PEMERINTAH KABUPATEN SUMBAWA

DINAS KESEHATAN
UPT PUSKESMAS LENANGGUAR
JL Lintas Sumbawa-Lunyuk Km 40

SISA STOK OBAT DAN PERBEKALAN KESEHA

PER 31 DESEMBER 2019

SIS
SATUAN
NO. NAMA OBAT SATUAN HARGA
GUDANG

OBAT DAN PERBEKALAN KESEHATAN

1 ACYCLOVIR CREAM tube 21
2 AMBROXOL 30 MG tablet 200
3 AMBROXOL SYRUP botol 50
4 ANTI FUNGI DOEN KOMBINASI pot 1,819 24
5 CAPTOPRIL TABLET 12,5 MG tablet
6 CAPTOPRIL TABLET 25 MG tablet 800
7 CEFADROXIL 500 MG tablet 70
8 CETIRIZEN 10 MG tablet 200
9 CLORAMFENIKOL 3% TETES TELINGA botol 3,171 23
10 DEKSAMETASON TABLET 0,5 MG tablet 86 400
11 DEKSAMETASON TABLET 0,75 MG tablet 600
12 GENTAMYCIN SALEP KULIT tube 2,339 200
13 GENTION VIOLET botol 12
14 GLISERIL GUAIAKOLAT 100 MG tablet 500
15 IBUPROFEN TABLET 200 MG tablet
16 IBUPROFEN TABLET 400 MG tablet
17 INFATRIM tablet 100
18 LANSOPRAZOLE 30 MG tablet
19 MELOXICAM 15 MG tablet
20 MELOXICAM 7,5 MG tablet 300
21 MESS / PISAU BEDAH biji 3,000 20
22 METILPREDNISOLON 4 MG tablet 500
23 NATRIUM DIKLOFENAK 50 MG tablet
24 NIFEDIPIN 10 MG tablet 200
25 PIROKSIKAM KAPSUL/TABLET 10 MG tablet 200
26 PIROKSIKAM KAPSUL/TABLET 20 MG tablet 100
27 PRIMAKUIN TABLET 15 MG tablet 205 80
28 RANITIDIN TABLET 150 MG tablet 110 300
29 VENTOLIN NEBULIZER ampul
30

Page 1
 SIS
SATUAN
NO. NAMA OBAT SATUAN HARGA
GUDANG

Mengetahui
Kepala PUSKESMAS LENANGGUAR
Kabupaten Sumbawa

Page 2
UPATEN SUMBAWA
SEHATAN
S LENANGGUAR
wa-Lunyuk Km 40

RBEKALAN KESEHATAN
EMBER 2019

SISA STOK SUMBER KAFITASI AKHIR 2019

POLI-POLI
APOTEK UGD
KIA GIGI LAIN2 TOTAL JUMLAH

-
1 22
115 315
2 52
24
38 38
350 1,150
24 94
219 419
23
544 944
256 856
200
12
254 30 784
200 30 230
39 20 59
100
50 60 110
220 220
40 340
20
268 60 828
50 50
200
90 290
119 219
80
180 10 490
7 7
-

Page 3
 SISA STOK SUMBER KAFITASI AKHIR 2019

POLI-POLI
APOTEK UGD
KIA GIGI LAIN2 TOTAL JUMLAH

3,056 - 8,176

Sumbawa, 02 Januari 2020

Pengelolah Obat Puskesmas Lenangguar
Kabupaten Sumbawa

Page 4
 PEMERINTAH KABUPATEN SUMBAWA
DINAS KESEHATAN
UPT PUSKESMAS LENANGGUAR
JL Lintas Sumbawa-Lunyuk Km 40

