Depo Igd Sept

LAPORAN PENERIMAAN DAN PEMAKAIAN BHP PLASTIK DEPO IGD
RSUD KOTA SERANG

PERIODE JANUARI s.d DESEMBER 2021
JANUARI
STOK AWAL
PENERIMAAN PEMAKAIAN STOK AKHIR
No Nama BHP Satuan HARGA BHP
VOL. Rp VOL. Rp VOL. Rp VOL. Rp
1 2 3 4 5 6 7 8 9 10 11 12
1 Pot Salep 100 cc Buah 4,400.00 4 17,600 - - - - 4 17,600.00

2 Sendok Obat Pcs 528.00 235 124,080 - - - - 235 124,080.00
3 Plastik Klip 8x5+Logo Pcs 330.00 - - - - - - -
4 Plastik Klip 13x8,7 +Logo Pcs 385.00 - - - - - - -
5 Plastik Kantong Kecil+Logo Pcs 825.00 - - - - - - -
6 Plastik Kantong Besar+Logo Pcs 1,100.00 - - - - - - -
TOTAL BIAYA 141,680 Rp - Rp - Rp 141,680.00
Rp -
Mengetahui
Kepala Instalasi Farmasi
Ika Siwi Kusumawardhani, S.Farm., Apt

NIP : 19920108 201902 2 004
RSUD KOTA SERANG
FEBRUARI
STOK AWAL
1 2 3 4 5 6 13 14 15 16 17 18
1 Pot Salep 100 cc Buah 4,400.00 4 17,600 - - 4 17,600.00 - -

2 Sendok Obat Pcs 528.00 235 124,080 - - 235 124,080.00 - -
TOTAL BIAYA 141,680 Rp - Rp 141,680.00 Rp -
Mengetahui

NIP : 19920108 201902 2 004
RSUD KOTA SERANG
MARET
STOK AWAL
1 2 3 4 5 6 19 20 21 22 23 24
1 Pot Salep 100 cc Buah 4,400.00 4 17,600 - - - - - -

2 Sendok Obat Pcs 528.00 235 124,080 - - - - - -
TOTAL BIAYA 141,680 Rp - Rp - Rp -
Rp -
Mengetahui

NIP : 19920108 201902 2 004
RSUD KOTA SERANG
APRIL
STOK AWAL
1 2 3 4 5 6 25 26 27 28 29 30
1 Pot Salep 100 cc Buah 4,400.00 4 17,600 - - - - - -

2 Sendok Obat Pcs 528.00 235 124,080 - - - - - -
Rp -
Mengetahui

NIP : 19920108 201902 2 004
RSUD KOTA SERANG
MEI
STOK AWAL
1 2 3 4 5 6 31 32 33 34 35 36
1 Pot Salep 100 cc Buah 4,400.00 4 17,600 - - - - - -

2 Sendok Obat Pcs 528.00 235 124,080 - - - - - -
Rp -
Mengetahui

NIP : 19920108 201902 2 004
RSUD KOTA SERANG
JUNI
STOK AWAL
1 2 3 4 5 6 37 38 39 40 41 42
1 Pot Salep 100 cc Buah 4,400.00 4 17,600 - - - - - -

2 Sendok Obat Pcs 528.00 235 124,080 - - - - - -
Rp -
Mengetahui

NIP : 19920108 201902 2 004
RSUD KOTA SERANG
JULI
STOK AWAL
1 2 3 4 5 6 43 44 45 46 47 48
1 Pot Salep 100 cc Buah 4,400.00 4 17,600 - - - - - -

2 Sendok Obat Pcs 528.00 235 124,080 - - - - - -
Rp -
Mengetahui

NIP : 19920108 201902 2 004
RSUD KOTA SERANG
AGUSTUS
STOK AWAL
1 2 3 4 5 6 49 50 51 52 53 54
1 Pot Salep 100 cc Buah 4,400.00 4 17,600 - - - - - -

2 Sendok Obat Pcs 528.00 235 124,080 - - - - - -
Rp -
Mengetahui

NIP : 19920108 201902 2 004
RSUD KOTA SERANG
SEPTEMBER
STOK AWAL
1 2 3 4 5 6 55 56 57 58 59 60
1 Pot Salep 100 cc Buah 4,400.00 4 17,600 - - - - - -

2 Sendok Obat Pcs 528.00 235 124,080 - - - - - -
Rp -
Mengetahui

NIP : 19920108 201902 2 004
RSUD KOTA SERANG
OKTOBER
STOK AWAL
1 2 3 4 5 6 61 62 63 64 65 66
1 Pot Salep 100 cc Buah 4,400.00 4 17,600 - - - - - -

2 Sendok Obat Pcs 528.00 235 124,080 - - - - - -
Rp -
Mengetahui

NIP : 19920108 201902 2 004
RSUD KOTA SERANG
NOVEMBER
STOK AWAL
1 2 3 4 5 6 67 68 69 70 71 72
1 Pot Salep 100 cc Buah 4,400.00 4 17,600 - - - - - -

2 Sendok Obat Pcs 528.00 235 124,080 - - - - - -
Rp -
Mengetahui

NIP : 19920108 201902 2 004
RSUD KOTA SERANG
DESEMBER
STOK AWAL
1 2 3 4 5 6 73 74 75 76 77 78
1 Pot Salep 100 cc Buah 4,400.00 4 17,600 - - - - - -

2 Sendok Obat Pcs 528.00 235 124,080 - - - - - -
Rp -
Mengetahui

NIP : 19920108 201902 2 004
RSUD KOTA SERANG
TOTAL
STOK AWAL STOK AKHIR (STOK AWAL + TOTAL
TOTAL PENERIMAAN TOTAL PEMAKAIAN PENERIMAAN -TOTAL PENGELUARAN)
No Nama BHP Satuan HARGA BHP KET
1 2 3 4 5 6 79 80 81 82 83 =(5+79-81) 84 = (4 x 83) 85
1 Pot Salep 100 cc Buah 4,400.00 4 17,600 - - 4 17,600.00 - -

2 Sendok Obat Pcs 528.00 235 124,080 - - 235 124,080.00 - -
TOTAL BIAYA 141,680 - Rp - Rp 141,680.00 Rp -
-Rp 141,680.00
Mengetahui Serang, Desember 2021

Kepala Instalasi Farmasi Pengelola Obat
Ika Siwi Kusumawardhani, S.Farm., Apt Neng Wita Widiya, S.Farm., Apt
NIP : 19920108 201902 2 004 NITPL . 2018301235
LAPORAN PENERIMAAN DAN PEMAKAIAN OBAT DAN BMHP IGD
RSUD KOTA SERANG
PERIODE JANUARI S.D DESEMBER 2020
SUMBER DANA APBD 2
JANUARI
STOK AWAL
HARGA OBAT PENERIMAAN PEMAKAIAN STOK AKHIR
No Nama Obat Satuan
APBD 2
OBAT Rp OBAT Rp OBAT Rp OBAT Rp
1 Blood Lancet 28 G bok 4.00 58,264.00 14,566.00 - Rp - - Rp - 4 Rp 58,264.00

2 Cat-Gut Chomic no.2/0 pcs 16.00 89,333.28 5,583.33 - Rp - - Rp - 16 Rp 89,333.28
3 Cut-Gut Plain 3/0 + jarum 1/2 GT 35mm pcs 12.00 66,999.96 5,583.33 - Rp - 1 Rp 5,583.33 11 Rp 61,416.63
4 Silk Benang Bedah no.2/0 pcs 37.00 113,055.72 3,055.56 - Rp - - Rp - 37 Rp 113,055.72
6 Parasetamol 500 mg tab 28.00 3,696.00 132.00 100 Rp 13,200.00 34 Rp 4,488.00 94 Rp 12,408.00
7 Ambroxol syrup btl - 4,928.00 - Rp - - Rp - - Rp -
8 Ambroxol tab 30 mg tab - 155.33 - Rp - - Rp - - Rp -
9 Dexametasone 0,5 mg tab - 184.25 - Rp - - Rp - - Rp -
10 Elkana syr btl - 22,440.00 - Rp - - Rp - - Rp -
11 Neurosanbe tab - 1,109.90 - Rp - - Rp - - Rp -
12 O.B.H.Sirup btl - 14,762.00 - Rp - - Rp - - Rp -
13 Tuzalos tab - 844.80 - Rp - - Rp - - Rp -
14 Tremenza Sirup btl - 20,900.00 - Rp - - Rp - - Rp -
15 Tremenza Tablet Tab - 1,485.00 - Rp - - Rp - - Rp -
TOTAL Rp 368,015.68 Rp 13,200.00 Rp 10,071.33 Rp 371,144.35
371,144.35
Mengetahui

NIP : 19920108 201902 2 004
RSUD KOTA SERANG
SUMBER DANA APBD 2
FEBRUARI
STOK AWAL
No Nama Obat Satuan
APBD 2

3 Cut-Gut Plain 3/0 + jarum 1/2 GT 35mm pcs 12.00 66,999.96 5,583.33 - Rp - - Rp - 11 Rp 61,416.63
6 Parasetamol 500 mg tab 28.00 3,696.00 132.00 - Rp - 42 Rp 5,544.00 52 Rp 6,864.00
TOTAL Rp 368,015.68 Rp - Rp 5,544.00 Rp 365,600.35
365,600.35
Mengetahui

NIP : 19920108 201902 2 004
RSUD KOTA SERANG
SUMBER DANA APBD 2
MARET
STOK AWAL
No Nama Obat Satuan
APBD 2

5 Silk Benang Bedah no.3/0 pcs 12.00 36,666.72 3,055.56 - Rp - 1 Rp 3,055.56 11 Rp 33,611.16
6 Parasetamol 500 mg tab 28.00 3,696.00 132.00 100 Rp 13,200.00 3 Rp 396.00 149 Rp 19,668.00
TOTAL Rp 368,015.68 Rp 13,200.00 Rp 3,451.56 Rp 375,348.79
375,348.79
Mengetahui

NIP : 19920108 201902 2 004
RSUD KOTA SERANG
SUMBER DANA APBD 2
APRIL
STOK AWAL
No Nama Obat Satuan
APBD 2

TOTAL Rp 368,015.68 Rp - Rp 2,772.00 Rp 372,576.79
372,576.79
Mengetahui

NIP : 19920108 201902 2 004
RSUD KOTA SERANG
SUMBER DANA APBD 2
MEI
STOK AWAL
No Nama Obat Satuan
APBD 2

2 Cat-Gut Chomic no.2/0 pcs 16.00 89,333.28 5,583.33 - Rp - 3 Rp 16,749.99 13 Rp 72,583.29
5 Silk Benang Bedah no.3/0 pcs 12.00 36,666.72 3,055.56 - Rp - 2 Rp 6,111.12 9 Rp 27,500.04
TOTAL Rp 368,015.68 Rp - Rp 24,313.11 Rp 348,263.68
348,263.68
Mengetahui

NIP : 19920108 201902 2 004
RSUD KOTA SERANG
SUMBER DANA APBD 2
JUNI
STOK AWAL
No Nama Obat Satuan
APBD 2

TOTAL Rp 368,015.68 Rp - Rp 7,656.00 Rp 340,607.68
340,607.68
Mengetahui

NIP : 19920108 201902 2 004
RSUD KOTA SERANG
SUMBER DANA APBD 2
JULI
STOK AWAL
No Nama Obat Satuan
APBD 2

3 Cut-Gut Plain 3/0 + jarum 1/2 GT 35mm pcs 12.00 66,999.96 5,583.33 - Rp - 1 Rp 5,583.33 10 Rp 55,833.30
6 Parasetamol 500 mg tab 28.00 3,696.00 132.00 - Rp - 59 Rp 7,788.00 - Rp -
TOTAL Rp 368,015.68 Rp - Rp 13,371.33 Rp 327,236.35
Rp 327,236.35
Mengetahui

NIP : 19920108 201902 2 004
RSUD KOTA SERANG
SUMBER DANA APBD 2
AGUSTUS
STOK AWAL
No Nama Obat Satuan
APBD 2

6 Parasetamol 500 mg tab 28.00 3,696.00 132.00 - Rp - - Rp - - Rp -
TOTAL Rp 368,015.68 Rp - Rp - Rp 327,236.35
Rp 327,236.35
Mengetahui

NIP : 19920108 201902 2 004
RSUD KOTA SERANG
SUMBER DANA APBD 2
SEPTEMBER
STOK AWAL
No Nama Obat Satuan
APBD 2

2 Cat-Gut Chomic no.2/0 pcs 16.00 89,333.28 5,583.33 - Rp - 6 Rp 33,499.98 7 Rp 39,083.31
6 Parasetamol 500 mg tab 28.00 3,696.00 132.00 - Rp - - Rp - - Rp -
TOTAL Rp 368,015.68 Rp - Rp 33,499.98 Rp 293,736.37
Rp 293,736.37

NIP : 19920108 201902 2 004 NITPL . 2018301235
RSUD KOTA SERANG
SUMBER DANA APBD 2
OKTOBER NOVEMBER
STOK AWAL
HARGA OBAT PENERIMAAN PEMAKAIAN STOK AKHIR PENERIMAAN PEMAKAIAN STOK AKHIR
No Nama Obat Satuan
APBD 2
OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp
1 Blood Lancet 28 G bok 4.00 58,264.00 14,566.00 - Rp - - Rp - 4 Rp 58,264.00 - Rp - - Rp - 4 Rp 58,264.00

2 Cat-Gut Chomic no.2/0 pcs 16.00 89,333.28 5,583.33 - Rp - - Rp - 7 Rp 39,083.31 - Rp - - Rp - 7 Rp 39,083.31
3 Cut-Gut Plain 3/0 + jarum 1/2 GT 35mm pcs 12.00 66,999.96 5,583.33 - Rp - - Rp - 10 Rp 55,833.30 - Rp - - Rp - 10 Rp 55,833.30
4 Silk Benang Bedah no.2/0 pcs 37.00 113,055.72 3,055.56 - Rp - - Rp - 37 Rp 113,055.72 - Rp - - Rp - 37 Rp 113,055.72
5 Silk Benang Bedah no.3/0 pcs 12.00 36,666.72 3,055.56 - Rp - - Rp - 9 Rp 27,500.04 - Rp - - Rp - 9 Rp 27,500.04
6 Parasetamol 500 mg tab 28.00 3,696.00 132.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
7 Ambroxol syrup btl - 4,928.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
8 Ambroxol tab 30 mg tab - 155.33 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
9 Dexametasone 0,5 mg tab - 184.25 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
10 Elkana syr btl - 22,440.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
11 Neurosanbe tab - 1,109.90 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
12 O.B.H.Sirup btl - 14,762.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
13 Tuzalos tab - 844.80 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
14 Tremenza Sirup btl - 20,900.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
15 Tremenza Tablet Tab - 1,485.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
TOTAL Rp 368,015.68 Rp - Rp - Rp 293,736.37 Rp - Rp - Rp 293,736.37
Rp 293,736.37 Rp 293,736.37
Mengetahui

NIP : 19920108 201902 2 004
RSUD KOTA SERANG
SUMBER DANA APBD 2
DESEMBER TOTAL
STOK AWAL STOK AWAL+TOTAL PENERIMAAN-TOTAL
HARGA OBAT PENERIMAAN PEMAKAIAN STOK AKHIR TOTAL PENERIMAAN TOTAL PEMAKAIAN
No Nama Obat Satuan PEMAKAIAN KET
APBD 2
1 Blood Lancet 28 G bok 4.00 58,264.00 14,566.00 - Rp - - Rp - 4 Rp 58,264.00 4.00 Rp 58,264.00 - Rp - 4 Rp 58,264.00
2 Cat-Gut Chomic no.2/0 pcs 16.00 89,333.28 5,583.33 - Rp - - Rp - 7 Rp 39,083.31 16.00 Rp 89,333.28 9 Rp 50,249.97 7 Rp 39,083.31
3 Cut-Gut Plain 3/0 + jarum 1/2 GT 35mm pcs 12.00 66,999.96 5,583.33 - Rp - - Rp - 10 Rp 55,833.30 12.00 Rp 66,999.96 2 Rp 11,166.66 10 Rp 55,833.30
4 Silk Benang Bedah no.2/0 pcs 37.00 113,055.72 3,055.56 - Rp - - Rp - 37 Rp 113,055.72 37.00 Rp 113,055.72 - Rp - 37 Rp 113,055.72
5 Silk Benang Bedah no.3/0 pcs 12.00 36,666.72 3,055.56 - Rp - - Rp - 9 Rp 27,500.04 12.00 Rp 36,666.72 3 Rp 9,166.68 9 Rp 27,500.04
6 Parasetamol 500 mg tab 28.00 3,696.00 132.00 - Rp - - Rp - - Rp - 228.00 Rp 30,096.00 228 Rp 30,096.00 - Rp -
7 Ambroxol syrup btl - 4,928.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
8 Ambroxol tab 30 mg tab - 155.33 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
9 Dexametasone 0,5 mg tab - 184.25 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
10 Elkana syr btl - 22,440.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
11 Neurosanbe tab - 1,109.90 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
12 O.B.H.Sirup btl - 14,762.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
13 Tuzalos tab - 844.80 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
14 Tremenza Sirup btl - 20,900.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
15 Tremenza Tablet Tab - 1,485.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
TOTAL Rp 368,015.68 Rp - Rp - Rp 293,736.37 Rp 394,415.68 Rp 100,679.31 Rp 293,736.37
Rp 293,736.37
Mengetahui

NIP : 19920108 201902 2 004
RSUD KOTA SERANG
PER JANUARI s.d DESEMBER 2021
SUMBER DANA DAK
JANUARI
STOK AWAL
No Nama Obat Satuan HARGA OBAT DAK PENERIMAAN PEMAKAIAN STOK AKHIR
1 Abbocath No 18 pcs 10,395.00 - - - Rp - - Rp - - Rp -

2 Abbocath No. 20 pcs 10,395.00 - - - Rp - - Rp - - Rp -
6 Abbocath No. 24 pcs 23,100.00 - Rp - - Rp - - Rp -
7 Abbocath No. 26 pcs 13,200.00 31 409,200.00 - Rp - 19 Rp 250,800.00 12 Rp 158,400.00
8 Adult ID Patien Blue (OGS) pcs - - - - Rp - - Rp - - Rp -
9 Adult ID Patien Pink (OGS) pcs - - - - Rp - - Rp - - Rp -
10 Alat suntik 1 ml pcs - - - - Rp - - Rp - - Rp -
11 Alat Suntik 2,5 ml pcs 669.80 - - - Rp - - Rp - - Rp -
12 Alat suntik 3 ml pcs 669.80 - - - Rp - - Rp - - Rp -
13 Alat Suntik 5 ml pcs - - - - Rp - - Rp - - Rp -
14 Alat Suntik 10 ml pcs 1,302.00 - - - Rp - - Rp - - Rp -
16 Alkohol Swab swab 160.50 - - - Rp - - Rp - - Rp -
17 Alkacid 1 lt btl 2,702,700.00 - - - Rp - - Rp - - Rp -
18 Aquagel SterilvJelly 82gr btl - - - - Rp - - Rp - - Rp -
19 Bisturi no.10 pcs 3,150.00 120 378,000.00 - Rp - - Rp - 120 Rp 378,000.00
20 Blood Lancet 28 G bok - - - - Rp - - Rp - - Rp -
21 Canofix PU pcs 6,850.00 43 294,550.00 - Rp - - Rp - 43 Rp 294,550.00
22 Cat-Gut Chomic no.2/0 pcs - - - - Rp - - Rp - - Rp -
24 Cat-Gut Plain 2/0 Pcs - - - - Rp - - Rp - - Rp -
25 Cut-Gut Plain 3/0 pcs - - - - Rp - - Rp - - Rp -
26 Child ID Patien Blue (OGS) Pcs - - - - Rp - - Rp - - Rp -
27 Child ID Patien Pink (OGS) Pcs - - - - Rp - - Rp - - Rp -
28 Cosmomed Underpad Pcs - - - - Rp - - Rp - - Rp -
29 Dermafix S IV 6x7 cm Blisteer - - - - Rp - - Rp - - Rp -
30 Disposible syringe 0,5 cc pcs 1,175.00 - - - Rp - - Rp - - Rp -
31 Foley Chateter No.14 Pcs 11,000.00 - - - Rp - - Rp - - Rp -
33 Foley Chateter No.16 pcs 13,090.00 - - - Rp - - Rp - - Rp -
35 Foley Chateter No. 18 pcs 13,090.00 7 91,630.00 - Rp - - Rp - 7 Rp 91,630.00
36 Fescoplast 1,25x4,5 M pcs 4,335.00 5 21,675.00 - Rp - - Rp - 5 Rp 21,675.00
37 Fescoplast 2,5x4,5 M pcs 8,259.00 - - - Rp - - Rp - - Rp -
38 Fixomull Stretch pcs 90,000.00 - - - Rp - - Rp - - Rp -
39 Glas Ionomer Semen set - - - - Rp - - Rp - - Rp -
40 GP Care Clilical Termometer pcs 11,500.00 - - - Rp - - Rp - - Rp -
41 Hand Antiseptik (OGS) btl 78,750.00 - - - Rp - - Rp - - Rp -
42 Hand scoon non streil box - - - - Rp - - Rp - - Rp -
43 Infuset anak pcs 5,100.00 - - - Rp - - Rp - - Rp -
45 Infuset Dewasa pcs 6,435.00 - - - Rp - - Rp - - Rp -
47 Kapas Pembalut Adsorben/250 gr pcs 13,234.00 2 26,468.00 - Rp - - Rp - 2 Rp 26,468.00
48 Kasa pemb Hidropil 4mx15 cm pcs 1,655.50 - - - Rp - - Rp - - Rp -
49 Kasa pembalut hidrofil uk 36mx80cm Gulung - - - - Rp - - Rp - - Rp -
50 Kasa steril 16x16 cm ktk 8,000.00 - - - Rp - - Rp - - Rp -
RSUD KOTA SERANG
SUMBER DANA DAK
JANUARI
STOK AWAL

