LAPORAN PERSEDIAAN LOGISTIK COVID-19

PUSKESMAS ….............................
PER TRIWULAN I 2022

Pengadaan / Dropping / Penerimaan Triwulan I Tahun Jumlah Saldo Awal + Pengadaan

Stok Akhir Desember 2021 Penggunaan Barang Sisa Barang Ket
2022 Tahun 2022
NO Nama Barang/Jenis Barang Satuan Barang Tahun Pengadaan /Pembelian
Harga Harga
Jumlah Barang Harga Barang Jumlah Harga Jumlah Barang Jumlah Harga Jumlah Barang Harga Barang Jumlah Barang Jumlah Harga Jumlah Barang Jumlah Harga
Barang Barang
1 2 3 4 5 6 7 = (5 x 6) 8 9 10 = (8 x 9) 11 = (5 + 8) 12 = (6 + 9) 13 14 15 = (13 x 14) 16 = (11 - 13) 17 = (12 -15) 18
APBD (BTT I)
BMHP
1 Alkohol Swab Pcs APBD (BTT I) 2021 100.00 - - - 100 - - - 100.00
2 APD Level 2 (Gown, Masker N95, Mobcap) Paket APBD (BTT I) 2021 90,000.00 - - - 90,000 - - - 90,000.00
3 APD Level 3 (Coverall) Pcs APBD (BTT I) 2021 150,000.00 - - - 150,000 - - - 150,000.00
4 Bara coat / Gown Pcs APBD (BTT I) 2021 60,909.09 - - - 60,909 - - - 60,909.09
5 Bara coat / Gown Pcs APBD (BTT I) 2021 60,000.00 - - - 60,000 - - - 60,000.00
6 Coverall Pcs APBD (BTT I) 2021 151,200.00 - - - 151,200 - - - 151,200.00
7 Face Shield Pcs APBD (BTT I) 2021 50,000.00 - - - 50,000 - - - 50,000.00
8 Hand Sanitizer 500 ml (Softanol) Botol APBD (BTT I) 2020 55,000.00 - - - 55,000 - - - 55,000.00
9 Handsanitizer 500 ml Botol APBD (BTT I) 2021 40,909.09 - - - 40,909 - - - 40,909.09
10 Kertas Sticker Label Pack APBD (BTT I) 2021 5,000.00 - - - 5,000 - - - 5,000.00
11 Masker Bedah Pcs APBD (BTT I) 2021 660.00 - - - 660 - - - 660.00
12 Masker Bedah Pcs APBD (BTT I) 2021 871.00 - - - 871 - - - 871.00
13 Masker Bedah Pcs APBD (BTT I) 2021 871.00 - - - 871 - - - 871.00
14 Masker N95 Pcs APBD (BTT I) 2021 19,267.00 - - - 19,267 - - - 19,267.00
15 Masker N95 Pcs APBD (BTT I) 2021 17,952.50 - - - 17,953 - - - 17,952.50
16 Masker N95 Pcs APBD (BTT I) 2021 19,267.00 - - - 19,267 - - - 19,267.00
17 Ok Plast Spot (Plesterin Bulat) Pcs APBD (BTT I) 2021 300.00 - - - 300 - - - 300.00
18 Oxister H2O2 2% 5 L Galon APBD (BTT I) 2021 1,200,000.00 - - - 1,200,000 - - - 1,200,000.00
19 Oxister H2O2 7,5% 20 L Galon APBD (BTT I) 2021 10,000,000.00 - - - 10,000,000 - - - 10,000,000.00
20 Parafilm Roll APBD (BTT I) 2021 600,000.00 - - - 600,000 - - - 600,000.00
21 Rak Tabung Reaksi Pcs APBD (BTT I) 2021 135,000.00 - - - 135,000 - - - 135,000.00
22 Rapid Antigen Set APBD (BTT I) 2021 70,000.00 - - - 70,000 - - - 70,000.00
23 Rapid Antigen Set APBD (BTT I) 2021 70,000.00 - - - 70,000 - - - 70,000.00
24 Safety box 5 L Pcs APBD (BTT I) 2021 13,181.82 - - - 13,182 - - - 13,181.82
25 Sarung Tangan Non Steril Pcs APBD (BTT I) 2021 1,590.00 - - - 1,590 - - - 1,590.00
26 Sarung Tangan Non Steril Uk. M Pcs APBD (BTT I) 2021 1,136.36 - - - 1,136 - - - 1,136.36
27 Sarung Tangan Obgyn Psg APBD (BTT I) 2021 17,272.73 - - - 17,273 - - - 17,272.73
28 Tisu Pack APBD (BTT I) 2021 13,500.00 - - - 13,500 - - - 13,500.00
29 Tisu Pack APBD (BTT I) 2021 13,454.55 - - - 13,455 - - - 13,454.55
30 Tongue Spatel Pack APBD (BTT I) 2021 15,000.00 - - - 15,000 - - - 15,000.00
31 Wrapping uk 30 cm x 500 m Roll APBD (BTT I) 2021 145,000.00 - - - 145,000 - - - 145,000.00

JUMLAH HARGA TOTAL BMHP (APBD - BTT I) - - 13,017,442.14 - 13,017,442.14

JUMLAH HARGA TOTAL (APBD - BTT I) - - 13,017,442.14 - 13,017,442.14

APBD (BTT II)

OBAT
32 Azitromisin 500 mg tablet Tablet APBD (BTT II) 2021 1,136.00 - - - 1,136 - - - 1,136.00
33 Multivitamin Tablet (Imusive CD Zink) Tablet APBD (BTT II) 2021 983.33 - - - 983 - - - 983.33
34 Obat Batuk Syrup 100 ml (Herbakof) Botol APBD (BTT II) 2021 12,975.45 - - - 12,975 - - - 12,975.45
35 Obat Flu Tablet (Fluanza Tablet) Tablet APBD (BTT II) 2021 49.00 - - - 49 - - - 49.00
36 Remdesivir Inj 100 mg Vial APBD (BTT II) 2021 290,000.00 - - - 290,000 - - - 290,000.00

JUMLAH HARGA TOTAL OBAT (APBD - BTT II) - - 305,143.78 - 305,143.78

BMHP
37 Alkohol Swab Pcs APBD (BTT II) 2021 109.09 - - - 109 - - - 109.09
38 Bara coat / Gown Pcs APBD (BTT II) 2021 27,272.73 - - - 27,273 - - - 27,272.73
39 Bara coat / Gown Pcs APBD (BTT II) 2021 31,818.00 - - - 31,818 - - - 31,818.00
40 Busa Kg APBD (BTT II) 2021 174,500.00 - - - 174,500 - - - 174,500.00
41 Cover Shoes Psg APBD (BTT II) 2021 3,546.00 - - - 3,546 - - - 3,546.00
42 Coverall Pcs APBD (BTT II) 2021 113,636.36 - - - 113,636 - - - 113,636.36
43 Face Shield/Visor Mask Mika Pcs APBD (BTT II) 2021 50,000.00 - - - 50,000 - - - 50,000.00
44 Handsanitizer 500 ml Botol APBD (BTT II) 2021 109,090.00 - - - 109,090 - - - 109,090.00
45 Handsanitizer Gel 500 ml Botol APBD (BTT II) 2021 50,000.00 - - - 50,000 - - - 50,000.00
46 Kantong Mayat Pcs APBD (BTT II) 2020 460,000.00 - - - 460,000 - - - 460,000.00
47 Masker Bedah Pcs APBD (BTT II) 2021 509.12 - - - 509 - - - 509.12
48 Masker Bedah Pcs APBD (BTT II) 2021 636.36 - - - 636 - - - 636.36
49 Masker N95 Pcs APBD (BTT II) 2021 13,626.43 - - - 13,626 - - - 13,626.43
50 Masker N95 Pcs APBD (BTT II) 2021 18,181.00 - - - 18,181 - - - 18,181.00
51 Nurse cap Pcs APBD (BTT II) 2021 774.00 - - - 774 - - - 774.00
52 Ok Plast Spot (Plesterin Bulat) Pcs APBD (BTT II) 2021 207.00 - - - 207 - - - 207.00
53 Ok Plast Spot (Plesterin Bulat) Pcs APBD (BTT II) 2021 150.00 - - - 150 - - - 150.00
54 Polybag Hitam Pack APBD (BTT II) 2021 54,000.00 - - - 54,000 - - - 54,000.00
55 Polybag Kuning Pack APBD (BTT II) 2021 68,100.00 - - - 68,100 - - - 68,100.00
56 Polybag Kuning Pack APBD (BTT II) 2021 45,450.00 - - - 45,450 - - - 45,450.00
57 Rapid Antigen Set APBD (BTT II) 2021 50,000.00 - - - 50,000 - - - 50,000.00
58 Reagen PCR Set APBD (BTT II) 2021 222,727.00 - - - 222,727 - - - 222,727.00
59 Safety Box Pcs APBD (BTT II) 2021 13,181.82 - - - 13,182 - - - 13,181.82
60 Sarung Tangan Non Steril Pcs APBD (BTT II) 2021 1,590.92 - - - 1,591 - - - 1,590.92
61 Sarung Tangan Non Steril Pcs APBD (BTT II) 2021 840.00 - - - 840 - - - 840.00
62 Tissu Pack APBD (BTT II) 2021 8,950.00 - - - 8,950 - - - 8,950.00
63 Tissu Pack APBD (BTT II) 2021 8,800.00 - - - 8,800 - - - 8,800.00
64 VTM Set APBD (BTT II) 2021 28,181.81 - - - 28,182 - - - 28,181.81

JUMLAH HARGA TOTAL BMHP (APBD - BTT II) - - 1,555,877.64 - 1,555,877.64

JUMLAH HARGA TOTAL (APBD - BTT II) - - 1,861,021.42 - 1,861,021.42

APBD (BTT III)

OBAT
65 Multivitamin Tablet (Zegavit) Tablet APBD (BTT III) 2020 1,800.00 - - - 1,800 - - - 1,800.00

JUMLAH HARGA TOTAL OBAT (APBD - BTT III) - - 1,800.00 - 1,800.00

BMHP
66 Bara coat / Gown Pcs APBD (BTT III) 2020 59,000.00 - - - 59,000 - - - 59,000.00
67 Buffer B Tube APBD (BTT III) 2020 - - - - - - - - -
68 Coverall Pcs APBD (BTT III) 2020 125,000.00 - - - 125,000 - - - 125,000.00
69 Crystalmix Kit Kit APBD (BTT III) 2020 625,000.00 - - - 625,000 - - - 625,000.00
70 Desinpektan Spray 450 ml Botol APBD (BTT III) 2020 94,000.00 - - - 94,000 - - - 94,000.00
71 Hand Sanitizer 5L (Twinkel) Galon APBD (BTT III) 2020 1,040,000.00 - - - 1,040,000 - - - 1,040,000.00
72 Hand Wash 5 L (Twinkel) Galon APBD (BTT III) 2020 1,040,000.00 - - - 1,040,000 - - - 1,040,000.00
73 Hand Wash 500 ml (Twinkel) Botol APBD (BTT III) 2020 65,000.00 - - - 65,000 - - - 65,000.00
74 Kacamata (Google) Pcs APBD (BTT III) 2020 16,500.00 - - - 16,500 - - - 16,500.00
75 Kertas Stiker Label Pak APBD (BTT III) 2020 5,500.00 - - - 5,500 - - - 5,500.00
76 Masker 3 ply Pcs APBD (BTT III) 2020 1,100.00 - - - 1,100 - - - 1,100.00
77 Masker KN95 Pcs APBD (BTT III) 2020 17,600.00 - - - 17,600 - - - 17,600.00
78 Medical Swab Pcs APBD (BTT III) 2020 - - - - - - - - -
79 Microtips 10 ul Pcs APBD (BTT III) 2020 - - - - - - - - -
80 Microtips 100 ul Pcs APBD (BTT III) 2020 - - - - - - - - -
81 Oxister H2O2 2% 5 L Galon APBD (BTT III) 2020 1,200,000.00 - - - 1,200,000 - - - 1,200,000.00
82 Parafilm Rol APBD (BTT III) 2020 600,000.00 - - - 600,000 - - - 600,000.00
83 Polybag Kuning Pack @ 24 lbr APBD (BTT III) 2020 45,000.00 - - - 45,000 - - - 45,000.00
84 Pulse Oximetri Unit APBD (BTT III) 2020 968,000.00 - - - 968,000 - - - 968,000.00
85 Rak Tabung Reaksi Pcs APBD (BTT III) 2020 135,000.00 - - - 135,000 - - - 135,000.00
86 Rak Tabung Reaksi Pcs APBD (BTT III) 2020 135,000.00 - - - 135,000 - - - 135,000.00
87 Rapid Test Corona (Clungene) Test APBD (BTT III) 2020 45,000.00 - - - 45,000 - - - 45,000.00
88 Rapid Test Corona (Clungene) Test APBD (BTT III) 2020 44,500.00 - - - 44,500 - - - 44,500.00
89 Sarung Tangan Non Steril Pcs APBD (BTT III) 2020 1,250.00 - - - 1,250 - - - 1,250.00
90 Sarung Tangan Non Steril Uk. L Ktk @ 40 pcs APBD (BTT III) 2020 75,000.00 - - - 75,000 - - - 75,000.00
91 Sarung Tangan Non Steril Uk. M Ktk @ 40 pcs APBD (BTT III) 2020 75,000.00 - - - 75,000 - - - 75,000.00
92 Sarung Tangan Steril Uk. 6,5 Psg APBD (BTT III) 2020 7,000.00 - - - 7,000 - - - 7,000.00
93 Sarung Tangan Steril Uk. 7 Psg APBD (BTT III) 2020 7,000.00 - - - 7,000 - - - 7,000.00
94 Spatel Kayu Ktk @ 50 APBD (BTT III) 2020 15,000.00 - - - 15,000 - - - 15,000.00
95 Spatel Kayu Ktk @ 50 APBD (BTT III) 2020 15,000.00 - - - 15,000 - - - 15,000.00
96 Tempat Sampah 660 L Unit APBD (BTT III) 2020 3,803,750.00 - - - 3,803,750 - - - 3,803,750.00
97 Tempat Sampah 87 L Medis Unit APBD (BTT III) 2020 493,000.00 - - - 493,000 - - - 493,000.00
98 Tissu Pack APBD (BTT III) 2020 13,500.00 - - - 13,500 - - - 13,500.00
99 Tissu Pak APBD (BTT III) 2020 13,500.00 - - - 13,500 - - - 13,500.00
100 VTM Set APBD (BTT III) 2020 40,000.00 - - - 40,000 - - - 40,000.00
101 Wrapping 30 cm Rol APBD (BTT III) 2020 25,000.00 - - - 25,000 - - - 25,000.00
102 Wrapping 30 cm Rol APBD (BTT III) 2020 25,000.00 - - - 25,000 - - - 25,000.00