SISA STOK OBAT DAN PERBEKALAN KESEHATAN

PER 31 DESEMBER 2019

SISA STOK SUMBER IFK AKHIR 2019

SATUAN POLI-POLI
NO. NAMA OBAT SATUAN HARGA
GUDANG APOTEK UGD
KIA GIGI LAIN2

OBAT DAN PERBEKALAN KESEHATAN

1 ALBENDAZOL TABLET 400 MG tablet 313 750 24 - -
2 ATTAPULGITE tablet 216 585 115 - -
3 ACYCLOVIR CREAM tube 20 40 - -
4 ACYCLOVIR TABLET 200 MG tablet 245 400 85 - -
5 ACYCLOVIR TABLET 400 MG tablet 600 187 - -
6 ALLUPURINOL TABLET 100 MG tablet 113 1,800 60 - -
7 ALLUPURINOL TABLET 300 MG tablet 216 600 40 - -
8 ALPRAZOLAM 0.25 MG tablet 316 - -
9 ALPRAZOLAM 0.5 MG tablet 135 - -
10 AMINOFILIN INJEKSI 24 MG/ML - 10 ML ampul 3,349 - -
11 AMINOFILIN TABLET 200 MG tablet 90 100 100 - -
12 AMITRIPTILIN HCL TABLET SALUT 25 MG tablet 167 30
13 AMLODIPINE 10 MG tablet 65 50
14 AMLODIPINE 5 MG tablet 75 900 69 50
15 AMOKSISILIN KAPLET 500 MG kaplet 245 6,300 130 50
16 AMOKSISILIN KAPSUL 250 MG kapsul 201 250 40 - -
17 AMOKSISILIN SIRUP KERING 125 MG/5ML botol 4,999 2 2 - -
18 AMPISILLIN INJEKSI 1 GRAM vial 8,649 30 9 - -
19 ANTALGIN INJEKSI 25 MG/ML - 2ML ampul 56 5 - -

Page 5
 SISA STOK SUMBER IFK AKHIR 2019
SATUAN POLI-POLI
NO. NAMA OBAT SATUAN HARGA
GUDANG APOTEK UGD
KIA GIGI LAIN2

20 ANTASIDA DOEN TABLET KOMBINASI tablet 56 4,100 250 - -

21 ANTI BAKTERI DOEN SALEP / BACITRACIN tube 3,187 - -
22 ANTI FUNGI DOEN KOMBINASI pot 1,819 120 - -
23 ANTIHEMOROID DOEN KOMBINASI suppos 3,325 19 - -
24 ANTIMIGRAIN DOEN KOMBINASI tablet 182 5 - -
25 AQUA P.I.STERIL BEBAS PIROGEN vial 2,860 47 5 1 - -
26 AQUADEST STERIL botol 5 - -
27 ARTESDIAQUIN / ARTERAKIN / DHP TABLET tablet 2,000 126
28 ARTESUNATE INJEKSI ampul - -
29 ASAM ASKORBAT ( VIT.C ) TABLET 50 MG tablet 110 2,300 470 60 60 - -
30 ASAM FOLAT 1 MG tablet 74 700 190 - -
31 ASAM MEFENAMAT KAPLET 500 MG kaplet 103 2,600 314
32 ASAM PIPEMIDAT 400 MG TABLET / URINTER tablet 1,400 - -
33 ASAM TRANEKSAMAT INJEKSI 100 MG/ML ampul 2,122 10 - -
34 ASETOSAL TABLET 80 MG tablet 99 300 - -
35 ATROPIN SULFAT INJEKSI 0,25 MG/ML - 1ML ampul 1,650 - -
36 ATROPIN SULFAT TABLET 0,5 MG tablet - -
37 ATROPIN SULFAT TETES MATA 0,5% botol
38 BEDAK SALISIL 2% kotak 1,046 65 1
39 BETAHISTIN TABLET tablet 110 200 4 10 - -
40 BETAMETASON KRIM 0,1% 5gr tube 1,373 75 - -
41 BISACODIL 5 MG SUPP SUPP 5,900 - -
42 BISACODIL 10 MG SUPP SUPP 6,000 40
43 BISACODIL 10 MG TABLET tablet
44 BISACODIL 5 MG TABLET tablet
45 BUDESONID RESPULE/ CAIRAN INHALER ampul 13,242 15
46 CALCII GLUCONAS INJEKSI ampul 7,800 52
47 CALSIUM LAKTAT ( KALK ) TABLET 500 MG tablet 63 2,000 124 100
48 CAPTOPRIL TABLET 12,5 MG tablet 65 16
49 CAPTOPRIL TABLET 25 MG tablet 10
50 CARBAMAZEPIN TABLET 200 MG tablet 1,800 280

