Laporan Persediaan Obat 2022 TW I

BERITA ACARA PENGHITUNGAN FISIK PERSEDIAAN
PER …………………………
UPTD PUSKESMAS ………………………………
Pada hari ini …………………….. Tanggal ……………………… bulan…………………….. Tahun …………………………………………. telah dilaksanakan penghitungan fisik persediaan (stock opname) UP
Persediaan per……………………………
Menurut Penghitungan Fisik
No. NAMA BARANG Satuan
SISA BAIK SISA KADALUWARSA
Jumlah Harga Total Jumlah Harga
1
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132
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144
145
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155
156
157
158
159
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162
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177
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196
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216
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222
223
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229
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233
234
235
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237
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240
241
242
243
244
245
246
247
248
249
250
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252
253
254
255
256
257
258
259
260
261
262
263
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265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
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290
291
292
293
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296
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298
299
300
301
302
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305
306
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311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
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331
332
333
334
335
336
337
338
339
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342
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344
345
346
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350
#REF! Rp -
GHITUNGAN FISIK PERSEDIAAN
………………………
AS ………………………………
kan penghitungan fisik persediaan (stock opname) UPTD Puskesmas ……………………….. dengan hasil sebagai berikut:
Persediaan per……………………………..
Menurut Catatan Kartu Barang
SA KADALUWARSA SISA BAIK SISA KADALUWARSA
Total Jumlah Harga Total Jumlah Harga Total
Rp - Rp - Rp -
BERITA ACARA MUTASI OBAT DAN PERBEKKES
1 Januari 2022 s/d 31 Maret 2022
UPTD GUDANG FARMASI
SKPD : DINAS KESEHATAN
Pada hari ini Kamis Tanggal Tiga Puluh Satu Desember Tahun Dua Ribu Dua Puluh telah dilaksanakan pelaporan mutasi obat UPTD Gudang Farmasi dengan hasil sebagai berikut:
t
Das Barang-barang bulan lalu ( 1 Januari 2022) Jumlah Barang yang diterima/dikeluarkan ( 1 Januari s/d 31 Maret 2022)
Tan ar
No Uraian (Nama Barang) Saldo Harga Satuan Penambahan Pengurangan
ggal Pen
erim Jumlah Nilai Harga Jumlah Nilai Harga Jumlah Nilai
aan/
1 2 3 4 5 6 7 8 10 11 13
1 Akita Tablet 20,900 Rp 6,690,090.00 Rp 320.10 0 Tablet Rp - 14,800 Tablet
2 Alat Suntik 1 ml 1,600 Rp 1,531,200.00 Rp 957.00 0 Tablet Rp - 1,600 Tablet
3 Alat Suntik 10 ml 3,700 Rp 4,761,900.00 Rp 1,287.00 0 Tablet Rp - 700 Tablet
4 Alat Suntik 10 ml 2,000 Rp 1,828,000.00 Rp 914.00 0 Tablet Rp - 0 Tablet
5 Alat Suntik 3 ml 14,100 Rp 9,771,300.00 Rp 693.00 0 Tab Rp - 8,200 Tab
6 Alat Suntik 3 ml 10,000 Rp 8,800,000.00 Rp 880.00 0 Tablet Rp - 0 Tablet
7 Alat Suntik 3 ml 2,000 Rp 1,160,000.00 Rp 580.00 0 Pcs Rp - 0 Pcs
8 Alat Suntik 5 ml 900 Rp 594,900.00 Rp 661.00 0 Set Rp - 900 Set
9 Albendazol 400mg tab 729,600 Rp 210,124,800.00 Rp 288.00 0 Pcs Rp - 129,600 Pcs
10 Alkohol Swab 200,000 Rp 24,000,000.00 Rp 120.00 0 Pcs Rp - 0 Pcs
11 Alopurinol 100 mg 21,800 Rp 2,289,000.00 Rp 105.00 0 Pcs Rp - 21,800 Pcs
12 Alopurinol 300 mg 44,500 Rp 24,475,000.00 Rp 550.00 0 Pcs Rp - 3,400 Pcs
13 Alprazolam 0,5 mg 5,200 Rp 405,600.00 Rp 78.00 0 Pcs Rp - 2,300 Pcs
14 Ambroxol 30 mg tab 73,500 Rp 8,489,250.00 Rp 115.50 0 Pcs Rp - 38,600 Pcs
15 Amlodipin 10 mg 62,300 Rp 4,361,000.00 Rp 70.00 0 Pcs Rp - 62,300 Pcs
16 Amlodipin 5 mg 95,400 Rp 5,056,200.00 Rp 53.00 0 Pcs Rp - 40,800 Pcs
17 Amoksisilin 125 mg/5 ml sirup kerin 3,500 Rp 7,176,400.00 Rp 2,050.40 0 Pcs Rp - 3,200 Pcs
18 Amoksisilin kapl 500 mg 25,500 Rp 5,125,500.00 Rp 201.00 0 Pcs Rp - 25,500 Pcs
19 Amoksisilin sirup kering 200 Rp 770,000.00 Rp 3,850.00 0 Pcs Rp - 200 Pcs
20 Ampisilin serbuk 1000mg/ml 110 Rp 906,070.00 Rp 8,237.00 0 Pcs Rp - 110 Pcs
21 Antasida DOEN susp 1,400 Rp 2,350,600.00 Rp 1,679.00 0 Pcs Rp - 1,095 Pcs
22 Antasida DOEN tab 467,400 Rp 27,109,200.00 Rp 58.00 0 Pcs Rp - 99,300 Pcs
23 Antasida DOEN tab 200,000 Rp 10,800,000.00 Rp 54.00 0 Pcs Rp - 0 Pcs
24 Antasida DOEN tab 21,100 Rp 1,223,800.00 Rp 58.00 3,000 Tablet Rp 174,000.00 24,100 Tablet
25 Antifungi salep komb 744 Rp 3,345,024.00 Rp 4,496.00 0 Botol Rp - 144 Botol
26 Antifungi salep komb 456 Rp 2,050,176.00 Rp 4,496.00 0 Pcs Rp - 0 Pcs
27 Antihemoroid DOEN 670 Rp 2,177,500.00 Rp 3,250.00 0 Pcs Rp - 570 Pcs
28 Antimigrain ( Ergotamin ) 2,500 Rp 462,500.00 Rp 185.00 0 Tablet Rp - 300 Tablet
29 Antimigrain ( Ergotamin ) 3,000 Rp 555,000.00 Rp 185.00 0 Tab Rp - 0 Tab
30 antiza 4,100 Rp 4,510,000.00 Rp 1,100.00 0 Tablet Rp - 4,100 Tablet
31 Asam Askorbat ( Vit.C ) 50 mg 69,300 Rp 2,910,600.00 Rp 42.00 0 Tablet Rp - 66,600 Tablet
32 Asam Folat 0,4 mg 10,300 Rp 2,266,000.00 Rp 220.00 0 Tab Rp - 7,900 Tab
33 Asam Mefenamat 500 mg 173,000 Rp 19,203,000.00 Rp 111.00 0 Tablet Rp - 105,900 Tablet
34 Asam Mefenamat 500 mg 44,000 Rp 4,884,000.00 Rp 111.00 0 Tab Rp - 0 Tab
35 Aseptic Gel/Sabun cuci tangan 42 Rp 1,113,000.00 Rp 26,500.00 0 Tablet Rp - 42 Tablet
36 Asering 964 Rp 9,298,744.00 Rp 9,646.00 0 Botol Rp - 240 Botol
37 Asetosal 80 mg (Miniaspi tab) 45,000 Rp 4,725,000.00 Rp 105.00 0 Tablet Rp - 3,400 Tablet
38 Asiklovir 400 mg tab 13,150 Rp 5,325,750.00 Rp 405.00 0 Tab Rp - 6,200 Tab
39 Asiklovir Krim 480 Rp 1,570,272.00 Rp 3,271.40 0 Tablet Rp - 480 Tablet
40 Atropin Sulfat inj 20 Rp 34,360.00 Rp 1,718.00 0 Ampul Rp - 20 Ampul
41 Autoclick Lancing Device Onemed 88 Rp 1,532,608.00 Rp 17,416.00 0 Ampul Rp - 0 Ampul
42 Betahistin Mesilat 6 mg Tab 25,800 Rp 11,635,800.00 Rp 451.00 0 Ampul Rp - 19,600 Ampul
43 Bio ATP 2,800 Rp 7,000,000.00 Rp 2,500.00 0 Tablet Rp - 800 Tablet
44 Blue Tips 500 Rp 38,250.00 Rp 76.50 0 Tablet Rp - 400 Tablet
45 Bracket 170 Rp 3,740,000.00 Rp 22,000.00 0 Tablet Rp - 15 Tablet
46 Canule O2 Anak 1,940 Rp 9,894,000.00 Rp 5,100.00 0 ampul Rp - 540 ampul
47 Canule O2 Bayi 890 Rp 4,628,000.00 Rp 5,200.00 0 Tablet Rp - 155 Tablet
48 Canule O2 dewasa 698 Rp 3,559,800.00 Rp 5,100.00 0 Tablet Rp - 698 Tablet
49 Daryantulle/Cuticell 10x10 865 Rp 4,774,800.00 Rp 5,520.00 0 Tablet Rp - 520 Tablet
50 Deksametason 0,5 mg tab 38,700 Rp 1,238,400.00 Rp 32.00 0 Tablet Rp - 38,700 Tablet
51 Deksametason 0,5 mg tab 20,000 Rp 640,000.00 Rp 32.00 0 Tablet Rp - 20,000 Tablet
52 Deksametason Inj 5 mg/ml 2,100 Rp 1,940,400.00 Rp 924.00 0 Tablet Rp - 100 Tablet
53 Deksametason Inj 5 mg/ml 480 Rp 443,520.00 Rp 924.00 0 Tablet Rp - 480 Tablet
54 Diazepam 5 mg Tab 7,900 Rp 853,200.00 Rp 108.00 0 Botol Rp - 5,700 Botol
55 DIAZEPAM INJ 20 Rp 34,700.00 Rp 1,735.00 0 Botol Rp - 20 Botol
56 Diazepam rektal 5 mg/2,5 ml 150 Rp 1,885,950.00 Rp 12,573.00 0 Botol Rp - 110 Botol
57 Difenhidramin HCL inj 10 mg/ml 600 Rp 657,000.00 Rp 1,095.00 0 Tablet Rp - 0 Tablet
58 Difenhidramin inj 10 mg/ml 2,040 Rp 2,233,800.00 Rp 1,095.00 0 Tablet Rp - 450 Tablet
59 Difenhidramin inj 10 mg/ml 120 Rp 131,400.00 Rp 1,095.00 0 Tablet Rp - 120 Tablet
60 Digoksin tablet 0,25 mg 28,000 Rp 3,203,200.00 Rp 114.40 0 Kaptab Rp - 3,800 Kaptab
61 Dimenhidrinat tab 50 mg 4,600 Rp 496,800.00 Rp 108.00 0 Tablet Rp - 4,600 Tablet
62 Epinefrin Inj (Adrenalin)0,1% 45 Rp 63,360.00 Rp 1,408.00 0 Tablet Rp - 45 Tablet
63 Etanol 70 % 100 ml 1,608 Rp 4,486,320.00 Rp 2,790.00 0 Tablet Rp - 216 Tablet
64 Etil Klorida 85 Rp 10,752,500.00 Rp 126,500.00 0 Ampul Rp - 85 Ampul
65 FDC Kategori 1 102 Rp 36,718,470.00 Rp 359,985.00 0 Botol Rp - 102 Botol
66 FDC Kategori 1 harian 63 Rp 22,679,055.00 Rp 359,985.00 0 Botol Rp - 2 Botol
67 FDC Kategori 1 Kombipak 24 Rp 6,916,776.00 Rp 288,199.00 0 botol Rp - 0 botol
68 FDC Kategori 1 Kombipak 20 Rp 5,763,980.00 Rp 288,199.00 0 Botol Rp - 0 Botol
69 FDC Kategori 2 1 Rp 1,199,985.00 Rp 1,199,985.00 0 Tablet Rp - 1 Tablet
70 FDC Kategori Anak 10 Rp 2,149,850.00 Rp 214,985.00 0 Vial Rp - 10 Vial
71 Fenibarbital Tab 30 mg 8,000 Rp 1,368,000.00 Rp 171.00 0 Vial Rp - 0 Vial
72 Fenidryl Sirup 588 Rp 3,265,693.20 Rp 5,553.90 0 Tab Rp - 588 Tab
73 Fenitoin inj 190 Rp 190.00 Rp 1.00 0 Tablet Rp - 0 Tablet
74 Fenobarbital 30 mg 5,400 Rp 923,400.00 Rp 171.00 0 Botol Rp - 400 Botol
75 Fenobarbital 30 mg 12,000 Rp 2,052,000.00 Rp 171.00 0 Tablet Rp - 0 Tablet
76 Fenobarbital Tab 30 mg 2,000 Rp 341,980.00 Rp 170.99 1,000 Tablet Rp 170,990.00 1,000 Tablet
77 Fenol gliserol TT 10% 1,200 Rp 3,960,000.00 Rp 3,300.00 0 Kapsul Rp - 528 Kapsul
78 Fitomenadion inj 2 mg/ml 1,590 Rp 2,203,740.00 Rp 1,386.00 0 supp Rp - 750 supp
79 Fludane/molexflu/antiza tablet/fluta 40,000 Rp 17,600,000.00 Rp 440.00 0 Tablet Rp - 39,000 Tablet
80 Folley Catheter 16 230 Rp 2,378,200.00 Rp 10,340.00 0 Pot Rp - 230 Pot
81 Garam oralit 18,000 Rp 4,626,000.00 Rp 257.00 0 Supp Rp - 6,000 Supp
82 gent oint / Gentamisin salep mata 1,032 Rp 2,760,600.00 Rp 2,675.00 0 Supp Rp - 288 Supp
83 Gent oint / Gentamisin salep mata 1,392 Rp 3,709,680.00 Rp 2,665.00 0 Tablet Rp - 0 Tablet
84 GENTAMISIN KRIM salep kulit 470 Rp 3,054,953.00 Rp 6,499.90 0 Tablet Rp - 470 Tablet
85 Gentamisin sulfat TM 0,3% 1,056 Rp 4,773,120.00 Rp 4,520.00 0 Tablet Rp - 1,032 Tablet
86 Glibenklamid 5 mg 57,800 Rp 4,797,400.00 Rp 83.00 40,000 Tablet Rp 3,320,000.00 36,400 Tablet
87 Glimepiride 1 mg 27,500 Rp 10,224,500.00 Rp 371.80 0 Tablet Rp - 10,300 Tablet
88 Glimepiride 2 mg 42,000 Rp 8,694,000.00 Rp 207.00 0 Botol Rp - 31,700 Botol
89 Gliseril Guaikiolat ( GG ) 243,500 Rp 21,695,850.00 Rp 89.10 0 Ampul Rp - 60,900 Ampul
90 Gliseril Guaikiolat ( GG )/Asetil Sist 30,000 Rp 2,673,000.00 Rp 89.10 0 ampul Rp - 0 ampul
91 Glukosa 40% 156 Rp 1,092,000.00 Rp 7,000.00 0 ampul Rp - 20 ampul
92 Glukosa infus 10% 40 Rp 288,000.00 Rp 7,200.00 0 Botol Rp - 20 Botol
93 Glukosa infus 5% 380 Rp 2,518,260.00 Rp 6,627.00 0 Tablet Rp - 320 Tablet
94 Griseofulvin 125 mg tab 5,000 Rp 1,120,000.00 Rp 224.00 0 Tablet Rp - 2,000 Tablet
95 Haloperidol 1,5 mg 18,500 Rp 1,091,574.00 Rp 59.00 0 Tablet Rp - 7,500 Tablet
96 Haloperidol tablet 5 mg 125,700 Rp 6,787,800.00 Rp 54.00 0 Tablet Rp - 17,500 Tablet
97 Hand Sanitizer (Aseptic gel) 300 Rp 7,950,000.00 Rp 26,500.00 0 Tablet Rp - 5 Tablet
98 Handscoon non steril M 52,000 Rp 103,532,000.00 Rp 1,991.00 0 Tablet Rp - 0 Tablet
99 Handscoon non steril M 11,050 Rp 22,000,550.00 Rp 1,991.00 0 Tablet Rp - 8,000 Tablet
100 Handscoon non steril S 4,350 Rp 8,660,850.00 Rp 1,991.00 0 Tablet Rp - 4,350 Tablet
101 HCG tes Pro-D 3,000 Rp 5,700,000.00 Rp 1,900.00 0 Tablet Rp - 950 Tablet
102 Herbakof 300 Rp 4,281,900.00 Rp 14,273.00 0 Tablet Rp - 0 Tablet
103 Hidrokortison 2,5% krim 720 Rp 1,782,000.00 Rp 2,475.00 0 Tablet Rp - 720 Tablet
104 Hysin Inj 120 Rp 619,418.18 Rp 5,161.82 0 Kapsul Rp - 120 Kapsul
105 Ibuprofen 200 mg 24,000 Rp 5,088,000.00 Rp 212.00 0 Tablet Rp - 5,500 Tablet
106 Ibuprofen 400 mg 14,300 Rp 5,376,800.00 Rp 376.00 0 Ampul Rp - 14,300 Ampul
107 Ibuprofen suspensi 200 mg/5 ml 765 Rp 2,448,000.00 Rp 3,200.00 0 Tablet Rp - 320 Tablet
108 Infuset Anak 400 Rp 1,400,000.00 Rp 3,500.00 0 Botol Rp - 350 Botol
109 Infuset dewasa (PKD 1) 3,700 Rp 21,423,000.00 5790 0 botol Rp - 1,900 botol
110 Infusion Set Anak 50 Rp 179,850.00 Rp 3,597.00 0 Botol Rp - 50 Botol
111 ISONIAZID 100 MG TAB 5,400 Rp 523,314.00 Rp 96.91 0 Softbag Rp - 2,400 Softbag
112 Isosorbid Dinitrat 5 mg 3,400 Rp 332,860.00 Rp 97.90 0 Tab Rp - 3,000 Tab
113 IV Catheter 22G MF Cath Pro 1,600 Rp 12,320,000.00 Rp 7,700.00 0 Tablet Rp - 1,400 Tablet
114 IV Catheter 24G MF Cath Pro 7,200 Rp 55,396,800.00 Rp 7,694.00 0 Tablet Rp - 600 Tablet
115 IV Catheter 24G MF Cath Pro 8,000 Rp 62,552,000.00 Rp 7,819.00 0 Tablet Rp - 0 Tablet
116 IV Catheter No 18 900 Rp 5,400,000.00 Rp 6,000.00 0 Tablet Rp - 200 Tablet
117 Jarum Jahit kulit berbagai ukuran 27 Rp 675,000.00 Rp 25,000.00 0 Tablet Rp - 18 Tablet
118 Kalium Permanganat 480 Rp 2,640,000.00 Rp 5,500.00 0 Tube Rp - 144 Tube
119 Kalsium Glukonat Inj 10% 48 Rp 496,848.00 Rp 10,351.00 0 tube Rp - 24 tube
120 Kalsium Laktat 191,900 Rp 12,089,700.00 Rp 63.00 0 Ampul Rp - 95,000 Ampul
121 Kapas absorben 250 gr 161 Rp 2,012,500.00 Rp 12,500.00 0 ampul Rp - 103 ampul
122 Kaptopril 12,5 mg tab 50,000 Rp 3,250,000.00 Rp 65.00 0 Tablet Rp - 12,500 Tablet
123 Kaptopril 12,5 mg tab 16,200 Rp 1,830,600.00 Rp 113.00 0 Tablet Rp - 16,200 Tablet
124 Kaptopril 25 mg 83,600 Rp 6,270,000.00 Rp 75.00 0 Tablet Rp - 58,600 Tablet
125 Karbamazepin 200 mg 13,900 Rp 3,405,500.00 Rp 245.00 0 Pcs Rp - 3,800 Pcs
126 Kartu Golongan Darah 47,000 Rp 16,450,000.00 Rp 350.00 0 Botol Rp - 2,300 Botol
127 Kasa hydrophyl 16x16 720 Rp 360,000.00 Rp 500.00 0 Botol Rp - 720 Botol
128 Kasa hydrophyl 18x22 7,728 Rp 4,830,000.00 Rp 625.00 0 Tablet Rp - 1,200 Tablet
129 Kassa 2 x 80 430 Rp 4,188,200.00 Rp 9,740.00 0 Tablet Rp - 410 Tablet
130 Kassa 4 x 15 390 Rp 1,036,230.00 Rp 2,657.00 0 Tablet Rp - 390 Tablet
131 Kassa 4 x 3 1,250 Rp 948,750.00 Rp 759.00 0 Tablet Rp - 450 Tablet
132 Kassa 40 x 40 2,100 Rp 3,360,000.00 Rp 1,600.00 0 Tab Rp - 700 Tab
133 Ketokonazol 2% krim 324 Rp 2,154,600.00 Rp 6,650.00 0 Tablet Rp - 324 Tablet
134 Ketokonazol 200 mg tab 5,200 Rp 2,048,800.00 Rp 394.00 0 Tablet Rp - 5,200 Tablet
135 Ketoprofen 100 mg/sup 720 Rp 1,438,560.00 Rp 1,998.00 0 Tube Rp - 360 Tube
136 Klem umbilical 350 Rp 630,000.00 Rp 1,800.00 0 Tablet Rp - 350 Tablet
137 Kloramfenikol salep mata 1% 120 Rp 240,840.00 Rp 2,007.00 0 Tube Rp - 120 Tube
138 Kloramfenikol TT 3% 725 Rp 5,582,500.00 Rp 7,700.00 0 Tablet Rp - 500 Tablet
139 Klorfeniramin (CTM) 4 mg 636,000 Rp 14,628,000.00 Rp 23.00 0 Tablet Rp - 104,100 Tablet
Klorfeniramin 4 mg (Orphen
140 Kaplet) 100,000 Rp 9,240,000.00 Rp 92.40 0 Tablet Rp - 0 Tablet
141 Klorpromazin 100 mg 20,000 Rp 4,950,000.00 Rp 247.50 0 Pcs Rp - 19,100 Pcs
142 Klorpromazin 100 mg 2,500 Rp 618,750.00 Rp 247.50 0 Buah Rp - 2,500 Buah
143 Klorpromazin Inj 25 mg/ml 95 Rp 118,085.00 Rp 1,243.00 0 Botol Rp - 40 Botol
144 Kotrimoksasol 480 mg 117,900 Rp 15,680,700.00 Rp 133.00 0 Pot 6 gr Rp - 24,900 Pot 6 gr
145 Kotrimoksasol suspensi 4,500 Rp 9,855,000.00 Rp 2,190.00 0 Botol Rp - 637 Botol
146 Kotrimoksasol suspensi 600 Rp 1,231,194.00 Rp 2,051.99 0 Botol Rp - 200 Botol
147 Kotrimoksasol suspensi 240mg 550 Rp 1,204,500.00 Rp 2,190.00 0 botol Rp - 550 botol
148 KOTRIMOKSAZOL 480 MG TAB 16,000 Rp 2,000,000.00 Rp 125.00 0 pcs Rp - 0 pcs
149 Lancet 7,600 Rp 1,107,016.00 Rp 145.66 0 Botol Rp - 2,100 Botol
150 Lancet 5,000 Rp 750,000.00 Rp 150.00 0 Pcs Rp - 0 Pcs
151 Lanzoprazol 30 mg 9,000 Rp 2,502,000.00 Rp 278.00 0 pcs Rp - 9,000 pcs
152 Larutan Ziehl Nielsen 7 Rp 1,935,500.00 Rp 276,500.00 0 Buah Rp - 7 Buah
153 Levofloksasin 16,800 Rp 8,299,200.00 Rp 494.00 0 Pcs Rp - 2,700 Pcs
154 Levoftirosin 100 mcg 1,680 Rp 1,495,200.00 Rp 890.00 0 pcs Rp - 660 pcs
Lidocain injeksi
pcs pcs
155 1,110 Rp 1,364,190.00 Rp 1,229.00 0 Rp - 1,110
Lidocain komp injeksi pcs pcs
156 6,000 Rp 4,818,000.00 Rp 803.00 0 Rp - 1,830
157 Magnesium Sulfat 40% 600 Rp 2,454,000.00 Rp 4,090.00 0 Pcs Rp - 152 Pcs
158 Masker 9,800 Rp 5,390,000.00 Rp 550.00 0 Pcs Rp - 3,450 Pcs
159 Masker 9,050 Rp 43,440,000.00 Rp 4,800.00 0 Pcs Rp - 0 Pcs
160 Masker 18,000 Rp 25,200,000.00 Rp 1,400.00 0 pcs Rp - 0 pcs
Masker Altamed pcs pcs
161 25,000 Rp 41,250,000.00 Rp 1,650.00 0 Rp - 0
162 Masker Bedah Hijab 25,000 Rp 26,250,000.00 Rp 1,050.00 0 Botol Rp - 0 Botol
163 Masterzym 30 Rp 30.00 Rp 1.00 0 Tablet Rp - 0 Tablet
164 MDT Kusta PB Dewasa 18 Rp 175,860.00 Rp 9,770.00 0 Tablet Rp - 12 Tablet
165 Metampiron 500 mg (Lexagin) 96,000 Rp 24,288,000.00 Rp 253.00 0 Tablet Rp - 62,800 Tablet
166 Metformin HCl tablet 500 mg 27,800 Rp 5,779,620.00 Rp 207.90 2,000 Tablet Rp 415,800.00 29,800 Tablet
167 Metilergometrin inj 70 Rp 756,000.00 Rp 10,800.00 0 Botol Rp - 70 Botol
168 Metronidazol 125 mg/5ml susp 400 Rp 1,506,000.00 Rp 3,765.00 0 Tablet Rp - 10 Tablet
169 Metronidazol 125mg/5ml susp 100 Rp 395,000.00 Rp 3,950.00 0 Paket Rp - 100 Paket
170 Metronidazol 500 mg 9,500 Rp 1,178,000.00 Rp 124.00 0 Buah Rp - 9,500 Buah
171 Mikonazol 2% krim 432 Rp 1,474,848.00 Rp 3,414.00 0 Pcs Rp - 432 Pcs
172 Mikropipet tips 62 Rp 5,443,600.00 Rp 87,800.00 0 Lembar Rp - 0 Lembar
173 Molexflu syrup 1,425 Rp 8,940,450.00 Rp 6,274.00 0 Pcs Rp - 1,015 Pcs
174 Natrium Diklofenak 50 mg 50,350 Rp 6,193,050.00 Rp 123.00 0 pcs Rp - 32,500 pcs

175 Natrium Diklofenak 50 mg 20,000 Rp 1,980,000.00 Rp 99.00 0 Tablet Rp - 0 Tablet
176 Neo kaominal 302 Rp 2,236,310.00 Rp 7,405.00 0 Tablet Rp - 302 Tablet
177 Neocenta / Bioplacenton krim 345 Rp 5,860,515.00 Rp 16,987.00 0 Tablet Rp - 345 Tablet
178 Nistatin 100000 IU / ml Drop 130 Rp 1,495,000.00 Rp 11,500.00 0 Tablet Rp - 110 Tablet
179 Nistatin Vagtab 100.000 IU 200 Rp 112,000.00 Rp 560.00 0 Ampul Rp - 200 Ampul
180 OB Herbal Sirup 1,800 Rp 13,860,000.00 Rp 7,700.00 0 ampul Rp - 0 ampul
181 OB Herbal Sirup(OBASA) 2,496 Rp 19,219,200.00 Rp 7,700.00 0 ampul Rp - 1,296 ampul
182 OBH sirup molex 60 ml 1,335 Rp 8,376,324.00 Rp 6,274.40 0 Tablet Rp - 1,335 Tablet
183 Object Glass 685 Rp 53,217,650.00 Rp 77,690.00 0 Tablet Rp - 17 Tablet
184 Oksitosin Inj 5,570 Rp 6,271,820.00 Rp 1,126.00 0 Tab Rp - 1,690 Tab
185 Ostela Forte tab 2,400 Rp 19,200,000.00 Rp 8,000.00 0 ampul Rp - 1,920 ampul
186 Parasetamol 500 mg 165,400 Rp 16,374,600.00 Rp 99.00 0 Ampul Rp - 165,400 Ampul
187 Parasetamol drop 360 Rp 2,393,640.00 Rp 6,649.00 0 Tube Rp - 360 Tube
188 Parasetamol infus 37 Rp 416,805.00 Rp 11,265.00 20 Tube Rp 225,300.00 30 Tube
189 PARASETAMOL SIRUP 120 MG / 5,300 Rp 5,867,100.00 Rp 1,107.00 0 supp Rp - 4,400 supp
190 PARASETAMOL SIRUP 120 MG / 1,000 Rp 1,107,000.00 Rp 1,107.00 0 Tube Rp - 0 Tube
191 Parasetamol sirup 120 mg/5ml 2,500 Rp 2,952,500.00 Rp 1,181.00 0 supp Rp - 0 supp
192 Pehacain 1,440 Rp 6,048,000.00 Rp 4,200.00 0 Tablet Rp - 660 Tablet
193 Piridoksin ( Vit B6 ) 10 mg tab 12,600 Rp 844,200.00 Rp 67.00 0 Ampul Rp - 0 Ampul
194 Piridoksin (Vit B6) 10 mg 57,000 Rp 7,467,000.00 Rp 131.00 0 Ampul Rp - 46,000 Ampul
195 Piridoksin (Vit B6) 10 mg 28,400 Rp 3,493,200.00 Rp 123.00 0 ampul Rp - 0 ampul
196 Piroksikam (lexicam) tablet 20 mg 3,100 Rp 409,200.00 Rp 132.00 0 Tablet Rp - 3,100 Tablet
197 Plester (Leukoplast 7,5 cm x 4,5 cm 300 Rp 17,850,000.00 Rp 59,500.00 0 Tablet Rp - 84 Tablet
198 Plesterin bulat 17,400 Rp 3,045,000.00 Rp 175.00 0 Tablet Rp - 4,200 Tablet
199 Pot Sputum 800 Rp 4,712,000.00 Rp 5,890.00 0 Tablet Rp - 800 Tablet
200 Povidon Iodida 10 % 30 ml 1,318 Rp 3,690,400.00 Rp 2,800.00 0 Tablet Rp - 234 Tablet
201 Prednison 5 mg 25,000 Rp 2,992,500.00 Rp 119.70 0 Tablet Rp - 22,300 Tablet
202 Prednison 5 mg 8,500 Rp 1,017,450.00 Rp 119.70 0 Tablet Rp - 8,500 Tablet
203 Propiltiourasil tablet 100 m 1,900 Rp 779,000.00 Rp 410.00 0 Botol Rp - 1,100 Botol
204 R.Hema OL 2100 Kertas print 3 Rp 120,000.00 Rp 40,000.00 0 Botol Rp - 0 Botol
205 Ranitidin 150 mg 44,400 Rp 3,774,000.00 Rp 85.00 0 Tablet Rp - 44,400 Tablet
206 Ranitidin 50 mg/2 ml injeksi 3,000 Rp 5,880,600.00 Rp 1,960.20 0 Tablet Rp - 830 Tablet
207 Ranitidin 50 mg/2 ml injeksi 220 Rp 179,080.00 Rp 814.00 0 Tablet Rp - 220 Tablet
208 Rapid Test HIV Ke - 1 ( SD ) 4,100 Rp 58,794,000.00 Rp 14,340.00 0 Pcs Rp - 1,675 Pcs
209 Reagen gol darah Pro-D anti A 10 Rp 1,650,000.00 Rp 165,000.00 0SuppositoriaRp - 10Suppositoria
210 Reagen gol darah Pro-D anti B 10 Rp 1,650,000.00 Rp 165,000.00 0 Tablet Rp - 10 Tablet
211 Reagen gol darah Pro-D anti D 40 Rp 6,600,000.00 Rp 165,000.00 0 Tablet Rp - 1 Tablet
212 Reagent HbsAg tes 8,875 Rp 87,418,750.00 Rp 9,850.00 0 Rol Rp - 2,950 Rol
213 Recovit sirup 720 Rp 7,128,000.00 Rp 9,900.00 0 Rol Rp - 660 Rol
214 retinol (vit A ) 100000 IU 10,000 Rp 2,870,000.00 Rp 287.00 0 Rol Rp - 6,100 Rol
215 retinol (vit A ) 100000 IU 5,900 Rp 1,693,300.00 Rp 287.00 0 Botol Rp - 5,900 Botol
216 retinol (vit A ) 200000 IU 13,450 Rp 6,832,600.00 Rp 508.00 0 Botol Rp - 13,450 Botol
217 Retinol 100.000 IU 5,000 Rp 1,525,000.00 Rp 305.00 0 Ampul Rp - 0 Ampul
218 Retinol 200.000 IU 12,000 Rp 6,636,000.00 Rp 553.00 0 ampul Rp - 12,000 ampul
219 Ringer Laktat larutan infus 10,000 Rp 76,300,000.00 Rp 7,630.00 0 Ampul Rp - 60 Ampul
220 Ringer Laktat larutan infus 6,952 Rp 49,706,800.00 Rp 7,150.00 0 Kapsul Rp - 6,952 Kapsul
221 Risperidon 2 mg 20,000 Rp 5,460,000.00 Rp 273.00 0 Tablet Rp - 20,000 Tablet
222 Salbutamol 2 mg 101,800 Rp 7,126,000.00 Rp 70.00 0 Tablet Rp - 16,200 Tablet
223 Salbutamol tablet 4 mg 23,300 Rp 1,631,000.00 Rp 70.00 0 Botol Rp - 2,000 Botol
224 Salep 2-4 Kombinasi 912 Rp 2,549,952.00 Rp 2,796.00 0 Botol Rp - 504 Botol
225 Salep 2-4 Kombinasi 120 Rp 335,520.00 Rp 2,796.00 0 Botol Rp - 0 Botol
226 Salisil bedak 2 % 654 Rp 1,438,800.00 Rp 2,200.00 0 Botol Rp - 200 Botol
227 Scabicide/Scabimit/Permetrin 5% k 30 Rp 343,980.00 Rp 11,466.00 0 Botol Rp - 30 Botol
228 Serum ABU 23 Rp 11,894,036.00 Rp 517,132.00 0 botol Rp - 15 botol
229 Sianokobalamin (vit B12) tab 30,800 Rp 1,509,200.00 Rp 49.00 0 Can Rp - 27,000 Can
230 Simvastatin tablet 10 mg 33,270 Rp 4,281,849.00 Rp 128.70 0 Can Rp - 32,790 Can
231 Solvitaz 7,000 Rp 7,000.00 Rp 1.00 0 botol Rp - 3,900 botol
232 Spekulum dispo / Vagion M 375 Rp 2,437,500.00 Rp 6,500.00 0can 100 ml Rp - 125can 100 ml
233 Stimuno F 4,560 Rp 8,039,280.00 Rp 1,763.00 0 Pcs Rp - 1,290 Pcs
234 Strip Glukosa BENECHECK 90 Rp 14,400,000.00 Rp 160,000.00 0 Botol Rp - 0 Botol
235 Strip Glukosa EASY TOUCH 5,000 Rp 27,500,000.00 Rp 5,500.00 0 Botol Rp - 1,200 Botol
236 Strip Glukosa EASY TOUCH 600 Rp 3,300,000.00 Rp 5,500.00 0 botol Rp - 600 botol
237 Strip Glukosa NESCO 975 Rp 5,362,500.00 Rp 5,500.00 0 Paket Rp - 975 Paket
238 Strip Kolesterol EASY TOUCH 1,740 Rp 38,280,000.00 Rp 22,000.00 0 Paket Rp - 1,380 Paket
239 Sukralfat / Ulsafate sirup 480 Rp 2,394,720.00 Rp 4,989.00 20 Paket Rp 99,780.00 320 Paket
240 Tablet Tambah Darah 519,000 Rp 117,294,000.00 Rp 226.00 1,126,000 paket Rp 254,476,000.00 239,000 paket
241 Tablet Tambah darah 0 Rp - Rp 226.00 0 Paket Rp - 0 Paket
242 Tetrasiklin 500 mg 5,600 Rp 1,808,800.00 Rp 323.00 0 paket Rp - 2,800 paket
243 Thiamin (Vit B 1) tab 50 mg 200,000 Rp 31,240,000.00 Rp 156.20 0 paket Rp - 18,500 paket
244 THIAMIN (VIT B1) TAB 50 MG 230,000 Rp 19,550,000.00 Rp 85.00 0 paket Rp - 0 paket
245 Tiamin (Vit B1) 50 mg 34,300 Rp 8,677,900.00 Rp 253.00 0 Tablet Rp - 34,300 Tablet
246 Tranfusi set 150 Rp 1,275,000.00 Rp 8,500.00 0 Botol Rp - 150 Botol
247 Trifluoperazine 5 mg 4,800 Rp 1,056,000.00 Rp 220.00 0 botol Rp - 3,800 botol
248 Triheksipenidil 2 mg 121,700 Rp 7,667,100.00 Rp 63.00 0 Kapsul Rp - 31,300 Kapsul
249 Ultrasonic gel 6 Rp 96,000.00 Rp 16,000.00 0 Tablet Rp - 4 Tablet
250 UnderPad 3,800 Rp 18,183,000.00 Rp 4,785.00 0 Tablet Rp - 2,220 Tablet
251 Urine bag(KMP/SCP) 1,780 Rp 10,146,000.00 Rp 5,700.00 0 Ampul Rp - 330 Ampul
252 Vicalcin sirup 528 Rp 3,708,988.80 Rp 7,024.60 0 Ampul Rp - 528 Ampul
253 Vitamin B Kompleks 200,000 Rp 17,800,000.00 Rp 89.00 0 Tablet Rp - 0 Tablet
254 Vitamin B-Compleks(DEF) 112,000 Rp 4,928,000.00 Rp 44.00 0 Kapsul Rp - 37,000 Kapsul
255 Vitamin B-Compleks(DEF) 200,000 Rp 14,300,000.00 Rp 71.50 0 Tablet Rp - 71,000 Tablet
256 Zinc sulfat 20 mg 8,500 Rp 4,454,000.00 Rp 524.00 0 Tablet Rp - 8,000 Tablet
257 Zink sir 20 mg/5 ml 576 Rp 1,433,664.00 Rp 2,489.00 0 Botol Rp - 576 Botol
258 Zink Tablet 2,800 Rp 1,467,200.00 Rp 524.00 0 botol Rp - 2,800 botol
259 Clozapine 25mg 0 Rp - Rp 1,121.00 3,000 Ampul Rp 3,363,000.00 3,000 Ampul
260 Diazepam 5 mg Tab 0 Rp - Rp 108.00 10,000 Tablet Rp 1,080,000.00 0 Tablet
261 DIAZEPAM INJ 0 Rp - Rp 1,545.00 500 Tablet Rp 772,500.00 160 Tablet
262 FDC Kategori 1 0 Rp - Rp 416,696.00 592 Ampul Rp 246,684,032.00 244 Ampul
263 FDC Kategori Anak 0 Rp - Rp 248,120.00 32 Ampul Rp 7,939,840.00 2 Ampul
264 Fluphenazine/Sikzonoate 25 inj 0 Rp - Rp 63,500.00 6,000 Tablet Rp 381,000,000.00 160 Tablet
265 Haldol Decanoas 50 mg inj 0 Rp - Rp 109,000.00 700 Pcs Rp 76,300,000.00 85 Pcs
266 Haloperidol 5 mg inj 0 Rp - Rp 1,190.00 30 Kapsul Rp 35,700.00 0 Kapsul
267 Haloperidol 5 mg tab 0 Rp - Rp 54.00 40,000 ampul Rp 2,160,000.00 0 ampul
268 Larutan Ziehl Nielsen 0 Rp - Rp 172,527.00 50 Ampul Rp 8,626,350.00 0 Ampul
269 MDT Kusta MB Dewasa 0 Rp - Rp 40,128.00 480 ampul Rp 19,261,440.00 234 ampul
270 Pot Sputum 0 Rp - Rp 2,728.00 5,000 Pcs Rp 13,640,000.00 3,200 Pcs
271 Reagent HbsAg tes 0 Rp - Rp 1.00 5,000 Pcs Rp 5,000.00 0 Pcs
272 Risperidon 2 mg 0 Rp - Rp 123.00 20,000 pcs Rp 2,460,000.00 3,100 pcs
273 Trifluoperazine 5 mg 0 Rp - Rp 287.00 20,000 Pcs Rp 5,740,000.00 1,100 Pcs
274 Triheksipenidil 2 mg 0 Rp - Rp 91.00 30,000 Pcs Rp 2,730,000.00 0 Pcs
275 Reagent Syphillis 0 Rp - Rp 20,400.00 5,000 pcs Rp 102,000,000.00 700 pcs
276 Aqua PI 0 Rp - Rp 2,860.00 54 Tablet Rp 154,440.00 54 Tablet
277 retinol (vit A ) 100000 IU 0 Rp - Rp 305.00 39,200 Tablet Rp 11,956,000.00 0 Tablet
278 retinol (vit A ) 200000 IU 0 Rp - Rp 553.00 419,700 Ampul Rp 232,094,100.00 43,300 Ampul
279 Amoksisilin kapl 500 mg 0 Rp - Rp 249.00 50,000 Sachet Rp 12,450,000.00 50,000 Sachet
280 Glukosa infus 5% 0 Rp - Rp 6,627.50 4,000 Sachet Rp 26,510,000.00 0 Sachet
281 Natrium Chlorida infus 0,9% 0 Rp - Rp 6,800.20 3,200 Kapsul Rp 21,760,640.00 0 Kapsul
282 Ringer Laktat larutan infus 0 Rp - Rp 7,629.60 10,000 Tablet Rp 76,296,000.00 0 Tablet
283 Amoksisilin 125 mg/5 ml sirup kerin 0 Rp - Rp 2,050.00 700 Pcs Rp 1,435,000.00 0 Pcs
284 Karbamazepin 200 mg 0 Rp - Rp 189.00 7,000 Tube Rp 1,323,000.00 0 Tube
285 Kotrimoksasol suspensi 240mg 0 Rp - Rp 2,100.00 4,500 Vial Rp 9,450,000.00 0 Vial
286 Kalsium Laktat 0 Rp - Rp 60.01 270,000 Tube Rp 16,202,700.00 0 Tube
287 Parasetamol sirup 120 mg/5ml 0 Rp - Rp 1,161.00 2,092 Tube Rp 2,428,812.00 0 Tube
288 Canule O2 dewasa 0 Rp - Rp 6,130.00 2,800 Botol Rp 17,164,000.00 0 Botol
289 IV Catheter No 18 NOUSHED 0 Rp - Rp 5,995.00 2,400 Botol Rp 14,388,000.00 0 Botol
292 Alopurinol 100mg 0 Rp - Rp 105.00 10,000 Pcs Rp 1,050,000.00 0 Pcs
293 Amoksisilin kapl 500 mg 0 Rp - Rp 249.00 50,000 Tablet Rp 12,450,000.00 36,000 Tablet
294 Amoksisilin kapl 500 mg 0 Rp - Rp 253.00 150,000 Tablet Rp 37,950,000.00 0 Tablet
295 Antasida DOEN tab 0 Rp - Rp 58.00 50,000 Tablet Rp 2,900,000.00 0 Tablet
296 Asam Askorbat ( Vit.C ) 50 mg 0 Rp - Rp 105.00 27,000 Tablet Rp 2,835,000.00 0 Tablet
297 Kotrimoksasol suspensi 0 Rp - Rp 2,190.00 1,000 Tablet Rp 2,190,000.00 0 Tablet
298 Lidocain injeksi 2% + Epineprin 1:8 0 Rp - Rp 1,229.00 1,507 Tablet Rp 1,852,103.00 0 Tablet
299 Natrium Klorida infus 0.9% 0 Rp - Rp 6,840.00 20 Tablet Rp 136,800.00 20 Tablet
300 Parasetamol sirup 120 mg/5ml 0 Rp - Rp 1,181.00 2,150 Tablet Rp 2,539,150.00 0 Tablet
301 Ringer Laktat larutan infus 0 Rp - Rp 7,630.00 3,200 Tablet Rp 24,416,000.00 0 Tablet
302 Prednison 5 mg Tablet Rp - Rp 1.00 165000 Tablet Rp 165,000.00 0 Tablet
303 Propanolol 10 mg tab Tablet Rp - Rp 1.00 21000 Tablet Rp 21,000.00 0 Tablet
304 Propanolol 40 mg tab Tablet Rp - Rp 1.00 5000 Tablet Rp 5,000.00 500 Tablet
305 Zink 20 mg tab Tablet Rp - Rp 1.00 23000 Tablet Rp 23,000.00 0 Tablet
306 Haloperidol 1.5mg tab Tablet Rp - Rp 1.00 17100 Tablet Rp 17,100.00 0 Tablet
307 Alprazolam 0,5 mg Tablet Rp - Rp 78.00 300 Tablet Rp 23,400.00 0 Tablet
308 Diazepam 5 mg Tab Tablet Rp - Rp 108.00 20000 Tablet Rp 2,160,000.00 0 Tablet
309 Parasetamol sirup 120 mg/5ml Botol Rp - Rp 1,161.00 4908 Botol Rp 5,698,188.00 0 Botol
310 Triheksipenidil 2 mg Tablet Rp - Rp 63.00 20000 Tablet Rp 1,260,000.00 0 Tablet
311 Ketokonazol 200 mg tab Tablet Rp - Rp 252.00 23000 Tablet Rp 5,796,000.00 0 Tablet
312 Asam Mefenamat 500 mg Tablet Rp - Rp 111.00 170000 Tablet Rp 18,870,000.00 0 Tablet
313 Metilprednisolon 4 mg tab Tablet Rp - Rp 102.00 25000 Tablet Rp 2,550,000.00 0 Tablet
314 Ranitidin 150 mg Tablet Rp - Rp 85.00 134600 Tablet Rp 11,441,000.00 0 Tablet
315 Simvastatin tablet 10 mg Tablet Rp - Rp 68.00 68000 Tablet Rp 4,624,000.00 0 Tablet
316 Allopurinol 100mg tab Tablet Rp - Rp 87.00 6000 Tablet Rp 522,000.00 0 Tablet
317 Amoksisilin kapl 500 mg Tablet Rp - Rp 201.00 600000 Tablet Rp 120,600,000.00 0 Tablet
318 Ciprofloxacin 500 mg Tablet Rp - Rp 248.00 127000 Tablet Rp 31,496,000.00 0 Tablet
319 Glimepiride 2 mg tab Tablet Rp - Rp 123.00 31000 Tablet Rp 3,813,000.00 0 Tablet
320 SD Bioline HIV/Syphillis Duo Test Rp - Rp 17,563.84 11800 Test Rp 207,253,312.00 0 Test
321 Isosorbide Dinitrate tab Tablet Rp - Rp 86.00 15000 Tablet Rp 1,290,000.00 0 Tablet
322 Serum ABU Vial Rp - Rp 517,132.00 270 Vial Rp 139,625,640.00 0 Vial
323 Serum ATS 1500 IU ampul Rp - Rp 138,924.50 415 ampul Rp 57,653,667.50 0 ampul
324 Povidon Iodida 10 % 300 ml Botol Rp - Rp 17,055.56 24 Botol Rp 409,333.44 6 Botol
JUMLAH Rp 2,319,763,897.18 Rp 2,317,696,617.94
BEKKES
1 Januari s/d 31 Maret 2022) Sisa (31 Maret 2022 )

Pengurangan Sisa Baik Sisa Kadaluarsa
Harga Jumlah Nilai Harga Jumlah Nilai Harga
14 15 16 17 18 19 20
Rp 4,737,480.00 6,100 Tablet Rp 1,952,610.00 0 Tablet Rp - Rp 1,952,610.00 Rp -
Rp 1,531,200.00 0 Tablet Rp - 0 Tablet Rp - Rp - Rp -
Rp 900,900.00 3,000 Tablet Rp 3,861,000.00 0 Tablet Rp - Rp 3,861,000.00 Rp -
Rp - 2,000 Tablet Rp 1,828,000.00 0 Tablet Rp - Rp 1,828,000.00 Rp -
Rp 5,682,600.00 5,900 Tab Rp 4,088,700.00 0 Tab Rp - Rp 4,088,700.00 Rp -
Rp - 2,000 Pcs Rp 1,160,000.00 0 Pcs Rp - Rp 1,160,000.00 Rp -
Rp 594,900.00 0 Set Rp - 0 Set Rp - Rp - Rp -
Rp 37,324,800.00 600,000 Pcs Rp 172,800,000.00 0 Pcs Rp - Rp 172,800,000.00 Rp -
Rp 2,289,000.00 0 Pcs Rp - 0 Pcs Rp - Rp - Rp -
Rp 179,400.00 2,900 Pcs Rp 226,200.00 0 Pcs Rp - Rp 226,200.00 Rp -
Rp 2,162,400.00 54,600 Pcs Rp 2,893,800.00 0 Pcs Rp - Rp 2,941,500.00 -Rp 47,700.00
Rp 6,561,280.00 300 Pcs Rp 615,120.00 0 Pcs Rp - Rp 615,120.00 Rp -
Rp 770,000.00 0 Pcs Rp - 0 Pcs Rp - Rp - Rp -
Rp 906,070.00 0 Pcs Rp - 0 Pcs Rp - Rp - Rp -
Rp 647,424.00 600 Botol Rp 2,697,600.00 0 Botol Rp - Rp 2,697,600.00 Rp -
Rp - 456 Pcs Rp 2,050,176.00 0 Pcs Rp - Rp 2,050,176.00 Rp -
Rp 55,500.00 2,200 Tablet Rp 407,000.00 0 Tablet Rp - Rp 407,000.00 Rp -
Rp - 3,000 Tab Rp 555,000.00 0 Tab Rp - Rp 555,000.00 Rp -
Rp 2,797,200.00 2,700 Tablet Rp 113,400.00 0 Tablet Rp - Rp 113,400.00 Rp -
Rp 1,738,000.00 2,400 Tab Rp 528,000.00 0 Tab Rp - Rp 528,000.00 Rp -
Rp - 44,000 Tab Rp 4,884,000.00 0 Tab Rp - Rp 4,884,000.00 Rp -
Rp 2,315,040.00 0 Botol Rp - 724 Botol Rp 6,983,704.00 Rp - Rp -
Rp 34,360.00 0 Ampul Rp - 0 Ampul Rp - Rp - Rp -
Rp - 88 Ampul Rp 1,532,608.00 0 Ampul Rp - Rp 1,532,608.00 Rp -
Rp 8,839,600.00 6,200 Ampul Rp 2,796,200.00 0 Ampul Rp - Rp 2,796,200.00 Rp -
Rp 30,600.00 100 Tablet Rp 7,650.00 0 Tablet Rp - Rp 7,650.00 Rp -
Rp 330,000.00 155 Tablet Rp 3,410,000.00 0 Tablet Rp - Rp 3,410,000.00 Rp -
Rp 2,754,000.00 1,400 ampul Rp 7,140,000.00 0 ampul Rp - Rp 7,140,000.00 Rp -
Rp 2,870,400.00 345 Tablet Rp 1,904,400.00 0 Tablet Rp - Rp 1,904,400.00 Rp -
Rp 640,000.00 0 Tablet Rp - 0 Tablet Rp - Rp - Rp -
Rp 92,400.00 2,000 Tablet Rp 1,848,000.00 0 Tablet Rp - Rp 1,663,200.00 Rp 184,800.00
Rp 615,600.00 2,200 Botol Rp 237,600.00 0 Botol Rp - Rp 259,200.00 -Rp 21,600.00
Rp 34,700.00 0 Botol Rp - 0 Botol Rp - Rp - Rp -
Rp 1,383,030.00 40 Botol Rp 502,920.00 0 Botol Rp - Rp 502,920.00 Rp -
Rp - 600 Tablet Rp 657,000.00 0 Tablet Rp - Rp 525,600.00 Rp 131,400.00
Rp 492,750.00 1,200 Tablet Rp 1,314,000.00 390 Tablet Rp 427,050.00 Rp 1,872,450.00 -Rp 558,450.00
Rp 434,720.00 24,200 Kaptab Rp 2,768,480.00 0 Kaptab Rp - Rp 2,768,480.00 Rp -
Rp 10,752,500.00 0 Ampul Rp - 0 Ampul Rp - Rp - Rp -
Rp 36,718,470.00 0 Botol Rp - 0 Botol Rp - Rp - Rp -
Rp 719,970.00 61 Botol Rp 21,959,085.00 0 Botol Rp - Rp 21,959,085.00 Rp -
Rp - 24 botol Rp 6,916,776.00 0 botol Rp - Rp 6,916,776.00 Rp -
Rp - 20 Botol Rp 5,763,980.00 0 Botol Rp - Rp 5,763,980.00 Rp -
Rp 2,149,850.00 0 Vial Rp - 0 Vial Rp - Rp - Rp -
Rp - 8,000 Vial Rp 1,368,000.00 0 Vial Rp - Rp 1,368,000.00 Rp -
Rp 3,265,693.20 0 Tab Rp - 0 Tab Rp - Rp - Rp -
Rp - 190 Tablet Rp 190.00 0 Tablet Rp - Rp 190.00 Rp -
Rp 68,400.00 5,000 Botol Rp 855,000.00 0 Botol Rp - Rp 855,000.00 Rp -
Rp 1,742,400.00 672 Kapsul Rp 2,217,600.00 0 Kapsul Rp - Rp 2,217,600.00 Rp -
Rp 1,039,500.00 840 supp Rp 1,164,240.00 0 supp Rp - Rp 1,164,240.00 Rp -
Rp 2,378,200.00 0 Pot Rp - 0 Pot Rp - Rp - Rp -
Rp 1,542,000.00 12,000 Supp Rp 3,084,000.00 0 Supp Rp - Rp 3,212,500.00 -Rp 128,500.00
Rp 770,400.00 744 Supp Rp 1,990,200.00 0 Supp Rp - Rp 1,990,200.00 Rp -
Rp 4,664,640.00 24 Tablet Rp 108,480.00 0 Tablet Rp - Rp 108,480.00 Rp -
Rp 6,561,900.00 10,300 Botol Rp 2,132,100.00 0 Botol Rp - Rp 2,132,100.00 Rp -
Rp - 30,000 ampul Rp 2,673,000.00 0 ampul Rp - Rp 2,673,000.00 Rp -
Rp 140,000.00 136 ampul Rp 952,000.00 0 ampul Rp - Rp 1,092,000.00 -Rp 140,000.00
Rp 144,000.00 20 Botol Rp 144,000.00 0 Botol Rp - Rp 144,000.00 Rp -
Rp 1,805,000.00 2,050 Tablet Rp 3,895,000.00 0 Tablet Rp - Rp 3,952,000.00 -Rp 57,000.00
Rp - 300 Tablet Rp 4,281,900.00 0 Tablet Rp - Rp 4,281,900.00 Rp -
Rp 619,418.18 0 Kapsul Rp - 0 Kapsul Rp - Rp - Rp -
Rp 1,024,000.00 445 Tablet Rp 1,424,000.00 0 Tablet Rp - Rp 1,488,000.00 -Rp 64,000.00
Rp 1,225,000.00 50 Botol Rp 175,000.00 0 Botol Rp - Rp 105,000.00 Rp 70,000.00
Rp 11,001,000.00 1,800 botol Rp 10,422,000.00 0 botol Rp - Rp 10,595,700.00 -Rp 173,700.00
Rp 232,584.00 3,000 Softbag Rp 290,730.00 0 Softbag Rp - Rp 290,730.00 Rp -
Rp 293,700.00 400 Tab Rp 39,160.00 0 Tab Rp - Rp 39,160.00 Rp -
Rp 792,000.00 336 Tube Rp 1,848,000.00 0 Tube Rp - Rp 1,848,000.00 Rp -
Rp 248,424.00 24 tube Rp 248,424.00 0 tube Rp - Rp 248,424.00 Rp -
Rp 1,287,500.00 58 ampul Rp 725,000.00 0 ampul Rp - Rp 787,500.00 -Rp 62,500.00
Rp 931,000.00 10,100 Pcs Rp 2,474,500.00 0 Pcs Rp - Rp 2,474,500.00 Rp -
Rp 805,000.00 44,700 Botol Rp 15,645,000.00 0 Botol Rp - Rp 15,645,000.00 Rp -
Rp 719,280.00 360 Tube Rp 719,280.00 0 Tube Rp - Rp 719,280.00 Rp -
Rp 240,840.00 0 Tube Rp - 0 Tube Rp - Rp - Rp -
Rp 618,750.00 0 Buah Rp - 0 Buah Rp - Rp - Rp -
Rp 3,311,700.00 93,000 Pot 6 gr Rp 12,369,000.00 0 Pot 6 gr Rp - Rp 12,369,000.00 Rp -
Rp 1,395,030.00 3,863 Botol Rp 8,459,970.00 0 Botol Rp - Rp 8,021,970.00 Rp 438,000.00
Rp 410,398.00 400 Botol Rp 820,796.00 0 Botol Rp - Rp 1,231,194.00 -Rp 410,398.00
Rp 1,204,500.00 0 botol Rp - 0 botol Rp - Rp - Rp -
Rp - 16,000 pcs Rp 2,000,000.00 0 pcs Rp - Rp 2,000,000.00 Rp -
Rp 305,886.00 5,500 Botol Rp 801,130.00 0 Botol Rp - Rp 801,130.00 Rp -
Rp - 5,000 Pcs Rp 750,000.00 0 Pcs Rp - Rp 750,000.00 Rp -
Rp 2,502,000.00 0 pcs Rp - 0 pcs Rp - Rp - Rp -
Rp 1,935,500.00 0 Buah Rp - 0 Buah Rp - Rp - Rp -
Rp 587,400.00 1,020 pcs Rp 907,800.00 0 pcs Rp - Rp 907,800.00 Rp -
pcs pcs
Rp 1,364,190.00 0 Rp - 0 Rp - Rp - Rp -
pcs pcs
Rp 1,469,490.00 4,170 Rp 3,348,510.00 0 Rp - Rp 3,348,510.00 Rp -
Rp 621,680.00 448 Pcs Rp 1,832,320.00 0 Pcs Rp - Rp 1,832,320.00 Rp -
Rp - 18,000 pcs Rp 25,200,000.00 0 pcs Rp - Rp 25,200,000.00 Rp -
pcs pcs
Rp - 25,000 Rp 41,250,000.00 0 Rp - Rp 41,250,000.00 Rp -
Rp - 25,000 Botol Rp 26,250,000.00 0 Botol Rp - Rp 26,250,000.00 Rp -
Rp - 30 Tablet Rp 30.00 0 Tablet Rp - Rp 30.00 Rp -
Rp 395,000.00 0 Paket Rp - 0 Paket Rp - Rp - Rp -
Rp 1,178,000.00 0 Buah Rp - 0 Buah Rp - Rp - Rp -
Rp - 62 Lembar Rp 5,443,600.00 0 Lembar Rp - Rp 5,443,600.00 Rp -
Rp 6,368,110.00 410 Pcs Rp 2,572,340.00 0 Pcs Rp - Rp 2,572,340.00 Rp -
Rp 3,997,500.00 17,850 pcs Rp 2,195,550.00 0 pcs Rp - Rp 2,195,550.00 Rp -
Rp 112,000.00 0 Ampul Rp - 0 Ampul Rp - Rp - Rp -
Rp 9,979,200.00 1,200 ampul Rp 9,240,000.00 0 ampul Rp - Rp 9,240,000.00 Rp -
Rp 15,360,000.00 480 ampul Rp 3,840,000.00 0 ampul Rp - Rp 3,840,000.00 Rp -
Rp 2,393,640.00 0 Tube Rp - 0 Tube Rp - Rp - Rp -
Rp 337,950.00 27 Tube Rp 304,155.00 0 Tube Rp - Rp 304,155.00 Rp -
Rp 4,870,800.00 900 supp Rp 996,300.00 0 supp Rp - Rp 996,300.00 Rp -
Rp - 1,000 Tube Rp 1,107,000.00 0 Tube Rp - Rp 1,107,000.00 Rp -
Rp - 2,500 supp Rp 2,952,500.00 0 supp Rp - Rp 2,952,500.00 Rp -
Rp - 12,600 Ampul Rp 844,200.00 0 Ampul Rp - Rp 844,200.00 Rp -
Rp 655,200.00 1,084 Tablet Rp 3,035,200.00 0 Tablet Rp - Rp 3,018,400.00 Rp 16,800.00
Rp - 3 Botol Rp 120,000.00 0 Botol Rp - Rp 120,000.00 Rp -
Rp 24,019,500.00 2,425 Pcs Rp 34,774,500.00 0 Pcs Rp - Rp 36,925,500.00 -Rp 2,151,000.00
Rp 1,650,000.00 0SuppositoriaRp - 0SuppositoriaRp - Rp - Rp -
Rp 29,057,500.00 5,925 Rol Rp 58,361,250.00 0 Rol Rp - Rp 60,331,250.00 -Rp 1,970,000.00
Rp 6,534,000.00 60 Rol Rp 594,000.00 0 Rol Rp - Rp 594,000.00 Rp -
Rp 1,750,700.00 3,900 Rol Rp 1,119,300.00 0 Rol Rp - Rp 1,119,300.00 Rp -
Rp - 5,000 Ampul Rp 1,525,000.00 0 Ampul Rp - Rp 1,525,000.00 Rp -
Rp 6,636,000.00 0 ampul Rp - 0 ampul Rp - Rp - Rp -
Rp 457,800.00 9,940 Ampul Rp 75,842,200.00 0 Ampul Rp - Rp 72,027,200.00 Rp 3,815,000.00
Rp 49,706,800.00 0 Kapsul Rp - 0 Kapsul Rp - Rp - Rp -
Rp 140,000.00 21,300 Botol Rp 1,491,000.00 0 Botol Rp - Rp 1,491,000.00 Rp -
Rp 1,409,184.00 408 Botol Rp 1,140,768.00 0 Botol Rp - Rp 1,140,768.00 Rp -
Rp - 120 Botol Rp 335,520.00 0 Botol Rp - Rp 335,520.00 Rp -
Rp 7,756,980.00 8 botol Rp 4,137,056.00 0 botol Rp - Rp 4,654,188.00 -Rp 517,132.00
Rp 1,323,000.00 3,800 Can Rp 186,200.00 0 Can Rp - Rp 186,200.00 Rp -
Rp 4,220,073.00 480 Can Rp 61,776.00 0 Can Rp - Rp 177,606.00 -Rp 115,830.00
Rp 3,900.00 3,100 botol Rp 3,100.00 0 botol Rp - Rp 3,150.00 -Rp 50.00
Rp 812,500.00 250can 100 ml Rp 1,625,000.00 0can 100 ml Rp - Rp 1,625,000.00 Rp -
Rp - 0 Botol Rp - 90 Botol Rp 14,400,000.00 Rp - Rp -
Rp 6,600,000.00 3,800 Botol Rp 20,900,000.00 0 Botol Rp - Rp 20,900,000.00 Rp -
Rp 5,362,500.00 0 Paket Rp - 0 Paket Rp - Rp - Rp -
Rp 30,360,000.00 360 Paket Rp 7,920,000.00 0 Paket Rp - Rp 2,640,000.00 Rp 5,280,000.00
Rp 1,596,480.00 180 Paket Rp 898,020.00 0 Paket Rp - Rp 898,020.00 Rp -
Rp 54,014,000.00 1,406,000 paket Rp 317,756,000.00 0 paket Rp - Rp 317,756,000.00 Rp -
Rp - 0 Paket Rp - 0 Paket Rp - Rp - Rp -
Rp 904,400.00 2,800 paket Rp 904,400.00 0 paket Rp - Rp 904,400.00 Rp -
Rp 2,889,700.00 181,500 paket Rp 28,350,300.00 0 paket Rp - Rp 28,350,300.00 Rp -
Rp - 230,000 paket Rp 19,550,000.00 0 paket Rp - Rp 19,550,000.00 Rp -
Rp 836,000.00 1,000 botol Rp 220,000.00 0 botol Rp - Rp 88,000.00 Rp 132,000.00
Rp 1,971,900.00 90,400 Kapsul Rp 5,695,200.00 0 Kapsul Rp - Rp 5,695,200.00 Rp -
Rp - 0 Tablet Rp - 200000 Tablet Rp 17,800,000.00 Rp - Rp -
Rp 1,628,000.00 0 Kapsul Rp - 75000 Kapsul Rp 3,300,000.00 Rp - Rp -
Rp 101,673,824.00 348 Ampul Rp 145,010,208.00 0 Ampul Rp - Rp 31,668,896.00 Rp 113,341,312.00
Rp 496,240.00 30 Ampul Rp 7,443,600.00 0 Ampul Rp - Rp 7,691,720.00 -Rp 248,120.00
Rp 9,265,000.00 615 Pcs Rp 67,035,000.00 0 Pcs Rp - Rp 67,035,000.00 Rp -
Rp - 30 Kapsul Rp 35,700.00 0 Kapsul Rp - Rp 35,700.00 Rp -
Rp - 50 Ampul Rp 8,626,350.00 0 Ampul Rp - Rp 8,626,350.00 Rp -
Rp 9,389,952.00 246 ampul Rp 9,871,488.00 0 ampul Rp - Rp 9,871,488.00 Rp -
Rp 8,729,600.00 1,800 Pcs Rp 4,910,400.00 0 Pcs Rp - Rp 5,456,000.00 -Rp 545,600.00
Rp - 5,000 Pcs Rp 5,000.00 0 Pcs Rp - Rp 5,000.00 Rp -
Rp 381,300.00 16,900 pcs Rp 2,078,700.00 0 pcs Rp - Rp 2,017,200.00 Rp 61,500.00
Rp 315,700.00 18,900 Pcs Rp 5,424,300.00 0 Pcs Rp - Rp 5,596,500.00 -Rp 172,200.00
Rp 14,280,000.00 4,300 pcs Rp 87,720,000.00 0 pcs Rp - Rp 87,720,000.00 Rp -
Rp 23,944,900.00 376,400 Ampul Rp 208,149,200.00 0 Ampul Rp - Rp 170,821,700.00 Rp 37,327,500.00
Rp 12,450,000.00 0 Sachet Rp - 0 Sachet Rp - Rp - Rp -
Rp - 4,000 Sachet Rp 26,510,000.00 0 Sachet Rp - Rp 26,510,000.00 Rp -
Rp - 3,200 Kapsul Rp 21,760,640.00 0 Kapsul Rp - Rp 21,760,640.00 Rp -
Rp - 700 Pcs Rp 1,435,000.00 0 Pcs Rp - Rp 1,435,000.00 Rp -
Rp - 4,500 Vial Rp 9,450,000.00 0 Vial Rp - Rp 9,450,000.00 Rp -
Rp 8,964,000.00 14,000 Tablet Rp 3,486,000.00 0 Tablet Rp - Rp 3,237,000.00 Rp 249,000.00
Rp - 165,000 Tablet Rp 165,000.00 0 Tablet Rp - Rp 165,000.00 Rp -
Rp 500.00 4,500 Tablet Rp 4,500.00 0 Tablet Rp - Rp 5,000.00 -Rp 500.00
Rp - 300 Tablet Rp 23,400.00 0 Tablet Rp - Rp 23,400.00 Rp -
Rp - 11,800 Test Rp 207,253,312.00 0 Test Rp - Rp 207,253,312.00 Rp -
Rp - 270 Vial Rp 139,625,640.00 0 Vial Rp - Rp 139,625,640.00 Rp -
Rp - 415 ampul Rp 57,653,667.50 0 ampul Rp - Rp 57,653,667.50 Rp -
Rp 102,333.36 18 Botol Rp 307,000.08 0 Botol Rp -
0
Rp 1,029,188,514.54 Rp 3,565,361,246.58 Rp 42,910,754.00
Rp 3,565,361,246.58
835770 -835770 #VALUE! Pengembalian RSU Cepu
Puluh
Satu
Dese
mber
Tahun
Dua BERITA ACARA MUTASI OBAT DAN PERBEKK
Ribu 1 Januari 2022 s/d 31 Maret 2022
Dua UPTD PUSKESMAS TUNJUNGAN
Puluh
No./
telah Tgl.
dilaks Sura
anaka t
Das Jumlah Barang yang
n Tan ar Barang-barang bulan diterima/dikeluarkan
No
pelapo ggal Pen Uraian (Nama Barang) Harga Satuan
lalu ( 1 Januari 2020) ( 1 Januari s/d 31
ran erim Saldo Desember
Penambahan 2020)
aan/
mutasi Pen
Jumlah Nilai Harga Jumlah Nilai
obat1 2 gelu
3 4 5 6 7 8 9 10
UPTD1 aran
Antasida DOEN 3,154 Tablet Rp 182,932.00 Rp 58.00 0 Tablet
Gudan
2 Akita Tablet 1,750 Tablet Rp 560,175.00 Rp 320.10 0 Tablet
g
Farma3
Alat Suntik 1 ml 50 Pcs Rp 47,850.00 Rp 957.00 0 Pcs
si 4 Alat Suntik 10 ml 40 Pcs Rp 46,680.00 Rp 1,167.00 0 Pcs
denga5 Alat Suntik 3 ml 260 Pcs Rp 180,180.00 Rp 693.00 0 Pcs
n hasil6 Alat Suntik 5 ml 100 Pcs Rp 75,900.00 Rp 759.00 0 Pcs
sebag
7 ALLOPURINOL TAB 100 MG 1,000 Tablet Rp 99,000.00 Rp 99.00 0 Tablet
ai
berikut8
Alopurinol 100 mg 60 Tablet Rp 6,300.00 Rp 105.00 0 Tablet
: 9 Ambroxol 30 mg tab 1,000 Tablet Rp 115,500.00 Rp 115.50 0 Tablet
10 Ambroxol 30 mg tab 1,000 Tablet Rp 115,500.00 Rp 115.50 0 Tablet
11 Ambroxol 30mg tab 162 Tablet
Rp 48,114.00 Rp 297.00 0 Tablet
12 Aminofilin inj 24 mg/ml 26 Ampul Rp 77,376.00 Rp 2,976.00 0 Ampul
13 Aminofilin tab 200 mg 200 Tablet Rp 19,000.00 Rp 95.00 0 Tablet
14 Amlodipin 10 mg 5 Tablet Rp 350.00 Rp 70.00 0 Tablet
15 Amlodipin 5 mg 18 Tablet Rp 8,100.00 Rp 450.00 0 Tablet
16 Amoksisilin F sirup kering 255 Botol Rp 925,140.00 Rp 3,628.00 0 Botol
17 Amoksisilin kapl 500 mg 1,528 Tablet Rp 307,128.00 Rp 201.00 0 Tablet
18 Antasida DOEN susp 119 Botol Rp 237,405.00 Rp 1,995.00 0 Botol
19 Antifungi salep komb 48 Pot Rp 215,808.00 Rp 4,496.00 0 Pot
20 Antihemoroid DOEN SuppositoriaRp
36 117,000.00 Rp 3,250.00 0uppositoria
S
21 Antimigrain ( Ergotamin ) 100 Tablet Rp 17,300.00 Rp 173.00 0 Tablet
22 Aqua PI 36 ampul Rp 102,960.00 Rp 2,860.00 0 ampul
23 Asam Askorbat (Vit. C) 50 mg 2,395 Tablet Rp 251,475.00 Rp 105.00 0 Tablet
24 Asam Folat 1 mg 270 Tablet Rp 20,250.00 Rp 75.00 0 Tablet
25 Asam Mefenamat 500 mg 1,746 Tablet Rp 193,806.00 Rp 111.00 0 Tablet
26 Asam Traneksamat 500 mg 50 Tablet Rp 79,200.00 Rp 1,584.00 0 Tablet
27 Aseptic gel / Hand Sanitizer 5 Botol Rp 110,000.00 Rp 22,000.00 0 Botol
28 Asering 72 Softbag Rp 694,512.00 Rp 9,646.00 0 Softbag
29 Asetosal 80 mg (Miniaspi tab) 200 Tablet Rp 21,000.00 Rp 105.00 0 Tablet
30 Asiklovir 400 mg tab 800 Tablet Rp 324,000.00 Rp 405.00 0 Tablet
31 Asiklovir Krim 50 Tube Rp 163,570.00 Rp 3,271.40 0 Tube
32 Asiklovir Krim 14 tube Rp 77,000.00 Rp 5,500.00 0 tube
33 Atropin Sulfat Inj 0,25 mg/ml 10 ampul Rp 16,390.00 Rp 1,639.00 0 ampul
34 Autoclick Lancing Device Onemed 1 Pcs Rp 17,416.00 Rp 17,416.00 0 Pcs
35 Betahistin Mesilat 6 mg Tab 294 Tablet Rp 132,594.00 Rp 451.00 0 Tablet
36 Bio ATP 465 Tablet Rp 1,162,500.00 Rp 2,500.00 0 Tablet
37 Borax Gliserin 35 botol Rp 154,000.00 Rp 4,400.00 0 botol
38 Canule O2 Anak 10 pcs Rp 51,997.00 Rp 5,199.70 0 pcs
39 Canule O2 dewasa 46 Buah Rp 234,600.00 Rp 5,100.00 0 Buah
40 Daryantulle kasa 20 pcs Rp 110,400.00 Rp 5,520.00 0 pcs
41 Deksametason 0,5 mg tab 1,094 Tablet Rp 35,008.00 Rp 32.00 0 Tablet
42 Diazepam 5 mg 124 Tab Rp 13,516.00 Rp 109.00 0 Tab
43 Diazepam inj 5 mg/ml 18 Ampul Rp 31,230.00 Rp 1,735.00 0 Ampul
44 Diazepam rektal 10 mg/2,5 mL 10 Tube Rp 182,790.00 Rp 18,279.00 0 Tube
45 Diazepam rektal 5 mg/2,5 ml 5 Tube Rp 62,865.00 Rp 12,573.00 0 Tube
46 Difenhidramin HCL inj 10 mg/ml 27 Ampul Rp 29,564.73 Rp 1,094.99 0 Ampul
47 Digoksin tablet 0,25 mg 237 Tablet Rp 27,112.80 Rp 114.40 0 Tablet
48 Dimenhidrinat tab 50 mg 252 Tablet Rp 27,216.00 Rp 108.00 0 Tablet
49 Domperidon suspensi 5 mg/5 ml 38 Botol Rp 179,740.00 Rp 4,730.00 0 Botol
50 Domperidon tablet 10 mg 829 Tablet Rp 173,261.00 Rp 209.00 0 Tablet
51 Etaflusin 898 Tablet Rp 315,997.22 Rp 351.89 0 Tablet
52 Etakridin lart 0,1% (Rivanol) 24 Botol Rp 36,600.00 Rp 1,525.00 0 Botol
53 Etanol 70 % 100 ml 21 Botol Rp 58,590.00 Rp 2,790.00 0 Botol
54 Etanol 70 % 1000 ml 1 botol Rp 28,000.00 Rp 28,000.00 0 botol
55 Etil Klorida 3 Can Rp 627,000.00 Rp 209,000.00 0 Can
56 FDC kat 1 16 Paket Rp 5,759,760.00 Rp 359,985.00 0 Paket
57 Fenobarbital Tab 30 mg 1,000 Tablet Rp 170,990.00 Rp 170.99 0 Tablet
58 Fenol gliserol TT 10% 38 Botol Rp 125,400.00 Rp 3,300.00 0 Botol
59 Fitomenadion 10 mg 280 Tablet Rp 198,800.00 Rp 710.00 0 Tablet
60 Fitomenadion inj 2 mg/ml 60 Ampul Rp 83,160.00 Rp 1,386.00 0 Ampul
61 Folley Catheter 16 40 Rol Rp 413,600.00 Rp 10,340.00 0 Rol
62 Folley Catheter 16 7 pcs Rp 72,380.00 Rp 10,340.00 0 pcs
63 Furosemid 40 mg 139 Tablet Rp 10,703.00 Rp 77.00 0 Tablet
64 Garam oralit 700 Sachet Rp 179,900.00 Rp 257.00 0 Sachet
65 Gemfibrozil 300 mg 830 Kapsul Rp 307,930.00 Rp 371.00 0 Kapsul
66 gent oint / Gentamisin salep mata 50 Tube Rp 133,750.00 Rp 2,675.00 0 Tube
67 Gentian violet 17 Botol Rp 65,450.00 Rp 3,850.00 0 Botol
68 Glibenklamid 5 mg 40 Tablet Rp 4,760.00 Rp 119.00 0 Tablet
69 Gliseril Guaikiolat ( GG ) 1,800 Tablet Rp 237,600.00 Rp 132.00 0 Tablet
70 Glukosa infus 5% 13 Botol Rp 86,151.00 Rp 6,627.00 0 Botol
71 Griseofulvin 125 mg tab 1,550 Tablet Rp 347,200.00 Rp 224.00 0 Tablet
72 Haloperidol 1,5 mg 90 Tablet Rp 5,310.00 Rp 59.00 0 Tablet
73 Haloperidol tablet 5 mg 10 Tablet Rp 690.00 Rp 69.00 0 Tablet
74 Handscoon Non Steril M 200 pasang Rp 561,440.00 Rp 2,807.20 0 pasang
75 Hidrokortison krim 2,5% 104 Tube Rp 257,400.00 Rp 2,475.00 0 Tube
76 Hypafix 4 pcs Rp 360,000.00 Rp 90,000.00 0 pcs
77 Hysin Inj 10 Ampul Rp 51,618.18 Rp 5,161.82 0 Ampul
78 Ibuprofen 400 mg 833 Tablet Rp 137,445.00 Rp 165.00 0 Tablet
79 Ibuprofen 400 mg 500 Tablet Rp 188,000.00 Rp 376.00 0 Tablet
80 Ibuprofen susp 100 mg/5ml 15 Botol Rp 40,815.00 Rp 2,721.00 0 Botol
81 Ichtyol/Ichtamolum 2 Pot Rp 12,100.00 Rp 6,050.00 0 Pot
82 Infuset dewasa Axeell 11 Pcs Rp 75,548.00 Rp 6,868.00 0 Pcs
83 Infusion Set Anak 6 pcs Rp 21,582.00 Rp 3,597.00 0 pcs
84 Isosorbid Dinitrat 5 mg 295 Tablet Rp 26,284.50 Rp 89.10 0 Tablet
85 IV Catheter 22G MF Cath Pro 34 pcs Rp 261,800.00 Rp 7,700.00 0 pcs
86 IV Catheter 24G MF Cath Pro 63 Pcs Rp 484,722.00 Rp 7,694.00 0 Pcs
87 Kalsium Glukonat Inj 10% 10 Ampul Rp 103,510.00 Rp 10,351.00 0 Ampul
88 Kalsium Laktat 500 mg 2,165 Tablet Rp 136,395.00 Rp 63.00 0 Tablet
89 Kapas Pembalut 250g 4 pcs Rp 82,400.00 Rp 20,600.00 0 pcs
90 Kaptopril 12,5 mg 804 Tablet Rp 49,848.00 Rp 62.00 0 Tablet
91 Kaptopril 25 mg 750 Tablet Rp 75,075.00 Rp 100.10 0 Tablet
92 Karbamazepin 200 mg 100 Tab Rp 23,000.00 Rp 230.00 0 Tab
93 Kasa hydrophyl 16x16 64 pcs Rp 32,000.00 Rp 500.00 0 pcs
95 Kassa 2 x 80 50 Rol Rp 396,550.00 Rp 7,931.00 0 Rol
96 Kassa 4 x 15 80 pcs Rp 168,000.00 Rp 2,100.00 0 pcs
97 Kassa 4 x 3 60 Rol Rp 35,640.00 Rp 594.00 0 Rol
99 Kassa 40 x 40 100 Pcs Rp 160,000.00 Rp 1,600.00 0 Pcs
100 Ketokonazol 2% krim 23 Tube Rp 152,950.00 Rp 6,650.00 0 Tube
101 Ketokonazol 200 mg tab 500 Tablet Rp 197,000.00 Rp 394.00 0 Tablet
103 Ketoprofen sup 100 mg 19 Supp Rp 45,220.00 Rp 2,380.00 0 Supp
104 Klem umbilical 100 Rol Rp 180,000.00 Rp 1,800.00 0 Rol
105 Kloramfenikol 500 mg 70 kapsul Rp 81,410.00 Rp 1,163.00 0 kapsul
106 Kloramfenikol salep mata 1% 21 Tube Rp 39,501.00 Rp 1,881.00 0 Tube
107 Kloramfenikol tetes mata 1% 32 Botol Rp 315,216.00 Rp 9,850.50 0 Botol
108 Kloramfenikol TT 3% 41 Botol Rp 315,700.00 Rp 7,700.00 0 Botol
109 Klorfeniramin (CTM) 4 mg 1,206 Tablet Rp 27,738.00 Rp 23.00 0 Tablet
110 Klorpromazin 100 mg 244 Tab Rp 35,868.00 Rp 147.00 0 Tab

111 Klorpromazin 100 mg 100 Tablet Rp 24,750.00 Rp 247.50 0 Tablet
112 Kodein 10 mg 100 Tablet Rp 57,100.00 Rp 571.00 0 Tablet
113 Kotrimoksasol 480 mg 1,421 Tablet Rp 188,993.00 Rp 133.00 0 Tablet

114 Kotrimoksasol suspensi 240mg 18 botol Rp 39,420.00 Rp 2,190.00 0 botol
115 Lancet 400 Buah Rp 58,264.00 Rp 145.66 0 Buah
116 Lanzoprazol 30 mg 1,000 Kapsul Rp 278,000.00 Rp 278.00 0 Kapsul
117 Lidocain injeksi 120 Ampul Rp 147,480.00 Rp 1,229.00 0 Ampul
118 Magnesium Sulfat 40% 18 ampul Rp 68,328.00 Rp 3,796.00 0 ampul
119 Masker 200 pcs Rp 110,000.00 Rp 550.00 0 pcs
120 Metampiron 500 mg 1,286 Tablet Rp 353,650.00 Rp 275.00 0 Tablet
121 Metformin HCl tablet 500 mg 1,400 Tablet Rp 490,000.00 Rp 350.00 0 Tablet
122 Metilergometrin inj 30 Ampul Rp 324,000.00 Rp 10,800.00 0 Ampul
123 METILERGOMETRIN INJ 20 ampul Rp 59,180.00 Rp 2,959.00 0 ampul
124 Metilergometrin Inj 0,2 mg/ml 250 Ampul Rp 739,750.00 Rp 2,959.00 0 Ampul
125 Metilprednisolon 4 mg tablet 500 Tablet Rp 127,600.00 Rp 255.20 0 Tablet
126 Metoklopramid 10 mg 580 Tablet Rp 46,400.00 Rp 80.00 0 Tablet
127 Metoklopramid drop 2 mg/ml 6 botol Rp 23,400.00 Rp 3,900.00 0 botol
128 Metoklopramid sirup (Tivomit s 7 Botol Rp 17,710.00 Rp 2,530.00 0 Botol
129 Metronidazol 250 mg 231 Tablet Rp 121,275.00 Rp 525.00 0 Tablet
130 Mikonazol krim 2% 59 Tube Rp 201,426.00 Rp 3,414.00 0 Tube
131 Natrium diklofenak 50 mg 1,550 Tablet Rp 178,250.00 Rp 115.00 0 Tablet
132 Natrium Klorida infus 0.9% 85 Botol Rp 578,000.00 Rp 6,800.00 0 Botol
133 Neo Kaominal syrup 99 Botol Rp 631,491.30 Rp 6,378.70 0 Botol
134 Neocenta / Bioplacenton krim 30 Tube Rp 509,610.00 Rp 16,987.00 0 Tube
135 Neocenta krim 13 tube Rp 286,000.00 Rp 22,000.00 0 tube
136 Neurotropik Kaplet 200 Kaplet Rp 259,600.00 Rp 1,298.00 0 Kaplet
137 Neurotropik Kaplet 200 Tablet Rp 264,000.00 Rp 1,320.00 0 Tablet
138 Neurotropik tablet 500 Tablet Rp 335,000.00 Rp 670.00 0 Tablet
139 Nifedipin 10 mg 75 Tablet Rp 8,400.00 Rp 112.00 0 Tablet
140 Nistatin 100000 IU / ml Drop 6 Botol Rp 69,000.00 Rp 11,500.00 0 Botol
141 Nistatin Vagtab 100.000 IU 108 Tablet Rp 60,480.00 Rp 560.00 0 Tablet
143 OB Herbal Sirup 40 Botol Rp 308,000.00 Rp 7,700.00 0 Botol
144 OBH sirup molex 60 ml 110 Botol Rp 690,184.00 Rp 6,274.40 0 Botol
145 Oksitetrasiklin (Sancortmycin) Salep kulit 6 Tube Rp 102,630.00 Rp 17,105.00 0 Tube
146 Oksitetrasiklin 1% Salep Mata 48 Tube Rp 120,000.00 Rp 2,500.00 0 Tube
147 Ostela Forte tab 274 Tablet Rp 2,192,000.00 Rp 8,000.00 0 Tablet
148 Parasetamol 500 mg 1,853 Tablet Rp 183,447.00 Rp 99.00 0 Tablet
149 Parasetamol drops 100 mg/ml 7 botol Rp 46,543.00 Rp 6,649.00 0 botol
150 Parasetamol sirup 120 mg/5 ml 67 botol Rp 79,127.00 Rp 1,181.00 0 botol
151 Pehacain Inj 100 Amp Rp 418,000.00 Rp 4,180.00 0 Amp
152 Piridoksin (Vit B6) 10 mg 865 Tablet Rp 106,395.00 Rp 123.00 0 Tablet
153 Piroksikam (lexicam) tablet 20 mg 860 Tablet Rp 113,520.00 Rp 132.00 0 Tablet
154 plester rol kain 7,5cm x 4,5m (Leukoplast) 11 roll Rp 654,500.00 Rp 59,500.00 0 roll
pcs pcs
155 Plesterin bulat 200 Rp 35,000.00 Rp 175.00 0
Povidon Iodida 10 % 30 ml botol botol
156 32 Rp 89,600.00 Rp 2,800.00 0
157 Povidon Iodida 10 % 300 ml 2 botol Rp 34,111.11 Rp 17,055.56 0 botol
158 Prednison 5 mg 298 Tablet Rp 21,754.00 Rp 73.00 0 Tablet
159 Propillitiourasil tablet 100 m 85 Tablet Rp 34,855.10 Rp 410.06 0 Tablet
160 Ranitidin 150 mg 114 Tablet Rp 19,474.62 Rp 170.83 0 Tablet
ampul ampul
161 Ranitidin Inj 25 mg/ml 9 Rp 10,692.00 Rp 1,188.00 0
162 Rapid Test HIV Ke - 1 ( SD ) 100 Tes Rp 1,434,000.00 Rp 14,340.00 0 Tes
163 Ringer Laktat larutan infus 13 Botol Rp 92,950.00 Rp 7,150.00 0 Botol
164 Risperidon 2 mg 120 Tablet Rp 32,760.00 Rp 273.00 0 Tablet
165 Salbutamol 2 mg 900 Tablet Rp 63,000.00 Rp 70.00 0 Tablet
167 Salep 2-4 Kombinasi 33 Pot Rp 86,460.00 Rp 2,620.00 0 Pot
168 Salisil bedak 2 % 70 Kotak 50 gr Rp 169,400.00 Rp 2,420.00 0Kotak 50 gr
169 Scabicide/Scabimit/Permetrin 5% krim 10 Tube Rp 114,660.00 Rp 11,466.00 0 Tube
170 Scopma / Spashi Tab 100 Tablet Rp 220,000.00 Rp 2,200.00 0 Tablet
173 Sefadroksil 500 mg 374 Tablet Rp 145,112.00 Rp 388.00 0 Tablet
174 Sefadroksil sirup 59 botol Rp 246,915.00 Rp 4,185.00 0 botol
175 Serum ABU 1 Vial Rp 517,132.00 Rp 517,132.00 0 Vial
176 Serum ATS 1500 IU 2 Ampul Rp 261,998.00 Rp 130,999.00 0 Ampul
177 Sianokobalamin (vit B12) table 68 Tablet Rp 3,332.00 Rp 49.00 0 Tablet
178 silk no 3/0 dgn jarum 36 Pcs Rp 709,200.00 Rp 19,700.00 0 Pcs
179 Simvastatin 10 mg 1,240 Tablet Rp 136,400.00 Rp 110.00 0 Tablet
180 Simvastatin tablet 10 mg 500 Tablet Rp 64,350.00 Rp 128.70 0 Tablet
181 Siprofloksasin 500 mg 780 Tablet Rp 398,970.00 Rp 511.50 0 Tablet
182 Stimuno F 110 Kapsul Rp 193,930.00 Rp 1,763.00 0 Kapsul
183 Strip Glukosa EASY TOUCH 100 pcs Rp 550,000.00 Rp 5,500.00 0 pcs
184 Teofilin 150mg 100 Tablet Rp 27,000.00 Rp 270.00 0 Tablet
185 Tetrasiklin 500 mg 500 Kapsul Rp 161,500.00 Rp 323.00 0 Kapsul
187 Tiamin (Vit B1) 50 mg 2,595 Tablet Rp 236,145.00 Rp 91.00 0 Tablet
188 Tranfusi set 20 Botol Rp 170,000.00 Rp 8,500.00 0 Botol

189 transfusion set 20 pcs Rp 199,985.81 Rp 9,999.29 0 pcs
190 Triheksipenidil 2 mg 199 Tablet Rp 16,915.00 Rp 85.00 0 Tablet
191 UnderPad 90 Botol Rp 430,650.00 Rp 4,785.00 0 Botol
192 Urine bag(KMP/SCP) 30 Pcs Rp 171,000.00 Rp 5,700.00 0 Pcs
193 Valved sirup 23 Tablet Rp 524,418.40 Rp 22,800.80 0 Tablet
194 Valved tablet 89 Tablet Rp 96,725.20 Rp 1,086.80 0 Tablet
195 Vitamin B-Compleks(DEF) 1,586 Tablet Rp 69,784.00 Rp 44.00 0 Tablet
196 Zink Tablet 200 Tablet Rp 104,800.00 Rp 524.00 0 Tablet
1 Akita Tablet 0 Tablet Rp - Rp 320.10 500 Tablet
2 Alat Suntik 1 ml 0 Pcs Rp - Rp 957.00 300 Pcs
3 Alat Suntik 10 ml 0 Pcs Rp - Rp 1,287.00 200 Pcs
9 Albendazol 400mg tab 0 Tablet Rp - Rp 288.00 6,000 Tablet
10 Alkohol Swab 0 Set Rp - Rp 120.00 0 Set
11 Alopurinol 100 mg 0 Tablet Rp - Rp 105.00 700 Tablet
13 Alprazolam 0,5 mg 0 Tablet Rp - Rp 78.00 0 Tablet
14 Ambroxol 30 mg tab 0 Tablet Rp - Rp 115.50 0 Tablet
15 Amlodipin 10 mg 0 Tablet Rp - Rp 70.00 1,000 Tablet
17 Amoksisilin 125 mg/5 ml sirup kering 0 Botol Rp - Rp 2,050.40 0 Botol
18 Amoksisilin kapl 500 mg 0 Tablet Rp - Rp 201.00 2,000 Tablet
19 Amoksisilin sirup kering 0 botol Rp - Rp 3,850.00 0 botol
20 Ampisilin serbuk 1000mg/ml 0 Vial Rp - Rp 8,237.00 0 Vial
21 Antasida DOEN susp 0 Botol Rp - Rp 1,679.00 0 Botol
22 Antasida DOEN tab 0 Tablet Rp - Rp 58.00 3,000 Tablet
23 Antasida DOEN tab 0 Tablet Rp - Rp 54.00 0 Tablet
25 Antifungi salep komb 0 Pot Rp - Rp 4,496.00 0 Pot
27 Antihemoroid DOEN Suppositoria
0 Rp - Rp 3,250.00 Suppositoria
20
28 Antimigrain ( Ergotamin ) 0 Tablet Rp - Rp 185.00 0 Tablet
30 antiza 0 Tablet Rp - Rp 1,100.00 0 Tablet
31 Asam Askorbat ( Vit.C ) 50 mg 0 Tablet Rp - Rp 42.00 0 Tablet
32 Asam Folat 0,4 mg 0 Tablet Rp - Rp 220.00 500 Tablet
33 Asam Mefenamat 500 mg 0 Tablet Rp - Rp 111.00 4,000 Tablet
34 Asam Mefenamat 500 mg 0 Tablet Rp - Rp 111.00 0 Tablet
35 Aseptic Gel/Sabun cuci tangan 0 botol Rp - Rp 26,500.00 0 botol
36 Asering 0 Softbag Rp - Rp 9,646.00 0 Softbag
37 Asetosal 80 mg (Miniaspi tab) 0 Tablet Rp - Rp 105.00 0 Tablet
38 Asiklovir 400 mg tab 0 Tablet Rp - Rp 405.00 0 Tablet
39 Asiklovir Krim 0 Tube Rp - Rp 3,271.40 0 Tube
40 Atropin Sulfat inj 0 Ampul Rp - Rp 1,718.00 0 Ampul
41 Autoclick Lancing Device Onemed 0 Pcs Rp - Rp 17,416.00 0 Pcs
42 Betahistin Mesilat 6 mg Tab 0 Tablet Rp - Rp 451.00 1,000 Tablet
43 Bio ATP 0 Tablet Rp - Rp 2,500.00 0 Tablet
44 Blue Tips 0 Buah Rp - Rp 76.50 0 Buah
45 Bracket 0 Pcs Rp - Rp 22,000.00 0 Pcs
46 Canule O2 Anak 0 Pcs Rp - Rp 5,100.00 60 Pcs
47 Canule O2 Bayi 0 Buah Rp - Rp 5,200.00 10 Buah
48 Canule O2 dewasa 0 Buah Rp - Rp 5,100.00 0 Buah
49 Daryantulle/Cuticell 10x10 0 Pcs Rp - Rp 5,520.00 20 Pcs
50 Deksametason 0,5 mg tab 0 Tablet Rp - Rp 32.00 2,000 Tablet
51 Deksametason 0,5 mg tab 0 Tablet Rp - Rp 32.00 0 Tablet
52 Deksametason Inj 5 mg/ml 0 Ampul Rp - Rp 924.00 0 Ampul
54 Diazepam 5 mg Tab 0 Tablet Rp - Rp 108.00 0 Tablet
55 DIAZEPAM INJ 0 ampul Rp - Rp 1,735.00 0 ampul
56 Diazepam rektal 5 mg/2,5 ml 0 Tube Rp - Rp 12,573.00 0 Tube
57 Difenhidramin HCL inj 10 mg/ml 0 Ampul Rp - Rp 1,095.00 0 Ampul
58 Difenhidramin inj 10 mg/ml 0 Ampul Rp - Rp 1,095.00 0 Ampul
59 Difenhidramin inj 10 mg/ml 0 ampul Rp - Rp 1,095.00 0 ampul
60 Digoksin tablet 0,25 mg 0 Tablet Rp - Rp 114.40 300 Tablet
61 Dimenhidrinat tab 50 mg 0 Tablet Rp - Rp 108.00 500 Tablet
62 Epinefrin Inj (Adrenalin)0,1% 0 ampul Rp - Rp 1,408.00 10 ampul
63 Etanol 70 % 100 ml 0 Botol Rp - Rp 2,790.00 24 Botol
64 Etil Klorida 0 botol Rp - Rp 126,500.00 0 botol
65 FDC Kategori 1 0 paket Rp - Rp 359,985.00 0 paket
66 FDC Kategori 1 harian 0 paket Rp - Rp 359,985.00 0 paket
67 FDC Kategori 1 Kombipak 0 Paket Rp - Rp 288,199.00 0 Paket
68 FDC Kategori 1 Kombipak 0 paket Rp - Rp 288,199.00 0 paket
69 FDC Kategori 2 0 paket Rp - Rp 1,199,985.00 0 paket
70 FDC Kategori Anak 0 paket Rp - Rp 214,985.00 2 paket
71 Fenibarbital Tab 30 mg 0 Tablet Rp - Rp 171.00 0 Tablet
72 Fenidryl Sirup 0 Botol Rp - Rp 5,553.90 0 Botol
73 Fenitoin inj 0 ampul Rp - Rp 1.00 0 ampul
74 Fenobarbital 30 mg 0 Tablet Rp - Rp 171.00 0 Tablet
76 Fenobarbital Tab 30 mg 0 Tablet Rp - Rp 170.99 0 Tablet
77 Fenol gliserol TT 10% 0 Botol Rp - Rp 3,300.00 0 Botol
78 Fitomenadion inj 2 mg/ml 0 Ampul Rp - Rp 1,386.00 30 Ampul
79 Fludane/molexflu/antiza tablet/flutamol 0 Tablet Rp - Rp 440.00 2,000 Tablet
80 Folley Catheter 16 0 Rol Rp - Rp 10,340.00 0 Rol
81 Garam oralit 0 Sachet Rp - Rp 257.00 500 Sachet
82 gent oint / Gentamisin salep mata 0 Tube Rp - Rp 2,675.00 0 Tube
83 Gent oint / Gentamisin salep mata 0 Pcs Rp - Rp 2,665.00 0 Pcs
84 GENTAMISIN KRIM salep kulit 0 Tube Rp - Rp 6,499.90 0 Tube
85 Gentamisin sulfat TM 0,3% 0 Botol Rp - Rp 4,520.00 0 Botol
86 Glibenklamid 5 mg 0 Tablet Rp - Rp 83.00 0 Tablet
87 Glimepiride 1 mg 0 Tablet Rp - Rp 371.80 1000 Tablet
89 Gliseril Guaikiolat ( GG ) 0 Tablet Rp - Rp 89.10 0 Tablet
90 Gliseril Guaikiolat ( GG )/Asetil Sistein 0 Tablet Rp - Rp 89.10 0 Tablet
91 Glukosa 40% 0 Botol Rp - Rp 7,000.00 0 Botol
92 Glukosa infus 10% 0 Botol Rp - Rp 7,200.00 0 Botol
94 Griseofulvin 125 mg tab 0 Tablet Rp - Rp 224.00 0 Tablet
95 Haloperidol 1,5 mg 0 Tablet Rp - Rp 59.00 0 Tablet
96 Haloperidol tablet 5 mg 0 Tablet Rp - Rp 54.00 0 Tablet
97 Hand Sanitizer (Aseptic gel) 0 Paket Rp - Rp 26,500.00 0 Paket
98 Handscoon non steril M 0 Pasang Rp - Rp 1,991.00 0 Pasang
100 Handscoon non steril S 0 Pasang Rp - Rp 1,991.00 50 Pasang
101 HCG tes Pro-D 0 test Rp - Rp 1,900.00 200 test
102 Herbakof 0 Botol Rp - Rp 14,273.00 0 Botol
103 Hidrokortison 2,5% krim 0 Tube Rp - Rp 2,475.00 0 Tube
104 Hysin Inj 0 Ampul Rp - Rp 5,161.82 0 Ampul
105 Ibuprofen 200 mg 0 Tablet Rp - Rp 212.00 1000 Tablet
107 Ibuprofen suspensi 200 mg/5 ml 0 Botol Rp - Rp 3,200.00 10 Botol
108 Infuset Anak 0 Pasang Rp - Rp 3,500.00 50 Pasang
109 Infuset dewasa (PKD 1) 0 pcs Rp - 5790 50 pcs
110 Infusion Set Anak 0 pcs Rp - Rp 3,597.00 0 pcs
111 ISONIAZID 100 MG TAB 0 Tablet Rp - Rp 96.91 0 Tablet
112 Isosorbid Dinitrat 5 mg 0 Tablet Rp - Rp 97.90 100 Tablet
113 IV Catheter 22G MF Cath Pro 0 pcs Rp - Rp 7,700.00 50 pcs
114 IV Catheter 24G MF Cath Pro 0 Pcs Rp - Rp 7,694.00 50 Pcs
116 IV Catheter No 18 0 Buah Rp - Rp 6,000.00 50 Buah
117 Jarum Jahit kulit berbagai ukuran 0 Sachet Rp - Rp 25,000.00 0 Sachet
118 Kalium Permanganat 0 botol Rp - Rp 5,500.00 0 botol
119 Kalsium Glukonat Inj 10% 0 Ampul Rp - Rp 10,351.00 0 Ampul
120 Kalsium Laktat 0 Tablet Rp - Rp 63.00 6000 Tablet
121 Kapas absorben 250 gr 0 Sachet Rp - Rp 12,500.00 5 Sachet
122 Kaptopril 12,5 mg tab 0 Tablet Rp - Rp 65.00 0 Tablet
124 Kaptopril 25 mg 0 Tablet Rp - Rp 75.00 3000 Tablet
125 Karbamazepin 200 mg 0 Tablet Rp - Rp 245.00 0 Tablet
126 Kartu Golongan Darah 0 Rol Rp - Rp 350.00 500 Rol
127 Kasa hydrophyl 16x16 0 pcs Rp - Rp 500.00 0 pcs
129 Kassa 2 x 80 0 Pcs Rp - Rp 9,740.00 50 Pcs
130 Kassa 4 x 15 0 Rol Rp - Rp 2,657.00 50 Rol
131 Kassa 4 x 3 0 Rol Rp - Rp 759.00 0 Rol
133 Ketokonazol 2% krim 0 Tube Rp - Rp 6,650.00 12 Tube
134 Ketokonazol 200 mg tab 0 Tablet Rp - Rp 394.00 0 Tablet
135 Ketoprofen 100 mg/sup 0 Supposit Rp - Rp 1,998.00 0 Supposi
136 Klem umbilical 0 Rol Rp - Rp 1,800.00 100 Rol
137 Kloramfenikol salep mata 1% 0 tube Rp - Rp 2,007.00 0 tube
138 Kloramfenikol TT 3% 0 Botol Rp - Rp 7,700.00 50 Botol
139 Klorfeniramin (CTM) 4 mg 0 Tablet Rp - Rp 23.00 1000 Tablet
140 Klorfeniramin 4 mg (Orphen Kaplet) 0 Tablet Rp - Rp 92.40 0 Tablet
141 Klorpromazin 100 mg 0 Tablet Rp - Rp 247.50 0 Tablet
143 Klorpromazin Inj 25 mg/ml 0 Ampul Rp - Rp 1,243.00 0 Ampul
144 Kotrimoksasol 480 mg 0 Tablet Rp - Rp 133.00 0 Tablet
145 Kotrimoksasol suspensi 0 Botol Rp - Rp 2,190.00 0 Botol
147 Kotrimoksasol suspensi 240mg 0 botol Rp - Rp 2,190.00 0 botol
148 KOTRIMOKSAZOL 480 MG TAB 0 Tablet Rp - Rp 125.00 0 Tablet
149 Lancet 0 Buah Rp - Rp 145.66 0 Buah
150 Lancet 0 Pcs Rp - Rp 150.00 0 Pcs
151 Lanzoprazol 30 mg 0 Kapsul Rp - Rp 278.00 0 Kapsul
152 Larutan Ziehl Nielsen 0 Paket Rp - Rp 276,500.00 0 Paket
153 Levofloksasin 0 Kapsul Rp - Rp 494.00 0 Kapsul
154 Levoftirosin 100 mcg 0 Tablet Rp - Rp 890.00 0 Tablet
155 Lidocain injeksi 0 Ampul Rp - Rp 1,229.00 0 Ampul
156 Lidocain komp injeksi 0 Ampul Rp - Rp 803.00 0 Ampul
157 Magnesium Sulfat 40% 0 Vial Rp - Rp 4,090.00 0 Vial
158 Masker 0 pcs Rp - Rp 550.00 400 pcs
159 Masker 0 pcs Rp - Rp 4,800.00 0 pcs
161 Masker Altamed 0 Buah Rp - Rp 1,650.00 0 Buah
162 Masker Bedah Hijab 0 Pcs Rp - Rp 1,050.00 0 Pcs
163 Masterzym 0 botol Rp - Rp 1.00 0 botol
164 MDT Kusta PB Dewasa 0 Paket Rp - Rp 9,770.00 0 Paket
165 Metampiron 500 mg (Lexagin) 0 Tablet Rp - Rp 253.00 500 Tablet
166 Metformin HCl tablet 500 mg 0 Tablet Rp - Rp 207.90 0 Tablet
167 Metilergometrin inj 0 Ampul Rp - Rp 10,800.00 70 Ampul
168 Metronidazol 125 mg/5ml susp 0 Botol Rp - Rp 3,765.00 0 Botol
169 Metronidazol 125mg/5ml susp 0 botol Rp - Rp 3,950.00 0 botol
170 Metronidazol 500 mg 0 Botol Rp - Rp 124.00 0 Botol
171 Mikonazol 2% krim 0 Tube Rp - Rp 3,414.00 0 Tube
172 Mikropipet tips 0 Paket Rp - Rp 87,800.00 0 Paket
173 Molexflu syrup 0 Botol Rp - Rp 6,274.00 0 Botol
174 Natrium Diklofenak 50 mg 0 Tablet Rp - Rp 123.00 0 Tablet
176 Neo kaominal 0 Botol Rp - Rp 7,405.00 0 Botol
177 Neocenta / Bioplacenton krim 0 Tube Rp - Rp 16,987.00 0 Tube
178 Nistatin 100000 IU / ml Drop 0 Botol Rp - Rp 11,500.00 0 Botol
179 Nistatin Vagtab 100.000 IU 0 Tablet Rp - Rp 560.00 0 Tablet
180 OB Herbal Sirup 0 Botol Rp - Rp 7,700.00 0 Botol
181 OB Herbal Sirup(OBASA) 0 Botol Rp - Rp 7,700.00 96 Botol
182 OBH sirup molex 60 ml 0 Botol Rp - Rp 6,274.40 0 Botol
183 Object Glass 0 Buah Rp - Rp 77,690.00 0 Buah
184 Oksitosin Inj 0 Ampul Rp - Rp 1,126.00 200 Ampul
185 Ostela Forte tab 0 Tablet Rp - Rp 8,000.00 0 Tablet
186 Parasetamol 500 mg 0 Tablet Rp - Rp 99.00 3000 Tablet
187 Parasetamol drop 0 Botol Rp - Rp 6,649.00 0 Botol
188 Parasetamol infus 0 Botol Rp - Rp 11,265.00 0 Botol
189 PARASETAMOL SIRUP 120 MG / 5 M 0 botol Rp - Rp 1,107.00 100 botol
190 PARASETAMOL SIRUP 120 MG / 5 M 0 Tablet Rp - Rp 1,107.00 0 Tablet
191 Parasetamol sirup 120 mg/5ml 0 Botol Rp - Rp 1,181.00 0 Botol
192 Pehacain 0 Ampul Rp - Rp 4,200.00 0 Ampul
193 Piridoksin ( Vit B6 ) 10 mg tab 0 Tablet Rp - Rp 67.00 0 Tablet
194 Piridoksin (Vit B6) 10 mg 0 Tablet Rp - Rp 131.00 3000 Tablet
196 Piroksikam (lexicam) tablet 20 mg 0 Tablet Rp - Rp 132.00 0 Tablet
197 Plester (Leukoplast 7,5 cm x 4,5 cm) 0 Paket Rp - Rp 59,500.00 5 Paket
198 Plesterin bulat 0 Rol Rp - Rp 175.00 400 Rol
199 Pot Sputum 0 Pot Rp - Rp 5,890.00 200 Pot
200 Povidon Iodida 10 % 30 ml 0 Pcs Rp - Rp 2,800.00 50 Pcs
201 Prednison 5 mg 0 Tablet Rp - Rp 119.70 0 Tablet
203 Propiltiourasil tablet 100 m 0 Tablet Rp - Rp 410.00 0 Tablet
204 R.Hema OL 2100 Kertas print 0 Pcs Rp - Rp 40,000.00 0 Pcs
205 Ranitidin 150 mg 0 Tablet Rp - Rp 85.00 1000 Tablet
206 Ranitidin 50 mg/2 ml injeksi 0 Ampul Rp - Rp 1,960.20 30 Ampul
207 Ranitidin 50 mg/2 ml injeksi 0 Ampul Rp - Rp 814.00 0 Ampul
208 Rapid Test HIV Ke - 1 ( SD ) 0 Tes Rp - Rp 14,340.00 125 Tes
209 Reagen gol darah Pro-D anti A 0 Botol Rp - Rp 165,000.00 0 Botol
210 Reagen gol darah Pro-D anti B 0 Botol Rp - Rp 165,000.00 0 Botol
211 Reagen gol darah Pro-D anti D 0 Botol Rp - Rp 165,000.00 0 Botol
212 Reagent HbsAg tes 0 test Rp - Rp 9,850.00 125 test
213 Recovit sirup 0 Botol Rp - Rp 9,900.00 60 Botol
214 retinol (vit A ) 100000 IU 0 Kapsul Rp - Rp 287.00 300 Kapsul
217 Retinol 100.000 IU 0 Kapsul Rp - Rp 305.00 0 Kapsul
219 Ringer Laktat larutan infus 0 Botol Rp - Rp 7,630.00 60 Botol
221 Risperidon 2 mg 0 Tablet Rp - Rp 273.00 100 Tablet
222 Salbutamol 2 mg 0 Tablet Rp - Rp 70.00 0 Tablet
223 Salbutamol tablet 4 mg 0 Tablet Rp - Rp 70.00 0 Tablet
224 Salep 2-4 Kombinasi 0 pot Rp - Rp 2,796.00 0 pot
226 Salisil bedak 2 % 0 pcs Rp - Rp 2,200.00 0 pcs
227 Scabicide/Scabimit/Permetrin 5% krim 0 Tube Rp - Rp 11,466.00 0 Tube
228 Serum ABU 0 Vial Rp - Rp 517,132.00 1 Vial
229 Sianokobalamin (vit B12) tab 0 Tablet Rp - Rp 49.00 4000 Tablet
230 Simvastatin tablet 10 mg 0 Tablet Rp - Rp 128.70 600 Tablet
231 Solvitaz 0 Tablet Rp - Rp 1.00 300 Tablet
232 Spekulum dispo / Vagion M 0 Strip Rp - Rp 6,500.00 0 Strip
233 Stimuno F 0 Kapsul Rp - Rp 1,763.00 150 Kapsul
234 Strip Glukosa BENECHECK 0 Pcs Rp - Rp 160,000.00 0 Pcs
235 Strip Glukosa EASY TOUCH 0 pcs Rp - Rp 5,500.00 0 pcs
237 Strip Glukosa NESCO 0 Pcs Rp - Rp 5,500.00 200 Pcs
238 Strip Kolesterol EASY TOUCH 0 Pcs Rp - Rp 22,000.00 0 Pcs
239 Sukralfat / Ulsafate sirup 0 Botol Rp - Rp 4,989.00 10 Botol
240 Tablet Tambah Darah 0 Tablet Rp - Rp 226.00 10000 Tablet
241 Tablet Tambah darah 0 Tablet Rp - Rp 226.00 0 Tablet
242 Tetrasiklin 500 mg 0 Kapsul Rp - Rp 323.00 0 Kapsul
243 Thiamin (Vit B 1) tab 50 mg 0 Tablet Rp - Rp 156.20 1000 Tablet
244 THIAMIN (VIT B1) TAB 50 MG 0 Tablet Rp - Rp 85.00 0 Tablet
245 Tiamin (Vit B1) 50 mg 0 Tablet Rp - Rp 253.00 0 Tablet
246 Tranfusi set 0 Botol Rp - Rp 8,500.00 0 Botol
247 Trifluoperazine 5 mg 0 Tablet Rp - Rp 220.00 0 Tablet
248 Triheksipenidil 2 mg 0 Tablet Rp - Rp 63.00 0 Tablet
249 Ultrasonic gel 0 Pcs Rp - Rp 16,000.00 0 Pcs
250 UnderPad 0 Botol Rp - Rp 4,785.00 0 Botol
251 Urine bag(KMP/SCP) 0 Pcs Rp - Rp 5,700.00 0 Pcs
252 Vicalcin sirup 0 Botol Rp - Rp 7,024.60 0 Botol
253 Vitamin B Kompleks 0 Tablet Rp - Rp 89.00 0 Tablet
254 Vitamin B-Compleks(DEF) 0 Tablet Rp - Rp 44.00 5000 Tablet
256 Zinc sulfat 20 mg 0 Tablet Rp - Rp 524.00 0 Tablet
257 Zink sir 20 mg/5 ml 0 Botol Rp - Rp 2,489.00 0 Botol
258 Zink Tablet 0 Tablet Rp - Rp 524.00 0 Tablet
259 Clozapine 25mg 0 Tablet Rp - Rp 1,121.00 0 Tablet
264 Fluphenazine/Sikzonoate 25 inj 0 Ampul Rp - Rp 63,500.00 0 Ampul
265 Haldol Decanoas 50 mg inj 0 Ampul Rp - Rp 109,000.00 0 Ampul
266 Haloperidol 5 mg inj 0 Ampul Rp - Rp 1,190.00 0 Ampul
267 Haloperidol 5 mg tab 0 Tablet Rp - Rp 54.00 0 Tablet
269 MDT Kusta MB Dewasa 0 Paket Rp - Rp 40,128.00 12 Paket
271 Reagent HbsAg tes 0 test Rp - Rp 1.00 0 test
275 Reagent Syphillis 0 test Rp - Rp 20,400.00 125 test
276 Aqua PI 0 Botol Rp - Rp 2,860.00 0 Botol
279 Amoksisilin kapl 500 mg 0 Tablet Rp - Rp 249.00 0 Tablet
280 Glukosa infus 5% 0 botol Rp - Rp 6,627.50 0 botol
281 Natrium Chlorida infus 0,9% 0 botol Rp - Rp 6,800.20 0 botol
282 Ringer Laktat larutan infus 0 botol Rp - Rp 7,629.60 0 botol
289 IV Catheter No 18 NOUSHED 0 pcs Rp - Rp 5,995.00 0 pcs
290 IV Catheter No 20 NOUSHED 0 Pcs Rp - Rp 5,995.00 0 Pcs
292 Alopurinol 100mg 0 tablet Rp - Rp 105.00 0 tablet
293 Amoksisilin kapl 500 mg 0 tablet Rp - Rp 249.00 3000 tablet
295 Antasida DOEN tab 0 tablet Rp - Rp 58.00 0 tablet
296 Asam Askorbat ( Vit.C ) 50 mg 0 tablet Rp - Rp 105.00 0 tablet
297 Kotrimoksasol suspensi 0 botol Rp - Rp 2,190.00 0 botol
298 Lidocain injeksi 2% + Epineprin 1:80.000 0 ampul Rp - Rp 1,229.00 0 ampul
299 Natrium Klorida infus 0.9% 0 botol Rp - Rp 6,840.00 0 botol
300 Parasetamol sirup 120 mg/5ml 0 botol Rp - Rp 1,181.00 0 botol
302 Prednison 5 mg Tablet Rp - Rp 1.00 0 Tablet
303 Propanolol 10 mg tab Tablet Rp - Rp 1.00 0 Tablet
305 Zink 20 mg tab Tablet Rp - Rp 1.00 0 Tablet
306 Haloperidol 1.5mg tab Tablet Rp - Rp 1.00 0 Tablet
307 Alprazolam 0,5 mg Tablet Rp - Rp 78.00 0 Tablet
308 Diazepam 5 mg Tab Tablet Rp - Rp 108.00 0 Tablet
309 Parasetamol sirup 120 mg/5ml Botol Rp - Rp 1,161.00 0 Botol
310 Triheksipenidil 2 mg Tablet Rp - Rp 63.00 0 Tablet
311 Ketokonazol 200 mg tab Tablet Rp - Rp 252.00 0 Tablet
312 Asam Mefenamat 500 mg Tablet Rp - Rp 111.00 0 Tablet
313 Metilprednisolon 4 mg tab Tablet Rp - Rp 102.00 0 Tablet
314 Ranitidin 150 mg Tablet Rp - Rp 85.00 0 Tablet
315 Simvastatin tablet 10 mg Tablet Rp - Rp 68.00 0 Tablet
316 Allopurinol 100mg tab Tablet Rp - Rp 87.00 0 Tablet
317 Amoksisilin kapl 500 mg Tablet Rp - Rp 201.00 0 Tablet
318 Ciprofloxacin 500 mg Tablet Rp - Rp 248.00 0 Tablet
319 Glimepiride 2 mg tab Tablet Rp - Rp 123.00 0 Tablet
320 SD Bioline HIV/Syphillis Duo Test Rp - Rp 17,563.84 0 Test
321 Isosorbide Dinitrate tab Tablet Rp - Rp 86.00 0 Tablet
322 Serum ABU Vial Rp - Rp 517,132.00 0 Vial
323 Serum ATS 1500 IU ampul Rp - Rp 138,924.50 0 ampul
324 Povidon Iodida 10 % 300 ml Botol Rp - Rp 17,055.56 0 Botol
JUMLAH Rp 42,789,588.97
A ACARA MUTASI OBAT DAN PERBEKKES
UPTD PUSKESMAS TUNJUNGAN
Sisa (31
Desember
2019 )
Harga Jumlah Nilai Harga Jumlah Nilai Harga Jumlah Nilai Harga
11 13 14 15 16 17 18 19 20
Rp - 2,128 Tablet Rp 123,424.00 1,026 Tablet Rp 59,508.00 0 Tablet Rp -
Rp - 690 Tablet Rp 220,869.00 1,060 Tablet Rp 339,306.00 0 Tablet Rp -
Rp - 40 Pcs Rp 38,280.00 10 Pcs Rp 9,570.00 0 Pcs Rp -
Rp - 410 Tablet Rp 40,590.00 590 Tablet Rp 58,410.00 0 Tablet Rp -
Rp - 60 Tablet Rp 6,300.00 0 Tablet Rp - 0 Tablet Rp -
Rp - 0 Tablet Rp - 1,000 Tablet Rp 115,500.00 0 Tablet Rp -
Rp - 26 Ampul Rp 77,376.00 0 Ampul Rp - 0 Ampul Rp -
Rp - 5 Tablet Rp 350.00 0 Tablet Rp - 0 Tablet Rp -
Rp - 255 Botol Rp 925,140.00 0 Botol Rp - 0 Botol Rp -
Rp - 1,528 Tablet Rp 307,128.00 0 Tablet Rp - 0 Tablet Rp -
Rp - 0 Botol Rp - 119 Botol Rp 237,405.00 0 Botol Rp -
Rp - 23 Pot Rp 103,408.00 25 Pot Rp 112,400.00 0 Pot Rp -
Rp - 30Suppositoria Rp 97,500.00 6SuppositoriaRp 19,500.00 0SuppositoriaRp -
Rp - 0 Tablet Rp - 100 Tablet Rp 17,300.00 0 Tablet Rp -
Rp - 24 ampul Rp 68,640.00 12 ampul Rp 34,320.00 0 ampul Rp -
Rp - 1,838 Tablet Rp 192,990.00 557 Tablet Rp 58,485.00 0 Tablet Rp -
Rp - 0 Softbag Rp - 72 Softbag Rp 694,512.00 0 Softbag Rp -
Rp - 22 Tube Rp 71,970.80 28 Tube Rp 91,599.20 0 Tube Rp -
Rp - 14 tube Rp 77,000.00 0 tube Rp - 0 tube Rp -
Rp - 0 ampul Rp - 10 ampul Rp 16,390.00 0 ampul Rp -
Rp - 0 Pcs Rp - 1 Pcs Rp 17,416.00 0 Pcs Rp -
Rp - 0 Tablet Rp - 465 Tablet Rp 1,162,500.00 0 Tablet Rp -
Rp - 1 botol Rp 4,400.00 34 botol Rp 149,600.00 0 botol Rp -
Rp - 6 pcs Rp 31,198.20 4 pcs Rp 20,798.80 0 pcs Rp -
Rp - 16 Buah Rp 81,600.00 30 Buah Rp 153,000.00 0 Buah Rp -
Rp - 5 Tab Rp 545.00 119 Tab Rp 12,971.00 0 Tab Rp -
Rp - 0 Ampul Rp - 18 Ampul Rp 31,230.00 0 Ampul Rp -
Rp - 0 Tube Rp - 10 Tube Rp 182,790.00 0 Tube Rp -
Rp - 7 Botol Rp 19,530.00 14 Botol Rp 39,060.00 0 Botol Rp -
Rp - 1 botol Rp 28,000.00 0 botol Rp - 0 botol Rp -
Rp - 3 Can Rp 627,000.00 0 Can Rp - 0 Can Rp -
Rp - 0 Paket Rp - 16 Paket Rp 5,759,760.00 0 Paket Rp -
Rp - 30 Ampul Rp 41,580.00 30 Ampul Rp 41,580.00 0 Ampul Rp -
Rp - 0 Rol Rp - 40 Rol Rp 413,600.00 0 Rol Rp -
Rp - 700 Sachet Rp 179,900.00 0 Sachet Rp - 0 Sachet Rp -
Rp - 0 Kapsul Rp - 830 Kapsul Rp 307,930.00 0 Kapsul Rp -
Rp - 0 Tablet Rp - 10 Tablet Rp 690.00 0 Tablet Rp -
Rp - 100 pasang Rp 280,720.00 100 pasang Rp 280,720.00 0 pasang Rp -
Rp - 11 Pcs Rp 75,548.00 0 Pcs Rp - 0 Pcs Rp -
Rp - 6 pcs Rp 21,582.00 0 pcs Rp - 0 pcs Rp -
Rp - 0 Tab Rp - 100 Tab Rp 23,000.00 0 Tab Rp -
Rp - 30 Rol Rp 237,930.00 20 Rol Rp 158,620.00 0 Rol Rp -
Rp - 0 Supp Rp - 19 Supp Rp 45,220.00 0 Supp Rp -
Rp - 20 kapsul Rp 23,260.00 50 kapsul Rp 58,150.00 0 kapsul Rp -
Rp - 60 Tab Rp 8,820.00 184 Tab Rp 27,048.00 0 Tab Rp -
Rp - 400 Buah Rp 58,264.00 0 Buah Rp - 0 Buah Rp -
Rp - 95 Kapsul Rp 26,410.00 905 Kapsul Rp 251,590.00 0 Kapsul Rp -
Rp - 20 ampul Rp 59,180.00 0 ampul Rp - 0 ampul Rp -
Rp - 5 tube Rp 110,000.00 8 tube Rp 176,000.00 0 tube Rp -
Rp - 200 Kaplet Rp 259,600.00 0 Kaplet Rp - 0 Kaplet Rp -
Rp - 5 Tablet Rp 560.00 70 Tablet Rp 7,840.00 0 Tablet Rp -
Rp - 6 Tube Rp 102,630.00 0 Tube Rp - 0 Tube Rp -
Rp - 12 Tablet Rp 96,000.00 262 Tablet Rp 2,096,000.00 0 Tablet Rp -
Rp - 0 Amp Rp - 100 Amp Rp 418,000.00 0 Amp Rp -
Rp - 1 roll Rp 59,500.00 10 roll Rp 595,000.00 0 roll Rp -
pcs pcs pcs

