STOCK OPNAME 31 DESEMBER 2019

PUSKEMAS TEGAL BARAT

PUSKESMAS : TEGAL BARAT
KOTA : TEGAL
PROPINSI : JAWA TENGAH

PENGELUARAN
NO STOK PENERI GUDAG KAMAR STOK
NAMA BARANG SATUAN TANGGAL ED AWAL MAAN JUMLAH PEMAKAIAN RUSAK/ED OBAT OBAT IGD PP TGS PP KRT PP MRJ AKHIR
(A) (B) (A+B) (A+B)-(K) (D) (E) (F) (G) (H) (I) (J) (L)
rsediaan Obat-obatan ( PKD ) Umum
1 Asetosal 100 mg tablet - - - - - - - - - - - -
2 Albendazol tab 400 mg tablet 400 400 800 296 - 500 4 - - - - 504
3 Albendazol sirup 200 mg/5 ml botol - - - - - - -
4 Allopurinol 300 mg tablet - - - - - - - - - - - -
5 Alopurinol tablet 100 mg tablet 01/08/2021 1,800 - 1,800 120 - 1,200 300 - - - 180 1,680
6 Aminofilin inj 24mg/ml ampul - - - - - - - - - - - -
7 Aminofillin 150 mg tablet 5/13/2020 - - - - - - - - - - - -
8 Aminofillin 200 mg tablet 600 - 600 - - - - 30 400 100 70 600
9 Amitriptyline tablet 5/1/2021 168 - 168 - - 168 - - - - - 168
10 Amlodipin 5mg tablet - 7,200 7,200 7,200 - - - - - - - -
11 Amlodipin 10mg tablet - 1,200 1,200 1,100 - - - - 100 - - 100
12 Amoksisilin drop 100 mg/ml btl 27 - 27 1 - - 26 - - - - 26
13 Amoksisilin serbuk injeksi 1000mg ampul - - - - - - - - - - - -
14 Amoksisilin sirup kering 125 mg/ 5 mg botol - - - - - - - - - - - -
15 Amoksisillin 250mg kaplet 3/1/2020 10,500 - 10,500 410 - 10,000 90 - - - - 10,090
16 Amoksisillin 500mg kaplet 6/1/2021 40,200 - 40,200 1,305 - 36,200 225 694 600 676 500 38,895
17 Amoksisillin sirup kering 250mg/5 ml botol - - 360 360 - - - - - - - -
18 Ampisillin 500 mg kaplet - - - - - - -
19 Antasida DOEN kombinasi tablet 4/1/2020 70,600 - 70,600 1,707 - 67,500 259 162 400 472 100 68,893
20 Antasida DOEN suspensi btl 60ml 7/1/2021 400 - 400 139 - 200 23 24 - 5 9 261