Page 6
 SISA STOK SUMBER IFK AKHIR 2019
SATUAN POLI-POLI
NO. NAMA OBAT SATUAN HARGA
GUDANG APOTEK UGD
KIA GIGI LAIN2

51 CEFADROKSIL SYRUP 125 MG/ML botol 4,339

52 CEFADROKSIL 500 MG tablet
53 CEFTRIAKSONE SERBUK INJEKSI 1000 MG/ML ampul
54 CETIRIZINE SYRUP 5MG/ML botol 2,973 70
55 CIMETIDIN TABLET 200 MG tablet 200 4 30
56 CIPROFLOKSASIN TABLET 500 MG tablet 300 10 50
57 CLINDAMISIN KAPSUL 300 MG tablet
58 CLOBAZAM 10 MG TAB tablet 900 312
59 CLORAMFENIKOL 0,5% TETES MATA botol 12,265 20
60 CLORAMFENIKOL 1% SALEP MATA tube 1,800 50
61 CLORAMFENIKOL SALEP KULIT/ BUFACETIN tube 3,171
62 CLORAMFENIKOL 3% TETES TELINGA botol 3,171
63 CLORAMFENIKOL KAPSUL 250 MG kapsul 320 100 145 10
64 CLORAMFENIKOL KAPSUL 500 MG kapsul 1,145 500 50
65 CLORFENIRAMIN MALEAT (CTM) TABLET 4 MG tablet 23 600 70 10
66 CLORPROMAZIN HCL.TABLET SALUT 100 MG tablet 4,500 150
67 CLORPROMAZIN HCL.TABLET SALUT 25 MG tablet 155
68 CLORPROMAZIN INJEKSI 25 MG/ML ampul 1,300 20
69 CLORPROMAZIN INJEKSI 5 MG/ML ampul 1,585
70 CLOZAPIN 25 MG tablet 1,121 50
71 CODEIN HCL TABLET 10 MG tablet 545 200
72 COTRIMOKSAZOL DEWASA TABLET 480 MG tablet 154 1,900 30 16
73 COTRIMOKSAZOL SUSPENSI 240 MG / 5 ML botol 2,190 4
74 DEKSAMETASON INJEKSI 5 MG/ML - 1ML ampul 1,500 124 3
75 DEKSAMETASON TABLET 0,5 MG tablet 86 50
76 DESOKSIMETASON CREAM 0.25 % tube 10,600
77 DIAZEPAM INJEKSI 5 MG/ML-1ML ampul 4,389
78 DIAZEPAM LARUTAN RECTAL TUBE / STEZOLID tube 13,202 23 2
79 DIAZEPAM TABLET 2 MG tablet 7 3
80 DIAZEPAM TABLET 5 MG tablet 109
81 DIFENHIDRAMIN HCL INJEKSI 10 MG/-1ML ampul 1,152 80 5

