Lplpo Imunisasi APRIL
Lplpo Imunisasi APRIL
DINAS KESEHATAN
Jl. Matalemo, Desa Bambalemo Kec. Parigi Kab. Parigi Moutong
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
(LPLPO)IMUNISASI
NAMA PUSKESMAS PUSKESMAS TAOPA BULAN :
KECAMATAN : TAOPA TAHUN : 2020
KABUPATEN : PARIGI MOUTONG
PROVINSI : SULAWESI TENGAH
PERSEDIAAN AWAL OBAT PENGADAAN PER 01 APIL 2020 PENERIMAAN PEMAKAIAN STOK AKHIR 30 APRIL
NO URAIAN Satuan Harga Satuan
PUSTU / RUANG PUSTU / RUANG STOK UNIT JUMLAH HARGA PUSTU / RUANG STOK UNIT JUMLAH PUSTU / RUANG STOK UNIT JUMLAH HARGA
STOK UNIT LAIN JUMLAH JUMLAH HARGA (Rp) APOTEK JUMLAH APOTEK ED JUMLAH APOTEK JUMLAH
POSKESDES TINDAKAN POSKESDES TINDAKAN LAIN (Rp) POSKESDES TINDAKAN LAIN HARGA (Rp) POSKESDES TINDAKAN LAIN (Rp)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
OBAT DAK 2019
1 ADS 0,5 ML AutoDestruct Syringe With Needle pcs 1,458.00 - - - - - - - - - - - - - - - -
2 ADS 0,05 ML Autodestruct Syringe With Needle pcs 1,617.00
- - - - - - - - - - - - - - - -
3 CATGUT CHROMIC 2/0 HR 20 MM pcs 28,148.00 - - - - - - - - - - - - - - - -
4 CATGUT CHROMIC 3/0 HR 30 MM pcs 34,843.00 - - - - - - - - - - - -
5 CATGUT PLAIN 2/0 DS 19 MM pcs 41,045.00 - - - - - - - - - - - -
6 CATGUT PLAIN 3/0 DS 19 MM pcs 41,045.00 - - - - - - - - - - - -
7 SILK BLACK 2/0 HR 30 MM pcs 22,062.00 - - - - - - - - - - - -
8 SILK BLACK 3/0 HR 30 MM pcs 21,491.00 - - - - - - - - - - - -
9 Disposable Syringe 1 cc pcs 747.50 - - - - - - - - - - - -
10 Disposable Syringe 3 cc pcs 747.50 - - - - - - - - - - - -
11 Maxter Exam Non Powder M box/100 pcs 67,045.00 - - - - - - - - - - - -
12 Maxter Exam Non Powder L box/100 pcs 67,045.00 - - - - - - - - - - - -
13 Folley Catheter 2 Way no. 18 ktk/10 pcs 92,000.00 - - - - - - - - - - - -
14 Folley Catheter 2 Way no. 16 ktk/10 pcs 92,000.00 - - - - - - - - - - - -
15 Folley Catheter 2 Way no. 14 ktk/10 pcs 92,000.00 - - - - - - - - - - - -
16 Folley Catheter 2 Way no. 12 ktk/10 pcs 92,000.00 - - - - - - - - - - - -
17 HUMASENS plus Glucose Test Strips dus 25 strip 259,300.00 - - - - - - - - - - - -
18 HUMASENS plus Total Cholesterol Test Strips dus 20 strip 551,400.00 - - - - - - - - - - - -
19 HUMASENS plus Uric Acid Test Strips dus 25 strip 557,800.00 - - - - - - - - - - - -
20 Stera Infusion Set Y Dewasa pcs 7,230.28 - - - - - - - - - - - -
Stera Infusion Set Y Dewasa pcs 7,230.00 - - - - - - - - - - - -
21 Stera Infusion Set Y Anak pcs 7,128.85 - - - - - - - - - - - -
22 Smiths Medical JELCO 18G pcs 9,060.00 - - - - - - - - - - - -
23 Smiths Medical JELCO 20G pcs 9,060.00 - - - - - - - - - - - -
24 Smiths Medical JELCO 22G pcs 9,060.00 - - - - - - - - - - - -
