Stok Opname Apotek

LAPORAN PERSEDIAAN OBAT DAN BAHAN MEDIS HABIS PAKAI
GUDANG FARMASI KABUPATEN BUTON

PER 31 Desember 2018
Harga Satuan
SATUAN
NO NAMA OBAT Kemasan + PPN
KEMASAN
(Rp)
1 Alopurinol tablet 100 mg Tablet 120.00

2 Albendazole 400 mg Tablet 258.74
3 Albendazole 400 mg Tablet 484.00
4 Alpamool Tablet 478.50
5 Ambroksol syrup 15 mg/ml Botol 60ml 4,565.00
6 Ambroksol syrup 15 mg/ml Botol 60 ml 4,680.00
7 Ambroksol tablet 30mg Tablet 193.60
8 Aminofilin injeksi 24 mg/ml Ampul 4,204.00
9 Aminofilin tablet 150 mg tablet 155.00
10 Aminofilin injeksi 24 mg/ml Ampul 2,878.00
11 Amitriptilin table salut 25 mg tablet 168.00
12 Amlodipin 5 mg Tablet 93.00
13 Amlodipin 5 mg tablet 78.00
14 Amlodipin 10 mg Tablet 110.00
15 Amlodipin 10 mg tablet 99.00
16 Amoksisilin kaplet 500 mg Kaplet 279.00
17 Amoksisilin kaplet 500 mg Kaplet 192.00
18 Amoksisilin sirup kering 125 mg/ 5 ml btl 60 ml 2,560.00
19 Amoksisilin sirup kering 125 mg/5 ml Botol 2,225.00
20 Amoksisilin sirup kering 125 mg/5 ml btl 60 ml 1,975.00
21 Antalgin (Metampiron)Tablet 500 mg Tablet 232.40
Antasida suspensi kombinasi. Aluminium

22 Hidroksida 200 mg + Magnesium Hidroksida Botol
200mg 2,146.00
Antasida suspensi kombinasi. Aluminium
23 Hidroksida 200 mg + Magnesium Hidroksida Botol
200mg 2,146.00
Antasida Tab kunyah, kombinasi : Alumunium
24 Hidroksida 200 mg + Magnesium Hidroksida Tablet
200 mg 57.00
Anti Bakteri salep kombinasi : Basitrasin 500
25 Tube
IU/g +Polimiksin 10.000 IU/g
3,642.00
Harga Satuan
SATUAN
KEMASAN
(Rp)
Anti Bakteri salep kombinasi : Basitrasin 500

26 Tube 3,511.00
IU/g +Polimiksin 10.000 IU/g
Antifungi Salep, Kombinasi: Asam Benzoat 6%
27 Pot 5,188.00
+ Asam Salisilat 3%
28 Pot
+ Asam Salisilat 3%
4,990.00
29 Pot
+ Asam Salisilat 3% 5,395.00
Antihemoroid,kombinasi: bismut subgalat 150
30 mg heksaklorofen 2,5 mg lidokain 10 mg seng Supp 3,350.00
oksida 120 mg
31 mg heksaklorofen 2,5 mg lidokain 10 mg seng Supp
oksida 120 mg 3,800.00
32 mg heksaklorofen 2,5 mg lidokain 10 mg seng Supp 3,654.00
oksida 120 mg
Antimigren:
33 Tablet 185.00
Ergotamin Tartrat 1 mg + Kofein 50 mg
Antiparkinson tablet kombinasi Benserasid 25
34 Botol
mg + Levodopa 100 mg 1,090.00
35 Aqua pro Injeksi steril, bebas pirogen Vial 2,475.00
36 Aqua pro Injeksi steril, bebas pirogen Vial 2,850.00
37 Asam Askorbat (Vitamin C) tablet 50 mg Tablet 126.00
40 Asam Mefenamat 500 mg Kaplet 127.00
41 Asam Mefenamat 500 mg Kaplet 105.00
42 Asetosal Tablet 102.00
43 Asiklofir 400 mg tablet 440.00
44 Asiklofir krim Tube 3,288.00
45 Asiklofir krim Tube 3,145.00
46 Asiklovir tablet/kapsul/kaplet 400 mg Tablet 387.00
47 Atropine inj 0,25 mg/ ml (i.m./i.v./s.k) Ampul 1,914.00
48 ABU (Anti Bisa Ular) BIOSAT Serum I inj (i. m/ i. vial 479,996.00
49 ATS (Anti Tetanus Serum BIOSAT 1,5 inj 1500 Ampul 126,500.00
50 ATS (Anti Tetanus Serum BIOSAT 1,5 inj 1500 Ampul 130,999.00
51 ATS (Anti Tetanus Serum BIOSAT 1,5 inj 1500 Vial 115,000.00
53 Becefort sirup Capsul 15,785.00
54 Becefort sirup Botol 15,787.00
52 Becefort tablet Tablet 1,408.00
Harga Satuan
SATUAN
KEMASAN
(Rp)
57 Bedak Salisil serbuk 2% Kotak 50 gr 1,081.00

58 Bedak Salisil serbuk 2% Kotak 50 gr 1,080.00
59 Bedak Salisil serbuk 2% Kotak 50 gr

520.00
60 Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg Tablet 430.00
61 Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg Tablet 64.87
62 Betametason krim 0,1% Tube 1,400.00
63 Betametason krim 0,1% Tube 1,444.00
64 Betametason krim 0,1% Tablet 1,842
65 Bioron Tablet 893.35
66 Bisakodil kaplet salut 5 mg kaplet 330.00
67 Cefotaksim serb inj 500 mg Vial 7,241.00
68 Cetrizine hydroksida (HCL) 10 mg Tablet 98.00
69 Cetrizine sirup 5 mg/5 ml Botol 3,035.00
70 Chlorpromazine inj. 5 mg/ml Ampul 1,810.00
71 Cimetidin tab 200 mg Tablet 180.62
72 Cimetidin tab 200 mg Tablet 179.00
73 Clindamicyn kapsul 300 mg Kapsul 587.00
74 Deksametason injeksi i.v./i.m. 5 mg/ml Ampul 1,738.00
77 Deksametason tablet 0,5 mg Tablet 68.00
78 Deksametason tablet 0,5 mg Tablet 46.00
79 Dekstrometorfan tablet 15 mg (HBr) Kaplet 102.00
80 Dextral Tablet 780.45
83 Ampul 47.00
84 Difenhidramin injeksi i.v./i.m. 10 mg/ml (HCl) Ampul 1,275.00
87 Digoksin tablet 0,25 mg tablet 104.00
88 Domperidon sirup 5mg/5ml Botol 2,970.00
89 Domperidon tablet 10 mg Tablet 138.00
90 Domperidon tablet 10 mg Tablet 90.00
91 Dosisiklin Tablet 312.00
92 Ekstrabelladona tablet 10 mg Tablet 106.20
93 Ekstrabelladona tablet 10 mg Tablet 103.00
94 Epinephrine (Adrenalin) injeksi 0,1% (i.v/s.k./i.m Ampul 2,068.00
95 Epinephrine (Adrenalin) injeksi 0,1% (i.v/s.k./i.m Ampul 1,880.00
96 Ergotamin 1 mg + kafein 50 mg Tablet 208.00
Harga Satuan
SATUAN
KEMASAN
(Rp)
97 Eritromisinkaplet 500mg Kaplet 781.00

98 Etanol (Alkohol 70%) Botol 25,000.00
99 Etanol (Alkohol 70%) Botol 8,000.00
100 Fenitoin inj 50 mg/ml Ampul 4,327.00
101 Fenobarbital tablet 30 mg Tablet 205.00
102 Fenobarbital tablet 30 mg Tablet 74.00
103 Fenobarbital injeksi i.m./i.v. 50 mg/ml Ampul 1,980.00
107 Fitomenadion (Vit.K1) tablet salut gula 10 mg Tablet 698.00
110 Fitomenadion (Vit.K1) tablet salut gula 10 mg Tablet 835.00
108 Fitomenadion (Vit.K1) inj 2 mg/ml.im Ampul 4,260.00
109 Fitomenadion (Vit.K1) inj 2 mg/ml.im Ampul 4,420.00
111 Furosemid tablet 40 mg Tablet 194.00
112 Furosemid tablet 40 mg Tablet 82.00
Garam Oralit I serbuk, kombinasi :
113 Sachet 317.00
114 Sachet 278.00
115 Gentamisin salep kulit 0.1% Tube 2,178.00
116 Gentamisin salep kulit 0,1% Tube 2,320.00
117 Gentamisin salep kulit 0.1% Tube 1,933.00
118 Gentamisin salep mata 0,3% Tube 3,000.00
121 Gentamisin tetes mata 0,3% Botol 4,800.00
124 Gentamisin/ Gentamycin injeksi 40 mg/ ml Ampul 4,211.00
125 Glibenklamida tablet 5 mg Tablet 143.00
126 Glibenklamida tablet 5 mg Tablet 110.83
127 Gliseril guaiakolat tablet 100 mg Tablet 43.45
128 Gliseril guaiakolat tablet 100 mg Tablet 92.00
Gliseril Guayakolat tablet 100 mg (Guaifenesin
129 Tablet 162.00
tablet)
130 Glukosa larutan infus 5 % steril Botol 5,720.00
131 Glukosa larutan infus 5 % steril Botol 6,900.00
132 Griseofulvin tablet 125 mg Tablet 266.00
133 Haloperidol inj 50 mg/mL Ampul 101,300.00
134 Haloperidol tablet 0,5 mg Tablet 55.00
135 Haloperidol tablet 1,5 mg Tablet 59.00
Harga Satuan
SATUAN
KEMASAN
(Rp)
136 Haloperidol tablet 5 mg Tablet 105.00

137 Hemafort tablet Tablet 759.00
138 Hidroklorotiazida tablet 25 mg Tube 179.00
139 Hidrokortison krim 1% Tube 3,667.00
140 Hidrokortison krim 2,5 % Tube 2,848.00
143 Hustab Tablet 312.00
147 Ibuprofen Suspensi 100 mg/5 ml Botol 2,620.00
148 Ibuprofen Suspensi 100 mg/5 ml Botol 2,716.00
146 Ibuprofen tablet 200 mg Tablet 112.00
Harga Satuan
SATUAN
KEMASAN
(Rp)
151 Issosorbid Dinitrat 5 mg Tablet 96.00

152 Kalcium Glukonat Ampul 10,351.00
153 Kalsium Laktat (kalk) Tab 500 mg Tablet 76.00
157 Kaptopril tablet 12,5 mg Tablet 68.00
156 Kaptopril tablet 50 mg Tablet 149.00
158 Kaptopril tablet 50 mg Tablet 147.00
159 Ketokonazol krim 2% Tube 2,740.00
160 Ketokonazol krim 2% Tube 2,694.00
161 Ketokonazole 200 mg Tablet 308
162 Ketorolak inj.30 mg Tube 1,444.00
163 Kloramfenikol 500 mg Kapsul 1,308.00
164 Kloramfenikol salep kulit 2% Tube 3,460.00
165 Kloramfenikol salep kulit 2% Tube 3,382.00
166 Kloramfenikol salep mata Tube 2,013.00
167 Kloramfenikol Susp 125 mg/5 ml Botol 60 ml 8,949.00
168 Klorfeniramina Maleat (CTM) tablet 4 mg Tablet 46.00
169 Klorfeniramina Maleat (CTM) tablet 4 mg Tablet 54.00
170 Klorpromazin tab sal 25 mg Tablet 234.03
Kotrimoksazol (dewasa) kombinasi :
171 sulfametoksazol 400 mg +Trimetoprin 80 mg Tablet
(tab/kaptab 480mg) 129.00
Kotrimoksazol DOEN I (dewasa) kombinasi :
172 Tablet 135.00
Sulfametoksazol 400 mg Trimetoprim 80 mg
Kotrimoksazol DOEN I (dewasa) kombinasi :

173 Tablet 158.00
Sulfametoksazol 400 mg Trimetoprim 80 mg
175 Kotrimoksazol Suspensi komb: Tablet 2,462.00

177 Levoflokasin 500 mg Ampul 702.00
178 Lexavit Tablet Tablet 777.26
Lidokain injeksi 2% (HCl) + Epinefrin 1: 80.000
179 Ampul 2,215.00
- 2 mL
180 Ampul
- 2 mL 2,327.00
181 Ampul
- 2 mL 1,380.00
182 Livron B Plex Tablet 220.00
183 Livron B Plex Tablet 220.00
184 Loperamid tablet 2 mg Tablet 97.00
185 Loperamid tablet 2 mg Tablet 91.00
Harga Satuan
SATUAN
KEMASAN
(Rp)
186 Loratadin tablet 10 mg Tablet 139.00

187 Magnesium Sulfat inj (IV) 20% - 25 ml Ampul 1,693.00
189 Metformin HCl tablet 500 mg Tablet 113.00
190 Metformin HCl kaplet 850 mg Kaplet 168.00
Metilergometrin Maleat (Metilergometrin) tablet
191 Tablet 254.00
salut 0,125 mg
193 Tablet 230.00
salut 0,125 mg
196 Tablet 246.00
salut 0,125 mg
192 Metilergometrin Maleat injeksi 0,200 mg-1 ml Ampul 3,553.00
197 Metilprednisolon 4 mg Tablet 170.00
198 Metoklopramid 10 mg Tablet 93.00
199 Metoklopramid 10 mg Tablet 87.00
200 Metoklopramide Sirup 5 mg/ 5 ml Botol 2,870.00
201 Metokploramide injeksi (Sotatic) Ampul 5,390.00
202 Metokploramide injeksi (Sotatic) Tablet 4,840.00
203 Metronidazol tablet 500 mg Tablet 117
204 Metronodazol suspensi 125 mg Botol 3,950.00
206 Mikonazol krim/salep 2 % (Nitrat) Tube 3,250.00
207 Mikonazol krim/salep 2 % (Nitrat) Tube 3,900.00
208 Natrium Diklofenak tablet 25 mg Tablet 178.00
212 Natrium Klorida larutan infus 0,9 % Botol 5,170.00
215 Nifedipin tablet 10 mg Tablet 129.00
216 Nistatin Suspensi 100.000 iu/ml botol 14,786.00
217 Nistatin vaginal tablet 100.000 IU/ g Tablet 528.00
218 Nistatin vaginal tablet 100.000 IU/ g Tablet 628.00
219 Nistatin kaplet 500.000 IU Tablet 950.00
220 Noza tablet paket 833.64
221 Noza tablet Tablet 725.00
222 Obat AntiTuberculosis FDC Kategori 1 Paket 467,215.00
Harga Satuan
SATUAN
KEMASAN
(Rp)

225 Obat AntiTuberculosis FDC Kategori 2 Paket 1,557,474.00
228 Obat AntiTuberculosis FDC Kategori Anak Paket 279,028.00
231 Obat Batuk Hitam (OBH) Botol 3,250
232 Obat Batuk Hitam (OBH) Botol 5,500.00
233 Oksitetrasiklin salep kulit 3% Tube 1,827.00
234 Oksitetrasiklin salep kulit 3% Tube 2,168.00
235 Oksitetrasiklin salep mata 1 % Tube 2,520.00
236 Oksitetrasiklin salep mata 1 % Tube 2,600.00
237 Oksitosin injeksi 10 IU/ml - 1 ml Tablet 1,900.00
238 Omeprazol kapsul/kaplet 20 mg Kapsul 176.00
239 Omeprazol kapsul/kaplet 20 mg Kapsul 143.00
240 Parasetamol drops 100 mg/ ml btl @ 15 ml ( 60 Botol 6,240.00
241 Parasetamol drops 100 mg/ ml btl @ 15 ml ( 60 Botol 7,979.00
242 Parasetamol sirup 120 mg / 5 ml Botol 1,190.00
243 Parasetamol tablet 500 mg Tablet 52.00
244 Pehacain Ampul 3,113.00
245 Pehacain Ampul 2,830.00
246 Pehavral Tablet 740.00
247 Pehavral Tablet 850.00
248 Phenol Gliserol tetes telinga 10% Botol 2,590.00
249 Piracetam inj 3 gr Ampul 11,000.00
250 Piracetam tablet 800 mg Tablet 803.00
251 Pirantel pamoat susp 125 mg/ 5 ml botol 11,600.00
252 Pirantel tablet score (base) 125 mg Tablet 346.00
253 Pirantel tablet score (base) 125 mg Tablet 305.00
254 Piridoksin (Vitamin B6) Tablet 142.00
255 Piroxicam 10 mg Tablet 137.50
259 Polikresulen / Abotil 10 ml Botol 18,635.00
260 Polikresulen / Abotil 10 ml Botol 39,800.00
261 Povidon Iodida 10% 30 ml Botol 2,800.00
262 Povidon Iodida 10% 300 ml Botol 16,000.00
Harga Satuan
SATUAN
KEMASAN
(Rp)
263 Prednison tablet 5 mg Tablet 97.50

