Laporan Obat Tahun 2022 Final

DINAS KESEHATAN KABUPATEN WONOSOBO
PUSKESMAS KEJAJAR 2
PERIODE 1 JANUARI - 31 DESEMBER 2022
LAPORAN MUTASI OBAT DAN BMHP
PENAMBAHAN PENGURANGAN
NO NAMA UNIT SALDO AWAL TOTAL PENAMBAHAN MUTASI KELUAR TOTAL PENGURANGAN STOK AKHIR KET
MUTASI DARI KOREKSI RETUR DARI PUSKESMAS DISTRIBUSI KE SUB UNIT PENGHAPUSAN KOREKSI
DARI IFK GUDANG KE SUB UNIT BLUD HIBAH MASUK BOP/BOK PENGGUNAAN RETUR KE IFK HIBAH KELUAR KE PUSKESMAS
PUSKESMAS LAIN KURANG CATAT (UNTUK DINKES) LAIN OBAT ED LEBIH CATAT
1 GUDANG PUSKESMAS 306,441,142.00 426,438,596.96 4,983,000.00 - 431,421,596.96 577,367,636.00 577,367,636.00 160,495,102.96

2 IGD 263,360.64 12,316,590.22 - - - - - - 12,316,590.22 - 11,137,190.59 11,137,190.59 1,442,760.27
3 VK 843,978.37 43,789,873.51 - - - - - - 43,789,873.51 - 32,612,485.88 32,612,485.88 12,021,366.00
4 MTBS - 421,924.00 - - - - - - 421,924.00 - 421,924.00 421,924.00 -
5 Laboratorium 80,063,246.60 103,527,217.49 - - - - - - 103,527,217.49 - 173,731,080.86 173,731,080.86 9,859,383.23
6 Imunisasi (VAKSIN) 16,441,260.00 192,515,075.02 - - - - - - 192,515,075.02 - 177,677,489.02 177,677,489.02 31,278,846.00
7 IVA - 125,850.00 - - - - - - 125,850.00 - 125,850.00 125,850.00 -
8 KIA - 1,699,622.73 - - - - - - 1,699,622.73 - 1,602,022.73 1,602,022.73 97,600.00
9 KB 9,774.45 2,446,320.93 - - - - - - 2,446,320.93 - 2,390,395.38 2,390,395.38 65,700.00
10 Gizi - 1,861,799.00 - - - - - - 1,861,799.00 - 1,861,799.00 1,861,799.00 -
11 Rawat Jalan 11,391,662.99 113,213,216.36 - - - - - - 113,213,216.36 - 121,177,365.85 121,177,365.85 3,427,513.50
12 Gigi - 7,856,258.09 - - - - - - 7,856,258.09 - 5,749,503.09 5,749,503.09 2,106,755.00
13 PKD Campursari 186,449.00 13,059,876.61 - - - - - - 13,059,876.61 - 13,004,118.06 13,004,118.06 242,207.55
14 PKD Sembungan 60,640.00 5,992,535.42 - - - - - - 5,992,535.42 - 5,827,320.42 5,827,320.42 225,855.00
15 PKD Sikunang 228,819.00 7,772,358.00 - - - - - - 7,772,358.00 - 7,883,434.40 7,883,434.40 117,742.60
16 PKD jojogan 108,853.00 6,828,446.50 - - - - - - 6,828,446.50 - 6,710,114.10 6,710,114.10 227,185.40
17 PKD Dieng 86,468.00 6,066,372.50 - - - - - - 6,066,372.50 - 6,053,312.10 6,053,312.10 99,528.40
18 PKD Parikesit 78,232.50 7,773,870.50 - - - - - - 7,773,870.50 - 7,738,487.40 7,738,487.40 113,615.60
19 PKD Patak banteng 375,635.00 7,987,872.00 - - - - - - 7,987,872.00 - 8,262,496.80 8,262,496.80 101,010.20
20 OBAT KADALUWARSA - 2,736,225.31 2,736,225.31 2,617,525.31 2,617,525.31 118,700.00
21 P2 - 7,828,476.00 7,828,476.00 2,574,812.00 2,574,812.00 5,253,664.00
22 POSBINDU - 4,533,006.00 - - - - - - 4,533,006.00 - 1,817,002.00 1,817,002.00 2,716,004.00
23 IFK WONOSOBO - 27,014,851.00 27,014,851.00 27,014,851.00 27,014,851.00 -
110,138,379.55 - 577,367,637.18 -- -- -- -- -- -- 577,367,637.18
- -- 617,990,579.98 617,990,579.98 69,515,436.75
-
- - - - - - - - - - -
- - - - - - - - - - -
526,717,901.10 426,438,596.96 1,154,735,274.36 4,983,000.00 - - - - - 1,586,156,871.32 577,367,636.00 1,235,981,159.97 - - - - - 1,813,348,795.97 230,010,539.71 -
Keterangan
1 Jumlah sub unit sesuai kodisi puskesmas masing-masing
2 Saldo awal sesuai Laporan Keuangan Audited 2021
Lampiran Dokumen :
1 LPLPO periode 1 Januari s.d 31 Desember 2022
2 Laporan penerimaan penggunaan tiap unit/sub unit periode 1 Januari s.d 31 Desember 2022
3 BA stok opname obat per-31 desember 2022 sampi sub unit Wonosobo, 31 Desember 2022
Pengelola Farmasi
Ka. UPTD Kepala Puskesmas Kejajar 2
Galih Arum Palupi, S. Farm., Apt

Maduri, S.Kep., Ners NIP 1994020202020122014
NIP 19670906198903 1 005
LAPORAN MUTASI OBAT DAN BMHP
PERIODE OKTOBER-DESEMBER 2022
NO NAMA UNIT SALDO AWAL PENERIMAAN RETUR

1 GUDANG PUSKESMAS 177,449,943 122,235,059.00
2 RAWAT JALAN v 11,934,374.01 18,689,893.20
3 PKD CAMPURSARI v 383,808.00 1,007,095.25
4 PKD DIENG v 52,503.00 408,749.50
5 PKD JOJOGAN 119,303.00 434,811.50
6 PKD PARIKESIT v 190,383.00 873,235.50
7 PKD PATAKBANTENG v 199,733.40 553,522.00
8 PKD SEMBUNGAN 350,106.21 2,092,687.00
9 PKD SIKUNANG v 647,814.00 733,356.00
10 VK v 16,517,907.25 8,785,180.00
11 LABORATORIUM v 6,015,604.69 10,198,600.23
12 VAKSIN v 14,551,586.82 81,602,744.00
13 GIGI v 2,820,168.00 38,164.00
14 MTBS v 79,472.00 -
15 KB v 76,420.00 416,926.00
16 IGD v 1,038,737.93 2,273,683.00
17 GIZI v 1,106.00 226,000.00
18 KIA v 109,050.00 114,000.00
19 POSBINDU v - 4,533,006.00
20 IVA - -
20 OBAT KADALUWARSA v - 2,075,700.00
21 PROGAM P2 v 4,836,968.00 2,155,196.00
22 IFK WONOSOBO v - 1,977,351.00
TOTAL UNIT 59,925,045.31 139,189,900.18
Maduri, S.Kep., Ners

NIP 19670906198903 1 005
DAN BMHP
MBER 2022
PERSEDIAAN DISTRIBUSI STOK AKHIR

299,685,002.00 139,189,900.18 160,495,102.00
30,624,267.21 27,196,753.71 3,427,513.50
1,390,903.25 1,148,695.70 242,207.55
461,252.50 361,724.10 99,528.40
554,114.50 326,929.10 227,185.40
1,063,618.50 950,002.90 113,615.60
753,255.40 652,245.20 101,010.20
2,442,793.21 2,216,938.21 225,855.00
1,381,170.00 1,263,427.40 117,742.60
25,303,087.25 13,281,721.25 12,021,366.00
16,214,204.92 6,354,821.69 9,859,383.23
96,154,330.82 64,875,484.82 31,278,846.00
2,858,332.00 751,577.00 2,106,755.00
79,472.00 79,472.00 -
493,346.00 427,646.00 65,700.00
3,312,420.93 1,869,660.67 1,442,760.27
227,106.00 227,106.00 -
223,050.00 125,450.00 97,600.00
4,533,006.00 1,817,002.00 2,716,004.00
- - -
2,075,700.00 1,957,000.00 118,700.00
6,992,164.00 1,738,500.00 5,253,664.00
1,977,351.00 1,977,351.00 -
129,599,508.74 69,515,436.75
Wonosobo, 31 Desember 2022

Pengelola Farmasi

NIP 1994020202020122014
LAPORAN DISTRIBUSI TOTAL OBAT DAN BMHP
PERIODE JANUARI-DESEMBER 2022
NO NAMA UNIT DISTRIBUSI JAN-DES 22

1 GUDANG PUSKESMAS 577,367,637.18
2 RAWAT JALAN 121,177,365.85
3 PKD CAMPURSARI 13,004,118.06
4 PKD DIENG 6,053,312.10
5 PKD JOJOGAN 6,710,114.10
6 PKD PARIKESIT 7,738,487.40
7 PKD PATAKBANTENG 8,262,496.80
8 PKD SEMBUNGAN 5,827,320.42
9 PKD SIKUNANG 7,883,434.40
10 VK 32,612,485.88
11 LABORATORIUM 173,731,080.86
12 VAKSIN 177,677,489.02
13 GIGI 5,749,503.09
14 MTBS 421,924.00
15 KB 2,390,395.38
16 IGD 11,137,190.59
17 GIZI 1,861,799.00
18 KIA 1,602,022.73
19 POSBNDU 1,817,002.00
20 IVA 125,850.00
21 OBAT KADALUWARSA 2,617,525.31
22 PROGAM P2 2,574,812.00
23 IFK WONOSOBO 27,014,851.00
TOTAL DISTRIBUSI UNIT 617,990,579.98
total UNIT + GUDANG 1,195,358,217.16
Ka. UPTD Kepala Puskesmas Kejajar 2 Wonosobo, 31 Desember 2022
Pengelola Farmasi
Maduri, S.Kep., Ners Galih Arum Palupi, S. Farm., Apt

NIP 19670906198903 1 005 NIP 1994020202020122014
NILAI JUMLAH PENERIMAAN UNIT DARI GUDANG
PERIODE OKTOBER- DESEMBER 2022
No Nama unit Nilai Penerimaan Unit Nilai Distribusi Gudang
1 RAWAT JALAN 18,689,893.20 139,189,900.00
3 PKD DIENG 408,750
4 PKD JOJOGAN 434,812
5 PKD PARIKESIT 873,236
6 PKD PATAKBANTENG 553,522
7 PKD SEMBUNGAN 2,092,687
8 PKD SIKUNANG 733,356
9 VK 8,785,180
10 LABORATORIUM 10,198,600
11 VAKSIN 81,602,744
12 GIGI 38,164
13 MTBS -
14 KB 416,926
15 IGD 2,273,683
16 GIZI 226,000
17 KIA 114,000
18 POSBINDU 4,533,006
19 OBAT KADALUWARSA 2,075,700.00
20 PROGAM P2 2,155,196.00
21 IFK WONOSOBO 1,977,351.00
TOTAL 139,189,900.18 139,189,900
NILAI JUMLAH PENERIMAAN UNIT DARI GUDANG
PERIODE JANUARI -DESEMBER 2022
NO Nilai Distribusi Gudang

1 RAWAT JALAN 113,213,216 -
3 PKD DIENG 6,066,373
4 PKD JOJOGAN 6,828,447
5 PKD PARIKESIT 7,773,871
6 PKD PATAKBANTENG 7,987,872
7 PKD SEMBUNGAN 5,992,535
8 PKD SIKUNANG 7,772,358
9 VK 43,789,874
10 LABORATORIUM 103,527,217
11 VAKSIN 192,515,075 577,367,637
12 GIGI 7,856,258
13 MTBS 421,924
14 KB 2,446,321
15 IGD 12,316,590
16 GIZI 1,861,799
17 KIA 1,699,623
18 IVA 125,850
19 Obat ED 2,736,225.31
20 p2 7,828,476.00
21 ifk 27,014,851.00
22 Posbindu 4,533,006 -
total 577,367,637 577,367,637

Pengelola Farmasi

NIP 19670906198903 1 005 Galih Arum Palupi, S. Farm., Apt
NIP 1994020202020122014
PELAYANAN KEFARMASIAN
ALAMAT PUSKESMAS : jl Dieng Km 26 .Kecamatan Kejajar Kab Wonosobo
Laporan Stok Obat Untuk transaksi antara tanggal : 01/06/2022 sampai dengan 30/9/2022
PENAMBAHAN/ PENERIMAAN OBAT DARI IFK
No TANGGAL NOMOR SBBK JUMLAH (Rp) KETERANGAN

IFK/ Non-IFK
1 7/1/2022 2209 2,855,390.00 IFK Wonosobo
2 7/1/2022 2072 268,600.00 IFK Wonosobo
3 7/14/2022 2210 10,609,222.00 IFK Wonosobo
4 8/1/2022 2379 282,600.00 IFK Wonosobo
5 8/3/2022 2410 19,690,900.00 IFK Wonosobo
6 8/3/2022 2411 0.00 IFK Wonosobo
7 8/3/2022 2412 30,128,916.00 IFK Wonosobo
8 8/9/2022 2475 4,872,500.00 IFK Wonosobo
9 8/11/2022 2519 847,860.00 IFK Wonosobo
10 8/11/2022 2517 3,014,721.00 IFK Wonosobo
11 8/11/2022 2518 1,325,000.00 IFK Wonosobo
12 8/25/2022 2622 781,440.00 IFK Wonosobo
13 8/30/2022 2684 5,269,910.00 IFK Wonosobo
14 9/6/2022 2710 31,366,105.23 IFK Wonosobo
15 9/6/2022 2766 16,802,500.00 IFK Wonosobo
16 9/6/2022 2767 314,200.00 IFK Wonosobo
17 9/12/2022 2845 3,392,920.00 IFK Wonosobo
18 9/12/2022 2847 32,898,766.00 IFK Wonosobo
19 9/21/2022 2951 833,392.00 IFK Wonosobo
20 9/26/2022 2985 3,699,400.00 IFK Wonosobo
21 9/27/2022 3005 665,006.00 IFK Wonosobo
22 9/28/2022 3008 6,147,540.00 IFK Wonosobo
TOTAL 176,066,888.23
Maduri., S.Kep., Ners

NIP 19670906198903 1 005
JUMLAH TOTAL NILAI PENERIMAAN DARI IFK / non ifk

PERIODE JANUARI-FEBUARI 2022 31,202,160.00
PERIODE MARET 2022 32,039,504.37
PERIODE APRIL 2022 14,492,340.67
PERIODE MEI 2022 29,056,051.00
PERIODE JUNI 2022 26,329,593.00
PERIODE JULI- SEPTEMBER 2022 176,066,888.23
TOTAL PENERIMAAN DARI GUDANG JAN-JUNI 2022= 309,186,537.27
PENAMBAHAN/ PENERIMAAN OBAT DARI IFK
No TANGGAL NOMOR SBBK JUMLAH (Rp) KETERANGAN

IFK/ Non-IFK
23 10/4/2022 3101 40,800,000.00 IFK Wonosobo
24 10/6/2022 3125 4,149,707.37 IFK Wonosobo
25 10/27/2022 3276 2,323,750.00 IFK Wonosobo
26 10/27/2022 3277 1,081,702.00 IFK Wonosobo
27 10/31/2022 3290 4,074,560.00 IFK Wonosobo
28 11/9/2022 3409 36,000.00 IFK Wonosobo
29 11/24/2022 3600 - IFK Wonosobo
30 11/24/2022 3558 79,000.00 IFK Wonosobo
31 11/24/2022 3559 183,500.00 IFK Wonosobo
32 11/25/2022 3542 33,344,710.33 IFK Wonosobo
33 11/30/2022 3601 2,805,620.00 IFK Wonosobo
34 12/6/2022 3656 - IFK Wonosobo
35 12/19/2022 3768 25,676,950.00 IFK Wonosobo
36 12/26/2022 3811 1,480,000.00 IFK Wonosobo
37 12/26/2022 3803 1,216,560.00 IFK Wonosobo
38 12/12/2022 00.1 1,380,000.00 NON IFK
39 12/22/2022 00.2 3,603,000.00 NON IFK
TOTAL 122,235,059.70

Pengelola Farmasi
Maduri., S.Kep., Ners Galih Arum Palupi., S.Farm., Apt

NIP 19670906198903 1 005 NIP 1994020202020122014
JUMLAH TOTAL NILAI PENERIMAAN DARI IFK / non ifk 2022

PERIODE JANUARI-FEBUARI 2022 31202160
PERIODE MARET 2022 32039504.37
PERIODE APRIL 2022 14492340.67
PERIODE MEI 2022 29056051
PERIODE JUNI 2022 26329593
PERIODE JULI- SEPTEMBER 2022 176066888.23
PERIODE OKT - NOV 2022 122,235,059.70
TOTAL PENERIMAAN DARI GUDANG JAN-DES 022= 431,421,596.97
NAMA PUSKESMAS : PUSKESMAS KEJAJAR 2
Jumlah nilai rupiah stok awal masing-masing unit Puskesmas Kejajar 2

1 januari 2022
No Unit Nilai Stok Awal 31 Desember
1 IGD Rp 263,360.64
2 VK Rp 843,978.37
3 MTBS 0
4 Laboratorium Rp 80,063,246.60
5 Imunisasi (VAKSIN) Rp 16,441,260.00
6 IVA 0
7 KIA 0
8 KB Rp 9,774.45
9 Gizi 0
10 Rawat Jalan Rp 11,391,662.99
11 Gigi 0
12 PKD Campursari 186,449.00
13 PKD Sembungan Rp 60,640.00
14 PKD Sikunang Rp 228,819.00
15 PKD jojogan Rp 108,853.00
16 PKD Dieng Rp 86,468.00
17 PKD Parikesit Rp 78,232.50
18 PKD Patak banteng Rp 375,635.00
Total Rp 110,138,379.55

Pengelola Farmasi
Maduri., S.Kep., Ners Galih Arum Palupi., S.Farm., Apt

NIP 19670906198903 1 005 NIP 1994020202020122014
STOK
DISTRIBUSI
NO NMGENERIK ID SATUAN ID ANGGARAN SIMO HARGA SATUAN
RAWAT PKD CS PKD dieng PKD jojogan PKD paris PKD patak PKD sembungan PKD sikunang IGD GIGI MTBS KB KIA IVA KESLING GIZI LAB
JALAN banteng

NIP 19670906198903 1 005
PERIODE JUNI
STOK
NO NMGENERIK ID ID ANGGARAN SIMO HARGA SATUAN DISTRIBUSI
SATUAN RAWAT PKD patak
PKD CS PKD dieng PKD jojogan PKD paris PKD sembungan PKD sikunang IGD GIGI MTBS KB KIA IVA KESLING GIZI LAB
JALAN banteng
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Alat Suntik Sekali Pakai 0.05 ml biji APBD II / DAK 36 1460 36
2 Alat Suntik Sekali Pakai 1 ml biji APBD II / DAK 2 881 2
3 Alat Suntik Sekali Pakai 0.3 ml biji APBD II / DAK 600 1255
4 Alat Suntik Sekali Pakai 3ml biji Program imunisasi 100 902 100
Dasar
Program imunisasi
5 Alat Suntik Sekali Pakai 0.5 ml biji 400 904 100
Dasar
APBD II / DAK
6 Alkohol swab pcs 100 79 100
7 Alkohol swab pcs APBD II / DAK 1100 79
8 Alopurinol tab 100 mg tablet Program Covid19 200 87 200
9 alopurinol tab 300mg tablet Program Covid19 100 200 100
10 amlodipin tab 10mg tablet APBD II / DID 1000 70 900 100
11 amlodipin tab 5 mg botol APBD II / DID 1200 53 600 300 300
12 Amoksisilin kaplet 500 mg Tablet APBD II / DAK 1100 249 1100
13 Amoksisilin kaplet 500 mg tablet APBD II / DAK 1000 253 200 100 100 200
14 Antasida DOEN Suspensi botol APBD II / DAK 30 1679 25 5
15 Antasida DOEN tablet tablet APBD II / DAK 1000 58 400 100 200 100 200
16 Asam Ascorbat (Vit C) tab 250 mg tablet APBD II / DAK 600 119 400 200
17 Asam Ascorbat (Vit C) tab 50 mg tablet APBD II / DAK 2000 105 2000
18 Asam Ascorbat (Vit C) tab 50 mg tablet APBD II / DAK 600 105 300 300
19 asam asetilsalisilat tab (asetosal) 80mg tablet APBD II / DAK 100 89.81 100
20 asam folat tab 1 mg tablet APBD II / DID 500 56 300 100 100
21 Asam Mefenamat tab 500 mg tablet APBD II / DAK 800 111 400 100 100 100 100
22 Attapulgit (Antidiare) tab tablet APBD II / DAK 100 145 100
23 Betahistin mesilat tab 6mg Tube APBD II / DAK 100 89 100
24 Betametason cream 0,05 % Tube APBD II / DAK 35 1540 17 5 10 3
25 Bisoprolol 5mg tablet APBN 60 138 60
26 cefadroxil kapsul 500mg tablet APBD II / DAK 200 388 200
27 Cefadroxil syr 125mg botol APBD II / DAK 50 4185 50
28 cetirizine tab 10mg tablet Program Covid19 400 49 300 100
29 clindamicin kapsul 300mg tablet APBD II / DAK 50 522 50
30 Deksametason tab 0,5 mg tablet APBD II / DAK 800 34 600 200
31 Diazepam lar rectal tube 5 mg/2,5 ml suppo APBD II / DAK 1 12573 1
32 Domperidon tab 10 mg tablet APBD II / DAK 200 71 100 100
33 Fenofibrat 100mg tablet APBD II / DAK 50 477 50
34 Furosemid tab 40 mg tablet APBD II / DAK 600 82 600
35 Garam oralit kombinasi sachet APBD II / DAK 100 274 100
36 Gentamisin Tetes Mata 0,3% Tube APBD II / DAK 5 4520 5 5
37 Glimepiride tab 2 mg tablet APBD II / DAK 200 123 200
38 Glukosa larutan infus 5 % steril 500ml tablet APBD II / DAK 2 7363 2
39 hand sanitizer 500 ml (alkohol 70% + chlorhexidinebotol APBD II / DAK 5 34000 1 1 1
40 Handscoon panjang no. 8.5 (L) pcs APBD II / DAK 50 39100
41 Handscoon pendek non steril no 7.5 (L) pcs APBD II / DAK 50 4272.72728
42 Handscoon pendek steril no 7 (M) pcs APBD II / DAK 100 2772
43 Hidroklorotiazid ( HCT ) tab 25 mg tablet APBD II / DAK 400 148 200 200
44 Hidrokortison cream 2,5 % Tube APBD II / DAK 16 2475 16
45 Kalsium Hidroksida Pasta tablet APBD II / DAK 1 102000 1
46 Kalsium Lactat ( Kalk ) tab 500 mg tablet APBD II / DAK 1100 63 400 100 100 200 300
Program imunisasi
47 Kaptopril tab 12,5 mg tablet 100 66 100
Dasar
48 Kotrimokzasol tablet 480 mg tablet APBD II / DAK 100 151 100
49 Kloramfenikol salep kulit 2% Tube APBD II / DAK 16 3266 16
Program imunisasi
50 Kasa Pembalut hidrofil 16 x 16 pcs 1 3500 1
Dasar
Program imunisasi
51 Ketokonazol cream 2% Tube Dasar 10 2370 10
Program imunisasi
52 Klorfeniramin Maleat ( CTM ) tab 4 mg tablet 2000 23 1400 200 100 300
Dasar
53 Lidokain murni inj 2 % vial APBD II / DID 5 1221 5
54 masker bedah pcs APBD II / DID 2850 500 2850
55 Masker KN-95 pcs APBD II / DID 44 41233 44
56 Metformin 850mg tablet APBD II / DID 900 153 700 200
57 metilprednisolon tab 4 mg tablet APBD II / DID 200 102 200
58 Metronidazole tab 500 mg tablet APBD II / DID 100 133 100
59 mometason cream 0,1% Tube APBD II / DID 6 5795 6
60 N-asetil sistein tab 200mg tablet APBD II / DID 1140 301 840 60 60 180
61 Natrium Diklofenak tab 25mg tablet APBD II / DID 650 128 450 100 100
62 Natrium Diklofenak tab 50 mg tablet APBD II / DID 600 100 500 100
63 omeprazole kapsul 20mg tablet APBD II / DID 400 129 200 200
64 Parasetamol drop botol APBD II / DID 60 4976 30 20 5 5
65 Parasetamol syr 120mg/5ml botol APBD II / DID 135 1160 105 10 10 5 5
66 Parasetamol tab 500 mg tablet APBD II / DID 3700 97.9 1600 400 200 200 300 200
67 Parasetamol tab 500 mg tablet APBD II / DID 400 124.85 100 300
68 Perak Sulfadiazin cream 1 % Tube APBD II / DID 3 18557 3
69 Piridoxin HCL (vit B 6) tab 10 mg tablet APBD II / DID 500 131 100 100 200 100
70 Plaster polyester non-woven 10cm x 5 m pcs APBD II / DID 2 61050 2
71 Prednison tab 5 mg tablet APBD II / DID 100 68 100
72 Prednison tab 5 mg tablet APBD II / DID 200 73 200
73 Povidon iodin 30ml tablet APBD II / DID 2 3200 2
74 Ranitidin tab 150mg tablet APBD II / DID 500 85 300 200
75 Retinok 200000 iu tablet APBD II / DID 50 553
76 Ringer lactat ( RL ) infus steril btol APBD II / DID 24 7630 4
77 Safetybox pcs APBD II / DID 5 14000
78 Sianokobalamin (B 12) tab 50mcg tablet APBD II / DID 800 43 200 200 200 200
79 Stik HbSAg test pcs APBD II / DID 50 9850 50
80 Stik HIV test kit I pcs APBD II / DID 25 7879 25
81 Tabung Vac-tube EDTA K3 pcs APBD II / DID 100 701.8 100
82 Tambah darah kombinasi ( ferro fumarat 60 mg, astablet APBD II / DID 2600 226 600 300 200 200 300 300 200
83 Tiamin HCL (B 1) tab 50 mg tablet APBD II / DID 1000 57 200 200 200 200 200
84 Vaksin BCG inj 20 DOSIS vial APBD II / DID 1 97780
85 Vaksin Covid 19 AstraZeneca 10 dosis/vial vial APBD II / DID 10 0
86 Vaksin covid 19 coronavac 2 dosis vial APBD II / DID 199 0
87 vaksin covid19 pfizer (6 dosis/vial) vial APBD II / DID 179 0
88 Vaksin DPT-HB-Hib 5 dosis.. vial APBD II / DID 13 81726 2 1 2 1 2 2 2
89 Vaksin hepatitis rekombinan vial APBD II / DID 1 25839
90 Vaksin IPV vial APBD II / DID 9 158994 2 1 1 1 1 1 1
91 Vaksin jerap difteri tetanus (DT) vial APBD II / DID 5 34400
92 Vaksin MR vial APBD II / DID 5 166265 1 1 1 1
93 Vaksin polio bivalent 10 dosis vial APBD II / DID 11 21494 2 2 1 2 2 2
94 Vaksin polio bivalent 10 dosis vial APBD II / DID 2 23643 1
95 Vaksin Tetanus (Td) vial APBD II / DID 24 18128
96 Vitamin B kompleks tab tablet APBD II / DID 1800 89 1200 200 200 200
97 Zink tab tablet APBD II / DID 200 208 200
TOTAL

STOK
DISTRIBUSI
JALAN banteng

NIP 19670906198903 1 005
JUMLAH TOTAL NILAI DISTRIBUSI

PERIODE JANUARI-FEBUARI 2022 ###
PERIODE MARET 2022 ###
PERIODE APRIL 2022 ###
PERIODE MEI 2022 ###
PERIODE JUNI 2022 ###
TOTAL DISTRIBUSI JAN-JUNI 2022= ###
STOK
ID DISTRIBUSI
NO NMGENERIK SATUAN ID ANGGARAN SIMO HARGA SATUAN
JALAN banteng
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
1 Acyclovir tab 400mg tablet APBD II / DAK 50 407 50
Program imunisasi
5 Alat Suntik imunisasi 5 ml pcs Program 43 1583
Dasar
6 Alat Suntik imunisasi 5 ml pcs Surveilans dan 100 1500
7 Alat Suntik Sekali Pakai 0.05 ml pcs Imunisasi
APBN 64 1460 64
8 Alat Suntik Sekali Pakai 0.3 ml pcs Program Covid19 100 1255
9 Alat Suntik Sekali Pakai 0.5 ml pcs APBD II / DID 1500 904 100
11 Alat Suntik Sekali Pakai 0.5 ml pcs Program Covid19
Program 400 1165
12 Alat Suntik Sekali Pakai 0.5 ml pcs Surveilans
Program dan 510 1050
Surveilans dan 190 1050
14 Alat suntik sekali pakai 3 ml pcs Imunisasi
APBD II / DAK 14 693
15 Alat suntik sekali pakai 3 ml pcs APBD II / DAK 70 902
16 Alat suntik sekali pakai 3 ml pcs Program Covid19 16 569
17 Albendazol tab 400 mg tablet APBN
Program 3000 282.62
18 Alkohol swab pcs Surveilans dan 500 79
19 Alkohol swab pcs Imunisasi
Program Covid19 1300 79 200
20 Alkohol swab pcs APBN 0 99.75
21 Alkohol swab pcs APBD II / DID
Program 0 75
22 Alkohol swab pcs Surveilans dan 500 79
23 Alkohol swab pcs Imunisasi
Program Covid19 1000 79
24 Alkohol swab pcs Program Covid19 500 79
25 Alkohol swab pcs APBD II / DID 1000 71
26 Alkohol swab pcs APBD II / DID 100 71 100
28 Alkohol swab pcs Program Covid19 100 79 100
30 Alkohol swab pcs APBD II / DAK 500 127.82
31 Alkohol swab pcs APBD II / DID 200 71 200
33 Alopurinol tab 100 mg tablet APBD II / DAK 100 87 100
36 alopurinol tab 300mg tablet APBD II / DAK 0 200 0
37 amlodipin tab 10mg tablet APBD II / DAK 200 70 200
40 amlodipin tab 5 mg tablet APBD II / DAK 200 53 200
54 Amoksisilin kaplet 500 mg tablet APBN 100 249 100 0
APBD II / DAK
57 Amoksisilin kaplet 500 mg tablet 1200 201 1000
Obat
60 Amoksisilin kaplet 500 mg tablet APBD Propinsi 100 253 100
APBD II / DAK
61 Amoksisilin syr kering 250mg/5ml botol 45 3529.8 45
Obat
62 Antasida DOEN Suspensi botol APBD II / DAK 10 1679 10
72 Antasida DOEN tablet tablet APBD II / DAK 100 58 100
73 Antasida DOEN tablet tablet APBN 100 58 100
APBD II / DAK
89 Anti Bakteri DOEN Salep tube 25 3509 25
Obat
90 Anti Hemoroid DOEN Supp supp APBN 8 3167 8
94 Anti Hemoroid DOEN Supp supp APBD II / DAK 28 3167 28
APBD II / DAK
96 Antifungi DOEN kombinasi tube 10 3477 10
Obat
97 Antimigren DOEN tablet APBD II / DAK 300 185 300
98 Aqua pro inj steril, bebas pirogen vial Pusat(APBN) 6 2860
99 Aqua pro inj steril, bebas pirogen vial Pusat(APBN) 10 2860
STOK
DISTRIBUSI
JALAN banteng
APBD II / DAK
100 Articulating paper DIS-170 pack 1 210900 1
Obat
APBD II / DAK
101 Articulating paper DIS-171 pack 1 219000 1
Obat
102 Asam Ascorbat (Vit C) tab 250 mg tablet APBD II / DID 2800 119 2800
104 Asam Ascorbat (Vit C) tab 250 mg tablet APBD II / DID 0 119
105 Asam Ascorbat (Vit C) tab 250 mg tablet APBD II / DID 1300 119
112 Asam Ascorbat (Vit C) tab 50 mg tablet APBN 200 105
114 Asam Ascorbat (Vit C) tab 50 mg tablet APBN 2000 105 2000
116 Asam Ascorbat (Vitamin C) Tab 500 mg tablet APBN 0 198
117 Asam Ascorbat (Vitamin C) Tab 500 mg tablet APBD II / DAK 100 225 100
121 asam asetilsalisilat tab (asetosal) 80mg tablet APBD II / DAK 100 89.81 50 50
122 asam folat tab 1 mg tablet APBD II / DAK 200 56 200
128 Asam Mefenamat tab 500 mg tablet APBD II / DAK 200 111 0
129 Asam Mefenamat tab 500 mg tablet APBD II / DID 300 194.7 300
142 Betahistin mesilat tab 6mg tablet APBD II / DAK 200 89 200
144 Betametason cream 0,05 % tube APBN 1 1430 1
145 Betametason cream 0,05 % tube APBD II / DAK 3 1540 3
149 Bisoprolol 5mg tablet APBD II / DAK 200 138 200
150 Boor Gigi (set isi 6) pack APBD II / DID 0 200000 0
151 Boor Gigi (set isi 6) pack APBD II / DAK 1 245000 1
152 Box Slides pcs APBD II / DID 1 37717 1
153 Box Slides pcs APBD II / DID 1 37717 1
154 Box Slides pcs APBD II / DID 0 37717
155 Box Slides pcs APBD II / DID 0 37717
APBD II / DAK
156 Candesartan 16mg tablet 60 322 60
Obat
157 cefadroxil kapsul 500mg kapsul APBD II / DAK 100 388 100
158 Cefixime kapsul 200mg kapsul APBD II / DAK 100 749 100
159 cetirizine tab 10mg tablet APBD II / DAK 600 49 600
160 Deksametason tab 0,5 mg tablet APBD II / DAK 1900 34 1900
161 Devitalisasi pasta ( Non Arsen ) pot APBD II / DID 0 217000 0
APBD II / DAK
162 Devitalisasi pasta ( Non Arsen ) pot 1 205000 1
Obat
163 Diazepam tab 5 mg tablet APBD Propinsi 10 109 10
164 Diazepam tab 5 mg tablet APBD Propinsi 90 109
165 Disinfektan / Lisol 1000 ml botol APBD II / DID 5 40700
166 Disinfektan / Lisol 1000 ml botol APBD II / DAK 13 53066.6666667
167 Disinfektan / Lisol 1000 ml botol APBD II / DAK 3 53066.6666667
168 Disinfektan / Lisol 5000 ml botol APBD II / DID 1 1098900 1
169 domperidon syr 5mg/5ml botol APBD II / DAK 19 2296 19
171 Domperidon tab 10 mg tablet APBD II / DAK 200 71 200
175 Epinefrin HCl (Adrenalin) inj 0,1% - 1 ml ampul APBD Propinsi 14 1408 14 0
APBD II / DAK
176 Etil klorida / propane / butane spray botol 1 292485 1
Obat
APBD II / DAK
177 Etil klorida / propane / butane spray botol 2 292485 2
Obat
178 Eugenol cairan botol APBD II / DAU 2 88000 2
APBD II / DAK
179 Fitomenadion ( Vit K1) tab salut 10 mg tablet 100 748 100
Obat
APBD II / DAK
180 Fitomenadion ( Vit K1) tab salut 10 mg tablet 50 748 50
Obat
181 Furosemid tab 40 mg tablet APBN 650 82 650
184 Garam oralit kombinasi sachet APBD II / DAK 40 274
188 Garam oralit kombinasi sachet program Diare 0 260
APBD II / DAK
191 Gentamisin salep mata tube 24 2689 24
Obat
192 Gentamisin Tetes Mata 0,3% botol APBD II / DAK 10 4520 10
200 Gentian violet larutan 1 % pot APBD II / DAK 6 2710.21021021 6
201 Gentian violet larutan 1 % pot APBD II / DAK 1 2710.21021021
202 Gentian violet larutan 1 % pot APBD II / DAK 29 2710.21021021
203 Gentian violet larutan 1 % pot APBD II / DAK 2 2710.21021021 2
204 Glibenklamidum tab 5 mg tablet APBD II / DAK 100 83 100
APBD II / DAK
209 Glimepiride tab 2 mg tablet 200 123 200
Obat
APBD II / DAK
Obat
215 Glukosa larutan infus 5 % steril 500ml botol APBD II / DID 6 7363 6
216 Gown buah APBD II / DID 0 33000
217 Gown buah APBD II / DID 50 32727
218 Griseofulvin (micronized) tab 500 mg tablet APBD II / DAK 100 839 100
APBD II / DAK
219 Handscoon pendek non steril no 6.5 (S) pasang 120 1640 120
BMHP
APBD II / DAK
220 Handscoon pendek non steril no 7 (M) pasang 500 1640 0
BMHP
APBD II / DAK
221 Handscoon pendek non steril 6.5 (S) pasang 100 1640 50 50
BMHP
222 Handscoon pendek non steril no 7.5 (L) pasang APBD II / DID 100 4272.72728
APBD II / DAK
223 Handscoon pendek non steril no 7.5 (L) pasang 400 1640
BMHP
224 Handscoon pendek steril no 6.5 (S) pasang APBD II / DID 40 2772
225 Handscoon pendek steril no 7 (M) pasang APBD II / DID 50 2772 50
APBD II / DAK
226 Hepatoprotektor tab (Curcuma tablet) tablet 120 681.45 120
Obat
227 Hepatoprotektor tab (Curcuma tablet) tablet APBD II / DAU 200 539
228 Hidroklorotiazid ( HCT ) tab 25 mg tablet APBD II / DAK 500 148 500
229 Hidrogen peroksida 1 3360 1
STOK
DISTRIBUSI
JALAN banteng
233 Hidrokortison cream 2,5 % tube APBD II / DAK 6 2325 6
APBD II / DAK
239 ibuprofen Suspensi 100mg/5ml botol 30 2236 30
Obat
APBD II / DAK
240 Ibuprofen tab 200 mg tablet 100 138 100
Obat
241 IV Catheter no 22 pcs APBD II / DAK 18 5995
242 IV Catheter no 22 pcs APBD II / DAK 82 5995
243 JELLY USG botol APBD II / DAK 2 16000 2
245 Kalsium Hidroksida Pasta tube APBD II / DAK 2 102000 2
246 Kalsium glukonas botol 10 5775
247 Kalsium Lactat ( Kalk ) tab 500 mg tablet APBD II / DAK 100 63 100
261 Kapas pembalut / adsorbens 250 gram rol APBD II / DAK 5 24000
262 Kaptopril tab 12,5 mg tablet APBN 100 66 100
APBD II / DAK
265 Kaptopril tab 25 mg tablet 2 75 2
Obat
266 Kasa Pembalut hidrofil 16 x 16 pack APBD II / DAK 70 3500 40
269 Kasa Pembalut hidrofil 36m x 80 cm rol APBD II / DAK 1 123000
270 Kasa Pembalut hidrofil 36m x 80 cm rol APBD II / DAK 0 123000
271 Kasa Pembalut hidrofil 4m x 10 cm rol APBD II / DAK 22 1451.7 22
272 Ketokonazol cream 2% tube APBD II / DAK 2 2370 2
APBD II / DAK
273 Ketorolac inj 30mg ampul 10 847 10
Obat
274 Kloramfenikol salep kulit 2% tube APBD II / DAK 16 3266 16
277 Klorfeniramin Maleat ( CTM ) tab 4 mg tablet APBD II / DAK 2900 23 2900
290 Klorfenol Kamfer Mentol (CHKM) botol APBD II / DID 1 65000 1
APBD II / DAK
291 Klorfenol Kamfer Mentol (CHKM) botol 1 53400 1
Obat
292 Klorheksidin 2% botol APBD II / DAK 1 220000 1
293 Kotrimoksasol dewasa 480mg tablet APBD II / DAK 100 151 100
294 Kotrimoksasol Syr 240mg/5ml - 60ml botol APBD II / DAK 13 2190 13
300 Lidokain + epineprin inj ampul APBN 8 1229 6 2
301 Lidokain murni inj 2 % ampul APBN 10 1221 10
303 Lidokain murni inj 2 % ampul APBD II / DAK 0 1144
304 Lidokain murni inj 2 % ampul APBN 0 1221
305 Loratadine tablet APBD II / DAK 50 131 50
306 Magnesium sulfa inj (IV) 20 % / 25 ml vial Program KIA 10 4090
APBD II / DAK
307 Magnesium sulfa inj (IV) 40 % / 25 ml vial 10 4090
Obat
308 masker bedah pcs APBD II / DID 300 540
APBD II / Covid2
309 masker bedah pcs 280 1100
(BTT)
313 Masker N95 pcs APBD II / Covid 1 47500
314 Masker N95 pcs APBD II / Covid 20 19900 20
APBD II / DAK
315 Metformin 500mg tablet 750 77.7 750
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
319 Metformin 500mg tablet APBD II / DAK 0 102 0
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
329 Metilergometrin Maleat inj 0,200 mg - 1 ml ampul 10 1032 0
Obat
APBD II / DAK
330 Metilergometrin Maleat tab 0,125 mg tablet 100 214 100
Obat
APBD II / DAK
331 Metilergometrin Maleat tab 0,125 mg tablet 100 214 100
Obat
332 metilprednisolon tab 4 mg tablet APBD II / DAK 1100 102 1100
337 Metronidazole syr botol APBD II / DAK 10 3950 10 10
338 Metronidazole syr botol APBD II / DAK 30 3950
339 Metronidazole tab 500 mg tablet APBD II / DAK 100 133 100
340 mineral mix sachet /8gr sachet program Gizi 20 2981 20
341 Nasal Oksigen size L pcs APBD II / DAK 9 5200 6
342 Nasal Oksigen size L pcs APBD II / DAK 0 5200
343 Nasal Oksigen size M pack APBD II / DAK 5 5200 5
344 N-asetil sistein tab 200mg tablet APBD II / DAK 220 301 220
STOK
DISTRIBUSI
JALAN banteng
369 Natrium Bikarbonat tab 500 mg tablet APBD II / DAU 100 48.4 100 0
370 Natrium Diklofenak tab 25mg tablet APBD II / DAK 10 128 10
377 Natrium Diklofenak tab 50 mg tablet APBD II / DAK 100 99 100
APBD II / DAK
381 Natrium Diklofenak tab 50 mg tablet 1000 100 1000
Obat
APBD II / DAK
Obat
386 Natrium Fusidat Salep 2% tube APBD II / DAK
Program 5 4699 5
387 Natrium Klorida Larutan infus 0,9 % 10 ml botol Surveilans dan 24 3280
388 Natrium Klorida Larutan infus 0,9 % 10 ml botol Imunisasi
Program
389 Natrium Klorida Larutan infus 0,9 % 10 ml botol Surveilans dan 1 3280 1
390 Natrium Klorida larutan infus 0,9 % 500ml botol Imunisasi
APBN 3 6840 3
391 Natrium Klorida larutan infus 0,9 % 500ml botol APBD II / DAK 0 6840 0
392 Natrium Klorida larutan infus 0,9 % 500ml botol APBN 1 6840 1
APBD II / DAK
393 Nifedipin tab 30 mg lepas lambat (orros) tablet 50 3986 50
Obat
APBD II / DAK
394 Nifedipin tab 30 mg lepas lambat (orros) tablet 10 3986 10
Obat
395 OAT FDC kategori 1 paket Program TB 4 416696 4
396 OAT FDC anak 2 248310 2
397 ofloxacin tablet salut selaput 400 mg tablet APBD II / DAK 50 616 50
401 Oksitetrasiklin HCL salep mata 1 % tube APBD Propinsi 25 3500 0
402 Oksitoksin inj 10 IU/ ml - 1 ml ampul APBD II / DID 13 1199
403 Oksitoksin inj 10 IU/ ml - 1 ml ampul APBD II / DAK 67 1126
404 omeprazole kapsul 20mg kapsul APBD II / DAK 200 129 200
408 Ondansentron inj ampul APBD II / DAK 10 881 10
409 Parasetamol drop botol APBD II / DAK 3 4976 3
APBD II / DAK
413 Parasetamol drop botol 46 4976 0
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
428 Parasetamol syr 120mg/5ml botol 100 1170.55 0
Obat
429 Parasetamol syr 120mg/5ml botol APBD II / DAK 22 1160 22
APBD II / DAK
431 Parasetamol syr 120mg/5ml botol 45 1170.55
Obat
443 Parasetamol tab 500 mg tablet APBD II / DID 1300 97.9 1100
462 Perak Sulfadiazin cream 1 % tube APBD II / DAK 1 18557 1
463 Perak Sulfadiazin cream 1 % tube APBD II / DAK 3 18557 3
APBD II / DAK
464 Permetrin cream 5% 30gr tube 30 11250 30
Obat
465 Permetrin cream 5% 30gr tube APBD II / DAK 0 11250 0
APBD II / DAK
466 Permetrin cream 5% 30gr tube 10 11250 10
Obat
467 Piridoxin HCL (vit B 6) tab 10 mg tablet APBN 0 131 0
471 Piridoxin HCL (vit B 6) tab 10 mg tablet APBD II / DAK 0 131 0
479 Plaster 5 yard x 2 inch rol APBD II / DAK 1 29700 1
480 Plaster 5 yard x 2 inch rol APBD II / DAK 1 29700 1
481 Plaster polyester non-woven 10cm x 5 m rol APBD II / DAK 3 61050 3
484 Plaster polyester non-woven 10cm x 5 m rol APBD II / DAK 0 61050
486 Plaster polyester Non-woven 5cm x 10m rol APBD II / DAK 0 43850
487 Plastik pembungkus obat Klip 10 x 7 pack Program Filariasis 100 9800 100
488 Povidon Iodine 10% 30 ml botol APBD II / DID 1 3200 1
490 Povidon Iodine 10% 30 ml botol APBD II / DID 4 3200 1 1 1 1
STOK
DISTRIBUSI
JALAN banteng
492 Povidon Iodine 10% 300 ml botol APBD II / DID 2 21000 1 1
493 Prednison tab 5 mg tablet APBD II / DAK 100 68 100
496 Ranitidin tab 150mg tablet APBD II / DAK 0 85 0
503 RDT covid19 Antigen buah Program Covid19 50 97450 50
504 Retinol 100000 IU kapsul 150 305 150
505 Retinol 200000 iu kapsul 1100 11.06 1100
506 RDT covid19 Antigen buah Program Covid19 250 97450 250
507 Reagen Cat Ziehl Nielsen (carbilfusin, etanol APBD II / DAK
kit 0 224235
asam, metilen blue) Program
508 Reagen golongan darah serum anti A botol APBD II / DAK 2 29100 2
509 Reagen golongan darah serum anti B botol APBD II / DAK 2 29100 2
510 Reagen golongan darah serum Anti D (anti RH) botol APBD II / DID 0 103209.302326
511 Rifapentine 300 mg / Isoniazid 300 mg tablet Program TB 720 6561
512 Ringer lactat ( RL ) infus steril botol APBD II / DAK 0 7150
513 Ringer lactat ( RL ) infus steril botol APBN 41 7630
514 Sabun Cuci Tangan (Handwash) 4 Liter botol Program Covid19
Program 1 45000
515 safety box pcs Surveilans dan
Program 5 14000 1
516 safety box pcs Imunisasi dan
Surveilans 21 16500 1
517 safety box pcs Imunisasi
Program
518 safety box pcs Surveilans dan
Program 5 14000 1
519 safety box pcs Imunisasi dan
520 safety box pcs Imunisasi
521 Salbutamol lar respirator utk nebulizer 1 mg/ml ampul APBD II / DAK 1 4800 1
522 Salbutamol tab 2 mg tablet APBD II / DAK 200 67 200
523 Salep 2 - 4 pot APBD II / DAK 7 2796 7
525 Sepatu Boot pasang Program Covid19 2 102300 2
526 Serum HBIG (Hiperheb) ampul program Diare 1 1325000 1
527 Sianokobalamin (B 12) tab 50mcg tablet APBD II / DAK 300 49 300
APBD II / DAK
532 Sianokobalamin (B 12) tab 50mcg tablet 100 43 100
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
541 Silk No. 2/0 + jarum pcs APBD II / DID 36 20300 36
542 Silk No. 3/0 + jarum pcs APBD II / DAK 36 44440 36
543 simvastatin tab 10mg tablet APBD II / DAK 150 68 150
Obat
APBD II / DAK
544 simvastatin tab 10mg tablet 150 68 150
Obat
545 slide/d-glass/objek glass BTA pack Program TB 5 21747 5
546 Spoon gelatin cubicles 1 x 1 x 1 cm pcs APBD II / DAK 1 48000 1
547 Stik glukosa strip APBD II / DAK 0 3124
548 Stik HbSAg test strip program Diare 0 9850
549 stik hemoglobin (Hb) strip APBD II / DAK 0 8030
550 stik hemoglobin (Hb) strip APBD II / DAK 0 8030
APBD II / DAK
551 stik hemoglobin (Hb) strip 100 7814.4 100
BMHP
Program HIV AIDS
552 Stik HIV test kit I strip 0 8094
(ARV)
Program HIV AIDS
553 Stik HIV test kit I strip 0 7879
(ARV)
Program HIV AIDS
554 Stik HIV test kit I strip 100 7879 100
(ARV)
APBD II / DAK
555 Stik HIV test kit I dan siphilis (combo) strip 100 16566.47 100
Program
Program HIV AIDS
556 Stik HIV test kit II strip 0 13235
(ARV)
APBD II / DAK
557 Stik Rapid Test Sifilis II (Human) strip 0 14000
Program
APBD II / DAK
558 Stik Rapid Test Sifilis II (Human) strip 50 14000 50
Program
APBD II / DAK
559 sukralfat 500mg tablet 100 224 100
Obat
560 sukralfat syr 500mg/5ml botol APBD II / DAK 26 4989 26
563 Tabung Vac-tube EDTA K3 pcs APBD II / DAK 200 701.8 200
564 Tambah darah kombinasi ( ferro fumarat 60 mg, tablet program Gizi 100 226 100
asam folat 0,4 mg)
asam folat 0,4 mg)
asam folat
Tambah 0,4 mg)
darah kombinasi ( ferro fumarat 60 mg,
567 asam folat 0,4 mg) tablet program Gizi 1300 226 300 1000
asam folat 0,4 mg)
asam folat 0,4 mg)
570 Tambah darah kombinasi ( ferro fumarat 60 mg, tablet APBD II / DAK 300 226 300
asam folat 0,4 mg)
asam folat 0,4 mg)
asam folat
Tambah 0,4 mg)
573 tablet program Gizi 200 226 200
asam folat 0,4 mg)
asam folat 0,4 mg)
575 Tambah darah kombinasi ( ferro fumarat 60 mg,
asam folat 0,4 mg) tablet program Gizi 300 226 300
asam folat
Tambah 0,4 mg)
577 asam folat 0,4 mg) tablet program Gizi 100 226 100
Tambah darah kombinasi ( ferro fumarat 60 mg,
578 asam folat 0,4 mg) tablet program Gizi 200 226 200
asam folat 0,4 mg)
asam folat 0,4 mg)
581 Tambah darah kombinasi ( ferro fumarat 60 mg, tablet APBD II / DAK 100 226 100
asam folat 0,4 mg)
asam folat 0,4 mg)
asam folat 0,4 mg)
asam folat 0,4 mg)
asam folat 0,4 mg)
586 Tiamin HCL (B 1) tab 50 mg tablet APBD II / DAK 100 57 100
602 tranfusion set pcs APBD II / DAK 22 9548 5
603 tranfusion set pcs APBD II / DAK 0 9548
604 tuberkulin PPD (test ktk 5vialx1,5ml) kit Program TB
Program 1 625800 1
605 Vaksin BCG inj 20 DOSIS vial Surveilans dan
Program 10 97117
606 Vaksin BCG inj 20 DOSIS vial Imunisasi dan
Surveilans 6 97780 1 3
Program
607 Vaksin BCG inj 20 DOSIS vial Imunisasi
Surveilans dan 1 97780 1
Program
Program
Program
Program
611 Vaksin Covid 19 AstraZeneca 10 dosis/vial vial Imunisasi
Surveilans dan 0 0
Program
612 Vaksin Covid 19 Coronavac (2 dosis/vial) vial Imunisasi dan
Surveilans 80 0
Program
613 Vaksin Covid 19 MODERNA multidose (14 Imunisasi dan
vial Surveilans
Program 3 0
Dosis/Vial)
614 vaksin covid19 pfizer (6 dosis/vial) vial Imunisasi
Surveilans dan 20 0
Program
615 vaksin covid19 pfizer (6 dosis/vial) vial Imunisasi dan
Surveilans 15 0
Program
Surveilans 25 0
Program
617 Vaksin DPT-HB-Hib 5 dosis vial Imunisasi dan
Surveilans 42 85103 4 3 3
Program
618 Vaksin DPT-HB-Hib 5 dosis vial Imunisasi
Program
Program
Program
Imunisasi
STOK
DISTRIBUSI
Program JALAN banteng
622 Vaksin DPT-HB-Hib 5 dosis vial Surveilans dan
Program 1 85103 1
Program
Program
Program
Program
Program
Program
Program
Program
Program
Program
Program
Program
Program
Program
Program
Program
639 Vaksin hepatitis B rekombinan inj 0,5 ml (Anak) vial Imunisasi dan
Surveilans 37 25839
Program
640 Vaksin HPV 1 dosis/vial vial Imunisasi
Program
641 Vaksin IPV vial Imunisasi dan
Surveilans 3 157072
Program
Surveilans 6 158994
Program
Program
644 Vaksin IPV vial Imunisasi
Program
Program
Program
Program
Program
Program
Program
Program
Program
Program
Program
Program
Program
Program
Program
659 Vaksin jerap difteri tetanus (DT) vial Imunisasi
Program
660 vaksin meningitis vial Imunisasi dan
Surveilans 5 135000
Program
661 Vaksin MR vial Imunisasi dan
Surveilans 127 167860 3 3 9
Program
Surveilans 30 169386
Program
663 Vaksin MR vial Imunisasi
Program
Program
Program
Program
Program
Program
Program
Program
Program
Program
Program
Program
Program
Program
677 Vaksin polio bivalent 10 dosis vial Imunisasi dan
Surveilans 65 21494 3 3 3
Program
678 Vaksin polio bivalent 10 dosis vial Imunisasi
Program
Program
Program
Program
Program
Program
Program
Program
Program
Program
Program
Program
Program
Program
Program
Program
Program
Program
Program
Program
Program
Program
700 Vaksin Tetanus (Td) vial Imunisasi
701 Vitamin B kompleks tab tablet Imunisasi
APBD II / DAK 0 115 0
702 Vitamin B kompleks tab tablet APBN 400 89 400
705 Vitamin B kompleks tab tablet APBD II / DAK 0 89 0
APBD II / DAK
707 Vitamin B kompleks tab tablet 100 57 100
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
718 vitamin Imunomodulator tablet 30 1958 30
Obat
719 Zinc drops 10 mg/ml botol APBD II / DAK 0 5051 0
720 Zinc drops 10 mg/ml botol APBD II / DAK 28 5051 28
APBD II / DAK
721 Zink Sirup 20mg/5 ml botol 26 2511 26
Obat
APBD II / DAK
Obat
723 Zink tab tablet APBD II / DAK 100 208 100
TOTAL

MUTASI DARI GUDANG KE UNIT
NO NAMA OBAT SATUAN Anggaran SIMO Harga Satuan STOK DISTRIBUSI
1 2 3 4 5 6 RAWAT PKD CS PKD PKD jojogan PKD paris PKD patak PKD sembungan PKD sikunang IGD GIGI MTBS KB POSBINDU KIA IFK wsb GIZI LAB VK
JALAN dieng banteng
1 Acyclovir tab 400mg tablet APBD II / DAK

Program 50 407 50
2 Alat Suntik imunisasi 5 ml pcs Surveilans dan 100 1500
7 Alat Suntik Sekali Pakai 0.5 ml pcs Surveilans dan 400 1050
STOK
DISTRIBUSI
JALAN banteng
10 Alat suntik sekali pakai 3 ml pcs APBD II / DAK 100 693 100
11 Alat suntik sekali pakai 3 ml pcs APBD II / DAK 100 693 100
12 Alat Suntik Sekali Pakai 5 ml pcs APBD II / DAK 350 839
13 Alkohol 95% 1000 ml botol APBD II / DID 300 75 300
17 Alkohol swab pcs APBD II / DID 800 71
APBD II / DAK
BMHP
APBD II / DAK
BMHP
APBD II / DAK
32 amlodipin tab 10mg tablet 1000 70 1000
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
39 amlodipin tab 10mg tablet Obat 200 70 200
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
45 amlodipin tab 5 mg tablet 300 53.48 300
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
55 Amoksisilin kaplet 500 mg tablet APBD Propinsi 2000 253 1600 400
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
66 Amoksisilin syr kering 250mg/5ml botol APBD II / DAK 0 3628 0
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
88 Antifungi DOEN kombinasi tube APBD II / DAK 14 4798 14
89 Aqua pro inj steril, bebas pirogen vial APBN 1 2860 1
90 Asam Ascorbat (Vit C) tab 50 mg tablet APBD II / DAK 0 42
91 Asam Ascorbat (Vit C) tab 50 mg tablet APBN 100 105 100
95 Asam Ascorbat (Vitamin C) Tab 500 mg tablet APBD II / DAK 1100 225 1000 100
104 asam asetilsalisilat tab (asetosal) 80mg tablet APBD II / DAK 100 105
105 asam asetilsalisilat tab (asetosal) 80mg tablet APBD II / DAK 0 105 0
APBD II / DAK
116 Asam Mefenamat tab 500 mg tablet 300 111 300
Obat
APBD II / DAK
117 Asam Mefenamat tab 500 mg tablet Obat 200 111 200
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
128 Asam traneksamat tab 500 mg tablet 100 1712 100
Obat
134 Azitromisin tab 500 mg tablet Program Covid19 0 1250 0
135 Azitromisin tab 500 mg tablet Program Covid19 100 1250 100
APBD II / DAK
137 Betahistin mesilat tab 6mg tablet 300 89 300
Obat
APBD II / DAK
139 Betametason cream 0,05 % tube 10 1554 10
Obat
140 Bisacodil tab tablet BLUD 80 2500 80
APBD II / DAK
144 Bisoprolol 5mg tablet 20 138 20
Obat
APBD II / DID
145 blood lancet pack 9 14319 0 9
Covid
APBD II / DAK
146 Candesartan 16mg tablet 30 322 30
Obat
150 cetirizine syr 5mg/5ml botol APBD II / DAK 50 2090 50
STOK
DISTRIBUSI
JALAN banteng
APBD II / DAK
155 cetirizine tab 10mg tablet 700 49 700
Obat
157 Deksametason inj 5 mg/ml-1 ml ampul APBD II / DAK 14 924 14
158 Deksametason inj 5 mg/ml-1 ml ampul APBD II / DAK 2 924 2
APBD II / DAK
166 Digoksin tab 0,25 mg tablet 100 125 100
Obat
167 Diltiasem tab tablet APBD II / DAK 100 142 100
168 Dimenhidrinat tablet APBD II / DAK 100 112 100
APBD II / DAK
173 Epinefrin HCl (Adrenalin) inj 0,1% - 1 ml ampul 5 1515 3 2
Obat
174 fenol gliserol (karbogliserin) TT 10% botol APBD II / DAK 3 3300 3
175 fenol gliserol (karbogliserin) TT 10% botol APBD II / DAK 20 3300 20
176 Fitomenadion ( Vit K) inj 2 mg/ml 1ml ampul APBD II / DAK 20 1386 20
177 Fitomenadion ( Vit K) inj 2 mg/ml 1ml ampul APBD II / DAK 10 1386 10
APBD II / DAK
178 Framicetin Sulfat kasa gel sachet 10 21536.8 10
Obat
APBD II / DAK
180 Furosemid tab 40 mg tablet 1300 98 1300
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
183 Furosemid tab 40 mg tablet Obat 200 98 200
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
188 Garam oralit kombinasi sachet program Diare 200 280 200
189 Gentamisin salep mata tube APBD II / DAK 5 2689 5
APBD II / DAK
194 Gentamisin Tetes Mata 0,3% botol 5 4561 5
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
213 Gliseril Guayakolat (GG) tab 100 mg tablet BLUD 100 150 100
hand sanitizer 500 ml (alkohol 70% +
214 botol APBD II / DID 19 27400 19
chlorhexidine)
Hand Scrub Sabun Cuci Tangan Cair +
215 botol APBD II / DID 24 30450 24
clorhexidine
216 Handscoon panjang no. 8.5 (L) pasang APBD II / DID 100 39100 100
APBD II / DAK
217 Handscoon pendek non steril no 6.5 (S) pasang 500 1640 50 50 100 200
BMHP
APBD II / DAK
218 Handscoon pendek non steril no 6.5 (S) pasang 80 1640 80
BMHP
APBD II / DAK
219 Handscoon pendek non steril no 7 (M) pasang 300 1640 150 150
BMHP
APBD II / DAK
220 Handscoon pendek non steril no 7.5 (L) pasang 50 1640 50
BMHP
APBD II / DAK
221 Handscoon pendek non steril no 7.5 (L) pasang 100 1640 50 50
BMHP
APBD II / DAK
222 Handscoon pendek non steril no 7.5 (L) pasang 200 1640 200
BMHP
223 Handscoon pendek steril no 6.5 (S) pasang APBD II / DAK 200 8635
224 Handscoon pendek steril no 7 (M) pasang APBD II / DID 50 2772
225 Handscoon pendek steril no 7 (M) pasang APBD II / DID 150 2772
APBD II / DAK
226 Handscoon pendek steril no 7 (M) pasang 50 5332
BMHP
227 Handscoon pendek steril no 7.5 (L) pasang APBD II / DAK 50 8635
APBD II / DAK
Obat
APBD II / DAK
Obat
230 Hidrogen Peroksida 3% botol APBD II / DID 2 3360 2
APBD II / DAK
231 Hidroklorotiazid ( HCT ) tab 25 mg tablet 100 148 100
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
237 Hidrokortison cream 2,5 % tube 9 2325 9
Obat
APBD II / DAK
Obat
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
246 Hyoscine-N-Butilbromide tablet 200 1050 200
Obat
APBD II / DAK
247 ibuprofen Suspensi 100mg/5ml botol 70 2236 70
Obat
APBD II / DAK
248 Ibuprofen tab 200 mg tablet 100 138 100
Obat
249 Infusion set Anak pcs APBD II / DAK 6 5100 6
250 Isosorbid dinitrat tab sublingual 5 mg tablet APBD II / DAK 100 86 100
251 Isosorbid dinitrat tab sublingual 5 mg tablet APBD II / DAK 100 244 100
252 IV Catheter no 18 pcs APBD II / DAK 100 5995 100
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
279 Kasa Pembalut hidrofil 16 x 16 pack APBD II / DAK 18 3500 4 14
280 Kasa Pembalut hidrofil 16 x 16 pack APBD II BMHP 70 4600 49 21
APBD II / DAK
285 Ketokonazol cream 2% tube 10 2370 10
Obat
APBD II / DAK
286 Ketokonazol cream 2% tube 10 2370 10
Obat
287 Ketokonazol cream 2% tube APBD II / DAK 5 2370 5
APBD II / DAK
288 Ketorolac inj 30mg ampul 10 847 10
Obat
289 Kloramfenikol kapsul 500mg kapsul APBD II / DAK 100 1174 100
APBD II / DAK
290 Kloramfenikol salep kulit 2% tube 5 3266 5
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
STOK
DISTRIBUSI
JALAN banteng
299 Klorfeniramin Maleat ( CTM ) tab 4 mg tablet BLUD 300 200 300
308 Kotrimoksasol dewasa 480mg tablet APBD II / DAK 500 151
309 Kotrimoksasol Syr 240mg/5ml - 60ml botol APBD II / DAK 50 2190
APBD II / DAK
311 Lidokain murni inj 2 % ampul 22 847 10 4 8
Obat
313 Lisinopril tab 5 mg tablet APBD II / DAK 400 145 400
317 Loratadine tablet APBD II / DAK 100 131 100
APBD II / DAK
318 Loratadine tablet 100 109 100
Obat
322 masker bedah pcs APBD II / DID 2750 472.7 2750
323 Masker Kain pcs Program Covid19 41 3500
324 Masker KN-95 pcs Program Covid19 40 40000
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
327 Metformin 500mg tablet Obat 200 77.7 200
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
338 metilprednisolon tab 4 mg tablet 500 102 500
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
348 Mucus ekstraktor FR 10 pcs APBD II / DID 1 7040 1
349 multivitamin tab tablet APBN 120 585 120
350 Nasal Oksigen size M pack APBD II / DAK 10 5200 10
APBD II / DAK
353 N-asetil sistein tab 200mg tablet 1140 304 1140
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
380 Natrium Fusidat Salep 2% tube APBD II / DAK 5 4699 5
384 Natrium Klorida Larutan infus 0,9 % 10 ml botol Program Covid19 20 3280
385 Natrium Klorida larutan infus 0,9 % 500ml botol APBN 6 6840 6
APBD II / DAK
386 OAT FDC kategori 1 paket 0 416696
Obat II / DAK
APBD
387 OAT FDC kategori 1 paket 1 416696
Obat
388 obat flu kombinasi tab tablet BLUD 500 750 500
389 obat flu kombinasi tab tablet BLUD 500 750 500
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
415 Parasetamol tab 500 mg tablet APBD II / DID 900 97.9 500 400
416 Parasetamol tab 500 mg tablet APBD II / DAK 1300 124.85
APBD II / DAK
417 Parasetamol tab 500 mg tablet 5000 153.18 5000
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
426 Parasetamol tab 500 mg tablet Obat 200 153.18 200
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
STOK
DISTRIBUSI
JALAN banteng
APBD II / DAK
443 Piridoxin HCL (vit B 6) tab 10 mg tablet 1000 67 1000
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
451 Plaster Bulat Non Woven pcs 200 175 200
Program
APBD II / DID
473 RDT covid19 Antigen buah 50 29600 50
Covid
474 Ringer lactat ( RL ) infus steril botol APBD II / DAK 20 7630 20
475 Ringer lactat ( RL ) infus steril botol APBD II / DAK 63 7630 4 59
476 safety box pcs Program Covid19 5 13600
477 safety box pcs Surveilans dan 1 14000
478 Salbutamol lar respirator utk nebulizer 1 mg/ml ampul Imunisasi
APBD II / DAK 9 4800
486 Salisil bedak 2 % pack APBD II / DAK 0 1025 0
487 Serum HBIG (Hiperheb) ampul program Diare 1 1325000 1
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
508 Spironolacton tab 25mg tablet APBD II / DAK 100 190 100
APBD II / DAK
509 Spironolacton tab 25mg tablet 100 192 100
Obat
APBD II / DAK
510 Stik glukosa strip 1050 3545.72 1050
Program
511 Stik HbSAg test strip APBD II BMHP 100 7343 100
APBD II / DAK
512 stik hemoglobin (Hb) strip 400 7814.4 400
BMHP
Program HIV AIDS
513 Stik HIV test kit I strip 100 7879 100
(ARV)
APBD II / DAK
514 Stik HIV test kit I dan siphilis (combo) strip 50 17723.52 50
Program
515 Stik Rapid Test Sifilis II (Human) strip APBD II BMHP 100 7814.4 100
516 Stik urin 3 parameter (glukosa,pH,protein) strip APBD II BMHP 100 800 100
517 tablet program Gizi 2000 226 1000 1000
asam folat
Tambah 0,4 mg)
asam folat
Tambah 0,4 mg)
asam
Tambah folat 0,4 mg)
asam folat
Tambah 0,4 mg)
asam folat
Tambah 0,4 mg)
asam folat
Tambah 0,4 mg)
523 tablet APBD II / DAK 300 226 300
asam folat
Tambah 0,4 mg)
asam folat
Tambah 0,4 mg)
asam folat
Tambah 0,4 mg)
asam folat 0,4 mg)
asam folat
Tambah 0,4 mg)
asam folat
Tambah 0,4 mg)
asam folat
Tambah 0,4 mg)
asam folat 0,4 mg)
547 tuberkulin PPD (test ktk 5vialx1,5ml) kit Program TB 2 608280 2
548 Underpads 60 x 90 pcs APBD II / DAK 46 7900 46
549 Underpads 60 x 90 pcs APBD II / DAK 100 7900 100
550 urin bag pcs APBD II / DAK 1 5951 1
Vaccutainer Eclipse Blood Colection needle 23G X APBD II / DAK
551 pcs Program 100 2067.0323 100
1,5 Program
552 Vaksin BCG inj 20 DOSIS vial Surveilans dan
Program 10 97117
Surveilans
Program 10 0
Surveilans
Program 20 0
Surveilans
Program 10 0
Surveilans
Program 40 85102
Surveilans
Surveilans dan
Program 10 85102
Surveilans
Program 10 26074
Surveilans
Program 10 26074
561 Vaksin HPV 1 dosis/vial vial Imunisasi dan
Surveilans
Program 13 178750
Surveilans
Program 10 157072
Surveilans
Program 10 157072
Surveilans
Surveilans dan
Program 5 36700
Surveilans
Program 10 169386
Surveilans
Program 10 169386
568 Vaksin PCV 4 dosis vial Imunisasi dan
Surveilans
Program 5 3400000
569 Vaksin PCV 4 dosis vial Imunisasi dan
Surveilans
Program 12 3400000
Surveilans 20 21494
Program imunisasi
Imunisasi
571 Vaksin Tetanus (Td) vial 0 18128
Dasar
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
APBD II / DAK
Obat
STOK
DISTRIBUSI
JALAN banteng
APBD II / DAK
Obat
APBD II / DAK
Obat
588 Vitamin D3 1000 UI tablet Program Covid19 30 634 30
APBD II / DAK
Obat
APBD II / DAK
Obat
591 Yodina Test botol APBD II BMHP 13 36630 13
APBD II / DAK
Obat
APBD II / DAK
Obat
594 Zink tab tablet program Diare 200 208 200
STOK
DISTRIBUSI JUMLAH DISTRIBUSI NILAI KOREKSI KETERANGA
SALDO KOREKSI STOK
UNIT STOK N
VK PENDAFTARAN VAKSINASI
STOK
DISTRIBUSI JUMLAH SALDO KOREKSI STOK NILAI KOREKSI KETERANG
DISTRIBUSI UNIT STOK AN
21 = (jumlah
18 19 20 seluruh kolom 7 22 = (6x21) 23 = (21-5) 24 = (6x23) 25
s/d20)
36 Rp52,560 0 0
2 Rp1,762 0 0
600 600 Rp753,000 0 0
100 Rp90,200 0 0
300 400 Rp361,600 0 0
100 Rp7,900 0 0
1100 1,100 Rp86,900 0 0
200 Rp17,400 0 0
100 Rp20,000 0 0
1,000 Rp70,000 0 0
1,200 Rp63,600 0 0
1,100 Rp273,900 0 0
400 1,000 Rp253,000 0 0
30 Rp50,370 0 0
1,000 Rp58,000 0 0
600 Rp71,400 0 0
2,000 Rp210,000 0 0
600 Rp63,000 0 0
100 Rp8,981 0 0
500 Rp28,000 0 0
800 Rp88,800 0 0
100 Rp14,500 0 0
100 Rp8,900 0 0
35 Rp53,900 0 0
60 Rp8,280 0 0
200 Rp77,600 0 0
50 Rp209,250 0
400 Rp19,600 0 0
50 Rp26,100 0 0
800 Rp27,200 0 0
1 Rp12,573 0 0
200 Rp14,200 0 0
50 Rp23,850 0 0
600 Rp49,200 0 0
100 Rp27,400 0 0
10 Rp45,200 5 22,600
200 Rp24,600 0 0
2 Rp14,726 0 0
1 1 5 Rp170,000 0 0
50 50 Rp1,955,000 0 0
50 50 Rp213,636 0 0
100 100 Rp277,200 0 0
400 Rp59,200 0 0
16 Rp39,600 0 0
1 Rp102,000 0 0
1,100 Rp69,300 0 0
100 Rp6,600 0 0
100 Rp15,100 0 0
16 Rp52,256 0 0
1 Rp3,500 0 0
10 Rp23,700 0 0
2,000 Rp46,000 0 0
5 Rp6,105 0 0
2,850 Rp1,425,000 0 0
44 Rp1,814,272 0 0
900 Rp137,700 0 0
200 Rp20,400 0 0
100 Rp13,300 0 0
6 Rp34,770 0 0
1,140 Rp343,140 0 0
650 Rp83,200 0 0
600 Rp60,000 0 0
400 Rp51,600 0 0
60 Rp298,560 0 0
135 Rp156,600 0 0
800 3,700 Rp362,230 0 0
400 Rp49,940 0 0
3 Rp55,671 0 0
500 Rp65,500 0 0
2 Rp122,100 0 0
100 Rp6,800 0 0
200 Rp14,600 0 0
2 Rp6,400 0 0
500 Rp42,500 0 0
50 50 Rp27,650 0 0
20 24 Rp183,120 0 0
5 5 Rp70,000 0 0
800 Rp34,400 0 0
50 Rp492,500 0 0
25 Rp196,975 0 0
100 Rp70,180 0 0
500 2,600 Rp587,600 0 0
1,000 Rp57,000 0 0
1 1 Rp97,780 0 0
10 10 Rp0 0 0
199 199 Rp0 0 0
179 179 Rp0 0 0
1 13 Rp1,062,439 0 0
1 1 Rp25,839 0 0
1 9 Rp1,430,946 0 0
5 5 Rp172,000 0 0
1 5 Rp831,325 0 0
11 Rp236,434 0 0
1 2 Rp47,286 0 0
24 24 Rp435,072 0 0
1,800 Rp160,200 0 0
200 Rp41,600 0 0
Rp17,751,278
Wonosobo, 30 Juni 2022

