REKAPITULASI OBAT DAN BMHP BLUD BULA

TERIMA TERIMA TERIMA TERIMA

NO NAMA KEMASAN S.AWAL 1 2 3 4

1 Alat suntik sekali pakai 1 ml kotak @ 100 pcs

2 Alat suntik sekali pakai 2,5 ml kotak @ 100 pcs 2,400
3 Alat suntik sekali pakai 5 ml kotak @ 100 pcs
4 Catgut / benang bedah no 2/0 kotak @ 24 pcs 24
5 Catgut / benang bedah no 3/0 kotak @ 24 pcs 24
6 Kapas pembalut / Absorben 250 gram Roll
7 Kasa pembalut 2 x 80 Bungkus
8 Kasa pembalut hidrofill 4 x 15 Roll
9 Sarung tangan S Pcs 18,200
10 Sarung tangan M Pcs 25,300
11 Sarung tangan L Pcs
12 Silk( benang bedah sutera )no 3/0 Box / 36 36
13 IV cath no.20 Pcs
14 IV cath no.18 Pcs
15 Kasa gulung Roll
16 Masker Box/ 50
17 Kasa hidrofil 4 x 10 Pcs
18 Kasa hidrofil 18 x 22 Pcs
19 Jarum injeksi Box / pcs
20 Sarung tangan steril M Pasang
21 Jelly Tube 33
22 Kertas perkamen Pak 78
23 Klip plastik obat 10 x 7 cm Pak 100 lembar 84
24 Klip plastik obat 13 x 8,7 cm Pak 100 lembar
25 Hyfafik / Ultravix Roll
26 Spuit 10cc Pcs
27 Spuit 20 cc Pcs 5
28 Triway Pcs
29 Blood set Pcs 6
30 Bisturi no 20 Pcs 800
31 Wing needle no 23 Pcs
32 Jarum otot Lusin 5
33 Jarum kulit Lusin 4
34 Infusion set anak Pcs 1
35 Infusion set dewasa Pcs 1
36 Urine bag Pcs
37 I V Cateter no 22 Pcs
38 I V Cateter no 24 Pcs
39 Kertas lakmus merah & biru Bendel
40 Etanol 70 % 300 ml Botol
41 Kasa 4 x 3 Roll 536
42 Benang silk no 3/0 Roll
43 Alkohol swab pcs
44 Blood lancet safe T pcs
45 Folley chateter size 16 Pcs 6
46 Folley chateter size 18 Pcs 2
47 Folley chateter size 20 Pcs
48 Folley chateter no 22 Pcs
49 I V Cateter no 16 Pcs
50 Strip Cholesterol Box/10 strip
51 Benang silk no 2.0 Pack/12
52 Benang Prolin no 3.0 Pack
53 Benang prolin no 5.0 pack
54 Ringer Laktat Botol
55 Wing needle no 27 G Pcs
56 Stik HB Box/50 test
57 Kresek Plastik kecil ukuran 1 X 15 Pcs 44
58 Lubricant Gel Buah
59 Plastik 1/2 kg Bungkus/5 Roll
60 Perhidrol H2O2 4 % Botol/100 ml 4
61 Betadin Botol/300 ml 22
62 Cotton aplicator (IVA) Pcs
63 Bisturi no 25 Pcs
64 Pot sputum 120 ml Pcs
65 Slide b71101 Pcs
66 Klem Tali pusat Pcs 47
67 Cater urine nelaton uk 18 Pcs
68 Nasogatic tube dewasa Pcs
69 Catton swab Bks/100
70 Plester bulat Box/200
71 Box slide Pcs
72 Aquadest Galon/20 ltr
73 Cup test sampel 1,5 ml Pcs
74 Cairan infus Na cl 0,9 % Btl/500 ml
75 Aqua air mineral Botol /1,5 ml
76 Alat suntik satu kali pakai 3 ml Pcs
77 Oil emersi Botol
78 Kotak plastik untuk tempat obat Pcs 78
79 Kantong puyer Pak 6
80 Etanol 70 % 1000 ml Botol
81 Plester Botol 8
82 Sendok takar Roll 400
83 Klip platik obat 10 X 15 Pak 161
84 Etyl Klorida Botol 9
85 Stik Gula darah Pcs
86 Stik asam urat Pcs
87 Amlodipin 5 mg Tablet
 88 Ambroxol syrup Botol
89 Amoxicillyn syrup Botol 10
90 Amoxicillyn Tablet
91 Cefadroxyl syrup Botol
92 Dexametason 0,5 mg Tablet 22100
93 Enbatic salp Tube
94 Gentamicyn salp mata Tube
95 Gentamicyn tetes mata Botol
96 Glimepirid 2 mg Tablet
97 Meloxicam 7,5 mg Tablet 1300
98 Metformin Tablet
99 Miconazol Tube
100 Metronidazol 500 mg Tablet 2200
101 Natrium Diklofenac 50 mg Tablet
102 Omeprazol Tablet 19680
103 Oxitetrasiklin salp kulit Tube
104 Paracetamol syrup Botol
105 Paracetamol Tablet
106 Ranitidin Tablet
107 Simvastatin 10 mg Tablet 9000
108 Stesolid Rektal Tube 3
109 Tetagam Ampul
110 Ventolin Botol 60
111 Allopurinol Tablet
112 Salicyl bedak Botol 48
113 Amoxicylin syrup forte Botol
114 Daryantull Lembar 109
115 Livron B plex Tablet
116 Lytacur Syrup Botol
117 Lacto B Sachet
118 Kertas EKG Roll 1
119 Lampu Spiritus Botol
120 Safety box Pcs 65
121 Objek Glass fosted Pcs
122 Kertas Thermal uk 5 cm Roll
123 Cover glass Kotak
124 Spuit 3 ml Pcs 200
125 Masker N95 Pcs
126 Nurse cup Box
127 Acyclovir salp kulit Tube
128 Captopril 25 mg Tablet 12800
129 Kalsium Laktat (Novakal) Tablet 6400
130 Paracetamol Drop Botol
131 Ambroxol 30 mg Tablet 8500
132 Cetirizin 10 mg Tablet 8700
133 Betadin Botol/60 ml
134 Becefort Tablet
135 Cotrimoksazol sirup Botol
136 Cefadroxyl Tablet
137 Pamol 250 mg Supp
138 Pamol 125 mg Supp
139 Reco tetes telinga Botol 15
140 Vitamin B1 50 mg Tablet 5000
141 OBH syrup Botol
142 Domperidon syrup Botol
143 Novatrim syrup Botol
144 Asam Folat Tablet
145 Betahistin Tablet 4020
146 Ketoconazol 200 mg Tablet 550
147 Noza Tablet
148 Betametason salp kulit Tube
149 Gentamisin salp kulit Tube 110
150 Nebacetin Botol
151 Scopma Plus Tablet
152 Eugenol Botol 4
153 Ibuprofen Tablet 5000
154 Elite cement mini pack Botol
155 CTM Tablet 8350
156 Sucralfat(Molafat) syrup Botol 130
155 paramuno chlorofenol Botol 4
156 Tricresolformalin Pot 1
157 Orafilplus Pot 35
158 Prevest denprochamphenol Botol 3
159 Methylprednisolon Tablet 10100
160 Calortusin Tablet 4600