52 Masker ktk - - - - Rp - - Rp - - Rp -
53 Masker 3 ply ear loop Jilbab box 19,800.00 - - - Rp - - Rp - - Rp -
54 Masker 3 ply ear loop (Bio Axion) box - - - - Rp - - Rp - - Rp -
55 Masker 3 ply ear loop Plus box - - - - Rp - - Rp - - Rp -
56 Monosoft 2-0 pcs 47,542.97 - - - Rp - - Rp - - Rp -
57 Nasal Oxigen Canulla Anak pcs 5,082.00 - - - Rp - - Rp - - Rp -
58 Nasal Oxigen Canulla Dewasa pcs 5,082.00 - - - Rp - - Rp - - Rp -
59 Needle CNV 22 x 1,5 MLTSMP pcs - - - - Rp - - Rp - - Rp -
60 Nebulizer Mask Child 7 adult pcs 15,264.00 8 122,112.00 - Rp - 1 Rp 15,264.00 7 Rp 106,848.00
61 Optime 2/0 pcs 66,553.00 - - - Rp - - Rp - - Rp -
63 Optime R 2/0 pcs 76,705.00 - - - Rp - - Rp - - Rp -
65 Peter Slik 2/0 pcs 39,481.00 - - - Rp - - Rp - - Rp -
67 Plaster 5 Yeard x 2 inch pcs - - - - Rp - - Rp - - Rp -
68 Paper tape 1,25 cm x9,14 m pcs 4,900.00 3 14,700.00 - Rp - - Rp - 3 Rp 14,700.00
69 Paper tape 2,5 cm x9,14 m pcs 15,571.42 - - - Rp - - Rp - - Rp -
70 Polifix 10cm x 5 cm pcs 74,741.60 - - - Rp - - Rp - - Rp -
71 Safety box dus 15,715.35 - - - Rp - - Rp - - Rp -
73 Sarung Tangan Steril 6,5 pcs 12,925.00 - - - Rp - - Rp - - Rp -
74 Sarung Tangan Steril 7 pcs 12,925.00 - - - Rp - - Rp - - Rp -
75 Sarung tangan non steril S Box 46,200.00 - - - Rp - - Rp - - Rp -
76 Sarung tangan non steril M Box 46,200.00 - - - Rp - - Rp - - Rp -
77 Sarung tangan non steril L Box 46,200.00 - - - Rp - - Rp - - Rp -
78 Silk Benang Bedah no.2/0 pcs - - - - Rp - - Rp - - Rp -
80 Softpad Underpad Non steril 60 x 90 cm bag 41,624.00 - - - Rp - - Rp - - Rp -
82 Stik Kolesterol box - - - - Rp - - Rp - - Rp -
83 Tube K3 EDTAPLH 13x753,0 BLBLCELAV pcs - - - - Rp - - Rp - - Rp -
84 Tube PLN PLH 13 x 75 4.0 PLBL GN pcs - - - - Rp - - Rp - - Rp -
85 Umbilical Cord Clamp-Blue (OGS) pcs - - - - Rp - - Rp - - Rp -
86 Umbilical Cord Clamp-White (OGS) pcs - - - - Rp - - Rp - - Rp -
87 Umbilical Cord Clamp-White (OGS) pcs 1,300.00 - - - Rp - - Rp - - Rp -
88 Urine Bag pcs - - - - Rp - - Rp - - Rp -
89 Underpad steril 60 x 90 cm blister 7,626.00 - - - Rp - - Rp - - Rp -
90 Urine bag steril with Hanger pcs 6,900.00 - - - Rp - - Rp - - Rp -
91 Albotil conc btl - - - - Rp - - Rp - - Rp -
92 Allopurinol 100 mg tab 91.00 - - - Rp - - Rp - - Rp -
94 Ambroxol syrup btl - - - - Rp - - Rp - - Rp -
95 Ambroxol tab 30 mg tab - - - - Rp - - Rp - - Rp -
96 Amlodipn 5 mg tab 70.00 - - - Rp - - Rp - - Rp -
97 Amlodipin 10 mg tab 93.00 - - - Rp - - Rp - - Rp -
98 Amoxicilin syrup 250mg/5ml btl 3,984.00 - - - Rp - - Rp - - Rp -
99 Amoxicilin 125mg Syrup 60 ml btl 2,090.00 - - - Rp - - Rp - - Rp -
100 Amoxicilin 250 mg tab kaps 195.00 - - - Rp - - Rp - - Rp -
RSUD KOTA SERANG
SUMBER DANA DAK
JANUARI
STOK AWAL
101 Amoxicilin 500 mg kaps 232.00 - - - Rp - - Rp - - Rp -

102 Antalgin 500 mg tab - - - - Rp - - Rp - - Rp -
103 Antasida doen Kombinasi tab 62.00 - - - Rp - - Rp - - Rp -
104 Antasida doen Syrup btl 2,025.00 - - - Rp - - Rp - - Rp -
105 Anti Fungi Doen Komb pot 4,158.00 - - - Rp - - Rp - - Rp -
106 Anti Bakteri Doen Salep pot 3,035.00 - - - Rp - - Rp - - Rp -
107 Anti Haemaroid Doen Komb supp pcs 135.00 10 1,350.00 - Rp - - Rp - 10 Rp 1,350.00
108 Anti Migrain Doen Komb/Ergotamin tab - - - - Rp - - Rp - - Rp -
109 Aqua pro injek 20 mg vial 2,750.00 - - - Rp - - Rp - - Rp -
110 Asam Askorbat 50 mg tab 104.00 - - - Rp - - Rp - - Rp -
112 Asam Askorbat 100 mg tab - - - - Rp - - Rp - - Rp -
114 Asam mefenamat 500 mg tab 106.00 - - - Rp - - Rp - - Rp -
116 Asam Traneksamat inj 50 mg/ml ampl - - - - Rp - - Rp - - Rp -
117 Asetosal 100 mg tab - - - - Rp - - Rp - - Rp -
118 Asiclovyr 200mg tab 249.00 - - - Rp - - Rp - - Rp -
120 Asiclovyr krim tub - - - - Rp - - Rp - - Rp -
121 Atropin Sulfat Inj 0,25mg/ml ampl 1,265.00 2 2,530.00 - Rp - 2 Rp 2,530.00 - Rp -
122 Attapulgit 700mg,pectin 50mg (Molagit) tab 140.00 - - - Rp - - Rp - - Rp -
123 Betametason krim tub 1,349.00 - - - Rp - - Rp - - Rp -
124 Betahistin 6 mg tab 110.00 - - - Rp - - Rp - - Rp -
125 Bioplacenton jelly tub - - - - Rp - - Rp - - Rp -
126 Biosanbe kapsul kaps 979.00 - - - Rp - - Rp - - Rp -
127 Bromhexin tab 5 ml tab - - - - Rp - - Rp - - Rp -
128 Captropil 12,5 mg tab 59.00 - - - Rp - - Rp - - Rp -
129 Captropil 25 mg tab 68.00 79 5,372.00 - Rp - - Rp - 79 Rp 5,372.00
130 Cefadroxil 250 mg tab - - - - Rp - - Rp - - Rp -
131 Cefadroxil 500 mg kaps 516.00 - - - Rp - - Rp - - Rp -
132 Cefadroxil sirup 125 mg/5ml btl - - - - Rp - - Rp - - Rp -
133 Cefixime 100mg kaps - - - - Rp - - Rp - - Rp -
134 Cefixime 200mg tab 2,370.00 - - - Rp - - Rp - - Rp -
135 Colcitine Kolksin tab 2,299.00 - - - Rp - - Rp - - Rp -
136 Cefotaxime inj vial - - - - Rp - - Rp - - Rp -
137 Cetrizine Tab 10 mg kaps 143.00 - - - Rp - - Rp - - Rp -
138 Cimetidine 200mg tab 176.00 - - - Rp - - Rp - - Rp -
139 Clindamicin 150 mg kaps 715.00 - - - Rp - - Rp - - Rp -
140 Clindamicin 300 mg kaps - - - - Rp - - Rp - - Rp -
141 Clobazam Tab tab 970.00 - - - Rp - - Rp - - Rp -
142 Dexametasone 0,5 mg tab - - - - Rp - - Rp - - Rp -
143 Dexametasone 5 mg ampl - - - - Rp - - Rp - - Rp -
144 Diazepam 2mg tab - - - - Rp - - Rp - - Rp -
145 Diazepam 5mg tab 117.00 - - - Rp - - Rp - - Rp -
146 Diazepam inj ampl - - - - Rp - - Rp - - Rp -
147 Digoxin 0,25 mg tab 104.00 - - - Rp - - Rp - - Rp -
148 Depinhidramin inj ampl 1,095.00 2 2,190.00 - Rp - 2 Rp 2,190.00 - Rp -
149 Domperidone suspensi btl - - - - Rp - - Rp - - Rp -
150 Domperidone tab tab 118.00 - - - Rp - - Rp - - Rp -
RSUD KOTA SERANG
SUMBER DANA DAK
JANUARI
STOK AWAL
151 Elkana syr btl - - - - Rp - - Rp - - Rp -

152 Epineprine HCL inj 0,1% ( Adrenalin ) ampl 2,204.00 - - - Rp - - Rp - - Rp -
153 Eritromicyn 250 mg tab - - - - Rp - - Rp - - Rp -
154 Eritromicyn 500 mg tab 730.00 - - - Rp - - Rp - - Rp -
155 Eritromicin sirup 200mg btl 6,700.00 - - - Rp - - Rp - - Rp -
156 Etakardin (Rivanol ) 0.1% btl 3,000.00 - - - Rp - - Rp - - Rp -
157 Etanol /Alkohol 70% 100mg btl - - - - Rp - - Rp - - Rp -
158 Etanol /Alkohol 70% 1000mg btl 24,992.00 - - - Rp - - Rp - - Rp -
159 Etilklorida spray 100ml btl - - - - Rp - - Rp - - Rp -
160 Eugenol cairan 10 ml btl 18,100.00 - - - Rp - - Rp - - Rp -
161 Fenobarbital 30 mg tab 31.00 - - - Rp - - Rp - - Rp -
162 Fenol Gliserol TT 10% btl 2,590.00 - - - Rp - - Rp - - Rp -
163 Fitomenadion (vit K) 10mg tab 695.00 - - - Rp - - Rp - - Rp -
164 Fitomenadion (vit K) 2mg tab - - - - Rp - - Rp - - Rp -
165 Furosemide 40 mg tab 77.00 - - - Rp - - Rp - - Rp -
166 Furosemide injeksi ampl - - - - Rp - - Rp - - Rp -
167 Garam oralit 200 ml pcs - - - - Rp - - Rp - - Rp -
168 Gentamicyn salep kulit tub - - - - Rp - - Rp - - Rp -
169 Gentamicyn salep mata (Genoin) tub 2,830.00 - - - Rp - - Rp - - Rp -
170 Gentamicyn tetes mata 0,3% btl 4,000.00 - - - Rp - - Rp - - Rp -
171 Gentian Violet lar 1%-10ml btl - - - - Rp - - Rp - - Rp -
173 Glibenklamid 5 mg tab 119.00 - - - Rp - - Rp - - Rp -
174 Gliseril Guaiacolat 100mg tab - - - - Rp - - Rp - - Rp -
175 Glukosa 10% btl 8,033.00 5 40,165.00 - Rp - - Rp - 5 Rp 40,165.00
176 Glukosa 5% btl 7,363.00 - - - Rp - - Rp - - Rp -
177 Griseovulvin 125 mg tab 210.00 - - - Rp - - Rp - - Rp -
178 Haloperidol tablet 5 mg tab 75.00 - - - Rp - - Rp - - Rp -
179 Hidrokortison krim 2,5% tub 2,650.00 - - - Rp - - Rp - - Rp -
180 Hidrogen peroksida (H2O2) btl - - - - Rp - - Rp - - Rp -
181 Ibuprofen 200 mg tab 105.00 - - - Rp - - Rp - - Rp -
183 Ibuprofen suspensi 100 mg btl 2,475.00 - - - Rp - - Rp - - Rp -
184 Iliadin, Oksimetazolin tetes hidung 0,025% btl 32,549.00 - - - Rp - - Rp - - Rp -
186 Iodina Test btl - - - - Rp - - Rp - - Rp -
187 Isoniazid tab tab - - - - Rp - - Rp - - Rp -
188 Kalsium glukonas injeksi ampl 7,799.96 3 23,399.88 - Rp - 1 Rp 7,799.96 2 Rp 15,599.92
189 Kalsium Laktas 500 mg tab 63.00 - - - Rp - - Rp - - Rp -
191 Kanamicyn inj ampl - - - - Rp - - Rp - - Rp -
192 Karmazepin tablet 200mg tab - - - - Rp - - Rp - - Rp -
193 Ketekonazole Tab 200 mg tab 275.00 - - - Rp - - Rp - - Rp -
194 Ketekonazole crem 2 % tub 2,545.00 - - - Rp - - Rp - - Rp -
195 Kloramphenicol 250 mg tab 310.00 - - - Rp - - Rp - - Rp -
196 Kloramphenicol SM (slep mata) tub 1,881.00 8 15,048.00 - Rp - - Rp - 8 Rp 15,048.00
197 Kloramphenicol TM (Tetes Mata) btl - - - - Rp - - Rp - - Rp -
198 Kloramphenicol TT ( tetes telinga) btl 8,250.00 - - - Rp - - Rp - - Rp -
199 Klorfeneramin Maleat (CTM) 4 Mg tab 42.00 - - - Rp - - Rp - - Rp -
200 Klorpromazine 100 mg tab 133.00 - - - Rp - - Rp - - Rp -
RSUD KOTA SERANG
SUMBER DANA DAK
JANUARI
STOK AWAL
201 Kodein 10 mg tab 550.00 - - - Rp - - Rp - - Rp -

202 Kotrimoksazole 120 mg Pediatrik tab - - - - Rp - - Rp - - Rp -
203 Kotrimakazole 480 mg tab 151.00 - - - Rp - - Rp - - Rp -
204 Kortimokazole susp btl 2,140.00 - - - Rp - - Rp - - Rp -
205 Lansoprazol Kapsul 30 mg kaps 473.00 - - - Rp - - Rp - - Rp -
208 Lidocain Inj /2 % ampl 1,140.00 - - - Rp - - Rp - - Rp -
209 Lidocain inj/2%+Epineprine 1:80000 ampl 1,152.00 - - - Rp - - Rp - - Rp -
210 Lisol btl - - - - Rp - - Rp - - Rp -
211 Litacur sirup btl - - - - Rp - - Rp - - Rp -
212 Loperamide 2 mg tab tab 85.00 - - - Rp - - Rp - - Rp -
213 Loratadine 10 mg tab 134.00 - - - Rp - - Rp - - Rp -
215 Metformin 500 mg tab 100.00 - - - Rp - - Rp - - Rp -
217 Metilergometrin Maleat 0,125 mg tab 210.00 - - - Rp - - Rp - - Rp -
218 Metilergometrin Maleat inj ampl 2,959.00 - - - Rp - - Rp - - Rp -
219 Methyl Prednisolon 4 mg tab 134.00 - - - Rp - - Rp - - Rp -
220 Metoclorpramid Inj ampl - - - - Rp - - Rp - - Rp -
221 Metoclorpramid 5 mg tab 115.00 - - - Rp - - Rp - - Rp -
223 Metoclorpramid syr botol 2,530.00 - - - Rp - - Rp - - Rp -
224 Metronidazol 250 mg tab 94.00 - - - Rp - - Rp - - Rp -
225 Metronidazol 500 mg tab - - - - Rp - - Rp - - Rp -
226 Miconazole cream 2% tub 3,250.00 - - - Rp - - Rp - - Rp -
227 N-Acetil Sistein 200 mg tab 382.00 102 38,964.00 - Rp - 58 Rp 22,156.00 44 Rp 16,808.00
228 Microlax enema tub - - - - Rp - - Rp - - Rp -
229 Misoprostol tab tab - - - - Rp - - Rp - - Rp -
230 N asetil sistein 200mg kaps - - - - Rp - - Rp - - Rp -
231 Natrium Bicarbonat 500 mg tab - - - - Rp - - Rp - - Rp -
232 Natrium Diklofenak 25 mg tab 145.00 - - - Rp - - Rp - - Rp -
233 Natrium Diklofenak 50mg tab 159.00 - - - Rp - - Rp - - Rp -
234 Natrium Klorida 0,9% btl 6,410.00 - - - Rp - - Rp - - Rp -
235 Neo Kaominal susp btl - - - - Rp - - Rp - - Rp -
236 Neurosanbe tab - - - - Rp - - Rp - - Rp -
237 Nifedipin tab 10 mg tab 108.00 - - - Rp - - Rp - - Rp -
238 Nistatin Vaginal tab 100.000 IU tab 523.00 - - - Rp - - Rp - - Rp -
RSUD KOTA SERANG
SUMBER DANA DAK
JANUARI
STOK AWAL

240 O.B.H.Sirup btl - - - - Rp - - Rp - - Rp -
241 Ofloxasin tab 200mg tab - - - - Rp - - Rp - - Rp -
242 Oksitetrasiklin HCL inj ampl - - - - Rp - - Rp - - Rp -
243 Oksitetrasiklin HCL SK 3% tub - - - - Rp - - Rp - - Rp -
244 Oksitetrasiklin HCL SM 1% tub 2,500.00 - - - Rp - - Rp - - Rp -
245 Omeprazol Inj ampl - - - - Rp - - Rp - - Rp -
246 Omeprazol kap 20mg tab 211.00 - - - Rp - - Rp - - Rp -
247 Omeprazol kap 20 mg tab 160.00 - - - Rp - - Rp - - Rp -
248 Ondencetron inj ampl - - - - Rp - - Rp - - Rp -
249 Parasetamol drop btl 6,649.00 - - - Rp - - Rp - - Rp -
250 Parasetamol Sirup btl 1,010.00 - - - Rp - - Rp - - Rp -
251 Parasetamol suppos pcs - - - - Rp - - Rp - - Rp -
252 Pirantel Suspensi btl 9,700.00 - - - Rp - - Rp - - Rp -
253 Pirantel Pamoat 125 mg tab 296.00 - - - Rp - - Rp - - Rp -
255 Piridoksin (Vi. B6)HCL 10 mg tab 118.00 - - - Rp - - Rp - - Rp -
256 Piroksikam 20 mg tab - - - - Rp - - Rp - - Rp -
257 Povidon Yodida 30 ml btl 2,900.00 - - - Rp - - Rp - - Rp -
258 Povidon Yodida 300 ml btl - - - - Rp - - Rp - - Rp -
259 Povidon Yodida 60 ml btl 3,700.00 4 14,800.00 - Rp - - Rp - 4 Rp 14,800.00
260 Prednison 5 mg tab 68.00 - - - Rp - - Rp - - Rp -
261 Probiokids pcs - - - - Rp - - Rp - - Rp -
262 Procurma syr btl - - - - Rp - - Rp - - Rp -
263 Propanolol HCL 40 mg tab - - - - Rp - - Rp - - Rp -
264 Propanolol HCL 10 mg tab 58.00 - - - Rp - - Rp - - Rp -
265 Quantidek sirup btl - - - - Rp - - Rp - - Rp -
266 Quantidek tab tab 550.00 - - - Rp - - Rp - - Rp -
267 Ranitidine inj 25mg/2ml ampl 1,155.00 - - - Rp - - Rp - - Rp -
268 Ranitidine tab 150 mg tab 105.00 - - - Rp - - Rp - - Rp -
269 Resperidone tab 273.00 - - - Rp - - Rp - - Rp -
270 Retinol 100.000 IU ( Vit. A) kaps 284.00 - - - Rp - - Rp - - Rp -
271 Retinol 200.000 iu ( Vit. A) kaps 505.00 - - - Rp - - Rp - - Rp -
272 Ringer Laktat Infus Steril (Btl 500 ml) btl 7,150.00 - - - Rp - - Rp - - Rp -
274 Salbutamol 2 mg tab 66.00 - - - Rp - - Rp - - Rp -
275 Salbutamol sirup 2 mg/5ml btl 4,750.00 - - - Rp - - Rp - - Rp -
277 Salep 2-4 Komb. pot 2,429.00 - - - Rp - - Rp - - Rp -
278 Salisil Bedak 2% - 50 gr dus 1,025.00 - - - Rp - - Rp - - Rp -
279 Sanadril sirrup btl - - - - Rp - - Rp - - Rp -
280 Sanbe Tears btl - - - - Rp - - Rp - - Rp -
281 Sanvita B Sirup btl - - - - Rp - - Rp - - Rp -
282 Scabimite Cream tub 11,825.00 - - - Rp - - Rp - - Rp -
283 Serum ATS 1.500 IU ampl 130,999.00 - - - Rp - - Rp - - Rp -
284 Setrizine sirup 5 mg/5ml btl 2,850.00 - - - Rp - - Rp - - Rp -
285 Sianokobalamin injeksi ampl 1,035.00 10 10,350.00 - Rp - 2 Rp 2,070.00 8 Rp 8,280.00
286 Sianokobalamin tablet ampl - - - - Rp - - Rp - - Rp -
287 Skizonoat inj 25 mg/ml tab - - - - Rp - - Rp - - Rp -
288 Simvastatin 10mg tab tab 131.00 - - - Rp - - Rp - - Rp -
RSUD KOTA SERANG
SUMBER DANA DAK
JANUARI
STOK AWAL