266 Primaquin Tablet 354.20
267 Procurma plus Tablet 12,369.00
268 Propanolol Hydrochloride (HCL) tablet 10 mg Tablet 62.00
269 Propanolol Hydrochloride (HCL) tablet 40 mg Tablet 85.00
270 Propiltiourasil tab 100 mg Tablet 106.00
271 Pulmicort Turbuhaler Budesonid serbuk inhaler Can 105,040.00
272 Ranitidin Injeksi 25 mg/ ml. Ampul 1,320.00
273 Ranitidin tablet 150 mg Tablet 110.00
276 Retinol (Vitamin A) 100.000 IU kapsul lunak Kapsul 286.00
282 Ringer Laktat larutan infus Botol 5,720.00
283 Ringer Laktat larutan infus Botol 7,150.00
284 Salbutamol 2 mg Tablet 69.00
286 Salbutamol sir 2 mg/ 5ml Botol 4,446.00
Salep 2-4 , Kombinasi : Asam Salisilat 2% +
289 Pot 2,917.00
Belerang
Salep 2-4endap 4% : Asam Salisilat 2% +
, Kombinasi
290 Pot 3,033.00
Belerang endap 4%
291 Sefadroksil kapsul/kaplet 500 mg Tablet 455.00
292 Sefadroksil kapsul/kaplet 500 mg Tablet 557.00
293 Sefadroksil Sirup kering 125 mg/5 ml Botol 4,200.00
294 Sianokobalamin (Vit.B12) Tablet 50 mg Tablet 50.00
295 Sianokobalamin (vitamin B12) injeksi 500 mcg Ampul 1,150.00
298 Simvasfatin tablet salut selaput 20 mg Tablet 235.00
299 Simvastatin tablet salut selaput 10 mg Tablet 116.00
300 Simvastatin tablet salut selaput 10 mg Tablet 110.00
301 Siprofloksasin tab 500 mg Tablet 264.00
Harga Satuan
SATUAN
KEMASAN
(Rp)
302 Siprofloksasin tab 500 mg Tablet 309.00

303 Tetrasiklin kapsul 250 mg Tablet 207.00
306 Tiamin (Vitamin B1) injeksi 100 mg/ml Ampul 1,045.00
309 Tiamin (Vitamin B1) injeksi 100 mg/ml Ampul 1,140.00
307 Tiamin (Vitamin B1) tablet 50 mg Tablet 92.00
308 Tiamin (Vitamin B1) tablet 50 mg Tablet 95.00
310 Triheksilfenidil tab 2 mg Tablet 106.00
311 Vaksin Rabies 0,5 ml Syringe 0,5 ml 218,750.00
312 Vaksin Rabies 0,5 ml Syringe 0,5 ml 218,000.00
313 Vitamin B Kompleks tablet Tablet 112.00
314 Vitamin B Kompleks tablet Tablet 138.00
315 Vitamin B Compleks Tablet. Tablet 141.00
316 Xylocaibn Spray oral 10% Botol 177,216.00
317 Xylocain jelly 2% lidocain jel 2% Syringe 41,600.00
318 Zinc sulfate sirup 20 mg/5ml botol 3,449.00
319 Zinc tablet dispersible 20 mg Tablet 618.00
*Bahan Medis Habis Pakai

322 3-WAY WITH EXETENTION set 12,540.00
323 Alat Suntik Sekali Pakai 1 ml Pcs 762.00
324 Alat Suntik Sekali Pakai 1 ml set 996.00
325 Alat Suntik Sekali Pakai 10 ml set 1,562.40
326 Alat Suntik Sekali Pakai 2,5 ml Pcs 650.00
327 Alat Suntik Sekali Pakai 2,5 ml Set 802.00
328 Alat Suntik Sekali Pakai 3 ml set 990.00
330 Alat Suntik Sekali Pakai 5 ml Pcs 903.00
332 Alkolhol Swab botol 10,000.00
333 Cat Gut 3/0 sachet 35,740.00
334 Catgut 2/0 set 23,691.00
335 Catgut, 2/0, Brown, 75. Taper 1/2. 26 mm set 44,916.00
Harga Satuan
SATUAN
KEMASAN
(Rp)
336 Catgut, 3/0, Brown, 75. Taper 1/2. 26 mm set 44,916.00

337 Caviton Botol 30 gr 148,000.00
338 EKSAMINATION GLOVES, Size L set 554.40
339 EKSAMINATION GLOVES, Size M set 554.40
340 EKSAMINATION GLOVES, Size S set 554.40
341 Etyl Clorida Spray Btl 100 ml 124,000.00
342 Eugenol cairan botol 22,589.00
343 FACE MASK EAR LOOP set 475.20
344 FACE MASK TIECE ON set 576.00
345 Filtek Z250 Pack 491,000.00
346 Foley Catheter no.20 Tablet 8,000.00
347 FOLEYCATCH, 2 way latex foley cath,no. 12 set 13,200.00
350 FOLEYCATH, 2 way latex foley cath, no. 18 set 13,200.00
351 Glass Lonomer Cement ART Set 475,000.00
352 Hands Scoen No. 6 set 4,180.00
353 Handscoen no. 6.0 set 9,120.00
354 Hands Scoen No. 6,5 Pasang 4,500.00
356 Hands Scoen No. 7 Pasang 4,500.00
358 Hands Scoen No. 7,5 Pasang 4,500.00
361 Hansaplast Plester Roll 26,244.00
Idealcare 2 way Standar Foley Catheter Silicon
362 piece 18,450.00
Coated
363 Infus Set Anak Set 3,500.00
364 Infus Set Anak set 6,120.00
365 Infus Set Dewasa Set 3,200.00
366 Infus Set Dewasa Set 9,070.00
367 INFUS SET DEWASA set 5,760.00
368 Iodoform pasta (mumyfing pasta) Botol 285,740.00
369 Iodoform (Mummyfing Pasta) Botol 320,000.00
Harga Satuan
SATUAN
KEMASAN
(Rp)
370 IV Catheter No. 18 G Set 7,334.00

371 IV-CATH NP, pen type, no. 18 set 7,200.00
379 IV-CATCH WP, with wings &port no. 20 Pic 8,400.00
380 IV-CATCH WP, with wings &port no. 22 pic 8,400.00
381 IV-CATH WP, with wings & port, no. 24 set 8,400.00
382 Kaca Slide Pcs 277.77
383 Kalsium Hidroksida Pasta Kotak 292,850.00
384 Kalsium Hidroksida Pasta Tube 278,300.00
385 Kapas Berlemak 500gr Roll 16,500.00
386 Kapas Berlemak 500gr Roll 34,000.00
387 Kapas Pembalut 250 gram Bungkus 12,500.00
388 Kapas Pembalut 250gr roll 24,000.00
Kotak 16
389 Kasa Hidrofil 16 X 16 5,800.00
lembar
390 Kasa Kompres Steril 40 x 40 roll 7,700.00
391 Kasa Pembalut 4cm x 15 cm Roll 3,800.00
392 Kasa Pembalut Hidrofil 2m x 80 cm Rol 7,700.00
393 Kasa Pembalut Hidrofil 2m x 80 cm Roll 9,400.00
394 Kasa Pembalut Hidrofil 4 x 10 cm Roll 2,300.00
395 Kasa Pembalut Hidrofil 4 x 10 cm Rol 1,600.00
Kotak 16
396 Kasa Steril DRC 16 X 16 7,900.00
lembar
397 Kavit G Pot 218,497.00
398 Ketak Molar Set 897,450.00
399 Klorfenol Kamfer Mentol (CHKM) Botol 83,430
400 Klorfenol Kamfer Mentol (CHKM) Botol 93,000.00
401 Leukoplas Hospital 7.50 cm x 4.5 m roll 35,532.00
402 Leukoplast Hospital 2.50 cm x 4.5 m roll 12,076.00
403 Masker Pcs 1,125.00
404 Masker Medical Respirator Pcs 19,500.00
405 Masker Surgical Earloop Pcs 330.00
406 Masker Surgical Plus 3 Ply Plus Eaerloop Pcs 440.00
Harga Satuan
SATUAN
KEMASAN
(Rp)
407 Masker General Respirator Pcs 21,000.00

408 Micropore 2 inch (6/BX) Pcs 33,333.33
409 Micropore 2 inch (6/BX) pcs 32,933.00
410 NASAL OXYGEN, O2 cannula, size L set 7,920.00
411 NASAL OXYGEN, O2 cannula, size M set 7,920.00
412 NASAL OXYGEN, O2 cannula, size S set 7,920.00
413 NASAL OXYGEN, O2 cannula, size XS set 7,920.00
414 Nonwoven Fixation/10 cm x 10 m roll 82,260.00
415 Nonwoven Fixation/5 cm x 10 m roll 52,620.00
416 Paper Tape/ 2.5 cm x 9.14 m set 9,780.00
417 Paper Tape/ 7.5 cm x 9.14 m set 26,220.00
418 Reagensia ZN kit 263,997.00
419 SD HIV set 22,330.00
420 Semen Seng Fosfat Serbuk dan Cairan Set 219,472.00
421 Silk 2/0 set 14,000.00
422 Silk Black 2/0 HR 30 mm sachet 21,130.00
423 Silk, 2/0, Black, 75. Taper 1/2. 26 mm set 35,000.00
424 Silk, 3/0, Black, 75. Taper 1/2. 26 mm set 35,000.00
425 SNA Medica Polcrepe 7,5cm x 4,55cm Roll 36,012.00
426 SUCTION CATHETER no. 14 set 8,844.00
429 SUCTION CATHETER, no. 10 set 8,844.00
430 SWAB, 4-ply set 24,000.00
431 Umbilical Cord Klem Steril Nylon Pcs 1,300.00
432 Urin Bag Set 3,000.00
433 URINE DRAINAGE BAG, T valve, with hanger set 6,600.00

PEMERINTAH KABUPATEN BUTON
DINAS KESEHATAN
PUSKESMAS BARANGKA
Jalan Poros Kapontori Lorong kesehatan,Kode Pos 93755
Telp.085256441691,Email : pkmbarangkabuton@gmail.com
SALDO BARANG PERSEDIAAN OBAT APOTEK

1 JANUARI - 29 JUNI TAHUN 2019
Stok Penerimaa Pemakaia

No Nama Obat/Bahan Habis Pakai Satuan
Awal n n
0001 Albendazol tablet 400 mg Tablet 0 0

0002 Alopurinol tablet 100 mg Tablet 170 1100 781
0003 Alpamol Tablet 1050 890
0004 Ambroksol tablet 30 mg Tablet 1300 985
0005 Ambroxol sirup 15 mg/ml Botol 69 69
0006 Aminofilin injeksi 24 mg/ml Ampul 0 0
0007 Aminofilin tablet 150 mg Tablet 0 0
0008 Amitriptilin tablet salut 25 mg Tablet 0 0
0009 Amlodipin 10 mg Tablet 0 0
0011 Amoksisilin sirup kering 125 mg/ 5 ml Btl 60 ml 90 84
0012 Amoksisilin Tablet 500 mg Tablet 300 5500 5696
0013 Antalgin (Metampiron) tablet 500 mg Tablet 250 700 530
0014 Antasida suspensi kombinasi. Aluminium Hidroksida 200 Botol 1010 742
0015 Antasida Tablet kunyah, kombinasi : Alumunium Hidroksi Tablet 920 908
0016 Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g + P Tube 25 8
0017 Anti Bisa Ular BIOSAT Serum I inj (i. m/ i. v) vial 0 0
0018 Antifungi DOEN Salep, Kombinasi: Asam Benzoat 6% Asam S Pot 16 11
0019 Antihemoroid DOEN kombinasi: bismut subgalat 150 mg hek Supp 40 14
0020 Antiparkinson tablet kombinasi Benserasid 25 mg + Levod Botol 0 0
0021 Aqua pro Injeksi steril, bebas pirogen Vial 0 0
0022 Artemether injeksi 80 mg/ml Ampul 0 0
0023 Asam Askorbat (Vitamin C) tablet 50 mg Tablet 200 4000 4200
0024 Asam Mefenamat tablet 500 mg Tablet 2700 2570
0025 Asetosal Tablet 0 0
0026 Asiklovir krim 5% Tube 25 0
0027 Asiklovir tablet 200 mg Tablet 0 0
0029 Atropine inj 0,25 mg/ ml (i.m./i.v./s.k) Ampul 0 0
0030 ATS (Anti Tetanus Serum BIOSAT 1,5 inj 1500 IU/mL (i.m) Ampul 0 0
0031 Azitromycin Tablet 0 0
0032 Becefort sirup Botol 31 31
0033 Becefort tab Capsul 100 2700 2800
0034 Bedak Salisil serbuk 2% Kotak 25 15
0035 Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (table Sachet 2350 840
0036 Betametason krim 0,1% Tube 66 61
0037 Bioron Tablet 0 0
0038 Bisakodil kaplet salut 5 mg Tablet 0 0
0039 Cefadroksil Syrup Botol 0 0
0040 Cefadroxyl 500 mg Caps 0 0
0041 Cefotaksim serb inj 500 mg Vial 0 0
0042 Cetrizine tablet 10 mg Tablet 500 115
0043 Cetrizine sirup 5 mg/5 ml Botol 0 0
0044 Chlorpromazine inj. 5 mg/ml Ampul 0 0
0045 Cimetidine 200 mg Tablet 60 0 60
0046 Clindamicyn kapsul 300 mg Kapsul 0 0
0047 Deksametason injeksi i.v. 5 mg/ml Ampul 0 0
0048 Deksametason tablet 0,5 mg Tablet 100 5000 4789
0049 Dextral Tablet 150 2150 2300
0050 Diazepam injeksi 5 mg/ml Ampul 0 0
0051 Diazepam tablet 2 mg Tablet 0 0
0052 Difenhidramin injeksi i.m. 10 mg/ml (HCl) - 1 ml Ampul 0 0
0053 Digoksin tablet 0,25 mg Tablet 0 0
0054 Domperidon sirup 5mg/5ml Botol 20 5
0055 Domperidon tablet 10 mg Tablet 500 59
0056 Dosisiklin Tablet 0 0
0057 Ekstraks Belladona tablet 10 mg Tablet 500 62
0058 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl) Ampul 0 0
0059 Ergotamin 1 mg + kafein 50 mg (Antimigren) Tablet 0 0
0060 Eritromisin kaplet 500mg Tablet 200 50
0061 Etakridin (rivanol) larutan 0,1% ( 300 ML) Botol 0 0
0062 Etanol (Alkohol 70%) Botol 0 0
0063 Fenitoin inj 50 mg/ml Ampul 0 0
0064 Fenobarbital injeksi i.m./i.v. 50 mg/ml Ampul 0 0
0065 Fenobarbital tablet 30 mg Tablet 80 0 0
0066 Fenol gliserol tetes telinga 10 % Botol 0 0
0067 Fitomenadion (Vit.K1) tablet salut gula 10 mg Tablet 300 120
0068 Fitomenadion (Vitamin K1) injeksi 10 mg/ml Ampul 0 0
0069 Furosemid tablet 40 mg Tablet 0 0
Garam Oralit I serbuk kombinasi
0070 Sachet 25 200 167
0071 Gentamisin injeksi 40 mg/ ml Ampul 0 0
0072 Gentamisin salep kulit 0.1% Tube 4 70 49
0073 Gentamisin salep mata 0,3% Tube 24 1
0074 Gentamisin Tetes Mata 0,3 % Botol 0 0
0075 Glibenklamida tablet 5 mg Tablet 90 400 60
0076 Gliseril guaiakolat tablet 100 mg (guaifenisin) Tablet 1700 1392
0077 Glukosa larutan infus 5 % steril Botol 0 0
0078 Griseofulvin tablet 125 mg Tablet 70 800 506
0079 Haloperidol inj 50 mg/mL Ampul 0 0
0080 Haloperidol tablet 0,5 mg Tablet 0 0
0082 Haloperidol tablet 5 mg Tablet 0 0
0083 Hemafort Tablet 100 2300 2056
0084 Hidroklorotiazida tablet 25 mg Tablet 0 0
0085 Hidrokortison krim 1% Tube 19 47 31
0086 Hidrokortison krim 2,5 % Tube 0 0
0087 Hustab Tablet 70 670 428
0088 Ibuprofen Syrup 100 mg/5 ml Botol 6 40 23
0089 Ibuprofen tablet 200 mg Tablet 1400 1034
0091 Isosorbid Dinitrat tablet sublingual 5 mg Tablet 200 0
0092 Kalcium Glukonat inj. Ampul 0 0
0093 Kalsium Laktat (kalk) tab 500 mg Tablet 500 180
0094 Kaptopril tablet 12,5 mg Tablet 800 603
0095 Kaptopril tablet 25 mg Tablet 0 0
0097 Ketokonazol krim 2% Tube 25 1
0098 Ketokonazol tablet 200 mg Tablet 150 30
0099 Ketorolac inj.30 mg Ampul 0 0
0100 Kloramfenikol salep kulit 2 % Tube 0 0
0101 Kloramfenikol salep mata Tube
0102 Kloramfenikol sirup 125 mg/5 ml Botol 0 0
0103 Kloramfenikol tablet 500 mg Tablet 0 0
0104 Klorfeniramina Maleat (CTM) tablet 4 mg Tablet 2000 1585
0105 Kotrimoksazol (dewasa) kombinasi : sulfametoksazol 400 Tablet 1100 726
0106 Korimoksazol suspensi Kombinasi:Sulfametoksasazol 200 m Botol 6 25 16
0107 Levofloksasin tablet 500 mg Tablet 200 0
0108 Lexavit tablet Tablet 900 805
0109 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml Ampul 57 57
0110 Lisol Botol 0 0
0111 Livron B Plex Tablet 1000 745
0112 Loperamid tablet 2 mg Tablet 30 600 196
0113 Loratadin tablet 10 mg Tablet 190 500 170
0114 Magnesium Sulfat (MgSO4) 20 % inj i.v - 25 ml Vial 0 0
0116 Metformin HCl tablet 500 mg Tablet 160 400 240
0117 Metil prednisolon tab. 4 mg Tablet 2900 2743
0118 Metilergometrin inj 0,2 mg/ ml Ampul 0 0
0119 Metilergometrin tablet salut 0,125 mg Tablet 70 500 266
0120 Metoklopramide Injeksi Ampul 0 0
0121 Metoklopramide sirup 5 mg/ 5 ml Botol 11 2
0122 Metoklopramide tablet 10 mg Tablet 110 800 617
0123 Metronidazol tablet 500 mg Tablet 160 900 753
0124 Metronidazol sirup Botol 0 0
0125 Mikonazol krim/salep 2 % (Nitrat) Tube 5 70 51
0126 Nacl / Sodium Clorida 0,9 % 500ml Botol 1 10 11
0127 Natrium Diklofenak 25 mg tablet Tablet 100 1650 1392
0128 Natrium Diklofenak 50 mg tablet Tablet 950 610
0129 Nifedipin tablet 10 mg Tablet 0 0
0130 Nistatin tablet 500.000 IU Tablet 0 0
0131 Nistatin tablet vaginal 100.000 IU/g Tablet 0 0
0132 Nistatin sirup 100.000 iu/ml Botol 20 8
0133 Noza Tablet 110 1180 1220
0134 Obat Anti Tuberculosis FDC Kategori 1 Paket 0 0
0136 Obat Anti Tuberculosis FDC Kategori Anak Paket 0 0
0137 Obat Batuk Hitam (OBH) Botol 5 1
0138 Oksitetrasiklin HCl salep Kulit 3 % Tube 10 59 53
0139 Oksitetrasiklin HCl salep Mata 1 % Tube 50 26
0140 Oksitosin injeksi 10 IU/ml - 1 ml Ampul 0 0
0141 Omeprazole 20 mg Kaplet 20 510 315
0142 Parasetamol drops 100 mg/ ml Botol 40 19
0143 Parasetamol sirup 120 mg / 5 ml Botol 25 309 332
0144 Parasetamol tablet 500 mg Tablet 100 7600 7492
0145 Pehacain injeksi Ampul 0 0
0146 Pehavral Tablet 500 360
0147 Phenol Gliserol tetes telinga 10% Botol 24 5
0148 Piracetam inj 3 gr Ampul 0 0
0149 Piracetam tablet 800 mg Tablet 200 0
0150 Pirantel pamoat sirup 125 mg/ 5 ml Botol 0 0
0151 Pirantel Pamoat tablet score (base) 125 mg Tablet 18 100 25
0152 Piridoksin (Vitamin B6) tablet 10 mg (HCl) Tablet 200 1400 1113
0153 Piroksikam tablet 10 mg Tablet 200 1100 829
0155 Povidon Iodida 10% 30 ml Botol 0 0
0158 Prednison tablet 5 mg Tablet 1100 734
0159 Primaquin Tablet 0 0
0160 Procurma Plus sirup Botol 37 37
0161 Propanolol Hydrochloride (HCL) tablet 10 mg Tablet 0 0
0163 Propiltiourasil tablet 100 mg Tablet 0 0
0164 Pulmicort Turbuhaler Budesonid serbuk inhaler 200 mcg/d Can 0 0
0165 Ranitidin injeksi 25 mg/ ml. Ampul 0 0
0166 Ranitidin tablet 150 mg Tablet 800 580
0167 Retinol (Vitamin A) 100.000 IU kapsul lunak Kapsul 0 0
0169 Ringer Laktat larutan infus Botol 8 8
0170 Salbutamol sirup 2 mg/ 5ml botol 0 0
0171 Salbutamol tablet 2 mg (sebagai Sulfat) Tablet 190 900 729
0172 Salbutamol tablet 4 mg (sebagai Sulfat) Tablet 0 0
Salep 2-4 , Kombinasi : Asam Salisilat 2 % + Belerang

