LAPORAN PERSEDIAAN AKHIR

PER 31 DESEMBER 2015

SALDO AKHIR ( 31 DESEMBER 2015 )

NAMA REKENING &
NO
URAIAN BARANG JUMLAH
HARGA SATUAN JUMLAH KETERANGAN
SATUAN

1 5.2.2.01.01
PERSEDIAAN ATK
Balpoint merah 1 Dus 25,000 25,000
Kertas HVS 70 Gr 4 Rim 50,000 200,000
Snelhecter kertas 100 Buah 2,000 200,000
Snelhecter plastik 90 Buah 3,000 270,000
Plakband 5 Buah 17,500 37,500
Stopmap kertas 100 Lembar 1,000 100,000
Sekat berkas 3 Buah 22,500 67,500
Isi Cutter 12 Pack 10,000 120,000
Kwitansi 20 Pack 7,000 140,000
Tinta Stampad 2 buah 8,000 16,000
Dokument Keeper 5 buah 22,000 110,000
Amplop Kecil 2 pack 15,000 30,000
Amplop besar 1 pack 17,500 17,500

JUMLAH 1,333,500

Tanjungharjo,13 Januari 2016

Kepala FKTP Tanjungharjo

dr. FIFIN ERLIANA

NIP. 10750203 200604 2 017
 LAPORAN PERSEDIAAN AKHIR
PER 31 DESEMBER 2015

SALDO AKHIR ( 31 DESEMBER 2015 )