STOK
SALDO KOREKSI STOK
UNIT STOK N
Pengelola Farmasi
STOK
DISTRIBUSI JUMLAH NILAI KOREKSI KETERANG
DISTRIBUSI UNIT SALDO KOREKSI STOK STOK AN
VK Progam P2 VAKSINASI
21 = (jumlah
18 19 20 seluruh kolom 7 22 = (6x21) 23 = (21-5) 24 = (6x23) 25
s/d20)
50 20350 0 0
100 40700 0 0
50 20350 0 0
50 20350 0 0
43 43 68069 0 0
100 100 150000 0 0
64 93440 0 0
100 100 125500 0 0
1400 1500 1356000 0 0
200 200 237000 0 0
400 400 466000 0 0
510 510 535500 0 0
190 190 199500 0 0
14 14 9702 0 0
70 70 63140 0 0
16 16 9104 0 0
3000 3000 847860 0 0
500 500 39500 0 0
1100 1300 102700 0 0
0 0 0 0
0 0 0 0
500 500 39500 0 0
1000 1000 79000 0 0
500 500 39500 0 0
1000 1000 71000 0 0
0 100 7100 0 0
300 300 23700 0 0
0 100 7900 0 0
400 400 31600 0 0
500 500 63910 0 0
200 14200 0 0
100 0 0 0
100 8700 0 0
100 8700 0 0
100 8700 0 0
0 0 0 0
200 14000 0 0
30 2100 0 0
500 35000 0 0
200 10600 0 0
300 15900 0 0
0 0 0 0
400 21200 0 0
300 15900 0 0
300 15900 0 0
300 15900 0 0
300 15900 0 0
300 15900 0 0
200 10600 0 0
100 5300 0 0
300 15900 0 0
300 15900 0 0
200 10600 0 0
100 24900 0 0
100 24900 0 0
400 99600 0 0
200 1200 241200 0 0
100 24900 0 0
100 24900 0 0
100 25300 0 0
45 158841 0 0
10 16790 0 0
0 0 0 0
5 8395 0 0
0 0 0 0
49 82271 0 0
0 0 0 0
28 47012 0 0
5 8395 0 0
10 16790 0 0
5 8395 0 0
100 5800 0 0
100 5800 0 0
0 0 0 0
500 29000 0 0
200 11600 0 0
100 5800 0 0
100 5800 0 0
0 0 0 0
200 11600 0 0
200 11600 0 0
100 5800 0 0
100 5800 0 0
100 5800 0 0
200 11600 0 0
200 11600 0 0
100 5800 0 0
200 11600 0 0
25 87725 0 0
8 25336 0 0
0 0 0 0
12 38004 0 0
3 9501 0 0
28 88676 0 0
0 0 47 148849 ED
10 34770 0 0
300 55500 0 0
6 6 17160 0 0
0 0 10 28600 ED
STOK
SALDO KOREKSI STOK
UNIT STOK N
1 210900 0 0
1 219000 0 0
2800 333200 0 0
800 95200 0 0
0 0 0 0
0 0 1300 154700
200 23800 0 0
100 11900 0 0
100 11900 0 0
100 11900 0 0
100 11900 0 0
100 11900 0 0
200 200 21000 0 0
0 0 0 0
2000 210000 0 0
0 0 0 0
0 0 0 0
100 22500 0 0
100 22500 0 0
100 22500 0 0
100 8981 0 0
100 8981 0 0
200 11200 0 0
100 5600 0 0
100 5600 0 0
100 5600 0 0
100 5600 0 0
100 5600 0 0
200 200 22200 0 0
300 58410 0 0
100 11100 0 0
100 11100 0 0
100 11100 0 0
100 11100 0 0
100 11100 0 0
100 11100 0 0
100 11100 0 0
200 29000 0 0
100 14500 0 0
100 14500 0 0
100 14500 0 0
100 14500 0 0
200 17800 0 0
100 8900 0 0
1 1430 0 0
3 4620 0 0
5 7700 0 0
2 2860 0 0
2 2860 0 0
200 27600 0 0
0 0 0 0
1 245000 0 0
1 37717 0 0
1 37717 0 0
0 0 0 0
0 0 0 0
60 19320 0 0
100 38800 0 0
100 74900 0 0
600 29400 0 0
1900 64600 0 0
0 0 0 0
1 205000 0 0
10 1090 0 0
0 0 90 9810
5 5 203500 0 0
13 13 689866.666666667 0 0
3 3 159200 0 0
1 1098900 0 0
19 43624 0 0
5 11480 0 0
200 14200 0 0
50 4550 0 0
50 4550 0 0
0 0 0 0
14 19712 0 0
1 292485 0 0
2 584970 0 0
2 176000 0 0
100 74800 0 0
50 37400 0 0
650 53300 0 0
200 16400 0 0
100 8200 0 0
0 0 40 10960
200 54800 0 0
20 5480 0 0
30 8220 0 0
0 0 0 0
100 27400 0 0
30 8220 0 0
24 64536 0 0
10 45200 0 0
10 45200 0 0
5 22600 0 0
5 22600 0 0
5 22600 0 0
5 22600 0 0
2 9040 0 0
2 9040 0 0
6 16261.2612612613 0 0
0 0 1 2710.21021021
0 0 29 78596.0960961
2 5420.42042042042 0 0
100 8300 0 0
100 8300 0 0
400 49200 0 0
100 12300 0 0
100 12300 0 0
200 24600 0 0
100 12300 0 0
100 12300 0 0
100 18300 0 0
100 18300 0 0
100 18300 0 0
6 44178 0 0
0 0 0 0
50 50 1636350 0 0
100 83900 0 0
120 196800 0 0
500 500 820000 0 0
100 164000 0 0
100 100 427272.728 0 0
50 350 400 656000 0 0
40 40 110880 0 0
50 138600 0 0
120 81774 0 0
0 0 200 107800
500 74000 0 0
1 3360 0 0
STOK
SALDO KOREKSI STOK
UNIT STOK N
400 59200 0 0
200 29600 0 0
100 14800 0 0
6 13950 0 0
28 69300 0 0
2 4950 0 0
2 4950 0 0
5 12375 0 0
1 2475 0 0
30 67080 0 0
100 13800 0 0
18 18 107910 0 0
82 82 491590 0 0
2 32000 0 0
1 16000 0 0
2 204000 0 0
10 10 57750 0 0
100 6300 0 0
100 6000 0 0
200 12000 0 0
100 6300 0 0
100 6300 0 0
200 12600 0 0
100 6300 0 0
100 6300 0 0
200 12600 0 0
200 12600 0 0
200 12600 0 0
200 12600 0 0
100 6300 0 0
100 6300 0 0
5 5 120000 0 0
100 6600 0 0
200 13200 0 0
100 6600 0 0
2 150 0 0
30 70 245000 0 0
28 98000 0 0
5 17500 0 0
1 1 123000 0 0
0 0 0 0
22 31937.4 0 0
2 4740 0 0
10 8470 0 0
16 52256 0 0
2 6532 0 0
3 9798 0 0
2900 66700 0 0
200 4600 0 0
200 4600 0 0
200 4600 0 0
100 2300 0 0
200 4600 0 0
100 2300 0 0
100 2300 0 0
100 2300 0 0
100 2300 0 0
100 2300 0 0
100 2300 0 0
100 2300 0 0
1 65000 0 0
1 53400 0 0
1 220000 0 0
100 15100 0 0
13 28470 0 0
2 4380 0 0
10 21900 0 0
10 21900 0 0
5 10950 0 0
5 10950 0 0
8 9832 0 0
10 12210 0 0
11 13431 0 0
0 0 0 0
0 0 0 0
50 6550 0 0
10 10 40900 0 0
10 10 40900 0 0
0 300 300 162000 0 0
0 280 280 308000 0 0
0 320 320 172800 0 0
100 100 54000 0 0
0 0 0 0
1 1 47500 0 0
20 398000 0 0
750 58275 0 0
100 7770 0 0
200 15540 0 0
100 7770 0 0
0 0 0 0
100 7770 0 0
300 45900 0 0
400 61756 0 0
200 30878 0 0
100 15439 0 0
200 30878 0 0
200 30878 0 0
50 7719.5 0 0
50 7719.5 0 0
10 10 10320 0 0
100 21400 0 0
100 200 42800 100 21400
1100 112200 0 0
100 10200 0 0
0 0 0 0
100 10200 0 0
100 10200 0 0
20 79000 10 39500
0 0 30 118500
100 13300 0 0
20 59620 0 0
3 9 46800 0 0
0 0 0 0
5 26000 0 0
220 66220 0 0
180 54180 0 0
110 33110 0 0
420 126420 0 0
640 192640 0 0
0 0 0 0
500 150500 0 0
100 30100 0 0
180 54180 0 0
60 18060 0 0
100 30100 0 0
120 36120 0 0
200 60200 0 0
180 54180 0 0
200 60200 0 0
120 36120 0 0
STOK
SALDO KOREKSI STOK
UNIT STOK N
200 60200 0 0
60 18060 0 0
20 6020 0 0
100 30100 0 0
120 36120 0 0
100 30100 0 0
200 60200 0 0
60 18060 0 0
120 36120 0 0
100 4840 0 0
10 1280 0 0
150 19200 0 0
200 25600 0 0
100 12800 0 0
890 113920 0 0
100 12800 0 0
200 25600 0 0
100 9900 0 0
200 20000 0 0
0 0 0 0
200 20000 0 0
1000 100000 0 0
0 0 0 0
200 19800 0 0
100 9900 0 0
100 9900 0 0
5 23495 0 0
24 24 78720 0 0
13 13 42640 0 0
1 3280 0 0
3 20520 0 0
0 0 0 0
1 6840 0 0
50 199300 0 0
10 39860 0 0
4 1666784 0 0
2 496620
50 30800 0 0
90 55440 0 0
0 0 0 0
50 26750 0 0
25 25 87500 0 0
13 13 15587 0 0
67 67 75442 0 0
200 25800 0 0
200 25800 0 0
200 25800 0 0
200 25800 0 0
10 8810 0 0
3 14928 0 0
3 14928 0 0
13 64688 0 0
1 4976 0 0
46 46 228896 0 0
15 74640 0 0
10 49760 0 0
10 49760 0 0
20 99520 0 0
15 74640 0 0
5 24880 0 0
10 49760 0 0
8 39808 0 0
6 29856 0 0
20 99520 0 0
5 24880 0 0
5 24880 0 0
10 49760 0 0
10 49760 0 0
100 100 117055 0 0
22 25520 0 0
20 23200 0 0
45 45 52674.75 0 0
15 17400 0 0
20 23200 0 0
10 11600 0 0
15 17400 0 0
10 11600 0 0
10 11600 0 0
10 11600 0 0
5 5800 0 0
20 23200 0 0
5 5800 0 0
13 15080 0 0
200 1300 127270 0 0
300 29370 0 0
1800 176220 0 0
0 0 0 0
1600 1600 156640 0 0
200 19580 0 0
200 19580 0 0
200 19580 0 0
100 9790 0 0
100 9790 0 0
400 39160 0 0
500 48950 0 0
100 9790 0 0
200 19580 0 0
200 19580 0 0
200 19580 0 0
200 19580 0 0
300 29370 0 0
400 39160 0 0
1 18557 0 0
3 55671 0 0
30 337500 0 0
0 0 0 0
10 112500 0 0
0 0 0 0
100 13100 0 0
400 52400 0 0
0 0 0 0
0 0 0 0
100 13100 0 0
100 13100 0 0
100 13100 0 0
100 13100 0 0
100 13100 0 0
100 13100 0 0
100 13100 0 0
1 29700 0 0
1 29700 0 0
3 183150 0 0
1 61050 0 0
1 61050 0 0
0 0 0 0
1 61050 0 0
0 0 0 0
100 980000 0 0
1 3200 0 0
2 6400 0 0
4 12800 0 0
STOK
SALDO KOREKSI STOK
UNIT STOK N
1 3200 0 0
2 42000 0 0
100 6800 0 0
6 408 0 0
394 26792 0 0
0 0 0 0
100 8500 0 0
0 0 0 0
400 34000 0 0
100 8500 0 0
100 8500 0 0
100 8500 0 0
50 4872500 0 0
150 45750 0 0
1100 12166 0 0
250 24362500 0 0
0 0 0 0
2 58200 0 0
2 58200 0 0
0 0 0 0
720 720 4723920 0 0
0 0 0 0
41 41 312830 0 0
1 1 45000 0 0
4 5 70000 0 0
20 21 346500 0 0
9 9 122400 0 0
4 5 70000 0 0
1 14000 0 0
1 13600 0 0
1 4800 0 0
200 13400 0 0
7 19572 0 0
3 8388 0 0
2 204600 0 0
1 1325000 0 0
300 14700 0 0
300 14700 0 0
200 8600 0 0
100 4900 0 0
100 4300 0 0
100 4300 0 0
200 8600 0 0
100 4300 0 0
200 8600 0 0
200 8600 0 0
100 4300 0 0
100 4300 0 0
200 8600 0 0
100 4900 0 0
36 730800 0 0
36 1599840 0 0
150 10200 0 0
150 10200 0 0
5 108735 0 0
1 48000 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
100 781440 0 0
0 0 0 0
0 0 0 0
100 787900 0 0
100 1,656,647.00 0 0
0 0 0 0
0 0 0 0
50 700000 0 0
100 22400 0 0
26 129714 0 0
10 49890 0 0
12 59868 0 0
200 140360 0 0
100 22600 0 0
400 90400 0 0
0 0 0 0
1300 293800 0 0
200 45200 0 0
400 90400 0 0
300 67800 0 0
100 22600 0 0
200 45200 0 0
200 45200 0 0
100 22600 0 0
300 67800 0 0
200 45200 0 0
100 22600 0 0
200 45200 0 0
500 113000 0 0
490 110740 0 0
100 22600 0 0
100 22600 0 0
200 45200 0 0
200 45200 0 0
400 90400 0 0
100 5700 0 0
200 11400 0 0
0 0 0 0
100 5700 0 0
100 5700 0 0
300 17100 0 0
200 11400 0 0
200 11400 0 0
200 11400 0 0
100 5700 0 0
200 11400 0 0
200 11400 0 0
200 11400 0 0
100 5700 0 0
0 0 0 0
200 11400 0 0
17 22 210056 0 0
0 0 0 0 0
1 625800 0 0
10 10 971170 0 0
2 6 586680 0 0
1 97780 0 0
1 97780 0 0
1 97780 0 0
1 97780 0 0
0 0 0 0
80 80 0 0 0
3 3 0 0 0
20 20 0 0 0
15 15 0 0 0
25 25 0 0 0
32 42 3574326 0 0
1 85103 0 0
2 170206 0 0
2 170206 0 0
2 170206 0 0
STOK
SALDO KOREKSI STOK
UNIT STOK N
1 85103 0 0
1 85103 0 0
2 170206 0 0
2 170206 0 0
2 170206 0 0
4 340412 0 0
4 340412 0 0
2 170206 0 0
2 170206 0 0
3 255309 0 0
3 255309 0 0
1 85103 0 0
2 170206 0 0
2 170206 0 0
3 255309 0 0
2 170206 0 0
2 170206 0 0
37 37 956043 0 0
114 114 20377500 0 0
3 3 471216 0 0
6 6 953964 0 0
1 158994 0 0
1 158994 0 0
1 158994 0 0
1 157072 0 0
2 314144 0 0
1 158994 0 0
3 476982 0 0
2 314144 0 0
1 158994 0 0
1 158994 0 0
1 157072 0 0
0 0 0 0
1 158994 0 0
1 158994 0 0
1 157072 0 0
2 317988 0 0
11 11 378400 0 0
0 0 0 5 675,000.00IFK WONOSBO
112 127 21318220 0 0
30 30 5081580 0 0
2 2 332530 0 0
1 166265 0 0
2 332530 0 0
2 332530 0 0
1 166265 0 0
1 166265 0 0
1 167860 0 0
1 166265 0 0
1 166265 0 0
1 166265 0 0
1 166265 0 0
1 166265 0 0
2 335720 0 0
1 166265 0 0
56 65 1397110 0 0
1 21494 0 0
1 21494 0 0
1 21494 0 0
1 21494 0 0
1 21494 0 0
2 42988 0 0
1 21494 0 0
1 21494 0 0
2 42988 0 0
2 42988 0 0
1 21494 0 0
0 0 0 0
1 21494 0 0
1 21494 0 0
1 21494 0 0
1 21494 0 0
1 21494 0 0
1 21494 0 0
2 42988 0 0
2 42988 0 0
2 42988 0 0
2 42988 0 0
79 79 1432112 0 0
0 0 0 0
400 35600 0 0
500 44500 0 0
200 17800 0 0
0 0 0 0
100 8900 0 0
100 5700 0 0
200 17800 0 0
100 8900 0 0
100 8900 0 0
200 11400 0 0
200 17800 0 0
100 8900 0 0
200 11400 0 0
200 17800 0 0
100 8900 0 0
100 5700 0 0
30 58740 0 0
0 0 0 0
28 141428 0 0
26 65286 0 0
5 12555 0 0
100 20800 0 0
0 146,107,631.23 1,396,425.31
OTAL 147,504,056.53
MUTASI DARI GUDANG KE UNIT

0
SALDO KOREKSI STOK NILAI KOREKSI KET

JUMLAH
STOK DISTRIBUSI DISTRIBUSI UNIT
STOK
21 = (jumlah
Progam P2 VAKSINASI OBAT ED seluruh kolom 7 22 = (6x21) 23 = (21-5) 24 = (6x23) 25
s/d20)
50 20350 0
100 100 150000 0
200 200 251000 0
200 200 251000 0
300 300 376500 0
200 200 251000 0
400 400 420000 0
100 116500 0
200 200 233000 0
STOK
SALDO KOREKSI STOK
UNIT STOK N
100 69300 0
100 69300 0
350 350 293650 0
300 22500 0
100 400 31600 0
500 500 44000 0
300 26400 0
800 800 56800 0
800 800 63200 0
9000 810000 0
100 7900 0
521 521 41159 0
400 36000 0
2000 2000 158000 0
1000 1000 79000 0
200 17600 0
200 17400 0
0 0 0
100 20000 0
100 20000 0
2000 140000 0
1470 102900 0
1000 70000 0
1400 98000 0
260 18200 0
40 2800 0
100 7000 0
200 14000 0
100 7000 0
200 14000 0
200 14000 0
200 14000 0
200 14000 0
100 7000 0
500 26500 0
300 16044 0
300 15900 0
500 26500 0
700 37100 0
100 5300 0
100 5300 0
100 5348 0
200 10600 0
100 5300 0
100 5348 0
2000 506000 0
200 40200 0
3100 623100 0
200 40200 0
200 40200 0
100 20100 0
100 20100 0
100 20100 0
100 20100 0
60 211788 0
0 0 0
0 0 0
60 211788 0
10 35298 0
5 17649 0
0 0 0
45 75555 0
100 167900 0
600 34800 0
1600 92800 0
200 10800 0
100 5800 0
200 10800 0
100 5800 0
100 5800 0
200 11600 0
100 5800 0
100 5400 0
100 5800 0
100 5400 0
100 5800 0
100 5800 0
100 5400 0
14 67172 0
1 2860 0
0 0 0
100 10500 0
200 8400 0
200 8400 0
200 8400 0
1100 247500 0
200 45000 0
200 45000 0
100 22500 0
100 22500 0
200 45000 0
300 67500 0
300 67500 0
100 8981 0
100 100 10500 0
0 0 0
900 50400 0
700 39200 0
200 11200 0
400 22400 0
0 0 0
100 5600 0
100 5600 0
100 5600 0
300 33300 0
1400 272580 0
300 33300 0
200 22200 0
200 22200 0
100 11100 0
100 11100 0
100 19470 0
100 19470 0
100 11100 0
100 11100 0
100 19470 0
100 11100 0
100 11100 0
100 171200 0
800 116000 0
10 1620 0
190 27550 0
100 14500 0
100 14500 0
0 0 0
100 125000 0
200 17800 0
300 26700 0
12 18480 0
10 15540 0
80 200000 0
0 0 0
0 0 0
50 6900 0
20 2760 0
9 128871 0
30 9660 0
300 116400 0
200 77600 0
300 116400 0
50 104500 0
200 9800 0
100 4900 0
0 0 0
STOK
SALDO KOREKSI STOK
UNIT STOK N
200 9800 0
700 34300 0
100 4900 0
14 12936 0
2 1848 0
1500 51000 0
500 17000 0
200 6800 0
900 30600 0
200 6800 0
400 13600 0
100 3400 0
100 12500 0
100 14200 0
100 11200 0
26 59696 0
0 0 0
100 7100 0
200 14200 0
5 7575 0
3 9900 0
20 66000 0
20 27720 0
10 13860 0
10 215368 0
950 77900 0
1300 127400 0
200 19600 0
200 19600 0
200 19600 0
100 9800 0
200 19600 0
100 9800 0
100 9800 0
200 56000 0
5 13445 0
5 13445 0
3 8067 0
3 8067 0
0 0 0
5 22805 0
5 22805 0
1 4520 0
5 22600 0
2 9040 0
5 22600 0
3 13683 0
3 13683 0
200 16600 0
100 8300 0
100 12300 0
300 36900 0
100 12300 0
100 18300 0
0 0 0
0 0 0
100 18300 0
100 18500 0
100 18300 0
100 15000 0
19 520600 0
24 730800 0
100 3910000 0
100 500 820000 0
80 131200 0
300 492000 0
50 82000 0
100 164000 0
200 328000 0
200 200 1727000 0
50 50 138600 0
150 150 415800 0
50 50 266600 0
50 50 431750 0
120 81774 0
120 81774 0
2 6720 0
100 14800 0
200 29600 0
200 29600 0
100 14800 0
100 14800 0
6 13950 0
9 20925 0
5 11625 0
5 11625 0
5 11625 0
3 6975 0
3 6975 0
2 4650 0
2 4650 0
2 4650 0
200 210000 0
70 156520 0
100 13800 0
6 30600 0
100 8600 0
100 24400 0
100 599500 0
98 1142680 0
0 0 0
50 299750 0
50 299750 0
50 299750 0
2 32000 0
400 24000 0
500 30000 0
100 6000 0
100 6000 0
200 12000 0
100 6000 0
200 12000 0
200 12000 0
200 12000 0
100 6000 0
200 12000 0
100 6000 0
100 6300 0
100 6000 0
100 6000 0
100 6600 0
100 6600 0
598 44850 0
100 7500 0
100 7500 0
18 63000 0
70 322000 0
10 14517 0
50 72585 0
40 58068 0
50 72585 0
10 23700 0
10 23700 0
5 11850 0
10 8470 0
100 117400 0
5 16330 0
9 29394 0
6 19596 0
5 16330 0
5 16330 0
1700 39100 0
1000 23000 0
200 4600 0
STOK
SALDO KOREKSI STOK
UNIT STOK N
2000 46000 0
300 60000 0
100 2300 0
300 6900 0
100 2300 0
200 4600 0
100 2300 0
300 6900 0
200 4600 0
100 2300 0
500 500 75500 0
50 50 109500 0
26 31746 0
22 18634 0
3 3663 0
400 58000 0
200 29000 0
100 14500 0
100 14500 0
100 13100 0
100 10900 0
5000 2500000 0
500 1030 556200 0
1770 885000 0
2750 1299925 0
41 41 143500 0
40 40 1600000 0
300 23310 0
450 34965 0
200 15540 0
200 15540 0
200 15540 0
200 15540 0
0 0 0
450 69475.5 0
100 15300 0
100 15439 0
100 15439 0
50 7719.5 0
100 15439 0
500 51000 0
400 40800 0
100 10200 0
100 10200 0
0 0 0
100 10200 0
10 10 39500 0
50 50 197500 0
300 39900 0
100 13300 0
1 7040 0
120 70200 0
10 52000 0
1340 403340 0
1000 301000 0
1140 346560 0
60 18060 0
120 36480 0
120 36120 0
60 18240 0
120 36120 0
120 36120 0
60 18240 0
60 18060 0
60 18060 0
60 18060 0
60 18240 0
800 102400 0
600 76800 0
200 25600 0
100 12800 0
100 12800 0
100 12800 0
100 12800 0
1100 110000 0
900 90000 0
300 30000 0
400 40000 0
100 10000 0
100 10000 0
100 10000 0
100 10000 0
5 23495 0
1 4699 0
2 9398 0
3 14097 0
20 20 65600 0
6 41040 0
0 0 0
1 1 416696 0
500 375000 0
500 375000 0
200 107000 0
10 5350 0
30 105000 0
5 17500 0
5 17500 0
5 17500 0
3 10500 0
2 7000 0
200 25800 0
0 0 0
200 25800 0
5 24880 0
186 925536 0
6 29856 0
299 1487824 0
50 58000 0
20 23200 0
265 310195.75 0
200 234110 0
0 0 0
29 33945.95 0
10 11705.5 0
10 11705.5 0
5 5852.75 0
10 11705.5 0
900 88110 0
1300 1300 162305 0
5000 765900 0
5300 811854 0
2600 398268 0
1000 153180 0
300 45954 0
500 76590 0
200 30636 0
400 61272 0
100 15318 0
200 30636 0
200 30636 0
500 76590 0
500 76590 0
400 61272 0
400 61272 0
200 30636 0
100 15318 0
200 30636 0
100 15318 0
200 30636 0
300 45954 0
300 45954 0
300 45954 0
5 56250 0
6 67500 0
STOK
SALDO KOREKSI STOK
UNIT STOK N
100 13100 0
1000 67000 0
100 6700 0
100 13100 0
100 13100 0
100 13100 0
100 13100 0
100 6700 0
100 13100 0
200 35000 0
1 61050 0
1 61050 0
1 61050 0
1 3200 0
2 6400 0
6 19200 0
0 0 0
3 63000 0
100 6800 0
300 20400 0
200 13600 0
300 20400 0
200 13600 0
200 13600 0
200 13600 0
100 6800 0
100 6800 0
100 6800 0
500 42500 0
300 25500 0
100 8500 0
50 1480000 0
20 152600 0
63 480690 0
5 5 68000 0
1 1 14000 0
9 9 43200 0
200 13400 0
200 13400 0
100 6300 0
100 6300 0
100 6300 0
5 13980 0
5 13980 0
0 0 0
1 1325000 0
100 4300 0
100 4300 0
200 8600 0
300 12900 0
200 8600 0
100 4900 0
100 4300 0
100 4300 0
200 8600 0
200 8600 0
100 4300 0
100 4300 0
100 4900 0
100 4300 0
100 4300 0
100 4300 0
200 13600 0
300 20400 0
100 6800 0
100 6800 0
100 19000 0
100 19200 0
1050 3723006 0
100 734300 0
400 3125760 0
100 787900 0
50 886176 0
100 781440 0
100 80000 0
2000 452000 0
100 22600 0
200 45200 0
300 67800 0
200 45200 0
300 67800 0
300 67800 0
200 45200 0
200 45200 0
200 45200 0
100 22600 0
300 67800 0
300 67800 0
300 67800 0
400 22800 0
100 5700 0
100 5700 0
200 11400 0
200 11400 0
200 11400 0
200 11400 0
200 11400 0
200 11400 0
100 5700 0
100 5700 0
100 5700 0
200 11400 0
100 5700 0
200 11400 0
100 5700 0
2 1216560 0
46 363400 0
100 790000 0
1 5951 0
100 206703.23 0
10 10 971170 0
10 10 0 0
20 20 0 0
10 10 0 0
40 40 3404080 0
20 20 1702040 0
10 10 851020 0
10 10 260740 0
10 10 260740 0
13 13 2323750 0
10 10 1570720 0
10 10 1570720 0
22 22 756800 0
5 5 183500 0
10 10 1693860 0
10 10 1693860 0
5 5 17000000 0
12 12 40800000 0
20 20 429880 0
0 0 0 0
600 34200 0
400 22800 0
2100 119700 0
400 22800 0
200 11400 0
300 17100 0
200 11400 0
200 11400 0
200 11400 0
200 11400 0
200 11400 0
100 5700 0
100 5700 0
100 5700 0
STOK
SALDO KOREKSI STOK
UNIT STOK N
200 11400 0
100 5700 0
30 19020 0
60 117480 0
60 117480 0
13 476190 0
5 12555 0
6 15066 0
200 41600 0
0 0 0
139,189,900.18
MUTASI OBAT
PERIODE 1 SEMESTER ( JANUARI - JUNI 2022)
PEMAKAIAN
STOCK NILAI STOCK AWAL
NO NAMA OBAT SATUAN HARGA SATUAN AWAL (Rp) PENERIMAAN Nilai Penerimaan SISA STOCK NILAI SISA STOK
UNIT NILAI (Rp)
1 2 3 4 5 6 = (4x5) 7 4x7 8 = (5+7-12) 9 = (4x8) 12 13

1 Acyclovir cream tube 0 0 0 0 0 0 0 0 0
2 Acyclovir tab 400mg tablet 407 0 0 300 122100 100 40700 200 81400
4 Akarbose 50 mg tablet 0 0 0 0 0 0 0 0 0
5 Alat Kontrasepsi Laki-Laki pcs 0 0 0 0 0 0 0 0 0
6 Alat Suntik imunisasi 5 ml pcs 0 0 0 0 0 0 0 0 0
8 Alat Suntik Sekali Pakai 0.05 ml pcs 1101 0 0 100 110100 0 0 100 110100
18 Alat Suntik Sekali Pakai 0.5 ml pcs 1122.509960159 2510 2817500 0 0 1110 1305500 1400 1512000
19 Alat Suntik Sekali Pakai 1 ml pcs 881 400 352400 0 0 114 100434 286 251966
21 Alat suntik sekali pakai 20ml pcs 0 0 0 0 0 0 0 0 0
22 Alat suntik sekali pakai 3 ml pcs 776.6 500 388300 200 138600 416 315458 284 211442
23 Alat suntik sekali pakai 3 ml pcs 569 284 161596 200 113800 468 266292 16 9104
25 Albendazol tab 400 mg tablet 0 0 0 0 0 0 0 0 0
26 Albendazol tab 400 mg tablet 282.62 0 0 3800 1073956 3800 1073956 0 0
27 Albendazole Suspensi 200 mg/5 ml botol 0 0 0 0 0 0 0 0 0
28 Alkohol (Etanol 70 %) 1000 ml botol 25000 4 100000 0 0 4 100000 0 0
30 Alkohol 95% 1000 ml botol 75 300 22500 0 0 0 0 300 22500
31 Alkohol swab pcs 139.2733333333 1500 208910 700 89474 1200 170564 1000 127820
32 Alkohol swab pcs 75 300 22500 2700 191700 1700 121100 1300 93100
33 Alkohol swab pcs 0 0 0 0 0 0 0 0 0
34 Alkohol swab pcs 72.50684931507 7300 529300 6300 504900 8800 695200 4800 339000
35 Alkohol swab pcs 0 0 0 0 0 0 0 0 0
36 Alkohol swab pcs 81.57142857143 1400 114200 21 1995 400 35200 1021 80995
37 Alopurinol tab 100 mg tablet 0 0 0 0 0 0 0 0 0
39 alopurinol tab 300mg tablet 210 120 25200 200 40000 320 65200 0 0
40 Ambroksol syr 15mg/ 5ml - 60ml botol 0 0 0 0 0 0 0 0 0
41 Aminofilin inj 24 mg/ml 10 mg ampul 0 0 0 0 0 0 0 0 0
42 amlodipin tab 10mg tablet 71.8337236534 6405 460095 1000 70000 6705 481095 700 49000
43 amlodipin tab 5 mg tablet 53 8300 439900 1500 79500 3800 201400 6000 318000
44 Amoksisilin kaplet 250mg tablet 0 0 0 0 0 0 0 0 0
45 Amoksisilin kaplet 500 mg tablet 253 0 0 1000 253000 900 227700 100 25300
49 Amoksisilin syr kering 125mg/5ml - 60ml botol 0 0 0 0 0 0 0 0 0
50 Amoksisilin syr kering 125mg/5ml - 60ml botol 0 0 0 0 0 0 0 0 0
51 Amoksisilin syr kering 250mg/5ml botol 3628 251 910628 0 0 251 910628 0 0
52 Antasida DOEN Suspensi botol 1679 300 503700 200 335800 243 407997 257 431503
53 Antasida DOEN tablet tablet 58 0 0 4500 261000 3700 214600 800 46400
55 Anti Bakteri DOEN Salep tube 2924 100 292400 0 0 100 292400 0 0
56 Anti Hemoroid DOEN Supp supp 3167 110 348370 0 0 82 259694 28 88676
59 Antifungi DOEN kombinasi tube 4798 14 67172 0 0 0 0 14 67172
60 Antimigren DOEN tablet 185 500 92500 300 55500 500 92500 300 55500
61 APD SET (masker bedah, faceshield, hansdsanitizer, sar paket 98450 60 5907000 0 0 60 5907000 0 0
62 APD SET GAVI ( faceshield,masker bedah, hands sanitize paket 98450 4 393800 0 0 4 393800 0 0
63 Apron buah 45000 10 450000 0 0 10 450000 0 0
64 Aqua pro inj steril, bebas pirogen vial 0 0 0 0 0 0 0 0 0
67 Asam Ascorbat (Vit C) tab 250 mg tablet 119 800 95200 7000 833000 2200 261800 5600 666400
70 Asam Ascorbat (Vitamin C) Tab 500 mg tablet 225 300 67500 1000 225000 200 45000 1100 247500
72 asam asetilsalisilat tab (asetosal) 80mg tablet 105 900 94500 400 35924 900 92981 400 37443
73 asam folat tab 1 mg tablet 56 1700 95200 2000 112000 1800 100800 1900 106400
74 Asam Mefenamat tab 500 mg tablet 0 0 0 0 0 0 0 0 0
77 Atropin Sulfat inj 0,25 mg/ml- 1 ml ampul 1540 5 7700 5 8590 5 7700 5 8590
78 Attapulgit (Antidiare) tab tablet 145.0696721311 2440 353970 0 0 640 92800 1800 261170
79 Azitromisin tab 500 mg tablet 1250 0 0 100 125000 0 0 100 125000
81 baju cover all/ hasmart pcs 0 0 0 0 0 0 0 0 0
88 Betahistin mesilat tab 6mg tablet 110 600 66000 600 53400 700 74900 500 44500
89 Betametason cream 0,05 % tube 0 0 0 0 0 0 0 0 0
92 Bisacodil tab tablet 0 0 0 0 0 0 0 0 0
94 bisakodil supp 10mg supp 0 0 0 0 0 0 0 0 0
96 Bisoprolol 5mg tablet 137 210 28770 210 28980 270 37050 150 20700
97 blue Tip pcs 84.4 0 0 1000 84400 1000 84400 0 0
98 blue Tip pcs 183.9 1000 183900 0 0 1000 183900 0 0
99 Boor Gigi (set isi 6) pack 200000 1 200000 1 200000 2 400000 0 0
100 Box Slides pcs 37717 4 150868 4 150868 6 226302 2 75434
101 Cat gut /benang bedah cromic + jarum no 3/0 rol 0 0 0 0 0 0 0 0 0
102 Cat gut /benang bedah cromic + jarum no 2/0 rol 32800 36 1180800 0 0 36 1180800 0 0
103 Cat gut /benang bedah plain + jarum no 2/0 rol 0 0 0 0 0 0 0 0 0
104 Cat gut /benang bedah plain + jarum no 3/0 rol 5750.833333333 72 414060 48 276040 120 690100 0 0
105 Cat gut /benang bedah plain 100 meter no 3/0 rol 0 0 0 0 0 0 0 0 0
106 cefadroxil kapsul 500mg kapsul 388 300 116400 300 116400 600 232800 0 0
107 Cefadroxil syr kering 125mg/5ml botol 0 0 0 50 209250 50 209250 0 0
108 cefadroxil syr kering 250 mg/ 5 ml botol 0 0 0 0 0 0 0 0 0
109 CEFIXIM kapsul 100MG kapsul 0 0 0 0 0 0 0 0 0
110 Cefixime kapsul 200mg kapsul 2370 30 71100 200 149800 130 146000 100 74900
111 cetirizine syr 5mg/5ml botol 2915 50 145750 50 104500 50 145750 50 104500
112 cetirizine tab 10mg tablet 49 400 19600 2000 98000 1600 78400 800 39200
114 ciprofloxaxin 500mg tablet 0 0 0 0 0 0 0 0 0
115 clindamicin kapsul 150MG kapsul 0 0 0 0 0 0 0 0 0
116 clindamicin kapsul 300mg kapsul 522 100 52200 100 52200 150 78300 50 26100
117 Clopidogrel 75mg tablet 1404 150 210600 0 0 0 0 150 210600
118 Clorin 1 liter 12% botol 0 0 0 0 0 0 0 0 0
119 Dacron swab Nasopharing pcs 0 0 0 0 0 0 0 0 0
120 Deksametason inj 5 mg/ml-1 ml ampul 924 20 18480 0 0 6 5544 14 12936
121 Deksametason tab 0,5 mg tablet 34 0 0 4000 136000 3700 125800 300 10200
122 Dentin conditioner pack 0 0 0 0 0 0 0 0 0
123 Devitalisasi pasta ( Non Arsen ) pot 266625 1 266625 0 0 1 266625 0 0
125 Diazepam lar rectal tube 5 mg/2,5 ml tube 12573 10 125730 0 0 6 75438 4 50292
126 Diazepam tab 5 mg tablet 109 100 10900 0 0 0 0 100 10900
127 dietilkarbamazin sitrat tab 100mg tablet 219.375 3000 658125 0 0 3000 658125 0 0
128 Difenhidramin HCl inj 10 mg/ml ampul 0 0 0 0 0 0 0 0 0
130 Digoksin tab 0,25 mg tablet 104 200 20800 0 0 200 20800 0 0
131 Diltiasem tab tablet 142 100 14200 0 0 0 0 100 14200
132 Dimenhidrinat tablet 112 100 11200 0 0 0 0 100 11200
133 Disinfektan / Lisol 1000 ml botol 53066.65 20 1061333 3 159200 7 371467 16 849067
134 Disinfektan / Lisol 1000 ml botol 40700 5 203500 0 0 0 0 5 203500
136 doksisiklin cap 100mg tablet 0 0 0 0 0 0 0 0 0
137 domperidon syr 5mg/5ml botol 2700 43 116100 100 229600 93 230900 50 114800
138 Domperidon tab 10 mg tablet 91 500 45500 1200 85200 800 64800 900 65900
139 Ekstrak Placenta + Neomisin jell tube 0 0 0 0 0 0 0 0 0
140 Epinefrin HCl (Adrenalin) inj 0,1% - 1 ml ampul 1408 17 23936 0 0 3 4224 14 19712
143 Eritromisin kapsul/tablet 500 mg tablet 0 0 0 0 0 0 0 0 0
144 Etakridin ( Rivanol ) larutan 0,1 % botol 3000 5 15000 0 0 5 15000 0 0
145 Etil klorida / propane / butane spray botol 0 0 0 0 0 0 0 0 0
146 Eugenol cairan botol 88000 1 88000 0 0 1 88000 0 0
148 Face Shield (Pelindung Wajah) pcs 16428.57142857 175 2875000 0 0 0 0 175 2875000
149 Face Shield (Pelindung Wajah) pcs 90350 18 1626300 0 0 0 0 18 1626300
150 Fenobarbital inj 50 mg/ml-2ml ampul 1857 60 111420 0 0 60 111420 0 0
151 Fenofibrat 100mg kapsul 1073 90 96570 100 47700 140 120420 50 23850
152 fenol gliserol (karbogliserin) TT 10% botol 3032 48 145536 96 316800 73 228036 71 234300
153 Fitomenadion ( Vit K) inj 2 mg/ml 1ml ampul 1386 0 0 60 83160 30 41580 30 41580
155 Fitomenadion ( Vit K1) tab salut 10 mg tablet 0 0 0 0 0 0 0 0 0
157 Fletcher powder + eugenol liquit pack 64000 0 0 1 64000 1 64000 0 0
158 Fluor topikal pack 0 0 0 0 0 0 0 0 0
159 folley catheter 16 pcs 13800 19 262200 40 345400 44 478075 15 129525
161 Framicetin Sulfat kasa gel sachet 0 0 0 0 0 0 0 0 0
162 Furosemid tab 40 mg tablet 0 0 0 0 0 0 0 0 0
165 Garam oralit kombinasi sachet 274 0 0 800 219200 380 104120 420 115080
168 gelang bayi biru (blue) pcs 850 100 85000 100 85000 200 170000 0 0
169 gelang bayi merah jambu (pink) pack 850 100 85000 100 85000 200 170000 0 0
170 Gemfibrozil 300 mg kapsul 396 100 39600 100 30000 100 39600 100 30000
171 Gentamisin inj 40mg/ml - 2ml ampul 0 0 0 0 0 0 0 0 0
172 Gentamisin salep mata tube 2675 48 128400 0 0 48 128400 0 0
173 Gentamisin Tetes Mata 0,3% botol 4232 12 50784 144 650880 99 444024 57 257640
174 Gentian violet larutan 1 % pot 2710.205128205 39 105698 0 0 1 2710 38 102988
175 Glass Ionomer cement ART (Fuji IX ART) pcs 0 0 0 0 0 0 0 0 0
177 Glass Ionomer cement utk gigi anterior (Fuji II) pack 0 0 0 0 0 0 0 0 0
178 Glass Ionomer Universal Restorative (Fuji IX GP extra) paket 0 0 0 0 0 0 0 0 0
179 Glibenklamidum tab 5 mg tablet 0 0 0 0 0 0 0 0 0
181 Glimepiride tab 2 mg tablet 123 800 98400 900 110700 1200 147600 500 61500
184 Gliseril Guayakolat (GG) tab 100 mg tablet 0 0 0 0 0 0 0 0 0
185 Glukosa larutan infus 5 % steril 500ml botol 0 0 0 0 0 0 0 0 0
187 Gown buah 33000 30 990000 50 1636350 30 990000 50 1636350
188 Gown buah 0 0 0 0 0 0 0 0 0
189 Gown Steril bahan Non Woven L pcs 0 0 0 0 0 0 0 0 0
190 Gown Steril bahan Non Woven M pcs 0 0 0 0 0 0 0 0 0
191 Griseofulvin (micronized) tab 500 mg tablet 839 0 0 200 167800 100 83900 100 83900
193 Griseofulvin 125 mg tab tablet 0 0 0 0 0 0 0 0 0
195 Guta Percha pack 0 0 0 0 0 0 0 0 0
196 hand sanitizer 100 ml botol 0 0 0 0 0 0 0 0 0
197 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) botol 0 0 0 0 0 0 0 0 0
201 hand sanitizer 5000 ml ( 5 liter) botol 650000 1 650000 0 0 1 650000 0 0
202 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine botol 30450 24 730800 48 1461600 24 730800 48 1461600
203 Handscoon panjang no. 6.5 (S) pasang 34694 80 2775520 0 0 80 2775520 0 0
204 Handscoon panjang no. 6.5 (S) pasang 36960 25 924000 0 0 25 924000 0 0
205 Handscoon panjang no. 7.5 (M) pasang 34694 80 2775520 0 0 80 2775520 0 0
208 Handscoon panjang no. 8.5 (L) pasang 0 0 0 0 0 0 0 0 0
211 Handscoon pendek non steril no 6.5 (S) pasang 0 0 0 0 0 0 0 0 0
212 Handscoon pendek non steril no 6.5 (S) pasang 4272.726666667 0 0 300 1281818 300 1281818 0 0
213 Handscoon pendek non steril no 6.5 (S) pasang 4272.728 500 2136364 0 0 500 2136364 0 0
214 Handscoon pendek non steril no 7 (M) pasang 0 0 0 0 0 0 0 0 0
215 Handscoon pendek non steril no 7 (M) pasang 4272.73 0 0 100 427273 100 427273 0 0
217 Handscoon pendek non steril no 7 (M) pasang 4272.727777778 900 3845455 0 0 900 3845455 0 0
218 Handscoon pendek non steril no 7.5 (L) pasang 0 0 0 0 0 0 0 0 0
219 Handscoon pendek non steril no 7.5 (L) pasang 4272.725 0 0 200 854545 100 427273 100 427273
220 Handscoon pendek steril no 6.5 (S) pasang 2772 40 110880 0 0 0 0 40 110880
222 Handscoon pendek steril no 7 (M) pasang 2772 700 1940400 0 0 450 1247400 250 693000
223 Handscoon pendek steril no 7.5 (L) pasang 8635 100 863500 100 863500 100 863500 100 863500
226 Hepatoprotektor tab (Curcuma tablet) tablet 539 500 269500 0 0 300 161700 200 107800
227 Hidrogen Peroksida 3% botol 3360 10 33600 0 0 2 6720 8 26880
228 Hidroklorotiazid ( HCT ) tab 25 mg tablet 148 1100 162800 2000 296000 1900 281200 1200 177600
230 Hidrokortison cream 2,5 % tube 2475 96 237600 48 111600 58 143550 86 205650
231 Hyoscine-N-Butilbromide tablet 1050 100 105000 0 0 100 105000 0 0
232 ibuprofen Suspensi 100mg/5ml botol 2721 50 136050 0 0 50 136050 0 0
233 Ibuprofen Suspensi 200mg/5ml botol 4665 108 503820 0 0 108 503820 0 0
234 Ibuprofen tab 200 mg tablet 0 0 0 0 0 0 0 0 0
237 Infusion set Anak pcs 5100 40 204000 0 0 17 86700 23 117300
238 Isosorbid dinitrat tab sublingual 5 mg tablet 89 100 8900 400 66000 200 17500 300 57400
239 IV Catheter no 18 pcs 11660 185 2157100 250 2065250 187 2180420 248 2041930
242 Jarum Jahit (Bedah) No 10 cutting (kulit) pcs 1430.733333333 120 171688 0 0 120 171688 0 0
244 Jarum Jahit (Bedah) No 11 TAPPER (otot) pcs 1430.733333333 120 171688 0 0 120 171688 0 0
248 Jarum Jahit (Bedah) No 9 TAPPER (otot) pcs 1430.733333333 120 171688 0 0 120 171688 0 0
249 Jarum jahit /bedah SE-MH 36 (03) pcs 0 0 0 0 0 0 0 0 0
250 Jarum jahit /bedah SE-MH 40 (02) pcs 0 0 0 0 0 0 0 0 0
251 JELLY USG botol 16000 2 32000 3 48000 0 0 5 80000
252 JELLY USG botol 0 0 0 0 0 0 0 0 0
253 Kacamata Google pcs 0 0 0 0 0 0 0 0 0
257 Kalsium Glukonas inj ampul 0 0 0 0 0 0 0 0 0
259 Kalsium Hidroksida Pasta tube 198000 1 198000 0 0 1 198000 0 0
261 Kalsium Lactat ( Kalk ) tab 500 mg tablet 63 6220 391860 0 0 4420 278460 1800 113400
262 Kapas pembalut / adsorbens 250 gram rol 24000 13 312000 0 0 5 120000 8 192000
263 Kaptopril tab 12,5 mg tablet 66 0 0 1000 66000 300 19800 700 46200
264 Kaptopril tab 25 mg tablet 75 1000 75000 0 0 1000 75000 0 0
265 karbon aktif tab tablet 0 0 0 0 0 0 0 0 0
266 Kasa Pembalut hidrofil 16 x 16 pack 3500 200 700000 100 350000 179 626500 121 423500
267 Kasa Pembalut hidrofil 36m x 80 cm rol 123000 4 492000 0 0 1 123000 3 369000
268 Kasa Pembalut hidrofil 4m x 10 cm rol 1415.85 100 141585 200 286755 78 109648 222 318692
270 Ketokonazol cream 2% tube 2518 300 755400 24 56880 310 779100 14 33180
271 ketokonazol tab 200mg tablet 252 200 50400 300 75600 300 75600 200 50400
272 Ketorolac inj 30mg ampul 0 0 0 0 0 0 0 0 0
274 Kloramfenikol + prednisolon cream tube 0 0 0 0 0 0 0 0 0
275 Kloramfenikol kapsul 500mg kapsul 1174 0 0 1000 1174000 1000 1174000 0 0
276 Kloramfenikol salep kulit 2% tube 3266 6 19596 96 313536 81 264546 21 68586
277 Kloramfenikol Salep Mata 1 % tube 2007 48 96336 0 0 48 96336 0 0
278 Kloramfenikol syr 125mg/ 5ml - 60ml botol 0 0 0 0 0 0 0 0 0
279 Kloramfenikol Tetes Mata 0.5% botol 0 0 0 0 0 0 0 0 0
280 Kloramfenikol TT 3 % botol 0 0 0 0 0 0 0 0 0
281 Klorfeniramin Maleat ( CTM ) tab 4 mg tablet 22 1450 31900 0 0 1450 31900 0 0
284 Klorfenol Kamfer Mentol (CHKM) botol 0 0 0 0 0 0 0 0 0
287 Klorheksidin 2% botol 178200 1 178200 1 220000 2 398200 0 0
288 Kotrimoksasol dewasa 480mg tablet 0 0 0 0 0 0 0 0 0
290 Kotrimoksasol Forte 960mg tablet 0 0 0 0 0 0 0 0 0
291 Kotrimoksasol Syr 240mg/5ml - 60ml botol 2190 100 219000 0 0 5 10950 95 208050
292 Lidokain + epineprin inj ampul 1229 85 104465 0 0 85 104465 0 0
293 Lidokain gelli 2% tube 0 0 0 0 0 0 0 0 0
294 Lidokain murni inj 2 % ampul 1221 151 184371 0 0 151 184371 0 0
296 Lisinopril tab 5 mg tablet 145 1000 145000 600 87000 200 29000 1400 203000
297 Loratadine tablet 131 150 19650 0 0 0 0 150 19650
298 Magnesium sulfa inj (IV) 20 % / 25 ml vial 4090 0 0 11 44990 1 4090 10 40900
301 masker bedah pcs 0 0 0 0 0 0 0 0 0
302 masker bedah pcs 0 0 0 0 0 0 0 0 0
303 masker bedah pcs 0 0 0 0 0 0 0 0 0
304 masker bedah pcs 509.7399527187 21150 10781000 10000 4727000 12630 6451000 18520 9057000
305 masker bedah pcs 0 0 0 0 0 0 0 0 0
306 masker bedah pcs 1100 280 308000 0 0 0 0 280 308000
307 Masker Kain pcs 0 0 0 0 0 0 0 0 0
308 Masker Kain pcs 0 0 0 0 0 0 0 0 0
309 Masker Kain pcs 3500 60 210000 0 0 19 66500 41 143500
310 Masker KN-95 pcs 40000 120 4800000 0 0 80 3200000 40 1600000
311 Masker KN-95 pcs 30000 11 330000 0 0 10 300000 1 30000
312 Masker N95 pcs 0 0 0 0 0 0 0 0 0
313 Masker N95 pcs 19900 0 0 160 3184000 100 1990000 60 1194000
314 Masker N95 pcs 29000 20 580000 0 0 0 0 20 580000
315 Masker N95 pcs 76000 100 7600000 0 0 100 7600000 0 0
316 Masker N95 pcs 0 0 0 0 0 0 0 0 0
317 Masker N95 pcs 47500 34 1615000 0 0 10 475000 24 1140000
318 Metformin 500mg tablet 90.46153846154 1300 117600 0 0 1300 117600 0 0
319 Metformin 850mg tablet 153 1700 260100 600 91800 1900 290700 400 61200
320 Metildopa tab 250 mg tablet 946 100 94600 0 0 0 0 100 94600
321 Metilergometrin Maleat inj 0,200 mg - 1 ml ampul 0 0 0 0 0 0 0 0 0
325 Metilergometrin Maleat tab 0,125 mg tablet 0 0 0 0 0 0 0 0 0
327 metilprednisolon tab 4 mg tablet 102 100 10200 2000 204000 700 71400 1400 142800
328 Metronidazole syr botol 3950 50 197500 0 0 50 197500 0 0
330 Metronidazole tab 250 mg tablet 0 0 0 0 0 0 0 0 0
332 Mikonazol cream/salep 2% (nitrat) tube 3414 24 81936 24 81936 24 81936 24 81936
333 Mikonazol serb 2% botol 22700 5 113500 5 113500 5 113500 5 113500
334 mineral mix sachet /8gr sachet 0 0 0 0 0 0 0 0 0
336 mometason cream 0,1% tube 5795 0 0 10 57950 6 34770 4 23180
337 Mucus ekstraktor FR 10 pcs 0 0 0 0 0 0 0 0 0
339 multivitamin + Hepatoprotektor syr botol 8807.7 50 440385 0 0 50 440385 0 0
340 multivitamin tab tablet 585 120 70200 0 0 0 0 120 70200
341 Mummifying Pasta botol 0 0 0 0 0 0 0 0 0
342 Mummifying Pasta botol 112000 1 112000 1 112000 2 224000 0 0
343 Nasal Oksigen size L pcs 5200 20 104000 0 0 11 57200 9 46800
344 Nasal Oksigen size M pack 5200 40 208000 0 0 10 52000 30 156000
345 Nasal Oksigen Size S pcs 0 0 0 0 0 0 0 0 0
346 N-asetil sistein tab 200mg tablet 373 600 223800 5280 1589280 3910 1220110 1970 592970
348 Natrium Bikarbonat tab 500 mg tablet 48.4 100 4840 0 0 0 0 100 4840
349 Natrium Diklofenak tab 25mg tablet 128 650 83200 2500 320000 2600 332800 550 70400
350 Natrium Diklofenak tab 50 mg tablet 99 2000 198000 3500 347500 4600 456000 900 89500
351 Natrium Fusidat Salep 2% tube 4699 24 112776 0 0 17 79883 7 32893
352 Natrium Klorida Larutan infus 0,9 % 10 ml botol 3280 0 0 200 656000 69 226320 131 429680
354 Natrium Klorida larutan infus 0,9 % 500ml botol 0 0 0 0 0 0 0 0 0
356 NEEDLE 23 G pcs 314 0 0 21 6594 0 0 21 6594
357 NEEDLE 24 G pcs 0 0 0 0 0 0 0 0 0
358 Neurotropik tab tablet 0 0 0 0 0 0 0 0 0
359 Nifedipin tab 10 MG tablet 105 90 9450 0 0 90 9450 0 0
360 Nifedipin tab 20 mg lepas lambat (orros) tablet 3575 30 107250 0 0 30 107250 0 0
361 nistatin suspensi 100.000 ui/ml botol 13900 5 69500 15 172500 20 242000 0 0
362 Nistatin tab salut gula 500.000 IU / mg tablet 843 100 84300 100 84300 200 168600 0 0
363 Nistatin vaginal tab 100.000 IU / mg tablet 0 0 0 0 0 0 0 0 0
364 OAT FDC anak paket 0 0 0 0 0 0 0 0 0
367 OAT FDC kategori 1 paket 405017.8 5 2025089 4 1666784 9 3691873 0 0
368 OAT FDC kategori 1 paket 0 0 0 0 0 0 0 0 0
370 obat flu kombinasi tab tablet 489.5 900 440550 0 0 900 440550 0 0
371 Obat Flu syr + Parasetamol botol 0 0 0 0 0 0 0 0 0
372 ofloxacin tablet salut selaput 400 mg tablet 616 250 154000 200 107000 150 89160 300 171840
373 Oksitetrasiklin HCL salep mata 1 % tube 3333.6 250 833400 0 0 250 833400 0 0
374 Oksitetrasiklin HCL salep mata 1 % tube 0 0 0 0 0 0 0 0 0
375 Oksitoksin inj 10 IU/ ml - 1 ml ampul 0 0 0 0 0 0 0 0 0
380 omeprazole kapsul 20mg kapsul 129 600 77400 2600 335400 2000 258000 1200 154800
381 Ondansetron inj ampul 0 0 0 0 0 0 0 0 0
382 Ondansetron tab 8 mg tablet 270 0 0 150 40500 150 40500 0 0
383 Oseltamivir tablet 7000 60 420000 0 0 0 0 60 420000
384 Oximeter buah 0 0 0 0 0 0 0 0 0
385 Paket Alat Deteksi Resiko Kehamilan (ADRK) paket 0 0 0 0 0 0 0 0 0
386 Paper point pack 0 0 0 0 0 0 0 0 0
387 Parasetamol drop botol 4976 0 0 480 2388480 345 1716720 135 671760
388 Parasetamol rectal tube 125mg /2.5ml tube 0 0 0 0 0 0 0 0 0
389 Parasetamol syr 120mg/5ml botol 0 0 0 0 0 0 0 0 0
392 Parasetamol tab 500 mg tablet 0 0 0 0 0 0 0 0 0
393 Parasetamol tab 500 mg tablet 124.85 16500 2060025 0 0 15200 1897720 1300 162305
394 Parasetamol tab 500 mg tablet 0 0 0 0 0 0 0 0 0
396 Penutup Kepala (Head Cap) pcs 664 451 299464 100 66400 244 162016 307 203848
397 Perak Sulfadiazin cream 1 % tube 20700 9 186300 5 92785 9 186300 5 92785
398 Permetrin cream 5% 30gr tube 11250 30 337500 60 675000 69 776250 21 236250
400 pirantel pamoat tab 125mg tablet 0 0 0 0 0 0 0 0 0
401 Piridoxin HCL (vit B 6) tab 10 mg tablet 131 100 13100 0 0 100 13100 0 0
403 Piroxicam 20mg tablet 120.25 100 12025 0 0 100 12025 0 0
404 pisau bedah no 11 sd 25 pcs 0 0 0 0 0 0 0 0 0
405 Plaster 5 yard x 2 inch rol 29700 0 0 5 148500 0 0 5 148500
406 Plaster Bulat Non Woven pcs 175 600 105000 200 35000 400 70000 400 70000
407 Plaster polyester non-woven 10cm x 5 m rol 61050 0 0 10 610500 3 183150 7 427350
408 Plaster polyester Non-woven 5cm x 10m rol 44767 4 179068 0 0 4 179068 0 0
409 Plastik pembungkus obat Klip 10 x 7 pack 9800 0 0 100 980000 0 0 100 980000
410 pot sputum pcs 0 0 0 0 0 0 0 0 0
411 pot sputum pcs 0 0 0 0 0 0 0 0 0
412 pot sputum pcs 2927.5 400 1171000 200 585500 600 1756500 0 0
413 pot sputum steril pcs 0 0 0 0 0 0 0 0 0
414 Povidon Iodine 10% 30 ml botol 0 0 0 0 0 0 0 0 0
418 Prednison tab 5 mg tablet 0 0 0 0 0 0 0 0 0
422 Ranitidin inj 25mg/ml@1ml ampul 814 25 20350 10 8140 25 20350 10 8140
424 Ranitidin tab 150mg tablet 85 100 8500 3000 255000 2300 195500 800 68000
425 RDT Covid19 antibodi IgG/IgM pcs 0 0 0 0 0 0 0 0 0
426 RDT Covid19 antibodi IgG/IgM pcs 0 0 0 0 0 0 0 0 0
427 RDT covid19 Antigen buah 97450 598 58275100 0 0 598 58275100 0 0
429 Reagen Cat Ziehl Nielsen (carbilfusin, etanol asam, metil kit 233234 4 932936 0 0 4 932936 0 0
432 Reagen golongan darah serum anti A botol 29100 0 0 1 29100 1 29100 0 0
434 Reagen golongan darah serum anti B botol 29100 0 0 1 29100 1 29100 0 0
436 Reagen golongan darah serum Anti D (anti RH) botol 103209 1 103209 0 0 1 103209 0 0
437 Retinol 100.000 UI kapsul 306 100 30600 350 106950 300 91800 150 45750
441 Ringer Asetat infus steril + asam malat botol 9646 20 192920 0 0 0 0 20 192920
442 Ringer lactat ( RL ) infus steril botol 0 0 0 0 0 0 0 0 0
444 Sabun Cuci Tangan (Handwash) 4 Liter botol 45000 1 45000 1 45000 1 45000 1 45000
445 safety box pcs 0 0 0 0 0 0 0 0 0
446 safety box pcs 0 0 0 0 0 0 0 0 0
447 safety box pcs 0 0 0 0 0 0 0 0 0
448 safety box pcs 13800 0 0 50 690000 26 363600 24 326400
449 safety box pcs 14000 50 700000 0 0 37 518000 13 182000
450 Salbutamol lar respirator utk nebulizer 1 mg/ml ampul 4800 0 0 10 48000 0 0 10 48000
451 Salbutamol tab 2 mg tablet 48 300 14400 1200 80400 700 41200 800 53600
453 Salep 2 - 4 pot 0 0 0 0 0 0 0 0 0
454 Salep 2 - 4 pot 2796 48 134208 0 0 14 39144 34 95064
455 Salisil bedak 2 % pack 0 0 0 0 0 0 0 0 0
456 Selluloid strip pack 137500 1 137500 0 0 1 137500 0 0
457 Sepatu Boot pasang 110000 9 990000 0 0 9 990000 0 0
459 Serum HBIG (Hiperheb) ampul 0 0 0 0 0 0 0 0 0
461 Sianokobalamin (B 12) tab 50mcg tablet 43 1800 77400 3000 129000 3600 154800 1200 51600
462 Silk No. 2/0 + jarum pcs 0 0 0 0 0 0 0 0 0
463 Silk No. 2/0 + jarum pcs 20300 12 243600 12 243600 24 487200 0 0
464 Silk No. 3/0 + jarum pcs 44440 0 0 36 1599840 0 0 36 1599840
465 Silk No. 3/0 100 meter rol 0 0 0 0 0 0 0 0 0
466 simvastatin tab 10mg tablet 68 600 40800 0 0 600 40800 0 0
467 Simvastatin tab 20 mg tidak dipakai tablet 0 0 0 0 0 0 0 0 0
468 slide/d-glass/objek glass BTA pack 21747 2 43494 3 65241 5 108735 0 0
469 slide/d-glass/objek glass BTA pack 26153.83333333 6 156923 0 0 6 156923 0 0
470 Spekulum Disposible pcs 0 0 0 0 0 0 0 0 0
471 Spironolacton tab 100mg tablet 0 0 0 0 0 0 0 0 0
473 Spoon gelatin cubicles 1 x 1 x 1 cm pcs 0 0 0 0 0 0 0 0 0
474 Stik Asam Urat untuk alat benececk strip 5808 0 0 75 435600 75 435600 0 0
475 Stik glukosa strip 3124 1200 3748800 50 156200 1250 3905000 0 0
476 Stik glukosa utk alat ACCU-CECK Performa strip 0 0 0 0 0 0 0 0 0
477 Stik glukosa utk alat acon strip 0 0 0 0 0 0 0 0 0
478 Stik glukosa utk alat acon strip 0 0 0 0 0 0 0 0 0
479 Stik HbSAg test strip 0 0 0 0 0 0 0 0 0
481 Stik HCG strip 3881 125 485125 0 0 125 485125 0 0
482 Stik HCG strip 3881 25 97025 0 0 25 97025 0 0
483 stik hemoglobin (Hb) strip 0 0 0 0 0 0 0 0 0
484 stik hemoglobin (Hb) strip 8030 150 1204500 0 0 150 1204500 0 0
485 Stik HIV test kit I strip 0 0 0 0 0 0 0 0 0
488 Stik HIV test kit II strip 0 0 0 0 0 0 0 0 0
489 Stik HIV test kit III strip 19480 25 487000 0 0 25 487000 0 0
490 Stik Kolesterol strip 0 0 0 0 0 0 0 0 0
491 Stik Rapid Test Sifilis II (Human) strip 0 0 0 0 0 0 0 0 0
493 Stik Urin 10 parameter strip 2134 100 213400 0 0 100 213400 0 0
494 Stik Urin 10 parameter strip 0 0 0 0 0 0 0 0 0
495 Stik urin 2 parameter (protein & gula) strip 0 0 0 0 0 0 0 0 0
496 Stik urin 3 parameter (glukosa,pH,protein) strip 1050 300 315000 0 0 300 315000 0 0
497 sukralfat syr 500mg/5ml botol 4989 0 0 96 478944 48 239472 48 239472
499 Tabung Vac-tube EDTA K3 pcs 701.8 100 70180 200 140360 300 210540 0 0
500 Tabung Vac-tube serum plain tutup merah pcs 0 0 0 0 0 0 0 0 0
502 Tambah darah kombinasi ( ferro fumarat 60 mg, asam fo tablet 226 20000 4520000 0 0 7800 1762800 12200 2757200
505 Tambah Darah kombinasi tab (ferro fumarat + multivita tablet 0 0 0 0 0 0 0 0 0
506 Temporary Feling Pasta / Bahan tumpatan sementara (Ca botol 0 0 0 0 0 0 0 0 0
507 Temporary Feling Pasta / Bahan tumpatan sementara (Ca botol 115365 2 230730 0 0 2 230730 0 0
508 Tensimeter Digital buah 350909 1 350909 0 0 1 350909 0 0
509 Tiamfenikol 500mg kapsul 0 0 0 0 0 0 0 0 0
510 Tiamin HCL (B 1) tab 50 mg tablet 72.11111111111 1440 103840 6800 387600 5040 309040 3200 182400
511 tranfusion set pcs 9548 0 0 150 1432200 78 744744 72 687456
513 tuberkulin PPD (test ktk 5vialx1,5ml) kit 625800 1 625800 0 0 1 625800 0 0
514 Umbilical cord clamps pcs 0 0 0 0 0 0 0 0 0
516 Underpads 60 x 90 pcs 7900 60 474000 100 790000 14 110600 146 1153400
517 urin bag pcs 5885.925925926 27 158920 0 0 23 135116 4 23804
518 Vaccutainer Eclipse Blood colection Needle 21Gx 1,5 pcs 1600 100 160000 100 160000 200 320000 0 0
519 Vaccutainer Eclipse Blood colection Needle 21Gx 1,5 pcs 1700 100 170000 0 0 100 170000 0 0
520 Vaccutainer Eclipse Blood Colection needle 23G X 1,5 pcs 2067.03 100 206703 0 0 100 206703 0 0
521 Vaksin BCG inj 20 DOSIS vial 0 0 0 0 0 0 0 0 0
525 Vaksin CAMPAK 10 DOSIS vial 0 0 0 0 0 0 0 0 0
526 Vaksin Covid 19 AstraZeneca 10 dosis/vial vial 0 0 0 20 0 20 0 0 0
527 Vaksin Covid 19 AstraZeneca 10 dosis/vial vial 0 0 0 65 0 65 0 0 0
528 Vaksin Covid 19 Coronavac (2 dosis/vial) vial 0 0 0 0 0 0 0 0 0
530 Vaksin Covid 19 MODERNA multidose (10 Dosis/Vial) vial 0 0 0 2 0 2 0 0 0
533 Vaksin Covid 19 SINOFARM single dose ampul 0 0 0 0 0 0 0 0 0
534 Vaksin Covid-19 coronavac (10 dosis/vial) vial 0 0 0 0 0 0 0 0 0
535 Vaksin Covid-19 coronavac (10 dosis/vial) vial 0 0 0 0 0 0 0 0 0
536 vaksin covid19 pfizer (6 dosis/vial) vial 0 29 0 340 0 369 0 0 0
537 Vaksin Covid-19 SINOVAC coronavac single dose ampul 0 0 0 0 0 0 0 0 0
538 Vaksin DPT-HB-Hib 5 dosis vial 0 0 0 0 0 0 0 0 0
542 Vaksin hepatitis B rekombinan inj 0,5 ml (Anak) vial 0 0 0 0 0 0 0 0 0
546 Vaksin IPV vial 0 0 0 0 0 0 0 0 0
547 Vaksin IPV vial 0 0 0 0 0 0 0 0 0
548 Vaksin IPV vial 0 0 0 0 0 0 0 0 0
549 Vaksin IPV vial 158994 8 1271952 35 5564790 24 3815856 19 3020886
550 Vaksin jerap difteri tetanus (DT) vial 0 0 0 0 0 0 0 0 0
552 vaksin meningitis vial 0 0 0 0 0 0 0 0 0
555 Vaksin MR vial 0 0 0 0 0 0 0 0 0
556 Vaksin MR vial 0 0 0 0 0 0 0 0 0
557 Vaksin MR vial 0 0 0 0 0 0 0 0 0
558 Vaksin MR vial 166265 31 5154215 44 7315660 70 11638550 5 831325
559 Vaksin polio bivalent 10 dosis vial 0 0 0 0 0 0 0 0 0
562 Vaksin polio bivalent 10 dosis vial 22001.94545455 55 1210107 27 580338 59 1296083 23 494362
563 Vaksin polio trivalent 10 dosis vial 0 0 0 0 0 0 0 0 0
564 Vaksin Tetanus (Td) vial 0 0 0 0 0 0 0 0 0
567 VIRAL TRANSPORT MEDIUM (VTM) pack 0 0 0 0 0 0 0 0 0
573 Vitamin B kompleks tab tablet 89 4100 364900 0 0 4100 364900 0 0
575 Yellow tip pcs 175.7 0 0 1000 175700 1000 175700 0 0
576 Yellow tip pcs 234.9 1000 234900 0 0 1000 234900 0 0
577 Yodina Test botol 0 0 0 0 0 0 0 0 0
578 Zinc drops 10 mg/ml botol 5051 28 141428 28 141428 28 141428 28 141428
580 Zink Sirup 20mg/5 ml botol 3171 12 38052 0 0 12 38052 0 0
581 Zink tab tablet 208 800 166400 0 0 600 124800 200 41600
582 Zink tab tablet 0 0 0 0 0 0 0 0 0
583 Zink tab tablet 0 0 0 0 0 0 0 0 0
0
Total 306,441,142.00 133,119,649.00 290,673,680.00 148,887,112.00
Wonosobo, 30 juni 2022

