E62AA220

NAMA PUSKESMAS : PUSKESMAS KEJAJAR 2
PELAYANAN KEFARMASIAN
ALAMAT PUSKESMAS : jl Dieng Km 26 .Kecamatan Kejajar Kab Wonosobo
Laporan Stok Obat Untuk transaksi antara tanggal : 01/01/2022 sampai dengan 28/02/2022
MUTASI DARI GUDANG KE UNIT
STOK
DISTRIBUSI
NO NMGENERIK ID SATUAN ID ANGGARAN SIMO HARGA SATUAN
RAWAT PKD PKD PKD PKD
JALAN PKD CS dieng jojogan patakPKD sembungan
paris banteng PKD sikunang IGD GIGI MTBS KB KIA IVA KESLING GIZI LAB VK PENDAFTARAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
1 Acyclovir cream Tube APBD II DAK 0 2531.5862 0
2 Acyclovir tab 400mg tablet APBD II DID 50 405 50
3 progam surveilans
Alat Suntik Sekali Pakai 0.3 ml biji dan Imunisasi 1100 1255
progam surveilans
4 Alat Suntik Sekali Pakai 0.5 ml biji dan Imunisasi 6700 904
5 Alat Suntik Sekali Pakai 0.5 ml biji Progam Covid19 1210 1050
6 Alat Suntik Sekali Pakai 0.5 ml biji Progam Covid19 500 1185
7 Alat Suntik Sekali Pakai 0.5 ml biji Progam
progam Covid19
surveilans 1000 1190
8 Alat Suntik Sekali Pakai 1 ml biji dan Imunisasi 0 881
progam surveilans
9 Alat suntik sekali pakai 3 ml biji dan Imunisasi 468 569 100 101 100
progam surveilans
10 Alat suntik sekali pakai 3 ml biji dan Imunisasi 86 693
11 Alat suntik sekali pakai 3 ml biji Progam imunisai 30 902
12 Alkohol swab pcs Progam Covid19 2700 79
13 Alkohol swab pcs APBD II DAK 400 88 150
14 Alkohol swab pcs Progam Covid19 200 127.82 200
15 Alkohol swab pcs Progam Covid20 1000 145 200 200 200 200 200
16 Alopurinol tab 100 mg tablet APBN 100 87 100
17 Alopurinol tab 100 mg tablet APBN 200 105 200
18 alopurinol tab 300mg tablet APBD II DAK 120 210 120
19 amlodipin tab 10mg tablet APBD II DAK 2600 70 1200 600 100 200 200 300
20 amlodipin tab 10mg tablet APBD II DAK 200 99 200
21 amlodipin tab 5 mg tablet APBD II DAK 1700 53 800 300 300 300
22 Amoksisilin kaplet 500 mg tablet APBD II DID 1100 253 600 200 100 100 100
23 Amoksisilin syr kering 250mg/5ml boto APBD II DAK 71 3628 50 11 5 5
24 Antasida DOEN Suspensi botol APBD II DAK 100 1679 84 5 10 1
25 Antasida DOEN tablet tablet APBN 0 54 0
26 Antasida DOEN tablet tablet APBN 1400 58 1200 100 100
27 Anti Bakteri DOEN Salep tube APBD II DAK 100 2924 100
28 Antimigren DOEN tablet APBD II DAK 400 185 400
29 APD SET (masker bedah, faceshield, hansdsanitizer, sarung tanganpaket APBD II DAK 60 98450 60
30 APD SET GAVI ( faceshield,masker bedah, hands sanitizer,sarung t paket APBD II DAK 4 98450 4
31 Apron paket APBD II DAK 10 45000 10
32 Aqua pro inj steril, bebas pirogen pcs APBD II DAK 14 2860 4 10
33 Asam Ascorbat (Vit C) tab 250 mg tablet APBD II DAK 800 119 800
34 Asam Ascorbat (Vit C) tab 50 mg tablet APBN 2700 105 1700 600 400
35 asam asetilsalisilat tab (asetosal) 80mg tablet APBD II DAK 800 105 710
36 asam folat tab 1 mg tablet APBD II DAK 400 56 200 200
37 Asam Mefenamat tab 500 mg tablet APBD II DAK 1400 111 1100 200 100
38 Atropin Sulfat inj 0,25 mg/ml- 1 ml amoul APBD II DAK 5 1540 5
STOK
DISTRIBUSI
NO NMGENERIK ID SATUAN ID ANGGARAN SIMO HARGA SATUAN PKD
RAWAT PKD CS PKD PKD PKD patakPKD sembungan
PKD sikunang IGD GIGI MTBS KB KIA IVA KESLING GIZI LAB VK PENDAFTARAN
JALAN dieng jojogan paris banteng
39 Attapulgit (Antidiare) tab tablet APBD II DAK 240 145 40 200

40 Betahistin mesilat tab 6mg tablet APBD II DAK 600 110 150
41 Betametason cream 0,05 % Tube APBD II DAK 15 1430 5 10
42 Betametason cream 0,05 % Tube APBD II DAK 22 1540 12 5 5
43 Bisacodil tab tablet APBD II DAK 60 319 60
44 Bisoprolol 5mg tablet APBD II DAK 210 137 210
45 Bisoprolol 5mg tablet APBD II DAK 0 236 0
46 blue Tip buah APBD II DAK 1000 183.9 1000
47 Boor Gigi (set isi 6) buah APBD II DAK 1 200000 1
48 Box Slides buah APBD II DAK 4 37717 4
49 Cat gut /benang bedah cromic + jarum no 2/0 buahh APBD II DAK 36 32800 20 16
50 Cat gut /benang bedah plain + jarum no 2/0 buah APBD II DAK 0 6747.91666667
51 Cat gut /benang bedah plain + jarum no 3/0 buah APBD II DAK 120 5750.83333333 48 72
52 cefadroxil kapsul 500mg tablet APBD II DAK 200 388 200
53 Cefixime kapsul 200mg tablet APBD II DAK 30 2370 30
54 cetirizine syr 5mg/5ml botol APBD II DAK 10 2915 10
55 cetirizine tab 10mg tablet APBD II DAK 400 49 300 100
56 clindamicin kapsul 300mg tablet APBD II DAK 50 522 50
57 clindamicin kapsul 300mg tablet APBD II DAK 0 578 0
58 Deksametason tab 0,5 mg tablet APBD II DAK 800 34 800
59 Devitalisasi pasta ( Non Arsen ) pcs APBD II DAK 1 217000 1
60 Devitalisasi pasta ( Non Arsen ) pcs APBD II DAK 1 266624.6 1
61 dietilkarbamazin sitrat tab 100mg tablet APBD II DAK 3000 219.375 3000
62 Digoksin tab 0,25 mg tablet APBD II DAK 200 104 200
63 Disinfektan / Lisol 1000 ml botol APBD II DAK 7 53066.6666667 7
64 domperidon syr 5mg/5ml botol APBD II DAK 43 2700 43
65 Domperidon tab 10 mg tablet APBD II DAK 300 91 100 200
66 Etakridin ( Rivanol ) larutan 0,1 % botol APBD II DAK 2 3000 2
67 Eugenol cairan botol APBD II DAK 2 20087 2
68 Eugenol cairan botol APBD II DAK 1 88000 1
69 Fenobarbital inj 50 mg/ml-2ml ampul APBD II DAK 60 1857 60
70 Fenofibrat 100mg tablet APBD II DAK 90 1073 90
71 fenol gliserol (karbogliserin) TT 10% Tube APBD II DAK 24 2764 24
72 fenol gliserol (karbogliserin) TT 10% Tube APBD II DAK 18 3300 18
73 Fitomenadion ( Vit K1) tab salut 10 mg tablet APBN 200 748 200
74 folley catheter 16 pcs APBD II DAK 5 8635 5
75 folley catheter 16 pcs APBD II DAK 19 13800 19
76 folley catheter 18 pcs APBD II DAK 43 13800 13 30
77 Furosemid tab 40 mg tablet APBD II DAK 2000 82 1800 200
78 Garam oralit kombinasi sachet Progam Diare 275 257 160 100 15
79 gelang bayi biru (blue) pcs APBD II DAK 100 850 100
80 gelang bayi merah jambu (pink) pcs APBD II DAK 100 850 100
81 Gentamisin Tetes Mata 0,3% Tube APBD II DAK 10 4232 5 5
82 Gentamisin Tetes Mata 0,3% Tube APBD II DAK 36 4520 31 5
83 Glimepiride tab 2 mg tablet APBD II DAK 600 123 600
84 Glimepiride tab 4 mg tablet APBD II DAK 400 183 400
85 Gown pcs APBD II DAK 30 33000 30
STOK
DISTRIBUSI
86 Griseofulvin (micronized) tab 500 mg tablet APBD II DAK 200 224 200
87 Griseofulvin 125 mg tab tablet APBD II DAK 200 224 200
88 hand sanitizer 100 ml botol APBD II DID 0 15000
89 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) botol APBD II DID 38 34000 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
90 hand sanitizer 5000 ml ( 5 liter) botol APBD II DAK 1 650000 1
91 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine botol APBD II DID 24 30450 9 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
92 Handscoon panjang no. 6.5 (S) pcs APBD II DAK 80 34694 80
93 Handscoon panjang no. 6.5 (S) pcs APBD II DAK 25 36960 25
94 Handscoon panjang no. 7.5 (M) pcs APBD II DAK 80 34694 80
95 Handscoon panjang no. 8.5 (L) pcs Progam Covid19 50 39100 50
96 Handscoon pendek non steril no 6.5 (S) pcs APBD II DAK 500 4272.72728 100 100 100 100
97 Handscoon pendek non steril no 7 (M) pcs APBD II/ Covid 900 4272.72726 100 100 100 100 200 200
98 Handscoon pendek steril no 7 (M) pcs APBD II DAK 200 2772 100
99 Handscoon pendek steril no 7.5 (L) pcs APBD II DAK 200 2772 50
100 Handscoon pendek steril no 7.5 (L) pcs APBD II DAK 50 4600 50
101 Handscoon pendek steril no 7.5 (L) pcs APBD II DAK 100 8635 50 50
102 Hepatoprotektor tab (Curcuma tablet) tablet APBD II DAK 200 539 200
103 Hidroklorotiazid ( HCT ) tab 25 mg tablet APBN 1100 148 800 300
104 Hidrokortison cream 2,5 % Tube APBD II DAK 24 2475 14 5 5
105 ibuprofen Suspensi 100mg/5ml botol APBD II DAK 10 2721 10
106 Infusion set Anak tablet APBD II DAK 17 5100 17
107 Isosorbid dinitrat tab sublingual 5 mg tablet APBD II DAK 100 86 100
108 Isosorbid dinitrat tab sublingual 5 mg tablet APBD II DAK 100 89 100
109 IV Catheter no 18 pcs APBD II DAK 285 11660 285
112 Jarum Jahit (Bedah) No 10 cutting (kulit) pcs APBD II DAK 120 1430.73333333 120
114 Jarum Jahit (Bedah) No 11 TAPPER (otot) pcs APBD II DAK 120 1430.73333333 120
118 Jarum Jahit (Bedah) No 9 TAPPER (otot) pcs APBD II DAK 120 1430.73333333 120
119 Kacamata Google pcs APBD II DAK 5 26000 5
120 Kacamata Google pcs APBD II DAK 7 60000 7
121 Kacamata Google pcs APBD II DAK 0 65450
122 Kalsium Glukonas inj ampul APBD II DAK 10 10351 10
123 Kalsium Hidroksida Pasta buah APBD II DAK 1 198000 1
124 Kalsium Lactat ( Kalk ) tab 500 mg tablet APBD II DAK 1120 63 320 100 100 300 100 200
125 Kapas pembalut / adsorbens 250 gram buah APBD II DAK 5 24000 1 4
126 Kaptopril tab 25 mg tablet APBD II DAK 700 75 300 100 200 100
127 Kasa Pembalut hidrofil 16 x 16 buah APBD II DAK 90 3500 10 30 3 47
128 Kasa Pembalut hidrofil 36m x 80 cm buah APBD II DAK 1 123000 1
130 Kasa Pembalut hidrofil 4m x 10 cm buah APBD II DAK 50 1380 50
131 Kasa Pembalut hidrofil 4m x 10 cm buah APBD II DAK 0 1450
132 Kasa Pembalut hidrofil 4m x 10 cm buah APBD II DAK 50 1451.7 50
133 ketokonazol tab 200mg tablet APBD II DAK 200 252 200
STOK
DISTRIBUSI
134 Kloramfenikol salep kulit 2% Tube APBD II DAK 0 3091 0

135 Kloramfenikol salep kulit 2% Tube APBD II DAK 40 3266 35 5
136 Kloramfenikol Salep Mata 1 % Tube APBD II DAK 13 2007 3 5 5
137 Klorfeniramin Maleat ( CTM ) tab 4 mg tablet APBD II DAK 1450 22 1450
138 Klorfeniramin Maleat ( CTM ) tab 4 mg tablet APBD II DAK 3100 23 1900 400 100 200 100 200 200
139 Klorfenol Kamfer Mentol (CHKM) pcs APBD II DAK 2 65000 2
140 Klorheksidin 2% botol APBD II DAK 1 178200 1
141 Kotrimoksasol Syr 240mg/5ml - 60ml botol APBD II DAK 5 2190 5
142 Lidokain + epineprin inj ampul APBD II DAK 5 1229 5
143 Lidokain murni inj 2 % ampul APBD II DAK 0 1144 0
144 Lidokain murni inj 2 % ampul APBD II DAK 51 1221 41 10
145 Magnesium sulfa inj (IV) 20 % / 25 ml ampul APBD II DAK 1 4090
146 masker bedah pcs APBD II DAK 5630 500 5630
147 masker bedah pcs APBD II DID 850 540 850
148 masker bedah pcs APBD II DID 0 4000 0
149 Masker Kain pcs Progam Covid19 19 3500 19
150 Masker KN-95 pcs Progam Covid 19 9 30000
153 Masker N95 pcs Progam Covid 19 20 29000 20
154 Masker N95 pcs Progam Covid 19 24 47500
155 Masker N95 pcs Progam Covid 19 100 76000
156 Metformin 500mg tablet APBD II DAK 400 77 0 400
157 Metformin 500mg tablet APBD II DAK 700 102 700
158 Metformin 850mg tablet APBD II DAK 100 153 100
159 Metilergometrin Maleat inj 0,200 mg - 1 ml ampul APBD II DAK 2 2959 2
160 metilprednisolon tab 4 mg tablet APBD II DAK 100 102 100
161 Metronidazole syr botol APBD II DAK 50 7190.5 7
162 Metronidazole tab 500 mg tablet APBD II DAK 200 133 200
163 Mikonazol cream/salep 2% (nitrat) Tube APBD II DAK 24 3414 24
164 Mikonazol serb 2% Tube APBD II DAK 5 22700 5
165 mineral mix sachet /8gr sachet APBD II DAK 200 2920 200
166 Mucus ekstraktor FR 10 pcs APBD II DAK 6 7040 6
167 multivitamin + Hepatoprotektor syr tablet APBD II DAK 50 8807.7 50
168 Mummifying Pasta pcs APBD II DAK 1 112000 1
169 Nasal Oksigen size L pcs APBD II DAK 7 5200 2 5
170 Nasal Oksigen size M pcs APBD II DAK 10 5200 5 5
171 N-asetil sistein tab 200mg tablet APBD II DID 0 350
172 N-asetil sistein tab 200mg tablet APBD II DID 900 373 400 100 100 200 100
173 Natrium Diklofenak tab 25mg tablet APBD II DAK 550 128 550
174 Natrium Diklofenak tab 50 mg tablet APBD II DAK 1200 99 1000 200
175 Natrium Klorida Larutan infus 0,9 % 10 ml botol APBD II DAK 69 3280
176 Nifedipin tab 10 MG tablet APBD II DAK 90 105 90
177 Nifedipin tab 20 mg lepas lambat (orros) tablet APBD II DAK 30 3575 30
178 nistatin suspensi 100.000 ui/ml botol APBD II DAK 5 11500 5
179 nistatin suspensi 100.000 ui/ml botol APBD II DAK 5 13900 5
180 Nistatin tab salut gula 500.000 IU / mg tablet APBD II DAK 100 843 100
STOK
DISTRIBUSI
181 OAT FDC kategori 1 paket APBD II DAK 2 389344 2

184 obat flu kombinasi tab tablet APBD II DAK 900 489.5 900
185 ofloxacin tablet salut selaput 400 mg tablet APBD II DAK 110 616 110
186 Oksitetrasiklin HCL salep mata 1 % Tube APBD II DAK 11 3500 11
187 Oksitoksin inj 10 IU/ ml - 1 ml ampul APBD II DAK 13 1126 13
188 Oksitoksin inj 10 IU/ ml - 1 ml ampul APBD II DAK 20 1199 20
189 omeprazole kapsul 20mg tablet APBD II DAK 600 129 600
190 Ondansetron tab 8 mg tablet APBD II DAK 30 270 30
191 Parasetamol drop botol APBD II DAK 96 4976 51 20 10 5 10
192 Parasetamol syr 120mg/5ml botol APBN 100 1181 0 20 10 10 15 30 15
193 Parasetamol tab 500 mg tablet APBD II DAK 4800 97.9 3100 800 200 200 200 300
194 Parasetamol tab 500 mg tablet APBD II DAK 5600 124.85 4300 300 200 200 300 300
195 Penutup Kepala (Head Cap) pcs APBD II DAK 244 664 244
196 Permetrin cream 5% 10gr tube APBD II DAK 17 11250 17
197 Piridoxin HCL (vit B 6) tab 10 mg tablet APBD II DAK 900 131 300 200 200 100 100
APBD II DAK
198 Plaster Bulat Non Woven pcs progam 400 175 400
199 Plaster polyester Non-woven 5cm x 10m pcs APBD II DAK 4 44767 1 3
200 pot sputum pcs APBD II DAK 400 2927.5 400
201 Povidon Iodine 10% 30 ml botol APBD II DAK 28 3200 7 10 1 10
202 Prednison tab 5 mg tablet APBD II DAK 1100 73 300 100 600 100
203 Ranitidin tab 150mg tablet APBD II DAK 500 85 400 100
204 RDT covid19 Antigen pcs APBD II DAK 21 97450 21
APBD II DAK
205 Reagen Cat Ziehl Nielsen (carbilfusin, etanol asam, metilen blue) buah 10 224235 10
progam
APBD II DAK
progam
APBD II DAK
progam
APBD II DAK
208 Reagen golongan darah serum anti A buah progam 1 63209.3023255 1
APBD II DAK
209 Reagen golongan darah serum anti B buah 1 63209.3023255 1
progam
APBD II DAK
210 Reagen golongan darah serum Anti D (anti RH) buah progam 1 103209.302326 1
211 Retinol 100.000 UI tablet progam gizi 500 306 80 50 67 52 40 28 32 151
212 Retinol 200.000 UI tablet progam gizi 1200 552 91 40 10 50 1009
213 Retinol 200.000 UI tablet progam gizi 900 553 900
214 Ringer lactat ( RL ) infus steril botol APBD II DAK 110 7630 60 50
215 Sabun Cuci Tangan (Handwash) 4 Liter botol APBD II DAK 1 45000 1
216 safety box pcs APBD II DAK 36 14000 3 1 2
217 safety box pcs APBD II DAK 0 15715
218 Salbutamol tab 2 mg tablet APBD II DAK 200 48 200
221 Salep 2 - 4 tablet APBD II DAK 9 2796 9
222 Selluloid strip buah APBD II DAK 1 137500 1
223 Sepatu Boot buah APBD II DAK 9 110000 9
224 Serum HBIG (Hiperheb) buah APBD II DAK 1 1325000 1
225 Sianokobalamin (B 12) tab 50mcg tablet APBD II DAK 1700 43 400 400 200 200 100 200 200
226 Sianokobalamin (B 12) tab 50mcg tablet APBD II DAK 0 49 0
227 Silk No. 2/0 + jarum pcs APBD II DAK 12 20300 12
STOK
DISTRIBUSI
228 Silk No. 3/0 100 meter pcs APBD II DAK 0 680495
229 simvastatin tab 10mg tablet APBD II DAK 400 68 300 100
230 slide/d-glass/objek glass BTA buah APBD II DAK 2 21747 2
231 slide/d-glass/objek glass BTA buah APBD II DAK 6 26153.845 6
232 Spironolacton tab 25mg tablet APBD II DAK 100 190 100
233 Stik glukosa pcs APBD II DAK 1200 3124 1200
234 Stik HbSAg test pcs APBD II DAK 125 9850 125
235 Stik HCG pcs APBD II DAK 150 3881 150
236 stik hemoglobin (Hb) pcs APBD II DAK 150 8030 150
237 Stik HIV test kit I pcs APBD II DAK 125 8094 125
238 Stik HIV test kit II pcs APBD II DAK 0 13235 0
239 Stik HIV test kit III pcs APBD II DAK 25 19480 25
APBD II DAK
240 Stik Rapid Test Sifilis II (Human) pcs 150 14000 150
progam
241 Stik Urin 10 parameter pcs APBD II DAK 100 2134 100
242 Stik urin 3 parameter (glukosa,pH,protein) pcs APBD II DAK 300 1050 300
243 Tabung Vac-tube EDTA K3 pcs APBD II DAK 100 701.8 100
244 Tabung Vac-tube serum plain tutup merah pcs APBD II DAK 100 1014 100
245 Tambah darah kombinasi ( ferro fumarat 60 mg, asam folat 0,4 mgpcs progam gizi 3900 226 2800 400 200 500
246 Temporary Feling Pasta / Bahan tumpatan sementara (Caviton, Cavpcs progam gizi 2 115365 2
247 Tensimeter Digital pcs APBD II DAK 1 350909 1
248 Tiamin HCL (B 1) tab 50 mg tablet APBD II DAK 1800 57 600 300 200 200 100 400
249 Tiamin HCL (B 1) tab 50 mg tablet APBD II DAK 640 91 640
250 tranfusion set tablet APBD II DAK 130 9431 30 100
251 tuberkulin PPD (test ktk 5vialx1,5ml) pcs APBD II DAK 1 625800 1
251 tuberkulin PPD (test ktk 5vialx1,5ml) pcs APBD II DAK 1 625800 1
252 Umbilical cord clamps pcs APBD II DAK 20 1300 20
253 Underpads 60 x 90 pcs APBD II DAK 14 7900 14
254 urin bag pcs APBD II DAK 100 5951 20 80
APBD II DAK
255 Vaccutainer Eclipse Blood colection Needle 21Gx 1,5 pcs 100 1600 100
progam
APBD II DAK
256 Vaccutainer Eclipse Blood colection Needle 21Gx 1,5 pcs progam 100 1700 100
APBD II DAK
257 Vaccutainer Eclipse Blood Colection needle 23G X 1,5 pcs 7 2067.0323 7
progam
259 Vaksin BCG inj 20 DOSIS vial Progam imunisai 6 97780 1
260 progam surveilans
Vaksin Covid 19 AstraZeneca 10 dosis/vial vial dan Imunisasi 20 0
261 progam surveilans
Vaksin Covid 19 Coronavac (2 dosis/vial) vial dan Imunisasi 1079 0
progam surveilans
262 Vaksin Covid 19 MODERNA multidose (14 Dosis/Vial) vial dan Imunisasi 15 0
progam surveilans
263 vaksin covid19 pfizer (6 dosis/vial) vial 72 0
dan Imunisasi
264 Vaksin DPT-HB-Hib 5 dosis vial Progam imunisai 50 85103 17 11 6 7 2
265 Vaksin hepatitis B rekombinan inj 0,5 ml (Anak) vial Progam imunisai 12 25839
266 Vaksin IPV vial Progam imunisai 10 158994 2 1 3 1 2 1
267 Vaksin MR vial Progam imunisai 42 166265 2 1 2 1 2
268 Vaksin polio bivalent 10 dosis vial Progam imunisai 23 21494 3 2 4 2 2
269 Vaksin Tetanus (Td) vial Progam imunisai 1 18128
270 VIRAL TRANSPORT MEDIUM (VTM) pcs Progam Covid 19 120 29600 120
271 Vitamin B kompleks tab tablet APBN 10800 89 9600 400 200 200 400
272 Yellow tip pcs APBD II DAK 1000 234.9 1000
273 Zinc drops 10 mg/ml botol APBD II DAK 28 5051 28
274 Zink Sirup 20mg/5 ml botol APBD II DAK 12 3171 12
STOK
DISTRIBUSI
275 Zink tab tablet APBD II DAK 300 208 100 200
JUMLAH
276 Ibuprofen Suspensi 200 mg Botol APBD II DAK 108 46650 108
277 OAT FDC ANAK paket PROGAM TB 1 248310 1
278 Oksitetrasiklin HCL salep mata 1 % Tube APBD II DAK 50 3521.44 50
279 ketokonazol tab 200mg tube APBD II DAK 300 25,932.00 300
280 Etakridin ( Rivanol ) larutan 0,1 % botol APBD II DAK 3 3000
281 Ranitidin inj 25mg/ml@1ml ampul APBD II DAK 100 6138 100
Jumlah total distribusi
Catatan : ADA OBAT ED jan-feb yang lupa ke entri, jadi nilai distribusi berubah dari nilai distribusi awal. SERTA ada entrian tambahan OAT anak keluar Januari
Ka. UPTD Kepala Puskesmas Kejajar 2
Maduri, S.Kep., Ners

NIP 19670906198903 1 005

MUTASI DARI GUDANG KE UNIT

MARET
STOK
NO NMGENERIK ID SATUAN ID ANGGARAN SIMO HARGA SATUAN DISTRIBUSI
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
1 Acyclovir tab 400mg tablet APBD II / DID 100 405 100

Program
4 Alat Suntik imunisasi 5 ml pcs 50 1583 50
imunisasi Dasar
5 Alat Suntik Sekali Pakai 0.3 ml pcs Program Covid19 100 1255
Program
6 Alat Suntik Sekali Pakai 0.5 ml pcs Surveilans dan 1100 904
Imunisasi
7 Alat suntik sekali pakai 3 ml pcs Program Covid19 200 693 100 100
STOK
DISTRIBUSI
8 Alkohol swab pcs APBD II / DAK 500 79
12 Alkohol swab pcs Program Covid19 700 79

Program
13 Alkohol swab pcs Surveilans dan 600 79
Imunisasi
16 Alopurinol tab 100 mg tablet APBD II / DAK 100 87 100
17 amlodipin tab 10mg tablet APBD II / DAK 105 99 105
18 amlodipin tab 5 mg tablet APBD II / DAK 300 53 300

19 Amoksisilin kaplet 500 mg tablet APBD II / DID 600 253 400 100 100
20 Amoksisilin kaplet 500 mg tablet APBD II / DID 100 253 100
21 amoksisilin syr 250 ml botol 5 3628 5
22 Antasida DOEN Suspensi botol APBD II / DAK 95 1679 95
23 Antasida DOEN Suspensi botol APBD II / DAK 7 1679 7
24 Antasida DOEN tablet tablet APBN 400 58 200 100 100
25 Anti Hemoroid DOEN Supp supp APBD II / DAK 15 3167 15
26 Anti Hemoroid DOEN Supp supp APBD II / DAK 55 3167 55
27 Aqua pro inj steril, bebas pirogen vial APBN 11 2860 11
28 Asam Ascorbat (Vit C) tab 250 mg tablet APBD II / DID 300 119 200 100
29 Asam Ascorbat (Vit C) tab 50 mg tablet APBN 1600 105 1200 200 100 100
30 Asam Ascorbat (Vit C) tab 50 mg tablet APBN 400 105 200 200
31 Asam Ascorbat (Vitamin C) Tab 500 mg tablet APBD II / DAK 200 225 200
32 Asam Mefenamat tab 500 mg tablet APBD II / DAK 400 111 200 100 100
33 Asam Mefenamat tab 500 mg tablet APBD II / DAK 100 111 100
34 Attapulgit (Antidiare) tab tablet APBD II / DAK 200 145 200
35 Betametason cream 0,05 % tube APBN 3 1540 3
36 blue Tip pcs APBD II / DAK 1000 84.4 1000
37 Boor Gigi (set isi 6) pack APBD II / DID 1 200000 1 \
38 Box Slides pcs APBD II / DID 2 37717 2
39 cefadroxil kapsul 500mg kapsul APBD II / DAK 100 388 100

STOK
DISTRIBUSI
40 cetirizine syr 5mg/5ml botol APBD II / DAK 10 2915 10

41 cetirizine syr 5mg/5ml botol APBD II / DAK 30 2915 30
42 cetirizine tab 10mg tablet APBD II / DAK 400 49 400
43 Deksametason tab 0,5 mg tablet APBD II / DAK 600 34 400 100 100
44 Deksametason tab 0,5 mg tablet APBD II / DAK 200 34 100 100
45 Diazepam rektal supp APBD II / DAK 4 12573 4
46 Domperidon tab 10 mg tablet APBD II / DAK 100 91 100
47 Epinefrin HCl (Adrenalin) inj 0,1% - 1 ml ampul APBD Propinsi 3 1408 3

48 fenol gliserol (karbogliserin) TT 10% botol APBD II / DAK 3 3300 3
49 Fitomenadion ( Vit K) inj 2 mg/ml 1ml ampul APBD II / DAK 30 1386 30
50 Fletcher powder + eugenol liquit pack APBD II / DID 1 64000 1
51 folley catheter 16 pcs APBD II / DAK 7 8635 7
54 Furosemid tab 40 mg tablet APBN 200 82 200

55 Furosemid tab 40 mg tablet APBN 400 82 400
56 gelang bayi biru (blue) pcs APBD II / DAK 100 850 100
57 gelang bayi merah jambu (pink) pack APBD II / DAK 100 850 100
58 Gentamisin salep mata tube APBD II / DAK 48 2675 48

59 Gentamisin Tetes Mata 0,3% botol APBD II / DAK 6 4520 3 3
60 Glimepiride tab 2 mg tablet APBD II / DAK 100 123 100
61 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) botol APBD II / DID 5 27400 1 1 1 1
62 Handscoon pendek non steril 6,5 S pasang APBD II / DAK 50 4272.72728 50
63 Handscoon panjang no. 8.5 (L) pasang APBD II / DID 50 36960 50
64 Handscoon panjang no. 8.5 (L) pasang Program Covid19 150 39100 150
65 Handscoon pendek steril no 7 (M) pasang APBD II / DID 100 2772 50 50

66 Handscoon pendek steril no 7.5 (L) pasang APBD II / DAK 100 8635 100
67 Ibuprofen suspensi 100ml botol APBD II / DAK 40 2721 40

68 IV Catheter no 18 pcs APBD II / DAK 2 11660 2
69 IV Catheter no 20 pcs APBD II / DAK 100 5995 100
70 Kalsium Hidroksida Pasta tube APBD II / DAK 1 102000 1
71 Kalsium Lactat ( Kalk ) tab 500 mg tablet APBD II / DAK 500 63 200 100 100 100
STOK
DISTRIBUSI
72 Kasa Pembalut hidrofil 16 x 16 pack APBD II / DAK 63 3500 43 10 10
73 Kasa Pembalut hidrofil 4m x 10 cm rol APBD II / DAK 18 1451.7 18

74 Kloramfenikol salep kulit 2% tube APBD II / DAK 4 3266 4
75 Kloramfenikol Salep Mata 1 % tube APBD II / DAK 9 2007 9
76 Kloramfenikol Salep Mata 1 % tube APBD II / DAK 23 2007 20 1 2
77 Klorfeniramin Maleat ( CTM ) tab 4 mg tablet APBD II / DAK 1100 23 700 100 100 100 100
78 Klorfenol Kamfer Mentol (CHKM) botol APBD II / DID 2 65000 2
79 Klorheksidin 2% botol APBD II / DAK 1 220000 1
80 Lidokain + epineprin inj ampul APBD II / DAK 15 1229 15

81 masker bedah pcs APBD II / DID 2100 540 2000
82 Masker KN-95 pcs Program Covid19 20 40000 10 10
83 Metformin 500mg tablet APBD II / DAK 200 77 200

84 Metronidazole syr botol APBD II / DAK 50 3950 50
85 Mummifying Pasta botol APBD II / DID 1 112000 1
86 N-asetil sistein tab 200mg tablet APBD II / DAK 300 373 300
87 N-asetil sistein tab 200mg tablet APBD II / DAK 280 301 200 80
88 Natrium Diklofenak tab 25mg tablet APBD II / DAK 100 128 100
89 Natrium Diklofenak tab 50 mg.. tablet APBD II / DAK 800 94.5 800
90 Natrium Diklofenak tab 50 mg tablet APBD II / DAK 700 99 200 100 100 100 100 100
91 Natrium Fusidat Salep 2% tube APBD II / DAK 17 4699 17
92 Natrium Klorida larutan infus 0,9 % 500ml botol APBN 3 6840 3
93 nistatin suspensi 100.000 ui/ml botol APBD II / DAK 5 11500 5
94 nistatin suspensi 100.000 ui/ml botol APBD II / DAK 5 11500 5
95 OAT FDC kategori 1 paket APBD II / DAK 2 416696 2
96 Oksitoksin inj 10 IU/ ml - 1 ml ampul APBD II / DID 20 1199 20
97 omeprazole kapsul 20mg kapsul APBD II / DAK 200 129 200

98 Parasetamol drop botol APBD II / DAK 20 4976 20
99 Parasetamol drop botol APBD II / DAK 76 4976 76
100 Parasetamol syr 120mg/5ml botol APBD II / DAK 100 1160 100
101 Parasetamol tab 500 mg tablet APBD II / DID 200 97.9 200
103 Perak Sulfadiazin cream 1 % tube APBD II / DAK 6 20700 4 2
STOK
DISTRIBUSI
104 Permetrin cream 5% 30gr tube APBD II / DAK 8 11250 3 3 2

105 Permetrin cream 5% 30gr tube APBD II / DAK 20 11250 20
106 Piridoxin HCL (vit B 6) tab 10 mg tablet APBN 200 131 100 100
APBD II / DAK
107 pot sputum pcs Program 200 2927.5 200
108 Povidon iodin 30 ml botol APBD II / DAK 14 3200 14

109 Prednison tab 5 mg tablet APBN 700 73 600 100
110 Prednison tab 5 mg tablet APBD II / DAK 200 68 200
111 Ranitidin inj 25mg/ml@1ml ampul APBD II / DAK 25 814 25
112 Ranitidin tab 150mg tablet APBD II / DAK 300 85 200 100
113 Reagen golongan darah serum anti A botol APBD II / DAK 1 29100 1
114 Reagen golongan darah serum anti B botol APBD II / DAK 1 29100 1
115 Sianokobalamin (B 12) tab 50mcg tablet APBD II / DAK 100 43 100
116 Silk No. 2/0 + jarum pcs APBD II / DID 12 20300 12
117 simvastatin tab 10mg tablet APBD II / DAK 100 68 100 0
118 slide/d-glass/objek glass BTA pack Program TB 3 21747 3
119 Stik Asam Urat untuk alat benececk strip APBD II / DAK 25 5808 25
120 Stik glukosa strip APBD II / DAK 50 3124 50
121 Stik HbSAg test strip program Diare 50 9850 50