Mengetahui
Plt Kepala UPTD Puskesmas Kediri 1

dr Ni Putu Widiyanti
NIP: 19860101 201101 2 044
BMHP BLUD BULAN JANUARI 2023

RETUR
TERIMA JML DR
5 TERIMA APOTEK JUMLAH APTK BP IMUN KIA GIGI LAB PSKL ABT PJTN

- - -
- - - 200 -
- - -
- - -
- - -
- - -
- - -
- - -
- - - 100
- - - 300 200 800
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - 30
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - 10
- - -
- - -
- - -
- - - 2
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - 2
- - -
- - - 2
- - -
- - - -
- - - 2
- - -
- - -
- - -
- - -
- - 10
- - -
- - -
- - 1,000 100
- - -
- - -
- - -
- - -
- - 1,000 -
- - -
- - -
- - 300 -
- - -
- - 300 -
- - -
- - -
- - -
- - -
- - 1,000
- - -
- - -
- - -
- - -
- - 24 2
- - -
- - 20
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - - -
- - 500
- - - -
- - -
- - 1,500 100 100
- - 1,500
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - 600
- - -
- - -
- - -
- - 20
- - -
- - -
- - -
- - 300
- - -
- - 500 100 100
- - 10
- - -
- - -
- - -
- - -
- - 1,000 200
- - 1,000
 Ditarik
BA PB NYTD PUSKEL LANSIA PBF JML SISA STOK KET