Ka. UPTD Kepala Puskesmas Kejajar 2 Pengelola Farmasi

NIP 19670906198903 1 005 NIP 1994020202020122014
MUTASI OBAT
PERIODE TRIWULAN (JULI- SEPTEMBER 2022)
STOCK NILAI STOCK AWAL PEMAKAIAN

NO NAMA OBAT SATUAN HARGA SATUAN AWAL (Rp) PENERIMAAN Nilai Penerimaan SISA STOCK NILAI SISA STOK
UNIT NILAI (Rp)
1 2 3 4 5 6 = (4x5) 7 4x7 8 = (5+7-12) 9 = (4x8) 12 13
2 Hepatoprotektor tab (Curcuma tablet) tablet 539 200 107800 0 0 200 107800 0 0
3 Natrium Bikarbonat tab 500 mg tablet 48.4 100 4840 0 0 100 4840 0 0
5 Diazepam tab 5 mg tablet 109 100 10900 0 0 100 10900 0 0
7 Oksitetrasiklin HCL salep mata 1 % tube 3500 0 0 100 350000 25 87500 75 262500
8 Retinol 200.000 UI kapsul 11.06 0 0 1100 12166 1100 12166 0 0
10 Masker N95 pcs 19900 60 1194000 0 0 20 398000 40 796000
13 Rifapentine 300 mg / Isoniazid 300 mg tablet 6561 0 0 720 4723920 720 4723920 0 0
14 slide/d-glass/objek glass BTA pack 21747 0 0 5 108735 5 108735 0 0
15 tuberkulin PPD (test ktk 5vialx1,5ml) kit 625800 0 0 1 625800 1 625800 0 0
16 Acyclovir cream tube 0 0 0 0 0 0 0 0 0
18 Akarbose 50 mg tablet 0 0 0 0 0 0 0 0 0
21 Alat suntik sekali pakai 20ml pcs 0 0 0 0 0 0 0 0 0
22 Alat suntik sekali pakai 3 ml pcs 744.514084507 284 211442 0 0 84 72842 200 138600
25 Alkohol swab pcs 127.82 1000 127820 0 0 500 63910 500 63910
27 alopurinol tab 300mg tablet 200 0 0 300 60000 0 0 300 60000
28 Ambroksol syr 15mg/ 5ml - 60ml botol 0 0 0 0 0 0 0 0 0
29 Aminofilin inj 24 mg/ml 10 mg ampul 0 0 0 0 0 0 0 0 0
30 amlodipin tab 10mg tablet 70 700 49000 3500 245000 730 51100 3470 242900
31 amlodipin tab 5 mg tablet 53 6000 318000 0 0 3500 185500 2500 132500
32 Antasida DOEN Suspensi botol 1679 257 431503 0 0 112 188048 145 243455
37 Antimigren DOEN tablet 185 300 55500 0 0 300 55500 0 0
41 asam asetilsalisilat tab (asetosal) 80mg tablet 93.6075 400 37443 0 0 200 17962 200 19481
42 asam folat tab 1 mg tablet 56 1900 106400 3000 168000 700 39200 4200 235200
44 Atropin Sulfat inj 0,25 mg/ml- 1 ml ampul 1718 5 8590 0 0 0 0 5 8590
45 Attapulgit (Antidiare) tab tablet 145.0944444444 1800 261170 0 0 600 87000 1200 174170
51 blue Tip pcs 0 0 0 0 0 0 0 0 0
54 Cefadroxil syr kering 125mg/5ml botol 4185 0 0 50 209250 0 0 50 209250
55 cefadroxil syr kering 250 mg/ 5 ml botol 0 0 0 0 0 0 0 0 0
56 CEFIXIM kapsul 100MG kapsul 0 0 0 0 0 0 0 0 0
57 Cefixime kapsul 200mg kapsul 749 100 74900 0 0 100 74900 0 0
58 cetirizine syr 5mg/5ml botol 2090 50 104500 0 0 0 0 50 104500
60 ciprofloxaxin 500mg tablet 0 0 0 0 0 0 0 0 0
61 clindamicin kapsul 150MG kapsul 0 0 0 0 0 0 0 0 0
62 clindamicin kapsul 300mg kapsul 522 50 26100 100 52200 0 0 150 78300
63 Clopidogrel 75mg tablet 1404 150 210600 0 0 0 0 150 210600
64 Clorin 1 liter 12% botol 0 0 0 0 0 0 0 0 0
65 Deksametason inj 5 mg/ml-1 ml ampul 924 14 12936 10 9240 0 0 24 22176
66 Deksametason tab 0,5 mg tablet 34 300 10200 4000 136000 1900 64600 2400 81600
67 Dentin conditioner pack 0 0 0 0 0 0 0 0 0
68 Diazepam lar rectal tube 5 mg/2,5 ml tube 12573 4 50292 0 0 0 0 4 50292
71 Diltiasem tab tablet 142 100 14200 0 0 0 0 100 14200
72 Dimenhidrinat tablet 112 100 11200 0 0 0 0 100 11200
73 Disinfektan / Lisol 1000 ml botol 53066.6875 16 849067 0 0 16 849067 0 0
74 doksisiklin cap 100mg tablet 0 0 0 0 0 0 0 0 0
75 domperidon syr 5mg/5ml botol 2296 50 114800 0 0 24 55104 26 59696
76 Domperidon tab 10 mg tablet 73.22222222222 900 65900 500 35500 300 23300 1100 78100
78 fenol gliserol (karbogliserin) TT 10% botol 3300 71 234300 0 0 0 0 71 234300
81 Fluor topikal pack 0 0 0 0 0 0 0 0 0
84 Framicetin Sulfat kasa gel sachet 0 0 0 0 0 0 0 0 0
87 gelang bayi biru (blue) pcs 0 0 0 0 0 0 0 0 0
88 gelang bayi merah jambu (pink) pack 0 0 0 0 0 0 0 0 0
89 Gemfibrozil 300 mg kapsul 300 100 30000 0 0 0 0 100 30000
91 Gentamisin Tetes Mata 0,3% botol 4520 57 257640 0 0 44 198880 13 58760
92 Gentian violet larutan 1 % pot 2710.210526316 38 102988 0 0 38 102988 0 0
101 Hidrokortison cream 2,5 % tube 2391.279069767 86 205650 0 0 44 108000 42 97650
102 Infusion set Anak pcs 5100 23 117300 0 0 0 0 23 117300
103 Isosorbid dinitrat tab sublingual 5 mg tablet 191.3333333333 300 57400 0 0 0 0 300 57400
104 IV Catheter no 18 pcs 8233.588709677 248 2041930 0 0 0 0 248 2041930
107 JELLY USG botol 16000 5 80000 0 0 3 48000 2 32000
109 Kalsium Lactat ( Kalk ) tab 500 mg tablet 63 1800 113400 3000 180000 2000 125100 2800 168300
110 Kapas pembalut / adsorbens 250 gram rol 24000 8 192000 0 0 5 120000 3 72000
111 Kasa Pembalut hidrofil 16 x 16 pack 3500 121 423500 0 0 103 360500 18 63000
113 Kasa Pembalut hidrofil 4m x 10 cm rol 1435.54954955 222 318692 0 0 22 31937 200 286755
115 ketokonazol tab 200mg tablet 252 200 50400 0 0 0 0 200 50400
117 Kloramfenikol kapsul 500mg kapsul 1174 0 0 500 587000 0 0 500 587000
120 Klorheksidin 2% botol 0 0 0 1 220000 1 220000 0 0
122 Kotrimoksasol Forte 960mg tablet 0 0 0 0 0 0 0 0 0
123 Kotrimoksasol Syr 240mg/5ml - 60ml botol 2190 95 208050 0 0 45 98550 50 109500
124 Lisinopril tab 5 mg tablet 145 1400 203000 0 0 0 0 1400 203000
125 Loratadine tablet 131 150 19650 0 0 50 6550 100 13100
126 Metformin 850mg tablet 153 400 61200 0 0 300 45900 100 15300
127 Metildopa tab 250 mg tablet 946 100 94600 0 0 0 0 100 94600
131 Mikonazol cream/salep 2% (nitrat) tube 3414 24 81936 0 0 0 0 24 81936
132 Mikonazol serb 2% botol 22700 5 113500 0 0 0 0 5 113500
133 mometason cream 0,1% tube 5795 4 23180 0 0 0 0 4 23180
134 Nasal Oksigen size L pcs 5200 9 46800 0 0 9 46800 0 0
135 Nasal Oksigen size M pack 5200 30 156000 0 0 5 26000 25 130000
137 Natrium Diklofenak tab 25mg tablet 128 550 70400 3000 384000 1650 211200 1900 243200
138 Natrium Diklofenak tab 50 mg tablet 99.44444444444 900 89500 0 0 900 89500 0 0
139 Natrium Fusidat Salep 2% tube 4699 7 32893 24 112776 5 23495 26 122174
140 ofloxacin tablet salut selaput 400 mg tablet 572.8 300 171840 200 107000 190 112990 310 165850
142 omeprazole kapsul 20mg kapsul 129 1200 154800 0 0 800 103200 400 51600
146 Perak Sulfadiazin cream 1 % tube 18557 5 92785 5 92785 4 74228 6 111342
148 Plaster 5 yard x 2 inch rol 29700 5 148500 0 0 2 59400 3 89100
149 Plaster polyester non-woven 10cm x 5 m rol 61050 7 427350 2 122100 6 366300 3 183150
152 Ranitidin tab 150mg tablet 85 800 68000 1000 85000 800 68000 1000 85000
155 Ringer Asetat infus steril + asam malat botol 9646 20 192920 0 0 0 0 20 192920
157 Salbutamol lar respirator utk nebulizer 1 mg/ml ampul 4800 10 48000 0 0 1 4800 9 43200
160 Salep 2 - 4 pot 2796 34 95064 0 0 10 27960 24 67104
162 Silk No. 3/0 + jarum pcs 44440 36 1599840 36 1599840 36 1599840 36 1599840
164 Spoon gelatin cubicles 1 x 1 x 1 cm pcs 48000 0 0 1 48000 1 48000 0 0
166 Tabung Vac-tube EDTA K3 pcs 701.8 0 0 200 140360 200 140360 0 0
169 Tiamin HCL (B 1) tab 50 mg tablet 57 3200 182400 2000 114000 2400 136800 2800 159600
171 Underpads 60 x 90 pcs 7900 146 1153400 0 0 0 0 146 1153400
172 urin bag pcs 5951 4 23804 20 119020 0 0 24 142824
174 Zink tab tablet 208 200 41600 0 0 100 20800 100 20800
181 Stik HIV test kit II strip 0 0 0 0 0 0 0 0 0
182 Stik HIV test kit III strip 0 0 0 0 0 0 0 0 0
185 Plastik pembungkus obat Klip 10 x 7 pack 9800 100 980000 0 0 100 980000 0 0
193 Alkohol 95% 1000 ml botol 75 300 22500 0 0 0 0 300 22500
194 Alkohol swab pcs 71.61538461538 1300 93100 1000 71000 1300 92300 1000 71800
197 Asam Mefenamat tab 500 mg tablet 194.7 0 0 2000 389400 300 58410 1700 330990
200 Box Slides pcs 37717 2 75434 0 0 2 75434 0 0
204 Gown buah 32727 50 1636350 0 0 50 1636350 0 0
207 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine botol 30450 48 1461600 0 0 0 0 48 1461600
209 Handscoon pendek non steril no 7.5 (L) pasang 4272.73 100 427273 0 0 100 427273 0 0
212 Hidrogen Peroksida 3% botol 3360 8 26880 0 0 1 3360 7 23520
215 masker bedah pcs 489.0388768898 18520 9057000 0 0 720 388800 17800 8668200
220 Penutup Kepala (Head Cap) pcs 664 307 203848 0 0 0 0 307 203848
223 Silk No. 2/0 + jarum pcs 20300 0 0 36 730800 36 730800 0 0
225 Plaster Bulat Non Woven pcs 175 400 70000 0 0 0 0 400 70000
226 Stik glukosa strip 3545.72 0 0 9050 32088766 0 0 9050 32088766
228 Stik HIV test kit I dan siphilis (combo) strip 17723.52 0 0 100 1772352 100 1772352 0 0
230 Vaccutainer Eclipse Blood Colection needle 23G X 1,5 pcs 2067.03 0 0 100 206703 0 0 100 206703
231 Face Shield (Pelindung Wajah) pcs 16428.57142857 175 2875000 0 0 0 0 175 2875000
233 Face Shield (Pelindung Wajah) pcs 90350 18 1626300 0 0 0 0 18 1626300
235 masker bedah pcs 1100 280 308000 0 0 280 308000 0 0
236 Masker N95 pcs 29000 20 580000 0 0 0 0 20 580000
239 Alat suntik sekali pakai 3 ml pcs 569 16 9104 0 0 16 9104 0 0
240 Alkohol swab pcs 70.625 4800 339000 2800 223000 4200 284400 3400 277600
243 Masker Kain pcs 3500 41 143500 0 0 0 0 41 143500
244 Masker KN-95 pcs 40000 40 1600000 0 0 0 0 40 1600000
247 Sabun Cuci Tangan (Handwash) 4 Liter botol 45000 1 45000 0 0 1 45000 0 0
248 safety box pcs 13600 24 326400 0 0 10 136000 14 190400
250 Vitamin D3 1000 UI tablet 634 0 0 300 190200 0 0 300 190200
252 Albendazol tab 400 mg tablet 282.62 0 0 3000 847860 3000 847860 0 0
256 APD SET (masker bedah, faceshield, hansdsanitizer, sar paket 0 0 0 0 0 0 0 0 0
262 Kaptopril tab 12,5 mg tablet 66 700 46200 0 0 400 26400 300 19800
263 Lidokain + epineprin inj ampul 1229 0 0 30 36870 8 9832 22 27038
265 Masker KN-95 pcs 30000 1 30000 0 0 0 0 1 30000
266 multivitamin tab tablet 585 120 70200 0 0 0 0 120 70200
268 Oseltamivir tablet 7000 60 420000 0 0 0 0 60 420000
273 Masker N95 pcs 47500 24 1140000 0 0 1 47500 23 1092500
277 Alkohol swab pcs 79.32908912831 1021 80995 0 0 1000 79000 21 1995
279 NEEDLE 23 G pcs 314 21 6594 0 0 0 0 21 6594
280 safety box pcs 14000 13 182000 25 412500 32 500500 6 94000
281 Vaksin BCG inj 20 DOSIS vial 97448.5 0 0 20 1948970 20 1948970 0 0
284 vaksin covid19 pfizer (6 dosis/vial) vial 0 0 0 60 0 60 0 0 0
287 Vaksin HPV 1 dosis/vial vial 178750 0 0 114 20377500 114 20377500 0 0
288 Vaksin IPV vial 158994 19 3020886 10 1570720 29 4591606 0 0
291 Vaksin MR vial 166265 5 831325 170 28566030 175 29397355 0 0
294 amlodipin tab 10mg tablet 70 0 0 5000 350000 0 0 5000 350000
296 Amoksisilin syr kering 250mg/5ml botol 3529.8 0 0 180 635364 45 158841 135 476523
299 Articulating paper DIS-170 pack 210900 0 0 1 210900 1 210900 0 0
300 Articulating paper DIS-171 pack 219000 0 0 1 219000 1 219000 0 0
302 Asam traneksamat tab 500 mg tablet 1712 0 0 200 342400 0 0 200 342400
305 Candesartan 16mg tablet 322 0 0 120 38640 60 19320 60 19320
310 Etil klorida / propane / butane spray botol 292485 0 0 3 877455 3 877455 0 0
313 Framicetin Sulfat kasa gel sachet 21536.8 0 0 20 430736 0 0 20 430736
319 Hepatoprotektor tab (Curcuma tablet) tablet 681.45 0 0 480 327096 120 81774 360 245322
321 Hyoscine-N-Butilbromide tablet 1050 0 0 200 210000 0 0 200 210000
322 ibuprofen Suspensi 100mg/5ml botol 2236 0 0 100 223600 30 67080 70 156520
325 Kaptopril tab 25 mg tablet 75 0 0 900 67500 2 150 898 67350
337 Natrium Diklofenak tab 50 mg tablet 100 0 0 4000 400000 1000 100000 3000 300000
338 Nifedipin tab 30 mg lepas lambat (orros) tablet 3986 0 0 180 717480 60 239160 120 478320
340 Ondansetron inj ampul 881 0 0 25 22025 10 8810 15 13215
342 Parasetamol syr 120mg/5ml botol 1170.55 0 0 900 1053495 145 169730 755 883765
347 simvastatin tab 10mg tablet 68 0 0 1000 68000 300 20400 700 47600
348 sukralfat 500mg tablet 224 0 0 100 22400 100 22400 0 0
350 vitamin Imunomodulator tablet 1958 0 0 210 411180 30 58740 180 352440
351 Zink Sirup 20mg/5 ml botol 2511 0 0 144 361584 31 77841 113 283743
352 Alkohol swab pcs 90 0 0 9000 810000 0 0 9000 810000
354 Handscoon pendek non steril no 6.5 (S) pasang 1640 0 0 1000 1640000 220 360800 780 1279200
356 Handscoon pendek non steril no 7.5 (L) pasang 1640 0 0 1000 1640000 400 656000 600 984000
358 stik hemoglobin (Hb) strip 7814.4 0 0 100 781440 100 781440 0 0
TOTAL 148,887,112.00 176,066,888.00 147,504,057.00 177,449,943.00
Wonosobo, 30 September 2022

NIP 19670906198903 1 005 NIP 1994020202020122014

MUTASI OBAT GUDANG / SIMO

PERIODE OKTOBER - DESEMBER 2022
STOCK NILAI STOCK AWAL PEMAKAIAN

NO NAMA OBAT SATUAN HARGA SATUAN PENERIMAAN Nilai Penerimaan SISA STOCK NILAI SISA STOK
AWAL (Rp) UNIT NILAI (Rp)
1 2 3 4.00 5.00 6 = (4x5) 7.00 4x7 8 = (5+7-12) 9 = (4x8) 12.00 13.00
1 Acyclovir cream tube 4,000.00 - - 75.00 300,000.00 - - 75.00 300,000.00
2 Acyclovir tab 400mg tablet 407.00 150.00 61,050.00 - - 50.00 20,350.00 100.00 40,700.00
3 Alat Suntik imunisasi 5 ml pcs 1,500.00 200.00 300,000.00 200.00 300,000.00 100.00 150,000.00 300.00 450,000.00
4 Alat Suntik Sekali Pakai 0.05 ml pcs 1,101.00 100.00 110,100.00 - - - - 100.00 110,100.00
5 Alat Suntik Sekali Pakai 0.3 ml pcs 1,255.00 1,000.00 1,255,000.00 - - 900.00 1,129,500.00 100.00 125,500.00
6 Alat Suntik Sekali Pakai 0.5 ml pcs 1,165.00 800.00 932,000.00 - - 300.00 349,500.00 500.00 582,500.00
7 Alat Suntik Sekali Pakai 0.5 ml pcs 1,110.00 700.00 777,000.00 - - 400.00 420,000.00 300.00 357,000.00
8 Alat Suntik Sekali Pakai 1 ml pcs 881.00 286.00 251,966.00 - - - - 286.00 251,966.00
9 Alat Suntik Sekali Pakai 1 ml pcs 1,100.00 21.00 23,100.00 - - - - 21.00 23,100.00
10 Alat suntik sekali pakai 3 ml pcs 693.00 200.00 138,600.00 500.00 346,500.00 200.00 138,600.00 500.00 346,500.00
11 Alat Suntik Sekali Pakai 5 ml pcs 839.00 350.00 293,650.00 - - 350.00 293,650.00 - -
12 Alkohol 95% 1000 ml botol 75.00 300.00 22,500.00 24.00 560,280.00 300.00 22,500.00 24.00 560,280.00
13 Alkohol swab pcs 127.82 500.00 63,910.00 - - - - 500.00 63,910.00
14 Alkohol swab pcs 71.80 1,000.00 71,800.00 - - 800.00 56,800.00 200.00 15,000.00
15 Alkohol swab pcs 81.65 3,400.00 277,600.00 3,000.00 237,000.00 5,821.00 468,859.00 579.00 45,741.00
16 Alkohol swab pcs 95.00 21.00 1,995.00 - - - - 21.00 1,995.00
17 Alkohol swab pcs 90.00 9,000.00 810,000.00 900.00 81,000.00 9,400.00 846,000.00 500.00 45,000.00
18 Alopurinol tab 100 mg tablet - - - - - - - - -
19 Alopurinol tab 100 mg tablet 87.00 500.00 43,500.00 300.00 26,100.00 200.00 17,400.00 600.00 52,200.00
20 alopurinol tab 300mg tablet 200.00 300.00 60,000.00 200.00 40,000.00 200.00 40,000.00 300.00 60,000.00
21 Ambroksol syr 15mg/ 5ml - 60ml botol - - - - - - - - -
22 Aminofilin inj 24 mg/ml 10 mg ampul - - - - - - - - -
23 amlodipin tab 10mg tablet 70.00 3,470.00 242,900.00 - - 3,470.00 242,900.00 - -
24 amlodipin tab 10mg tablet 70.00 5,000.00 350,000.00 5,000.00 350,000.00 4,000.00 280,000.00 6,000.00 420,000.00
25 amlodipin tab 5 mg tablet 53.00 2,500.00 132,500.00 - - 2,500.00 132,500.00 - -
26 amlodipin tab 5 mg tablet 53.48 - - 4,500.00 240,660.00 500.00 26,740.00 4,000.00 213,920.00
27 Amoksisilin kaplet 250mg tablet - - - - - - - - -
28 Amoksisilin kaplet 500 mg tablet 253.00 2,000.00 506,000.00 - - 2,000.00 506,000.00 - -
29 Amoksisilin kaplet 500 mg tablet 201.00 3,800.00 763,800.00 16,000.00 3,216,000.00 4,100.00 824,100.00 15,700.00 3,155,700.00
30 Amoksisilin syr kering 250mg/5ml botol 3,529.80 135.00 476,523.00 - - 135.00 476,523.00 - -
31 Antasida DOEN Suspensi botol 1,679.00 145.00 243,455.00 - - 145.00 243,455.00 - -
32 Antasida DOEN tablet tablet 54.00 - - 5,000.00 270,000.00 700.00 37,800.00 4,300.00 232,200.00
33 Antasida DOEN tablet tablet 58.00 3,100.00 179,800.00 - - 3,100.00 179,800.00 - -
34 Anti Bakteri DOEN Salep tube - - - - - - - - -
35 Anti Bakteri DOEN Salep tube 3,509.00 75.00 263,175.00 - - - - 75.00 263,175.00
36 Anti Hemoroid DOEN Supp supp 3,250.00 50.00 162,500.00 - - - - 50.00 162,500.00
37 Anti Hemoroid DOEN Supp 3,250.00 - 30.00 97,500.00 - - 30.00 97,500.00

supp -
38 Antifungi DOEN kombinasi 4,798.00 67,172.00 - - 14.00 67,172.00 - -

tube 14.00
39 Antifungi DOEN kombinasi 3,477.00 132,126.00 - - - - 38.00 132,126.00

tube 38.00
40 Aqua pro inj steril, bebas pirogen vial 2,860.00 13.00 37,180.00 120.00 343,200.00 1.00 2,860.00 132.00 377,520.00
41 Asam Ascorbat (Vit C) tab 50 mg tablet 42.00 7,000.00 294,000.00 - - 600.00 25,200.00 6,400.00 268,800.00
42 Asam Ascorbat (Vit C) tab 50 mg tablet 105.00 100.00 10,500.00 - - 100.00 10,500.00 - -
43 Asam Ascorbat (Vitamin C) Tab 500 mg tablet 225.00 2,800.00 630,000.00 - - 2,500.00 562,500.00 300.00 67,500.00
44 Asam Ascorbat (Vitamin C) Tab 500 mg tablet 222.30 - - 2,000.00 444,600.00 - - 2,000.00 444,600.00
45 Asam Ascorbat (Vitamin C) Tab 500 mg tablet - - - - - - - - -
46 asam asetilsalisilat tab (asetosal) 80mg tablet 97.41 200.00 19,481.00 - - 200.00 19,481.00 - -
47 asam asetilsalisilat tab (asetosal) 80mg tablet 89.81 - - 500.00 44,905.00 - - 500.00 44,905.00
48 asam folat tab 1 mg tablet 56.00 4,200.00 235,200.00 - - 2,500.00 140,000.00 1,700.00 95,200.00
49 asam folat tab 1 mg tablet 56.00 - - 600.00 33,600.00 - - 600.00 33,600.00
50 Asam Mefenamat tab 500 mg tablet - - - - - - - - -
51 Asam Mefenamat tab 500 mg tablet 111.00 300.00 33,300.00 - - 300.00 33,300.00 - -
52 Asam Mefenamat tab 500 mg tablet 194.70 1,700.00 330,990.00 - - 1,700.00 330,990.00 - -
53 Asam Mefenamat tab 500 mg tablet 111.00 4,000.00 444,000.00 1,000.00 111,000.00 1,300.00 144,300.00 3,700.00 410,700.00
54 Asam traneksamat tab 500 mg tablet 1,712.00 200.00 342,400.00 - - 100.00 171,200.00 100.00 171,200.00
55 Atropin Sulfat inj 0,25 mg/ml- 1 ml ampul 1,718.00 5.00 8,590.00 - - - - 5.00 8,590.00
56 Attapulgit (Antidiare) tab tablet 145.14 1,200.00 174,170.00 - - 1,200.00 174,170.00 - -
57 Attapulgit (Antidiare) tab tablet 320.00 - - 1,000.00 320,000.00 - - 1,000.00 320,000.00
58 Azitromisin tab 500 mg tablet 1,136.36 - - 100.00 113,636.00 - - 100.00 113,636.00
59 Azitromisin tab 500 mg tablet 1,250.00 140.00 175,000.00 - - 100.00 125,000.00 40.00 50,000.00
60 baju cover all/ hasmart pcs 90,000.00 56.00 5,040,000.00 - - - - 56.00 5,040,000.00
64 Betahistin mesilat tab 6mg tablet 89.00 200.00 17,800.00 - - 200.00 17,800.00 - -
65 Betahistin mesilat tab 6mg tablet 89.00 300.00 26,700.00 - - 300.00 26,700.00 - -
66 Betametason +neomisin cr 5 gr tube 6,500.00 - - 30.00 195,000.00 - - 30.00 195,000.00
67 Betametason cream 0,05 % tube - - - - - - - - -
68 Betametason cream 0,05 % tube 1,540.00 12.00 18,480.00 - - 12.00 18,480.00 - -
69 Betametason cream 0,05 % tube 1,554.00 - - 75.00 116,550.00 10.00 15,540.00 65.00 101,010.00
70 Bisacodil tab tablet 2,500.00 - - 320.00 800,000.00 80.00 200,000.00 240.00 600,000.00
71 Bisoprolol 5mg tablet 138.00 50.00 6,900.00 - - 50.00 6,900.00 - -
72 Bisoprolol 5mg tablet 138.00 20.00 2,760.00 120.00 16,560.00 20.00 2,760.00 120.00 16,560.00
73 blood lancet pack 14,319.00 - - 9.00 128,871.00 9.00 128,871.00 - -
74 Candesartan 16mg tablet 322.00 60.00 19,320.00 - - 30.00 9,660.00 30.00 9,660.00
75 Cat gut /benang bedah cromic + jarum no 3/0 rol 12,099.00 - - 24.00 290,376.00 - - 24.00 290,376.00
76 Cat gut /benang bedah cromic + jarum no 2/0 rol - - - - - - - - -
77 Cat gut /benang bedah cromic + jarum no 2/0 rol 12,099.00 - - 48.00 580,752.00 - - 48.00 580,752.00
78 cefadroxil kapsul 500mg kapsul 388.00 1,200.00 465,600.00 - - 800.00 310,400.00 400.00 155,200.00
79 Cefadroxil syr kering 125mg/5ml botol 4,185.00 50.00 209,250.00 - - - - 50.00 209,250.00
80 cetirizine syr 5mg/5ml botol 2,090.00 50.00 104,500.00 - - 50.00 104,500.00 - -
81 cetirizine tab 10mg tablet 49.00 600.00 29,400.00 - - 600.00 29,400.00 - -
82 cetirizine tab 10mg tablet 49.00 1,000.00 49,000.00 - - 700.00 34,300.00 300.00 14,700.00
83 clindamicin kapsul 300mg kapsul 522.00 150.00 78,300.00 - - - - 150.00 78,300.00
84 Clopidogrel 75mg tablet 1,404.00 150.00 210,600.00 - - - - 150.00 210,600.00
85 Deksametason inj 5 mg/ml-1 ml ampul 924.00 24.00 22,176.00 - - 16.00 14,784.00 8.00 7,392.00
86 Deksametason tab 0,5 mg tablet 34.00 2,400.00 81,600.00 4,000.00 136,000.00 3,800.00 129,200.00 2,600.00 88,400.00
87 Diazepam lar rectal tube 5 mg/2,5 ml tube 12,573.00 4.00 50,292.00 - - - - 4.00 50,292.00
88 Digoksin tab 0,25 mg tablet 125.00 100.00 12,500.00 - - 100.00 12,500.00 - -
89 Diltiasem tab tablet 142.00 100.00 14,200.00 - - 100.00 14,200.00 - -
90 Dimenhidrinat tablet 112.00 100.00 11,200.00 300.00 32,400.00 100.00 11,200.00 300.00 32,400.00
91 Disinfektan / Lisol 1000 ml botol 53,066.60 - - 5.00 265,333.00 - - 5.00 265,333.00
92 domperidon syr 5mg/5ml botol 2,296.00 26.00 59,696.00 - - 26.00 59,696.00 - -
93 Domperidon tab 10 mg tablet 71.00 1,100.00 78,100.00 - - 300.00 21,300.00 800.00 56,800.00
94 Epinefrin HCl (Adrenalin) inj 0,1% - 1 ml ampul 1,515.00 10.00 15,150.00 - - 5.00 7,575.00 5.00 7,575.00
95 Face Shield (Pelindung Wajah) pcs 16,428.57 175.00 2,875,000.00 - - - - 175.00 2,875,000.00
96 Face Shield (Pelindung Wajah) pcs 90,350.00 18.00 1,626,300.00 - - - - 18.00 1,626,300.00
97 Fenofibrat 100mg kapsul 477.00 50.00 23,850.00 - - - - 50.00 23,850.00
98 Fenofibrat 100mg kapsul 477.00 50.00 23,850.00 - - - - 50.00 23,850.00
99 fenol gliserol (karbogliserin) TT 10% botol 3,300.00 71.00 234,300.00 - - 23.00 75,900.00 48.00 158,400.00
100 Fitomenadion ( Vit K) inj 2 mg/ml 1ml ampul 1,386.00 - - 30.00 41,580.00 - - 30.00 41,580.00
101 Fitomenadion ( Vit K) inj 2 mg/ml 1ml ampul 1,386.00 30.00 41,580.00 - - 30.00 41,580.00 - -
102 Fitomenadion ( Vit K1) tab salut 10 mg tablet 748.00 150.00 112,200.00 - - - - 150.00 112,200.00
103 folley catheter 16 pcs 8,635.00 15.00 129,525.00 - - - - 15.00 129,525.00
106 Framicetin Sulfat kasa gel sachet - - - - - - - - -
107 Framicetin Sulfat kasa gel sachet 21,536.80 20.00 430,736.00 - - 10.00 215,368.00 10.00 215,368.00
108 Furosemid tab 40 mg tablet - - - - - - - - -
109 Furosemid tab 40 mg tablet - - - - - - - - -
110 Furosemid tab 40 mg tablet 82.00 950.00 77,900.00 - - 950.00 77,900.00 - -
111 Furosemid tab 40 mg tablet 98.00 3,000.00 294,000.00 1,200.00 117,600.00 2,400.00 235,200.00 1,800.00 176,400.00
112 Garam oralit kombinasi sachet - - - - - - - - -
113 Garam oralit kombinasi sachet 280.00 - - 600.00 168,000.00 200.00 56,000.00 400.00 112,000.00
114 Gemfibrozil 300 mg kapsul 300.00 100.00 30,000.00 - - - - 100.00 30,000.00
115 Gentamisin inj 40mg/ml - 2ml ampul - - - - - - - - -
116 Gentamisin salep mata tube 2,689.00 - - 48.00 129,072.00 16.00 43,024.00 32.00 86,048.00
117 Gentamisin Tetes Mata 0,3% botol 4,520.00 13.00 58,760.00 - - 13.00 58,760.00 - -
118 Gentamisin Tetes Mata 0,3% botol 4,561.00 - - 72.00 328,392.00 16.00 72,976.00 56.00 255,416.00
119 Gentian violet larutan 1 % pot - - - - - - - - -
120 Gentian violet larutan 1 % pot 4,000.00 - - 24.00 96,000.00 - - 24.00 96,000.00
121 Glibenklamidum tab 5 mg tablet 83.00 300.00 24,900.00 100.00 8,300.00 300.00 24,900.00 100.00 8,300.00
122 Glimepiride tab 2 mg tablet 123.00 1,000.00 123,000.00 900.00 110,700.00 500.00 61,500.00 1,400.00 172,200.00
123 Glimepiride tab 4 mg tablet 183.00 400.00 73,200.00 - - 300.00 54,900.00 100.00 18,300.00
124 Glimepiride tab 4 mg tablet - - - - - - - - -
125 Glimepiride tab 4 mg tablet 185.00 200.00 37,000.00 300.00 55,500.00 100.00 18,500.00 400.00 74,000.00
126 Gliseril Guayakolat (GG) tab 100 mg tablet - - - - - - - - -
127 Gliseril Guayakolat (GG) tab 100 mg tablet 150.00 - - 3,500.00 525,000.00 100.00 15,000.00 3,400.00 510,000.00
128 Glukosa larutan infus 5 % steril 500ml botol - - - - - - - - -
129 Glukosa larutan infus 5 % steril 500ml botol 7,363.00 12.00 88,356.00 - - - - 12.00 88,356.00
130 Griseofulvin (micronized) tab 500 mg tablet 906.00 100.00 90,600.00 - - - - 100.00 90,600.00
131 Griseofulvin 125 mg tab tablet 210.00 200.00 42,000.00 - - - - 200.00 42,000.00
132 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) botol 27,400.00 43.00 1,178,200.00 - - 19.00 520,600.00 24.00 657,600.00
133 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) botol - - - - - - - - -
134 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) botol 36,300.00 - - 24.00 871,200.00 - - 24.00 871,200.00
135 hand sanitizer 5000 ml ( 5 liter) botol - - - - - - - - -
136 hand sanitizer 5000 ml ( 5 liter) botol 106,000.00 - - 1.00 106,000.00 - - 1.00 106,000.00
137 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine botol 30,450.00 48.00 1,461,600.00 - - 24.00 730,800.00 24.00 730,800.00
138 Handscoon panjang no. 6.5 (S) pasang 25,197.00 - - 200.00 5,039,400.00 - - 200.00 5,039,400.00
139 Handscoon panjang no. 8.5 (L) pasang 39,100.00 100.00 3,910,000.00 - - 100.00 3,910,000.00 - -
140 Handscoon pendek non steril no 6.5 (S) pasang 1,640.00 780.00 1,279,200.00 500.00 820,000.00 580.00 951,200.00 700.00 1,148,000.00
141 Handscoon pendek non steril no 7 (M) pasang 1,640.00 500.00 820,000.00 500.00 820,000.00 300.00 492,000.00 700.00 1,148,000.00
142 Handscoon pendek non steril no 7.5 (L) pasang 1,640.00 600.00 984,000.00 700.00 1,148,000.00 350.00 574,000.00 950.00 1,558,000.00
143 Handscoon pendek steril no 6.5 (S) pasang 8,635.00 200.00 1,727,000.00 100.00 863,500.00 200.00 1,727,000.00 100.00 863,500.00
144 Handscoon pendek steril no 7 (M) pasang 2,772.00 200.00 554,400.00 - - 200.00 554,400.00 - -
145 Handscoon pendek steril no 7 (M) pasang 5,332.00 200.00 1,066,400.00 200.00 1,066,400.00 50.00 266,600.00 350.00 1,866,200.00
146 Handscoon pendek steril no 7.5 (L) pasang 8,635.00 100.00 863,500.00 - - 50.00 431,750.00 50.00 431,750.00
147 Hepatoprotektor tab (Curcuma tablet) tablet 681.45 360.00 245,322.00 120.00 81,774.00 240.00 163,548.00 240.00 163,548.00
148 Hidrogen Peroksida 3% botol 3,360.00 7.00 23,520.00 - - 2.00 6,720.00 5.00 16,800.00
149 Hidroklorotiazid ( HCT ) tab 25 mg tablet 148.00 2,000.00 296,000.00 - - 700.00 103,600.00 1,300.00 192,400.00
150 Hidrokortison cream 2,5 % tube 2,325.00 42.00 97,650.00 - - 18.00 41,850.00 24.00 55,800.00
151 Hidrokortison cream 2,5 % tube 2,325.00 - - 48.00 111,600.00 24.00 55,800.00 24.00 55,800.00
152 Hyoscine-N-Butilbromide tablet - - - - - - - - -
153 Hyoscine-N-Butilbromide tablet 1,050.00 200.00 210,000.00 300.00 315,000.00 200.00 210,000.00 300.00 315,000.00
154 ibuprofen Suspensi 100mg/5ml botol - - - - - - - - -
155 ibuprofen Suspensi 100mg/5ml botol 2,236.00 70.00 156,520.00 - - 70.00 156,520.00 - -
156 Ibuprofen Suspensi 200mg/5ml botol - - - - - - - - -
157 Ibuprofen Suspensi 200mg/5ml botol 250.00 - - 1,000.00 250,000.00 - - 1,000.00 250,000.00
158 Ibuprofen tab 200 mg tablet - - - - - - - - -
159 Ibuprofen tab 200 mg tablet 138.00 100.00 13,800.00 - - 100.00 13,800.00 - -
160 Infusion set Anak pcs 5,100.00 23.00 117,300.00 - - 6.00 30,600.00 17.00 86,700.00
161 Isosorbid dinitrat tab sublingual 5 mg tablet 191.33 300.00 57,400.00 - - 200.00 33,000.00 100.00 24,400.00
162 IV Catheter no 18 pcs 5,995.00 248.00 2,041,930.00 50.00 299,750.00 248.00 2,041,930.00 50.00 299,750.00
163 IV Catheter no 20 pcs 5,995.00 50.00 299,750.00 100.00 599,500.00 50.00 299,750.00 100.00 599,500.00
164 IV Catheter no 22 pcs 5,995.00 100.00 599,500.00 50.00 299,750.00 50.00 299,750.00 100.00 599,500.00
165 JELLY USG botol 16,000.00 2.00 32,000.00 3.00 48,000.00 2.00 32,000.00 3.00 48,000.00
166 Kacamata Google pcs 26,000.00 9.00 234,000.00 - - - - 9.00 234,000.00
167 Kalsium Glukonas inj ampul 5,775.00 - - 10.00 57,750.00 - - 10.00 57,750.00
168 Kalsium Hidroksida Pasta tube - - - - - - - - -
169 Kalsium Hidroksida Pasta tube - - - - - - - - -
170 Kalsium Lactat ( Kalk ) tab 500 mg tablet 60.00 2,800.00 168,300.00 3,000.00 180,000.00 2,700.00 162,300.00 3,100.00 186,000.00
171 Kapas pembalut / adsorbens 250 gram rol 24,000.00 3.00 72,000.00 - - - - 3.00 72,000.00
172 Kapas pembalut / adsorbens 250 gram rol 26,196.00 - - 3.00 78,588.00 - - 3.00 78,588.00
173 Kaptopril tab 12,5 mg tablet 66.00 300.00 19,800.00 400.00 26,400.00 200.00 13,200.00 500.00 33,000.00
174 Kaptopril tab 25 mg tablet - - - - - - - - -
175 Kaptopril tab 25 mg tablet 75.00 898.00 67,350.00 1,000.00 75,000.00 798.00 59,850.00 1,100.00 82,500.00
176 karbon aktif tab tablet - - - - - - - - -
177 Kasa Pembalut hidrofil 16 x 16 pack 3,500.00 18.00 63,000.00 - - 18.00 63,000.00 - -
178 Kasa Pembalut hidrofil 16 x 16 pack 4,600.00 - - 200.00 920,000.00 70.00 322,000.00 130.00 598,000.00
179 Kasa Pembalut hidrofil 36m x 80 cm rol 123,000.00 2.00 246,000.00 - - - - 2.00 246,000.00
180 Kasa Pembalut hidrofil 4m x 10 cm rol 1,433.78 200.00 286,755.00 - - 150.00 217,755.00 50.00 69,000.00
181 Kasa Pembalut hidrofil 4m x 15 cm rol - - - - - - - - -
182 Ketokonazol cream 2% tube 2,370.00 12.00 28,440.00 - - 5.00 11,850.00 7.00 16,590.00
183 Ketokonazol cream 2% tube 2,370.00 120.00 284,400.00 24.00 56,880.00 20.00 47,400.00 124.00 293,880.00
184 ketokonazol tab 200mg tablet 252.00 200.00 50,400.00 - - - - 200.00 50,400.00
185 Ketorolac inj 30mg ampul 847.00 30.00 25,410.00 10.00 8,470.00 10.00 8,470.00 30.00 25,410.00
186 Kloramfenikol + prednisolon cream tube - - - - - - - - -
187 Kloramfenikol kapsul 500mg kapsul 1,174.00 500.00 587,000.00 - - 100.00 117,400.00 400.00 469,600.00
188 Kloramfenikol kapsul 500mg kapsul 1,185.00 - - 100.00 118,500.00 - - 100.00 118,500.00
189 Kloramfenikol salep kulit 2% tube - - - - - - - - -
190 Kloramfenikol salep kulit 2% tube 3,266.00 48.00 156,768.00 48.00 156,768.00 30.00 97,980.00 66.00 215,556.00
191 Kloramfenikol Tetes Telinga 1 % botol 12,000.00 - - 96.00 1,152,000.00 - - 96.00 1,152,000.00
192 Klorfeniramin Maleat ( CTM ) tab 4 mg tablet 23.00 6,300.00 144,900.00 - - 6,300.00 144,900.00 - -
193 Klorfeniramin Maleat ( CTM ) tab 4 mg tablet 210.42 - - 2,400.00 505,000.00 300.00 60,000.00 2,100.00 445,000.00
194 Kotrimoksasol dewasa 480mg tablet 151.00 500.00 75,500.00 - - 500.00 75,500.00 - -
195 Kotrimoksasol Forte 960mg tablet - - - - - - - - -
196 Kotrimoksasol Syr 240mg/5ml - 60ml botol 2,190.00 50.00 109,500.00 - - 50.00 109,500.00 - -
197 lansoprazole kapsul 30mg kapsul 278.00 - - 1,500.00 417,000.00 - - 1,500.00 417,000.00
198 Lidokain + epineprin inj ampul - - - - - - - - -
199 Lidokain + epineprin inj ampul 1,229.00 22.00 27,038.00 - - - - 22.00 27,038.00
200 Lidokain gelli 2% tube - - - - - - - - -
201 Lidokain murni inj 2 % ampul - - - - - - - - -
202 Lidokain murni inj 2 % ampul 1,221.00 29.00 35,409.00 - - 29.00 35,409.00 - -
203 Lidokain murni inj 2 % ampul 847.00 100.00 84,700.00 - - 22.00 18,634.00 78.00 66,066.00
204 Lisinopril tab 5 mg tablet 145.00 1,400.00 203,000.00 - - 800.00 116,000.00 600.00 87,000.00
205 Loratadine tablet 131.00 100.00 13,100.00 - - 100.00 13,100.00 - -
206 Loratadine tablet 109.00 - - 200.00 21,800.00 100.00 10,900.00 100.00 10,900.00
207 masker bedah pcs 486.98 17,800.00 8,668,200.00 - - 10,550.00 5,241,125.00 7,250.00 3,427,075.00
208 Masker Kain pcs 3,500.00 41.00 143,500.00 - - 41.00 143,500.00 - -
209 Masker Kain pcs - - - - - - - - -
210 Masker KN-95 pcs 40,000.00 40.00 1,600,000.00 - - 40.00 1,600,000.00 - -
211 Masker KN-95 pcs 30,000.00 1.00 30,000.00 - - - - 1.00 30,000.00
212 Masker N95 pcs 19,900.00 40.00 796,000.00 - - - - 40.00 796,000.00
213 Masker N95 pcs 29,000.00 20.00 580,000.00 - - - - 20.00 580,000.00
214 Masker N95 pcs 47,500.00 23.00 1,092,500.00 - - - - 23.00 1,092,500.00
215 Metformin 500mg tablet 77.70 1,750.00 135,975.00 2,000.00 155,400.00 1,550.00 120,435.00 2,200.00 170,940.00
216 Metformin 850mg tablet 153.00 100.00 15,300.00 - - 100.00 15,300.00 - -
217 Metformin 850mg tablet 154.39 800.00 123,512.00 - - 800.00 123,512.00 - -
218 Metildopa tab 250 mg tablet 946.00 100.00 94,600.00 - - - - 100.00 94,600.00
219 Metilergometrin Maleat inj 0,200 mg - 1 ml ampul 1,032.00 15.00 15,480.00 - - - - 15.00 15,480.00
220 Metilergometrin Maleat tab 0,125 mg tablet 214.00 - - 100.00 21,400.00 - - 100.00 21,400.00
221 metilprednisolon tab 4 mg tablet - - - - - - - - -
222 metilprednisolon tab 4 mg tablet 102.00 700.00 71,400.00 2,000.00 204,000.00 1,200.00 122,400.00 1,500.00 153,000.00
223 Metronidazole syr botol - - - - - - - - -
224 Metronidazole syr botol 3,950.00 60.00 237,000.00 - - 60.00 237,000.00 - -
225 Metronidazole tab 250 mg tablet - - - - - - - - -
226 Metronidazole tab 500 mg tablet 133.00 500.00 66,500.00 400.00 53,200.00 400.00 53,200.00 500.00 66,500.00
227 Mikonazol cream/salep 2% (nitrat) tube 3,414.00 24.00 81,936.00 - - - - 24.00 81,936.00
228 Mikonazol serb 2% botol 22,700.00 5.00 113,500.00 - - - - 5.00 113,500.00
229 mineral mix sachet /8gr sachet - - - - - - - - -
230 mineral mix sachet /8gr sachet 2,981.00 110.00 327,910.00 - - - - 110.00 327,910.00
231 mometason cream 0,1% tube 5,795.00 4.00 23,180.00 - - - - 4.00 23,180.00
232 Mucus ekstraktor FR 10 pcs - - - - - - - - -
233 Mucus ekstraktor FR 10 pcs 7,040.00 4.00 28,160.00 - - 1.00 7,040.00 3.00 21,120.00
234 multivitamin + Hepatoprotektor syr botol - - - - - - - - -
235 multivitamin tab tablet 585.00 120.00 70,200.00 - - 120.00 70,200.00 - -
236 Mummifying Pasta botol - - - - - - - - -
237 Mummifying Pasta botol - - - - - - - - -
238 Nasal Oksigen size L pcs 5,200.00 - - 20.00 104,000.00 - - 20.00 104,000.00
239 Nasal Oksigen size M pack 5,200.00 25.00 130,000.00 - - 10.00 52,000.00 15.00 78,000.00
240 Nasal Oksigen Size S pcs - - - - - - - - -
241 Nasal Oksigen Size S pcs 7,700.00 - - 20.00 154,000.00 - - 20.00 154,000.00
242 N-asetil sistein tab 200mg tablet 301.00 2,940.00 884,940.00 - - 2,940.00 884,940.00 - -
243 N-asetil sistein tab 200mg tablet - - - - - - - - -
244 N-asetil sistein tab 200mg tablet 304.00 - - 2,640.00 802,560.00 1,440.00 437,760.00 1,200.00 364,800.00
245 Natrium Bikarbonat tab 500 mg tablet - - - - - - - - -
246 Natrium Diklofenak tab 25mg tablet 128.00 1,900.00 243,200.00 3,000.00 384,000.00 2,000.00 256,000.00 2,900.00 371,200.00
247 Natrium Diklofenak tab 50 mg tablet - - - - - - - - -
248 Natrium Diklofenak tab 50 mg tablet 100.00 3,000.00 300,000.00 3,000.00 300,000.00 3,100.00 310,000.00 2,900.00 290,000.00
249 Natrium Fusidat Salep 2% 4,699.00 122,174.00 - - 11.00 51,689.00 15.00 70,485.00
tube 26.00
250 Natrium Klorida Larutan infus 0,9 % 10 ml botol 3,280.00 118.00 387,040.00 - - 20.00 65,600.00 98.00 321,440.00
251 Natrium Klorida larutan infus 0,9 % 500ml botol 6,840.00 8.00 54,720.00 - - 6.00 41,040.00 2.00 13,680.00
252 NEEDLE 23 G pcs 314.00 21.00 6,594.00 - - - - 21.00 6,594.00
253 Nifedipin tab 30 mg lepas lambat (orros) tablet 3,986.00 120.00 478,320.00 - - - - 120.00 478,320.00
254 Nistatin vaginal tab 100.000 IU / mg tablet 550.00 - - 100.00 55,000.00 - - 100.00 55,000.00
255 OAT FDC anak paket - - - - - - - - -
256 OAT FDC anak paket 248,310.00 - - 1.00 248,310.00 - - 1.00 248,310.00
257 OAT FDC kategori 1 paket 416,696.00 - - 2.00 833,392.00 1.00 416,696.00 1.00 416,696.00
258 obat flu kombinasi tab tablet 750.00 - - 1,000.00 750,000.00 1,000.00 750,000.00 - -
259 Obat Flu syr + Parasetamol botol - - - - - - - - -
260 ofloxacin tablet salut selaput 400 mg tablet 535.00 310.00 165,850.00 - - 210.00 112,350.00 100.00 53,500.00
261 ofloxacin tablet salut selaput 400 mg tablet 540.00 - - 100.00 54,000.00 - - 100.00 54,000.00
262 Oksitetrasiklin HCL salep mata 1 % tube 3,500.00 75.00 262,500.00 - - 50.00 175,000.00 25.00 87,500.00
263 Oksitoksin inj 10 IU/ ml - 1 ml ampul 1,126.00 100.00 112,600.00 - - - - 100.00 112,600.00
264 omeprazole kapsul 20mg kapsul 129.00 400.00 51,600.00 - - 400.00 51,600.00 - -
265 Ondansetron inj ampul - - - - - - - - -
266 Ondansetron inj ampul 881.00 15.00 13,215.00 - - - - 15.00 13,215.00
267 Ondansetron tab 8 mg tablet - - - - - - - - -
268 Oseltamivir tablet 7,000.00 60.00 420,000.00 - - - - 60.00 420,000.00
269 Parasetamol drop botol 4,976.00 5.00 24,880.00 - - 5.00 24,880.00 - -
270 Parasetamol drop botol 4,976.00 491.00 2,443,216.00 - - 491.00 2,443,216.00 - -
271 Parasetamol syr 120mg/5ml botol 1,160.00 70.00 81,200.00 - - 70.00 81,200.00 - -
272 Parasetamol syr 120mg/5ml botol - - - - - - - - -
273 Parasetamol syr 120mg/5ml botol 1,170.55 755.00 883,765.00 - - 529.00 619,221.00 226.00 264,544.00
274 Parasetamol tab 500 mg tablet - - - - - - - - -
275 Parasetamol tab 500 mg tablet 124.85 1,300.00 162,305.00 - - 1,300.00 162,305.00 - -
276 Parasetamol tab 500 mg tablet - - - - - - - - -
277 Parasetamol tab 500 mg tablet 97.90 900.00 88,110.00 - - 900.00 88,110.00 - -
278 Parasetamol tab 500 mg tablet 153.18 21,500.00 3,293,370.00 13,800.00 2,113,884.00 19,300.00 2,956,374.00 16,000.00 2,450,880.00
279 Penutup Kepala (Head Cap) pcs 664.00 307.00 203,848.00 - - - - 307.00 203,848.00
280 Perak Sulfadiazin cream 1 % tube 18,557.00 6.00 111,342.00 10.00 185,570.00 - - 16.00 296,912.00
281 Permetrin cream 5% 30gr tube 11,250.00 21.00 236,250.00 - - 11.00 123,750.00 10.00 112,500.00
282 Permetrin cream 5% 30gr tube - - - - - - - - -
283 Permetrin cream 5% 30gr tube 11,250.00 20.00 225,000.00 30.00 337,500.00 - - 50.00 562,500.00
284 Piridoxin HCL (vit B 6) tab 10 mg tablet 131.00 600.00 78,600.00 - - 600.00 78,600.00 - -
285 Piridoxin HCL (vit B 6) tab 10 mg tablet 67.00 1,000.00 67,000.00 2,400.00 160,800.00 1,200.00 80,400.00 2,200.00 147,400.00
286 Plaster 5 yard x 2 inch rol 29,700.00 3.00 89,100.00 - - - - 3.00 89,100.00
287 Plaster Bulat Non Woven pcs 175.00 400.00 70,000.00 - - 200.00 35,000.00 200.00 35,000.00
288 Plaster polyester non-woven 10cm x 5 m rol 61,050.00 3.00 183,150.00 - - 3.00 183,150.00 - -
289 Povidon Iodine 10% 30 ml botol 3,200.00 46.00 147,200.00 - - 9.00 28,800.00 37.00 118,400.00
290 Povidon Iodine 10% 300 ml botol - - - - - - - - -
291 Povidon Iodine 10% 300 ml botol 21,000.00 9.00 189,000.00 - - 3.00 63,000.00 6.00 126,000.00
292 Prednison tab 5 mg tablet - - - - - - - - -
293 Prednison tab 5 mg tablet 68.00 2,100.00 142,800.00 1,000.00 68,000.00 1,800.00 122,400.00 1,300.00 88,400.00
296 Ranitidin inj 25mg/ml@1ml ampul 814.00 10.00 8,140.00 - - - - 10.00 8,140.00
297 Ranitidin inj 25mg/ml@1ml ampul - - - - - - - - -
298 Ranitidin inj 25mg/ml@1ml ampul 814.00 - - 50.00 40,700.00 - - 50.00 40,700.00
299 Ranitidin tab 150mg tablet 85.00 1,000.00 85,000.00 1,000.00 85,000.00 900.00 76,500.00 1,100.00 93,500.00
300 Ranitidin tab 150mg tablet 85.00 - - 200.00 17,000.00 - - 200.00 17,000.00
301 RDT covid19 Antigen buah 29,600.00 - - 50.00 1,480,000.00 50.00 1,480,000.00 - -
302 Retinol 100.000 UI kapsul 305.00 150.00 45,750.00 - - - - 150.00 45,750.00
303 Retinol 200.000 UI kapsul 553.00 100.00 55,300.00 - - - - 100.00 55,300.00
304 Ringer Asetat infus steril + asam malat botol 9,646.00 20.00 192,920.00 - - - - 20.00 192,920.00
305 Ringer lactat ( RL ) infus steril botol 7,630.00 20.00 152,600.00 140.00 1,068,200.00 83.00 633,290.00 77.00 587,510.00
306 safety box pcs 13,600.00 14.00 190,400.00 - - 5.00 68,000.00 9.00 122,400.00
307 safety box pcs - - - - - - - - -
308 safety box pcs 15,666.67 6.00 94,000.00 - - 1.00 14,000.00 5.00 80,000.00
309 Salbutamol lar respirator utk nebulizer 1 mg/ml ampul 4,800.00 9.00 43,200.00 - - 9.00 43,200.00 - -
310 Salbutamol lar respirator utk nebulizer 1 mg/ml ampul 4,844.00 - - 10.00 48,440.00 - - 10.00 48,440.00
311 Salbutamol tab 2 mg tablet 67.00 600.00 40,200.00 - - 400.00 26,800.00 200.00 13,400.00
312 Salbutamol tab 2 mg tablet 67.00 - - 300.00 20,100.00 - - 300.00 20,100.00
313 Salbutamol tab 4 mg tablet 63.00 600.00 37,800.00 - - 300.00 18,900.00 300.00 18,900.00
314 Salep 2 - 4 pot - - - - - - - - -
315 Salep 2 - 4 pot 2,796.00 24.00 67,104.00 - - 10.00 27,960.00 14.00 39,144.00
316 Salisil bedak 2 % pack - - - - - - - - -
317 Salisil bedak 2 % pack 9,000.00 - - 10.00 90,000.00 - - 10.00 90,000.00
318 Serum HBIG (Hiperheb) ampul 1,325,000.00 1.00 1,325,000.00 - - 1.00 1,325,000.00 - -
319 Sianokobalamin (B 12) tab 50mcg tablet 49.00 200.00 9,800.00 - - 200.00 9,800.00 - -
320 Sianokobalamin (B 12) tab 50mcg tablet 43.00 1,700.00 73,100.00 3,000.00 129,000.00 2,000.00 86,000.00 2,700.00 116,100.00
321 Silk No. 3/0 + jarum pcs 44,440.00 36.00 1,599,840.00 - - - - 36.00 1,599,840.00
322 simvastatin tab 10mg tablet 68.00 700.00 47,600.00 600.00 40,800.00 700.00 47,600.00 600.00 40,800.00
323 Spironolacton tab 25mg tablet 190.00 100.00 19,000.00 - - 100.00 19,000.00 - -
324 Spironolacton tab 25mg tablet 192.00 - - 100.00 19,200.00 100.00 19,200.00 - -
325 Stik glukosa strip 3,545.72 9,050.00 32,088,766.00 - - 1,050.00 3,723,006.00 8,000.00 28,365,760.00
326 Stik HbSAg test strip 7,343.00 - - 100.00 734,300.00 100.00 734,300.00 - -
327 stik hemoglobin (Hb) strip 7,814.40 - - 400.00 3,125,760.00 400.00 3,125,760.00 - -
328 Stik HIV test kit I strip - - - - - - - - -
329 Stik HIV test kit I strip 7,879.00 - - 100.00 787,900.00 100.00 787,900.00 - -
330 Stik HIV test kit I strip - - - - - - - - -
331 Stik HIV test kit I dan siphilis (combo) strip 17,723.52 - - 50.00 886,176.00 50.00 886,176.00 - -
332 Stik Rapid Test Sifilis II (Human) strip 7,814.40 - - 100.00 781,440.00 100.00 781,440.00 - -
333 Stik urin 3 parameter (glukosa,pH,protein) strip 800.00 - - 100.00 80,000.00 100.00 80,000.00 - -
334 Tambah darah kombinasi ( ferro fumarat 60 mg, asam folat 0,4 tablet 226.00 11,800.00 2,666,800.00 - - 300.00 67,800.00 11,500.00 2,599,000.00
335 Tambah darah kombinasi ( ferro fumarat 60 mg, asam folat 0,4 tablet 226.00 122,210.00 27,619,460.00 - - 4,700.00 1,062,200.00 117,510.00 26,557,260.00
336 Tiamin HCL (B 1) tab 50 mg tablet 57.00 2,800.00 159,600.00 5,000.00 285,000.00 2,700.00 153,900.00 5,100.00 290,700.00
337 tranfusion set pcs 9,548.00 50.00 477,400.00 - - - - 50.00 477,400.00
338 tuberkulin PPD (test ktk 5vialx1,5ml) kit 608,280.00 - - 2.00 1,216,560.00 2.00 1,216,560.00 - -
339 Umbilical cord clamps pcs 1,300.00 80.00 104,000.00 - - - - 80.00 104,000.00
340 Underpads 60 x 90 pcs 7,900.00 146.00 1,153,400.00 - - 146.00 1,153,400.00 - -
341 urin bag pcs 5,951.00 24.00 142,824.00 - - 1.00 5,951.00 23.00 136,873.00
342 Vaccutainer Eclipse Blood Colection needle 23G X 1,5 pcs 2,067.03 100.00 206,703.00 - - 100.00 206,703.00 - -
343 Vaksin BCG inj 20 DOSIS vial 97,117.00 - - 10.00 971,170.00 10.00 971,170.00 - -
344 vaksin covid19 pfizer (6 dosis/vial) vial - - - 15.00 - - - 15.00 -
345 vaksin covid19 pfizer (6 dosis/vial) vial - - - 40.00 - 40.00 - - -
346 Vaksin DPT-HB-Hib 5 dosis vial 85,102.00 - - 70.00 5,957,140.00 70.00 5,957,140.00 - -
347 Vaksin hepatitis B rekombinan inj 0,5 ml (Anak) vial 26,074.00 - - 20.00 521,480.00 20.00 521,480.00 - -
348 Vaksin HPV 1 dosis/vial vial 178,750.00 - - 13.00 2,323,750.00 13.00 2,323,750.00 - -
349 Vaksin IPV vial 157,072.00 - - 20.00 3,141,440.00 20.00 3,141,440.00 - -
350 Vaksin jerap difteri tetanus (DT) vial - - - - - - - - -
351 Vaksin jerap difteri tetanus (DT) vial 34,825.93 - - 27.00 940,300.00 27.00 940,300.00 - -
352 Vaksin MR vial 169,386.00 - - 20.00 3,387,720.00 20.00 3,387,720.00 - -
353 Vaksin PCV 4 dosis vial 3,400,000.00 - - 17.00 57,800,000.00 17.00 57,800,000.00 - -
354 Vaksin polio bivalent 10 dosis vial 21,494.00 - - 20.00 429,880.00 20.00 429,880.00 - -
355 Vaksin polio trivalent 10 dosis vial - - - - - - - - -
356 Vitamin B kompleks tab tablet 57.00 13,000.00 741,000.00 3,000.00 171,000.00 5,600.00 319,200.00 10,400.00 592,800.00
357 Vitamin D3 1000 UI tablet 634.00 300.00 190,200.00 - - 30.00 19,020.00 270.00 171,180.00
358 vitamin Imunomodulator tablet 1,958.00 180.00 352,440.00 - - 120.00 234,960.00 60.00 117,480.00
359 Yodina Test botol 36,630.00 - - 13.00 476,190.00 13.00 476,190.00 - -
360 Zink Sirup 20mg/5 ml botol 2,511.00 113.00 283,743.00 - - 11.00 27,621.00 102.00 256,122.00
361 Zink tab tablet 208.00 100.00 20,800.00 - - - - 100.00 20,800.00
362 Zink tab tablet 208.00 - - 300.00 62,400.00 200.00 41,600.00 100.00 20,800.00
363 Zink tab tablet - - - - - - - - -
TOTAL 177,449,943.00 122,235,059.00 139,189,900.00 160,495,102.00