APBD II / DAK
122 Stik Rapid Test Sifilis II (Human) strip Program 200 14000 200
123 sukralfat syr 500mg/5ml botol APBD II / DAK 48 4989 48

124 Tabung Vac-tube EDTA K3 pcs APBD II / DAK 100 701.8 100
125 Tambah darah kombinasi ( ferro fumarat 60 mg, asam folat 0,4 tablet program Gizi 400 226
mg) 100 300
126 Tiamin HCL (B 1) tab 50 mg tablet APBD II / DAK 200 57 200
127 urin bag pcs APBD II / DAK 7 5700 7
128 urin bag pcs APBD II / DAK 2 5951 2
129 Vaccutainer Eclipse Blood colection Needle 21Gx 1,5 pcs APBD II / DAK 100 1600 100
Program
130 Vaksin Covid 19 Coronavac (2 dosis/vial) vial Surveilans dan 200 0
Imunisasi
Program
131 Vaksin Covid 19 Ofizer vial Surveilans dan 30 0
Imunisasi
Program
132 Vaksin DPT-HB-Hib 5 dosis vial Surveilans dan 27 85103 5 3 2 2 3 3 4
Imunisasi
Program
133 Vaksin hepatitis B rekombinan inj 0,5 ml (Anak) vial Surveilans dan 21 25839
Imunisasi
Program
134 Vaksin IPV vial Surveilans dan 3 158994 1 1
Imunisasi
Program
135 Vaksin TD vial Surveilans dan 4 18128
Imunisasi
STOK
DISTRIBUSI
Program
136 Vaksin jerap difteri tetanus (DT) vial Surveilans dan 4 34400
Imunisasi
Program
137 Vaksin MR vial Surveilans dan 4 166265 2 2
Imunisasi
Program
138 Vaksin MR vial Surveilans dan 12 166265 1 2 2 2 3
Imunisasi
Program
139 Vaksin polio bivalent 10 dosis vial Surveilans dan 4 23643 2 1 1
Imunisasi
140 Vitamin B kompleks tab tablet APBD II / DAK 0 115
141 Vitamin B kompleks tab tablet APBN 2000 89 1500 300 200
142 Vitamin B kompleks tab tablet APBD II / DAK 3600 89 3600
143 Vitamin B kompleks tab tablet APBD II / DAK 300 89 300
144 VTM pcs APD II / DAK 160 24134 160
145 Yellow tip pcs APBD II / DAK 1000 175.7 1000
Total

NIP 19670906198903 1 005
PERIODE APRIL
STOK
DISTRIBUSI
NO NMGENERIK ID SATUAN ID ANGGARAN SIMO HARGA SATUAN
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
1 Acyclovir tab 400mg tablet APBD II / DAK 47 407 47

2 Acyclovir tab 400mg tablet APBD II / DAK 50 407 50
3 Alat Suntik imunisasi 5 ml biji Program 7 1583
4 Alat Suntik sekali pakai 1 ml imunisasi Dasar
Program 100 881 100
biji
5 Alat Suntik Sekali Pakai 0.3 ml imunisasi Dasar
Program Covid19 800 1255
biji
6 Alat Suntik Sekali Pakai 0.5 ml biji APBD II / DID 200 904
7 Alat Suntik Sekali Pakai 0.5 ml biji Program Covid19 200 1185
8 Alat Suntik Sekali Pakai 0.5 ml biji APBD II / DID 200 904
Albendazol Tablet tablet APBD II / DID 3800 282.62 3800
10 Alopurinol tab 100 mg tablet APBD II / DAK 200 87 200
11 amlodipin tab 10mg tablet APBD II / DAK 1300 70 500 300 300 100 100
STOK
DISTRIBUSI
12 amlodipin tab 5 mg tablet APBD II / DAK 300 53 300

13 Amoksisilin kaplet 500 mg tablet APBD II / DID 1400 253 600 100 100 100 500
14 Antasida DOEN tablet tablet APBD II / DAK 1100 58 500 200 100 100 100 100
15 Antimigrain DOEN Tablet APBD II / DAK 100 185 100
16 Anti Hemoroid DOEN Supp suppo APBD II / DAK 12 3167 12
17 Asam Ascorbat (Vit C) tab 250 mg tablet APBD II / DID 200 119 200
18 Asam Ascorbat (Vit C) tab 250 mg tablet APBD II / DID 100 119 100
19 Asam Ascorbat (Vit C) tab 50 mg tablet APBN 200 105 200
20 Asam Ascorbat (Vit C) tab 50 mg tablet APBN 600 105 100 500
21 Asam Ascorbat (Vit C) tab 50 mg tablet APBN 200 105 200
22 asam folat tab 1 mg tablet APBD II / DAK 100 56 100
24 asam folat tab 1 mg tablet APBD II / DAK 200 56 100 100
25 asam folat tab 1 mg tablet APBD II / DAK 200 56 100 100
27 Asam Mefenamat tab 500 mg tablet APBD II / DAK 400 111 300 100
28 Attapulgit (Antidiare) tab tablet APBD II / DAK 100 145 100
29 Betametason cream 0,05 % Tube APBD II / DAK 17 1540 17
30 Betametason cream 0,05 % Tube APBN 15 1430 7 5 3
31 cefadroxil kapsul 500mg tablet APBD II / DAK 100 388 100
32 Cefixime kapsul 200mg tablet APBD II / DAK 100 749 100
33 cetirizine tab 10mg tablet APBD II / DAK 200 49 200
34 clindamicin kapsul 300mg tablet APBD II / DAK 50 522 50
35 Deksametason inj 5 mg/ml-1 ml ampul APBD II / DAK 6 924 6
36 Deksametason tab 0,5 mg tablet APBD II / DAK 600 34 400 200
37 domperidon syr 5mg/5ml botol APBD II / DAK 50 2296 50
38 Diazepam lar rectal tube 5 mg/2,5 ml suppo APBD II / DAK 4 12573 4
39 domperidon syr 5mg/5ml botol APBD II / DAK 50 2296 50
40 Domperidon tab 10 mg tablet APBD II / DAK 100 71 100
41 Domperidon tab 10 mg tablet APBD II / DAK 200 71 100 100
42 fenol gliserol (karbogliserin) TT 10% Tube APBD II / DAK 28 3300 28
44 Furosemid tab 40 mg tablet APBN 1200 82 600 200 200 200
45 Garam oralit kombinasi sachet APBD II / DAK 80 274 80
46 Gemfibrozil 300 mg tablet APBD II / DAK 100 396 100
47 Gentamisin Tetes Mata 0,3% Tube APBD II / DAK 2 4232 2
48 Gentamisin Tetes Mata 0,3% Tube APBD II / DAK 40 4520 40
49 Glass Ionomer cement ART (Fuji IX ART) pcs APBD II / DAK 1 466666.667 1
50 Glimepiride tab 2 mg tablet APBD II / DAK 200 123 200
51 Glimepiride tab 4 mg tablet APBD II / DAK 400 183 300 100
52 Griseofulvin (micronized) tab 500 mg tablet APBD II / DAK 100 839 100
53 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) botol APBD II / DID 1 34000 1
54 Hidroklorotiazid ( HCT ) tab 25 mg tablet APBD II / DAK 200 148 200
55 Handscoon pendek non steril 6,5 S pasang APBD II / DAK 50 4272.72728 50
56 Hidrokortison cream 2,5 % Tube APBD II / DAK 24 2475 24
57 Hyoscine-N-Butilbromide tablet APBD II / DAK 100 1050 100
58 Hepatoprotektor tab (Curcuma tablet) tablet 100 539 100
59 Kalsium Lactat ( Kalk ) tab 500 mg tablet APBD II / DAK 500 63 100 100 100 100 100
60 Kaptopril tab 12,5 mg tablet APBN 100 66 100
61 Kaptopril tab 25 mg tablet APBD II / DAK 300 75 100 100 100
STOK
DISTRIBUSI
62 Kloramfenikol kapsul 500mg tablet APBD II / DAK 100 1174 100

63 Kloramfenikol salep kulit 2% Tube APBD II / DAK 11 3266 11
64 Kloramfenikol Salep Mata 1 % Tube APBD II / DAK 3 2007 3
65 Kotrimoxaxol tablet 480 mg tablet APBD II / DAK 100 1221 100
66 Klorfeniramin Maleat ( CTM ) tab 4 mg tablet APBD II / DAK 1900 23 1400 200 100 100 100
67 Lidokain murni inj 2 % ampul APBD II / DAK 100 1221 100
68 Lisinopril tab 5 mg tablet APBD II / DAK 200 145 200
69 masker bedah pcs APBD II / DID 100 500
70 Masker KN-95 pcs APBD II / DID 2 40000
71 masker bedah pcs APBD II / DID 600 540 600
72 Metformin 850mg tablet APBD II / DAK 600 153 600
73 Metilergometrin Maleat inj 0,200 mg - 1 ml ampul APBD II / DID 36 2959 36
74 metilprednisolon tab 4 mg tablet APBD II / DAK 300 102 300
75 Metronidazole tab 500 mg tablet APBD II / DAK 200 133 200
76 N-asetil sistein tab 200mg tablet APBD II / DAK 1080 301 660 120 120 60 120
77 Natrium Diklofenak tab 25mg tablet APBD II / DAK 950 128 650 300
78 Natrium Diklofenak tab 50 mg tablet APBD II / DAK 0 100
79 Natrium Diklofenak tab 50 mg tablet APBD II / DAK 200 99 200
80 Natrium Diklofenak tab 50 mg tablet APBD II / DAK 800 99 800
81 Nistatin tab salut gula 500.000 IU / mg tablet APBD II / DAK 100 843 100
82 ofloxacin tablet salut selaput 400 mg tablet APBD II / DAK 40 535 40
83 Oksitetrasiklin HCL salep mata 1 % Tube APBD II / DAK 189 3500 189
84 omeprazole kapsul 20mg tablet APBD II / DAK 400 129 400
85 Ondansetron tab 8 mg tablet APBD II / DAK 30 270 30
86 Ondansetron tab 8 mg tablet APBD II / DAK 90 270 90
87 Parasetamol drop botol APBD II / DAK 53 4976 15 15 8 10 5
88 Parasetamol syr 120mg/5ml botol APBD II / DAK 30 1160 10 5 5 10
89 Parasetamol tab 500 mg tablet APBD II / DID 500 97.9 200 300
90 Parasetamol tab 500 mg tablet APBD II / DAK 300 124.85 300
91 Parasetamol tab 500 mg tablet APBD II / DID 500 97.9 200 200 100
92 Parasetamol tab 500 mg tablet APBD II / DAK 700 124.85
97 Permetrin cream 5% 30gr Tube APBD II / DAK 14 11250 14
98 Piridoxin HCL (vit B 6) tab 10 mg tablet APBN 600 131 400 100 100
99 Prednison tab tablet APBD II / DAK 100 68 100
100 Piroxicam 20mg tablet APBD II / DAK 100 120.25 100
101 Ranitidin tab 150mg tablet APBD II / DAK 700 85 600 100
102 RDT covid19 Antigen pcs Program Covid19 577 96934 577
103 safety box pcs Program 18 14000
104 Salbutamol tab 2 mg Surveilans dan
APBD II / DAK 400 67
tablet Imunisasi 400
105 Salbutamol tab 4 mg tablet APBD II / DAK 100 63 100
106 Salbutamol tab 4 mg tablet APBD II / DAK 100 63 100
107 Sianokobalamin (B 12) tab 50mcg tablet APBD II / DAK 700 54 100 200 100 100 200
108 simvastatin tab 10mg tablet APBD II / DAK 100 68 100
109 Tambah darah kombinasi ( ferro fumarat 60 mg, asam folat 0,4 tablet APBD II / DAK 1800 226 700 300 200 100 500
110 mg)
Tiamin HCL (B 1) tab 50 mg APBD II / DAK 1000 57
tablet 200 200 200 200 200
111 Vaksin BCG inj 20 DOSIS vial Program 3 97780 1 1
Surveilans dan
Imunisasi
STOK
DISTRIBUSI
112 Vaksin Covid 19 MODERNA multidose (14 Dosis/Vial) vial Program 2 0

113 Vaksin COvid 19 aztrazaneca Surveilans
Program dan 5 0
Vial Imunisasi dan
114 vaksin covid19 pfizer (6 dosis/vial) Surveilans
Program 70 0
vial Imunisasi
115 Vaksin hepatitis B rekombinan inj 0,5 ml (Anak) Surveilans dan
Program 4 25839
vial Imunisasi
116 Vaksin DPT-HB-Hib 5 dosis Surveilans
Program dan 15 85103
vial Imunisasi dan 2 1 2 2 2 1 2
117 Vaksin IPV Surveilans
Program 5 158994
vial Imunisasi dan 1 1 1 1
118 Vaksin menigitis Surveilans
Program 10 135000
vial Imunisasi
119 Vaksin TD Surveilans dan
Program 10
vial Imunisasi 18128
120 Vaksin MR Surveilans
Program dan 7 166265
vial Imunisasi dan 1 1 1 1 1 1 1
121 Vaksin polio bivalent 10 dosis Surveilans
Program 7 21494
vial Imunisasi dan 2 1 1 1 1 1
122 Vaksin polio bivalent 10 dosis Surveilans
Program 4 23643
vial Imunisasi 1 1
123 Vitamin B kompleks tab Surveilans dan
APBN 2000 89
tablet Imunisasi 1000 300 100 200 100 300

NIP 19670906198903 1 005
PERIODE MEI
STOK
NO NMGENERIK ID SATUAN ID ANGGARAN SIMO HARGA SATUAN DISTRIBUSI
PKD
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
1 APBD II / DAK
Acyclovir tab 400mg tablet 3 407 3
2 APBD II / DAK
Alat Suntik Sekali Pakai 0.3ml biji 500 1255
3 APBD II / DAK 12
Alat Suntik Sekali Pakai 1ml biji 12 881
4 APBD II / DAK
Alat Suntik Sekali Pakai 0.5 ml biji 800 904 100
5 Program
Alkohol swab biji imunisasi Dasar 600 71
6 Program
Alkohol swab biji imunisasi Dasar 100 79
7 APBD II / DAK
alopurinol tab 300mg tablet 100 200 100
8 Program Covid19
amlodipin tab 10mg tablet 1500 70 1300 200
9 Program Covid19
amlodipin tab 5 mg tablet 200 53 200
10 APBD II / DID
amlodipin tab 5 mg tablet 100 53 100
11 Program Covid19
Amoksisilin kaplet 500 mg tablet 28400 253 28200 100 100
12 APBD II / DID
Amoksisilin syr kering 250mg/5ml botol 175 3628 175
13 APBD II / DID
Antasida DOEN Suspensi botol 6 1679 6
14 APBN
Antasida DOEN Suspensi botol 5 1679 5
15 APBN
Antasida DOEN tablet tablet 1400 58 1100 200 100
16 APBD II / DAK
Asam Ascorbat (Vit C) tab 250 mg tablet 200 119 200
STOK
DISTRIBUSI
17 APBD II / DAK
asam folat tab 1 mg tablet 300 56 300
18 APBD II / DAK
Asam Mefenamat tab 500 mg Tablet 100 105 100
19 APBD II / DAK
Asam Mefenamat tab 500 mg tablet 900 111 600 100 200
20 APBD II / DAK
Betametason cream 0,05 % Tube 5 1540 5
21 APBD II / DAK
cetirizine tab 10mg tablet 200 49 200
22 APBD II / DAK
Deksametason tab 0,5 mg tablet 700 34 500 200
23 APBD II / DAK
Furosemid tab 40 mg tablet 1400 82 1400
24 APBD II / DAK
Furosemid tab 40 mg tablet 300 82 200 100
25 APBD II / DAK
Garam Oralit sach 180 274 180
26 APBD II / DAK
Gentian violet larutan 1 % Tube 1 2710.21021021 1
27 APBD II / DAK
Glimepiride tab 2 mg tablet 100 123 100
28 APBD II / DAK
29 APBD II / DAK 1 1 1 1 1 1 1 1
hand sanitizer 500 ml (alkohol 70% + chlorhexidine) pcs 10 27400 1
30 APBD II / DAK 50 50
Handscoon pendek non steril no 6.5 (S) pasang 200 4272.72728 50 50
31 APBD II / DAK 50
Handscoon pendek non steril no 7.5 (L) pasang 50 4272.72728
32 APBD II / DAK
Handscoon pendek steril no 7 (M) pasang 50 2772 50
33 APBD II / DAK
Handscoon pendek steril no 7.5 (L) pasang 50 2772
34 APBD II / DAK
Hidrogen Peroksida 3% botol 2 3360 2
35 APBD II / DAK
Hidroklorotiazid ( HCT ) tab 25 mg tablet 100 148 100
36 APBD II / DAK
Hidroklorotiazid ( HCT ) tab 25 mg tablet 100 148 100
37 APBD II / DAK
Kalsium Lactat ( Kalk ) tab 500 mg tablet 700 63 700
38 APBD II / DAK
Kalsium Lactat ( Kalk ) tab 500 mg tablet 400 63 200 200
39 APBD II / DID
Kaptopril tab 12,5 mg tablet 100 66 100
40 APBD II / DID
Kasa Pembalut hidrofil 16 x 16 pcs 25 3500 25
41 APBD II / DAK
ketokonazol tab 200mg tablet 100 252 100
42 APBD II / DAK
Kloramfenikol kapsul 500mg tablet 900 1174 900
43 APBD II / DAK
Kloramfenikol salep kulit 2% Tube 10 3266 10
44 APBD II / DAK
Klorfeniramin Maleat ( CTM ) tab 4 mg tablet 600 23 600
45 APBD II / DAK
46 APBD II / DAK
47 APBD II / DAK
48 APBD II / DAK
Lidokain + epineprin inj ampul 80 1229 80
49 APBD II / DAK
Lidokain murni inj 2 % ampul 15 1221 15
50 APBD II / DID
Lidokain murni inj 2 % ampul 2 1221 2
51 APBD II / DID
masker bedah pcs 200 540 200
52 APBD II / DAK
53 APBD II / DAK
Metformin 850mg tablet 300 153 300
54 APBD II / DAK
metilprednisolon tab 4 mg tablet 100 102 100
55 APBN
Metronidazole tab 500 mg tablet 100 133 100
56 APBD II / DAK
Nasal Oksigen size L pcs 4 5200 4
STOK
DISTRIBUSI
57 Program Covid19
N-asetil sistein tab 200mg tablet 810 301 630 60 120
58 Program
N-asetil sistein tab 200mg tablet Surveilans dan 100 373 100
59 APBD II / DAK
Imunisasi
Natrium Diklofenak tab 25mg tablet 750 128 450 100 200
60 APBD II / DAK
Natrium Diklofenak tab 50 mg tablet 300 99 300
61 APBD II / DAK
Natrium Klorida Larutan infus 0,9 % 10 ml pcs 10 3280
62 Progam TB
OAT FDC anak paket 1 248310 1
63 Progam TB
OAT FDC Kategori 1 paket 1 416696 1
64 APBD II / DAK
omeprazole kapsul 20mg tablet 200 129 200
65 APBD II / DAK
omeprazole kapsul 20mg tablet 200 129 200
66 APBD II / DAK
Parasetamol drop botol 30 4976 10 10 10
67 APBD II / DAK
Parasetamol tab 500 mg tablet 2900 124.85 2100 300 100 300 100
68 APBD II / DAK
Parasetamol tab 500 mg tablet 900 97.9 200
69 APBD II / DAK
Permetrin cream 5% 30gr Tube 10 11250 10
70 APBD II / DAK
Piridoxin HCL (vit B 6) tab 10 mg tablet 100 131 100
71 APBD II / DAK
Plaster polyester non-woven 10cm x 5 m pcs 1 61050 1
72 APBD II / DAK
Povidon Iodine 10% 30 ml pcs 2 3200 2
73 APBD II / DAK
Ranitidin tab 150mg tablet 200 85 200
74 APBD II / DAK
Ranitidin tab 150mg tablet 100 85 100
75 APBD II / DAK
Ringer lactat ( RL ) infus steril botol 25 7630 5 20
76 APBD II / DAK
Salbutamol tab 4 mg 100 63 100
77 APBD II / DAK
Salep 2 - 4 Tube 5 2796 5
78 APBD II / DAK
Safety box pcs 4 14000
79 APBD II / DAK
Sianokobalamin (B 12) tab 50mcg tablet 300 43 100 200
80 APBD II / DAK
Stik Asam Urat untuk alat benececk pcs 50 5808 50
81 APBD II / DAK
Tambah darah kombinasi ( ferro fumarat 60 mg, asam folat 0,4 mgtablet 1000 226 700 300
82 APBD II / DAK
Tambah darah kombinasi ( ferro fumarat 60 mg, asam folat 0,4 mgtablet 300 226 300
83 APBD II / DAK
Tiamin HCL (B 1) tab 50 mg tablet 400 57 200 200
Program
84 tranfusion set pcs imunisasi Dasar 22 9431 22
85 Program
tranfusion set pcs imunisasi Dasar 78 1394 78
86 Program
Vaksin BCG inj 20 DOSIS vial imunisasi Dasar 1 97780
Program
87 Vaksin Covid 19 AstraZeneca 10 dosis/vial vial imunisasi Dasar 50 0
Program
88 Vaksin Covid 19 Coronavac (2 dosis/vial) vial 151 0
imunisasi Dasar
Program
89 Vaksin Covid 19 MODERNA multidose (10 Dosis/Vial) vial 1 0
imunisasi Dasar
90 Program
vaksin covid19 pfizer (6 dosis/vial) vial imunisasi Dasar 18 0
Program
91 Vaksin Hepatitis rekombinan vial imunisasi Dasar 2 25839
Program
92 Vaksin jerap difteri (DT) vial 6 34400
imunisasi Dasar
93 Program
Vaksin DPT-HB-Hib 5 dosis vial imunisasi Dasar 12 85103 2 1 1 1 2 1 2
Program
94 Vaksin IPV vial imunisasi Dasar 8 158994 1 1 1 1 1 1 1
Program
95 Vaksin meningitis vial 6 135000
imunisasi Dasar
Program
96 Vaksin MR vial 5 166265 1 1 1 1
imunisasi Dasar
STOK
DISTRIBUSI
Program
97 Vaksin polio bivalent 10 dosis vial 5 21494 1 1 1 1
imunisasi Dasar
Program
98 Vaksin polio bivalent 10 dosis vial 3 23643 1 1 1
imunisasi Dasar
99 Program
Vaksin Td vial imunisasi Dasar 12 18128
Program
100 VIRAL TRANSPORT MEDIUM (VTM) pcs imunisasi Dasar 80 21557 80
101 Vitamin B kompleks tab tablet APBD II / DAK 1400 89 700 200 100 100 100 200
102 Zink tab tablet APBD II / DAK 100 208 100
TOTAL

NIP 19670906198903 1 005
PERIODE JUNI
STOK
DISTRIBUSI
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19
1 APBD II / DAK
Alat Suntik Sekali Pakai 0.05 ml biji 36 1460 36
2 APBD II / DAK 2
Alat Suntik Sekali Pakai 1 ml biji 2 881
3 APBD II / DAK
Alat Suntik Sekali Pakai 0.3 ml biji 600 1255
4 Program 100
Alat Suntik Sekali Pakai 3ml biji imunisasi Dasar 100 902
5 Program 100
Alat Suntik Sekali Pakai 0.5 ml biji imunisasi Dasar 400 904
6 APBD II / DAK 100
Alkohol swab pcs 100 79
7 APBD II / DAK
Alkohol swab pcs 1100 79
8 Program Covid19
Alopurinol tab 100 mg tablet 200 87 200
9 Program Covid19
alopurinol tab 300mg tablet 100 200 100
10 APBD II / DID
amlodipin tab 10mg tablet 1000 70 900 100
11 APBD II / DID
amlodipin tab 5 mg botol 1200 53 600 300 300
12 APBD II / DAK
Amoksisilin kaplet 500 mg Tablet 1100 249 1100
STOK
DISTRIBUSI
13 APBD II / DAK 400

Amoksisilin kaplet 500 mg tablet 1000 253 200 100 100 200
14 APBD II / DAK
Antasida DOEN Suspensi botol 30 1679 25 5
15 APBD II / DAK
Antasida DOEN tablet tablet 1000 58 400 100 200 100 200
16 APBD II / DAK
Asam Ascorbat (Vit C) tab 250 mg tablet 600 119 400 200
17 APBD II / DAK
Asam Ascorbat (Vit C) tab 50 mg tablet 2000 105 2000
18 APBD II / DAK
Asam Ascorbat (Vit C) tab 50 mg tablet 600 105 300 300
19 APBD II / DAK
asam asetilsalisilat tab (asetosal) 80mg tablet 100 89.81 100
20 APBD II / DID
asam folat tab 1 mg tablet 500 56 300 100 100
21 APBD II / DAK
Asam Mefenamat tab 500 mg tablet 800 111 400 100 100 100 100
22 APBD II / DAK
Attapulgit (Antidiare) tab tablet 100 145 100
23 APBD II / DAK
Betahistin mesilat tab 6mg Tube 100 89 100
24 APBD II / DAK
Betametason cream 0,05 % Tube 35 1540 17 5 10 3
25 APBN
Bisoprolol 5mg tablet 60 138 60
26 APBD II / DAK
cefadroxil kapsul 500mg tablet 200 388 200
27 APBD II / DAK
Cefadroxil syr 125mg botol 50 4185 50
28 Program Covid19
cetirizine tab 10mg tablet 400 49 300 100
29 APBD II / DAK
clindamicin kapsul 300mg tablet 50 522 50
30 APBD II / DAK
Deksametason tab 0,5 mg tablet 800 34 600 200
31 APBD II / DAK
Diazepam lar rectal tube 5 mg/2,5 ml suppo 1 12573 1
32 APBD II / DAK
Domperidon tab 10 mg tablet 200 71 100 100
33 APBD II / DAK
Fenofibrat 100mg tablet 50 477 50
34 APBD II / DAK
Furosemid tab 40 mg tablet 600 82 600
35 APBD II / DAK
Garam oralit kombinasi sachet 100 274 100
36 APBD II / DAK
Gentamisin Tetes Mata 0,3% Tube 5 4520 5 5
37 APBD II / DAK
38 APBD II / DAK
Glukosa larutan infus 5 % steril 500ml tablet 2 7363 2
39 APBD II / DAK
hand sanitizer 500 ml (alkohol 70% + chlorhexidine) botol 5 34000 1 1 1 1
40 APBD II / DAK
Handscoon panjang no. 8.5 (L) pcs 50 39100 50
41 APBD II / DAK
Handscoon pendek non steril no 7.5 (L) pcs 50 4272.72728
42 APBD II / DAK
Handscoon pendek steril no 7 (M) pcs 100 2772
43 APBD II / DAK
Hidroklorotiazid ( HCT ) tab 25 mg tablet 400 148 200 200
44 APBD II / DAK
Hidrokortison cream 2,5 % Tube 16 2475 16
45 APBD II / DAK
Kalsium Hidroksida Pasta tablet 1 102000 1
46 APBD II / DAK
Kalsium Lactat ( Kalk ) tab 500 mg tablet 1100 63 400 100 100 200 300
Program
47 Kaptopril tab 12,5 mg tablet imunisasi Dasar 100 66 100
48 APBD II / DAK
Kotrimokzasol tablet 480 mg tablet 100 151 100
49 APBD II / DAK
Kloramfenikol salep kulit 2% Tube 16 3266 16
STOK
DISTRIBUSI
Program
50 Kasa Pembalut hidrofil 16 x 16 pcs 1 3500 1
imunisasi Dasar
Program
51 Ketokonazol cream 2% Tube 10 2370 10
imunisasi Dasar
52 Program
Klorfeniramin Maleat ( CTM ) tab 4 mg tablet imunisasi Dasar 2000 23 1400 200 100 300
53 APBD II / DID
Lidokain murni inj 2 % vial 5 1221 5
54 APBD II / DID
55 APBD II / DID
Masker KN-95 pcs 44 41233 44
56 APBD II / DID
Metformin 850mg tablet 900 153 700 200
57 APBD II / DID
metilprednisolon tab 4 mg tablet 200 102 200
58 APBD II / DID
Metronidazole tab 500 mg tablet 100 133 100
59 APBD II / DID
mometason cream 0,1% Tube 6 5795 6
60 APBD II / DID
N-asetil sistein tab 200mg tablet 1140 301 840 60 60 180
61 APBD II / DID
Natrium Diklofenak tab 25mg tablet 650 128 450 100 100
62 APBD II / DID
Natrium Diklofenak tab 50 mg tablet 600 100 500 100
63 APBD II / DID
omeprazole kapsul 20mg tablet 400 129 200 200
64 APBD II / DID
Parasetamol drop botol 60 4976 30 20 5 5
65 APBD II / DID
Parasetamol syr 120mg/5ml botol 135 1160 105 10 10 5 5
66 APBD II / DID
Parasetamol tab 500 mg tablet 3700 97.9 1600 400 200 200 300 200
67 APBD II / DID
Parasetamol tab 500 mg tablet 400 124.85 100 300
68 APBD II / DID
Perak Sulfadiazin cream 1 % Tube 3 18557 3
69 APBD II / DID
Piridoxin HCL (vit B 6) tab 10 mg tablet 500 131 100 100 200 100
70 APBD II / DID
Plaster polyester non-woven 10cm x 5 m pcs 2 61050 2
71 APBD II / DID
Prednison tab 5 mg tablet 100 68 100
72 APBD II / DID
Prednison tab 5 mg tablet 200 73 200
73 APBD II / DID
Povidon iodin 30ml tablet 2 3200 2
74 APBD II / DID
Ranitidin tab 150mg tablet 500 85 300 200
75 APBD II / DID
Retinok 200000 iu tablet 50 553 50
76 APBD II / DID
Ringer lactat ( RL ) infus steril btol 24 7630 4 20
77 APBD II / DID
Safetybox pcs 5 14000
78 APBD II / DID
Sianokobalamin (B 12) tab 50mcg tablet 800 43 200 200 200 200
79 APBD II / DID
Stik HbSAg test pcs 50 9850 50
80 APBD II / DID
Stik HIV test kit I pcs 25 7879 25
81 APBD II / DID
Tabung Vac-tube EDTA K3 pcs 100 701.8 100
82 APBD II / DID
Tambah darah kombinasi ( ferro fumarat 60 mg, asam folat 0,4 mgtablet 2600 226 600 300 200 200 300 300 200 500
83 APBD II / DID
Tiamin HCL (B 1) tab 50 mg tablet 1000 57 200 200 200 200 200
84 APBD II / DID
Vaksin BCG inj 20 DOSIS vial 1 97780
85 APBD II / DID
Vaksin Covid 19 AstraZeneca 10 dosis/vial vial 10 0
86 APBD II / DID
Vaksin covid 19 coronavac 2 dosis vial 199 0
STOK
DISTRIBUSI
87 APBD II / DID
vaksin covid19 pfizer (6 dosis/vial) vial 179 0
88 APBD II / DID
Vaksin DPT-HB-Hib 5 dosis vial 13 85103 2 1 2 1 2 2 2
89 APBD II / DID
Vaksin hepatitis rekombinan vial 1 25839
90 APBD II / DID
Vaksin IPV vial 9 158994 2 1 1 1 1 1 1
91 APBD II / DID
Vaksin jerap difteri tetanus (DT) vial 5 34400
92 APBD II / DID
Vaksin MR vial 5 166265 1 1 1 1
93 APBD II / DID
Vaksin polio bivalent 10 dosis vial 11 21494 2 2 1 2 2 2
94 APBD II / DID
Vaksin polio bivalent 10 dosis vial 2 23643 1
95 APBD II / DID
Vaksin Tetanus (Td) vial 24 18128
96 APBD II / DID
Vitamin B kompleks tab tablet 1800 89 1200 200 200 200
97 APBD II / DID
Zink tab tablet 200 208 200
TOTAL

