PEMERINTAH KABUPATEN BANGKA BARAT

DINAS KESEHATAN
PUSKESMAS KELAPA
Jl.Raya Kelapa Timur Telp.(0715) 355075 Kecamatan Kelapa – 33364
E-mail:pkmkelapa.babar@gmail.com

Unit :
Sifat : Biasa
Hal : Permintaan / LPLPO ( Obat, BMHP, Vaksin, Reagen) User:
Diambil Dari
Stok Awal
Pada File Stok
Sehubungan dengan kebutuhan Kegiatan Pelayanan Kesehatan di Puskesmas Kelapa dengan ini mohonObat
disalurkan
Bulan barang den
Yang Sama
Tanggal
No. Uraian Persediaan Harga Satuan Satuan No Batch Stok Awal Penerimaan Persediaan
Kadaluarsa
1 2 3 4 5 6 7 8 9=(7+8)
1 SUMBER INSTALASI FARMASI KABUPATEN
A OBAT
1 Asiclovir krim Rp 2,972.00 tube Jul-22 0
2 Aciklovir tablet 200 mg Rp 560.00 tablet 6303014 Jun-21 0
3 Aciklovir tablet 400 mg Rp 399.00 tablet 6304025 Aug-22 0
4 Albendazol tablet 400 mg Rp 1,041.98 tablet 1804027/378362 sep-21/jun-23 0
5 Albendazol Suspensi 200mg/5ml Rp 4,200.00 botol 2006018 Jun-22 0
6 Alopurinol tablet 100mg Rp 105.00 tablet 17071016 Jun-22 0
7 Alopurinol tablet 300mg Rp 200.00 tablet HTALOB12288 Mar-23 0
8 Alprazolam tab 0,5 mg Rp 94.00 tablet A92345 Dec-22 0
9 Alprazolam tab 1 mg Rp 128.00 tablet A80003 Feb-23 0
10 Ambroksol sirup 15 mg/ml Rp 3,664.00 botol 190901194 Jul-23 0
11 Ambroksol tablet 30 mg Rp 213.00 tablet 09617C0030 Jan-22 0
12 Aminofilin injeksi 24mg/ml-10ml Rp 2,976.00 ampul 19IG035A Jul-21 0
13 Aminofilin tablet 200mg tablet 0
14 Amitriptilin HCL tablet salut 25mg Rp 168.00 tablet A134420JV Jun-24 0
15 Amlodipin tablet 5 mg Rp 105.00 tablet 92969 Sep-22 0
16 Amlodipin tablet 10 mg Rp 504.17 tablet 17621C0020 Mar-23 0
17 Amoxicillin 500mg Rp 261.00 kaplet CAMXA91124 May-22 0
18 Amoxicillin sirup kering 250mg/5ml botol 0
19 Amoxicillin sirup kering 125mg/5ml Rp 2,050.00 botol B00129 Apr-23 0
20 Ampicilin sodium 1g serbuk injeksi Rp 8,649.00 vial PSM40047 0
21 Antalgin (methampiron) tablet Rp 220.00 tablet 0
22 Antasida DOEN suspensi Rp 2,189.00 botol A00627 Aug-23 0
23 Antasida DOEN tablet komb (dws) Rp 60.00 tablet A92281 Agu-22/Mar-23 0
24 Anti bakteri DOEN salep kombinasi Rp 3,187.00 pot 1806007 Jun-22 0
25 Anti Bisa Ular Serum Rp 517,132.00 vial 4700420 Sep-22 0
26 Anti hemoroid DOEN kombinasi Rp 3,250.00 suppos F11627W Jun-23 0
27 Aqua pro injeksi Rp 2,860.00 vial 82E47A Mar-22 0
28 Artemeter Inj. 80 mg ampul 0
29 Artesunate inj Rp 57,585.00 vial LA180317 Feb-21 0
30 Asam ascorbat vit. C tab. 50mg Rp 110.00 tablet E00132BJ Apr-23 0
31 Asam Asetilsalisilat (asetosal) tablet 80 mg Rp 105.00 tablet A92162 Aug-21 0
32 Asam folat tablet/kapsul/kaplet 0,4mg Rp 43.00 tablet 210606365 Jun-23 0
33 Asam mefenamat kaplet 500 mg Rp 314.60 kaplet HTMECA15920 Oct-23 0
34 Asam traneksamat injeksi 50 mg/ml Rp 9,845.00 ampul 3272046 Feb-23 0
35 Atropin Sulfat injeksi 0,25mg/ml-1ml Rp 1,718.00 ampul 97LE0087 2-21/5-21 0
36 Atapulgit tablet 600mg Rp 155.00 tablet HG0321 Jul-22 0
37 Azitromicyne tab 500 mg Rp 1,250.00 tablet H02099J Aug-25 0
38 Besi II sulfat 200 mg + asam folat 0,25 mg Rp 372.00 tablet 5-21/7-21/5-22
E90141BB/G900333BB/E00025BB 0
39 Betahistin tablet 6mg Rp 88.00 tablet 52CO203 Mar-23 0
40 Betametason krim 0,1 % Rp 2,439.00 tube 26455002 Sep-22 0
41 Bisakodil tab 5mg Rp 327.00 tablet 0
42 Bisakodil suppositoria 10mg suppos 0
43 Bisakodil suppositoria 5mg Rp 27,327.30 suppos 19030457 5-24/6-24 0
44 Bisoprolol tablet 5mg Rp 237.00 tablet 0
45 Captopril 12,5mg Rp 69.00 tablet 95323011 Jul-24 0
46 Captopril 25mg Rp 75.00 tablet 95324048 Jul-23 0
47 Cendo Lyteers 15ml Rp 24,750.00 botol 9L0201 Feb-22 0
48 Cetirizin sirup 5mg/5ml Rp 12,375.00 botol 25421G0010 Jul-23 0
49 Cetirizin tablet 10 mg Rp 299.20 tablet 20621F0020 Jun-23 0
50 Ciprofloxacin tablet 500mg Rp 379.00 tablet 1608-44-108 Aug-21 0
51 Clobazam tab
Combivent 10mg
UDV:Ipratropium Br Rp 776.00 tablet 51C0282 Feb-23 0
52 0,5mg+Salbutamol 2,5mg inhalasi botol 0
53 Deksametason injeksi 5 mg/ml - 1ml Rp 1,152.00 ampul F0H672 Aug-22 0
 Stok Awal
Pada File Stok
Obat Bulan
Yang Sama
Tanggal
No. Uraian Persediaan Harga Satuan Satuan No Batch Stok Awal Penerimaan Persediaan
Kadaluarsa
1 2 3 4 5 6 7 8 9=(7+8)
54 Deksametason tablet 0,5mg Rp 99.00 tablet D08C5010 Jun-25/Sep-25 0
55 Dekstrosa Larutan infus 40% Rp 11,495.00 kolf 91D50B Apr-22 0
56 Desinfektant larutan botol 0
57 Diazepam inj 5mg/ml-2 Rp 1,822.00 ampul F8D370 Jul-23 0
58 Diazepam larutan rektal 10 mg/2,5 mL Rp 19,193.00 tube W23691713 Dec-22 0
59 Diazepam larutan rektal 5 mg/2,5 mL Rp 13,202.00 tube u23681716 Apr-22 0
60 Diazepam tablet 2mg Rp 86.00 tablet A3106FX Jun-24 0
61 Diazepam tablet 5mg Rp 114.00 tablet 1511002 Oct-23 0
62 Dietilcarbamazin tab 100 mg Rp 164.00 tablet 0
63 Difenhidramin HCL inj 10mg/ml-1ml Rp 1,152.00 ampul 06342014-1/16342022-2 9-21/9-22 0
64 Digoksin tablet 0,25mg Rp 104.00 tablet A86211W Sep-21 0
65 Doksisiklin kapsul 100 mg Rp 264.00 kapsul 52co141 May-23 0
66 Domperidon suspensi Rp 2,781.00 botol 1911828186 Oct-21 0
67 Domperidon tablet 10 mg Rp 86.00 tablet 4760226 Dec-21 0
Epinefrin ( Adrenalin ) injeksi 0.1% ( sebagai
68 Rp 1,590.00 ampul 9620GO22017 Jul-22 0
HCL )
69 Etakridin (rivanol) larutan 0,1% Rp 3,432.00 botol 8061788 0
70 Etanol (alkohol) 70 % 1000ml Rp 29,000.00 botol 870190602 Jun-22 0
71 Etanol (alkohol) 70 % 100ml Rp 5,600.00 botol Jun-21 0
72 Ethil Cloride Spray 100 ml Rp 196,900.00 botol 20H0906C Sep-22 0
73 Ergotamin caffein Rp 194.00 tablet A90111B Dec-21 0
74 Erytromisin 500mg Rp 158.00 tablet TO5054AH Sep-21 0
75 Favipiravir 200 mg Rp 14,850.00 tablet B10020N Feb-22 0
76 Fenitoin 100 mg kapsul kapsul 0
77 Fenobarbital injeksi 50mg/ml-2ml Rp 2,081.00 ampul 106803003-2 Dec-21 0
78 Fenobarbital 30mg tablet Rp 180.00 tablet H81563B Mar-24 0
79 Fenofibrat 100 mg kapsul Rp 473.00 kapsul KKFNBAD1170 Feb-22 0
80 Fenofibrat 300 mg kapsul Rp 573.00 kapsul 52C0630 Apr-23 0
81 Fenol Gliserol Tts. Telinga 10% Rp 2,764.00 botol 20LE023 May-22 0
82 Fitominadion (vit. K1)inj 10mg/ml-1ml Rp 4,167.00 ampul 0
83 Fitominadion (vit. K1)inj 2mg/ml-1ml Rp 3,867.00 ampul 36478001 Jan-22/Apr-22 0
84 Fitominadion (vit. K1)tab salut 10mg Rp 797.00 tablet 16381010 Feb-22 0
85 Flufenazin injeksi 25mg/ml Rp 63,986.00 ampul 9EA04250 Aug-22 0
86 Fluor tablet tablet 0