NIP 19670906198903 1 005 NIP 1994020202020122014
REKAP DISTRIBUSI POLI KB

JANUARI 2022 - JUNI 2022
PERIODE JANUARI - JUNI 2022
PEMAKAIAN
HARGA STOCK NILAI STOCK SISA
NO NAMA OBAT SATUAN PENERIMAAN Peneriman x NON- Nilai stok akhir
SATUAN AWAL AWAL (Rp) RESEP NILAI (Rp) Nilai (Rp) STOCK
Harga rupiah RESEP
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 9 = (4x8) 10 11 = (4x10) 12 13
12)
1 Handscoon pendek non steril no 7 (M) pasang 4272.72726 2 Rp 8,545.45 100 Rp 427,273 102 Rp 435,818.18 0 0
2 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) botol 34000 0 Rp - 3 Rp 102,000 3 Rp 102,000.00 0 0
3 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine botol 30450 0 Rp - 1 Rp 30,450 1 Rp 30,450.00 0 0
4 Lidokain + epineprin inj ampul 1229 1 Rp 1,229.00 5 Rp 6,145 2 Rp 2,458.00 4 4916
5 Alkohol swab buah 40 0 Rp - 3 Rp 120 3 Rp 120.00 0 0
6 Kassa pembalut 4x10 cm pcs 1451.7 0 Rp - 36 Rp 52,261 34 Rp 49,357.80 2 2903.4
7 Lidokain ampul 1221 0 Rp - 15 Rp 18,315 15 Rp 18,315.00 0 0
8 Kasa Pembalut hidrofil 16x16 Pcs 3500 0 Rp - 10 Rp 35,000 10 Rp 35,000.00 0 0
10 Alkohol swab buah 79 0 Rp - 100 Rp 7,900 30 Rp 2,370.00 70 5530
11 plaster polyster 5x10 cm pcs 61050 0 Rp - 2 Rp 122,100 1 Rp 61,050.00 1 61050
TOTAL Rp 9,774.45 Rp 828,963.9 Rp 764,338.98 74,399.40
###

NIP 19670906198903 1 005 NIP 1994020202020122014
JUMLAH TOTAL NILAI PENERIMAAN DARI GUDANG

PERIODE MARET 2022 61,250.60
PERIODE MEI 2022 Rp45,715
PERIODE JUNI 2022 Rp164,000
TOTAL PENERIMAAN DARI GUDANG JAN-JUNI 2022=
Rp828,963.9

JULI - SEPTEMBER 2022
PERIODE ULI - SEPTEMBER 2022
PEMAKAIAN
NO NAMA OBAT SATUAN PENERIMAAN Peneriman x NON- Nilai stok akhir
SATUAN AWAL AWAL (Rp) RESEP NILAI (Rp) Nilai (Rp) STOCK
Harga rupiah RESEP
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 9 = (4x8) 10 11 = (4x10) 12 13
12)
1 Handscoon pendek non steril no 7 (M) pasang 4272.72726 0 Rp - Rp - 0 Rp - 0 0
2 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) botol 34000 0 Rp - Rp - 0 Rp - 0 0
3 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine Pasang 30450 0 Rp - Rp - 0 Rp - 0 0
4 Lidokain + epineprin inj botol 1229 4 Rp 4,916.00 Rp - 4 Rp 4,916.00 0 0
5 Alkohol swab ampul 71 0 Rp - 50 Rp 3,550 10 Rp 710.00 40 2840
6 Kassa pembalut 4x10 cm buah 1451.7 2 Rp 2,903.40 Rp - 2 Rp 2,903.40 0 0
7 Lidokain pcs 1221 0 Rp - 11 Rp 13,431 11 Rp 13,431.00 0 0
8 Kasa Pembalut hidrofil 16x16 ampul 3500 0 Rp - Rp - 0 Rp - 0 0
9 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) Pcs 27400 0 Rp - Rp - 0 Rp - 0 0
10 Alkohol swab botol 79 70 Rp 5,530.00 Rp - 0 Rp - 70 5530
11 plaster polyster 5x10 cm buah 68050 0 Rp - 1 Rp 68,050 0 Rp - 1 68050
12 plaster polyster 5x10 cm buah 61050 1 Rp 61,050.00 Rp - 1 Rp 61,050.00 0 0
13 Disenfektan Lisol 1000ml buah 1098900 0 Rp - 1 Rp 1,098,900 1 Rp 1,098,900.00 0 0
14 safety box buah 16500 0 Rp - 1 Rp 16,500 1 Rp 16,500.00 0 0
TOTAL Rp 74,399.40 Rp 1,200,431.0 Rp 1,198,410.40 76,420.00


NIP 19670906198903 1 005 NIP 1994020202020122014


PEMAKAIAN
NO NAMA OBAT SATUAN Peneriman x NILAI NON- Nilai stok akhir
SATUAN AWAL AWAL (Rp) PENERIMAAN RESEP Nilai (Rp) STOCK
Harga rupiah (Rp) RESEP
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 9 = (4x8) 10 11 = (4x10) 12 13
12)
1 Handscoon pendek non steril no 7 ,5 L pasang 1,640.00 - - 50.00 82,000.00 50.00 82,000.00 - -
2 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) botol 34,000.00 - - - - - - -
3 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine Pasang 30,450.00 - - - - - - -
4 Lidokain + epineprin inj ampul 1,229.00 - - - - - - -
5 Alkohol swab pcs 71.00 40.00 2,840.00 - 40.00 2,840.00 - -
6 Alkohol swab PCS 88.00 - 200.00 17,600.00 102.00 8,976.00 98.00 8,624.00
7 Kassa pembalut 4x10 cm buah 1,451.70 - - - - - - -
8 Lidokain pcs 1,221.00 - - - - - - - -
9 Lidokain pcs 847.00 - 8.00 6,776.00 - - 8.00 6,776.00
10 Kasa Pembalut hidrofil 16x16 ampul 3,500.00 - - 14.00 49,000.00 9.00 31,500.00 5.00 17,500.00
11 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) Pcs 27,400.00 - - - - - - -
12 Alkohol swab botol 79.00 70.00 5,530.00 - 70.00 5,530.00 - -
13 plaster polyster 5x10 cm buah 68,050.00 1.00 68,050.00 - 1.00 68,050.00 - -
14 plaster polyster 5x10 cm buah 61,050.00 - - 1.00 61,050.00 1.00 61,050.00 - -
15 Disenfektan Lisol 1000ml buah 1,098,900.00 - - - - - - -
16 safety box buah 16,500.00 - - - - - - -
17 Alat suntik 3 ml pcs 693.00 - - 100.00 69,300.00 100.00 69,300.00 - -
Handscoon pendek non steril no 6 .5 S pasang 1,640.00 - - 80.00 131,200.00 60.00 98,400.00 20.00 32,800.00
TOTAL 76,420.00 453.00 416,926.00 427,646.00 65,700.00


NIP 19670906198903 1 005 NIP 1994020202020122014
REKAP DISTRIBUSI PER UNIT DIENG

JANUARI-JUNI 2022
PEMAKAIAN
HARGA STOCK NILAI STOCK
NO NAMA OBAT SATUAN PENERIMAAN Peneriman x Harga NILAI
SATUAN AWAL AWAL (Rp) RESEP NON-RESEP
rupiah (Rp)
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 9 = (4x8) 10
12)
1 Acyclovir cream tablet 2531.5862 0 Rp - 0 Rp - 0
2 Acyclovir tab 400mg tablet 405 0 Rp - 0 Rp - 0
3 Alopurinol tab 100 mg tablet 87 0 Rp - 0 Rp - 0
4 alopurinol tab 300mg tablet 210 0 Rp - 0 Rp - 0
5 amlodipin tab 10mg tablet 70 20 Rp 1,400.00 100 Rp 7,000 120
6 amlodipin tab 5 mg tablet 53 50 Rp 2,650.00 0 Rp - 50
7 Amoksisilin kaplet 500 mg tablet 253 15 Rp 3,795.00 200 Rp 50,600 205
8 Amoksisilin syr kering 250mg/5ml tablet 3628 0 Rp - 5 Rp 18,140 5
9 Antasida DOEN tablet tablet 54 50 Rp 2,700.00 200 Rp 10,800 250
10 Antasida DOEN Suspensi tablet 1679 0 Rp - 5 Rp 8,395 5
11 Asam Ascorbat (Vit C) tab 250 mg tablet 119 0 Rp - 200 Rp 23,800 0
12 Asam Ascorbat (Vit C) tab 50 mg tablet 105 210 Rp 22,050.00 200 Rp 21,000 250
13 asam asetilsalisilat tab (asetosal) 80mg tablet 105 0 Rp - 0 Rp - 0
14 asam folat tab 1 mg tablet 56 0 Rp - 0 Rp - 0
15 Asam Mefenamat tab 500 mg tablet 111 0 Rp - 200 Rp 22,200 120
16 Attapulgit (Antidiare) tab tablet 145 0 Rp - 200 Rp 29,000 60
17 Betametason cream 0,05 % Tube 1430 0 Rp - 0 Rp - 0
18 cetirizine tab 10mg tablet 49 0 Rp - 0 Rp - 0
19 Deksametason tab 0,5 mg tablet 34 0 Rp - 200 Rp 6,800 140
20 domperidon syr 5mg/5ml Botol 2700 0 Rp - 0 Rp - 0
21 Domperidon tab 10 mg tablet 90 0 Rp - 0 Rp - 0
22 Furosemid tab 40 mg tablet 82 70 Rp 5,740.00 0 Rp - 70
23 Garam oralit kombinasi sachet 257 0 Rp - 0 Rp - 0
24 Gentamisin Tetes Mata 0,3% tube 4232 0 Rp - 0 Rp - 0
25 Glimepiride tab 2 mg tablet 123 0 Rp - 0 Rp - 0
26 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) buah 34000 0 Rp - 2 Rp 68,000 2
27 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine buah 30450 0 Rp - 1 Rp 30,450 1
28 Hidroklorotiazid ( HCT ) tab 25 mg tablet 148 50 Rp 7,400.00 0 Rp - 50
29 Hidrokortison cream 2,5 % Tube 2475 0 Rp - 0 Rp - 0
30 ibuprofen Suspensi 100mg/5ml Botol 2721 0 Rp - 0 Rp - 0
31 Kalsium Glukonas inj ampul 10351 0 Rp - 0 Rp - 0
32 Kalsium Lactat ( Kalk ) tab 500 mg tablet 63 10 Rp 630.00 100 Rp 6,300 110
33 Kaptopril tab 25 mg tablet 75 15 Rp 1,125.00 200 Rp 15,000 115
34 Kloramfenikol Salep Mata 1 % Tube 2007 0 0 Rp - 0
35 Kloramfenikol SK Tube 3266 0 Rp - 0 Rp - 0
36 Klorfeniramin Maleat ( CTM ) tab 4 mg tablet 23 20 Rp 460.00 200 Rp 4,600 220
37 Kotrimoksasol Syr 240mg/5ml - 60ml Botol 2190 0 Rp - 0 Rp - 0
38 Lidokain + epineprin inj ampul 1229 0 Rp - 0 Rp - 0
39 Metformin 500mg tablet 77 50 Rp 3,850.00 0 Rp - 50
40 metilprednisolon tab 4 mg tablet 102 0 Rp - 0 Rp - 0
41 N-asetil sistein tab 200mg tablet 373 25 Rp 9,325.00 0 Rp - 25
42 Natrium Diklofenak tab 25mg tablet 128 0 Rp - 0 Rp - 0
43 Natrium Diklofenak tab 50 mg tablet 99 0 Rp - 200 Rp 19,800 100
44 Oksitoksin inj 10 IU/ ml - 1 ml ampul 1199 0 Rp - 0 Rp - 0
45 omeprazole kapsul 20mg tablet 129 0 Rp - 0 Rp - 0
46 Ondansetron tab 8 mg tablet 270 0 Rp - 0 Rp - 0
47 Parasetamol drop Botol 4976 0 Rp - 15 Rp 74,640 15
48 Parasetamol syr 120mg/5ml Botol 1181 0 Rp - 10 Rp 11,810 10
49 Parasetamol tab 500 mg tablet 97.9 70 Rp 6,853.00 700 Rp 68,530 560
50 Parasetamol tab 500 mg tablet 124.85 0 Rp - 0 Rp - 0
51 Piridoxin HCL (vit B 6) tab 10 mg tablet 131 0 Rp - 200 Rp 26,200 0
52 Prednison tab 5 mg tablet 73 0 Rp - 100 Rp 7,300 100
53 Retinol 100.000 UI tablet 306 0 Rp - 50 Rp 15,300 50
54 Retinol 200.000 UI tablet 552 0 Rp - 40 Rp 22,080 40
55 Sianokobalamin (B 12) tab 50mcg tablet 43 0 Rp - 400 Rp 17,200 400
56 simvastatin tab 10mg tablet 68 0 Rp - 100 Rp 6,800 100
57 Tambah darah kombinasi ( ferro fumarat 60 mg, asam folattablet 226 70 Rp 15,820.00 100 Rp 22,600 170
58 Tiamin HCL (B 1) tab 50 mg tablet 57 0 Rp - 200 Rp 11,400 200
59 Vaksin BCG inj 20 DOSIS Vial 97780 0 Rp - 2 Rp 195,560 2
60 Vaksin DPT-HB-Hib 5 dosis Vial 85103 0 Rp - 7 Rp 595,721 7
61 Vaksin hepatitis B rekombinan inj 0,5 ml (Anak) Vial 25839 0 Rp - 11 Rp 284,229 11
62 Vaksin IPV Vial 158994 0 Rp - 4 Rp 635,976 4
63 Vaksin MR Vial 166265 0 Rp - 3 Rp 498,795 3
64 Vaksin polio bivalent 10 dosis Vial 21494 0 Rp - 4 Rp 85,976 4
65 Vaksin Tetanus (Td) Vial 18128 0 Rp - 2 Rp 36,256 2
66 Vitamin B kompleks tab tablet 89 30 Rp 2,670.00 400 Rp 35,600 410
67 Zinc drops 10 mg/ml Botol 5051 0 Rp - 0 Rp - 0
68 Zink Sirup 20mg/5 ml Botol 3171 0 Rp - 0 Rp - 0
69 Zink tab tablet 208 0 Rp - 0 Rp - 0
71 N-asetil sistein tab 200mg tablet 301 0 Rp - 120 Rp 36,120 120
73 Kaptopril tab 12,5 mg vial 66 0 Rp - 100 Rp 6,600 0
74 Antasida DOEN tablet tablet 58 0 Rp - 200 Rp 11,600 0
TOTAL Rp 86,468.00 Rp 3,081,621.00

PERIODE APRIL 2022 Rp741,342.000
TOTAL PENERIMAAN DARI GUDANG JAN-JUNI 2022= Rp3,081,621

Maduri, S.Kep., Ners Galih Arum Palupi, S. Farm.

NIP 19670906198903 1 005 NIP 199402020202012201

PERIODE JULI - SEPTEMBER 2022
PEMAKAIAN
rupiah (Rp)
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 9 = (4x8) 10
12)
1 Acyclovir cream tablet 2531.5862 0 Rp - Rp - 0
2 Acyclovir tab 400mg tablet 405 0 Rp - Rp - 0
3 Alopurinol tab 100 mg tablet 87 0 Rp - Rp - 0
4 alopurinol tab 300mg tablet 210 0 Rp - Rp - 0
5 amlodipin tab 10mg tablet 70 0 Rp - Rp - 0
6 amlodipin tab 5 mg tablet 53 0 Rp - Rp - 0
7 Amoksisilin kaplet 500 mg tablet 253 10 Rp 2,530.00 Rp - 10
8 Amoksisilin syr kering 250mg/5ml tablet 3628 0 Rp - Rp - 0
9 Antasida DOEN tablet tablet 54 0 Rp - Rp - 0
10 Antasida DOEN Suspensi tablet 1679 0 Rp - 15 Rp 25,185 8
11 Asam Ascorbat (Vit C) tab 250 mg tablet 119 200 Rp 23,800.00 100 Rp 11,900 300
12 Asam Ascorbat (Vit C) tab 50 mg tablet 105 160 Rp 16,800.00 Rp - 160
13 asam asetilsalisilat tab (asetosal) 80mg tablet 105 0 Rp - Rp - 0
14 asam folat tab 1 mg tablet 56 0 Rp - Rp - 0
15 Asam Mefenamat tab 500 mg tablet 111 80 Rp 8,880.00 Rp - 80
16 Attapulgit (Antidiare) tab tablet 145 140 Rp 20,300.00 Rp - 140
17 Betametason cream 0,05 % Tube 1430 0 Rp - Rp - 0
18 cetirizine tab 10mg tablet 49 0 Rp - Rp - 0
19 Deksametason tab 0,5 mg tablet 34 60 Rp 2,040.00 Rp - 60
20 domperidon syr 5mg/5ml Botol 2700 0 Rp - Rp - 0
21 Domperidon tab 10 mg tablet 90 0 Rp - Rp - 0
22 Furosemid tab 40 mg tablet 82 0 Rp - Rp - 0
23 Garam oralit kombinasi sachet 257 0 Rp - Rp - 0
24 Gentamisin Tetes Mata 0,3% tube 4520 0 Rp - 5 Rp 22,600 5
25 Glimepiride tab 2 mg tablet 123 0 Rp - Rp - 0
26 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) buah 34000 0 Rp - Rp - 0
27 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine buah 30450 0 Rp - Rp - 0
28 Hidroklorotiazid ( HCT ) tab 25 mg tablet 148 0 Rp - Rp - 0
29 Hidrokortison cream 2,5 % Tube 2475 0 Rp - Rp - 0
30 ibuprofen Suspensi 100mg/5ml Botol 2721 0 Rp - Rp - 0
31 Kalsium Glukonas inj ampul 10351 0 Rp - Rp - 0
32 Kalsium Lactat ( Kalk ) tab 500 mg tablet 63 0 Rp - 300 Rp 18,900 200
33 Kaptopril tab 25 mg tablet 75 100 Rp 7,500.00 Rp - 100
34 Kloramfenikol Salep Mata 1 % Tube 2007 0 Rp - Rp - 0
35 Kloramfenikol SK Tube 3266 0 Rp - Rp - 0
36 Klorfeniramin Maleat ( CTM ) tab 4 mg tablet 23 0 Rp - 100 Rp 2,300 100
37 Kotrimoksasol Syr 240mg/5ml - 60ml Botol 2190 0 Rp - Rp - 0
38 Lidokain + epineprin inj ampul 1229 0 Rp - Rp - 0
39 Metformin 500mg tablet 77 0 Rp - Rp - 0
40 metilprednisolon tab 4 mg tablet 102 0 Rp - Rp - 0
41 N-asetil sistein tab 200mg tablet 4726 0 Rp - Rp - 0
42 Natrium Diklofenak tab 25mg tablet 128 0 Rp - Rp - 0
43 Natrium Diklofenak tab 50 mg tablet 99 100 Rp 9,900.00 Rp - 100
44 Oksitoksin inj 10 IU/ ml - 1 ml ampul 1199 0 Rp - Rp - 0
45 omeprazole kapsul 20mg tablet 129 0 Rp - Rp - 0
46 Ondansetron tab 8 mg tablet 270 0 Rp - Rp - 0
47 Parasetamol drop Botol 4976 0 Rp - 10 Rp 49,760 10
48 Parasetamol syr 120mg/5ml Botol 1160 0 Rp - 20 Rp 23,200 20
49 Parasetamol tab 500 mg tablet 97.9 210 Rp 20,559.00 100 Rp 9,790 310
50 Parasetamol tab 500 mg tablet 124.85 0 Rp - Rp - 0
51 Piridoxin HCL (vit B 6) tab 10 mg tablet 131 200 Rp 26,200.00 Rp - 0
52 Povidon 30 ml botol 3200 0 Rp - 1 Rp 3,200 1
53 Prednison tab 5 mg tablet 73 0 Rp - Rp - 0
54 Retinol 100.000 UI tablet 306 0 Rp - Rp - 0
57 simvastatin tab 10mg tablet 68 0 Rp - Rp - 0
58 Tambah darah kombinasi ( ferro fumarat 60 mg, asam folattablet 226 0 Rp - 200 Rp 45,200 200
59 Tiamin HCL (B 1) tab 50 mg tablet 57 0 Rp - 200 Rp 11,400 200
60 Vaksin BCG inj 20 DOSIS Vial 97780 0 Rp - 2 Rp 195,560 2
61 Vaksin DPT-HB-Hib 5 dosis Vial 85103 0 Rp - 8 Rp 680,824 8
62 Vaksin hepatitis B rekombinan inj 0,5 ml (Anak) Vial 25839 0 Rp - Rp - 0
63 Vaksin IPV Vial 157072 0 Rp - 2 Rp 314,144 2
67 Vaksin Tetanus (Td) Vial 18128 0 Rp - Rp - 0
68 Vitamin B kompleks tab tablet 89 20 Rp 1,780.00 200 Rp 17,800 220
69 Zinc drops 10 mg/ml Botol 5051 0 Rp - Rp - 0
70 Zink Sirup 20mg/5 ml Botol 3171 0 Rp - Rp - 0
71 Zink tab tablet 208 0 Rp - Rp - 0
72 Sianokobalamin (B 12) tab 50mcg tablet 49 50 Rp 2,450.00 Rp - 0
74 Vaksin polio bivalent 10 dosis Vial 23643 0 Rp - Rp - 0
75 Antasida DOEN tablet tablet 58 200 Rp 11,600.00 Rp - 100
76 Kaptopril tab 12,5 mg vial 66 100 Rp 6,600.00 Rp - 100
TOTAL Rp 160,939.00 Rp 2,576,002.00
160,939.00
NIP 19670906198903 1 005 NIP 199402020202012201

PEMAKAIAN
rupiah (Rp)
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 9 = (4x8) 10
12)
1 Acyclovir cream tablet 2531.5862 0 Rp - Rp - 0
2 Acyclovir tab 400mg tablet 405 0 Rp - Rp - 0
3 Alopurinol tab 100 mg tablet 87 0 Rp - Rp - 0
4 alopurinol tab 300mg tablet 210 0 Rp - Rp - 0
5 amlodipin tab 10mg tablet 70 0 Rp - 100 Rp 7,000 80
6 amlodipin tab 5 mg tablet 53 0 Rp - Rp - 0
7 Amoksisilin kaplet 500 mg tablet 253 0 Rp - Rp - 0
8 Amoksisilin syr kering 250mg/5ml tablet 3529.8 0 Rp - 10 Rp 35,298 3
9 Amoksisilin syr kering 250mg/5ml tablet 3628 0 Rp - Rp - 0
10 Antasida DOEN tablet tablet 54 0 Rp - Rp - 0
11 Antasida DOEN Suspensi tablet 1679 7 Rp 11,753.00 Rp - 7
12 Asam Ascorbat (Vit C) tab 250 mg tablet 119 0 Rp - Rp - 0
13 Asam Ascorbat (Vit C) tab 50 mg tablet 42 0 Rp - 200 Rp 8,400 80
14 Asam Ascorbat (Vit C) tab 50 mg tablet 105 0 Rp - Rp - 0
15 asam asetilsalisilat tab (asetosal) 80mg tablet 105 0 Rp - Rp - 0
16 asam folat tab 1 mg tablet 56 0 Rp - 100 Rp 5,600 100
17 Asam Mefenamat tab 500 mg tablet 111 0 Rp - 100 Rp 11,100 80
18 Attapulgit (Antidiare) tab tablet 145 0 Rp - Rp - 0
19 Betametason cream 0,05 % Tube 1430 0 Rp - Rp - 0
20 cetirizine tab 10mg tablet 49 0 Rp - Rp - 0
21 Deksametason tab 0,5 mg tablet 34 0 Rp - Rp - 0
22 domperidon syr 5mg/5ml Botol 2700 0 Rp - Rp - 0
23 Domperidon tab 10 mg tablet 90 0 Rp - Rp - 0
24 Furosemid tab 40 mg tablet 82 0 Rp - Rp - 0
25 Garam oralit kombinasi sachet 257 0 Rp - Rp - 0
26 Gentamisin Tetes Mata 0,3% tube 4520 0 Rp - 1 Rp 4,520 1
27 Glimepiride tab 2 mg tablet 123 0 Rp - Rp - 0
28 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) buah 34000 0 Rp - Rp - 0
29 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine buah 30450 0 Rp - Rp - 0
30 Hidroklorotiazid ( HCT ) tab 25 mg tablet 148 0 Rp - Rp - 0
31 Hidrokortison cream 2,5 % Tube 2475 0 Rp - Rp - 0
32 ibuprofen Suspensi 100mg/5ml Botol 2721 0 Rp - Rp - 0
33 Kalsium Glukonas inj ampul 10351 0 Rp - Rp - 0
34 Kalsium Lactat ( Kalk ) tab 500 mg tablet 63 100 Rp 6,300.00 Rp - 100
36 Kaptopril tab 25 mg tablet 75 0 Rp - Rp - 0
37 Kloramfenikol Salep Mata 1 % Tube 2007 0 Rp - Rp - 0
38 Kloramfenikol SK Tube 3266 0 Rp - Rp - 0
39 Klorfeniramin Maleat ( CTM ) tab 4 mg tablet 23 0 Rp - 300 Rp 6,900 300
40 Kotrimoksasol Syr 240mg/5ml - 60ml Botol 2190 0 Rp - Rp - 0
41 Lidokain + epineprin inj ampul 1229 0 Rp - Rp - 0
42 Metformin 500mg tablet 77 0 Rp - Rp - 0
43 metilprednisolon tab 4 mg tablet 102 0 Rp - Rp - 0
45 Natrium Diklofenak tab 25mg tablet 128 0 Rp - Rp - 0
46 Natrium Diklofenak tab 50 mg tablet 99 0 Rp - Rp - 0
47 Oksitoksin inj 10 IU/ ml - 1 ml ampul 1199 0 Rp - Rp - 0
48 omeprazole kapsul 20mg tablet 129 0 Rp - Rp - 0
49 Ondansetron tab 8 mg tablet 270 0 Rp - Rp - 0
50 Parasetamol drop Botol 4976 0 Rp - Rp - 0
51 Parasetamol syr 120mg/5ml Botol 1160 0 Rp - Rp - 0
52 Parasetamol syr 120mg/5ml Botol 1170.55 0 Rp - 10 Rp 11,706 10
54 Parasetamol tab 500 mg tablet 153.18 0 Rp - 700 Rp 107,226 590
56 Piridoxin HCL (vit B 6) tab 10 mg tablet 131 200 Rp 26,200.00 Rp - 200
57 Povidon 30 ml botol 3200 0 Rp - 3 Rp 9,600 3
58 Prednison tab 5 mg tablet 73 0 Rp - Rp - 0
62 simvastatin tab 10mg tablet 68 0 Rp - Rp - 0
63 Tambah darah kombinasi ( ferro fumarat 60 mg, asam folattablet 226 0 Rp - 500 Rp 113,000 360
64 Tiamin HCL (B 1) tab 50 mg tablet 57 0 Rp - Rp - 0
65 Vaksin BCG inj 20 DOSIS Vial 97780 0 Rp - Rp - 0
66 Vaksin DPT-HB-Hib 5 dosis Vial 85103 0 Rp - Rp - 0
67 Vaksin hepatitis B rekombinan inj 0,5 ml (Anak) Vial 25839 0 Rp - Rp - 0
68 Vaksin IPV Vial 157072 0 Rp - Rp - 0
69 Vaksin MR Vial 166265 0 Rp - Rp - 0
70 Vaksin MR Vial 167860 0 Rp - Rp - 0
72 Vaksin Tetanus (Td) Vial 18128 0 Rp - Rp - 0
73 Vitamin B kompleks tab tablet 89 0 Rp - Rp - 0
74 Vitamin B kompleks tab tablet 57 0 Rp - 500 Rp 28,500 300
75 Zinc drops 10 mg/ml Botol 5051 0 Rp - Rp - 0
76 Zink Sirup 20mg/5 ml Botol 3171 0 Rp - Rp - 0
77 Zink tab tablet 208 0 Rp - Rp - 0
78 Sianokobalamin (B 12) tab 50mcg tablet 49 50 Rp 2,450.00 Rp - 50
81 Antasida DOEN tablet tablet 58 100 Rp 5,800.00 Rp - 100
82 Kaptopril tab 12,5 mg vial 66 0 Rp - Rp - 0
84 Attapulgit (Antidiare) tab tablet 145 0 Rp - 200 Rp 29,000 200
TOTAL Rp 52,503.00 Rp 408,749.50

NIP 19670906198903 1 005 NIP 199402020202012201
JANUARI-JUNI 2022
PEMAKAIAN
SISA
Nilai Stok Akhir
Nilai (Rp) STOCK
11 = (4x10) 12 13
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp 8,400.00 0 0
Rp 2,650.00 0 0
Rp 51,865.00 10 2530
Rp 18,140.00 0 0
Rp 13,500.00 0 0
Rp 8,395.00 0 0
Rp - 200 23800
Rp 26,250.00 160 16800
Rp - 0 0
Rp - 0 0
Rp 13,320.00 80 8880
Rp 8,700.00 140 20300
Rp - 0 0
Rp - 0 0
Rp 4,760.00 60 2040
Rp - 0 0
Rp - 0 0
Rp 5,740.00 0 0
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp 68,000.00 0 0
Rp 30,450.00 0 0
Rp 7,400.00 0 0
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp 6,930.00 0 0
Rp 8,625.00 100 7500
Rp - 0 0
Rp - 0 0
Rp 5,060.00 0 0
Rp - 0 0
Rp - 0 0
Rp 3,850.00 0 0
Rp - 0 0
Rp 9,325.00 0 0
Rp - 0 0
Rp 9,900.00 100 9900
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp 74,640.00 0 0
Rp 11,810.00 0 0
Rp 54,824.00 210 20559
Rp - 0 0
Rp - 200 26200
Rp 7,300.00 0 0
Rp 15,300.00 0 0
Rp 22,080.00 0 0
Rp 17,200.00 0 0
Rp 6,800.00 0 0
Rp 38,420.00 0 0
Rp 11,400.00 0 0
Rp 195,560.00 0 0
Rp 595,721.00 0 0
Rp 284,229.00 0 0
Rp 635,976.00 0 0
Rp 498,795.00 0 0
Rp 85,976.00 0 0
Rp 36,256.00 0 0
Rp 36,490.00 20 1780
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp 7,350.00 50 2450
Rp 36,120.00 0 0
Rp 23,643.00 0 0
Rp - 100 6600
Rp - 200 11600
Rp 3,007,150.00 160,939.00
Rp 160,939.00
Pengelola Farmasi

NIP 1994020202020122014
PEMAKAIAN
SISA
Nilai Stok Akhir
Nilai (Rp) STOCK
11 = (4x10) 12 13
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp 2,530.00 0 0
Rp - 0 0
Rp - 0 0
Rp 13,432.00 7 11753
Rp 35,700.00 0 0
Rp 16,800.00 0 0
Rp - 0 0
Rp - 0 0
Rp 8,880.00 0 0
Rp 20,300.00 0 0
Rp - 0 0
Rp - 0 0
Rp 2,040.00 0 0
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp 22,600.00 0 0
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp 12,600.00 100 6300
Rp 7,500.00 0 0
Rp - 0 0
Rp - 0 0
Rp 2,300.00 0 0
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp 9,900.00 0 0
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp 49,760.00 0 0
Rp 23,200.00 0 0
Rp 30,349.00 0 0
Rp - 0 0
Rp - 200 26200
Rp 3,200.00 0 0
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp 12,900.00 0 0
Rp - 0 0
Rp 45,200.00 0 0
Rp 11,400.00 0 0
Rp 195,560.00 0 0
Rp 680,824.00 0 0
Rp - 0 0
Rp 314,144.00 0 0
Rp 498,795.00 0 0
Rp 503,580.00 0 0
Rp 128,964.00 0 0
Rp - 0 0
Rp 19,580.00 0 0
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp - 50 2450
Rp - 0 0
Rp - 0 0
Rp 5,800.00 100 5800
Rp 6,600.00 0 0
Rp 2,684,438.00 52,503.00
Rp 52,503.00

Pengelola Farmasi
NIP 1994020202020122014
PEMAKAIAN
SISA
Nilai Stok Akhir
Nilai (Rp) STOCK
11 = (4x10) 12 13
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp 5,600.00 20 1400
Rp - 0 0
Rp - 0 0
Rp 10,589.40 7 24708.6
Rp - 0 0
Rp - 0 0
Rp 11,753.00 0 0
Rp - 0 0
Rp 3,360.00 120 5040
Rp - 0 0
Rp - 0 0
Rp 5,600.00 0 0
Rp 8,880.00 20 2220
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp 4,520.00 0 0
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp 6,300.00 0 0
Rp 9,600.00 40 2400
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp 6,900.00 0 0
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp 11,705.50 0 0
Rp - 0 0
Rp 90,376.20 110 16849.8
Rp - 0 0
Rp 26,200.00 0 0
Rp 9,600.00 0 0
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp 9,030.00 90 3870
Rp - 0 0
Rp 81,360.00 140 31640
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp 17,100.00 200 11400
Rp - 0 0
Rp - 0 0
Rp - 0 0
Rp 2,450.00 0 0
Rp - 0 0
Rp - 0 0
Rp 5,800.00 0 0
Rp - 0 0
Rp 6,000.00 0 0
Rp 29,000.00 0 0
Rp 361,724.10 99,528.40

Pengelola Farmasi

NIP 1994020202020122014
REKAP DISTRIBUSI PER UNIT PKD CAMPUR SARI

JANUARI-JUNI 2022
PEMAKAIAN
HARGA NILAI STOCK SISA
NO NAMA OBAT SATUAN STOCK AWAL PENERIMAAN Peneriman x NON- Nilai Stok akhir
SATUAN AWAL (Rp) RESEP NILAI (Rp) Nilai (Rp) STOCK
Harga rupiah RESEP
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 9 = (4x8) 10 11 = (4x10) 12 13
12)
1 amlodipin 10mg Tablet 70 120 Rp 8,400.00 1000 Rp 70,000 940 Rp 65,800.00 180 12600
2 Amoksisilin kaplet 500 mg Tablet 253 10 Rp 2,530.00 200 Rp 50,600 150 Rp 37,950.00 60 15180
3 amoksisilin syr kering 250mg/5ml botol 3628 0 Rp - 11 Rp 39,908 11 Rp 39,908.00 0 0
4 Antasida Doen Tablet Tablet 58 0 Rp - 700 Rp 40,600 500 Rp 29,000.00 200 11600
5 Asam Ascorbat (Vit C) tab 50 mg Tablet 105 150 Rp 15,750.00 300 Rp 31,500 450 Rp 47,250.00 0 0
6 asam folat tab 1 mg Tablet 56 70 Rp 3,920.00 200 Rp 11,200 230 Rp 12,880.00 40 2240
7 asam mefenamat Tablet 111 20 Rp 2,220.00 400 Rp 44,400 370 Rp 41,070.00 50 5550
8 betametason cream tube 1540 1 Rp 1,540.00 15 Rp 23,100 12 Rp 18,480.00 4 6160
9 Deksametason tab 0,5 mg Tablet 34 90 Rp 3,060.00 200 Rp 6,800 180 Rp 6,120.00 110 3740
10 Domperidon tab 10 mg.. Tablet 91 50 Rp 4,550.00 100 Rp 9,100 140 Rp 12,740.00 10 910
11 garam oralit kombinasi sachet 257 25 Rp 6,425.00 100 Rp 25,700 125 Rp 32,125.00 0 0
12 domperidon syr 5mg/5ml botol 2700 3 Rp 8,100.00 0 Rp - 0 Rp - 3 8100
13 hidroklortiazid tablet 148 0 Rp - 600 Rp 88,800 420 Rp 62,160.00 180 26640
14 klorfeniramin / CTM tablet 23 20 Rp 460.00 1100 Rp 25,300 1000 Rp 23,000.00 120 2760
15 Kloramfenikol Salep Mata 1 % tube 2007 2 Rp 4,014.00 0 Rp - 2 Rp 4,014.00 0 0
16 Kalsium Lactat ( Kalk ) tab 500 mg Tablet 56 90 Rp 5,040.00 300 Rp 16,800 290 Rp 16,240.00 100 5600
17 Metformin 500mg Tablet 77 10 Rp 770.00 0 Rp - 10 Rp 770.00 0 0
18 N-asetil sistein tab 200mg Tablet 371 40 Rp 14,840.00 420 Rp 155,820 390 Rp 144,690.00 70 25970
19 Oksitoksin inj 10 IU/ ml - 1 ml ampul 1126 5 Rp 5,630.00 0 Rp - 5 Rp 5,630.00 0 0
20 parasetamol syrup botol 1181 0 Rp - 20 Rp 23,620 20 Rp 23,620.00 0 0
21 parasetamol drop botol 3487 10 Rp 34,870.00 55 Rp 191,785 57 Rp 198,759.00 8 27896
22 parasetamol 500mg tablet 124.85 0 Rp - 800 Rp 99,880 800 Rp 99,880.00 0 0
23 Parasetamol tab 500 mg Tablet 97.9 0 Rp - 800 Rp 78,320 360 Rp 35,244.00 440 43076
24 piridoxin HCL 10mg tablet 131 40 Rp 5,240.00 400 Rp 52,400 374 Rp 48,994.00 66 8646
25 retinol 100.000 kapsul 306 0 Rp - 80 Rp 24,480 80 Rp 24,480.00 0 0
26 retinol 200.000 kapsul 552 0 Rp - 91 Rp 50,232 91 Rp 50,232.00 0 0
27 sianokobalamin 50mcg tablet 43 110 Rp 4,730.00 600 Rp 25,800 580 Rp 24,940.00 130 5590
28 tambah darah kombinasi tablet 226 100 Rp 22,600.00 1300 Rp 293,800 1200 Rp 271,200.00 200 45200
29 tiamin HCL 50mg tablet 57 80 Rp 4,560.00 1100 Rp 62,700 830 Rp 47,310.00 350 19950
30 vitamin B kompleks 50mg tablet 89 0 Rp - 1200 Rp 106,800 1200 Rp 106,800.00 0 0
31 zink tablet 208 100 Rp 20,800.00 0 Rp - 0 Rp - 100 20800
32 Vaksin DPT-HB-Hib 5 dosis Vial 85103 0 Rp - 28 Rp 2,382,884 28 Rp 2,382,884.00 0 0
33 Vaksin hepatitis B rekombinan inj 0,5 ml (Anak) Vial 25839 0 Rp - 0 Rp - 0 Rp - 0 0
34 Vaksin IPV Vial 158994 0 Rp - 4 Rp 635,976 4 Rp 635,976.00 0 0
35 Vaksin MR Vial 166265 0 Rp - 7 Rp 1,163,855 7 Rp 1,163,855.00 0 0
36 Vaksin polio bivalent 10 dosis Vial 21494 0 Rp - 8 Rp 171,952 8 Rp 171,952.00 0 0
37 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) Buah 34000 0 Rp - 2 Rp 68,000 2 Rp 68,000.00 0 0
38 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine Buah 30450 0 Rp - 1 Rp 30,450 1 Rp 30,450.00 0 0
39 hand sanitizer 1000 ml (alkohol 70% + chlorhexidine) buah 337113 0 Rp - 1 Rp 337,113 1 Rp 337,113.00 0
39 Povidon Botol 3200 2 Rp 6,400.00 0 Rp - 2 Rp 6,400.00 0 0
40 Alkohol swab pcs 145 0 Rp - 200 Rp 29,000 200 Rp 29,000.00 0 0
41 Alat Suntik 3 ml pcs 569 0 Rp - 64 Rp 36,416 64 Rp 36,416.00 0 0
42 Alkohol swab pcs 127.82 0 Rp - 200 Rp 25,564 200 Rp 25,564.00 0 0
43 Alat Suntik Sekali Pakai 0.5 ml biji 800 0 Rp - 100 Rp 80,000 25 Rp 20,000.00 75 60000
45 sianokobalamin 50mcg tablet 49 0 Rp - 100 Rp 4,900 0 Rp - 100 4900
46 parasetamol syrup botol 1160 0 Rp - 20 Rp 23,200 20 Rp 23,200.00 0 0
47 Handscoon pendek non steril no 6.5 (S) pasang 4272.72728 0 Rp - 50 Rp 213,636 20 Rp 85,454.55 30 128181.8184
48 Furosemid Tablet Tablet 82 0 Rp - 500 Rp 41,000 500 Rp 41,000.00 0 0
49 Gentamisin TM tube 4520 0 Rp - 8 Rp 36,160 5 Rp 22,600.00 3 13560
TOTAL Rp 186,449.00 Rp 6,976,837 Rp 6,658,436.55 504,849.818

Rp 504,849.82

PERIODE MARET 2022 1,043,871.00
PERIODE JUNI 2022 Rp1,099,087


NIP 19670906198903 1 005 NIP 1994020202020122014

PEMAKAIAN
Harga rupiah RESEP
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 9 = (4x8) 10 11 = (4x10) 12 13
12)
1 Acyclovir tablet tablet 407 0 0 100 Rp 40,700 100 40700 0 0
2 amlodipin 10mg Tablet 70 180 12600 Rp - 170 11900 10 700
3 Amlodipin 5 mg tablet 53 0 0 600 Rp 31,800 440 23320 160 8480
4 Amoksisilin kaplet 500 mg Tablet 253 60 15180 Rp - 60 15180 0 0
5 amoksisilin syr kering 250mg/5ml botol 3628 0 0 Rp - 0 0 0 0
6 Amoksisilin kaplet 500 mg Tablet 249 0 0 100 Rp 24,900 100 24900 0 0
7 Antasida Doen Tablet Tablet 58 200 11600 400 Rp 23,200 530 30740 70 4060
8 Antasida doen suspensi botol 1679 0 0 5 Rp 8,395 0 0 5 8395
9 Asam Ascorbat (Vit C) tab 50 mg Tablet 105 0 0 Rp - 0 0 0 0
10 Asam Ascorbat (Vit C) tab 250 mg tablet 119 0 0 200 Rp 23,800 150 17850 50 5950
11 asam folat tab 1 mg Tablet 56 40 2240 Rp - 0 0 40 2240
12 asam mefenamat Tablet 111 50 5550 100 Rp 11,100 150 16650 0 0
13 Attalpugit / antidiare tablet 145 0 0 100 Rp 14,500 30 4350 70 10150
14 betametason cream tube 1540 4 6160 5 Rp 7,700 4 6160 5 7700
15 Deksametason tab 0,5 mg Tablet 34 110 3740 Rp - 0 0 110 3740
16 Domperidon tab 10 mg.. Tablet 91 10 910 Rp - 0 0 10 910
17 Furosemid Tablet tablet 82 0 0 200 Rp 16,400 150 12300 50 4100
18 garam oralit kombinasi sachet 274 0 0 100 Rp 27,400 100 27400 0 0
19 domperidon syr 5mg/5ml.. botol 2700 3 8100 Rp - 3 8100 0 0
20 domperidon syr 5mg/5ml botol 2296 - 0 5 Rp 11,480 2 4592 3 6888
21 hidroklortiazid tablet 148 180 26640 300 Rp 44,400 480 71040 0 0
22 klorfeniramin / CTM tablet 23 120 2760 300 Rp 6,900 400 9200 20 460
23 Kloramfenikol Salep Mata 1 % tube 2007 0 0 Rp - 0 0 0 0
24 Kalsium Lactat ( Kalk ) tab 500 mg Tablet 63 0 0 400 Rp 25,200 330 20790 70 4410
25 Kalsium Lactat ( Kalk ) tab 500 mg Tablet 56 100 5600 Rp - 100 5600 0 0
26 Kotrimokzazol syr botol 2190 0 0 20 Rp 43,800 20 43800 0 0
27 Metformin 500mg Tablet 77 0 0 200 Rp 15,400 200 15400 0 0
28 N-asetil sistein tab 200mg Tablet 371 70 25970 Rp - 60 22260 10 3710
29 N-asetil sistein tab 200mg Tablet 301 0 0 700 Rp 210,700 700 210700 0 0
30 Oksitoksin inj 10 IU/ ml - 1 ml ampul 1126 0 0 Rp - 0 0 0 0
31 parasetamol syrup botol 1181 0 0 Rp - 0 0 0 0
32 parasetamol drop botol 4976 0 0 35 Rp 174,160 35 174160 0 0
parasetamol drop botol 3487 8 27896 Rp - 8 27896 0 0
33 parasetamol 500mg tablet 124.85 0 0 Rp - 0 0 0 0
34 Parasetamol tab 500 mg tablet 97.9 440 43076 900 Rp 88,110 1340 131186 0 0
35 piridoxin HCL 10mg kapsul 131 66 8646 300 Rp 39,300 286 37466 80 10480
36 Povidon 30ml botol 3200 0 0 1 Rp 3,200 1 3200 0 0
37 retinol 100.000 kapsul 306 0 0 Rp - 0 0 0 0
38 retinol 200.000 tablet 552 0 0 Rp - 0 0 0 0
39 sianokobalamin 50mcg tablet 43 130 5590 400 Rp 17,200 530 22790 0 0
40 tambah darah kombinasi tablet 226 200 45200 600 Rp 135,600 580 131080 220 49720
41 tiamin HCL 50mg tablet 57 350 19950 600 Rp 34,200 950 54150 0 0
42 vitamin B kompleks 50mg tablet 89 0 0 200 Rp 17,800 200 17800 0 0
43 zink Vial 208 100 20800 Rp - 0 0 100 20800
44 Zink syr 2511 0 0 5 Rp 12,555 0 0 5 12555
45 Vaklsin BCG vial 97780 0 0 2 Rp 195,560 2 195560 0 0
46 Vaksin DPT-HB-Hib 5 dosis Vial 85103 0 0 14 Rp 1,191,442 14 1191442 0 0
47 Vaksin hepatitis B rekombinan inj 0,5 ml (Anak) Vial 25839 0 0 Rp - 0 0 0 0
48 Vaksin IPV Vial 157072 0 0 2 Rp 314,144 2 314144 0 0
49 Vaksin IPV Vial 158994 0 0 4 Rp 635,976 4 635976 0 0
50 Vaksin MR Vial 167860 0 0 4 Rp 671,440 4 671440 0 0
51 Vaksin MR Vial 166265 0 0 2 Rp 332,530 2 332530 0 0
52 Vaksin polio bivalent 10 dosis Buah 21494 0 0 8 Rp 171,952 8 171952 0 0
53 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) Buah 34000 0 0 Rp - 0 0 0 0
54 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine Botol 30450 0 0 Rp - 0 0 0 0
55 Alkohol swab pcs 145 0 0 Rp - 0 0 0 0
56 Alat Suntik 3 ml pcs 569 0 0 Rp - 0 0 0 0
57 Alkohol swab biji 127.82 0 0 Rp - 0 0 0 0
58 Alat Suntik Sekali Pakai 0.5 ml Vial 800 75 60000 Rp - 65 52000 10 8000
59 Vaksin polio bivalent 10 dosis tablet 23643 0 0 Rp - 0 0 0 0
60 sianokobalamin 50mcg tablet 49 100 4900 Rp - 100 4900 0 0
61 parasetamol syrup botol 1160 0 0 25 Rp 29,000 25 29000 0 0
62 Handscoon pendek non steril no 6.5 (S) pasang 4272.72728 30 128181.8184 Rp - 30 128181.8184 0 0
63 Handscoon pendek non steril no 6.5 (S) pasang 1640 0 0 120 Rp 196,800 0 0 120 196800
64 Gentamisin TM tube 4520 3 13560 5 Rp 22,600 5 22600 3 13560
65 Sepatu boot pcs 102300 0 0 2 Rp 204,600 2 204600 0 0
0
TOTAL Rp 504,849.82 Rp 5,075,944 Rp 5,196,985.82 383,808.000

Rp 383,808.00

NIP 19670906198903 1 005 NIP 1994020202020122014


PEMAKAIAN
Harga rupiah RESEP
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 9 = (4x8) 10 11 = (4x10) 12 13
12)
1 Acyclovir tablet tablet 407 - - - - - - -
2 amlodipin 10mg Tablet 70 10.00 700.00 400.00 28,000.00 410.00 28,700.00 - -
3 Amlodipin 5 mg tablet 53 160.00 8,480.00 - 160.00 8,480.00 - -
4 Amoksisilin kaplet 500 mg Tablet 253 - - - - - - -
5 Amoksisilin kaplet 500 mg Tablet 201 - - 200.00 40,200.00 130.00 26,130.00 70.00 14,070.00
6 amoksisilin syr kering 250mg/5ml botol 3628 - - - - - - -
7 Amoksisilin syr kering 250mg/5ml botol 3529.8 - 5.00 17,649.00 - - 5.00 17,649.00
8 Amoksisilin kaplet 500 mg Tablet 249 - - - - - - -
9 Antasida Doen Tablet Tablet 58 70.00 4,060.00 300.00 17,400.00 315.00 18,270.00 55.00 3,190.00
10 Antasida doen suspensi botol 1679 5.00 8,395.00 - 5.00 8,395.00 - -
11 Asam Ascorbat (Vit C) tab 50 mg Tablet 105 - - - - - - -
12 Asam Ascorbat (Vit C) tab 250 mg tablet 119 50.00 5,950.00 - 50.00 5,950.00 - -
13 Asam Ascorbat (Vit C) tab 50 mg tablet 42 - - 400.00 16,800.00 400.00 16,800.00 - -
14 asam folat tab 1 mg Tablet 56 40.00 2,240.00 100.00 5,600.00 110.00 6,160.00 30.00 1,680.00
15 Asam Ascorbat (Vitamin C) Tab 500 mg Tablet 225 - - 200.00 45,000.00 75.00 16,875.00 125.00 28,125.00
16 asam mefenamat Tablet 111 - - 100.00 11,100.00 50.00 5,550.00 50.00 5,550.00
17 Asam Mefenamat tab 500 mg Tablet 194.7 - - 200.00 38,940.00 200.00 38,940.00 - -
18 Attalpugit / antidiare tablet 145 70.00 10,150.00 - 70.00 10,150.00 - -
19 betametason cream tube 1540 5.00 7,700.00 - 5.00 7,700.00 - -
20 Deksametason tab 0,5 mg Tablet 34 110.00 3,740.00 - 75.00 2,550.00 35.00 1,190.00
21 Domperidon tab 10 mg.. Tablet 91 10.00 910.00 - - - 10.00 910.00
22 Furosemid Tablet tablet 82 50.00 4,100.00 - 50.00 4,100.00 - -
23 Furosemid tab 40 mg tablet 98 - - 400.00 39,200.00 400.00 39,200.00 - -
24 garam oralit kombinasi sachet 274 - - - - - - -
25 domperidon syr 5mg/5ml.. botol 2700 - - - - - - -
26 domperidon syr 5mg/5ml botol 2296 3.00 6,888.00 - 3.00 6,888.00 - -
27 hidroklortiazid tablet 148 - - 400.00 59,200.00 300.00 44,400.00 100.00 14,800.00
28 klorfeniramin / CTM tablet 23 20.00 460.00 400.00 9,200.00 270.00 6,210.00 150.00 3,450.00
29 Kloramfenikol Salep Mata 1 % tube 2007 - - - - - - -
30 Kalsium Lactat ( Kalk ) tab 500 mg Tablet 63 70.00 4,410.00 - 70.00 4,410.00 - -
31 Kalsium Lactat ( Kalk ) tab 500 mg Tablet 56 - - - - - - -
32 Kalsium Lactat ( Kalk ) tab 500 mg Tablet 60 - - 400.00 24,000.00 260.00 15,600.00 140.00 8,400.00
33 Kotrimokzazol syr botol 2190 - - - - - - -
34 Metformin 500mg Tablet 77 - - - - - - -
35 Metformin 850mg Tablet 154.39 - - 100.00 15,439.00 - - 100.00 15,439.00
36 N-asetil sistein tab 200mg Tablet 371 10.00 3,710.00 - 10.00 3,710.00 - -
37 N-asetil sistein tab 200mg Tablet 301 - - 240.00 72,240.00 170.00 51,170.00 70.00 21,070.00
38 Oksitoksin inj 10 IU/ ml - 1 ml ampul 1126 - - - - - - -
39 parasetamol syrup botol 1181 - - - - - - -
40 parasetamol drop botol 4976 - - - - - - -
41 parasetamol drop botol 3487 - - - - - - -
42 parasetamol 500mg tablet 124.85 - - - - - - -
43 Parasetamol tab 500 mg tablet 97.9 - - - - - - -
44 Parasetamol tab 500 mg tablet 153.18 - - 1,300.00 199,134.00 1,300.00 199,134.00 - -
45 piridoxin HCL 10mg kapsul 131 80.00 10,480.00 100.00 13,100.00 130.00 17,030.00 50.00 6,550.00
46 Povidon 30ml botol 3200 - - 6.00 19,200.00 3.00 9,600.00 3.00 9,600.00
47 retinol 100.000 kapsul 306 - - - - - - -
48 retinol 200.000 tablet 552 - - - - - - -
49 sianokobalamin 50mcg tablet 43 - - 400.00 17,200.00 270.00 11,610.00 130.00 5,590.00
50 tambah darah kombinasi tablet 226 220.00 49,720.00 500.00 113,000.00 720.00 162,720.00 - -
51 tiamin HCL 50mg tablet 57 - - 400.00 22,800.00 140.00 7,980.00 260.00 14,820.00
52 vitamin B kompleks 50mg tablet 89 - - - - - - -
53 vitamin B kompleks 50mg tablet 57 - - 400.00 22,800.00 400.00 22,800.00 - -
54 zink Vial 208 100.00 20,800.00 - 100.00 20,800.00 - -
55 Zink syr 2511 5.00 12,555.00 - 5.00 12,555.00 - -
56 Vaklsin BCG vial 97780 - - - - - - -
57 Vaksin DPT-HB-Hib 5 dosis Vial 85103 - - - - - - -
58 Vaksin hepatitis B rekombinan inj 0,5 ml (Anak) Vial 25839 - - - - - - -
59 Vaksin IPV Vial 157072 - - - - - - -
60 Vaksin IPV Vial 158994 - - - - - - -
61 Vaksin MR Vial 167860 - - - - - - -
62 Vaksin MR Vial 166265 - - - - - - -
63 Vaksin polio bivalent 10 dosis Buah 21494 - - - - - - -
64 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) Buah 34000 - - - - - - -
65 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine Botol 30450 - - - - - - -
66 Alkohol swab pcs 145 - - - - - - -
67 Alat Suntik 3 ml pcs 569 - - - - - - -
68 Alkohol swab biji 127.82 - - - - - - -
69 Alat Suntik Sekali Pakai 0.5 ml Vial 800 10.00 8,000.00 - 10.00 8,000.00 - -
70 Vaksin polio bivalent 10 dosis tablet 23643 - - - - - - -
71 sianokobalamin 50mcg tablet 49 - - - - - - -
72 parasetamol syrup botol 1160 - - - - - - -
73 Parasetamol syr 120mg/5ml botol 1170.55 - - 15.00 17,558.25 14.00 16,387.70 1.00 1,170.55
74 Handscoon pendek non steril no 6.5 (S) pasang 4272.72728 - - - - - - -
75 Handscoon pendek non steril no 6.5 (S) pasang 1640 120.00 196,800.00 - 120.00 196,800.00 - -
76 Gentamisin TM tube 4520 3.00 13,560.00 5.00 22,600.00 7.00 31,640.00 1.00 4,520.00
77 Gentamisin salep mata tube 2689 - - 5.00 13,445.00 2.00 5,378.00 3.00 8,067.00
78 Hidrokortison cream 2,5 % tube 2325 - - 10.00 23,250.00 5.00 11,625.00 5.00 11,625.00
79 Kloramfenikol salep kulit 2% tube 3266 - - 5.00 16,330.00 5.00 16,330.00 - -
80 Metronidazole tab 500 mg tablet 133 - - 100.00 13,300.00 - - 100.00 13,300.00
81 Prednison tab 5 mg tablet 68 - - 200.00 13,600.00 130.00 8,840.00 70.00 4,760.00
82 Ketokonazol cream 2% tube 2370 - - 5.00 11,850.00 2.00 4,740.00 3.00 7,110.00
83 Salep 2 - 4 pot 2796 - - 10.00 27,960.00 3.00 8,388.00 7.00 19,572.00
84 Sepatu boot pcs 102300 - - - - - - -
TOTAL 383,808.00 1,007,095.25 1,148,695.70 242,207.55


NIP 19670906198903 1 005 NIP 1994020202020122014

REKAP DISTRIBUSI PER UNIT IGD
PEMAKAIAN
HARGA STOCK NILAI STOCK AWAL
NO NAMA OBAT SATUAN PENERIMAAN Peneriman x Harga NILAI SISA STOCK nilai stok akhir
SATUAN AWAL (Rp) RESEP NON-RESEP Nilai (Rp)
rupiah (Rp)
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 9 = (4x8) 10 11 = (4x10) 12 13
12)
1 Alkohol swab pcs 79 0 Rp - 150 Rp 11,850 148 Rp 11,692.00 2 Rp 158.00
2 Atropin Sulfat inj 0,25 mg/ml- 1 ml ampul 1540 0 Rp - 5 Rp 7,700 5 Rp 7,700.00 0 Rp -
3 Aqua pro inj steril, bebas pirogen botol 2860 1 Rp 2,860.00 4 Rp 11,440 0 Rp - 5 Rp 14,300.00
4 Cat gut /benang bedah cromic + jarum no 2/0 pcs 32800 0 Rp - 20 Rp 656,000 20 Rp 656,000.00 0 Rp -
5 Cat gut /benang bedah plain + jarum no 3/0 pcs 5750.833333333 0 Rp - 48 Rp 276,040 32 Rp 184,026.67 16 Rp 92,013.33
6 Etakridin ( Rivanol ) larutan 0,1 % botol 3000 1 Rp 3,000.00 5 Rp 15,000 6 Rp 18,000.00 0 Rp -
7 folley catheter 18 pcs 13800 2 Rp 27,600.00 29 Rp 400,200 31 Rp 427,800.00 0 Rp -
8 folley catheter 16 pcs 13800 7 Rp 96,600.00 0 Rp - 7 Rp 96,600.00 0 Rp -
9 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) Botol 34000 1 Rp 34,000.00 3 Rp 102,000 3 Rp 102,000.00 1 Rp 34,000.00
10 hand sanitizer 5000 ml ( 5 liter) botol 650000 0 Rp - 1 Rp 650,000 1 Rp 650,000.00 0 Rp -
11 Handscoon pendek non steril no 6.5 (S) pcs 4272.72728 2 Rp 8,545.45 150 Rp 640,909 142 Rp 606,727.27 10 Rp 42,727.27
12 Handscoon pendek non steril no 7 (M) pcs 4272.72726 3 Rp 12,818.18 100 Rp 427,273 103 Rp 440,090.91 0 Rp -
13 Infusion set Anak pcs 5100 0 Rp - 17 Rp 86,700 17 Rp 86,700.00 0 Rp -
14 Jarum Jahit (Bedah) No 10 cutting (kulit) pcs 1430.733333333 0 Rp - 120 Rp 171,688 120 Rp 171,688.00 0 Rp -
16 Jarum Jahit (Bedah) No 11 TAPPER (otot) pcs 1430.733333333 0 Rp - 120 Rp 171,688 41 Rp 58,660.07 79 Rp 113,027.93
17 Jarum Jahit (Bedah) No 12 cutting (kulit) pcs 1430.733333333 0 Rp - 120 Rp 171,688 85 Rp 121,612.33 35 Rp 50,075.67
18 Jarum Jahit (Bedah) No 14 cutting (kulit) pcs 1430.733333333 0 Rp - 120 Rp 171,688 19 Rp 27,183.93 101 Rp 144,504.07
20 Jarum Jahit (Bedah) No 9 TAPPER (otot) pcs 1430.733333333 0 Rp - 120 Rp 171,688 120 Rp 171,688.00 0 Rp -
21 Kasa Pembalut hidrofil 4m x 10 cm pcs 1380 5 Rp 6,900.00 50 Rp 69,000 39 Rp 53,820.00 16 Rp 22,080.00
22 Lidokain murni inj 2 % ampul 1221 1 Rp 1,221.00 121 Rp 147,741 37 Rp 45,177.00 85 Rp 103,785.00
23 Nasal Oksigen size L pcs 5200 2 Rp 10,400.00 2 Rp 10,400 4 Rp 20,800.00 0 Rp -
24 Nasal Oksigen size M pcs 5200 0 Rp - 5 Rp 26,000 5 Rp 26,000.00 0 Rp -
25 Plaster polyester Non-woven 5cm x 10m pcs 44767 0 Rp - 2 Rp 89,534 1 Rp 44,767.00 1 Rp 44,767.00
26 Povidon Iodine 10% 30 ml botol 3200 0 Rp - 10 Rp 32,000 10 Rp 32,000.00 0 Rp -
27 Ringer lactat ( RL ) infus steril… botol 7630 2 Rp 15,260.00 54 Rp 411,419 46 Rp 350,980.00 1 Rp 7,630.00
28 safety box pcs 14000 0 Rp - 4 Rp 56,000 4 Rp 56,000.00 0 Rp -
29 Silk No. 2/0 + jarum pcs 20300 0 Rp - 24 Rp 487,200 13 Rp 263,900.00 11 Rp 223,300.00
30 tranfusion set pcs 9431 2 Rp 18,862.00 30 Rp 282,930 29 Rp 273,499.00 3 Rp 28,293.00
31 urin bag pcs 5951 0 Rp - 14 Rp 83,314 0 Rp - 14 Rp 83,314.00
32 Kasa Pembalut hidrofil 16 x 16 pcs 3500 3 Rp 10,500.00 98 Rp 263,850 83 Rp 279,419.00 18 Rp 63,000.00
33 Alat suntik sekali pakai 3 ml pcs 569 26 Rp 14,794.00 100 Rp 56,900 68 Rp 38,692.00 58 Rp 33,002.00
alat suntik sekali pakai 5 ml pcs 1583 0 Rp - 50 Rp 79,150 9 Rp 14,247.00 41 Rp 64,903.00
34 Alat Suntik Sekali Pakai 1 ml pcs 881 0 Rp - 0 Rp - 0 Rp - 0 Rp -
35 Dexametason Injeksi ampul 924 0 Rp - 16 Rp 14,784 11 Rp 10,164.00 5 Rp 4,620.00
36 Epineprin injeksi ampul 1408 0 Rp - 3 Rp 4,224 0 Rp - 3 Rp 4,224.00
37 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) Botol 27400 0 Rp - 2 Rp 54,800 2 Rp 54,800.00 0 Rp -
38 Handscoon pendek steril no 7 (M) pcs 2772 0 Rp - 50 Rp 138,600 40 Rp 110,880.00 10 Rp 27,720.00
39 iv cateter 18 pcs 11660 0 Rp - 2 Rp 23,320 0 Rp - 2 Rp 23,320.00
40 Kasa Pembalut hidrofil 4m x 10 cm pcs 1451.7 0 Rp - 0 Rp - 0 Rp - 0 Rp -
41 Lidokain + epineprin ampul 1229 0 Rp - 15 Rp 18,435 5 Rp 6,145.00 10 Rp 12,290.00
42 NaCl Infus botol 6840 0 Rp - 3 Rp 20,520 0 Rp - 3 Rp 20,520.00
43 Ranitidin Injeksi ampul 814 0 Rp - 25 Rp 20,350 9 Rp 7,326.00 16 Rp 13,024.00
TOTAL Rp 263,360.64 Rp 6,877,398.8 Rp 5,870,161.18 Rp 1,270,598.27


NIP 19670906198903 1 005 NIP 1994020202020122014

TOTAL PENERIMAAN DARI GUDANG JAN-JUNI 2022= ###

PEMAKAIAN
rupiah (Rp)
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 9 = (4x8) 10 11 = (4x10) 12 13
12)
1 Alkohol swab pcs 79 2 Rp 158.00 100 Rp 7,900 101 Rp 7,979.00 1 Rp 79.00
2 Atropin Sulfat inj 0,25 mg/ml- 1 ml ampul 1540 0 Rp - Rp - 0 Rp - 0 Rp -
3 Aqua pro inj steril, bebas pirogen botol 2860 5 Rp 14,300.00 Rp - 5 Rp 14,300.00 0 Rp -
4 Cat gut /benang bedah cromic + jarum no 2/0 pcs 32800 0 Rp - Rp - Rp - 0 Rp -
5 Cat gut /benang bedah plain + jarum no 3/0 pcs 5750.833333333 16 Rp 92,013.33 Rp - 16 Rp 92,013.33 0 Rp -
6 Etakridin ( Rivanol ) larutan 0,1 % botol 3000 0 Rp - Rp - 0 Rp - 0 Rp -
7 folley catheter 18 pcs 13800 0 Rp - Rp - Rp - 0 Rp -
8 Epinefrin HCl (Adrenalin) inj 0,1% - 1 ml ampul 1408 0 Rp - 14 Rp 19,712 4 Rp 5,632.00 10 Rp 14,080.00
9 folley catheter 16 pcs 13800 0 Rp - Rp - Rp - 0 Rp -
10 Glukosa larutan infus 5 % steril 500ml botol 7363 0 Rp - 6 Rp 44,178 1 Rp 7,363.00 5 Rp 36,815.00
11 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) Botol 34000 1 Rp 34,000.00 Rp - 1 Rp 34,000.00 0 Rp -
12 hand sanitizer 5000 ml ( 5 liter) botol 650000 0 Rp - Rp - Rp - 0 Rp -
13 Handscoon pendek non steril no 6.5 (S) pcs 4272.72728 10 Rp 42,727.27 Rp - 10 Rp 42,727.27 0 Rp -
14 Handscoon pendek non steril no 7 (M) pcs 4272.72726 0 Rp - Rp - Rp - 0 Rp -
15 Hidrogen peroksida 3360 0 Rp - 1 Rp 3,360 1 Rp 3,360.00 0 Rp -
16 Infusion set Anak pcs 5100 0 Rp - Rp - Rp - 0 Rp -
17 Jarum Jahit (Bedah) No 10 cutting (kulit) pcs 1430.733333333 0 Rp - Rp - Rp - 0 Rp -
19 Jarum Jahit (Bedah) No 11 TAPPER (otot) pcs 1430.733333333 79 Rp 113,027.93 Rp - 1 Rp 1,430.73 78 Rp 111,597.20
20 Jarum Jahit (Bedah) No 12 cutting (kulit) pcs 1430.733333333 35 Rp 50,075.67 Rp - 1 Rp 1,430.73 34 Rp 48,644.93
23 Jarum Jahit (Bedah) No 9 TAPPER (otot) pcs 1430.733333333 0 Rp - Rp - Rp - 0 Rp -
24 Kasa Pembalut hidrofil 4m x 10 cm pcs 1380 16 Rp 22,080.00 Rp - 2 Rp 2,760.00 14 Rp 19,320.00
25 Lidokain murni inj 2 % ampul 1221 85 Rp 103,785.00 10 Rp 12,210 80 Rp 97,680.00 15 Rp 18,315.00
26 Ketorolac inj 30mg ampul 847 0 Rp - 10 Rp 8,470 1 Rp 847.00 9 Rp 7,623.00
27 Nasal Oksigen size L pcs 5200 0 Rp - 6 Rp 31,200 1 Rp 5,200.00 5 Rp 26,000.00
28 Nasal Oksigen size M pcs 5200 0 Rp - 5 Rp 26,000 1 Rp 5,200.00 4 Rp 20,800.00
29 Ondansentron inj ampul 881 0 Rp - 10 Rp 8,810 1 Rp 881.00 9 Rp 7,929.00
30 Perak Sulfadiazin cream 1 % tube 18557 0 Rp - 1 Rp 18,557 0 Rp - 1 Rp 18,557.00
31 Plaster 5 yard x 2 inch rol 29700 0 Rp - 1 Rp 29,700 1 Rp 29,700.00 0 Rp -
32 Plaster polyester Non-woven 5cm x 10m pcs 44767 1 Rp 44,767.00 Rp - 1 Rp 44,767.00 0 Rp -
33 Plaster polyester Non-woven 5cm x 10m pcs 61050 0 Rp - 4 Rp 244,200 5 Rp 305,250.00 0
34 Povidon Iodine 10% 30 ml botol 3200 0 Rp - Rp - Rp - 0 Rp -
36 Ringer lactat ( RL ) infus steril… botol 7630 1 Rp 7,630.00 Rp - Rp - 1 Rp 7,630.00
37 safety box pcs 14000 0 Rp - 1 Rp 14,000 Rp - 1 Rp 14,000.00
38 Silk No. 2/0 + jarum pcs 20300 11 Rp 223,300.00 36 Rp 730,800 36 Rp 730,800.00 11 Rp 162,250.00
39 Silk No. 3/0 + jarum pcs 44440 0 Rp - 36 Rp 1,599,840 36 Rp 1,599,840.00 0 Rp -
40 tranfusion set pcs 9431 3 Rp 28,293.00 Rp - 0 Rp - 3 Rp 28,293.00
41 tranfusion set pcs 9548 0 Rp - 5 Rp 47,740 2 Rp 19,096.00 3 Rp 28,644.00
42 urin bag pcs 5951 14 Rp 83,314.00 Rp - 4 Rp 23,804.00 10 Rp 59,510.00
43 Kasa Pembalut hidrofil 16 x 16 pcs 3500 18 Rp 63,000.00 68 Rp 238,000 80 Rp 280,000.00 6 Rp 21,000.00
44 Kasa Pembalut hidrofil 4m x 10 cm 1451.7 0 Rp - 22 Rp 31,937 0 Rp - 22 Rp 31,937.40
45 Alat suntik sekali pakai 3 ml pcs 569 58 Rp 33,002.00 Rp - 5 Rp 2,845.00 53 Rp 30,157.00
46 alat suntik sekali pakai 5 ml pcs 1583 41 Rp 64,903.00 Rp - 0 Rp - 41 Rp 64,903.00
47 Alat Suntik Sekali Pakai 1 ml pcs 881 0 Rp - Rp - Rp - 0 Rp -
48 Dexametason Injeksi ampul 924 5 Rp 4,620.00 Rp - 1 Rp 924.00 4 Rp 3,696.00
49 Epineprin injeksi ampul 1408 3 Rp 4,224.00 Rp - 0 Rp - 3 Rp 4,224.00
50 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) Botol 27400 0 Rp - Rp - Rp - 0 Rp -
51 Handscoon pendek steril no 7 (M) pcs 2772 10 Rp 27,720.00 Rp - 0 Rp - 10 Rp 27,720.00
52 iv cateter 18 pcs 11660 2 Rp 23,320.00 Rp - 0 Rp - 2 Rp 23,320.00
53 Kasa Pembalut hidrofil 4m x 10 cm pcs 1451.7 0 Rp - Rp - 0 Rp - 0 Rp -
54 Lidokain + epineprin ampul 1229 10 Rp 12,290.00 6 Rp 7,374 3 Rp 3,687.00 13 Rp 15,977.00
55 NaCl Infus botol 6840 3 Rp 20,520.00 3 Rp 20,520 0 Rp - 6 Rp 41,040.00
56 Ranitidin Injeksi ampul 814 16 Rp 13,024.00 Rp - 7 Rp 5,698.00 9 Rp 7,326.00
TOTAL Rp 1,270,598.27 Rp 3,165,508.4 Rp 3,397,368.74 Rp 1,038,737.93