Page 7
 SISA STOK SUMBER IFK AKHIR 2019
SATUAN POLI-POLI
NO. NAMA OBAT SATUAN HARGA
GUDANG APOTEK UGD
KIA GIGI LAIN2

82 DIGOKSIN TABLET 0,25 MG tablet 65 44

83 DILTIAZEM 30 MG TABLET tablet 137 68
84 DIMENHIDRINAT TABLET 50 MG tablet 110 90
85 DOMPERIDONE SYRUP botol 2,781 500 200 4
86 DOMPERIDONE TABLET 10 MG tablet 86 50 36 7
87 DOXYCICLIN KAPSUL 100 MG kapsul 700 35
88 EPINEFRIN HCL ( ADRENALIN ) INJEKSI 0,1% ampul 1,408 10 5
89 FLUFENAZIN INJEKSI 25 MG/ML (ZIKZONOAT) ampul 59,800 65
90 FLUOSINOLON ASETONIDA CREAM TUBE 10
91 FUROSEMIDE TABLET 40 MG tablet 81
92 GARAM ORALIT UNTUK 200 ML AIR sachet 263 200 15
93 GEMFIBROZIL KAPSUL 300 MG kapsul 303 900 94 50
94 GENTAMISIN INJEKSI 80 MG / 2 ML ampul 3,237 400 174
95 GENTAMYCIN SALEP KULIT tube 2,339
96 GENTAMYCIN SALEP MATA tube 2,810
97 GENTAMYCIN TETES MATA botol 4,380
98 GLIBENKLAMID TABLET 5 MG tablet 125 48 30
99 GLIKAZID 80 MG tablet 220 200 98
100 GLUKOSA LARUTAN INFUS 10% STERIL botol 7,500 200
101 GLUKOSA LARUTAN INFUS 40% STERIL botol
102 GLUKOSA LARUTAN INFUS 5% STERIL botol 6,900
103 GRISEOFULVIN TABLET 125 MIKRONIZED tablet 217 120
104 HALOPERIDOL INJEKSI 5 ML ampul 300
105 HALOPERIDOL INJEKSI 50 ML ampul 97,500
106 HALOPERIDOL TABLET 0,5 MG tablet 61 5
107 HALOPERIDOL TABLET 1,5 MG tablet 59 215
108 HALOPERIDOL TABLET 5 MG tablet 96 470
109 HIDROKLORTIAZID ( HCT ) TABLET 25 MG tablet 110
110 HIDROKORTISON KRIM 2,5% tube 2,533 1,400 149
111 HYOSCINE BUTIL BROMIDA INJ 20 MG/ML ampul 12,265 35
112 HYOSCINE-N-BUTIL BROMIDE TABLET 10 MG tablet 1,840 10

Page 8
 SISA STOK SUMBER IFK AKHIR 2019
SATUAN POLI-POLI
NO. NAMA OBAT SATUAN HARGA
GUDANG APOTEK UGD
KIA GIGI LAIN2

113 IBUPROFEN SYRUP botol 4,755 70 5

114 IBUPROFEN TABLET 200 MG tablet 4
115 IBUPROFEN TABLET 400 MG tablet
116 ISOSORBID DINITRAT TAB.SUBLINGUAL 5 MG tablet 89 400 70 30
117 KETOKONAZOL CREAM tube 2,577 40
118 KETOKONAZOL TABLET 200 MG tablet 305 700 280
119 KETOPROFEN SUPPOSITORIA SUPP 2,380 30
120 KETOROLAC INJ 30 MG/ML ampul 1,045 15
121 KOMBINASI PIRIMETAMIN + SULFADOXIN tablet
122 LEVOFOXACIN TM botol 2,824
123 LIDOKAIN 1 % INJEKSI ampul 2,037 93 5 11
124 LIDOKAIN KOMPOSITUM INJEKSI ampul 1,205 90
125 LISINOPRIL TAB 5 MG tablet 219
126 LITHIUM BICARBONAT 200 MG TAB tablet 987
127 LOPERAMID TABLET 2 MG tablet 19
128 LORATADINE TABLET 10 MG TABLET tablet 128 20
129 MAGNESIUM SULFAT INJ.(IV) 20% - 25ML vial 5,500
130 MAGNESIUM SULFAT INJ.(IV) 40% - 25ML vial 3,796 6 11
131 METFORMIN TABLET 500 MG tablet 99 300 111 110
132 METFORMIN TABLET 850 MG tablet 166 20
133 METILERGOMETRIN MALEAT INJ.0,2 MG ampul 3,102 55
134 METILERGOMETRIN MALEAT TAB.0,125 MG tablet 221 300
135 METOCLOPRAMIDA TABLET 5 MG tablet 80
136 METRONIDAZOL TABLET 250 MG tablet 113
137 METRONIDAZOL TABLET 500 MG tablet 164 4 10
138 METRONIDAZOLE INFUS botol 8,250 44
139 MEYLON vial 6,448 10
140 MICONAZOLE CREAM tube 3,585 150
141 MINERAL MIX sachet 2,920 80
142 N - ASETIL SISTEIN TABLET tablet 401 1,500 100 10
143 NATRIUM DIKLOFENAK TABLET 25 MG tablet 127 100

