Tablet 50,000 4,900,000 BAIK
111 Metformin tablet 850 mg Tablet 36,000 7,380,000 BAIK
112 Metilergometrin maleat injeksi 0,200 mg/ml Ampul 3,700 9,930,800 BAIK
113 Metilergometrin maleat tablet 0,125 mg Tablet - - -
114 Metoklopramida tablet 10 mg Tablet 307,600 27,622,000 BAIK
115 Metronidazol tablet 250 mg Tablet 83,900 8,054,400 BAIK
116 Metronidazol tablet 500 mg Tablet 254,500 33,848,500 BAIK
117 Metronidazole sirup 125 mg / 5 ml Botol 7,800 29,640,000 BAIK
118 metil prednisolon tablet 125,400 25,330,800 BAIK
119 Multiple Parameter Clinical Chemistry Test Sys - - -

120 Mikonazol krim / salep 2% (nitrat) Tube 9,144 159,991,920 BAIK

121 Natrium diklofenak tablet 25 mg Tablet 87,725 12,281,500 BAIK
122 Natrium Klorida larutan infus 0,9% Botol 3,079 19,736,390 BAIK
123 Nifedipin tablet 10 mg Tablet 126,900 13,959,000 BAIK
124 Nistatin tablet 500.000 IU/g Tablet 20,660 16,285,480 BAIK
125 Nistatin vaginal tablet 100.000 IU/g Tablet 7,590 4,341,480 BAIK
126 Obat batuk Hustab p/30 X 10 Tablet 300,000 77,100,000 BAIK
127 Obat batuk syrup Hustab 60 ml Botol 3,500 40,425,000 BAIK
128 Oksimetazolin tetes hidung 0.025% Botol 1,818 57,967,000 BAIK
129 Oksitoksin injeksi 10 IU/ml Ampul 4,800 9,120,000 BAIK
130 Omeprazol injeksi 40 mg / 10 ml Vial 3,293 58,144,501 BAIK
131 Omeprazol kapsul 20 mg Kapsul 367,350 56,045,400 BAIK
132 Parasetamol drop 100 mg/ml Botol 3,942 21,523,320 BAIK
133 Parasetamol Sirup 120 mg/ 5 ml Botol 18,500 20,701,500 BAIK
134 Parasetamol tablet 500 mg Tablet 1,421,100 78,002,700 BAIK
135 Pemeriksaan Narkoba box 120 190,125,000 BAIK
136 Permetrin Krim 5% (Scabimite Cream) Tube 5,000 60,775,000 BAIK
137 Phenobarbital tablet 30 mg Tablet 398,600 43,146,400 BAIK
138 Piridoksin (vitamin B6) tablet 10 mg (HCl) Tablet 900,000 111,600,000 BAIK
139 Piridoksin (vitamin B6)injeksi ampul 6,000 6,000,000 BAIK
140 Plester 5 cm x 500 cm (Pharmafix) Box 3,233 96,016,838 BAIK
141 Povidon Iodida 10% Botol 15,221 64,332,550 BAIK
142 Prednison tablet 5 mg Tablet 1,125,700 101,067,200 BAIK
143 Probenesid tablet Tablet 113,800 207,116,000 BAIK
144 Propanolol tablet 10 mg (HCl) Tablet 20,000 1,140,000 BAIK
145 Propiltiourasil tablet 100 mg Tablet - - -
146 Pyrantel Pamoat tablet 125 mg Tablet 37,100 11,426,800 BAIK
147 Ranitidin tablet 150 mg Tablet 1,440,200 145,163,000 BAIK
148 Retinol (Vit. A) kapsul 100.000 IU Kapsul 25,000 7,450,000 BAIK
149 Retinol (Vit. A) kapsul 200.000 IU Kapsul 76,859 44,117,066 BAIK
150 Ringer lactat larutan infus Botol 8,000 57,200,000 BAIK
151 Risperidon tablet 2 mg Tablet 80,600 32,408,200 BAIK
152 Rivanol 300 cc Botol 12,539 43,259,550 BAIK
153 Safeglove Examination Gloves L Box 4,600 33,373,000 BAIK
154 Safeglove Examination Gloves M Box 4,609 33,725,638 BAIK
155 Salbutamol tablet 2 mg Tablet 255,450 19,323,400 BAIK
156 Salbutamol tablet 4 mg Tablet 322,000 26,126,000 BAIK
157 salep 24 Pot 9,024 23,347,296 BAIK
158 Sefadroksil kapsul 500 mg Kapsul - - -
159 setrijin sirup botol 21,540 63,966,000 BAIK
160 Setirizin tablet /kapsul/kaplet 10mg 330,000 31,680,000 BAIK
161 Streptomisin inj Ampul 5,992 31,458,000 BAIK
162 Sianokobalamin (Vit. B12) injeksi 500 mcg Ampul 22,900 26,747,200 BAIK
163 Sianokobalamin (Vit. B12) tablet 50 mg Tablet 500,000 26,000,000 BAIK
164 Silk (benang bedah sutera) No. 2/0 Buah 4,696 195,615,352 BAIK
165 Silk (benang bedah sutera) No. 3/0 Buah 1,860 73,724,820 BAIK
166 Simvastatin tablet 10 mg Tablet 251,868 28,698,444 BAIK
167 SMI Silk Black 3/0 HR 30 MM Sachet 2,500 53,837,500 BAIK

168 Siprofloksasin tablet 500 mg Tablet 503,900 133,027,100 BAIK
169 Spironolakton tablet 25 mg Tablet - - -
170 Tablet Anti Diare (New Diaform) Tablet - - -
171 tablet fe Tablet 1,100,000 407,000,000 BAIK
172 Tetrasiklin kapsul 250 mg Kapsul 440,800 75,554,400 BAIK
173 Tetrasiklin kapsul 500 mg Kapsul 615,800 196,440,200 BAIK
174 Troge Glove sterile 7.0 pices 2,250 16,323,750 BAIK
175 Troge Glove sterile 7.5 pices 2,250 16,323,750 BAIK
176 Tiamin Tablet 670,900 59,710,100 BAIK
177 Vitamin B Komplek tablet Tablet 969,400 117,297,400 BAIK
WIDA KDN 1 larutan mengandung karbohidrat +
178 Botol 4,000 45,740,000 BAIK
Elektrolit (D2,5% + KCL 0,15%+
179 ZINC tzblet tablet - - BAIK
180 3 way stopcock buah 1,000 3,219,000 BAIK
JUMLAH 9,221,106,575
Kesimpulan :
Setelah melakukan pemeriksaan secara intensif, barang yang ada sesuai dengan yang dilaporkan
Demikian Berita Acara ini kami buat dengan sebenarnya untuk di pergunakan seperlunya
Pembantu Pengurus Barang Tanggal tersebut diatas

diperiksa oleh
Eka Karya Lase, AMF 1 . Dr. Johanis Sitepu …………………..

NIP. 19840605 201101 1 011 NIP. 19640723 199003 1 003
2 . Redin Tarigan, SKM …………………..

NIP. 19751022 199503 1 002
Diketahui Oleh,
Kepala Dinas Kesehatan
Kabupaten Karo
drg. Irna Safrina S. Meliala, M.Kes

NIP. 19640323 199103 2 003
PER 31 DESEMBER 2017
Nomor : 1.1. 1331 / XII / 2017
Dibawah ini :
Persediaan per 31 Desember 2017 yang ada di tempat penyimpanan barang dengan teliti dan seksama
NO NAMA BARANG SATUAN sisa 2016 harga sisa 2017 harga JUMLAH HARGA
1 Accuchek strep stik - - 100 42,000,000 100 42,000,000

2 accuchek safe t pro uno lancet 25 3,176,250 50 6,352,500 75 9,528,750
3 Air untuk Injeksi 25 ml botol 10,974 30,178,500 - - 10,974 30,178,500
4 Alat Suntik (Syringe) 1 ml Buah 3,600 3,045,600 17,100 12,722,400 20,700 15,768,000
7 Albendazol tablet 400 mg Tablet 100,000 31,300,000 - - 100,000 31,300,000
8 Alcohol Swab Box 174,100 35,864,600 135 4,810,185 174,235 40,674,785

9 Alopurinol tablet 100 mg Tablet 311,000 28,923,000 200,000 21,600,000 511,000 50,523,000
10 Aminofilin tablet 200 mg Tablet - - 24,000 2,208,000 24,000 2,208,000
11 Aminofilin inj ampul 3,000 10,047,000 - - 3,000 10,047,000
12 Amitrippilin Tablet 28,900 4,335,000 - - 28,900 4,335,000
13 Amlodipin tablet 5 mg Tablet 100,480 10,550,400 249,000 21,912,000 349,480 32,462,400
14 Amoksisilin sirup Kering 125 mg/5 ml Botol 3,136 6,748,672 10,000 19,200,000 13,136 25,948,672
15 Amoksisilin sirup kering forte 250 mg/5 ml Botol 16,860 66,580,140 - - 16,860 66,580,140
16 Amoksisilin tablet 500 mg Tablet 393,100 91,592,300 857,700 163,820,700 1,250,800 255,413,000
17 Antasida DOEN suspensi Botol 9,550 19,720,750 - - 9,550 19,720,750
18 Antasida DOEN tablet kunyah Tablet 1,103,000 69,489,000 500,000 29,500,000 1,603,000 98,989,000
19 Antifungi DOEN salep Pot 1,800 7,858,800 3,000 13,620,000 4,800 21,478,800
20 antihemaroid tablet 27,000 86,319,000 - - 27,000 86,319,000
Asam Asetilsalisilat (asetosal) tablet 80
21 Tablet 25,600 3,020,800 - - 25,600 3,020,800
mg (Miniaspi)
22 Asam askorbat (Vitamin C) tablet 50 mg Tablet 809,100 88,191,900 500,000 54,500,000 1,309,100 142,691,900
23 Asam mefenamat kaplet 500 mg Kaplet 3,900 436,800 500,000 51,000,000 503,900 51,436,800
24 Asiclovir tablet 200 mg Tablet 13,200 3,484,800 9,570 2,344,650 22,770 5,829,450
26 Atropin injeksi 0.25 mg/ml Ampul 1,600 2,675,200 900 1,386,000 2,500 4,061,200
27 Attapulgit tablet 600 mg Tablet - - 200,000 30,400,000 200,000 30,400,000
28 Atenolol 50 mg Tablet 30,000 9,900,000 - - 30,000 9,900,000
29 Bedak salisil serbuk 2% Kotak - - 7,554 7,856,160 7,554 7,856,160
30 Betametason krim 0,1% Tube 9,216 12,966,912 - - 9,216 12,966,912
31 Catgut / benang bedah No. 2/0 plain Set 3,180 168,059,820 1,200 56,802,000 4,380 224,861,820
32 Catgut / benang bedah No. 3/0 plain Kotak 2,472 103,920,408 675 35,739,225 3,147 139,659,633
33 Catgut / benang bedah No. 2/0 chromik kotak 1,428 75,468,372 1,200 65,444,400 2,628 140,912,772
34 Catgut / benang bedah No. 3/0 chromik kotak 1,068 44,897,652 2,500 140,310,000 3,568 185,207,652
35 Cefixime 200 mg - - 109,000 275,661,000 109,000 275,661,000

36 Deksametason injeksi iv 5 mg/ml Ampul - - - - - -
37 Deksametason tablet 0,5 mg Tablet 196,200 9,025,200 134,000 5,762,000 330,200 14,787,200
38 depakote tab - - - - - -
39 Diazepam tablet 2 mg Tablet 203,100 6,905,400 - - 203,100 6,905,400
40 Difenhidramin injeksi Ampul 8,550 10,550,700 3,000 3,345,000 11,550 13,895,700
41 Digoksin tablet 0,25 mg Tablet 2,789 278,900 - - 2,789 278,900
42 Diltiazem tablet 30,000 3,810,000 - - 30,000 3,810,000
43 Doksisiklin kapsul 100 mg Tablet 9,600 2,707,200 20,000 5,460,000 29,600 8,167,200
44 Domperidon tablet 10 mg Tablet 12,800 1,510,400 - - 12,800 1,510,400
45 domperidon sirup botol 7,400 22,866,000 5,000 15,525,000 12,400 38,391,000
46 Eritromisin kapsul 250 mg Kapsul 57,500 34,155,000 150,000 88,050,000 207,500 122,205,000
47 Eritromisin sirup kering 200 mg/ 5 ml botol 500 3,433,500 2,000 12,606,000 2,500 16,039,500
48 Ecolab Hydrex Surgical Scrub 5 lt galon - - 180 177,508,800 180 177,508,800
49 Epinefrin (adrenalin) injeksi 1 mg/ml Ampul - - - - - -
50 Eugeniol botol 3,748 71,230,740 - - 3,748 71,230,740
51 Etanol 70% cairan Botol 1,664 47,840,000 1,400 40,250,000 3,064 88,090,000
52 kolkisin / rekolfar Tablet 29,500 113,427,500 - - 29,500 113,427,500
53 Fenitoin kapsul kapsul 30,000 4,620,000 - - 30,000 4,620,000
54 Fenitoin Injeksi Ampul 1,410 11,294,100 - - 1,410 11,294,100
55 Fitamenadion (Vit. K) tablet Tablet 1,100 798,600 5,280 3,806,880 6,380 4,605,480
56 Fitamenadion (Vit. K) inj ampul 6,330 23,598,240 - - 6,330 23,598,240
57 Furosemida tablet 40 mg Tablet 73,900 5,985,900 - - 73,900 5,985,900
58 Garam oralit I serbuk Sachet - - - - - -
59 Glibenklamida tablet 5 mg Tablet - - - - - -
60 Glipizid tablet 5 mg Tablet - - - - - -
61 Glukosa larutan infus 5 % steril Botol 700 4,830,000 6,180 42,642,000 6,880 47,472,000
62 glukonas kalium inj ampul - - - - - -
63 Griseofulvin tablet 125 mg Tablet - - 500,000 122,500,000 500,000 122,500,000

64 Hand Rub Antiseptik Botol 95 6,061,000 - - 95 6,061,000
65 haloperidol tablet tablet 29,300 2,080,300 - - 29,300 2,080,300
66 Hidroklortiazid tablet 25 mg Tablet 97,900 15,272,400 - - 97,900 15,272,400
67 Hidrokortison krim 2,5% Tube 9,096 24,104,400 3,048 8,046,720 12,144 32,151,120
68 Humases Glucose Test Strips Dus - - 150 38,445,000 150 38,445,000
69 Humases Cholesterol Test Strips Dus - - 150 82,260,000 150 82,260,000
70 Humases Uric Acid Test Strips Dus - - 150 83,220,000 150 83,220,000
71 Human Humasens Plus Unit - - 150 126,742,500 150 126,742,500
72 Ibuprofen tablet 200 mg Tablet 100,000 10,800,000 100,000 10,500,000 200,000 21,300,000
73 Ibuprofen tablet 400 mg Tablet 312,000 40,560,000 - - 312,000 40,560,000
74 Ibu Profen Syrup 200 mg / 5 ml Botol - - 11,400 59,177,400 11,400 59,177,400
75 Infus zet dewasa Set 1,650 7,509,150 3,600 24,012,000 5,250 31,521,150
76 Infus zet adult Set - - 2,500 9,117,500 2,500 9,117,500
77 Infuset Anak set 2,650 12,942,600 - - 2,650 12,942,600
78 Isosorbit dinitrat tablet 5 mg Tablet 8,000 744,000 70,000 6,510,000 78,000 7,254,000
79 IV Catheter No. 18 G x 32 Buah 4,800 36,288,000 1,500 20,841,000 6,300 57,129,000
81 IV Catheter No. 20 G x 32 Buah - - 1,000 5,372,000 1,000 5,372,000
82 Kalsium Laktat tablet 500 mg Tablet 305,900 20,189,400 30,000 1,710,000 335,900 21,899,400
83 Kantong Sampah Lembar - - - - - -
84 Kapas Pembalut 250 mg Rol 8,457 116,283,750 1,800 51,300,000 10,257 167,583,750
85 Kaptopril tablet 12,5 mg Tablet - - 277,970 17,234,140 277,970 17,234,140
86 Kaptopril tablet 25 mg Tablet - - 395,450 32,031,450 395,450 32,031,450
87 Karbogliserin tetes telinga 10% Botol 816 2,040,000 - - 816 2,040,000
88 Kasa Pembalut Hidrofil 4 m x 10 cm Rol 13,005 32,070,330 20,000 34,800,000 33,005 66,870,330
89 KasaSteril DRC 16 cm X 16 cm (16 pads Box - - 1,800 15,498,000 1,800 15,498,000
90 Kasa hidrofil non sterile 5cm x 4 cm roll - - 20,000 18,000,000 20,000 18,000,000
91 Ketokonazol krim 2% Tube 2,600 6,617,000 2,000 5,192,000 4,600 11,809,000

92 Ketamin injeksi ampul 960 69,811,200 - - 960 69,811,200
93 Klindamisin kapsul 300 mg Kapsul 58,900 37,107,000 - - 58,900 37,107,000
94 Kloramfenikol kapsul 250 mg Kapsul 69,300 20,928,600 200,000 220,000,000 269,300 240,928,600
95 Kloramfenikol Salep kulit tube 9,720 31,006,800 - - 9,720 31,006,800
96 Kloramfenikol suspensi 125 mg / 5 ml Botol 4,250 16,906,500 5,000 24,205,000 9,250 41,111,500
97 Kloramfenikol salep mata tube 4,872 8,759,856 - - 4,872 8,759,856
98 Klorfeniramin maleat tablet 4 mg Tablet 1,665,500 71,616,500 700,000 25,900,000 2,365,500 97,516,500
99 Klorpromazin tablet tablet 3,000 465,000 - - 3,000 465,000
100 Klorpromazin injeksi ampul 3,000 423,000 - - 3,000 423,000
101 Kodein HCl tablet 10 mg Tablet - 100,000 57,700,000 100,000 57,700,000
102 Kotrimoksazol DOEN I tablet 800 mg Tablet 200,000 64,600,000 200,000 64,600,000 400,000 129,200,000
103 Kotrimoksazol DOEN I tablet 480 mg 315,500 48,587,000 500,000 65,500,000 815,500 114,087,000
104 Kotrimoxazol Suspensi Botol 10,100 22,048,300 10,000 23,640,000 20,100 45,688,300
105 Lidokain 2% ampul 1,100 957,000 - - 1,100 957,000
106 Lidokain injeksi 2% (HCl) + Epinefrin Ampul 5,100 9,878,700 5,010 10,205,370 10,110 20,084,070
107 Loratadin tablet 10 mg Kaplet - - - - - -
108 Lysol 1 liter Botol 901 42,482,150 1,400 66,010,000 2,301 108,492,150
109 Masker Kotak 2,218 55,740,558 9,900 179,685,000 12,118 235,425,558
110 Metformin HCl tablet 500 mg Tablet - - 50,000 4,900,000 50,000 4,900,000
111 Metformin tablet 850 mg Tablet 36,000 7,380,000 - - 36,000 7,380,000
112 Metilergometrin maleat injeksi 0,200 mg/ml Ampul 3,700 9,930,800 - - 3,700 9,930,800
113 Metilergometrin maleat tablet 0,125 mg Tablet - - - - - -
114 Metoklopramida tablet 10 mg Tablet 107,600 10,222,000 200,000 17,400,000 307,600 27,622,000
115 Metronidazol tablet 250 mg Tablet 83,900 8,054,400 - 83,900 8,054,400
116 Metronidazol tablet 500 mg Tablet 254,500 33,848,500 - 254,500 33,848,500
117 Metronidazole sirup 125 mg / 5 ml Botol 2,800 10,640,000 5,000 19,000,000 7,800 29,640,000
118 metil prednisolon tablet 125,400 25,330,800 - - 125,400 25,330,800
Multiple Parameter Clinical Chemistry