87 Furosemid injeksi i.v./i.m. 10 mg/ml Rp 923.00 ampul 4110083 Dec-22 0
88 Furosemide tablet 40mg Rp 161.00 tablet C80551B Feb-25 0
89 Formuno Rp 8,228.00 0
90 Garam Oralit untuk 200ml air Rp 281.00 sak 06370CBCC Jun-23 0
91 Gemfibrozil 300 mg kapsul kapsul 0
92 Gentamisin injeksi Rp 3,685.00 ampul 0
93 Gentamisin salep kulit 0,1% Rp 2,937.00 tube 429 Sep-23 0
94 Gentamisin salep mata 0,3% Rp 2,810.00 tube 1454001A Jun-23 0
95 Gentamisin tetes mata 0,3% botol 0
96 Gentian Violet larutan 1% botol 0
97 Glibenklamid Tab 5 mg Rp 183.70 tablet C70304J Mar-22 0
98 Glimepiride tablet 2mg Rp 660.00 tablet BN50E0213 1-Apr-22 0
99 Glimepiride tablet 4mg Rp 291.00 tablet D90906J Apr-23/Jan-24 0
100 Gliseril Guayakolat tablet 100mg Rp 107.80 tablet 171373T Sep-22 0
101 Glukosa Larutan Infus 5% steril Rp 7,363.40 kolf 200907 Aug-23 0
102 Haloperidol 50 mg/ml injeksi Rp 101,300 ampul Mar-23 0
103 Haloperidol tablet 0,5mg Rp 55.00 tablet A1804HX Aug-22 0
104 Haloperidol tablet 1,5mg Rp 59.00 tablet A1913FX Jun-25 0
105 Haloperidol tablet 5mg Rp 60.00 tablet A00542 Feb-23 0
106 HBIG Rp 1,325,000.00 vial H2MAE00063 May-23 0
107 Heparin sodium Rp 60,999.40 tube 594G17 Jul-21 0
108 Hidroklortiazid
Human tetanus(HCT) tab 25 mginjeksi i.m
imunoglobulin Rp 156.00 tablet E160426B Jun-22 0
109 250ui Rp 146,800.00 ampul P180029725 Oct-22 0
110 Hydrokortison krim 2,5% Rp 2,640.00 tube I61124T/D80745T Apr-22 0
111 Ibupropen suspensi 100mg/5ml botol 0
112 Ibupropen tablet 200mg tablet 0
113 Ibupropen tablet 400mg Rp 380.00 tablet T09135AJ Feb-23 0
114 IMBOOST Force Rp 5,808.00 tablet 20c0052 Apr-23 0
115 Isoniazid (INH) tablet 100 mg Rp 228.00 tablet A904237 Jun-22 0
116 Isosorbid Dinitrat tablet 5mg Rp 93.00 tablet A2326FU Jun-21 0
117 KA-EN
Kalsium3B Larutan(Ca
glukonat Infus
Glukonas 10) injeksi i.v Rp 11,231.00 Apr-22 0
118 10% (100mg/ml) Rp 9,955.00 vial 97KF0063 Jan-22 0
119 Kalsium Karbonat kaplet 500mg Rp 430.00 kaplet 171041 Jun-21 0
120 Kalsium Laktat(kalk) tablet 500mg Rp 63.00 tablet A81519/A91870 7-22/8-23 0
121 Kandesartan tab 8mg Rp 212.00 tablet 51B4203 Jan-22 0
122 Kandesartan 16mg Rp 319.00 tablet 52B4119 Jan-23 0
123 Karbamazepin tablet Rp 247.00 tablet A92546 Apr-23 0
124 Ketorolac 30mg injeksi Rp 1,089.00 ampul 9618L0252A Jun-23 0
 Stok Awal
Pada File Stok
Obat Bulan
Yang Sama
Tanggal
No. Uraian Persediaan Harga Satuan Satuan No Batch Stok Awal Penerimaan Persediaan
Kadaluarsa
1 2 3 4 5 6 7 8 9=(7+8)
125 Ketokonazol krim 2 % Rp 2,577.00 tube E90622T May-23 0
126 Ketokonazol tab 200 mg Rp 260.00 tablet HTKCZH13101 May-23 0
127 Ketoprofen suppostoria 100mg Rp 2,380.00 suppos 68C189 Mar-21 0
128 Klindamisin 150mg Rp 770.00 tablet EDF175 Jun-22 0
129 Clindamycin Hcl 300 mg Rp 1,848.00 tablet C08004AJ Jan-24 0
130 Klopidogrel tab 75mg Rp 1,404.00 tablet 50L0360 Nov-21 0
131 Kloramfenikol kapsul 250mg Rp 320.00 kapsul 180101251/180609251 Jan-22/Jun-22 0
132 Kloramfenikol kapsul 500mg Rp 1,222.00 kapsul Jan-22 0
133 Kloramfenikol salep mata 1% Rp 2,054.00 tube D81081W Mar-22 0
134 Kloramfenikol tetes mata (Reco tetes mata) Rp 11,935.00 Dec-21 0
135 Klorfeniramin Maleat (CTM) tab.4mg Rp 25.00 tablet 190820152/20302710 Aug-21/Okt-21 0
136 Klorpromazin injeksi 25 mg/ml (HCl) Rp 1,398.00 ampul 36329002 Sep-22 0
137 Klorpromazin tablet 100 mg Rp 157.00 tablet A91297 Jul-22 0
138 Klorpromazin tablet 25 mg tablet 0
139 Klozapin 100 mg Rp 3,622.00 tablet 5160086 Jun-22 0
140 Klozapin 25 mg Rp 473.00 tablet 50E0337 Mar-22 0
141 Kodein tablet 10 mg Rp 600.00 tablet 6121705 Jul-25 0
Kombinasi tetes mata 2,5 mg/mL: Natrium klorida 8,664 mg;
142 Kalium klorida 1,32 mg(Cendo lyterr) botol 0
143 Kotrimoksazol
Kotrimoksazol 480
fortemg tablet dewasa
kombinasi: Rp 133.00 tablet A91840/A01067 7-22/4-23 0
144 sulfametoksazol 800 mg + trimetoprim 160 mg Rp 323.00 tablet TPJ65646 Aug-22 0
145 Kotrimoksazol Pediatrik tablet tablet 0
146 Kotrimoksazol Suspensi Rp 2,190.00 botol A91425 Dec-22 0
147 Lidokain jeli 2% Rp 44,391.00 syiringe 0
148 Lidokain Kompositum injeksi Rp 1,286.00 ampul 171CO46 Oct-23 0
149 Lidokain spray Rp 170,400.00 botol 0
150 Lisol Rp 45,100.00 botol Mar-22 0
151 Loperamid tab 2 mg tablet 0
152 Magnesium Sulfat Injeksi 20 % Rp 3,328.00 vial 93E49C 2/1/2022 0
153 Magnesium Sulfat Injeksi 40 % Rp 3,796.00 vial 92C48A/76I48B 9-20/6-21 0
154 MDT Combi Dewasa MB Rp 41,240.00 blister BHZ9323 1-Mar-23 0
155 Meloksikam tab 15mg Rp 339.90 tablet 200904175 1-Sep-22 0
156 METAMIZOLE 500 mg tab Rp 243.10 tablet 200807142 Aug-23 0
157 Metformin HCL tab 850 mg Rp 177.00 tablet 080279 Jul-21 0
158 Metformin HCL tab 500 mg Rp 77.00 tablet HTMFNA92007 6-21/5-22 0
159 Metilegometrin Maleat inj 0,200 mg-1 ml Rp 3,102.00 ampul 97LC0052 Nov-20 0
160 Metilegometrin Maleat tab 0,125 mg Rp 221.00 tablet DE1081J Jul-22 0
161 Metilprednisolon tablet 4 mg Rp 146.00 tablet MOEBY030 May-22 0
162 Metoklopramide tablet 5 mg Rp 124.00 tablet Jun-22 0
163 Metronidazol infus 5mg/ml botol 0
164 Metronidazol tablet 500mg Rp 286.00 tablet 8J912616-20 Okt-21 0
165 Mikonazol krim salep 2 % Rp 3,585.00 tube L73352W/68190W Sep-23 0
166 Mineral Mix sak 0
167 Misoprostol tablet 0
Multivitamin Sivit Zink Rp 585.00 tablet A02438 Nov-22 0
168 N-asetil sistein Rp 401.00 tablet 18AS1120 Dec-20 0
169 Natrium Diklofenak tablet 50mg Rp 136.00 tablet 16365029 May-21 0
170 Natrium Diklofenak tablet/kapsul/kaplet 25mg Rp 141.00 tablet 16364103/16364088 Jan-22 0
171 Natrium Klorida larutan infus 0,9% Rp 6,839.80 kolf 250510 Mar-24 0
172 Nifedipin tab 10 mg tablet 0
173 Nifedipin 20mg ER Rp 3,350.00 tablet CM63884 May-21 0
174 Nistatin 100.000 iu/g tablet vaginal Rp 830.00 ovula 95372007 Feb-22 0
175 Nistatin 500.000 tablet salut Rp 886.00 tablet 16371003 Apr-21 0
176 OAT - FDC kategori anak Rp 260,526.00 paket 26493014 Nov-21 0
177 OAT - FDC kategori I Rp 436,243.00 paket G92522J/1943047 6-22/11-22 0
178 OAT - FDC kategori II Rp 1,454,232.00 paket 16472013-1 May-22 0
179 OAT Kombipak Kategori I paket 0
180 Obat Anti Malaria Rp 4,149.00 tablet 180338 Mar-21 0
181 Obat Batuk Hitam (OBH) cair botol 0
182 Ofloksasin tetes telinga 3% botol 0
183 Oksimetazolin tetes hidung 0,025% botol 0