Page 9
 SISA STOK SUMBER IFK AKHIR 2019
SATUAN POLI-POLI
NO. NAMA OBAT SATUAN HARGA
GUDANG APOTEK UGD
KIA GIGI LAIN2

144 NATRIUM DIKLOFENAK TABLET 50 MG tablet 132

145 NATRIUM KLORIDA LARUTAN INFUS 0,9% botol 6,840 120
146 NIFEDIPIN TABLET 10 MG tablet 110 30
147 NISTATIN 100.000 IU/G TAB.VAGINAL tablet 590 58
148 NISTATIN 500.000 IU/G TAB.SALUT tablet
149 OBAT ANTI TUBERKOLOSIS K-1 FDC paket 408,810 4
150 OBAT ANTI TUBERKOLOSIS K-2 FDC paket
151 OBAT ANTI TUBERKOLOSIS K-3 paket
152 OBAT ANTI TUBERKOLOSIS K-ANAK paket 225,740
153 OBAT ANTI TUBERKOLOSIS SISIPAN paket
154 OBAT BATUK HITAM ( OBH ) CAIRAN botol
155 OKSITETRASIKLIN HCL 1% SALEP MATA tube 2,600 216
156 OKSITETRASIKLIN HCL 3% SALEP KULIT tube
157 OKSITETRASIKLIN HCL INJEKSI 50 MG/ML vial
158 OKSITOSIN INJEKSI 10 IU/ML - 1ML ampul 1,199 56 5 8
159 OMEPRAZOLE INJEKSI ampul 12,998
160 ONDANSETRON 4 MG TABLET tablet
161 ONDANSETRON 8 MG TABLET tablet 369
162 ONDANSETRON INJ 2 MG/2ML ampul 1,254 17 5 8
163 PAPAVERIN TABLET tablet
164 PARASETAMOL DROP botol 12,389 14
165 PARASETAMOL SIRUP 120 MG/5ML botol 6,981 200 3
166 PARASETAMOL TABLET 100 MG tablet
167 PARASETAMOL TABLET 500 MG tablet 56 4,500 205 10 60
168 PETIDIN HCL INJ.50 MG/ML - 2ML ampul
169 PHENITOIN CAPSUL 100 MG capsul 158
170 PHENOBARBITAL INJEKSI 50 MG/ML - 2 ML ampul 1,780 28
171 PHENOBARBITAL TABLET 30 MG tablet 180 600
172 PHENOBARBITAL TABLET 100 MG tablet 88
173 PHITOMENADION ( VIT.K1 ) 10 MG/ML ampul 3,867 45 4
174 PHITOMENADION ( VIT.K1 ) TAB. SALUT 10 MG tablet 747 500 100 60

Page 10
 SISA STOK SUMBER IFK AKHIR 2019
SATUAN POLI-POLI
NO. NAMA OBAT SATUAN HARGA
GUDANG APOTEK UGD
KIA GIGI LAIN2

175 PIRIDOKSIN HCL TABLET 10 MG tablet 129 2,000 334

176 PIROKSIKAM KAPSUL/TABLET 10 MG tablet
177 PIROKSIKAM KAPSUL/TABLET 20 MG tablet
178 PREDNISON TABLET 5 MG tablet 82 90
179 PRIMAKUIN TABLET 15 MG tablet 205 80 71
180 PROKAIN BENZIL PENISILIN 3 JUTA IU (PPC) vial 9,046 3
181 PROPANOLOL HCL TABLET 10 MG tablet 61
182 PROPANOLOL HCL TABLET 40 MG tablet 85
183 PROPILTIOURASIL TABLET 100 MG tablet
184 QUININ DIHIDROKLOROIDA 25% - 2ML ampul
185 QUININ SULFAT TABLET 200 MG tablet 697 500
186 RANITIDIN INJEKSI ampul 1,155 300 2
187 RANITIDIN TABLET 150 MG tablet 110
188 RESPERIDONE 1 MG tablet 228
189 RESPERIDONE 2 MG tablet 273
190 RETINOL ( VIT.A) KAPSUL 100.000 IU kapsul 298 1
191 RETINOL ( VIT.A) KAPSUL 200.000 IU kapsul 531 900 100
192 RIFAMFICIN 450 MG TABLET tablet
193 RINGER LAKTAT LARUTAN INFUS STERIL botol 7,630 200 20 18
194 SALBUTAMOL INHALER / SALBULIN botol 30,100 8
195 SALBUTAMOL TABLET 2 MG tablet 64 600 170 30
196 SALBUTAMOL TABLET 4 MG tablet 74 500 70 10
197 SALEP 2-4 KOMBINASI pot 2,750 24
198 SERUM ANTI BISA ULAR POLIVALEN 5 ML vial 479,996
199 SERUM ANTI DIFTERI 20.000 IU ( ADS ) vial
200 SERUM ANTI TETANUS 1.500 IU ( ATS ) / TETAGAM ampul 176,800 6
201 SERUM ANTI TETANUS 20.000 IU ( ATS ) vial
202 SIANOKOBALAMIN ( VIT.12) INJ.500 MCG ampul 1,136 135 10
203 SIMVASTATIN 10 MG tablet 117 840 165
204 SULFADIAZINE SILVER CREAM 10 MG TUBE 20,700
205 TABLET TAMBAH DARAH KOMBINASI tablet 372 9,000