290 Simvastatin 20 mg tab 205.00 - - - Rp - - Rp - - Rp -
291 Softanol btl 55,000.00 - - - - Rp - - Rp -
292 Siprofloxacin 500 mg tab 255.00 - - - Rp - - Rp - - Rp -
294 Stesolid rectal 5mg pcs 12,573.00 - - - Rp - - Rp - - Rp -
295 Stesolid rectal 10mg pcs 18,279.00 - - Rp - - Rp - Rp -
296 Sulfasetamida Natrium TM 15% btl - - - - Rp - - Rp - - Rp -
297 Tablet tambah darah tab - - - - Rp - - Rp - - Rp -
298 Thiamin HCL(Vit.B1) inj ampl - - - - Rp - - Rp - - Rp -
299 Thiamin HCL(Vit.B1) tab 50 mg tab 85.00 - - - Rp - - Rp - - Rp -
300 Tramadol 50 mg tab - - - - Rp - - Rp - - Rp -
301 Tramal supp pcs - - - - Rp - - Rp - - Rp -
302 Triheksifenidil tab 2mg tab 85.00 - - - Rp - - Rp - - Rp -
303 Trombopop gel tub - - - - Rp - - Rp - - Rp -
304 Tuzalos tab - - - - Rp - - Rp - - Rp -
305 USG Gell 250 ml btl 12,584.00 - - - Rp - - Rp - - Rp -
306 Ventolin Nebules 2,5 mg ampl - - - - Rp - - Rp - - Rp -
307 Vitalex tab 440.00 - - - Rp - - Rp - - Rp -
308 Viorex 500 ml btl 65,340.00 - - - Rp - - Rp - - Rp -
309 Vitamin B.Komplek tab 118.00 - - - Rp - - Rp - - Rp -
310 Zinc Dispersible tab tab 514.00 - - - Rp - - Rp - - Rp -
312 Zinc sirup btl 14,980.00 - - Rp - - Rp - - Rp -
TOTAL 1,512,503.88 Rp - Rp 302,809.96 Rp 1,209,693.92
Rp 1,209,693.92

NIP : 19920108 201902 2 004 NITPL . 2018301235
62,279,862.92
RSUD KOTA SERANG
SUMBER DANA DAK
FEBRUARI
STOK AWAL

7 Abbocath No. 26 pcs 13,200.00 31 409,200.00 50 Rp 660,000.00 2 Rp 26,400.00 60 Rp 792,000.00
35 Foley Chateter No. 18 pcs 13,090.00 7 91,630.00 - Rp - 1 Rp 13,090.00 6 Rp 78,540.00
RSUD KOTA SERANG
SUMBER DANA DAK
FEBRUARI
STOK AWAL

60 Nebulizer Mask Child 7 adult pcs 15,264.00 8 122,112.00 - Rp - - Rp - 7 Rp 106,848.00
68 Paper tape 1,25 cm x9,14 m pcs 4,900.00 3 14,700.00 - Rp - 1 Rp 4,900.00 2 Rp 9,800.00
RSUD KOTA SERANG
SUMBER DANA DAK
FEBRUARI
STOK AWAL

121 Atropin Sulfat Inj 0,25mg/ml ampl 1,265.00 2 2,530.00 - Rp - - Rp - - Rp -
148 Depinhidramin inj ampl 1,095.00 2 2,190.00 - Rp - - Rp - - Rp -
RSUD KOTA SERANG
SUMBER DANA DAK
FEBRUARI
STOK AWAL

188 Kalsium glukonas injeksi ampl 7,799.96 3 23,399.88 - Rp - - Rp - 2 Rp 15,599.92
RSUD KOTA SERANG
SUMBER DANA DAK
FEBRUARI
STOK AWAL

210 Lisol btl - - - - Rp - - Rp - - Rp -
227 N-Acetil Sistein 200 mg tab 382.00 102 38,964.00 120 Rp 45,840.00 18 Rp 6,876.00 146 Rp 55,772.00
RSUD KOTA SERANG
SUMBER DANA DAK
FEBRUARI
STOK AWAL

285 Sianokobalamin injeksi ampl 1,035.00 10 10,350.00 - Rp - - Rp - 8 Rp 8,280.00
RSUD KOTA SERANG
SUMBER DANA DAK
FEBRUARI
STOK AWAL

291 Softanol btl 55,000.00 - - - Rp - - Rp - - Rp -
295 Stesolid rectal 10mg pcs 18,279.00 - - Rp - - Rp - - Rp -
TOTAL 1,512,503.88 Rp 705,840.00 Rp 51,266.00 Rp 1,864,267.92
Rp 1,864,267.92
Mengetahui

NIP : 19920108 201902 2 004
62,279,862.92 ###
RSUD KOTA SERANG 0
SUMBER DANA DAK
MARET
STOK AWAL

7 Abbocath No. 26 pcs 13,200.00 31 409,200.00 - Rp - 56 Rp 739,200.00 4 Rp 52,800.00
RSUD KOTA SERANG 0
SUMBER DANA DAK
MARET
STOK AWAL

60 Nebulizer Mask Child 7 adult pcs 15,264.00 8 122,112.00 - Rp - - Rp - 7 Rp 106,848.00
68 Paper tape 1,25 cm x9,14 m pcs 4,900.00 3 14,700.00 - Rp - - Rp - 2 Rp 9,800.00
RSUD KOTA SERANG 0
SUMBER DANA DAK
MARET
STOK AWAL

107 Anti Haemaroid Doen Komb supp pcs 135.00 10 1,350.00 - Rp - 2 Rp 270.00 8 Rp 1,080.00
RSUD KOTA SERANG 0
SUMBER DANA DAK
MARET
STOK AWAL

175 Glukosa 10% btl 8,033.00 5 40,165.00 - Rp - 1 Rp 8,033.00 4 Rp 32,132.00
188 Kalsium glukonas injeksi ampl 7,799.96 3 23,399.88 - Rp - 1 Rp 7,799.96 1 Rp 7,799.96
RSUD KOTA SERANG 0
SUMBER DANA DAK
MARET
STOK AWAL

210 Lisol btl - - - - Rp - - Rp - - Rp -
RSUD KOTA SERANG 0
SUMBER DANA DAK
MARET
STOK AWAL

259 Povidon Yodida 60 ml btl 3,700.00 4 14,800.00 - Rp - 3 Rp 11,100.00 1 Rp 3,700.00
RSUD KOTA SERANG 0
SUMBER DANA DAK
MARET
STOK AWAL

TOTAL 1,512,503.88 Rp - Rp 774,424.96 Rp 1,089,842.96
Rp 1,089,842.96
Mengetahui

NIP : 19920108 201902 2 004
62,279,862.92
RSUD KOTA SERANG
SUMBER DANA DAK
APRIL
STOK AWAL

7 Abbocath No. 26 pcs 13,200.00 31 409,200.00 - Rp - 4 Rp 52,800.00 - Rp -
19 Bisturi no.10 pcs 3,150.00 120 378,000.00 - Rp - 1 Rp 3,150.00 119 Rp 374,850.00
RSUD KOTA SERANG
SUMBER DANA DAK
APRIL
STOK AWAL

68 Paper tape 1,25 cm x9,14 m pcs 4,900.00 3 14,700.00 - Rp - 2 Rp 9,800.00 - Rp -
69 Paper tape 2,5 cm x9,14 m pcs 15,571.42 - - 4 Rp 62,285.68 - Rp - 4 Rp 62,285.68
RSUD KOTA SERANG
SUMBER DANA DAK
APRIL
STOK AWAL

RSUD KOTA SERANG
SUMBER DANA DAK
APRIL
STOK AWAL

188 Kalsium glukonas injeksi ampl 7,799.96 3 23,399.88 - Rp - - Rp - 1 Rp 7,799.96
RSUD KOTA SERANG
SUMBER DANA DAK
APRIL
STOK AWAL

210 Lisol btl - - - - Rp - - Rp - - Rp -
RSUD KOTA SERANG
SUMBER DANA DAK
APRIL
STOK AWAL

283 Serum ATS 1.500 IU ampl 130,999.00 - - 20 Rp 2,619,980.00 - Rp - 20 Rp 2,619,980.00
RSUD KOTA SERANG
SUMBER DANA DAK
APRIL
STOK AWAL

TOTAL 1,512,503.88 Rp 2,682,265.68 Rp 97,542.00 Rp 3,674,566.64
Rp 3,674,566.64
Mengetahui

NIP : 19920108 201902 2 004
62,279,862.92
RSUD KOTA SERANG
SUMBER DANA DAK
MEI
STOK AWAL

7 Abbocath No. 26 pcs 13,200.00 31 409,200.00 - Rp - - Rp - - Rp -
21 Canofix PU pcs 6,850.00 43 294,550.00 - Rp - 10 Rp 68,500.00 33 Rp 226,050.00
36 Fescoplast 1,25x4,5 M pcs 4,335.00 5 21,675.00 - Rp - 1 Rp 4,335.00 4 Rp 17,340.00
RSUD KOTA SERANG
SUMBER DANA DAK
MEI
STOK AWAL

68 Paper tape 1,25 cm x9,14 m pcs 4,900.00 3 14,700.00 - Rp - - Rp - - Rp -
69 Paper tape 2,5 cm x9,14 m pcs 15,571.42 - - - Rp - 4 Rp 62,285.68 - Rp -
RSUD KOTA SERANG
SUMBER DANA DAK
MEI
STOK AWAL

107 Anti Haemaroid Doen Komb supp pcs 135.00 10 1,350.00 - Rp - 5 Rp 675.00 3 Rp 405.00
111 Asam Askorbat 50 mg tab 105.00 - - 100 Rp 10,500.00 - Rp - 100 Rp 10,500.00
RSUD KOTA SERANG
SUMBER DANA DAK
MEI
STOK AWAL

175 Glukosa 10% btl 8,033.00 5 40,165.00 - Rp - 4 Rp 32,132.00 - Rp -
188 Kalsium glukonas injeksi ampl 7,799.96 3 23,399.88 - Rp - 1 Rp 7,799.96 - Rp -
RSUD KOTA SERANG
SUMBER DANA DAK
MEI
STOK AWAL

210 Lisol btl - - - - Rp - - Rp - - Rp -
RSUD KOTA SERANG
SUMBER DANA DAK
MEI
STOK AWAL

283 Serum ATS 1.500 IU ampl 130,999.00 - - - Rp - 20 Rp 2,619,980.00 - Rp -
RSUD KOTA SERANG
SUMBER DANA DAK
MEI
STOK AWAL

TOTAL 1,512,503.88 Rp 10,500.00 Rp 2,840,471.64 Rp 844,595.00
Rp 834,095.00
Mengetahui

NIP : 19920108 201902 2 004
62,279,862.92
RSUD KOTA SERANG
SUMBER DANA DAK
JUNI
STOK AWAL

RSUD KOTA SERANG
SUMBER DANA DAK
JUNI
STOK AWAL

RSUD KOTA SERANG
SUMBER DANA DAK
JUNI
STOK AWAL

107 Anti Haemaroid Doen Komb supp pcs 135.00 10 1,350.00 - Rp - - Rp - 3 Rp 405.00
111 Asam Askorbat 50 mg tab 105.00 - - - Rp - - Rp - 100 Rp 10,500.00
RSUD KOTA SERANG
SUMBER DANA DAK
JUNI
STOK AWAL

175 Glukosa 10% btl 8,033.00 5 40,165.00 - Rp - - Rp - - Rp -
188 Kalsium glukonas injeksi ampl 7,799.96 3 23,399.88 - Rp - - Rp - - Rp -
RSUD KOTA SERANG
SUMBER DANA DAK
JUNI
STOK AWAL

210 Lisol btl - - - - Rp - - Rp - - Rp -
RSUD KOTA SERANG
SUMBER DANA DAK
JUNI
STOK AWAL

RSUD KOTA SERANG
SUMBER DANA DAK
JUNI
STOK AWAL

TOTAL 1,512,503.88 Rp - Rp 89,494.00 Rp 755,101.00
Rp 755,101.00
Mengetahui

NIP : 19920108 201902 2 004
62,279,862.92
RSUD KOTA SERANG
SUMBER DANA DAK
JULI
STOK AWAL

47 Kapas Pembalut Adsorben/250 gr pcs 13,234.00 2 26,468.00 - Rp - 1 Rp 13,234.00 1 Rp 13,234.00
RSUD KOTA SERANG
SUMBER DANA DAK
JULI
STOK AWAL

RSUD KOTA SERANG
SUMBER DANA DAK
JULI
STOK AWAL

107 Anti Haemaroid Doen Komb supp pcs 135.00 10 1,350.00 - Rp - 3 Rp 405.00 - Rp -
111 Asam Askorbat 50 mg tab 105.00 - - - Rp - 2 Rp 210.00 98 Rp 10,290.00
RSUD KOTA SERANG
SUMBER DANA DAK
JULI
STOK AWAL

175 Glukosa 10% btl 8,033.00 5 40,165.00 - Rp - - Rp - - Rp -
188 Kalsium glukonas injeksi ampl 7,799.96 3 23,399.88 - Rp - - Rp - - Rp -
RSUD KOTA SERANG
SUMBER DANA DAK
JULI
STOK AWAL

210 Lisol btl - - - - Rp - - Rp - - Rp -
227 N-Acetil Sistein 200 mg tab 382.00 102 38,964.00 - Rp - 98 Rp 37,436.00 - Rp -
RSUD KOTA SERANG
SUMBER DANA DAK
JULI
STOK AWAL

285 Sianokobalamin injeksi ampl 1,035.00 10 10,350.00 - Rp - 4 Rp 4,140.00 4 Rp 4,140.00
RSUD KOTA SERANG
SUMBER DANA DAK
JULI
STOK AWAL

TOTAL 1,512,503.88 Rp - Rp 158,519.00 Rp 596,582.00
Rp 596,582.00
Mengetahui

NIP : 19920108 201902 2 004
62,279,862.92
RSUD KOTA SERANG
SUMBER DANA DAK
AGUSTUS SEPTEMBER
STOK AWAL
No Nama Obat Satuan HARGA OBAT DAK PENERIMAAN PEMAKAIAN STOK AKHIR PENERIMAAN PEMAKAIAN STOK AKHIR
1 Abbocath No 18 pcs 10,395.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -

2 Abbocath No. 20 pcs 10,395.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
6 Abbocath No. 24 pcs 23,100.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
7 Abbocath No. 26 pcs 13,200.00 31 409,200.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
8 Adult ID Patien Blue (OGS) pcs - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
9 Adult ID Patien Pink (OGS) pcs - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
10 Alat suntik 1 ml pcs - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
11 Alat Suntik 2,5 ml pcs 669.80 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
12 Alat suntik 3 ml pcs 669.80 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
13 Alat Suntik 5 ml pcs - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
14 Alat Suntik 10 ml pcs 1,302.00 - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
15 Alat Suntik 20 ml pcs 1,954.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
16 Alkohol Swab swab 160.50 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
17 Alkacid 1 lt btl 2,702,700.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
18 Aquagel SterilvJelly 82gr btl - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
19 Bisturi no.10 pcs 3,150.00 120 378,000.00 - Rp - - Rp - 119 Rp 374,850.00 - Rp - - Rp - 119 Rp 374,850.00
20 Blood Lancet 28 G bok - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
21 Canofix PU pcs 6,850.00 43 294,550.00 - Rp - 2 Rp 13,700.00 12 Rp 82,200.00 - Rp - 2 Rp 13,700.00 10 Rp 68,500.00
22 Cat-Gut Chomic no.2/0 pcs - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
24 Cat-Gut Plain 2/0 Pcs - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
25 Cut-Gut Plain 3/0 pcs - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
26 Child ID Patien Blue (OGS) Pcs - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
27 Child ID Patien Pink (OGS) Pcs - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
28 Cosmomed Underpad Pcs - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
29 Dermafix S IV 6x7 cm Blisteer - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
30 Disposible syringe 0,5 cc pcs 1,175.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
31 Foley Chateter No.14 Pcs 11,000.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
33 Foley Chateter No.16 pcs 13,090.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
35 Foley Chateter No. 18 pcs 13,090.00 7 91,630.00 - Rp - 2 Rp 26,180.00 - Rp - - Rp - - Rp - - Rp -
36 Fescoplast 1,25x4,5 M pcs 4,335.00 5 21,675.00 - Rp - - Rp - 4 Rp 17,340.00 - Rp - - Rp - 4 Rp 17,340.00
37 Fescoplast 2,5x4,5 M pcs 8,259.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
38 Fixomull Stretch pcs 90,000.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
39 Glas Ionomer Semen set - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
40 GP Care Clilical Termometer pcs 11,500.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
41 Hand Antiseptik (OGS) btl 78,750.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
42 Hand scoon non streil box - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
43 Infuset anak pcs 5,100.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
45 Infuset Dewasa pcs 6,435.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
47 Kapas Pembalut Adsorben/250 gr pcs 13,234.00 2 26,468.00 - Rp - - Rp - 1 Rp 13,234.00 - Rp - - Rp - 1 Rp 13,234.00
48 Kasa pemb Hidropil 4mx15 cm pcs 1,655.50 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
49 Kasa pembalut hidrofil uk 36mx80cm Gulung - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
50 Kasa steril 16x16 cm ktk 8,000.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
RSUD KOTA SERANG
SUMBER DANA DAK
AGUSTUS SEPTEMBER
STOK AWAL
51 Kasa steril 16x16 cm ktk 3,740.00 - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -

52 Masker ktk - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
53 Masker 3 ply ear loop Jilbab box 19,800.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
54 Masker 3 ply ear loop (Bio Axion) box - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
55 Masker 3 ply ear loop Plus box - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
56 Monosoft 2-0 pcs 47,542.97 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
57 Nasal Oxigen Canulla Anak pcs 5,082.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
58 Nasal Oxigen Canulla Dewasa pcs 5,082.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
59 Needle CNV 22 x 1,5 MLTSMP pcs - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
60 Nebulizer Mask Child 7 adult pcs 15,264.00 8 122,112.00 - Rp - - Rp - 2 Rp 30,528.00 - Rp - 2 Rp 30,528.00 - Rp -
61 Optime 2/0 pcs 66,553.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
63 Optime R 2/0 pcs 76,705.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
65 Peter Slik 2/0 pcs 39,481.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
67 Plaster 5 Yeard x 2 inch pcs - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
68 Paper tape 1,25 cm x9,14 m pcs 4,900.00 3 14,700.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
69 Paper tape 2,5 cm x9,14 m pcs 15,571.42 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
70 Polifix 10cm x 5 cm pcs 74,741.60 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
71 Safety box dus 15,715.35 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
73 Sarung Tangan Steril 6,5 pcs 12,925.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
74 Sarung Tangan Steril 7 pcs 12,925.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
75 Sarung tangan non steril S Box 46,200.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
76 Sarung tangan non steril M Box 46,200.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
77 Sarung tangan non steril L Box 46,200.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
78 Silk Benang Bedah no.2/0 pcs - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
80 Softpad Underpad Non steril 60 x 90 cm bag 41,624.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
82 Stik Kolesterol box - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
83 Tube K3 EDTAPLH 13x753,0 BLBLCELAV pcs - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
84 Tube PLN PLH 13 x 75 4.0 PLBL GN pcs - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
85 Umbilical Cord Clamp-Blue (OGS) pcs - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
86 Umbilical Cord Clamp-White (OGS) pcs - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
87 Umbilical Cord Clamp-White (OGS) pcs 1,300.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
88 Urine Bag pcs - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
89 Underpad steril 60 x 90 cm blister 7,626.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
90 Urine bag steril with Hanger pcs 6,900.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
91 Albotil conc btl - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
92 Allopurinol 100 mg tab 91.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
94 Ambroxol syrup btl - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
95 Ambroxol tab 30 mg tab - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
96 Amlodipn 5 mg tab 70.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
97 Amlodipin 10 mg tab 93.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
98 Amoxicilin syrup 250mg/5ml btl 3,984.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
99 Amoxicilin 125mg Syrup 60 ml btl 2,090.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
100 Amoxicilin 250 mg tab kaps 195.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
RSUD KOTA SERANG
SUMBER DANA DAK
AGUSTUS SEPTEMBER
STOK AWAL
101 Amoxicilin 500 mg kaps 232.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -

102 Antalgin 500 mg tab - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
103 Antasida doen Kombinasi tab 62.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
104 Antasida doen Syrup btl 2,025.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
105 Anti Fungi Doen Komb pot 4,158.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
106 Anti Bakteri Doen Salep pot 3,035.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
107 Anti Haemaroid Doen Komb supp pcs 135.00 10 1,350.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
108 Anti Migrain Doen Komb/Ergotamin tab - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
109 Aqua pro injek 20 mg vial 2,750.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
110 Asam Askorbat 50 mg tab 104.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
111 Asam Askorbat 50 mg tab 105.00 - - - Rp - 2 Rp 210.00 96 Rp 10,080.00 - Rp - - Rp - 96 Rp 10,080.00
112 Asam Askorbat 100 mg tab - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
114 Asam mefenamat 500 mg tab 106.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
116 Asam Traneksamat inj 50 mg/ml ampl - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
117 Asetosal 100 mg tab - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
118 Asiclovyr 200mg tab 249.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
120 Asiclovyr krim tub - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
121 Atropin Sulfat Inj 0,25mg/ml ampl 1,265.00 2 2,530.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
122 Attapulgit 700mg,pectin 50mg (Molagit) tab 140.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
123 Betametason krim tub 1,349.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
124 Betahistin 6 mg tab 110.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
125 Bioplacenton jelly tub - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
126 Biosanbe kapsul kaps 979.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
127 Bromhexin tab 5 ml tab - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
128 Captropil 12,5 mg tab 59.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
129 Captropil 25 mg tab 68.00 79 5,372.00 - Rp - - Rp - 79 Rp 5,372.00 - Rp - - Rp - 79 Rp 5,372.00
130 Cefadroxil 250 mg tab - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
131 Cefadroxil 500 mg kaps 516.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
132 Cefadroxil sirup 125 mg/5ml btl - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
133 Cefixime 100mg kaps - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
134 Cefixime 200mg tab 2,370.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
135 Colcitine Kolksin tab 2,299.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
136 Cefotaxime inj vial - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
137 Cetrizine Tab 10 mg kaps 143.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
138 Cimetidine 200mg tab 176.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
139 Clindamicin 150 mg kaps 715.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
140 Clindamicin 300 mg kaps - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
141 Clobazam Tab tab 970.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
142 Dexametasone 0,5 mg tab - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
143 Dexametasone 5 mg ampl - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
144 Diazepam 2mg tab - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
145 Diazepam 5mg tab 117.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
146 Diazepam inj ampl - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
147 Digoxin 0,25 mg tab 104.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
148 Depinhidramin inj ampl 1,095.00 2 2,190.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
149 Domperidone suspensi btl - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
150 Domperidone tab tab 118.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
RSUD KOTA SERANG
SUMBER DANA DAK
AGUSTUS SEPTEMBER
STOK AWAL
151 Elkana syr btl - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -

152 Epineprine HCL inj 0,1% ( Adrenalin ) ampl 2,204.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
153 Eritromicyn 250 mg tab - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
154 Eritromicyn 500 mg tab 730.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
155 Eritromicin sirup 200mg btl 6,700.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
156 Etakardin (Rivanol ) 0.1% btl 3,000.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
157 Etanol /Alkohol 70% 100mg btl - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
158 Etanol /Alkohol 70% 1000mg btl 24,992.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
159 Etilklorida spray 100ml btl - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
160 Eugenol cairan 10 ml btl 18,100.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
161 Fenobarbital 30 mg tab 31.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
162 Fenol Gliserol TT 10% btl 2,590.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
163 Fitomenadion (vit K) 10mg tab 695.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
164 Fitomenadion (vit K) 2mg tab - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
165 Furosemide 40 mg tab 77.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
166 Furosemide injeksi ampl - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
167 Garam oralit 200 ml pcs - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
168 Gentamicyn salep kulit tub - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
169 Gentamicyn salep mata (Genoin) tub 2,830.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
170 Gentamicyn tetes mata 0,3% btl 4,000.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
171 Gentian Violet lar 1%-10ml btl - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
173 Glibenklamid 5 mg tab 119.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
174 Gliseril Guaiacolat 100mg tab - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
175 Glukosa 10% btl 8,033.00 5 40,165.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
176 Glukosa 5% btl 7,363.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
177 Griseovulvin 125 mg tab 210.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
178 Haloperidol tablet 5 mg tab 75.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
179 Hidrokortison krim 2,5% tub 2,650.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
180 Hidrogen peroksida (H2O2) btl - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
181 Ibuprofen 200 mg tab 105.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
183 Ibuprofen suspensi 100 mg btl 2,475.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
184 Iliadin, Oksimetazolin tetes hidung 0,025% btl 32,549.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
186 Iodina Test btl - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
187 Isoniazid tab tab - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
188 Kalsium glukonas injeksi ampl 7,799.96 3 23,399.88 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
189 Kalsium Laktas 500 mg tab 63.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
191 Kanamicyn inj ampl - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
192 Karmazepin tablet 200mg tab - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
193 Ketekonazole Tab 200 mg tab 275.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
194 Ketekonazole crem 2 % tub 2,545.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
195 Kloramphenicol 250 mg tab 310.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
196 Kloramphenicol SM (slep mata) tub 1,881.00 8 15,048.00 - Rp - - Rp - 8 Rp 15,048.00 - Rp - - Rp - 8 Rp 15,048.00
197 Kloramphenicol TM (Tetes Mata) btl - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
198 Kloramphenicol TT ( tetes telinga) btl 8,250.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
199 Klorfeneramin Maleat (CTM) 4 Mg tab 42.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
200 Klorpromazine 100 mg tab 133.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
RSUD KOTA SERANG
SUMBER DANA DAK
AGUSTUS SEPTEMBER
STOK AWAL
201 Kodein 10 mg tab 550.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -

202 Kotrimoksazole 120 mg Pediatrik tab - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
203 Kotrimakazole 480 mg tab 151.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
204 Kortimokazole susp btl 2,140.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
205 Lansoprazol Kapsul 30 mg kaps 473.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
208 Lidocain Inj /2 % ampl 1,140.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
209 Lidocain inj/2%+Epineprine 1:80000 ampl 1,152.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
210 Lisol btl - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
211 Litacur sirup btl - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
212 Loperamide 2 mg tab tab 85.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
213 Loratadine 10 mg tab 134.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
215 Metformin 500 mg tab 100.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
217 Metilergometrin Maleat 0,125 mg tab 210.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
218 Metilergometrin Maleat inj ampl 2,959.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
219 Methyl Prednisolon 4 mg tab 134.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
220 Metoclorpramid Inj ampl - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
221 Metoclorpramid 5 mg tab 115.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
223 Metoclorpramid syr botol 2,530.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
224 Metronidazol 250 mg tab 94.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
225 Metronidazol 500 mg tab - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
226 Miconazole cream 2% tub 3,250.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
227 N-Acetil Sistein 200 mg tab 382.00 102 38,964.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
228 Microlax enema tub - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
229 Misoprostol tab tab - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
230 N asetil sistein 200mg kaps - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
231 Natrium Bicarbonat 500 mg tab - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
232 Natrium Diklofenak 25 mg tab 145.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
233 Natrium Diklofenak 50mg tab 159.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
234 Natrium Klorida 0,9% btl 6,410.00 - - 40 Rp 256,400.00 40 Rp 256,400.00 - Rp - - Rp - - Rp - - Rp -
235 Neo Kaominal susp btl - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
236 Neurosanbe tab - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
237 Nifedipin tab 10 mg tab 108.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
238 Nistatin Vaginal tab 100.000 IU tab 523.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
RSUD KOTA SERANG
SUMBER DANA DAK
AGUSTUS SEPTEMBER
STOK AWAL

240 O.B.H.Sirup btl - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
241 Ofloxasin tab 200mg tab - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
242 Oksitetrasiklin HCL inj ampl - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
243 Oksitetrasiklin HCL SK 3% tub - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
244 Oksitetrasiklin HCL SM 1% tub 2,500.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
245 Omeprazol Inj ampl - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
246 Omeprazol kap 20mg tab 211.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
247 Omeprazol kap 20 mg tab 160.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
248 Ondencetron inj ampl - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
249 Parasetamol drop btl 6,649.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
250 Parasetamol Sirup btl 1,010.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
251 Parasetamol suppos pcs - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
252 Pirantel Suspensi btl 9,700.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
253 Pirantel Pamoat 125 mg tab 296.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
255 Piridoksin (Vi. B6)HCL 10 mg tab 118.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
256 Piroksikam 20 mg tab - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
257 Povidon Yodida 30 ml btl 2,900.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
258 Povidon Yodida 300 ml btl - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
259 Povidon Yodida 60 ml btl 3,700.00 4 14,800.00 - Rp - 1 Rp 3,700.00 - Rp - - Rp - - Rp - - Rp -
260 Prednison 5 mg tab 68.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
261 Probiokids pcs - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
262 Procurma syr btl - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
263 Propanolol HCL 40 mg tab - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
264 Propanolol HCL 10 mg tab 58.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
265 Quantidek sirup btl - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
266 Quantidek tab tab 550.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
267 Ranitidine inj 25mg/2ml ampl 1,155.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
268 Ranitidine tab 150 mg tab 105.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
269 Resperidone tab 273.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
270 Retinol 100.000 IU ( Vit. A) kaps 284.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
271 Retinol 200.000 iu ( Vit. A) kaps 505.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
272 Ringer Laktat Infus Steril (Btl 500 ml) btl 7,150.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
274 Salbutamol 2 mg tab 66.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
275 Salbutamol sirup 2 mg/5ml btl 4,750.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
277 Salep 2-4 Komb. pot 2,429.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
278 Salisil Bedak 2% - 50 gr dus 1,025.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
279 Sanadril sirrup btl - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
280 Sanbe Tears btl - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
281 Sanvita B Sirup btl - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
282 Scabimite Cream tub 11,825.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
283 Serum ATS 1.500 IU ampl 130,999.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
284 Setrizine sirup 5 mg/5ml btl 2,850.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
285 Sianokobalamin injeksi ampl 1,035.00 10 10,350.00 - Rp - 4 Rp 4,140.00 - Rp - - Rp - - Rp - - Rp -
286 Sianokobalamin tablet ampl - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
287 Skizonoat inj 25 mg/ml tab - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
288 Simvastatin 10mg tab tab 131.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
RSUD KOTA SERANG
SUMBER DANA DAK
AGUSTUS SEPTEMBER
STOK AWAL

290 Simvastatin 20 mg tab 205.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
291 Softanol btl 55,000.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
292 Siprofloxacin 500 mg tab 255.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
294 Stesolid rectal 5mg pcs 12,573.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
295 Stesolid rectal 10mg pcs 18,279.00 - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
296 Sulfasetamida Natrium TM 15% btl - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
297 Tablet tambah darah tab - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
298 Thiamin HCL(Vit.B1) inj ampl - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
299 Thiamin HCL(Vit.B1) tab 50 mg tab 85.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
300 Tramadol 50 mg tab - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
301 Tramal supp pcs - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
302 Triheksifenidil tab 2mg tab 85.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
303 Trombopop gel tub - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
304 Tuzalos tab - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
305 USG Gell 250 ml btl 12,584.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
306 Ventolin Nebules 2,5 mg ampl - - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
307 Vitalex tab 440.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
308 Viorex 500 ml btl 65,340.00 - - 1 Rp 65,340.00 1 Rp 65,340.00 - Rp - - Rp - - Rp - - Rp -
309 Vitamin B.Komplek tab 118.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
310 Zinc Dispersible tab tab 514.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
312 Zinc sirup btl 14,980.00 - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
TOTAL 1,512,503.88 Rp 321,740.00 Rp 369,670.00 Rp 548,652.00 Rp - Rp 44,228.00 Rp 504,424.00
Rp 548,652.00 Rp 504,424.00

NIP : 19920108 201902 2 004 NITPL . 2018301235
62,279,862.92
RSUD KOTA SERANG
SUMBER DANA DAK
OKTOBER NOVEMBER
STOK AWAL

7 Abbocath No. 26 pcs 13,200.00 31 409,200.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
19 Bisturi no.10 pcs 3,150.00 120 378,000.00 - Rp - - Rp - 119 Rp 374,850.00 - Rp - - Rp - 119 Rp 374,850.00
21 Canofix PU pcs 6,850.00 43 294,550.00 - Rp - - Rp - 10 Rp 68,500.00 - Rp - - Rp - 10 Rp 68,500.00
35 Foley Chateter No. 18 pcs 13,090.00 7 91,630.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
36 Fescoplast 1,25x4,5 M pcs 4,335.00 5 21,675.00 - Rp - - Rp - 4 Rp 17,340.00 - Rp - - Rp - 4 Rp 17,340.00
47 Kapas Pembalut Adsorben/250 gr pcs 13,234.00 2 26,468.00 - Rp - - Rp - 1 Rp 13,234.00 - Rp - - Rp - 1 Rp 13,234.00
RSUD KOTA SERANG
SUMBER DANA DAK
OKTOBER NOVEMBER
STOK AWAL

60 Nebulizer Mask Child 7 adult pcs 15,264.00 8 122,112.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
68 Paper tape 1,25 cm x9,14 m pcs 4,900.00 3 14,700.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
69 Paper tape 2,5 cm x9,14 m pcs 15,571.42 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
RSUD KOTA SERANG
SUMBER DANA DAK
OKTOBER NOVEMBER
STOK AWAL

107 Anti Haemaroid Doen Komb supp pcs 135.00 10 1,350.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
111 Asam Askorbat 50 mg tab 105.00 - - - Rp - - Rp - 96 Rp 10,080.00 - Rp - - Rp - 96 Rp 10,080.00
121 Atropin Sulfat Inj 0,25mg/ml ampl 1,265.00 2 2,530.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
129 Captropil 25 mg tab 68.00 79 5,372.00 - Rp - - Rp - 79 Rp 5,372.00 - Rp - - Rp - 79 Rp 5,372.00
148 Depinhidramin inj ampl 1,095.00 2 2,190.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
RSUD KOTA SERANG
SUMBER DANA DAK
OKTOBER NOVEMBER
STOK AWAL

175 Glukosa 10% btl 8,033.00 5 40,165.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
188 Kalsium glukonas injeksi ampl 7,799.96 3 23,399.88 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
196 Kloramphenicol SM (slep mata) tub 1,881.00 8 15,048.00 - Rp - - Rp - 8 Rp 15,048.00 - Rp - - Rp - 8 Rp 15,048.00
RSUD KOTA SERANG
SUMBER DANA DAK
OKTOBER NOVEMBER
STOK AWAL

227 N-Acetil Sistein 200 mg tab 382.00 102 38,964.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
234 Natrium Klorida 0,9% btl 6,410.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
RSUD KOTA SERANG
SUMBER DANA DAK
OKTOBER NOVEMBER
STOK AWAL

259 Povidon Yodida 60 ml btl 3,700.00 4 14,800.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
283 Serum ATS 1.500 IU ampl 130,999.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
285 Sianokobalamin injeksi ampl 1,035.00 10 10,350.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
RSUD KOTA SERANG
SUMBER DANA DAK
OKTOBER NOVEMBER
STOK AWAL

295 Stesolid rectal 10mg pcs 18,279.00 - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
308 Viorex 500 ml btl 65,340.00 - - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
TOTAL 1,512,503.88 Rp - Rp - Rp 504,424.00 Rp - Rp - - Rp 504,424.00
Rp 504,424.00 Rp 504,424.00
Mengetahui

NIP : 19920108 201902 2 004
62,279,862.92
RSUD KOTA SERANG
SUMBER DANA DAK
TOTAL
DESEMBER
STOK AWAL
STOK AWAL + TOTAL PENERIMAAN - STOK
No Nama Obat Satuan HARGA OBAT DAK PENERIMAAN PEMAKAIAN STOK AKHIR TOTAL PENERIMAAN TOTAL PEMAKAIAN PENGELUARAN

7 Abbocath No. 26 pcs 13,200.00 31 409,200.00 - Rp - - Rp - - Rp - 81 Rp 1,069,200.00 81 Rp 1,069,200.00 - Rp -
19 Bisturi no.10 pcs 3,150.00 120 378,000.00 - Rp - - Rp - 119 Rp 374,850.00 120 Rp 378,000.00 1 Rp 3,150.00 119 Rp 374,850.00
21 Canofix PU pcs 6,850.00 43 294,550.00 - Rp - - Rp - 10 Rp 68,500.00 43 Rp 294,550.00 33 Rp 226,050.00 10 Rp 68,500.00
35 Foley Chateter No. 18 pcs 13,090.00 7 91,630.00 - Rp - - Rp - - Rp - 7 Rp 91,630.00 7 Rp 91,630.00 - Rp -
36 Fescoplast 1,25x4,5 M pcs 4,335.00 5 21,675.00 - Rp - - Rp - 4 Rp 17,340.00 5 Rp 21,675.00 1 Rp 4,335.00 4 Rp 17,340.00
47 Kapas Pembalut Adsorben/250 gr pcs 13,234.00 2 26,468.00 - Rp - - Rp - 1 Rp 13,234.00 2 Rp 26,468.00 1 Rp 13,234.00 1 Rp 13,234.00
RSUD KOTA SERANG
SUMBER DANA DAK
TOTAL
DESEMBER
STOK AWAL

60 Nebulizer Mask Child 7 adult pcs 15,264.00 8 122,112.00 - Rp - - Rp - - Rp - 8 Rp 122,112.00 8 Rp 122,112.00 - Rp -
68 Paper tape 1,25 cm x9,14 m pcs 4,900.00 3 14,700.00 - Rp - - Rp - - Rp - 3 Rp 14,700.00 3 Rp 14,700.00 - Rp -
69 Paper tape 2,5 cm x9,14 m pcs 15,571.42 - - - Rp - - Rp - - Rp - 4 Rp 62,285.68 4 Rp 62,285.68 - Rp -
RSUD KOTA SERANG
SUMBER DANA DAK
TOTAL
DESEMBER
STOK AWAL

107 Anti Haemaroid Doen Komb supp pcs 135.00 10 1,350.00 - Rp - - Rp - - Rp - 10 Rp 1,350.00 10 Rp 1,350.00 - Rp -
111 Asam Askorbat 50 mg tab 105.00 - - - Rp - - Rp - 96 Rp 10,080.00 100 Rp 10,500.00 4 Rp 420.00 96 Rp 10,080.00
121 Atropin Sulfat Inj 0,25mg/ml ampl 1,265.00 2 2,530.00 - Rp - - Rp - - Rp - 2 Rp 2,530.00 2 Rp 2,530.00 - Rp -
129 Captropil 25 mg tab 68.00 79 5,372.00 - Rp - - Rp - 79 Rp 5,372.00 79 Rp 5,372.00 - Rp - 79 Rp 5,372.00
148 Depinhidramin inj ampl 1,095.00 2 2,190.00 - Rp - - Rp - - Rp - 2 Rp 2,190.00 2 Rp 2,190.00 - Rp -
RSUD KOTA SERANG
SUMBER DANA DAK
TOTAL
DESEMBER
STOK AWAL