NIP 19670906198903 1 005
JUMLAH TOTAL NILAI DISTRIBUSI

PERIODE JANUARI-FEBUARI 2022 Rp143,351,570.64764
PERIODE MARET 2022 36,030,624.96
PERIODE APRIL 2022 Rp72,009,278.031
PERIODE MEI 2022 Rp23,050,029
PERIODE JUNI 2022 Rp17,795,178
TOTAL DISTRIBUSI JAN-JUNI 2022= Rp292,236,681.00000
JUMLAH SALDO KOREKSI STOK NILAI KOREKSI KETERANGAN
DISTRIBUSI UNIT STOK
VAKSINASI
21 = (jumlah
20 seluruh kolom 7 22 = (6x21) 23 = (21-5) 24 = (6x23) 25
s/d20) 0 Rp0 0 0
50 Rp20,250 0 0
1100 1,100 Rp1,380,500 0 0
6700 6,700 Rp6,056,800 0 0
1210 1,210 Rp1,270,500 0 0
500 500 Rp592,500 0 0
1000 1,000 Rp1,190,000 0 0
0 Rp0 0 0
167 468 Rp266,292 0 0
86 86 Rp59,598 0 0
30 30 Rp27,060 0 0
2700 2,700 Rp213,300 0 0
250 400 Rp35,200 0 0
200 Rp25,564 0 0
1,000 Rp145,000 0 0
100 Rp8,700 0 0
200 Rp21,000 0 0
120 Rp25,200 0 0
2,600 Rp182,000 0 0
200 Rp19,800 0 0
1,700 Rp90,100 0 0
1,100 Rp278,300 0 0
71 Rp257,588 0 0
100 Rp167,900 0 0
0 Rp0 0 0
1,400 Rp81,200 0 0
100 Rp292,400 0 0
400 Rp74,000 0 0
60 Rp5,907,000 0 0
4 Rp393,800 0 0
10 Rp450,000 0 0
14 Rp40,040 0 0
800 Rp95,200 0 0
2,700 Rp283,500 0 0
710 Rp74,550 90 9,450 Expired Date
400 Rp22,400 0 0
1,400 Rp155,400 0 0
5 Rp7,700 0 0
VAKSINASI
240 Rp34,800 0 0
150 Rp16,500 450 49,500 Expired Date
15 Rp21,450 0 0
22 Rp33,880 0 0
60 Rp19,140 0 0
210 Rp28,770 0 0
0 Rp0 0 0
1,000 Rp183,900 0 0
1 Rp200,000 0 0
4 Rp150,868 0 0
36 Rp1,180,800 0 0
0 Rp0 0 0
120 Rp690,100 0 0
200 Rp77,600 0 0
30 Rp71,100 0 0
10 Rp29,150 0 0
400 Rp19,600 0 0
50 Rp26,100 0 0
0 Rp0 0 0
800 Rp27,200 0 0
1 Rp217,000 0 0
1 Rp266,625 0 0
3,000 Rp658,125 0 0
200 Rp20,800 0 0
7 Rp371,467 0 0
43 Rp116,100 0 0
300 Rp27,300 0 0
2 Rp6,000 0 0
2 Rp40,174 0 0
1 Rp88,000 0 0
60 Rp111,420 0 0
90 Rp96,570 0 0
24 Rp66,336 0 0
18 Rp59,400 0 0
200 Rp149,600 0 0
5 Rp43,175 0 0
19 Rp262,200 0 0
43 Rp593,400 0 0
2,000 Rp164,000 0 0
275 Rp70,675 0 0
100 Rp85,000 0 0
100 Rp85,000 0 0
10 Rp42,320 0 0
36 Rp162,720 0 0
600 Rp73,800 0 0
400 Rp73,200 0 0
30 Rp990,000 0 0
VAKSINASI
200 Rp44,800 0 0
200 Rp44,800 0 0
0 Rp0 0 0
2 38 Rp1,292,000 0 0
1 Rp650,000 0 0
24 Rp730,800 0 0
80 Rp2,775,520 0 0
25 Rp924,000 0 0
80 Rp2,775,520 0 0
50 Rp1,955,000 0 0
100 500 Rp2,136,364 0 0
100 900 Rp3,845,455 0 0
100 200 Rp554,400 0 0
150 200 Rp554,400 0 0
50 Rp230,000 0 0
100 Rp863,500 0 0
200 Rp107,800 0 0
1,100 Rp162,800 0 0
24 Rp59,400 0 0
10 Rp27,210 0 0
17 Rp86,700 0 0
100 Rp8,600 0 0
100 Rp8,900 0 0
285 Rp3,323,100 0 0
100 Rp1,188,000 0 0
90 Rp1,069,200 0 0
120 Rp171,688 0 0
120 Rp171,688 0 0
120 Rp171,688 0 0
120 Rp171,688 0 0
120 Rp171,688 0 0
120 Rp171,688 0 0
120 Rp171,688 0 0
5 Rp130,000 0 0
7 Rp420,000 0 0
0 Rp0 0 0
10 Rp103,510 0 0
1 Rp198,000 0 0
1,120 Rp70,560 0 0
5 Rp120,000 0 0
700 Rp52,500 0 0
90 Rp315,000 0 0
1 Rp123,000 0 0
50 Rp69,000 0 0
0 Rp0 0 0
50 Rp72,585 0 0
200 Rp50,400 0 0
VAKSINASI
0 Rp0 0 0
40 Rp130,640 0 0
13 Rp26,091 0 0
1,450 Rp31,900 0 0
3,100 Rp71,300 0 0
2 Rp130,000 0 0
1 Rp178,200 0 0
5 Rp10,950 0 0
5 Rp6,145 0 0
0 Rp0 0 0
51 Rp62,271 0 0
1 1 Rp4,090 0 0
5,630 Rp2,815,000 0 0
850 Rp459,000 0 0
0 Rp0 0 0
19 Rp66,500 0 0
9 9 Rp270,000 0 0
15 15 Rp600,000 0 0
0 0 Rp0 0 0
20 Rp580,000 0 0
24 24 Rp1,140,000 0 0
100 100 Rp7,600,000 0 0
400 Rp30,800 0 0
700 Rp71,400 0 0
100 Rp15,300 0 0
2 Rp5,918 0 0
100 Rp10,200 0 0
7 Rp50,334 43 309,192 Expired Date
200 Rp26,600 0 0
24 Rp81,936 0 0
5 Rp113,500 0 0
200 Rp584,000 0 0
6 Rp42,240 0 0
50 Rp440,385 0 0
1 Rp112,000 0 0
7 Rp36,400 0 0
10 Rp52,000 0 0
0 Rp0 0 0
900 Rp335,700 0 0
550 Rp70,400 0 0
1,200 Rp118,800 0 0
69 69 Rp226,320 0 0
90 Rp9,450 0 0
30 Rp107,250 0 0
5 Rp57,500 0 0
5 Rp69,500 0 0
100 Rp84,300 0 0
VAKSINASI
2 Rp778,688 0 0
3 Rp1,246,401 0 0
1 Rp416,696 0 0
900 Rp440,550 0 0
110 Rp67,760 0 0
11 Rp38,500 0 0
13 Rp14,638 0 0
20 Rp23,980 0 0
600 Rp77,400 0 0
30 Rp8,100 0 0
96 Rp477,696 0 0
100 Rp118,100 0 0
4,800 Rp469,920 0 0
5,600 Rp699,160 0 0
244 Rp162,016 0 0
17 Rp191,250 0 0
900 Rp117,900 0 0
400 Rp70,000 0 0
4 Rp179,068 0 0
400 Rp1,171,000 0 0
28 Rp89,600 0 0
1,100 Rp80,300 0 0
500 Rp42,500 0 0
21 Rp2,046,450 0 0
10 Rp2,242,350 0 0
4 Rp932,936 0 0
10 Rp2,571,510 0 0
1 Rp63,209 0 0
1 Rp63,209 0 0
1 Rp103,209 0 0
500 Rp153,000 0 0
1,200 Rp662,400 0 0
900 Rp497,700 0 0
110 Rp839,300 0 0
1 Rp45,000 0 0
30 36 Rp504,000 0 0
0 Rp0 0 0
200 Rp9,600 0 0
100 Rp6,700 0 0
200 Rp12,600 0 0
9 Rp25,164 0 0
1 Rp137,500 0 0
9 Rp990,000 0 0
1 Rp1,325,000 0 0
1,700 Rp73,100 0 0
0 Rp0 0 0
12 Rp243,600 0 0
VAKSINASI
0 Rp0 0 0
400 Rp27,200 0 0
2 Rp43,494 0 0
6 Rp156,923 0 0
100 Rp19,000 0 0
1,200 Rp3,748,800 0 0
125 Rp1,231,250 0 0
150 Rp582,150 0 0
150 Rp1,204,500 0 0
125 Rp1,011,750 0 0
0 Rp0 0 0
25 Rp487,000 0 0
150 Rp2,100,000 0 0
100 Rp213,400 0 0
300 Rp315,000 0 0
100 Rp70,180 0 0
100 Rp101,400 0 0
3,900 Rp881,400 0 0
2 Rp230,730 0 0
1 Rp350,909 0 0
1,800 Rp102,600 0 0
640 Rp58,240 0 0
130 Rp1,226,030 0 0
1 Rp625,800 0 0
1 Rp625,800 0 0
20 Rp26,000 0 0
14 Rp110,600 0 0
100 Rp595,100 0 0
100 Rp160,000 0 0
100 Rp170,000 0 0
7 Rp14,469 0 0
5 6 Rp586,680 0 0
20 20 Rp0 0 0
1079 1,079 Rp0 0 0
15 15 Rp0 0 0
72 72 Rp0 0 0
7 50 Rp4,255,150 0 0
12 12 Rp310,068 0 0
10 Rp1,589,940 0 0
34 42 Rp6,983,130 0 0
10 23 Rp494,362 0 0
1 1 Rp18,128 0 0
120 Rp3,552,000 0 0
10,800 Rp961,200 0 0
1,000 Rp234,900 0 0
28 Rp141,428 0 0
12 Rp38,052 0 0
VAKSINASI
300 Rp62,400 0 0
129,486,589
108 Rp5,038,200 ED gudang Tambahan
1 Rp248,310 ENTRIAN TAMBAHAN
50 Rp176,072 ED gudang Tambahan
300 Rp7,779,600 ED gudang Tambahan
Rp143,351,570.64764
Wonosobo, 28 Febuari 2022

Pengelola Farmasi
Galih Arum Palupi, S. Farm., Apt

NIP 1994020202020122014

VAKSINASI
21 = (jumlah
20 seluruh kolom 7 22 = (6x21) 23 = (21-5) 24 = (6x23) 25
s/d20)
100 40500 Rp0 0 ED
200 81000 Rp0 0 ED
150 60750 Rp0 0 ED
50 79150 Rp0 0 0
100 100 125500 Rp0 0 0
1100 1100 994400 Rp0 0 0
200 138600 Rp0 0 0

VAKSINASI
500 500 39500 Rp0 0 0
300 300 23700 Rp0
400 400 31600 Rp0 0 0
1000 1000 71000 Rp0 0 0
700 700 55300 Rp0 0 0
600 600 47400 Rp0 0 0
400 400 35200 Rp0 0 0
900 900 71100 Rp0 0 0
100 8700 Rp0 0
105 10395 Rp0 0 0
300 15900 Rp0 0 0
600 151800 Rp0 0 0
100 25300 Rp0 0 0
5 18140 Rp0 0
95 159505 Rp0 0 0
7 11753 Rp0 0 0
400 23200 Rp0 0
15 47505 Rp0 0 0
55 174185 Rp0 0 0
11 31460 Rp0 0 0
300 35700 Rp0 0 0
1600 168000 Rp0 0 0
400 42000 Rp0 0 0
200 45000 Rp0 0 0
400 44400 Rp0 0 0
100 11100 Rp0 0 0
200 29000 Rp0 0 0
3 4620 Rp0 0 0
1000 84400 Rp0 0 0
1 200000 Rp0 0 0
2 75434 Rp0 0 0
100 38800 Rp0 0 0

VAKSINASI
10 29150 Rp0 0 0
30 87450 Rp0 0 0
400 19600 Rp0 0 0
600 20400 Rp0 0 0
200 6800 Rp0 0 0
4 50292 Rp0
100 9100 Rp0 0 0
3 4224 Rp0 0 0
3 9900 Rp0 0 0
30 41580 Rp0 0 0
1 64000 Rp0 0 0
7 60445 Rp0 0 0
10 86350 Rp0 0 0
3 25905 Rp0 0 0
200 16400 Rp0 0 0
400 32800 Rp0 0 0
100 85000 Rp0 0 0
100 85000 Rp0 0 0
48 128400 Rp0 0 0
6 27120 Rp0 0 0
100 12300 Rp0 0 0
1 5 137000 Rp0 0 0
50 213636.364 Rp0 0 0
50 1848000 Rp0 0 0
150 5865000 Rp0 0 0
100 277200 Rp0 0 0
100 863500 Rp0 0 0
40 108840 Rp0 0 ed
2 23320 Rp0 0 0
100 599500 Rp0 0 0
1 102000 Rp0 0 0
500 31500 Rp0 0 0

VAKSINASI
63 220500 Rp0 0 0
18 26130.6 Rp0 0 0
4 13064 Rp0 0 0
9 18063 Rp0 0 0
23 46161 Rp0 0 0
1100 25300 Rp0 0 0
2 130000 Rp0 0 0
1 220000 Rp0 0 0
15 18435 Rp0 0 0
100 2100 1134000 Rp0 0 0
20 800000 Rp0 0 0
200 15400 Rp0 0 0
50 197500 Rp0 0 0
1 112000 Rp0 0 0
300 111900 Rp0 0 0
280 84280 Rp0 0 0
100 12800 Rp0 0 0
800 75600 Rp0 0 0
700 69300 Rp0 0 0
17 79883 Rp0 0 0
3 20520 Rp0 0 0
5 57500 Rp0 0 0
5 57500 Rp0 0 0
2 833392 Rp0 0
20 23980 Rp0 0 0
200 25800 Rp0 0 0
20 99520 Rp0 0 0
76 378176 Rp0 0 0
100 116000 Rp0 0 0
200 19580 Rp0 0 0
200 19580 Rp0 0 0
6 124200 Rp0 0 0
VAKSINASI
8 90000 Rp0 0 0
20 225000 Rp0 0 0
200 26200 Rp0 0 0
200 585500 Rp0 0 0
14 44800 Rp0 0
700 51100 Rp0 0 0
200 13600 Rp0 0 0
25 20350 Rp0 0 0
300 25500 Rp0 0 0
1 29100 Rp0 0 0
1 29100 Rp0 0 0
100 4300 Rp0 0 0
12 243600 Rp0 0 0
100 6800 Rp0 0 0
3 65241 Rp0 0 0
25 145200 Rp0 0 0
50 156200 Rp0 0 0
50 492500 Rp0 0 0
200 2800000 Rp0 0 0
48 239472 Rp0 0 0
100 70180 Rp0 0 0
400 90400 Rp0 0 0
200 11400 Rp0 0 0
7 39900 Rp0 0 0
2 11902 Rp0 0 0
100 160000 Rp0 0 0
200 200 0 Rp0 0 0
30 30 0 Rp0 0 0
5 27 2297781 Rp0 0 0
21 21 542619 Rp0 0 0
1 3 476982 Rp0 0 0
4 4 72512 Rp0
VAKSINASI
4 4 137600 Rp0 0 0
4 665060 Rp0 0 0
2 12 1995180 Rp0 0 0
4 94572 Rp0 0 0
0 0 Rp0 0 0
2000 178000 Rp0 0
3600 320400 Rp0 0 ED Gudang
300 26700 Rp0 0 ED Gudang
160 3861400 Rp0 0
1000 175700 Rp0 0 0
36,030,624.96
Wonosobo, 31 Maret 2022

Pengelola Farmasi

VAKSINASI
21 = (jumlah
20 seluruh kolom 7 22 = (6x21) 23 = (21-5) 24 = (6x23) 25
s/d20)
47 Rp19,129 0 0
50 Rp20,350 0 0
7 7 Rp11,081 0 0
100 Rp88,100 0 0
800 800 Rp1,004,000 0 0
200 200 Rp180,800 0 0
200 200 Rp237,000 0 0
200 200 Rp180,800 0 0
3,800 Rp1,073,956 0 0 PROGAM P2
1100 1,100 Rp86,900 0 0
200 Rp17,400 0 0
1,300 Rp91,000 0 0
VAKSINASI
300 Rp15,900 0 0
1,400 Rp354,200 0 0
1,100 Rp63,800 0 0
100 Rp18,500 0 0
12 Rp38,004 0 0
200 Rp23,800 0 0
100 Rp11,900 0 0
200 Rp21,000 0 0
600 Rp63,000 0 0
200 Rp21,000 0 0
100 Rp5,600 0 0
100 Rp5,600 0 0
200 Rp11,200 0 0
200 Rp11,200 0 0
100 Rp5,600 0 0
400 Rp44,400 0 0
100 Rp14,500 0 0
17 Rp26,180 0 0
15 Rp21,450 0 0
100 Rp38,800 0 0
100 Rp74,900 0 0
200 Rp9,800 0 0
50 Rp26,100 0 0
6 Rp5,544 0 0
600 Rp20,400 0 0
50 Rp114,800 0 0
4 Rp50,292 0 0
50 Rp114,800 0 0
100 Rp7,100 0 0
200 Rp14,200 0 0
28 Rp92,400 0 0
15 Rp134,805 0 0
1,200 Rp98,400 0 0
80 Rp21,920 0 0
100 Rp39,600 0 0
2 Rp8,464 0 0
40 Rp180,800 0 0
1 Rp466,667 0 0
200 Rp24,600 0 0
400 Rp73,200 0 0
100 Rp83,900 0 0
1 Rp34,000 0 0
200 Rp29,600 0 0
50 Rp213,636 0 0
24 Rp59,400 0 0
100 Rp105,000 0 0
100 Rp53,900 0 0
500 Rp31,500 0 0
100 Rp6,600 0 0
300 Rp22,500 0 0
VAKSINASI
100 Rp117,400 0 0
11 Rp35,926 0 0
3 Rp6,021 0 0
100 Rp122,100 0 0
1,900 Rp43,700 0 0
100 Rp122,100 0 0
200 Rp29,000 0 0
100 100 Rp50,000 0 0
2 2 Rp80,000 0 0
600 Rp324,000 0 0
600 Rp91,800 0 0
36 Rp106,524 0 0
300 Rp30,600 0 0
200 Rp26,600 0 0
1,080 Rp325,080 0 0
950 Rp121,600 0 0
0 Rp0 0 0
200 Rp19,800 0 0
800 Rp79,200 0 0
100 Rp84,300 0 0
40 Rp21,400 0 0
189 Rp661,500 0 0 ED 1 Mei
400 Rp51,600 0 0
30 Rp8,100 0 0
90 Rp24,300 0 0
53 Rp263,728 0 0
30 Rp34,800 0 0
500 Rp48,950 0 0
300 Rp37,455 0 0
500 Rp48,950 0 0
700 700 Rp87,395 0 0
200 Rp24,970 0 0
1,700 Rp166,430 0 0
200 Rp24,970 0 0
100 Rp12,485 0 0
14 Rp157,500 0 0
600 Rp78,600 0 0
100 Rp6,800 0 0
100 Rp12,025 0 0
700 Rp59,500 0 0
577 Rp55,930,775 0 0
18 18 Rp252,000 0 0
400 Rp26,800 0 0
100 Rp6,300 0 0
100 Rp6,300 0 0
700 Rp37,940 0 0
100 Rp6,800 0 0
1,800 Rp406,800 0 0
1,000 Rp57,000 0 0
1 3 Rp293,340 0 0
VAKSINASI
2 2 Rp0 0 0
5 5 Rp0 0 0
70 70 Rp0 0 0
4 4 Rp103,356 0 0
3 15 Rp1,276,545 0 0
1 5 Rp794,970 0 0
10 10 Rp1,350,000 0 0
10 10 Rp181,280 0 0
7 Rp1,163,855 0 0
7 Rp150,458 0 0
2 4 Rp94,572 0 0
2,000 Rp178,000 0 0
Rp72,009,278.031
Wonosobo, 30 APRIL 2022

Pengelola Farmasi

NIP 1994020202020122014

VAKSINASI
21 = (jumlah
20 seluruh kolom 7 22 = (6x21) 23 = (21-5) 24 = (6x23) 25
s/d20)
3 Rp1,221 0
500 500 Rp627,500 0
12 Rp10,572 0
700 800 Rp723,200 0
600 600 Rp42,600 0
100 100 Rp7,900 0
100 Rp20,000 0
1,500 Rp105,000 0
200 Rp10,600 0
100 Rp5,300 0
28,400 Rp7,185,200 0 ed 28000
175 Rp634,900 0 ED
6 Rp10,074 0
5 Rp8,395 0
1,400 Rp81,200 0
200 Rp23,800 0
VAKSINASI
300 Rp16,800 0
100 Rp10,500 0
900 Rp99,900 0
5 Rp7,700 0
200 Rp9,800 0
700 Rp23,800 0
1,400 Rp114,800 0 ED
300 Rp24,600 0
180 Rp49,320 0
1 Rp2,710 0
100 Rp12,300 0
100 Rp18,300 0
1 10 Rp274,000 0
200 Rp854,545 0
50 Rp213,636 0
50 Rp138,600 0
50 50 Rp138,600 0
2 Rp6,720 0
100 Rp14,800 0
100 Rp14,800 0
700 Rp44,100 0
400 Rp25,200 0
100 Rp6,600 0
25 Rp87,500 0
100 Rp25,200 0
900 Rp1,056,600 0
10 Rp32,660 0
600 Rp13,800 0
300 Rp6,900 0
200 Rp4,600 0
100 Rp2,300 0
80 Rp98,320 0 65 ampul ED
15 Rp18,315 0
2 Rp2,442 0
200 Rp108,000 0
250 300 Rp150,000 0
300 Rp45,900 0
100 Rp10,200 0
100 Rp13,300 0
4 Rp20,800 0
VAKSINASI
810 Rp243,810 0
100 Rp37,300 0
750 Rp96,000 0
300 Rp29,700 0
10 10 Rp32,800 0
1 Rp248,310 0
1 Rp416,696 0
200 Rp25,800 0
200 Rp25,800 0
30 Rp149,280 0
2,900 Rp362,065 0
700 900 Rp88,110 0
10 Rp112,500 0
100 Rp13,100 0
1 Rp61,050 0
2 Rp6,400 0
200 Rp17,000 0
100 Rp8,500 0
25 Rp190,750 0
100 Rp6,300 0
5 Rp13,980 0
4 4 Rp56,000 0
300 Rp12,900 0
50 Rp290,400 0
1,000 Rp226,000 0
300 Rp67,800 0
400 Rp22,800 0
22 Rp207,482 0
78 Rp108,719 0
1 1 Rp97,780 0
50 50 Rp0 0 ED
151 151 Rp0 0
1 1 Rp0 0
18 18 Rp0 0
2 2 Rp51,678 0
6 6 Rp206,400 0
2 12 Rp1,021,236 0
1 8 Rp1,271,952 0
6 6 Rp810,000 0
1 5 Rp831,325 0
VAKSINASI
1 5 Rp107,470 0
3 Rp70,929 0
12 12 Rp217,536 0
80 Rp1,724,540 0
1,400 Rp124,600 0
100 Rp20,800 0
Rp23,050,029
Wonosobo, 31 Mei 2022

Pengelola Farmasi

VAKSINASI
21 = (jumlah
20 seluruh kolom 7 22 = (6x21) 23 = (21-5) 24 = (6x23) 25
s/d20)
36 Rp52,560 0
2 Rp1,762 0
600 600 Rp753,000 0

100 Rp90,200 0
300 400 Rp361,600 0

100 Rp7,900 0
1100 1,100 Rp86,900 0

200 Rp17,400 0
100 Rp20,000 0
1,000 Rp70,000 0
1,200 Rp63,600 0
1,100 Rp273,900 0
VAKSINASI
1,000 Rp253,000 0
30 Rp50,370 0
1,000 Rp58,000 0
600 Rp71,400 0
2,000 Rp210,000 0
600 Rp63,000 0
100 Rp8,981 0
500 Rp28,000 0
800 Rp88,800 0
100 Rp14,500 0
100 Rp8,900 0
35 Rp53,900 0
60 Rp8,280 0
200 Rp77,600 0
50 Rp209,250
400 Rp19,600 0
50 Rp26,100 0
800 Rp27,200 0
1 Rp12,573 0
200 Rp14,200 0
50 Rp23,850 0
600 Rp49,200 0
100 Rp27,400 0
10 Rp45,200 5
200 Rp24,600 0
2 Rp14,726 0 DIPINJAM BATUR 2
1 5 Rp170,000 0
50 Rp1,955,000 0
50 50 Rp213,636 0
100 100 Rp277,200 0

400 Rp59,200 0
16 Rp39,600 0
1 Rp102,000 0
1,100 Rp69,300 0
100 Rp6,600 0
100 Rp15,100 0
16 Rp52,256 0
VAKSINASI
1 Rp3,500 0
10 Rp23,700 0
2,000 Rp46,000 0
5 Rp6,105 0
2,850 Rp1,425,000 0 Karyawan
44 Rp1,814,272 0 Karyawan
900 Rp137,700 0
200 Rp20,400 0
100 Rp13,300 0
6 Rp34,770 0
1,140 Rp343,140 0
650 Rp83,200 0
600 Rp60,000 0
400 Rp51,600 0
60 Rp298,560 0
135 Rp156,600 0
800 3,700 Rp362,230 0

400 Rp49,940 0
3 Rp55,671 0
500 Rp65,500 0
2 Rp122,100 0
100 Rp6,800 0
200 Rp14,600 0
2 Rp6,400 0
500 Rp42,500 0
50 Rp27,650 0
24 Rp183,120 0
5 5 Rp70,000 0
800 Rp34,400 0
50 Rp492,500 0
25 Rp196,975 0
100 Rp70,180 0
2,600 Rp587,600 0
1,000 Rp57,000 0
1 1 Rp97,780 0
10 10 Rp0 0
199 199 Rp0 0

VAKSINASI
179 179 Rp0 0
1 13 Rp1,106,339 0
1 1 Rp25,839 0
1 9 Rp1,430,946 0
5 5 Rp172,000 0
1 5 Rp831,325 0
11 Rp236,434 0
1 2 Rp47,286 0
24 24 Rp435,072 0
1,800 Rp160,200 0
200 Rp41,600 0
Rp17,795,178
Wonosobo, 30 Juni 2022

Pengelola Farmasi

Laporan Stok Obat Untuk transaksi satu semester Januari-juni 2022
HARGA STOCK NILAI STOCK AWAL

NO NAMA OBAT SATUAN PENERIMAAN
SATUAN AWAL (Rp)
1 2 3 4 5 6 = (4x5) 7
1 Acyclovir tab 400mg tablet 407 0 0 300

