DINAS KESEHATAN KABUPATEN MESUJI

PUSKESMAS SIDOMULYO
Jl. ZA pagar alam kampung wiralaga mulya kec. Mesuji kab. Mesuji kp 34699
J

LAPORAN PEMAKAIAN OBAT DAN LEMBAR PERMINTAAN OBAT

(LPLPO)

Kode Dinas : III.03 LB.2

Nama Instansi : Puskesmas stok opname : 31/12/2018
Kecamatan : Mesuji Tahun : 2018
Provinsi : Lampung

NO NAMA KEMASAN Satuan Mutasi HARGA TOTAL HARGA

KEMASAN p
Setelah 31 des 2018
saldo stok
Saldo obat
Masuk opnama Total Harga Stok gudang
1/1/2017
31/12/2018
keluar

Dinkes Jkn Masuk keluar

1 2 3 4 5 6 7 8 9 10 0 12 Rp 15 Rp 16
1 Albendazol suspensi 200 mg/5 ml botol 0 4 0 4 0 Rp - 0 0 0 Rp 4,000 Rp -
2 Albendazol tablet 400 mg ktk 3 x 10 tablet 0 3930 0 3930 0 Rp - 300 0 300 Rp 12,060 Rp 3,618,000
3 Alopurinol tablet 100 mg ktk 10 x 10 tablet 0 3100 0 1100 2000 Rp 22,000,000 0 0 2000 Rp 11,000 Rp 22,000,000
4 Alprazolam tablet 1 mg ktk 10 x 10 tablet 0 0 0 0 0 Rp - 200 0 200 Rp 12,000 Rp 2,400,000
5 Ambroxol tablet 30 mg ktk 10 x 10 tablet 200 0 1500 1700 0 Rp - 0 0 0 Rp 12,507 Rp -
6 Aminofilin injeksi 24 mg/ml ktk 30 ampul @ 10 30 30 0 0 60 Rp 5,396,400 0 0 60 Rp 89,940 Rp 5,396,400
Aminofilin tablet 200 mg mltablet
btl 100
7 0 200 0 200 0 Rp - 0 0 0 Rp 8,900 Rp -
8 Amitripilin tablet salut 25 mg (HCL) ktk 10 x 10 tablet 200 0 0 200 0 Rp - 200 0 200 Rp 16,700 Rp 3,340,000
9 Amlodipin tabblet 5mg ktk 3 xsalut
10 tablet 0 0 0 0 0 Rp - 0 0 0 Rp -
10 Amlodipin tabblet 10 mg ktk 3 x 10 tablet 2880 1260 0 3090 1050 Rp 3,276,000 0 0 1050 Rp 3,120 Rp 3,276,000
11 Amoksisilin Anhidrat kapsul 250 mg ktk 10 x 10 kapsul 9800 5400 0 2700 12500 Rp 225,000,000 5000 0 17500 Rp 18,000 Rp 315,000,000
12 Amoksisilin kaplet 500 mg ktk 10 x 10 kaplet 14400 13000 0 17900 9500 Rp 180,500,000 0 0 9500 Rp 19,000 Rp 180,500,000
13 Amoksisilin sirup kering 125 mg/ 5 mg btl 60 ml 0 226 0 226 0 Rp - 0 0 0 Rp 1,881 Rp -
14 Ampisilin injeksi ktk 10 vial 0 0 0 0 0 Rp - 0 0 0 Rp 46,363 Rp -
15 Antasida DOEN I tablet kunyah, kombinasi : Aluminium Hidroksida ktk 10 x 10 tablet 0 2000 3400 2800 2600 Rp 14,040,000 5000 0 7600 Rp 5,400 Rp 41,040,000
200 mg
Antasida DOEN II Magnesium Hidroksida
suspensi, kombinasi : 200 mg
Aluminium Hidroksida kunyah
btl 60 ml
16 0 0 30 30 0 Rp - 300 0 300 Rp 1,995 Rp 598,500
200 mg/5 ml Magnesium Hidroksida 200 mg/5 ml
17 Antibakteri DOAN salep kombinasi 0 0 0 0 0 Rp - 48 0 48 Rp -
18 Antihemoroid suppositoria 0 0 33 15 18 Rp 54,810 50 0 68 Rp 3,045 Rp 207,060
19 Artemeter injeksi 80 mg/1 ml ktk 6 ampul 6 0 0 6 0 Rp - 0 0 0 Rp 206,514 Rp -
20 Asam Askorbat (vitamin C) botol / 100 tablet 0 0 0 0 0 Rp - 0 0 0 Rp 10,400 Rp -
21 Asam Askorbat (vitamin C) tablet 50 mg ktk 10 x 10 tab 0 4600 0 3100 1500 Rp 15,600,000 7000 0 8500 Rp 10,400 Rp 88,400,000
22 Asam Askorbat (vitamin C) tablet 250 mg Ktk 10 x 10 tab 0 100 0 100 0 Rp - 0 0 0 Rp 11,400 Rp -
23 Asam mefenamat tablet salut selaput 500 mg ktk 10 x 10 kaplet 0 9600 0 1600 8000 Rp 80,000,000 0 0 8000 Rp 10,000 Rp 80,000,000
24 Asam traneksamat injeksi 50 mg/ 5 ml ktk 10 amp @ 5 ml 0 0 0 0 0 Rp - 0 0 Rp 17,480 Rp -
25 Asam traneksamat injeksi 250 mg/ 5 ml ktk 10 amp @ 5 ml 70 60 0 60 70 Rp 1,223,600 0 0 70 Rp 17,480 Rp 1,223,600
26 Acetylsalicylic acid (Miniaspi 80 mg) ktk 10 x 10 tablet 6300 0 0 0 6300 Rp 62,370,000 0 0 6300 Rp 9,900 Rp 62,370,000
27 Acetylsalicylic acid (Asetosal 100 mg) ktk 10 x 10 tablet 0 500 0 0 500 Rp 6,650,000 0 0 500 Rp 13,300 Rp 6,650,000
28 Asiklovir tab 400 mg ktk 5 x 10 tablet 250 550 0 550 250 Rp 9,125,000 0 0 250 Rp 36,500 Rp 9,125,000
29 Atropin sulfas tablet 0,5 mg ktk 10 x 10 tablet 0 0 0 0 0 Rp - 0 0 0 Rp 7,400 Rp -
30 Asiklovir tablet 200 mg ktk 5 x 10 tablet 0 0 0 0 0 Rp - 0 0 0 Rp 26,600 Rp -
31 Asiklovir tablet 200 mg ktk 10 x 10 tablet 500 1000 0 1000 500 Rp 11,800,000 0 0 500 Rp 23,600 Rp 11,800,000