119 - - - - - -
Test Sys
120 Mikonazol krim / salep 2% (nitrat) Tube 3,672 12,521,520 5,472 147,470,400 9,144 159,991,920
121 Natrium diklofenak tablet 25 mg Tablet - - 87,725 12,281,500 87,725 12,281,500
122 Natrium Klorida larutan infus 0,9% Botol 1,939 12,428,990 1,140 7,307,400 3,079 19,736,390
123 Nifedipin tablet 10 mg Tablet 71,400 7,854,000 55,500 6,105,000 126,900 13,959,000
124 Nistatin tablet 500.000 IU/g Tablet 14,500 11,339,000 6,160 4,946,480 20,660 16,285,480
125 Nistatin vaginal tablet 100.000 IU/g Tablet - - 7,590 4,341,480 7,590 4,341,480
126 Obat batuk Hustab p/30 X 10 Tablet - - 300,000 77,100,000 300,000 77,100,000
127 Obat batuk syrup Hustab 60 ml Botol - - 3,500 40,425,000 3,500 40,425,000
128 Oksimetazolin tetes hidung 0.025% Botol 1,318 41,517,000 500 16,450,000 1,818 57,967,000
129 Oksitoksin injeksi 10 IU/ml Ampul 3,800 7,220,000 1,000 1,900,000 4,800 9,120,000
130 Omeprazol injeksi 40 mg / 10 ml Vial 3,293 58,144,501 - - 3,293 58,144,501
131 Omeprazol kapsul 20 mg Kapsul 157,350 25,805,400 210,000 30,240,000 367,350 56,045,400
132 Parasetamol drop 100 mg/ml Botol 3,942 21,523,320 - - 3,942 21,523,320
133 Parasetamol Sirup 120 mg/ 5 ml Botol 18,500 20,701,500 - - 18,500 20,701,500
134 Parasetamol tablet 500 mg Tablet 921,100 52,502,700 500,000 25,500,000 1,421,100 78,002,700
135 Pemeriksaan Narkoba box - - 120 190,125,000 120 190,125,000
136 Permetrin Krim 5% (Scabimite Cream) Tube 5,000 60,775,000 - - 5,000 60,775,000
137 Phenobarbital tablet 30 mg Tablet 248,600 18,396,400 150,000 24,750,000 398,600 43,146,400
138 Piridoksin (vitamin B6) tablet 10 mg (HCl) Tablet - - 900,000 111,600,000 900,000 111,600,000
139 Piridoksin (vitamin B6)injeksi ampul 6,000 6,000,000 - - 6,000 6,000,000
140 Plester 5 cm x 500 cm (Pharmafix) Box 233 6,916,838 3,000 89,100,000 3,233 96,016,838
141 Povidon Iodida 10% Botol 4,221 27,647,550 11,000 36,685,000 15,221 64,332,550
142 Prednison tablet 5 mg Tablet 625,700 60,067,200 500,000 41,000,000 1,125,700 101,067,200
143 Probenesid tablet Tablet 113,800 207,116,000 - - 113,800 207,116,000
144 Propanolol tablet 10 mg (HCl) Tablet - - 20,000 1,140,000 20,000 1,140,000
145 Propiltiourasil tablet 100 mg Tablet - - - - - -
146 Pyrantel Pamoat tablet 125 mg Tablet 37,100 11,426,800 - - 37,100 11,426,800
147 Ranitidin tablet 150 mg Tablet 76,200 8,763,000 1,364,000 136,400,000 1,440,200 145,163,000
148 Retinol (Vit. A) kapsul 100.000 IU Kapsul 25,000 7,450,000 - - 25,000 7,450,000
150 Ringer lactat larutan infus Botol 3,580 25,597,000 4,420 31,603,000 8,000 57,200,000
151 Risperidon tablet 2 mg Tablet 30,000 14,850,000 50,600 17,558,200 80,600 32,408,200
152 Rivanol 300 cc Botol 3,439 11,864,550 9,100 31,395,000 12,539 43,259,550
153 Safeglove Examination Gloves L Box - - 4,600 33,373,000 4,600 33,373,000
154 Safeglove Examination Gloves M Box 9 352,638 4,600 33,373,000 4,609 33,725,638
155 Salbutamol tablet 2 mg Tablet 54,700 3,664,900 200,750 15,658,500 255,450 19,323,400
157 salep 24 Pot 6,024 15,385,296 3,000 7,962,000 9,024 23,347,296
158 Sefadroksil kapsul 500 mg Kapsul - - - - - -
159 setrijin sirup botol 16,540 47,966,000 5,000 16,000,000 21,540 63,966,000
160 Setirizin tablet /kapsul/kaplet 10mg - - 330,000 31,680,000 330,000 31,680,000
161 Streptomisin inj Ampul 5,992 31,458,000 - - 5,992 31,458,000
162 Sianokobalamin (Vit. B12) injeksi 500 mcg Ampul 22,900 26,747,200 - - 22,900 26,747,200
163 Sianokobalamin (Vit. B12) tablet 50 mg Tablet - - 500,000 26,000,000 500,000 26,000,000
164 Silk (benang bedah sutera) No. 2/0 Buah 2,196 87,042,852 2,500 108,572,500 4,696 195,615,352
165 Silk (benang bedah sutera) No. 3/0 Buah 1,860 73,724,820 - - 1,860 73,724,820
166 Simvastatin tablet 10 mg Tablet 11,868 1,578,444 240,000 27,120,000 251,868 28,698,444
167 SMI Silk Black 3/0 HR 30 MM Sachet - - 2,500 53,837,500 2,500 53,837,500
168 Siprofloksasin tablet 500 mg Tablet 203,900 58,927,100 300,000 74,100,000 503,900 133,027,100
169 Spironolakton tablet 25 mg Tablet - - - - - -
170 Tablet Anti Diare (New Diaform) Tablet - - - - - -
171 tablet fe Tablet - - 1,100,000 407,000,000 1,100,000 407,000,000
172 Tetrasiklin kapsul 250 mg Kapsul 190,800 32,054,400 250,000 43,500,000 440,800 75,554,400
174 Troge Glove sterile 7.0 pices - - 2,250 16,323,750 2,250 16,323,750
175 Troge Glove sterile 7.5 pices - - 2,250 16,323,750 2,250 16,323,750
176 Tiamin Tablet 670,900 59,710,100 - - 670,900 59,710,100
177 Vitamin B Komplek tablet Tablet 469,400 56,797,400 500,000 60,500,000 969,400 117,297,400
WIDA KDN 1 larutan mengandung
178 karbohidrat + Elektrolit (D2,5% + KCL Botol - - 4,000 45,740,000 4,000 45,740,000
0,15%+
179 ZINC tzblet tablet - - - - - -
180 3 way stopcock buah 1,000 3,219,000 - - 1,000 3,219,000
JUMLAH 9,221,106,575
Kesimpulan :

Dinas Kesehatan Kabupaten Karo Kasi Farmasi Dinas Kesehatan Kabupaten Karo
Eka Karya Lase, AMF Disma Sembiring, SKM

NIP. 19840605 201101 1 011 NIP. 19750131 199503 2 001
Diketahui Oleh,

Kabupaten Karo

NIP. 19640323 199103 2 003
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bupaten Karo
KONDISI
PER 31 MARET 2018
Nomor : 1.1. / III / 2018
Dibawah ini :
Persediaan per 31 Maret 2018 yang ada di tempat penyimpanan barang dengan teliti dan seksama
1 Accuchek strep stik - 92 38,640,000 92 38,640,000

2 accuchek safe t pro uno lancet 15 1,905,750 50 6,352,500 65 8,258,250
3 Air untuk Injeksi 25 ml botol 6,839 18,807,250 - - 6,839 18,807,250
4 Alat Suntik (Syringe) 1 ml Buah 500 423,000 17,100 12,722,400 17,600 13,145,400
7 Albendazol tablet 400 mg Tablet 14,860 4,651,180 - - 14,860 4,651,180
8 Alcohol Swab Box 19,870 4,093,220 135 4,810,185 20,005 8,903,405

9 Alopurinol tablet 100 mg Tablet 209,500 19,483,500 200,000 21,600,000 409,500 41,083,500
10 Aminofilin tablet 200 mg Tablet - 22,900 2,106,800 22,900 2,106,800
11 Aminofilin inj ampul 2,790 9,343,710 - - 2,790 9,343,710
12 Amitrippilin Tablet 25,900 3,885,000 - - 25,900 3,885,000
13 Amlodipin tablet 5 mg Tablet - 248,290 21,849,520 248,290 21,849,520
14 Amoksisilin sirup Kering 125 mg/5 ml Botol - 8,202 15,747,840 8,202 15,747,840
15 Amoksisilin sirup kering forte 250 mg/5 ml Botol 3,000 11,847,000 - - 3,000 11,847,000
16 Amoksisilin tablet 500 mg Tablet - 826,300 157,823,300 826,300 157,823,300
17 Antasida DOEN suspensi Botol 2,500 5,162,500 - - 2,500 5,162,500
18 Antasida DOEN tablet kunyah Tablet 689,700 43,451,100 500,000 29,500,000 1,189,700 72,951,100
19 Antifungi DOEN salep Pot 768 3,353,088 3,000 13,620,000 3,768 16,973,088
20 antihemaroid tablet 23,900 76,408,300 - - 23,900 76,408,300
Asam Asetilsalisilat (asetosal) tablet 80
21 Tablet 16,900 1,994,200 - - 16,900 1,994,200
mg (Miniaspi)
22 Asam askorbat (Vitamin C) tablet 50 mg Tablet 606,300 66,086,700 500,000 54,500,000 1,106,300 120,586,700
23 Asam mefenamat kaplet 500 mg Kaplet - 221,300 22,572,600 221,300 22,572,600
26 Atropin injeksi 0.25 mg/ml Ampul 500 836,000 900 1,386,000 1,400 2,222,000
27 Attapulgit tablet 600 mg Tablet - 161,500 24,548,000 161,500 24,548,000
28 Atenolol 50 mg Tablet 26,100 8,613,000 - - 26,100 8,613,000
29 Bedak salisil serbuk 2% Kotak - 4,654 4,840,160 4,654 4,840,160
30 Betametason krim 0,1% Tube 6,096 8,577,072 - - 6,096 8,577,072
31 Catgut / benang bedah No. 2/0 plain Set 2,088 110,348,712 1,200 56,802,000 3,288 167,150,712
32 Catgut / benang bedah No. 3/0 plain Kotak 1,716 72,138,924 675 35,739,225 2,391 107,878,149
33 Catgut / benang bedah No. 2/0 chromik kotak 408 21,562,392 1,200 65,444,400 1,608 87,006,792
34 Catgut / benang bedah No. 3/0 chromik kotak 384 16,142,976 2,500 140,310,000 2,884 156,452,976
35 Cefixime 200 mg - 107,000 270,603,000 107,000 270,603,000

36 Deksametason injeksi iv 5 mg/ml Ampul - - - - - -
37 Deksametason tablet 0,5 mg Tablet 7,400 340,400 134,000 5,762,000 141,400 6,102,400
38 depakote tab - - - - - -
39 Diazepam tablet 2 mg Tablet 177,900 6,048,600 - - 177,900 6,048,600
40 Difenhidramin injeksi Ampul 5,520 6,811,680 3,000 3,345,000 8,520 10,156,680
41 Digoksin tablet 0,25 mg Tablet - - - - - -
42 Diltiazem tablet 22,600 2,870,200 - - 22,600 2,870,200
43 Doksisiklin kapsul 100 mg Tablet - - - - -
44 Domperidon tablet 10 mg Tablet - - - - -
45 domperidon sirup botol 5,900 18,231,000 5,000 15,525,000 10,900 33,756,000
46 Eritromisin kapsul 250 mg Kapsul - 100,300 58,876,100 100,300 58,876,100
47 Eritromisin sirup kering 200 mg/ 5 ml botol 140 961,380 2,000 12,606,000 2,140 13,567,380
48 Ecolab Hydrex Surgical Scrub 5 lt galon - - 180 177,508,800 180 177,508,800
49 Epinefrin (adrenalin) injeksi 1 mg/ml Ampul - - - - - -
50 Eugeniol botol 2,736 51,997,680 - - 2,736 51,997,680
51 Etanol 70% cairan Botol 944 27,140,000 1,400 40,250,000 2,344 67,390,000
52 kolkisin / rekolfar Tablet 11,640 44,755,800 - - 11,640 44,755,800
53 Fenitoin kapsul kapsul 21,600 3,326,400 - - 21,600 3,326,400
54 Fenitoin Injeksi Ampul 20 160,200 - - 20 160,200
55 Fitamenadion (Vit. K) tablet Tablet - 1,000 721,000 1,000 721,000
56 Fitamenadion (Vit. K) inj ampul 5,310 19,795,680 - - 5,310 19,795,680
57 Furosemida tablet 40 mg Tablet 52,200 4,228,200 - - 52,200 4,228,200
58 Garam oralit I serbuk Sachet - - - - - -
59 Glibenklamida tablet 5 mg Tablet - - - - - -
60 Glipizid tablet 5 mg Tablet - - - - - -
61 Glukosa larutan infus 5 % steril Botol - 5,900 40,710,000 5,900 40,710,000
62 glukonas kalium inj ampul - - - - - -
63 Griseofulvin tablet 125 mg Tablet - 465,000 113,925,000 465,000 113,925,000

64 Hand Rub Antiseptik Botol - - - - - -
65 haloperidol tablet tablet 20,500 1,455,500 - - 20,500 1,455,500
66 Hidroklortiazid tablet 25 mg Tablet 76,500 11,934,000 - - 76,500 11,934,000
67 Hidrokortison krim 2,5% Tube 6,096 16,154,400 3,048 8,046,720 9,144 24,201,120
68 Humases Glucose Test Strips Dus - 106 27,167,800 106 27,167,800
69 Humases Cholesterol Test Strips Dus - 85 46,614,000 85 46,614,000
70 Humases Uric Acid Test Strips Dus - 106 58,808,800 106 58,808,800
71 Human Humasens Plus Unit - 139 117,448,050 139 117,448,050
72 Ibuprofen tablet 200 mg Tablet 60,700 6,555,600 100,000 10,500,000 160,700 17,055,600
73 Ibuprofen tablet 400 mg Tablet 117,800 15,314,000 - - 117,800 15,314,000
74 Ibu Profen Syrup 200 mg / 5 ml Botol - - 11,400 59,177,400 11,400 59,177,400
75 Infus zet dewasa Set - 3,100 20,677,000 3,100 20,677,000
76 Infus zet adult Set - - 2,500 9,117,500 2,500 9,117,500
77 Infuset Anak set 1,500 7,326,000 - - 1,500 7,326,000
78 Isosorbit dinitrat tablet 5 mg Tablet - 60,400 5,617,200 60,400 5,617,200
81 IV Catheter No. 20 G x 32 Buah - - 1,000 5,372,000 1,000 5,372,000
82 Kalsium Laktat tablet 500 mg Tablet 183,400 12,104,400 30,000 1,710,000 213,400 13,814,400
83 Kantong Sampah Lembar - - - - - -
84 Kapas Pembalut 250 mg Rol 7,090 97,487,500 1,800 51,300,000 8,890 148,787,500
85 Kaptopril tablet 12,5 mg Tablet - 225,870 14,003,940 225,870 14,003,940
86 Kaptopril tablet 25 mg Tablet - 355,450 28,791,450 355,450 28,791,450
87 Karbogliserin tetes telinga 10% Botol 478 1,195,000 - - 478 1,195,000
88 Kasa Pembalut Hidrofil 4 m x 10 cm Rol 7,905 19,493,730 20,000 34,800,000 27,905 54,293,730
89 KasaSteril DRC 16 cm X 16 cm (16 pads Box - - 1,800 15,498,000 1,800 15,498,000
90 Kasa hidrofil non sterile 5cm x 4 cm roll - - 20,000 18,000,000 20,000 18,000,000
91 Ketokonazol krim 2% Tube 1,302 3,313,590 2,000 5,192,000 3,302 8,505,590

92 Ketamin injeksi ampul 460 33,451,200 - - 460 33,451,200
93 Klindamisin kapsul 300 mg Kapsul 39,600 24,948,000 - - 39,600 24,948,000
94 Kloramfenikol kapsul 250 mg Kapsul - 184,200 202,620,000 184,200 202,620,000
95 Kloramfenikol Salep kulit tube 5,592 17,838,480 - - 5,592 17,838,480
96 Kloramfenikol suspensi 125 mg / 5 ml Botol 2,000 7,956,000 5,000 24,205,000 7,000 32,161,000
97 Kloramfenikol salep mata tube 2,880 5,178,240 - - 2,880 5,178,240
98 Klorfeniramin maleat tablet 4 mg Tablet 1,251,200 53,801,600 700,000 25,900,000 1,951,200 79,701,600
99 Klorpromazin tablet tablet 1,500 232,500 - - 1,500 232,500
100 Klorpromazin injeksi ampul 2,910 410,310 - - 2,910 410,310
101 Kodein HCl tablet 10 mg Tablet - 86,200 49,737,400 86,200 49,737,400
102 Kotrimoksazol DOEN I tablet 800 mg Tablet 158,000 51,034,000 200,000 64,600,000 358,000 115,634,000
103 Kotrimoksazol DOEN I tablet 480 mg 204,500 31,493,000 500,000 65,500,000 704,500 96,993,000
104 Kotrimoxazol Suspensi Botol 6,000 13,098,000 10,000 23,640,000 16,000 36,738,000
105 Lidokain 2% ampul 100 87,000 - - 100 87,000
106 Lidokain injeksi 2% (HCl) + Epinefrin Ampul 3,450 6,682,650 5,010 10,205,370 8,460 16,888,020
107 Loratadin tablet 10 mg Kaplet - - - - - -
108 Lysol 1 liter Botol 271 12,777,650 1,400 66,010,000 1,671 78,787,650
109 Masker Kotak - 7,928 143,893,200 7,928 143,893,200
110 Metformin HCl tablet 500 mg Tablet - 17,680 1,732,640 17,680 1,732,640
111 Metformin tablet 850 mg Tablet - - - - -
112 Metilergometrin maleat injeksi 0,200 mg/ml Ampul 3,300 8,857,200 - - 3,300 8,857,200
113 Metilergometrin maleat tablet 0,125 mg Tablet - - - - - -
114 Metoklopramida tablet 10 mg Tablet 12,100 1,149,500 200,000 17,400,000 212,100 18,549,500
115 Metronidazol tablet 250 mg Tablet 41,280 3,962,880 - - 41,280 3,962,880
116 Metronidazol tablet 500 mg Tablet 119,000 15,827,000 - - 119,000 15,827,000
117 Metronidazole sirup 125 mg / 5 ml Botol - 2,850 10,830,000 2,850 10,830,000
118 metil prednisolon tablet 31,200 6,302,400 - - 31,200 6,302,400
Multiple Parameter Clinical Chemistry

