DAFTAR RENCANA KEBUTUHAN BARANG UNIT ( RKBU )

TAHUN ANGGARAN 2020

PUSKESMAS JATIBARANG

HARGA
NO NAMA BARANG SPESIFIKASI VOLUME SATUAN
SATUAN
I PEMELIHARAAN
1 Service Pulverizer Obat Merk SCI 1 300000
2 Service Mesin press puyer 1 200000

II LOGISTIK
1. Biaya Sewa mobil logistik 3 850000

II ALAT
1 Troley barang krisbow 1 315000
2 Lemari Obat custom ukuran 80 cm x 80 cm 1 500000
3 Keranjang obat 23x10x6 50 pieces 11000
4 Tempat Leaflet Akrilik 2 pieces 60000

III ALAT
1 Pulverizer obat Merek SCI 1 pieces 1500000

IV KOMPUTER & JARINGANYA

1 Laptop 1 5,000,000
2 flashdisk 32 GB 1 69,000

V BAHAN DAN ALAT

1 Sepatu boot pieces 5 pieces 255750
2 kacamata google krisbow pieces 20 pieces 75000
3 Sarung Tangan Karet pieces 50 pieces 35750
4 Plastik Obat uk 8,3x13 kantong isi 100 72800 pieces 50
5 Plastik Obat uk 10x7 kantong isi 100 100000 pieces 37
6 Kantong Kresek Kecil kantong isi 50 4000 pieces 120
7 Kantong Kresek Besar kantong isi 50 250 pieces 600
8 Stopwatch pieces 2 pieces 26700
9 Kantong Plastik Sampah Medis (Kuni kantong isi 10 100 pieces 22000
10 Safety box 5 liter box 100 box 10000
11 Stiker Obat High Alert lembar 50 lembar 2000
12 Stiker Obat LASA lembar 50 lembar 1800
13 Kuas nylon decoupage no 3 pieces 3 pieces 6000
14 Kartu Stok lembar 200 lembar 240
15 Fotocopy etiket obat lembar 7500 lembar 250
16 Leaflet lembar 500 lembar 250

VI ALAT TULIS KANTOR

1 HVS Kertas pieces 12 pieces
2 Kalkulator pieces 2 pieces
3 Snelhekter plastik pieces 20 pieces
4 pulpen pieces 24 pieces
 5 Spidol broadmarker pieces 2 pieces
6 Spidol Permanent pieces 2 pieces
7 Solasi kecil pieces 10 pieces
8 Lakban pieces 3 pieces
9 Jepitan Kertas Besar pieces 10 pieces
10 Stopmap Folio pieces 50 pieces
11 Buku tulis isi 36 pieces 20 pieces
12 Amplop Tanggung kotak 3 kotak
13 Kertas Stiker uk F4 pieces 100 pieces