32 Atropin injeksi i.m/i.v/s.k 0,25 mg/ml (sulfat) ktk 30 amp @ 1 ml 0 0 0 0 0 Rp - 0 0 0 Rp 46,200 Rp -
33 ATS AMPUL 0 0 0 0 0 Rp - 0 0 0 Rp 126,500 Rp -
34 AQua pro Injek ampul 25 ml 90 60 0 150 0 Rp - 0 0 0 Rp 2,750 Rp -
35 Bacitracin polymyxin B salep kulit kotak 25 tube @5g 0 0 0 0 0 Rp - 100 0 100 Rp 243,875 Rp 24,387,500
36 Benzatin benzil penisilin inj 1,2 jt IU/vial ktk/10 vial 0 0 0 0 0 Rp - 0 0 0 Rp 89,350 Rp -
37 Betahistin maleat tab ktk 10 x 10 tab 0 0 400 400 0 Rp - 10000 0 10000 Rp 11,000 Rp 110,000,000
38 Betametason krim 0,1 % (sebagai valerat) ktk 25 tube @ 5 g 75 200 0 200 75 Rp 101,175 100 0 175 Rp 1,349 Rp 236,075
39 Bioplacenton Tulle ktk 10 bks 0 0 0 0 0 Rp - 0 0 0 Rp 53,773 Rp -
40 Bisakodil Supppositoria 5mg (Dulcolax) supos 0 15 0 15 0 Rp - 0 0 0 Rp 5,800 Rp -
41 Bisakodil Supppositoria 10mg (Dulcolax) supos 0 20 0 20 0 Rp - 0 0 0 Rp 5,800 Rp -
42 Bisakodil tablet 5 mg ktk 10 x 10 tablet 0 1800 0 1320 480 Rp 14,400,000 0 0 480 Rp 30,000 Rp 14,400,000
43 Berotec MDI (fenoterol HBr IH 100 mcg/puff) kotak 0 4 0 0 4 Rp 320,000 0 0 4 Rp 80,000 Rp 320,000
44 Betam Ophtal Eye Drop btl 5 ml 0 0 0 0 0 Rp - 0 0 0 Rp 22,823 Rp -
45 Bufacetin (khloramfenicol salep kulit) tube 0 48 0 48 24 Rp 72,192 0 0 24 Rp 3,008 Rp 72,192
46 Cathejell 12,5 g tube 0 0 0 0 0 Rp - 0 0 0 Rp 3,150 Rp -
47 Carbamazepine 200 mg tab ktk 10 x 10 tab 0 700 0 0 700 Rp 15,960,000 0 0 700 Rp 22,800 Rp 15,960,000
48 Cendo Lyteers 15 ml btl 15 ml 0 0 0 0 0 Rp - 0 0 0 Rp 14,318 Rp -
49 Cetirizine sirup 5 mg/5 ml btl 60 ml 0 61 0 61 0 Rp - 0 0 0 Rp 3,150 Rp -
50 Cetirizine tablet 10 mg dus 10 strip @ 10 0 0 0 0 0 Rp - 0 0 0 Rp 9,000 Rp -
Cetirizine tablet 10 mg kapsultablet
dus 5x10
51 0 800 0 800 0 Rp - 0 0 0 Rp 9,600 Rp -
52 Clozapine 100 ktk 5 x 10 tablet 0 50 0 33 17 Rp 3,112,700 200 0 217 Rp 183,100 Rp 39,732,700
53 Combivent UDV (ipratropium Bromida Inhalasi 0,5 mg + salbutamol) kotak 0 60 0 60 0 Rp - 0 0 0 Rp 5,700 Rp -
54 Deksametason Injeksi I.v. 5 mg/ml ktk 100 amp @ 1 ml 400 100 0 500 0 Rp - 0 0 0 Rp 154,000 Rp -
55 Deksametason tablet 0,5 mg ktk 10 x 10 tablet 2400 16500 0 13900 5000 Rp 20,500,000 5000 0 10000 Rp 4,100 Rp 41,000,000
56 DHP tablet ktk 9 tablet 0 0 0 0 0 Rp - 0 0 0 Rp 22,500 Rp -
57 Diazepam tab 5 mg ktk 10 x10 tablet 884 0 0 11 873 Rp 9,515,700 0 0 873 Rp 10,900 Rp 9,515,700
58 Diazepam tablet 2 mg btl 100 tablet 0 0 0 0 0 Rp - 0 0 0 Rp 8,600 Rp -
59 Diazepam injek 5mg ampul 0 0 0 0 0 Rp - 0 0 0 Rp -
60 Difenhidramin Injeksi I.M. 10 mg/ml (HCL) ktk 30 amp @ 1 ml 30 0 0 0 30 Rp 32,850 0 0 30 Rp 1,095 Rp 32,850
61 Diflucan cap 50 mg @ 10 ktk 10 kapsul 0 20 0 20 0 Rp - 0 0 0 Rp 59,000 Rp -
62 Digoksin tablet 0,25 mg ktk 10 x 10 tablet 0 0 0 0 0 Rp - 0 0 0 Rp 10,400 Rp -
63 Dimenhidrinat tab 50 mg btl 100 tab 0 200 0 200 0 Rp - 500 0 500 Rp 10,500 Rp 5,250,000
64 Doksisiklin kapsul 100 mg ktk 10 x 10 kapsul 2600 700 0 700 2600 Rp 69,680,000 0 0 2600 Rp 26,800 Rp 69,680,000
65 Domperidon suspensi 5 mg/ml btl 60 ml 0 50 0 50 0 Rp - 250 0 250 Rp 2,700 Rp 675,000
66 Domperidon tablet 10 mg ktk 10 strip x 10 0 1300 0 1000 300 Rp 2,550,000 1000 0 1300 Rp 8,500 Rp 11,050,000
67 Epinefrin injeksi 0,1% (sebagai HCL) kotaktablet
30 ampul 0 0 0 0 0 Rp - 0 0 0 Rp 42,240 Rp -
68 Eritromisin Kaplet 500 mg ktk 10 x 10 kaplet 0 400 0 400 0 Rp - 0 0 0 Rp 73,000 Rp -
69 Eritromisin sirup btl 60 ml 0 13 0 13 0 Rp - 0 0 0 Rp 6,700 Rp -
70 Etanol 70 % btl 100 ml 0 0 0 0 0 Rp - 48 0 48 Rp 2,500 Rp 120,000
71 Etanol 70 % btl 1000 ml 0 5 0 1 4 Rp 10,000 5 0 9 Rp 2,500 Rp 22,500
72 Fenitoin 100 mg botol 100 kapsul 300 100 0 400 0 Rp - 0 0 0 Rp 373,800 Rp -
73 Fenobarbital injeksi i.m/i.v 50 mg/ml ktk 30 amp @ 1 ml 360 30 0 0 390 Rp 20,358,000 0 0 390 Rp 52,200 Rp 20,358,000