21 Anti Bakteri DOEN saleb kombinasi

(Bacitracin) tube - - - - - - - - - - - -
23 Antifungi DOEN Kombinasi pot 5/1/2021 192 - 192 - - 192 - - - - - 192
24 Antihemoroid DOEN supp 12/1/2020 970 - 970 200 - 770 - - - - - 770
25 Antiparkinson DOEN tablet - - - - - - -
26 Aqua pro injeksi steril vial - - - - - - -
28 Asam askorbat 50mg tablet 7/1/2020 46,300 - 46,300 6,383 - 36,900 610 527 700 590 590 39,917
29 Asam folat 1 mg (MARIN) tablet 9/1/2020 3,600 - 3,600 590 - 3,600 590 - - - - 4,190
30 Asam mefenamat 500mg tablet 7/31/2022 8,300 - 8,300 170 - 6,300 360 620 400 150 300 8,130
31 Asam traneksamat 100mg inj ampul - - - - - - - - - - - -
32 Asiklovir 200mg tablet 2/1/2022 700 - 700 4 - 400 - 96 200 - - 696
33 Asiklovir 400mg tablet 4/1/2021 1,300 - 1,300 167 - 375 - - 400 300 58 1,133
34 Asiklovir krim 5% tube 7/1/2021 375 - 375 1 - 350 24 - - - - 374
Atropin injeksi I m/lv/s.k.0,25 mg/ml (sulfat) ampul 7/31/2020
36 50 - 50 -
- 50 50
37 Attapulgit 600mg (New Antides) tablet 6/1/2020 26,300 - 26,300 686 - 24,500 320 179 100 115 400 25,614
38 Azitromisin 500 mg tablet 1/9/2020 235 - 235 - - 235 - - - - - 235
39 Bedak salisil 2% dus@50gr 3/1/2020 900 - 900 140 - 700 13 34 10 - 3 760
40 Besi (II) sulfat 200 mg kombinasi tablet 6/5/2020 3,780 - 3,780 210 - 3,150 10 50 120 90 150 3,570
41 Betahistin mesilat 6mg tablet 9/1/2021 - - - - - - - - - - - -
42 Betametason krim 0,1% tube 1/1/2021 500 - 500 55 - 400 5 15 24 1 - 445
43 Bisakodil 5 mg tab.salut 2/28/2020 360 - 360 87 - 250 23 - - - - 273
44 Bisakodil supp 5 mg (DULCOLAX INFANT) supp - - - - - - - - - - - -
45 Bisakodil supp 10 mg supp - - - - - - - - - - - -
46 Bisoprolol 5 mg tablet - - - - - - - - - - - -
47
Budesonide 0,25 mg/ml Pulmicort Respules nebule - - - - - - - - - - - -
48 Cetirizin 10 mg tablet 3/1/2020 980 - 980 803 - - 120 57 - - - 177
49 Cetirizine sirup 5mg/5ml botol 5/1/2020 150 - 150 8 - 100 17 25 - - - 142
50 Clobazam 10mg tablet 3/1/2021 53 - 53 6 - 47 - - - - - 47
51 Co Amoxiclav tablet - - - - - - - - - - - -
Dexamethason 0,5mg 31/03/2020
52 tablet dan
01/08/2020 48,000 - 48,000 3,089 - 41,100 713 688 600 1,810 - 44,911
53 Dexamethason inj 5mg/ml ampul 1/1/2020 85 - 85 50 5 30 - 5 - - - 35
54 Diazepam 2mg tablet 1/1/2021 1,141 - 1,141 133 - 1,008 - - - - - 1,008
57
Difenhidramin injeksi i.m 10mg/ml (HCl) ampul 5/1/2020 30 - 30 - - 30 - - - - - 30
58 Digoksin 0,25mg tablet 200 - 200 26 - - 174 - - - - 174
59 Diazepam injeksi 5mg/ml-1ml ampul 4/1/2020 48 - 48 - - 48 - - - - - 48
60 Diltiazem HCl 30mg tablet - - - - - - - - - - - -
 Dimenhidrinat 50mg 01/09/2020
61 tablet dan
01/06/2022 11,500 1,000 12,500 2,402 - 9,200 280 184 102 132 200 10,098
62 Doksisiklin 100mg kapsul 01/03/2021 - - - - - - - - - - - -
Domperidon suspensi 5mg/ 5ml 01/04/2020
63 botol dan
01/03/2020 - - - - - - - - - - - -
Domperidon10 mg 30/04/2020
64 tablet dan
01/02/2021 12,800 1,000 13,800 1,918 - 11,500 246 1 - 135 - 11,882
65 Efedrin tablet 0 - - - - - - - - - - - -
ampul 12/12/2020 -
66 Epinefrin (Adrenalin) injeksi 0,1%
(sebagaiHCL) 55 - 55 - 55 - - - - - 55
67 Ergotamin 1mg+kofein 50mg tablet 31/11/2019 - - - - - - - - - - - -
68 Eritromisin 500mg kapsul 4/1/2021 400 - 400 10 - 200 190 - - - - 390
69 Etakridin 0,1% btl - - - - - - - - - - - -
70 Etanol 70% btl 100ml - - - - - - - - - - - -
71 Fenitoin Na 30mg (DECATONA) tablet - - - - - - - - - - - -
72 Fenobarbital inj 50mg/ml ampul - - - - - - - - - - - -
Fenobarbital 30 mg Tablet 01/04/2020
73 tablet dan
01/11/2021 800 - 800 - - 800 - - - - - 800
74 Fenoksimetil Penisilin tablet 250 mg tablet - - - - - - - - - - - -
75 Fitomenadion (Vit. K1) injeksi 10 mg/ml ampul - - - - - - - - - - - -
76 Fitomenadion (Vit. K1) injeksi i.m 2 mg/ml ampul 9/30/2019 - - - - - - - - - - - -
77 Fitomenadion 10mg tab salut 8/23/2020 300 - 300 300 - - - - - - - -
78 Flufenazine Decanoat inj 25 mg/ml ampul 6/1/2020 70 - 70 - - 70 - - - - - 70
04/01/2020
79 dan
Furosemid 40 mg tablet 01/02/2021 - - - - - - - - - - - -
80 Garam Oralit I serbuk sachet - - - - - - - - - - - -
81 Gentamisin Salep kulit 0,1% tube 9/30/2020 - - - - - - - - - - - -
82 Gentamisin TM 0,3% botol 1/6/2020 - - - - - - - - - - - -
83 Gentamisin injeksi ampul - - - - - - - - - - - -
84 Gentian Violet larutan 1% botol - - - - - - - - - - - -
85 Glibenklamid 5mg tablet 3/23/2023 - - - - - - - - - - - -
86 Gliseril Guaiakolat 100mg tablet 1/4/2021 - - - - - - - - - - - -
87 GOM btl 8ml 9/1/2021 - - - - - - - - - - - -
88 Griseofulvin 125 mg tablet 2/1/2020 600 - 600 - - 450 150 - - - - 600
89 Guaifenesin 100 mg tablet 7/1/2022 - - - - - - - - - - - -
90 Haloperidol 5mg tablet 01/02/2020 200 - 200 - - 200 - - - - - 200
91 Haloperidol 1,5 mg tablet 10/30/2019 - - - - - - - - - - - -
92 Haloperidol 2 mg tablet 8/1/2020 440 - 440 - - 440 - - - - - 440
93 Haloperidol Deconat injeksi 50 mg/ml ampul 1/1/2020 5 - 5 - - 5 - - - - - 5
94 Hidrokortison Krim 2,5% tube 3/1/2021 144 - 144 13 - 24 24 34 20 17 12 131
95 Hidroklorthiazid 25 mg tablet 9/1/2022 700 - 700 250 - - 450 - - - 450
96 Hyosin Nbutilbromid 10mg tablet 11/1/2020 600 - 600 4 - - - 28 400 68 100 596
97 Ichtyol pot 15gr 7/1/2022 168 - 168 1 - 144 10 9 1 3 - 167
98 INH 100mg tablet - - - - - - - - - - - -
99 INH 300mg tablet - - - - - - - - - - - -
100 Ibuprofen 200mg tablet 1,700 - 1,700 1,100 - - - - 300 - 300 600
101 Ibuprofen 400mg tablet - - - - - - - - - - - -
102 Ibuprofen suspensi 100mg/5ml botol 150 - 150 24 - 100 21 5 - - - 126
103 Ibuprofen suspensi 200mg/5ml botol - - - - - - - - - - - -
104 Isosorbid Dinitrat Tablet sublingual 5 mg tablet - - - - - - - - - - - -
105 Kalium Aspartat 300mg tablet - - - - - - - - - - - -
106 Kalium Klorida 600mg tablet - - - - - - - - - - - -
107 Kalsium laktat 500mg tablet 2/1/2020 39,300 - 39,300 760 - 35,700 640 - 500 1,200 500 38,540
108 Kaolin Pektin (New Diaform) tablet 6/1/2022 2,200 - 2,200 2,200 - - - - - - - -
109 Kaptopril 12,5mg tablet 11/21/2021 - - - - - - - - - - - -
110 Kaptopril tablet 25 mg tablet 11/16/2021 - - - - - - - - - - - -
111 Ketokonazol 200mg tablet 01/05/2021 4,000 - 4,000 91 - 3,400 305 4 200 - - 3,909
112 Ketokonazol krim 2% tube 8/31/2021 216 - 216 28 - 150 29 9 - - - 188
113 Ketorolac injeksi 10mg ampul - - - - - - - - - - - -
114 Klindamisin 150mg tablet - - - - - - - - - - - -
115 Klonidin 0,15 mg tablet - - - - - - - - - - - -
116 Kloramfenikol 250 mg kapsul 8/1/2023 - - - - - - - - - - - -
117 Kloramfenikol TT 3% btl - - - - - - - - - - - -
118 Kloramfenikol suspensi 125mg/5 btl 60 ml - - - - - - - - - - - -
119 Kloramfenikol salep kulit (Bufacetine) 2% tube 5/1/2021 264 - 264 112 - 144 8 - - - - 152
120 Klorampenikol TM 0,5% (RECO) btl 10/31/2020 272 - 272 13 - 200 24 25 4 6 - 259
 Klorfeniramin maleat 4mg tablet
01/03/2021
121 dan
01/04/2022 282,600 - 282,600 5,057 - 273,900 380 865 600 1,598 200 277,543
122 Klorpromazine tablet - - - - - - - - - - - -
123 Kodein 10mg tablet - - - - - - - - - - - -
124 Kodein 20mg tablet 6/30/2021 1,000 - 1,000 - - 1,000 - - - - - 1,000
125 Kotrimoksazol DOEN dewasa tablet 6/1/2020 15,300 - 15,300 123 - 14,000 359 172 200 346 100 15,177
126 Kotrimoksazol FORTE tablet 11/1/2021 5,400 - 5,400 94 - 5,200 16 - - 90 - 5,306
