PEMERINTAH DAERAH KOTA CIREBON

LAMPIRAN STOK OPNAME BARANG PAKAI HABIS

PUSKESMAS PEGAMBIRAN
PERIODE 01 Jan 2021 S.D. 31 Mar 2021

Gudang JKN - PUSKESMAS PEGAMBIRAN

SALDO AWAL PENERIMAAN PENGELUARAN SALDO AKHIR

NO. BARC. NAMA REKENING SAT. HARGA SAT. JML. JML. JML. JML. STOCK. OPN.
JML. HARGA JML. HARGA JML. HARGA JML. HARGA
BARANG BARANG BARANG BARANG
SUMBER DANA : BPJS
1 2203 Amlodipin Tablet 10 mg Tablet 73.00 0.00 0.00 15,000.00 1,095,000.00 6,946.00 507,058.00 8,054.00 587,942.00 8,054.00
Amoksisilin sirup kering 125 mg/5 ml
2 1010 Botol 2,050.00 770.00 1,578,500.00 0.00 0.00 371.00 760,550.00 399.00 817,950.00 399.00
60 ml
3 1017 Antihemoroid DOEN supp Sup 3,167.01 300.00 950,103.00 0.00 0.00 0.00 0.00 300.00 950,103.00 300.00

4 1017 Antihemoroid DOEN supp Sup 4,416.67 238.00 1,051,166.75 0.00 0.00 171.00 755,250.06 67.00 295,916.69 67.00

5 3048 Asam folat tablet 1 mg Tablet 70.00 20,000.00 1,399,998.00 0.00 0.00 0.00 0.00 20,000.00 1,399,998.00 20,000.00

6 3048 Asam folat tablet 1 mg Tablet 70.00 2,720.00 190,400.00 0.00 0.00 135.00 9,450.00 2,585.00 180,950.00 2,585.00

7 3048 Asam folat tablet 1 mg Tablet 75.00 2,625.00 196,875.00 0.00 0.00 2,625.00 196,875.00 0.00 0.00 0.00

8 3048 Asam folat tablet 1 mg Tablet 172.79 1,500.00 259,182.00 0.00 0.00 0.00 0.00 1,500.00 259,182.00 1,500.00

9 2108 Attapulgit tablet 600 mg Tablet 140.00 997.00 139,580.00 0.00 0.00 997.00 139,580.00 0.00 0.00 0.00

10 2108 Attapulgit tablet 600 mg Tablet 145.00 4,853.00 703,685.00 0.00 0.00 1,752.00 254,040.00 3,101.00 449,645.00 3,101.00

11 2108 Attapulgit tablet 600 mg Tablet 162.00 3,000.00 486,000.00 0.00 0.00 0.00 0.00 3,000.00 486,000.00 3,000.00

12 2109 Bisakodil Suppositoria 10 mg (Stolax) Sup 5,730.00 54.00 309,420.00 0.00 0.00 26.00 148,980.00 28.00 160,440.00 28.00

13 3004 Borax Gliserin 8 ml Botol 2,956.80 244.00 721,459.20 0.00 0.00 60.00 177,408.00 184.00 544,051.20 184.00

14 2096 Deksametason tab 0,5 mg ( Blister ) Tablet 55.00 28,000.00 1,540,030.80 0.00 0.00 0.00 0.00 28,000.00 1,540,030.80 28,000.00

15 2096 Deksametason tab 0,5 mg ( Blister ) Tablet 67.65 7,000.00 473,554.90 0.00 0.00 0.00 0.00 7,000.00 473,554.90 7,000.00

16 2096 Deksametason tab 0,5 mg ( Blister ) Tablet 70.00 12,342.00 863,940.00 0.00 0.00 5,183.00 362,810.00 7,159.00 501,130.00 7,159.00

17 2140 Fe Fumarat + As. Folat 0.4 mg tablet Tablet 352.99 37,020.00 13,067,689.80 0.00 0.00 0.00 0.00 37,020.00 13,067,689.80 37,020.00

18 2140 Fe Fumarat + As. Folat 0.4 mg tablet Tablet 352.99 17,130.00 6,046,752.96 0.00 0.00 0.00 0.00 17,130.00 6,046,752.96 17,130.00

Fitomenadion (Vit K) injeksi 2

19 2137 Ampul 3,690.00 180.00 664,200.00 0.00 0.00 150.00 553,500.00 30.00 110,700.00 30.00
mg/amp
20 1069 Furosemide tablet 40 mg Tablet 141.24 1,000.00 141,243.00 0.00 0.00 77.00 10,875.71 923.00 130,367.29 923.00

21 1075 Glibenklamida tablet 5 mg Tablet 282.56 9,920.00 2,802,993.22 0.00 0.00 1,079.00 304,882.02 8,841.00 2,498,111.19 8,841.00

22 2111 Glimepirid tablet 2 mg Tablet 207.00 10,000.00 2,070,000.00 0.00 0.00 2,375.00 491,625.00 7,625.00 1,578,375.00 7,625.00