74 Fenobarbital 100 mg ktk 10 x 10 kaplet 0 0 0 0 0 Rp - 0 0 0 Rp 17,100 Rp -
75 Fenol griserol tetes telinga 10% 24 btl @ 5ml 0 0 0 0 0 Rp - 120 0 120 Rp -
76 Fitomenadion (Vit. K1) tablet salut gula 10 mg ktk 10 x 10 tablet 0 400 0 400 0 Rp - 1000 1000 Rp 68,600 Rp 68,600,000
77 Fitomenadion (Vit. K1) injeksi 10 mg/ml ktk 30 amp @ 1 ml 0 30 0 30 0 Rp - 0 0 0 Rp 106,500 Rp -
78 Fitomenadione inj 2 mg/ml ktk 30 amp 0 0 0 0 0 Rp - 0 0 0 Rp 160,000 Rp -
79 Fluconazole 150 mg kapsul ktk 1 x 10 kapsul 0 0 0 0 0 Rp - 0 0 0 Rp 59,000 Rp -
80 Furosemid Injeksi I.v./I.m. 10 mg/ml ktk 25 amp @ 2 ml 25 0 0 0 25 Rp 833,125 0 0 25 Rp 33,325 Rp 833,125
81 Furosemid tablet 40 mg ktk 10 x 10 tablet 1100 2100 0 100 3100 Rp 24,800,000 1000 0 4100 Rp 8,000 Rp 32,800,000
Garam Oralit I serbuk Kombinasi : Natrium 0,70 g
82 kalium klorida 0,30 g Tribatrium ktk 100 Sachet 200 2400 0 0 2600 Rp 66,820,000 0 0 2600 Rp 25,700 Rp 66,820,000
83 Sitrt dihidratsalep
Gentamisin 0,58
matag 0.3% tube 0 1 0 1 0 Rp - 24 0 24 Rp 2,675 Rp 64,200
84 Genoint salep mata 0,3 % Box tube @ 3.4 g 0 0 0 0 0 Rp - 0 0 0 Rp 2,675 Rp -
85 Gentamisin injeksi 40 mg/ml ktk 5 ampul 0 0 0 0 0 Rp - 0 0 0 Rp 3,509 Rp -
86 Gentamisin Sulfat tetes mata 0,3% dus plastik 5 ml 48 24 0 24 48 Rp 200,160 48 0 96 Rp 4,170 Rp 400,320
87 Glimepiride tablet 2 mg ktk 50 tablet 0 0 0 0 0 Rp - 500 0 500 Rp 10,350 Rp 5,175,000
88 Glimepiride tablet 5 mg ktk 10x10 0 0 0 0 0 Rp - 0 0 0 Rp -
89 Glibenklamide tablet 5 mg ktk 50 tablet 0 0 0 0 0 Rp - 3000 0 3000 Rp 12,250 Rp 36,750,000
90 Gliseril Gualakolat tablet 100 mg btl 1000 tablet 0 0 0 0 0 Rp - 0 0 0 Rp 27,900 Rp -
91 Gliserin btl 100 ml 0 0 0 0 0 Rp - 0 0 0 Rp 4,730 Rp -
92 Glukonas Kalsikus 10 % ktk 24 amp @ 10 ml 0 0 0 0 0 Rp - 0 0 0 Rp 10,715 Rp -
93 Glukosa larutan infus 10% btl 500 ml 40 0 0 0 40 Rp 276,000 20 0 60 Rp 6,900 Rp 414,000
94 Glukosa larutan infus 5% btl 500 ml 0 0 0 0 0 Rp - 60 0 60 Rp 6,900 Rp 414,000
95 Griseofulvin tablet 125 mg, micronized ktk 10 x 10 tablet 0 300 0 0 300 Rp 7,470,000 0 0 300 Rp 24,900 Rp 7,470,000
96 Haloperidol 1,5 mg ktk 10 x 10 tab 0 0 600 600 0 Rp - 1000 0 1000 Rp 5,900 Rp 5,900,000
97 Haloperidol tablet 0,5 mg ktk 10 x 10 tablet 620 5600 1000 5820 1400 Rp 7,840,000 1000 0 2400 Rp 5,600 Rp 13,440,000
98 Haloperidol inj 50 mg/ 1 ml ktk 5 ampul 0 0 0 0 0 Rp - 0 0 0 Rp 506,500 Rp -
99 hidroklorotiazida tablet 25 mg ktk 10 x10 tablet 500 500 0 500 500 Rp 7,450,000 0 0 500 Rp 14,900 Rp 7,450,000
100 Hidrkortison krim 2,5% ktk 24 tube @ 5 g 24 48 0 48 24 Rp 63,360 96 0 120 Rp 2,640 Rp 316,800
101 Ibupropen suspensi 100 mg/5ml (Ed) btl 60 ml 0 0 0 0 0 Rp - 0 0 0 Rp 2,550 Rp -
102 Hyocine-n- butylbromide injeksi ktk 5 ampul 0 0 0 0 0 Rp - 0 0 0 Rp 20,455 Rp -
103 Ibuprofen tablet 400 mg ktk 10 x 10 tablet 300 700 0 1000 0 Rp - 0 0 0 Rp 11,100 Rp -
104 Ibuprofen tablet 200 mg KTK 10 X 10 0 700 700 0 1400 Rp 15,400,000 3000 1100 3300 Rp 11,000 Rp 36,300,000
Ibuprofen suspensi 100 mg/5ml TABLET
botol
105 0 60 0 60 0 Rp - 200 0 200 Rp 2,475 Rp 495,000
106 Iliadin spray-Oksimetazolin tetes hidung botol 0 0 0 0 0 Rp - 20 0 20 Rp 31,000 Rp 620,000
107 Isosorbid Dinitrat Tablet Sublingual 5 mg ktk 10 x 10 tablet 0 2100 0 0 2100 Rp 18,900,000 0 0 2100 Rp 9,000 Rp 18,900,000
108 Kalsium Laktat (Kalk) tablet 500 mg ktk 10 x 10 tablet 0 4100 200 4300 0 Rp - 0 0 0 Rp 5,600 Rp -
109 Kaptopril tablet 12,5 mg ktk 10 x 10 tablet 2300 4000 0 4200 2100 Rp 13,020,000 5000 0 7100 Rp 6,200 Rp 44,020,000
110 Kaptopril tablet 25 mg ktk 10 x 10 tablet 600 0 0 100 500 Rp 3,750,000 5000 0 5500 Rp 7,500 Rp 41,250,000
111 Ketokonazol krim 2 % tube 15 graam 25 4 0 4 25 Rp 62,950 0 0 25 Rp 2,518 Rp 62,950
112 Ketokonazol tablet 200 mg ktk 5 x 10 tablet 600 1500 0 1500 600 Rp 8,400,000 0 0 600 Rp 14,000 Rp 8,400,000