- -
200 2,200 -
- -
- 24 ED 24 -
- 24 -
- -
- -
- -
100 18,100 -
1,300 24,000 ` -
- -
- 36 -
- -
- -
- -
- -
- -
- -
- -
- -
- 33 -
- 78 -
30 54 -
- -
- -
- -
- 5 ED 5 -
- -
- 6 -
- 800 ED 800 -
- -
- 5 -
- 4 -
- 1 ED 1 -
- 1 -
- -
- -
- -
- -
- -
- 536 -
- -
- -
- -
- 6 ed6 -
- 2 ed 2 -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
10 34 -
- -
- -
- 4 -
2 20 -
- -
- -
- -
- -
- 47 -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 78 -
2 4 -
- -
2 6 -
- 400 -
- 161 -
2 7 -
- -
- -
- -
 - -
10 -
- -
- -
50 1,150 20950 -
- -
- -
- -
- -
1,000 300 -
- -
- -
300 1900 -
- -
300 19380 -
- -
- -
- -
- -
1,000 8000 -
- 3 -
- -
- 60 -
- -
26 22 -
- -
20 89 -
- -
- -
- -
- 1 -
- -
- 65 -
- -
- -
- -
- 200 -
- -
- -
- -
500 12300 -
- 6400 -
- -
50 50 1,800 6700 -
1,500 7200 -
- -
- -
 - -
- -
- -
- -
- 15 -
- 5000 -
- -
- -
- -
- -
600 3420 -
- 550 -
- -
- -
20 90 -
- -
- -
- 4 -
300 4700 -
- -
50 750 7600 -
10 120 -
- 4 -
- 1 -
- 35 -
- 3 -
50 1,250 8850 -
1,000 3600 -
 REKAPITULASI OBAT DAN BMHP BLUD BULA

