Anda di halaman 1dari 8

DINLOG OBAT JKN PUSKESMAS LENEK

TAHUN 2016

STOK AWAL PENERIMAAN SISA STOK

JUMLAH
NO NAMA OBAT SATUAN
HARGA SATUAN TOTAL STOK HARGA TOTAL NILAI PERSEDIAAN PEMAKAIAN TOTAL SISA
NILAI STOK AWAL SATUAN NILAI SISA STOK
2015 AWAL PENERIMAAN PENERIMAAN STOK
2016

1 2 3 4 5 6 7 8 9 10 11 13 14
1 Dexamethason tablet 0,5mg Tablet 64 24,000 1,536,000 24,000 900 23,100 1,478,400
2 Glimepirid 2mg Tablet 447 600 268,200 600 350 250 111,750
3 Ketoconazole 2% Tube 2,633 180 473,940 180 35 145 381,785
4 Metoklopramid tab 5mg Tablet 111 1,200 133,200 1,200 - 1,200 133,200
5 Metronidazol tab 500mg tablet 164 6,000 984,000 6,000 1,400 4,600 754,400
6 Paracetamol Tab 500 mg tablet 84 36,000 3,024,000 36,000 28,600 7,400 621,600
7 Piridoksin HCL Tab 10mg tablet 115 20,000 2,300,000 20,000 11,000 9,000 1,035,000
8 Salbutamol tab 4mg Kotak 91 6,000 546,000 6,000 800 5,200 473,200
9 Kaptopril 25mg Tablet 89 1,200 106,800 1,200 600 600 53,400
10 OAT FDC I Paket 377,900 35 13,226,500 35 31 4 1,511,600
11 Natrium Diklofenak 50 mg Tablet 185 1,200 222,000 1,200 - 1,200 222,000
12 Griseofulfin tab 125mg Tablet 220 240 52,800 240 - 240 52,800
13 KAEN 3 A Botol 500 ml 10,000 40 400,000 40 - 40 400,000
14 KAEN 3 B Botol 500 ml 10,000 40 400,000 40 25 15 150,000
15 Asering Botol 500 ml 9,000 40 360,000 40 15 25 225,000
16 Amoksilin 500 mg Tablet 270 24,000 6,480,000 24,000 16,500 7,500 2,025,000
17 Asiklovir 400mg Tablet 346 300 103,800 300 100 200 69,200
18 Cefadroxil Syrup Botol 5,064 300 1,519,200 300 250 50 253,200
19 Prednison Tab 5 mg Tablet 119 1,000 119,000 1,000 100 900 107,100
20 Ranitidin 150 mg Botol 122 2,400 292,800 2,400 2,400 - -
21 Zink tablet 20mg Tablet 497 22,000 10,934,000 22,000 11,500 10,500 5,218,500
22 Gentamicin Injeksi Ampul 3,569 500 1,784,500 500 - 500 1,784,500
23 Anti Bakteri DOEN Salep Kombinasi Tube 2,641 600 1,584,600 600 - 600 1,584,600
24 Omeprazole Tablet 216 1,040 224,640 1,040 440 600 129,600
25 Ibuprofen tab 400mg Tablet 153 14,000 2,142,000 14,000 1,000 13,000 1,989,000
26 Domperidon syr Botol 3,410 490 1,670,900 490 - 490 1,670,900
STOK AWAL PENERIMAAN SISA STOK

JUMLAH
NO NAMA OBAT SATUAN
HARGA SATUAN TOTAL STOK HARGA TOTAL NILAI PERSEDIAAN PEMAKAIAN TOTAL SISA
NILAI STOK AWAL SATUAN NILAI SISA STOK
2015 AWAL PENERIMAAN PENERIMAAN STOK
2016

