PEMERINTAH KABUPATEN KOLAKA DAFTAR PERSEDIAAN (STOK OPNAME) APOTEK RAWAT INAP

BLUD RS. BENYAMIN GULUH KAB. KOLAKA PERIODE 31 JANUARI 2020

INSTALASI FARMASI PINJAMAN

Jumlah Unit (Satuan) Jumlah ( Rupiah )

NO JENIS PERSEDIAAN Saldo Awal Mutasi TA 2020 Saldo akhir HARGA Saldo Awal Mutasi TA 2020 Saldo akhir
12/31/2019 Penambahan Pengurangan 1/31/2020 (Rp) 12/31/2019 Penambahan Pengurangan 1/31/2020 Kondisi
1 2 3 4 5 6=3+4 - 5 H.Satuan 7 8 9 10=7+ 8 - 9 11
1 DISPO 5 CC (NIPRO)@100 0 200 200 0 1,751.00 - 350,200.00 350,200.00 -

2 DISPO 10 CC (NIPRO)@100 0 200 200 0 1,211.10 - 242,220.00 242,220.00 -

TOTAL - 350,200.00 350,200.00 -

Kolaka, 31 Januari 2020

Bendahara Aset Kepala Instalasi Farmasi
RS. Benyamin Guluh kab. Kolaka RS. Benyamin Guluh kab. Kolaka

FAJAR AHMAD MEGARISMANITA, S.Farm. M.Farm. Apt

Nip. 19810418 200701 1 009 197550112 199803 2 002
Mengetahui
Direktur BLUD RS. Benyamin Guluh Kab.Kolaka

dr. H. MUHAMMAD RAFI

Nip. 19670201 200112 1 002
PEMERINTAH KABUPATEN KOLAKA DAFTAR PERSEDIAAN (STOK OPNAME) APOTEK RAWAT INAP
BLUD RS. BENYAMIN GULUH KAB. KOLAKA PERIODE 28 FEBRUARI 2020
INSTALASI FARMASI HIBAH

Jumlah Unit (Satuan) Jumlah ( Rupiah )

NO JENIS PERSEDIAAN Saldo Awal Mutasi TA 2020 Saldo akhir HARGA Saldo Awal Mutasi TA 2020 Saldo akhir
12/31/2019 Penambahan Pengurangan 1/31/2020 (Rp) 12/31/2019 Penambahan Pengurangan 1/31/2020 Kondisi
1 2 3 4 5 6=3+4 - 5 H.Satuan 7 8 9 10=7+ 8 - 9 11
1 Tablet Tambah Darah Neo @100 Tab (KF) 0 500 300 200 - - - - -
TOTAL - - - -

Kolaka, 28 Februari 2020

Bendahara Aset Kepala Instalasi Farmasi
RS. Benyamin Guluh kab. Kolaka RS. Benyamin Guluh kab. Kolaka

FAJAR AHMAD MEGARISMANITA, S.Farm. M.Farm. Apt

Nip. 19810418 200701 1 009 197550112 199803 2 002
Mengetahui
Direktur BLUD RS. Benyamin Guluh Kab.Kolaka

dr. H. MUHAMMAD RAFI

Nip. 19670201 200112 1 002
PEMERINTAH KABUPATEN KOLAKA DAFTAR PERSEDIAAN (STOK OPNAME) APOTEK RAWAT INAP
BLUD RS. BENYAMIN GULUH KAB. KOLAKA PERIODE 31 MARET 2020
INSTALASI FARMASI HIBAH

Jumlah Unit (Satuan) Jumlah ( Rupiah )

NO JENIS PERSEDIAAN Saldo Awal Mutasi TA 2020 Saldo akhir HARGA Saldo Awal Mutasi TA 2020 Saldo akhir
12/31/2019 Penambahan Pengurangan 1/31/2020 (Rp) 12/31/2019 Penambahan Pengurangan 1/31/2020 Kondisi
1 2 3 4 5 6=3+4 - 5 H.Satuan 7 8 9 10=7+ 8 - 9 11
1 Tablet Tambah Darah Neo @100 Tab (KF) 200 200 0 - - - - -
TOTAL - - - -

Kolaka, 31 Maret 2020

Bendahara Aset Kepala Instalasi Farmasi
RS. Benyamin Guluh kab. Kolaka RS. Benyamin Guluh kab. Kolaka

FAJAR AHMAD MEGARISMANITA, S.Farm. M.Farm. Apt

Nip. 19810418 200701 1 009 197550112 199803 2 002
Mengetahui
Direktur BLUD RS. Benyamin Guluh Kab.Kolaka

dr. H. MUHAMMAD RAFI

Nip. 19670201 200112 1 002
PEMERINTAH KABUPATEN KOLAKA DAFTAR PERSEDIAAN (STOK OPNAME) APOTEK RAWAT INAP
BLUD RS. BENYAMIN GULUH KAB. KOLAKA PERIODE 30 APRIL 2020
INSTALASI FARMASI HIBAH

Jumlah Unit (Satuan) Jumlah ( Rupiah )

NO JENIS PERSEDIAAN Saldo Awal Mutasi TA 2020 Saldo akhir HARGA Saldo Awal Mutasi TA 2020 Saldo akhir
3/31/2020 Penambahan Pengurangan 4/30/2020 (Rp) 3/31/2020 Penambahan Pengurangan 4/30/2020 Kondisi
1 2 3 4 5 6=3+4 - 5 H.Satuan 7 8 9 10=7+ 8 - 9 11
Tablet Tambah Darah Neo @100 Tab (KF) - - - 0
1 DISPO 5 CC (NIPRO)@100 0 400 44 356 - - - - -

2 DISPO 10 CC (NIPRO)@100 0 1,200 274 926 - - - -

3 DISPO 50 ml Catheter Tip (Top pol) 0 25 25 0 - - - -

4 Infusion Set Pediatric Set (AXIMED) 0 400 59 341 - - - -

5 Urobag 2000 ml (One Med) 0 50 37 13 - - - -
6 Blood Transfusoin Set (STERA) @5 0 50 13 37 - - - -

7 Cefotaxim Dry Powder Inj Vial 1 g (RAMA) 0 100 2 98 - - - -

8 Antrain (Metamizol) 500 mg Inj Amp 0 30 28 2 - - - -
9 Methyl Prednisolone 125mg Inj Vial (PH) 0 35 35 0 - - - -

10 Ceftriaxon Dry Powder 1 g Inj @100 (HJ) 0 30 30 0 - - - -

TOTAL - - - -

Kolaka, 30 April 2020

Bendahara Aset Kepala Instalasi Farmasi
RS. Benyamin Guluh kab. Kolaka RS. Benyamin Guluh kab. Kolaka

FAJAR AHMAD MEGARISMANITA, S.Farm. M.Farm. Apt

Nip. 19810418 200701 1 009 197550112 199803 2 002
Mengetahui
Direktur BLUD RS. Benyamin Guluh Kab.Kolaka

dr. H. MUHAMMAD RAFI

Nip. 19670201 200112 1 002
PEMERINTAH KABUPATEN KOLAKA DAFTAR PERSEDIAAN (STOK OPNAME) APOTEK RAWAT INAP
BLUD RS. BENYAMIN GULUH KAB. KOLAKA PERIODE 31 MEI 2020
INSTALASI FARMASI HIBAH

Jumlah Unit (Satuan) Jumlah ( Rupiah )

NO JENIS PERSEDIAAN Saldo Awal Mutasi TA 2020 Saldo akhir HARGA Saldo Awal Mutasi TA 2020 Saldo akhir
4/30/2020 Penambahan Pengurangan 5/31/2020 (Rp) 4/30/2020 Penambahan Pengurangan 5/31/2020 Kondisi
1 2 3 4 5 6=3+4 - 5 H.Satuan 7 8 9 10=7+ 8 - 9 11
1 DISPO 5 CC (NIPRO)@100 356 56 300 - - - - -