119 - - - - - -
Test Sys
120 Mikonazol krim / salep 2% (nitrat) Tube 1,728 5,892,480 5,472 147,470,400 7,200 153,362,880
121 Natrium diklofenak tablet 25 mg Tablet - 72,725 10,181,500 72,725 10,181,500
122 Natrium Klorida larutan infus 0,9% Botol 739 4,736,990 1,140 7,307,400 1,879 12,044,390
123 Nifedipin tablet 10 mg Tablet 42,800 4,708,000 55,500 6,105,000 98,300 10,813,000
124 Nistatin tablet 500.000 IU/g Tablet 12,500 9,775,000 6,160 4,946,480 18,660 14,721,480
125 Nistatin vaginal tablet 100.000 IU/g Tablet - 5,790 3,311,880 5,790 3,311,880
126 Obat batuk Hustab p/30 X 10 Tablet - 228,000 58,596,000 228,000 58,596,000
127 Obat batuk syrup Hustab 60 ml Botol - - - -
128 Oksimetazolin tetes hidung 0.025% Botol - - - - -
129 Oksitoksin injeksi 10 IU/ml Ampul 3,200 6,080,000 1,000 1,900,000 4,200 7,980,000
130 Omeprazol injeksi 40 mg / 10 ml Vial 3,293 58,144,501 - - 3,293 58,144,501
131 Omeprazol kapsul 20 mg Kapsul 74,850 12,275,400 210,000 30,240,000 284,850 42,515,400
132 Parasetamol drop 100 mg/ml Botol - - - - - -
133 Parasetamol Sirup 120 mg/ 5 ml Botol 13,930 15,587,670 - - 13,930 15,587,670
134 Parasetamol tablet 500 mg Tablet 502,100 28,619,700 500,000 25,500,000 1,002,100 54,119,700
135 Pemeriksaan Narkoba box - 1 1,584,375 1 1,584,375
136 Permetrin Krim 5% (Scabimite Cream) Tube 4,440 53,968,200 - - 4,440 53,968,200
137 Phenobarbital tablet 30 mg Tablet 235,800 17,449,200 150,000 24,750,000 385,800 42,199,200
138 Piridoksin (vitamin B6) tablet 10 mg (HCl) Tablet - 798,700 99,038,800 798,700 99,038,800
139 Piridoksin (vitamin B6)injeksi ampul 5,400 5,400,000 - - 5,400 5,400,000
140 Plester 5 cm x 500 cm (Pharmafix) Box - 2,473 73,448,100 2,473 73,448,100
141 Povidon Iodida 10% Botol 2,127 13,931,850 11,000 36,685,000 13,127 50,616,850
142 Prednison tablet 5 mg Tablet 271,200 26,035,200 500,000 41,000,000 771,200 67,035,200
143 Probenesid tablet Tablet 104,800 190,736,000 - - 104,800 190,736,000
144 Propanolol tablet 10 mg (HCl) Tablet - 19,600 1,117,200 19,600 1,117,200
145 Propiltiourasil tablet 100 mg Tablet - - - - - -
146 Pyrantel Pamoat tablet 125 mg Tablet 14,900 4,589,200 - - 14,900 4,589,200
147 Ranitidin tablet 150 mg Tablet - 1,199,000 119,900,000 1,199,000 119,900,000
148 Retinol (Vit. A) kapsul 100.000 IU Kapsul 2,450 730,100 - - 2,450 730,100
150 Ringer lactat larutan infus Botol 960 6,864,000 4,420 31,603,000 5,380 38,467,000
151 Risperidon tablet 2 mg Tablet 23,200 11,484,000 50,600 17,558,200 73,800 29,042,200
152 Rivanol 300 cc Botol 2,287 7,890,150 9,100 31,395,000 11,387 39,285,150
153 Safeglove Examination Gloves L Box - 3,250 23,578,750 3,250 23,578,750
154 Safeglove Examination Gloves M Box - 4,309 31,261,795 4,309 31,261,795
155 Salbutamol tablet 2 mg Tablet - 193,950 15,128,100 193,950 15,128,100
157 salep 24 Pot 5,160 13,178,640 3,000 7,962,000 8,160 21,140,640
158 Sefadroksil kapsul 500 mg Kapsul - - - - - -
159 setrijin sirup botol 6,820 19,778,000 5,000 16,000,000 11,820 35,778,000
160 Setirizin tablet /kapsul/kaplet 10mg - - 330,000 31,680,000 330,000 31,680,000
161 Streptomisin inj Ampul 5,992 31,458,000 - - 5,992 31,458,000
162 Sianokobalamin (Vit. B12) injeksi 500 mcg Ampul 15,500 18,104,000 - - 15,500 18,104,000
163 Sianokobalamin (Vit. B12) tablet 50 mg Tablet - 449,700 23,384,400 449,700 23,384,400
164 Silk (benang bedah sutera) No. 2/0 Buah 1,248 49,466,976 2,500 108,572,500 3,748 158,039,476
165 Silk (benang bedah sutera) No. 3/0 Buah 876 34,722,012 - - 876 34,722,012
166 Simvastatin tablet 10 mg Tablet - 209,778 23,704,914 209,778 23,704,914
167 SMI Silk Black 3/0 HR 30 MM Sachet - - 2,500 53,837,500 2,500 53,837,500
168 Siprofloksasin tablet 500 mg Tablet 67,700 19,565,300 300,000 74,100,000 367,700 93,665,300
169 Spironolakton tablet 25 mg Tablet - - - - - -
170 Tablet Anti Diare (New Diaform) Tablet - - - - - -
171 tablet fe Tablet - 173,490 64,191,300 173,490 64,191,300
174 Troge Glove sterile 7.0 pices - - - - -

175 Troge Glove sterile 7.5 pices - 50 362,750 50 362,750
176 Tiamin Tablet 518,900 46,182,100 - - 518,900 46,182,100
177 Vitamin B Komplek tablet Tablet 204,000 24,684,000 500,000 60,500,000 704,000 85,184,000
178 karbohidrat + Elektrolit (D2,5% + KCL Botol - 3,960 45,282,600 3,960 45,282,600
0,15%+
179 ZINC tzblet tablet - - - - - -
180 3 way stopcock buah 1,000 3,219,000 - - 1,000 3,219,000
JUMLAH 6,547,090,053
Kesimpulan :

Dinas Kesehatan Kabupaten Karo Kasi Farmasi Dinas Kesehatan Kabupaten Karo
Eka Karya Lase, AMF Disma Sembiring, SKM

NIP. 19840605 201101 1 011 NIP. 19750131 199503 2 001
Diketahui Oleh,

Kabupaten Karo

NIP. 19640323 199103 2 003
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bupaten Karo
KONDISI
NO NAMA BARANG SATUAN sisa 2016 expired sisa 2017 expired
1 Accuchek strep stik 89

2 accuchek safe t pro uno lancet 5 50
3 Air untuk Injeksi 25 ml botol 5,399
4 Alat Suntik (Syringe) 1 ml Buah 16,200
5 Alat Suntik (Syringe) 3 ml Buah 34,000 90,000
6 Alat Suntik (Syringe) 5 ml Buah 41,000 45,000
7 Albendazol tablet 400 mg Tablet -
8 Alcohol Swab Box - 135
9 Alopurinol tablet 100 mg Tablet 147,800 200,000
10 Aminofilin tablet 200 mg Tablet 22,300
11 Aminofilin inj ampul 2,760
12 Amitrippilin Tablet 24,500
13 Amlodipin tablet 5 mg Tablet 187,440
14 Amoksisilin sirup Kering 125 mg/5 m Botol 4,650
15 Amoksisilin sirup kering forte 250 m Botol -
16 Amoksisilin tablet 500 mg Tablet 575,000
17 Antasida DOEN suspensi Botol -
18 Antasida DOEN tablet kunyah Tablet 477,400 500,000
19 Antifungi DOEN salep Pot 24 3,000
20 antihemaroid tablet 22,800
Asam Asetilsalisilat (asetosal) tablet
21 Tablet 9,200
80 mg (Miniaspi)
22 Asam askorbat (Vitamin C) tablet 50 Tablet 489,200 500,000
23 Asam mefenamat kaplet 500 mg Kaplet 68,700
24 Asiclovir tablet 200 mg Tablet 3,370
25 Asiclovir tablet 400 mg Tablet 45,560
26 Atropin injeksi 0.25 mg/ml Ampul 300 900
27 Attapulgit tablet 600 mg Tablet 130,300
28 Atenolol 50 mg Tablet 17,800
29 Bedak salisil serbuk 2% Kotak 2,954
30 Betametason krim 0,1% Tube 4,652
31 Catgut / benang bedah No. 2/0 plain Set 84 1,200
32 Catgut / benang bedah No. 3/0 plain Kotak 984 675
33 Catgut / benang bedah No. 2/0 chro kotak 408 1,200
34 Catgut / benang bedah No. 3/0 chro kotak 96 2,500

35 Cefixime 200 mg 3,084
36 Deksametason injeksi iv 5 mg/ml Ampul -
37 Deksametason tablet 0,5 mg Tablet 18,600
38 depakote tab -
39 Diazepam tablet 2 mg Tablet 166,400
40 Difenhidramin injeksi Ampul 3,960 3,000
41 Digoksin tablet 0,25 mg Tablet -
42 Diltiazem tablet 19,800
43 Doksisiklin kapsul 100 mg Tablet -
44 Domperidon tablet 10 mg Tablet -
45 domperidon sirup botol 4,400 5,000
46 Eritromisin kapsul 250 mg Kapsul 33,300
47 Eritromisin sirup kering 200 mg/ 5 mbotol 1,960
48 Ecolab Hydrex Surgical Scrub 5 lt galon 106
49 Epinefrin (adrenalin) injeksi 1 mg/ml Ampul -
50 Eugeniol botol 1,980
51 Etanol 70% cairan Botol 609 1,400
52 kolkisin / rekolfar Tablet 7,440
53 Fenitoin kapsul kapsul 21,100
54 Fenitoin Injeksi Ampul -
55 Fitamenadion (Vit. K) tablet Tablet 100
56 Fitamenadion (Vit. K) inj ampul 4,770
57 Furosemida tablet 40 mg Tablet 44,400
58 Garam oralit I serbuk Sachet -
59 Glibenklamida tablet 5 mg Tablet -
60 Glipizid tablet 5 mg Tablet -
61 Glukosa larutan infus 5 % steril Botol 5,360
62 glukonas kalium inj ampul -
63 Griseofulvin tablet 125 mg Tablet 448,200
64 Hand Rub Antiseptik Botol -
65 haloperidol tablet tablet 18,500
66 Hidroklortiazid tablet 25 mg Tablet 66,400
67 Hidrokortison krim 2,5% Tube 3,984 3,048
68 Humases Glucose Test Strips Dus

69 Humases Cholesterol Test Strips Dus
70 Humases Uric Acid Test Strips Dus
71 Human Humasens Plus Unit
72 Ibuprofen tablet 200 mg Tablet 41,500
73 Ibuprofen tablet 400 mg Tablet 22,100
74 Ibu Profen Syrup 200 mg / 5 ml Botol 11,100
75 Infus zet dewasa Set 3,000
76 Infus zet adult Set - 2,500
77 Infuset Anak set 1,350
78 Isosorbit dinitrat tablet 5 mg Tablet 54,300
79 IV Catheter No. 18 G x 32 Buah 3,650 1,500
80 IV Catheter No. 20 G x 32 Buah 1,600 1,500
81 IV Catheter No. 20 G x 32 Buah - 1,000
82 Kalsium Laktat tablet 500 mg Tablet 86,700 30,000
83 Kantong Sampah Lembar -
84 Kapas Pembalut 250 mg Rol 5,135 1,800
85 Kaptopril tablet 12,5 mg Tablet 171,770
86 Kaptopril tablet 25 mg Tablet 308,750
87 Karbogliserin tetes telinga 10% Botol -
88 Kasa Pembalut Hidrofil 4 m x 10 cm Rol 4,800 20,000
89 KasaSteril DRC 16 cm X 16 cm (16 paBox - 1,800
90 Kasa hidrofil non sterile 5cm x 4 cm roll - 20,000
91 Ketokonazol krim 2% Tube 325 2,000
92 Ketamin injeksi ampul 170
93 Klindamisin kapsul 300 mg Kapsul 27,200
94 Kloramfenikol kapsul 250 mg Kapsul 158,800
95 Kloramfenikol Salep kulit tube 2,088
96 Kloramfenikol suspensi 125 mg / 5 mBotol 1,250 5,000
97 Kloramfenikol salep mata tube 2,352
98 Klorfeniramin maleat tablet 4 mg Tablet 1,036,000 700,000
99 Klorpromazin tablet tablet 1,200
100 Klorpromazin injeksi ampul 2,910
101 Kodein HCl tablet 10 mg Tablet 69,000
102 Kotrimoksazol DOEN I tablet 800 mg Tablet 139,000 200,000

103 Kotrimoksazol DOEN I tablet 480 mg 136,500 500,000
104 Kotrimoxazol Suspensi Botol 4,100 10,000
105 Lidokain 2% ampul -
106 Lidokain injeksi 2% (HCl) + Epinefrin Ampul 2,280 5,010
107 Loratadin tablet 10 mg Kaplet -
108 Lysol 1 liter Botol 1,301
109 Masker Kotak 6,562
110 Metformin HCl tablet 500 mg Tablet
111 Metformin tablet 850 mg Tablet -
112 Metilergometrin maleat injeksi 0,200 Ampul 3,000
113 Metilergometrin maleat tablet 0,125 Tablet -
114 Metoklopramida tablet 10 mg Tablet 163,100
115 Metronidazol tablet 250 mg Tablet 21,000
116 Metronidazol tablet 500 mg Tablet 47,300
117 Metronidazole sirup 125 mg / 5 ml Botol - 2,850
118 metil prednisolon tablet -
Multiple Parameter Clinical
119 -
Chemistry Test Sys
120 Mikonazol krim / salep 2% (nitrat) Tube 576 5,472
121 Natrium diklofenak tablet 25 mg Tablet 42,725
122 Natrium Klorida larutan infus 0,9% Botol 19 1,140
123 Nifedipin tablet 10 mg Tablet 28,300 55,500
124 Nistatin tablet 500.000 IU/g Tablet
125 Nistatin vaginal tablet 100.000 IU/g Tablet 3,480
126 Obat batuk Hustab p/30 X 10 Tablet 154,500
127 Obat batuk syrup Hustab 60 ml Botol -
128 Oksimetazolin tetes hidung 0.025% Botol -
129 Oksitoksin injeksi 10 IU/ml Ampul 2,600 1,000
130 Omeprazol injeksi 40 mg / 10 ml Vial -
131 Omeprazol kapsul 20 mg Kapsul 10,700 210,000
132 Parasetamol drop 100 mg/ml Botol -
133 Parasetamol Sirup 120 mg/ 5 ml Botol 10,430
134 Parasetamol tablet 500 mg Tablet 255,900 500,000
135 Pemeriksaan Narkoba box - 1

136 Permetrin Krim 5% (Scabimite Cream)Tube 2,100
137 Phenobarbital tablet 30 mg Tablet 228,000 150,000
138 Piridoksin (vitamin B6) tablet 10 mg ( Tablet 701,400
139 Piridoksin (vitamin B6)injeksi ampul 5,300
140 Plester 5 cm x 500 cm (Pharmafix) Box 1,853
141 Povidon Iodida 10% Botol 1,408 11,000
142 Prednison tablet 5 mg Tablet 169,200 500,000
143 Probenesid tablet Tablet 96,800
144 Propanolol tablet 10 mg (HCl) Tablet 19,400
145 Propiltiourasil tablet 100 mg Tablet -
146 Pyrantel Pamoat tablet 125 mg Tablet 8,600
147 Ranitidin tablet 150 mg Tablet 1,066,300
148 Retinol (Vit. A) kapsul 100.000 IU Kapsul 2,450
149 Retinol (Vit. A) kapsul 200.000 IU Kapsul 8,959
150 Ringer lactat larutan infus Botol 40 4,420
151 Risperidon tablet 2 mg Tablet 21,700 50,600
152 Rivanol 300 cc Botol 1,543 9,100
153 Safeglove Examination Gloves L Box 2,250
154 Safeglove Examination Gloves M Box 2,250
155 Salbutamol tablet 2 mg Tablet 161,450
156 Salbutamol tablet 4 mg Tablet 78,500 200,000
157 salep 24 Pot 2,340 3,000
158 Sefadroksil kapsul 500 mg Kapsul -
159 setrijin sirup botol 5,000
160 Setirizin tablet /kapsul/kaplet 10mg 327,900
161 Streptomisin inj Ampul 5,880
162 Sianokobalamin (Vit. B12) injeksi 50 Ampul 15,500
163 Sianokobalamin (Vit. B12) tablet 50 Tablet 384,700
164 Silk (benang bedah sutera) No. 2/0 Buah 1,056 2,500
165 Silk (benang bedah sutera) No. 3/0 Buah 564
166 Simvastatin tablet 10 mg Tablet 186,918
167 SMI Silk Black 3/0 HR 30 MM Sachet - 2,500
168 Siprofloksasin tablet 500 mg Tablet 9,000 300,000
169 Spironolakton tablet 25 mg Tablet -

170 Tablet Anti Diare (New Diaform) Tablet -
171 tablet fe Tablet 138,230
172 Tetrasiklin kapsul 250 mg Kapsul 87,400 250,000
173 Tetrasiklin kapsul 500 mg Kapsul 91,600 400,000
174 Troge Glove sterile 7.0 pices -
175 Troge Glove sterile 7.5 pices
176 Tiamin Tablet 337,200
177 Vitamin B Komplek tablet Tablet 99,400 500,000
178 karbohidrat + Elektrolit (D2,5% + Botol 3,360
KCL 0,15%+
179 ZINC tzblet tablet -
180 3 way stopcock buah 900
NO NAMA BARANG SATUAN harga 2016 harga 2017 sisa 2016 harga sisa 2017 harga JUMLAH harga sisa maret 2018
1 Accuchek strep stik 420,000 420,000 - 92 38,640,000 92 38,640,000 92