NAMA REKENING &
NO
URAIAN BARANG JUMLAH
SATUAN HARGA SATUAN JUMLAH KESELURUHAN

1 5.2.2.02.04
PERSEDIAAN OBAT OBATAN
1 ACYCLOVIR CREAM TUBE 2,816 235 661,854
2 ACYCLOVIR TABLET 400 MG TAB 336 2,150 722,400
3 ALOPURINOL TABLET 100 MG SET 86 200 17,200
4 AMINOFILIN TABLET 200 MG TAB 38 4,800 183,840
5 AMITRIPTILIN HCL TABLET SALUT 25 MG TAB 112 1,100 123,200
6 AMOKSISILIN KAPSUL 500 MG KAP 261 6,300 1,644,300
7 AMLODIPIN TABLET 5 MG TAB 187 480 89,760
8 ANTASIDA DOEN SIRUP 60 ML/ BTL 2,160 40 86,400
9 ANTASIDA DOEN TABLET KOMBINASI TAB 72 1,700 122,400
10 ANTI BAKTERI DOEN KOMBINASI TUBE 2,516 110 276,760
11 ANTI HEMOROID SUPP 3,045 60 182,700
12 ASAM ASKORBAT (VIT C) TABLET 50 MG TAB 95 5,000 475,000
13 ASAM MEFENAMAT TABLET 500 MG TAB 160 5,000 800,000
14 ATROPIN SULFAT TABLET 0,5 MG TAB 74 1,000 74,000
15 BETAHISTIN MASILAT TABLET TAB 839 500 419,500
16 BETAMETASON KRIM 0,1 % TUBE 1,520 164 249,280
17 CIMETIDIN TABLET 200 MG TAB 104 2,700 280,800
18 CIPROFLOXACIN TABLET 500 MG TAB 330 2,500 825,000
19 DEKSAMETASON INJEKSI 5 MG/ML-1 ML AMP 1,580 200 316,000
20 DEKSAMETASON TABLET 0,5 MG TAB 62 12,000 744,000
21 DIFENHIDRAMIN HCL INJ 10MG/ML-1 ML AMP 1,500 300 450,000
22 DIGOKSIN TABLET 0,25 MG TAB 97 300 29,100
23 DIMENHIDRINAT TABLET 50 MG TAB 104 1,000 104,000
24 DULCOLAX SUPPOSITORIA 5 MG ( ANAK ) SUPP 4,990 12 59,880
25 ERYTROMICIN SIRUP 60 ML/ BTL 7,700 30 231,000
26 ETIL KLORIDA SEMPROT BTL 95,450 22 2,099,900
27 FITOMENADION ( VIT K ) TABLET SALUT 10 MG TAB 3,500 300 1,050,000
28 FUROSEMID TABLET 40 MG TAB 85 50 4,250
29 GARAM ORALIT UNTUK 200 ML AIR SZE 288 400 115,200
30 GENTIAN VIOLET LARUTAN 1 % 5 ML/BTL 1,800 100 180,000
31 GLIBENKLAMID TABLET 5 MG TAB 56 3,300 184,800
32 GLISERIL GUAYAKOLAT TABLET 100 MG TAB 33 6,000 198,000
33 GLUKOSA LARUTAN INFUS 5 % STERIL 500 ML/ BTL 5,200 25 130,000
34 HALOPERIDOL TABLET 1,5 MG TAB 69 200 13,800
35 HIDROKORTISON KRIM 2,5 % TUBE 2,798 47 131,506
36 ISOSORBID DINITRAT TABLET SUB LINGUAL 5 TAB 88 800 70,400
37 KALSIUM LAKTAT( KALK ) TABLET 500 MG TAB 70 2,300 161,000
38 KAPTOPRIL TABLET 25 MG TAB 84 5,500 462,000
39 KARBAMAZEPIN TABLET 200 MG TAB 245 300 73,500
40 KETOKONAZOL KRIM TUBE 2,569 10 25,690
41 KETOKONAZOL TABLET 200 MG TAB 300 100 30,000
42 KLINDAMISIN KAPSUL 300 MG KAP 553 500 276,500
43 KLORAMFENIKOL KAPSUL 250 MG KAP 249 3,000 747,000
44 KLORAMFENIKOL SUSPENSI 60 ML/ BTL 4,700 85 399,500
45 KLORAMFENIKOL TETES TELINGA 3 % BTL 5,050 8 40,400
JUMLAH 15,561,820
 SALDO AKHIR ( 31 DESEMBER 2015 )
NAMA REKENING &
NO
URAIAN BARANG JUMLAH
SATUAN HARGA SATUAN JUMLAH
KESELURUHAN
JUMLAH PINDAHAN 15,561,820
46 KLORFENIRAMIN MALEAT ( CTM ) TABLET 4MG TAB 51 13,300 678,300
47 KOTRIMOKSAZOL DEWASA TABLET TAB 138 300 41,400
48 KOTRIMOKSAZOL SUSPENSI 60 ML/ BTL 2,167 25 54,175
49 LIDOCAIN INJEKSI NON EPINEFRIN AMP 3,110 230 715,300
50 LOPERAMID TABLET 2 MG TAB 89 800 71,200
51 LORATADIN TABLET 10 MG TAB 154 800 123,200
52 METFORMIN TABLET 500 MG TAB 113 600 67,500
53 METOKLOPRAMID TAB 10 MG TAB 108 200 21,600
54 METRONIDAZOL TABLET 500 MG TAB 160 1,400 224,000
55 MICONAZOL CREAM TUBE 3,000 47 141,000
56 NATRIUM DIKLOFENAK TABLET 50 MG TAB 176 1,100 193,600
57 NATRIUM KLORIDA LARUTAN INFUS 0,9 % STER BTL 4,700 28 131,600
58 NEODIAFORM TABLET TAB 170 2,050 348,500
59 NIFEDIPIN TABLET 10 MG TAB 110 600 66,000
60 NISTATIN TABLET 500.000 IU/G TABLET SALUT TAB 640 500 320,000
61 OBAT BATUK HITAM ( OBH ) CAIRAN BTL 3,100 7 21,700
62 PAPAVERIN TABLET TAB 167 1,200 200,400
63 PARASETAMOL TABLET 500 MG KAPL 79 3,500 276,500
64 PIRIDOKSIN TABLET 10MG TAB 110 8,000 880,000
65 PIROKSIKAM KAPSUL 10 MG TAB 88 100 8,800
66 PREDNISON TABLET 5 MG TAB 114 3,500 399,000
67 PROPRANOLOL TABLET 40 MG TAB 65 300 19,500
68 RANITIDIN TABLET TAB 120 900 108,000
69 RINGER LAKTAT LARUTAN INFUS STERIL BTL 5,200 12 62,400
70 SALBUTAMOL TABLET 2 MG TAB 59 6,000 354,000
71 SALEP 2 - 4 KOMBINASI POT 2,000 27 54,000
72 SALISIL BEDAK 2% KTK 1,350 10 13,500
73 SEFADROKSIL KAPSUL 500 MG KAP 509 700 356,300
74 SIANOKOBALAMIN ( VIT B12 ) INJ.500 MCG/M AMP 1,083 200 216,500
75 SIMVASTATIN TABLET 10 MG TAB 169 500 84,500
76 TETRASIKLIN HCl KAPSUL 500 MG KAP 300 500 150,000
77 THROMBO ASPILET TABLET TAB 148 600 88,800
78 TIAMIN HCl MONONITRAT ( VIT B1 ) TABLET 5 TAB 35 7,000 248,080
79 TRIHEKSIFENIDIL HIDROKLORIDA TABLET 2 MG TAB 352 100 35,200

JUMLAH 22,336,375

Tanjungharjo,13 Januari 2016

Kepala FKTP Tanjungharjo

dr. FIFIN ERLIANA

NIP. 10750203 200604 2 017
 LAPORAN PERSEDIAAN AKHIR
PER 31 DESEMBER 2015

SALDO AKHIR ( 31 DESEMBER 2015 )