127 Kotrimoksazol suspensi kombinasi botol 30/04/2020 300 - 300 98 - 100 15 8 20 31 28 202
128 Lansoprazol 30 mg kapsul 1/1/2022 420 - 420 16 - 300 104 - - - - 404
129 Levofloksasin 500mg kapsul 0 - - - - - - - - - - - -
130 Lidokain 2%+adrenalin 0,0125mg ampul 12/1/2020 1,780 - 1,780 1,780 - - - - - - - -
lidokain 2%+Epinefrin 1:80000-2ml 01/07/2020 ,
131 ampul 01/11/2020
&01/11/202
2 978 - 978 - - 978 - - - - - 978
132 Linkomisin 500mg kapsul 8/1/2020 500 - 500 14 - 400 - - - 86 - 486
133 Loratadin tablet 4/1/2020 200 - 200 24 - - - 26 - 150 - 176
134 Mebendazol sirup 100 mg/5 ml botol - - - - - - - - - - - -
135 Mebendazol tablet tablet - - - - - - - - - - - -
136 Meloksikam 15mg tablet 31/06/2021 - - - - - - - - - - - -
137 Metformin 500mg tablet 1/3/2020 4,500 10,000 14,500 12,140 - 1,850 210 - 100 - 200 2,360
138 Methampiron 500mg tablet 8/1/2020 5,500 - 5,500 108 - 4,700 360 2 - 130 200 5,392
Metilergometrin Maleat tab salut 0,125 mg
01/02/2021
139 &
tablet 01/05/2021 2,200 - 2,200 20 - 2,000 180 - - - - 2,180
140 Metilergometrin inj 0,2 mg/ml ampul 11/30/2020 30 - 30 - - 30 - - - - 30
141 Metoklopramid 5 mg tablet 200 - 200 10 - - 190 - - - - 190
142 Metoklopramide injeksi 5 mg/ml ampul - - - - - - - - - - - -
143 Metronidazol 500mg tablet - - - - - - - - - - - -
144 Metylprednisolon 4 mg tablet 8/1/2020 21,000 - 21,000 1,456 - 18,100 570 174 - - 700 19,544
145 Metylprednisolon 8 mg tablet - - - - - - - - - - - -
146 Mg Sulfat injeksi 20% ampul 9/1/2019 - - - - - - - - - - - -
147 Mg Sulfat injeksi 40% ampul - - - - - - - - - - - -
148 Mikonazol krim 2% tube 2/1/2021 264 - 264 12 - 216 4 19 9 4 - 252
149 N-asetil sistein 200 mg kapsul 4/8/2020 37,600 - 37,600 18,413 - 16,600 270 1,075 200 442 600 19,187
150 NaCl infus btl 500ml 20 - 20 - - 20 - - - - - 20
 01/12/2020
151 &
Nadifen 50 mg tablet 22/05/2021 46,800 - 46,800 1,091 - 44,700 337 59 100 263 250 45,709
Nifedipin 10mg 01/11/2020
152 tablet dan -
01/03/2021 8,300 - 8,300 1,730 5,800 300 20 100 250 100 6,570
153 Nistatin tablet salut 500.000 IU tablet 8/1/2019 1,800 - 1,800 940 1,100 700 160 - - - - 860
154 Nistatin Vag 100.000 IU/g ovula 18/11/2020 2,300 - 2,300 (80) 1,400 2,300 80 - - - - 2,380
01/01/2020
155 dan
OBH botol 01/03/2021 - - - - - - - - - - - -
156 Oksitetrasiklin HCl salep kulit 3 % tube 9/1/2020 - - - - - - - - - - - -
157 Oksitetrasiklin HCl salep mata 3 % tube - - - - - - - - - - - -
158 Omeprazol 20mg kapsul 930 - 930 805 - - - 25 100 - - 125
159 Omeprazol injeksi ampul - - - - - - - - - - - -
160 Ondancentron inj ampul 4/1/2021 5 - 5 - - 5 - - - - - 5
161 Parasetamol 500mg tablet 1/4/2020 154,400 - 154,400 8,238 - 144,800 502 - 400 260 200 146,162
162 Parasetamol sirup 120mg/5ml botol 60ml 1,200 - 1,200 1,091 - - 63 13 25 - 8 109
163 Parasetamol drop btl 15 ml 8/24/2020 112 - 112 55 - - 57 - - - - 57
164 Pehacain injeksi ampul - - - - - - - - - - - -
165 Permetrin (Scabimite) krim 5% tube 7/1/2020 80 - 80 9 - 70 1 - - - - 71
166 Pirantel tab.score base 125mg tablet 8/30/2020 - - - - - - - - - - - -
167 Pirantel Pamoat susp 125mg/5ml botol 50 - 50 - - - 50 - - - - 50
168 Piridoksin 10mg (vit. B6) tablet 9/1/2020 51,900 - 51,900 46,351 - 4,800 572 177 - - - 5,549
169 Piroksikam 10mg tablet 8/1/2021 - - - - - - - - - - - -
170 Polikresulen cairan btl 10ml 6/3/2036 6 - 6 - - 6 - - - - - 6
171 Povidon Iodin 10% btl 30 ml 11/1/2019 14 - 14 6 - 6 - 2 - - - 8
172 Povidon Iodin 10% btl 300ml 2/1/2020 - - - - - - - - - - - -
173 Prednison 5mg tablet 7/1/2021 34,000 - 34,000 753 - 32,100 592 100 - 185 270 33,247
174 Propanolol 10mg tablet 500 - 500 10 - - 210 80 - 200 - 490
175 Propiltiurasil tablet 100mg tablet - - - - - - - - - - - -
176 Ranitidin 150mg tablet 8/31/2020 9,200 - 9,200 74 7,500 8,400 261 275 - 190 - 9,126
177 Ranitidin inj 25mg/ml ampul 30/03/2021 10 - 10 - - 10 - - - - - 10
178 Reserpin tablet 0,10 mg tablet - - - - - - - - - - - -
179 Respiredon 2 mg tablet 3/1/2021 97 - 97 - - 97 - - - - - 97
180 Retinol ( Vitamin A ) kapsul 100.000 IU kapsul kapsul - - - -
lunak - - - - - - - -
181 Retinol ( Vitamin A ) kapsul 200.000 IU kapsul kapsul - - - - -
lunak - - - - - - -
182 Ringer Laktat infus btl 500ml 1/23/2022 109 - 109 89 - - 20 - - - - 20
183 Rivanol 300 ml botol - - - - - - - - - - - -
184 Salbutamol 2 mg tablet 3/31/2023 3,000 - 3,000 66 - 2,000 467 291 100 76 - 2,934
185 Salbutamol 4 mg tablet 12/1/2021 - - - - - - - - - - - -
186 Salep 2-4 kombinasi pot 7/1/2021 456 192 648 568 - 23 11 37 - 9 - 80
03/01/2020
187 dan
Sefadroksil 500mg kapsul 01/10/2020 3,000 - 3,000 40 - 2,000 178 192 - 190 400 2,960
188 Sefadroksil sir.kering 125mg/5 btl 60ml 0 - - - - - - - - - - - -
189 Sefiksim 100mg kapsul 0 - - - - - - - - - - - -
190 Sefotaksim inj 1g/vial vial 0 - - - - - - - - - - - -
191 Seftriakson 1g/vial vial 0 - - - - - - - - - - - -
192 Seltifort kids (vit syrup) btl 60ml 5/31/2020 180 - 180 17 - 120 31 2 10 - - 163
193 Sianokobalamin tab (vit B12) tab 50 mcg tablet 4/1/2022 36,000 - 36,000 880 - 33,400 600 - 100 440 580 35,120
194 Simetidin 200mg tablet 10/1/2020 1,400 - 1,400 888 - - 120 192 - - 200 512
195 Simvastatin 10mg tablet - - - - - - - - - - -
196 Simvastatin 20mg tablet 03/05/2020 13,000 - 13,000 416 5,000 12,000 584 - - - - 12,584
197 Siprofloksasin 500mg tablet 9/1/2020 52,000 - 52,000 169 - 50,700 182 197 - 352 400 51,831
198 Spiramisin 500mg tablet - - - - - - - - - - - -
199 Stesolid 10 mg injeksi ampul - - - - - - - - - - - -
200 Stesolid supp 10mg Tube 3/1/2022 10 - 10 - - 5 - 5 - - - 10
201 Stesolid supp 5mg Tube 3/2/2022 15 - 15 2 - 10 - 3 - - - 13
202 Sulfasetamid TM 15% botol - - - - - - - - - - -
203 Terbutalin sufat 2,5mg tablet - - - - - - -
204 Tetrasiklin 250mg kapsul - - - - - - - - - - - -
205 Tetrasiklin kapsul 500 mg kapsul 3/1/2021 2,200 - 2,200 30 - 2,000 170 - - - - 2,170
06/01/2020
206 tablet dan -
Thiamin HCl 50mg (vit. B1) 01/05/2022 34,200 - 34,200 244 31,500 580 250 400 326 900 33,956
207 Tiamfenikol kapsul 500mg kapsul - - - - - - - - - - - -
208 Triheksifenidil 2mg tablet - - - - - - - - - - - -
209 Vit. B kompleks tablet 1/31/2020 - - - - - - - - - - -
210 Zinc sirup botol 01/03/2020 108 - 108 79 - - 29 - - - - 29
211 Zinc dispersibel 20mg tablet 12/1/2019 - - - - - - - - - - - -
Persediaan Obat-obatan ( PKD ) Gigi
 1 Bahan tumpatan sementara (CAVITON) kotak 11/6/2019 8 - 8 - - 8 - - - - - 8
2 Chlor Fenol Kamfer Menthol (CHKM) gigi botol 3/31/2022 12 - 12 - - 12 - - - - - 12
3 Devitalisasi pasta non arsen (Pulp x) kotak 4/1/2022 10 - 10 - - 10 - - - - 10
botol
01/11/2020
4 &
Eugenol cairan 01/08/2039 16 - 16 - - 16 - - - - - 16
5 Kalsium hidroksida (Hycal) 7 gram 8/1/2021 18 - 18 - - 18 - - - - - 18
6 Mata bor gigi standar set/6 biji 1/6/2022 3 - 3 - - 3 - - - - - 3
7 Mata bor gigi high speed set/6 biji 3 18 21 21 - - - - - - - -
8 Mummifying Pasta/ Iodoform Pasta gigi kotak 7/1/2021 - - - - - - - - - - - -
9 Pasta pengisi saluran akar(CRESOTIN) set 10/1/2020 29 - 29 - - 29 - - - - - 29
10 Poliren (OCO) polishing pasta btl 15gr 7/1/2021 24 - 24 - - 24 - - - - - 24
Semen seng fosfat serbuk dan cairan gigi
11 botol 10/31/2020 8 - 8 - - 8 - - - - - 8