1 2 3 4 5 6 7 8 9 10 11 13 14
27 Amoksilina Syrup Kering Botol 2,500 1,700 4,250,000 1,700 465 1,235 3,087,500
28 Natrium Klorida Infus 0,9 % Botol 4,935 500 2,467,500 500 360 140 690,900
29 Salep 24 kombinasi Pot 2,100 450 945,000 450 - 450 945,000
30 Asam Mefenamat 500 mg tablet 1,233,900 1 1,233,900 1 1 - -
31 Betahistin tablet 40,200 1 40,200 1 1 - -
32 Etanol 70 % Botol 914 1 914 1 1 - -
33 Fitomenadion Injksi 10 mg/ml 1 ml ampul 7,326 1 7,326 1 1 - -
34 Gentian Violet Lar 1% Botol 5,780 1 5,780 1 1 - -
35 Klorampenikol kaps 250mg Kapsul 244,400 1 244,400 1 1 - -
36 Metoklopramid tab 5mg Ampul 11,236 1 11,236 1 1 - -
37 Multivitamin syr Botol 15,191 1 15,191 1 1 - -
38 Oksitetrasiklin SM 1% Tube 18,352 1 18,352 1 1 - -
39 Oksitetrasiklin HCL Injksi 50 mg/ml 10 ml Ampul 605 1 605 1 1 - -
40 Piracetam 800 mg Tablet 45,200 1 45,200 1 - 1 45,200
41 Triheksipenidil HCL 2mg/tab tablet 106,100 1 106,100 1 1 - -
42 Vitamin B-Komplek Tablet tablet 200,000 1 200,000 1 1 - -
43 Ringer Laktat Lar Infus Botol 7,150 2,000 14,300,000 2,000 1095 905 6,470,750
44 Aqua Pro Injeksi Steril Bebas pirogen vial 2,750 50 137,500 50 50 - -
45 Asiklovir 400mg Tablet 366 1,000 366,000 1,000 100 900 329,400
46 Attapulgit Tablet 600 mg Tablet 164 5,000 820,000 5,000 700 4,300 705,200
47 Dipenhidramin Inj 10 mg/ml 1 ml vial 1,235 500 617,500 500 100 400 494,000
48 Epinephrin Inj 0,1 % 1 ml vial 2,354 100 235,400 100 0 100 235,400
49 Metylergometrin maleat Inj 0,2 mg / ml Tablet 2,684 200 536,800 200 10 190 509,960
50 Oksitoksin Inj vial 1,900 500 950,000 500 0 500 950,000
51 Prednison Tab 5 mg Tablet 98 1,000 98,000 1,000 0 1,000 98,000
52 Salep 24 kombinasi pot 2,554 48 122,592 48 0 48 122,592
53 sianokobalamin Inj 500 mcg/ml vial 1,168 200 233,600 200 0 200 233,600
54 siprofloxaxin Tablet 289 5,000 1,445,000 5,000 0 5,000 1,445,000
55 Dexamethasone tablet 0,5 mg Tablet 46 5,000 230,000 5,000 0 5,000 230,000
56 klorfeniramin maleat ( CTM ) 4 mg Tablet 43 10,000 430,000 10,000 0 10,000 430,000
STOK AWAL PENERIMAAN SISA STOK

JUMLAH
NO NAMA OBAT SATUAN
HARGA SATUAN TOTAL STOK HARGA TOTAL NILAI PERSEDIAAN PEMAKAIAN TOTAL SISA
NILAI STOK AWAL SATUAN NILAI SISA STOK
2015 AWAL PENERIMAAN PENERIMAAN STOK
2016