NIP 19670906198903 1 005 NIP 1994020202020122014


PEMAKAIAN
rupiah (Rp)
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 9 = (4x8) 10 11 = (4x10) 12 13
12)
1 Alkohol swab pcs 79 1 Rp 79.00 100 Rp 7,900 101 Rp 7,979.00 0 Rp -
2 Alkohol swab pcs 90 0 400 Rp 36,000 236 Rp 21,240.00 164 Rp 14,760.00
3 Atropin Sulfat inj 0,25 mg/ml- 1 ml ampul 1540 0 Rp - Rp - 0 Rp - 0 Rp -
4 Aqua pro inj steril, bebas pirogen botol 2860 0 Rp - 1 Rp 2,860 1 Rp 2,860.00 0 Rp -
5 Cat gut /benang bedah cromic + jarum no 2/0 pcs 32800 0 Rp - Rp - 0 Rp - 0 Rp -
6 Cat gut /benang bedah plain + jarum no 3/0 pcs 5750.833333333 0 Rp - Rp - 0 Rp - 0 Rp -
7 Etakridin ( Rivanol ) larutan 0,1 % botol 3000 0 Rp - Rp - 0 Rp - 0 Rp -
8 folley catheter 18 pcs 13800 0 Rp - Rp - 0 Rp - 0 Rp -
9 Epinefrin HCl (Adrenalin) inj 0,1% - 1 ml ampul 1515 0 Rp - 3 Rp 4,545 2 Rp 3,030.00 1 Rp 1,515.00
10 Epinefrin HCl (Adrenalin) inj 0,1% - 1 ml ampul 1408 13 Rp 18,304.00 Rp - 13 Rp 18,304.00 0 Rp -
11 Framicetin Sulfat kasa gel sachet 21536.8 0 Rp - 10 Rp 215,368 4 Rp 86,147.20 6 Rp 129,220.80
12 folley catheter 16 pcs 13800 0 Rp - Rp - 0 Rp - 0 Rp -
13 Glukosa larutan infus 5 % steril 500ml botol 7363 5 Rp 36,815.00 Rp - 3 Rp 22,089.00 2 Rp 14,726.00
14 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) Botol 34000 0 Rp - Rp - 0 Rp - 0 Rp -
15 hand sanitizer 5000 ml ( 5 liter) botol 650000 0 Rp - Rp - 0 Rp - 0 Rp -
16 Handscoon pendek non steril no 6.5 (S) pcs 1640 0 Rp - 50 Rp 82,000 20 Rp 32,800.00 30 Rp 49,200.00
17 Handscoon pendek non steril no 7 (M) pcs 1640 0 Rp - 150 Rp 246,000 114 Rp 186,960.00 36 Rp 59,040.00
18 Hidrogen peroksida 3360 0 Rp - 2 Rp 6,720 0 Rp - 2 Rp 6,720.00
19 Infusion set Anak pcs 5100 0 Rp - 6 Rp 30,600 1 Rp 5,100.00 5 Rp 25,500.00
20 Jarum Jahit (Bedah) No 10 cutting (kulit) pcs 1430.733333333 0 Rp - Rp - 0 Rp - 0 Rp -
22 Jarum Jahit (Bedah) No 11 TAPPER (otot) pcs 1430.733333333 78 Rp 111,597.20 Rp - 0 Rp - 78 Rp 111,597.20
24 Jarum Jahit (Bedah) No 14 cutting (kulit) pcs 1430.733333333 96 Rp 137,350.40 Rp - 0 Rp - 96 Rp 137,350.40
26 Jarum Jahit (Bedah) No 9 TAPPER (otot) pcs 1430.733333333 0 Rp - Rp - 0 Rp - 0 Rp -
27 Kasa Pembalut hidrofil 4m x 10 cm pcs 1380 14 Rp 19,320.00 Rp - 14 Rp 19,320.00 0 Rp -
28 Lidokain murni inj 2 % ampul 847 0 Rp - 10 Rp 8,470 5 Rp 4,235.00 5 Rp 4,235.00
29 Lidokain murni inj 2 % ampul 1221 15 Rp 18,315.00 Rp - 15 Rp 18,315.00 0 Rp -
30 Ketorolac inj 30mg ampul 847 9 Rp 7,623.00 10 Rp 8,470 13 Rp 11,011.00 6 Rp 5,082.00
31 Nasal Oksigen size L pcs 5200 5 Rp 26,000.00 Rp - 2 Rp 10,400.00 3 Rp 15,600.00
32 Nasal Oksigen size M pcs 5200 4 Rp 20,800.00 10 Rp 52,000 11 Rp 57,200.00 3 Rp 15,600.00
33 Ondansentron inj ampul 881 9 Rp 7,929.00 Rp - 0 Rp - 9 Rp 7,929.00
34 Perak Sulfadiazin cream 1 % tube 18557 1 Rp 18,557.00 Rp - 0 Rp - 1 Rp 18,557.00
35 Plaster 5 yard x 2 inch rol 29700 0 Rp - Rp - 0 Rp - 0 Rp -
36 Plaster polyester Non-woven 5cm x 10m pcs 44767 0 Rp - Rp - 0 Rp - 0 Rp -
37 Plaster polyester Non-woven 5cm x 10m pcs 61050 0 Rp - 1 Rp 61,050 1 Rp 61,050.00 0 Rp -
38 Povidon Iodine 10% 30 ml botol 3200 0 Rp - Rp - 0 Rp - 0 Rp -
40 Ringer lactat ( RL ) infus steril… botol 7630 1 Rp 7,630.00 4 Rp 30,520 4 Rp 30,520.00 1 Rp 7,630.00
41 safety box pcs 14000 1 Rp 14,000.00 Rp - 1 Rp 14,000.00 0 Rp -
42 Silk No. 2/0 + jarum pcs Rp 14,750.00 11 Rp 162,250.00 Rp - 11 Rp 162,250.00 0 Rp -
43 Silk No. 3/0 + jarum pcs 44440 0 Rp - Rp - 0 Rp - 0 Rp -
44 tranfusion set pcs 9431 3 Rp 28,293.00 Rp - 2 Rp 18,862.00 1 Rp 9,431.00
45 tranfusion set pcs 9548 3 Rp 28,644.00 Rp - 2 Rp 19,096.00 1 Rp 9,548.00
46 urin bag pcs 5951 0 Rp - 1 Rp 5,951 1 Rp 5,951.00 0 Rp -
47 urin bag pcs 5951 10 Rp 59,510.00 Rp - 10 Rp 59,510.00 0 Rp -
48 Kasa Pembalut hidrofil 16 x 16 pcs 4600 Rp - 49 Rp 225,400 25 Rp 115,000.00 24 Rp 110,400.00
49 Kasa Pembalut hidrofil 16 x 16 pcs 3500 6 Rp 21,000.00 4 Rp 14,000 10 Rp 35,000.00 0 Rp -
50 Kasa Pembalut hidrofil 4m x 10 cm 1451.7 22 Rp 31,937.40 150 Rp 217,755 142 Rp 206,141.40 30 Rp 43,551.00
51 Alat suntik sekali pakai 3 ml pcs 569 53 Rp 30,157.00 Rp - 49 Rp 27,881.00 4 Rp 2,276.00
52 alat suntik sekali pakai 5 ml pcs 1583 41 Rp 64,903.00 Rp - 15 Rp 23,745.00 26 Rp 41,158.00
53 Alat Suntik Sekali Pakai 1 ml pcs 881 0 Rp - Rp - 0 Rp - 0 Rp -
54 Dexametason Injeksi ampul 924 4 Rp 3,696.00 16 Rp 14,784 17 Rp 15,708.00 3 Rp 2,772.00
55 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) Botol 27400 0 Rp - Rp - 0 Rp - 0 Rp -
56 Handscoon pendek steril no 7 (M) pcs 2772 10 Rp 27,720.00 Rp - 10 Rp 27,720.00 0 Rp -
57 iv cateter 20 5995 0 Rp - 50 Rp 299,750 2 Rp 11,990.00 48 Rp 287,760.00
58 iv cateter 22 5995 0 Rp - 50 Rp 299,750 50 Rp 299,750.00 0 Rp -
59 iv cateter 18 pcs 5995 0 Rp - 50 Rp 299,750 8 Rp 47,960.00 42 Rp 251,790.00
60 iv cateter 18 pcs 11660 2 Rp 23,320.00 Rp - 2 Rp 23,320.00 0 Rp -
61 Lidokain + epineprin ampul 1229 13 Rp 15,977.00 Rp - 13 Rp 15,977.00 0 Rp -
62 NaCl Infus botol 6840 6 Rp 41,040.00 6 Rp 41,040 6 Rp 41,040.00 6 Rp 41,040.00
63 Ranitidin Injeksi ampul 814 9 Rp 7,326.00 Rp - 0 Rp - 9 Rp 7,326.00
TOTAL Rp 1,038,737.93 Rp 2,273,683.0 Rp 1,869,660.67 Rp 1,442,760.27

-
0

NIP 19670906198903 1 005 NIP 1994020202020122014
REKAP DISTRIBUSI PER UNIT Laboratorium

SATU SEMESTER JANUARI S/D JUNI 2022
STOCK NILAI STOCK PENERI PEMAKAIAN SISA
lai NAMA OBAT SATUAN HARGA SATUAN Nilai Penerimaan NON- Nilai Stok Akhir
AWAL AWAL (Rp) MAAN RESEP NILAI (Rp) Nilai (Rp) STOCK
8 = (5+7- RESEP
1 2 3 4 5 6 = (4x5) 7 4x7 9 = (4x8) 10 11 = (4x10) 12 13
12)
1 Reagen Cat Ziehl Nielsen (carbilfusin, etanol asam, metilen blue) kit 224235 0 Rp - 24 5,381,640.00 0 0 24 Rp 5,381,640.00 0 0
2 Reagen golongan darah serum anti A botol 63209.3023255 1 Rp 63,209.30 1 63,209.30 0 0 0 Rp - 2 126418.604651
3 Reagen golongan darah serum anti B botol 63209.3023255 1 Rp 63,209.30 1 63,209.30 0 0 0 Rp - 2 126418.604651
4 Reagen golongan darah serum anti A botol 29100 0 Rp - 2 58,200.00 0 0 0 Rp - 2 58200
5 Reagen golongan darah serum anti B botol 29100 0 Rp - 2 58,200.00 0 0 0 Rp - 2 58200
6 Reagen golongan darah serum Anti D (anti RH) botol 103209.3023255 0 Rp - 1 103,209.30 0 0 0 Rp - 1 103209.3023255
7 Stik glukosa strip 3124 0 Rp - 1300 4,061,200.00 0 0 1117 Rp 3,489,508.00 183 571692
8 Stik HbSAg test strip 9850 0 Rp - 275 2,708,750.00 0 0 125 Rp 1,231,250.00 150 1477500
9 Stik HCG strip 3881 0 Rp - 150 582,150.00 0 0 150 Rp 582,150.00 0 0
10 stik hemoglobin (Hb) strip 8030 0 Rp - 150 1,204,500.00 0 0 150 Rp 1,204,500.00 0 0
11 Stik Asam Urat untuk alat benececk strip 5808 0 Rp - 100 580,800.00 0 87 Rp 505,296.00 13 75504
12 Stik HIV test kit I strip 8094 0 Rp - 150 1,214,100.00 0 0 150 Rp 1,214,100.00 0 0
14 Stik HIV test kit III strip 19480 0 Rp - 25 487,000.00 0 0 25 Rp 487,000.00 0 0
15 Stik Rapid Test Sifilis II (Human) strip 14000 150 Rp 2,100,000.00 379 5,307,574.53 0 0 529 Rp 7,407,574.53 0 0
16 Stik Urin 10 parameter strip 2134 100 Rp 213,400.00 100 213,400.00 0 0 200 Rp 426,800.00 0 0
17 Stik urin 3 parameter (glukosa,pH,protein) strip 1050 300 Rp 315,000.00 300 315,000.00 0 0 600 Rp 630,000.00 0 0
18 RDT covid19 Antigen buah 97450 598 Rp 58,275,100.00 121 11791450 0 0 594 Rp 57,885,300.00 125 12181250
19 blue Tip pcs 183.9 0 Rp - 3000 551,700.00 0 0 0 Rp - 3000 551700
20 blue Tip pcs 84.4 0 Rp - 2000 168,800.00 0 0 0 Rp - 2000 168800
21 Box Slides pcs 37717 2 Rp 75,434.00 8 301,736.00 0 0 4 Rp 150,868.00 6 226302
22 pot sputum pcs 2927.5 0 Rp - 800 2,342,000.00 0 0 785 Rp 2,298,087.50 15 43912.5
23 slide/d-glass/objek glass BTA pack 21747 2 Rp 43,494.00 14 304,458.00 0 0 1 Rp 21,747.00 15 326205
24 Tabung Vac-tube EDTA K3 pcs 701.8 0 Rp - 300 210,540.00 0 0 85 Rp 59,653.00 215 150887
25 Tabung Vac-tube serum plain tutup merah pcs 1014 0 Rp - 100 101,400.00 0 0 0 Rp - 100 101400
26 VIRAL TRANSPORT MEDIUM (VTM) pack 29600 639 Rp 18,914,400.00 399 11,810,400.00 0 0 1038 Rp 30,724,800.00 0 0
29 VIRAL TRANSPORT MEDIUM (VTM) pcs 21557 0 Rp - 80 1,724,540.00 0 0 0 Rp - 80 1724539.99999999
VIRAL TRANSPORT MEDIUM (VTM) pcs 40000 0 Rp - 77 3,095,894.41 77 Rp 3,095,894.41 0
30 Yellow tip pcs 234.9 0 Rp - 3000 704,700.00 0 0 0 Rp - 3000 704700
31 Alkohol swab PCS 145 0 Rp - 200 29,000.00 0 0 190 Rp 27,550.00 10 1450
32 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) botol 34000 0 Rp - 3 102,000.00 0 0 2 Rp 68,000.00 1 34000
33 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine botol 30450 0 Rp - 1 30,450.00 0 0 1 Rp 30,450.00 0 0
34 Handscoon pendek non steril no 7 (M) pasang 4272.72726 0 Rp - 200 854,545.45 0 0 200 Rp 854,545.45 0 0
35 Handscoon pendek non steril no 6.5 (S) pasang 4272.72728 0 Rp - 100 427,272.73 0 0 100 Rp 427,272.73 0 0
36 Plaster Bulat Non Woven pcs 175 0 Rp - 400 70,000.00 0 0 286 Rp 50,050.00 114 19950
37 Vaccutainer need blood collection pcs 2067.0323 0 Rp - 100 206,703.23 0 0 100 Rp 206,703.23 0 0
38 Vaccutainer Eclipse Blood colection Needle 21Gx 1,5 pcs 1600 0 Rp - 200 320,000.00 0 0 100 Rp 160,000.00 100 160000
39 Alat suntik sekali pakai 3ml pcs 569 0 Rp - 201 114,369.00 0 0 108 Rp 61,452.00 93 52917
TOTAL Rp 80,063,246.60 57,664,101.26 Rp 118,682,191.85 19,045,156.01
19,045,156.01


NIP 19670906198903 1 005 NIP 1994020202020122014

Total Penerimaan Jan-juni 2022 ###

REKAP DISTRIBUSI PER UNIT Laboratorium

SATU SEMESTER JULI - SEPTEMBER 2022
8 = (5+7- RESEP
1 2 3 4 5 6 = (4x5) 7 4x7 9 = (4x8) 10 11 = (4x10) 12 13
12)
1 Reagen Cat Ziehl Nielsen (carbilfusin, etanol asam, metilen blue) buah 224235 0 Rp - 0 0 Rp - 0 0
2 Reagen golongan darah serum anti A kit 63209.3023255 2 Rp 126,418.60 0 0 Rp - 2 126419
3 Reagen golongan darah serum anti B botol 63209.3023255 2 Rp 126,418.60 0 0 Rp - 2 126419
4 Reagen golongan darah serum anti A botol 29100 2 Rp 58,200.00 2 58200 0 Rp - 4 116400
5 Reagen golongan darah serum anti B botol 29100 2 Rp 58,200.00 2 58200 0 Rp - 4 116400
6 Reagen golongan darah serum Anti D (anti RH) botol 103209.3023255 1 Rp 103,209.30 0 0 Rp - 1 103209
7 Stik glukosa botol 3124 183 Rp 571,692.00 0 183 Rp 571,692.00 0 0
8 Stik HbSAg test strip 9850 150 Rp 1,477,500.00 0 103 Rp 1,014,550.00 47 462950
9 Stik HCG strip 3881 0 Rp - 0 0 Rp - 0 0
10 stik hemoglobin (Hb) strip 8030 0 Rp - 0 0 Rp - 0 0
11 stik hemoglobin (Hb) strip 7814.4 0 Rp - 100 781440 0 Rp - 100 781440
12 Stik Asam Urat untuk alat benececk strip 5808 13 Rp 75,504.00 0 13 Rp 75,504.00 0 0
13 Stik HIV test kit I strip 8094 0 Rp - 0 0 Rp - 0 0
14 Stik HIV test kit II strip 13235 0 Rp - 0 0 Rp - 0 0
15 Stik HIV test kit I strip 7879 0 Rp - 100 787900 34 Rp 267,886.00 66 520014
16 Stik HIV test kit I dan siphilis (combo) strip 16566.4700000036 0 Rp - 100 1656647.00000036 16 Rp 265,063.52 84 1391583
17 Stik Rapid Test Sifilis II (Human) strip 14000 Rp - 50 700000 50 Rp 700,000.00 0 0
18 Stik Urin 10 parameter strip 2134 0 Rp - 0 0 Rp - 0 0
19 Stik urin 3 parameter (glukosa,pH,protein) strip 1050 0 Rp - 0 0 Rp - 0 0
20 RDT covid19 Antigen strip 97450 125 Rp 12,181,250.00 300 29235000 425 Rp 41,416,250.00 0 0
21 blue Tip kit 183.9 3000 Rp 551,700.00 0 0 Rp - 3000 551700
22 blue Tip pcs 84.4 2000 Rp 168,800.00 0 0 Rp - 2000 268320
23 Box Slides pcs 37717 6 Rp 226,302.00 2 75434 5 Rp 188,585.00 3 113151
24 pot sputum pcs 2927.5 15 Rp 43,912.50 0 0 Rp - 15 43913
25 safety box pcs 14000 0 Rp - 1 14000 1 Rp 14,000.00 0 0
26 serum HBIG ( hiperheb) pcs 1325000 0 Rp - 1 1325000 1 Rp 1,325,000.00 0 0
27 slide/d-glass/objek glass BTA pcs 21747 15 Rp 326,205.00 5 108735 5 Rp 108,735.00 15 326205
28 Tabung Vac-tube EDTA K3 pack 701.8 215 Rp 150,887.00 200 140360 66 Rp 46,318.80 349 145408
29 Tabung Vac-tube serum plain tutup merah pcs 1014 100 Rp 101,400.00 0 0 Rp - 100 101400
30 tuberkulin PPD (test ktk 5vialx1,5ml) pcs 625800 0 Rp - 1 625800 1 Rp 625,800.00 0 0
31 VIRAL TRANSPORT MEDIUM (VTM) pcs 29600 0 Rp - 0 0 Rp - 0 0
32 VIRAL TRANSPORT MEDIUM (VTM) pack 24133.75 0 Rp - 0 0 Rp - 0 0
34 VIRAL TRANSPORT MEDIUM (VTM) pcs 21557 80 Rp 1,724,540.00 0 80 Rp 1,724,540.00 0 0
35 Yellow tip pcs 235 3000 Rp 704,700.00 0 0 Rp - 3000 704700
36 Alkohol swab pcs 145 10 Rp 1,450.00 0 10 Rp 1,450.00 0 0
37 Alkohol swab pcs 79 0 Rp - 200 15800 200 Rp 15,800.00 0 0
38 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) PCS 34000 1 Rp 34,000.00 0 1 Rp 34,000.00 0 0
39 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine botol 30450 0 Rp - 0 0 Rp - 0 0
40 Handscoon pendek non steril no 7 (M) botol 4272.72726 0 Rp - 0 0 Rp - 0 0
41 Handscoon pendek non steril no 6.5 (S) pasang 1640 0 Rp - 50 82000 50 Rp 82,000.00 0 0
42 Plaster Bulat Non Woven pasang 175 114 Rp 19,950.00 0 91 Rp 15,925.00 23 4025
43 Vaccutainer need blood collection pcs 2067.0323 0 Rp - 0 0 Rp - 0 0
44 Vaccutainer Eclipse Blood colection Needle 21Gx 1,5 pcs 1600 100 Rp 160,000.00 0 100 Rp 160,000.00 0 0
45 Alat suntik sekali pakai 3ml pcs 569 93 Rp 52,917.00 0 72 Rp 40,968.00 21 11949
Rp 19,045,156.01 35,664,516.00 Rp 48,694,067.32 6,015,604.69


NIP 19670906198903 1 005 NIP 1994020202020122014

REKAP DISTRIBUSI PER UNIT LABORATORIUM

8 = (5+7- RESEP
1 2 3 4 5 6 = (4x5) 7 4x7 9 = (4x8) 10 11 = (4x10) 12 13
12)
1 Reagen Cat Ziehl Nielsen (carbilfusin, etanol asam, metilen blue) buah 224235 0 Rp - - 0 Rp - 0
2 Reagen golongan darah serum anti A kit 63209.3023255 2 Rp 126,418.60 - 2 Rp 126,418.60 0 0
3 Reagen golongan darah serum anti B botol 63209.3023255 2 Rp 126,418.60 - 2 Rp 126,418.60 0 0
4 Reagen golongan darah serum anti A botol 29100 4 Rp 116,400.00 - 0 Rp - 4 116400
5 Reagen golongan darah serum anti B botol 29100 4 Rp 116,400.00 - 0 Rp - 4 116400
6 Reagen golongan darah serum Anti D (anti RH) botol 103209.3023255 1 Rp 103,209.30 - 0 Rp - 1 103209
7 Stik glukosa botol 3124 0 Rp - - 0 Rp - 0 0
8 Stik HbSAg test strip 9850 47 Rp 462,950.00 - 31 Rp 305,350.00 16 157600
9 Stik HbSAg test strip 7343 0 100 734,300.00 0 Rp - 100 734300
10 Stik HCG strip 3881 0 Rp - - 0 Rp - 0 0
11 stik hemoglobin (Hb) strip 8030 0 Rp - - 0 Rp - 0 0
12 stik hemoglobin (Hb) strip 7814.4 100 Rp 781,440.00 400 3,125,760.00 325 Rp 2,539,680.00 175 1367520
13 Stik Asam Urat untuk alat benececk strip 5808 0 Rp - - 0 Rp - 0 0
14 Stik HIV test kit I strip 8094 0 Rp - - 0 Rp - 0 0
15 Stik HIV test kit II strip 13235 0 Rp - - 0 Rp - 0 0
16 Stik HIV test kit I strip 7879 66 Rp 520,014.00 100 787,900.00 29 Rp 228,491.00 137 1079423
17 Stik HIV test kit I dan siphilis (combo) strip 16566.4700000036 84 Rp 1,391,583.48 - 0 Rp - 84 1391583
18 Stik HIV test kit I dan siphilis (combo) strip 17723.52 0 Rp - 50 886,176.00 34 Rp 602,599.68 16 283576
19 Stik Rapid Test Sifilis II (Human) strip 7814.4 0 100 781,440.00 33 Rp 257,875.20 67 523565
20 Stik Urin 10 parameter strip 2134 0 Rp - - 0 Rp - 0 0
21 Stik urin 3 parameter (glukosa,pH,protein) strip 800 0 Rp - 100 80,000.00 0 Rp - 100 80000
22 RDT covid19 Antigen strip 29600 0 Rp - 50 1,480,000.00 0 Rp - 50 1480000
23 blue Tip kit 183.9 3000 Rp 551,700.00 - 3000 Rp 551,700.00 0 0
24 blue Tip pcs 84.4 2000 Rp 168,800.00 - 0 Rp - 2000 168800
25 Box Slides pcs 37717 3 Rp 113,151.00 - 0 Rp - 3 113151
26 pot sputum pcs 2927.5 15 Rp 43,912.50 - 0 Rp - 15 43913
27 safety box pcs 14000 0 Rp - - 0 Rp - 0 0
28 slide/d-glass/objek glass BTA pcs 21747 15 Rp 326,205.00 - 0 Rp - 15 326205
29 Tabung Vac-tube EDTA K3 pack 701.8 349 Rp 244,928.20 - 72 Rp 50,529.60 277 194399
30 Tabung Vac-tube serum plain tutup merah pcs 1014 100 Rp 101,400.00 - 0 Rp - 100 101400
31 tuberkulin PPD (test ktk 5vialx1,5ml) pcs 625800 0 Rp - - 0 Rp - 0 0
32 VIRAL TRANSPORT MEDIUM (VTM) pcs 29600 0 Rp - - 0 Rp - 0 0
33 VIRAL TRANSPORT MEDIUM (VTM) pack 24133.75 0 Rp - - 0 Rp - 0 0
34 VIRAL TRANSPORT MEDIUM (VTM) pcs 21557 0 Rp - - 0 Rp - 0 0
35 Yellow tip pcs 235 3000 Rp 704,700.00 - 1000 Rp 234,900.00 2000 469800
36 Alkohol swab pcs 88 0 Rp - 300 26,400.00 300 Rp 26,400.00 0 0
37 Alkohol swab pcs 79 0 Rp - - 0 Rp - 0 0
38 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) PCS 34000 0 Rp - - 0 Rp - 0 0
39 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine botol 30450 0 Rp - - 0 Rp - 0 0
40 Handscoon pendek non steril no 7 (M) botol 4272.72726 0 Rp - - 0 Rp - 0 0
41 Handscoon pendek non steril no 6.5 (S) pasang 1640 0 Rp - 100 164,000.00 0 Rp - 100 164000
42 Plaster Bulat Non Woven pasang 175 23 Rp 4,025.00 200 35,000.00 38 Rp 6,650.00 185 32375
43 Vaccutainer need blood collection pcs 2067.0323 0 Rp - 100 206,703.23 0 Rp - 100 206703
44 Vaccutainer Eclipse Blood colection Needle 21Gx 1,5 pcs 1600 0 Rp - - 0 Rp - 0
45 Alat suntik sekali pakai 3ml pcs 693 0 Rp - 100 69,300.00 100 Rp 69,300.00 0 0
46 Alat suntik sekali pakai 3ml PCS 569 21 Rp 11,949.00 - 21 Rp 11,949.00 0 0
47 Blood lancet pcs 14319 0 9 128,871.00 0 Rp - 9.00 128871
48 tuberkulin PPD (test ktk 5vialx1,5ml) pcs 608280 0 2 1,216,560.00 2 Rp 1,216,560.00 - 0
49 yodina tes pcs 36630 0 13 476,190.00 0 Rp - 13.00 476190
Rp 6,015,604.69 10,198,600.23 Rp 6,354,821.69 9,859,383.23


NIP 19670906198903 1 005 NIP 1994020202020122014
REKAP DISTRIBUSI PER UNIT PKD JOJOGAN
PEMAKAIAN
NO NAMA OBAT SATUAN PENERIMAAN Peneriman x Harga NILAI nilai stok akhir
SATUAN AWAL AWAL (Rp) RESEP NON-RESEP Nilai (Rp) STOCK
rupiah (Rp)
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 9 = (4x8) 10 11 = (4x10) 12 13
12)
1 Acyclovir cream tablet 2531.5862 0 Rp - 0 Rp - 0 Rp - 0 0
2 Acyclovir tab 400mg tablet 405 0 Rp - 0 Rp - 0 Rp - 0 0
3 Alopurinol tab 100 mg tablet 87 0 Rp - 0 Rp - 0 Rp - 0 0
4 Alopurinol tab 100 mg tablet 105 0 Rp - 0 Rp - 0 Rp - 0 0
5 alopurinol tab 300mg tablet 210 0 Rp - 0 Rp - 0 Rp - 0 0
6 amlodipin tab 10mg tablet 99 0 Rp - 200 Rp 19,800 200 Rp 19,800.00 0 0
7 amlodipin tab 5 mg tablet 53 0 Rp - 0 Rp - 0 Rp - 0 0
8 Amoksisilin kaplet 500 mg tablet 253 130 Rp 32,890.00 400 Rp 101,200 380 Rp 96,140.00 150 37950
9 Amoksisilin syr kering 250mg/5ml Botol 3628 0 Rp - 5 Rp 18,140 5 Rp 18,140.00 0 0
10 Antasida DOEN tablet tablet 54 30 Rp 1,620.00 100 Rp 5,400 130 Rp 7,020.00 0 0
11 Antasida DOEN Suspensi Botol 1679 0 Rp - 15 Rp 25,185 10 Rp 16,790.00 5 8395
12 Asam Ascorbat (Vit C) tab 250 mg tablet 119 0 Rp - 0 Rp - 0 Rp - 0 0
13 Asam Ascorbat (Vit C) tab 50 mg tablet 105 0 Rp - 0 Rp - 0 Rp - 0 0
14 asam asetilsalisilat tab (asetosal) 80mg tablet 105 0 Rp - 0 Rp - 0 Rp - 0 0
15 asam folat tab 1 mg tablet 56 0 Rp - 100 Rp 5,600 90 Rp 5,040.00 10 560
16 Asam Mefenamat tab 500 mg tablet 111 Rp - 0 Rp - 0 Rp - 0 0
17 Attapulgit (Antidiare) tab Tube 145 100 Rp 14,500.00 0 Rp - 100 Rp 14,500.00 0 0
18 Betametason cream 0,05 % Botol 1430 2 Rp 2,860.00 5 Rp 7,150 6 Rp 8,580.00 1 1430
19 Deksametason tab 0,5 mg tablet 34 70 Rp 2,380.00 100 Rp 3,400 170 Rp 5,780.00 0 0
20 domperidon syr 5mg/5ml Botol 2700 0 Rp - 0 Rp - 0 Rp - 0 0
21 Domperidon tab 10 mg tablet 90 90 Rp 8,100.00 200 Rp 18,000 270 Rp 24,300.00 20 1800
22 Garam oralit kombinasi Botol 257 15 Rp 3,855.00 15 Rp 3,855 30 Rp 7,710.00 0 0
23 Gentamisin Tetes Mata 0,3% Tube 4520 0 Rp - 8 Rp 36,160 8 Rp 36,160.00 0 0
24 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) buah 34000 0 Rp - 2 Rp 68,000 2 Rp 68,000.00 0 0
25 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine Buah 30450 0 Rp - 1 Rp 30,450 1 Rp 30,450.00 0 0
26 Hidroklorotiazid ( HCT ) tab 25 mg tablet 148 0 Rp - 0 Rp - 0 Rp - 0 0
27 Hidrokortison cream 2,5 % tablet 2475 3 Rp 7,425.00 5 Rp 12,375 8 Rp 19,800.00 0 0
28 Kalsium Glukonas inj ampul 10351 0 Rp - 0 Rp - 0 Rp - 0 0
29 Kalsium Lactat ( Kalk ) tab 500 mg tablet 63 30 Rp 1,890.00 200 Rp 12,600 210 Rp 13,230.00 20 1260
30 Kaptopril tab 25 mg tablet 75 20 Rp 1,500.00 300 Rp 22,500 320 Rp 24,000.00 0 0
31 Kloramfenikol Salep Mata 1 % tablet 2007 2 Rp 4,014.00 15 Rp 30,105 17 Rp 34,119.00 0 0
32 Klorfeniramin Maleat ( CTM ) tab 4 mg tablet 23 60 Rp 1,380.00 300 Rp 6,900 360 Rp 8,280.00 0 0
33 Kotrimoksasol Syr 240mg/5ml - 60ml Botol 2190 Rp - 5 Rp 10,950 5 Rp 10,950.00 0 0
34 Lidokain + epineprin inj ampul 1229 4 Rp 4,916.00 0 Rp - 4 Rp 4,916.00 0 0
35 Metformin 500mg tablet 77 90 Rp 6,930.00 0 Rp - 90 Rp 6,930.00 0 0
36 N-asetil sistein tab 200mg tablet 350 Rp - 0 Rp - 0 Rp - 0 0
37 N-asetil sistein tab 200mg tablet 373 Rp - 100 Rp 37,300 100 Rp 37,300.00 0 0
38 Natrium Diklofenak tab 25mg tablet 128 Rp - 0 Rp - 0 Rp - 0 0
39 Natrium Diklofenak tab 50 mg tablet 99 Rp - 100 Rp 9,900 100 Rp 9,900.00 0 0
40 Oksitoksin inj 10 IU/ ml - 1 ml ampul 1199 Rp - 0 Rp - 0 Rp - 0 0
41 omeprazole kapsul 20mg tablet 129 Rp - 0 Rp - 0 Rp - 0 0
42 Ondansetron tab 8 mg tablet 270 Rp - 0 Rp - 0 Rp - 0 0
43 Parasetamol drop Botol 4976 0 Rp - 0 Rp - 0 Rp - 0 0
44 Parasetamol syr 120mg/5ml Botol 1181 3 Rp 3,543.00 10 Rp 11,810 13 Rp 15,353.00 0 0
45 Parasetamol tab 500 mg tablet 97.9 0 Rp - 200 Rp 19,580 200 Rp 19,580.00 0 0
47 Piridoxin HCL (vit B 6) tab 10 mg tablet 131 Rp - 300 Rp 39,300 300 Rp 39,300.00 0 0
48 Prednison tab 5 mg tablet 73 0 Rp - 0 Rp - 0 Rp - 0 0
49 Retinol 100.000 UI tablet 306 Rp - 67 Rp 20,502 67 Rp 20,502.00 0 0
50 Retinol 200.000 UI tablet 552 Rp - 10 Rp 5,520 10 Rp 5,520.00 0 0
51 Sianokobalamin (B 12) tab 50mcg tablet 43 50 Rp 2,150.00 200 Rp 8,600 200 Rp 8,600.00 50 2150
52 Tiamin HCL (B 1) tab 50 mg tablet 57 0 Rp - 400 Rp 22,800 300 Rp 17,100.00 100 5700
53 Vaksin BCG inj 20 DOSIS Vial 97780 0 Rp - 2 Rp 195,560 2 Rp 195,560.00 0 0
54 Vaksin DPT-HB-Hib 5 dosis vial 85103 0 Rp - 13 Rp 1,106,339 13 ### 0 0
57 Vaksin MR Vial 158651 0 Rp - 7 Rp 1,110,559 7 ### 0 0
59 Vaksin Tetanus (Td) Vial 18128 0 Rp - 0 Rp - 0 Rp - 0 0
60 Vitamin B kompleks tab tablet 89 100 Rp 8,900.00 500 Rp 44,500 500 Rp 44,500.00 100 8900
61 Zinc drops 10 mg/ml Botol 5051 0 Rp - 0 Rp - 0 Rp - 0 0
62 Zink Sirup 20mg/5 ml Botol 3171 0 Rp - 0 Rp - 0 Rp - 0 0
63 Zink tab tablet 208 0 Rp - 200 Rp 41,600 190 Rp 39,520.00 10 2080
64 Alkohol swab Buah 145 0 Rp - 200 Rp 29,000 200 Rp 29,000.00 0 0
65 Permetrin cream tube 11250 0 3 Rp 33,750 0 0 3 Rp 33,750.00 0 0
66 Vaksin polio bivalent 10 dosis Vial 23643 0 Rp - 3 Rp 70,929 0 0 3 Rp 70,929.00 0 0
67 Parasetamol syr 120mg/5ml Botol 1160 0 Rp - 15 Rp 17,400 0 0 10 Rp 11,600.00 5 5800
68 Sianokobalamin (B 12) tab 50mcg tablet 49 0 Rp - 100 Rp 4,900 0 0 60 Rp 2,940.00 40 1960
69 Kaptopril tab 12,5 mg tablet 66 0 Rp - 100 Rp 6,600 0 0 98 Rp 6,468.00 2 132
70 Lidokain murni inj 2 % ampul 1221 0 Rp - 2 Rp 2,442 0 0 0 Rp - 2 2442
71 N-asetil sistein tab 200mg tablet 301 0 Rp - 120 Rp 36,120 0 0 70 Rp 21,070.00 50 15050
72 Betametason cream 0,05 % 1540 0 Rp - 10 Rp 15,400 0 0 0 Rp - 10 15400
73 Tambah darah kombinasi ( ferro fumarat 60 mg, asam folat 0,4 mg) 226 0 Rp - 200 Rp 45,200 0 0 80 Rp 18,080.00 120 27120
0 0
TOTAL Rp 108,853.00 Rp 4,007,773 ### 140,626.00
Rp 140,626.00



NIP 19670906198903 1 005 NIP 1994020202020122014
PEMAKAIAN
NO NAMA OBAT SATUAN PENERIMAAN Peneriman x Harga NILAI nilai stok akhir
rupiah (Rp)
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 9 = (4x8) 10 11 = (4x10) 12 13
12)
1 Acyclovir cream tablet 2531.5862 0 Rp - Rp - 0 - 0 0
2 Acyclovir tab 400mg tablet 405 0 Rp - Rp - 0 - 0 0
3 Alopurinol tab 100 mg tablet 87 0 Rp - Rp - 0 - 0 0
5 alopurinol tab 300mg tablet 210 0 Rp - Rp - 0 - 0 0
6 amlodipin tab 10mg tablet 99 0 Rp - Rp - 0 - 0 0
7 amlodipin tab 5 mg tablet 53 0 Rp - Rp - 0 - 0 0
8 Amoksisilin kaplet 500 mg tablet 253 150 Rp 37,950.00 Rp - 150 37,950.00 0 0
9 Amoksisilin syr kering 250mg/5ml Botol 3628 0 Rp - Rp - 0 - 0 0
10 Antasida DOEN tablet tablet 54 0 Rp - Rp - 0 - 0 0
11 Antasida DOEN tablet tablet 58 0 Rp - 200 Rp 11,600 200 11,600.00 0 0
12 Antasida DOEN Suspensi Botol 1679 5 Rp 8,395.00 Rp - 3 5,037.00 2 3358
13 Asam Ascorbat (Vit C) tab 250 mg tablet 119 0 Rp - 100 Rp 11,900 100 11,900.00 0 0
14 Asam Ascorbat (Vit C) tab 50 mg tablet 105 0 Rp - Rp - 0 - 0 0
15 asam asetilsalisilat tab (asetosal) 80mg tablet 105 0 Rp - Rp - 0 - 0 0
16 asam folat tab 1 mg tablet 56 10 Rp 560.00 300 Rp 16,800 250 14,000.00 60 3360
17 Asam Mefenamat tab 500 mg tablet 111 0 Rp - 200 Rp 22,200 140 15,540.00 60 6660
18 Attapulgit (Antidiare) tab Tube 145 0 Rp - 100 Rp 14,500 0 - 100 14500
19 Betametason cream 0,05 % Botol 1430 1 Rp 1,430.00 Rp - 1 1,430.00 0 0
20 Deksametason tab 0,5 mg tablet 34 0 Rp - Rp - 0 - 0 0
21 domperidon syr 5mg/5ml Botol 2700 0 Rp - Rp - 0 - 0 0
22 Domperidon tab 10 mg tablet 90 20 Rp 1,800.00 Rp - 20 1,800.00 0 0
23 Garam oralit kombinasi Botol 257 0 Rp - Rp - 0 - 0 0
24 Gentamisin Tetes Mata 0,3% Tube 4520 0 Rp - Rp - 0 - 0 0
25 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) buah 34000 0 Rp - Rp - 0 - 0 0
26 Glibencllamide tablet 83 0 Rp - 100 Rp 8,300 100 8,300.00 0 0
27 Glimepiride 2 mg tablet 123 0 Rp - 100 Rp 12,300 100 12,300.00 0 0
28 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine Buah 30450 0 Rp - Rp - 0 - 0 0
29 Hidroklorotiazid ( HCT ) tab 25 mg tablet 148 0 Rp - Rp - 0 - 0 0
30 Hidrokortison cream 2,5 % tablet 2475 0 Rp - 6 Rp 14,850 2 4,950.00 4 9900
31 Kalsium Glukonas inj ampul 10351 0 Rp - Rp - 0 - 0 0
32 Kalsium Lactat ( Kalk ) tab 500 mg tablet 63 20 Rp 1,260.00 200 Rp 12,600 160 10,080.00 60 3780
33 Kaptopril tab 12.5 mg tablet 66 2 Rp 132.00 100 Rp 6,600 102 6,732.00 0 0
34 Kloramfenikol Salep Kulit tablet 3266 0 Rp - 3 Rp 9,798 3 9,798.00 0 0
35 Klorfeniramin Maleat ( CTM ) tab 4 mg tablet 23 0 Rp - 200 Rp 4,600 90 2,070.00 110 2530
36 Kotrimoksasol Syr 240mg/5ml - 60ml Botol 2190 0 Rp - 10 Rp 21,900 5 10,950.00 5 10950
37 Lidokain + epineprin inj ampul 1229 0 Rp - Rp - 0 - 0 0
38 Metformin 500mg tablet 77 0 Rp - Rp - 0 - 0 0
39 N-asetil sistein tab 200mg tablet 350 0 Rp - Rp - 0 - 0 0
40 Metformin 850 mg tablet 154.39 0 Rp - 100 Rp 15,439 100 15,439.00 0 0
41 Mrgtyl prednisolon tablet 102 0 Rp - 100 Rp 10,200 100 10,200.00 0 0
42 metronidazol syr botol 3950 0 Rp - 10 Rp 39,500 10 39,500.00 0 0
43 N-asetil sistein tab 200mg tablet 301 0 Rp - 300 Rp 90,300 300 90,300.00 0 0
44 Natrium Diklofenak tab 25mg tablet 128 0 Rp - 200 Rp 25,600 200 25,600.00 0 0
45 Natrium Diklofenak tab 50 mg tablet 99 0 Rp - Rp - 0 - 0 0
46 Oksitoksin inj 10 IU/ ml - 1 ml ampul 1199 0 Rp - Rp - 0 - 0 0
47 Natrium Klorida Larutan infus 0,9 % 10 ml Botol 3280 0 Rp - 1 Rp 3,280 1 3,280.00 0 0
48 Natrium Klorida larutan infus 0,9 % 500ml Botol 6840 0 Rp - 1 Rp 6,840 1 6,840.00 0 0
49 omeprazole kapsul 20mg tablet 129 0 Rp - Rp - 0 - 0 0
50 Ondansetron tab 8 mg tablet 270 0 Rp - Rp - 0 - 0 0
51 Parasetamol drop Botol 4976 0 Rp - 25 Rp 124,400 22 109,472.00 3 14928
52 Parasetamol syr 120mg/5ml Botol 1160 5 Rp 5,800.00 25 Rp 29,000 28 32,480.00 2 2320
53 Parasetamol tab 500 mg tablet 97.9 0 Rp - 400 Rp 39,160 400 39,160.00 0 0
54 Parasetamol tab 500 mg tablet 124.85 20 Rp 2,497.00 Rp - 0 - 20 2497
55 Piridoxin HCL (vit B 6) tab 10 mg tablet 131 0 Rp - 200 Rp 26,200 160 20,960.00 40 5240
56 Prednison tab 5 mg tablet 73 0 Rp - Rp - 0 - 0 0
57 Plaster 5 yard x 2 inch pcs 29700 0 Rp - 1 Rp 29,700 1 29,700.00 0 0
58 Retinol 200.000 UI tablet 552 0 Rp - Rp - 0 - 0 0
59 Sianokobalamin (B 12) tab 50mcg tablet 43 50 Rp 2,150.00 100 Rp 4,300 150 6,450.00 0 0
60 Tiamin HCL (B 1) tab 50 mg tablet 57 100 Rp 5,700.00 200 Rp 11,400 250 14,250.00 50 2850
61 Vaksin BCG inj 20 DOSIS Vial 97780 0 Rp - Rp - 0 - 0 0
62 Vaksin DPT-HB-Hib 5 dosis vial 85103 0 Rp - 5 Rp 425,515 5 425,515.00 0 0
63 Vaksin hepatitis B rekombinan inj 0,5 ml (Anak) Vial 25839 0 Rp - Rp - 0 - 0 0
64 Vaksin IPV Vial 158994 0 Rp - 2 Rp 317,988 2 317,988.00 0 0
65 Vaksin IPV Vial 157072 0 Rp - 1 Rp 157,072 1 157,072.00 0 0
66 Vaksin MR Vial 166265 0 Rp - 2 Rp 332,530 2 332,530.00 0 0
67 Vaksin MR Vial 167860 0 Rp - 2 Rp 335,720 2 335,720.00 0 0
68 Vaksin polio bivalent 10 dosis Vial 21494 0 Rp - 5 Rp 107,470 5 107,470.00 0 0
69 Vaksin Tetanus (Td) Vial 18128 0 Rp - Rp - 0 - 0 0
70 Vitamin B kompleks tab tablet 89 100 Rp 8,900.00 100 Rp 8,900 130 11,570.00 70 6230
71 Vitamin B kompleks tab tablet 57 0 Rp - 200 Rp 11,400 200 11,400.00 0 0
72 Zinc drops 10 mg/ml Botol 5051 0 Rp - Rp - 0 - 0 0
73 Zink Sirup 20mg/5 ml Botol 3171 0 Rp - Rp - 0 - 0 0
74 Zink tab tablet 208 10 Rp 2,080.00 100 Rp 20,800 30 6,240.00 80 16640
75 Alkohol swab Buah 145 0 Rp - Rp - 0 - 0 0
76 Permetrin cream tube 11250 0 Rp - Rp - 0 - 0 0
77 Vaksin polio bivalent 10 dosis Vial 23643 0 Rp - Rp - 0 - 0 0
78 Sianokobalamin (B 12) tab 50mcg tablet 49 40 Rp 1,960.00 Rp - 40 1,960.00 0 0
79 Lidokain murni inj 2 % ampul 1221 2 Rp 2,442.00 Rp - 2 2,442.00 0 0
80 N-asetil sistein tab 200mg tablet 301 50 Rp 15,050.00 Rp - 50 15,050.00 0 0
81 Betametason cream 0,05 % 1540 10 Rp 15,400.00 Rp - 10 15,400.00 0 0
82 Tambah darah kombinasi ( ferro fumarat 60 mg, asam folat 0,4 mg) 226 120 Rp 27,120.00 200 Rp 45,200 260 58,760.00 60 13560
TOTAL Rp 140,626.00 Rp 2,385,862.00 2,407,185.00 119,303.00


NIP 19670906198903 1 005 NIP 1994020202020122014

PEMAKAIAN
NO NAMA OBAT SATUAN PENERIMAAN Peneriman x Harga NILAI NON- nilai stok akhir
SATUAN AWAL AWAL (Rp) RESEP Nilai (Rp) STOCK
rupiah (Rp) RESEP
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 9 = (4x8) 10 11 = (4x10) 12 13
12)
1 Acyclovir cream tablet 2531.5862 0 Rp - Rp - 0 - 0 0
2 Acyclovir tab 400mg tablet 405 0 Rp - Rp - 0 - 0 0
5 alopurinol tab 300mg tablet 210 0 Rp - Rp - 0 - 0 0
6 amlodipin tab 10mg tablet 99 0 Rp - Rp - 0 - 0 0
7 amlodipin tab 5 mg tablet 53 0 Rp - Rp - 0 - 0 0
8 Amoksisilin kaplet 500 mg tablet 253 0 Rp - Rp - 0 - 0 0
9 Amoksisilin syr kering 250mg/5ml Botol 3628 0 Rp - Rp - 0 - 0 0
10 Antasida DOEN tablet tablet 54 0 Rp - 100 Rp 5,400 0 - 100 5400
11 Antasida DOEN tablet tablet 58 0 Rp - 100 Rp 5,800 60 3,480.00 40 2320
12 Antasida DOEN Suspensi Botol 1679 2 Rp 3,358.00 Rp - 2 3,358.00 0 0
15 asam asetilsalisilat tab (asetosal) 80mg tablet 105 0 Rp - Rp - 0 - 0 0
16 asam folat tab 1 mg tablet 56 60 Rp 3,360.00 100 Rp 5,600 100 5,600.00 60 3360
17 Asam Mefenamat tab 500 mg tablet 111 60 Rp 6,660.00 Rp - 60 6,660.00 0 0
18 Asam Mefenamat tab 500 mg tablet 194.7 0 Rp - 100 Rp 19,470 40 7,788.00 60 11682
19 Attapulgit (Antidiare) tab Tube 145 100 Rp 14,500.00 Rp - 10 1,450.00 90 13050
20 Betametason cream 0,05 % Botol 1430 0 Rp - Rp - 0 - 0 0
21 Deksametason tab 0,5 mg tablet 34 0 Rp - 100 Rp 3,400 20 680.00 80 2720
22 domperidon syr 5mg/5ml Botol 2700 0 Rp - Rp - 0 - 0 0
23 Domperidon tab 10 mg tablet 90 0 Rp - Rp - 0 - 0 0
24 Garam oralit kombinasi Botol 257 0 Rp - Rp - 0 - 0 0
25 Gentamisin Tetes Mata 0,3% Tube 4520 0 Rp - 5 Rp 22,600 1 4,520.00 4 18080
26 Gentamisin salep mata Tube 2689 0 Rp - 3 Rp 8,067 0 - 3 8067
27 Gentamisin Tetes Mata 0,3% Tube 4561 0 Rp - 3 Rp 13,683 3 13,683.00 0 0
28 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) buah 34000 0 Rp - Rp - 0 - 0 0
29 Glibencllamide tablet 83 0 Rp - Rp - 0 - 0 0
30 Glimepiride 2 mg tablet 123 0 Rp - Rp - 0 - 0 0
31 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine Buah 30450 0 Rp - Rp - 0 - 0 0
32 Hidroklorotiazid ( HCT ) tab 25 mg tablet 148 0 Rp - Rp - 0 - 0 0
33 Hidrokortison cream 2,5 % tablet 2475 4 Rp 9,900.00 Rp - 2 4,950.00 2 4950
34 Hidrokortison cream 2,5 % tube 2325 0 Rp - 6 Rp 13,950 6 13,950.00 0 0
35 Kalsium Glukonas inj ampul 10351 0 Rp - Rp - 0 - 0 0
36 Kalsium Lactat ( Kalk ) tab 500 mg tablet 63 60 Rp 3,780.00 100 Rp 6,300 160 10,080.00 0 0
37 Kalsium Lactat ( Kalk ) tab 500 mg tablet 60 0 Rp - 200 Rp 12,000 100 6,000.00 100 6000
38 Kaptopril tab 12.5 mg tablet 66 0 Rp - Rp - 0 - 0 0
39 Kaptopril tab 25 mg tablet 75 0 Rp - 200 Rp 15,000 120 9,000.00 80 6000
40 Kloramfenikol Salep Kulit tablet 3266 0 Rp - 5 Rp 16,330 2 6,532.00 3 9798
41 Klorfeniramin Maleat ( CTM ) tab 4 mg tablet 23 110 Rp 2,530.00 Rp - 110 2,530.00 0 0
42 Kotrimoksasol Syr 240mg/5ml - 60ml Botol 2190 5 Rp 10,950.00 Rp - 5 10,950.00 0 0
43 Lidokain + epineprin inj ampul 1229 0 Rp - Rp - 0 - 0 0
44 Lidokain murni inj 2 % ampul 1221 0 Rp - 3 Rp 3,663 1 1,221.00 2 2442
45 Metformin 500mg tablet 77 0 Rp - Rp - 0 - 0 0
47 Metformin 850 mg tablet 154.39 0 Rp - 150 Rp 23,159 70 10,807.30 80 12351.2
48 Mrgtyl prednisolon tablet 102 0 Rp - 200 Rp 20,400 130 13,260.00 70 7140
49 metronidazol syr botol 3950 0 Rp - Rp - 0 - 0 0
51 Natrium Diklofenak tab 25mg tablet 128 0 Rp - 200 Rp 25,600 130 16,640.00 70 8960
52 Natrium Diklofenak tab 50 mg tablet 99 0 Rp - Rp - 0 - 0 0
53 Natrium Diklofenak tab 50 mg tablet 100 0 Rp - 100 Rp 10,000 100 10,000.00 0 0
54 Oksitoksin inj 10 IU/ ml - 1 ml ampul 1199 0 Rp - Rp - 0 - 0 0
55 Natrium Klorida Larutan infus 0,9 % 10 ml Botol 3280 0 Rp - Rp - 0 - 0 0
56 Natrium Klorida larutan infus 0,9 % 500ml Botol 6840 0 Rp - Rp - 0 - 0 0
57 omeprazole kapsul 20mg tablet 129 0 Rp - Rp - 0 - 0 0
58 Ondansetron tab 8 mg tablet 270 0 Rp - Rp - 0 - 0 0
59 Parasetamol drop Botol 4976 3 Rp 14,928.00 Rp - 3 14,928.00 0 0
60 Parasetamol syr 120mg/5ml Botol 1160 2 Rp 2,320.00 Rp - 2 2,320.00 0 0
61 Parasetamol tab 500 mg tablet 97.9 0 Rp - Rp - 0 - 0 0
62 Parasetamol tab 500 mg tablet 124.85 20 Rp 2,497.00 Rp - 20 2,497.00 0 0
63 Parasetamol tab 500 mg tablet 153.18 0 Rp - 500 Rp 76,590 360 55,144.80 140 21445.2
64 Piridoxin HCL (vit B 6) tab 10 mg tablet 131 40 Rp 5,240.00 200 Rp 26,200 100 13,100.00 140 18340
65 Piridoxin HCL (vit B 6) tab 10 mg tablet 67 0 Rp - 100 Rp 6,700 100 6,700.00 0 0
66 Prednison tab 5 mg tablet 73 0 Rp - Rp - 0 - 0 0
67 Plaster 5 yard x 2 inch pcs 29700 0 Rp - Rp - 0 - 0 0
68 Retinol 200.000 UI tablet 552 0 Rp - Rp - 0 - 0 0
69 Sianokobalamin (B 12) tab 50mcg tablet 43 0 Rp - Rp - 0 - 0 0
70 Tiamin HCL (B 1) tab 50 mg tablet 57 50 Rp 2,850.00 200 Rp 11,400 130 7,410.00 120 6840
71 Vaksin BCG inj 20 DOSIS Vial 97780 0 Rp - Rp - 0 - 0 0
72 Vaksin DPT-HB-Hib 5 dosis vial 85103 0 Rp - Rp - 0 - 0 0
73 Vaksin hepatitis B rekombinan inj 0,5 ml (Anak) Vial 25839 0 Rp - Rp - 0 - 0 0
74 Vaksin IPV Vial 158994 0 Rp - Rp - 0 - 0 0
75 Vaksin IPV Vial 157072 0 Rp - Rp - 0 - 0 0
76 Vaksin MR Vial 166265 0 Rp - Rp - 0 - 0 0
77 Vaksin MR Vial 167860 0 Rp - Rp - 0 - 0 0
79 Vaksin Tetanus (Td) Vial 18128 0 Rp - Rp - 0 - 0 0
80 Vitamin B kompleks tab tablet 89 70 Rp 6,230.00 Rp - 70 6,230.00 0 0
81 Vitamin B kompleks tab tablet 57 0 Rp - 200 Rp 11,400 70 3,990.00 130 7410
82 Zinc drops 10 mg/ml Botol 5051 0 Rp - Rp - 0 - 0 0
83 Zink Sirup 20mg/5 ml Botol 3171 0 Rp - Rp - 0 - 0 0
84 Zink tab tablet 208 80 Rp 16,640.00 Rp - 10 2,080.00 70 14560
85 Alkohol swab Buah 145 0 Rp - Rp - 0 - 0 0
86 Permetrin cream tube 11250 0 Rp - Rp - 0 - 0 0
88 Sianokobalamin (B 12) tab 50mcg tablet 49 0 Rp - Rp - 0 - 0 0
89 Lidokain murni inj 2 % ampul 1221 0 Rp - Rp - 0 - 0 0
91 Betametason cream 0,05 % 1540 0 Rp - Rp - 0 - 0 0
92 Lisinopril tab 5 mg tablet 145 0 Rp - 100 Rp 14,500 50 7,250.00 50 7250
93 Oksitetrasiklin HCL salep mata 1 % tube 3500 0 Rp - 10 Rp 35,000 3 10,500.00 7 24500
94 Tambah darah kombinasi ( ferro fumarat 60 mg, asam folat 0, 226 60 Rp 13,560.00 100 Rp 22,600 140 31,640.00 20 4520
0 - 0 0
TOTAL Rp 119,303.00 Rp 434,811.50 326,929.10 227,185.40


NIP 19670906198903 1 005 NIP 1994020202020122014
REKAP DISTRIBUSI POLI GIGI

PEMAKAIAN
NILAI STOCK AWAL Nilai
NO NAMA OBAT SATUAN HARGA SATUAN STOCK AWAL PENERIMAAN SISA STOCK Nilai Stok Akhir
(Rp) Peneriman RESEP NILAI (Rp) NON-RESEP Nilai (Rp)
1 2 3 4 5 6 = (4x5) 7 4x7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12 13

1 Boor Gigi (set isi 6) pack 200000 0 Rp - 2 400000 0 0 1 Rp 200,000.00 1 200000
2 Devitalisasi pasta ( Non Arsen ) pot 217000 0 Rp - 1 217000 0 0 1 Rp 217,000.00 0 0
3 Devitalisasi pasta ( Non Arsen ) pot 266624.6 0 Rp - 1 266624.6 0 0 1 Rp 266,624.60 0 0
4 Eugenol cairan botol 20087 0 Rp - 1 20087 0 0 1 Rp 20,087.00 0 0
5 Eugenol cairan botol 88000 0 Rp - 2 176000 0 0 2 Rp 176,000.00 0 0
6 Flether powder +eugenol cairan botol 64000 0 Rp - 1 64000 0 0 1 Rp 64,000.00 0 0
7 Glass Ionomer cement ART (Fuji IX ART) pcs 466666.667 0 Rp - 1 466666.667 1 Rp 466,666.67 0 0
8 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) botol 34000 0 Rp - 2 68000 0 0 2 Rp 68,000.00 0 0
9 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine botol 30450 0 Rp - 1 30450 0 0 1 Rp 30,450.00 0 0
10 Kalsium Hidroksida Pasta tube 102000 0 Rp - 2 204000 0 0 0 Rp - 2 204000
11 Kalsium Hidroksida Pasta tube 198000 0 Rp - 1 198000 0 0 1 Rp 198,000.00 0 0
12 Kasa Pembalut hidrofil 16 x 16 buah 3500 0 Rp - 3 10500 0 0 3 Rp 10,500.00 0 0
13 Klorfenol Kamfer Mentol (CHKM) botol 65000 0 Rp - 4 260000 0 0 4 Rp 260,000.00 0 0
14 Klorheksidin 2% botol 220000 0 Rp - 1 220000 0 0 1 Rp 220,000.00 0 0
15 Klorheksidin 2% botol 178200 0 Rp - 1 178200 0 0 1 Rp 178,200.00 0 0
16 Mummifying Pasta botol 112000 0 Rp - 2 224000 0 0 2 Rp 224,000.00 0 0
17 Selluloid strip pack 137500 0 Rp - 1 137500 0 0 0 Rp - 1 137500
18 Handscoon pendek non steril no 7 (M) pasang 4272.72726 0 Rp - 100 427272.726 0 0 100 Rp 427,272.73 0 0
19 Handscoon pendek non steril no 6.5 (S) pasang 4272.72728 0 Rp - 150 640909.092 0 0 150 Rp 640,909.09 0 0
20 Handscoon pendek steril no 7.5 (L) pasang 4600 0 Rp - 50 230000 0 0 34 Rp 156,400.00 16 73600
21 Lidokain murni inj 2 % ampul 1144 0 Rp - 10 11440 0 0 6 Rp 6,864.00 4 4576
22 Temporary Feling Pasta / Bahan tumpatan sementara (Cav botol 115365 0 Rp - 2 230730 0 0 1 Rp 115,365.00 1 115365
TOTAL Rp - 4,681,380.09 Rp 3,946,339.09 735,041.00
735,041.00
Wonosobo, 30 JUNI 2022


NIP 19670906198903 1 005 NIP 1994020202020122014

PERIODE JANUARI-FEBUARI 2022 Rp3,071,077.05400
PERIODE MARET 2022 1,041,636.36
PERIODE MEI 2022 Rp0
TOTAL PENERIMAAN DARI GUDANG JAN-JUNI 2022= Rp4,681,380.09


PEMAKAIAN
1 2 3 4 5 6 = (4x5) 7 4x7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12 13

1 Boor Gigi (set isi 6) pack 200000 1 Rp 200,000.00 0 0 0 Rp - 1 200000
2 Boor Gigi (set isi 6) PACK 245000 0 1 245000 1 Rp 245,000.00 0 0
3 Devitalisasi pasta ( Non Arsen ) pot 217000 0 Rp - 0 0 Rp - 0 0
4 Devitalisasi pasta ( Non Arsen ) pot 266624.6 0 Rp - 0 0 Rp - 0 0
5 Devitalisasi pasta ( Non Arsen ) pot 205000 0 Rp - 1 205000 1 Rp 205,000.00 0 0
6 Eugenol cairan botol 20087 0 Rp - 0 0 Rp - 0 0
7 Eugenol cairan botol 88000 0 Rp - 2 176000 2 Rp 176,000.00 0 0
8 Flether powder +eugenol cairan botol 64000 0 Rp - 0 0 Rp - 0 0
9 Glass Ionomer cement ART (Fuji IX ART) pcs 466666.667 0 Rp - 0 0 Rp - 0 0
10 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) botol 34000 0 Rp - 0 0 Rp - 0 0
12 Kalsium Hidroksida Pasta tube 102000 2 Rp 204,000.00 2 204000 0 Rp - 4 408000
13 Kalsium Hidroksida Pasta tube 198000 0 Rp - 0 0 Rp - 0 0
14 Kasa Pembalut hidrofil 16 x 16 buah 3500 0 Rp - 0 0 Rp - 0 0
15 Klorfenol Kamfer Mentol (CHKM) botol 65000 0 Rp - 1 65000 0 Rp - 1 65000
16 Klorfenol Kamfer Mentol (CHKM) botol 53400 0 Rp - 1 53400 1 Rp 53,400.00 0 0
17 Klorheksidin 2% botol 220000 0 Rp - 1 220000 0 Rp - 1 220000
18 Klorheksidin 2% botol 178200 0 Rp - 0 0 Rp - 0 0
19 Mummifying Pasta botol 112000 0 Rp - 0 0 Rp - 0 0
20 Selluloid strip pack 137500 1 Rp 137,500.00 0 0 Rp - 1 137500
21 Handscoon pendek non steril no 7 (M) pasang 2772 0 Rp - 50 138600 0 Rp - 50 138600
22 Handscoon pendek non steril no 6.5 (S) pasang 1640 0 Rp - 50 82000 10 Rp 16,400.00 40 65600
23 Handscoon pendek steril no 7.5 (L) pasang 4600 16 Rp 73,600.00 0 0 Rp - 16 73600
24 Lidokain murni inj 2 % ampul 1144 4 Rp 4,576.00 0 1 Rp 1,144.00 3 3432
25 Lidokain + epineprin inj ampul 1229 0 Rp - 2 2458 2 Rp 2,458.00 0 0
26 Articulating paper DIS-170 pack 210900 0 Rp - 1 210900 0 Rp - 1 210900
27 Articulating paper DIS-171 pack 210901 0 Rp - 1 210901 0 Rp - 1 210901
28 Etil klorida / propane / butane spray botol 292485 0 Rp - 3 877455 1 Rp 292,485.00 2 584970
29 Masker N95 pcs 19900 0 Rp - 20 398000 3 Rp 59,700.00 17 338300
30 Spoon gelatin cubicles 1 x 1 x 1 cm pcs 48000 0 Rp - 1 48000 0 Rp - 1 48000
31 Temporary Feling Pasta / Bahan tumpatan sementara (Cav botol 115365 1 Rp 115,365.00 0 0 Rp - 1 115365
TOTAL Rp 735,041.00 3,136,714.00 Rp 1,051,587.00 2,820,168.00
Wonosobo, 30 SEPTEMBER 2022


NIP 19670906198903 1 005 NIP 1994020202020122014


PEMAKAIAN
1 2 3 4 5 6 = (4x5) 7 4x7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12 13

1 Boor Gigi (set isi 6) pack 200000 1 Rp 200,000.00 0 0 Rp - 1 200000
2 Boor Gigi (set isi 6) PACK 245000 0 0 0 Rp - 0 0
4 Devitalisasi pasta ( Non Arsen ) pot 266624.6 0 Rp - 0 0 Rp - 0 0
8 Flether powder +eugenol cairan botol 64000 0 Rp - 0 0 Rp - 0 0
9 Glass Ionomer cement ART (Fuji IX ART) pcs 466666.667 0 Rp - 0 0 Rp - 0 0
10 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) botol 34000 0 Rp - 0 0 Rp - 0 0
12 Kalsium Hidroksida Pasta tube 102000 4 Rp 408,000.00 0 2 Rp 204,000.00 2 204000
13 Kalsium Hidroksida Pasta tube 198000 0 Rp - 0 0 Rp - 0 0
14 Kasa Pembalut hidrofil 16 x 16 buah 3500 0 Rp - 0 0 Rp - 0 0
15 Klorfenol Kamfer Mentol (CHKM) botol 65000 1 Rp 65,000.00 0 0 Rp - 1 65000
16 Klorfenol Kamfer Mentol (CHKM) botol 53400 0 Rp - 0 0 Rp - 0 0
17 Klorheksidin 2% botol 220000 1 Rp 220,000.00 0 0 Rp - 1 220000
18 Klorheksidin 2% botol 178200 0 Rp - 0 0 Rp - 0 0
19 Mummifying Pasta botol 112000 0 Rp - 0 0 Rp - 0 0
20 Selluloid strip pack 137500 1 Rp 137,500.00 0 1 Rp 137,500.00 0 0
21 Handscoon pendek non steril no 7 (M) pasang 2772 50 Rp 138,600.00 0 0 Rp - 50 138600
22 Handscoon pendek non steril no 6.5 (S) pasang 1640 40 Rp 65,600.00 0 21 Rp 34,440.00 19 31160
23 Handscoon pendek steril no 7.5 (L) pasang 4600 16 Rp 73,600.00 0 0 Rp - 16 73600
24 Lidokain murni inj 2 % ampul 1144 3 Rp 3,432.00 0 3 Rp 3,432.00 0 0
25 Lidokain murni inj 2 % ampul 1221 0 26 31746 12 Rp 14,652.00 14 17094
26 Lidokain murni inj 2 % ampul 847 0 4 3388 4 Rp 3,388.00 0 0
27 Lidokain + epineprin inj ampul 1229 0 Rp - 0 0 Rp - 0 0
28 Articulating paper DIS-170 pack 210900 1 Rp 210,900.00 0 0 Rp - 1 210900
29 Articulating paper DIS-171 pack 210901 1 Rp 210,901.00 0 0 Rp - 1 210901
30 Etil klorida / propane / butane spray botol 292485 2 Rp 584,970.00 0 0 Rp - 2 584970
31 Masker N95 pcs 19900 17 Rp 338,300.00 0 12 Rp 238,800.00 5 99500
32 Spoon gelatin cubicles 1 x 1 x 1 cm pcs 48000 1 Rp 48,000.00 0 0 Rp - 1 48000
33 Temporary Feling Pasta / Bahan tumpatan sementara (Cav botol 115365 1 Rp 115,365.00 0 1 Rp 115,365.00 0 0
34 epineprin inj ampul 1515 0 Rp - 2 3030 0 Rp - 2 3030
TOTAL Rp 2,820,168.00 38,164.00 Rp 751,577.00 2,106,755.00