Rp - 200 Rp 35,000.00 0 Rp - 0 Rp -
botol botol botol

Rp - 12 Rp 33,600.00 20 Rp 56,000.00 0 Rp -
ampul ampul ampul

Rp - 9 Rp 10,692.00 0 Rp - 0 Rp -
Rp - 100 Tes Rp 1,434,000.00 0 Tes Rp - 0 Tes Rp -
Rp - 0 Kotak 50 gr Rp - 70Kotak 50 gr Rp 169,400.00 0Kotak 50 gr Rp -
Rp - 0 Vial Rp - 1 Vial Rp 517,132.00 0 Vial Rp -
Rp - 1,595 Tablet Rp 145,145.00 1,000 Tablet Rp 91,000.00 0 Tablet Rp -
Rp - 0 pcs Rp - 20 pcs Rp 199,985.81 0 pcs Rp -
Rp 160,050.00 0 Tablet Rp - 500 Tablet Rp 160,050.00 Tablet Rp -
Rp 287,100.00 0 Pcs Rp - 300 Pcs Rp 287,100.00 Pcs Rp -
Rp - 0 Pcs Rp - 0 Pcs Rp - Pcs Rp -
Rp 1,728,000.00 6,000 Tablet Rp 1,728,000.00 0 Tablet Rp - Tablet Rp -
Rp - 0 Set Rp - 0 Set Rp - Set Rp -
Rp - 0 Tablet Rp - 0 Tablet Rp - Tablet Rp -
Rp 70,000.00 215 Tablet Rp 15,050.00 785 Tablet Rp 54,950.00 Tablet Rp -
Rp - 0 Botol Rp - 0 Botol Rp - Botol Rp -
Rp 402,000.00 2,000 Tablet Rp 402,000.00 0 Tablet Rp - Tablet Rp -
Rp - 0 botol Rp - 0 botol Rp - botol Rp -
Rp - 0 Vial Rp - 0 Vial Rp - Vial Rp -
Rp 174,000.00 0 Tablet Rp - 3,000 Tablet Rp 174,000.00 Tablet Rp -
Rp - 0 Pot Rp - 0 Pot Rp - Pot Rp -
Rp - 0 Pot Rp - 0 Pot Rp - Pot Rp -
Rp 65,000.00 0SuppositoriaRp - 20
SuppositoriaRp 65,000.00 SuppositoriaRp -
Rp 444,000.00 1,200 Tablet Rp 133,200.00 2,800 Tablet Rp 310,800.00 Tablet Rp -
Rp - 0 Softbag Rp - 0 Softbag Rp - Softbag Rp -
Rp - 0 Tube Rp - 0 Tube Rp - Tube Rp -
Rp - 0 Ampul Rp - 0 Ampul Rp - Ampul Rp -
Rp - 0 Buah Rp - 0 Buah Rp - Buah Rp -
Rp 52,000.00 0 Buah Rp - 10 Buah Rp 52,000.00 Buah Rp -
Rp 64,000.00 1,073 Tablet Rp 34,336.00 927 Tablet Rp 29,664.00 Tablet Rp -
Rp 46,200.00 0 Ampul Rp - 50 Ampul Rp 46,200.00 Ampul Rp -
Rp - 0 ampul Rp - 0 ampul Rp - ampul Rp -
Rp 14,080.00 0 ampul Rp - 10 ampul Rp 14,080.00 ampul Rp -
Rp 66,960.00 0 Botol Rp - 24 Botol Rp 66,960.00 Botol Rp -
Rp - 0 paket Rp - 0 paket Rp - paket Rp -
Rp - 0 Paket Rp - 0 Paket Rp - Paket Rp -
Rp 429,970.00 2 paket Rp 429,970.00 0 paket Rp - paket Rp -
Rp 880,000.00 730 Tablet Rp 321,200.00 1,270 Tablet Rp 558,800.00 Tablet Rp -
Rp - 0 Rol Rp - 0 Rol Rp - Rol Rp -
Rp 128,500.00 290 Sachet Rp 74,530.00 210 Sachet Rp 53,970.00 Sachet Rp -
Rp - 0 Pasang Rp - 0 Pasang Rp - Pasang Rp -
Rp 199,100.00 0 Pasang Rp - 100 Pasang Rp 199,100.00 Pasang Rp -
Rp 99,550.00 0 Pasang Rp - 50 Pasang Rp 99,550.00 Pasang Rp -
Rp 380,000.00 0 test Rp - 200 test Rp 380,000.00 test Rp -
Rp 175,000.00 6 Pasang Rp 21,000.00 44 Pasang Rp 154,000.00 Pasang Rp -
Rp 289,500.00 5 pcs Rp 28,950.00 45 pcs Rp 260,550.00 pcs Rp -
Rp - 0 pcs Rp - 0 pcs Rp - pcs Rp -
Rp 385,000.00 0 pcs Rp - 50 pcs Rp 385,000.00 pcs Rp -
Rp - 0 Sachet Rp - 0 Sachet Rp - Sachet Rp -
Rp 62,500.00 0 Sachet Rp - 5 Sachet Rp 62,500.00 Sachet Rp -
Rp 175,000.00 200 Rol Rp 70,000.00 300 Rol Rp 105,000.00 Rol Rp -
Rp 75,000.00 120 pcs Rp 75,000.00 0 pcs Rp - pcs Rp -
Rp 132,850.00 0 Rol Rp - 50 Rol Rp 132,850.00 Rol Rp -
Rp 79,800.00 0 Tube Rp - 12 Tube Rp 79,800.00 Tube Rp -
Rp - 0 Suppositor Rp - 0 Supposit Rp - Supposit Rp -
Rp - 0 tube Rp - 0 tube Rp - tube Rp -
Rp - 0 Kapsul Rp - 0 Kapsul Rp - Kapsul Rp -
Rp 220,000.00 400 pcs Rp 220,000.00 0 pcs Rp - pcs Rp -
Rp 756,000.00 70 Ampul Rp 756,000.00 0 Ampul Rp - Ampul Rp -
Rp 225,200.00 100 Ampul Rp 112,600.00 100 Ampul Rp 112,600.00 Ampul Rp -
Rp 110,700.00 1 botol Rp 1,107.00 99 botol Rp 109,593.00 botol Rp -
Rp 297,500.00 0 Paket Rp - 5 Paket Rp 297,500.00 Paket Rp -
Rp 70,000.00 200 Rol Rp 35,000.00 200 Rol Rp 35,000.00 Rol Rp -
Rp 1,178,000.00 200 Pot Rp 1,178,000.00 0 Pot Rp - Pot Rp -
Rp 1,792,500.00 125 Tes Rp 1,792,500.00 0 Tes Rp - Tes Rp -
Rp 1,231,250.00 125 test Rp 1,231,250.00 0 test Rp - test Rp -
Rp 86,100.00 300 Kapsul Rp 86,100.00 0 Kapsul Rp - Kapsul Rp -
Rp 143,500.00 500 Kapsul Rp 143,500.00 0 Kapsul Rp - Kapsul Rp -
Rp 889,000.00 1,750 Kapsul Rp 889,000.00 0 Kapsul Rp - Kapsul Rp -
Rp 429,000.00 60 Botol Rp 429,000.00 0 Botol Rp - Botol Rp -
Rp - 0 pot Rp - 0 pot Rp - pot Rp -
Rp - 0 pot Rp - 0 pot Rp - pot Rp -
Rp 517,132.00 0 Vial Rp - 1 Vial Rp 517,132.00 Vial Rp -
Rp 300.00 50 Tablet Rp 50.00 250 Tablet Rp 250.00 Tablet Rp -
Rp - 0 Strip Rp - 0 Strip Rp - Strip Rp -
Rp 264,450.00 0 Kapsul Rp - 150 Kapsul Rp 264,450.00 Kapsul Rp -
Rp 1,100,000.00 200 Pcs Rp 1,100,000.00 0 Pcs Rp - Pcs Rp -
Rp 2,260,000.00 5,640 Tablet Rp 1,274,640.00 4,360 Tablet Rp 985,360.00 Tablet Rp -
Rp 220,000.00 5,000 Tablet Rp 220,000.00 0 Tablet Rp - Tablet Rp -
Rp 248,120.00 1 paket Rp 248,120.00 0 paket Rp - paket Rp -
Rp 481,536.00 1 Paket Rp 40,128.00 11 Paket Rp 441,408.00 Paket Rp -
Rp 1,636,800.00 600 Pot Rp 1,636,800.00 0 Pot Rp - Pot Rp -
Rp - 0 test Rp - 0 test Rp - test Rp -
Rp 2,550,000.00 125 test Rp 2,550,000.00 0 test Rp - test Rp -
Rp 1,576,050.00 2,850 Kapsul Rp 1,576,050.00 0 Kapsul Rp - Kapsul Rp -
Rp - 0 tablet Rp - 0 tablet Rp - tablet Rp -
Rp 747,000.00 37 tablet Rp 9,213.00 2,963 tablet Rp 737,787.00 tablet Rp -
Rp - 0 Test Rp - 0 Test Rp - Test Rp -
Rp - 0 Botol Rp - 0 Botol Rp - 0 Botol Rp -
Rp 34,898,604.00 Rp 36,142,916.81 Rp 41,545,276.16 Rp -

17056 -17056 #VALUE! Pengembalian RSU Cepu
Puluh
Satu
Desem
ber
Tahun BERITA ACARA MUTASI OBAT DAN PERBEKKES
Dua 1 Januari 2022 s/d 31 Maret 2022
Ribu
UPTD PUSKESMAS TODANAN
Dua
SKPD
Puluh : DINAS KESEHATAN
telah No./
Tgl.
dilaksa Sura
nakan t Jumlah Barang
pelapor Das yang
Barang-barang
Tan ar diterima/dikeluarka
an
No
ggal Pen
Uraian (Nama Barang) bulan lalu ( 1 Harga Satuan
n ( 1 Januari s/d
Januari 2022)
mutasi erim 31 Desember
aan/ Saldo Penambahan
2020) Pengurangan
obat
Pen Jumlah Nilai Harga Jumlah Nilai Harga Jumlah
UPTD gelu
Gudan
1 2 aran3 4 5 6 7 8 10 11 10
g 1 Akita Tablet 100 Tablet Rp 56,870.00 Rp 568.70 0 Tablet Rp - 100
Farmas2 Alat Suntik 1 ml 41 Pcs Rp 39,237.00 Rp 957.00 0 Pcs Rp - 41
i Alat Suntik 10 ml 100 Pcs Rp 128,700.00 Rp 0 Pcs Rp 0
3 1,287.00 -
dengan
hasil 4
Alat Suntik 5 ml 214 Pcs Rp 162,426.00 Rp 759.00 0 Pcs Rp - 214
sebaga5 ALLOPURINOL TAB 100 MG 1,681 Tablet Rp 166,419.00 Rp 99.00 0 Tablet Rp - 1,681
i 6 Ambroxol 30 mg tab 2,347 Tablet Rp 271,078.50 Rp 115.50 0 Tablet Rp - 1,033
berikut:7 Amlodipin 10 mg 1,594 Tablet Rp 111,580.00 Rp 70.00 0 Tablet Rp - 1,594
8 Amlodipin 5 mg 3,305 Tablet Rp 1,487,250.00 Rp 450.00 0 Tablet Rp - 3,305
9 Amoksisilin kapl 500 mg 991 Tablet Rp 199,191.00 Rp 201.00 0 Tablet Rp - 991
10 Amoksisilin sirup kering 125 mg/5 ml 155 Botol Rp 1,023,000.00 Rp 6,600.00 0 Botol Rp - 127
11 Ampisilin Inj 1000 mg 203 Vial Rp 1,672,111.00 Rp 8,237.00 0 Vial Rp - 173
12 Antasida DOEN 9,652 Tablet Rp 559,816.00 Rp 58.00 0 Tablet Rp - 6,031
13 Antasida DOEN susp 90 Botol Rp 269,280.00 Rp 2,992.00 0 Botol Rp - 90
14 Antihemoroid 60 Supp Rp 190,020.00 Rp 3,167.00 0 Supp Rp - 20
15 Antimigrain ( Ergotamin ) 180 Tablet Rp 33,300.00 Rp 185.00 0 Tablet Rp - 0
16 antiza 1,595 Tablet Rp 1,754,500.00 Rp 1,100.00 0 Tablet Rp - 1,595
17 Asam Askorbat (Vit. C) 50 mg 960 Tablet Rp 100,800.00 Rp 105.00 0 Tablet Rp - 960
18 Asam Folat 1 mg 500 Tablet Rp 37,500.00 Rp 75.00 0 Tablet Rp - 500
19 Asam Mefenamat 500 mg 4,408 Tablet Rp 454,024.00 Rp 103.00 0 Tablet Rp - 4,408
20 Asering 249 Softbag Rp 2,401,854.00 Rp 9,646.00 0 Softbag Rp - 249
21 Asetosal 80 mg (Miniaspi tab) 440 Tablet Rp 46,200.00 Rp 105.00 0 Tablet Rp - 438
22 Asiklovir 200 mg tab 10 Tablet Rp 2,490.00 Rp 249.00 0 Tablet Rp - 10
24 Asiklovir Krim 34 Tube Rp 111,227.60 Rp 3,271.40 0 Tube Rp - 30
25 Autoclick Lancing Device Onemed 1 Pcs Rp 17,416.00 Rp 17,416.00 0 Pcs Rp - 0
26 Becefort/Arcavit-C 707 Tablet Rp 699,930.00 Rp 990.00 0 Tablet Rp - 707
27 Betahistin Mesilat 6 mg Tab 1,000 Tablet Rp 451,000.00 Rp 451.00 0 Tablet Rp - 1,000
28 Canule O2 Anak 40 pcs Rp 207,988.00 Rp 5,199.70 0 pcs Rp - 40
29 Canule O2 dewasa 50 Buah Rp 255,000.00 Rp 5,100.00 0 Buah Rp - 50
30 Clozapine tab 25 mg 300 Tablet Rp 1,500,000.00 Rp 5,000.00 0 Tablet Rp - 0
31 Cover glass 18x18mm 2 Paket Rp 251,486.40 Rp 125,743.20 0 Paket Rp - 0
32 Daryantulle kasa 8 pcs Rp 44,160.00 Rp 5,520.00 0 pcs Rp - 8
33 Daryantulle/Cuticell 10x10 8 Pcs Rp 44,160.00 Rp 5,520.00 0 Pcs Rp - 8
34 Deksametason 0,5 mg tab 5,315 Tablet Rp 170,080.00 Rp 32.00 0 Tablet Rp - 5,315
35 Deksametason inj 5 mg/ml 12 ampul Rp 13,164.00 Rp 1,097.00 0 ampul Rp - 12
36 Diazepam 5 mg 236 Tab Rp 25,724.00 Rp 109.00 0 Tab Rp - 236
37 Diazepam rektal 10 mg/2,5 ml 15 Tube Rp 274,185.00 Rp 18,279.00 0 Tube Rp - 0
38 Diazepam rektal 10 mg/2,5 mL 4 supp Rp 73,116.00 Rp 18,279.00 0 supp Rp - 0
39 Digoksin tablet 0,25 mg 394 Tablet Rp 45,073.60 Rp 114.40 0 Tablet Rp - 94
40 Dimenhidrinat 50 mg 569 Tablet Rp 63,728.00 Rp 112.00 0 Tablet Rp - 554
41 Domperidon tablet 10 mg 411 Tablet Rp 29,181.00 Rp 71.00 0 Tablet Rp - 344
42 Elastic verban 3" (FM Crepe) 9 Rol Rp 177,309.00 Rp 19,701.00 0 Rol Rp - 0
44 Epinefrin Inj (Adrenalin)0,1% 31 ampul Rp 43,648.00 Rp 1,408.00 0 ampul Rp - 15
45 Etakridin lart 0,1% (Rivanol) 14 Botol Rp 21,350.00 Rp 1,525.00 0 Botol Rp - 14
46 Etil Klorida 4 Can Rp 836,000.00 Rp 209,000.00 0 Can Rp - 4
47 FDC Anak 1 Paket Rp 214,985.00 Rp 214,985.00 0 Paket Rp - 1
48 FDC kat 1 23 Paket Rp 8,279,655.00 Rp 359,985.00 0 Paket Rp - 10
49 Fenidryl Sirup 41 botol Rp 293,150.00 Rp 7,150.00 0 botol Rp - 41
50 Fenobarbital Tab 30 mg 1,152 Tablet Rp 196,980.48 Rp 170.99 0 Tablet Rp - 0
51 Fenol gliserol TT 10% 42 Botol Rp 138,600.00 Rp 3,300.00 0 Botol Rp - 10
52 Fitomenadion inj 2 mg/ml/Vitka infant 120 Ampul Rp 1,218,000.00 Rp 10,150.00 0 Ampul Rp - 60
53 Folley Catheter 16 10 Rol Rp 103,400.00 Rp 10,340.00 0 Rol Rp - 10
54 Furosemid 40 mg 139 Tablet Rp 10,703.00 Rp 77.00 0 Tablet Rp - 139
55 Garam oralit 92 Sachet Rp 23,644.00 Rp 257.00 0 Sachet Rp - 92
56 gent oint / Gentamisin salep mata 25 Tube Rp 66,875.00 Rp 2,675.00 0 Tube Rp - 25
57 Gentamisin sulfat TM 0,3% 143 Botol Rp 646,360.00 Rp 4,520.00 0 Botol Rp - 27
58 Gentian violet 3 Botol Rp 11,550.00 Rp 3,850.00 0 Botol Rp - 3
59 Glibenklamid 5 mg 1,500 Tablet Rp 178,500.00 Rp 119.00 0 Tablet Rp - 1,500
60 Glimepirid 1 mg 580 Tablet Rp 100,920.00 Rp 174.00 0 Tablet Rp - 92
61 Glimepiride 2 mg 1,000 Tablet Rp 207,000.00 Rp 207.00 0 Tablet Rp - 286
62 Gliseril Guaikiolat ( GG ) 1,000 Tablet Rp 132,000.00 Rp 132.00 0 Tablet Rp - 1,000
64 Glukosa infus 5% 35 Botol Rp 231,945.00 Rp 6,627.00 0 Botol Rp - 22
65 Griseofulvin tab 125 mg 602 Tablet Rp 236,405.40 Rp 392.70 0 Tablet Rp - 602
66 Haloperidol tablet 5 mg 695 Tablet Rp 41,700.00 Rp 60.00 0 Tablet Rp - 695
67 Handscoon Non Steril M 100 pasang Rp 280,720.00 Rp 2,807.20 0 pasang Rp - 100
68 Handscoon steril 7 50 Pasang Rp 349,250.00 Rp 6,985.00 0 Pasang Rp - 4
69 Handscoon steril 7.5 100 Pasang Rp 698,500.00 Rp 6,985.00 0 Pasang Rp - 5
70 HCG tes Pro-D 81 Pcs Rp 157,059.00 Rp 1,939.00 0 Pcs Rp - 53
71 Hidroklorotiazid ( HCT ) 300 Tablet Rp 44,400.00 Rp 148.00 0 Tablet Rp - 64
72 Hidrokortison 2,5% krim 131 Tube Rp 324,225.00 Rp 2,475.00 0 Tube Rp - 124
73 Ibuprofen 400 mg 975 Tablet Rp 366,600.00 Rp 376.00 0 Tablet Rp - 975
74 Ibuprofen suspensi 200 mg/5 ml 50 Botol Rp 160,000.00 Rp 3,200.00 0 Botol Rp - 15
75 Ichtyol/Ichtamolum 1 Pot Rp 6,050.00 Rp 6,050.00 0 Pot Rp - 0
76 Infuset dewasa type Y 200 Pcs Rp 1,263,200.00 Rp 6,316.00 0 Pcs Rp - 200
77 Infusion Set Anak 168 pcs Rp 604,296.00 Rp 3,597.00 0 pcs Rp - 35
78 IV Catheter 18G MF Cath Pro 50 Pcs Rp 400,950.00 Rp 8,019.00 0 Pcs Rp - 0
79 IV Catheter 18G MF Cath Pro 50 pcs Rp 386,180.00 Rp 7,723.60 0 pcs Rp - 0
80 IV Catheter 22G MF Cath Pro 250 Pcs Rp 1,942,250.00 Rp 7,769.00 0 Pcs Rp - 200
81 IV Catheter 24G MF Cath Pro 694 Pcs Rp 5,339,636.00 Rp 7,694.00 0 Pcs Rp - 161
82 IV Catheter No 20 100 Buah Rp 481,800.00 Rp 4,818.00 0 Buah Rp - 100
83 Kalium Diklofenak tablet 50 mg 480 Tablet Rp 1,008,000.00 Rp 2,100.00 0 Tablet Rp - 480
84 Kalsium Laktat 7,808 Tablet Rp 491,904.00 Rp 63.00 0 Tablet Rp - 7,808
85 Kapas Pembalut 250g 5 Rol Rp 62,500.00 Rp 12,500.00 0 Rol Rp - 3
86 Kaptopril 12,5 mg 871 Tablet Rp 54,002.00 Rp 62.00 0 Tablet Rp - 517
87 Kaptopril 25 mg 3,000 Tablet Rp 300,300.00 Rp 100.10 0 Tablet Rp - 3,000
88 Karbamazepin 200 mg 619 Tab Rp 142,370.00 Rp 230.00 0 Tab Rp - 619
89 Kasa hydrophyl 16x16 896 pcs Rp 448,000.00 Rp 500.00 0 pcs Rp - 864
90 Kassa 2 x 80 199 Pcs Rp 1,938,260.00 Rp 9,740.00 0 Pcs Rp - 199
91 Kassa 4 x 15 35 pcs Rp 73,500.00 Rp 2,100.00 0 pcs Rp - 7
92 Ketokonazol 2% cr 12 Tube Rp 30,216.00 Rp 2,518.00 0 Tube Rp - 12
93 Ketokonazol 200 mg tab 1,430 Tablet Rp 563,420.00 Rp 394.00 0 Tablet Rp - 1,430
94 Ketoprofen 100 mg/sup 20SuppositoriaRp 39,960.00 Rp 1,998.00 0uppositoriaRp
S - 6
95 Klem umbilical 100 Rol Rp 180,000.00 Rp 1,800.00 0 Rol Rp - 100
96 Kloramfenikol 250 mg 139 Tablet Rp 125,530.90 Rp 903.10 0 Tablet Rp - 139
97 Kloramfenikol 500 mg 350 kapsul Rp 407,050.00 Rp 1,163.00 0 kapsul Rp - 350
98 Kloramfenikol salep kulit 2% 59 Tube Rp 192,694.00 Rp 3,266.00 0 Tube Rp - 26
99 Kloramfenikol salep mata 1% 111 Tube Rp 573,870.00 Rp 5,170.00 0 Tube Rp - 87
100 Kloramfenikol tetes mata 1% 16 Botol Rp 157,608.00 Rp 9,850.50 0 Botol Rp - 16
101 Kloramfenikol TT 3% 42 Botol Rp 323,400.00 Rp 7,700.00 0 Botol Rp - 13
102 Klorfeniramin (CTM) 4 mg 9,340 Tablet Rp 214,820.00 Rp 23.00 0 Tablet Rp - 5,398
103 Klorpromazin 100 mg 710 Tablet Rp 175,725.00 Rp 247.50 0 Tablet Rp - 328
104 Kotrimoksasol 480 mg 1,500 Tablet Rp 199,500.00 Rp 133.00 0 Tablet Rp - 970
105 Kotrimoksasol 480 mg 1,142 Tab Rp 142,750.00 Rp 125.00 0 Tab Rp - 1,142
106 Kotrimoksasol suspensi 240mg 39 botol Rp 85,410.00 Rp 2,190.00 0 botol Rp - 22
107 Lancet 500 Buah Rp 72,830.00 Rp 145.66 0 Buah Rp - 500
108 Lidocain injeksi 90 Ampul Rp 110,610.00 Rp 1,229.00 0 Ampul Rp - 90
109 Magnesium Sulfat 40% 4 ampul Rp 15,184.00 Rp 3,796.00 0 ampul Rp - 0
110 Masker 250 pcs Rp 102,850.00 Rp 411.40 0 pcs Rp - 250
111 MDT Kusta MB Dewasa 2 Paket Rp 61,190.00 Rp 30,595.00 0 Paket Rp - 0
112 Metampiron 500 mg 4,508 Tablet Rp 1,239,700.00 Rp 275.00 0 Tablet Rp - 2,954
113 Metformin HCl tablet 500 mg 2,971 Tablet Rp 1,039,850.00 Rp 350.00 0 Tablet Rp - 2,971
114 Metilergometrin inj 10 Ampul Rp 108,000.00 Rp 10,800.00 0 Ampul Rp - 10
115 Metilprednisolon 4 mg tablet 745 Tablet Rp 190,124.00 Rp 255.20 0 Tablet Rp - 741
116 Metoklopramid 10 mg tablet 407 Tablet Rp 26,862.00 Rp 66.00 0 Tablet Rp - 253
117 Metronidazol 125mg/5ml susp 17 botol Rp 67,150.00 Rp 3,950.00 0 botol Rp - 3
118 Mikonazol krim 2% 84 Tube Rp 286,776.00 Rp 3,414.00 0 Tube Rp - 50
119 Minyak Kayu Putih 60 ml 7 Botol 60 mlRp 169,400.00 Rp 24,200.00 0Botol 60 mlRp - 7
120 Molexflu 95 Tablet Rp 62,700.00 Rp 660.00 0 Tablet Rp - 95
121 Natrium Diklofenak 50 mg 2,947 Tablet Rp 362,481.00 Rp 123.00 0 Tablet Rp - 2,525
122 Neo kaominal 69 Botol Rp 510,945.00 Rp 7,405.00 0 Botol Rp - 40
123 Neocenta / Bioplacenton krim 29 Tube Rp 492,623.00 Rp 16,987.00 0 Tube Rp - 19
124 Nifedipin 10 mg 126 Tablet Rp 14,112.00 Rp 112.00 0 Tablet Rp - 10
125 Nistatin Vagtab 100.000 IU 80 Tablet Rp 47,840.00 Rp 598.00 0 Tablet Rp - 58
126 OB Herbal Sirup 96 Botol Rp 739,200.00 Rp 7,700.00 0 Botol Rp - 96
127 OBH sirup molex 60 ml 71 Botol Rp 445,482.40 Rp 6,274.40 0 Botol Rp - 71
128 Oksitetrasiklin 1% Salep Mata 20 Tube Rp 50,000.00 Rp 2,500.00 0 Tube Rp - 20
129 Ostela Forte tab 102 Tablet Rp 816,000.00 Rp 8,000.00 0 Tablet Rp - 102
130 Parasetamol 500 mg 13,709 Tablet Rp 1,357,191.00 Rp 99.00 0 Tablet Rp - 13,709
131 Parasetamol drop 237 Botol Rp 1,575,813.00 Rp 6,649.00 0 Botol Rp - 145
132 Parasetamol sirup 120 mg/5 ml 227 botol Rp 268,087.00 Rp 1,181.00 0 botol Rp - 227
133 Piridoksin (Vit B6) 10 mg 1,719 Tablet Rp 211,437.00 Rp 123.00 0 Tablet Rp - 1,070
134 Piroksikam tablet 20 mg 642 Tablet Rp 116,523.00 Rp 181.50 0 Tablet Rp - 642
plester rol kain 7,5cm x 4,5m
135 (Leukoplast) 7 roll Rp 416,500.00 Rp 59,500.00 0 roll Rp - 7
136 Povidon Iodida 10 % 30 ml 101 botol Rp 282,800.00 Rp 2,800.00 0 botol Rp - 97
138 Prednison 5 mg 3,398 Tablet Rp 406,740.60 Rp 119.70 0 Tablet Rp - 2,648
139 Ranitidin 150 mg 620 Tablet Rp 105,914.60 Rp 170.83 0 Tablet Rp - 620
140 Ranitidin 50 mg/2 ml injeksi 100 Ampul Rp 81,400.00 Rp 814.00 0 Ampul Rp - 100
141 Reagen gol darah Pro-D anti B 2 Btl Rp 330,000.00 Rp 165,000.00 0 Btl Rp - 2
142 Recovit sirup 26 Botol Rp 257,400.00 Rp 9,900.00 0 Botol Rp - 26
143 retinol (vit A ) 200000 IU 20 Kapsul Rp 10,340.00 Rp 517.00 0 Kapsul Rp - 20
145 Ringer Laktat larutan infus 152 Botol Rp 1,086,800.00 Rp 7,150.00 0 Botol Rp - 152
146 Risperidon/Persidal 2mg 5 Tablet Rp 681.97 Rp 136.39 0 Tablet Rp - 5
147 Salep 2-4 Kombinasi 94 pot Rp 262,824.00 Rp 2,796.00 0 pot Rp - 86
148 Salisil bedak 2 % 70 Kotak 50 grRp 169,400.00 Rp 2,420.00 0Kotak 50 grRp - 62
149 Sianokobalamin (vit B12) table 654 Tablet Rp 33,354.00 Rp 51.00 0 Tablet Rp - 654
150 Simvastatin tablet 10 mg 1,627 Tablet Rp 209,394.90 Rp 128.70 0 Tablet Rp - 1,627
151 Siprofloksasin 500 mg 373 Tablet Rp 190,789.50 Rp 511.50 0 Tablet Rp - 373
152 Strip Glukosa Nesco 75 test Rp 290,400.00 Rp 3,872.00 0 test Rp - 75
153 Strip Kolesterol Nesco 50 test Rp 1,176,000.00 Rp 23,520.00 0 test Rp - 20
154 Tablet Tambah darah 12,117 Tablet Rp 2,738,442.00 Rp 226.00 0 Tablet Rp - 10,676
Tablet Tablet
155 Tiamin (Vit B1) 50 mg 3,353 Rp 848,309.00 Rp 253.00 0 Rp - 2,671
Tranfusi set 100 Botol Rp 850,000.00 Botol
156 Rp 8,500.00 0 Rp - 20
157 Triheksipenidil 2 mg 1,052 Tablet Rp 95,732.00 Rp 91.00 0 Tablet Rp - 985
158 UnderPad 150 Botol Rp 717,750.00 Rp 4,785.00 0 Botol Rp - 150
159 Urine Bag with Hanger (PIN) 350 Pcs Rp 2,438,800.00 Rp 6,968.00 0 Pcs Rp - 60
160 Vitamin B-Compleks(DEF) 7,535 Tablet Rp 331,540.00 Rp 44.00 0 Tablet Rp - 4,424
botol botol
161 Zink sirup 20 mg/5 ml 33 Rp 104,643.00 Rp 3,171.00 0 Rp - 33
162 Zink Tablet 1,836 Tablet Rp 962,064.00 Rp 524.00 0 Tablet Rp - 1,493
1 Akita Tablet 0 Tablet Rp - Rp 320.10 600 Tablet Rp 192,060.00 415
2 Alat Suntik 1 ml 0 Pcs Rp - Rp 957.00 0 Pcs Rp - 0
3 Alat Suntik 10 ml 0 Pcs Rp - Rp 1,287.00 0 Pcs Rp - 0
5 Alat Suntik 3 ml 0 Pcs Rp - Rp 693.00 200 Pcs Rp 138,600.00 200
9 Albendazol 400mg tab 0 Tablet Rp - Rp 288.00 12,000 Tablet Rp 3,456,000.00 12,000
10 Alkohol Swab 0 Set Rp - Rp 120.00 0 Set Rp - 0
11 Alopurinol 100 mg 0 Tablet Rp - Rp 105.00 1,000 Tablet Rp 105,000.00 99
12 Alopurinol 300 mg 0 Tablet Rp - Rp 550.00 0 Tablet Rp - 0
13 Alprazolam 0,5 mg 0 Tablet Rp - Rp 78.00 0 Tablet Rp - 0
14 Ambroxol 30 mg tab 0 Tablet Rp - Rp 115.50 500 Tablet Rp 57,750.00 500
15 Amlodipin 10 mg 0 Tablet Rp - Rp 70.00 3,000 Tablet Rp 210,000.00 1,747
16 Amlodipin 5 mg 0 Tablet Rp - Rp 53.00 0 Tablet Rp - 0
17 Amoksisilin 125 mg/5 ml sirup kering 0 Botol Rp - Rp 2,050.40 0 Botol Rp - 0
18 Amoksisilin kapl 500 mg 0 Tablet Rp - Rp 201.00 2,000 Tablet Rp 402,000.00 2,000
19 Amoksisilin sirup kering 0 botol Rp - Rp 3,850.00 0 botol Rp - 0
20 Ampisilin serbuk 1000mg/ml 0 Vial Rp - Rp 8,237.00 0 Vial Rp - 0
21 Antasida DOEN susp 0 Botol Rp - Rp 1,679.00 200 Botol Rp 335,800.00 51
22 Antasida DOEN tab 0 Tablet Rp - Rp 58.00 3,000 Tablet Rp 174,000.00 0
23 Antasida DOEN tab 0 Tablet Rp - Rp 54.00 0 Tablet Rp - 0
25 Antifungi salep komb 0 Pot Rp - Rp 4,496.00 0 Pot Rp - 0
0 Rp - 0
28 Antimigrain ( Ergotamin ) 0 Tablet Rp - Rp 185.00 0 Tablet Rp - 0
30 antiza 0 Tablet Rp - Rp 1,100.00 0 Tablet Rp - 0
31 Asam Askorbat ( Vit.C ) 50 mg 0 Tablet Rp - Rp 42.00 3,000 Tablet Rp 126,000.00 1,900
32 Asam Folat 0,4 mg 0 Tablet Rp - Rp 220.00 500 Tablet Rp 110,000.00 0
33 Asam Mefenamat 500 mg 0 Tablet Rp - Rp 111.00 3,000 Tablet Rp 333,000.00 1,468
34 Asam Mefenamat 500 mg 0 Tablet Rp - Rp 111.00 0 Tablet Rp - 0
35 Aseptic Gel/Sabun cuci tangan 0 botol Rp - Rp 26,500.00 0 botol Rp - 0
36 Asering 0 Softbag Rp - Rp 9,646.00 0 Softbag Rp - 0
37 Asetosal 80 mg (Miniaspi tab) 0 Tablet Rp - Rp 105.00 500 Tablet Rp 52,500.00 0
38 Asiklovir 400 mg tab 0 Tablet Rp - Rp 405.00 200 Tablet Rp 81,000.00 0
39 Asiklovir Krim 0 Tube Rp - Rp 3,271.40 0 Tube Rp - 0
40 Atropin Sulfat inj 0 Ampul Rp - Rp 1,718.00 0 Ampul Rp - 0
41 Autoclick Lancing Device Onemed 0 Pcs Rp - Rp 17,416.00 0 Pcs Rp - 0
42 Betahistin Mesilat 6 mg Tab 0 Tablet Rp - Rp 451.00 2,000 Tablet Rp 902,000.00 0
43 Bio ATP 0 Tablet Rp - Rp 2,500.00 0 Tablet Rp - 0
44 Blue Tips 0 Buah Rp - Rp 76.50 0 Buah Rp - 0
45 Bracket 0 Pcs Rp - Rp 22,000.00 0 Pcs Rp - 0
46 Canule O2 Anak 0 Pcs Rp - Rp 5,100.00 100 Pcs Rp 510,000.00 0
47 Canule O2 Bayi 0 Buah Rp - Rp 5,200.00 20 Buah Rp 104,000.00 0
48 Canule O2 dewasa 0 Buah Rp - Rp 5,100.00 100 Buah Rp 510,000.00 50
49 Daryantulle/Cuticell 10x10 0 Pcs Rp - Rp 5,520.00 30 Pcs Rp 165,600.00 12
50 Deksametason 0,5 mg tab 0 Tablet Rp - Rp 32.00 0 Tablet Rp - 0
51 Deksametason 0,5 mg tab 0 Tablet Rp - Rp 32.00 2,000 Tablet Rp 64,000.00 983
52 Deksametason Inj 5 mg/ml 0 Ampul Rp - Rp 924.00 0 Ampul Rp - 0
53 Deksametason Inj 5 mg/ml 0 Ampul Rp - Rp 924.00 100 Ampul Rp 92,400.00 100
54 Diazepam 5 mg Tab 0 Tablet Rp - Rp 108.00 0 Tablet Rp - 0
55 DIAZEPAM INJ 0 ampul Rp - Rp 1,735.00 0 ampul Rp - 0
56 Diazepam rektal 5 mg/2,5 ml 0 Tube Rp - Rp 12,573.00 0 Tube Rp - 0
57 Difenhidramin HCL inj 10 mg/ml 0 Ampul Rp - Rp 1,095.00 0 Ampul Rp - 0
58 Difenhidramin inj 10 mg/ml 0 Ampul Rp - Rp 1,095.00 0 Ampul Rp - 0
59 Difenhidramin inj 10 mg/ml 0 ampul Rp - Rp 1,095.00 0 ampul Rp - 0
60 Digoksin tablet 0,25 mg 0 Tablet Rp - Rp 114.40 100 Tablet Rp 11,440.00 100
61 Dimenhidrinat tab 50 mg 0 Tablet Rp - Rp 108.00 100 Tablet Rp 10,800.00 0
62 Epinefrin Inj (Adrenalin)0,1% 0 ampul Rp - Rp 1,408.00 0 ampul Rp - 0
63 Etanol 70 % 100 ml 0 Botol Rp - Rp 2,790.00 0 Botol Rp - 0
64 Etil Klorida 0 botol Rp - Rp 126,500.00 10 botol Rp 1,265,000.00 0
65 FDC Kategori 1 0 paket Rp - Rp 359,985.00 0 paket Rp - 0
66 FDC Kategori 1 harian 0 paket Rp - Rp 359,985.00 0 paket Rp - 0
67 FDC Kategori 1 Kombipak 0 Paket Rp - Rp 288,199.00 0 Paket Rp - 0
68 FDC Kategori 1 Kombipak 0 paket Rp - Rp 288,199.00 0 paket Rp - 0
69 FDC Kategori 2 0 paket Rp - Rp 1,199,985.00 0 paket Rp - 0
70 FDC Kategori Anak 0 paket Rp - Rp 214,985.00 1 paket Rp 214,985.00 1
71 Fenibarbital Tab 30 mg 0 Tablet Rp - Rp 171.00 0 Tablet Rp - 0
72 Fenidryl Sirup 0 Botol Rp - Rp 5,553.90 0 Botol Rp - 0
73 Fenitoin inj 0 ampul Rp - Rp 1.00 0 ampul Rp - 0
74 Fenobarbital 30 mg 0 Tablet Rp - Rp 171.00 0 Tablet Rp - 0
76 Fenobarbital Tab 30 mg 0 Tablet Rp - Rp 170.99 0 Tablet Rp - 0
77 Fenol gliserol TT 10% 0 Botol Rp - Rp 3,300.00 0 Botol Rp - 0
78 Fitomenadion inj 2 mg/ml 0 Ampul Rp - Rp 1,386.00 0 Ampul Rp - 0
79 Fludane/molexflu/antiza tablet/flut 0 Tablet Rp - Rp 440.00 500 Tablet Rp 220,000.00 500
80 Folley Catheter 16 0 Rol Rp - Rp 10,340.00 20 Rol Rp 206,800.00 0
81 Garam oralit 0 Sachet Rp - Rp 257.00 500 Sachet Rp 128,500.00 413
82 gent oint / Gentamisin salep mata 0 Tube Rp - Rp 2,675.00 48 Tube Rp 128,400.00 38
83 Gent oint / Gentamisin salep mata 0 Pcs Rp - Rp 2,665.00 0 Pcs Rp - 0
84 GENTAMISIN KRIM salep kulit 0 Tube Rp - Rp 6,499.90 30 Tube Rp 194,997.00 1
85 Gentamisin sulfat TM 0,3% 0 Botol Rp - Rp 4,520.00 0 Botol Rp - 0
86 Glibenklamid 5 mg 0 Tablet Rp - Rp 83.00 3000 Tablet Rp 249,000.00 733
87 Glimepiride 1 mg 0 Tablet Rp - Rp 371.80 2000 Tablet Rp 743,600.00 0
89 Gliseril Guaikiolat ( GG ) 0 Tablet Rp - Rp 89.10 500 Tablet Rp 44,550.00 500
90 Gliseril Guaikiolat ( GG )/Asetil Sis 0 Tablet Rp - Rp 89.10 0 Tablet Rp - 0
91 Glukosa 40% 0 Botol Rp - Rp 7,000.00 0 Botol Rp - 0
92 Glukosa infus 10% 0 Botol Rp - Rp 7,200.00 0 Botol Rp - 0
94 Griseofulvin 125 mg tab 0 Tablet Rp - Rp 224.00 100 Tablet Rp 22,400.00 0
95 Haloperidol 1,5 mg 0 Tablet Rp - Rp 59.00 0 Tablet Rp - 0
96 Haloperidol tablet 5 mg 0 Tablet Rp - Rp 54.00 1000 Tablet Rp 54,000.00 380
97 Hand Sanitizer (Aseptic gel) 0 Paket Rp - Rp 26,500.00 0 Paket Rp - 0
98 Handscoon non steril M 0 Pasang Rp - Rp 1,991.00 0 Pasang Rp - 0
99 Handscoon non steril M 0 Pasang Rp - Rp 1,991.00 100 Pasang Rp 199,100.00 100
100 Handscoon non steril S 0 Pasang Rp - Rp 1,991.00 0 Pasang Rp - 0
101 HCG tes Pro-D 0 test Rp - Rp 1,900.00 0 test Rp - 0
102 Herbakof 0 Botol Rp - Rp 14,273.00 0 Botol Rp - 0
103 Hidrokortison 2,5% krim 0 Tube Rp - Rp 2,475.00 48 Tube Rp 118,800.00 0
104 Hysin Inj 0 Ampul Rp - Rp 5,161.82 0 Ampul Rp - 0
105 Ibuprofen 200 mg 0 Tablet Rp - Rp 212.00 0 Tablet Rp - 0
106 Ibuprofen 400 mg 0 Tablet Rp - Rp 376.00 300 Tablet Rp 112,800.00 300
107 Ibuprofen suspensi 200 mg/5 ml 0 Botol Rp - Rp 3,200.00 0 Botol Rp - 0
108 Infuset Anak 0 Pasang Rp - Rp 3,500.00 0 Pasang Rp - 0
109 Infuset dewasa (PKD 1) 0 pcs Rp - 5790 100 pcs Rp 579,000.00 81
110 Infusion Set Anak 0 pcs Rp - Rp 3,597.00 0 pcs Rp - 0
111 ISONIAZID 100 MG TAB 0 Tablet Rp - Rp 96.91 0 Tablet Rp - 0
112 Isosorbid Dinitrat 5 mg 0 Tablet Rp - Rp 97.90 0 Tablet Rp - 0
113 IV Catheter 22G MF Cath Pro 0 pcs Rp - Rp 7,700.00 50 pcs Rp 385,000.00 50
114 IV Catheter 24G MF Cath Pro 0 Pcs Rp - Rp 7,694.00 0 Pcs Rp - 0
116 IV Catheter No 18 0 Buah Rp - Rp 6,000.00 0 Buah Rp - 0
117 Jarum Jahit kulit berbagai ukuran 0 Sachet Rp - Rp 25,000.00 1 Sachet Rp 25,000.00 1
118 Kalium Permanganat 0 botol Rp - Rp 5,500.00 0 botol Rp - 0
119 Kalsium Glukonat Inj 10% 0 Ampul Rp - Rp 10,351.00 0 Ampul Rp - 0
120 Kalsium Laktat 0 Tablet Rp - Rp 63.00 5000 Tablet Rp 315,000.00 1,436
121 Kapas absorben 250 gr 0 Sachet Rp - Rp 12,500.00 0 Sachet Rp - 0
122 Kaptopril 12,5 mg tab 0 Tablet Rp - Rp 65.00 0 Tablet Rp - 0
123 Kaptopril 12,5 mg tab 0 Tablet Rp - Rp 113.00 0 Tablet Rp - 0
124 Kaptopril 25 mg 0 Tablet Rp - Rp 75.00 2000 Tablet Rp 150,000.00 1,501
125 Karbamazepin 200 mg 0 Tablet Rp - Rp 245.00 600 Tablet Rp 147,000.00 326
126 Kartu Golongan Darah 0 Rol Rp - Rp 350.00 0 Rol Rp - 0
127 Kasa hydrophyl 16x16 0 pcs Rp - Rp 500.00 0 pcs Rp - 0
129 Kassa 2 x 80 0 Pcs Rp - Rp 9,740.00 0 Pcs Rp - 0
130 Kassa 4 x 15 0 Rol Rp - Rp 2,657.00 0 Rol Rp - 0
131 Kassa 4 x 3 0 Rol Rp - Rp 759.00 0 Rol Rp - 0
133 Ketokonazol 2% krim 0 Tube Rp - Rp 6,650.00 0 Tube Rp - 0
134 Ketokonazol 200 mg tab 0 Tablet Rp - Rp 394.00 1000 Tablet Rp 394,000.00 453
135 Ketoprofen 100 mg/sup 0 Supposit Rp - Rp 1,998.00 0 Supposi Rp - 0
136 Klem umbilical 0 Rol Rp - Rp 1,800.00 0 Rol Rp - 0
137 Kloramfenikol salep mata 1% 0 tube Rp - Rp 2,007.00 0 tube Rp - 0
138 Kloramfenikol TT 3% 0 Botol Rp - Rp 7,700.00 0 Botol Rp - 0
139 Klorfeniramin (CTM) 4 mg 0 Tablet Rp - Rp 23.00 1500 Tablet Rp 34,500.00 1,500
140 Klorfeniramin 4 mg (Orphen Kaplet 0 Tablet Rp - Rp 92.40 0 Tablet Rp - 0
141 Klorpromazin 100 mg 0 Tablet Rp - Rp 247.50 200 Tablet Rp 49,500.00 200
142 Klorpromazin 100 mg 0 Tablet Rp - Rp 247.50 0 Tablet Rp - 0
143 Klorpromazin Inj 25 mg/ml 0 Ampul Rp - Rp 1,243.00 0 Ampul Rp - 0
144 Kotrimoksasol 480 mg 0 Tablet Rp - Rp 133.00 600 Tablet Rp 79,800.00 600
145 Kotrimoksasol suspensi 0 Botol Rp - Rp 2,190.00 0 Botol Rp - 0
147 Kotrimoksasol suspensi 240mg 0 botol Rp - Rp 2,190.00 0 botol Rp - 0
148 KOTRIMOKSAZOL 480 MG TAB 0 Tablet Rp - Rp 125.00 0 Tablet Rp - 0
149 Lancet 0 Buah Rp - Rp 145.66 0 Buah Rp - 0
150 Lancet 0 Pcs Rp - Rp 150.00 0 Pcs Rp - 0
151 Lanzoprazol 30 mg 0 Kapsul Rp - Rp 278.00 0 Kapsul Rp - 0
152 Larutan Ziehl Nielsen 0 Paket Rp - Rp 276,500.00 0 Paket Rp - 0
153 Levofloksasin 0 Kapsul Rp - Rp 494.00 0 Kapsul Rp - 0
154 Levoftirosin 100 mcg 0 Tablet Rp - Rp 890.00 0 Tablet Rp - 0
155 Lidocain injeksi 0 Ampul Rp - Rp 1,229.00 0 Ampul Rp - 0
156 Lidocain komp injeksi 0 Ampul Rp - Rp 803.00 60 Ampul Rp 48,180.00 58
157 Magnesium Sulfat 40% 0 Vial Rp - Rp 4,090.00 0 Vial Rp - 0
158 Masker 0 pcs Rp - Rp 550.00 200 pcs Rp 110,000.00 200
159 Masker 0 pcs Rp - Rp 4,800.00 0 pcs Rp - 0
161 Masker Altamed 0 Buah Rp - Rp 1,650.00 0 Buah Rp - 0
162 Masker Bedah Hijab 0 Pcs Rp - Rp 1,050.00 0 Pcs Rp - 0
163 Masterzym 0 botol Rp - Rp 1.00 0 botol Rp - 0
164 MDT Kusta PB Dewasa 0 Paket Rp - Rp 9,770.00 0 Paket Rp - 0
165 Metampiron 500 mg (Lexagin) 0 Tablet Rp - Rp 253.00 2500 Tablet Rp 632,500.00 2,500
166 Metformin HCl tablet 500 mg 0 Tablet Rp - Rp 207.90 2000 Tablet Rp 415,800.00 2,000
167 Metilergometrin inj 0 Ampul Rp - Rp 10,800.00 0 Ampul Rp - 0
168 Metronidazol 125 mg/5ml susp 0 Botol Rp - Rp 3,765.00 0 Botol Rp - 0
169 Metronidazol 125mg/5ml susp 0 botol Rp - Rp 3,950.00 0 botol Rp - 0
170 Metronidazol 500 mg 0 Botol Rp - Rp 124.00 0 Botol Rp - 0
171 Mikonazol 2% krim 0 Tube Rp - Rp 3,414.00 0 Tube Rp - 0
172 Mikropipet tips 0 Paket Rp - Rp 87,800.00 0 Paket Rp - 0
173 Molexflu syrup 0 Botol Rp - Rp 6,274.00 0 Botol Rp - 0
174 Natrium Diklofenak 50 mg 0 Tablet Rp - Rp 123.00 1000 Tablet Rp 123,000.00 0
175 Natrium Diklofenak 50 mg 0 Tablet Rp - Rp 99.00 0 Tablet Rp - 0
176 Neo kaominal 0 Botol Rp - Rp 7,405.00 0 Botol Rp - 0
177 Neocenta / Bioplacenton krim 0 Tube Rp - Rp 16,987.00 20 Tube Rp 339,740.00 0
178 Nistatin 100000 IU / ml Drop 0 Botol Rp - Rp 11,500.00 0 Botol Rp - 0
179 Nistatin Vagtab 100.000 IU 0 Tablet Rp - Rp 560.00 0 Tablet Rp - 0
180 OB Herbal Sirup 0 Botol Rp - Rp 7,700.00 0 Botol Rp - 0
181 OB Herbal Sirup(OBASA) 0 Botol Rp - Rp 7,700.00 96 Botol Rp 739,200.00 59
182 OBH sirup molex 60 ml 0 Botol Rp - Rp 6,274.40 100 Botol Rp 627,440.00 13
183 Object Glass 0 Buah Rp - Rp 77,690.00 0 Buah Rp - 0
184 Oksitosin Inj 0 Ampul Rp - Rp 1,126.00 200 Ampul Rp 225,200.00 100
185 Ostela Forte tab 0 Tablet Rp - Rp 8,000.00 150 Tablet Rp 1,200,000.00 54
186 Parasetamol 500 mg 0 Tablet Rp - Rp 99.00 10000 Tablet Rp 990,000.00 3,806
187 Parasetamol drop 0 Botol Rp - Rp 6,649.00 0 Botol Rp - 0
188 Parasetamol infus 0 Botol Rp - Rp 11,265.00 10 Botol Rp 112,650.00 10
189 PARASETAMOL SIRUP 120 MG / 0 botol Rp - Rp 1,107.00 200 botol Rp 221,400.00 56
190 PARASETAMOL SIRUP 120 MG / 0 Tablet Rp - Rp 1,107.00 0 Tablet Rp - 0
191 Parasetamol sirup 120 mg/5ml 0 Botol Rp - Rp 1,181.00 0 Botol Rp - 0
192 Pehacain 0 Ampul Rp - Rp 4,200.00 0 Ampul Rp - 0
193 Piridoksin ( Vit B6 ) 10 mg tab 0 Tablet Rp - Rp 67.00 0 Tablet Rp - 0
194 Piridoksin (Vit B6) 10 mg 0 Tablet Rp - Rp 131.00 300 Tablet Rp 39,300.00 0
195 Piridoksin (Vit B6) 10 mg 0 Tablet Rp - Rp 123.00 0 Tablet Rp - 0
196 Piroksikam (lexicam) tablet 20 mg 0 Tablet Rp - Rp 132.00 0 Tablet Rp - 0
197 Plester (Leukoplast 7,5 cm x 4,5 c 0 Paket Rp - Rp 59,500.00 20 Paket Rp 1,190,000.00 12
198 Plesterin bulat 0 Rol Rp - Rp 175.00 0 Rol Rp - 0
199 Pot Sputum 0 Pot Rp - Rp 5,890.00 0 Pot Rp - 0
200 Povidon Iodida 10 % 30 ml 0 Pcs Rp - Rp 2,800.00 0 Pcs Rp - 0
201 Prednison 5 mg 0 Tablet Rp - Rp 119.70 0 Tablet Rp - 0
202 Prednison 5 mg 0 Tablet Rp - Rp 119.70 0 Tablet Rp - 0
203 Propiltiourasil tablet 100 m 0 Tablet Rp - Rp 410.00 0 Tablet Rp - 0
204 R.Hema OL 2100 Kertas print 0 Pcs Rp - Rp 40,000.00 0 Pcs Rp - 0
205 Ranitidin 150 mg 0 Tablet Rp - Rp 85.00 2000 Tablet Rp 170,000.00 623
206 Ranitidin 50 mg/2 ml injeksi 0 Ampul Rp - Rp 1,960.20 100 Ampul Rp 196,020.00 100
207 Ranitidin 50 mg/2 ml injeksi 0 Ampul Rp - Rp 814.00 0 Ampul Rp - 0
208 Rapid Test HIV Ke - 1 ( SD ) 0 Tes Rp - Rp 14,340.00 0 Tes Rp - 0
209 Reagen gol darah Pro-D anti A 0 Botol Rp - Rp 165,000.00 0 Botol Rp - 0
210 Reagen gol darah Pro-D anti B 0 Botol Rp - Rp 165,000.00 0 Botol Rp - 0
211 Reagen gol darah Pro-D anti D 0 Botol Rp - Rp 165,000.00 0 Botol Rp - 0
212 Reagent HbsAg tes 0 test Rp - Rp 9,850.00 150 test Rp 1,477,500.00 150
213 Recovit sirup 0 Botol Rp - Rp 9,900.00 0 Botol Rp - 0
214 retinol (vit A ) 100000 IU 0 Kapsul Rp - Rp 287.00 350 Kapsul Rp 100,450.00 350
216 retinol (vit A ) 200000 IU 0 Kapsul Rp - Rp 508.00 0 Kapsul Rp - 0
217 Retinol 100.000 IU 0 Kapsul Rp - Rp 305.00 0 Kapsul Rp - 0
218 Retinol 200.000 IU 0 Kapsul Rp - Rp 553.00 1000 Kapsul Rp 553,000.00 1,000
219 Ringer Laktat larutan infus 0 Botol Rp - Rp 7,630.00 0 Botol Rp - 0
220 Ringer Laktat larutan infus 0 Botol Rp - Rp 7,150.00 900 Botol Rp 6,435,000.00 859
221 Risperidon 2 mg 0 Tablet Rp - Rp 273.00 1500 Tablet Rp 409,500.00 960
222 Salbutamol 2 mg 0 Tablet Rp - Rp 70.00 1000 Tablet Rp 70,000.00 285
223 Salbutamol tablet 4 mg 0 Tablet Rp - Rp 70.00 0 Tablet Rp - 0
224 Salep 2-4 Kombinasi 0 pot Rp - Rp 2,796.00 24 pot Rp 67,104.00 0
225 Salep 2-4 Kombinasi 0 pot Rp - Rp 2,796.00 0 pot Rp - 0
226 Salisil bedak 2 % 0 pcs Rp - Rp 2,200.00 0 pcs Rp - 0
227 Scabicide/Scabimit/Permetrin 5% 0 Tube Rp - Rp 11,466.00 0 Tube Rp - 0
228 Serum ABU 0 Vial Rp - Rp 517,132.00 2 Vial Rp 1,034,264.00 2
229 Sianokobalamin (vit B12) tab 0 Tablet Rp - Rp 49.00 200 Tablet Rp 9,800.00 0
230 Simvastatin tablet 10 mg 0 Tablet Rp - Rp 128.70 2100 Tablet Rp 270,270.00 488
231 Solvitaz 0 Tablet Rp - Rp 1.00 0 Tablet Rp - 0
232 Spekulum dispo / Vagion M 0 Strip Rp - Rp 6,500.00 50 Strip Rp 325,000.00 50
233 Stimuno F 0 Kapsul Rp - Rp 1,763.00 120 Kapsul Rp 211,560.00 90
234 Strip Glukosa BENECHECK 0 Pcs Rp - Rp 160,000.00 0 Pcs Rp - 0
235 Strip Glukosa EASY TOUCH 0 pcs Rp - Rp 5,500.00 200 pcs Rp 1,100,000.00 0
236 Strip Glukosa EASY TOUCH 0 pcs Rp - Rp 5,500.00 0 pcs Rp - 0
237 Strip Glukosa NESCO 0 Pcs Rp - Rp 5,500.00 0 Pcs Rp - 0
238 Strip Kolesterol EASY TOUCH 0 Pcs Rp - Rp 22,000.00 50 Pcs Rp 1,100,000.00 0
239 Sukralfat / Ulsafate sirup 0 Botol Rp - Rp 4,989.00 50 Botol Rp 249,450.00 2
240 Tablet Tambah Darah 0 Tablet Rp - Rp 226.00 10000 Tablet Rp 2,260,000.00 0
241 Tablet Tambah darah 0 Tablet Rp - Rp 226.00 0 Tablet Rp - 0
242 Tetrasiklin 500 mg 0 Kapsul Rp - Rp 323.00 0 Kapsul Rp - 0
243 Thiamin (Vit B 1) tab 50 mg 0 Tablet Rp - Rp 156.20 0 Tablet Rp - 0
244 THIAMIN (VIT B1) TAB 50 MG 0 Tablet Rp - Rp 85.00 0 Tablet Rp - 0
245 Tiamin (Vit B1) 50 mg 0 Tablet Rp - Rp 253.00 3000 Tablet Rp 759,000.00 0
246 Tranfusi set 0 Botol Rp - Rp 8,500.00 0 Botol Rp - 0
247 Trifluoperazine 5 mg 0 Tablet Rp - Rp 220.00 0 Tablet Rp - 0
248 Triheksipenidil 2 mg 0 Tablet Rp - Rp 63.00 3000 Tablet Rp 189,000.00 0
249 Ultrasonic gel 0 Pcs Rp - Rp 16,000.00 0 Pcs Rp - 0
250 UnderPad 0 Botol Rp - Rp 4,785.00 300 Botol Rp 1,435,500.00 210
251 Urine bag(KMP/SCP) 0 Pcs Rp - Rp 5,700.00 0 Pcs Rp - 0
252 Vicalcin sirup 0 Botol Rp - Rp 7,024.60 0 Botol Rp - 0
253 Vitamin B Kompleks 0 Tablet Rp - Rp 89.00 0 Tablet Rp - 0
254 Vitamin B-Compleks(DEF) 0 Tablet Rp - Rp 44.00 0 Tablet Rp - 0
255 Vitamin B-Compleks(DEF) 0 Tablet Rp - Rp 71.50 0 Tablet Rp - 0
256 Zinc sulfat 20 mg 0 Tablet Rp - Rp 524.00 2000 Tablet Rp 1,048,000.00 0
257 Zink sir 20 mg/5 ml 0 Botol Rp - Rp 2,489.00 0 Botol Rp - 0
258 Zink Tablet 0 Tablet Rp - Rp 524.00 0 Tablet Rp - 0
259 Clozapine 25mg 0 Tablet Rp - Rp 1,121.00 0 Tablet Rp - 0
261 DIAZEPAM INJ 0 ampul Rp - Rp 1,545.00 10 ampul Rp 15,450.00 0
263 FDC Kategori Anak 0 paket Rp - Rp 248,120.00 0 paket Rp - 0
264 Fluphenazine/Sikzonoate 25 inj 0 Ampul Rp - Rp 63,500.00 0 Ampul Rp - 0
265 Haldol Decanoas 50 mg inj 0 Ampul Rp - Rp 109,000.00 0 Ampul Rp - 0
266 Haloperidol 5 mg inj 0 Ampul Rp - Rp 1,190.00 0 Ampul Rp - 0
267 Haloperidol 5 mg tab 0 Tablet Rp - Rp 54.00 0 Tablet Rp - 0
269 MDT Kusta MB Dewasa 0 Paket Rp - Rp 40,128.00 0 Paket Rp - 0
270 Pot Sputum 0 Pot Rp - Rp 2,728.00 200 Pot Rp 545,600.00 200
271 Reagent HbsAg tes 0 test Rp - Rp 1.00 0 test Rp - 0
272 Risperidon 2 mg 0 Tablet Rp - Rp 123.00 0 Tablet Rp - 0
274 Triheksipenidil 2 mg 0 Tablet Rp - Rp 91.00 0 Tablet Rp - 0
275 Reagent Syphillis 0 test Rp - Rp 20,400.00 0 test Rp - 0
276 Aqua PI 0 Botol Rp - Rp 2,860.00 0 Botol Rp - 0
278 retinol (vit A ) 200000 IU 0 Kapsul Rp - Rp 553.00 3100 Kapsul Rp 1,714,300.00 3,100
279 Amoksisilin kapl 500 mg 0 Tablet Rp - Rp 249.00 3000 Tablet Rp 747,000.00 3,000
280 Glukosa infus 5% 0 botol Rp - Rp 6,627.50 0 botol Rp - 0
281 Natrium Chlorida infus 0,9% 0 botol Rp - Rp 6,800.20 0 botol Rp - 0
282 Ringer Laktat larutan infus 0 botol Rp - Rp 7,629.60 0 botol Rp - 0
283 Amoksisilin 125 mg/5 ml sirup keri 0 Botol Rp - Rp 2,050.00 0 Botol Rp - 0
284 Karbamazepin 200 mg 0 Tablet Rp - Rp 189.00 0 Tablet Rp - 0
286 Kalsium Laktat 0 Tablet Rp - Rp 60.01 0 Tablet Rp - 0
288 Canule O2 dewasa 0 Buah Rp - Rp 6,130.00 0 Buah Rp - 0
289 IV Catheter No 18 NOUSHED 0 pcs Rp - Rp 5,995.00 0 pcs Rp - 0
290 IV Catheter No 20 NOUSHED 0 Pcs Rp - Rp 5,995.00 0 Pcs Rp - 0
292 Alopurinol 100mg 0 tablet Rp - Rp 105.00 0 tablet Rp - 0
293 Amoksisilin kapl 500 mg 0 tablet Rp - Rp 249.00 0 tablet Rp - 0
295 Antasida DOEN tab 0 tablet Rp - Rp 58.00 0 tablet Rp - 0
296 Asam Askorbat ( Vit.C ) 50 mg 0 tablet Rp - Rp 105.00 0 tablet Rp - 0
297 Kotrimoksasol suspensi 0 botol Rp - Rp 2,190.00 0 botol Rp - 0
298 Lidocain injeksi 2% + Epineprin 1: 0 ampul Rp - Rp 1,229.00 0 ampul Rp - 0
299 Natrium Klorida infus 0.9% 0 botol Rp - Rp 6,840.00 0 botol Rp - 0
300 Parasetamol sirup 120 mg/5ml 0 botol Rp - Rp 1,181.00 0 botol Rp - 0
302 Prednison 5 mg Tablet Rp - Rp 1.00 0 Tablet Rp - 0
303 Propanolol 10 mg tab Tablet Rp - Rp 1.00 0 Tablet Rp - 0
305 Zink 20 mg tab Tablet Rp - Rp 1.00 0 Tablet Rp - 0
306 Haloperidol 1.5mg tab Tablet Rp - Rp 1.00 0 Tablet Rp - 0
307 Alprazolam 0,5 mg Tablet Rp - Rp 78.00 0 Tablet Rp - 0
308 Diazepam 5 mg Tab Tablet Rp - Rp 108.00 0 Tablet Rp - 0
309 Parasetamol sirup 120 mg/5ml Botol Rp - Rp 1,161.00 0 Botol Rp - 0
310 Triheksipenidil 2 mg Tablet Rp - Rp 63.00 0 Tablet Rp - 0
311 Ketokonazol 200 mg tab Tablet Rp - Rp 252.00 0 Tablet Rp - 0
312 Asam Mefenamat 500 mg Tablet Rp - Rp 111.00 0 Tablet Rp - 0
313 Metilprednisolon 4 mg tab Tablet Rp - Rp 102.00 0 Tablet Rp - 0
314 Ranitidin 150 mg Tablet Rp - Rp 85.00 0 Tablet Rp - 0
315 Simvastatin tablet 10 mg Tablet Rp - Rp 68.00 0 Tablet Rp - 0
316 Allopurinol 100mg tab Tablet Rp - Rp 87.00 0 Tablet Rp - 0
317 Amoksisilin kapl 500 mg Tablet Rp - Rp 201.00 0 Tablet Rp - 0
318 Ciprofloxacin 500 mg Tablet Rp - Rp 248.00 0 Tablet Rp - 0
319 Glimepiride 2 mg tab Tablet Rp - Rp 123.00 0 Tablet Rp - 0
320 SD Bioline HIV/Syphillis Duo Test Rp - Rp 17,563.84 0 Test Rp - 0
321 Isosorbide Dinitrate tab Tablet Rp - Rp 86.00 0 Tablet Rp - 0
322 Serum ABU Vial Rp - Rp 517,132.00 0 Vial Rp - 0
323 Serum ATS 1500 IU ampul Rp - Rp 138,924.50 0 ampul Rp - 0
0 0
JUMLAH Rp 75,441,865.62 ###
###
PERBEKKES
2022
NAN
Sisa (31
Desember
2022 )
Sisa Baik Sisa Kadaluarsa
Nilai Harga Jumlah Nilai Harga Jumlah Nilai Harga
13 14 15 16 17 18 19 20
Tablet Rp 56,870.00 0 Tablet Rp - 0 Tablet Rp -
Pcs Rp 39,237.00 0 Pcs Rp - 0 Pcs Rp -
Pcs Rp - 100 Pcs Rp 128,700.00 0 Pcs Rp -
Tablet Rp 119,311.50 1314 Tablet Rp 151,767.00 0 Tablet Rp -
Tablet Rp 111,580.00 0 Tablet
Rp - 0 Tablet
Rp -
Tablet Rp 1,487,250.00 0 Tablet Rp - 0 Tablet Rp -
Botol Rp 838,200.00 28 Botol Rp 184,800.00 0 Botol Rp -
Vial Rp 1,425,001.00 30 Vial Rp 247,110.00 0 Vial Rp -
Botol Rp 269,280.00 0 Botol Rp - 0 Botol Rp -
Supp Rp 63,340.00 40 Supp Rp 126,680.00 0 Supp Rp -
Tablet Rp - 180 Tablet Rp 33,300.00 0 Tablet Rp -
Softbag Rp 2,401,854.00 0 Softbag Rp - 0 Softbag Rp -
Tablet Rp 45,990.00 2 Tablet Rp 210.00 0 Tablet Rp -
Tube Rp 98,142.00 4 Tube Rp 13,085.60 0 Tube Rp -
pcs Rp 207,988.00 0 pcs Rp - 0 pcs Rp -
Buah Rp 255,000.00 0 Buah Rp - 0 Buah Rp -
Tablet Rp - 300 Tablet Rp 1,500,000.00 0 Tablet Rp -
Paket Rp - 2 Paket Rp 251,486.40 0 Paket Rp -
ampul Rp 13,164.00 0 ampul Rp - 0 ampul Rp -
Tab Rp 25,724.00 0 Tab Rp - 0 Tab Rp -
Tube Rp - 15 Tube Rp 274,185.00 0 Tube Rp -
supp Rp - 4 supp Rp 73,116.00 0 supp Rp -
Rol Rp - 9 Rol Rp 177,309.00 0 Rol Rp -
Rol Rp 24,079.00 23 Rol Rp 553,817.00 0 Rol Rp -
ampul Rp 21,120.00 16 ampul Rp 22,528.00 0 ampul Rp -
Can Rp 836,000.00 0 Can Rp - 0 Can Rp -
Paket Rp 214,985.00 0 Paket Rp - 0 Paket Rp -
Paket Rp 3,599,850.00 13 Paket Rp 4,679,805.00 0 Paket Rp -
botol Rp 293,150.00 0 botol Rp - 0 botol Rp -
Ampul Rp 609,000.00 60 Ampul Rp 609,000.00 0 Ampul Rp -
Rol Rp 103,400.00 0 Rol Rp - 0 Rol Rp -
Sachet Rp 23,644.00 0 Sachet Rp - 0 Sachet Rp -
Tube Rp 66,875.00 0 Tube Rp - 0 Tube Rp -
pasang Rp 280,720.00 0 pasang Rp - 0 pasang Rp -
Pasang Rp 27,940.00 46 Pasang Rp 321,310.00 0 Pasang Rp -
Pasang Rp 34,925.00 95 Pasang Rp 663,575.00 0 Pasang Rp -
Pcs Rp 102,767.00 28 Pcs Rp 54,292.00 0 Pcs Rp -
Pot Rp - 1 Pot Rp 6,050.00 0 Pot Rp -
Pcs Rp 1,263,200.00 0 Pcs Rp - 0 Pcs Rp -
pcs Rp 125,895.00 133 pcs Rp 478,401.00 0 pcs Rp -
pcs Rp - 50 pcs Rp 386,180.00 0 pcs Rp -
Pcs Rp 1,553,800.00 50 Pcs Rp 388,450.00 0 Pcs Rp -
Pcs Rp 1,238,734.00 533 Pcs Rp 4,100,902.00 0 Pcs Rp -
Rol Rp 37,500.00 2 Rol Rp 25,000.00 0 Rol Rp -
Pcs Rp 1,938,260.00 0 Pcs Rp - 0 Pcs Rp -
Suppositoria Rp 11,988.00 14SuppositoriaRp 27,972.00 0SuppositoriaRp -
Rol Rp 180,000.00 0 Rol Rp - 0 Rol Rp -
kapsul Rp 407,050.00 0 kapsul Rp - 0 kapsul Rp -
Tablet Rp 124,154.00 3,942 Tablet Rp 90,666.00 0 Tablet Rp -
botol Rp 48,180.00 17 botol Rp 37,230.00 0 botol Rp -
Ampul Rp 110,610.00 0 Ampul Rp - 0 Ampul Rp -
ampul Rp - 4 ampul Rp 15,184.00 0 ampul Rp -
Paket Rp - 2 Paket Rp 61,190.00 0 Paket Rp -
Tablet Rp 1,039,850.00 0 Tablet
Rp - 0 Tablet
Rp -
Botol 60 ml Rp 169,400.00 0Botol 60 ml Rp - 0Botol 60 ml Rp -
roll Rp 416,500.00 0 roll Rp - 0 roll Rp -
Btl Rp 330,000.00 0 Btl Rp - 0 Btl Rp -
Kapsul Rp 10,340.00 0 Kapsul Rp - 0 Kapsul Rp -
Kapsul Rp 10,160.00 0 Kapsul Rp - 0 Kapsul Rp -
Botol Rp 1,086,800.00 0 Botol Rp - 0 Botol Rp -
Tablet Rp 681.97 0 Tablet Rp - 0 Tablet Rp -
pot Rp 240,456.00 8 pot Rp 22,368.00 0 pot Rp -
Kotak 50 gr Rp 150,040.00 8Kotak 50 gr Rp 19,360.00 0Kotak 50 gr Rp -
test Rp 290,400.00 0 test Rp - 0 test Rp -
test Rp 470,400.00 30 test Rp 705,600.00 0 test Rp -
Tablet Rp 2,412,776.00 1441 Tablet Rp 325,666.00 0 Tablet Rp -
Tablet Tablet Tablet

Rp 675,763.00 682 Rp 172,546.00 0 Rp -
Botol Botol Botol

Rp 170,000.00 80 Rp 680,000.00 0 Rp -
Pcs Rp 418,080.00 290 Pcs Rp 2,020,720.00 0 Pcs Rp -
botol botol botol

Rp 104,643.00 0 Rp - 0 Rp -
Tablet Rp 132,841.50 185 Tablet Rp 59,218.50 Tablet Rp -
Pcs Rp - 0 Pcs Rp - Pcs Rp -
Pcs Rp 138,600.00 0 Pcs Rp - Pcs Rp -
Tablet Rp 3,456,000.00 0 Tablet Rp - Tablet Rp -
Set Rp - 0 Set Rp - Set Rp -
Tablet Rp - 0 Tablet Rp - Tablet Rp -
Tablet Rp 57,750.00 0 Tablet Rp - Tablet Rp -
Botol Rp - 0 Botol Rp - Botol Rp -
botol Rp - 0 botol Rp - botol Rp -
Vial Rp - 0 Vial Rp - Vial Rp -
Botol Rp 85,629.00 149 Botol Rp 250,171.00 Botol Rp -
Tablet Rp - 3000 Tablet Rp 174,000.00 Tablet Rp -
Pot Rp - 0 Pot Rp - Pot Rp -
SuppositoriaRp - S0uppositoriaRp - SuppositoriaRp -
Softbag Rp - 0 Softbag Rp - Softbag Rp -
Tube Rp - 0 Tube Rp - Tube Rp -
Ampul Rp - 0 Ampul Rp - Ampul Rp -
Buah Rp - 0 Buah Rp - Buah Rp -
Pcs Rp - 100 Pcs Rp 510,000.00 Pcs Rp -
Buah Rp - 20 Buah Rp 104,000.00 Buah Rp -
Buah Rp 255,000.00 50 Buah Rp 255,000.00 Buah Rp -
Pcs Rp 66,240.00 18 Pcs Rp 99,360.00 Pcs Rp -
Ampul Rp 92,400.00 0 Ampul Rp - Ampul Rp -
ampul Rp - 0 ampul Rp - ampul Rp -
botol Rp - 10 botol Rp 1,265,000.00 botol Rp -
paket Rp - 0 paket Rp - paket Rp -
Paket Rp - 0 Paket Rp - Paket Rp -
paket Rp 214,985.00 0 paket Rp - paket Rp -
Rol Rp - 20 Rol Rp 206,800.00 Rol Rp -
Sachet Rp 106,141.00 87 Sachet Rp 22,359.00 Sachet Rp -
Tube Rp 101,650.00 10 Tube Rp 26,750.00 Tube Rp -
Pasang Rp - 0 Pasang Rp - Pasang Rp -
Pasang Rp 199,100.00 0 Pasang Rp - Pasang Rp -
test Rp - 0 test Rp - test Rp -
Tube Rp - 48 Tube Rp 118,800.00 Tube Rp -
pcs Rp 468,990.00 19 pcs Rp 110,010.00 pcs Rp -
pcs Rp - 0 pcs Rp - pcs Rp -
pcs Rp 385,000.00 0 pcs Rp - pcs Rp -
Sachet Rp 25,000.00 0 Sachet Rp - Sachet Rp -
Sachet Rp - 0 Sachet Rp - Sachet Rp -
Rol Rp - 0 Rol Rp - Rol Rp -
Suppositor Rp - 0 Supposit Rp - Supposit Rp -
tube Rp - 0 tube Rp - tube Rp -
Kapsul Rp - 0 Kapsul Rp - Kapsul Rp -
Ampul Rp 46,574.00 2 Ampul Rp 1,606.00 Ampul Rp -
Botol Rp 112,650.00 0 Botol Rp - Botol Rp -
botol Rp 61,992.00 144 botol Rp 159,408.00 botol Rp -
Paket Rp 714,000.00 8 Paket Rp 476,000.00 Paket Rp -
Tes Rp - 0 Tes Rp - Tes Rp -
test Rp 1,477,500.00 0 test Rp - test Rp -
Kapsul Rp 100,450.00 0 Kapsul Rp - Kapsul Rp -
Botol Rp 6,141,850.00 41 Botol Rp 293,150.00 Botol Rp -
pot Rp - 24 pot Rp 67,104.00 pot Rp -
pot Rp - 0 pot Rp - pot Rp -
Vial Rp 1,034,264.00 0 Vial Rp - Vial Rp -
Strip Rp 325,000.00 0 Strip Rp - Strip Rp -
Kapsul Rp 158,670.00 30 Kapsul Rp 52,890.00 Kapsul Rp -
pcs Rp - 200 pcs Rp 1,100,000.00 pcs Rp -
Pcs Rp - 50 Pcs Rp 1,100,000.00 Pcs Rp -
Tablet Rp - 10000 Tablet Rp 2,260,000.00 Tablet Rp -
Botol Rp 1,004,850.00 90 Botol Rp 430,650.00 Botol Rp -
Tablet Rp - 2000 Tablet Rp 1,048,000.00 Tablet Rp -
ampul Rp - 10 ampul Rp 15,450.00 ampul Rp -
Pot Rp 545,600.00 0 Pot Rp - Pot Rp -
Kapsul Rp 1,714,300.00 0 Kapsul Rp - Kapsul Rp -
tablet Rp - 0 tablet Rp - tablet Rp -
Test Rp - 0 Test Rp - Test Rp -
0
Rp 76,693,774.54 Rp 42,736,651.08 Rp -
###
UPTD PUSKESMAS SONOKIDUL
Pada hariNo./ini Jumat Tanggal Tiga Puluh Satu Desember Tahun Dua Ribu Dua Puluh Satu telah dilaksanakan pelaporan mutasi obat UPTD Gudang Farmasi dengan hasil sebagai berikut:
Tgl.
Sura
t
Das Jumlah Barang yang Sisa (31
Tan ar Barang-barang bulan diterima/dikeluarkan
No
ggal Pen
Uraian (Nama Barang)
lalu ( 1 Januari 2020)
Harga Satuan
( 1 Januari s/d 31
Desember
erim Desember 2021) 2021)
aan/
Pen Saldo Penambahan Pengurangan Sisa Baik Sisa Kadaluarsa
gelu
aran Jumlah Nilai Harga Jumlah Nilai Harga Jumlah Nilai Harga Jumlah Nilai Harga Jumlah Nilai
1 2 3 4 5 6 7 8 10 11 13 14 15 16 17 18 19
1 Akita Tablet 860 Tablet Rp 275,286.00 Rp 320.10 0 Tablet Rp - 335 Tablet Rp 107,233.50 525 Tablet Rp 168,052.50 0 Tablet
2 Alat Suntik 1 ml 295 Pcs Rp 282,315.00 Rp 957.00 0 Pcs Rp - 115 Pcs Rp 110,055.00 180 Pcs Rp 172,260.00 0 Pcs
6 ALLOPURINOL TAB 100 MG 970 Tablet Rp 96,030.00 Rp 99.00 0 Tablet Rp - 590 Tablet Rp 58,410.00 380 Tablet Rp 37,620.00 0 Tablet
7 Alopurinol 300 mg 300 Tablet Rp 165,000.00 Rp 550.00 0 Tablet Rp - 20 Tablet Rp 11,000.00 280 Tablet Rp 154,000.00 0 Tablet
8 Alprazolam 0,5 mg 90 Tablet Rp 8,460.00 Rp 94.00 0 Tablet Rp - 10 Tablet Rp 940.00 80 Tablet Rp 7,520.00 0 Tablet
9 Ambroxol 30 mg tab 2,022 Tablet Rp 233,541.00 Rp 115.50 0 Tablet Rp - 1,252 Tablet Rp 144,606.00 770 Tablet Rp 88,935.00 0 Tablet
10 Amlodipin 10 mg 975 Tablet Rp 487,500.00 Rp 500.00 0 Tablet Rp - 975 Tablet Rp 487,500.00 0 Tablet Rp - 0 Tablet
11 Amlodipin 5 mg 1,345 Tablet Rp 605,250.00 Rp 450.00 0 Tablet Rp - 545 Tablet Rp 245,250.00 800 Tablet Rp 360,000.00 0 Tablet
12 Amoksisilin kapl 500 mg 1,005 Tablet Rp 202,005.00 Rp 201.00 0 Tablet Rp - 1,005 Tablet Rp 202,005.00 0 Tablet Rp - 0 Tablet
13 Amoksisilin sirup kering 82 botol Rp 315,700.00 Rp 3,850.00 0 botol Rp - 81 botol Rp 311,850.00 1 botol Rp 3,850.00 0 botol
14 Antasida DOEN 2,941 Tablet Rp 170,578.00 Rp 58.00 0 Tablet Rp - 1,460 Tablet Rp 84,680.00 1,481 Tablet Rp 85,898.00 0 Tablet
15 Antasida DOEN susp 59 Botol Rp 176,528.00 Rp 2,992.00 0 Botol Rp - 31 Botol Rp 92,752.00 28 Botol Rp 83,776.00 0 Botol
16 Antihemoroid 30 Supp Rp 95,010.00 Rp 3,167.00 0 Supp Rp - 28 Supp Rp 88,676.00 2 Supp Rp 6,334.00 0 Supp
17 Antihemoroid 6 Supp Rp 19,002.00 Rp 3,167.00 0 Supp Rp - 0 Supp Rp - 6 Supp Rp 19,002.00 0 Supp
18 ASAM ASKORBAT 50 MG TAB 1,283 Tablet Rp 134,715.00 Rp 105.00 0 Tablet Rp - 1,283 Tablet Rp 134,715.00 0 Tablet Rp - 0 Tablet
19 Asam folat 1 mg 210 Tablet Rp 15,750.00 Rp 75.00 0 Tablet Rp - 210 Tablet Rp 15,750.00 0 Tablet Rp - 0 Tablet
20 Asam Mefenamat 500 mg 1,540 Tablet Rp 170,940.00 Rp 111.00 0 Tablet Rp - 1,540 Tablet Rp 170,940.00 0 Tablet Rp - 0 Tablet
21 Aseptic gel / Hand Sanitizer 5 Botol Rp 110,000.00 Rp 22,000.00 0 Botol Rp - 5 Botol Rp 110,000.00 0 Botol Rp - 0 Botol
22 Asering 240 Softbag Rp 2,315,040.00 Rp 9,646.00 0 Softbag Rp - 0 Softbag Rp - 240 Softbag Rp 2,315,040.00 0 Softbag
23 Asetosal 80 mg (Miniaspi tab) 810 Tablet Rp 85,050.00 Rp 105.00 0 Tablet Rp - 30 Tablet Rp 3,150.00 780 Tablet Rp 81,900.00 0 Tablet
24 Asiklovir 400 mg tab 551 Tablet Rp 223,155.00 Rp 405.00 0 Tablet Rp - 36 Tablet Rp 14,580.00 515 Tablet Rp 208,575.00 0 Tablet
25 Asiklovir Krim 14 Tube Rp 45,799.60 Rp 3,271.40 0 Tube Rp - 14 Tube Rp 45,799.60 0 Tube Rp - 0 Tube
26 Atropin Sulfat inj 5 Ampul Rp 8,590.00 Rp 1,718.00 0 Ampul Rp - 2 Ampul Rp 3,436.00 3 Ampul Rp 5,154.00 0 Ampul
27 Betahistin Mesilat 6 mg Tab 380 Tablet Rp 171,380.00 Rp 451.00 0 Tablet Rp - 380 Tablet Rp 171,380.00 0 Tablet Rp - 0 Tablet
28 Betametason krim 0,1% 9 Tube Rp 12,060.00 Rp 1,340.00 0 Tube Rp - 9 Tube Rp 12,060.00 0 Tube Rp - 0 Tube
29 Bio ATP 100 Tablet Rp 250,000.00 Rp 2,500.00 0 Tablet Rp - 0 Tablet Rp - 100 Tablet Rp 250,000.00 0 Tablet
30 Borax Gliserin 20 botol Rp 88,000.00 Rp 4,400.00 0 botol Rp - 7 botol Rp 30,800.00 13 botol Rp 57,200.00 0 botol
31 Bracket 3 Pcs Rp 66,000.00 Rp 22,000.00 0 Pcs Rp - 1 Pcs Rp 22,000.00 2 Pcs Rp 44,000.00 0 Pcs
32 Canule O2 Anak 10 pcs Rp 51,997.00 Rp 5,199.70 0 pcs Rp - 0 pcs Rp - 10 pcs Rp 51,997.00 0 pcs
33 Canule O2 dewasa 15 Buah Rp 76,500.00 Rp 5,100.00 0 Buah Rp - 7 Buah Rp 35,700.00 8 Buah Rp 40,800.00 0 Buah
34 Clozapine tab 25 mg 280 Tablet Rp 1,400,000.00 Rp 5,000.00 0 Tablet Rp - 280 Tablet Rp 1,400,000.00 0 Tablet Rp - 0 Tablet
35 Daryantulle kasa 9 pcs Rp 49,680.00 Rp 5,520.00 0 pcs Rp - 5 pcs Rp 27,600.00 4 pcs Rp 22,080.00 0 pcs
36 Deksametason 0,5 mg tab 2,432 Tablet Rp 77,824.00 Rp 32.00 0 Tablet Rp - 1,985 Tablet Rp 63,520.00 447 Tablet Rp 14,304.00 0 Tablet
37 Deksametason Inj 5 mg/ml 20 Ampul Rp 18,480.00 Rp 924.00 0 Ampul Rp - 20 Ampul Rp 18,480.00 0 Ampul Rp - 0 Ampul
38 Diazepam 5 mg 130 Tab Rp 14,170.00 Rp 109.00 0 Tab Rp - 130 Tab Rp 14,170.00 0 Tab Rp - 0 Tab
39 Diazepam inj 5 mg/ml 9 Ampul Rp 15,615.00 Rp 1,735.00 0 Ampul Rp - 2 Ampul Rp 3,470.00 7 Ampul Rp 12,145.00 0 Ampul
40 Diazepam rektal 10 mg/2,5 mL 5 supp Rp 91,395.00 Rp 18,279.00 0 supp Rp - 1 supp Rp 18,279.00 4 supp Rp 73,116.00 0 supp
41 Diazepam rektal 10 mg/2,5 ml 5 Tube Rp 91,395.00 Rp 18,279.00 0 Tube Rp - 0 Tube Rp - 5 Tube Rp 91,395.00 0 Tube
42 Digoksin tablet 0,25 mg 600 Tablet Rp 68,640.00 Rp 114.40 0 Tablet Rp - 210 Tablet Rp 24,024.00 390 Tablet Rp 44,616.00 0 Tablet
43 Dimenhidrinat tab 50 mg 190 Tablet Rp 20,520.00 Rp 108.00 0 Tablet Rp - 90 Tablet Rp 9,720.00 100 Tablet Rp 10,800.00 0 Tablet
44 Domperidon tablet 10 mg 880 Tablet Rp 183,920.00 Rp 209.00 0 Tablet Rp - 140 Tablet Rp 29,260.00 740 Tablet Rp 154,660.00 0 Tablet
45 Epinefrin Inj (Adrenalin)0,1% 30 ampul Rp 42,240.00 Rp 1,408.00 0 ampul Rp - 2 ampul Rp 2,816.00 28 ampul Rp 39,424.00 0 ampul
46 Etaflusin 2,630 Tablet Rp 925,470.70 Rp 351.89 0 Tablet Rp - 2,270 Tablet Rp 798,790.30 360 Tablet Rp 126,680.40 0 Tablet
47 Etakridin lart 0,1% (Rivanol) 5 Botol Rp 7,625.00 Rp 1,525.00 0 Botol Rp - 0 Botol Rp - 5 Botol Rp 7,625.00 0 Botol
48 Etanol 70 % 100 ml 19 Botol Rp 53,010.00 Rp 2,790.00 0 Botol Rp - 11 Botol Rp 30,690.00 8 Botol Rp 22,320.00 0 Botol
49 Etil Klorida 2 Can Rp 418,000.00 Rp 209,000.00 0 Can Rp - 0 Can Rp - 2 Can Rp 418,000.00 0 Can
50 Etil Klorida 1 Can Rp 208,670.00 Rp 208,670.00 0 Can Rp - 1 Can Rp 208,670.00 0 Can Rp - 0 Can
51 Fenitoin 100 mg 40 Kapsul Rp 6,320.00 Rp 158.00 0 Kapsul Rp - 40 Kapsul Rp 6,320.00 0 Kapsul Rp - 0 Kapsul
52 Fenobarbital Tab 30 mg 140 Tablet Rp 23,938.60 Rp 170.99 0 Tablet Rp - 140 Tablet Rp 23,938.60 0 Tablet Rp - 0 Tablet
53 Fitomenadion inj 2 mg/ml/Vitka infant 60 Ampul Rp 609,000.00 Rp 10,150.00 0 Ampul Rp - 0 Ampul Rp - 60 Ampul Rp 609,000.00 0 Ampul
54 Fluphenazine/Sikzonoate 25 inj 25 ampul Rp 1,599,647.50 Rp 63,985.90 0 ampul Rp - 0 ampul Rp - 25 ampul Rp 1,599,647.50 0 ampul
55 Folley Catheter 16 2 Rol Rp 20,680.00 Rp 10,340.00 0 Rol Rp - 2 Rol Rp 20,680.00 0 Rol Rp - 0 Rol
56 Furosemid 40 mg 105 Tablet Rp 8,085.00 Rp 77.00 0 Tablet Rp - 105 Tablet Rp 8,085.00 0 Tablet Rp - 0 Tablet
57 Garam oralit 70 Sachet Rp 17,990.00 Rp 257.00 0 Sachet Rp - 30 Sachet Rp 7,710.00 40 Sachet Rp 10,280.00 0 Sachet
58 gent oint / Gentamisin salep mata 11 Tube Rp 29,425.00 Rp 2,675.00 0 Tube Rp - 10 Tube Rp 26,750.00 1 Tube Rp 2,675.00 0 Tube
59 Gentamisin sulfat TM 0,3% 18 Botol Rp 81,360.00 Rp 4,520.00 0 Botol Rp - 18 Botol Rp 81,360.00 0 Botol Rp - 0 Botol
60 Gentian violet 27 Botol Rp 103,950.00 Rp 3,850.00 0 Botol Rp - 0 Botol Rp - 27 Botol Rp 103,950.00 0 Botol
61 Glibenklamid 5 mg 920 Tablet Rp 130,640.00 Rp 142.00 0 Tablet Rp - 920 Tablet Rp 130,640.00 0 Tablet Rp - 0 Tablet
62 Glimepiride 1 mg 1,100 Tablet Rp 408,980.00 Rp 371.80 0 Tablet Rp - 50 Tablet Rp 18,590.00 1,050 Tablet Rp 390,390.00 0 Tablet
63 Gliseril Guaikiolat ( GG ) 1,800 Tablet Rp 160,380.00 Rp 89.10 0 Tablet Rp - 1,396 Tablet Rp 124,383.60 404 Tablet Rp 35,996.40 0 Tablet
64 Gliseril Guaikiolat ( GG ) 1,203 Tablet Rp 158,796.00 Rp 132.00 0 Tablet Rp - 0 Tablet Rp - 1,203 Tablet Rp 158,796.00 0 Tablet
65 Glukosa infus 5% 20 Botol Rp 132,540.00 Rp 6,627.00 0 Botol Rp - 0 Botol Rp - 20 Botol Rp 132,540.00 0 Botol
66 Griseofulvin 125 mg ( KF ) 378 Tablet Rp 84,672.00 Rp 224.00 0 Tablet Rp - 118 Tablet Rp 26,432.00 260 Tablet Rp 58,240.00 0 Tablet
67 Haloperidol 1,5 mg 940 Tablet Rp 55,463.76 Rp 59.00 0 Tablet Rp - 0 Tablet Rp - 940 Tablet Rp 55,463.76 0 Tablet
68 Haloperidol tablet 5 mg 400 Tablet Rp 24,000.00 Rp 60.00 0 Tablet Rp - 400 Tablet Rp 24,000.00 0 Tablet Rp - 0 Tablet
69 Hidroklorotiazid ( HCT ) 80 Tablet Rp 10,240.00 Rp 128.00 0 Tablet Rp - 0 Tablet Rp - 80 Tablet Rp 10,240.00 0 Tablet
70 Hidrokortison 2,5% krim 48 Tube Rp 118,800.00 Rp 2,475.00 0 Tube Rp - 22 Tube Rp 54,450.00 26 Tube Rp 64,350.00 0 Tube
71 Hyosin Tab 70 Tablet Rp 73,500.00 Rp 1,050.00 0 Tablet Rp - 0 Tablet Rp - 70 Tablet Rp 73,500.00 0 Tablet
72 Ibuprofen 400 mg 1,310 Tablet Rp 492,560.00 Rp 376.00 0 Tablet Rp - 820 Tablet Rp 308,320.00 490 Tablet Rp 184,240.00 0 Tablet
73 Ibuprofen suspensi 100 mg/5 ml 15 Botol Rp 33,540.00 Rp 2,236.00 0 Botol Rp - 3 Botol Rp 6,708.00 12 Botol Rp 26,832.00 0 Botol
74 Ichtyol/Ichtamolum 5 Pot Rp 30,250.00 Rp 6,050.00 0 Pot Rp - 3 Pot Rp 18,150.00 2 Pot Rp 12,100.00 0 Pot
75 Infuset dewasa Axeell 68 Pcs Rp 467,024.00 Rp 6,868.00 0 Pcs Rp - 2 Pcs Rp 13,736.00 66 Pcs Rp 453,288.00 0 Pcs
76 Infusion Set Anak 25 pcs Rp 89,925.00 Rp 3,597.00 0 pcs Rp - 5 pcs Rp 17,985.00 20 pcs Rp 71,940.00 0 pcs
77 Infusion Set Anak 14 Pcs Rp 49,000.00 Rp 3,500.00 0 Pcs Rp - 0 Pcs Rp - 14 Pcs Rp 49,000.00 0 Pcs
78 Isosorbid Dinitrat 5 mg 270 Tablet Rp 26,433.00 Rp 97.90 0 Tablet Rp - 270 Tablet Rp 26,433.00 0 Tablet Rp - 0 Tablet
79 IV Catheter 18G MF Cath Pro 29 Pcs Rp 228,201.00 Rp 7,869.00 0 Pcs Rp - 15 Pcs Rp 118,035.00 14 Pcs Rp 110,166.00 0 Pcs
80 IV Catheter 24G MF Cath Pro 13 Pcs Rp 100,022.00 Rp 7,694.00 0 Pcs Rp - 1 Pcs Rp 7,694.00 12 Pcs Rp 92,328.00 0 Pcs
81 IV Catheter No. 24 G x 1/4 " 50 Pcs Rp 190,000.00 Rp 3,800.00 0 Pcs Rp - 0 Pcs Rp - 50 Pcs Rp 190,000.00 0 Pcs
82 Jarum jahit hecting kulit untuk khitan (No. 1 set Rp 236,500.00 Rp 236,500.00 0 set Rp - 1 set Rp 236,500.00 0 set Rp - 0 set
83 Kalium Diklofenak tablet 50 mg 500 Tablet Rp 1,050,000.00 Rp 2,100.00 0 Tablet Rp - 150 Tablet Rp 315,000.00 350 Tablet Rp 735,000.00 0 Tablet
84 Kalium Permanganat 27 Pot Rp 112,860.00 Rp 4,180.00 0 Pot Rp - 10 Pot Rp 41,800.00 17 Pot Rp 71,060.00 0 Pot
85 Kalsium Laktat 500 mg 3,266 Tablet Rp 205,758.00 Rp 63.00 0 Tablet Rp - 1,914 Tablet Rp 120,582.00 1,352 Tablet Rp 85,176.00 0 Tablet
86 Kapas Pembalut 250g 2 pcs Rp 41,200.00 Rp 20,600.00 0 pcs Rp - 2 pcs Rp 41,200.00 0 pcs Rp - 0 pcs
87 Kaptopril 12,5 mg 1,510 Tablet Rp 93,620.00 Rp 62.00 0 Tablet Rp - 1,055 Tablet Rp 65,410.00 455 Tablet Rp 28,210.00 0 Tablet
88 Kaptopril 25 mg 895 Tablet Rp 118,140.00 Rp 132.00 0 Tablet Rp - 895 Tablet Rp 118,140.00 0 Tablet Rp - 0 Tablet
89 Kasa hydrophyl 18x22 216 pcs Rp 135,000.00 Rp 625.00 0 pcs Rp - 156 pcs Rp 97,500.00 60 pcs Rp 37,500.00 0 pcs
90 Kassa 4 x 15 75 Rol Rp 199,275.00 Rp 2,657.00 0 Rol Rp - 25 Rol Rp 66,425.00 50 Rol Rp 132,850.00 0 Rol
91 Kassa 4 x 3 100 pcs Rp 84,000.00 Rp 840.00 0 pcs Rp - 50 pcs Rp 42,000.00 50 pcs Rp 42,000.00 0 pcs
92 Kassa 40 x 40 109 Pcs Rp 174,400.00 Rp 1,600.00 0 Pcs Rp - 59 Pcs Rp 94,400.00 50 Pcs Rp 80,000.00 0 Pcs
93 Ketokonazol 2% krim 10 Tube Rp 66,500.00 Rp 6,650.00 0 Tube Rp - 5 Tube Rp 33,250.00 5 Tube Rp 33,250.00 0 Tube
94 Ketokonazol 200 mg tab 480 Tablet Rp 189,120.00 Rp 394.00 0 Tablet Rp - 40 Tablet Rp 15,760.00 440 Tablet Rp 173,360.00 0 Tablet
95 Kloramfenikol Salep Kulit 17 Tube Rp 51,646.00 Rp 3,038.00 0 Tube Rp - 17 Tube Rp 51,646.00 0 Tube Rp - 0 Tube
96 Kloramfenikol tetes mata 1% 31 Botol Rp 305,365.50 Rp 9,850.50 0 Botol Rp - 13 Botol Rp 128,056.50 18 Botol Rp 177,309.00 0 Botol
97 Kloramfenikol TT 3% 35 Botol Rp 269,500.00 Rp 7,700.00 0 Botol Rp - 8 Botol Rp 61,600.00 27 Botol Rp 207,900.00 0 Botol
98 Klorfeniramin (CTM) 4 mg 2,472 Tablet Rp 56,856.00 Rp 23.00 0 Tablet Rp - 2,472 Tablet Rp 56,856.00 0 Tablet Rp - 0 Tablet
99 Klorpromazin 100 mg 500 Tablet Rp 123,750.00 Rp 247.50 0 Tablet Rp - 20 Tablet Rp 4,950.00 480 Tablet Rp 118,800.00 0 Tablet
100 Kodein 10 mg 20 Tablet Rp 11,420.00 Rp 571.00 0 Tablet Rp - 20 Tablet Rp 11,420.00 0 Tablet Rp - 0 Tablet
101 Kotrimoksasol 480 mg 360 Tablet Rp 47,880.00 Rp 133.00 0 Tablet Rp - 300 Tablet Rp 39,900.00 60 Tablet Rp 7,980.00 0 Tablet
102 Kotrimoksasol suspensi 240mg 99 botol Rp 216,810.00 Rp 2,190.00 0 botol Rp - 52 botol Rp 113,880.00 47 botol Rp 102,930.00 0 botol
103 Lanzoprazol 30 mg 460 Kapsul Rp 127,880.00 Rp 278.00 0 Kapsul Rp - 170 Kapsul Rp 47,260.00 290 Kapsul Rp 80,620.00 0 Kapsul
104 Lidokain Inj 2%+Epinefrin 1:80.000 - inj 2 ml 30 ampul Rp 36,870.00 Rp 1,229.00 0 ampul Rp - 30 ampul Rp 36,870.00 0 ampul Rp - 0 ampul
105 Metampiron 500 mg 1,909 Tablet Rp 755,964.00 Rp 396.00 0 Tablet Rp - 1,229 Tablet Rp 486,684.00 680 Tablet Rp 269,280.00 0 Tablet
106 Metformin HCl tablet 500 mg 524 Tablet Rp 183,400.00 Rp 350.00 0 Tablet Rp - 524 Tablet Rp 183,400.00 0 Tablet Rp - 0 Tablet
107 Metilergometrin 0,125 mg 90 Tablet Rp 18,990.00 Rp 211.00 0 Tablet Rp - 90 Tablet Rp 18,990.00 0 Tablet Rp - 0 Tablet
108 Metilprednisolon 4 mg tablet 440 Tablet Rp 112,288.00 Rp 255.20 0 Tablet Rp - 350 Tablet Rp 89,320.00 90 Tablet Rp 22,968.00 0 Tablet
109 Metoklopramid 10 mg tablet 5 Tablet Rp 330.00 Rp 66.00 0 Tablet Rp - 5 Tablet Rp 330.00 0 Tablet Rp - 0 Tablet
110 Metronidazol 250 mg 256 Tablet Rp 134,400.00 Rp 525.00 0 Tablet Rp - 35 Tablet Rp 18,375.00 221 Tablet
Rp 116,025.00 0 Tablet
111 Mikonazol 2% krim 24 Tube Rp 81,936.00 Rp 3,414.00 0 Tube Rp - 0 Tube Rp - 24 Tube Rp 81,936.00 0 Tube
112 Mikonazol krim 2% 14 Tube Rp 47,796.00 Rp 3,414.00 0 Tube Rp - 9 Tube Rp 30,726.00 5 Tube Rp 17,070.00 0 Tube
113 Molexflu syrup 50 Botol Rp 313,700.00 Rp 6,274.00 0 Botol Rp - 24 Botol Rp 150,576.00 26 Botol Rp 163,124.00 0 Botol
114 NaCl 0,9% 500 ml 40 botol Rp 273,600.00 Rp 6,840.00 0 botol Rp - 18 botol Rp 123,120.00 22 botol Rp 150,480.00 0 botol
115 Natrium Diklofenak 50 mg 801 Tablet Rp 98,523.00 Rp 123.00 0 Tablet Rp - 801 Tablet Rp 98,523.00 0 Tablet Rp - 0 Tablet
116 Neo kaominal 20 Botol Rp 148,100.00 Rp 7,405.00 0 Botol Rp - 5 Botol Rp 37,025.00 15 Botol Rp 111,075.00 0 Botol
117 Neocenta / Bioplacenton krim 16 Tube Rp 271,792.00 Rp 16,987.00 0 Tube Rp - 16 Tube Rp 271,792.00 0 Tube Rp - 0 Tube
118 Neurotropik tablet 305 Tablet Rp 204,350.00 Rp 670.00 0 Tablet Rp - 217 Tablet Rp 145,390.00 88 Tablet Rp 58,960.00 0 Tablet
119 OB Herbal Sirup 24 Botol Rp 184,800.00 Rp 7,700.00 0 Botol Rp - 24 Botol Rp 184,800.00 0 Botol Rp - 0 Botol
120 OBH sirup molex 60 ml 9 Botol Rp 56,469.60 Rp 6,274.40 0 Botol Rp - 9 Botol Rp 56,469.60 0 Botol Rp - 0 Botol
121 Oksitetrasiklin (Sancortmycin) Salep kulit 2 tube Rp 34,100.00 Rp 17,050.00 0 tube Rp - 2 tube Rp 34,100.00 0 tube Rp - 0 tube
122 Ostela Forte tab 210 Tablet Rp 1,680,000.00 Rp 8,000.00 0 Tablet Rp - 30 Tablet Rp 240,000.00 180 Tablet Rp 1,440,000.00 0 Tablet
123 Parasetamol 500 mg 5,318 Tablet Rp 526,482.00 Rp 99.00 0 Tablet Rp - 5,318 Tablet Rp 526,482.00 0 Tablet Rp - 0 Tablet
124 Parasetamol drops 100 mg/ml 76 botol Rp 505,324.00 Rp 6,649.00 0 botol Rp - 76 botol Rp 505,324.00 0 botol Rp - 0 botol
125 Parasetamol sirup 120 mg/5 ml 100 botol Rp 118,100.00 Rp 1,181.00 0 botol Rp - 100 botol Rp 118,100.00 0 botol Rp - 0 botol
126 Piridoksin (Vit B6) 10 mg 1,010 Tablet Rp 124,230.00 Rp 123.00 0 Tablet Rp - 860 Tablet Rp 105,780.00 150 Tablet Rp 18,450.00 0 Tablet
127 Piroksikam (lexicam) tablet 20 mg 1,300 Tablet Rp 171,600.00 Rp 132.00 0 Tablet Rp - 630 Tablet Rp 83,160.00 670 Tablet Rp 88,440.00 0 Tablet
128 Povidon Iodida 10 % 30 ml 20 Pcs Rp 56,000.00 Rp 2,800.00 0 Pcs Rp - 11 Pcs Rp 30,800.00 9 Pcs Rp 25,200.00 0 Pcs
129 Povidon Iodida 10 % 300 ml 3 botol Rp 51,166.67 Rp 17,055.56 0 botol Rp - 0 botol Rp - 3 botol Rp 51,166.67 0 botol
130 Prednison 5 mg 1,395 Tablet Rp 101,835.00 Rp 73.00 0 Tablet Rp - 1,395 Tablet Rp 101,835.00 0 Tablet Rp - 0 Tablet
131 Propiltiourasil tablet 100 m 200 Tablet Rp 82,000.00 Rp 410.00 0 Tablet Rp - 0 Tablet Rp - 200 Tablet Rp 82,000.00 0 Tablet
132 Propranolol 10 mg 200 Tablet Rp 10,800.00 Rp 54.00 0 Tablet Rp - 30 Tablet Rp 1,620.00 170 Tablet Rp 9,180.00 0 Tablet
133 Ranitidin 150 mg 1,210 Tablet Rp 206,704.30 Rp 170.83 0 Tablet Rp - 1,210 Tablet Rp 206,704.30 0 Tablet Rp - 0 Tablet
134 Reagen gol darah Pro-D anti A 2 Btl Rp 330,000.00 Rp 165,000.00 0 Btl Rp - 2 Btl Rp 330,000.00 0 Btl Rp - 0 Btl
135 Reagen gol darah Pro-D anti B 2 Btl Rp 330,000.00 Rp 165,000.00 0 Btl Rp - 2 Btl Rp 330,000.00 0 Btl Rp - 0 Btl
136 Recovit sirup 38 Botol Rp 376,200.00 Rp 9,900.00 0 Botol Rp - 38 Botol Rp 376,200.00 0 Botol Rp - 0 Botol
137 Ringer Laktat larutan infus 34 Botol Rp 243,100.00 Rp 7,150.00 0 Botol Rp - 34 Botol Rp 243,100.00 0 Botol Rp - 0 Botol
138 Risperidon 2 mg 1,000 Tablet Rp 273,000.00 Rp 273.00 0 Tablet Rp - 915 Tablet Rp 249,795.00 85 Tablet Rp 23,205.00 0 Tablet
139 Risperidon/Persidal 2mg 150 Tablet Rp 20,459.01 Rp 136.39 0 Tablet Rp - 0 Tablet Rp - 150 Tablet Rp 20,459.01 0 Tablet
140 Salbutamol 2 mg 2,770 Tablet Rp 193,900.00 Rp 70.00 0 Tablet Rp - 1,010 Tablet Rp 70,700.00 1,760 Tablet Rp 123,200.00 0 Tablet
141 Salbutamol 4 mg 6 Tablet Rp 2,640.00 Rp 440.00 0 Tablet Rp - 6 Tablet Rp 2,640.00 0 Tablet Rp - 0 Tablet
142 Salep 2-4 Kombinasi 31 pot Rp 86,676.00 Rp 2,796.00 0 pot Rp - 31 pot Rp 86,676.00 0 pot Rp - 0 pot
143 Salisil bedak 2 % 32Kotak 50 grRp 77,440.00 Rp 2,420.00 0Kotak 50 grRp - 18 Kotak 50 gr Rp 43,560.00 14Kotak 50 gr Rp 33,880.00 0Kotak 50 gr
144 Scabicide/Scabimit/Permetrin 5% krim 7 Tube Rp 80,262.00 Rp 11,466.00 0 Tube Rp - 7 Tube Rp 80,262.00 0 Tube Rp - 0 Tube
145 Scopma Plus tab 190 Tablet Rp 247,950.00 Rp 1,305.00 0 Tablet Rp - 10 Tablet Rp 13,050.00 180 Tablet Rp 234,900.00 0 Tablet
146 Sefadroksil 500 mg 124 Tablet Rp 48,112.00 Rp 388.00 0 Tablet Rp - 124 Tablet Rp 48,112.00 0 Tablet Rp - 0 Tablet
147 Serum ABU 2 Vial Rp 1,034,264.00 Rp 517,132.00 0 Vial Rp - 0 Vial Rp - 2 Vial Rp 1,034,264.00 0 Vial
148 Serum ATS 1500 IU 3 Ampul Rp 392,997.00 Rp 130,999.00 0 Ampul Rp - 3 Ampul Rp 392,997.00 0 Ampul Rp - 0 Ampul
149 Sianokobalamin (vit B12) tab 2,000 Tablet Rp 98,000.00 Rp 49.00 0 Tablet Rp - 2,000 Tablet Rp 98,000.00 0 Tablet Rp - 0 Tablet
150 Sianokobalamin (vit B12) table 295 Tablet Rp 14,455.00 Rp 49.00 0 Tablet Rp - 295 Tablet Rp 14,455.00 0 Tablet Rp - 0 Tablet
151 Simvastatin 10 mg 850 Tablet Rp 99,450.00 Rp 117.00 0 Tablet Rp - 410 Tablet Rp 47,970.00 440 Tablet Rp 51,480.00 0 Tablet
152 Siprofloksasin tab 500 mg 1,158 Tablet Rp 261,076.36 Rp 225.45 0 Tablet Rp - 938 Tablet Rp 211,476.36 220 Tablet Rp 49,600.00 0 Tablet
153 Stimuno F 60 Kapsul Rp 105,780.00 Rp 1,763.00 0 Kapsul Rp - 0 Kapsul Rp - 60 Kapsul Rp 105,780.00 0 Kapsul
154 Tetrasiklin 500 mg 515 Kapsul Rp 166,345.00 Rp 323.00 0 Kapsul Rp - 515 Kapsul Rp 166,345.00 0 Kapsul Rp - 0 Kapsul
155 Tiamin (Vit B1) 50 mg 1,945 Tablet Rp 176,995.00 Rp 91.00 0 Tablet Rp - 1,185 Tablet Rp 107,835.00 760 Tablet Rp 69,160.00 0 Tablet
Tranfusi set 32 Botol Rp 272,000.00 Botol Botol Botol Botol
156 Rp 8,500.00 0 Rp - 27 Rp 229,500.00 5 Rp 42,500.00 0
Triheksipenidil 2 mg Tablet Rp 90,636.00 Tablet Tablet Tablet Tablet
157 996 Rp 91.00 0 Rp - 721 Rp 65,611.00 275 Rp 25,025.00 0
158 UnderPad 7 Botol Rp 33,495.00 Rp 4,785.00 0 Botol Rp - 7 Botol Rp 33,495.00 0 Botol Rp - 0 Botol
159 Urine bag(KMP/SCP) 16 Pcs Rp 91,200.00 Rp 5,700.00 0 Pcs Rp - 7 Pcs Rp 39,900.00 9 Pcs Rp 51,300.00 0 Pcs
160 Vicalcin sirup 8 Botol Rp 56,196.80 Rp 7,024.60 0 Botol Rp - 8 Botol Rp 56,196.80 0 Botol Rp - 0 Botol
161 Vitamin B-Compleks(DEF) 2,224 Tablet Rp 97,856.00 Rp 44.00 0 Tablet Rp - 2,224 Tablet Rp 97,856.00 0 Tablet Rp - 0 Tablet
Zink sir 20 mg/5 ml Botol Rp 129,428.00 Botol Botol Botol Botol

