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LAPORAN KETERSEDIAAN OBAT DAN PERBEKALAN KESEHATAN

UPTD PUSKESMAS TUNGOI KAB. BOLAANG MONGONDOW


PERIODE JANUARI s/d DESEMBER 2016

STOCK AWAL BERTAMBAH BERKURANG STOK AKHIR


NO NAMA OBAT KEMASAN SATUAN HARGA (Rp) JUMLAH KETERANGAN
TOTAL HARGA JUMLAH TOTAL HARGA JUMLAH TOTAL HARGA TOTAL HARGA
JUMLAH
1 2 3 4 5 6 7 8 9 10 11 12
1 Abbocath18 Kotak 100 Tab 90 - -
2 Abbocath 20 Kotak 100 Tab 4,959 39 193,401 - 19 94,221 20 99,180
3 Abbocath 22 Kotak 30 Amp 4,200 - - - - -
4 Abbocath 24 Botol 100 Tab 86 - - - - -
5 Alat Suntik 1,0 ml Kotak 100 Tab 658 - - 500 329,000 464 305,312 36 23,688
6 Alat Suntik 2,5 ml Kotak 100 Cap 279 - - - - -
7 Alat Suntik 3,0 ml Kotak 100 Cap 1,050 145 152,250 500 525,000 670 703,500 - -
8 Alat Suntik 5,0 ml Btl 60 ml 2,560 227 581,120 300 768,000 284 727,040 209 535,040 24 (Exp Date)
9 Alat Suntik 10 ml Btl 100 ml 3,400 - - - - -
10 Alkohol Swebb sach Kotak 10 Vial 5,225 - - 500 2,612,500 200 1,045,000 300 1,567,500
11 Ampicilin Cap 500 mg Kotak 100 Cap 370 - - - - -
12 Amlodipin 10 mg Kotak 30 Tab 163 165 26,895 2,000 326,000 - 2,000 326,000
13 Amlodipin 5,0 mg Kotak 30 Tab 163 2,086 340,018 5,000 815,000 106 17,278 - - 5100 ( Exp Date )
14 Alprazolam 0,5 mg Kotak 100 Tab 185 - - 3,000 555,000 - 2,440 451,400
15 Allopurinol 300mg Kotak 100 Tab 90 15,432 1,388,880 10,000 900,000 5,056 455,040 21,248 1,912,320
16 Amoxicillin 500 mg Kotak 100 Tab 279 - - 45,000 12,555,000 20,111 5,610,969 24,889 6,944,031
17 Amoxicillin sirup 60ml Kotak24Btl 2,560 287 734,720 450 1,152,000 198 506,880 252 645,120
18 Aminophyllin tab kotak100btl 86 - - 400 34,400 100 8,600 300 25,800
19 Aminophyllin inj kotak30amp 4,200 - - 30 126,000 2 8,400 28 117,600
20 Amitripthyline Tab kotak100tab 254 - - 600 152,400 100 25,400 500 127,000
21 Acyclovir tab 200 mg Kotak 50 Tab 220 - - - - -
22 Acyclovir tab 400 mg Kotak 50 Tab 328 - - - - -
23 Acyclovir Cream 5 g Kotak 24 Tube 3,438 - - - - -
24 Asam mefenamat 500 mg (Glenistan) Kotak 100 Tab 425 1,495 635,375 5,000 2,125,000 2,763 1,174,275 3,732 1,586,100
25 Ambroxol 30 mg Kotak 100 Tab 500 - - 2,000 1,000,000 2,000 1,000,000 - -
26 Alkohol 70 % Botol 100 ml 2,625 3 7,875 3 7,875 - - - -
27 Alkohol Swab Kotak @100pcs 131 - - - - - - -
28 Artesunat inj 60 mg Kotak 1 Vial 38,999 - - 8 311,992 - - 8 311,992
29 Aseptan Botol 39,150 - - - - - -
30 Atropin Sulfat Tab 0,5 mg Kotak 100 Tab 81 - - - - - -
31 Antalgin 500 mg Kotak 100 Tab 151 2,691 405,534 - - - -
32 Antalgin 500 mg Botol 1000 Tab 122 - - - - - -
33 Antasida DOEN Kotak 100 Tab 78 8,105 632,190 43,200 3,369,600 31,303 2,441,634 20,002 1,560,156
34 Antasida DOEN Botol 1000 Tab 31 - - - - - -
35 Antihemoroid DOEN Kotak 10 supp 2,200 - - - - - -
36 Anti malaria DOEN Kotak 100 Tab 520 - - - - - -
37 Antasida DOEN Syrp Botol 100 ml 2,213 - - 300 663,900 296 655,048 4 8,852
38 Asam folat 1 mg Botol100 Tab 5,280 - - - - - - -
39 Asam ascorbat 50 mg Kotak 100Tab 105 4,228 443,940 5,000 525,000 9,228 968,940 - -
40 Aqua Pro inj Steril Kotak 10 Vial 6,050 - - - - 4 24,200
41 Bedak Salisyl 2 % Kotak @ 50 gram 1,350 76 102,600 300 405,000 330 445,500 46 62,100
42 Betametason cream tube 1,596 24 38,304 625 997,500 649 1,035,804 - -
43 Betahistin tablet Kotak 30 tab 1,016 - - 240 243,840 214 217,424 26 26,416
44 Bisoprolol 5 mg Kotak 30 Tab 695 - - 300 208,500 - - - - 300Tab ( Exp Date)
45 Bromhexin 8 mg Tab Kotak 100 Tab 198 - - - - - - - -
46 Brochifar Kotak 100 Tab 711 - - 1,600 1,136,960 - - 221 157,043
47 Bromifar Plus Syr Botol 60 ml 10,760 - - 40 430,400 - - 5 53,800
48 Betametason krim Ktk 25 Tube 1,596 - - - - - -