0173 Pot 0 0
endap 4%
0174 Sefadroksil kapsul 500 mg Kapsul 800 450

0175 Sefadroksil sirup kering 125 mg/5 ml Botol 10 0 4
0176 Sianokobalamin (Vit. B12) inj. 500 mcg/ml - 1 ml Ampul 0 0
0177 Sianokobalamin (Vit.B12) tablet 50 mg Tablet 0 0
0178 Simvastatin tablet 10 mg Tablet 40 560 460
0179 Simvastatin tablet 20 mg Tablet 0 0
0180 Siprofloksasin tablet 500 mg Tablet 70 700 281
0181 Stesolid Ampul 0 0
0182 Tetrasiklin kapsul 250 mg Kapsul 0 0
0183 Tetrasiklin kapsul 500 mg Kapsul 50 600 250
0184 Tiamin (Vitamin B1) injeksi 100 mg/ml Ampul 0 0
0185 Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) Tablet 130 1300 1110
0186 Vaksin Rabies 0,5 ml Tablet 0 0
0187 Vitamin B Kompleks tablet Tablet 100 5700 5542
0188 Xylocaibn Spray oral 10% Botol 1 1
0189 Xylocain jelly 2% lidocain jel 2% Syringe 1 1
0190 Zinc sulfate sirup 20 mg/5ml Botol 10 1
0191 Zinc tablet 20 mg Tablet 260 700 720
0
Jumlah 4,259 84,700 70,159
Barangka, 29 Juni
Mengetahui : Pembuat Dafta
Kepala Puskesmas Petugas Pengelola Oba
SARIATI, SKM NI KADEK SUYANTI

NIP. 19830722 201001 2 028 NIP.19860310 201001
ON
93755
ail.com
POTEK
9
Sisa Harga/satua Total Harga

Stok n (Rp) (Rp)
0 -
489 120 58,680
160 478.5 76,560
315 194 61,110
0 4680 -
0 -
0 -
0 -
0 -
0 -
6 1975 11,850
104 279 29,016
420 232.4 97,608
268 2146 575,128
12 57 684
17 3642 61,914
0 -
5 5188 25,940
26 3654 95,004
0 -
0 -
0 -
0 125 -
130 127 16,510
0 -
25 -
0 -
200 440 88,000
0 -
0 -
0 -
0 -
0 1618.72 -
10 -
1,510 64.87 97,954
5 1444 7,220
0 -
0 -
0 445 -
0 557 -
0 -
385 98 37,730
0 -
0 -
0 180.62 -
0 -
0 -
311 46 14,306
0 520.3 -
0 -
0 -
0 -
0 -
15 -
441 -
0 -
0 106 -
0 -
0 -
150 781 117,150
0 -
0 -
0 -
0 -
0 -
0 -
180 835 150,300
0 -
0 -
58 278 16,124
0 -
25 1933 48,325
23 -
0 4800 -
430 110.83 47,657
308 92 28,336
0 -
364 266 96,824
0 -
0 -
0 -
0 -
344 759 261,096
0 -
35 2848 99,680
0 -
312 312 97,344
10 2620 26,200
366 112 40,992
0 -
200 96 19,200
0 -
320 57.2 18,304
197 68 13,396
0 -
0 -
24 -
120 308 36,960
0 -
0 -
-
0 -
0 -
415 46 19,090
374 135 50,490
15 2298 34,470
200 702 140,400
95 777.26 73,840
0 2327 -
0 -
255 220 56,100
434 97 42,098
139 -
0 -
0 -
320 113 36,160
157 1660 260,620
0 -
304 240 72,960
0 -
9 -
293 93 27,249
307 -
0 117 -
24 3900 93,600
0 6410 -
358 154 55,132
340 146 49,640
0 -
0 -
0 -
12 -
70 725 50,750
0 -
0 -
0 -
4 -
16 1827 29,232
24 2600 62,400
0 -
215 176 37,840
21 6240 131,040
2 1190 2,380
208 52 10,816
0 -
140 850 119,000
19 2590 49,210
0 -
200 803 160,600
0 -
93 305 28,365
487 142 69,154
471 137.5 64,763
388 163.4 63,399
0 -
0 -
0 -
366 74 27,084
0 -
0 12369 -
0 -
0 -
0 -
0 -
0 -
200 119 23,800
0 -
0 -
0 7150 -
0 -
361 69 24,909
0 -
0
1081 -
350 5286 1,850,100
6 445 2,670
0 -
0 -
140 116 16,240
0 -
489 309 151,101
0 -
0 -
400 -
0 -
320 95 30,400
0 -
258 138 35,604
0 177.216 -
0 41600 -
9 -
240 618 148,320
-
17,729 151,716 2689769701.864
Barangka, 29 Juni 2019

Pembuat Daftar
Petugas Pengelola Obat Apotik,
NI KADEK SUYANTI, AMF

NIP.19860310 201001 2 031
DINAS KESEHATAN
PUSKESMAS BARANGKA

1 JANUARI - 27 MEI TAHUN 2019

Awal n n

0049 Dextral Tablet 150 1550 1700
0070 Sachet 25 200 134
0133 Noza Tablet 110 852 876

0173 Pot 0 0
endap 4%

0
Jumlah 4,259 71,212 57,315
Barangka, 27 mei

NIP. 19830722 201001 2 028 NIP.19860310 201001
ON
93755
ail.com
POTEK
9

Stok n (Rp) (Rp)
0 -
339 120 40,680
547 478.5 261,740
227 194 44,038
9 4680 42,120
0 -
0 -
0 -
0 -
0 -
21 1975 41,475
726 279 202,554
120 232.4 27,888
141 2146 302,586
6 57 342
18 3642 65,556
0 -
5 5188 25,940
2 3654 7,308
0 -
0 -
0 -
0 125 -
30 127 3,810
0 -
0 -
0 -
200 440 88,000
0 -
0 -
0 -
0 -
180 1618.72 291,370
5 -
1,750 64.87 113,523
0 1444 -
0 -
0 -
0 445 -
0 557 -
0 -
430 98 42,140
0 -
0 -
0 180.62 -
0 -
0 -
317 46 14,582
0 520.3 -
0 -
0 -
0 -
0 -
8 -
450 -
0 -
0 106 -
0 -
0 -
160 781 124,960
0 -
0 -
0 -
0 -
0 -
0 -
87 835 72,645
0 -
0 -
91 278 25,298
0 -
13 1933 25,129
24 -
0 4800 -
430 110.83 47,657
328 92 30,176
0 -
104 266 27,664
0 -
0 -
0 -
0 -
339 759 257,301
0 -
13 2848 37,024
0 -
102 312 31,824
8 2620 20,960
172 112 19,264
0 -
200 96 19,200
0 -
150 57.2 8,580
513 68 34,884
0 -
0 -
0 -
130 308 40,040
0 -
0 -
-
0 -
0 -
155 46 7,130
120 135 16,200
7 2298 16,086
200 702 140,400
335 777.26 260,382
0 2327 -
0 -
185 220 40,700
499 97 48,403
139 -
0 -
0 -
390 113 44,070
21 1660 34,860
0 -
347 240 83,280
0 -
10 -
385 93 35,805
157 117 18,369
0 117 -
6 3900 23,400
0 6410 -
234 154 36,036
324 146 47,304
0 -
0 -
0 -
6 -
86 725 62,350
0 -
0 -
0 -
0 -
0 1827 -
5 2600 13,000
0 -
55 176 9,680
6 6240 37,440
0 1190 -
465 52 24,180
0 -
350 850 297,500
22 2590 56,980
0 -
200 803 160,600
0 -
99 305 30,195
358 142 50,836
351 137.5 48,263
528 163.4 86,275
0 -
0 -
0 -
202 74 14,948
0 -
2 12369 24,738
0 -
0 -
0 -
0 -
0 -
28 119 3,332
0 -
0 -
0 7150 -
0 -
447 69 30,843
0 -
0
1081 -
320 5286 1,691,520
7 445 3,115
0 -
0 -
40 116 4,640
0 -
519 309 160,371
0 -
0 -
100 -
0 -
290 95 27,550
0 -
454 138 62,652
0 177.216 -
0 41600 -
10 -
365 618 225,570
-
17,085 151,833 2594063661.36
Barangka, 27 mei 2019

Pembuat Daftar

NIP.19860310 201001 2 031
DINAS KESEHATAN
PUSKESMAS BARANGKA

1 JANUARI - 31 DESEMBER TAHUN 2018
Stok Penerimaa Pemakaia Sisa Harga/satua Total Harga

Awal n n Stok n (Rp) (Rp)
23 Alopurinol tablet 100 mg Tablet 100 1600 1530 170 120 20,400
24 Amlodipin 10mg Tablet 0 290 290 0 78 -
25 Amlodipin 5mg Tablet 0 330 330 0 110 -
26 Amoksisilin kaplet 500 mg Kaplet 200 7100 7000 300 279 83,700
27 Amoksisilin sirup kering 125 mg/5 ml Botol 10 87 97 0 2225 -
28 Antalgin (Metampiron)Tablet 500 mg Tablet 0 1400 1150 250 232.4 58,100
29 Asam Askorbat (Vitamin C) tablet 50 mg Tablet 300 4100 4200 200 125 25,000
30 Asam Mefenamat 500 mg Kaplet 300 3500 3800 0 127 -
31 Becefor srp Botol 0 19 19 0 15787 -
32 Becefort tablet Tablet 0 2900 2800 100 1618.72 161,872
33 Betametason krim 0,1 % Tube 0 28 28 0 1842 -
34 Bioron Tablet 0 2200 2200 0 893.35 -
35 Kaptopril tablet 50 mg Tablet 200 350 550 0 149 -
36 Cefadroksil Syrup Botol 0 23 23 0 4200 -
37 Sefadroksil kapsul/kaplet 500 mg Tablet 60 1500 1550 10 445 4,450
38 Deksametason tablet 0,5 mg Tablet 300 5000 5200 100 46 4,600
39 Dextral Tablet 0 2550 2400 150 520.3 78,045
40 Diazepam tablet 2 mg Tablet 80 0 80 0 -
41 Difenhidramin Hcl inj. 10 mg/ml - 1 ml Ampul 0 2 2 0 1275 -
42 Dktral Kaplet 0 2300 2300 0 520.3 -
43 Ekstrak Belladon tablet 10 mg Tablet 0 80 80 0 106.2 -
44 Epinefrin HCl/bitartrat (Epinefrina+andrenalina) in Ampul 0 3 3 0 2068 -
45 Etakridin (rivanol) larutan 0,1% Botol 0 1 1 0 -
46 Etanol 70% Botol 0 12 12 0 8000 -
47 Fenobarbital tablet 30 mg Tablet 0 100 20 80 1220 97,600
48 Fenol gliserol tetes telinga 10 % Botol 0 2 2 0 -

49 Sachet 50 135 160 6,950
25 278
50 Gentamisin salep kulit 0.1% Tube 8 80 84 4 1933 7,732
51 Glibenklamida tablet 5 mg Tablet 100 100 110 90 110.83 9,975
52 Gliseril guaiakolat tablet 100 mg Tablet 800 1000 1800 0 162 -
53 Griseofulvin tablet 125 mg Tablet 0 700 630 70 266 18,620
54 Hemafort tablet Tablet 200 1400 1500 100 759 75,900
55 Hidrokortison krim 1% Tube 20 48 49 19 2848 54,112
56 Hustab Tablet 0 1050 980 70 283.8 19,866
57 Ibuprofen Suspensi 100 mg/5 ml Botol 30 20 44 6 2620 15,720
58 Ibuprofen tablet 200 mg Tablet 0 2100 2100 0 116 -
59 Ibuprofen tablet 400 mg Tablet 300 600 900 0 139 -
60 Kalak Tablet 0 410 410 0 64 -
61 Klorfeniramina Maleat (CTM) tablet 4 mg Tablet 300 300 600 0 46 -
Kotrimoksazol (dewasa) kombinasi :