162 52 Rp 2,489.00 0 Rp - 22 Rp 54,758.00 30 Rp 74,670.00 0
163 Zink Tablet 470 Tablet Rp 246,280.00 Rp 524.00 0 Tablet Rp - 150 Tablet Rp 78,600.00 320 Tablet Rp 167,680.00 0 Tablet
1 Akita Tablet 0 Tablet Rp - Rp 320.10 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
2 Alat Suntik 1 ml 0 Pcs Rp - Rp 957.00 0 Pcs Rp - Pcs Rp - Pcs Rp - Pcs
3 Alat Suntik 10 ml 0 Pcs Rp - Rp 1,287.00 0 Pcs Rp - Pcs Rp - Pcs Rp - Pcs
9 Albendazol 400mg tab 0 Tablet Rp - Rp 288.00 6,000 Tablet Rp 1,728,000.00 6,000 Tablet Rp 1,728,000.00 Tablet Rp - Tablet
10 Alkohol Swab 0 Set Rp - Rp 120.00 0 Set Rp - Set Rp - Set Rp - Set
11 Alopurinol 100 mg 0 Tablet Rp - Rp 105.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
12 Alopurinol 300 mg 0 Tablet Rp - Rp 550.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
13 Alprazolam 0,5 mg 0 Tablet Rp - Rp 78.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
14 Ambroxol 30 mg tab 0 Tablet Rp - Rp 115.50 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
15 Amlodipin 10 mg 0 Tablet Rp - Rp 70.00 1,000 Tablet Rp 70,000.00 308 Tablet Rp 21,560.00 692 Tablet Rp 48,440.00 Tablet
16 Amlodipin 5 mg 0 Tablet Rp - Rp 53.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
17 Amoksisilin 125 mg/5 ml sirup kering 0 Botol Rp - Rp 2,050.40 100 Botol Rp 205,040.00 Botol Rp - 100 Botol Rp 205,040.00 Botol
18 Amoksisilin kapl 500 mg 0 Tablet Rp - Rp 201.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
19 Amoksisilin sirup kering 0 botol Rp - Rp 3,850.00 0 botol Rp - botol Rp - botol Rp - botol
20 Ampisilin serbuk 1000mg/ml 0 Vial Rp - Rp 8,237.00 0 Vial Rp - Vial Rp - Vial Rp - Vial
21 Antasida DOEN susp 0 Botol Rp - Rp 1,679.00 0 Botol Rp - Botol Rp - Botol Rp - Botol
22 Antasida DOEN tab 0 Tablet Rp - Rp 58.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
25 Antifungi salep komb 0 Pot Rp - Rp 4,496.00 0 Pot Rp - Pot Rp - Pot Rp - Pot
26 Antifungi salep komb 0 Pot Rp - Rp 4,496.00 0 Pot Rp - Pot Rp - Pot Rp - Pot
0 Rp - Suppositoria Rp - SuppositoriaRp - Suppositoria
28 Antimigrain ( Ergotamin ) 0 Tablet Rp - Rp 185.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
29 Antimigrain ( Ergotamin ) 0 Tablet Rp - Rp 185.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
30 antiza 0 Tablet Rp - Rp 1,100.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
31 Asam Askorbat ( Vit.C ) 50 mg 0 Tablet Rp - Rp 42.00 2,000 Tablet Rp 84,000.00 1,477 Tablet Rp 62,034.00 523 Tablet Rp 21,966.00 Tablet
32 Asam Folat 0,4 mg 0 Tablet Rp - Rp 220.00 500 Tablet Rp 110,000.00 30 Tablet Rp 6,600.00 470 Tablet Rp 103,400.00 Tablet
33 Asam Mefenamat 500 mg 0 Tablet Rp - Rp 111.00 2,000 Tablet Rp 222,000.00 630 Tablet Rp 69,930.00 1,370 Tablet Rp 152,070.00 Tablet
34 Asam Mefenamat 500 mg 0 Tablet Rp - Rp 111.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
35 Aseptic Gel/Sabun cuci tangan 0 botol Rp - Rp 26,500.00 3 botol Rp 79,500.00 1 botol Rp 26,500.00 2 botol Rp 53,000.00 botol
36 Asering 0 Softbag Rp - Rp 9,646.00 0 Softbag Rp - Softbag Rp - Softbag Rp - Softbag
37 Asetosal 80 mg (Miniaspi tab) 0 Tablet Rp - Rp 105.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
38 Asiklovir 400 mg tab 0 Tablet Rp - Rp 405.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
39 Asiklovir Krim 0 Tube Rp - Rp 3,271.40 0 Tube Rp - Tube Rp - Tube Rp - Tube
40 Atropin Sulfat inj 0 Ampul Rp - Rp 1,718.00 0 Ampul Rp - Ampul Rp - Ampul Rp - Ampul
41 Autoclick Lancing Device Onemed 0 Pcs Rp - Rp 17,416.00 0 Pcs Rp - Pcs Rp - Pcs Rp - Pcs
42 Betahistin Mesilat 6 mg Tab 0 Tablet Rp - Rp 451.00 500 Tablet Rp 225,500.00 30 Tablet Rp 13,530.00 470 Tablet Rp 211,970.00 Tablet
43 Bio ATP 0 Tablet Rp - Rp 2,500.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
44 Blue Tips 0 Buah Rp - Rp 76.50 0 Buah Rp - Buah Rp - Buah Rp - Buah
45 Bracket 0 Pcs Rp - Rp 22,000.00 0 Pcs Rp - Pcs Rp - Pcs Rp - Pcs
46 Canule O2 Anak 0 Pcs Rp - Rp 5,100.00 0 Pcs Rp - Pcs Rp - Pcs Rp - Pcs
47 Canule O2 Bayi 0 Buah Rp - Rp 5,200.00 0 Buah Rp - Buah Rp - Buah Rp - Buah
48 Canule O2 dewasa 0 Buah Rp - Rp 5,100.00 0 Buah Rp - Buah Rp - Buah Rp - Buah
49 Daryantulle/Cuticell 10x10 0 Pcs Rp - Rp 5,520.00 0 Pcs Rp - Pcs Rp - Pcs Rp - Pcs
50 Deksametason 0,5 mg tab 0 Tablet Rp - Rp 32.00 500 Tablet Rp 16,000.00 Tablet Rp - 500 Tablet Rp 16,000.00 Tablet
51 Deksametason 0,5 mg tab 0 Tablet Rp - Rp 32.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
52 Deksametason Inj 5 mg/ml 0 Ampul Rp - Rp 924.00 0 Ampul Rp - Ampul Rp - Ampul Rp - Ampul
53 Deksametason Inj 5 mg/ml 0 Ampul Rp - Rp 924.00 0 Ampul Rp - Ampul Rp - Ampul Rp - Ampul
54 Diazepam 5 mg Tab 0 Tablet Rp - Rp 108.00 200 Tablet Rp 21,600.00 88 Tablet Rp 9,504.00 112 Tablet Rp 12,096.00 Tablet
55 DIAZEPAM INJ 0 ampul Rp - Rp 1,735.00 0 ampul Rp - ampul Rp - ampul Rp - ampul
56 Diazepam rektal 5 mg/2,5 ml 0 Tube Rp - Rp 12,573.00 0 Tube Rp - Tube Rp - Tube Rp - Tube
57 Difenhidramin HCL inj 10 mg/ml 0 Ampul Rp - Rp 1,095.00 0 Ampul Rp - Ampul Rp - Ampul Rp - Ampul
58 Difenhidramin inj 10 mg/ml 0 Ampul Rp - Rp 1,095.00 30 Ampul Rp 32,850.00 Ampul Rp - 30 Ampul Rp 32,850.00 Ampul
59 Difenhidramin inj 10 mg/ml 0 ampul Rp - Rp 1,095.00 0 ampul Rp - ampul Rp - ampul Rp - ampul
60 Digoksin tablet 0,25 mg 0 Tablet Rp - Rp 114.40 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
61 Dimenhidrinat tab 50 mg 0 Tablet Rp - Rp 108.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
62 Epinefrin Inj (Adrenalin)0,1% 0 ampul Rp - Rp 1,408.00 0 ampul Rp - ampul Rp - ampul Rp - ampul
63 Etanol 70 % 100 ml 0 Botol Rp - Rp 2,790.00 0 Botol Rp - Botol Rp - Botol Rp - Botol
64 Etil Klorida 0 botol Rp - Rp 126,500.00 0 botol Rp - botol Rp - botol Rp - botol
65 FDC Kategori 1 0 paket Rp - Rp 359,985.00 32 paket Rp 11,519,520.00 32 paket Rp 11,519,520.00 paket Rp - paket
66 FDC Kategori 1 harian 0 paket Rp - Rp 359,985.00 1 paket Rp 359,985.00 1 paket Rp 359,985.00 paket Rp - paket
67 FDC Kategori 1 Kombipak 0 Paket Rp - Rp 288,199.00 0 Paket Rp - Paket Rp - Paket Rp - Paket
68 FDC Kategori 1 Kombipak 0 paket Rp - Rp 288,199.00 0 paket Rp - paket Rp - paket Rp - paket
69 FDC Kategori 2 0 paket Rp - Rp 1,199,985.00 0 paket Rp - paket Rp - paket Rp - paket
70 FDC Kategori Anak 0 paket Rp - Rp 214,985.00 0 paket Rp - paket Rp - paket Rp - paket
71 Fenibarbital Tab 30 mg 0 Tablet Rp - Rp 171.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
72 Fenidryl Sirup 0 Botol Rp - Rp 5,553.90 0 Botol Rp - Botol Rp - Botol Rp - Botol
73 Fenitoin inj 0 ampul Rp - Rp 1.00 0 ampul Rp - ampul Rp - ampul Rp - ampul
74 Fenobarbital 30 mg 0 Tablet Rp - Rp 171.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
75 Fenobarbital 30 mg 0 Tablet Rp - Rp 171.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
76 Fenobarbital Tab 30 mg 0 Tablet Rp - Rp 170.99 300 Tablet Rp 51,297.00 40 Tablet Rp 6,839.60 260 Tablet Rp 44,457.40 Tablet
77 Fenol gliserol TT 10% 0 Botol Rp - Rp 3,300.00 0 Botol Rp - Botol Rp - Botol Rp - Botol
78 Fitomenadion inj 2 mg/ml 0 Ampul Rp - Rp 1,386.00 30 Ampul Rp 41,580.00 Ampul Rp - 30 Ampul Rp 41,580.00 Ampul
79 Fludane/molexflu/antiza tablet/flutamol 0 Tablet Rp - Rp 440.00 1,000 Tablet Rp 440,000.00 100 Tablet Rp 44,000.00 900 Tablet Rp 396,000.00 Tablet
80 Folley Catheter 16 0 Rol Rp - Rp 10,340.00 10 Rol Rp 103,400.00 4 Rol Rp 41,360.00 6 Rol Rp 62,040.00 Rol
81 Garam oralit 0 Sachet Rp - Rp 257.00 200 Sachet Rp 51,400.00 Sachet Rp - 200 Sachet Rp 51,400.00 Sachet
82 gent oint / Gentamisin salep mata 0 Tube Rp - Rp 2,675.00 24 Tube Rp 64,200.00 Tube Rp - 24 Tube Rp 64,200.00 Tube
83 Gent oint / Gentamisin salep mata 0 Pcs Rp - Rp 2,665.00 0 Pcs Rp - Pcs Rp - Pcs Rp - Pcs
84 GENTAMISIN KRIM salep kulit 0 Tube Rp - Rp 6,499.90 20 Tube Rp 129,998.00 10 Tube Rp 64,999.00 10 Tube Rp 64,999.00 Tube
85 Gentamisin sulfat TM 0,3% 0 Botol Rp - Rp 4,520.00 24 Botol Rp 108,480.00 9 Botol Rp 40,680.00 15 Botol Rp 67,800.00 Botol
86 Glibenklamid 5 mg 0 Tablet Rp - Rp 83.00 2000 Tablet Rp 166,000.00 507 Tablet Rp 42,081.00 1493 Tablet Rp 123,919.00 Tablet
87 Glimepiride 1 mg 0 Tablet Rp - Rp 371.80 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
88 Glimepiride 2 mg 0 Tablet Rp - Rp 207.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
89 Gliseril Guaikiolat ( GG ) 0 Tablet Rp - Rp 89.10 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
90 Gliseril Guaikiolat ( GG )/Asetil Sistein 0 Tablet Rp - Rp 89.10 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
91 Glukosa 40% 0 Botol Rp - Rp 7,000.00 0 Botol Rp - Botol Rp - Botol Rp - Botol
92 Glukosa infus 10% 0 Botol Rp - Rp 7,200.00 0 Botol Rp - Botol Rp - Botol Rp - Botol
93 Glukosa infus 5% 0 Botol Rp - Rp 6,627.00 0 Botol Rp - Botol Rp - Botol Rp - Botol
94 Griseofulvin 125 mg tab 0 Tablet Rp - Rp 224.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
95 Haloperidol 1,5 mg 0 Tablet Rp - Rp 59.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
96 Haloperidol tablet 5 mg 0 Tablet Rp - Rp 54.00 1000 Tablet Rp 54,000.00 375 Tablet Rp 20,250.00 625 Tablet Rp 33,750.00 Tablet
97 Hand Sanitizer (Aseptic gel) 0 Paket Rp - Rp 26,500.00 0 Paket Rp - Paket Rp - Paket Rp - Paket
98 Handscoon non steril M 0 Pasang Rp - Rp 1,991.00 0 Pasang Rp - Pasang Rp - Pasang Rp - Pasang
99 Handscoon non steril M 0 Pasang Rp - Rp 1,991.00 200 Pasang Rp 398,200.00 200 Pasang Rp 398,200.00 Pasang Rp - Pasang
100 Handscoon non steril S 0 Pasang Rp - Rp 1,991.00 0 Pasang Rp - Pasang Rp - Pasang Rp - Pasang
101 HCG tes Pro-D 0 test Rp - Rp 1,900.00 0 test Rp - test Rp - test Rp - test
102 Herbakof 0 Botol Rp - Rp 14,273.00 0 Botol Rp - Botol Rp - Botol Rp - Botol
103 Hidrokortison 2,5% krim 0 Tube Rp - Rp 2,475.00 0 Tube Rp - Tube Rp - Tube Rp - Tube
104 Hysin Inj 0 Ampul Rp - Rp 5,161.82 0 Ampul Rp - Ampul Rp - Ampul Rp - Ampul
105 Ibuprofen 200 mg 0 Tablet Rp - Rp 212.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
106 Ibuprofen 400 mg 0 Tablet Rp - Rp 376.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
107 Ibuprofen suspensi 200 mg/5 ml 0 Botol Rp - Rp 3,200.00 30 Botol Rp 96,000.00 Botol Rp - 30 Botol Rp 96,000.00 Botol
108 Infuset Anak 0 Pasang Rp - Rp 3,500.00 0 Pasang Rp - Pasang Rp - Pasang Rp - Pasang
109 Infuset dewasa (PKD 1) 0 pcs Rp - 5790 0 pcs Rp - pcs Rp - pcs Rp - pcs
110 Infusion Set Anak 0 pcs Rp - Rp 3,597.00 0 pcs Rp - pcs Rp - pcs Rp - pcs
111 ISONIAZID 100 MG TAB 0 Tablet Rp - Rp 96.91 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
112 Isosorbid Dinitrat 5 mg 0 Tablet Rp - Rp 97.90 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
113 IV Catheter 22G MF Cath Pro 0 pcs Rp - Rp 7,700.00 50 pcs Rp 385,000.00 35 pcs Rp 269,500.00 15 pcs Rp 115,500.00 pcs
114 IV Catheter 24G MF Cath Pro 0 Pcs Rp - Rp 7,694.00 0 Pcs Rp - Pcs Rp - Pcs Rp - Pcs
115 IV Catheter 24G MF Cath Pro 0 Pcs Rp - Rp 7,819.00 0 Pcs Rp - Pcs Rp - Pcs Rp - Pcs
116 IV Catheter No 18 0 Buah Rp - Rp 6,000.00 0 Buah Rp - Buah Rp - Buah Rp - Buah
117 Jarum Jahit kulit berbagai ukuran 0 Sachet Rp - Rp 25,000.00 2 Sachet Rp 50,000.00 1 Sachet Rp 25,000.00 1 Sachet Rp 25,000.00 Sachet
118 Kalium Permanganat 0 botol Rp - Rp 5,500.00 0 botol Rp - botol Rp - botol Rp - botol
119 Kalsium Glukonat Inj 10% 0 Ampul Rp - Rp 10,351.00 0 Ampul Rp - Ampul Rp - Ampul Rp - Ampul
120 Kalsium Laktat 0 Tablet Rp - Rp 63.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
121 Kapas absorben 250 gr 0 Sachet Rp - Rp 12,500.00 3 Sachet Rp 37,500.00 Sachet Rp - 3 Sachet Rp 37,500.00 Sachet
122 Kaptopril 12,5 mg tab 0 Tablet Rp - Rp 65.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
123 Kaptopril 12,5 mg tab 0 Tablet Rp - Rp 113.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
124 Kaptopril 25 mg 0 Tablet Rp - Rp 75.00 1500 Tablet Rp 112,500.00 935 Tablet Rp 70,125.00 565 Tablet Rp 42,375.00 Tablet
125 Karbamazepin 200 mg 0 Tablet Rp - Rp 245.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
126 Kartu Golongan Darah 0 Rol Rp - Rp 350.00 0 Rol Rp - Rol Rp - Rol Rp - Rol
127 Kasa hydrophyl 16x16 0 pcs Rp - Rp 500.00 0 pcs Rp - pcs Rp - pcs Rp - pcs
128 Kasa hydrophyl 18x22 0 pcs Rp - Rp 625.00 0 pcs Rp - pcs Rp - pcs Rp - pcs
129 Kassa 2 x 80 0 Pcs Rp - Rp 9,740.00 20 Pcs Rp 194,800.00 20 Pcs Rp 194,800.00 Pcs Rp - Pcs
130 Kassa 4 x 15 0 Rol Rp - Rp 2,657.00 0 Rol Rp - Rol Rp - Rol Rp - Rol
131 Kassa 4 x 3 0 Rol Rp - Rp 759.00 0 Rol Rp - Rol Rp - Rol Rp - Rol
132 Kassa 40 x 40 0 Rol Rp - Rp 1,600.00 0 Rol Rp - Rol Rp - Rol Rp - Rol
133 Ketokonazol 2% krim 0 Tube Rp - Rp 6,650.00 12 Tube Rp 79,800.00 Tube Rp - 12 Tube Rp 79,800.00 Tube
134 Ketokonazol 200 mg tab 0 Tablet Rp - Rp 394.00 300 Tablet Rp 118,200.00 Tablet Rp - 300 Tablet Rp 118,200.00 Tablet
135 Ketoprofen 100 mg/sup 0 Supposit Rp - Rp 1,998.00 20 SuppositRp 39,960.00 Suppositor Rp - 20 Supposit Rp 39,960.00 Supposit
136 Klem umbilical 0 Rol Rp - Rp 1,800.00 0 Rol Rp - Rol Rp - Rol Rp - Rol
137 Kloramfenikol salep mata 1% 0 tube Rp - Rp 2,007.00 0 tube Rp - tube Rp - tube Rp - tube
138 Kloramfenikol TT 3% 0 Botol Rp - Rp 7,700.00 0 Botol Rp - Botol Rp - Botol Rp - Botol
139 Klorfeniramin (CTM) 4 mg 0 Tablet Rp - Rp 23.00 3000 Tablet Rp 69,000.00 734 Tablet Rp 16,882.00 2266 Tablet Rp 52,118.00 Tablet
140 Klorfeniramin 4 mg (Orphen Kaplet) 0 Tablet Rp - Rp 92.40 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
141 Klorpromazin 100 mg 0 Tablet Rp - Rp 247.50 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
142 Klorpromazin 100 mg 0 Tablet Rp - Rp 247.50 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
143 Klorpromazin Inj 25 mg/ml 0 Ampul Rp - Rp 1,243.00 0 Ampul Rp - Ampul Rp - Ampul Rp - Ampul
144 Kotrimoksasol 480 mg 0 Tablet Rp - Rp 133.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
145 Kotrimoksasol suspensi 0 Botol Rp - Rp 2,190.00 0 Botol Rp - Botol Rp - Botol Rp - Botol
146 Kotrimoksasol suspensi 0 Botol Rp - Rp 2,051.99 0 Botol Rp - Botol Rp - Botol Rp - Botol
147 Kotrimoksasol suspensi 240mg 0 botol Rp - Rp 2,190.00 100 botol Rp 219,000.00 100 botol Rp 219,000.00 botol Rp - botol
148 KOTRIMOKSAZOL 480 MG TAB 0 Tablet Rp - Rp 125.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
149 Lancet 0 Buah Rp - Rp 145.66 100 Buah Rp 14,566.00 100 Buah Rp 14,566.00 Buah Rp - Buah
150 Lancet 0 Pcs Rp - Rp 150.00 0 Pcs Rp - Pcs Rp - Pcs Rp - Pcs
151 Lanzoprazol 30 mg 0 Kapsul Rp - Rp 278.00 0 Kapsul Rp - Kapsul Rp - Kapsul Rp - Kapsul
152 Larutan Ziehl Nielsen 0 Paket Rp - Rp 276,500.00 0 Paket Rp - Paket Rp - Paket Rp - Paket
153 Levofloksasin 0 Kapsul Rp - Rp 494.00 0 Kapsul Rp - Kapsul Rp - Kapsul Rp - Kapsul
154 Levoftirosin 100 mcg 0 Tablet Rp - Rp 890.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
155 Lidocain injeksi 0 Ampul Rp - Rp 1,229.00 0 Ampul Rp - Ampul Rp - Ampul Rp - Ampul
156 Lidocain komp injeksi 0 Ampul Rp - Rp 803.00 120 Ampul Rp 96,360.00 40 Ampul Rp 32,120.00 80 Ampul Rp 64,240.00 Ampul
157 Magnesium Sulfat 40% 0 Vial Rp - Rp 4,090.00 0 Vial Rp - Vial Rp - Vial Rp - Vial
158 Masker 0 pcs Rp - Rp 550.00 0 pcs Rp - pcs Rp - pcs Rp - pcs
159 Masker 0 pcs Rp - Rp 4,800.00 0 pcs Rp - pcs Rp - pcs Rp - pcs
160 Masker 0 pcs Rp - Rp 1,400.00 0 pcs Rp - pcs Rp - pcs Rp - pcs
161 Masker Altamed 0 Buah Rp - Rp 1,650.00 0 Buah Rp - Buah Rp - Buah Rp - Buah
162 Masker Bedah Hijab 0 Pcs Rp - Rp 1,050.00 0 Pcs Rp - Pcs Rp - Pcs Rp - Pcs
163 Masterzym 0 botol Rp - Rp 1.00 0 botol Rp - botol Rp - botol Rp - botol
164 MDT Kusta PB Dewasa 0 Paket Rp - Rp 9,770.00 0 Paket Rp - Paket Rp - Paket Rp - Paket
165 Metampiron 500 mg (Lexagin) 0 Tablet Rp - Rp 253.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
166 Metformin HCl tablet 500 mg 0 Tablet Rp - Rp 207.90 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
167 Metilergometrin inj 0 Ampul Rp - Rp 10,800.00 0 Ampul Rp - Ampul Rp - Ampul Rp - Ampul
168 Metronidazol 125 mg/5ml susp 0 Botol Rp - Rp 3,765.00 0 Botol Rp - Botol Rp - Botol Rp - Botol
169 Metronidazol 125mg/5ml susp 0 botol Rp - Rp 3,950.00 0 botol Rp - botol Rp - botol Rp - botol
170 Metronidazol 500 mg 0 Botol Rp - Rp 124.00 0 Botol Rp - Botol Rp - Botol Rp - Botol
171 Mikonazol 2% krim 0 Tube Rp - Rp 3,414.00 0 Tube Rp - Tube Rp - Tube Rp - Tube
172 Mikropipet tips 0 Paket Rp - Rp 87,800.00 0 Paket Rp - Paket Rp - Paket Rp - Paket
173 Molexflu syrup 0 Botol Rp - Rp 6,274.00 0 Botol Rp - Botol Rp - Botol Rp - Botol
174 Natrium Diklofenak 50 mg 0 Tablet Rp - Rp 123.00 1000 Tablet Rp 123,000.00 350 Tablet Rp 43,050.00 650 Tablet Rp 79,950.00 Tablet
175 Natrium Diklofenak 50 mg 0 Tablet Rp - Rp 99.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
176 Neo kaominal 0 Botol Rp - Rp 7,405.00 0 Botol Rp - Botol Rp - Botol Rp - Botol
177 Neocenta / Bioplacenton krim 0 Tube Rp - Rp 16,987.00 10 Tube Rp 169,870.00 4 Tube Rp 67,948.00 6 Tube Rp 101,922.00 Tube
178 Nistatin 100000 IU / ml Drop 0 Botol Rp - Rp 11,500.00 10 Botol Rp 115,000.00 3 Botol Rp 34,500.00 7 Botol Rp 80,500.00 Botol
179 Nistatin Vagtab 100.000 IU 0 Tablet Rp - Rp 560.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
180 OB Herbal Sirup 0 Botol Rp - Rp 7,700.00 0 Botol Rp - Botol Rp - Botol Rp - Botol
181 OB Herbal Sirup(OBASA) 0 Botol Rp - Rp 7,700.00 0 Botol Rp - Botol Rp - Botol Rp - Botol
182 OBH sirup molex 60 ml 0 Botol Rp - Rp 6,274.40 50 Botol Rp 313,720.00 25 Botol Rp 156,860.00 25 Botol Rp 156,860.00 Botol
183 Object Glass 0 Buah Rp - Rp 77,690.00 0 Buah Rp - Buah Rp - Buah Rp - Buah
184 Oksitosin Inj 0 Ampul Rp - Rp 1,126.00 30 Ampul Rp 33,780.00 Ampul Rp - 30 Ampul Rp 33,780.00 Ampul
185 Ostela Forte tab 0 Tablet Rp - Rp 8,000.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
186 Parasetamol 500 mg 0 Tablet Rp - Rp 99.00 5000 Tablet Rp 495,000.00 4530 Tablet Rp 448,470.00 470 Tablet Rp 46,530.00 Tablet
187 Parasetamol drop 0 Botol Rp - Rp 6,649.00 0 Botol Rp - Botol Rp - Botol Rp - Botol
188 Parasetamol infus 0 Botol Rp - Rp 11,265.00 0 Botol Rp - Botol Rp - Botol Rp - Botol
189 PARASETAMOL SIRUP 120 MG / 5 M 0 botol Rp - Rp 1,107.00 100 botol Rp 110,700.00 90 botol Rp 99,630.00 10 botol Rp 11,070.00 botol
190 PARASETAMOL SIRUP 120 MG / 5 M 0 Tablet Rp - Rp 1,107.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
191 Parasetamol sirup 120 mg/5ml 0 Botol Rp - Rp 1,181.00 0 Botol Rp - Botol Rp - Botol Rp - Botol
192 Pehacain 0 Ampul Rp - Rp 4,200.00 0 Ampul Rp - Ampul Rp - Ampul Rp - Ampul
193 Piridoksin ( Vit B6 ) 10 mg tab 0 Tablet Rp - Rp 67.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
194 Piridoksin (Vit B6) 10 mg 0 Tablet Rp - Rp 131.00 1000 Tablet Rp 131,000.00 Tablet Rp - 1000 Tablet Rp 131,000.00 Tablet
195 Piridoksin (Vit B6) 10 mg 0 Tablet Rp - Rp 123.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
196 Piroksikam (lexicam) tablet 20 mg 0 Tablet Rp - Rp 132.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
197 Plester (Leukoplast 7,5 cm x 4,5 cm) 0 Paket Rp - Rp 59,500.00 5 Paket Rp 297,500.00 3 Paket Rp 178,500.00 2 Paket Rp 119,000.00 Paket
198 Plesterin bulat 0 Rol Rp - Rp 175.00 0 Rol Rp - Rol Rp - Rol Rp - Rol
199 Pot Sputum 0 Pot Rp - Rp 5,890.00 0 Pot Rp - Pot Rp - Pot Rp - Pot
200 Povidon Iodida 10 % 30 ml 0 Pcs Rp - Rp 2,800.00 20 Pcs Rp 56,000.00 Pcs Rp - 20 Pcs Rp 56,000.00 Pcs
201 Prednison 5 mg 0 Tablet Rp - Rp 119.70 2000 Tablet Rp 239,400.00 410 Tablet Rp 49,077.00 1590 Tablet Rp 190,323.00 Tablet
202 Prednison 5 mg 0 Tablet Rp - Rp 119.70 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
203 Propiltiourasil tablet 100 m 0 Tablet Rp - Rp 410.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
204 R.Hema OL 2100 Kertas print 0 Pcs Rp - Rp 40,000.00 0 Pcs Rp - Pcs Rp - Pcs Rp - Pcs
205 Ranitidin 150 mg 0 Tablet Rp - Rp 85.00 1000 Tablet Rp 85,000.00 305 Tablet Rp 25,925.00 695 Tablet Rp 59,075.00 Tablet
206 Ranitidin 50 mg/2 ml injeksi 0 Ampul Rp - Rp 1,960.20 0 Ampul Rp - Ampul Rp - Ampul Rp - Ampul
207 Ranitidin 50 mg/2 ml injeksi 0 Ampul Rp - Rp 814.00 0 Ampul Rp - Ampul Rp - Ampul Rp - Ampul
208 Rapid Test HIV Ke - 1 ( SD ) 0 Tes Rp - Rp 14,340.00 0 Tes Rp - Tes Rp - Tes Rp - Tes
209 Reagen gol darah Pro-D anti A 0 Botol Rp - Rp 165,000.00 0 Botol Rp - Botol Rp - Botol Rp - Botol
210 Reagen gol darah Pro-D anti B 0 Botol Rp - Rp 165,000.00 0 Botol Rp - Botol Rp - Botol Rp - Botol
211 Reagen gol darah Pro-D anti D 0 Botol Rp - Rp 165,000.00 0 Botol Rp - Botol Rp - Botol Rp - Botol
212 Reagent HbsAg tes 0 test Rp - Rp 9,850.00 200 test Rp 1,970,000.00 200 test Rp 1,970,000.00 test Rp - test
213 Recovit sirup 0 Botol Rp - Rp 9,900.00 0 Botol Rp - Botol Rp - Botol Rp - Botol
214 retinol (vit A ) 100000 IU 0 Kapsul Rp - Rp 287.00 200 Kapsul Rp 57,400.00 200 Kapsul Rp 57,400.00 Kapsul Rp - Kapsul
215 retinol (vit A ) 100000 IU 0 Kapsul Rp - Rp 287.00 0 Kapsul Rp - Kapsul Rp - Kapsul Rp - Kapsul
217 Retinol 100.000 IU 0 Kapsul Rp - Rp 305.00 0 Kapsul Rp - Kapsul Rp - Kapsul Rp - Kapsul
218 Retinol 200.000 IU 0 Kapsul Rp - Rp 553.00 1300 Kapsul Rp 718,900.00 1300 Kapsul Rp 718,900.00 Kapsul Rp - Kapsul
219 Ringer Laktat larutan infus 0 Botol Rp - Rp 7,630.00 0 Botol Rp - Botol Rp - Botol Rp - Botol
220 Ringer Laktat larutan infus 0 Botol Rp - Rp 7,150.00 0 Botol Rp - Botol Rp - Botol Rp - Botol
221 Risperidon 2 mg 0 Tablet Rp - Rp 273.00 500 Tablet Rp 136,500.00 Tablet Rp - 500 Tablet Rp 136,500.00 Tablet
222 Salbutamol 2 mg 0 Tablet Rp - Rp 70.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
223 Salbutamol tablet 4 mg 0 Tablet Rp - Rp 70.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
224 Salep 2-4 Kombinasi 0 pot Rp - Rp 2,796.00 0 pot Rp - pot Rp - pot Rp - pot
225 Salep 2-4 Kombinasi 0 pot Rp - Rp 2,796.00 0 pot Rp - pot Rp - pot Rp - pot
226 Salisil bedak 2 % 0 pcs Rp - Rp 2,200.00 0 pcs Rp - pcs Rp - pcs Rp - pcs
227 Scabicide/Scabimit/Permetrin 5% krim 0 Tube Rp - Rp 11,466.00 0 Tube Rp - Tube Rp - Tube Rp - Tube
228 Serum ABU 0 Vial Rp - Rp 517,132.00 0 Vial Rp - Vial Rp - Vial Rp - Vial
229 Sianokobalamin (vit B12) tab 0 Tablet Rp - Rp 49.00 2000 Tablet Rp 98,000.00 550 Tablet Rp 26,950.00 1450 Tablet Rp 71,050.00 Tablet
230 Simvastatin tablet 10 mg 0 Tablet Rp - Rp 128.70 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
231 Solvitaz 0 Tablet Rp - Rp 1.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
232 Spekulum dispo / Vagion M 0 Strip Rp - Rp 6,500.00 0 Strip Rp - Strip Rp - Strip Rp - Strip
233 Stimuno F 0 Kapsul Rp - Rp 1,763.00 0 Kapsul Rp - Kapsul Rp - Kapsul Rp - Kapsul
234 Strip Glukosa BENECHECK 0 Pcs Rp - Rp 160,000.00 0 Pcs Rp - Pcs Rp - Pcs Rp - Pcs
235 Strip Glukosa EASY TOUCH 0 pcs Rp - Rp 5,500.00 50 pcs Rp 275,000.00 50 pcs Rp 275,000.00 pcs Rp - pcs
236 Strip Glukosa EASY TOUCH 0 pcs Rp - Rp 5,500.00 0 pcs Rp - pcs Rp - pcs Rp - pcs
237 Strip Glukosa NESCO 0 Pcs Rp - Rp 5,500.00 0 Pcs Rp - Pcs Rp - Pcs Rp - Pcs
238 Strip Kolesterol EASY TOUCH 0 Pcs Rp - Rp 22,000.00 20 Pcs Rp 440,000.00 20 Pcs Rp 440,000.00 Pcs Rp - Pcs
239 Sukralfat / Ulsafate sirup 0 Botol Rp - Rp 4,989.00 0 Botol Rp - Botol Rp - Botol Rp - Botol
240 Tablet Tambah Darah 0 Tablet Rp - Rp 226.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
241 Tablet Tambah darah 0 Tablet Rp - Rp 226.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
242 Tetrasiklin 500 mg 0 Kapsul Rp - Rp 323.00 0 Kapsul Rp - Kapsul Rp - Kapsul Rp - Kapsul
243 Thiamin (Vit B 1) tab 50 mg 0 Tablet Rp - Rp 156.20 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
244 THIAMIN (VIT B1) TAB 50 MG 0 Tablet Rp - Rp 85.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
245 Tiamin (Vit B1) 50 mg 0 Tablet Rp - Rp 253.00 1000 Tablet Rp 253,000.00 Tablet Rp - 1000 Tablet Rp 253,000.00 Tablet
246 Tranfusi set 0 Botol Rp - Rp 8,500.00 0 Botol Rp - Botol Rp - Botol Rp - Botol
247 Trifluoperazine 5 mg 0 Tablet Rp - Rp 220.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
248 Triheksipenidil 2 mg 0 Tablet Rp - Rp 63.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
249 Ultrasonic gel 0 Pcs Rp - Rp 16,000.00 0 Pcs Rp - Pcs Rp - Pcs Rp - Pcs
250 UnderPad 0 Botol Rp - Rp 4,785.00 20 Botol Rp 95,700.00 10 Botol Rp 47,850.00 10 Botol Rp 47,850.00 Botol
251 Urine bag(KMP/SCP) 0 Pcs Rp - Rp 5,700.00 0 Pcs Rp - Pcs Rp - Pcs Rp - Pcs
252 Vicalcin sirup 0 Botol Rp - Rp 7,024.60 0 Botol Rp - Botol Rp - Botol Rp - Botol
253 Vitamin B Kompleks 0 Tablet Rp - Rp 89.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
254 Vitamin B-Compleks(DEF) 0 Tablet Rp - Rp 44.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
255 Vitamin B-Compleks(DEF) 0 Tablet Rp - Rp 71.50 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
256 Zinc sulfat 20 mg 0 Tablet Rp - Rp 524.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
257 Zink sir 20 mg/5 ml 0 Botol Rp - Rp 2,489.00 0 Botol Rp - Botol Rp - Botol Rp - Botol
258 Zink Tablet 0 Tablet Rp - Rp 524.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
259 Clozapine 25mg 0 Tablet Rp - Rp 1,121.00 600 Tablet Rp 672,600.00 300 Tablet Rp 336,300.00 300 Tablet Rp 336,300.00 Tablet
260 Diazepam 5 mg Tab 0 Tablet Rp - Rp 108.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
261 DIAZEPAM INJ 0 ampul Rp - Rp 1,545.00 0 ampul Rp - ampul Rp - ampul Rp - ampul
262 FDC Kategori 1 0 paket Rp - Rp 416,696.00 0 paket Rp - paket Rp - paket Rp - paket
263 FDC Kategori Anak 0 paket Rp - Rp 248,120.00 0 paket Rp - paket Rp - paket Rp - paket
264 Fluphenazine/Sikzonoate 25 inj 0 Ampul Rp - Rp 63,500.00 0 Ampul Rp - Ampul Rp - Ampul Rp - Ampul
265 Haldol Decanoas 50 mg inj 0 Ampul Rp - Rp 109,000.00 0 Ampul Rp - Ampul Rp - Ampul Rp - Ampul
266 Haloperidol 5 mg inj 0 Ampul Rp - Rp 1,190.00 0 Ampul Rp - Ampul Rp - Ampul Rp - Ampul
267 Haloperidol 5 mg tab 0 Tablet Rp - Rp 54.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
268 Larutan Ziehl Nielsen 0 Paket Rp - Rp 172,527.00 0 Paket Rp - Paket Rp - Paket Rp - Paket
269 MDT Kusta MB Dewasa 0 Paket Rp - Rp 40,128.00 60 Paket Rp 2,407,680.00 60 Paket Rp 2,407,680.00 Paket Rp - Paket
270 Pot Sputum 0 Pot Rp - Rp 2,728.00 0 Pot Rp - Pot Rp - Pot Rp - Pot
271 Reagent HbsAg tes 0 test Rp - Rp 1.00 0 test Rp - test Rp - test Rp - test
272 Risperidon 2 mg 0 Tablet Rp - Rp 123.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
273 Trifluoperazine 5 mg 0 Tablet Rp - Rp 287.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
274 Triheksipenidil 2 mg 0 Tablet Rp - Rp 91.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
275 Reagent Syphillis 0 test Rp - Rp 20,400.00 0 test Rp - test Rp - test Rp - test
276 Aqua PI 0 Botol Rp - Rp 2,860.00 0 Botol Rp - Botol Rp - Botol Rp - Botol
279 Amoksisilin kapl 500 mg 0 Tablet Rp - Rp 249.00 2000 Tablet Rp 498,000.00 1940 Tablet Rp 483,060.00 60 Tablet Rp 14,940.00 Tablet
280 Glukosa infus 5% 0 botol Rp - Rp 6,627.50 0 botol Rp - botol Rp - botol Rp - botol
281 Natrium Chlorida infus 0,9% 0 botol Rp - Rp 6,800.20 0 botol Rp - botol Rp - botol Rp - botol
282 Ringer Laktat larutan infus 0 botol Rp - Rp 7,629.60 0 botol Rp - botol Rp - botol Rp - botol
283 Amoksisilin 125 mg/5 ml sirup kering 0 Botol Rp - Rp 2,050.00 0 Botol Rp - Botol Rp - Botol Rp - Botol
284 Karbamazepin 200 mg 0 Tablet Rp - Rp 189.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
285 Kotrimoksasol suspensi 240mg 0 botol Rp - Rp 2,100.00 0 botol Rp - botol Rp - botol Rp - botol
286 Kalsium Laktat 0 Tablet Rp - Rp 60.01 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
287 Parasetamol sirup 120 mg/5ml 0 Botol Rp - Rp 1,161.00 0 Botol Rp - Botol Rp - Botol Rp - Botol
288 Canule O2 dewasa 0 Buah Rp - Rp 6,130.00 0 Buah Rp - Buah Rp - Buah Rp - Buah
289 IV Catheter No 18 NOUSHED 0 pcs Rp - Rp 5,995.00 0 pcs Rp - pcs Rp - pcs Rp - pcs
290 IV Catheter No 20 NOUSHED 0 Pcs Rp - Rp 5,995.00 0 Pcs Rp - Pcs Rp - Pcs Rp - Pcs
291 IV Catheter No 22 NOUSHED 0 Pcs Rp - Rp 5,995.00 0 Pcs Rp - Pcs Rp - Pcs Rp - Pcs
292 Alopurinol 100mg 0 tablet Rp - Rp 105.00 0 tablet Rp - tablet Rp - tablet Rp - tablet
293 Amoksisilin kapl 500 mg 0 tablet Rp - Rp 249.00 0 tablet Rp - tablet Rp - tablet Rp - tablet
294 Amoksisilin kapl 500 mg 0 tablet Rp - Rp 253.00 0 tablet Rp - tablet Rp - tablet Rp - tablet
295 Antasida DOEN tab 0 tablet Rp - Rp 58.00 0 tablet Rp - tablet Rp - tablet Rp - tablet
296 Asam Askorbat ( Vit.C ) 50 mg 0 tablet Rp - Rp 105.00 0 tablet Rp - tablet Rp - tablet Rp - tablet
297 Kotrimoksasol suspensi 0 botol Rp - Rp 2,190.00 0 botol Rp - botol Rp - botol Rp - botol
298 Lidocain injeksi 2% + Epineprin 1:80.00 0 ampul Rp - Rp 1,229.00 0 ampul Rp - ampul Rp - ampul Rp - ampul
299 Natrium Klorida infus 0.9% 0 botol Rp - Rp 6,840.00 0 botol Rp - botol Rp - botol Rp - botol
300 Parasetamol sirup 120 mg/5ml 0 botol Rp - Rp 1,181.00 0 botol Rp - botol Rp - botol Rp - botol
301 Ringer Laktat larutan infus 0 botol Rp - Rp 7,630.00 0 botol Rp - botol Rp - botol Rp - botol
302 Prednison 5 mg Tablet Rp - Rp 1.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
303 Propanolol 10 mg tab Tablet Rp - Rp 1.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
304 Propanolol 40 mg tab Tablet Rp - Rp 1.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
305 Zink 20 mg tab Tablet Rp - Rp 1.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
306 Haloperidol 1.5mg tab Tablet Rp - Rp 1.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
307 Alprazolam 0,5 mg Tablet Rp - Rp 78.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
308 Diazepam 5 mg Tab Tablet Rp - Rp 108.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
309 Parasetamol sirup 120 mg/5ml Botol Rp - Rp 1,161.00 0 Botol Rp - Botol Rp - Botol Rp - Botol
310 Triheksipenidil 2 mg Tablet Rp - Rp 63.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
311 Ketokonazol 200 mg tab Tablet Rp - Rp 252.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
312 Asam Mefenamat 500 mg Tablet Rp - Rp 111.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
313 Metilprednisolon 4 mg tab Tablet Rp - Rp 102.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
314 Ranitidin 150 mg Tablet Rp - Rp 85.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
315 Simvastatin tablet 10 mg Tablet Rp - Rp 68.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
316 Allopurinol 100mg tab Tablet Rp - Rp 87.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
317 Amoksisilin kapl 500 mg Tablet Rp - Rp 201.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
318 Ciprofloxacin 500 mg Tablet Rp - Rp 248.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
319 Glimepiride 2 mg tab Tablet Rp - Rp 123.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
320 SD Bioline HIV/Syphillis Duo Test Rp - Rp 17,563.84 0 Test Rp - Test Rp - Test Rp - Test
321 Isosorbide Dinitrate tab Tablet Rp - Rp 86.00 0 Tablet Rp - Tablet Rp - Tablet Rp - Tablet
322 Serum ABU Vial Rp - Rp 517,132.00 0 Vial Rp - Vial Rp - Vial Rp - Vial
323 Serum ATS 1500 IU ampul Rp - Rp 138,924.50 0 ampul Rp - ampul Rp - ampul Rp - ampul
0
JUMLAH Rp 32,713,246.40 Rp 27,587,986.00 Rp 39,006,937.76 Rp 21,294,294.64
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hu
n
Du
a
Rib BERITA ACARA MUTASI OBAT DAN PERBEKKES
u 1 Januari 2022 s/d 31 Maret 2022
Du
UPTD PUSKESMAS GONDORIYO
a
SKPD
Pul : DINAS
No./
KESEHATAN
uh Tgl.
Sura
tela t
h Barang-
Das
barang
dila
No
Tan ar
Uraian (Nama Barang) bulan lalu Harga Satuan
Jumlah Barang yang diterima/dikeluarkan ( 1
ggal Pen Januari s/d 31 Desember 2020)
ksa erim
( 1 Januari
Saldo Penambahan Pengurangan
nak 2020)
aan/
Jumlah Nilai Harga Jumlah Nilai Harga Jumlah
an Pen
1 2 gelu3 4 5 6 7 8 10 11
pel aran Akita Tablet
ap1 400 Tablet Rp 128,040.00 Rp 320.10 0 Tablet Rp - 140
ora
2 Alat Suntik 3 ml 50 Pcs Rp 34,650.00 Rp 693.00 0 Pcs Rp - 50
n3 Alat Suntik 5 ml 190 Pcs Rp 138,700.00 Rp 730.00 0 Pcs Rp - 0
mu4 Albendazol 400mg tab 3,000 Tablet Rp 864,000.00 Rp 288.00 0 Tablet Rp - 0
tasi
Alopurinol 100 mg 2,288 Tablet Rp 0 Tablet Rp 2,288
ob5 240,265.73 Rp 105.00 -
at6 Ambroxol 30 mg tab 1,341 Tablet Rp 154,885.50 Rp 115.50 0 Tablet Rp - 75

UP7 Aminofilin 200mg tab 600 Tablet Rp 57,000.00 Rp 95.00 0 Tablet Rp - 100
TD8 Amlodipin 10 mg 198 Tablet Rp 99,000.00 Rp 500.00 0 Tablet Rp - 88
Gu9 Amlodipin 5 mg 1,999 Tablet Rp 899,442.00 Rp 450.00 0 Tablet Rp - 1,814
da
10 Amoksisilin kapl 500 mg 3,597 Tablet Rp 723,017.10 Rp 201.00 0 Tablet Rp - 3,597
ng
11
Far Amoksisilin kapl 500 mg 3,497 Tablet
Rp 870,628.50 Rp 249.00 0 Tablet Rp - 3,497
ma12 Amoksisilin sirup kering 125 mg/5 ml 12 Botol Rp 79,200.00 Rp 6,600.00 0 Botol Rp - 12
si13 Antasida DOEN 3,996 Tablet Rp 231,768.00 Rp 58.00 0 Tablet Rp - 3,536
de14 Antasida DOEN susp 22 Botol Rp 65,824.00 Rp 2,992.00 0 Botol Rp - 22
ng15 Antasida DOEN tab 3,998 Tablet Rp 231,903.72 Rp 58.00 0 Tablet Rp - 3,998
an 24 Pot 0 Pot Rp 0
16 Antifungi salep komb Rp 107,904.00 Rp 4,496.00 -
has
Antihemoroid DOEN SuppositoriaRp 0uppositoriaRp
S 2
il17 14 45,500.00 Rp 3,250.00 -
18
seb Aqua PI 5 ampul Rp 14,300.00 Rp 2,860.00 0 ampul Rp - 5
ag19 Asam Askorbat (Vit. C) 50 mg 8,992 Tablet Rp 944,129.24 Rp 105.00 0 Tablet Rp - 8,992
ai20 ASAM ASKORBAT 50 MG TAB 5,994 Tablet Rp 629,370.00 Rp 105.00 0 Tablet Rp - 4,664
ber
ikut
:
21 Asam Folat 1 mg 455 Tablet Rp 34,125.00 Rp 75.00 0 Tablet Rp - 50
25 Asering 72 Softbag Rp 694,512.00 Rp 9,646.00 0 Softbag Rp - 72
26 Asetosal 80 mg (Miniaspi tab) 200 Tablet Rp 21,000.00 Rp 105.00 0 Tablet Rp - 30
28 Asiklovir Krim 17 Tube Rp 55,613.80 Rp 3,271.40 0 Tube Rp - 6
29 Becefort/Arkavit/Multivitamin 100 Tablet Rp 99,000.00 Rp 990.00 0 Tablet Rp - 70
30 Betahistin Mesilat 6 mg Tab 210 Tablet Rp 23,100.00 Rp 110.00 0 Tablet Rp - 60
31 Betametason krim 0,1% 46 Tube Rp 61,640.00 Rp 1,340.00 0 Tube Rp - 5
32 Canule O2 Anak 30 pcs Rp 155,991.00 Rp 5,199.70 0 pcs Rp - 0
33 Canule O2 dewasa 40 Buah Rp 204,000.00 Rp 5,100.00 0 Buah Rp - 0
34 Canule O2 dewasa 2 pcs Rp 10,399.40 Rp 5,199.70 0 pcs Rp - 0
35 Daryantulle kasa 5 pcs Rp 27,600.00 Rp 5,520.00 0 pcs Rp - 5
38 Diazepam 5 mg 299 Tab Rp 32,591.00 Rp 109.00 0 Tab Rp - 23
39 Diazepam rektal 5 mg/2,5 mL 10 supp Rp 125,730.00 Rp 12,573.00 0 supp Rp - 0
40 Difenhidramin inj 10 mg/ml 60 ampul Rp 65,700.00 Rp 1,095.00 0 ampul Rp - 0
41 Digoksin tablet 0,25 mg 190 Tablet Rp 21,736.00 Rp 114.40 0 Tablet Rp - 0
42 Dimenhidrinat tab 50 mg 227 Tablet Rp 24,516.00 Rp 108.00 0 Tablet Rp - 110
43 Domperidon tablet 10 mg 400 Tablet Rp 28,400.00 Rp 71.00 0 Tablet Rp - 20
45 Etaflusin 3,997 Tablet Rp 1,406,652.12 Rp 351.89 0 Tablet Rp - 3,997
46 Etakridin lart 0,1% (Rivanol) 11 Botol Rp 16,775.00 Rp 1,525.00 0 Botol Rp - 11
47 Etanol 70 % 100 ml 6 Botol Rp 24,000.00 Rp 4,000.00 0 Botol Rp - 6
48 FDC kat 1 4 Paket Rp 1,439,940.00 Rp 359,985.00 0 Paket Rp - 0
49 Fenobarbital Tab 30 mg 970 Tablet Rp 165,860.30 Rp 170.99 0 Tablet Rp - 0
50 Fitomenadion inj 2 mg/ml/Vitka infant 30 Ampul Rp 304,500.00 Rp 10,150.00 0 Ampul Rp - 10
51 Fluphenazine/Sikzonoate 25 inj 10 ampul Rp 639,859.00 Rp 63,985.90 0 ampul Rp - 0
52 Folley Catheter 16 1 Rol Rp 10,340.00 Rp 10,340.00 0 Rol Rp - 1
53 Folley Catheter 18 9 Pcs Rp 72,000.00 Rp 8,000.00 0 Pcs Rp - 0
54 Furosemid 40 mg 285 Tablet Rp 23,370.00 Rp 82.00 0 Tablet Rp - 35
55 Gentian violet 16 Botol Rp 61,600.00 Rp 3,850.00 0 Botol Rp - 0
56 Glibenklamid 5 mg 1,999 Tablet Rp 283,809.72 Rp 142.00 0 Tablet Rp - 1,999
57 Glimepirid 1 mg 161 Tablet Rp 28,014.00 Rp 174.00 0 Tablet Rp - 80
58 Glimepiride 1 mg 900 Tablet Rp 156,600.00 Rp 174.00 0 Tablet Rp - 0
59 Glimepiride 2 mg 405 Tablet Rp 180,427.50 Rp 445.50 0 Tablet Rp - 290
60 Gliseril Guaikiolat ( GG ) 1,588 Tablet Rp 141,490.80 Rp 89.10 0 Tablet Rp - 155
62 Griseofulvin tab 125 mg 678 Tablet Rp 266,250.60 Rp 392.70 0 Tablet Rp - 0
63 Haloperidol 1,5 mg 100 Tablet Rp 5,900.00 Rp 59.00 0 Tablet Rp - 0
64 Haloperidol tablet 5 mg 400 Tablet Rp 24,000.00 Rp 60.00 0 Tablet Rp - 0
65 Hidrokortison krim 2,5% 16 tube Rp 39,600.00 Rp 2,475.00 0 tube Rp - 16
66 Ibuprofen 400 mg 1,451 Tablet Rp 239,340.42 Rp 165.00 0 Tablet Rp - 1,451
67 Ibuprofen 400 mg 300 Tablet Rp 112,800.00 Rp 376.00 0 Tablet Rp - 300
68 Ichtyol/Ichtamolum 23 Pot Rp 139,150.00 Rp 6,050.00 0 Pot Rp - 1
69 Infuset dewasa Axeell 46 Pcs Rp 315,928.00 Rp 6,868.00 0 Pcs Rp - 10
70 Isosorbid Dinitrat 5 mg 999 Tablet Rp 97,802.10 Rp 97.90 0 Tablet Rp - 999
71 IV Catheter 20G MF Cath Pro 19 pcs Rp 146,634.40 Rp 7,717.60 0 pcs Rp - 5
Jarum jahit hecting kulit untuk khitan
77 (No. 24, uk panjang 24mm) 2 set Rp 473,000.00 Rp 236,500.00 0 set Rp - 0
78 Kalsium Glukonat Inj 10% 48 Ampul Rp 496,848.00 Rp 10,351.00 0 Ampul Rp - 48
79 Kalsium Laktat 4,497 Tablet Rp 283,307.22 Rp 63.00 0 Tablet Rp - 4,187
80 Kapas / absorben 250gr 1 Rol Rp 12,500.40 Rp 12,500.40 0 Rol Rp - 1
81 Kapas Pembalut 250g 5 pcs Rp 103,000.00 Rp 20,600.00 0 pcs Rp - 5
82 Kaptopril 12,5 mg 3,137 Tablet Rp 194,494.00 Rp 62.00 0 Tablet Rp - 1,197
83 Kaptopril 25 mg 4,096 Tablet Rp 540,710.28 Rp 132.00 0 Tablet Rp - 4,096
84 Kasa hydrophyl 18x22 20 pcs Rp 12,500.00 Rp 625.00 0 pcs Rp - 20
85 Kassa 2 x 80 20 Pcs Rp 194,800.00 Rp 9,740.00 0 Pcs Rp - 10
87 Kassa 4 x 3 50 pcs Rp 42,000.00 Rp 840.00 0 pcs Rp - 0
89 Ketokonazol 200mg tab 40 Tablet Rp 10,800.00 Rp 270.00 0 Tablet Rp - 0
90 Ketoprofen 100 mg/sup SuppositoriaRp
19 37,962.00 Rp 1,998.00 0uppositoriaRp
S - 0
91 Klem umbilical 40 Rol Rp 72,000.00 Rp 1,800.00 0 Rol Rp - 20
92 Kloramfenikol salep mata 1% 19 Tube Rp 98,230.00 Rp 5,170.00 0 Tube Rp - 19
93 Kloramfenikol tetes mata 1% 8 Botol Rp 78,804.00 Rp 9,850.50 0 Botol Rp - 8
94 Kloramfenikol TT 3% 12 Botol Rp 92,400.00 Rp 7,700.00 0 Botol Rp - 6
95 KLORF. MALEAT (CTM) TAB. 4 MG 999 Tablet Rp 21,978.00 Rp 22.00 0 Tablet Rp - 325
96 Klorfeniramin (CTM) 4 mg 4,997 Tablet Rp 114,930.77 Rp 23.00 0 Tablet Rp - 4,997
97 Klorpromazin 100 mg 500 Tablet Rp 123,750.00 Rp 247.50 0 Tablet Rp - 0
98 Klorpromazin 100 mg 14 Tab Rp 2,058.00 Rp 147.00 0 Tab Rp - 0
99 Kotrimoksasol 480 mg 311 Tab Rp 38,875.00 Rp 125.00 0 Tab Rp - 100
100 Kotrimoksasol suspensi 240mg 38 botol Rp 83,220.00 Rp 2,190.00 0 botol Rp - 2
101 Lanzoprazol 30 mg 485 Kapsul Rp 134,830.00 Rp 278.00 0 Kapsul Rp - 44
102 Lidocain injeksi 60 Ampul Rp 73,740.00 Rp 1,229.00 0 Ampul Rp - 30
103 Magnesium Sulfat 40% 6 ampul Rp 22,776.00 Rp 3,796.00 0 ampul Rp - 3
104 Metampiron 500 mg 1,100 Tablet Rp 302,500.00 Rp 275.00 0 Tablet Rp - 250
105 Metformin HCl tablet 500 mg 3,998 Tablet Rp 1,399,137.25 Rp 350.00 0 Tablet Rp - 3,998
106 Metilergometrin 0,125 mg 1,099 Tablet Rp 247,275.00 Rp 225.00 0 Tablet Rp - 1,099
107 Metilergometrin inj 25 Ampul Rp 270,000.00 Rp 10,800.00 0 Ampul Rp - 20
108 Metilprednisolon 4 mg tablet 520 Tablet Rp 132,704.00 Rp 255.20 0 Tablet Rp - 230
109 Metoklopramid 10 mg 110 Tablet Rp 8,800.00 Rp 80.00 0 Tablet Rp - 80
110 Metoklopramid 5 mg 200 Tablet Rp 24,200.00 Rp 121.00 0 Tablet Rp - 0
111 Metronidazol 500 mg 112 Botol Rp 13,888.00 Rp 124.00 0 Botol Rp - 112
112 Mikonazol krim 2% 9 Tube Rp 30,726.00 Rp 3,414.00 0 Tube Rp - 9
113 Natrium Diklofenak 50 mg 1,999 Tablet Rp 879,489.60 Rp 440.00 0 Tablet Rp - 1,529
114 Natrium Klorida infus 0.9% 35 Botol Rp 238,000.00 Rp 6,800.00 0 BotolRp - 0
115 Neo kaominal 18 Botol Rp 133,290.00 Rp 7,405.00 0 Botol Rp - 1
116 Neocenta krim 3 tube Rp 66,000.00 Rp 22,000.00 0 tube Rp - 3
117 Neurotropik tablet 1,999 Tablet Rp 1,339,068.70 Rp 670.00 0 Tablet Rp - 1,999
118 Nifedipin 10 mg 80 Tablet Rp 8,960.00 Rp 112.00 0 Tablet Rp - 80
119 Nistatin 100000 IU / ml Drop 3 Botol Rp 40,500.00 Rp 13,500.00 0 Botol Rp - 2
120 Nistatin Vagtab 100.000 IU 60 Tablet Rp 33,600.00 Rp 560.00 0 Tablet Rp - 0
121 OBH 24 botol Rp 264,000.00 Rp 11,000.00 0 botol Rp - 18
122 OBH sirup molex 60 ml 35 Botol Rp 219,604.00 Rp 6,274.40 0 Botol Rp - 8
123 Parasetamol 500 mg 6,494 Tablet Rp 642,861.25 Rp 99.00 0 Tablet Rp - 6,494
124 Parasetamol 500 mg 5,122 Tablet Rp 929,619.95 Rp 181.50 0 Tablet Rp - 5,122
125 Parasetamol drop 35 Botol Rp 232,715.00 Rp 6,649.00 0 Botol Rp - 35
126 PARASETAMOL SIRUP 120 MG / 5 M 81 botol
Rp 89,667.00 Rp 1,107.00 0 Tablet Rp - 50
127 Piridoksin (Vit B6) 10 mg 1,499 Tablet Rp 196,363.76 Rp 131.00 0 Tablet Rp - 1,459
128 Piroksikam (lexicam) tablet 20 mg 1,499 Tablet Rp 197,858.10 Rp 132.00 0 Tablet Rp - 1,374
129 Plester 5 yard x 2 inch 1 Roll Rp 12,675.00 Rp 12,675.00 0 Roll Rp - 0
130 (Leukoplast) 5 roll Rp 297,500.00 Rp 59,500.00 0 roll Rp - 0
131 Plesterin bulat 600 pcs Rp 105,000.00 Rp 175.00 0 pcs Rp - 0
132 Plesterin bulat 200 Rol Rp 35,000.00 Rp 175.00 0 Rol Rp - 200
133 Pot Sputum 150 Pot Rp 883,500.00 Rp 5,890.00 0 Pot Rp - 100
135 Prednison 5 mg 57 Tablet Rp 6,822.90 Rp 119.70 0 Tablet Rp - 57
136 Ranitidin 150 mg 1,868 Tablet Rp 513,735.75 Rp 275.00 0 Tablet Rp - 1,868
137 Ranitidin 150 mg 1,499 Tablet Rp 256,039.15 Rp 170.83 0 Tablet Rp - 1,499
138 Reagent HbsAg tes 25 test Rp 246,250.00 Rp 9,850.00 0 test Rp - 25
141 Ringer Laktat larutan infus 60 botol Rp 457,800.00 Rp 7,630.00 0 botol Rp - 20
142 Risperidon 2 mg 545 Tablet Rp 148,785.00 Rp 273.00 0 Tablet Rp - 480
143 Salbutamol 2 mg 1,650 Tablet Rp 115,500.00 Rp 70.00 0 Tablet Rp - 10
144 Salbutamol 4 mg 130 Tablet Rp 9,100.00 Rp 70.00 0 Tablet Rp - 122
145 Salep 2-4 Kombinasi 16 Pot Rp 41,920.00 Rp 2,620.00 0 Pot Rp - 13
146 Salisil bedak 2 % 45 pcs Rp 99,000.00 Rp 2,200.00 0 pcs Rp - 19
147 Scabicide/Scabimit/Permetrin 5% krim 6 Tube Rp 68,796.00 Rp 11,466.00 0 Tube Rp - 3
148 Sefadroksil 500 mg 400 Tablet Rp 155,200.00 Rp 388.00 0 Tablet Rp - 0
149 Serum ABU 2 Vial Rp 1,034,264.00 Rp 517,132.00 0 Vial Rp - 0
150 Serum ATS 1500 IU 2 Ampul Rp 261,998.00 Rp 130,999.00 0 Ampul Rp - 2
151 Sianokobalamin (Vit B12) 50 mcg 240 Tablet Rp 11,040.00 Rp 46.00 0 Tablet Rp - 10
152 silk no 3/0 dgn jarum 72 Pcs Rp 1,418,400.00 Rp 19,700.00 0 Pcs Rp - 48
153 Simvastatin 10 mg 725 Tablet Rp 84,825.00 Rp 117.00 0 Tablet Rp - 500
154 Siprofloksasin tab 500 mg 370 Tablet Rp 170,329.50 Rp 460.35 0 Tablet Rp - 346
155 Strip Glukosa EASY TOUCH 50 pcs Rp 275,000.00 Rp 5,500.00 0 pcs Rp - 50
Strip Glukosa NESCO 25 Pcs Rp 137,500.00 Pcs
156 Rp 5,500.00 0 Rp - 25
Strip Kolesterol EASY TOUCH 50 Pcs Rp 1,100,000.00 Pcs
157 Rp 22,000.00 0 Rp - 50
158 Strip Kolesterol EASY TOUCH 50 Pcs Rp 1,100,000.00 Rp 22,000.00 0 Pcs Rp - 50
159 Tablet Tambah darah 3,996 Tablet Rp 903,132.16 Rp 226.00 0 Tablet Rp - 3,996
160 Thiamin (Vit B 1) tab 50 mg 1450 Tablet Rp 123,250.00 Rp 85.00 0 Tablet Rp - 640
161 Tranfusi set 25 Botol Rp 212,500.00 Rp 8,500.00 0 Botol Rp - 10
Triheksipenidil 2 mg Tablet Rp 39,130.00 Tablet
162 430 Rp 91.00 0 Rp - 40
163 Ultrasonic gel 1 Pcs Rp 16,000.00 Rp 16,000.00 0 Pcs Rp - 1
164 UnderPad 60 Botol Rp 287,100.00 Rp 4,785.00 0 Botol Rp - 10
165 Urine bag 9 Buah Rp 49,500.00 Rp 5,500.00 0 Buah Rp - 0
166 Urine Bag with Hanger (PIN) 10 Pcs Rp 69,680.00 Rp 6,968.00 0 Pcs Rp - 0
167 Vicalcin sirup 48 Botol Rp 337,180.80 Rp 7,024.60 0 Botol Rp - 11
168 Vitamin B Kompleks (HOLY) 8,994 Tablet Rp 746,518.60 Rp 83.00 0 Tablet Rp - 8,994
169 Vitamin B-Compleks(DEF) 2,410 Tablet Rp 106,021.87 Rp 44.00 0 Tablet Rp - 2,410
170 Zink Tablet 390 Tablet Rp 204,360.00 Rp 524.00 0 Tablet Rp - 140
1 Akita Tablet 0 Tablet Rp - Rp 320.10 500 Tablet Rp 160,050.00 0
3 Alat Suntik 10 ml 0 Pcs Rp - Rp 1,287.00 0 Pcs Rp - 0
5 Alat Suntik 3 ml 0 Pcs Rp - Rp 693.00 300 Pcs Rp 207,900.00 0
9 Albendazol 400mg tab 0 Tablet Rp - Rp 288.00 0 Tablet Rp - 0
10 Alkohol Swab 0 Set Rp - Rp 120.00 0 Set Rp - 0
11 Alopurinol 100 mg 0 Tablet Rp - Rp 105.00 1,000 Tablet Rp 105,000.00 85
12 Alopurinol 300 mg 0 Tablet Rp - Rp 550.00 0 Tablet Rp - 0
13 Alprazolam 0,5 mg 0 Tablet Rp - Rp 78.00 0 Tablet Rp - 0
14 Ambroxol 30 mg tab 0 Tablet Rp - Rp 115.50 500 Tablet Rp 57,750.00 0
15 Amlodipin 10 mg 0 Tablet Rp - Rp 70.00 500 Tablet Rp 35,000.00 0
16 Amlodipin 5 mg 0 Tablet Rp - Rp 53.00 900 Tablet Rp 47,700.00 0
17 Amoksisilin 125 mg/5 ml sirup kering 0 Botol Rp - Rp 2,050.40 83 Botol Rp 170,183.20 19
18 Amoksisilin kapl 500 mg 0 Tablet Rp - Rp 201.00 0 Tablet Rp - 0
19 Amoksisilin sirup kering 0 botol Rp - Rp 3,850.00 0 botol Rp - 0
20 Ampisilin serbuk 1000mg/ml 0 Vial Rp - Rp 8,237.00 0 Vial Rp - 0
21 Antasida DOEN susp 0 Botol Rp - Rp 1,679.00 45 Botol Rp 75,555.00 2
22 Antasida DOEN tab 0 Tablet Rp - Rp 58.00 5,000 Tablet Rp 290,000.00 0
10 Rp 32,500.00 0
30 antiza 0 Tablet Rp - Rp 1,100.00 0 Tablet Rp - 0
31 Asam Askorbat ( Vit.C ) 50 mg 0 Tablet Rp - Rp 42.00 1,000 Tablet Rp 42,000.00 1,000
32 Asam Folat 0,4 mg 0 Tablet Rp - Rp 220.00 0 Tablet Rp - 0
33 Asam Mefenamat 500 mg 0 Tablet Rp - Rp 111.00 3,000 Tablet Rp 333,000.00 0
34 Asam Mefenamat 500 mg 0 Tablet Rp - Rp 111.00 0 Tablet Rp - 0
35 Aseptic Gel/Sabun cuci tangan 0 botol Rp - Rp 26,500.00 3 botol Rp 79,500.00 0
36 Asering 0 Softbag Rp - Rp 9,646.00 0 Softbag Rp - 0
37 Asetosal 80 mg (Miniaspi tab) 0 Tablet Rp - Rp 105.00 0 Tablet Rp - 0
38 Asiklovir 400 mg tab 0 Tablet Rp - Rp 405.00 100 Tablet Rp 40,500.00 0
39 Asiklovir Krim 0 Tube Rp - Rp 3,271.40 0 Tube Rp - 0
40 Atropin Sulfat inj 0 Ampul Rp - Rp 1,718.00 0 Ampul Rp - 0
41 Autoclick Lancing Device Onemed 0 Pcs Rp - Rp 17,416.00 0 Pcs Rp - 0
42 Betahistin Mesilat 6 mg Tab 0 Tablet Rp - Rp 451.00 600 Tablet Rp 270,600.00 0
43 Bio ATP 0 Tablet Rp - Rp 2,500.00 100 Tablet Rp 250,000.00 0
44 Blue Tips 0 Buah Rp - Rp 76.50 0 Buah Rp - 0
45 Bracket 0 Pcs Rp - Rp 22,000.00 0 Pcs Rp - 0
46 Canule O2 Anak 0 Pcs Rp - Rp 5,100.00 0 Pcs Rp - 0
47 Canule O2 Bayi 0 Buah Rp - Rp 5,200.00 0 Buah Rp - 0
49 Daryantulle/Cuticell 10x10 0 Pcs Rp - Rp 5,520.00 20 Pcs Rp 110,400.00 3
50 Deksametason 0,5 mg tab 0 Tablet Rp - Rp 32.00 1,000 Tablet Rp 32,000.00 736
51 Deksametason 0,5 mg tab 0 Tablet Rp - Rp 32.00 0 Tablet Rp - 0
52 Deksametason Inj 5 mg/ml 0 Ampul Rp - Rp 924.00 40 Ampul Rp 36,960.00 0
53 Deksametason Inj 5 mg/ml 0 Ampul Rp - Rp 924.00 0 Ampul Rp - 0
55 DIAZEPAM INJ 0 ampul Rp - Rp 1,735.00 0 ampul Rp - 0
56 Diazepam rektal 5 mg/2,5 ml 0 Tube Rp - Rp 12,573.00 0 Tube Rp - 0
57 Difenhidramin HCL inj 10 mg/ml 0 Ampul Rp - Rp 1,095.00 0 Ampul Rp - 0
58 Difenhidramin inj 10 mg/ml 0 Ampul Rp - Rp 1,095.00 30 Ampul Rp 32,850.00 0
59 Difenhidramin inj 10 mg/ml 0 ampul Rp - Rp 1,095.00 0 ampul Rp - 0
60 Digoksin tablet 0,25 mg 0 Tablet Rp - Rp 114.40 0 Tablet Rp - 0
61 Dimenhidrinat tab 50 mg 0 Tablet Rp - Rp 108.00 0 Tablet Rp - 0
62 Epinefrin Inj (Adrenalin)0,1% 0 ampul Rp - Rp 1,408.00 0 ampul Rp - 0
63 Etanol 70 % 100 ml 0 Botol Rp - Rp 2,790.00 12 Botol Rp 33,480.00 0
64 Etil Klorida 0 botol Rp - Rp 126,500.00 2 botol Rp 253,000.00 1
66 FDC Kategori 1 harian 0 paket Rp - Rp 359,985.00 0 paket Rp - 0
67 FDC Kategori 1 Kombipak 0 Paket Rp - Rp 288,199.00 0 Paket Rp - 0
68 FDC Kategori 1 Kombipak 0 paket Rp - Rp 288,199.00 0 paket Rp - 0
69 FDC Kategori 2 0 paket Rp - Rp 1,199,985.00 0 paket Rp - 0
71 Fenibarbital Tab 30 mg 0 Tablet Rp - Rp 171.00 0 Tablet Rp - 0
72 Fenidryl Sirup 0 Botol Rp - Rp 5,553.90 0 Botol Rp - 0
73 Fenitoin inj 0 ampul Rp - Rp 1.00 0 ampul Rp - 0
76 Fenobarbital Tab 30 mg 0 Tablet Rp - Rp 170.99 0 Tablet Rp - 0
77 Fenol gliserol TT 10% 0 Botol Rp - Rp 3,300.00 24 Botol Rp 79,200.00 0
78 Fitomenadion inj 2 mg/ml 0 Ampul Rp - Rp 1,386.00 30 Ampul Rp 41,580.00 0
79 Fludane/molexflu/antiza tablet/flut 0 Tablet Rp - Rp 440.00 500 Tablet Rp 220,000.00 85
80 Folley Catheter 16 0 Rol Rp - Rp 10,340.00 10 Rol Rp 103,400.00 4
81 Garam oralit 0 Sachet Rp - Rp 257.00 300 Sachet Rp 77,100.00 100
82 gent oint / Gentamisin salep mata 0 Tube Rp - Rp 2,675.00 0 Tube Rp - 0
83 Gent oint / Gentamisin salep mata 0 Pcs Rp - Rp 2,665.00 0 Pcs Rp - 0
84 GENTAMISIN KRIM salep kulit 0 Tube Rp - Rp 6,499.90 0 Tube Rp - 0
85 Gentamisin sulfat TM 0,3% 0 Botol Rp - Rp 4,520.00 0 Botol Rp - 0
86 Glibenklamid 5 mg 0 Tablet Rp - Rp 83.00 2000 Tablet Rp 166,000.00 300
87 Glimepiride 1 mg 0 Tablet Rp - Rp 371.80 0 Tablet Rp - 0
89 Gliseril Guaikiolat ( GG ) 0 Tablet Rp - Rp 89.10 1000 Tablet Rp 89,100.00 0
90 Gliseril Guaikiolat ( GG )/Asetil Sis 0 Tablet Rp - Rp 89.10 0 Tablet Rp - 0
91 Glukosa 40% 0 Botol Rp - Rp 7,000.00 0 Botol Rp - 0
93 Glukosa infus 5% 0 Botol Rp - Rp 6,627.00 20 Botol Rp 132,540.00 0
94 Griseofulvin 125 mg tab 0 Tablet Rp - Rp 224.00 300 Tablet Rp 67,200.00 0
95 Haloperidol 1,5 mg 0 Tablet Rp - Rp 59.00 0 Tablet Rp - 0
96 Haloperidol tablet 5 mg 0 Tablet Rp - Rp 54.00 0 Tablet Rp - 0
97 Hand Sanitizer (Aseptic gel) 0 Paket Rp - Rp 26,500.00 0 Paket Rp - 0
98 Handscoon non steril M 0 Pasang Rp - Rp 1,991.00 0 Pasang Rp - 0
99 Handscoon non steril M 0 Pasang Rp - Rp 1,991.00 300 Pasang Rp 597,300.00 200
100 Handscoon non steril S 0 Pasang Rp - Rp 1,991.00 200 Pasang Rp 398,200.00 100
101 HCG tes Pro-D 0 test Rp - Rp 1,900.00 0 test Rp - 0
102 Herbakof 0 Botol Rp - Rp 14,273.00 0 Botol Rp - 0
103 Hidrokortison 2,5% krim 0 Tube Rp - Rp 2,475.00 24 Tube Rp 59,400.00 2
104 Hysin Inj 0 Ampul Rp - Rp 5,161.82 0 Ampul Rp - 0
105 Ibuprofen 200 mg 0 Tablet Rp - Rp 212.00 0 Tablet Rp - 0
106 Ibuprofen 400 mg 0 Tablet Rp - Rp 376.00 1500 Tablet Rp 564,000.00 110
107 Ibuprofen suspensi 200 mg/5 ml 0 Botol Rp - Rp 3,200.00 50 Botol Rp 160,000.00 0
108 Infuset Anak 0 Pasang Rp - Rp 3,500.00 0 Pasang Rp - 0
109 Infuset dewasa (PKD 1) 0 pcs Rp - 5790 50 pcs Rp 289,500.00 0
110 Infusion Set Anak 0 pcs Rp - Rp 3,597.00 0 pcs Rp - 0
111 ISONIAZID 100 MG TAB 0 Tablet Rp - Rp 96.91 0 Tablet Rp - 0
112 Isosorbid Dinitrat 5 mg 0 Tablet Rp - Rp 97.90 700 Tablet Rp 68,530.00 190
113 IV Catheter 22G MF Cath Pro 0 pcs Rp - Rp 7,700.00 0 pcs Rp - 0
116 IV Catheter No 18 0 Buah Rp - Rp 6,000.00 0 Buah Rp - 0
117 Jarum Jahit kulit berbagai ukuran 0 Sachet Rp - Rp 25,000.00 0 Sachet Rp - 0
118 Kalium Permanganat 0 botol Rp - Rp 5,500.00 0 botol Rp - 0
119 Kalsium Glukonat Inj 10% 0 Ampul Rp - Rp 10,351.00 0 Ampul Rp - 0
120 Kalsium Laktat 0 Tablet Rp - Rp 63.00 2000 Tablet Rp 126,000.00 0
121 Kapas absorben 250 gr 0 Sachet Rp - Rp 12,500.00 5 Sachet Rp 62,500.00 0
122 Kaptopril 12,5 mg tab 0 Tablet Rp - Rp 65.00 1000 Tablet Rp 65,000.00 1000
123 Kaptopril 12,5 mg tab 0 Tablet Rp - Rp 113.00 1000 Tablet Rp 113,000.00 1000
124 Kaptopril 25 mg 0 Tablet Rp - Rp 75.00 3000 Tablet Rp 225,000.00 270
126 Kartu Golongan Darah 0 Rol Rp - Rp 350.00 0 Rol Rp - 0
128 Kasa hydrophyl 18x22 0 pcs Rp - Rp 625.00 360 pcs Rp 225,000.00 240
129 Kassa 2 x 80 0 Pcs Rp - Rp 9,740.00 10 Pcs Rp 97,400.00 0
131 Kassa 4 x 3 0 Rol Rp - Rp 759.00 0 Rol Rp - 0
132 Kassa 40 x 40 0 Rol Rp - Rp 1,600.00 200 Rol Rp 320,000.00 100
133 Ketokonazol 2% krim 0 Tube Rp - Rp 6,650.00 12 Tube Rp 79,800.00 0
134 Ketokonazol 200 mg tab 0 Tablet Rp - Rp 394.00 0 Tablet Rp - 0
135 Ketoprofen 100 mg/sup 0 Supposit Rp - Rp 1,998.00 0 Supposi Rp - 0
136 Klem umbilical 0 Rol Rp - Rp 1,800.00 0 Rol Rp - 0
137 Kloramfenikol salep mata 1% 0 tube Rp - Rp 2,007.00 24 tube Rp 48,168.00 10
138 Kloramfenikol TT 3% 0 Botol Rp - Rp 7,700.00 25 Botol Rp 192,500.00 0
139 Klorfeniramin (CTM) 4 mg 0 Tablet Rp - Rp 23.00 2000 Tablet Rp 46,000.00 0
140 Klorfeniramin 4 mg (Orphen Kaplet 0 Tablet Rp - Rp 92.40 0 Tablet Rp - 0
143 Klorpromazin Inj 25 mg/ml 0 Ampul Rp - Rp 1,243.00 0 Ampul Rp - 0
144 Kotrimoksasol 480 mg 0 Tablet Rp - Rp 133.00 700 Tablet Rp 93,100.00 0
148 KOTRIMOKSAZOL 480 MG TAB 0 Tablet Rp - Rp 125.00 0 Tablet Rp - 0
149 Lancet 0 Buah Rp - Rp 145.66 0 Buah Rp - 0
150 Lancet 0 Pcs Rp - Rp 150.00 0 Pcs Rp - 0
151 Lanzoprazol 30 mg 0 Kapsul Rp - Rp 278.00 50 Kapsul Rp 13,900.00 50
153 Levofloksasin 0 Kapsul Rp - Rp 494.00 0 Kapsul Rp - 0
154 Levoftirosin 100 mcg 0 Tablet Rp - Rp 890.00 0 Tablet Rp - 0
155 Lidocain injeksi 0 Ampul Rp - Rp 1,229.00 0 Ampul Rp - 0
156 Lidocain komp injeksi 0 Ampul Rp - Rp 803.00 90 Ampul Rp 72,270.00 0
157 Magnesium Sulfat 40% 0 Vial Rp - Rp 4,090.00 0 Vial Rp - 0
158 Masker 0 pcs Rp - Rp 550.00 0 pcs Rp - 0
161 Masker Altamed 0 Buah Rp - Rp 1,650.00 0 Buah Rp - 0
162 Masker Bedah Hijab 0 Pcs Rp - Rp 1,050.00 0 Pcs Rp - 0
163 Masterzym 0 botol Rp - Rp 1.00 0 botol Rp - 0
164 MDT Kusta PB Dewasa 0 Paket Rp - Rp 9,770.00 0 Paket Rp - 0
165 Metampiron 500 mg (Lexagin) 0 Tablet Rp - Rp 253.00 600 Tablet Rp 151,800.00 0
166 Metformin HCl tablet 500 mg 0 Tablet Rp - Rp 207.90 1000 Tablet Rp 207,900.00 25
167 Metilergometrin inj 0 Ampul Rp - Rp 10,800.00 0 Ampul Rp - 0
168 Metronidazol 125 mg/5ml susp 0 Botol Rp - Rp 3,765.00 0 Botol Rp - 0
169 Metronidazol 125mg/5ml susp 0 botol Rp - Rp 3,950.00 0 botol Rp - 0
170 Metronidazol 500 mg 0 Botol Rp - Rp 124.00 500 Botol Rp 62,000.00 36
171 Mikonazol 2% krim 0 Tube Rp - Rp 3,414.00 24 Tube Rp 81,936.00 7
172 Mikropipet tips 0 Paket Rp - Rp 87,800.00 0 Paket Rp - 0
173 Molexflu syrup 0 Botol Rp - Rp 6,274.00 0 Botol Rp - 0
174 Natrium Diklofenak 50 mg 0 Tablet Rp - Rp 123.00 600 Tablet Rp 73,800.00 0
175 Natrium Diklofenak 50 mg 0 Tablet Rp - Rp 99.00 0 Tablet Rp - 0
176 Neo kaominal 0 Botol Rp - Rp 7,405.00 0 Botol Rp - 0
177 Neocenta / Bioplacenton krim 0 Tube Rp - Rp 16,987.00 15 Tube Rp 254,805.00 5
178 Nistatin 100000 IU / ml Drop 0 Botol Rp - Rp 11,500.00 5 Botol Rp 57,500.00 0
179 Nistatin Vagtab 100.000 IU 0 Tablet Rp - Rp 560.00 0 Tablet Rp - 0
180 OB Herbal Sirup 0 Botol Rp - Rp 7,700.00 0 Botol Rp - 0
181 OB Herbal Sirup(OBASA) 0 Botol Rp - Rp 7,700.00 48 Botol Rp 369,600.00 0
182 OBH sirup molex 60 ml 0 Botol Rp - Rp 6,274.40 60 Botol Rp 376,464.00 0
183 Object Glass 0 Buah Rp - Rp 77,690.00 0 Buah Rp - 0
184 Oksitosin Inj 0 Ampul Rp - Rp 1,126.00 60 Ampul Rp 67,560.00 0
185 Ostela Forte tab 0 Tablet Rp - Rp 8,000.00 0 Tablet Rp - 0
186 Parasetamol 500 mg 0 Tablet Rp - Rp 99.00 3000 Tablet Rp 297,000.00 2772
187 Parasetamol drop 0 Botol Rp - Rp 6,649.00 0 Botol Rp - 0
188 Parasetamol infus 0 Botol Rp - Rp 11,265.00 0 Botol Rp - 0
189 PARASETAMOL SIRUP 120 MG / 0 botol Rp - Rp 1,107.00 0 botol Rp - 0
190 PARASETAMOL SIRUP 120 MG / 0 Tablet Rp - Rp 1,107.00 0 Tablet Rp - 0
192 Pehacain 0 Ampul Rp - Rp 4,200.00 20 Ampul Rp 84,000.00 0
193 Piridoksin ( Vit B6 ) 10 mg tab 0 Tablet Rp - Rp 67.00 0 Tablet Rp - 0
194 Piridoksin (Vit B6) 10 mg 0 Tablet Rp - Rp 131.00 1000 Tablet Rp 131,000.00 0
195 Piridoksin (Vit B6) 10 mg 0 Tablet Rp - Rp 123.00 0 Tablet Rp - 0
196 Piroksikam (lexicam) tablet 20 mg 0 Tablet Rp - Rp 132.00 0 Tablet Rp - 0
197 Plester (Leukoplast 7,5 cm x 4,5 c 0 Paket Rp - Rp 59,500.00 0 Paket Rp - 0
198 Plesterin bulat 0 Rol Rp - Rp 175.00 400 Rol Rp 70,000.00 400
200 Povidon Iodida 10 % 30 ml 0 Pcs Rp - Rp 2,800.00 2 Pcs Rp 5,600.00 2
201 Prednison 5 mg 0 Tablet Rp - Rp 119.70 800 Tablet Rp 95,760.00 130
202 Prednison 5 mg 0 Tablet Rp - Rp 119.70 500 Tablet Rp 59,850.00 0
203 Propiltiourasil tablet 100 m 0 Tablet Rp - Rp 410.00 0 Tablet Rp - 0
204 R.Hema OL 2100 Kertas print 0 Pcs Rp - Rp 40,000.00 0 Pcs Rp - 0
205 Ranitidin 150 mg 0 Tablet Rp - Rp 85.00 1500 Tablet Rp 127,500.00 130
206 Ranitidin 50 mg/2 ml injeksi 0 Ampul Rp - Rp 1,960.20 0 Ampul Rp - 0
207 Ranitidin 50 mg/2 ml injeksi 0 Ampul Rp - Rp 814.00 0 Ampul Rp - 0
208 Rapid Test HIV Ke - 1 ( SD ) 0 Tes Rp - Rp 14,340.00 0 Tes Rp - 0
209 Reagen gol darah Pro-D anti A 0 Botol Rp - Rp 165,000.00 1 Botol Rp 165,000.00 0
210 Reagen gol darah Pro-D anti B 0 Botol Rp - Rp 165,000.00 1 Botol Rp 165,000.00 0
211 Reagen gol darah Pro-D anti D 0 Botol Rp - Rp 165,000.00 1 Botol Rp 165,000.00 1
212 Reagent HbsAg tes 0 test Rp - Rp 9,850.00 75 test Rp 738,750.00 50
213 Recovit sirup 0 Botol Rp - Rp 9,900.00 0 Botol Rp - 0
219 Ringer Laktat larutan infus 0 Botol Rp - Rp 7,630.00 0 Botol Rp - 0
220 Ringer Laktat larutan infus 0 Botol Rp - Rp 7,150.00 40 Botol Rp 286,000.00 0
221 Risperidon 2 mg 0 Tablet Rp - Rp 273.00 0 Tablet Rp - 0
222 Salbutamol 2 mg 0 Tablet Rp - Rp 70.00 200 Tablet Rp 14,000.00 0
223 Salbutamol tablet 4 mg 0 Tablet Rp - Rp 70.00 500 Tablet Rp 35,000.00 0
224 Salep 2-4 Kombinasi 0 pot Rp - Rp 2,796.00 24 pot Rp 67,104.00 0
225 Salep 2-4 Kombinasi 0 pot Rp - Rp 2,796.00 0 pot Rp - 0
226 Salisil bedak 2 % 0 pcs Rp - Rp 2,200.00 0 pcs Rp - 0
227 Scabicide/Scabimit/Permetrin 5% 0 Tube Rp - Rp 11,466.00 0 Tube Rp - 0
228 Serum ABU 0 Vial Rp - Rp 517,132.00 0 Vial Rp - 0
229 Sianokobalamin (vit B12) tab 0 Tablet Rp - Rp 49.00 0 Tablet Rp - 0
230 Simvastatin tablet 10 mg 0 Tablet Rp - Rp 128.70 600 Tablet Rp 77,220.00 0
231 Solvitaz 0 Tablet Rp - Rp 1.00 300 Tablet Rp 300.00 0
232 Spekulum dispo / Vagion M 0 Strip Rp - Rp 6,500.00 0 Strip Rp - 0
233 Stimuno F 0 Kapsul Rp - Rp 1,763.00 0 Kapsul Rp - 0
234 Strip Glukosa BENECHECK 0 Pcs Rp - Rp 160,000.00 0 Pcs Rp - 0
235 Strip Glukosa EASY TOUCH 0 pcs Rp - Rp 5,500.00 50 pcs Rp 275,000.00 25
236 Strip Glukosa EASY TOUCH 0 pcs Rp - Rp 5,500.00 0 pcs Rp - 0
237 Strip Glukosa NESCO 0 Pcs Rp - Rp 5,500.00 0 Pcs Rp - 0
238 Strip Kolesterol EASY TOUCH 0 Pcs Rp - Rp 22,000.00 0 Pcs Rp - 0
239 Sukralfat / Ulsafate sirup 0 Botol Rp - Rp 4,989.00 0 Botol Rp - 0
240 Tablet Tambah Darah 0 Tablet Rp - Rp 226.00 10000 Tablet Rp 2,260,000.00 4310
241 Tablet Tambah darah 0 Tablet Rp - Rp 226.00 0 Tablet Rp - 0
242 Tetrasiklin 500 mg 0 Kapsul Rp - Rp 323.00 0 Kapsul Rp - 0
243 Thiamin (Vit B 1) tab 50 mg 0 Tablet Rp - Rp 156.20 1000 Tablet Rp 156,200.00 0
244 THIAMIN (VIT B1) TAB 50 MG 0 Tablet Rp - Rp 85.00 0 Tablet Rp - 0
245 Tiamin (Vit B1) 50 mg 0 Tablet Rp - Rp 253.00 0 Tablet Rp - 0
246 Tranfusi set 0 Botol Rp - Rp 8,500.00 0 Botol Rp - 0
248 Triheksipenidil 2 mg 0 Tablet Rp - Rp 63.00 300 Tablet Rp 18,900.00 300
249 Ultrasonic gel 0 Pcs Rp - Rp 16,000.00 1 Pcs Rp 16,000.00 1
250 UnderPad 0 Botol Rp - Rp 4,785.00 40 Botol Rp 191,400.00 40
251 Urine bag(KMP/SCP) 0 Pcs Rp - Rp 5,700.00 10 Pcs Rp 57,000.00 0
252 Vicalcin sirup 0 Botol Rp - Rp 7,024.60 0 Botol Rp - 0
253 Vitamin B Kompleks 0 Tablet Rp - Rp 89.00 0 Tablet Rp - 0
254 Vitamin B-Compleks(DEF) 0 Tablet Rp - Rp 44.00 1000 Tablet Rp 44,000.00 1000
255 Vitamin B-Compleks(DEF) 0 Tablet Rp - Rp 71.50 3000 Tablet Rp 214,500.00 2265
256 Zinc sulfat 20 mg 0 Tablet Rp - Rp 524.00 300 Tablet Rp 157,200.00 0
257 Zink sir 20 mg/5 ml 0 Botol Rp - Rp 2,489.00 0 Botol Rp - 0
258 Zink Tablet 0 Tablet Rp - Rp 524.00 0 Tablet Rp - 0
259 Clozapine 25mg 0 Tablet Rp - Rp 1,121.00 0 Tablet Rp - 0
261 DIAZEPAM INJ 0 ampul Rp - Rp 1,545.00 10 ampul Rp 15,450.00 0
264 Fluphenazine/Sikzonoate 25 inj 0 Ampul Rp - Rp 63,500.00 0 Ampul Rp - 0
265 Haldol Decanoas 50 mg inj 0 Ampul Rp - Rp 109,000.00 0 Ampul Rp - 0
266 Haloperidol 5 mg inj 0 Ampul Rp - Rp 1,190.00 0 Ampul Rp - 0
267 Haloperidol 5 mg tab 0 Tablet Rp - Rp 54.00 0 Tablet Rp - 0
269 MDT Kusta MB Dewasa 0 Paket Rp - Rp 40,128.00 0 Paket Rp - 0
271 Reagent HbsAg tes 0 test Rp - Rp 1.00 0 test Rp - 0
272 Risperidon 2 mg 0 Tablet Rp - Rp 123.00 500 Tablet Rp 61,500.00 0
274 Triheksipenidil 2 mg 0 Tablet Rp - Rp 91.00 0 Tablet Rp - 0
275 Reagent Syphillis 0 test Rp - Rp 20,400.00 25 test Rp 510,000.00 0
276 Aqua PI 0 Botol Rp - Rp 2,860.00 0 Botol Rp - 0
279 Amoksisilin kapl 500 mg 0 Tablet Rp - Rp 249.00 0 Tablet Rp - 0
280 Glukosa infus 5% 0 botol Rp - Rp 6,627.50 0 botol Rp - 0
281 Natrium Chlorida infus 0,9% 0 botol Rp - Rp 6,800.20 0 botol Rp - 0
283 Amoksisilin 125 mg/5 ml sirup keri 0 Botol Rp - Rp 2,050.00 0 Botol Rp - 0
286 Kalsium Laktat 0 Tablet Rp - Rp 60.01 0 Tablet Rp - 0
289 IV Catheter No 18 NOUSHED 0 pcs Rp - Rp 5,995.00 0 pcs Rp - 0
292 Alopurinol 100mg 0 tablet Rp - Rp 105.00 0 tablet Rp - 0
293 Amoksisilin kapl 500 mg 0 tablet Rp - Rp 249.00 1000 tablet Rp 249,000.00 84
295 Antasida DOEN tab 0 tablet Rp - Rp 58.00 0 tablet Rp - 0
296 Asam Askorbat ( Vit.C ) 50 mg 0 tablet Rp - Rp 105.00 0 tablet Rp - 0
297 Kotrimoksasol suspensi 0 botol Rp - Rp 2,190.00 0 botol Rp - 0
298 Lidocain injeksi 2% + Epineprin 1: 0 ampul Rp - Rp 1,229.00 0 ampul Rp - 0
299 Natrium Klorida infus 0.9% 0 botol Rp - Rp 6,840.00 0 botol Rp - 0
300 Parasetamol sirup 120 mg/5ml 0 botol Rp - Rp 1,181.00 0 botol Rp - 0
302 Prednison 5 mg Tablet Rp - Rp 1.00 0 Tablet Rp - 0
305 Zink 20 mg tab Tablet Rp - Rp 1.00 0 Tablet Rp - 0
306 Haloperidol 1.5mg tab TabletRp - Rp 1.00 0 Tablet Rp - 0
307 Alprazolam 0,5 mg Tablet Rp - Rp 78.00 0 Tablet Rp - 0
308 Diazepam 5 mg Tab Tablet Rp - Rp 108.00 0 Tablet Rp - 0
309 Parasetamol sirup 120 mg/5ml Botol Rp - Rp 1,161.00 0 Botol Rp - 0
310 Triheksipenidil 2 mg Tablet Rp - Rp 63.00 0 Tablet Rp - 0
311 Ketokonazol 200 mg tab Tablet Rp - Rp 252.00 0 Tablet Rp - 0
312 Asam Mefenamat 500 mg Tablet Rp - Rp 111.00 0 Tablet Rp - 0
313 Metilprednisolon 4 mg tab Tablet Rp - Rp 102.00 0 Tablet Rp - 0
314 Ranitidin 150 mg Tablet Rp - Rp 85.00 0 Tablet Rp - 0
315 Simvastatin tablet 10 mg Tablet Rp - Rp 68.00 0 Tablet Rp - 0
316 Allopurinol 100mg tab Tablet Rp - Rp 87.00 0 Tablet Rp - 0
317 Amoksisilin kapl 500 mg Tablet Rp - Rp 201.00 0 Tablet Rp - 0
318 Ciprofloxacin 500 mg Tablet Rp - Rp 248.00 0 Tablet Rp - 0
319 Glimepiride 2 mg tab Tablet Rp - Rp 123.00 0 Tablet Rp - 0
320 SD Bioline HIV/Syphillis Duo Test Rp - Rp 17,563.84 0 Test Rp - 0
321 Isosorbide Dinitrate tab Tablet Rp - Rp 86.00 0 Tablet Rp - 0
322 Serum ABU Vial Rp - Rp 517,132.00 0 Vial Rp - 0
323 Serum ATS 1500 IU ampul Rp - Rp 138,924.50 0 ampul Rp - 0
0
JUMLAH Rp 41,946,371.95 Rp 16,646,015.20
AT DAN PERBEKKES
1 Maret 2022
GONDORIYO
Sisa (31
Desember
2019 )
Nilai Harga Jumlah Nilai Harga Jumlah Nilai Harga
13 14 15 16 17 18 19 20
Tablet Rp - 3,000 Tablet Rp 864,000.00 Tablet Rp -
Tablet Rp 8,662.50 1,266 Tablet Rp 146,223.00 Tablet Rp -
Pot Rp - 24 Pot Rp 107,904.00 Pot Rp -
Suppositoria Rp 6,500.00 12 Suppositoria Rp 39,000.00 Suppositoria Rp -
ampul Rp 14,300.00 0 ampul Rp - ampul Rp -
Softbag Rp 694,512.00 0 Softbag Rp - Softbag Rp -
pcs Rp - 30 pcs Rp 155,991.00 pcs Rp -
Tab Rp 2,507.00 276 Tab Rp 30,084.00 Tab Rp -
supp Rp - 10 supp Rp 125,730.00 supp Rp -
ampul Rp - 0 ampul Rp - 60 ampul Rp 65,700.00
Rol Rp 19,701.00 4 Rol Rp 78,804.00 Rol Rp -
Paket Rp - 4 Paket Rp 1,439,940.00 Paket Rp -
Rol Rp 10,340.00 0 Rol Rp - Rol Rp -
Botol Rp - 16 Botol Rp 61,600.00 Botol Rp -
Tablet Rp - 0 Tablet Rp - 678 Tablet Rp 266,250.60
tube Rp 39,600.00 0 tube Rp - tube Rp -
Pot Rp 6,050.00 22 Pot Rp 133,100.00 Pot Rp -
Buah Rp 48,180.00 30 Buah Rp 144,540.00 Buah Rp -
set Rp - 2 set Rp 473,000.00 set Rp -
Suppositoria Rp - 19 Suppositoria Rp 37,962.00 Suppositoria Rp -
Tube Rp 98,230.00 0 Tube Rp - Tube Rp -
Tab Rp - 14 Tab Rp 2,058.00 Tab Rp -
Tab Rp 12,500.00 211 Tab Rp 26,375.00 Tab Rp -
Kapsul Rp 12,232.00 441 Kapsul Rp 122,598.00 Kapsul Rp -
ampul Rp 11,388.00 3 ampul Rp 11,388.00 ampul Rp -
Tube Rp 30,726.00 0 Tube Rp - Tube Rp -
tube Rp 66,000.00 0 tube Rp - tube Rp -
Roll Rp - 1 Roll Rp 12,675.00 Roll Rp -
roll Rp - 5 roll Rp 297,500.00 roll Rp -
test Rp 246,250.00 0 test Rp - test Rp -
Tablet Rp 700.00 1,640 Tablet Rp 114,800.00 Tablet Rp -
Tablet Rp 8,540.00 8 Tablet Rp 560.00 Tablet Rp -
Vial Rp - 2 Vial Rp 1,034,264.00 Vial Rp -
Tablet Rp 460.00 230 Tablet Rp 10,580.00 Tablet Rp -
Pcs Pcs Pcs