JUMLAH HARGA TOTAL BMHP (APBD - BTT III) - - 10,870,200.00 - 10,870,200.00

JUMLAH HARGA TOTAL (APBD - BTT III) - - 10,872,000.00 - 10,872,000.00

APBD (DID)
BMHP
103 Alat Semprot (Elektrik) Pcs APBD (DID) 2020 995,000.00 - - - 995,000 - - - 995,000.00
104 Desinfektan 5 L (Stericide-3D) Galon APBD (DID) 2020 1,098,900.00 - - - 1,098,900 - - - 1,098,900.00
105 Hand Sanitizer 5L (Softanol) Botol APBD (DID) 2020 550,000.00 - - - 550,000 - - - 550,000.00
106 Sepatu Boot Uk. 40 Psg APBD (DID) 2020 105,000.00 - - - 105,000 - - - 105,000.00
107 Stetoskope Anak Unit APBD (DID) 2020 532,400.00 - - - 532,400 - - - 532,400.00
108 Stetoskope Dewasa Unit APBD (DID) 2020 353,800.00 - - - 353,800 - - - 353,800.00
109 Tensimeter Unit APBD (DID) 2020 1,320,331.00 - - - 1,320,331 - - - 1,320,331.00

JUMLAH HARGA TOTAL BMHP (APBD - DID) - - 4,955,431.00 - 4,955,431.00

JUMLAH HARGA TOTAL (APBD - DID) - - 4,955,431.00 - 4,955,431.00

APBD
BMHP
 Pengadaan / Dropping / Penerimaan Triwulan I Tahun Jumlah Saldo Awal + Pengadaan
Stok Akhir Desember 2021 Penggunaan Barang Sisa Barang Ket
2022 Tahun 2022
NO Nama Barang/Jenis Barang Satuan Barang Tahun Pengadaan /Pembelian
Harga Harga
Jumlah Barang Harga Barang Jumlah Harga Jumlah Barang Jumlah Harga Jumlah Barang Harga Barang Jumlah Barang Jumlah Harga Jumlah Barang Jumlah Harga
Barang Barang
110 Apron Lbr APBD 2021 1,100.00 - - - 1,100 - - - 1,100.00
111 Sarung Tangan Non Steril Pcs APBD 2021 1,788.00 - - - 1,788 - - - 1,788.00
112 Handsanitizer 500 ml Botol APBD 2021 110,000.00 - - - 110,000 - - - 110,000.00

JUMLAH HARGA TOTAL BMHP (APBD) - - 112,888.00 - 112,888.00

JUMLAH HARGA TOTAL (APBD) - - 112,888.00 - 112,888.00

APBD Provinsi
BMHP
113 Alat Suntik 0,3 ml (Vaksinasi) Pcs APBD Provinsi 2021 1,255.00 - - - 1,255 - - - 1,255.00
114 Alat Suntik 0,3 ml (Vaksinasi) Pcs APBD Provinsi 2022 1,255.00 - - - 1,255 - - - 1,255.00
115 Alat Suntik 0,5 ml (Vaksinasi) Pcs APBD Provinsi 2021 1,050.00 - - - 1,050 - - - 1,050.00
116 Alat Suntik 0,5 ml (Vaksinasi) Pcs APBD Provinsi 2021 1,185.00 - - - 1,185 - - - 1,185.00
117 Alat Suntik 0,5 ml (Vaksinasi) Pcs APBD Provinsi 2022 1,165.00 - - - 1,165 - - - 1,165.00
118 Alat Suntik 3 ml (Vaksinasi) Pcs APBD Provinsi 2021 569.00 - - - 569 - - - 569.00
119 Alat Suntik 3 ml (Vaksinasi) Pcs APBD Provinsi 2022 569.00 - - - 569 - - - 569.00
120 Alkohol Swab (Vaksinasi) Pcs APBD Provinsi 2021 95.00 - - - 95 - - - 95.00
121 Alkohol Swab (Vaksinasi) Pcs APBD Provinsi 2021 97.50 - - - 98 - - - 97.50
122 Alkohol Swab (Vaksinasi) Pcs APBD Provinsi 2022 88.00 - - - 88 - - - 88.00
123 Alkohol Swab (Vaksinasi) Pcs APBD Provinsi 2022 79.00 - - - 79 - - - 79.00
124 APD (Vaksinasi) Pcs APBD Provinsi 2021 98,450.00 - - - 98,450 - - - 98,450.00
125 Bara coat / Gown Pcs APBD Provinsi 2021 29,400.00 - - - 29,400 - - - 29,400.00
126 Coverall Pcs APBD Provinsi 2021 150,000.00 - - - 150,000 - - - 150,000.00
127 Coverall Pcs APBD Provinsi 2021 150,000.00 - - - 150,000 - - - 150,000.00
128 Coverall (Aeataka) Pcs APBD Provinsi 2021 150,000.00 - - - 150,000 - - - 150,000.00
129 Coverall (Aeataka) Pcs APBD Provinsi 2021 150,000.00 - - - 150,000 - - - 150,000.00
130 Coverall (BOHO) Pcs APBD Provinsi 2021 110,000.00 - - - 110,000 - - - 110,000.00
131 Coverall (Suit Hitam) Pcs APBD Provinsi 2021 150,000.00 - - - 150,000 - - - 150,000.00
132 Coverall (Suit Merah) Pcs APBD Provinsi 2021 150,000.00 - - - 150,000 - - - 150,000.00
133 Coverall Hazmat Pcs APBD Provinsi 2020 250,000.00 - - - 250,000 - - - 250,000.00
134 Face Shield/Visor Mask Mika Pcs APBD Provinsi 2021 50,000.00 - - - 50,000 - - - 50,000.00
135 Handsanitizer 290 ml Botol APBD Provinsi 2021 40,000.00 - - - 40,000 - - - 40,000.00
136 Handsanitizer 500 ml Botol APBD Provinsi 2020 150,000.00 - - - 150,000 - - - 150,000.00
137 Handsanitizer 500 ml Botol APBD Provinsi 2021 58,745.00 - - - 58,745 - - - 58,745.00
138 Kacamata/Google Pcs APBD Provinsi 2020 150,000.00 - - - 150,000 - - - 150,000.00
139 Kacamata/Google Pcs APBD Provinsi 2021 70,000.00 - - - 70,000 - - - 70,000.00
140 Kacamata/Google Pcs APBD Provinsi 2021 70,000.00 - - - 70,000 - - - 70,000.00
141 Kacamata/Google Pcs APBD Provinsi 2021 70,000.00 - - - 70,000 - - - 70,000.00
142 Kacamata/Google (BPG) Pcs APBD Provinsi 2021 70,000.00 - - - 70,000 - - - 70,000.00
143 Kacamata/Google (Pusaka) Pcs APBD Provinsi 2021 70,000.00 - - - 70,000 - - - 70,000.00
144 Kartu (Vaksinasi) Pcs APBD Provinsi 2021 - - - - - - - - -
145 Masker Bedah Pcs APBD Provinsi 2020 8,000.00 - - - 8,000 - - - 8,000.00
146 Masker Bedah Pcs APBD Provinsi 2021 840.00 - - - 840 - - - 840.00
147 Masker Bedah Pcs APBD Provinsi 2021 840.00 - - - 840 - - - 840.00
148 Masker FFP2 NR Pcs APBD Provinsi 2021 840.00 - - - 840 - - - 840.00
149 Masker KN95 Pcs APBD Provinsi 2020 20,700.00 - - - 20,700 - - - 20,700.00
150 Masker N95 Pcs APBD Provinsi 2021 118,800.00 - - - 118,800 - - - 118,800.00
151 Masker N95 Pcs APBD Provinsi 2021 12,500.00 - - - 12,500 - - - 12,500.00
152 Masker N95 Pcs APBD Provinsi 2021 12,500.00 - - - 12,500 - - - 12,500.00
153 Masker N96 Pcs APBD Provinsi 2020 72,000.00 - - - 72,000 - - - 72,000.00
154 Pelarut NaCl 0,9% - 10 ml Vial APBD Provinsi 2021 3,280.00 - - - 3,280 - - - 3,280.00
155 Pelarut NaCl 0,9% - 10 ml Vial APBD Provinsi 2022 3,280.00 - - - 3,280 - - - 3,280.00
156 Rapid Antigen (Abbott) Test APBD Provinsi 2021 75,069.00 - - - 75,069 - - - 75,069.00
157 Rapid Antigen (Biosensor) Test APBD Provinsi 2021 81,434.00 - - - 81,434 - - - 81,434.00
158 Rapid Antigen (Biosensor) Test APBD Provinsi 2021 81,434.00 - - - 81,434 - - - 81,434.00
159 Rapid Antigen (Indec) Test APBD Provinsi 2021 75,069.00 - - - 75,069 - - - 75,069.00
160 Rapid Antigen (Indec) Test APBD Provinsi 2022 72,725.00 - - - 72,725 - - - 72,725.00
161 Rapid Antigen (Panbio) Test APBD Provinsi 2021 75,069.00 - - - 75,069 - - - 75,069.00
162 Rapid Antigen (Panbio) Test APBD Provinsi 2021 75,069.00 - - - 75,069 - - - 75,069.00
163 Rapid Antigen (Panbio) Test APBD Provinsi 2021 89,500.00 - - - 89,500 - - - 89,500.00
164 Reagen PCR Portable Set APBD Provinsi 2020 10,729.17 - - - 10,729 - - - 10,729.17
165 Rompi Tim (Vaksinasi) Pcs APBD Provinsi 2021 148,000.00 - - - 148,000 - - - 148,000.00
166 Safety box 5 L (Vaksinasi) Pcs APBD Provinsi 2021 14,000.00 - - - 14,000 - - - 14,000.00
167 Safety box 5 L (Vaksinasi) Pcs APBD Provinsi 2022 13,600.00 - - - 13,600 - - - 13,600.00
168 Safety box 5 L (Vaksinasi) Pcs APBD Provinsi 2022 5,382.00 - - - 5,382 - - - 5,382.00
169 Sarung Tangan Non Steril Pcs APBD Provinsi 2020 496.10 - - - 496 - - - 496.10
170 Sarung Tangan Non Steril Pcs APBD Provinsi 2021 1,144.00 - - - 1,144 - - - 1,144.00
171 Sarung Tangan Non Steril Uk. M Pcs APBD Provinsi 2021 1,144.00 - - - 1,144 - - - 1,144.00
172 Sarung Tangan Non Steril Uk. S Pcs APBD Provinsi 2021 1,144.00 - - - 1,144 - - - 1,144.00
173 Sarung Tangan Shamrock Pcs APBD Provinsi 2021 1,144.00 - - - 1,144 - - - 1,144.00
174 Termometer IR Pcs APBD Provinsi 2020 1,350,000.00 - - - 1,350,000 - - - 1,350,000.00
175 Visor Mask Mika / Face Shield Pcs APBD Provinsi 2020 60,000.00 - - - 60,000 - - - 60,000.00
176 Visor Mask Mika / Face Shield Pcs APBD Provinsi 2021 50,000.00 - - - 50,000 - - - 50,000.00
177 Vortex Buah APBD Provinsi 2020 2,250,000.00 - - - 2,250,000 - - - 2,250,000.00
178 VTM Set APBD Provinsi 2021 55,000.00 - - - 55,000 - - - 55,000.00
179 VTM Set APBD Provinsi 2021 53,000.00 - - - 53,000 - - - 53,000.00
180 VTM Test APBD Provinsi 2021 55,000.00 - - - 55,000 - - - 55,000.00
181 VTM Test APBD Provinsi 2021 55,000.00 - - - 55,000 - - - 55,000.00
182 VTM (Citodia) Test APBD Provinsi 2021 55,000.00 - - - 55,000 - - - 55,000.00
183 VTM Test APBD Provinsi 2022 28,000.00 - - - 28,000 - - - 28,000.00
184 VTM Test APBD Provinsi 2022 - - - - - - - - -
185 Wizdx Covid-19 Crystalmix PCR Kit Kit APBD Provinsi 2021 1,200,000.00 - - - 1,200,000 - - - 1,200,000.00

JUMLAH HARGA TOTAL BMHP (APBD Provinsi) - - 8,480,734.77 - 8,480,734.77

JUMLAH HARGA TOTAL (APBD Provinsi) - - 8,480,734.77 - 8,480,734.77

APBN
BMHP
186 Coverall Pcs APBN 2021 150,000.00 - - - 150,000 - - - 150,000.00
187 Masker Non Medis (Earloop Logo) Pcs APBN 2020 5,500.00 - - - 5,500 - - - 5,500.00
188 Masker Non Medis (Earloop Polos) Pcs APBN 2020 5,500.00 - - - 5,500 - - - 5,500.00
189 Masker Non Medis (Headloop Logo) Pcs APBN 2020 5,500.00 - - - 5,500 - - - 5,500.00
190 Masker Non Medis (Headloop Polos) Pcs APBN 2020 5,500.00 - - - 5,500 - - - 5,500.00
191 Rapid Antigen (Biosensor) Test APBN 2021 81,434.00 - - - 81,434 - - - 81,434.00