175 Glukosa 10% btl 8,033.00 5 40,165.00 - Rp - - Rp - - Rp - 5 Rp 40,165.00 5 Rp 40,165.00 - Rp -
188 Kalsium glukonas injeksi ampl 7,799.96 3 23,399.88 - Rp - - Rp - - Rp - 3 Rp 23,399.88 3 Rp 23,399.88 - Rp -
196 Kloramphenicol SM (slep mata) tub 1,881.00 8 15,048.00 - Rp - - Rp - 8 Rp 15,048.00 8 Rp 15,048.00 - Rp - 8 Rp 15,048.00
RSUD KOTA SERANG
SUMBER DANA DAK
TOTAL
DESEMBER
STOK AWAL

227 N-Acetil Sistein 200 mg tab 382.00 102 38,964.00 - Rp - - Rp - - Rp - 222 Rp 84,804.00 222 Rp 84,804.00 - Rp -
234 Natrium Klorida 0,9% btl 6,410.00 - - - Rp - - Rp - - Rp - 40 Rp 256,400.00 40 Rp 256,400.00 - Rp -
RSUD KOTA SERANG
SUMBER DANA DAK
TOTAL
DESEMBER
STOK AWAL

259 Povidon Yodida 60 ml btl 3,700.00 4 14,800.00 - Rp - - Rp - - Rp - 4 Rp 14,800.00 4 Rp 14,800.00 - Rp -
283 Serum ATS 1.500 IU ampl 130,999.00 - - - Rp - - Rp - - Rp - 20 Rp 2,619,980.00 20 Rp 2,619,980.00 - Rp -
285 Sianokobalamin injeksi ampl 1,035.00 10 10,350.00 - Rp - - Rp - - Rp - 10 Rp 10,350.00 10 Rp 10,350.00 - Rp -
RSUD KOTA SERANG
SUMBER DANA DAK
TOTAL
DESEMBER
STOK AWAL

295 Stesolid rectal 10mg pcs 18,279.00 - - Rp - - Rp - - Rp - -
308 Viorex 500 ml btl 65,340.00 - - - Rp - - Rp - - Rp - Rp -
TOTAL 1,512,503.88 Rp - Rp - Rp 504,424.00 Rp 5,167,509.56 Rp 4,663,085.56 Rp 504,424.00
Rp 504,424.00
Mengetahui

NIP : 19920108 201902 2 004
62,279,862.92
RSUD KOTA SERANG
SUMBER DANA DAK
STOK AWAL
No Nama Obat Satuan HARGA OBAT DAK KET
OBAT Rp
1 Abbocath No 18 pcs 10,395.00 - -

2 Abbocath No. 20 pcs 10,395.00 - -
3 Abbocath No. 20 pcs 23,100.00 - -
4 Abbocath No. 22 pcs 10,395.00 - -
5 Abbocath No. 24 pcs 10,395.00 - -
6 Abbocath No. 24 pcs 23,100.00
7 Abbocath No. 26 pcs 13,200.00 31 409,200.00
8 Adult ID Patien Blue (OGS) pcs - - -
9 Adult ID Patien Pink (OGS) pcs - - -
10 Alat suntik 1 ml pcs - - -
11 Alat Suntik 2,5 ml pcs 669.80 - -
12 Alat suntik 3 ml pcs 669.80 - -
13 Alat Suntik 5 ml pcs - - -
14 Alat Suntik 10 ml pcs 1,302.00 - -
15 Alat Suntik 20 ml pcs 1,954.00 - -
16 Alkohol Swab swab 160.50 - -
17 Alkacid 1 lt btl 2,702,700.00 - -
18 Aquagel SterilvJelly 82gr btl - - -
19 Bisturi no.10 pcs 3,150.00 120 378,000.00
20 Blood Lancet 28 G bok - - -
21 Canofix PU pcs 6,850.00 43 294,550.00
22 Cat-Gut Chomic no.2/0 pcs - - -
23 Cat-Gut Chomic no.3/0 pcs - - -
24 Cat-Gut Plain 2/0 Pcs - - -
25 Cut-Gut Plain 3/0 pcs - - -
26 Child ID Patien Blue (OGS) Pcs - - -
27 Child ID Patien Pink (OGS) Pcs - - -
28 Cosmomed Underpad Pcs - - -
29 Dermafix S IV 6x7 cm Blisteer - - -
30 Disposible syringe 0,5 cc pcs 1,175.00 - -
31 Foley Chateter No.14 Pcs 11,000.00 - -
32 Foley Chateter No.14 Pcs 12,508.00 - -
33 Foley Chateter No.16 pcs 13,090.00 - -
34 Foley Chateter No.16 pcs 12,508.00 - -
35 Foley Chateter No. 18 pcs 13,090.00 7 91,630.00
36 Fescoplast 1,25x4,5 M pcs 4,335.00 5 21,675.00
37 Fescoplast 2,5x4,5 M pcs 8,259.00 - -
38 Fixomull Stretch pcs 90,000.00 - -
39 Glas Ionomer Semen set - - -
40 GP Care Clilical Termometer pcs 11,500.00 - -
41 Hand Antiseptik (OGS) btl 78,750.00 - -
42 Hand scoon non streil box - - -
43 Infuset anak pcs 5,100.00 - -
44 Infuset anak pcs 4,400.00 - -
45 Infuset Dewasa pcs 6,435.00 - -
46 Infuset Dewasa pcs 5,850.00 - -
47 Kapas Pembalut Adsorben/250 gr pcs 13,234.00 2 26,468.00
48 Kasa pemb Hidropil 4mx15 cm pcs 1,655.50 - -
49 Kasa pembalut hidrofil uk 36mx80cm Gulung - - -
50 Kasa steril 16x16 cm ktk 8,000.00 - -
RSUD KOTA SERANG
SUMBER DANA DAK
STOK AWAL
OBAT Rp
51 Kasa steril 16x16 cm ktk 3,740.00 - -

52 Masker ktk - - -
53 Masker 3 ply ear loop Jilbab box 19,800.00 - -
54 Masker 3 ply ear loop (Bio Axion) box - - -
55 Masker 3 ply ear loop Plus box - - -
56 Monosoft 2-0 pcs 47,542.97 - -
57 Nasal Oxigen Canulla Anak pcs 5,082.00 - -
58 Nasal Oxigen Canulla Dewasa pcs 5,082.00 - -
59 Needle CNV 22 x 1,5 MLTSMP pcs - - -
60 Nebulizer Mask Child 7 adult pcs 15,264.00 8 122,112.00
61 Optime 2/0 pcs 66,553.00 - -
62 Optime 3/0 pcs 68,433.00 - -
63 Optime R 2/0 pcs 76,705.00 - -
64 Optime R 3/0 pcs 84,601.00 - -
65 Peter Slik 2/0 pcs 39,481.00 - -
66 Peter Slik 3/0 pcs 43,993.00 - -
67 Plaster 5 Yeard x 2 inch pcs - - -
68 Paper tape 1,25 cm x9,14 m pcs 4,900.00 3 14,700.00
69 Paper tape 2,5 cm x9,14 m pcs 15,571.42 - -
70 Polifix 10cm x 5 cm pcs 74,741.60 - -
71 Safety box dus 15,715.35 - -
72 Safety box dus 15,708.00 - -
73 Sarung Tangan Steril 6,5 pcs 12,925.00 - -
74 Sarung Tangan Steril 7 pcs 12,925.00 - -
75 Sarung tangan non steril S Box 46,200.00 - -
76 Sarung tangan non steril M Box 46,200.00 - -
77 Sarung tangan non steril L Box 46,200.00 - -
78 Silk Benang Bedah no.2/0 pcs - - -
79 Silk Benang Bedah no.3/0 pcs - - -
80 Softpad Underpad Non steril 60 x 90 cm bag 41,624.00 - -
81 Softpad Underpad Non steril 60 x 90 cm bag 7,900.00 - -
82 Stik Kolesterol box - - -
83 Tube K3 EDTAPLH 13x753,0 BLBLCELAV pcs - - -
84 Tube PLN PLH 13 x 75 4.0 PLBL GN pcs - - -
85 Umbilical Cord Clamp-Blue (OGS) pcs - - -
86 Umbilical Cord Clamp-White (OGS) pcs - - -
87 Umbilical Cord Clamp-White (OGS) pcs 1,300.00 - -
88 Urine Bag pcs - - -
89 Underpad steril 60 x 90 cm blister 7,626.00 - -
90 Urine bag steril with Hanger pcs 6,900.00 - -
91 Albotil conc btl - - -
92 Allopurinol 100 mg tab 91.00 - -
93 Allopurinol 100 mg tab 91.00 - -
94 Ambroxol syrup btl - - -
95 Ambroxol tab 30 mg tab - - -
96 Amlodipn 5 mg tab 70.00 - -
97 Amlodipin 10 mg tab 93.00 - -
98 Amoxicilin syrup 250mg/5ml btl 3,984.00 - -
99 Amoxicilin 125mg Syrup 60 ml btl 2,090.00 - -
100 Amoxicilin 250 mg tab kaps 195.00 - -
RSUD KOTA SERANG
SUMBER DANA DAK
STOK AWAL
OBAT Rp
101 Amoxicilin 500 mg kaps 232.00 - -

102 Antalgin 500 mg tab - - -
103 Antasida doen Kombinasi tab 62.00 - -
104 Antasida doen Syrup btl 2,025.00 - -
105 Anti Fungi Doen Komb pot 4,158.00 - -
106 Anti Bakteri Doen Salep pot 3,035.00 - -
107 Anti Haemaroid Doen Komb supp pcs 135.00 10 1,350.00
108 Anti Migrain Doen Komb/Ergotamin tab - - -
109 Aqua pro injek 20 mg vial 2,750.00 - -
110 Asam Askorbat 50 mg tab 104.00 - -
112 Asam Askorbat 100 mg tab - - -
114 Asam mefenamat 500 mg tab 106.00 - -
115 Asam mefenamat 500 mg tab 103.00 - -
116 Asam Traneksamat inj 50 mg/ml ampl - - -
117 Asetosal 100 mg tab - - -
118 Asiclovyr 200mg tab 249.00 - -
119 Asiclovyr 400mg tab 349.00 - -
120 Asiclovyr krim tub - - -
121 Atropin Sulfat Inj 0,25mg/ml ampl 1,265.00 2 2,530.00
122 Attapulgit 700mg,pectin 50mg (Molagit) tab 140.00 - -
123 Betametason krim tub 1,349.00 - -
124 Betahistin 6 mg tab 110.00 - -
125 Bioplacenton jelly tub - - -
126 Biosanbe kapsul kaps 979.00 - -
127 Bromhexin tab 5 ml tab - - -
128 Captropil 12,5 mg tab 59.00 - -
129 Captropil 25 mg tab 68.00 79 5,372.00 EXPIRED
130 Cefadroxil 250 mg tab - - -
131 Cefadroxil 500 mg kaps 516.00 - -
132 Cefadroxil sirup 125 mg/5ml btl - - -
133 Cefixime 100mg kaps - - -
134 Cefixime 200mg tab 2,370.00 - -
135 Colcitine Kolksin tab 2,299.00 - -
136 Cefotaxime inj vial - - -
137 Cetrizine Tab 10 mg kaps 143.00 - -
138 Cimetidine 200mg tab 176.00 - -
139 Clindamicin 150 mg kaps 715.00 - -
140 Clindamicin 300 mg kaps - - -
141 Clobazam Tab tab 970.00 - -
142 Dexametasone 0,5 mg tab - - -
143 Dexametasone 5 mg ampl - - -
144 Diazepam 2mg tab - - -
145 Diazepam 5mg tab 117.00 - -
146 Diazepam inj ampl - - -
147 Digoxin 0,25 mg tab 104.00 - -
148 Depinhidramin inj ampl 1,095.00 2 2,190.00
149 Domperidone suspensi btl - - -
150 Domperidone tab tab 118.00 - -
RSUD KOTA SERANG
SUMBER DANA DAK
STOK AWAL
OBAT Rp
151 Elkana syr btl - - -

152 Epineprine HCL inj 0,1% ( Adrenalin ) ampl 2,204.00 - - EXPIRED
153 Eritromicyn 250 mg tab - - -
154 Eritromicyn 500 mg tab 730.00 - -
155 Eritromicin sirup 200mg btl 6,700.00 - -
156 Etakardin (Rivanol ) 0.1% btl 3,000.00 - -
157 Etanol /Alkohol 70% 100mg btl - - -
158 Etanol /Alkohol 70% 1000mg btl 24,992.00 - -
159 Etilklorida spray 100ml btl - - -
160 Eugenol cairan 10 ml btl 18,100.00 - -
161 Fenobarbital 30 mg tab 31.00 - -
162 Fenol Gliserol TT 10% btl 2,590.00 - -
163 Fitomenadion (vit K) 10mg tab 695.00 - -
164 Fitomenadion (vit K) 2mg tab - - -
165 Furosemide 40 mg tab 77.00 - -
166 Furosemide injeksi ampl - - -
167 Garam oralit 200 ml pcs - - -
168 Gentamicyn salep kulit tub - - -
169 Gentamicyn salep mata (Genoin) tub 2,830.00 - -
170 Gentamicyn tetes mata 0,3% btl 4,000.00 - -
171 Gentian Violet lar 1%-10ml btl - - -
172 Glas Ionomer Semen set - - -
173 Glibenklamid 5 mg tab 119.00 - -
174 Gliseril Guaiacolat 100mg tab - - -
175 Glukosa 10% btl 8,033.00 5 40,165.00
176 Glukosa 5% btl 7,363.00 - -
177 Griseovulvin 125 mg tab 210.00 - -
178 Haloperidol tablet 5 mg tab 75.00 - -
179 Hidrokortison krim 2,5% tub 2,650.00 - -
180 Hidrogen peroksida (H2O2) btl - - -
181 Ibuprofen 200 mg tab 105.00 - -
182 Ibuprofen 400 mg tab 127.00 - -
183 Ibuprofen suspensi 100 mg btl 2,475.00 - -
184 Iliadin, Oksimetazolin tetes hidung 0,025% btl 32,549.00 - -
185 Iliadin, Oksimetazolin tetes hidung 0,05% btl 34,320.00 - -
186 Iodina Test btl - - -
187 Isoniazid tab tab - - -
188 Kalsium glukonas injeksi ampl 7,799.96 3 23,399.88
189 Kalsium Laktas 500 mg tab 63.00 - -
190 Kalsium Laktas 500 mg tab 59.00 - -
191 Kanamicyn inj ampl - - -
192 Karmazepin tablet 200mg tab - - -
193 Ketekonazole Tab 200 mg tab 275.00 - -
194 Ketekonazole crem 2 % tub 2,545.00 - -
195 Kloramphenicol 250 mg tab 310.00 - -
196 Kloramphenicol SM (slep mata) tub 1,881.00 8 15,048.00 EXPIRED
197 Kloramphenicol TM (Tetes Mata) btl - - -
198 Kloramphenicol TT ( tetes telinga) btl 8,250.00 - -
199 Klorfeneramin Maleat (CTM) 4 Mg tab 42.00 - -
200 Klorpromazine 100 mg tab 133.00 - -
RSUD KOTA SERANG
SUMBER DANA DAK
STOK AWAL
OBAT Rp
201 Kodein 10 mg tab 550.00 - -

202 Kotrimoksazole 120 mg Pediatrik tab - - -
203 Kotrimakazole 480 mg tab 151.00 - -
204 Kortimokazole susp btl 2,140.00 - -
205 Lansoprazol Kapsul 30 mg kaps 473.00 - -
208 Lidocain Inj /2 % ampl 1,140.00 - -
209 Lidocain inj/2%+Epineprine 1:80000 ampl 1,152.00 - -
210 Lisol btl - - -
211 Litacur sirup btl - - -
212 Loperamide 2 mg tab tab 85.00 - -
213 Loratadine 10 mg tab 134.00 - -
214 Loratadine 10 mg tab 123.00 - -
215 Metformin 500 mg tab 100.00 - -
216 Metformin 500 mg tab 96.00 - -
217 Metilergometrin Maleat 0,125 mg tab 210.00 - -
218 Metilergometrin Maleat inj ampl 2,959.00 - -
219 Methyl Prednisolon 4 mg tab 134.00 - -
220 Metoclorpramid Inj ampl - - -
221 Metoclorpramid 5 mg tab 115.00 - -
222 Metoclorpramid 5 mg tab 115.00 - -
223 Metoclorpramid syr botol 2,530.00 - -
224 Metronidazol 250 mg tab 94.00 - -
225 Metronidazol 500 mg tab - - -
226 Miconazole cream 2% tub 3,250.00 - -
227 N-Acetil Sistein 200 mg tab 382.00 102 38,964.00
228 Microlax enema tub - - -
229 Misoprostol tab tab - - -
230 N asetil sistein 200mg kaps - - -
231 Natrium Bicarbonat 500 mg tab - - -
232 Natrium Diklofenak 25 mg tab 145.00 - -
233 Natrium Diklofenak 50mg tab 159.00 - -
234 Natrium Klorida 0,9% btl 6,410.00 - -
235 Neo Kaominal susp btl - - -
236 Neurosanbe tab - - -
237 Nifedipin tab 10 mg tab 108.00 - -
238 Nistatin Vaginal tab 100.000 IU tab 523.00 - -
RSUD KOTA SERANG
SUMBER DANA DAK
STOK AWAL
OBAT Rp
239 Nistatin Vaginal tab 500.000 IU tab 745.00 - -

240 O.B.H.Sirup btl - - -
241 Ofloxasin tab 200mg tab - - -
242 Oksitetrasiklin HCL inj ampl - - -
243 Oksitetrasiklin HCL SK 3% tub - - -
244 Oksitetrasiklin HCL SM 1% tub 2,500.00 - -
245 Omeprazol Inj ampl - - -
246 Omeprazol kap 20mg tab 211.00 - -
247 Omeprazol kap 20 mg tab 160.00 - -
248 Ondencetron inj ampl - - -
249 Parasetamol drop btl 6,649.00 - -
250 Parasetamol Sirup btl 1,010.00 - - EXPIRED
251 Parasetamol suppos pcs - - -
252 Pirantel Suspensi btl 9,700.00 - -
253 Pirantel Pamoat 125 mg tab 296.00 - -
254 Pirantel Pamoat 125 mg tab 287.00 - -
255 Piridoksin (Vi. B6)HCL 10 mg tab 118.00 - - EXPIRED
256 Piroksikam 20 mg tab - - -
257 Povidon Yodida 30 ml btl 2,900.00 - -
258 Povidon Yodida 300 ml btl - - -
259 Povidon Yodida 60 ml btl 3,700.00 4 14,800.00
260 Prednison 5 mg tab 68.00 - -
261 Probiokids pcs - - -
262 Procurma syr btl - - -
263 Propanolol HCL 40 mg tab - - -
264 Propanolol HCL 10 mg tab 58.00 - -
265 Quantidek sirup btl - - -
266 Quantidek tab tab 550.00 - - EXPIRED
267 Ranitidine inj 25mg/2ml ampl 1,155.00 - -
268 Ranitidine tab 150 mg tab 105.00 - -
269 Resperidone tab 273.00 - -
270 Retinol 100.000 IU ( Vit. A) kaps 284.00 - -
271 Retinol 200.000 iu ( Vit. A) kaps 505.00 - -
272 Ringer Laktat Infus Steril (Btl 500 ml) btl 7,150.00 - -
273 Ringer Laktat Infus Steril (Btl 500 ml) btl 7,630.00 - -
274 Salbutamol 2 mg tab 66.00 - -
275 Salbutamol sirup 2 mg/5ml btl 4,750.00 - -
276 Salbutamol sirup 2 mg/5ml btl 4,446.00 - -
277 Salep 2-4 Komb. pot 2,429.00 - -
278 Salisil Bedak 2% - 50 gr dus 1,025.00 - -
279 Sanadril sirrup btl - - -
280 Sanbe Tears btl - - -
281 Sanvita B Sirup btl - - -
282 Scabimite Cream tub 11,825.00 - -
283 Serum ATS 1.500 IU ampl 130,999.00 - -
284 Setrizine sirup 5 mg/5ml btl 2,850.00 - -
285 Sianokobalamin injeksi ampl 1,035.00 10 10,350.00
286 Sianokobalamin tablet ampl - - -
287 Skizonoat inj 25 mg/ml tab - - -
288 Simvastatin 10mg tab tab 131.00 - -
RSUD KOTA SERANG
SUMBER DANA DAK
STOK AWAL
OBAT Rp
289 Simvastatin 10mg tab tab 110.00 - -