2 accuchek safe t pro uno lancet 127,050 127,050 15 1,905,750 50 6,352,500 65 8,258,250 65
3 Air untuk Injeksi 25 ml botol 2,750 2,750 6,839 18,807,250 - - 6,839 18,807,250 6,839
4 Alat Suntik (Syringe) 1 ml Buah 846 744 500 423,000 17,100 12,722,400 17,600 13,145,400 17,600
5 Alat Suntik (Syringe) 3 ml Buah 876 750 40,900 35,828,400 90,000 67,500,000 130,900 103,328,400 130,900
6 Alat Suntik (Syringe) 5 ml Buah 931 893 45,000 41,895,000 45,000 40,185,000 90,000 82,080,000 90,000
7 Albendazol tablet 400 mg Tablet 313 313 14,860 4,651,180 - - 14,860 4,651,180 14,860
8 Alcohol Swab Box 206 35,631 19,870 4,093,220 135 4,810,185 20,005 8,903,405 20,005
9 Alopurinol tablet 100 mg Tablet 93 108 209,500 19,483,500 200,000 21,600,000 409,500 41,083,500 409,500
10 Aminofilin tablet 200 mg Tablet 92 - 22,900 2,106,800 22,900 2,106,800 22,900
11 Aminofilin inj ampul 3,349 3,349 2,790 9,343,710 - - 2,790 9,343,710 2,790
12 Amitrippilin Tablet 150 150 25,900 3,885,000 - - 25,900 3,885,000 25,900
13 Amlodipin tablet 5 mg Tablet 105 88 - 248,290 21,849,520 248,290 21,849,520 248,290
14 Amoksisilin sirup Kering 125 mg/5 mBotol 2,152 1,920 - 8,202 15,747,840 8,202 15,747,840 8,202
15 Amoksisilin sirup kering forte 250 m Botol 3,949 3,949 3,000 11,847,000 - - 3,000 11,847,000 3,000
16 Amoksisilin tablet 500 mg Tablet 233 191 - 826,300 157,823,300 826,300 157,823,300 826,300
17 Antasida DOEN suspensi Botol 2,065 1,962 2,500 5,162,500 - - 2,500 5,162,500 2,500
18 Antasida DOEN tablet kunyah Tablet 63 59 689,700 43,451,100 500,000 29,500,000 1,189,700 72,951,100 1,189,700
19 Antifungi DOEN salep Pot 4,366 4,540 768 3,353,088 3,000 13,620,000 3,768 16,973,088 3,768
20 antihemaroid tablet 3,197 3,197 23,900 76,408,300 - - 23,900 76,408,300 23,900
21 Tablet 118 94 16,900 1,994,200 - - 16,900 1,994,200 16,900
80 mg (Miniaspi)
22 Asam askorbat (Vitamin C) tablet 50 Tablet 109 109 606,300 66,086,700 500,000 54,500,000 1,106,300 120,586,700 1,106,300
23 Asam mefenamat kaplet 500 mg Kaplet 112 102 - 221,300 22,572,600 221,300 22,572,600 221,300
24 Asiclovir tablet 200 mg Tablet 264 245 4,400 1,161,600 9,570 2,344,650 13,970 3,506,250 13,970
25 Asiclovir tablet 400 mg Tablet 359 380 3,200 1,148,800 46,860 17,806,800 50,060 18,955,600 50,060
26 Atropin injeksi 0.25 mg/ml Ampul 1,672 1,540 500 836,000 900 1,386,000 1,400 2,222,000 1,400
27 Attapulgit tablet 600 mg Tablet 210 152 - 161,500 24,548,000 161,500 24,548,000 161,500
28 Atenolol 50 mg Tablet 330 330 26,100 8,613,000 - - 26,100 8,613,000 26,100
29 Bedak salisil serbuk 2% Kotak 1,046 1,040 - 4,654 4,840,160 4,654 4,840,160 4,654
30 Betametason krim 0,1% Tube 1,407 1,407 6,096 8,577,072 - - 6,096 8,577,072 6,096
31 Catgut / benang bedah No. 2/0 plain Set 52,849 47,335 2,088 110,348,712 1,200 56,802,000 3,288 167,150,712 3,288
32 Catgut / benang bedah No. 3/0 plain Kotak 42,039 52,947 1,716 72,138,924 675 35,739,225 2,391 107,878,149 2,391
33 Catgut / benang bedah No. 2/0 chro kotak 52,849 54,537 408 21,562,392 1,200 65,444,400 1,608 87,006,792 1,608
34 Catgut / benang bedah No. 3/0 chro kotak 42,039 56,124 384 16,142,976 2,500 140,310,000 2,884 156,452,976 2,884
35 Cefixime 200 mg 2,529 - 107,000 270,603,000 107,000 270,603,000 107,000
36 Deksametason injeksi iv 5 mg/ml Ampul - - - - - - -
37 Deksametason tablet 0,5 mg Tablet 46 43 7,400 340,400 134,000 5,762,000 141,400 6,102,400 141,400
38 depakote tab 2,990 2,990 - - - - - - -
39 Diazepam tablet 2 mg Tablet 34 105 177,900 6,048,600 - - 177,900 6,048,600 177,900
40 Difenhidramin injeksi Ampul 1,234 1,115 5,520 6,811,680 3,000 3,345,000 8,520 10,156,680 8,520
41 Digoksin tablet 0,25 mg Tablet 100 100 - - - - - - -
42 Diltiazem tablet 127 127 22,600 2,870,200 - - 22,600 2,870,200 22,600
43 Doksisiklin kapsul 100 mg Tablet 282 273 - - - - - -
44 Domperidon tablet 10 mg Tablet 118 118 - - - - - -
45 domperidon sirup botol 3,090 3,105 5,900 18,231,000 5,000 15,525,000 10,900 33,756,000 10,900
46 Eritromisin kapsul 250 mg Kapsul 594 587 - 100,300 58,876,100 100,300 58,876,100 100,300
47 Eritromisin sirup kering 200 mg/ 5 mbotol 6,867 6,303 140 961,380 2,000 12,606,000 2,140 13,567,380 2,140
48 Ecolab Hydrex Surgical Scrub 5 lt galon 986,160 - - 180 177,508,800 180 177,508,800 180
49 Epinefrin (adrenalin) injeksi 1 mg/ml Ampul 8,505 8,505 - - - - - - -
50 Eugeniol botol 19,005 19,005 2,736 51,997,680 - - 2,736 51,997,680 2,736
51 Etanol 70% cairan Botol 28,750 28,750 944 27,140,000 1,400 40,250,000 2,344 67,390,000 2,344
52 kolkisin / rekolfar Tablet 3,845 3,845 11,640 44,755,800 - - 11,640 44,755,800 11,640
53 Fenitoin kapsul kapsul 154 154 21,600 3,326,400 - - 21,600 3,326,400 21,600
54 Fenitoin Injeksi Ampul 8,010 8,010 20 160,200 - - 20 160,200 20
55 Fitamenadion (Vit. K) tablet Tablet 726 721 - 1,000 721,000 1,000 721,000 1,000
56 Fitamenadion (Vit. K) inj ampul 3,728 3,728 5,310 19,795,680 - - 5,310 19,795,680 5,310
57 Furosemida tablet 40 mg Tablet 81 81 52,200 4,228,200 - - 52,200 4,228,200 52,200
58 Garam oralit I serbuk Sachet - - - - - - -
59 Glibenklamida tablet 5 mg Tablet - - - - - - -
60 Glipizid tablet 5 mg Tablet 3,000 3,000 - - - - - - -
61 Glukosa larutan infus 5 % steril Botol 6,900 6,900 - 5,900 40,710,000 5,900 40,710,000 5,900
62 glukonas kalium inj ampul - - - - - - - -
63 Griseofulvin tablet 125 mg Tablet 245 - 465,000 113,925,000 465,000 113,925,000 465,000
64 Hand Rub Antiseptik Botol 63,800 63,800 - - - - - - -
65 haloperidol tablet tablet 71 71 20,500 1,455,500 - - 20,500 1,455,500 20,500
66 Hidroklortiazid tablet 25 mg Tablet 156 156 76,500 11,934,000 - - 76,500 11,934,000 76,500
67 Hidrokortison krim 2,5% Tube 2,650 2,640 6,096 16,154,400 3,048 8,046,720 9,144 24,201,120 9,144
68 Humases Glucose Test Strips Dus 256,300 - 106 27,167,800 106 27,167,800 106
69 Humases Cholesterol Test Strips Dus 548,400 - 85 46,614,000 85 46,614,000 85
70 Humases Uric Acid Test Strips Dus 554,800 - 106 58,808,800 106 58,808,800 106
71 Human Humasens Plus Unit 844,950 - 139 117,448,050 139 117,448,050 139
72 Ibuprofen tablet 200 mg Tablet 108 105 60,700 6,555,600 100,000 10,500,000 160,700 17,055,600 160,700
73 Ibuprofen tablet 400 mg Tablet 130 112 117,800 15,314,000 - - 117,800 15,314,000 117,800
74 Ibu Profen Syrup 200 mg / 5 ml Botol 5,191 - - 11,400 59,177,400 11,400 59,177,400 11,400
75 Infus zet dewasa Set 4,551 6,670 - 3,100 20,677,000 3,100 20,677,000 3,100
76 Infus zet adult Set 3,647 - - 2,500 9,117,500 2,500 9,117,500 2,500
77 Infuset Anak set 4,884 4,884 1,500 7,326,000 - - 1,500 7,326,000 1,500
78 Isosorbit dinitrat tablet 5 mg Tablet 93 93 - 60,400 5,617,200 60,400 5,617,200 60,400
79 IV Catheter No. 18 G x 32 Buah 7,560 13,894 4,100 30,996,000 1,500 20,841,000 5,600 51,837,000 5,600
80 IV Catheter No. 20 G x 32 Buah 7,560 13,894 1,600 12,096,000 1,500 20,841,000 3,100 32,937,000 3,100
81 IV Catheter No. 20 G x 32 Buah 5,372 - - 1,000 5,372,000 1,000 5,372,000 1,000
82 Kalsium Laktat tablet 500 mg Tablet 66 57 183,400 12,104,400 30,000 1,710,000 213,400 13,814,400 213,400
83 Kantong Sampah Lembar - - - - - - -
84 Kapas Pembalut 250 mg Rol 13,750 28,500 7,090 97,487,500 1,800 51,300,000 8,890 148,787,500 8,890
85 Kaptopril tablet 12,5 mg Tablet 62 - 225,870 14,003,940 225,870 14,003,940 225,870
86 Kaptopril tablet 25 mg Tablet 81 - 355,450 28,791,450 355,450 28,791,450 355,450
87 Karbogliserin tetes telinga 10% Botol 2,500 2,500 478 1,195,000 - - 478 1,195,000 478
88 Kasa Pembalut Hidrofil 4 m x 10 cm Rol 2,466 1,740 7,905 19,493,730 20,000 34,800,000 27,905 54,293,730 27,905
89 KasaSteril DRC 16 cm X 16 cm (16 paBox 8,610 - - 1,800 15,498,000 1,800 15,498,000 1,800
90 Kasa hidrofil non sterile 5cm x 4 cm roll 900 - - 20,000 18,000,000 20,000 18,000,000 20,000
91 Ketokonazol krim 2% Tube 2,545 2,596 1,302 3,313,590 2,000 5,192,000 3,302 8,505,590 3,302
92 Ketamin injeksi ampul 72,720 72,720 460 33,451,200 - - 460 33,451,200 460
93 Klindamisin kapsul 300 mg Kapsul 630 630 39,600 24,948,000 - - 39,600 24,948,000 39,600
94 Kloramfenikol kapsul 250 mg Kapsul 302 1,100 - 184,200 202,620,000 184,200 202,620,000 184,200
95 Kloramfenikol Salep kulit tube 3,190 3,190 5,592 17,838,480 - - 5,592 17,838,480 5,592
96 Kloramfenikol suspensi 125 mg / 5 mBotol 3,978 4,841 2,000 7,956,000 5,000 24,205,000 7,000 32,161,000 7,000
97 Kloramfenikol salep mata tube 1,798 1,798 2,880 5,178,240 - - 2,880 5,178,240 2,880
98 Klorfeniramin maleat tablet 4 mg Tablet 43 37 1,251,200 53,801,600 700,000 25,900,000 1,951,200 79,701,600 1,951,200
99 Klorpromazin tablet tablet 155 155 1,500 232,500 - - 1,500 232,500 1,500
100 Klorpromazin injeksi ampul 141 141 2,910 410,310 - - 2,910 410,310 2,910
101 Kodein HCl tablet 10 mg Tablet 575 577 - 86,200 49,737,400 86,200 49,737,400 86,200
102 Kotrimoksazol DOEN I tablet 800 mg Tablet 323 323 158,000 51,034,000 200,000 64,600,000 358,000 115,634,000 358,000
103 Kotrimoksazol DOEN I tablet 480 mg 154 131 204,500 31,493,000 500,000 65,500,000 704,500 96,993,000 704,500
104 Kotrimoxazol Suspensi Botol 2,183 2,364 6,000 13,098,000 10,000 23,640,000 16,000 36,738,000 16,000
105 Lidokain 2% ampul 870 1,169 100 87,000 - - 100 87,000 100
106 Lidokain injeksi 2% (HCl) + Epinefrin Ampul 1,937 2,037 3,450 6,682,650 5,010 10,205,370 8,460 16,888,020 8,460
107 Loratadin tablet 10 mg Kaplet 139 139 - - - - - - -
108 Lysol 1 liter Botol 47,150 47,150 271 12,777,650 1,400 66,010,000 1,671 78,787,650 1,671
109 Masker Kotak 25,131 18,150 - 7,928 143,893,200 7,928 143,893,200 7,928
110 Metformin HCl tablet 500 mg Tablet 108 98 - 17,680 1,732,640 17,680 1,732,640 17,680
111 Metformin tablet 850 mg Tablet 205 205 - - - - - -
112 Metilergometrin maleat injeksi 0,200 Ampul 2,684 2,684 3,300 8,857,200 - - 3,300 8,857,200 3,300
113 Metilergometrin maleat tablet 0,125 Tablet - - - - - - -
114 Metoklopramida tablet 10 mg Tablet 95 87 12,100 1,149,500 200,000 17,400,000 212,100 18,549,500 212,100
115 Metronidazol tablet 250 mg Tablet 96 92 41,280 3,962,880 - - 41,280 3,962,880 41,280
116 Metronidazol tablet 500 mg Tablet 133 114 119,000 15,827,000 - - 119,000 15,827,000 119,000
117 Metronidazole sirup 125 mg / 5 ml Botol 3,800 3,800 - 2,850 10,830,000 2,850 10,830,000 2,850
118 metil prednisolon tablet 202 202 31,200 6,302,400 - - 31,200 6,302,400 31,200
119 844,950 - - - - - - -
Chemistry Test Sys
120 Mikonazol krim / salep 2% (nitrat) Tube 3,410 26,950 1,728 5,892,480 5,472 147,470,400 7,200 153,362,880 7,200
121 Natrium diklofenak tablet 25 mg Tablet 157 140 - 72,725 10,181,500 72,725 10,181,500 72,725
122 Natrium Klorida larutan infus 0,9% Botol 6,410 6,410 739 4,736,990 1,140 7,307,400 1,879 12,044,390 1,879
123 Nifedipin tablet 10 mg Tablet 110 110 42,800 4,708,000 55,500 6,105,000 98,300 10,813,000 98,300
124 Nistatin tablet 500.000 IU/g Tablet 782 803 12,500 9,775,000 6,160 4,946,480 18,660 14,721,480 18,660
125 Nistatin vaginal tablet 100.000 IU/g Tablet 427 572 - 5,790 3,311,880 5,790 3,311,880 5,790
126 Obat batuk Hustab p/30 X 10 Tablet 257 - 228,000 58,596,000 228,000 58,596,000 228,000
127 Obat batuk syrup Hustab 60 ml Botol 11,550 - - - - -
128 Oksimetazolin tetes hidung 0.025% Botol 31,500 32,900 - - - - - -
129 Oksitoksin injeksi 10 IU/ml Ampul 1,900 1,900 3,200 6,080,000 1,000 1,900,000 4,200 7,980,000 4,200
130 Omeprazol injeksi 40 mg / 10 ml Vial 17,657 17,657 3,293 58,144,501 - - 3,293 58,144,501 3,293
131 Omeprazol kapsul 20 mg Kapsul 164 144 74,850 12,275,400 210,000 30,240,000 284,850 42,515,400 284,850
132 Parasetamol drop 100 mg/ml Botol 5,460 5,460 - - - - - - -
133 Parasetamol Sirup 120 mg/ 5 ml Botol 1,119 1,119 13,930 15,587,670 - - 13,930 15,587,670 13,930
134 Parasetamol tablet 500 mg Tablet 57 51 502,100 28,619,700 500,000 25,500,000 1,002,100 54,119,700 1,002,100
135 Pemeriksaan Narkoba box 1,375,000 1,584,375 - 1 1,584,375 1 1,584,375 1
136 Permetrin Krim 5% (Scabimite Cream)Tube 12,155 12,155 4,440 53,968,200 - - 4,440 53,968,200 4,440
137 Phenobarbital tablet 30 mg Tablet 74 165 235,800 17,449,200 150,000 24,750,000 385,800 42,199,200 385,800
138 Piridoksin (vitamin B6) tablet 10 mg ( Tablet 124 124 - 798,700 99,038,800 798,700 99,038,800 798,700
139 Piridoksin (vitamin B6)injeksi ampul 1,000 1,000 5,400 5,400,000 - - 5,400 5,400,000 5,400
140 Plester 5 cm x 500 cm (Pharmafix) Box 29,686 29,700 - 2,473 73,448,100 2,473 73,448,100 2,473
141 Povidon Iodida 10% Botol 6,550 3,335 2,127 13,931,850 11,000 36,685,000 13,127 50,616,850 13,127
142 Prednison tablet 5 mg Tablet 96 82 271,200 26,035,200 500,000 41,000,000 771,200 67,035,200 771,200
143 Probenesid tablet Tablet 1,820 1,820 104,800 190,736,000 - - 104,800 190,736,000 104,800
144 Propanolol tablet 10 mg (HCl) Tablet 79 57 - 19,600 1,117,200 19,600 1,117,200 19,600
145 Propiltiourasil tablet 100 mg Tablet - - - - - - -
146 Pyrantel Pamoat tablet 125 mg Tablet 308 308 14,900 4,589,200 - - 14,900 4,589,200 14,900
147 Ranitidin tablet 150 mg Tablet 115 100 - 1,199,000 119,900,000 1,199,000 119,900,000 1,199,000
148 Retinol (Vit. A) kapsul 100.000 IU Kapsul 298 298 2,450 730,100 - - 2,450 730,100 2,450
149 Retinol (Vit. A) kapsul 200.000 IU Kapsul 574 574 8,959 5,142,466 - - 8,959 5,142,466 8,959
150 Ringer lactat larutan infus Botol 7,150 7,150 960 6,864,000 4,420 31,603,000 5,380 38,467,000 5,380
151 Risperidon tablet 2 mg Tablet 495 347 23,200 11,484,000 50,600 17,558,200 73,800 29,042,200 73,800
152 Rivanol 300 cc Botol 3,450 3,450 2,287 7,890,150 9,100 31,395,000 11,387 39,285,150 11,387
153 Safeglove Examination Gloves L Box 39,182 7,255 - 3,250 23,578,750 3,250 23,578,750 3,250
154 Safeglove Examination Gloves M Box 39,182 7,255 - 4,309 31,261,795 4,309 31,261,795 4,309
155 Salbutamol tablet 2 mg Tablet 67 78 - 193,950 15,128,100 193,950 15,128,100 193,950
156 Salbutamol tablet 4 mg Tablet 83 80 78,500 6,515,500 200,000 16,000,000 278,500 22,515,500 278,500
157 salep 24 Pot 2,554 2,654 5,160 13,178,640 3,000 7,962,000 8,160 21,140,640 8,160
158 Sefadroksil kapsul 500 mg Kapsul - - - - - - -
159 setrijin sirup botol 2,900 3,200 6,820 19,778,000 5,000 16,000,000 11,820 35,778,000 11,820
160 Setirizin tablet /kapsul/kaplet 10mg 96 - - 330,000 31,680,000 330,000 31,680,000 330,000
161 Streptomisin inj Ampul 5,250 5,250 5,992 31,458,000 - - 5,992 31,458,000 5,992
162 Sianokobalamin (Vit. B12) injeksi 50 Ampul 1,168 1,168 15,500 18,104,000 - - 15,500 18,104,000 15,500
163 Sianokobalamin (Vit. B12) tablet 50 Tablet 52 - 449,700 23,384,400 449,700 23,384,400 449,700
164 Silk (benang bedah sutera) No. 2/0 Buah 39,637 43,429 1,248 49,466,976 2,500 108,572,500 3,748 158,039,476 3,748
165 Silk (benang bedah sutera) No. 3/0 Buah 39,637 21,535 876 34,722,012 - - 876 34,722,012 876
166 Simvastatin tablet 10 mg Tablet 133 113 - 209,778 23,704,914 209,778 23,704,914 209,778
167 SMI Silk Black 3/0 HR 30 MM Sachet 21,535 - - 2,500 53,837,500 2,500 53,837,500 2,500
168 Siprofloksasin tablet 500 mg Tablet 289 247 67,700 19,565,300 300,000 74,100,000 367,700 93,665,300 367,700
169 Spironolakton tablet 25 mg Tablet 320 320 - - - - - - -
170 Tablet Anti Diare (New Diaform) Tablet - - - - - - -
171 tablet fe Tablet 370 - 173,490 64,191,300 173,490 64,191,300 173,490
172 Tetrasiklin kapsul 250 mg Kapsul 168 174 117,200 19,689,600 250,000 43,500,000 367,200 63,189,600 367,200
173 Tetrasiklin kapsul 500 mg Kapsul 319 319 123,800 39,492,200 400,000 127,600,000 523,800 167,092,200 523,800
174 Troge Glove sterile 7.0 pices 7,255.0 - - - - - -
175 Troge Glove sterile 7.5 pices 7,255.0 - 50 362,750 50 362,750 50
176 Tiamin Tablet 89 84 518,900 46,182,100 - - 518,900 46,182,100 518,900
177 Vitamin B Komplek tablet Tablet 121 121 204,000 24,684,000 500,000 60,500,000 704,000 85,184,000 704,000
178 karbohidrat + Elektrolit (D2,5% + Botol 11,435 - 3,960 45,282,600 3,960 45,282,600 3,960
KCL 0,15%+
179 ZINC tzblet tablet - - - - - - -
180 3 way stopcock buah 3,219 3,219 1,000 3,219,000 - - 1,000 3,219,000 1,000
total
pengeluaran pengeluaran
pengeluaran harga harga sisa 2016 harga sisa 2017 harga jumlah
2016 2017
bulan 4,5,6
3 - 3 1,260,000 - 89 37,380,000 89
10 10 1,270,500 - - 5 635,250 50 6,352,500 55
1,440 1,440 3,960,000 - - 5,399 14,847,250 - 5,399
1,400 500 423,000 900 669,600 - 16,200 12,052,800 16,200
6,900 6,900 6,044,400 - - 34,000 29,784,000 90,000 67,500,000 124,000
4,000 4,000 3,724,000 - - 41,000 38,171,000 45,000 40,185,000 86,000
14,860 14,860 4,651,180 - - - - - -
19,870 19,870 4,093,220 - - - - 135 4,810,185 135
61,700 61,700 5,738,100 - - 147,800 13,745,400 200,000 21,600,000 347,800
600 - 600 55,200 - 22,300 2,051,600 22,300
30 30 100,470 - - 2,760 9,243,240 - 2,760
1,400 1,400 210,000 - - 24,500 3,675,000 - 24,500
60,850 - 60,850 5,354,800 - 187,440 16,494,720 187,440
3,552 - 3,552 6,819,840 - 4,650 8,928,000 4,650
3,000 3,000 11,847,000 - - - - - -
251,300 - 251,300 47,998,300 - 575,000 109,825,000 575,000
2,500 2,500 5,162,500 - - - - - -
212,300 212,300 13,374,900 - - 477,400 30,076,200 500,000 29,500,000 977,400
744 744 3,248,304 - - 24 104,784 3,000 13,620,000 3,024
1,100 1,100 3,516,700 - - 22,800 72,891,600 - 22,800
7,700 7,700 908,600 - - 9,200 1,085,600 - 9,200
117,100 117,100 12,763,900 - - 489,200 53,322,800 500,000 54,500,000 989,200