49 Bexicom C Kotak 100 Tab 1,219 - - - - - -
50 Brocon Tab Kotak 100 Tab 506 - - - - - -
51 Bufacetin Salep (kloramfenicol 2%) Tube 15 Gram 3,409 - - 50 170,450 30 102,270 20 68,180
52 Captopril 12,5 mg Tab Kotak 100 Tab 69 - - 2,500 172,500 1,450 100,050 1,050 72,450
53 Captopril 25 mg Tab Kotak 100 Tab 97 5,292 513,324 10,000 970,000 2,982 289,254 12,310 1,194,070
54 Carbamazepin Tab 200 mg Kotak 100 Tab 271 - - - - - -
55 Clorpheniramin Malet 4 mg Tab/CTM Botol1000Tab 54 77,580 4,189,320 50,000 2,700,000 53,317 2,879,118 74,263 4,010,202
56 Cefixime Kotak 50 Tab 649 - - 200 129,800 200 129,800 - -
57 Cimetidin 200 mg tab Kotak 100 Tab 72 - - - - -
58 Cianocobalamin Tab 50 mg Kotak 100 Tab 63 - - - - -
59 Cetrizin 10 mg tab Kotak 50 Tab 188 - - 200 37,600 200 37,600 -
60 Cefadroxil 500 mg Cap Kotak 100 caps 385 - - - - -
61 Cefadroxil 500 mg Cap Kotak 100 Caps 521 - - - - -
62 Cianocobalamin inj 500 MCg Kotak 100 amp 1,140 - - - - -
63 Ciprofloxasin Kotak 100 240 - - 1,000 240,000 288 69,120 612 146,880
64 Cloramphenicol TTS Telinga 3 % Botol 5 ml 1,320 - - - - - -
65 Cloramphenicol TTS Mata 1 % Kotak 24 Tube 1,680 - - - - - -
66 Cloramphenicol Salep Mata 1 % Tube 5 g 2,500 - - 120 300,000 120 300,000 -
67 Cloramphenicol Susp Botol 60 ml 4,000 - - - - - -
68 Cloroquin Botol 1000 Tab 94 - - - - - -
69 Cotrimoxazol 480 mg Tab Kotak 100 Tab 152 1,227 186,504 20,000 3,040,000 2,368 359,936 18,859 2,866,568
70 Cotimoxazol 120 mg Tab Kotak 100 Tab 77 - - - - - -
71 Cotimoxazol Susp Botol 60 ml 2,298 24 55,152 62 142,476 86 197,628 - -
72 Colfin Kotak 100 944 - - - - - -
73 Co Amoxiclav Ktk @ 30 Tab - - - - - -
74 Curbion syrup Btl 60 mL 10,900 5 54,500 300 3,270,000 305 3,324,500 13 141,700
75 Dapyrin tab kotak 100 Tab 711 - - 600 426,360 410 291,346 - - 190Tab ( Exp Date)
76 Dextrose 5% Botol 500 ml 5,566 55 306,130 - - 53 294,998 2 11,132
77 Dexametason Inj Kotak 100 amp 1,544 167 257,848 700 1,080,800 355 548,120 12 18,528 500 Amp ( Exp Date)
78 Dexamethasone Tab 0,5mg Dus Kotak 100 amp 1,745 - - - - - - -
79 Dexametason Tab 0,5 mg Botol 1000 Tab 1,745 - - - - - - -
80 Dexametason Tab 0,5 mg Kotak 100 Tab 68 2,731 185,708 33,000 2,244,000 32,709 2,224,212 3,022 205,496
81 Dextrometorpan syrp 10 mg/5 ml botol 60 ml 2,970 - - - - - - -
82 Dextrometorpan Tab Kotak 100 Tab 121 - - - - - - -
83 Devosix Drops Botol 15 ml 23,826 - - - - - - -
84 Dextrometorpan Tab Botol 1000 Tab 39 - - - - - - -
85 Diazepam inj 5 mg/ml Kotak 30 Amp 4,598 30 137,940 30 137,940 4 18,392 26 119,548 30amp (Exp Date)
86 Diazepam 2 mg tab Kotak 100 Tab 440 - - - - - -
87 Diazepam 2 mg tab Botol 1000 Tab 44 - - - - - -
88 Diazepam 5 mg tab botol 250 Tab 110 - - - - - -
89 Diphenhydramin Inj I.M 10 mg/ml Kotak 30 amp 1,156 100 115,600 - - - -
90 Digoxin TAB 0,25 mg Kotak 100 Tab 103 1,000 103,000 800 82,400 140 14,420 1,660 170,980
91 Doxicylin 100 mg Kaps Kotak 100 caps 253 - - - - - -
92 Donperidon Tab 10 mg Kotak 100 Tab 133 850 113,050 500 66,500 861 114,513 489 65,037
93 Diltiazem HCL Tab 30 mg Kotak 100 Tab 141 - - 1,600 225,600 1,379 194,439 221 31,161
94 Epedrin HCL TAB Botol 250 Tab 47 - - - - -
95 Epedrin HCL TAB Botol 1000 Tab 21 - - - - -
96 Ephinefrin Inj 0,1 % Kotak 100 Amp 341 - - - - -
97 Ehtylclor Semprot Botol 115,500 - - - - -
98 Erytromicin 500 mg Kaps Kotak 100 caps 781 - - - - -
99 Farsifen Plus Kotak 100 Tab 447 - - - - -
100 Fenorbarbital Inj 50 ml Kotak 30 Amp 1,430 - - - - -
101 Fenorbarbital 30 mg Tab Botol 100 Tab 5,100 - - - - -
102 Fenorbarbital 30 mg Tab Botol 1000 Tab 31 - - - - -
103 Furosemide 40 mg tab kotak 200 Tab 99 958 94,842 - - 458 45,342 500 49,500
104 Fenilbutazon 200 mg Botol 1000 Tab 177 2,000 354,200 - - 1,042 184,538 958 169,662