184 Oksitetrasiklin HCL salep mata Rp 2,774.00 tube 181760W Jun-21/Okt-21 0
185 Oksitetrasiklin salep kulit 3 % Rp 3,585.00 tube F116421J Jun-23 0
186 Oksitosin inj Rp 1,199.00 ampul 97LF0022/9620H0237A 7-21/8-23 0
187 Omeprazol 40 mg/2 ml injeksi Rp 10,670.00 vial 21EO76A/22090 Jan-21/Okt-22 0
188 Omeprazol kapsul 20 mg Rp 144.00 kapsul 17091053 Sep-21 0
189 Ondansetron tablet 8 mg Rp 369.00 tablet 18ON4001 Jul-22 0
190 Ondansetron 4 mg/2 ml injeksi Rp 1,153.00 ampul 4200254 Feb-22 0
191 Oseltamivir 75 mg Rp 7,000.00 tablet 210V2029 Mar-25 0
192 Oronamin C Rp 5,000.00 botol 0
193 Papaverin tab tablet 0
194 Parasetamol drop 100mg/ml Rp 6,981.00 botol 1907043 Jul-21 0
 Stok Awal
Pada File Stok
Obat Bulan
Yang Sama
Tanggal
No. Uraian Persediaan Harga Satuan Satuan No Batch Stok Awal Penerimaan Persediaan
Kadaluarsa
1 2 3 4 5 6 7 8 9=(7+8)
195 Parasetamol Sirup 120mg/5ml Rp 1,181.00 botol A01022 Apr-23 0
196 Parasetamol tablet 500mg Rp 274.00 tablet G10035BM Jul-23 0
197 Parasetamol suppositoria 125mg Rp 15,177.80 suppos R001J016 Mar-22 0
Paracetamol 10 mg/ml Infus botol 46802017BF Aug-23 0
198 Perak sulfadiazin Rp 20,700.00 tube 35g 0719AL Apr-23 0
199 Permetrin krim 5% Rp 11,466.00 tube EC6123 Jul-23 0
200 Piracetam 800 mg Rp 900.90 tablet CPMA00112 Sep-22 0
201 Pirantel Pamoat tablet 125mg Rp 328.00 tablet 1906079 Jun-21 0
202 Pirantel Pamoat susp 125mg/5ml Rp 10,778.00 botol 2908014 Aug-21 0
203 Piridoksin (Vitamin B6) tablet 10mg Rp 138.00 tablet F70901B/B90305B Jan-22 0
204 Piridoksin (Vitamin B6) tablet 25mg tablet 0
205 Piroxicam 20 mg Rp 155.10 kapsul 200930154 Sep-22 0
206 Povidon Iodida lar 10% 1000 ml botol 0
207 Povidon Iodida lar 10% 30 ml botol 0
208 Povidon Iodida lar 10% 300 ml Rp 20,700.00 botol 8061888/160418888 Mei-21/Mar-21 0
209 Povidon Iodida larutan 10% 60 ml Rp 4,070.00 botol 24091988 Mar-22 0
210 Prednison tablet 5mg Rp 77.00 tablet 1804064/1901142 Mar-22 0
211 Primakuin tablet 15mg Rp 253.00 tablet 6386004 May-21 0
212 Propanolol HCL tablet 10mg Rp 61.00 tablet 1004043 Apr-23 0
213 Propanolol HCL tablet 40mg tablet 0
214 Propiltiourasil tablet/kapsul/kaplet 100 mg tablet 0
215 Ranitidin inj 25 mg/2 ml Rp 1,188.00 ampul F10356711 Aug-22 0
216 Ranitidin tab 150 mg Rp 169.40 tablet HTRNTA74117 5-22/9-23 0
217 Retinol (Vitamin A) 100.000 IU kapsul lunak Rp 323.00 kapsul 17252W Aug-21 0
218 Retinol (Vitamin A) 200.000 IU kapsul lunak Rp 579.00 kapsul A00149W/F91040W 1-23/8-24 0
219 Ringer laktat larutan infus steril Rp 7,630.00 kolf 371219 Nov-22 0
220 Risperidone 2 mg Rp 123.00 tablet 51E0556 May-23 0
221 Salbutamol sulfate cairan ih 1mg/ml Rp 4,900.00 vial 411080 Dec-22 0
222 Salbutamol Tab 2mg Rp 84.00 tablet 16481006/F9160213 7-23/5-23 0
223 Salbutamol
Salep Tab 4mg Asam Salisilat2%
2-4 kombinasi: Rp 102.00 tablet I92345B Aug-23 0
224 +Belerang endap 4% Rp 2,935.00 pot 0905038 May-23 0
225 Salisil bedak 2% Rp 7,700.00 pot HU03B2 Aug-25 0
226 Sefadroksil kapsul 500 mg Rp 451.00 kapsul 6607023/HJ038202 . 0
227 Sefadroksil sirup kering 125mg/ml Rp 4,339.00 botol 6908006 Aug-22 0
228 Sefixim Sirup kering 100 mg/5 ml Rp 4,947.00 botol 52D0044 May-23 0
229 Sefixime kapsul/kaplet 100mg Rp 2,554.86 tablet KCFMB90722 May-21 0
230 Cefotaxime Dry Inj 0.5 gr Rp 3,188.00 vial 52B0416 Jan-23 0
231 Sefotaxime inj 1 gr Rp 9,459.00 vial LCFTA90213 4-21/7-21 0
Windows User:
232 Seftriaxone inj 1 gr vial 0
233 Serbuk kalium permanganat Rp 2,695.00 sase R11071 Jul-21 0
234 Sianokobalamin(vit B12) inj.500mcg/ml Rp 1,136.00 ampul 171D034 Jun-22 0
235 Sianokobalamin(vit B12) tab 50 mcg Rp 78.00 tablet T92382B Aug-24 0
236 Simvastatin 10 mg Rp 68.00 tablet 171397 Apr-23 0
237 Simvastatin 20 mg Rp 205.00 tablet D10553BJ Mar-23 0
238 Spironolakton tab 25 mg Rp 208.00 tablet 50C4235 Feb-21 0
239 Spironolakton tab 100 mg Rp 575.00 tablet 50C0305 Mar-21 0
240 Tiamin HCL mono. (vit B1) tab.50mg Rp 202.00 tablet J00535BJ Oct-25 0
241 Temephos (abate) sak 0
242 Triheksifinidil Hidroklorida tablet 2mg Rp 93.00 tablet 1708154 Aug-22 0
243 Vaksin Rabies (Verorab) Rp 165,000.00 vial RIE741MA Jun-21 0
244 Vaksin Rabies (Rabipur) vial 0
245 Vitamin B Komplek tablet Rp 131.00 tablet 19TC009 Mar-22 0
246 Zinc Rp 555.00 tablet 1706015/26496016 Feb-22/Mar-22 0
247 Zinc sirup 20 mg/5 ml Rp 3,322.00 tablet 012080 Jan-22 0
B Reagent
248 Abate Rp 4,000.00 Jun-22 0
249 Anti-A Monoclonal Golongan Darah (vial 10ml) Rp 77,325.00 vial @10ml 600143-B2 Jun-21 0
250 Anti-B Monoclonal Golongan Darah (vial 10ml) Rp 77,325.00 vial @10ml 610168-A1 Jul-21 0
251 Anti-A,B Monoclonal Golongan Darah (vial 10ml) Rp 101,635.00 vial @10ml 620125-B3 Sep-20 0
252 Anti-D Duoclone Golongan Darah (vial 10ml) Rp 123,195.00 vial @10ml 740169-B3 Jul-21 0
253 AMA Anti-A Monoclonal Antibodies Rp 75,303.03 botol A19061/A200704 Jul-22 0
254 AMA Anti-A,B IgM Monoclonal Antibodies Rp 45,000.00 botol AB190802 May-22 0
255 AMA Anti-B Monoclonal Antibodies Rp 45,000.00 botol AB206502 Jul-22 0
256 AMA Anti-D IgM Monoclonal Antibodies Rp 100,000.00 botol D190908 Jul-22 0
257 Benecheck Plus Blood Glucose Test Strip Rp 3,310.00 strip G21030010 1-23/5-23 0
258 Benecheck Plus Total Cholesterol Test Strip Rp 25,320.00 strip C210200010 May-22 0
259 Benecheck Plus Uric Acid Test Rp 6,132.60 strip U119204120 Oct-22 0
Carestart Malaria HRP2/pLDH (Pf/PAN)
260 Rp 4,830.00 test RMR20D061 Aug-22 0
Combo Cassete
261 Covid-19 Rapid Test Device test 210801E Jul-23 0
262 Dialab Salmonella Paratyphi BH Rp 75,900.00 botol 2785/7140032 Aug-21 0
263 Dialab Salmonella Paratyphi CH Rp 75,900.00 botol Feb-21 0
 Stok Awal
Pada File Stok
Obat Bulan
Yang Sama
Tanggal
No. Uraian Persediaan Harga Satuan Satuan No Batch Stok Awal Penerimaan Persediaan
Kadaluarsa
1 2 3 4 5 6 7 8 9=(7+8)
264 Dynamiker SARS-CoV-2 Ag Rapid Test Rp 57,750.00 test 210102HW Jul-22 0
265 SD Dengue NS1 Ag Rp 61,000.00 pcs 11BDD010A 2-21/4-21 0
266 Giemsa Rp 362,494.00 botol 920820GM Oct-22 0
267 Hematology reagent Rp 11,748,000.00 paket 0
268 Indoreagen KOH 10% 500ml Rp 93,650.00 botol 690619KO Aug-21 0
269 INTEC test pcs 0
270 Kato Katz Rp 4,860,900.00 kit 20190614 Jun-21 0
LAB Strip U11 Plus Urinalysis Rp 430,520.00 strip 0994/9587 May-22 0
271 Larutan Benedic botol 0