VIII BMHP
1 Aseptic gel for hand botol 500 ml 120 botol 54,950
2 Alat suntik sekali pakai 5 ml kt 100 pcs 6,000 pieces 1,523
3 Alkohol Swab kt 100 pcs 2,000 pieces 200.8
4 Alkayzime kantong 25 pcs 500 pieces 32,040.0
5 Baycline botol 1 liter 60 botol 19,800
6 Bisturi kt 100 pieces 200 pieces 3,000
7 Catgut/benang bedah no. 2/0 chromikt 100 pcs 240 pieces 33,300
8 Catgut/benang bedah no. 3/0 chromikt 100 pcs 240 pieces 34,170
9 Celemek / Apron kt 100 pieces 2,000 pieces 5,030
10 DUK lobang disposable pieces 200 pieces 15,000
11 Etanol 70% botol 1 liter 60 botol 22,889
12 Etil Klorida Semprot botol 200 ml 24 botol 352,000
13 Folley cateter 16 kt 10 pieces 200 pieces 18,450
14 Folley cateter 18 kt 10 pieces 200 pieces 18,450
15 Handscoen uk S dan M kt 100 pcs 1,200 pieces 706.5
16 Handcoon Panjang Maxter kt 50 pcs 300 pieces 7,000.0
17 Infusion set anak kt 50 pcs 800 pieces 10,406
18 Infusion set dewasa kt 50 pcs 800 pieces 7,321
19 IV Cateter No 16 G kt 50 pcs 200 pieces 8,355
20 IV Cateter No. 18 G kt 50 pcs 600 pieces 5,881.5
21 IV Cateter No. 20 G kt 50 pcs 300 pieces 8,355.0
22 IV Cateter No. 22 G kt 50 pcs 900 pieces 5,877
23 IV Cateter No. 24 G kt 50 pcs 900 pieces 4,185
24 Jarum heeting many kt 12 pieces 60 pieces 13,200
25 Jarum hecting kulit uk 10,11,12,13 kt 12 pieces 60 pieces 13,200
26 Jarum hecting otot uk 9,10,11,12,13 kt 12 pieces 60 pieces 13,200
27 Kapas pembalut/ absorben 250 g rol 30 rol 24,000
28 Kassa hidrofil steril 16 x 16 k0tak 300 kotak 5,500
29 Kassa roll 20x80 roll 50 roll 125,600
30 Lisol botol 1000 ml 60 botol 41,420
31 Masker /surgical mask plus-3 ply ear kt 50 pcs 5,000 pieces 411
32 Masker N95 ktk 20 pieces 60 pieces 6,512
33 Medicine pocket kt 30.000 pieces 120,000 pieces 60
34 Nurse Cup / tutup kepala disposable ktk 100 pieces 200 pieces 330
35 Plester 5 yard x 2 inch (Leukoplast) rol 120 rol 12,076
36 Povidon Iodine 300 ml botol 300 ml 40 botol 18,360
37 Povidon Iodine 30 ml botol 100 botol 2,925
38 Pispot pieces 5 pieces 42,000
39 Suction Catheter 8 pieces 20 pieces 4,150
 40 Suction Catheter 10 pieces 20 pieces 4,150
41 Selang Sungkup Bayi pieces 10 pieces 15,000
42 Selang Sungkup Anak pieces 10 pieces 15,000
43 Selang Sungkup Dewasa pieces 50 pieces 15,000
44 Three Way Stop Cock pieces 50 pieces 1,950
45 Urine bag kt 10 pieces 400 pieces 3,000
46 Wing Needle 25G kt 100 pieces 1,000 pieces 1,483
47 Underpad kambium kt 10 pieces 2,000 pieces 3,850
48 USG Gel pieces 40 pieces 33,000

OBAT GIGI
49 Devitalisasi pasta (Pulp - X) botol 2 botol 298,500
50 Eugenol botol 5 botol 60,000
51 Fletcher botol 2 botol 55,000
52 Mummifying Pasta ( Iodoform ) botol 1 botol 230,000
53 Kalsium Hidroksida Pasta (Hydcal) botol 1 botol 187,687.50
54 Klorfenol Kamfer Menthol botol 3 botol 84,000
55 Ethylchloride botol 12 botol 120,000