12 Tambalan sementara untuk gigi 28gr(3M kotak 1/1/2020 - - - - -

ESPE Cavit G) - - - - - - -
13 Tambalan tetap gigi (Glass Ionomer,fuji) kotak 4/1/2022 37 - 37 - - 37 - - - - - 37
14 Tricresol formalina (TKF) kotak 31/09/2021 15 - 15 - - 15 - - - - - 15
15 Komposir resin (Master fill) kotak 2/1/2022 12 - 12 1 - 11 - - - - - 11
Persediaan Obat-obatan ( PKD ) Penunjang 8/1/2020 -
1 Ambroksol 30 mg tablet 9/1/2020 900 - 900 900 - - - - - - - -
2 Antiflu tab.kombinasi (Brocifar) tablet 0 2,400 - 2,400 - - 2,400 - - - - - 2,400
3 Asam Tranexamat inj.500mg/ml ampul 1/1/2021 - - - - - - - - - - - -
4 Calsium Gluconnat Injeksi ampul 11/1/2019 56 - 56 - - 56 - - - - - 56
5
BIOSAT 1,5 Serum anti tetanus inj 1500IU/ml ampul 8/1/2019 - - - - - - - - - - - -
6 Bromheksin HCl 8 mg tablet 8/1/2021 - - - - - - - - - - - -
7 Ekstrak sonchi Folium 100% kapsul 4/1/2022 - - - - - - - - - - - -
8 Etanol 70 %( One Med alcohol) botol 1 L 0 10 - 10 1 - 8 1 - - - - 9
9 Fenoterol MDI 100 mcg/ 10ml fls 7/31/2020 - - - - - - - - - - - -
10 Glimepirid 1mg 12/1/2020 6,800 - 6,800 135 - 6,000 665 - - - - 6,665
11 Glimepirid 2mg 0 5,900 - 5,900 185 - 5,100 615 - - - - 5,715
12 Kloramfenikol inj vial 4/1/2020 - - - - - - - - - - - -
13 Kloramfenikol Salep mata 1% tube 5 gr 1/1/2022 72 - 72 19 - 48 2 3 53
14 Levertran15 g pot 15gr 01/02/2020 - - - - - - - - - - - -
15 Metampiron 500mg+Diazepam 2 mg tablet 9/1/2021
(Neuroval) 150 - 150 150 - - - - - - - -
 16 Obat anti flu sirup (Betaflu) botol 0 - - - - - - - - - - - -
17 Obat batuk Kombinasi (Fenidryl) sirup 7/1/2022 - - - - - - - - - - - -
18 Obat batuk kombinasi (Dextral) tablet 7/1/2021 - - - - - - - - - - - -
19 Oksitosin injeksi ampul 4/1/2020 295 - 295 - - 295 - - - - - 295
20 Phenol gliserol tetes telinga botol 120 - 120 7 - 96 17 - - - - 113
21 Salbutamol nebules(Salbutamol 2,5mg/2,5 ml ampul 9/4/2020 60 - 60 -
NaCl) - 40 - 20 - - - 60
23 Salep luka bakar (Neocenta gel) tube 15gr 0 10 - 10 5 - 5 - - - - - 5
24 Tab. Curcuma 20mg tablet 0 - - - - - - - - - - - -
25 Teofilin syrup 43,33 mg/ 5 ml botol 0 - - - - - - - - - - - -
26 Terapi Diare sirup btl 60ml - - - - - - - - - - - -
27 Terapi Diare tab tablet 8/1/2020 - - - - - - - - - - - -
28 Vit neurotropik tablet 9/1/2022 8,300 - 8,300 1,430 - 6,700 170 - - - - 6,870
29 Etil klorid semprot Spray 7/1/2020 56 - 56 7 - 48 - 1 - - - 49
Persediaan Obat Asli Indonesia
1 Extrak Belladon tab 10 mg tablet 0 - - - - - - - - - - - -
2 Enkasari 120 ml botol - - - - - - - - - - - -
3 Fitogen tablet 0 - - - - - - - - - - - -
4 Ferris botol 0 - - - - - - - - - - - -
5 Hemorogard kapsul 8/1/2020 360 - 360 16 - 330 14 - - - - 344
6 Hepagard kapsul - - - - - - - - - - - -
7 Minyak telon botol 50 ml 0 - - - - - - - - - - - -
8 Tensigard kapsul 0 390 - 390 93 - 270 27 - - - - 297