105 Fenitoin 100 mg kaps Botol 100 cabs 146 - - - - - - -
106 Flunadin Tab Kotak 100 Tab 502 - - - - - - -
107 Ferosulfat 300 mg Botol 1000 Tab 22 - - - - - - -
108 Fytomenadion Inj 10 mg/ml Kotak 30 Amp 1,593 20 31,867 - - 20 31,867 - -
109 Fytomenadion 10 mg Kotak 100 Tab 690 - - - - - - - -
110 Garam Oralit Kotak 100 saset 317 472 149,624 1,600 507,200 336 106,512 136 43,112
111 Gastrucid Tab Kotak 100 Tab 544 - - 1,500 815,625 300 163,125 1,200 652,500
112 Gentamicin Inj 80 mg Kotak 5 amp 3,696 - - - - - 892 3,296,832
113 Gentian Violet Lart 1% Botol 10 ml 1,200 - - 20 24,000 18 21,600 2 2,400
114 Glibenclamide 5 mg Kotak 100 Tab 61 250 15,250 2,000 122,000 14,681 895,541 819 49,959
115 Glass lonomer Btl/Set 434,500 - - - - - -
116 Glyseril Guayakolat Botol 1000 Tab 31 5,006 153,634 1,000 30,690 5,953 182,698 53 1,627
117 Glucotrol xl Tab 10 mg Kotak 30 Tab 3,207 - - - - - -
118 Grisiofulvin 125 mg Kotak 100 Tab 2,000 881 1,762,000 500 1,000,000 1,315 2,630,000 66 132,000
119 Halloperidol 1,5 mg tab Kotak 100 Tab 91 - - - - - -
120 Halloperidol 0,5 mg tab Kotak 100 Tab 74 - - - - - -
121 HydroclortiazidTab 25 mg Botol 1000 Tab 40 - - - - - -
122 Hydrocortison Krim 2,5 % Kotak 24 Tube 3,277 - - - - - -
123 Insulatard injeksi (insulin) Kotak 10 Vial 13,800 10 138,000 - - - - - 10 Vial ( Exp Date)
124 Insuman Comb Kotak 5pen@3m/ 17,000 - - - - - -
125 Ichtiyol SK 15 gr Kotak 12 pot 6,017 - - 10 60,167 10 60,167 - -
126 Ibupropen Syrp 100 Mg Botol 60 ml - - - - - -
127 Ibupropen 400 Kotak 100 Tab 157 870 136,590 1,600 251,200 2,353 369,421 117 18,369
128 Ibupropen 200 Kotak 100 Tab 121 1,114 134,794 1,600 193,600 2,562 310,002 152 18,392
129 Isosorbit Dinitrit TAB Kotak 100 Tab 98 - - 500 49,000 318 31,164 182 17,836
130 Indo Obat Cacing Kotak 25 Tab - - - - - -
131 Kalcium Lactat 500 mg Tab Kotak 100 Tab 76 410 31,160 9,500 722,000 8,557 650,332 1,353 102,828
132 Kasa kompres 2x80 cm kotak100pcs 9,670 20 193,400 - - -
133 Ketoconazole Tab 200mg Kotak 50 Tab 320 1,175 376,000 3,000 960,000 3,683 1,178,560 492 157,440
134 Ketoconazole Cream 2 % tube 5 g 37,620 - - - - - -
135 Klorpromazin 100 mg Tab Kotak 100 Tab 156 470 73,320 - 270 42,120 200 31,200
136 Kuinina 222 mg Tab Botol 1000 Tab 610 - - - - - -
137 Lansoprazole Kaps 30 mg Ktak 20 kaps 9,460 - - - - - -
138 Lantus Solostan Kotak 5 pen 14,400 - - - - - -
139 Lidocain Inj 2% (pehacain) Kotak 20 Amp 3,500 - - 60 210,000 60 210,000 - -
140 Lidocain Inj 2% kotak 10 Amp 2,500 25 62,500 60 150,000 81 202,500 4 10,000
141 Levofloxacin 500mg Tab Kotak 50Tab 581 1,396 811,076 - 1,096 636,776 - - 300 Tab ( Exp date)
142 Lisol Botol 100 ml 53,505 - - 3 160,515 - - 3 160,515
143 Loratadin 10 mg Kotak 50 Tab 170 - - 500 85,000 500 85,000 -
144 Meloxicam 15 Mg Kotak 50 Tab - - - - - -
145 Metacetin syrup Btl 60 mL 9,570 - - - - - -
146 Metformin Kotak 100 Tab 350 2 700 500 175,000 678 237,300 24 8,400
147 Metronidazole tab 250 mg Kotak 100 Tab 116 - - - - - -
148 Metronidazole tab 500 mg (Omenizol) Kotak 100 Tab 400 775 310,000 2,000 800,000 1,605 642,000 1,170 468,000
149 Metyl Ergometri Maleat Tab 0,125 mg Kotak 100 Tab 451 - - 500 225,500 334 150,634 166 74,866
150 Metyl Ergometri Inj kotak 100 Amp 2,684 - - - - -
151 Metyl Prednisolon Kotak 100 tab 1,320 - - - - -
152 Mulsanol Syr Botol 60 ml 8,360 - - 20 167,200 20 167,200 - -
153 Multivitamin utk ibu hamil (Prenase) Kotak 100 tab 550 - - - - - -
154 Mykonazole Cream 2% Tube 5 g 3,737 - - - - - -
155 Neo Envios kotak. 100 kpl 495 - - - - - -
156 NaCL 0,9% Botol 500 ml 4,700 - - 50 235,000 41 192,700 9 42,300