62 sulfametoksazol 400 mg +Trimetoprin 80 mg 200 1130 1330 -
(tab/kaptab 480mg) Tablet 0 158
63 Kotrimoksazol Suspensi komb: Botol 0 45 39 6 2298 13,788
64 Lidokain kompositum injeksi kombinasi : Ampul 0 270 270 0 2327 -
65 Lisol, mengandung Kesol tersabun 50% Botol 0 2 2 0 -
66 Livron B Plex Tablet 200 200 400 0 220 -
67 Loperamid tablet 2 mg Tablet 200 400 570 30 97 2,910
68 Loratadin tablet 10 mg Tablet 0 1300 1110 190 139 26,410
69 Metformin HCl tablet 500 mg Tablet 200 500 540 160 113 18,080
70
Metilergometrin Maleat (Metilergometrin) tablet 220 800 950 16,800
salut 0,125 mg Tablet 70 240
71 Metoklopramid 10 mg Tablet 280 2400 2570 110 93 10,230
72 Metronidazol tablet 500 mg Tablet 0 1200 1040 160 117 18,720
73 Mikonazol krim/salep 2 % (Nitrat) Tube 14 40 49 5 3900 19,500
74 Natrium Diklofenak tablet 25 mg Tablet 180 1200 1280 100 178 17,800
75 Natrium Diklofenak tablet 50 mg Tablet 200 800 1000 0 162 -
76 Natrium Klorida larutan infus 0,9 % Botol 0 47 46 1 6410 6,410
77 Noza tablet Tablet 60 570 520 110 725 79,750
78 Obat Antituberkulosis Kategori 1 Dewasa (FDC) Tablet 0 5 5 0 396000 -
79 Oksitetrasiklin salep kulit 3% Tube 0 25 15 10 1827 18,270
80 Oksitetrasiklin hcl salep mata Tube 0 17 17 0 2520 -
81 Omeprazol kapsul/kaplet 20 mg Kapsul 0 570 550 20 176 3,520
82 Parasetamol sirup 120 mg / 5 ml Botol 0 160 135 25 1190 29,750
83 Parasetamol tablet 500 mg Tablet 300 8700 8900 100 52 5,200
84 Pehacain Injeksi Ampul 0 20 20 0 2830 -
85 Pehavral Tablet 400 1800 2200 0 740 -
86 Pirantel pamoat tablet 125 mg Tablet 0 100 100 0 305 -
87 Pirantel tablet score (base) 125 mg Tablet 0 100 82 18 305 5,490
88 Piridoksin (Vitamin B6) Tablet 300 3400 3500 200 142 28,400
89 Piroxicam 10 mg Tablet 200 1600 1600 200 137.5 27,500
90 Piroxicam 20 mg Tablet 300 1700 1900 100 163.4 16,340
91 Prednison tablet 5 mg Tablet 300 1400 1700 0 125 -
92 Ranitidin tablet 150 mg Tablet 300 1900 2200 0 119 -
93 Retinol (Vitamin A) kapsul 200.000 iu Kapsul 0 150 150 0 505 -
94 Ringer laktat larutan infus steril Botol 0 70 70 0 5720 -
95 Salbutamol 2 mg Tablet 200 900 910 190 69 13,110
Salep 2-4 , Kombinasi : Asam Salisilat 2% +

96 Pot 23 14 37 -
Belerang endap 4% 0 2917
97 Salisil bedak 2 % Kotak 0 51 51 0 1,081.00 -
98 Cimetidin tab 200 mg Tablet 300 0 240 60 180.62 10,837
99 Simvastatin tablet salut selaput 10 mg Tablet 0 640 600 40 116 4,640
100 Siprofloksasin tab 500 mg Tablet 300 1100 1330 70 309 21,630
101 Tablet tambah darah kombinasi : Besi II Sulfat Tablet 0 890 890 0 64.87 -
102 Tetrasiklin kapsul 500 mg Tablet 220 600 770 50 325 16,250
103 Tiamin HCl (Vitamin B1) inj. 100 mg/ml - 1 ml Ampul 0 5 5 0 1140 -
104 Tiamin (Vitamin B1) tablet 50 mg Tablet 400 1800 2070 130 95 12,350
105 Vitamin B Kompleks tablet Tablet 412 4300 4612 100 138 13,800
106 Yodium povidon larutan 10 % 30 ml Botol 0 28 28 0 2800 -
107 Yodium povidon larutan 10 % 300 ml Botol 0 7 7 0 16000 -
108 Yodium povidon larutan 10 % 60 ml Botol 0 13 13 0 -
109 Zinc tablet dispersible 20 mg Tablet 180 1000 920 260 618 160,680
JUMLAH 4,259 1,360,807
Barangka, 31 Desember 2018

Mengetahui : Pembuat Daftar
Kepala Puskesmas Petugas Pengelola Obat,
SARIATI, SKM NI KADEK SUYANTI, AMF

NIP. 19832207 201001 2 018 NIP. 19860310 201001 2 031
DINAS KESEHATAN
PUSKESMAS BARANGKA

PER 31 DESEMBER 2018

Saldo n (Rp) (Rp)
0001 Albendazol tablet 400 mg Tablet -

0002 Alopurinol tablet 100 mg Tablet 170 120 20,400
0003 Alpamol Tablet 478.5 -
0004 Ambroksol tablet 30 mg Tablet 194 -
0005 Ambroxol sirup 15 mg/ml Botol 4680 -
0006 Aminofilin injeksi 24 mg/ml Ampul -
0007 Aminofilin tablet 150 mg Tablet -
0008 Amitriptilin tablet salut 25 mg Tablet -
0009 Amlodipin 10 mg Tablet -
0010 Amlodipin 5 mg Tablet -
0011 Amoksisilin tablet 500 mg Btl 60 ml 1975 -
0012 Amoksisilin sirup kering 125 mg/ 5 ml Tablet 300 279 83,700
0013 Antalgin (Metampiron) tablet 500 mg Tablet 250 232.4 58,100
0014 Antasida suspensi kombinasi. Aluminium Hidroksida 200 Botol 2146 -
0015 Antasida Tablet kunyah, kombinasi : Alumunium Hidroksi Tablet 57 -
0016 Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g + Tube 3642 -
0017 Anti Bisa Ular BIOSAT Serum I inj (i. m/ i. v) vial -
0018 Antifungi DOEN Salep, Kombinasi: Asam Benzoat 6% Asam SPot 5188 -
0019 Antihemoroid DOEN kombinasi: bismut subgalat 150 mg he Supp 3654 -
0020 Antiparkinson tablet kombinasi Benserasid 25 mg + Levo Botol -
0021 Aqua pro Injeksi steril, bebas pirogen Vial -
0022 Artemether injeksi 80 mg/ml Ampul -
0023 Asam Askorbat (Vitamin C) tablet 50 mg Tablet 200 125 25,000
0024 Asam Mefenamat tablet 500 mg Tablet 127 -
0025 Asetosal Tablet -
0026 Asiklovir krim 5% Tube -
0027 Asiklovir tablet 200 mg Tablet -
0028 Asiklovir tablet 400 mg Tablet 440 -
0029 Atropine inj 0,25 mg/ ml (i.m./i.v./s.k) Ampul -
0030 ATS (Anti Tetanus Serum BIOSAT 1,5 inj 1500 IU/mL (i.m Ampul - eks
0031 Azitromycin Tablet -
0032 Becefort sirup Botol -
0033 Becefort tab Capsul 100 1618.72 161,872
0034 Bedak Salisil serbuk 2% Kotak -
0035 Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (table Sachet 64.87 -
0036 Betametason krim 0,1% Tube 1444 -
0037 Bioron Tablet -
0038 Bisakodil kaplet salut 5 mg Tablet -
0039 Cefadroksil Syrup Botol 445 -
0040 Cefadroxyl 500 mg Caps 557 -
0041 Cefotaksim serb inj 500 mg Vial -
0042 Cetrizine tablet 10 mg Tablet 98 -
0043 Cetrizine sirup 5 mg/5 ml Botol -
0044 Chlorpromazine inj. 5 mg/ml Ampul -
0045 Cimetidine 200 mg Tablet 60 180.62 10,837
0046 Clindamicyn kapsul 300 mg Kapsul -
0047 Deksametason injeksi i.v. 5 mg/ml Ampul -
0048 Deksametason tablet 0,5 mg Tablet 100 46 4,600
0049 Dextral Tablet 150 520.3 78,045
0050 Diazepam injeksi 5 mg/ml Ampul -
0051 Diazepam tablet 2 mg Tablet -
0052 Difenhidramin injeksi i.m. 10 mg/ml (HCl) - 1 ml Ampul -
0053 Digoksin tablet 0,25 mg Tablet -
0054 Domperidon sirup 5mg/5ml Botol -
0055 Domperidon tablet 10 mg Tablet -
0056 Dosisiklin Tablet -
0057 Ekstraks Belladona tablet 10 mg Tablet 106 -
0058 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl) Ampul -
0059 Ergotamin 1 mg + kafein 50 mg (Antimigren) Tablet -
0060 Eritromisin kaplet 500mg Tablet 781 -
0061 Etakridin (rivanol) larutan 0,1% ( 300 ML) Botol -
0062 Etanol (Alkohol 70%) Botol -
0063 Fenitoin inj 50 mg/ml Ampul -
0064 Fenobarbital injeksi i.m./i.v. 50 mg/ml Ampul -
0065 Fenobarbital tablet 30 mg Tablet 80 -
0066 Fenol gliserol tetes telinga 10 % Botol -
0067 Fitomenadion (Vit.K1) tablet salut gula 10 mg Tablet 835 -
0068 Fitomenadion (Vitamin K1) injeksi 10 mg/ml Ampul -
0069 Furosemid tablet 40 mg Tablet -
0070 Sachet 25 278 6,950
0071 Gentamisin injeksi 40 mg/ ml Ampul -
0072 Gentamisin salep kulit 0.1% Tube 4 1933 7,732
0073 Gentamisin salep mata 0,3% Tube -
0074 Gentamisin Tetes Mata 0,3 % Botol 4800 -
0075 Glibenklamida tablet 5 mg Tablet 90 110.83 9,975
0076 Gliseril guaiakolat tablet 100 mg (guaifenisin) Tablet 92 -
0077 Glukosa larutan infus 5 % steril Botol -
0078 Griseofulvin tablet 125 mg Tablet 70 266 18,620
0079 Haloperidol inj 50 mg/mL Ampul -
0080 Haloperidol tablet 0,5 mg Tablet -
0081 Haloperidol tablet 1,5 mg Tablet -
0082 Haloperidol tablet 5 mg Tablet -
0083 Hemafort Tablet 100 759 75,900
0084 Hidroklorotiazida tablet 25 mg Tablet -
0085 Hidrokortison krim 1% Tube 19 2848 54,112
0086 Hidrokortison krim 2,5 % Tube -
0087 Hustab Tablet 70 312 21,840
0088 Ibuprofen Syrup 100 mg/5 ml Botol 6 2620 15,720
0089 Ibuprofen tablet 200 mg Tablet 112 -
0090 Ibuprofen tablet 400 mg Tablet -
0091 Isosorbid Dinitrat tablet sublingual 5 mg Tablet 96 -
0092 Kalcium Glukonat inj. Ampul -
0093 Kalsium Laktat (kalk) tab 500 mg Tablet 57.2 -
0094 Kaptopril tablet 12,5 mg Tablet 68 -
0095 Kaptopril tablet 25 mg Tablet -
0096 Kaptopril tablet 50 mg Tablet -
0097 Ketokonazol krim 2% Tube -
0098 Ketokonazol tablet 200 mg Tablet 308 -
0099 Ketorolac inj.30 mg Ampul -
0100 Kloramfenikol salep kulit 2 % Tube -
0101 Kloramfenikol salep mata Tube -
0102 Kloramfenikol sirup 125 mg/5 ml Botol -
0103 Kloramfenikol tablet 500 mg Tablet -
0104 Klorfeniramina Maleat (CTM) tablet 4 mg Tablet 46 -
0105 Kotrimoksazol (dewasa) kombinasi : sulfametoksazol 400 Tablet 135 -
0106 Korimoksazol suspensi Kombinasi:Sulfametoksasazol 200 Botol 6 2298 13,788
0107 Levofloksasin tablet 500 mg Tablet 702 -
0108 Lexavit tablet Tablet 777.26 -
0109 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml Ampul 2327 -
0110 Lisol Botol -
0111 Livron B Plex Tablet 220 -
0112 Loperamid tablet 2 mg Tablet 30 97 2,910
0113 Loratadin tablet 10 mg Tablet 190 139 26,410
0114 Magnesium Sulfat (MgSO4) 20 % inj i.v - 25 ml Vial -
0115 Magnesium Sulfat (MgSO4) 40 % inj i.v - 25 ml Vial -
0116 Metformin HCl tablet 500 mg Tablet 160 113 18,080
0117 Metil prednisolon tab. 4 mg Tablet 1660 -
0118 Metilergometrin inj 0,2 mg/ ml Ampul -
0119 Metilergometrin tablet salut 0,125 mg Tablet 70 240 16,800
0120 Metoklopramide Injeksi Ampul -
0121 Metoklopramide sirup 5 mg/ 5 ml Botol -
0122 Metoklopramide tablet 10 mg Tablet 110 93 10,230
0123 Metronidazol tablet 500 mg Tablet 160 -
0124 Metronidazol sirup Botol 117 -
0125 Mikonazol krim/salep 2 % (Nitrat) Tube 5 3900 19,500
0126 Nacl / Sodium Clorida 0,9 % 500ml Botol 1 6410 6,410
0127 Natrium Diklofenak 25 mg tablet Tablet 100 154 15,400
0128 Natrium Diklofenak 50 mg tablet Tablet 146 -
0129 Nifedipin tablet 10 mg Tablet -
0130 Nistatin tablet 500.000 IU Tablet -
0131 Nistatin tablet vaginal 100.000 IU/g Tablet -
0132 Nistatin sirup 100.000 iu/ml Botol -
0133 Noza Tablet 110 725 79,750
0134 Obat Anti Tuberculosis FDC Kategori 1 Paket -
0135 Obat Anti Tuberculosis FDC Kategori 2 Paket -
0136 Obat Anti Tuberculosis FDC Kategori Anak Paket -
0137 Obat Batuk Hitam (OBH) Botol -
0138 Oksitetrasiklin HCl salep Kulit 3 % Tube 10 1827 18,270
0139 Oksitetrasiklin HCl salep Mata 1 % Tube 2600 -
0140 Oksitosin injeksi 10 IU/ml - 1 ml Ampul -
0141 Omeprazole 20 mg Kaplet 20 176 3,520
0142 Parasetamol drops 100 mg/ ml Botol 6240 -
0143 Parasetamol sirup 120 mg / 5 ml Botol 25 1190 29,750
0144 Parasetamol tablet 500 mg Tablet 100 52 5,200
0145 Pehacain injeksi Ampul -
0146 Pehavral Tablet 850 -
0147 Phenol Gliserol tetes telinga 10% Botol 2590 -
0148 Piracetam inj 3 gr Ampul -
0149 Piracetam tablet 800 mg Tablet 803 -
0150 Pirantel pamoat sirup 125 mg/ 5 ml Botol -
0151 Pirantel Pamoat tablet score (base) 125 mg Tablet 18 305 5,490
0152 Piridoksin (Vitamin B6) tablet 10 mg (HCl) Tablet 200 142 28,400
0153 Piroksikam tablet 10 mg Tablet 200 137.5 27,500
0154 Piroksikam tablet 20 mg Tablet 100 163.4 16,340
0155 Povidon Iodida 10% 30 ml Botol -
0158 Prednison tablet 5 mg Tablet 74 -
0159 Primaquin Tablet -
0160 Procurma Plus sirup Botol 12369 -
0161 Propanolol Hydrochloride (HCL) tablet 10 mg Tablet -
0162 Propanolol Hydrochloride (HCL) tablet 40 mg Tablet -
0163 Propiltiourasil tablet 100 mg Tablet -
0164 Pulmicort Turbuhaler Budesonid serbuk inhaler 200 mcg/d Can -
0165 Ranitidin injeksi 25 mg/ ml. Ampul -
0166 Ranitidin tablet 150 mg Tablet 119 -
0167 Retinol (Vitamin A) 100.000 IU kapsul lunak Kapsul -
0168 Retinol (Vitamin A) 200.000 IU kapsul lunak Kapsul -
0169 Ringer Laktat larutan infus Botol 7150 -
0170 Salbutamol sirup 2 mg/ 5ml botol -
0171 Salbutamol tablet 2 mg (sebagai Sulfat) Tablet 190 69 13,110
0172 Salbutamol tablet 4 mg (sebagai Sulfat) Tablet -

0173 Pot
endap 4%
1081 -
0174 Sefadroksil kapsul 500 mg Kapsul 5286 -
0175 Sefadroksil sirup kering 125 mg/5 ml Botol 10 445 4,450
0176 Sianokobalamin (Vit. B12) inj. 500 mcg/ml - 1 ml Ampul -
0177 Sianokobalamin (Vit.B12) tablet 50 mg Tablet -
0178 Simvastatin tablet 10 mg Tablet 40 116 4,640
0179 Simvastatin tablet 20 mg Tablet -
0180 Siprofloksasin tablet 500 mg Tablet 70 309 21,630
0181 Stesolid Ampul -
0182 Tetrasiklin kapsul 250 mg Kapsul -
0183 Tetrasiklin kapsul 500 mg Kapsul 50 -
0184 Tiamin (Vitamin B1) injeksi 100 mg/ml Ampul -
0185 Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) Tablet 130 95 12,350
0186 Vaksin Rabies 0,5 ml Tablet -
0187 Vitamin B Kompleks tablet Tablet 100 138 13,800
0188 Xylocaibn Spray oral 10% Botol 177.216 -
0189 Xylocain jelly 2% lidocain jel 2% Syringe 41600 -
0190 Zinc sulfate sirup 20 mg/5ml Botol -
0191 Zinc tablet 20 mg Tablet 260 618 160,680
-
Jumlah 4,259 1,227,811
Barangka, 31 Desember 2018