2 Acyclovir tab 400mg tablet 405 500 202500 0
3 Alat Suntik imunisasi 5 ml pcs 1583 100 158300 0
4 Alat Suntik Sekali Pakai 0.05 ml pcs 1101 0 0 100
9 Alat Suntik Sekali Pakai 0.5 ml pcs 1176.126126 2510 2817500 0
10 Alat Suntik Sekali Pakai 1 ml pcs 881 400 352400 0
12 Alat suntik sekali pakai 3 ml pcs 758.3125 500 388300 200
13 Alat suntik sekali pakai 3 ml pcs 569 284 161596 200
15 Albendazol tab 400 mg tablet 282.62 0 0 3800
16 Alkohol (Etanol 70 %) 1000 ml botol 25000 4 100000 0
17 Alkohol 95% 1000 ml botol 0 300 22500 0
18 Alkohol swab pcs 142.1366667 1500 208910 700
19 Alkohol swab pcs 71.23529412 300 22500 2700
20 Alkohol swab pcs 79 7300 529300 6300
21 Alkohol swab pcs 88 1400 114200 21
22 Alopurinol tab 100 mg tablet 91.5 300 29700 800
23 alopurinol tab 300mg tablet 203.75 120 25200 200
24 amlodipin tab 10mg tablet 71.75167785 6405 460095 1000
25 amlodipin tab 5 mg tablet 53 8300 439900 1500
26 Amoksisilin kaplet 500 mg tablet 253 0 0 1000
29 Amoksisilin syr kering 250mg/5ml botol 3628 251 910628 0
30 Antasida DOEN Suspensi botol 1679 300 503700 200
31 Antasida DOEN tablet tablet 58 0 0 4500
32 Antasida DOEN tablet tablet 58 900 52200 1500
33 Anti Bakteri DOEN Salep tube 2924 100 292400 0
34 Anti Hemoroid DOEN Supp supp 3167 110 348370 0
35 Anti Hemoroid DOEN Supp supp 3167 0 0 20
36 Antifungi DOEN kombinasi tube 0 14 67172 0
37 Antimigren DOEN tablet 185 500 92500 300
38 APD SET (masker bedah, faceshield, hansdsa paket 98450 60 5907000 0
39 APD SET GAVI ( faceshield,masker bedah, ha paket 98450 4 393800 0
40 Apron buah 45000 10 450000 0
41 Aqua pro inj steril, bebas pirogen vial 2860 24 68640 0
42 Aqua pro inj steril, bebas pirogen vial 2860 0 0 12
43 Asam Ascorbat (Vit C) tab 250 mg tablet 119 800 95200 7000
46 Asam Ascorbat (Vitamin C) Tab 500 mg tablet 225 300 67500 1000
47 asam asetilsalisilat tab (asetosal) 80mg tablet 103.3122222 900 94500 400
48 asam folat tab 1 mg tablet 56 1700 95200 2000
49 Asam Mefenamat tab 500 mg tablet 111 900 99900 4300
50 Atropin Sulfat inj 0,25 mg/ml- 1 ml ampul 1540 5 7700 5
51 Attapulgit (Antidiare) tab tablet 145 2440 353970 0
52 Azitromisin tab 500 mg tablet 1250 0 0 100
53 baju cover all/ hasmart pcs 90000 56 5040000 0
57 Betahistin mesilat tab 6mg tablet 107 600 66000 600
58 Betametason cream 0,05 % tube 1540 50 77000 25
59 Betametason cream 0,05 % tube 1430 50 71500 0
60 Bisacodil tab tablet 319 30 9570 30
61 Bisoprolol 5mg tablet 137.2222222 210 28770 210
62 blue Tip pcs 84.4 0 0 1000
63 blue Tip pcs 183.9 1000 183900 0
64 Boor Gigi (set isi 6) pack 200000 1 200000 1
65 Box Slides pcs 37717 4 150868 4
66 Cat gut /benang bedah cromic + jarum no 2/ rol 32800 36 1180800 0
67 Cat gut /benang bedah plain + jarum no 3/0 rol 5750.833333 72 414060 48
68 cefadroxil kapsul 500mg kapsul 388 300 116400 300
69 Cefadroxil syr kering 125mg/5ml botol 4185 0 0 50
70 Cefixime kapsul 200mg kapsul 1123.076923 30 71100 200
71 cetirizine syr 5mg/5ml botol 2915 50 145750 50
72 cetirizine tab 10mg tablet 49 400 19600 2000
73 clindamicin kapsul 300mg kapsul 522 100 52200 100
74 Clopidogrel 75mg tablet 1404 150 210600 0
75 Deksametason inj 5 mg/ml-1 ml ampul 924 20 18480 0
76 Deksametason tab 0,5 mg tablet 34 0 0 4000
77 Devitalisasi pasta ( Non Arsen ) pot 266625 1 266625 0
78 Devitalisasi pasta ( Non Arsen ) pot 217000 1 217000 0
79 Diazepam lar rectal tube 5 mg/2,5 ml tube 12573 10 125730 0
80 Diazepam tab 5 mg tablet 0 100 10900 0
81 dietilkarbamazin sitrat tab 100mg tablet 219.375 3000 658125 0
82 Digoksin tab 0,25 mg tablet 104 200 20800 0
83 Diltiasem tab tablet 142 100 14200 0
84 Dimenhidrinat tablet 112 100 11200 0
85 Disinfektan / Lisol 1000 ml botol 53066.65 20 1061333 3
86 Disinfektan / Lisol 1000 ml botol 40700 5 203500 0
87 Disinfektan / Lisol 5000 ml botol 1098900 1 1098900 0
88 domperidon syr 5mg/5ml botol 2482.795699 43 116100 100
89 Domperidon tab 10 mg tablet 79.88888889 500 45500 1200
90 Epinefrin HCl (Adrenalin) inj 0,1% - 1 ml ampul 1408 17 23936 0
91 Etakridin ( Rivanol ) larutan 0,1 % botol 3000 5 15000 0
92 Eugenol cairan botol 88000 1 88000 0
93 Eugenol cairan botol 20087 2 40174 0
94 Face Shield (Pelindung Wajah) pcs 16428.57143 175 2875000 0
95 Face Shield (Pelindung Wajah) pcs 90350 18 1626300 0
96 Fenobarbital inj 50 mg/ml-2ml ampul 1857 60 111420 0
97 Fenofibrat 100mg kapsul 860.1428571 90 96570 100
98 fenol gliserol (karbogliserin) TT 10% botol 3123.780822 48 145536 96
99 Fitomenadion ( Vit K) inj 2 mg/ml 1ml ampul 1386 0 0 60
100 Fitomenadion ( Vit K1) tab salut 10 mg tablet 748 200 149600 0
101 Fletcher powder + eugenol liquit pack 64000 0 0 1
102 folley catheter 16 pcs 10865.34091 19 262200 40
103 folley catheter 18 pcs 12555.25862 43 593400 20
104 Furosemid tab 40 mg tablet 82 3400 278800 0
105 Furosemid tab 40 mg tablet 82 0 0 3600
106 Garam oralit kombinasi sachet 274 0 0 800
109 gelang bayi biru (blue) pcs 850 100 85000 100
110 gelang bayi merah jambu (pink) pack 850 100 85000 100
111 Gemfibrozil 300 mg kapsul 396 100 39600 100
112 Gentamisin salep mata tube 2675 48 128400 0
113 Gentamisin Tetes Mata 0,3% botol 4498.553191 12 50784 144
114 Gentian violet larutan 1 % pot 2710 39 105698 0
115 Glass Ionomer cement ART (Fuji IX ART) pcs 466667 0 0 1
116 Glimepiride tab 2 mg tablet 123 800 98400 900
117 Glimepiride tab 4 mg tablet 183 600 109800 1000
118 Glukosa larutan infus 5 % steril 500ml botol 7363 20 147260 0
119 Gown buah 33000 30 990000 50
120 Griseofulvin (micronized) tab 500 mg tablet 839 0 0 200
121 Griseofulvin (micronized) tab 500 mg tablet 224 200 44800 100
122 Griseofulvin 125 mg tab tablet 224 200 44800 0
123 hand sanitizer 500 ml (alkohol 70% + chlorhe botol 32322.0339 44 1496000 58
124 hand sanitizer 5000 ml ( 5 liter) botol 650000 1 650000 0
125 Hand Scrub Sabun Cuci Tangan Cair + clorh botol 30450 24 730800 48
126 Handscoon panjang no. 6.5 (S) pasang 34694 80 2775520 0
127 Handscoon panjang no. 6.5 (S) pasang 36960 25 924000 0
128 Handscoon panjang no. 7.5 (M) pasang 34694 80 2775520 0
129 Handscoon panjang no. 8.5 (L) pasang 38030 50 1848000 100
130 Handscoon panjang no. 8.5 (L) pasang 39100 200 7820000 0
131 Handscoon pendek non steril no 6.5 (S) pasang 4272.726667 0 0 300
132 Handscoon pendek non steril no 6.5 (S) pasang 4272.728 500 2136364 0
133 Handscoon pendek non steril no 7 (M) pasang 4272.73 0 0 100
134 Handscoon pendek non steril no 7 (M) pasang 4272.727778 900 3845455 0
135 Handscoon pendek non steril no 7.5 (L) pasang 4272.73 0 0 200
136 Handscoon pendek steril no 6.5 (S) pasang 0 40 110880 0
137 Handscoon pendek steril no 7 (M) pasang 2772 700 1940400 0
138 Handscoon pendek steril no 7.5 (L) pasang 8635 100 863500 100
141 Hepatoprotektor tab (Curcuma tablet) tablet 539 500 269500 0
142 Hidrogen Peroksida 3% botol 3360 10 33600 0
143 Hidroklorotiazid ( HCT ) tab 25 mg tablet 148 1100 162800 2000
144 Hidrokortison cream 2,5 % tube 2475 96 237600 48
145 Hyoscine-N-Butilbromide tablet 1050 100 105000 0
146 ibuprofen Suspensi 100mg/5ml botol 2721 50 136050 0
147 Ibuprofen Suspensi 200mg/5ml botol 4665 108 503820 0
148 Infusion set Anak pcs 5100 40 204000 0
149 Isosorbid dinitrat tab sublingual 5 mg tablet 87.5 100 8900 400
150 IV Catheter no 18 pcs 9686.132404 185 2157100 250
151 IV Catheter no 20 pcs 8937.5 100 1188000 100
152 IV Catheter no 22 pcs 11880 90 1069200 100
153 Jarum Jahit (Bedah) No 10 cutting (kulit) pcs 1430.733333 120 171688 0
155 Jarum Jahit (Bedah) No 11 TAPPER (otot) pcs 1430.733333 120 171688 0
159 Jarum Jahit (Bedah) No 9 TAPPER (otot) pcs 1430.733333 120 171688 0
160 JELLY USG botol 16000 2 32000 3
161 Kacamata Google pcs 26000 9 234000 0
164 Kalsium Glukonas inj ampul 10351 10 103510 0
165 Kalsium Hidroksida Pasta tube 198000 1 198000 0
166 Kalsium Hidroksida Pasta tube 102000 0 0 2
167 Kalsium Lactat ( Kalk ) tab 500 mg tablet 63 6220 391860 0
168 Kapas pembalut / adsorbens 250 gram rol 24000 13 312000 0
169 Kaptopril tab 12,5 mg tablet 66 0 0 1000
170 Kaptopril tab 25 mg tablet 75 1000 75000 0
171 Kasa Pembalut hidrofil 16 x 16 pack 3500 200 700000 100
172 Kasa Pembalut hidrofil 36m x 80 cm rol 123000 4 492000 0
173 Kasa Pembalut hidrofil 4m x 10 cm rol 1405.74359 100 141585 200
174 Ketokonazol cream 2% tube 2513.225806 300 755400 24
175 ketokonazol tab 200mg tablet 252 200 50400 300
176 Kloramfenikol kapsul 500mg kapsul 1174 0 0 1000
177 Kloramfenikol salep kulit 2% tube 3266 6 19596 96
178 Kloramfenikol Salep Mata 1 % tube 2007 48 96336 0
179 Klorfeniramin Maleat ( CTM ) tab 4 mg tablet 22 1450 31900 0
180 Klorfeniramin Maleat ( CTM ) tab 4 mg tablet 23 3100 71300 10000
181 Klorfenol Kamfer Mentol (CHKM) botol 65000 1 65000 2
182 Klorfenol Kamfer Mentol (CHKM) botol 65000 1 65000 0
183 Klorheksidin 2% botol 199100 1 178200 1
184 Kotrimoksasol dewasa 480mg tablet 151 800 120800 0
185 Kotrimoksasol Syr 240mg/5ml - 60ml botol 2190 100 219000 0
186 Lidokain + epineprin inj ampul 1229 85 104465 0
187 Lidokain murni inj 2 % ampul 1221 151 184371 0
188 Lidokain murni inj 2 % ampul 1221 0 0 100
189 Lisinopril tab 5 mg tablet 145 1000 145000 600
190 Loratadine tablet 131 150 19650 0
191 Magnesium sulfa inj (IV) 20 % / 25 ml vial 4090 0 0 11
192 masker bedah pcs 510.7680127 21150 10781000 10000
193 masker bedah pcs 1100 280 308000 0
194 Masker Kain pcs 3500 60 210000 0
195 Masker KN-95 pcs 40000 120 4800000 0
196 Masker KN-95 pcs 30000 11 330000 0
197 Masker N95 pcs 19900 0 0 160
198 Masker N95 pcs 29000 20 580000 0
199 Masker N95 pcs 76000 100 7600000 0
200 Masker N95 pcs 47500 34 1615000 0
201 Metformin 500mg tablet 90.46153846 1300 117600 0
202 Metformin 850mg tablet 153 1700 260100 600
203 Metildopa tab 250 mg tablet 946 100 94600 0
204 Metilergometrin Maleat inj 0,200 mg - 1 ml ampul 2959 38 112442 0
205 metilprednisolon tab 4 mg tablet 102 100 10200 2000
206 Metronidazole syr botol 3950 50 197500 0
207 Metronidazole syr botol 3950 50 197500 50
208 Metronidazole tab 500 mg tablet 133 400 53200 500
209 Mikonazol cream/salep 2% (nitrat) tube 3414 24 81936 24
210 Mikonazol serb 2% botol 22700 5 113500 5
211 mineral mix sachet /8gr sachet 2920 200 584000 50
212 mometason cream 0,1% tube 5795 0 0 10
213 Mucus ekstraktor FR 10 pcs 7040 10 70400 0
214 multivitamin + Hepatoprotektor syr botol 8807.7 50 440385 0
215 multivitamin tab tablet 585 120 70200 0
216 Mummifying Pasta botol 112000 1 112000 1
217 Nasal Oksigen size L pcs 5200 20 104000 0
218 Nasal Oksigen size M pack 5200 40 208000 0
219 N-asetil sistein tab 200mg tablet 312.0485934 600 223800 5280
220 N-asetil sistein tab 200mg tablet 373 700 261100 0
221 Natrium Bikarbonat tab 500 mg tablet 48.4 100 4840 0
222 Natrium Diklofenak tab 25mg tablet 128 650 83200 2500
223 Natrium Diklofenak tab 50 mg tablet 99.13043478 2000 198000 3500
224 Natrium Fusidat Salep 2% tube 4699 24 112776 0
225 Natrium Klorida Larutan infus 0,9 % 10 ml botol 3280 0 0 200
226 Natrium Klorida Larutan infus 0,9 % 10 ml botol 3280 35 114800 0
227 Natrium Klorida larutan infus 0,9 % 500ml botol 6840 15 102600 0
228 NEEDLE 23 G pcs 314 0 0 21
229 Nifedipin tab 10 MG tablet 105 90 9450 0
230 Nifedipin tab 20 mg lepas lambat (orros) tablet 3575 30 107250 0
231 nistatin suspensi 100.000 ui/ml botol 12100 5 69500 15
232 Nistatin tab salut gula 500.000 IU / mg tablet 843 100 84300 100
233 OAT FDC anak paket 248310 0 0 3
234 OAT FDC anak paket 0 0 0 0
235 OAT FDC kategori 1 paket 410208.1111 5 2025089 4
236 obat flu kombinasi tab tablet 489.5 900 440550 0
237 ofloxacin tablet salut selaput 400 mg tablet 594.4 250 154000 200
238 Oksitetrasiklin HCL salep mata 1 % tube 3333.6 250 833400 0
239 Oksitoksin inj 10 IU/ ml - 1 ml ampul 1126 100 112600 0
240 Oksitoksin inj 10 IU/ ml - 1 ml ampul 1199 33 39567 0
241 omeprazole kapsul 20mg kapsul 129 600 77400 2600
242 Ondansetron tab 8 mg tablet 270 0 0 150
243 Oseltamivir tablet 7000 60 420000 0
244 Parasetamol drop botol 4976 0 0 480
245 Parasetamol syr 120mg/5ml botol 1160 0 0 500
246 Parasetamol syr 120mg/5ml botol 1181 100 118100 0
247 Parasetamol tab 500 mg tablet 124.85 16500 2060025 0
248 Parasetamol tab 500 mg tablet 97.9 16900 1654510 0
249 Penutup Kepala (Head Cap) pcs 664 451 299464 100
250 Perak Sulfadiazin cream 1 % tube 20700 9 186300 5
251 Permetrin cream 5% 30gr tube 11250 30 337500 60
252 Piridoxin HCL (vit B 6) tab 10 mg tablet 131 100 13100 0
253 Piridoxin HCL (vit B 6) tab 10 mg tablet 131 1000 131000 3000
254 Piroxicam 20mg tablet 120.25 100 12025 0
255 Plaster 5 yard x 2 inch rol 29700 0 0 5
256 Plaster Bulat Non Woven pcs 175 600 105000 200
257 Plaster polyester non-woven 10cm x 5 m rol 61050 0 0 10
258 Plaster polyester Non-woven 5cm x 10m rol 44767 4 179068 0
259 Plastik pembungkus obat Klip 10 x 7 pack 9800 0 0 100
260 pot sputum pcs 2927.5 400 1171000 200
261 Povidon Iodine 10% 30 ml botol 3200 50 160000 0
262 Povidon Iodine 10% 300 ml botol 21000 5 105000 6
263 Prednison tab 5 mg tablet 68 0 0 500
264 Prednison tab 5 mg tablet 73 2000 146000 0
265 Ranitidin inj 25mg/ml@1ml ampul 814 25 20350 10
266 Ranitidin inj 25mg/ml@1ml ampul 1188 100 118800 0
267 Ranitidin tab 150mg tablet 85 100 8500 3000
268 RDT covid19 Antigen buah 97450 598 58275100 0
269 Reagen Cat Ziehl Nielsen (carbilfusin, etano kit 233234 4 932936 0
272 Reagen golongan darah serum anti A botol 29100 0 0 1
273 Reagen golongan darah serum anti A botol 63209 1 63209 0
274 Reagen golongan darah serum anti B botol 29100 0 0 1
275 Reagen golongan darah serum anti B botol 63209 1 63209 0
276 Reagen golongan darah serum Anti D (anti botol 103209 1 103209 0
277 Retinol 100.000 UI kapsul 306 100 30600 350
281 Ringer Asetat infus steril + asam malat botol 9646 20 192920 0
282 Ringer lactat ( RL ) infus steril botol 7630 160 1220800 0
283 Sabun Cuci Tangan (Handwash) 4 Liter botol 45000 1 45000 1
284 safety box pcs 13922.58065 0 0 50
285 safety box pcs 14000 50 700000 0
286 Salbutamol lar respirator utk nebulizer 1 mg/ ampul 0 0 0 10
287 Salbutamol tab 2 mg tablet 58.85714286 300 14400 1200
288 Salbutamol tab 4 mg tablet 63 300 18900 800
289 Salep 2 - 4 pot 2796 48 134208 0
290 Selluloid strip pack 137500 1 137500 0
291 Sepatu Boot pasang 110000 9 990000 0
292 Sepatu Boot pasang 0 0 0 2
293 Serum HBIG (Hiperheb) ampul 1325000 1 1325000 1
294 Sianokobalamin (B 12) tab 50mcg tablet 43 1800 77400 3000
295 Silk No. 2/0 + jarum pcs 20300 12 243600 12
296 Silk No. 3/0 + jarum pcs 44440 0 0 36
297 simvastatin tab 10mg tablet 68 600 40800 0
298 Simvastatin tab 20 mg tidak dipakai tablet 0 0 0 0
299 slide/d-glass/objek glass BTA pack 21747 2 43494 3
300 slide/d-glass/objek glass BTA pack 26153.83333 6 156923 0
301 Spironolacton tab 25mg tablet 190 100 19000 100
302 Stik Asam Urat untuk alat benececk strip 5808 0 0 75
303 Stik glukosa strip 3124 1200 3748800 50
304 Stik HbSAg test strip 9850 25 246250 200
305 Stik HCG strip 3881 125 485125 0
306 Stik HCG strip 3881 25 97025 0
307 stik hemoglobin (Hb) strip 8030 150 1204500 0
308 Stik HIV test kit I strip 0 0 0 0
309 Stik HIV test kit I strip 8058.166667 25 202350 125
310 Stik HIV test kit III strip 19480 25 487000 0
311 Stik Rapid Test Sifilis II (Human) strip 14000 150 2100000 250
312 Stik Rapid Test Sifilis II (Human) strip 0 0 0 0
313 Stik Urin 10 parameter strip 2134 100 213400 0
314 Stik urin 3 parameter (glukosa,pH,protein) strip 1050 300 315000 0
315 sukralfat syr 500mg/5ml botol 4989 0 0 96
316 Tabung Vac-tube EDTA K3 pcs 701.8 100 70180 200
317 Tabung Vac-tube serum plain tutup merah pcs 0 0 0 0
318 Tabung Vac-tube serum plain tutup merah pcs 1014 100 101400 0
319 Tambah darah kombinasi ( ferro fumarat 60 tablet 226 20000 4520000 0
320 Tambah darah kombinasi ( ferro fumarat 60 tablet 226 23700 5356200 106400
321 Temporary Feling Pasta / Bahan tumpatan se botol 115365 2 230730 0
322 Tensimeter Digital buah 350909 1 350909 0
323 Tiamin HCL (B 1) tab 50 mg tablet 61.31746032 1440 103840 6800
324 tranfusion set pcs 9548 0 0 150
325 tranfusion set pcs 9431 152 1433512 0
326 tuberkulin PPD (test ktk 5vialx1,5ml) kit 625800 1 625800 0
327 Umbilical cord clamps pcs 1300 100 130000 0
328 Underpads 60 x 90 pcs 7900 60 474000 100
329 urin bag pcs 5874.608696 27 158920 0
330 Vaccutainer Eclipse Blood colection Needle pcs 1600 100 160000 100
331 Vaccutainer Eclipse Blood colection Needle pcs 1700 100 170000 0
332 Vaccutainer Eclipse Blood Colection needle pcs 2067.03 100 206703 0
333 Vaksin BCG inj 20 DOSIS vial 66154 7 463078 0
334 Vaksin BCG inj 20 DOSIS vial 97780 11 1075580 7
335 Vaksin Covid 19 AstraZeneca 10 dosis/vial vial 0 0 0 20
336 Vaksin Covid 19 AstraZeneca 10 dosis/vial vial 0 0 0 65
337 Vaksin Covid 19 Coronavac (2 dosis/vial) vial 0 104 0 1525
338 Vaksin Covid 19 MODERNA multidose (10 Do vial 0 0 0 2
339 Vaksin Covid 19 MODERNA multidose (14 Do vial 0 0 0 15
340 vaksin covid19 pfizer (6 dosis/vial) vial 0 29 0 340
341 Vaksin DPT-HB-Hib 5 dosis vial 85103 49 4170047 131
342 Vaksin hepatitis B rekombinan inj 0,5 ml (An vial 25597 2 51194 0
343 Vaksin hepatitis B rekombinan inj 0,5 ml (An vial 25839 73 1886247 0
344 Vaksin IPV vial 158994 8 1271952 35
345 Vaksin jerap difteri tetanus (DT) vial 34400 0 0 26
346 vaksin meningitis vial 135000 0 0 21
347 Vaksin MR vial 166265 31 5154215 44
348 Vaksin polio bivalent 10 dosis vial 21967.50847 55 1210107 27
349 Vaksin Tetanus (Td) vial 18128 0 0 130
350 VIRAL TRANSPORT MEDIUM (VTM) pack 29600 399 11810400 0
353 Vitamin B kompleks tab tablet 89 4100 364900 0
354 Vitamin B kompleks tab tablet 89 20000 1780000 0
355 Yellow tip pcs 175.7 0 0 1000
356 Yellow tip pcs 234.9 1000 234900 0
357 Zinc drops 10 mg/ml botol 5051 28 141428 28
358 Zink Sirup 20mg/5 ml botol 3171 12 38052 0
359 Zink tab tablet 208 800 166400 0
TOTAL 306,441,142.00

NIP 19670906198903 1 005
Kab Wonosobo
PEMAKAIAN SISA
Nilai Penerimaan NILAI NILAI SISA STOK
RESEP NON-RESEP Nilai (Rp) STOCK
(Rp)
8=
4x7 (5+7- 9= 10 11 = (4x10) 12 13
(4x8)
12)
122100 100 40700 200 81400
0 500 202500 0 0
0 57 90231 43 68069
110100 0 0 100 110100
0 36 52560 64 93440
3765000 3100 3890500 500 627500
0 10500 9492000 1500 1356000
1066500 700 829500 200 237000
0 1110 1305500 1400 1512000
0 114 100434 286 251966
23100 0 0 21 23100
138600 416 315458 284 211442
113800 468 266292 16 9104
0 0 0 350 293650
1073956 3800 1073956 0 0
0 4 100000 0 0
0 0 0 300 22500
89474 1200 170564 1000 127820
191700 1700 121100 1300 93100
504900 8800 695200 4800 339000
1995 400 35200 1021 80995
69600 800 73200 300 26100
40000 320 65200 0 0
70000 6705 481095 700 49000
79500 3800 201400 6000 318000
253000 900 227700 100 25300
0 31600 7994800 0 0
498000 1200 298800 800 199200
0 251 910628 0 0
335800 243 407997 257 431503
261000 3700 214600 800 46400
87000 1600 92800 800 46400
0 100 292400 0 0
0 82 259694 28 88676
63340 0 0 20 63340
0 0 0 14 67172
55500 500 92500 300 55500
0 60 5907000 0 0
0 4 393800 0 0
0 10 450000 0 0
0 14 40040 10 28600
34320 11 31460 1 2860
833000 2200 261800 5600 666400
0 2000 210000 0 0
0 5700 598500 300 31500
225000 200 45000 1100 247500
35924 900 92981 400 37443
112000 1800 100800 1900 106400
477300 4000 444000 1200 133200
8590 5 7700 5 8590
0 640 92800 1800 261170
125000 0 0 100 125000
0 0 0 56 5040000
0 0 0 50 8750000
0 0 0 50 20000000
0 0 0 60 5700000
53400 700 74900 500 44500
38500 67 103180 8 12320
0 45 64350 5 7150
9570 60 19140 0 0
28980 270 37050 150 20700
84400 1000 84400 0 0
0 1000 183900 0 0
200000 2 400000 0 0
150868 6 226302 2 75434
0 36 1180800 0 0
276040 120 690100 0 0
116400 600 232800 0 0
209250 50 209250 0 0
149800 130 146000 100 74900
104500 50 145750 50 104500
98000 1600 78400 800 39200
52200 150 78300 50 26100
0 0 0 150 210600
0 6 5544 14 12936
136000 3700 125800 300 10200
0 1 266625 0 0
0 1 217000 0 0
0 6 75438 4 50292
0 0 0 100 10900
0 3000 658125 0 0
0 200 20800 0 0
0 0 0 100 14200
0 0 0 100 11200
159200 7 371467 16 849067
0 0 0 5 203500
0 0 0 1 1098900
229600 93 230900 50 114800
85200 900 71900 800 58800
0 3 4224 14 19712
0 5 15000 0 0
0 1 88000 0 0
0 2 40174 0 0
0 0 0 175 2875000
0 0 0 18 1626300
0 60 111420 0 0
47700 140 120420 50 23850
316800 73 228036 71 234300
83160 30 41580 30 41580
0 200 149600 0 0
64000 1 64000 0 0
345400 44 478075 15 129525
179740 58 728205 5 44935
0 3400 278800 0 0
295200 2700 221400 900 73800
219200 380 104120 420 115080
0 200 51400 0 0
0 155 39835 0 0
85000 200 170000 0 0
85000 200 170000 0 0
30000 100 39600 100 30000
0 48 128400 0 0
650880 94 422864 62 278800
0 1 2710 38 102988
466667 1 466667 0 0
110700 1200 147600 500 61500
183000 900 164700 700 128100
0 2 14726 18 132534
1636350 30 990000 50 1636350
167800 100 83900 100 83900
90600 200 44800 100 90600
0 200 44800 0 0
1589200 59 1907000 43 1178200
0 1 650000 0 0
1461600 24 730800 48 1461600
0 80 2775520 0 0
0 25 924000 0 0
0 80 2775520 0 0
3910000 100 3803000 50 1955000
0 200 7820000 0 0
1281818 300 1281818 0 0
0 500 2136364 0 0
427273 0 0 100 427273
0 900 3845455 0 0
854545 100 427273 100 427273
0 0 0 40 110880
0 450 1247400 250 693000
863500 100 863500 100 863500
0 200 554400 0 0
0 200 920000 0 0
0 300 161700 200 107800
0 2 6720 8 26880
296000 1900 281200 1200 177600
111600 58 143550 86 205650
0 100 105000 0 0
0 50 136050 0 0
0 108 503820 0 0
0 17 86700 23 117300
66000 200 17500 300 57400
2065250 287 2779920 148 1442430
599500 200 1787500 0 0
599500 90 1069200 100 599500
0 120 171688 0 0
0 120 171688 0 0
0 120 171688 0 0
0 120 171688 0 0
0 120 171688 0 0
0 120 171688 0 0
0 120 171688 0 0
48000 0 0 5 80000
0 0 0 9 234000
0 7 420000 0 0
0 5 327250 0 0
0 10 103510 0 0
0 1 198000 0 0
204000 2 204000 0 0
0 4320 272160 1900 119700
0 5 120000 8 192000
66000 300 19800 700 46200
0 1000 75000 0 0
350000 179 626500 121 423500
0 1 123000 3 369000
286755 78 109648 222 318692
56880 310 779100 14 33180
75600 300 75600 200 50400
1174000 1000 1174000 0 0
313536 81 264546 21 68586
0 48 96336 0 0
0 0 0 1450 31900
230000 10750 247250 2350 54050
130000 3 195000 0 0
0 1 65000 0 0
220000 2 398200 0 0
0 200 30200 600 90600
0 5 10950 95 208050
0 85 104465 0 0
0 151 184371 0 0
122100 45 54945 55 67155
87000 200 29000 1400 203000
0 0 0 150 19650
44990 1 4090 10 40900
4727000 12630 6451000 18520 9057000
0 0 0 280 308000
0 19 66500 41 143500
0 80 3200000 40 1600000
0 10 300000 1 30000
3184000 34 676600 126 2507400
0 0 0 20 580000
0 100 7600000 0 0
0 10 475000 24 1140000
0 1300 117600 0 0
91800 1900 290700 400 61200
0 0 0 100 94600
0 38 112442 0 0
204000 700 71400 1400 142800
0 50 197500 0 0
197500 50 197500 50 197500
66500 600 79800 300 39900
81936 24 81936 24 81936
113500 5 113500 5 113500
149050 200 584000 50 149050
57950 6 34770 4 23180
0 6 42240 4 28160
0 50 440385 0 0
0 0 0 120 70200
112000 2 224000 0 0
0 11 57200 9 46800
0 10 52000 30 156000
1589280 3910 1220110 1970 592970
0 700 261100 0 0
0 0 0 100 4840
320000 2600 332800 550 70400
347500 4600 456000 900 89500
0 17 79883 7 32893
656000 69 226320 131 429680
0 10 32800 25 82000
0 3 20520 12 82080
6594 0 0 21 6594
0 90 9450 0 0
0 30 107250 0 0
172500 20 242000 0 0
84300 200 168600 0 0
744930 2 496620 1 248310
0 0 0 0 0
1666784 9 3691873 0 0
0 900 440550 0 0
107000 150 89160 300 171840
0 250 833400 0 0
0 33 37158 67 75442
0 20 23980 13 15587
335400 2000 258000 1200 154800
40500 150 40500 0 0
0 0 0 60 420000
2388480 345 1716720 135 671760
580000 255 295800 245 284200
0 100 118100 0 0
0 15200 1897720 1300 162305
0 7700 753830 9200 900680
66400 244 162016 307 203848
92785 9 186300 5 92785
675000 69 776250 21 236250
0 100 13100 0 0
393000 2200 288200 1800 235800
0 100 12025 0 0
148500 0 0 5 148500
35000 400 70000 400 70000
610500 3 183150 7 427350
0 4 179068 0 0
980000 0 0 100 980000
585500 600 1756500 0 0
0 46 147200 4 12800
126000 0 0 11 231000
34000 300 20400 200 13600
0 2000 146000 0 0
8140 25 20350 10 8140
0 100 118800 0 0
255000 2300 195500 800 68000
0 598 58275100 0 0
0 4 932936 0 0
0 10 2571510 0 0
0 10 2242350 0 0
29100 1 29100 0 0
0 1 63209 0 0
29100 1 29100 0 0
0 1 63209 0 0
0 1 103209 0 0
106950 300 91800 150 45750
0 200 61200 0 0
580650 950 525350 100 55300
0 1200 662400 0 0
0 0 0 20 192920
0 159 1213170 1 7630
45000 1 45000 1 45000
690000 31 431600 19 258400
0 32 448000 18 252000
48000 0 0 10 48000
80400 700 41200 800 53600
50400 500 31500 600 37800
0 14 39144 34 95064
0 1 137500 0 0
0 9 990000 0 0
204600 0 0 2 204600
1325000 1 1325000 1 1325000
129000 3600 154800 1200 51600
243600 24 487200 0 0
1599840 0 0 36 1599840
0 600 40800 0 0
0 0 0 0 0
65241 5 108735 0 0
0 6 156923 0 0
19000 100 19000 100 19000
435600 75 435600 0 0
156200 1250 3905000 0 0
1970000 225 2216250 0 0
0 125 485125 0 0
0 25 97025 0 0
0 150 1204500 0 0
0 0 0 0 0
1006375 150 1208725 0 0
0 25 487000 0 0
3500000 350 4900000 50 700000
0 0 0 0 0
0 100 213400 0 0
0 300 315000 0 0
478944 48 239472 48 239472
140360 300 210540 0 0
0 0 0 0 0
0 100 101400 0 0
0 7800 1762800 12200 2757200
24046400 2200 497200 127900 28905400
0 2 230730 0 0
0 1 350909 0 0
387600 5040 309040 3200 182400
1432200 78 744744 72 687456
0 152 1433512 0 0
0 1 625800 0 0
0 20 26000 80 104000
790000 14 110600 146 1153400
0 23 135116 4 23804
160000 200 320000 0 0
0 100 170000 0 0
0 100 206703 0 0
0 7 463078 0 0
684460 16 1564480 2 195560
0 20 0 0 0
0 65 0 0 0
0 1629 0 0 0
0 2 0 0 0
0 15 0 0 0
0 369 0 0 0
11148493 113 9616639 67 5701901
0 2 51194 0 0
0 36 930204 37 956043
5564790 30 4769820 13 2066922
894400 15 516000 11 378400
2835000 16 2160000 5 675000
7315660 70 11638550 5 831325
580338 59 1296083 23 494362
2356640 51 924528 79 1432112
0 399 11810400 0 0
0 200 8000000 0 0
4000000 160 4000000 0 0
0 4100 364900 0 0
0 17800 1584200 2200 195800
175700 1000 175700 0 0
0 1000 234900 0 0
141428 28 141428 28 141428
0 12 38052 0 0
0 600 124800 200 41600
133,119,649.0 292,236,682.00 147,324,111
Wonosobo, 30 juni 2022