272 Larutan Eosin 2% botol 0
273 Larutan H2O2 3% Rp 20,000.00 botol Mar-20 0
274 Larutan HCl 0,1 N 500ml Rp 73,440.00 botol 600817-HC Aug-21 0
275 Larutan HCl 0,1 N 100ml Rp 26,194.00 botol 680718-HC Aug-22 0
276 Larutan Turk Rp 29,994.00 botol 630718TR Sep-22 0
277 Metanol 250cc Rp 43,470.00 botol 28061988 May-22 0
278 Malaria Test Rp 18,040.00 pcs MR17D01 Sep-20 0
Mycotec TB XP (Recombinant) MF-ZN03 :
Rp 244,000.00 paket MF2N03 Jun-22 0
5X100 ml
279 Oil Immersion 100ml Rp 206,394.79 botol 500718-IM Mar-21 0
280 Panbio Covid-19 Ag Rapid Test Device Rp 84,141.91 test 41ADG272A Mar-22 0
Pregnancy (HCG) Rapid Test Dipstick (Urine)
281 Rp 1,668.22 test HCG20120041 Dec-22 0
ACRO
PTS Panel Trigliserides Rp 47,443.90 test E109 Nov-22 0
282 RDT covid-19 Rp 109,000.00 test H20017 Aug-22 0
RDT HBSAg test Oct-22 0
283 Rapid Shipilis Trepocheck Rp 9,300.00 test H19044 Aug-21 0
284 Rapid Test (Vazyme) Rp 295,000.00 test c6603c Sep-21 0
285 Rapid Test Sinocare Rp 118,181.82 test 02G043001 May-21 0
286 Reagen golongan Darah Rp 282,000.00 paket 600143B2 Jun-21 0
287 Reagensia Ziehn Neelsen Rp 245,720.00 paket 015/2020 Oct-22 0
288 Serenity Malaria PF & PV antigen Test Rp 18,522.69 test 20190603 May-21 0
289 Serenity Pregnancy Test Rp 8,490.23 test 20190619 May-22 0
290 SD Bioline HIV 1/2 3.0 Rp 30,100.00 box Jul-22 0
291 SD Bioline Syphilis 3.0 Rp 16,275.00 pcs 06CMD0034 Jul-22 0
292 SD Biosensor Syphillis Rp 20,400.00 pcs QSY1018033 Nov-20 0
293 SD HBsAG WB (Hepatitis) Rp 9,898.00 test 01EME008B Ags-20/Apr-21 0
294 SD HBsAG Rp 15,500.00 test 01ADD008C Dec-20 0
295 SD HIV Rp 11,975.00 test 03ADE008A Apr-21 0
Intec Advanced Quality One Step Anti HIV 1 2
296 Rp 15,875.00 test GJ20070550 Jul-22 0
Tri Line Test Card
297 Strip uric test Benecheck Plus Rp 153,500.00 box u19079062 Feb-21 0
298 Strip Cholesterol benecheck Plus Rp 253,858.03 box c19169080 May-21 0
299 Strip Glucose Benecheck Plus Rp 165,500.00 box G18084059 Jul-21 0
300 Strip Amphetamine Check Test Fokus Rp 7,602.00 pcs 1813060 Jul-20 0
301 Strip Cocain Rapid Test Fokus Rp 7,602.00 pcs Apr-21 0
302 Strip Device Benzodiazepine s (BZD) Rapid Test Fokus Rp 7,602.00 pcs 1813037 May-21 0
303 Fokus HbsAg Cassette Rp 5,641.99 Oct-22 0
304 Strip Morphine (Opiates) Rapid Test Fokus Rp 7,602.00 pcs 1819053 Apr-21 0
305 Strip Marijuana (THC) Rapid Test Fokus Rp 7,602.00 pcs 1813069 Jun-21 0
306 FOKUS New HIV 1/2 3 Line Rp 14,335.00 pcs 1819150 Dec-21 0
307 Strip PP Test Rp 2,132.90 pcs 5061788 Mei-20 0
308 Strip Trigliseride Rp 22,932.80 pcs 0
309 Sysmex Cellpack (PK-30L) Rp 1,751,112.00 botol Feb-21 0
310 Sysmex Stromatolyser -WH (SWH-200A) Rp 1,171,500.00 botol Jun-20 0
311 Sysmex Cell Clean (CI-50) Rp 1,197,900.00 botol Jan-20 0
312 Sysmex Control Eight Check Rp 948,200.00 paket Dec-19 0
313 Tabung VTM Mar-21 0
314 Taishan Sab Antigen Rapid Test Rp 47,500.00 test 2121030034H Mar-23 0
315 Thermal Paper Rp 38,500.00 pcs 0
316 Triglycerides Test Strip 25's Rp 1,017,645.00 box May-21 0
317 TPG Kit Rp 5,250.00 pcs 0
318 Urine test Rp 320,125.00 box 0541/8398 1-Jan-21 0
319 Virocheck HBsAg Rp 8,260.00 test C200007 1-Mar-22 0
Virus Transport Media (VTM) dan swab
320 Rp 53,000.00 pcs 10-21/11-21 0
Dracon (BA-BUN)
321 VIVA DIAC Rapid test Rp 220,000.00 0
322 VIKIA test HIV 1/2 device Rp 14,877.00 pcs Jun-20 0
323 Lituo VTM Kit Rp 54,545.45 pcs 20200620 Jun-21 0
324 Wondfo SARS-CoV-2 Antibody test 0
325 Widal test Rp 591,360.00 paket 0
Obat gigi
326 Biodinamica Tricresolformalina Rp 76,000.00 Sep-21 0
327 BIODINAMICA Paramono Clorofenol Rp 69,000.00 Sep-21 0
328 Caviton white Rp 117,714.00 pot 4847168 Apr-22 0
329 Cavit W Rp 117,714.00 pot Apr-22 0
 Stok Awal
Pada File Stok
Obat Bulan
Yang Sama
Tanggal
No. Uraian Persediaan Harga Satuan Satuan No Batch Stok Awal Penerimaan Persediaan
Kadaluarsa
1 2 3 4 5 6 7 8 9=(7+8)
330 Dental sponge Rp 435,600.00 pcs 0
331 DENPRO Pulp-X Rp 220,076.92 Jan-22 0
332 Denpro Zitemp Zoe Cement Quick Set Rp 67,076.92 box 1541905 Apr-22 0
333 Etil Klorida Spray Rp 119,000.00 botol 0
334 Eugenol Cairan Rp 21,091.00 botol E7104610 May-21 0
335 Glass Ionomer Cement (GIC) Rp 1,063,136.25 paket 0
336 Kapas bola mini (Cotton ball mini) 500gram Rp 75,040.00 box 0
337 Kapas gigi (Dental cotton roll) 12x 50 Rp 36,700.00 box 0
338 Paramonochlorofenol (CHKM) Rp 69,850.00 botol 0
339 Pasta Devitalisasi Pulpa Rp 258,500.00 pot 0
340 Securafill LC Glass Ionomer Filling Cement Rp 473,500.00 Aug-21 0
341 TKF (Tricresol Formalin) Rp 72,676.23 botol 0
342 Zinc Oxide bebas arsenik Rp 67,382.48 botol 0
Obat TB
Clofazimine 100mg (Lamprene) Rp 8,321.00 tablet KD5782 Jul-24 0
Ethambutol 400mg Rp 494.00 tablet SL507 Mar-25 0
Moxifloxacin 400mg Rp 4,303.00 tablet BT1807049A Jun-23 0
Pyrazinamide 500mg Rp 328.00 tablet NPA004C Dec-23 0
Masker N95-1860 Rp 23,510.00 pcs R16309 Nov-21 0
Alat Kesehatan
343 Acticare Antiseptik Handrub 5 Ltr Rp 753,000.00 0
344 ACTICARE Antiseptik Hand Rub Rp 80,622.42 botol 500 ml 227821 Jul-22 0
345 ANTIFECT HAND SANITIZER LIQUID Rp 404,250.00 Galon 5L Mei 22 0
346 Aesculap blades/carbon steel scalpel blad # 21 Rp 3,150.00 pcs 4507259895 31-Oct-20 0
347 Aesculap blades/carbon steel scalpel blad # 22 Rp 3,150.00 pcs Mar-21 0
348 Alat suntik sekali pakai 1 ml Rp 1,190.12 pcs 510 Mei 22 0
349 Aximed Syringe 1cc Rp 968.40 pcs 20181028 Sep-23 0
350 Aximed Syringe 3cc Rp 976.56 pcs 07061888 sept-23 0
351 Aximed Syringe 10cc Rp 1,470.15 pcs 20190405 0
352 serenity Alat suntik sekali pakai 10ml Rp 1,797.43 0
353 Aximed Nonwoven fixation 15cm x 10m Rp 107,087.20 roll 20181201 Sep-23 0
354 Aximed Paper Tape/1.25 cm x 9.14 m Rp 5,635.00 roll 20170601 May-22 0
355 Aximed Lancet 28 G Rp 11,132.00 box 19350 Jun-24 0
356 Alat suntik sekali pakai 3ml Rp 1,092.97 pcs 510/07061888 jun-22/Mei-23 0
357 Alat suntik sekali pakai 5ml Rp 825.00 pcs Feb-22 0
358 Jayamas stera syringe 5 cc Rp 825.00 pcs 80141888 Mar-23 0
359 Alat suntik sekali pakai 10 ml Rp 1,492.70 pcs 1704020493 Apr-22 0
360 Alat suntik sekali pakai 20ml + Jarum 10ml Rp 3,080.00 pcs Apr-20 0
361 Alat suntik sekali pakai 50ml without needle Rp 6,970.04 pcs Feb-21 0
362 Alkohol Swab Ethyl Cosmomed Rp 152.90 pcs GM2104048 Apr-26 0