157 Nat. Diclofenak 50 mg (Kemeron) Kotak 50 tab 174 - - 1,000 174,000 576 100,224 424 73,776
158 Nifedipin Tab 20 mg Kotak 100 tab 325 650 211,250 1,000 325,000 684 222,300 966 313,950
159 (Adalat Oros 20 mg) Kotak 100 tab 3,255 - - - - - -
160 Novomix 30 fkx pen Kotak 5 Vial 106,000 - - - - - -
161 Nystatin Kotak 100 Tab 528 - - - - - -
162 Obat Cairan Untuk Luka Bakar Botol 40 ml 254,500 - - - - - -
163 Obat Cairan Untuk Sariawan Botol 40 ml 254,500 - - - - - -
164 OBH Syirup Botol100 ml 2,420 - - - - - -
165 Omeneuron Kotak. 100 kpl 649 - - 700 454,300 700 454,300 - -
166 Oxytetracyclin S.K 3% Tube 5 g 1,715 - - - - - -
167 Omegavit Kotak. 100 kpl 500 580 290,000 5,000 2,500,000 2,335 1,167,500 3,245 1,622,500
168 Omegesic Kotak 100 Tab 550 - - 5,000 2,750,000 745 409,750 4,255 2,340,250
169 Omegdiar Kotak. 100 kpl 495 490 242,550 25 12,375 515 254,925 -
170 Omegdiar Syr Botol 60 ml 5,510 - - - - -
171 Omecal. D Kotak. 100 Tab 390 - - 5,000 1,950,000 1,415 551,850 3,585 1,398,150
172 Omeprazol Caps Kotak. 30 Caps 164 - - 600 98,400 600 98,400 - -
173 Omesolvon Syr Botol 7,700 - - 100 770,000 98 754,600 2 15,400
174 Oxyflow Nasal oxygin Anak Pcs 6,050 - - - - -
175 Oxyflow Nasal oxygin Bayi 6,050 - - - - -
176 Oxyflow Nasal oxygin Dewasa Pcs 6,050 - - - - -
177 Oxytocin inj (Tiacinon) Kotak 10 Amp 1,900 - - - - -
178 OAT FDC Kategori Anak Paket 236,500 - - - - -
179 OAT FDC Kategori.I. Dws Paket 396,000 - - - - -
180 OAT FDC Kategori.II Dws Paket 1,320,000 - - - - -
181 OAT FDC Sisipan Dws Paket 176,000 - - - -
182 Pacdin Baby Cough Syr Botol 60 ml 8,000 - - 120 960,000 99 792,000 21 168,000
183 Papaverin 40 mg Tab Botol 1000 Tab - - - - -
184 Paracetamol Syrp 120ml/5mg Botol 60 ml 1,535 - - - - -
185 Prenase tab ibu hamil Kotak. 100 Tab 285 1,622 462,270 7,000 1,995,000 4,501 1,282,785 3,621 1,031,985 500Tab( Exp Date)
186 Panvit. C Kotak. 100 Tab 980 - - 500 490,000 500 490,000 -
187 Paracetamol 500 mg Tab Kotak 100 Tab 85 43,463 3,685,662 20000 1,696,000 42,625 3,614,600 11,538 978,422 9300 (exp date)
188 Paracetamol 500 mg Tab(Ifitamol) Kotak 100 Tab 242 - - - - - -
189 Plester 5 Yard x 2 Inc KOtak12pcs 25,988 10 259,880 - - 7 181,916 3 77,964
190 Paracetamol Syrp 120ml/5mg Botol 60 ml 1,535 24 36,840 350 537,250 374 574,090 - -
191 Panviton Kotak 50 kapl 1,180 1,305 1,539,900 2,250 2,655,000 2,645 3,121,100 610 719,800 300Tab ( Exp Date)
192 Pharmafix 100 mg Kotak 50 Tab 3,366 - - - - -
193 Pirazinamid 500 mg Kotak 100 Tab 225 - - - - -
194 Piroxicam 20 mg Kotak 100 Tab 395 - - - - -
195 Piroxicam 20 mg ( Omeretik ) Kotak 120 caps 105 - - 5,000 525,000 1,014 106,470 3,986 418,530
196 Piridoxin Tab 10 mg (vit.B6) botol 1000 Tab 30 9,107 273,210 6,000 180,000 14,267 428,010 840 25,200 4010Tab( Exp Date)
197 Pirantel Tab 125 mg Kotak 60 Tab - - - - -
198 Povidon Lodida 10% Botol 30 ml 2,284 21 47,964 170 388,280 174 397,416 17 38,828
199 Povidon Lodida 10% botol 60 ml 4,829 - - - - -
200 Povidon Lodida 10% Botol 300 ml 15,386 - - 10 153,860 3 46,158 7 107,702
201 Povidon Lodida 10% Botol 1000 ml 48,000 - - - - 5 240,000
202 Prednison Tab 5 mg Botol 1000 Tab 69 2,000 137,500 6000 412,500 7000 481,250 1,000 68,750
203 Prednison 5 mg Kotak 100 Tab 125 816 102,000 - 1131 141,375 315 39,375
204 Procain Penicilin inj (PPC) Kotak - - - - -
205 Propanolol 40 mg Botol 100 Tab 80 - - - - -
206 Propyltiorasyl 100 mg (PTU) Botol 100 Tab 330 100 32,953 - 60 19,772 40 13,181
207 Ranitidin 150 mg Tab Kotak 100 Tab 128 1,717 219,776 7000 896,000 8267 1,058,176 450 57,600
208 Ranitidin Inj 25 mg/2 ml Kotak 5 amp 2,827 - - - - -
209 Ringer Laktat Botol. 500 ml 7,150 56 400,400 100 715,000 119 850,850 37 264,550