Persediaan Obat dan Alkes PROGRAM - - -

1 Diethylcarbamazine (DEC) 100 mg tablet 0 - - - - - - -
2 Albendazol tab 400 mg tablet 0 - - - - - - -
3 MDT Combi MB Adult blister 0 - - - - - - -
4 MDT Combi MB Child blister 0 - - - - - - -
5 MDT Combi PB Adult blister 0 - - - - - - -
6 MDT Combi PB Adult blister 0 - - - - - - -
7 MDT Combi PB Child blister 0 - - - - - - -
8 Obat Anti Tubercolusis kategori 1 FDC 0 - - - - - - -
9 Obat Anti Tubercolusis kategori anak FDC 0 - - - - - - -
10 Box slide pcs 0 29 - 29 - - 29 29
11 Pot sputum pot 4/1/2022 300 - 300 - - 300 300
12 Reagen BTA ( Ziehl Nelsen ) paket 0 - - - - - - -
13 Prokain Benzil Penisilin 3 jt IU vial 0 - - - - - - -
14 Depo Progestin/ suntik KB 3 bulan vial 0 - - - - - - -
15 Mineral Mix sachet 0 - - - - - - -
16 safety box 2,5 lt pcs 0 - - - - - - -
17 safety box 5 lt pcs 0 - - - - - - -
18 spuit 0,5 ml pcs 0 - - - - - - -
Persediaan ALKES Habis Pakai (PKD) - - -
1 ADS 0,05ml pcs 7/1/2021 - - - - - -
2 Blood Lancet box 8/1/2021 470 - 470 - - 470 470
3 Cryotube 1.8 ml pcs 0 - - - - - - -
4 Cover Glass 22x22 mm box 3/1/2022 - - - - - - -
5 Deck Glass box/72pcs 0 34 - 34 - - 34 34
6 E Care Handrub 500 ml botol 3/1/2020 40 - 40 - - 40 40
7 Folley Catheter No.16 buah 11/1/2022 24 - 24 - - 24 24
8 Folley Catheter setara Rush No.18 buah 12/1/2022 - - - - - - -
9 IV Catheter 18 G pcs 12/31/2023 - - - - - - -
10 IV Catheter 24 G pcs 1/31/2023 - - - - - - -
11 IV Catheter 22 G pcs 3/31/2024 - - - - - - -
12 IV catheter 20 G pcs 31/02/2024 - - - - - - -
13 Kapas 100 gr rol 0 - - - - - - -
14 Kasa 4m x 15 cm elastis roll 0 - - - - - - -
15 Kertas ECG Ukuran Besar roll 0 - - - - - - -
16 Kertas ECG Ukuran Standar roll 0 - - - - - - -
17 Pembalut Gips Uk. 3" roll 0 - - - - - - -
18 Pembalut Gips Uk. 4" roll 0 - - - - - - -
19 Pembalut Gips Uk. 6" roll 0 - - - - - - -
20 Plester 5 yard x 2 inchi roll 0 - - - - - - -
21 Pot Urine (pot sputum) bh/d.5,5cm 4/1/2022 - - - - - - -
22 Spuit 0,05 ml pcs - - - - - -
23 Tensocrepe 4" buah 0 - - - - - - -
24 Tensocrepe 6" buah 0 - - - - - - -
25 Wing Needle No. 21G buah 0 - - - - - - -
26 Wing Needle No. 25G buah 1/1/2020 200 - 200 - - 200 200
27 alat suntik 1 ml pcs 11/1/2020 300 - 300 300 - - -
28 alat suntik 3 ml pcs 2/1/2021 2,700 - 2,700 600 - 2,100 2,100
29 alat suntik 5 ml pcs 12/31/2023 1,700 - 1,700 - - 1,700 1,700
30 alat suntik 10 ml pcs 12/31/2023 1,200 - 1,200 - - 1,200 1,200
31 alkohol swab pcs 10/1/2021 2 - 2 - - 2 2
32 aquadest botol 1 L 6/3/2036 - - - - - - -
33 Alkapram septalkan spray botol 7/1/2021 - - - - - - -
34 Alkapram alkacide 1 L botol 7/1/2020 - - - - - - -
35 Alkapharm alkazyme 25mg sachet 5/1/2021 - - - - - - -
36 bisturi kecil pcs 1/12/2020 65 - 65 - - 65 65
37 bioplacenton tulle pcs - - - - - - -
38 catgut cromic 2/0 box 30/12/2019 9 1 10 1 - 9 9
39 catgut cromic 3/0 box 30/09/2019 6 - 6 - - 6 6
41 fixomul stretch 15cmx5m roll 28/07/2020 - - - - - - -
42 foley catheter No.14 pcs 7/1/2021 6 - 6 - - 6 6
43 Gelang Bayi Pink pcs 2/1/2023 - - - - - - -
44 Gelang Bayi Biru pcs 2/1/2023 - - - - - - -
45 handscoon Uk S box 5/1/2021 108 90 198 104 - 94 94
46 handscoon Uk M box 5/1/2021 156 90 246 106 - 140 140
47 handscoon obgyn pcs 1/7/2021 - - - - - - -
48 handscoon steril pasang 12/1/2022 - - - - - - -
49 hipafik 5x5 pcs 2/1/2021 13 4 17 4 - 13 13
50 hipafik 15x10 box 01/102020 - - - - - - -
51 infus set anak set/ktg 5/1/2021 42 - 42 - 42 42
52 infus set dewasa set/ktg 7/1/2022 37 - 37 - - 37 37
53 jarum hect kulit luar besar (12 pcs) pcs 1/10/2021 15 - 15 - - 15 15
54 jarum hect kulit luar kecil (12 pcs) pcs 1/5/2022 58 - 58 - - 58 58
55 jarum hect kulit luar sedang (12 pcs) pcs 1/9/2022 9 - 9 - - 9 9
56 jarum hect otot luar besar bks/12pcs 1/6/2023 - - - - - - -
57 jarum hect otot luar sedang bks/12pcs 9/6/2022 1 - 1 - - 1 1
58 jelly EKG botol - - - - -
59 kapas absorben 250 gr bks 10/1/2021 15 - 15 - - 15 15
60 Kapas Berlemak 500 gr roll 9/1/2033 - - - - - - -
61 kasa hidrofil 2x80cm pcs 30/04/2021 6 - 6 - - 6 6
62 kasa hidrofil 40x80cm roll 5/1/2023 18 - 18 - - 18 18
63 kasa pembalut elastic 4m x 15cm roll 8/6/2021 4 - 4 - - 4 4
64 kasa pembalut elastic 4m x 3cm roll 8/6/2021 6 - 6 - - 6 6
65 kasa pembalut hidrofil 4 m x 10cm roll 10/1/2033 - - - - - - -
66 kasa hidrofil steril 18x22 roll 10/1/2021 - - - - - - -
67 kasa kompres 40x40 steril roll 8/1/2021 - - - - - - -
68 kasa steril 16x16 cm box 11/1/2020 - - - - - - -
69 kertas gol.darah pak/100's 1/6/2022 50 - 50 - - 50 50
70 kertas tissu gulung 06/01/2022 - - - - - - -
71 klem tali pusat pcs - - - - - - -
72 masker box/50pcs 30/04/2021 239 - 239 14 - 225 225
73 Box Object Glass Grey and Orange box 3/1/2022 3 - 3 - - 3 3
74 object glass box/72pcs 19/03/2021 57 - 57 - - 57 57
75 Oxygen mask bayi (SERENITY) pcs 1/6/2022 2 - 2 - - 2 2
76 Oxygen mask anak (SERENITY) pcs 1/7/2022 4 - 4 - - 4 4
77 Oxygen mask dewasa (SERENITY) pcs 1/8/2022 5 - 5 - - 5 5
78 Pita Lila pcs 1/6/2022 - - - - - - -
79 plester 5 yard 20 inch roll 19/02/2021 17 - 17 - - 17 17
80 silk no 3/0 dg jarum bedah pcs 3/6/2037 4 - 4 - - 4 4
81 spiritus btl / 1 liter 06/01/2022 23 - 23 - - 23 23
82 spuit 0,5 ml pcs 7/1/2021 - - - - - - -
83 Stericline Indicator strip box 11/1/2022 - - - - - - -
84 Stericlin gusette 25x6,5cm roll 10/1/2022 - - - - - - -
85 tempat preparat BTA / cawan petri pcs 1/6/2022 4 - 4 - - 4 4
86 tabung reaksi 1,5x10cm ktk/50pcs 60 - 60 - - 60 60
87 test kehamilan box/50pcs 5/1/2020 8 - 8 - - 8 8
88 tranfusi set dewasa pcs 3/31/2024 37 - 37 - - 37 37
89 Wraping paper 50x50 box 12/1/2020 - - - - - - -
90 Wraping paper 75x75 box 11/7/2020 - - - - - - -
91 USG Gel 250 ml botol 1/31/2021 - 4 4 4 - - -
92 urin bag pcs 19/05/2021 35 - 35 - - 35 35
93 Ammonium Oxalat Btl/100ml 8/1/2020 - - - - - - -
94 Asam Klorida 0,1 N btl/ 100 ml 6 - 6 - - 6 6
95 pack/
Blue Tip 1000test - - - - - - -
96 BD Tube EDTA plh 13 x 75 box 5/1/2021 3 - 3 - - 3 3
97 Cell pack bok 9/5/2020 1 - 1 - - 1 1
98 Cuka diksi botol 5/1/2024 1 - 1 - - 1 1
99 EDTA btl 100ml - - - - - - -
100 Purple cup EDTA K3 3ml, glass box 6/1/2020 - - - - - - -
101 HbsAg test strip 0 160 - 160 - - 160 160
102 Kertas Lensa lembar 0 - - - - - - -
103 Larutan Giemsa Stain botol 10/6/2019 2 - 2 - - 2 2
104 Paket Gol. Darah Anti AB paket 3/6/2020 9 - 9 - - 9 9
105 Paket Gol. Darah anti Resus paket 4/6/2020 - - - - - - -
106 Reagensia Uji Widal S para Typhi AH vial 12/1/2020 - - - - - - -
107 Reagensia Uji Widal Typhi H vial 7/6/2020 - - - - - - -
108 Reagensia Uji Widal Typhi O vial 2/28/2021 - - - - - - -
109 Reagen ZN paket 15 - 15 - - 15 15
110 alkohol asam btl 100ml 14 - 14 - - 14 14
111 asam sulfosalisilat btl 100ml - - - - - - -
112 asam urat stick btl/25 test 31/04/2021 3 - 3 - - 3 3
113 dempul hematokrit pcs - - - - - - -
114 glukoprotein stik 10 parameter pck/100's 2/1/2020 - - - - - - -
115 glukoprotein urin test box/10 test 0 29 - 29 - - 29 29
116 glukosa stik btl/25 test 11/7/2020 31 - 31 - - 31 31
117 hemoglobin stik box/25 test 4 - 4 - - 4 4
118 haemoglobulin C btl 500ml 11/19/2020 - - - - - - -
119 hayam btl 100ml 1/6/2022 - - - - - - -
120 Immersion Oil btl 100ml 1/6/2022 1 - 1 - - 1 1
121 kertas lakmus pack - - - - - - -
122 kertas lensa lembar - - - - - - -
123 kolesterol stik btl 10 test 1/31/2021 5 - 5 - - 5 5
124 lar. benedict btl 100ml 6/3/2036 - - - - - - -
125 lar. eosin 2% btl 7/6/2020 1 - 1 - - 1 1
126 lar. etanol asam btl 100ml 6/6/2020 57 - 57 - - 57 57
127 lar. hypoklorit btl 1L 46 - 46 - - 46 46
128 lar. karbol fuchsin btl 100ml 11 - 11 - - 11 11
129 lar. metilen biru btl 100ml - - - - - - -
130 larutan KOH btl 100ml 6 - 6 - - 6 6
131 larutan Turk btl 100 ml 1/1/2023 - - - - - - -
132 larutan Poch-Pack L botol 11/1/2020 - - - - - - -
133 larutan Poch-Pack D botol - - - - - - -
134 masker N95 box 12/1/2020 - - - - - - -
135 metanol botol 7/6/2020 14 - 14 - - 14 14
136 minyak imersi btl 100ml 1 - 1 - - 1 1
137 natrium citrat 3,13% btl 100ml - - - - - - -
138 natrium citrat 3,8% btl 250ml 6/6/2019 5 - 5 - - 5 5
139 paket gol. Drh anti AB paket 9 - 9 - - 9 9
140 paket gol. Drh anti B paket 10 - 10 - - 10 10
141 paket gol.drh anti A paket 1/6/2022 8 - 8 - - 8 8
142 ress Ecker btl 100ml 1/6/2022 - - - - - - -
143 stik urinalisis 10 parameter botol 4/1/2021 15 - 15 - - 15 15
144 Stomalizer Pcs 4/8/2020 - - - - - - -
145 thermal paper 57mm x 30 m roll 7/6/2020 7 - 7 - - 7 7
146 tissu lensa pak - - - - - - -
147 trigliserida botol - - - - - - -
148 xylol btl 100ml 9/6/2019 3 - 3 - - 3 3
149 yellow tip pak 2 - 2 - - 2 2
150 Lisol btl - - - - - - -
151 Larutan Nacl 0,86% botol 9/6/2019 5 - 5 - - 5 5

Mengetahui/Menyetujui, Yang Meminta/Melaporkan,

Kepala Puskesmas Tegal Barat Ka. Puskesmas Tegal Barat Kota Tegal

dr. Bambang Kuswanto Dian Fitriana,A.md

NIP.19651107 200212 1 004 NIP.19850921 200903 2 005
 HARGA
SATUAN (Rp) TOTAL (Rp)

-
29 14,616
-
-
99 166,320
-
-
139 83,400
167 28,056
70 -
93 9,300
18,000 468,000
-
-
184 1,856,560
233 9,062,535
-
-
62 4,271,366
1,999 521,739

-
4,496 863,232
3,167 2,438,590
-
 -
105 4,191,285
70 293,300
103 837,390
-
236 164,256
380 430,540
3,564 1,332,936

2 80
1,595 40,854,330
1,900 446,500
1,025 779,000
354 1,263,780
-
1,340 596,300
300 81,900
-
-
-

-
89 15,753
2,860 406,120
967 45,449
-

32 1,437,152
1,097 38,395
86 86,688

1,095 32,850
104 18,096
1,096 52,608
-
 105 1,060,290
-

85 1,009,970
-

1,408 77,440
-
750 292,500
-
-
-
-

171 136,800
-
-
-
710 -
59,800 4,186,000

-
-
-
-
-
-
-
-
 -
210 126,000
-
56 11,200
-
84 36,960
97,500 487,500
2,475 324,225
155 69,750
1,760 1,048,960
6,500 1,085,500
-
-
105 63,000
-
2,550 321,300
-
-
-
-
59 2,273,860
309 -
-
-
270 1,055,430
2,518 473,384
-
-
-
-
-
-
3,038 461,776
6,188 1,602,692
 22 6,105,946
-
-
1,299 1,299,000
151 2,291,727
299 1,586,494
2,140 432,280
303 122,412
-
1,144 -

1,845 1,804,410
1,617 785,862
100 17,600
-
-
-
96 226,560
165 889,680

211 459,980
2,959 88,770
80 15,200
-
-
134 2,618,896
-
-
-

3,141 791,532
350 6,715,450
6,410 128,200
 115 5,256,535

104 683,280
790 679,400
523 1,244,740

-
-
-
130 16,250
-
1,070 5,350
53 7,746,586
1,010 110,090
6,649 378,993
-
11,825 839,575
-
9,700 485,000
123 682,527
-
-
3,045 24,360
-
68 2,260,796
54 26,460
-
108 985,608
1,458 14,580
-
273 26,481

-
 -
7,150 143,000
-
63 184,842
-
2,620 209,600

478 1,414,880
-
-
-
-
5,155 840,265
51 1,791,120
184 94,208
-
205 2,579,720
281 14,564,511
-
-
18,279 182,790
12,537 162,981
-
-
-
310 672,700

86 2,920,216
-
-
-
2,972 86,188
-
-
138,600 1,108,800
75,000 900,000
217,000 2,170,000

18,824 301,184
181,250 3,262,500
200,000 600,000
-
-
265,000 7,685,000
19,182 460,368

160,000
1,280,000

-
268,700 9,941,900
275,000 4,125,000
152,000 1,672,000
-
133 -
396 950,400
-
10,351 579,656