152,600 - 152,600 15,565,200 - 68,700 7,007,400 68,700
10,600 4,400 1,161,600 6,200 1,519,000 - 3,370 825,650 3,370
4,500 3,200 1,148,800 1,300 494,000 - 45,560 17,312,800 45,560
200 200 334,400 - 300 501,600 900 1,386,000 1,200
31,200 - 31,200 4,742,400 - 130,300 19,805,600 130,300
8,300 8,300 2,739,000 - 17,800 5,874,000 - 17,800
1,700 - 1,700 1,768,000 - 2,954 3,072,160 2,954
1,444 1,444 2,031,708 - 4,652 6,545,364 - 4,652
2,004 2,004 105,909,396 - 84 4,439,316 1,200 56,802,000 1,284
732 732 30,772,548 - 984 41,366,376 675 35,739,225 1,659
- - - 408 21,562,392 1,200 65,444,400 1,608
288 288 12,107,232 - 96 4,035,744 2,500 140,310,000 2,596
103,916 - 103,916 262,803,564 - 3,084 7,799,436 3,084
- - - - - - - - -
122,800 7,400 340,400 115,400 4,962,200 - 18,600 799,800 18,600
- - - - - - - - -
11,500 11,500 391,000 - 166,400 5,657,600 - 166,400
1,560 1,560 1,925,040 - 3,960 4,886,640 3,000 3,345,000 6,960
- - - - - - - - -
2,800 2,800 355,600 - 19,800 2,514,600 - 19,800
- - - - - - - - -
- - - - - - - - -
1,500 1,500 4,635,000 - 4,400 13,596,000 5,000 15,525,000 9,400
67,000 - 67,000 39,329,000 - 33,300 19,547,100 33,300
total
2016 2017
bulan 4,5,6
180 140 961,380 40 252,120 - 1,960 12,353,880 1,960

74 - 74 72,975,840 - 106 104,532,960 106
- - - - - - - - -
756 756 14,367,780 - 1,980 37,629,900 - 1,980
335 335 9,631,250 - 609 17,508,750 1,400 40,250,000 2,009
4,200 4,200 16,149,000 - 7,440 28,606,800 - 7,440
500 500 77,000 - 21,100 3,249,400 - 21,100
20 20 160,200 - - - - -
900 - 900 648,900 - 100 72,100 100
540 540 2,013,120 - 4,770 17,782,560 - 4,770
7,800 7,800 631,800 - 44,400 3,596,400 - 44,400
- - - - - - - -
- - - - - - - -
- - - - - - - -
540 - 540 3,726,000 - 5,360 36,984,000 5,360
- - - - - - - -
16,800 - 16,800 4,116,000 - 448,200 109,809,000 448,200
- - - - - - - -
2,000 2,000 142,000 - 18,500 1,313,500 - 18,500
10,100 10,100 1,575,600 - 66,400 10,358,400 - 66,400
2,112 2,112 5,596,800 - 3,984 10,557,600 3,048 8,046,720 7,032
106 - 106 27,167,800 - - -
85 - 85 46,614,000 - - -
106 - 106 58,808,800 - - -
139 - 139 117,448,050 - - -
119,200 60,700 6,555,600 58,500 6,142,500 - 41,500 4,357,500 41,500
95,700 95,700 12,441,000 - 22,100 2,873,000 - 22,100
300 - 300 1,557,300 - 11,100 57,620,100 11,100
100 - 100 667,000 - 3,000 20,010,000 3,000
- - - - - - 2,500 9,117,500 2,500
150 150 732,600 - 1,350 6,593,400 - 1,350
6,100 - 6,100 567,300 - 54,300 5,049,900 54,300
450 450 3,402,000 - 3,650 27,594,000 1,500 20,841,000 5,150
- - - 1,600 12,096,000 1,500 20,841,000 3,100
- - - - - - 1,000 5,372,000 1,000
96,700 96,700 6,382,200 - 86,700 5,722,200 30,000 1,710,000 116,700
- - - - - - - -
1,955 1,955 26,881,250 - 5,135 70,606,250 1,800 51,300,000 6,935
54,100 - 54,100 3,354,200 - 171,770 10,649,740 171,770
46,700 - 46,700 3,782,700 - 308,750 25,008,750 308,750
478 478 1,195,000 - - - - -
3,105 3,105 7,656,930 - 4,800 11,836,800 20,000 34,800,000 24,800
- - - - - - 1,800 15,498,000 1,800
- - - - - - 20,000 18,000,000 20,000
977 977 2,486,465 - 325 827,125 2,000 5,192,000 2,325
290 290 21,088,800 - 170 12,362,400 - 170
12,400 12,400 7,812,000 - 27,200 17,136,000 - 27,200
total
2016 2017
bulan 4,5,6
25,400 - 25,400 27,940,000 - 158,800 174,680,000 158,800

3,504 3,504 11,177,760 - 2,088 6,660,720 - 2,088
750 750 2,983,500 - 1,250 4,972,500 5,000 24,205,000 6,250
528 528 949,344 - 2,352 4,228,896 - 2,352
215,200 215,200 9,253,600 - 1,036,000 44,548,000 700,000 25,900,000 1,736,000
300 300 46,500 - 1,200 186,000 - 1,200
- - - - 2,910 410,310 - 2,910
17,200 - 17,200 9,924,400 - 69,000 39,813,000 69,000
19,000 19,000 6,137,000 - 139,000 44,897,000 200,000 64,600,000 339,000
68,000 68,000 10,472,000 - 136,500 21,021,000 500,000 65,500,000 636,500
1,900 1,900 4,147,700 - 4,100 8,950,300 10,000 23,640,000 14,100
100 100 87,000 - - - - -
1,170 1,170 2,266,290 - 2,280 4,416,360 5,010 10,205,370 7,290
- - - - - - - -
370 271 12,777,650 99 4,667,850 - 1,301 61,342,150 1,301
1,366 - 1,366 24,792,900 - 6,562 119,100,300 6,562
17,680 - 17,680 1,732,640 - - -
- - - - - - - -
300 300 805,200 - 3,000 8,052,000 - 3,000
- - - - - - - - -
49,000 12,100 1,149,500 36,900 3,210,300 - 163,100 14,189,700 163,100
20,280 20,280 1,946,880 - 21,000 2,016,000 - 21,000
71,700 71,700 9,536,100 - 47,300 6,290,900 - 47,300
- - - - - - 2,850 10,830,000 2,850
31,200 31,200 6,302,400 - - - - -
- - - - - - - - -
1,152 1,152 3,928,320 - 576 1,964,160 5,472 147,470,400 6,048

30,000 - 30,000 4,200,000 - 42,725 5,981,500 42,725
720 720 4,615,200 - 19 121,790 1,140 7,307,400 1,159
14,500 14,500 1,595,000 - 28,300 3,113,000 55,500 6,105,000 83,800
18,660 12,500 9,775,000 6,160 4,946,480 - - -
2,310 - 2,310 1,321,320 - 3,480 1,990,560 3,480
73,500 - 73,500 18,889,500 - 154,500 39,706,500 154,500
- - - - - - - -
- - - - - - - -
600 600 1,140,000 - 2,600 4,940,000 1,000 1,900,000 3,600
3,293 3,293 58,144,501 - - - - -
64,150 64,150 10,520,600 - 10,700 1,754,800 210,000 30,240,000 220,700
- - - - - - - - -
3,500 3,500 3,916,500 - 10,430 11,671,170 - 10,430
246,200 246,200 14,033,400 - 255,900 14,586,300 500,000 25,500,000 755,900
- - - - - - 1 1,584,375 1
2,340 2,340 28,442,700 - 2,100 25,525,500 - 2,100
7,800 7,800 577,200 - 228,000 16,872,000 150,000 24,750,000 378,000
97,300 - 97,300 12,065,200 - 701,400 86,973,600 701,400
100 100 100,000 - 5,300 5,300,000 - 5,300
total
2016 2017
bulan 4,5,6
620 - 620 18,414,000 - 1,853 55,034,100 1,853

719 719 4,709,450 - 1,408 9,222,400 11,000 36,685,000 12,408
102,000 102,000 9,792,000 - 169,200 16,243,200 500,000 41,000,000 669,200
8,000 8,000 14,560,000 - 96,800 176,176,000 - 96,800
200 - 200 11,400 - 19,400 1,105,800 19,400
- - - - - - - -
6,300 6,300 1,940,400 - 8,600 2,648,800 - 8,600
132,700 - 132,700 13,270,000 - 1,066,300 106,630,000 1,066,300
- - - - 2,450 730,100 - 2,450
- - - - 8,959 5,142,466 - 8,959
920 920 6,578,000 - 40 286,000 4,420 31,603,000 4,460
1,500 1,500 742,500 - 21,700 10,741,500 50,600 17,558,200 72,300
744 744 2,566,800 - 1,543 5,323,350 9,100 31,395,000 10,643
1,000 - 1,000 7,255,000 - 2,250 16,323,750 2,250
2,059 - 2,059 14,938,045 - 2,250 16,323,750 2,250
32,500 - 32,500 2,535,000 - 161,450 12,593,100 161,450
- - - 78,500 6,515,500 200,000 16,000,000 278,500
2,820 2,820 7,202,280 - 2,340 5,976,360 3,000 7,962,000 5,340
- - - - - - - -
6,820 6,820 19,778,000 - - 5,000 16,000,000 5,000
2,100 - 2,100 201,600 - 327,900 31,478,400 327,900
112 112 588,000 - 5,880 30,870,000 - 5,880
- - - - 15,500 18,104,000 - 15,500
65,000 - 65,000 3,380,000 - 384,700 20,004,400 384,700
192 192 7,610,304 - 1,056 41,856,672 2,500 108,572,500 3,556
312 312 12,366,744 - 564 22,355,268 - 564
22,860 - 22,860 2,583,180 - 186,918 21,121,734 186,918
- - - - - - 2,500 53,837,500 2,500
58,700 58,700 16,964,300 - 9,000 2,601,000 300,000 74,100,000 309,000
- - - - - - - -
- - - - - - - -
35,260 - 35,260 13,046,200 - 138,230 51,145,100 138,230
29,800 29,800 5,006,400 - 87,400 14,683,200 250,000 43,500,000 337,400
32,200 32,200 10,271,800 - 91,600 29,220,400 400,000 127,600,000 491,600
- - - - - - - -
50 - 50 362,750 - - -
181,700 181,700 16,171,300 - 337,200 30,010,800 - 337,200
104,600 104,600 12,656,600 - 99,400 12,027,400 500,000 60,500,000 599,400
600 - 600 6,861,000 3,360 38,421,600 3,360
- - - - - - - -
100 100 321,900 - 900 2,897,100 - 900
NO NAMA BARANG SATUAN
1 Accuchek strep stik

2 accuchek safe t pro uno lancet
3 Air untuk Injeksi 25 ml botol
4 Alat Suntik (Syringe) 1 ml Buah
7 Albendazol tablet 400 mg Tablet
8 Alcohol Swab Box
9 Alopurinol tablet 100 mg Tablet
10 Aminofilin tablet 200 mg Tablet
11 Aminofilin inj ampul
12 Amitrippilin Tablet
13 Amlodipin tablet 5 mg Tablet
14 Amoksisilin sirup Kering 125 mg/5 mBotol
15 Amoksisilin sirup kering forte 250 m Botol
16 Amoksisilin tablet 500 mg Tablet
17 Antasida DOEN suspensi Botol
18 Antasida DOEN tablet kunyah Tablet
19 Antifungi DOEN salep Pot
20 antihemaroid tablet
21 Tablet
80 mg (Miniaspi)
22 Asam askorbat (Vitamin C) tablet 50 Tablet
23 Asam mefenamat kaplet 500 mg Kaplet
24 Asiclovir tablet 200 mg Tablet
26 Atropin injeksi 0.25 mg/ml Ampul
27 Attapulgit tablet 600 mg Tablet
28 Atenolol 50 mg Tablet
29 Bedak salisil serbuk 2% Kotak
30 Betametason krim 0,1% Tube
31 Catgut / benang bedah No. 2/0 plain Set
32 Catgut / benang bedah No. 3/0 plain Kotak
33 Catgut / benang bedah No. 2/0 chro kotak
34 Catgut / benang bedah No. 3/0 chro kotak
35 Cefixime 200 mg
36 Deksametason injeksi iv 5 mg/ml Ampul
37 Deksametason tablet 0,5 mg Tablet
38 depakote tab
39 Diazepam tablet 2 mg Tablet
40 Difenhidramin injeksi Ampul
41 Digoksin tablet 0,25 mg Tablet
42 Diltiazem tablet
43 Doksisiklin kapsul 100 mg Tablet
44 Domperidon tablet 10 mg Tablet
45 domperidon sirup botol
46 Eritromisin kapsul 250 mg Kapsul
47 Eritromisin sirup kering 200 mg/ 5 mbotol
48 Ecolab Hydrex Surgical Scrub 5 lt galon
49 Epinefrin (adrenalin) injeksi 1 mg/ml Ampul
50 Eugeniol botol
51 Etanol 70% cairan Botol
52 kolkisin / rekolfar Tablet
53 Fenitoin kapsul kapsul
54 Fenitoin Injeksi Ampul
55 Fitamenadion (Vit. K) tablet Tablet
56 Fitamenadion (Vit. K) inj ampul
57 Furosemida tablet 40 mg Tablet
58 Garam oralit I serbuk Sachet
59 Glibenklamida tablet 5 mg Tablet
60 Glipizid tablet 5 mg Tablet
61 Glukosa larutan infus 5 % steril Botol
62 glukonas kalium inj ampul
63 Griseofulvin tablet 125 mg Tablet
64 Hand Rub Antiseptik Botol
65 haloperidol tablet tablet
66 Hidroklortiazid tablet 25 mg Tablet
67 Hidrokortison krim 2,5% Tube

72 Ibuprofen tablet 200 mg Tablet
74 Ibu Profen Syrup 200 mg / 5 ml Botol
75 Infus zet dewasa Set
76 Infus zet adult Set
77 Infuset Anak set
78 Isosorbit dinitrat tablet 5 mg Tablet
79 IV Catheter No. 18 G x 32 Buah
82 Kalsium Laktat tablet 500 mg Tablet
83 Kantong Sampah Lembar
84 Kapas Pembalut 250 mg Rol
85 Kaptopril tablet 12,5 mg Tablet
86 Kaptopril tablet 25 mg Tablet
87 Karbogliserin tetes telinga 10% Botol
88 Kasa Pembalut Hidrofil 4 m x 10 cm Rol
89 KasaSteril DRC 16 cm X 16 cm (16 paBox
90 Kasa hidrofil non sterile 5cm x 4 cm roll
91 Ketokonazol krim 2% Tube
92 Ketamin injeksi ampul
93 Klindamisin kapsul 300 mg Kapsul
94 Kloramfenikol kapsul 250 mg Kapsul
95 Kloramfenikol Salep kulit tube
96 Kloramfenikol suspensi 125 mg / 5 mBotol
97 Kloramfenikol salep mata tube
98 Klorfeniramin maleat tablet 4 mg Tablet
99 Klorpromazin tablet tablet
100 Klorpromazin injeksi ampul
101 Kodein HCl tablet 10 mg Tablet
102 Kotrimoksazol DOEN I tablet 800 mg Tablet
103 Kotrimoksazol DOEN I tablet 480 mg
104 Kotrimoxazol Suspensi Botol
105 Lidokain 2% ampul
106 Lidokain injeksi 2% (HCl) + Epinefrin Ampul
107 Loratadin tablet 10 mg Kaplet

108 Lysol 1 liter Botol
109 Masker Kotak
111 Metformin tablet 850 mg Tablet
112 Metilergometrin maleat injeksi 0,200 Ampul
113 Metilergometrin maleat tablet 0,125 Tablet
114 Metoklopramida tablet 10 mg Tablet
115 Metronidazol tablet 250 mg Tablet
117 Metronidazole sirup 125 mg / 5 ml Botol
118 metil prednisolon tablet
119
Chemistry Test Sys
120 Mikonazol krim / salep 2% (nitrat) Tube
121 Natrium diklofenak tablet 25 mg Tablet
122 Natrium Klorida larutan infus 0,9% Botol
123 Nifedipin tablet 10 mg Tablet
125 Nistatin vaginal tablet 100.000 IU/g Tablet
126 Obat batuk Hustab p/30 X 10 Tablet
127 Obat batuk syrup Hustab 60 ml Botol
128 Oksimetazolin tetes hidung 0.025% Botol
129 Oksitoksin injeksi 10 IU/ml Ampul
130 Omeprazol injeksi 40 mg / 10 ml Vial
131 Omeprazol kapsul 20 mg Kapsul
132 Parasetamol drop 100 mg/ml Botol
133 Parasetamol Sirup 120 mg/ 5 ml Botol
134 Parasetamol tablet 500 mg Tablet
135 Pemeriksaan Narkoba box
136 Permetrin Krim 5% (Scabimite Cream Tube
137 Phenobarbital tablet 30 mg Tablet
138 Piridoksin (vitamin B6) tablet 10 mg ( Tablet
139 Piridoksin (vitamin B6)injeksi ampul
140 Plester 5 cm x 500 cm (Pharmafix) Box
141 Povidon Iodida 10% Botol
142 Prednison tablet 5 mg Tablet

143 Probenesid tablet Tablet
144 Propanolol tablet 10 mg (HCl) Tablet
145 Propiltiourasil tablet 100 mg Tablet
146 Pyrantel Pamoat tablet 125 mg Tablet
147 Ranitidin tablet 150 mg Tablet
148 Retinol (Vit. A) kapsul 100.000 IU Kapsul
150 Ringer lactat larutan infus Botol
151 Risperidon tablet 2 mg Tablet
152 Rivanol 300 cc Botol
153 Safeglove Examination Gloves L Box
154 Safeglove Examination Gloves M Box
155 Salbutamol tablet 2 mg Tablet
157 salep 24 Pot
158 Sefadroksil kapsul 500 mg Kapsul
159 setrijin sirup botol
160 Setirizin tablet /kapsul/kaplet 10mg
161 Streptomisin inj Ampul
162 Sianokobalamin (Vit. B12) injeksi 50 Ampul
163 Sianokobalamin (Vit. B12) tablet 50 Tablet
164 Silk (benang bedah sutera) No. 2/0 Buah
166 Simvastatin tablet 10 mg Tablet
167 SMI Silk Black 3/0 HR 30 MM Sachet
168 Siprofloksasin tablet 500 mg Tablet
169 Spironolakton tablet 25 mg Tablet
170 Tablet Anti Diare (New Diaform) Tablet
171 tablet fe Tablet
172 Tetrasiklin kapsul 250 mg Kapsul
176 Tiamin Tablet
177 Vitamin B Komplek tablet Tablet

178 karbohidrat + Elektrolit (D2,5% + Botol
KCL 0,15%+
179 ZINC tzblet tablet
180 3 way stopcock buah
JUMLAH
BERITA ACARA PENGELUARAN OPNAME BARANG HABIS PAKAI
PER 31 Desember 2018
Nomor : / 2018
Pada hari ini kamis Tiga Puluh Satu Bulan Desember Tahun Dua Ribu Delapan Belas kami yang bertanda tangan dibawah ini :
1 . Kepala Puskesmas : dr. Rahmenda