2 DISPO 10 CC (NIPRO)@100 926 500 1,326 100 - - - - -

3 DISPO 50 ml Catheter Tip (Top pol) 0 - 0 - - - - -

4 Infusion Set Pediatric Set (AXIMED) 341 40 301 - - - - -

5 Urobag 2000 ml (One Med) 13 13 0 - - - - -
6 Blood Transfusoin Set (STERA) @5 37 100 109 28 - - - - -
7 Cefotaxim Dry Powder Inj Vial 1 g (RAMA) 98 98 0 - - - - -
8 Antrain (Metamizol) 500 mg Inj Amp 2 15 17 0 - - - - -
9 Methyl Prednisolone 125mg Inj Vial (PH) 0 - 0 - - - - -

10 Ceftriaxon Dry Powder 1 g Inj @100 (HJ) 0 - 0 - - - - -

11 I.V Catheter 24G (STERA MEDICAL) @50 0 400 274 126 - - - - -

12 ERGOTAMIN CAFFEINE 1mg-50mg Tab @100 0 100 8 92 - - - - -

TOTAL - - - -

Kolaka, 31 Mei 2020

Bendahara Aset Kepala Instalasi Farmasi
RS. Benyamin Guluh kab. Kolaka RS. Benyamin Guluh kab. Kolaka

FAJAR AHMAD MEGARISMANITA, S.Farm. M.Farm. Apt

Nip. 19810418 200701 1 009 197550112 199803 2 002
Mengetahui
Direktur BLUD RS. Benyamin Guluh Kab.Kolaka

dr. H. MUHAMMAD RAFI

Nip. 19670201 200112 1 002
PEMERINTAH KABUPATEN KOLAKA DAFTAR PERSEDIAAN (STOK OPNAME) APOTEK RAWAT INAP
BLUD RS. BENYAMIN GULUH KAB. KOLAKA PERIODE 30 JUNI 2020
INSTALASI FARMASI HIBAH

Jumlah Unit (Satuan) Jumlah ( Rupiah )

NO JENIS PERSEDIAAN Saldo Awal Mutasi TA 2020 Saldo akhir HARGA Saldo Awal Mutasi TA 2020 Saldo akhir
5/31/2020 Penambahan Pengurangan 31/06/2020 (Rp) 5/31/2020 Penambahan Pengurangan 31/06/2020 Kondisi
1 2 3 4 5 6=3+4 - 5 H.Satuan 7 8 9 10=7+ 8 - 9 11
1 DISPO 5 CC (NIPRO)@100 300 300 0 - - - - -

2 DISPO 10 CC (NIPRO)@100 100 100 0 - - - - -

3 DISPO 50 ml Catheter Tip (Top pol) 0 - 0 - - - - -

4 Infusion Set Pediatric Set (AXIMED) 301 41 260 - - - - -

5 Urobag 2000 ml (One Med) 0 - 0 - - - - -
6 Blood Transfusoin Set (STERA) @5 28 28 0 - - - - -
7 Cefotaxim Dry Powder Inj Vial 1 g (RAMA) 0 - 0 - - - - -
8 Antrain (Metamizol) 500 mg Inj Amp 0 - 0 - - - - -
9 Methyl Prednisolone 125mg Inj Vial (PH) 0 - 0 - - - - -

10 Ceftriaxon Dry Powder 1 g Inj @100 (HJ) 0 - 0 - - - - -

11 I.V Catheter 24G (STERA MEDICAL) @50 126 126 0 - - - - -

12 ERGOTAMIN CAFFEINE 1mg-50mg Tab @100 92 - 92 - - - - -

TOTAL - - - -

Kolaka, 31 Juni 2020

Bendahara Aset Kepala Instalasi Farmasi
RS. Benyamin Guluh kab. Kolaka RS. Benyamin Guluh kab. Kolaka

FAJAR AHMAD MEGARISMANITA, S.Farm. M.Farm. Apt

Nip. 19810418 200701 1 009 197550112 199803 2 002
Mengetahui
Direktur BLUD RS. Benyamin Guluh Kab.Kolaka

dr. H. MUHAMMAD RAFI

Nip. 19670201 200112 1 002
PEMERINTAH KABUPATEN KOLAKA DAFTAR PERSEDIAAN (STOK OPNAME) APOTEK RAWAT INAP
BLUD RS. BENYAMIN GULUH KAB. KOLAKA PERIODE 31 JULI 2020
INSTALASI FARMASI HIBAH

Jumlah Unit (Satuan) Jumlah ( Rupiah )

NO JENIS PERSEDIAAN Saldo Awal Mutasi TA 2020 Saldo akhir HARGA Saldo Awal Mutasi TA 2020 Saldo akhir
6/30/2020 Penambahan Pengurangan 7/31/2020 (Rp) 6/30/2020 Penambahan Pengurangan 7/31/2020 Kondisi
1 2 3 4 5 6=3+4 - 5 H.Satuan 7 8 9 10=7+ 8 - 9 11
1 DISPO 5 CC (NIPRO)@100 0 - 0 - - - - -
2 DISPO 10 CC (NIPRO)@100 0 - 0 - - - - -

3 DISPO 50 ml Catheter Tip (Top pol) 0 - 0 - - - - -

4 Infusion Set Pediatric Set (AXIMED) 260 48 212 - - - - -
5 Urobag 2000 ml (One Med) 0 - 0 - - - - -

6 Blood Transfusoin Set (STERA) @5 0 - 0 - - - - -

7 Cefotaxim Dry Powder Inj Vial 1 g (RAMA) 0 - 0 - - - - -

8 Antrain (Metamizol) 500 mg Inj Amp 0 - 0 - - - - -

9 Methyl Prednisolone 125mg Inj Vial (PH) 0 - 0 - - - - -
10 Ceftriaxon Dry Powder 1 g Inj @100 (HJ) 0 - 0 - - - - -

11 I.V Catheter 24G (STERA MEDICAL) @50 0 300 233 67 - - - - -

12 ERGOTAMIN CAFFEINE 1mg-50mg Tab @100 92 1 91 - - - - -

13 Dimenhydrinate 50 mg Tab @100 (KF) 0 100 50 50 - - - - -

14 Folic Acid 1 mg Tab @100 0 500 260 240 - - - - -
15 Vitamin B1 50 mg Tab @100 0 500 34 466 - - - - -

16 Prednison 5 mg Tab @100 0 500 75 425 - - - - -

17 Tetracycline 500 mg Kaps @100 0 200 40 160 - - - - -
18 Dexametason 0,5 mg Tab @100 0 500 6 494 - - - - -
TOTAL - - - -

Kolaka, 31 JULI 2020

Bendahara Aset Kepala Instalasi Farmasi
RS. Benyamin Guluh kab. Kolaka RS. Benyamin Guluh kab. Kolaka

FAJAR AHMAD MEGARISMANITA, S.Farm. M.Farm. Apt

Nip. 19810418 200701 1 009 197550112 199803 2 002
Mengetahui
Direktur BLUD RS. Benyamin Guluh Kab.Kolaka

dr. H. MUHAMMAD RAFI

Nip. 19670201 200112 1 002
PEMERINTAH KABUPATEN KOLAKA DAFTAR PERSEDIAAN (STOK OPNAME) APOTEK RAWAT INAP
BLUD RS. BENYAMIN GULUH KAB. KOLAKA PERIODE 31 JULI 2020
INSTALASI FARMASI PINJAMAN

Jumlah Unit (Satuan) Jumlah ( Rupiah )

NO JENIS PERSEDIAAN Saldo Awal Mutasi TA 2020 Saldo akhir HARGA Saldo Awal Mutasi TA 2020 Saldo akhir
6/30/2020 Penambahan Pengurangan 7/31/2020 (Rp) 6/30/2020 Penambahan Pengurangan 7/31/2020 Kondisi
1 2 3 4 5 6=3+4 - 5 H.Satuan 7 8 9 10=7+ 8 - 9 11
1 Quanocain Spinal 0,5% Inj amp @5 0 25 20 5 55,000.00 - 1,375,000.00 1,100,000.00 275,000.00
TOTAL - 1,375,000.00 1,100,000.00 275,000.00