NAMA REKENING &
NO
URAIAN BARANG JUMLAH
SATUAN HARGA SATUAN JUMLAH KESELURUHAN

1 5.2.2.02.07
PERSEDIAAN REAGAN
1 ASAM KLORIDA 0,1 N BTL 100 ML 43,000 15 645,000
2 GLUCOCARD TEST STRIP (GLUKO DR) KTK 50 STRIP 300,000 30 9,000,000
3 REAGEN GOLONGAN DARAH SET 315,000 6 1,890,000
4 ASAM URAT STREP (BENE CHEK) BTL 25 STRIP 300,000 15 4,500,000
5 KOLESTEROL STREP (BENE CHEK) BTL 10 STRIP 300,000 15 4,500,000
6 LANCET KTK 100 PCS 20,000 12 240,000
7 OBYEK GLASS KTK 72 BH 20,000 12 240,000

JUMLAH 21,015,000

Tanjungharjo,13 Januari 2016

Kepala FKTP Tanjungharjo

dr. FIFIN ERLIANA

NIP. 10750203 200604 2 017
 LAPORAN PERSEDIAAN AKHIR
PER 31 DESEMBER 2015

SALDO AKHIR ( 31 DESEMBER 2015 )

NAMA REKENING &
NO
URAIAN BARANG JUMLAH
SATUAN HARGA SATUAN JUMLAH KESELURUHAN

1 5.2.2.02.09
PERSEDIAAN BMHP
1 AQUAGEL STERIL JELY 82 gr Tube 34,528 15 517,920
2 CATGUT/ BENANG BEDAH NO.2/0-3/0( PLAIN/ 24x 70 CM/KTK 14,000 15 210,000
3 FOLEY CATHETHER No 16 SET 80,000 8 640,000
4 FOLEY CATHETHER no.18 SET 80,000 10 800,000
5 I.V.CATHETHER no.18 SET 3,800 250 950,000
6 I.V.CATHETHER no.20 SET 3,800 250 950,000
7 I.V.CATHETHER no.24 SET 3,800 50 190,000
8 INFUSION SET ANAK SET 3,500 25 87,500
9 INFUSION SET DEWASA SET 3,200 85 272,000
10 JARUM HECTING NO.8 SET 17,727 24 425,455
11 KAPAS PEMBALUT / ABSORBENS 250 GRAM ROL 12,400 45 558,000
12 KASA 18 X 22 ROL 5,900 30 177,000
13 KASA HYDROPHYL 40 x 80 CM ROLL 104,500 25 2,612,500
14 KASA KOMPRES STERIL 16 X 16 16 LEMBAR/KTK 5,750 50 287,500
15 KASA PEMBALUT 4 M X 10 CM ROL 1,480 120 177,600
16 ALAT SUNTIK SEKALI PAKAI 1 ML KTK 65,000 8 520,000
17 ALAT SUNTIK SEKALI PAKAI 10 ML KTK 92,500 30 2,775,000
18 ALAT SUNTIK SEKALI PAKAI 3 ML KTK 65,000 100 6,500,000
19 ALAT SUNTIK SEKALI PAKAI 5 ML KTK 75,000 100 7,500,000
20 MASKER SURGICAL EAR LOOP PCS 15,500 45 697,500
21 MASKER SURGICAL PCS 16,500 30 495,000
22 MASKER NEBULIZER SET ANAK SET 18,909 22 416,000
23 MASKER NEBULIZER SET DEWASA SET 18,909 25 472,727
24 NASAL CANULA O2 ANAK BUAH 10,000 25 250,000
25 NASAL CANULA O2 DEWASA BUAH 10,000 50 500,000
26 NEEDLE SET 54,000 50 2,700,000
27 ONESCRUB 500 CC + DISPENSER BTL 62,500 26 1,625,000
28 PLESTER 5 YARD X 2 INCH ROL 30,342 20 606,840
29 SAFETY BOX BH 18,909 130 2,458,182
30 SARUNG TANGAN OBGYN PASANG 16,545 173 2,862,364
31 SURGICAL GLOVE NO.7 PSG 4,600 1,000 4,600,000
32 SURGICAL GLOVE NO.7,5 PSG 4,600 1,000 4,600,000
33 TRANFUSION SET SET 3,600 125 450,000
34 URINE BAG SET 3,000 30 90,000

JUMLAH 48,974,088

Tanjungharjo,13 Januari 2016

Kepala FKTP Tanjungharjo

dr. FIFIN ERLIANA

NIP. 10750203 200604 2 017