TERIMA TERIMA TERIMA TERIMA

NO NAMA KEMASAN S.AWAL 1 2 3 4

1 Alat suntik sekali pakai 1 ml kotak @ 100 pcs

2 Alat suntik sekali pakai 2,5 ml kotak @ 100 pcs 2,200
3 Alat suntik sekali pakai 5 ml kotak @ 100 pcs
4 Catgut / benang bedah no 2/0 kotak @ 24 pcs 24
5 Catgut / benang bedah no 3/0 kotak @ 24 pcs 24
6 Kapas pembalut / Absorben 250 gram Roll
7 Kasa pembalut 2 x 80 Bungkus
8 Kasa pembalut hidrofill 4 x 15 Roll
9 Sarung tangan S Pcs 18,100
10 Sarung tangan M Pcs 24,000
11 Sarung tangan L Pcs
12 Silk( benang bedah sutera )no 3/0 Box / 36 36
13 IV cath no.20 Pcs
14 IV cath no.18 Pcs
15 Kasa gulung Roll
16 Masker Box/ 50
17 Kasa hidrofil 4 x 10 Pcs
18 Kasa hidrofil 18 x 22 Pcs
19 Jarum injeksi Box / pcs
20 Sarung tangan steril M Pasang
21 Jelly Tube 33
22 Kertas perkamen Pak 78
23 Klip plastik obat 10 x 7 cm Pak 100 lembar 54
24 Klip plastik obat 13 x 8,7 cm Pak 100 lembar
25 Hyfafik / Ultravix Roll
26 Spuit 10cc Pcs
27 Spuit 20 cc Pcs 5
28 Triway Pcs
29 Blood set Pcs 6
30 Bisturi no 20 Pcs 800
31 Wing needle no 23 Pcs
32 Jarum otot Lusin 5
33 Jarum kulit Lusin 4
34 Infusion set anak Pcs 1
35 Infusion set dewasa Pcs 1
36 Urine bag Pcs
37 I V Cateter no 22 Pcs
38 I V Cateter no 24 Pcs
39 Kertas lakmus merah & biru Bendel
40 Etanol 70 % 300 ml Botol
41 Kasa 4 x 3 Roll 536
42 Benang silk no 3/0 Roll
43 Alkohol swab pcs
44 Blood lancet safe T pcs
45 Folley chateter size 16 Pcs 6
46 Folley chateter size 18 Pcs 2
47 Folley chateter size 20 Pcs
48 Folley chateter no 22 Pcs
49 I V Cateter no 16 Pcs
50 Strip Cholesterol Box/10 strip
51 Benang silk no 2.0 Pack/12
52 Benang Prolin no 3.0 Pack
53 Benang prolin no 5.0 pack
54 Ringer Laktat Botol
55 Wing needle no 27 G Pcs
56 Stik HB Box/50 test
57 Kresek Plastik kecil ukuran 1 X 15 Pcs 34
58 Lubricant Gel Buah
59 Plastik 1/2 kg Bungkus/5 Roll
60 Perhidrol H2O2 4 % Botol/100 ml 4
61 Betadin Botol/300 ml 20
62 Cotton aplicator (IVA) Pcs
63 Bisturi no 25 Pcs
64 Pot sputum 120 ml Pcs
65 Slide b71101 Pcs
66 Klem Tali pusat Pcs 47
67 Cater urine nelaton uk 18 Pcs
68 Nasogatic tube dewasa Pcs
69 Catton swab Bks/100
70 Plester bulat Box/200
71 Box slide Pcs
72 Aquadest Galon/20 ltr
73 Cup test sampel 1,5 ml Pcs
74 Cairan infus Na cl 0,9 % Btl/500 ml
75 Aqua air mineral Botol /1,5 ml
76 Alat suntik satu kali pakai 3 ml Pcs
77 Oil emersi Botol
78 Kotak plastik untuk tempat obat Pcs 78
79 Kantong puyer Pak 4
80 Etanol 70 % 1000 ml Botol
81 Plester Botol 6
82 Sendok takar Roll 400
83 Klip platik obat 10 X 15 Pak 161
84 Etyl Klorida Botol 7
85 Stik Gula darah Pcs
86 Stik asam urat Pcs
87 Amlodipin 5 mg Tablet
 88 Ambroxol syrup Botol
89 Amoxicillyn syrup Botol
90 Amoxicillyn Tablet
91 Cefadroxyl syrup Botol
92 Dexametason 0,5 mg Tablet 20950
93 Enbatic salp Tube
94 Gentamicyn salp mata Tube
95 Gentamicyn tetes mata Botol
96 Glimepirid 2 mg Tablet
97 Meloxicam 7,5 mg Tablet 300
98 Metformin Tablet
99 Miconazol Tube
100 Metronidazol 500 mg Tablet 1900
101 Natrium Diklofenac 50 mg Tablet
102 Omeprazol Tablet 19380
103 Oxitetrasiklin salp kulit Tube
104 Paracetamol syrup Botol
105 Paracetamol Tablet
106 Ranitidin Tablet
107 Simvastatin 10 mg Tablet 8000
108 Stesolid Rektal Tube 3
109 Tetagam Ampul
110 Ventolin Botol 60
111 Allopurinol Tablet
112 Salicyl bedak Botol 22
113 Amoxicylin syrup forte Botol
114 Daryantull Lembar 89
115 Livron B plex Tablet
116 Lytacur Syrup Botol
117 Lacto B Sachet
118 Kertas EKG Roll 1
119 Lampu Spiritus Botol
120 Safety box Pcs 65
121 Objek Glass fosted Pcs
122 Kertas Thermal uk 5 cm Roll
123 Cover glass Kotak
124 Spuit 3 ml Pcs 200
125 Masker N95 Pcs
126 Nurse cup Box
127 Acyclovir salp kulit Tube
128 Captopril 25 mg Tablet 12300
129 Kalsium Laktat (Novakal) Tablet 6400
130 Paracetamol Drop Botol
131 Ambroxol 30 mg Tablet 6700
132 Cetirizin 10 mg Tablet 7200
133 Betadin Botol/60 ml
134 Becefort Tablet
135 Cotrimoksazol sirup Botol
136 Cefadroxyl Tablet
137 Pamol 250 mg Supp
138 Pamol 125 mg Supp
139 Reco tetes telinga Botol 15
140 Vitamin B1 50 mg Tablet 5000
141 OBH syrup Botol
142 Domperidon syrup Botol
143 Novatrim syrup Botol
144 Asam Folat Tablet
145 Betahistin Tablet 3420
146 Ketoconazol 200 mg Tablet 550
147 Noza Tablet
148 Betametason salp kulit Tube
149 Gentamisin salp kulit Tube 90
150 Nebacetin Botol
151 Scopma Plus Tablet
152 Eugenol Botol 4
153 Ibuprofen Tablet 4700
154 Elite cement mini pack Botol
155 CTM Tablet 7600
156 Sucralfat(Molafat) syrup Botol 120
155 paramuno chlorofenol Botol 4
156 Tricresolformalin Pot 1
157 Orafilplus Pot 35
158 Prevest denprochamphenol Botol 3
159 Methylprednisolon Tablet 8850
160 Calortusin Tablet 3600