JUMLAH HARGA TOTAL BMHP (APBN) - - 253,434.00 - 253,434.00

JUMLAH HARGA TOTAL (APBN) - - 253,434.00 - 253,434.00

DONASI
OBAT
192 Ambroxol Hydrochloride Tab Tablet DONASI 2020 137.70 - - - 138 - - - 137.70
193 Asam Askorbat (Vit. C) 250 mg tablet Tablet DONASI 2021 120.00 - - - 120 - - - 120.00
194 Etadryl Expectorant Syr Botol DONASI 2020 4,640.00 - - - 4,640 - - - 4,640.00
195 Metilprednisolon 4 mg tablet Tablet DONASI 2020 143.00 - - - 143 - - - 143.00

JUMLAH HARGA TOTAL OBAT (DONASI) - - 5,040.70 - 5,040.70

BMHP
196 Baracshoot/Gown Pcs DONASI 2021 60,000.00 - - - 60,000 - - - 60,000.00
197 Baracshoot/Gown Pcs DONASI 2021 30,000.00 - - - 30,000 - - - 30,000.00
198 Baracshoot/Gown Pcs DONASI 2021 60,000.00 - - - 60,000 - - - 60,000.00
199 Coverall Pcs DONASI 2021 150,000.00 - - - 150,000 - - - 150,000.00
200 Coverall Pcs DONASI 2021 125,000.00 - - - 125,000 - - - 125,000.00
201 Coverall Pcs DONASI 2021 150,000.00 - - - 150,000 - - - 150,000.00
202 Coverall Pcs DONASI 2021 150,000.00 - - - 150,000 - - - 150,000.00
203 Kacamata (Google) Pcs DONASI 2021 70,000.00 - - - 70,000 - - - 70,000.00
204 Kantong Mayat Pcs DONASI 2021 198,550.00 - - - 198,550 - - - 198,550.00
205 Masker Bedah Pcs DONASI 2021 871.00 - - - 871 - - - 871.00
206 Masker N95 Pcs DONASI 2021 19,267.00 - - - 19,267 - - - 19,267.00
207 Masker Non Medis Pcs DONASI 2020 6,591.00 - - - 6,591 - - - 6,591.00
208 Masker Non Medis Pcs DONASI 2020 5,000.00 - - - 5,000 - - - 5,000.00
209 Rapid Antigen Test DONASI 2021 70,000.00 - - - 70,000 - - - 70,000.00
210 Rapid Antigen (CePAD) Test DONASI 2021 90,000.00 - - - 90,000 - - - 90,000.00
211 Rapid Antigen (Genbody) Test DONASI 2021 70,000.00 - - - 70,000 - - - 70,000.00
212 Sarung Tangan Non Steril Pcs DONASI 2021 1,590.00 - - - 1,590 - - - 1,590.00
213 VTM Pcs DONASI 2022 - - - - - - - - -

JUMLAH HARGA TOTAL BMHP (DONASI) - - 1,256,869.00 - 1,185,279.00

JUMLAH HARGA TOTAL (DONASI) - - 1,261,909.70 - 1,190,319.70
JUMLAH HARGA TOTAL - - 40,814,861.02 - 40,743,271.02

Soreang, 31 Maret 2022

Menyetujui
Kepala Dinas Kesehatan Pengurus Barang Pengguna
Kabupaten Bandung Subag Keuangan dan Penatagunaan Aset

drg. GRACE MEDIANA PURNAMI, M.Kes Ina Agustina Eka Suswanti, SKM
NIP. 19621214 198803 2 004 NIP. 19800821 201001 2 008
 LAPORAN PERSEDIAAN OBAT & PERBEKKES
PUSKESMAS ….............................
PER TRIWULAN I 2022