Kolaka, 31 JULI 2020

Bendahara Aset Kepala Instalasi Farmasi
RS. Benyamin Guluh kab. Kolaka RS. Benyamin Guluh kab. Kolaka

FAJAR AHMAD MEGARISMANITA, S.Farm. M.Farm. Apt

Nip. 19810418 200701 1 009 197550112 199803 2 002
Mengetahui
Direktur BLUD RS. Benyamin Guluh Kab.Kolaka

dr. H. MUHAMMAD RAFI

Nip. 19670201 200112 1 002
PEMERINTAH KABUPATEN KOLAKA DAFTAR PERSEDIAAN (STOK OPNAME) APOTEK RAWAT INAP
BLUD RS. BENYAMIN GULUH KAB. KOLAKA PERIODE 31 AGUSTUS 2020
INSTALASI FARMASI PINJAMAN

Jumlah Unit (Satuan) Jumlah ( Rupiah )

NO JENIS PERSEDIAAN Saldo Awal Mutasi TA 2020 Saldo akhir HARGA Saldo Awal Mutasi TA 2020 Saldo akhir
7/31/2020 Penambahan Pengurangan 8/31/2020 (Rp) 7/31/2020 Penambahan Pengurangan 8/31/2020 Kondisi
1 2 3 4 5 6=3+4 - 5 H.Satuan 7 8 9 10=7+ 8 - 9 11
1 Quanocain Spinal 0,5% Inj amp @5 5 5 0 55,000.00 275,000.00 - 275,000.00 -
TOTAL 275,000.00 - 275,000.00 -

Kolaka, 31 AGUSTUS 2020

Bendahara Aset Kepala Instalasi Farmasi
RS. Benyamin Guluh kab. Kolaka RS. Benyamin Guluh kab. Kolaka

FAJAR AHMAD MEGARISMANITA, S.Farm. M.Farm. Apt

Nip. 19810418 200701 1 009 197550112 199803 2 002
Mengetahui
Direktur BLUD RS. Benyamin Guluh Kab.Kolaka

dr. H. MUHAMMAD RAFI

Nip. 19670201 200112 1 002
PEMERINTAH KABUPATEN KOLAKA DAFTAR PERSEDIAAN (STOK OPNAME) APOTEK RAWAT INAP
BLUD RS. BENYAMIN GULUH KAB. KOLAKA PERIODE 31 AGUSTUS 2020
INSTALASI FARMASI HIBAH

Jumlah Unit (Satuan) Jumlah ( Rupiah )

NO JENIS PERSEDIAAN Saldo Awal Mutasi TA 2020 Saldo akhir HARGA Saldo Awal Mutasi TA 2020 Saldo akhir

7/31/2020 Penambahan Pengurangan 8/31/2020 (Rp) 7/31/2020 Penambahan Pengurangan 8/31/2020 Kondisi
1 2 3 4 5 6=3+4 - 5 H.Satuan 7 8 9 10=7+ 8 - 9 11
1 DISPO 5 CC (NIPRO)@100 0 - 0 - - - - -

2 DISPO 10 CC (NIPRO)@100 0 - 0 - - - - -

3 DISPO 50 ml Catheter Tip (Top pol) 0 - 0 - - - - -

4 Infusion Set Pediatric Set (AXIMED) 212 - 212 - - - - -

5 Blood Transfusoin Set (STERA) @5 0 - 0 - - - - -

6 Cefotaxim Dry Powder Inj Vial 1 g (RAMA) 0 - 0 - - - - -

7 Antrain (Metamizol) 500 mg Inj Amp 0 - 0 - - - - -

8 Methyl Prednisolone 125mg Inj Vial (PH) 0 - 0 - - - - -

9 Ceftriaxon Dry Powder 1 g Inj @100 (HJ) 0 100 100 0 - - - - -

10 I.V Catheter 24G (STERA MEDICAL) @50 67 37 30 - - - - 30.00

11 ERGOTAMIN CAFFEINE 1mg-50mg Tab @100 91 10 81 - - - - -

12 Dimenhydrinate 50 mg Tab @100 (KF) 50 50 0 - - - - -

13 Folic Acid 1 mg Tab @100 240 240 0 - - - - -

14 Vitamin B1 50 mg Tab @100 466 40 426 - - - - -

15 Prednison 5 mg Tab @100 425 85 340 - - - - -

16 Tetracycline 500 mg Kaps @100 160 60 100 - - - - -

17 Dexametason 0,5 mg Tab @100 494 144 350 - - - - -

18 Benzatin Benzil Penisilin - 3 1 2 - - - - -

19 KA-EN 3B 500 ml (OTSU) - 200 50 150 - - - - -

20 I.V Catheter 22G (TRO.Veenocath) @50 - 50 50 0

TOTAL - - - 30.00
Kolaka, 31 AGUSTUS 2020
Bendahara Aset Kepala Instalasi Farmasi
RS. Benyamin Guluh kab. Kolaka RS. Benyamin Guluh kab. Kolaka

FAJAR AHMAD MEGARISMANITA, S.Farm. M.Farm. Apt

Nip. 19810418 200701 1 009 197550112 199803 2 002
Mengetahui
Direktur BLUD RS. Benyamin Guluh Kab.Kolaka
dr. H. MUHAMMAD RAFI
Nip. 19670201 200112 1 002
PEMERINTAH KABUPATEN KOLAKA DAFTAR PERSEDIAAN (STOK OPNAME) APOTEK RAWAT INAP
BLUD RS. BENYAMIN GULUH KAB. KOLAKA PERIODE 3O SEPTEMBER 2020
INSTALASI FARMASI HIBAH

Jumlah Unit (Satuan) Jumlah ( Rupiah )

NO JENIS PERSEDIAAN Saldo Awal Mutasi TA 2020 Saldo akhir HARGA Saldo Awal Mutasi TA 2020 Saldo akhir

8/31/2020 Penambahan Pengurangan 9/30/2020 (Rp) 8/31/2020 Penambahan Pengurangan 9/30/2020 Kondisi

1 2 3 4 5 6=3+4 - 5 H.Satuan 7 8 9 10=7+ 8 - 9 11

1 DISPO 5 CC (NIPRO)@100 0 - 0 - - - - -

2 DISPO 10 CC (NIPRO)@100 0 - 0 -

3 DISPO 50 ml Catheter Tip (Top pol) 0 - 0 - - - - -

4 Infusion Set Pediatric Set (AXIMED) 212 - 212 -

5 Urobag 2000 ml (One Med) 0 - 0 - - - - -

6 Blood Transfusoin Set (STERA) @5 0 - 0 -

7 Cefotaxim Dry Powder Inj Vial 1 g (RAMA) 0 - 0 - - - - -

8 Antrain (Metamizol) 500 mg Inj Amp 0 - 0 -

9 Methyl Prednisolone 125mg Inj Vial (PH) 0 - 0 - - - - -

10 Ceftriaxon Dry Powder 1 g Inj @100 (HJ) 0 - 0 -

11 I.V Catheter 24G (STERA MEDICAL) @50 30 30 0 - - - - -

12 ERGOTAMIN CAFFEINE 1mg-50mg Tab @100 81 15 66 -

13 Dimenhydrinate 50 mg Tab @100 (KF) 0 - 0 - - - - -

14 Folic Acid 1 mg Tab @100 0 - 0 -

15 Vitamin B1 50 mg Tab @100 426 150 276 - - - - -

16 Prednison 5 mg Tab @100 340 14 326 -

17 Tetracycline 500 mg Kaps @100 100 100 0 - - - - -

18 Dexametason 0,5 mg Tab @100 350 165 185 -

19 Benzatin Benzil Penisilin 2 - 2 - - - - -

20 KA-EN 3B 500 ml (OTSU) 150 - 150 - - - - -

TOTAL - - - -

Kolaka, 30 SEPTEMBER 2020

Bendahara Aset Kepala Instalasi Farmasi
RS. Benyamin Guluh kab. Kolaka RS. Benyamin Guluh kab. Kolaka