Kepala Puskesmas Petugas Pengelola Obat Apotik,

NIP. 19830722 201001 2 028 NIP.19860310 201001 2 031
DINAS KESEHATAN
PUSKESMAS BARANGKA

1 JANUARI - 31 JANUARI TAHUN 2019
Stok Penerimaa Pemakaia Sisa Harga/satua Total Harga

Awal n n Stok n (Rp) (Rp)
0001 Albendazol tablet 400 mg Tablet 0 0 0 -

0002 Alopurinol tablet 100 mg Tablet 170 100 231 39 120 4,680
0003 Alpamol Tablet 0 0 0 478.5 -
0004 Ambroksol tablet 30 mg Tablet 0 0 0 194 -
0005 Ambroxol sirup 15 mg/ml Botol 0 0 0 4680 -
0006 Aminofilin injeksi 24 mg/ml Ampul 0 0 0 -
0007 Aminofilin tablet 150 mg Tablet 0 0 0 -
0008 Amitriptilin tablet salut 25 mg Tablet 0 0 0 -
0009 Amlodipin 10 mg Tablet 0 0 0 -
0010 Amlodipin 5 mg Tablet 0 0 0 -
0011 Amoksisilin sirup kering 125 mg/ 5 ml Btl 60 ml 10 8 2 1975 3,950
0012 Amoksisilin Tablet 500 mg Tablet 300 700 867 133 279 37,107
0013 Antalgin (Metampiron) tablet 500 mg Tablet 250 0 135 115 232.4 26,726
0014 Antasida suspensi kombinasi. Aluminium Hidroksida 200 Botol 0 0 0 2146 -
0015 Antasida Tablet kunyah, kombinasi : Alumunium Hidroksi Tablet 0 0 0 57 -
0016 Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g + P Tube 0 0 0 3642 -
0017 Anti Bisa Ular BIOSAT Serum I inj (i. m/ i. v) vial 0 0 0 -
0018 Antifungi DOEN Salep, Kombinasi: Asam Benzoat 6% Asam SaPot 0 0 0 5188 -
0019 Antihemoroid DOEN kombinasi: bismut subgalat 150 mg hek Supp 0 0 0 3654 -
0020 Antiparkinson tablet kombinasi Benserasid 25 mg + Levod Botol 0 0 0 -
0021 Aqua pro Injeksi steril, bebas pirogen Vial 0 0 0 -
0022 Artemether injeksi 80 mg/ml Ampul 0 0 0 -
0023 Asam Askorbat (Vitamin C) tablet 50 mg Tablet 200 1500 1700 0 125 -
0024 Asam Mefenamat tablet 500 mg Tablet 900 530 370 127 46,990
0025 Asetosal Tablet 0 0 0 -
0026 Asiklovir krim 5% Tube 0 0 0 -
0027 Asiklovir tablet 200 mg Tablet 0 0 0 -
0028 Asiklovir tablet 400 mg Tablet 0 0 0 440 -
0029 Atropine inj 0,25 mg/ ml (i.m./i.v./s.k) Ampul 0 0 0 -
0030 ATS (Anti Tetanus Serum BIOSAT 1,5 inj 1500 IU/mL (i.m) Ampul 0 0 0 -
0031 Azitromycin Tablet 0 0 0 -
0032 Becefort sirup Botol 0 0 0 -
0033 Becefort tab Capsul 100 300 400 0 1618.72 -
0034 Bedak Salisil serbuk 2% Kotak 0 0 0 -
0035 Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (tablet Sachet 1260 110 1,150 64.87 74,601
0036 Betametason krim 0,1% Tube 0 0 0 1444 -
0037 Bioron Tablet 0 0 0 -
0038 Bisakodil kaplet salut 5 mg Tablet 0 0 0 -
0039 Cefadroksil Syrup Botol 0 0 0 445 -
0040 Cefadroxyl 500 mg Caps 0 0 0 557 -
0041 Cefotaksim serb inj 500 mg Vial 0 0 0 -
0042 Cetrizine tablet 10 mg Tablet 0 0 0 98 -
0043 Cetrizine sirup 5 mg/5 ml Botol 0 0 0 -
0044 Chlorpromazine inj. 5 mg/ml Ampul 0 0 0 -
0045 Cimetidine 200 mg Tablet 60 0 0 60 180.62 10,837
0046 Clindamicyn kapsul 300 mg Kapsul 0 0 0 -
0047 Deksametason injeksi i.v. 5 mg/ml Ampul 0 0 0 -
0048 Deksametason tablet 0,5 mg Tablet 100 700 670 130 46 5,980
0049 Dextral Tablet 150 400 449 101 520.3 52,550
0050 Diazepam injeksi 5 mg/ml Ampul 0 0 0 -
0051 Diazepam tablet 2 mg Tablet 0 0 0 -
0052 Difenhidramin injeksi i.m. 10 mg/ml (HCl) - 1 ml Ampul 0 0 0 -
0053 Digoksin tablet 0,25 mg Tablet 0 0 0 -
0054 Domperidon sirup 5mg/5ml Botol 0 0 0 -
0055 Domperidon tablet 10 mg Tablet 0 0 0 -
0056 Dosisiklin Tablet 0 0 0 -
0057 Ekstraks Belladona tablet 10 mg Tablet 300 20 280 106 29,680
0058 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl) Ampul 0 0 0 -
0059 Ergotamin 1 mg + kafein 50 mg (Antimigren) Tablet 0 0 0 -
0060 Eritromisin kaplet 500mg Tablet 0 0 0 781 -
0061 Etakridin (rivanol) larutan 0,1% ( 300 ML) Botol 0 0 0 -
0062 Etanol (Alkohol 70%) Botol 0 0 0 -
0063 Fenitoin inj 50 mg/ml Ampul 0 0 0 -
0064 Fenobarbital injeksi i.m./i.v. 50 mg/ml Ampul 0 0 0 -
0065 Fenobarbital tablet 30 mg Tablet 80 0 0 80 -
0066 Fenol gliserol tetes telinga 10 % Botol 0 0 0 -
0067 Fitomenadion (Vit.K1) tablet salut gula 10 mg Tablet 0 0 0 835 -
0068 Fitomenadion (Vitamin K1) injeksi 10 mg/ml Ampul 0 0 0 -
0069 Furosemid tablet 40 mg Tablet 0 0 0 -
0070 Sachet 25 100 30 95 278 26,410
0071 Gentamisin injeksi 40 mg/ ml Ampul 0 0 0 -
0072 Gentamisin salep kulit 0.1% Tube 4 5 9 0 1933 -
0073 Gentamisin salep mata 0,3% Tube 0 0 0 -
0074 Gentamisin Tetes Mata 0,3 % Botol 0 0 0 4800 -
0075 Glibenklamida tablet 5 mg Tablet 90 100 30 160 110.83 17,733
0076 Gliseril guaiakolat tablet 100 mg (guaifenisin) Tablet 0 0 0 92 -
0077 Glukosa larutan infus 5 % steril Botol 0 0 0 -
0078 Griseofulvin tablet 125 mg Tablet 70 200 38 232 266 61,712
0079 Haloperidol inj 50 mg/mL Ampul 0 0 0 -
0080 Haloperidol tablet 0,5 mg Tablet 0 0 0 -
0081 Haloperidol tablet 1,5 mg Tablet 0 0 0 -
0082 Haloperidol tablet 5 mg Tablet 0 0 0 -
0083 Hemafort Tablet 100 500 410 190 759 144,210
0084 Hidroklorotiazida tablet 25 mg Tablet 0 0 0 -
0085 Hidrokortison krim 1% Tube 19 0 4 15 2848 42,720
0086 Hidrokortison krim 2,5 % Tube 0 0 0 -
0087 Hustab Tablet 70 100 13 157 312 48,984
0088 Ibuprofen Syrup 100 mg/5 ml Botol 6 20 5 21 2620 55,020
0089 Ibuprofen tablet 200 mg Tablet 0 0 0 112 -
0090 Ibuprofen tablet 400 mg Tablet 0 0 0 -
0091 Isosorbid Dinitrat tablet sublingual 5 mg Tablet 0 0 0 96 -
0092 Kalcium Glukonat inj. Ampul 0 0 0 -
0093 Kalsium Laktat (kalk) tab 500 mg Tablet 0 0 0 57.2 -
0094 Kaptopril tablet 12,5 mg Tablet 0 0 0 68 -
0095 Kaptopril tablet 25 mg Tablet 0 0 0 -
0096 Kaptopril tablet 50 mg Tablet 0 0 0 -
0097 Ketokonazol krim 2% Tube 0 0 0 -
0098 Ketokonazol tablet 200 mg Tablet 0 0 0 308 -
0099 Ketorolac inj.30 mg Ampul 0 0 0 -
0100 Kloramfenikol salep kulit 2 % Tube 0 0 0 -
0101 Kloramfenikol salep mata Tube -
0102 Kloramfenikol sirup 125 mg/5 ml Botol 0 0 0 -
0103 Kloramfenikol tablet 500 mg Tablet 0 0 0 -
0104 Klorfeniramina Maleat (CTM) tablet 4 mg Tablet 0 0 0 46 -
0105 Kotrimoksazol (dewasa) kombinasi : sulfametoksazol 400 Tablet 0 0 0 135 -
0106 Korimoksazol suspensi Kombinasi:Sulfametoksasazol 200 m Botol 6 5 4 7 2298 16,086
0107 Levofloksasin tablet 500 mg Tablet 0 0 0 702 -
0108 Lexavit tablet Tablet 0 0 0 777.26 -
0109 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml Ampul 30 30 0 2327 -
0110 Lisol Botol 0 0 0 -
0111 Livron B Plex Tablet 0 0 0 220 -
0112 Loperamid tablet 2 mg Tablet 30 0 0 30 97 2,910
0113 Loratadin tablet 10 mg Tablet 190 0 36 154 139 21,406
0114 Magnesium Sulfat (MgSO4) 20 % inj i.v - 25 ml Vial 0 0 0 -
0115 Magnesium Sulfat (MgSO4) 40 % inj i.v - 25 ml Vial 0 0 0 -
0116 Metformin HCl tablet 500 mg Tablet 160 0 50 110 113 12,430
0117 Metil prednisolon tab. 4 mg Tablet 200 165 35 1660 58,100
0118 Metilergometrin inj 0,2 mg/ ml Ampul 0 0 0 -
0119 Metilergometrin tablet salut 0,125 mg Tablet 70 100 40 130 240 31,200
0120 Metoklopramide Injeksi Ampul 0 0 0 -
0121 Metoklopramide sirup 5 mg/ 5 ml Botol 0 0 0 -
0122 Metoklopramide tablet 10 mg Tablet 110 100 37 173 93 16,089
0123 Metronidazol tablet 500 mg Tablet 160 200 250 110 -
0124 Metronidazol sirup Botol 0 0 0 117 -
0125 Mikonazol krim/salep 2 % (Nitrat) Tube 5 0 5 0 3900 -
0126 Nacl / Sodium Clorida 0,9 % 500ml Botol 1 0 0 1 6410 6,410
0127 Natrium Diklofenak 25 mg tablet Tablet 100 350 450 0 154 -
0128 Natrium Diklofenak 50 mg tablet Tablet 0 0 0 146 -
0129 Nifedipin tablet 10 mg Tablet 0 0 0 -
0130 Nistatin tablet 500.000 IU Tablet 0 0 0 -
0131 Nistatin tablet vaginal 100.000 IU/g Tablet 0 0 0 -
0132 Nistatin sirup 100.000 iu/ml Botol 0 0 0 -
0133 Noza Tablet 110 200 210 100 725 72,500
0134 Obat Anti Tuberculosis FDC Kategori 1 Paket 0 0 0 -
0135 Obat Anti Tuberculosis FDC Kategori 2 Paket 0 0 0 -
0136 Obat Anti Tuberculosis FDC Kategori Anak Paket 0 0 0 -
0137 Obat Batuk Hitam (OBH) Botol 0 0 0 -
0138 Oksitetrasiklin HCl salep Kulit 3 % Tube 10 0 10 0 1827 -
0139 Oksitetrasiklin HCl salep Mata 1 % Tube 0 0 0 2600 -
0140 Oksitosin injeksi 10 IU/ml - 1 ml Ampul 0 0 0 -
0141 Omeprazole 20 mg Kaplet 20 90 5 105 176 18,480
0142 Parasetamol drops 100 mg/ ml Botol 0 0 0 6240 -
0143 Parasetamol sirup 120 mg / 5 ml Botol 25 80 102 3 1190 3,570
0144 Parasetamol tablet 500 mg Tablet 100 800 577 323 52 16,796
0145 Pehacain injeksi Ampul 0 0 0 -
0146 Pehavral Tablet 0 0 0 850 -
0147 Phenol Gliserol tetes telinga 10% Botol 0 0 0 2590 -
0148 Piracetam inj 3 gr Ampul 0 0 0 -
0149 Piracetam tablet 800 mg Tablet 0 0 0 803 -
0150 Pirantel pamoat sirup 125 mg/ 5 ml Botol 0 0 0 -
0151 Pirantel Pamoat tablet score (base) 125 mg Tablet 18 100 8 110 305 33,550
0152 Piridoksin (Vitamin B6) tablet 10 mg (HCl) Tablet 200 400 342 258 142 36,636
0153 Piroksikam tablet 10 mg Tablet 200 100 61 239 137.5 32,863
0154 Piroksikam tablet 20 mg Tablet 100 100 95 105 163.4 17,157
0155 Povidon Iodida 10% 30 ml Botol 0 0 0 -
0158 Prednison tablet 5 mg Tablet 0 0 0 74 -
0159 Primaquin Tablet 0 0 0 -
0160 Procurma Plus sirup Botol 0 0 0 12369 -
0161 Propanolol Hydrochloride (HCL) tablet 10 mg Tablet 0 0 0 -
0162 Propanolol Hydrochloride (HCL) tablet 40 mg Tablet 0 0 0 -
0163 Propiltiourasil tablet 100 mg Tablet 0 0 0 -
0164 Pulmicort Turbuhaler Budesonid serbuk inhaler 200 mcg/d Can 0 0 0 -
0165 Ranitidin injeksi 25 mg/ ml. Ampul 0 0 0 -
0166 Ranitidin tablet 150 mg Tablet 0 0 0 119 -
0167 Retinol (Vitamin A) 100.000 IU kapsul lunak Kapsul 0 0 0 -
0168 Retinol (Vitamin A) 200.000 IU kapsul lunak Kapsul 0 0 0 -
0169 Ringer Laktat larutan infus Botol 0 0 0 7150 -
0170 Salbutamol sirup 2 mg/ 5ml botol 0 0 0 -
0171 Salbutamol tablet 2 mg (sebagai Sulfat) Tablet 190 400 354 236 69 16,284
0172 Salbutamol tablet 4 mg (sebagai Sulfat) Tablet 0 0 0 -

0173 Pot 0 0 0
endap 4%
1081 -
0174 Sefadroksil kapsul 500 mg Kapsul 200 50 150 5286 792,900
0175 Sefadroksil sirup kering 125 mg/5 ml Botol 10 0 0 10 445 4,450
0176 Sianokobalamin (Vit. B12) inj. 500 mcg/ml - 1 ml Ampul 0 0 0 -
0177 Sianokobalamin (Vit.B12) tablet 50 mg Tablet 0 0 0 -
0178 Simvastatin tablet 10 mg Tablet 40 80 110 10 116 1,160
0179 Simvastatin tablet 20 mg Tablet 0 0 0 -
0180 Siprofloksasin tablet 500 mg Tablet 70 200 65 205 309 63,345
0181 Stesolid Ampul 0 0 0 -
0182 Tetrasiklin kapsul 250 mg Kapsul 0 0 0 -
0183 Tetrasiklin kapsul 500 mg Kapsul 50 0 0 50 -
0184 Tiamin (Vitamin B1) injeksi 100 mg/ml Ampul 0 0 0 -
0185 Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) Tablet 130 400 60 470 95 44,650
0186 Vaksin Rabies 0,5 ml Tablet 0 0 0 -
0187 Vitamin B Kompleks tablet Tablet 100 1200 1257 43 138 5,934
0188 Xylocaibn Spray oral 10% Botol 0 0 0 177.216 -
0189 Xylocain jelly 2% lidocain jel 2% Syringe 0 0 0 41600 -
0190 Zinc sulfate sirup 20 mg/5ml Botol 0 0 0 -
0191 Zinc tablet 20 mg Tablet 260 0 218 42 618 25,956
0 -
Jumlah 4,259 12,530 10,250 6,539 151,716 992069720.824
Barangka, 31 Januari 2019