113 Ketorolac Injeksi 10 mg ktk 6 amp @ 1 ml 0 0 0 0 0 Rp - 0 0 0 Rp 45,000 Rp -
114 Ketorolac Injeksi 30 mg ktk @ 12 ampul 0 48 0 0 48 Rp 603,648 0 0 48 Rp 12,576 Rp 603,648
115 Klindamisin tablet 300 mg KOTAK 5 X 10 300 550 0 550 300 Rp 8,670,000 0 0 300 Rp 28,900 Rp 8,670,000
116 Kloramfenikol kapsul 500 mg ktk 10TABLET
x 10 kapsul 0 0 0 0 0 Rp - 500 0 500 Rp 109,000 Rp 54,500,000
117 Kloramfenikol Suspenol 125 mg/5ml btl 60 ml 50 50 0 50 50 Rp 235,000 0 0 50 Rp 4,700 Rp 235,000
118 Kloramfenikol tetes telinga blt 15 0 26 26 15 Rp - 0 0 15 Rp -
119 Kloramfenikol tetes mata btl 15 20 24 44 15 Rp - 0 0 15 Rp -
120 Kloramfenikol salep mata 1% tube 5 gr 0 0 0 0 0 Rp - 96 0 96 Rp 1,881 Rp 180,576
121 Kloraniramina mealeat (CTM) tablet 4 mg ktk 20 x10 tablet 1432 5000 2160 7728 864 Rp 3,110,400 10000 0 10864 Rp 3,600 Rp 39,110,400
122 Klorpromazin tablet 25 mg btl 1000 tablet 0 0 0 0 0 Rp - 0 0 0 Rp 14,900 Rp -
123 Klorpromazin tablet 25 mg ktk 10 x 10 0 0 0 0 0 Rp - 0 0 0 Rp 6,800 Rp -
124 Klorpromazin tablet 100 mg ktk 10 x 10 0 1100 0 1100 0 Rp - 1000 0 1000 Rp 14,400 Rp 14,400,000
125 Kodein tablet 10 mg box 10x10 tablet 844 100 0 344 600 Rp 33,000,000 0 0 600 Rp 55,000 Rp 33,000,000
126 Kodein tablet 10 mg botol 100 tablet 60 0 0 0 60 Rp 3,300,000 0 0 60 Rp 55,000 Rp 3,300,000
127 Kombinasi Ferro Fumarat 60 mg +Asam folat 0,4 mg tab ktk 3 x 10 tablet 0 10800 0 10800 0 Rp - 0 0 0 Rp 10,560 Rp -
128 kotrimosazol DOEN I (dewasa) Kombinasi : Sulfametoksazol ktk 10 x 10 tablet 2200 2300 0 2100 2400 Rp 33,360,000 0 0 2400 Rp 13,900 Rp 33,360,000
400 mg
kotrimosazol Trimetoprim
tab pediatrik Kombinasi : 80 mg
Sulfametoksazol 100 mg ktk 10 x 10 tablet
129 0 0 0 0 0 Rp - 0 0 0 Rp 7,700 Rp -
Trimetoprim
Kotrimosazol sirup Kombinasi : 20 mg
Sulfametoksazol 200 mg btl 60 ml
130 0 100 0 100 0 Rp - 200 0 200 Rp 2,286 Rp 457,200
Trimetoprim
Lansoprazol kapsul/ kaplet 30 mg 40 mg/ 5 ml ktk 2 x 10 kapsul
131 0 640 0 640 0 Rp - 200 0 200 Rp 6,300 Rp 1,260,000
132 Laxadine emulsi btl 60 ml 0 0 0 0 0 Rp - 0 0 0 Rp 11,318 Rp -
133 Lexaprame sirup btl 0 0 0 0 0 Rp - 0 0 0 Rp -
134 Lidokain injeksi 2% ktk 100 amp @ 2 ml 600 200 0 101 699 Rp 77,658,900 0 0 699 Rp 111,100 Rp 77,658,900
135 Loperamid tablet 2 mg ktk 10 x 10 tablet 5200 3600 0 3400 5400 Rp 45,900,000 0 0 5400 Rp 8,500 Rp 45,900,000
136 Loratadine tab 10 mg ktk 10 x 10 tablet 0 100 2000 2100 0 Rp - 0 0 0 Rp 12,200 Rp -
137 meloxicam ktk 3 x10 tablet 0 150 0 150 0 Rp - 0 0 0 Rp -
138 Metformin HCL tablet 500 mg ktk 10 x 10 tablet 0 1400 0 1400 0 Rp - 1000 0 1000 Rp 9,400 Rp 9,400,000
139 Metilergometrin Maleat (metilergometrin) tab salut 0,125 mg ktk 10 x 10 tablet 0 0 0 0 0 Rp - 0 0 0 Rp 15,400 Rp -
140 Metilergometrin Maleat injeksi 0,200 mg -1 ml ktk 100 salut
amp @ 2 ml 0 100 0 100 0 Rp - 0 0 0 Rp 284,900 Rp -
141 Metilprednisolon tablet 4 mg ktk 10 x 10 tablet 0 1500 0 1500 0 Rp - 5000 0 5000 Rp 15,000 Rp 75,000,000
142 Metilprednisolon 8 mg ktk 10 x 10 tablet 0 600 0 600 0 Rp - 0 0 0 Rp 27,273 Rp -
143 Metoklopramid tablet 4 mg ktk 10 x 10 tab 0 0 0 0 0 Rp - 0 0 0 Rp 10,638 Rp -
144 Metoklopramide tablet 10 mg ktk 10 x 10 tablet 0 1100 0 1100 0 Rp - 5000 0 5000 Rp 9,000 Rp 45,000,000
145 Metoklopramide syrup botol 0 27 0 27 0 Rp - 0 0 0 Rp 2,580 Rp -
146 Metronidazol tablet 500 mg ktk 10 x 10 tablet 0 1900 0 1300 600 Rp 6,780,000 0 0 600 Rp 11,300 Rp 6,780,000
147 Metronidazole ovula 500 mg tube 0 15 0 15 0 Rp - 0 0 0 Rp 4,100 Rp -
148 Metronidazol infus 500 mg/ml btl 0 0 0 0 0 Rp - 0 0 0 Rp 29,500 Rp -
149 Mineral mix ktk 40 sachet 0 520 0 0 520 Rp 23,400,000 0 0 520 Rp 45,000 Rp 23,400,000
150 MgSO4 20% vial @ 25 ml 0 54 0 0 54 Rp 172,800 0 0 54 Rp 3,200 Rp 172,800