Mengetahui
Plt Kepala UPTD Puskesmas Kediri 1

dr Ni Putu Widiyanti
NIP: 19860101 201101 2 044
BMHP BLUD BULAN PEBUARI 2023

RETUR
TERIMA JML DR
5 TERIMA APOTEK JUMLAH APTK BP IMUN KIA GIGI LAB PSKL ABT PJTN

- - -
- - 100 200
- - -
- - -
- - -
- - -
- - -
- - -
- - - 100 1,000
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - 40
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - - 5
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - 2
- - -
- - - 6
- - 100
- - - 3
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - 1,500
- - -
- - -
- - -
- - -
- - 300
- - -
- - -
- - -
- - -
- - 1,450 30
- - -
- - -
- - -
- - -
- - 500
- - -
- - -
- - -
- - -
- - 12 3
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - 500
- - -
- - 2,500 100
- - 2,500
- - -
- - -
- - -
- - -
- - -
- - -
- - 15
- -
- - -
- - -
- - -
- - -
- - 300
- - -
- - -
- - -
- - 40
- - -
- - -
- - - 1
- - 300 100
- - -
- - 500 100
- - 20
- - -
- - -
- - - 1
- - -
- - 1,800 100
- - 500
 Ditarik
BA PB NYTD PUSKEL LANSIA PBF JML SISA STOK KET

- -
300 1,900 -
- -
- 24 ED 24 -
- 24 -
- -
- -
- -
1,100 17,000 -
- 24,000 ` -
- -
- 36 -
- -
- -
- -
- -
- -
- -
- -
- -
- 33 -
- 78 -
2 42 12 -
- -
- -
- -
- 5 ED 5 -
- -
- 6 -
- 800 ED 800 -
- -
- 5 -
- 4 -
- 1 ED 1 -
- 1 -
- -
- -
- -
- -
- -
 2 7 529 -
- -
- -
- -
- 6 ed6 -
- 2 ed 2 -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 34 -
- -
- -
- 4 -
- 20 -
- -
- -
- -
- -
- 47 -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 78 -
2 2 -
- -
6 -
100 300 -
1 1 5 156 -
- 7 -
- -
- -
- -
 - -
- -
- -
- -
50 1,550 19400 -
- -
- -
- -
- -
300 -
- -
- -
- 1900 -
- -
1,480 17900 -
- -
- -
- -
- -
500 7500 -
- 3 ED 3 -
- -
- 60 -
- -
15 7 -
- -
- 89 -
- -
- -
- -
- 1 -
- -
- 65 -
- -
- -
- -
- 200 -
- -
- -
- -
- 12300 -
500 5900 -
- -
50 2,650 4050 -
50 2,550 4650 -
- -
- -
 - -
- -
- -
- -
15 -
- 5000 -
- -
- -
- -
- -
300 3120 -
- 550 -
- -
- -
40 50 -
- -
- -
1 3 -
400 4300 -
- -
50 650 6950 -
20 100 -
- 4 -
- 1 -
1 34 -
- 3 -
50 1,950 6900 -
500 3100 -