Kepala Puskesmas Petugas Pengelola Obat Apotik,

NIP. 19830722 201001 2 028 NIP.19860310 201001 2 031
DINAS KESEHATAN
PUSKESMAS BARANGKA

1 JANUARI - 28 FEBRUARI TAHUN 2019

Awal n n

0049 Dextral Tablet 150 700 684
0070 Sachet 25 100 35
0133 Noza Tablet 110 300 357

0173 Pot 0 0
endap 4%

0
Jumlah 4,259 23,878 20,155
Barangka, 28 Februa

NIP. 19830722 201001 2 028 NIP.19860310 201001
ON
93755
ail.com
POTEK
019

Stok n (Rp) (Rp)
0 -
229 120 27,480
0 478.5 -
0 194 -
0 4680 -
0 -
0 -
0 -
0 -
0 -
12 1975 23,700
136 279 37,944
34 232.4 7,902
9 2146 19,314
165 57 9,405
0 3642 -
0 -
0 5188 -
10 3654 36,540
0 -
0 -
0 -
243 125 30,375
90 127 11,430
0 -
0 -
0 -
0 440 -
0 -
0 -
0 -
0 -
128 1618.72 207,196
0 -
1,090 64.87 70,708
0 1444 -
0 -
0 -
0 445 -
0 557 -
0 -
0 98 -
0 -
0 -
6 180.62 1,084
0 -
0 -
0 46 -
166 520.3 86,370
0 -
0 -
0 -
0 -
0 -
0 -
0 -
260 106 27,560
0 -
0 -
0 781 -
0 -
0 -
0 -
0 -
80 -
0 -
77 835 64,295
0 -
0 -
90 278 25,020
0 -
9 1933 17,397
0 -
0 4800 -
160 110.83 17,733
0 92 -
0 -
149 266 39,634
0 -
0 -
0 -
0 -
180 759 136,620
0 -
6 2848 17,088
0 -
134 312 41,808
15 2620 39,300
0 112 -
0 -
0 96 -
0 -
0 57.2 -
285 68 19,380
0 -
0 -
0 -
150 308 46,200
0 -
0 -
-
0 -
0 -
0 46 -
150 135 20,250
5 2298 11,490
0 702 -
0 777.26 -
23 2327 53,521
0 -
0 220 -
30 97 2,910
115 139 15,985
0 -
0 -
280 113 31,640
61 1660 101,260
0 -
317 240 76,080
0 -
0 -
168 93 15,624
15 -
0 117 -
19 3900 74,100
1 6410 6,410
30 154 4,620
0 146 -
0 -
0 -
0 -
0 -
53 725 38,425
0 -
0 -
0 -
0 -
13 1827 23,751
18 2600 46,800
0 -
34 176 5,984
0 6240 -
6 1190 7,140
453 52 23,556
0 -
0 850 -
0 2590 -
0 -
0 803 -
0 -
109 305 33,245
141 142 20,022
80 137.5 11,000
234 163.4 38,236
0 -
0 -
0 -
245 74 18,130
0 -
0 12369 -
0 -
0 -
0 -
0 -
0 -
260 119 30,940
0 -
0 -
0 7150 -
0 -
186 69 12,834
0 -
0
1081 -
210 5286 1,110,060
10 445 4,450
0 -
0 -
70 116 8,120
0 -
159 309 49,131
0 -
0 -
50 -
0 -
350 95 33,250
0 -
2 138 276
0 177.216 -
0 41600 -
0 -
172 618 106,296
-
7,982 151,716 1210995643.312
Barangka, 28 Februari 2019

Pembuat Daftar

NIP.19860310 201001 2 031
DINAS KESEHATAN
PUSKESMAS BARANGKA

1 JANUARI - 30 MARET TAHUN 2019

Awal n n

0070 Sachet 25 100 82
0133 Noza Tablet 110 552 536

0173 Pot 0 0
endap 4%

0
Jumlah 4,259 50,399 33,761
Barangka, 30 Mare

NIP. 19830722 201001 2 028 NIP.19860310 201001
ON
93755
ail.com
POTEK
19

Stok n (Rp) (Rp)
0 -
549 120 65,880
730 478.5 349,305
185 194 35,890
20 4680 93,600
0 -
0 -
0 -
0 -
0 -
0 1975 -
124 279 34,596
58 232.4 13,479
7 2146 15,022
264 57 15,048
0 3642 -
0 -
0 5188 -
10 3654 36,540
0 -
0 -
0 -
265 125 33,125
200 127 25,400
0 -
0 -
0 -
200 440 88,000
0 -
0 -
0 -
1 -
0 1618.72 -
0 -
2,030 64.87 131,686
12 1444 17,328
0 -
0 -
0 445 -
0 557 -
0 -
0 98 -
0 -
0 -
6 180.62 1,084
0 -
0 -
218 46 10,028
320 520.3 166,496
0 -
0 -
0 -
0 -
0 -
0 -
0 -
460 106 48,760
0 -
0 -
200 781 156,200
0 -
0 -
0 -
0 -
0 -
0 -
120 835 100,200
0 -
0 -
43 278 11,954
0 -
12 1933 23,196
0 -
0 4800 -
460 110.83 50,982
261 92 24,012
0 -
264 266 70,224
0 -
0 -
0 -
0 -
239 759 181,401
0 -
2 2848 5,696
0 -
184 312 57,408
13 2620 34,060
400 112 44,800
0 -
200 96 19,200
0 -
240 57.2 13,728
715 68 48,620
0 -
0 -
0 -
150 308 46,200
0 -
0 -
-
0 -
0 -
399 46 18,354
242 135 32,670
4 2298 9,192
200 702 140,400
500 777.26 388,630
15 2327 34,905
0 -
430 220 94,600
576 97 55,872
580 139 80,620
0 -
0 -
440 113 49,720
380 1660 630,800
0 -
477 240 114,480
0 -
0 -
598 93 55,614
277 -
0 117 -
8 3900 31,200
4 6410 25,640
310 154 47,740
290 146 42,340
0 -
0 -
0 -
0 -
126 725 91,350
0 -
0 -
0 -
0 -
13 1827 23,751
17 2600 44,200
0 -
114 176 20,064
8 6240 49,920
0 1190 -
0 52 -
0 -
490 850 416,500
0 2590 -
0 -
200 803 160,600
0 -
100 305 30,500
428 142 60,776
341 137.5 46,888
538 163.4 87,909
0 -
0 -
0 -
423 74 31,302
0 -
0 12369 -
0 -
0 -
0 -
0 -
0 -
330 119 39,270
0 -
0 -
5 7150 35,750
0 -
656 69 45,264
0 -
0
1081 -
510 5286 2,695,860
10 445 4,450
0 -
0 -
70 116 8,120
0 -
609 309 188,181
0 -
0 -
0 -
0 -
440 95 41,800
0 -
25 138 3,450
1 177.216 177
1 41600 41,600
0 -
470 618 290,460
-
20,817 151,716 3158268141.672
Barangka, 30 Maret 2019

Pembuat Daftar

NIP.19860310 201001 2 031
DINAS KESEHATAN
PUSKESMAS BARANGKA

1 JANUARI - 30 APRIL TAHUN 2019

Awal n n

0049 Dextral Tablet 150 1550 1347
0070 Sachet 25 200 107
0133 Noza Tablet 110 752 739

0173 Pot 0 0
endap 4%

0
Jumlah 4,259 61,593 47,574
Barangka, 30 April

NIP. 19830722 201001 2 028 NIP.19860310 201001
ON
93755
ail.com
POTEK
9

Stok n (Rp) (Rp)
0 -
394 120 47,280
526 478.5 251,691
496 194 96,224
7 4680 32,760
0 -
0 -
0 -
0 -
0 -
13 1975 25,675
124 279 34,596
140 232.4 32,536
501 2146 1,075,146
0 57 -
24 3642 87,408
0 -
8 5188 41,504
10 3654 36,540
0 -
0 -
0 -
186 125 23,250
0 127 -
0 -
0 -
0 -
200 440 88,000
0 -
0 -
0 -
0 -
47 1618.72 76,080
10 -
1,870 64.87 121,307
0 1444 -
0 -
0 -
0 445 -
0 557 -
0 -
450 98 44,100
0 -
0 -
0 180.62 -
0 -
0 -
159 46 7,314
353 520.3 183,666
0 -
0 -
0 -
0 -
0 -
0 -
0 -
438 106 46,428
0 -
0 -
190 781 148,390
0 -
0 -
0 -
0 -
0 -
0 -
90 835 75,150
0 -
0 -
118 278 32,804
0 -
19 1933 36,727
24 -
0 4800 -
450 110.83 49,874
473 92 43,516
0 -
164 266 43,624
0 -
0 -
0 -
0 -
339 759 257,301
0 -
17 2848 48,416
0 -
164 312 51,168
13 2620 34,060
120 112 13,440
0 -
200 96 19,200
0 -
190 57.2 10,868
635 68 43,180
0 -
0 -
0 -
130 308 40,040
0 -
0 -
-
0 -
0 -
706 46 32,476
170 135 22,950
1 2298 2,298
200 702 140,400
125 777.26 97,158
0 2327 -
0 -
120 220 26,400
538 97 52,186
520 139 72,280
0 -
0 -
410 113 46,330
281 1660 466,460
0 -
367 240 88,080
0 -
0 -
443 93 41,199
217 -
0 117 -
4 3900 15,600
4 6410 25,640
230 154 35,420
310 146 45,260
0 -
0 -
0 -
0 -
123 725 89,175
0 -
0 -
0 -
0 -
0 1827 -
8 2600 20,800
0 -
34 176 5,984
5 6240 31,200
9 1190 10,710
10 52 520
0 -
370 850 314,500
24 2590 62,160
0 -
200 803 160,600
0 -
100 305 30,500
184 142 26,128
111 137.5 15,263
288 163.4 47,059
0 -
0 -
0 -
224 74 16,576
0 -
1 12369 12,369
0 -
0 -
0 -
0 -
0 -
200 119 23,800
0 -
0 -
5 7150 35,750
0 -
477 69 32,913
0 -
0
1081 -
340 5286 1,797,240
10 445 4,450
0 -
0 -
10 116 1,160
0 -
559 309 172,731
0 -
0 -
0 -
0 -
150 95 14,250
0 -
396 138 54,648
1 177.216 177
1 41600 41,600
0 -
420 618 259,560
-
18,198 151,716 2760924419.568
Barangka, 30 April 2019

Pembuat Daftar

NIP.19860310 201001 2 031
DINAS KESEHATAN
PUSKESMAS BARANGKA

1 JANUARI - 31 MEI TAHUN 2019

Awal n n

0049 Dextral Tablet 150 1550 1700
0070 Sachet 25 200 134
0133 Noza Tablet 110 852 876

0173 Pot 0 0
endap 4%

0
Jumlah 4,259 71,212 58,551
Barangka, 31 mei

NIP. 19830722 201001 2 028 NIP.19860310 201001
ON
93755
ail.com
POTEK
9

Stok n (Rp) (Rp)
0 -
339 120 40,680
497 478.5 237,815
199 194 38,606
7 4680 32,760
0 -
0 -
0 -
0 -
0 -
-828 1975 (1,635,300)
1,411 279 393,669
120 232.4 27,888
101 2146 216,746
6 57 342
18 3642 65,556
0 -
5 5188 25,940
2 3654 7,308
0 -
0 -
0 -
0 125 -
0 127 -
0 -
0 -
0 -
200 440 88,000
0 -
0 -
0 -
0 -
16 1618.72 25,900
5 -
1,740 64.87 112,874
0 1444 -
0 -
0 -
0 445 -
0 557 -
0 -
416 98 40,768
0 -
0 -
0 180.62 -
0 -
0 -
214 46 9,844
0 520.3 -
0 -
0 -
0 -
0 -
8 -
450 -
0 -
0 106 -
0 -
0 -
160 781 124,960
0 -
0 -
0 -
0 -
0 -
0 -
87 835 72,645
0 -
0 -
91 278 25,298
0 -
11 1933 21,263
24 -
0 4800 -
430 110.83 47,657
253 92 23,276
0 -
104 266 27,664
0 -
0 -
0 -
0 -
329 759 249,711
0 -
13 2848 37,024
0 -
102 312 31,824
8 2620 20,960
126 112 14,112
0 -
200 96 19,200
0 -
140 57.2 8,008
477 68 32,436
0 -
0 -
0 -
130 308 40,040
0 -
0 -
-
0 -
0 -
69 46 3,174
120 135 16,200
7 2298 16,086
200 702 140,400
305 777.26 237,064
0 2327 -
0 -
155 220 34,100
494 97 47,918
139 -
0 -
0 -
370 113 41,810
0 1660 -
0 -
347 240 83,280
0 -
10 -
385 93 35,805
217 117 25,389
-60 117 (7,020)
5 3900 19,500
0 6410 -
218 154 33,572
324 146 47,304
0 -
0 -
0 -
5 -
86 725 62,350
0 -
0 -
0 -
0 -
0 1827 -
5 2600 13,000
0 -
55 176 9,680
6 6240 37,440
0 1190 -
365 52 18,980
0 -
350 850 297,500
22 2590 56,980
0 -
200 803 160,600
0 -
95 305 28,975
358 142 50,836
341 137.5 46,888
528 163.4 86,275
0 -
0 -
0 -
202 74 14,948
0 -
2 12369 24,738
0 -
0 -
0 -
0 -
0 -
28 119 3,332
0 -
0 -
0 7150 -
0 -
437 69 30,153
0 -
0
1081 -
294 5286 1,554,084
6 445 2,670
0 -
0 -
40 116 4,640
0 -
519 309 160,371
0 -
0 -
100 -
0 -
290 95 27,550
0 -
383 138 52,854
0 177.216 -
0 41600 -
10 -
355 618 219,390
-
15,859 151,833 2407916628.944
Barangka, 31 mei 2019

Pembuat Daftar

NIP.19860310 201001 2 031
DINAS KESEHATAN
PUSKESMAS BARANGKA
STOK OPNAME OBAT APOTEK

PER 30 JUNI 2019
Pada hari ini, Senin tanggal Satu bulan Juli tahun Dua ribu sembilan belas, kami yang
bertanda tangan di bawah ini telah melakukan stok opname obat-obatan di apotek
Puskesmas Barangka.

Nama Obat/Bahan Habis Pakai Satuan
Stok n (Rp) (Rp)
Albendazol tablet 400 mg Tablet 0 -