Pengelola Farmasi

NIP 1994020202020122014
REKAP DISTRIBUSI PER UNIT RAWAT JALAN
PERIODE 01 JANUARI 2022 - 28 FEBRUARI 2022

PEMAKAIAN
HARGA STOCK PENERIMA
NO NAMA OBAT SATUAN NILAI STOCK AWAL (Rp) Nilai Penerimaan NON- SISA STOCK KET.
SATUAN AWAL AN RESEP NILAI (Rp) Nilai (Rp)
RESEP
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 4x7 9 = (4x8) 10 11 = (4x10) 12 13
12)
1 acylovir tab Tablet 405 89 Rp 36,045.00 0 - 70 Rp 28,350.00 69
2 Alopurinol tab 100 mg Tablet 87 0 Rp - 100 8,700.0 100 Rp 8,700.00 0
5 amlodipin 10mg Tablet 70 2365 Rp 165,550.00 1200 84,000.0 2,870 Rp 200,900.00 695
6 amlodipin 10mg Tablet 99 0 Rp - 0 - 0 Rp - 0
7 amlodipin 5mg tablet 53 461 Rp 24,433.00 800 42,400.0 970 Rp 51,410.00 291
8 amoksisilin kaplet 500mg Tablet 253 2259 Rp 571,527.00 600 151,800.0 1,974 Rp 499,422.00 885
9 amoksisilin syr kering 250mg/5ml botol 3628 111 Rp 402,708.00 50 181,400.0 88 Rp 319,264.00 73
10 antasida DOEN suspensi botol 1679 100 Rp 167,900.00 84 141,036.0 123 Rp 206,517.00 61
11 antasida tab tablet 58 1260 Rp 73,080.00 1200 69,600.0 2,350 Rp 136,300.00 110
12 Anti Bakteri DOEN Salep Buah 2924 0 Rp - 100 292,400.0 100 Rp 292,400.00 0
13 Antimigren DOEN Tablet 185 0 Rp - 400 74,000.0 400 Rp 74,000.00 0
14 antihemoroid supp supp 3167 43 Rp 136,181.00 0 - 43 Rp 136,181.00 0
15 asam mefenamat tablet 111 915 Rp 101,565.00 1100 122,100.0 1,950 Rp 216,450.00 65
16 asam ascorbat 500 mg tablet 198 100 Rp 19,800.00 0 - 0 Rp - 100
17 asam ascorbat 250 mg tablet 119 0 Rp - 800 95,200.0 800 Rp 95,200.00 0
18 asam ascorbat 50mg tablet 105 1797 Rp 188,685.00 1700 178,500.0 2,942 Rp 308,910.00 555
19 asam asetilsalisilat / asetosal tablet 105 164 Rp 17,220.00 710 74,550.0 Rp - 89 Rp 9,345.00 0 Expired date
20 asam traneksamat tablet 10 0 Rp - 0 - 0 Rp - 0
21 asam folat 1mg tablet 56 505 Rp 28,280.00 200 11,200.0 570 Rp 31,920.00 135
22 attapulgit / antidiare tablet 145 423 Rp 61,335.00 40 5,800.0 245 Rp 35,525.00 218
23 azitromisin 500mg tablet 1250 1250 Rp 1,562,500.00 0 - 1,250 Rp 1,562,500.00 0
24 betahistin tablet 110 189 Rp 20,790.00 150 16,500.0 339 Rp 37,290.00 0
25 betametason cream tube 1540 26 Rp 40,040.00 12 18,480.0 22 Rp 33,880.00 16
26 bisacodil tablet 319 80 Rp 25,520.00 60 19,140.0 130 Rp 41,470.00 10
27 bisoprolol tablet 137 110 Rp 15,070.00 210 28,770.0 210 Rp 28,770.00 110
28 cefadroxil syr kering 250mg / 5ml botol 5549 10 Rp 55,490.00 0 - Rp - 10
29 cefadroxil kapsul 500mg kapsul 552.992 190 Rp 105,068.48 200 110,598.4 270 Rp 149,307.84 120
30 cetirizin tab tablet 49 215 Rp 10,535.00 300 14,700.0 485 Rp 23,765.00 30
31 cefixime kapsul 200 mg kapsul 2370 0 Rp - 30 71,100.0 30 Rp 71,100.00 0
32 cetirizin syr 5mg/5ml botol 2915 28 Rp 81,620.00 0 - 28 Rp 81,620.00 0
33 clopidegrol 75mg tablet 1404 1 Rp 1,404.00 0 - 1 Rp 1,404.00 0
34 clindamicin 300mg kapsul 522 45 Rp 23,490.00 50 26,100.0 50 Rp 26,100.00 45
35 deksametason 0,5mg tablet 34 1052 Rp 35,768.00 800 27,200.0 1,680 Rp 57,120.00 172
36 Dietilkarbamazin sitrat 100 mg tablet 28350 0 Rp - 3000 85,050,860.1 Rp - 3000 Rp 85,050,860.06 0 Progam vilariasis
37 digoksin 0,25mg tablet 104 0 Rp - 200 20,800.0 Rp - 200 Rp 20,800.00 0 Expired date
38 diazepam rectal supp 62865 10 Rp 628,650.00 0 - 0 Rp - 10
39 diazepam tablet 10900 100 Rp 1,090,000.00 0 - 0 Rp - 100
40 Diltiazem Tablet 142 79 Rp 11,218.00 - 10 Rp 1,420.00 69
41 dimenhidrinat tablet 112 212 Rp 23,744.00 0 - 112 Rp 12,544.00 100
42 domperidon tablet 91 270 Rp 24,570.00 100 9,100.0 260 Rp 23,660.00 110
43 domperidon syr botol 2700 13 Rp 35,100.00 43 116,100.0 47 Rp 126,900.00 9
44 feno fibrat 100 mg Tablet 1073 0 Rp - 90 96,570.0 90 Rp 96,570.00 0
45 fitomenadion tablet 748 170 Rp 127,160.00 200 149,600.0 210 Rp 157,080.00 160
46 fenol gliserol TT 10 % botol 2764 26 Rp 71,864.00 24 66,336.0 36 Rp 99,504.00 14
47 fenol gliserol TT 10 % botol 3300 0 Rp - 18 59,400.0 18 Rp 59,400.00 0
48 furosemid 40mg tablet 82 1105 Rp 90,610.00 1800 147,600.0 2,570 Rp 210,740.00 335
49 garam oralit kombinasi sachet 257 66 Rp 16,962.00 160 41,120.0 206 Rp 52,942.00 20
50 gemfibrozil 300mg kapsul 396 10 Rp 3,960.00 0 - 0 Rp - 10
51 gentian violet botol 2710.21 3 Rp 8,130.63 0 - 0 Rp - 3
52 gentamisin tetes mata 0,3% botol 4232 23 Rp 97,336.00 31 131,192.0 41 Rp 173,512.00 13
53 glimepirid 2mg tablet 123 510 Rp 62,730.00 600 73,800.0 825 Rp 101,475.00 285
54 glimepirid 4mg tablet 183 354 Rp 64,782.00 400 73,200.0 635 Rp 116,205.00 119
55 glibenklamid tablet 119 1030 Rp 122,570.00 0 - 370 Rp 44,030.00 660
56 Griseofulvin (micronized) tab 500 mg Tablet 224 0 Rp - 200 44,800.0 200 Rp 44,800.00 0
57 Griseofulvin 125 mg tab tablet 224 0 Rp - 200 44,800.0 200 Rp 44,800.00 0
58 hidrokortison cream 2,5 % tube 2475 21 Rp 51,975.00 14 34,650.0 23 Rp 56,925.00 12
59 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) Buah 34000 0 Rp - 2 68,000.0 Rp - 2 Rp 68,000.00 0 Pelayanan Rajal
60 hand sanitizer 5000 ml ( 5 liter) Buah 650000 0 Rp - 1 650,000.0 Rp - 1 Rp 650,000.00 0 Pelayanan Rajal
61 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine Buah 30450 0 Rp - 9 274,050.0 Rp - 9 Rp 274,050.00 0 Pelayanan Rajal
62 Hepatoprotektor tab (Curcuma tablet) Tablet 639 0 Rp - 200 127,800.0 200 Rp 127,800.00 0
63 hidroklortiazid tablet 148 686 Rp 101,528.00 800 118,400.0 1,355 Rp 200,540.00 131
64 hyoscine N Butilbromida tablet 1050 119 Rp 124,950.00 0 - 0 Rp - 119
65 ibuprofen suspensi 100mg botol 2721 2 Rp 5,442.00 0 - 0 Rp - 2
66 ISDN tablet 89 110 Rp 9,790.00 100 8,900.0 210 Rp 18,690.00 0
67 ISDN tablet 86 0 Rp - 100 8,600.0 100 Rp 8,600.00 0
68 kalsium laktat 500mg tablet 53 359 Rp 19,027.00 320 16,960.00 490 Rp 25,970.00 189
69 kaptropil 25mg tablet 75 290 Rp 21,750.00 300 22,500.00 440 Rp 33,000.00 150
70 ketokonazol tab 200mg Tablet 252 55 Rp 13,860.00 200 50,400.00 200 Rp 50,400.00 55
71 klorfeniramin / CTM tablet 22 1273 Rp 28,006.00 1450 31,900.00 2,708 Rp 59,576.00 15
72 klorfeniramin / CTM Tablet 23 0 Rp - 1900 43,700.00 1,900 Rp 43,700.00 0
73 kloramfenikol salep kulit 2% tube 3266 16 Rp 52,256.00 35 114,310.00 35 Rp 114,310.00 16
74 kloramfenikol salep mata 1% tube 2007 6 Rp 12,042.00 - 0 Rp - 6
75 kotrimoksasol 480mg tablet 151 110 Rp 16,610.00 - 60 Rp 9,060.00 50
76 kotrimoksasol syr 240/5ml-60ml botol 2190 37 Rp 81,030.00 - 4 Rp 8,760.00 33
77 ketokonazol cream tube 2518 0 Rp - - 0 Rp - 0
78 ketokonazol tablet 252 55 Rp 13,860.00 200 50,400.00 200 Rp 50,400.00 55
79 loratadine tablet 131 225 Rp 29,475.00 - 50 Rp 6,550.00 175
80 lisinopril 5mg tablet 145 60 Rp 8,700.00 - 0 Rp - 60
81 masker bedah Buah 500 0 Rp - 5630 2,815,000.00 Rp - 5630 Rp 2,815,000.00 0 Pelayanan Rajal
82 masker bedah Buah 540 0 Rp - 850 459,000.00 Rp - 850 Rp 459,000.00 0 Pelayanan Rajal
83 masker kain Buah 3500 0 Rp - 19 66,500.00 Rp - 19 Rp 66,500.00 0 Pelayanan Rajal
84 metformin 500mg tablet 77 746 Rp 57,442.00 700 53,900.00 1,155 Rp 88,935.00 291
85 metformin 850mg tablet 153 830 Rp 126,990.00 100 15,300.00 540 Rp 82,620.00 390
86 metildopa 250mg tablet 946 100 Rp 94,600.00 0 - 0 Rp - 100
87 mikonazol serb 2% botol 22,700 4 Rp 90,800.00 5 113,500.00 5 Rp 113,500.00 4
88 mikonazol salep tube 3414 15 Rp 51,210.00 24 81,936.00 32 Rp 109,248.00 7
89 metronidazol syr botol 3950 42 Rp 165,900.00 7 27,650.00 7 Rp 27,650.00 42
90 metronidazol 500mg tablet 174.999 170 Rp 29,749.83 200 34,999.80 290 Rp 50,749.71 80
91 metilprednisolon tablet 143 220 Rp 31,460.00 0 - 20 Rp 2,860.00 200
92 n asetil sistein 200mg tablet 373 1380 Rp 514,740.00 400 149,200.00 1,755 Rp 654,615.00 25
93 nistatin tablet 843 25 Rp 21,075.00 100 84,300.00 25 Rp 21,075.00 100
94 nistatin suspensi botol 13,900 5 Rp 69,500.00 5 69,500.00 5 Rp 69,500.00 5
95 nistatin suspensi botol 11,500 0 Rp - 5 57,500.00 5 Rp 57,500.00 0
96 nifedipin 20 mg tablet 3575 0 Rp - 30 107,250.00 30 Rp 107,250.00 0
97 nifedipin 10 mg Tablet 105 92 Rp 9,660.00 90 9,450.00 90 Rp 9,450.00 92
98 natrium diklofenak 25mg tablet 128 680 Rp 87,040.00 550 70,400.00 1,060 Rp 135,680.00 170
99 natrium diklofenak 50mg tablet 99 855 Rp 84,645.00 1000 99,000.00 1,310 Rp 129,690.00 545
100 natrium fusidat salep 2% tube 4699 1 Rp 4,699.00 0 - 0 Rp - 1
101 obat flu kombinasi tablet 489.5 225 Rp 110,137.50 900 440,550.00 1,125 Rp 550,687.50 0
102 ofloxacin tablet 616 194 Rp 119,504.00 110 67,760.00 250 Rp 154,000.00 54
103 oksitetrasiklin HCL 1% SM tube 3500 22 Rp 77,000.00 0 - 5 Rp 17,500.00 17
104 omeprazole tablet 129 663 Rp 85,527.00 600 77,400.00 1,063 Rp 137,127.00 200
105 oseltamivir tablet 7000 10 Rp 70,000.00 0 - 0 Rp - 10
106 ondansentron tablet 351 30 Rp 10,530.00 30 10,530.00 40 Rp 14,040.00 20
107 parasetamol syrup botol 1181 67 Rp 79,127.00 0 - 51 Rp 60,231.00 16
108 parasetamol drop botol 4976 67 Rp 333,392.00 51 253,776.00 89 Rp 442,864.00 29
109 parasetamol 500mg tablet 124.85 3203 Rp 399,894.55 4300 536,855.00 6,485 Rp 809,652.25 1018
110 parasetamol 500mg Tablet 97.9 0 Rp - 3100 303,490.00 3,100 Rp 303,490.00 0
111 perak sulfadiazin cream tube 18,577 1 Rp 18,577.00 - 0 Rp - 1
112 permetrin cream tube 11,250 25 Rp 281,250.00 17 191,250.00 35 Rp 393,750.00 7
113 piridoxin HCL 10mg tablet 131 360 Rp 47,160.00 300 39,300.00 500 Rp 65,500.00 160
114 piroxicam tablet 1202.5 42 Rp 50,505.00 0 - 0 Rp - 42
115 prednison 5mg tablet 73 1037 Rp 75,701.00 300 21,900.00 1,337 Rp 97,601.00 0
116 retinol 100.000 kapsul 306 200 Rp 61,200.00 - 0 Rp - 200
117 retinol 200.000 kapsul 552 50 Rp 27,600.00 - 0 Rp - 50
118 ranitidin 150mg tablet 85 522 Rp 44,370.00 400 34,000.00 660 Rp 56,100.00 262
119 salbutamol 2mg tablet 48 275 Rp 13,200.00 200 9,600.00 340 Rp 16,320.00 135
120 salbutamol 2mg Tablet 57 275 Rp 15,675.00 100 5,700.00 375 Rp 21,375.00 0
121 salbutamol 4mg tablet 63 155 Rp 9,765.00 200 12,600.00 260 Rp 16,380.00 95
122 salep 2-4 tube 2796 8 Rp 22,368.00 9 25,164.00 12 Rp 33,552.00 5
123 sianokobalamin 50mcg tablet 43 164 Rp 7,052.00 400 17,200.00 480 Rp 20,640.00 84
124 simvastatin 10mg tablet 68 420 Rp 28,560.00 300 20,400.00 500 Rp 34,000.00 220
125 sodium bicarbonat tablet 0 100 Rp - - 0 Rp - 100
126 spironolacton 25mg tablet 190 130 Rp 24,700.00 100 19,000.00 230 Rp 43,700.00 0
127 sukralfat syr 500mg / 5ml botol 6789 15 Rp 101,835.00 - 15 Rp 101,835.00 0
128 tambah darah kombinasi tablet 226 810 Rp 183,060.00 2800 632,800.00 3,460 Rp 781,960.00 150
129 tiamin HCL 50mg tablet 91 0 Rp - 640 58,240.00 550 Rp 50,050.00 90
131 vitamin B kompleks 50mg tablet 89 2169 Rp 193,041.00 9600 854,400.00 10,973 Rp 976,597.00 796
132 zink tablet 208 146 Rp 30,368.00 100 20,800.00 190 Rp 39,520.00 56
133 zink syr botol 3171 27 Rp 85,617.00 12 38,052.00 16 Rp 50,736.00 23
134 zink drop botol 5051 44 Rp 222,244.00 28 141,428.00 28 Rp 141,428.00 44
135 zinkvit multivitamin tablet 585 140 Rp 81,900.00 - 10 Rp 5,850.00 130
130 tiamin HCL 50mg tablet 57 0 Rp - 600 34,200.00 600 Rp 34,200.00 0
136 OAT FDC ANAK Paket 248310 0 Rp - 1 248,310.00 Rp - 1 Rp 248,310.00 0
137 golongan OAT katagori 1 Paket 389344 0 Rp - 2 778,688.00 Rp - 2 Rp 778,688.00 0 Langsung Kepasien
138 golongan OAT katagori 1 Paket 415467 0 Rp - 3 1,246,401.00 Rp - 3 Rp 1,246,401.00 0 Langsung Kepasien
139 golongan OAT katagori 1 Paket 416696 0 Rp - 1 416,696.00 Rp - 1 Rp 416,696.00 0 Langsung Kepasien
140 APD SET (masker bedah, faceshield, hansdsanitizer, sarun Buah 98450 0 Rp - 60 5,907,000.00 Rp - 60 Rp 5,907,000.00 0 Langsung Kepasien
141 APD SET GAVI ( faceshield,masker bedah, hands sanitizer, Buah 98450 0 Rp - 4 393,800.00 Rp - 4 Rp 393,800.00 0 Nakes Rajal
142 Apron Buah 45000 0 Rp - 10 450,000.00 Rp - 10 Rp 450,000.00 0 Nakes Rajal
143 Kacamata Google Buah 26000 0 Rp - 5 130,000.00 Rp - 5 Rp 130,000.00 0 Nakes Rajal
144 Kacamata Google Buah 60000 0 Rp - 7 420,000.00 Rp - 7 Rp 420,000.00 0 Nakes Rajal
145 Kasa Pembalut hidrofil 16 x 16 Buah 3500 0 Rp - 10 35,000.00 Rp - 10 Rp 35,000.00 0 Nakes Rajal
146 Sepatu Boot Buah 110000 0 Rp - 9 990,000.00 Rp - 9 Rp 990,000.00 0 Nakes Rajal
147 Tensimeter Digital Buah 350909 0 Rp - 1 350,909.00 Rp - 1 Rp 350,909.00 0 Nakes Rajal
148 Gown Buah 33000 0 Rp - 30 990,000.00 Rp - 30 Rp 990,000.00 0 Nakes Rajal
149 Penutup Kepala BUAH 644 0 Rp - 244 157,136.00 Rp - 94 Rp 60,536.00 150 Nakes Rajal
150 povidon Botol 3200 0 Rp - 7 22,400.00 Rp - 7 Rp 22,400.00 0 Nakes Rajal
TOTAL Rp 11,391,662.99 110,374,443.26 Rp 14,112,847.30 Rp 101,853,295.06

Ka. UPTD Kepala Puskesmas Kejajar 2 Pengelola Farmasi
Maduri, S.Kep., Ners Galih Arum Palupi, S. Farm., Apt

NIP 19670906198903 1 005 NIP 1994020202020122014
PERIODE 01 maret 2022 - 31 maret 2022

PEMAKAIAN
RESEP
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 4x7 9 = (4x8) 10 11 = (4x10) 12 13
12)
1 acylovir tab Tablet 405 69 Rp 27,945.00 450 182250 30 Rp 12,150.00 Rp - 489 ED
2 Alopurinol tab 100 mg Tablet 87 0 Rp - 200 17400 Rp - Rp - 200
3 Alopurinol tab 100 mg Tablet 105 0 Rp - 0 Rp - Rp - 0
5 amlodipin 10mg Tablet 70 695 Rp 48,650.00 105 7350 780 Rp 54,600.00 Rp - 20
6 amlodipin 10mg Tablet 99 0 Rp - 0 Rp - Rp - 0
7 amlodipin 5mg tablet 53 291 Rp 15,423.00 0 246 Rp 13,038.00 Rp - 45
8 amoksisilin kaplet 500mg Tablet 253 885 Rp 223,905.00 400 101200 1,066 Rp 269,698.00 Rp - 219
9 amoksisilin syr kering 250mg/5ml botol 3628 73 Rp 264,844.00 0 48 Rp 174,144.00 Rp - 25
10 antasida DOEN suspensi botol 1679 61 Rp 102,419.00 102 171258 47 Rp 78,913.00 Rp - 116
11 antasida tab tablet 58 110 Rp 6,380.00 200 11600 300 Rp 17,400.00 Rp - 10
12 Anti Bakteri DOEN Salep Buah 2924 0 Rp - 0 Rp - Rp - 0
13 Antimigren DOEN Tablet 185 0 Rp - 0 0 Rp - Rp - 0
14 antihemoroid supp supp 3167 0 Rp - 70 221690 70 Rp 221,690.00 Rp - 0
15 asam mefenamat tablet 111 65 Rp 7,215.00 200 22200 265 Rp 29,415.00 Rp - 0
16 asam ascorbat 500 mg tablet 198 100 Rp 19,800.00 0 70 Rp 13,860.00 Rp - 30
17 asam ascorbat 250 mg tablet 119 0 Rp - 200 23800 71 Rp 8,449.00 Rp - 129
18 asam ascorbat 50mg tablet 105 555 Rp 58,275.00 1200 126000 1,325 Rp 139,125.00 Rp - 430
19 asam asetilsalisilat / asetosal tablet 105 0 Rp - 0 Rp - Rp - 0
20 asam traneksamat tablet 10 0 Rp - 40 400 40 Rp 400.00 Rp - 0
21 asam folat 1mg tablet 56 135 Rp 7,560.00 0 30 Rp 1,680.00 Rp - 105
22 attapulgit / antidiare tablet 145 218 Rp 31,610.00 200 29000 140 Rp 20,300.00 Rp - 278
23 azitromisin 500mg tablet 1250 0 Rp - 0 Rp - Rp - 0
24 betahistin tablet 110 0 Rp - 0 0 Rp - Rp - 0
25 betametason cream tube 1540 16 Rp 24,640.00 3 4620 5 Rp 7,700.00 Rp - 14
26 bisacodil tablet 319 10 Rp 3,190.00 0 Rp - Rp - 10
27 bisoprolol tablet 137 110 Rp 15,070.00 0 10 Rp 1,370.00 Rp - 100
28 cefadroxil syr kering 250mg / 5ml botol 5549 10 Rp 55,490.00 0 10 Rp 55,490.00 Rp - 0
29 cefadroxil kapsul 500mg kapsul 552.992 120 Rp 66,359.04 100 55299.2 50 Rp 27,649.60 Rp - 170
30 cetirizin tab tablet 49 30 Rp 1,470.00 400 19600 130 Rp 6,370.00 Rp - 300
31 cefixime kapsul 200 mg kapsul 2370 0 Rp - 0 Rp - Rp - 0
32 cetirizin syr 5mg/5ml botol 2915 0 Rp - 30 87450 10 Rp 29,150.00 Rp - 20
33 clopidegrol 75mg tablet 1404 0 Rp - 0 Rp - Rp - 0
34 clindamicin 300mg kapsul 522 45 Rp 23,490.00 0 Rp - Rp - 45
35 deksametason 0,5mg tablet 34 172 Rp 5,848.00 400 13600 329 Rp 11,186.00 Rp - 243
36 Dietilkarbamazin sitrat 100 mg tablet 219375 0 Rp - 0 Rp - Rp - 0
37 digoksin 0,25mg tablet 104 0 Rp - 0 Rp - Rp - 0
38 diazepam rectal tube supp 62865 10 Rp 628,650.00 0 3 Rp 188,595.00 Rp - 7
39 diazepam tablet 10900 100 Rp 1,090,000.00 0 Rp - Rp - 100
40 Diltiazem Tablet 142 69 Rp 9,798.00 0 Rp - Rp - 69
41 dimenhidrinat tablet 112 100 Rp 11,200.00 0 10 Rp 1,120.00 Rp - 90
42 domperidon tablet 91 110 Rp 10,010.00 0 95 Rp 8,645.00 Rp - 15
43 domperidon syr botol 2700 9 Rp 24,300.00 0 9 Rp 24,300.00 Rp - 0
44 feno fibrat 100 mg Tablet 1073 0 Rp - 0 Rp - Rp - 0
45 fitomenadion tablet 748 160 Rp 119,680.00 0 20 Rp 14,960.00 Rp - 140
46 fenol gliserol TT 10 % botol 2764 14 Rp 38,696.00 3 8292 13 Rp 35,932.00 Rp - 4
47 fenol gliserol TT 10 % botol 3300 0 Rp - 0 Rp - Rp - 0
48 furosemid 40mg tablet 82 335 Rp 27,470.00 400 32800 359 Rp 29,438.00 Rp - 376
49 garam oralit kombinasi sachet 257 20 Rp 5,140.00 0 19 Rp 4,883.00 Rp - 1
50 gemfibrozil 300mg kapsul 396 10 Rp 3,960.00 0 Rp - Rp - 10
51 gentian violet botol 2710.21 3 Rp 8,130.63 0 Rp - Rp - 3
52 gentamisin tetes mata 0,3% botol 2675 13 Rp 34,775.00 48 128400 24 Rp 64,200.00 Rp - 37
53 glimepirid 2mg tablet 123 285 Rp 35,055.00 100 12300 150 Rp 18,450.00 Rp - 235
54 glimepirid 4mg tablet 183 119 Rp 21,777.00 0 90 Rp 16,470.00 Rp - 29
55 glibenklamid tablet 119 660 Rp 78,540.00 0 366 Rp 43,554.00 Rp - 294
56 Griseofulvin (micronized) tab 500 mg Tablet 224 0 Rp - 0 Rp - Rp - 0
57 Griseofulvin 125 mg tab tablet 224 0 Rp - 0 Rp - Rp - 0
58 hidrokortison cream 2,5 % tube 2475 12 Rp 29,700.00 0 11 Rp 27,225.00 Rp - 1
59 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) Buah 27400 0 Rp - 5 137000 Rp - 5 Rp 137,000.00 0 Pelayanan Rajal
60 hand sanitizer 5000 ml ( 5 liter) Buah 650000 0 Rp - 0 Rp - Rp - 0
61 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine Buah 30450 0 Rp - 0 Rp - Rp - 0
62 Handscoon pendek steril no 7.5 (L) pasang 8636 0 50 431800 50 Rp 431,800.00 Rp - 0
63 Hepatoprotektor tab (Curcuma tablet) Tablet 639 0 Rp - 0 0 Rp - Rp - 0
64 hidroklortiazid tablet 148 131 Rp 19,388.00 0 120 Rp 17,760.00 Rp - 11
65 hyoscine N Butilbromida tablet 1050 119 Rp 124,950.00 0 Rp - Rp - 119
66 ibuprofen suspensi 100mg botol 2721 2 Rp 5,442.00 0 2 Rp 5,442.00 Rp - 0
67 ISDN tablet 89 0 Rp - 0 Rp - Rp - 0
69 kalsium laktat 500mg tablet 63 189 Rp 11,907.00 200 12600 170 Rp 10,710.00 Rp - 219
70 kaptropil 25mg tablet 75 150 Rp 11,250.00 0 62 Rp 4,650.00 Rp - 88
71 ketokonazol tab 200mg Tablet 252 55 Rp 13,860.00 0 Rp - Rp - 55
72 klorfeniramin / CTM tablet 22 15 Rp 330.00 700 15400 669 Rp 14,718.00 Rp - 46
73 klorfeniramin / CTM Tablet 23 0 Rp - 0 Rp - Rp - 0
74 kloramfenikol salep kulit 2% tube 3266 16 Rp 52,256.00 4 13064 9 Rp 29,394.00 Rp - 11
75 kloramfenikol salep mata 1% tube 2007 6 Rp 12,042.00 20 40140 Rp - Rp - 26
77 kotrimoksasol syr 240/5ml-60ml botol 2190 33 Rp 72,270.00 0 7 Rp 15,330.00 Rp - 26
76 kotrimoksasol 480mg tablet 151 50 Rp 7,550.00 0 30 Rp 4,530.00 Rp - 20
78 ketokonazol cream tube 2518 0 Rp - 0 Rp - Rp - 0
79 ketokonazol tablet 252 55 Rp 13,860.00 0 Rp - Rp - 55
80 loratadine tablet 131 175 Rp 22,925.00 0 10 Rp 1,310.00 Rp - 165
81 lisinopril 5mg tablet 145 60 Rp 8,700.00 0 Rp - Rp - 60
82 masker bedah Buah 500 0 Rp - 0 Rp - Rp - 0
83 masker bedah Buah 540 0 Rp - 2000 1080000 2,000 Rp 1,080,000.00 Rp - 0
84 masker kn-95 Buah 40000 0 Rp - 10 400000 10 Rp 400,000.00 Rp - 0
85 metformin 500mg tablet 77 291 Rp 22,407.00 200 15400 200 Rp 15,400.00 Rp - 291 ED
86 metformin 850mg tablet 153 390 Rp 59,670.00 0 185 Rp 28,305.00 Rp - 205
87 metildopa 250mg tablet 946 100 Rp 94,600.00 0 Rp - Rp - 100
88 mikonazol serb 2% botol 22,700 4 Rp 90,800.00 0 2 Rp 45,400.00 Rp - 2
89 mikonazol salep tube 3414 7 Rp 23,898.00 0 Rp - Rp - 7
90 metronidazol syr botol 3950 42 Rp 165,900.00 50 197500 Rp - Rp - 92
91 metronidazol 500mg tablet 174.999 80 Rp 13,999.92 0 50 Rp 8,749.95 Rp - 30
92 metilprednisolon tablet 143 200 Rp 28,600.00 0 100 Rp 14,300.00 Rp - 100
93 n asetil sistein 200mg tablet 373 25 Rp 9,325.00 300 111900 325 Rp 121,225.00 Rp - 0
95 nistatin tablet 843 100 Rp 84,300.00 0 10 Rp 8,430.00 Rp - 90
96 nistatin suspensi botol 13,900 5 Rp 69,500.00 0 Rp - Rp - 5
97 nistatin suspensi botol 11,500 0 Rp - 10 115000 0 Rp - Rp - 10
98 nifedipin 20 mg tablet 3575 0 Rp - 0 Rp - Rp - 0
99 nifedipin 10 mg Tablet 105 92 Rp 9,660.00 0 35 Rp 3,675.00 Rp - 57
100 natrium diklofenak 25mg tablet 128 170 Rp 21,760.00 0 170 Rp 21,760.00 Rp - 0
102 natrium diklofenak 50mg tablet 99 545 Rp 53,955.00 200 19800 425 Rp 42,075.00 Rp - 320
101 natrium diklofenak 50mg tablet 94.5 0 800 75600 800 Rp 75,600.00 Rp - 0
94 n asetil sistein 200mg tablet 301 0 Rp - 200 60200 125 Rp 37,625.00 Rp - 75
103 natrium fusidat salep 2% tube 4699 1 Rp 4,699.00 17 79883 5 Rp 23,495.00 Rp - 13
105 obat flu kombinasi tablet 489.5 0 Rp - 0 Rp - Rp - 0
106 ofloxacin tablet 616 54 Rp 33,264.00 0 10 Rp 6,160.00 Rp - 44
108 oksitetrasiklin HCL 1% SM tube 3500 17 Rp 59,500.00 0 Rp - Rp - 17
109 omeprazole tablet 129 200 Rp 25,800.00 200 25800 185 Rp 23,865.00 Rp - 215
110 oseltamivir tablet 7000 10 Rp 70,000.00 0 Rp - Rp - 10
111 ondansentron tablet 351 20 Rp 7,020.00 0 10 Rp 3,510.00 Rp - 10
112 parasetamol syrup botol 1181 16 Rp 18,896.00 100 118100 15 Rp 17,715.00 Rp - 101
113 parasetamol drop botol 4976 29 Rp 144,304.00 96 477696 21 Rp 104,496.00 Rp - 104
114 parasetamol 500mg tablet 124.85 1018 Rp 127,097.30 0 502 Rp 62,674.70 Rp - 516
115 parasetamol 500mg Tablet 97.9 0 Rp - 400 39160 400 Rp 39,160.00 Rp - 0
116 perak sulfadiazin cream tube 18,577 1 Rp 18,577.00 0 1 Rp 18,577.00 Rp - 0
117 perak sulfadiazin cream tube 20,700 0 Rp - 4 82800 Rp - Rp - 4
118 permetrin cream tube 11,250 7 Rp 78,750.00 23 258750 14 Rp 157,500.00 Rp - 16
119 piridoxin HCL 10mg tablet 131 160 Rp 20,960.00 0 140 Rp 18,340.00 Rp - 20
120 piroxicam tablet 1202.5 42 Rp 50,505.00 0 Rp - Rp - 42
121 prednison 5mg tablet 73 0 Rp - 600 43800 301 Rp 21,973.00 Rp - 299
122 retinol 100.000 kapsul 306 200 Rp 61,200.00 0 Rp - Rp - 200
124 ranitidin 150mg tablet 85 262 Rp 22,270.00 200 17000 187 Rp 15,895.00 Rp - 275
125 salbutamol 2mg tablet 48 135 Rp 6,480.00 0 120 Rp 5,760.00 Rp - 15
126 salbutamol 2mg Tablet 57 0 Rp - 0 Rp - Rp - 0
128 salep 2-4 tube 2796 12 Rp 33,552.00 0 Rp - Rp - 12
129 sianokobalamin 50mcg tablet 43 84 Rp 3,612.00 0 11 Rp 473.00 Rp - 73
130 simvastatin 10mg tablet 68 220 Rp 14,960.00 100 6800 70 Rp 4,760.00 Rp - 250
131 sodium bicarbonat tablet 0 0 Rp - 0 0 0 Rp - Rp - 0
132 spironolacton 25mg tablet 190 0 Rp - 0 Rp - Rp - 0
133 sukralfat syr 500mg / 5ml botol 6789 0 Rp - 0 Rp - Rp - 0
134 sukralfat syr 500mg / 5ml botol 4989 0 Rp - 48 239472 5 Rp 24,945.00 Rp - 43
135 tambah darah kombinasi tablet 226 150 Rp 33,900.00 100 22600 190 Rp 42,940.00 Rp - 60
136 tiamin HCL 50mg tablet 91 90 0 30 Rp 2,730.00 Rp - 60
137 vitamin B kompleks 50mg tablet 89 796 Rp 70,844.00 1500 133500 1,003 Rp 89,267.00 Rp - 1,293
138 zink tablet 208 56 Rp 11,648.00 0 23 Rp 4,784.00 Rp - 33
139 zink syr botol 3171 23 Rp 72,933.00 0 6 Rp 19,026.00 Rp - 17
140 zink drop botol 5051 44 Rp 222,244.00 0 2 Rp 10,102.00 Rp - 42
141 zinkvit multivitamin tablet 585 130 Rp 76,050.00 0 10 Rp 5,850.00 Rp - 120
141 tiamin HCL 50mg tablet 57 0 Rp - 0 0 0 Rp - Rp - 0
141 golongan OAT katagori 1 Paket 416696 0 Rp - 2 833392 2 Rp 833,392.00 0
141 golongan OAT katagori 1 Paket 389344 0 Rp - 0 Rp - Rp - 0
141 golongan OAT katagori 1 Paket 416696 0 Rp - 2 833392 2 Rp 833,392.00 Rp - 0
141 APD SET (masker bedah, faceshield, hansdsanitizer, sarun Buah 98450 0 Rp - 0 Rp - Rp - 0
141 APD SET GAVI ( faceshield,masker bedah, hands sanitizer, Buah 98450 0 Rp - 0 Rp - Rp - 0
141 Apron Buah 45000 0 Rp - 0 Rp - Rp - 0
141 Kacamata Google Buah 26000 0 Rp - 0 Rp - Rp - 0
141 Kasa Pembalut hidrofil 16 x 16 Buah 3500 0 Rp - 0 Rp - Rp - 0
141 Sepatu Boot Buah 110000 0 Rp - 0 Rp - Rp - 0
141 Tensimeter Digital Buah 350909 0 Rp - 0 Rp - Rp - 0
141 Gown Buah 33000 0 Rp - 0 Rp - Rp - 0
141 Penutup Kepala BUAH 644 150 Rp 96,600.00 0 Rp - Rp - 150
141 povidon Botol 3200 0 Rp - 0 Rp - Rp - 0
TOTAL Rp 5,730,819.89 7,214,058.20 Rp 6,503,040.25 Rp 137,000.00
Wonosobo, 31 maret 2022


NIP 19670906198903 1 005 NIP 1994020202020122014
PERIODE April 2022

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

12)
1 acylovir tab Tablet 405 0 Rp - 97 39285 20 Rp 8,100.00 Rp - 77
2 Alopurinol tab 100 mg Tablet 87 200 Rp 17,400.00 200 17400 30 Rp 2,610.00 Rp - 370
5 Albendazol tab Tablet 282.62 0 Rp - 3800 1073956 Rp - 3800 Rp 1,073,956.00 0 Progam P2
8 amlodipin 5mg tablet 53 45 Rp 2,385.00 0 40 Rp 2,120.00 Rp - 5
9 amoksisilin kaplet 500mg Tablet 253 219 Rp 55,407.00 600 151800 450 Rp 113,850.00 Rp - 369
10 amoksisilin syr kering 250mg/5ml botol 3628 25 Rp 90,700.00 0 Rp - Rp - 25
11 antasida DOEN suspensi botol 1679 116 Rp 194,764.00 102 171258 Rp - Rp - 218
12 antasida tab tablet 58 10 Rp 580.00 500 29000 130 Rp 7,540.00 Rp - 380
14 Antimigren DOEN Tablet 185 0 Rp - 100 18500 Rp - Rp - 100
15 antihemoroid supp supp 3167 0 Rp - 70 221690 12 Rp 38,004.00 Rp - 58
16 asam mefenamat tablet 111 0 Rp - 300 33300 250 Rp 27,750.00 Rp - 50
17 asam ascorbat 500 mg tablet 198 30 Rp 5,940.00 0 Rp - Rp - 30
18 asam ascorbat 250 mg tablet 119 129 Rp 15,351.00 200 23800 70 Rp 8,330.00 Rp - 259
19 asam ascorbat 50mg tablet 105 430 Rp 45,150.00 700 73500 856 Rp 89,880.00 Rp - 274
21 asam traneksamat tablet 10 0 Rp - 0 Rp - Rp - 0
22 asam folat 1mg tablet 56 105 Rp 5,880.00 200 11200 70 Rp 3,920.00 Rp - 235
25 betahistin tablet 110 0 Rp - 0 Rp - Rp - 0
27 betametason cream tube 1430 Rp - 7 10010 Rp - Rp - 7
29 bisoprolol tablet 137 100 Rp 13,700.00 0 60 Rp 8,220.00 Rp - 40
30 cefadroxil syr kering 250mg / 5ml botol 5549 0 Rp - 0 Rp - Rp - 0
31 cefadroxil kapsul 500mg kapsul 552.992 170 Rp 94,008.64 100 55299.2 116 Rp 64,147.07 Rp - 154
32 cefadroxil kapsul 500mg kapsul 388 0 Rp - 100 38800 Rp - Rp - 100
35 Cefixime kapsul 200mg kapsul 749 Rp - 100 74900 Rp - Rp - 100
36 cetirizin syr 5mg/5ml botol 2915 20 Rp 58,300.00 0 5 Rp 14,575.00 Rp - 15
38 clindamicin 300mg kapsul 522 45 Rp 23,490.00 50 26100 35 Rp 18,270.00 Rp - 60
42 diazepam rectal supp 62865 7 Rp 440,055.00 0 1 Rp 62,865.00 Rp - 6
44 Diltiazem Tablet 142 69 Rp 9,798.00 0 15 Rp 2,130.00 Rp - 54
45 domperidon syr botol 2296 0 Rp - 50 114800 1 Rp 2,296.00 Rp - 49
46 dimenhidrinat tablet 112 90 Rp 10,080.00 0 Rp - Rp - 90
48 domperidon syr botol 2700 0 Rp - 0 0 Rp - Rp - 0
51 fenol gliserol TT 10 % botol 2764 4 Rp 11,056.00 3 8292 3 Rp 8,292.00 Rp - 4
52 fenol gliserol TT 10 % botol 3300 0 Rp - 28 92400 Rp - Rp - 28
53 domperidon tablet 2296 0 Rp - 50 114800 Rp - Rp - 50
54 Domperidon tab 10 mg Tablet 71 0 Rp - 100 7100 Rp - Rp - 100
56 garam oralit kombinasi sachet 257 1 Rp 257.00 0 Rp - Rp - 1
57 gemfibrozil 300mg kapsul 396 10 Rp 3,960.00 100 39600 Rp - Rp - 110
58 gentian violet botol 2710.21 3 Rp 8,130.63 0 1 Rp 2,710.21 Rp - 2
59 Gentamisin Tetes Mata 0,3% tube 4232 0 Rp - 2 8464 2 Rp 8,464.00 Rp - 0
63 garam oralit kombinasi sachet 274 Rp - 80 21920 80 Rp 21,920.00 Rp - 0 ED
64 gentamisin tetes mata 0,3% botol 2675 0 Rp - 48 128400 3 Rp 8,025.00 Rp - 45
65 Gentamisin Tetes Mata 0,3% tube 4520 0 Rp - 40 180800 Rp - Rp - 40
68 hidrokortison cream 2,5 % tube 2475 1 Rp 2,475.00 24 59400 16 Rp 39,600.00 Rp - 9
69 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) Buah 27400 0 Rp - 5 137000 Rp - 5 Rp 137,000.00 0
70 hand sanitizer 5000 ml ( 5 liter) Buah 650000 0 0 Rp - Rp - 0
72 Griseofulvin (micronized) tab 500 mg tablet 839 Rp - 100 83900 Rp - Rp - 100
73 Handscoon pendek steril no 7.5 (L) pasang 8636 0 Rp - 50 431800 Rp - Rp - 50
74 Hepatoprotektor tab (Curcuma tablet) Tablet 539 0 Rp - 100 53900 Rp - Rp - 100
75 hidroklortiazid tablet 148 11 Rp 1,628.00 200 29600 91 Rp 13,468.00 Rp - 120
76 hyoscine N Butilbromida tablet 1050 119 Rp 124,950.00 100 105000 10 Rp 10,500.00 Rp - 209
77 ibuprofen suspensi 100mg botol 2721 0 Rp - 0 Rp - Rp - 0
80 kalsium laktat 500mg tablet 63 219 Rp 13,797.00 200 12600 Rp - Rp - 419
81 kaptropil 25mg tablet 75 88 Rp 6,600.00 100 7500 Rp - Rp - 188
82 kaptropil 25mg 66 Rp - 100 6600 Rp - Rp - 100
83 ketokonazol tab 200mg Tablet 252 55 Rp 13,860.00 0 30 Rp 7,560.00 Rp - 25
84 klorfeniramin / CTM tablet 22 46 Rp 1,012.00 700 15400 746 Rp 16,412.00 Rp - 0
85 klorfeniramin / CTM Tablet 23 0 Rp - 1400 32200 285 Rp 6,555.00 Rp - 1,115
87 kloramfenikol salep mata 1% tube 2007 26 Rp 52,182.00 3 6021 1 Rp 2,007.00 Rp - 28
89 Kloramfenikol kapsul 500mg 1174 Rp - 100 117400 Rp - Rp - 100
90 kotrimoksasol 480mg tablet 151 20 Rp 3,020.00 0 20 Rp 3,020.00 Rp - 0
92 ketokonazol tablet 252 55 Rp 13,860.00 0 30 Rp 7,560.00 Rp - 25
93 loratadine tablet 131 165 Rp 21,615.00 0 Rp - Rp - 165
94 lisinopril 5mg tablet 145 60 Rp 8,700.00 200 29000 20 Rp 2,900.00 Rp - 240
96 masker bedah Buah 540 0 Rp - 600 324000 Rp - Rp - 600
97 masker kain Buah 3500 0 Rp - 0 Rp - Rp - 0
98 metformin 500mg tablet 77 0 Rp - 0 Rp - Rp - 0
99 metformin 850mg tablet 153 205 Rp 31,365.00 600 91800 435 Rp 66,555.00 Rp - 370
103 metronidazol syr botol 3950 92 Rp 363,400.00 50 197500 Rp - Rp - 142
104 metronidazol 500mg tablet 174.999 30 Rp 5,249.97 0 30 Rp 5,249.97 Rp - 0
105 Metronidazole tab 500 mg 133 Rp - 200 26600 Rp - Rp - 200
106 metilprednisolon tablet 143 100 Rp 14,300.00 0 100 Rp 14,300.00 Rp - 0
107 metilprednisolon 102 Rp - 300 30600 Rp - Rp - 300
108 n asetil sistein 200mg tablet 373 0 Rp - 300 111900 300 Rp 111,900.00 Rp - 0
109 nistatin tablet 843 90 Rp 75,870.00 100 84300 15 Rp 12,645.00 Rp - 175
110 nistatin suspensi botol 13,900 5 Rp 69,500.00 0 5 Rp 69,500.00 Rp - 0
111 nistatin suspensi botol 11,500 10 Rp 115,000.00 0 10 Rp 115,000.00 Rp - 0
114 natrium diklofenak 25mg tablet 128 0 Rp - 650 83200 370 Rp 47,360.00 Rp - 280
117 natrium fusidat salep 2% tube 4699 13 Rp 61,087.00 17 79883 3 Rp 14,097.00 Rp - 27
119 ofloxacin tablet 616 44 Rp 27,104.00 0 Rp - Rp - 44
120 ofloxacin tablet salut selaput 400 mg 535 Rp - 40 21400 Rp - Rp - 40
121 oksitetrasiklin HCL 1% SM tube 3500 17 Rp 59,500.00 189 661500 Rp - Rp - 206
123 oseltamivir tablet 7000 10 Rp 70,000.00 0 Rp - Rp - 10
124 ondansentron tablet 351 10 Rp 3,510.00 0 10 Rp 3,510.00 Rp - 0
125 Ondansetron tab 8 mg 270 Rp - 120 32400 Rp - Rp - 120
126 parasetamol syrup botol 1181 101 Rp 119,281.00 100 118100 34 Rp 40,154.00 Rp - 167
128 parasetamol 500mg tablet 124.85 516 Rp 64,422.60 0 516 Rp 64,422.60 Rp - 0
129 parasetamol 500mg Tablet 97.9 0 Rp - 1700 166430 1,100 Rp 107,690.00 Rp - 600
130 perak sulfadiazin cream tube 18,577 0 Rp - 0 Rp - Rp - 0
131 perak sulfadiazin cream tube 20,700 4 Rp 82,800.00 4 82800 Rp - Rp - 8
132 permetrin cream tube 11,250 16 Rp 180,000.00 23 258750 10 Rp 112,500.00 Rp - 29
133 piridoxin HCL 10mg tablet 131 20 Rp 2,620.00 400 52400 60 Rp 7,860.00 Rp - 360
134 piroxicam tablet 1202.5 42 Rp 50,505.00 100 120250 20 Rp 24,050.00 Rp - 122
135 prednison 5mg tablet 73 299 Rp 21,827.00 600 43800 430 Rp 31,390.00 Rp - 469
139 salbutamol 2mg tablet 48 15 Rp 720.00 0 15 Rp 720.00 Rp - 0
140 salbutamol 2mg Tablet 67 0 Rp - 400 26800 Rp - Rp - 400
141 salbutamol 4mg tablet 63 55 Rp 3,465.00 200 12600 20 Rp 1,260.00 Rp - 235
142 salep 2-4 tube 2796 12 Rp 33,552.00 0 Rp - Rp - 12
144 simvastatin 10mg tablet 68 250 Rp 17,000.00 100 6800 70 Rp 4,760.00 Rp - 280
145 sodium bicarbonat tablet 0 0 Rp - 0 0 Rp - Rp - 0
147 sukralfat syr 500mg / 5ml botol 6789 0 Rp - 0 0 Rp - Rp - 0
148 Prednison tab 68 0 Rp - 100 6800 Rp - Rp - 100
149 sukralfat syr 500mg / 5ml botol 4989 43 Rp 214,527.00 48 239472 9 Rp 44,901.00 Rp - 82
151 tiamin HCL 50mg tablet 91 60 Rp 5,460.00 0 60 Rp 5,460.00 Rp - 0
152 vitamin B kompleks 50mg tablet 89 1,293 Rp 115,077.00 1000 89000 602 Rp 53,578.00 Rp - 1,691
153 zink tablet 208 33 Rp 6,864.00 0 Rp - Rp - 33
154 zink syr botol 3171 17 Rp 53,907.00 0 5 Rp 15,855.00 Rp - 12
156 zinkvit multivitamin tablet 585 120 Rp 70,200.00 0 Rp - Rp - 120 120 OBAT RUSAK
157 Tiamin HCL (B 1) tab 50 mg 57 0 Rp - 200 11400 0 Rp - Rp - 200
161 APD SET (masker bedah, faceshield, hansdsanitizer, sarun Buah 98450 0 Rp - 0 Rp - Rp - 0
162 APD SET GAVI ( faceshield,masker bedah, hands sanitizer, Buah 98450 0 Rp - 0 Rp - Rp - 0
163 Apron Buah 45000 0 Rp - 0 Rp - Rp - 0
166 Kasa Pembalut hidrofil 16 x 16 Buah 3500 0 Rp - 0 Rp - Rp - 0
167 Sepatu Boot Buah 110000 0 Rp - 0 Rp - Rp - 0
168 Tensimeter Digital Buah 350909 0 Rp - 0 Rp - Rp - 0
169 Gown Buah 33000 0 Rp - 0 Rp - Rp - 0
TOTAL Rp 5,993,600.84 8,188,742.20 Rp 2,375,840.85 Rp 1,210,956.00
Wonosobo, 30 April 2022