FAJAR AHMAD MEGARISMANITA, S.Farm. M.Farm. Apt

Nip. 19810418 200701 1 009 197550112 199803 2 002
Mengetahui
Direktur BLUD RS. Benyamin Guluh Kab.Kolaka
dr. H. MUHAMMAD RAFI
Nip. 19670201 200112 1 002
PEMERINTAH KABUPATEN KOLAKA DAFTAR PERSEDIAAN (STOK OPNAME) APOTEK RAWAT INAP
BLUD RS. BENYAMIN GULUH KAB. KOLAKA PERIODE 31 OKTOBER 2020
INSTALASI FARMASI HIBAH

Jumlah Unit (Satuan) Jumlah ( Rupiah )

NO JENIS PERSEDIAAN Saldo Awal Mutasi TA 2020 Saldo akhir HARGA Saldo Awal Mutasi TA 2020 Saldo akhir
9/30/2020 Penambahan Pengurangan 10/31/2020 (Rp) 9/30/2020 Penambahan Pengurangan 10/31/2020 Kondisi
1 2 3 4 5 6=3+4 - 5 H.Satuan 7 8 9 10=7+ 8 - 9 11
1 DISPO 5 CC (NIPRO)@100 0 - 0 - - - - -
2 DISPO 10 CC (NIPRO)@100 0 - 0 - - - - -
3 DISPO 50 ml Catheter Tip (Top pol) 0 - 0 - - - - -
4 Infusion Set Pediatric Set (AXIMED) 212 - 212 - - - - -
5 Urobag 2000 ml (One Med) 0 - 0 - - - - -
6 Blood Transfusoin Set (STERA) @5 0 - 0 - - - - -
7 Cefotaxim Dry Powder Inj Vial 1 g (RAMA) 0 - 0 - - - - -
8 Antrain (Metamizol) 500 mg Inj Amp 0 - 0 - - - - -
9 Methyl Prednisolone 125mg Inj Vial (PH) 0 - 0 - - - - -
10 Ceftriaxon Dry Powder 1 g Inj @100 (HJ) 0 50 50 0 - - - - -
11 I.V Catheter 24G (STERA MEDICAL) @50 0 - 0 - - - - -
12 ERGOTAMIN CAFFEINE 1mg-50mg Tab @100 66 3 63 - - - - -
13 Dimenhydrinate 50 mg Tab @100 (KF) 0 - 0 - - - - -
14 Folic Acid 1 mg Tab @100 0 - 0 - - - - -
15 Vitamin B1 50 mg Tab @100 276 62 214 - - - - -
16 Prednison 5 mg Tab @100 326 96 230 - - - - -
17 Tetracycline 500 mg Kaps @100 0 - 0 - - - - -
18 Dexametason 0,5 mg Tab @100 185 91 94 - - - - -
19 Benzatin Benzil Penisilin 2 2 0 - - - - - exp
20 KA-EN 3B 500 ml (OTSU) 150 150 0 - - - - -
21 Cetirizin 5 mg Sirup @60 ml (Rama) 0 5 5 0 - - - - -
22 Acetylcysteine 200 mg Kap @50(Indofarma) 0 900 240 660 - - - - -
23 Azitromicyn 500 mg @20 0 200 158 42 - - - - -
TOTAL - - - - -

Kolaka, 31 OKTOBER 2020

Bendahara Aset Kepala Instalasi Farmasi
RS. Benyamin Guluh kab. Kolaka RS. Benyamin Guluh kab. Kolaka

FAJAR AHMAD MEGARISMANITA, S.Farm. M.Farm. Apt

Nip. 19810418 200701 1 009 197550112 199803 2 002
Mengetahui
Direktur BLUD RS. Benyamin Guluh Kab.Kolaka

dr. H. MUHAMMAD RAFI

Nip. 19670201 200112 1 002
PEMERINTAH KABUPATEN KOLAKA DAFTAR PERSEDIAAN (STOK OPNAME) APOTEK RAWAT INAP
BLUD RS. BENYAMIN GULUH KAB. KOLAKA PERIODE 30 NOVEMBER 2020
INSTALASI FARMASI HIBAH

Jumlah Unit (Satuan) Jumlah ( Rupiah )

NO JENIS PERSEDIAAN Saldo Awal Mutasi TA 2020 Saldo akhir HARGA Saldo Awal Mutasi TA 2020 Saldo akhir
10/31/2020 Penambahan Pengurangan 11/30/2020 (Rp) 10/31/2020 Penambahan Pengurangan 11/30/2020 Kondisi
1 2 3 4 5 6=3+4 - 5 H.Satuan 7 8 9 10=7+ 8 - 9 11
1 DISPO 5 CC (NIPRO)@100 0 - 0 - - - - -
2 DISPO 10 CC (NIPRO)@100 0 1,500 74 1426 - - - - -

3 DISPO 50 ml Catheter Tip (Top pol) 0 - 0 - - - - -

4 Infusion Set Pediatric Set (AXIMED) 212 - 212 - - - - -

5 Urobag 2000 ml (One Med) 0 - 0 - - - - -

6 Blood Transfusoin Set (STERA) @5 0 - 0 - - - - -
7 Cefotaxim Dry Powder Inj Vial 1 g (RAMA) 0 - 0 - - - - -

8 Antrain (Metamizol) 500 mg Inj Amp 0 - 0 - - - - -

9 Methyl Prednisolone 125mg Inj Vial (PH) 0 - 0 - - - - -
10 Ceftriaxon Dry Powder 1 g Inj @100 (HJ) 0 - 0 - - - - -

11 I.V Catheter 24G (STERA MEDICAL) @50 0 - 0 - - - - -

12 ERGOTAMIN CAFFEINE 1mg-50mg Tab @100 63 63 0 - - - - - exp
13 Dimenhydrinate 50 mg Tab @100 (KF) 0 - 0 - - - - -
14 Folic Acid 1 mg Tab @100 0 - 0 - - - - -
15 Vitamin B1 50 mg Tab @100 214 74 140 - - - - -

16 Prednison 5 mg Tab @100 230 140 90 - - - - -

17 Tetracycline 500 mg Kaps @100 0 - 0 - - - - -

18 Dexametason 0,5 mg Tab @100 94 94 0 - - - - -

19 Benzatin Benzil Penisilin - 0 - - - - -
20 KA-EN 3B 500 ml (OTSU) 0 - 0 - - - - -

21 Cetirizin 5 mg Sirup @60 ml (Rama) 0 - 0 - - - - -

22 Acetylcysteine 200 mg Kap @50(Indofarma) 660 660 0 - - - - -
23 Azitromicyn 500 mg @20 42 140 182 0 - - - - - 100 TAB DARI RJ
24 Tablet tambah darah 0 300 220 80 - - - - -
25 Dispo 20 ml 0 50 - 50 - - - - -

26 I.V catheter 18 @50 0 100 5 95 - - - - -

TOTAL - - - -

Kolaka, 30 NOVEMBER 2020

Bendahara Aset Kepala Instalasi Farmasi
RS. Benyamin Guluh kab. Kolaka RS. Benyamin Guluh kab. Kolaka

FAJAR AHMAD MEGARISMANITA, S.Farm. M.Farm. Apt

Nip. 19810418 200701 1 009 197550112 199803 2 002
Mengetahui
Direktur BLUD RS. Benyamin Guluh Kab.Kolaka

dr. H. MUHAMMAD RAFI

Nip. 19670201 200112 1 002
PEMERINTAH KABUPATEN KOLAKA DAFTAR PERSEDIAAN (STOK OPNAME) APOTEK RAWAT INAP
BLUD RS. BENYAMIN GULUH KAB. KOLAKA PERIODE 31 DESEMBER 2020
INSTALASI FARMASI HIBAH

Jumlah Unit (Satuan) Jumlah ( Rupiah )