Alopurinol tablet 100 mg Tablet 489 120 58,680
Alpamol Tablet 160 478.5 76,560
Ambroksol tablet 30 mg Tablet 315 194 61,110
Ambroxol sirup 15 mg/ml Botol 0 4680 -
Aminofilin injeksi 24 mg/ml Ampul 0 -
Aminofilin tablet 150 mg Tablet 0 -
Amitriptilin tablet salut 25 mg Tablet 0 -
Amlodipin 10 mg Tablet 0 -
Amlodipin 5 mg Tablet 0 -
Amoksisilin sirup kering 125 mg/ 5 ml Btl 60 ml 6 1975 11,850
Amoksisilin Tablet 500 mg Tablet 104 279 29,016
Antalgin (Metampiron) tablet 500 mg Tablet 420 232.4 97,608
Antasida suspensi kombinasi. Aluminium Hidroksida 200 mg + Magnesium Hidr Botol 268 2146 575,128
Antasida Tablet kunyah, kombinasi : Alumunium Hidroksida 200 mg + Magnesiu Tablet 12 57 684
Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g + Polimiksin 10.000 IU/ Tube 17 3642 61,914
Anti Bisa Ular BIOSAT Serum I inj (i. m/ i. v) vial 0 -
Antifungi DOEN Salep, Kombinasi: Asam Benzoat 6% Asam Salisilat 3% (Whitfie Pot 5 5188 25,940
Antihemoroid DOEN kombinasi: bismut subgalat 150 mg heksaklorofen 2,5 mg l Supp 26 3654 95,004
Antiparkinson tablet kombinasi Benserasid 25 mg + Levodopa 100 mg Botol 0 -
Aqua pro Injeksi steril, bebas pirogen Vial 0 -
Artemether injeksi 80 mg/ml Ampul 0 -
Asam Askorbat (Vitamin C) tablet 50 mg Tablet 0 125 -
Asam Mefenamat tablet 500 mg Tablet 130 127 16,510
Asetosal Tablet 0 -
Asiklovir krim 5% Tube 25 -
Asiklovir tablet 200 mg Tablet 0 -
Asiklovir tablet 400 mg Tablet 200 440 88,000
Atropine inj 0,25 mg/ ml (i.m./i.v./s.k) Ampul 0 -
ATS (Anti Tetanus Serum BIOSAT 1,5 inj 1500 IU/mL (i.m) Ampul 0 -
Azitromycin Tablet 0 -
Becefort sirup Botol 0 -
Becefort tab Capsul 0 1618.72 -
Bedak Salisil serbuk 2% Kotak 10 -
Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (tablet tambah darah kombin Sachet 1,510 64.87 97,954
Betametason krim 0,1% Tube 5 1444 7,220
Bioron Tablet 0 -
Bisakodil kaplet salut 5 mg Tablet 0 -
Cefadroksil Syrup Botol 0 445 -
Cefadroxyl 500 mg Caps 0 557 -
Cefotaksim serb inj 500 mg Vial 0 -
Cetrizine tablet 10 mg Tablet 385 98 37,730
Cetrizine sirup 5 mg/5 ml Botol 0 -
Chlorpromazine inj. 5 mg/ml Ampul 0 -
Cimetidine 200 mg Tablet 0 180.62 -
Clindamicyn kapsul 300 mg Kapsul 0 -
Deksametason injeksi i.v. 5 mg/ml Ampul 0 -
Deksametason tablet 0,5 mg Tablet 311 46 14,306
Dextral Tablet 0 520.3 -
Diazepam injeksi 5 mg/ml Ampul 0 -
Diazepam tablet 2 mg Tablet 0 -
Difenhidramin injeksi i.m. 10 mg/ml (HCl) - 1 ml Ampul 0 -
Digoksin tablet 0,25 mg Tablet 0 -
Domperidon sirup 5mg/5ml Botol 15 -
Domperidon tablet 10 mg Tablet 441 -
Dosisiklin Tablet 0 -
Ekstraks Belladona tablet 10 mg Tablet 0 106 -
Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl) Ampul 0 -
Ergotamin 1 mg + kafein 50 mg (Antimigren) Tablet 0 -
Eritromisin kaplet 500mg Tablet 150 781 117,150
Etakridin (rivanol) larutan 0,1% ( 300 ML) Botol 0 -
Etanol (Alkohol 70%) Botol 0 -
Fenitoin inj 50 mg/ml Ampul 0 -
Fenobarbital injeksi i.m./i.v. 50 mg/ml Ampul 0 -
Fenobarbital tablet 30 mg Tablet 0 -
Fenol gliserol tetes telinga 10 % Botol 0 -
Fitomenadion (Vit.K1) tablet salut gula 10 mg Tablet 180 835 150,300
Fitomenadion (Vitamin K1) injeksi 10 mg/ml Ampul 0 -
Furosemid tablet 40 mg Tablet 0 -
Sachet 58 278 16,124
Gentamisin injeksi 40 mg/ ml Ampul 0 -
Gentamisin salep kulit 0.1% Tube 25 1933 48,325
Gentamisin salep mata 0,3% Tube 23 -
Gentamisin Tetes Mata 0,3 % Botol 0 4800 -
Glibenklamida tablet 5 mg Tablet 430 110.83 47,657
Gliseril guaiakolat tablet 100 mg (guaifenisin) Tablet 308 92 28,336
Glukosa larutan infus 5 % steril Botol 0 -
Griseofulvin tablet 125 mg Tablet 364 266 96,824
Haloperidol inj 50 mg/mL Ampul 0 -
Haloperidol tablet 0,5 mg Tablet 0 -
Haloperidol tablet 1,5 mg Tablet 0 -
Haloperidol tablet 5 mg Tablet 0 -
Hemafort Tablet 344 759 261,096
Hidroklorotiazida tablet 25 mg Tablet 0 -
Hidrokortison krim 1% Tube 35 2848 99,680
Hidrokortison krim 2,5 % Tube 0 -
Hustab Tablet 312 312 97,344
Ibuprofen Syrup 100 mg/5 ml Botol 10 2620 26,200
Ibuprofen tablet 200 mg Tablet 366 112 40,992
Ibuprofen tablet 400 mg Tablet 0 -
Isosorbid Dinitrat tablet sublingual 5 mg Tablet 200 96 19,200
Kalcium Glukonat inj. Ampul 0 -
Kalsium Laktat (kalk) tab 500 mg Tablet 320 57.2 18,304
Kaptopril tablet 12,5 mg Tablet 197 68 13,396
Kaptopril tablet 25 mg Tablet 0 -
Kaptopril tablet 50 mg Tablet 0 -
Ketokonazol krim 2% Tube 24 -
Ketokonazol tablet 200 mg Tablet 120 308 36,960
Ketorolac inj.30 mg Ampul 0 -
Kloramfenikol salep kulit 2 % Tube 0 -
Kloramfenikol salep mata Tube -
Kloramfenikol sirup 125 mg/5 ml Botol 0 -
Kloramfenikol tablet 500 mg Tablet 0 -
Klorfeniramina Maleat (CTM) tablet 4 mg Tablet 415 46 19,090
Kotrimoksazol (dewasa) kombinasi : sulfametoksazol 400 mg +Trimetoprin 80 m Tablet 374 135 50,490
Korimoksazol suspensi Kombinasi:Sulfametoksasazol 200 mg + Trimetorin 40 mg Botol 15 2298 34,470
Levofloksasin tablet 500 mg Tablet 200 702 140,400
Lexavit tablet Tablet 95 777.26 73,840
Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000 - 2ml Ampul 0 2327 -
Lisol Botol 0 -
Livron B Plex Tablet 255 220 56,100
Loperamid tablet 2 mg Tablet 434 97 42,098
Loratadin tablet 10 mg Tablet 139 -
Magnesium Sulfat (MgSO4) 20 % inj i.v - 25 ml Vial 0 -
Magnesium Sulfat (MgSO4) 40 % inj i.v - 25 ml Vial 0 -
Metformin HCl tablet 500 mg Tablet 320 113 36,160
Metil prednisolon tab. 4 mg Tablet 157 1660 260,620
Metilergometrin inj 0,2 mg/ ml Ampul 0 -
Metilergometrin tablet salut 0,125 mg Tablet 304 240 72,960
Metoklopramide Injeksi Ampul 0 -
Metoklopramide sirup 5 mg/ 5 ml Botol 9 -
Metoklopramide tablet 10 mg Tablet 293 93 27,249
Metronidazol tablet 500 mg Tablet 307 -
Metronidazol sirup Botol 0 117 -
Mikonazol krim/salep 2 % (Nitrat) Tube 24 3900 93,600
Nacl / Sodium Clorida 0,9 % 500ml Botol 0 6410 -
Natrium Diklofenak 25 mg tablet Tablet 358 154 55,132
Natrium Diklofenak 50 mg tablet Tablet 340 146 49,640
Nifedipin tablet 10 mg Tablet 0 -
Nistatin tablet 500.000 IU Tablet 0 -
Nistatin tablet vaginal 100.000 IU/g Tablet 0 -
Nistatin sirup 100.000 iu/ml Botol 12 -
Noza Tablet 70 725 50,750
Obat Anti Tuberculosis FDC Kategori 1 Paket 0 -
Obat Anti Tuberculosis FDC Kategori 2 Paket 0 -
Obat Anti Tuberculosis FDC Kategori Anak Paket 0 -
Obat Batuk Hitam (OBH) Botol 4 -
Oksitetrasiklin HCl salep Kulit 3 % Tube 16 1827 29,232
Oksitetrasiklin HCl salep Mata 1 % Tube 24 2600 62,400
Oksitosin injeksi 10 IU/ml - 1 ml Ampul 0 -
Omeprazole 20 mg Kaplet 215 176 37,840
Parasetamol drops 100 mg/ ml Botol 21 6240 131,040
Parasetamol sirup 120 mg / 5 ml Botol 2 1190 2,380
Parasetamol tablet 500 mg Tablet 208 52 10,816
Pehacain injeksi Ampul 0 -
Pehavral Tablet 140 850 119,000
Phenol Gliserol tetes telinga 10% Botol 19 2590 49,210
Piracetam inj 3 gr Ampul 0 -
Piracetam tablet 800 mg Tablet 200 803 160,600
Pirantel pamoat sirup 125 mg/ 5 ml Botol 0 -
Pirantel Pamoat tablet score (base) 125 mg Tablet 93 305 28,365
Piridoksin (Vitamin B6) tablet 10 mg (HCl) Tablet 487 142 69,154
Piroksikam tablet 10 mg Tablet 471 137.5 64,763
Piroksikam tablet 20 mg Tablet 388 163.4 63,399
Povidon Iodida 10% 30 ml Botol 0 -
Prednison tablet 5 mg Tablet 366 74 27,084
Primaquin Tablet 0 -
Procurma Plus sirup Botol 0 12369 -
Propanolol Hydrochloride (HCL) tablet 10 mg Tablet 0 -
Propanolol Hydrochloride (HCL) tablet 40 mg Tablet 0 -
Propiltiourasil tablet 100 mg Tablet 0 -
Pulmicort Turbuhaler Budesonid serbuk inhaler 200 mcg/dosos Can 0 -
Ranitidin injeksi 25 mg/ ml. Ampul 0 -
Ranitidin tablet 150 mg Tablet 200 119 23,800
Retinol (Vitamin A) 100.000 IU kapsul lunak Kapsul 0 -
Retinol (Vitamin A) 200.000 IU kapsul lunak Kapsul 0 -
Ringer Laktat larutan infus Botol 0 7150 -
Salbutamol sirup 2 mg/ 5ml botol 0 -
Salbutamol tablet 2 mg (sebagai Sulfat) Tablet 361 69 24,909
Salbutamol tablet 4 mg (sebagai Sulfat) Tablet 0 -
Pot 0
endap 4% 1081 -
Sefadroksil kapsul 500 mg Kapsul 350 5286 1,850,100
Sefadroksil sirup kering 125 mg/5 ml Botol 6 445 2,670
Sianokobalamin (Vit. B12) inj. 500 mcg/ml - 1 ml Ampul 0 -
Sianokobalamin (Vit.B12) tablet 50 mg Tablet 0 -
Simvastatin tablet 10 mg Tablet 140 116 16,240
Simvastatin tablet 20 mg Tablet 0 -
Siprofloksasin tablet 500 mg Tablet 489 309 151,101
Stesolid Ampul 0 -
Tetrasiklin kapsul 250 mg Kapsul 0 -
Tetrasiklin kapsul 500 mg Kapsul 400 -
Tiamin (Vitamin B1) injeksi 100 mg/ml Ampul 0 -
Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) Tablet 320 95 30,400
Vaksin Rabies 0,5 ml Tablet 0 -
Vitamin B Kompleks tablet Tablet 258 138 35,604
Xylocaibn Spray oral 10% Botol 0 177.216 -
Xylocain jelly 2% lidocain jel 2% Syringe 0 41600 -
Zinc sulfate sirup 20 mg/5ml Botol 9 -
Zinc tablet 20 mg Tablet 240 618 148,320
-
Jumlah 17,729 151,716 2689769701.864
Nama Jabatan Tanda tangan

1. 1. ......................
2. 2. ....................
Mengetahui :
Kepala Puskesmas
SARIATI, SKM
NIP. 19830722 201001 2 028
Stok
Awal
Jan Feb
0001 Albendazol tablet 400 mg Tablet
0003 Alpamol Tablet
0004 Ambroksol tablet 30 mg Tablet
0005 Ambroxol sirup 15 mg/ml Botol
0006 Aminofilin injeksi 24 mg/ml Ampul
0007 Aminofilin tablet 150 mg Tablet
0008 Amitriptilin tablet salut 25 mg Tablet
0009 Amlodipin 10 mg Tablet
0010 Amlodipin 5 mg Tablet
0013 Antalgin (Metampiron) tablet 500 mg Tablet 250
0014 Antasida suspensi kombinasi. Aluminium Hidroksida 200 Botol 10
0015 Antasida Tablet kunyah, kombinasi : Alumunium Hidroksi Tablet 400
0016 Anti Bakteri DOEN salep kombinasi: Basitrasin 500 IU/g + P Tube
0017 Anti Bisa Ular BIOSAT Serum I inj (i. m/ i. v) vial
0018 Antifungi DOEN Salep, Kombinasi: Asam Benzoat 6% Asam S Pot
0019 Antihemoroid DOEN kombinasi: bismut subgalat 150 mg hek Supp 10
0020 Antiparkinson tablet kombinasi Benserasid 25 mg + Levod Botol
0021 Aqua pro Injeksi steril, bebas pirogen Vial
0022 Artemether injeksi 80 mg/ml Ampul
0023 Asam Askorbat (Vitamin C) tablet 50 mg Tablet 200 1,500 900
0025 Asetosal Tablet
0026 Asiklovir krim 5% Tube
0027 Asiklovir tablet 200 mg Tablet
0028 Asiklovir tablet 400 mg Tablet
0029 Atropine inj 0,25 mg/ ml (i.m./i.v./s.k) Ampul
0030 ATS (Anti Tetanus Serum BIOSAT 1,5 inj 1500 IU/mL (i.m) Ampul
0031 Azitromycin Tablet
0032 Becefort sirup Botol
0034 Bedak Salisil serbuk 2% Kotak 5
0035 Besi (II) Sulfat 200 mg + Asam Folat 0,25 mg tablet (table Sachet 1,260
0036 Betametason krim 0,1% Tube
0037 Bioron Tablet
0038 Bisakodil kaplet salut 5 mg Tablet
0039 Cefadroksil Syrup Botol
0040 Cefadroxyl 500 mg Caps
0041 Cefotaksim serb inj 500 mg Vial
0042 Cetrizine tablet 10 mg Tablet
0043 Cetrizine sirup 5 mg/5 ml Botol
0044 Chlorpromazine inj. 5 mg/ml Ampul
0045 Cimetidine 200 mg Tablet 60
0046 Clindamicyn kapsul 300 mg Kapsul
0047 Deksametason injeksi i.v. 5 mg/ml Ampul
0050 Diazepam injeksi 5 mg/ml Ampul
0051 Diazepam tablet 2 mg Tablet
0052 Difenhidramin injeksi i.m. 10 mg/ml (HCl) - 1 ml Ampul
0053 Digoksin tablet 0,25 mg Tablet
0054 Domperidon sirup 5mg/5ml Botol
0055 Domperidon tablet 10 mg Tablet
0056 Dosisiklin Tablet
0057 Ekstraks Belladona tablet 10 mg Tablet 300
0058 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl) Ampul
0059 Ergotamin 1 mg + kafein 50 mg (Antimigren) Tablet
0060 Eritromisin kaplet 500mg Tablet
0061 Etakridin (rivanol) larutan 0,1% ( 300 ML) Botol
0062 Etanol (Alkohol 70%) Botol
0063 Fenitoin inj 50 mg/ml Ampul
0064 Fenobarbital injeksi i.m./i.v. 50 mg/ml Ampul
0065 Fenobarbital tablet 30 mg Tablet 80
0066 Fenol gliserol tetes telinga 10 % Botol
0067 Fitomenadion (Vit.K1) tablet salut gula 10 mg Tablet 100
0068 Fitomenadion (Vitamin K1) injeksi 10 mg/ml Ampul
0069 Furosemid tablet 40 mg Tablet
0070 Sachet 25 100
0071 Gentamisin injeksi 40 mg/ ml Ampul
0073 Gentamisin salep mata 0,3% Tube
0074 Gentamisin Tetes Mata 0,3 % Botol
0075 Glibenklamida tablet 5 mg Tablet 90 100
0076 Gliseril guaiakolat tablet 100 mg (guaifenisin) Tablet
0077 Glukosa larutan infus 5 % steril Botol
0078 Griseofulvin tablet 125 mg Tablet 70 200
0079 Haloperidol inj 50 mg/mL Ampul
0080 Haloperidol tablet 0,5 mg Tablet
0081 Haloperidol tablet 1,5 mg Tablet
0082 Haloperidol tablet 5 mg Tablet
0084 Hidroklorotiazida tablet 25 mg Tablet
0085 Hidrokortison krim 1% Tube 19
0086 Hidrokortison krim 2,5 % Tube
0087 Hustab Tablet 70 100
0088 Ibuprofen Syrup 100 mg/5 ml Botol 6 20
0089 Ibuprofen tablet 200 mg Tablet
0090 Ibuprofen tablet 400 mg Tablet
0091 Isosorbid Dinitrat tablet sublingual 5 mg Tablet
0092 Kalcium Glukonat inj. Ampul
0093 Kalsium Laktat (kalk) tab 500 mg Tablet
0094 Kaptopril tablet 12,5 mg Tablet 300
0095 Kaptopril tablet 25 mg Tablet
0096 Kaptopril tablet 50 mg Tablet
0097 Ketokonazol krim 2% Tube
0098 Ketokonazol tablet 200 mg Tablet 150
0099 Ketorolac inj.30 mg Ampul
0100 Kloramfenikol salep kulit 2 % Tube
0102 Kloramfenikol sirup 125 mg/5 ml Botol
0103 Kloramfenikol tablet 500 mg Tablet
0104 Klorfeniramina Maleat (CTM) tablet 4 mg Tablet
0105 Kotrimoksazol (dewasa) kombinasi : sulfametoksazol 400 Tablet 300
0106 Korimoksazol suspensi Kombinasi:Sulfametoksasazol 200 m Botol 6 5
0107 Levofloksasin tablet 500 mg Tablet
0108 Lexavit tablet Tablet
0110 Lisol Botol
0111 Livron B Plex Tablet
0112 Loperamid tablet 2 mg Tablet 30
0113 Loratadin tablet 10 mg Tablet 190
0114 Magnesium Sulfat (MgSO4) 20 % inj i.v - 25 ml Vial
0115 Magnesium Sulfat (MgSO4) 40 % inj i.v - 25 ml Vial
0116 Metformin HCl tablet 500 mg Tablet 160 200
0118 Metilergometrin inj 0,2 mg/ ml Ampul
0120 Metoklopramide Injeksi Ampul
0121 Metoklopramide sirup 5 mg/ 5 ml Botol
0123 Metronidazol tablet 500 mg Tablet 160 200
0124 Metronidazol sirup Botol
0125 Mikonazol krim/salep 2 % (Nitrat) Tube 5 23
0126 Nacl / Sodium Clorida 0,9 % 500ml Botol 1
0128 Natrium Diklofenak 50 mg tablet Tablet
0129 Nifedipin tablet 10 mg Tablet
0130 Nistatin tablet 500.000 IU Tablet
0131 Nistatin tablet vaginal 100.000 IU/g Tablet
0132 Nistatin sirup 100.000 iu/ml Botol
0133 Noza Tablet 110 200 100
0134 Obat Anti Tuberculosis FDC Kategori 1 Paket
0135 Obat Anti Tuberculosis FDC Kategori 2 Paket
0136 Obat Anti Tuberculosis FDC Kategori Anak Paket
0137 Obat Batuk Hitam (OBH) Botol
0138 Oksitetrasiklin HCl salep Kulit 3 % Tube 10 24
0139 Oksitetrasiklin HCl salep Mata 1 % Tube 25
0140 Oksitosin injeksi 10 IU/ml - 1 ml Ampul
0141 Omeprazole 20 mg Kaplet 20 90
0142 Parasetamol drops 100 mg/ ml Botol
0144 Parasetamol tablet 500 mg Tablet 100 800 1,600
0145 Pehacain injeksi Ampul
0146 Pehavral Tablet
0147 Phenol Gliserol tetes telinga 10% Botol
0148 Piracetam inj 3 gr Ampul
0149 Piracetam tablet 800 mg Tablet
0150 Pirantel pamoat sirup 125 mg/ 5 ml Botol
0151 Pirantel Pamoat tablet score (base) 125 mg Tablet 18 100
0152 Piridoksin (Vitamin B6) tablet 10 mg (HCl) Tablet 200 400
0153 Piroksikam tablet 10 mg Tablet 200 100
0155 Povidon Iodida 10% 30 ml Botol
0158 Prednison tablet 5 mg Tablet 300
0159 Primaquin Tablet
0160 Procurma Plus sirup Botol
0161 Propanolol Hydrochloride (HCL) tablet 10 mg Tablet
0162 Propanolol Hydrochloride (HCL) tablet 40 mg Tablet
0163 Propiltiourasil tablet 100 mg Tablet
0164 Pulmicort Turbuhaler Budesonid serbuk inhaler 200 mcg/d Can
0165 Ranitidin injeksi 25 mg/ ml. Ampul
0166 Ranitidin tablet 150 mg Tablet 300
0167 Retinol (Vitamin A) 100.000 IU kapsul lunak Kapsul
0168 Retinol (Vitamin A) 200.000 IU kapsul lunak Kapsul
0169 Ringer Laktat larutan infus Botol
0170 Salbutamol sirup 2 mg/ 5ml botol
0172 Salbutamol tablet 4 mg (sebagai Sulfat) Tablet