2. Pengurus Barang Pembantu Dinas Kesehatan Kabupaten Karo pada Puskesmas Berastagi telah memeriksa dan menghitung jumlah Persediaan 30 September 2018
yang ada di tempat penyimpanan barang dengan teliti dan seksama Berdasarkan Laporan persediaan per 31 Desember 2017 dengan hasil sebagai berikut :
SISA PENE
STOK JUMLAH JUMLAH
NO NAMA BARANG SATUAN HARGA RIMA NOV DES PENERIM PEMAKAI PEMAKAI PEMAKA PEMAKAI SISA STOK JUMLAH
SEPTEMB AAN AN OKT AN NOV IAN DES AN DESEMBER HARGA
ER AN
OKT
1 Accuchek strep stik 4200 100 100 100 200 200 - -
2 accuchek safe t pro uno lancet 1,270 200 200 200 20 380 400 - -
3 Air untuk Injeksi 25 ml botol 2,750 189 9 13 22 167 459,250
4 Alat Suntik (Syringe) 1 ml Buah 744 497 300 300 203 172 175 550 247 183,768
7 Albendazol tablet 400 mg Tablet 313 30 30 30 - -
8 Alcohol Swab Box 357 9,795 95 111 9,400 9,606 189 67,473
9 Alopurinol tablet 100 mg Tablet 108 3,103 813 465 800 2,078 1,025 110,700
10 Aminofilin tablet 200 mg Tablet 92 300 - 300 27,600
11 Aminofilin inj ampul 3,349 90 - 90 301,410
12 Amitrippilin Tablet 150 - - - -
13 Amlodipin tablet 5 mg Tablet 88 1,158 900 900 650 915 493 2,058 - -
14 Amoksisilin sirup Kering 125 mg/5 ml Botol 1,920 38 13 10 15 38 - -
15 Amoksisilin sirup kering forte 250 mg/5 ml Botol 3,949 - 180 180 60 95 155 25 98,725
16 Amoksisilin tablet 500 mg Tablet 191 18,506 16,000 16,000 8,879 9,800 11,065 29,744 4,762 909,542
17 Antasida DOEN suspensi Botol 1,962 28 4 9 15 28 - -
18 Antasida DOEN tablet kunyah Tablet 59 15,161 15,000 15,000 9,879 8,750 3,920 22,549 7,612 449,108
19 Antifungi DOEN salep Pot 4,540 175 8 156 4 168 7 31,780
20 antihemaroid tablet 3,197 172 10 10 162 517,914
Asam Asetilsalisilat (asetosal) tablet 80 mg
21 Tablet 94 4,387 1,462 989 1,936 4,387 - -
(Miniaspi)
22 Asam askorbat (Vitamin C) tablet 50 mg Tablet 109 18,281 15,000 15,000 13,400 890 9,431 23,721 9,560 1,042,040
23 Asam mefenamat kaplet 500 mg Kaplet 102 5,163 2,425 1,721 1,017 5,163 - -
24 Asiclovir tablet 200 mg Tablet 245 425 30 30 395 96,775
25 Asiclovir tablet 400 mg Tablet 380 620 20 20 600 228,000
26 Atropin injeksi 0.25 mg/ml Ampul 1,540 200 - 200 308,000
27 Attapulgit tablet 600 mg Tablet 152 11,161 2,347 2,285 1,230 5,862 5,299 805,448
28 Atenolol 50 mg Tablet 330 - - - -
29 Bedak salisil serbuk 2% Kotak 1,040 100 49 30 21 100 - -
30 Betametason krim 0,1% Tube 1,407 107 96 96 25 20 33 78 125 175,875
31 Catgut / benang bedah No. 2/0 plain Set 47,335 33 5 20 8 33 - -
32 Catgut / benang bedah No. 3/0 plain Kotak 52,947 50 100 100 25 25 50 100 5,294,700
33 Catgut / benang bedah No. 2/0 chromik kotak 54,537 - - - -
34 Catgut / benang bedah No. 3/0 chromik kotak 56,124 - - - -
35 Cefixime 200 mg 2,529 1,900 484 470 380 1,334 566 1,431,414
36 Deksametason injeksi iv 5 mg/ml Ampul 1,650 115 15 5 5 25 90 148,500
37 Deksametason tablet 0,5 mg Tablet 43 4,392 4,392 4,392 - -
38 depakote tab 2,990 - - - -
39 Diazepam tablet 2 mg Tablet 105 1,239 1,000 1,000 990 821 389 2,200 39 4,095
40 Difenhidramin injeksi Ampul 1,115 143 21 22 10 53 90 100,350
41 Digoksin tablet 0,25 mg Tablet 100 - - - -
42 Diltiazem tablet 127 100 - 100 12,700
43 Doksisiklin kapsul 100 mg Tablet 273 - - - -
44 Domperidon tablet 10 mg Tablet 118 123 56 30 37 123 - -
45 domperidon sirup botol 3,105 160 23 15 22 60 100 310,500
46 Eritromisin kapsul 250 mg Kapsul 587 176 5,000 5,000 980 410 401 1,791 3,385 1,986,995
47 Eritromisin sirup kering 200 mg/ 5 ml botol 6,303 98 32 32 35 25 62 122 8 50,424
48 Ecolab Hydrex Surgical Scrub 5 lt galon 986,160 - - - -
49 Epinefrin (adrenalin) injeksi 1 mg/ml Ampul 8,505 - - - -
50 Eugeniol botol 19,005 905 264 260 269 793 112 2,128,560
51 Etanol 70% cairan Botol 28,750 31 10 10 10 10 19 39 2 57,500
52 kolkisin / rekolfar Tablet 3,845 600 100 100 100 300 300 1,153,500
53 Fenitoin kapsul kapsul 154 500 200 200 300 46,200
54 Fenitoin Injeksi Ampul 8,010 190 - 190 1,521,900
55 Fitamenadion (Vit. K) tablet Tablet 721 106 1,000 1,000 230 430 161 821 285 205,485
SISA PENE JUMLAH JUMLAH
STOK PENERIM PEMAKAI PEMAKAI PEMAKA PEMAKAI SISA STOK JUMLAH
NO NAMA BARANG SATUAN HARGA
SEPTEMB RIMA NOV DES
DESEMBER HARGA
ER AN AAN AN OKT AN NOV IAN DES AN
OKT
56 Fitamenadion (Vit. K) inj ampul 3,728 40 20 20 40 - -
57 Furosemida tablet 40 mg Tablet 81 - - - -
58 Garam oralit I serbuk Sachet 100 349 100 120 129 349 - -
59 Gilbenklamida tablet 5 mg Tablet - - - -
60 Glipizid tablet 5 mg Tablet 300 - - - -
61 Glukosa larutan infus 5 % steril Botol 6,900 100 20 25 20 65 35 241,500
62 glukonas kalium inj ampul - - - -
63 Griseofulvin tablet 125 mg Tablet 245 4,160 5,000 5,000 1,271 1,120 982 3,373 5,787 1,417,815
64 Hand Rub Antiseptik Botol 63,800 3 3 3 - -
65 haloperidol tablet tablet 71 - 200 200 - 200 14,200
66 Hidroklortiazid tablet 25 mg Tablet 156 1,376 1,000 1,000 450 200 363 1,013 1,363 212,628
67 Hidrokortison krim 2,5% Tube 2,640 122 96 96 30 20 72 122 96 253,440
68 Humases Glucose Test Strips Dus 256,300 - - - -
69 Humases Cholesterol Test Strips Dus 548,400 - - - -
70 Humases Uric Acid Test Strips Dus 554,800 - - - -
71 Human Humasens Plus Unit 844,950 - - - -
72 Ibuprofen tablet 200 mg Tablet 105 6,240 1,723 2,350 2,167 6,240 - -
73 Ibuprofen tablet 400 mg Tablet 112 3,115 917 755 2,360 917 4,032 - -
74 Ibu Profen Syrup 200 mg / 5 ml Botol 5,191 88 77 77 11 77 165 - -
75 Infus zet dewasa Set 6,670 69 40 49 20 5 74 35 233,450
76 Infus zet adult Set 3,647 - - - -
77 Infuset Anak set 4,884 100 5 5 95 463,980
78 Isosorbit dinitrat tablet 5 mg Tablet 93 300 300 300 - -
79 IV Catheter No. 18 G x 32 Buah 13,894 30 10 1 19 15 35 5 69,470
80 IV Catheter No. 20 G x 32 Buah 13,894 30 10 5 15 15 208,410
81 - - - -
82 Kalsium Laktat tablet 500 mg Tablet 57 4,116 1,500 1,450 1,166 4,116 - -
83 Kantong Sampah Lembar 50 50 50 - -
84 Kapas Pembalut 250 mg Rol 28,500 56 11 20 17 48 8 228,000
85 Kaptopril tablet 12,5 mg Tablet 62 2,720 1,000 1,000 1,400 1,200 571 3,171 549 34,038
86 Kaptopril tablet 25 mg Tablet 81 2,589 590 400 580 1,570 1,019 82,539
87 Karbogliserin tetes telinga 10% Botol 2,500 3 3 3 - -
88 Kasa Pembalut Hidrofil 4 m x 10 cm Rol 1,740 89 200 1,000 50 30 868 948 141 245,340
89 KasaSteril DRC 16 cm X 16 cm (16 pads ) Box 8,610 - - - -
90 Kasa hidrofil non sterile 5cm x 4 cm roll 900 10 10 10 - -
91 Ketokonazol krim 2% Tube 2,596 66 16 10 5 31 35 90,860
92 Ketamin injeksi ampul 72,720 - - - -
93 Klindamisin kapsul 300 mg Kapsul 630 - - - -
94 Kloramfenikol kapsul 250 mg Kapsul 1,100 2,731 206 300 473 979 1,752 1,927,200
95 Kloramfenikol Salep kulit tube 3,190 - 24 24 4 5 9 15 47,850
96 Kloramfenikol suspensi 125 mg / 5 ml Botol 4,841 200 22 10 3 35 165 798,765
97 Kloramfenikol salep mata tube 1,798 64 12 6 6 24 40 71,920
98 Klorfeniramin maleat tablet 4 mg Tablet 37 16,810 15,000 15,000 7,530 9,356 12,058 28,944 2,866 106,042
99 Klorpromazin tablet tablet 155 - - - -
100 Klorpromazin injeksi ampul 141 - - - -
101 Kodein HCl tablet 10 mg Tablet 577 682 42 60 80 182 500 288,500
102 Kotrimoksazol DOEN I tablet 800 mg Tablet 323 9,049 1,287 2,707 1,586 5,580 3,469 1,120,487
103 Kotrimoksazol DOEN I tablet 480 mg 131 6,229 80 297 4,285 4,662 1,567 205,277
104 Kotrimoxazol Suspensi Botol 2,364 62 200 200 50 37 42 129 133 314,412
105 Lidokain 2% ampul 1,169 65 90 90 10 85 95 60 70,140
106 Lidokain injeksi 2% (HCl) + Epinefrin Ampul 2,037 30 30 30 - -
107 Loratadin tablet 10 mg Kaplet 139 - 2,000 2,000 30 30 1,970 273,830
108 Lysol 1 liter Botol 47,150 28 5 3 20 28 - -
109 Masker Kotak 18,150 35 20 20 10 10 25 45 10 181,500
110 Metformin HCl tablet 500 mg Tablet 99 1,970 500 500 130 521 1,819 2,470 - -
111 Metformin tablet 850 mg Tablet 205 772 772 - 772 - -
112 Metilergometrin maleat injeksi 0,200 mg/ml Ampul 2,684 200 200 200 - -
113 Metilergometrin maleat tablet 0,125 mg Tablet - - - -
114 Metoklopramida tablet 10 mg Tablet 87 2,302 3,000 3,000 139 1,380 3,283 4,802 500 43,500
115 Metronidazol tablet 250 mg Tablet 92 - - - -
116 Metronidazol tablet 500 mg Tablet 114 3,851 2,950 901 3,851 - -
117 Metronidazole sirup 125 mg / 5 ml Botol 3,800 173 100 100 50 190 33 273 - -
118 metil prednisolon tablet 202 - - - -
Multiple Parameter Clinical Chemistry Test
119 Sys 844,950 - - - -
120 Mikonazol krim / salep 2% (nitrat) Tube 26,950 137 25 20 52 97 40 1,078,000
121 Natrium diklofenak tablet 25 mg Tablet 140 5,161 5,000 5,000 410 8,110 8,520 1,641 229,740
122 Natrium Klorida larutan infus 0,9% Botol 6,410 65 5 15 15 35 30 192,300
123 Nifedipin tablet 10 mg Tablet 110 3,394 198 3,196 3,394 - -
124 Nistatin tablet 500.000 IU/g Tablet 803 480 - 480 385,440
125 Nistatin vaginal tablet 100.000 IU/g Tablet 572 448 - 448 256,256
126 Obat batuk Hustab p/30 X 10 Tablet 257 2,303 200 200 1,053 1,319 100 2,472 31 7,967
127 Obat batuk syrup Hustab 60 ml Botol 11,550 - - - -
128 Oksimetazolin tetes hidung 0.025% Botol 32,900 140 40 40 100 3,290,000
129 Oksitoksin injeksi 10 IU/ml Ampul 1,900 100 100 100 - -
NO NAMA BARANG SATUAN HARGA
SEPTEMB RIMA NOV DES
DESEMBER HARGA
ER AN AAN AN OKT AN NOV IAN DES AN
OKT
130 Omeprazol injeksi 40 mg / 10 ml Vial 17,657 - - - -
131 Omeprazol kapsul 20 mg Kapsul 144 1,581 2,100 2,100 1,581 2,100 3,681 - -
132 Parasetamol drop 100 mg/ml Botol 5,460 - - - -
133 Parasetamol Sirup 120 mg/ 5 ml Botol 1,119 241 200 200 200 114 100 414 27 30,213
134 Parasetamol tablet 500 mg Tablet 51 13,316 2,000 2,000 15,316 15,316 - -
135 Pemeriksaan Narkoba box 1,584,375 - - - -
136 Permetrin Krim 5% (Scabimite Cream) Tube 12,155 100 100 100 - -
137 Phenobarbital tablet 30 mg Tablet 165 - - - -
138 Piridoksin (vitamin B6) tablet 10 mg (HCl) Tablet 124 14,020 3,000 4,437 5,083 12,520 1,500 186,000
139 Piridoksin (vitamin B6)injeksi ampul 1,000 90 15 75 90 - -
140 Plester 5 cm x 500 cm (Pharmafix) Box 29,700 125 25 30 50 105 20 594,000
141 Povidon Iodida 10% Botol 3,335 66 50 50 56 20 15 91 25 83,375
142 Prednison tablet 5 mg Tablet 82 42,034 1,197 4,198 36,439 41,834 200 16,400
143 Probenesid tablet Tablet 1,820 - - - -
144 Propanolol tablet 10 mg (HCl) Tablet 57 - - - -
145 Propiltiourasil tablet 100 mg Tablet 250 - - - -
146 Pyrantel Pamoat tablet 125 mg Tablet 308 4,966 4,966 4,966 - -
147 Ranitidin tablet 150 mg Tablet 100 4,517 5,000 5,000 2,718 2,273 3,026 8,017 1,500 150,000
148 Retinol (Vit. A) kapsul 100.000 IU Kapsul 298 - - - -
149 Retinol (Vit. A) kapsul 200.000 IU Kapsul 574 - - - -
150 Ringer lactat larutan infus Botol 7,150 35 5 10 5 20 15 107,250
151 Risperidon tablet 2 mg Tablet 347 - - - -
152 Rivanol 300 cc Botol 3,450 25 10 7 8 25 - -
153 Safeglove Examination Gloves L Box 7,255 - 5 5 3 2 5 - -
154 Safeglove Examination Gloves M Box 7,255 5 5 5 - -
155 Salbutamol tablet 2 mg Tablet 78 1,068 1,000 1,000 314 515 1,039 1,868 200 15,600
156 Salbutamol tablet 4 mg Tablet 80 1,639 200 689 889 750 60,000
157 salep 24 Pot 2,654 200 200 200 - -
158 Sefadroksil kapsul 500 mg Kapsul - 2,000 2,000 180 200 380 1,620 -
159 setrijin sirup botol 3,200 - - - -
160 Setirizin tablet /kapsul/kaplet 10mg 96 - - - -
161 Streptomisin inj Ampul 5,250 - - - -
162 Sianokobalamin (Vit. B12) injeksi 500 mcg Ampul 1,168 203 6 92 25 123 80 93,440
163 Sianokobalamin (Vit. B12) tablet 50 mg Tablet 52 7,992 1,022 1,228 2,700 4,950 3,042 158,184
164 Silk (benang bedah sutera) No. 2/0 Buah 43,429 40 10 10 20 20 868,580
165 Slik (benang merah sutera) no 3/0 buah 21,535 76 50 26 76 - -
166 Simvastatin tablet 10 mg Tablet 113 2,492 900 900 180 220 2,368 2,768 624 70,512
167 SMI Silk Black 3/0 HR 30 MM Sachet 21,535 - - - -
168 Siprofloksasin tablet 500 mg Tablet 247 2,536 5,000 5,000 1,536 2,185 1,800 5,521 2,015 497,705
169 Spironolakton tablet 25 mg Tablet 320 - - - -
170 Tablet Anti Diare (New Diaform) Tablet - - - -
171 tablet fe Tablet 370 - - - -
172 Tetrasiklin kapsul 250 mg Kapsul 174 1,800 1,800 1,800 - -
173 Tetrasiklin kapsul 500 mg Kapsul 319 4,058 5,000 5,000 1,010 4,558 5,568 3,490 1,113,310
174 Troge Glove sterile 7.0 pices 7,255 - - - -
175 Troge Glove sterile 7.5 pices 7,255 - - - -
176 Tiamin Tablet 84 13,053 10,000 10,000 4,086 6,854 7,113 18,053 5,000 420,000
177 Vitamin B Komplek tablet Tablet 121 15,144 2,763 3,597 7,584 13,944 1,200 145,200
178 karbohidrat + Elektrolit (D2,5% + KCL Botol 11,435 40 - 40 457,400
0,15%+
179 ZINC tzblet tablet - - - -
180 3 way stopcock buah 3,219 - - - -
181 Gliklazide tablet 220 1,000 150 98 200 448 552 121,440
40,482,311
Kesimpulan :
Setelah melakukan serah terima barang habis pakai secara intensif, barang yang ada sesuai dengan yang dilaporkan
Pengelola Barang Persediaan,

Pembantu Pengurus Barang Pengelola Farmasi
Nomi Br Karo Nomi Br Karo

NIP. 19650505 199103 2 003 NIP. 19650505 199103 2 003
Diketahui oleh,
Kepala Puskesmas Berastagi
SEPTEMB RIMA
NO NAMA BARANG SATUAN HARGA NOV DES
AAN AN OKT AN NOV IAN DES AN DESEMBER HARGA
ER AN
OKT
dr. Rahmenda
NIP. 19720722 200212 2 001
BERITA ACARA PENGELUARAN OPNAME BARANG HABIS PAKAI
PER 31 MARET 2018
Nomor : 1.1. / III / 2018
Pada hari ini kamis Dua Puluh Sembilan Bulan Maret Tahun Dua Ribu Delapan Belas kami yang bertanda tangan dibawah ini :
1 . Pejabat Pelaksana Teknis Kegiatan Rutin ( PPTK ) Dinas Kesehatan Kabupaten Karo
2 Penggurus Barang Pembantu Dinas Kesehatan Kabupaten Karo telah memeriksa dan mengeluarkan Persediaan
Barang Habis Pakai pada pada saldo awal per 31 maret 2018 yang ada di tempat penyimpanan barang dengan teliti dan
seksama berdasarkan laporan persediaan per 31 Desember 2017 dengan hasil sbb:
1 Accuchek strep stik

2 accuchek safe t pro uno lancet
3 Air untuk Injeksi 25 ml botol
7 Albendazol tablet 400 mg Tablet
8 Alcohol Swab Box
9 Alopurinol tablet 100 mg Tablet
10 Aminofilin tablet 200 mg Tablet
11 Aminofilin inj ampul
12 Amitrippilin Tablet
13 Amlodipin tablet 5 mg Tablet
14 Amoksisilin sirup Kering 125 mg/5 ml Botol
15 Amoksisilin sirup kering forte 250 mg/5 ml Botol
16 Amoksisilin tablet 500 mg Tablet
17 Antasida DOEN suspensi Botol
18 Antasida DOEN tablet kunyah Tablet
19 Antifungi DOEN salep Pot
20 antihemaroid tablet
Asam Asetilsalisilat (asetosal) tablet 80 mg
21 Tablet
(Miniaspi)
22 Asam askorbat (Vitamin C) tablet 50 mg Tablet
23 Asam mefenamat kaplet 500 mg Kaplet
26 Atropin injeksi 0.25 mg/ml Ampul
27 Attapulgit tablet 600 mg Tablet
28 Atenolol 50 mg Tablet
29 Bedak salisil serbuk 2% Kotak
30 Betametason krim 0,1% Tube
31 Catgut / benang bedah No. 2/0 plain Set
32 Catgut / benang bedah No. 3/0 plain Kotak
33 Catgut / benang bedah No. 2/0 chromik kotak
34 Catgut / benang bedah No. 3/0 chromik kotak
35 Cefixime 200 mg
36 Deksametason injeksi iv 5 mg/ml Ampul
37 Deksametason tablet 0,5 mg Tablet
38 depakote tab
39 Diazepam tablet 2 mg Tablet
40 Difenhidramin injeksi Ampul
41 Digoksin tablet 0,25 mg Tablet
42 Diltiazem tablet
43 Doksisiklin kapsul 100 mg Tablet

44 Domperidon tablet 10 mg Tablet
45 domperidon sirup botol
46 Eritromisin kapsul 250 mg Kapsul
47 Eritromisin sirup kering 200 mg/ 5 ml botol
48 Ecolab Hydrex Surgical Scrub 5 lt galon
49 Epinefrin (adrenalin) injeksi 1 mg/ml Ampul
50 Eugeniol botol
51 Etanol 70% cairan Botol
52 kolkisin / rekolfar Tablet
53 Fenitoin kapsul kapsul
54 Fenitoin Injeksi Ampul
55 Fitamenadion (Vit. K) tablet Tablet
56 Fitamenadion (Vit. K) inj ampul
57 Furosemida tablet 40 mg Tablet
58 Garam oralit I serbuk Sachet
59 Gilbenklamida tablet 5 mg Tablet
60 Glipizid tablet 5 mg Tablet
61 Glukosa larutan infus 5 % steril Botol
62 glukonas kalium inj ampul
63 Griseofulvin tablet 125 mg Tablet
64 Hand Rub Antiseptik Botol
65 haloperidol tablet tablet
66 Hidroklortiazid tablet 25 mg Tablet
67 Hidrokortison krim 2,5% Tube
74 Ibu Profen Syrup 200 mg / 5 ml Botol
75 Infus zet dewasa Set