363 Apron Plastik 75*125cm Rp 2,894.10 pcs Feb-22 0
Apron Standard Onemed Rp 2,602.27 pcs 0
364 Aquagel sterile jely 82 gr Rp 37,152.00 tube 0
365 Alat Pelindung Diri Rp 100,000.00 pcs 0
366 alat pelindung diri (APD) Paket Project Rp 323,500.00 paket 0
367 Baju APD Rp 220,000.00 0
368 Baju APD (berlogo) Rp 280,000.00 0
369 Baju Cover All Rp 363,000.00 pcs 0
370 Betadin sabun cair antiseptik 100ml Rp 23,545.85 botol 01 March 2021 0
371 Blood Lancet 26G Onemed pcs 01042188 Mar-26 0
372 Blue tips 1000µl pcs 0
373 BUR Carbide HighSpeed Round Rp 203,000.00 0
374 Catgut Chromic no.2/0 Rp 6,141.67 pcs Jul-23 0
375 Catgut Chromic no.3/0 Rp 6,141.21 pcs 1605091 Jun-22 0
376 Catgut Plain no 2/0 Rp 6,141.21 pcs Oct-21 0
377 Catgut Plain no 3/0 Rp 6,141.21 pcs Jul-22 0
378 Chirurgic gloves size 6,5 Rp 5,035.71 pair 3017865 Mar-22 0
379 Chirurgic gloves size 7 Rp 5,091.67 pair 3017870 Mar-22 0
380 Cosmomed Alcohol Swabs Rp 32,190.00 Apr-25 0
381 Cosmomed Med Apron(IP) 75x130 Rp 3,304.49 pcs 0
Cosmomed IV Cannula Non Injection Port 18 Rp 7,881.00 pcs 70249/078 May-22 0
382 Disinfektan (wipol) Rp 32,000.00kantong 1.6 L 0
383 Disposable Underpad Rp 4,247.00 pcs 20170508 0
384 Ekomed Pot Dahak Sample container steril Rp 3,014.58 pot 6190503 May-24 0
385 E-care antiseptik hand rub Rp 63,900.00 botol 170512E May-20 0
386 Female chateter no 16 Rp 6,864.00 pcs Jan-21 0
387 Female chateter no 18 Rp 6,864.00 pcs Mar-23 0
388 Cosmomed 2 way Foley catheter CH-18 Rp 15,318.00 pcs 20200430 Apr-25 0
389 Cosmomed 2 way Foley catheter CH-14 Rp 15,318.00 0
REMEDI 2 Ways, Folley Catheter 10ml/cc - 10
390 Rp 11,320.00 pcs 1703020491 Feb-22 0
fr
REMEDI 2 Ways, Folley Catheter 10ml/cc - 12
390 Rp 10,120.00 pcs 1704020493 Mar-22 0
fr
 Stok Awal
Pada File Stok
Obat Bulan
Yang Sama
Tanggal
No. Uraian Persediaan Harga Satuan Satuan No Batch Stok Awal Penerimaan Persediaan
Kadaluarsa
1 2 3 4 5 6 7 8 9=(7+8)
391 Foley Chateter no 14 Rp 10,120.00 pcs Nov-20 0
392 Foley Chateter no 16 Rp 10,120.00 pcs 1704020493 Mar-22 0
393 Foley Chateter no 18 Rp 10,120.00 pcs 1704020493 Mar-22 0
Foley Catheter 2way FR No 18 Rp 11,771.80 pcs 9051010 Apr-24 0
394 Gloves surgical 7.5 Steril (Euroderm) Rp 11,000.00 pair 16G0744 Dec-21 0
395 Gloves surgical 7 Steril (Euroderm) Rp 11,000.00 pair 16G0597 Oct-21 0
396 Gloves surgical 6.5 Steril (Euroderm) Rp 11,000.00 pair 16G0602 Oct-21 0
397 Gloves S Supercare OB, Free Powder Rp 1,100.00 pcs 0
398 Gloves M Supercare OB, Free Powder Rp 1,100.00 pcs Mar-23 0
399 Gloves L Supercare OB, Free Powder Rp 1,100.00 0
400 Handflash Handsanitizer Rp 787,050.00 galon 5L 13140 Apr-22 0
401 Handscoon non steril ukuran L Rp 532.40 pcs 1712031 Okt-22 0
402 Handscoon non steril ukuran M Rp 532.40 pcs 160848167/1705021 Jul-21/Mei-22 0
403 Handscoon non steril
REMEDI Surgical Gloveukuran
SterileSGynecolog - 7 Rp 1,210.00 pcs 1818011 Mar-23 0
404 [Elbow Length] Rp 14,000.00 pcs Jun-22 0
405 Handscoon
Idealcare 2wayobgyn 6,5catheter
foley (Elbow silicone
Length) coated Rp 18,792.00 psg 204 Jan-22 0
406 sterile 16 2way
Idealcare fr foley catheter silicone coated Rp 18,450.00 pcs 8271118 Mar-24 0
407 sterile 18 fr Intravenous Set with Airvent
IDEALCARE Rp 19,950.00 pcs 2911117 Aug-22 0
408 21GX3.75 mm Rp 9,633.38 pcs 238H19 april 2024 0
409 Infrared Thermometer 0
410 Infusion set anak Rp 5,865.00 pcs 2017028 Feb-22/Mei-21 0
411 Infusion set dewasa Rp 5,605.60 pcs 20180930 Aug-23 0
412 IV Catheter No. 18 G Rp 6,900.00 pcs 20170915 Aug-22 0
413 IV Catheter No. 20 G Rp 6,904.70 pcs 20170328 Feb-22 0
414 IV Catheter No. 22 G Rp 7,353.50 pcs 20170930/20170915 Mei-21/Aug-22 0
415 IV Catheter No. 22 WP Rp 7,353.50 pcs 20171120 Oct-22 0
416 IV Catheter No. 24 G Rp 6,900.00 pcs 20171120 Feb-22 0
417 IV Catheter No. 26 G Rp 8,860.50 pcs Apr-21 0
418 IV Catheter
Jayamas No. 20Softpad
Onemed Cath Pro(Underpad) Rp 8,323.70 pcs 200421 Apr-23 0
419 60x90cm Rp 4,578.64 pcs 0
420 Kaca Slide Rp 19,700.00 box 0
421 Kapas berlemak500mg Rp 13,800.00 bungkus 0
422 Kapas pembalut /absorben 250mg Rp 23,499.29 bungkus Oct-21 0
423 Kasa Hidrofil Steril uk. 16x16 (isi 16 lembar) Rp 7,898.78 kotak 100220518/10717 Mei-21/Jul-21 0
424 Kasa Hidrofil uk 36 m x 80 cm Rp 144,429.50 rol 630517 Mei-21/Mei-22 0
Kasa Hidrofil T 40 Yard x 80 cm Plain Rp 163,468.42 0
425 Kasa Kompres DRC 40cmx40cm Rp 1,418.73 bungkus 19021888 Feb-23 0
426 DRC Kasa Pembalut Hidrofil 3,6m x10cm Rp 2,520.67 rol 0
427 Kasa pembalut hidrofil 4m x 10cm Rp 600.00 rol 0
428 Kasa pembalut hidrofil 4m x 5cm Rp 300.00 rol 0
Latex Examination Gloves Powder Free Size S Rp 1,095.45 pcs 0
Latex Examination Gloves Powder Free Size M Rp 1,095.45 pcs 0
Latex Examination Gloves Powder Free Size L Rp 1,095.45 pcs 0
429 Masker ties on Rp 528.00 pcs 001,001,001 Jun-22 0
430 Masker Hijab Ogan Rp 2,986.66 pcs 0
431 Masker Ear Loop Ogan Rp 2,677.80 pcs 0
432 Masker Ear Loop Supercare Green Rp 3,600.00 pcs 0
433 Masker ear loop Rp 383.82 pcs 7878 Jun-22 0
434 Masker Kain Rp 7,000.00 pcs 0
435 MASKER N95 Rp 100,980.00 pcs 0
436 Masker N95 (Mask 3M 8210) Rp 75,000.00 Dec-24 0
437 Masker Nebulizer Anak Rp 24,200.00 pcs 4011688 0
438 Masker Nebulizer Dewasa Rp 24,200.00 pcs 4011688 0
439 Masker Oksigen Anak Rp 546,480.00 pcs 11190701 01 July 2024 0
440 Masker Oksigen Dewasa Rp 12,650.00 pcs 1611021814 Okt-21 0
441 Medikacare 0.5 % TPCL Antiseptik Rp 34,787.50 botol 500 ml Mar-25 0
442 MI GOWN Rp 29,709.44 set Dec-25 0
443 Mucus extractor 25ml Rp 8,300.00 pcs Feb-21 0
444 M-Y Jelly 82 gr Onemed Rp 33,982.50 tube Apr-24 0
445 Jayamas Onemed Mucus Extractor 10 fr Rp 7,744.00 Dec-21 0
446 Nasal Canula oksigen size XS Rp 7,590.00 pcs 170225 Feb-22 0
447 Nasal Canula oksigen size S Rp 7,623.00 pcs Feb-22 0
448 Nasal Canula oksigen size M Rp 7,590.00 pcs 0
449 Nasal Canula oksigen size L Rp 7,623.00 pcs 170225 Mar-25 0
450 Nebulizer Mask Adult GP Care Rp 17,205.00 pcs GM2104035 Apr-26 0
451 Nebulizer Mask Child GP Care Rp 18,204.00 pcs GM2104036 Apr-26 0
452 Papsmear Kit M Rp 21,296.00 Sep-23 0
453 Papsmear Kit L Rp 21,296.00 set 14091888 Aug-23 0
454 Plester 7,5 m x 4,5cm Rp 37,371.00 rol 72414809 Dec-22 0
455 Pot Dahak tutup kuning Rp 5,476.75 pcs 0