NIP 19670906198903 1 005 NIP 1994020202020122014
PERIODE Mei 2022
PEMAKAIAN
NO NAMA OBAT SATUAN HARGA STOCK NILAI STOCK AWAL (Rp) PENERIMA Nilai Penerimaan SISA STOCK KET.
SATUAN AWAL AN NON-
RESEP NILAI (Rp) Nilai (Rp)
RESEP
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 4x7 9 = (4x8) 10 11 = (4x10) 12 13
12)
1 acylovir tab Tablet 405 77 Rp 31,185.00 3 1215 3 Rp 1,215.00 Rp - 77
2 Alopurinol tab 100 mg Tablet 87 370 Rp 32,190.00 0 10 Rp 870.00 Rp - 360
4 Alopurinol tab 300 mg Tablet 210 0 Rp - 100 21000 Rp - Rp - 100
5 amlodipin 10mg Tablet 70 30 Rp 2,100.00 1300 91000 1,095 Rp 76,650.00 Rp - 235
7 amlodipin 5mg tablet 53 5 Rp 265.00 200 10600 180 Rp 9,540.00 Rp - 25
9 amoksisilin syr kering 250mg/5ml botol 3628 25 Rp 90,700.00 175 634900 10 Rp 36,280.00 Rp - 190 ED
13 Antimigren DOEN Tablet 185 100 Rp 18,500.00 0 Rp - Rp - 100
14 antihemoroid supp supp 3167 58 Rp 183,686.00 0 Rp - Rp - 58
16 asam mefenamat tablet 105 0 Rp - 100 10500 100 Rp 10,500.00 Rp - 100
19 asam ascorbat 50mg tablet 105 274 Rp 28,770.00 0 150 Rp 15,750.00 Rp - 124
22 asam folat 1mg tablet 56 235 Rp 13,160.00 0 20 Rp 1,120.00 Rp - 215
23 attapulgit / antidiare tablet 145 448 Rp 64,960.00 0 100 Rp 14,500.00 Rp - 348
27 betametason cream tun 1430 6 Rp 8,580.00 0 1 Rp 1,430.00 Rp - 5
29 bisoprolol tablet 137 40 Rp 5,480.00 0 Rp - Rp - 40
30 cefadroxil syr kering 250mg / 5ml botol 5549 0 Rp - 0 Rp - Rp - 0
31 cefadroxil kapsul 500mg kapsul 552.992 154 Rp 85,160.77 0 30 Rp 16,589.76 Rp - 124
32 cefadroxil kapsul 500mg kapsul 388 0 Rp - 100 38800 Rp - Rp - 100
35 Cefixime kapsul 200mg Tablet 749 100 Rp 74,900.00 0 Rp - Rp - 100
38 clindamicin 300mg kapsul 522 60 Rp 31,320.00 0 10 Rp 5,220.00 Rp - 50
42 diazepam rectal supp 62865 7 Rp 440,055.00 0 2 Rp 125,730.00 Rp - 5
46 domperidon tablet 91 0 Rp - 0 Rp - Rp - 0
50 fenol gliserol TT 10 % botol 2764 4 Rp 11,056.00 0 1 Rp 2,764.00 Rp - 3
51 fenol gliserol TT 10 % botol 3300 28 Rp 92,400.00 0 Rp - Rp - 28
53 Domperidon tab 10 mg Tablet 71 100 Rp 7,100.00 0 Rp - Rp - 100
54 furosemid 40mg tablet 82 522 Rp 42,804.00 1600 131200 1,750 Rp 143,500.00 Rp - 372 1500 ED
55 garam oralit kombinasi sachet 257 1 Rp 257.00 0 1 Rp 257.00 Rp - 0
57 gentian violet botol 2710.21 2 Rp 5,420.42 1 2710.21 1 Rp 2,710.21 Rp - 2
58 Gentamisin Tetes Mata 0,3% tube 4232 0 0 Rp - 0
62 garam oralit kombinasi sachet 274 0 Rp - 180 49320 30 Rp 8,220.00 Rp - 150 ED
63 gentamisin tetes mata 0,3% botol 2675 82 Rp 219,350.00 0 3 Rp 8,025.00 Rp - 79
64 Gentamisin Tetes Mata 0,3% tube 4520 40 Rp 180,800.00 0 Rp - Rp - 40
66 Griseofulvin (micronized) tab 500 mg Tablet 839 100 Rp 83,900.00 0 Rp - Rp - 100
67 hidrokortison cream 2,5 % tube 2475 9 Rp 22,275.00 0 9 Rp 22,275.00 Rp - 0
68 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) Buah 27400 0 Rp - 1 27400 1 Rp 27,400.00 1 Rp 27,400.00 0
72 Handscoon pendek steril no 7.5 (L) pasang 8636 50 Rp 431,800.00 0 Rp - Rp - 50
73 Hepatoprotektor tab (Curcuma tablet) Tablet 539 100 Rp 53,900.00 0 5 Rp 2,695.00 Rp - 95
75 hyoscine N Butilbromida tablet 1050 209 Rp 219,450.00 0 Rp - Rp - 209
80 kaptropil 25mg tablet 75 188 Rp 14,100.00 0 Rp - Rp - 188
81 kaptropil 25mg Tablet 66 100 Rp 6,600.00 0 Rp - Rp - 100
82 ketokonazol tab 200mg Tablet 252 25 Rp 6,300.00 100 25200 10 Rp 2,520.00 Rp - 115
83 klorfeniramin / CTM tablet 22 0 Rp - 0 Rp - Rp - 0
84 klorfeniramin / CTM Tablet 23 1,115 Rp 25,645.00 600 13800 1,125 Rp 25,875.00 Rp - 590
86 kloramfenikol salep mata 1% tube 2007 28 Rp 56,196.00 0 3 Rp 6,021.00 Rp - 25
87 kotrimoksasol syr 240/5ml-60ml botol 2190 2 Rp 4,380.00 0 Rp - Rp - 2
88 Kloramfenikol kapsul 500mg Tablet 1174 100 Rp 117,400.00 900 1056600 10 Rp 11,740.00 Rp - 990 ED
89 kotrimoksasol 480mg tablet 151 0 Rp - 0 Rp - Rp - 0
91 ketokonazol tablet 252 25 Rp 6,300.00 0 10 Rp 2,520.00 Rp - 15
94 masker bedah Buah 500 0 Rp - 50 25000 Rp - Rp - 50
95 masker bedah Buah 540 600 Rp 324,000.00 200 108000 800 Rp 432,000.00 Rp - 0 Dibagi karyawan rajal
97 metformin 500mg tablet 77 0 Rp - 0 0 Rp - Rp - 0
102 metronidazol syr botol 3950 142 Rp 560,900.00 0 Rp - Rp - 142
103 Metronidazole tab 500 mg Tablet 133 200 Rp 26,600.00 100 13300 40 Rp 5,320.00 Rp - 260
104 Handscoon pendek non steril no 6.5 (S) pasang 4,272.73 0 Rp - 50 213636.364 Rp - Rp - 50
105 metilprednisolon tablet 143 0 Rp - 0 Rp - Rp - 0
106 metilprednisolon tablet 102 300 Rp 30,600.00 100 10200 70 Rp 7,140.00 Rp - 330
107 n asetil sistein 200mg tablet 373 0 Rp - 0 Rp - Rp - 0
109 nistatin suspensi botol 13,900 0 Rp - 0 Rp - Rp - 0
116 natrium fusidat salep 2% tube 4699 27 Rp 126,873.00 0 1 Rp 4,699.00 Rp - 26
119 ofloxacin tablet salut selaput 400 mg Tablet 535 40 Rp 21,400.00 0 Rp - Rp - 40
120 oksitetrasiklin HCL 1% SM tube 3500 206 Rp 721,000.00 0 17 Rp 59,500.00 Rp - 189
122 oseltamivir tablet 7000 10 Rp 70,000.00 0 10 Rp 70,000.00 Rp - 0
123 ondansentron tablet 351 0 Rp - 0 0 Rp - Rp - 0
124 golongan OAT katagori 1 Paket 416696 0 Rp - 1 416696 1 Rp 416,696.00
125 OAT fdc ANAK Paket 248310 0 Rp - 1 248310 1 Rp 248,310.00
126 Ondansetron tab 8 mg Tablet 270 120 Rp 32,400.00 0 20 Rp 5,400.00 Rp - 100
127 parasetamol syrup botol 1181 167 Rp 197,227.00 0 25 Rp 29,525.00 Rp - 142
128 parasetamol drop botol 4976 181 Rp 900,656.00 0 8 Rp 39,808.00 Rp - 173
129 parasetamol 500mg tablet 124.85 0 Rp - 2100 262185 1,894 Rp 236,465.90 Rp - 206
130 parasetamol 500mg Tablet 97.9 600 Rp 58,740.00 0 Rp - Rp - 600
131 perak sulfadiazin cream tube 18,577 0 Rp - 0 Rp - Rp - 0
132 perak sulfadiazin cream tube 20,700 8 Rp 165,600.00 0 1 Rp 20,700.00 Rp - 7
133 permetrin cream tube 11,250 29 Rp 326,250.00 10 112500 Rp - Rp - 39
134 piridoxin HCL 10mg tablet 131 360 Rp 47,160.00 0 150 Rp 19,650.00 Rp - 210
135 piroxicam tablet 1202.5 122 Rp 146,705.00 0 10 Rp 12,025.00 Rp - 112
136 prednison 5mg tablet 73 469 Rp 34,237.00 0 50 Rp 3,650.00 Rp - 419
137 retinol 100.000 kapsul 306 200 Rp 61,200.00 0 100 Rp 30,600.00 Rp - 100 DI ambil VK
138 retinol 200.000 kapsul 552 50 Rp 27,600.00 0 34 Rp 18,768.00 Rp - 16 14 di ambil vk
140 salbutamol 2mg tablet 48 0 Rp - 0 Rp - Rp - 0
141 salbutamol 2mg Tablet 67 400 Rp 26,800.00 0 50 Rp 3,350.00 Rp - 350
142 salbutamol 4mg tablet 63 235 Rp 14,805.00 100 6300 60 Rp 3,780.00 Rp - 275
143 salep 2-4 tube 2796 12 Rp 33,552.00 5 13980 1 Rp 2,796.00 Rp - 16
144 sianokobalamin 50mcg tablet 43 60 Rp 2,580.00 0 35 Rp 1,505.00 Rp - 25
145 simvastatin 10mg tablet 68 280 Rp 19,040.00 0 30 Rp 2,040.00 Rp - 250
146 sodium bicarbonat tablet 0 0 Rp - 0 Rp - Rp - 0
148 sukralfat syr 500mg / 5ml botol 6789 0 Rp - 0 0 Rp - Rp - 0
149 Prednison tab tablet 68 100 Rp 6,800.00 0 Rp - Rp - 100
150 sukralfat syr 500mg / 5ml botol 4989 82 Rp 409,098.00 0 1 Rp 4,989.00 Rp - 81
152 tiamin HCL 50mg tablet 91 0 Rp - 0 0 Rp - Rp - 0
153 vitamin B kompleks 50mg tablet 89 1,691 Rp 150,499.00 700 62300 993 Rp 88,377.00 Rp - 1,398
154 zink tablet 208 33 Rp 6,864.00 100 20800 20 Rp 4,160.00 Rp - 113
155 zink syr botol 3171 14 Rp 44,394.00 0 Rp - Rp - 14
157 zinkvit multivitamin tablet 585 0 Rp - 0 Rp - Rp - 0
158 Tiamin HCL (B 1) tab 50 mg Tablet 57 200 Rp 11,400.00 0 60 Rp 3,420.00 Rp - 140
162 Gown Buah 33000 Rp - 0 0 Rp - Rp - 0
164 povidon Botol 3200 0 Rp - 2 6400 2 Rp 6,400.00 Rp - 0
TOTAL Rp 10,609,869.19 4,555,356.57 Rp 3,618,753.87 Rp 27,400.00


NIP 19670906198903 1 005 NIP 1994020202020122014
PERIODE Juni 2022

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

12)
1 acylovir tab Tablet 405 77 Rp 31,185.00 0 0 Rp - Rp - 77
2 Alopurinol tab 100 mg Tablet 87 360 Rp 31,320.00 200 17400 20 Rp 1,740.00 Rp - 540
4 Alopurinol tab 300 mg Tablet 210 100 Rp 21,000.00 0 Rp - Rp - 100
5 alopurinol tab 300mg tablet 200 0 Rp - 100 20000 Rp - Rp - 100
8 amlodipin 5mg tablet 53 25 Rp 1,325.00 600 31800 160 Rp 8,480.00 Rp - 465
10 amoksisilin syr kering 250mg/5ml botol 3628 0 Rp - 0 Rp - Rp - 0
11 Amoksisilin kaplet 500 mg Tablet 249 0 Rp - 1100 273900 831 Rp 206,919.00 Rp - 269
15 Antimigren DOEN Tablet 185 100 Rp 18,500.00 0 Rp - Rp - 100
16 antihemoroid supp supp 3167 58 Rp 183,686.00 0 Rp - Rp - 58
20 asam ascorbat 50mg tablet 105 124 Rp 13,020.00 2300 241500 276 Rp 28,980.00 Rp - 2,148 ed 2000
23 asam folat 1mg tablet 56 215 Rp 12,040.00 300 16800 140 Rp 7,840.00 Rp - 375
28 betahistin tablet 89 0 Rp - 100 8900 10 Rp 890.00 Rp - 90
29 betametason cream tun 1430 5 Rp 7,150.00 0 Rp - Rp - 5
30 asam asetilsalisilat tab (asetosal) 80mg tablet 89.81 0 Rp - 100 8981 Rp - Rp - 100
32 bisoprolol tablet 137 40 Rp 5,480.00 0 Rp - Rp - 40
33 bisoprolol tablet 138 0 Rp - 60 8280 Rp - Rp - 60
34 cefadroxil syr kering 125mg / 5ml botol 4185 0 Rp - 50 209250 5 Rp 20,925.00 Rp - 45
35 cefadroxil kapsul 500mg kapsul 552.992 124 Rp 68,571.01 0 Rp - Rp - 124
36 cefadroxil kapsul 500mg kapsul 388 100 Rp 38,800.00 200 77600 136 Rp 52,768.00 Rp - 164
39 Cefixime kapsul 200mg Tablet 749 100 Rp 74,900.00 0 Rp - Rp - 100
42 clindamicin 300mg kapsul 522 50 Rp 26,100.00 50 26100 30 Rp 15,660.00 Rp - 70
46 Diazepam lar rectal tube 5 mg/2,5 ml tablet 62865 5 Rp 314,325.00 0 Rp - Rp - 5
53 Fenofibrat 100mg tablet 477 0 Rp - 50 23850 Rp - Rp - 50
58 Domperidon tab 10 mg Tablet 71 100 Rp 7,100.00 100 7100 75 Rp 5,325.00 Rp - 125
60 garam oralit kombinasi sachet 257 0 Rp - 0 Rp - Rp - 0
62 gentian violet botol 2710.21 2 Rp 5,420.42 0 2 Rp 5,420.42 Rp - 0
63 gentamicin TM tab 4232 0 Rp - 0 Rp - Rp - 0
67 garam oralit kombinasi sachet 274 150 Rp 41,100.00 100 27400 60 Rp 16,440.00 Rp - 190
68 gentamisin tetes mata 0,3% botol 2675 79 Rp 211,325.00 0 Rp - Rp - 79
69 Gentamisin Tetes Mata 0,3% tube 4520 40 Rp 180,800.00 0 9 Rp 40,680.00 Rp - 31
72 hidrokortison cream 2,5 % tube 2475 0 Rp - 16 39600 3 Rp 7,425.00 Rp - 13
73 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) Buah 27400 0 Rp - 0 Rp - 0 Rp - 0
75 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) botol 34000 0 Rp - 1 34000 Rp - Rp - 1
77 Griseofulvin (micronized) tab 500 mg Tablet 839 100 Rp 83,900.00 0 Rp - Rp - 100
78 Handscoon pendek steril no 7.5 (L) pasang 8636 50 Rp 431,800.00 0 Rp - Rp - 50
79 Glukosa larutan infus 5 % steril 500ml tablet 7363 0 Rp - 2 14726 2 Rp 14,726.00 Rp - 0 pinjamkan ke batur 2
80 Handscoon pendek non steril no 6.5 (S) pasang 4,272.73 50 Rp 213,636.36 0 Rp - Rp - 50
81 Hepatoprotektor tab (Curcuma tablet) Tablet 539 95 Rp 51,205.00 0 Rp - Rp - 95
83 hyoscine N Butilbromida tablet 1050 209 Rp 219,450.00 0 10 Rp 10,500.00 Rp - 199
88 kaptropil 25mg tablet 75 188 Rp 14,100.00 0 Rp - Rp - 188
89 kaptropil 25mg Tablet 66 100 Rp 6,600.00 0 10 Rp 660.00 Rp - 90
90 Kasa Pembalut hidrofil 16 x 16 pcs 3500 0 Rp - 1 3500 Rp - Rp - 1
91 ketokonazol tab 200mg Tablet 252 115 Rp 28,980.00 0 Rp - Rp - 115
92 Ketokonazol cream 2% Tube 2370 0 Rp - 10 23700 Rp - Rp - 10
93 klorfeniramin / CTM tablet 22 0 Rp - 0 Rp - Rp - 0
94 klorfeniramin / CTM Tablet 23 590 Rp 13,570.00 1400 32200 1,026 Rp 23,598.00 Rp - 964
95 kloramfenikol salep kulit 2% tube 3266 9 Rp 29,394.00 16 52256 Rp - Rp - 25
96 kloramfenikol salep mata 1% tube 2007 25 Rp 50,175.00 0 4 Rp 8,028.00 Rp - 21
98 Kloramfenikol kapsul 500mg Tablet 1174 0 Rp - 0 Rp - Rp - 0
99 kotrimoksasol 480mg tablet 151 0 Rp - 100 15100 50 Rp 7,550.00 Rp - 50
101 ketokonazol tablet 252 15 Rp 3,780.00 0 Rp - Rp - 15
104 masker bedah Buah 500 50 Rp 25,000.00 2850 1425000 2,850 Rp 1,425,000.00 Rp - 50 Dibagi karyawan rajal
106 Masker KN-95 pcs 41233 0 Rp - 44 1814272 Rp - Rp - 44 Dibagi karyawan rajal
108 mometason cream 0,1% Tube 5795 0 Rp - 6 34770 Rp - Rp - 6
109 metformin 500mg tablet 77 0 Rp - 0 Rp - Rp - 0
111 metildopa 250mg tablet 946 100 Rp 94,600.00 0 20 Rp 18,920.00 Rp - 80
112 mikonazol serb 2% botol 22,700 0 Rp - 0 Rp - Rp - 0
114 metronidazol syr botol 3950 142 Rp 560,900.00 0 Rp - Rp - 142
115 metronidazol 500mg tablet 174.999 0 Rp - 0 Rp - Rp - 0
116 Metronidazole tab 500 mg Tablet 133 260 Rp 34,580.00 0 75 Rp 9,975.00 Rp - 185
117 metilprednisolon tablet 143 0 Rp - 0 Rp - Rp - 0
118 metilprednisolon tablet 102 330 Rp 33,660.00 200 20400 155 Rp 15,810.00 Rp - 375
119 n asetil sistein 200mg tablet 373 0 Rp - 0 Rp - Rp - 0
121 nistatin suspensi botol 13,900 5 Rp 69,500.00 0 Rp - Rp - 5
124 nifedipin 10 mg Tablet 105 17 Rp 1,785.00 0 Rp - Rp - 17
125 Natrium Diklofenak tab 50 mg tablet 100 0 Rp - 500 50000 440 Rp 44,000.00 Rp - 60
127 natrium diklofenak 50mg tablet 99 270 Rp 26,730.00 0 Rp - Rp - 270
129 natrium fusidat salep 2% tube 4699 26 Rp 122,174.00 0 1 Rp 4,699.00 Rp - 25
130 nistatin suspensi botol 11500 20 Rp 230,000.00 0 Rp - Rp - 20
133 ofloxacin tablet salut selaput 400 mg Tablet 535 40 Rp 21,400.00 0 Rp - Rp - 40
134 oksitetrasiklin HCL 1% SM tube 3500 189 Rp 661,500.00 0 Rp - Rp - 189
136 oseltamivir tablet 7000 0 Rp - 0 Rp - Rp - 0
137 ondansentron tablet 351 0 Rp - 0 Rp - Rp - 0
138 golongan OAT katagori 1 Paket 416696 Rp - 0 Rp - Rp - 0
139 OAT fdc ANAK Paket 248310 Rp - 0 Rp - Rp - 0
140 Ondansetron tab 8 mg Tablet 270 100 Rp 27,000.00 0 Rp - Rp - 100
141 parasetamol syrup botol 1181 142 Rp 167,702.00 0 16 Rp 18,896.00 Rp - 126
143 parasetamol 500mg tablet 124.85 206 Rp 25,719.10 100 12485 98 Rp 12,235.30 Rp - 208
144 parasetamol 500mg Tablet 97.9 600 Rp 58,740.00 1600 156640 1,900 Rp 186,010.00 Rp - 300
145 Parasetamol syr 120mg/5ml botol 1160 0 Rp - 105 121800 Rp - Rp - 105
146 perak sulfadiazin cream tube 18,577 0 Rp - 3 55731 Rp - Rp - 3
147 perak sulfadiazin cream tube 20,700 7 Rp 144,900.00 0 Rp - Rp - 7
148 permetrin cream tube 11,250 39 Rp 438,750.00 0 9 Rp 101,250.00 Rp - 30
149 piridoxin HCL 10mg tablet 131 210 Rp 27,510.00 100 13100 60 Rp 7,860.00 Rp - 250
150 piroxicam tablet 1202.5 112 Rp 134,680.00 0 Rp - Rp - 112
151 prednison 5mg tablet 73 419 Rp 30,587.00 200 14600 Rp - Rp - 619
156 salbutamol 2mg tablet 48 0 Rp - 0 Rp - Rp - 0
157 salbutamol 2mg Tablet 67 350 Rp 23,450.00 0 95 Rp 6,365.00 Rp - 255
159 salep 2-4 tube 2796 16 Rp 44,736.00 0 2 Rp 5,592.00 Rp - 14
161 simvastatin 10mg tablet 68 250 Rp 17,000.00 0 120 Rp 8,160.00 Rp - 130
162 sodium bicarbonat tablet 0 0 Rp - 0 Rp - Rp - 0
164 sukralfat syr 500mg / 5ml botol 6789 0 Rp - 0 Rp - Rp - 0
165 sukralfat syr 500mg / 5ml botol 4989 81 Rp 404,109.00 0 Rp - Rp - 81
152 Prednison tab tablet 68 100 Rp 6,800.00 0 Rp - Rp - 100
167 tiamin HCL 50mg tablet 91 0 Rp - 0 0 0 Rp - Rp - 0
169 vitamin B kompleks 50mg tablet 89 1,398 Rp 124,422.00 1200 106800 1,208 Rp 107,512.00 Rp - 1,390
170 zink tablet 208 113 Rp 23,504.00 200 41600 95 Rp 19,760.00 Rp - 218
171 zink syr botol 3171 14 Rp 44,394.00 0 Rp - Rp - 14
173 zinkvit multivitamin tablet 585 0 Rp - 0 Rp - Rp - 0
168 Tiamin HCL (B 1) tab 50 mg Tablet 57 140 Rp 7,980.00 200 11400 90 Rp 5,130.00 Rp - 250
177 Gown Buah 33000 0 Rp - 0 Rp - Rp - 0
TOTAL Rp 9,994,391.89 6,321,416.00 Rp 3,712,956.72 Rp -


NIP 19670906198903 1 005 NIP 1994020202020122014

REKAPAN SATU SEMESTER JANUARI S/D JUNI 2022
PERIODE JANUARI - JUNI 2022
PEMAKAIAN
RESEP
1 2 3 4 5 6 = (4x5) 7 4x7 8 = (5+7- 9 = (4x8) 10 11 = (4x10) 12 13

