BERITA ACARA

STOCK OPNAME ATAS BARANG PERSEDIAN/BARANG HABIS PAKAI

NOMOR : 440/ / XII/BA.STOCK OPNAME/UPT PKM-LJ/2021

Pada hari ini Jumat 31 Desember Tahun Dua Ribu Dua Puluh Satu , saya yang bertanda tangan
di bawah ini telah melakukan stock opname barang/ bahanmedis habis pakai pada Program Lansia dan PTM
UPT Puskesmas Laantula jaya Kecamatan Wita Ponda Untuk Tahun 2021 dengan hasil Persedian
sebesar 141.416.000
( SERATUS EMPAT PULUH SATU RIBU EMPAT RATUS ENAMBELAS RUPIAH )

No. Uraian Satuan STOCK HARGA JUMLAH

Sumber Pengadaan

1 2 3 4 5 6
I Sediaan Obat
2 Allupurinol 100mg Tablet 180 105.00 18,900.00 DID T.A 2020
Antasida DOEN Tablet Kunyah, kombinasi :
Almunium Hidroksida 200mg + Magnesium
2 Hidroksida 200 mg Tablet 90 54.00 4,860.00 APBD T.A 2021
3 Cetrizin Tablet 100 52.00 5,200.00 APBN T.A 2021
4 Hustab Tablet 100 438.86 43,886.00 APBN T.A 2021
5 Klorfeniramin Maleat (CTM) tablet 4 mg Tablet 60 26.00 1,560.00 APBN T.A 2019
6 Noza Tablet 60 797.50 47,850.00 APBDT.A 2021
7 Natrium Diklofenat 25 mg Tablet 140 114.00 15,960.00 APBDT.A 2021
8 Salbutamol 2mg Tablet 50 64.00 3,200.00 APBN T.A 2019
JUMLAH HARGA 141,416.00

Penanggung jawab obat Pengelola Obat Posbindu

UPT Puskesmas Laantula Jaya

RATNAWATI,S.Si.,Apt ISWINARTI NINGSIH

NIP.19801011 200904 2 002 Nip.19860425 2011 01 2 006

Mengetahui ,
Plt . Kepala UPT Puskesmas Laantula Jaya

SITI RAHMI NABITO ,SKM

NIP. 1975129 199301 2 001
 JUMLAH HARGA 141,416.00

Penanggung jawab obat Pengelola Obat Posbindu

UPT Puskesmas Laantula Jaya

ISWINARTI NINGSIH
RATNAWATI,S.Si.,Apt NIP.19860425 201101 2 006
NIP.19801011 200904 2 002
 Penanggung jawab obat
UPTD Puskesmas Laantula Jaya

RATNAWATI,S.Si.,Apt
NIP.19801011 200904 2 002
 obat
ntula Jaya

,Apt
4 2 002
 REKAPAN TAHUNAN LAPORAN OBAT POSBINDU UPT PUSKESMAS LAANTULA JAYA 2021

Saldo Awal Januari 2021 Pemasukan 2021 Pengeluaran 2021 Sisa Stock Akhir Desember 2021
No. Uraian Satuan
Jumlah Price ∑ Rp Jumlah Price ∑ Rp posbindu Lain - Lain Jumlah Price ∑ Rp Jumlah Price ∑ Rp

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
I Sediaan Obat
1 Allupurinol 100mg Tablet 410 105.00 43,050.00 2800 105.00 294,000.00 3030 3030 105.00 318,150.00 180 105.00 18,900.00
2 Allupurinol 300mg Tablet 380.00 600 380.00 228,000.00 600 600 380.00 228,000.00 0 380.00 0.00
3 Amoxicilin 500mg Tablet 265.00 600 265.00 159,000.00 600 600 265.00 159,000.00 0 265.00 0.00
4 Asam ascorbat 250mg Tablet 220.22 600 220.22 132,132.00 600 600 220.22 132,132.00 0 220.22 0.00
5 Acetylsistein 200mg Tablet 2,209.00 300 2,209.00 662,700.00 300 300 2,209.00 662,700.00 0 2,209.00 0.00
6 Acyclovir 400mg Tablet 185.73 100 185.73 18,573.00 100 100 185.73 18,573.00 0 185.73 0.00

Antasida DOEN Tablet Kunyah,

kombinasi : Almunium Hidroksida 200mg
7 + Magnesium Hidroksida 200 mg Tablet 890 56.00 49,840.00 2000 56.00 112,000.00 2890 2890 56.00 161,840.00 0 56.00 0.00

Antasida DOEN Tablet Kunyah,

kombinasi : Almunium Hidroksida 200mg
8 + Magnesium Hidroksida 200 mg Botol 2,098.00 130 2,098.00 272,740.00 130 130 2,098.00 272,740.00 0 2,098.00 0.00

Antasida DOEN Tablet Kunyah,

kombinasi : Almunium Hidroksida 200mg
9 + Magnesium Hidroksida 200 mg Tablet 60.00 600 60.00 36,000.00 600 600 60.00 36,000.00 0 60.00 0.00