456 Protos Exam Gloves Powder M pcs 2010118077 Sep-25 0
 Stok Awal
Pada File Stok
Obat Bulan
Yang Sama
Tanggal
No. Uraian Persediaan Harga Satuan Satuan No Batch Stok Awal Penerimaan Persediaan
Kadaluarsa
1 2 3 4 5 6 7 8 9=(7+8)
457 Protos Exam Gloves Powder L Rp 421.99 pcs 19020102 Jan-24 0
458 Indoreagen Pot Dahak Steril Rp 5,487.28 0
459 Pot Urine sample container Rp 2,320.00 pot 0
460 Policrepe pembalut elastis 7,5cm x 4,5m Rp 30,110.00 rol Jan-21 0
461 Safety Box Onemed Rp 15,950.00 pcs 0
462 Shamrock Surglove PWD No. 6.5 Rp 9,982.50 pair May-22 0
463 Shamrock surglove pwd - 7 Rp 9,982.50 pair Feb-22 0
Shamrock surglove pwd - 7,5 Rp 9,982.50 pair Feb-22 0
464 SMI SILK BLACK 2/0 DS 30 mm Rp 24,621.00 pcs Sep-21/Mar-23 0
465 SMI SILK BLACK 3/0 DS 24 mm Rp 23,777.00 pcs 170912/181205 8-22/11-23 0
466 SOFT TWIST LANCET 28 G Rp 13,800.28 box 100 pcs 20190728 Jul-24 0
467 Silk Benang bedah sutra no.5/0 TS-15 Rp 39,637.01 pcs Jan-25 0
468 Silk Benang bedah sutra no.6/0 TS-15 Rp 35,077.00 pcs 711063 Nov-22 0
Triton S24- Silk Silk/Sutera 2-0, 76 cm
469 Rp 40,810.00 190804EY Aug-24 0
Reverse Cutting, 3/8 circle, 26 mm
470 Spalk Kayu Rp 67,760.00 pcs 0
471 Speculum Sim CCB Plastic ukuran M Rp 13,399.10 pcs 0
472 Speculum Sim CCB Plastic ukuran S Rp 30,000.00 pcs 0
473 Speculum Sim CCB Plastic ukuran L 0
474 Stomach Tube 12 fr (125 cm) Rp 8,518.40 pcs 04051988 Apr-24 0
475 Stomach Tube 14 fr (125 cm) Rp 8,518.40 pcs 15051788 Apr-25 0
476 Stomach Tube 16 fr (125 cm) Rp 36,850.00 pcs 200709B Jun-25 0
477 STERINTECH Flat Sterilization Packaging Reels, size 75mm x 200m Rp 459,800.00 roll 12155 Mar-23 0
478 STERINTECH Gussette Sterilization Packaging Reels, size 200mm x 100m Rp 1,080,772.00 roll 12171 Jan-23 0
479 Sungkup
BD Bayi K3E 5.4 mg Plus Blood
Vacutainer Rp 285,000.00 pcs Sep-21/Mar-23 0
480 Collection TubeFlashback Blood Collection
BD Vacutainer Rp 1,752.54 pcs Mar-21 0
481 Needle Rp 1,776.92 pcs 143413 Feb-22 0
482 Tabung EDTA 3 ml Rp 1,185.79 pcs 180502 May-21 0
483 Tabung EDTA microtube 0.5 ml Rp 1,660.00 pcs 20190310 Dec-21 0
484 Tabung Intherma 3 ml Rp 2,410.00 pcs 0
485 Tabung urine Rp 8,000.00 pcs 0
486 Tranfusi set Rp 5,390.00 pcs 031815Aks Feb-22 0
487 Ultrasonic Gel Rp 217,800.00 botol 0
488 Umbilical Cord Clamp Rp 1,430.00 pcs 28081788 Jul-22 0
489 Urin bag Rp 6,325.00 pcs 20170320 Mar-22 0
490 Winner Finger Bandage 2.2 cm Rp 15,056.80 pcs 190402 Apr-24 0
Winner Transparent Film Dresing 6 cm x 7 cm
491 Rp 348,944.20 pcs 190311 Mar-24 0
With Notch
492 Yellow tips 200µl Rp 185,700.00 pack 0
493 Vacuum Tube EDTA K3 Glass 3 mL Rp 1,782.20 pcs 20201120 Nov-22 0
2 SUMBER LAIN
2.1 JKN
A Obat
1 Ascardia / Asam Asetilsalisilat 80mg tablet DOM234H Dec-22 0
1 Asiclovir krim Rp 3,625.00 tube 1808111 Aug-22 0
2 Alprazolam tablet 0,5mg Rp 88.00 tablet 0
3 Ambroksol tablet 30 mg Rp 197.34 tablet K92854B Nov-21 0
4 Ambroksol sirup 15 mg/5ml Rp 4,711.00 botol B00057B Jan-23 0
5 Amlodipin tablet 5 mg Rp 165.00 tablet B10127B Jan-25 0
6 Amlodipin tablet 10 mg Rp 275.00 tablet B1015BB Jan-25 0
7 Amoksisilin sirup kering 125mg/5ml Rp 5,500.00 botol TDAMXA92044/DAMXA80102/9A809 Apr-21/Jun-21/Sep-21 0
8 Antalgin (metamizole sodium) tablet Rp 275.00 tablet Oct-21 0
9 Antasida tablet 500mg Rp 56.00 tablet 0
10 Anti hemoroid DOEN kombinasi Rp 3,813.00 suppos B80537W Feb-22 0
11 Aquadest pro injeksi Rp 6,500.00 vial 0
12 Asam ascorbat vit. C tab. 50mg Rp 133.02 tablet 0
13 Asam ascorbat vit. C tab. 25mg Rp 83.60 tablet 1405015 May-22 0
14 Asam Mefenamat 500 mg Rp 302.50 tablet TSF37550 May-23 0
15 Asam traneksamat 500mg Rp 1,881.00 tablet TSH42348 Jul-22 0
16 Betametason krim 0,1 % Rp 2,137.12 tube G813L8T Jul-21 0
17 Bisacodil(Dulcolax) tab 5mg Rp 1,540.60 tablet 19050747 Jan-23 0
18 Bisakodil(Dulcolax) suppositoria 10mg Rp 22,693.00 suppos Nov-23 0
19 Bisoprolol tablet 5mg Rp 1,210.00 tablet HTBSPC11132 Feb-24 0
20 Bioplasenton Rp 22,990.00 tube KCBPCA13852 Jun-23 0
21 Buscopan 10mg tab Rp 3,435.63 tablet 19050719 Apr-22 0
22 Buscopan inj 20mg/ml Rp 37,705.70 ampul 826169C Oct-23 0
Captopril 12,5mg Rp 175.23 tablet LOD64BJ Nov-25 0
Captopril 25mg Rp 192.50 tablet C10116BJ Feb-26 0
23 Cendo Xitrol Eye Drops Rp 29,978.00 botol OXO825 Feb-23 0
24 Cetirizine tab 10mg Rp 266.48 tablet Apr-22 0
25 Ciprofloxacin tablet 500mg tablet 46333001 Jun-23 0
26 Combivent UDV:Ipratropium Br 0,5mg+Salbutamo Rp 4,550.00 tube 7984015 Dec-19 0
27 Desoximetason krim 0,25% Rp 10,600.00 tube 2681049 Mei-20 0
 Stok Awal
Pada File Stok
Obat Bulan
Yang Sama
Tanggal
No. Uraian Persediaan Harga Satuan Satuan No Batch Stok Awal Penerimaan Persediaan
Kadaluarsa
1 2 3 4 5 6 7 8 9=(7+8)
28 Dexametason inj Rp 2,306.33 ampul 26337072-1 Dec-22 0
29 Dexamethasone 0,5mg tab Rp 132.00 tablet Dec-23 0
30 Diazepam inj 5mg/ml-2 Rp 1,950.00 ampul F8C311 Mar-20 0
31 Diazepam larutan rectal 10mg/2,5ml Rp 19,193.00 tube U23691705 Jun-19 0
32 Domperidon drops Rp 9,900.00 botol 10123 Mar-23 0
33 Epinefrin ( Adrenalin ) injeksi 0.1% ( sebagai HCL Rp 1,408.00 ampul 47220061 Nov-20 0
34 Fenitoin kapsul 100 mg Rp 152.00 kapsul BN 371011 Oct-19 0
35 Fitominadion (vit K1) inj 2mg/ml Rp 3,867.73 ampul 36478013 Feb-22 0
Fitominadion (vit. K1)inj 10mg/ml-1ml ampul 36382012-2 Jun-23 0
Framycetin Sulfate Rp 11,000.00 pcs IAD0664 0
36 Furosemid tab 40mg Rp 79.00 tablet 080698B Mar-21 0
37 Gentamisin krim 0,1% Rp 2,385.90 tube G81415T Apr-23 0
38 Gentian Violet 1% Rp 3,361.00 botol TO2073 Jul-23 0
Glimepiride tablet 2mg Rp 704.00 tablet HTGMPK Mar-25 0
39 Glimepiride tablet 4mg Rp 660.00 tablet C90515J Mar-23 0
40 Glukosa Larutan Infus 5% steril Rp 7,348.00 kolf iID1195J Sep-23 0
41 Human tetanus imunoglobulin injeksi i.m 250u Rp 176,800.00 ampul 36345811B Jan-21 0
42 Ibuprofen tab 200mg Rp 108.00 tablet 1807-37-177 Jul-20 0
43 Ibuprofen tab 400mg tablet A2236HW Aug-21 0
Isosorbid Dinitrat tablet 5mg Rp 165.00 tablet A23416Y Jul-23 0
44 Kalsium Laktat(kalk) tablet 500mg Rp 59.00 tablet A81239 Mei-20 0
45 Ketokonazole tab 200mg Rp 293.00 tablet 1709-29-103 Sep-21 0
46 Ketoprofen suppostoria 100mg Rp 2,678.00 suppos R003G063 Aug-19 0
47 Ketorolac 30mg injeksi ampul PIG51950 Jun-23 0
48 Klopidogrel tab 75mg tablet 46809021 Apr-24 0