25 Smiths Medical JELCO 24G pcs 9,350.00 - - - - - - - - - - - -
26 Kasa Pembalut Hydrophil 4m x 5cm roll 862.50 - - - - - - - - - - - -
27 Kasa Pembalut Hydrophil 4m x 15cm roll 2,415.00 - - - - - - - - - - - -
28 Kasa Hydrophil Steril Uk. 16 x 16 box 9,200.00 - - - - - - - - - - - -
29 Kasa Hydrophil 40 x 80 cm roll 120,750.00 - - - - - - - - - - - -
30 LEUKOPLAST 7.5cm x 4.5m roll 38,321.00 - - - - - - - - - - - -
31 Onemed Masker N95 box/20 pcs 149,776.00 - - - - - - - - - - - -
32 Besmed Oxyflow Nasal Oxygen Bayi pcs 6,325.00 - - - - - - - - - - - -
33 Besmed Oxyflow Nasal Oxygen Anak pcs 6,325.00 - - - - - - - - - - - -
34 Besmed Oxyflow Nasal Oxygen Dewasa pcs 6,325.00 - - - - - - - - - - - -
35 Onemed Aseptic Gel 500 cc + dispenser botol 26,400.00 - - - - - - - - - - - -
36 Ozyme 1 L botol 272,059.20 - - - - - - - - - - - -
37 Povidone Iodine 60 ml botol 4,440.00 - - - - - - - - - - - -
38 Povidone Iodine 300 ml botol 21,600.00 - - - - - - - - - - - -
39 Rapid tes HBsAg Strip pcs 11,127.00 - - - - - - - - - - - -
40 Rapid tes Malaria Pan/Pf Cassette pcs 24,780.00 - - - - - - - - - - - -
41 Rapid tes Syphilis Cassette pcs 14,480.00 - - - - - - - - - - - -
Rapid tes Multi Drug 6 in 1 (AMP/ BZO/ COC/ MAMP/ OPI/
42 pcs 37,926.67
THC) - - - - - - - - - - - -
43 Sarung Tangan Obgyn Steril ( Obgyn glove ) Pasang 22,264.00 - - - - - - - - - - - -
44 Sterile Latex Surgical Glove Ukuran 6.5 Pasang 5,150.00 - - - - - - - - - - - -
45 Sterile Latex Surgical Glove Ukuran 7 Pasang 5,150.00 50 50 257,500 - - - - 50 50 257,500 - - - - - -
46 Sterile Latex Surgical Glove Ukuran 7.5 Pasang 5,150.00 - - - - - - - - - - - -
47 Urine Bag Sterile pcs 3,450.00 - - - - - - - - - - - -
48 Ultra One Test Hamil pcs 2,229.85 - - - - - - - - - - - -
49 Umbilical Cord Klem Steril Nylon box/50 pcs 74,750.00 - - - - - - - - - - - -
50 VACUSERA Z Serum Gel and Clot Activator box/100 btl 351,900 - - - - - - - - - - - -
JUMLAH 257,500 JUMLAH - JUMLAH 257,500 JUMLAH -
BMHP DAK 2018 -
1 Catgut Chromic 2/0 + jarum HR 30 MM Pcs 35,475 - - - - - - - - - - - -
PERSEDIAAN AWAL OBAT PENGADAAN PER 01 APIL 2020 PENERIMAAN PEMAKAIAN STOK AKHIR 30 APRIL
NO URAIAN Satuan Harga Satuan
PUSTU / RUANG PUSTU / RUANG STOK UNIT JUMLAH HARGA PUSTU / RUANG STOK UNIT JUMLAH PUSTU / RUANG STOK UNIT JUMLAH HARGA
STOK UNIT LAIN JUMLAH JUMLAH HARGA (Rp) APOTEK JUMLAH APOTEK ED JUMLAH APOTEK JUMLAH
POSKESDES TINDAKAN POSKESDES TINDAKAN LAIN (Rp) POSKESDES TINDAKAN LAIN HARGA (Rp) POSKESDES TINDAKAN LAIN (Rp)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
2 Catgut Chromic 3/0 + jarum HR 30 MM Pcs 35,475 - - - - - - - - - - - -