151 MgSO4 40% (ED) vial @ 25 ml 0 0 0 0 0 Rp - 0 0 0 Rp 3,181 Rp -
152 Mikonazol krim / salep 2% (nitrat) tube 0 24 0 24 0 Rp - 48 0 48 Rp 3,250 Rp 156,000
153 Natrium bikarbonat tablet 500 mg btl 1000 tablet 0 0 200 200 0 Rp - 0 0 0 Rp 14,300 Rp -
154 Natrium Diklofenak 25 mg ktk 5 x 10 tablet 500 3000 0 3500 0 Rp - 0 0 0 Rp 6,600 Rp -
155 Natrium diklofenak 50 mg ktk 5 x 10 tablet 0 1450 0 1450 0 Rp - 0 0 0 Rp 6,100 Rp -
156 Natrium Klorida larutan infus 0,9 % btl 500 ml 15 120 20 75 80 Rp 512,800 60 0 140 Rp 6,410 Rp 897,400
157 Neurodial tab 1000 0 0 0 1000 Rp - 0 0 1000 Rp -
158 Nistatin tablet salut 500.000 IU/G ktk 10 str x 10's 0 200 0 200 0 Rp - 0 0 0 Rp 76,500 Rp -
159 Nistatin vaginal tablet 100.000 IU/g ktk 10 x 10 tabler 0 0 0 0 0 Rp - 500 0 500 Rp 74,500 Rp 37,250,000
160 Nifedipin tablet/kapsul 10 mg ktk 10 x 10 tablet 0 1400 0 0 1400 Rp 67,200,000 0 0 1400 Rp 48,000 Rp 67,200,000
161 Ofloksasin TT 3% botol 0 0 0 0 0 Rp - 0 0 0 Rp 10,000 Rp -
162 Ondansetron inj 4mg/2ml ktk 5 ampul @2ml 110 75 0 0 185 Rp 1,159,950 0 0 185 Rp 6,270 Rp 1,159,950
163 Ondansetron tab 4 mg ktk 2X6 tablet 0 444 0 12 432 Rp 2,358,720 0 0 432 Rp 5,460 Rp 2,358,720
164 Oksitosin injeksi 10 IU/ml - 1 ml ktk 100 ampul 200 200 0 220 180 Rp 34,200,000 0 0 180 Rp 190,000 Rp 34,200,000
165 Omeprazol kapsul 20 mg ktk 3 x 10 kapsul 540 2130 0 2070 600 Rp 9,600,000 10220 0 10820 Rp 16,000 Rp 173,120,000
166 Omeprazole 40 mg/vial + Pelarut inj (ED) ktk 1 vial 0 0 0 0 0 Rp - 0 0 0 Rp 82,280 Rp -
167 Pantocain btol 0 0 1 1 0 Rp - 0 0 0 Rp -
168 Paracetamol sirup 120 mg / 5 ml btl 60 ml 0 0 0 0 0 Rp - 500 0 500 Rp 1,010 Rp 505,000
169 Paracetamol drop 15 ml btl 15 ml 0 351 471 822 0 Rp - 280 0 280 Rp 5,200 Rp 1,456,000
170 Propanolol tablet 10 mg (HCL) ktk 10 x 10 tablet 800 2500 0 2500 800 Rp 4,160,000 0 0 800 Rp 5,200 Rp 4,160,000
171 Paracetamol tablet 500 mg ktk 10 x 10 tablet 0 12300 0 10500 1800 Rp 8,820,000 10000 1800 10000 Rp 4,900 Rp 49,000,000
172 Piracetam tablet 1200 mg dus 5 strip @ 10 0 0 0 0 0 Rp - 0 0 0 Rp 38,800 Rp -
173 Pirantel tab. Score (base) 125 mg ktk 25tablet
x 4 tablet 0 0 0 0 0 Rp - 0 0 0 Rp 26,454 Rp -
174 Pirantel 125 mg/5 ml syr btl 60 ml 0 0 0 0 0 Rp - 50 0 50 Rp 7,600 Rp 380,000
175 Piridoksin (VitaminB6) tablet 10 mg (HCl) ktk 10x 10 tablet 50 1100 0 650 500 Rp 50,000,000 5000 200 5300 Rp 100,000 Rp 530,000,000
176 Pyridoksin (VIT.B6) Inj ampul 38 39 0 77 0 Rp - 0 0 0 Rp 980 Rp -
177 Pirazinamid tablet 500 mg ktk 10 x 10 tablet 0 0 0 0 0 Rp - 0 0 0 Rp 20,800 Rp -
178 Povidon Iodida larutan 10 % btl 1000 ml 0 0 0 0 0 Rp - 0 0 0 Rp 42,000 Rp -
179 Povidon Iodida larutan 10 % btl 300 ml 2 7 0 7 2 Rp 36,000 0 0 2 Rp 18,000 Rp 36,000
180 Povidon Iodida larutan 10 % btl 500 ml 0 1 0 1 0 Rp - 0 0 0 Rp 95,264 Rp -
181 Povidon Iodida larutan 10 % btl 30 ml 0 10 0 10 0 Rp - 100 0 100 Rp 2,400 Rp 240,000
182 Povidon Iodida larutan 10 % btl 60 ml 0 2 0 2 0 Rp - 50 0 50 Rp 6,550 Rp 327,500
183 Prednison 5 mg ktk 10 x 10 0 3500 0 600 2900 Rp 22,040,000 0 0 2900 Rp 7,600 Rp 22,040,000
184 Primakuin tablet 15 mg btl 1000 tablet 0 0 0 0 0 Rp - 0 0 0 Rp 109,000 Rp -
185 Prokain benzil penisilin injeksi vial 0 0 0 0 0 Rp - 0 0 0 Rp 10,780 Rp -
186 PropilTioUrasil tablet 100 mg btl 100 tab 0 0 0 0 0 Rp - 0 0 0 Rp 32,953 Rp -
187 Ranitidin injeksi 25 mg/2 ml ktk 10 amp 130 250 0 250 130 Rp 1,895,400 0 0 130 Rp 14,580 Rp 1,895,400
188 Ranitidin tablet 150 mg ktk 10 x 10 tablet 500 10000 0 10100 400 Rp 3,920,000 0 0 400 Rp 9,800 Rp 3,920,000
189 Retinol (Vitamin A) 100.000 IU kapsul lunak btl 50 kapsul lunak 0 1350 0 1350 0 Rp - 50 0 50 Rp 14,200 Rp 710,000
190 Retinol (Vitamin A) 200.000 IU kapsul lunak btl 50 kapsul lunak 0 5000 0 5000 0 Rp - 950 0 950 Rp 23,000 Rp 21,850,000
191 Mp asi karton 0 132 0 0 132 Rp - 23 0 155 Rp -
