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Lembar Pemakaian dan Lembar Permintaan Obat (LPLPO)

Reagen Laboratorium

Nama : Puskesmas Makrayu


Tahun : 2017

MUTASI
HARGA SATUAN SATUAN STOK AWAL TAMBAH
N0 NAMA OBAT
(Rp)
TRIWULAN 1 TRIWULAN 2
VOL JUMLAH (Rp) VOL JUMLAH (Rp) VOL JUMLAH (Rp)
REAGENT LABORATORIUM
1 Aceton GR 100 ml 18,500 botol 0 0 0
2 Alkohol 70% 2,350 botol 0 0 0
3 Alkohol 96 % 27,000 botol 0 0 0
4 Alkohol Swab 17,300 kotak 0 0 0
5 Alumunium Reagent Set 3,972,000 pack 0 0 0
6 Ammonia No.1 tablet 851,600 pack 0 0 0
7 Ammonia No.2 tablet 874,600 kotak 0 0 0
8 Ammonium Oxalat 1% 23,500 botol 0 0 0
9 Aquadest 19,000 botol 0 0 0
10 Asam Asetat 6% 19,000 botol 0 0 0
11 Barium klorida 57,200 botol 0 0 0
12 Benedict Solution 114,000 botol 0 0 0
13 Borax test packing kit 100 test 1,307,500 pack 0 0 0
14 Briliant Green Bile 1,649,600 botol 0 0 0
15 BSS Strip (Nesco) 100,000 kotak 0 0 0
16 Buffer pH 6,4 60,500 botol 0 0 0
17 Buffer pH 7,2 69,500 botol 0 0 0
18 Cell Clean (Sysmex) 1,197,600 botol 0 0 0
19 Cell Pack (Sysmex) 1,906,500 galon 0 0 0
20 Chloride Reagent Set 2,364,600 kotak 0 0 0
21 Cholesterol (Diasys) 1,253,000 kit 0 0 0
22 Cholesterol Biosystem 50 ml 2,737,000 botol 0 0 0
23 Cholesterol FS 10 990,000 botol 0 0 0
24 Cholesterol Human Diagnostik World Wide 1,321,000 kit 0 0 0
25 Cholesterol Test (Easy touch) 150,000 botol 0 0 0
26 Cholestrol Strip (Nesco) 191,000 kotak 0 0 0
27 Chroma Ver 3 chorium 1,066,000 pack 0 0 0
28 Control Eight Check (Sysmex) 947,000 serial 0 0 0
29 Cover 1 Coover Reagent 1,492,200 pack 0 0 0
30 CRP Latex 946,500 kotak 0 0 0
31 Cyanida Reagent Set 2,808,400 pack 0 0 0
32 Dek Glass 43,400 kotak 0 0 0
33 Dempul HT 77,600 botol 0 0 0
34 E D T A 10% 166,100 botol 0 0 0
35 Eosin 2% 250 ml 429,300 botol 0 0 0
36 Ferrous Iron Reagent 934,600 pack 0 0 0
37 Ferrover Iron 100 test 764,000 pack 0 0 0
38 Flashback Needle 2,500 buah 0 0 0
39 Formaldehyde test AM 100 test 3,873,000 pack 0 0 0
40 Fouchet 100 ml 116,000 botol 0 0 0
41 Giemsa Stain 250 ml 554,000 botol 0 0 0
42 Glucosa Biosystem 50ml 1,518,000 botol 0 0 0
43 Glucosa Test (Easy touch) 99,000 botol 0 0 0
44 Glucose Biosystem 200 ml 1,203,500 kit 0 0 0
45 Glucose Human Diagnostik World Wide 1,413,000 kit 0 0 0
46 Golongan Darah Set+kartu 799,600 botol 0 0 0
47 Haemoglobin (Diasys) 1,711,000 kit 0 0 0
48 Haemoglobin FS 2x20 ml 1,045,000 botol 0 0 0
49 Haemoglobin Human Diagnostik World Wide 1,697,000 kit 0 0 0
50 Haemoglobin strip merk quick check 2,749,600 kotak 0 0 0
51 Hardcheck P 1,350,000 pack 0 0 0
52 Hayem 250 ml 101,000 botol 0 0 0
53 HbsAg Stik Abon 593,600 kotak 0 0 0
54 HCl 0,1 N (Chloric Acid) 19,600 botol 0 0 0
55 Lactose Broth 1,149,600 pack 0 0 0
56 Larutan Etanol Asam 38,600 botol 0 0 0
57 Larutan Karbol Fuksin 47,400 botol 0 0 0
58 Lugol Solution 250 ml 101,000 botol 0 0 0
59 Manganase Reagent Set 4,814,600 pack 0 0 0
60 Methylen Blue 0,3 % 34,500 botol 0 0 0
61 Micropipet Tips 60 /Yellow 176 buah 0 0 0
62 Micropipet Tips 61 /Blue 453 buah 0 0 0
63 Natrium Citrat 3,8% 69,600 botol 0 0 0
64 Nitra Ver 5 Nitrate Reagent 1,378,000 pack 0 0 0
65 Nitri Ver 2 Nitrite Reagent 1,319,600 pack 0 0 0
66 Objek Glass 31,000 kotak 0 0 0
67 Oil Imersi 100 ml 641,000 botol 0 0 0
68 Phenol Red 100 test 528,000 pack 0 0 0
69 Phospate No.1 LR tablet 637,600 kotak 0 0 0
70 Phospate No.2 LR tablet 1,484,600 pack 0 0 0
71 Pregnancy Test 69,600 kotak 0 0 0
72 Rapid Syphilis 27,400 test 0 0 0
73 Rees Ecker 132,000 botol 0 0 0
74 Rhodamin B test packing kit 100 test 1,686,000 pack 0 0 0
75 RPR (01) 7,450 test 0 0 0
76 RPR Syphilis (02) 7,450 test 0 0 0
77 SPANDS reagent 1,048,400 pack 0 0 0
78 Spritus 1000 ml 31,000 botol 0 0 0
79 Stromatolyzer -WH (Sysmex) 1,308,500 botol 0 0 0
80 Sulfa Ver 4Sulfate Reagent 1,015,400 pack 0 0 0
81 Tabung EDTA K2 315,000 pack 0 0 0
82 Tabung Hematokrit 81,000 botol 0 0 0
83 Tabung Vacutainer 6,500 buah 0 0 0
84 Thermal Paper 38,000 roll 0 0 0
85 Trigliserida Biosystem 50 ml 1,272,000 botol 0 0 0
86 Trigliserida Human Diagnostik World Wide 2,632,000 kit 0 0 0
87 Triglycerides (Diasys) 1,701,500 kit 0 0 0
88 Triglycerides 125 ml 1,320,000 kit 0 0 0
89 Turk 250 ml 60,200 botol 0 0 0
90 Uric Acid (Diasys) 1,244,400 kit 0 0 0
91 Uric Acid Human Diagnostik World Wide 1,541,000 kit 0 0 0
92 Uric Acid Strip (Nesco) 109,000 kotak 0 0 0
93 Uric Acid Test (Easy touch) 104,000 botol 0 0 0
94 Urine Gluco Protein Test 3V 106,000 box 0 0 0
95 Urine Reagent Strips 10V 235,000 box 0 0 0
96 Urit Acid FS 990,000 botol 0 0 0
97 Widal Salmonella Paratyphi AH 197,600 botol 0 0 0
98 Widal Salmonella Paratyphi AO 197,600 botol 0 0 0
99 Widal Salmonella Typhi H 197,600 botol 0 0 0
100 Widal Salmonella Typhi O 197,600 botol 0 0 0
101 Wrights EMB Solution 163,400 botol 0 0 0
102 Metanol Teknis 50,050 botol 0 0 0
103 NaCl 0,9% 34,320 botol 0 0 0
104 Trulab Normal 4,860,000 kit 0 0 0
105 Xylol 183,730 botol 0 0 0
106 Zink Reagent Set 2,206,500 pack 0 0 0
JUMLAH REAGENT LABORATORIUM 0 0
JUMLAH I + II + III #REF! #REF! #REF!
MUTASI
TAMBAH STOK AKHIR
KURANG TW I
TRIWULAN 3 TRIWULAN 4
VOL JUMLAH (Rp) VOL JUMLAH (Rp) VOL JUMLAH (Rp) VOL JUMLAH (Rp)