210 Rivanol Botol 300 cc 4,829 - - 24 115,896 - -
211 Retinol (Vit.A) 100.000 IU Botol. 50 kps 286 - - 1250 357,500 - -
212 Retinol (Vit.A) 200.000 IU Botol. 50 kps 412 - - - - -
213 Stavit kpl Kotak. 100 kpl 715 1,452 1,038,180 500 357,500 1952 1,395,680 - -
214 Simvastatin 10 mg Kotak 30 tab 160 - - 500 80,000 376 60,160 124 19,840
215 Simvastatin 20 mg Kotak 30 Tab 433 - - - - -
216 Salbutamol 2 mg Kotak 100 Tab 65 925 60,125 2500 162,500 3034 197,210 391 25,415
217 Salbutamol 4 mg Kotak 100 Tab 93 - - - - -
218 Salep 2-4 pot @30 Gram 2,200 - - 144 316,800 144 316,800 -
219 Seltifort Kids Sirop Botol. 60 ml 11,000 - - 24 264,000 24 264,000 -
220 Selesbion Plus Kotak 100 Tab 975 - - 2000 1,950,000 2000 1,950,000 -
221 Seviplex Kotak 100 Tab 975 - - 500 487,500 500 487,500 -
222 Stolax Supositoria (Bisacody) Kotak 6 Supp 6,045 8 48,360 30 181,350 38 229,710 -
223 Stomach tab Kotak 100 Tab 300 - - 2000 600,000 250 75,000 1,750 525,000
224 Tramadol 50 mg Kaps Kotak 50 caps - - - - -
225 Tetracyclin 250 mg Kaps Botol 1000 caps - - - - -
226 Tetracyclin 500 mg Kaps Kotak 100 caps 325 70 22,750 3000 975,000 3040 988,000 30 9,750
227 Tilomix Tab Kotak 100 Tab 1,106 - - 5000 5,530,600 700 774,284 4,300 4,756,316
228 Thiamin 50 mg Tab Botol 1000 Tab 41.58 - - - - -
229 Thiamin Inj 100 mg/ml Kotak 30 Amp - - - - -
230 Thiamphenicol Kaps 500 mg Kotak 100 kaps - - - - -
231 Trihexyphenidil Tab 2 mg Kotak 100 Tab - - - - -
232 Tyaxinon inj kotak100amp 2,560 - - 150 384,000 110 40 102,400
233 Vidabion Tab Kotak 100 Tab 560 - - 3000 1,680,000 1085 607,600 1,915 1,072,400
234 Vitalamin Tab Kotak 100 Tab 620 - - 3000 1,860,000 1195 740,900 1,805 1,119,100
235 Vit B. Comp Botol 1000 Tab 24 - - - - -
236 Vit B12 Kotak 100 Tab 112 - - 2900 324,800 2810 314,720 90 10,080
237 Vit Ever Kotak 100 Tab 941 - - - - -
238 Urine Bag Sak 4,400 - - - - -
239 Vaksin Rabies Vero Vial 129,250 - - - - -
240 Zinc Tab 20 mg Kotak 100 Tab 521 - - 1900 989,900 1506 784,626 394 205,274
241 PERBEKKES - - - - -
242 Cat Gut Plain no.3/0 Dos @ 24's 7,286 - - - - -
243 Cat Gut Plain no.2/0 Dos @ 24's 5,583 - - - - -
244 Cat Gut Cromic no.3/0 Dos @ 24's 7,286 - - - - -
245 Cat Gut Cromic no.2/0 Dos @ 24's 5,583 - - - - -
246 Folley Catheter No.24 PCS 9,300 - - - - -
247 Folley Catheter No.20 PCS 10 psg 10,440 - - - - -
248 Folley Catheter No.18 PCS 10 psg 10,440 - - - - -
249 Handscun No.8.0 (Sateglove Surgical) Kotak 50 pcs 4,598 - - 200 919,600 200 919,600 -
250 Handscun No.7,5 (Sateglove Surgical) Kotak 50 pcs 4,598 - - 200 919,600 170 781,660 30 137,940
251 Handscun No.7 steril Kotak 50 pcs 4,598 - - 380 1,747,240 175 804,650 205 942,590
252 Handscoon on Kotak 100 pcs 424 - - 1400 593,782 700 296,891 700 296,891
253 Infuset DWS Sak 4,176 - - - - -
254 Infuset anak Sak 4,568 - - - - -
255 Kapas 250 mg ROLL 12,500 - - 10 125,000 6 75,000 4 50,000
256 Kapas 500 mg ROLL - - - - -
257 Kasa steril 16 x 16 cm ROLL 8,000 - - 60 480,000 40 320,000 20 160,000
258 Kasa pembalut 4 x 5 cm ROLL - - - - 68 -
259 Kasa Kompres 4 x 10 cm ROLL 1,077 - - - - -
260 Kasa Kompres 2 x 80 cm ROLL 9,670 - - 5 48,350 1 9,670 4 38,680
261 Kasa Hydrophyl 4 x 15 cm ROLL 2,100 120 252,000 - 40 84,000 80 168,000
262 Kasa Hydrophyl 40 x 80 cm ROLL 137,025 - - - - -
263 Kokodin Iodine 1 liter Botol 8,974 - - 15 134,610 6 53,844 9 80,766
264 Kasa Penyerap luka Bakar pcs 133,900 - - - - -
265 Molexdine Sol 30 Ml Botol 3,135 10 31,350 0 - 4 12,540 - - 6btl (Exp Date)
266 Masker Kotak 50 pcs 431 50 21,533 1050 452,193 700 301,462 400 172,264
267 Plester 5 Yard x 2 Inc ROLL 25,988 6 155,928 12 311,856 2 51,976 4 103,952
268 Silk Benang Bedah 3/0 (suture) Dos @ 36's 3,988 - - 0 - - - -