Stok Akhir Desember 2021 Pengadaan / Dropping / Penerimaan Triwulan I Tahun 2022 Jumlah Saldo Awal + Pengadaan Tahun 2022 Penggunaan Barang Sisa Barang
NO Nama Barang/Jenis Barang Ket
Jumlah Barang Harga Barang Jumlah Harga Jumlah Barang Harga Barang Jumlah Harga Jumlah Barang Harga Barang Jumlah Barang Harga Barang Jumlah Harga Jumlah Barang Jumlah Harga
1 2 3 4 5 6 7 = (5 x 6) 8 9 10 = (8 x 9) 11 = (5 + 8) 12 = (6 + 9) 13 14 15 = (13 x 14) 16 = (11 - 13) 17 = (12 -15) 18
APBD
OBAT
1 Acetylcystein 200 mg kapsul APBD (DAK) 2020 382.00 - - - - 382.00 - - -
2 Acetylcystein 200 mg tablet APBD (DAK) 2021 301.00 - - - - 301.00 - - -
3 Alopurinol tablet 100 mg tablet APBD (DAK) 2021 87.00 - - - - 87.00 - - -
4 Aminofillin 200 mg tablet tablet APBD (DAK) 2019 95.00 - - - - 95.00 - - -
5 Aminofillin Inj 24 mg/ml ampul APBD (DAK) 2021 2,704.00 - - - - 2,704.00 - - -
6 Amitriptilin tablet 25 mg tablet APBD (DAK) 2018 167.00 - - - - 167.00 - - -
7 Amlodipine Tab 10 mg tablet APBD (DAK) 2020 99.00 - - - - 99.00 - - -
8 Amlodipine Tab 10 mg tablet APBD (DAK) 2021 70.00 - - - - 70.00 - - -
9 Amlodipine Tab 10 mg tablet APBD 2020 99.00 - - - - 99.00 - - -
10 Amlodipine Tab 5 mg tablet APBD (DAK) 2020 75.00 - - - - 75.00 - - -
11 Amlodipine Tab 5 mg tablet APBD (DAK) 2021 53.00 - - - - 53.00 - - -
12 Amlodipine Tab 5 mg tablet APBD 2020 75.00 - - - - 75.00 - - -
13 Amlodipine Tab 5 mg tablet APBD 2021 53.00 - - - - 53.00 - - -
14 Amoksisilin kaplet 500 mg tablet APBD (DAK) 2020 249.00 - - - - 249.00 - - -
15 Amoksisilin kaplet 500 mg tablet APBD (DAK) 2021 201.00 - - - - 201.00 - - -
16 Amoksisilin kapsul 250 mg kapsul APBD (DAK) 2019 196.00 - - - - 196.00 - - -
17 Amoksisilin Sirup 125 mg / 5 ml botol APBD (DAK) 2021 2,050.00 - - - - 2,050.00 - - -
18 Amoksisilin Sirup Forte 250 mg / 5 ml botol APBD (DAK) 2019 3,628.00 - - - - 3,628.00 - - -
19 Antasida DOEN suspensi botol APBD (DAK) 2020 2,129.00 - - - - 2,129.00 - - -
20 Antasida DOEN suspensi botol APBD (DAK) 2021 1,679.00 - - - - 1,679.00 - - -
21 Antasida DOEN suspensi botol APBD 2020 2,129.00 - - - - 2,129.00 - - -
22 Antasida DOEN tablet tablet APBD (DAK) 2020 58.00 - - - - 58.00 - - -
23 Antasida DOEN tablet tablet APBD (DAK) 2021 54.00 - - - - 54.00 - - -
24 Antifungi Doen pot APBD (DAK) 2019 4,496.00 - - - - 4,496.00 - - -
25 Antifungi Doen pot APBD (DAK) 2020 4,798.00 - - - - 4,798.00 - - -
26 Antifungi Doen pot APBD (DAK) 2021 3,477.00 - - - - 3,477.00 - - -
27 Antihemoroid Supp supp APBD (DAK) 2020 3,167.00 - - - - 3,167.00 - - -
28 Antihemoroid Supp supp APBD (DAK) 2021 3,250.00 - - - - 3,250.00 - - -
29 Aquabidest (Aqua Pro Inject) 20 ml ampul APBD (DAK) 2020 2,449.00 - - - - 2,449.00 - - -
30 Aquabidest (Aqua Pro Inject) 20 ml vial APBD (DAK) 2021 1,932.00 - - - - 1,932.00 - - -
31 Asam Asetil Salisilat (Asetosal) Tablet 80 mg tablet APBD (DAK) 2019 105.00 - - - - 105.00 - - -
32 Asam Asetil Salisilat (Asetosal) Tablet 80 mg tablet APBD (DAK) 2020 105.00 - - - - 105.00 - - -
33 Asam Asetil Salisilat (Asetosal) Tablet 80 mg tablet APBD (DAK) 2021 89.00 - - - - 89.00 - - -
34 Asam Askorbat (Vit. C) tablet 50 mg tablet APBD (DAK) 2020 105.00 - - - - 105.00 - - -
35 Asam Askorbat (Vit. C) tablet 50 mg tablet APBD (DAK) 2021 42.00 - - - - 42.00 - - -
36 Asam Askorbat (Vit. C) tablet 500 mg (Ramvit-C 500 mg) tablet APBD (DAK) 2021 225.00 - - - - 225.00 - - -
37 Asam Folat 1 mg tablet tablet APBD (DAK) 2020 75.00 - - - - 75.00 - - -
38 Asam Folat 1 mg tablet tablet APBD (DAK) 2021 56.00 - - - - 56.00 - - -
39 Asam Mefenamat tablet 500 mg tablet APBD (DAK) 2021 111.00 - - - - 111.00 - - -
40 Asam Mefenamat tablet 500 mg tablet APBD 2019 321.20 - - - - 321.20 - - -
41 Asiklovir tablet 400 mg tablet APBD (DAK) 2020 405.00 - - - - 405.00 - - -
42 Asiklovir tablet 400 mg tablet APBD (DAK) 2021 407.00 - - - - 407.00 - - -
43 Atropin injeksi 0,25 mg/ml tablet APBD (DAK) 2021 1,718.00 - - - - 1,718.00 - - -
44 Atropin injeksi 0,25 mg/ml ampul APBD 2020 1,639.00 - - - - 1,639.00 - - -
45 Azitromisin tablet 500 mg tablet APBD (DAK) 2020 1,778.00 - - - - 1,778.00 - - -
46 Azitromisin tablet 500 mg tablet APBD (DAK) 2021 1,250.00 - - - - 1,250.00 - - -
47 Azitromisin tablet 500 mg tablet APBD 2019 1,778.00 - - - - 1,778.00 - - -
48 Bedak Salisil kotak APBD 2019 4,510.00 - - - - 4,510.00 - - -
49 Betametason krim 0.1 % tube APBD (DAK) 2020 1,430.00 - - - - 1,430.00 - - -
50 Betametason krim 0.1 % tube APBD (DAK) 2021 1,540.00 - - - - 1,540.00 - - -
51 Cefadroxil Dry Syrup 125 mg/5 ml botol APBD (DAK) 2021 3,800.00 - - - - 3,800.00 - - -
52 Cefadroxil Dry Syrup 125 mg/5 ml botol APBD 2020 5,549.00 - - - - 5,549.00 - - -
53 Cetirizin tablet 10 mg tablet APBD (DAK) 2021 49.00 - - - - 49.00 - - -
54 Deksametason Injeksi 5 mg/ml ampul APBD (DAK) 2019 1,097.00 - - - - 1,097.00 - - -
55 Deksametason Injeksi 5 mg/ml ampul APBD (DAK) 2021 924.00 - - - - 924.00 - - -
56 Deksametason tablet 0,5 mg tablet APBD 2019 74.80 - - - - 74.80 - - -
57 Diazepam Injeksi 5 mg/ml ampul APBD (DAK) 2020 1,735.00 - - - - 1,735.00 - - -
58 Diazepam Rectal 10 mg Supp APBD (DAK) 2020 18,279.00 - - - - 18,279.00 - - -
59 Diazepam Rectal 10 mg tube APBD 2020 18,279.00 - - - - 18,279.00 - - -
60 Diazepam Rectal 5 mg Supp APBD (DAK) 2020 12,573.00 - - - - 12,573.00 - - -
61 Diazepam tablet 2 mg tablet APBD (DAK) 2020 86.00 - - - - 86.00 - - -
62 Diazepam tablet 2 mg tablet APBD (DAK) 2021 70.00 - - - - 70.00 - - -
63 Digoksin tablet 0,25 mg tablet APBD 2020 104.00 - - - - 104.00 - - -
64 Diphenydramin HCl Inj ampul APBD (DAK) 2019 1,095.00 - - - - 1,095.00 - - -
65 Diphenydramin HCl Inj ampul APBD (DAK) 2020 1,095.00 - - - - 1,095.00 - - -
66 Diptheria Antitoxin Serum (ADS 10.000 UI) vial APBD (DAK) 2020 2,618,264.47 - - - - 2,618,264.47 - - -
67 Doksisiklin Kapsul 100 mg kapsul APBD (DAK) 2020 280.00 - - - - 280.00 - - -
68 Doksisiklin Kapsul 100 mg kapsul APBD (DAK) 2021 275.00 - - - - 275.00 - - -
69 Domperidon Syr 5 mg/5 ml botol APBD (DAK) 2021 2,296.00 - - - - 2,296.00 - - -
70 Domperidon tablet 10 mg tablet APBD (DAK) 2020 91.00 - - - - 91.00 - - -
71 Domperidon tablet 10 mg tablet APBD (DAK) 2021 71.00 - - - - 71.00 - - -
72 Epinefrin HCl injeksi 0,1% - 1 ml ampul APBD 2020 1,408.00 - - - - 1,408.00 - - -
73 Ergotamin Kofein tab tablet APBD 2018 173.00 - - - - 173.00 - - -
74 Eritromisin Syr 200 mg (Trovilon Sirup Kering) 60 ml botol APBD 2019 12,870.00 - - - - 12,870.00 - - -
75 Eritromisin Syr 200 mg/5ml - 60 ml botol APBD (DAK) 2021 6,462.00 - - - - 6,462.00 - - -
76 Eritromisin kapsul 250 mg kapsul APBD 2019 583.00 - - - - 583.00 - - -
77 Etanol larutan 70 % - 1000 ml botol APBD (DAK) 2020 18,700.00 - - - - 18,700.00 - - -
78 Eugenol 10 ml btl APBD (DAK) 2019 20,087.00 - - - - 20,087.00 - - -
79 Eugenol 10 ml btl APBD (DAK) 2021 20,150.00 - - - - 20,150.00 - - -
80 Extradine 5 L Galon APBD 2019 475,200.00 - - - - 475,200.00 - - -
81 Fenobarbital injeksi 50 mg/ ml ampul APBD 2020 1,982.00 - - - - 1,982.00 - - -
82 Fenobarbital tablet 30 mg tablet APBD (DAK) 2019 171.00 - - - - 171.00 - - -
83 Fenobarbital tablet 30 mg tablet APBD (DAK) 2021 182.00 - - - - 182.00 - - -
84 Fenol Gliserol 10% Tetes Telinga botol APBD (DAK) 2021 3,300.00 - - - - 3,300.00 - - -
85 Fenol Gliserol 10% Tetes Telinga botol APBD 2019 2,764.00 - - - - 2,764.00 - - -
86 Fitomenadion ( Vit K) injeksi 2 mg/ml ampul APBD (DAK) 2020 3,682.00 - - - - 3,682.00 - - -
87 Fitomenadion ( Vit K) injeksi 2 mg/ml ampul APBD (DAK) 2021 1,386.00 - - - - 1,386.00 - - -
88 Fitomenadion (Vit. K) tablet 10 mg tablet APBD (DAK) 2020 758.00 - - - - 758.00 - - -
89 Fitomenadion (Vit. K) tablet 10 mg tablet APBD (DAK) 2021 748.00 - - - - 748.00 - - -
90 Fitomenadion (Vit. K) tablet 10 mg tablet APBD 2020 758.00 - - - - 758.00 - - -
91 Flukonazol tablet 150 mg tablet APBD 2019 18,720.00 - - - - 18,720.00 - - -
92 Furosemid 40 mg tablet APBD (DAK) 2019 77.00 - - - - 77.00 - - -
93 Furosemid 40 mg tablet APBD 2018 77.00 - - - - 77.00 - - -
94 Furosemid 40 mg tablet APBD 2020 82.00 - - - - 82.00 - - -
95 Garam Oralit sachet APBD (DAK) 2020 274.00 - - - - 274.00 - - -
96 Garam Oralit sase APBD 2019 257.00 - - - - 257.00 - - -
97 Gentamisin salep mata tube APBD (DAK) 2019 2,675.00 - - - - 2,675.00 - - -
98 Gentamisin salep mata tube APBD (DAK) 2020 2,675.00 - - - - 2,675.00 - - -
99 Gentamisin salep mata tube APBD (DAK) 2021 2,665.00 - - - - 2,665.00 - - -
100 Gentamisin Sulfat Salep Kulit tube APBD 2019 3,905.00 - - - - 3,905.00 - - -
101 Gentamisin tetes mata tube APBD (DAK) 2021 4,520.00 - - - - 4,520.00 - - -
102 Gentamisin tetes mata tube APBD 2018 4,232.00 - - - - 4,232.00 - - -
103 Glibenclamide 5 mg tablet tablet APBD (DAK) 2019 119.00 - - - - 119.00 - - -
104 Glibenclamide 5 mg tablet tablet APBD (DAK) 2021 83.00 - - - - 83.00 - - -
105 Glimepirid 1 mg tablet APBD (DAK) 2021 93.00 - - - - 93.00 - - -
106 Glimepirid 1 mg tablet APBD 2020 174.00 - - - - 174.00 - - -
107 Glimepirid 2 mg tablet APBD 2020 207.00 - - - - 207.00 - - -
108 Gluconas calcicus 10% - 10 ml ampul APBD (DAK) 2019 10,351.00 - - - - 10,351.00 - - -
109 Gluconas calcicus 10% - 10 ml ampul APBD (DAK) 2020 10,351.00 - - - - 10,351.00 - - -
110 Gluconas calcicus 10% - 10 ml ampul APBD (DAK) 2021 5,723.00 - - - - 5,723.00 - - -
111 Glukosa infus 5% - 500 ml botol APBD (DAK) 2021 6,627.00 - - - - 6,627.00 - - -
112 Griseofulvin 125 mg tablet APBD (DAK) 2020 224.00 - - - - 224.00 - - -
113 Griseofulvin 125 mg tablet APBD (DAK) 2021 210.00 - - - - 210.00 - - -
114 Griseofulvin 125 mg tablet APBD 2019 224.00 - - - - 224.00 - - -
115 Haloperidol tablet 0,5 mg tablet APBD 2020 55.00 - - - - 55.00 - - -
116 Haloperidol tablet 1.5 mg tablet APBD (DAK) 2020 59.00 - - - - 59.00 - - -
117 Haloperidol tablet 1.5 mg tablet APBD 2020 59.00 - - - - 59.00 - - -
118 Haloperidol tablet 5 mg tablet APBD (DAK) 2021 54.00 - - - - 54.00 - - -
119 Haloperidol tablet 5 mg tablet APBD 2020 60.00 - - - - 60.00 - - -
120 Hidroklortiazid tablet 25 mg table APBD (DAK) 2020 155.00 - - - - 155.00 - - -
121 Hidroklortiazid tablet 25 mg tablet APBD (DAK) 2021 148.00 - - - - 148.00 - - -
122 Hidrokortison krim 2,5% tube APBD (DAK) 2019 2,475.00 - - - - 2,475.00 - - -
123 Hidrokortison krim 2,5% tube APBD (DAK) 2020 2,475.00 - - - - 2,475.00 - - -
124 Hidrokortison krim 2,5% tube APBD (DAK) 2021 2,325.00 - - - - 2,325.00 - - -
125 Ibuprofen Suspensi 200 mg/ 5 ml 60 ml botol APBD (DAK) 2021 3,200.00 - - - - 3,200.00 - - -
126 Ibuprofen Suspensi 200 mg/ 5 ml 60 ml botol APBD 2018 4,465.00 - - - - 4,465.00 - - -
127 Imunodilator (Stimuno Forte Kapsul) kapsul APBD 2021 1,763.00 - - - - 1,763.00 - - -
128 Imunodilator (Stimuno Forte Kapsul) kapsul APBD 2021 1,939.30 - - - - 1,939.30 - - -
129 Isoniazid tablet 300 mg tablet APBD (DAK) 2021 150.00 - - - - 150.00 - - -
130 Isosorbid Dinitrat tablet 5 mg tablet APBD (DAK) 2021 86.00 - - - - 86.00 - - -
131 Kalsium lactat 500 mg tablet APBD (DAK) 2021 60.00 - - - - 60.00 - - -
132 Kalsium lactat 500 mg tablet APBD 2020 63.00 - - - - 63.00 - - -
133 Kaptopril tablet 12.5 mg tablet APBD (DAK) 2018 62.00 - - - - 62.00 - - -
134 Kaptopril tablet 12.5 mg tablet APBD (DAK) 2019 62.00 - - - - 62.00 - - -
135 Kaptopril tablet 12.5 mg tablet APBD (DAK) 2019 66.00 - - - - 66.00 - - -
136 Kaptopril tablet 25 mg tablet APBD (DAK) 2021 75.00 - - - - 75.00 - - -
137 Karbamazepin 200 mg tablet tablet APBD (DAK) 2021 189.00 - - - - 189.00 - - -
138 Karbamazepin 200 mg tablet tablet APBD 2020 245.00 - - -
 Satuan Tahun Pengadaan Stok Akhir Desember 2021 Pengadaan / Dropping / Penerimaan Triwulan I Tahun 2022 Jumlah Saldo Awal + Pengadaan Tahun 2022 Penggunaan Barang Sisa Barang
NO Nama Barang/Jenis Barang Ket
Barang /Pembelian
Jumlah Barang Harga Barang Jumlah Harga Jumlah Barang Harga Barang Jumlah Harga Jumlah Barang Harga Barang Jumlah Barang Harga Barang Jumlah Harga Jumlah Barang Jumlah Harga
1 2 3 4 5 6 7 = (5 x 6) 8 9 10 = (8 x 9) 11 = (5 + 8) 12 = (6 + 9) 13 14 15 = (13 x 14) 16 = (11 - 13) 17 = (12 -15) 18
155 Kolekalsiferol (Vit. D3) 400 unit/5 ml syr botol APBD 2019 32,890.00 - - - - 32,890.00 - - -
156 Kotrimoksazol susp. 120 mg/5 ml - 60ml botol APBD (DAK) 2019 2,052.00 - - - - 2,052.00 - - -
157 Kotrimoksazol susp. 120 mg/5 ml - 60ml botol APBD (DAK) 2020 2,190.00 - - - - 2,190.00 - - -
158 Kotrimoksazol susp. 120 mg/5 ml - 60ml botol APBD (DAK) 2021 2,100.00 - - - - 2,100.00 - - -
159 Kotrimosazol tablet 480 mg tablet APBD (DAK) 2019 125.00 - - - - 125.00 - - -
160 Kotrimosazol tablet 480 mg tablet APBD (DAK) 2020 133.00 - - - - 133.00 - - -
161 Kotrimosazol tablet 480 mg tablet APBD (DAK) 2021 126.00 - - - - 126.00 - - -
162 Lidocain HCl injeksi 2% ampul APBD (DAK) 2021 847.00 - - - - 847.00 - - -
163 Lidocain HCl injeksi 2% ampul APBD 2019 1,221.00 - - - - 1,221.00 - - -
164 Lidocain komp. injeksi 2 % - ml ampul APBD (DAK) 2020 1,229.00 - - - - 1,229.00 - - -
165 Lidocain komp. injeksi 2 % - ml ampul APBD (DAK) 2021 803.00 - - - - 803.00 - - -
166 Loratadin 10 mg tablet tablet APBD (DAK) 2021 109.00 - - - - 109.00 - - -
167 Loratadin 10 mg tablet tablet APBD 2020 131.00 - - - - 131.00 - - -
168 Magnesium sulfat injeksi 20% - 25 ml vial APBD (DAK) 2020 3,328.00 - - - - 3,328.00 - - -
169 Magnesium sulfat injeksi 20% - 25 ml vial APBD (DAK) 2021 3,580.00 - - - - 3,580.00 - - -
170 Magnesium sulfat injeksi 20% - 25 ml vial APBD 2019 3,328.00 - - - - 3,328.00 - - -
171 Magnesium sulfat injeksi 40% - 25 ml vial APBD (DAK) 2020 3,796.00 - - - - 3,796.00 - - -
172 Magnesium sulfat injeksi 40% - 25 ml vial APBD (DAK) 2021 4,090.00 - - - - 4,090.00 - - -
173 Metformin tablet 500 mg tablet APBD (DAK) 2021 77.00 - - - - 77.00 - - -
174 Metformin tablet 500 mg tablet APBD 2020 102.00 - - - - 102.00 - - -
175 Metildopa (Dopamet) 250mg tablet APBD (DAK) 2021 985.00 - - - - 985.00 - - -
176 Metildopa (Dopamet) 250mg tablet APBD 2020 946.00 - - - - 946.00 - - -
177 Metilergometrin maleat (Metergin) tablet salut 0,125 mg tablet APBD (DAK) 2020 224.00 - - - - 224.00 - - -
178 Metilergometrin maleat (Metergin) tablet salut 0,125 mg tablet APBD 2020 224.00 - - - - 224.00 - - -
179 Metilergometrin maleat injeksi 0,2 mg/ml ampul APBD (DAK) 2020 2,959.00 - - - - 2,959.00 - - -
180 Metilergometrin maleat injeksi 0,2 mg/ml ampul APBD (DAK) 2021 1,023.00 - - - - 1,023.00 - - -
181 Metilprednisolon 4 mg tablet tablet APBD (DAK) 2021 102.00 - - - - 102.00 - - -
182 Metoklorpramid 10 mg tablet tablet APBD (DAK) 2020 85.00 - - - - 85.00 - - -
183 Metoklorpramid 10 mg tablet tablet APBD (DAK) 2021 66.00 - - - - 66.00 - - -
184 Metronidazole 500 mg tablet APBD (DAK) 2021 133.00 - - - - 133.00 - - -
185 Metronidazole 500 mg tablet APBD 2019 233.20 - - - - 233.20 - - -
186 Metronidazole Syrup btl APBD (DAK) 2019 3,950.00 - - - - 3,950.00 - - -
187 Metronidazole Syrup botol APBD (DAK) 2020 3,950.00 - - - - 3,950.00 - - -
188 Mikonazol krim 2 % tube APBD (DAK) 2020 3,414.00 - - - - 3,414.00 - - -
189 Mikonazol krim 2 % tube APBD (DAK) 2021 1,900.00 - - - - 1,900.00 - - -
190 Multivitamin Syr 60 ml botol APBD 2020 17,365.70 - - - - 17,365.70 - - -
191 Multivitamin Syrup (Lyscavit Syr 60 ml) botol APBD 2021 7,738.50 - - - - 7,738.50 - - -
192 Multivitamin Tablet (Arkavit C + DEZ) tablet APBD 2021 1,316.66 - - - - 1,316.66 - - -
193 Multivitamin Tablet (Pehavral) tablet APBD 2020 982.82 - - - - 982.82 - - -
194 Multivitamin Tablet (Pritavit) tablet APBD 2020 990.00 - - - - 990.00 - - -
195 Natrium Diklofenak 50 mg tablet APBD (DAK) 2020 123.00 - - - - 123.00 - - -
196 Natrium Diklofenak 50 mg tablet APBD (DAK) 2021 99.00 - - - - 99.00 - - -
197 Natrium Klorida larutan infus 0,9% - 500 ml botol APBD (DAK) 2021 6,800.00 - - - - 6,800.00 - - -
198 Natrium Klorida larutan infus 0,9% - 500 ml botol APBD 2020 6,840.00 - - - - 6,840.00 - - -
199 Nistatin tablet 500.000 IU tablet APBD (DAK) 2020 843.00 - - - - 843.00 - - -
200 Nistatin tablet 500.000 IU tablet APBD (DAK) 2021 825.00 - - - - 825.00 - - -
201 Nistatin tablet 500.000 IU APBD 2019 843.00 - - - - 843.00 - - -
202 Nistatin tablet vaginal 100.000 IU tablet vaginal APBD (DAK) 2020 598.00 - - - - 598.00 - - -
203 Nistatin tablet vaginal 100.000 IU tablet vaginal APBD (DAK) 2021 550.00 - - - - 550.00 - - -
204 Obat Antidiare Nonspesifik Tablet 600 mg tablet APBD 2020 220.00 - - - - 220.00 - - -
205 Obat Antidiare Nonspesifik Tablet 600 mg (Akita) tablet APBD 2021 275.00 - - - - 275.00 - - -
206 Obat Flu Syrup botol APBD 2021 9,812.00 - - - - 9,812.00 - - -
207 Obat Flu Syrup (Calorex Syr) 60 ml botol APBD 2020 11,000.00 - - - - 11,000.00 - - -
208 Obat Flu Tablet (Flutamol) tablet APBD 2020 440.00 - - - - 440.00 - - -
209 Obat Flu Tablet (Molex Flu) tablet APBD 2019 440.00 - - - - 440.00 - - -
210 Obat Flu Tablet (Molexflu) tablet APBD 2021 799.54 - - - - 799.54 - - -
211 Oksitetrasiklin Salep Kulit tube APBD 2020 1,813.90 - - - - 1,813.90 - - -
212 Oksitetrasiklin Salep Mata 1% tube APBD (DAK) 2018 2,500.00 - - - - 2,500.00 - - -
213 Oksitetrasiklin Salep Mata 1% tube APBD (DAK) 2021 3,500.00 - - - - 3,500.00 - - -
214 Oksitosin injeksi 10 IU/ml ampul APBD (DAK) 2020 1,199.00 - - - - 1,199.00 - - -
215 Oksitosin injeksi 10 IU/ml tablet APBD (DAK) 2021 1,126.00 - - - - 1,126.00 - - -
216 Oksitosin injeksi 10 IU/ml ampul APBD 2020 1,199.00 - - - - 1,199.00 - - -
217 Omeprazol kapsul 20 mg kapsul APBD (DAK) 2021 129.00 - - - - 129.00 - - -
218 Parasetamol Drops 100 mg/ml - 15 ml botol APBD (DAK) 2021 4,976.00 - - - - 4,976.00 - - -
219 Parasetamol sirup 120 mg / 5 ml botol APBD (DAK) 2020 1,181.00 - - - - 1,181.00 - - -
220 Parasetamol sirup 120 mg/ 5 ml botol APBD (DAK) 2019 1,107.00 - - - - 1,107.00 - - -
221 Parasetamol sirup 120 mg/ 5 ml botol APBD (DAK) 2021 1,160.00 - - - - 1,160.00 - - -
222 Parasetamol tablet 500 mg tablet APBD (DAK) 2019 113.30 - - - - 113.30 - - -
223 Parasetamol tablet 500 mg tablet APBD 2021 143.00 - - - - 143.00 - - -
224 Parasetamol tablet 500 mg (Metamol tablet) tablet APBD 2020 200.20 - - - - 200.20 - - -
225 Piridoksin 10 mg tablet tablet APBD (DAK) 2020 131.00 - - - - 131.00 - - -
226 Povidon iodida 10% larutan - 30 ml botol APBD (DAK) 2020 2,862.50 - - - - 2,862.50 - - -
227 Povidon iodida 10% larutan - 30 ml botol APBD 2019 2,900.00 - - - - 2,900.00 - - -
228 Povidon iodida 10% larutan - 60 ml botol APBD 2020 4,510.00 - - - - 4,510.00 - - -
229 Prednison 5mg tablet APBD (DAK) 2020 73.00 - - - - 73.00 - - -
230 Prednison 5mg tablet APBD (DAK) 2021 68.00 - - - - 68.00 - - -
231 Premetrin 5% krim tube APBD (DAK) 2021 11,250.00 - - - - 11,250.00 - - -
232 Propanolol tablet 10 mg tablet APBD (DAK) 2018 54.00 - - - - 54.00 - - -
233 Propanolol tablet 10 mg tablet APBD (DAK) 2021 56.00 - - - - 56.00 - - -
234 Ranitidine 25 mg/ ml Injeksi ampul APBD (DAK) 2020 1,188.00 - - - - 1,188.00 - - -
235 Ranitidine tablet 150 mg tablet APBD (DAK) 2019 112.00 - - - - 112.00 - - -
236 Ranitidine tablet 150 mg tablet APBD (DAK) 2020 112.00 - - - - 112.00 - - -
237 Ranitidine tablet 150 mg tablet APBD (DAK) 2021 85.00 - - - - 85.00 - - -
238 Retinol kapsul lunak 100.000 IU kapsul APBD (DAK) 2019 288.00 - - - - 288.00 - - -
239 Ringer Laktat larutan infus - 500 ml botol APBD (DAK) 2020 7,630.00 - - - - 7,630.00 - - -
240 Ringer Laktat larutan infus - 500 ml botol APBD (DAK) 2020 7,632.81 - - - - 7,632.81 - - -
241 Ringer Laktat larutan infus - 500 ml botol APBD (DAK) 2021 7,630.00 - - - - 7,630.00 - - -
242 Riperidone tablet 1 mg tablet APBD (DAK) 2021 102.00 - - - - 102.00 - - -
243 Riperidone tablet 2 mg tablet APBD (DAK) 2021 123.00 - - - - 123.00 - - -
244 Riperidone tablet 2 mg tablet APBD 2018 273.00 - - - - 273.00 - - -
245 Riperidone tablet 2 mg tablet APBD 2020 287.00 - - - - 287.00 - - -
246 Sabun Cuci Tangan 5 L botol APBD (DAK) 2021 344,320.00 - - - - 344,320.00 - - -
247 Sabun Cuci Tangan 500 ml botol APBD (DAK) 2021 37,932.00 - - - - 37,932.00 - - -
248 Salbutamol 2 mg tablet tablet APBD (DAK) 2019 67.00 - - - - 67.00 - - -
249 Salbutamol 2 mg tablet tablet APBD (DAK) 2020 67.00 - - - - 67.00 - - -
250 Salbutamol 2 mg tablet tablet APBD (DAK) 2021 48.00 - - - - 48.00 - - -
251 Salbutamol 2 mg tablet tablet APBD 2019 67.00 - - - - 67.00 - - -
252 Salbutamol 4 mg tablet tablet APBD (DAK) 2021 63.00 - - - - 63.00 - - -
253 Salbutamol Nebules 2,5mg (Combivent) ampul APBD (DAK) 2020 4,550.00 - - - - 4,550.00 - - -
254
pot APBD (DAK) 2020 2,797.00 - - - - 2,797.00 - - -