0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0
#REF! #REF! #REF! #REF!
USULAN PENGADAAN OBAT TAHUN 2018

HARGA SATUAN SATUAN JUMLAH TOTAL HARGA


N0 NAMA OBAT
(Rp)

1 Amoksisilin tablet 500 mg 1100 Tablet 3000 3300000


2 Amoksisilin syrup 2800 Botol 500 1400000
3 Ambroxol tablet 1000 Tablet 10000 10000000
4 Ambroxol syrup 5000 Botol 500 2500000
5 Cetirizine tablet 600 Tablet 1000 600000
6 Chloreniramine maleat( CTM) 300 Tablet 50000 15000000
7 Glycerin Guayacolat (GG) 150 Tablet 100000 15000000
8 Paracetamol tablet 500 mg 600 Tablet 20000 12000000
9 Paracetamol drop 9000 Botol 500 4500000
10 Paracetamol syrup 3600 Botol 1000 3600000
11 Vitamin B complex 80 Tablet 10000 800000
12 Gentian Violet 4000 Botol 100 400000
13 PK Kristal 6000 Pot 100 600000
14 Valsartan tablet 160 mg 3000 Tablet 1000 3000000
17 Gentamicin cream 3000 Tube 1000 3000000
18 Chlorampenicol Tetes Teliga 6000 Tube 500 3000000
19 Kloferson cream 6000 Tube 500 3000000
20 OBH syrup 4100 Botol 1000 4100000
21 Vitamin syrup anak 5000 Botol 500 2500000
22 Obat batuk pilek demam anak 5000 Botol 1000 5000000
23 Obat batuk pilek demam dewasa 700 Tablet 10000 7000000
24 Metronidazol tablet 500 mg 250 Tablet 3000 750000
25 Pehacain injeksi 3400 Ampul 1000 3400000
26 Amlodipin tablet 5 mg 500 Tablet 20000 10000000
27 Ibuprofen tablet 400 mg 250 Tablet 10000 2500000
28 Obat salep mata 3000 Tablet 500 1500000
118450000

Mengetahui Palembang,
plt. Pimpinan puskesmas makrayu Petugas Gudang Apotik

Dr. Hj. Novia Diana Roza, M. Kes Septiyawati, AMF


NIP:196212121989102001 NIP : 198609082011012005