JUMLAH 204,520 26,302,516 379,760 97,643,532 328,903 68,860,379 255,377 55,085,669 3,606,380

Lolak, Januari 2017


Kepala Puskesmas Tungoi

JUNAIDI PAMPAILE,S.ST
NIP : 19780716 200212 1 004
SATUAN MUTASI OBAT
NO NAMA OBAT KEMASAN HARGA TOTAL
(Rp) STOK AWAL
TOTAL HARGA TERIMA KELUAR
HARGA
1 2 3 4 5 6 7 8 9

1 Kotak 100 Tab


Allopurin 90 - -
2 Kotak
Aminophyi 30 Amp 4,200 - -
3 AminophyBotol 100 Tab 86 - -
4 Kotak 100 Tab 123
Amitriptil - -
5 Kotak 100 Cap 279
Amoksisil - -
Kotak 100 Cap 1,050
Amoksisil - -
6 Amoksisil Btl 60 ml 2,560 - -
7 AmpicilinBtl 100 ml 3,400 - -
8 Kotak 10 Vial 5,225
Ampicilin - -
9 Kotak 100 Cap 370
Ampicilin - -
10 AmlodipiKotak 30 Tab 163 - -
11 Kotak 30 Tab
Amlodipin - -
12 Kotak 100 Tab 185
Alprazola - -
13 Kotak 100 Tab 990
Alprazola - -
14 Kotak 100 Tab 658
Ajitab Tab - -
15 Kotak 50 Tab
Acyclovir 220 - -
16 Kotak
Acyclovir 50 Tab 328 - -
17 Kotak
Acyclovir 24 Tube 3,438 - -
18 Asam mefKotak 100 Tab 425 - -
19 AmbroxolKotak 100 Tab 500 - -
20 Alkohol Botol
7 100 ml 2,625 - -
21 AlkoholKotak
S @100pcs 131 - -
22 ArtesunatKotak 1 Vial 38,999 - -
23 Aseptan Botol 39,150 - -
24 AtropinKotak
S 100 Tab 81 - -
25 AntalginKotak 100 Tab 151 - -
26 Botol 1000 Tab 122
Antalgin - -
27 AntasidaKotak 100 Tab 78 - -
28 Botol 1000 Tab
Antasida 31 - -
29 AntihemoKotak 10 supp 2,200 - -
30 Kotak
Anti mala 100 Tab 520 - -
31 AntasidaBotol 100 ml 2,213 - -
32 Botol100 Tab 5,280
Asam fola - -
33 Asam ascKotak 100Tab 105 - -
34 Aqua ProKotak
i 10 Vial 6,050 - -
35 BedakKotak
Sal @ 50 gram 1,350 - -
36 Kotak 30 tab 1,016
Betahistin - -
37 BisoproloKotak 30 Tab 695 - -
38 BromhexiKotak 100 Tab 198 - -
39 Kotak
Brochifar 100 Tab 711 - -
40 Bromifar Botol 60 ml 10,760 - -
41 Betameta Ktk 25 Tube 1,596 - -
42 Bexicom Kotak
C 100 Tab 1,219 - -
43 BroconKotak
Ta 100 Tab 506 - -
44 Tube 15 Gram 3,409
Bufacetin - -
45 Kotak 100 Tab
Captopril 69 - -
46 Kotak 100 Tab
Captopril 97 - -
47 CarbamazKotak 100 Tab 271 - -
48 ClorphenBotol1000Tab 54 - -
49 CefiximeKotak 50 Tab 649 - -
50 Kotak 100 Tab
Cimetidin 72 - -
51 CianocobKotak 100 Tab 63 - -
52 CetrizinKotak 50 Tab 188 - -
53 Kotak
Cefadroxi 100 caps 385 - -
54 Kotak
Cefadroxi 100 Caps 521 - -
55 Kotak
Cianocob 100 amp 1,140 - -
56 CiprofloxaKotak 100 240 - -
57 Cloramphe Botol 5 ml 1,320 - -
58 Kotak 24 Tube 1,680
Cloramph - -
59 CloramphTube 5 g 2,500 - -
60 Cloramph Botol 60 ml 4,000 - -
61 Botol 1000 Tab
Cloroquin 94 - -
62 CotrimoxKotak 100 Tab 152 - -
63 CotimoxaKotak 100 Tab 77 - -
64 Cotimoxaz Botol 60 ml 2,298 - -
65 Colfin Kotak 100 944 - -
66 Ktk @ 30 Tab
Co Amoxic - -
67 Curbion sBtl 60 mL 10,900 - -
68 Dapyrinkotak
t 100 Tab 711 - -
69 Dextrose Botol 500 ml 5,566 - -
70 Kotak 100 amp 1,544
Dexametas - -
Kotak 100 amp 1,745 - -
71 Botol 1000 Tab
Dexameta - -
72 DexametaKotak 100 Tab 68 - -
73 Dextrome botol 60 ml 2,970 - -
74 DextromeKotak 100 Tab 121 - -
75 Devosix D Botol 15 ml 23,826 - -
76 Botol 1000 Tab
Dextrome 39 - -
77 DiazepamKotak 30 Amp 4,598 - -
78 DiazepamKotak 100 Tab 440 - -
79 Botol 1000 Tab
Diazepam 44 - -
80 Diazepambotol 250 Tab 110 - -
81 DiethylcKotak 100 Tab 150 - -
82 Diphenhy Kotak 30 amp 1,156 - -
83 DigoxinKotak
T 100 Tab 103 - -
84 Kotak 100 caps 253
Doxicylin - -
85 DonperidKotak 100 Tab 133 - -
86 Kotak 100 Tab 141