290 Simvastatin 20 mg tab 205.00 - -
291 Softanol btl 55,000.00 - -
292 Siprofloxacin 500 mg tab 255.00 - -
293 Siprofloxacin 500 mg tab 281.00 - -
294 Stesolid rectal 5mg pcs 12,573.00 - -
295 Stesolid rectal 10mg pcs 18,279.00 -
296 Sulfasetamida Natrium TM 15% btl - - -
297 Tablet tambah darah tab - - -
298 Thiamin HCL(Vit.B1) inj ampl - - -
299 Thiamin HCL(Vit.B1) tab 50 mg tab 85.00 - -
300 Tramadol 50 mg tab - - -
301 Tramal supp pcs - - -
302 Triheksifenidil tab 2mg tab 85.00 - -
303 Trombopop gel tub - - -
304 Tuzalos tab - - -
305 USG Gell 250 ml btl 12,584.00 - -
306 Ventolin Nebules 2,5 mg ampl - - -
307 Vitalex tab 440.00 - -
308 Viorex 500 ml btl 65,340.00 - -
309 Vitamin B.Komplek tab 118.00 - -
310 Zinc Dispersible tab tab 514.00 - -
311 Zinc Dispersible tab tab 524.00 - -
312 Zinc sirup btl 14,980.00 -
TOTAL 1,512,503.88
Mengetahui

NIP : 19920108 201902 2 004
62,279,862.92
LAPORAN PENERIMAAN DAN PEMAKAIAN OBAT DAN BMHP IGD PENGADAAN DINKES (BTT)
RSUD KOTA SERANG
PER DESEMBER TAHUN 2021
JANUARI FEBRUARI
STOK AWAL
No Nama Obat Satuan HARGA OBAT PENERIMAAN PEMAKAIAN STOK AKHIR PENERIMAAN PEMAKAIAN STOK AKHIR
BMHP
1 Dexametasone Injeksi Amp
1,996.82 - Rp - - Rp - - Rp - - Rp - 100.00 Rp 199,682.00 - Rp - 100.00 Rp 199,682.00
2 IV Cannul no.20 Pcs 4,576.00 - Rp - - Rp - - Rp - - Rp - 100.00 Rp 457,600.00 - Rp - 100.00 Rp 457,600.00
3 IV Cannul no.26 Pcs 10,000.00 - Rp - - Rp - - Rp - - Rp - 50.00 Rp 500,000.00 - Rp - 50.00 Rp 500,000.00
4 Levofloxacin 500 mg/ml infus Botol 28,000.00 - Rp - 20.00 Rp 560,000.00 - Rp - 20.00 Rp 560,000.00 - Rp - - Rp - 20.00 Rp 560,000.00
5 Nacl 0,9% 100 ml Botol 6,500.00 - Rp - 100.00 Rp 650,000.00 - Rp - 100.00 Rp 650,000.00 - Rp - 15.00 Rp 97,500.00 85.00 Rp 552,500.00
6 Nacl 0,9% 500 ml Botol 6,218.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
7 Ondansetron hcl 4 mg/2 ml injeksi Amp 1,021.82 100.00 Rp 102,182.00 - Rp - 42.00 Rp 42,916.44 58.00 Rp 59,265.56 - Rp - 12.00 Rp 12,261.84 46.00 Rp 47,003.72
8 Omeprazole inj 40 mg vial 9,448.18 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
9 Polyflex iv cannula with for injection port 24G PCS 12,100.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
10 Ringer Laktat Infus 500 ML Amp 6,936.00 100.00 Rp 693,600.00 - Rp - - Rp - 100.00 Rp 693,600.00 - Rp - - Rp - 100.00 Rp 693,600.00
11 Salbutamol 2 mg tablet 97.83 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
12 Syringe 1 cc Pcs 800.33 - Rp - 200.00 Rp 160,066.00 - Rp - 200.00 Rp 160,066.00 200.00 Rp 160,066.00 - Rp - 400.00 Rp 320,132.00
13 Syringe 3 cc Pcs 807.07 - Rp - Rp - Rp - - Rp - 200.00 Rp 161,414.00 - Rp - 200.00 Rp 161,414.00
14 Syringe 5 cc Pcs 894.75 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
15 Syringe 10 cc Pcs 1,256.70 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
16 Simvastatin 20 mg tablet 1,007.35 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
17 Ventolin inhaler Pcs 54,545.00 - Rp - 5.00 Rp 272,725.00 - Rp - 5.00 Rp 272,725.00 - Rp - - Rp - 5.00 Rp 272,725.00
18 Vitamin C 1000 Mg Injeksi (Ascorin) Ampl 19,950.00 - Rp - 50.00 Rp 997,500.00 9.00 Rp 179,550.00 41.00 Rp 817,950.00 - Rp - 8.00 Rp 159,600.00 33.00 Rp 658,350.00
19 Nasal Cannul dewasa (m) child Ampl 19,950.00 - Rp - 50.00 Rp 997,500.00 9.00 Rp 179,550.00 41.00 Rp 817,950.00 - Rp - 8.00 Rp 159,600.00 33.00 Rp 658,350.00
TOTAL Rp 795,782.00 Rp 3,637,791.00 Rp 402,016.44 Rp 4,031,556.56 Rp 1,478,762.00 Rp 428,961.84 Rp 5,081,356.72
Rp 4,031,556.56 Rp 5,081,356.72
Mengetahui

NIP : 19920108 201902 2 004
RSUD KOTA SERANG
MARET APRIL
STOK AWAL
No Nama Obat Satuan HARGA OBAT PENERIMAAN PEMAKAIAN STOK AKHIR PENERIMAAN PEMAKAIAN STOK AKHIR
BMHP
1,996.82 - Rp - - Rp - - Rp - 100.00 Rp 199,682.00 - Rp - 2.00 Rp 3,993.64 98.00 Rp 195,688.36
2 IV Cannul no.20 Pcs 4,576.00 - Rp - - Rp - 35.00 Rp 160,160.00 65.00 Rp 297,440.00 93.00 Rp 425,568.00 65.00 Rp 297,440.00 93.00 Rp 425,568.00
3 IV Cannul no.26 Pcs 10,000.00 - Rp - - Rp - - Rp - 50.00 Rp 500,000.00 50.00 Rp 500,000.00 19.00 Rp 190,000.00 81.00 Rp 810,000.00
4 Levofloxacin 500 mg/ml infus Botol 28,000.00 - Rp - - Rp - - Rp - 20.00 Rp 560,000.00 - Rp - 16.00 Rp 448,000.00 4.00 Rp 112,000.00
5 Nacl 0,9% 100 ml Botol 6,500.00 - Rp - - Rp - 55.00 Rp 357,500.00 30.00 Rp 195,000.00 50.00 Rp 325,000.00 30.00 Rp 195,000.00 50.00 Rp 325,000.00
6 Nacl 0,9% 500 ml Botol 6,218.00 - Rp - - Rp - - Rp - - Rp - 120.00 Rp 746,160.00 17.00 Rp 105,706.00 103.00 Rp 640,454.00
7 Ondansetron hcl 4 mg/2 ml injeksi Amp 1,021.82 100.00 Rp 102,182.00 - Rp - 2.00 Rp 2,043.64 44.00 Rp 44,960.08 - Rp - 29.00 Rp 29,632.78 15.00 Rp 15,327.30
8 Omeprazole inj 40 mg vial 9,448.18 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
9 Polyflex iv cannula with for injection port 24G PCS 12,100.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
10 Ringer Laktat Infus 500 ML Amp 6,936.00 100.00 Rp 693,600.00 - Rp - 100.00 Rp 693,600.00 - Rp - 60.00 Rp 416,160.00 7.00 Rp 48,552.00 53.00 Rp 367,608.00
11 Salbutamol 2 mg tablet 97.83 - Rp - 100.00 Rp 9,783.00 - Rp - 100.00 Rp 9,783.00 - Rp - - Rp - 100.00 Rp 9,783.00
12 Syringe 1 cc Pcs 800.33 - Rp - - Rp - - Rp - 400.00 Rp 320,132.00 - Rp - 50.00 Rp 40,016.50 350.00 Rp 280,115.50
13 Syringe 3 cc Pcs 807.07 - Rp - - Rp - - Rp - 200.00 Rp 161,414.00 - Rp - 125.00 Rp 100,883.75 75.00 Rp 60,530.25
14 Syringe 5 cc Pcs 894.75 - Rp - 195.00 Rp 174,476.25 - Rp - 195.00 Rp 174,476.25 - Rp - 48.00 Rp 42,948.00 147.00 Rp 131,528.25
15 Syringe 10 cc Pcs 1,256.70 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
16 Simvastatin 20 mg tablet 1,007.35 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
17 Ventolin inhaler Pcs 54,545.00 - Rp - - Rp - 1.00 Rp 54,545.00 4.00 Rp 218,180.00 - Rp - - Rp - 4.00 Rp 218,180.00
18 Vitamin C 1000 Mg Injeksi (Ascorin) Ampl 19,950.00 - Rp - - Rp - 3.00 Rp 59,850.00 30.00 Rp 598,500.00 - Rp - 1.00 Rp 19,950.00 29.00 Rp 578,550.00
19 Nasal Cannul dewasa (m) child Ampl 19,950.00 - Rp - - Rp - 3.00 Rp 59,850.00 30.00 Rp 598,500.00 - Rp - 1.00 Rp 19,950.00 29.00 Rp 578,550.00
TOTAL Rp 795,782.00 Rp 184,259.25 Rp 1,387,548.64 Rp 3,878,067.33 Rp 2,412,888.00 Rp 1,542,072.67 Rp 4,748,882.66
Rp 3,878,067.33 Rp 4,748,882.66
Mengetahui

NIP : 19920108 201902 2 004
RSUD KOTA SERANG
MEI JUNI JULI

STOK AWAL
No Nama Obat Satuan HARGA OBAT PENERIMAAN PEMAKAIAN STOK AKHIR PENERIMAAN PEMAKAIAN STOK AKHIR PENERIMAAN PEMAKAIAN STOK AKHIR
OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp
BMHP
1,996.82 - Rp - - Rp - 9.00 Rp 17,971.38 89.00 Rp 177,716.98 - Rp - 25.00 Rp 49,920.50 64.00 Rp 127,796.48 - Rp - 64.00 Rp 127,796.48 - Rp -
2 IV Cannul no.20 Pcs 4,576.00 - Rp - - Rp - 12.00 Rp 54,912.00 81.00 Rp 370,656.00 - Rp - 31.00 Rp 141,856.00 50.00 Rp 228,800.00 - Rp - 50.00 Rp 228,800.00 - Rp -
3 IV Cannul no.26 Pcs 10,000.00 - Rp - - Rp - 20.00 Rp 200,000.00 61.00 Rp 610,000.00 - Rp - 21.00 Rp 210,000.00 40.00 Rp 400,000.00 - Rp - 40.00 Rp 400,000.00 - Rp -
4 Levofloxacin 500 mg/ml infus Botol 28,000.00 - Rp - - Rp - 4.00 Rp 112,000.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
5 Nacl 0,9% 100 ml Botol 6,500.00 - Rp - - Rp - 31.00 Rp 201,500.00 19.00 Rp 123,500.00 - Rp - 19.00 Rp 123,500.00 - Rp - 50.00 Rp 325,000.00 50.00 Rp 325,000.00 - Rp -
6 Nacl 0,9% 500 ml Botol 6,218.00 - Rp - 40.00 Rp 248,720.00 31.00 Rp 192,758.00 112.00 Rp 696,416.00 - Rp - 40.00 Rp 248,720.00 72.00 Rp 447,696.00 - Rp - 52.00 Rp 323,336.00 20.00 Rp 124,360.00
7 Ondansetron hcl 4 mg/2 ml injeksi Amp 1,021.82 100.00 Rp 102,182.00 - Rp - - Rp - 15.00 Rp 15,327.30 - Rp - 3.00 Rp 3,065.46 12.00 Rp 12,261.84 - Rp - 12.00 Rp 12,261.84 - Rp -
8 Omeprazole inj 40 mg vial 9,448.18 - Rp - 60.00 Rp 566,890.80 30.00 Rp 283,445.40 30.00 Rp 283,445.40 - Rp - 30.00 Rp 283,445.40 - Rp - - Rp - - Rp - - Rp -
9 Polyflex iv cannula with for injection port 24G PCS 12,100.00 - Rp - 40.00 Rp 484,000.00 20.00 Rp 242,000.00 20.00 Rp 242,000.00 - Rp - 20.00 Rp 242,000.00 - Rp - - Rp - - Rp - - Rp -
10 Ringer Laktat Infus 500 ML Amp 6,936.00 100.00 Rp 693,600.00 60.00 Rp 416,160.00 21.00 Rp 145,656.00 92.00 Rp 638,112.00 - Rp - 36.00 Rp 249,696.00 56.00 Rp 388,416.00 - Rp - 56.00 Rp 388,416.00 - Rp -
11 Salbutamol 2 mg tablet 97.83 - Rp - - Rp - - Rp - 100.00 Rp 9,783.00 - Rp - 15.00 Rp 1,467.45 85.00 Rp 8,315.55 - Rp - 15.00 Rp 1,467.45 70.00 Rp 6,848.10
12 Syringe 1 cc Pcs 800.33 - Rp - - Rp - 43.00 Rp 34,414.19 307.00 Rp 245,701.31 - Rp - 56.00 Rp 44,818.48 251.00 Rp 200,882.83 - Rp - 251.00 Rp 200,882.83 - Rp -
13 Syringe 3 cc Pcs 807.07 - Rp - 500.00 Rp 403,535.00 19.00 Rp 15,334.33 556.00 Rp 448,730.92 - Rp - 256.00 Rp 206,609.92 300.00 Rp 242,121.00 - Rp - 215.00 Rp 173,520.05 85.00 Rp 68,600.95
14 Syringe 5 cc Pcs 894.75 - Rp - - Rp - 46.00 Rp 41,158.50 101.00 Rp 90,369.75 - Rp - 18.00 Rp 16,105.50 83.00 Rp 74,264.25 - Rp - 50.00 Rp 44,737.50 33.00 Rp 29,526.75
15 Syringe 10 cc Pcs 1,256.70 - Rp - 500.00 Rp 628,350.00 - Rp - 500.00 Rp 628,350.00 - Rp - 96.00 Rp 120,643.20 404.00 Rp 507,706.80 - Rp - 270.00 Rp 339,309.00 134.00 Rp 168,397.80
16 Simvastatin 20 mg tablet 1,007.35 - Rp - - Rp - - Rp - - Rp - 100.00 Rp 100,735.00 - Rp - 100.00 Rp 100,735.00 - Rp - - Rp - 100.00 Rp 100,735.00
17 Ventolin inhaler Pcs 54,545.00 - Rp - - Rp - 3.00 Rp 163,635.00 1.00 Rp 54,545.00 - Rp - - Rp - 1.00 Rp 54,545.00 - Rp - 1.00 Rp 54,545.00 - Rp -
18 Vitamin C 1000 Mg Injeksi (Ascorin) Ampl 19,950.00 - Rp - - Rp - - Rp - 29.00 Rp 578,550.00 100.00 Rp 1,995,000.00 29.00 Rp 578,550.00 100.00 Rp 1,995,000.00 - Rp - 100.00 Rp 1,995,000.00 - Rp -
19 Nasal Cannul dewasa (m) child Ampl 19,950.00 - Rp - - Rp - - Rp - 29.00 Rp 578,550.00 - Rp - 9.00 Rp 179,550.00 20.00 Rp 399,000.00 - Rp - 20.00 Rp 399,000.00 - Rp -
TOTAL Rp 795,782.00 Rp 2,747,655.80 Rp 1,704,784.80 Rp 5,791,753.66 Rp 2,095,735.00 Rp 2,699,947.91 Rp 5,187,540.75 Rp 325,000.00 Rp 5,014,072.15 Rp 498,468.60
Rp 5,791,753.66 5,187,540.75 498,468.60
Mengetahui

NIP : 19920108 201902 2 004
RSUD KOTA SERANG
AGUSTUS SEPTEMBER OKTOBER

STOK AWAL
No Nama Obat Satuan HARGA OBAT PENERIMAAN PEMAKAIAN STOK AKHIR PENERIMAAN PEMAKAIAN STOK AKHIR PENERIMAAN PEMAKAIAN STOK AKHIR
BMHP
1,996.82 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
2 IV Cannul no.20 Pcs 4,576.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
3 IV Cannul no.26 Pcs 10,000.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
4 Levofloxacin 500 mg/ml infus Botol 28,000.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
5 Nacl 0,9% 100 ml Botol 6,500.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
6 Nacl 0,9% 500 ml Botol 6,218.00 - Rp - - Rp - 20.00 Rp 124,360.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
7 Ondansetron hcl 4 mg/2 ml injeksi Amp 1,021.82 100.00 Rp 102,182.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
8 Omeprazole inj 40 mg vial 9,448.18 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
9 Polyflex iv cannula with for injection port 24G PCS 12,100.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
10 Ringer Laktat Infus 500 ML Amp 6,936.00 100.00 Rp 693,600.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
11 Salbutamol 2 mg tablet 97.83 - Rp - - Rp - - Rp - 70.00 Rp 6,848.10 - Rp - - Rp - 70.00 Rp 6,848.10 - Rp - - Rp - 70.00 Rp 6,848.10
12 Syringe 1 cc Pcs 800.33 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
13 Syringe 3 cc Pcs 807.07 - Rp - - Rp - - Rp - 85.00 Rp 68,600.95 - Rp - 85.00 Rp 68,600.95 - Rp - - Rp - - Rp - - Rp -
14 Syringe 5 cc Pcs 894.75 - Rp - - Rp - 33.00 Rp 29,526.75 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
15 Syringe 10 cc Pcs 1,256.70 - Rp - - Rp - 79.00 Rp 99,279.30 55.00 Rp 69,118.50 - Rp - 55.00 Rp 69,118.50 - Rp - - Rp - - Rp - - Rp -
16 Simvastatin 20 mg tablet 1,007.35 - Rp - - Rp - 11.00 Rp 11,080.85 89.00 Rp 89,654.15 - Rp - - Rp - 89.00 Rp 89,654.15 - Rp - - Rp - 89.00 Rp 89,654.15
17 Ventolin inhaler Pcs 54,545.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp -
18 Vitamin C 1000 Mg Injeksi (Ascorin) Ampl 19,950.00 - Rp - 240.00 Rp 4,788,000.00 - Rp - 240.00 Rp 4,788,000.00 - Rp - - Rp - 240.00 Rp 4,788,000.00 - Rp - - Rp - 240.00 Rp 4,788,000.00
19 Nasal Cannul dewasa (m) child Ampl 19,950.00 - Rp - 100.00 Rp 1,995,000.00 - Rp - 100.00 Rp 1,995,000.00 - Rp - - Rp - 100.00 Rp 1,995,000.00 - Rp - - Rp - 100.00 Rp 1,995,000.00
TOTAL Rp 795,782.00 Rp 6,783,000.00 Rp 264,246.90 Rp 7,017,221.70 Rp - Rp 137,719.45 Rp 6,879,502.25 Rp - Rp - Rp 6,879,502.25
7,017,221.70 6,879,502.25 6,879,502.25
Mengetahui