1 2 3 4 5 6 7 8 9 10 11 13 14
57 Lidocain kompositum Inj vial 1,937 500 968,500 500 0 500 968,500
58 Thiamin HCL ( Vit B1) Tab 50 mg Tablet 89 5,000 445,000 5,000 0 5,000 445,000
59 Klorampenikol SM 1 % Tube 1,800 100 180,000 100 24 76 136,800
60 Parasetamol sirup 120 mg/5 ml Botol 1,119 840 939,960 840 0 840 939,960
61 Ventolin Nebules - Salbutamol Cairan ih 0,1 % Botol 4,000 100 400,000 100 0 100 400,000
62 Zink tablet 20mg Tablet 540 10,000 5,400,000 10,000 0 10,000 5,400,000
63 Ambroxol 30mg Tablet 200 20,000 4,000,000 20,000 0 20,000 4,000,000
64 Amoxsisilin 500mg Tablet 420 20,000 8,400,000 20,000 0 20,000 8,400,000
65 Asam Askorbat 50 mg Tablet 86 5,000 430,000 5,000 0 5,000 430,000
66 Asam Mefenamat 500 mg Tablet 257 20,000 5,140,000 20,000 0 20,000 5,140,000
67 Diazepam Inj 5mg/ml 2 ml vial 42,450 100 4,245,000 100 0 100 4,245,000
68 Diazepam tablet 2 mg Tablet 1,550 500 775,000 500 0 500 775,000
69 Etil Klorida semprot botol 112,000 5 560,000 5 0 5 560,000
70 Famotidin 40mg Tablet 240 1,000 240,000 1,000 0 1,000 240,000
71 Furosemida 40 mg Tablet 330 500 165,000 500 0 500 165,000
72 Glimepirid 2mg Tablet 185 1,000 185,000 1,000 0 1,000 185,000
73 Kaptopril 12,5 mg Tablet 180 5,000 900,000 5,000 0 5,000 900,000
74 Kaptopril 25mg Tablet 210 5,000 1,050,000 5,000 0 5,000 1,050,000
75 Klorampenikol kaps 250mg Kapsul 1,115 2,400 2,676,000 2,400 0 2,400 2,676,000
76 Metylergometrin maleat tab 0,125mg Tablet 4,350 2,000 8,700,000 2,000 0 2,000 8,700,000
77 papaverin Tablet Tablet 270 5,000 1,350,000 5,000 0 5,000 1,350,000
78 parasetamol Tab 500mg Tablet 210 30,000 6,300,000 30,000 0 30,000 6,300,000
79 piroxicam 10 mg Tablet 143 1,000 143,000 1,000 0 1,000 143,000
80 Ranitidin 150 mg Tablet 300 10,000 3,000,000 10,000 0 10,000 3,000,000
81 Thiamin HCL ( vit B1 ) Inj 100mg?ml vial 7,950 100 795,000 100 0 100 795,000
TOTAL 60,480,584 77,909,852 96,802,497

Lenek, 31 Desember 2016


Kepala Puskesmas Lenek
STOK AWAL PENERIMAAN SISA STOK

JUMLAH
NO NAMA OBAT SATUAN
HARGA SATUAN TOTAL STOK HARGA TOTAL NILAI PERSEDIAAN PEMAKAIAN TOTAL SISA
NILAI STOK AWAL SATUAN NILAI SISA STOK
2015 AWAL PENERIMAAN PENERIMAAN STOK
2016

1 2 3 4 5 6 7 8 9 10 11 13 14
Kabupaten Lombok Timur

JALALUDIN SAYUTI, SKM, MPH


NIP. 19751231 199803 1 013
DINLOG JKN BMHP PUSKESMAS LENEK
REKAP TAHUN 2016

STOK AWAL PENERIMAAN SISA STOK


JUMLAH
KODE NAMA OBAT SATUAN HARGA TOTAL HARGA PEMAKAIAN
NILAI STOK TOTAL NILAI PERSEDIAAN TOTAL NILAI SISA
SATUAN STOK SATUAN
AWAL PENERIMAAN PENERIMAAN SISA STOK STOK
2015 AWAL 2016