255
pot APBD (DAK) 2021 1,410.00 - - - - 1,410.00 - - -
256 Scabimite Cream (Premetrin 5% krim) tube APBD 2020 11,825.00 - - - - 11,825.00 - - -
257 Serum Anti Bisa Ular (ABU) I Injeksi ampul APBD (DAK) 2021 517,132.00 - - - - 517,132.00 - - -
258 Serum Anti Tetanus (ATS) 1.500 IU vial APBD (DAK) 2019 130,999.00 - - - - 130,999.00 - - -
259 Serum Anti Tetanus (ATS) 1.500 IU ampul APBD (DAK) 2020 130,999.00 - - - - 130,999.00 - - -
260 Sianokobalamin (Vit. B12) 50 mcg tablet tablet APBD (DAK) 2020 49.00 - - - - 49.00 - - -
261 Sianokobalamin (Vit. B12) 50 mcg tablet tablet APBD (DAK) 2021 43.00 - - - - 43.00 - - -
262 Sianokobalamin (Vit. B12) 50 mcg tablet tablet APBD 2019 49.00 - - - - 49.00 - - -
263 Sianokobalamin (Vit. B12) 50 mcg/ml inj tablet APBD (DAK) 2019 1,104.00 - - - - 1,104.00 - - -
264 Sianokobalamin (Vit. B12) 50 mcg/ml inj ampul APBD (DAK) 2021 969.00 - - - - 969.00 - - -
265 Simvastatin tablet 10 mg tablet APBD (DAK) 2021 68.00 - - - - 68.00 - - -
266 Simvastatin tablet 10 mg tablet APBD 2020 117.00 - - - - 117.00 - - -
267 Siprofloksasin tablet 500 mg tablet APBD (DAK) 2021 248.00 - - - - 248.00 - - -
268 Siprofloksasin tablet 500 mg tablet APBD 2019 453.20 - - - - 453.20 - - -
269 Softanol 5 Liter botol APBD (DAK) 2021 550,000.00 - - - - 550,000.00 - - -
270 Softanol 5 Liter botol APBD 2019 550,000.00 - - - - 550,000.00 - - -
271 Softanol 500 ML botol APBD (DAK) 2021 55,000.00 - - - - 55,000.00 - - -
272 Softanol 500 ML botol APBD 2019 55,000.00 - - - - 55,000.00 - - -
273 Sterald-3D 5 L Galon APBD (DAK) 2021 396,000.00 - - - - 396,000.00 - - -
274 Sterald-3D 5 L Galon APBD 2019 396,000.00 - - - - 396,000.00 - - -
275 Stericide 5 L Galon APBD 2019 752,400.00 - - - - 752,400.00 - - -
276 Stericide 500 ml botol APBD (DAK) 2021 87,120.00 - - - - 87,120.00 - - -
277 Stericide-3 5 L Galon APBD (DAK) 2021 1,098,900.00 - - - - 1,098,900.00 - - -
278 Stericide-3 5 L Galon APBD 2019 1,098,900.00 - - - - 1,098,900.00 - - -
279 Sterizyme 5 L Galon APBD (DAK) 2021 712,800.00 - - - - 712,800.00 - - -
280 Sterizyme 5 L Galon APBD 2019 712,800.00 - - - - 712,800.00 - - -
281 Sulfadiazine Silver Cream 1 % tube APBD 2020 20,700.00 - - - - 20,700.00 - - -
282 Tetrasiklin 500 mg kapsul kapsul APBD (DAK) 2020 323.00 - - - - 323.00 - - -
283 Thiamin Hcl (Vit B1) tablet APBD (DAK) 2018 85.00 - - - - 85.00 - - -
284 Thiamin Hcl (Vit B1) tablet APBD (DAK) 2019 91.00 - - - - 91.00 - - -
285 Trihexifenidril Hidroksida tablet 2 mg tablet APBD (DAK) 2019 91.00 - - - - 91.00 - - -
286 Trihexifenidril Hidroksida tablet 2 mg tablet APBD (DAK) 2021 63.00 - - - - 63.00 - - -
287 Vitamin B Kompleks tablet tablet APBD (DAK) 2019 89.00 - - - - 89.00 - - -
288 Vitamin B Kompleks tablet tablet APBD (DAK) 2020 89.00 - - - - 89.00 - - -
289 Vitamin B Kompleks tablet tablet APBD (DAK) 2021 57.00 - - - - 57.00 - - -
290 Zink Syr 60ml botol APBD (DAK) 2020 3,171.00 - - - - 3,171.00 - - -
291 Zink Syr 60ml tablet APBD (DAK) 2021 2,489.00 - - - - 2,489.00 -
 Satuan Tahun Pengadaan Stok Akhir Desember 2021 Pengadaan / Dropping / Penerimaan Triwulan I Tahun 2022 Jumlah Saldo Awal + Pengadaan Tahun 2022 Penggunaan Barang Sisa Barang
NO Nama Barang/Jenis Barang Ket
Barang /Pembelian
Jumlah Barang Harga Barang Jumlah Harga Jumlah Barang Harga Barang Jumlah Harga Jumlah Barang Harga Barang Jumlah Barang Harga Barang Jumlah Harga Jumlah Barang Jumlah Harga
1 2 3 4 5 6 7 = (5 x 6) 8 9 10 = (8 x 9) 11 = (5 + 8) 12 = (6 + 9) 13 14 15 = (13 x 14) 16 = (11 - 13) 17 = (12 -15) 18
310 Blood Lancet pcs APBD (DAK) 2021 92.00 - - - - 92.00 - - -
311 Catgut 2/0 pcs APBD 2020 49,619.29 - - - - 49,619.29 - - -
312 Catgut 2/0 pcs APBD 2020 32,800.00 - - - - 32,800.00 - - -
313 Catgut 2/0 pcs APBD 2019 61,800.00 - - - - 61,800.00 - - -
314 Catgut 2/0 pcs APBD (DAK) 2021 66,000.00 - - - - 66,000.00 - - -
315 Catgut 3/0 pcs APBD 2020 44,267.66 - - - - 44,267.66 - - -
316 Catgut 3/0 pcs APBD 2020 58,700.00 - - - - 58,700.00 - - -
317 Catgut 3/0 pcs APBD (DAK) 2021 44,992.00 - - - - 44,992.00 - - -
318 Catgut 3/0 pcs APBD (DAK) 2021 42,690.00 - - - - 42,690.00 - - -
319 Catgut 4/0 pcs APBD (DAK) 2021 43,067.00 - - - - 43,067.00 - - -
320 Etil Klorida Cairan Semprot 100 ml botol APBD 2019 212,300.00 - - - - 212,300.00 - - -
321 Face Shield pcs APBD 2021 49,749.70 - - - - 49,749.70 - - -
322 Fixomull Stretch 5cm x 5m roll APBD (DAK) 2021 49,500.00 - - - - 49,500.00 - - -
323 Folley Cath 2-way No. 16 pcs APBD 2019 11,565.00 - - - - 11,565.00 - - -
324 Folley Cath 2-way No. 16 pcs APBD (DAK) 2021 8,723.00 - - - - 8,723.00 - - -
325 Folley Cath 2-way No. 18 pcs APBD 2019 11,565.00 - - - - 11,565.00 - - -
326 Folley Cath 2-way No. 18 pcs APBD (DAK) 2021 9,086.00 - - - - 9,086.00 - - -
327 HB Hemoglobin Test Strip strip APBD (DBHCT) 2021 5,427.76 - - - - 5,427.76 - - -
328 Humasens Plus Glucose Test strip APBD (DBHCT) 2021 4,916.52 - - - - 4,916.52 - - -
329 I.V CHAT 16 G pcs APBD (DAK) 2021 7,920.00 - - - - 7,920.00 - - -
330 I.V CHAT 18GX2 pcs APBD 2019 6,748.00 - - - - 6,748.00 - - -
331 I.V CHAT 18GX2 pcs APBD (DAK) 2021 3,800.00 - - - - 3,800.00 - - -
332 I.V CHAT 20G X 1 pcs APBD (DAK) 2021 4,818.00 - - - - 4,818.00 - - -
333 I.V CHAT 22G X 1 pcs APBD 2019 16,000.00 - - - - 16,000.00 - - -
334 I.V CHAT 22G X 1 pcs APBD (DAK) 2021 4,818.00 - - - - 4,818.00 - - -
335 I.V CHAT 24G X 3/4 pcs APBD 2019 16,000.00 - - - - 16,000.00 - - -
336 I.V CHAT 24G X 3/4 pcs APBD (DAK) 2021 4,818.00 - - - - 4,818.00 - - -
337 I.V CHAT 26 G pcs APBD (DAK) 2021 4,200.00 - - - - 4,200.00 - - -
338 Infus Set Adult 20 drops/mL pcs APBD 2019 5,096.00 - - - - 5,096.00 - - -
339 Infus Set Adult 20 drops/mL pcs APBD (DAK) 2021 7,128.00 - - - - 7,128.00 - - -
340 Infus Set Adult 20 drops/mL pcs APBD (DAK) 2021 9,181.00 - - - - 9,181.00 - - -
341 Infus Set Pedriatic 60 drops/mL set APBD 2019 5,415.00 - - - - 5,415.00 - - -
342 Isopore Surgical Tape 0,5 inch roll APBD (DAK) 2021 5,020.83 - - - - 5,020.83 - - -
343 Isopore Surgical Tape 1 inch roll APBD (DAK) 2021 9,750.00 - - - - 9,750.00 - - -
344 Jas Hujan pcs APBD 2021 10,727.20 - - - - 10,727.20 - - -
345 Kantung Jenazah pcs APBD 2021 198,550.00 - - - - 198,550.00 - - -
346 Kapas Pembalut/Absorben 250 gram roll APBD 2020 12,265.00 - - - - 12,265.00 - - -
347 Kapas Pembalut/Absorben 250 gram bks APBD 2019 12,500.00 - - - - 12,500.00 - - -
348 Kapas Pembalut/Absorben 500 gram bks APBD (DAK) 2021 27,280.00 - - - - 27,280.00 - - -
349 Kaporit Serbuk kg APBD 2020 30,030.00 - - - - 30,030.00 - - -
350 Kaporit Serbuk kg APBD 2019 42,460.00 - - - - 42,460.00 - - -
351 Kaporit tab serbuk Drum / 50 kg APBD 2019 3,248,300.00 - - - - 3,248,300.00 - - -
352 Kasa 16 x 16 cm kotak APBD 2020 8,000.00 - - - - 8,000.00 - - -
353 Kasa 16 x 16 cm kotak APBD (DAK) 2021 8,000.00 - - - - 8,000.00 - - -
354 Kasa 40 x 80 roll APBD 2020 135,000.00 - - - - 135,000.00 - - -
355 Kasa 40 x 80 roll APBD (DAK) 2021 91,045.00 - - - - 91,045.00 - - -
356 Kasa Pembalut Hidrofil 4 m x 10 cm bks APBD 2013 1,100.00 - - - - 1,100.00 - - -
357 Kasa Pembalut Hidrofil 4 m x 5 cm bks APBD 2013 550.00 - - - - 550.00 - - -
358 Lisol botol APBD 2020 40,700.00 - - - - 40,700.00 - - -
359 Masker 3 ply pcs APBD (DAK) 2021 1,379.81 - - - - 1,379.81 - - -
360 Masker 3 ply pcs APBD (DAK) 2021 982.40 - - - - 982.40 - - -
361 Masker 3 ply pcs APBD (DAK) 2021 982.40 - - - - 982.40 - - -
362 Masker N 95 pcs APBD 2019 6,512.00 - - - - 6,512.00 - - -
363 Masker N 95 pcs APBD (DAK) 2021 12,500.00 - - - - 12,500.00 - - -
364 Needle Flashback 21 x 1 G pcs APBD (DAK) 2020 1,700.00 - - - - 1,700.00 - - -
365 Oksigen Isi Ulang 1 m unit APBD 2020 30,030.00 - - - - 30,030.00 - - -
366 Oksigen Tabung Lengkap + Trolley unit APBD 2020 2,500,025.00 - - - - 2,500,025.00 - - -
367 Oxycan botol APBD 2019 55,000.00 - - - - 55,000.00 - - -
368 PAC karung/25 kg APBD 2019 618,062.50 - - - - 618,062.50 - - -
369 Plester 1,25 cm x 4,5 cm (kecil) roll APBD (DAK) 2021 7,810.00 - - - - 7,810.00 - - -
370 Plester 2,5 cm x 4,5 cm (kecil) roll APBD 2019 12,675.00 - - - - 12,675.00 - - -
371 Plester 7,5 cm x 4,5 cm (besar) roll APBD (DAK) 2021 43,300.00 - - - - 43,300.00 - - -
372 Plesterin Roll 5 cm x 5 cm roll APBD (DAK) 2021 23,760.00 - - - - 23,760.00 - - -
373 Polybag sampah/limbah warna hitam 50x100 cm pack APBD 2021 34,991.00 - - - - 34,991.00 - - -
374 Polybag sampah/limbah warna hitam 50x70 cm lbr APBD 2019 1,145.83 - - - - 1,145.83 - - -
375 Polybag sampah/limbah warna hitam 60x100 cm pack APBD 2021 34,996.50 - - - - 34,996.50 - - -
376 Polybag sampah/limbah warna hitam 60x100 cm lbr APBD 2019 1,207.71 - - - - 1,207.71 - - -
377 Polybag sampah/limbah warna kuning 60x100 cm pack APBD 2021 49,995.00 - - - - 49,995.00 - - -
378 Polybag sampah/limbah warna kuning 60x100 cm pack APBD 2021 49,995.00 - - - - 49,995.00 - - -
379 Polybag sampah/limbah warna kuning 60x100 cm lbr APBD 2019 2,083.13 - - - - 2,083.13 - - -
380 Pot dahak pot APBD (DAK) 2020 2,691.75 - - - - 2,691.75 - - -
381 Rak Tabung Reaksi Set APBD 2018 75,789.00 - - - - 75,789.00 - - -
382 Safety Box pcs APBD 2021 12,050.00 - - - - 12,050.00 - - -
383 Sarung tangan karet psg APBD 2021 19,002.50 - - - - 19,002.50 - - -
384 Sarung tangan karet psg APBD 2020 18,590.00 - - - - 18,590.00 - - -
385 Sarung tangan karet psg APBD 2019 24,970.00 - - - - 24,970.00 - - -
386 Sarung Tangan Non Steril pcs APBD 2021 1,750.00 - - - - 1,750.00 - - -
387 Sarung Tangan Non Steril Uk. L pcs APBD 2021 660.00 - - - - 660.00 - - -
388 Sarung Tangan Non Steril Uk. L pcs APBD (DAK) 2021 1,262.56 - - - - 1,262.56 - - -
389 Sarung Tangan Non Steril Uk. M pcs APBD 2021 660.00 - - - - 660.00 - - -
390 Sarung Tangan Non Steril Uk. M pcs APBD (DAK) 2021 1,259.87 - - - - 1,259.87 - - -
391 Sarung Tangan Non Steril Uk. S pcs APBD 2021 660.00 - - - - 660.00 - - -
392 Sarung Tangan Non Steril Uk. S pcs APBD (DAK) 2021 1,264.87 - - - - 1,264.87 - - -
393 Sarung Tangan Non Steril Uk. XS pcs APBD 2021 660.00 - - - - 660.00 - - -
394 Sarung Tangan Obgyn psg APBD 2021 19,000.00 - - - - 19,000.00 - - -
395 Sarung Tangan Obgyn psg APBD (DAK) 2021 19,000.00 - - - - 19,000.00 - - -
396 Sarung Tangan Steril No. 6,5 psg APBD 2021 6,490.00 - - - - 6,490.00 - - -
397 Sarung Tangan Steril No. 6,5 psg APBD (DAK) 2021 6,226.00 - - - - 6,226.00 - - -
398 Sarung Tangan Steril No. 6,5 psg APBD (DAK) 2021 4,800.00 - - - - 4,800.00 - - -
399 Sarung Tangan Steril No. 7 psg APBD 2021 6,490.00 - - - - 6,490.00 - - -
400 Sarung Tangan Steril No. 7 psg APBD (DAK) 2021 6,226.00 - - - - 6,226.00 - - -
401 Sarung Tangan Steril No. 7 psg APBD (DAK) 2021 9,500.00 - - - - 9,500.00 - - -
402 Sarung Tangan Steril No. 7,5 psg APBD (DAK) 2021 4,800.00 - - - - 4,800.00 - - -
403 Sepatu boot psg APBD 2021 140,000.30 - - - - 140,000.30 - - -
404 Sepatu boot warna kuning psg APBD 2019 119,900.00 - - - - 119,900.00 - - -
405 Silk 2/0 pcs APBD (DAK) 2021 40,370.00 - - - - 40,370.00 - - -
406 Silk 3/0 pcs APBD 2020 34,607.26 - - - - 34,607.26 - - -
407 Silk 3/0 pcs APBD (DAK) 2021 45,100.00 - - - - 45,100.00 - - -
408 Spalk Telapak Tangan Anak pcs APBD 2020 37,290.00 - - - - 37,290.00 - - -
409 Spalk Telapak Tangan Dewasa pcs APBD 2020 52,250.00 - - - - 52,250.00 - - -
410 Tissu pack APBD 2021 14,300.00 - - - - 14,300.00 - - -
411 Umbical Clam Kotak @ 50 APBD 2020 65,000.00 - - - - 65,000.00 - - -
412 Umbical Clam Kotak @ 50 APBD (DAK) 2021 90,000.00 - - - - 90,000.00 - - -
413 Underpad (Softpad) 60x90 cm pcs APBD 2020 4,162.40 - - - - 4,162.40 - - -
414 Underpad (Softpad) 60x90 cm pcs APBD (DAK) 2021 3,300.00 - - - - 3,300.00 - - -
415 Urine bag steril 2 L pcs APBD 2020 3,000.00 - - - - 3,000.00 - - -
416 Urine bag steril 2 L pcs APBD (DAK) 2021 5,882.00 - - - - 5,882.00 - - -
417 Verban Elastis 10 cm x 4,55 cm (Sedang) roll APBD (DAK) 2021 34,725.00 - - - - 34,725.00 - - -
418 Verban Elastis 15 cm x 4,55 cm (Besar) roll APBD (DAK) 2021 44,212.00 - - - - 44,212.00 - - -
419 Verban Elastis 7,5 cm x 4,55 cm (Kecil) roll APBD (DAK) 2021 29,156.92 - - - - 29,156.92 - - -