NIP 19670906198903 1 005 NIP 1994020202020122014
REKAP DISTRIBUSI PER UNIT PKD SEMBUNGAN

PEMAKA
HARGA STOCK NILAI STOCK PENERIM IAN SISA
NO NAMA OBAT SATUAN Nilai Stok Akhir
SATUAN AWAL AWAL (Rp) AAN Peneriman x NILAI NON- STOCK
RESEP Nilai (Rp)
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 9 = (4x8) 10 11 = (4x10) 12 13
12)
1 Acyclovir cream tablet 2531.5862 0 Rp - Rp - 0 Rp - 0 0
2 Acyclovir tab 400mg tablet 405 0 Rp - Rp - 0 Rp - 0 0
3 Alopurinol tab 100 mg tablet 87 0 Rp - Rp - 0 Rp - 0 0
4 alopurinol tab 300mg tablet 200 0 Rp - 200 Rp 40,000 200 Rp 40,000.00 0 0
5 amlodipin tab 10mg tablet 70 20 Rp 1,400.00 100 Rp 7,000 120 Rp 8,400.00 0 0
6 amlodipin tab 5 mg tablet 53 540 Rp 28,620.00 1500 Rp 79,500 2040 Rp 108,120.00 0 0
7 Amoksisilin kaplet 500 mg tablet 253 80 Rp 20,240.00 Rp - 80 Rp 20,240.00 0 0
8 Amoksisilin kaplet 500 mg tablet 201 0 3500 Rp 703,500 3150 Rp 633,150.00 350 70350
9 Amoksisilin syr kering 250mg/5ml Botol 3529.8 0 Rp - 60 Rp 211,788 60 Rp 211,788.00 0 0
10 Antasida DOEN tablet tablet 54 0 Rp - 200 Rp 10,800 0 Rp - 200 10800
11 Antasida DOEN tablet tablet 58 0 100 Rp 5,800 20 Rp 1,160.00 80 4640
12 Antasida DOEN Suspensi Botol 1679 0 Rp - Rp - 0 Rp - 0 0
13 Asam Ascorbat (Vit C) tab 250 mg tablet 119 0 Rp - Rp - 0 Rp - 0 0
14 Asam Ascorbat (Vit C) tab 50 mg tablet 105 0 Rp - 100 Rp 10,500 100 Rp 10,500.00 0 0
15 asam asetilsalisilat tab (asetosal) 80mg tablet 105 0 Rp - Rp - 0 Rp - 0 0
16 asam folat tab 1 mg tablet 56 0 Rp - Rp - 0 Rp - 0 0
17 Asam Mefenamat tab 500 mg tablet 111 100 Rp 11,100.00 400 Rp 44,400 350 Rp 38,850.00 150 16650
18 Attapulgit (Antidiare) tab tablet 145 0 Rp - Rp - 0 Rp - 0 0
19 Betametason cream 0,05 % Tube 1430 0 Rp - Rp - 0 Rp - 0 0
20 Betahistin mesilat tab 6mg tablet 89 50 Rp 4,450.00 Rp - 50 Rp 4,450.00 0 0
21 cetirizine tab 10mg tablet 49 50 Rp 2,450.00 100 Rp 4,900 70 Rp 3,430.00 80 3920
22 Deksametason tab 0,5 mg tablet 34 0 Rp - 600 Rp 20,400 400 Rp 13,600.00 200 6800
23 domperidon syr 5mg/5ml Botol 2700 0 Rp - Rp - 0 Rp - 0 0
24 Domperidon tab 10 mg tablet 90 0 Rp - Rp - 0 Rp - 0 0
25 Furosemid tab 40 mg tablet 98 0 Rp - 200 Rp 19,600 200 Rp 19,600.00 0 0
26 Garam oralit kombinasi sachet 257 0 Rp - Rp - 0 Rp - 0 0
27 Gentamisin Tetes Mata 0,3% tube 4561 0 Rp - 5 Rp 22,805 3 Rp 13,683.00 2 9122
28 Gentamisin salep mata tube 2689 0 5 Rp 13,445 2 Rp 5,378.00 3 8067
29 Gentamisin Tetes Mata 0,3% botol 4520 5 Rp 22,600.00 Rp - 5 Rp 22,600.00 0 0
30 Gentian violet larutan 1 % pot 2710.2102102 1 Rp 2,710.21 Rp - 1 Rp 2,710.21 0 0
31 Glimepiride tab 2 mg tablet 123 240 Rp 29,520.00 300 Rp 36,900 440 Rp 54,120.00 100 12300
32 Glimepiride tab 4 mg tablet 183 20 Rp 3,660.00 Rp - 20 Rp 3,660.00 0 0
33 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) buah 34000 0 Rp - Rp - 0 Rp - 0 0
34 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine buah 30450 0 Rp - Rp - 0 Rp - 0 0
35 Hidroklorotiazid ( HCT ) tab 25 mg tablet 148 0 Rp - Rp - 0 Rp - 0 0
36 Hidrokortison cream 2,5 % Tube 2475 0 Rp - Rp - 0 Rp - 0 0
37 ibuprofen Suspensi 100mg/5ml Botol 2721 0 Rp - Rp - 0 Rp - 0 0
38 Kalsium Glukonas inj ampul 10351 0 Rp - Rp - 0 Rp - 0 0
39 Kalsium Lactat ( Kalk ) tab 500 mg tablet 63 30 Rp 1,890.00 Rp - 30 Rp 1,890.00 0 0
41 Kaptopril tab 25 mg tablet 75 0 Rp - Rp - 0 Rp - 0 0
42 Kloramfenikol Salep Mata 1 % Tube 2007 2 Rp 4,014.00 Rp - 2 Rp 4,014.00 0 0
43 Kloramfenikol SK Tube 3266 2 Rp 6,532.00 Rp - 2 Rp 6,532.00 0 0
44 Klorfeniramin Maleat ( CTM ) tab 4 mg tablet 23 300 Rp 6,900.00 400 Rp 9,200 700 Rp 16,100.00 0 0
45 Kotrimoksasol Syr 240mg/5ml - 60ml Botol 2190 0 Rp - Rp - 0 Rp - 0 0
46 Lidokain + epineprin inj ampul 1229 0 Rp - Rp - 0 Rp - 0 0
47 Metformin 500mg tablet 77.7 0 Rp - 200 Rp 15,540 200 Rp 15,540.00 0 0
48 Metformin 850mg tablet 154.39 250 Rp 38,597.50 100 Rp 15,439 250 Rp 38,597.50 100 15439
49 Metformin 850mg tablet 153 0 100 Rp 15,300 100 Rp 15,300.00 0 0
50 metilprednisolon tab 4 mg tablet 102 50 Rp 5,100.00 Rp - 50 Rp 5,100.00 0 0
51 N-asetil sistein tab 200mg tablet 304 0 Rp - 120 Rp 36,480 60 Rp 18,240.00 60 18240
52 N-asetil sistein tab 200mg tablet 301 70 Rp 21,070.00 60 Rp 18,060 130 Rp 39,130.00 0 0
53 Natrium Diklofenak tab 25mg tablet 128 25 Rp 3,200.00 Rp - 25 Rp 3,200.00 0 0
54 Natrium Diklofenak tab 50 mg tablet 100 0 Rp - 400 Rp 40,000 400 Rp 40,000.00 0 0
55 Oksitoksin inj 10 IU/ ml - 1 ml ampul 1199 0 Rp - Rp - 0 Rp - 0 0
56 Obat flu kombinasi tablet 750 0 500 Rp 375,000 500 Rp 375,000.00 0 0
57 Ofloxacin tab tablet 535 0 10 Rp 5,350 10 Rp 5,350.00 0 0
58 Oxytetrasiklin SM tube 3500 0 5 Rp 17,500 5 Rp 17,500.00 0 0
59 omeprazole kapsul 20mg tablet 129 190 Rp 24,510.00 200 Rp 25,800 390 Rp 50,310.00 0 0
60 Ondansetron tab 8 mg tablet 270 0 Rp - Rp - 0 Rp - 0 0
61 Parasetamol drop Botol 4976 0 Rp - Rp - 0 Rp - 0 0
62 Parasetamol syr 120mg/5ml Botol 1181 0 Rp - Rp - 0 Rp - 0 0
63 Parasetamol tab 500 mg tablet 124.85 190 Rp 23,721.50 Rp - 190 Rp 23,721.50 0 0
66 Piridoxin HCL (vit B 6) tab 10 mg tablet 73 30 Rp 2,190.00 Rp - 0 Rp - 30 2190
67 Prednison tab 5 mg tablet 68 0 Rp - 400 Rp 27,200 400 Rp 27,200.00 0 0
68 Retinol 100.000 UI tablet 552 0 Rp - Rp - 0 Rp - 0 0
70 Ranitidin tab 150mg tablet 85 100 Rp 8,500.00 Rp - 100 Rp 8,500.00 0 0
71 Sianokobalamin (B 12) tab 50mcg tablet 43 0 Rp - 500 Rp 21,500 400 Rp 17,200.00 100 4300
72 Salbutamol tab 2mg tablet 67 0 200 Rp 13,400 120 Rp 8,040.00 80 5360
73 Salbutamol tab 4 mg tablet 63 0 200 Rp 12,600 200 Rp 12,600.00 0 0
74 Sianokobalamin (B 12) tab 50mcg tablet 49 330 Rp 16,170.00 Rp - 230 Rp 11,270.00 100 4900
75 simvastatin tab 10mg tablet 226 150 Rp 33,900.00 Rp - 150 Rp 33,900.00 0 0
76 simvastatin tab 10mg tablet 68 0 200 Rp 13,600 100 Rp 6,800.00 100 6800
77 Tambah darah kombinasi ( ferro fumarat 60 mg, asamtablet
f 57 10 Rp 570.00 Rp - 10 Rp 570.00 0 0
79 Vaksin BCG inj 20 DOSIS Vial 85103 0 Rp - Rp - 0 Rp - 0 0
80 Vaksin DPT-HB-Hib 5 dosis Vial 25839 0 Rp - Rp - 0 Rp - 0 0
81 Vaksin hepatitis B rekombinan inj 0,5 ml (Anak) Vial 158994 0 Rp - Rp - 0 Rp - 0 0
82 Vaksin IPV Vial 166265 0 Rp - Rp - 0 Rp - 0 0
83 Vaksin MR Vial 21494 0 Rp - Rp - 0 Rp - 0 0
84 Vaksin polio bivalent 10 dosis Vial 18128 0 Rp - Rp - 0 Rp - 0 0
85 Vaksin Tetanus (Td) Vial 89 0 Rp - Rp - 0 Rp - 0 0
86 Vitamin B kompleks tab tablet 5051 0 Rp - Rp - 0 Rp - 0 0
87 Zinc drops 10 mg/ml Botol 3171 0 Rp - Rp - 0 Rp - 0 0
88 Zink Sirup 20mg/5 ml Botol 208 0 Rp - Rp - 0 Rp - 0 0
89 Zink tab tablet 20700 0 Rp - Rp - 0 Rp - 0 0
90 Perak sulfadiazin tablet 68 0 Rp - Rp - 0 Rp - 0 0
91 Prednison tab 5 mg tablet 58 50 Rp 2,900.00 Rp - 50 Rp 2,900.00 0 0
92 Antasida DOEN tablet tablet 71 0 Rp - Rp - 0 Rp - 0 0
94 Sianokobalamin (B 12) tab 50mcg tablet 85 0 Rp - Rp - 0 Rp - 0 0
95 Ranitidin tab 150mg tablet 153 20 Rp 3,060.00 Rp - 20 Rp 3,060.00 0 0
96 Metformin 850mg tablet 301 0 Rp - Rp - 0 Rp - 0 0
97 N-asetil sistein tab 200mg tablet 100 0 Rp - Rp - 0 Rp - 0 0
98 Natrium Diklofenak tab 50 mg tablet 1160 0 Rp - Rp - 0 Rp - 0 0
99 Alkohol swab pcs 71 65 Rp 4,615.00 Rp - 65 Rp 4,615.00 0 0
100 Parasetamol syr 120mg/5ml botol 1160 0 Rp - 0 Rp - 0 0
TOTAL Rp 350,106.21 Rp 2,092,687.00 Rp 2,216,938.21 225,855.00


NIP 19670906198903 1 005 NIP 1994020202020122014
REKAP DISTRIBUSI PER UNIT IMUNISASI (VAKSIN)


PEMAKAIAN
STOCK NILAI STOCK AWAL Nilai penerimaan dari Pengeluar SISA
NO NAMA OBAT SATUAN HARGA SATUAN PENERIMAAN Langsung NILAI (Rp) nilai stok Akhir
AWAL (Rp) Gudang ke UNIT an di Nilai (Rp) STOCK
dari SIMO ke UNIT
UNIT
1 2 3 4 5 6 = (4x5) 7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12 13
1 Vaksin BCG inj 20 DOSIS Vial 97780 18 Rp 1,760,040.00 14 1,368,920.00 17 1,662,260.00 15 1466700
2 Vaksin BCG inj 20 DOSIS Vial 71165 0 Rp - 2 142,330.00 2 142,330.00 0 0
3 Vaksin Covid 19 AstraZeneca 10 dosis/vial Vial 0 0 Rp - 75 - 75 - 0 0
4 Vaksin Covid 19 Coronavac (2 dosis/vial) Vial 0 104 Rp - 1075 - 1179 - 0 0
5 Vaksin Covid 19 MODERNA multidose (14 Dosis/Vial) Vial 0 0 Rp - 17 - 17 - 0 0
6 vaksin covid19 pfizer (6 dosis/vial) Vial 0 29 Rp - 340 - 326 - 43 0
7 Vaksin DPT-HB-Hib 5 dosis Vial 85103 49 Rp 4,170,047.00 100 8,510,300.00 132 11,233,596.00 17 1446751
8 Vaksin hepatitis B rekombinan inj 0,5 ml (Anak) Vial 25839 75 Rp 1,937,925.00 0 - 44 1,136,916.00 31 801009
9 Vaksin IPV Vial 158994 8 Rp 1,271,952.00 20 3,179,880.00 20 3,179,880.00 8 1271952
10 Vaksin MR Vial 166265 31 Rp 5,154,215.00 25 4,156,625.00 56 9,310,840.00 0 0
11 Vaksin Menigitis vial 135000 0 Rp - 0 - 0 - 0 0
12 Vaksin polio bivalent 10 dosis Vial 21494 55 Rp 1,182,170.00 10 214,940.00 43 924,242.00 22 472868
13 Vaksin polio bivalent 10 dosis Vial 23643 0 Rp - 9 212,787.00 9 212,787.00 0 0
14 Vaksin Tetanus (Td) Vial 18128 0 Rp - 130 2,356,640.00 51 924,528.00 79 1432112
15 Vaksi DT Vial 34400 0 Rp - 26 894,400.00 15 516,000.00 11 378400
16 Alat Suntik Sekali Pakai 0.3 ml Buah 1255 140 Rp 175,700.00 2400 3,012,000.00 2490 3,124,950.00 50 62750
19 Alat Suntik Sekali Pakai 5 ml buah 1190 0 Rp - 7 8,330.00 7 8,330.00 0 0
20 Alat suntik sekali pakai 3 ml Buah 569 499 Rp 283,931.00 167 95,023.00 643 365,867.00 23 13087
21 Alat suntik sekali pakai 3 ml Buah 693 0 Rp - 86 59,598.00 86 59,598.00 0 0
23 Alkohol swab Buah 79 1480 Rp 116,920.00 9200 726,800.00 10550 833,450.00 130 10270
24 Alkohol swab Buah 88 0 Rp - 650 57,200.00 650 57,200.00 0 0
26 Masker KN-95 Buah 30000 0 Rp - 9 270,000.00 9 270,000.00 0 0
27 Masker KN-95 Buah 40000 0 Rp - 14 560,000.00 14 560,000.00 0 0
28 Masker KN-95 Buah 68750 0 Rp - 0 - 0 - 0 0
29 Masker N95 Buah 29000 0 Rp - 20 580,000.00 20 580,000.00 0 0
30 Masker N95.. Buah 48270 0 Rp - 24 1,158,470.00 24 1,158,470.00 0 0
31 Masker N95 Buah 76000 0 Rp - 100 7,600,000.00 100 7,600,000.00 0 0
32 Masker Bedah buah 500 0 Rp - 350 175,000.00 200 100,000.00 150 75000
33 Parasetamol Tablet tablet 124.85 0 Rp - 700 87,395.00 700 87,395.00 0 0
34 Parasetamol tablet tablet 97.9 0 Rp - 1500 146,850.00 1210 118,459.00 290 28391
35 safety box Buah 14000 7 Rp 98,000.00 57 798,000.00 64 896,000.00 0 0
36 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) Buah 34000 0 Rp - 5 170,000.00 5 170,000.00 0 0
37 Natirum kloridam 0,9 % 10 ml Buah 3280 52 Rp 170,560.00 79 259,120.00 114 373,920.00 17 55760
38 Handscoon pendek non steril no 6.5 (S) Buah 4272.72728 0 Rp - 100 427,272.73 100 427,272.73 0 0
39 Handscoon pendek non steril no 7 (M) Buah 4272.72726 0 Rp - 200 854,545.45 200 854,545.45 0 0
40 Handscoon pendek non steril no 7.5 L buah 4272.72726 0 Rp - 50 213,636.36 10 42,727.27 40 170909.0904
41 Handscoon pendek steril no 7 (M) Buah 2772 0 Rp - 250 693,000.00 156 432,432.00 94 260568
42 Handscoon pendek steril no 7.5 (L) Buah 2772 0 Rp - 150 415,800.00 52 144,144.00 98 271656
TOTAL Rp 16,441,260.00 47,957,622.54 - Rp 56,109,229.45 Rp 8,289,653.09
Rp 8,289,653.09


NIP 19670906198903 1 005 NIP 1994020202020122014



PEMAKAIAN
STOCK NILAI STOCK AWAL Nilai penerimaan dari Pengeluar SISA
NO NAMA OBAT SATUAN HARGA SATUAN PENERIMAAN Langsung NILAI (Rp) nilai stok Akhir
AWAL (Rp) Gudang ke UNIT an di Nilai (Rp) STOCK
dari SIMO ke UNIT
UNIT
1 2 3 4 5 6 = (4x5) 7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12 13
1 Vaksin BCG inj 20 DOSIS Vial 97780 15 Rp 1,466,700.00 2 195,560.00 4 391,120.00 13 1271140
2 Vaksin BCG inj 20 DOSIS Vial 97117 0 Rp - 10 971,170.00 10 971,170.00 0 0
3 Vaksin Covid 19 AstraZeneca 10 dosis/vial Vial 0 0 Rp - 0 - 0 - 0 0
4 Vaksin Covid 19 Coronavac (2 dosis/vial) Vial 0 0 Rp - 80 - 80 - 0 0
5 Vaksin Covid 19 MODERNA multidose (14 Dosis/Vial) Vial 0 0 Rp - 3 - 3 - 0 0
7 Vaksin DPT-HB-Hib 5 dosis Vial 85103 17 Rp 1,446,751.00 32 2,723,296.00 23 1,957,369.00 26 2212678
8 Vaksin hepatitis B rekombinan inj 0,5 ml (Anak) Vial 25839 31 Rp 801,009.00 37 956,043.00 52 1,343,628.00 16 413424
9 Vaksin IPV Vial 158994 8 Rp 1,271,952.00 6 953,964.00 -3 -476,982.00 17 2702898
10 Vaksin IPV Vial 157072 0 Rp - 3 471,216.00 1 157,072.00 2 314144
11 Vaksin Hpv vial 178750 0 Rp - 114 20,377,500.00 113 20,198,750.00 1 178750
12 Vaksin MR vial 167860 0 Rp - 112 18,800,320.00 112 18,800,320.00 0 0
13 Vaksin MR vial 169386 0 Rp - 30 5,081,580.00 7 1,185,702.00 23 3895878
14 Vaksin Menigitis Vial 135000 0 Rp - 0 - 0 - 0 0
15 Vaksin MR vial 166265 0 Rp - 2 332,530.00 2 332,530.00 0 0
16 Vaksin polio bivalent 10 dosis Vial 21494 22 Rp 472,868.00 56 1,203,664.00 34 730,796.00 44 945736
17 Vaksin polio bivalent 10 dosis Vial 23643 0 Rp - 0 - 0 - 0 0
18 Vaksin Tetanus (Td) Vial 18128 79 Rp 1,432,112.00 79 1,432,112.00 95 1,722,160.00 63 1142064
19 Vaksi DT Buah 34400 11 Rp 378,400.00 11 378,400.00 17 584,800.00 5 172000
20 Alat Suntik Sekali Pakai 0.3 ml Buah 1255 50 Rp 62,750.00 100 125,500.00 60 75,300.00 90 112950
22 Alat Suntik Sekali Pakai 0.5 ml Buah 1050 0 Rp - 700 735,000.00 700 735,000.00 0 0
23 Alat Suntik Sekali Pakai 0,5 ml Buah 1185 0 Rp - 200 237,000.00 180 213,300.00 20 23700
26 Alat Suntik Sekali Pakai 5 ml bua 1583 0 Rp - 43 68,069.00 43 68,069.00 0 0
27 Alat suntik sekali pakai 3 ml buah 569 23 Rp 13,087.00 16 9,104.00 39 22,191.00 0 0
31 Alkohol swab Buah 127.82 0 Rp - 500 63,910.00 400 51,128.00 100 12782
33 gownn buah 32727 0 Rp - 50 1,636,350.00 50 1,636,350.00 0 0
34 Masker KN-95 Buah 30000 0 Rp - - 0 - 0 0
35 Masker KN-95 Buah 40000 0 Rp - - 0 - 0 0
36 Masker KN-95 Buah 68750 0 Rp - - 0 - 0 0
37 Masker N95 Buah 29000 0 Rp - - 0 - 0 0
38 Masker N95.. Buah 48269.583375 0 Rp - - 0 - 0 0
39 Masker N95 Buah 76000 0 Rp - - 0 - 0 0
40 Masker Bedah Buah 1100 0 Rp - 280 308,000.00 280 308,000.00 0 0
41 Masker Bedah Buah 540 0 Rp - 620 334,800.00 281 151,740.00 339 183060
Masker Bedah Buah 500 150 Rp 75,000.00 150 75,000.00 0
42 Parasetamol Tablet buah 124.85 0 Rp - - 0 - 0 0
43 Parasetamol tablet tablet 97.9 290 Rp 28,391.00 1600 156,640.00 1700 166,430.00 190 18601
44 safety box pcs 14000 0 Rp - 8 112,000.00 8 112,000.00 0 0
45 safety box pcs 13600 0 Rp - 9 122,400.00 9 122,400.00 0 0
46 safety box pcs 16500 0 Rp - 20 330,000.00 20 330,000.00 0 0
47 Parasetamol drop syr 4976 0 Rp - 46 228,896.00 46 228,896.00 0 0
48 Parasetamol sirup sirup 1170.55 0 Rp - 145 169,729.75 145 169,729.75 0 0
49 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) Buah 34000 0 Rp - - 0 - 0 0
51 Handscoon pendek non steril no 6.5 (S) Buah 4272.72728 0 Rp - - 0 - 0 0
52 Handscoon pendek non steril no 7 (M) Buah 1640 0 Rp - 500 820,000.00 500 820,000.00 0 0
53 Handscoon pendek non steril no 7,5 L Buah 1640 0 Rp - 350 574,000.00 350 574,000.00 0 0
54 Handscoon pendek non steril no 7.5 L Buah 4272.72726 40 Rp 170,909.09 100 427,272.73 0 - 140 598181.8164
55 Handscoon pendek steril no 7 (M) buah 2772 94 Rp 260,568.00 - 94 260,568.00 0 0
56 Handscoon pendek steril no 6,5 S buah 2772 0 Rp - 40 110,880.00 10 27,720.00 30 83160
57 Handscoon pendek steril no 7.5 (L) Buah 2772 98 Rp 271,656.00 - 98 271,656.00 0 0
58 sabun cuci tangan 4 L Buah 45000 0 Rp - 1 45,000.00 1 45,000.00 0 0
TOTAL Rp 8,289,653.09 62,954,708.48 - Rp 56,692,774.75 14,551,586.82


NIP 19670906198903 1 005 NIP 1994020202020122014


SATU SEMESTER OKTOBER - DESEMBER 2022

PEMAKAIAN
HARGA STOCK NILAI STOCK AWAL Nilai penerimaan dari Pengelu SISA
NO NAMA OBAT SATUAN PENERIMAAN Langsung NILAI (Rp) nilai stok Akhir
SATUAN AWAL (Rp) Gudang ke UNIT aran di Nilai (Rp) STOCK
dari SIMO ke UNIT
UNIT
1 2 3 4 5 6 = (4x5) 7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12 13

1 Vaksin BCG inj 20 DOSIS Vial 97780 13 Rp 1,271,140.00 - 12 1,173,360.00 1 97780
2 Vaksin BCG inj 20 DOSIS Vial 97117 0 Rp - 10 971,170.00 0 - 10 971170
3 Vaksin Covid 19 AstraZeneca 10 dosis/vial Vial 0 0 Rp - - 0 - 0 0
4 Vaksin Covid 19 Coronavac (2 dosis/vial) Vial 0 0 Rp - - 0 - 0 0
5 Vaksin Covid 19 MODERNA multidose (14 Dosis/Vial) Vial 0 0 Rp - - 0 - 0 0
7 Vaksin DPT-HB-Hib 5 dosis Vial 85103 26 Rp 2,212,678.00 - 26 2,212,678.00 0 0
8 Vaksin DPT-HB-Hib 5 dosis Vial 85102 0 Rp - 70 5,957,140.00 29 2,467,958.00 41 3489182
9 Vaksin hepatitis B rekombinan inj 0,5 ml (Anak) Vial 26074 0 Rp - 20 521,480.00 4 104,296.00 16 417184
10 Vaksin hepatitis B rekombinan inj 0,5 ml (Anak) Vial 25839 16 Rp 413,424.00 - 16 413,424.00 0 0
11 Vaksin IPV Vial 158994 17 Rp 2,702,898.00 - 15 2,384,910.00 2 317988
12 Vaksin IPV Vial 157072 2 Rp 314,144.00 20 3,141,440.00 0 - 22 3455584
13 Vaksin Hpv vial 178750 1 Rp 178,750.00 13 2,323,750.00 14 2,502,500.00 0 0
14 Vaksin MR vial 167860 0 Rp - - 0 - 0 0
15 Vaksin MR vial 169386 23 Rp 3,895,878.00 20 3,387,720.00 20 3,387,720.00 23 3895878
16 Vaksin Menigitis Vial 135000 0 Rp - - 0 - 0 0
17 Vaksin MR vial 166265 0 Rp - - 0 - 0 0
18 Vaksin polio bivalent 10 dosis Vial 21494 44 Rp 945,736.00 20 429,880.00 37 795,278.00 27 580338
19 Vaksin polio bivalent 10 dosis Vial 23643 0 Rp - - 0 - 0 0
20 Vaksin Tetanus (Td) Vial 18128 63 Rp 1,142,064.00 - 34 616,352.00 29 525712
21 Vaksi DT Buah 36700 0 Rp - 5 183,500.00 1 36,700.00 4 146800
22 vaksin PCV buah 3400000 0 Rp - 17 57,800,000.00 12 40,800,000.00 5 17000000
23 Vaksi DT Buah 34400 5 Rp 172,000.00 22 756,800.00 27 928,800.00 0 0
25 Alat Suntik Sekali Pakai 0.5 ml Buah 904 200 Rp 180,800.00 - 200 180,800.00 0 0
26 Alat Suntik Sekali Pakai 0.5 ml Buah 1050 0 Rp - 400 420,000.00 300 315,000.00 100 105000
27 Alat Suntik Sekali Pakai 0,5 ml Buah 1185 20 Rp 23,700.00 - 20 23,700.00 0 0
30 Alat Suntik Sekali Pakai 5 ml bua 839 0 Rp - 350 293,650.00 350 293,650.00 0 0
31 Alat suntik sekali pakai 3 ml buah 569 0 Rp - - 0 - 0 0
32 Alat suntik sekali pakai 3 ml Buah 693 0 Rp - - 0 - 0 0
33 Alat suntik sekali pakai 3 ml Buah 902 0 Rp - - 0 - 0 0
35 Alkohol swab Buah 127.82 100 Rp 12,782.00 - 100 12,782.00 0 0
38 gownn buah 32727 0 Rp - - 0 - 0 0
39 Masker KN-95 Buah 30000 0 Rp - - 0 - 0 0
40 Masker KN-95 Buah 40000 0 Rp - - 0 - 0 0
41 Masker KN-95 Buah 68750 0 Rp - - 0 - 0 0
42 Masker N95 Buah 29000 0 Rp - - 0 - 0 0
43 Masker N95.. Buah 48269.583375 0 Rp - - 0 - 0 0
44 Masker N95 Buah 76000 0 Rp - - 0 - 0 0
45 Masker Bedah Buah 1100 0 Rp - - 0 - 0 0
46 Masker Bedah Buah 540 339 Rp 183,060.00 - 339 183,060.00 0 0
47 Masker Bedah Buah 500 0 Rp - - 0 - 0 0
48 Parasetamol Tablet buah 124.85 0 Rp - 1300 162,305.00 1300 162,305.00 0 0
49 Parasetamol tablet tablet 97.9 190 Rp 18,601.00 - 190 18,601.00 0 0
50 safety box pcs 14000 0 Rp - 1 14,000.00 1 14,000.00 0 0
51 safety box pcs 13600 0 Rp - 5 68,000.00 5 68,000.00 0 0
52 safety box pcs 16500 0 Rp - - 0 - 0 0
53 Parasetamol drop syr 4976 0 Rp - - 0 - 0 0
54 Parasetamol sirup sirup 1170.55 0 Rp - - 0 - 0 0
55 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) Buah 34000 0 Rp - - 0 - 0 0
57 Handscoon pendek non steril no 6.5 (S) Buah 1640 0 Rp - 100 164,000.00 100 164,000.00 0 0
58 Handscoon pendek non steril no 7 (M) Buah 1640 0 Rp - - 0 - 0 0
59 Handscoon pendek non steril no 7,5 L Buah 1640 0 Rp - - 0 - 0 0
60 Handscoon pendek non steril no 7.5 L Buah 4272.72726 140 Rp 598,181.82 - 140 598,181.82 0 0
61 Handscoon pendek steril no 7 (M) buah 5332 0 Rp - 50 266,600.00 50 266,600.00 0 0
62 Handscoon pendek steril no 7 (M) buah 2772 0 Rp - 200 554,400.00 200 554,400.00 0 0
63 Handscoon pendek steril no 6,5 S buah 8635 0 Rp - 200 1,727,000.00 200 1,727,000.00 0 0
64 Handscoon pendek steril no 6,5 S buah 2772 30 Rp 83,160.00 - 30 83,160.00 0 0
65 Handscoon pendek steril no 7.5 (L) Buah 8635 0 Rp - 50 431,750.00 50 431,750.00 0 0
66 sabun cuci tangan 4 L Buah 45000 0 Rp - - 0 - 0 0
TOTAL Rp 14,551,586.82 81,602,744.00 Rp 64,875,484.82 31,278,846.00


NIP 19670906198903 1 005 NIP 1994020202020122014
REKAP DISTRIBUSI PER UNIT P2

PEMAK
HARGA STOCK NILAI STOCK AIAN SISA
NO NAMA OBAT SATUAN PENERIMAAN Nilai stok akhir
SATUAN AWAL AWAL (Rp) NILAI NON- STOCK
Peneriman x RESEP Nilai (Rp)
(Rp) RESEP
Harga rupiah
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 9 = (4x8) 10 11 = (4x10) 12 13
12)
1 Albendazol tab 400 mg tablet 282.62 0 0 3000 Rp 847,860 2600 Rp 734,812.00 400 113048
2 masker bedah pcs 540 0 0 100 Rp 54,000 100 Rp 54,000.00 0 0
3 Masker N95 pcs 47500 0 0 1 Rp 47,500 1 Rp 47,500.00 0 0
Rifapentine 300 mg /
4 tablet 6561 0 0 720 Rp 4,723,920 0 Rp - 720 4723920
Isoniazid 300 mg
TOTAL Rp - Rp 5,673,280 Rp 836,312.00 4,836,968.00

Pengelola Farmasi

REKAP DISTRIBUSI PER UNIT P2

PEMAKAIAN
NO NAMA OBAT SATUAN PENERIMAAN SISA STOCK Nilai stok akhir
SATUAN AWAL (Rp) Peneriman x NILAI NON-
RESEP Nilai (Rp)
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 9 = (4x8) 10 11 = (4x10) 12 13
12)
1 Albendazol tab 400 mg tablet 282.62 400 113048 Rp - 0 Rp - 400 113,048.00
2 masker bedah pcs 540 0 0 500 Rp 270,000 500 Rp 270,000.00 0 -
3 Masker N95 pcs 47500 0 0 Rp - Err:522 Err:522 Err:522 Err:522
4 Masker Bedah pcs 3500 0 0 41 Rp 143,500 41 Rp 143,500.00 0 -
5 OAT FDC kategori 1 paket 416696 0 0 1 Rp 416,696 Err:522 Err:522 Err:522 416,696.00
6 Hiperheb ( Hbsag) buah 1325000 0 0 1 Rp 1,325,000 1 Rp 1,325,000.00 0 -
Rifapentine 300 mg / Isoniazid
tablet 6561 720 4723920 4,723,920.00
7 300 mg Rp - Err:522 Err:522 Err:522
TOTAL Rp 4,836,968.00 Rp 2,155,196 Rp 1,738,500.00 Rp 5,253,664.00
Wonosobo, 31 Desember2022

NIP 19670906198903 1 005 NIP 1994020202020122014
REKAP DISTRIBUSI POLI MTBS

JANUARI 2022 -JUNI 2022
PEMAKAIAN
NILAI STOCK AWAL PENERIMA SISA
NO NAMA OBAT SATUAN HARGA SATUAN STOCK AWAL Peneriman x NON- Nilai Stok Akhir
(Rp) AN RESEP NILAI (Rp) Nilai (Rp) STOCK
Harga rupiah RESEP
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 9 = (4x8) 10 11 = (4x10) 12 13
12)
1 Alat suntik sekali pakai 3 ml pcs 569 0 Rp - 100 Rp 56,900 100 Rp 56,900.00 0 0
2 Alkohol swab pcs 145 0 Rp - 200 Rp 29,000 200 Rp 29,000.00 0 0
3 safety box pcs 14000 0 Rp - 1 Rp 14,000 1 Rp 14,000.00 0 0
5 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine botol 30450 0 Rp - 1 Rp 30,450 1 Rp 30,450.00 0 0
6 Alat Suntik Sekali Pakai 1ml biji 881 7 Rp - 14 Rp 12,334 17 Rp 14,977.00 4 3524
7 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) pcs 27400 0 Rp - 1 Rp 27,400 1 Rp 27,400.00 0 0
TOTAL Rp - Rp 238,084 Rp 234,560.00 3524


NIP 19670906198903 1 005 NIP 1994020202020122014

PERIODE MARET 2022 -
PERIODE APRIL 2022 Rp0.000
Rp238,084


PEMAKAIAN
NILAI STOCK AWAL PENERIMA SISA
NO NAMA OBAT SATUAN HARGA SATUAN STOCK AWAL Peneriman x NON- Nilai Stok Akhir
(Rp) AN RESEP NILAI (Rp) Nilai (Rp) STOCK
Harga rupiah RESEP
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 9 = (4x8) 10 11 = (4x10) 12 13
12)
1 Alat suntik sekali pakai 3 ml pcs 569 0 Rp - Rp - 0 Rp - 0 0
2 Alkohol swab pcs 145 0 Rp - Rp - 0 Rp - 0 0
3 Alat suntik 0.05 ml pcs 1460 0 Rp - 64 Rp 93,440 30 Rp 43,800.00 34 49640
4 Alat suntik 0.5 ml pcs 904 0 Rp - 100 Rp 90,400 67 Rp 60,568.00 33 29832
5 safety box pcs 14000 0 Rp - Rp - 0 Rp - 0 0
7 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine botol 30450 0 Rp - Rp - 0 Rp - 0 0
8 Alat Suntik Sekali Pakai 1ml biji 881 4 Rp 3,524.00 Rp - 4 Rp 3,524.00 0 0
9 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) pcs 27400 0 Rp - Rp - 0 Rp - 0 0
TOTAL Rp 3,524.00 Rp 183,840 Rp 107,892.00 79,472


NIP 19670906198903 1 005 NIP 1994020202020122014


OKTOBER - DESEMBER 2022
PEMAKAIAN
HARGA STOCK NILAI STOCK PENERIM SISA
NO NAMA OBAT SATUAN Peneriman x NILAI NON- Nilai Stok Akhir
SATUAN AWAL AWAL (Rp) AAN RESEP Nilai (Rp) STOCK
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 9 = (4x8) 10 11 = (4x10) 12 13
12)
1 Alat suntik sekali pakai 3 ml pcs 569 0 Rp - 0 Rp - 0 Rp - 0 0
2 Alkohol swab pcs 145 0 Rp - 0 Rp - 0 Rp - 0 0
3 Alat suntik 0.05 ml pcs 1460 34 Rp 49,640.00 0 Rp - 34 Rp 49,640.00 0 0
4 Alat suntik 0.5 ml pcs 904 33 Rp 29,832.00 0 Rp - 33 Rp 29,832.00 0 0
5 safety box pcs 14000 0 Rp - 0 Rp - 0 Rp - 0 0
6 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) botol 34000 0 Rp - 0 Rp - 0 Rp - 0 0
7 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine botol 30450 0 Rp - 0 Rp - 0 Rp - 0 0
8 Alat Suntik Sekali Pakai 1ml biji 881 0 Rp - 0 Rp - 0 Rp - 0 0
9 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) pcs 27400 0 Rp - 0 Rp - 0 Rp - 0 0
0 0
TOTAL Rp 79,472.00 Rp - Rp 79,472.00 -


NIP 19670906198903 1 005 NIP 1994020202020122014
REKAP DISTRIBUSI PROGRAM KIA

PEMAKAIAN
HARGA STOCK NILAI STOCK AWAL PENERIMAA SISA
NO NAMA OBAT SATUAN Peneriman x NON- Nilai stok akhir
SATUAN AWAL (Rp) N RESEP NILAI (Rp) Nilai (Rp) STOCK
Harga rupiah RESEP
8=
1 2 3 4 5 6 = (4x5) 7 (5+7- 9 = (4x8) 10 11 = (4x10) 12 13
12)
2 Handscoon pendek non steril no 7 (M) pasang 4272.72726 0 Rp - 100 Rp 427,273 100 Rp 427,272.73 0 -
3 Handscoon pendek steril no 7,5 (L) pasang 8635 0 Rp - 100 Rp 863,500 100 Rp 863,500.00 0 0
5 Alat suntik 0.5 ml pcs 904 0 Rp - 100 Rp 90,400 12 Rp 10,848.00 88 79,552.00
TOTAL Rp - Rp 1,476,573 Rp 1,397,020.73 79,552.00

79,552.00
Pengelola Farmasi

NIP 19670906198903 1 005

PERIODE JANUARI-FEBUARI 2022 Rp495,272.72600

PEMAKAIAN
HARGA STOCK NILAI STOCK AWAL PENERIMAA SISA
NO NAMA OBAT SATUAN Peneriman x NON- Nilai stok akhir
SATUAN AWAL (Rp) N RESEP NILAI (Rp) Nilai (Rp) STOCK
Harga rupiah RESEP
8=
1 2 3 4 5 6 = (4x5) 7 (5+7- 9 = (4x8) 10 11 = (4x10) 12 13
12)
1 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) botol 34000 0 Rp - Rp - Rp - 0 0
2 Handscoon pendek non steril no 7 (M) pasang 4272.72726 0 Rp - Rp - Rp - 0 0
3 Handscoon pendek steril no 7,5 (L) pasang 8635 0 Rp - Rp - Rp - 0 0
5 Alat suntik 0.5 ml pcs 904 88 Rp 79,552.00 Rp - 88 Rp 79,552.00 0 0
6 Gelly USG botol 16000 0 Rp - 3 Rp 48,000 Rp - Rp - 3 48000
7 Plaster polyester non-woven 10cm x 5 m pcs 61050 0 Rp - 1 Rp 61,050 Rp - Rp - 1 61050
TOTAL Rp 79,552.00 Rp 109,050 Rp 79,552.00 109,050.00

Pengelola Farmasi


PEMAKAIAN SISA
HARGA STOCK NILAI STOCK PENERIMA
NO NAMA OBAT SATUAN Peneriman x NILAI NON- STOC Nilai stok akhir
SATUAN AWAL AWAL (Rp) AN RESEP Nilai (Rp)
Harga rupiah (Rp) RESEP K
8=
1 2 3 4 5 6 = (4x5) 7 (5+7- 9 = (4x8) 10 11 = (4x10) 12 13
12)
2 Handscoon pendek non steril no 7 (M) pasang 4272.7273 0 Rp - Rp - Rp - 0 0
3 Handscoon pendek steril no 7,5 (L) pasang 8635 0 Rp - Rp - Rp - 0 0
5 Alat suntik 0.5 ml pcs 904 0 Rp - Rp - Rp - 0 0
6 Gelly USG botol 16000 3 Rp 48,000.00 2 Rp 32,000 3 Rp 48,000.00 2 32000
7 Plaster polyester non-woven 10cm x 5 m pcs 61050 1 Rp 61,050.00 Rp - Rp 1 Rp 61,050.00 0 0
Handscoon pendek non steril no 6.5 S pasang 1640 0 Rp - 50 Rp 82,000 10 Rp 16,400.00 40 65600
TOTAL Rp 109,050.00 Rp 114,000.00 Rp 125,450.00 97,600.00

Pengelola Farmasi

NIP 19670906198903 1 005 NIP 1994020202020122014
REKAP DISTRIBUSI PROGRAM GIZI

JANUARI 2022 - 30 Juni 2022
PEMAKAIAN
NO NAMA OBAT SATUAN Peneriman x Harga NILAI NON- Nilai stok akhir
rupiah (Rp) RESEP
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 9 = (4x8) 10 11 = (4x10) 12 13
12)
1 Retinol 100.000 UI kapsul 306 0 Rp - 151 Rp 46,206.00 151 Rp 46,206.00 0 0
3 mineral mix sachet /8gr sachet 2920 0 Rp - 200 Rp 584,000.00 200 Rp 584,000.00 0 0
4 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) botol 34000 0 Rp - 2 Rp 68,000.00 2 Rp 68,000.00 0 0
5 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine botol 30450 0 Rp - 1 Rp 30,450.00 1 Rp 30,450.00 0 0
6 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) pcs 2740 0 Rp - 2 Rp 5,480.00 2 Rp 5,480.00 0 0
TOTAL 0 Rp 1,292,113 Rp 1,292,113.00 0


NIP 19670906198903 1 005 NIP 1994020202020122014

PERIODE MARET 2022 -


PEMAKAIAN
NO NAMA OBAT SATUAN Peneriman x Harga NILAI NON- Nilai stok akhir
rupiah (Rp) RESEP
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 9 = (4x8) 10 11 = (4x10) 12 13
12)
2 Retinol 200.000 UI kapsul 11.06 0 Rp - 1100 Rp 12,166.00 1000 Rp 11,060.00 100 1106
3 mineral mix sachet /8gr sachet 2981 0 Rp - 20 Rp 59,620.00 20 Rp 59,620.00 0 0
5 Tablet tambah darah tablet 226 0 Rp - 1000 Rp 226,000.00 1000 Rp 226,000.00 0 0
Rp -
TOTAL Rp - Rp 343,686 Rp 342,580.00 1106


NIP 19670906198903 1 005 NIP 1994020202020122014


PEMAKAIAN
HARGA STOCK NILAI STOCK PENERI SISA
NO NAMA OBAT SATUAN Peneriman x NILAI NON- Nilai stok akhir
SATUAN AWAL AWAL (Rp) MAAN RESEP Nilai (Rp) STOCK
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 9 = (4x8) 10 11 = (4x10) 12 13
12)
1 Retinol 100.000 UI kapsul 306 0 Rp - Rp - 0 Rp - 0 0
2 Retinol 200.000 UI kapsul 11.06 100 Rp 1,106.00 Rp - 100 Rp 1,106.00 0 0
3 mineral mix sachet /8gr sachet 2981 0 Rp - Rp - 0 Rp - 0 0
5 Tablet tambah darah tablet 226 0 Rp - 1000 Rp 226,000.00 1000 Rp 226,000.00 0 0
TOTAL Rp 1,106.00 Rp 226,000 Rp 227,106.00 Rp -


NIP 19670906198903 1 005 NIP 1994020202020122014
NIP 19670906198903 1 005 NIP 1994020202020122014

REKAP DISTRIBUSI PER UNIT PKD PATAK BANTENG


HARGA STOCK NILAI STOCK PENERIMAA PEMAKAIAN SISA
NO NAMA OBAT SATUAN Peneriman x Harga Nilai Stok Akhir
SATUAN AWAL AWAL (Rp) N rupiah
RESEP NILAI (Rp) NON-RESEP Nilai (Rp) STOCK
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 9 = (4x8) 10 11 = (4x10) 12 13
12)
1 Acyclovir cream tablet 2531.5862 0 Rp - 0 Rp - 0 Rp - 0 0
2 Acyclovir tab 400mg tablet 405 0 Rp - 0 Rp - 0 Rp - 0 0
3 Alopurinol tab 100 mg tablet 87 80 Rp 6,960.00 0 Rp - 80 Rp 6,960.00 0 0
4 alopurinol tab 300mg tablet 210 0 Rp - 0 Rp - 0 Rp - 0 0
5 amlodipin tab 10mg tablet 99 210 Rp 20,790.00 0 Rp - 210 Rp 20,790.00 0 0
6 amlodipin tab 5 mg tablet 53 130 Rp 6,890.00 0 Rp - 130 Rp 6,890.00 0 0
7 Amoksisilin kaplet 500 mg tablet 253 0 Rp - 0 Rp - 0 Rp - 0 0
8 Amoksisilin syr kering 250mg/5ml Botol 3628 0 Rp - 0 Rp - 0 Rp - 0 0
9 Antasida DOEN tablet tablet 54 200 Rp 10,800.00 0 Rp - 200 Rp 10,800.00 0 0
10 Antasida DOEN Suspensi Botol 1679 0 Rp - 5 Rp 8,395 3 Rp 5,037.00 2 3358
11 Asam Ascorbat (Vit C) tab 250 mg tablet 119 70 Rp 8,330.00 200 Rp 23,800 210 Rp 24,990.00 60 7140
12 Asam Ascorbat (Vit C) tab 50 mg tablet 105 130 Rp 13,650.00 100 Rp 10,500 210 Rp 22,050.00 20 2100
13 asam asetilsalisilat tab (asetosal) 80mg tablet 105 0 Rp - 0 Rp - 0 Rp - 0 0
14 asam folat tab 1 mg tablet 56 80 Rp 4,480.00 100 Rp 5,600 150 Rp 8,400.00 30 1680
16 Attapulgit (Antidiare) tab tablet 145 50 Rp 7,250.00 0 Rp - 40 Rp 5,800.00 10 1450
17 Betametason cream 0,05 % Tube 1430 0 Rp - 0 Rp - 0 Rp - 0 0
18 cetirizine tab 10mg tablet 49 0 Rp - 0 Rp - 0 Rp - 0 0
19 Deksametason tab 0,5 mg tablet 34 0 Rp - 500 Rp 17,000 460 Rp 15,640.00 40 1360
20 domperidon syr 5mg/5ml Botol 2700 0 Rp - 0 Rp - 0 Rp - 0 0
21 Domperidon tab 10 mg tablet 90 0 Rp - 0 Rp - 0 Rp - 0 0
23 Garam oralit kombinasi sachet 257 0 Rp - 0 Rp - 0 Rp - 0 0
24 Gentamisin Tetes Mata 0,3% tube 4520 2 Rp 9,040.00 0 Rp - 2 Rp 9,040.00 0 0
25 Glimepiride tab 2 mg tablet 123 70 Rp 8,610.00 0 Rp - 0 Rp - 70 8610
26 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) buah 34000 0 Rp - 2 Rp 68,000 2 Rp 68,000.00 0 0
27 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine buah 30450 0 Rp - 1 Rp 30,450 1 Rp 30,450.00 0 0
28 Hidroklorotiazid ( HCT ) tab 25 mg tablet 148 0 Rp - 0 Rp - 0 Rp - 0 0
29 Hidrokortison cream 2,5 % Tube 2475 1 Rp 2,475.00 0 Rp - 0 Rp - 1 2475
30 ibuprofen Suspensi 100mg/5ml Botol 2721 0 Rp - 0 Rp - 0 Rp - 0 0
31 Kalsium Glukonas inj ampul 10351 0 Rp - 0 Rp - 0 Rp - 0 0
32 Kalsium Lactat ( Kalk ) tab 500 mg tablet 63 0 Rp - 700 Rp 44,100 340 Rp 21,420.00 360 22680
33 Kaptopril tab 25 mg tablet 75 40 Rp 3,000.00 0 Rp - 40 Rp 3,000.00 0 0
34 Kloramfenikol SK Tube 3266 0 Rp - 3 Rp 9,798 3 Rp 9,798.00 0 0
35 Klorfeniramin Maleat ( CTM ) tab 4 mg Tube 23 0 Rp - 500 Rp 11,500 460 Rp 10,580.00 40 920
36 Kotrimoksasol Syr 240mg/5ml - 60ml Botol 2190 0 Rp - 0 Rp - 0 Rp - 0 0
37 Lidokain + epineprin inj ampul 1229 0 Rp - 0 Rp - 0 Rp - 0 0
38 Metformin 500mg tablet 77 50 Rp 3,850.00 0 Rp - 50 Rp 3,850.00 0 0
39 metilprednisolon tab 4 mg tablet 102 0 Rp - 0 Rp - 0 Rp - 0 0
40 N-asetil sistein tab 200mg tablet 350 70 Rp 24,500.00 0 Rp - 0 Rp - 70 24500
41 Natrium Diklofenak tab 25mg tablet 128 140 Rp 17,920.00 100 Rp 12,800 100 Rp 12,800.00 140 17920
43 Oksitoksin inj 10 IU/ ml - 1 ml ampul 1199 0 Rp - 0 Rp - 0 Rp - 0 0
44 omeprazole kapsul 20mg tablet 129 0 Rp - 0 Rp - 0 Rp - 0 0
45 Ondansetron tab 8 mg tablet 270 0 Rp - 0 Rp - 0 Rp - 0 0
46 Parasetamol drop Botol 4976 15 Rp 74,640.00 20 Rp 99,520 30 Rp 149,280.00 5 24880
47 Parasetamol syr 120mg/5ml Botol 1181 10 Rp 11,810.00 30 Rp 35,430 30 Rp 35,430.00 10 11810
48 Parasetamol tab 500 mg tablet 97.9 100 Rp 9,790.00 400 Rp 39,160 290 Rp 28,391.00 210 20559
50 Piridoxin HCL (vit B 6) tab 10 mg tablet 131 100 Rp 13,100.00 100 Rp 13,100 100 Rp 13,100.00 100 13100
51 Prednison tab 5 mg tablet 73 0 Rp - 0 Rp - 0 Rp - 0 0
52 Retinol 100.000 UI tablet 306 0 Rp - 40 Rp 12,240 40 Rp 12,240.00 0 0
53 Retinol 200.000 UI tablet 552 0 Rp - 0 Rp - 0 Rp - 0 0
55 simvastatin tab 10mg tablet 68 30 Rp 2,040.00 0 Rp - 0 Rp - 30 2040
56 Tambah darah kombinasi ( ferro fumarat 60 mg, asam tablet
f 226 400 Rp 90,400.00 700 Rp 158,200 590 Rp 133,340.00 510 115260
57 Tiamin HCL (B 1) tab 50 mg tablet 57 50 Rp 2,850.00 400 Rp 22,800 200 Rp 11,400.00 250 14250
58 Vaksin BCG inj 20 DOSIS Vial 97780 0 Rp - 2 Rp 195,560 0 Rp - 2 195560
59 Vaksin DPT-HB-Hib 5 dosis Vial 85103 0 Rp - 16 Rp 1,361,648 16 Rp 1,361,648.00 0 0
62 Vaksin MR Vial 164686.5 0 Rp - 6 Rp 988,119 6 Rp 988,119.00 0 0
64 Vaksin Tetanus (Td) Vial 18128 0 Rp - 0 Rp - 0 Rp - 0 0
66 Zinc drops 10 mg/ml Botol 5051 0 Rp - 0 Rp - 0 Rp - 0 0
67 Zink Sirup 20mg/5 ml Botol 3171 0 Rp - 0 Rp - 0 Rp - 0 0
68 Zink tab tablet 208 0 Rp - 0 Rp - 0 Rp - 0 0
69 Antasida DOEN tablet tablet 58 0 Rp - 400 Rp 23,200 240 Rp 13,920.00 160 9280
71 amlodipin tab 10mg.. tablet 70 0 Rp - 300 Rp 21,000 300 Rp 21,000.00 0 0
72 Glimepiride tab 4 mg tablet 183 0 Rp - 100 Rp 18,300 70 Rp 12,810.00 30 5490
74 Parasetamol syr 120mg/5ml botol 1160 0 Rp - 10 Rp 11,600 0 Rp - 10 11600
75 Lidokain murni inj 2 % 1221 0 Rp - 5 Rp 6,105 2 Rp 2,442.00 3 3663
76 Metronidazole tab 500 mg 133 0 Rp - 100 Rp 13,300 30 Rp 3,990.00 70 9310
TOTAL Rp 375,635.00 Rp 4,485,751 Rp 4,315,241.00 546,145.00
Rp 546,145.00


NIP 19670906198903 1 005 NIP 1994020202020122014


PEMAKAIAN
NO NAMA OBAT SATUAN STOCK AWAL PENERIMAAN Peneriman x Harga Nilai Stok Akhir
SATUAN AWAL (Rp) RESEP NILAI (Rp) NON-RESEP Nilai (Rp) STOCK
rupiah
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 9 = (4x8) 10 11 = (4x10) 12 13
12)
3 Acyclovir tab 400mg tablet 407 0 Rp - 100 Rp 40,700 50 Rp 20,350.00 50 20350
5 alopurinol tab 300mg tablet 210 0 Rp - Rp - 0 Rp - 0 0
6 amlodipin tab 10mg tablet 99 0 Rp - Rp - 0 Rp - 0 0
7 amlodipin tab 5 mg tablet 53 0 Rp - 600 Rp 31,800 480 Rp 25,440.00 120 6360
8 Amoksisilin kaplet 500 mg tablet 253 0 Rp - Rp - 0 Rp - 0 0
9 Amoksisilin syr kering 250mg/5ml Botol 3628 0 Rp - Rp - 0 Rp - 0 0
12 Antasida DOEN Suspensi Botol 1679 2 Rp 3,358.00 Rp - 2 Rp 3,358.00 0 0
13 Asam Ascorbat (Vit C) tab 250 mg tablet 119 60 Rp 7,140.00 Rp - 60 Rp 7,140.00 0 0
14 Asam Ascorbat (Vit C) tablet 225 0 Rp - 100 Rp 22,500 100 Rp 22,500.00 0 0
15 Asam Ascorbat (Vit C) tab 50 mg tablet 105 20 Rp 2,100.00 Rp - 20 Rp 2,100.00 0 0
17 asam asetilsalisilat tab (asetosal) 80mg tablet 89.81 0 Rp - 50 Rp 4,491 10 Rp 898.10 40 3592.4
18 asam folat tab 1 mg tablet 56 30 Rp 1,680.00 Rp - 0 Rp - 30 1680
20 Attapulgit (Antidiare) tab tablet 145 10 Rp 1,450.00 Rp - 0 Rp - 10 1450
21 Betametason cream 0,05 % Tube 1430 0 Rp - 4 Rp 5,720 2 Rp 2,860.00 2 2860
22 cetirizine tab 10mg tablet 49 0 Rp - Rp - 0 Rp - 0 0
23 Deksametason tab 0,5 mg tablet 34 40 Rp 1,360.00 Rp - 40 Rp 1,360.00 0 0
26 Furosemid tab 40 mg tablet 82 60 Rp 4,920.00 100 Rp 8,200 130 Rp 10,660.00 30 2460
31 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) buah 34000 0 Rp - Rp - 0 Rp - 0 0
32 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine buah 30450 0 Rp - Rp - 0 Rp - 0 0
34 Hidrokortison cream 2,5 % Tube 2475 1 Rp 2,475.00 4 Rp 9,900 3 Rp 7,425.00 2 4950
39 Kloramfenikol SK Tube 3266 0 Rp - 2 Rp 6,532 2 Rp 6,532.00 0 0
40 Klorfeniramin Maleat ( CTM ) tab 4 mg Tube 23 40 Rp 920.00 200 Rp 4,600 240 Rp 5,520.00 0 0
45 metilprednisolon tab 4 mg tablet 102 0 Rp - 100 Rp 10,200 100 Rp 10,200.00 0 0
46 N-asetil sistein tab 200mg tablet 350 70 Rp 24,500.00 Rp - 40 Rp 14,000.00 30 10500
47 Natrium Diklofenak tab 25mg tablet 128 140 Rp 17,920.00 Rp - 140 Rp 17,920.00 0 0
50 omeprazole kapsul 20mg tablet 129 0 Rp - Rp - 0 Rp - 0 0
52 Parasetamol drop Botol 4976 5 Rp 24,880.00 29 Rp 144,304 28 Rp 139,328.00 6 29856
53 Parasetamol syr 120mg/5ml Botol 1181 10 Rp 11,810.00 Rp - 8 Rp 9,448.00 2 2362
55 Parasetamol tab 500 mg tablet 124.85 0 Rp - Rp - 0 Rp - 0 0
56 Piridoxin HCL (vit B 6) tab 10 mg tablet 131 100 Rp 13,100.00 Rp - 0 Rp - 100 13100
57 Prednison tab 5 mg tablet 73 0 Rp - Rp - 0 Rp - 0 0
61 simvastatin tab 10mg tablet 68 30 Rp 2,040.00 Rp - 30 Rp 2,040.00 0 0
62 safety box pcs 13600 0 Rp - 1 Rp 13,600 1 Rp 13,600.00 0 0
63 Tambah darah kombinasi ( ferro fumarat 60 mg, asam tablet
f 226 510 Rp 115,260.00 1490 Rp 336,740 1720 Rp 388,720.00 280 63280
64 Tiamin HCL (B 1) tab 50 mg tablet 57 250 Rp 14,250.00 Rp - 250 Rp 14,250.00 0 0
65 Vaksin BCG inj 20 DOSIS Vial 97780 2 Rp 195,560.00 Rp - 2 Rp 195,560.00 0 0
66 Vaksin DPT-HB-Hib 5 dosis Vial 85103 0 Rp - 10 Rp 851,030 10 Rp 851,030.00 0 0
69 Vaksin MR Vial 164686.5 0 Rp - 3 Rp 494,060 3 Rp 494,059.50 0 0
73 Vitamin B kompleks tab tablet 57 0 Rp - 200 Rp 11,400 200 Rp 11,400.00 0 0
77 Antasida DOEN tablet tablet 58 160 Rp 9,280.00 Rp - 160 Rp 9,280.00 0 0
79 amlodipin tab 10mg.. tablet 70 0 Rp - Rp - 0 Rp - 0 0
82 Parasetamol syr 120mg/5ml botol 1160 10 Rp 11,600.00 30 Rp 34,800 40 Rp 46,400.00 0 0
83 Lidokain murni inj 2 % 1221 3 Rp 3,663.00 Rp - 3 Rp 3,663.00 0 0
84 Metronidazole tab 500 mg 133 70 Rp 9,310.00 Rp - 70 Rp 9,310.00 0 0
TOTAL Rp 546,145.00 Rp 2,948,599 Rp 3,295,010.60 199,733.40
Rp 199,733.40


NIP 19670906198903 1 005 NIP 1994020202020122014


PEMAKAIAN
NO NAMA OBAT SATUAN PENERIMAAN Peneriman x Harga NILAI Nilai Stok Akhir
rupiah (Rp)
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 9 = (4x8) 10 11 = (4x10) 12 13
12)
3 Acyclovir tab 400mg tablet 407 50 Rp 20,350.00 Rp - 0 Rp - 50 20350
8 amlodipin tab 5 mg tablet 53.48 0 Rp - 100 Rp 5,348 100 Rp 5,348.00 0 0
9 Amoksisilin kaplet 500 mg tablet 253 0 Rp - Rp - 0 Rp - 0 0
15 Asam Ascorbat (Vit C) tablet 225 0 Rp - 200 Rp 45,000 200 Rp 45,000.00 0 0
18 asam asetilsalisilat tab (asetosal) 80mg tablet 89.81 40 Rp 3,592.40 Rp - 40 Rp 3,592.40 0 0
19 asam folat tab 1 mg tablet 56 30 Rp 1,680.00 Rp - 0 Rp - 30 1680
20 Asam Mefenamat tab 500 mg tablet 111 0 Rp - 100 Rp 11,100 100 Rp 11,100.00 0 0
21 Attapulgit (Antidiare) tab tablet 145 10 Rp 1,450.00 Rp - 10 Rp 1,450.00 0 0
22 Betametason cream 0,05 % Tube 1430 2 Rp 2,860.00 Rp - 2 Rp 2,860.00 0 0
24 Deksametason tab 0,5 mg tablet 34 0 Rp - Rp - 0 Rp - 0 0
27 Furosemid tab 40 mg tablet 82 30 Rp 2,460.00 Rp - 30 Rp 2,460.00 0 0
31 Glimepiride tab 2 mg tablet 123 30 Rp 3,690.00 100 Rp 12,300 70 Rp 8,610.00 60 7380
33 hand sanitizer 500 ml (alkohol 70% + chlorhexidinbuah 34000 0 Rp - Rp - 0 Rp - 0 0
34 Hand Scrub Sabun Cuci Tangan Cair + clorhexidi buah 30450 0 Rp - Rp - 0 Rp - 0 0
36 Hidrokortison cream 2,5 % Tube 2475 2 Rp 4,950.00 Rp - 1 Rp 2,475.00 1 2475
39 Kalsium Lactat ( Kalk ) tab 500 mg tablet 63 90 Rp 5,670.00 Rp - 10 Rp 630.00 80 5040
40 Kalsium Lactat ( Kalk ) tab 500 mg tablet 60 0 Rp - 400 Rp 24,000 400 Rp 24,000.00 0 0
42 Kloramfenikol SK Tube 3266 0 Rp - Rp - 0 Rp - 0 0
43 Klorfeniramin Maleat ( CTM ) tab 4 mg Tube 23 0 Rp - Rp - 0 Rp - 0 0
46 Metformin 500mg tablet 77.7 130 Rp 10,101.00 200 Rp 15,540 290 Rp 22,533.00 40 3108
47 Metformin 850mg tablet 154.39 0 Rp - Rp - 0 Rp - 0 0
48 metilprednisolon tab 4 mg tablet 102 0 Rp - 100 Rp 10,200 10 Rp 1,020.00 90 9180
49 N-asetil sistein tab 200mg tablet 350 30 Rp 10,500.00 Rp - 30 Rp 10,500.00 0 0
51 Natrium Diklofenak tab 25mg tablet 128 0 Rp - Rp - 0 Rp - 0 0
52 Natrium Diklofenak tab 50 mg tablet 99 80 Rp 7,920.00 Rp - 80 Rp 7,920.00 0 0
57 Parasetamol drop Botol 4976 6 Rp 29,856.00 Rp - 6 Rp 29,856.00 0 0
61 Parasetamol tab 500 mg tablet 153.18 0 Rp - 300 Rp 45,954 260 Rp 39,826.80 40 6127.2
68 simvastatin tab 10mg tablet 68 0 Rp - Rp - 0 Rp - 0 0
69 safety box pcs 13600 0 Rp - Rp - 0 Rp - 0 0
70 Tambah darah kombinasi ( ferro fumarat 60 mg, atablet 226 280 Rp 63,280.00 400 Rp 90,400 680 Rp 153,680.00 0 0
72 Vaksin BCG inj 20 DOSIS Vial 97780 0 Rp - Rp - 0 Rp - 0 0
76 Vaksin MR Vial 164686.5 0 Rp - Rp - 0 Rp - 0 0
79 Vitamin B kompleks tab tablet 89 0 Rp - Rp - 0 Rp - 0 0
86 amlodipin tab 10mg.. tablet 70 0 Rp - 400 Rp 28,000 395 Rp 27,650.00 5 350
87 Glimepiride tab 4 mg tablet 183 0 Rp - Rp - 0 Rp - 0 0
89 Parasetamol syr 120mg/5ml botol 1160 0 Rp - Rp - 0 Rp - 0 0
90 Lidokain murni inj 2 % 1221 0 Rp - Rp - 0 Rp - 0 0
91 Loratadine tablet 109 0 Rp - 100 Rp 10,900 0 Rp - 100 10900
92 alat suntik 0,5 ml pcs 1165 0 100 Rp 116,500 100 Rp 116,500.00 0 0
93 Metronidazole tab 500 mg tablet 133 0 Rp - Rp - 0 Rp - 0 0
TOTAL Rp 199,733.40 Rp 553,522.00 Rp 652,245.20 101,010.20