Rp 137,500.00 0 Rp - Rp -
Pcs Pcs Pcs

Rp 1,100,000.00 0 Rp - Rp -
Pcs Rp 1,100,000.00 0 Pcs Rp - Pcs Rp -

Rp 3,640.00 390 Rp 35,490.00 Rp -
Suppositoria Rp - 10 Suppositoria Rp 32,500.00 Suppositoria Rp -
botol Rp - 3 botol Rp 79,500.00 botol Rp -
Ampul Rp - 40 Ampul Rp 36,960.00 Ampul Rp -
Sachet Rp 25,700.00 200 Sachet Rp 51,400.00 Sachet Rp -
Pasang Rp 398,200.00 100 Pasang Rp 199,100.00 Pasang Rp -
Pasang Rp 199,100.00 100 Pasang Rp 199,100.00 Pasang Rp -
Sachet Rp - 5 Sachet Rp 62,500.00 Sachet Rp -
Suppositoria Rp - 0 Suppositoria Rp - Suppositoria Rp -
tube Rp 20,070.00 14 tube Rp 28,098.00 tube Rp -
test Rp 492,500.00 25 test Rp 246,250.00 test Rp -
Tablet Rp - 300 Tablet Rp 300.00 Tablet Rp -
Strip Rp - 0 Strip Rp - Strip Rp -
Tablet Rp 974,060.00 5,690 Tablet Rp 1,285,940.00 Tablet Rp -
test Rp - 25 test Rp 510,000.00 test Rp -
tablet Rp 20,916.00 916 tablet Rp 228,084.00 tablet Rp -
Rp 31,724,432.28 Rp 26,536,004.27 Rp 331,950.60
hun
Du
a
Rib BERITA ACARA MUTASI OBAT DAN PERB
Du
UPTD PUSKESMAS ROWOBUNGKU
a
SKPD
Pul : DINAS KESEHATAN
uh No./
Sat Tgl.
u Sur
Jumlah Barang
at
tela Das
yang
Barang-barang diterima/dikelua
hNo Tan ar Uraian (Nama Barang) bulan lalu ( 1 Harga Satuan rkan ( 1 Januari
dila ggal Pen Januari 2020) s/d 31
erim
ksa aan/
Desember
2020)
nak Pen Saldo Penambahan
an gelu Jumlah Nilai Harga Jumlah Nilai
aran
pel
1 2 3 4 5 6 7 8 9 10
apo
1 Akita Tablet 750 Tablet Rp 240,075.00 Rp 320.10 0 Tablet
ran
2 Alat Suntik 1 ml 50 Pcs Rp 47,850.00 Rp 957.00 0 Pcs
mut
3 Alat Suntik 10 ml 66 Pcs Rp 77,022.00 Rp 1,167.00 0 Pcs
asi
oba
t5 Alat Suntik 5 ml 100 Pcs Rp 75,900.00 Rp 759.00 0 Pcs

UP6 Albendazol 400mg tab 6,000 Tablet Rp 1,728,000.00 Rp 288.00 0 Tablet
TD7 ALLOPURINOL TAB 100 MG 1,270 Tablet Rp 125,730.00 Rp 99.00 0 Tablet
Gu
8
dan
Alopurinol 300 mg 10 Tablet Rp 5,500.00 Rp 550.00 0 Tablet
g9 Alprazolam 0,5 mg 170 Tablet Rp 15,980.00 Rp 94.00 0 Tablet
Far
10 Ambroxol 30 mg tab 500 Tablet Rp 57,750.00 Rp 115.50 0 Tablet
ma11 Ambroxol 30 mg tab 470 Tablet Rp 54,285.00 Rp 115.50 0 Tablet
si12 Aminofilin tab 200 mg 80 Tablet Rp 7,600.00 Rp 95.00 0 Tablet
den
13 Amlodipin 10 mg 1,400 Tablet Rp 700,000.00 Rp 500.00 0 Tablet
gan
14 Amlodipin 10 mg 560 Tablet Rp 39,200.00 Rp 70.00 0 Tablet
has
il15 Amlodipin 5 mg 1,520 Tablet Rp 684,000.00 Rp 450.00 0 Tablet
seb
16 Amoksisilin kapl 500 mg 1,200 Tablet Rp 241,200.00 Rp 201.00 0 Tablet
aga
17 Amoksisilin sirup kering 125 mg/5 ml (Solpenox Syr) 36 Botol Rp 237,600.00 Rp 6,600.00 0 Botol
i 18 Ampisilin Inj 1000 mg 50 Vial Rp 411,850.00 Rp 8,237.00 0 Vial
beri
kut:
19 Ampisilin serbuk 1000mg/ml 50 Vial Rp 411,850.00 Rp 8,237.00 0 Vial
20 Antasida DOEN susp 28 Botol Rp 83,776.00 Rp 2,992.00 0 Botol
21 Antasida DOEN tab 3,315 Tablet Rp 192,270.00 Rp 58.00 0 Tablet
22 Anti bakteri salep kombinasi 21 Kapsul Rp 106,260.00 Rp 5,060.00 0 Kapsul
23 Antifungi salep komb 13 Pot Rp 58,448.00 Rp 4,496.00 0 Pot
24 Antihemoroid 2 Supp Rp 6,334.00 Rp 3,167.00 0 Supp
25 Antihemoroid DOEN 30 Suppositoria Rp 97,500.00 Rp 3,250.00 0 Suppositoria
26 Antimigrain ( Ergotamin ) 80 Tablet Rp 14,800.00 Rp 185.00 0 Tablet
27 Aqua PI 31 ampul Rp 88,660.00 Rp 2,860.00 0 ampul
28 Asam Askorbat ( Vit.C ) 50 mg 1,430 Tablet Rp 60,060.00 Rp 42.00 0 Tablet
29 Asam Folat 0,4 mg 560 Tablet Rp 123,200.00 Rp 220.00 0 Tablet
30 Asam Mefenamat 500 mg 2,115 Tablet Rp 234,765.00 Rp 111.00 0 Tablet
31 Asam Traneksamat 500 mg 70 Tablet Rp 90,720.00 Rp 1,296.00 0 Tablet
32 Aseptic Gel/Sabun cuci tangan 1 botol Rp 26,500.00 26500 0 botol
33 Asering 24 Softbag Rp 231,504.00 Rp 9,646.00 0 Softbag
34 Asetosal 80 mg (Aspilet tab) 85 Tablet Rp 8,925.00 Rp 105.00 0 Tablet
35 Asetosal 80 mg (Miniaspi tab) 200 Tablet Rp 21,000.00 Rp 105.00 0 Tablet
38 Atropin Sulfat Inj 0,25 mg/ml 10 ampul Rp 16,390.00 Rp 1,639.00 0 ampul
39 Atropin Sulfat inj 10 Ampul Rp 17,180.00 Rp 1,718.00 0 Ampul
40 Autoclick Lancing Device Onemed 1 Pcs Rp 17,416.00 Rp 17,416.00 0 Pcs
41 Becefort/Arkavit/Multivitamin 50 Tablet Rp 49,500.00 Rp 990.00 0 Tablet
42 Betahistin Mesilat 6 mg Tab 710 Tablet Rp 320,210.00 Rp 451.00 0 Tablet
43 Betametason krim 0,1% 45 Tube Rp 60,300.00 Rp 1,340.00 0 Tube
44 Blue Tips 200 Buah Rp 15,300.00 Rp 76.50 0 Buah
47 Canule O2 Anak 20 Pcs Rp 102,000.00 Rp 5,100.00 0 Pcs
48 Canule O2 Bayi 10 Buah Rp 52,000.00 Rp 5,200.00 0 Buah
50 Catgut Chromic 3/0 24 buah Rp 254,400.00 Rp 10,600.00 0 buah
51 Daryantulle kasa 2 Pcs Rp 11,040.00 Rp 5,520.00 0 Pcs
52 Daryantulle/Cuticell 10x10 20 Pcs Rp 110,400.00 Rp 5,520.00 0 Pcs
54 Deksametason Inj 5 mg/ml 20 Ampul Rp 18,480.00 Rp 924.00 0 Ampul
57 Difenhidramin HCL inj 10 mg/ml 22 Ampul Rp 24,089.78 Rp 1,094.99 0 Ampul
60 Domperidon tablet 10 mg 810 Tablet Rp 57,510.00 Rp 71.00 0 Tablet
61 Epinefrin Inj (Adrenalin)0,1% 10 ampul Rp 14,080.00 Rp 1,408.00 0 ampul
62 Etaflusin 450 Tablet Rp 158,350.50 Rp 351.89 0 Tablet
63 Etakridin lart 0,1% (Rivanol) 48 Botol Rp 73,200.00 Rp 1,525.00 0 Botol
64 Etanol 70 % 100 ml 52 Botol Rp 145,080.00 Rp 2,790.00 0 Botol
65 Etil Klorida 5 Can Rp 1,045,000.00 Rp 209,000.00 0 Can
66 FDC Kategori 1 9 paket Rp 3,239,865.00 Rp 359,985.00 0 paket
67 FDC Kategori 2 2 paket Rp 2,399,970.00 Rp 1,199,985.00 0 paket
68 Fenidryl Sirup 65 Botol Rp 361,003.50 Rp 5,553.90 0 Botol
69 Fenobarbital Tab 30 mg 1,395 Tablet Rp 238,531.05 Rp 170.99 0 Tablet
71 Fitomenadion inj 2 mg/ml 30 Ampul Rp 41,580.00 Rp 1,386.00 0 Ampul
72 Fitomenadion inj 2 mg/ml/Vitka infant 30 Ampul Rp 304,500.00 Rp 10,150.00 0 Ampul
74 Folley Catheter 18 10 Pcs Rp 108,900.00 Rp 10,890.00 0 Pcs
75 Furosemid 40 mg 95 Tablet Rp 7,315.00 Rp 77.00 0 Tablet
79 Gentamisin sulfat TM 0,3% 52 Botol Rp 235,040.00 Rp 4,520.00 0 Botol
80 Gentian violet 30 Botol Rp 115,500.00 Rp 3,850.00 0 Botol
81 Glass Ionomer Fuji IX gold 1 Pcs Rp 1,557,875.00 Rp 1,557,875.00 0 Pcs
82 Glibenklamid 5 mg 2,330 Tablet Rp 330,860.00 Rp 142.00 0 Tablet
83 Glimepiride 1 mg 200 Tablet Rp 34,800.00 Rp 174.00 0 Tablet
86 Griseofulvin 125 mg ( KF ) 720 Tablet Rp 161,280.00 Rp 224.00 0 Tablet
87 Griseofulvin tab 125 mg 720 Tablet Rp 282,744.00 Rp 392.70 0 Tablet

88 Haloperidol 5 mg 8 Tablet Rp 480.00 Rp 60.00 0 Tablet
89 HALOPERIDOL 5 MG TAB 100 Tablet Rp 5,600.00 Rp 56.00 0 Tablet
90 Haloperidol tablet 5 mg 200 Tablet Rp 12,000.00 Rp 60.00 0 Tablet
91 HCG tes Pro-D 50 Pcs Rp 96,950.00 Rp 1,939.00 0 Pcs
92 Hidroklorotiazid ( HCT ) 170 Tablet Rp 21,760.00 Rp 128.00 0 Tablet
93 Hidrokortison 2,5% krim 33 Tube Rp 81,675.00 Rp 2,475.00 0 Tube
94 Ibuprofen 400 mg 1,430 Tablet Rp 537,680.00 Rp 376.00 0 Tablet
95 Ibuprofen suspensi 100 mg/5 ml 10 Botol Rp 22,360.00 Rp 2,236.00 0 Botol
98 Infuset dewasa type Y 100 Pcs Rp 631,600.00 Rp 6,316.00 0 Pcs
99 Infusion Set Anak 87 pcs Rp 312,939.00 Rp 3,597.00 0 pcs
102 IV Catheter 22G MF Cath Pro 50 pcs Rp 385,000.00 Rp 7,700.00 0 pcs
103 IV Catheter No 20 50 Buah Rp 240,900.00 Rp 4,818.00 0 Buah
104 Jarum Jahit kulit berbagai ukuran 2 Sachet Rp 50,000.00 Rp 25,000.00 0 Sachet
105 Jarum suntik needle No. 27G 2 Box Rp 253,000.00 Rp 126,500.00 0 Box
106 Kalium Diklofenak tablet 50 mg 360 Tablet Rp 756,000.00 Rp 2,100.00 0 Tablet
107 Kalium Permanganat 32 botol Rp 176,000.00 Rp 5,500.00 0 botol
108 Kalsium Glukonat Inj 10% 24 Ampul Rp 248,424.00 Rp 10,351.00 0 Ampul
109 Kalsium Laktat 3,400 Tablet Rp 214,200.00 Rp 63.00 0 Tablet
110 Kapas absorben 250 gr 5 Sachet Rp 62,500.00 Rp 12,500.00 0 Sachet

111 Kapas Pembalut 250g 4 pcs Rp 82,400.00 Rp 20,600.00 0 pcs
112 Kaptopril 12,5 mg tab 1,690 Tablet Rp 190,970.00 Rp 113.00 0 Tablet
113 Kaptopril 25 mg 1,500 Tablet Rp 112,500.00 Rp 75.00 0 Tablet
114 Kaptopril 25 mg 590 Tablet Rp 77,880.00 Rp 132.00 0 Tablet
115 Kartu Golongan darah 100 Pcs Rp 34,980.00 Rp 349.80 0 Pcs
116 Kartu Golongan Darah 100 Rol Rp 35,000.00 Rp 350.00 0 Rol
119 Kassa 2 x 80 50 Pcs Rp 487,000.00 Rp 9,740.00 0 Pcs
120 Kassa 4 x 15 20 Rol Rp 53,140.00 Rp 2,657.00 0 Rol

124 Ketokonazol 200 mg tab 1,300 Tablet Rp 512,200.00 Rp 394.00 0 Tablet
126 Ketoprofen 100 mg/sup 20 Suppositoria Rp 39,960.00 Rp 1,998.00 0 Suppositoria
127 Klem umbilical 100 Rol Rp 180,000.00 Rp 1,800.00 0 Rol
128 Kloramfenikol 500 mg 200 Kapsul Rp 234,800.00 Rp 1,174.00 0 Kapsul
129 Kloramfenikol 500 mg 10 kapsul Rp 11,630.00 Rp 1,163.00 0 kapsul
130 Kloramfenikol salep kulit 2% 26 Tube Rp 84,916.00 Rp 3,266.00 0 Tube
131 Kloramfenikol tetes mata 1% 15 Botol Rp 147,757.50 Rp 9,850.50 0 Botol

134 Kodein 10 mg 90 Tablet Rp 51,390.00 Rp 571.00 0 Tablet
136 KOTRIMOKSAZOL 480 MG TAB 2,228 Tablet Rp 278,500.00 Rp 125.00 0 Tablet
137 Lancet 400 Buah Rp 58,264.00 Rp 145.66 0 Buah
138 Lanzoprazol 30 mg 300 Kapsul Rp 83,400.00 Rp 278.00 0 Kapsul
139 Larutan Ziehl Nielsen 2 Paket Rp 553,000.00 Rp 276,500.00 0 Paket
140 Levofloksasin 405 Kapsul Rp 200,070.00 Rp 494.00 0 Kapsul
142 Magnesium Sulfat 40% 7 ampul Rp 26,572.00 Rp 3,796.00 0 ampul
144 Metampiron 500 mg 570 Tablet Rp 156,750.00 Rp 275.00 0 Tablet
146 Metilergometrin inj 50 Ampul Rp 540,000.00 Rp 10,800.00 0 Ampul
148 Metoklopramid 10 mg tablet 200 Tablet Rp 13,200.00 Rp 66.00 0 Tablet
149 Metoklopramid 5 mg 160 Tablet Rp 19,360.00 Rp 121.00 0 Tablet
150 Metronidazol 125mg/5ml susp 10 botol Rp 39,500.00 Rp 3,950.00 0 botol
151 Metronidazol 500 mg 490 Botol Rp 60,760.00 Rp 124.00 0 Botol
152 Mikonazol 2% krim 31 Tube Rp 105,834.00 Rp 3,414.00 0 Tube
153 Molexflu syrup 24 Botol Rp 150,576.00 Rp 6,274.00 0 Botol
154 Natrium Diklofenak 50 mg 775 Tablet Rp 95,325.00 Rp 123.00 0 Tablet
Neo kaominal Botol Rp 185,125.00 Botol

156 25 Rp 7,405.00 0
Neocenta / Bioplacenton krim Tube Rp 305,766.00 Tube
157 18 Rp 16,987.00 0
158 Neurotropik tablet 160 Tablet Rp 107,200.00 Rp 670.00 0 Tablet
159 Nifedipin 10 mg 10 Tablet Rp 1,120.00 Rp 112.00 0 Tablet
160 Nistatin 100000 IU / ml Drop 9 Botol Rp 121,500.00 Rp 13,500.00 0 Botol
OB Herbal Sirup Botol Rp 277,200.00 Botol

162 36 Rp 7,700.00 0
164 Object Glass Box/Box Slide 10 Buah Rp 776,900.00 Rp 77,690.00 0 Buah
165 Oksitosin Inj 50 Ampul Rp 56,300.00 Rp 1,126.00 0 Ampul
166 Ostela Forte 6 Tablet Rp 49,196.40 Rp 8,199.40 0 Tablet
168 Parasetamol drop 108 Botol Rp 718,092.00 Rp 6,649.00 0 Botol
170 Piridoksin (Vit B6) 10 mg 1,500 Tablet Rp 196,500.00 Rp 131.00 0 Tablet
172 plester rol kain 7,5cm x 4,5m (Leukoplast) 9 roll Rp 535,500.00 Rp 59,500.00 0 roll
173 Pot Sputum 400 Pot Rp 2,356,000.00 Rp 5,890.00 0 Pot
174 Povidon Iodida 10 % 30 ml 10 Pcs Rp 28,000.00 Rp 2,800.00 0 Pcs
177 Ranitidin 150 mg 1,400 Tablet Rp 239,162.00 Rp 170.83 0 Tablet
178 Rapid Test HIV Ke - 1 ( SD ) 25 Tes Rp 358,500.00 Rp 14,340.00 0 Tes
179 Reagen gol darah Pro-D anti A 2 Botol Rp 330,000.00 Rp 165,000.00 0 Botol
180 Reagen gol darah Pro-D anti B 2 Botol Rp 330,000.00 Rp 165,000.00 0 Botol
181 Reagen Widal O 1 botol Rp 147,000.00 Rp 147,000.00 0 botol
182 Reagent HbsAg tes 25 test Rp 246,250.00 Rp 9,850.00 0 test
183 Recovit sirup 22 Botol Rp 217,800.00 Rp 9,900.00 0 Botol
184 retinol (vit A ) 200000 IU 150 Kapsul Rp 76,200.00 Rp 508.00 0 Kapsul
186 Salbutamol 2 mg 1,629 Tablet Rp 114,030.00 Rp 70.00 0 Tablet
188 Salisil bedak 2 % 82 Kotak 50 gr Rp 198,440.00 Rp 2,420.00 0 Kotak 50 gr
189 Scabicide/Scabimit/Permetrin 5% krim 10 Tube Rp 114,660.00 Rp 11,466.00 0 Tube
190 Serum ABU 3 Vial Rp 1,551,396.00 Rp 517,132.00 0 Vial
191 Sianokobalamin (vit B12) tab 200 Tablet Rp 9,800.00 Rp 49.00 0 Tablet
192 Sianokobalamin (vit B12) table 240 Tablet Rp 11,760.00 Rp 49.00 0 Tablet
194 Simvastatin tablet 10 mg 90 Tablet Rp 11,583.00 Rp 128.70 0 Tablet
195 Siprofloksasin tab 500 mg 690 Tablet Rp 317,641.50 Rp 460.35 0 Tablet
196 Spekulum dispo / Vagion M 50 Strip Rp 325,000.00 Rp 6,500.00 0 Strip
197 Stomach tube no 14 20 Buah Rp 147,400.00 Rp 7,370.00 0 Buah
198 Stomach tube no 16 15 Buah Rp 110,550.00 Rp 7,370.00 0 Buah
199 Strip Glukosa EASY TOUCH 50 pcs Rp 275,000.00 Rp 5,500.00 0 pcs
200 Strip Glukosa NESCO 25 Pcs Rp 137,500.00 Rp 5,500.00 0 Pcs
201 Strip Kolesterol EASY TOUCH 50 Pcs Rp 1,100,000.00 Rp 22,000.00 0 Pcs
202 Tablet Tambah Darah 3,400 Sachet Rp 768,400.00 Rp 226.00 0 Sachet
203 Tensigard 90 Kapsul Rp 217,800.00 Rp 2,420.00 0 Kapsul
205 Tetrasiklin 500 mg 290 Tablet Rp 93,670.00 Rp 323.00 0 Tablet
211 Vicalcin sirup 33 Botol Rp 231,811.80 Rp 7,024.60 0 Botol
212 Vitamin B Kompleks (HOLY) 3,340 Tablet Rp 277,220.00 Rp 83.00 0 Tablet
213 Yellow Tips 200 Buah Rp 7,080.00 Rp 35.40 0 Buah
214 Zink sir 20 mg/5 ml 27 Botol Rp 67,203.00 Rp 2,489.00 0 Botol
1 Akita Tablet 0 Tablet Rp - Rp 320.10 1,000 Tablet
9 Albendazol 400mg tab 0 Tablet Rp - Rp 288.00 0 Tablet
14 Ambroxol 30 mg tab 0 Tablet Rp - Rp 115.50 1,000 Tablet
15 Amlodipin 10 mg 0 Tablet Rp - Rp 70.00 900 Tablet
16 Amlodipin 5 mg 0 Tablet Rp - Rp 53.00 900 Tablet
27 Antihemoroid DOEN 0 Suppositoria Rp - Rp 3,250.00 20 Suppositoria
31 Asam Askorbat ( Vit.C ) 50 mg 0 Tablet Rp - Rp 42.00 2,000 Tablet
38 Asiklovir 400 mg tab 0 Tablet Rp - Rp 405.00 1,000 Tablet
135 Ketoprofen 100 mg/sup 0 Suppositoria Rp - Rp 1,998.00 0 Suppositoria
0
JUMLAH Rp 48,601,702.34
A MUTASI OBAT DAN PERBEKKES
ari 2022 s/d 31 Maret 2022
SKESMAS ROWOBUNGKUL
Sisa (31
Desember 2019
)

Harga Jumlah Nilai Harga Jumlah Nilai Harga Jumlah Nilai Harga
11 13 14 15 16 17 18 19 20
Rp - 4,000 Tablet Rp 1,152,000.00 2,000 Tablet Rp 576,000.00 0 Tablet Rp -
Rp - 50 Vial Rp 411,850.00 0 Vial Rp - 0 Vial Rp -
Rp - 1 Vial Rp 8,237.00 49 Vial Rp 403,613.00 0 Vial Rp -
Rp - 21 Kapsul Rp 106,260.00 0 Kapsul Rp - 0 Kapsul Rp -
Rp - 13 Pot Rp 58,448.00 0 Pot Rp - 0 Pot Rp -
Rp - 2 Supp Rp 6,334.00 0 Supp Rp - 0 Supp Rp -
Rp - 10 Suppositoria Rp 32,500.00 20 Suppositoria Rp 65,000.00 0 Suppositoria Rp -
Rp - 0 Softbag Rp - 24 Softbag Rp 231,504.00 0 Softbag Rp -
Rp - 10 ampul Rp 16,390.00 0 ampul Rp - 0 ampul Rp -
Rp - 0 Buah Rp - 200 Buah Rp 15,300.00 0 Buah Rp -
Rp - 24 buah Rp 254,400.00 0 buah Rp - 0 buah Rp -
Rp - 145 Tab Rp 15,805.00 75 Tab Rp 8,175.00 0 Tab Rp -
Rp - 5 Can Rp 1,045,000.00 0 Can Rp - 0 Can Rp -
Rp - 8 paket Rp 2,879,880.00 1 paket Rp 359,985.00 0 paket Rp -
Rp - 0 paket Rp - 2 paket Rp 2,399,970.00 0 paket Rp -
Rp - 10 Rol Rp 103,400.00 0 Rol Rp - 0 Rol Rp -
Rp - 0 Pcs Rp - 1 Pcs Rp 1,557,875.00 0 Pcs Rp -
Rp - 8 Tablet Rp 480.00 0 Tablet Rp - 0 Tablet Rp -
Rp - 0 Sachet Rp - 2 Sachet Rp 50,000.00 0 Sachet Rp -
Rp - 0 Box Rp - 2 Box Rp 253,000.00 0 Box Rp -
Rp - 2 Sachet Rp 25,000.00 3 Sachet Rp 37,500.00 0 Sachet Rp -
Rp - 0 Suppositoria Rp - 20 Suppositoria Rp 39,960.00 0 Suppositoria Rp -
Rp - 10 kapsul Rp 11,630.00 0 kapsul Rp - 0 kapsul Rp -
Rp - 942 Tablet Rp 117,750.00 1,286 Tablet Rp 160,750.00 0 Tablet Rp -
Rp - 0 Paket Rp - 2 Paket Rp 553,000.00 0 Paket Rp -
Botol Botol Botol

Rp - 25 Rp 185,125.00 0 Rp - 0 Rp -
Tube Tube Tube

Rp - 10 Rp 169,870.00 8 Rp 135,896.00 0 Rp -
Botol Botol Botol

Rp - 2 Rp 15,400.00 34 Rp 261,800.00 0 Rp -
Rp - 3 roll Rp 178,500.00 6 roll Rp 357,000.00 0 roll Rp -
Rp - 200 Pot Rp 1,178,000.00 200 Pot Rp 1,178,000.00 0 Pot Rp -
Rp - 0 botol Rp - 2 botol Rp 34,111.11 0 botol Rp -
Rp - 25 Tes Rp 358,500.00 0 Tes Rp - 0 Tes Rp -
Rp - 0 botol Rp - 1 botol Rp 147,000.00 0 botol Rp -
Rp - 25 test Rp 246,250.00 0 test Rp - 0 test Rp -
Rp - 32 Pot Rp 83,840.00 0 Pot Rp - 0 Pot Rp -
Rp - 73 Kotak 50 gr Rp 176,660.00 9 Kotak 50 gr Rp 21,780.00 0 Kotak 50 gr Rp -
Rp - 3 Vial Rp 1,551,396.00 0 Vial Rp - 0 Vial Rp -
Rp - 0 Strip Rp - 50 Strip Rp 325,000.00 0 Strip Rp -
Rp - 50 Pcs Rp 1,100,000.00 0 Pcs Rp - 0 Pcs Rp -
Rp - 3,400 Sachet Rp 768,400.00 0 Sachet Rp - 0 Sachet Rp -
Rp - 0 Botol Rp - 0 Botol Rp - 0 Botol Rp -
Rp 287,100.00 300 Pcs Rp 287,100.00 Pcs Rp - Pcs Rp -
Rp - 0 Pcs Rp - Pcs Rp - Pcs Rp -
Rp 207,900.00 100 Pcs Rp 69,300.00 200 Pcs Rp 138,600.00 Pcs Rp -
Rp - 0 Tablet Rp - Tablet Rp - Tablet Rp -
Rp - 0 Set Rp - Set Rp - Set Rp -
Rp 205,040.00 50 Botol Rp 102,520.00 50 Botol Rp 102,520.00 Botol Rp -
Rp - 0 botol Rp - botol Rp - botol Rp -
Rp 107,904.00 4 Pot Rp 17,984.00 20 Pot Rp 89,920.00 Pot Rp -
Rp - 0 Pot Rp - Pot Rp - Pot Rp -
Rp 65,000.00 0 Suppositoria Rp - 20 Suppositoria Rp 65,000.00 Suppositoria Rp -
Rp 132,500.00 5 botol Rp 132,500.00 botol Rp - botol Rp -
Rp - 0 Softbag Rp - Softbag Rp - Softbag Rp -
Rp - 0 Ampul Rp - Ampul Rp - Ampul Rp -
Rp - 0 Buah Rp - Buah Rp - Buah Rp -
Rp - 0 ampul Rp - ampul Rp - ampul Rp -
Rp - 0 paket Rp - paket Rp - paket Rp -
Rp - 0 Paket Rp - Paket Rp - Paket Rp -
Rp - 0 Botol Rp - Botol Rp - Botol Rp -
Rp 310,200.00 30 Rol Rp 310,200.00 Rol Rp - Rol Rp -
Rp 51,400.00 161 Sachet Rp 41,377.00 39 Sachet Rp 10,023.00 Sachet Rp -
Rp 64,200.00 3 Tube Rp 8,025.00 21 Tube Rp 56,175.00 Tube Rp -
Rp - 0 Pasang Rp - Pasang Rp - Pasang Rp -
Rp 398,200.00 200 Pasang Rp 398,200.00 Pasang Rp - Pasang Rp -
Rp 199,100.00 100 Pasang Rp 199,100.00 Pasang Rp - Pasang Rp -
Rp 190,000.00 0 test Rp - 100 test Rp 190,000.00 test Rp -
Rp - 0 Pasang Rp - Pasang Rp - Pasang Rp -
Rp - 0 pcs Rp - pcs Rp - pcs Rp -
Rp 770,000.00 50 pcs Rp 385,000.00 50 pcs Rp 385,000.00 pcs Rp -
Rp - 0 Sachet Rp - Sachet Rp - Sachet Rp -
Rp - 0 Sachet Rp - Sachet Rp - Sachet Rp -
Rp - 0 Rol Rp - Rol Rp - Rol Rp -
Rp - 0 Suppositoria Rp - Suppositoria Rp - Suppositoria Rp -
Rp - 0 tube Rp - tube Rp - tube Rp -
Rp 110,000.00 200 pcs Rp 110,000.00 pcs Rp - pcs Rp -
Rp 188,220.00 30 Botol Rp 188,220.00 Botol Rp - Botol Rp -
Rp 1,200,000.00 96 Tablet Rp 768,000.00 54 Tablet Rp 432,000.00 Tablet Rp -
Rp 35,000.00 200 Rol Rp 35,000.00 Rol Rp - Rol Rp -
Rp 40,700.00 50 Ampul Rp 40,700.00 Ampul Rp - Ampul Rp -
Rp 1,434,000.00 50 Tes Rp 717,000.00 50 Tes Rp 717,000.00 Tes Rp -
Rp 985,000.00 50 test Rp 492,500.00 50 test Rp 492,500.00 test Rp -
Rp 43,050.00 100 Kapsul Rp 28,700.00 50 Kapsul Rp 14,350.00 Kapsul Rp -
Rp - 0 Kapsul Rp - Kapsul Rp - Kapsul Rp -
Rp 3,575,000.00 320 Botol Rp 2,288,000.00 180 Botol Rp 1,287,000.00 Botol Rp -
Rp 67,104.00 14 pot Rp 39,144.00 10 pot Rp 27,960.00 pot Rp -
Rp - 0 pot Rp - pot Rp - pot Rp -
Rp - 0 Tube Rp - Tube Rp - Tube Rp -
Rp - 0 Vial Rp - Vial Rp - Vial Rp -
Rp - 0 Strip Rp - Strip Rp - Strip Rp -
Rp 550,000.00 100 pcs Rp 550,000.00 pcs Rp - pcs Rp -
Rp 2,200,000.00 60 Pcs Rp 1,320,000.00 40 Pcs Rp 880,000.00 Pcs Rp -
Rp 2,260,000.00 3,900 Tablet Rp 881,400.00 6100 Tablet Rp 1,378,600.00 Tablet Rp -
Rp 161,500.00 300 Kapsul Rp 96,900.00 200 Kapsul Rp 64,600.00 Kapsul Rp -
Rp 478,500.00 100 Botol Rp 478,500.00 Botol Rp - Botol Rp -
Rp 15,450.00 0 ampul Rp - 10 ampul Rp 15,450.00 ampul Rp -
Rp 6,667,136.00 0 paket Rp - 16 paket Rp 6,667,136.00 paket Rp -
Rp 1,926,144.00 0 Paket Rp - 48 Paket Rp 1,926,144.00 Paket Rp -
Rp - 0 test Rp - test Rp - test Rp -
Rp 2,040,000.00 50 test Rp 1,020,000.00 50 test Rp 1,020,000.00 test Rp -
Rp 663,600.00 1,200 Kapsul Rp 663,600.00 Kapsul Rp - Kapsul Rp -
Rp 747,000.00 3,000 Tablet Rp 747,000.00 Tablet Rp - Tablet Rp -
Rp - 0 tablet Rp - tablet Rp - tablet Rp -
Rp 498,000.00 405 tablet Rp 100,845.00 1595 tablet Rp 397,155.00 tablet Rp -
Rp - 0 Test Rp - Test Rp - Test Rp -
Rp - 0 Vial Rp - Vial Rp - Vial Rp -
Rp 42,968,242.98 Rp 49,449,047.38 Rp 42,120,897.94 Rp -

hu
n
Du
a
Rib BERITA ACARA MUTASI OBAT DAN PERBE
Du
UPTD PUSKESMAS SAMBONG
a
SKPD
Pul : DINAS
No./
KESEHATAN
uh Tgl.
Sura
tela t
h Das Jumlah Barang yang
dila
No
Tan ar
Barang-barang bulan
Harga Satuan
diterima/dikeluarkan
ggal Pen lalu ( 1 Januari 2020) ( 1 Januari s/d 31
ksa erim Saldo Desember
Penambahan 2020)
nak aan/
Jumlah Nilai Harga Jumlah Nilai
an Pen
1 2 gelu3 4 5 6 7 8 9 10
ap1 160 Tablet Rp 51,216.00 Rp 320.10 0 Tablet
ora
n3 Alat Suntik 10 ml 95 Pcs Rp 122,265.00 Rp 1,287.00 0 Pcs
mu4 Alat Suntik 5 ml 149 Pcs Rp 113,091.00 Rp 759.00 0 Pcs
tasi
Alopurinol 100 mg 660 Tablet Rp 0 Tablet
ob5 69,300.00 Rp 105.00
at6 Ambroxol 30 mg tab 1,415 Tablet Rp 163,432.50 Rp 115.50 0 Tablet

UP7 Ambroxol 30 mg tab 1,000 Tablet Rp 115,500.00 Rp 115.50 0 Tablet
TD8 Aminofilin 200mg tab 1000 Tablet Rp 95,000.00 Rp 95.00 0 Tablet
Gu9 Amlodipin 10 mg 1,270 Tablet Rp 88,900.00 Rp 70.00 0 Tablet
da
10 Amlodipin 5 mg 1,500 Tablet Rp 675,000.00 Rp 450.00 0 Tablet
ng
11
Far Amoksisilin kapl 500 mg 880 Tablet Rp 176,880.00 Rp 201.00 0 Tablet
ma12 Amoksisilin sirup kering 119 botol
Rp 458,150.00 Rp 3,850.00 0 botol
si13 Antasida DOEN 537 Tablet Rp 31,146.00 Rp 58.00 0 Tablet
de14 Antasida DOEN susp 24 Botol Rp 71,808.00 Rp 2,992.00 0 Botol
ng15 Antasida DOEN tab 3,000 Tablet Rp 174,000.00 Rp 58.00 0 Tablet
an 10 Supp 0 Supp
16 Antihemoroid Rp 31,670.00 Rp 3,167.00
has
Antihemoroid DOEN 10SuppositoriaRp 0uppositoria
S
il17 32,500.00 Rp 3,250.00
18
seb Asam Askorbat (Vit. C) 50 mg 200 Tablet Rp 21,000.00 Rp 105.00 0 Tablet
ag19 ASAM ASKORBAT 50 MG TAB 2,500 Tablet Rp 262,500.00 Rp 105.00 0 Tablet
ai20 Asam Mefenamat 500 mg 3,050 Tablet Rp 338,550.00 Rp 111.00 0 Tablet
ber
ikut
:
21 Asetosal 80 mg (Miniaspi tab) 1,220 Tablet Rp 128,100.00 Rp 105.00 0 Tablet
24 Betahistin Mesilat 6 mg Tab 1,250 Tablet Rp 563,750.00 Rp 451.00 0 Tablet
27 Canule O2 Bayi 5 Buah Rp 27,500.00 Rp 5,500.00 0 Buah
29 Catgut Chromic 3/0 24 buah Rp 254,400.00 Rp 10,600.00 0 buah
30 Daryantulle kasa 13 Pcs Rp 71,760.00 Rp 5,520.00 0 Pcs
32 Deksametason inj 5 mg/ml 10 ampul Rp 10,970.00 Rp 1,097.00 0 ampul
37 Domperidon tablet 10 mg 1,400 Tablet Rp 99,400.00 Rp 71.00 0 Tablet
38 Epinefrin Inj (Adrenalin)0,1% 3 ampul Rp 4,224.00 Rp 1,408.00 0 ampul
39 Eugenol cairan 2 Botol Rp 37,648.00 Rp 18,824.00 0 Botol
40 Fenol gliserol tetes telinga 10% 43 botol Rp 118,852.00 Rp 2,764.00 0 botol
43 Folley Catheter 18 15 Pcs Rp 163,350.00 Rp 10,890.00 0 Pcs
45 Gemfibrozil 300 mg 70 Tablet Rp 27,720.00 Rp 396.00 0 Tablet
47 Gentamisin sulfat TM 0,3% 44 Botol Rp 198,880.00 Rp 4,520.00 0 Botol
50 Glimepirid 1 mg 1,000 Tablet Rp 174,000.00 Rp 174.00 0 Tablet
51 Glimepiride 1 mg 1,160 Tablet Rp 431,288.00 Rp 371.80 0 Tablet
52 Glimepiride 2 mg 1,000 Tablet Rp 207,000.00 Rp 207.00 0 Tablet
55 Gliseril Guaikiolat ( GG ) 675 Tablet Rp 60,142.50 Rp 89.10 0 Tablet
56 Glukosa infus 5% 40 Botol Rp 265,080.00 Rp 6,627.00 0 Botol
57 Griseofulvin 125 mg tab 100 Tablet Rp 22,400.00 Rp 224.00 0 Tablet
58 Handscoon 7 Gammex 50 pasang Rp 181,500.00 Rp 3,630.00 0 pasang
59 Hidrokortison krim 2,5% 23 tube Rp 56,925.00 Rp 2,475.00 0 tube
60 Ibuprofen 400 mg 1,175 Tablet Rp 441,800.00 Rp 376.00 0 Tablet
61 Ibuprofen susp 100 mg/5ml 5 Botol Rp 13,605.00 Rp 2,721.00 0 Botol
64 Infuset dewasa Axeell 72 Pcs Rp 494,496.00 Rp 6,868.00 0 Pcs
68 IV Catheter No 20 100 Buah Rp 600,000.00 Rp 6,000.00 0 Buah
69 Kalium Permanganat 24 botol Rp 132,000.00 Rp 5,500.00 0 botol
70 Kalsium Laktat 3,849 Tablet Rp 242,487.00 Rp 63.00 0 Tablet
71 Kaptopril 12,5 mg tab 2,164 Tablet Rp 244,532.00 Rp 113.00 0 Tablet
72 Kaptopril 25 mg 1,860 Tablet Rp 139,500.00 Rp 75.00 0 Tablet
74 Kassa 4 x 3 25 pcs Rp 21,000.00 Rp 840.00 0 pcs
76 Ketoprofen 100 mg/sup 10SuppositoriaRp 19,980.00 Rp 1,998.00 0uppositoria
S
77 Kloramfenikol Salep Kulit 14 Tube Rp 42,532.00 Rp 3,038.00 0 Tube
78 Kloramfenikol TT 3% 24 Botol Rp 184,800.00 Rp 7,700.00 0 Botol
81 Klorpromazin Inj 25 mg/ml 20 Ampul Rp 24,860.00 Rp 1,243.00 0 Ampul
84 Lidokain Inj 2%+Epinefrin 1:80.000 - inj 2 ml 15 ampul Rp 18,435.00 Rp 1,229.00 0 ampul
88 Metoklopramid 10 mg tablet 399 Tablet Rp 26,334.00 Rp 66.00 0 Tablet
89 Metronidazol 125mg/5ml susp 8 botol Rp 31,600.00 Rp 3,950.00 0 botol
90 Metronidazol 500 mg 60 Botol Rp 7,440.00 Rp 124.00 0 Botol
91 Molexflu syrup 11 Botol Rp 69,014.00 Rp 6,274.00 0 Botol
92 NaCl 0,9% 500 ml 14 botol Rp 95,760.00 Rp 6,840.00 0 botol
93 Natrium Diklofenak 50 mg 1,000 Tablet Rp 123,000.00 Rp 123.00 0 Tablet
96 OB Herbal Sirup 22 Botol Rp 169,400.00 Rp 7,700.00 0 Botol
98 Oseltamivir tab 30 Tablet Rp 389,063.64 Rp 12,968.79 0 Tablet
99 Ostela Forte 42 Tablet Rp 369,600.00 Rp 8,800.00 0 Tablet
100 Ostela Forte tab 138 Tablet Rp 1,104,000.00 Rp 8,000.00 0 Tablet
102 Parasetamol drops 100 mg/ml 105 botol Rp 698,145.00 Rp 6,649.00 0 botol
104 Piridoksin (Vit B6) 10 mg 950 Tablet Rp 124,450.00 Rp 131.00 0 Tablet

106 Pot Sputum 200 Pot Rp 1,178,000.00 Rp 5,890.00 0 Pot
108 POVIDON IODIDA 30 ML 15 botol Rp 43,494.00 Rp 2,899.60 0 botol
110 Ranitidin 150 mg 3,305 Tablet Rp 564,593.15 Rp 170.83 0 Tablet

111 Ranitidin 50 mg/2 ml injeksi 25 Ampul Rp 20,350.00 Rp 814.00 0 Ampul
112 Ringer Laktat larutan infus 180 Botol Rp 1,287,000.00 Rp 7,150.00 0 Botol

116 Sefadroksil sirup 17 botol Rp 71,145.00 Rp 4,185.00 0 botol
117 Sianokobalamin (vit B12) tab 1,870 Tablet Rp 91,630.00 Rp 49.00 0 Tablet

119 Simvastatin tablet 10 mg 1,360 Tablet Rp 175,032.00 Rp 128.70 0 Tablet
120 Siprofloksasin tab 500 mg 240 Tablet Rp 110,484.00 Rp 460.35 0 Tablet

122 Tablet Tambah Darah 9,130 Sachet Rp 2,063,380.00 Rp 226.00 0 Sachet
125 Tranfusi set 50 Botol Rp 425,000.00 Rp 8,500.00 0 Botol

127 Ultrasonic gel 1 Pcs Rp 16,000.00 Rp 16,000.00 0 Pcs
130 Vitamin B-Compleks(DEF) 4,700 Tablet Rp 206,800.00 Rp 44.00 0 Tablet
131 Zink sirup 20 mg/5 ml 36 botol Rp 114,156.00 Rp 3,171.00 0 botol
1 Akita Tablet 0 Tablet Rp - Rp 320.10 300 Tablet
9 Albendazol 400mg tab 0 Tablet Rp - Rp 288.00 6,000 Tablet
11 Alopurinol 100 mg 0 Tablet Rp - Rp 105.00 1,000 Tablet
14 Ambroxol 30 mg tab 0 Tablet Rp - Rp 115.50 1,000 Tablet
18 Amoksisilin kapl 500 mg 0 Tablet Rp - Rp 201.00 1,000 Tablet
0
31 Asam Askorbat ( Vit.C ) 50 mg 0 Tablet Rp - Rp 42.00 2,000 Tablet
38 Asiklovir 400 mg tab 0 Tablet Rp - Rp 405.00 1,000 Tablet
135 Ketoprofen 100 mg/sup 0 Supposit Rp - Rp 1,998.00 20 Supposi
0
JUMLAH Rp 26,204,945.48
RITA ACARA MUTASI OBAT DAN PERBEKKES
UPTD PUSKESMAS SAMBONG
Sisa (31
Desember
2019 )
Harga Jumlah Nilai Harga Jumlah Nilai Harga Jumlah Nilai
11 13 14 15 16 17 18 19
Rp - 160 Tablet Rp 51,216.00 0 Tablet Rp - 0 Tablet
Rp - 40 Pcs Rp 38,280.00 160 Pcs Rp 153,120.00 0 Pcs
Rp - 0 Pcs Rp - 149 Pcs Rp 113,091.00 0 Pcs
Rp - 1,415 Tablet Rp 163,432.50 0 Tablet Rp - 0 Tablet
Rp - 0 Tablet Rp - 1,000 Tablet Rp 115,500.00 0 Tablet
Rp - 896 Tablet Rp 85,120.00 104 Tablet Rp 9,880.00 0 Tablet
Rp - 78 botol Rp 300,300.00 41 botol Rp 157,850.00 0 botol
Rp - 13 Botol Rp 38,896.00 11 Botol Rp 32,912.00 0 Botol
Rp - 10 Supp Rp 31,670.00 0 Supp Rp - 0 Supp
Rp - 10Suppositoria Rp 32,500.00 0SuppositoriaRp - 0Suppositoria
Rp - 1 Tube Rp 3,271.40 0 Tube Rp - 0 Tube
Rp - 1,186 Tablet Rp 534,886.00 64 Tablet Rp 28,864.00 0 Tablet
Rp - 10 pcs Rp 51,997.00 0 pcs Rp - 0 pcs
Rp - 5 Buah Rp 27,500.00 0 Buah Rp - 0 Buah
Rp - 30 Buah Rp 153,000.00 20 Buah Rp 102,000.00 0 Buah
Rp - 24 buah Rp 254,400.00 0 buah Rp - 0 buah
Rp - 13 Pcs Rp 71,760.00 0 Pcs Rp - 0 Pcs
Rp - 6 ampul Rp 6,582.00 4 ampul Rp 4,388.00 0 ampul
Rp - 267 Tab Rp 29,103.00 140 Tab Rp 15,260.00 0 Tab
Rp - 6 Ampul Rp 10,410.00 2 Ampul Rp 3,470.00 0 Ampul
Rp - 3 ampul Rp 4,224.00 0 ampul Rp - 0 ampul
Rp - 2 Botol Rp 37,648.00 0 Botol Rp - 0 Botol
Rp - 43 botol Rp 118,852.00 0 botol Rp - 0 botol
Rp - 7 Rol Rp 72,380.00 11 Rol Rp 113,740.00 0 Rol
Rp - 100 Sachet Rp 25,700.00 0 Sachet Rp - 0 Sachet
Rp - 1,385 Tablet Rp 114,955.00 1,415 Tablet Rp 117,445.00 0 Tablet
Rp - 0 Botol Rp - 40 Botol Rp 265,080.00 0 Botol
Rp - 50 pasang Rp 181,500.00 0 pasang Rp - 0 pasang
Rp - 23 tube Rp 56,925.00 0 tube Rp - 0 tube
Rp - 3 Pot Rp 18,150.00 7 Pot Rp 42,350.00 0 Pot
Rp - 59 Buah Rp 354,000.00 41 Buah Rp 246,000.00 0 Buah
Rp - 10Suppositoria Rp 19,980.00 0SuppositoriaRp - 0Suppositoria
Rp - 20 Ampul Rp 24,860.00 0 Ampul Rp - 0 Ampul
Rp - 0 ampul Rp - 15 ampul Rp 18,435.00 0 ampul
Rp - 0 Botol Rp - 80 Botol Rp 544,000.00 0 Botol
Rp - Tablet Rp - 30 Tablet Rp 389,063.64 0 Tablet
Rp - 138 Tablet Rp 1,104,000.00 0 Tablet Rp - 0 Tablet
Rp - 0 Tablet Rp - 950 Tablet Rp 124,450.00 0 Tablet

Rp - 200 Pot Rp 1,178,000.00 0 Pot Rp - 0 Pot
Rp - 0 botol Rp - 7 botol Rp 119,388.89 0 botol


Rp - 12 Pot Rp 31,440.00 0 Pot Rp - 0 Pot


Rp - 3,870 Sachet Rp 874,620.00 5,260 Sachet Rp 1,188,760.00 0 Sachet
Rp - 290 Kapsul Rp 93,670.00 0 Kapsul Rp - 0 Kapsul

Rp 96,030.00 190 Tablet Rp 60,819.00 110 Tablet Rp 35,211.00 Tablet
Rp - Pcs Rp - 0 Pcs Rp - Pcs
Rp 138,600.00 Pcs Rp - 200 Pcs Rp 138,600.00 Pcs
Rp 1,728,000.00 6,000 Tablet Rp 1,728,000.00 0 Tablet Rp - Tablet
Rp - 0 Set Rp - 0 Set Rp - Set
Rp - 0 Tablet Rp - 0 Tablet Rp - Tablet
Rp 7,800.00 100 Tablet Rp 7,800.00 0 Tablet Rp - Tablet
Rp 210,000.00 1,730 Tablet Rp 121,100.00 1,270 Tablet Rp 88,900.00 Tablet
Rp 79,500.00 300 Tablet Rp 15,900.00 1,200 Tablet Rp 63,600.00 Tablet
Rp - Botol Rp - 0 Botol Rp - Botol
Rp - botol Rp - 0 botol Rp - botol
Rp - Vial Rp - 0 Vial Rp - Vial
Rp - Tablet Rp - 0 Tablet Rp - Tablet
Rp - 0 Pot Rp - 0 Pot Rp - Pot
Rp - 0 Pot Rp - 0 Pot Rp - Pot
Rp - 0SuppositoriaRp - S0uppositoriaRp - Suppositoria
Rp 84,000.00 1,120 Tablet Rp 47,040.00 880 Tablet Rp 36,960.00 Tablet
Rp - Softbag Rp - 0 Softbag Rp - Softbag
Rp 98,142.00 23 Tube Rp 75,242.20 7 Tube Rp 22,899.80 Tube
Rp - Ampul Rp - 0 Ampul Rp - Ampul
Rp 451,000.00 Tablet Rp - 1,000 Tablet Rp 451,000.00 Tablet
Rp - Buah Rp - 0 Buah Rp - Buah
Rp 102,000.00 Pcs Rp - 20 Pcs Rp 102,000.00 Pcs
Rp 52,000.00 Buah Rp - 10 Buah Rp 52,000.00 Buah
Rp 55,200.00 10 Pcs Rp 55,200.00 0 Pcs Rp - Pcs
Rp 96,000.00 1,550 Tablet Rp 49,600.00 1,450 Tablet Rp 46,400.00 Tablet
Rp 32,400.00 Tablet Rp - 300 Tablet Rp 32,400.00 Tablet
Rp - ampul Rp - 0 ampul Rp - ampul
Rp 62,865.00 5 Tube Rp 62,865.00 0 Tube Rp - Tube
Rp 32,850.00 Ampul Rp - 30 Ampul Rp 32,850.00 Ampul
Rp 632,500.00 botol Rp - 5 botol Rp 632,500.00 botol
Rp 2,159,910.00 6 paket Rp 2,159,910.00 0 paket Rp - paket
Rp - paket Rp - 0 paket Rp - paket
Rp - Paket Rp - 0 Paket Rp - Paket
Rp 266,587.20 42 Botol Rp 233,263.80 6 Botol Rp 33,323.40 Botol
Rp 880,000.00 1,300 Tablet Rp 572,000.00 700 Tablet Rp 308,000.00 Tablet
Rp - Rol Rp - 0 Rol Rp - Rol
Rp 77,100.00 300 Sachet Rp 77,100.00 0 Sachet Rp - Sachet
Rp 129,998.00 20 Tube Rp 129,998.00 0 Tube Rp - Tube
Rp - Pasang Rp - 0 Pasang Rp - Pasang
Rp 995,500.00 500 Pasang Rp 995,500.00 0 Pasang Rp - Pasang
Rp 597,300.00 300 Pasang Rp 597,300.00 0 Pasang Rp - Pasang
Rp 190,000.00 100 test Rp 190,000.00 0 test Rp - test
Rp 35,000.00 Pasang Rp - 10 Pasang Rp 35,000.00 Pasang
Rp - pcs Rp - 0 pcs Rp - pcs
Rp 385,000.00 pcs Rp - 50 pcs Rp 385,000.00 pcs
Rp 300,000.00 Buah Rp - 50 Buah Rp 300,000.00 Buah
Rp - Sachet Rp - 0 Sachet Rp - Sachet
Rp 41,404.00 4 Ampul Rp 41,404.00 0 Ampul Rp - Ampul
Rp 62,500.00 1 Sachet Rp 12,500.00 4 Sachet Rp 50,000.00 Sachet
Rp 80,000.00 20 Rol Rp 32,000.00 30 Rol Rp 48,000.00 Rol
Rp 39,960.00 20 Suppositor Rp 39,960.00 0 Supposit Rp - Supposit
Rp - tube Rp - 0 tube Rp - tube
Rp 14,566.00 100 Buah Rp 14,566.00 0 Buah Rp - Buah
Rp 55,600.00 50 Kapsul Rp 13,900.00 150 Kapsul Rp 41,700.00 Kapsul
Rp 1,382,500.00 5 Paket Rp 1,382,500.00 0 Paket Rp - Paket
Rp - Kapsul Rp - 0 Kapsul Rp - Kapsul
Rp 96,360.00 80 Ampul Rp 64,240.00 40 Ampul Rp 32,120.00 Ampul
Rp 509,610.00 Tube Rp - 30 Tube Rp 509,610.00 Tube
Rp 369,600.00 48 Botol Rp 369,600.00 0 Botol Rp - Botol
Rp 56,300.00 50 Ampul Rp 56,300.00 0 Ampul Rp - Ampul
Rp 1,200,000.00 Tablet Rp - 150 Tablet Rp 1,200,000.00 Tablet
Rp 110,700.00 8 botol Rp 8,856.00 92 botol Rp 101,844.00 botol
Rp 35,000.00 200 Rol Rp 35,000.00 0 Rol Rp - Rol
Rp - Pot Rp - 0 Pot Rp - Pot
Rp - Tes Rp - 0 Tes Rp - Tes
Rp 492,500.00 50 test Rp 492,500.00 0 test Rp - test
Rp 28,700.00 100 Kapsul Rp 28,700.00 0 Kapsul Rp - Kapsul
Rp - pot Rp - 0 pot Rp - pot
Rp - pot Rp - 0 pot Rp - pot
Rp - Tube Rp - 0 Tube Rp - Tube
Rp - Strip Rp - 0 Strip Rp - Strip
Rp 264,450.00 90 Kapsul Rp 158,670.00 60 Kapsul Rp 105,780.00 Kapsul
Rp 550,000.00 100 pcs Rp 550,000.00 0 pcs Rp - pcs
Rp 2,420,000.00 110 Pcs Rp 2,420,000.00 0 Pcs Rp - Pcs
Rp 15,450.00 8 ampul Rp 12,360.00 2 ampul Rp 3,090.00 ampul
Rp 2,500,176.00 6 paket Rp 2,500,176.00 0 paket Rp - paket
Rp - Pot Rp - 0 Pot Rp - Pot
Rp - test Rp - 0 test Rp - test
Rp - test Rp - 0 test Rp - test
Rp 857,150.00 1550 Kapsul Rp 857,150.00 0 Kapsul Rp - Kapsul
Rp - tablet Rp - 0 tablet Rp - tablet
Rp - Test Rp - 0 Test Rp - Test
Rp 32,780,140.38 Rp 40,024,900.85 Rp 18,960,185.01

Harga
20
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hu
n
Du
a
Du
UPTD PUSKESMAS RANDUBLATUNG
a
SKPD
Pul : DINAS
No./
KESEHATAN
uh Tgl.
Sura
tela t
dila
No
Tan ar
Barang-barang bulan
Harga Satuan
Penambahan 2020)
nak aan/
Jumlah Nilai Harga Jumlah Nilai Harga
an Pen
1 2 gelu3 4 5 6 7 8 10 11
ap1 616 Tablet Rp 197,181.60 Rp 320.10 0 Tablet Rp -
ora
2 Alat Suntik 1 ml 200 Pcs Rp 191,400.00 Rp 957.00 0 Pcs Rp -
n3 Alat Suntik 10 ml 30 Pcs Rp 38,610.00 Rp 1,287.00 0 Pcs Rp -
mu4 Alat Suntik 3 ml 425 Pcs Rp 294,525.00 Rp 693.00 0 Pcs Rp -
tasi
Alat Suntik 5 ml 500 Pcs Rp 379,500.00 Rp 0 Pcs
ob5 759.00 Rp -
at6 Albendazol 400mg tab 6,144 Tablet Rp 1,769,472.00 Rp 288.00 0 Tablet Rp -

UP7 ALLOPURINOL TAB 100 MG 1,480 Tablet Rp 146,520.00 Rp 99.00 0 Tablet Rp -
TD8 Aminofilin 200mg tab 210 Tablet Rp 19,950.00 Rp 95.00 0 Tablet Rp -
Gu9 Amlodipin 10 mg 1,831 Tablet Rp 128,170.00 Rp 70.00 0 Tablet Rp -
da
10 Amlodipin 5 mg 1,966 Tablet Rp 884,700.00 Rp 450.00 0 Tablet Rp -
ng
11
Far Amoksisilin sirup kering 125 mg/5 ml 108 Botol Rp 712,800.00 Rp 6,600.00 0 Botol Rp -
ma12 Ampisilin serbuk 1000mg/ml 60 Vial Rp 494,220.00 Rp 8,237.00 0 Vial Rp -
si13 Antasida DOEN 4,599 Tablet Rp 266,742.00 Rp 58.00 0 Tablet Rp -
de14 Antasida DOEN susp 65 Botol Rp 194,480.00 Rp 2,992.00 0 Botol Rp -
ng15 Anti bakteri salep kombinasi 19 Kapsul Rp 96,140.00 Rp 5,060.00 0 Kapsul Rp -
an Antihemoroid DOEN 0 Suppositoria
16 30SuppositoriaRp 97,500.00 Rp 3,250.00 Rp -
has
183 Tablet Rp 0 Tablet
il17 Antimigrain ( Ergotamin ) 33,855.00 Rp 185.00 Rp -
18
seb Aqua PI 200 ampul Rp 572,000.00 Rp 2,860.00 0 ampul Rp -
ag19 Asam Askorbat (Vit. C) 50 mg 1,905 Tablet Rp 200,025.00 Rp 105.00 0 Tablet Rp -
ai20 Asam Folat 1 mg 631 Tablet Rp 47,325.00 Rp 75.00 0 Tablet Rp -
ber
ikut
:
21 Asam Mefenamat 500 mg 4,530 Tablet Rp 502,830.00 Rp 111.00 0 Tablet Rp -
22 Aseptic gel / Hand Sanitizer 5 Botol Rp 110,000.00 Rp 22,000.00 0 Botol Rp -
23 Asering 240 Softbag Rp 2,315,040.00 Rp 9,646.00 0 Softbag Rp -
24 Asetosal 80 mg (Miniaspi tab) 166 Tablet Rp 17,430.00 Rp 105.00 0 Tablet Rp -
25 Asiklovir 400 mg tab 289 Tablet Rp 117,045.00 Rp 405.00 0 Tablet Rp -
26 Asiklovir Krim 1 Tube Rp 3,271.40 Rp 3,271.40 0 Tube Rp -
27 Atropin Sulfat Inj 0,25 mg/ml 10 ampul Rp 16,390.00 Rp 1,639.00 0 ampul Rp -
28 Attapulgite 600 mg 500 Tablet Rp 72,500.00 Rp 145.00 0 Tablet Rp -
29 Betahistin Mesilat 6 mg Tab 522 Tablet Rp 235,422.00 Rp 451.00 0 Tablet Rp -
30 Betametason krim 0,1% 2 Tube Rp 2,680.00 Rp 1,340.00 0 Tube Rp -
31 Bio ATP 204 Tablet Rp 510,000.00 Rp 2,500.00 0 Tablet Rp -
32 Blue Tips 500 Buah Rp 38,250.00 Rp 76.50 0 Buah Rp -
33 Borax Gliserin 14 botol Rp 61,600.00 Rp 4,400.00 0 botol Rp -
34 Canule O2 Anak 40 pcs Rp 207,988.00 Rp 5,199.70 0 pcs Rp -
35 Canule O2 dewasa 30 Buah Rp 153,000.00 Rp 5,100.00 0 Buah Rp -
36 Clozapine tab 25 mg 5 Tablet Rp 25,000.00 Rp 5,000.00 0 Tablet Rp -
37 Cover glass 18x18mm 1 Paket Rp 125,743.20 Rp 125,743.20 0 Paket Rp -
38 Cup Sample 1,5 590 Buah Rp 49,843.20 Rp 84.48 0 Buah Rp -
39 Daryantulle/Cuticell 10x10 13 Pcs Rp 71,760.00 Rp 5,520.00 0 Pcs Rp -
40 Deksametason 0,5 mg tab 1,030 Tablet Rp 32,960.00 Rp 32.00 0 Tablet Rp -
41 Deksametason inj 5 mg/ml 10 ampul Rp 10,970.00 Rp 1,097.00 0 ampul Rp -
42 Diazepam 5 mg 604 Tab Rp 65,836.00 Rp 109.00 0 Tab Rp -
43 Diazepam rektal 10 mg/2,5 ml 5 Tube Rp 91,395.00 Rp 18,279.00 0 Tube Rp -
45 Difenhidramin HCL inj 10 mg/ml 28 Ampul Rp 30,659.72 Rp 1,094.99 0 Ampul Rp -
46 Digoksin tablet 0,25 mg 394 Tablet Rp 45,073.60 Rp 114.40 0 Tablet Rp -
47 Dimenhidrinat tab 50 mg 661 Tablet Rp 71,388.00 Rp 108.00 0 Tablet Rp -
48 Domperidon tablet 10 mg 176 Tablet Rp 12,496.00 Rp 71.00 0 Tablet Rp -
49 Elastic verban 3" (FM Crepe) 7 Rol Rp 137,907.00 Rp 19,701.00 0 Rol Rp -
51 Epinefrin Inj (Adrenalin)0,1% 22 ampul Rp 30,976.00 Rp 1,408.00 0 ampul Rp -
52 Etaflusin 1,414 Tablet Rp 497,572.46 Rp 351.89 0 Tablet Rp -
53 Etakridin lart 0,1% (Rivanol) 20 Botol Rp 30,500.00 Rp 1,525.00 0 Botol Rp -
54 Etanol 70 % 100 ml 25 Botol Rp 69,750.00 Rp 2,790.00 0 Botol Rp -
55 Etil Klorida 4 Can Rp 836,000.00 Rp 209,000.00 0 Can Rp -
56 FDC Kategori Anak 1 paket Rp 214,985.00 Rp 214,985.00 0 paket Rp -
57 Fenidryl Sirup 24 botol Rp 171,600.00 Rp 7,150.00 0 botol Rp -
58 Fenitoin 100 mg 370 Kapsul Rp 58,460.00 Rp 158.00 0 Kapsul Rp -
59 Fenobarbital Tab 30 mg 576 Tablet Rp 98,490.24 Rp 170.99 0 Tablet Rp -
60 Fenol gliserol TT 10% 20 Botol Rp 66,000.00 Rp 3,300.00 0 Botol Rp -
61 Fitomenadion inj 2 mg/ml/Vitka infant 70 Ampul Rp 710,500.00 Rp 10,150.00 0 Ampul Rp -
62 Folley Catheter 16 15 Rol Rp 155,100.00 Rp 10,340.00 0 Rol Rp -
63 Furosemid 40 mg 230 Tablet Rp 17,710.00 Rp 77.00 0 Tablet Rp -
64 Garam oralit 179 Sachet Rp 46,003.00 Rp 257.00 0 Sachet Rp -
65 Gemfibrozil 300 mg 50 Kapsul Rp 18,550.00 Rp 371.00 0 Kapsul Rp -
66 gent oint / Gentamisin salep mata 16 Tube Rp 42,800.00 Rp 2,675.00 0 Tube Rp -
67 Gentamisin sulfat TM 0,3% 64 Botol Rp 289,280.00 Rp 4,520.00 0 Botol Rp -
68 Gentian violet 22 Botol Rp 84,700.00 Rp 3,850.00 0 Botol Rp -
69 Glibenklamid 5 mg 1,627 Tablet Rp 231,034.00 Rp 142.00 0 Tablet Rp -
70 Gliseril Guaikiolat ( GG ) 970 Tablet Rp 128,040.00 Rp 132.00 0 Tablet Rp -
71 Glukosa 40% 6 Botol Rp 42,000.00 Rp 7,000.00 0 Botol Rp -
72 Glukosa infus 5% 25 Botol Rp 165,675.00 Rp 6,627.00 0 Botol Rp -
73 Griseofulvin tab 125 mg 920 Tablet Rp 361,284.00 Rp 392.70 0 Tablet Rp -
74 Haloperidol 1,5 mg 1,204 Tablet Rp 71,040.82 Rp 59.00 0 Tablet Rp -
75 Haloperidol tablet 5 mg 200 Tablet Rp 12,000.00 Rp 60.00 0 Tablet Rp -
76 HCG tes Pro-D 100 Pcs Rp 193,900.00 Rp 1,939.00 0 Pcs Rp -
77 Hidrokortison krim 2,5% 59 Tube Rp 146,025.00 Rp 2,475.00 0 Tube Rp -
78 Hysin Inj 10 Ampul Rp 51,618.18 Rp 5,161.82 0 Ampul Rp -
79 Ibuprofen 400 mg 997 Tablet Rp 374,872.00 Rp 376.00 0 Tablet Rp -
80 Ibuprofen suspensi 100 mg/5 ml 22 Botol Rp 49,192.00 Rp 2,236.00 0 Botol Rp -
81 Ichtyol/Ichtamolum 1 Pot Rp 6,050.00 Rp 6,050.00 0 Pot Rp -
82 Infuset dewasa type Y 200 Pcs Rp 1,263,200.00 Rp 6,316.00 0 Pcs Rp -
83 Infusion Set Anak 69 pcs Rp 248,193.00 Rp 3,597.00 0 pcs Rp -
84 Isosorbid Dinitrat 5 mg 176 Tablet Rp 19,360.00 Rp 110.00 0 Tablet Rp -
85 IV Catheter 18G MF Cath Pro 100 Pcs Rp 786,900.00 Rp 7,869.00 0 Pcs Rp -
88 IV Catheter 24G MF Cath Pro 190 Pcs Rp 1,461,860.00 Rp 7,694.00 0 Pcs Rp -
89 IV Catheter No 20 100 Buah Rp 600,000.00 Rp 6,000.00 0 Buah Rp -
90 Jarum Jahit kulit berbagai ukuran 2 Sachet Rp 50,000.00 Rp 25,000.00 0 Sachet Rp -
91 Kalium Permanganat 13 Pot Rp 54,340.00 Rp 4,180.00 0 Pot Rp -
92 Kalsium Laktat 3,490 Tablet Rp 219,870.00 Rp 63.00 0 Tablet Rp -
93 Kapas Pembalut 250g 5 pcs Rp 103,000.00 Rp 20,600.00 0 pcs Rp -
94 Kaptopril 12,5 mg 510 Tablet Rp 31,620.00 Rp 62.00 0 Tablet Rp -
95 Kaptopril 25 mg 1,145 Tablet Rp 114,614.50 Rp 100.10 0 Tablet Rp -
96 Kartu Golongan Darah 300 Rol Rp 105,000.00 Rp 350.00 0 Rol Rp -
97 Kasa hydrophyl 16x16 160 pcs Rp 80,000.00 Rp 500.00 0 pcs Rp -
99 Kassa 2 x 80 226 Pcs Rp 2,201,240.00 Rp 9,740.00 0 Pcs Rp -
100 Kassa 4 x 3 50 Rol Rp 29,500.00 Rp 590.00 0 Rol Rp -
101 Kassa 4 x 3 50 pcs Rp 42,000.00 Rp 840.00 0 pcs Rp -
102 Ketokonazol 2% krim 21 Tube Rp 139,650.00 Rp 6,650.00 0 Tube Rp -
103 Ketokonazol 200 mg tab 240 Tablet Rp 94,560.00 Rp 394.00 0 Tablet Rp -
104 Ketoprofen 100 mg/sup 40SuppositoriaRp 79,920.00 Rp 1,998.00 0 Suppositoria Rp -
105 Klem umbilical 100 Rol Rp 180,000.00 Rp 1,800.00 0 Rol Rp -
106 Kloramfenikol 250 mg 1,083 Tablet Rp 978,057.30 Rp 903.10 0 Tablet Rp -
107 Kloramfenikol salep kulit 2% 44 Tube Rp 143,704.00 Rp 3,266.00 0 Tube Rp -
108 Kloramfenikol tetes mata 1% 24 Botol Rp 236,412.00 Rp 9,850.50 0 Botol Rp -
109 Kloramfenikol TT 3% 24 Botol Rp 184,800.00 Rp 7,700.00 0 Botol Rp -
110 Klorfeniramin (CTM) 4 mg 8,144 Tablet Rp 187,312.00 Rp 23.00 0 Tablet Rp -
111 Kotrimoksasol 480 mg 490 Tablet
Rp 65,170.00 Rp 133.00 0 Tablet Rp -
112 Kotrimoksasol suspensi 240mg 92 botol Rp 201,480.00 Rp 2,190.00 0 botol Rp -
113 Lancet 300 Buah Rp 43,698.00 Rp 145.66 0 Buah Rp -
114 Lanzoprazol 30 mg 317 Kapsul Rp 88,126.00 Rp 278.00 0 Kapsul Rp -
115 Lidocain injeksi 140 Ampul Rp 172,060.00 Rp 1,229.00 0 Ampul Rp -
116 MDT Kusta PB Dewasa 6 Paket Rp 58,620.00 Rp 9,770.00 0 Paket Rp -
117 Metampiron 500 mg 2,046 Tablet Rp 562,650.00 Rp 275.00 0 Tablet Rp -
118 Metformin HCl tablet 500 mg 1,807 Tablet Rp 375,675.30 Rp 207.90 0 Tablet Rp -
119 Metilergometrin inj 70 Ampul Rp 756,000.00 Rp 10,800.00 0 Ampul Rp -
120 Metoklopramid 10 mg 120 Tablet Rp 9,600.00 Rp 80.00 0 Tablet Rp -
121 Metronidazol 125mg/5ml susp 10 botol Rp 39,500.00 Rp 3,950.00 0 botol Rp -
122 Mikonazol 2% krim 24 Tube Rp 81,936.00 Rp 3,414.00 0 Tube Rp -
123 Mikonazol krim 2% 14 Tube Rp 47,796.00 Rp 3,414.00 0 Tube Rp -
124 Mikropipet 100 ul 1 Pcs Rp 428,974.04 Rp 428,974.04 0 Pcs Rp -
127 Mikropipet 25ul 1 Pcs Rp 428,974.04 Rp 428,974.04 0 Pcs Rp -
130 Natrium Diklofenak 50 mg 1,472 Tablet Rp 181,056.00 Rp 123.00 0 Tablet Rp -
131 Natrium Klorida infus 0.9% 80 Botol Rp 544,000.00 Rp 6,800.00 0 Botol Rp -
132 Neo kaominal 47 Botol Rp 348,035.00 Rp 7,405.00 0 Botol Rp -
133 Neocenta / Bioplacenton krim 21 Tube Rp 356,727.00 Rp 16,987.00 0 Tube Rp -
134 Neurotropik tablet 380 Tablet Rp 254,600.00 Rp 670.00 0 Tablet Rp -
135 Nistatin 100000 IU / ml Drop 4 Botol Rp 54,000.00 Rp 13,500.00 0 Botol Rp -
136 Nistatin Vagtab 100.000 IU 111 Tablet Rp 62,160.00 Rp 560.00 0 Tablet Rp -
137 OB Herbal Sirup 71 Botol Rp 546,700.00 Rp 7,700.00 0 Botol Rp -
138 OBH sirup molex 60 ml 103 Botol Rp 646,263.20 Rp 6,274.40 0 Botol Rp -
139 Object Glass Box/Box Slide 1 Buah Rp 77,690.00 Rp 77,690.00 0 Buah Rp -
140 Oksitosin Inj 80 Ampul Rp 692,000.00 Rp 8,650.00 0 Ampul Rp -
141 Parasetamol 500 mg 5,669 Tablet Rp 561,231.00 Rp 99.00 0 Tablet Rp -
142 Parasetamol drop 43 Botol Rp 285,907.00 Rp 6,649.00 0 Botol Rp -
143 Parasetamol sirup 120 mg/5 ml 64 botolRp 75,584.00 Rp 1,181.00 0 botol Rp -
144 Pehacain Inj 40 Amp Rp 165,000.00 Rp 4,125.00 0 Amp Rp -
145 Piridoksin (Vit B6) 10 mg 2,163 Tablet Rp 283,353.00 Rp 131.00 0 Tablet Rp -
146 Piroksikam (lexicam) tablet 20 mg 949 Tablet Rp 125,268.00 Rp 132.00 0 Tablet Rp -
147 Plesterin bulat 185 Box Rp 28,490.00 Rp 154.00 0 Box Rp -
148 Pot Sputum 160 Pot Rp 942,400.00 Rp 5,890.00 0 Pot Rp -
149 Povidon Iodida 10 % 30 ml 50 Pcs Rp 140,000.00 Rp 2,800.00 0 Pcs Rp -
150 Prednison 5 mg 534 Tablet Rp 38,982.00 Rp 73.00 0 Tablet Rp -
151 Ranitidin 150 mg 1,734 Tablet Rp 296,219.22 Rp 170.83 0 Tablet Rp -
152 Ranitidin 50 mg/2 ml injeksi 75 Ampul Rp 61,050.00 Rp 814.00 0 Ampul Rp -
153 Reagen gol darah Pro-D anti A 2 Btl Rp 330,000.00 Rp 165,000.00 0 Btl Rp -
154 Reagen gol darah Pro-D anti B 2 Btl Rp 330,000.00 Rp 165,000.00 0 Btl Rp -
155 Recovit sirup 25 Botol Rp 247,500.00 Rp 9,900.00 0 Botol Rp -
retinol (vit A ) 100000 IU Kapsul Rp 287.00 Kapsul

156 50 Rp 14,350.00 0 Rp -
retinol (vit A ) 200000 IU 150 Kapsul Rp 508.00 Kapsul

157 Rp 76,200.00 0 Rp -
158 Risperidon 2 mg 379 Tablet Rp 103,467.00 Rp 273.00 0 Tablet Rp -
159 Salbutamol 2 mg 1,980 Tablet Rp 138,600.00 Rp 70.00 0 Tablet Rp -
160 Salep 2-4 Kombinasi 39 Pot Rp 102,180.00 Rp 2,620.00 0 Pot Rp -
161 Salisil bedak 2 % 100Kotak 50 gr Rp 242,000.00 Rp 2,420.00 0 Kotak 50 gr Rp -
Scabicide/Scabimit/Permetrin 5% krim Tube Rp 160,524.00 Tube

162 14 Rp 11,466.00 0 Rp -
163 Scopma Plus tab 260 Tablet Rp 339,300.00 Rp 1,305.00 0 Tablet Rp -
164 Sefadroksil sirup 23 botol Rp 96,255.00 Rp 4,185.00 0 botol Rp -
165 Serum ABU 2 Vial Rp 1,034,264.00 Rp 517,132.00 0 Vial Rp -
166 Serum ATS 1500 IU 2 Ampul Rp 261,998.00 Rp 130,999.00 0 Ampul Rp -
167 Sianokobalamin (vit B12) tab 833 Tablet Rp 40,817.00 Rp 49.00 0 Tablet Rp -
168 Sikzonoat 5 Ampul Rp 319,929.50 Rp 63,985.90 0 Ampul Rp -
169 Simvastatin tablet 10 mg 1,097 Tablet Rp 141,183.90 Rp 128.70 0 Tablet Rp -
170 Siprofloksasin 500 mg 43 Tablet Rp 21,994.50 Rp 511.50 0 Tablet Rp -
171 Spekulum dispo / Vagion 50 Pcs Rp 440,000.00 Rp 8,800.00 0 Pcs Rp -
172 Stimuno F 60 Kapsul Rp 105,780.00 Rp 1,763.00 0 Kapsul Rp -
173 Strip Glukosa NESCO 100 Pcs Rp 550,000.00 Rp 5,500.00 0 Pcs Rp -
174 Strip Kolesterol NESCO 200 Pcs Rp 4,400,000.00 Rp 22,000.00 0 Pcs Rp -
175 Strip Kolesterol Nesco 50 test Rp 1,176,000.00 Rp 23,520.00 0 test Rp -
176 Tablet Tambah Darah 8,720 Sachet Rp 1,970,720.00 Rp 226.00 0 Sachet Rp -
177 Tensigard 240 Kapsul Rp 580,800.00 Rp 2,420.00 0 Kapsul Rp -
178 Tetrasiklin 500 mg 190 Tablet Rp 61,370.00 Rp 323.00 0 Tablet Rp -
179 Tiamfenikol 500 mg kapsul 398 Tablet Rp 443,272.50 Rp 1,113.75 0 Tablet Rp -
180 Tiamin (Vit B1) 50 mg 1,133 Tablet Rp 103,103.00 Rp 91.00 0 Tablet Rp -
181 Tranfusi set 25 Botol Rp 212,500.00 Rp 8,500.00 0 Botol Rp -
182 Trifluoperazine 5 mg 200 Tablet Rp 57,600.00 Rp 288.00 0 Tablet Rp -
183 Triheksipenidil 2 mg 860 Tablet Rp 78,260.00 Rp 91.00 0 Tablet Rp -
184 UnderPad 90 Botol Rp 430,650.00 Rp 4,785.00 0 Botol Rp -
185 Urine bag(KMP/SCP) 50 Pcs Rp 285,000.00 Rp 5,700.00 0 Pcs Rp -
186 Vicalcin sirup 26 Botol Rp 182,639.60 Rp 7,024.60 0 Botol Rp -
187 Vitamin B-Compleks(DEF) 4,060 Tablet
Rp 178,640.00 Rp 44.00 0 Tablet Rp -
188 Yellow Tips 500 Buah Rp 17,700.00 Rp 35.40 0 Buah Rp -
189 Zink sir 20 mg/5 ml 21 Botol Rp 52,269.00 Rp 2,489.00 0 Botol Rp -
190 Zink Tablet 310 Tablet Rp 162,440.00 Rp 524.00 0 Tablet Rp -
1 Akita Tablet 0 Tablet Rp - Rp 320.10 500 Tablet Rp 160,050.00
2 Alat Suntik 1 ml 0 Pcs Rp - Rp 957.00 0 Pcs Rp -
3 Alat Suntik 10 ml 0 Pcs Rp - Rp 1,287.00 100 Pcs Rp 128,700.00
5 Alat Suntik 3 ml 0 Pcs Rp - Rp 693.00 1,000 Pcs Rp 693,000.00
9 Albendazol 400mg tab 0 Tablet Rp - Rp 288.00 0 Tablet Rp -
10 Alkohol Swab 0 Set Rp - Rp 120.00 0 Set Rp -
11 Alopurinol 100 mg 0 Tablet Rp - Rp 105.00 1,000 Tablet Rp 105,000.00
12 Alopurinol 300 mg 0 Tablet Rp - Rp 550.00 0 Tablet Rp -
13 Alprazolam 0,5 mg 0 Tablet Rp - Rp 78.00 0 Tablet Rp -
14 Ambroxol 30 mg tab 0 Tablet Rp - Rp 115.50 3,000 Tablet Rp 346,500.00
15 Amlodipin 10 mg 0 Tablet Rp - Rp 70.00 2,000 Tablet Rp 140,000.00
16 Amlodipin 5 mg 0 Tablet Rp - Rp 53.00 0 Tablet Rp -
17 Amoksisilin 125 mg/5 ml sirup kering 0 Botol Rp - Rp 2,050.40 100 Botol Rp 205,040.00
18 Amoksisilin kapl 500 mg 0 Tablet Rp - Rp 201.00 2,000 Tablet Rp 402,000.00
19 Amoksisilin sirup kering 0 botol Rp - Rp 3,850.00 0 botol Rp -
20 Ampisilin serbuk 1000mg/ml 0 Vial Rp - Rp 8,237.00 20 Vial Rp 164,740.00
21 Antasida DOEN susp 0 Botol Rp - Rp 1,679.00 0 Botol Rp -
22 Antasida DOEN tab 0 Tablet Rp - Rp 58.00 4,000 Tablet Rp 232,000.00
23 Antasida DOEN tab 0 Tablet Rp - Rp 54.00 0 Tablet Rp -
25 Antifungi salep komb 0 Pot Rp - Rp 4,496.00 0 Pot Rp -
0 Rp - Rp 3,250.00 30Suppositoria Rp 97,500.00
28 Antimigrain ( Ergotamin ) 0 Tablet Rp - Rp 185.00 0 Tablet Rp -
30 antiza 0 Tablet Rp - Rp 1,100.00 0 Tablet Rp -
31 Asam Askorbat ( Vit.C ) 50 mg 0 Tablet Rp - Rp 42.00 2,000 Tablet Rp 84,000.00
32 Asam Folat 0,4 mg 0 Tablet Rp - Rp 220.00 500 Tablet Rp 110,000.00
33 Asam Mefenamat 500 mg 0 Tablet Rp - Rp 111.00 4,000 Tablet Rp 444,000.00
34 Asam Mefenamat 500 mg 0 Tablet Rp - Rp 111.00 0 Tablet Rp -
35 Aseptic Gel/Sabun cuci tangan 0 botol Rp - Rp 26,500.00 5 botol Rp 132,500.00
36 Asering 0 Softbag Rp - Rp 9,646.00 0 Softbag Rp -
37 Asetosal 80 mg (Miniaspi tab) 0 Tablet Rp - Rp 105.00 0 Tablet Rp -
38 Asiklovir 400 mg tab 0 Tablet Rp - Rp 405.00 0 Tablet Rp -
39 Asiklovir Krim 0 Tube Rp - Rp 3,271.40 0 Tube Rp -
40 Atropin Sulfat inj 0 Ampul Rp - Rp 1,718.00 0 Ampul Rp -
41 Autoclick Lancing Device Onemed 0 Pcs Rp - Rp 17,416.00 0 Pcs Rp -
42 Betahistin Mesilat 6 mg Tab 0 Tablet Rp - Rp 451.00 500 Tablet Rp 225,500.00
43 Bio ATP 0 Tablet Rp - Rp 2,500.00 200 Tablet Rp 500,000.00
44 Blue Tips 0 Buah Rp - Rp 76.50 0 Buah Rp -
45 Bracket 0 Pcs Rp - Rp 22,000.00 5 Pcs Rp 110,000.00
46 Canule O2 Anak 0 Pcs Rp - Rp 5,100.00 60 Pcs Rp 306,000.00
47 Canule O2 Bayi 0 Buah Rp - Rp 5,200.00 50 Buah Rp 260,000.00
48 Canule O2 dewasa 0 Buah Rp - Rp 5,100.00 100 Buah Rp 510,000.00
49 Daryantulle/Cuticell 10x10 0 Pcs Rp - Rp 5,520.00 20 Pcs Rp 110,400.00
50 Deksametason 0,5 mg tab 0 Tablet Rp - Rp 32.00 3,000 Tablet Rp 96,000.00
51 Deksametason 0,5 mg tab 0 Tablet Rp - Rp 32.00 0 Tablet Rp -
52 Deksametason Inj 5 mg/ml 0 Ampul Rp - Rp 924.00 0 Ampul Rp -
53 Deksametason Inj 5 mg/ml 0 Ampul Rp - Rp 924.00 20 Ampul Rp 18,480.00
54 Diazepam 5 mg Tab 0 Tablet Rp - Rp 108.00 200 Tablet Rp 21,600.00
55 DIAZEPAM INJ 0 ampul Rp - Rp 1,735.00 0 ampul Rp -
56 Diazepam rektal 5 mg/2,5 ml 0 Tube Rp - Rp 12,573.00 10 Tube Rp 125,730.00
57 Difenhidramin HCL inj 10 mg/ml 0 Ampul Rp - Rp 1,095.00 0 Ampul Rp -
58 Difenhidramin inj 10 mg/ml 0 Ampul Rp - Rp 1,095.00 0 Ampul Rp -
59 Difenhidramin inj 10 mg/ml 0 ampul Rp - Rp 1,095.00 0 ampul Rp -
60 Digoksin tablet 0,25 mg 0 Tablet Rp - Rp 114.40 0 Tablet Rp -
61 Dimenhidrinat tab 50 mg 0 Tablet Rp - Rp 108.00 500 Tablet Rp 54,000.00
62 Epinefrin Inj (Adrenalin)0,1% 0 ampul Rp - Rp 1,408.00 0 ampul Rp -
63 Etanol 70 % 100 ml 0 Botol Rp - Rp 2,790.00 24 Botol Rp 66,960.00
64 Etil Klorida 0 botol Rp - Rp 126,500.00 3 botol Rp 379,500.00
65 FDC Kategori 1 0 paket Rp - Rp 359,985.00 0 paket Rp -
66 FDC Kategori 1 harian 0 paket Rp - Rp 359,985.00 0 paket Rp -
67 FDC Kategori 1 Kombipak 0 Paket Rp - Rp 288,199.00 0 Paket Rp -
68 FDC Kategori 1 Kombipak 0 paket Rp - Rp 288,199.00 0 paket Rp -
69 FDC Kategori 2 0 paket Rp - Rp 1,199,985.00 0 paket Rp -
70 FDC Kategori Anak 0 paket Rp - Rp 214,985.00 0 paket Rp -
71 Fenibarbital Tab 30 mg 0 Tablet Rp - Rp 171.00 0 Tablet Rp -
72 Fenidryl Sirup 0 Botol Rp - Rp 5,553.90 0 Botol Rp -
73 Fenitoin inj 0 ampul Rp - Rp 1.00 0 ampul Rp -
74 Fenobarbital 30 mg 0 Tablet Rp - Rp 171.00 0 Tablet Rp -
76 Fenobarbital Tab 30 mg 0 Tablet Rp - Rp 170.99 0 Tablet Rp -
77 Fenol gliserol TT 10% 0 Botol Rp - Rp 3,300.00 0 Botol Rp -
78 Fitomenadion inj 2 mg/ml 0 Ampul Rp - Rp 1,386.00 60 Ampul Rp 83,160.00
79 Fludane/molexflu/antiza tablet/flut 0 Tablet Rp - Rp 440.00 2,000 Tablet Rp 880,000.00
80 Folley Catheter 16 0 Rol Rp - Rp 10,340.00 30 Rol Rp 310,200.00
81 Garam oralit 0 Sachet Rp - Rp 257.00 100 Sachet Rp 25,700.00
82 gent oint / Gentamisin salep mata 0 Tube Rp - Rp 2,675.00 24 Tube Rp 64,200.00
83 Gent oint / Gentamisin salep mata 0 Pcs Rp - Rp 2,665.00 0 Pcs Rp -
84 GENTAMISIN KRIM salep kulit 0 Tube Rp - Rp 6,499.90 20 Tube Rp 129,998.00
85 Gentamisin sulfat TM 0,3% 0 Botol Rp - Rp 4,520.00 48 Botol Rp 216,960.00
86 Glibenklamid 5 mg 0 Tablet Rp - Rp 83.00 0 Tablet Rp -
87 Glimepiride 1 mg 0 Tablet Rp - Rp 371.80 0 Tablet Rp -
88 Glimepiride 2 mg 0 Tablet Rp - Rp 207.00 2000 Tablet Rp 414,000.00
89 Gliseril Guaikiolat ( GG ) 0 Tablet Rp - Rp 89.10 1000 Tablet Rp 89,100.00
90 Gliseril Guaikiolat ( GG )/Asetil Sis 0 Tablet Rp - Rp 89.10 0 Tablet Rp -
91 Glukosa 40% 0 Botol Rp - Rp 7,000.00 0 Botol Rp -
92 Glukosa infus 10% 0 Botol Rp - Rp 7,200.00 0 Botol Rp -
94 Griseofulvin 125 mg tab 0 Tablet Rp - Rp 224.00 100 Tablet Rp 22,400.00
95 Haloperidol 1,5 mg 0 Tablet Rp - Rp 59.00 0 Tablet Rp -
96 Haloperidol tablet 5 mg 0 Tablet Rp - Rp 54.00 0 Tablet Rp -
97 Hand Sanitizer (Aseptic gel) 0 Paket Rp - Rp 26,500.00 0 Paket Rp -
98 Handscoon non steril M 0 Pasang Rp - Rp 1,991.00 0 Pasang Rp -
99 Handscoon non steril M 0 Pasang Rp - Rp 1,991.00 300 Pasang Rp 597,300.00
100 Handscoon non steril S 0 Pasang Rp - Rp 1,991.00 200 Pasang Rp 398,200.00
101 HCG tes Pro-D 0 test Rp - Rp 1,900.00 0 test Rp -
102 Herbakof 0 Botol Rp - Rp 14,273.00 0 Botol Rp -
103 Hidrokortison 2,5% krim 0 Tube Rp - Rp 2,475.00 48 Tube Rp 118,800.00
104 Hysin Inj 0 Ampul Rp - Rp 5,161.82 0 Ampul Rp -
105 Ibuprofen 200 mg 0 Tablet Rp - Rp 212.00 0 Tablet Rp -
106 Ibuprofen 400 mg 0 Tablet Rp - Rp 376.00 1000 Tablet Rp 376,000.00
107 Ibuprofen suspensi 200 mg/5 ml 0 Botol Rp - Rp 3,200.00 30 Botol Rp 96,000.00
108 Infuset Anak 0 Pasang Rp - Rp 3,500.00 50 Pasang Rp 175,000.00
109 Infuset dewasa (PKD 1) 0 pcs Rp - 5790 200 pcs Rp 1,158,000.00
110 Infusion Set Anak 0 pcs Rp - Rp 3,597.00 0 pcs Rp -
111 ISONIAZID 100 MG TAB 0 Tablet Rp - Rp 96.91 0 Tablet Rp -
112 Isosorbid Dinitrat 5 mg 0 Tablet Rp - Rp 97.90 0 Tablet Rp -
113 IV Catheter 22G MF Cath Pro 0 pcs Rp - Rp 7,700.00 200 pcs Rp 1,540,000.00
114 IV Catheter 24G MF Cath Pro 0 Pcs Rp - Rp 7,694.00 100 Pcs Rp 769,400.00
115 IV Catheter 24G MF Cath Pro 0 Pcs Rp - Rp 7,819.00 0 Pcs Rp -
116 IV Catheter No 18 0 Buah Rp - Rp 6,000.00 0 Buah Rp -
117 Jarum Jahit kulit berbagai ukuran 0 Sachet Rp - Rp 25,000.00 0 Sachet Rp -
118 Kalium Permanganat 0 botol Rp - Rp 5,500.00 0 botol Rp -
119 Kalsium Glukonat Inj 10% 0 Ampul Rp - Rp 10,351.00 0 Ampul Rp -
120 Kalsium Laktat 0 Tablet Rp - Rp 63.00 2000 Tablet Rp 126,000.00
121 Kapas absorben 250 gr 0 Sachet Rp - Rp 12,500.00 0 Sachet Rp -
122 Kaptopril 12,5 mg tab 0 Tablet Rp - Rp 65.00 0 Tablet Rp -
124 Kaptopril 25 mg 0 Tablet Rp - Rp 75.00 0 Tablet Rp -
125 Karbamazepin 200 mg 0 Tablet Rp - Rp 245.00 0 Tablet Rp -
126 Kartu Golongan Darah 0 Rol Rp - Rp 350.00 0 Rol Rp -
127 Kasa hydrophyl 16x16 0 pcs Rp - Rp 500.00 0 pcs Rp -
129 Kassa 2 x 80 0 Pcs Rp - Rp 9,740.00 0 Pcs Rp -
130 Kassa 4 x 15 0 Rol Rp - Rp 2,657.00 0 Rol Rp -
131 Kassa 4 x 3 0 Rol Rp - Rp 759.00 0 Rol Rp -
132 Kassa 40 x 40 0 Rol Rp - Rp 1,600.00 100 Rol Rp 160,000.00
133 Ketokonazol 2% krim 0 Tube Rp - Rp 6,650.00 12 Tube Rp 79,800.00
134 Ketokonazol 200 mg tab 0 Tablet Rp - Rp 394.00 0 Tablet Rp -
135 Ketoprofen 100 mg/sup 0 Supposit Rp - Rp 1,998.00 60 Suppositori Rp 119,880.00
136 Klem umbilical 0 Rol Rp - Rp 1,800.00 0 Rol Rp -
137 Kloramfenikol salep mata 1% 0 tube Rp - Rp 2,007.00 0 tube Rp -
138 Kloramfenikol TT 3% 0 Botol Rp - Rp 7,700.00 0 Botol Rp -
139 Klorfeniramin (CTM) 4 mg 0 Tablet Rp - Rp 23.00 8000 Tablet Rp 184,000.00
140 Klorfeniramin 4 mg (Orphen Kaplet 0 Tablet Rp - Rp 92.40 0 Tablet Rp -
141 Klorpromazin 100 mg 0 Tablet Rp - Rp 247.50 0 Tablet Rp -
143 Klorpromazin Inj 25 mg/ml 0 Ampul Rp - Rp 1,243.00 0 Ampul Rp -
144 Kotrimoksasol 480 mg 0 Tablet Rp - Rp 133.00 0 Tablet Rp -
145 Kotrimoksasol suspensi 0 Botol Rp - Rp 2,190.00 0 Botol Rp -
147 Kotrimoksasol suspensi 240mg 0 botol Rp - Rp 2,190.00 0 botol Rp -
148 KOTRIMOKSAZOL 480 MG TAB 0 Tablet Rp - Rp 125.00 0 Tablet Rp -
149 Lancet 0 Buah Rp - Rp 145.66 400 Buah Rp 58,264.00
150 Lancet 0 Pcs Rp - Rp 150.00 0 Pcs Rp -
151 Lanzoprazol 30 mg 0 Kapsul Rp - Rp 278.00 1000 Kapsul Rp 278,000.00
152 Larutan Ziehl Nielsen 0 Paket Rp - Rp 276,500.00 1 Paket Rp 276,500.00
153 Levofloksasin 0 Kapsul Rp - Rp 494.00 0 Kapsul Rp -
154 Levoftirosin 100 mcg 0 Tablet Rp - Rp 890.00 0 Tablet Rp -
155 Lidocain injeksi 0 Ampul Rp - Rp 1,229.00 0 Ampul Rp -
156 Lidocain komp injeksi 0 Ampul Rp - Rp 803.00 150 Ampul Rp 120,450.00
157 Magnesium Sulfat 40% 0 Vial Rp - Rp 4,090.00 12 Vial Rp 49,080.00
158 Masker 0 pcs Rp - Rp 550.00 0 pcs Rp -
159 Masker 0 pcs Rp - Rp 4,800.00 0 pcs Rp -
161 Masker Altamed 0 Buah Rp - Rp 1,650.00 0 Buah Rp -
162 Masker Bedah Hijab 0 Pcs Rp - Rp 1,050.00 0 Pcs Rp -
163 Masterzym 0 botol Rp - Rp 1.00 0 botol Rp -
164 MDT Kusta PB Dewasa 0 Paket Rp - Rp 9,770.00 0 Paket Rp -
165 Metampiron 500 mg (Lexagin) 0 Tablet Rp - Rp 253.00 3000 Tablet Rp 759,000.00
166 Metformin HCl tablet 500 mg 0 Tablet Rp - Rp 207.90 300 Tablet Rp 62,370.00
167 Metilergometrin inj 0 Ampul Rp - Rp 10,800.00 0 Ampul Rp -
168 Metronidazol 125 mg/5ml susp 0 Botol Rp - Rp 3,765.00 0 Botol Rp -
169 Metronidazol 125mg/5ml susp 0 botol Rp - Rp 3,950.00 0 botol Rp -
170 Metronidazol 500 mg 0 Botol Rp - Rp 124.00 500 Botol Rp 62,000.00
171 Mikonazol 2% krim 0 Tube Rp - Rp 3,414.00 0 Tube Rp -
172 Mikropipet tips 0 Paket Rp - Rp 87,800.00 0 Paket Rp -
173 Molexflu syrup 0 Botol Rp - Rp 6,274.00 0 Botol Rp -
174 Natrium Diklofenak 50 mg 0 Tablet Rp - Rp 123.00 1000 Tablet Rp 123,000.00
175 Natrium Diklofenak 50 mg 0 Tablet Rp - Rp 99.00 0 Tablet Rp -
176 Neo kaominal 0 Botol Rp - Rp 7,405.00 0 Botol Rp -
177 Neocenta / Bioplacenton krim 0 Tube Rp - Rp 16,987.00 20 Tube Rp 339,740.00
178 Nistatin 100000 IU / ml Drop 0 Botol Rp - Rp 11,500.00 5 Botol Rp 57,500.00
179 Nistatin Vagtab 100.000 IU 0 Tablet Rp - Rp 560.00 0 Tablet Rp -
180 OB Herbal Sirup 0 Botol Rp - Rp 7,700.00 0 Botol Rp -
181 OB Herbal Sirup(OBASA) 0 Botol Rp - Rp 7,700.00 45 Botol Rp 346,500.00
182 OBH sirup molex 60 ml 0 Botol Rp - Rp 6,274.40 100 Botol Rp 627,440.00
183 Object Glass 0 Buah Rp - Rp 77,690.00 0 Buah Rp -
184 Oksitosin Inj 0 Ampul Rp - Rp 1,126.00 100 Ampul Rp 112,600.00
185 Ostela Forte tab 0 Tablet Rp - Rp 8,000.00 150 Tablet Rp 1,200,000.00
186 Parasetamol 500 mg 0 Tablet Rp - Rp 99.00 10000 Tablet Rp 990,000.00
187 Parasetamol drop 0 Botol Rp - Rp 6,649.00 60 Botol Rp 398,940.00
188 Parasetamol infus 0 Botol Rp - Rp 11,265.00 0 Botol Rp -
189 PARASETAMOL SIRUP 120 MG / 0 botol Rp - Rp 1,107.00 300 botol Rp 332,100.00
190 PARASETAMOL SIRUP 120 MG / 0 Tablet Rp - Rp 1,107.00 0 Tablet Rp -
191 Parasetamol sirup 120 mg/5ml 0 Botol Rp - Rp 1,181.00 0 Botol Rp -
192 Pehacain 0 Ampul Rp - Rp 4,200.00 0 Ampul Rp -
193 Piridoksin ( Vit B6 ) 10 mg tab 0 Tablet Rp - Rp 67.00 0 Tablet Rp -
194 Piridoksin (Vit B6) 10 mg 0 Tablet Rp - Rp 131.00 4000 Tablet Rp 524,000.00
195 Piridoksin (Vit B6) 10 mg 0 Tablet Rp - Rp 123.00 0 Tablet Rp -
196 Piroksikam (lexicam) tablet 20 mg 0 Tablet Rp - Rp 132.00 0 Tablet Rp -
197 Plester (Leukoplast 7,5 cm x 4,5 c 0 Paket Rp - Rp 59,500.00 10 Paket Rp 595,000.00
198 Plesterin bulat 0 Rol Rp - Rp 175.00 0 Rol Rp -
199 Pot Sputum 0 Pot Rp - Rp 5,890.00 0 Pot Rp -
200 Povidon Iodida 10 % 30 ml 0 Pcs Rp - Rp 2,800.00 50 Pcs Rp 140,000.00
201 Prednison 5 mg 0 Tablet Rp - Rp 119.70 500 Tablet Rp 59,850.00
202 Prednison 5 mg 0 Tablet Rp - Rp 119.70 0 Tablet Rp -
203 Propiltiourasil tablet 100 m 0 Tablet Rp - Rp 410.00 0 Tablet Rp -
204 R.Hema OL 2100 Kertas print 0 Pcs Rp - Rp 40,000.00 0 Pcs Rp -
205 Ranitidin 150 mg 0 Tablet Rp - Rp 85.00 2000 Tablet Rp 170,000.00
206 Ranitidin 50 mg/2 ml injeksi 0 Ampul Rp - Rp 1,960.20 100 Ampul Rp 196,020.00
207 Ranitidin 50 mg/2 ml injeksi 0 Ampul Rp - Rp 814.00 0 Ampul Rp -
208 Rapid Test HIV Ke - 1 ( SD ) 0 Tes Rp - Rp 14,340.00 100 Tes Rp 1,434,000.00
209 Reagen gol darah Pro-D anti A 0 Botol Rp - Rp 165,000.00 0 Botol Rp -
210 Reagen gol darah Pro-D anti B 0 Botol Rp - Rp 165,000.00 0 Botol Rp -
211 Reagen gol darah Pro-D anti D 0 Botol Rp - Rp 165,000.00 0 Botol Rp -
212 Reagent HbsAg tes 0 test Rp - Rp 9,850.00 100 test Rp 985,000.00
213 Recovit sirup 0 Botol Rp - Rp 9,900.00 30 Botol Rp 297,000.00
214 retinol (vit A ) 100000 IU 0 Kapsul Rp - Rp 287.00 400 Kapsul Rp 114,800.00
216 retinol (vit A ) 200000 IU 0 Kapsul Rp - Rp 508.00 0 Kapsul Rp -
217 Retinol 100.000 IU 0 Kapsul Rp - Rp 305.00 0 Kapsul Rp -
218 Retinol 200.000 IU 0 Kapsul Rp - Rp 553.00 1000 Kapsul Rp 553,000.00
219 Ringer Laktat larutan infus 0 Botol Rp - Rp 7,630.00 0 Botol Rp -
220 Ringer Laktat larutan infus 0 Botol Rp - Rp 7,150.00 1500 Botol Rp 10,725,000.00
221 Risperidon 2 mg 0 Tablet Rp - Rp 273.00 500 Tablet Rp 136,500.00
222 Salbutamol 2 mg 0 Tablet Rp - Rp 70.00 3000 Tablet Rp 210,000.00
223 Salbutamol tablet 4 mg 0 Tablet Rp - Rp 70.00 500 Tablet Rp 35,000.00
224 Salep 2-4 Kombinasi 0 pot Rp - Rp 2,796.00 0 pot Rp -
226 Salisil bedak 2 % 0 pcs Rp - Rp 2,200.00 0 pcs Rp -
227 Scabicide/Scabimit/Permetrin 5% 0 Tube Rp - Rp 11,466.00 0 Tube Rp -
228 Serum ABU 0 Vial Rp - Rp 517,132.00 0 Vial Rp -
229 Sianokobalamin (vit B12) tab 0 Tablet Rp - Rp 49.00 1000 Tablet Rp 49,000.00
230 Simvastatin tablet 10 mg 0 Tablet Rp - Rp 128.70 1200 Tablet Rp 154,440.00
231 Solvitaz 0 Tablet Rp - Rp 1.00 0 Tablet Rp -
232 Spekulum dispo / Vagion M 0 Strip Rp - Rp 6,500.00 0 Strip Rp -
233 Stimuno F 0 Kapsul Rp - Rp 1,763.00 60 Kapsul Rp 105,780.00
234 Strip Glukosa BENECHECK 0 Pcs Rp - Rp 160,000.00 0 Pcs Rp -
235 Strip Glukosa EASY TOUCH 0 pcs Rp - Rp 5,500.00 0 pcs Rp -
237 Strip Glukosa NESCO 0 Pcs Rp - Rp 5,500.00 100 Pcs Rp 550,000.00
238 Strip Kolesterol EASY TOUCH 0 Pcs Rp - Rp 22,000.00 0 Pcs Rp -
239 Sukralfat / Ulsafate sirup 0 Botol Rp - Rp 4,989.00 10 Botol Rp 49,890.00
240 Tablet Tambah Darah 0 Tablet Rp - Rp 226.00 10000 Tablet Rp 2,260,000.00
241 Tablet Tambah darah 0 Tablet Rp - Rp 226.00 0 Tablet Rp -
242 Tetrasiklin 500 mg 0 Kapsul Rp - Rp 323.00 0 Kapsul Rp -
243 Thiamin (Vit B 1) tab 50 mg 0 Tablet Rp - Rp 156.20 0 Tablet Rp -
244 THIAMIN (VIT B1) TAB 50 MG 0 Tablet Rp - Rp 85.00 0 Tablet Rp -
245 Tiamin (Vit B1) 50 mg 0 Tablet Rp - Rp 253.00 2000 Tablet Rp 506,000.00
246 Tranfusi set 0 Botol Rp - Rp 8,500.00 0 Botol Rp -
247 Trifluoperazine 5 mg 0 Tablet Rp - Rp 220.00 0 Tablet Rp -
248 Triheksipenidil 2 mg 0 Tablet Rp - Rp 63.00 0 Tablet Rp -
249 Ultrasonic gel 0 Pcs Rp - Rp 16,000.00 0 Pcs Rp -
250 UnderPad 0 Botol Rp - Rp 4,785.00 100 Botol Rp 478,500.00
251 Urine bag(KMP/SCP) 0 Pcs Rp - Rp 5,700.00 50 Pcs Rp 285,000.00
252 Vicalcin sirup 0 Botol Rp - Rp 7,024.60 0 Botol Rp -
253 Vitamin B Kompleks 0 Tablet Rp - Rp 89.00 0 Tablet Rp -
254 Vitamin B-Compleks(DEF) 0 Tablet Rp - Rp 44.00 0 Tablet Rp -
255 Vitamin B-Compleks(DEF) 0 Tablet Rp - Rp 71.50 3000 Tablet Rp 214,500.00
256 Zinc sulfat 20 mg 0 Tablet Rp - Rp 524.00 0 Tablet Rp -
257 Zink sir 20 mg/5 ml 0 Botol Rp - Rp 2,489.00 0 Botol Rp -
258 Zink Tablet 0 Tablet Rp - Rp 524.00 0 Tablet Rp -
259 Clozapine 25mg 0 Tablet Rp - Rp 1,121.00 200 Tablet Rp 224,200.00
260 Diazepam 5 mg Tab 0 Tablet Rp - Rp 108.00 0 Tablet Rp -
261 DIAZEPAM INJ 0 ampul Rp - Rp 1,545.00 10 ampul Rp 15,450.00
264 Fluphenazine/Sikzonoate 25 inj 0 Ampul Rp - Rp 63,500.00 0 Ampul Rp -
265 Haldol Decanoas 50 mg inj 0 Ampul Rp - Rp 109,000.00 5 Ampul Rp 545,000.00
266 Haloperidol 5 mg inj 0 Ampul Rp - Rp 1,190.00 0 Ampul Rp -
267 Haloperidol 5 mg tab 0 Tablet Rp - Rp 54.00 0 Tablet Rp -
268 Larutan Ziehl Nielsen 0 Paket Rp - Rp 172,527.00 0 Paket Rp -
269 MDT Kusta MB Dewasa 0 Paket Rp - Rp 40,128.00 0 Paket Rp -
271 Reagent HbsAg tes 0 test Rp - Rp 1.00 0 test Rp -
272 Risperidon 2 mg 0 Tablet Rp - Rp 123.00 0 Tablet Rp -
275 Reagent Syphillis 0 test Rp - Rp 20,400.00 100 test Rp 2,040,000.00
276 Aqua PI 0 Botol Rp - Rp 2,860.00 0 Botol Rp -
278 retinol (vit A ) 200000 IU 0 Kapsul Rp - Rp 553.00 2450 Kapsul Rp 1,354,850.00
279 Amoksisilin kapl 500 mg 0 Tablet Rp - Rp 249.00 3000 Tablet Rp 747,000.00
280 Glukosa infus 5% 0 botol Rp - Rp 6,627.50 0 botol Rp -
281 Natrium Chlorida infus 0,9% 0 botol Rp - Rp 6,800.20 0 botol Rp -
282 Ringer Laktat larutan infus 0 botol Rp - Rp 7,629.60 0 botol Rp -
283 Amoksisilin 125 mg/5 ml sirup keri 0 Botol Rp - Rp 2,050.00 0 Botol Rp -
286 Kalsium Laktat 0 Tablet Rp - Rp 60.01 0 Tablet Rp -
288 Canule O2 dewasa 0 Buah Rp - Rp 6,130.00 0 Buah Rp -
289 IV Catheter No 18 NOUSHED 0 pcs Rp - Rp 5,995.00 0 pcs Rp -
290 IV Catheter No 20 NOUSHED 0 Pcs Rp - Rp 5,995.00 0 Pcs Rp -
292 Alopurinol 100mg 0 tablet Rp - Rp 105.00 0 tablet Rp -
293 Amoksisilin kapl 500 mg 0 tablet Rp - Rp 249.00 3000 tablet Rp 747,000.00
294 Amoksisilin kapl 500 mg 0 tablet Rp - Rp 253.00 0 tablet Rp -
295 Antasida DOEN tab 0 tablet Rp - Rp 58.00 0 tablet Rp -
296 Asam Askorbat ( Vit.C ) 50 mg 0 tablet Rp - Rp 105.00 0 tablet Rp -
297 Kotrimoksasol suspensi 0 botol Rp - Rp 2,190.00 0 botol Rp -
298 Lidocain injeksi 2% + Epineprin 1: 0 ampul Rp - Rp 1,229.00 0 ampul Rp -
299 Natrium Klorida infus 0.9% 0 botol Rp - Rp 6,840.00 0 botol Rp -
300 Parasetamol sirup 120 mg/5ml 0 botol Rp - Rp 1,181.00 0 botol Rp -
302 Prednison 5 mg Tablet Rp - Rp 1.00 0 Tablet Rp -
303 Propanolol 10 mg tab Tablet Rp - Rp 1.00 0 Tablet Rp -
305 Zink 20 mg tab Tablet Rp - Rp 1.00 0 Tablet Rp -
306 Haloperidol 1.5mg tab Tablet Rp - Rp 1.00 0 Tablet Rp -
307 Alprazolam 0,5 mg Tablet Rp - Rp 78.00 0 Tablet Rp -
308 Diazepam 5 mg Tab Tablet Rp - Rp 108.00 0 Tablet Rp -
309 Parasetamol sirup 120 mg/5ml Botol Rp - Rp 1,161.00 0 Botol Rp -
310 Triheksipenidil 2 mg Tablet Rp - Rp 63.00 0 Tablet Rp -
311 Ketokonazol 200 mg tab Tablet Rp - Rp 252.00 0 Tablet Rp -
312 Asam Mefenamat 500 mg Tablet Rp - Rp 111.00 0 Tablet Rp -
313 Metilprednisolon 4 mg tab Tablet Rp - Rp 102.00 0 Tablet Rp -
314 Ranitidin 150 mg Tablet Rp - Rp 85.00 0 Tablet Rp -
315 Simvastatin tablet 10 mg Tablet Rp - Rp 68.00 0 Tablet Rp -
316 Allopurinol 100mg tab Tablet Rp - Rp 87.00 0 Tablet Rp -
317 Amoksisilin kapl 500 mg Tablet Rp - Rp 201.00 0 Tablet Rp -
318 Ciprofloxacin 500 mg Tablet Rp - Rp 248.00 0 Tablet Rp -
319 Glimepiride 2 mg tab Tablet Rp - Rp 123.00 0 Tablet Rp -
320 SD Bioline HIV/Syphillis Duo Test Rp - Rp 17,563.84 0 Test Rp -
321 Isosorbide Dinitrate tab Tablet Rp - Rp 86.00 0 Tablet Rp -
322 Serum ABU Vial Rp - Rp 517,132.00 0 Vial Rp -
323 Serum ATS 1500 IU ampul Rp - Rp 138,924.50 0 ampul Rp -
0
JUMLAH Rp 55,287,524.18 Rp 47,202,062.00