1 2 3 4 5 6 7 8 9 10 11 12 13
1 STERA 1 cc Tuberculin 27G x ½ " Box/100 82,550 6 495,300 6 2 4 330,200
2 STERA 10 cc x 21 G x 1 ½ " Box/100 117,475 1 117,475 1 1 - -
3 STERA 3 cc x 23 G x 1 ¼ " Box/100 82,550 12 990,600 12 8 4 330,200
4 STERA 5 cc x 22 G x 1 ¼ " Box/100 95,250 6 571,500 6 2 4 381,000
5 ONEMED Alkohol 70 % 1 Liter Botol 27,305 30 819,150 30 28 2 54,610
6 ONEMED Alkohol Swab Botol/ 100 12,700 50 635,000 50 9 41 520,700
7 ONEMED-UROCARE Folly Catheter 2 Way No. 16 Botol/ 10 101,600 1 101,600 1 1 - -
8 ONEMED-UROCARE Folly Catheter 2 Way No. 18 Botol/ 10 101,600 1 101,600 1 1 - -
9 STERA I.V Catheter No. 18 G x 32 mm Buah 4,825 400 1,930,120 400 367 33 159,235
10 STERA I.V Catheter No. 20 G x 1 ¼ " Buah 4,826 1,000 4,826,000 1,000 825 175 844,550
11 STERA I.V Catheter No. 22 G x 1" Buah 4,826 400 1,930,400 400 295 105 506,730
12 STERA I.V Catheter No. 24 G x 3/4 " Buah 4,826 300 1,447,800 300 129 171 825,246
13 STERA Infusion Set Dewasa (20 drops/ml) Buah 4,064 1,500 6,096,000 1,500 1,328 172 699,008
14 STERA Infusion Set Pediatric (60 drops/ml) Buah 4,445 300 1,333,500 300 300 - -
15 ONEMED Kapas Kasa Hydrofil Steril 18 x 22 cm Box/12 7,493 50 374,650 50 10 40 299,720
16 ONEMED Kapas 1000 gram Roll 60,016 10 600,160 10 - 10 600,160
17 ONEMED Kapas 500 gram Roll 30,008 10 300,080 10 - 10 300,080
18 ONEMED Kapas Kasa Hydrofil 40 yard x 80 cm Roll 133,350 10 1,333,500 10 - 10 1,333,500
19 ONEMED Kapas Kasa Hydrofil Steril 16 x 16 cm Box/16 7,366 50 368,300 50 1 49 360,934
20 ONEMED Kasa Pembalut/ Absorben 250 gr Roll 15,875 20 317,500 20 - 20 317,500
21 ONEMED Kasa Pembalut Hydrophil 4 yard x 15 cm Roll 2,667 1,200 3,200,400 1,200 932 268 714,756
22 ONEMED Lysol 1 Liter Botol 52,070 2 104,140 2 - 2 104,140
23 ONEMED Maxter Exam No Powder Box/100 61,215 30 1,836,450 30 30 - -
24 ONEMED Nasal Oxygen Pcs 5,775 60 346,500 60 7 53 306,075
25 ONEMED Povidone Lodine 300 cc Botol 22,860 60 1,371,600 60 20 40 914,400
26 ONEMED Rivanol 300 cc Botol 3,239 15 48,578 15 2 13 42,101
27 ONEMED Suction Catheter Buah 4,562 100 456,220 100 - 100 456,220
28 ONEMED Surgical Mask- 3 Ply Earloop Box/50 20,955 20 419,100 20 20 - -
29 ONEMED Surgical Mask- 3 Ply Tie On Box/50 20,955 20 419,100 20 20 - -
30 ONEMED Urine Bag Standard Steril 2 Lt (T Valve) Buah 3,810 20 76,200 20 19 1 3,810
1 E-CARE Antiseptic Hand Rub 10 Btl @ 500 ml Box/10 638,400 1 638,400 1 (2) 3 1,915,200
2 E-CARE Antiseptic Surgical Hand Scrub 10 Btl @ 500 ml Box/10 777,000 1 777,000 1 1 - -
STOK AWAL PENERIMAAN SISA STOK

JUMLAH
KODE NAMA OBAT SATUAN HARGA TOTAL HARGA PEMAKAIAN
NILAI STOK TOTAL NILAI PERSEDIAAN TOTAL NILAI SISA
SATUAN STOK SATUAN
AWAL PENERIMAAN PENERIMAAN SISA STOK STOK
2015 AWAL 2016