Antasida DOEN Tablet Kunyah,

kombinasi : Almunium Hidroksida 200mg
10 + Magnesium Hidroksida 200 mg Tablet 54.00 2300 54.00 124,200.00 2210 2210 54.00 119,340.00 90 54.00 4,860.00

11 Amlodipin 5 mg Tablet 510 82.00 41,820.00 2300 82.00 188,600.00 2810 2810 82.00 230,420.00 0 82.00 0.00

12 Amlodipin 5 mg Tablet 55.00 1800 55.00 99,000.00 1800 1800 55.00 99,000.00 0 55.00 0.00

13 Amlodipin 10 mg Tablet 94.00 2300 94.00 216,200.00 2300 2300 94.00 216,200.00 0 94.00 0.00

14 Asamefenamat Tablet 103.00 100 103.00 10,300.00 100 100 103.00 10,300.00 0 103.00 0.00

15 Betahistin Mesilate 6mg Tablet 260 119.00 30,940.00 119.00 0.00 260 260 119.00 30,940.00 0 119.00 0.00

16 cetrizin Tablet 104.00 600 104.00 62,400.00 600 600 104.00 62,400.00 0 104.00 0.00

17 cetrizin Tablet 52.00 200 52.00 10,400.00 100 100 52.00 5,200.00 100 52.00 5,200.00

18 ciprofloxacin Tablet 90 737.10 66,339.00 737.10 0.00 90 90 737.10 66,339.00 0 737.10 0.00
19 Captopril 25mg Tablet 164.65 700 164.65 115,255.00 700 700 164.65 115,255.00 0 164.65 0.00

20 Captopril 12,5mg Tablet 60.90 200 60.90 12,180.00 200 200 60.90 12,180.00 0 60.90 0.00

21 Captopril 12,5mg Tablet 145.99 200 145.99 29,198.00 200 200 145.99 29,198.00 0 145.99 0.00

22 Captopril 12,5mg Tablet 68.00 700 68.00 47,600.00 700 700 68.00 47,600.00 0 68.00 0.00

23 Dexamatason 0,5mg Tablet 200 184.28 36,856.00 600 184.28 110,568.00 800 800 184.28 147,424.00 0 184.28 0.00

24 Dexamatason 0,5mg Tablet 165.68 100 165.68 16,568.00 100 100 165.68 16,568.00 0 165.68 0.00

25 Donperidon Tablet 90.00 200 90.00 18,000.00 200 200 90.00 18,000.00 0 90.00 0.00

26 Farbion Tablet 1,325.45 800 1,325.45 1,060,360.00 800 800 1,325.45 1,060,360.00 0 1,325.45 0.00

27 Glibenclamida tablet 5 mg Tablet 130 137.00 17,810.00 137.00 0.00 130 130 137.00 17,810.00 0 137.00 0.00

28 Glibenclamida tablet 5 mg Tablet 87.00 700 87.00 60,900.00 700 700 87.00 60,900.00 0 87.00 0.00

29 Geriavita Tablet 2,183.21 1050 2,183.21 2,292,370.50 1050 1050 2,183.21 2,292,370.50 0 2,183.21 0.00

30 Hustab Tablet 438.86 600 438.86 263,316.00 500 500 438.86 219,430.00 100 438.86 43,886.00

31 Ibuprofen Tablet 640.00 3600 640.00 2,304,000.00 3600 3600 640.00 2,304,000.00 0 640.00 0.00

32 Clorfeniramin meleat Tablet 150 26.00 3,900.00 300 26.00 7,800.00 390 390 26.00 10,140.00 60 26.00 1,560.00

33 Natrium Diklofenat 50 mg Tablet 170 145.00 24,650.00 145.00 0.00 170 170 145.00 24,650.00 0 145.00 0.00

34 Natrium Diklofenat 50 mg Tablet 109.00 300 109.00 32,700.00 300 300 109.00 32,700.00 0 109.00 0.00

35 Natrium Diklofenat 25mg Tablet 200 152.00 30,400.00 3700 152.00 562,400.00 3900 3900 152.00 592,800.00 0 152.00 0.00

36 Natrium Diklofenat 25mg Tablet 114.00 1100 114.00 125,400.00 960 960 114.00 109,440.00 140 114.00 15,960.00

37 Noza Tablet 797.50 500 797.50 398,750.00 440 440 797.50 350,900.00 60 797.50 47,850.00

38 Nistatin 100.000 IU Ovula 120 645.00 77,400.00 100 645.00 64,500.00 220 220 645.00 141,900.00 0 645.00 0.00

39 Metronidazol 500mg Tablet 310 264.00 81,840.00 300 264.00 79,200.00 610 610 264.00 161,040.00 0 264.00 0.00

40 Metronidazol 500mg Tablet 288.75 200 288.75 57,750.00 200 200 288.75 57,750.00 0 288.75 0.00

41 Metformin 500mg Tablet 77.00 2000 77.00 154,000.00 2000 2000 77.00 154,000.00 0 77.00 0.00

42 Metylprednisolon Tablet 148.00 300 148.00 44,400.00 300 300 148.00 44,400.00 0 148.00 0.00

43 Paracetamol tablet 500 mg Tablet 200 167.50 33,500.00 1800 167.50 301,500.00 2000 2000 167.50 335,000.00 0 167.50 0.00