TOTAL HARGA BMHP (APBD) - - - - -

LABORATORIUM
420 Albumin fls APBD 2021 248,271.00 - - - - 248,271.00 - - -
421 Billirubin T/D fls APBD 2021 294,734.00 - - - - 294,734.00 - - -
422 Catridge TCM pcs APBD (DAK) 2021 252,400.00 - - - - 252,400.00 - - -
423 Cell Clean Botol APBD 2021 1,498,750.00 - - - - 1,498,750.00 - - -
424 Chloresterol fls APBD 2021 583,467.00 - - - - 583,467.00 - - -
425 Creatinine fls APBD 2021 179,524.46 - - - - 179,524.46 - - -
426 Diluent Galon APBD 2021 2,860,000.00 - - - - 2,860,000.00 - - -
427 Febrille Antigen H fls APBD 2021 42,760.00 - - - - 42,760.00 - - -
428 Febrille Antigen HA fls APBD 2021 42,760.00 - - - - 42,760.00 - - -
429 Febrille Antigen HB fls APBD 2021 42,760.00 - - - - 42,760.00 - - -
430 Febrille Antigen HC fls APBD 2021 42,760.00 - - - - 42,760.00 - - -
431 Febrille Antigen OA fls APBD 2021 42,760.00 - - - - 42,760.00 - - -
432 Febrille Antigen OB fls APBD 2021 42,760.00 - - - - 42,760.00 - - -
433 Febrille Antigen OC fls APBD 2021 42,760.00 - - - - 42,760.00 - - -
434 Febrille Antigen OD fls APBD 2021 42,760.00 - - - - 42,760.00 - - -
435 Fokus RF Latex Kit APBD 2021 174,900.00 - - - - 174,900.00 - - -
436 Gamma GT fls APBD 2021 393,188.00 - - - - 393,188.00 - - -
437 Glucose fls APBD 2021 276,893.15 - - - - 276,893.15 - - -
438 GOT (ASAT) fls APBD 2021 314,212.00 - - - - 314,212.00 - - -
439 GPT (ALAT ) fls APBD 2021 315,465.00 - - - - 315,465.00 - - -
440 HDL Chloresterol (precipitant) fls APBD 2021 314,465.00 - - - - 314,465.00 - - -
441 HIV Test 1 (SD) tes/kit APBD (DAK) 2021 14,019.76 - - - - 14,019.76 - - -
442 Kaca sediaan (objct glass) kotak APBD (DAK) 2020 20,748.00 - - - - 20,748.00 - - -
443 Larutan Ziehl nelsen paket APBD (DAK) 2020 215,112.75 - - - - 215,112.75 - - -
444 Rapid Test Syphilis tes/kit APBD (DAK) 2021 11,360.28 - - - - 11,360.28 - - -
445 RDT DBD Combo tes/kit APBD (DAK) 2021 68,029.29 - - - - 68,029.29 - - -
446 Sarung Tangan Karet pasang APBD 2021 29,700.00 - - - - 29,700.00 - - -
447 Strip Urine 100 Box Box APBD 2021 385,000.00 - - - - 385,000.00 - - -
448 Stromatolyzer-Wh Botol APBD 2021 1,498,750.00 - - - - 1,498,750.00 - - -
449 Total Protein fls APBD 2021 248,271.00 - - - - 248,271.00 - - -
450 Trigycerides fls APBD 2021 1,168,025.91 - - - - 1,168,025.91 - -
 Satuan Tahun Pengadaan Stok Akhir Desember 2021 Pengadaan / Dropping / Penerimaan Triwulan I Tahun 2022 Jumlah Saldo Awal + Pengadaan Tahun 2022 Penggunaan Barang Sisa Barang
NO Nama Barang/Jenis Barang Ket
Barang /Pembelian
Jumlah Barang Harga Barang Jumlah Harga Jumlah Barang Harga Barang Jumlah Harga Jumlah Barang Harga Barang Jumlah Barang Harga Barang Jumlah Harga Jumlah Barang Jumlah Harga
1 2 3 4 5 6 7 = (5 x 6) 8 9 10 = (8 x 9) 11 = (5 + 8) 12 = (6 + 9) 13 14 15 = (13 x 14) 16 = (11 - 13) 17 = (12 -15) 18
458 Daun Seledri kg APBD 2021 24,970.00 - - - - 24,970.00 - - -
459 Jahe Merah kg APBD 2021 68,750.00 - - - - 68,750.00 - - -
460 Kencur kg APBD 2021 80,960.00 - - - - 80,960.00 - - -
461 Kunyit kg APBD 2021 9,955.00 - - - - 9,955.00 - - -
462 Plastik Pengemas (Obat Tradisional) kg APBD 2021 55,000.00 - - - - 55,000.00 - - -
463 Temulawak kg APBD 2021 29,975.00 - - - - 29,975.00 - - -