192 Tablet Fe (tambah darah) ktk 3 x10 tablet 0 40410 0 39228 1182 Rp - 39600 0 40782 Rp -
193 Rivanol btl 100ml 0 0 20 17 3 Rp - 0 0 3 Rp -
194 Ringer Laktat larutan infus btl 500 ml 15 360 0 335 40 Rp 286,000 60 25 75 Rp 7,150 Rp 536,250
195 Risperidone 2 mg ktk 5 x 10 tablet 0 100 0 100 0 Rp - 500 100 400 Rp 17,350 Rp 6,940,000
196 Salbutamol tablet 2 mg (sebagai Sulfat) ktk 10 x 10 tablet 1400 1200 0 1200 1400 Rp 10,920,000 1000 0 2400 Rp 7,800 Rp 18,720,000
197 Salbutamol tablet 4 mg (sebagai Sulfat) ktk 10 x 10 tablet 500 1200 0 1200 500 Rp 4,750,000 1000 0 1500 Rp 9,500 Rp 14,250,000
198 Salep luka bakar (bioplacenton) tube 0 0 0 0 0 Rp - 0 0 0 Rp 14,000 Rp -
199 Salep 2-4 pot @30 gram-ml pot @30 gram 0 24 0 24 0 Rp - 0 0 0 Rp 2,621 Rp -
200 Salisil bedak 2 % ktk 50 gr 69 28 0 28 69 Rp 98,670 0 0 69 Rp 1,430 Rp 98,670
201 Sefadroksil sirup kering 125 mg/5ml btl 60 ml 0 50 0 0 50 Rp 262,750 100 0 150 Rp 5,255 Rp 788,250
202 Scabimite cream 10 grm tube 10 gr 0 15 0 0 15 Rp 182,325 0 5 10 Rp 12,155 Rp 121,550
203 Sefadroksil kapsul 500 mg ktk 10 x 10 kapsul 0 5000 0 1800 3200 Rp 144,000,000 5000 0 8200 Rp 45,000 Rp 369,000,000
204 Sefiksim kapsul / kaplet 100 mg 5 x 10 kapsul 5200 2600 0 2500 5300 Rp 198,750,000 0 0 5300 Rp 37,500 Rp 198,750,000
205 Sefiksim syrup kering botol 0 8 0 8 0 Rp - 0 0 0 Rp 35,000 Rp -
206 Sefotaksim injeksi 1 g ktk 10 vial 0 0 0 0 0 Rp - 0 0 0 Rp 6,325 Rp -
207 Sianokobalamin (Viatamin B12) injeksi 500 mcg ktk 100 amp @ 1 ml 0 4400 0 3966 434 Rp 476,532 300 0 734 Rp 1,098 Rp 805,932
208 Simvastatin tablet 10 mg ktk 3 x 10 tablet 0 330 0 330 0 Rp - 600 0 600 Rp 20,100 Rp 12,060,000
209 Simvastatin tablet 20 mg ktk 50 tablet 1050 1300 0 1300 1050 Rp 17,775,450 0 0 1050 Rp 16,929 Rp 17,775,450
210 Siprofloksasin tablet 500 mg (sebagai HCL) ktk 10 x 10 tablet 0 5600 0 0 5600 Rp 134,400,000 1000 700 5900 Rp 24,000 Rp 141,600,000
211 Siprofloksasin 200 mg/100 ml inf btl 100 ml 0 0 0 0 0 Rp - 0 0 0 Rp 57,000 Rp -
212 Sulfadoxin Pyrimethamine tab ktk 10 x 10 0 0 0 0 0 Rp - 0 0 0 Rp 250,000 Rp -
213 Spironolakton tablet 25 mg ktk 10 x 10 0 900 0 900 0 Rp - 0 0 0 Rp 31,500 Rp -
214 Stesolid RT 5 mg tube ktk @ 5 0 0 0 0 0 Rp - 0 0 0 Rp 12,090 Rp -
215 Sulkrafat sirup btl 0 0 0 0 0 Rp - 25 0 25 Rp -
216 Temiral salep mata ktk tube 3,5 gr 0 0 0 0 0 Rp - 0 0 0 Rp 22,499 Rp -
217 Tetrasiklin kapsul 500 mg ktk 10 x 10 kapsul 0 1800 0 1800 Rp 55,800,000 0 0 1800 Rp 31,000 Rp 55,800,000
218 Tiamin (viatamin B1) tablet 50 mg (HCL/Nitrat) ktk 10 x 10 tablet 0 2000 0 700 1300 Rp 10,660,000 5000 0 6300 Rp 8,200 Rp 51,660,000
219 Tramadol injek 50mg/ml ktk 5 x 10 kapsul 0 0 0 0 0 Rp - 10 0 10 Rp 16,500 Rp 165,000
220 Triheksifenidil tablet 2 mg ktk 10 x 10 tablet 0 300 0 300 0 Rp - 2000 300 1700 Rp 4,000 Rp 6,800,000
221 Ulsafate suspensi 100 ml botol 100 ml 0 25 0 25 0 Rp - 0 0 0 Rp 8,338 Rp -
222 Ulsidex 500 mg ktk 10 x 10 tablet 0 500 0 500 0 Rp - 0 0 0 Rp 29,600 Rp -
223 Vagizol ovula ktk 5 ovula 0 0 0 0 0 Rp - 0 0 0 Rp -
224 ventolin btl 0 0 0 0 0 Rp - 0 0 0 Rp -
225 Vitamin B Kompleks tablet ktk 10 x 10 tablet 0 9400 0 8100 1300 Rp 14,950,000 5000 0 6300 Rp 11,500 Rp 72,450,000
226 WIDA KDN I BOTOL 0 200 0 0 200 Rp 2,287,000 0 0 200 Rp 11,435 Rp 2,287,000
227 WIDA KDN II BOTOL 0 200 0 0 200 Rp 2,287,000 0 0 200 Rp 11,435 Rp 2,287,000
228 WIDA KN I BOTOL 0 60 0 0 60 Rp 686,100 0 0 60 Rp 11,435 Rp 686,100
229 WIDA KN II (DEWASA) BOTOL 0 200 0 0 200 Rp 2,202,200 0 0 200 Rp 11,011 Rp 2,202,200
230 Zinc tablet 20 mg ktk 10 x 10 tablet 0 9600 0 7400 2200 Rp 112,860,000 1000 0 3200 Rp 51,300 Rp 164,160,000
231 Zinc kid syrup btl 0 0 0 0 0 Rp - 0 0 0 Rp 33,275 Rp -
232 Zinc sirup 20 mg/5ml botol 60 ml 0 50 0 50 0 Rp - 108 0 108 Rp 4,789 Rp 517,212