12)
1 acylovir tab 405 89 Rp 36,045.00 550 222750 123 49,815 0 0 77 489 EXPIRED
2 Alopurinol tab 100 mg Tablet 87 0 Rp - 700 60900 160 13,920 0 0 540
3 Alopurinol tab 100 mg Tablet 105 0 Rp - 200 21000 200 21,000 0 0
4 Alopurinol tab 300 mg Tablet 210 0 Rp - 220 46200 120 25,200 0 100
5 Allopurinol tab 300 mg tablet 200 0 Rp - 100 20000 0 0 0 100
6 Albendazol tab tablet 282 0 Rp - 3800 1071600 0 3800 1,071,600 0 progam p2
7 amlodipin 10mg Tablet 70 2365 Rp 165,550.00 4005 280350 6225 435,750 0 145
8 amlodipin 10mg Tablet 99 0 Rp - 0 0 0 0 0 0
9 amlodipin 5mg tablet 53 461 Rp 24,433.00 1600 84800 1596 84,588 0 465
10 amoksisilin kaplet 500mg Tablet 253 2259 Rp 571,527.00 2200 556600 4362 1,103,586 0 97
11 amoksisilin syr kering 250mg/5ml botol 3628 111 Rp 402,708.00 225 816300 146 529,688 0 0 190 Expired
12 antasida DOEN suspensi botol 1679 100 Rp 167,900.00 319 535601 215 360,985 0 204
13 antasida tab tablet 58 1260 Rp 73,080.00 3400 197200 4246 246,268 0 414
14 Anti Bakteri DOEN Salep Buah 2924 0 Rp - 100 292400 100 292,400 0 0
15 Antimigren DOEN Tablet 185 0 Rp - 500 92500 400 74,000 0 100
16 antihemoroid supp supp 3167 43 Rp 136,181.00 140 443380 125 395,875 0 58
17 asam mefenamat tablet 111 915 Rp 101,565.00 2600 288600 3145 349,095 0 370
18 asam mefenamat tablet 105 0 Rp - 100 10500 100 10,500 0 0
19 asam ascorbat 500 mg tablet 198 100 Rp 19,800.00 0 0 70 13,860 0 30
20 asam ascorbat 250 mg tablet 119 0 Rp - 1800 214200 1425 169,575 0 375
21 asam ascorbat 50mg tablet 105 1797 Rp 188,685.00 5900 619500 5549 582,645 0 2148 ED 2000
22 asam asetilsalisilat / asetosal tablet 105 164 Rp 17,220.00 710 74550 0 0 89 9,345 0 710 ED
23 asam traneksamat tablet 10 0 Rp - 40 400 40 400 0 0
24 asam folat 1mg tablet 56 505 Rp 28,280.00 700 39200 830 46,480 0 375
25 attapulgit / antidiare tablet 145 423 Rp 61,335.00 540 78300 611 88,595 0 352
26 azitromisin 500mg tablet 1250 1250 Rp 1,562,500.00 0 0 1250 1,562,500 0 0
27 betahistin tablet 110 189 Rp 20,790.00 150 16500 339 37,290 0 0
28 betametason cream tube 1540 26 Rp 40,040.00 50 77000 43 66,220 0 33
29 betahistin tablet 89 0 Rp - 100 8900 10 890 0 90
30 betametason cream tube 1430 0 Rp - 7 10010 2 2,860 0 5
31 asamasetil salisilat tablet 89.81 0 Rp - 100 8981 0 0 0 100
32 bisacodil tablet 319 80 Rp 25,520.00 60 19140 130 41,470 0 10
33 bisoprolol tablet 137 110 Rp 15,070.00 210 28770 280 38,360 0 40
34 bisoprolol tablet 138 0 Rp - 60 8280 0 0 0 60
34 cefadroxil syr kering 125mg / 5ml botol 4185 0 Rp - 50 209250 5 20,925 0 45
35 cefadroxil syr kering 250mg / 5ml botol 5549 10 Rp 55,490.00 0 0 10 55,490 0 0
36 cefadroxil kapsul 500mg kapsul 552.992 190 Rp 105,068.48 400 221196.8 466 257,694 0 124
37 cefadroxil kapsul 500mg kapsul 388 0 Rp - 300 116400 136 52,768 0 164
38 cetirizin tab tablet 49 215 Rp 10,535.00 1400 68600 1200 58,800 0 415
39 cefixime kapsul 200 mg kapsul 2370 0 Rp - 30 71100 30 71,100 0 0
40 Cefixim kapsul 200 mg kapsul 749 Rp - 100 74900 0 0 0 100
41 cetirizin syr 5mg/5ml botol 2915 28 Rp 81,620.00 30 87450 54 157,410 0 4
42 clopidegrol 75mg tablet 1404 1 Rp 1,404.00 0 0 1 1,404 0 0
43 clindamicin 300mg kapsul 522 45 Rp 23,490.00 150 78300 125 65,250 0 70
44 deksametason 0,5mg tablet 34 1052 Rp 35,768.00 2700 91800 3270 111,180 0 482
45 Dietilkarbamazin sitrat 100 mg tablet 26890 0 Rp - 3000 80,670,469 0 0 3000 80,670,469 0 Progam vilariasis
46 digoksin 0,25mg tablet 104 0 Rp - 200 20800 0 0 200 20,800 0 Expired date
47 diazepam rectal supp 62865 10 Rp 628,650.00 0 0 5 314,325 0 5
48 diazepam tablet 10900 100 Rp 1,090,000.00 0 0 0 0 0 100
49 Diltiazem Tablet 142 79 Rp 11,218.00 0 0 25 3,550 0 54
50 dimenhidrinat tablet 112 212 Rp 23,744.00 0 0 122 13,664 0 90
51 domperidon tablet 91 270 Rp 24,570.00 100 9100 370 33,670 0 0
52 domperidon syr botol 2700 13 Rp 35,100.00 93 251100 69 186,300 0 37
53 feno fibrat 100 mg Tablet 1073 0 Rp - 90 96570 90 96,570 0 0
54 fitomenadion tablet 748 170 Rp 127,160.00 200 149600 285 213,180 0 85
55 fenol gliserol TT 10 % botol 2764 26 Rp 71,864.00 30 82920 56 154,784 0 0
56 fenol gliserol TT 10 % botol 3300 0 Rp - 46 151800 20 66,000 0 26
57 Domperidon tab tablet 2296 0 Rp - 50 114800 50 114,800 0 0
58 domperidon tablet tablet 71 0 Rp - 200 14200 75 5,325 0 125
59 furosemid 40mg tablet 82 1105 Rp 90,610.00 5000 410000 5588 458,216 0 517 ed 1500
60 garam oralit kombinasi sachet 257 66 Rp 16,962.00 160 41120 226 58,082 0 0
61 gemfibrozil 300mg kapsul 396 10 Rp 3,960.00 100 39600 0 0 0 110
62 gentian violet botol 2710.21 3 Rp 8,130.63 1 2710.21 4 10,841 0 0
63 gentamisin tetes mata 0,3% botol 4232 23 Rp 97,336.00 33 139656 56 236,992 0 0
64 glimepirid 2mg tablet 123 510 Rp 62,730.00 1200 147600 1165 143,295 0 545
65 glimepirid 4mg tablet 183 354 Rp 64,782.00 700 128100 850 155,550 0 204
66 glibenklamid tablet 119 1030 Rp 122,570.00 0 0 911 108,409 0 119
67 garam oralit kombinasi sachet 274 0 Rp - 360 98640 170 46,580 0 190
68 gentamisin tetes mata 0,3% tube 2675 0 Rp - 85 227375 6 16,050 0 79
69 gentamisin tetes mata 0,3% tube 4520 0 Rp - 40 180800 9 40,680 0 31
70 Griseofulvin (micronized) tab 500 mg Tablet 224 0 Rp - 200 44800 200 44,800 0 0
71 Griseofulvin 125 mg tab tablet 224 0 Rp - 200 44800 200 44,800 0 0
72 Glukosa larutan infus 5 % steril 500ml tablet 7363 0 Rp - 2 14726 2 14,726 0 0 pinjamkan ke batur 2
73 hidrokortison cream 2,5 % tube 2475 21 Rp 51,975.00 54 133650 62 153,450 0 13
74 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) Buah 34000 0 Rp - 3 102000 0 0 2 68,000 1 Pelayanan Rajal
hand sanitizer 500 ml (alkohol 70% + chlorhexidine) Buah 27400 0 Rp - 11 301400 1 27400 10 274,000 0
75 hand sanitizer 5000 ml ( 5 liter) Buah 650000 0 Rp - 1 650,000.00 0 0 1 650,000 0 Pelayanan Rajal
76 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine Buah 30450 0 Rp - 10 304500 0 0 9 274,050 1 Pelayanan Rajal
77 Handscoon pendek non steril no 6.5 (S) pasang 4,272.73 0 Rp - 50 213,636.36 0 0 0 50
78 Handscoon pendek steril no 7.5 (L) pasang 8636 0 Rp - 50 431800 0 0 0 50
79 Griseofulvin (micronized) tab 500 mg tablet 839 0 Rp - 100 83900 0 0 0 100
80 Hepatoprotektor tab (Curcuma tablet) Tablet 639 0 Rp - 300 191700 205 130,995 0 95
81 hidroklortiazid tablet 148 686 Rp 101,528.00 1300 192400 1761 260,628 0 225
82 hyoscine N Butilbromida tablet 1050 119 Rp 124,950.00 100 105000 20 21,000 0 199
83 ibuprofen suspensi 100mg botol 2721 2 Rp 5,442.00 0 0 2 5,442 0 0
84 ISDN tablet 89 110 Rp 9,790.00 100 8900 210 18,690 0 0
85 ISDN tablet 86 0 Rp - 100 8600 100 8,600 0 0
86 kalsium laktat 500mg tablet 53 359 Rp 19,027.00 1820 96460 1600 84,800 0 579
87 kaptropil 25mg tablet 75 290 Rp 21,750.00 400 30000 502 37,650 0 188
88 kaptropil 25mg Tablet 66 0 Rp - 100 6600 10 660 0 90
89 ketokonazol tab 200mg Tablet 252 55 Rp 13,860.00 300 75600 240 60,480 0 115
90 klorfeniramin / CTM tablet 22 1273 Rp 28,006.00 2850 62700 4123 90,706 0 0
91 klorfeniramin / CTM Tablet 23 0 Rp - 5300 121900 4336 99,728 0 964
92 kloramfenikol salep kulit 2% tube 3266 16 Rp 52,256.00 76 248216 67 218,822 0 25
93 kloramfenikol salep mata 1% tube 2007 6 Rp 12,042.00 23 46161 8 16,056 0 21
94 kotrimoksasol syr 240/5ml-60ml botol 2190 37 Rp 81,030.00 0 0 37 81,030 0 0
95 Kloramfenikol kapsul 500mg tablet 1174 0 Rp - 1000 1174000 1000 1,174,000 0 0 990 tab ED
96 kotrimoksasol 480mg tablet 151 110 Rp 16,610.00 100 15100 160 24,160 0 50
97 ketokonazol cream tube 2518 0 Rp - 0 0 0 0 0 0
98 ketokonazol tablet 252 55 Rp 13,860.00 200 50400 240 60,480 0 15
99 loratadine tablet 131 225 Rp 29,475.00 0 0 60 7,860 0 165
100 lisinopril 5mg tablet 145 60 Rp 8,700.00 200 29000 20 2,900 0 240
101 masker bedah Buah 500 0 Rp - 8530 4265000 2850 1,425,000 5630 2,815,000 50 Pelayanan Rajal
102 masker bedah Buah 540 0 Rp - 3650 1971000 2800 1,512,000 850 459,000 0 Pelayanan Rajal
103 masker kain Buah 3500 0 Rp - 29 101500 10 35,000 19 66,500 0 Pelayanan Rajal
104 masker kn-95 Buah 40000 0 Rp - 54 2160000 10 400,000 0 44
105 metformin 500mg tablet 77 746 Rp 57,442.00 900 69300 1646 126,742 0 0 291 tab ED
106 metformin 850mg tablet 153 830 Rp 126,990.00 1700 260100 2225 340,425 0 305
107 metildopa 250mg tablet 946 100 Rp 94,600.00 0 0 20 18,920 0 80
108 mikonazol serb 2% botol 22,700 4 Rp 90,800.00 5 113500 9 204,300 0 0
109 mikonazol salep tube 3414 15 Rp 51,210.00 24 81936 32 109,248 0 7
110 metronidazol syr botol 3950 42 Rp 165,900.00 107 422650 7 27,650 0 142
111 metronidazol 500mg tablet 174.999 170 Rp 29,749.83 300 52499.7 285 49,875 0 185
112 metilprednisolon tablet 143 220 Rp 31,460.00 0 0 220 31,460 0 0
113 metilprednisolon tablet 102 Rp - 600 61200 225 22,950 0 375
114 Momegtason cream tube 5795 0 Rp - 6 34770 0 0 0 6
115 n asetil sistein 200mg tablet 373 1380 Rp 514,740.00 1000 373000 2380 887,740 0 0
116 nistatin tablet 843 25 Rp 21,075.00 200 168600 160 134,880 0 65
117 nistatin suspensi botol 13,900 5 Rp 69,500.00 5 69500 5 69,500 0 5
118 nistatin suspensi botol 11,500 0 Rp - 15 172500 15 172,500 0 0
119 nifedipin 20 mg tablet 3575 0 Rp - 30 107250 30 107,250 0 0
120 nifedipin 10 mg Tablet 105 92 Rp 9,660.00 90 9450 165 17,325 0 17
121 natrium diklofenak 25mg tablet 128 680 Rp 87,040.00 2100 268800 2700 345,600 0 80
122 natrium diklofenak 50mg tablet 99 855 Rp 84,645.00 2300 227700 2885 285,615 0 270
123 natrium diklofenak 50mg tablet 94.5 0 Rp - 800 75600 800 75,600 0 0
124 n asetil sistein 200mg tablet 301 0 Rp - 2330 701330 2183 657,083 0 147
125 natrium fusidat salep 2% tube 4699 1 Rp 4,699.00 34 159766 10 46,990 0 25
126 obat flu kombinasi tablet 489.5 225 Rp 110,137.50 900 440550 1125 550,688 0 0
127 ofloxacin tablet 616 194 Rp 119,504.00 110 67760 290 178,640 0 14
128 ofloxacin TAB 535 0 Rp - 40 21400 0 0 0 40
129 oksitetrasiklin HCL 1% SM tube 3500 22 Rp 77,000.00 189 661500 22 77,000 0 189 ED
130 omeprazole tablet 129 663 Rp 85,527.00 1600 206400 2058 265,482 0 205
131 oseltamivir tablet 7000 10 Rp 70,000.00 0 0 10 70,000 0 0
132 ondansentron tablet 351 30 Rp 10,530.00 30 10530 60 21,060 0 0
133 golongan OAT katagori 1 Paket 416696 0 Rp - 7 2916872 0 0 7 2,916,872 0
134 Ondansetron tab 8 mg 270 0 Rp - 120 32400 20 5,400 0 100
135 OAT fdc ANAK Paket 248310 0 Rp - 2 496620 1 248,310 0 1
136 parasetamol syrup botol 1160 0 Rp - 105 121800 0 0 0 105
137 parasetamol syrup botol 1181 67 Rp 79,127.00 200 236200 141 166,521 0 126
138 parasetamol drop botol 4976 67 Rp 333,392.00 273 1358448 147 731,472 0 193
139 parasetamol 500mg tablet 124.85 3203 Rp 399,894.55 6500 811525 9495 1,185,451 0 208
140 parasetamol 500mg Tablet 97.9 0 Rp - 6800 665720 6500 636,350 0 300
141 perak sulfadiazin cream tube 18,577 1 Rp 18,577.00 3 55731 1 18,577 0 3
142 perak sulfadiazin cream tube 20,700 0 Rp - 8 165600 1 20,700 0 7
143 permetrin cream tube 11,250 25 Rp 281,250.00 73 821250 68 765,000 0 30
144 piridoxin HCL 10mg tablet 131 360 Rp 47,160.00 800 104800 910 119,210 0 250
145 piroxicam tablet 1202.5 42 Rp 50,505.00 100 120250 30 36,075 0 112
146 prednison 5mg tablet 73 1037 Rp 75,701.00 1700 124100 2118 154,614 0 619
147 retinol 100.000 kapsul 306 200 Rp 61,200.00 0 0 100 30,600 0 100
148 retinol 200.000 kapsul 552 50 Rp 27,600.00 0 0 34 18,768 0 16
149 ranitidin 150mg tablet 433 102 Rp 44,370.00 0 0 4264 1,847,359 0 0
150 salbutamol 2mg tablet 48 275 Rp 13,200.00 200 9600 475 22,800 0 0 0
151 salbutamol 2mg Tablet 57 275 Rp 15,675.00 500 28500 520 29,640 0 255
152 salbutamol 4mg tablet 63 155 Rp 9,765.00 500 31500 410 25,830 0 245
153 salep 2-4 tube 2796 8 Rp 22,368.00 14 39144 8 22,368 0 14
154 sianokobalamin 50mcg tablet 43 164 Rp 7,052.00 400 17200 549 23,607 0 15
155 simvastatin 10mg tablet 68 420 Rp 28,560.00 500 34000 790 53,720 0 130
156 sodium bicarbonat tablet 0 0 Rp - 0 0 0 0 0 0
157 spironolacton 25mg tablet 190 130 Rp 24,700.00 100 19000 230 43,700 0 0
158 sukralfat syr 500mg / 5ml botol 6789 15 Rp 101,835.00 0 0 15 101,835 0 0
159 sukralfat syr 500mg / 5ml botol 4989 0 Rp - 96 478944 15 74,835 0 81
160 prednison 5mg tablet 68 0 Rp - 100 6800 0 0 0 100
161 tambah darah kombinasi tablet 226 810 Rp 183,060.00 4900 1107400 5410 1,222,660 0 300
162 tiamin HCL 50mg tablet 91 0 Rp - 640 58240 640 58,240 0 0
163 vitamin B kompleks 50mg tablet 89 2169 Rp 193,041.00 14000 1246000 14779 1,315,331 0 1390
164 zink tablet 208 146 Rp 30,368.00 400 83200 328 68,224 0 218
165 zink syr botol 3171 27 Rp 85,617.00 12 38052 27 85,617 0 12
166 zink drop botol 5051 44 Rp 222,244.00 28 141428 41 207,091 0 31
167 zinkvit multivitamin tablet 585 140 Rp 81,900.00 0 0 20 11,700 0 0 120 OBAT RUSAK
168 tiamin HCL 50mg tablet 57 0 Rp - 1000 57000 750 42,750 0 250
169 golongan OAT katagori 1 Paket 389344 0 Rp - 2 778688 0 0 2 778,688 0
170 golongan OAT katagori 1 Paket 415467 0 Rp - 3 1246401 0 0 3 1,246,401 0
171 APD SET (masker bedah, faceshield, hansdsanitizer, sarun Buah 98450 0 Rp - 64 6,300,800.00 0 0 64 6,300,800 0
172 Apron Buah 45000 0 Rp - 10 450000 0 0 10 450,000 0
173 Kacamata Google Buah 26000 0 Rp - 5 130000 0 0 5 130,000 0
174 Kacamata Google Buah 60000 0 Rp - 7 420000 0 0 7 420,000 0
175 Kasa Pembalut hidrofil 16 x 16 Buah 3500 0 Rp - 10 35000 0 0 10 35,000 0
176 Sepatu Boot Buah 110000 0 Rp - 54 5975548.20000005 0 0 9 990,000 45.3231654545
177 Tensimeter Digital Buah 350909 0 Rp - 1 350909 0 0 1 350,909 0
178 Gown Buah 33000 0 Rp - 30 990000 0 0 30 990,000 0
179 Penutup Kepala BUAH 644 0 Rp - 244 157136 0 94 60,536 150
180 povidon Botol 3200 0 Rp - 9 28800 0 9 28,800 0
TOTAL Rp 11,391,662.99 136,654,016 Rp 30,323,438.99 Rp 101,076,769.96
- Wonosobo, 30 Juni 2022


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

PERIODE MARET 2022 7,214,058.20
PERIODE APRIL 2022 Rp8,188,742.200 131,400,208.96
TOTAL PENERIMAAN DARI GUDANG JAN-JUNI 2022= Rp136,654,016
REKAP DISTRIBUSI PER UNIT PKD CAMPUR SARI

PEMAKAIAN
NO NAMA OBAT SATUAN SATUAN AWAL (Rp) PENERIMAAN Peneriman x NON- SISA STOCK KET.
Harga rupiah RESEP NILAI (Rp) RESEP Nilai (Rp)
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 12) 9 = (4x8) 10 11 = (4x10) 12 13
1 amlodipin 10mg Tablet 70 120 Rp 8,400.00 600 Rp 42,000 650 Rp 45,500.00 70 Langsung ke pasien
2 Amoksisilin kaplet 500 mg Tablet 253 10 Rp 2,530.00 0 Rp - 0 Rp - 10 Langsung ke pasien
amoksisilin syr kering 250mg/5ml botol 3628 0 4
3 Rp - 11 Rp 39,908 7 Rp 25,396.00 Langsung ke pasien
4 Antasida Doen Tablet Tablet 58 0 Rp - 100 Rp 5,800 100 Rp 5,800.00 0 Langsung ke pasien
5 Asam Ascorbat (Vit C) tab 50 mg Tablet 105 150 Rp 15,750.00 0 Rp - 30 Rp 3,150.00 120 Langsung ke pasien
6 asam folat tab 1 mg Tablet 56 70 Rp 3,920.00 0 Rp - 30 Rp 1,680.00 40 Langsung ke pasien
7 asam mefenamat Tablet 111 20 Rp 2,220.00 200 Rp 22,200 190 Rp 21,090.00 30 Langsung ke pasien
8 betametason cream tube 1540 1 Rp 1,540.00 10 Rp 15,400 6 Rp 9,240.00 5 Langsung ke pasien
9 Deksametason tab 0,5 mg Tablet 34 90 Rp 3,060.00 0 Rp - 90 Rp 3,060.00 0 Langsung ke pasien
10 Domperidon tab 10 mg Tablet 91 50 Rp 4,550.00 0 Rp - 50 Rp 4,550.00 0 Langsung ke pasien
11 garam oralit kombinasi sachet 257 25 Rp 6,425.00 100 Rp 25,700 25 Rp 6,425.00 100 Langsung ke pasien
12 domperidon syr 5mg/5ml botol 2700 3 Rp 8,100.00 0 Rp - 3 Rp 8,100.00 0 Langsung ke pasien
13 hidroklortiazid tablet 148 0 Rp - 300 Rp 44,400 300 Rp 44,400.00 0 Langsung ke pasien
14 klorfeniramin / CTM tablet 23 20 Rp 460.00 400 Rp 9,200 420 Rp 9,660.00 0 Langsung ke pasien
15 Kloramfenikol Salep Mata 1 % tube 2007 2 Rp 4,014.00 0 Rp - 2 Rp 4,014.00 0 Langsung ke pasien
16 Kalsium Lactat ( Kalk ) tab 500 mg Tablet 56 90 Rp 5,040.00 0 Rp - 40 Rp 2,240.00 50 Langsung ke pasien
17 Metformin 500mg Tablet 77 10 Rp 770.00 0 Rp - 10 Rp 770.00 0 Langsung ke pasien
18 N-asetil sistein tab 200mg Tablet 371 40 100 Rp 37,100 0 Rp - 140 Langsung ke pasien
19 Oksitoksin inj 10 IU/ ml - 1 ml ampul 1126 5 Rp 5,630.00 0 Rp - 0 Rp - 5 Langsung ke pasien
20 parasetamol syrup botol 1181 0 Rp - 20 Rp 23,620 20 Rp 23,620.00 0 Langsung ke pasien
21 parasetamol drop botol 4976 10 Rp 49,760.00 20 Rp 99,520 25 Rp 124,400.00 5 Langsung ke pasien
22 parasetamol 500mg tablet 124.85 0 Rp - 800 Rp 99,880 760 Rp 94,886.00 40 Langsung ke pasien
23 piridoxin HCL 10mg tablet 131 40 Rp 5,240.00 200 Rp 26,200 200 Rp 26,200.00 40 Langsung ke pasien
24 retinol 100.000 kapsul 306 0 Rp - 80 Rp 24,480 80 Rp 24,480.00 0 Langsung ke pasien
26 sianokobalamin 50mcg tablet 43 110 Rp 4,730.00 400 Rp 17,200 390 Rp 16,770.00 120 Langsung ke pasien
27 tambah darah kombinasi tablet 226 100 Rp 22,600.00 400 Rp 90,400 500 Rp 113,000.00 0 Langsung ke pasien
28 tiamin HCL 50mg tablet 57 80 Rp 4,560.00 300 Rp 17,100 370 Rp 21,090.00 10 Langsung ke pasien
29 vitamin B kompleks 50mg tablet 89 0 Rp - 400 Rp 35,600 400 Rp 35,600.00 0 Langsung ke pasien
30 zink tablet 208 100 Rp 20,800.00 0 Rp - 20 Rp 4,160.00 80 Langsung ke pasien
31 Vaksin DPT-HB-Hib 5 dosis Vial 85103 0 Rp - 17 Rp 1,446,751 17 Rp 1,446,751.00 0 Langsung ke pasien
32 Vaksin hepatitis B rekombinan inj 0,5Vial 25839 0 Rp - 0 Rp - 0 Rp - 0 Langsung ke pasien
33 Vaksin IPV Vial 158994 0 Rp - 2 Rp 317,988 2 Rp 317,988.00 0 Langsung ke pasien
34 Vaksin MR Vial 166265 0 Rp - 2 Rp 332,530 2 Rp 332,530.00 0 Langsung ke pasien
35 Vaksin polio bivalent 10 dosis Vial 21494 0 Rp - 3 Rp 64,482 3 Rp 64,482.00 0 Langsung ke pasien
36 hand sanitizer 500 ml (alkohol 70% + Buah 34000 0 Rp - 2 Rp 68,000 2 Rp 68,000.00 0 Langsung ke pasien
37 Hand Scrub Sabun Cuci Tangan Cair +Buah 30450 0 Rp - 1 Rp 30,450 1 Rp 30,450.00 0 Langsung ke pasien
38 Povidon Botol 3200 2 Rp 6,400.00 0 Rp - 2 Rp 6,400.00 0 Langsung ke pasien
39 Alkohol swab pcs 145 0 Rp - 200 Rp 29,000 200 Rp 29,000.00 0 Langsung ke pasien
40 Alat Suntik 3 ml pcs 569 0 100 Rp 56,900 100 Rp 56,900.00 0 Langsung ke pasien
40 Alkohol swab pcs 127.82 0 Rp - 200 Rp 25,564 200 Rp 25,564.00 0 Langsung ke pasien
TOTAL Rp 186,499.00 Rp 3,097,605 Rp 3,107,578.00


NIP 19670906198903 1 005 NIP 1994020202020122014

PERIODE 01 MARET 2022 - 31 MARET 2022

PEMAKAIAN
Harga rupiah RESEP
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 12) 9 = (4x8) 10 11 = (4x10) 12 13
1 amlodipin 10mg Tablet 99 70 Rp 6,930.00 Rp - 10 Rp 990.00 60 Langsung ke pasien

2 Amoksisilin kaplet 500 mg Tablet 253 10 Rp 2,530.00 Rp - 0 Rp - 10

3 Rp 14,512.00 Rp - 0 Rp - Langsung ke pasien
4 Antasida Doen Tablet Tablet 58 0 Rp - 100 Rp 5,800 100 Rp 5,800.00 0
5 Asam Ascorbat (Vit C) tab 50 mg Tablet 105 120 Rp 12,600.00 200 Rp 21,000 320 Rp 33,600.00 0 Langsung ke pasien
6 asam folat tab 1 mg Tablet 56 40 Rp 2,240.00 Rp - 20 Rp 1,120.00 20 Langsung ke pasien
8 betametason cream tube 1540 5 Rp 7,700.00 Rp - 1 Rp 1,540.00 4 Langsung ke pasien
9 Deksametason tab 0,5 mg Tablet 34 0 Rp - Rp - 0 Rp - 0 Langsung ke pasien
10 Domperidon tab 10 mg Tablet 91 0 Rp - 100 Rp 9,100 20 Rp 1,820.00 80 Langsung ke pasien
11 garam oralit kombinasi sachet 257 100 Rp 25,700.00 Rp - 100 Rp 25,700.00 0 Langsung ke pasien
12 Gentamisin TM tube 4520 0 Rp - 3 Rp 13,560 Rp - 3
13 domperidon syr 5mg/5ml botol 2700 0 Rp - Rp - 0 Rp - Err:522 Langsung ke pasien
14 Furosemid Tablet Tablet 82 0 Rp - 200 Rp 16,400 200 Rp 16,400.00 0
15 hidroklortiazid tablet 148 0 Rp - Rp - 0 Rp - Err:522 Langsung ke pasien
16 klorfeniramin / CTM tablet 23 0 Rp - 100 Rp 2,300 100 Rp 2,300.00 Err:522 Langsung ke pasien
17 Kloramfenikol Salep Mata 1 % tube 2007 0 Rp - Rp - 0 Rp - Err:522 Langsung ke pasien
18 Kalsium Lactat ( Kalk ) tab 500 mg Tablet 63 50 Rp 3,150.00 100 Rp 6,300 150 Rp 9,450.00 Err:522 Langsung ke pasien
19 Metformin 500mg Tablet 77 0 Rp - Rp - 0 Rp - 0 Langsung ke pasien
20 Natrium diklofenak 50 mg Tablet 99 0 Rp - 100 Rp 9,900 100 Rp 9,900.00 0
21 N-asetil sistein tab 200mg Tablet 301 140 Rp 42,140.00 80 Rp 24,080 110 Rp 33,110.00 110
22 Oksitoksin inj 10 IU/ ml - 1 ml ampul 1126 5 Rp 5,630.00 Rp - 0 Rp - Err:522
23 parasetamol syrup botol 1181 0 Rp - Rp - 0 Rp - Err:522 Langsung ke pasien
24 parasetamol drop botol 4976 5 Rp 24,880.00 Rp - 0 Rp - Err:522 Langsung ke pasien
25 parasetamol 500mg tablet 124.85 40 Rp 4,994.00 Rp - 40 Rp 4,994.00 0 Langsung ke pasien
27 retinol 100.000 kapsul 306 0 Rp - Rp - 0 Rp - Err:522 Langsung ke pasien
28 retinol 200.000 kapsul 552 0 Rp - Rp - 0 Rp - Err:522 Langsung ke pasien
29 sianokobalamin 50mcg tablet 43 120 Rp 5,160.00 Rp - 120 Rp 5,160.00 0 Langsung ke pasien
30 tambah darah kombinasi tablet 226 0 Rp - 300 Rp 67,800 240 Rp 54,240.00 60 Langsung ke pasien
31 tiamin HCL 50mg tablet 57 10 Rp 570.00 200 Rp 11,400 70 Rp 3,990.00 140 Langsung ke pasien
32 vitamin B kompleks 50mg tablet 89 0 Rp - 300 Rp 26,700 300 Rp 26,700.00 Err:522 Langsung ke pasien
33 zink tablet 208 80 Rp 16,640.00 Rp - 0 Rp - Err:522 Langsung ke pasien
34 Vaksin DPT-HB-Hib 5 dosis Vial 85103 0 Rp - 5 Rp 425,515 5 Rp 425,515.00 Err:522 Langsung ke pasien
35 Vaksin hepatitis B rekombinan inj 0,5Vial 25839 0 Rp - Rp - 0 Rp - Err:522
36 Vaksin IPV Vial 158994 0 Rp - Rp - 0 Rp - Err:522 Langsung ke pasien
37 Vaksin MR Vial 166265 0 Rp - 2 Rp 332,530 2 Rp 332,530.00 0 Langsung ke pasien
39 hand sanitizer 500 ml (alkohol 70% + Buah 34000 0 Rp - Rp - Rp - 0 Langsung ke pasien
40 Hand Scrub Sabun Cuci Tangan Cair +Buah 30450 0 Rp - Rp - Rp - 0 Langsung ke pasien
41 Povidon Botol 3200 0 Rp - Rp - Rp - 0 Langsung ke pasien
42 Alkohol swab pcs 145 0 Rp - Rp - Rp - 0 Langsung ke pasien
43 Alat Suntik 3 ml pcs 569 0 Rp - Rp - Rp - 0 Langsung ke pasien
44 Alkohol swab pcs 127.82 0 Rp - Rp - Rp - 0 Langsung ke pasien
TOTAL Rp 183,946.00 Rp 1,043,871 Rp 1,066,035.00


NIP 19670906198903 1 005 NIP 1994020202020122014

PERIODE 01 APRIL 2022 - 30 APRIL 2022

PEMAKAIAN
Harga rupiah RESEP
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 9 = (4x8) 10 11 = (4x10) 12 13
12)
1 amlodipin 10mg Tablet 70 60 Rp 4,200.00 300 Rp 21,000 10 Rp 700.00 350
2 Amoksisilin kaplet 500 mg Tablet 253 10 Rp 2,530.00 Rp - 0 Rp - 10

3 Rp 14,512.00 Rp - 0 Rp -
4 Antasida Doen Tablet Tablet 58 0 Rp - 200 Rp 11,600 100 Rp 5,800.00 100
5 Asam Ascorbat (Vit C) tab 50 mg Tablet 105 0 Rp - 100 Rp 10,500 0 Rp - 100
6 asam folat tab 1 mg Tablet 56 20 Rp 1,120.00 100 Rp 5,600 20 Rp 1,120.00 100
7 asam mefenamat Tablet 111 80 Rp 8,880.00 Rp - 50 Rp 5,550.00 30
8 betametason cream tube 1540 4 Rp 6,160.00 Rp - 1 Rp 1,540.00 3
9 Deksametason tab 0,5 mg Tablet 34 0 Rp - Rp - 0 Rp - Err:522
10 Domperidon tab 10 mg Tablet 91 80 Rp 7,280.00 Rp - 20 Rp 1,820.00 60
11 garam oralit kombinasi sachet 257 0 Rp - Rp - 0 Rp - 0
12 domperidon syr 5mg/5ml botol 2700 3 Rp 8,100.00 Rp - 3 Rp 8,100.00 Err:522
13 Furosemid Tablet Tablet 82 Err:522 Err:522 200 Rp 16,400 200 Rp 16,400.00 Err:522
14 hidroklortiazid tablet 148 0 Rp - Rp - 0 Rp - Err:522
15 klorfeniramin / CTM tablet 23 Err:522 Err:522 200 Rp 4,600 200 Rp 4,600.00 Err:522
16 Kloramfenikol Salep Mata 1 % tube 2007 Err:522 Err:522 Rp - 0 Rp - Err:522
17 Kalsium Lactat ( Kalk ) tab 500 mg Tablet 63 Err:522 Err:522 100 Rp 6,300 100 Rp 6,300.00 Err:522
18 Metformin 500mg Tablet 77 Err:522 Err:522 Rp - 0 Rp - Err:522
19 N-asetil sistein tab 200mg Tablet 301 0 Rp - 120 Rp 36,120 0 Rp - 120
20 Oksitoksin inj 10 IU/ ml - 1 ml ampul 1126 0 Rp - Rp - 95 Rp 106,970.00 Err:522
21 parasetamol syrup botol 1160 0 Rp - 10 Rp 11,600 10 Rp 11,600.00 Err:522
22 parasetamol syrup botol 1181 110 Rp 129,910.00 Rp - 110 Rp 129,910.00 Err:522
23 parasetamol drop botol 4976 5 Rp 24,880.00 15 Rp 74,640 15 Rp 74,640.00 Err:522
24 Parasetamol tab 500 mg tablet 97.9 0 Rp - 200 Rp 19,580 Rp - 200
25 parasetamol 500mg tablet 124.85 Err:522 Err:522 Rp - 0 Rp - Err:522
26 piridoxin HCL 10mg tablet 131 Err:522 Err:522 Rp - 5 Rp 655.00 Err:522
27 retinol 100.000 kapsul 306 0 Rp - Rp - 0 Rp - 0
29 sianokobalamin 50mcg tablet 49 0 Rp - 100 Rp 4,900 Rp - 100
30 sianokobalamin 50mcg tablet 43 Err:522 Err:522 Rp - 0 Rp - Err:522
31 tambah darah kombinasi tablet 226 Err:522 Err:522 300 Rp 67,800 240 Rp 54,240.00 Err:522
32 tiamin HCL 50mg tablet 57 0 Rp - 200 Rp 11,400 70 Rp 3,990.00 130
33 vitamin B kompleks 50mg tablet 89 60 Rp 5,340.00 300 Rp 26,700 360 Rp 32,040.00 Err:522
34 zink tablet 208 140 Rp 29,120.00 Rp - 60 Rp 12,480.00 Err:522
35 Vaksin DPT-HB-Hib 5 dosis Vial 85103 Err:522 Err:522 2 Rp 170,206 2 Rp 170,206.00 Err:522
36 Vaksin hepatitis B rekombinan inj 0,5Vial 25839 Err:522 Err:522 Rp - 0 Rp - Err:522
37 Vaksin IPV Vial 158994 Err:522 Err:522 1 Rp 158,994 1 Rp 158,994.00 Err:522
38 Vaksin MR Vial 166265 Err:522 Err:522 1 Rp 166,265 1 Rp 166,265.00 Err:522
39 Vaksin polio bivalent 10 dosis Vial 23643 Err:522 Err:522 Rp - Rp - Err:522
40 Vaksin polio bivalent 10 dosis Vial 21494 0 Rp - 2 Rp 42,988 2 Rp 42,988.00 0
41 hand sanitizer 500 ml (alkohol 70% + Buah 34000 0 Rp - Rp - Rp - 0
42 Hand Scrub Sabun Cuci Tangan Cair +Buah 30450 0 Rp - Rp - Rp - 0
43 Povidon Botol 3200 0 Rp - Rp - Rp - 0
44 Alkohol swab pcs 145 0 Rp - Rp - Rp - 0
45 Alat Suntik 3 ml pcs 569 0 Rp - Rp - Rp - 0
46 Alkohol swab pcs 127.82 0 Rp - Rp - Rp - 0
TOTAL Rp 2,422,165.00 Rp 867,193 Rp 1,016,908.00


NIP 19670906198903 1 005 NIP 1994020202020122014

PERIODE 01 MEI - 31 MEI

PEMAKAIAN
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 12) 9 = (4x8) 10 11 = (4x10) 12 13
1 amlodipin 10mg Tablet 70 350 Rp 24,500.00 Rp - 120 Rp 8,400.00 230