- - - - -
JUMLAH TOTAL HARGA (APBD) - - - - -

APBN
OBAT
1 Albendazol 400 mg tablet tablet APBN 2021 431.00 - - - - 431.00 - - -
2 Albendazol 400 mg tablet tablet APBN 2021 367.00 - - - - 367.00 - - -
3 Albendazol 400 mg tablet tablet APBN 2020 430.00 - - - - 430.00 - - -
4 Albendazol Susp 200 mg/5 ml botol APBN 2021 4,000.00 - - - - 4,000.00 - - -
5 Albendazol Susp 200 mg/5 ml botol APBN 2021 4,300.00 - - - - 4,300.00 - - -
6 Albendazol Susp 200 mg/5 ml botol APBN 2020 4,000.00 - - - - 4,000.00 - - -
7 Aluvia (Lovinapir 200 mg / Ritonavir) tablet APBN 2020 6,600.00 - - - - 6,600.00 - - -
8 Asam Askorbat (Vit. C) tablet 500 mg tablet APBN 2021 198.00 - - - - 198.00 - - -
9 Asam Askorbat (Vit. C) tablet 500 mg tablet APBN 2020 198.00 - - - - 198.00 - - -
10 Azitromisin tablet 500 mg tablet APBN 2021 1,778.00 - - - - 1,778.00 - - -
11 Azitromisin tablet 500 mg tablet APBN 2021 1,250.00 - - - - 1,250.00 - - -
12 Besi kombinasi asam folat tablet tablet APBN 2021 226.00 - - - - 226.00 - - -
13 Besi kombinasi asam folat tablet tablet APBN 2020 353.00 - - - - 353.00 - - -
12 Besi kombinasi asam folat tablet tablet APBN 2022 - 1,539,700 226.00 347,972,200.00 1,539,700 347,972,200.00 226.00 - 1,539,700 347,972,200.00
14 Cefixime + Azitromisin Kombipak paket APBN 2021 31,231.00 - - - - 31,231.00 - - -
15 Cefixime + Azitromisin Kombipak paket APBN 2020 30,030.00 - - - - 30,030.00 - - -
16 Diptheria Antitoxin Serum (ADS 10.000 UI) vial APBN 2021 2,618,264.47 - - - - 2,618,264.47 - - -
17 Duviral (ZDV 300 mg + 3TC 150 mg) tablet APBN 2021 3,848.00 - - - - 3,848.00 - - -
18 Efavirenz 200 mg (EFV 1) tablet APBN 2020 3,202.00 - - - - 3,202.00 - - -
19 Efavirenz 600 mg (EFV 2) tablet APBN 2021 6,630.00 - - - - 6,630.00 - - -
20 Efavirenz 600 mg (EFV 2) tablet APBN 2020 6,630.00 - - - - 6,630.00 - - -
21 Epinefrin HCl injeksi 0,1% - 1 ml ampul APBN 2021 1,515.00 - - - - 1,515.00 - - -
22 Favipiravir tablet 200 mg tablet APBN 2021 18,260.00 - - - - 18,260.00 - - -
23 Favipiravir tablet 200 mg tablet APBN 2021 14,850.00 - - - - 14,850.00 - - -
24 Favipiravir tablet 200 mg tablet APBN 2021 10,399.00 - - - - 10,399.00 - - -
24 Favipiravir tablet 200 mg tablet APBN 2022 4,333.00 - 60,000 4,333.00 259,980,000.00 60,000 259,980,000.00 4,333.00 - 60,000 259,980,000.00
25 FDC (TDF 300 mg + 3TC 300 mg + DTG 50 mg) tablet APBN 2021 2,794.00 - - - - 2,794.00 - - -
25 FDC (TDF 300 mg + 3TC 300 mg + DTG 50 mg) tablet APBN 2022 3,499.00 - - - - 3,499.00 - - -
26 FDC (TDF 300 mg + 3TC 300 mg + EFV 600 mg) tablet APBN 2021 6,800.00 - - - - 6,800.00 - - -
27 FDC (TDF 300 mg + 3TC 300 mg + EFV 600 mg) tablet APBN 2020 6,800.00 - - - - 6,800.00 - - -
27 FDC (TDF 300 mg + 3TC 300 mg + EFV 600 mg) tablet APBN 2022 6,800.00 - - - - 6,800.00 - - -
28 FDC Anak (ABC 120 mg + 3TC 60 mg) tablet APBN 2021 1,689.00 - - - - 1,689.00 - - -
29 FDC Anak (ZDV 60 mg + 3TC 30 mg + NVF 50 mg) tablet APBN 2020 741.00 - - - - 741.00 - - -
30 FDC Anak (ZDV 60 mg + 3TC 30 mg + NVF 50 mg) tablet APBN 2019 741.00 - - - - 741.00 - - -
31 Fenobarbital injeksi 50 mg/ ml ampul APBN 2021 1,700.00 - - - - 1,700.00 - - -
32 Flukonazol tablet 150 mg tablet APBN 2021 18,720.00 - - - - 18,720.00 - - -
33 Flukonazol tablet 150 mg tablet APBN 2020 18,720.00 - - - - 18,720.00 - - -
34 Flukonazol tablet 150 mg tablet APBN 2019 18,000.00 - - - - 18,000.00 - - -
35 Fluphenazine Decanoat Inj 25 mg/ml tablet APBN 2021 63,813.00 - - - - 63,813.00 - - -
36 Garam Oralit sase APBN 2021 257.00 - - - - 257.00 - - -
37 Garam Oralit sase APBN 2020 257.00 - - - - 257.00 - - -
38 Haloperidol Decanoat Inj 50 mg/ml tablet APBN 2021 109,000.00 - - - - 109,000.00 - - -
39 Isoniazid tablet 100 mg tablet APBN 2021 231.00 - - - - 231.00 - - -
40 Isoniazid tablet 300 mg tablet APBN 2021 173.00 - - - - 173.00 - - -
41 Isoniazid tablet 300 mg tablet APBN 2021 150.00 - - - - 150.00 - - -
42 Kotrimosazol tablet 960 mg tablet APBN 2021 325.00 - - - - 325.00 - - -
43 Kotrimosazol tablet 960 mg tablet APBN 2021 240.00 - - - - 240.00 - - -
24 Kolekasiferol (Vitamin D3 1000) tablet APBN 2022 1,001.00 - 21,180 1,001.00 21,201,180.00 21,180 21,201,180.00 1,001.00 - 21,180 21,201,180.00
24 Kolekasiferol (Vitamin D3 1000) tablet APBN 2022 - 8,820 634.00 5,591,880.00 8,820 5,591,880.00 634.00 - 8,820 5,591,880.00
44 Lamivudine 150 mg (3TC) tablet APBN 2021 1,560.00 - - - - 1,560.00 - - -
45 Lamivudine 150 mg (3TC) tablet APBN 2020 1,500.00 - - - - 1,500.00 - - -
46 Multivitamin Tablet (Sivit-Zink) tablet APBN 2021 585.00 - - - - 585.00 - - -
47 Natrium Klorida larutan infus 0,9% - 100 ml botol APBN 2021 7,390.00 - - - - 7,390.00 - - -
48 Nevirapine 200 mg (NVP) tablet APBN 2021 3,058.00 - - - - 3,058.00 - - -
49 Nevirapine 200 mg (NVP) tablet APBN 2020 3,058.00 - - - - 3,058.00 - - -
50 Obat antituberkulosa FDC kat dosis harian paket APBN 2021 409,461.00 - - - - 409,461.00 - - -
51 Obat antituberkulosa FDC kat dosis harian paket APBN 2021 411,998.00 - - - - 411,998.00 - - -
52 Obat antituberkulosa FDC kat dosis harian paket APBN 2021 414,310.00 - - - - 414,310.00 - - -
52 Obat antituberkulosa FDC kat dosis harian paket APBN 2022 414,310.00 - - - - 414,310.00 - - -
52 Obat antituberkulosa FDC kat dosis harian paket APBN 2022 398,365.00 - - - - - - - -
53 Obat antituberkulosa FDC kat. 1 paket APBN 2021 415,469.00 - - - - 415,469.00 - - -
54 Obat antituberkulosa FDC kat. 1 paket APBN 2021 415,721.00 - - - - 415,721.00 - - -
54 Obat antituberkulosa FDC kat. 1 paket APBN 2022 416,696.00 - - - - 416,696.00 - - -
55 Obat antituberkulosa FDC kat. 2 paket APBN 2021 1,384,977.00 - - - - 1,384,977.00 - - -
56 Obat antituberkulosa FDC kat. 2 paket APBN 2020 1,384,977.00 - - - - 1,384,977.00 - - -
57 Obat antituberkulosa FDC kat. Anak paket APBN 2021 248,120.00 - - - - 248,120.00 - - -
57 Obat antituberkulosa FDC kat. Anak paket APBN 2022 248,120.00 - - - - 248,120.00 - - -
57 Obat antituberkulosa FDC kat. Anak paket APBN 2022 246,010.00 - - - - - - - -
58 Obat antituberkulosa FDC Kombipak kat. 1 paket APBN 2019 317,018.00 - - - - 317,018.00 - - -
59 Oseltamivir kapsul kapsul APBN 2021 8,943.00 - - - - 8,943.00 - - -
60 Oseltamivir kapsul kapsul APBN 2021 8,940.00 - - - - 8,940.00 - - -
61 Oseltamivir kapsul kapsul APBN 2021 8,920.00 - - - - 8,920.00 - - -
62 Oseltamivir kapsul kapsul APBN 2021 8,900.00 - - - - 8,900.00 - - -
63 Oseltamivir kapsul kapsul APBN 2021 7,000.00 - - - - 7,000.00 - - -
64 Oseltamivir kapsul kapsul APBN 2020 8,943.00 - - - - 8,943.00 - - -
65 Piridoksin 25 mg tablet tablet APBN 2021 222.00 - - - - 222.00 - - -
66 Primetamine Tablet tablet APBN 2021 26,000.00 - - - - 26,000.00 - - -
67 Remdesivir Inj 100 mg vial APBN 2021 314,400.00 - - - - 314,400.00 - - -
68 Remdesivir Inj 100 mg vial APBN 2021 129,500.00 - - - - 129,500.00 - - -
69 Remdesivir Inj 100 mg vial APBN 2020 314,400.00 - - - - 314,400.00 - - -
70 Retinol kapsul lunak 100.000 IU kapsul APBN 2021 307.00 - - - - 307.00 - - -
71 Retinol kapsul lunak 100.000 IU kapsul APBN 2020 287.00 - - - - 287.00 - - -
71 Retinol kapsul lunak 100.000 IU kapsul APBN 2022 305.00 - - - - 305.00 - - -
72 Retinol kapsul lunak 200.000 IU kapsul APBN 2021 552.00 - - - - 552.00 - - -
73 Retinol kapsul lunak 200.000 IU kapsul APBN 2021 553.00 - - - - 553.00 - - -
74 Retinol kapsul lunak 200.000 IU kapsul APBN 2020 517.00 - - - - 517.00 - - -
74 Retinol kapsul lunak 200.000 IU kapsul APBN 2022 553.00 - - - - 553.00 - - -
75 Suplemen Rhea botol APBN 2021 275,000.00 - - - - 275,000.00 - - -
75 Diptheria Antitoxin Serum (ADS 10.000 UI) vial APBN 2022 1,208,000.00 - - - - 1,208,000.00 - - -
76 Tenofovir 300 mg (TDF) tablet APBN 2021 8,424.00 - - - - 8,424.00 - - -
77 Tenofovir 300 mg (TDF) tablet APBN 2020 8,424.00 - - - - 8,424.00 - - -
77 Tenofovir 300 mg (TDF) tablet APBN 2022 8,424.00 - - - - 8,424.00 - - -
78 Trihexifenidril Hidroksida tablet 2 mg tablet APBN 2021 91.00 - - - - 91.00 - - -
79 Zidovudine 100 mg (ZDV) tablet APBN 2021 1,768.00 - - - - 1,768.00 - - -
80 Zidovudine 100 mg (ZDV) tablet APBN 2020 3,536.00 - - - - 3,536.00 - - -
80 Zidovudine 100 mg (ZDV) tablet APBN 2022 1,768.00 - - - - 1,768.00 - - -
80 Zidovudine 100 mg (ZDV) tablet APBN 2022 2,033.00 - - - - 2,033.00 - - -
81 Zink tablet 200 mg dispersible tablet APBN 2021 524.00 - - - - 524.00 - - -
82 Zink tablet 200 mg dispersible tablet APBN 2020 524.00 - - - - 524.00 - - -