ALAT KESEHATAN (MENKES 1177)

1 Alat suntik sekali pakai 0,05 ML ktk 200 set 0 3000 0 3000 0 Rp - 0 0 0 Rp 137,980 Rp -
2 Alat suntik sekali pakai 0,5 ML ktk 200 set 0 4600 0 0 4600 Rp 574,540,000 0 0 4600 Rp 124,900 Rp 574,540,000
3 Alat suntik sekali pakai 1 ml ktk 100 set 0 3200 0 0 3200 Rp 760,320,000 100 0 3300 Rp 237,600 Rp 784,080,000
4 Alat suntik sekali pakai 3 ml ktk 100 set 0 4000 0 0 4000 Rp 316,800,000 100 0 4100 Rp 79,200 Rp 324,720,000
5 Alat suntik sekali pakai 5 ml ktk 100 set 0 3200 0 0 3200 Rp 253,440,000 100 0 3300 Rp 79,200 Rp 261,360,000
6 Alat suntik sekali pakai 10 ml ktk 100 set 0 800 0 0 800 Rp 108,000,000 100 0 900 Rp 135,000 Rp 121,500,000
7 Aquagel sterile jely 82 gr tube 0 16 0 16 0 Rp - 0 0 0 Rp 42,588 Rp -
8 Suction Catheter No.6 pcs 0 0 0 0 0 Rp - 0 0 0 Rp 10,000 Rp -
9 Suction Catheter No.8 pcs 0 40 0 0 40 Rp 400,000 0 0 40 Rp 10,000 Rp 400,000
10 Suction Catheter No.10 pcs 20 40 0 0 60 Rp 600,000 0 0 60 Rp 10,000 Rp 600,000
11 Suction Catheter No.12 pcs 0 20 0 0 20 Rp 200,000 0 0 20 Rp 10,000 Rp 200,000
12 Suction Catheter No.14 pcs 0 20 0 0 20 Rp 200,000 0 0 20 Rp 10,000 Rp 200,000
13 Suction Catheter No.16 pcs 0 40 0 20 20 Rp 147,400 0 0 20 Rp 7,370 Rp 147,400
14 Catgut chromic / benang No 3/0 30 mm sachet 0 0 0 0 0 Rp - 0 0 0 Rp 41,740 Rp -
15 Catgut chromic / benang No 3/0 ktk 24 pcs 0 48 0 24 24 Rp 1,001,760 0 0 24 Rp 41,740 Rp 1,001,760
16 Catgut chromic / benang No 2/0 sachet 0 0 0 0 0 Rp - 0 0 0 Rp 41,740 Rp -
17 Catgut Plain No.2/0 sachet 0 8 0 8 0 Rp - 0 0 0 Rp 35,740 Rp -
18 Catgut Plain No.3/0 sachet 0 60 0 12 48 Rp 1,646,400 0 0 48 Rp 34,300 Rp 1,646,400
19 Silk Black 2/0 sachet 0 12 0 12 0 Rp - 0 0 0 Rp 23,300 Rp -
20 Silk Black 3/0 sachet 0 60 0 12 48 Rp 1,127,040 0 0 48 Rp 23,480 Rp 1,127,040
21 Wing needle No. 21 G ktk @ 100 pcs 0 0 0 0 0 Rp - 0 0 0 Rp 577,000 Rp -
22 Wing needle No. 23 G ktk @ 100 pcs 0 0 0 0 0 Rp - 0 0 0 Rp 577,000 Rp -
23 Wing needle No. 25 G ktk @ 100 pcs 0 0 0 0 0 Rp - 0 0 0 Rp 577,000 Rp -
24 Wing needle No. 27 G ktk @ 100 pcs 0 0 0 0 0 Rp - 0 0 0 Rp 577,000 Rp -
25 Infus set anak Pcs 0 400 0 0 400 Rp 1,696,000 0 0 400 Rp 4,240 Rp 1,696,000
26 Infus set dewasa pcs 100 400 0 0 500 Rp 3,795,000 0 0 500 Rp 7,590 Rp 3,795,000
27 ESKAMED INFUSION SET WITH NEEDLE pcs 0 0 0 0 0 Rp - 0 0 0 Rp -
28 ESKAMED OXYGEN NASAL CANNULA (CHILD) pcs 0 0 0 0 0 Rp - 100 0 100 Rp -
29 ESKAMED OXYGEN NASAL CANNULA (ADULT) pcs 0 0 0 0 0 Rp - 100 0 100 Rp -
30 ESKAMED FOLLEY CATHETER 2 WAY 14 pcs 0 0 0 0 0 Rp - 50 0 50 Rp -
31 ESKAMED FOLLEY CATHETER 2 WAY 16 pcs 0 0 0 0 0 Rp - 50 0 50 Rp -
32 ESKAMED FOLLEY CATHETER 2 WAY 18 pcs 0 0 0 0 0 Rp - 50 0 50 Rp -
33 Infus set tipe Y pcs 0 25 0 0 25 Rp 210,625 0 0 25 Rp 8,425 Rp 210,625
34 IV Chateter withOUT wings n port no 18 pcs 0 100 0 100 0 Rp - 0 0 0 Rp 20,000 Rp -
35 IV Chateter withOUT wings n port no 20 pcs 100 100 0 0 200 Rp 467,280 0 0 200 Rp 2,336 Rp 467,280
36 IV Chateter withOUT wings n port no 22 pcs 50 100 0 0 150 Rp 350,460 0 0 150 Rp 2,336 Rp 350,460
37 IV Chateter withOUT wings n port no 24 pcs 0 100 0 0 100 Rp 233,640 0 0 100 Rp 2,336 Rp 233,640
38 IV Chateter withOUT wings n port no 26 pcs 0 100 0 50 50 Rp 385,000 0 0 50 Rp 7,700 Rp 385,000
39 IV Chateter with wings n port no 20 pcs 0 150 0 150 0 Rp - 0 0 0 Rp 12,078 Rp -
40 IV Chateter with wings n port no 22 pcs 0 150 0 150 0 Rp - 0 0 0 Rp 12,078 Rp -
41 IV Chateter with wings n port no 24 pcs 0 150 0 150 0 Rp - 0 0 0 Rp 12,078 Rp -
42 IV Chateter with wings n port no 26 pcs 0 50 0 50 0 Rp - 0 0 0 Rp 13,458 Rp -
43 Kapas pembalut /absorben 3x4 kotak (12) 0 0 0 0 0 Rp - 0 0 0 Rp 7,500 Rp -
44 Kapas pembalut /absorben 500 gram bungkus 0 8 0 8 0 Rp - 0 0 0 Rp 16,500 Rp -
45 Kapas berlemak 500 gram bungkus 0 0 0 0 0 Rp - 0 0 0 Rp 16,500 Rp -
46 Kasa pembalut hidrofil 4 m x 10 cm elastis roll/50 0 2 0 2 0 Rp - 10 0 10 Rp 30,350 Rp 303,500
47 Kasa kompres/steril 40 cm x 40 cm bungkus 0 0 0 0 0 Rp - 0 0 0 Rp 1,618 Rp -
48 Kasa kompres 18/22 bungkus 0 18 0 18 0 Rp - 50 0 50 Rp 6,864 Rp 343,200
49 Kasa pembalut hidrofil 4 m x 15 cm rol 0 0 0 0 0 Rp - 0 0 0 Rp 45,000 Rp -
50 Kasa pembalut 100 GRAM rol 0 18 0 18 0 Rp - 50 0 50 Rp 3,800 Rp 190,000
51 Kassa hydrofil 2 x 80 rol 0 0 0 0 0 Rp - 0 0 0 Rp 45,000 Rp -
52 Kasa 40 x 80 yard roll 0 9 0 2 7 Rp 759,500 0 0 7 Rp 108,500 Rp 759,500
53 Kasa Hydrofil steril 16 x 16 cm bungkus 0 30 0 0 30 Rp 178,500 50 0 80 Rp 5,950 Rp 476,000