1 2 3 4 5 6 7 8 9 10 11 12 13
3 DEMETEC Chromic Catgut 2/0 75 c + Jarum 1/2 30 m R Box/12 272,480 6 1,634,880 6 2 4 1,089,920
4 DEMETEC Chromic Catgut 3/0 75 c + Jarum 1/2 37 m R Box/12 347,636 14 4,866,898 14 5 9 3,128,720
5 CATHEJELL LIDOCAIN 2 % & CHG 0,05 % Tube 42,443 20 848,852 20 5 15 636,639
6 DEMETEC Plain Catgut 2/0 70c + Jarum 1/2 36 m R (PIZDA) Box/12 368,721 4 1,474,885 4 - 4 1,474,885
7 DEMETEC Plain Catgut 3/0 70c + Jarum 1/2 25 m R (PHSDA) Box/12 297,538 7 2,082,763 7 4 3 892,613
8 DEMETEC Silik 2/0 75c + Jarum 1/2 30 m R (SIVDA) Box/12 252,466 3 757,398 3 3 - -
9 DEMETEC Silik 2/0 75c + Jarum 1/2 17 m R (SHLDA) Box/12 252,436 7 1,767,051 7 7 - -
10 E-CARE SURGI GLOVE 6,5 Pairs 4,725 30 141,750 30 - 30 141,750
11 E-CARE SURGI GLOVE 67,0 Pairs 4,725 100 472,500 100 58 42 198,450
12 E-CARE SURGI GLOVE 7,5 Pairs 4,725 30 141,750 30 24 6 28,350
1 Leukoplas 7,5 cm x 4,5 m (BSN) Rol 45,000 24 1,080,000 24 24 - -
2 Leukoplas 2,5 cm x 4,5 m (BSN) Rol 20,000 36 720,000 36 36 - -
3 Pembersih Lantai 800 ml Refil (Superpel) Sachet 12,000 24 288,000 24 11 13 156,000
4 Chlorin 1000 ml (Byclin) Botol 14,000 24 336,000 24 11 13 182,000
5 Aquades Steril 1 Liter (Lokal) Botol 15,000 10 150,000 10 2 8 120,000
6 Klip obat Kecil Polos (Lokal) Pack 22,500 20 450,000 20 13 7 157,500
7 Klip obat Sedang Polos (Lokal) Pack 32,000 10 320,000 10 4 6 192,000
8 Klip obat Besar Polos (Lokal) Pack 50,000 10 500,000 10 6 4 200,000
9 Kertas Puyer (500) (Lokal) Pack 10,000 50 500,000 50 50 - -
10 Ethylchloride 100 ml (Watter Ritte) Botol 122,000 10 1,220,000 10 3 7 854,000
11 Biss Mess No. 11 (Bbraun) Box 285,000 1 285,000 1 1 - -
12 Biss Mess No. 12 (Bbraun) Box 285000 1 285,000 1 1 0 -
13 Jarum Hecting Kulit No. 9 (GT) (Remedi) Sac ' 12 22000 1 22,000 1 - 1 22,000
14 Jarum Hecting Kulit No. 10 (GT) (Remedi) Sac ' 12 22000 1 22,000 1 1 0 -
15 Jarum Hecting Kulit No. 11 (GT) (Remedi) Sac ' 12 22000 1 22,000 1 - 1 22,000
16 Jarum Hecting Kulit No. 12 (GT) (Remedi) Sac ' 12 22000 1 22,000 1 1 0 -
17 Jarum Hecting Kulit No. 13 (GT) (Remedi) Sac ' 12 22000 1 22,000 1 - 1 22,000
18 Jarum Hecting Kulit No. 14 (GT) (Remedi) Sac ' 12 22000 1 22,000 1 - 1 22,000
19 Jarum Jahit otot No. 9 (GR) (Remedi) Sac ' 12 22000 1 22,000 1 - 1 22,000
20 Jarum Jahit otot No. 10 (GR) (Remedi) Sac ' 12 22000 1 22,000 1 - 1 22,000
21 Jarum Jahit otot No. 11 (GR) (Remedi) Sac ' 12 22000 1 22,000 1 - 1 22,000
22 Jarum Jahit otot No. 12 (GR) (Remedi) Sac ' 12 22000 1 22,000 1 - 1 22,000
23 Jarum Jahit otot No. 13 (GR) (Remedi) Sac ' 12 22000 1 22,000 1 - 1 22,000
24 Jarum Jahit otot No. 14 (GR) (Remedi) Sac ' 12 22000 1 22,000 1 - 1 22,000
25 Underpad 60 x 90 Steril (10/Pack) (DRJ) Tube 52000 24 1,248,000 24 13 11 572,000
26 Gell Dopler 250 ml (Endo) Pasang 28000 24 672,000 24 - 24 672,000
STOK AWAL PENERIMAAN SISA STOK