49 Kloramfenikol tetes mata Rp 8,250.00 botol UD90519015 Apr-21 0
50 Kloramfenikol tetes telinga Rp 8,250.00 botol 0100217004/0101218005/0101018004/0100918003 Feb-20/Sept-21/Okt-21/Des-21 0
51 Kloramfenikol salep mata 1% Rp 1,944.00 tube D81071W Apr-21 0
Klorfeniramin Maleat (CTM) tab.4mg Rp 44.00 tablet BU06TIB Feb-25 0
52 Lidocain Compositum inj 2% Rp 2,200.00 ampul 36815005 Apr-24 0
53 Meloksikam 15 mg Tab Rp 693.00 tablet I817948/B90234 Aug-20/Jan-21 0
54 Metilergometrin injeksi 0,2mg/ml Rp 3,850.00 22KO88 Oct-22 0
55 Metronidazol tablet 500mg Rp 220.00 tablet 691770B Jun-24 0
56 Mikonazol krim salep 2 % Rp 3,884.00 tube 273508W Des-21 0
57 Natrium bikarbonat 500mg Rp 57.00 tablet 1704146 Apr-21 0
58 Natrium diklofenak tab 50mg Rp 159.00 tablet 6365040 Nov-20 0
59 Nifedipin tab 10 mg Rp 198.00 tablet 51G4147 Jun-24 0
60 Omeprazole injeksi 40mg/10ml Rp 55,000.00 vial 21H197 Mar-22/Des-20 0
Omeprazol kapsul 20 mg tablet AIM1050 Aug-23 0
61 Oksitetrasiklin salep kulit 3 % Rp 2,009.72 tube D81099W Aug-21 0
62 Oksitetrasiklin salep mata 1% Rp 2,600.00 tube F81770W Jun-21 0
Pantocain 0,5% Rp 13,340.00 botol OP10804 Aug-23 0
63 Parasetamol drop 100mg/ml Rp 9,086.00 botol 232 Dec-22 0
64 Parasetamol suppositoria 125mg Rp 12,980.00 suppos R001I032 Jun-21 0
65 Pirasetam tab 400mg Rp 473.50 tablet May-21 0
66 Piroksikam kapsul 20 mg Rp 146.72 tablet C90677B Feb-24 0
67 Propanolol tab 10mg Rp 100.00 tablet 1805022 Mei-21 0
68 Propylthiouracil 100mg Rp 586.30 tablet 1611004 Jun-20 0
Ranitidin inj 25 mg/2 ml ampul PIK98850 Sep-24 0
69 Salbutamol Tab 2mg Rp 64.00 tablet F91599B May-23 0
70 Salbutamol Tab 4mg Rp 74.00 tablet G91778B Jun-23 0
71 Salep Ichtyol Rp 5,950.00 pot GT56ZIA Jul-24 0
72 Salisil bedak 2% Rp 6,006.00 pot K719985/L825485 Des-23/Nov-24 0
73 Scopma/Hyoscin butylbromide 10mg Rp 1,050.50 tablet 002321 Nov-24 0
74 Sefadroksil sirup kering 125mg/ml Rp 8,200.50 botol LCDA80184/LCFDA80179 12-21/1-22 0
75 Sefixime kap 100mg Rp 1,215.50 kapsul KCFMB01012/KCFMB11045 10-22/2-23 0
Spasminal tab Rp 880.00 tablet HTSPLB Aug-23 0
Thrombophop gel 20g Rp 54,450.00 tube 012A21 Jan-25 0
76 Tramadol injeksi Rp 1,764.00 ampul D80087 Feb-21 0
77 Temephos (abate) Rp 3,520.00 sase 1901030006 Sep-21 0
78 Salbutamol Nebules 2,5mg vial 005029E Apr-23 0
79 Zinc sirup 20 mg/5 ml Rp 5,089.00 botol E7G382 Jul-19 0
B Reagent
80 Larutan Buffer Ph 7,2 Rp 120,000.00 botol 710718-BF72 Sep-20 0
81 Pewarna MDT Rp 350,000.00 paket 220719MO Sep-21 0
82 Strip PP Test Rp 2,036.00 pcs 5061788 Mei-20 0
83 Sysmex Stromatolyser -WH (SWH-200A) Rp 1,265,400.00 botol AM0007 Mar-21 0
84 Sysmex Cell Clean (CI-50) Rp 1,258,400.00 botol A0004 Feb-21 0
85 Sysmex Cellpack (PK-30L) Rp 1,910,700.00 botol AM0022 Dec-21 0
86 Sysmex Control Eight Check Rp 995,500.00 paket 312 Feb-21 0
87 Thermal Paper Rp 39,600.00 rol 0
 Stok Awal
Pada File Stok
Obat Bulan
Yang Sama
Tanggal
No. Uraian Persediaan Harga Satuan Satuan No Batch Stok Awal Penerimaan Persediaan
Kadaluarsa
1 2 3 4 5 6 7 8 9=(7+8)
C Alat Kesehatan
88 Alat suntik catheter tip 50 ml Rp 10,000.00 pcs 4101988 Sep-24 0
89 Alkohol swab Rp 132.01 pcs 200420 May-25 0
90 Ambubag Dewasa pvc Rp 334,500.00 0
Aximed urine drainage bag pcs 0
Aximed Suction Catheter no 6 pcs 20200530 May-25 0
91 Balon Elektroda/EKG Rp 74,333.33 0
92 Cover Shoes Rp 4,256.00 0
93 Deck Glass 20x20mm Rp 44,800.00 0
94 Etil Klorida Spray Rp 187,007.00 botol 10-21/12-21 0
95 Foley chateter no 12 Rp 8,800.00 pcs Oct-20 0
96 Foley catheter no 16 Rp 20,000.00 pcs P18103 Aug-23 0
97 Guedel airway 80mm pcs 1911062753 Oct-24 0
98 Guedel airway 100mm Rp 13,979.00 pcs 20101788 Sep-22 0
99 Handscoon non steril ukuran S Rp 1,799.99 pcs 200421 Oct-25 0
100 Hypafix 15cm x 5m Rp 147,019.00 rol Oct-20 0
101 Id patient adult pink Rp 950.00 pcs Apr-24 0
102 Id patient adult blue Rp 950.00 pcs Apr-24 0
103 Id patient child pink Rp 900.00 pcs Okt-23/Nov-23 0
104 Id patient child blue Rp 900.00 pcs Apr-24 0
105 Jarum kulit (GT) no 11-15 Rp 18,641.00 set 0
106 Jarum Otot (GR) no 10-15 Rp 18,641.00 set 0
107 Kartu golongan darah Rp 27,686.00 pak 0
108 Kertas Ekg Rp 323,376.00 pcs 469785666 0
109 My Jelly 82gr Rp 32,504.00 tube 4091888 Aug-21 0
110 Medika Antiseptic Handrub Rp 59,957.00 pcs 0
111 Masker Nebulizer Dewasa pcs 200097 Apr-25 0
112 Micropore 2 inch Rp 41,440.00 0
Nasal Canula oksigen size L Mar-26 0
113 Nurse Cap Rp 1,115.00 0
Nipro safelet cath IV pu 20Gx1 0
114 Oxymeter standart Rp 278,750.00 0
115 Pot salep 30cc Rp 500.00 pcs 0
116 Pot Urine 50ml Rp 1,100.00 pcs 0
117 Sendok Obat Rp 56,000.00 pak 0
118 Sofratul/Vaselin swab Rp 8,972.00 pcs Nov-20 0
119 Suction chateter + finger uk 6 Rp 4,897.00 pcs 1041788 Mar-23 0
120 Suction chateter + finger uk 10 Rp 4,897.00 pcs 12061888 Mei-23 0
121 Surgical tape Rp 16,225.00 rol Sep-22 0
122 Spalk 8x80 cm Rp 16,500.00 pcs 0
123 Spalk 7x50cm Rp 50,000.00 psg 0
124 Termometer Digital Rp 27,500.00 pcs 0
2.3 VAKSIN/LOGISTIK
1 HB uniject Rp 25,597.00 pcs 3653019 Oct-21 0
2 BCG Rp 66,154.00 ampul 0378G002 Nov-21 0
3 DPT/HB Rp 84,282.00 ampul 5010519 okt-21 0
4 POLIO Rp 21,285.00 ampul 2052618 Jul-21 0
5 CAMPAK RUBELLA (MR) Rp 166,265.00 vial 0129N056 Aug-21 0
6 IPV Rp 158,994.00 ampul 2100718 Des-21 0
7 PCV Rp 249,337.00 vial 0
8 DT Rp 19,195.00 ampul 400919 Feb-23 0
9 TD Rp 16,995.00 ampul 4114618 Jul-21 0
10 ADS 0,05 Rp 1,650.00 pcs 17002 Feb-22 0
11 ADS 0,5 Rp 1,240.00 pcs 1808407 Mar-23 0
12 Disposable syringe 5ml Rp 1,705.00 pcs 18501 Jan-23 0
13 Safety Box Rp 17,286.50 pcs 0
14 Safety Box 5L PCV pcs 0
VAKSIN COVID-19
14 CoronaVac Rp 232,410.20 vial 0
15 Vaksin Covid-19 10 DS Rp 1,473,384.55 0
Vaksin Covid-19 10 DS Rp 1,339,440.50 0
Coronavac @ 2 dosis Rp 861,636.83 0
Moderna COVID-19 Vaccine 0
Vaksin AstaZeneca 0
16 Alcohol swab (Cosmo Med) Rp 97.85 pieces 0
17 Alcohol swab (Onemed) Rp 95.00 pieces 0
18 ADS 0,5 ml (One Ject) Rp 1,185.00 pieces 0
19 ADS 0,5 ml (SKIFA) Rp 1,050.00 pieces 0
20 Safety Box Rp 14,000.00 pieces 0
21 APD Rp 98,450.00 paket 0
 Stok Awal
Pada File Stok
Obat Bulan
Yang Sama
Tanggal
No. Uraian Persediaan Harga Satuan Satuan No Batch Stok Awal Penerimaan Persediaan
Kadaluarsa
1 2 3 4 5 6 7 8 9=(7+8)
TOTAL ASET