54 kasa hydrofil steril 18 x 22 cm bungkus 0 0 0 0 0 Rp - 50 0 50 Rp -
55 Kasa STERIL 3X15 cm KOTAK 0 0 0 0 0 Rp - 0 0 0 Rp 5,950 Rp -
56 Leukoplast 1622 h 91x5) 2.5 cm x 4.5 cm roll 0 0 0 0 0 Rp - 20 0 20 Rp -
57 Leukoplast 1622 h 91x5) 7.5 cm x 4.5 cm r0ll 0 0 0 0 0 Rp - 20 0 20 Rp -
58 Nasal Oxygen,O2 Cannula Uk. S pcs 0 2 0 0 2 Rp 14,652 0 0 2 Rp 7,326 Rp 14,652
59 Nasal Oxygen,O2 Cannula Uk. M pcs 0 37 0 1 36 Rp 263,736 0 0 36 Rp 7,326 Rp 263,736
60 Nasal Oxygen,O2 Cannula Uk. L pcs 0 33 0 10 23 Rp 168,498 0 0 23 Rp 7,326 Rp 168,498
61 Nasal Oxygen,O2 Cannula Uk. XS pcs 39 0 0 0 39 Rp 285,714 0 0 39 Rp 7,326 Rp 285,714
62 MMP Polywin IV cannula 18 pcs 0 0 0 0 0 Rp - 0 0 0 Rp -
63 MMP Polywin IV cannula 20 pcs 0 0 0 0 0 Rp - 100 0 100 Rp -
64 MMP Polywin IV cannula 22 pcs 0 0 0 0 0 Rp - 100 0 100 Rp -
65 MMP Polywin IV cannula 24 pcs 0 0 0 0 0 Rp - 0 0 0 Rp -
66 Plester 5 yard x 2 inch roll 0 0 0 0 0 Rp - 0 0 0 Rp 23,625 Rp -
67 Polifix 5 cm x 1 m kotak 0 1 0 0 1 Rp 7,370 0 0 1 Rp 7,370 Rp 7,370
68 Polifix 10 cm x 5 m roll 8 0 0 0 8 Rp 591,496 0 0 8 Rp 73,937 Rp 591,496
69 Poli Aid 1 liter LA botol 0 2 0 0 2 Rp 246,546 0 0 2 Rp 123,273 Rp 246,546
70 FM Crepe Pembalut Elastis 10 cm x 4.55 m roll 0 18 0 0 18 Rp 791,766 0 0 18 Rp 43,987 Rp 791,766
71 Urine bag Pcs 0 100 0 20 80 Rp 440,000 0 0 80 Rp 5,500 Rp 440,000
72 Foley catheter no.12 pcs 0 0 0 0 0 Rp - 0 0 0 Rp 11,000 Rp -
73 Foley catheter no.14 pcs 0 20 0 0 20 Rp 340,000 0 0 20 Rp 17,000 Rp 340,000
74 Foley catheter no.16 Pcs 0 10 0 0 10 Rp 170,000 0 0 10 Rp 17,000 Rp 170,000
75 Foley catheter no.18 pcs 0 19 0 0 19 Rp 323,000 0 0 19 Rp 17,000 Rp 323,000
76 Feeding Tube No. 6 pcs 20 40 0 0 60 Rp 900,000 0 0 60 Rp 15,000 Rp 900,000
77 Feeding Tube No. 8 Pcs 40 20 0 0 60 Rp 900,000 0 0 60 Rp 15,000 Rp 900,000
78 Female Catheter no 14 pcs 0 0 0 0 0 Rp - 0 0 0 Rp 6,349 Rp -
79 Female Catheter no 16 pcs 0 80 0 0 80 Rp 507,920 0 0 80 Rp 6,349 Rp 507,920
80 Female Catheter no 18 pcs 0 20 0 0 20 Rp 126,980 0 0 20 Rp 6,349 Rp 126,980
81 sarung tangan Ukuran 7.5 pcs 0 1 0 0 1 Rp 7,600 0 0 1 Rp 7,600 Rp 7,600
82 sarung tangan Ukuran 6,5 pcs 0 1 0 0 1 Rp 7,600 50 0 51 Rp 7,600 Rp 387,600
83 sarung tangan Ukuran 7 pcs 0 2 0 0 2 Rp 15,200 50 0 52 Rp 7,600 Rp 395,200
84 sarung tangan non steril M 100 psg/kotak 0 20 0 0 20 Rp 900,000 0 0 20 Rp 45,000 Rp 900,000
85 sarung tangan non steril L 100 psg/kotak 0 24 0 0 24 Rp 1,230,768 0 0 24 Rp 51,282 Rp 1,230,768
86 Pembalut Gips pieces 0 0 0 0 0 Rp - 0 0 0 Rp 37,500 Rp -
87 Ethil klorida spray (ED) Vial/Can/100 ml 0 0 2 1 1 Rp 140,000 0 0 1 Rp 140,000 Rp 140,000
88 Alkohol swab (2ply) box 100 pcs 0 40 0 0 40 Rp 440,000 50 0 90 Rp 11,000 Rp 990,000
89 Bisturi all set Ktk 100 psc 0 0 0 0 0 Rp - 0 0 0 Rp 80,000 Rp -
90 Elastic perban roll/pcs 0 0 0 0 0 Rp - 0 0 0 Rp 43,987 Rp -
91 Loma tule box 10 pcs 0 0 0 0 0 Rp - 0 0 0 Rp 190,000 Rp -
92 Kapas 100gr pcs 0 0 0 0 0 Rp - 0 0 0 Rp 30,000 Rp -
93 Masker Ties On 50 pcs/kotak 0 73 0 0 73 Rp 1,944,720 40 0 113 Rp 26,640 Rp 3,010,320
94 Masker Ear Lop 50 pcs/kotak 0 63 0 0 63 Rp 1,384,614 40 0 103 Rp 21,978 Rp 2,263,734
95 Under Pad pcs 0 80 0 0 80 Rp 601,280 0 0 80 Rp 7,516 Rp 601,280
96 Umbilical Cord Clamp OGS pcs 0 50 0 0 50 Rp 52,500 0 0 50 Rp 1,050 Rp 52,500
97 Anios dermanios scrub chlorhexidine 500 ml botol 0 0 0 0 0 Rp - 0 0 0 Rp 104,000 Rp -
98 Handscrub 500 ml botol 0 1 0 0 1 Rp 90,000 0 0 1 Rp 90,000 Rp 90,000
99 Handscrub 5 L botol 0 1 0 0 1 Rp 808,000 0 0 1 Rp 808,000 Rp 808,000
100 Handrub 500 ml botol 0 1 0 0 1 Rp 66,700 0 0 1 Rp 66,700 Rp 66,700
101 Handrub 5 L botol 0 1 0 0 1 Rp 555,000 0 0 1 Rp 555,000 Rp 555,000
102 Oksigen mask botol 0 30 0 0 30 Rp 285,000 0 0 30 Rp 9,500 Rp 285,000
103 Nebulizer mask botol 0 28 0 0 28 Rp 403,200 0 0 28 Rp 14,400 Rp 403,200
104 Paper tape 1,25 cm x 9,14 m pcs 0 48 0 0 48 Rp 261,072 0 0 48 Rp 5,439 Rp 261,072
105 Paper tape 2,5 cm x 9,14 m rol 0 24 0 0 24 Rp 217,128 12 0 36 Rp 9,047 Rp 325,692
106 Paper tape 5,0cm x 9,14m rol 0 0 0 0 0 Rp - 6 0 6 Rp -
107 Paper tape 7,5cm x 9,14m rol 0 0 0 0 0 Rp - 4 0 4 Rp -
108 Non woven fixation 5 cm x 10 m pcs 0 11 0 0 11 Rp 535,414 0 0 11 Rp 48,674 Rp 535,414
109 Non woven fixation 10 cm x 10 m pcs 0 7 0 0 7 Rp 534,968 0 0 7 Rp 76,424 Rp 534,968
JUMLAH Rp 4,167,718,714 Rp 6,263,018,111

Mengetahui/Menyetujui,
Kepala puskesmas Sidomulyo Pengelola Farmasi

Kabupaten Mesuji

RATIH PUSPITASARI, AMd. KG

NIP.19881029 201101 2005

.DJUMRI OBIENG..
NIP 19640720 198603 1010.