-
-
-
26,500 238,500
-
174 1,159,710
207 1,183,005
-
1,881 99,693
-

925 -
 -
-
-
1,199 353,705
2,590 292,670

4,000 240,000
17,000 85,000
-
-
-
-
660 4,534,200
352,000 17,248,000
-
-
-
-
-
1,552 533,888
-
-
2,127 631,719
224,723,488
-
-
-
-
-
-
-
-
-
-
57,100 1,655,900
2,826 847,800
-
 -
-
-
-
-
-
-
-
14,856 6,982,320
-
-
14,894 506,396
6,080 243,200
13,090 314,160
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
1,428 285,600
-
792 1,663,200
979 1,664,300
1,298 1,557,600
 11,000 22,000
-
-
-
-
3,000 195,000
-
54,000 486,000
54,000 324,000
-
13,090 78,540
-
-
46,200 4,342,800
46,200 6,468,000
-
-
142,600 1,853,800
-
5,100 214,200
6,930 256,410
128,000 1,920,000
128,000 7,424,000
128,000 1,152,000
-
128,000 128,000
-
12,757 191,355
-
7,859 47,154
107,104 1,927,872
1,530 6,120
9,000 54,000
-
-
-
-
 20,000 1,000,000
-
-
24,000 5,400,000
76,986 230,958
17,967 1,024,119
9,500 19,000
9,500 38,000
9,500 47,500
-
7,500 127,500
66,000 264,000
33,700 775,100
-
-
-
95,000 380,000
95,000 5,700,000
98,947 791,576
13,976 517,112
-
-
13,213 -
3,085 107,975
-
19,950 119,700

-
169,092 507,276
1,768,800 1,768,800
50,000 50,000
-
-
206,000 32,960,000
-
258,610 517,220
125,000 1,125,000
 -
-
-
-
330,000 4,950,000
100,000 1,400,000
-
110,000 330,000
-
-
10,660 309,140
247,500 7,672,500
150,000 600,000
-
-
370,025 370,025
-
-
195,000 975,000
-
176,225 176,225
100,000 5,700,000
17,500 805,000
145,000 1,595,000
-
23,271 139,626
-
-
-
-
145,000 2,030,000
203,505 203,505
-
270,000 1,350,000
135,000 1,215,000
120,000 1,200,000
120,000 960,000
 -
148,000 2,220,000
-
12,500 87,500
-
-
100,000 300,000
175,500 351,000
-
50,000 250,000
131,472,084
 STOCK OPNAME 31 DESEM
PUSKEMAS TEGAL BAR
PUSKESMAS : TEGAL BARAT
KOTA : TEGAL
PROPINSI : JAWA TENGAH

NO STOK PENERI
NAMA BARANG SATUAN TANGGAL ED AWAL MAAN
(A) (B)
diaan Obat-obatan ( PKD ) Umum
1 Asetosal 100 mg tablet - -
2 Albendazol tab 400 mg tablet 400 400
3 Albendazol sirup 200 mg/5 ml botol - -
4 Allopurinol 300 mg tablet - -
5 Alopurinol tablet 100 mg tablet 01/08/2021 1,800 -
6 Aminofilin inj 24mg/ml ampul - -
7 Aminofillin 150 mg tablet 5/13/2020 - -
8 Aminofillin 200 mg tablet 600 -
9 Amitriptyline tablet 5/1/2021 168 -
10 Amlodipin 5mg tablet - 7,200
11 Amlodipin 10mg tablet - 1,200
12 Amoksisilin drop 100 mg/ml btl 27 -
13 Amoksisilin serbuk injeksi 1000mg ampul - -
14 Amoksisilin sirup kering 125 mg/ 5 mg botol - -
15 Amoksisillin 250mg kaplet 3/1/2020 10,500 -
16 Amoksisillin 500mg kaplet 6/1/2021 40,200 -
17 Amoksisillin sirup kering 250mg/5 ml botol - -
18 Ampisillin 500 mg kaplet - -
19 Antasida DOEN kombinasi tablet 4/1/2020 70,600 -
20 Antasida DOEN suspensi btl 60ml 7/1/2021 400 -

21 Anti Bakteri DOEN saleb kombinasi

(Bacitracin) tube - -
23 Antifungi DOEN Kombinasi pot 5/1/2021 192 -
24 Antihemoroid DOEN supp 12/1/2020 970 -
25 Antiparkinson DOEN tablet - -
26 Aqua pro injeksi steril vial - -
28 Asam askorbat 50mg tablet 7/1/2020 46,300 -
29 Asam folat 1 mg (MARIN) tablet 9/1/2020 3,600 -
30 Asam mefenamat 500mg tablet 7/31/2022 8,300 -
31 Asam traneksamat 100mg inj ampul - -
32 Asiklovir 200mg tablet 2/1/2022 700 -
33 Asiklovir 400mg tablet 4/1/2021 1,300 -
34 Asiklovir krim 5% tube 7/1/2021 375 -
Atropin injeksi I m/lv/s.k.0,25 mg/ml (sulfat) ampul 7/31/2020
36 50 -
37 Attapulgit 600mg (New Antides) tablet 6/1/2020 26,300 -
38 Azitromisin 500 mg tablet 1/9/2020 235 -
39 Bedak salisil 2% dus@50gr 3/1/2020 900 -
40 Besi (II) sulfat 200 mg kombinasi tablet 6/5/2020 3,780 -
41 Betahistin mesilat 6mg tablet 9/1/2021 - -
42 Betametason krim 0,1% tube 1/1/2021 500 -
43 Bisakodil 5 mg tab.salut 2/28/2020 360 -
44 Bisakodil supp 5 mg (DULCOLAX INFANT) supp - -
45 Bisakodil supp 10 mg supp - -
46 Bisoprolol 5 mg tablet - -
47
Budesonide 0,25 mg/ml Pulmicort Respules nebule - -
48 Cetirizin 10 mg tablet 3/1/2020 980 -
49 Cetirizine sirup 5mg/5ml botol 5/1/2020 150 -
50 Clobazam 10mg tablet 3/1/2021 53 -
51 Co Amoxiclav tablet - -
Dexamethason 0,5mg 31/03/2020
52 tablet dan
01/08/2020 48,000 -
53 Dexamethason inj 5mg/ml ampul 1/1/2020 85 -
54 Diazepam 2mg tablet 1/1/2021 1,141 -
57
Difenhidramin injeksi i.m 10mg/ml (HCl) ampul 5/1/2020 30 -
58 Digoksin 0,25mg tablet 200 -
59 Diazepam injeksi 5mg/ml-1ml ampul 4/1/2020 48 -
60 Diltiazem HCl 30mg tablet - -
Dimenhidrinat 50mg 01/09/2020
61 tablet dan
01/06/2022 11,500 1,000
62 Doksisiklin 100mg kapsul 01/03/2021 - -
Domperidon suspensi 5mg/ 5ml 01/04/2020
63 botol dan
01/03/2020 - -
Domperidon10 mg 30/04/2020
64 tablet dan
01/02/2021 12,800 1,000
65 Efedrin tablet 0 - -
ampul 12/12/2020
66 Epinefrin (Adrenalin) injeksi 0,1%
(sebagaiHCL) 55 -
67 Ergotamin 1mg+kofein 50mg tablet 31/11/2019 - -
68 Eritromisin 500mg kapsul 4/1/2021 400 -
69 Etakridin 0,1% btl - -
70 Etanol 70% btl 100ml - -
71 Fenitoin Na 30mg (DECATONA) tablet - -
72 Fenobarbital inj 50mg/ml ampul - -
Fenobarbital 30 mg Tablet 01/04/2020
73 tablet dan
01/11/2021 800 -
74 Fenoksimetil Penisilin tablet 250 mg tablet - -
75 Fitomenadion (Vit. K1) injeksi 10 mg/ml ampul - -
76 Fitomenadion (Vit. K1) injeksi i.m 2 mg/ml ampul 9/30/2019 - -
77 Fitomenadion 10mg tab salut 8/23/2020 300 -
78 Flufenazine Decanoat inj 25 mg/ml ampul 6/1/2020 70 -
04/01/2020
79 dan
Furosemid 40 mg tablet 01/02/2021 - -
80 Garam Oralit I serbuk sachet - -
81 Gentamisin Salep kulit 0,1% tube 9/30/2020 - -
82 Gentamisin TM 0,3% botol 1/6/2020 - -
83 Gentamisin injeksi ampul - -
84 Gentian Violet larutan 1% botol - -
85 Glibenklamid 5mg tablet 3/23/2023 - -
86 Gliseril Guaiakolat 100mg tablet 1/4/2021 - -
87 GOM btl 8ml 9/1/2021 - -
88 Griseofulvin 125 mg tablet 2/1/2020 600 -
89 Guaifenesin 100 mg tablet 7/1/2022 - -
90 Haloperidol 5mg tablet 01/02/2020 200 -
91 Haloperidol 1,5 mg tablet 10/30/2019 - -
92 Haloperidol 2 mg tablet 8/1/2020 440 -
93 Haloperidol Deconat injeksi 50 mg/ml ampul 1/1/2020 5 -
94 Hidrokortison Krim 2,5% tube 3/1/2021 144 -
95 Hidroklorthiazid 25 mg tablet 9/1/2022 700 -
96 Hyosin Nbutilbromid 10mg tablet 11/1/2020 600 -
97 Ichtyol pot 15gr 7/1/2022 168 -
98 INH 100mg tablet - -
99 INH 300mg tablet - -
100 Ibuprofen 200mg tablet 1,700 -
101 Ibuprofen 400mg tablet - -
102 Ibuprofen suspensi 100mg/5ml botol 150 -
103 Ibuprofen suspensi 200mg/5ml botol - -
104 Isosorbid Dinitrat Tablet sublingual 5 mg tablet - -
105 Kalium Aspartat 300mg tablet - -
106 Kalium Klorida 600mg tablet - -
107 Kalsium laktat 500mg tablet 2/1/2020 39,300 -
108 Kaolin Pektin (New Diaform) tablet 6/1/2022 2,200 -
109 Kaptopril 12,5mg tablet 11/21/2021 - -
110 Kaptopril tablet 25 mg tablet 11/16/2021 - -
111 Ketokonazol 200mg tablet 01/05/2021 4,000 -
112 Ketokonazol krim 2% tube 8/31/2021 216 -
113 Ketorolac injeksi 10mg ampul - -
114 Klindamisin 150mg tablet - -
115 Klonidin 0,15 mg tablet - -
116 Kloramfenikol 250 mg kapsul 8/1/2023 - -
117 Kloramfenikol TT 3% btl - -
118 Kloramfenikol suspensi 125mg/5 btl 60 ml - -
119 Kloramfenikol salep kulit (Bufacetine) 2% tube 5/1/2021 264 -
120 Klorampenikol TM 0,5% (RECO) btl 10/31/2020 272 -
Klorfeniramin maleat 4mg tablet
01/03/2021
121 dan
01/04/2022 282,600 -
122 Klorpromazine tablet - -
123 Kodein 10mg tablet - -
124 Kodein 20mg tablet 6/30/2021 1,000 -
125 Kotrimoksazol DOEN dewasa tablet 6/1/2020 15,300 -
126 Kotrimoksazol FORTE tablet 11/1/2021 5,400 -
127 Kotrimoksazol suspensi kombinasi botol 30/04/2020 300 -
128 Lansoprazol 30 mg kapsul 1/1/2022 420 -
129 Levofloksasin 500mg kapsul 0 - -
130 Lidokain 2%+adrenalin 0,0125mg ampul 12/1/2020 1,780 -
lidokain 2%+Epinefrin 1:80000-2ml 01/07/2020 ,
01/11/2020
131 ampul
&01/11/202
2 978 -
132 Linkomisin 500mg kapsul 8/1/2020 500 -
133 Loratadin tablet 4/1/2020 200 -
134 Mebendazol sirup 100 mg/5 ml botol - -
135 Mebendazol tablet tablet - -
136 Meloksikam 15mg tablet 31/06/2021 - -
137 Metformin 500mg tablet 1/3/2020 4,500 10,000
138 Methampiron 500mg tablet 8/1/2020 5,500 -
Metilergometrin Maleat tab salut 0,125 mg
01/02/2021
139 &
tablet 01/05/2021 2,200 -
140 Metilergometrin inj 0,2 mg/ml ampul 11/30/2020 30 -
141 Metoklopramid 5 mg tablet 200 -
142 Metoklopramide injeksi 5 mg/ml ampul - -
143 Metronidazol 500mg tablet - -
144 Metylprednisolon 4 mg tablet 8/1/2020 21,000 -
145 Metylprednisolon 8 mg tablet - -
146 Mg Sulfat injeksi 20% ampul 9/1/2019 - -
147 Mg Sulfat injeksi 40% ampul - -
148 Mikonazol krim 2% tube 2/1/2021 264 -
149 N-asetil sistein 200 mg kapsul 4/8/2020 37,600 -
150 NaCl infus btl 500ml 20 -
01/12/2020
151 &
Nadifen 50 mg tablet 22/05/2021 46,800 -
Nifedipin 10mg 01/11/2020
152 tablet dan
01/03/2021 8,300 -
153 Nistatin tablet salut 500.000 IU tablet 8/1/2019 1,800 -
154 Nistatin Vag 100.000 IU/g ovula 18/11/2020 2,300 -
01/01/2020
155 dan
OBH botol 01/03/2021 - -
156 Oksitetrasiklin HCl salep kulit 3 % tube 9/1/2020 - -
157 Oksitetrasiklin HCl salep mata 3 % tube - -
158 Omeprazol 20mg kapsul 930 -
159 Omeprazol injeksi ampul - -
160 Ondancentron inj ampul 4/1/2021 5 -
161 Parasetamol 500mg tablet 1/4/2020 154,400 -
162 Parasetamol sirup 120mg/5ml botol 60ml 1,200 -
163 Parasetamol drop btl 15 ml 8/24/2020 112 -
164 Pehacain injeksi ampul - -
165 Permetrin (Scabimite) krim 5% tube 7/1/2020 80 -
166 Pirantel tab.score base 125mg tablet 8/30/2020 - -
167 Pirantel Pamoat susp 125mg/5ml botol 50 -
168 Piridoksin 10mg (vit. B6) tablet 9/1/2020 51,900 -
169 Piroksikam 10mg tablet 8/1/2021 - -
170 Polikresulen cairan btl 10ml 6/3/2036 6 -
171 Povidon Iodin 10% btl 30 ml 11/1/2019 14 -
172 Povidon Iodin 10% btl 300ml 2/1/2020 - -
173 Prednison 5mg tablet 7/1/2021 34,000 -
174 Propanolol 10mg tablet 500 -
175 Propiltiurasil tablet 100mg tablet - -
176 Ranitidin 150mg tablet 8/31/2020 9,200 -
177 Ranitidin inj 25mg/ml ampul 30/03/2021 10 -
178 Reserpin tablet 0,10 mg tablet - -
179 Respiredon 2 mg tablet 3/1/2021 97 -
180 Retinol ( Vitamin A ) kapsul 100.000 IU kapsul kapsul - -
lunak
181 Retinol ( Vitamin A ) kapsul 200.000 IU kapsul kapsul - -
lunak
182 Ringer Laktat infus btl 500ml 1/23/2022 109 -
183 Rivanol 300 ml botol - -
184 Salbutamol 2 mg tablet 3/31/2023 3,000 -
185 Salbutamol 4 mg tablet 12/1/2021 - -
186 Salep 2-4 kombinasi pot 7/1/2021 456 192
03/01/2020
187 dan
Sefadroksil 500mg kapsul 01/10/2020 3,000 -
188 Sefadroksil sir.kering 125mg/5 btl 60ml 0 - -
189 Sefiksim 100mg kapsul 0 - -
190 Sefotaksim inj 1g/vial vial 0 - -
191 Seftriakson 1g/vial vial 0 - -
192 Seltifort kids (vit syrup) btl 60ml 5/31/2020 180 -
193 Sianokobalamin tab (vit B12) tab 50 mcg tablet 4/1/2022 36,000 -
194 Simetidin 200mg tablet 10/1/2020 1,400 -
195 Simvastatin 10mg tablet - -
196 Simvastatin 20mg tablet 03/05/2020 13,000 -
197 Siprofloksasin 500mg tablet 9/1/2020 52,000 -
198 Spiramisin 500mg tablet - -
199 Stesolid 10 mg injeksi ampul - -
200 Stesolid supp 10mg Tube 3/1/2022 10 -
201 Stesolid supp 5mg Tube 3/2/2022 15 -
202 Sulfasetamid TM 15% botol - -
203 Terbutalin sufat 2,5mg tablet - -
204 Tetrasiklin 250mg kapsul - -
205 Tetrasiklin kapsul 500 mg kapsul 3/1/2021 2,200 -
06/01/2020
206 tablet dan
Thiamin HCl 50mg (vit. B1) 01/05/2022 34,200 -
207 Tiamfenikol kapsul 500mg kapsul - -
208 Triheksifenidil 2mg tablet - -
209 Vit. B kompleks tablet 1/31/2020 - -
210 Zinc sirup botol 01/03/2020 108 -
211 Zinc dispersibel 20mg tablet 12/1/2019 - -
Persediaan Obat-obatan ( PKD ) Gigi
1 Bahan tumpatan sementara (CAVITON) kotak 11/6/2019 8 -
 2 Chlor Fenol Kamfer Menthol (CHKM) gigi botol 3/31/2022 12 -
3 Devitalisasi pasta non arsen (Pulp x) kotak 4/1/2022 10 -
botol
01/11/2020
4 &
Eugenol cairan 01/08/2039 16 -
5 Kalsium hidroksida (Hycal) 7 gram 8/1/2021 18 -
6 Mata bor gigi standar set/6 biji 1/6/2022 3 -
7 Mata bor gigi high speed set/6 biji 3 18
8 Mummifying Pasta/ Iodoform Pasta gigi kotak 7/1/2021 - -
9 Pasta pengisi saluran akar(CRESOTIN) set 10/1/2020 29 -
10 Poliren (OCO) polishing pasta btl 15gr 7/1/2021 24 -
Semen seng fosfat serbuk dan cairan gigi
11 botol 10/31/2020 8 -