Page 11
 SISA STOK SUMBER IFK AKHIR 2019
SATUAN POLI-POLI
NO. NAMA OBAT SATUAN HARGA
GUDANG APOTEK UGD
KIA GIGI LAIN2

206 TERBUTALIN CAIRAN IH 2.5 MG ampul 7,124

207 TETRAKAIN HCL TETES MATA botol
208 TETRASIKLIN HCL KAPSUL 500 MG kapsul 319 400 131
209 THIAMPHENIKOL KAPSUL 500 MG kapsul 1,200 200 30 16
210 THYAMAZOLE TABLET 10 MG Tablet 1,286 100 100
211 TIAMIN HCL ( VIT. B1) INJ. 100 MG/1ML ampul 1,088 3 3
212 TIAMIN HCL ( VIT. B1) TAB. 50 MG tablet 91 1,200 221
213 TRAMADOL INJEKSI ampul 100
214 TRIHEKSIFENIDIL HIDROKLORIDA TAB. 2 MG tablet 88 3,800 430
215 VITAMIN B KOMPLEKS TABLET tablet 123 39 5
216 ZINK SYRUP botol 3,122 600 300 19 30
217 ZINK TABLET tablet 551 10
218 LARUTAN ASETAT 6% botol 20,000
219 LARUTAN AMONIUM OXALAT botol 30,000
220 LARUTAN BaCl2 tablet 58,000
221 LARUTAN BENEDICT botol 70,000 1
222 LARUTAN EDTA botol 55,000 1
223 LARUTAN EOSIN botol 175,000
224 LARUTAN GIEMSA STAIN botol 210,000 3
225 LARUTAN H2O2 3 % botol 23,100
226 LARUTAN HAYEM botol 25,000
227 LARUTAN LUGOL botol
228 LARUTAN OIL EMERSI botol 418,000 1
229 LARUTAN TURK botol 24,500
230 LARUTAN ZIEL NEELSEN botol 1
231 REAGEN GOLONGAN DARAH set 208,000
232 REAGEN WIDAL TEST set 43,000
233 REES ECKER LARUTAN botol 50,000
234 COTTON ROOL PAK 520
235 DEVITALISASI PASTA ( ARSEN ) botol 154,000
236 DEVITALISASI PASTA ( NON ARSEN ) botol 304,000