NO JENIS PERSEDIAAN Saldo Awal Mutasi TA 2020 Saldo akhir HARGA Saldo Awal Mutasi TA 2020 Saldo akhir
11/30/2020PenambahanPengurangan 12/31/2020 (Rp) 11/30/2020 Penambahan Pengurangan 12/31/2020 Kondisi
1 2 3 4 5 6=3+4 - 5 H.Satuan 7 8 9 10=7+ 8 - 9 11
1 DISPO 5 CC (NIPRO)@100 0 - 0 - - - - -
2 DISPO 10 CC (NIPRO)@100 1426 1,426 0 - - - -
3 DISPO 50 ml Catheter Tip (Top pol) 0 - 0 - - - -
4 Infusion Set Pediatric Set (AXIMED) 212 35 177 - - - -
5 Urobag 2000 ml (One Med) 0 - 0 - - - -
6 Blood Transfusoin Set (STERA) @5 0 - 0 - - - -
7 Cefotaxim Dry Powder Inj Vial 1 g (RAMA) 0 - 0 - - - -
8 Antrain (Metamizol) 500 mg Inj Amp 0 - 0 - - - -
9 Methyl Prednisolone 125mg Inj Vial (PH) 0 - 0 - - - -
10 Ceftriaxon Dry Powder 1 g Inj @100 (HJ) 0 - 0 - - - -
11 I.V Catheter 24G (STERA MEDICAL) @50 0 - 0 - - - -
12 ERGOTAMIN CAFFEINE 1mg-50mg Tab @1 0 - 0 - - - -
13 Dimenhydrinate 50 mg Tab @100 (KF) 0 - 0 - - - -
14 Folic Acid 1 mg Tab @100 0 - 0 - - - -
15 Vitamin B1 50 mg Tab @100 140 200 172 168 - - - -
16 Prednison 5 mg Tab @100 90 90 0 - - - -
17 Tetracycline 500 mg Kaps @100 0 - 0 - - - -
18 Dexametason 0,5 mg Tab @100 0 - 0 - - - -
19 Benzatin Benzil Penisilin 0 - 0 - - - -
20 KA-EN 3B 500 ml (OTSU) 0 - 0 - - - -
21 Cetirizin 5 mg Sirup @60 ml (Rama) 0 - 0 - - - -
22 Acetylcysteine 200 mg Kap @50(Indofarma 0 - 0 - - - -
23 Azitromicyn 500 mg @20 0 - 0 - - - -
24 Tablet tambah darah 80 80 0 - - - -
25 Dispo 20 ml 50 50 0 - - - -
26 I.V catheter 18 @50 95 45 50 - - - -
27 Cotrymozasole syrup @60 ml 0 20 4 16 - - - -
TOTAL - - - -

Kolaka, 31 DESEMBER 2020

Bendahara Aset Kepala Instalasi Farmasi
RS. Benyamin Guluh kab. Kolaka RS. Benyamin Guluh kab. Kolaka

FAJAR AHMAD MEGARISMANITA, S.Farm. M.Farm. Apt

Nip. 19810418 200701 1 009 197550112 199803 2 002
Mengetahui
Direktur BLUD RS. Benyamin Guluh Kab.Kolaka

dr. H. MUHAMMAD RAFI

Nip. 19670201 200112 1 002
PEMERINTAH KABUPATEN KOLAKA DAFTAR PERSEDIAAN (STOK OPNAME) APOTEK RAWAT INAP
BLUD RS. BENYAMIN GULUH KAB. KOLAKA PERIODE 31 JANUARI 2021
INSTALASI FARMASI HIBAH

Jumlah Unit (Satuan) Jumlah ( Rupiah )

NO JENIS PERSEDIAAN Saldo Awal Mutasi TA 2021 Saldo akhir HARGA Saldo Awal Mutasi TA 2021 Saldo akhir
12/31/2020 Penambahan Pengurangan 1/31/2021 (Rp) 12/31/2020 Penambahan Pengurangan 1/31/2021 Kondisi
1 2 3 4 5 6=3+4 - 5 H.Satuan 7 8 9 10=7+ 8 - 9 11
1 DISPO 5 CC (NIPRO)@100 0 - 0 - - - - -
2 DISPO 10 CC (NIPRO)@100 0 - 0 - - - -
3 DISPO 50 ml Catheter Tip (Top pol) 0 - 0 - - - -
4 Infusion Set Pediatric Set (AXIMED) 177 24 153 - - - -
5 Urobag 2000 ml (One Med) 0 - 0 - - - -
6 Blood Transfusoin Set (STERA) @5 0 - 0 - - - -
7 Cefotaxim Dry Powder Inj Vial 1 g (RAMA) 0 - 0 - - - -
8 Antrain (Metamizol) 500 mg Inj Amp 0 - 0 - - - -
9 Methyl Prednisolone 125mg Inj Vial (PH) 0 - 0 - - - -
10 Ceftriaxon Dry Powder 1 g Inj @100 (HJ) 0 - 0 - - - -
11 I.V Catheter 24G (STERA MEDICAL) @50 0 - 0 - - - -
12 ERGOTAMIN CAFFEINE 1mg-50mg Tab @100 0 - 0 - - - -
13 Dimenhydrinate 50 mg Tab @100 (KF) 0 - 0 - - - -
14 Folic Acid 1 mg Tab @100 0 - 0 - - - -
15 Vitamin B1 50 mg Tab @100 168 200 211 157 - - - -
16 Prednison 5 mg Tab @100 0 - 0 - - - -
17 Tetracycline 500 mg Kaps @100 0 - 0 - - - -
18 Dexametason 0,5 mg Tab @100 0 - 0 - - - -
19 Benzatin Benzil Penisilin 0 - 0 - - - -
20 KA-EN 3B 500 ml (OTSU) 0 - 0 - - - -
21 Cetirizin 5 mg Sirup @60 ml (Rama) 0 - 0 - - - -
22 Acetylcysteine 200 mg Kap @50(Indofarma) 0 - 0 - - - -
23 Azitromicyn 500 mg @20 0 - 0 - - - -
24 Tablet tambah darah 0 - 0 - - - -
25 Dispo 20 ml 0 - 0 - - - -
26 I.V catheter 18 (TRO-Venocath) @50 50 - 50 - - - -
27 Cotrymozasole syrup @60 ml 16 5 11 - - - -
TOTAL - - - -

Kolaka, 31 Januari 2021

Bendahara Aset Kepala Instalasi Farmasi
RS. Benyamin Guluh kab. Kolaka RS. Benyamin Guluh kab. Kolaka

FAJAR AHMAD MEGARISMANITA, S.Farm. M.Farm. Apt

Nip. 19810418 200701 1 009 197550112 199803 2 002
Mengetahui
Direktur BLUD RS. Benyamin Guluh Kab.Kolaka

dr. H. MUHAMMAD RAFI

Nip. 19670201 200112 1 001
PEMERINTAH KABUPATEN KOLAKA DAFTAR PERSEDIAAN (STOK OPNAME) APOTEK RAWAT INAP
BLUD RS. BENYAMIN GULUH KAB. KOLAKA PERIODE 28 FEBRUARI 2021
INSTALASI FARMASI HIBAH

Jumlah Unit (Satuan) Jumlah ( Rupiah )