NIP : 19920108 201902 2 004
RSUD KOTA SERANG
NOVEMBER DESEMBER TOTAL

STOK AWAL
No Nama Obat Satuan HARGA OBAT PENERIMAAN PEMAKAIAN STOK AKHIR PENERIMAAN PEMAKAIAN STOK AKHIR TOTAL PENERIMAAN TOTAL PEMAKAIAN
PENGELUARAN
BMHP
1,996.82 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - 100.00 Rp 199,682.00 100.00 Rp 199,682.00 - Rp -
2 IV Cannul no.20 Pcs 4,576.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - 193.00 Rp 883,168.00 193.00 Rp 883,168.00 - Rp -
3 IV Cannul no.26 Pcs 10,000.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - 100.00 Rp 1,000,000.00 100.00 Rp 1,000,000.00 - Rp -
4 Levofloxacin 500 mg/ml infus Botol 28,000.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - 20.00 Rp 560,000.00 20.00 Rp 560,000.00 - Rp -
5 Nacl 0,9% 100 ml Botol 6,500.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - 200.00 Rp 1,300,000.00 200.00 Rp 1,300,000.00 - Rp -
6 Nacl 0,9% 500 ml Botol 6,218.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - 160.00 Rp 994,880.00 160.00 Rp 994,880.00 - Rp -
7 Ondansetron hcl 4 mg/2 ml injeksi Amp 1,021.82 100.00 Rp 102,182.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - 100.00 Rp 102,182.00 100.00 Rp 102,182.00 - Rp -
8 Omeprazole inj 40 mg vial 9,448.18 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - 60.00 Rp 566,890.80 60.00 Rp 566,890.80 - Rp -
9 Polyflex iv cannula with for injection port 24G PCS 12,100.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - 40.00 Rp 484,000.00 40.00 Rp 484,000.00 - Rp -
10 Ringer Laktat Infus 500 ML Amp 6,936.00 100.00 Rp 693,600.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - 220.00 Rp 1,525,920.00 220.00 Rp 1,525,920.00 - Rp -
11 Salbutamol 2 mg tablet 97.83 - Rp - - Rp - - Rp - 70.00 Rp 6,848.10 - Rp - - Rp - 70.00 Rp 6,848.10 100.00 Rp 9,783.00 30.00 Rp 2,934.90 70.00 Rp 6,848.10
12 Syringe 1 cc Pcs 800.33 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - 400.00 Rp 320,132.00 400.00 Rp 320,132.00 - Rp -
15 Syringe 10 cc Pcs 1,256.70 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - 500.00 Rp 628,350.00 500.00 Rp 628,350.00 - Rp -
16 Simvastatin 20 mg tablet 1,007.35 - Rp - - Rp - - Rp - 89.00 Rp 89,654.15 - Rp - - Rp - 89.00 Rp 89,654.15 100.00 Rp 100,735.00 11.00 Rp 11,080.85 89.00 Rp 89,654.15
17 Ventolin inhaler Pcs 54,545.00 - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - - Rp - 5.00 Rp 272,725.00 5.00 Rp 272,725.00 - Rp -
18 Vitamin C 1000 Mg Injeksi (Ascorin) Ampl 19,950.00 - Rp - - Rp - - Rp - 240.00 Rp 4,788,000.00 - Rp - - Rp - 240.00 Rp 4,788,000.00 390.00 Rp 7,780,500.00 150.00 Rp 2,992,500.00 240.00 Rp 4,788,000.00
19 Nasal Cannul dewasa (m) child Ampl 19,950.00 - Rp - - Rp - - Rp - 100.00 Rp 1,995,000.00 - Rp - - Rp - 100.00 Rp 1,995,000.00 150.00 Rp 2,992,500.00 50.00 Rp 997,500.00 100.00 Rp 1,995,000.00
TOTAL Rp 795,782.00 Rp - Rp - Rp 6,879,502.25 Rp - Rp - Rp 6,879,502.25 Rp 20,460,873.05 Rp 13,581,370.80 Rp 6,879,502.25
6,879,502.25 6,879,502.25

NIP : 19920108 201902 2 004 NITPL . 2018301235
LAPORAN PENERIMAAN DAN PEMAKAIAN OBAT DAN BMHP IGD PENGADAAN MANDIRI (BTT)
RSUD KOTA SERANG
JANUARI
STOK AWAL
No Nama Obat Satuan HARGA OBAT PENERIMAAN PEMAKAIAN STOK AKHIR
BMHP
1 Alkohol 70% 1 Liter btl
31,200.00 2.00 Rp 62,400.00 1.00 Rp 31,200.00 - Rp - 3 Rp 93,600.00
2 Asam tranexamat injeksi 500mg/5 ml vial 1,887.27 - Rp - - Rp - - Rp - - Rp -
3 Cefotaxime Sodium serbuk inj 1 g vial 4,034.52 - Rp - - Rp - - Rp - - Rp -
4 Ceftriaxone injeksi 1 gram vial 4,280.00 - Rp - 100.00 Rp 428,000.00 19.00 Rp 81,320.00 81 Rp 346,680.00
3,032.00 22.00 Rp 66,704.00 - Rp - 6.00 Rp 18,192.00 16 Rp 48,512.00
6 Fluvir 75 mg (Oseltamivir) tab
19,800.00 - Rp - - Rp - - Rp - - Rp -
7 Inviclot (Heparin Sodium) Inj Amp 39,996.00 58.00 Rp 2,319,768.00 - Rp - 1.00 Rp 39,996.00 57 Rp 2,279,772.00
8 Ketorolac Injeksi Amp 2,970.00 - Rp - 100.00 Rp 297,000.00 5.00 Rp 14,850.00 95 Rp 282,150.00
9 Lasal Nebu Amp 8,000.00 59.00 Rp 472,000.00 - Rp - 3.00 Rp 24,000.00 56 Rp 448,000.00
10 Levofloxacin Infus Botol 65,340.00 - Rp - - Rp - - Rp - - Rp -
11 Natrium Chlorida 0,9% 500 ml btl 6,218.00 44.00 Rp 273,592.00 140.00 Rp 870,520.00 125.00 Rp 777,250.00 59 Rp 366,862.00
12 Otsu - NaCl 3 % btl 30,334.70 - Rp - - Rp - - Rp - - Rp -
13 Parasetamol infus 10 mg/ml btl 12,389.00 14.00 Rp 173,446.00 - Rp - 1.00 Rp 12,389.00 13 Rp 161,057.00
14 PYREXIN 80 Suup 8,000.00 38.00 Rp 304,000.00 - Rp - 10.00 Rp 80,000.00 28 Rp 224,000.00
15 Sukralfat Sus 500 mg/ 5 ml btl 6,789.00 - Rp - - Rp - - Rp - - Rp -
16 Stardect Nitrile Examination Glove S Box 91,390.00 - Rp - - Rp - - Rp - - Rp -
TOTAL Rp 3,671,910.00 Rp 1,626,720.00 Rp 1,047,997.00 Rp 4,250,633.00
Rp 4,250,633.00
RSUD KOTA SERANG
JANUARI
STOK AWAL
NIP : 19920108 201902 2 004 NITPL . 2018301235

RSUD KOTA SERANG
FEBRUARI
STOK AWAL
BMHP
31,200.00 2.00 Rp 62,400.00 - Rp - - Rp - 3.00 Rp 93,600.00
3 Cefotaxime Sodium serbuk inj 1 g vial 4,034.52 - Rp - - Rp - - Rp - - Rp -
4 Ceftriaxone injeksi 1 gram vial 4,280.00 - Rp - - Rp - - Rp - 81.00 Rp 346,680.00
3,032.00 22.00 Rp 66,704.00 - Rp - 1.00 Rp 3,032.00 15.00 Rp 45,480.00
19,800.00 - Rp - - Rp - - Rp - - Rp -
7 Inviclot (Heparin Sodium) Inj Amp 39,996.00 58.00 Rp 2,319,768.00 - Rp - - Rp - 57.00 Rp 2,279,772.00
8 Ketorolac Injeksi Amp 2,970.00 - Rp - - Rp - 1.00 Rp 2,970.00 94.00 Rp 279,180.00
9 Lasal Nebu Amp 8,000.00 59.00 Rp 472,000.00 - Rp - 2.00 Rp 16,000.00 54.00 Rp 432,000.00
10 Levofloxacin Infus Botol 65,340.00 - Rp - 32.00 Rp 2,090,880.00 - Rp - 32.00 Rp 2,090,880.00
11 Natrium Chlorida 0,9% 500 ml btl 6,218.00 44.00 Rp 273,592.00 - Rp - 15.00 Rp 93,270.00 44.00 Rp 273,592.00
12 Otsu - NaCl 3 % btl 30,334.70 - Rp - 10.00 Rp 303,347.00 - Rp - 10.00 Rp 303,347.00
13 Parasetamol infus 10 mg/ml btl 12,389.00 14.00 Rp 173,446.00 - Rp - 4.00 Rp 49,556.00 9.00 Rp 111,501.00
14 PYREXIN 80 Suup 8,000.00 38.00 Rp 304,000.00 - Rp - 10.00 Rp 80,000.00 18.00 Rp 144,000.00
15 Sukralfat Sus 500 mg/ 5 ml btl 6,789.00 - Rp - 25.00 Rp 169,725.00 2.00 Rp 13,578.00 23.00 Rp 156,147.00
16 Stardect Nitrile Examination Glove S Box 91,390.00 - Rp - 1.00 Rp 91,390.00 1.00 Rp 91,390.00 - Rp -
TOTAL Rp 3,671,910.00 Rp 2,655,342.00 Rp 349,796.00 Rp 6,556,179.00
Rp 6,556,179.00
Mengetahui

RSUD KOTA SERANG
MARET
STOK AWAL
BMHP
31,200.00 2.00 Rp 62,400.00 - Rp - - Rp - 3.00 Rp 93,600.00
2 Asam tranexamat injeksi 500mg/5 ml vial 1,887.27 - Rp - 20.00 Rp 37,745.40 - Rp - 20.00 Rp 37,745.40
3 Cefotaxime Sodium serbuk inj 1 g vial 4,034.52 - Rp - 50.00 Rp 201,726.00 - Rp - 50.00 Rp 201,726.00
4 Ceftriaxone injeksi 1 gram vial 4,280.00 - Rp - - Rp - 39.00 Rp 166,920.00 42.00 Rp 179,760.00
3,032.00 22.00 Rp 66,704.00 100.00 Rp 303,200.00 5.00 Rp 15,160.00 110.00 Rp 333,520.00
19,800.00 - Rp - - Rp - - Rp - - Rp -
10 Levofloxacin Infus Botol 65,340.00 - Rp - - Rp - - Rp - 32.00 Rp 2,090,880.00
11 Natrium Chlorida 0,9% 500 ml btl 6,218.00 44.00 Rp 273,592.00 - Rp - 44.00 Rp 273,592.00 - Rp -
12 Otsu - NaCl 3 % btl 30,334.70 - Rp - - Rp - - Rp - 10.00 Rp 303,347.00
13 Parasetamol infus 10 mg/ml btl 12,389.00 14.00 Rp 173,446.00 24.00 Rp 297,336.00 9.00 Rp 111,501.00 24.00 Rp 297,336.00
15 Sukralfat Sus 500 mg/ 5 ml btl 6,789.00 - Rp - - Rp - 7.00 Rp 47,523.00 16.00 Rp 108,624.00
TOTAL Rp 3,671,910.00 Rp 840,007.40 Rp 715,246.00 Rp 6,680,940.40
6,680,940.40
Mengetahui

RSUD KOTA SERANG
APRIL
STOK AWAL
BMHP
31,200.00 2.00 Rp 62,400.00 - Rp - - Rp - 3.00 Rp 93,600.00
2 Asam tranexamat injeksi 500mg/5 ml vial 1,887.27 - Rp - - Rp - 3.00 Rp 5,661.81 17.00 Rp 32,083.59
3 Cefotaxime Sodium serbuk inj 1 g vial 4,034.52 - Rp - - Rp - - Rp - 50.00 Rp 201,726.00
3,032.00 22.00 Rp 66,704.00 - Rp - 9.00 Rp 27,288.00 101.00 Rp 306,232.00
19,800.00 - Rp - - Rp - - Rp - - Rp -
8 Ketorolac Injeksi Amp 2,970.00 - Rp - Rp - 12.00 Rp 35,640.00 67.00 Rp 198,990.00
11 Natrium Chlorida 0,9% 500 ml btl 6,218.00 44.00 Rp 273,592.00 - Rp - - Rp - - Rp -
TOTAL Rp 3,671,910.00 Rp - Rp 479,798.81 Rp 6,201,141.59
6,201,141.59
Mengetahui

RSUD KOTA SERANG
MEI
STOK AWAL
BMHP
31,200.00 2.00 Rp 62,400.00 - Rp - - Rp - 3.00 Rp 93,600.00
4 Ceftriaxone injeksi 1 gram vial 4,280.00 - Rp - 100.00 Rp 428,000.00 - Rp - 114.00 Rp 487,920.00
3,032.00 22.00 Rp 66,704.00 - Rp - 101.00 Rp 306,232.00 - Rp -
19,800.00 - Rp - - Rp - - Rp - - Rp -
8 Ketorolac Injeksi Amp 2,970.00 - Rp - 100.00 Rp 297,000.00 40.00 Rp 118,800.00 127.00 Rp 377,190.00
TOTAL Rp 3,671,910.00 Rp 1,319,672.00 Rp 589,761.81 Rp 6,931,051.78
6,931,051.78
Mengetahui

RSUD KOTA SERANG
JUNI
STOK AWAL
BMHP
31,200.00 2.00 Rp 62,400.00 - Rp - 1.00 Rp 31,200.00 2.00 Rp 62,400.00
3 Cefotaxime Sodium serbuk inj 1 g vial 4,034.52 - Rp - - Rp - 4.00 Rp 16,138.08 46.00 Rp 185,587.92
3,032.00 22.00 Rp 66,704.00 - Rp - - Rp - - Rp -
19,800.00 - Rp - - Rp - - Rp - - Rp -
7 Inviclot (Heparin Sodium) Inj Amp 39,996.00 58.00 Rp 2,319,768.00 - Rp - 17.00 Rp 679,932.00 40.00 Rp 1,599,840.00
10 Levofloxacin Infus Botol 65,340.00 - Rp - - Rp - 12.00 Rp 784,080.00 20.00 Rp 1,306,800.00
14 PYREXIN 80 Suup 8,000.00 38.00 Rp 304,000.00 - Rp - - Rp - 9.00 Rp 72,000.00
15 Sukralfat Sus 500 mg/ 5 ml btl 6,789.00 - Rp - - Rp - - Rp - 12.00 Rp 81,468.00
TOTAL Rp 3,671,910.00 Rp - Rp 2,232,026.16 Rp 4,699,025.62
4,699,025.62
Mengetahui

RSUD KOTA SERANG
JULI
STOK AWAL
BMHP
31,200.00 2.00 Rp 62,400.00 - Rp - 2.00 Rp 62,400.00 - Rp -
2 Asam tranexamat injeksi 500mg/5 ml vial 1,887.27 - Rp - - Rp - 10.00 Rp 18,872.70 - Rp -
3,032.00 22.00 Rp 66,704.00 - Rp - - Rp - - Rp -
19,800.00 - Rp - 320.00 Rp 6,336,000.00 - Rp - 320.00 Rp 6,336,000.00
7 Inviclot (Heparin Sodium) Inj Amp 39,996.00 58.00 Rp 2,319,768.00 - Rp - 40.00 Rp 1,599,840.00 - Rp -
10 Levofloxacin Infus Botol 65,340.00 - Rp - - Rp - 20.00 Rp 1,306,800.00 - Rp -
13 Parasetamol infus 10 mg/ml btl 12,389.00 14.00 Rp 173,446.00 90.00 Rp 1,115,010.00 38.00 Rp 470,782.00 62.00 Rp 768,118.00
15 Sukralfat Sus 500 mg/ 5 ml btl 6,789.00 - Rp - - Rp - 12.00 Rp 81,468.00 - Rp -
TOTAL Rp 3,671,910.00 Rp 7,451,010.00 Rp 4,160,743.10 Rp 7,989,292.52
7,989,292.52
Mengetahui

RSUD KOTA SERANG
AGUSTUS
STOK AWAL
BMHP
31,200.00 2.00 Rp 62,400.00 - Rp - - Rp - - Rp -
4 Ceftriaxone injeksi 1 gram vial 4,280.00 - Rp - - Rp - - Rp - 26.00 Rp 111,280.00
3,032.00 22.00 Rp 66,704.00 - Rp - - Rp - - Rp -
19,800.00 - Rp - Rp - Rp - 320.00 Rp 6,336,000.00
7 Inviclot (Heparin Sodium) Inj Amp 39,996.00 58.00 Rp 2,319,768.00 - Rp - - Rp - - Rp -
9 Lasal Nebu Amp 8,000.00 59.00 Rp 472,000.00 100.00 Rp 800,000.00 22.00 Rp 176,000.00 103.00 Rp 824,000.00
10 Levofloxacin Infus Botol 65,340.00 - Rp - 200.00 Rp 13,068,000.00 193.00 Rp 12,610,620.00 7.00 Rp 457,380.00
TOTAL Rp 3,671,910.00 Rp 13,868,000.00 Rp 13,266,073.08 Rp 8,591,219.44
Rp 8,591,219.44
Mengetahui

RSUD KOTA SERANG
SEPTEMBER
STOK AWAL
BMHP
31,200.00 2.00 Rp 62,400.00 - Rp - - Rp - - Rp -
3 Cefotaxime Sodium serbuk inj 1 g vial 4,034.52 - Rp - 190.00 Rp 766,558.80 2.00 Rp 8,069.04 210.00 Rp 847,249.20
4 Ceftriaxone injeksi 1 gram vial 4,280.00 - Rp - - Rp - 26.00 Rp 111,280.00 - Rp -
3,032.00 22.00 Rp 66,704.00 - Rp - - Rp - - Rp -
19,800.00 - Rp - - Rp - Rp - 320.00 Rp 6,336,000.00
10 Levofloxacin Infus Botol 65,340.00 - Rp - - Rp - - Rp - 7.00 Rp 457,380.00
TOTAL Rp 3,671,910.00 Rp 1,262,118.80 Rp 434,128.04 Rp 9,419,210.20
Rp 9,419,210.20
Mengetahui

RSUD KOTA SERANG
OKTOBER
STOK AWAL
BMHP
31,200.00 2.00 Rp 62,400.00 - Rp - - Rp - - Rp -
4 Ceftriaxone injeksi 1 gram vial 4,280.00 - Rp - - Rp - - Rp - - Rp -
3,032.00 22.00 Rp 66,704.00 - Rp - - Rp - - Rp -
19,800.00 - Rp - 320.00 Rp 6,336,000.00
8 Ketorolac Injeksi Amp 2,970.00 - Rp - - Rp - - Rp - 22.00 Rp 65,340.00
9 Lasal Nebu Amp 8,000.00 59.00 Rp 472,000.00 - Rp - - Rp - 101.00 Rp 808,000.00
13 Parasetamol infus 10 mg/ml btl 12,389.00 14.00 Rp 173,446.00 - Rp - - Rp - 46.00 Rp 569,894.00
TOTAL Rp 3,671,910.00 Rp - Rp - Rp 9,419,210.20
Rp 9,419,210.20
Mengetahui

RSUD KOTA SERANG
NOVEMBER
STOK AWAL
BMHP
31,200.00 2.00 Rp 62,400.00 - Rp - - Rp - - Rp -
3,032.00 22.00 Rp 66,704.00 - Rp - - Rp - - Rp -
19,800.00 - Rp - 320.00 Rp 6,336,000.00
TOTAL Rp 3,671,910.00 Rp - Rp - Rp 9,419,210.20
Rp 9,419,210.20
Mengetahui

RSUD KOTA SERANG
DESEMBER
STOK AWAL
BMHP
31,200.00 2.00 Rp 62,400.00 - Rp - - Rp - - Rp -
3,032.00 22.00 Rp 66,704.00 - Rp - - Rp - - Rp -
19,800.00 - Rp - 320.00 Rp 6,336,000.00
TOTAL Rp 3,671,910.00 Rp - Rp - Rp 9,419,210.20
Rp 9,419,210.20
Mengetahui

RSUD KOTA SERANG
TOTAL
STOK AWAL
No Nama Obat Satuan HARGA OBAT TOTAL PENERIMAAN TOTAL PEMAKAIAN
PENGELUARAN
BMHP
31,200.00 2.00 Rp 62,400.00 3 Rp 93,600.00 3 Rp 93,600.00 - Rp -
2 Asam tranexamat injeksi 500mg/5 ml vial 1,887.27 - Rp - 20 Rp 37,745.40 20 Rp 37,745.40 - Rp -
3 Cefotaxime Sodium serbuk inj 1 g vial 4,034.52 - Rp - 240 Rp 968,284.80 30 Rp 121,035.60 210 Rp 847,249.20
4 Ceftriaxone injeksi 1 gram vial 4,280.00 - Rp - 200 Rp 856,000.00 200 Rp 856,000.00 - Rp -
3,032.00 22.00 Rp 66,704.00 122 Rp 369,904.00 122 Rp 369,904.00 - Rp -
19,800.00 - Rp - 320 Rp 6,336,000.00 - Rp - 320 Rp 6,336,000.00
7 Inviclot (Heparin Sodium) Inj Amp 39,996.00 58.00 Rp 2,319,768.00 58 Rp 2,319,768.00 58 Rp 2,319,768.00 - Rp -
8 Ketorolac Injeksi Amp 2,970.00 - Rp - 200 Rp 594,000.00 178 Rp 528,660.00 22 Rp 65,340.00
9 Lasal Nebu Amp 8,000.00 59.00 Rp 472,000.00 159 Rp 1,272,000.00 58 Rp 464,000.00 101 Rp 808,000.00
10 Levofloxacin Infus Botol 65,340.00 - Rp - 232 Rp 15,158,880.00 225 Rp 14,701,500.00 7 Rp 457,380.00
11 Natrium Chlorida 0,9% 500 ml btl 6,218.00 44.00 Rp 273,592.00 184 Rp 1,144,112.00 184 Rp 1,144,112.00 - Rp -
12 Otsu - NaCl 3 % btl 30,334.70 - Rp - 10 Rp 303,347.00 - Rp - 10 Rp 303,347.00
13 Parasetamol infus 10 mg/ml btl 12,389.00 14.00 Rp 173,446.00 216 Rp 2,676,024.00 170 Rp 2,106,130.00 46 Rp 569,894.00
14 PYREXIN 80 Suup 8,000.00 38.00 Rp 304,000.00 38 Rp 304,000.00 34 Rp 272,000.00 4 Rp 32,000.00
15 Sukralfat Sus 500 mg/ 5 ml btl 6,789.00 - Rp - 25 Rp 169,725.00 25 Rp 169,725.00 - Rp -
16 Stardect Nitrile Examination Glove S Box 91,390.00 - Rp - 1 Rp 91,390.00 1 Rp 91,390.00 - Rp -
TOTAL Rp 3,671,910.00 Rp 32,694,780.20 Rp 23,275,570.00 Rp 9,419,210.20
Mengetahui