Umum BPJS
Jumlah Kunjungan Resep

Mengetahui
Kepala Puskesmas Pengelola Obat Puskesmas

Hupazmi Fajri, S.Kep. Ners Rodelaide, S.Farm., Apt.

NIP. 19860619 200903 1 001 NIP. 19950221 201902 2 003
ARAT

elapa – 33364

Kelapa, 31 Desember 2021

Kepada
Yth. Pengguna Barang
di
Tempat

kan barang dengan rincian barang sebagai berikut :

Kadaluarsa
Pemakaian Keluar Sisa Stok Nilai Permintaan
/Rusak
10 11 12=(10+11) 13=(9-12) 14=(13X3) 15

0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp - exp lama
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp - exp lama
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp - exp lama
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp - exp lama
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp - exp lama
0 0 Rp -
0 0 Rp -
0 0 Rp -
Kadaluarsa
Pemakaian Keluar Sisa Stok Nilai Permintaan
/Rusak
10 11 12=(10+11) 13=(9-12) 14=(13X3) 15
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp - exp lama
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp - exp lama
0 0 Rp -
0 0 Rp - exp lama
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp - exp lama
0 0 Rp - exp lama
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp - exp lama
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
Kadaluarsa
Pemakaian Keluar Sisa Stok Nilai Permintaan
/Rusak
10 11 12=(10+11) 13=(9-12) 14=(13X3) 15
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp - exp lama
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp - exp lama
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp - exp lama
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp - exp lama
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp - exp lama
0 0 Rp - exp lama
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp - exp lama
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
Kadaluarsa
Pemakaian Keluar Sisa Stok Nilai Permintaan
/Rusak
10 11 12=(10+11) 13=(9-12) 14=(13X3) 15
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp - exp lama
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -

0 0 Rp -
0 0 Rp - exp lama
0 0 Rp -
0 0 Rp - exp lama
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
Kadaluarsa
Pemakaian Keluar Sisa Stok Nilai Permintaan
/Rusak
10 11 12=(10+11) 13=(9-12) 14=(13X3) 15
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp - exp lama
0 0 Rp - exp lama
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp - exp lama
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -

0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
Kadaluarsa
Pemakaian Keluar Sisa Stok Nilai Permintaan
/Rusak
10 11 12=(10+11) 13=(9-12) 14=(13X3) 15
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -

0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -

0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp - exp lama
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp - exp lama
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
Kadaluarsa
Pemakaian Keluar Sisa Stok Nilai Permintaan
/Rusak
10 11 12=(10+11) 13=(9-12) 14=(13X3) 15
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
Kadaluarsa
Pemakaian Keluar Sisa Stok Nilai Permintaan
/Rusak
10 11 12=(10+11) 13=(9-12) 14=(13X3) 15
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -

0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
Kadaluarsa
Pemakaian Keluar Sisa Stok Nilai Permintaan
/Rusak
10 11 12=(10+11) 13=(9-12) 14=(13X3) 15
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -

0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
Kadaluarsa
Pemakaian Keluar Sisa Stok Nilai Permintaan
/Rusak
10 11 12=(10+11) 13=(9-12) 14=(13X3) 15

0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -

0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -

0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
Kadaluarsa
Pemakaian Keluar Sisa Stok Nilai Permintaan
/Rusak
10 11 12=(10+11) 13=(9-12) 14=(13X3) 15
Rp -

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Kelapa, 31 Desember 2021

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