76 Infus zet adult Set
77 Infuset Anak set
78 Isosorbit dinitrat tablet 5 mg Tablet
82 Kalsium Laktat tablet 500 mg Tablet
83 Kantong Sampah Lembar
84 Kapas Pembalut 250 mg Rol
85 Kaptopril tablet 12,5 mg Tablet
86 Kaptopril tablet 25 mg Tablet
87 Karbogliserin tetes telinga 10% Botol
88 Kasa Pembalut Hidrofil 4 m x 10 cm Rol
89 KasaSteril DRC 16 cm X 16 cm (16 pads ) Box
90 Kasa hidrofil non sterile 5cm x 4 cm roll
91 Ketokonazol krim 2% Tube
92 Ketamin injeksi ampul
93 Klindamisin kapsul 300 mg Kapsul
94 Kloramfenikol kapsul 250 mg Kapsul
95 Kloramfenikol Salep kulit tube
96 Kloramfenikol suspensi 125 mg / 5 ml Botol
97 Kloramfenikol salep mata tube
98 Klorfeniramin maleat tablet 4 mg Tablet
99 Klorpromazin tablet tablet
100 Klorpromazin injeksi ampul
101 Kodein HCl tablet 10 mg Tablet
102 Kotrimoksazol DOEN I tablet 800 mg Tablet
103 Kotrimoksazol DOEN I tablet 480 mg
104 Kotrimoxazol Suspensi Botol
105 Lidokain 2% ampul
106 Lidokain injeksi 2% (HCl) + Epinefrin Ampul
107 Loratadin tablet 10 mg Kaplet

108 Lysol 1 liter Botol
109 Masker Kotak
111 Metformin tablet 850 mg Tablet
112 Metilergometrin maleat injeksi 0,200 mg/ml Ampul
113 Metilergometrin maleat tablet 0,125 mg Tablet
114 Metoklopramida tablet 10 mg Tablet
117 Metronidazole sirup 125 mg / 5 ml Botol
118 metil prednisolon tablet
Multiple Parameter Clinical Chemistry Test
119 Sys
120 Mikonazol krim / salep 2% (nitrat) Tube
121 Natrium diklofenak tablet 25 mg Tablet
122 Natrium Klorida larutan infus 0,9% Botol
123 Nifedipin tablet 10 mg Tablet
125 Nistatin vaginal tablet 100.000 IU/g Tablet
126 Obat batuk Hustab p/30 X 10 Tablet
127 Obat batuk syrup Hustab 60 ml Botol
128 Oksimetazolin tetes hidung 0.025% Botol
129 Oksitoksin injeksi 10 IU/ml Ampul
130 Omeprazol injeksi 40 mg / 10 ml Vial
131 Omeprazol kapsul 20 mg Kapsul
132 Parasetamol drop 100 mg/ml Botol
133 Parasetamol Sirup 120 mg/ 5 ml Botol
134 Parasetamol tablet 500 mg Tablet
135 Pemeriksaan Narkoba box
136 Permetrin Krim 5% (Scabimite Cream) Tube
137 Phenobarbital tablet 30 mg Tablet
138 Piridoksin (vitamin B6) tablet 10 mg (HCl) Tablet

139 Piridoksin (vitamin B6)injeksi ampul
140 Plester 5 cm x 500 cm (Pharmafix) Box
141 Povidon Iodida 10% Botol
142 Prednison tablet 5 mg Tablet
143 Probenesid tablet Tablet
144 Propanolol tablet 10 mg (HCl) Tablet
145 Propiltiourasil tablet 100 mg Tablet
146 Pyrantel Pamoat tablet 125 mg Tablet
147 Ranitidin tablet 150 mg Tablet
150 Ringer lactat larutan infus Botol
151 Risperidon tablet 2 mg Tablet
152 Rivanol 300 cc Botol
153 Safeglove Examination Gloves L Box
154 Safeglove Examination Gloves M Box
157 salep 24 Pot
158 Sefadroksil kapsul 500 mg Kapsul
159 setrijin sirup botol
160 Setirizin tablet /kapsul/kaplet 10mg
161 Streptomisin inj Ampul
162 Sianokobalamin (Vit. B12) injeksi 500 mcg Ampul
163 Sianokobalamin (Vit. B12) tablet 50 mg Tablet
166 Simvastatin tablet 10 mg Tablet
167 SMI Silk Black 3/0 HR 30 MM Sachet
168 Siprofloksasin tablet 500 mg Tablet
169 Spironolakton tablet 25 mg Tablet
170 Tablet Anti Diare (New Diaform) Tablet

171 tablet fe Tablet
176 Tiamin Tablet
177 Vitamin B Komplek tablet Tablet
178 karbohidrat + Elektrolit (D2,5% + KCL Botol
0,15%+
179 ZINC tzblet tablet
180 3 way stopcock buah
181 Hustab Tablet
182 Gliklazide tablet
Kesimpulan :
Setelah melakukan serah terima barang habis pakai secara intensif, barang yang ada sesuai dengan yang dilaporkan
Pembantu Pengurus Barang