IX REAGEN
1 Tes Kehamilan (HCG) Strip box 25 strip 5 Box 107500
2 URS 3 P Tube 100 tes 4 Box 51966
3 URS 10 P Tube 100 tes 2 Box 153537
4 Obyek Glass box 72 buah 50 Buah 20750
5 Tips Micropipet uk 10-20µ kantong 100 pcs 7 Kantong 97300
(White tipe 100 pcs)
6 White tipe ukuran 200 µ kantong 100 pcs 10 Kantong 18500
7 White tipe ukuran 1 ml 5 Kantong 87700
8 EDTA 10% Cair 100 ml botol 100 ml 3 Botol 316066
9 Salmonela O botol 5 ml 12 Botol 144100
10 Salmonela H botol 5 ml 12 Botol 144100
11 Cianment Hemoglobin 500 ml botol 500 ml 12 Botol 171038
12 Asam Urat Rajawali 4 x 100 ml kit 4 x 100 ml 1 kit 1573000
13 Cholesterol Rajawali 4 x 100 ml kit 4 x 100 ml 1 kit 1760000
14 Glukosa Rajawali 4 x 100 ml kit 4 x 100 ml 1 kit 748000
15 Trigliserida Rajawali 4 x 100 ml kit 4 x 100 ml 1 kit 2541000
16 HDL Cholesterol 1 kit 1064800
17 Gol. Darah anti A,B, AB, D kit 10 ml 4 kit 33818
18 SGOT paket 8 x 50 ml 1 kit 1705000
19 SGPT paket 8 x 50 ml 1 kit 1705000
19 H.A Sysmex
- Cell pack Box 15 Dus 1768800
- Stromatolyser Box 15 Box 1171500
- Termal Paper rol 15 rol 38500
- Cell Clean botol 7 Buah 1197900
- Eigh Check box 3 serial 4 Paket 948198
20 Urea Rajawali kit 2 x 100 ml 1 Kit 580690
21 Creatinin Rajawali kit 1 x 200 ml 2 Kit 623920
22 Aquades 1000 ml botol 1000 ml 10 botol 101200
23 Tabung K3EDTA 3 ml pak 100 pcs 20 dus 198000
 24 Kertas Saring Bulat 1 box 10 lembar 3 Box 10000
25 Kertas lensa 2 Box 45455
26 Preci Control/Serum kontrol 1 Kit 2376000
untuk kimia klinik
27 Cup Serum 1 pak 1000 pcs 3 Pak 150000
28 Kertas Lakmus biru Nesco 1 ktk 200 200 pieces 175
29 Kertas Lakmus Merah Nesco 1 ktk 200 200 pieces 175

X OBAT
1 Ambroxol tablet 30 mg 30,000 Tablet 144
2 Amlodipin 5 mg 3,000 Tablet 75
3 Ampisilin Injeksi 600 Ampul 8,236
4 Amoksisilin IV 600 Ampul 7,466
5 Amoksisilin kapsul 500 mg 60,000 Kaplet 249
6 Amoksisilin kapsul 250 mg 30,000 Kapsul 195
7 Amoksisilin sirup kering 125mg/5ml 1,000 Botol 2,090
8 Antasida DOEN I tablet kunyah 30,000 Tablet 58
9 Asam Askorbat (Vit.C) tab.50 mg 14,000 Tablet 104
10 Asam Folat tablet 1 mg (Profolat) 5,000 Tablet 63
11 Asam Mefenamat kaplet 500mg 30,000 Tablet 106
12 Bioplacenton gel 200 Tube 13,000
13 Captopril 25 mg 5,000 Tablet 84
14 Domperidone Syr 300 Botol 2,700
15 Gentamisin 40mg/2ml 900 Ampul 3,509
16 Gentamisin salep kulit 0,1% 600 Tube 1,634
17 Gentamisin tetes mata 0,3 % 600 Botol 4,232
18 Glimepiride tablet 1 mg 6,000 Tablet 174
19 Gliseril guaiakolat tablet 100mg 50,000 Tablet 80
20 Hidrokortison krim 2,5 % 480 Tube 2,475
21 Hyoscine -N- Butilbromide 10 mg 5,000 Tablet 3,000
22 Klindamisin kapsul 150 mg 5,000 Kapsul 715
23 Klindamisin kapsul 300 mg 10,000 Kapsul 603
24 Kloramfenikol kapsul 250 mg 30,000 Kapsul 310
25 Kloramfenikol suspensi 125mg/5ml 900 Botol 6,193
26 Kloramfenikol tetes mata 0,5% 600 Botol 4,444
27 Kloramfenikol tetes telinga 3% 300 Botol 1,600
28 Klorfeniramin Maleat(CTM)tab 4mg 30,000 Tablet 42
29 Lidokain inj.2% - 2ml 600 Ampul 860
30 Linkomisin kapsul 500 mg 5,000 Kapsul 1,016
31 Loperamid tablet 2 mg 3,000 Tablet 121
32 Magnesium Sulfat injeksi (IV) 20% 120 Vial 3,328
33 Magnesium Sulfat injeksi (IV) 40% 120 Vial 3,650
34 Metronidazol tablet 500 mg 6,000 Tablet 133
35 Metronidazol IV 100 Botol 8,110
36 Metildopa (Dopamet) 5,000 tablet 946
37 New Antides 5,000 Tablet 295
38 Obat Batuk Hitam (OBH) cairan 500 Botol 2,024
39 Oksitetrasiklin salep kulit 3 % 300 Tube 3,971
40 Papaverin 40 mg tablet 5,000 Tablet 234
41 Parasetamol sirup 120mg/ 5ml 900 Botol 1,074
 42 Parasetamol drop 100 Botol 5,200
43 Parasetamol tablet 500 mg 60,000 Tablet 56
44 Piridoksin tablet 10 mg 10,000 Tablet 131
45 Ranitidin tablet 150 mg 6,000 Tablet 108
46 Ranitidin Injeksi 900 Ampul 1,155
47 Salisil Bedak 2 % 500 Botol 1,025
48 Salep 2-4 600 tube 2,620
49 Sefadroksil kapsul 500 mg 10,000 Kapsul 510
50 Sefadroksil syrup 300 Botol 4,896
51 Sefiksim kapsul 100 mg 10,000 Kapsul 1,298
52 Sefiksim sirup kering 100 mg 300 Botol 8,800
53 Sefotaksim injeksi 1 g 1,000 Ampul 8,800
54 Seftriaxon injeksi 1 g 1,000 Ampul 8,250
55 Sianokobalamin (Vit.B12)inj. 500 mcg 500 Ampul 1,035
56 Siprofloksasin tablet 500 mg 6,000 Tablet 418
57 Tiamfenikol kapsul 500 mg (Thiamex) 10,000 Kapsul 847
58 Tiamin (Vit.B1) tablet 50mg 20,000 Tablet 91
59 Vitamin B kompleks tablet 20,000 Tablet 89
60 Water For Injection Otsu 5,000 Vial 2,860
61 Zinc sirup (Zircum kid) 500 Botol 6,290
62 Hustab 20,000 Tablet 312
63 Panvit-C tablet 10,000 Tablet 484
64 Vicalcin syrup 300 Botol 10,930
65 Vidabion Cal 10,000 Tablet 295
66 Dekstrofen sirup 300 Botol 8,037