3 Catgut plain 2/0 + jarum HR 20 MM Pcs 37,045 - - - - - - - - - - - -
4 Catgut plain 3/0 + jarum HR 20 MM Pcs 37,045 - - - - - - - - - - - -
5 Folley Catheter two way No. 10 Pcs 21,990 - - - - - - - - - - - -
PERSEDIAAN AWAL OBAT PENGADAAN PER 01 APIL 2020 PENERIMAAN PEMAKAIAN STOK AKHIR 30 APRIL
NO URAIAN Satuan Harga Satuan
PUSTU / RUANG PUSTU / RUANG STOK UNIT JUMLAH HARGA PUSTU / RUANG STOK UNIT JUMLAH PUSTU / RUANG STOK UNIT JUMLAH HARGA
STOK UNIT LAIN JUMLAH JUMLAH HARGA (Rp) APOTEK JUMLAH APOTEK ED JUMLAH APOTEK JUMLAH
POSKESDES TINDAKAN POSKESDES TINDAKAN LAIN (Rp) POSKESDES TINDAKAN LAIN HARGA (Rp) POSKESDES TINDAKAN LAIN (Rp)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
6 Folley Catheter two way No. 12 Pcs 21,060 - - - - - - - - - - - -
7 Folley Catheter two way No. 14 Pcs 21,060 - - - - - - - - - - - -
8 Folley Catheter two way No. 18 Pcs 21,060 - - - - - - - - - - - -
9 Folley Catheter two way No. 20 Pcs 21,060 - - - - - - - - - - - -
10 Infus Set Dewasa (Tipe Y) Pcs 11,680 - - - - - - - - - - - -
11 I.V Catheter no. 18 G Pcs 9,060 - - - - - - - - - - - -
12 I.V Catheter no. 20 G Pcs 9,060 - - - - - - - - - - - -
13 I.V Catheter no. 22 G Pcs 9,060 - - - - - - - - - - - -
14 I.V Catheter no. 24 G Pcs 9,060 - - - - - - - - - - - -
15 Silk 2/0 + jarum DS 30 MM Pcs 25,565 - - - - - - - - - - - -
16 Silk 3/0 + jarum DS 30 MM Pcs 24,785 - - - - - - - - - - - -
17 Gloves surgical Sterile Gynaecolog Pasang 22,264 - - - - - - - - - - - -
18 Aximed Syringe 1 cc Pcs 1,038 - - - - - - - - - - - -
19 Aximed Syringe 3 cc Pcs 1,031 - - - - - - - - - - - -
20 Aximed Syringe 5 cc Pcs 1,160 - - - - - - - - - - - -
21 Aximed Syringe 10 cc Pcs 1,628 - - - - - - - - - - - -
22 Aximed Examination Gloves Size L Box/100 Pcs 57,750 - - - - - - - - - - - -
23 Aximed Examination Gloves Size M Box/100 Pcs 57,750 - - - - - - - - - - - -
24 Aximed Examination Gloves Size S Box/100 Pcs 57,750 - - - - - - - - - - - -
25 HM HUSADA Kasa Hydrophil 40 yar x 80 cm Roll 140,625 - - - - - - - - - - - -
26 HM HUSADA 3 yard x 10cm pack 79,375 - - - - - - - - - - - -
27 Aximed Nasal O2 Canula Size M Pcs 8,250 - - - - - - - - - - - -
28 Aximed Nasal O2 Canula Size S Pcs 8,250 - - - - - - - - - - - -
29 Aximed Nasal O2 Canula Size L Pcs 8,250 - - - - - - - - - - - -
30 Aximed Face Mask Ear Loop Box/50 Pcs 24,750 - - - - - - - - - - - -
31 Aximed Chirurgic Gloves size 7.0 Pasang 9,500 - - - - - - - - - - - -
32 Aximed Chirurgic Gloves size 7.5 Pasang 9,500 - - - - - - - - - - - -
33 Aximed Chirurgic Gloves size 6,5 Pasang 9,500 - - - - - - - - - - - -