NO JENIS PERSEDIAAN Saldo Awal Mutasi TA 2021 Saldo akhir HARGA Saldo Awal Mutasi TA 2021 Saldo akhir
1/31/2021 Penambahan Pengurangan 2/28/2021 (Rp) 1/31/2021 Penambahan Pengurangan 2/28/2021 Kondisi
1 2 3 4 5 6=3+4 - 5 H.Satuan 7 8 9 10=7+ 8 - 9 11
1 DISPO 5 CC (NIPRO)@100 0 - 0 - - - - -
2 DISPO 10 CC (NIPRO)@100 0 - 0 - - - -
3 DISPO 50 ml Catheter Tip (Top pol) 0 - 0 - - - -
4 Infusion Set Pediatric Set (AXIMED) 153 16 137 - - - -
5 Urobag 2000 ml (One Med) 0 - 0 - - - -
6 Blood Transfusoin Set (STERA) @5 0 - 0 - - - -
7 Cefotaxim Dry Powder Inj Vial 1 g (RAMA) 0 - 0 - - - -
8 Antrain (Metamizol) 500 mg Inj Amp 0 - 0 - - - -
9 Methyl Prednisolone 125mg Inj Vial (PH) 0 - 0 - - - -
10 Ceftriaxon Dry Powder 1 g Inj @100 (HJ) 0 - 0 - - - -
11 I.V Catheter 24G (STERA MEDICAL) @50 0 - 0 - - - -
12 ERGOTAMIN CAFFEINE 1mg-50mg Tab @100 0 - 0 - - - -
13 Dimenhydrinate 50 mg Tab @100 (KF) 0 - 0 - - - -
14 Folic Acid 1 mg Tab @100 0 - 0 - - - -
15 Vitamin B1 50 mg Tab @100 157 143 14 - - - -
16 Prednison 5 mg Tab @100 0 - 0 - - - -
17 Tetracycline 500 mg Kaps @100 0 - 0 - - - -
18 Dexametason 0,5 mg Tab @100 0 - 0 - - - -
19 Benzatin Benzil Penisilin 0 - 0 - - - -
20 KA-EN 3B 500 ml (OTSU) 0 - 0 - - - -
21 Cetirizin 5 mg Sirup @60 ml (Rama) 0 - 0 - - - -
22 Acetylcysteine 200 mg Kap @50(Indofarma) 0 - 0 - - - -
23 Azitromicyn 500 mg @20 0 - 0 - - - -
24 Tablet tambah darah 0 - 0 - - - -
25 Dispo 20 ml 0 - 0 - - - -
26 I.V catheter 18 (TRO-Venocath) @50 50 11 39 - - - -
27 Cotrymozasole syrup @60 ml 11 1 10 - - - -
TOTAL - - - -

Kolaka, 28 Februari 2021

Bendahara Aset Kepala Instalasi Farmasi
RS. Benyamin Guluh kab. Kolaka RS. Benyamin Guluh kab. Kolaka

FAJAR AHMAD MEGARISMANITA, S.Farm. M.Farm. Apt

Nip. 19810418 200701 1 009 197550112 199803 2 002
Mengetahui
Direktur BLUD RS. Benyamin Guluh Kab.Kolaka

dr. H. MUHAMMAD RAFI

Nip. 19670201 200112 1 001
PEMERINTAH KABUPATEN KOLAKA DAFTAR PERSEDIAAN (STOK OPNAME) APOTEK RAWAT INAP
BLUD RS. BENYAMIN GULUH KAB. KOLAKA PERIODE 31 MARET 2021
INSTALASI FARMASI HIBAH

Jumlah Unit (Satuan) Jumlah ( Rupiah )

NO JENIS PERSEDIAAN Saldo Awal Mutasi TA 2021 Saldo akhir HARGA Saldo Awal Mutasi TA 2021 Saldo akhir
2/28/2021 Penambahan Pengurangan 3/31/2021 (Rp) 2/28/2021 Penambahan Pengurangan 3/31/2021 Kondisi
1 2 3 4 5 6=3+4 - 5 H.Satuan 7 8 9 10=7+ 8 - 9 11
1 DISPO 5 CC (NIPRO)@100 0 - 0 - - - - -
2 DISPO 10 CC (NIPRO)@100 0 - 0 - - - -
3 DISPO 50 ml Catheter Tip (Top pol) 0 - 0 - - - -
4 Infusion Set Pediatric Set (AXIMED) 137 21 116 - - - -
5 Urobag 2000 ml (One Med) 0 - 0 - - - -
6 Blood Transfusoin Set (STERA) @5 0 - 0 - - - -
7 Cefotaxim Dry Powder Inj Vial 1 g (RAMA) 0 - 0 - - - -
8 Antrain (Metamizol) 500 mg Inj Amp 0 - 0 - - - -
9 Methyl Prednisolone 125mg Inj Vial (PH) 0 - 0 - - - -
10 Ceftriaxon Dry Powder 1 g Inj @100 (HJ) 0 - 0 - - - -
11 I.V Catheter 24G (STERA MEDICAL) @50 0 - 0 - - - -
12 ERGOTAMIN CAFFEINE 1mg-50mg Tab @100 0 - 0 - - - -
13 Dimenhydrinate 50 mg Tab @100 (KF) 0 - 0 - - - -
14 Folic Acid 1 mg Tab @100 0 - 0 - - - -
15 Vitamin B1 50 mg Tab @100 14 100 114 0 - - - -
16 Prednison 5 mg Tab @100 0 - 0 - - - -
17 Tetracycline 500 mg Kaps @100 0 - 0 - - - -
18 Dexametason 0,5 mg Tab @100 0 - 0 - - - -
19 Benzatin Benzil Penisilin 0 - 0 - - - -
20 KA-EN 3B 500 ml (OTSU) 0 - 0 - - - -
21 Cetirizin 5 mg Sirup @60 ml (Rama) 0 - 0 - - - -
22 Acetylcysteine 200 mg Kap @50(Indofarma) 0 - 0 - - - -
23 Azitromicyn 500 mg @20 0 - 0 - - - -
24 Tablet tambah darah 0 - 0 - - - -
25 Dispo 20 ml 0 - 0 - - - -
26 I.V catheter 18 (TRO-Venocath) @50 39 3 36 - - - -
27 Cotrymozasole syrup @60 ml 10 6 4 - - - -
TOTAL - - - -

Kolaka, 31 Maret 2021

Bendahara Aset Kepala Instalasi Farmasi
RS. Benyamin Guluh kab. Kolaka RS. Benyamin Guluh kab. Kolaka

FAJAR AHMAD MEGARISMANITA, S.Farm. M.Farm. Apt

Nip. 19810418 200701 1 009 197550112 199803 2 002
Mengetahui
Direktur BLUD RS. Benyamin Guluh Kab.Kolaka

dr. H. MUHAMMAD RAFI

Nip. 19670201 200112 1 001
PEMERINTAH KABUPATEN KOLAKA DAFTAR PERSEDIAAN (STOK OPNAME) APOTEK RAWAT INAP
BLUD RS. BENYAMIN GULUH KAB. KOLAKA PERIODE 30 APRIL 2021
INSTALASI FARMASI HIBAH

Jumlah Unit (Satuan) Jumlah ( Rupiah )

NO JENIS PERSEDIAAN Saldo Awal Mutasi TA 2021 Saldo akhir HARGA Saldo Awal Mutasi TA 2021 Saldo akhir
3/31/2021 Penambahan Pengurangan 4/30/2021 (Rp) 3/31/2021 Penambahan Pengurangan 4/30/2021 Kondisi
1 2 3 4 5 6=3+4 - 5 H.Satuan 7 8 9 10=7+ 8 - 9 11
1 DISPO 5 CC (NIPRO)@100 0 - 0 - - - - -
2 DISPO 10 CC (NIPRO)@100 0 - 0 - - - -
3 DISPO 50 ml Catheter Tip (Top pol) 0 - 0 - - - -
4 Infusion Set Pediatric Set (AXIMED) 116 116 0 - - - - EXP
5 Urobag 2000 ml (One Med) 0 - 0 - - - -
6 Blood Transfusoin Set (STERA) @5 0 - 0 - - - -
7 Cefotaxim Dry Powder Inj Vial 1 g (RAMA) 0 - 0 - - - -
8 Antrain (Metamizol) 500 mg Inj Amp 0 - 0 - - - -
9 Methyl Prednisolone 125mg Inj Vial (PH) 0 - 0 - - - -
10 Ceftriaxon Dry Powder 1 g Inj @100 (HJ) 0 - 0 - - - -
11 I.V Catheter 24G (STERA MEDICAL) @50 0 - 0 - - - -
12 ERGOTAMIN CAFFEINE 1mg-50mg Tab @100 0 - 0 - - - -
13 Dimenhydrinate 50 mg Tab @100 (KF) 0 - 0 - - - -
14 Folic Acid 1 mg Tab @100 0 - 0 - - - -
15 Vitamin B1 50 mg Tab @100 0 - 0 - - - -
16 Prednison 5 mg Tab @100 0 - 0 - - - -
17 Tetracycline 500 mg Kaps @100 0 - 0 - - - -
18 Dexametason 0,5 mg Tab @100 0 - 0 - - - -
19 Benzatin Benzil Penisilin 0 - 0 - - - -
20 KA-EN 3B 500 ml (OTSU) 0 - 0 - - - -
21 Cetirizin 5 mg Sirup @60 ml (Rama) 0 - 0 - - - -
22 Acetylcysteine 200 mg Kap @50(Indofarma) 0 - 0 - - - -
23 Azitromicyn 500 mg @20 0 - 0 - - - -
24 Tablet tambah darah 0 - 0 - - - -
25 Dispo 20 ml 0 - 0 - - - -
26 I.V catheter 18 (TRO-Venocath) @50 36 3 33 - - - -
27 Cotrymozasole syrup @60 ml 4 4 0 - - - -
TOTAL - - - -