XI VAKSIN
1 BCG 300 66,154
2 DPTHB 870 84,282
3 TD 450 16,995
4 POLIO IPV 250 169,653
5 DT 140 17,798
6 POLIO Bopv+dopper 750 19,954
7 MR 250 155,813
8 HB UNIJEC/HB0 850 25,597
9 Campak 140 28,204
JUMLAH KET

300000
200000

2550000

315000
500000
550000
120000

1500000

5000000
69000

1278750 PPI
1500000 PPI
1787500 PPI
3640000
3700000
480000
150000
53400 PONED
2200000 PPI
1000000 PPI
100000
90000
18000
48000
1875000
125000
 6594000
9138000
401600
16020000
1188000
600000
7992000
8200800
10060000
3000000
1373340
8448000
3690000
3690000
847800
2100000
8324800
5856800
1671000
3528900
2506500
5289354
3766500
792000
792000
792000
720000
1650000
6280000
2485200
2055000
390720
7200000
66000
1449120
734400
292500
210000
83000
 83000
150000
150000
750000
97500
1200000
1483000
7700000
1320000

597000
300000
110000
230000
187687.5
252000
1440000

537,500
207,864
307,074
1,037,500
681,100

185,000
438500
948,198
1,729,200
1,729,200
2,052,456
1,573,000
1,760,000
748,000
2,541,000
1,064,800
135,272
1,705,000
1,705,000

26,532,000
17,572,500
577,500
8,385,300
3,792,792
580,690
1,247,840
1,012,000
3,960,000
 30,000
90,910
2,376,000