Diltiazem - -
87 EpedrinBotol
H 250 Tab 47 - -
88 EpedrinBotol
H 1000 Tab 21 - -
89 Kotak 100 Amp 341
Ephinefrin - -
90 Ehtylclor Botol 115,500 - -
91 Kotak 100 caps 781
Erytromic - -
92 FarsifenKotak
P 100 Tab 447 - -
93 Kotak 30 Amp 1,430
Fenorbarb - -
94 Botol 100 Tab 5,100
Fenorbarb - -
95 Fenorbarb 1000 Tab
Botol 31 - -
96 Furosemikotak 200 Tab 99 - -
97 Botol
Fenilbuta 1000 Tab 177 - -
98 FenitoinBotol 100 cabs 146 - -
99 FlunadinKotak 100 Tab 502 - -
100 Botol 1000 Tab
Ferosulfa 22 - -
101 FytomenaKotak 30 Amp 1,593 - -
102 FytomenaKotak 100 Tab 690 - -
103 GaramKotak
Ora 100 saset 317 - -
104 Kotak 100 Tab 544
Gastrucid - -
105 Gentamici Kotak 5 amp 3,696 - -
106 Gentian Botol
V 10 ml 1,200 - -
107 Kotak 100 Tab
Glibencla 61 - -
108 Glass lon Btl/Set 434,500 - -
109 GlyserilBotol 1000 Tab 31 - -
110 GlucotrolKotak 30 Tab 3,207 - -
111 Kotak
Grisioful 100 Tab 2,000 - -
112 Kotak
Halloperi 100 Tab 91 - -
113 Kotak 100 Tab
Halloperi 74 - -
114 Botol 1000 Tab
Hydroclor 40 - -
115 Kotak 24 Tube 3,277
Hydrocort - -
116 Kotak 10 Vial 13,800
Insulatard - -
117 Kotak 5pen@3m/
Insuman 17,000 - -
118 Ichtiyol Kotak
S 12 pot 6,017 - -
119 IbupropeBotol 60 ml - -
120 Kotak 100 Tab 157
Ibuprope - -
121 Kotak 100 Tab 121
Ibuprope - -
122 Kotak 100 Tab
Isosorbit 98 - -
123 Kotak
Indo Obat 25 Tab - -
124 KalciumKotak
L 100 Tab 76 - -
125 KetoconaKotak 50 Tab 320 - -
126 Ketocona tube 5 g 37,620 - -
127 Kotak 100 Tab 156
Klorprom - -
128 KuininaBotol
2 1000 Tab 610 - -
129 LansoprazKtak 20 kaps 9,460 - -
130 Lantus SoKotak 5 pen 14,400 - -
131 LidocainKotak 20 Amp 3,500 - -
132 Lidocainkotak
I 10 Amp - -
133 LevofloxaKotak 50Tab 581 - -
134 Lisol Botol 100 ml 53,505 - -
135 Kotak 50 Tab
Loratadin 170 - -
136 MeloxicaKotak 50 Tab - -
137 MetacetinBtl 60 mL 9,570 - -
138 Kotak
Metformi 100 Tab 350 - -
139 Kotak
Metronid 100 Tab 116 - -
140 Kotak
Metronid 100 Tab 400 - -
141 Kotak 100 Tab
Metyl Er - -
142 kotak 100 Amp 2,684
Metyl Erg - -
143 Kotak 100 tab 1,320
Metyl Pre - -
144 MulsanolBotol 60 ml 8,360 - -
145 Kotak 100 tab 550
Multivita - -
146 MykonazoTube 5 g 3,737 - -
147 kotak. 100 kpl 495
Neo Envio - -
148 NaCL 0,9Botol 500 ml 4,700 - -
149 Nat. DiclKotak 50 tab 174 - -
150 Kotak 100 tab 3,255
Nifedipin - -
(AdalatKotak
O 100 tab 3,255 - -
151 Novomix 3Kotak 5 Vial 106,000 - -
152 Kotak 100 Tab 528
Nystatin - -
153 Obat CairBotol 40 ml 254,500 - -
154 Obat CairBotol 40 ml 254,500 - -
155 OBH SyiruBotol100 ml 2,420 - -
156 OmeneurKotak. 100 kpl 649 - -
157 Oxytetrac Tube 5 g 1,715 - -
158 Kotak. 100 kpl 500
Omegavit - -
159 Kotak 100 Tab 550
Omegesic - -
160 Kotak. 100 kpl 495
Omegdiar - -
161 Omegdiar Botol 60 ml 5,510 - -
162 Omecal.Kotak.
D 100 Tab 390 - -
163 Kotak. 30 Caps 164
Omeprazo - -
164 Omesolvo Botol 7,700 - -
165 Oxyflow N Pcs 6,050 - -
166 Oxyflow Nasal oxygi 6,050 - -
167 Oxyflow Pcs 6,050 - -
168 Kotak
Oxytocin i 10 Amp 1,900 - -
169 OAT FDC K Paket 236,500 - -
170 OAT FDC K Paket 396,000 - -
171 OAT FDC K Paket ### - -
172 OAT FDC S Paket 176,000 - -
173 Pacdin BaBotol 60 ml 8,000 - -
174 Botol 1000 Tab
Papaverin - -
175 ParacetaBotol 60 ml 1,535 - -
Botol 60 ml 1,119 - -
176 Panvit.Kotak.
C 100 Tab 980 - -
177 Kotak 100 Tab
Paraceta 85 - -
178 Kotak 100 Tab 242
Paracetam - -