Page 12
 SISA STOK SUMBER IFK AKHIR 2019
SATUAN POLI-POLI
NO. NAMA OBAT SATUAN HARGA
GUDANG APOTEK UGD
KIA GIGI LAIN2

237 ETIL KLORIDA SEMPROT botol 159,100

238 EUGENOL CAIRAN botol 19,765 1
239 FORMOKRESOL CAIRAN botol 1
240 GLASSIONOMER CEMENT ( GC.IX ) set 1
241 GLISERIN botol 5,600 1
242 KALSIUM HIDROKSIDA PASTA set 2 tube
243 KLORFENOL KAMFER MENTHOL (CHKM) botol
244 KLORHEKSIDIN 0.2 % botol
245 MUMMIFYING PASTA botol
246 SEMEN SENG FOSFAT SERBUK DAN CAIRAN botol 98,155
247 SILVER AMALGAM SERBUK 65 - 75% botol
248 TEMPORARY STOPPING FLETCHER SERBUK botol
249 TRIKRESOL FORMALIN ( TKF ) CAIRAN botol 165,000 1
250 ALAT SUNTIK 10 ML biji 1,500 235 3 5
251 ALAT SUNTIK 20 ML biji 1,500 293 9 5
252 ALAT SUNTIK SEKALI PAKAI 1 ML biji 800 109 12
253 ALAT SUNTIK SEKALI PAKAI 2,5 ML/3 ML biji 925 35 16 10
254 ALAT SUNTIK SEKALI PAKAI 5 ML biji 1,050 802 25 30
255 BLOOD LANCET kotak 146 400 24
256 CATGUT/BENANG BEDAH 2/0 - 3/0 PL&CHR sachet 5,583 24 10 40
257 CATHEJELL botol 1,050
258 E-CARE HAND RUB 5 LITER CERIGEN 580,000
259 E-CARE HAND RUB 500 ML botol 63,900 1
260 ETAKRIDIN ( RIVANOL ) LARUTAN 0,1% botol 3,000 1
261 ETANOL / ALKOHOL SWAB kotak 123 350 5
262 ETANOL 70 % 300 ML biji
263 ETANOL 70% 1000 ML botol 25,000 5 1 1
264 GYPSONA PLESTER ROLL 23,500
265 HB SAHLI set
266 HEPAFIX 10 CM / FIXOMUL ROL 90,000
267 HEPAFIX 5 CM / FIXOMUL ROL 42,800 1 1

Page 13
 SISA STOK SUMBER IFK AKHIR 2019
SATUAN POLI-POLI
NO. NAMA OBAT SATUAN HARGA
GUDANG APOTEK UGD
KIA GIGI LAIN2

268 I.V CATHETER NO. 16 biji 6,100 7

269 I.V CATHETER NO. 18 biji 6,100 58 10 3
270 I.V CATHETER NO. 20 biji 6,100 100 10 10
271 I.V CATHETER NO. 22 biji 6,100 50 10 30
272 I.V CATHETER NO. 24 biji 6,100 10 20
273 I.V CATHETER NO. 26 ampul 6,100
274 INFUSION SET ANAK set 8,400 193 5 20
275 INFUSION SET DEWASA set 5,520 10 10 4
276 JELLY USG / DOPLER botol 1
277 KAPAS PEMBALUT / ADSORBEN 250 GRAM rol 12,500 1
278 KAPAS PEMBALUT / ADSORBEN 500 GRAM rol 27,280 2
279 KASA 16 X 16 (STERIL) biji 362 80 10 30
280 KASA 40 X 80 / KASA 36 X 80 rol 333,400 5
281 KASA KOMPRES 40 X 40 STERIL rol 1,775
282 KASA PEMBALUT 2 M X 80 CM rol 7,700 9
283 KASA PEMBALUT HIDROFIL 4 M X 10 CM rol 750
284 KASA PEMBALUT HIDROFIL 4 M X 15 CM rol 2,100 40
285 KASA PEMBALUT HIDROFIL 4 M X 5 CM rol 637
286 MASKER biji 616 20
287 MESS / PISAU BEDAH biji 3,000 20
288 NASAL OXYGEN CANNULA ANAK biji 5,600 4
289 NASAL OXYGEN CANNULA DEWASA biji 10,000 11 6
290 PLESTER 5 YARD X 2 INCH rol 20,323
291 POLYCATHETER FR.14 biji 8,400 18 2
292 POLYCATHETER FR.16 biji 8,400 4 2
293 POLYCATHETER FR.18 biji 8,400
294 RDT ASAM URAT biji
295 RDT CHLOSTEROL biji
296 RDT GLUKOSA biji
297 RDT HIV biji
298 RDT MALARIA ( FV ) biji