450,000
35,000
35,000

4320000
225000
4941600
4479600
14940000
5850000
2090000
1740000
1456000
315000
3180000
2600000
420000
810000
3158100
980400
2539200
1044000
4000000
1188000
15000000
3575000
6030000
9300000
5573700
2666400
480000
1260000
516000
5080000
363000
399360
438000
798000
811000
4730000
1475000
1012000
1191300
1170000
966600
 520000
3360000
1310000
648000
1039500
512500
1572000
5100000
1468800
12980000
2640000
8800000
8250000
517500
2508000
8470000
1820000
1780000
14300000
3145000
6240000
4840000
3279000
2950000
2411100

19,846,200
73,325,340
7,647,750
42,413,250
2,491,720
14,965,500
38,953,250
21,757,450
3,948,560
 RENCANA USULAN KEGIATAN (RUK)
TAHUN 2020
PUSKESMAS : JATIBARANG
KABUPATEN : BREBES

PENANGG
UPAYA UNG VOLUME UNIT COST LOKASI
NO KESEHATAN KEGIATAN TUJUAN SASARAN TARGET SASARAN JAWAB KEGIATAN (Rp) JADWAL RINCIAN PELAKSANAAN KEGIATAN (Rp) PELAKSANAAN JENIS BELANJA
BIAYA (Rp)

1 2 3 4 5 6 7 8 9 10 11 12

I UKM PRIMER
Kegiatan Program Indonesia Sehat Dengan
I Pendekatan Keluarga ( PIS PK )

1.2 Upaya Kesehatan Masyarakat Esensial

I. Upaya Kesehatan Ibu

1.1

1.2

1.3
II. Upaya Kesehatan Neonatus dan Bayi

III. Upaya Kesehatan Anak Balita dan Pra Sekolah

IV. Upaya Kesehatan Anak Usia Sekolah dan Remaja

V. Imunisasi

VI. Upaya Kesehatan Usia Reproduksi

VII. Upaya Kesehatan Lanjut Usia

VIII. Upaya Kesehatan Lingkungan

IX. Upaya Promosi Kesehatan

X. Upaya Pencegahan dan Pengendalian Penyakit Menular Langsung

(antara lain: TB,HIV/AIDS, IMS, Hepatitis, Diare, Tiphoid,
ISPA/Pneumonia, Kusta, Frambusia, dll)
 PENANGG
UPAYA UNG VOLUME UNIT COST LOKASI
NO KEGIATAN TUJUAN SASARAN TARGET SASARAN JAWAB KEGIATAN JADWAL RINCIAN PELAKSANAAN KEGIATAN (Rp) JENIS BELANJA
KESEHATAN (Rp) PELAKSANAAN BIAYA (Rp)

1 2 3 4 5 6 7 8 9 10 11 12

XI. Upaya Pencegahan dan Pengendalian Penyakit Tular Vektor dan

Zoonotik (antara lain: Malaria, DBD, Chikungunya, Japanese
enchephalitis, Filariasis, Schistosomiasis, kecacingan, Rabies, Antrax,
Flu Burung, Leptospirosis, Pes, Taeniasis, F.Buski, penyakit zoonosa
lainnya,dll)

XII. Pengendalian Vector

XIII. Upaya pencegahan dan pengendalian penyakit tidak menular

XIV. Surveilans dan Respon KLB

XV. Upaya pencegahan dan pengendalian masalah keswa dan napza

1.3 Upaya Kesehatan Masyarakat Pengembangan

1. Pelayanan Kesehatan Kerja
2. Pelayanan Kesehatan Tradisional
3. Peningkatan Kader dalam kapasitas PMBA
4. Pertemuan evaluasi kader dan nakes PMBA
5. Penyuluhan PMBA di posyandu
6. Pelayanan Kesehatan Olahraga

1.4 Fungsi Manajemen

1 Pelaksanaan fungsi manajemen ( P1, P2, dan P3 )
2 Dukungan Manajemen

2 PENYEDIAAN TENAGA DENGAN

PERJANJIAN KERJA
 Alokasi Anggaran BOK 2020
Puskesmas Jatibarang

PENYEDIAAN
UPAYA KESH MASY
NO TENAGA DENGAN JUMLAH
PRIMER
PERJANJIAN KERJA

1 697,900,000 37,400,000 735,300,000