JUMLAH
KODE NAMA OBAT SATUAN HARGA TOTAL HARGA PEMAKAIAN
NILAI STOK TOTAL NILAI PERSEDIAAN TOTAL NILAI SISA
SATUAN STOK SATUAN
AWAL PENERIMAAN PENERIMAAN SISA STOK STOK
2015 AWAL 2016

1 2 3 4 5 6 7 8 9 10 11 12 13
27 Sarung Tangan Obgyn (Remedi) Pasang 22000 40 880,000 40 - 40 880,000
28 Sarung Tangan Panjang Obgyn Steril (Remedi) Sachet 26000 40 1,040,000 40 - 40 1,040,000
29 Sopratulle (Lematulle) Sacheet 21500 12 258,000 12 - 12 258,000
30 Pehidrol (H2O2) 3 % 1 Liter (Lokal) Botol 25000 2 50,000 2 - 2 50,000
31 Blood Lancet (Homecare) Box 20000 10 200,000 10 7 3 60,000
32 Kartu Golongan Darah (Lokal) Box 30000 10 300,000 10 - 10 300,000
33 Spalk Fist Aid Anak (Ji co) Buah 50000 2 100,000 2 2 0 -
34 Spalk Fist Aid Dewasa (Ji co) Buah 65000 4 260,000 4 4 0 -
35 Torniquet (Sella) Buah 21000 5 105,000 5 2 3 63,000
36 Tissu Gulung (Nice) Rol 3500 30 105,000 30 30 0 -
37 Masker Nebulizer Dewasa (GEA) Pcs 30000 5 150,000 5 1 4 120,000
38 Masker Nebulizer Anak (GEA) Pcs 30000 4 120,000 4 - 4 120,000
39 My jelly Box/20 47,760 2 95,519 2 - 2 95,519
40 Folley cathater 16 pcs 8,680 20 173,600 20 2 18 156,240
41 Folley cathater 18 pcs 8,680 20 173,600 20 - 20 173,600
42 Urine bag buah 3,255 40 130,200 40 2 38 123,690
43 Infuset dewasa pcs 6,066 300 1,819,800 300 20 280 1,698,480
44 IV Cathateter pcs 8,180 600 4,908,000 600 186 414 3,386,520
45 Plester roll 91,999 6 551,994 6 1 5 459,995
46 Sarung tangan L box 100,548 3 301,643 3 - 3 301,643
47 Sarung tangan M box 100,548 6 603,285 6 - 6 603,285
48 Sarung tangan 7,5 pcs 11,644 40 465,771 40 10 30 349,328
49 Sarung tangan 8,0 pcs 11,644 20 232,885 20 - 20 232,885
50 Infuset anak pcs 4370 100 437,000 100 - 100 437,000
TOTAL 60,458,650 9,893,297 34,146,087

Lenek, 31 Desember 2016


Kepala Puskesmas Lenek
Kabupaten Lombok Timur

JALALUDIN SAYUTI, SKM, MPH


STOK AWAL PENERIMAAN SISA STOK

JUMLAH
KODE NAMA OBAT SATUAN HARGA TOTAL HARGA PEMAKAIAN
NILAI STOK TOTAL NILAI PERSEDIAAN TOTAL NILAI SISA
SATUAN STOK SATUAN
AWAL PENERIMAAN PENERIMAAN SISA STOK STOK
2015 AWAL 2016

1 2 3 4 5 6 7 8 9 10 11 12 13

NIP. 19751231 199803 1 013