ASI OBAT DAN PERBEKKES
22 s/d 31 Maret 2022
MAS RANDUBLATUNG
Sisa (31
Desember
2019 )
Jumlah Nilai Harga Jumlah Nilai Harga Jumlah Nilai Harga
13 14 15 16 17 18 19 20
385 Tablet Rp 123,238.50 231 Tablet Rp 73,943.10 0 Tablet Rp -
200 Pcs Rp 191,400.00 0 Pcs Rp - 0 Pcs Rp -
390 Pcs Rp 296,010.00 110 Pcs Rp 83,490.00 0 Pcs Rp -
0 Tablet Rp - 6,144 Tablet Rp 1,769,472.00 0 Tablet Rp -
1,831 Tablet Rp 128,170.00 0 Tablet Rp - 0 Tablet Rp -
756 Tablet Rp 340,200.00 1,210 Tablet Rp 544,500.00 0 Tablet Rp -
92 Botol Rp 607,200.00 16 Botol Rp 105,600.00 0 Botol Rp -
60 Vial Rp 494,220.00 0 Vial Rp - 0 Vial Rp -
8 Kapsul Rp 40,480.00 0 Kapsul Rp - 11 Kapsul Rp 55,660.00
30Suppositoria Rp 97,500.00 0SuppositoriaRp - 0SuppositoriaRp -
200 ampul Rp 572,000.00 0 ampul Rp - 0 ampul Rp -
631 Tablet Rp 47,325.00 0 Tablet Rp - 0 Tablet Rp -
3,800 Tablet Rp 421,800.00 730 Tablet Rp 81,030.00 0 Tablet Rp -
5 Botol Rp 110,000.00 0 Botol Rp - 0 Botol Rp -
240 Softbag Rp 2,315,040.00 0 Softbag Rp - 0 Softbag Rp -
1 Tube Rp 3,271.40 0 Tube Rp - 0 Tube Rp -
5 ampul Rp 8,195.00 5 ampul Rp 8,195.00 0 ampul Rp -
0 Tablet Rp - 500 Tablet Rp 72,500.00 0 Tablet Rp -
0 Buah Rp - 500 Buah Rp 38,250.00 0 Buah Rp -
11 botol Rp 48,400.00 3 botol Rp 13,200.00 0 botol Rp -
40 pcs Rp 207,988.00 0 pcs Rp - 0 pcs Rp -
30 Buah Rp 153,000.00 0 Buah Rp - 0 Buah Rp -
0 Paket Rp - 1 Paket Rp 125,743.20 0 Paket Rp -
302 Tab Rp 32,918.00 302 Tab Rp 32,918.00 0 Tab Rp -
2 Tube Rp 36,558.00 3 Tube Rp 54,837.00 0 Tube Rp -
0 Ampul Rp - 28 Ampul Rp 30,659.72 0 Ampul Rp -
0 Rol Rp - 7 Rol Rp 137,907.00 0 Rol Rp -
3 Rol Rp 72,237.00 3 Rol Rp 72,237.00 0 Rol Rp -
4 Can Rp 836,000.00 0 Can Rp - 0 Can Rp -
0 paket Rp - 1 paket Rp 214,985.00 0 paket Rp -
27 Kapsul Rp 4,266.00 343 Kapsul Rp 54,194.00 0 Kapsul Rp -
0 Botol Rp - 20 Botol Rp 66,000.00 0 Botol Rp -
70 Ampul Rp 710,500.00 0 Ampul Rp - 0 Ampul Rp -
15 Rol Rp 155,100.00 0 Rol Rp - 0 Rol Rp -
141 Sachet Rp 36,237.00 38 Sachet Rp 9,766.00 0 Sachet Rp -
0 Kapsul Rp - 50 Kapsul Rp 18,550.00 0 Kapsul Rp -
20 Tablet Rp 7,854.00 0 Tablet Rp - 900 Tablet Rp 353,430.00
1 Pot Rp 6,050.00 0 Pot Rp - 0 Pot Rp -
200 Pcs Rp 1,263,200.00 0 Pcs Rp - 0 Pcs Rp -
49 pcs Rp 176,253.00 20 pcs Rp 71,940.00 0 pcs Rp -
0 Pcs Rp - 0 Pcs Rp - 100 Pcs Rp 786,900.00
0 Pcs Rp - 0 Pcs Rp - 30 Pcs Rp 240,570.00
2 Sachet Rp 50,000.00 0 Sachet Rp - 0 Sachet Rp -
2 Pot Rp 8,360.00 11 Pot Rp 45,980.00 0 Pot Rp -
106 Pcs Rp 1,032,440.00 120 Pcs Rp 1,168,800.00 0 Pcs Rp -
8,144 Tablet
Rp 187,312.00 0 Tablet Rp - 0 Tablet Rp -
0 botol Rp - 92 botol Rp 201,480.00 0 botol Rp -
317 Kapsul Rp 88,126.00 0 Kapsul Rp - 0 Kapsul Rp -
0 Tube Rp - 24 Tube Rp 81,936.00 0 Tube Rp -
64 botol Rp 75,584.00 0 botol Rp - 0 botol Rp -
20 Amp Rp 82,500.00 20 Amp Rp 82,500.00 0 Amp Rp -
185 Box Rp 28,490.00 0 Box Rp - 0 Box Rp -
0 Btl Rp - 2 Btl Rp 330,000.00 0 Btl Rp -
Kapsul Kapsul Kapsul

50 Rp 14,350.00 0 Rp - 0 Rp -

150 Rp 76,200.00 0 Rp - 0 Rp -
62 Kotak 50 gr Rp 150,040.00 38Kotak 50 gr Rp 91,960.00 0Kotak 50 gr Rp -
Tube Tube Tube

12 Rp 137,592.00 2 Rp 22,932.00 0 Rp -
2 Vial Rp 1,034,264.00 0 Vial Rp - 0 Vial Rp -
25 Pcs Rp 220,000.00 0 Pcs Rp - 25 Pcs Rp 220,000.00
50 test Rp 1,176,000.00 0 test Rp - 0 test Rp -
3,646 Sachet Rp 823,996.00 5,074 Sachet Rp 1,146,724.00 0 Sachet Rp -
0 Tablet Rp - 0 Tablet Rp - 190 Tablet Rp 61,370.00
0 Tablet Rp - 500 Tablet Rp 160,050.00 Tablet Rp -
0 Pcs Rp - 0 Pcs Rp - Pcs Rp -
0 Pcs Rp - 100 Pcs Rp 128,700.00 Pcs Rp -
900 Pcs Rp 623,700.00 100 Pcs Rp 69,300.00 Pcs Rp -
0 Pcs Rp - Pcs Rp - Pcs Rp -
0 Tablet Rp - Tablet Rp - Tablet Rp -
0 Set Rp - 0 Set Rp - Set Rp -
0 Tablet Rp - 1,000 Tablet Rp 105,000.00 Tablet Rp -
0 Tablet Rp - 0 Tablet Rp - Tablet Rp -
2,000 Tablet Rp 231,000.00 1,000 Tablet Rp 115,500.00 Tablet Rp -
1,030 Tablet Rp 72,100.00 970 Tablet Rp 67,900.00 Tablet Rp -
0 Botol Rp - 100 Botol Rp 205,040.00 Botol Rp -
2,000 Tablet Rp 402,000.00 0 Tablet Rp - Tablet Rp -
0 botol Rp - botol Rp - botol Rp -
20 Vial Rp 164,740.00 0 Vial Rp - Vial Rp -
0 Botol Rp - Botol Rp - Botol Rp -
730 Tablet Rp 42,340.00 3,270 Tablet Rp 189,660.00 Tablet Rp -
0 Pot Rp - Pot Rp - Pot Rp -
1Suppositoria Rp 3,250.00 29
45 Tablet Rp 9,900.00 455 Tablet Rp 100,100.00 Tablet Rp -
5 botol Rp 132,500.00 botol Rp - botol Rp -
0 Softbag Rp - Softbag Rp - Softbag Rp -
0 Tube Rp - Tube Rp - Tube Rp -
0 Ampul Rp - Ampul Rp - Ampul Rp -
0 Buah Rp - Buah Rp - Buah Rp -
20 Buah Rp 104,000.00 30 Buah Rp 156,000.00 Buah Rp -
100 Buah Rp 510,000.00 0 Buah Rp - Buah Rp -
10 Ampul Rp 9,240.00 10 Ampul Rp 9,240.00 Ampul Rp -
0 ampul Rp - ampul Rp - ampul Rp -
2 Tube Rp 25,146.00 8 Tube Rp 100,584.00 Tube Rp -
500 Tablet Rp 54,000.00 0 Tablet Rp - Tablet Rp -
2 botol Rp 253,000.00 1 botol Rp 126,500.00 botol Rp -
0 paket Rp - paket Rp - paket Rp -
0 Paket Rp - Paket Rp - Paket Rp -
0 Ampul Rp - 60 Ampul Rp 83,160.00 Ampul Rp -
30 Rol Rp 310,200.00 0 Rol Rp - Rol Rp -
0 Sachet Rp - 100 Sachet Rp 25,700.00 Sachet Rp -
0 Tube Rp - 24 Tube Rp 64,200.00 Tube Rp -
0 Tablet Rp - 0 Tablet Rp - 100 Tablet Rp 22,400.00
0 Pasang Rp - Pasang Rp - Pasang Rp -
300 Pasang Rp 597,300.00 0 Pasang Rp - Pasang Rp -
0 test Rp - test Rp - test Rp -
0 Pasang Rp - 50 Pasang Rp 175,000.00 Pasang Rp -
150 pcs Rp 868,500.00 50 pcs Rp 289,500.00 pcs Rp -
0 pcs Rp - pcs Rp - pcs Rp -
150 pcs Rp 1,155,000.00 50 pcs Rp 385,000.00 pcs Rp -
0 Sachet Rp - Sachet Rp - Sachet Rp -
0 Rol Rp - Rol Rp - Rol Rp -
0 Rol Rp - 100 Rol Rp 160,000.00 Rol Rp -
20 Suppositor Rp 39,960.00 40 Supposit Rp 79,920.00 Supposit Rp -
0 tube Rp - tube Rp - tube Rp -
440 Kapsul Rp 122,320.00 560 Kapsul Rp 155,680.00 Kapsul Rp -
1 Paket Rp 276,500.00 0 Paket Rp - Paket Rp -
0 Kapsul Rp - Kapsul Rp - Kapsul Rp -
150 Ampul Rp 120,450.00 0 Ampul Rp - Ampul Rp -
6 Vial Rp 24,540.00 6 Vial Rp 24,540.00 Vial Rp -
284 Botol Rp 35,216.00 216 Botol Rp 26,784.00 Botol Rp -
0 Buah Rp - 0 Buah Rp - Buah Rp -
2 Paket Rp 119,000.00 8 Paket Rp 476,000.00 Paket Rp -
100 Tes Rp 1,434,000.00 0 Tes Rp - Tes Rp -
0 Botol Rp - 0 Botol Rp - Botol Rp -
100 test Rp 985,000.00 0 test Rp - test Rp -
30 Botol Rp 297,000.00 0 Botol Rp - Botol Rp -
400 Kapsul Rp 114,800.00 0 Kapsul Rp - Kapsul Rp -
1,220 Botol Rp 8,723,000.00 280 Botol Rp 2,002,000.00 Botol Rp -
0 pot Rp - pot Rp - pot Rp -
0 Vial Rp - Vial Rp - Vial Rp -
0 Strip Rp - Strip Rp - Strip Rp -
100 Pcs Rp 550,000.00 0 Pcs Rp - Pcs Rp -
0 Tablet Rp - 10000 Tablet Rp 2,260,000.00 Tablet Rp -
5 ampul Rp 7,725.00 5 ampul Rp 7,725.00 ampul Rp -
100 test Rp 2,040,000.00 0 test Rp - test Rp -
2,450 Kapsul Rp 1,354,850.00 0 Kapsul Rp - Kapsul Rp -
0 tablet Rp - tablet Rp - tablet Rp -
1,951 tablet Rp 485,799.00 1049 tablet Rp 261,201.00 tablet Rp -
0 Test Rp - Test Rp - Test Rp -
Rp 68,863,243.71 Rp 31,886,012.47 Rp 1,740,330.00

hu
n
Du
a
Du
UPTD PUSKESMAS RANDULAWANG
a
SKPD
No./
uh Tgl.
tela Sura
h t
dila Tan Das
ar Barang-barang bulan
Jumlah Barang yang
No
ksa ggal Pen Uraian (Nama Barang) Harga Satuan
nak erim Desember 2020)
an Pen
pel Jumlah Nilai Harga Jumlah Nilai Harga
gelu
ap1 2 aran 3 4 5 6 7 8 10 11
ora
1 Akita Tablet 360 Tablet Rp 204,732.00 Rp 568.70 0 Tablet Rp -
n2 Alat Suntik 1 ml 200 Pcs Rp 191,400.00 Rp 957.00 0 Pcs Rp -
tasi Alat suntik 3 ml) 100 Pcs 0 Pcs
ob4 Rp 64,000.00 Rp 640.00 Rp -
at5 Alat Suntik 5 ml 154 Pcs Rp 112,420.00 Rp 730.00 0 Pcs Rp -

UP6 ALLOPURINOL TAB 100 MG 682 Tablet Rp 67,518.00 Rp 99.00 0 Tablet Rp -
TD7 Ambroxol 30 mg tab 176 Tablet Rp 20,328.00 Rp 115.50 0 Tablet Rp -
Gu8 Aminofilin 200mg tab 203 Tablet Rp 19,285.00 Rp 95.00 0 Tablet Rp -
da
ng9 Amlodipin 5 mg 592 Tablet Rp 44,400.00 Rp 75.00 0 Tablet Rp -
10
Far Amoksisilin kapl 500 mg 2647 Tablet Rp 436,755.00 Rp 165.00 0 Tablet Rp -
ma11 Amoksisilin sirup kering 125 mg/5 ml 97 Botol Rp 640,200.00 Rp 6,600.00 0 Botol Rp -
si12 Antasida DOEN tab 2,995 Tablet Rp 560,065.00 Rp 187.00 0 Tablet Rp -
de13 Antibakteri DOEN 21 Tablet Rp 63,735.00 Rp 3,035.00 0 Tablet Rp -
ng14 Antifungi salep komb 14 Pot Rp 62,944.00 Rp 4,496.00 0 Pot Rp -
an
15 Antihemoroid 15 Supp Rp 47,505.00 Rp 3,167.00 0 Supp Rp -
has
il16 Asam Askorbat (Vit. C) 50 mg 983 Tablet Rp 103,215.00 Rp 105.00 0 Tablet Rp -
seb
ag18 Asam Mefenamat 500 mg 1,500 Tablet Rp 166,500.00 Rp 111.00 0 Tablet Rp -
ai19 Asering 24 Softbag Rp 231,504.00 Rp 9,646.00 0 Softbag Rp -
ber
ikut
:
22 Asiklovir Krim 9 tube Rp 49,500.00 Rp 5,500.00 0 tube Rp -
23 Atropin Sulfat inj 8 Ampul Rp 13,744.00 Rp 1,718.00 0 Ampul Rp -
25 Borax Gliserin 22 Botol Rp 121,000.00 Rp 5,500.00 0 Botol Rp -
26 Bracket Wash 3 pcs Rp 52,800.00 Rp 17,600.00 0 pcs Rp -
27 Canule O2 Anak 5 Pcs Rp 27,500.00 Rp 5,500.00 0 Pcs Rp -
28 Canule O2 dewasa 10 pcs Rp 51,997.00 Rp 5,199.70 0 pcs Rp -
29 Clozapine tab 25 mg 270 Tablet Rp 1,350,000.00 Rp 5,000.00 0 Tablet Rp -
30 Daryantulle kasa 4 pcs Rp 22,080.00 Rp 5,520.00 0 pcs Rp -
34 DIAZEPAM INJ 10 ampul Rp 17,350.00 Rp 1,735.00 0 ampul Rp -
40 Endofrost spray 1 Botol Rp 429,000.00 Rp 429,000.00 0 Botol Rp -
45 Etanol 70 % 1000 ml 1 botol Rp 28,000.00 Rp 28,000.00 0 botol Rp -
47 FDC kat 1 4 Paket Rp 1,439,940.00 Rp 359,985.00 0 Paket Rp -
48 FDC Kategori 1 3 paket Rp 1,079,955.00 Rp 359,985.00 0 paket Rp -
49 Fenidryl Sirup 48 Botol Rp 266,587.20 Rp 5,553.90 0 Botol Rp -
54 Fixomull (10cm x 5 m) 4 Botol Rp 360,000.00 Rp 90,000.00 0 Botol Rp -
55 Fluphenazine/Sikzonoate 25 inj 9 ampul Rp 575,873.10 Rp 63,985.90 0 ampul Rp -
57 Folley Catheter 18 3 Pcs Rp 24,000.00 Rp 8,000.00 0 Pcs Rp -
64 Glimepiride 2 mg 369 Tablet Rp 76,383.00 Rp 207.00 0 Tablet Rp -
65 Gliseril Guaikiolat ( GG ) 1,000 Tablet Rp 89,100.00 Rp 89.10 0 Tablet Rp -
67 Griseofulvin 125 mg tab 380 Tablet Rp 85,120.00 Rp 224.00 0 Tablet Rp -
68 Haloperidol 1,5 mg 490 Tablet Rp 28,911.96 Rp 59.00 0 Tablet Rp -
69 Handscoon non steril M 100 Pasang Rp 199,100.00 Rp 1,991.00 0 Pasang Rp -
70 Hidroklorotiazid ( HCT ) 300 Tablet Rp 44,400.00 Rp 148.00 0 Tablet Rp -
71 Hidroklorotiazid 25 mg 28 Tablet Rp 4,340.00 Rp 155.00 0 Tablet Rp -
76 Infuset dewasa (PKD 1) 10 pcs Rp 57,900.00 Rp 5,790.00 0 pcs Rp -
77 Infuset dewasa Axeell 4 Pcs Rp 27,472.00 Rp 6,868.00 0 Pcs Rp -
79 ISONIAZID 100 MG TAB 200 Tablet Rp 19,382.00 Rp 96.91 0 Tablet Rp -
80 IV Catheter 22G MF Cath Pro 100 pcs Rp 770,000.00 Rp 7,700.00 0 pcs Rp -
85 IV Catheter No. 24 G x 1/4 " 100 Pcs Rp 380,000.00 Rp 3,800.00 0 Pcs Rp -
87 Kalsium Glukonat Inj 10% 16 Ampul Rp 165,616.00 Rp 10,351.00 0 Ampul Rp -
89 Kapas absorben 250 gr 4 Sachet Rp 50,000.00 Rp 12,500.00 0 Sachet Rp -
91 Kaptopril 25 mg 583 Tablet Rp 58,358.30 Rp 100.10 0 Tablet Rp -
92 Karbamazepin 200 mg 640 Tab Rp 147,200.00 Rp 230.00 0 Tab Rp -
93 Kartu Golongan darah 100 Pcs Rp 34,980.00 Rp 349.80 0 Pcs Rp -
96 Kassa 2 x 80 30 Roll Rp 231,000.00 Rp 7,700.00 0 Roll Rp -
97 Kassa 4 x 15 40 Rol Rp 106,280.00 Rp 2,657.00 0 Rol Rp -
103 Kloramfenikol salep mata 1% 19 Tube Rp 98,230.00 Rp 5,170.00 0 Tube Rp -
107 Klorpromazin 100 mg 539 Tablet Rp 133,402.50 Rp 247.50 0 Tablet Rp -
108 Kotrimoksasol 480 mg 870 Tablet Rp 115,710.00 Rp 133.00 0 Tablet Rp -
111 Larutan Ziehl Nielsen 2 Paket Rp 553,000.00 Rp 276,500.00 0 Paket Rp -
114 Metformin HCl tablet 500 mg 990 Tablet Rp 205,821.00 Rp 207.90 0 Tablet Rp -
117 Metronidazol 500 mg 497 Botol Rp 61,628.00 Rp 124.00 0 Botol Rp -
120 Natrium Diklofenak 50 mg 285 Tablet Rp 125,400.00 Rp 440.00 0 Tablet Rp -
129 Oseltamivir tab 100 Tablet Rp 1,296,878.81 Rp 12,968.79 0 Tablet Rp -
131 Parasetamol sirup 120 mg/5 ml 149 botol Rp 175,969.00 Rp 1,181.00 0 botol Rp -
132 Piridoksin (Vit B6) 10 mg 613 Tablet Rp 80,303.00 Rp 131.00 0 Tablet Rp -
134 Plester 5 yard x 2 inch 1 Roll Rp 12,675.00 Rp 12,675.00 0 Roll Rp -
135 Plesterin bulat 200 Rol Rp 35,000.00 Rp 175.00 0 Rol Rp -
140 Rapid Test HIV Ke - 1 ( SD ) 50 Tes Rp 717,000.00 Rp 14,340.00 0 Tes Rp -
141 Reagen gol darah Pro-D anti A 2 Botol Rp 330,000.00 Rp 165,000.00 0 Botol Rp -
142 Reagen gol darah Pro-D anti B 2 Botol Rp 330,000.00 Rp 165,000.00 0 Botol Rp -
143 Reagent HbsAg tes 50 test Rp 492,500.00 Rp 9,850.00 0 test Rp -
144 Ringer Laktat larutan infus 20 Botol Rp 143,000.00 Rp 7,150.00 0 Botol Rp -
147 Salbutamol tablet 4 mg 351 Tablet Rp 24,570.00 Rp 70.00 0 Tablet Rp -
149 Scabicide/Scabimit/Permetrin 5% krim 11 Tube Rp 126,126.00 Rp 11,466.00 0 Tube Rp -
151 Sefadroksil 500 mg 330 Tablet Rp 128,040.00 Rp 388.00 0 Tablet Rp -
154 Sianokobalamin (Vit B12) 50 mcg 400 Tablet Rp 18,400.00 Rp 46.00 0 Tablet Rp -
155 silk no 3/0 dgn jarum 25 Pcs Rp 492,500.00 Rp 19,700.00 0 Pcs Rp -
Simvastatin tablet 10 mg Tablet Rp 96,525.00 Tablet

156 750 Rp 128.70 0 Rp -

159 Strip Glukosa EASY TOUCH 50 pcs Rp 275,000.00 Rp 5,500.00 0 pcs Rp -
160 Strip Kolesterol NESCO 30 Pcs Rp 660,000.00 Rp 22,000.00 0 Pcs Rp -
161 Tetrasiklin 500 mg 400 Kapsul Rp 129,200.00 Rp 323.00 0 Kapsul Rp -
Tiamfenikol 500 mg kapsul Tablet Rp 359,741.25 Tablet

162 323 Rp 1,113.75 0 Rp -
169 Vitamin B-Compleks(DEF) 908 Tablet Rp 39,952.00 Rp 44.00 0 Tablet Rp -
1 Akita Tablet 0 Tablet Rp - Rp 320.10 1,000 Tablet Rp 320,100.00
3 Alat Suntik 10 ml 0 Pcs Rp - Rp 1,287.00 0 Pcs Rp -
11 Alopurinol 100 mg 0 Tablet Rp - Rp 105.00 500 Tablet Rp 52,500.00
16 Amlodipin 5 mg 0 Tablet Rp - Rp 53.00 600 Tablet Rp 31,800.00
18 Amoksisilin kapl 500 mg 0 Tablet Rp - Rp 201.00 0 Tablet Rp -
20 Ampisilin serbuk 1000mg/ml 0 Vial Rp - Rp 8,237.00 0 Vial Rp -
0 Rp -
33 Asam Mefenamat 500 mg 0 Tablet Rp - Rp 111.00 500 Tablet Rp 55,500.00
42 Betahistin Mesilat 6 mg Tab 0 Tablet Rp - Rp 451.00 1,000 Tablet Rp 451,000.00
43 Bio ATP 0 Tablet Rp - Rp 2,500.00 0 Tablet Rp -
45 Bracket 0 Pcs Rp - Rp 22,000.00 0 Pcs Rp -
47 Canule O2 Bayi 0 Buah Rp - Rp 5,200.00 0 Buah Rp -
56 Diazepam rektal 5 mg/2,5 ml 0 Tube Rp - Rp 12,573.00 0 Tube Rp -
60 Digoksin tablet 0,25 mg 0 Tablet Rp - Rp 114.40 500 Tablet Rp 57,200.00
61 Dimenhidrinat tab 50 mg 0 Tablet Rp - Rp 108.00 0 Tablet Rp -
63 Etanol 70 % 100 ml 0 Botol Rp - Rp 2,790.00 0 Botol Rp -
64 Etil Klorida 0 botol Rp - Rp 126,500.00 0 botol Rp -
77 Fenol gliserol TT 10% 0 Botol Rp - Rp 3,300.00 24 Botol Rp 79,200.00
78 Fitomenadion inj 2 mg/ml 0 Ampul Rp - Rp 1,386.00 0 Ampul Rp -
80 Folley Catheter 16 0 Rol Rp - Rp 10,340.00 0 Rol Rp -
81 Garam oralit 0 Sachet Rp - Rp 257.00 0 Sachet Rp -
86 Glibenklamid 5 mg 0 Tablet Rp - Rp 83.00 500 Tablet Rp 41,500.00
93 Glukosa infus 5% 0 Botol Rp - Rp 6,627.00 20 Botol Rp 132,540.00
103 Hidrokortison 2,5% krim 0 Tube Rp - Rp 2,475.00 0 Tube Rp -
107 Ibuprofen suspensi 200 mg/5 ml 0 Botol Rp - Rp 3,200.00 0 Botol Rp -
108 Infuset Anak 0 Pasang Rp - Rp 3,500.00 0 Pasang Rp -
109 Infuset dewasa (PKD 1) 0 pcs Rp - 5790 50 pcs Rp 289,500.00
113 IV Catheter 22G MF Cath Pro 0 pcs Rp - Rp 7,700.00 0 pcs Rp -
121 Kapas absorben 250 gr 0 Sachet Rp - Rp 12,500.00 2 Sachet Rp 25,000.00
122 Kaptopril 12,5 mg tab 0 Tablet Rp - Rp 65.00 500 Tablet Rp 32,500.00
124 Kaptopril 25 mg 0 Tablet Rp - Rp 75.00 500 Tablet Rp 37,500.00
128 Kasa hydrophyl 18x22 0 pcs Rp - Rp 625.00 120 pcs Rp 75,000.00
135 Ketoprofen 100 mg/sup 0 Supposit Rp - Rp 1,998.00 0 Supposi Rp -
141 Klorpromazin 100 mg 0 Tablet Rp - Rp 247.50 500 Tablet Rp 123,750.00
144 Kotrimoksasol 480 mg 0 Tablet Rp - Rp 133.00 3000 Tablet Rp 399,000.00
145 Kotrimoksasol suspensi 0 Botol Rp - Rp 2,190.00 100 Botol Rp 219,000.00
149 Lancet 0 Buah Rp - Rp 145.66 0 Buah Rp -
156 Lidocain komp injeksi 0 Ampul Rp - Rp 803.00 0 Ampul Rp -
157 Magnesium Sulfat 40% 0 Vial Rp - Rp 4,090.00 0 Vial Rp -
158 Masker 0 pcs Rp - Rp 550.00 200 pcs Rp 110,000.00
166 Metformin HCl tablet 500 mg 0 Tablet Rp - Rp 207.90 0 Tablet Rp -
170 Metronidazol 500 mg 0 Botol Rp - Rp 124.00 0 Botol Rp -
173 Molexflu syrup 0 Botol Rp - Rp 6,274.00 60 Botol Rp 376,440.00
178 Nistatin 100000 IU / ml Drop 0 Botol Rp - Rp 11,500.00 0 Botol Rp -
184 Oksitosin Inj 0 Ampul Rp - Rp 1,126.00 0 Ampul Rp -
185 Ostela Forte tab 0 Tablet Rp - Rp 8,000.00 0 Tablet Rp -
187 Parasetamol drop 0 Botol Rp - Rp 6,649.00 0 Botol Rp -
197 Plester (Leukoplast 7,5 cm x 4,5 c 0 Paket Rp - Rp 59,500.00 0 Paket Rp -
198 Plesterin bulat 0 Rol Rp - Rp 175.00 200 Rol Rp 35,000.00
199 Pot Sputum 0 Pot Rp - Rp 5,890.00 200 Pot Rp 1,178,000.00
200 Povidon Iodida 10 % 30 ml 0 Pcs Rp - Rp 2,800.00 0 Pcs Rp -
206 Ranitidin 50 mg/2 ml injeksi 0 Ampul Rp - Rp 1,960.20 0 Ampul Rp -
208 Rapid Test HIV Ke - 1 ( SD ) 0 Tes Rp - Rp 14,340.00 50 Tes Rp 717,000.00
212 Reagent HbsAg tes 0 test Rp - Rp 9,850.00 0 test Rp -
213 Recovit sirup 0 Botol Rp - Rp 9,900.00 0 Botol Rp -
220 Ringer Laktat larutan infus 0 Botol Rp - Rp 7,150.00 20 Botol Rp 143,000.00
222 Salbutamol 2 mg 0 Tablet Rp - Rp 70.00 0 Tablet Rp -
223 Salbutamol tablet 4 mg 0 Tablet Rp - Rp 70.00 0 Tablet Rp -
229 Sianokobalamin (vit B12) tab 0 Tablet Rp - Rp 49.00 0 Tablet Rp -
233 Stimuno F 0 Kapsul Rp - Rp 1,763.00 0 Kapsul Rp -
235 Strip Glukosa EASY TOUCH 0 pcs Rp - Rp 5,500.00 50 pcs Rp 275,000.00
237 Strip Glukosa NESCO 0 Pcs Rp - Rp 5,500.00 0 Pcs Rp -
238 Strip Kolesterol EASY TOUCH 0 Pcs Rp - Rp 22,000.00 50 Pcs Rp 1,100,000.00
239 Sukralfat / Ulsafate sirup 0 Botol Rp - Rp 4,989.00 0 Botol Rp -
240 Tablet Tambah Darah 0 Tablet Rp - Rp 226.00 0 Tablet Rp -
242 Tetrasiklin 500 mg 0 Kapsul Rp - Rp 323.00 500 Kapsul Rp 161,500.00
248 Triheksipenidil 2 mg 0 Tablet Rp - Rp 63.00 500 Tablet Rp 31,500.00
250 UnderPad 0 Botol Rp - Rp 4,785.00 0 Botol Rp -
251 Urine bag(KMP/SCP) 0 Pcs Rp - Rp 5,700.00 0 Pcs Rp -
256 Zinc sulfat 20 mg 0 Tablet Rp - Rp 524.00 300 Tablet Rp 157,200.00
259 Clozapine 25mg 0 Tablet Rp - Rp 1,121.00 0 Tablet Rp -
265 Haldol Decanoas 50 mg inj 0 Ampul Rp - Rp 109,000.00 0 Ampul Rp -
269 MDT Kusta MB Dewasa 0 Paket Rp - Rp 40,128.00 18 Paket Rp 722,304.00
305 Zink 20 mg tab TabletRp - Rp 1.00 0 Tablet Rp -
0
JUMLAH Rp 33,963,744.10 Rp 15,634,002.00
TASI OBAT DAN PERBEKKES
022 s/d 31 Maret 2022
ESMAS RANDULAWANG
Sisa (31
Desember
2019 )
jumlah Nilai Harga Jumlah Nilai Harga Jumlah Nilai Harga
12 13 14 15 16 17 18 19 20
0 Pcs Rp - 100 Pcs Rp 64,000.00 0 Pcs Rp -
6 Supp Rp 19,002.00 9 Supp Rp 28,503.00 0 Supp Rp -
0 Softbag Rp - 24 Softbag Rp 231,504.00 0 Softbag Rp -
0 tube Rp - 9 tube Rp 49,500.00 0 tube Rp -
2 Ampul Rp 3,436.00 6 Ampul Rp 10,308.00 0 Ampul Rp -
0 pcs Rp - 3 pcs Rp 52,800.00 0 pcs Rp -
270 Tablet Rp 1,350,000.00 0 Tablet Rp - 0 Tablet Rp -
4 Paket Rp 1,439,940.00 0 Paket Rp - 0 Paket Rp -
0 paket Rp - 3 paket Rp 1,079,955.00 0 paket Rp -
0 ampul Rp - 9 ampul Rp 575,873.10 0 ampul Rp -
100 Pasang Rp 199,100.00 0 Pasang Rp - 0 Pasang Rp -
10 Buah Rp 60,000.00 55 Buah Rp 330,000.00 0 Buah Rp -
0 Sachet Rp - 4 Sachet Rp 50,000.00 0 Sachet Rp -
0 Tab Rp - 640 Tab Rp 147,200.00 0 Tab Rp -
0 Roll Rp - 30 Roll Rp 231,000.00 0 Roll Rp -
300 Buah Rp 43,698.00 0 BuahRp - 0 Buah Rp -
2 Paket Rp 553,000.00 0 Paket Rp - 0 Paket Rp -
0 Tablet Rp - 100 Tablet Rp 1,296,878.81 0 Tablet Rp -
50 Tes Rp 717,000.00 0 Tes Rp - 0 Tes Rp -
0 test Rp - 50 test Rp 492,500.00 0 test Rp -
0 Vial Rp - 2 Vial Rp 1,034,264.00 0 Vial Rp -

630 Rp 81,081.00 120 Rp 15,444.00 0 Rp -


100 Rp 111,375.00 223 Rp 248,366.25 0 Rp -
3 botol Rp 79,500.00 0 botol Rp - botol Rp -
9 Tablet Rp 585.00 491 Tablet Rp 31,915.00 Tablet Rp -
Kapsul Rp - 300 Kapsul Rp 83,400.00 Kapsul Rp -
200 Pot Rp 1,178,000.00 0 Pot Rp - Pot Rp -
Tes Rp - 50 Tes Rp 717,000.00 Tes Rp -
Pcs Rp - 50 Pcs Rp 1,100,000.00 Pcs Rp -
test Rp - 50 test Rp 1,020,000.00 test Rp -
Tablet Rp - 0 Tablet Rp - TabletRp -
Rp 22,651,204.85 Rp 26,946,541.25 Rp -
Rp 49,597,746.10
Rp 49,597,746.10
hu
n
Du
a
Du
UPTD PUSKESMAS NGAWEN
a
SKPD
Pul : DINAS
No./
KESEHATAN
uh Tgl.
Sura
tela t
dila
No
Tan ar
Barang-barang bulan
Harga Satuan
Penambahan 2021)
nak aan/
an Pen
1 2 gelu3 4 5 6 7 8 10 11
ora
n3 Alat Suntik 10 ml 200 Pcs Rp 257,400.00 Rp 1,287.00 0 Pcs Rp -
mu4 Alat Suntik 10 ml 100 Pcs Rp 116,700.00 Rp 1,167.00 0 Pcs Rp -
tasi
ob5 693.00 Rp -

UP7 ALLOPURINOL TAB 100 MG 811 Tablet Rp 80,289.00 Rp 99.00 0 Tablet Rp -
TD8 Alopurinol 300 mg 500 Tablet Rp 275,000.00 Rp 550.00 0 Tablet Rp -
Gu9 Alprazolam 0,5 mg 115 Tablet Rp 10,810.00 Rp 94.00 0 Tablet Rp -
da
10 Alprazolam 1 mg 100 Tab Rp 12,000.00 Rp 120.00 0 Tab Rp -
ng
11
Far Ambroxol 30 mg tab 685 Tablet Rp 79,117.50 Rp 115.50 0 Tablet Rp -
ma12 Amlodipin 5 mg 2,320 Tablet Rp 122,960.00 Rp 53.00 0 Tablet Rp -
si13 Amoksisilin kapl 500 mg 1,400 Tablet Rp 281,400.00 Rp 201.00 0 Tablet Rp -
de14 Amoksisilin sirup kering 100 botol Rp 385,000.00 Rp 3,850.00 0 botol Rp -
ng15 Amoksisilin sirup kering 125 mg/5 ml 31 Botol Rp 204,600.00 Rp 6,600.00 0 Botol Rp -
an Ampisilin serbuk 1000mg/ml Vial Rp 82,370.00 Rp 0 Vial Rp
16 10 8,237.00 -
has
2,201 Tablet Rp 0 Tablet Rp
il17 Antasida DOEN 127,658.00 Rp 58.00 -
18
seb Antasida DOEN susp 40 Botol Rp 119,680.00 Rp 2,992.00 0 Botol Rp -
ag19 Antasida DOEN tab 1,000 Tablet Rp 58,000.00 Rp 58.00 0 Tablet Rp -
ai20 Antihemoroid DOEN 36SuppositoriaRp 117,000.00 Rp 3,250.00 0uppositoriaRp
S -
ber
ikut
:
21 Aqua PI 12 Ampul Rp 34,320.00 Rp 2,860.00 0 Ampul Rp -
22 Asam Folat 0,4 mg 700 Tablet Rp 154,000.00 Rp 220.00 0 Tablet Rp -
24 Asam Traneksamat 500 mg 220 Tablet Rp 285,120.00 Rp 1,296.00 0 Tablet Rp -
30 Attapulgite 600 mg 6 Tablet Rp 870.00 Rp 145.00 0 Tablet Rp -
31 Becefort/Arkavit/Multivitamin 565 Tablet Rp 559,350.00 Rp 990.00 0 Tablet Rp -
32 Betahistin Mesilat 6 mg Tab 1,196 Tablet Rp 539,396.00 Rp 451.00 0 Tablet Rp -
34 Bio ATP 500 Tablet Rp 1,250,000.00 Rp 2,500.00 0 Tablet Rp -
35 Blue Tips 300 Buah Rp 22,950.00 Rp 76.50 0 Buah Rp -
38 Canule O2 Bayi 30 Buah Rp 165,000.00 Rp 5,500.00 0 Buah Rp -
44 Diazepam 5 mg Tab 400 Tablet Rp 43,200.00 Rp 108.00 0 Tablet Rp -
45 Diazepam inj 5 mg/ml 7 Ampul Rp 12,145.00 Rp 1,735.00 0 Ampul Rp -
49 Domperidon tablet 10 mg 1,258 Tablet Rp 89,318.00 Rp 71.00 0 Tablet Rp -
55 Etil Klorida 8 Can Rp 1,672,000.00 Rp 209,000.00 0 Can Rp -
59 Fitomenadion inj 2 mg/ml 120 Ampul Rp 166,320.00 Rp 1,386.00 0 Ampul Rp -
78 Hidrokortison 2,5% krim 24 Tube Rp 59,400.00 Rp 2,475.00 0 Tube Rp -
80 Hyosin Tab 10 Tablet Rp 10,500.00 Rp 1,050.00 0 Tablet Rp -
87 Infusion Set Anak 200 Pcs Rp 700,000.00 Rp 3,500.00 0 Pcs Rp -
95 Jarum Jahit kulit berbagai ukuran 2 Sachet Rp 50,000.00 Rp 25,000.00 0 Sachet Rp -
96 Jarum suntik needle No. 27G 1 Box Rp 126,500.00 Rp 126,500.00 0 Box Rp -
97 Kalium Diklofenak tablet 50 mg 1,208 Tablet Rp 2,536,800.00 Rp 2,100.00 0 Tablet Rp -
102 Kaptopril 12,5 mg 1,025 Tablet Rp 63,550.00 Rp 62.00 0 Tablet Rp -
104 Karbamazepin 200 mg 395 Tablet Rp 96,775.00 Rp 245.00 0 Tablet Rp -
108 Kassa 2 x 80 45 Pcs Rp 438,300.00 Rp 9,740.00 0 Pcs Rp -
110 Kassa 4 x 15 25 pcs Rp 52,500.00 Rp 2,100.00 0 pcs Rp -
S -
117 Kloramfenikol 250 mg 1,232 Tablet Rp 1,112,619.20 Rp 903.10 0 Tablet Rp -
120 Kloramfenikol suspensi 125 mg/ml 100 Botol Rp 501,500.00 Rp 5,015.00 0 Botol Rp -
124 Klorpromazin 100 mg 1,910 Tablet Rp 472,725.00 Rp 247.50 0 Tablet Rp -
125 Klorpromazin Inj 25 mg/ml 10 Ampul Rp 12,430.00 Rp 1,243.00 0 Ampul Rp -
126 Kotrimoksasol suspensi 240mg 109 botol
Rp 238,710.00 Rp 2,190.00 0 botol Rp -
127 KOTRIMOKSAZOL 480 MG TAB 410 Tablet Rp 51,250.00 Rp 125.00 0 Tablet Rp -
130 Larutan Ziehl Nielsen 15 Paket Rp 4,147,500.00 Rp 276,500.00 0 Paket Rp -
133 Lisol 1 Botol Rp 41,000.00 Rp 41,000.00 0 Botol Rp -
134 Magnesium Sulfat 40% 12 ampul Rp 45,552.00 Rp 3,796.00 0 ampul Rp -
138 Metilprednisolon 4 mg tablet 924 Tablet Rp 235,804.80 Rp 255.20 0 Tablet Rp -
139 Metoklopramid 10 mg tablet 200 Tablet Rp 13,200.00 Rp 66.00 0 Tablet Rp -
140 Metronidazol 500 mg 1,070 Botol Rp 132,680.00 Rp 124.00 0 Botol Rp -
142 Molexflu syrup 58 Botol Rp 363,892.00 Rp 6,274.00 0 Botol Rp -
152 Object Glass 5 Buah Rp 388,450.00 Rp 77,690.00 0 Buah Rp -
153 Object Glass Box/Box Slide 2 Buah Rp 155,380.00 Rp 77,690.00 0 Buah Rp -
154 Oksitosin Inj 200 Ampul Rp 1,730,000.00 Rp 8,650.00 0 Ampul Rp -
155 Ostela Forte 150 Tablet Rp 1,320,000.00 Rp 8,800.00 0 Tablet Rp -
Ostela Forte tab Tablet Rp 1,008,000.00 Tablet

156 126 Rp 8,000.00 0 Rp -
Parasetamol 500 mg Tablet Rp 642,213.00 Tablet

157 6,487 Rp 99.00 0 Rp -
158 Parasetamol drops 100 mg/ml 43 botol Rp 285,907.00 Rp 6,649.00 0 botol Rp -
159 PARASETAMOL SIRUP 120 MG / 5 M 198 botol Rp 219,186.00 Rp 1,107.00 0 Tablet Rp -
160 Pehacain 20 Ampul Rp 84,000.00 Rp 4,200.00 0 Ampul Rp -
Piroksikam (lexicam) tablet 20 mg Tablet Rp 90,288.00 Tablet

162 684 Rp 132.00 0 Rp -
163 (Leukoplast) 20 roll Rp 1,190,000.00 Rp 59,500.00 0 roll Rp -
164 Plesterin bulat 600 pcs Rp 105,000.00 Rp 175.00 0 pcs Rp -
166 Povidon Iodida 10 % 30 ml 6 botol Rp 16,800.00 Rp 2,800.00 0 botol Rp -
168 Prednison 5 mg 2,699 Tablet Rp 197,027.00 Rp 73.00 0 Tablet Rp -
169 Propiltiourasil tablet 100 m 100 Tablet Rp 41,000.00 Rp 410.00 0 Tablet Rp -
170 Ranitidin 150 mg 662 Tablet Rp 113,089.46 Rp 170.83 0 Tablet Rp -
173 Reagen Urin 11 parameter 75 test Rp 178,500.00 Rp 2,380.00 0 test Rp -
175 Ringer Laktat larutan infus 320 botol Rp 2,441,600.00 Rp 7,630.00 0 botol Rp -
176 Risperidon 2 mg 1,552 Tablet Rp 423,696.00 Rp 273.00 0 Tablet Rp -
178 Salbutamol 4 mg 26 Tablet Rp 11,440.00 Rp 440.00 0 Tablet Rp -
179 SALEP 2-4 24 pot Rp 62,880.00 Rp 2,620.00 0 pot Rp -
180 Salisil bedak 2 % 91 pcs Rp 200,200.00 Rp 2,200.00 0 pcs Rp -
181 Scopma Plus tab 1,000 Tablet Rp 1,305,000.00 Rp 1,305.00 0 Tablet Rp -
184 Sianokobalamin (vit B12) tab 1,320 Tablet Rp 64,680.00 Rp 49.00 0 Tablet Rp -
186 Simvastatin tablet 10 mg 990 Tablet Rp 127,413.00 Rp 128.70 0 Tablet Rp -
187 Siprofloksasin tab 500 mg 880 Tablet Rp 405,108.00 Rp 460.35 0 Tablet Rp -
188 Spekulum dispo / Vagion M 100 Strip Rp 650,000.00 Rp 6,500.00 0 Strip Rp -
189 Strip Glukosa EASY TOUCH 200 pcs Rp 1,100,000.00 Rp 5,500.00 0 pcs Rp -
191 Strip Kolesterol EASY TOUCH 100 Pcs Rp 2,200,000.00 Rp 22,000.00 0 Pcs Rp -
192 Tablet Tambah darah 8,072 Tablet Rp 1,824,272.00 Rp 226.00 0 Tablet Rp -
193 Tetrasiklin 500 mg 1,900 Tablet Rp 613,700.00 Rp 323.00 0 Tablet Rp -
194 Thermal Paper DPT 282 EL 3 Pcs Rp 115,500.00 Rp 38,500.00 0 Pcs Rp -
198 Triheksipenidil 2 mg 1,223 Tablet Rp 111,293.00 Rp 91.00 0 Tablet Rp -
201 Vitamin B Kompleks (HOLY) 3,362 Tablet Rp 279,046.00 Rp 83.00 0 Tablet Rp -
2 Alat Suntik 1 ml 0 Pcs Rp - Rp 957.00 100 Pcs Rp 95,700.00
9 Albendazol 400mg tab 0 Tablet Rp - Rp 288.00 12,000 Tablet Rp 3,456,000.00
21 Antasida DOEN susp 0 Botol Rp - Rp 1,679.00 50 Botol Rp 83,950.00
30 Rp 97,500.00
31 Asam Askorbat ( Vit.C ) 50 mg 0 Tablet Rp - Rp 42.00 0 Tablet Rp -
32 Asam Folat 0,4 mg 0 Tablet Rp - Rp 220.00 1,000 Tablet Rp 220,000.00
45 Bracket 0 Pcs Rp - Rp 22,000.00 10 Pcs Rp 220,000.00
46 Canule O2 Anak 0 Pcs Rp - Rp 5,100.00 0 Pcs Rp -
58 Difenhidramin inj 10 mg/ml 0 Ampul Rp - Rp 1,095.00 90 Ampul Rp 98,550.00
72 Fenidryl Sirup 0 Botol Rp - Rp 5,553.90 96 Botol Rp 533,174.40
82 gent oint / Gentamisin salep mata 0 Tube Rp - Rp 2,675.00 0 Tube Rp -
94 Griseofulvin 125 mg tab 0 Tablet Rp - Rp 224.00 0 Tablet Rp -
95 Haloperidol 1,5 mg 0 Tablet Rp - Rp 59.00 1500 Tablet Rp 88,506.00
96 Haloperidol tablet 5 mg 0 Tablet Rp - Rp 54.00 1000 Tablet Rp 54,000.00
109 Infuset dewasa (PKD 1) 0 pcs Rp - 5790 0 pcs Rp -
117 Jarum Jahit kulit berbagai ukuran 0 Sachet Rp - Rp 25,000.00 5 Sachet Rp 125,000.00
129 Kassa 2 x 80 0 Pcs Rp - Rp 9,740.00 100 Pcs Rp 974,000.00
135 Ketoprofen 100 mg/sup 0 Supposit Rp - Rp 1,998.00 40 Supposi Rp 79,920.00
143 Klorpromazin Inj 25 mg/ml 0 Ampul Rp - Rp 1,243.00 30 Ampul Rp 37,290.00
147 Kotrimoksasol suspensi 240mg 0 botol Rp - Rp 2,190.00 100 botol Rp 219,000.00
181 OB Herbal Sirup(OBASA) 0 Botol Rp - Rp 7,700.00 0 Botol Rp -
209 Reagen gol darah Pro-D anti A 0 Botol Rp - Rp 165,000.00 1 Botol Rp 165,000.00
210 Reagen gol darah Pro-D anti B 0 Botol Rp - Rp 165,000.00 1 Botol Rp 165,000.00
224 Salep 2-4 Kombinasi 0 pot Rp - Rp 2,796.00 48 pot Rp 134,208.00
235 Strip Glukosa EASY TOUCH 0 pcs Rp - Rp 5,500.00 200 pcs Rp 1,100,000.00
245 Tiamin (Vit B1) 50 mg 0 Tablet Rp - Rp 253.00 0 Tablet Rp -
249 Ultrasonic gel 0 Pcs Rp - Rp 16,000.00 1 Pcs Rp 16,000.00
262 FDC Kategori 1 0 paket Rp - Rp 416,696.00 16 paket Rp 6,667,136.00
264 Fluphenazine/Sikzonoate 25 inj 0 Ampul Rp - Rp 63,500.00 30 Ampul Rp 1,905,000.00
265 Haldol Decanoas 50 mg inj 0 Ampul Rp - Rp 109,000.00 30 Ampul Rp 3,270,000.00
304 Propanolol 40 mg tab TabletRp - Rp 1.00 0 Tablet Rp -
0
JUMLAH Rp 71,342,337.49 Rp 53,208,000.40
022 s/d 31 Maret 2022
SKESMAS NGAWEN
Sisa (31
Desember 2021)
13 14 15 16 17 18 19 20
0 Tab Rp - 100 Tab Rp 12,000.00 0 Tab Rp -
6 Tablet Rp 870.00 0 Tablet Rp - 0 Tablet Rp -
62 Tab Rp 6,758.00 0 Tab Rp - 0 Tab Rp -
8 Can Rp 1,672,000.00 0 Can Rp - 0 Can Rp -
50 Pcs Rp 384,700.00 150 Pcs Rp 1,154,100.00 0 Pcs Rp -
0 Box Rp - 1 Box Rp 126,500.00 0 Box Rp -
1,208 Tablet Rp 2,536,800.00 0 Tablet Rp - 0 Tablet Rp -
SuppositoriaRp - 0
SuppositoriaRp -
44 Tablet Rp 39,736.40 1,188 Tablet Rp 1,072,882.80 0 Tablet Rp -
197 Tablet Rp 13,002.00 3 Tablet Rp 198.00 0 Tablet Rp -
1,070 Botol Rp 132,680.00 0 Botol Rp - 0 Botol Rp -

126 Rp 1,008,000.00 0 Rp - 0 Rp -

6,487 Rp 642,213.00 0 Rp - 0 Rp -

684 Rp 90,288.00 0 Rp - 0 Rp -
7 roll Rp 416,500.00 13 roll Rp 773,500.00 0 roll Rp -
20 test Rp 47,600.00 55 test Rp 130,900.00 0 test Rp -
50 test Rp 492,500.00 0 test Rp - 0 test Rp -
300 botol Rp 2,289,000.00 20 botol Rp 152,600.00 0 botol Rp -
24 pot Rp 62,880.00 0 pot Rp - 0 pot Rp -
0 Strip Rp - 100 Strip Rp 650,000.00 0 Strip Rp -
200 pcs Rp 1,100,000.00 0 pcs Rp - 0 pcs Rp -
1,922 Tablet Rp 434,372.00 6,150 Tablet Rp 1,389,900.00 0 Tablet Rp -
1,664 Tablet Rp 420,992.00 1,730 Tablet Rp 437,690.00 0 Tablet Rp -
12,000 Tablet Rp 3,456,000.00 0 Tablet Rp - Tablet Rp -
0 Set Rp - Set Rp - Set Rp -
20 Vial Rp 164,740.00 20 Vial Rp 164,740.00 Vial Rp -
Suppositoria
17 Rp 55,250.00 SuppositoriaRp
13 42,250.00 SuppositoriaRp -
48 Tube Rp 118,800.00 0 Tube Rp - Tube Rp -
0 pcs Rp - 200 pcs Rp 1,540,000.00 pcs Rp -
2 Sachet Rp 50,000.00 3 Sachet Rp 75,000.00 Sachet Rp -
100 Pot Rp 589,000.00 100 Pot Rp 589,000.00 Pot Rp -
0 Tes Rp - 50 Tes Rp 717,000.00 Tes Rp -
0 test Rp - 50 test Rp 492,500.00 test Rp -
0 Botol Rp - 200 Botol Rp 1,430,000.00 Botol Rp -
7 pot Rp 19,572.00 41 pot Rp 114,636.00 pot Rp -
200 pcs Rp 1,100,000.00 0 pcs Rp - pcs Rp -
200 Pcs Rp 4,400,000.00 0 Pcs Rp - Pcs Rp -
0 ampul Rp - 10 ampul Rp 15,450.00 ampul Rp -
16 paket Rp 6,667,136.00 0 paket Rp - paket Rp -
0 Ampul Rp - 30 Ampul Rp 1,905,000.00 Ampul Rp -
0 Ampul Rp - 30 Ampul Rp 3,270,000.00 Ampul Rp -
0 test Rp - 50 test Rp 1,020,000.00 test Rp -
0 Tablet Rp - Tablet Rp - TabletRp -
Rp 77,315,498.69 Rp 47,234,839.20 Rp -
hu
n
Du
a
Du
UPTD PUSKESMAS PULEDAGEL
a
SKPD
uh No./
Tgl.
tela Sura
h t
dila Das Jumlah Barang yang
Tan ar Barang-barang bulan diterima/dikeluarkan
ksa ggal Pen Uraian (Nama Barang)
No
lalu ( 1 Januari 2021)
Harga Satuan
( 1 Januari s/d 31
an aan/ Saldo Penambahan
Pen
pel gelu
ap1 2 aran 3 4 5 6 7 8 10 11
ora
n
2 Akita Tablet 17 Tab Rp 7,723.10 Rp 454.30 0 Tab Rp -
mu
3
tasi
Alat Suntik 1 ml 96 Pcs Rp 91,872.00 Rp 957.00 0 Pcs Rp -
ob4 Alat Suntik 10 ml 2 Pcs Rp 2,334.00 Rp 1,167.00 0 Pcs Rp -

UP6 Alat Suntik 5 ml 51 Pcs Rp 37,230.00 Rp 730.00 0 Pcs Rp -
TD
7 Albendazol 400mg tab 5,926 Tablet Rp 1,706,688.00 Rp 288.00 0 Tablet Rp -
Gu
da8
Alopurinol 100 mg 298 Tablet Rp 31,290.00 Rp 105.00 0 Tablet Rp -
ng9 Ambroxol 30 mg tab 1,530 Tablet Rp 176,715.00 Rp 115.50 0 Tablet Rp -
Far
10 Amlodipin 10 mg 373 Tablet Rp 186,500.00 Rp 500.00 0 Tablet Rp -
ma11 Amlodipin 5 mg 558 Tablet Rp 251,100.00 Rp 450.00 0 Tablet Rp -
si12 Amoksisilin kapl 500 mg 1,733 Tablet Rp 348,333.00 Rp 201.00 0 Tablet Rp -
de
13 Amoksisilin sirup kering 90 botol
Rp 346,500.00 Rp 3,850.00 0 botol Rp -
ng
an14 Antasida DOEN 499 Tablet Rp 28,942.00 Rp 58.00 0 Tablet Rp -
15
has Antasida DOEN susp 47 Botol Rp 140,624.00 Rp 2,992.00 0 Botol Rp -
il16 Antihemoroid DOEN 19SuppositoriaRp 61,750.00 Rp 3,250.00 0uppositoriaRp
S -
seb
17 ASAM ASKORBAT 50 MG TAB 2,742 Tablet Rp 287,910.00 Rp 105.00 0 Tablet Rp -
ag18 Asam Folat 1 mg 300 Tablet Rp 22,500.00 Rp 75.00 0 Tablet Rp -
ai19 Asam Mefenamat 500 mg 3,000 Tablet Rp 333,000.00 Rp 111.00 0 Tablet Rp -
ber
ikut
:
20 Asam Mefenamat 500 mg 996 Tablet Rp 416,328.00 Rp 418.00 0 Tablet Rp -
22 Asering 48 Softbag Rp 463,008.00 Rp 9,646.00 0 Softbag Rp -
34 Deksametason Inj 5 mg/ml 1 Ampul Rp 924.00 Rp 924.00 0 Ampul Rp -
42 Endofrost spray 2 Botol Rp 858,000.00 Rp 429,000.00 0 Botol Rp -
57 Glibenklamid 5 mg 692 Tablet Rp 82,348.00 Rp 119.00 0 Tablet Rp -
59 Glimepiride 2 mg 1,048 Tablet Rp 466,884.00 Rp 445.50 0 Tablet Rp -
62 Handscoon steril 7.5 25 Pasang Rp 222,200.00 Rp 8,888.00 0 Pasang Rp -
65 Hypafix 7 pcs Rp 630,000.00 Rp 90,000.00 0 pcs Rp -
66 Ibuprofen 400 mg 1,000 Tablet Rp 376,000.00 Rp 376.00 0 Tablet Rp -
74 Kalium Diklofenak tablet 50 mg 442 Tablet Rp 928,200.00 Rp 2,100.00 0 Tablet Rp -
S -
86 Kloramfenikol 250 mg 15 Tablet Rp 13,546.50 Rp 903.10 0 Tablet Rp -
87 Kloramfenikol 500 mg 77 Kapsul Rp 90,398.00 Rp 1,174.00 0 Kapsul Rp -
88 Kloramfenikol Salep Kulit 12 Tube Rp 36,456.00 Rp 3,038.00 0 Tube Rp -
Lidokain Inj 2%+Epinefrin 1:80.000 -
96 inj 2 ml 60 ampul Rp 73,740.00 Rp 1,229.00 0 ampul Rp -
97 MDT Kusta MB Dewasa 1 Paket Rp 30,595.00 Rp 30,595.00 0 Paket Rp -
99 Metampiron 500 mg 724 Tablet Rp 159,280.00 Rp 220.00 0 Tablet Rp -
104 Metronidazol 250 mg 212 Tablet Rp 111,300.00 Rp 525.00 0 Tablet Rp -
112 Nifedipin 10 mg 9 Tablet Rp 945.00 Rp 105.00 0 Tablet Rp -
119 Ostela Forte tab 158 Tablet Rp 1,264,000.00 Rp 8,000.00 0 Tablet Rp -
120 Parasetamol 500 mg 675 Tablet Rp 66,825.00 Rp 99.00 0 Tablet Rp -
126 Pot Sputum 170 Pot Rp 1,001,300.00 Rp 5,890.00 0 Pot Rp -
127 Povidon Iodida 10 % 30 ml 18 botol
Rp 50,400.00 Rp 2,800.00 0 botol Rp -
145 Tablet Tambah darah 1,574 Tablet Rp 355,724.00 Rp 226.00 0 Tablet Rp -
148 Tiamin (Vit B1) 50 mg 360 Tablet Rp 91,080.00 Rp 253.00 0 Tablet Rp -
149 transfusion set 47 pcs Rp 469,966.65 Rp 9,999.29 0 pcs Rp -
152 Vacuum Tube Sterile Clot Activator 100 pcs Rp 80,909.09 Rp 809.09 0 pcs Rp -
154 Vitamin B-Compleks(DEF) 2,753 Tablet Rp 121,132.00 Rp 44.00 0 Tablet Rp -
70 Rp 227,500.00
35 Aseptic Gel/Sabun cuci tangan 0 botol Rp - Rp 26,500.00 0 botol Rp -
37 Asetosal 80 mg (Miniaspi tab) 0 Tablet Rp - Rp 105.00 800 Tablet Rp 84,000.00
38 Asiklovir 400 mg tab 0 Tablet Rp - Rp 405.00 600 Tablet Rp 243,000.00
84 GENTAMISIN KRIM salep kulit 0 Tube Rp - Rp 6,499.90 0 Tube Rp -
112 Isosorbid Dinitrat 5 mg 0 Tablet Rp - Rp 97.90 100 Tablet Rp 9,790.00
138 Kloramfenikol TT 3% 0 Botol Rp - Rp 7,700.00 25 Botol Rp 192,500.00
155 Lidocain injeksi 0 Ampul Rp - Rp 1,229.00 90 Ampul Rp 110,610.00
182 OBH sirup molex 60 ml 0 Botol Rp - Rp 6,274.40 0 Botol Rp -
212 Reagent HbsAg tes 0 test Rp - Rp 9,850.00 150 test Rp 1,477,500.00
231 Solvitaz 0 Tablet Rp - Rp 1.00 300 Tablet Rp 300.00
243 Thiamin (Vit B 1) tab 50 mg 0 Tablet Rp - Rp 156.20 2000 Tablet Rp 312,400.00
252 Vicalcin sirup 0 Botol Rp - Rp 7,024.60 48 Botol Rp 337,180.80
270 Pot Sputum 0 Pot Rp - Rp 2,728.00 200 Pot Rp 545,600.00
0
JUMLAH Rp 36,966,663.13 Rp 33,341,878.00

022 s/d 31 Maret 2022
KESMAS PULEDAGEL
Sisa (31
Desember
2019 )
13 14 15 16 17 18 19 20
0 Softbag Rp - 48 Softbag Rp 463,008.00 0 Softbag Rp -
9 tube Rp 49,500.00 16 tube Rp 88,000.00 0 tube Rp -
1 Ampul Rp 924.00 0 Ampul Rp - 0 Ampul Rp -
0 Can Rp - 4 Can Rp 836,000.00 0 Can Rp -
0 Pasang Rp - 25 Pasang Rp 222,200.00 0 Pasang Rp -
0Suppositoria Rp - 13SuppositoriaRp 25,974.00 0SuppositoriaRp -
170 Pot Rp 1,001,300.00 0 Pot Rp - 0 Pot Rp -
0 Pot Rp - 10 Pot Rp 26,200.00 0 Pot Rp -
10 Tablet Rp 490.00 988 Tablet Rp 48,412.00 0 Tablet Rp -
0 Tablet Rp - 2,000 Tablet
Rp 231,000.00 Tablet Rp -
6Suppositoria Rp 19,500.00 SuppositoriaRp
2,000 Tablet Rp 880,000.00 Tablet Rp - Tablet Rp -
200 Pasang Rp 398,200.00 200 Pasang Rp 398,200.00 Pasang Rp -
100 Tablet Rp 9,790.00 Tablet Rp - Tablet Rp -
0 Suppositor Rp - Supposit Rp - Supposit Rp -
25 Botol Rp 192,500.00 Botol Rp - Botol Rp -
500 Kapsul Rp 139,000.00 Kapsul Rp - Kapsul Rp -
90 Ampul Rp 110,610.00 Ampul Rp - Ampul Rp -
5 Vial Rp 20,450.00 Vial Rp - Vial Rp -
200 pcs Rp 110,000.00 pcs Rp - pcs Rp -
16 Tablet Rp 128,000.00 134 Tablet Rp 1,072,000.00 Tablet Rp -
50 Tes Rp 717,000.00 Tes Rp - Tes Rp -
0 test Rp - 150 test Rp 1,477,500.00 test Rp -
0 Tablet Rp - 300 Tablet Rp 300.00 Tablet Rp -
0 pcs Rp - 100 pcs Rp 550,000.00 pcs Rp -
10 Pcs Rp 220,000.00 140 Pcs Rp 3,080,000.00 Pcs Rp -
20,000 Tablet Rp 4,520,000.00 Tablet Rp - Tablet Rp -
1,000 Kapsul Rp 323,000.00 Kapsul Rp - Kapsul Rp -
200 Pot Rp 545,600.00 Pot Rp - Pot Rp -
50 test Rp 1,020,000.00 test Rp - test Rp -
761 tablet Rp 189,489.00 2239 tablet Rp 557,511.00 tablet Rp -
Rp 40,994,049.01 Rp 29,314,492.12 Rp -
hu
n
Du
a
Du
UPTD PUSKESMAS NGROTO
a
SKPD
No./
uh Tgl.
tela Sura
h t
dila Tan Das
ar Barang-barang bulan
Jumlah Barang yang
No
ksa ggal Pen Uraian (Nama Barang) Harga Satuan
an Pen Jumlah Nilai Harga Jumlah Nilai Harga
pel gelu
ap1 2 aran 3 4 5 6 7 8 10 11
ora1 Akita Tablet 110 Tablet Rp 35,211.00 Rp 320.10 0 Tablet Rp -

mu 3 Albendazol 400mg tab 6,000 Tablet Rp 1,728,000.00 Rp 288.00 0 Tablet Rp -
tasi
4 Alopurinol 100 mg 735 Tablet Rp 77,175.00 Rp 105.00 0 Tablet Rp -
ob
at5 Alprazolam 1 mg 80 Tab Rp 9,600.00 Rp 120.00 0 Tab Rp -
UP 6 Ambroxol 30 mg tab 1,355 Tablet Rp 156,502.50 Rp 115.50 0 Tablet Rp -
TD 7 Amlodipin 10 mg 1,150 Tablet Rp 80,500.00 Rp 70.00 0 Tablet Rp -
Gu 8 Amoksisilin kapl 500 mg 1355 Tablet Rp 223,575.00 Rp 165.00 0 Tablet Rp -
da
9 Amoksisilin sirup kering 125 mg/5 ml 3 Botol Rp 19,800.00 Rp 6,600.00 0 Botol Rp -
ng
10
Far Antasida DOEN 2,806 Tablet Rp 162,748.00 Rp 58.00 0 Tablet Rp -
ma11 Antasida DOEN susp 14 Botol Rp 41,888.00 Rp 2,992.00 0 Botol Rp -

si12 Antihemoroid DOEN 20SuppositoriaRp 65,000.00 Rp 3,250.00 0uppositoriaRp
S -
de13 Antimigrain ( Ergotamin ) 100 Tablet Rp 18,500.00 Rp 185.00 0 Tablet Rp -
ng14 antiza 2,000 Tablet Rp 2,200,000.00 Rp 1,100.00 0 Tablet Rp -
an15 Asam Askorbat (Vit. C) 50 mg 600 Tablet Rp 63,000.00 Rp 105.00 0 Tablet Rp -
has
il
17
seb Asam Folat 1 mg 720 Tablet Rp 54,000.00 Rp 75.00 0 Tablet Rp -
ag18 Asam folat 1 mg 100 Tablet Rp 7,500.00 Rp 75.00 0 Tablet Rp -
ai19 Asam Mefenamat 500 mg 3,000 Tablet Rp 1,254,000.00 Rp 418.00 0 Tablet Rp -
ber
ikut
:
28 Becefort/Arkavit/Multivitamin 4,000 Tablet Rp 3,960,000.00 Rp 990.00 0 Tablet Rp -
34 Canule O2 dewasa 3 Pcs Rp 16,500.00 Rp 5,500.00 0 Pcs Rp -
36 Deksametason Inj 5 mg/ml 20 Ampul Rp 18,480.00 Rp 924.00 0 Ampul Rp -
38 Diazepam rektal 10 mg/2,5 mL 5 supp Rp 91,395.00 Rp 18,279.00 0 supp Rp -
42 Epinefrin Inj (Adrenalin)0,1% 12 Ampul Rp 16,896.00 Rp 1,408.00 0 Ampul Rp -
51 Fitomenadion inj 2mg/ml (Neo-K 2 Ampul Rp 19,250.00 Rp 9,625.00 0 Ampul Rp -
61 Glimepirid 1 mg 250 Tablet Rp 43,500.00 Rp 174.00 0 Tablet Rp -
77 Infuset dewasa (PKD 1) 199 pcs Rp 1,152,210.00 Rp 5,790.00 0 pcs Rp -
82 Kalium Diklofenak tablet 50 mg 537 Tablet Rp 1,127,700.00 Rp 2,100.00 0 Tablet Rp -
91 Ketokonazol 200 mg tab 1,500 Tablet Rp 591,000.00 Rp 394.00 0 Tablet Rp -
99 KOTRIMOKSAZOL 480 MG TAB 2,980 Tablet Rp 372,500.00 Rp 125.00 0 Tablet Rp -
102 Levofloksasin 500 mg 100 Tablet Rp 42,400.00 Rp 424.00 0 Tablet Rp -
104 Magnesium Sulfat 40% 26 Vial Rp 98,698.60 Rp 3,796.10 0 Vial Rp -
117 Nifedipin 10 mg 360 Tablet Rp 40,320.00 Rp 112.00 0 Tablet Rp -
125 Piridoksin (Vit B6) 10 mg 10,000 Tablet Rp 1,310,000.00 Rp 131.00 0 Tablet Rp -
140 Salisil bedak 2 % 1 Kotak 50 gr Rp 2,420.00 Rp 2,420.00 0Kotak 50 grRp -
145 Serum ABU 1 Vial Rp 517,132.00 Rp 517,132.00 0 Vial Rp -
151 Siprofloksasin 500 mg 1,670 Tablet Rp 854,205.00 Rp 511.50 0 Tablet Rp -
Triheksipenidil 2 mg Tablet Rp 108,745.00 Tablet

156 1,195 Rp 91.00 0 Rp -
UnderPad 10 Botol Rp 47,850.00 Botol

157 Rp 4,785.00 0 Rp -
158 Urine bag 48 Buah Rp 264,000.00 Rp 5,500.00 0 Buah Rp -
Zink sir 20 mg/5 ml Botol Rp 69,692.00 Botol

162 28 Rp 2,489.00 0 Rp -
1 Akita Tablet 0 Tablet Rp - Rp 320.10 0 Tablet Rp -
0 Rp -
31 Asam Askorbat ( Vit.C ) 50 mg 0 Tablet Rp - Rp 42.00 0 Tablet Rp -
32 Asam Folat 0,4 mg 0 Tablet Rp - Rp 220.00 0 Tablet Rp -
89 Gliseril Guaikiolat ( GG ) 0 Tablet Rp - Rp 89.10 0 Tablet Rp -
151 Lanzoprazol 30 mg 0 Kapsul Rp - Rp 278.00 0 Kapsul Rp -
171 Mikonazol 2% krim 0 Tube Rp - Rp 3,414.00 24 Tube Rp 81,936.00
176 Neo kaominal 0 Botol Rp - Rp 7,405.00 30 Botol Rp 222,150.00
177 Neocenta / Bioplacenton krim 0 Tube Rp - Rp 16,987.00 0 Tube Rp -
185 Ostela Forte tab 0 Tablet Rp - Rp 8,000.00 120 Tablet Rp 960,000.00
192 Pehacain 0 Ampul Rp - Rp 4,200.00 20 Ampul Rp 84,000.00
208 Rapid Test HIV Ke - 1 ( SD ) 0 Tes Rp - Rp 14,340.00 0 Tes Rp -
264 Fluphenazine/Sikzonoate 25 inj 0 Ampul Rp - Rp 63,500.00 10 Ampul Rp 635,000.00
275 Reagent Syphillis 0 test Rp - Rp 20,400.00 0 test Rp -
0
JUMLAH Rp 50,240,301.36 Rp 15,433,034.00

022 s/d 31 Maret 2022
SKESMAS NGROTO
Sisa (31
Desember
2019 )
13 14 15 16 17 18 19 20
4,400 Tablet Rp 1,267,200.00 1,600 Tablet Rp 460,800.00 0 Tablet Rp -
0Suppositoria Rp - 20SuppositoriaRp 65,000.00 0SuppositoriaRp -
18 Softbag Rp 173,628.00 0 Softbag Rp - 0 Softbag Rp -
0 tube Rp - 10 tube Rp 55,000.00 0 tube Rp -
5 supp Rp 91,395.00 0 supp Rp - 0 supp Rp -
0 Can Rp - 6 Can Rp 1,254,000.00 0 Can Rp -
5 Paket Rp 1,799,925.00 10 Paket Rp 3,599,850.00 0 Paket Rp -
2 pcs Rp 11,580.00 197 pcs Rp 1,140,630.00 0 pcs Rp -
0 Tablet Rp - 1,500 Tablet Rp 591,000.00 0 Tablet Rp -
10 Vial Rp 37,961.00 16 Vial Rp 60,737.60 0 Vial Rp -
0 Tablet Rp - 513 Tablet
Rp 33,858.00 0 Tablet
Rp -
50 Pot Rp 294,500.00 200 Pot Rp 1,178,000.00 0 Pot Rp -
2 Btl Rp 330,000.00 0 Btl Rp - 0 Btl Rp -
1 Kotak 50 gr Rp 2,420.00 0Kotak 50 gr Rp - 0Kotak 50 gr Rp -

495 Rp 45,045.00 700 Rp 63,700.00 0 Rp -
Botol Botol Botol

10 Rp 47,850.00 0 Rp - 0 Rp -
Botol Botol Botol

3 Rp 7,467.00 25 Rp 62,225.00 0 Rp -
0 botol Rp - 0 botol Rp - botol Rp -
0 Vial Rp - 0 Vial Rp - Vial Rp -
0 Pot Rp - 0 Pot Rp - Pot Rp -
0SuppositoriaRp - Suppositoria
0 Rp - SuppositoriaRp -
0 Softbag Rp - 0 Softbag Rp - Softbag Rp -
0 Tube Rp - 0 Tube Rp - Tube Rp -
0 Ampul Rp - 0 Ampul Rp - Ampul Rp -
0 ampul Rp - 0 ampul Rp - ampul Rp -
0 paket Rp - 0 paket Rp - paket Rp -
0 Paket Rp - 0 Paket Rp - Paket Rp -
0 Rol Rp - 0 Rol Rp - Rol Rp -
0 Pasang Rp - 0 Pasang Rp - Pasang Rp -
0 test Rp - 0 test Rp - test Rp -
0 pcs Rp - 0 pcs Rp - pcs Rp -
0 Sachet Rp - 0 Sachet Rp - Sachet Rp -
0 Suppositor Rp - 0 Supposit Rp - Supposit Rp -
0 tube Rp - 0 tube Rp - tube Rp -
0 Kapsul Rp - 0 Kapsul Rp - Kapsul Rp -
0 botol Rp - 100 botol Rp 110,700.00 botol Rp -
0 Tes Rp - 0 Tes Rp - Tes Rp -
50 test Rp 492,500.00 150 test Rp 1,477,500.00 test Rp -
0 pot Rp - 0 pot Rp - pot Rp -
0 Strip Rp - 0 Strip Rp - Strip Rp -
10 ampul Rp 15,450.00 0 ampul Rp - ampul Rp -
0 tablet Rp - 0 tablet Rp - tablet Rp -
0 Test Rp - 0 Test Rp - Test Rp -
Rp 34,223,339.72 Rp 31,449,995.64 Rp -
UPTD PUSKESMAS MEDANG
No./
Pada hariTgl.ini Kamis Tanggal Tiga Puluh Satu Maret Tahun Dua Ribu Dua Puluh Dua telah dilaksanakan pelaporan mutasi obat UPTD Puskesmas Medang dengan hasi
Sura
t
No Das Uraian (Nama Barang) Barang-barang bulan lalu ( 1 Januari 2022) Harga Satuan Jumlah Barang yang diterima/dikeluarkan ( 1 Januari s/d 31 Maret 2022)
Tan ar
Saldo Penambahan Pengurangan
ggal Pen
erim Jumlah Nilai Harga Jumlah Nilai Harga Jumlah Nilai
aan/
1 2 3 4 5 6 7 8 10 11 13
Pen
1 gelu Akita Tablet 116 Tablet Rp 37,131.60 Rp 320.10 0 Tablet Rp - 116 Tablet
aran
2 Alat Suntik 1 ml 100 Pcs Rp 95,700.00 Rp 957.00 0 Pcs Rp - 30 Pcs

5 Alat suntik 3 ml) 7 Pcs Rp 4,480.00 Rp 640.00 0 Pcs Rp - 7 Pcs
7 ALLOPURINOL TAB 100 MG 895 Tablet Rp 88,605.00 Rp 99.00 0 Tablet Rp - 535 Tablet
8 Alopurinol 300 mg 420 Tablet Rp 231,000.00 Rp 550.00 0 Tablet Rp - 420 Tablet
9 Ambroxol 30 mg tab 896 Tablet Rp 103,488.00 Rp 115.50 0 Tablet Rp - 323 Tablet

10 Amlodipin 10 mg 963 Tablet Rp 481,500.00 Rp 500.00 0 Tablet Rp - 963 Tablet
11 Amlodipin 5 mg 616 Tablet Rp 32,648.00 Rp 53.00 0 Tablet Rp - 616 Tablet
12 Amoksisilin kapl 500 mg 1870 Tablet Rp 308,550.00 Rp 165.00 0 Tablet Rp - 1,870 Tablet
13 Amoksisilin sirup kering 125 mg/5 ml 50 Botol
Rp 330,000.00 Rp 6,600.00 0 Botol Rp - 50 Botol
14 Antasida DOEN 2,914 Tablet Rp 169,012.00 Rp 58.00 0 Tablet Rp - 2,694 Tablet
15 Antasida DOEN susp 5 Botol Rp 14,960.00 Rp 2,992.00 0 Botol Rp - 5 Botol
16 Antihemoroid 26 Supp Rp 82,342.00 Rp 3,167.00 0 Supp Rp - 14 Supp
17 Aqua PI 5 ampul Rp 14,300.00 Rp 2,860.00 0 ampul Rp - 5 ampul
18 ASAM ASKORBAT 50 MG TAB 871 Tablet Rp 91,455.00 Rp 105.00 0 Tablet Rp - 871 Tablet
19 Asam Folat 0,4 mg 200 Tablet Rp 44,000.00 Rp 220.00 0 Tablet Rp - 0 Tablet
20 Asam Mefenamat 500 mg 2,623 Tablet Rp 291,153.00 Rp 111.00 0 Tablet Rp - 2,623 Tablet
21 Asetosal 80 mg (Miniaspi tab) 390 Tablet Rp 40,950.00 Rp 105.00 0 Tablet Rp - 0 Tablet
22 Asiklovir 400 mg tab 834 Tablet Rp 337,770.00 Rp 405.00 0 Tablet Rp - 239 Tablet
23 Asiklovir Krim 50 tube Rp 275,000.00 Rp 5,500.00 0 tube Rp - 0 tube
24 Asiklovir Krim 38 Tube Rp 209,000.00 Rp 5,500.00 0 Tube Rp - 18 Tube
25 Atropin Sulfat inj 8 Ampul Rp 13,744.00 Rp 1,718.00 0 Ampul Rp - 8 Ampul
26 Attapulgite 600 mg 79 Tablet Rp 11,455.00 Rp 145.00 0 Tablet Rp - 42 Tablet
27 Becefort/Arkavit/Multivitamin 300 Tablet Rp 297,000.00 Rp 990.00 0 Tablet Rp - 166 Tablet
28 Betahistin Mesilat 6 mg Tab 640 Tablet Rp 288,640.00 Rp 451.00 0 Tablet Rp - 370 Tablet
29 Borax Gliserin 17 botol Rp 74,800.00 Rp 4,400.00 0 botol Rp - 16 botol
30 Canule O2 Anak 11 pcs Rp 57,196.70 Rp 5,199.70 0 pcs Rp - 10 pcs
31 Canule O2 Bayi 1 Buah Rp 5,500.00 Rp 5,500.00 0 Buah Rp - 0 Buah
32 Canule O2 dewasa 24 Buah Rp 122,400.00 Rp 5,100.00 0 Buah Rp - 24 Buah
33 catgut chromic 3/0 + jarum 1/2GT 22 pcs Rp 110,000.00 Rp 5,000.00 0 pcs Rp - 0 pcs
35mm
34 Catgut plain 3/0 9 pcs Rp 45,000.00 Rp 5,000.00 0 pcs Rp - 9 pcs
35 Daryantulle kasa 18 pcs
Rp 99,360.00 Rp 5,520.00 0 pcs Rp - 18 pcs
36 Deksametason 0,5 mg tab 2,261 Tablet Rp 203,942.20 Rp 90.20 0 Tablet Rp - 2,261 Tablet
37 Deksametason Inj 5 mg/ml 13 Ampul Rp 12,012.00 Rp 924.00 0 Ampul Rp - 5 Ampul
38 Diazepam 5 mg 323 Tab Rp 35,207.00 Rp 109.00 0 Tab Rp - 107 Tab
39 Diazepam inj 5 mg/ml 7 Ampul Rp 12,145.00 Rp 1,735.00 0 Ampul Rp - 1 Ampul
40 Diazepam rektal 5 mg/2,5 mL 4 supp Rp 50,292.00 Rp 12,573.00 0 supp Rp - 3 supp
41 Difenhidramin HCL inj 10 mg/ml 34 Ampul Rp 37,229.66 Rp 1,094.99 0 Ampul Rp - 34 Ampul
42 Digoksin tablet 0,25 mg 443 Tablet Rp 50,679.20 Rp 114.40 0 Tablet Rp - 10 Tablet
43 Dimenhidrinat tab 50 mg 245 Tablet Rp 26,460.00 Rp 108.00 0 Tablet Rp - 20 Tablet
44 Domperidon tablet 10 mg 310 Tablet Rp 64,790.00 Rp 209.00 0 Tablet Rp - 310 Tablet
45 Etakridin lart 0,1% (Rivanol) 24 Botol Rp 36,600.00 Rp 1,525.00 0 Botol Rp - 24 Botol
46 Etanol 70 % 100 ml 3 Botol Rp 12,000.00 Rp 4,000.00 0 Botol Rp - 2 Botol
47 Etil Klorida 1 Can Rp 209,000.00 Rp 209,000.00 0 Can Rp - 1 Can
48 FDC kat 1 24 Paket Rp 8,639,640.00 Rp 359,985.00 0 Paket Rp - 4 Paket
49 Fenidryl Sirup 22 Botol Rp 122,185.80 Rp 5,553.90 0 Botol Rp - 22 Botol
50 Fenidryl Sirup 7 botol Rp 50,050.00 Rp 7,150.00 0 botol Rp - 7 botol
51 Fenobarbital Tab 30 mg 1,430 Tablet Rp 244,515.70 Rp 170.99 0 Tablet Rp - 0 Tablet
52 Fenol gliserol tetes telinga 10% 6 botol Rp 16,584.00 Rp 2,764.00 0 botol Rp - 0 botol
53 Fenol gliserol TT 10% 24 Botol Rp 79,200.00 Rp 3,300.00 0 Botol Rp - 0 Botol
54 Fitomenadion inj 2 mg/ml 30 Ampul Rp 41,580.00 Rp 1,386.00 0 Ampul Rp - 30 Ampul
55 Fixomull (10cm x 5 m) 4 Botol Rp 360,000.00 Rp 90,000.00 0 Botol Rp - 4 Botol
56 Folley Catheter 16 9 Rol Rp 93,060.00 Rp 10,340.00 0 Rol Rp - 5 Rol
57 Folley Catheter 18 4 Pcs Rp 68,440.00 Rp 17,110.00 0 Pcs Rp - 1 Pcs
58 Furosemid 40 mg 130 Tablet Rp 10,660.00 Rp 82.00 0 Tablet Rp - 47 Tablet
59 gent oint / Gentamisin salep mata 46 Tube Rp 123,050.00 Rp 2,675.00 0 Tube Rp - 37 Tube
60 Gentamisin sulfat TM 0,3% 48 Botol Rp 216,960.00 Rp 4,520.00 0 Botol Rp - 39 Botol
61 Gentamisin sulfat TM 0,3% 9 Botol Rp 38,088.00 Rp 4,232.00 0 Botol Rp - 9 Botol
62 Glibenklamid 5 mg 1,565 Tablet Rp 186,235.00 Rp 119.00 0 Tablet Rp - 261 Tablet
63 Glimepirid 1 mg 500 Tablet Rp 87,000.00 Rp 174.00 0 Tablet Rp - 255 Tablet
64 Glimepirid 1 mg 107 Tablet Rp 18,618.00 Rp 174.00 0 Tablet Rp - 107 Tablet
65 Glimepiride 2 mg 140 Tablet Rp 28,980.00 Rp 207.00 0 Tablet Rp - 140 Tablet
66 Gliseril Guaikiolat ( GG ) 2,370 Tablet Rp 312,840.00 Rp 132.00 0 Tablet Rp - 2,370 Tablet
67 Glukosa infus 5% 20 Botol Rp 132,540.00 Rp 6,627.00 0 Botol Rp - 0 Botol
68 Haloperidol 1,5 mg 775 Tablet Rp 45,728.10 Rp 59.00 0 Tablet Rp - 775 Tablet
69 Haloperidol tablet 5 mg 710 Tablet Rp 42,600.00 Rp 60.00 0 Tablet Rp - 710 Tablet
70 HCG tes Pro-D 75 Pcs Rp 145,425.00 Rp 1,939.00 0 Pcs Rp - 0 Pcs
71 Hidroklorotiazid 25 mg 8 Tablet Rp 1,240.00 Rp 155.00 0 Tablet Rp - 8 Tablet
72 Hidrokortison krim 2,5% 94 Tube Rp 232,650.00 Rp 2,475.00 0 Tube Rp - 43 Tube
73 Hysin Inj 10 Ampul Rp 51,618.18 Rp 5,161.82 0 Ampul Rp - 0 Ampul
74 Ibuprofen 400 mg 130 Tablet Rp 21,450.00 Rp 165.00 0 Tablet Rp - 70 Tablet
75 Ichtyol/Ichtamolum 18 Pot Rp 108,900.00 Rp 6,050.00 0 Pot Rp - 6 Pot
76 Infuset dewasa (PKD 1) 55 pcs Rp 318,450.00 Rp 5,790.00 0 pcs Rp - 33 pcs
77 Infusion Set Anak 30 pcs Rp 107,910.00 Rp 3,597.00 0 pcs Rp - 4 pcs
78 Infusion Set Anak 5 Pcs Rp 17,500.00 Rp 3,500.00 0 Pcs Rp - 5 Pcs
79 Isosorbid Dinitrat 5 mg 200 Tablet Rp 19,580.00 Rp 97.90 0 Tablet Rp - 130 Tablet
80 IV Catheter 18G MF Cath Pro 23 Pcs Rp 180,987.00 Rp 7,869.00 0 Pcs Rp - 0 Pcs
81 IV Catheter 20G MF Cath Pro 70 pcs Rp 540,232.00 Rp 7,717.60 0 pcs Rp - 25 pcs
84 Kalium Permanganat 33 Pot Rp 137,940.00 Rp 4,180.00 0 Pot Rp - 11 Pot
85 Kalsium Glukonat Inj 10% 5 Ampul Rp 51,755.00 Rp 10,351.00 0 Ampul Rp - 5 Ampul
86 Kalsium Laktat 3,060 Tablet Rp 192,780.00 Rp 63.00 0 Tablet Rp - 2,793 Tablet
87 Kapas Pembalut 250g 2 pcs Rp 41,200.00 Rp 20,600.00 0 pcs Rp - 1 pcs
88 Kaptopril 12,5 mg 650 Tablet Rp 40,300.00 Rp 62.00 0 Tablet Rp - 0 Tablet
89 Kaptopril 25 mg 1,320 Tablet Rp 174,240.00 Rp 132.00 0 Tablet Rp - 1,320 Tablet
90 Kasa hydrophyl 16x16 14 pcs Rp 7,000.00 Rp 500.00 0 pcs Rp - 14 pcs
91 Kassa 4 x 15 30 Rol Rp 79,710.00 Rp 2,657.00 0 Rol Rp - 30 Rol
92 Kassa 4 x 3 25 pcs Rp 21,000.00 Rp 840.00 0 pcs Rp - 25 pcs
93 Ketokonazol 2% krim 12 Tube Rp 79,800.00 Rp 6,650.00 0 Tube Rp - 12 Tube
94 Ketokonazol 200 mg tab 110 Tablet Rp 59,290.00 Rp 539.00 0 Tablet Rp - 60 Tablet
95 Kloramfenikol 250 mg 94 Tablet Rp 84,891.40 Rp 903.10 0 Tablet Rp - 75 Tablet
96 Kloramfenikol Salep Kulit 51 Tube Rp 154,938.00 Rp 3,038.00 0 Tube Rp - 47 Tube
97 Kloramfenikol tetes mata 1% 9 Botol Rp 88,654.50 Rp 9,850.50 0 Botol Rp - 9 Botol
98 Kloramfenikol TT 3% 25 Botol Rp 192,500.00 Rp 7,700.00 0 Botol Rp - 2 Botol
99 Kloramfenikol TT 3% 6 botol Rp 52,800.00 Rp 8,800.00 0 botol Rp - 6 botol
100 Klorfeniramin (CTM) 4 mg 2,847 Tablet Rp 65,481.00 Rp 23.00 0 Tablet Rp - 2,847 Tablet
101 Klorpromazin 100 mg 1,890 Tablet Rp 467,775.00 Rp 247.50 0 Tablet Rp - 1,890 Tablet
102 Klorpromazin Inj 25 mg/ml 29 Ampul Rp 36,047.00 Rp 1,243.00 0 Ampul Rp - 2 Ampul
103 KOTRIMOKSAZOL 480 MG TAB 946 Tablet Rp 118,250.00 Rp 125.00 0 Tablet Rp - 946 Tablet
104 Lancet 300 Buah Rp 43,698.00 Rp 145.66 0 Buah Rp - 100 Buah

105 Lidocain injeksi 12 Ampul Rp 14,748.00 Rp 1,229.00 0 Ampul Rp - 12 Ampul
106 Magnesium Sulfat 40% 6 ampul Rp 22,776.00 Rp 3,796.00 0 ampul Rp - 0 ampul
107 Metampiron 500 mg 1,110 Tablet Rp 244,200.00 Rp 220.00 0 Tablet Rp - 1,110 Tablet
108 Metampiron 500 mg 800 Tablet Rp 220,000.00 Rp 275.00 0 Tablet Rp - 800 Tablet
109 Metformin HCl tablet 500 mg 1,366 Tablet Rp 283,991.40 Rp 207.90 0 Tablet Rp - 1,366 Tablet
110 Metilergometrin 0,125 mg 350 Tablet Rp 73,850.00 Rp 211.00 0 Tablet Rp - 350 Tablet
111 Metilergometrin inj 45 Ampul Rp 486,000.00 Rp 10,800.00 0 Ampul Rp - 0 Ampul
112 Metilprednisolon 4 mg tablet 150 Tablet Rp 38,280.00 Rp 255.20 0 Tablet Rp - 103 Tablet
113 Metoklopramid 10 mg tablet 362 Tablet Rp 23,892.00 Rp 66.00 0 Tablet Rp - 215 Tablet
114 Metronidazol 250 mg 538 Tablet Rp 282,450.00 Rp 525.00 0 Tablet Rp - 538 Tablet
115 Mikonazol krim 2% 43 Tube Rp 146,802.00 Rp 3,414.00 0 Tube Rp - 15 Tube
116 Molexflu 2,034 Tablet Rp 1,051,578.00 Rp 517.00 0 Tablet Rp - 2,034 Tablet
117 Molexflu syrup 18 Botol Rp 112,932.00 Rp 6,274.00 0 Botol Rp - 18 Botol
118 Natrium Diklofenak 50 mg 1,050 Tablet Rp 129,150.00 Rp 123.00 0 Tablet Rp - 1,050 Tablet
119 Natrium Klorida infus 0.9% 56 Botol Rp 380,800.00 Rp 6,800.00 0 Botol Rp - 39 Botol
120 Neo kaominal 13 Botol Rp 96,265.00 Rp 7,405.00 0 Botol Rp - 13 Botol

121 Neocenta krim 21 tube Rp 462,000.00 Rp 22,000.00 0 tube Rp - 13 tube
122 Neurotropik tablet 209 Tablet Rp 140,030.00 Rp 670.00 0 Tablet Rp - 209 Tablet
123 Nifedipin 10 mg 97 Tablet Rp 10,864.00 Rp 112.00 0 Tablet Rp - 52 Tablet
124 Nistatin Vagtab 100.000 IU 51 Tablet Rp 28,560.00 Rp 560.00 0 Tablet Rp - 51 Tablet
125 OB Herbal Sirup 41 Botol Rp 315,700.00 Rp 7,700.00 0 Botol Rp - 41 Botol
126 OBH 21 botol Rp 231,000.00 Rp 11,000.00 0 botol Rp - 21 botol
127 Oksitosin Inj 42 Ampul Rp 47,292.00 Rp 1,126.00 0 Ampul Rp - 26 Ampul
128 Ostela Forte tab 73 Tablet Rp 584,000.00 Rp 8,000.00 0 Tablet Rp - 73 Tablet
129 Parasetamol 500 mg 1,267 Tablet Rp 229,960.50 Rp 181.50 0 Tablet Rp - 1,267 Tablet
130 Parasetamol drop 69 Botol Rp 458,781.00 Rp 6,649.00 0 Botol Rp - 69 Botol
131 PARASETAMOL SIRUP 120 MG / 5 M 45 botol Rp 49,815.00 Rp 1,107.00 0 Tablet Rp - 45 botol
132 Pehacain 20 Ampul Rp 84,000.00 Rp 4,200.00 0 Ampul Rp - 0 Ampul
133 Piridoksin (Vit B6) 10 mg 1,705 Tablet Rp 223,355.00 Rp 131.00 0 Tablet Rp - 1,610 Tablet
134 Piroksikam (lexicam) tablet 20 mg 908 Tablet Rp 119,856.00 Rp 132.00 0 Tablet Rp - 712 Tablet
135 Plester 5 yard x 2 inch 7 Rol Rp 248,724.00 Rp 35,532.00 0 Rol Rp - 2 Rol
136 Povidon Iodida 10 % 30 ml 48 Pcs Rp 134,400.00 Rp 2,800.00 0 Pcs Rp - 15 Pcs
137 Povidon Iodida 10 % 300 ml 3 botol Rp 51,166.67 Rp 17,055.56 0 botol Rp - 3 botol
138 Prednison 5 mg 570 Tablet Rp 41,610.00 Rp 73.00 0 Tablet Rp - 570 Tablet
139 Ranitidin 150 mg 800 Tablet Rp 220,000.00 Rp 275.00 0 Tablet Rp - 800 Tablet
140 Ranitidin 50 mg/2 ml injeksi 50 Ampul Rp 40,700.00 Rp 814.00 0 Ampul Rp - 5 Ampul
141 Rapid Test HIV Ke - 1 ( SD ) 200 Tes Rp 2,868,000.00 Rp 14,340.00 0 Tes Rp - 100 Tes
142 Reagent HbsAg tes 25 test Rp 246,250.00 Rp 9,850.00 0 test Rp - 25 test
143 Ringer Laktat larutan infus 51 botol Rp 389,130.00 Rp 7,630.00 0 botol Rp - 51 botol
144 Risperidon 2 mg 480 Tablet Rp 131,040.00 Rp 273.00 0 Tablet Rp - 480 Tablet
145 Salbutamol 2 mg 1,179 Tablet Rp 82,530.00 Rp 70.00 0 Tablet Rp - 941 Tablet
146 Salep 2-4 Kombinasi 2 Pot Rp 5,240.00 Rp 2,620.00 0 Pot Rp - 2 Pot
147 Salisil bedak 2 % 42 pcs Rp 92,400.00 Rp 2,200.00 0 pcs Rp - 34 pcs
148 Scabicide cr/Scabimit cr 11 tube Rp 130,075.00 Rp 11,825.00 0 tube Rp - 10 tube
149 Serum ATS 1500 IU 12 Ampul Rp 1,571,988.00 Rp 130,999.00 0 Ampul Rp - 12 Ampul
150 Sianokobalamin (vit B12) tab 100 Tablet Rp 4,900.00 Rp 49.00 0 Tablet Rp - 100 Tablet
151 silk no 2/0 dgn jarum 12 Pcs Rp 243,600.00 Rp 20,300.00 0 Pcs Rp - 12 Pcs
152 Simvastatin tablet 10 mg 502 Tablet Rp 64,607.40 Rp 128.70 0 Tablet Rp - 502 Tablet
153 Siprofloksasin tab 500 mg 747 Tablet Rp 343,881.45 Rp 460.35 0 Tablet Rp - 747 Tablet
154 Siprofloksasin tab 500 mg 600 Tablet Rp 135,272.73 Rp 225.45 0 Tablet Rp - 140 Tablet
155 Strip Glukosa Nesco 75 test Rp 290,400.00 Rp 3,872.00 0 test Rp - 0 test
test test test