LAPORAN PENERIMAAN DAN PEMAKAIAN OBAT DAN BMHP DANA ALOKASI UMUM (DAU) TAHUN 2021
RSUD KOTA SERANG
PER 2021
JANUARI
STOK AWAL
No Nama Obat Satuan HARGA OBAT PENERIMAAN PEMAKAIAN
OBAT Rp OBAT Rp OBAT Rp
BMHP
1 Cathy IV Cannula 20G pcs 8,580.00 - Rp - - Rp - - Rp -
2 Cathy IV Cannula 22G PCS 7,090.91 - Rp - - Rp - - Rp -
3 HI Oxygen Mask Dewasa pcs 23,000.00 - Rp - - Rp - - Rp -
4 Inflo IV Cath 20G 50 buah pcs 2,887.50 - Rp - - Rp - - Rp -
5 Inflo IV Cath 22G 50 buah pcs 2,887.50 - Rp - - Rp - - Rp -
6 Isofix 1,25 cm x 9,2 m, 24 roll pcs 7,224.00 - Rp - - Rp - - Rp -
7 Isofix 1,25 cm x 9,2 m, 24 roll pcs 14,280.00 - Rp - - Rp - - Rp -
8 JMI Syringe 10 cc 100 pcs pcs 1,200.00 - Rp - - Rp - - Rp -
9 JMI Syringe 5 cc 100 pcs pcs 968.00 - Rp - - Rp - - Rp -
10 Mas Disposible Syringe 1 ml/cc PCS 726.00 - Rp - - Rp - - Rp -
11 Mas Nasal Oxygen Cannul Dewasa (Adult) PCS 4,576.00 - Rp - - Rp - - Rp -
12 Polyfex IV Cannula With Injection Port 24G pcs 12,100.00 - Rp - - Rp - - Rp -
13 Polywin IV Cannula 26G pcs 13,200.00 - Rp - - Rp - - Rp -
14 Soft Pad 60 x 90 KRT 100 pcs 3,630.00 - Rp - - Rp - - Rp -
15 Stardec Non Rebreathing Mask Adult pcs 13,499.88 - Rp - - Rp - - Rp -
16 Stera Infusion Set Dewasa pcs 3,200.00 - Rp - - Rp - - Rp -
OBAT
1 Asam Tranexamat 5ml amp 1,880.00 - Rp - - Rp - - Rp -
2 Ceftriaxone 1 gr amp 8,593.97 - Rp - - Rp - - Rp -
3 Dexametasone Injeksi Amp 924.00 - Rp - - Rp - - Rp -
4 esomeprazole inj 40 mg amp 7,423.00 - Rp - - Rp - - Rp -
5 Favikal (Favipiravir 200 mg) tab 16,500.00 - Rp - - Rp - - Rp -
6 Furosemid inj 10mg/ml (iv/im) amp 923.00 - Rp - - Rp - - Rp -
7 Kaltrofen Supp Suup 11,000.00 - Rp - - Rp - - Rp -
8 Ketorolac Inj amp 839.00 - Rp - - Rp - - Rp -
9 Meropenem vial 27,435.00 - Rp - - Rp - - Rp -
10 Misoprostol tab 7,150.00 - Rp - - Rp - - Rp -
11 Natrium Klorida 0,9 % 500 ml Satoria btl 6,800.00 - Rp - - Rp - - Rp -
12 Ondansetron Inj 4mg/2ml amp 3,190.00 - Rp - - Rp - - Rp -
13 Paracetamol 500 mg tab 247.30 - Rp - - Rp - - Rp -
14 Parasetamol 500 mg tab 247.03 - Rp - - Rp - - Rp -
15 Ringer Laktat 500 ML btl 7,629.60 - Rp - - Rp - - Rp -
16 Zinc Dispersible tab 458.36 - Rp - - Rp - - Rp -
TOTAL BIAYA - Rp - Rp -
Mengetahui
Ika Siwi Kusumawardhani, S.Far., Apt

NIP : 19920108 201902 2 004
LAPORAN PENERIMAAN DAN PEMAKAIAN OBAT DAN BMHP DANA ALOKASI UMUM (DAU) TAHUN 2021
RSUD KOTA SERANG
PER 2021
JANUARI
STOK AWAL
No Nama Obat Satuan HARGA OBAT STOK AKHIR
OBAT Rp OBAT Rp
BMHP
1 Cathy IV Cannula 20G pcs 8,580.00 - Rp - - Rp -
2 Cathy IV Cannula 22G PCS 7,090.91 - Rp - - Rp -
3 HI Oxygen Mask Dewasa pcs 23,000.00 - Rp - - Rp -
4 Inflo IV Cath 20G 50 buah pcs 2,887.50 - Rp - - Rp -
5 Inflo IV Cath 22G 50 buah pcs 2,887.50 - Rp - - Rp -
6 Isofix 1,25 cm x 9,2 m, 24 roll pcs 7,224.00 - Rp - - Rp -
7 Isofix 1,25 cm x 9,2 m, 24 roll pcs 14,280.00 - Rp - - Rp -
8 JMI Syringe 10 cc 100 pcs pcs 1,200.00 - Rp - - Rp -
9 JMI Syringe 5 cc 100 pcs pcs 968.00 - Rp - - Rp -
10 Mas Disposible Syringe 1 ml/cc PCS 726.00 - Rp - - Rp -
11 Mas Nasal Oxygen Cannul Dewasa (Adult) PCS 4,576.00 - Rp - - Rp -
12 Polyfex IV Cannula With Injection Port 24G pcs 12,100.00 - Rp - - Rp -
13 Polywin IV Cannula 26G pcs 13,200.00 - Rp - - Rp -
14 Soft Pad 60 x 90 KRT 100 pcs 3,630.00 - Rp - - Rp -
15 Stardec Non Rebreathing Mask Adult pcs 13,499.88 - Rp - - Rp -
16 Stera Infusion Set Dewasa pcs 3,200.00 - Rp - - Rp -
OBAT
1 Asam Tranexamat 5ml amp 1,880.00 - Rp - - Rp -
2 Ceftriaxone 1 gr amp 8,593.97 - Rp - - Rp -
3 Dexametasone Injeksi Amp 924.00 - Rp - - Rp -
4 esomeprazole inj 40 mg amp 7,423.00 - Rp - - Rp -
5 Favikal (Favipiravir 200 mg) tab 16,500.00 - Rp - - Rp -
6 Furosemid inj 10mg/ml (iv/im) amp 923.00 - Rp - - Rp -
7 Kaltrofen Supp Suup 11,000.00 - Rp - - Rp -
8 Ketorolac Inj amp 839.00 - Rp - - Rp -
9 Meropenem vial 27,435.00 - Rp - - Rp -
10 Misoprostol tab 7,150.00 - Rp - - Rp -
11 Natrium Klorida 0,9 % 500 ml Satoria btl 6,800.00 - Rp - - Rp -
12 Ondansetron Inj 4mg/2ml amp 3,190.00 - Rp - - Rp -
13 Paracetamol 500 mg tab 247.30 - Rp - - Rp -
14 Parasetamol 500 mg tab 247.03 - Rp - - Rp -
15 Ringer Laktat 500 ML btl 7,629.60 - Rp - - Rp -
16 Zinc Dispersible tab 458.36 - Rp - - Rp -
TOTAL BIAYA - Rp -
Mengetahui
Ika Siwi Kusumawardhani, S.Far., Apt

NIP : 19920108 201902 2 004
LAPORAN PENERIMAAN DAN PEMAKAIAN OBAT DAN BMHP IGD PENGADAAN KEMENKES
RSUD KOTA SERANG
JANUARI
STOK AWAL
1 2 3 4 5 6 7 8 9 10 11 12
1 Vitamin B12 tab 49.00 0 - - - - - - -

2 Azithromycin 500 mg tab 1,778.00 - - - - - - -
3 Oseltamivir 75 mg tab 8,940.00 - - - - - - -
4 Favipiravir tab 14,850.00 - - - - - - -
5 Levofloxacin 750 mg btl 65,340.00 - - - - - - -
TOTAL BIAYA - Rp - Rp - Rp -
Rp -
Mengetahui

NIP : 19920108 201902 2 004
RSUD KOTA SERANG
FEBRUARI
STOK AWAL
1 2 3 4 5 6 13 14 15 16 17 18
1 Vitamin B12 tab 49.00 0 - - - - - - -

4 Favipiravir tab 14,850.00 - - - - - - -
Mengetahui

NIP : 19920108 201902 2 004
RSUD KOTA SERANG
MARET
STOK AWAL
1 2 3 4 5 6 19 20 21 22 23 24
1 Vitamin B12 tab 49.00 0 - - - - - - -

4 Favipiravir tab 14,850.00 - - - - - - -
Rp -
Mengetahui

NIP : 19920108 201902 2 004
RSUD KOTA SERANG
APRIL
STOK AWAL
1 2 3 4 5 6 25 26 27 28 29 30
1 Vitamin B12 tab 49.00 0 - - - - - - -

4 Favipiravir tab 14,850.00 - - - - - - -
Rp -
Mengetahui

NIP : 19920108 201902 2 004
RSUD KOTA SERANG
MEI
STOK AWAL
1 2 3 4 5 6 31 32 33 34 35 36
1 Vitamin B12 tab 49.00 0 - - - - - - -

4 Favipiravir tab 14,850.00 - - - - - - -
Rp -
Mengetahui

NIP : 19920108 201902 2 004
RSUD KOTA SERANG
JUNI
STOK AWAL
1 2 3 4 5 6 37 38 39 40 41 42
1 Vitamin B12 tab 49.00 0 - - - - - - -

4 Favipiravir tab 14,850.00 - - - - - - -
Rp -
Mengetahui

NIP : 19920108 201902 2 004
RSUD KOTA SERANG
JULI
STOK AWAL
1 2 3 4 5 6 43 44 45 46 47 48
1 Vitamin B12 tab 49.00 0 - 500 24,500 2 98.00 498 24,402.00

2 Azithromycin 500 mg tab 1,778.00 - 500 889,000 150 266,700.00 350 622,300.00
3 Oseltamivir 75 mg tab 8,940.00 - 1,000 8,940,000 200 1,788,000.00 800 7,152,000.00
4 Favipiravir tab 14,850.00 - 500 7,425,000 150 2,227,500.00 350 5,197,500.00
TOTAL BIAYA - Rp 17,278,500.00 Rp 4,282,298.00 Rp 12,996,202.00
Rp 12,996,202.00
Rp 12,996,202.00
Mengetahui

NIP : 19920108 201902 2 004
RSUD KOTA SERANG
AGUSTUS
STOK AWAL
1 2 3 4 5 6 49 50 51 52 53 54
1 Vitamin B12 tab 49.00 0 - - - 10 490.00 488 23,912.00

2 Azithromycin 500 mg tab 1,778.00 - - - 50 88,900.00 300 533,400.00
3 Oseltamivir 75 mg tab 8,940.00 - - - 232 2,074,080.00 568 5,077,920.00
4 Favipiravir tab 14,850.00 - - - 150 2,227,500.00 200 2,970,000.00
5 Levofloxacin 750 mg btl 65,340.00 - 48 3,136,320 10 653,400.00 38 2,482,920.00
TOTAL BIAYA - Rp 3,136,320.00 Rp 5,044,370.00 Rp 11,088,152.00
-Rp 1,908,050.00
Rp 11,088,152.00
Mengetahui

NIP : 19920108 201902 2 004
RSUD KOTA SERANG
SEPTEMBER
STOK AWAL
1 2 3 4 5 6 55 56 57 58 59 60
1 Vitamin B12 tab 49.00 0 - - - - - 488 23,912.00

2 Azithromycin 500 mg tab 1,778.00 - - - 140 248,920.00 160 284,480.00
3 Oseltamivir 75 mg tab 8,940.00 - - - - - 568 5,077,920.00
4 Favipiravir tab 14,850.00 - - - 200 2,970,000.00 - -
5 Levofloxacin 750 mg btl 65,340.00 - - - - - 38 2,482,920.00
TOTAL BIAYA - Rp - Rp 3,218,920.00 Rp 7,869,232.00
-Rp 3,218,920.00
Rp 7,869,232.00
Mengetahui

NIP : 19920108 201902 2 004
RSUD KOTA SERANG
OKTOBER
STOK AWAL
1 2 3 4 5 6 61 62 63 64 65 66
1 Vitamin B12 tab 49.00 0 - - - - - 488 23,912.00

2 Azithromycin 500 mg tab 1,778.00 - - - - - 160 284,480.00
4 Favipiravir tab 14,850.00 - - - - - - -
TOTAL BIAYA - Rp - Rp - Rp 7,869,232.00
Rp -
Rp 7,869,232.00
Mengetahui

NIP : 19920108 201902 2 004
RSUD KOTA SERANG
NOVEMBER
STOK AWAL
1 2 3 4 5 6 67 68 69 70 71 72
1 Vitamin B12 tab 49.00 0 - - - - - 488 23,912.00

4 Favipiravir tab 14,850.00 - - - - - - -
Rp -
Rp 7,869,232.00
Mengetahui

NIP : 19920108 201902 2 004
RSUD KOTA SERANG
DESEMBER
STOK AWAL
1 2 3 4 5 6 73 74 75 76 77 78
1 Vitamin B12 tab 49.00 0 - - - - - 488 23,912.00

4 Favipiravir tab 14,850.00 - - - - - - -
Rp -
Rp 7,869,232.00
Mengetahui

NIP : 19920108 201902 2 004
RSUD KOTA SERANG
TOTAL
STOK AWAL STOK AKHIR (STOK AWAL + TOTAL
TOTAL PENERIMAAN TOTAL PEMAKAIAN PENERIMAAN -TOTAL PENGELUARAN)
No Nama BHP Satuan HARGA BHP KET
1 2 3 4 5 6 79 80 81 82 83 =(5+79-81) 84 = (4 x 83) 85
1 Vitamin B12 tab 49.00 0 - 500 24,500 12 588.00 488 23,912.00

2 Azithromycin 500 mg tab 1,778.00 - 500 889,000 340 604,520.00 160 284,480.00
3 Oseltamivir 75 mg tab 8,940.00 - 1,000 8,940,000 432 3,862,080.00 568 5,077,920.00
4 Favipiravir tab 14,850.00 - 500 7,425,000 500 7,425,000.00 - -
5 Levofloxacin 750 mg btl 65,340.00 - 48 3,136,320 10 653,400.00 38 2,482,920.00
TOTAL BIAYA - - Rp 20,414,820.00 Rp 12,545,588.00 Rp 7,869,232.00
Rp 7,869,232.00

NIP : 19920108 201902 2 004 NITPL . 2018301235

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LAPORAN PENERIMAAN DAN PEMAKAIAN BHP PLASTIK DEPO IGD

RSUD KOTA SERANG

VOL. Rp VOL. Rp VOL. Rp VOL. Rp

1 Pot Salep 100 cc Buah 4,400.00 4 17,600 - - - - 4 17,600.00

Ika Siwi Kusumawardhani, S.Farm., Apt

VOL. Rp VOL. Rp VOL. Rp VOL. Rp

1 Pot Salep 100 cc Buah 4,400.00 4 17,600 - - 4 17,600.00 - -

Ika Siwi Kusumawardhani, S.Farm., Apt

VOL. Rp VOL. Rp VOL. Rp VOL. Rp

1 Pot Salep 100 cc Buah 4,400.00 4 17,600 - - - - - -

Ika Siwi Kusumawardhani, S.Farm., Apt

VOL. Rp VOL. Rp VOL. Rp VOL. Rp

1 Pot Salep 100 cc Buah 4,400.00 4 17,600 - - - - - -

Ika Siwi Kusumawardhani, S.Farm., Apt

VOL. Rp VOL. Rp VOL. Rp VOL. Rp

1 Pot Salep 100 cc Buah 4,400.00 4 17,600 - - - - - -

Ika Siwi Kusumawardhani, S.Farm., Apt

VOL. Rp VOL. Rp VOL. Rp VOL. Rp

1 Pot Salep 100 cc Buah 4,400.00 4 17,600 - - - - - -

Ika Siwi Kusumawardhani, S.Farm., Apt

VOL. Rp VOL. Rp VOL. Rp VOL. Rp

1 Pot Salep 100 cc Buah 4,400.00 4 17,600 - - - - - -

Ika Siwi Kusumawardhani, S.Farm., Apt

VOL. Rp VOL. Rp VOL. Rp VOL. Rp

1 Pot Salep 100 cc Buah 4,400.00 4 17,600 - - - - - -

Ika Siwi Kusumawardhani, S.Farm., Apt

VOL. Rp VOL. Rp VOL. Rp VOL. Rp

1 Pot Salep 100 cc Buah 4,400.00 4 17,600 - - - - - -

Ika Siwi Kusumawardhani, S.Farm., Apt

VOL. Rp VOL. Rp VOL. Rp VOL. Rp

1 Pot Salep 100 cc Buah 4,400.00 4 17,600 - - - - - -

Ika Siwi Kusumawardhani, S.Farm., Apt

VOL. Rp VOL. Rp VOL. Rp VOL. Rp

1 Pot Salep 100 cc Buah 4,400.00 4 17,600 - - - - - -

Ika Siwi Kusumawardhani, S.Farm., Apt

VOL. Rp VOL. Rp VOL. Rp VOL. Rp

1 Pot Salep 100 cc Buah 4,400.00 4 17,600 - - - - - -

Ika Siwi Kusumawardhani, S.Farm., Apt

VOL. Rp VOL. Rp VOL. Rp VOL. Rp

1 Pot Salep 100 cc Buah 4,400.00 4 17,600 - - 4 17,600.00 - -

Mengetahui Serang, Desember 2021

OBAT Rp OBAT Rp OBAT Rp OBAT Rp

1 Blood Lancet 28 G bok 4.00 58,264.00 14,566.00 - Rp - - Rp - 4 Rp 58,264.00

Ika Siwi Kusumawardhani, S.Farm., Apt

OBAT Rp OBAT Rp OBAT Rp OBAT Rp

1 Blood Lancet 28 G bok 4.00 58,264.00 14,566.00 - Rp - - Rp - 4 Rp 58,264.00

Ika Siwi Kusumawardhani, S.Farm., Apt

OBAT Rp OBAT Rp OBAT Rp OBAT Rp

1 Blood Lancet 28 G bok 4.00 58,264.00 14,566.00 - Rp - - Rp - 4 Rp 58,264.00

Ika Siwi Kusumawardhani, S.Farm., Apt

OBAT Rp OBAT Rp OBAT Rp OBAT Rp

1 Blood Lancet 28 G bok 4.00 58,264.00 14,566.00 - Rp - - Rp - 4 Rp 58,264.00

Ika Siwi Kusumawardhani, S.Farm., Apt

OBAT Rp OBAT Rp OBAT Rp OBAT Rp

1 Blood Lancet 28 G bok 4.00 58,264.00 14,566.00 - Rp - - Rp - 4 Rp 58,264.00

Ika Siwi Kusumawardhani, S.Farm., Apt

OBAT Rp OBAT Rp OBAT Rp OBAT Rp

1 Blood Lancet 28 G bok 4.00 58,264.00 14,566.00 - Rp - - Rp - 4 Rp 58,264.00

Ika Siwi Kusumawardhani, S.Farm., Apt

OBAT Rp OBAT Rp OBAT Rp OBAT Rp

1 Blood Lancet 28 G bok 4.00 58,264.00 14,566.00 - Rp - - Rp - 4 Rp 58,264.00

Ika Siwi Kusumawardhani, S.Farm., Apt

OBAT Rp OBAT Rp OBAT Rp OBAT Rp

1 Blood Lancet 28 G bok 4.00 58,264.00 14,566.00 - Rp - - Rp - 4 Rp 58,264.00