12 Tambalan sementara untuk gigi 28gr(3M kotak 1/1/2020 - -

ESPE Cavit G)
13 Tambalan tetap gigi (Glass Ionomer,fuji) kotak 4/1/2022 37 -
14 Tricresol formalina (TKF) kotak 31/09/2021 15 -
15 Komposir resin (Master fill) kotak 2/1/2022 12 -
Persediaan Obat-obatan ( PKD ) Penunjang 8/1/2020
1 Ambroksol 30 mg tablet 9/1/2020 900 -
2 Antiflu tab.kombinasi (Brocifar) tablet 0 2,400 -
3 Asam Tranexamat inj.500mg/ml ampul 1/1/2021 - -
4 Calsium Gluconnat Injeksi ampul 11/1/2019 56 -
5
BIOSAT 1,5 Serum anti tetanus inj 1500IU/ml ampul 8/1/2019 - -
6 Bromheksin HCl 8 mg tablet 8/1/2021 - -
7 Ekstrak sonchi Folium 100% kapsul 4/1/2022 - -
8 Etanol 70 %( One Med alcohol) botol 1 L 0 10 -
9 Fenoterol MDI 100 mcg/ 10ml fls 7/31/2020 - -
10 Glimepirid 1mg 12/1/2020 6,800 -
11 Glimepirid 2mg 0 5,900 -
12 Kloramfenikol inj vial 4/1/2020 - -
13 Kloramfenikol Salep mata 1% tube 5 gr 1/1/2022 72 -
14 Levertran15 g pot 15gr 01/02/2020 - -
15 Metampiron 500mg+Diazepam 2 mg tablet 9/1/2021
(Neuroval) 150 -
16 Obat anti flu sirup (Betaflu) botol 0 - -
17 Obat batuk Kombinasi (Fenidryl) sirup 7/1/2022 - -
18 Obat batuk kombinasi (Dextral) tablet 7/1/2021 - -
19 Oksitosin injeksi ampul 4/1/2020 295 -
20 Phenol gliserol tetes telinga botol 120 -
21 Salbutamol nebules(Salbutamol 2,5mg/2,5 ml ampul 9/4/2020 60 -
NaCl)
 23 Salep luka bakar (Neocenta gel) tube 15gr 0 10 -
24 Tab. Curcuma 20mg tablet 0 - -
25 Teofilin syrup 43,33 mg/ 5 ml botol 0 - -
26 Terapi Diare sirup btl 60ml - -
27 Terapi Diare tab tablet 8/1/2020 - -
28 Vit neurotropik tablet 9/1/2022 8,300 -
29 Etil klorid semprot Spray 7/1/2020 56 -
ersediaan Obat Asli Indonesia
1 Extrak Belladon tab 10 mg tablet 0 - -
2 Enkasari 120 ml botol - -
3 Fitogen tablet 0 - -
4 Ferris botol 0 - -
5 Hemorogard kapsul 8/1/2020 360 -
6 Hepagard kapsul - -
7 Minyak telon botol 50 ml 0 - -
8 Tensigard kapsul 0 390 -
Persediaan Obat dan Alkes PROGRAM
1 Diethylcarbamazine (DEC) 100 mg tablet 0 - -
2 Albendazol tab 400 mg tablet 0 - -
3 MDT Combi MB Adult blister 0 - -
4 MDT Combi MB Child blister 0 - -
5 MDT Combi PB Adult blister 0 - -
6 MDT Combi PB Adult blister 0 - -
7 MDT Combi PB Child blister 0 - -
8 Obat Anti Tubercolusis kategori 1 FDC 0 - -
9 Obat Anti Tubercolusis kategori anak FDC 0 - -
10 Box slide pcs 0 29 -
11 Pot sputum pot 4/1/2022 300 -
12 Reagen BTA ( Ziehl Nelsen ) paket 0 - -
13 Prokain Benzil Penisilin 3 jt IU vial 0 - -
14 Depo Progestin/ suntik KB 3 bulan vial 0 - -
15 Mineral Mix sachet 0 - -
16 safety box 2,5 lt pcs 0 - -
17 safety box 5 lt pcs 0 - -
18 spuit 0,5 ml pcs 0 - -
ediaan ALKES Habis Pakai (PKD)
1 ADS 0,05ml pcs 7/1/2021 - -
2 Blood Lancet box 8/1/2021 470 -
3 Cryotube 1.8 ml pcs 0 - -
4 Cover Glass 22x22 mm box 3/1/2022 - -
5 Deck Glass box/72pcs 0 34 -
6 E Care Handrub 500 ml botol 3/1/2020 40 -
7 Folley Catheter No.16 buah 11/1/2022 24 -
 8 Folley Catheter setara Rush No.18 buah 12/1/2022 - -
9 IV Catheter 18 G pcs 12/31/2023 - -
10 IV Catheter 24 G pcs 1/31/2023 - -
11 IV Catheter 22 G pcs 3/31/2024 - -
12 IV catheter 20 G pcs 31/02/2024 - -
13 Kapas 100 gr rol 0 - -
14 Kasa 4m x 15 cm elastis roll 0 - -
15 Kertas ECG Ukuran Besar roll 0 - -
16 Kertas ECG Ukuran Standar roll 0 - -
17 Pembalut Gips Uk. 3" roll 0 - -
18 Pembalut Gips Uk. 4" roll 0 - -
19 Pembalut Gips Uk. 6" roll 0 - -
20 Plester 5 yard x 2 inchi roll 0 - -
21 Pot Urine (pot sputum) bh/d.5,5cm 4/1/2022 - -
22 Spuit 0,05 ml pcs - -
23 Tensocrepe 4" buah 0 - -
24 Tensocrepe 6" buah 0 - -
25 Wing Needle No. 21G buah 0 - -
26 Wing Needle No. 25G buah 1/1/2020 200 -
27 alat suntik 1 ml pcs 11/1/2020 300 -
28 alat suntik 3 ml pcs 2/1/2021 2,700 -
29 alat suntik 5 ml pcs 12/31/2023 1,700 -
30 alat suntik 10 ml pcs 12/31/2023 1,200 -
31 alkohol swab pcs 10/1/2021 2 -
32 aquadest botol 1 L 6/3/2036 - -
33 Alkapram septalkan spray botol 7/1/2021 - -
34 Alkapram alkacide 1 L botol 7/1/2020 - -
35 Alkapharm alkazyme 25mg sachet 5/1/2021 - -
36 bisturi kecil pcs 1/12/2020 65 -
37 bioplacenton tulle pcs - -
38 catgut cromic 2/0 box 30/12/2019 9 1
39 catgut cromic 3/0 box 30/09/2019 6 -
41 fixomul stretch 15cmx5m roll 28/07/2020 - -
42 foley catheter No.14 pcs 7/1/2021 6 -
43 Gelang Bayi Pink pcs 2/1/2023 - -
44 Gelang Bayi Biru pcs 2/1/2023 - -
45 handscoon Uk S box 5/1/2021 108 90
46 handscoon Uk M box 5/1/2021 156 90
47 handscoon obgyn pcs 1/7/2021 - -
48 handscoon steril pasang 12/1/2022 - -
49 hipafik 5x5 pcs 2/1/2021 13 4
50 hipafik 15x10 box 01/102020 - -
51 infus set anak set/ktg 5/1/2021 42 -
52 infus set dewasa set/ktg 7/1/2022 37 -
53 jarum hect kulit luar besar (12 pcs) pcs 1/10/2021 15 -
54 jarum hect kulit luar kecil (12 pcs) pcs 1/5/2022 58 -
55 jarum hect kulit luar sedang (12 pcs) pcs 1/9/2022 9 -
56 jarum hect otot luar besar bks/12pcs 1/6/2023 - -
57 jarum hect otot luar sedang bks/12pcs 9/6/2022 1 -
58 jelly EKG botol
59 kapas absorben 250 gr bks 10/1/2021 15 -
60 Kapas Berlemak 500 gr roll 9/1/2033 - -
61 kasa hidrofil 2x80cm pcs 30/04/2021 6 -
62 kasa hidrofil 40x80cm roll 5/1/2023 18 -
63 kasa pembalut elastic 4m x 15cm roll 8/6/2021 4 -
64 kasa pembalut elastic 4m x 3cm roll 8/6/2021 6 -
65 kasa pembalut hidrofil 4 m x 10cm roll 10/1/2033 - -
66 kasa hidrofil steril 18x22 roll 10/1/2021 - -
67 kasa kompres 40x40 steril roll 8/1/2021 - -
68 kasa steril 16x16 cm box 11/1/2020 - -
69 kertas gol.darah pak/100's 1/6/2022 50 -
70 kertas tissu gulung 06/01/2022 - -
71 klem tali pusat pcs - -
72 masker box/50pcs 30/04/2021 239 -
73 Box Object Glass Grey and Orange box 3/1/2022 3 -
74 object glass box/72pcs 19/03/2021 57 -
75 Oxygen mask bayi (SERENITY) pcs 1/6/2022 2 -
76 Oxygen mask anak (SERENITY) pcs 1/7/2022 4 -
77 Oxygen mask dewasa (SERENITY) pcs 1/8/2022 5 -
78 Pita Lila pcs 1/6/2022 - -
79 plester 5 yard 20 inch roll 19/02/2021 17 -
80 silk no 3/0 dg jarum bedah pcs 3/6/2037 4 -
81 spiritus btl / 1 liter 06/01/2022 23 -
82 spuit 0,5 ml pcs 7/1/2021 - -
83 Stericline Indicator strip box 11/1/2022 - -
84 Stericlin gusette 25x6,5cm roll 10/1/2022 - -
85 tempat preparat BTA / cawan petri pcs 1/6/2022 4 -
86 tabung reaksi 1,5x10cm ktk/50pcs 60 -
87 test kehamilan box/50pcs 5/1/2020 8 -
88 tranfusi set dewasa pcs 3/31/2024 37 -
89 Wraping paper 50x50 box 12/1/2020 - -
90 Wraping paper 75x75 box 11/7/2020 - -
91 USG Gel 250 ml botol 1/31/2021 - 4
92 urin bag pcs 19/05/2021 35 -
93 Ammonium Oxalat Btl/100ml 8/1/2020 - -
94 Asam Klorida 0,1 N btl/ 100 ml 6 -
95 pack/
Blue Tip 1000test - -
96 BD Tube EDTA plh 13 x 75 box 5/1/2021 3 -
97 Cell pack bok 9/5/2020 1 -
98 Cuka diksi botol 5/1/2024 1 -
99 EDTA btl 100ml - -
100 Purple cup EDTA K3 3ml, glass box 6/1/2020 - -
101 HbsAg test strip 0 160 -
102 Kertas Lensa lembar 0 - -
103 Larutan Giemsa Stain botol 10/6/2019 2 -
104 Paket Gol. Darah Anti AB paket 3/6/2020 9 -
105 Paket Gol. Darah anti Resus paket 4/6/2020 - -
106 Reagensia Uji Widal S para Typhi AH vial 12/1/2020 - -
107 Reagensia Uji Widal Typhi H vial 7/6/2020 - -
108 Reagensia Uji Widal Typhi O vial 2/28/2021 - -
109 Reagen ZN paket 15 -
110 alkohol asam btl 100ml 14 -
111 asam sulfosalisilat btl 100ml - -
112 asam urat stick btl/25 test 31/04/2021 3 -
113 dempul hematokrit pcs - -
114 glukoprotein stik 10 parameter pck/100's 2/1/2020 - -
115 glukoprotein urin test box/10 test 0 29 -
116 glukosa stik btl/25 test 11/7/2020 31 -
117 hemoglobin stik box/25 test 4 -
118 haemoglobulin C btl 500ml 11/19/2020 - -
119 hayam btl 100ml 1/6/2022 - -
120 Immersion Oil btl 100ml 1/6/2022 1 -
121 kertas lakmus pack - -
122 kertas lensa lembar - -
123 kolesterol stik btl 10 test 1/31/2021 5 -
124 lar. benedict btl 100ml 6/3/2036 - -
125 lar. eosin 2% btl 7/6/2020 1 -
126 lar. etanol asam btl 100ml 6/6/2020 57 -
127 lar. hypoklorit btl 1L 46 -
128 lar. karbol fuchsin btl 100ml 11 -
129 lar. metilen biru btl 100ml - -
130 larutan KOH btl 100ml 6 -
131 larutan Turk btl 100 ml 1/1/2023 - -
132 larutan Poch-Pack L botol 11/1/2020 - -
133 larutan Poch-Pack D botol - -
134 masker N95 box 12/1/2020 - -
135 metanol botol 7/6/2020 14 -
136 minyak imersi btl 100ml 1 -
137 natrium citrat 3,13% btl 100ml - -
138 natrium citrat 3,8% btl 250ml 6/6/2019 5 -
139 paket gol. Drh anti AB paket 9 -
140 paket gol. Drh anti B paket 10 -
141 paket gol.drh anti A paket 1/6/2022 8 -
142 ress Ecker btl 100ml 1/6/2022 - -
143 stik urinalisis 10 parameter botol 4/1/2021 15 -
144 Stomalizer Pcs 4/8/2020 - -
145 thermal paper 57mm x 30 m roll 7/6/2020 7 -
146 tissu lensa pak - -
147 trigliserida botol - -
148 xylol btl 100ml 9/6/2019 3 -
149 yellow tip pak 2 -
150 Lisol btl - -
151 Larutan Nacl 0,86% botol 9/6/2019 5 -

Mengetahui/Menyetujui,
Kepala Puskesmas Tegal Barat

dr. Bambang Kuswanto

NIP.19651107 200212 1 004
PNAME 31 DESEMBER 2019
SKEMAS TEGAL BARAT

PENGELUARAN
GUDAG KAMAR STOK HARGA
JUMLAH PEMAKAIAN RUSAK/ED OBAT OBAT AKHIR SATUAN (Rp) TOTAL (Rp)
(A+B) (A+B)-(G) (D) (E) (F) (G)

- - - - - - -
800 296 - 500 4 504 29 14,616
- - - - - -
- - - - - - -
1,800 300 - 1,200 300 1,500 99 148,500
- - - - - - -
- - - - - - -
600 600 - - - - 139 -
168 - - 168 - 168 167 28,056
7,200 7,200 - - - - 70 -
1,200 1,200 - - - - 93 -
27 1 - - 26 26 18,000 468,000
- - - - - - -
- - - - - - -
10,500 410 - 10,000 90 10,090 184 1,856,560
40,200 3,775 - 36,200 225 36,425 233 8,487,025
360 360 - - - - -
- - - - - -
70,600 2,841 - 67,500 259 67,759 62 4,201,058
400 177 - 200 23 223 1,999 445,777

- - - - - - -
192 - - 192 - 192 4,496 863,232
970 200 - 770 - 770 3,167 2,438,590
- - - - - -
- - - - - -
46,300 8,790 - 36,900 610 37,510 105 3,938,550
3,600 590 - 3,600 590 4,190 70 293,300
8,300 1,640 - 6,300 360 6,660 103 685,980
- - - - - - -
700 300 - 400 - 400 236 94,400
 1,300 925 - 375 - 375 380 142,500
375 1 - 350 24 374 3,564 1,332,936
50 -
- 50 50 2 80
26,300 1,480 - 24,500 320 24,820 1,595 39,587,900
235 - - 235 - 235 1,900 446,500
900 187 - 700 13 713 1,025 730,825
3,780 620 - 3,150 10 3,160 354 1,118,640
- - - - - - -
500 95 - 400 5 405 1,340 542,700
360 87 - 250 23 273 300 81,900
- - - - - - -
- - - - - - -
- - - - - - -

- - - - - - -
980 860 - - 120 120 89 10,680
150 33 - 100 17 117 2,860 334,620
53 6 - 47 - 47 967 45,449
- - - - - - -

48,000 6,187 - 41,100 713 41,813 32 1,338,016

85 55 5 30 - 30 1,097 32,910
1,141 133 - 1,008 - 1,008 86 86,688

30 - - 30 - 30 1,095 32,850
200 26 - - 174 174 104 18,096
48 - - 48 - 48 1,096 52,608
- - - - - - -