156 Strip Kolesterol Nesco 50 Rp 1,176,000.00 Rp 23,520.00 0 Rp - 40
Tablet Tambah darah Tablet Rp 90,400.00 Tablet Tablet
157 400 Rp 226.00 0 Rp - 400
158 Tetrasiklin 500 mg 500 Kapsul Rp 161,500.00 Rp 323.00 0 Kapsul Rp - 500 Kapsul
159 Tiamfenikol 500 mg kapsul 70 Tablet Rp 77,962.50 Rp 1,113.75 0 Tablet Rp - 70 Tablet
160 Tiamin (Vit B1) 50 mg 2,126 Tablet Rp 537,878.00 Rp 253.00 0 Tablet Rp - 2,126 Tablet
161 transfusion set 42 pcs Rp 419,970.20 Rp 9,999.29 0 pcs Rp - 24 pcs
Triheksipenidil 2 mg Tablet Rp 157,430.00 Tablet Tablet
162 1,730 Rp 91.00 0 Rp - 1,730
163 Vicalcin sirup 27 Botol Rp 237,600.00 Rp 8,800.00 0 Botol Rp - 7 Botol
164 Vitamin B Kompleks (HOLY) 870 Tablet Rp 72,210.00 Rp 83.00 0 Tablet Rp - 870 Tablet
165 Vitamin B-Compleks(DEF) 5,000 Tablet Rp 220,000.00 Rp 44.00 0 Tablet Rp - 5,000 Tablet
1 Akita Tablet 0 Tablet Rp - Rp 320.10 1,000 Tablet Rp 320,100.00 272 Tablet
2 Alat Suntik 1 ml 0 Pcs Rp - Rp 957.00 0 Pcs Rp - 0 Pcs
3 Alat Suntik 10 ml 0 Pcs Rp - Rp 1,287.00 0 Pcs Rp - 0 Pcs
5 Alat Suntik 3 ml 0 Pcs Rp - Rp 693.00 300 Pcs Rp 207,900.00 86 Pcs
8 Alat Suntik 5 ml 0 Pcs Rp - Rp 661.00 100 Pcs Rp 66,100.00 0 Pcs
9 Albendazol 400mg tab 0 Tablet Rp - Rp 288.00 6,000 Tablet Rp 1,728,000.00 6,000 Tablet
10 Alkohol Swab 0 Set Rp - Rp 120.00 0 Set Rp - 0 Set
11 Alopurinol 100 mg 0 Tablet Rp - Rp 105.00 0 Tablet Rp - 0 Tablet
12 Alopurinol 300 mg 0 Tablet Rp - Rp 550.00 500 Tablet Rp 275,000.00 335 Tablet
13 Alprazolam 0,5 mg 0 Tablet Rp - Rp 78.00 0 Tablet Rp - 0 Tablet
14 Ambroxol 30 mg tab 0 Tablet Rp - Rp 115.50 0 Tablet Rp - 0 Tablet
15 Amlodipin 10 mg 0 Tablet Rp - Rp 70.00 2,000 Tablet Rp 140,000.00 1,494 Tablet
16 Amlodipin 5 mg 0 Tablet Rp - Rp 53.00 900 Tablet Rp 47,700.00 69 Tablet
17 Amoksisilin 125 mg/5 ml sirup kering 0 Botol Rp - Rp 2,050.40 200 Botol Rp 410,080.00 72 Botol
18 Amoksisilin kapl 500 mg 0 Tablet Rp - Rp 201.00 2,000 Tablet Rp 402,000.00 2,000 Tablet
19 Amoksisilin sirup kering 0 botol Rp - Rp 3,850.00 0 botol Rp - 0 botol
20 Ampisilin serbuk 1000mg/ml 0 Vial Rp - Rp 8,237.00 0 Vial Rp - 0 Vial
21 Antasida DOEN susp 0 Botol Rp - Rp 1,679.00 100 Botol Rp 167,900.00 53 Botol
22 Antasida DOEN tab 0 Tablet Rp - Rp 58.00 2,000 Tablet Rp 116,000.00 0 Tablet
23 Antasida DOEN tab 0 Tablet Rp - Rp 54.00 0 Tablet Rp - 0 Tablet
24 Antasida DOEN tab 0 Tablet Rp - Rp 58.00 1,500 Tablet Rp 87,000.00 0 Tablet
25 Antifungi salep komb 0 Pot Rp - Rp 4,496.00 0 Pot Rp - 0 Pot
26 Antifungi salep komb 0 Pot Rp - Rp 4,496.00 0 Pot Rp - 0 Pot
0 Rp - 0Suppositoria
28 Antimigrain ( Ergotamin ) 0 Tablet Rp - Rp 185.00 0 Tablet Rp - 0 Tablet
29 Antimigrain ( Ergotamin ) 0 Tablet Rp - Rp 185.00 0 Tablet Rp - 0 Tablet
30 antiza 0 Tablet Rp - Rp 1,100.00 0 Tablet Rp - 0 Tablet
31 Asam Askorbat ( Vit.C ) 50 mg 0 Tablet Rp - Rp 42.00 5,000 Tablet Rp 210,000.00 2,045 Tablet
32 Asam Folat 0,4 mg 0 Tablet Rp - Rp 220.00 0 Tablet Rp - 0 Tablet
33 Asam Mefenamat 500 mg 0 Tablet Rp - Rp 111.00 5,000 Tablet Rp 555,000.00 1,105 Tablet
34 Asam Mefenamat 500 mg 0 Tablet Rp - Rp 111.00 0 Tablet Rp - 0 Tablet
35 Aseptic Gel/Sabun cuci tangan 0 botol Rp - Rp 26,500.00 0 botol Rp - 0 botol
36 Asering 0 Softbag Rp - Rp 9,646.00 0 Softbag Rp - 0 Softbag
37 Asetosal 80 mg (Miniaspi tab) 0 Tablet Rp - Rp 105.00 0 Tablet Rp - 0 Tablet
38 Asiklovir 400 mg tab 0 Tablet Rp - Rp 405.00 0 Tablet Rp - 0 Tablet
39 Asiklovir Krim 0 Tube Rp - Rp 3,271.40 0 Tube Rp - 0 Tube
40 Atropin Sulfat inj 0 Ampul Rp - Rp 1,718.00 10 Ampul Rp 17,180.00 0 Ampul
41 Autoclick Lancing Device Onemed 0 Pcs Rp - Rp 17,416.00 0 Pcs Rp - 0 Pcs
42 Betahistin Mesilat 6 mg Tab 0 Tablet Rp - Rp 451.00 0 Tablet Rp - 0 Tablet
43 Bio ATP 0 Tablet Rp - Rp 2,500.00 0 Tablet Rp - 0 Tablet
44 Blue Tips 0 Buah Rp - Rp 76.50 0 Buah Rp - 0 Buah
45 Bracket 0 Pcs Rp - Rp 22,000.00 0 Pcs Rp - 0 Pcs
46 Canule O2 Anak 0 Pcs Rp - Rp 5,100.00 40 Pcs Rp 204,000.00 0 Pcs
47 Canule O2 Bayi 0 Buah Rp - Rp 5,200.00 0 Buah Rp - 0 Buah
48 Canule O2 dewasa 0 Buah Rp - Rp 5,100.00 40 Buah Rp 204,000.00 1 Buah
49 Daryantulle/Cuticell 10x10 0 Pcs Rp - Rp 5,520.00 20 Pcs Rp 110,400.00 8 Pcs
50 Deksametason 0,5 mg tab 0 Tablet Rp - Rp 32.00 1,000 Tablet Rp 32,000.00 403 Tablet
51 Deksametason 0,5 mg tab 0 Tablet Rp - Rp 32.00 0 Tablet Rp - 0 Tablet
52 Deksametason Inj 5 mg/ml 0 Ampul Rp - Rp 924.00 0 Ampul Rp - 0 Ampul
53 Deksametason Inj 5 mg/ml 0 Ampul Rp - Rp 924.00 0 Ampul Rp - 0 Ampul
54 Diazepam 5 mg Tab 0 Tablet Rp - Rp 108.00 0 Tablet Rp - 0 Tablet
55 DIAZEPAM INJ 0 ampul Rp - Rp 1,735.00 0 ampul Rp - 0 ampul
56 Diazepam rektal 5 mg/2,5 ml 0 Tube Rp - Rp 12,573.00 5 Tube Rp 62,865.00 0 Tube
57 Difenhidramin HCL inj 10 mg/ml 0 Ampul Rp - Rp 1,095.00 0 Ampul Rp - 0 Ampul
58 Difenhidramin inj 10 mg/ml 0 Ampul Rp - Rp 1,095.00 0 Ampul Rp - 0 Ampul
59 Difenhidramin inj 10 mg/ml 0 ampul Rp - Rp 1,095.00 0 ampul Rp - 0 ampul
60 Digoksin tablet 0,25 mg 0 Tablet Rp - Rp 114.40 0 Tablet Rp - 0 Tablet
61 Dimenhidrinat tab 50 mg 0 Tablet Rp - Rp 108.00 0 Tablet Rp - 0 Tablet
62 Epinefrin Inj (Adrenalin)0,1% 0 ampul Rp - Rp 1,408.00 10 ampul Rp 14,080.00 0 ampul
63 Etanol 70 % 100 ml 0 Botol Rp - Rp 2,790.00 20 Botol Rp 55,800.00 0 Botol
64 Etil Klorida 0 botol Rp - Rp 126,500.00 0 botol Rp - 0 botol
65 FDC Kategori 1 0 paket Rp - Rp 359,985.00 0 paket Rp - 0 paket
66 FDC Kategori 1 harian 0 paket Rp - Rp 359,985.00 0 paket Rp - 0 paket
67 FDC Kategori 1 Kombipak 0 Paket Rp - Rp 288,199.00 0 Paket Rp - 0 Paket
68 FDC Kategori 1 Kombipak 0 paket Rp - Rp 288,199.00 0 paket Rp - 0 paket
69 FDC Kategori 2 0 paket Rp - Rp 1,199,985.00 0 paket Rp - 0 paket
70 FDC Kategori Anak 0 paket Rp - Rp 214,985.00 0 paket Rp - 0 paket
71 Fenibarbital Tab 30 mg 0 Tablet Rp - Rp 171.00 0 Tablet Rp - 0 Tablet
72 Fenidryl Sirup 0 Botol Rp - Rp 5,553.90 48 Botol Rp 266,587.20 14 Botol
73 Fenitoin inj 0 ampul Rp - Rp 1.00 0 ampul Rp - 0 ampul
74 Fenobarbital 30 mg 0 Tablet Rp - Rp 171.00 0 Tablet Rp - 0 Tablet
75 Fenobarbital 30 mg 0 Tablet Rp - Rp 171.00 0 Tablet Rp - 0 Tablet
76 Fenobarbital Tab 30 mg 0 Tablet Rp - Rp 170.99 0 Tablet Rp - 0 Tablet
77 Fenol gliserol TT 10% 0 Botol Rp - Rp 3,300.00 24 Botol Rp 79,200.00 0 Botol
78 Fitomenadion inj 2 mg/ml 0 Ampul Rp - Rp 1,386.00 30 Ampul Rp 41,580.00 0 Ampul
79 Fludane/molexflu/antiza tablet/flut 0 Tablet Rp - Rp 440.00 1,000 Tablet Rp 440,000.00 412 Tablet
80 Folley Catheter 16 0 Rol Rp - Rp 10,340.00 10 Rol Rp 103,400.00 0 Rol
81 Garam oralit 0 Sachet Rp - Rp 257.00 100 Sachet Rp 25,700.00 16 Sachet
82 gent oint / Gentamisin salep mata 0 Tube Rp - Rp 2,675.00 0 Tube Rp - 0 Tube
83 Gent oint / Gentamisin salep mata 0 Pcs Rp - Rp 2,665.00 0 Pcs Rp - 0 Pcs
84 GENTAMISIN KRIM salep kulit 0 Tube Rp - Rp 6,499.90 0 Tube Rp - 0 Tube
85 Gentamisin sulfat TM 0,3% 0 Botol Rp - Rp 4,520.00 48 Botol Rp 216,960.00 0 Botol
86 Glibenklamid 5 mg 0 Tablet Rp - Rp 83.00 0 Tablet Rp - 0 Tablet
87 Glimepiride 1 mg 0 Tablet Rp - Rp 371.80 1000 Tablet Rp 371,800.00 0 Tablet
88 Glimepiride 2 mg 0 Tablet Rp - Rp 207.00 3000 Tablet Rp 621,000.00 1,475 Tablet
89 Gliseril Guaikiolat ( GG ) 0 Tablet Rp - Rp 89.10 4000 Tablet Rp 356,400.00 964 Tablet
90 Gliseril Guaikiolat ( GG )/Asetil Sis 0 Tablet Rp - Rp 89.10 0 Tablet Rp - 0 Tablet
91 Glukosa 40% 0 Botol Rp - Rp 7,000.00 0 Botol Rp - 0 Botol
92 Glukosa infus 10% 0 Botol Rp - Rp 7,200.00 0 Botol Rp - 0 Botol
93 Glukosa infus 5% 0 Botol Rp - Rp 6,627.00 0 Botol Rp - 0 Botol
94 Griseofulvin 125 mg tab 0 Tablet Rp - Rp 224.00 0 Tablet Rp - 0 Tablet
95 Haloperidol 1,5 mg 0 Tablet Rp - Rp 59.00 3000 Tablet Rp 177,012.00 889 Tablet
96 Haloperidol tablet 5 mg 0 Tablet Rp - Rp 54.00 5000 Tablet Rp 270,000.00 2,110 Tablet
97 Hand Sanitizer (Aseptic gel) 0 Paket Rp - Rp 26,500.00 0 Paket Rp - 0 Paket
98 Handscoon non steril M 0 Pasang Rp - Rp 1,991.00 0 Pasang Rp - 0 Pasang
99 Handscoon non steril M 0 Pasang Rp - Rp 1,991.00 300 Pasang Rp 597,300.00 0 Pasang
100 Handscoon non steril S 0 Pasang Rp - Rp 1,991.00 100 Pasang Rp 199,100.00 0 Pasang
101 HCG tes Pro-D 0 test Rp - Rp 1,900.00 0 test Rp - 0 test
102 Herbakof 0 Botol Rp - Rp 14,273.00 0 Botol Rp - 0 Botol
103 Hidrokortison 2,5% krim 0 Tube Rp - Rp 2,475.00 0 Tube Rp - 0 Tube
104 Hysin Inj 0 Ampul Rp - Rp 5,161.82 0 Ampul Rp - 0 Ampul
105 Ibuprofen 200 mg 0 Tablet Rp - Rp 212.00 0 Tablet Rp - 0 Tablet
106 Ibuprofen 400 mg 0 Tablet Rp - Rp 376.00 200 Tablet Rp 75,200.00 0 Tablet
107 Ibuprofen suspensi 200 mg/5 ml 0 Botol Rp - Rp 3,200.00 0 Botol Rp - 0 Botol
108 Infuset Anak 0 Pasang Rp - Rp 3,500.00 20 Pasang Rp 70,000.00 0 Pasang
109 Infuset dewasa (PKD 1) 0 pcs Rp - 5790 50 pcs Rp 289,500.00 0 pcs
110 Infusion Set Anak 0 pcs Rp - Rp 3,597.00 0 pcs Rp - 0 pcs
111 ISONIAZID 100 MG TAB 0 Tablet Rp - Rp 96.91 0 Tablet Rp - 0 Tablet
112 Isosorbid Dinitrat 5 mg 0 Tablet Rp - Rp 97.90 200 Tablet Rp 19,580.00 0 Tablet
113 IV Catheter 22G MF Cath Pro 0 pcs Rp - Rp 7,700.00 0 pcs Rp - 0 pcs
114 IV Catheter 24G MF Cath Pro 0 Pcs Rp - Rp 7,694.00 0 Pcs Rp - 0 Pcs
115 IV Catheter 24G MF Cath Pro 0 Pcs Rp - Rp 7,819.00 0 Pcs Rp - 0 Pcs
116 IV Catheter No 18 0 Buah Rp - Rp 6,000.00 0 Buah Rp - 0 Buah
117 Jarum Jahit kulit berbagai ukuran 0 Sachet Rp - Rp 25,000.00 0 Sachet Rp - 0 Sachet
118 Kalium Permanganat 0 botol Rp - Rp 5,500.00 0 botol Rp - 0 botol
119 Kalsium Glukonat Inj 10% 0 Ampul Rp - Rp 10,351.00 0 Ampul Rp - 0 Ampul
120 Kalsium Laktat 0 Tablet Rp - Rp 63.00 4000 Tablet Rp 252,000.00 0 Tablet
121 Kapas absorben 250 gr 0 Sachet Rp - Rp 12,500.00 5 Sachet Rp 62,500.00 0 Sachet
122 Kaptopril 12,5 mg tab 0 Tablet Rp - Rp 65.00 0 Tablet Rp - 0 Tablet
123 Kaptopril 12,5 mg tab 0 Tablet Rp - Rp 113.00 0 Tablet Rp - 0 Tablet
124 Kaptopril 25 mg 0 Tablet Rp - Rp 75.00 2500 Tablet Rp 187,500.00 892 Tablet
125 Karbamazepin 200 mg 0 Tablet Rp - Rp 245.00 0 Tablet Rp - 0 Tablet
126 Kartu Golongan Darah 0 Rol Rp - Rp 350.00 0 Rol Rp - 0 Rol
127 Kasa hydrophyl 16x16 0 pcs Rp - Rp 500.00 160 pcs Rp 80,000.00 144 pcs
128 Kasa hydrophyl 18x22 0 pcs Rp - Rp 625.00 0 pcs Rp - 0 pcs
129 Kassa 2 x 80 0 Pcs Rp - Rp 9,740.00 0 Pcs Rp - 0 Pcs
130 Kassa 4 x 15 0 Rol Rp - Rp 2,657.00 100 Rol Rp 265,700.00 20 Rol
131 Kassa 4 x 3 0 Rol Rp - Rp 759.00 50 Rol Rp 37,950.00 35 Rol
132 Kassa 40 x 40 0 Rol Rp - Rp 1,600.00 0 Rol Rp - 0 Rol
133 Ketokonazol 2% krim 0 Tube Rp - Rp 6,650.00 12 Tube Rp 79,800.00 3 Tube
134 Ketokonazol 200 mg tab 0 Tablet Rp - Rp 394.00 400 Tablet Rp 157,600.00 0 Tablet
135 Ketoprofen 100 mg/sup 0 Supposit Rp - Rp 1,998.00 0 SuppositRp - 0 Suppositor
136 Klem umbilical 0 Rol Rp - Rp 1,800.00 0 Rol Rp - 0 Rol
137 Kloramfenikol salep mata 1% 0 tube Rp - Rp 2,007.00 0 tube Rp - 0 tube
138 Kloramfenikol TT 3% 0 Botol Rp - Rp 7,700.00 25 Botol Rp 192,500.00 0 Botol
139 Klorfeniramin (CTM) 4 mg 0 Tablet Rp - Rp 23.00 6000 Tablet Rp 138,000.00 1,270 Tablet
140 Klorfeniramin 4 mg (Orphen Kaplet 0 Tablet Rp - Rp 92.40 0 Tablet Rp - 0 Tablet
141 Klorpromazin 100 mg 0 Tablet Rp - Rp 247.50 3000 Tablet Rp 742,500.00 203 Tablet
142 Klorpromazin 100 mg 0 Tablet Rp - Rp 247.50 2000 Tablet Rp 495,000.00 2,000 Tablet
143 Klorpromazin Inj 25 mg/ml 0 Ampul Rp - Rp 1,243.00 0 Ampul Rp - 0 Ampul
144 Kotrimoksasol 480 mg 0 Tablet Rp - Rp 133.00 1500 Tablet Rp 199,500.00 1 Tablet
145 Kotrimoksasol suspensi 0 Botol Rp - Rp 2,190.00 50 Botol Rp 109,500.00 0 Botol
146 Kotrimoksasol suspensi 0 Botol Rp - Rp 2,051.99 0 Botol Rp - 0 Botol
147 Kotrimoksasol suspensi 240mg 0 botol Rp - Rp 2,190.00 0 botol Rp - 0 botol
148 KOTRIMOKSAZOL 480 MG TAB 0 Tablet Rp - Rp 125.00 0 Tablet Rp - 0 Tablet
149 Lancet 0 Buah Rp - Rp 145.66 0 Buah Rp - 0 Buah
150 Lancet 0 Pcs Rp - Rp 150.00 0 Pcs Rp - 0 Pcs
151 Lanzoprazol 30 mg 0 Kapsul Rp - Rp 278.00 0 Kapsul Rp - 0 Kapsul
152 Larutan Ziehl Nielsen 0 Paket Rp - Rp 276,500.00 0 Paket Rp - 0 Paket
153 Levofloksasin 0 Kapsul Rp - Rp 494.00 0 Kapsul Rp - 0 Kapsul
154 Levoftirosin 100 mcg 0 Tablet Rp - Rp 890.00 0 Tablet Rp - 0 Tablet
155 Lidocain injeksi 0 Ampul Rp - Rp 1,229.00 90 Ampul Rp 110,610.00 30 Ampul
156 Lidocain komp injeksi 0 Ampul Rp - Rp 803.00 0 Ampul Rp - 0 Ampul
157 Magnesium Sulfat 40% 0 Vial Rp - Rp 4,090.00 12 Vial Rp 49,080.00 0 Vial
158 Masker 0 pcs Rp - Rp 550.00 400 pcs Rp 220,000.00 200 pcs
159 Masker 0 pcs Rp - Rp 4,800.00 0 pcs Rp - 0 pcs
160 Masker 0 pcs Rp - Rp 1,400.00 0 pcs Rp - 0 pcs
161 Masker Altamed 0 Buah Rp - Rp 1,650.00 0 Buah Rp - 0 Buah
162 Masker Bedah Hijab 0 Pcs Rp - Rp 1,050.00 0 Pcs Rp - 0 Pcs
163 Masterzym 0 botol Rp - Rp 1.00 0 botol Rp - 0 botol
164 MDT Kusta PB Dewasa 0 Paket Rp - Rp 9,770.00 0 Paket Rp - 0 Paket
165 Metampiron 500 mg (Lexagin) 0 Tablet Rp - Rp 253.00 3000 Tablet Rp 759,000.00 436 Tablet
166 Metformin HCl tablet 500 mg 0 Tablet Rp - Rp 207.90 2000 Tablet Rp 415,800.00 1,925 Tablet
167 Metilergometrin inj 0 Ampul Rp - Rp 10,800.00 0 Ampul Rp - 0 Ampul
168 Metronidazol 125 mg/5ml susp 0 Botol Rp - Rp 3,765.00 0 Botol Rp - 0 Botol
169 Metronidazol 125mg/5ml susp 0 botol Rp - Rp 3,950.00 0 botol Rp - 0 botol
170 Metronidazol 500 mg 0 Botol Rp - Rp 124.00 1000 Botol Rp 124,000.00 460 Botol
171 Mikonazol 2% krim 0 Tube Rp - Rp 3,414.00 0 Tube Rp - 0 Tube
172 Mikropipet tips 0 Paket Rp - Rp 87,800.00 0 Paket Rp - 0 Paket
173 Molexflu syrup 0 Botol Rp - Rp 6,274.00 60 Botol Rp 376,440.00 0 Botol
174 Natrium Diklofenak 50 mg 0 Tablet Rp - Rp 123.00 1000 Tablet Rp 123,000.00 219 Tablet
175 Natrium Diklofenak 50 mg 0 Tablet Rp - Rp 99.00 0 Tablet Rp - 0 Tablet
176 Neo kaominal 0 Botol Rp - Rp 7,405.00 48 Botol Rp 355,440.00 6 Botol
177 Neocenta / Bioplacenton krim 0 Tube Rp - Rp 16,987.00 20 Tube Rp 339,740.00 0 Tube
178 Nistatin 100000 IU / ml Drop 0 Botol Rp - Rp 11,500.00 0 Botol Rp - 0 Botol
179 Nistatin Vagtab 100.000 IU 0 Tablet Rp - Rp 560.00 0 Tablet Rp - 0 Tablet
180 OB Herbal Sirup 0 Botol Rp - Rp 7,700.00 0 Botol Rp - 0 Botol
181 OB Herbal Sirup(OBASA) 0 Botol Rp - Rp 7,700.00 48 Botol Rp 369,600.00 5 Botol
182 OBH sirup molex 60 ml 0 Botol Rp - Rp 6,274.40 60 Botol Rp 376,464.00 17 Botol
183 Object Glass 0 Buah Rp - Rp 77,690.00 0 Buah Rp - 0 Buah
184 Oksitosin Inj 0 Ampul Rp - Rp 1,126.00 20 Ampul Rp 22,520.00 0 Ampul
185 Ostela Forte tab 0 Tablet Rp - Rp 8,000.00 150 Tablet Rp 1,200,000.00 18 Tablet
186 Parasetamol 500 mg 0 Tablet Rp - Rp 99.00 5000 Tablet Rp 495,000.00 4,766 Tablet
187 Parasetamol drop 0 Botol Rp - Rp 6,649.00 60 Botol Rp 398,940.00 16 Botol
188 Parasetamol infus 0 Botol Rp - Rp 11,265.00 0 Botol Rp - 0 Botol
189 PARASETAMOL SIRUP 120 MG / 0 botol Rp - Rp 1,107.00 300 botol Rp 332,100.00 130 botol
190 PARASETAMOL SIRUP 120 MG / 0 Tablet Rp - Rp 1,107.00 0 Tablet Rp - 0 Tablet
191 Parasetamol sirup 120 mg/5ml 0 Botol Rp - Rp 1,181.00 0 Botol Rp - 0 Botol
192 Pehacain 0 Ampul Rp - Rp 4,200.00 0 Ampul Rp - 0 Ampul
193 Piridoksin ( Vit B6 ) 10 mg tab 0 Tablet Rp - Rp 67.00 0 Tablet Rp - 0 Tablet
194 Piridoksin (Vit B6) 10 mg 0 Tablet Rp - Rp 131.00 1500 Tablet Rp 196,500.00 0 Tablet
195 Piridoksin (Vit B6) 10 mg 0 Tablet Rp - Rp 123.00 0 Tablet Rp - 0 Tablet
196 Piroksikam (lexicam) tablet 20 mg 0 Tablet Rp - Rp 132.00 0 Tablet Rp - 0 Tablet
197 Plester (Leukoplast 7,5 cm x 4,5 c 0 Paket Rp - Rp 59,500.00 0 Paket Rp - 0 Paket
198 Plesterin bulat 0 Rol Rp - Rp 175.00 0 Rol Rp - 0 Rol
199 Pot Sputum 0 Pot Rp - Rp 5,890.00 0 Pot Rp - 0 Pot
200 Povidon Iodida 10 % 30 ml 0 Pcs Rp - Rp 2,800.00 20 Pcs Rp 56,000.00 0 Pcs
201 Prednison 5 mg 0 Tablet Rp - Rp 119.70 1000 Tablet Rp 119,700.00 34 Tablet
202 Prednison 5 mg 0 Tablet Rp - Rp 119.70 0 Tablet Rp - 0 Tablet
203 Propiltiourasil tablet 100 m 0 Tablet Rp - Rp 410.00 0 Tablet Rp - 0 Tablet
204 R.Hema OL 2100 Kertas print 0 Pcs Rp - Rp 40,000.00 0 Pcs Rp - 0 Pcs
205 Ranitidin 150 mg 0 Tablet Rp - Rp 85.00 800 Tablet Rp 68,000.00 194 Tablet
206 Ranitidin 50 mg/2 ml injeksi 0 Ampul Rp - Rp 1,960.20 0 Ampul Rp - 0 Ampul
207 Ranitidin 50 mg/2 ml injeksi 0 Ampul Rp - Rp 814.00 0 Ampul Rp - 0 Ampul
208 Rapid Test HIV Ke - 1 ( SD ) 0 Tes Rp - Rp 14,340.00 25 Tes Rp 358,500.00 0 Tes
209 Reagen gol darah Pro-D anti A 0 Botol Rp - Rp 165,000.00 0 Botol Rp - 0 Botol
210 Reagen gol darah Pro-D anti B 0 Botol Rp - Rp 165,000.00 0 Botol Rp - 0 Botol
211 Reagen gol darah Pro-D anti D 0 Botol Rp - Rp 165,000.00 0 Botol Rp - 0 Botol
212 Reagent HbsAg tes 0 test Rp - Rp 9,850.00 225 test Rp 2,216,250.00 25 test
213 Recovit sirup 0 Botol Rp - Rp 9,900.00 0 Botol Rp - 0 Botol
214 retinol (vit A ) 100000 IU 0 Kapsul Rp - Rp 287.00 600 Kapsul Rp 172,200.00 600 Kapsul
215 retinol (vit A ) 100000 IU 0 Kapsul Rp - Rp 287.00 0 Kapsul Rp - 0 Kapsul
217 Retinol 100.000 IU 0 Kapsul Rp - Rp 305.00 0 Kapsul Rp - 0 Kapsul
218 Retinol 200.000 IU 0 Kapsul Rp - Rp 553.00 1500 Kapsul Rp 829,500.00 1,500 Kapsul
219 Ringer Laktat larutan infus 0 Botol Rp - Rp 7,630.00 0 Botol Rp - 0 Botol
220 Ringer Laktat larutan infus 0 Botol Rp - Rp 7,150.00 100 Botol Rp 715,000.00 4 Botol
221 Risperidon 2 mg 0 Tablet Rp - Rp 273.00 200 Tablet Rp 54,600.00 0 Tablet
222 Salbutamol 2 mg 0 Tablet Rp - Rp 70.00 500 Tablet Rp 35,000.00 0 Tablet
223 Salbutamol tablet 4 mg 0 Tablet Rp - Rp 70.00 0 Tablet Rp - 0 Tablet
224 Salep 2-4 Kombinasi 0 pot Rp - Rp 2,796.00 24 pot Rp 67,104.00 0 pot
225 Salep 2-4 Kombinasi 0 pot Rp - Rp 2,796.00 0 pot Rp - 0 pot
226 Salisil bedak 2 % 0 pcs Rp - Rp 2,200.00 0 pcs Rp - 0 pcs
227 Scabicide/Scabimit/Permetrin 5% 0 Tube Rp - Rp 11,466.00 0 Tube Rp - 0 Tube
228 Serum ABU 0 Vial Rp - Rp 517,132.00 0 Vial Rp - 0 Vial
229 Sianokobalamin (vit B12) tab 0 Tablet Rp - Rp 49.00 800 Tablet Rp 39,200.00 470 Tablet
230 Simvastatin tablet 10 mg 0 Tablet Rp - Rp 128.70 1800 Tablet Rp 231,660.00 1,258 Tablet
231 Solvitaz 0 Tablet Rp - Rp 1.00 300 Tablet Rp 300.00 300 Tablet
232 Spekulum dispo / Vagion M 0 Strip Rp - Rp 6,500.00 0 Strip Rp - 0 Strip
233 Stimuno F 0 Kapsul Rp - Rp 1,763.00 0 Kapsul Rp - 0 Kapsul
234 Strip Glukosa BENECHECK 0 Pcs Rp - Rp 160,000.00 0 Pcs Rp - 0 Pcs
235 Strip Glukosa EASY TOUCH 0 pcs Rp - Rp 5,500.00 0 pcs Rp - 0 pcs
236 Strip Glukosa EASY TOUCH 0 pcs Rp - Rp 5,500.00 0 pcs Rp - 0 pcs
237 Strip Glukosa NESCO 0 Pcs Rp - Rp 5,500.00 0 Pcs Rp - 0 Pcs
238 Strip Kolesterol EASY TOUCH 0 Pcs Rp - Rp 22,000.00 0 Pcs Rp - 0 Pcs
239 Sukralfat / Ulsafate sirup 0 Botol Rp - Rp 4,989.00 0 Botol Rp - 0 Botol
240 Tablet Tambah Darah 0 Tablet Rp - Rp 226.00 13000 Tablet Rp 2,938,000.00 2,380 Tablet
241 Tablet Tambah darah 0 Tablet Rp - Rp 226.00 0 Tablet Rp - 0 Tablet
242 Tetrasiklin 500 mg 0 Kapsul Rp - Rp 323.00 0 Kapsul Rp - 0 Kapsul
243 Thiamin (Vit B 1) tab 50 mg 0 Tablet Rp - Rp 156.20 0 Tablet Rp - 0 Tablet
244 THIAMIN (VIT B1) TAB 50 MG 0 Tablet Rp - Rp 85.00 0 Tablet Rp - 0 Tablet
245 Tiamin (Vit B1) 50 mg 0 Tablet Rp - Rp 253.00 0 Tablet Rp - 0 Tablet
246 Tranfusi set 0 Botol Rp - Rp 8,500.00 0 Botol Rp - 0 Botol
247 Trifluoperazine 5 mg 0 Tablet Rp - Rp 220.00 0 Tablet Rp - 0 Tablet
248 Triheksipenidil 2 mg 0 Tablet Rp - Rp 63.00 5000 Tablet Rp 315,000.00 1,644 Tablet
249 Ultrasonic gel 0 Pcs Rp - Rp 16,000.00 0 Pcs Rp - 0 Pcs
250 UnderPad 0 Botol Rp - Rp 4,785.00 80 Botol Rp 382,800.00 30 Botol
251 Urine bag(KMP/SCP) 0 Pcs Rp - Rp 5,700.00 0 Pcs Rp - 0 Pcs
252 Vicalcin sirup 0 Botol Rp - Rp 7,024.60 0 Botol Rp - 0 Botol
253 Vitamin B Kompleks 0 Tablet Rp - Rp 89.00 0 Tablet Rp - 0 Tablet
254 Vitamin B-Compleks(DEF) 0 Tablet Rp - Rp 44.00 0 Tablet Rp - 0 Tablet
255 Vitamin B-Compleks(DEF) 0 Tablet Rp - Rp 71.50 3000 Tablet Rp 214,500.00 1,150 Tablet
256 Zinc sulfat 20 mg 0 Tablet Rp - Rp 524.00 0 Tablet Rp - 0 Tablet
257 Zink sir 20 mg/5 ml 0 Botol Rp - Rp 2,489.00 0 Botol Rp - 0 Botol
258 Zink Tablet 0 Tablet Rp - Rp 524.00 0 Tablet Rp - 0 Tablet
259 Clozapine 25mg 0 Tablet Rp - Rp 1,121.00 0 Tablet Rp - 0 Tablet
260 Diazepam 5 mg Tab 0 Tablet Rp - Rp 108.00 0 Tablet Rp - 0 Tablet
261 DIAZEPAM INJ 0 ampul Rp - Rp 1,545.00 0 ampul Rp - 0 ampul
262 FDC Kategori 1 0 paket Rp - Rp 416,696.00 0 paket Rp - 0 paket
263 FDC Kategori Anak 0 paket Rp - Rp 248,120.00 0 paket Rp - 0 paket
264 Fluphenazine/Sikzonoate 25 inj 0 Ampul Rp - Rp 63,500.00 0 Ampul Rp - 0 Ampul
265 Haldol Decanoas 50 mg inj 0 Ampul Rp - Rp 109,000.00 0 Ampul Rp - 0 Ampul
266 Haloperidol 5 mg inj 0 Ampul Rp - Rp 1,190.00 0 Ampul Rp - 0 Ampul
267 Haloperidol 5 mg tab 0 Tablet Rp - Rp 54.00 0 Tablet Rp - 0 Tablet
268 Larutan Ziehl Nielsen 0 Paket Rp - Rp 172,527.00 0 Paket Rp - 0 Paket
269 MDT Kusta MB Dewasa 0 Paket Rp - Rp 40,128.00 6 Paket Rp 240,768.00 1 Paket
270 Pot Sputum 0 Pot Rp - Rp 2,728.00 0 Pot Rp - 0 Pot
271 Reagent HbsAg tes 0 test Rp - Rp 1.00 0 test Rp - 0 test
272 Risperidon 2 mg 0 Tablet Rp - Rp 123.00 200 Tablet Rp 24,600.00 50 Tablet
273 Trifluoperazine 5 mg 0 Tablet Rp - Rp 287.00 0 Tablet Rp - 0 Tablet
274 Triheksipenidil 2 mg 0 Tablet Rp - Rp 91.00 0 Tablet Rp - 0 Tablet
275 Reagent Syphillis 0 test Rp - Rp 20,400.00 0 test Rp - 0 test
276 Aqua PI 0 Botol Rp - Rp 2,860.00 0 Botol Rp - 0 Botol
278 retinol (vit A ) 200000 IU 0 Kapsul Rp - Rp 553.00 1750 Kapsul Rp 967,750.00 1,750 Kapsul
279 Amoksisilin kapl 500 mg 0 Tablet Rp - Rp 249.00 1200 Tablet Rp 298,800.00 1,200 Tablet
280 Glukosa infus 5% 0 botol Rp - Rp 6,627.50 0 botol Rp - 0 botol
281 Natrium Chlorida infus 0,9% 0 botol Rp - Rp 6,800.20 0 botol Rp - 0 botol
282 Ringer Laktat larutan infus 0 botol Rp - Rp 7,629.60 0 botol Rp - 0 botol
283 Amoksisilin 125 mg/5 ml sirup keri 0 Botol Rp - Rp 2,050.00 0 Botol Rp - 0 Botol
284 Karbamazepin 200 mg 0 Tablet Rp - Rp 189.00 0 Tablet Rp - 0 Tablet
285 Kotrimoksasol suspensi 240mg 0 botol Rp - Rp 2,100.00 0 botol Rp - 0 botol
286 Kalsium Laktat 0 Tablet Rp - Rp 60.01 0 Tablet Rp - 0 Tablet
287 Parasetamol sirup 120 mg/5ml 0 Botol Rp - Rp 1,161.00 0 Botol Rp - 0 Botol
288 Canule O2 dewasa 0 Buah Rp - Rp 6,130.00 0 Buah Rp - 0 Buah
289 IV Catheter No 18 NOUSHED 0 pcs Rp - Rp 5,995.00 0 pcs Rp - 0 pcs
290 IV Catheter No 20 NOUSHED 0 Pcs Rp - Rp 5,995.00 0 Pcs Rp - 0 Pcs
291 IV Catheter No 22 NOUSHED 0 Pcs Rp - Rp 5,995.00 0 Pcs Rp - 0 Pcs
292 Alopurinol 100mg 0 tablet Rp - Rp 105.00 0 tablet Rp - 0 tablet
293 Amoksisilin kapl 500 mg 0 tablet Rp - Rp 249.00 3000 tablet Rp 747,000.00 1,274 tablet
294 Amoksisilin kapl 500 mg 0 tablet Rp - Rp 253.00 0 tablet Rp - 0 tablet
295 Antasida DOEN tab 0 tablet Rp - Rp 58.00 0 tablet Rp - 0 tablet
296 Asam Askorbat ( Vit.C ) 50 mg 0 tablet Rp - Rp 105.00 0 tablet Rp - 0 tablet
297 Kotrimoksasol suspensi 0 botol Rp - Rp 2,190.00 0 botol Rp - 0 botol
298 Lidocain injeksi 2% + Epineprin 1: 0 ampul Rp - Rp 1,229.00 0 ampul Rp - 0 ampul
299 Natrium Klorida infus 0.9% 0 botol Rp - Rp 6,840.00 20 botol Rp 136,800.00 0 botol
300 Parasetamol sirup 120 mg/5ml 0 botol Rp - Rp 1,181.00 0 botol Rp - 0 botol
301 Ringer Laktat larutan infus 0 botol Rp - Rp 7,630.00 0 botol Rp - 0 botol
302 Prednison 5 mg Tablet Rp - Rp 1.00 0 Tablet Rp - 0 Tablet
303 Propanolol 10 mg tab Tablet Rp - Rp 1.00 0 Tablet Rp - 0 Tablet
304 Propanolol 40 mg tab TabletRp - Rp 1.00 0 Tablet Rp - 0 Tablet
305 Zink 20 mg tab TabletRp - Rp 1.00 0 Tablet Rp - 0 Tablet
306 Haloperidol 1.5mg tab Tablet Rp - Rp 1.00 0 Tablet Rp - 0 Tablet
307 Alprazolam 0,5 mg Tablet Rp - Rp 78.00 0 Tablet Rp - 0 Tablet
308 Diazepam 5 mg Tab Tablet Rp - Rp 108.00 0 Tablet Rp - 0 Tablet
309 Parasetamol sirup 120 mg/5ml Botol Rp - Rp 1,161.00 0 Botol Rp - 0 Botol
310 Triheksipenidil 2 mg Tablet Rp - Rp 63.00 0 Tablet Rp - 0 Tablet
311 Ketokonazol 200 mg tab Tablet Rp - Rp 252.00 0 Tablet Rp - 0 Tablet
312 Asam Mefenamat 500 mg Tablet Rp - Rp 111.00 0 Tablet Rp - 0 Tablet
313 Metilprednisolon 4 mg tab Tablet Rp - Rp 102.00 0 Tablet Rp - 0 Tablet
314 Ranitidin 150 mg Tablet Rp - Rp 85.00 0 Tablet Rp - 0 Tablet
315 Simvastatin tablet 10 mg Tablet Rp - Rp 68.00 0 Tablet Rp - 0 Tablet
316 Allopurinol 100mg tab Tablet Rp - Rp 87.00 0 Tablet Rp - 0 Tablet
317 Amoksisilin kapl 500 mg Tablet Rp - Rp 201.00 0 Tablet Rp - 0 Tablet
318 Ciprofloxacin 500 mg Tablet Rp - Rp 248.00 0 Tablet Rp - 0 Tablet
319 Glimepiride 2 mg tab Tablet Rp - Rp 123.00 0 Tablet Rp - 0 Tablet
320 SD Bioline HIV/Syphillis Duo Test Rp - Rp 17,563.84 0 Test Rp - 0 Test
321 Isosorbide Dinitrate tab Tablet Rp - Rp 86.00 0 Tablet Rp - 0 Tablet
322 Serum ABU Vial Rp - Rp 517,132.00 0 Vial Rp - 0 Vial
323 Serum ATS 1500 IU ampul Rp - Rp 138,924.50 0 ampul Rp - 0 ampul
0
JUMLAH Rp 37,866,843.22 Rp 30,146,740.20
Mengetahui
Kepala UPTD Puskesmas Medang
Sulistyaningsih, S.Kep,Ns
NIP. 19670919 199503 2 001
mas Medang dengan hasil sebagai berikut:
ari s/d 31 Maret 2022) Sisa (31 Maret 2022 )

Harga Jumlah Nilai Harga Jumlah Nilai Harga
14 15 16 17 18 19 20
Rp 28,710.00 70 Pcs Rp 66,990.00 0 Pcs Rp -
Rp 9,130.33 0 Pcs Rp - 0 Pcs Rp -
Rp 19,425.00 19 Pcs Rp 17,575.00 0 Pcs Rp -
Rp 4,480.00 0 Pcs Rp - 0 Pcs Rp -
Rp 4,554.00 34 Pcs Rp 25,806.00 0 Pcs Rp -
Rp 52,965.00 360 Tablet Rp 35,640.00 0 Tablet Rp -
Rp 330,000.00 0 Botol Rp - 0 Botol Rp -
Rp 44,338.00 12 Supp Rp 38,004.00 0 Supp Rp -
Rp 14,300.00 0 ampul Rp - 0 ampul Rp -
Rp - 200 Tablet Rp 44,000.00 0 Tablet Rp -
Rp - 50 tube Rp 275,000.00 0 tube Rp -
Rp 99,000.00 20 Tube Rp 110,000.00 0 Tube Rp -
Rp 13,744.00 0 Ampul Rp - 0 Ampul Rp -
Rp 70,400.00 1 botol Rp 4,400.00 0 botol Rp -
Rp 51,997.00 1 pcs Rp 5,199.70 0 pcs Rp -
Rp - 1 Buah Rp 5,500.00 0 Buah Rp -
Rp 122,400.00 0 Buah Rp - 0 Buah Rp -
Rp - 22 pcs Rp 110,000.00 0 pcs Rp -
Rp 45,000.00 0 pcs Rp - 0 pcs Rp -
Rp 99,360.00 0 pcs Rp - 0 pcs Rp -
Rp 4,620.00 8 Ampul Rp 7,392.00 0 Ampul Rp -
Rp 11,663.00 216 Tab Rp 23,544.00 0 Tab Rp -
Rp 37,719.00 1 supp Rp 12,573.00 0 supp Rp -
Rp 209,000.00 0 Can Rp - 0 Can Rp -
Rp 1,439,940.00 20 Paket Rp 7,199,700.00 0 Paket Rp -
Rp 50,050.00 0 botol Rp - 0 botol Rp -
Rp - 1,430 Tablet Rp 244,515.70 0 Tablet Rp -
Rp - 6 botol Rp 16,584.00 0 botol Rp -
Rp - 24 Botol Rp 79,200.00 0 Botol Rp -
Rp 51,700.00 4 Rol Rp 41,360.00 0 Rol Rp -
Rp 17,110.00 3 Pcs Rp 51,330.00 0 Pcs Rp -
Rp 98,975.00 9 Tube Rp 24,075.00 0 Tube Rp -
Rp 31,059.00 1,304 Tablet Rp 155,176.00 0 Tablet Rp -
Rp - 20 Botol Rp 132,540.00 0 Botol Rp -
Rp - 75 Pcs Rp 145,425.00 0 Pcs Rp -
Rp 106,425.00 51 Tube Rp 126,225.00 0 Tube Rp -
Rp - 10 Ampul Rp 51,618.18 0 Ampul Rp -
Rp 36,300.00 12 Pot Rp 72,600.00 0 Pot Rp -
Rp 191,070.00 22 pcs Rp 127,380.00 0 pcs Rp -
Rp 14,388.00 26 pcs Rp 93,522.00 0 pcs Rp -
Rp 17,500.00 0 Pcs Rp - 0 Pcs Rp -
Rp - 23 Pcs Rp 180,987.00 0 Pcs Rp -
Rp 192,940.00 45 pcs Rp 347,292.00 0 pcs Rp -
Rp 23,307.00 44 Pcs Rp 341,836.00 0 Pcs Rp -
Rp - 38 Pcs Rp 292,372.00 0 Pcs Rp -
Rp 45,980.00 22 Pot Rp 91,960.00 0 Pot Rp -
Rp 20,600.00 1 pcs Rp 20,600.00 0 pcs Rp -
Rp 7,000.00 0 pcs Rp - 0 pcs Rp -
Rp 79,710.00 0 Rol Rp - 0 Rol Rp -
Rp 21,000.00 0 pcs Rp - 0 pcs Rp -
Rp 79,800.00 0 Tube Rp - 0 Tube Rp -
Rp 142,786.00 4 Tube Rp 12,152.00 0 Tube Rp -
Rp 14,566.00 200 Buah Rp 29,132.00 0 Buah Rp -
Rp - 6 ampul Rp 22,776.00 0 ampul Rp -
Rp 51,210.00 28 Tube Rp 95,592.00 0 Tube Rp -
Rp 1,051,578.00 0 Tablet Rp - 0 Tablet Rp -
Rp 286,000.00 8 tube Rp 176,000.00 0 tube Rp -
Rp 28,560.00 0 Tablet Rp - Tablet Rp -
Rp 71,064.00 5 Rol Rp 177,660.00 0 Rol Rp -
Rp 42,000.00 33 Pcs Rp 92,400.00 0 Pcs Rp -
Rp 1,434,000.00 100 Tes Rp 1,434,000.00 0 Tes Rp -
Rp 246,250.00 0 test Rp - 0 test Rp -
Rp 5,240.00 0 Pot Rp - 0 Pot Rp -
Rp 74,800.00 8 pcs Rp 17,600.00 0 pcs Rp -
Rp 118,250.00 1 tube Rp 11,825.00 0 tube Rp -
Rp 1,571,988.00 0 Ampul Rp - 0 Ampul Rp -
Rp 243,600.00 0 Pcs Rp - 0 Pcs Rp -
Rp - 75 test Rp 290,400.00 0 test Rp -
test test
Rp 940,800.00 10 Rp 235,200.00 0 Rp -
Tablet Tablet
Rp 90,400.00 0 Rp - 0 Rp -
Rp 161,500.00 0 Kapsul Rp - 0 Kapsul Rp -
Rp 239,982.97 18 pcs Rp 179,987.23 0 pcs Rp -
Tablet Tablet
Rp 157,430.00 0 Rp - 0 Rp -
Rp 87,067.20 728 Tablet Rp 233,032.80 Tablet Rp -
Rp - Pcs Rp - Pcs Rp -
Rp 59,598.00 214 Pcs Rp 148,302.00 Pcs Rp -
Rp - 100 Pcs Rp 66,100.00 Pcs Rp -
Rp 1,728,000.00 0 Tablet Rp - Tablet Rp -
Rp - Set Rp - Set Rp -
Rp - Tablet Rp - Tablet Rp -
Rp 147,628.80 128 Botol Rp 262,451.20 Botol Rp -
Rp - botol Rp - botol Rp -
Rp - Vial Rp - Vial Rp -
Rp - 2,000 Tablet Rp 116,000.00 Tablet Rp -
Rp - 1,500 Tablet Rp 87,000.00 Tablet Rp -
Rp - Pot Rp - Pot Rp -
Rp - SuppositoriaRp - SuppositoriaRp -
Rp 85,890.00 2,955 Tablet Rp 124,110.00 Tablet Rp -
Rp 122,655.00 3,895 Tablet Rp 432,345.00 Tablet Rp -
Rp - Softbag Rp - Softbag Rp -
Rp - Tube Rp - Tube Rp -
Rp - 10 Ampul Rp 17,180.00 Ampul Rp -
Rp - Buah Rp - Buah Rp -
Rp - 40 Pcs Rp 204,000.00 Pcs Rp -
Rp 5,100.00 39 Buah Rp 198,900.00 Buah Rp -
Rp 44,160.00 12 Pcs Rp 66,240.00 Pcs Rp -
Rp - Ampul Rp - Ampul Rp -
Rp - ampul Rp - ampul Rp -
Rp - 5 Tube Rp 62,865.00 Tube Rp -
Rp - 10 ampul Rp 14,080.00 ampul Rp -
Rp - 20 Botol Rp 55,800.00 Botol Rp -
Rp - paket Rp - paket Rp -
Rp - Paket Rp - Paket Rp -
Rp - 10 Rol Rp 103,400.00 Rol Rp -
Rp 4,112.00 84 Sachet Rp 21,588.00 Sachet Rp -
Rp - 1000 Tablet Rp 371,800.00 Tablet Rp -
Rp - Botol Rp - Botol Rp -
Rp - Pasang Rp - Pasang Rp -
Rp - 300 Pasang Rp 597,300.00 Pasang Rp -
Rp - test Rp - test Rp -
Rp - 50 pcs Rp 289,500.00 pcs Rp -
Rp - pcs Rp - pcs Rp -
Rp - Sachet Rp - Sachet Rp -
Rp - 5 Sachet Rp 62,500.00 Sachet Rp -
Rp - Rol Rp - Rol Rp -
Rp 72,000.00 16 pcs Rp 8,000.00 pcs Rp -
Rp 53,140.00 80 Rol Rp 212,560.00 Rol Rp -
Rp 26,565.00 15 Rol Rp 11,385.00 Rol Rp -
Rp 19,950.00 9 Tube Rp 59,850.00 Tube Rp -
Rp - Supposit Rp - Supposit Rp -
Rp - tube Rp - tube Rp -
Rp 133.00 1499 Tablet Rp 199,367.00 Tablet Rp -
Rp - Kapsul Rp - Kapsul Rp -
Rp 36,870.00 60 Ampul Rp 73,740.00 Ampul Rp -
Rp - 12 Vial Rp 49,080.00 Vial Rp -
Rp 110,000.00 200 pcs Rp 110,000.00 pcs Rp -
Rp - 20 Tube Rp 339,740.00 Tube Rp -
Rp 144,000.00 132 Tablet Rp 1,056,000.00 Tablet Rp -
Rp 143,910.00 170 botol Rp 188,190.00 botol Rp -
Rp - 20 Pcs Rp 56,000.00 Pcs Rp -
Rp - 25 Tes Rp 358,500.00 Tes Rp -
Rp 246,250.00 200 test Rp 1,970,000.00 test Rp -
Rp 172,200.00 Kapsul Rp - Kapsul Rp -
Rp 829,500.00 Kapsul Rp - Kapsul Rp -
Rp - 24 pot Rp 67,104.00 pot Rp -
Rp - pot Rp - pot Rp -
Rp 300.00 Tablet Rp - Tablet Rp -
Rp - Strip Rp - Strip Rp -
Rp 537,880.00 10620 Tablet Rp 2,400,120.00 Tablet Rp -
Rp 40,128.00 5 Paket Rp 200,640.00 Paket Rp -
Rp 967,750.00 0 Kapsul Rp - Kapsul Rp -
Rp - tablet Rp - tablet Rp -
Rp 317,226.00 1726 tablet Rp 429,774.00 tablet Rp -
Rp - 20 botol Rp 136,800.00 botol Rp -
Rp - Test Rp - Test Rp -
Rp 32,731,941.07 Rp 35,281,642.34 Rp -
Pengelola Obat UPTD Puskesmas Medang
Sandra Puspa Kartika

NIP. 19950315201902 2 010
REKAPITULASI BERITA ACARA MUTASI PERSEDIAAN OBAT DAN PERBEKKES
PUSKESMAS SE-KAB BLORA TW 1 TAHUN 2022
NO PUSKESMAS SALDO AWAL PENAMBAHAN PENGURANGAN SISA BAIK SALDO TOTAL

1 BANJAREJO Rp 19,539,026.06 Rp 56,248,926.00 Rp 49,594,342.54 Rp ###
###
26,193,609.52
### ###
Rp19,539,026.06 Rp - .00 Rp 19,539,026.06
2 BLORA Rp 36,684,449.53 Rp 100,900,296.80 Rp 106,746,902.44 Rp ###
###
30,837,843.89
### ###
Rp36,684,449.53 Rp - .00 Rp 36,684,449.53
3 BOGOREJO Rp 50,902,553.65 Rp 15,451,008.00 Rp 32,980,753.89 Rp ###
###
33,339,897.76
### ###
Rp50,902,553.65 Rp - .00 Rp 50,902,553.65
4 CEPU Rp 35,461,356.98 Rp 102,395,627.60 Rp 86,877,162.84 Rp ###
50,979,821.74
### ###
Rp35,461,356.98 Rp - .00 Rp 35,461,356.98
5 DOPLANG Rp 26,082,857.70 Rp 36,979,672.16 Rp 36,996,349.76 Rp ###
###
26,066,180.10
### ###
Rp26,082,857.70 Rp - .00 Rp 26,082,857.70
6 GONDORIYO Rp 41,946,371.95 Rp 16,646,015.20 Rp 31,724,432.28 Rp ###
###
26,536,004.27
### ###
Rp41,946,371.95 Rp - .00 Rp 41,946,371.95
7 JAPAH Rp 40,272,278.32 Rp 58,269,136.36 Rp 57,760,384.28 Rp ###
###
40,781,030.41
### ###
Rp40,272,278.32 Rp - .00 Rp 40,272,278.32
8 JEPON Rp 39,352,937.55 Rp 21,750,535.00 Rp 30,632,777.21 Rp ###
###
28,064,125.33
### ###
Rp39,352,937.55 Rp - .00 Rp 39,352,937.55
9 JIKEN Rp 71,876,843.25 Rp 35,963,591.36 Rp 66,104,650.11 Rp ###
###
41,735,784.50
### ###
Rp71,876,843.25 Rp - .00 Rp 71,876,843.25
10 KAPUAN Rp 21,903,266.26 Rp 30,279,290.98 Rp 26,844,778.44 Rp ###
###
25,337,778.80
### ###
Rp21,903,266.26 Rp - .00 Rp 21,903,266.26
11 KEDUNGTUBAN Rp 30,749,452.96 Rp 38,432,227.36 Rp 33,429,482.03 Rp ###
35,347,261.29
### ###
Rp30,749,452.96 Rp - .00 Rp 30,749,452.96
12 KETUAN Rp 54,941,415.41 Rp 19,636,424.00 Rp 45,080,861.68 Rp ###
###
29,496,977.73
### ###
Rp54,941,415.41 Rp - .00 Rp 54,941,415.41
13 KUNDURAN Rp 74,502,412.28 Rp 62,634,274.75 Rp 67,823,137.79 Rp ###
###
69,313,549.24
### ###
Rp74,502,412.28 Rp - .00 Rp 74,502,412.28
14 KUTUKAN Rp 20,758,455.94 Rp 29,143,139.00 Rp 27,226,342.30 Rp ###
###
22,675,252.64
### ###
Rp20,758,455.94 Rp - .00 Rp 20,758,455.94
15 MEDANG Rp 37,866,843.22 Rp 30,146,740.20 Rp 32,731,941.07 Rp ###
###
35,281,642.34
### ###
Rp37,866,843.22 Rp - .00 Rp 37,866,843.22
16 MENDEN Rp 48,396,784.96 Rp 27,975,500.00 Rp 25,918,101.84 Rp ###
###
50,454,183.12
### ###
Rp48,396,784.96 Rp - .00 Rp 48,396,784.96
17 NGAWEN Rp 71,342,337.49 Rp 53,208,000.40 Rp 77,315,498.69 Rp ###
###
47,234,839.20
### ###
Rp71,342,337.49 Rp - .00 Rp 71,342,337.49
18 NGROTO Rp 50,240,301.36 Rp 15,433,034.00 Rp 34,223,339.72 Rp ###
###
31,449,995.64
### ###
Rp50,240,301.36 Rp - .00 Rp 50,240,301.36
19 PULEDAGEL Rp 36,966,663.13 Rp 33,341,878.00 Rp 40,994,049.01 Rp ###
###
29,314,492.12
### ###
Rp36,966,663.13 Rp - .00 Rp 36,966,663.13
20 RANDUBLATUNG Rp 55,287,524.18 Rp 47,202,062.00 Rp 68,863,243.71 Rp ###
###
31,886,012.47
### ###
Rp55,287,524.18 Rp - .00 Rp 55,287,524.18
21 RANDULAWANG Rp 33,963,744.10 Rp 15,634,002.00 Rp 22,651,204.85 Rp ###
###
26,946,541.25
### ###
Rp33,963,744.10 Rp - .00 Rp 33,963,744.10
22 ROWOBUNGKUL Rp 48,601,702.34 Rp 42,968,242.98 Rp 49,449,047.38 Rp ###
###
42,120,897.94
### ###
Rp48,601,702.34 Rp - .00 Rp 48,601,702.34
23 SAMBONG Rp 26,204,945.48 Rp 32,780,140.38 Rp 40,024,900.85 Rp ###
###
18,960,185.01
### ###
Rp26,204,945.48 Rp - .00 Rp 26,204,945.48
24 SONOKIDUL Rp 32,713,246.40 Rp 27,587,986.00 Rp 39,006,937.76 Rp ###
###
21,294,294.64
### ###
Rp32,713,246.40 Rp - .00 Rp 32,713,246.40
25 TODANAN Rp 75,441,865.62 Rp 43,988,560.00 Rp 76,693,774.54 Rp ###
###
42,736,651.08
### ###
Rp75,441,865.62 Rp - .00 Rp 75,441,865.62
26 TUNJUNGAN Rp 42,789,588.97 Rp 34,898,604.00 Rp 36,142,916.81 Rp ###
###
41,545,276.16
### ###
Rp42,789,588.97 Rp - .00 Rp 42,789,588.97
27 GUDANG FARMASI Rp 2,319,763,897.18 Rp 2,317,696,617.94 Rp 1,029,188,514.54 Rp ###
### Rp2,319,763,897.18
3,565,361,246.58
### ### Rp 0.00 Rp2,319,763,897.18
###
JUMLAH Rp 3,444,553,122.26 Rp ###
###
4,471,291,374.77
### ###
Rp 1,124,789,225.08
Mengetahui
Kepala UPTD Gudang Farmasi Pengelola Obat
Kabupaten Blora
Neny Setyaningrum, S.Si., Apt, MM Wahyu Ariyanto

Pembina NIP.19840130 201001 1 015
NIP.19780325 200312 2 008
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 0.00
hu
n
Du
a
Du
UPTD PUSKESMAS MENDEN
a
SKPD
Pul : DINAS
No./
KESEHATAN
uh Tgl.
Sura
tela t
dila
No
Tan ar
Barang-barang bulan
Harga Satuan
Penambahan 2020)
nak aan/
an Pen
1 2 gelu3 4 5 6 7 8 10 11
ora
tasi
Alat Suntik 5 ml 5 Pcs 0 Pcs
ob5 Rp 3,650.00 Rp 730.00 Rp -
at6 Alopurinol 100 mg 320 Tablet Rp 33,600.00 Rp 105.00 0 Tablet Rp -

UP7 Ambroxol 30 mg tab 1,080 Tablet Rp 124,740.00 Rp 115.50 0 Tablet Rp -
TD8 Aminofilin 200mg tab 407 Tablet Rp 38,665.00 Rp 95.00 0 Tablet Rp -
Gu9 Amoksisilin kapl 500 mg 7,230 Tablet Rp 1,453,230.00 Rp 201.00 0 Tablet Rp -
da
ng
11
Far Antasida DOEN susp 44 Botol Rp 73,876.00 Rp 1,679.00 0 Botol Rp -
ma12 Antasida DOEN tab 2,040 Tablet Rp 118,320.00 Rp 58.00 0 Tablet Rp -
si13 Asam Askorbat ( Vit.C ) 50 mg 2,000 Tablet Rp 84,000.00 Rp 42.00 0 Tablet Rp -
de14 Asam Askorbat (Vit. C) 50 mg 45 Tablet Rp 4,725.00 Rp 105.00 0 Tablet Rp -
ng15 Asam folat 1 mg 500 Tablet Rp 37,500.00 Rp 75.00 0 Tablet Rp -
an Asam Mefenamat 500 mg 0 Tablet
16 7,030 Tablet Rp 780,330.00 Rp 111.00 Rp -
has
Asering 96 Softbag Rp 0 Softbag
il17 926,016.00 Rp 9,646.00 Rp -
18
seb Asiklovir 400 mg tab 979 Tablet Rp 396,495.00 Rp 405.00 0 Tablet Rp -
ag19 Asiklovir Krim 24 tube Rp 132,000.00 Rp 5,500.00 0 tube Rp -
ai20 Atropin Sulfat inj 19 Ampul Rp 32,642.00 Rp 1,718.00 0 Ampul Rp -
ber
ikut
:
25 Catgut Chromic 3/0 48 buah Rp 508,800.00 Rp 10,600.00 0 buah Rp -
26 Clozapine tab 25 mg 500 Tablet Rp 2,500,000.00 Rp 5,000.00 0 Tablet Rp -
34 Dimenhidrinat tab 50 mg 1,070 Tablet Rp 115,560.00 Rp 108.00 0 Tablet Rp -
36 Elastic verban 3" (FM Crepe) 54 Rol Rp 1,063,854.00 Rp 19,701.00 0 Rol Rp -
37 Elastic verban 4" (FM Crepe) 79 Rol Rp 1,902,241.00 Rp 24,079.00 0 Rol Rp -
41 Fenobarbital Tab 30 mg 1,500 Tablet Rp 256,485.00 Rp 170.99 0 Tablet Rp -
45 Folley Catheter 18 10 pcs Rp 108,900.00 Rp 10,890.00 0 pcs Rp -
57 Infuset dewasa type Y 200 Pcs Rp 1,263,200.00 Rp 6,316.00 0 Pcs Rp -
62 IV Catheter No 18 240 Buah Rp 1,156,320.00 Rp 4,818.00 0 Buah Rp -
71 KOTRIMOKSAZOL 480 MG TAB 1,581 Tablet Rp 197,625.00 Rp 125.00 0 Tablet Rp -
73 Leukoband/Soffband 3' 2 Buah Rp 25,278.00 Rp 12,639.00 0 Buah Rp -
74 Leukoband/Soffband 4" 2 Buah Rp 30,800.00 Rp 15,400.00 0 Buah Rp -
75 Leukoband/Soffband 6" 1 Buah Rp 22,550.00 Rp 22,550.00 0 Buah Rp -
77 Metampiron 500 mg 5,235 Tablet Rp 2,073,060.00 Rp 396.00 0 Tablet Rp -
81 Metronidazol 250 mg 2,000 Tablet Rp 1,050,000.00 Rp 525.00 0 Tablet Rp -
82 Metronidazol 500 mg 1,324 Botol Rp 164,176.00 Rp 124.00 0 Botol Rp -
84 Minyak Kayu Putih 60 ml 11 Botol 60 ml Rp 266,200.00 Rp 24,200.00 0Botol 60 mlRp -
85 NaCl 0,9% 500 ml 64 botol Rp 437,760.00 Rp 6,840.00 0 botol Rp -
88 Oksitetrasiklin 1% Salep Mata 19 Tube Rp 47,500.00 Rp 2,500.00 0 Tube Rp -
92 PARASETAMOL SIRUP 120 MG / 5 M 55 botol Rp 60,885.00 Rp 1,107.00 0 Tablet Rp -
99 Ringer Laktat larutan infus 18 botol Rp 137,340.00 Rp 7,630.00 0 botol Rp -
102 Serum ATS 1500 IU 5 ampul Rp 654,995.00 Rp 130,999.00 0 ampul Rp -
103 Sianokobalamin (Vit B12) 50 mcg 114 Tablet Rp 5,244.00 Rp 46.00 0 Tablet Rp -
105 Simvastatin 10 mg 1,085 Tablet Rp 126,945.00 Rp 117.00 0 Tablet Rp -
111 Tranfusi set 120 Botol Rp 1,020,000.00 Rp 8,500.00 0 Botol Rp -
20 Rp 65,000.00
36 Asering 0 Softbag Rp - Rp 9,646.00 240 Softbag Rp 2,315,040.00
39 Asiklovir Krim 0 Tube Rp - Rp 3,271.40 70 Tube Rp 228,998.00
59 Difenhidramin inj 10 mg/ml 0 ampul Rp - Rp 1,095.00 90 ampul Rp 98,550.00
134 Ketokonazol 200 mg tab 0 Tablet Rp - Rp 394.00 100 Tablet Rp 39,400.00
228 Serum ABU 0 Vial Rp - Rp 517,132.00 1 Vial Rp 517,132.00
230 Simvastatin tablet 10 mg 0 Tablet Rp - Rp 128.70 0 Tablet Rp -
306 Haloperidol 1.5mg tab TabletRp - Rp 1.00 0 Tablet Rp -
307 Alprazolam 0,5 mg TabletRp - Rp 78.00 0 Tablet Rp -
0
JUMLAH Rp 48,396,784.96 Rp 27,975,500.00

022 s/d 31 Maret 2022
SKESMAS MENDEN
Sisa (31
Desember
2020 )
13 14 15 16 17 18 19 20
84 Tablet Rp 26,888.40 406 Tablet Rp 129,960.60 0 Tablet

12 buah Rp 127,200.00 36 buah Rp 381,600.00 0 buah Rp -
2 Rol Rp 39,402.00 52 Rol Rp 1,024,452.00 0 Rol Rp -
Rol Rp - 79 Rol Rp 1,902,241.00 0 Rol Rp -
Botol Rp - 3 Botol Rp 8,370.00 0 Botol Rp -
Tablet Rp - 1,500 Tablet Rp 256,485.00 0 Tablet Rp -
Ampul Rp - 90 Ampul Rp 913,500.00 0 Ampul Rp -
8 Roll Rp 61,600.00 30 Roll Rp 231,000.00 0 Roll Rp -
Rol Rp - 25 Rol Rp 14,850.00 0 Rol Rp -
25 Tube Rp 166,250.00 -13 Tube -Rp 86,450.00 0 Tube Rp -
Paket Rp - 6 Paket Rp 1,659,000.00 0 Paket Rp -
Buah Rp - 2 Buah Rp 25,278.00 0 Buah Rp -
3,811 Tablet Rp 1,509,156.00 1,424 Tablet Rp 563,904.00 0 Tablet Rp -
Ampul Rp - 30 Ampul Rp 324,000.00 0 Ampul Rp -
309 Botol Rp 38,316.00 1,015 Botol Rp 125,860.00 0 Botol Rp -
11 Botol 60 ml Rp 266,200.00 0 Botol 60 ml Rp - 0Botol 60 ml Rp -
1 Roll Rp 12,675.00 20 Roll Rp 253,500.00 0 Roll Rp -
botol Rp - 8 botol Rp 136,444.44 0 botol Rp -
Sachet Rp - 10,000 Sachet Rp 2,260,000.00 0 Sachet Rp -
1,490 Kapsul Rp 481,270.00 0 Kapsul Rp - 0 Kapsul Rp -
SuppositoriaRp - 20 SuppositoriaRp 65,000.00 SuppositoriaRp -
240 Softbag Rp 2,315,040.00 0 Softbag Rp - Softbag Rp -
Pasang Rp - 70 Pasang Rp 245,000.00 Pasang Rp -
pcs Rp - 200 pcs Rp 1,540,000.00 pcs Rp -
194 Botol Rp 1,387,100.00 466 Botol Rp 3,331,900.00 Botol Rp -
Vial Rp - 1 Vial Rp 517,132.00 Vial Rp -
Tablet Rp - 300 Tablet Rp 300.00 Tablet Rp -
Kapsul Rp - 2,300 Kapsul Rp 1,271,900.00 Kapsul Rp -
0 tablet Rp - 3,000 tablet Rp 747,000.00 tablet Rp -
Rp 25,918,101.84 Rp 50,454,183.12 Rp -
Tiga
Puluh
Satu
Dese
mber
Tahun BERITA ACARA MUTASI OBAT DAN PERBEKKES
Ribu UPTD PUSKESMAS KAPUAN
Dua
No./
Puluh Tgl.
telah Sura
Jumlah
dilaks t
Barang yang
Das
anaka Tan ar Barang-barang bulan
diterima/dikelu
No
n Uraian (Nama Barang) Harga Satuan arkan ( 1
ggal Pen lalu ( 1 Januari 2020)
Januari s/d 31
pelap erim Saldo Penambahan
Desember
aan/
oran Pen
Jumlah Nilai Harga 2020)
Jumlah Nilai Harga
mutas
1 2 gelu3 4 5 6 7 8 10 11
i obat
1
aran
Akita Tablet 350 Tab Rp 159,005.00 Rp 454.30 0 Tab Rp -
UPTD
Guda Alat suntik 3 ml)
ng 3 100 Pcs Rp 64,000.00 Rp 640.00 0 Pcs Rp -
Farma
si 5 Alopurinol 100 mg 300 Tablet Rp 31,500.00 Rp 105.00 0 Tablet Rp -
denga
n hasil
7 Ambroxol 30mg tab 950 Tablet Rp 282,150.00 Rp 297.00 0 Tablet Rp -
sebag
ai 8 Amlodipin 10 mg 630 Tablet Rp 315,000.00 Rp 500.00 0 Tablet Rp -
beriku
9 Amlodipin 5 mg 550 Tablet Rp 41,250.00 Rp 75.00 0 Tablet Rp -
t: 10 Amoksisilin kapl 500 mg 1,650 Tablet Rp 519,750.00 Rp 315.00 0 Tablet Rp -
12 Antasida DOEN 800 Tablet Rp 46,400.00 Rp 58.00 0 Tablet Rp -
13 Antasida DOEN susp 20 Botol Rp 59,840.00 Rp 2,992.00 0 Botol Rp -
14 Antibakteri DOEN 10 Tablet Rp 30,350.00 Rp 3,035.00 0 Tablet Rp -
15 Antifungi salep komb 18 Pot Rp 80,928.00 Rp 4,496.00 0 Pot Rp -
16 Antihemoroid 8 Supp Rp 25,336.00 Rp 3,167.00 0 Supp Rp -
17 Antimigrain ( Ergotamin ) 100 Tablet Rp 18,500.00 Rp 185.00 0 Tablet Rp -
18 Asam Askorbat (Vit. C) 50 mg 1,100 Tablet Rp 115,500.00 Rp 105.00 0 Tablet Rp -
22 Asetosal 80 mg (Aspilet tab) 160 Tab Rp 15,840.00 Rp 99.00 0 Tab Rp -
29 Canule O2 dewasa 5 Pcs Rp 27,500.00 Rp 5,500.00 0 Pcs Rp -
32 Deksametason 0,5 mg 800 Tablet Rp 50,160.00 Rp 62.70 0 Tablet Rp -
37 Digoksin 0,25 mg 80 Tablet Rp 8,320.00 Rp 104.00 0 Tablet Rp -
39 Epinefrin Inj (Adrenalin)0,1% 3 Ampul Rp 4,224.00 Rp 1,408.00 0 Ampul Rp -
41 FDC Kategori 1 2 paket Rp 719,970.00 Rp 359,985.00 0 paket Rp -
42 FDC Kategori 2 1 paket Rp 1,199,985.00 Rp 1,199,985.00 0 paket Rp -
45 Fitomenadion 10 mg 780 Tablet Rp 553,800.00 Rp 710.00 0 Tablet Rp -
70 Kalium Diklofenak tablet 50 mg 500 Tablet Rp 1,050,000.00 Rp 2,100.00 0 Tablet Rp -
71 Kalsium Laktat 500 mg 400 Tablet Rp 25,200.00 Rp 63.00 0 Tablet Rp -
77 Ketokonazol 2% cr 5 Tube Rp 12,590.00 Rp 2,518.00 0 Tube Rp -
81 Kloramfenikol suspensi 125 mg/ml 50 Botol Rp 250,750.00 Rp 5,015.00 0 Botol Rp -
83 KLORF. MALEAT (CTM) TAB. 4 MG 1,000 Tablet Rp 22,000.00 Rp 22.00 0 Tablet Rp -
91 Levotiroksin Na 100 mcg 30 Tablet Rp 32,160.30 Rp 1,072.01 0 Tablet Rp -
92 Lidokain Inj 2%+Epinefrin 1:80.000 - in 40 ampul Rp 49,160.00 Rp 1,229.00 0 ampul Rp -
95 Metformin 500 mg 350 Tablet Rp 35,700.00 Rp 102.00 0 Tablet Rp -
96 Metilergometrin 0,125 mg 300 Tablet Rp 63,300.00 Rp 211.00 0 Tablet Rp -
102 OBH 0 botol Rp - Rp 11,000.00 0 botol Rp -
104 Oksitetrasiklin (Sancortmycin) Salep ku 20 tube Rp 341,000.00 Rp 17,050.00 0 tube Rp -
106 Parasetamol 500 mg 500 Tablet Rp 90,750.00 Rp 181.50 0 Tablet Rp -
116 Propranolol 10 mg 500 Tablet Rp 27,000.00 Rp 54.00 0 Tablet Rp -
118 Ranitidin Inj 25 mg/ml 10 ampul Rp 11,880.00 Rp 1,188.00 0 ampul Rp -
120 Risperidon/Persidal 2mg 700 Tablet Rp 95,475.38 Rp 136.39 0 Tablet Rp -
124 Serum ABU 2 vial Rp 1,024,408.00 Rp 512,204.00 0 vial Rp -
126 Sianokobalamin (vit B12) table 120 Tablet Rp 5,880.00 Rp 49.00 0 Tablet Rp -
128 Tablet Tambah darah 950 Tablet Rp 214,700.00 Rp 226.00 0 Tablet Rp -
131 Tiamfenikol 500 mg kapsul 100 kapsul Rp 165,000.00 Rp 1,650.00 0 kapsul Rp -
137 Urine bag 10 Buah Rp 55,000.00 Rp 5,500.00 0 Buah Rp -
140 Zink sirup 20 mg/5 ml 20 botol Rp 63,420.00 Rp 3,171.00 0 botol Rp -
13 Alprazolam 0,5 mg 0 Tablet Rp - Rp 78.00 100 Tablet Rp 7,800.00
14 Ambroxol 30 mg tab 0 Tablet Rp - Rp 115.50 500 Tablet Rp 57,750.00
30 Rp 97,500.00
42 Betahistin Mesilat 6 mg Tab 0 Tablet Rp - Rp 451.00 0 Tablet Rp -
79 Fludane/molexflu/antiza tablet/flut 0 Tablet Rp - Rp 440.00 400 Tablet Rp 176,000.00
85 Gentamisin sulfat TM 0,3% 0 Botol Rp - Rp 4,520.00 0 Botol Rp -
104 Hysin Inj 0 Ampul Rp - Rp 5,161.82 10 Ampul Rp 51,618.18
153 Levofloksasin 0 Kapsul Rp - Rp 494.00 200 Kapsul Rp 98,800.00
203 Propiltiourasil tablet 100 m 0 Tablet Rp - Rp 410.00 800 Tablet Rp 328,000.00
257 Zink sir 20 mg/5 ml 0 Botol Rp - Rp 2,489.00 108 Botol Rp 268,812.00
258 Zink Tablet 0 Tablet Rp - Rp 524.00 700 Tablet Rp 366,800.00
275 Reagent Syphillis 0 test Rp - Rp 20,400.00 25 test Rp 510,000.00
0
JUMLAH Rp 21,903,266.26 Rp 30,279,290.98
UTASI OBAT DAN PERBEKKES
2022 s/d 31 Maret 2022
USKESMAS KAPUAN
Sisa (31
Desember
2019 )
13 14 15 16 17 18 19 20
0 Tab Rp - 0 Tab Rp - 0 Tab Rp -
0 Pcs Rp - 0 Pcs Rp - 0 Pcs Rp -
0 Tablet Rp - 0 Tablet Rp - 0 Tablet Rp -
0 Botol Rp - 0 Botol Rp - 0 Botol Rp -
0 Pot Rp - 0 Pot Rp - 0 Pot Rp -
0 Supp Rp - 0 Supp Rp - 0 Supp Rp -
0 Softbag Rp - 0 Softbag Rp - 0 Softbag Rp -
0 Tube Rp - 0 Tube Rp - 0 Tube Rp -
0 botol Rp - 0 botol Rp - 0 botol Rp -
0 Buah Rp - 0 Buah Rp - 0 Buah Rp -
0 pcs Rp - 0 pcs Rp - 0 pcs Rp -
0 Ampul Rp - 0 Ampul Rp - 0 Ampul Rp -
0 supp Rp - 0 supp Rp - 0 supp Rp -
0 Can Rp - 0 Can Rp - 0 Can Rp -
0 paket Rp - 0 paket Rp - 0 paket Rp -
0 Rol Rp - 0 Rol Rp - 0 Rol Rp -
0 Roll Rp - 0 Roll Rp - 0 Roll Rp -
0 Kapsul Rp - 0 Kapsul Rp - 0 Kapsul Rp -
0 ampul Rp - 0 ampul Rp - 0 ampul Rp -
0 tube Rp - 0 tube Rp - 0 tube Rp -
0 Amp Rp - 0 Amp Rp - 0 Amp Rp -
0 Tablet Rp - 0 Tablet
Rp - 0 Tablet
Rp -
0 vial Rp - 0 vial Rp - 0 vial Rp -
0 kapsul Rp - 0 kapsul Rp - 0 kapsul Rp -
Tablet Rp - Tablet Rp - Tablet Rp -
Pcs Rp - Pcs Rp - Pcs Rp -
Set Rp - Set Rp - Set Rp -
Botol Rp - Botol Rp - Botol Rp -
botol Rp - botol Rp - botol Rp -
Vial Rp - Vial Rp - Vial Rp -
Pot Rp - Pot Rp - Pot Rp -
SuppositoriaRp - SuppositoriaRp - SuppositoriaRp -
Softbag Rp - Softbag Rp - Softbag Rp -
Tube Rp - Tube Rp - Tube Rp -
Ampul Rp - Ampul Rp - Ampul Rp -
Buah Rp - Buah Rp - Buah Rp -
ampul Rp - ampul Rp - ampul Rp -
paket Rp - paket Rp - paket Rp -
Paket Rp - Paket Rp - Paket Rp -
Rol Rp - Rol Rp - Rol Rp -
Sachet Rp - Sachet Rp - Sachet Rp -
Pasang Rp - Pasang Rp - Pasang Rp -
test Rp - test Rp - test Rp -
pcs Rp - pcs Rp - pcs Rp -
Suppositor Rp - Supposit Rp - Supposit Rp -
tube Rp - tube Rp - tube Rp -
Kapsul Rp - Kapsul Rp - Kapsul Rp -
Tes Rp - Tes Rp - Tes Rp -
pot Rp - pot Rp - pot Rp -
pot Rp - pot Rp - pot Rp -
Strip Rp - Strip Rp - Strip Rp -
tablet Rp - tablet Rp - tablet Rp -
Tablet Rp - TabletRp - TabletRp -
Test Rp - Test Rp - Test Rp -
Rp - Rp - Rp -
Puluh
Satu
Desem
ber
Tahun BERITA ACARA MUTASI OBAT DAN P
Ribu
UPTD PUSKESMAS KUTUKA
Dua
SKPD
Puluh : DINASNo./
KESEHATAN
telah Tgl.
Sura
dilaksa t
nakan Das
pelapo
No
Tan ar
Uraian (Nama Barang) Barang-barang bulan lalu ( 1 Januari 2022) Harga Satuan Jumlah Barang yang dite
ggal Pen
ran erim Saldo Penambahan
mutasi aan/
Jumlah Nilai Harga Jumlah
obat Pen
1 2 gelu3 4 5 6 7 8
UPTD aran Akita Tablet
1
Gudan 500 Tablet Rp 160,050.00 Rp 320.10 0
g 2 Alat Suntik 10 ml 80 Pcs Rp 74,000.00 Rp 925.00 0
Farma
3 Alat Suntik 5 ml 58 Pcs Rp 42,340.00 Rp 730.00 0
si 4 Albendazol 400mg tab 700 Tablet Rp 201,600.00 Rp 288.00 0
denga
5 ALLOPURINOL TAB 100 MG 750 Tablet Rp 74,250.00 Rp 99.00 0
n hasil
sebag
6 Ambroxol 30 mg tab 708 Tablet Rp 81,774.00 Rp 115.50 0
ai 7 Amlodipin 5 mg 1,165 Tablet Rp 524,250.00 Rp 450.00 0
berikut
8 Amoksisilin sirup kering 125 mg/5 ml (Solpenox Syr) 2 Botol Rp 13,200.00 Rp 6,600.00 0
: 9 Antimigrain ( Ergotamin ) 180 Tablet Rp 33,300.00 Rp 185.00 0
10 Asam Askorbat ( Vit.C ) 50 mg 94 Tablet Rp 3,948.00 Rp 42.00 0
11 Asam Folat 1 mg 100 Tablet Rp 7,500.00 Rp 75.00 0
12 Asam Mefenamat 500 mg 3,000 Tablet Rp 333,000.00 Rp 111.00 0
13 Asam Traneksamat 500 mg 100 Tablet Rp 129,600.00 Rp 1,296.00 0
14 Asering 20 Softbag Rp 192,920.00 Rp 9,646.00 0
15 Asetosal 80 mg (Miniaspi tab) 580 Tablet Rp 60,900.00 Rp 105.00 0
16 Asiklovir 400 mg tab 320 Tablet Rp 129,600.00 Rp 405.00 0
17 Asiklovir Krim 11 Tube Rp 35,985.40 Rp 3,271.40 0
18 Atropin Sulfat Inj 0,25 mg/ml 10 ampul Rp 16,390.00 Rp 1,639.00 0
19 Becefort/Arkavit/Multivitamin 310 Tablet Rp 306,900.00 Rp 990.00 0
20 Betahistin Mesilat 6 mg Tab 578 Tablet Rp 63,580.00 Rp 110.00 0
21 Betametason krim 0,1% 46 Tube Rp 61,640.00 Rp 1,340.00 0
22 Borax Gliserin 11 botol Rp 48,400.00 Rp 4,400.00 0
23 Bracket 2 Pcs Rp 44,000.00 Rp 22,000.00 0
24 Canule O2 Anak 17 pcs Rp 88,394.90 Rp 5,199.70 0
25 Canule O2 dewasa 7 Buah Rp 35,700.00 Rp 5,100.00 0
26 catgut chromic 3/0 + jarum 1/2GT 35mm 24 pcs Rp 120,000.00 Rp 5,000.00 0
27 Daryantulle/Cuticell 10x10 4 Pcs Rp 22,080.00 Rp 5,520.00 0
28 Deksametason 0,5 mg tab 61 Tablet Rp 1,952.00 Rp 32.00 0
29 Diazepam 5 mg 330 Tab Rp 35,970.00 Rp 109.00 0
30 DIAZEPAM INJ 10 ampul Rp 17,350.00 Rp 1,735.00 0
31 Diazepam rektal 10 mg/2,5 ml 5 Tube Rp 91,395.00 Rp 18,279.00 0
32 Digoksin tablet 0,25 mg 445 Tablet Rp 50,908.00 Rp 114.40 0
33 Dimenhidrinat tab 50 mg 280 Tablet Rp 30,240.00 Rp 108.00 0
34 Domperidon tablet 10 mg 751 Tablet Rp 156,959.00 Rp 209.00 0
35 Epinefrin Inj (Adrenalin)0,1% 10 ampul Rp 14,080.00 Rp 1,408.00 0
36 Etakridin lart 0,1% (Rivanol) 24 Botol Rp 36,600.00 Rp 1,525.00 0
37 Etanol 70 % 100 ml 24 Botol Rp 66,960.00 Rp 2,790.00 0
38 FDC Kategori 1 11 paket Rp 3,959,835.00 Rp 359,985.00 0
39 FDC Kategori Anak 1 paket Rp 214,985.00 Rp 214,985.00 0
40 Fenidryl Sirup 45 Botol Rp 249,925.50 Rp 5,553.90 0
41 Fenitoin 100 mg 385 Kapsul Rp 60,830.00 Rp 158.00 0
42 Fenobarbital Tab 30 mg 205 Tablet Rp 35,052.95 Rp 170.99 0
43 Fluoxetine20mg/Elizac kaps 5 Kapsul Rp 1,125.00 Rp 225.00 0
44 Folley Catheter 16 5 Rol Rp 51,700.00 Rp 10,340.00 0
45 Folley Catheter 18 5 Pcs Rp 54,450.00 Rp 10,890.00 0
46 Furosemid 40 mg 664 Tablet Rp 54,448.00 Rp 82.00 0
47 Garam oralit 40 Sachet Rp 10,280.00 Rp 257.00 0
48 Gentamisin sulfat TM 0,3% 17 Botol Rp 76,840.00 Rp 4,520.00 0
49 Gentian violet 24 Botol Rp 92,400.00 Rp 3,850.00 0
50 Glibenklamid 5 mg 1,315 Tablet Rp 186,730.00 Rp 142.00 0
51 Glimepirid 1 mg 140 Tablet Rp 24,360.00 Rp 174.00 0
52 Glimepiride 1 mg 400 Tablet Rp 69,600.00 Rp 174.00 0
53 Glimepiride 2 mg 365 Tablet Rp 75,555.00 Rp 207.00 0
54 Gliseril Guaikiolat ( GG ) 960 Tablet Rp 126,720.00 Rp 132.00 0
55 Glukosa infus 5% 15 Botol Rp 99,405.00 Rp 6,627.00 0
56 Griseofulvin tab 125 mg 200 Tablet Rp 78,540.00 Rp 392.70 0
57 Haloperidol 1,5 mg 280 Tablet Rp 16,521.12 Rp 59.00 0
58 Hidroklorotiazid ( HCT ) 745 Tablet Rp 110,260.00 Rp 148.00 0
59 Hidrokortison krim 2,5% 14 tube Rp 34,650.00 Rp 2,475.00 0
60 Ibuprofen 400 mg 98 Tablet Rp 16,170.00 Rp 165.00 0
61 Ichtyol/Ichtamolum 26 Pot Rp 157,300.00 Rp 6,050.00 0
62 Infusion Set Anak 16 pcs Rp 57,552.00 Rp 3,597.00 0
63 Isosorbid Dinitrat 5 mg 289 Tablet Rp 31,790.00 Rp 110.00 0
64 IV Catheter 22G MF Cath Pro 50 pcs Rp 385,000.00 Rp 7,700.00 0
65 IV Catheter 22G MF Cath Pro 8 Pcs Rp 61,694.86 Rp 7,711.86 0
66 IV Catheter No 18 30 Buah Rp 144,540.00 Rp 4,818.00 0
67 IV Catheter No. 24 G x 1/4 " 50 Pcs Rp 190,000.00 Rp 3,800.00 0
68 Kalium Diklofenak tablet 50 mg 210 Tablet Rp 441,000.00 Rp 2,100.00 0
69 Kalsium Glukonat Inj 10% 10 Ampul Rp 103,510.00 Rp 10,351.00 0
70 Kalsium Laktat 1,984 Tablet Rp 124,992.00 Rp 63.00 0
71 Karbamazepin 200 mg 380 Tablet Rp 93,100.00 Rp 245.00 0
72 Kassa 2 x 80 56 Roll Rp 431,200.00 Rp 7,700.00 0
73 Kassa 4 x 15 33 pcs Rp 69,300.00 Rp 2,100.00 0
74 Kassa 4 x 3 20 pcs Rp 16,800.00 Rp 840.00 0
75 Kassa 40 x 40 50 Pcs Rp 80,000.00 Rp 1,600.00 0
76 Kassa 40 x 40 4 Rol Rp 6,000.00 Rp 1,500.00 0
77 Ketokonazol 2% krim 11 Tube Rp 73,150.00 Rp 6,650.00 0
78 Ketokonazol 200 mg tab 365 Tablet Rp 143,810.00 Rp 394.00 0
79 Ketoprofen 100 mg/sup 19 SuppositoriaRp 37,962.00 Rp 1,998.00 0
80 Klem umbilical 100 Rol Rp 180,000.00 Rp 1,800.00 0
81 Kloramfenikol 250 mg 160 Tablet Rp 144,496.00 Rp 903.10 0
82 Kloramfenikol TT 3% 21 Botol Rp 161,700.00 Rp 7,700.00 0
83 Klorfeniramin (CTM) 4 mg 1,344 Tablet Rp 30,912.00 Rp 23.00 0
84 Klorpromazin 100 mg 100 Tablet Rp 24,750.00 Rp 247.50 0
85 Kotrimoksasol 480 mg 773 Tablet Rp 102,809.00 Rp 133.00 0
86 Kotrimoksasol suspensi 240mg 31 botol Rp 67,890.00 Rp 2,190.00 0
87 Lancet 100 Buah Rp 14,566.00 Rp 145.66 0
88 Larutan Ziehl Nielsen 1 Paket Rp 276,500.00 Rp 276,500.00 0
89 Levoftirosin 100 mcg 180 Tablet Rp 160,200.00 Rp 890.00 0
90 Lidokain Inj 2%+Epinefrin 1:80.000 - inj 2 ml 58 ampul Rp 71,282.00 Rp 1,229.00 0
91 Metampiron 500 mg 1,000 Tablet Rp 396,000.00 Rp 396.00 0
92 Metampiron 500 mg 214 Tablet Rp 58,850.00 Rp 275.00 0
93 Metilergometrin 0,125 mg 700 Tablet Rp 157,500.00 Rp 225.00 0
94 Metilergometrin inj 10 Ampul Rp 108,000.00 Rp 10,800.00 0
95 Metoklopramid 10 mg 22 Tablet Rp 1,760.00 Rp 80.00 0
96 Metoklopramid 5 mg 496 Tablet Rp 60,016.00 Rp 121.00 0
97 Metronidazol 125mg/5ml susp 3 botol Rp 11,850.00 Rp 3,950.00 0
98 Metronidazol 500 mg 723 Botol Rp 89,652.00 Rp 124.00 0
99 Mikonazol 2% krim 20 Tube Rp 68,280.00 Rp 3,414.00 0
100 Molexflu syrup 20 Botol Rp 125,480.00 Rp 6,274.00 0
101 Natrium Diklofenak 50 mg 260 Tablet Rp 31,980.00 Rp 123.00 0
102 Natrium Klorida infus 0.9% 28 Botol Rp 190,400.00 Rp 6,800.00 0
103 Neo kaominal 12 Botol Rp 88,860.00 Rp 7,405.00 0
104 Neocenta / Bioplacenton krim 8 Tube Rp 135,896.00 Rp 16,987.00 0
105 Nistatin 100000 IU / ml Drop 10 Botol Rp 135,000.00 Rp 13,500.00 0
106 Nistatin 100000 IU / ml Drop 6 Botol Rp 69,000.00 Rp 11,500.00 0
107 Nistatin Vagtab 100.000 IU 100 Tablet Rp 56,000.00 Rp 560.00 0
108 OB Herbal Sirup 15 Botol Rp 115,500.00 Rp 7,700.00 0
109 OBH sirup molex 60 ml 52 Botol Rp 326,268.80 Rp 6,274.40 0
110 Oksitetrasiklin 1% Salep Mata 19 Tube Rp 47,500.00 Rp 2,500.00 0
111 Parasetamol drop 72 Botol Rp 478,728.00 Rp 6,649.00 0
112 Parasetamol sirup 120 mg/5 ml 66 botol Rp 77,946.00 Rp 1,181.00 0
113 Piridoksin (Vit B6) 10 mg 551 Tablet Rp 72,181.00 Rp 131.00 0
114 Piroksikam (lexicam) tablet 20 mg 332 Tablet Rp 43,824.00 Rp 132.00 0
115 Plester 5 yard x 2 inch 6 Roll Rp 76,050.00 Rp 12,675.00 0
116 Povidon Iodida 10 % 30 ml 9 botol Rp 25,200.00 Rp 2,800.00 0
117 Povidon Iodida 10 % 300 ml 2 botol Rp 34,111.11 Rp 17,055.56 0
118 Prednison 5 mg 300 Tablet Rp 21,900.00 Rp 73.00 0
119 Propiltiourasil tablet 100 m 155 Tablet Rp 63,550.00 Rp 410.00 0
120 Ranitidin 150 mg 825 Tablet Rp 140,934.75 Rp 170.83 0
121 Ranitidin 50 mg/2 ml injeksi 30 Ampul Rp 24,420.00 Rp 814.00 0
122 Rapid Test HIV Ke - 1 ( SD ) 50 Tes Rp 717,000.00 Rp 14,340.00 0
123 Reagen gol darah Pro-D anti A 1 Botol Rp 165,000.00 Rp 165,000.00 0
124 Reagen gol darah Pro-D anti B 2 Botol Rp 330,000.00 Rp 165,000.00 0
125 Risperidon 2 mg 340 Tablet Rp 92,820.00 Rp 273.00 0
126 Salbutamol 2 mg 1,000 Tablet Rp 70,000.00 Rp 70.00 0
127 Salbutamol tablet 4 mg 48 Tablet Rp 3,360.00 Rp 70.00 0
128 Sefadroksil 500 mg 140 Tablet Rp 54,320.00 Rp 388.00 0
129 Serum ABU 1 Vial Rp 517,132.00 Rp 517,132.00 0
130 Serum ATS 1500 IU 1 Ampul Rp 130,999.00 Rp 130,999.00 0
131 Sianokobalamin (vit B12) tab 554 Tablet Rp 27,146.00 Rp 49.00 0
132 silk no 3/0 dgn jarum 27 Pcs Rp 531,900.00 Rp 19,700.00 0
133 Tablet Tambah Darah 1,000 Sachet Rp 226,000.00 Rp 226.00 0
134 Tetrasiklin 500 mg 500 Kapsul Rp 161,500.00 Rp 323.00 0
135 Tiamfenikol 500 mg kapsul 449 Tablet Rp 500,073.75 Rp 1,113.75 0
136 Tiamin (Vit B1) 50 mg 403 Tablet Rp 101,959.00 Rp 253.00 0
137 Tranfusi set 15 Botol Rp 127,500.00 Rp 8,500.00 0
138 Trifluoperazine 5 mg 385 Tablet Rp 113,960.00 Rp 296.00 0
139 Triheksipenidil 2 mg 225 Tablet Rp 14,175.00 Rp 63.00 0
140 UnderPad 20 Botol Rp 95,700.00 Rp 4,785.00 0
141 Urine bag 8 Buah Rp 44,000.00 Rp 5,500.00 0
142 Urine Bag with Hanger (PIN) 2 Pcs Rp 13,936.00 Rp 6,968.00 0
143 Vicalcin sirup 43 Botol Rp 302,057.80 Rp 7,024.60 0
144 Vitamin B Kompleks (HOLY) 1,125 Tablet Rp 93,375.00 Rp 83.00 0
1 Akita Tablet 0 Tablet Rp - Rp 320.10 0
2 Alat Suntik 1 ml 0 Pcs Rp - Rp 957.00 200
3 Alat Suntik 10 ml 0 Pcs Rp - Rp 1,287.00 0
9 Albendazol 400mg tab 0 Tablet Rp - Rp 288.00 6,000
10 Alkohol Swab 0 Set Rp - Rp 120.00 0
11 Alopurinol 100 mg 0 Tablet Rp - Rp 105.00 0
12 Alopurinol 300 mg 0 Tablet Rp - Rp 550.00 500
13 Alprazolam 0,5 mg 0 Tablet Rp - Rp 78.00 0
14 Ambroxol 30 mg tab 0 Tablet Rp - Rp 115.50 3,000
15 Amlodipin 10 mg 0 Tablet Rp - Rp 70.00 1,500
16 Amlodipin 5 mg 0 Tablet Rp - Rp 53.00 0
17 Amoksisilin 125 mg/5 ml sirup kering 0 Botol Rp - Rp 2,050.40 200
18 Amoksisilin kapl 500 mg 0 Tablet Rp - Rp 201.00 1,000
19 Amoksisilin sirup kering 0 botol Rp - Rp 3,850.00 0
20 Ampisilin serbuk 1000mg/ml 0 Vial Rp - Rp 8,237.00 0
21 Antasida DOEN susp 0 Botol Rp - Rp 1,679.00 50
22 Antasida DOEN tab 0 Tablet Rp - Rp 58.00 2,000
23 Antasida DOEN tab 0 Tablet Rp - Rp 54.00 0
24 Antasida DOEN tab 0 Tablet Rp - Rp 58.00 3,000
25 Antifungi salep komb 0 Pot Rp - Rp 4,496.00 0
26 Antifungi salep komb 0 Pot Rp - Rp 4,496.00 0
27 Antihemoroid DOEN 0 SuppositoriaRp - Rp 3,250.00 20
28 Antimigrain ( Ergotamin ) 0 Tablet Rp - Rp 185.00 0
29 Antimigrain ( Ergotamin ) 0 Tablet Rp - Rp 185.00 0
30 antiza 0 Tablet Rp - Rp 1,100.00 0
31 Asam Askorbat ( Vit.C ) 50 mg 0 Tablet Rp - Rp 42.00 3,000
32 Asam Folat 0,4 mg 0 Tablet Rp - Rp 220.00 0
33 Asam Mefenamat 500 mg 0 Tablet Rp - Rp 111.00 5,000
34 Asam Mefenamat 500 mg 0 Tablet Rp - Rp 111.00 0
35 Aseptic Gel/Sabun cuci tangan 0 botol Rp - Rp 26,500.00 0
36 Asering 0 Softbag Rp - Rp 9,646.00 0
37 Asetosal 80 mg (Miniaspi tab) 0 Tablet Rp - Rp 105.00 1,000
38 Asiklovir 400 mg tab 0 Tablet Rp - Rp 405.00 500
39 Asiklovir Krim 0 Tube Rp - Rp 3,271.40 50
40 Atropin Sulfat inj 0 Ampul Rp - Rp 1,718.00 0
41 Autoclick Lancing Device Onemed 0 Pcs Rp - Rp 17,416.00 0
42 Betahistin Mesilat 6 mg Tab 0 Tablet Rp - Rp 451.00 500
43 Bio ATP 0 Tablet Rp - Rp 2,500.00 0
44 Blue Tips 0 Buah Rp - Rp 76.50 0
45 Bracket 0 Pcs Rp - Rp 22,000.00 0
46 Canule O2 Anak 0 Pcs Rp - Rp 5,100.00 0
47 Canule O2 Bayi 0 Buah Rp - Rp 5,200.00 0
48 Canule O2 dewasa 0 Buah Rp - Rp 5,100.00 10
49 Daryantulle/Cuticell 10x10 0 Pcs Rp - Rp 5,520.00 30
50 Deksametason 0,5 mg tab 0 Tablet Rp - Rp 32.00 2,000
51 Deksametason 0,5 mg tab 0 Tablet Rp - Rp 32.00 0
52 Deksametason Inj 5 mg/ml 0 Ampul Rp - Rp 924.00 0
53 Deksametason Inj 5 mg/ml 0 Ampul Rp - Rp 924.00 0
54 Diazepam 5 mg Tab 0 Tablet Rp - Rp 108.00 500
55 DIAZEPAM INJ 0 ampul Rp - Rp 1,735.00 0
56 Diazepam rektal 5 mg/2,5 ml 0 Tube Rp - Rp 12,573.00 0
57 Difenhidramin HCL inj 10 mg/ml 0 Ampul Rp - Rp 1,095.00 0
58 Difenhidramin inj 10 mg/ml 0 Ampul Rp - Rp 1,095.00 0
59 Difenhidramin inj 10 mg/ml 0 ampul Rp - Rp 1,095.00 30
60 Digoksin tablet 0,25 mg 0 Tablet Rp - Rp 114.40 0
61 Dimenhidrinat tab 50 mg 0 Tablet Rp - Rp 108.00 0
62 Epinefrin Inj (Adrenalin)0,1% 0 ampul Rp - Rp 1,408.00 0
63 Etanol 70 % 100 ml 0 Botol Rp - Rp 2,790.00 0
64 Etil Klorida 0 botol Rp - Rp 126,500.00 0
65 FDC Kategori 1 0 paket Rp - Rp 359,985.00 0
66 FDC Kategori 1 harian 0 paket Rp - Rp 359,985.00 1
67 FDC Kategori 1 Kombipak 0 Paket Rp - Rp 288,199.00 0
68 FDC Kategori 1 Kombipak 0 paket Rp - Rp 288,199.00 0
69 FDC Kategori 2 0 paket Rp - Rp 1,199,985.00 0
70 FDC Kategori Anak 0 paket Rp - Rp 214,985.00 0
71 Fenibarbital Tab 30 mg 0 Tablet Rp - Rp 171.00 0
72 Fenidryl Sirup 0 Botol Rp - Rp 5,553.90 0
73 Fenitoin inj 0 ampul Rp - Rp 1.00 0
74 Fenobarbital 30 mg 0 Tablet Rp - Rp 171.00 400
75 Fenobarbital 30 mg 0 Tablet Rp - Rp 171.00 0
76 Fenobarbital Tab 30 mg 0 Tablet Rp - Rp 170.99 0
77 Fenol gliserol TT 10% 0 Botol Rp - Rp 3,300.00 24
78 Fitomenadion inj 2 mg/ml 0 Ampul Rp - Rp 1,386.00 60
79 Fludane/molexflu/antiza tablet/flutamol 0 Tablet Rp - Rp 440.00 2,000
80 Folley Catheter 16 0 Rol Rp - Rp 10,340.00 10
81 Garam oralit 0 Sachet Rp - Rp 257.00 100
82 gent oint / Gentamisin salep mata 0 Tube Rp - Rp 2,675.00 0
83 Gent oint / Gentamisin salep mata 0 Pcs Rp - Rp 2,665.00 0
84 GENTAMISIN KRIM salep kulit 0 Tube Rp - Rp 6,499.90 20
85 Gentamisin sulfat TM 0,3% 0 Botol Rp - Rp 4,520.00 24
86 Glibenklamid 5 mg 0 Tablet Rp - Rp 83.00 1000
87 Glimepiride 1 mg 0 Tablet Rp - Rp 371.80 0
88 Glimepiride 2 mg 0 Tablet Rp - Rp 207.00 0
89 Gliseril Guaikiolat ( GG ) 0 Tablet Rp - Rp 89.10 2000
90 Gliseril Guaikiolat ( GG )/Asetil Sistein 0 Tablet Rp - Rp 89.10 0
91 Glukosa 40% 0 Botol Rp - Rp 7,000.00 0
92 Glukosa infus 10% 0 Botol Rp - Rp 7,200.00 0
93 Glukosa infus 5% 0 Botol Rp - Rp 6,627.00 0
94 Griseofulvin 125 mg tab 0 Tablet Rp - Rp 224.00 0
95 Haloperidol 1,5 mg 0 Tablet Rp - Rp 59.00 1000
96 Haloperidol tablet 5 mg 0 Tablet Rp - Rp 54.00 0
97 Hand Sanitizer (Aseptic gel) 0 Paket Rp - Rp 26,500.00 0
98 Handscoon non steril M 0 Pasang Rp - Rp 1,991.00 0
99 Handscoon non steril M 0 Pasang Rp - Rp 1,991.00 400
100 Handscoon non steril S 0 Pasang Rp - Rp 1,991.00 250
101 HCG tes Pro-D 0 test Rp - Rp 1,900.00 0
102 Herbakof 0 Botol Rp - Rp 14,273.00 0
103 Hidrokortison 2,5% krim 0 Tube Rp - Rp 2,475.00 24
104 Hysin Inj 0 Ampul Rp - Rp 5,161.82 0
105 Ibuprofen 200 mg 0 Tablet Rp - Rp 212.00 0
106 Ibuprofen 400 mg 0 Tablet Rp - Rp 376.00 500
107 Ibuprofen suspensi 200 mg/5 ml 0 Botol Rp - Rp 3,200.00 0
108 Infuset Anak 0 Pasang Rp - Rp 3,500.00 0
109 Infuset dewasa (PKD 1) 0 pcs Rp - 5790 50
110 Infusion Set Anak 0 pcs Rp - Rp 3,597.00 0
111 ISONIAZID 100 MG TAB 0 Tablet Rp - Rp 96.91 0
112 Isosorbid Dinitrat 5 mg 0 Tablet Rp - Rp 97.90 0
113 IV Catheter 22G MF Cath Pro 0 pcs Rp - Rp 7,700.00 0
114 IV Catheter 24G MF Cath Pro 0 Pcs Rp - Rp 7,694.00 0
115 IV Catheter 24G MF Cath Pro 0 Pcs Rp - Rp 7,819.00 0
116 IV Catheter No 18 0 Buah Rp - Rp 6,000.00 0
117 Jarum Jahit kulit berbagai ukuran 0 Sachet Rp - Rp 25,000.00 3
118 Kalium Permanganat 0 botol Rp - Rp 5,500.00 0
119 Kalsium Glukonat Inj 10% 0 Ampul Rp - Rp 10,351.00 0
120 Kalsium Laktat 0 Tablet Rp - Rp 63.00 5000
121 Kapas absorben 250 gr 0 Sachet Rp - Rp 12,500.00 5
122 Kaptopril 12,5 mg tab 0 Tablet Rp - Rp 65.00 0
123 Kaptopril 12,5 mg tab 0 Tablet Rp - Rp 113.00 2000
124 Kaptopril 25 mg 0 Tablet Rp - Rp 75.00 5000
125 Karbamazepin 200 mg 0 Tablet Rp - Rp 245.00 0
126 Kartu Golongan Darah 0 Rol Rp - Rp 350.00 100
127 Kasa hydrophyl 16x16 0 pcs Rp - Rp 500.00 0
128 Kasa hydrophyl 18x22 0 pcs Rp - Rp 625.00 0
129 Kassa 2 x 80 0 Pcs Rp - Rp 9,740.00 0
130 Kassa 4 x 15 0 Rol Rp - Rp 2,657.00 0
131 Kassa 4 x 3 0 Rol Rp - Rp 759.00 0
132 Kassa 40 x 40 0 Rol Rp - Rp 1,600.00 0
133 Ketokonazol 2% krim 0 Tube Rp - Rp 6,650.00 24
134 Ketokonazol 200 mg tab 0 Tablet Rp - Rp 394.00 0
135 Ketoprofen 100 mg/sup 0 Supposit Rp - Rp 1,998.00 0
136 Klem umbilical 0 Rol Rp - Rp 1,800.00 0
137 Kloramfenikol salep mata 1% 0 tube Rp - Rp 2,007.00 0
138 Kloramfenikol TT 3% 0 Botol Rp - Rp 7,700.00 0
139 Klorfeniramin (CTM) 4 mg 0 Tablet Rp - Rp 23.00 5000
140 Klorfeniramin 4 mg (Orphen Kaplet) 0 Tablet Rp - Rp 92.40 0
141 Klorpromazin 100 mg 0 Tablet Rp - Rp 247.50 1300
142 Klorpromazin 100 mg 0 Tablet Rp - Rp 247.50 0
143 Klorpromazin Inj 25 mg/ml 0 Ampul Rp - Rp 1,243.00 0
144 Kotrimoksasol 480 mg 0 Tablet Rp - Rp 133.00 2000
145 Kotrimoksasol suspensi 0 Botol Rp - Rp 2,190.00 0
146 Kotrimoksasol suspensi 0 Botol Rp - Rp 2,051.99 0
147 Kotrimoksasol suspensi 240mg 0 botol Rp - Rp 2,190.00 0
148 KOTRIMOKSAZOL 480 MG TAB 0 Tablet Rp - Rp 125.00 0
149 Lancet 0 Buah Rp - Rp 145.66 0
150 Lancet 0 Pcs Rp - Rp 150.00 0
151 Lanzoprazol 30 mg 0 Kapsul Rp - Rp 278.00 300
152 Larutan Ziehl Nielsen 0 Paket Rp - Rp 276,500.00 0
153 Levofloksasin 0 Kapsul Rp - Rp 494.00 500
154 Levoftirosin 100 mcg 0 Tablet Rp - Rp 890.00 300
155 Lidocain injeksi 0 Ampul Rp - Rp 1,229.00 60
156 Lidocain komp injeksi 0 Ampul Rp - Rp 803.00 120
157 Magnesium Sulfat 40% 0 Vial Rp - Rp 4,090.00 0
158 Masker 0 pcs Rp - Rp 550.00 0
159 Masker 0 pcs Rp - Rp 4,800.00 0
160 Masker 0 pcs Rp - Rp 1,400.00 0
161 Masker Altamed 0 Buah Rp - Rp 1,650.00 0
162 Masker Bedah Hijab 0 Pcs Rp - Rp 1,050.00 0
163 Masterzym 0 botol Rp - Rp 1.00 0
164 MDT Kusta PB Dewasa 0 Paket Rp - Rp 9,770.00 0
165 Metampiron 500 mg (Lexagin) 0 Tablet Rp - Rp 253.00 500
166 Metformin HCl tablet 500 mg 0 Tablet Rp - Rp 207.90 2000
167 Metilergometrin inj 0 Ampul Rp - Rp 10,800.00 0
168 Metronidazol 125 mg/5ml susp 0 Botol Rp - Rp 3,765.00 0
169 Metronidazol 125mg/5ml susp 0 botol Rp - Rp 3,950.00 0
170 Metronidazol 500 mg 0 Botol Rp - Rp 124.00 300
171 Mikonazol 2% krim 0 Tube Rp - Rp 3,414.00 24
172 Mikropipet tips 0 Paket Rp - Rp 87,800.00 0
173 Molexflu syrup 0 Botol Rp - Rp 6,274.00 40
174 Natrium Diklofenak 50 mg 0 Tablet Rp - Rp 123.00 1000
175 Natrium Diklofenak 50 mg 0 Tablet Rp - Rp 99.00 0
176 Neo kaominal 0 Botol Rp - Rp 7,405.00 30
177 Neocenta / Bioplacenton krim 0 Tube Rp - Rp 16,987.00 0
178 Nistatin 100000 IU / ml Drop 0 Botol Rp - Rp 11,500.00 0
179 Nistatin Vagtab 100.000 IU 0 Tablet Rp - Rp 560.00 0
180 OB Herbal Sirup 0 Botol Rp - Rp 7,700.00 0
181 OB Herbal Sirup(OBASA) 0 Botol Rp - Rp 7,700.00 96
182 OBH sirup molex 60 ml 0 Botol Rp - Rp 6,274.40 0
183 Object Glass 0 Buah Rp - Rp 77,690.00 2
184 Oksitosin Inj 0 Ampul Rp - Rp 1,126.00 100
185 Ostela Forte tab 0 Tablet Rp - Rp 8,000.00 0
186 Parasetamol 500 mg 0 Tablet Rp - Rp 99.00 4000
187 Parasetamol drop 0 Botol Rp - Rp 6,649.00 0
188 Parasetamol infus 0 Botol Rp - Rp 11,265.00 0
189 PARASETAMOL SIRUP 120 MG / 5 M 0 botol Rp - Rp 1,107.00 100
190 PARASETAMOL SIRUP 120 MG / 5 M 0 Tablet Rp - Rp 1,107.00 0
191 Parasetamol sirup 120 mg/5ml 0 Botol Rp - Rp 1,181.00 0
192 Pehacain 0 Ampul Rp - Rp 4,200.00 0
193 Piridoksin ( Vit B6 ) 10 mg tab 0 Tablet Rp - Rp 67.00 0
194 Piridoksin (Vit B6) 10 mg 0 Tablet Rp - Rp 131.00 0
195 Piridoksin (Vit B6) 10 mg 0 Tablet Rp - Rp 123.00 0
196 Piroksikam (lexicam) tablet 20 mg 0 Tablet Rp - Rp 132.00 0
197 Plester (Leukoplast 7,5 cm x 4,5 cm) 0 Paket Rp - Rp 59,500.00 0
198 Plesterin bulat 0 Rol Rp - Rp 175.00 400
199 Pot Sputum 0 Pot Rp - Rp 5,890.00 200
200 Povidon Iodida 10 % 30 ml 0 Pcs Rp - Rp 2,800.00 0
201 Prednison 5 mg 0 Tablet Rp - Rp 119.70 300
202 Prednison 5 mg 0 Tablet Rp - Rp 119.70 300
203 Propiltiourasil tablet 100 m 0 Tablet Rp - Rp 410.00 0
204 R.Hema OL 2100 Kertas print 0 Pcs Rp - Rp 40,000.00 0
205 Ranitidin 150 mg 0 Tablet Rp - Rp 85.00 1000
206 Ranitidin 50 mg/2 ml injeksi 0 Ampul Rp - Rp 1,960.20 0
207 Ranitidin 50 mg/2 ml injeksi 0 Ampul Rp - Rp 814.00 0
208 Rapid Test HIV Ke - 1 ( SD ) 0 Tes Rp - Rp 14,340.00 0
209 Reagen gol darah Pro-D anti A 0 Botol Rp - Rp 165,000.00 0
210 Reagen gol darah Pro-D anti B 0 Botol Rp - Rp 165,000.00 0
211 Reagen gol darah Pro-D anti D 0 Botol Rp - Rp 165,000.00 0
212 Reagent HbsAg tes 0 test Rp - Rp 9,850.00 225
213 Recovit sirup 0 Botol Rp - Rp 9,900.00 0
214 retinol (vit A ) 100000 IU 0 Kapsul Rp - Rp 287.00 250
217 Retinol 100.000 IU 0 Kapsul Rp - Rp 305.00 0
218 Retinol 200.000 IU 0 Kapsul Rp - Rp 553.00 0
219 Ringer Laktat larutan infus 0 Botol Rp - Rp 7,630.00 0
220 Ringer Laktat larutan infus 0 Botol Rp - Rp 7,150.00 140
221 Risperidon 2 mg 0 Tablet Rp - Rp 273.00 500
222 Salbutamol 2 mg 0 Tablet Rp - Rp 70.00 0
223 Salbutamol tablet 4 mg 0 Tablet Rp - Rp 70.00 0
224 Salep 2-4 Kombinasi 0 pot Rp - Rp 2,796.00 0
225 Salep 2-4 Kombinasi 0 pot Rp - Rp 2,796.00 0
226 Salisil bedak 2 % 0 pcs Rp - Rp 2,200.00 0
227 Scabicide/Scabimit/Permetrin 5% krim 0 Tube Rp - Rp 11,466.00 0
228 Serum ABU 0 Vial Rp - Rp 517,132.00 0
229 Sianokobalamin (vit B12) tab 0 Tablet Rp - Rp 49.00 2500
230 Simvastatin tablet 10 mg 0 Tablet Rp - Rp 128.70 1500
231 Solvitaz 0 Tablet Rp - Rp 1.00 300
232 Spekulum dispo / Vagion M 0 Strip Rp - Rp 6,500.00 25
233 Stimuno F 0 Kapsul Rp - Rp 1,763.00 0
234 Strip Glukosa BENECHECK 0 Pcs Rp - Rp 160,000.00 0
235 Strip Glukosa EASY TOUCH 0 pcs Rp - Rp 5,500.00 0
236 Strip Glukosa EASY TOUCH 0 pcs Rp - Rp 5,500.00 0
237 Strip Glukosa NESCO 0 Pcs Rp - Rp 5,500.00 200
238 Strip Kolesterol EASY TOUCH 0 Pcs Rp - Rp 22,000.00 0
239 Sukralfat / Ulsafate sirup 0 Botol Rp - Rp 4,989.00 20
240 Tablet Tambah Darah 0 Tablet Rp - Rp 226.00 10000
241 Tablet Tambah darah 0 Tablet Rp - Rp 226.00 0
242 Tetrasiklin 500 mg 0 Kapsul Rp - Rp 323.00 0
243 Thiamin (Vit B 1) tab 50 mg 0 Tablet Rp - Rp 156.20 1000
244 THIAMIN (VIT B1) TAB 50 MG 0 Tablet Rp - Rp 85.00 0
245 Tiamin (Vit B1) 50 mg 0 Tablet Rp - Rp 253.00 2000
246 Tranfusi set 0 Botol Rp - Rp 8,500.00 0
247 Trifluoperazine 5 mg 0 Tablet Rp - Rp 220.00 0
248 Triheksipenidil 2 mg 0 Tablet Rp - Rp 63.00 1500
249 Ultrasonic gel 0 Pcs Rp - Rp 16,000.00 0
250 UnderPad 0 Botol Rp - Rp 4,785.00 80
251 Urine bag(KMP/SCP) 0 Pcs Rp - Rp 5,700.00 30
252 Vicalcin sirup 0 Botol Rp - Rp 7,024.60 0
253 Vitamin B Kompleks 0 Tablet Rp - Rp 89.00 0
254 Vitamin B-Compleks(DEF) 0 Tablet Rp - Rp 44.00 2000
255 Vitamin B-Compleks(DEF) 0 Tablet Rp - Rp 71.50 2000
256 Zinc sulfat 20 mg 0 Tablet Rp - Rp 524.00 0
257 Zink sir 20 mg/5 ml 0 Botol Rp - Rp 2,489.00 0
258 Zink Tablet 0 Tablet Rp - Rp 524.00 0
259 Clozapine 25mg 0 Tablet Rp - Rp 1,121.00 300
260 Diazepam 5 mg Tab 0 Tablet Rp - Rp 108.00 0
261 DIAZEPAM INJ 0 ampul Rp - Rp 1,545.00 0
262 FDC Kategori 1 0 paket Rp - Rp 416,696.00 0
263 FDC Kategori Anak 0 paket Rp - Rp 248,120.00 0
264 Fluphenazine/Sikzonoate 25 inj 0 Ampul Rp - Rp 63,500.00 0
265 Haldol Decanoas 50 mg inj 0 Ampul Rp - Rp 109,000.00 0
266 Haloperidol 5 mg inj 0 Ampul Rp - Rp 1,190.00 0
267 Haloperidol 5 mg tab 0 Tablet Rp - Rp 54.00 0
268 Larutan Ziehl Nielsen 0 Paket Rp - Rp 172,527.00 0
269 MDT Kusta MB Dewasa 0 Paket Rp - Rp 40,128.00 12
270 Pot Sputum 0 Pot Rp - Rp 2,728.00 200
271 Reagent HbsAg tes 0 test Rp - Rp 1.00 0
272 Risperidon 2 mg 0 Tablet Rp - Rp 123.00 500
273 Trifluoperazine 5 mg 0 Tablet Rp - Rp 287.00 0
274 Triheksipenidil 2 mg 0 Tablet Rp - Rp 91.00 0
275 Reagent Syphillis 0 test Rp - Rp 20,400.00 25
276 Aqua PI 0 Botol Rp - Rp 2,860.00 0
279 Amoksisilin kapl 500 mg 0 Tablet Rp - Rp 249.00 0
280 Glukosa infus 5% 0 botol Rp - Rp 6,627.50 0
281 Natrium Chlorida infus 0,9% 0 botol Rp - Rp 6,800.20 0
282 Ringer Laktat larutan infus 0 botol Rp - Rp 7,629.60 0
283 Amoksisilin 125 mg/5 ml sirup kering 0 Botol Rp - Rp 2,050.00 0
284 Karbamazepin 200 mg 0 Tablet Rp - Rp 189.00 0
285 Kotrimoksasol suspensi 240mg 0 botol Rp - Rp 2,100.00 0
286 Kalsium Laktat 0 Tablet Rp - Rp 60.01 0
287 Parasetamol sirup 120 mg/5ml 0 Botol Rp - Rp 1,161.00 0
288 Canule O2 dewasa 0 Buah Rp - Rp 6,130.00 0
289 IV Catheter No 18 NOUSHED 0 pcs Rp - Rp 5,995.00 0
290 IV Catheter No 20 NOUSHED 0 Pcs Rp - Rp 5,995.00 0
291 IV Catheter No 22 NOUSHED 0 Pcs Rp - Rp 5,995.00 0
292 Alopurinol 100mg 0 tablet Rp - Rp 105.00 0
293 Amoksisilin kapl 500 mg 0 tablet Rp - Rp 249.00 3000
294 Amoksisilin kapl 500 mg 0 tablet Rp - Rp 253.00 0
295 Antasida DOEN tab 0 tablet Rp - Rp 58.00 0
296 Asam Askorbat ( Vit.C ) 50 mg 0 tablet Rp - Rp 105.00 0
297 Kotrimoksasol suspensi 0 botol Rp - Rp 2,190.00 0
298 Lidocain injeksi 2% + Epineprin 1:80.000 0 ampul Rp - Rp 1,229.00 0
299 Natrium Klorida infus 0.9% 0 botol Rp - Rp 6,840.00 0
300 Parasetamol sirup 120 mg/5ml 0 botol Rp - Rp 1,181.00 0
301 Ringer Laktat larutan infus 0 botol Rp - Rp 7,630.00 0
302 Prednison 5 mg TabletRp - Rp 1.00 0
303 Propanolol 10 mg tab Tablet Rp - Rp 1.00 0
304 Propanolol 40 mg tab Tablet Rp - Rp 1.00 0
305 Zink 20 mg tab Tablet Rp - Rp 1.00 0
306 Haloperidol 1.5mg tab Tablet Rp - Rp 1.00 0
307 Alprazolam 0,5 mg Tablet Rp - Rp 78.00 0
308 Diazepam 5 mg Tab Tablet Rp - Rp 108.00 0
309 Parasetamol sirup 120 mg/5ml Botol Rp - Rp 1,161.00 0
310 Triheksipenidil 2 mg Tablet Rp - Rp 63.00 0
311 Ketokonazol 200 mg tab Tablet Rp - Rp 252.00 0
312 Asam Mefenamat 500 mg Tablet Rp - Rp 111.00 0
313 Metilprednisolon 4 mg tab Tablet Rp - Rp 102.00 0
314 Ranitidin 150 mg Tablet Rp - Rp 85.00 0
315 Simvastatin tablet 10 mg Tablet Rp - Rp 68.00 0
316 Allopurinol 100mg tab Tablet Rp - Rp 87.00 0
317 Amoksisilin kapl 500 mg Tablet Rp - Rp 201.00 0
318 Ciprofloxacin 500 mg Tablet Rp - Rp 248.00 0
319 Glimepiride 2 mg tab Tablet Rp - Rp 123.00 0
320 SD Bioline HIV/Syphillis Duo Test Rp - Rp 17,563.84 0
321 Isosorbide Dinitrate tab Tablet Rp - Rp 86.00 0
322 Serum ABU Vial Rp - Rp 517,132.00 0
323 Serum ATS 1500 IU ampul Rp - Rp 138,924.50 0
0
JUMLAH Rp 20,758,455.94
TA ACARA MUTASI OBAT DAN PERBEKKES
UPTD PUSKESMAS KUTUKAN
Jumlah Barang yang diterima/dikeluarkan ( 1 Januari s/d 31 Maret 2022) Sisa (31 Maret 2022 )
Nilai Harga Jumlah Nilai Harga Jumlah Nilai Harga Jumlah Nilai
10 11 13 14 15 16 17 18 19
Tablet Rp - 170 Tablet Rp 54,417.00 330 Tablet Rp 105,633.00 0 Tablet
Pcs Rp - 10 Pcs Rp 9,250.00 70 Pcs Rp 64,750.00 0 Pcs
Tablet Rp - 700 Tablet Rp 201,600.00 0 Tablet Rp - 0 Tablet
Botol Rp - 2 Botol Rp 13,200.00 0 Botol Rp - 0 Botol
Tablet Rp - 0 Tablet Rp - 180 Tablet Rp 33,300.00 0 Tablet
Tablet Rp - 3,000 Tablet Rp 333,000.00 0 Tablet Rp - 0 Tablet
Softbag Rp - 0 Softbag Rp - 20 Softbag Rp 192,920.00 0 Softbag
Tube Rp - 11 Tube Rp 35,985.40 0 Tube Rp - 0 Tube
ampul Rp - 0 ampul Rp - 10 ampul Rp 16,390.00 0 ampul
botol Rp - 0 botol Rp - 11 botol Rp 48,400.00 0 botol
Pcs Rp - 0 Pcs Rp - 2 Pcs Rp 44,000.00 0 Pcs
pcs Rp - 5 pcs Rp 25,998.50 12 pcs Rp 62,396.40 0 pcs
Buah Rp - 0 Buah Rp - 7 Buah Rp 35,700.00 0 Buah
pcs Rp - 0 pcs Rp - 24 pcs Rp 120,000.00 0 pcs
Pcs Rp - 4 Pcs Rp 22,080.00 0 Pcs Rp - 0 Pcs
Tab Rp - 330 Tab Rp 35,970.00 0 Tab Rp - 0 Tab
ampul Rp - 3 ampul Rp 5,205.00 7 ampul Rp 12,145.00 0 ampul
Tube Rp - 0 Tube Rp - 5 Tube Rp 91,395.00 0 Tube
ampul Rp - 0 ampul Rp - 10 ampul Rp 14,080.00 0 ampul
Botol Rp - 0 Botol Rp - 24 Botol Rp 36,600.00 0 Botol
Botol Rp - 12 Botol Rp 33,480.00 12 Botol Rp 33,480.00 0 Botol
paket Rp - 11 paket Rp 3,959,835.00 0 paket Rp - 0 paket
paket Rp - 0 paket Rp - 1 paket Rp 214,985.00 0 paket
Kapsul Rp - 385 Kapsul Rp 60,830.00 0 Kapsul Rp - 0 Kapsul
Rol Rp - 5 Rol Rp 51,700.00 0 Rol Rp - 0 Rol
Pcs Rp - 0 Pcs Rp - 5 Pcs Rp 54,450.00 0 Pcs
Sachet Rp - 40 Sachet Rp 10,280.00 0 Sachet Rp - 0 Sachet
Tablet Rp - 1,285 Tablet Rp 182,470.00 30 Tablet Rp 4,260.00 0 Tablet
tube Rp - 14 tube Rp 34,650.00 0 tube Rp - 0 tube
Pot Rp - 0 Pot Rp - 26 Pot Rp 157,300.00 0 Pot
Buah Rp - 8 Buah Rp 38,544.00 22 Buah Rp 105,996.00 0 Buah
Ampul Rp - 0 Ampul Rp - 10 Ampul Rp 103,510.00 0 Ampul
Roll Rp - 16 Roll Rp 123,200.00 40 Roll Rp 308,000.00 0 Roll
pcs Rp - 0 pcs Rp - 20 pcs Rp 16,800.00 0 pcs
Rol Rp - 4 Rol Rp 6,000.00 0 Rol Rp - 0 Rol
Suppositoria Rp - 0Suppositoria Rp - 19SuppositoriaRp 37,962.00 0Suppositoria
Rol Rp - 80 Rol Rp 144,000.00 20 Rol Rp 36,000.00 0 Rol
botol Rp - 13 botol Rp 28,470.00 18 botol Rp 39,420.00 0 botol
Paket Rp - 0 Paket Rp - 1 Paket Rp 276,500.00 0 Paket
ampul Rp - 58 ampul Rp 71,282.00 0 ampul Rp - 0 ampul
Tube Rp - 9 Tube Rp 30,726.00 11 Tube Rp 37,554.00 0 Tube
Tube Rp - 7 Tube Rp 118,909.00 1 Tube Rp 16,987.00 0 Tube
botol Rp - 66 botol Rp 77,946.00 0 botol Rp - 0 botol
Roll Rp - 0 Roll Rp - 6 Roll Rp 76,050.00 0 Roll
botol Rp - 0 botol Rp - 2 botol Rp 34,111.11 0 botol
Tes Rp - 50 Tes Rp 717,000.00 0 Tes Rp - 0 Tes
Tablet Rp - 0 Tablet Rp - 1,000 Tablet Rp 70,000.00 0 Tablet
Vial Rp - 0 Vial Rp - 1 Vial Rp 517,132.00 0 Vial
Sachet Rp - 1,000 Sachet Rp 226,000.00 0 Sachet Rp - 0 Sachet
Tablet Rp - Tablet Rp - 0 Tablet Rp - Tablet
Pcs Rp 191,400.00 175 Pcs Rp 167,475.00 25 Pcs Rp 23,925.00 Pcs
Pcs Rp - Pcs Rp - 0 Pcs Rp - Pcs
Tablet Rp 1,728,000.00 2,300 Tablet Rp 662,400.00 3,700 Tablet Rp 1,065,600.00 Tablet
Set Rp - Set Rp - 0 Set Rp - Set
Tablet Rp 275,000.00 10 Tablet Rp 5,500.00 490 Tablet Rp 269,500.00 Tablet
Tablet Rp 346,500.00 1,310 Tablet Rp 151,305.00 1,690 Tablet Rp 195,195.00 Tablet
Tablet Rp 105,000.00 1,500 Tablet Rp 105,000.00 0 Tablet Rp - Tablet
Botol Rp 410,080.00 64 Botol Rp 131,225.60 136 Botol Rp 278,854.40 Botol
Tablet Rp 201,000.00 Tablet Rp - 1,000 Tablet Rp 201,000.00 Tablet
botol Rp - botol Rp - 0 botol Rp - botol
Vial Rp - Vial Rp - 0 Vial Rp - Vial
Pot Rp - Pot Rp - 0 Pot Rp - Pot
Pot Rp - Pot Rp - 0 Pot Rp - Pot
Suppositoria Rp 65,000.00 7Suppositoria Rp 22,750.00 13
SuppositoriaRp 42,250.00 Suppositoria
Softbag Rp - Softbag Rp - 0 Softbag Rp - Softbag
Tablet Rp 202,500.00 Tablet Rp - 500 Tablet Rp 202,500.00 Tablet
Tube Rp 163,570.00 25 Tube Rp 81,785.00 25 Tube Rp 81,785.00 Tube
Ampul Rp - Ampul Rp - 0 Ampul Rp - Ampul
Buah Rp - Buah Rp - 0 Buah Rp - Buah
Buah Rp 51,000.00 Buah Rp - 10 Buah Rp 51,000.00 Buah
ampul Rp - ampul Rp - 0 ampul Rp - ampul
Tube Rp - Tube Rp - 0 Tube Rp - Tube
ampul Rp 32,850.00 ampul Rp - 30 ampul Rp 32,850.00 ampul
Botol Rp - Botol Rp - 0 Botol Rp - Botol
paket Rp - paket Rp - 0 paket Rp - paket
paket Rp 359,985.00 paket Rp - 1 paket Rp 359,985.00 paket
Paket Rp - Paket Rp - 0 Paket Rp - Paket
Ampul Rp 83,160.00 30 Ampul Rp 41,580.00 30 Ampul Rp 41,580.00 Ampul
Tablet Rp 880,000.00 1,180 Tablet Rp 519,200.00 820 Tablet Rp 360,800.00 Tablet
Rol Rp 103,400.00 5 Rol Rp 51,700.00 5 Rol Rp 51,700.00 Rol
Sachet Rp 25,700.00 5 Sachet Rp 1,285.00 95 Sachet Rp 24,415.00 Sachet
Tube Rp 129,998.00 20 Tube Rp 129,998.00 0 Tube Rp - Tube
Pasang Rp - Pasang Rp - 0 Pasang Rp - Pasang
Pasang Rp 796,400.00 200 Pasang Rp 398,200.00 200 Pasang Rp 398,200.00 Pasang
Pasang Rp 497,750.00 200 Pasang Rp 398,200.00 50 Pasang Rp 99,550.00 Pasang
test Rp - test Rp - 0 test Rp - test
Tube Rp 59,400.00 24 Tube Rp 59,400.00 0 Tube Rp - Tube
Pasang Rp - Pasang Rp - 0 Pasang Rp - Pasang
pcs Rp 289,500.00 pcs Rp - 50 pcs Rp 289,500.00 pcs
pcs Rp - pcs Rp - 0 pcs Rp - pcs
Sachet Rp 75,000.00 2 Sachet Rp 50,000.00 1 Sachet Rp 25,000.00 Sachet
Tablet Rp 315,000.00 1326 Tablet Rp 83,538.00 3,674 Tablet Rp 231,462.00 Tablet
Sachet Rp 62,500.00 Sachet Rp - 5 Sachet Rp 62,500.00 Sachet
Rol Rp 35,000.00 100 Rol Rp 35,000.00 0 Rol Rp - Rol
Rol Rp - Rol Rp - 0 Rol Rp - Rol
Tube Rp 159,600.00 3 Tube Rp 19,950.00 21 Tube Rp 139,650.00 Tube
Suppositoria Rp - Suppositor Rp - 0 Supposit Rp - Supposit
tube Rp - tube Rp - 0 tube Rp - tube
Kapsul Rp 83,400.00 154 Kapsul Rp 42,812.00 146 Kapsul Rp 40,588.00 Kapsul
Kapsul Rp 247,000.00 Kapsul Rp - 500 Kapsul Rp 247,000.00 Kapsul
Ampul Rp 96,360.00 Ampul Rp - 120 Ampul Rp 96,360.00 Ampul
Tablet Rp 415,800.00 2000 Tablet Rp 415,800.00 0 Tablet Rp - Tablet
Botol Rp 37,200.00 Botol Rp - 300 Botol Rp 37,200.00 Botol
Tube Rp 81,936.00 Tube Rp - 24 Tube Rp 81,936.00 Tube
Botol Rp 222,150.00 Botol Rp - 30 Botol Rp 222,150.00 Botol
Buah Rp 155,380.00 2 Buah Rp 155,380.00 0 Buah Rp - Buah
botol Rp 110,700.00 100 botol Rp 110,700.00 0 botol Rp - botol
Rol Rp 70,000.00 200 Rol Rp 35,000.00 200 Rol Rp 35,000.00 Rol
Pot Rp 1,178,000.00 Pot Rp - 200 Pot Rp 1,178,000.00 Pot
Tes Rp - Tes Rp - 0 Tes Rp - Tes
test Rp 2,216,250.00 125 test Rp 1,231,250.00 100 test Rp 985,000.00 test
Kapsul Rp 71,750.00 250 Kapsul Rp 71,750.00 0 Kapsul Rp - Kapsul
Kapsul Rp - Kapsul Rp - 0 Kapsul Rp - Kapsul
Botol Rp 1,001,000.00 50 Botol Rp 357,500.00 90 Botol Rp 643,500.00 Botol
pot Rp - pot Rp - 0 pot Rp - pot
pot Rp - pot Rp - 0 pot Rp - pot
Tablet Rp 300.00 Tablet Rp - 300 Tablet Rp 300.00 Tablet
Strip Rp 162,500.00 Strip Rp - 25 Strip Rp 162,500.00 Strip
Pcs Rp 1,100,000.00 200 Pcs Rp 1,100,000.00 0 Pcs Rp - Pcs
Tablet Rp 2,260,000.00 1890 Tablet Rp 427,140.00 8,110 Tablet Rp 1,832,860.00 Tablet
Pcs Rp 171,000.00 Pcs Rp - 30 Pcs Rp 171,000.00 Pcs
Paket Rp 481,536.00 1 Paket Rp 40,128.00 11 Paket Rp 441,408.00 Paket
Pot Rp 545,600.00 200 Pot Rp 545,600.00 0 Pot Rp - Pot
test Rp - test Rp - 0 test Rp - test
test Rp 510,000.00 25 test Rp 510,000.00 0 test Rp - test
Kapsul Rp 1,023,050.00 1850 Kapsul Rp 1,023,050.00 0 Kapsul Rp - Kapsul
tablet Rp - tablet Rp - 0 tablet Rp - tablet
tablet Rp 747,000.00 1603 tablet Rp 399,147.00 1,397 tablet Rp 347,853.00 tablet
Test Rp - Test Rp - 0 Test Rp - Test
Rp 29,143,139.00 Rp 27,226,342.30 Rp 22,675,252.64
)
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Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
n
Du
a
Rib
u BERITA ACARA MUTASI OBAT DAN PERBEKKES
Du 1 Januari 2022 s/d 31 Maret 2022
a
UPTD PUSKESMAS KUNDURAN
Pul
SKPD
uh : DINAS
No./
KESEHATAN
Sat Tgl.
Sura
u t
tela Das Jumlah Barang yang
h
No
Tan ar
Barang-barang bulan
Harga Satuan
dila erim Saldo Desember
Penambahan 2021)
ksa aan/
nak Pen
1 2 gelu3 4 5 6 7 8 9 10 11
an aran Akita Tablet
1
pel 1,034 Tablet Rp 330,983.40 Rp 320.10 0 Tablet Rp -
ap2 Alat Suntik 1 ml 600 Pcs Rp 574,200.00 Rp 957.00 0 Pcs Rp -
ora
3 Alat Suntik 10 ml 100 Pcs Rp 128,700.00 Rp 1,287.00 0 Pcs Rp -
mu
tasi
ob6 Albendazol 400mg tab 5,995 Tablet Rp 1,726,560.00 Rp 288.00 0 Tablet Rp -
at7 ALLOPURINOL TAB 100 MG 710 Tablet Rp 70,290.00 Rp 99.00 0 Tablet Rp -
UP8 Alopurinol 300 mg 600 Tablet Rp 330,000.00 Rp 550.00 0 Tablet Rp -
TD9 Alprazolam 0,5 mg 100 Tablet Rp 7,800.00 Rp 78.00 0 Tablet Rp -
Gu
10 Alprazolam 0,5 mg 75 Tablet Rp 7,050.00 Rp 94.00 0 Tablet Rp -
da
ng11 Ambroxol 30 mg tab 1,003 Tablet Rp 115,846.50 Rp 115.50 0 Tablet Rp -
Far
12 Aminofilin 200mg tab 39 Tablet Rp 3,705.00 Rp 95.00 0 Tablet Rp -
ma13 Amlodipin 10 mg 814 Tablet Rp 407,000.00 Rp 500.00 0 Tablet Rp -
si14 Amlodipin 5 mg 1,666 Tablet Rp 749,700.00 Rp 450.00 0 Tablet Rp -
de15 Amoksisilin kapl 500 mg 6,163 Tablet Rp 1,238,763.00 Rp 201.00 0 Tablet Rp -
ng Amoksisilin sirup kering 91 botol 0 botol
16 Rp 350,350.00 Rp 3,850.00 Rp -
an
17 Ampisilin serbuk 1000mg/ml 340 Vial Rp 2,800,580.00 Rp 8,237.00 0 Vial Rp -
has
il18 Antasida DOEN 9,230 Tablet Rp 535,340.00 Rp 58.00 0 Tablet Rp -
seb
19 Anti bakteri salep kombinasi 19 Kapsul Rp 96,140.00 Rp 5,060.00 0 Kapsul Rp -
ag20 Antifungi salep komb 30 Pot Rp 134,880.00 Rp 4,496.00 0 Pot Rp -
ai
ber
ikut
:
21 Antihemoroid DOEN 47SuppositoriaRp 152,750.00 Rp 3,250.00 0uppositoriaRp
S -
23 Aqua PI 147 ampul Rp 420,420.00 Rp 2,860.00 0 ampul Rp -
40 catgut chromic 3/0 + jarum 1/2GT 12 pcs Rp 60,000.00 Rp 5,000.00 0 pcs Rp -
35mm
41 Catgut Plain 3/0 24 Pcs Rp 254,400.00 Rp 10,600.00 0 Pcs Rp -
42 Daryantulle kasa 23 Pcs Rp 126,960.00 Rp 5,520.00 0 Pcs Rp -
62 Fitomenadion inj 2 mg/ml/Vitka infant 170 Ampul Rp 1,725,500.00 Rp 10,150.00 0 Ampul Rp -
67 Gemfibrozil 300 mg 300 Tablet Rp 118,800.00 Rp 396.00 0 Tablet Rp -
70 Glibenclamide 8 Tablet Rp 1,392.00 Rp 174.00 0 Tablet Rp -
78 Haloperidol tablet 5 mg 5,245 Tablet Rp 314,700.00 Rp 60.00 0 Tablet Rp -
80 Hidrokortison krim 2,5% 25 tube Rp 61,875.00 Rp 2,475.00 0 tube Rp -
88 Infuset Anak 80 Pasang Rp 280,000.00 Rp 3,500.00 0 Pasang Rp -
95 Kalsium Laktat 500 mg 5,918 Tablet Rp 372,834.00 Rp 63.00 0 Tablet Rp -
S -
110 Kloramfenikol TT 3% 4 botol Rp 35,200.00 Rp 8,800.00 0 botol Rp -
117 Levoftirosin 100 mcg 120 Tablet Rp 106,800.00 Rp 890.00 0 Tablet Rp -
123 Metilergometrin inj 100 Ampul Rp 1,080,000.00 Rp 10,800.00 0 Ampul Rp -
126 Metoklopramid 5 mg 259 Tablet
Rp 31,339.00 Rp 121.00 0 Tablet Rp -
141 Ostela Forte tab 42 Tablet Rp 336,000.00 Rp 8,000.00 0 Tablet Rp -
143 Parasetamol drops 100 mg/ml 19 Botol Rp 126,331.10 Rp 6,649.01 0 Botol Rp -
148 Piroksikam (lexicam) tablet 20 mg 1,147 Tablet Rp 151,404.00 Rp 132.00 0 Tablet Rp -
149 (Leukoplast) 5 roll Rp 297,500.00 Rp 59,500.00 0 roll Rp -
158 retinol (vit A ) 200000 IU 200 Kapsul Rp 101,600.00 Rp 508.00 0 Kapsul Rp -
159 Ringer Laktat larutan infus 560 Botol Rp 4,004,000.00 Rp 7,150.00 0 Botol Rp -
Pot Pot
162 Salep 2-4 Kombinasi 26 Rp 68,120.00 Rp 2,620.00 0 Rp -
172 Spekulum dispo / Vagion M 100 Strip Rp 650,000.00 Rp 6,500.00 0 Strip Rp -
174 Strip Glukosa BENECHECK 4 Pcs Rp 640,000.00 Rp 160,000.00 0 Pcs Rp -
178 Tiamfenikol 500 mg kapsul 65 kapsul Rp 107,250.00 Rp 1,650.00 0 kapsul Rp -
179 Tiamin (Vit B1) 50 mg 4,418 Tablet Rp 1,117,754.00 Rp 253.00 0 Tablet Rp -
186 Zink Tablet 1,000 Tablet Rp 524,000.00 Rp 524.00 0 Tablet Rp -
25 Antifungi salep komb 0 Pot Rp - Rp 4,496.00 72 Pot Rp 323,712.00
0 Rp - Rp 3,250.00 SuppositoriaRp
50 162,500.00
28 Antimigrain ( Ergotamin ) 0 Tablet Rp - Rp 185.00 300 Tablet Rp 55,500.00
33 Asam Mefenamat 500 mg 0 Tablet Rp - Rp 111.00 12,000 Tablet Rp 1,332,000.00
44 Blue Tips 0 Buah Rp - Rp 76.50 300 Buah Rp 22,950.00
62 Epinefrin Inj (Adrenalin)0,1% 0 ampul Rp - Rp 1,408.00 5 ampul Rp 7,040.00
76 Fenobarbital Tab 30 mg 0 Tablet Rp - Rp 170.99 300 Tablet Rp 51,297.00
79 Fludane/molexflu/antiza tablet/flut 0 Tablet Rp - Rp 440.00 3,000 Tablet Rp 1,320,000.00
91 Glukosa 40% 0 Botol Rp - Rp 7,000.00 20 Botol Rp 140,000.00
101 HCG tes Pro-D 0 test Rp - Rp 1,900.00 150 test Rp 285,000.00
113 IV Catheter 22G MF Cath Pro 0 pcs Rp - Rp 7,700.00 100 pcs Rp 770,000.00
118 Kalium Permanganat 0 botol Rp - Rp 5,500.00 24 botol Rp 132,000.00
125 Karbamazepin 200 mg 0 Tablet Rp - Rp 245.00 500 Tablet Rp 122,500.00
126 Kartu Golongan Darah 0 Rol Rp - Rp 350.00 400 Rol Rp 140,000.00
131 Kassa 4 x 3 0 Rol Rp - Rp 759.00 100 Rol Rp 75,900.00
136 Klem umbilical 0 Rol Rp - Rp 1,800.00 100 Rol Rp 180,000.00
154 Levoftirosin 100 mcg 0 Tablet Rp - Rp 890.00 210 Tablet Rp 186,900.00
164 MDT Kusta PB Dewasa 0 Paket Rp - Rp 9,770.00 12 Paket Rp 117,240.00
165 Metampiron 500 mg (Lexagin) 0 Tablet Rp - Rp 253.00 0 Tablet Rp -
169 Metronidazol 125mg/5ml susp 0 botol Rp - Rp 3,950.00 50 botol Rp 197,500.00
173 Molexflu syrup 0 Botol Rp - Rp 6,274.00 180 Botol Rp 1,129,320.00
183 Object Glass 0 Buah Rp - Rp 77,690.00 11 Buah Rp 854,590.00
186 Parasetamol 500 mg 0 Tablet Rp - Rp 99.00 12000 Tablet Rp 1,188,000.00
203 Propiltiourasil tablet 100 m 0 Tablet Rp - Rp 410.00 300 Tablet Rp 123,000.00
226 Salisil bedak 2 % 0 pcs Rp - Rp 2,200.00 50 pcs Rp 110,000.00
228 Serum ABU 0 Vial Rp - Rp 517,132.00 5 Vial Rp 2,585,660.00
247 Trifluoperazine 5 mg 0 Tablet Rp - Rp 220.00 1000 Tablet Rp 220,000.00
275 Reagent Syphillis 0 test Rp - Rp 20,400.00 25 test Rp 510,000.00
304 Propanolol 40 mg tab Tablet Rp - Rp 1.00 500 Tablet Rp 500.00
0
JUMLAH Rp 74,502,412.28 Rp 62,634,274.75