44 Paracetamol tablet 500 mg Tablet 165.68 2100 165.68 347,928.00 2100 2100 165.68 347,928.00 0 165.68 0.00

45 Prednison Tablet 320 79.00 25,280.00 200 79.00 15,800.00 520 520 79.00 41,080.00 0 79.00 0.00

46 Simvastatin 10mg Tablet 237.00 600 237.00 142,200.00 600 600 237.00 142,200.00 0 237.00 0.00

47 Simvastatin 10mg Tablet 73.00 400 73.00 29,200.00 400 400 73.00 29,200.00 0 73.00 0.00

48 Salbutamol 4mg Tablet 77.00 300 77.00 23,100.00 300 300 77.00 23,100.00 0 77.00 0.00
49 Salbutamol 2mg Tablet 64.00 100 64.00 6,400.00 50 50 64.00 3,200.00 50 64.00 3,200.00

50 Vitamin B.Comp Tablet 320 144.00 46,080.00 900 144.00 129,600.00 1220 1220 144.00 175,680.00 0 144.00 0.00
Perbekalan Kesehatan
1 Alkohol 1 liter Botol 33,000.00 7 33,000.00 231,000.00 7 7 33,000.00 231,000.00 0 33,000.00 0.00
2 Alkohol 1 liter Botol 37,637.60 1 37,637.60 37,637.60 1 1 37,637.60 37,637.60 0 37,637.60 0.00
3 Betadin 1liter Botol 95,580.00 2 95,580.00 191,160.00 2 2 95,580.00 191,160.00 0 95,580.00 0.00
4 povidon lodida Botol 25,200.00 1 25,200.00 25,200.00 1 1 25,200.00 25,200.00 0 25,200.00 0.00
5 Kapas 250mg Roll 21,533.00 3 21,533.00 64,599.00 3 3 21,533.00 64,599.00 0 21,533.00 0.00
6 Kapas 250mg Roll 31,844.00 3 31,844.00 95,532.00 3 3 31,844.00 95,532.00 0 31,844.00 0.00
7 Lanset Pcs 329.00 4600 329.00 1,513,400.00 4600 4600 329.00 1,513,400.00 0 329.00 0.00
8 Handscoen non steril Uk.M Pcs 470.50 100 470.50 47,050.00 100 100 470.50 47,050.00 0 470.50 0.00
9 Handscoen non steril Uk.M Pcs 472.44 400 472.44 188,976.00 400 400 472.44 188,976.00 0 472.44 0.00
10 Handscoen non steril Uk.M (protos) Pcs 1,509.53 900 1,509.53 1,358,577.00 900 900 1,509.53 1,358,577.00 0 1,509.53 0.00
11 Handscoen steril Uk. 8 Pcs 9,005.00 50 9,005.00 450,250.00 50 50 9,005.00 450,250.00 0 9,005.00 0.00
12 Handscoen steril 7,5 Pcs 9,066.00 25 9,066.00 226,650.00 25 25 9,066.00 226,650.00 0 9,066.00 0.00
13 Masker Semilas Pcs 3,000.19 200 3,000.19 600,038.00 200 200 3,000.19 600,038.00 0 3,000.19 0.00
14 Masker(GP Care) Pcs 580.00 50 580.00 29,000.00 50 50 580.00 29,000.00 0 580.00 0.00
15 Masker Telinga Pcs 3,000.19 100 3,000.19 300,019.00 100 100 3,000.19 300,019.00 0 3,000.19 0.00
16 Masker (Aximed) Pcs 545.16 350 545.16 190,806.00 350 350 545.16 190,806.00 0 545.16 0.00
17 M-I Face Mask Earloop Pcs 856.80 200 856.80 171,360.00 200 200 856.80 171,360.00 0 856.80 0.00
18 Masker Ikat Pcs 1,320.00 100 1,320.00 132,000.00 100 100 1,320.00 132,000.00 0 1,320.00 0.00
19 Masker hijab Pcs 1,070.80 100 1,070.80 107,080.00 100 100 1,070.80 107,080.00 0 1,070.80 0.00
20 Ecare Botol 60,800.00 1 60,800.00 60,800.00 1 1 60,800.00 60,800.00 0 60,800.00 0.00
JUMLAH 609,705.00 16,838,277.10 17,306,566.10 141,416.00
Penanggung jawab obat
UPTD Puskesmas Laantula Jaya Pengelola Obat Posbindu

RATNAWATI,S.Si.,Apt ISWINARTI NINGSIH

NIP.19801011 200904 2 002 NIP.19860425 201101 2 006
141,416.00