Kolaka, 30 April 2021

Bendahara Aset Kepala Instalasi Farmasi
RS. Benyamin Guluh kab. Kolaka RS. Benyamin Guluh kab. Kolaka

FAJAR AHMAD MEGARISMANITA, S.Farm. M.Farm. Apt

Nip. 19810418 200701 1 009 197550112 199803 2 002
Mengetahui
Direktur BLUD RS. Benyamin Guluh Kab.Kolaka

dr. H. MUHAMMAD RAFI

Nip. 19670201 200112 1 001
PEMERINTAH KABUPATEN KOLAKA DAFTAR PERSEDIAAN (STOK OPNAME) APOTEK RAWAT INAP
BLUD RS. BENYAMIN GULUH KAB. KOLAKA PERIODE 31 MEI 2021
INSTALASI FARMASI HIBAH

Jumlah Unit (Satuan) Jumlah ( Rupiah )

NO JENIS PERSEDIAAN Saldo Awal Mutasi TA 2021 Saldo akhir HARGA Saldo Awal Mutasi TA 2021 Saldo akhir
4/30/2021 Penambahan Pengurangan 5/31/2021 (Rp) 4/30/2021 Penambahan Pengurangan 5/31/2021 Kondisi
1 2 3 4 5 6=3+4 - 5 H.Satuan 7 8 9 10=7+ 8 - 9 11
1 DISPO 5 CC (NIPRO)@100 0 - 0 - - - - -
2 DISPO 10 CC (NIPRO)@100 0 - 0 - - - -
3 DISPO 50 ml Catheter Tip (Top pol) 0 - 0 - - - -
4 Infusion Set Pediatric Set (AXIMED) 0 - 0 - - - -
5 Urobag 2000 ml (One Med) 0 - 0 - - - -
6 Blood Transfusoin Set (STERA) @5 0 - 0 - - - -
7 Cefotaxim Dry Powder Inj Vial 1 g (RAMA) 0 - 0 - - - -
8 Antrain (Metamizol) 500 mg Inj Amp 0 - 0 - - - -
9 Methyl Prednisolone 125mg Inj Vial (PH) 0 - 0 - - - -
10 Ceftriaxon Dry Powder 1 g Inj @100 (HJ) 0 - 0 - - - -
11 I.V Catheter 24G (STERA MEDICAL) @50 0 - 0 - - - -
12 ERGOTAMIN CAFFEINE 1mg-50mg Tab @100 0 - 0 - - - -
13 Dimenhydrinate 50 mg Tab @100 (KF) 0 - 0 - - - -
14 Folic Acid 1 mg Tab @100 0 - 0 - - - -
15 Vitamin B1 50 mg Tab @100 0 - 0 - - - -
16 Prednison 5 mg Tab @100 0 - 0 - - - -
17 Tetracycline 500 mg Kaps @100 0 - 0 - - - -
18 Dexametason 0,5 mg Tab @100 0 - 0 - - - -
19 Benzatin Benzil Penisilin 0 - 0 - - - -
20 KA-EN 3B 500 ml (OTSU) 0 - 0 - - - -
21 Cetirizin 5 mg Sirup @60 ml (Rama) 0 - 0 - - - -
22 Acetylcysteine 200 mg Kap @50(Indofarma) 0 - 0 - - - -
23 Azitromicyn 500 mg @20 0 - 0 - - - -
24 Tablet tambah darah 0 - 0 - - - -
25 Dispo 20 ml 0 - 0 - - - -
26 I.V catheter 18 (TRO-Venocath) @50 33 - 33 - - - -
27 Cotrymozasole syrup @60 ml 0 - 0 - - - -
TOTAL - - - -

Kolaka, 31 Mei 2021

Bendahara Aset Kepala Instalasi Farmasi
RS. Benyamin Guluh kab. Kolaka RS. Benyamin Guluh kab. Kolaka

FAJAR AHMAD MEGARISMANITA, S.Farm. M.Farm. Apt

Nip. 19810418 200701 1 009 197550112 199803 2 002
Mengetahui
Direktur BLUD RS. Benyamin Guluh Kab.Kolaka

dr. H. MUHAMMAD RAFI

Nip. 19670201 200112 1 001
PEMERINTAH KABUPATEN KOLAKA DAFTAR PERSEDIAAN (STOK OPNAME) APOTEK RAWAT INAP
BLUD RS. BENYAMIN GULUH KAB. KOLAKA PERIODE 30 JUNI 2021
INSTALASI FARMASI HIBAH

Jumlah Unit (Satuan) Jumlah ( Rupiah )

NO JENIS PERSEDIAAN Saldo Awal Mutasi TA 2021 Saldo akhir HARGA Saldo Awal Mutasi TA 2021 Saldo akhir
5/31/2021 Penambahan Pengurangan 6/30/2021 (Rp) 5/31/2021 Penambahan Pengurangan 6/30/2021 Kondisi
1 2 3 4 5 6=3+4 - 5 H.Satuan 7 8 9 10=7+ 8 - 9 11
1 DISPO 5 CC (NIPRO)@100 0 - 0 - - - - -
2 DISPO 10 CC (NIPRO)@100 0 - 0 - - - -
3 DISPO 50 ml Catheter Tip (Top pol) 0 - 0 - - - -
4 Infusion Set Pediatric Set (AXIMED) 0 - 0 - - - -
5 Urobag 2000 ml (One Med) 0 - 0 - - - -
6 Blood Transfusoin Set (STERA) @5 0 - 0 - - - -
7 Cefotaxim Dry Powder Inj Vial 1 g (RAMA) 0 - 0 - - - -
8 Antrain (Metamizol) 500 mg Inj Amp 0 - 0 - - - -
9 Methyl Prednisolone 125mg Inj Vial (PH) 0 - 0 - - - -
10 Ceftriaxon Dry Powder 1 g Inj @100 (HJ) 0 - 0 - - - -
11 I.V Catheter 24G (STERA MEDICAL) @50 0 - 0 - - - -
12 ERGOTAMIN CAFFEINE 1mg-50mg Tab @100 0 - 0 - - - -
13 Dimenhydrinate 50 mg Tab @100 (KF) 0 - 0 - - - -
14 Folic Acid 1 mg Tab @100 0 - 0 - - - -
15 Vitamin B1 50 mg Tab @100 0 - 0 - - - -
16 Prednison 5 mg Tab @100 0 - 0 - - - -
17 Tetracycline 500 mg Kaps @100 0 - 0 - - - -
18 Dexametason 0,5 mg Tab @100 0 - 0 - - - -
19 Benzatin Benzil Penisilin 0 - 0 - - - -
20 KA-EN 3B 500 ml (OTSU) 0 - 0 - - - -
21 Cetirizin 5 mg Sirup @60 ml (Rama) 0 - 0 - - - -
22 Acetylcysteine 200 mg Kap @50(Indofarma) 0 - 0 - - - -
23 Azitromicyn 500 mg @20 0 - 0 - - - -
24 Tablet tambah darah 0 - 0 - - - -
25 Dispo 20 ml 0 - 0 - - - -
26 I.V catheter 18 (TRO-Venocath) @50 33 - 33 - - - -
27 Cotrymozasole syrup @60 ml 0 - 0 - - - -
TOTAL - - - -