I OBAT DAN PERBEKKES
s/d 31 Maret 2022
MAS KUNDURAN
Sisa (31
Desember
2021 )
12 13 14 15 16 17 18 19 20
65 Vial Rp 535,405.00 275 Vial Rp 2,265,175.00 0 Vial Rp -
27Suppositoria Rp 87,750.00 20SuppositoriaRp 65,000.00 0SuppositoriaRp -
20 Ampul Rp 203,000.00 150 Ampul Rp 1,522,500.00 0 Ampul Rp -
25 tube Rp 61,875.00 0 tube Rp - 0 tube Rp -
7 Pasang Rp 24,500.00 73 Pasang Rp 255,500.00 0 Pasang Rp -
4 botol Rp 8,760.00 78 botol Rp 170,820.00 0 botolRp -
0 Ampul Rp - 100 Ampul Rp 1,080,000.00 0 Ampul Rp -
0 Amp Rp - 60 Amp Rp 250,800.00 0 Amp Rp -
4 roll Rp 238,000.00 1 roll Rp 59,500.00 0 roll Rp -
1 Btl Rp 165,000.00 2 Btl Rp 330,000.00 0 Btl Rp -

560 Botol Rp 4,004,000.00 0 Botol Rp - 0 Botol Rp -
Pot Pot Pot

26 Rp 68,120.00 0 Rp - 0 Rp -
50 Strip Rp 325,000.00 50 Strip Rp 325,000.00 0 Strip Rp -
65 kapsul Rp 107,250.00 0 kapsul Rp - 0 kapsul Rp -
0SuppositoriaRp - 50
300 Buah Rp 22,950.00 Buah Rp - Buah Rp -
0 Buah Rp - 100 Buah Rp 510,000.00 Buah Rp -
20 Tube Rp 129,998.00 Tube Rp - Tube Rp -
150 test Rp 285,000.00 test Rp - test Rp -
0 Pasang Rp - 50 Pasang Rp 175,000.00 Pasang Rp -
400 Rol Rp 140,000.00 Rol Rp - Rol Rp -
0 Suppositor Rp - 40 Supposit Rp 79,920.00 Supposit Rp -
50 Rol Rp 90,000.00 50 Rol Rp 90,000.00 Rol Rp -
0 Vial Rp - 30 Vial Rp 122,700.00 Vial Rp -
129 Tablet Rp 1,032,000.00 21 Tablet Rp 168,000.00 Tablet Rp -
0 Paket Rp - 10 Paket Rp 595,000.00 Paket Rp -
25 Tes Rp 358,500.00 Tes Rp - Tes Rp -
40 Botol Rp 286,000.00 560 Botol Rp 4,004,000.00 Botol Rp -
0 pot Rp - 48 pot Rp 134,208.00 pot Rp -
1 Vial Rp 517,132.00 4 Vial Rp 2,068,528.00 Vial Rp -
170 Tablet Rp 170.00 130 Tablet Rp 130.00 Tablet Rp -
150 Pcs Rp 825,000.00 Pcs Rp - Pcs Rp -
50 Pcs Rp 1,100,000.00 Pcs Rp - Pcs Rp -
0 paket Rp - 16 paket Rp 6,667,136.00 paket Rp -
200 Pot Rp 545,600.00 Pot Rp - Pot Rp -
2450 Kapsul Rp 1,354,850.00 150 Kapsul Rp 82,950.00 Kapsul Rp -
0 tablet Rp - 4000 tablet Rp 996,000.00 tablet Rp -
Rp -
Rp 67,823,137.79 Rp 69,313,549.24 Rp -
hu
n
Du
a
Du
UPTD PUSKESMAS JEPON
a
SKPD
Pul : DINASNo./
KESEHATAN
uh Tgl.
Sura
tela t
dila
No
Tan ar
Barang-barang bulan
Harga Satuan
Penambahan 2020)
nak aan/
an Pen
1 2 gelu3 4 5 6 7 8 10 11
ap 1 500 Tablet Rp 160,050.00 Rp 320.10 0 Tablet Rp -
ora2 Akita Tablet 275 Tab Rp 124,932.50 Rp 454.30 0 Tab Rp -
n 3 Alat Suntik 3 ml 100 Pcs Rp 69,300.00 Rp 693.00 0 Pcs Rp -
tasi
ALLOPURINOL TAB 100 MG 765 Tablet Rp 75,735.00 Rp 99.00 0 Tablet Rp
ob 5 -
at 6 Alopurinol 300 mg 480 Tablet Rp 264,000.00 Rp 550.00 0 Tablet Rp -

UP7 Ambroxol 30 mg tab 345 Tablet Rp 39,847.50 Rp 115.50 0 Tablet Rp -
TD8 Amlodipin 5 mg 617 Tablet Rp 46,275.00 Rp 75.00 0 Tablet Rp -
Gu9 Amoksisilin kapl 500 mg 1621 Tablet Rp 267,465.00 Rp 165.00 0 Tablet Rp -
da
64 Botol 0 Botol
ng10 Amoksisilin sirup kering 125 mg/5 ml Rp 422,400.00 Rp 6,600.00 Rp -
Far11 Antasida DOEN 680 Tablet Rp 39,440.00 Rp 58.00 0 Tablet Rp -

ma12 Anti bakteri salep kombinasi 14 Kapsul Rp 70,840.00 Rp 5,060.00 0 Kapsul Rp -
si 13 Antihemoroid 27 Supp
Rp 85,509.00 Rp 3,167.00 0 Supp Rp -
de14 Antimigrain ( Ergotamin ) 360 Tablet Rp 66,600.00 Rp 185.00 0 Tablet Rp -
ng15 antiza 400 Tablet Rp 440,000.00 Rp 1,100.00 0 Tablet Rp -
an Aqua PI 4 Ampul 0 Ampul
16 Rp 11,440.00 Rp 2,860.00 Rp -
has
Asam Askorbat ( Vit.C ) 50 mg 2,668 Tablet Rp 112,056.00 Rp 0 Tablet
il 17 42.00 Rp -
seb18 Asam Folat 0,4 mg 200 Tablet Rp 44,000.00 Rp 220.00 0 Tablet Rp -

ag19 Asam Mefenamat 500 mg 3,620 Tablet Rp 401,820.00 Rp 111.00 0 Tablet Rp -
ai 20 Asering 115 Softbag Rp 1,109,290.00 Rp 9,646.00 0 Softbag Rp -
ber
ikut
:
31 Deksametason 0,5 mg tab 798 Tablet Rp 25,536.00 Rp 32.00 0 Tablet Rp -
32 Deksametason Inj 5 mg/ml 11 ampul Rp 12,067.00 Rp 1,097.00 0 ampul Rp -
37 Dimenhidrinat 50 mg 120 Tablet Rp 13,440.00 Rp 112.00 0 Tablet Rp -
50 Glass Ionomer Fuji IX gold 1 Pcs Rp 1,557,875.00 Rp 1,557,875.00 0 Pcs Rp -
53 Handscoon 7 Gammex 50 pasang Rp 181,500.00 Rp 3,630.00 0 pasang Rp -
59 Infuset dewasa (PKD 1) 9 Buah Rp 54,549.00 Rp 6,061.00 0 Buah Rp -
69 Kapas Pembalut 250g 1 Rol Rp 12,500.00 Rp 12,500.00 0 Rol Rp -
71 Kaptopril 12,5 mg tab 198 Tablet Rp 11,682.00 Rp 59.00 0 Tablet Rp -
80 Kloramfenikol 250 mg 1,310 Kapsul Rp 406,100.00 Rp 310.00 0 Kapsul Rp -
83 Kloramfenikol tetes mata 34 botol Rp 280,500.00 Rp 8,250.00 0 botol Rp -
85 Klorfeniramin (CTM) 4 mg 836 Tablet Rp 19,228.00 Rp 23.00 0 Tablet Rp -
92 Masker 100 pcs Rp 55,000.00 Rp 550.00 0 pcs Rp -
94 Metampiron 500 mg 315 Tablet Rp 86,625.00 Rp 275.00 0 Tablet Rp -
99 Metronidazol ovula 500 mg 7 Ovula Rp 25,130.00 Rp 3,590.00 0 Ovula Rp -
101 NaCl 0,9% 500 ml 5 botol Rp 34,200.00 Rp 6,840.00 0 botol Rp -
104 Neocenta krim 12 tube Rp 264,000.00 Rp 22,000.00 0 tube Rp -
105 Neurotropik Kaplet 427 Kaplet Rp 554,246.00 Rp 1,298.00 0 Kaplet Rp -
109 Parasetamol 500 mg 10,625 Tablet Rp 1,051,875.00 Rp 99.00 0 Tablet Rp -
126 SALEP 2-4 14 pot Rp 36,680.00 Rp 2,620.00 0 pot Rp -
130 Serum ABU 1 vial Rp 512,204.00 Rp 512,204.00 0 vial Rp -
136 transfusion set 50 pcs Rp 499,964.52 Rp 9,999.29 0 pcs Rp -
138 ultrasonic gel 250ml 1 botol Rp 16,000.00 Rp 16,000.00 0 botol Rp -
140 Urine Bag with Hanger (PIN) 20 Pcs Rp 139,360.00 Rp 6,968.00 0 Pcs Rp -
142 Vitamin B-Compleks(DEF) 747 Tablet Rp 32,868.00 Rp 44.00 0 Tablet Rp -
20 Rp 65,000.00
111 ISONIAZID 100 MG TAB 0 Tablet Rp - Rp 96.91 500 Tablet Rp 48,455.00
133 Ketokonazol 2% krim 0 Tube Rp - Rp 6,650.00 0 Tube Rp -
186 Parasetamol 500 mg 0 Tablet Rp - Rp 99.00 0 Tablet Rp -
265 Haldol Decanoas 50 mg inj 0 Ampul Rp - Rp 109,000.00 50 Ampul Rp 5,450,000.00
0
0
JUMLAH Rp 39,352,937.55 Rp 21,750,535.00
022 s/d 31 Maret 2022
USKESMAS JEPON
Sisa (31
Desember
2019 )
13 14 15 16 17 18 19 20
17 Supp Rp 53,839.00 10 Supp Rp 31,670.00 0 Supp Rp -
0 Softbag Rp - 0 Softbag Rp - 115 Softbag Rp 1,109,290.00
0 ampul Rp - 0 ampul Rp - 11 ampul Rp 12,067.00
2 Can Rp 418,000.00 0 Can Rp - 3 Can Rp 627,000.00
2 paket Rp 429,970.00 0 paket Rp - 0 paket Rp -
22 Sachet Rp 5,654.00 0 Sachet Rp - 178 Sachet Rp 45,746.00
0 Pcs Rp - 1 Pcs Rp 1,557,875.00 0 Pcs Rp -
50 pasang Rp 181,500.00 0 pasang Rp - 0 pasang Rp -
40 Kapsul Rp 12,400.00 0 Kapsul Rp - 1,270 Kapsul Rp 393,700.00
0 Ovula Rp - 0 Ovula Rp - 7 Ovula Rp 25,130.00
427 Kaplet Rp 554,246.00 0 Kaplet Rp - 0 Kaplet Rp -
0 Amp Rp - 60 Amp Rp 250,800.00 0 Amp Rp -
0 Pot Rp - 200 Pot Rp 1,178,000.00 0 Pot Rp -
1 vial Rp 512,204.00 0 vial Rp - 0 vial Rp -
SuppositoriaRp - SuppositoriaRp
10 Ampul Rp 10,950.00 0 Ampul Rp - 20 Ampul Rp 21,900.00
340 Kapsul Rp 172,720.00 2,410 Kapsul Rp 1,224,280.00 Kapsul Rp -
Ampul Rp - 50 Ampul Rp 5,450,000.00 Ampul Rp -
2350 Kapsul Rp 1,299,550.00 0 Kapsul Rp - Kapsul Rp -
3000 tablet Rp 747,000.00 0 tablet Rp - tablet Rp -
Rp 30,632,777.21 Rp 28,064,125.33 Rp 2,406,570.00
hu
n
Du
a
Du
UPTD PUSKESMAS KETUAN
a
SKPD
Pul : DINAS
No./
KESEHATAN
uh Tgl.
Sura
tela t
Jumlah Barang
h yang
Das
diterima/dikelua
dila
No
Tan ar
Barang-barang bulan
Harga Satuan rkan ( 1 Januari
ggal Pen lalu ( 1 Januari 2020)
ksa erim Saldo
s/d 31
Penambahan
nak Desember
aan/
Jumlah Nilai Harga 2020)Jumlah Nilai Harga
an Pen
1 2 gelu3 4 5 6 7 8 10 11
pel aran
ap1 Acetylcistein 2,648 Tablet Rp 926,800.00 Rp 350.00 0 Tablet Rp -
ora
mu4 Alat Suntik 10 ml 25 Pcs Rp 32,175.00 Rp 1,287.00 0 Pcs Rp -
tasi
ob5 693.00 Rp -

TD8 Alopurinol 100 mg 365 Tablet Rp 38,325.00 Rp 105.00 0 Tablet Rp -
Gu9 Alprazolam 0,5 mg 490 Tablet Rp 38,220.00 Rp 78.00 0 Tablet Rp -
da
10 Ambroxol 30 mg tab 376 Tablet Rp 43,428.00 Rp 115.50 0 Tablet Rp -
ng
11
Far Aminophillin 200mg tablet 119 Tablet Rp 10,591.00 Rp 89.00 0 Tablet Rp -
ma12 Amlodipin 10 mg 1,515 Tablet Rp 757,500.00 Rp 500.00 0 Tablet Rp -
si13 Amlodipin 5 mg 1,185 Tablet Rp 533,250.00 Rp 450.00 0 Tablet Rp -
de14 Amoksisilin F sirup kering 193 Botol Rp 700,204.00 Rp 3,628.00 0 Botol Rp -
ng15 Amoksisilin F sirup kering 2 Botol Rp 6,800.00 Rp 3,400.00 0 Botol Rp -
an Amoksisilin kapl 500 mg 0
16 2,629 Tablet Rp 528,429.00 Rp 201.00 Tablet Rp -
has
Amoksisilin kapl 500 mg 3000 Tablet 495,000.00 Rp 165.00 0 Tablet Rp
il17 Rp -
18
seb Amoksisilin sirup kering 144 botol Rp 554,400.00 Rp 3,850.00 0 botol Rp -
ag19 Antasida DOEN 6,135 Tablet Rp 355,830.00 Rp 58.00 0 Tablet Rp -
ai20 Antasida DOEN susp 251 Botol Rp 750,992.00 Rp 2,992.00 0 Botol Rp -
ber
ikut
:
22 Anti Hemoroid supp 8 supp Rp 8.00 Rp 1.00 0 supp Rp -
23 Antibakteri DOEN 29 Tablet Rp 88,015.00 Rp 3,035.00 0 Tablet Rp -
24 Antihemoroid DOEN 107SuppositoriaRp 347,750.00 Rp 3,250.00 0uppositoriaRp
S -
26 antiza 520 Tablet Rp 572,000.00 Rp 1,100.00 0 Tablet Rp -
28 ASAM ASKORBAT 50 MG TAB 890 Tablet Rp 93,450.00 Rp 105.00 0 Tablet Rp -
30 Asam Folat 1 mg 200 Tablet Rp 15,000.00 Rp 75.00 0 Tablet Rp -
42 Catgut plain 3/0 1 Pcs Rp 24,583.35 Rp 24,583.35 0 Pcs Rp -
43 Catgut Plain 3/0 70C + Jarum 1/2 25M R 2 pcs Rp 49,166.67 Rp 24,583.33 0 pcs Rp -
44 Corovit 75 Tablet Rp 74,250.00 Rp 990.00 0 Tablet Rp -
57 Etaflusin 515 Tablet Rp 181,223.35 Rp 351.89 0 Tablet Rp -
61 Eugenol cairan 3 Botol Rp 56,472.00 Rp 18,824.00 0 Botol Rp -
62 FDC Kategori 1 2 paket Rp 719,970.00 Rp 359,985.00 0 paket Rp -
68 Fenol gliserol tetes telinga 10% 57 Botol Rp 147,630.00 Rp 2,590.00 0 Botol Rp -
70 Fitomenadion 10 mg 140 Tablet Rp 99,400.00 Rp 710.00 0 Tablet Rp -
77 Gemfibrozil 300 mg 81 Tablet Rp 32,076.00 Rp 396.00 0 Tablet Rp -
87 Handscoon Non Steril M 200 pasang Rp 561,440.00 Rp 2,807.20 0 pasang Rp -
90 Hypafix 1 pcs Rp 90,000.00 Rp 90,000.00 0 pcs Rp -
97 IV Catheter no 24 18 Pcs Rp 68,400.00 Rp 3,800.00 0 Pcs Rp -
102 Kalsiun Glukonas 27 Ampul Rp 268,785.00 Rp 9,955.00 0 Ampul Rp -
108 Kassa 2 x 80 166 Pcs Rp 1,616,840.00 Rp 9,740.00 0 Pcs Rp -
119 Klorfeniramin Maleat (CTM) 4 mg 1,106 Tablet Rp 60,830.00 Rp 55.00 0 Tablet Rp -
121 Komposit resin 3 Pcs Rp 1,733,325.00 Rp 577,775.00 0 Pcs Rp -
123 Kotrimoksasol 480 mg 237 Tab Rp 29,625.00 Rp 125.00 0 Tab Rp -
124 Kotrimoksasol 960mg 106 Tab Rp 31,694.00 Rp 299.00 0 Tab Rp -
131 Lidokain Inj 2%+Epinefrin 1:80.000 - inj 2 ml 24 Ampul Rp 27,648.00 Rp 1,152.00 0 Ampul Rp -
137 Metoklopramid drop 2 mg/ml 2 botol Rp 7,800.00 Rp 3,900.00 0 botol Rp -
147 Oksitetrasiklin (Sancortmycin) Salep kulit 9 tube Rp 153,450.00 Rp 17,050.00 0 tube Rp -
149 Oksitosin Inj 150 Ampul Rp 1,297,500.00 Rp 8,650.00 0 Ampul Rp -
150 Oseltamivir tab 50 Tablet Rp 648,439.41 Rp 12,968.79 0 Tablet Rp -
Piroksikam (lexicam) tablet 20 mg Tablet Rp 111,144.00 Tablet

156 842 Rp 132.00 0 Rp -
Pot Sputum Pot Rp 5,890.00 Pot

157 148 Rp 871,720.00 0 Rp -
Rapid Test HIV Ke - 1 ( SD ) Tes Rp 14,340.00 Tes

162 65 Rp 932,100.00 0 Rp -
165 Reagent HbsAg tes 153 test Rp 1,507,050.00 Rp 9,850.00 0 test Rp -
166 Reagent Syphillis 170 Paket Rp 3,468,000.00 Rp 20,400.00 0 Paket Rp -
173 Scabicide cr/Scabimit cr 9 Tube Rp 106,425.00 Rp 11,825.00 0 Tube Rp -
179 Simvastatin 10 mg 674 Tablet Rp 78,858.00 Rp 117.00 0 Tablet Rp -
180 Siprofloksasin tab 500 mg 1,500 Tablet Rp 338,181.82 Rp 225.45 0 Tablet Rp -
183 Strip Glukosa EASY TOUCH 200 pcs Rp 1,100,000.00 Rp 5,500.00 0 pcs Rp -
184 Sukralfat / Ulsafate sirup 20 Botol Rp 99,780.00 Rp 4,989.00 0 Botol Rp -
185 Tablet Tambah darah 766 Tablet Rp 173,116.00 Rp 226.00 0 Tablet Rp -
189 ultrasonic gel 250ml 2 botol Rp 32,000.00 Rp 16,000.00 0 botol Rp -
191 Valved sirup 7 Tablet Rp 159,605.60 Rp 22,800.80 0 Tablet Rp -
193 Vitamin B-Compleks(HOLY) 1,723 Tablet Rp 143,009.00 Rp 83.00 0 Tablet Rp -
194 Zink syrup 33 botol Rp 998,250.00 Rp 30,250.00 0 botol Rp -
17 Amoksisilin 125 mg/5 ml sirup kering 0 Botol Rp - Rp 2,050.40 0 Botol Rp -
0 Rp -
31 Asam Askorbat ( Vit.C ) 50 mg 0 Tablet Rp - Rp 42.00 800 Tablet Rp 33,600.00
49 Daryantulle/Cuticell 10x10 0 Pcs Rp - Rp 5,520.00 0 Pcs Rp -
51 Deksametason 0,5 mg tab 0 Tablet Rp - Rp 32.00 500 Tablet Rp 16,000.00
55 DIAZEPAM INJ 0 ampul Rp - Rp 1,735.00 ampul Rp -
79 Fludane/molexflu/antiza tablet/flutamol 0 Tablet Rp - Rp 440.00 1,000 Tablet Rp 440,000.00
90 Gliseril Guaikiolat ( GG )/Asetil Sistein 0 Tablet Rp - Rp 89.10 0 Tablet Rp -
140 Klorfeniramin 4 mg (Orphen Kaplet) 0 Tablet Rp - Rp 92.40 0 Tablet Rp -
165 Metampiron 500 mg (Lexagin) 0 Tablet Rp - Rp 253.00 5000 Tablet Rp 1,265,000.00
189 PARASETAMOL SIRUP 120 MG / 5 M 0 botol Rp - Rp 1,107.00 0 botol Rp -
190 PARASETAMOL SIRUP 120 MG / 5 M 0 Tablet Rp - Rp 1,107.00 0 Tablet Rp -
197 Plester (Leukoplast 7,5 cm x 4,5 cm) 0 Paket Rp - Rp 59,500.00 0 Paket Rp -
227 Scabicide/Scabimit/Permetrin 5% krim 0 Tube Rp - Rp 11,466.00 0 Tube Rp -
298 Lidocain injeksi 2% + Epineprin 1:80.000 0 ampul Rp - Rp 1,229.00 0 ampul Rp -
0
JUMLAH Rp 54,941,415.41 Rp 19,636,424.00

AT DAN PERBEKKES
1 Maret 2022
AS KETUAN
Sisa (31
Desember
2019 )
13 14 15 16 17 18 19 20
8 supp Rp 8.00 0 supp Rp - 0 supp Rp -
8 Can Rp 1,672,000.00 1 Can Rp 209,000.00 0 Can Rp -
2 paket Rp 719,970.00 0 paket Rp - 0 paket Rp -
0 paket Rp - 2 paket Rp 429,970.00 0 paket Rp -
200 pasang Rp 561,440.00 0 pasang Rp - 0 pasang Rp -
112 Pcs Rp 1,090,880.00 54 Pcs Rp 525,960.00 0 Pcs Rp -
60 Rol Rp 108,000.00 59 Rol
Rp 106,200.00 0 Rol
Rp -
2 Paket Rp 553,000.00 1 Paket Rp 276,500.00 0 Paket Rp -
7,847 Tablet Rp 2,157,925.00 -2,768 Tablet -Rp 761,200.00 0 Tablet Rp -
161 Ampul Rp 1,392,650.00 -11 Ampul -Rp 95,150.00 0 Ampul Rp -

730 Rp 96,360.00 112 Rp 14,784.00 0 Rp -
Pot Pot Pot

18 Rp 106,020.00 130 Rp 765,700.00 0 Rp -
Tes Tes Tes

35 Rp 501,900.00 30 Rp 430,200.00 0 Rp -
111 test Rp 1,093,350.00 42 test Rp 413,700.00 0 test Rp -
0 Vial Rp - 2 Vial Rp 1,034,264.00 0 Vial Rp -
200 pcs Rp 1,100,000.00 0 pcs Rp - 0 pcs Rp -
5 Tablet Rp 572.00 195 Tablet Rp 22,308.00 Tablet Rp -
970 Tablet Rp 219,220.00 9,030 Tablet Rp 2,040,780.00 Tablet Rp -
3 paket Rp 1,250,088.00 5 paket Rp 2,083,480.00 paket Rp -
Paket Rp - 12 Paket Rp 481,536.00 Paket Rp -
Kapsul Rp - 1,200 Kapsul Rp 663,600.00 Kapsul Rp -
0
0
0
0
Rp 45,080,861.68 Rp 29,496,977.73 Rp -
UPTD PUSKESMAS KEDUNGTUBAN
SKPD : DINAS
No./
KESEHATAN
Tgl.
Sura
Pada harit ini Kamis Tanggal Tiga Puluh Satu Maret Tahun Dua Ribu Dua Puluh Dua telah dilaksanakan pelaporan mutasi obat UPTD Puskesmas Kedungtuban denga
Das
ar
Barang-barang bulan lalu ( 1 Januari 2022) Jumlah Barang yang diterima/dikeluarkan ( 1 Januari s/d 31M
Pen
Tan
No erim Uraian (Nama Barang) Saldo Harga Satuan Penambahan
ggal
aan/
Pen
1 2 gelu3 4 5 6 7 8 10 11
aran Akita Tablet
1 130 Tablet Rp 41,613.00 Rp 320.10 0 Tablet Rp -
4 Albendazol 400mg tab 3,200 Tablet Rp 921,600.00 Rp 288.00 0 Tablet Rp -
5 ALLOPURINOL TAB 100 MG 766 Tablet Rp 75,834.00 Rp 99.00 0 Tablet Rp -
8 Aminofilin 200mg tab 100 Tablet Rp 9,500.00 Rp 95.00 0 Tablet Rp -
9 Amlodipin 5 mg 1,244 Tablet Rp 65,932.00 Rp 53.00 0 Tablet Rp -
10 Amoksisilin kapl 500 mg 1,908 Tablet Rp 383,508.00 Rp 201.00 0 Tablet Rp -
12 Antasida DOEN 1,915 Tablet Rp 111,070.00 Rp 58.00 0 Tablet Rp -
16 antiza 300 Tablet Rp 330,000.00 Rp 1,100.00 0 Tablet Rp -
18 Asam Askorbat ( Vit.C ) 50 mg 2,290 Tablet Rp 96,180.00 Rp 42.00 0 Tablet Rp -
19 Asam folat 1 mg 100 Tablet Rp 7,500.00 Rp 75.00 0 Tablet Rp -
31 Bracket 5 Pcs Rp 110,000.00 Rp 22,000.00 0 Pcs Rp -
35 Catgut plain 3/0 24 pcs Rp 120,000.00 Rp 5,000.00 0 pcs Rp -
37 Deksametason 0,5 mg tab 858 Tablet Rp 27,456.00 Rp 32.00 0 Tablet Rp -
78 IV Catheter No 22 24 Pcs Rp 91,200.00 Rp 3,800.00 0 Pcs Rp -
79 IV Catheter no 24 5 Pcs Rp 19,000.00 Rp 3,800.00 0 Pcs Rp -
82 Kalsiun Glukonas 9 Ampul Rp 93,159.00 Rp 10,351.00 0 Ampul Rp -
83 Kapas / absorben 250gr 5 Rol Rp 62,502.00 Rp 12,500.40 0 Rol Rp -
84 Kaptopril 12,5 mg tab 1,632 Tablet Rp 184,416.00 Rp 113.00 0 Tablet Rp -
92 Ketoprofen 100 mg/sup 20 SuppositoriaRp 39,960.00 Rp 1,998.00 0 SuppositoriaRp -
94 Kloramfenikol salep mata 1% 30 tube Rp 60,210.00 Rp 2,007.00 0 tube Rp -
98 Klorfeniramin Maleat (CTM) 600 Tablet Rp 13,200.00 Rp 22.00 0 Tablet Rp -
115 Minyak Telon 2 Botol 60 ml Rp 31,900.00 Rp 15,950.00 0 Botol 60 mlRp -
120 Neurotropik Kaplet 60 Tablet Rp 79,200.00 Rp 1,320.00 0 Tablet Rp -
144 Salep 2-4 Kombinasi 20 pot Rp 55,920.00 Rp 2,796.00 0 pot Rp -
145 Salisil bedak 2 % 36 Kotak 50 gr Rp 87,120.00 Rp 2,420.00 0 Kotak 50 grRp -
146 Scabicide cr/Scabimit cr 1 Tube Rp 11,825.00 Rp 11,825.00 0 Tube Rp -
155 Strip Kolesterol EASY TOUCH 10 Pcs Rp 220,000.00 Rp 22,000.00 0 Pcs Rp -
156 Strip Kolesterol NESCO 10 Pcs Rp 220,000.00 Rp 22,000.00 0 Pcs Rp -

27 Antihemoroid DOEN 0 SuppositoriaRp - Rp 3,250.00 30 Suppositoria
Rp 97,500.00
169 Metronidazol 125mg/5ml susp 0 botol Rp - Rp 3,950.00 50 botol Rp 197,500.00
227 Scabicide/Scabimit/Permetrin 5% 0 Tube Rp - Rp 11,466.00 10 Tube Rp 114,660.00
246 Tranfusi set 0 Botol Rp - Rp 8,500.00 50 Botol Rp 425,000.00
303 Propanolol 10 mg tab 0 Tablet Rp - Rp 1.00 0 Tablet Rp -
305 Zink 20 mg tab 0 Tablet Rp - Rp 1.00 0 Tablet Rp -
306 Haloperidol 1.5mg tab 0 Tablet Rp - Rp 1.00 0 Tablet Rp -
313 Metilprednisolon 4 mg tab 0 Tablet Rp - Rp 102.00 0 Tablet Rp -
314 Ranitidin 150 mg 0 Tablet Rp - Rp 85.00 0 Tablet Rp -
316 Allopurinol 100mg tab 0 Tablet Rp - Rp 87.00 0 Tablet Rp -
318 Ciprofloxacin 500 mg 0 Tablet Rp - Rp 248.00 0 Tablet Rp -
319 Glimepiride 2 mg tab 0 Tablet Rp - Rp 123.00 0 Tablet Rp -
320 SD Bioline HIV/Syphillis Duo 0 Test Rp - Rp 17,563.84 0 Test Rp -
321 Isosorbide Dinitrate tab 0 Tablet Rp - Rp 86.00 0 Tablet Rp -
323 Serum ATS 1500 IU 0 ampul Rp - Rp 138,924.50 0 ampul Rp -
324 Povidon Iodida 10 % 300 ml 0 Botol Rp - Rp 17,055.56 6 Botol Rp 102,333.36
JUMLAH Rp 30,749,452.96 Rp 38,432,227.36

022 s/d 31 Maret 2022
ESMAS KEDUNGTUBAN
TD Puskesmas Kedungtuban dengan hasil sebagai berikut:
ng yang diterima/dikeluarkan ( 1 Januari s/d 31Maret 2022) Sisa (31 Maret 2022 )
13 14 15 16 17 18 19 20
10 paket Rp 3,599,850.00 0 paket Rp - 0 paket Rp -
80 Sachet Rp 20,560.00 0 Sachet Rp - 60 Sachet Rp 15,420.00
10 Suppositoria Rp 19,980.00 10 SuppositoriaRp 19,980.00 0 SuppositoriaRp -
14 tube Rp 28,098.00 0 tube Rp - 16 tube Rp 32,112.00
2 Botol 60 ml Rp 31,900.00 0 Botol 60 ml Rp - 0 Botol 60 ml Rp -
140 Botol Rp 1,001,000.00 40 Botol Rp 286,000.00 0 Botol Rp -
3 pot Rp 8,388.00 17 pot Rp 47,532.00 0 pot Rp -
36 Kotak 50 gr Rp 87,120.00 0 Kotak 50 gr Rp - 0 Kotak 50 gr Rp -
1 Vial Rp 517,132.00 3 Vial Rp 1,551,396.00 0 Vial Rp -

4,513 Tablet Rp 374,579.00 0 Tablet Rp - 1,000 Tablet Rp 83,000.00
0 Set Rp - 0 Set Rp - 0 Set Rp -
0 Vial Rp - 0 Vial Rp - 0 Vial Rp -
3 Suppositoria Rp 9,750.00 27 SuppositoriaRp 87,750.00 0 SuppositoriaRp -
0 Paket Rp - 0 Paket Rp - 0 Paket Rp -
0 Pasang Rp - 0 Pasang Rp - 0 Pasang Rp -
0 Suppositor Rp - 0 Supposit Rp - 0 Supposit Rp -
0 pot Rp - 0 pot Rp - 0 pot Rp -
50 Tablet Rp 50.00 250 Tablet Rp 250.00 0 Tablet Rp -
0 Strip Rp - 0 Strip Rp - 0 Strip Rp -
9,981 Tablet Rp 2,255,706.00 10019 Tablet Rp 2,264,294.00 0 Tablet Rp -
3 paket Rp 1,250,088.00 13 paket Rp 5,417,048.00 0 paket Rp -
0 test Rp - 0 test Rp - 0 test Rp -
2,200 Kapsul Rp 1,216,600.00 0 Kapsul Rp - 0 Kapsul Rp -
0 tablet Rp - 0 tablet Rp - 0 tablet Rp -
986 tablet Rp 245,514.00 2014 tablet Rp 501,486.00 0 tablet Rp -
0 Test Rp - 0 Test Rp - 0 Test Rp -
Rp 33,429,482.03 Rp 35,347,261.29 Rp 404,937.00

221734
-221734 #VALUE! Pengembalian RSU Cepu
hu
n
Du
a
Du
UPTD PUSKESMAS JIKEN
a
SKPD
Pul : DINAS
No./
KESEHATAN
uh Tgl.
Sura
tela t
dila
No
Tan ar
Barang-barang bulan
Harga Satuan
Penambahan 2020)
nak aan/
an Pen
1 2 gelu3 4 5 6 7 8 10 11
ap1 1,480 Tablet Rp 473,748.00 Rp 320.10 0 Tablet Rp -
ora
mu4 Albendazol 400mg tab 2,500 Tablet Rp 720,000.00 Rp 288.00 0 Tablet Rp -
tasi
ALLOPURINOL TAB 100 MG 1,300 Tablet Rp 128,700.00 Rp 99.00 0 Tablet Rp
ob5 -
at6 Alprazolam 0,5 mg 900 Tablet Rp 84,600.00 Rp 94.00 0 Tablet Rp -

UP7 Ambroxol 30 mg tab 2,500 Tablet Rp 288,750.00 Rp 115.50 0 Tablet Rp -
TD8 Amlodipin 10 mg 2,300 Tablet Rp 1,150,000.00 Rp 500.00 0 Tablet Rp -
Gu9 Amlodipin 5 mg 2,000 Tablet Rp 900,000.00 Rp 450.00 0 Tablet Rp -
da
ng
11
Far Amoksisilin sirup kering 100 botol Rp 385,000.00 Rp 3,850.00 0 botol Rp -
ma12 Amoksisilin sirup kering 125 mg/5 ml 10 Botol Rp 66,000.00 Rp 6,600.00 0 Botol Rp -
si13 Ampisilin serbuk 1000mg/ml 70 Vial Rp 576,590.00 Rp 8,237.00 0 Vial Rp -
de14 Antasida DOEN 9,150 Tablet Rp 530,700.00 Rp 58.00 0 Tablet Rp -
ng15 Antasida DOEN susp 100 Botol Rp 299,200.00 Rp 2,992.00 0 Botol Rp -
an Antasida DOEN susp 0 Botol Rp
16 100 Botol Rp 167,900.00 Rp 1,679.00 -
has
Antihemoroid DOEN 70SuppositoriaRp 0uppositoriaRp
S
il17 227,500.00 Rp 3,250.00 -
18
seb Aqua PI 50 Ampul Rp 143,000.00 Rp 2,860.00 0 Ampul Rp -
ag19 Asam Askorbat (Vit. C) 50 mg 200 Tablet Rp 21,000.00 Rp 105.00 0 Tablet Rp -
ai20 ASAM ASKORBAT 50 MG TAB 2,500 Tablet Rp 262,500.00 Rp 105.00 0 Tablet Rp -
ber
ikut
:
26 Asetosal 80 mg (Miniaspi tab) 1,000 Tablet Rp 105,000.00 Rp 105.00 0 Tablet Rp -
27 Asiklovir 400 mg tab 1,350 Tablet Rp 546,750.00 Rp 405.00 0 Tablet Rp -
43 Digoksin tablet 0,25 mg 1,080 Tablet Rp 123,552.00 Rp 114.40 0 Tablet Rp -
70 Hidrokortison krim 2,5% 260 tube Rp 643,500.00 Rp 2,475.00 0 tube Rp -
S -
96 Kloramfenikol salep mata 1% 38 tube Rp 76,266.00 Rp 2,007.00 0 tube Rp -
97 Kloramfenikol tetes mata 1% 115 Botol Rp 1,132,807.50 Rp 9,850.50 0 Botol Rp -
107 MDT Kusta MB Dewasa 36 Paket Rp 1,101,420.00 Rp 30,595.00 0 Paket Rp -
132 Pot Sputum 1,000 Pot Rp 5,890,000.00 Rp 5,890.00 0 Pot Rp -
148 Sianokobalamin (vit B12) table 1,400 Tablet Rp 68,600.00 Rp 49.00 0 Tablet Rp -
155 Tiamfenikol 500 mg kapsul 970 Tablet Rp 1,080,337.50 Rp 1,113.75 0 Tablet Rp -
Tiamin (Vit B1) 50 mg Tablet Tablet
156 1,300 Rp 118,300.00 Rp 91.00 0 Rp -
Tranfusi set 150 Botol Rp 1,275,000.00 Botol

157 Rp 8,500.00 0 Rp -
Tablet Tablet
162 Vitamin B Kompleks (HOLY) 9,800 Rp 813,400.00 Rp 83.00 0 Rp -
163 Yellow Tips 100 Buah Rp 3,540.00 Rp 35.40 0 Buah Rp -
164 Zink sirup 20 mg/5 ml 60 botol Rp 190,260.00 Rp 3,171.00 0 botol Rp -
20 Rp 65,000.00
43 Bio ATP 0 Tablet Rp - Rp 2,500.00 500 Tablet Rp 1,250,000.00
64 Etil Klorida 0 botol Rp - Rp 126,500.00 8 botol Rp 1,012,000.00
116 IV Catheter No 18 0 Buah Rp - Rp 6,000.00 100 Buah Rp 600,000.00
188 Parasetamol infus 0 Botol Rp - Rp 11,265.00 20 Botol Rp 225,300.00
189 PARASETAMOL SIRUP 120 MG / 0 botol Rp - Rp 1,107.00 0 botol Rp -
218 Retinol 200.000 IU 0 Kapsul Rp - Rp 553.00 3050 Kapsul Rp 1,686,650.00
0
JUMLAH Rp 71,876,843.25 Rp 35,963,591.36

022 s/d 31 Maret 2022
USKESMAS JIKEN
Sisa (31
Desember
2019 )
12 13 14 15 16 17 18 19 20
520 Softbag Rp 5,015,920.00 60 Softbag Rp 578,760.00 0 Softbag Rp -
4 paket Rp 1,439,940.00 10 paket Rp 3,599,850.00 0 paket Rp -
10 Botol Rp 98,505.00 105 Botol Rp 1,034,302.50 0 Botol Rp -
botol Rp - 30 botol Rp 65,700.00 0 botol Rp -
40 Amp Rp 167,200.00 0 Amp Rp - 0 Amp Rp -
7 roll Rp 416,500.00 0 roll Rp - 0 roll Rp -
800 Pot Rp 4,712,000.00 200 Pot Rp 1,178,000.00 0 Pot Rp -
105 Sachet Rp 23,730.00 4,855 Sachet Rp 1,097,230.00 0 Sachet Rp -
1,300 Rp 118,300.00 0 Rp - 0 Rp -
Botol Botol Botol

50 Rp 425,000.00 100 Rp 850,000.00 0 Rp -

6,950 Rp 576,850.00 2,850 Rp 236,550.00 0 Rp -
SuppositoriaRp - 20
100 test Rp 190,000.00 0 test Rp - test Rp -
100 pcs Rp 579,000.00 0 pcs Rp - pcs Rp -
3 Sachet Rp 75,000.00 0 Sachet Rp - Sachet Rp -
Suppositor Rp - 20 Supposit Rp 39,960.00 Supposit Rp -
Paket Rp - 10 Paket Rp 595,000.00 Paket Rp -
50 Tes Rp 717,000.00 0 Tes Rp - Tes Rp -
3050 Kapsul Rp 1,686,650.00 0 Kapsul Rp - Kapsul Rp -
200 Botol Rp 1,430,000.00 0 Botol Rp - Botol Rp -
Tablet Rp - 10,000 Tablet Rp 2,260,000.00 Tablet Rp -
0
Rp 66,104,650.11 Rp 41,735,784.50 Rp -
hu
n
Du
a
Du
UPTD PUSKESMAS JAPAH
a
SKPD
Pul : DINAS
No./
KESEHATAN
uh Tgl.
Sura
tela t
dila
No
Tan ar
Barang-barang bulan
Harga Satuan
Penambahan 2020)
nak aan/
an Pen
1 2 gelu3 4 5 6 7 8 10 11
ora
n3 ALLOPURINOL TAB 100 MG 2,000 Tablet Rp 198,000.00 Rp 99.00 0 Tablet Rp -
mu4 Alopurinol 100 mg 500 Tablet Rp 52,500.00 Rp 105.00 0 Tablet Rp -
tasi
Ambroxol 30 mg tab 1,477 Tablet Rp 170,593.50 Rp 0 Tablet Rp
ob5 115.50 -
at6 Amlodipin 10 mg 1,165 Tablet Rp 582,500.00 Rp 500.00 0 Tablet Rp -

UP7 Amoksisilin kapl 500 mg 2,932 Tablet Rp 589,332.00 Rp 201.00 0 Tablet Rp -
TD8 Amoksisilin sirup kering 72 botol Rp 277,200.00 Rp 3,850.00 0 botol Rp -
Gu9 Antasida DOEN susp 19 Botol Rp 56,848.00 Rp 2,992.00 0 Botol Rp -
da
10 Antasida DOEN tab 489 Tablet Rp 28,362.00 Rp 58.00 0 Tablet Rp -
ng
11
Far Antihemoroid DOEN 40SuppositoriaRp 130,000.00 Rp 3,250.00 0
Suppositoria
Rp -
ma12 Aqua PI 42 ampul Rp 120,120.00 Rp 2,860.00 0 ampul Rp -
si13 Asam Askorbat ( Vit.C ) 50 mg 477 Tablet Rp 20,034.00 Rp 42.00 0 Tablet Rp -
de14 Asam Folat 1 mg 60 Tablet Rp 4,500.00 Rp 75.00 0 Tablet Rp -
ng15 Asam Mefenamat 500 mg 100 Tablet Rp 11,100.00 Rp 111.00 0 Tablet Rp -
an Asam Traneksamat 500 mg 0 Tablet Rp
16 200 Tablet Rp 259,200.00 Rp 1,296.00 -
has
150 Tablet 0 Tablet Rp
il17 Asam Traneksamat 500 mg Rp 237,600.00 Rp 1,584.00 -
18
seb Asetosal 80 mg (Miniaspi tab) 300 Tablet Rp 31,500.00 Rp 105.00 0 Tablet Rp -
ag19 Asiklovir 400 mg tab 640 Tablet Rp 259,200.00 Rp 405.00 0 Tablet Rp -
ai20 Asiklovir Krim 2 tube Rp 11,000.00 Rp 5,500.00 0 tube Rp -
ber
ikut
:
41 Fluphenazine/Sikzonoate inj 23 ampul Rp 1,375,400.00 Rp 59,800.00 0 ampul Rp -
54 Haloperidol 5 mg 95 Tablet Rp 5,700.00 Rp 60.00 0 Tablet Rp -
63 Isosorbid Dinitrat 5 mg 2,000 Tablet Rp 195,800.00 Rp 97.90 0 Tablet Rp -
70 Kalsium Laktat 112 Tablet Rp 7,056.00 Rp 63.00 0 Tablet Rp -
72 Kaptopril 12,5 mg tab 559 Tablet Rp 63,167.00 Rp 113.00 0 Tablet Rp -
85 Kotrimoksasol 480 mg 2,198 Tab Rp 274,750.00 Rp 125.00 0 Tab Rp -
87 Levofloksasin 1,000 Kapsul Rp 494,000.00 Rp 494.00 0 Kapsul Rp -
96 Metronidazol 250 mg 1,120 Tablet Rp 588,000.00 Rp 525.00 0 Tablet Rp -
118 Ringer Laktat larutan infus 47 botol Rp 358,610.00 Rp 7,630.00 0 botol Rp -
121 Salep 2-4 Kombinasi 11 pot Rp 30,756.00 Rp 2,796.00 0 pot Rp -
127 Serum ATS 1500 IU 10 Ampul Rp 1,309,990.00 Rp 130,999.00 0 Ampul Rp -
130 Siprofloksasin tab 500 mg 3,300 Tablet Rp 1,519,155.00 Rp 460.35 0 Tablet Rp -
131 Tablet Tambah Darah 1,650 Sachet Rp 372,900.00 Rp 226.00 0 Sachet Rp -
138 Vitamin B Kompleks (HOLY) 880 Tablet Rp 73,040.00 Rp 83.00 0 Tablet Rp -
25 Antifungi salep komb 0 Pot Rp - Rp 4,496.00 48 Pot Rp 215,808.00
50 Rp 162,500.00
40 Atropin Sulfat inj 0 Ampul Rp - Rp 1,718.00 5 Ampul Rp 8,590.00
44 Blue Tips 0 Buah Rp - Rp 76.50 100 Buah Rp 7,650.00
60 Digoksin tablet 0,25 mg 0 Tablet Rp - Rp 114.40 1,500 Tablet Rp 171,600.00
62 Epinefrin Inj (Adrenalin)0,1% 0 ampul Rp - Rp 1,408.00 10 ampul Rp 14,080.00
99 Handscoon non steril M 0 Pasang Rp - Rp 1,991.00 700 Pasang Rp 1,393,700.00
152 Larutan Ziehl Nielsen 0 Paket Rp - Rp 276,500.00 1 Paket Rp 276,500.00
179 Nistatin Vagtab 100.000 IU 0 Tablet Rp - Rp 560.00 100 Tablet Rp 56,000.00
196 Piroksikam (lexicam) tablet 20 mg 0 Tablet Rp - Rp 132.00 1000 Tablet Rp 132,000.00
207 Ranitidin 50 mg/2 ml injeksi 0 Ampul Rp - Rp 814.00 100 Ampul Rp 81,400.00
227 Scabicide/Scabimit/Permetrin 5% 0 Tube Rp - Rp 11,466.00 10 Tube Rp 114,660.00
246 Tranfusi set 0 Botol Rp - Rp 8,500.00 50 Botol Rp 425,000.00
263 FDC Kategori Anak 0 paket Rp - Rp 248,120.00 1 paket Rp 248,120.00
307 Alprazolam 0,5 mg TabletRp - Rp 78.00 0 Tablet Rp -
0
JUMLAH Rp 40,272,278.32 Rp 58,269,136.36

022 s/d 31 Maret 2022
USKESMAS JAPAH
Sisa (31
Desember
2019 )
13 14 15 16 17 18 19 20
1,475 Tablet Rp 170,362.50 2 Tablet Rp 231.00 0 Tablet Rp -
19 Botol Rp 56,848.00 0 Botol
Rp - 0 Botol Rp -
SuppositoriaRp - 0 Suppositoria Rp -
13 paket Rp 4,679,805.00 0 paket Rp - 0 paket Rp -
23 ampul Rp 1,375,400.00 0 ampul Rp - 0 ampul Rp -
-66 pcs -Rp 509,757.60 96 pcs Rp 741,465.60 0 pcs Rp -
1,152 Tablet Rp 2,419,200.00 70 Tablet Rp 147,000.00 0 Tablet Rp -
1,906 Tab Rp 238,250.00 292 Tab Rp 36,500.00 0 Tab Rp -
772 Tablet Rp 101,904.00 0 Tablet
Rp - 0 Tablet Rp -
10 Ampul Rp 1,309,990.00 0 Ampul Rp - 0 Ampul Rp -
1,650 Sachet Rp 372,900.00 0 Sachet Rp - 0 Sachet Rp -
46 149,500.00 Suppositoria Rp -
-590 Tablet -Rp 63,720.00 1,090 Tablet Rp 117,720.00 Tablet Rp -
200 pcs Rp 1,158,000.00 300 pcs Rp 1,737,000.00 pcs Rp -
60 Suppositor Rp 119,880.00 0 Supposit Rp - Suppositoria Rp -
0 Kapsul Rp - 500 Kapsul Rp 247,000.00 Kapsul Rp -
-10 Botol -Rp 77,000.00 58 Botol Rp 446,600.00 Botol Rp -
25 Tes Rp 358,500.00 0 Tes Rp - Tes Rp -
1,000 Kapsul Rp 508,000.00 0 Kapsul Rp - Kapsul Rp -
0 Pcs Rp - 100 Pcs Rp 2,200,000.00 Pcs Rp -
4,360 Tablet Rp 985,360.00 7640 Tablet Rp 1,726,640.00 Tablet Rp -
0 paket Rp - 16 paket Rp 6,667,136.00 paket Rp -
1 paket Rp 248,120.00 0 paket Rp - paket Rp -
200 Pot Rp 545,600.00 0 Pot Rp - Pot Rp -
0 Tablet Rp - TabletRp - Tablet Rp -
Rp 57,760,384.28 Rp 40,781,030.41 Rp -
hu
n
Du
a
Du
UPTD PUSKESMAS DOPLANG
a
SKPD
Pul : DINAS
No./
KESEHATAN
uh Tgl.
Sura
tela t
dila
No
Tan ar
Barang-barang bulan
Harga Satuan
Penambahan 2020)
nak aan/
an Pen
1 2 gelu3 4 5 6 7 8 10 11
ap1 1,500 Tablet Rp 480,150.00 Rp 320.10 0 Tablet Rp -
ora
n3 Akita Tablet 270 Tab Rp 122,661.00 Rp 454.30 0 Tab Rp -
mu4 ALLOPURINOL TAB 100 MG 1,000 Tablet Rp 99,000.00 Rp 99.00 0 Tablet Rp -
tasi
Alopurinol 100 mg 230 Tablet Rp 0 Tablet Rp
ob5 24,150.00 Rp 105.00 -
at6 Ambroxol 30mg tab 943 Tablet Rp 280,071.00 Rp 297.00 0 Tablet Rp -

UP7 Aminophillin 200mg tablet 200 Tablet Rp 17,800.00 Rp 89.00 0 Tablet Rp -
Gu9 Amlodipin 5 mg 620 Tablet Rp 32,860.00 Rp 53.00 0 Tablet Rp -
da
ng
11
Far Amoksisilin sirup kering 125 mg/5 ml 16 Botol Rp 105,600.00 Rp 6,600.00 0 Botol Rp -
ma12 Antasida DOEN 3,243 Tablet Rp 188,094.00 Rp 58.00 0 Tablet Rp -
si13 Antihemoroid DOEN 10SuppositoriaRp 32,500.00 Rp 3,250.00 0uppositoriaRp
S -
de14 Aqua PI 120 ampul Rp 343,200.00 Rp 2,860.00 0 ampul Rp -
ng15 ASAM ASKORBAT 50 MG TAB 1,614 Tablet Rp 169,470.00 Rp 105.00 0 Tablet Rp -
an 30 Tablet 0 Tablet Rp
16 Asam folat 1 mg Rp 2,250.00 Rp 75.00 -
has
Asam Mefenamat 500 mg 2,100 Tablet 216,300.00 Rp 103.00 0 Tablet Rp
il17 Rp -
18
seb Asering 48 Softbag Rp 463,008.00 Rp 9,646.00 0 Softbag Rp -
ag19 Asetosal 80 mg (Miniaspi tab) 200 Tablet Rp 21,000.00 Rp 105.00 0 Tablet Rp -
ai20 Asiklovir 400 mg tab 574 Tablet Rp 232,470.00 Rp 405.00 0 Tablet Rp -
ber
ikut
:
22 Atropin Sulfat Inj 0,25 mg/ml 14 Ampul Rp 22,330.00 Rp 1,595.00 0 Ampul Rp -
23 Becefort/Arkavit/Multivitamin 1,740 Tablet Rp 1,722,600.00 Rp 990.00 0 Tablet Rp -
24 Betahistin Mesilat 6 mg Tab 1,000 Tablet Rp 451,000.00 Rp 451.00 0 Tablet Rp -
29 Deksametason 0,5 mg tab 1,192 Tablet
Rp 107,518.40 Rp 90.20 0 Tablet Rp -
35 Dimenhidrinat tab 50 mg 1,700 Tablet Rp 183,600.00 Rp 108.00 0 Tablet Rp -
37 Eugenol cairan 7 Botol Rp 131,768.00 Rp 18,824.00 0 Botol Rp -
44 Garam Oralit 100 Sachet Rp 33,000.00 Rp 330.00 0 Sachet Rp -
Jarum jahit hecting kulit untuk khitan
56 (No. 21, uk panjang 21mm) 2 set Rp 473,000.00 Rp 236,500.00 0 set Rp -
58 Kapas Pembalut 250g 1 Rol Rp 12,500.00 Rp 12,500.00 0 Rol Rp -
60 Kaptropil tab 12,5 mg 1,470 Tablet Rp 161,700.00 Rp 110.00 0 Tablet Rp -
78 Molexflu 1,090 Tablet Rp 563,530.00 Rp 517.00 0 Tablet Rp -
92 Propranolol 10 mg 244 Tablet Rp 13,176.00 Rp 54.00 0 Tablet Rp -
94 Ringer Laktat larutan infus 600 botol Rp 4,578,000.00 Rp 7,630.00 0 botol Rp -
96 Risperidon/Persidal 2mg 1,500 Tablet Rp 204,590.10 Rp 136.39 0 Tablet Rp -
100 Tablet Tambah Darah 40 Sachet Rp 9,040.00 Rp 226.00 0 Sachet Rp -
101 Tetrasiklin 500 mg 1,556 Tablet Rp 502,588.00 Rp 323.00 0 Tablet Rp -
19 Amoksisilin sirup kering 0 botol Rp - Rp 3,850.00 200 botol Rp 770,000.00
0 Rp -
30 antiza 0 Tablet Rp - Rp 1,100.00 2,000 Tablet Rp 2,200,000.00
40 Atropin Sulfat inj 0 Ampul Rp - Rp 1,718.00 5 Ampul Rp 8,590.00
49 Daryantulle/Cuticell 10x10 0 Pcs Rp - Rp 5,520.00 0 Pcs Rp -
100 Handscoon non steril S 0 Pasang Rp - Rp 1,991.00 0 Pasang Rp -
119 Kalsium Glukonat Inj 10% 0 Ampul Rp - Rp 10,351.00 20 Ampul Rp 207,020.00
207 Ranitidin 50 mg/2 ml injeksi 0 Ampul Rp - Rp 814.00 50 Ampul Rp 40,700.00
276 Aqua PI 0 Botol Rp - Rp 2,860.00 54 Botol Rp 154,440.00
0
JUMLAH Rp 26,082,857.70 Rp 36,979,672.16

022 s/d 31 Maret 2022
SKESMAS DOPLANG
Sisa (31
Desember
2019 )
13 14 15 16 17 18 19 20
620 Tablet Rp 32,860.00 0 TabletRp - 0 Tablet Rp -
0Suppositoria Rp - 10
SuppositoriaRp 32,500.00 0
SuppositoriaRp -
0 buah Rp - 12 buah Rp 127,200.00 0 buah Rp -
5 supp Rp 62,865.00 10 supp Rp 125,730.00 0 supp Rp -
0 set Rp - 2 set Rp 473,000.00 0 set Rp -
320 botol Rp 2,441,600.00 280 botol Rp 2,136,400.00 0 botol Rp -
0SuppositoriaRp - SuppositoriaRp - SuppositoriaRp -
1,865 Tablet Rp 2,051,500.00 135 Tablet Rp 148,500.00 Tablet Rp -
1 paket Rp 214,985.00 1 paket Rp 214,985.00 paket Rp -
-2 Sachet -Rp 50,000.00 2 Sachet Rp 50,000.00 Sachet Rp -
6 Vial Rp 24,540.00 Vial Rp - Vial Rp -
0 Tes Rp - Tes Rp - Tes Rp -
3 Vial Rp 1,551,396.00 0 Vial Rp - Vial Rp -
0 Tablet Rp - 300 Tablet Rp 300.00 Tablet Rp -
13 Ampul Rp 825,500.00 37 Ampul Rp 2,349,500.00 Ampul Rp -
3,156 Kapsul Rp 1,745,268.00 194 Kapsul Rp 107,282.00 Kapsul Rp -
Rp 36,996,349.76 Rp 26,066,180.10 Rp -
UPTD PUSKESMAS CEPU
No./
SKPD : DINAS
Tgl. KESEHATAN
Sur
at Kamis Tanggal Tiga Puluh Satu Maret Tahun Dua Ribu Dua Puluh Dua telah dilaksanakan pelaporan mutasi obat UPTD Puskesmas Cepu dengan hasil sebagai berikut:
Pada hari ini
Das
ar
Tan
No Pen Uraian (Nama Barang) Barang-barang bulan lalu ( 1 Januari 2022) Harga Satuan Jumlah Barang yang diterima/dikeluarkan ( 1 Januari s/d 31 Maret 2022) Sisa (31 Maret 2022)
ggal
erim Saldo Penambahan Pengurangan Sisa Baik
aan/
Pen Jumlah Nilai Harga Jumlah Nilai Harga Jumlah Nilai Harga Jumlah Nilai
gelu
1 2 ara 3 4 5 6 7 8 10 11 13 14 15 16
n
Akita Tablet Tablet Rp 160,050.00 Tablet Tablet Tablet
1 500 Rp 320.10 0 Rp - 480 Rp 153,648.00 20
2 Alat Suntik 1 ml 90 Pcs Rp 86,130.00 Rp 957.00 0 Pcs Rp - 90 Pcs Rp 86,130.00 0 Pcs
3 Alat Suntik 10 ml 93 Pcs Rp 119,691.00 Rp 1,287.00 0 Pcs Rp - 3 Pcs Rp 3,861.00 90 Pcs
6 ALLOPURINOL TAB 100 MG 480 Tablet Rp 47,520.00 Rp 99.00 0 Tablet Rp - 0 Tablet Rp - 480 Tablet
7 Alopurinol 300 mg 440 Tablet Rp 242,000.00 Rp 550.00 0 Tablet Rp - 20 Tablet Rp 11,000.00 420 Tablet
8 Ambroxol 30 mg tab 4,200 Tablet Rp 485,100.00 Rp 115.50 0 Tablet Rp - 2,646 Tablet Rp 305,613.00 1,554 Tablet
9 Amlodipin 5 mg 535 Tablet Rp 28,355.00 Rp 53.00 0 Tablet Rp - 535 Tablet Rp 28,355.00 0 Tablet
10 Amoksisilin kapl 500 mg 2,868 Tablet Rp 576,468.00 Rp 201.00 0 Tablet Rp - 2,868 Tablet Rp 576,468.00 0 Tablet
11 Amoksisilin sirup kering 80 botol Rp 308,000.00 Rp 3,850.00 0 botol Rp - 77 botol Rp 296,450.00 3 botol
12 Antasida DOEN susp 40 Botol Rp 119,680.00 Rp 2,992.00 0 Botol Rp - 40 Botol Rp 119,680.00 0 Botol
13 Antasida DOEN tab 2,370 Tablet Rp 137,460.00 Rp 58.00 0 Tablet Rp - 2,370 Tablet Rp 137,460.00 0 Tablet
14 Anti bakteri salep kombinasi 12 Kapsul Rp 60,720.00 Rp 5,060.00 0 Kapsul Rp - 12 Kapsul Rp 60,720.00 0 Kapsul
15 Antihemoroid DOEN SuppositoriaRp
27 87,750.00 Rp 3,250.00 Suppositoria
0 Rp - 27SuppositoriaRp 87,750.00 Suppositoria
0
16 Antimigrain ( Ergotamin ) 200 Tablet Rp 37,000.00 Rp 185.00 0 Tablet Rp - 0 Tablet Rp - 200 Tablet
17 Aqua PI 51 ampul Rp 145,860.00 Rp 2,860.00 0 ampul Rp - 0 ampul Rp - 51 ampul
18 Asam Folat 1 mg 100 Tablet Rp 7,500.00 Rp 75.00 0 Tablet Rp - 0 Tablet Rp - 100 Tablet
19 Asam Mefenamat 500 mg 1,770 Tablet Rp 196,470.00 Rp 111.00 0 Tablet Rp - 1,770 Tablet Rp 196,470.00 0 Tablet
20 Asetosal 80 mg (Miniaspi tab) 920 Tablet Rp 96,600.00 Rp 105.00 0 Tablet Rp - 150 Tablet Rp 15,750.00 770 Tablet
21 Asiklovir 400 mg tab 545 Tablet Rp 220,725.00 Rp 405.00 0 Tablet Rp - 545 Tablet Rp 220,725.00 0 Tablet
22 Asiklovir Krim 43 Tube Rp 140,670.20 Rp 3,271.40 0 Tube Rp - 43 Tube Rp 140,670.20 0 Tube
23 Atropin Sulfat inj 5 Ampul Rp 8,590.00 Rp 1,718.00 0 Ampul Rp - 0 Ampul Rp - 5 Ampul
24 Betahistin Mesilat 6 mg Tab 440 Tablet Rp 198,440.00 Rp 451.00 0 Tablet Rp - 440 Tablet Rp 198,440.00 0 Tablet
25 Betametason krim 0,1% 36 Tube Rp 48,240.00 Rp 1,340.00 0 Tube Rp - 36 Tube Rp 48,240.00 0 Tube
26 Blue Tips 200 Buah Rp 15,300.00 Rp 76.50 0 Buah Rp - 0 Buah Rp - 200 Buah
27 Canule O2 Anak 18 Pcs Rp 99,000.00 Rp 5,500.00 0 Pcs Rp - 6 Pcs Rp 33,000.00 12 Pcs
28 Canule O2 dewasa 30 Buah Rp 153,000.00 Rp 5,100.00 0 Buah Rp - 3 Buah Rp 15,300.00 27 Buah
29 catgut chromic 3/0 + jarum 1/2GT 30 pcs Rp 150,000.00 Rp 5,000.00 0 pcs Rp - 1 pcs Rp 5,000.00 29 pcs
35mm
30 Daryantulle kasa 25 pcs Rp 138,000.00 Rp 5,520.00 0 pcs Rp - 15 pcs Rp 82,800.00 10 pcs
31 Deksametason 0,5 mg tab 2,405 Tablet Rp 76,960.00 Rp 32.00 0 Tablet Rp - 2,405 Tablet Rp 76,960.00 0 Tablet
32 Deksametason Inj 5 mg/ml 6 Ampul Rp 5,544.00 Rp 924.00 0 Ampul Rp - 1 Ampul Rp 924.00 5 Ampul
33 Diazepam 5 mg Tab 255 Tablet Rp 27,540.00 Rp 108.00 0 Tablet Rp - 255 Tablet Rp 27,540.00 0 Tablet
34 DIAZEPAM INJ 12 ampul Rp 20,820.00 Rp 1,735.00 0 ampul Rp - 4 ampul Rp 6,940.00 8 ampul
35 Diazepam rektal 10 mg/2,5 mL 5 supp Rp 91,395.00 Rp 18,279.00 0 supp Rp - 2 supp Rp 36,558.00 3 supp
36 Diazepam rektal 5 mg/2,5 mL 2 supp Rp 25,146.00 Rp 12,573.00 0 supp Rp - 0 supp Rp - 2 supp
37 Difenhidramin HCL inj 10 mg/ml 17 Ampul Rp 18,614.83 Rp 1,094.99 0 Ampul Rp - 17 Ampul Rp 18,614.83 0 Ampul
38 Digoksin tablet 0,25 mg 500 Tablet Rp 57,200.00 Rp 114.40 0 Tablet Rp - 125 Tablet Rp 14,300.00 375 Tablet
39 Dimenhidrinat tab 50 mg 703 Tablet Rp 75,924.00 Rp 108.00 0 Tablet Rp - 563 Tablet Rp 60,804.00 140 Tablet
40 Epinefrin Inj (Adrenalin)0,1% 11 ampul Rp 15,488.00 Rp 1,408.00 0 ampul Rp - 0 ampul Rp - 11 ampul
41 Etaflusin 1,334 Tablet Rp 469,421.26 Rp 351.89 0 Tablet Rp - 1,334 Tablet Rp 469,421.26 0 Tablet
42 Etakridin lart 0,1% (Rivanol) 20 Botol Rp 30,500.00 Rp 1,525.00 0 Botol Rp - 3 Botol Rp 4,575.00 17 Botol
43 Etil Klorida 5 botol Rp 632,500.00 Rp 126,500.00 0 botol Rp - 5 botol Rp 632,500.00 0 botol
44 FDC Kategori 1 17 paket Rp 6,119,745.00 Rp 359,985.00 0 paket Rp - 17 paket Rp 6,119,745.00 0 paket
45 FDC Kategori Anak 2 paket Rp 429,970.00 Rp 214,985.00 0 paket Rp - 2 paket Rp 429,970.00 0 paket
46 Fenitoin 100 mg 200 Kapsul Rp 31,600.00 Rp 158.00 0 Kapsul Rp - 130 Kapsul Rp 20,540.00 70 Kapsul
47 Fenitoin 100 mg 110 Kapsul Rp 17,380.00 Rp 158.00 0 Kapsul Rp - 110 Kapsul Rp 17,380.00 0 Kapsul
48 Fenobarbital Tab 30 mg 240 Tablet Rp 41,037.60 Rp 170.99 0 Tablet Rp - 0 Tablet Rp - 240 Tablet
49 Fenol gliserol TT 10% 38 Botol Rp 125,400.00 Rp 3,300.00 0 Botol Rp - 31 Botol Rp 102,300.00 7 Botol
50 Fitomenadion inj 2 mg/ml 30 Ampul Rp 41,580.00 Rp 1,386.00 0 Ampul Rp - 4 Ampul Rp 5,544.00 26 Ampul
51 Fitomenadion inj 2 mg/ml/Vitka inf 20 Ampul Rp 203,000.00 Rp 10,150.00 0 Ampul Rp - 20 Ampul Rp 203,000.00 0 Ampul
52 Fixomull (10cm x 5 m) 2 Botol Rp 180,000.00 Rp 90,000.00 0 Botol Rp - 2 Botol Rp 180,000.00 0 Botol
53 Folley Catheter 16 10 Rol Rp 103,400.00 Rp 10,340.00 0 Rol Rp - 0 Rol Rp - 10 Rol
54 Folley Catheter 16 3 pcs Rp 31,020.00 Rp 10,340.00 0 pcs Rp - 1 pcs Rp 10,340.00 2 pcs
55 Folley Catheter 18 5 Pcs Rp 54,450.00 Rp 10,890.00 0 Pcs Rp - 2 Pcs Rp 21,780.00 3 Pcs
56 Furosemid 40 mg 161 Tablet Rp 12,397.00 Rp 77.00 0 Tablet Rp - 161 Tablet Rp 12,397.00 0 Tablet
57 Garam oralit 550 Sachet Rp 141,350.00 Rp 257.00 0 Sachet Rp - 550 Sachet Rp 141,350.00 0 Sachet
58 Gemfibrozil 300 mg 300 Kapsul Rp 118,800.00 Rp 396.00 0 Kapsul Rp - 0 Kapsul Rp - 300 Kapsul
59 Gemfibrozil 300 mg 30 Kapsul Rp 11,130.00 Rp 371.00 0 Kapsul Rp - 10 Kapsul Rp 3,710.00 20 Kapsul
60 gent oint / Gentamisin salep mata 16 Tube Rp 42,800.00 Rp 2,675.00 0 Tube Rp - 6 Tube Rp 16,050.00 10 Tube
61 Gentamisin sulfat TM 0,3% 7 Botol Rp 31,640.00 Rp 4,520.00 0 Botol Rp - 7 Botol Rp 31,640.00 0 Botol
62 Glibenklamid 5 mg 570 Tablet Rp 47,310.00 Rp 83.00 0 Tablet Rp - 570 Tablet Rp 47,310.00 0 Tablet
63 Glimepirid 1 mg 870 Tablet Rp 151,380.00 Rp 174.00 0 Tablet Rp - 280 Tablet Rp 48,720.00 590 Tablet
64 Glimepiride 2 mg 840 Tablet Rp 173,880.00 Rp 207.00 0 Tablet Rp - 840 Tablet Rp 173,880.00 0 Tablet
65 Gliseril Guaikiolat ( GG ) 1,266 Tablet Rp 112,800.60 Rp 89.10 0 Tablet Rp - 1,266 Tablet Rp 112,800.60 0 Tablet
66 Griseofulvin 125 mg tab 170 Tablet Rp 38,080.00 Rp 224.00 0 Tablet Rp - 0 Tablet Rp - 170 Tablet
67 Haloperidol 1,5 mg 790 Tablet Rp 46,613.16 Rp 59.00 0 Tablet Rp - 470 Tablet Rp 27,731.88 320 Tablet
68 Haloperidol tablet 5 mg 740 Tablet Rp 39,960.00 Rp 54.00 0 Tablet Rp - 310 Tablet Rp 16,740.00 430 Tablet
69 Handscoon non steril M 150 Pasang Rp 298,650.00 Rp 1,991.00 0 Pasang Rp - 150 Pasang Rp 298,650.00 0 Pasang
70 HCG tes Pro-D 50 Pcs Rp 96,950.00 Rp 1,939.00 0 Pcs Rp - 50 Pcs Rp 96,950.00 0 Pcs
71 Hidroklorotiazid ( HCT ) 300 Tablet Rp 44,400.00 Rp 148.00 0 Tablet Rp - 120 Tablet Rp 17,760.00 180 Tablet
72 Hidroklorotiazid 25 mg 100 Tablet Rp 15,500.00 Rp 155.00 0 Tablet Rp - 0 Tablet Rp - 100 Tablet
73 Hidrokortison 2,5% krim 77 Tube Rp 190,575.00 Rp 2,475.00 0 Tube Rp - 77 Tube Rp 190,575.00 0 Tube
74 Ibuprofen 400 mg 920 Tablet Rp 345,920.00 Rp 376.00 0 Tablet Rp - 376 Tablet Rp 141,376.00 544 Tablet
75 Ibuprofen suspensi 100 mg/5 ml 29 Botol Rp 64,844.00 Rp 2,236.00 0 Botol Rp - 6 Botol Rp 13,416.00 23 Botol
76 Ichtyol/Ichtamolum 16 Pot Rp 80,000.00 Rp 5,000.00 0 Pot Rp - 0 Pot Rp - 16 Pot
77 Infuset dewasa (PKD 1) 60 pcs Rp 347,400.00 Rp 5,790.00 0 pcs Rp - 0 pcs Rp - 60 pcs
78 Infuset dewasa Axeell 5 Pcs Rp 34,340.00 Rp 6,868.00 0 Pcs Rp - 2 Pcs Rp 13,736.00 3 Pcs
79 Infusion Set Anak 9 pcs Rp 32,373.00 Rp 3,597.00 0 pcs Rp - 0 pcs Rp - 9 pcs
80 Isosorbid Dinitrat 5 mg 190 Tablet Rp 20,900.00 Rp 110.00 0 Tablet Rp - 20 Tablet Rp 2,200.00 170 Tablet
81 IV Catheter 22G MF Cath Pro 35 Pcs Rp 271,915.00 Rp 7,769.00 0 Pcs Rp - 6 Pcs Rp 46,614.00 29 Pcs
82 IV Catheter 24G MF Cath Pro 43 Pcs Rp 330,842.00 Rp 7,694.00 0 Pcs Rp - 43 Pcs Rp 330,842.00 0 Pcs
83 IV Catheter No 18 40 Buah Rp 240,000.00 Rp 6,000.00 0 Buah Rp - 5 Buah Rp 30,000.00 35 Buah
84 IV Catheter No 20 110 Buah Rp 660,000.00 Rp 6,000.00 0 Buah Rp - 25 Buah Rp 150,000.00 85 Buah
85 Jarum Jahit kulit berbagai ukuran 2 Sachet Rp 50,000.00 Rp 25,000.00 0 Sachet Rp - 1 Sachet Rp 25,000.00 1 Sachet
86 Kalium Diklofenak tablet 50 mg 440 Tablet Rp 924,000.00 Rp 2,100.00 0 Tablet Rp - 140 Tablet Rp 294,000.00 300 Tablet
87 Kalium Permanganat 26 botol Rp 143,000.00 Rp 5,500.00 0 botol Rp - 1 botol Rp 5,500.00 25 botol
88 Kalsium Glukonat Inj 10% 5 Ampul Rp 51,755.00 Rp 10,351.00 0 Ampul Rp - 0 Ampul Rp - 5 Ampul
89 Kalsium Laktat 2,050 Tablet Rp 129,150.00 Rp 63.00 0 Tablet Rp - 2,050 Tablet Rp 129,150.00 0 Tablet
90 Kapas Pembalut 250g 3 pcs Rp 61,800.00 Rp 20,600.00 0 pcs Rp - 0 pcs Rp - 3 pcs
91 Kaptopril 25 mg 2,190 Tablet Rp 164,250.00 Rp 75.00 0 Tablet Rp - 1,930 Tablet Rp 144,750.00 260 Tablet
92 Karbamazepin 200 mg 540 Tablet Rp 132,300.00 Rp 245.00 0 Tablet Rp - 430 Tablet Rp 105,350.00 110 Tablet
93 Kartu Golongan Darah 200 Rol Rp 70,000.00 Rp 350.00 0 Rol Rp - 0 Rol Rp - 200 Rol
94 Kasa hydrophyl 16x16 566 pcs Rp 283,000.00 Rp 500.00 0 pcs Rp - 86 pcs Rp 43,000.00 480 pcs
95 Kasa hydrophyl 18x22 240 pcs Rp 150,000.00 Rp 625.00 0 pcs Rp - 0 pcs Rp - 240 pcs
96 Kassa 4 x 15 40 pcs Rp 84,000.00 Rp 2,100.00 0 pcs Rp - 10 pcs Rp 21,000.00 30 pcs
97 Kassa 40 x 40 30 Rol Rp 45,000.00 Rp 1,500.00 0 Rol Rp - 0 Rol Rp - 30 Rol
98 Ketokonazol 200 mg tab 290 Tablet Rp 114,260.00 Rp 394.00 0 Tablet Rp - 290 Tablet Rp 114,260.00 0 Tablet
99 Ketoprofen 100 mg/sup SuppositoriaRp
20 39,960.00 Rp 1,998.00 Suppositoria
0 Rp - 0SuppositoriaRp - Suppositoria
20
100 Klem umbilical 50 Rol Rp 90,000.00 Rp 1,800.00 0 Rol Rp - 0 Rol Rp - 50 Rol
101 Kloramfenikol 500 mg 500 Kapsul Rp 587,000.00 Rp 1,174.00 0 Kapsul Rp - 500 Kapsul Rp 587,000.00 0 Kapsul
102 Kloramfenikol salep mata 1% 15 Tube Rp 28,215.00 Rp 1,881.00 0 Tube Rp - 15 Tube Rp 28,215.00 0 Tube
103 Kloramfenikol TT 3% 35 Botol Rp 269,500.00 Rp 7,700.00 0 Botol Rp - 6 Botol Rp 46,200.00 29 Botol
104 Klorfeniramin (CTM) 4 mg 2,380 Tablet Rp 54,740.00 Rp 23.00 0 Tablet Rp - 2,380 Tablet Rp 54,740.00 0 Tablet
105 Klorpromazin 100 mg 2,114 Tablet Rp 523,215.00 Rp 247.50 0 Tablet Rp - 1,629 Tablet Rp 403,177.50 485 Tablet
106 Klorpromazin Inj 25 mg/ml 2 Ampul Rp 2,486.00 Rp 1,243.00 0 Ampul Rp - 2 Ampul Rp 2,486.00 0 Ampul
107 KOTRIMOKSAZOL 480 MG TAB 500 Tablet Rp 62,500.00 Rp 125.00 0 Tablet Rp - 10 Tablet Rp 1,250.00 490 Tablet
108 Lancet 200 Buah Rp 29,132.00 Rp 145.66 0 Buah Rp - 0 Buah Rp - 200 Buah
109 Lanzoprazol 30 mg 556 Kapsul Rp 154,568.00 Rp 278.00 0 Kapsul Rp - 106 Kapsul Rp 29,468.00 450 Kapsul
Lidokain Inj 2%+Epinefrin
110 1:80.000 - inj 2 ml 6 ampul Rp 7,374.00 Rp 1,229.00 0 ampul Rp - 6 ampul Rp 7,374.00 0 ampul
111 Magnesium Sulfat 40% 5 ampul Rp 18,980.00 Rp 3,796.00 0 ampul Rp - 5 ampul Rp 18,980.00 0 ampul
112 MDT Kusta MB Dewasa 6 Paket Rp 183,570.00 Rp 30,595.00 0 Paket Rp - 4 Paket Rp 122,380.00 2 Paket
113 MDT Kusta MB Dewasa 1 Paket Rp 30,595.00 Rp 30,595.00 0 Paket Rp - 1 Paket Rp 30,595.00 0 Paket
114 Metampiron 500 mg 1,212 Tablet Rp 479,952.00 Rp 396.00 0 Tablet Rp - 1,212 Tablet Rp 479,952.00 0 Tablet
115 Metilergometrin inj 50 Ampul Rp 540,000.00 Rp 10,800.00 0 Ampul Rp - 0 Ampul Rp - 50 Ampul
116 Metilprednisolon 4 mg tablet 262 Tablet Rp 66,862.40 Rp 255.20 0 Tablet Rp - 262 Tablet Rp 66,862.40 0 Tablet
117 Metoklopramid 10 mg 234 Tablet Rp 18,720.00 Rp 80.00 0 Tablet Rp - 234 Tablet Rp 18,720.00 0 Tablet
118 Metronidazol 125mg/5ml susp 52 botol Rp 205,400.00 Rp 3,950.00 0 botol Rp - 4 botol Rp 15,800.00 48 botol
119 Mikonazol 2% krim 11 Tube Rp 37,554.00 Rp 3,414.00 0 Tube Rp - 11 Tube Rp 37,554.00 0 Tube
120 Natrium Diklofenak 50 mg 350 Tablet Rp 43,050.00 Rp 123.00 0 Tablet Rp - 350 Tablet Rp 43,050.00 0 Tablet
121 Natrium Klorida infus 0.9% 28 Botol Rp 190,400.00 Rp 6,800.00 0 Botol Rp - 9 Botol Rp 61,200.00 19 Botol
122 Neo kaominal 46 Botol Rp 340,630.00 Rp 7,405.00 0 Botol Rp - 5 Botol Rp 37,025.00 41 Botol
123 Neocenta / Bioplacenton krim 12 Tube Rp 203,844.00 Rp 16,987.00 0 Tube Rp - 12 Tube Rp 203,844.00 0 Tube
124 Neurotropik tablet 180 Tablet Rp 120,600.00 Rp 670.00 0 Tablet Rp - 180 Tablet Rp 120,600.00 0 Tablet
125 Nistatin 100000 IU / ml Drop 1 Botol Rp 13,500.00 Rp 13,500.00 0 Botol Rp - 1 Botol Rp 13,500.00 0 Botol
126 Nistatin Vagtab 100.000 IU 531 Tablet Rp 297,360.00 Rp 560.00 0 Tablet Rp - 31 Tablet Rp 17,360.00 500 Tablet
127 OB Herbal Sirup 24 Botol Rp 184,800.00 Rp 7,700.00 0 Botol Rp - 24 Botol Rp 184,800.00 0 Botol
128 OBH sirup molex 60 ml 26 Botol Rp 163,134.40 Rp 6,274.40 0 Botol Rp - 26 Botol Rp 163,134.40 0 Botol
129 Oksitosin Inj 3 Ampul Rp 3,378.00 Rp 1,126.00 0 Ampul Rp - 3 Ampul Rp 3,378.00 0 Ampul
130 Parasetamol 500 mg 4,353 Tablet Rp 430,947.00 Rp 99.00 0 Tablet Rp - 4,353 Tablet Rp 430,947.00 0 Tablet
131 Parasetamol drops 100 mg/ml 49 botol Rp 325,801.00 Rp 6,649.00 0 botol Rp - 25 botol Rp 166,225.00 24 botol
132 Parasetamol sirup 120 mg/5 ml 71 botol Rp 83,851.00 Rp 1,181.00 0 botol Rp - 71 botol Rp 83,851.00 0 botol
133 Piridoksin (Vit B6) 10 mg 4,800 Tablet Rp 628,800.00 Rp 131.00 0 Tablet Rp - 2,943 Tablet Rp 385,533.00 1,857 Tablet
134 Piroksikam (lexicam) tablet 20 mg 586 Tablet Rp 77,352.00 Rp 132.00 0 Tablet Rp - 586 Tablet Rp 77,352.00 0 Tablet
135 Povidon Iodida 10 % 30 ml 15 Pcs Rp 42,000.00 Rp 2,800.00 0 Pcs Rp - 15 Pcs Rp 42,000.00 0 Pcs
136 Prednison 5 mg 420 Tablet Rp 50,274.00 Rp 119.70 0 Tablet Rp - 420 Tablet Rp 50,274.00 0 Tablet
137 Propranolol 40 mg 200 Tablet Rp 15,200.00 Rp 76.00 0 Tablet Rp - 200 Tablet Rp 15,200.00 0 Tablet
138 Ranitidin 150 mg 795 Tablet Rp 135,809.85 Rp 170.83 0 Tablet Rp - 795 Tablet Rp 135,809.85 0 Tablet
139 Ranitidin 50 mg/2 ml injeksi 12 Ampul Rp 9,768.00 Rp 814.00 0 Ampul Rp - 0 Ampul Rp - 12 Ampul
140 Reagent HbsAg tes 75 test Rp 738,750.00 Rp 9,850.00 0 test Rp - 75 test Rp 738,750.00 0 test
141 Reagent Syphillis 25 Paket Rp 510,000.00 Rp 20,400.00 0 Paket Rp - 25 Paket Rp 510,000.00 0 Paket
142 Ringer Laktat larutan infus 52 Botol Rp 371,800.00 Rp 7,150.00 0 Botol Rp - 52 Botol Rp 371,800.00 0 Botol
143 Risperidon 2 mg 648 Tablet Rp 176,904.00 Rp 273.00 0 Tablet Rp - 648 Tablet Rp 176,904.00 0 Tablet
144 Salbutamol 2 mg 530 Tablet Rp 37,100.00 Rp 70.00 0 Tablet Rp - 530 Tablet Rp 37,100.00 0 Tablet
145 Salep 2-4 Kombinasi 24 pot Rp 67,104.00 Rp 2,796.00 0 pot Rp - 24 pot Rp 67,104.00 0 pot
146 Salep 2-4 Kombinasi 13 Pot Rp 34,060.00 Rp 2,620.00 0 Pot Rp - 13 Pot Rp 34,060.00 0 Pot
147 Salisil bedak 2 % 28 Kotak 50 grRp 67,760.00 Rp 2,420.00 Kotak
0 50 grRp - 28Kotak 50 gr Rp 67,760.00 0Kotak 50 gr
148 Scabicide/Scabimit/Permetrin 5% 3 Tube Rp 34,398.00 Rp 11,466.00 0 Tube Rp - 3 Tube Rp 34,398.00 0 Tube
149 Scopma / Spashi Tab 10 Tablet Rp 22,000.00 Rp 2,200.00 0 Tablet Rp - 10 Tablet Rp 22,000.00 0 Tablet
150 Sefadroksil 500 mg 340 Tablet Rp 131,920.00 Rp 388.00 0 Tablet Rp - 200 Tablet Rp 77,600.00 140 Tablet
151 Sefadroksil sirup 50 botol Rp 209,250.00 Rp 4,185.00 0 botol Rp - 0 botol Rp - 50 botol
152 Serum ATS 1500 IU 9 Ampul Rp 1,178,991.00 Rp 130,999.00 0 Ampul Rp - 2 Ampul Rp 261,998.00 7 Ampul
153 Sianokobalamin (vit B12) tab 1,460 Tablet Rp 71,540.00 Rp 49.00 0 Tablet Rp - 1,460 Tablet Rp 71,540.00 0 Tablet
154 silk no 2/0 dgn jarum 15 Pcs Rp 304,500.00 Rp 20,300.00 0 Pcs Rp - 15 Pcs Rp 304,500.00 0 Pcs
155 Siprofloksasin tab 500 mg 1,180 Tablet Rp 266,036.36 Rp 225.45 0 Tablet Rp - 697 Tablet Rp 157,141.82 483 Tablet
Spekulum dispo / Vagion M 50 Strip Rp 325,000.00 Strip Strip Strip