TOTAL HARGA OBAT (APBN) - 634,745,260.00 634,745,260.00 - 634,745,260.00

BMHP
83 APD Set APBN 2022 53,295.00 - - - - 53,295.00 - - -
83 Alat Suntik Sekali Pakai 0,05 ml pcs APBN 2021 1,460.00 - - - - 1,460.00 - - -
84 Alat Suntik Sekali Pakai 0,05 ml Set APBN 2020 1,460.00 - - - - 1,460.00 - - -
85 Alat Suntik Sekali Pakai 0,5 ml pcs APBN 2021 1,190.00 - - - - 1,190.00 - - -
86 Alat Suntik Sekali Pakai 0,5 ml pcs APBN 2021 1,210.00 - - - - 1,210.00 - - -
86 Alat Suntik Sekali Pakai 0,5 ml pcs APBN 2022 1,255.00 - - - - 1,255.00 - - -
87 Alat Suntik sekali pakai 1 ml pcs APBN 2021 650.00 - - - - 650.00 - - -
88 Alat Suntik sekali pakai 1 ml pcs APBN 2020 1,668.00 - - - - 1,668.00 - - -
89 Alat Suntik sekali pakai 1 ml (Tuberkulin) pcs APBN 2021 1,668.00 - - - - 1,668.00 - - -
90 Alat Suntik sekali pakai 5 ml pcs APBN 2020 1,583.00 - - - - 1,583.00 - - -
91 Alat Suntik sekali pakai 5 ml pcs APBN 2019 1,640.00 - - - - 1,640.00 - - -
92 Alat Suntik sekali pakai 5 ml pcs APBN 2017 2,049.00 - - - - 2,049.00 - - -
92 Alat Suntik sekali pakai 5 ml pcs APBN 2022 1,583.00 - - - - 1,583.00 - - -
93 Alat Suntik sekali pakai ADS 0,5 ml pcs APBN 2020 1,190.00 - - - - 1,190.00 - - -
94 I.V CHAT 22G X 1 pcs APBN 2021 3,800.00 - - - - 3,800.00 - - -
95 Kacamata/Google pcs APBN 2021 27,600.00 - - - - 27,600.00 - - -
96 Kapas Pembalut/Absorben 100 gram bks APBN 2021 7,205.00 - - - - 7,205.00 - - -
97 Masker 3 ply pcs APBN 2021 2,290.00 - - - - 2,290.00 - - -
98 Masker 3 ply pcs APBN 2021 693.00 - - - - 693.00 - - -
99 Masker 3 ply pcs APBN 2020 2,290.00 - - - - 2,290.00 - - -
100 Masker Non Medis Anak pcs APBN 2021 5,500.00 - - - - 5,500.00 - - -
101 Pot dahak pcs APBN 2021 2,139.00 - - - - 2,139.00 - - -
102 Pot dahak pot APBN 2020 2,139.00 - - - - 2,139.00 - - -
103 Safety Box pcs APBN 2021 22,433.00 - - - - 22,433.00 - - -
104 Safety box pcs APBN 2020 22,433.00 - - - - 22,433.00 - - -
104 Safety box pcs APBN 2022 13,600.00 - - - - 13,600.00 - - -

TOTAL HARGA BMHP (APBN) - - - - -

LABORATORIUM
105 Alat Pelindung Diri paket APBN 2021 737,932.00 - - - - 737,932.00 - - -
106 Alat Pelindung Diri paket APBN 2021 696,047.00 - - - - 696,047.00 - - -
107 Artesunat Injeksi 60 mg vial APBN 2021 52,350.00 - - - - 52,350.00 - - -
108 Bactive 30 ml botel APBN 2021 21,054.00 - - - - 21,054.00 - - -
109 Benzatin Penisillin Injeksi 2,4 mg vial APBN 2021 14,500.00 - - - - 14,500.00 - - -
110 Cartridge Genexpert tes/ kit APBN 2021 256,327.00 - - - - 256,327.00 - - -
111 Cartridge Genexpert tes/ kit APBN 2021
 Satuan Tahun Pengadaan Stok Akhir Desember 2021 Pengadaan / Dropping / Penerimaan Triwulan I Tahun 2022 Jumlah Saldo Awal + Pengadaan Tahun 2022 Penggunaan Barang Sisa Barang
NO Nama Barang/Jenis Barang Ket
Barang /Pembelian
Jumlah Barang Harga Barang Jumlah Harga Jumlah Barang Harga Barang Jumlah Harga Jumlah Barang Harga Barang Jumlah Barang Harga Barang Jumlah Harga Jumlah Barang Jumlah Harga
1 2 3 4 5 6 7 = (5 x 6) 8 9 10 = (8 x 9) 11 = (5 + 8) 12 = (6 + 9) 13 14 15 = (13 x 14) 16 = (11 - 13) 17 = (12 -15) 18
119 HIV Test 1 (SD) tes/ kit APBN 2021 11,400.00 - - - - 11,400.00 - - -
120 HIV Test 1 (SD) tes/ kit APBN 2021 7,978.00 - - - - 7,978.00 - - -
121 HIV Test 1 (SD) tes/ kit APBN 2020 11,975.00 - - - - 11,975.00 - - -
122 HIV Test 2 (Diagnostic Test) tes/ kit APBN 2021 11,500.00 - - - - 11,500.00 - - -
123 HIV Test 2 (FOKUS) tes/ kit APBN 2021 12,500.00 - - - - 12,500.00 - - -
124 HIV Test 2 (FOKUS) tes/ kit APBN 2020 12,500.00 - - - - 12,500.00 - - -
125 HIV Test 3 (HIV 1/2) Ab3 Line) tes/ kit APBN 2021 11,000.00 - - - - 11,000.00 - - -
126 HIV Test 3 (VIKIA) tes/ kit APBN 2021 12,527.00 - - - - 12,527.00 - - -
127 HIV Test 3 (VIKIA) tes/ kit APBN 2020 12,980.00 - - - - 12,980.00 - - -
128 Jumantik Kit kit APBN 2021 354,970.00 - - - - 354,970.00 - - -
129 Kaca sediaan (objct glass) kotak APBN 2019 21,947.00 - - - - 21,947.00 - - -
130 Kaca sediaan (objct glass) kotak APBN 2019 31,347.00 - - - - 31,347.00 - - -
131 Kaca sediaan (objct glass) kotak APBN 2018 19,700.00 - - - - 19,700.00 - - -
132 Kondom kit APBN 2021 358.00 - - - - 358.00 - - -
133 Larutan Ziehl nelsen paket APBN 2021 172,527.00 - - - - 172,527.00 - - -
134 Larutan Ziehl nelsen paket APBN 2020 232,440.00 - - - - 232,440.00 - - -
135 MDT MB Anak Tab blister APBN 2020 27,062.00 - - - - 27,062.00 - - -
136 MDT MB Anak Tab blister APBN 2019 20,554.00 - - - - 20,554.00 - - -
137 MDT MB Dewasa Tab tablet APBN 2020 39,880.00 - - - - 39,880.00 - - -
137 MDT MB Dewasa Tab tablet APBN 2022 39,880.00 - - - - 39,880.00 - - -
138 MDT PB Dewasa Tab tablet APBN 2019 12,569.00 - - - - 12,569.00 - - -
139 Mineral Mix sachet APBN 2021 3,116.00 - - - - 3,116.00 - - -
140 Primakuin tablet 15 mg tablet APBN 2021 253.00 - - - - 253.00 - - -
141 Primakuin tablet 15 mg tablet APBN 2019 253.00 - - - - 253.00 - - -
141 Primakuin tablet 15 mg tablet APBN 2022 253.00 - - - - 253.00 - - -
142 Rapid Test Syphilis tes/ kit APBN 2021 9,300.00 - - - - 9,300.00 - - -
143 RDT DBD Combo tes/ kit APBN 2021 66,876.00 - - - - 66,876.00 - - -
144 RDT DBD Combo tes/ kit APBN 2021 50,600.00 - - - - 50,600.00 - - -
145 RDT Leptospira tes/ kit APBN 2021 20,100.00 - - - - 20,100.00 - - -
146 RDT Leptospira tes/ kit APBN 2021 20,100.00 - - - - 20,100.00 - - -
147 RDT Leptospira tes/ kit APBN 2020 22,295.00 - - - - 22,295.00 - - -
148 Reagen Rapid Test HBsAg tes/ kit APBN 2021 7,900.00 - - - - 7,900.00 - - -
149 Reagen Rapid Test HBsAg tes/ kit APBN 2021 7,805.00 - - - - 7,805.00 - - -
150 Reagen Rapid Test HBsAg tes/ kit APBN 2021 7,851.00 - - - - 7,851.00 - - -
151 Reagen Rapid Test HBsAg tes/ kit APBN 2020 7,900.00 - - - - 7,900.00 - - -
151 Reagen Rapid Test HBsAg tes/ kit APBN 2022 7,900.00 - - - - 7,900.00 - - -
152 RPR Syphilis tes/ kit APBN 2020 4,120.00 - - - - 4,120.00 - - -

TOTAL HARGA LABORATORIUM (APBN) - - - - -

VAKSIN
153 Vaksin BCG vial APBN 2020 66,154.00 - - - - 66,154.00 - - -
154 Vaksin BCG vial APBN 2021 66,154.00 - - - - 66,154.00 - - -
154 Vaksin BCG vial APBN 2022 66,154.00 - 3,000 66,154.00 198,462,000.00 3,000 198,462,000.00 66,154.00 - 3,000 198,462,000.00
155 Vaksin DPT HIB vial APBN 2020 84,282.00 - - - - 84,282.00 - - -
156 Vaksin DPT HIB vial APBN 2021 84,282.00 - - - - 84,282.00 - - -
157 Vaksin DPT HIB vial APBN 2021 85,103.00 - - - - 85,103.00 - - -
158 Vaksin DPT HIB vial APBN 2021 25,597.00 - - - - 25,597.00 - - -
158 Vaksin DPT HIB vial APBN 2022 85,103.00 - 4,000 85,103.00 340,412,000.00 4,000 340,412,000.00 85,103.00 - 4,000 340,412,000.00
159 Vaksin DT vial APBN 2019 19,195.00 - - - - 19,195.00 - - -
160 Vaksin DT vial APBN 2021 19,195.00 - - - - 19,195.00 - - -
161 Vaksin HB Uniject vial APBN 2020 25,597.00 - - - - 25,597.00 - - -
162 Vaksin HB Uniject vial APBN 2021 25,597.00 - - - - 25,597.00 - - -
163 Vaksin HB Uniject vial APBN 2021 25,839.00 - - - - 25,839.00 - - -
163 Vaksin HB Uniject vial APBN 2022 25,839.00 - 5,000 25,839.00 129,195,000.00 5,000 129,195,000.00 25,839.00 - 5,000 129,195,000.00
164 Vaksin Hepatitis B Immunoglobulin (HBIg) vial APBN 2020 1,325,000.00 - - - - 1,325,000.00 - - -
165 Vaksin Hepatitis B Immunoglobulin (HBIg) vial APBN 2021 1,325,000.00 - - - - 1,325,000.00 - - -
165 Vaksin Hepatitis B Immunoglobulin (HBIg) vial APBN 2022 1,325,000.00 - - - - - - - -
166 Vaksin Meningitis vial APBN 2020 135,000.00 - - - - 135,000.00 - - -
167 Vaksin Meningitis vial APBN 2021 135,000.00 - - - - 135,000.00 - - -
167 Vaksin Meningitis vial APBN 2022 - 2,539 - 2,539 - 135,000.00 - 2,539 -
168 Vaksin MR vial APBN 2020 166,265.00 - - - - 166,265.00 - - -
169 Vaksin MR vial APBN 2021 166,265.00 - - - - 166,265.00 - - -
169 Vaksin MR vial APBN 2022 167,860.00 - 2,000 167,860.00 335,720,000.00 2,000 335,720,000.00 167,860.00 - 2,000 335,720,000.00
170 Vaksin PCV vial APBN 2021 3,400,000.00 - - - - 3,400,000.00 - - -
171 Vaksin Polio (BOPV) vial APBN 2020 21,285.00 - - - - 21,285.00 - - -
172 Vaksin Polio (BOPV) vial APBN 2021 21,285.00 - - - - 21,285.00 - - -
173 Vaksin Polio (BOPV) vial APBN 2021 21,494.00 - - - - 21,494.00 - - -
173 Vaksin Polio (BOPV) vial APBN 2022 21,494.00 - 2,000 21,494.00 42,988,000.00 2,000 42,988,000.00 21,494.00 - 2,000 42,988,000.00
174 Vaksin Polio (IPV 5 ds) vial APBN 2020 144,540.00 - - - - 144,540.00 - - -
175 Vaksin Polio (IPV 5 ds) vial APBN 2021 144,540.00 - - - - 144,540.00 - - -
175 Vaksin Polio (IPV 5 ds) vial APBN 2022 158,994.00 - 2,000 158,994.00 317,988,000.00 2,000 317,988,000.00 158,994.00 - 2,000 317,988,000.00
176 Vaksin TD vial APBN 2020 18,128.00 - - - - 18,128.00 - - -
177 Vaksin TD vial APBN 2021 18,128.00 - - - - 18,128.00 - - -
177 Vaksin TD vial APBN 2022 18,128.00 - 487 18,128.00 8,828,336.00 487 8,828,336.00 18,128.00 - 487 8,828,336.00
178 Vaksin Tuberkulin vial APBN 2021 625,800.00 - - - - 625,800.00 - - -
179 Vaksin VAR vial APBN 2021 165,000.00 - - - - 165,000.00 - - -
179 Vaksin VAR vial APBN 2022 153,000.00 - - - - - - - -

TOTAL HARGA VAKSIN (APBN) - 1,373,593,336.00 1,373,593,336.00 - 1,373,593,336.00

JUMLAH TOTAL HARGA (APBN) - 2,008,338,596.00 2,008,338,596.00 - 2,008,338,596.00
JUMLAH TOTAL HARGA - 2,008,338,596.00 2,008,338,596.00 - 2,008,338,596.00

Soreang, 31 Desember 2021

Menyetujui
Kepala Dinas Kesehatan Pengurus Barang Pengguna
Kabupaten Bandung Subag Keuangan dan Penatagunaan Aset

drg. GRACE MEDIANA PURNAMI, M.Kes Ina Agustina Eka Suswanti, SKM
NIP. 19621214 198803 2 004 NIP. 19800821 201001 2 008