34 alkohol swab 2 ply Box/100 Pcs 13,750 - - - - - - - - - - - -
35 Blood lancet Box/100 Pcs 16,023 - - - - - - - - - - - -
36 paper tape 2,5cmx9,14m Roll 10,188 - - - - - - - - - - - -
37 paper tape 7,5cmx9,14m Roll 27,313 - - - - - - - - - - - -
38 Aximed Urine Drainange Bag, T-valve with hanger Pcs 6,875 - - - - - - - - - - - -
39 Surgical Mask 3 ply tie on Box/50 Pcs 20,764 - - 1 1 20,764 1 1 20,764 - - - - - -
40 alkohol 100ml Botol 5,280 - - - - - - - - - - - -
41 alkohol 300ml Botol 14,520 - - - - - - - - - - - -
42 povidon iodine 30ml Botol 3,480 - - - - - - - - - - - -
43 povidone 300ml Botol 21,600 - - - - - - - - - - - -
44 kapas pembalut 250gr Roll 14,375 - - - - - - - - - - - -
45 Plesterin Non Woven 5cm x 5m Roll 27,324 - - - - - - - - - - - -
46 Bioplacenton tulle 10x10 Box/10 sachet 109,500 - - - - - - - - - - - -
47 Fokus Malaria Pan/pf casette Pcs 47,477 - - - - - - - - - - - -
48 Fokus Anti HIV 1/2 Casette Pcs 15,457 - - - - - - - - - - - -
49 stik Narkoba (amphetamine) Pcs 7,862 - - - - - - - - - - - -
50 Stik Narkoba (Benzodiasepine) Pcs 7,862 - - - - - - - - - - - -
51 SARAYA alsoft pure 500ml Botol 82,520 - - - - - - - - - - - -
52 leukoplast 2,5cmx4,5m Roll 12,076 - - - - - - - - - - - -
53 leukoplast 7,5cm x 4,5m Roll 35,532 - - - - - - - - - - - -
54 uniflex 7,5 cm x 4,5m Roll 17,515 - - - - - - - - - - - -
55 uniflex 10 cm x 4,5m Roll 21,406 - - - - - - - - - - - -
56 cutimed sorbact swap 7x9 cm Pcs 30,503 - - - - - - - - - - - -
57 Leukomed I.V.Film Box/50 Pcs 123,056 - - - - - - - - - - - -
58 Strip Haemoglobin Btl/25 strip 398,800 - - - - - - - - - - - -
59 Vacutainer Needle Ktk/100 pcs 205,000 - - - - - - - - - - - -
60 Tabung EDTA Ktk/100 pcs 200,000 - - - - - - - - - - - -
61 strip gula darah Nesco Btl/25 strip 170,000 - - - - - - - - - - - -
62 strip asam urat Nesco Btl/25 strip 175,000 - - - - - - - - - - - -
63 strip kolestrol Nesco Btl/10 strip 287,500 - - - - - - - - - - - -
JUMLAH - JUMLAH 20,764 JUMLAH 20,764 JUMLAH -
Pemerintah Kabupaten Parigi Moutong
DINAS KESEHATAN
Jl. Matalemo, Desa Bambalemo Kec. Parigi Kab. Parigi Moutong
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
(LPLPO)IMUNISASI
NAMA PUSKESMAS : PUSKESMAS TAOPA
KECAMATAN : TAOPA
KABUPATEN : PARIGI MOUTONG
PROVINSI : SULAWESI TENGAH
Jumlah - - - #REF! - - - - -
-----------------------
NIP. NIP.
Pemerintah Kabupaten Parigi Moutong
DINAS KESEHATAN
Jl. Matalemo, Desa Bambalemo Kec. Parigi Kab. Parigi Moutong
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
(LPLPO)IMUNISASI
NAMA PUSKESMAS : PUSKESMAS TAOPA
KECAMATAN : TAOPA
KABUPATEN : PARIGI MOUTONG
PROVINSI : SULAWESI TENGAH