Kotak 100 Tab 242 - -
179 ParacetaBotol 60 ml 1,535 - -
180 PanvitonKotak 50 kapl 1,180 - -
181 PharmafiKotak 50 Tab 3,366 - -
182 Kotak 100 Tab 225
Pirazinam - -
183 Kotak 100 Tab 395
Piroxicam - -
184 Kotak 120 caps 105
Piroxicam - -
185 botol 1000 Tab
Piridoxin 30 - -
186 PirantelKotak 60 Tab - -
187 Povidon Botol 30 ml 2,284 - -
188 Povidon botol 60 ml 4,829 - -
189 PovidonBotol 300 ml 15,386 - -
190 PovidonBotol 1000 ml 48,000 - -
191 Botol 1000 Tab
Prednison 69 - -
192 Kotak
Prednison 100 Tab 125 - -
193 Procain Pe Kotak - -
194 Botol 100 Tab
Propanolo 80 - -
195 Botol
Propyltio 100 Tab 330 - -
196 Kotak 100 Tab 128
Ranitidin - -
197 RanitidinKotak 5 amp 2,827 - -
198 Botol. 500 ml 7,150
Ringer La - -
199 Rivanol Botol 300 cc 4,829 - -
200 Retinol Botol.
(V 50 kps 286 - -
201 Retinol Botol.
(V 50 kps 412 - -
202 Kotak. 100 kpl 715
Stavit kpl - -
203 SimvastatKotak 30 tab 160 - -
204 SimvastatKotak 30 Tab 433 - -
205 Kotak 100 Tab
Salbutamo 65 - -
206 Kotak
Salbutamo 100 Tab 93 - -
207 Salep 2-4pot @30 Gram 2,200 - -
208 Seltifort Botol. 60 ml 11,000 - -
209 Kotak 100 Tab 975
Selesbion - -
210 SeviplexKotak 100 Tab 975 - -
211 Stolax SuKotak 6 Supp 6,045 - -
212 Stomach Kotak
t 100 Tab 300 - -
213 Tramadol Kotak 50 caps - -
214 Botol 1000 caps
Tetracycl - -
215 Kotak 100 caps 325
Tetracycl - -
216 TilomixKotak
T 100 Tab 1,106 - -
217 Thiamin Botol 1000 Tab 41.58 - -
218 ThiaminKotak
I 30 Amp - -
219 ThiampheKotak 100 kaps - -
220 Kotak 100 Tab
Trihexyph - -
221 VidabionKotak 100 Tab 560 - -
222 Kotak 100 Tab 620
Vitalamin - -
223 Botol 1000 Tab
Vit B. Co 24 - -
224 Kotak 100 Tab 112
Vit B. Co - -
225 Vit EverKotak 100 Tab 941 - -
226 Urine Bag Sak 4,400 - -
227 Vaksin Ra Vial 129,250 - -
228 Zinc TabKotak 100 Tab 521 - -
PERBEKKES - -
229 Abbocath PCS 4,959 - -
230 Abbocath PCS 4,959 - -
231 Abbocathktk/50 pcs 3,800 - -
232 Abbocathktk/50 pcs 3,800 - -
234 Kotak 100 pcs 848
Alat Sunti - -
235 Kotak 100 pcs 848
Alat Sunti - -
236 Kotak 100 pcs 848
Alat Sunti - -
237 Kotak 100 pcs 978
Alat Sunti - -
238 Alat SuntKotak 100 pcs 1,207 - -
238 Alkohol kotak100pcs
S 982 - -
239 Cat Gut PDos @ 24's 7,286 - -
240 Cat Gut PDos @ 24's 5,583 - -
241 Cat Gut CDos @ 24's 7,286 - -
242 Cat Gut CDos @ 24's 5,583 - -
243 Folley Ca PCS 9,300 - -
244 Folley CaPCS 10 psg 10,440 - -
245 Folley CaPCS 10 psg 10,440 - -
246 HandscunKotak 50 pcs 4,598 - -
247 HandscunKotak 50 pcs 4,598 - -
248 HandscunKotak 50 pcs 4,598 - -
249 Kotak 100 pcs 424
Examinati - -
250 Infuset D Sak 4,176 - -
251 Infuset a Sak 4,568 - -
252 Kapas 25 ROLL 12,500 - -
253 Kapas 50 ROLL - -
254 Kasa steri ROLL 8,000 - -
255 Kasa pemb ROLL - -
256 Kasa Komp ROLL 1,077 - -
257 Kasa Komp ROLL 9,670 - -
258 Kasa Hydr ROLL 2,100 - -
259 Kasa Hydr ROLL 137,025 - -
260 Kasa Elast ROLL - -
261 Kasa Peny pcs 133,900 - -
262 Masker Kotak 50 pcs 431 - -
263 Plester 5 ROLL 25,988 - -
264 Silk BenaDos @ 36's 3,988 - -
Dos @ 36's 3,056 - -
JUMLAH - - - - -

Lolak,
Kepala Puskesmas ………

…………………………………
NIP……………………………
SI OBAT
TOTAL
TOTAL HARGA
STOK AKHIR HARGA
(Rp)
10 11 12

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Lolak, 2016
Kepala Puskesmas ……………………

……………………………………………..
NIP……………………………………..

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