0173 Pot
endap 4%

0175 Sefadroksil sirup kering 125 mg/5 ml Botol 10
0176 Sianokobalamin (Vit. B12) inj. 500 mcg/ml - 1 ml Ampul
0177 Sianokobalamin (Vit.B12) tablet 50 mg Tablet
0179 Simvastatin tablet 20 mg Tablet
0180 Siprofloksasin tablet 500 mg Tablet 70 200
0181 Stesolid Ampul
0182 Tetrasiklin kapsul 250 mg Kapsul
0183 Tetrasiklin kapsul 500 mg Kapsul 50
0184 Tiamin (Vitamin B1) injeksi 100 mg/ml Ampul
0185 Tiamin (Vitamin B1) tablet 50 mg (HCl/ Nitrat) Tablet 130 400
0186 Vaksin Rabies 0,5 ml Tablet
0187 Vitamin B Kompleks tablet Tablet 100 1,200 900
0188 Xylocaibn Spray oral 10% Botol
0189 Xylocain jelly 2% lidocain jel 2% Syringe
0190 Zinc sulfate sirup 20 mg/5ml Botol
0191 Zinc tablet 20 mg Tablet 260 200
Jumlah 4,259 12,530 11,348
Mengetahui :
Kepala Puskesmas
SARIATI, SKM
NIP. 19830722 201001 2 028
PENERIMAAN
Mar Apr Mei Jun Jul Agust Sep Okt
500 200
750 300
500 500 300 300
39 20 10 20
10 30 20 1,000
1,000 1,200 1,300 500 20
100 300 300
500 500 400
500 10 10
25
16
30
1,000 600
500 300 300 500 400
25
200
1 10 20 15
300 500 500 500 600
10 10
1,090
24 17 25 25
500
500
1,000 800 1,000 800 500

450 400 600 600
10 10
500
200
200
100 100
100
15 10 20
24
300
400 500 300 500 500
300 300 200
500 500 200 200 200
23 24
200 50 20 300
10 10 25
600 300 500
200
300 200
500 300
300
25
500 700 800 500

500 300
10 10
200
500 400 500
500 200 300 200

600
500
200
800 500 500 500
200
1 10
500 200
500 200
14 9 24
10
500 200 200 300
300 300 150 200
10 10
252 200 100 328 200
5 10
10 25
25
150 90 180
10 10 20
50 50 30 55
1,500 1,200 1,500 1,000 1,000
500 200
24
200
10
500 300 200

500 300 200
500 300
500 300
10 20 7
200 300 200

8
500
300 200 300
60 90 60 180
500
200 100 300
500 200 200
1,000 1,000 800 800 200

1
1
10
500
26,521 11,194 9,619 13,488 9,925

DINAS KESEHATAN
PUSKESMAS BARANGKA

1 JANUARI - 31 JULI TAHUN 2019
Penerimaa
n
Nop Des Jan Feb Mar Apr
0 -
1100 231 110 180 155
1050 20 204
1600 315 189
89 19 13
0 -
0 -
0 -
0 -
0
1090 8 10 22 17
5520 867 797 1,012 1,200
700 135 81 76 218
1410 1 2 6
920 235 401 264
25 1
0 -
16 8
40 -
0 -
0 -
0 -
4000 1,700 657 978 679
3100 530 480 390 500
0 -
25 -
0 -
200 -
0 -
0 -
0 -
46 1
3300 400 472 428 453
25 5 -
2350 110 60 150 160
91 12 29
0 -
0 -
0 -
0 -
0 -
500 50
0 -
0 -
500 54 6
0 -
0 -
5500 670 830 782 859
2750 449 235 296 367
0 -
0 -
0 -
0 -
20 -
500 -
0 -
500 20 20 22
0 -
0 -
200 10
0 -
0 -
0 -
0 -
0 -
0 -
300 23 57 30
0 -
0 -
200 30 5 47 25
0 -
70 9 11 12 3
24 -
0 -
400 30 10
2200 139 288
0 -
1000 38 83 185 100
0 -
0 -
0 -
0 -
2500 410 410 441 400
0 -
47 4 9 4 8
0 -
670 13 23 150 70
65 5 6 2 -
1400 200 280
0 -
200 -
0 -
500 60 50
1100 15 70 80
0 -
300 -
25 -
150 20
0 -
0 -
-
0 -
0 -
2500 101 393
1100 150 408 72
25 4 2 1 3
200 -
1400 375
57 30 4 8 15
0 -
1200 70 310
600 54 38
500 36 39 35 60
0 -
0 -
400 50 30 40 30
3400 165 874 481 599
0 -
500 40 13 40 110
0 -
11 1
1000 37 205 70 155
900 250 95 238 60
0
70 5 4 11 18
10 7 -
1650 450 70 220 280
950 10 280
0 -
0 -
0 -
20 -
1380 210 147 179 203
0 -
0 -
0 -
15 -
59 10 11 13
50 7 1 9
0 -
510 5 71 70 80
40 2 3
309 102 41 56 41
8600 577 1,470 1,953 1,190
0 -
700 10 120
24 -
0 -
200 -
10 -
100 8 1 9 -
1400 342 117 213 244
1100 61 159 239 230
1400 95 371 196 250
0 -
0 -
0 -
1100 55 322 199
0 -
37 9
0 -
0 -
0 -
0 -
0 -
1000 40 130 130
0 -
0 -
8 3 -
0 -
900 354 50 30 179
0 -
1100 50 40 170
0 -
0 -
0 -
560 110 30 60 150
0 -
700 65 46 50 50
0 -
0 -
600 250 -
0 -
1300 60 120 410 290
0 -
5900 1,257 941 977 629
1 -
1 -
10 -
700 218 70 202 50
0 -
94,625 10,250 9,905 13,606 13,813
PEMAKAIAN
Mei Jun Jul Agust Sep
- -
55 50
279 387
269 212
18 19
- -
- -
- -
- -
12 15
698 1,122
20 -
360 373
4 4
6 1
- -
3 -
8 6
- -
- -
- -
186 -
270 400
- -
- -
- -
- -
- -
- -
- -
10 20
367 680
5 5
120 240
- 20
- -
- -
- -
- -
- -
20 45
- -
- -
-
- -
- -
842 806
353 600
- -
- -
- -
- -
2 3
50 9
- -
0 -
0 -
0 -
30 10
0 -
0 -
0 -
0 -
0 -
0 -
3 7
0 -
0 -
27 33
0 -
6 8
0 1
0 -
20 -
445 520
0 -
60 40
0 -
0 -
0 -
0 -
200 195
0 -
4 2
0 -
82 90
2 8
248 306
0 -
0 -
0 -
40 30
122 316
0 -
0 -
0 1
0 10
0 -
0 -
0 -
0 -
0 -
551 540
50 46
4 2
0 -
190 240
0 -
0 -
135 230
39 65
0 -
0 -
0 -
20 70
260 364
0 -
20 43
0 -
0 1
58 92
60 50
0 -
7 6
4 -
196 176
136 184
0 -
0 -
0 -
4 4
137 344
0 -
0 -
0 -
0 1
10 9
3 6
0 -
69 20
9 5
39 53
1045 1,257
0 -
20 210
2 3
0 -
0 -
0 -
1 6
126 71
60 80
60 140
0 -
0 -
0 -
22 136
0 -
19 9
0 -
0 -
0 -
0 -
0 -
152 128
0 -
0 -
5 -
0 -
30 86
0 -
-
0
20 170
3 1
0 -
0 -
30 80
0 -
40 30
0 -
0 -
0 -
0 -
60 170
0 -
742 996
1 -
1 -
0 1
55 125
9,741 12,844
Pemakaia Sisa Harga/satua
n Stok n (Rp)
Okt Nop Des
0 0
781 489 120
890 160 478.5
985 615 194
69 20 4680
0 0
0 0
0 0
0 0
0 0
84 1,006 1975
5696 124 279
530 420 232.4
742 668 2146
908 12 57
8 17 3642
0 0
11 5 5188
14 26 3654
0 0
0 0
0 0
4200 0 125
2570 530 127
0 0
0 25
0 0
0 200 440
0 0
0 0
0 0
31 15
2800 600 1618.72
15 10
840 1,510 64.87
61 30 1444
0 0
0 0
0 0 445
0 0 557
0 0
115 385 98
0 0
0 0
60 500 180.62
0 0
0 0
4789 811 46
2300 600 520.3
0 0
0 0
0 0
0 0
5 15
59 441
0 0
62 0 106
0 0
0 0
50 150 781
0 0
0 0
0 0
0 0
0 0
0 0
120 180 835
0 0
0 0
167 58 278
0 0
49 25 1933
1 23
0 0 4800
60 430 110.83
1392 808 92
0 0
506 564 266
0 0
0 0
0 0
0 0
2056 544 759
0 0
31 35 2848
0 0
428 312 312
23 10 2620
1034 366 112
0 0
0 200 96
0 0
180 320 57.2
603 497 68
0 0
0 300
1 24
30 120 308
0 0
0 0
0 0
0 0
1585 915 46
726 374 135
16 15 2298
0 200 702
805 595 777.26
57 0 2327
0 0
745 455 220
196 434 97
170 139
0 0
0 0
240 320 113
2743 657 1660
0 0
266 304 240
0 0
2 9
617 493 93
753 307
0 0 117
51 24 3900
11 0 6410
1392 358 154
610 340 146
0 0
0 0
0 0
8 12
1220 270 725
0 0
0 0
0 0
1 14
53 16 1827
26 24 2600
0 0
315 215 176
19 21 6240
332 2 1190
7492 1,208 52
0 0
360 340 850
5 19 2590
0 0
0 200 803
0 10
25 93 305
1113 487 142
829 471 137.5
1112 388 163.4
0 0
0 0
0 0
734 366 74
0 0
37 0 12369
0 0
0 0
0 0
0 0
0 0
580 200 119
0 0
0 0
8 0 7150
0 0
729 361 69
0 0
0 0
1081
450 650 5286
4 6 445
0 0
0 0
460 140 116
0 0
281 489 309
0 0
0 0
250 400
0 0
1110 320 95
0 0
5542 458 138
1 0 177.216
1 0 41600
1 9
720 240 618
70,159 27,429 151,716
Barangka, 31 Juli 2019

Pembuat Daftar

NIP.19860310 201001 2 031
Total Harga
(Rp)
-
58,680
76,560
119,310
93,600
-
-
-
-
-
1,986,850
34,596
97,608
1,433,528
684
61,914
-
25,940
95,004
-
-
-
-
67,310
-
-
-
88,000
-
-
-
-
971,232
-
97,954
43,320
-
-
-
-
-
37,730
-
-
90,310
-
-
37,306
312,180
-
-
-
-
-
-
-
-
-
-
117,150
-
-
-
-
-
-
150,300
-
-
16,124
-
48,325
-
-
47,657
74,336
-
150,024
-
-
-
-
412,896
-
99,680
-
97,344
26,200
40,992
-
19,200
-
18,304
33,796
-
-
-
36,960
-
-
-
-
-
42,090
50,490
34,470
140,400
462,470
-
-
100,100
42,098
-
-
-
36,160
1,090,620
-
72,960
-
-
45,849
-
-
93,600
-
55,132
49,640
-
-
-
-
195,750
-
-
-
-
29,232
62,400
-
37,840
131,040
2,380
62,816
-
289,000
49,210
-
160,600
-
28,365
69,154
64,763
63,399
-
-
-
27,084
-
-
-
-
-
-
-
23,800
-
-
-
-
24,909
-
-
3,435,900
2,670
-
-
16,240
-
151,101
-
-
-
-
30,400
-
63,204
-
-
-
148,320
-
4161413117.064

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LAPORAN PERSEDIAAN OBAT DAN BAHAN MEDIS HABIS PAKAI

GUDANG FARMASI KABUPATEN BUTON

1 Alopurinol tablet 100 mg Tablet 120.00

Antasida suspensi kombinasi. Aluminium

Anti Bakteri salep kombinasi : Basitrasin 500

57 Bedak Salisil serbuk 2% Kotak 50 gr 1,081.00

59 Bedak Salisil serbuk 2% Kotak 50 gr

97 Eritromisinkaplet 500mg Kaplet 781.00

136 Haloperidol tablet 5 mg Tablet 105.00

151 Issosorbid Dinitrat 5 mg Tablet 96.00

Kotrimoksazol DOEN I (dewasa) kombinasi :

175 Kotrimoksazol Suspensi komb: Tablet 2,462.00

186 Loratadin tablet 10 mg Tablet 139.00

224 Obat AntiTuberculosis FDC Kategori 1 Paket 396,000.00

263 Prednison tablet 5 mg Tablet 97.50

302 Siprofloksasin tab 500 mg Tablet 309.00

*Bahan Medis Habis Pakai

336 Catgut, 3/0, Brown, 75. Taper 1/2. 26 mm set 44,916.00

370 IV Catheter No. 18 G Set 7,334.00

407 Masker General Respirator Pcs 21,000.00

433 URINE DRAINAGE BAG, T valve, with hanger set 6,600.00

SALDO BARANG PERSEDIAAN OBAT APOTEK

Stok Penerimaa Pemakaia

0001 Albendazol tablet 400 mg Tablet 0 0

Salep 2-4 , Kombinasi : Asam Salisilat 2 % + Belerang

0174 Sefadroksil kapsul 500 mg Kapsul 800 450

SARIATI, SKM NI KADEK SUYANTI

Sisa Harga/satua Total Harga

Barangka, 29 Juni 2019

NI KADEK SUYANTI, AMF

SALDO BARANG PERSEDIAAN OBAT APOTEK

Stok Penerimaa Pemakaia

0001 Albendazol tablet 400 mg Tablet 0 0

Salep 2-4 , Kombinasi : Asam Salisilat 2 % + Belerang

0174 Sefadroksil kapsul 500 mg Kapsul 600 280

SARIATI, SKM NI KADEK SUYANTI

Sisa Harga/satua Total Harga

Barangka, 27 mei 2019

NI KADEK SUYANTI, AMF

SALDO BARANG PERSEDIAAN OBAT APOTEK

Stok Penerimaa Pemakaia Sisa Harga/satua Total Harga

Garam Oralit I serbuk, kombinasi :

Kotrimoksazol (dewasa) kombinasi :

Salep 2-4 , Kombinasi : Asam Salisilat 2% +

Barangka, 31 Desember 2018

SARIATI, SKM NI KADEK SUYANTI, AMF

SALDO BARANG PERSEDIAAN OBAT APOTEK

Sisa Harga/satua Total Harga

0001 Albendazol tablet 400 mg Tablet -

Salep 2-4 , Kombinasi : Asam Salisilat 2 % + Belerang

Barangka, 31 Desember 2018

SARIATI, SKM NI KADEK SUYANTI, AMF

SALDO BARANG PERSEDIAAN OBAT APOTEK

Stok Penerimaa Pemakaia Sisa Harga/satua Total Harga

0001 Albendazol tablet 400 mg Tablet 0 0 0 -

Salep 2-4 , Kombinasi : Asam Salisilat 2 % + Belerang

Barangka, 31 Januari 2019

SARIATI, SKM NI KADEK SUYANTI, AMF

SALDO BARANG PERSEDIAAN OBAT APOTEK

Stok Penerimaa Pemakaia

0001 Albendazol tablet 400 mg Tablet 0 0

Salep 2-4 , Kombinasi : Asam Salisilat 2 % + Belerang

0174 Sefadroksil kapsul 500 mg Kapsul 300 90