NIP 19670906198903 1 005 NIP 1994020202020122014
REKAP DISTRIBUSI PER UNIT PKD PARIKESIT

JANUARI - JUNI 2022

PEMAKAIAN
HARGA STOCK NILAI STOCK AWAL PENERIMAA
NO NAMA OBAT SATUAN Peneriman x SISA STOCK KET.
SATUAN AWAL (Rp) N RESEP NILAI (Rp) NON-RESEP Nilai (Rp)
Harga rupiah
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 9 = (4x8) 10 11 = (4x10) 12 13
12)
1 Acyclovir cream tablet 2531.5862 0 Rp - 0 - 0 0 0 - 0 0
2 Acyclovir tab 400mg tablet 405 0 Rp - 0 - 0 0 0 - 0 0
3 Alopurinol tab 100 mg tablet 87 0 Rp - 0 - 0 0 0 - 0 0
4 alopurinol tab 300mg tablet 210 0 Rp - 0 - 0 0 0 - 0 0
5 amlodipin tab 10mg tablet 99 0 Rp - 200 19,800.00 0 0 0 - 200 19800
6 amlodipin tab 5 mg tablet 53 20 Rp 1,060.00 300 15,900.00 0 0 320 16,960.00 0 0
7 Amoksisilin kaplet 500 mg tablet 253 80 Rp 20,240.00 200 50,600.00 0 0 280 70,840.00 0 0
8 Amoksisilin syr kering 250mg/5ml Botol 3628 0 Rp - 0 - 0 0 0 - 0 0
9 Antasida DOEN tablet tablet 54 80 Rp 4,320.00 0 - 0 0 80 4,320.00 0 0
10 Antasida DOEN Suspensi Botol 1679 0 Rp - 0 - 0 0 0 - 0 0
11 Asam Ascorbat (Vit C) tab 250 mg tablet 119 0 Rp - 0 - 0 0 0 - 0 0
12 Asam Ascorbat (Vit C) tab 50 mg tablet 105 0 Rp - 800 84,000.00 0 0 800 84,000.00 0 0
13 asam asetilsalisilat tab (asetosal) 80mg tablet 105 0 Rp - 0 - 0 0 0 - 0 0
14 asam folat tab 1 mg tablet 56 20 Rp 1,120.00 200 11,200.00 0 0 200 11,200.00 20 1120
15 Asam Mefenamat tab 500 mg tablet 111 0 Rp - 400 44,400.00 0 0 330 36,630.00 70 7770
16 Attapulgit (Antidiare) tab tablet 145 0 Rp - 0 - 0 0 0 - 0 0
17 Betametason cream 0,05 % Tube 1430 1 Rp 1,430.00 3 4,290.00 0 0 3 4,290.00 1 1430
18 cetirizine tab 10mg tablet 49 0 Rp - 100 4,900.00 0 0 100 4,900.00 0 0
19 Deksametason tab 0,5 mg tablet 34 15 Rp 510.00 100 3,400.00 0 0 115 3,910.00 0 0
20 domperidon syr 5mg/5ml Botol 2700 0 Rp - 0 - 0 0 0 - 0 0
21 Domperidon tab 10 mg tablet 90 0 Rp - 0 - 0 0 0 - 0 0
22 Furosemid tab 40 mg tablet 82 0 Rp - 0 - 0 0 0 - 0 0
23 Garam oralit kombinasi sachet 257 0 Rp - 0 - 0 0 0 - 0 0
24 Gentamisin Tetes Mata 0,3% tube 4520 0 Rp - 5 22,600.00 0 0 5 22,600.00 0 0
25 hand sanitizer 500 ml (alkohol 70% + chlorhBuah 34000 0 Rp - 2 68,000.00 0 0 2 68,000.00 0 0
26 Hand Scrub Sabun Cuci Tangan Cair + clorhbuah 30450 0 Rp - 1 30,450.00 0 0 1 30,450.00 0 0
27 Hidroklorotiazid ( HCT ) tab 25 mg buah 148 0 Rp - 0 - 0 0 0 - 0 0
28 Hidrokortison cream 2,5 % Tube 2475 0 Rp - 0 - 0 0 0 - 0 0
29 ibuprofen Suspensi 100mg/5ml Botol 2721 0 Rp - 0 - 0 0 0 - 0 0
30 Kalsium Glukonas inj ampul 10351 0 Rp - 0 - 0 0 0 - 0 0
31 Kalsium Lactat ( Kalk ) tab 500 mg tablet 63 10 Rp 630.00 600 37,800.00 0 0 560 35,280.00 50 3150
32 Kaptopril tab 25 mg tablet 75 20 Rp 1,500.00 100 7,500.00 0 0 110 8,250.00 10 750
33 Kloramfenikol Salep Mata 1 % tube 2007 0 Rp - 2 4,014.00 0 0 2 4,014.00 0 0
34 Klorfeniramin Maleat ( CTM ) tab 4 mg tablet 23 15 Rp 345.00 300 6,900.00 0 0 315 7,245.00 0 0
35 Kotrimoksasol Syr 240mg/5ml - 60ml Botol 2190 0 Rp - 0 - 0 0 0 - 0 0
36 Lidokain + epineprin inj ampul 1229 0 Rp - 0 - 0 0 0 - 0 0
37 Metformin 500mg tablet 77 40 Rp 3,080.00 0 - 0 0 0 - 40 3080
38 metilprednisolon tab 4 mg tablet 102 0 100 10,200.00 0 0 100 10,200.00 0 0
39 N-asetil sistein tab 200mg tablet 350 10 Rp 3,500.00 200 70,000.00 0 0 210 73,500.00 0 0
40 Natrium Diklofenak tab 25mg tablet 128 100 Rp 12,800.00 200 25,600.00 0 0 190 24,320.00 110 14080
41 Natrium Diklofenak tab 50 mg tablet 99 0 Rp - 300 29,700.00 0 0 300 29,700.00 0 0
42 Oksitoksin inj 10 IU/ ml - 1 ml ampul 1199 0 Rp - 0 - 0 0 0 - 0 0
43 omeprazole kapsul 20mg tablet 129 0 Rp - 0 - 0 0 0 - 0 0
44 Ondansetron tab 8 mg tablet 270 0 Rp - 0 - 0 0 0 - 0 0
45 Parasetamol drop Botol 4976 0 Rp - 23 114,448.00 0 0 23 114,448.00 0 0
46 Parasetamol syr 120mg/5ml Botol 1181 0 Rp - 15 17,715.00 0 0 15 17,715.00 0 0
47 Parasetamol tab 500 mg tablet 97.9 25 Rp 2,447.50 500 48,950.00 0 0 135 13,216.50 390 38181
48 Parasetamol tab 500 mg tablet 124.85 0 Rp - 700 87,395.00 0 0 630 78,655.50 70 8739.5
49 Piridoxin HCL (vit B 6) tab 10 mg tablet 131 0 Rp - 300 39,300.00 0 0 250 32,750.00 50 6550
50 Prednison tab 5 mg tablet 73 0 Rp - 0 - 0 0 0 - 0 0
51 Retinol 100.000 UI tablet 306 0 Rp - 52 15,912.00 0 0 52 15,912.00 0 0
52 Retinol 200.000 UI tablet 552 0 Rp - 0 - 0 0 0 - 0 0
53 Sianokobalamin (B 12) tab 50mcg tablet 43 220 Rp 9,460.00 200 8,600.00 0 0 300 12,900.00 120 5160
54 Tambah darah kombinasi ( ferro fumarat 60 tablet 226 30 Rp 6,780.00 600 135,600.00 0 0 480 108,480.00 150 33900
55 Tiamin HCL (B 1) tab 50 mg tablet 57 80 Rp 4,560.00 600 34,200.00 0 0 260 14,820.00 420 23940
56 Vaksin BCG inj 20 DOSIS tablet 97780 0 Rp - 1 97,780.00 0 0 0 - 1 97780
57 Vaksin DPT-HB-Hib 5 dosis Vial 85103 0 Rp - 6 510,618.00 0 0 6 510,618.00 0 0
58 Vaksin hepatitis B rekombinan inj 0,5 ml (AnVial 25839 0 Rp - 0 - 0 0 0 - 0 0
59 Vaksin IPV Vial 158994 0 Rp - 3 476,982.00 0 0 3 476,982.00 0 0
60 Vaksin MR Vial 166265 0 Rp - 3 498,795.00 0 0 3 498,795.00 0 0
61 Vaksin polio bivalent 10 dosis Vial 21494 0 Rp - 8 171,952.00 0 0 8 171,952.00 0 0
62 Vaksin Tetanus (Td) Vial 18128 0 Rp - 0 - 0 0 0 - 0 0
63 Vitamin B kompleks tab tablet 89 50 Rp 4,450.00 200 17,800.00 0 0 130 11,570.00 120 10680
64 Zinc drops 10 mg/ml tablet 5051 0 Rp - 0 - 0 0 0 - 0 0
65 Zink Sirup 20mg/5 ml Botol 3171 0 Rp - 0 - 0 0 0 - 0 0
66 Zink tab tablet 208 0 Rp - 0 - 0 0 0 - 0 0
67 Alkohol swab pcs 145 0 Rp - 0 - 0 0 0 - 0 0
69 Vaksin polio bivalent 10 dosis Vial 23643 0 Rp - 2 47,286.00 0 0 2 47,286.00 0 0
59 Sianokobalamin (B 12) tab 50mcg tablet 49 0 Rp - 100 4,900.00 0 0 60 2,940.00 40 1960
47 Parasetamol syr 120mg/5ml Botol 1160 0 Rp - 10 11,600.00 0 0 9 10,440.00 1 1160
9 Antasida DOEN tablet tablet 58 0 Rp - 100 5,800.00 0 0 100 5,800.00 0 0
19 Betametason cream 0,05 % Tube 1540 0 Rp - 8 12,320.00 0 0 3 4,620.00 5 7700
27 Glimepiride tab 4 mg tablet 183 0 Rp - 100 18,300.00 0 0 60 10,980.00 40 7320
43 N-asetil sistein tab 200mg tablet 373 0 Rp - 100 37,300.00 0 0 100 37,300.00 0 0
44 N-asetil sistein tab 200mg 301 0 Rp - 60 18,060.00 0 0 10 3,010.00 50 15050
-
-
-
TOTAL Rp 78,232.50 2,982,867.00 2,751,799.00 309,300.50
JUMLAH TOTAL NILAI PENERIMAAN DARI GUDANG Rp 309,300.50

Rp2,982,867

NIP 19670906198903 1 005 NIP 1994020202020122014


PEMAKAIAN
NO NAMA OBAT SATUAN HARGA STOCK NILAI STOCK AWAL PENERIMAAN SISA STOCK KET.
SATUAN AWAL (Rp) Peneriman x
RESEP NILAI (Rp) NON-RESEP Nilai (Rp)
Harga rupiah
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 9 = (4x8) 10 11 = (4x10) 12 13
12)
5 amlodipin tab 10mg tablet 99 200 Rp 19,800.00 Rp - 200 Rp 19,800.00 0 0
6 amlodipin tab 5 mg tablet 53 0 Rp - 500 Rp 26,500 400 Rp 21,200.00 100 5300
7 Amoksisilin kaplet 500 mg tablet 253 0 Rp - 100 Rp 25,300 80 Rp 20,240.00 20 5060
11 Asam Ascorbat (Vit C) tab 250 mg tablet 119 0 Rp - 100 Rp 11,900 100 Rp 11,900.00 0 0
14 asam folat tab 1 mg tablet 56 20 Rp 1,120.00 100 Rp 5,600 0 Rp - 120 6720
16 Attapulgit (Antidiare) tab tablet 145 0 Rp - 200 Rp 29,000 110 Rp 15,950.00 90 13050
17 Betametason cream 0,05 % Tube 1430 1 Rp 1,430.00 Rp - 0 Rp - 1 1430
18 Betametason cream 0,05 % Tube 1540 0 Rp - 3 Rp 4,620 3 Rp 4,620.00 0 0
23 Furosemid tab 40 mg tablet 82 0 Rp - Rp - 0 Rp - 0 0
24 Garam oralit kombinasi sachet 274 0 Rp - 30 Rp 8,220 30 Rp 8,220.00 0 0
25 Gentamisin Tetes Mata 0,3% tube 4520 0 Rp - Rp - 0 Rp - 0 0
27 hand sanitizer 500 ml (alkohol 70% + chlorh Buah 34000 0 Rp - Rp - 0 Rp - 0 0
28 Hand Scrub Sabun Cuci Tangan Cair + clorhebuah 30450 0 Rp - Rp - 0 Rp - 0 0
29 Hidroklorotiazid ( HCT ) tab 25 mg buah 148 0 Rp - Rp - 0 Rp - 0 0
34 Kaptopril tab 25 mg tablet 75 10 Rp 750.00 2 Rp 150 12 Rp 900.00 0 0
35 Kloramfenikol Salep Mata 1 % tube 2007 0 Rp - Rp - 0 Rp - 0 0
36 Klorfeniramin Maleat ( CTM ) tab 4 mg tablet 23 0 Rp - 200 Rp 4,600 200 Rp 4,600.00 0 0
39 Metformin 500mg tablet 77 40 Rp 3,080.00 Rp - 0 Rp - 40 3080
40 metilprednisolon tab 4 mg tablet 102 0 Rp - Rp - 0 Rp - 0 0
42 Natrium Diklofenak tab 25mg tablet 128 110 Rp 14,080.00 100 Rp 12,800 210 Rp 26,880.00 0 0
47 Parasetamol drop Botol 4976 0 Rp - 25 Rp 124,400 18 Rp 89,568.00 7 34832
48 Parasetamol syr 120mg/5ml Botol 1160 0 Rp - 18 Rp 20,880 12 Rp 13,920.00 6 6960
55 Ranitiin tablet tablet 85 0 Rp - 100 Rp 8,500 100 Rp 8,500.00 0 0
57 Sianokobalamin (B 12) tab 50mcg tablet 49 0 Rp - 100 Rp 4,900 0 Rp - 100 4900
58 Tambah darah kombinasi ( ferro fumarat 60tablet 226 150 Rp 33,900.00 800 Rp 180,800 840 Rp 189,840.00 110 24860
60 Vaksin BCG inj 20 DOSIS tablet 87828 0 Rp - 3 Rp 263,484 3 Rp 263,484.00 0 0
Vaksin BCG inj 20 DOSIS tablet 97780 1 Rp 97,780.00 Rp - 1 Rp 97,780.00 0 0
61 Vaksin DPT-HB-Hib 5 dosis Vial 85103 0 Rp - 10 Rp 851,030 10 Rp 851,030.00 0 0
62 Vaksin hepatitis B rekombinan inj 0,5 ml (AnVial 25839 0 Rp - 0 Rp - 0 Rp - 0 0
65 Vaksin MR Vial 167860 0 Rp - 9 Rp 1,510,740 9 Rp 1,510,740.00 0 0
70 Zinc drops 10 mg/ml tablet 5051 0 Rp - Rp - 0 Rp - 0 0
81 Povidon 30 ml botol 3200 0 Rp - 1 Rp 3,200 1 Rp 3,200.00 0 0
0 0
0 0
TOTAL Rp 309,300.50 Rp 3,917,768 Rp 4,036,685.50 190,383.00
Rp 190,383.00
309,300.50
- Wonosobo, 30 September 2022

NIP 19670906198903 1 005 NIP 1994020202020122014



PEMAKAIAN
HARGA STOCK NILAI STOCK PENERIMAA SISA
NO NAMA OBAT SATUAN Peneriman x NILAI NON- NILAI SISA STOK
SATUAN AWAL AWAL (Rp) N RESEP Nilai (Rp) STOCK
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 9 = (4x8) 10 11 = (4x10) 12 13
12)
7 amlodipin tab 10mg tablet 70 0 Rp - 100 Rp 7,000 70 Rp 4,900.00 30 2100
8 amlodipin tab 5 mg tablet 53.48 0 Rp - 100 Rp 5,348 100 Rp 5,348.00 0 0
9 Amoksisilin kaplet 500 mg tablet 253 20 Rp 5,060.00 Rp - 20 Rp 5,060.00 0 0
11 Amoksisilin kaplet 500 mg tablet 201 0 Rp - 200 Rp 40,200 140 Rp 28,140.00 60 12060
12 Antasida DOEN tablet tablet 58 110 Rp 6,380.00 200 Rp 11,600 210 Rp 12,180.00 100 5800
Asam Ascorbat (Vitamin C) Tab 500 mg tablet 225 800 710
17 0 Rp - Rp 180,000 Rp 159,750.00 90 20250
19 asam folat tab 1 mg tablet 56 120 Rp 6,720.00 Rp - 120 Rp 6,720.00 0 0
21 Attapulgit (Antidiare) tab tablet 145 90 Rp 13,050.00 Rp - 70 Rp 10,150.00 20 2900
28 Furosemid tab 40 mg tablet 82 0 Rp - Rp - 0 Rp - 0 0
30 Gentamisin Tetes Mata 0,3% tube 4520 0 Rp - Rp - 0 Rp - 0 0
31 Gentamisin salep mata tube 2689 0 Rp - 3 Rp 8,067 1 Rp 2,689.00 2 5378
32 Gentamisin Tetes Mata 0,3% 4561 0 Rp - 3 Rp 13,683 2 Rp 9,122.00 1 4561
34 hand sanitizer 500 ml (alkohol 70% + chlBuah 34000 0 Rp - Rp - 0 Rp - 0 0
35 Hand Scrub Sabun Cuci Tangan Cair + clbuah 30450 0 Rp - Rp - 0 Rp - 0 0
36 Hidroklorotiazid ( HCT ) tab 25 mg buah 148 0 Rp - Rp - 0 Rp - 0 0
38 Hidrokortison cream 2,5 % Tube 2325 0 Rp - 6 Rp 13,950 5 Rp 11,625.00 1 2325
41 Kalsium Lactat ( Kalk ) tab 500 mg tablet 63 0 Rp - Rp - 0 Rp - 0 0
43 Kloramfenikol Salep Mata 1 % tube 2007 0 Rp - Rp - 0 Rp - 0 0
44 Klorfeniramin Maleat ( CTM ) tab 4 mg tablet 23 0 Rp - 300 Rp 6,900 290 Rp 6,670.00 10 230
47 Metformin 500mg tablet 77 40 Rp 3,080.00 Rp - 40 Rp 3,080.00 0 0
48 metilprednisolon tab 4 mg tablet 102 0 Rp - Rp - 0 Rp - 0 0
51 Natrium Diklofenak tab 25mg tablet 128 0 Rp - 100 Rp 12,800 100 Rp 12,800.00 0 0
53 Natrium Diklofenak tab 50 mg tablet 99 20 Rp 1,980.00 Rp - 20 Rp 1,980.00 0 0
57 Parasetamol drop Botol 4976 7 Rp 34,832.00 Rp - 7 Rp 34,832.00 0 0
61 Parasetamol syr 120mg/5ml botol 1170.55 0 Rp - 10 Rp 11,706 10 Rp 11,705.50 0 0
62 Parasetamol tab 500 mg tablet 153.18 0 Rp - 900 Rp 137,862 780 Rp 119,480.40 120 18381.6
67 Ranitiin tablet tablet 85 0 Rp - Rp - 0 Rp - 0 0
70 Tambah darah kombinasi ( ferro fumarat tablet 226 110 Rp 24,860.00 900 Rp 203,400 980 Rp 221,480.00 30 6780
72 Vaksin BCG inj 20 DOSIS tablet 87828 0 Rp - Rp - 0 Rp - 0 0
73 Vaksin BCG inj 20 DOSIS tablet 97780 0 Rp - Rp - 0 Rp - 0 0
75 Vaksin hepatitis B rekombinan inj 0,5 ml Vial 25839 0 Rp - Rp - 0 Rp - 0 0
81 Vitamin B kompleks tab tablet 89 60 Rp 5,340.00 Rp - 60 Rp 5,340.00 0 0
83 Zinc drops 10 mg/ml tablet 5051 0 Rp - Rp - 0 Rp - 0 0
88 Sianokobalamin (B 12) tab 50mcg tablet 49 0 Rp - Rp - 0 Rp - 0 0
89 Parasetamol syr 120mg/5ml Botol 1160 0 Rp - Rp - 0 Rp - 0 0
94 Oksitetrasiklin HCL salep mata 1 % tube 3500 0 Rp - 5 Rp 17,500 5 Rp 17,500.00 0 0
95 Povidon 30 ml botol 3200 0 Rp - Rp - 0 Rp - 0 0
0 Rp - 0 Rp - 0 0
TOTAL Rp 190,383.00 5767 Rp 873,236 Rp 950,002.90 113,615.60


NIP 19670906198903 1 005 NIP 1994020202020122014
REKAP DISTRIBUSI PER UNIT PKD SIKUNANG


PEMAKAIAN
NO NAMA OBAT SATUAN PENERIMAAN Peneriman x Harga NILAI Nilai Sisa Stok
rupiah (Rp)
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 9 = (4x8) 10 11 = (4x10) 12 13
12)
1 Acyclovir cream tablet 2531.5862 0 - - - 0 - - -
2 Acyclovir tab 400mg tablet 405 0 - - - 0 - - -
3 Alopurinol tab 100 mg tablet 87 0 - - - 0 - - -
4 alopurinol tab 300mg tablet 210 0 - - - 0 - - -
5 amlodipin tab 10mg tablet 70 50 3,500 400 28,000 450 31,500.00 - -
6 amlodipin tab 5 mg tablet 53 0 - 1,200 63,600 770 40,810.00 430 22,790
7 Amoksisilin kaplet 500 mg tablet 253 50 12,650 300 75,900 350 88,550.00 - -
8 Amoksisilin syr kering 250mg/5ml Botol 3628 0 - - - 0 - - -
9 Antasida DOEN tablet tablet 54 50 2,700 - - 50 2,700.00 - -
10 Antasida DOEN Suspensi Botol 1679 0 - - - 0 - - -
11 Asam Ascorbat (Vit C) tab 250 mg tablet 119 10 1,190 - - 10 1,190.00 - -
12 Asam Ascorbat (Vit C) tab 50 mg tablet 105 0 - 200 21,000 190 19,950.00 10 1,050
13 asam asetilsalisilat tab (asetosal) 80mg tablet 105 0 - - - 0 - - -
14 asam folat tab 1 mg tablet 56 0 - 600 33,600 420 23,520.00 180 10,080
15 Asam Mefenamat tab 500 mg tablet 111 0 - 300 33,300 265 29,415.00 35 3,885
16 Attapulgit (Antidiare) tab tablet 145 0 - 100 14,500 100 14,500.00 - -
17 Betametason cream 0,05 % Tube 1540 0 - 10 15,400 10 15,400.00 - -
18 cetirizine syr 5mg/5ml Botol 2915 0 - 20 58,300 20 58,300.00 - -
19 Deksametason tab 0,5 mg tablet 34 0 - - - 0 - - -
20 domperidon syr 5mg/5ml Botol 2700 0 - - - 0 - - -
21 Domperidon tab 10 mg tablet 90 0 - - - 0 - - -
22 Furosemid tab 40 mg tablet 82 0 - 400 32,800 390 31,980.00 10 820
23 Garam oralit kombinasi sachet 257 0 - - - 0 - - -
24 Gentamisin Tetes Mata 0,3% tube 4520 8 36,160 5 22,600 11 49,720.00 2 9,040
25 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) Buah 34000 0 - 2 68,000 2 68,000.00 - -
26 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine buah 30450 0 - - - 0 - - -
27 Hidroklorotiazid ( HCT ) tab 25 mg buah 148 0 - 1 148 1 148.00 - -
28 Hidrokortison cream 2,5 % Tube 2475 3 7,425 - - 3 7,425.00 - -
29 ibuprofen Suspensi 100mg/5ml Botol 2721 0 - 10 27,210 10 27,210.00 - -
30 Kalsium Glukonas inj ampul 10351 0 - - - 0 - - -
31 Kalsium Lactat ( Kalk ) tab 500 mg tablet 63 30 1,890 300 18,900 330 20,790.00 - -
32 Kaptopril tab 25 mg tablet 75 20 1,500 - - 20 1,500.00 - -
33 Kloramfenikol Salep Mata 1 % tube 2007 2 4,014 - - 2 4,014.00 - -
34 Klorfeniramin Maleat ( CTM ) tab 4 mg tablet 23 50 1,150 200 4,600 250 5,750.00 - -
35 Kotrimoksasol Syr 240mg/5ml - 60ml Botol 2190 0 - - - 0 - - -
36 Lidokain + epineprin inj ampul 1229 0 - - - 0 - - -
37 Metformin 500mg tablet 77 30 2,310 - - 30 2,310.00 - -
38 N-asetil sistein tab 200mg tablet 350 150 52,500 - - 150 52,500.00 - -
39 Natrium Diklofenak tab 25mg tablet 128 0 - - - 0 - - -
40 Natrium Diklofenak tab 50 mg tablet 99 0 - - - 0 - - -
41 Oksitoksin inj 10 IU/ ml - 1 ml ampul 1199 0 - - - 0 - - -
42 omeprazole kapsul 20mg tablet 129 0 - - - 0 - - -
43 Ondansetron tab 8 mg tablet 270 0 - - - 0 - - -
44 Parasetamol drop Botol 4976 0 - 10 49,760 10 49,760.00 - -
45 Parasetamol syr 120mg/5ml Botol 1181 0 - 15 17,715 15 17,715.00 - -
46 Parasetamol tab 500 mg tablet 97.9 0 - 200 19,580 120 11,748.00 80 7,832
47 Parasetamol tab 500 mg tablet 124.85 0 - 700 87,395 700 87,395.00 - -
48 Piridoxin HCL (vit B 6) tab 10 mg tablet 131 100 13,100 100 13,100 200 26,200.00 - -
49 Prednison tab 5 mg tablet 73 0 - 200 14,600 190 13,870.00 10 730
50 Retinol 100.000 UI tablet 306 0 - 32 9,792 32 9,792.00 - -
51 Retinol 200.000 UI tablet 552 0 - 50 27,600 50 27,600.00 - -
52 Sianokobalamin (B 12) tab 50mcg tablet 43 0 - 300 12,900 280 12,040.00 20 860
53 Tambah darah kombinasi ( ferro fumarat 60 mg, asam fotablet 226 380 85,880 1,000 226,000 1040 235,040.00 340 76,840
54 Tiamin HCL (B 1) tab 50 mg tablet 57 50 2,850 400 22,800 410 23,370.00 40 2,280
55 Vaksin BCG inj 20 DOSIS Vial 97780 0 - 2 195,560 1 97,780.00 1 97,780
56 Vaksin DPT-HB-Hib 5 dosis Vial 85103 0 - 13 1,106,339 13 1,106,339.00 - -
57 Vaksin hepatitis B rekombinan inj 0,5 ml (Anak) Vial 25839 0 - - - 0 - - -
58 Vaksin IPV Vial 158994 0 - 4 635,976 4 635,976.00 - -
59 Vaksin MR Vial 160831 0 - 6 964,986 6 964,986.00 - -
60 Vaksin polio bivalent 10 dosis Vial 21494 0 - 1 21,494 1 21,494.00 - -
61 Vaksin Tetanus (Td) Vial 18128 0 - - - 0 - - -
62 Vitamin B kompleks tab tablet 89 0 - 700 62,300 555 49,395.00 145 12,905
63 Zinc drops 10 mg/ml Botol 5051 0 - - - 0 - - -
64 Zink Sirup 20mg/5 ml Botol 3171 0 - - - 0 - - -
65 Zink tab tablet 208 0 - - - 0 - - -
66 Alkohol swab buah 145 0 - 200 29,000 200 29,000.00 - -
67 permetrin cream tube 11250 - 2 22,500 1 11,250.00 1 11,250
68 Ranitidin Tablet tablet 85 0 - 200 17,000 170 14,450.00 30 2,550
69 Antasida DOEN tablet tablet 58 0 - 100 5,800 100 5,800.00 - -
70 Domperidon tab 10 mg tablet 71 0 - 100 7,100 60 4,260.00 40 2,840
71 N-asetil sistein tab 200mg tablet 301 0 - 120 36,120 120 36,120.00 - -
72 Handscoon pendek steril no 7 (M) pasang 2772 0 - 50 138,600 8 22,176.00 42 116,424
73 Hidrogen Peroksida 3% botol 3360 0 - 2 6,720 1 3,360.00 1 3,360
74 Ringer lactat ( RL ) infus steril botol 7630 0 - 5 38,150 0 - 5 38,150
75 Vaksin polio bivalent 10 dosis Vial 23643 0 - 2 47,286 2 47,286.00 - -
76 Alat Suntik Sekali Pakai 0.05 ml biji 1460 0 - 36 52,560 12 17,520.00 24 35,040
77 Povidon iodin 30ml 3200 0 - 2 6,400 1 3,200.00 1 3,200
TOTAL 228,819 4,412,991 4,182,104.00 459,706.00
Rp 459,706.00

Wonosobo, 30 JUNI 2022

Maduri, S.Kep., Ners Galih Arum Palupi. S.farm.,Apt

NIP 19670906198903 1 005 NIP 1994020202020122014


PEMAKAIAN
NO NAMA OBAT SATUAN PENERIMAAN Peneriman x Harga NILAI Nilai Sisa Stok
rupiah (Rp)
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 9 = (4x8) 10 11 = (4x10) 12 13
12)
1 Acyclovir cream tablet 2,531.59 - - - - - - -
2 Acyclovir tab 400mg tablet 405.00 - - - - - - -
3 Alopurinol tab 100 mg tablet 87.00 - - - - - - -
4 alopurinol tab 300mg tablet 210.00 - - - - - - -
5 amlodipin tab 10mg tablet 70.00 - - - - - - -
6 amlodipin tab 5 mg tablet 53.00 430 22,790.00 300 15,900.00 560 29,680.00 170 9,010.00
7 Amoksisilin kaplet 500 mg tablet 253.00 - - - - - - -
8 Amoksisilin kaplet 500 mg tablet 249.00 - - 100 24,900.00 - - 100 24,900.00
9 Amoksisilin syr kering 250mg/5ml Botol 3,628.00 - - - - - - -
10 Antasida DOEN tablet tablet 54.00 - - - - - - -
11 Antasida DOEN Suspensi Botol 1,679.00 - - - - - - -
12 Asam Ascorbat (Vit C) tab 250 mg tablet 119.00 - - 200 23,800.00 200 23,800.00 - -
13 Asam Ascorbat (Vit C) tab 50 mg tablet 105.00 10 1,050.00 - 10 1,050.00 - -
14 Asam Ascorbat (Vitamin C) Tab 500 mg tablet 225.00 - - 100 22,500.00 100 22,500.00 - -
15 asam asetilsalisilat tab (asetosal) 80mg tablet 105.00 - - - - - - -
16 asam asetilsalisilat tab (asetosal) 80mg tablet 89.81 - - 100 8,981.00 - - 100 8,981.00
17 asam folat tab 1 mg tablet 56.00 180 10,080.00 100 5,600.00 100 5,600.00 180 10,080.00
18 Asam Mefenamat tab 500 mg tablet 111.00 35 3,885.00 - - - 35 3,885.00
19 Attapulgit (Antidiare) tab tablet 145.00 - - - - - - -
20 Betametason cream 0,05 % Tube 1,540.00 - - - - - - -
21 cetirizine syr 5mg/5ml Botol 2,915.00 - - - - - - -
22 Deksametason tab 0,5 mg tablet 34.00 - - - - - - -
23 domperidon syr 5mg/5ml Botol 2,700.00 - - - - - - -
24 Domperidon tab 10 mg tablet 90.00 - - - - - - -
25 Furosemid tab 40 mg tablet 82.00 10 820.00 - - - 10 820.00
26 Garam oralit kombinasi sachet 257.00 - - - - - - -
27 Garam oralit kombinasi sachet 274.00 - - 250 68,500.00 250 68,500.00 - -
28 Gentamisin Tetes Mata 0,3% tube 4,520.00 2 9,040.00 10 45,200.00 12 54,240.00 - -
29 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) Buah 34,000.00 - - - - - - -
30 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine buah 30,450.00 - - - - - - -
31 Hidroklorotiazid ( HCT ) tab 25 mg buah 148.00 - - - - - - -
32 Hidrokortison cream 2,5 % Tube 2,475.00 - - - - - - -
33 ibuprofen Suspensi 100mg/5ml Botol 2,721.00 - - - - - - -
34 Kalsium Glukonas inj ampul 10,351.00 - - - - - - -
35 Kalsium Lactat ( Kalk ) tab 500 mg tablet 63.00 - - 100 6,300.00 10 630.00 90 5,670.00
36 Kaptopril tab 25 mg tablet 75.00 - - - - - - -
37 Kloramfenikol Salep Mata 1 % tube 2,007.00 - - - - - - -
38 Klorfeniramin Maleat ( CTM ) tab 4 mg tablet 23.00 - - 400 9,200.00 150 3,450.00 250 5,750.00
39 Kotrimoksasol Syr 240mg/5ml - 60ml Botol 2,190.00 - - - - - - -
41 Metformin 500mg tablet 77.70 - - 100 7,770.00 80 6,216.00 20 1,554.00
42 Metformin 850mg tablet 154.39 - - 200 30,878.00 200 30,878.00 - -
43 N-asetil sistein tab 200mg tablet 350.00 - - - - - - -
44 Natrium Diklofenak tab 25mg tablet 128.00 - - 100 12,800.00 50 6,400.00 50 6,400.00
45 Natrium Diklofenak tab 50 mg tablet 99.00 - - - - - - -
46 Oksitoksin inj 10 IU/ ml - 1 ml ampul 1,199.00 - - - - - - -
47 omeprazole kapsul 20mg tablet 129.00 - - - - - - -
48 Ondansetron tab 8 mg tablet 270.00 - - - - - - -
49 Parasetamol drop Botol 4,976.00 - - 25 124,400.00 18 89,568.00 7 34,832.00
50 Parasetamol syr 120mg/5ml Botol 1,181.00 - - - - - - -
51 Parasetamol syr 120mg/5ml botol 1,160.00 - - 15 17,400.00 2 2,320.00 13 15,080.00
52 Parasetamol tab 500 mg tablet 97.90 80 7,832.00 500 48,950.00 470 46,013.00 110 10,769.00
54 Piridoxin HCL (vit B 6) tab 10 mg tablet 131.00 - - - - - - -
55 Prednison tab 5 mg tablet 73.00 10 730.00 - 10 730.00 - -
56 Retinol 100.000 UI tablet 306.00 - - - - - - -
58 Sianokobalamin (B 12) tab 50mcg tablet 43.00 20 860.00 400 17,200.00 410 17,630.00 10 430.00
59 Sianokobalamin (B 12) tab 50mcg tablet 49.00 - - 100 4,900.00 100 4,900.00 - -
60 Tambah darah kombinasi ( ferro fumarat 60 mg, asam fotablet 226.00 340 76,840.00 400 90,400.00 640 144,640.00 100 22,600.00
61 Tiamin HCL (B 1) tab 50 mg tablet 57.00 40 2,280.00 200 11,400.00 160 9,120.00 80 4,560.00
62 Vaksin BCG inj 20 DOSIS Vial 97,780.00 1 97,780.00 1 97,780.00 2 195,560.00 - -
63 Vaksin DPT-HB-Hib 5 dosis Vial 85,103.00 - - 7 595,721.00 7 595,721.00 - -
64 Vaksin hepatitis B rekombinan inj 0,5 ml (Anak) Vial 25,839.00 - - - - - - -
65 Vaksin IPV Vial 158,994.00 - - 3 476,982.00 3 476,982.00 - -
66 Vaksin MR Vial 160,831.00 - - 3 482,493.00 - - 3 482,493.00
67 Vaksin polio bivalent 10 dosis Vial 21,494.00 - - 4 85,976.00 4 85,976.00 - -
68 Vaksin Tetanus (Td) Vial 18,128.00 - - - - - - -
69 Vitamin B kompleks tab tablet 89.00 145 12,905.00 - 145 12,905.00 - -
70 Zinc drops 10 mg/ml Botol 5,051.00 - - - - - - -
71 Zink Sirup 20mg/5 ml Botol 3,171.00 - - - - - - -
72 Zink tab tablet 208.00 - - - - - - -
73 Alkohol swab buah 145.00 - - - - - - -
74 permetrin cream tube 11,250.00 1 11,250.00 10 112,500.00 11 123,750.00 - -
75 Ranitidin Tablet tablet 85.00 30 2,550.00 100 8,500.00 130 11,050.00 - -
76 Antasida DOEN tablet tablet 58.00 - - 100 5,800.00 100 5,800.00 - -
77 Domperidon tab 10 mg tablet 71.00 40 2,840.00 - 40 2,840.00 - -
78 N-asetil sistein tab 200mg tablet 301.00 - - 480 144,480.00 480 144,480.00 - -
79 Handscoon pendek steril no 7 (M) pasang 2,772.00 42 116,424.00 - 42 116,424.00 - -
80 Hidrogen Peroksida 3% botol 3,360.00 1 3,360.00 - 1 3,360.00 - -
81 Ringer lactat ( RL ) infus steril botol 7,630.00 5 38,150.00 - 5 38,150.00 - -
82 Vaksin polio bivalent 10 dosis Vial 23,643.00 - - - - - - -
83 Alat Suntik Sekali Pakai 0.05 ml biji 1,460.00 24 35,040.00 - 24 35,040.00 - -
85 safety box pcs 14,000.00 - - 1 14,000.00 1 14,000.00 - -
86 Salbutamol lar respirator utk nebulizer 1 mg/ml ampul 4,800.00 - - 1 4,800.00 1 4,800.00 - -
87 Povidon iodin 30ml 3,200.00 1 3,200.00 - 1 3,200.00 - -
TOTAL 459,706.00 2,626,011.00 2,437,903.00 647,814.00
459,706.00

NIP 19670906198903 1 005 NIP 1994020202020122014



PEMAKAIAN
NO NAMA OBAT SATUAN PENERIMAAN Peneriman x Harga NILAI NON- Nilai Sisa Stok
SATUAN AWAL AWAL (Rp) RESEP Nilai (Rp) STOCK
rupiah (Rp) RESEP
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 9 = (4x8) 10 11 = (4x10) 12 13
12)
1 Acyclovir cream tablet 2,531.59 - - - - - - -
2 Acyclovir tab 400mg tablet 405.00 - - - - - - -
3 Alopurinol tab 100 mg tablet 87.00 - - - - - - -
4 alopurinol tab 300mg tablet 210.00 - - - - - - -
5 amlodipin tab 10mg tablet 70.00 - - 200 14,000.00 200 14,000.00 - -
6 amlodipin tab 5 mg tablet 53.00 170 9,010.00 100 5,300.00 270 14,310.00 - -
7 Amoksisilin kaplet 500 mg tablet 253.00 - - - - - - -
8 Amoksisilin kaplet 500 mg tablet 249.00 100 24,900.00 - 50 12,450.00 50 12,450.00
9 Amoksisilin syr kering 250mg/5ml Botol 3,628.00 - - - - - - -
10 Amoksisilin kaplet 500 mg tablet 201 - - 200 40,200.00 200 40,200.00 - -
11 Antasida DOEN tablet tablet 54.00 - - - - - - -
12 Antasida DOEN Suspensi Botol 1,679.00 - - - - - - -
13 Asam Ascorbat (Vit C) tab 250 mg tablet 119.00 - - - - - - -
14 Asam Ascorbat (Vit C) tab 50 mg tablet 105.00 - - - - - - -
15 Asam Ascorbat (Vitamin C) Tab 500 mg tablet 225.00 - - 200 45,000.00 150 33,750.00 50 11,250.00
16 asam asetilsalisilat tab (asetosal) 80mg tablet 105.00 - - - - - - -
17 asam asetilsalisilat tab (asetosal) 80mg tablet 89.81 100 8,981.00 - 100 8,981.00 - -
18 asam folat tab 1 mg tablet 56.00 180 10,080.00 - 60 3,360.00 120 6,720.00
19 Asam Mefenamat tab 500 mg tablet 111.00 35 3,885.00 100 11,100.00 75 8,325.00 60 6,660.00
20 Attapulgit (Antidiare) tab tablet 145.00 - - - - - - -
21 Betametason cream 0,05 % Tube 1,540.00 - - - - - - -
22 cetirizine syr 5mg/5ml Botol 2,915.00 - - - - - - -
23 Deksametason tab 0,5 mg tablet 34.00 - - - - - - -
24 domperidon syr 5mg/5ml Botol 2,700.00 - - - - - - -
26 Furosemid tab 40 mg tablet 82.00 10 820.00 - 10 820.00 - -
27 Furosemid tab 40 mg tablet 98.00 - - 400 39,200.00 370 36,260.00 30 2,940.00
30 Gentamisin Tetes Mata 0,3% tube 4,520.00 - - - - - - -
31 Gentamisin Tetes Mata 0,3% botol 4561 - - 5 22,805.00 - - 5 22,805.00
32 hand sanitizer 500 ml (alkohol 70% + chlorhexidineBuah 34,000.00 - - - - - - -
33 Hand Scrub Sabun Cuci Tangan Cair + clorhexidinbuah 30,450.00 - - - - - - -
34 Hidroklorotiazid ( HCT ) tab 25 mg buah 148.00 - - - - - - -
35 Hidrokortison cream 2,5 % Tube 2325 - - 5 11,625.00 - - 5 11,625.00
36 Hidrokortison cream 2,5 % Tube 2,475.00 - - - - - - -
37 ibuprofen Suspensi 100mg/5ml Botol 2,721.00 - - - - - - -
38 Kalsium Glukonas inj ampul 10,351.00 - - - - - - -
39 Kalsium Lactat ( Kalk ) tab 500 mg tablet 63.00 90 5,670.00 - 90 5,670.00 - -
40 Kalsium Lactat ( Kalk ) tab 500 mg tablet 60.00 - - 200 12,000.00 160 9,600.00 40 2,400.00
41 Kaptopril tab 25 mg tablet 75.00 - - - - - - -
42 Kloramfenikol Salep Mata 1 % tube 2,007.00 - - - - - - -
43 Klorfeniramin Maleat ( CTM ) tab 4 mg tablet 23.00 250 5,750.00 - 240 5,520.00 10 230.00
44 Kotrimoksasol Syr 240mg/5ml - 60ml Botol 2,190.00 - - - - - - -
46 Metformin 500mg tablet 77.70 20 1,554.00 200 15,540.00 220 17,094.00 - -
47 Metformin 850mg tablet 154.39 - - - - - - -
48 N-asetil sistein tab 200mg tablet 350.00 - - - - - - -
49 Natrium Diklofenak tab 25mg tablet 128.00 50 6,400.00 100 12,800.00 150 19,200.00 - -
50 Natrium Diklofenak tab 50 mg tablet 99.00 - - - - - - -
51 Oksitoksin inj 10 IU/ ml - 1 ml ampul 1,199.00 - - - - - - -
52 omeprazole kapsul 20mg tablet 129.00 - - - - - - -
53 Ondansetron tab 8 mg tablet 270.00 - - - - - - -
54 Parasetamol drop Botol 4,976.00 7 34,832.00 - 7 34,832.00 - -
55 Parasetamol syr 120mg/5ml Botol 1,181.00 - - - - - - -
56 Parasetamol syr 120mg/5ml botol 1,160.00 13 15,080.00 - 13 15,080.00 - -
57 Parasetamol tab 500 mg tablet 97.90 110 10,769.00 - 110 10,769.00 - -
59 Parasetamol tab 500 mg tablet 153.18 - - 700 107,226.00 630 96,503.40 70 10,722.60
60 Piridoxin HCL (vit B 6) tab 10 mg tablet 131.00 - - - - - - -
61 Prednison tab 5 mg tablet 73.00 - - - - - - -
62 Prednison tab 5 mg tablet 68 - - 300 20,400.00 300 20,400.00 - -
65 Sianokobalamin (B 12) tab 50mcg tablet 43.00 10 430.00 300 12,900.00 120 5,160.00 190 8,170.00
66 Sianokobalamin (B 12) tab 50mcg tablet 49.00 - - 100 4,900.00 100 4,900.00 - -
67 Tambah darah kombinasi ( ferro fumarat 60 mg, astablet 226.00 100 22,600.00 600 135,600.00 620 140,120.00 80 18,080.00
68 Tiamin HCL (B 1) tab 50 mg tablet 57.00 80 4,560.00 400 22,800.00 460 26,220.00 20 1,140.00
69 Vaksin BCG inj 20 DOSIS Vial 97,780.00 - - - - - - -
70 Vaksin DPT-HB-Hib 5 dosis Vial 85,103.00 - - - - - - -
71 Vaksin hepatitis B rekombinan inj 0,5 ml (Anak) Vial 25,839.00 - - - - - - -
72 Vaksin IPV Vial 158,994.00 - - - - - - -
73 Vaksin MR Vial 160,831.00 3 482,493.00 - 3 482,493.00 - -
75 Vaksin Tetanus (Td) Vial 18,128.00 - - - - - - -
76 Vitamin B kompleks tab tablet 89.00 - - - - - - -
77 Zinc drops 10 mg/ml Botol 5,051.00 - - - - - - -
78 Zink Sirup 20mg/5 ml Botol 3,171.00 - - - - - - -
79 Zink tab tablet 208.00 - - - - - - -
80 Alkohol swab buah 145.00 - - - - - - -
81 permetrin cream tube 11,250.00 - - - - - - -
82 Ranitidin Tablet tablet 85.00 - - 100 8,500.00 70 5,950.00 30 2,550.00
83 Antasida DOEN tablet tablet 58.00 - - 200 11,600.00 200 11,600.00 - -
87 Handscoon pendek steril no 7, 5 L pasang 1,640.00 - - 50 82,000.00 50 82,000.00 - -
88 Hidrogen Peroksida 3% botol 3,360.00 - - - - - - -
89 Ringer lactat ( RL ) infus steril botol 7,630.00 - - - - - - -
91 Alat Suntik Sekali Pakai 0.05 ml biji 1,460.00 - - - - - - -
92 safety box pcs 14,000.00 - - - - - - -
Salbutamol lar respirator utk nebulizer 1 mg/ml ampul 4,800.00 -
93 - - - - - -
94 Lisinopril tab 5 mg tablet 145 - - 300 43,500.00 300 43,500.00 - -
95 Povidon iodin 30ml 3,200.00 - - - - -
TOTAL 647,814.00 733,356.00 1,263,427.40 117,742.60


NIP 19670906198903 1 005 NIP 1994020202020122014
REKAP DISTRIBUSI PER UNIT RAWAT JALAN

REKAPAN SATU SEMESTER JANUARI S/D JUNI 2022
PEMAKAIAN
NO NAMA OBAT SATUAN PENERIMAAN Nilai Penerimaan NON- SISA STOCK Nilai Stok Akhir
SATUAN AWAL (Rp) RESEP NILAI (Rp) Nilai (Rp)
RESEP
1 2 3 4 5 6 = (4x5) 7 4x7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12 13
1 acylovir tab Tablet 405 89 36045 600 243000 73 29565 489 198045 127 51435
2 Alopurinol tab 100 mg Tablet 87 0 0 700 60900 160 13920 0 0 540 46980
3 Alopurinol tab 100 mg Tablet 105 0 0 200 21000 200 21000 0 0 0
4 Alopurinol tab 300 mg Tablet 210 0 0 220 46200 120 25200 0 100 21000
5 Allopurinol tab 300 mg tablet 200 0 0 100 20000 0 0 0 100 20000
6 Albendazol tab tablet 282 0 0 3800 1071600 0 3800 1071600 0 0
7 amlodipin 10mg Tablet 70 2365 165550 4005 280350 6225 435750 0 145 10150
8 amlodipin 10mg Tablet 99 0 0 0 0 0 0 0 0 0
9 amlodipin 5mg tablet 53 461 24433 1600 84800 1750 92750 0 311 16483
10 Amoksisilin kaplet 500 mg Tablet 249 0 0 1100 273900 831 206919 0 269 66981
11 amoksisilin kaplet 500mg Tablet 253 2259 571527 30100 7615300 3600 910800 28759 7276027 0 0
12 amoksisilin syr kering 250mg/5ml botol 3628 111 402708 225 816300 146 529688 190 689320 0 0
13 antasida DOEN suspensi botol 1679 100 167900 319 535601 215 360985 0 204 342516
14 antasida tab tablet 58 1260 73080 3700 214600 4546 263668 0 414 24012
15 Anti Bakteri DOEN Salep Buah 2924 0 0 100 292400 100 292400 0 0 0
16 Antimigren DOEN Tablet 185 0 0 500 92500 400 74000 0 100 18500
17 antihemoroid supp supp 3167 43 136181 140 443380 125 395875 0 58 183686
18 asam mefenamat tablet 111 915 101565 2800 310800 3345 371295 0 370 41070
19 asam mefenamat tablet 105 0 0 100 10500 100 10500 0 0 0
20 asam ascorbat 500 mg tablet 198 100 19800 0 0 70 13860 0 30 5940
21 asam ascorbat 250 mg tablet 119 0 0 1800 214200 1425 169575 0 375 44625
22 asam ascorbat 50mg tablet 105 1797 188685 5900 619500 7450 782250 0 247 25935
23 asam asetilsalisilat / asetosal tablet 105 164 17220 710 74550 10 1050 864 90720 0 0
24 asam traneksamat tablet 10 0 0 40 400 40 400 0 0 0
25 asam folat 1mg tablet 56 505 28280 700 39200 830 46480 0 375 21000
26 attapulgit / antidiare tablet 145 423 61335 540 78300 611 88595 0 352 51040
27 azitromisin 500mg tablet 1250 1250 1562500 0 0 1250 1562500 0 0 0
28 betahistin tablet 110 189 20790 150 16500 339 37290 0 0 0
29 betametason cream tube 1430 0 0 7 10010 2 2860 0 5 7150
30 betametason cream tube 1540 26 40040 49 75460 42 64680 0 33 50820
31 betahistin tablet 89 0 0 100 8900 10 890 0 90 8010
32 asamasetil salisilat tablet 89.81 0 0 100 8981 0 0 0 100 8981
33 bisacodil tablet 319 80 25520 60 19140 130 41470 0 10 3190
34 bisoprolol tablet 137 110 15070 210 28770 280 38360 0 40 5480
35 bisoprolol tablet 138 0 0 60 8280 0 0 0 60 8280
36 cefadroxil syr kering 125mg / 5ml botol 4185 0 0 50 209250 5 20925 0 45 188325
37 cefadroxil syr kering 250mg / 5ml botol 5549 10 55490 0 0 10 55490 0 0 0
38 cefadroxil kapsul 500mg kapsul 552.992 190 105068.48 400 221196.8 466 257694.272 0 124 68571
39 cefadroxil kapsul 500mg kapsul 388 0 0 300 116400 136 52768 0 164 63632
40 cetirizin tab tablet 49 215 10535 1400 68600 1400 68600 0 215 10535
41 cefixime kapsul 200 mg kapsul 2370 0 0 30 71100 30 71100 0 0 0
42 Cefixim kapsul 200 mg kapsul 749 0 100 74900 0 0 0 100 74900
43 cetirizin syr 5mg/5ml botol 2915 28 81620 30 87450 54 157410 0 4 11660
44 clopidegrol 75mg tablet 1404 1 1404 0 0 1 1404 0 0 0
45 clindamicin 300mg kapsul 522 45 23490 150 78300 125 65250 0 70 36540
46 deksametason 0,5mg tablet 34 1052 35768 2700 91800 3690 125460 0 62 2108
47 Dietilkarbamazin sitrat 100 mg… tablet 7774.45482292 0 0 3000 23323364.4687603 0 0 3000 23323364.4687603 0 0
48 digoksin 0,25mg tablet 104 0 0 0 0 0 0 0 0 0 0
49 diazepam rectal supp 62865 10 628650 0 0 5 314325 0 5 314325
50 diazepam tablet 10900 100 1090000 0 0 0 0 0 100 1090000
51 Diltiazem Tablet 142 79 11218 0 0 25 3550 0 54 7668
52 dimenhidrinat tablet 112 212 23744 0 0 122 13664 0 90 10080
53 domperidon tablet 91 270 24570 100 9100 370 33670 0 0 0
54 domperidon syr botol 2700 13 35100 93 251100 69 186300 0 37 99900
55 feno fibrat 100 mg Tablet 1073 0 0 90 96570 90 96570 0 0 0
56 fitomenadion tablet 748 170 127160 200 149600 285 213180 0 85 63580
57 fenol gliserol TT 10 % botol 2764 26 71864 30 82920 56 154784 0 0 0
58 Fenofibrat tab 477 0 0 50 23850 0 0 50 23850
59 fenol gliserol TT 10 % botol 3300 0 0 46 151800 20 66000 0 26 85800
60 Domperidon tab tablet 2296 0 0 50 114800 50 114800 0 0 0
61 domperidon tablet tablet 71 0 0 200 14200 75 5325 0 125 8875
62 furosemid 40mg tablet 82 1105 90610 5000 410000 4088 335216 1500 123000 517 42394
63 garam oralit kombinasi sachet 257 66 16962 160 41120 226 58082 0 0 0
64 gemfibrozil 300mg kapsul 396 10 3960 100 39600 0 0 0 110 43560
65 gentian violet botol 2710.21 3 8130.63 1 2710.21 4 10840.84 0 0 0
66 gentamisin tetes mata 0,3% botol 4232 23 97336 33 139656 56 236992 0 0 0
67 glimepirid 2mg tablet 123 510 62730 1200 147600 1445 177735 0 265 32595
68 glimepirid 4mg tablet 183 354 64782 700 128100 850 155550 0 204 37332
69 glibenklamid tablet 119 1030 122570 0 0 911 108409 0 119 14161
70 garam oralit kombinasi sachet 274 0 0 360 98640 170 46580 0 190 52060
71 gentamisin tetes mata 0,3% tube 2675 0 0 85 227375 6 16050 0 79 211325
72 gentamisin tetes mata 0,3% tube 4520 0 0 40 180800 9 40680 0 31 140120
73 Griseofulvin (micronized) tab 500 mg Tablet 224 0 0 200 44800 200 44800 0 0 0
74 Griseofulvin 125 mg tab tablet 224 0 0 200 44800 200 44800 0 0 0
75 Glukosa larutan infus 5 % steril 500ml tablet 7363 0 0 2 14726 2 14726 0 0 0
76 hidrokortison cream 2,5 % tube 2475 21 51975 54 133650 62 153450 0 13 32175
77 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) Buah 34000 0 0 3 102000 0 0 2 68000 1 34000
78 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) Buah 27400 0 0 11 301400 1 27400 10 274000 0 0
79 hand sanitizer 5000 ml ( 5 liter) Buah 650000 0 0 1 650000 0 0 1 650000 0 0
80 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine Buah 30450 0 0 10 304500 0 0 10 304500 0 0
81 Handscoon pendek non steril no 6.5 (S) pasang 4272.72728 0 0 50 213636.364 0 0 0 50 213636
82 Handscoon pendek steril no 7.5 (L) pasang 8636 0 0 50 431800 0 0 0 50 431800
83 Griseofulvin (micronized) tab 500 mg tablet 839 0 0 100 83900 0 0 0 100 83900
84 Hepatoprotektor tab (Curcuma tablet) Tablet 639 0 0 300 191700 205 130995 0 95 60705
85 hidroklortiazid tablet 148 686 101528 1300 192400 1761 260628 0 225 33300
86 hyoscine N Butilbromida tablet 1050 119 124950 100 105000 20 21000 0 199 208950
87 ibuprofen suspensi 100mg botol 2721 2 5442 98 266658 100 272100 0 0 0
88 ISDN tablet 89 110 9790 100 8900 210 18690 0 0 0
89 ISDN tablet 86 0 0 100 8600 100 8600 0 0 0
90 Kasa Pembalut hidrofil 16 x 16 pcs 3500 0 0 1 3500 1 3500 0 0 0
91 kalsium laktat 500mg tablet 53 359 19027 1820 96460 1900 100700 0 279 14787
92 kaptropil 25mg tablet 75 290 21750 400 30000 502 37650 0 188 14100
93 kaptropil 25mg Tablet 66 0 0 100 6600 10 660 0 90 5940
94 ketokonazol cream tube 2518 0 0 300 755400 300 755400 0 0 0
95 Ketokonazol cream 2% Tube 2370 0 0 10 23700 0 0 0 10 23700
96 ketokonazol tab 200mg Tablet 252 55 13860 300 75600 240 60480 0 115 28980
97 klorfeniramin / CTM tablet 22 1273 28006 2850 62700 3890 85580 0 233 5126
98 klorfeniramin / CTM Tablet 23 0 0 5300 121900 5100 117300 0 200 4600
99 kloramfenikol salep kulit 2% tube 3266 16 52256 76 248216 67 218822 0 25 81650
100 kloramfenikol salep mata 1% tube 2007 6 12042 23 46161 8 16056 0 21 42147
101 kotrimoksasol syr 240/5ml-60ml botol 2190 37 81030 0 0 37 81030 0 0 0
102 Kloramfenikol kapsul 500mg tablet 1174 0 0 1000 1174000 10 11740 990 1162260 0 0
103 kotrimoksasol 480mg tablet 151 110 16610 100 15100 160 24160 0 50 7550
104 ketokonazol cream tube 2518 0 0 300 755400 300 755400 0 0 0
105 ketokonazol tablet 252 55 13860 200 50400 240 60480 0 15 3780
106 loratadine tablet 131 225 29475 0 0 60 7860 0 165 21615
107 lisinopril 5mg tablet 145 60 8700 200 29000 20 2900 0 240 34800
108 masker bedah Buah 500 0 0 8880 4440000 2850 1425000 5980 2990000 50 25000
109 masker bedah Buah 540 0 0 3300 1782000 2800 1512000 500 270000 0 0
110 masker kain Buah 3500 0 0 29 101500 10 35000 19 66500 0 0
111 masker kn-95 Buah 40000 0 0 54 2160000 10 400000 0 44 1760000
112 metformin 500mg tablet 77 746 57442 900 69300 1646 126742 0 0 0
113 metformin 850mg tablet 153 830 126990 1700 260100 2450 374850 0 80 12240
114 metildopa 250mg tablet 946 100 94600 0 0 20 18920 0 80 75680
115 mikonazol serb 2% botol 22700 4 90800 5 113500 9 204300 0 0 0
116 mikonazol salep tube 3414 15 51210 24 81936 32 109248 0 7 23898
117 metronidazol syr botol 3950 42 165900 57 225150 99 391050 0 0 0
118 metronidazol 500mg tablet 174.999 170 29749.83 300 52499.7 285 49874.715 0 185 32375
119 metilprednisolon tablet 143 220 31460 0 0 220 31460 0 0 0
120 metilprednisolon tablet 102 0 600 61200 225 22950 0 375 38250
121 Momegtason cream tube 5795 0 0 6 34770 0 0 0 6 34770
122 n asetil sistein 200mg tablet 373 1380 514740 1000 373000 2380 887740 0 0 0
123 nistatin tablet 843 25 21075 200 168600 160 134880 0 65 54795
124 nistatin suspensi botol 13900 5 69500 5 69500 5 69500 0 5 69500
125 nistatin suspensi botol 11500 0 0 15 172500 0 0 0 15 172500
126 nifedipin 20 mg tablet 3575 0 0 30 107250 30 107250 0 0 0
127 nifedipin 10 mg Tablet 105 92 9660 90 9450 165 17325 0 17 1785
128 natrium diklofenak 25mg tablet 128 680 87040 2100 268800 2700 345600 0 80 10240
129 natrium diklofenak 50mg tablet 99 855 84645 2300 227700 2885 285615 0 270 26730
130 natrium diklofenak 50mg tablet 94.5 0 0 800 75600 800 75600 0 0 0
131 n asetil sistein 200mg tablet 301 0 0 2330 701330 2183 657083 0 147 44247
132 natrium fusidat salep 2% tube 4699 1 4699 34 159766 10 46990 0 25 117475
133 obat flu kombinasi tablet 489.5 225 110137.5 900 440550 1125 550687.5 0 0 0
134 ofloxacin tablet 616 194 119504 110 67760 290 178640 0 14 8624
135 ofloxacin TAB 535 0 0 40 21400 0 0 0 40 21400
136 oksitetrasiklin HCL 1% SM tube 3500 22 77000 189 661500 22 77000 0 189 661500
137 omeprazole tablet 129 663 85527 1600 206400 2058 265482 0 205 26445
138 oseltamivir tablet 7000 10 70000 30 210000 40 280000 0 0 0
139 ondansentron tablet 351 30 10530 30 10530 60 21060 0 0 0
140 golongan OAT katagori 1 Paket 416696 0 0 7 2916872 0 0 7 2916872 0 0
141 Ondansetron tab 8 mg 270 0 0 120 32400 20 5400 0 100 27000
142 OAT fdc ANAK Paket 248310 0 0 2 496620 2 496620 0 0 0
143 parasetamol syrup botol 1160 0 0 105 121800 0 0 0 105 121800
144 parasetamol syrup botol 1181 67 79127 200 236200 141 166521 0 126 148806
145 parasetamol drop botol 4976 67 333392 389 1935664 263 1308688 0 193 960368
146 parasetamol 500mg tablet 124.85 3203 399894.55 9600 1198560 12595 1572485.75 0 208 25969
147 parasetamol 500mg Tablet 97.9 0 0 3700 362230 3400 332860 0 300 29370
148 perak sulfadiazin cream tube 18577 1 18577 3 55731 1 18577 0 3 55731
149 perak sulfadiazin cream tube 20700 0 0 8 165600 1 20700 0 7 144900
150 permetrin cream tube 11250 25 281250 73 821250 68 765000 0 30 337500
151 piridoxin HCL 10mg tablet 131 360 47160 800 104800 910 119210 0 250 32750
152 piroxicam tablet 1202.5 42 50505 100 120250 30 36075 0 112 134680
153 prednison 5mg tablet 73 1037 75701 1700 124100 2518 183814 0 219 15987
154 retinol 100.000 kapsul 306 200 61200 0 0 100 30600 0 100 30600
155 retinol 200.000 kapsul 552 50 27600 0 0 34 18768 0 16 8832
156 ranitidin 150mg tablet 433 102 44370.0000000002 100 43327 102 44370.0000000002 0 100 43327
157 salbutamol 2mg tablet 48 275 13200 200 9600 475 22800 0 0 0
158 salbutamol 2mg Tablet 57 275 15675 500 28500 520 29640 0 255 14535
159 salbutamol 4mg tablet 63 155 9765 500 31500 410 25830 0 245 15435
160 salep 2-4 tube 2796 8 22368 14 39144 8 22368 0 14 39144
161 sianokobalamin 50mcg tablet 43 164 7052 400 17200 549 23607 0 15 645
162 simvastatin 10mg tablet 68 420 28560 500 34000 790 53720 0 130 8840
163 sodium bicarbonat tablet 0 0 0 0 0 0 0 0 0 0
164 spironolacton 25mg tablet 190 130 24700 100 19000 230 43700 0 0 0
165 sukralfat syr 500mg / 5ml botol 6789 15 101835 0 0 15 101835 0 0 0
166 sukralfat syr 500mg / 5ml botol 4989 0 0 96 478944 15 74835 0 81 404109
167 prednison 5mg tablet 68 0 0 100 6800 0 0 0 100 6800
168 tambah darah kombinasi tablet 226 810 183060 4900 1107400 5582 1261561.815 0 128 28898
169 tiamin HCL 50mg tablet 91 0 0 640 58240 640 58240 0 0 0
170 vitamin B kompleks 50mg tablet 89 2169 193041 14000 1246000 16000 1424000 0 169 15041
171 zink tablet 208 146 30368 400 83200 328 68224 0 218 45344
172 zink syr botol 3171 27 85617 12 38052 25 79275 0 14 44394
173 zink drop botol 5051 44 222244 28 141428 41 207091 0 31 156581
174 zinkvit multivitamin tablet 585 140 81900 0 0 20 11700 120 70200 0 0
175 tiamin HCL 50mg tablet 57 0 0 1000 57000 750 42750 0 250 14250
177 golongan OAT katagori 1 paket 416696 0 0 2 833392 0 0 2 833392 0 0
179 APD SET (masker bedah, faceshield, hansdsanitizer, sar Buah 98450 0 0 64 6300800 0 0 64 6300800 0 0
180 Apron Buah 45000 0 0 10 450000 0 0 10 450000 0 0
181 Kacamata Google Buah 26000 0 0 5 130000 0 0 5 130000 0 0
182 Kacamata Google Buah 60000 0 0 7 420000 0 0 7 420000 0 0
183 Kasa Pembalut hidrofil 16 x 16 Buah 3500 0 0 10 35000 0 0 10 35000 0 0
184 Tensimeter Digital Buah 350909 0 0 1 350909 0 0 1 350909 0 0
185 Gown Buah 33000 0 0 30 990000 0 0 30 990000 0 0
186 Penutup Kepala BUAH 644 0 0 244 157136 0 94 60536 150 96600
187 povidon Botol 3200 0 0 9 28800 0 9 28800 0 0
TOTAL 11,391,662.99 84,065,961.43 30,858,598.89 53,168,934.47 11,430,091.06
84,027,533.36 11,430,091.06

PERIODE MARET 2022 7,087,682.20
PERIODE MEI 2022 Rp11,614,057


NIP 19670906198903 1 005 NIP 1994020202020122014

REKAPAN SATU SEMESTER JULI- SEPTEMBER 2022
PERIODE JULI- SEPTEMBER
PEMAKAIAN
NO NAMA OBAT SATUAN PENERIMAAN Nilai Penerimaan NON- SISA STOCK Nilai Stok Akhir
SATUAN AWAL (Rp) RESEP NILAI (Rp) Nilai (Rp)
RESEP
1 2 3 4 5 6 = (4x5) 7 4x7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12 13
1 acylovir tab Tablet 405 127 51435 0 77 31185 50 20250