23 2111 Glimepirid tablet 2 mg Tablet 210.00 7,083.00 1,487,430.00 0.00 0.00 7,083.00 1,487,430.00 0.00 0.00 0.00
24 2175 Ibuprofen Sirup 200 mg/ 5 ml Botol 4,665.00 1,500.00 6,997,500.00 0.00 0.00 55.00 256,575.00 1,445.00 6,740,925.00 1,445.00
 SALDO AWAL PENERIMAAN PENGELUARAN SALDO AKHIR
NO. BARC. NAMA REKENING SAT. HARGA SAT. JML. JML. JML. JML. STOCK. OPN.
JML. HARGA JML. HARGA JML. HARGA JML. HARGA
BARANG BARANG BARANG BARANG
25 1088 Ibuprofen tablet 400 mg Tablet 320.00 6,442.00 2,061,440.00 0.00 0.00 2,642.00 845,440.00 3,800.00 1,216,000.00 3,800.00

26 1094 Isorbid Dinitrat tablet sublingual 5 mg Tablet 93.98 100.00 9,398.40 0.00 0.00 4.00 375.94 96.00 9,022.46 96.00

27 2033 Kaptopril tablet 25 mg Tablet 79.71 4,000.00 318,824.00 0.00 0.00 3,056.00 243,581.54 944.00 75,242.46 944.00

28 2033 Kaptopril tablet 25 mg Tablet 80.85 1,498.00 121,113.30 0.00 0.00 0.00 0.00 1,498.00 121,113.30 1,498.00

29 1137 Magnesium Sulfat inj (IV) 40 % Ampul 3,800.00 300.00 1,140,000.00 0.00 0.00 12.00 45,600.00 288.00 1,094,400.00 288.00

30 1143 Metilergometrin injeksi Ampul 3,850.00 70.00 269,500.00 0.00 0.00 0.00 0.00 70.00 269,500.00 70.00

31 2045 Metronidazol tablet 500 mg Tablet 235.00 8,480.00 1,992,800.00 0.00 0.00 327.00 76,845.00 8,153.00 1,915,955.00 8,153.00
Mikonazol krim/salep 2% (nitrat) -10
32 2046 Tube 3,415.00 613.00 2,093,395.00 0.00 0.00 87.00 297,105.00 526.00 1,796,290.00 526.00
g
33 2053 Omeprazol kapsul 20 mg Kapsul 347.07 4,878.00 1,693,017.22 0.00 0.00 1,478.00 512,972.42 3,400.00 1,180,044.80 3,400.00

34 2124 Paracetamol drops 60 mg/ 0.6 mL Botol 7,199.50 785.00 5,651,607.50 0.00 0.00 222.00 1,598,289.00 563.00 4,053,318.50 563.00

35 2055 Parasetamol tablet 500 mg ( Blister ) Tablet 81.40 50,000.00 4,070,000.00 0.00 0.00 0.00 0.00 50,000.00 4,070,000.00 50,000.00

36 2055 Parasetamol tablet 500 mg ( Blister ) Tablet 82.50 40,000.00 3,300,000.00 0.00 0.00 757.00 62,452.50 39,243.00 3,237,547.50 39,243.00

37 2125 Permetrim krim 5 % (scabimite) Tube 11,825.00 50.00 591,250.00 0.00 0.00 21.00 248,325.00 29.00 342,925.00 29.00

38 3041 Povidon Iodida 1%, obat kumur Botol 27,393.78 50.00 1,369,689.00 0.00 0.00 13.00 356,119.14 37.00 1,013,569.86 37.00

39 1197 Salisil bedak 2% 50 g Pot 6,426.20 1,504.00 9,665,004.80 0.00 0.00 161.00 1,034,618.20 1,343.00 8,630,386.60 1,343.00

40 2069 Sefadroksil kapsul 500 mg Kapsul 601.92 8,837.00 5,319,167.04 0.00 0.00 747.00 449,634.24 8,090.00 4,869,532.80 8,090.00

41 2115 Setirizin Sirup 5 mg/ 5 ml Botol 2,915.00 267.00 778,305.00 0.00 0.00 220.00 641,300.00 47.00 137,005.00 47.00
Siprofloksasin tablet 500 mg (sebagai
42 2079 Tablet 368.51 5,000.00 1,842,555.00 0.00 0.00 0.00 0.00 5,000.00 1,842,555.00 5,000.00
HCl)
Siprofloksasin tablet 500 mg (sebagai
43 2079 Tablet 480.00 1,756.00 842,880.00 0.00 0.00 716.00 343,680.00 1,040.00 499,200.00 1,040.00
HCl)
Zinc Sirup 20 mg / 5 ml (zirkum kid
44 2118 Botol 3,270.00 57.00 186,390.00 0.00 0.00 57.00 186,390.00 0.00 0.00 0.00
syr)
45 2084 Zinc tablet 20 mg Tablet 505.85 10,000.00 5,058,480.00 0.00 0.00 2,925.00 1,479,605.40 7,075.00 3,578,874.60 7,075.00

JUMLAH BPJS 313,163.00 92,516,519.88 15,000.00 1,095,000.00 42,530.00 14,839,222.16 285,633.00 78,772,297.72

JUMLAH TOTAL 313,163.00 92,516,519.88 15,000.00 1,095,000.00 42,530.00 14,839,222.16 285,633.00 78,772,297.72

KEPALA UPT PUSKESMAS PEGAMBIRAN

dr. Ahmad Subhi Taufiequrrohman

NIP. 19720608 200604 1 014 NIP.
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