Kolaka, 30 Juni 2021

Bendahara Aset Kepala Instalasi Farmasi
RS. Benyamin Guluh kab. Kolaka RS. Benyamin Guluh kab. Kolaka

FAJAR AHMAD MEGARISMANITA, S.Farm. M.Farm. Apt

Nip. 19810418 200701 1 009 197550112 199803 2 002
Mengetahui
Direktur BLUD RS. Benyamin Guluh Kab.Kolaka

dr. H. MUHAMMAD RAFI

Nip. 19670201 200112 1 001
PEMERINTAH KABUPATEN KOLAKA DAFTAR PERSEDIAAN (STOK OPNAME) APOTEK RAWAT INAP
BLUD RS. BENYAMIN GULUH KAB. KOLAKA PERIODE 31 JULI 2021
INSTALASI FARMASI HIBAH

Jumlah Unit (Satuan) Jumlah ( Rupiah )

NO JENIS PERSEDIAAN Saldo Awal Mutasi TA 2021 Saldo akhir HARGA Saldo Awal Mutasi TA 2021 Saldo akhir
6/30/2021 Penambahan Pengurangan 7/31/2021 (Rp) 6/30/2021 Penambahan Pengurangan 7/31/2021 Kondisi
1 2 3 4 5 6=3+4 - 5 H.Satuan 7 8 9 10=7+ 8 - 9 11
1 DISPO 5 CC (NIPRO)@100 0 - 0 - - - - -
2 DISPO 10 CC (NIPRO)@100 0 - 0 - - - -
3 DISPO 50 ml Catheter Tip (Top pol) 0 - 0 - - - -
4 Infusion Set Pediatric Set (AXIMED) 0 - 0 - - - -
5 Urobag 2000 ml (One Med) 0 - 0 - - - -
6 Blood Transfusoin Set (STERA) @5 0 - 0 - - - -
7 Cefotaxim Dry Powder Inj Vial 1 g (RAMA) 0 - 0 - - - -
8 Antrain (Metamizol) 500 mg Inj Amp 0 - 0 - - - -
9 Methyl Prednisolone 125mg Inj Vial (PH) 0 - 0 - - - -
10 Ceftriaxon Dry Powder 1 g Inj @100 (HJ) 0 - 0 - - - -
11 I.V Catheter 24G (STERA MEDICAL) @50 0 - 0 - - - -
12 ERGOTAMIN CAFFEINE 1mg-50mg Tab @100 0 - 0 - - - -
13 Dimenhydrinate 50 mg Tab @100 (KF) 0 - 0 - - - -
14 Folic Acid 1 mg Tab @100 0 - 0 - - - -
15 Vitamin B1 50 mg Tab @100 0 - 0 - - - -
16 Prednison 5 mg Tab @100 0 - 0 - - - -
17 Tetracycline 500 mg Kaps @100 0 - 0 - - - -
18 Dexametason 0,5 mg Tab @100 0 - 0 - - - -
19 Benzatin Benzil Penisilin 0 - 0 - - - -
20 KA-EN 3B 500 ml (OTSU) 0 - 0 - - - -
21 Cetirizin 5 mg Sirup @60 ml (Rama) 0 - 0 - - - -
22 Acetylcysteine 200 mg Kap @50(Indofarma) 0 - 0 - - - -
23 Azitromicyn 500 mg @20 0 - 0 - - - -
24 Tablet tambah darah 0 - 0 - - - -
25 Dispo 20 ml 0 - 0 - - - -
26 I.V catheter 18 (TRO-Venocath) @50 33 5 28 - - - -
27 Cotrymozasole syrup @60 ml 0 - 0 - - - -
28 I.V catheter 20 (TRO-Venocath) @50 0 150 150 0 - -
TOTAL - - - -

Kolaka, 31 Juli 2021

Bendahara Aset Kepala Instalasi Farmasi
RS. Benyamin Guluh kab. Kolaka RS. Benyamin Guluh kab. Kolaka

FAJAR AHMAD MEGARISMANITA, S.Farm. M.Farm. Apt

Nip. 19810418 200701 1 009 197550112 199803 2 002
Mengetahui
Direktur BLUD RS. Benyamin Guluh Kab.Kolaka

dr. H. MUHAMMAD RAFI

Nip. 19670201 200112 1 001
PEMERINTAH KABUPATEN KOLAKA DAFTAR PERSEDIAAN (STOK OPNAME) APOTEK RAWAT INAP
BLUD RS. BENYAMIN GULUH KAB. KOLAKA PERIODE 31 AGUSTUS 2021
INSTALASI FARMASI HIBAH

Jumlah Unit (Satuan) Jumlah ( Rupiah )

NO JENIS PERSEDIAAN Saldo Awal Mutasi TA 2021 Saldo akhir HARGA Saldo Awal Mutasi TA 2021 Saldo akhir
7/31/2021 Penambahan Pengurangan 8/31/2021 (Rp) 7/31/2021 Penambahan Pengurangan 8/31/2021 Kondisi
1 2 3 4 5 6=3+4 - 5 H.Satuan 7 8 9 10=7+ 8 - 9 11
1 DISPO 5 CC (NIPRO)@100 0 - 0 - - - - -
2 DISPO 10 CC (NIPRO)@100 0 - 0 - - - -
3 DISPO 50 ml Catheter Tip (Top pol) 0 - 0 - - - -
4 Infusion Set Pediatric Set (AXIMED) 0 - 0 - - - -
5 Urobag 2000 ml (One Med) 0 - 0 - - - -
6 Blood Transfusoin Set (STERA) @5 0 - 0 - - - -
7 Cefotaxim Dry Powder Inj Vial 1 g (RAMA) 0 - 0 - - - -
8 Antrain (Metamizol) 500 mg Inj Amp 0 - 0 - - - -
9 Methyl Prednisolone 125mg Inj Vial (PH) 0 - 0 - - - -
10 Ceftriaxon Dry Powder 1 g Inj @100 (HJ) 0 - 0 - - - -
11 I.V Catheter 24G (STERA MEDICAL) @50 0 - 0 - - - -
12 ERGOTAMIN CAFFEINE 1mg-50mg Tab @100 0 - 0 - - - -
13 Dimenhydrinate 50 mg Tab @100 (KF) 0 - 0 - - - -
14 Folic Acid 1 mg Tab @100 0 - 0 - - - -
15 Vitamin B1 50 mg Tab @100 0 - 0 - - - -
16 Prednison 5 mg Tab @100 0 - 0 - - - -
17 Tetracycline 500 mg Kaps @100 0 - 0 - - - -
18 Dexametason 0,5 mg Tab @100 0 - 0 - - - -
19 Benzatin Benzil Penisilin 0 - 0 - - - -
20 KA-EN 3B 500 ml (OTSU) 0 - 0 - - - -
21 Cetirizin 5 mg Sirup @60 ml (Rama) 0 - 0 - - - -
22 Acetylcysteine 200 mg Kap @50(Indofarma) 0 - 0 - - - -
23 Azitromicyn 500 mg @20 0 - 0 - - - -
24 Tablet tambah darah 0 - 0 - - - -
25 Dispo 20 ml 0 - 0 - - - -
26 I.V catheter 18 (TRO-Venocath) @50 33 5 28 - - - -
27 Cotrymozasole syrup @60 ml 0 - 0 - - - -
28 I.V catheter 20 (TRO-Venocath) @50 0 150 150 0 - -
TOTAL - - - -

Kolaka, 31 Agustus 2021

Bendahara Aset Kepala Instalasi Farmasi
RS. Benyamin Guluh kab. Kolaka RS. Benyamin Guluh kab. Kolaka

FAJAR AHMAD MEGARISMANITA, S.Farm. M.Farm. Apt

Nip. 19810418 200701 1 009 197550112 199803 2 002
Mengetahui
Direktur BLUD RS. Benyamin Guluh Kab.Kolaka

dr. H. MUHAMMAD RAFI

Nip. 19670201 200112 1 001