3 Alopurinol tab 100 mg Tablet 87 540 46980 300 26100 605 52635 235 20445
4 Alopurinol tab 100 mg Tablet 105 0 0 0 0 0 0
5 Alopurinol tab 300 mg Tablet 210 100 21000 0 50 10500 50 10500
6 Allopurinol tab 300 mg tablet 200 100 20000 0 20 4000 80 16000
7 Albendazol tab tablet 282 0 0 0 0 0 0
8 amlodipin 10mg Tablet 70 145 10150 730 51100 690 48300 185 12950
9 amlodipin 10mg Tablet 99 0 0 0 0 0 0
10 amlodipin 5mg tablet 53 311 16483 1200 63600 900 47700 611 32383
11 Amoksisilin kaplet 500 mg Tablet 249 269 66981 600 149400 869 216381 0 0
12 Amoksisilin kaplet 500 mg Tablet 201 0 0 1000 201000 740 148740 260 52260
13 amoksisilin kaplet 500mg Tablet 253 0 0 0 0 0 0 0
14 amoksisilin syr kering 250mg/5ml botol 3628 0 0 0 0 0 0 0
15 amoksisilin syr kering 250mg/5ml botol 3529.8 0 0 45 158841 35 123543 10 35298
16 antasida DOEN suspensi botol 1679 204 342516 92 154468 90 151110 206 345874
17 antasida tab tablet 58 414 24012 1000 58000 1100 63800 314 18212
18 Anti Bakteri DOEN Salep Buah 3509 52 182468 25 87725 0 0 77 270193
19 Antifungi doen kombinasi tube 3477 0 0 10 34770 0 0 10 34770
20 Antimigren DOEN Tablet 185 100 18500 300 55500 300 55500 100 18500
21 antihemoroid supp supp 3167 58 183686 51 161517 47 148849 62 196354
22 asam mefenamat tablet 111 370 41070 0 370 41070 0 0
23 asam mefenamat tablet 194.7 133 25895 300 58410 100 19470 333 64835.1
24 asam ascorbat 500 mg tablet 198 30 5940 0 0 0 30 5940
25 asam ascorbat 250 mg tablet 119 375 44625 3600 428400 3600 428400 375 44625
26 asam ascorbat 50mg tablet 105 247 25935 2000 210000 2000 210000 247 25935
27 asam asetilsalisilat / asetosal tablet 105 0 0 0 0 0 0 0
28 asam traneksamat tablet 10 0 0 0 0 0 0 0
29 asam folat 1mg tablet 56 375 21000 200 11200 120 6720 455 25480
30 attapulgit / antidiare tablet 145 352 51040 200 29000 180 26100 372 53940
31 azitromisin 500mg tablet 1250 0 0 0 0 0 0 0
32 betahistin tablet 89 90 8010 200 17800 100 8900 190 16910
33 betametason cream tube 1430 5 7150 1 1430 6 8580 0 0
35 betahistin tablet 89 0 0 0 0 0 0 0
36 asamasetil salisilat tablet 89.81 100 8981 0 20 1796.2 80 7184.8
37 bisacodil tablet 319 10 3190 0 10 3190 0 0
38 bisoprolol tablet 137 40 5480 0 0 0 40 5480
39 bisoprolol tablet 138 60 8280 200 27600 120 16560 140 19320
40 Candensartan 16 mg tablet 322 0 0 60 19320 0 0 60 19320
41 cefadroxil syr kering 125mg / 5ml botol 4185 45 188325 0 3 12555 42 175770
43 cefadroxil kapsul 500mg kapsul 552.992 124 68571 0 50 27649.6 74 40921.408
45 cetirizin tab tablet 49 415 20335 600 29400 500 24500 515 25235
46 cefixime kapsul 200 mg kapsul 2370 0 0 0 0 0 0 0
47 Cefixim kapsul 200 mg kapsul 749 100 74900 100 74900 100 74900 100 74900
48 cetirizin syr 5mg/5ml botol 2915 4 11660 0 0 0 4 11660
49 clopidegrol 75mg tablet 1404 0 0 0 0 0 0 0
50 clindamicin 300mg kapsul 522 70 36540 0 30 15660 40 20880
51 deksametason 0,5mg tablet 34 62 2108 1900 64600 1900 64600 62 2108
52 Dietilkarbamazin sitrat 100 mg… tablet 24136.14881165 0 0 0 0 0 0 0
53 digoksin 0,25mg tablet 104 0 0 0 0 0 0 0
54 diazepam rectal supp 62865 5 314325 0 5 314325 0 0
55 diazepam tablet 10900 100 1090000 10 109000 110 1199000 0 0
56 Diltiazem Tablet 142 54 7668 0 0 54 7668
57 dimenhidrinat tablet 112 90 10080 0 90 10080 0 0
58 domperidon tablet 91 0 0 100 9100 0 100 9100
59 domperidon syr botol 2700 37 99900 0 15 40500 22 59400
60 feno fibrat 100 mg Tablet 1073 0 0 0 0 0 0
61 fitomenadion tablet 748 85 63580 150 112200 110 82280 125 93500
62 fenol gliserol TT 10 % botol 2764 0 0 0 0 0 0 0
63 Fenofibrat tab 477 50 23850 0 10 4770 40 19080
64 fenol gliserol TT 10 % botol 3300 26 85800 0 0 0 26 85800
65 Domperidon syr botol 2296 0 0 19 43624 5 11480 14 32144
66 domperidon tablet tablet 71 125 8875 200 14200 200 14200 125 8875
67 furosemid 40mg tablet 82 517 42394 650 53300 810 66420 357 29274
68 garam oralit kombinasi sachet 257 0 0 0 0 0 0 0
69 gemfibrozil 300mg kapsul 396 110 43560 0 20 7920 90 35640
70 gentian violet botol 2710.21 0 0 6 16261.26 6 16261.26 0 0
71 gentamisin tetes mata 0,3% botol 4232 0 0 0 0 0 0 0
72 Gentasmisin salep mata tube 2689 0 0 24 64536 1 2689 23 61847
73 glimepirid 2mg tablet 123 265 32595 400 49200 320 39360 345 42435
75 glibenklamid tablet 83 0 0 100 8300 0 0 100 8300
76 glibenklamid tablet 119 119 14161 0 119 14161 0 0
78 gentamisin tetes mata 0,3% tube 2675 79 211325 0 60 160500 19 50825
79 gentamisin tetes mata 0,3% tube 4520 31 140120 10 45200 31 140120 10 45200
80 Griseofulvin (micronized) tab 500 mg Tablet 839 100 83900 100 83900 40 33560 160 134240
81 Griseofulvin 125 mg tab tablet 224 0 0 0 0 0 0 0
82 Glukosa larutan infus 5 % steril 500ml tablet 7363 0 0 0 0 0 0 0
83 hidrokortison cream 2,5 % tube 2475 13 32175 28 69300 28 69300 13 32175
85 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) Buah 34000 1 34000 0 1 34000 0 0
86 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) Buah 27400 0 0 0 0 0 0
87 hand sanitizer 5000 ml ( 5 liter) Buah 650000 0 0 0 0 0 0
88 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine Buah 30450 0 0 0 0 0 0
89 Handscoon pendek non steril no 6.5 (S) pasang 4272.72728 50 213636 0 50 213636.364 0 0
90 Handscoon pendek steril no 7.5 (L) pasang 8636 50 431800 0 50 431800 0 0
91 Hepatoprotektor tab (Curcuma tablet) Tablet 639 95 60705 0 95 60705 0 0
92 Hepatoprotektor tab (Curcuma tablet) Tablet 681.45 0 0 120 81774 20 13629 100 68145
93 hidroklortiazid tablet 148 225 33300 900 133200 900 133200 225 33300
94 hyoscine N Butilbromida tablet 1050 199 208950 0 50 52500 149 156450
95 Ibuprofen tablet 200 mg tablet 138 0 0 100 13800 10 1380 90 12420
96 ibuprofen suspensi 100mg botol 2236 0 0 30 67080 2 4472 28 62608
97 ISDN tablet 89 0 0 0 0 0 0
98 ISDN tablet 86 0 0 0 0 0 0
99 Kasa Pembalut hidrofil 16 x 16 pcs 3500 0 0 5 17500 5 17500 0 0
100 kalsium laktat 500mg tablet 53 279 14787 0 200 10600 79 4187
101 kalsium laktat 500mg tablet 63 0 0 100 6300 0 0 100 6300
103 Kaptopril 12.5 Tablet 66 90 5940 300 19800 150 9900 240 15840
104 kaptropil 25mg tablet 75 188 14100 0 90 6750 98 7350
105 kaptropil 25mg Tablet 66 0 0 0 0 0 0 0
106 ketokonazol cream tube 2518 0 0 0 0 0 0 0
107 Ketokonazol cream 2% Tube 2370 10 23700 2 4740 2 4740 10 23700
108 ketokonazol tab 200mg Tablet 252 15 3780 0 15 3780 0 0
109 klorfeniramin / CTM tablet 22 233 5126 0 0 0 233 5126
110 klorfeniramin / CTM Tablet 23 200 4600 2900 66700 2880 66240 220 5060
111 kloramfenikol salep kulit 2% tube 3266 25 81650 16 52256 25 81650 16 52256
112 kloramfenikol salep mata 1% tube 2007 21 42147 0 21 42147 0 0
113 kotrimoksasol syr 240/5ml-60ml botol 2190 0 0 15 32850 10 21900 5 10950
114 Kloramfenikol kapsul 500mg tablet 1174 0 0 0 0 0 0 0
115 kotrimoksasol 480mg tablet 151 50 7550 100 15100 50 7550 100 15100
116 ketokonazol cream tube 2518 0 0 0 0 0 0 0
117 ketokonazol tablet 252 19 4788 0 0 0 19 4788
118 loratadine tablet 131 165 21615 50 6550 90 11790 125 16375
119 lisinopril 5mg tablet 145 240 34800 0 40 5800 200 29000
120 masker bedah Buah 500 50 25000 0 0 0 50 25000
121 masker bedah Buah 540 0 0 0 0 0 0
122 masker kain Buah 3500 0 0 0 0 0 0
123 masker kn-95 Buah 40000 44 1760000 0 0 0 44 1760000
124 metformin 500mg tablet 77.7 0 0 750 58275 480 37296 270 20979
125 metformin 850mg tablet 153 80 12240 300 45900 120 18360 260 39780
126 metildopa 250mg tablet 946 80 75680 0 0 0 80 75680
127 mikonazol serb 2% botol 22700 0 0 0 0 0 0 0
128 mikonazol salep tube 3414 7 23898 0 0 0 7 23898
129 metronidazol syr botol 3950 0 0 10 39500 3 11850 7 27650
130 metronidazol 500mg tablet 133 0 0 100 13300 100 13300 0 0
131 metronidazol 500mg tablet 174.999 185 32375 0 0 0 185 32374.815
132 metilprednisolon tablet 143 0 0 0 0 0 0
134 Metilergometrin tabler 214 0 0 200 42800 40 8560 160 34240
135 Momegtason cream tube 5795 6 34770 0 1 5795 5 28975
136 n asetil sistein 200mg tablet 301 0 0 2070 623070 1869 562569 201 60501
137 nistatin tablet 843 65 54795 0 0 0 65 54795
138 nistatin suspensi botol 13900 5 69500 0 0 0 5 69500
140 nifedipin 30 mg tablet 3986 0 0 60 239160 10 39860 50 199300
141 nifedipin 10 mg Tablet 105 17 1785 0 0 0 17 1785
142 natrium diklofenak 25mg tablet 128 80 10240 1350 172800 1150 147200 280 35840
145 n asetil sistein 200mg tablet 301 147 44247 0 147 44247 0 0
146 natrium fusidat salep 2% tube 4699 25 117475 5 23495 20 93980 10 46990
147 obat flu kombinasi tablet 489.5 0 0 0 0 0 0 0
148 Natrium bikarbonat tablet 48.4 0 0 100 4840 100 4840 0 0
149 ofloxacin tablet 616 14 8624 140 86240 140 86240 14 8624
150 ofloxacin TAB 535 40 21400 50 26750 0 90 48150
151 oksitetrasiklin HCL 1% SM tube 3500 189 661500 0 0 0 189 661500
152 omeprazole tablet 129 205 26445 800 103200 805 103845 200 25800
153 oseltamivir tablet 7000 0 0 0 0 0 0
154 ondansentron tablet 351 0 0 0 0 0 0
155 golongan OAT katagori 1 Paket 416696 0 0 4 1666784 0 0 4 1666784
156 Ondansetron tab 8 mg 270 100 27000 0 0 0 100 27000
157 OAT fdc ANAK Paket 248310 0 0 2 496620 2 496620 0 0
158 parasetamol syrup botol 1160 105 121800 42 48720 0 0 147 170520
159 parasetamol syrup botol 1181 126 148806 0 0 0 126 148806
160 parasetamol drop botol 4976 193 960368 20 99520 0 0 213 1059888
161 parasetamol 500mg tablet 124.85 208 25969 0 208 25968.8 0 0
162 parasetamol 500mg Tablet 97.9 300 29370 3200 313280 3000 293700 500 48950
163 perak sulfadiazin cream tube 18577 3 55731 0 0 0 3 55731
165 perak sulfadiazin cream tube 18557 0 0 3 55671 0 0 3 55671
166 permetrin cream tube 11250 30 337500 30 337500 10 112500 50 562500
167 prednison 5mg Tablet 68 0 0 500 34000 300 20400 200 13600
168 piridoxin HCL 10mg tab 131 52 6812 500 65500 500 65500 52 6812
169 piroxicam tablet 1202.5 112 134680 0 40 48100 72 86580
170 Pembungkus plastik pcs 9800 0 0 100 980000 100 980000 0 0
171 prednison 5mg tablet 73 219 15987 0 190 13870 29 2117
173 retinol 100.000 kapsul 306 100 30600 0 0 100 30600
174 retinol 200.000 kapsul 552 16 8832 0 0 16 8832
175 ranitidin 150mg tablet 433 100 43327 0 0 0 100 43326.8882352955
176 ranitidin 150mg tablet 85 0 0 500 42500 200 17000 300 25500
177 salbutamol 2mg tablet 67 0 0 200 13400 100 6700 100 6700
178 salbutamol 2mg Tablet 57 255 14535 0 0 0 255 14535
179 salbutamol 4mg tablet 63 245 15435 0 0 0 245 15435
180 salep 2-4 tube 2796 14 39144 10 27960 0 0 24 67104
181 sianokobalamin 50mcg tablet 43 15 645 0 0 0 15 645
182 simvastatin 10mg tablet 68 130 8840 300 20400 150 10200 280 19040
192 Vitamin imunodulator tablet 1958 0 0 30 58740 10 19580 20 39160
183 sodium bicarbonat tablet 0 0 0 0 0 0 0 0
184 spironolacton 25mg tablet 190 0 0 0 0 0 0 0
185 sukralfat tablet tablet 224 0 0 100 22400 10 2240 90 20160
186 sukralfat syr 500mg / 5ml botol 4989 49 242,876 48 239472 49 242875.899999998 48 239472
187 tambah darah kombinasi tablet 226 128 28898 1400 316400 1328 300098.185 200 45200.0000000003
188 tiamin HCL 50mg tablet 91 0 0 0 0 0 0 0
189 tiamin HCL 50mg tablet 57 0 0 500 28500 300 17100 200 11400
190 vitamin B kompleks 50mg tablet 89 169 15041 1200 106800 890 79210 479 42631
193 Vitamin imunodulator tablet 10975.04 0 0 0 0 0 0 0 0
194 zink tablet 208 218 45344 0 0 0 218 45344
195 Zink syr botol 2511 0 0 26 65286 6 15066 20 50220
196 zink syr botol 3171 14 44394 0 0 0 14 44394
197 zink drop botol 5051 31 156581 28 141428 0 0 59 298009
198 zink drop botol 5051 0 0 0 0 0 0 0
199 zinkvit multivitamin tablet 585 0 0 0 0 0 0 0
201 golongan OAT katagori 1 Paket 389344 0 0 0 0 0 0 0
202 golongan OAT katagori 1 paket 416696 0 0 0 0 0 0 0
204 APD SET (masker bedah, faceshield, hansdsanitizer, sar Buah 98450 0 0 0 0 0 0 0
205 Apron Buah 45000 0 0 0 0 0 0 0
206 Kacamata Google Buah 26000 0 0 0 0 0 0 0
208 Kasa Pembalut hidrofil 16 x 16 Buah 3500 0 0 0 0 0 0 0
209 Tensimeter Digital Buah 350909 0 0 0 0 0 0 0
210 Gown Buah 33000 0 0 0 0 0 0 0
211 Penutup Kepala BUAH 644 150 96600 0 0 0 150 96600
212 Povidon 300ml buah 21000 0 0 1 21000 1 21000 0 0
213 povidon 30 ml Botol 3200 0 0 5 16000 5 16000 0 0
TOTAL 11,430,091.06 10,457,361.73 9,953,078.78 11,934,374.01
11,430,091.06 11,934,374.01
- 0

NIP 19670906198903 1 005 NIP 1994020202020122014

REKAPAN OKTOBER - DESEMBER 2022
PERIODE OKTOBER - DESEMBER
PEMAKAIAN
HARGA STOCK NILAI STOCK AWAL Nilai
NO NAMA OBAT SATUAN PENERIMAAN NON- SISA STOCK Nilai Stok Akhir
SATUAN AWAL (Rp) Penerimaan RESEP NILAI (Rp) Nilai (Rp)
RESEP
1 2 3 4 5 6 = (4x5) 7 4x7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12 13

2 acylovir tab Tablet 407 50 20350 50 20350 75 30525 25 10175
3 Alopurinol tab 100 mg Tablet 87 235 20445 200 17400 245 21315 190 16530
6 Allopurinol tab 300 mg tablet 200 80 16000 0 0 0 80 16000
7 Albendazol tab tablet 282 0 0 0 0 0 0 0
8 amlodipin 10mg Tablet 70 185 12950 6170 431900 6100 427000 255 17850
9 amlodipin 10mg Tablet 99 0 0 0 0 0 0 0
10 amlodipin 5mg tablet 53.48 0 0 300 16044 300 16044 0 0
11 amlodipin 5mg tablet 53 611 32383 500 26500 722 38266 389 20617
12 Amoksisilin kaplet 500 mg Tablet 249 0 0 0 0 0 0 0
13 Amoksisilin kaplet 500 mg Tablet 201 260 52260 0 260 52260 0 0
14 amoksisilin kaplet 500mg Tablet 253 0 0 1600 404800 1410 356730 190 48070
15 amoksisilin syr kering 250mg/5ml botol 3628 0 0 0 0 0 0 0
16 amoksisilin syr kering 250mg/5ml botol 3529.8 10 35298 60 211788 70 247086 0 0
17 antasida DOEN suspensi botol 1679 206 345874 0 206 345874 0 0
20 Anti Bakteri DOEN Salep Buah 3509 77 270193 0 52 182468 25 87725
21 Antifungi doen kombinasi tube 4798 0 0 14 67172 3 14394 11 52778
22 Antifungi doen kombinasi tube 3477 10 34770 0 10 34770 0
23 Antimigren DOEN Tablet 185 100 18500 0 100 18500 0
24 antihemoroid supp supp 3167 62 196354 0 62 196354 0
25 asam mefenamat tablet 111 0 0 600 66600 600 66600 0
26 asam mefenamat tablet 194.7 333 64835 1400 272580 1520 295944 213 41471.1
29 asam ascorbat 250 mg tablet 119 375 44625 0 375 44625 0
30 asam ascorbat 50mg tablet 105 247 25935 0 0 0 247 25935
31 asam asetilsalisilat / asetosal tablet 89.81 0 0 100 8981 10 898.1 90 8082.9
32 asam asetilsalisilat / asetosal tablet 105 0 0 0 0 0 0
33 asam traneksamat tablet 1712 0 0 100 171200 60 102720 40 68480
34 asam folat 1mg tablet 56 455 25480 2200 123200 2390 133840 265 14840
35 attapulgit / antidiare tablet 162 0 0 10 1620 10 1620 0
36 attapulgit / antidiare tablet 145 372 53940 990 143550 1212 175740 150 21750
37 azitromisin 500mg tablet 1250 0 0 100 125000 100 125000 0
38 betahistin tablet 89 190 16910 500 44500 466 41474 224 19936
39 betametason cream tube 1554 0 0 10 15540 10 15540 0
41 betahistin tablet 89 0 0 0 0 0 0
42 asamasetil salisilat tablet 89.81 80 7185 0 80 7184.8 0
43 bisacodil tablet 2500 0 0 80 200000 20 50000 60 150000
44 bisoprolol tablet 137 40 5480 0 40 5480 0
45 bisoprolol tablet 138 140 19320 70 9660 90 12420 120 16560
46 Candensartan 16 mg tablet 322 60 19320 30 9660 40 12880 50 16100
48 cefadroxil syr kering 250mg / 5ml botol 5549 0 0 0 0 0 0
49 cefadroxil kapsul 500mg kapsul 552.992 74 40921 0 74 40921.408 0
51 cetirizin tab tablet 49 515 25235 1200 58800 1527 74823 188 9212
52 cefixime kapsul 200 mg kapsul 2370 0 0 0 0 0 0
53 Cefixim kapsul 200 mg kapsul 749 100 74900 0 100 74900 0
54 cetirizin syr 5mg/5ml botol 2090 0 0 50 104500 24 50160 26 54340
55 cetirizin syr 5mg/5ml botol 2915 4 11660 0 4 11660 0
56 clopidegrol 75mg tablet 1404 0 0 0 0 0 0
57 clindamicin 300mg kapsul 522 40 20880 0 0 0 40 20880
58 deksametason 0,5mg tablet 34 62 2108 3100 105400 2924 99416 238 8092
59 Dietilkarbamazin sitrat 100 mg… tablet 24136.1488116 0 0 0 0 0 0
60 digoksin 0,25mg tablet 125 0 0 100 12500 0 0 100 12500
61 diazepam rectal supp 62865 0 0 0 0 0 0
62 diazepam tablet 10900 0 0 0 0 0 0
63 Diltiazem Tablet 142 54 7668 100 14200 45 6390 109 15478
64 dimenhidrinat tablet 112 0 0 100 11200 16 1792 84 9408
65 domperidon tablet 71 0 0 300 21300 0 0 300 21300
66 domperidon tablet 91 100 9100 0 93 8463 7 637
67 domperidon syr botol 2700 22 59400 0 22 59400 0
68 feno fibrat 100 mg Tablet 1073 0 0 0 0 0 0
69 fitomenadion tablet 748 125 93500 0 0 0 125 93500
70 fenol gliserol TT 10 % botol 2764 0 0 0 0 0 0
71 Fenofibrat tab 477 40 19080 0 0 0 40 19080
72 fenol gliserol TT 10 % botol 3300 26 85800 23 75900 29 95700 20 66000
73 Domperidon syr botol 2296 14 32144 0 14 32144 0
74 domperidon tablet tablet 71 125 8875 0 125 8875 0
75 furosemid 40mg tablet 98 0 0 1300 127400 1065 104370 235 23030
76 furosemid 40mg tablet 82 357 29274 950 77900 1307 107174 0
78 gemfibrozil 300mg kapsul 396 90 35640 0 20 7920 70 27720
79 gentian violet botol 2710.21 0 0 0 0 0 0
80 gentamisin tetes mata 0,3% botol 4232 0 0 0 0 0 0
81 Gentasmisin salep mata tube 2689 23 61847 0 5 13445 18 48402
83 glimepirid 4mg tablet 185 0 0 100 18500 100 18500 0
85 glibenklamid tablet 83 100 8300 300 24900 195 16185 205 17015
86 glibenklamid tablet 119 0 0 0 0 0 0
87 garam oralit kombinasi sachet 274 0 0 0 0 0 0
88 gentamisin tetes mata 0,3% tube 2675 19 50825 0 5 13375 14 37450
89 gentamisin tetes mata 0,3% tube 4520 10 45200 0 10 45200 0
90 Gliseril Guayakolat (GG) tab 100 mg tablet 150 0 0 100 15000 56 8400 44 6600
91 Griseofulvin (micronized) tab 500 mg Tablet 839 160 134240 0 100 83900 60 50340
92 Griseofulvin 125 mg tab tablet 224 0 0 0 0 0 0
93 Glukosa larutan infus 5 % steril 500ml tablet 7363 0 0 0 0 0 0
94 hidrokortison cream 2,5 % tube 2475 13 32175 0 13 32175 0
96 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) Buah 34000 0 0 0 0 0 0 0
97 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) Buah 27400 0 0 19 520600 19 520600 0 0
98 hand sanitizer 5000 ml ( 5 liter) Buah 650000 0 0 0 0 0 0 0
99 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine Buah 30450 0 0 24 730800 24 730800 0 0
100 Handscoon pendek non steril no 6.5 (S) pasang 4272.72728 0 0 0 0 0 0 0
101 Handscoon pendek steril no 7.5 (L) pasang 8636 0 0 0 0 0 0 0
102 Hepatoprotektor tab (Curcuma tablet) Tablet 639 0 0 0 0 0 0 0
103 Hepatoprotektor tab (Curcuma tablet) Tablet 681.45 100 68145 240 163548 226 154007.7 114 77685.3
104 hidroklortiazid tablet 148 225 33300 300 44400 305 45140 220 32560
105 hyoscine N Butilbromida tablet 1050 149 156450 200 210000 254 266700 95 99750
106 Ibuprofen tablet 200 mg tablet 138 90 12420 100 13800 130 17940 60 8280
107 ibuprofen suspensi 100mg botol 2236 28 62608 0 28 62608 0
108 ISDN tablet 244 0 0 100 24400 3 732 97 23668
109 ISDN 5mg tablet 86 0 0 100 8600 70 6020 30 2580
110 Kasa Pembalut hidrofil 16 x 16 pcs 3500 0 0 0 0 0 0 0
114 Kaptopril 12.5 Tablet 66 240 15840 200 13200 135 8910 305 20130
115 kaptropil 25mg tablet 75 98 7350 598 44850 626 46950 70 5250
116 kaptropil 25mg Tablet 66 0 0 0 0 0 0 0
117 ketokonazol cream tube 2518 0 0 0 0 0 0
118 Ketokonazol cream 2% Tube 2370 10 23700 20 47400 20 47400 10 23700
119 ketokonazol tab 200mg Tablet 252 0 0 0 0 0 0
120 klorfeniramin / CTM tablet 22 233 5126 0 233 5126 0
121 klorfeniramin / CTM Tablet 200 0 0 300 60000 165 33000 135 27000
122 klorfeniramin / CTM Tablet 23 220 5060 4900 112700 5120 117760 0
123 kloramfenikol salep kulit 2% tube 3266 16 52256 20 65320 30 97980 6 19596
124 kloramfenikol salep mata 1% tube 2007 0 0 0 0 0 0
125 kotrimoksasol syr 240/5ml-60ml botol 2190 5 10950 0 5 10950 0 0
126 Kloramfenikol kapsul 500mg tablet 1174 0 0 100 117400 100 117400 0
127 kotrimoksasol 480mg tablet 151 100 15100 0 50 7550 50 7550
128 ketokonazol cream tube 2518 0 0 0 0 0 0
129 ketokonazol tablet 252 19 4788 0 0 0 19 4788
130 loratadine tablet 131 125 16375 100 13100 225 29475 0
131 lisinopril 5mg tablet 145 200 29000 400 58000 510 73950 90 13050
132 masker bedah Buah 500 50 25000 6770 3385000 6820 3410000 0 0
133 masker bedah Buah 472.7 0 0 2750 1299925 2750 1299925 0 0
134 masker bedah Buah 540 0 0 530 286200 530 286200 0 0
135 masker kain Buah 3500 0 0 0 0 0 0 0 0
136 masker kn-95 Buah 40000 44 1760000 0 44 1760000 0 0
137 metformin 500mg tablet 77.7 270 20979 950 73815 1031 80108.7 189 14685.3
138 metformin 850mg tablet 154.39 0 0 450 69475.5 330 50948.7 120 18526.8
139 metformin 850mg tablet 153 260 39780 0 260 39780 0
140 metildopa 250mg tablet 946 80 75680 0 9 8514 71 67166
141 mikonazol serb 2% botol 22700 0 0 0 0 0 0
142 mikonazol salep tube 3414 7 23898 0 0 0 7 23898
143 metronidazol syr botol 3950 7 27650 0 7 27650 0
144 metronidazol 500mg tablet 133 0 0 300 39900 185 24605 115 15295
145 metronidazol 500mg tablet 174.999 185 32375 0 185 32374.815 0
146 metilprednisolon tablet 143 0 0 0 0 0 0
148 Metilergometrin tabler 214 160 34240 0 60 12840 100 21400
149 Momegtason cream tube 5795 5 28975 0 1 5795 4 23180
150 n asetil sistein 200mg tablet 304 0 0 1140 346560 1140 346560 0
151 n asetil sistein 200mg tablet 301 201 60501 2340 704340 2452 738052 89 26789
152 nistatin tablet 843 65 54795 0 0 0 65 54795
153 nistatin suspensi botol 13900 5 69500 0 5 69500 0
155 nifedipin 30 mg tablet 3986 50 199300 0 15 59790 35 139510
156 nifedipin 10 mg Tablet 105 17 1785 0 17 1785 0
158 natrium diklofenak 50mg tablet 99 430 42570 0 430 42570 0
160 n asetil sistein 200mg tablet 301 0 0 0 0 0 0
161 natrium fusidat salep 2% tube 4699 10 46990 11 51689 13 61087 8 37592
162 obat flu kombinasi tablet 750 0 0 500 375000 500 375000 0
163 Natrium bikarbonat tablet 48.4 0 0 0 0 0 0
164 ofloxacin tablet 616 14 8624 0 14 8624 0
165 ofloxacin TAB 535 90 48150 200 107000 140 74900 150 80250
166 oksitetrasiklin HCL 1% SM tube 3500 189 661500 30 105000 196 686000 23 80500
167 omeprazole tablet 129 200 25800 200 25800 340 43860 60 7740
168 oseltamivir tablet 7000 0 0 0 0 0 0 0
169 ondansentron tablet 351 0 0 0 0 0 0 0
171 Ondansetron tab 8 mg 270 100 27000 0 100 27000 0 0
172 OAT fdc ANAK Paket 248310 0 0 0 0 0 0 0
173 parasetamol syrup botol 1160 147 170520 70 81200 217 251720 0 0
174 parasetamol syrup botol 1170.55 0 0 494 578251.7 494 578251.7 0
175 parasetamol syrup botol 1181 126 148806 0 94 111014 32 37792
176 parasetamol drop botol 4976 213 1059888 191 950416 404 2010304 0 0
177 parasetamol 500mg tablet 124.85 0 0 0 0 0 0
178 parasetamol 500mg tablet 153.18 0 0 13900 2129202 13755 2106990.9 145 22211.1
179 parasetamol 500mg Tablet 97.9 500 48950 500 48950 1000 97900 0
180 perak sulfadiazin cream tube 18577 3 55731 0 3 55731 0
182 perak sulfadiazin cream tube 18557 3 55671 0 3 55671 0
183 permetrin cream tube 11250 50 562500 11 123750 54 607500 7 78750
184 prednison 5mg Tablet 68 200 13600 0 78 5304 122 8296
185 piridoxin HCL 10mg tab 67 0 0 1100 73700 881 59027 219 14673
186 piridoxin HCL 10mg tab 131 52 6812 100 13100 152 19912 0
187 piroxicam tablet 1202.5 72 86580 0 12 14430 60 72150
188 Pembungkus plastik pcs 9800 0 0 0 0 0 0 0
190 prednison 5mg tablet 68 0 0 900 61200 900 61200 0 0
191 retinol 100.000 kapsul 306 100 30600 0 100 30600 0 0
192 retinol 200.000 kapsul 552 16 8832 0 16 8832 0 0
193 ranitidin 150mg tablet 433 100 43327 0 100 43326.8882352955 0
194 ranitidin 150mg tablet 85 300 25500 800 68000 916 77860 184 15640
196 salbutamol 2mg Tablet 57 255 14535 0 255 14535 0
198 salep 2-4 tube 2796 24 67104 0 24 67104 0
199 sianokobalamin 50mcg tablet 43 15 645 200 8600 96 4128 119 5117
200 simvastatin 10mg tablet 68 280 19040 500 34000 648 44064 132 8976
201 Vitamin imunodulator tablet 1958 20 39160 0 20 39160 0
202 sodium bicarbonat tablet 0 0 0 0 0 0 0
203 spironolacton 25mg tablet 192 0 0 100 19200 70 13440 30 5760
204 spironolacton 25mg tablet 190 0 0 100 19000 0 0 100 19000
205 sukralfat tablet tablet 224 90 20160 0 90 20160 0
206 sukralfat syr 500mg / 5ml botol 4989 48 239,472 0 38 189582 10 49890
207 tambah darah kombinasi tablet 226 200 45200 1000 226000 1060 239560 140 31640
208 tiamin HCL 50mg tablet 91 0 0 0 0 0 0
209 tiamin HCL 50mg tablet 57 200 11400 600 34200 590 33630 210 11970
210 vitamin B kompleks 50mg tablet 89 479 42631 0 479 42631 0
211 vitamin B kompleks 50mg tablet 68 0 0 0 0 0 0
213 Vitamin imunodulator tablet 1958 0 0 120 234960 67 131186 53 103774
214 Vitamin imunodulator tablet 10975.04 0 0 0 0 0 0
215 Vitamin D3 1000 UI tablet 634 0 0 30 19020 15 9510 15 9510
216 zink tablet 208 218 45344 200 41600 283 58864 135 28080
217 Zink syr botol 2511 20 50220 11 27621 31 77841 0
218 zink syr botol 3171 14 44394 0 1 3171 13 41223
219 zink drop botol 5051 59 298009 0 41 207091 18 90918
220 zink drop botol 5051 0 0 0 0 0 0 0
221 zinkvit multivitamin tablet 585 0 0 120 70200 120 70200 0 0
224 golongan OAT katagori 1 paket 416696 0 0 0 0 0 0 0
226 APD SET (masker bedah, faceshield, hansdsanitizer Buah 98450 0 0 0 0 0 0 0
227 Apron Buah 45000 0 0 0 0 0 0 0
230 Kasa Pembalut hidrofil 16 x 16 Buah 3500 0 0 0 0 0 0 0
231 Tensimeter Digital Buah 350909 0 0 0 0 0 0 0
232 Gown Buah 33000 0 0 0 0 0 0 0
233 Penutup Kepala BUAH 644 150 96600 0 150 96600 0 0
234 Povidon 300ml buah 21000 0 0 0 0 0 0 0
235 Alkohol 95% 1000 ml botol 75 0 0 300 22500 300 22500 0 0
236 povidon 30 ml Botol 3200 0 0 0 0 0 0 0
TOTAL 11,934,374.01 18,689,893.20 27,196,753.71 3,427,513.50


NIP 19670906198903 1 005 NIP 1994020202020122014
REKAP DISTRIBUSI OBAT KADALUWARSA


NILAI PEMAKAI
HARGA STOCK STOCK AN SISA
SATUAN AWAL AWAL Peneriman x Harga NILAI NON- STOCK
(Rp) RESEP Nilai (Rp)
rupiah (Rp) RESEP
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 9 = (4x8) 10 11 = (4x10) 12 13
12)
1 Anti Hemoroid DOEN Supp supp 3167 0 0 47 Rp 148,849 47 Rp 148,849.00 0 0
2 Aqua pro inj steril, bebas pirogen vial 2860 0 0 10 Rp 28,600 10 Rp 28,600.00 0 0
Asam Ascorbat (Vit C) tab 250
3 tablet 119 0 0 1300 Rp 154,700 1300 Rp 154,700.00 0 0
mg
4 Diazepam tab 5 mg tablet 109 0 0 90 Rp 9,810 90 Rp 9,810.00 0 0
5 Garam oralit kombinasi sachet 274 0 0 40 Rp 10,960 40 Rp 10,960.00 0 0
6 Gentian violet larutan 1 % pot 2710.21021021 0 0 1 Rp 2,710 1 Rp 2,710.21 0 0
7 Gentian violet larutan 1 % pot 2710.21021021 0 0 29 Rp 78,596 29 Rp 78,596.10 0 0
Hepatoprotektor tab (Curcuma
tablet 539 0 0 200 200
8 tablet) Rp 107,800 Rp 107,800.00 0 0
9 Metronidazole syr botol 3950 0 0 30 Rp 118,500 30 Rp 118,500.00 0 0
TOTAL Rp - Rp 660,525 Rp 660,525.31 0


NIP 19670906198903 1 005 NIP 1994020202020122014

REKAP DISTRIBUSI OBAT KADALUWARSA

PERIODE OKTOBER -DESEMBER 2022

NILAI PEMAKA
HARGA STOCK STOCK IAN SISA
SATUAN AWAL AWAL Peneriman x NILAI NON- STOCK
(Rp) RESEP Nilai (Rp)
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 9 = (4x8) 10 11 = (4x10) 12 13
12)
asam asetilsalisilat tab
tablet 105 0 0 100 100
1 (asetosal) 80mg Rp 10,500 Rp 10,500.00 0 0
Kotrimoksasol dewasa 480mg tablet 151 0 0 500 0
2 Rp 75,500 Rp - 500 75500
Kotrimoksasol Syr 240mg/5ml - botol
2190 0 0 50 50
3 60ml Rp 109,500 Rp 109,500.00 0 0
4 Masker KN-95 pcs 40000 0 0 40 Rp 1,600,000 40 Rp 1,600,000.00 0 0
Salbutamol lar respirator utk ampul 4800 9 0
nebulizer 1 mg/ml 0 0
7 Rp 43,200 Rp - 9 43200
Rp 2,075,700 Rp 1,957,000.00 118,700.00
Wonosobo, 31 DESEMBER 2022


NIP 19670906198903 1 005 NIP 1994020202020122014
REKAP DISTRIBUSI PROGAM POSBINDU

PEMAKAIAN
NO NAMA OBAT SATUAN STOCK AWAL PENERIMAAN Nilai stok akhir
SATUAN AWAL (Rp) Peneriman x Harga NILAI NON- STOCK
RESEP Nilai (Rp)
rupiah (Rp) RESEP
1 2 3 4 5 6 = (4x5) 7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12 13
Alkohol swab pcs 90 0 0

1 9000 Rp 810,000 6400 Rp 576,000.00 2600 234000
Stik glukosa strip 3545.72 0 0
2 1050 Rp 3,723,006 350 Rp 1,241,002.00 700 2482004
total
Rp - 10050 Rp 4,533,006 Rp 1,817,002.00 2,716,004.00
Wonosobo, 31 Desember2022
Pengelola Farmasi

REKAP DISTRIBUSI IFK

PERIODE januari - juli 2022

HARGA STOCK NILAI STOCK PENERIM PEMAKAIAN
NO NAMA OBAT SATUAN Peneriman x Harga SISA STOCK Nilai stok akhir
SATUAN AWAL AWAL (Rp) AAN RESEP NILAI (Rp) NON-RESEP Nilai (Rp)
rupiah
1 2 3 4 5 6 = (4x5) 7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12 13
1 RDT covid19 Antigen pcs 97450 0 0 250 Rp 24,362,500 250 Rp 24,362,500.00 0 0
TOTAL Rp - Rp 24,362,500 Rp 24,362,500.00 0


NIP 19670906198903 1 005 NIP 1994020202020122014



HARGA STOCK NILAI STOCK PENERIM PEMAKAIAN
NO NAMA OBAT SATUAN Peneriman x Harga SISA STOCK Nilai stok akhir
SATUAN AWAL AWAL (Rp) AAN RESEP NILAI (Rp) NON-RESEP Nilai (Rp)
rupiah
1 2 3 4 5 6 = (4x5) 7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12 13
1 VAKSIN MENINGITIS vial 135000 0 0 5 Rp 675,000 5 Rp 675,000.00 0 0
TOTAL Rp - Rp 675,000 Rp 675,000.00 0


NIP 19670906198903 1 005 NIP 1994020202020122014


PEMAKAIAN
HARGA STOCK NILAI STOCK PENERI SISA
NO NAMA OBAT SATUAN Nilai stok akhir
SATUAN AWAL AWAL (Rp) MAAN Peneriman x Harga STOCK
rupiah RESEP NILAI (Rp) NON-RESEP Nilai (Rp)
1 2 3 4 5 6 = (4x5) 7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12 13

1 Antasida DOEN Suspensi botol 1679 0 0 45 Rp 75,555 45 Rp 75,555.00 0 0
2 Antasida DOEN Suspensi botol 1679 0 100 Rp 167,900 100 Rp 167,900.00 0 0
3 domperidon syr 5mg/5ml botol 2296 0 26 Rp 59,696 26 Rp 59,696.00 0 0
4 ibuprofen Suspensi 100mg/5ml botol 2236 0 70 70
Rp 156,520 Rp 156,520.00 0 0
5 Parasetamol drop botol 4976 0 6 Rp 29,856 6 Rp 29,856.00 0 0
6 Parasetamol drop botol 4976 0 299 Rp 1,487,824 299 Rp 1,487,824.00 0 0
TOTAL Rp - Rp 1,977,351.00 Rp 1,977,351.00 0 0


NIP 19670906198903 1 005 NIP 1994020202020122014
REKAP DISTRIBUSI PER UNIT VK

Nilai penerimaan PEMAKAIAN
HARGA NILAI STOCK AWAL SISA
NO NAMA OBAT SATUAN STOCK AWAL PENERIMAAN NON- KET.
SATUAN (Rp) RESEP NILAI (Rp) Nilai (Rp) STOCK
RESEP
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 4x7 9 = (4x8) 10 11 = (4x10) 12 13
12)
Aqua pro inj steril, bebas pirogen pcs 2860 2 Rp 5,720.00 21 60060 0 0 11 Rp 31,460.00 12 34,320.00
Amoksisilin kaplet 500 mg 253
2 tablet 0 Rp - 900 227700 0 0 180 Rp 45,540.00 720 182,160.00
3 Asam Ascorbat (Vit C) tab 50 mg tablet 105 0 Rp - 500 52500 0 0 200 Rp 21,000.00 300 31,500.00
4 Cat gut /benang bedah cromic + jarum no 2/0 pcs 32800 0 Rp - 16 524800 0 0 16 Rp 524,800.00 0 -
5 Cat gut /benang bedah plain + jarum no 3/0 pcs 5750.8333333 0 Rp - 72 414060 0 0 68 Rp 391,056.67 4 23,003.33
6 Disinfektan / Lisol 1000 ml pcs 53066.666667 1 Rp 53,066.67 7 371466.666666667 0 0 8 Rp 424,533.33 0 -
7 folley catheter 18 pcs 8635 3 Rp 25,905.00 5 43175 0 0 7 Rp 60,445.00 1 8,635.00
8 folley catheter 18 pcs 8987 0 Rp - 15 134805 0 0 5 Rp 44,935.00 10 89,870.00
9 folley catheter 16 pcs 13800 4 Rp 55,200.00 39 538200 0 0 30 Rp 414,000.00 13 179,400.00
10 gelang bayi biru (blue) pcs 850 0 Rp - 200 170000 0 0 0 Rp - 200 170,000.00
11 gelang bayi merah jambu (pink) pcs 850 0 Rp - 200 170000 0 0 0 Rp - 200 170,000.00
12 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) botol 34000 1 Rp 34,000.00 3 102000 0 0 3 Rp 102,000.00 1 34,000.00
13 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) botol 27400 0 Rp - 1 27400 0 0 0 Rp - 1 27,400.00
14 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine botol 30450 1 Rp 30,450.00 1 30450 0 0 2 Rp 60,900.00 0 -
15 Handscoon panjang no. 6.5 (S) pcs 34694 0 Rp - 80 2775520 0 0 78 Rp 2,706,132.00 2 69,388.00
16 Handscoon panjang no. 6.5 (S) pcs 36960 0 Rp - 25 924000 0 0 6 Rp 221,760.00 19 702,240.00
17 Handscoon panjang no. 7.5 (M) pcs 34694 0 Rp - 80 2775520 0 0 58 Rp 2,012,252.00 22 763,268.00
18 Handscoon panjang no. 8.5 (L) pcs 39100 0 Rp - 250 9775000 0 0 31 Rp 1,212,100.00 219 8,562,900.00
19 Handscoon panjang no. 8.5 (L) pcs 36960 0 Rp - 50 1848000 0 0 6 Rp 221,760.00 44 1,626,240.00
20 Handscoon pendek non steril no 6.5 (S) pcs 4272.72728 0 Rp - 150 640909.092 0 0 131 Rp 559,727.27 19 81,181.82
21 Handscoon pendek non steril no 7 (M) pcs 4272.72726 0 Rp - 150 640909.089 0 0 100 Rp 427,272.73 50 213,636.36
22 Handscoon pendek steril no 7 (M) pcs 2772 0 Rp - 100 277200 0 0 100 Rp 277,200.00 0 -
23 Handscoon pendek steril no 7.5 (L) pcs 2772 0 Rp - 100 277200 0 0 83 Rp 230,076.00 17 47,124.00
24 IV Catheter no 18 pcs 11660 5 Rp 58,300.00 185 2157100 0 0 60 Rp 699,600.00 130 1,515,800.00
25 IV Catheter no 20 pcs 11880 0 Rp - 100 1188000 0 0 40 Rp 475,200.00 60 712,800.00
26 IV Catheter no 20 pcs 5995 0 Rp - 100 599499.999999996 0 0 3 Rp 17,985.00 97 581,515.00
27 IV Catheter no 22 pcs 11880 10 Rp 118,800.00 90 1069200 0 0 0 Rp - 100 1,188,000.00
28 Kalsium Glukonas inj ampul 10351 0 Rp - 10 103510 0 0 7 Rp 72,457.00 3 31,053.00
29 Kapas pembalut / adsorbens 250 gram pcs 24000 1 Rp 24,000.00 4 96000 0 0 5 Rp 120,000.00 0 -
30 Kasa Pembalut hidrofil 16 x 16 pcs 3500 0 Rp - 57 199500 0 0 44 Rp 154,000.00 13 45,500.00
31 Kasa Pembalut hidrofil 36m x 80 cm pcs 123000 1 Rp 123,000.00 1 123000 0 0 2 Rp 246,000.00 0 -
32 Kasa Pembalut hidrofil 4m x 10 cm pcs 1451.7 1 Rp 1,451.70 50 72585 0 0 50 Rp 72,585.00 1 1,451.70
33 Metilergometrin Maleat inj 0,200 mg - 1 ml pcs 2959 0 Rp - 38 112442 0 0 36 Rp 106,524.00 2 5,918.00
34 Oksitoksin inj 10 IU/ ml - 1 ml ampul 1126 2 Rp 2,252.00 33 37158 0 0 35 Rp 39,410.00 0 -
35 Oksitoksin inj 10 IU/ ml - 1 ml ampul 1199 0 Rp - 40 47960 0 0 36 Rp 43,164.00 4 4,796.00
36 Lidokain murni inj 2 % ampul 1221 0 Rp - 100 122100 0 0 0 Rp - 100 122,100.00
37 Fitomenadion ampul 1386 0 Rp - 30 41580 0 0 24 Rp 33,264.00 6 8,316.00
38 Parasetamol 500 mg tablet 124.85 0 Rp - 500 62425 0 0 132 Rp 16,480.20 368 45,944.80
39 Plaster polyester Non-woven 5cm x 10m pcs 44767 0 Rp - 3 134301 0 0 3 Rp 134,301.00 0 -
40 Ringer lactat ( RL ) infus steril pcs 7630 2 Rp 15,260.00 70 534100 0 0 52 Rp 396,760.00 20 152,600.00
41 Tablet Tambah darah tablet 226 0 Rp - 1000 226000 0 0 320 Rp 72,320.00 680 153,680.00
42 Retinol 200.000iu tablet 553 0 Rp - 50 27650 0 0 12 Rp 6,636.00 38 21,014.00
43 tranfusion set pcs 9431 0 Rp - 101 952972.000000034 0 0 101 Rp 952,972.00 0 -
44 tranfusion set pcs 9548 0 Rp - 78 744744 0 0 0 Rp - 78 744,744.00
45 Umbilical cord clamps pcs 1300 2 Rp 2,600.00 20 26000 0 0 1 Rp 1,300.00 21 27,300.00
46 Underpads 60 x 90 pcs 7900 10 Rp 79,000.00 14 110600 0 0 10 Rp 79,000.00 14 110,600.00
47 Nasal Oksigen size L pcs 5200 1 Rp 5,200.00 9 46800 0 0 6 Rp 31,200.00 4 20,800.00
48 Nasal Oksigen size M pcs 5200 1 Rp 5,200.00 5 26000 0 0 0 Rp - 6 31,200.00
49 Alat suntik 1 ml pcs 881 82 Rp 72,242.00 100 88100 0 0 0 Rp - 182 160,342.00
50 Alat suntik 3 ml pcs 569 4 Rp 2,276.00 200 113800 0 0 78 Rp 44,382.00 126 71,694.00
51 Alat suntik 0,5 ml pcs 1190 99 Rp 117,810.00 0 0 0 0 33 Rp 39,270.00 66 78,540.00
52 Alkohol Swab pcs 79 155 Rp 12,245.00 0 0 0 0 128 Rp 10,112.00 27 2,133.00
53 Povidon iodin 30 ml botol 3200 0 Rp - 10 32000 0 0 10 Rp 32,000.00 0 -
54 Mucus ekstraktor FR 10 pcs 7040 0 Rp - 6 42240 0 0 6 Rp 42,240.00 0 -
TOTAL Rp 843,978.37 31,938,242 Rp 13,928,112.20 0 18,854,108.01
18,854,108.01
0 Wonosobo, 30 Juni 022

NIP 19670906198903 1 005 NIP 1994020202020122014

PERIODE MARET 2022 8,844,120
PERIODE APRIL 2022 Rp805,954
PERIODE MEI 2022 Rp1,333,389
REKAP DISTRIBUSI PER VK

HARGA NILAI STOCK AWAL SISA
NO NAMA OBAT SATUAN STOCK AWAL PENERIMAAN NON- KET.
SATUAN (Rp) RESEP NILAI (Rp) Nilai (Rp) STOCK
RESEP
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 4x7 9 = (4x8) 10 11 = (4x10) 12 13
12)
1 Aqua pro inj steril, bebas pirogen pcs 2860 12 Rp 34,320.00 6 17,160.00 12 Rp 34,320.00 6 17,160.00
2 Amoksisilin kaplet 500 mg tablet 253 720 Rp 182,160.00 - 620 Rp 156,860.00 100 25,300.00
3 Asam Ascorbat (Vit C) tab 50 mg tablet 105 300 Rp 31,500.00 200 21,000.00 110 Rp 11,550.00 390 40,950.00
4 Amoksisilin kaplet 500 mg tablet 201 0 Rp - 200 40,200.00 110 Rp 22,110.00 90 18,090.00
5 asam mefenamat tablet 111 0 Rp - 200 22,200.00 110 Rp 12,210.00 90 9,990.00
6 Cat gut /benang bedah cromic + jarum no 2/0 pcs 32800 0 Rp - - 0 Rp - 0 -
7 Cat gut /benang bedah plain + jarum no 3/0 pcs 5750.8333333 4 Rp 23,003.33 - 4 Rp 23,003.33 0 -
8 Disinfektan / Lisol 1000 ml pcs 53066.666667 0 Rp - - 0 Rp - 0 -
9 folley catheter 18 pcs 8635 1 Rp 8,635.00 - 1 Rp 8,635.00 0 -
10 folley catheter 18 pcs 8987 10 Rp 89,870.00 - 5 Rp 44,935.00 5 44,935.00
11 folley catheter 16 pcs 13800 13 Rp 179,400.00 - 11 Rp 151,800.00 2 27,600.00
12 gelang bayi biru (blue) pcs 850 200 Rp 170,000.00 - 0 Rp - 200 170,000.00
13 gelang bayi merah jambu (pink) pcs 850 200 Rp 170,000.00 - 0 Rp - 200 170,000.00
14 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) botol 34000 1 Rp 34,000.00 - 1 Rp 34,000.00 0 -
15 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) botol 27400 1 Rp 27,400.00 - 1 Rp 27,400.00 0 -
16 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine botol 30450 0 Rp - - 0 Rp - 0 -
17 Handscoon panjang no. 6.5 (S) pcs 34694 2 Rp 69,388.00 - 0 Rp - 2 69,388.00
18 Handscoon panjang no. 6.5 (S) pcs 36960 19 Rp 702,240.00 - 18 Rp 665,280.00 1 36,960.00
19 Handscoon panjang no. 7.5 (M) pcs 34694 22 Rp 763,268.00 - 2 Rp 69,388.00 20 693,880.00
20 Handscoon panjang no. 8.5 (L) pcs 39100 219 Rp 8,562,900.00 - 6 Rp 234,600.00 213 8,328,300.00
21 Handscoon panjang no. 8.5 (L) pcs 36960 44 Rp 1,626,240.00 - 44 Rp 1,626,240.00 0 -
22 Handscoon pendek non steril no 6.5 (S) pcs 4272.72728 19 Rp 81,181.82 - 19 Rp 81,181.82 0 -
23 Handscoon pendek non steril no 7 (M) pcs 4272.72726 50 Rp 213,636.36 - 50 Rp 213,636.36 0 -
24 Handscoon pendek steril no 7 (M) pcs 2772 0 Rp - - 0 Rp - 0 -
25 Handscoon pendek steril no 7.5 (L) pcs 2772 17 Rp 47,124.00 - 10 Rp 27,720.00 7 19,404.00
26 Handscoon pendek non steril no 7.5 (L) pcs 1640 0 Rp - 50 82,000.00 10 Rp 16,400.00 40 65,600.00
27 IV Catheter no 18 pcs 11660 130 Rp 1,515,800.00 - 10 Rp 116,600.00 120 1,399,200.00
28 IV Catheter no 20 pcs 11880 60 Rp 712,800.00 - 1 Rp 11,880.00 59 700,920.00
30 IV Catheter no 22 pcs 11880 100 Rp 1,188,000.00 - 0 Rp - 100 1,188,000.00
31 IV Catheter no 22 pcs 5995 0 Rp - 100 599,500.00 Rp - 100 599,500.00
32 Kalsium Glukonas inj ampul 10351 3 Rp 31,053.00 - 1 Rp 10,351.00 2 20,702.00
33 Kalsium Glukonas inj ampul 5775 0 Rp - 10 57,750.00 0 Rp - 10 57,750.00
34 Kapas pembalut / adsorbens 250 gram pcs 24000 0 Rp - - 0 Rp - 0 -
35 Kasa Pembalut hidrofil 16 x 16 pcs 3500 13 Rp 45,500.00 30 105,000.00 25 Rp 87,500.00 18 63,000.00
36 Kasa Pembalut hidrofil 36m x 80 cm pcs 123000 0 Rp - 1 123,000.00 1 Rp 123,000.00 0 -
37 Kasa Pembalut hidrofil 4m x 10 cm pcs 1451.7 1 Rp 1,451.70 - Rp - 1 1,451.70
38 Magnesium sulfa inj (IV) 20 % / 25 ml botol 4090 0 Rp - 20 81,800.00 0 Rp - 20 81,800.00
39 Kapas pembalut / adsorbens 250 gram pcs 24000 0 Rp - 5 120,000.00 1 Rp 24,000.00 4 96,000.00
40 Metilergometrin Maleat inj 0,200 mg - 1 ml pcs 2959 2 Rp 5,918.00 - 2 Rp 5,918.00 0 -
41 Metilergometrin Maleat inj 0,200 mg - 1 ml pcs 1032 0 Rp - 10 10,320.00 0 Rp - 10 10,320.00
42 Metilergometrin Maleat tablet tablet 214 0 Rp - 100 21,400.00 20 Rp 4,280.00 80 17,120.00
43 Oksitoksin inj 10 IU/ ml - 1 ml ampul 1126 0 Rp - 67 75,442.00 12 Rp 13,512.00 55 61,930.00
44 Oksitoksin inj 10 IU/ ml - 1 ml ampul 1199 4 Rp 4,796.00 13 15,587.00 0 Rp - 17 20,383.00
45 Oksitetrasiklin HCL salep mata 1 % tube 3500 0 Rp - 25 87,500.00 0 Rp - 25 87,500.00
46 Lidokain murni inj 2 % ampul 1221 100 Rp 122,100.00 - 75 Rp 91,575.00 25 30,525.00
47 Fitomenadion ampul 1386 6 Rp 8,316.00 - 6 Rp 8,316.00 0 -
48 Parasetamol 500 mg tablet 124.85 368 Rp 45,944.80 - 125 Rp 15,606.25 243 30,338.55
49 Plaster polyester Non-woven 5cm x 10m pcs 44767 0 Rp - - 0 Rp - 0 -
50 Parasetamol 500 mg tablet 97.9 0 Rp - 200 19,580.00 100 Rp 9,790.00 100 9,790.00
51 Ringer lactat ( RL ) infus steril pcs 7630 20 Rp 152,600.00 41 312,830.00 15 Rp 114,450.00 46 350,980.00
52 Tablet Tambah darah tablet 226 680 Rp 153,680.00 - 340 Rp 76,840.00 340 76,840.00
53 Retinol 200.000iu tablet 553 38 Rp 21,014.00 - 10 Rp 5,530.00 28 15,484.00
54 tranfusion set pcs 9431 0 Rp - - 0 Rp - 0 -
55 tranfusion set pcs 9548 78 Rp 744,744.00 17 162,316.00 10 Rp 95,480.00 85 811,580.00
56 Umbilical cord clamps pcs 1300 21 Rp 27,300.00 - 19 Rp 24,700.00 2 2,600.00
57 Underpads 60 x 90 pcs 7900 14 Rp 110,600.00 - 12 Rp 94,800.00 2 15,800.00
58 Nasal Oksigen size L pcs 5200 4 Rp 20,800.00 3 15,600.00 2 Rp 10,400.00 5 26,000.00
59 Nasal Oksigen size M pcs 5200 6 Rp 31,200.00 - 2 Rp 10,400.00 4 20,800.00
60 Alat suntik 1 ml pcs 881 182 Rp 160,342.00 - 12 Rp 10,572.00 170 149,770.00
62 Alat suntik 0,5 ml pcs 1190 66 Rp 78,540.00 - 15 Rp 17,850.00 51 60,690.00
63 Alkohol Swab pcs 79 27 Rp 2,133.00 300 23,700.00 129 Rp 10,191.00 198 15,642.00
64 Disinfektan / Lisol 1000 ml BOTOL 53066.666667 0 Rp - 16 849,066.67 16 Rp 849,066.67 0 -
65 Disinfektan / Lisol 1000 ml BOTOL 40700 0 Rp - 5 203,500.00 2 Rp 81,400.00 3 122,100.00
66 Povidon iodin 30 ml pcs 3200 0 Rp - - 0 Rp - 0 -
67 Mucus ekstraktor FR 10 pcs 7040 0 Rp - - 0 Rp - 0 -
TOTAL Rp 18,854,108.01 3,066,451.67 Rp 5,402,652.43 16,517,907.25


NIP 19670906198903 1 005 NIP 1994020202020122014

REKAP DISTRIBUSI PER UNIT VK

HARGA STOCK NILAI STOCK AWAL SISA
NO NAMA OBAT SATUAN PENERIMAAN NON- KET.
RESEP
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 4x7 9 = (4x8) 10 11 = (4x10) 12 13
12)
1 Aqua pro inj steril, bebas pirogen pcs 2860 6 Rp 17,160.00 - 0 Rp - 6 17,160.00
2 Amoksisilin kaplet 500 mg tablet 253 100 Rp 25,300.00 400 101,200.00 300 Rp 75,900.00 200 50,600.00
3 Asam Ascorbat (Vit C) tab 500 mg tablet 225 0 Rp - 100 22,500.00 100 Rp 22,500.00 0 -
4 Asam Ascorbat (Vit C) tab 50 mg tablet 105 390 Rp 40,950.00 - 90 Rp 9,450.00 300 31,500.00
5 Amoksisilin kaplet 500 mg tablet 201 90 Rp 18,090.00 - 90 Rp 18,090.00 0 -
6 asam mefenamat tablet 111 90 Rp 9,990.00 - 90 Rp 9,990.00 0 -
7 Cat gut /benang bedah cromic + jarum no 2/0 pcs 32800 0 Rp - - 0 Rp - 0 -
8 Cat gut /benang bedah plain + jarum no 3/0 pcs 5750.833333 0 Rp - - 0 Rp - 0 -
9 Disinfektan / Lisol 1000 ml pcs 53066.66667 0 Rp - - 0 Rp - 0 -
10 folley catheter 18 pcs 8635 0 Rp - - 0 Rp - 0 -
11 folley catheter 18 pcs 8987 5 Rp 44,935.00 - 5 Rp 44,935.00 0 -
12 folley catheter 16 pcs 13800 2 Rp 27,600.00 - 0 Rp - 2 27,600.00
13 gelang bayi biru (blue) pcs 850 200 Rp 170,000.00 - 0 Rp - 200 170,000.00
14 gelang bayi merah jambu (pink) pcs 850 200 Rp 170,000.00 - 0 Rp - 200 170,000.00
15 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) botol 34000 0 Rp - - 0 Rp - 0 -
16 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) botol 27400 0 Rp - - 0 Rp - 0 -
17 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine botol 30450 0 Rp - - 0 Rp - 0 -
18 Handscoon panjang no. 6.5 (S) pcs 34694 2 Rp 69,388.00 - 2 Rp 69,388.00 0 -
19 Handscoon panjang no. 6.5 (S) pcs 36960 1 Rp 36,960.00 - 1 Rp 36,960.00 0 -
20 Handscoon panjang no. 7.5 (M) pcs 34694 20 Rp 693,880.00 - 20 Rp 693,880.00 0 -
21 Handscoon panjang no. 8.5 (L) pcs 39100 213 Rp 8,328,300.00 - 37 Rp 1,446,700.00 176 6,881,600.00
22 Handscoon panjang no. 8.5 (L) pcs 36960 0 Rp - - 0 Rp - 0 -
23 Handscoon pendek non steril no 6.5 (S) pcs 1640 0 Rp - 200 328,000.00 150 Rp 246,000.00 50 82,000.00
24 Handscoon pendek non steril no 7 (M) pcs 1640 0 Rp - 150 246,000.00 0 Rp - 150 246,000.00
25 Handscoon pendek steril no 7 (M) pcs 2772 0 Rp - - 0 Rp - 0 -
26 Handscoon pendek steril no 7.5 (L) pcs 2772 7 Rp 19,404.00 - 7 Rp 19,404.00 0 -
27 Handscoon panjang 8.5 L pcs 39100 0 Rp - 100 3,910,000.00 100 Rp 3,910,000.00 0 -
28 Handscoon pendek non steril no 7.5 (L) pcs 1640 40 Rp 65,600.00 250 410,000.00 256 Rp 419,840.00 34 55,760.00
29 Handscoon pendek non steril no 7 pcs 5995 0 Rp - 100 599,500.00 100 Rp 599,500.00 0 -
30 IV Catheter no 18 pcs 11660 120 Rp 1,399,200.00 98 1,142,680.00 114 Rp 1,329,240.00 104 1,212,640.00
31 IV Catheter no 20 pcs 11880 59 Rp 700,920.00 - 0 Rp - 59 700,920.00
32 IV Catheter no 20 pcs 5995 96 Rp 575,520.00 - 0 Rp - 96 575,520.00
33 IV Catheter no 22 pcs 11880 100 Rp 1,188,000.00 - 100 Rp 1,188,000.00 0 -
35 Kalsium Glukonas inj ampul 10351 2 Rp 20,702.00 - 2 Rp 20,702.00 0 -
36 Kalsium Glukonas inj ampul 5775 10 Rp 57,750.00 - 0 Rp - 10 57,750.00
37 Kapas pembalut / adsorbens 250 gram pcs 24000 0 Rp - - 0 Rp - 0 -
38 Kasa Pembalut hidrofil 16 x 16 pcs 4600 0 Rp - 21 96,600.00 0 Rp - 21 96,600.00
39 Kasa Pembalut hidrofil 16 x 16 pcs 3500 18 Rp 63,000.00 16 Rp 56,000.00 2 7,000.00
40 Kasa Pembalut hidrofil 36m x 80 cm pcs 123000 0 Rp - - 0 Rp - 0 -
41 Kasa Pembalut hidrofil 4m x 10 cm pcs 1451.7 1 Rp 1,451.70 - 1 Rp 1,451.70 0 -
42 Magnesium sulfa inj (IV) 20 % / 25 ml botol 4090 20 Rp 81,800.00 - 10 Rp 40,900.00 10 40,900.00
43 Kapas pembalut / adsorbens 250 gram pcs 24000 4 Rp 96,000.00 - 4 Rp 96,000.00 0 -
44 Metilergometrin Maleat inj 0,200 mg - 1 ml pcs 2959 0 Rp - - 0 Rp - 0 -
45 Metilergometrin Maleat inj 0,200 mg - 1 ml pcs 1032 10 Rp 10,320.00 - 0 Rp - 10 10,320.00
46 Metilergometrin Maleat tablet tablet 214 80 Rp 17,120.00 - 80 Rp 17,120.00 0 -
47 Oksitoksin inj 10 IU/ ml - 1 ml ampul 1126 55 Rp 61,930.00 - 26 Rp 29,276.00 29 32,654.00
48 Oksitoksin inj 10 IU/ ml - 1 ml ampul 1199 17 Rp 20,383.00 - 17 Rp 20,383.00 0 -
49 Oksitetrasiklin HCL salep mata 1 % tube 3500 25 Rp 87,500.00 - 4 Rp 14,000.00 21 73,500.00
50 Lidokain murni inj 2 % ampul 1221 25 Rp 30,525.00 - 25 Rp 30,525.00 0 -
51 Fitomenadion injeksi ampul 1386 0 Rp - 30 41,580.00 29 Rp 40,194.00 1 1,386.00
52 Parasetamol 500 mg tablet 124.85 243 Rp 30,338.55 - 243 Rp 30,338.55 0 -
53 Plaster polyester Non-woven 5cm x 10m pcs 61050 0 Rp - 1 61,050.00 1 Rp 61,050.00 0 -
54 Parasetamol 500 mg tablet 97.9 100 Rp 9,790.00 400 39,160.00 400 Rp 39,160.00 100 9,790.00
55 Ringer lactat ( RL ) infus steril pcs 7630 46 Rp 350,980.00 79 602,770.00 69 Rp 526,470.00 56 427,280.00
56 Tablet Tambah darah tablet 226 340 Rp 76,840.00 - 40 Rp 9,040.00 300 67,800.00
57 Retinol 200.000iu tablet 553 28 Rp 15,484.00 - 0 Rp - 28 15,484.00
58 tranfusion set pcs 9431 0 Rp - - 0 Rp - 0 -
59 tranfusion set pcs 9548 85 Rp 811,580.00 - 37 Rp 353,276.00 48 458,304.00
60 Umbilical cord clamps pcs 1300 2 Rp 2,600.00 - 0 Rp - 2 2,600.00
61 Underpads 60 x 90 pcs 7900 2 Rp 15,800.00 146 1,153,400.00 145 Rp 1,145,500.00 3 23,700.00
62 Nasal Oksigen size L pcs 5200 5 Rp 26,000.00 - 0 Rp - 5 26,000.00
63 Nasal Oksigen size M pcs 5200 4 Rp 20,800.00 - 0 Rp - 4 20,800.00
64 Alat suntik 1 ml pcs 881 170 Rp 149,770.00 - 170 Rp 149,770.00 0 -
66 Alat suntik 0,5 ml pcs 1190 51 Rp 60,690.00 - 0 Rp - 51 60,690.00
67 Alkohol Swab pcs 79 198 Rp 15,642.00 300 23,700.00 248 Rp 19,592.00 250 19,750.00
68 Disinfektan / Lisol 1000 ml BOTOL 53066.66667 0 Rp - - 0 Rp - 0 -
69 Disinfektan / Lisol 1000 ml BOTOL 40700 3 Rp 122,100.00 - 3 Rp 122,100.00 0 -
70 Povidon iodin 30 ml pcs 3200 0 Rp - - 0 Rp - 0 -
71 Mucus ekstraktor FR 10 pcs 7040 0 Rp - 1 7,040.00 0 Rp - 1 7,040.00
TOTAL Rp 16,517,907.25 8,785,180.00 Rp 13,281,721.25 12,021,366.00


NIP 19670906198903 1 005 NIP 1994020202020122014
REKAP DISTRIBUSI PROGRAM IVA
PERIODE Juni
NILAI PEMAKAIAN
HARGA
STOCK STOCK PENERIM Nilai SISA
NO NAMA OBAT SATUAN SATUA NILAI NON- KET.
AWAL AWAL AAN Penerimaas RESEP Nilai (Rp) STOCK
N (Rp) RESEP
(Rp)
8 = (5+7- 9=
1 2 3 4 5 6 = (4x5) 7 10 11 = (4x10) 12 13
12) (4x8)
1 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) Buah 27400 0 0 0 0 0 Rp - 0
TOTAL Rp -


NIP 19670906198903 1 005 NIP 1994020202020122014

NILAI PEMAKAIAN
HARGA STOCK STOCK PENERIMAA SISA
NO NAMA OBAT SATUAN Nilai Penerimaas NILAI NON- Nilai stok akhir
SATUAN AWAL AWAL N RESEP Nilai (Rp) STOCK
(Rp) (Rp) RESEP
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 4x7 9 = (4x8) 10 11 = (4x10) 12 13
12)
1 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) Buah 34000 0 0 2 68000 2 Rp 68,000.00 0 0
2 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) Buah 27400 0 0 1 27400 1 Rp 27,400.00 0 0
3 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine Buah 30450 0 0 1 30450 1 Rp 30,450.00 0 0
TOTAL 125,850.00 Rp 125,850.00 0 0
Wonosobo, 30 juni 2022


NIP 19670906198903 1 005 NIP 1994020202020122014

PERIODE JUNI 2022 Rp0
TOTAL PENERIMAAN DARI GUDANG JAN-JUNI 2022= Rp125,850.00

PERIODE JULI - SEPTEMBER 2022 NILAI
HARGA STOCK STOCK PENERIMAA PEMAKAIAN SISA
(Rp) (Rp) RESEP
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 4x7 9 = (4x8) 10 11 = (4x10) 12 13
12)
1 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) Buah 34000 0 0 0 0 Rp - 0 0
3 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine Buah 30450 0 0 0 0 Rp - 0 0
TOTAL - Rp - 0 0


NIP 19670906198903 1 005 NIP 1994020202020122014

PERIODE OKTOBER - DESEMBER 2022 NILAI
HARGA STOCK STOCK PENERIMAA PEMAKAIAN SISA
(Rp) (Rp) RESEP
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 4x7 9 = (4x8) 10 11 = (4x10) 12 13
12)
3 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine Buah 30450 0 0 0 0 Rp - 0 0
TOTAL - Rp - 0 0


NIP 19670906198903 1 005 NIP 1994020202020122014

Laporan Obat Tahun 2022 Final

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DINAS KESEHATAN KABUPATEN WONOSOBO

1 GUDANG PUSKESMAS 306,441,142.00 426,438,596.96 4,983,000.00 - 431,421,596.96 577,367,636.00 577,367,636.00 160,495,102.96

Galih Arum Palupi, S. Farm., Apt

NO NAMA UNIT SALDO AWAL PENERIMAAN RETUR

Ka. UPTD Kepala Puskesmas Kejajar 2

Maduri, S.Kep., Ners

PERSEDIAAN DISTRIBUSI STOK AKHIR

Wonosobo, 31 Desember 2022

Galih Arum Palupi, S. Farm., Apt

NO NAMA UNIT DISTRIBUSI JAN-DES 22

Maduri, S.Kep., Ners Galih Arum Palupi, S. Farm., Apt

NO Nilai Distribusi Gudang

Ka. UPTD Kepala Puskesmas Kejajar 2 Wonosobo, 31 Desember 2022

Maduri, S.Kep., Ners

PENAMBAHAN/ PENERIMAAN OBAT DARI IFK

No TANGGAL NOMOR SBBK JUMLAH (Rp) KETERANGAN

Ka. UPTD Kepala Puskesmas Kejajar 2

Maduri., S.Kep., Ners

JUMLAH TOTAL NILAI PENERIMAAN DARI IFK / non ifk

PENAMBAHAN/ PENERIMAAN OBAT DARI IFK

No TANGGAL NOMOR SBBK JUMLAH (Rp) KETERANGAN

Ka. UPTD Kepala Puskesmas Kejajar 2 Wonosobo, 31 Desember 2022

Maduri., S.Kep., Ners Galih Arum Palupi., S.Farm., Apt

JUMLAH TOTAL NILAI PENERIMAAN DARI IFK / non ifk 2022

Jumlah nilai rupiah stok awal masing-masing unit Puskesmas Kejajar 2

Ka. UPTD Kepala Puskesmas Kejajar 2 Wonosobo, 31 Desember 2022

Maduri., S.Kep., Ners Galih Arum Palupi., S.Farm., Apt

Maduri, S.Kep., Ners

Ka. UPTD Kepala Puskesmas Kejajar 2

Maduri, S.Kep., Ners

JUMLAH TOTAL NILAI DISTRIBUSI

NAMA PUSKESMAS : PUSKESMAS KEJAJAR 2

MUTASI DARI GUDANG KE UNIT

NO NAMA OBAT SATUAN Anggaran SIMO Harga Satuan STOK DISTRIBUSI

1 Acyclovir tab 400mg tablet APBD II / DAK

Galih Arum Palupi, S. Farm., Apt

Wonosobo, 30 Juni 2022

Galih Arum Palupi, S. Farm., Apt

MUTASI DARI GUDANG KE UNIT

SALDO KOREKSI STOK NILAI KOREKSI KET

1 2 3 4 5 6 = (4x5) 7 4x7 8 = (5+7-12) 9 = (4x8) 12 13

Wonosobo, 30 juni 2022

Maduri, S.Kep., Ners Galih Arum Palupi, S. Farm., Apt

STOCK NILAI STOCK AWAL PEMAKAIAN

Ka. UPTD Kepala Puskesmas Kejajar 2 Pengelola Farmasi

Maduri, S.Kep., Ners Galih Arum Palupi, S. Farm., Apt

NAMA PUSKESMAS : PUSKESMAS KEJAJAR 2

MUTASI OBAT GUDANG / SIMO

STOCK NILAI STOCK AWAL PEMAKAIAN

37 Anti Hemoroid DOEN Supp 3,250.00 - 30.00 97,500.00 - - 30.00 97,500.00

38 Antifungi DOEN kombinasi 4,798.00 67,172.00 - - 14.00 67,172.00 - -

39 Antifungi DOEN kombinasi 3,477.00 132,126.00 - - - - 38.00 132,126.00

Ka. UPTD Kepala Puskesmas Kejajar 2 Pengelola Farmasi

Maduri, S.Kep., Ners Galih Arum Palupi, S. Farm., Apt

REKAP DISTRIBUSI POLI KB

Maduri, S.Kep., Ners Galih Arum Palupi, S. Farm., Apt

JUMLAH TOTAL NILAI PENERIMAAN DARI GUDANG

REKAP DISTRIBUSI POLI KB

Wonosobo, 30 September 2022

Maduri, S.Kep., Ners Galih Arum Palupi, S. Farm., Apt

NAMA PUSKESMAS : PUSKESMAS KEJAJAR 2

REKAP DISTRIBUSI POLI KB

Wonosobo, 31 Desember 2022