12,500 3,020 - 9,200 280 9,480 105 995,400

- - - - - - -

- - - - - - -

13,800 2,054 - 11,500 246 11,746 85 998,410

- - - - - - -
-
55 - 55 - 55 1,408 77,440
 - - - - - - -
400 10 - 200 190 390 750 292,500
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -

800 - - 800 - 800 171 136,800

- - - - - - -
- - - - - - -
- - - - - - -
300 300 - - - - 710 -
70 - - 70 - 70 59,800 4,186,000

- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
600 - - 450 150 600 210 126,000
- - - - - - -
200 - - 200 - 200 56 11,200
- - - - - - -
440 - - 440 - 440 84 36,960
5 - - 5 - 5 97,500 487,500
144 96 - 24 24 48 2,475 118,800
700 250 - - 450 450 155 69,750
600 600 - - - - 1,760 -
168 14 - 144 10 154 6,500 1,001,000
- - - - - - -
- - - - - - -
1,700 1,700 - - - - 105 -
- - - - - - -
150 29 - 100 21 121 2,550 308,550
- - - - - - -
- - - - - - -
 - - - - - - -
- - - - - - -
39,300 2,960 - 35,700 640 36,340 59 2,144,060
2,200 2,200 - - - - 309 -
- - - - - - -
- - - - - - -
4,000 295 - 3,400 305 3,705 270 1,000,350
216 37 - 150 29 179 2,518 450,722
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
264 112 - 144 8 152 3,038 461,776
272 48 - 200 24 224 6,188 1,386,112

282,600 8,320 - 273,900 380 274,280 22 6,034,160

- - - - - - -
- - - - - - -
1,000 - - 1,000 - 1,000 1,299 1,299,000
15,300 941 - 14,000 359 14,359 151 2,168,209
5,400 184 - 5,200 16 5,216 299 1,559,584
300 185 - 100 15 115 2,140 246,100
420 16 - 300 104 404 303 122,412
- - - - - - -
1,780 1,780 - - - - 1,144 -

978 - - 978 - 978 1,845 1,804,410

500 100 - 400 - 400 1,617 646,800
200 200 - - - - 100 -
- - - - - - -
- - - - - - -
- - - - - - -
14,500 12,440 - 1,850 210 2,060 96 197,760
5,500 440 - 4,700 360 5,060 165 834,900

2,200 20 - 2,000 180 2,180 211 459,980

30 - - 30 30 2,959 88,770
 200 10 - - 190 190 80 15,200
- - - - - - -
- - - - - - -
21,000 2,330 - 18,100 570 18,670 134 2,501,780
- - - - - - -
- - - - - - -
- - - - - - -
264 44 - 216 4 220 3,141 691,020
37,600 20,730 - 16,600 270 16,870 350 5,904,500
20 - - 20 - 20 6,410 128,200

46,800 1,763 - 44,700 337 45,037 115 5,179,255

-
8,300 2,200 5,800 300 6,100 104 634,400
1,800 940 1,100 700 160 860 790 679,400
2,300 (80) 1,400 2,300 80 2,380 523 1,244,740

- - - - - - -
- - - - - - -
- - - - - - -
930 930 - - - - 130 -
- - - - - - -
5 - - 5 - 5 1,070 5,350
154,400 9,098 - 144,800 502 145,302 53 7,701,006
1,200 1,137 - - 63 63 1,010 63,630
112 55 - - 57 57 6,649 378,993
- - - - - - -
80 9 - 70 1 71 11,825 839,575
- - - - - - -
50 - - - 50 50 9,700 485,000
51,900 46,528 - 4,800 572 5,372 123 660,756
- - - - - - -
6 - - 6 - 6 -
14 8 - 6 - 6 3,045 18,270
- - - - - - -
34,000 1,308 - 32,100 592 32,692 68 2,223,056
500 290 - - 210 210 54 11,340
- - - - - - -
9,200 539 7,500 8,400 261 8,661 108 935,388
 10 - - 10 - 10 1,458 14,580
- - - - - - -
97 - - 97 - 97 273 26,481
- -
- - - - -
- - -
- - - -
109 89 - - 20 20 7,150 143,000
- - - - - - -
3,000 533 - 2,000 467 2,467 63 155,421
- - - - - - -
648 614 - 23 11 34 2,620 89,080

3,000 822 - 2,000 178 2,178 478 1,041,084

- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
180 29 - 120 31 151 5,155 778,405
36,000 2,000 - 33,400 600 34,000 51 1,734,000
1,400 1,280 - - 120 120 184 22,080
- - - - - -
13,000 416 5,000 12,000 584 12,584 205 2,579,720
52,000 1,118 - 50,700 182 50,882 281 14,297,842
- - - - - - -
- - - - - - -
10 5 - 5 - 5 18,279 91,395
15 5 - 10 - 10 12,537 125,370
- - - - - - -
- - - - - -
- - - - - - -
2,200 30 - 2,000 170 2,170 310 672,700

-
34,200 2,120 31,500 580 32,080 86 2,758,880
- - - - - - -
- - - - - - -
- - - - - -
108 79 - - 29 29 2,972 86,188
- - - - - - -
- -
8 - - 8 - 8 138,600 1,108,800
 12 - - 12 - 12 75,000 900,000
10 - - 10 - 10 217,000 2,170,000

16 - - 16 - 16 18,824 301,184
18 - - 18 - 18 181,250 3,262,500
3 - - 3 - 3 200,000 600,000
21 21 - - - - -
- - - - - - -
29 - - 29 - 29 265,000 7,685,000
24 - - 24 - 24 19,182 460,368

8 - - 8 - 160,000
8 1,280,000
- - -
- - - -
37 - - 37 - 37 268,700 9,941,900
15 - - 15 - 15 275,000 4,125,000
12 1 - 11 - 11 152,000 1,672,000
- -
900 900 - - - - 133 -
2,400 - - 2,400 - 2,400 396 950,400
- - - - - - -
56 - - 56 - 56 10,351 579,656

- - - - - - -
- - - - - - -
- - - - - - -
10 1 - 8 1 9 26,500 238,500
- - - - - - -
6,800 135 - 6,000 665 6,665 174 1,159,710
5,900 185 - 5,100 615 5,715 207 1,183,005
- - - - - - -
72 22 - 48 2 50 1,881 94,050
- - - - - - -

150 150 - - - - 925 -

- - - - - - -
- - - - - - -
- - - - - - -
295 - - 295 - 295 1,199 353,705
120 7 - 96 17 113 2,590 292,670
60 -
20 40 - 40 4,000 160,000
 10 5 - 5 - 5 17,000 85,000
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
8,300 1,430 - 6,700 170 6,870 660 4,534,200
56 8 - 48 - 48 352,000 16,896,000
- -
- - - - - - -
- - - - - - -
- - - - - - -
- - - - - - -
360 16 - 330 14 344 1,552 533,888
- - - - - - -
- - - - - - -
390 93 - 270 27 297 2,127 631,719
- - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
29 - - 29 29 57,100 1,655,900
300 - - 300 300 2,826 847,800
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - -
- - - - -
470 - - 470 470 14,856 6,982,320
- - - - - -
- - - - - -
34 - - 34 34 14,894 506,396
40 - - 40 40 6,080 243,200
24 - - 24 24 13,090 314,160
 - - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - -
- - - - - -
- - - - - -
- - - - - -
200 - - 200 200 1,428 285,600
300 300 - - - -
2,700 600 - 2,100 2,100 792 1,663,200
1,700 - - 1,700 1,700 979 1,664,300
1,200 - - 1,200 1,200 1,298 1,557,600
2 - - 2 2 11,000 22,000
- - - - - -
- - - - - -
- - - - - -
- - - - - -
65 - - 65 65 3,000 195,000
- - - - - -
10 1 - 9 9 54,000 486,000
6 - - 6 6 54,000 324,000
- - - - - -
6 - - 6 6 13,090 78,540
- - - - - -
- - - - - -
198 104 - 94 94 46,200 4,342,800
246 106 - 140 140 46,200 6,468,000
- - - - - -
- - - - - -
17 4 - 13 13 142,600 1,853,800
- - - - - -
42 - 42 42 5,100 214,200
 37 - - 37 37 6,930 256,410
15 - - 15 15 128,000 1,920,000
58 - - 58 58 128,000 7,424,000
9 - - 9 9 128,000 1,152,000
- - - - - -
1 - - 1 1 128,000 128,000
- - - - - -
15 - - 15 15 12,757 191,355
- - - - - -
6 - - 6 6 7,859 47,154
18 - - 18 18 107,104 1,927,872
4 - - 4 4 1,530 6,120
6 - - 6 6 9,000 54,000
- - - - - -
- - - - - -
- - - - - -
- - - - - -
50 - - 50 50 20,000 1,000,000
- - - - - -
- - - - - -
239 14 - 225 225 24,000 5,400,000
3 - - 3 3 76,986 230,958
57 - - 57 57 17,967 1,024,119
2 - - 2 2 9,500 19,000
4 - - 4 4 9,500 38,000
5 - - 5 5 9,500 47,500
- - - - - -
17 - - 17 17 7,500 127,500
4 - - 4 4 66,000 264,000
23 - - 23 23 33,700 775,100
- - - - - -
- - - - - -
- - - - - -
4 - - 4 4 95,000 380,000
60 - - 60 60 95,000 5,700,000
8 - - 8 8 98,947 791,576
37 - - 37 37 13,976 517,112
- - - - - -
- - - - - -
4 4 - - - 13,213 -
35 - - 35 35 3,085 107,975
- - - - - -
6 - - 6 6 19,950 119,700
 - - - - - -
3 - - 3 3 169,092 507,276
1 - - 1 1 1,768,800 1,768,800
1 - - 1 1 50,000 50,000
- - - - - -
- - - - - -
160 - - 160 160 206,000 32,960,000
- - - - - -
2 - - 2 2 258,610 517,220
9 - - 9 9 125,000 1,125,000
- - - - - -
- - - - - -
- - - - - -
- - - - - -
15 - - 15 15 330,000 4,950,000
14 - - 14 14 100,000 1,400,000
- - - - - -
3 - - 3 3 110,000 330,000
- - - - - -
- - - - - -
29 - - 29 29 10,660 309,140
31 - - 31 31 247,500 7,672,500
4 - - 4 4 150,000 600,000
- - - - - -
- - - - - -
1 - - 1 1 370,025 370,025
- - - - - -
- - - - - -
5 - - 5 5 195,000 975,000
- - - - - -
1 - - 1 1 176,225 176,225
57 - - 57 57 100,000 5,700,000
46 - - 46 46 17,500 805,000
11 - - 11 11 145,000 1,595,000
- - - - - -
6 - - 6 6 23,271 139,626
- - - - - -
- - - - - -
- - - - - -
- - - - - -
14 - - 14 14 145,000 2,030,000
1 - - 1 1 203,505 203,505
 - - - - - -
5 - - 5 5 270,000 1,350,000
9 - - 9 9 135,000 1,215,000
10 - - 10 10 120,000 1,200,000
8 - - 8 8 120,000 960,000
- - - - - -
15 - - 15 15 148,000 2,220,000
- - - - - -
7 - - 7 7 12,500 87,500
- - - - - -
- - - - - -
3 - - 3 3 100,000 300,000
2 - - 2 2 175,500 351,000
- - - - - -
5 - - 5 5 50,000 250,000
347,239,381

Dian Fitriana,A.md
NIP.19850921 200903 2 005