Page 14
 SISA STOK SUMBER IFK AKHIR 2019
SATUAN POLI-POLI
NO. NAMA OBAT SATUAN HARGA
GUDANG APOTEK UGD
KIA GIGI LAIN2

299 RDT HBsAg SET

300 RDT HEPATITIS ( HCV ) biji
301 RDT MULTI STIK 3 PARAMETER botol
302 RDT TES KEHAMILAN biji
303 SARUNG TANGAN NO 6.5 biji 7,500 10 10 2
304 SARUNG TANGAN NO. 7 pasang 7,500
305 SARUNG TANGAN NO. 7,5 pasang 7,500
306 SARUNG TANGGAN NON STERIL BIRU biji
307 SARUNG TANGGAN NON STERIL L biji 1,254
308 SARUNG TANGGAN NON STERIL M biji 627 100 10 2
309 SARUNG TANGGAN NON STERIL XL biji 476 200
310 SARUNG TANGGAN OBGYN biji 19,360 20 2
311 SILK ( BENANG BEDAH SUTRA ) NO. 3/0 sachet 3,056 111
312 SLIDE kotak
313 TRANFUSI SET SEt 5,520
314 URINE BAG NON STERIL biji 5,005 2
315 WING NEEDLE NO.23 biji 1,400
316 WING NEEDLE NO.25 biji 1,400
317 WING NEEDLE NO.27 biji 1,400
318 YODIUM POVIDON LARUTAN 10% 30 ML botol 2,900 17
319 YODIUM POVIDON LARUTAN 10% 300 ML botol 20,700
320 YODIUM POVIDON LARUTAN 10% 60 ML botol 3,700 4 1
321 BLANGKO RESEP PAK
322 ETIKET OBAT BIRU LEMBAR
323 ETIKET OBAT PUTIH LEMBAR
324 KERTAS PUYER PAK
325 PLASTIK KLIP OBAT 7 X 10 CM PAK 5
326 PLASTIK KLIP OBAT 8,7 X 13 CM PAK
327 TAS PLASTIK / KRESEK biji
328 ALAT CEK DARAH UNIT 182,600

Page 15
 SISA STOK SUMBER IFK AKHIR 2019
SATUAN POLI-POLI
NO. NAMA OBAT SATUAN HARGA
GUDANG APOTEK UGD
KIA GIGI LAIN2

7,506

Mengetahui Sumbawa, 02 Januari 2020

Kepala PUSKESMAS LENANGGUAR Pengelolah Obat Puskesmas Lenangguar
Kabupaten Sumbawa Kabupaten Sumbawa

NIP : 19660608 198803 1 020

Andi Atriati Nurdin, S.farm
NIP : 19660608 198803 1 020

Page 16
TOTAL JUMLAH

-
774
700
60
485
787
1,860
640
-
-
-
200
30
115
1,019
6,480
290
4
39
5

Page 17
TOTAL JUMLAH

4,350
-
120
19
5
53
5
126
-
2,890
890
2,914
-
10
300
-
-
-
66
214
75
-
40
-
-
15
52
2,224
16
10
280

Page 18
TOTAL JUMLAH

-
-
-
70
234
360
-
312
20
50
-
-
255
550
680
150
-
20
-
50
200
1,946
4
127
50
-
-
25
10
-
85

Page 19
TOTAL JUMLAH

109
68
90
704
93
735
15
65
10
-
215
1,044
574
-
-
-
78
298
200
-
-
120
300
-
5
215
470
110
1,549
35
10

Page 20
TOTAL JUMLAH

75
4
-
500
40
980
30
15
-
-
109
90
-
-
19
20
-
17
521
20
55
300
-
-
14
44
10
150
80
1,610
100

Page 21
TOTAL JUMLAH

-
120
30
58
-
4
-
-
-
-
-
216
-
-
69
-
-
-
30
-
14
203
-
4,775
-
-
28
600
-
49
660

Page 22
TOTAL JUMLAH

2,334
-
-
90
151
3
-
-
-
-
500
302
-
-
-
1
1,000
-
238
8
800
580
24
-
-
6
-
145
1,005
-
9,000

Page 23
TOTAL JUMLAH

-
-
531
246
200
6
1,421
100
4,230
44
949
10
-
-
-
1
1
-
3
-
-
-
1
-
1
-
-
-
-
-
-

Page 24
TOTAL JUMLAH

-
1
1
1
1
-
-
-
-
-
-
-
1
243
307
121
61
857
424
74
-
-
1
1
355
-
7
-
-
-
2

Page 25
TOTAL JUMLAH

7
71
120
90
30
-
218
24
1
1
2
120
5
-
9
-
40
-
20
20
4
17
-
20
6
-
-
-
-
-
-

Page 26
TOTAL JUMLAH

-
-
-
-
22
-
-
-
-
112
200
22
111
-
-
2
-
-
-
17
-
5
-
-
-
-
5
-
-
-
-

Page 27
 TOTAL JUMLAH

-
-
-
-
-
-
-
-

79,841

Januari 2020
smas Lenangguar
umbawa

din, S.farm

Page 28