Dinas Kesehatan Kabupaten Karo
Eka Karya Lase, AMF

NIP. 19840605 201101 1 011
Diketahui Oleh,
Kabupaten Karo

NIP. 19640323 199103 2 003
NO NAMA BARSATUAN harga 2016harga 2017sisa 2016 harga sisa 2017 harga
1 Accuchek sstik 420000 420000 0 92 38640000
2 accuchek s lancet 127050 127050 15 1905750 50 6352500
3 Air untuk I botol 2750 2750 6839 18807250 0 0
4 Alat Suntik Buah 846 744 500 423000 17100 12722400
5 Alat Suntik Buah 876 750 40900 35828400 90000 67500000
6 Alat Suntik Buah 931 893 45000 41895000 45000 40185000
7 AlbendazolTablet 313 313 14860 4651180 0 0
8 Alcohol SwBox 206 35631 19870 4093220 135 4810185
9 Alopurinol Tablet 93 108 209500 19483500 200000 21600000
10 Aminofilin Tablet 92 0 22900 2106800
11 Aminofilin ampul 3349 3349 2790 9343710 0 0
12 Amitrippili Tablet 150 150 25900 3885000 0 0
13 Amlodipin Tablet 105 88 0 248290 21849520
14 Amoksisili Botol 2152 1920 0 8202 15747840
15 AmoksisilinBotol 3949 3949 3000 11847000 0 0
16 Amoksisili Tablet 233 191 0 826300 1.58E+08
17 Antasida D Botol 2065 1962 2500 5162500 0 0
18 Antasida D Tablet 63 59 689700 43451100 500000 29500000
19 Antifungi Pot 4366 4540 768 3353088 3000 13620000
20 antihemarotablet 3197 3197 23900 76408300 0 0
21 Asam AsetilTablet 118 94 16900 1994200 0 0
22 Asam askorTablet 109 109 606300 66086700 500000 54500000
23 Asam mefeKaplet 112 102 0 221300 22572600
24 Asiclovir t Tablet 264 245 4400 1161600 9570 2344650
25 Asiclovir t Tablet 359 380 3200 1148800 46860 17806800
26 Atropin inj Ampul 1672 1540 500 836000 900 1386000
27 Attapulgit Tablet 210 152 0 161500 24548000
28 Atenolol 5 Tablet 330 330 26100 8613000 0 0
29 Bedak salisKotak 1046 1040 0 4654 4840160
30 BetametasoTube 1407 1407 6096 8577072 0 0
31 Catgut / b Set 52849 47335 2088 1.1E+08 1200 56802000
32 Catgut / b Kotak 42039 52947 1716 72138924 675 35739225
33 Catgut / b kotak 52849 54537 408 21562392 1200 65444400
34 Catgut / b kotak 42039 56124 384 16142976 2500 1.4E+08
35 Cefixime 200 mg 2529 0 107000 2.71E+08
36 DeksametasAmpul 0 0 0 0
37 DeksametasTablet 46 43 7400 340400 134000 5762000
38 depakote tab 2990 2990 0 0 0 0
39 Diazepam tTablet 34 105 177900 6048600 0 0
40 DifenhidramAmpul 1234 1115 5520 6811680 3000 3345000
41 Digoksin taTablet 100 100 0 0 0 0
42 Diltiazem tablet 127 127 22600 2870200 0 0
43 Doksisiklin Tablet 282 273 0 0 0
44 Domperidon Tablet 118 118 0 0 0
45 domperidonbotol 3090 3105 5900 18231000 5000 15525000
46 Eritromisi Kapsul 594 587 0 100300 58876100
47 Eritromisin botol 6867 6303 140 961380 2000 12606000
48 Ecolab Hydrgalon 986160 0 0 180 1.78E+08
49 Epinefrin ( Ampul 8505 8505 0 0 0 0
50 Eugeniol botol 19005 19005 2736 51997680 0 0
51 Etanol 70%Botol 28750 28750 944 27140000 1400 40250000
52 kolkisin / r Tablet 3845 3845 11640 44755800 0 0
53 Fenitoin kakapsul 154 154 21600 3326400 0 0
54 Fenitoin In Ampul 8010 8010 20 160200 0 0
55 Fitamenadio Tablet 726 721 0 1000 721000
56 Fitamenadio ampul 3728 3728 5310 19795680 0 0
57 FurosemidaTablet 81 81 52200 4228200 0 0
58 Garam oraliSachet 0 0 0 0
59 GlibenklamTablet 0 0 0 0
60 Glipizid ta Tablet 3000 3000 0 0 0 0
61 Glukosa larBotol 6900 6900 0 5900 40710000
62 glukonas kaampul 0 0 0 0 0
63 Griseofulvi Tablet 245 0 465000 1.14E+08
64 Hand Rub ABotol 63800 63800 0 0 0 0
65 haloperidoltablet 71 71 20500 1455500 0 0
66 Hidroklorti Tablet 156 156 76500 11934000 0 0
67 Hidrokorti Tube 2650 2640 6096 16154400 3048 8046720
68 Humases GlDus 256300 0 106 27167800
69 Humases Cho Dus 548400 0 85 46614000
70 Humases Uri Dus 554800 0 106 58808800
71 Human Hum Unit 844950 0 139 1.17E+08
72 Ibuprofen Tablet 108 105 60700 6555600 100000 10500000
73 Ibuprofen Tablet 130 112 117800 15314000 0 0
74 Ibu Profen Botol 5191 0 0 11400 59177400
75 Infus zet Set 4551 6670 0 3100 20677000
76 Infus zet a Set 3647 0 0 2500 9117500
77 Infuset An set 4884 4884 1500 7326000 0 0
78 Isosorbit d Tablet 93 93 0 60400 5617200
79 IV CatheterBuah 7560 13894 4100 30996000 1500 20841000
80 IV CatheterBuah 7560 13894 1600 12096000 1500 20841000
81 IV CatheterBuah 5372 0 0 1000 5372000
82 Kalsium La Tablet 66 57 183400 12104400 30000 1710000
83 Kantong S Lembar 0 0 0 0
84 Kapas Pem Rol 13750 28500 7090 97487500 1800 51300000
85 Kaptopril t Tablet 62 0 225870 14003940
86 Kaptopril t Tablet 81 0 355450 28791450
87 KarbogliserBotol 2500 2500 478 1195000 0 0
88 Kasa PembaRol 2466 1740 7905 19493730 20000 34800000
89 KasaSteril Box 8610 0 0 1800 15498000
90 Kasa hidrofroll 900 0 0 20000 18000000
91 KetokonazoTube 2545 2596 1302 3313590 2000 5192000
92 Ketamin injampul 72720 72720 460 33451200 0 0
93 Klindamisi Kapsul 630 630 39600 24948000 0 0
94 Kloramfeni Kapsul 302 1100 0 184200 2.03E+08
95 Kloramfeniktube 3190 3190 5592 17838480 0 0
96 Kloramfeni Botol 3978 4841 2000 7956000 5000 24205000
97 Kloramfeni tube 1798 1798 2880 5178240 0 0
98 Klorfenira Tablet 43 37 1251200 53801600 700000 25900000
99 Klorpromaztablet 155 155 1500 232500 0 0
100 Klorpromaziampul 141 141 2910 410310 0 0
101 Kodein HCl Tablet 575 577 0 86200 49737400
102 KotrimoksaTablet 323 323 158000 51034000 200000 64600000
103 Kotrimoksazol DOEN I 154 131 204500 31493000 500000 65500000
104 KotrimoxazBotol 2183 2364 6000 13098000 10000 23640000
105 Lidokain 2 ampul 870 1169 100 87000 0 0
106 Lidokain in Ampul 1937 2037 3450 6682650 5010 10205370
107 Loratadin Kaplet 139 139 0 0 0 0
108 Lysol 1 lite Botol 47150 47150 271 12777650 1400 66010000
109 Masker Kotak 25131 18150 0 7928 1.44E+08
110 Metformin Tablet 108 98 0 17680 1732640
111 Metformin Tablet 205 205 0 0 0
112 MetilergomAmpul 2684 2684 3300 8857200 0 0
113 MetilergomTablet 0 0 0 0
114 MetoklopraTablet 95 87 12100 1149500 200000 17400000
115 MetronidazTablet 96 92 41280 3962880 0 0
116 MetronidazTablet 133 114 119000 15827000 0 0
117 MetronidazBotol 3800 3800 0 2850 10830000
118 metil pred tablet 202 202 31200 6302400 0 0
119 Multiple Parameter Clinical Chemi 844950 0 0 0 0
120 Mikonazol kTube 3410 26950 1728 5892480 5472 1.47E+08
121 Natrium di Tablet 157 140 0 72725 10181500
122 Natrium KloBotol 6410 6410 739 4736990 1140 7307400
123 Nifedipin t Tablet 110 110 42800 4708000 55500 6105000
124 Nistatin ta Tablet 782 803 12500 9775000 6160 4946480
125 Nistatin va Tablet 427 572 0 5790 3311880
126 Obat batukTablet 257 0 228000 58596000
127 Obat batukBotol 11550 0 0
128 OksimetazoBotol 31500 32900 0 0 0
129 Oksitoksin Ampul 1900 1900 3200 6080000 1000 1900000
130 Omeprazol Vial 17657 17657 3293 58144501 0 0
131 Omeprazol Kapsul 164 144 74850 12275400 210000 30240000
132 ParasetamoBotol 5460 5460 0 0 0 0
133 ParasetamoBotol 1119 1119 13930 15587670 0 0
134 ParasetamoTablet 57 51 502100 28619700 500000 25500000
135 Pemeriksa box 1375000 1584375 0 1 1584375
136 Permetrin Tube 12155 12155 4440 53968200 0 0
137 PhenobarbiTablet 74 165 235800 17449200 150000 24750000
138 Piridoksin Tablet 124 124 0 798700 99038800
139 Piridoksin ampul 1000 1000 5400 5400000 0 0
140 Plester 5 Box 29686 29700 0 2473 73448100
141 Povidon Io Botol 6550 3335 2127 13931850 11000 36685000
142 Prednison Tablet 96 82 271200 26035200 500000 41000000
143 ProbenesidTablet 1820 1820 104800 1.91E+08 0 0
144 Propanolol Tablet 79 57 0 19600 1117200
145 Propiltiour Tablet 0 0 0 0
146 Pyrantel P Tablet 308 308 14900 4589200 0 0
147 Ranitidin Tablet 115 100 0 1199000 1.2E+08
148 Retinol (Vi Kapsul 298 298 2450 730100 0 0
149 Retinol (Vi Kapsul 574 574 8959 5142466 0 0
150 Ringer lact Botol 7150 7150 960 6864000 4420 31603000
151 Risperidon Tablet 495 347 23200 11484000 50600 17558200
152 Rivanol 300Botol 3450 3450 2287 7890150 9100 31395000
153 Safeglove Box 39182 7255 0 3250 23578750
154 Safeglove Box 39182 7255 0 4309 31261795
155 SalbutamolTablet 67 78 0 193950 15128100
156 SalbutamolTablet 83 80 78500 6515500 200000 16000000
157 salep 24 Pot 2554 2654 5160 13178640 3000 7962000
158 Sefadroksi Kapsul 0 0 0 0
159 setrijin sir botol 2900 3200 6820 19778000 5000 16000000
160 Setirizin tablet /kapsul/kaplet 1 96 0 0 330000 31680000
161 StreptomisiAmpul 5250 5250 5992 31458000 0 0
162 SianokobalaAmpul 1168 1168 15500 18104000 0 0
163 SianokobalaTablet 52 0 449700 23384400
164 Silk (benanBuah 39637 43429 1248 49466976 2500 1.09E+08
165 Silk (benanBuah 39637 21535 876 34722012 0 0
166 SimvastatinTablet 133 113 0 209778 23704914
167 SMI Silk B Sachet 21535 0 0 2500 53837500
168 SiprofloksaTablet 289 247 67700 19565300 300000 74100000
169 Spironolak Tablet 320 320 0 0 0 0
170 Tablet Ant Tablet 0 0 0 0
171 tablet fe Tablet 370 0 173490 64191300
172 Tetrasiklin Kapsul 168 174 117200 19689600 250000 43500000
173 Tetrasiklin Kapsul 319 319 123800 39492200 400000 1.28E+08
174 Troge Glovepices 7255 0 0 0
175 Troge Glovepices 7255 0 50 362750
176 Tiamin Tablet 89 84 518900 46182100 0 0
177 Vitamin B Tablet 121 121 204000 24684000 500000 60500000
178 WIDA KDN B 1otol 11435 0 3960 45282600
179 ZINC tzblettablet 0 0 0 0
180 3 way stop buah 3219 3219 1000 3219000 0 0
JUMLAH
JUMLAH * sisa maret total pengepengeluaran 2016 harga pengeluara
92 38640000 92 3 - 3 3
65 8258250 65 10 10 1,270,500 0 0
6839 18807250 6839 1440 1440 3,960,000 0 0
17600 13145400 17600 1400 500 423,000 900 900
130900 103328400 130900 6900 6900 6,044,400 0 0
90000 82080000 90000 4000 4000 3,724,000 0 0
14860 4651180 14860 14860 14860 4,651,180 0 0
20005 8903405 20005 19870 19870 4,093,220 0 0
409500 41083500 409500 61700 61700 5,738,100 0 0
22900 2106800 22900 600 - 600 600
2790 9343710 2790 30 30 100,470 0 0
25900 3885000 25900 1400 1400 210,000 0 0
248290 21849520 248290 60850 - 0 0
8202 15747840 8202 3552 - 3552 3552
3000 11847000 3000 3000 3000 11,847,000 0 0
826300 157823300 826300 251300 - 251300 251300
2500 5162500 2500 2500 2500 5,162,500 0 0
1189700 72951100 1189700 212300 212300 13,374,900 0 0
3768 16973088 3768 744 744 3,248,304 0 0
23900 76408300 23900 1100 1100 3,516,700 0 0
16900 1994200 16900 7700 7700 908,600 0 0
1106300 120586700 1106300 117100 117100 12,763,900 0 0
221300 22572600 221300 152600 - 152600 152600
13970 3506250 13970 10600 4400 1,161,600 6200 6200
50060 18955600 50060 4500 3200 1,148,800 1300 1300
1400 2222000 1400 200 200 334,400 0
161500 24548000 161500 31200 - 31200 31200
26100 8613000 26100 8300 8300 2,739,000 0
4654 4840160 4654 1700 - 1700 1700
6096 8577072 6096 1444 1444 2,031,708 0
3288 167150712 3288 2004 2004 105,909,396 0
2391 107878149 2391 732 732 30,772,548 0
1608 87006792 1608 0 - 0
2884 156452976 2884 288 288 12,107,232 0
107000 270603000 107000 103916 - 103916 103916
0 0 0 0 0 - 0 0
141400 6102400 141400 122800 7400 340,400 115400 115400
0 0 0 0 0 - 0 0
177900 6048600 177900 11500 11500 391,000 0
8520 10156680 8520 1560 1560 1,925,040 0
0 0 0 0 0 - 0 0
22600 2870200 22600 2800 2800 355,600 0
0 0 0 0 0 - 0 0
0 0 0 0 0 - 0 0
10900 33756000 10900 1500 1500 4,635,000 0
100300 58876100 100300 67000 - 67000 67000
2140 13567380 2140 180 140 961,380 40 40
180 177508800 180 74 - 74 74
0 0 0 0 0 - 0 0
2736 51997680 2736 756 756 14,367,780 0
2344 67390000 2344 335 335 9,631,250 0
11640 44755800 11640 4200 4200 16,149,000 0
21600 3326400 21600 500 500 77,000 0
20 160200 20 20 20 160,200 0
1000 721000 1000 900 - 900 900
5310 19795680 5310 540 540 2,013,120 0
52200 4228200 52200 7800 7800 631,800 0
0 0 0 0 - 0 0
0 0 0 0 - 0 0
0 0 0 0 - 0 0
5900 40710000 5900 540 - 540 540
0 0 0 0 - 0 0
465000 113925000 465000 16800 - 16800 16800
0 0 0 0 - 0 0
20500 1455500 20500 2000 2000 142,000 0
76500 11934000 76500 10100 10100 1,575,600 0
9144 24201120 9144 2112 2112 5,596,800 0
106 27167800 106 106 - 106 106
85 46614000 85 85 - 85 85
106 58808800 106 106 - 106 106
139 117448050 139 139 - 139 139
160700 17055600 160700 119200 60700 6,555,600 58500 58500
117800 15314000 117800 95700 95700 12,441,000 0
11400 59177400 11400 300 - 300 300
3100 20677000 3100 100 - 100 100
2500 9117500 2500 0 0 - 0
1500 7326000 1500 150 150 732,600 0
60400 5617200 60400 6100 - 6100 6100
5600 51837000 5600 450 450 3,402,000 0
3100 32937000 3100 0 - 0
1000 5372000 1000 0 0 - 0
213400 13814400 213400 96700 96700 6,382,200 0
0 0 0 0 - 0 0
8890 148787500 8890 1955 1955 26,881,250 0
225870 14003940 225870 54100 - 54100 54100
355450 28791450 355450 46700 - 46700 46700
478 1195000 478 478 478 1,195,000 0
27905 54293730 27905 3105 3105 7,656,930 0
1800 15498000 1800 0 0 - 0
20000 18000000 20000 0 0 - 0
3302 8505590 3302 977 977 2,486,465 0
460 33451200 460 290 290 21,088,800 0
39600 24948000 39600 12400 12400 7,812,000 0
184200 202620000 184200 25400 - 25400 25400
5592 17838480 5592 3504 3504 11,177,760 0
7000 32161000 7000 750 750 2,983,500 0
2880 5178240 2880 528 528 949,344 0
1951200 79701600 1951200 215200 215200 9,253,600 0
1500 232500 1500 300 300 46,500 0
2910 410310 2910 0 - 0 0
86200 49737400 86200 17200 - 17200 17200
358000 115634000 358000 19000 19000 6,137,000 0
704500 96993000 704500 68000 68000 10,472,000 0
16000 36738000 16000 1900 1900 4,147,700 0
100 87000 100 100 100 87,000 0
8460 16888020 8460 1170 1170 2,266,290 0
0 0 0 0 - 0 0
1671 78787650 1671 370 271 12,777,650 99 99
7928 143893200 7928 1366 - 1366 1366
17680 1732640 17680 17680 - 17680 17860
0 0 0 0 - 0 0
3300 8857200 3300 300 300 805,200 0
0 0 0 0 0 - 0 0
212100 18549500 212100 49000 12100 1,149,500 36900 36900
41280 3962880 41280 20280 20280 1,946,880 0
119000 15827000 119000 71700 71700 9,536,100 0
2850 10830000 2850 0 0 - 0
31200 6302400 31200 31200 31200 6,302,400 0
0 0 0 0 0 - 0 0
7200 153362880 7200 1152 1152 3,928,320 0
72725 10181500 72725 30000 - 30000 30000
1879 12044390 1879 720 720 4,615,200 0
98300 10813000 98300 14500 14500 1,595,000 0
18660 14721480 18660 18660 12500 9,775,000 6160 6160
5790 3311880 5790 2310 - 2310 2310
228000 58596000 228000 73500 - 73500 73500
0 0 0 0 - 0 0
0 0 0 0 - 0 0
4200 7980000 4200 600 600 1,140,000 0
3293 58144501 3293 3293 3293 58,144,501 0
284850 42515400 284850 64150 64150 10,520,600 0
0 0 0 0 0 - 0 0
13930 15587670 13930 3500 3500 3,916,500 0
1002100 54119700 1002100 246200 246200 14,033,400 0
1 1584375 1 0 0 - 0
4440 53968200 4440 2340 2340 28,442,700 0
385800 42199200 385800 7800 7800 577,200 0
798700 99038800 798700 97300 - 97300 97300
5400 5400000 5400 100 100 100,000 0
2473 73448100 2473 620 - 620 620
13127 50616850 13127 719 719 4,709,450 0
771200 67035200 771200 102000 102000 9,792,000 0
104800 190736000 104800 8000 8000 14,560,000 0
19600 1117200 19600 200 - 200 200
0 0 0 0 - 0 0
14900 4589200 14900 6300 6300 1,940,400 0
1199000 119900000 1199000 132700 - 132700 132700
2450 730100 2450 0 - 0 0
8959 5142466 8959 0 - 0 0
5380 38467000 5380 920 920 6,578,000 0
73800 29042200 73800 1500 1500 742,500 0
11387 39285150 11387 744 744 2,566,800 0
3250 23578750 3250 1000 - 1000 1000
4309 31261795 4309 2059 - 2059 2059
193950 15128100 193950 32500 - 32500 32500
278500 22515500 278500 0 - 0
8160 21140640 8160 2820 2820 7,202,280 0
0 0 0 0 - 0 0
11820 35778000 11820 6820 6820 19,778,000 0
330000 31680000 330000 2100 - 2100 2100
5992 31458000 5992 112 112 588,000 0
15500 18104000 15500 0 - 0 0
449700 23384400 449700 65000 - 65000 65000
3748 158039476 3748 192 192 7,610,304 0
876 34722012 876 312 312 12,366,744 0
209778 23704914 209778 22860 - 22860 22860
2500 53837500 2500 0 0 - 0
367700 93665300 367700 58700 58700 16,964,300 0
0 0 0 0 - 0 0
0 0 0 0 - 0 0
173490 64191300 173490 35260 - 35260 35260
367200 63189600 367200 29800 29800 5,006,400 0
523800 167092200 523800 32200 32200 10,271,800 0
0 0 0 0 - 0 0
50 362750 50 50 - 50 50
518900 46182100 518900 181700 181700 16,171,300 0
704000 85184000 704000 104600 104600 12,656,600 0
3960 45282600 3960 600 - 600 600
0 0 0 0 - 0
1000 3219000 1000 100 100 321,900
759,481,896
1,697,217,915
harga sisa 2016 harga sisa 2017 harga jumlah sisa juni 2 harga
1,260,000 0 89 37380000 89 89 37380000
- 5 635250 50 6352500 55 55 6987750
- 5399 14847250 0 5399 5399 14847250
669,600 0 16200 12052800 16200 16200 12052800
- 34000 29784000 90000 67500000 124000 124000 97284000
- 41000 38171000 45000 40185000 86000 86000 78356000
- 0 0 0 0 - 0
- 0 0 135 4810185 135 135 4810185
- 147800 13745400 200000 21600000 347800 347800 35345400
55,200 0 22300 2051600 22300 22300 2051600
- 2760 9243240 0 2760 2760 9243240
- 24500 3675000 0 24500 24500 3675000
5,354,800 0 187440 16494720 187440 187440 16494720
6,819,840 0 4650 8928000 4650 4650 8928000
- 0 0 0 0 - 0
47,998,300 0 575000 1.1E+08 575000 575000 1.1E+08
- 0 0 0 0 - 0
- 477400 30076200 500000 29500000 977400 977400 59576200
- 24 104784 3000 13620000 3024 3024 13724784
- 22800 72891600 0 22800 22800 72891600
- 9200 1085600 0 9200 9200 1085600
- 489200 53322800 500000 54500000 989200 989200 1.08E+08
15,565,200 0 68700 7007400 68700 68700 7007400
1,519,000 0 3370 825650 3370 3370 825650
494,000 0 45560 17312800 45560 45560 17312800
- 300 501600 900 1386000 1200 1200 1887600
4,742,400 0 130300 19805600 130300 130300 19805600
- 17800 5874000 0 17800 17800 5874000
1,768,000 0 2954 3072160 2954 2954 3072160
- 4652 6545364 0 4652 4652 6545364
- 84 4439316 1200 56802000 1284 1284 61241316
- 984 41366376 675 35739225 1659 1659 77105601
- 408 21562392 1200 65444400 1608 1608 87006792
- 96 4035744 2500 1.4E+08 2596 2596 1.44E+08
262,803,564 0 3084 7799436 3084 3084 7799436
- 0 0 0 0 0
4,962,200 0 18600 799800 18600 18600 799800
- 0 0 0 0 0
- 166400 5657600 0 166400 166400 5657600
- 3960 4886640 3000 3345000 6960 6960 8231640
- 0 0 0 0 0
- 19800 2514600 0 19800 19800 2514600
- 0 0 0 0 0
- 0 0 0 0 0
- 4400 13596000 5000 15525000 9400 9400 29121000
39,329,000 0 33300 19547100 33300 33300 19547100
252,120 0 1960 12353880 1960 1960 12353880
72,975,840 0 106 1.05E+08 106 106 1.05E+08
- 0 0 0 0 0
- 1980 37629900 0 1980 1980 37629900
- 609 17508750 1400 40250000 2009 2009 57758750
- 7440 28606800 0 7440 7440 28606800
- 21100 3249400 0 21100 21100 3249400
- 0 0 0 0 0
648,900 0 100 72100 100 100 72100
- 4770 17782560 0 4770 4770 17782560
- 44400 3596400 0 44400 44400 3596400
- 0 0 0 0 - 0
- 0 0 0 0 - 0
- 0 0 0 0 - 0
3,726,000 0 5360 36984000 5360 5360 36984000
- 0 0 0 0 - 0
4,116,000 0 448200 1.1E+08 448200 448200 1.1E+08
- 0 0 0 0 - 0
- 18500 1313500 0 18500 18500 1313500
- 66400 10358400 0 66400 66400 10358400
- 3984 10557600 3048 8046720 7032 7032 18604320
27,167,800 0 0 0 - 0
46,614,000 0 0 0 - 0
58,808,800 0 0 0 - 0
117,448,050 0 0 0 - 0
6,142,500 0 41500 4357500 41500 41500 4357500
- 22100 2873000 0 22100 22100 2873000
1,557,300 0 11100 57620100 11100 11100 57620100
667,000 0 3000 20010000 3000 3000 20010000
- 0 0 2500 9117500 2500 2500 9117500
- 1350 6593400 0 1350 1350 6593400
567,300 0 54300 5049900 54300 54300 5049900
- 3650 27594000 1500 20841000 5150 5150 48435000
- 1600 12096000 1500 20841000 3100 3100 32937000
- 0 0 1000 5372000 1000 1000 5372000
- 86700 5722200 30000 1710000 116700 116700 7432200
- 0 0 0 0 - 0
- 5135 70606250 1800 51300000 6935 6935 1.22E+08
3,354,200 0 171770 10649740 171770 171770 10649740
3,782,700 0 308750 25008750 308750 308750 25008750
- 0 0 0 0 - 0
- 4800 11836800 20000 34800000 24800 24800 46636800
- 0 0 1800 15498000 1800 1800 15498000
- 0 0 20000 18000000 20000 20000 18000000
- 325 827125 2000 5192000 2325 2325 6019125
- 170 12362400 0 170 170 12362400
- 27200 17136000 0 27200 27200 17136000
27,940,000 0 158800 1.75E+08 158800 158800 1.75E+08
- 2088 6660720 0 2088 2088 6660720
- 1250 4972500 5000 24205000 6250 6250 29177500
- 2352 4228896 0 2352 2352 4228896
- 1036000 44548000 700000 25900000 1736000 1736000 70448000
- 1200 186000 0 1200 1200 186000
- 2910 410310 0 2910 2910 410310
9,924,400 0 69000 39813000 69000 69000 39813000
- 139000 44897000 200000 64600000 339000 339000 1.09E+08
- 136500 21021000 500000 65500000 636500 636500 86521000
- 4100 8950300 10000 23640000 14100 14100 32590300
- 0 0 0 0 - 0
- 2280 4416360 5010 10205370 7290 7290 14621730
- 0 0 0 0 - 0
4,667,850 0 1301 61342150 1301 1301 61342150
24,792,900 0 6562 1.19E+08 6562 6562 1.19E+08
1,750,280 0 0 0 - 0
- 0 0 0 0 - 0
- 3000 8052000 0 3000 3000 8052000
- 0 0 0 0 0
3,210,300 0 163100 14189700 163100 163100 14189700
- 21000 2016000 0 21000 21000 2016000
- 47300 6290900 0 47300 47300 6290900
- 0 0 2850 10830000 2850 2850 10830000
- 0 0 0 0 - 0
- 0 0 0 0 0
- 576 1964160 5472 1.47E+08 6048 6048 1.49E+08
4,200,000 0 42725 5981500 42725 42725 5981500
- 19 121790 1140 7307400 1159 1159 7429190
- 28300 3113000 55500 6105000 83800 83800 9218000
4,946,480 0 0 0 - 0
1,321,320 0 3480 1990560 3480 3480 1990560
18,889,500 0 154500 39706500 154500 154500 39706500
- 0 0 0 0 - 0
- 0 0 0 0 - 0
- 2600 4940000 1000 1900000 3600 3600 6840000
- 0 0 0 0 0
- 10700 1754800 210000 30240000 220700 220700 31994800
- 0 0 0 0 0
- 10430 11671170 0 10430 10430 11671170
- 255900 14586300 500000 25500000 755900 755900 40086300
- 0 0 1 1584375 1 1 1584375
- 2100 25525500 0 2100 2100 25525500
- 228000 16872000 150000 24750000 378000 378000 41622000
12,065,200 0 701400 86973600 701400 701400 86973600
- 5300 5300000 0 5300 5300 5300000
18,414,000 0 1853 55034100 1853 1853 55034100
- 1408 9222400 11000 36685000 12408 12408 45907400
- 169200 16243200 500000 41000000 669200 669200 57243200
- 96800 1.76E+08 0 96800 96800 1.76E+08
11,400 0 19400 1105800 19400 19400 1105800
- 0 0 0 0 - 0
- 8600 2648800 0 8600 8600 2648800
13,270,000 0 1066300 1.07E+08 1066300 1066300 1.07E+08
- 2450 730100 0 2450 2450 730100
- 8959 5142466 0 8959 8959 5142466
- 40 286000 4420 31603000 4460 4460 31889000
- 21700 10741500 50600 17558200 72300 72300 28299700
- 1543 5323350 9100 31395000 10643 10643 36718350
7,255,000 0 2250 16323750 2250 2250 16323750
14,938,045 0 2250 16323750 2250 2250 16323750
2,535,000 0 161450 12593100 161450 161450 12593100
- 78500 6515500 200000 16000000 278500 278500 22515500
- 2340 5976360 3000 7962000 5340 5340 13938360
- 0 0 0 0 - 0
- 0 5000 16000000 5000 6950 16000000
201,600 0 327900 31478400 327900 327900 31478400
- 5880 30870000 0 5880 5880 30870000
- 15500 18104000 0 15500 15500 18104000
3,380,000 0 384700 20004400 384700 384700 20004400
- 1056 41856672 2500 1.09E+08 3556 3556 1.5E+08
- 564 22355268 0 564 564 22355268
2,583,180 0 186918 21121734 186918 186918 21121734
- 0 0 2500 53837500 2500 2500 53837500
- 9000 2601000 300000 74100000 309000 309000 76701000
- 0 0 0 0 - 0
- 0 0 0 0 - 0
13,046,200 0 138230 51145100 138230 138230 51145100
- 87400 14683200 250000 43500000 337400 337400 58183200
- 91600 29220400 400000 1.28E+08 491600 491600 1.57E+08
- 0 0 0 0 - 0
362,750 0 0 0 - 0
- 337200 30010800 0 337200 337200 30010800
- 99400 12027400 500000 60500000 599400 599400 72527400
6,861,000 3360 38421600 3360 3360 38421600
- 0 0 0 0 - 0
- 900 2897100 0 900 900 2897100
- 1.36E+09 3.49E+09 4.85E+09
- 0 4.85E+09
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BERITA ACARA STOK OPNAME BARANG HABIS PAKAI

PER 31 DESEMBER 2017

NO NAMA BARANG SATUAN JUMLAH HARGA KONDISI

1 Accuchek strep stik 100 42,000,000 BAIK

27 Attapulgit tablet 600 mg Tablet 200,000 30,400,000 BAIK

74 Ibu Profen Syrup 200 mg / 5 ml Botol 11,400 59,177,400 BAIK

119 Multiple Parameter Clinical Chemistry Test Sys - - -

120 Mikonazol krim / salep 2% (nitrat) Tube 9,144 159,991,920 BAIK

167 SMI Silk Black 3/0 HR 30 MM Sachet 2,500 53,837,500 BAIK

Pembantu Pengurus Barang Tanggal tersebut diatas

Eka Karya Lase, AMF 1 . Dr. Johanis Sitepu …………………..

2 . Redin Tarigan, SKM …………………..

drg. Irna Safrina S. Meliala, M.Kes

1 Accuchek strep stik - - 100 42,000,000 100 42,000,000

8 Alcohol Swab Box 174,100 35,864,600 135 4,810,185 174,235 40,674,785

35 Cefixime 200 mg - - 109,000 275,661,000 109,000 275,661,000

63 Griseofulvin tablet 125 mg Tablet - - 500,000 122,500,000 500,000 122,500,000

91 Ketokonazol krim 2% Tube 2,600 6,617,000 2,000 5,192,000 4,600 11,809,000

Multiple Parameter Clinical Chemistry

Pembantu Pengurus Barang Tanggal tersebut diatas

Eka Karya Lase, AMF Disma Sembiring, SKM

Kepala Dinas Kesehatan

drg. Irna Safrina S. Meliala, M.Kes

1 Accuchek strep stik - 92 38,640,000 92 38,640,000

8 Alcohol Swab Box 19,870 4,093,220 135 4,810,185 20,005 8,903,405

35 Cefixime 200 mg - 107,000 270,603,000 107,000 270,603,000

63 Griseofulvin tablet 125 mg Tablet - 465,000 113,925,000 465,000 113,925,000

91 Ketokonazol krim 2% Tube 1,302 3,313,590 2,000 5,192,000 3,302 8,505,590

Multiple Parameter Clinical Chemistry

174 Troge Glove sterile 7.0 pices - - - - -

Pembantu Pengurus Barang Tanggal tersebut diatas

Eka Karya Lase, AMF Disma Sembiring, SKM

Kepala Dinas Kesehatan

drg. Irna Safrina S. Meliala, M.Kes

1 Accuchek strep stik 89

34 Catgut / benang bedah No. 3/0 chro kotak 96 2,500

68 Humases Glucose Test Strips Dus

102 Kotrimoksazol DOEN I tablet 800 mg Tablet 139,000 200,000

135 Pemeriksaan Narkoba box - 1

169 Spironolakton tablet 25 mg Tablet -

1 Accuchek strep stik 420,000 420,000 - 92 38,640,000 92 38,640,000 92

7,700 7,700 908,600 - - 9,200 1,085,600 - 9,200

117,100 117,100 12,763,900 - - 489,200 53,322,800 500,000 54,500,000 989,200

180 140 961,380 40 252,120 - 1,960 12,353,880 1,960

25,400 - 25,400 27,940,000 - 158,800 174,680,000 158,800

1,152 1,152 3,928,320 - 576 1,964,160 5,472 147,470,400 6,048

620 - 620 18,414,000 - 1,853 55,034,100 1,853

600 - 600 6,861,000 3,360 38,421,600 3,360

1 Accuchek strep stik

71 Human Humasens Plus Unit

107 Loratadin tablet 10 mg Kaplet

142 Prednison tablet 5 mg Tablet

WIDA KDN 1 larutan mengandung

1 . Kepala Puskesmas : dr. Rahmenda

Pengelola Barang Persediaan,

Nomi Br Karo Nomi Br Karo

NO NAMA BARANG SATUAN

1 Accuchek strep stik

43 Doksisiklin kapsul 100 mg Tablet

75 Infus zet dewasa Set

107 Loratadin tablet 10 mg Kaplet

138 Piridoksin (vitamin B6) tablet 10 mg (HCl) Tablet

170 Tablet Anti Diare (New Diaform) Tablet