156 Rp 6,500.00 0 Rp - 0 Rp - 50
Strip Glukosa BENECHECK 2 Pcs Rp 320,000.00 Pcs Pcs Pcs
157 Rp 160,000.00 0 Rp - 2 Rp 320,000.00 0
158 Strip Glukosa Nesco 25 test Rp 96,800.00 Rp 3,872.00 0 test Rp - 25 test Rp 96,800.00 0 test
159 Tablet Tambah Darah 1,610 Sachet Rp 363,860.00 Rp 226.00 0 Sachet Rp - 1,610 Sachet Rp 363,860.00 0 Sachet
160 Tensigard 110 Kapsul Rp 266,200.00 Rp 2,420.00 0 Kapsul Rp - 110 Kapsul Rp 266,200.00 0 Kapsul
161 Tetrasiklin 500 mg 1870 Kapsul Rp 604,010.00 Rp 323.00 0 Kapsul Rp - 1,870 Kapsul Rp 604,010.00 0 Kapsul
Tiamfenikol 500 mg kapsul Tablet Rp 601,425.00 Tablet Tablet Tablet
162 540 Rp 1,113.75 0 Rp - 53 Rp 59,028.75 487
163 Tiamin (Vit B1) 50 mg 1,840 Tablet Rp 465,520.00 Rp 253.00 0 Tablet Rp - 1,840 Tablet Rp 465,520.00 0 Tablet
164 Tranfusi set Axeell Blood (SCP) 5 Pcs Rp 50,000.00 Rp 10,000.00 0 Pcs Rp - 5 Pcs Rp 50,000.00 0 Pcs
165 transfusion set 50 pcs Rp 499,964.52 Rp 9,999.29 0 pcs Rp - 36 pcs Rp 359,974.45 14 pcs
166 Triheksipenidil 2 mg 1,389 Tablet Rp 126,399.00 Rp 91.00 0 Tablet Rp - 1,389 Tablet Rp 126,399.00 0 Tablet
167 UnderPad 30 Botol Rp 143,550.00 Rp 4,785.00 0 Botol Rp - 30 Botol Rp 143,550.00 0 Botol
168 Urine bag 40 Buah Rp 220,000.00 Rp 5,500.00 0 Buah Rp - 40 Buah Rp 220,000.00 0 Buah
169 Vicalcin sirup 8 Botol Rp 56,196.80 Rp 7,024.60 0 Botol Rp - 8 Botol Rp 56,196.80 0 Botol
170 Vitamin B Kompleks (HOLY) 950 Tablet Rp 78,850.00 Rp 83.00 0 Tablet Rp - 950 Tablet Rp 78,850.00 0 Tablet
171 Zink sir 20 mg/5 ml 30 Botol Rp 74,670.00 Rp 2,489.00 0 Botol Rp - 30 Botol Rp 74,670.00 0 Botol
172 Zink Tablet 710 Tablet Rp 372,040.00 Rp 524.00 0 Tablet Rp - 710 Tablet Rp 372,040.00 0 Tablet
1 Akita Tablet 0 Tablet Rp - Rp 320.10 500 Tablet Rp 160,050.00 0 Tablet Rp - 500 Tablet
2 Alat Suntik 1 ml 0 Pcs Rp - Rp 957.00 200 Pcs Rp 191,400.00 200 Pcs Rp 191,400.00 0 Pcs
3 Alat Suntik 10 ml 0 Pcs Rp - Rp 1,287.00 0 Pcs Rp - 0 Pcs Rp - Pcs
4 Alat Suntik 10 ml 0 Pcs Rp - Rp 914.00 0 Pcs Rp - 0 Pcs Rp - Pcs
5 Alat Suntik 3 ml 0 Pcs Rp - Rp 693.00 300 Pcs Rp 207,900.00 0 Pcs Rp - 300 Pcs
9 Albendazol 400mg tab 0 Tablet Rp - Rp 288.00 6,000 Tablet Rp 1,728,000.00 6,000 Tablet Rp 1,728,000.00 0 Tablet
10 Alkohol Swab 0 Set Rp - Rp 120.00 0 Set Rp - 0 Set Rp - Set
11 Alopurinol 100 mg 0 Tablet Rp - Rp 105.00 3,000 Tablet Rp 315,000.00 0 Tablet Rp - 3,000 Tablet
12 Alopurinol 300 mg 0 Tablet Rp - Rp 550.00 0 Tablet Rp - 0 Tablet Rp - Tablet
13 Alprazolam 0,5 mg 0 Tablet Rp - Rp 78.00 0 Tablet Rp - 0 Tablet Rp - Tablet
14 Ambroxol 30 mg tab 0 Tablet Rp - Rp 115.50 1,000 Tablet Rp 115,500.00 0 Tablet Rp - 1,000 Tablet
15 Amlodipin 10 mg 0 Tablet Rp - Rp 70.00 5,000 Tablet Rp 350,000.00 3,200 Tablet Rp 224,000.00 1,800 Tablet
16 Amlodipin 5 mg 0 Tablet Rp - Rp 53.00 6,000 Tablet Rp 318,000.00 4,510 Tablet Rp 239,030.00 1,490 Tablet
17 Amoksisilin 125 mg/5 ml sirup kering 0 Botol Rp - Rp 2,050.40 50 Botol Rp 102,520.00 0 Botol Rp - 50 Botol
18 Amoksisilin kapl 500 mg 0 Tablet Rp - Rp 201.00 2,000 Tablet Rp 402,000.00 2,000 Tablet Rp 402,000.00 0 Tablet
19 Amoksisilin sirup kering 0 botol Rp - Rp 3,850.00 0 botol Rp - 0 botol Rp - botol
20 Ampisilin serbuk 1000mg/ml 0 Vial Rp - Rp 8,237.00 0 Vial Rp - 0 Vial Rp - Vial
21 Antasida DOEN susp 0 Botol Rp - Rp 1,679.00 100 Botol Rp 167,900.00 7 Botol Rp 11,753.00 93 Botol
22 Antasida DOEN tab 0 Tablet Rp - Rp 58.00 6,000 Tablet Rp 348,000.00 3,502 Tablet Rp 203,116.00 2,498 Tablet
23 Antasida DOEN tab 0 Tablet Rp - Rp 54.00 0 Tablet Rp - 0 Tablet Rp - Tablet
24 Antasida DOEN tab 0 Tablet Rp - Rp 58.00 4,000 Tablet Rp 232,000.00 0 Tablet Rp - 4,000 Tablet
25 Antifungi salep komb 0 Pot Rp - Rp 4,496.00 0 Pot Rp - 0 Pot Rp - Pot
26 Antifungi salep komb 0 Pot Rp - Rp 4,496.00 0 Pot Rp - 0 Pot Rp - Pot
100 Rp 325,000.00 Suppositoria
43 Rp 139,750.00 Suppositoria
57
28 Antimigrain ( Ergotamin ) 0 Tablet Rp - Rp 185.00 0 Tablet Rp - 0 Tablet Rp - Tablet
29 Antimigrain ( Ergotamin ) 0 Tablet Rp - Rp 185.00 0 Tablet Rp - 0 Tablet Rp - Tablet
30 antiza 0 Tablet Rp - Rp 1,100.00 1,000 Tablet Rp 1,100,000.00 300 Tablet Rp 330,000.00 700 Tablet
31 Asam Askorbat ( Vit.C ) 50 mg 0 Tablet Rp - Rp 42.00 6,000 Tablet Rp 252,000.00 4,026 Tablet Rp 169,092.00 1,974 Tablet
32 Asam Folat 0,4 mg 0 Tablet Rp - Rp 220.00 0 Tablet Rp - 0 Tablet Rp - Tablet
33 Asam Mefenamat 500 mg 0 Tablet Rp - Rp 111.00 10,000 Tablet Rp 1,110,000.00 6,560 Tablet Rp 728,160.00 3,440 Tablet
34 Asam Mefenamat 500 mg 0 Tablet Rp - Rp 111.00 0 Tablet Rp - 0 Tablet Rp - Tablet
35 Aseptic Gel/Sabun cuci tangan 0 botol Rp - Rp 26,500.00 0 botol Rp - 0 botol Rp - botol
36 Asering 0 Softbag Rp - Rp 9,646.00 0 Softbag Rp - 0 Softbag Rp - Softbag
37 Asetosal 80 mg (Miniaspi tab) 0 Tablet Rp - Rp 105.00 0 Tablet Rp - 0 Tablet Rp - Tablet
38 Asiklovir 400 mg tab 0 Tablet Rp - Rp 405.00 800 Tablet Rp 324,000.00 120 Tablet Rp 48,600.00 680 Tablet
39 Asiklovir Krim 0 Tube Rp - Rp 3,271.40 50 Tube Rp 163,570.00 3 Tube Rp 9,814.20 47 Tube
40 Atropin Sulfat inj 0 Ampul Rp - Rp 1,718.00 0 Ampul Rp - 0 Ampul Rp - Ampul
41 Autoclick Lancing Device Onemed 0 Pcs Rp - Rp 17,416.00 0 Pcs Rp - 0 Pcs Rp - Pcs
42 Betahistin Mesilat 6 mg Tab 0 Tablet Rp - Rp 451.00 1,000 Tablet Rp 451,000.00 520 Tablet Rp 234,520.00 480 Tablet
43 Bio ATP 0 Tablet Rp - Rp 2,500.00 0 Tablet Rp - 0 Tablet Rp - Tablet
44 Blue Tips 0 Buah Rp - Rp 76.50 0 Buah Rp - 0 Buah Rp - Buah
45 Bracket 0 Pcs Rp - Rp 22,000.00 0 Pcs Rp - 0 Pcs Rp - Pcs
46 Canule O2 Anak 0 Pcs Rp - Rp 5,100.00 0 Pcs Rp - 0 Pcs Rp - Pcs
47 Canule O2 Bayi 0 Buah Rp - Rp 5,200.00 0 Buah Rp - 0 Buah Rp - Buah
48 Canule O2 dewasa 0 Buah Rp - Rp 5,100.00 0 Buah Rp - 0 Buah Rp - Buah
49 Daryantulle/Cuticell 10x10 0 Pcs Rp - Rp 5,520.00 10 Pcs Rp 55,200.00 0 Pcs Rp - 10 Pcs
50 Deksametason 0,5 mg tab 0 Tablet Rp - Rp 32.00 3,000 Tablet Rp 96,000.00 3,000 Tablet Rp 96,000.00 0 Tablet
51 Deksametason 0,5 mg tab 0 Tablet Rp - Rp 32.00 0 Tablet Rp - 0 Tablet Rp - Tablet
52 Deksametason Inj 5 mg/ml 0 Ampul Rp - Rp 924.00 10 Ampul Rp 9,240.00 0 Ampul Rp - 10 Ampul
53 Deksametason Inj 5 mg/ml 0 Ampul Rp - Rp 924.00 0 Ampul Rp - 0 Ampul Rp - Ampul
54 Diazepam 5 mg Tab 0 Tablet Rp - Rp 108.00 600 Tablet Rp 64,800.00 43 Tablet Rp 4,644.00 557 Tablet
55 DIAZEPAM INJ 0 ampul Rp - Rp 1,735.00 0 ampul Rp - 0 ampul Rp - ampul
56 Diazepam rektal 5 mg/2,5 ml 0 Tube Rp - Rp 12,573.00 0 Tube Rp - 0 Tube Rp - Tube
57 Difenhidramin HCL inj 10 mg/ml 0 Ampul Rp - Rp 1,095.00 0 Ampul Rp - 0 Ampul Rp - Ampul
58 Difenhidramin inj 10 mg/ml 0 Ampul Rp - Rp 1,095.00 30 Ampul Rp 32,850.00 1 Ampul Rp 1,095.00 29 Ampul
59 Difenhidramin inj 10 mg/ml 0 ampul Rp - Rp 1,095.00 0 ampul Rp - 0 ampul Rp - ampul
60 Digoksin tablet 0,25 mg 0 Tablet Rp - Rp 114.40 0 Tablet Rp - 0 Tablet Rp - Tablet
61 Dimenhidrinat tab 50 mg 0 Tablet Rp - Rp 108.00 0 Tablet Rp - 0 Tablet Rp - Tablet
62 Epinefrin Inj (Adrenalin)0,1% 0 ampul Rp - Rp 1,408.00 10 ampul Rp 14,080.00 0 ampul Rp - 10 ampul
63 Etanol 70 % 100 ml 0 Botol Rp - Rp 2,790.00 0 Botol Rp - 0 Botol Rp - Botol
64 Etil Klorida 0 botol Rp - Rp 126,500.00 4 botol Rp 506,000.00 3 botol Rp 379,500.00 1 botol
65 FDC Kategori 1 0 paket Rp - Rp 359,985.00 48 paket Rp 17,279,280.00 48 paket Rp 17,279,280.00 0 paket
66 FDC Kategori 1 harian 0 paket Rp - Rp 359,985.00 0 paket Rp - 0 paket Rp - paket
67 FDC Kategori 1 Kombipak 0 Paket Rp - Rp 288,199.00 0 Paket Rp - 0 Paket Rp - Paket
68 FDC Kategori 1 Kombipak 0 paket Rp - Rp 288,199.00 0 paket Rp - 0 paket Rp - paket
69 FDC Kategori 2 0 paket Rp - Rp 1,199,985.00 0 paket Rp - 0 paket Rp - paket
70 FDC Kategori Anak 0 paket Rp - Rp 214,985.00 3 paket Rp 644,955.00 1 paket Rp 214,985.00 2 paket
71 Fenibarbital Tab 30 mg 0 Tablet Rp - Rp 171.00 0 Tablet Rp - 0 Tablet Rp - Tablet
72 Fenidryl Sirup 0 Botol Rp - Rp 5,553.90 0 Botol Rp - 0 Botol Rp - Botol
73 Fenitoin inj 0 ampul Rp - Rp 1.00 0 ampul Rp - 0 ampul Rp - ampul
74 Fenobarbital 30 mg 0 Tablet Rp - Rp 171.00 0 Tablet Rp - 0 Tablet Rp - Tablet
75 Fenobarbital 30 mg 0 Tablet Rp - Rp 171.00 0 Tablet Rp - 0 Tablet Rp - Tablet
76 Fenobarbital Tab 30 mg 0 Tablet Rp - Rp 170.99 0 Tablet Rp - 0 Tablet Rp - Tablet
77 Fenol gliserol TT 10% 0 Botol Rp - Rp 3,300.00 24 Botol Rp 79,200.00 0 Botol Rp - 24 Botol
78 Fitomenadion inj 2 mg/ml 0 Ampul Rp - Rp 1,386.00 30 Ampul Rp 41,580.00 0 Ampul Rp - 30 Ampul
79 Fludane/molexflu/antiza tablet/flut 0 Tablet Rp - Rp 440.00 1,000 Tablet Rp 440,000.00 1,000 Tablet Rp 440,000.00 Tablet
80 Folley Catheter 16 0 Rol Rp - Rp 10,340.00 0 Rol Rp - 0 Rol Rp - Rol
81 Garam oralit 0 Sachet Rp - Rp 257.00 1500 Sachet Rp 385,500.00 450 Sachet Rp 115,650.00 1050 Sachet
82 gent oint / Gentamisin salep mata 0 Tube Rp - Rp 2,675.00 0 Tube Rp - 0 Tube Rp - Tube
83 Gent oint / Gentamisin salep mata 0 Pcs Rp - Rp 2,665.00 0 Pcs Rp - 0 Pcs Rp - Pcs
84 GENTAMISIN KRIM salep kulit 0 Tube Rp - Rp 6,499.90 20 Tube Rp 129,998.00 20 Tube Rp 129,998.00 0 Tube
85 Gentamisin sulfat TM 0,3% 0 Botol Rp - Rp 4,520.00 168 Botol Rp 759,360.00 92 Botol Rp 415,840.00 76 Botol
86 Glibenklamid 5 mg 0 Tablet Rp - Rp 83.00 600 Tablet Rp 49,800.00 30 Tablet Rp 2,490.00 570 Tablet
87 Glimepiride 1 mg 0 Tablet Rp - Rp 371.80 0 Tablet Rp - 0 Tablet Rp - Tablet
88 Glimepiride 2 mg 0 Tablet Rp - Rp 207.00 4000 Tablet Rp 828,000.00 2,885 Tablet Rp 597,195.00 1115 Tablet
89 Gliseril Guaikiolat ( GG ) 0 Tablet Rp - Rp 89.10 9000 Tablet Rp 801,900.00 3,070 Tablet Rp 273,537.00 5930 Tablet
90 Gliseril Guaikiolat ( GG )/Asetil Sis 0 Tablet Rp - Rp 89.10 0 Tablet Rp - 0 Tablet Rp - Tablet
91 Glukosa 40% 0 Botol Rp - Rp 7,000.00 0 Botol Rp - 0 Botol Rp - Botol
92 Glukosa infus 10% 0 Botol Rp - Rp 7,200.00 0 Botol Rp - 0 Botol Rp - Botol
93 Glukosa infus 5% 0 Botol Rp - Rp 6,627.00 0 Botol Rp - 0 Botol Rp - Botol
94 Griseofulvin 125 mg tab 0 Tablet Rp - Rp 224.00 0 Tablet Rp - 0 Tablet Rp - Tablet
95 Haloperidol 1,5 mg 0 Tablet Rp - Rp 59.00 0 Tablet Rp - 0 Tablet Rp - Tablet
96 Haloperidol tablet 5 mg 0 Tablet Rp - Rp 54.00 0 Tablet Rp - 0 Tablet Rp - Tablet
97 Hand Sanitizer (Aseptic gel) 0 Paket Rp - Rp 26,500.00 0 Paket Rp - 0 Paket Rp - Paket
98 Handscoon non steril M 0 Pasang Rp - Rp 1,991.00 0 Pasang Rp - 0 Pasang Rp - Pasang
99 Handscoon non steril M 0 Pasang Rp - Rp 1,991.00 300 Pasang Rp 597,300.00 150 Pasang Rp 298,650.00 150 Pasang
100 Handscoon non steril S 0 Pasang Rp - Rp 1,991.00 300 Pasang Rp 597,300.00 200 Pasang Rp 398,200.00 100 Pasang
101 HCG tes Pro-D 0 test Rp - Rp 1,900.00 100 test Rp 190,000.00 0 test Rp - 100 test
102 Herbakof 0 Botol Rp - Rp 14,273.00 0 Botol Rp - 0 Botol Rp - Botol
103 Hidrokortison 2,5% krim 0 Tube Rp - Rp 2,475.00 24 Tube Rp 59,400.00 24 Tube Rp 59,400.00 0 Tube
104 Hysin Inj 0 Ampul Rp - Rp 5,161.82 0 Ampul Rp - 0 Ampul Rp - Ampul
105 Ibuprofen 200 mg 0 Tablet Rp - Rp 212.00 0 Tablet Rp - 0 Tablet Rp - Tablet
106 Ibuprofen 400 mg 0 Tablet Rp - Rp 376.00 400 Tablet Rp 150,400.00 0 Tablet Rp - 400 Tablet
107 Ibuprofen suspensi 200 mg/5 ml 0 Botol Rp - Rp 3,200.00 50 Botol Rp 160,000.00 0 Botol Rp - 50 Botol
108 Infuset Anak 0 Pasang Rp - Rp 3,500.00 0 Pasang Rp - 0 Pasang Rp - Pasang
109 Infuset dewasa (PKD 1) 0 pcs Rp - 5790 0 pcs Rp - 0 pcs Rp - pcs
110 Infusion Set Anak 0 pcs Rp - Rp 3,597.00 0 pcs Rp - 0 pcs Rp - pcs
111 ISONIAZID 100 MG TAB 0 Tablet Rp - Rp 96.91 500 Tablet Rp 48,455.00 500 Tablet Rp 48,455.00 0 Tablet
112 Isosorbid Dinitrat 5 mg 0 Tablet Rp - Rp 97.90 100 Tablet Rp 9,790.00 0 Tablet Rp - 100 Tablet
113 IV Catheter 22G MF Cath Pro 0 pcs Rp - Rp 7,700.00 0 pcs Rp - 0 pcs Rp - pcs
114 IV Catheter 24G MF Cath Pro 0 Pcs Rp - Rp 7,694.00 50 Pcs Rp 384,700.00 0 Pcs Rp - 50 Pcs
115 IV Catheter 24G MF Cath Pro 0 Pcs Rp - Rp 7,819.00 0 Pcs Rp - 0 Pcs Rp - Pcs
116 IV Catheter No 18 0 Buah Rp - Rp 6,000.00 0 Buah Rp - 0 Buah Rp - Buah
117 Jarum Jahit kulit berbagai ukuran 0 Sachet Rp - Rp 25,000.00 0 Sachet Rp - 0 Sachet Rp - Sachet
118 Kalium Permanganat 0 botol Rp - Rp 5,500.00 0 botol Rp - 0 botol Rp - botol
119 Kalsium Glukonat Inj 10% 0 Ampul Rp - Rp 10,351.00 0 Ampul Rp - 0 Ampul Rp - Ampul
120 Kalsium Laktat 0 Tablet Rp - Rp 63.00 5000 Tablet Rp 315,000.00 1,984 Tablet Rp 124,992.00 3016 Tablet
121 Kapas absorben 250 gr 0 Sachet Rp - Rp 12,500.00 0 Sachet Rp - 0 Sachet Rp - Sachet
122 Kaptopril 12,5 mg tab 0 Tablet Rp - Rp 65.00 0 Tablet Rp - 0 Tablet Rp - Tablet
123 Kaptopril 12,5 mg tab 0 Tablet Rp - Rp 113.00 0 Tablet Rp - 0 Tablet Rp - Tablet
124 Kaptopril 25 mg 0 Tablet Rp - Rp 75.00 2000 Tablet Rp 150,000.00 0 Tablet Rp - 2000 Tablet
125 Karbamazepin 200 mg 0 Tablet Rp - Rp 245.00 300 Tablet Rp 73,500.00 0 Tablet Rp - 300 Tablet
126 Kartu Golongan Darah 0 Rol Rp - Rp 350.00 0 Rol Rp - 0 Rol Rp - Rol
127 Kasa hydrophyl 16x16 0 pcs Rp - Rp 500.00 0 pcs Rp - 0 pcs Rp - pcs
128 Kasa hydrophyl 18x22 0 pcs Rp - Rp 625.00 0 pcs Rp - 0 pcs Rp - pcs
129 Kassa 2 x 80 0 Pcs Rp - Rp 9,740.00 0 Pcs Rp - 0 Pcs Rp - Pcs
130 Kassa 4 x 15 0 Rol Rp - Rp 2,657.00 0 Rol Rp - 0 Rol Rp - Rol
131 Kassa 4 x 3 0 Rol Rp - Rp 759.00 50 Rol Rp 37,950.00 0 Rol Rp - 50 Rol
132 Kassa 40 x 40 0 Rol Rp - Rp 1,600.00 0 Rol Rp - 0 Rol Rp - Rol
133 Ketokonazol 2% krim 0 Tube Rp - Rp 6,650.00 24 Tube Rp 159,600.00 13 Tube Rp 86,450.00 11 Tube
134 Ketokonazol 200 mg tab 0 Tablet Rp - Rp 394.00 300 Tablet Rp 118,200.00 44 Tablet Rp 17,336.00 256 Tablet
135 Ketoprofen 100 mg/sup 0 Supposit Rp - Rp 1,998.00 0 Supposi Rp - 0 Suppositor Rp - Supposit
136 Klem umbilical 0 Rol Rp - Rp 1,800.00 0 Rol Rp - 0 Rol Rp - Rol
137 Kloramfenikol salep mata 1% 0 tube Rp - Rp 2,007.00 24 tube Rp 48,168.00 3 tube Rp 6,021.00 21 tube
138 Kloramfenikol TT 3% 0 Botol Rp - Rp 7,700.00 0 Botol Rp - 0 Botol Rp - Botol
139 Klorfeniramin (CTM) 4 mg 0 Tablet Rp - Rp 23.00 8500 Tablet Rp 195,500.00 3,500 Tablet Rp 80,500.00 5000 Tablet
140 Klorfeniramin 4 mg (Orphen Kaplet 0 Tablet Rp - Rp 92.40 0 Tablet Rp - 0 Tablet Rp - Tablet
141 Klorpromazin 100 mg 0 Tablet Rp - Rp 247.50 0 Tablet Rp - 0 Tablet Rp - Tablet
142 Klorpromazin 100 mg 0 Tablet Rp - Rp 247.50 0 Tablet Rp - 0 Tablet Rp - Tablet
143 Klorpromazin Inj 25 mg/ml 0 Ampul Rp - Rp 1,243.00 0 Ampul Rp - 0 Ampul Rp - Ampul
144 Kotrimoksasol 480 mg 0 Tablet Rp - Rp 133.00 0 Tablet Rp - 0 Tablet Rp - Tablet
145 Kotrimoksasol suspensi 0 Botol Rp - Rp 2,190.00 0 Botol Rp - 0 Botol Rp - Botol
146 Kotrimoksasol suspensi 0 Botol Rp - Rp 2,051.99 0 Botol Rp - 0 Botol Rp - Botol
147 Kotrimoksasol suspensi 240mg 0 botol Rp - Rp 2,190.00 0 botol Rp - 0 botol Rp - botol
148 KOTRIMOKSAZOL 480 MG TAB 0 Tablet Rp - Rp 125.00 0 Tablet Rp - 0 Tablet Rp - Tablet
149 Lancet 0 Buah Rp - Rp 145.66 0 Buah Rp - 0 Buah Rp - Buah
150 Lancet 0 Pcs Rp - Rp 150.00 0 Pcs Rp - 0 Pcs Rp - Pcs
151 Lanzoprazol 30 mg 0 Kapsul Rp - Rp 278.00 0 Kapsul Rp - 0 Kapsul Rp - Kapsul
152 Larutan Ziehl Nielsen 0 Paket Rp - Rp 276,500.00 0 Paket Rp - 0 Paket Rp - Paket
153 Levofloksasin 0 Kapsul Rp - Rp 494.00 0 Kapsul Rp - 0 Kapsul Rp - Kapsul
154 Levoftirosin 100 mcg 0 Tablet Rp - Rp 890.00 0 Tablet Rp - 0 Tablet Rp - Tablet
155 Lidocain injeksi 0 Ampul Rp - Rp 1,229.00 120 Ampul Rp 147,480.00 76 Ampul Rp 93,404.00 44 Ampul
156 Lidocain komp injeksi 0 Ampul Rp - Rp 803.00 30 Ampul Rp 24,090.00 0 Ampul Rp - 30 Ampul
157 Magnesium Sulfat 40% 0 Vial Rp - Rp 4,090.00 15 Vial Rp 61,350.00 0 Vial Rp - 15 Vial
158 Masker 0 pcs Rp - Rp 550.00 0 pcs Rp - 0 pcs Rp - pcs
159 Masker 0 pcs Rp - Rp 4,800.00 0 pcs Rp - 0 pcs Rp - pcs
160 Masker 0 pcs Rp - Rp 1,400.00 0 pcs Rp - 0 pcs Rp - pcs
161 Masker Altamed 0 Buah Rp - Rp 1,650.00 0 Buah Rp - 0 Buah Rp - Buah
162 Masker Bedah Hijab 0 Pcs Rp - Rp 1,050.00 0 Pcs Rp - 0 Pcs Rp - Pcs
163 Masterzym 0 botol Rp - Rp 1.00 0 botol Rp - 0 botol Rp - botol
164 MDT Kusta PB Dewasa 0 Paket Rp - Rp 9,770.00 0 Paket Rp - 0 Paket Rp - Paket
165 Metampiron 500 mg (Lexagin) 0 Tablet Rp - Rp 253.00 1000 Tablet Rp 253,000.00 100 Tablet Rp 25,300.00 900 Tablet
166 Metformin HCl tablet 500 mg 0 Tablet Rp - Rp 207.90 2000 Tablet Rp 415,800.00 2,000 Tablet Rp 415,800.00 0 Tablet
167 Metilergometrin inj 0 Ampul Rp - Rp 10,800.00 0 Ampul Rp - 0 Ampul Rp - Ampul
168 Metronidazol 125 mg/5ml susp 0 Botol Rp - Rp 3,765.00 0 Botol Rp - 0 Botol Rp - Botol
169 Metronidazol 125mg/5ml susp 0 botol Rp - Rp 3,950.00 0 botol Rp - 0 botol Rp - botol
170 Metronidazol 500 mg 0 Botol Rp - Rp 124.00 1000 Botol Rp 124,000.00 640 Botol Rp 79,360.00 360 Botol
171 Mikonazol 2% krim 0 Tube Rp - Rp 3,414.00 48 Tube Rp 163,872.00 48 Tube Rp 163,872.00 0 Tube
172 Mikropipet tips 0 Paket Rp - Rp 87,800.00 0 Paket Rp - 0 Paket Rp - Paket
173 Molexflu syrup 0 Botol Rp - Rp 6,274.00 0 Botol Rp - 0 Botol Rp - Botol
174 Natrium Diklofenak 50 mg 0 Tablet Rp - Rp 123.00 4000 Tablet Rp 492,000.00 2,940 Tablet Rp 361,620.00 1060 Tablet
175 Natrium Diklofenak 50 mg 0 Tablet Rp - Rp 99.00 0 Tablet Rp - 0 Tablet Rp - Tablet
176 Neo kaominal 0 Botol Rp - Rp 7,405.00 0 Botol Rp - 0 Botol Rp - Botol
177 Neocenta / Bioplacenton krim 0 Tube Rp - Rp 16,987.00 10 Tube Rp 169,870.00 2 Tube Rp 33,974.00 8 Tube
178 Nistatin 100000 IU / ml Drop 0 Botol Rp - Rp 11,500.00 15 Botol Rp 172,500.00 12 Botol Rp 138,000.00 3 Botol
179 Nistatin Vagtab 100.000 IU 0 Tablet Rp - Rp 560.00 0 Tablet Rp - 0 Tablet Rp - Tablet
180 OB Herbal Sirup 0 Botol Rp - Rp 7,700.00 0 Botol Rp - 0 Botol Rp - Botol
181 OB Herbal Sirup(OBASA) 0 Botol Rp - Rp 7,700.00 168 Botol Rp 1,293,600.00 96 Botol Rp 739,200.00 72 Botol
182 OBH sirup molex 60 ml 0 Botol Rp - Rp 6,274.40 80 Botol Rp 501,952.00 25 Botol Rp 156,860.00 55 Botol
183 Object Glass 0 Buah Rp - Rp 77,690.00 4 Buah Rp 310,760.00 0 Buah Rp - 4 Buah
184 Oksitosin Inj 0 Ampul Rp - Rp 1,126.00 100 Ampul Rp 112,600.00 30 Ampul Rp 33,780.00 70 Ampul
185 Ostela Forte tab 0 Tablet Rp - Rp 8,000.00 150 Tablet Rp 1,200,000.00 30 Tablet Rp 240,000.00 120 Tablet
186 Parasetamol 500 mg 0 Tablet Rp - Rp 99.00 10000 Tablet Rp 990,000.00 10,000 Tablet Rp 990,000.00 0 Tablet
187 Parasetamol drop 0 Botol Rp - Rp 6,649.00 0 Botol Rp - 0 Botol Rp - Botol
188 Parasetamol infus 0 Botol Rp - Rp 11,265.00 0 Botol Rp - 0 Botol Rp - Botol
189 PARASETAMOL SIRUP 120 MG / 0 botol Rp - Rp 1,107.00 300 botol Rp 332,100.00 181 botol Rp 200,367.00 119 botol
190 PARASETAMOL SIRUP 120 MG / 0 Tablet Rp - Rp 1,107.00 0 Tablet Rp - 0 Tablet Rp - Tablet
191 Parasetamol sirup 120 mg/5ml 0 Botol Rp - Rp 1,181.00 0 Botol Rp - 0 Botol Rp - Botol
192 Pehacain 0 Ampul Rp - Rp 4,200.00 0 Ampul Rp - 0 Ampul Rp - Ampul
193 Piridoksin ( Vit B6 ) 10 mg tab 0 Tablet Rp - Rp 67.00 0 Tablet Rp - 0 Tablet Rp - Tablet
194 Piridoksin (Vit B6) 10 mg 0 Tablet Rp - Rp 131.00 0 Tablet Rp - 0 Tablet Rp - Tablet
195 Piridoksin (Vit B6) 10 mg 0 Tablet Rp - Rp 123.00 0 Tablet Rp - 0 Tablet Rp - Tablet
196 Piroksikam (lexicam) tablet 20 mg 0 Tablet Rp - Rp 132.00 1000 Tablet Rp 132,000.00 830 Tablet Rp 109,560.00 170 Tablet
197 Plester (Leukoplast 7,5 cm x 4,5 c 0 Paket Rp - Rp 59,500.00 0 Paket Rp - 0 Paket Rp - Paket
198 Plesterin bulat 0 Rol Rp - Rp 175.00 800 Rol Rp 140,000.00 400 Rol Rp 70,000.00 400 Rol
199 Pot Sputum 0 Pot Rp - Rp 5,890.00 0 Pot Rp - 0 Pot Rp - Pot
200 Povidon Iodida 10 % 30 ml 0 Pcs Rp - Rp 2,800.00 10 Pcs Rp 28,000.00 2 Pcs Rp 5,600.00 8 Pcs
201 Prednison 5 mg 0 Tablet Rp - Rp 119.70 1000 Tablet Rp 119,700.00 721 Tablet Rp 86,303.70 279 Tablet
202 Prednison 5 mg 0 Tablet Rp - Rp 119.70 500 Tablet Rp 59,850.00 0 Tablet Rp - 500 Tablet
203 Propiltiourasil tablet 100 m 0 Tablet Rp - Rp 410.00 0 Tablet Rp - 0 Tablet Rp - Tablet
204 R.Hema OL 2100 Kertas print 0 Pcs Rp - Rp 40,000.00 0 Pcs Rp - 0 Pcs Rp - Pcs
205 Ranitidin 150 mg 0 Tablet Rp - Rp 85.00 5000 Tablet Rp 425,000.00 2,836 Tablet Rp 241,060.00 2164 Tablet
206 Ranitidin 50 mg/2 ml injeksi 0 Ampul Rp - Rp 1,960.20 0 Ampul Rp - 0 Ampul Rp - Ampul
207 Ranitidin 50 mg/2 ml injeksi 0 Ampul Rp - Rp 814.00 20 Ampul Rp 16,280.00 0 Ampul Rp - 20 Ampul
208 Rapid Test HIV Ke - 1 ( SD ) 0 Tes Rp - Rp 14,340.00 400 Tes Rp 5,736,000.00 400 Tes Rp 5,736,000.00 0 Tes
209 Reagen gol darah Pro-D anti A 0 Botol Rp - Rp 165,000.00 1 Botol Rp 165,000.00 1 Botol Rp 165,000.00 0 Botol
210 Reagen gol darah Pro-D anti B 0 Botol Rp - Rp 165,000.00 1 Botol Rp 165,000.00 1 Botol Rp 165,000.00 0 Botol
211 Reagen gol darah Pro-D anti D 0 Botol Rp - Rp 165,000.00 0 Botol Rp - 0 Botol Rp - Botol
212 Reagent HbsAg tes 0 test Rp - Rp 9,850.00 75 test Rp 738,750.00 75 test Rp 738,750.00 0 test
213 Recovit sirup 0 Botol Rp - Rp 9,900.00 0 Botol Rp - 0 Botol Rp - Botol
214 retinol (vit A ) 100000 IU 0 Kapsul Rp - Rp 287.00 250 Kapsul Rp 71,750.00 250 Kapsul Rp 71,750.00 0 Kapsul
215 retinol (vit A ) 100000 IU 0 Kapsul Rp - Rp 287.00 1000 Kapsul Rp 287,000.00 1,000 Kapsul Rp 287,000.00 0 Kapsul
216 retinol (vit A ) 200000 IU 0 Kapsul Rp - Rp 508.00 2000 Kapsul Rp 1,016,000.00 2,000 Kapsul Rp 1,016,000.00 0 Kapsul
217 Retinol 100.000 IU 0 Kapsul Rp - Rp 305.00 0 Kapsul Rp - 0 Kapsul Rp - Kapsul
218 Retinol 200.000 IU 0 Kapsul Rp - Rp 553.00 0 Kapsul Rp - 0 Kapsul Rp - Kapsul
219 Ringer Laktat larutan infus 0 Botol Rp - Rp 7,630.00 0 Botol Rp - 0 Botol Rp - Botol
220 Ringer Laktat larutan infus 0 Botol Rp - Rp 7,150.00 72 Botol Rp 514,800.00 10 Botol Rp 71,500.00 62 Botol
221 Risperidon 2 mg 0 Tablet Rp - Rp 273.00 2000 Tablet Rp 546,000.00 1,327 Tablet Rp 362,271.00 673 Tablet
222 Salbutamol 2 mg 0 Tablet Rp - Rp 70.00 500 Tablet Rp 35,000.00 382 Tablet Rp 26,740.00 118 Tablet
223 Salbutamol tablet 4 mg 0 Tablet Rp - Rp 70.00 0 Tablet Rp - 0 Tablet Rp - Tablet
224 Salep 2-4 Kombinasi 0 pot Rp - Rp 2,796.00 48 pot Rp 134,208.00 27 pot Rp 75,492.00 21 pot
225 Salep 2-4 Kombinasi 0 pot Rp - Rp 2,796.00 0 pot Rp - 0 pot Rp - pot
226 Salisil bedak 2 % 0 pcs Rp - Rp 2,200.00 50 pcs Rp 110,000.00 17 pcs Rp 37,400.00 33 pcs
227 Scabicide/Scabimit/Permetrin 5% 0 Tube Rp - Rp 11,466.00 10 Tube Rp 114,660.00 10 Tube Rp 114,660.00 0 Tube
228 Serum ABU 0 Vial Rp - Rp 517,132.00 0 Vial Rp - 0 Vial Rp - Vial
229 Sianokobalamin (vit B12) tab 0 Tablet Rp - Rp 49.00 3000 Tablet Rp 147,000.00 1,440 Tablet Rp 70,560.00 1560 Tablet
230 Simvastatin tablet 10 mg 0 Tablet Rp - Rp 128.70 2700 Tablet Rp 347,490.00 1,360 Tablet Rp 175,032.00 1340 Tablet
231 Solvitaz 0 Tablet Rp - Rp 1.00 300 Tablet Rp 300.00 0 Tablet Rp - 300 Tablet
232 Spekulum dispo / Vagion M 0 Strip Rp - Rp 6,500.00 0 Strip Rp - 0 Strip Rp - Strip
233 Stimuno F 0 Kapsul Rp - Rp 1,763.00 210 Kapsul Rp 370,230.00 90 Kapsul Rp 158,670.00 120 Kapsul
234 Strip Glukosa BENECHECK 0 Pcs Rp - Rp 160,000.00 0 Pcs Rp - 0 Pcs Rp - Pcs
235 Strip Glukosa EASY TOUCH 0 pcs Rp - Rp 5,500.00 50 pcs Rp 275,000.00 50 pcs Rp 275,000.00 0 pcs
236 Strip Glukosa EASY TOUCH 0 pcs Rp - Rp 5,500.00 0 pcs Rp - 0 pcs Rp - pcs
237 Strip Glukosa NESCO 0 Pcs Rp - Rp 5,500.00 25 Pcs Rp 137,500.00 25 Pcs Rp 137,500.00 0 Pcs
238 Strip Kolesterol EASY TOUCH 0 Pcs Rp - Rp 22,000.00 50 Pcs Rp 1,100,000.00 50 Pcs Rp 1,100,000.00 0 Pcs
239 Sukralfat / Ulsafate sirup 0 Botol Rp - Rp 4,989.00 0 Botol Rp - 0 Botol Rp - Botol
240 Tablet Tambah Darah 0 Tablet Rp - Rp 226.00 14000 Tablet Rp 3,164,000.00 6,070 Tablet Rp 1,371,820.00 7930 Tablet
241 Tablet Tambah darah 0 Tablet Rp - Rp 226.00 0 Tablet Rp - 0 Tablet Rp - Tablet
242 Tetrasiklin 500 mg 0 Kapsul Rp - Rp 323.00 0 Kapsul Rp - 0 Kapsul Rp - Kapsul
243 Thiamin (Vit B 1) tab 50 mg 0 Tablet Rp - Rp 156.20 6000 Tablet Rp 937,200.00 6,000 Tablet Rp 937,200.00 0 Tablet
244 THIAMIN (VIT B1) TAB 50 MG 0 Tablet Rp - Rp 85.00 0 Tablet Rp - 0 Tablet Rp - Tablet
245 Tiamin (Vit B1) 50 mg 0 Tablet Rp - Rp 253.00 5000 Tablet Rp 1,265,000.00 810 Tablet Rp 204,930.00 4190 Tablet
246 Tranfusi set 0 Botol Rp - Rp 8,500.00 50 Botol Rp 425,000.00 0 Botol Rp - 50 Botol
247 Trifluoperazine 5 mg 0 Tablet Rp - Rp 220.00 0 Tablet Rp - 0 Tablet Rp - Tablet
248 Triheksipenidil 2 mg 0 Tablet Rp - Rp 63.00 1700 Tablet Rp 107,100.00 931 Tablet Rp 58,653.00 769 Tablet
249 Ultrasonic gel 0 Pcs Rp - Rp 16,000.00 0 Pcs Rp - 0 Pcs Rp - Pcs
250 UnderPad 0 Botol Rp - Rp 4,785.00 50 Botol Rp 239,250.00 10 Botol Rp 47,850.00 40 Botol
251 Urine bag(KMP/SCP) 0 Pcs Rp - Rp 5,700.00 20 Pcs Rp 114,000.00 0 Pcs Rp - 20 Pcs
252 Vicalcin sirup 0 Botol Rp - Rp 7,024.60 96 Botol Rp 674,361.60 77 Botol Rp 540,894.20 19 Botol
253 Vitamin B Kompleks 0 Tablet Rp - Rp 89.00 0 Tablet Rp - 0 Tablet Rp - Tablet
254 Vitamin B-Compleks(DEF) 0 Tablet Rp - Rp 44.00 5000 Tablet Rp 220,000.00 5,000 Tablet Rp 220,000.00 0 Tablet
255 Vitamin B-Compleks(DEF) 0 Tablet Rp - Rp 71.50 6000 Tablet Rp 429,000.00 1,990 Tablet Rp 142,285.00 4010 Tablet
256 Zinc sulfat 20 mg 0 Tablet Rp - Rp 524.00 2000 Tablet Rp 1,048,000.00 2,000 Tablet Rp 1,048,000.00 0 Tablet
257 Zink sir 20 mg/5 ml 0 Botol Rp - Rp 2,489.00 108 Botol Rp 268,812.00 108 Botol Rp 268,812.00 0 Botol
258 Zink Tablet 0 Tablet Rp - Rp 524.00 2000 Tablet Rp 1,048,000.00 585 Tablet Rp 306,540.00 1415 Tablet
259 Clozapine 25mg 0 Tablet Rp - Rp 1,121.00 0 Tablet Rp - 0 Tablet Rp - Tablet
260 Diazepam 5 mg Tab 0 Tablet Rp - Rp 108.00 0 Tablet Rp - 0 Tablet Rp - Tablet
261 DIAZEPAM INJ 0 ampul Rp - Rp 1,545.00 0 ampul Rp - 0 ampul Rp - ampul
262 FDC Kategori 1 0 paket Rp - Rp 416,696.00 80 paket Rp 33,335,680.00 30 paket Rp 12,500,880.00 50 paket
263 FDC Kategori Anak 0 paket Rp - Rp 248,120.00 0 paket Rp - 0 paket Rp - paket
264 Fluphenazine/Sikzonoate 25 inj 0 Ampul Rp - Rp 63,500.00 20 Ampul Rp 1,270,000.00 6 Ampul Rp 381,000.00 14 Ampul
265 Haldol Decanoas 50 mg inj 0 Ampul Rp - Rp 109,000.00 0 Ampul Rp - 0 Ampul Rp - Ampul
266 Haloperidol 5 mg inj 0 Ampul Rp - Rp 1,190.00 0 Ampul Rp - 0 Ampul Rp - Ampul
267 Haloperidol 5 mg tab 0 Tablet Rp - Rp 54.00 0 Tablet Rp - 0 Tablet Rp - Tablet
268 Larutan Ziehl Nielsen 0 Paket Rp - Rp 172,527.00 0 Paket Rp - 0 Paket Rp - Paket
269 MDT Kusta MB Dewasa 0 Paket Rp - Rp 40,128.00 12 Paket Rp 481,536.00 0 Paket Rp - 12 Paket
270 Pot Sputum 0 Pot Rp - Rp 2,728.00 200 Pot Rp 545,600.00 200 Pot Rp 545,600.00 0 Pot
271 Reagent HbsAg tes 0 test Rp - Rp 1.00 0 test Rp - 0 test Rp - test
272 Risperidon 2 mg 0 Tablet Rp - Rp 123.00 0 Tablet Rp - 0 Tablet Rp - Tablet
273 Trifluoperazine 5 mg 0 Tablet Rp - Rp 287.00 600 Tablet Rp 172,200.00 60 Tablet Rp 17,220.00 540 Tablet
274 Triheksipenidil 2 mg 0 Tablet Rp - Rp 91.00 0 Tablet Rp - 0 Tablet Rp - Tablet
275 Reagent Syphillis 0 test Rp - Rp 20,400.00 25 test Rp 510,000.00 25 test Rp 510,000.00 0 test
276 Aqua PI 0 Botol Rp - Rp 2,860.00 0 Botol Rp - 0 Botol Rp - Botol
277 retinol (vit A ) 100000 IU 0 Kapsul Rp - Rp 305.00 0 Kapsul Rp - 0 Kapsul Rp - Kapsul
278 retinol (vit A ) 200000 IU 0 Kapsul Rp - Rp 553.00 2750 Kapsul Rp 1,520,750.00 2,750 Kapsul Rp 1,520,750.00 0 Kapsul
279 Amoksisilin kapl 500 mg 0 Tablet Rp - Rp 249.00 1200 Tablet Rp 298,800.00 1,200 Tablet Rp 298,800.00 0 Tablet
280 Glukosa infus 5% 0 botol Rp - Rp 6,627.50 0 botol Rp - 0 botol Rp - botol
281 Natrium Chlorida infus 0,9% 0 botol Rp - Rp 6,800.20 0 botol Rp - 0 botol Rp - botol
282 Ringer Laktat larutan infus 0 botol Rp - Rp 7,629.60 0 botol Rp - 0 botol Rp - botol
283 Amoksisilin 125 mg/5 ml sirup keri 0 Botol Rp - Rp 2,050.00 0 Botol Rp - 0 Botol Rp - Botol
284 Karbamazepin 200 mg 0 Tablet Rp - Rp 189.00 0 Tablet Rp - 0 Tablet Rp - Tablet
285 Kotrimoksasol suspensi 240mg 0 botol Rp - Rp 2,100.00 0 botol Rp - 0 botol Rp - botol
286 Kalsium Laktat 0 Tablet Rp - Rp 60.01 0 Tablet Rp - 0 Tablet Rp - Tablet
287 Parasetamol sirup 120 mg/5ml 0 Botol Rp - Rp 1,161.00 0 Botol Rp - 0 Botol Rp - Botol
288 Canule O2 dewasa 0 Buah Rp - Rp 6,130.00 0 Buah Rp - 0 Buah Rp - Buah
289 IV Catheter No 18 NOUSHED 0 pcs Rp - Rp 5,995.00 0 pcs Rp - 0 pcs Rp - pcs
290 IV Catheter No 20 NOUSHED 0 Pcs Rp - Rp 5,995.00 0 Pcs Rp - 0 Pcs Rp - Pcs
291 IV Catheter No 22 NOUSHED 0 Pcs Rp - Rp 5,995.00 0 Pcs Rp - 0 Pcs Rp - Pcs
292 Alopurinol 100mg 0 tablet Rp - Rp 105.00 0 tablet Rp - 0 tablet Rp - tablet
293 Amoksisilin kapl 500 mg 0 tablet Rp - Rp 249.00 3000 tablet Rp 747,000.00 1,025 tablet Rp 255,225.00 1975 tablet
294 Amoksisilin kapl 500 mg 0 tablet Rp - Rp 253.00 0 tablet Rp - 0 tablet Rp - tablet
295 Antasida DOEN tab 0 tablet Rp - Rp 58.00 0 tablet Rp - 0 tablet Rp - tablet
296 Asam Askorbat ( Vit.C ) 50 mg 0 tablet Rp - Rp 105.00 0 tablet Rp - 0 tablet Rp - tablet
297 Kotrimoksasol suspensi 0 botol Rp - Rp 2,190.00 0 botol Rp - 0 botol Rp - botol
298 Lidocain injeksi 2% + Epineprin 1: 0 ampul Rp - Rp 1,229.00 0 ampul Rp - 0 ampul Rp - ampul
299 Natrium Klorida infus 0.9% 0 botol Rp - Rp 6,840.00 0 botol Rp - 0 botol Rp - botol
300 Parasetamol sirup 120 mg/5ml 0 botol Rp - Rp 1,181.00 0 botol Rp - 0 botol Rp - botol
301 Ringer Laktat larutan infus 0 botol Rp - Rp 7,630.00 0 botol Rp - 0 botol Rp - botol
302 Prednison 5 mg Tablet Rp - Rp 1.00 0 Tablet Rp - 0 Tablet Rp - Tablet
303 Propanolol 10 mg tab TabletRp - Rp 1.00 0 Tablet Rp - 0 Tablet Rp - Tablet
304 Propanolol 40 mg tab Tablet Rp - Rp 1.00 0 Tablet Rp - 0 Tablet Rp - Tablet
305 Zink 20 mg tab Tablet Rp - Rp 1.00 0 Tablet Rp - 0 Tablet Rp - Tablet
306 Haloperidol 1.5mg tab Tablet Rp - Rp 1.00 0 Tablet Rp - 0 Tablet Rp - Tablet
307 Alprazolam 0,5 mg Tablet Rp - Rp 78.00 0 Tablet Rp - 0 Tablet Rp - Tablet
308 Diazepam 5 mg Tab Tablet Rp - Rp 108.00 0 Tablet Rp - 0 Tablet Rp - Tablet
309 Parasetamol sirup 120 mg/5ml Botol Rp - Rp 1,161.00 0 Botol Rp - 0 Botol Rp - Botol
310 Triheksipenidil 2 mg Tablet Rp - Rp 63.00 0 Tablet Rp - 0 Tablet Rp - Tablet
311 Ketokonazol 200 mg tab Tablet Rp - Rp 252.00 0 Tablet Rp - 0 Tablet Rp - Tablet
312 Asam Mefenamat 500 mg Tablet Rp - Rp 111.00 0 Tablet Rp - 0 Tablet Rp - Tablet
313 Metilprednisolon 4 mg tab Tablet Rp - Rp 102.00 0 Tablet Rp - 0 Tablet Rp - Tablet
314 Ranitidin 150 mg Tablet Rp - Rp 85.00 0 Tablet Rp - 0 Tablet Rp - Tablet
315 Simvastatin tablet 10 mg Tablet Rp - Rp 68.00 0 Tablet Rp - 0 Tablet Rp - Tablet
316 Allopurinol 100mg tab Tablet Rp - Rp 87.00 0 Tablet Rp - 0 Tablet Rp - Tablet
317 Amoksisilin kapl 500 mg Tablet Rp - Rp 201.00 0 Tablet Rp - 0 Tablet Rp - Tablet
318 Ciprofloxacin 500 mg Tablet Rp - Rp 248.00 0 Tablet Rp - 0 Tablet Rp - Tablet
319 Glimepiride 2 mg tab Tablet Rp - Rp 123.00 0 Tablet Rp - 0 Tablet Rp - Tablet
320 SD Bioline HIV/Syphillis Duo Test Rp - Rp 17,563.84 0 Test Rp - 0 Test Rp - Test
321 Isosorbide Dinitrate tab Tablet Rp - Rp 86.00 0 Tablet Rp - 0 Tablet Rp - Tablet
322 Serum ABU Vial Rp - Rp 517,132.00 0 Vial Rp - 0 Vial Rp - Vial
323 Serum ATS 1500 IU ampul Rp - Rp 138,924.50 0 ampul Rp - 0 ampul Rp - ampul
0
JUMLAH Rp 35,461,356.98 Rp 102,395,627.60 Rp 86,877,162.84
Mengetahui
Kepala UPTD Puskesmas Cepu
Suhada, SST
NIP. 19640223 198603 1 006
Sisa (31 Maret 2022)
Sisa Kadaluarsa
Harga Jumlah Nilai Harga
19
17 18 20
Rp 6,402.00
Rp - 0 Tablet Rp -
Rp 115,830.00 0 Tablet Rp -
Rp 55,440.00 0 Tablet Rp -
Rp 145,728.00 0 Tablet Rp -
Rp 47,520.00 0 Tab Rp -
Rp 231,000.00 0 Tablet Rp -
Rp 179,487.00 0 Pcs Rp -
Rp - 0 Set Rp -
Rp - 0 Pcs Rp -
Rp 11,550.00 0 Pcs Rp -
Rp - 0 Pcs Rp -
Rp - 0 Pcs Rp -
Rp - 0 Pcs Rp -
Rp - 0 Pcs Rp -
Rp 37,000.00 0 Pcs Rp -
Rp 145,860.00 0 Pcs Rp -
Rp 7,500.00 0 Pcs Rp -
Rp - 0 Pcs Rp -
Rp 80,850.00 0 Pcs Rp -
Rp - 0 Pcs Rp -
Rp - 0 Pcs Rp -
Rp 8,590.00 0 Pcs Rp -
Rp - 0 Pcs Rp -
Rp - 0 Tablet Rp -
Rp 15,300.00 0 Botol Rp -
Rp 66,000.00 0 Pcs Rp -
Rp 137,700.00 0 Pcs Rp -
Rp 145,000.00 0 Tablet Rp -
Rp 55,200.00 0 Tab Rp -
Rp - 0 Tablet Rp -
Rp 4,620.00 0 Tablet Rp -
Rp - 0 Tab Rp -
Rp 13,880.00 0 Tablet Rp -
Rp 54,837.00 0 Tab Rp -
Rp 25,146.00 0 Tablet Rp -
Rp - 0 Botol Rp -
Rp 42,900.00 0 Tablet Rp -
Rp 15,120.00 0 Tab Rp -
Rp 15,488.00 0 Tablet Rp -
Rp - 0 Ampul Rp -
Rp 25,925.00 0 Ampul Rp -
Rp - 0 Ampul Rp -
Rp - 0 Tablet Rp -
Rp - 0 Tablet Rp -
Rp 11,060.00 0 Tablet Rp -
Rp - 0 ampul Rp -
Rp 41,037.60 0 Tablet Rp -
Rp 23,100.00 0 Tablet Rp -
Rp 36,036.00 0 Tablet Rp -
Rp - 0 Tablet Rp -
Rp - 0 Tablet Rp -
Rp 103,400.00 0 Tablet Rp -
Rp 20,680.00 0 Tablet Rp -
Rp 32,670.00 0 Botol Rp -
Rp - 0 Botol Rp -
Rp - 0 Botol Rp -
Rp 118,800.00 0 Tablet Rp -
Rp 26,750.00 0 Tablet Rp -
Rp - 0 Kaptab Rp -
Rp - 0 Tablet Rp -
Rp 102,660.00 0 Tablet Rp -
Rp - 0 Tablet Rp -
Rp - 0 Ampul Rp -
Rp 38,080.00 0 Botol Rp -
Rp 18,881.28 0 Botol Rp -
Rp 23,220.00 0 botol Rp -
Rp - 0 Botol Rp -
Rp - 0 Tablet Rp -
Rp 26,640.00 0 Vial Rp -
Rp 15,500.00 0 Vial Rp -
Rp - 0 Tab Rp -
Rp 204,544.00 0 Tablet Rp -
Rp 51,428.00 0 Botol Rp -
Rp 80,000.00 0 Tablet Rp -
Rp 347,400.00 0 Tablet Rp -
Rp 20,604.00 0 Kapsul Rp -
Rp 32,373.00 0 supp Rp -
Rp 18,700.00 0 Tablet Rp -
Rp 225,301.00 0 Pot Rp -
Rp - 0 Supp Rp -
Rp 210,000.00 0 Supp Rp -
Rp 510,000.00 0 Tablet Rp -
Rp 25,000.00 0 Tablet Rp -
Rp 630,000.00 0 Tablet Rp -
Rp 137,500.00 0 Tablet Rp -
Rp 51,755.00 0 Tablet Rp -
Rp - 0 Botol Rp -
Rp 61,800.00 0 Ampul Rp -
Rp 19,500.00 0 ampul Rp -
Rp 26,950.00 0 ampul Rp -
Rp 70,000.00 0 Botol Rp -
Rp 240,000.00 0 Tablet Rp -
Rp 150,000.00 0 Tablet Rp -
Rp 63,000.00 0 Tablet Rp -
Rp 45,000.00 0 Tablet Rp -
Rp - 0 Tablet Rp -
Rp 39,960.00 0 Tablet Rp -
Rp 90,000.00 0 Tablet Rp -
Rp - 0 Tablet Rp -
Rp - 0 Tablet Rp -
Rp 223,300.00 0 Tablet Rp -
Rp - 0 Tablet Rp -
Rp 120,037.50 0 Kapsul Rp -
Rp - 0 Tablet Rp -
Rp 61,250.00 0 Ampul Rp -
Rp 29,132.00 0 Tablet Rp -
Rp 125,100.00 0 Botol Rp -
Rp - 0 botol Rp -
Rp - 0 Botol Rp -
Rp 61,190.00 0 Softbag Rp -
Rp - 0 Tab Rp -
Rp - 0 Tablet Rp -
Rp 540,000.00 0 Tablet Rp -
Rp - 0 Tablet Rp -
Rp - 0 Tablet Rp -
Rp 189,600.00 0 Tablet Rp -
Rp - 0 Tube Rp -
Rp - 0 tube Rp -
Rp 129,200.00 0 Ampul Rp -
Rp 303,605.00 0 ampul Rp -
Rp - 0 Tablet Rp -
Rp - 0 Tablet Rp -
Rp - 0 Tablet Rp -
Rp 280,000.00 0 Pcs Rp -
Rp - 0 Botol Rp -
Rp - 0 Botol Rp -
Rp - 0 Tablet Rp -
Rp - 0 Tablet Rp -
Rp 159,576.00 0 Tablet Rp -
Rp - 0 Tablet Rp -
Rp 243,267.00 0 Tab Rp -
Rp - 0 Tablet Rp -
Rp - 0 Tablet Rp -
Rp - 0 Tube Rp -
Rp - 0 Tablet Rp -
Rp - 0 Tube Rp -
Rp - 0 Tablet Rp -
Rp - 0 Tablet Rp -
Rp - 0 Pcs Rp -
Rp - 0 Buah Rp -
Rp - 0 Botol Rp -
Rp - 0 Pot 6 gr Rp -
Rp - 0 Botol Rp -
Rp - 0 Botol Rp -
Rp - 0 botol Rp -
Rp - 0 pcs Rp -
Rp 54,320.00 0 Botol Rp -
Rp 209,250.00 0 Pcs Rp -
Rp 916,993.00 0 pcs Rp -
Rp - 0 Buah Rp -
Rp - 0 Pcs Rp -
Rp 108,894.55 0 pcs Rp -
pcs
Rp 325,000.00 0 Rp -
pcs
Rp - 0 Rp -
Rp - 0 Pcs Rp -
Rp - 0 Pcs Rp -
Rp - 0 Pcs Rp -
Rp - 0 pcs Rp -
pcs
Rp 542,396.25 0 Rp -
Rp - 0 Botol Rp -
Rp - 0 Tablet Rp -
Rp 139,990.07 0 Tablet Rp -
Rp - 0 Tablet Rp -
Rp - 0 Tablet Rp -
Rp - 0 Botol Rp -
Rp - 0 Tablet Rp -
Rp - 0 Paket Rp -
Rp - 0 Buah Rp -
Rp - 0 Pcs Rp -
Rp - Pcs Rp -
Rp - Pcs Rp -
Rp - Pcs Rp -
Rp 207,900.00 Pcs Rp -
Rp - Pcs Rp -
Rp - Pcs Rp -
Rp - Pcs Rp -
Rp - Tablet Rp -
Rp - Set Rp -
Rp - Tablet Rp -
Rp - Tablet Rp -
Rp 102,520.00 Botol Rp -
Rp - Tablet Rp -
Rp - botol Rp -
Rp - Vial Rp -
Rp 156,147.00 Botol Rp -
Rp - Tablet Rp -
Rp - Pot Rp -
Rp - Pot Rp -
Rp 185,250.00 SuppositoriaRp -
Rp - Tablet Rp -
Rp - Tablet Rp -
Rp - Tablet Rp -
Rp - Tablet Rp -
Rp - botol Rp -
Rp - Softbag Rp -
Rp - Tablet Rp -
Rp 153,755.80 Tube Rp -
Rp - Ampul Rp -
Rp - Pcs Rp -
Rp - Tablet Rp -
Rp - Buah Rp -
Rp - Pcs Rp -
Rp - Pcs Rp -
Rp - Buah Rp -
Rp - Buah Rp -
Rp 55,200.00 Pcs Rp -
Rp - Tablet Rp -
Rp - Tablet Rp -
Rp 9,240.00 Ampul Rp -
Rp - Ampul Rp -
Rp - ampul Rp -
Rp - Tube Rp -
Rp - Ampul Rp -
Rp 31,755.00 Ampul Rp -
Rp - ampul Rp -
Rp - Tablet Rp -
Rp - Tablet Rp -
Rp 14,080.00 ampul Rp -
Rp - Botol Rp -
Rp 126,500.00 botol Rp -
Rp - paket Rp -
Rp - paket Rp -
Rp - Paket Rp -
Rp - paket Rp -
Rp - paket Rp -
Rp 429,970.00 paket Rp -
Rp - Tablet Rp -
Rp - Botol Rp -
Rp - ampul Rp -
Rp - Tablet Rp -
Rp - Tablet Rp -
Rp - Tablet Rp -
Rp 79,200.00 Botol Rp -
Rp 41,580.00 Ampul Rp -
Rp - Tablet Rp -
Rp - Rol Rp -
Rp 269,850.00 Sachet Rp -
Rp - Tube Rp -
Rp - Pcs Rp -
Rp - Tube Rp -
Rp 343,520.00 Botol Rp -
Rp - Tablet Rp -
Rp - Tablet Rp -
Rp - Botol Rp -
Rp - Botol Rp -
Rp - Botol Rp -
Rp - Tablet Rp -
Rp - Tablet Rp -
Rp - Tablet Rp -
Rp - Paket Rp -
Rp - Pasang Rp -
Rp 298,650.00 Pasang Rp -
Rp 199,100.00 Pasang Rp -
Rp 190,000.00 test Rp -
Rp - Botol Rp -
Rp - Tube Rp -
Rp - Ampul Rp -
Rp - Tablet Rp -
Rp 160,000.00 Botol Rp -
Rp - Pasang Rp -
Rp - pcs Rp -
Rp - pcs Rp -
Rp - Tablet Rp -
Rp - pcs Rp -
Rp 384,700.00 Pcs Rp -
Rp - Pcs Rp -
Rp - Buah Rp -
Rp - Sachet Rp -
Rp - botol Rp -
Rp - Ampul Rp -
Rp - Sachet Rp -
Rp - Tablet Rp -
Rp - Tablet Rp -
Rp - Rol Rp -
Rp - pcs Rp -
Rp - pcs Rp -
Rp - Pcs Rp -
Rp - Rol Rp -
Rp 37,950.00 Rol Rp -
Rp - Rol Rp -
Rp 73,150.00 Tube Rp -
Rp - Supposit Rp -
Rp - Rol Rp -
Rp 42,147.00 tube Rp -
Rp - Botol Rp -
Rp - Tablet Rp -
Rp - Tablet Rp -
Rp - Tablet Rp -
Rp - Ampul Rp -
Rp - Tablet Rp -
Rp - Botol Rp -
Rp - Botol Rp -
Rp - botol Rp -
Rp - Tablet Rp -
Rp - Buah Rp -
Rp - Pcs Rp -
Rp - Kapsul Rp -
Rp - Paket Rp -
Rp - Kapsul Rp -
Rp - Tablet Rp -
Rp 54,076.00 Ampul Rp -
Rp 24,090.00 Ampul Rp -
Rp 61,350.00 Vial Rp -
Rp - pcs Rp -
Rp - pcs Rp -
Rp - pcs Rp -
Rp - Buah Rp -
Rp - Pcs Rp -
Rp - botol Rp -
Rp - Paket Rp -
Rp - Tablet Rp -
Rp - Ampul Rp -
Rp - Botol Rp -
Rp - botol Rp -
Rp 44,640.00 Botol Rp -
Rp - Tube Rp -
Rp - Paket Rp -
Rp - Botol Rp -
Rp - Tablet Rp -
Rp - Botol Rp -
Rp 135,896.00 Tube Rp -
Rp 34,500.00 Botol Rp -
Rp - Tablet Rp -
Rp - Botol Rp -
Rp 554,400.00 Botol Rp -
Rp 345,092.00 Botol Rp -
Rp 310,760.00 Buah Rp -
Rp 78,820.00 Ampul Rp -
Rp - Tablet Rp -
Rp - Botol Rp -
Rp - Botol Rp -
Rp 131,733.00 botol Rp -
Rp - Tablet Rp -
Rp - Botol Rp -
Rp - Ampul Rp -
Rp - Tablet Rp -
Rp - Tablet Rp -
Rp - Tablet Rp -
Rp - Paket Rp -
Rp 70,000.00 Rol Rp -
Rp - Pot Rp -
Rp 22,400.00 Pcs Rp -
Rp - Tablet Rp -
Rp - Pcs Rp -
Rp - Ampul Rp -
Rp 16,280.00 Ampul Rp -
Rp - Tes Rp -
Rp - Botol Rp -
Rp - Botol Rp -
Rp - Botol Rp -
Rp - test Rp -
Rp - Botol Rp -
Rp - Kapsul Rp -
Rp - Kapsul Rp -
Rp - Kapsul Rp -
Rp - Kapsul Rp -
Rp - Kapsul Rp -
Rp - Botol Rp -
Rp 443,300.00 Botol Rp -
Rp - Tablet Rp -
Rp 58,716.00 pot Rp -
Rp - pot Rp -
Rp 72,600.00 pcs Rp -
Rp - Tube Rp -
Rp - Vial Rp -
Rp 300.00 Tablet Rp -
Rp - Strip Rp -
Rp 211,560.00 Kapsul Rp -
Rp - Pcs Rp -
Rp - pcs Rp -
Rp - pcs Rp -
Rp - Pcs Rp -
Rp - Pcs Rp -
Rp - Botol Rp -
Rp 1,792,180.00 Tablet Rp -
Rp - Tablet Rp -
Rp - Kapsul Rp -
Rp - Tablet Rp -
Rp - Tablet Rp -
Rp 1,060,070.00 Tablet Rp -
Rp 425,000.00 Botol Rp -
Rp - Tablet Rp -
Rp - Pcs Rp -
Rp 191,400.00 Botol Rp -
Rp 114,000.00 Pcs Rp -
Rp 133,467.40 Botol Rp -
Rp - Tablet Rp -
Rp - Tablet Rp -
Rp - Tablet Rp -
Rp - Botol Rp -
Rp - Tablet Rp -
Rp - Tablet Rp -
Rp - ampul Rp -
Rp 20,834,800.00 paket Rp -
Rp - paket Rp -
Rp 889,000.00 Ampul Rp -
Rp - Ampul Rp -
Rp - Ampul Rp -
Rp - Tablet Rp -
Rp - Paket Rp -
Rp 481,536.00 Paket Rp -
Rp - Pot Rp -
Rp - test Rp -
Rp - Tablet Rp -
Rp - Tablet Rp -
Rp - test Rp -
Rp - Botol Rp -
Rp - Kapsul Rp -
Rp - Kapsul Rp -
Rp - Tablet Rp -
Rp - botol Rp -
Rp - botol Rp -
Rp - botol Rp -
Rp - Botol Rp -
Rp - Tablet Rp -
Rp - botol Rp -
Rp - Tablet Rp -
Rp - Botol Rp -
Rp - Buah Rp -
Rp - pcs Rp -
Rp - Pcs Rp -
Rp - Pcs Rp -
Rp - tablet Rp -
Rp 491,775.00 tablet Rp -
Rp - tablet Rp -
Rp - tablet Rp -
Rp - tablet Rp -
Rp - botol Rp -
Rp - ampul Rp -
Rp - botol Rp -
Rp - botol Rp -
Rp - botol Rp -
Rp - Tablet Rp -
Rp - TabletRp -
Rp - Tablet Rp -
Rp - Tablet Rp -
Rp - Tablet Rp -
Rp - Tablet Rp -
Rp - Tablet Rp -
Rp - Botol Rp -
Rp - Tablet Rp -
Rp - Tablet Rp -
Rp - Tablet Rp -
Rp - Tablet Rp -
Rp - Tablet Rp -
Rp - Tablet Rp -
Rp - Tablet Rp -
Rp - Tablet Rp -
Rp - Tablet Rp -
Rp - Tablet Rp -
Rp - Test Rp -
Rp - Tablet Rp -
Rp - Vial Rp -
Rp - ampul Rp -
Rp 50,979,821.74 Rp -
Pengelola Obat
Retnaningtyas A, S.Farm., Apt

NIP. 19860526 201001 2 035
hu
n
Du
a
Du
UPTD PUSKESMAS BOGOREJO
a
SKPD
Pul : DINASNo./
KESEHATAN
uh Tgl.
Sura
tela t
dila
No
Tan ar
Barang-barang bulan
Harga Satuan
Penambahan 2021)
nak aan/
an Pen
1 2 gelu3 4 5 6 7 8 10 11
ap 1 500 Tablet Rp 160,050.00 Rp 320.10 0 Tablet Rp -
ora2 Akita Tablet 295 Tablet Rp 167,766.50 Rp 568.70 0 Tablet Rp -
n 3 Alat Suntik 1 ml 200 Pcs Rp 137,972.00 Rp 689.86 0 Pcs Rp -
tasi
Albendazol 400mg tab Tablet 862,848.00 Rp 288.00 0 Tablet Rp
ob 5 2,996 Rp -
at 6 Alopurinol 100 mg 1,116 Tablet Rp 117,180.00 Rp 105.00 0 Tablet Rp -

UP7 Ambroxol 30 mg tab 500 Tablet Rp 57,750.00 Rp 115.50 0 Tablet Rp -
Gu9 Amlodipin 5 mg 900 Tablet Rp 405,000.00 Rp 450.00 0 Tablet Rp -
da
ng
Far11 Antasida DOEN tab 2,070 Tablet Rp 120,060.00 Rp 58.00 0 Tablet Rp -
ma12 Antihemoroid DOEN 20SuppositoriaRp 65,000.00 Rp 3,250.00 0SuppositoriaRp -

si 13 antiza 1,000 Tablet Rp 1,100,000.00 Rp 1,100.00 0 Tablet Rp -
de14 Aqua PI 36 ampul Rp 102,960.00 Rp 2,860.00 0 ampul Rp -
ng15 Asam Askorbat ( Vit.C ) 50 mg 1,765 Tablet Rp 74,130.00 Rp 42.00 0 Tablet Rp -
an16 Asam Folat 0,4 mg 140 Tablet Rp 30,800.00 Rp 220.00 0 Tablet Rp -
has
il
seb18 Asam Traneksamat 500 mg 100 Tablet Rp 129,600.00 Rp 1,296.00 0 Tablet Rp -
ag19 Aseptic gel / Hand Sanitizer 2 Botol Rp 44,000.00 Rp 22,000.00 0 Botol Rp -
ai 20 Asering 240 Softbag Rp 2,315,040.00 Rp 9,646.00 0 Softbag Rp -
ber
ikut
:
22 Asiklovir 400 mg tab 1,000 Tablet Rp 405,000.00 Rp 405.00 0 Tablet Rp -
45 Elastic verban 6"(FM Crepe) 3 Rol Rp 171,600.00 Rp 57,200.00 0 Rol Rp -
47 Etaflusin 5 Tablet Rp 1,759.45 Rp 351.89 0 Tablet Rp -
49 Etil Klorida 5 botol Rp 632,500.00 Rp 126,500.00 0 botol Rp -
63 Furosemid 40 mg 2 Tablet Rp 154.00 Rp 77.00 0 Tablet Rp -
68 Glibenclamide 610 Tablet Rp 106,140.00 Rp 174.00 0 Tablet Rp -
77 Handscoon Non Steril M 500 pasang Rp 1,403,600.00 Rp 2,807.20 0 pasang Rp -
79 Handscoon non steril S 50 Pasang Rp 99,550.00 Rp 1,991.00 0 Pasang Rp -
85 Infuset Anak 10 Pasang Rp 35,000.00 Rp 3,500.00 0 Pasang Rp -
86 Infuset dewasa type Y 40 Pcs Rp 252,640.00 Rp 6,316.00 0 Pcs Rp -
92 JARUM JAHIT 1 Sachet Rp 24,997.50 Rp 24,997.50 0 Sachet Rp -
96 Kalsium Laktat 500 mg 195 Tablet Rp 12,285.00 Rp 63.00 0 Tablet Rp -
116 Levofloksasin 200 Kapsul Rp 98,800.00 Rp 494.00 0 Kapsul Rp -
120 Metampiron 500 mg (Lexagin) 2,170 Tablet Rp 549,010.00 Rp 253.00 0 Tablet Rp -
125 Minyak Telon 10 Botol 60 ml Rp 159,500.00 Rp 15,950.00 0Botol 60 mlRp -
retinol (vit A ) 200000 IU 150 Kapsul Rp 508.00 Kapsul

154 Rp 76,200.00 0 Rp -
Ringer Laktat larutan infus Botol Rp 7,150.00 Botol

155 70 Rp 500,500.00 0 Rp -
Scabicide/Scabimit/Permetrin 5% krim Tube Rp 114,660.00 Tube

160 10 Rp 11,466.00 0 Rp -
9 Albendazol 400mg tab 0 Tablet Rp - Rp 288.00 2,200 Tablet Rp 633,600.00
14 Ambroxol 30 mg tab 0 Tablet Rp - Rp 115.50 0 Tablet Rp -
0 Rp - Rp 3,250.00 0
Suppositoria
Rp -
143 Klorpromazin Inj 25 mg/ml 0 Ampul Rp - Rp 1,243.00 10 Ampul Rp 12,430.00
189 PARASETAMOL SIRUP 120 MG / 0 botol Rp - Rp 1,107.00 0 botol Rp -
218 Retinol 200.000 IU 0 Kapsul Rp - Rp 553.00 500 Kapsul Rp 276,500.00
232 Spekulum dispo / Vagion M 0 Strip Rp - Rp 6,500.00 50 Strip Rp 325,000.00
245 Tiamin (Vit B1) 50 mg 0 Tablet Rp - Rp 253.00 5000 Tablet Rp 1,265,000.00
302 Prednison 5 mg TabletRp - Rp 1.00 0 Tablet Rp -
0
JUMLAH Rp 50,902,553.65 Rp 15,451,008.00

022 s/d 31 Maret 2022
KESMAS BOGOREJO
Sisa (31
Desember 2021)
13 14 15 16 17 18 19 20
24 buah Rp 254,400.00 0 buah Rp - 0 buah Rp -
500 pasang Rp 1,403,600.00 0 pasang Rp - 0 pasang Rp -
52 Pasang Rp 462,176.00 9 Pasang Rp 79,992.00 0 Pasang Rp -
1 Botol 60 ml Rp 15,950.00 9Botol 60 ml Rp 143,550.00 0Botol 60 ml Rp -
0 roll Rp - 2 roll Rp 119,000.00 0 roll Rp -
25 Paket Rp 510,000.00 75 Paket Rp 1,530,000.00 0 Paket Rp -

150 Rp 76,200.00 0 Rp - 0 Rp -
Botol Botol Botol

40 Rp 286,000.00 30 Rp 214,500.00 0 Rp -
Tube Tube Tube

4 Rp 45,864.00 6 Rp 68,796.00 0 Rp -
360 Sachet Rp 81,360.00 5,540 Sachet Rp 1,252,040.00 0 Sachet Rp -
0 Set Rp - 0 Set Rp - 0 Set Rp -
0SuppositoriaRp - Suppositoria
0 Rp - Suppositoria
0 Rp -
0 Sachet Rp - 0 Sachet Rp - 0 Sachet Rp -
0 Suppositor Rp - 0 Supposit Rp - 0 Supposit Rp -
0 Tes Rp - 0 Tes Rp - 0 Tes Rp -
0 Strip Rp - 50 Strip Rp 325,000.00 0 Strip Rp -
1,050 Kapsul Rp 580,650.00 50 Kapsul Rp 27,650.00 0 Kapsul Rp -
0 tablet Rp - 2,000 tablet Rp 498,000.00 0 tablet Rp -
0 Test Rp - 0 Test Rp - 0 Test Rp -
Rp 32,980,753.89 Rp 33,339,897.76 Rp 32,910.00

hu
n
Du
a
Du
UPTD PUSKESMAS BLORA
a
SKPD
Pul : DINASNo./
KESEHATAN
uh Tgl.
Sura
tela t
dila
No
Tan ar
Barang-barang bulan
Harga Satuan
Penambahan 2020)
nak aan/
an Pen
1 2 gelu3 4 5 6 7 8 10 11
ap 1 878 Tablet Rp 281,047.80 Rp 320.10 Tablet Rp -
ora2 Alat Suntik 1 ml 300 Pcs Rp 287,100.00 Rp 957.00 0 Pcs Rp -
n 3 Alat Suntik 10 ml 100 Pcs Rp 116,700.00 Rp 1,167.00 0 Pcs Rp -
mu4 Alat Suntik 2.5 ml 400 Pcs Rp 330,000.00 Rp 825.00 0 Pcs Rp -
tasi
Alat Suntik 5 ml 190 Pcs 0 Pcs
ob 5 Rp 138,700.00 Rp 730.00 Rp -
at 6 Alopurinol 100 mg 800 Tablet Rp 84,000.00 Rp 105.00 0 Tablet Rp -

TD8 Alprazolam 0,5 mg 100 Tablet Rp 7,800.00 Rp 78.00 0 Tablet Rp -
Pu9 Alprazolam 0,5 mg 46 Tablet Rp 4,324.00 Rp 94.00 0 Tablet Rp -
ske
Ambroxol 30 mg tab 467 Tablet Rp 53,938.50 Rp 0 Tablet Rp
sm10 115.50 -
as11 Aminofilin 200mg tab 170 Tablet Rp 16,150.00 Rp 95.00 0 Tablet Rp -

Blo12 Amlodipin 10 mg 2,030 Tablet Rp 142,100.00 Rp 70.00 0 Tablet Rp -
ra13 Amlodipin 5 mg 1,404 Tablet Rp 631,800.00 Rp 450.00 0 Tablet Rp -
de14 Amoksisilin sirup kering 125 mg/5 ml 114 Botol Rp 752,400.00 Rp 6,600.00 0 Botol Rp -
ng15 Antasida DOEN susp 18 Botol Rp 53,856.00 Rp 2,992.00 0 Botol Rp -
an Antasida DOEN tab 0 Tablet Rp
16 1,174 Tablet Rp 68,092.00 Rp 58.00 -
has
Antihemoroid DOEN 50SuppositoriaRp 162,500.00 Rp 0uppositoriaRp
S
il 17 3,250.00 -
seb18 Antimigrain ( Ergotamin ) 200 Tablet Rp 37,000.00 Rp 185.00 0 Tablet Rp -

ag19 ASAM ASKORBAT 50 MG TAB 416 Tablet Rp 43,680.00 Rp 105.00 0 Tablet Rp -
ai 20 Asam Folat 1 mg 300 Tablet Rp 22,500.00 Rp 75.00 0 Tablet Rp -
ber
ikut
:
24 Asam Traneksamat 500 mg Inj 8 Ampul Rp 15,560.00 Rp 1,945.00 0 Ampul Rp -
25 Asetosal 80 mg (Aspilet tab) 338 Tablet Rp 35,490.00 Rp 105.00 0 Tablet Rp -
28 Atropin Sulfat Inj 0,25 mg/ml 16 Ampul Rp 25,520.00 Rp 1,595.00 0 Ampul Rp -
37 Deksametason inj 5 mg/ml 6 Ampul Rp 6,582.00 Rp 1,097.00 0 Ampul Rp -
38 Diazepam 5 mg 5 Tab Rp 545.00 Rp 109.00 0 Tab Rp -
40 Diazepam inj 5 mg/ml 10 Ampul
Rp 17,350.00 Rp 1,735.00 0 Ampul Rp -
45 Elastic verban 6"(FM Crepe) 2 Rol Rp 114,400.00 Rp 57,200.00 0 Rol Rp -
52 Fenol gliserol tetes telinga 10% 66 Botol Rp 170,940.00 Rp 2,590.00 0 Botol Rp -
68 Haloperidol 5 mg 1,067 Tablet Rp 64,020.00 Rp 60.00 0 Tablet Rp -
77 IV Catheter No 18 210 Buah Rp 1,011,780.00 Rp 4,818.00 0 Buah Rp -
86 Ketokonazol 200 mg 205 Tablet Rp 59,040.00 Rp 288.00 0 Tablet Rp -
89 Kloramfenikol 500 mg 100 kapsul Rp 116,300.00 Rp 1,163.00 0 kapsul Rp -
92 Kloramfenikol tetes mata 7 botol Rp 57,750.00 Rp 8,250.00 0 botol Rp -
94 Klorfeniramin Maleat (CTM) 4 mg 1,983 Tablet Rp 109,065.00 Rp 55.00 0 Tablet Rp -
113 Neocenta krim 11 tube Rp 242,000.00 Rp 22,000.00 0 tube Rp -
120 Ostela Forte 132 Tablet Rp 1,161,600.00 Rp 8,800.00 0 Tablet Rp -
129 Povidon Iodida 10 % 30 ml 5 Botol Rp 14,498.00 Rp 2,899.60 0 Botol Rp -
132 Rapid Test HIV Ke - 1 ( SD ) 100 Tes Rp 1,434,000.00 Rp 14,340.00 0 Tes Rp -
135 Risperidon/Persidal 2mg 900 Tablet Rp 122,754.06 Rp 136.39 0 Tablet Rp -
144 Tensigard 150 Kapsul Rp 363,000.00 Rp 2,420.00 0 Kapsul Rp -
146 Thiamin (Vit B 1) tab 50 mg 1073 Tablet Rp 91,205.00 Rp 85.00 0 Tablet Rp -
148 Tranfusi set 120 Botol Rp 1,020,000.00 Rp 8,500.00 0 Botol Rp -
30 Rp 97,500.00
30 antiza 0 Tablet Rp - Rp 1,100.00 1,100 Tablet Rp 1,210,000.00
64 Etil Klorida 0 botol Rp - Rp 126,500.00 14 botol Rp 1,771,000.00
69 FDC Kategori 2 0 paket Rp - Rp 1,199,985.00 1 paket Rp 1,199,985.00
79 Fludane/molexflu/antiza tablet/flut 0 Tablet Rp - Rp 440.00 3,500 Tablet Rp 1,540,000.00
110 Infusion Set Anak 0 pcs Rp - Rp 3,597.00 50 pcs Rp 179,850.00
137 Kloramfenikol salep mata 1% 0 tube Rp - Rp 2,007.00 48 tube Rp 96,336.00
168 Metronidazol 125 mg/5ml susp 0 Botol Rp - Rp 3,765.00 10 Botol Rp 37,650.00
179 Nistatin Vagtab 100.000 IU 0 Tablet Rp - Rp 560.00 100 Tablet Rp 56,000.00
186 Parasetamol 500 mg 0 Tablet Rp - Rp 99.00 15200 Tablet Rp 1,504,800.00
187 Parasetamol drop 0 Botol Rp - Rp 6,649.00 60 Botol Rp 398,940.00
213 Recovit sirup 0 Botol Rp - Rp 9,900.00 120 Botol Rp 1,188,000.00
218 Retinol 200.000 IU 0 Kapsul Rp - Rp 553.00 3650 Kapsul Rp 2,018,450.00
226 Salisil bedak 2 % 0 pcs Rp - Rp 2,200.00 50 pcs Rp 110,000.00
249 Ultrasonic gel 0 Pcs Rp - Rp 16,000.00 1 Pcs Rp 16,000.00
252 Vicalcin sirup 0 Botol Rp - Rp 7,024.60 144 Botol Rp 1,011,542.40
279 Amoksisilin kapl 500 mg 0 Tablet Rp - Rp 249.00 6200 Tablet Rp 1,543,800.00
293 Amoksisilin kapl 500 mg 0 tablet Rp - Rp 249.00 tablet Rp -
0
JUMLAH Rp 36,684,449.53 Rp 100,900,296.80

2022 s/d 31 Maret 2022
PUSKESMAS BLORA
Sisa (31
Desember
2019 )
13 14 15 16 17 18 19 20
5 Tab Rp 545.00 0 Tab Rp - 0 Tab Rp -
100 kapsul Rp 116,300.00 0 kapsul Rp - 0 kapsul Rp -
8 roll Rp 476,000.00 0 roll Rp - 0 roll Rp -
100 Tes Rp 1,434,000.00 0 Tes Rp - 0 Tes Rp -
2 Ampul Rp 261,998.00 8 Ampul Rp 1,047,992.00 0 Ampul Rp -
4,768 Sachet Rp 1,077,568.00 0 Sachet Rp - 0 Sachet Rp -
0 Buah Rp - 15 Buah Rp 76,500.00 Buah Rp -
6 botol Rp 759,000.00 8 botol Rp 1,012,000.00 botol Rp -
16 paket Rp 5,759,760.00 paket Rp - paket Rp -
1 paket Rp 1,199,985.00 paket Rp - paket Rp -
2 paket Rp 429,970.00 paket Rp - paket Rp -
-3 Rol -Rp 31,020.00 13 Rol Rp 134,420.00 Rol Rp -
-150 Tablet -Rp 55,770.00 650 Tablet Rp 241,670.00 Tablet Rp -
-315 Tablet -Rp 18,586.26 815 Tablet Rp 48,088.26 Tablet Rp -
500 Pasang Rp 995,500.00 Pasang Rp - Pasang Rp -
200 Pasang Rp 398,200.00 Pasang Rp - Pasang Rp -
50 test Rp 95,000.00 50 test Rp 95,000.00 test Rp -
0 Suppositor Rp - Supposit Rp - Supposit Rp -
48 tube Rp 96,336.00 tube Rp - tube Rp -
1,000 Botol Rp 124,000.00 Botol Rp - Botol Rp -
150 Tablet Rp 1,200,000.00 Tablet Rp - Tablet Rp -
500 Tes Rp 7,170,000.00 Tes Rp - Tes Rp -
200 test Rp 1,970,000.00 test Rp - test Rp -
3,650 Kapsul Rp 2,018,450.00 Kapsul Rp - Kapsul Rp -
200 pcs Rp 1,100,000.00 pcs Rp - pcs Rp -
220 Pcs Rp 4,840,000.00 Pcs Rp - Pcs Rp -
11,675 Tablet Rp 2,638,550.00 8325 Tablet Rp 1,881,450.00 Tablet Rp -
144 Botol Rp 1,011,542.40 Botol Rp - Botol Rp -
36 paket Rp 15,001,056.00 28 paket Rp 11,667,488.00 paket Rp -
1,000 Pot Rp 2,728,000.00 Pot Rp - Pot Rp -
Rp 106,746,902.44 Rp 30,837,843.89 Rp -
UPTD PUSKESMAS BANJAREJO
No./
SKPD : DINAS
Tgl. KESEHATAN
Sur
at
Das
ar Barang-barang
Tan
No Pen Uraian (Nama Barang) bulan lalu ( 1 Harga Satuan Jumlah Barang yang diterima/dikeluarkan ( 1 Januari s/d 3
ggal
erim Januari 2020)
Saldo Penambahan
aan/
Pen Jumlah Nilai Harga Jumlah Nilai Harga
1 2 gelu3 4 5 6 7 8 9 10 11
ara
n
2 Albendazol 400mg tab 48 Tablet Rp 13,824.00 Rp 288.00 0 Tablet Rp -
3 ALLOPURINOL TAB 100 MG 210 Tablet Rp 20,790.00 Rp 99.00 0 Tablet Rp -
7 Amoksisilin sirup kering 125 mg/5 41 Botol Rp 270,600.00 Rp 6,600.00 0 Botol Rp -
9 Antasida DOEN tab 826 Tablet Rp 47,908.00 Rp 58.00 0 Tablet Rp -
12 Antihemoroid DOEN 5 SuppositoriaRp 16,250.00 Rp 3,250.00 0 Suppositoria
Rp -
15 ASAM ASKORBAT 50 MG TAB 5 Tablet Rp 525.00 Rp 105.00 0 Tablet Rp -
26 Clozapine tab 25 mg 60 Tablet Rp 300,000.00 Rp 5,000.00 0 Tablet Rp -
56 Haloperidol tablet 5 mg 10 Tablet Rp 600.00 Rp 60.00 0 Tablet Rp -
66 Ketoprofen 100 mg/sup 20 SuppositoriaRp 39,960.00 Rp 1,998.00 0 Suppositoria
Rp -
67 Kloramfenikol 500 mg 70 Kapsul Rp 82,180.00 Rp 1,174.00 0 Kapsul Rp -
76 Levoftirosin 100 mcg 90 Tablet Rp 80,100.00 Rp 890.00 0 Tablet Rp -
101 9 roll Rp 535,500.00 Rp 59,500.00 0 roll Rp -
(Leukoplast)
112 Scabicide/Scabimit/Permetrin 5% 2 Tube Rp 22,932.00 Rp 11,466.00 0 Tube Rp -
9 Albendazol 400mg tab 0 Tablet Rp - Rp 288.00 6000 Tablet Rp 1,728,000.00
22 Antasida DOEN tab 0 Tablet Rp - Rp 58.00 12000 Tablet Rp 696,000.00
27 Antihemoroid DOEN 0 SuppositoriaRp - Rp 3,250.00 20 Suppositoria
Rp 65,000.00
31 Asam Askorbat ( Vit.C ) 50 mg 0 Tablet Rp - Rp 42.00 5000 Tablet Rp 210,000.00
33 Asam Mefenamat 500 mg 0 Tablet Rp - Rp 111.00 9000 Tablet Rp 999,000.00
50 Deksametason 0,5 mg tab 0 Tablet Rp - Rp 32.00 4000 Tablet Rp 128,000.00
76 Fenobarbital Tab 30 mg 0 Tablet Rp - Rp 170.99 200 Tablet Rp 34,198.00
79 Fludane/molexflu/antiza tablet/flut 0 Tablet Rp - Rp 440.00 3000 Tablet Rp 1,320,000.00
97 Hand Sanitizer (Aseptic gel) 0 Paket Rp - Rp 26,500.00 5 Paket Rp 132,500.00
137 Kloramfenikol salep mata 1% 0 tube Rp - Rp 2,007.00 24 tube Rp 48,168.00
196 Piroksikam (lexicam) tablet 20 mg 0 Tablet Rp - Rp 132.00 1100 Tablet Rp 145,200.00
223 Salbutamol tablet 4 mg 0 Tablet Rp - Rp 70.00 1000 Tablet Rp 70,000.00
237 Strip Glukosa NESCO 0 Pcs Rp - Rp 5,500.00 200 Pcs Rp 1,100,000.00
258 Zink Tablet 0 Tablet Rp - Rp 524.00 100 Tablet Rp 52,400.00
305 Zink 20 mg tab 0 Tablet Rp - Rp 1.00 0 Tablet Rp -
306 Haloperidol 1.5mg tab 0 Tablet Rp - Rp 1.00 0 Tablet Rp -
313 Metilprednisolon 4 mg tab 0 Tablet Rp - Rp 102.00 0 Tablet Rp -
314 Ranitidin 150 mg 0 Tablet Rp - Rp 85.00 0 Tablet Rp -
316 Allopurinol 100mg tab 0 Tablet Rp - Rp 87.00 0 Tablet Rp -
318 Ciprofloxacin 500 mg 0 Tablet Rp - Rp 248.00 0 Tablet Rp -
319 Glimepiride 2 mg tab 0 Tablet Rp - Rp 123.00 0 Tablet Rp -
320 SD Bioline HIV/Syphillis Duo 0 Test Rp - Rp 17,563.84 0 Test Rp -
321 Isosorbide Dinitrate tab 0 Tablet Rp - Rp 86.00 0 Tablet Rp -
323 Serum ATS 1500 IU 0 ampul Rp - Rp 138,924.50 0 ampul Rp -
JUMLAH Rp 19,539,026.06 Rp 56,248,926.00

022 s/d 31 Maret 2022
KESMAS BANJAREJO
Sisa (31
ang diterima/dikeluarkan ( 1 Januari s/d 31 Desember 2020) Desember
Pengurangan 2019 )
13 14 15 16 17 18 19 20

5 Suppositoria Rp 16,250.00 0 SuppositoriaRp - Suppositoria
0 Rp -
0 supp Rp - 3 supp Rp 54,837.00 0 supp Rp -
0 supp Rp - 4 supp Rp 50,292.00 0 supp Rp -
20 Suppositoria Rp 39,960.00 0 SuppositoriaRp - Suppositoria
0 Rp -
0 roll Rp - 9 roll Rp 535,500.00 0 roll Rp -
200 Pot Rp 1,178,000.00 0 Pot Rp - 0 Pot Rp -
4,508 Sachet Rp 1,018,808.00 0 Sachet Rp - 0 Sachet Rp -
30 Vial Rp 247,110.00 0 Vial Rp - Vial Rp -
9 Suppositoria Rp 29,250.00 11 SuppositoriaRp 35,750.00 SuppositoriaRp -
0 Softbag Rp - 0 Softbag Rp - Softbag Rp -
15 Sachet Rp 187,500.00 0 Sachet Rp - Sachet Rp -
0 Suppositor Rp - 20 Supposit Rp 39,960.00 Supposit Rp -
14 tube Rp 28,098.00 10 tube Rp 20,070.00 tube Rp -
0 Vial Rp - 6 Vial Rp 24,540.00 Vial Rp -
125 Tes Rp 1,792,500.00 0 Tes Rp - Tes Rp -
225 test Rp 2,216,250.00 50 test Rp 492,500.00 test Rp -
1 Vial Rp 517,132.00 2 Vial Rp 1,034,264.00 Vial Rp -
0 Strip Rp - 0 Strip Rp - Strip Rp -
6,693 Tablet Rp 1,512,618.00 13,307 Tablet Rp 3,007,382.00 Tablet Rp -
0 Pot Rp - 200 Pot Rp 545,600.00 Pot Rp -
0 Test Rp - 0 Test Rp - Test Rp -
Rp 49,594,342.54 Rp 26,193,609.52 Rp -

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BERITA ACARA PENGHITUNGAN FISIK PERSEDIAAN

174 Natrium Diklofenak 50 mg 50,350 Rp 6,193,050.00 Rp 123.00 0 pcs Rp - 32,500 pcs

1 Januari s/d 31 Maret 2022) Sisa (31 Maret 2022 )

109 Klorfeniramin (CTM) 4 mg 1,206 Tablet Rp 27,738.00 Rp 23.00 0 Tablet

110 Klorpromazin 100 mg 244 Tab Rp 35,868.00 Rp 147.00 0 Tab

113 Kotrimoksasol 480 mg 1,421 Tablet Rp 188,993.00 Rp 133.00 0 Tablet

188 Tranfusi set 20 Botol Rp 170,000.00 Rp 8,500.00 0 Botol

pcs pcs pcs

botol botol botol

ampul ampul ampul

Rp 34,898,604.00 Rp 36,142,916.81 Rp 41,545,276.16 Rp -

JUMLAH Rp 75,441,865.62 ###

Tablet Tablet Tablet

Botol Botol Botol

botol botol botol

Zink sir 20 mg/5 ml Botol Rp 129,428.00 Botol Botol Botol Botol

at6 Ambroxol 30 mg tab 1,341 Tablet Rp 154,885.50 Rp 115.50 0 Tablet Rp - 75

Pcs Pcs Pcs

Pcs Pcs Pcs

Tablet Tablet Tablet

t5 Alat Suntik 5 ml 100 Pcs Rp 75,900.00 Rp 759.00 0 Pcs

g9 Alprazolam 0,5 mg 170 Tablet Rp 15,980.00 Rp 94.00 0 Tablet

87 Griseofulvin tab 125 mg 720 Tablet Rp 282,744.00 Rp 392.70 0 Tablet

110 Kapas absorben 250 gr 5 Sachet Rp 62,500.00 Rp 12,500.00 0 Sachet

120 Kassa 4 x 15 20 Rol Rp 53,140.00 Rp 2,657.00 0 Rol

133 Klorpromazin 100 mg 135 Tablet Rp 33,412.50 Rp 247.50 0 Tablet

Neo kaominal Botol Rp 185,125.00 Botol

OB Herbal Sirup Botol Rp 277,200.00 Botol

Pengurangan Sisa Baik Sisa Kadaluarsa

Botol Botol Botol

Tube Tube Tube

Botol Botol Botol

Rp 42,968,242.98 Rp 49,449,047.38 Rp 42,120,897.94 Rp -

at6 Ambroxol 30 mg tab 1,415 Tablet Rp 163,432.50 Rp 115.50 0 Tablet

104 Piridoksin (Vit B6) 10 mg 950 Tablet Rp 124,450.00 Rp 131.00 0 Tablet

110 Ranitidin 150 mg 3,305 Tablet Rp 564,593.15 Rp 170.83 0 Tablet

114 Salbutamol 2 mg 703 Tablet Rp 49,210.00 Rp 70.00 0 Tablet

118 silk no 3/0 dgn jarum 6 Pcs Rp 118,200.00 Rp 19,700.00 0 Pcs

120 Siprofloksasin tab 500 mg 240 Tablet Rp 110,484.00 Rp 460.35 0 Tablet

125 Tranfusi set 50 Botol Rp 425,000.00 Rp 8,500.00 0 Botol

Rp - 0 Tablet Rp - 950 Tablet Rp 124,450.00 0 Tablet

Rp - 2,535 Tablet Rp 433,054.05 770 Tablet Rp 131,539.10 0 Tablet

Rp - 476 Tablet Rp 33,320.00 227 Tablet Rp 15,890.00 0 Tablet

Rp - 6 Pcs Rp 118,200.00 0 Pcs Rp - 0 Pcs

Rp - 240 Tablet Rp 110,484.00 0 Tablet Rp - 0 Tablet

Rp - 15 Botol Rp 127,500.00 35 Botol Rp 297,500.00 0 Botol

Rp 32,780,140.38 Rp 40,024,900.85 Rp 18,960,185.01

at6 Albendazol 400mg tab 6,144 Tablet Rp 1,769,472.00 Rp 288.00 0 Tablet Rp -

retinol (vit A ) 100000 IU Kapsul Rp 287.00 Kapsul

retinol (vit A ) 200000 IU 150 Kapsul Rp 508.00 Kapsul

Scabicide/Scabimit/Permetrin 5% krim Tube Rp 160,524.00 Tube

JUMLAH Rp 55,287,524.18 Rp 47,202,062.00

Kapsul Kapsul Kapsul

Kapsul Kapsul Kapsul

Tube Tube Tube

Rp 68,863,243.71 Rp 31,886,012.47 Rp 1,740,330.00

at5 Alat Suntik 5 ml 154 Pcs Rp 112,420.00 Rp 730.00 0 Pcs Rp -

Simvastatin tablet 10 mg Tablet Rp 96,525.00 Tablet

157 Siprofloksasin 500 mg 333 Tablet Rp 170,329.50 Rp 511.50 0 Tablet Rp -

Tiamfenikol 500 mg kapsul Tablet Rp 359,741.25 Tablet

Tablet Tablet Tablet

299 Tablet Rp 152,938.50 34 Tablet Rp 17,391.00 0 Tablet Rp -

Tablet Tablet Tablet