2 Amoksisilin kaplet 500 mg Tablet 253 10 Rp 2,530.00 100 Rp 25,300 70 Rp 17,710.00 40

3 Rp - Rp - 0 Rp -
4 Antasida Doen Tablet Tablet 58 100 Rp 5,800.00 200 Rp 11,600 90 Rp 5,220.00 210
5 Asam Ascorbat (Vit C) tab 50 mg Tablet 105 100 Rp 10,500.00 Rp - 50 Rp 5,250.00 50
6 asam folat tab 1 mg Tablet 56 100 Rp 5,600.00 Rp - 90 Rp 5,040.00 10
7 asam mefenamat Tablet 111 30 Rp 3,330.00 Rp - 30 Rp 3,330.00 0
8 betametason cream tube 1540 3 Rp 4,620.00 Rp - 2 Rp 3,080.00 1
9 Deksametason tab 0,5 mg Tablet 34 0 Rp - Rp - 0 Rp - 0
10 Domperidon tab 10 mg Tablet 91 60 Rp 5,460.00 Rp - 50 Rp 4,550.00 10
12 domperidon syr 5mg/5ml botol 2700 0 Rp - Rp - 0 Rp - 0
14 hidroklortiazid tablet 148 0 Rp - 100 Rp 14,800 60 Rp 8,880.00 40
15 Handscoon pendek non steril no 6.5 (pasang 4272.72728 0 Rp - 50 Rp 213,636 10 Rp 42,727.27 40
16 klorfeniramin / CTM tablet 23 0 Rp - 200 Rp 4,600 50 Rp 1,150.00 50
17 Kloramfenikol Salep Mata 1 % tube 2007 0 Rp - Rp - 0 Rp - 0
18 Kalsium Lactat ( Kalk ) tab 500 mg Tablet 63 0 Rp - Rp - 0 Rp - 0
19 Metformin 500mg Tablet 77 0 Rp - Rp - 0 Rp - 0
21 Oksitoksin inj 10 IU/ ml - 1 ml ampul 1126 0 Rp - Rp - 0 Rp - 0
22 parasetamol syrup botol 1160 0 Rp - Rp - 0 Rp - 0
24 parasetamol drop botol 4976 0 Rp - Rp - 0 Rp - 0
25 Parasetamol tab 500 mg tablet 97.9 200 Rp 19,580.00 200 Rp 19,580 190 Rp 18,601.00 210
26 parasetamol 500mg tablet 124.85 0 Rp - Rp - 0 Rp - 0
27 piridoxin HCL 10mg tablet 131 0 Rp - Rp - 0 Rp - 0
30 sianokobalamin 50mcg tablet 49 100 Rp 4,900.00 Rp - Rp - 100
31 sianokobalamin 50mcg tablet 43 0 Rp - Rp - 0 Rp - 0
32 tambah darah kombinasi tablet 226 0 Rp - Rp - 0 Rp - 0
33 tiamin HCL 50mg tablet 57 130 Rp 7,410.00 200 Rp 11,400 70 Rp 3,990.00 260
34 vitamin B kompleks 50mg tablet 89 0 Rp - 200 Rp 17,800 110 Rp 9,790.00 90
35 zink tablet 208 0 Rp - Rp - 0 Rp - 0
36 Vaksin DPT-HB-Hib 5 dosis Vial 85103 0 Rp - 2 Rp 170,206 2 Rp 170,206.00 0
37 Vaksin hepatitis B rekombinan inj 0,5Vial 25839 0 Rp - Rp - 0 Rp - 0
38 Vaksin IPV Vial 158994 0 Rp - 1 Rp 149,094 1 Rp 6,001.00 0
39 Vaksin MR Vial 166265 0 Rp - 1 Rp 166,265 1 Rp 166,265.00 0
40 Vaksin polio bivalent 10 dosis Vial 23643 0 Rp - Rp - 0 Rp - 0
42 hand sanitizer 500 ml (alkohol 70% + Buah 34000 0 Rp - Rp - 0 Rp - 0
43 Hand Scrub Sabun Cuci Tangan Cair +Buah 30450 0 Rp - Rp - 0 Rp - 0
44 Povidon Botol 3200 0 Rp - Rp - 0 Rp - 0
45 Alkohol swab pcs 145 0 Rp - Rp - 0 Rp - 0
46 Alat Suntik 3 ml pcs 569 0 Rp - Rp - 0 Rp - 0
47 Alat Suntik Sekali Pakai 0.5 ml biji 800 0 Rp - 100 Rp 80,000 10 Rp 8,000.00 90
48 Alkohol swab pcs 127.82 0 Rp - Rp - 0 Rp - 0
TOTAL Rp 127,820.00 Rp 932,035 Rp 538,684.27


NIP 19670906198903 1 005 NIP 1994020202020122014

PERIODE 01 JUNI - 31 JUNI

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

12)
1 amlodipin 10mg Tablet 70 230 Rp 16,100.00 100 Rp 7,000 150 Rp 10,500.00 180
2 Amoksisilin kaplet 500 mg Tablet 253 40 Rp 10,120.00 100 Rp 25,300 80 Rp 20,240.00 60
3 Rp - Rp - 0 Rp -
4 Antasida Doen Tablet Tablet 58 210 Rp 12,180.00 100 Rp 5,800 110 Rp 6,380.00 200
5 Asam Ascorbat (Vit C) tab 50 mg Tablet 105 50 Rp 5,250.00 Rp - 50 Rp 5,250.00 0
6 asam folat tab 1 mg Tablet 56 10 Rp 560.00 100 Rp 5,600 70 Rp 3,920.00 40
7 asam mefenamat Tablet 111 0 Rp - 100 Rp 11,100 50 Rp 5,550.00 50
8 betametason cream tube 1540 1 Rp 1,540.00 5 Rp 7,700 2 Rp 3,080.00 4
9 Deksametason tab 0,5 mg Tablet 34 0 Rp - 200 Rp 6,800 90 Rp 3,060.00 110
10 Domperidon tab 10 mg Tablet 91 10 Rp 910.00 Rp - 0 Rp - 10
12 Gentamisin Tetes Mata 0,3% tablet 4520 0 Rp - 5 Rp 22,600 2 Rp 9,040.00 3
13 domperidon syr 5mg/5ml botol 2700 0 Rp - Rp - 0 Rp - 0
14 Furosemid Tablet Tablet 82 40 Rp 3,280.00 Rp - 40 Rp 3,280.00 0
15 hidroklortiazid tablet 148 40 Rp 5,920.00 200 Rp 29,600 60 Rp 8,880.00 180
16 Handscoon pendek non steril no 6.5 (pasang 4272.72728 40 Rp 170,909.09 Rp - 10 Rp 42,727.27 30
17 klorfeniramin / CTM tablet 23 50 Rp 1,150.00 200 Rp 4,600 130 Rp 2,990.00 120
19 Kalsium Lactat ( Kalk ) tab 500 mg Tablet 63 0 Rp - 100 Rp 6,300 0 Rp - 100
20 Metformin 500mg Tablet 77 0 Rp - Rp - 0 Rp - 0
23 parasetamol syrup botol 1160 0 Rp - 10 Rp 11,600 10 Rp 11,600.00 0
25 parasetamol drop botol 4976 0 Rp - 20 Rp 99,520 12 Rp 59,712.00 8
27 parasetamol 500mg tablet 124.85 0 Rp - Rp - 0 Rp - 0
28 piridoxin HCL 10mg tablet 131 0 Rp - 100 Rp 13,100 40 Rp 5,240.00 60
31 sianokobalamin 50mcg tablet 49 100 Rp 4,900.00 Rp - Rp - 100
32 sianokobalamin 50mcg tablet 43 0 Rp - 200 Rp 8,600 70 Rp 3,010.00 130
33 tambah darah kombinasi tablet 226 0 Rp - 300 Rp 67,800 100 Rp 22,600.00 200
34 tiamin HCL 50mg tablet 57 260 Rp 14,820.00 200 Rp 11,400 110 Rp 6,270.00 350
35 vitamin B kompleks 50mg tablet 89 90 Rp 8,010.00 Rp - 90 Rp 8,010.00 0
36 zink tablet 208 0 Rp - Rp - 0 Rp - 0
38 Vaksin hepatitis B rekombinan inj 0,5Vial 25839 0 Rp - Rp - 0 Rp - 0
43 hand sanitizer 500 ml (alkohol 70% + Buah 34000 0 Rp - Rp - 0 Rp - 0
44 Hand Scrub Sabun Cuci Tangan Cair +Buah 30450 0 Rp - Rp - 0 Rp - 0
45 Povidon Botol 3200 0 Rp - Rp - 0 Rp - 0
46 Alkohol swab pcs 145 0 Rp - Rp - 0 Rp - 0
47 Alat Suntik 3 ml pcs 569 0 Rp - Rp - 0 Rp - 0
48 Alat Suntik Sekali Pakai 0.5 ml biji 800 90 Rp 72,000.00 Rp - 15 Rp 12,000.00 75
49 Alkohol swab pcs 127.82 0 Rp - Rp - 0 Rp - 0
TOTAL Rp 378,308.09 Rp 1,099,087 Rp 994,519.27


NIP 19670906198903 1 005 NIP 1994020202020122014

JANUARI-JUNI 2022
PEMAKAIAN
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 12) 9 = (4x8) 10 11 = (4x10) 12 13
1 amlodipin 10mg Tablet 70 120 Rp 8,400.00 1000 Rp 70,000 940 Rp 65,800.00 180 Langsung ke pasien
2 Amoksisilin kaplet 500 mg Tablet 253 10 Rp 2,530.00 200 Rp 50,600 150 Rp 37,950.00 60 Langsung ke pasien
3 Rp - 11 Rp 39,908 11 Rp 39,908.00 Langsung ke pasien
4 Antasida Doen Tablet Tablet 58 0 Rp - 700 Rp 40,600 500 Rp 29,000.00 200 Langsung ke pasien
5 Asam Ascorbat (Vit C) tab 50 mg Tablet 105 150 Rp 15,750.00 300 Rp 31,500 450 Rp 47,250.00 0 Langsung ke pasien
6 asam folat tab 1 mg Tablet 56 70 Rp 3,920.00 200 Rp 11,200 230 Rp 12,880.00 40 Langsung ke pasien
8 betametason cream tube 1540 1 Rp 1,540.00 15 Rp 23,100 12 Rp 18,480.00 4 Langsung ke pasien
9 Deksametason tab 0,5 mg Tablet 34 90 Rp 3,060.00 200 Rp 6,800 180 Rp 6,120.00 110 Langsung ke pasien
10 Domperidon tab 10 mg Tablet 91 50 Rp 4,550.00 100 Rp 9,100 140 Rp 12,740.00 10 Langsung ke pasien
11 garam oralit kombinasi sachet 257 25 Rp 6,425.00 100 Rp 25,700 125 Rp 32,125.00 0 Langsung ke pasien
12 domperidon syr 5mg/5ml botol 2700 3 Rp 8,100.00 0 Rp - 0 Rp - 3 Langsung ke pasien
13 hidroklortiazid tablet 148 0 Rp - 600 Rp 88,800 420 Rp 62,160.00 180 Langsung ke pasien
14 klorfeniramin / CTM tablet 23 20 Rp 460.00 1100 Rp 25,300 980 Rp 22,540.00 140 Langsung ke pasien
15 Kloramfenikol Salep Mata 1 % tube 2007 2 Rp 4,014.00 0 Rp - 2 Rp 4,014.00 0 Langsung ke pasien
16 Kalsium Lactat ( Kalk ) tab 500 mg Tablet 56 90 Rp 5,040.00 300 Rp 16,800 290 Rp 16,240.00 100 Langsung ke pasien
17 Metformin 500mg Tablet 77 10 Rp 770.00 0 Rp - 10 Rp 770.00 0 Langsung ke pasien
18 N-asetil sistein tab 200mg Tablet 371 40 420 Rp 155,820 390 Rp 144,690.00 70 Langsung ke pasien
19 Oksitoksin inj 10 IU/ ml - 1 ml ampul 1126 5 Rp 5,630.00 0 Rp - 5 Rp 5,630.00 0 Langsung ke pasien
20 parasetamol syrup botol 1181 0 Rp - 20 Rp 23,620 20 Rp 23,620.00 0 Langsung ke pasien
21 parasetamol drop botol 4976 10 Rp 49,760.00 55 Rp 273,680 57 Rp 283,632.00 8 Langsung ke pasien
22 parasetamol 500mg tablet 124.85 0 Rp - 800 Rp 99,880 800 Rp 99,880.00 0 Langsung ke pasien
26 sianokobalamin 50mcg tablet 43 110 Rp 4,730.00 600 Rp 25,800 580 Rp 24,940.00 130 Langsung ke pasien
27 tambah darah kombinasi tablet 226 100 Rp 22,600.00 1300 Rp 293,800 1200 Rp 271,200.00 200 Langsung ke pasien
28 tiamin HCL 50mg tablet 57 80 Rp 4,560.00 1100 Rp 62,700 830 Rp 47,310.00 350 Langsung ke pasien
29 vitamin B kompleks 50mg tablet 89 0 Rp - 1200 Rp 106,800 1200 Rp 106,800.00 0 Langsung ke pasien
30 zink tablet 208 100 Rp 20,800.00 0 Rp - 0 Rp - 100 Langsung ke pasien
31 Vaksin DPT-HB-Hib 5 dosis Vial 85103 0 Rp - 28 Rp 2,382,884 28 Rp 2,382,884.00 0 Langsung ke pasien
32 Vaksin hepatitis B rekombinan inj 0,5Vial 25839 0 Rp - 0 Rp - 0 Rp - 0 Langsung ke pasien
33 Vaksin IPV Vial 158994 0 Rp - 6 Rp 953,964 6 Rp 953,964.00 0 Langsung ke pasien
34 Vaksin MR Vial 166265 0 Rp - 7 Rp 1,163,855 7 Rp 1,163,855.00 0 Langsung ke pasien
36 hand sanitizer 500 ml (alkohol 70% + Buah 34000 0 Rp - 2 Rp 68,000 2 Rp 68,000.00 0 Langsung ke pasien
37 Hand Scrub Sabun Cuci Tangan Cair +Buah 30450 0 Rp - 1 Rp 30,450 1 Rp 30,450.00 0 Langsung ke pasien
38 Povidon Botol 3200 2 Rp 6,400.00 0 Rp - 2 Rp 6,400.00 0 Langsung ke pasien
39 Alkohol swab pcs 145 0 Rp - 200 Rp 29,000 200 Rp 29,000.00 0 Langsung ke pasien
40 Alat Suntik 3 ml pcs 569 0 64 Rp 36,600 64 Rp 36,416.00 0 Langsung ke pasien
41 Alkohol swab pcs 127.82 0 Rp - 200 Rp 25,564 200 Rp 25,564.00 0 Langsung ke pasien
44 sianokobalamin 50mcg tablet 49 0 Rp - 100 Rp 4,900 0 Rp - 100
45 Parasetamol tab 500 mg tablet 97.9 0 Rp - 800 Rp 78,320 360 Rp 35,244.00 440
46 parasetamol syrup botol 1160 0 Rp - 20 Rp 23,200 20 Rp 23,200.00 0
47 Handscoon pendek non steril no 6.5 (pasang 4272.72728 0 Rp - 50 Rp 213,636 20 Rp 85,454.55 30
49 Gentamisin TM tube 4520 0 Rp - 8 Rp 36,160 5 Rp 22,600.00 3
TOTAL Rp 186,499.00 Rp 7,039,791 Rp 6,723,724.55

NIP 19670906198903 1 005 NIP 1994020202020122014

PERIODE MARET 2022 1,043,871.00
PERIODE APRIL 2022 Rp867,193.000
PERIODE MEI 2022 Rp932,035
REKAP DISTRIBUSI PER UNIT DIENG

PEMAKAIAN
HARGA STOCK NILAI STOCK AWAL PENERIM SISA
NO NAMA OBAT SATUAN Peneriman x Harga
SATUAN AWAL (Rp) AAN RESEP NILAI (Rp) NON-RESEP Nilai (Rp) STOCK
rupiah
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 9 = (4x8) 10 11 = (4x10) 12
12)
1 Acyclovir cream tablet 2531.5862 0 Rp - Rp - 0 Rp - 0
2 Acyclovir tab 400mg tablet 405 0 Rp - Rp - 0 Rp - 0
3 Alopurinol tab 100 mg tablet 87 0 Rp - Rp - 0 Rp - 0
4 alopurinol tab 300mg tablet 210 0 Rp - Rp - 0 Rp - 0
5 amlodipin tab 10mg tablet 70 20 Rp 1,400.00 100 Rp 7,000 90 Rp 6,300.00 30
6 amlodipin tab 5 mg tablet 53 50 Rp 2,650.00 Rp - 50 Rp 2,650.00 0
7 Amoksisilin kaplet 500 mg tablet 253 15 Rp 3,795.00 200 Rp 50,600 165 Rp 41,745.00 50
8 Amoksisilin syr kering 250mg/5ml tablet 3628 0 Rp - 5 Rp 18,140 3 Rp 10,884.00 2
9 Antasida DOEN tablet tablet 54 50 Rp 2,700.00 Rp - 30 Rp 1,620.00 20
10 Antasida DOEN Suspensi tablet 1679 0 Rp - 5 Rp 8,395 4 Rp 6,716.00 1
11 Asam Ascorbat (Vit C) tab 250 mg tablet 119 0 Rp - Rp - 0 Rp - 0
12 Asam Ascorbat (Vit C) tab 50 mg tablet 105 210 Rp 22,050.00 Rp - 150 Rp 15,750.00 60
13 asam asetilsalisilat tab (asetosal) 80mg tablet 105 0 Rp - Rp - 0 Rp - 0
14 asam folat tab 1 mg tablet 56 0 Rp - Rp - 0 Rp - 0
15 Asam Mefenamat tab 500 mg tablet 111 0 Rp - Rp - 0 Rp - 0
16 Attapulgit (Antidiare) tab tablet 145 0 Rp - 200 Rp 29,000 20 Rp 2,900.00 180
17 Betametason cream 0,05 % Tube 1430 0 Rp - Rp - 0 Rp - 0
18 cetirizine tab 10mg tablet 49 0 Rp - Rp - 0 Rp - 0
19 Deksametason tab 0,5 mg tablet 34 0 Rp - Rp - 0 Rp - 0
20 domperidon syr 5mg/5ml Botol 2700 0 Rp - Rp - 0 Rp - 0
21 Domperidon tab 10 mg tablet 90 0 Rp - Rp - 0 Rp - 0
22 Furosemid tab 40 mg tablet 82 70 Rp 5,740.00 Rp - 60 Rp 4,920.00 10
23 Garam oralit kombinasi sachet 257 0 Rp - Rp - 0 Rp - 0
24 Gentamisin Tetes Mata 0,3% tube 4232 0 Rp - Rp - 0 Rp - 0
25 Glimepiride tab 2 mg tablet 123 0 Rp - Rp - 0 Rp - 0
26 hand sanitizer 500 ml (alkohol 70% + chlorhexibuah 34000 0 Rp - 2 Rp 68,000 2 Rp 68,000.00 0
27 Hand Scrub Sabun Cuci Tangan Cair + clorhexidbuah 30450 0 Rp - 1 Rp 30,450 1 Rp 30,450.00 0
28 Hidroklorotiazid ( HCT ) tab 25 mg tablet 148 50 Rp 7,400.00 Rp - 40 Rp 5,920.00 10
29 Hidrokortison cream 2,5 % Tube 2475 0 Rp - Rp - 0 Rp - 0
30 ibuprofen Suspensi 100mg/5ml Botol 2721 0 Rp - Rp - 0 Rp - 0
31 Kalsium Glukonas inj ampul 10351 0 Rp - Rp - 0 Rp - 0
32 Kalsium Lactat ( Kalk ) tab 500 mg tablet 63 10 Rp 630.00 100 Rp 6,300 70 Rp 4,410.00 40
33 Kaptopril tab 25 mg tablet 75 15 Rp 1,125.00 100 Rp 7,500 35 Rp 2,625.00 80
34 Kloramfenikol Salep Mata 1 % Tube 2007 0 Rp - 0 Rp - 0
35 Kloramfenikol SK Tube 3266 0 Rp - Rp - 0 Rp - 0
36 Klorfeniramin Maleat ( CTM ) tab 4 mg tablet 23 20 Rp 460.00 100 Rp 2,300 40 Rp 920.00 80
37 Kotrimoksasol Syr 240mg/5ml - 60ml Botol 2190 0 Rp - Rp - 0 Rp - 0
38 Lidokain + epineprin inj ampul 1229 0 Rp - Rp - 0 Rp - 0
39 Metformin 500mg tablet 77 50 Rp 3,850.00 Rp - 50 Rp 3,850.00 0
40 metilprednisolon tab 4 mg tablet 102 0 Rp - Rp - 0 Rp - 0
41 N-asetil sistein tab 200mg tablet 373 25 Rp 9,325.00 Rp - 25 Rp 9,325.00 0
42 Natrium Diklofenak tab 25mg tablet 128 0 Rp - Rp - 0 Rp - 0
43 Natrium Diklofenak tab 50 mg tablet 99 0 Rp - Rp - 0 Rp - 0
45 omeprazole kapsul 20mg tablet 129 0 Rp - Rp - 0 Rp - 0
46 Ondansetron tab 8 mg tablet 270 0 Rp - Rp - 0 Rp - 0
47 Parasetamol drop Botol 4976 0 Rp - 10 Rp 49,760 10 Rp 49,760.00 0
48 Parasetamol syr 120mg/5ml Botol 1181 0 Rp - 10 Rp 11,810 10 Rp 11,810.00 0
50 Parasetamol tab 500 mg tablet 124.85 0 Rp - Rp - -30 -Rp 3,745.50 30
51 Piridoxin HCL (vit B 6) tab 10 mg tablet 131 0 Rp - Rp - 0 Rp - 0
52 Prednison tab 5 mg tablet 73 0 Rp - 100 Rp 7,300 100 Rp 7,300.00 0
53 Retinol 100.000 UI tablet 306 0 Rp - 50 Rp 15,300 50 Rp 15,300.00 0
55 Sianokobalamin (B 12) tab 50mcg tablet 43 0 Rp - 200 Rp 8,600 150 Rp 6,450.00 50
56 simvastatin tab 10mg tablet 68 0 Rp - 100 Rp 6,800 70 Rp 4,760.00 30
57 Tambah darah kombinasi ( ferro fumarat 60 mgtablet 226 70 Rp 15,820.00 Rp - 70 Rp 15,820.00 0
58 Tiamin HCL (B 1) tab 50 mg tablet 57 0 Rp - 200 Rp 11,400 90 Rp 5,130.00 110
59 Vaksin BCG inj 20 DOSIS Vial 97780 0 Rp - Rp - 0 Rp - 0
60 Vaksin DPT-HB-Hib 5 dosis Vial 85103 0 Rp - Rp - 0 Rp - 0
61 Vaksin hepatitis B rekombinan inj 0,5 ml (AnakVial 25839 0 Rp - 11 Rp 284,229 11 Rp 284,229.00 0
62 Vaksin IPV Vial 158994 0 Rp - Rp - 0 Rp - 0
65 Vaksin Tetanus (Td) Vial 18128 0 Rp - 2 Rp 36,256 2 Rp 36,256.00 0
66 Vitamin B kompleks tab tablet 89 30 Rp 2,670.00 200 Rp 17,800 170 Rp 15,130.00 60
67 Zinc drops 10 mg/ml Botol 5051 0 Rp - Rp - 0 Rp - 0
68 Zink Sirup 20mg/5 ml Botol 3171 0 Rp - Rp - 0 Rp - 0
69 Zink tab tablet 208 0 Rp - Rp - 0 Rp - 0
TOTAL Rp 86,468.00 Rp 916,149 Rp 911,288.50 0


NIP 19670906198903 1 005 NIP 1994020202020122014


PEMAKAIAN
rupiah
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 9 = (4x8) 10 11 = (4x10) 12
12)
5 amlodipin tab 10mg tablet 70 30 Rp 2,100.00 Rp - 0 Rp - 30
6 amlodipin tab 5 mg tablet 53 0 Rp - Rp - 0 Rp - 0
7 Amoksisilin kaplet 500 mg tablet 253 50 Rp 12,650.00 Rp - 0 Rp - 50
8 Amoksisilin syr kering 250mg/5ml tablet 3628 2 Rp 7,256.00 Rp - 0 Rp - 2
9 Antasida DOEN tablet tablet 54 20 Rp 1,080.00 Rp - 0 Rp - 20
10 Antasida DOEN Suspensi tablet 1679 1 Rp 1,679.00 Rp - 0 Rp - 1
15 Asam Mefenamat tab 500 mg tablet 111 0 Rp - 100 Rp 11,100 50 Rp 5,550.00 50
16 Attapulgit (Antidiare) tab tablet 145 180 Rp 26,100.00 Rp - 0 Rp - 180
19 Deksametason tab 0,5 mg tablet 34 0 Rp - 100 Rp 3,400 40 Rp 1,360.00 60
22 Furosemid tab 40 mg tablet 82 10 Rp 820.00 Rp - 10 Rp 820.00 10
26 hand sanitizer 500 ml (alkohol 70% + chlorhexibuah 34000 0 Rp - Rp - 0 Rp - 0
27 Hand Scrub Sabun Cuci Tangan Cair + clorhexidbuah 30450 0 Rp - Rp - 0 Rp - 0
28 Hidroklorotiazid ( HCT ) tab 25 mg tablet 148 10 Rp 1,480.00 Rp - 0 Rp - 0
32 Kalsium Lactat ( Kalk ) tab 500 mg tablet 63 40 Rp 2,520.00 Rp - 20 Rp 1,260.00 20
33 Kaptopril tab 25 mg tablet 75 80 Rp 6,000.00 Rp - 20 Rp 1,500.00 60
35 Kloramfenikol SK Tube 3266 0 Rp - Rp - 0 Rp - 0
36 Klorfeniramin Maleat ( CTM ) tab 4 mg tablet 23 80 Rp 1,840.00 100 Rp 2,300 100 Rp 2,300.00 80
39 Metformin 500mg tablet 77 0 Rp - Rp - 0 Rp - 0
41 N-asetil sistein tab 200mg tablet 373 0 Rp - Rp - 0 Rp - 0
47 Parasetamol drop Botol 4976 0 Rp - Rp - 0 Rp - 0
48 Parasetamol syr 120mg/5ml Botol 1181 0 Rp - Rp - 0 Rp - 0
49 Parasetamol tab 500 mg tablet 97.9 20 Rp 1,958.00 Rp - 20 Rp 1,958.00 0
52 Prednison tab 5 mg tablet 73 0 Rp - Rp - 0 Rp - 0
53 Retinol 100.000 UI tablet 306 0 Rp - Rp - 0 Rp - 0
55 Sianokobalamin (B 12) tab 50mcg tablet 43 50 Rp 2,150.00 Rp - 0 Rp - 50
56 simvastatin tab 10mg tablet 68 30 Rp 2,040.00 Rp - 0 Rp - 30
57 Tambah darah kombinasi ( ferro fumarat 60 mgtablet 226 0 Rp - 100 Rp 22,600 50 Rp 11,300.00 50
58 Tiamin HCL (B 1) tab 50 mg tablet 57 110 Rp 6,270.00 Rp - 50 Rp 2,850.00 60
61 Vaksin hepatitis B rekombinan inj 0,5 ml (AnakVial 25839 0 Rp - Rp - 0 Rp - 0
65 Vaksin Tetanus (Td) Vial 18128 0 Rp - Rp - 0 Rp - 0
66 Vitamin B kompleks tab tablet 89 60 Rp 5,340.00 Rp - 0 Rp - 60
TOTAL Rp 91,328.50 Rp 460,974 Rp 456,317.50


NIP 19670906198903 1 005 NIP 1994020202020122014

PERIODE APRIL
PEMAKAIAN
rupiah
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 12) 9 = (4x8) 10 11 = (4x10) 12
1 Acyclovir cream tablet 2531.5862 0 Rp - Rp - 0 Rp - Err:522

2 Acyclovir tab 400mg tablet 405 0 Rp - Rp - 0 Rp - Err:522
3 Alopurinol tab 100 mg tablet 87 0 Rp - Rp - 0 Rp - Err:522
4 alopurinol tab 300mg tablet 210 0 Rp - Rp - 0 Rp - Err:522
5 amlodipin tab 10mg tablet 70 30 Rp 2,100.00 Rp - 20 Rp 1,400.00 10
7 Amoksisilin kaplet 500 mg tablet 253 50 Rp 12,650.00 Rp - 20 Rp 5,060.00 30
8 Amoksisilin syr kering 250mg/5ml tablet 3628 2 Rp 7,256.00 Rp - 1 Rp 3,628.00 1
10 Antasida DOEN Suspensi tablet 1679 1 Rp 1,679.00 Rp - 1 Rp 1,679.00 0
11 Asam Ascorbat (Vit C) tab 250 mg tablet 119 0 Rp - Rp - 0 Rp - Err:522
12 Asam Ascorbat (Vit C) tab 50 mg tablet 105 40 Rp 4,200.00 200 Rp 21,000 40 Rp 4,200.00 200
13 asam asetilsalisilat tab (asetosal) 80mg tablet 105 0 Rp - Rp - 0 Rp - Err:522
14 asam folat tab 1 mg tablet 56 0 Rp - Rp - 0 Rp - Err:522
15 Asam Mefenamat tab 500 mg tablet 111 50 Rp 5,550.00 Rp - 30 Rp 3,330.00 20
16 Attapulgit (Antidiare) tab tablet 145 180 Rp 26,100.00 Rp - 20 Rp 2,900.00 160
17 Betametason cream 0,05 % Tube 1430 0 Rp - Rp - 0 Rp - Err:522
18 cetirizine tab 10mg tablet 49 0 Rp - Rp - 0 Rp - Err:522
19 Deksametason tab 0,5 mg tablet 34 60 Rp 2,040.00 100 Rp 3,400 60 Rp 2,040.00 100
20 domperidon syr 5mg/5ml Botol 2700 0 Rp - Rp - 0 Rp - Err:522
21 Domperidon tab 10 mg tablet 90 0 Rp - Rp - 0 Rp - Err:522
22 Furosemid tab 40 mg tablet 82 10 Rp 820.00 Rp - 10 Rp 820.00 0
24 Gentamisin Tetes Mata 0,3% tube 4232 0 Rp - Rp - 0 Rp - Err:522
25 Glimepiride tab 2 mg tablet 123 0 Rp - Rp - 0 Rp - Err:522
26 hand sanitizer 500 ml (alkohol 70% + chlorhexibuah 34000 0 Rp - Rp - 0 Rp - Err:522
27 Hand Scrub Sabun Cuci Tangan Cair + clorhexidbuah 30450 0 Rp - Rp - 0 Rp - Err:522
28 Hidroklorotiazid ( HCT ) tab 25 mg tablet 148 0 Rp - Rp - 0 Rp - 0
29 Hidrokortison cream 2,5 % Tube 2475 0 Rp - Rp - 0 Rp - Err:522
30 ibuprofen Suspensi 100mg/5ml Botol 2721 0 Rp - Rp - 0 Rp - Err:522
31 Kalsium Glukonas inj ampul 10351 0 Rp - Rp - 0 Rp - Err:522
34 Kloramfenikol Salep Mata 1 % Tube 2007 0 Rp - 0 Rp - Err:522
35 Kloramfenikol SK Tube 3266 0 Rp - Rp - 0 Rp - Err:522
36 Klorfeniramin Maleat ( CTM ) tab 4 mg tablet 23 80 Rp 1,840.00 Rp - 40 Rp 920.00 40
37 Kotrimoksasol Syr 240mg/5ml - 60ml Botol 2190 0 Rp - Rp - 0 Rp - Err:522
38 Lidokain + epineprin inj ampul 1229 0 Rp - Rp - 0 Rp - Err:522
39 Metformin 500mg tablet 77 0 Rp - Rp - 0 Rp - Err:522
40 metilprednisolon tab 4 mg tablet 102 0 Rp - Rp - 0 Rp - Err:522
41 N-asetil sistein tab 200mg tablet 301 0 Rp - 120 Rp 36,120 110 Rp 33,110.00 10
42 N-asetil sistein tab 200mg tablet 373 0 Rp - Rp - 0 Rp - Err:522
43 Natrium Diklofenak tab 25mg tablet 128 0 Rp - Rp - 0 Rp - Err:522
44 Natrium Diklofenak tab 50 mg tablet 99 0 Rp - 200 Rp 19,800 50 Rp 4,950.00 150
45 Oksitoksin inj 10 IU/ ml - 1 ml ampul 1199 0 Rp - Rp - 0 Rp - Err:522
46 omeprazole kapsul 20mg tablet 129 0 Rp - Rp - 0 Rp - Err:522
47 Ondansetron tab 8 mg tablet 270 0 Rp - Rp - 0 Rp - Err:522
49 Parasetamol syr 120mg/5ml Botol 1181 0 Rp - Rp - 0 Rp - Err:522
51 Parasetamol tab 500 mg tablet 124.85 0 Rp - Rp - 0 Rp - 0
52 Piridoxin HCL (vit B 6) tab 10 mg tablet 131 0 Rp - Rp - 0 Rp - Err:522
53 Prednison tab 5 mg tablet 73 0 Rp - Rp - 0 Rp - Err:522
54 Retinol 100.000 UI tablet 306 0 Rp - Rp - 0 Rp - Err:522
57 Sianokobalamin (B 12) tab 50mcg tablet 43 50 Rp 2,150.00 Rp - 0 Rp - Err:522
58 simvastatin tab 10mg tablet 68 30 Rp 2,040.00 Rp - 0 Rp - Err:522
59 Tambah darah kombinasi ( ferro fumarat 60 mgtablet 226 50 Rp 11,300.00 Rp - 50 Rp 11,300.00 0
61 Vaksin BCG inj 20 DOSIS Vial 97780 0 Rp - Rp - 0 Rp - Err:522
62 Vaksin DPT-HB-Hib 5 dosis Vial 85103 0 Rp - 2 Rp 170,206 2 Rp 170,206.00 Err:522
63 Vaksin hepatitis B rekombinan inj 0,5 ml (AnakVial 25839 0 Rp - Rp - 0 Rp - Err:522
65 Vaksin MR Vial 166265 0 Rp - 1 Rp 166,265 1 Rp 166,265.00 Err:522
68 Vaksin Tetanus (Td) Vial 18128 0 Rp - Rp - 0 Rp - Err:522
69 Vitamin B kompleks tab tablet 89 60 Rp 5,340.00 100 Rp 8,900 100 Rp 8,900.00 Err:522
70 Zinc drops 10 mg/ml Botol 5051 0 Rp - Rp - 0 Rp - Err:522
71 Zink Sirup 20mg/5 ml Botol 3171 0 Rp - Rp - 0 Rp - Err:522
72 Zink tab tablet 208 0 Rp - Rp - 0 Rp - Err:522
TOTAL Rp 26,090.00 Rp 741,342.00 Rp 709,276.00
Wonosobo, 30 APRIL 2022


NIP 19670906198903 1 005 NIP 1994020202020122014
PERIODE MEI
PEMAKAIAN
rupiah
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 12) 9 = (4x8) 10 11 = (4x10) 12

5 amlodipin tab 10mg tablet 70 10 Rp 700.00 Rp - 10 Rp 700.00 0
8 Amoksisilin syr kering 250mg/5ml tablet 3628 1 Rp 3,628.00 Rp - 1 Rp 3,628.00 0
9 Antasida DOEN tablet tablet 54 0 Rp - Rp - 0 Rp - 0
10 Antasida DOEN Suspensi tablet 1679 0 Rp - Rp - 0 Rp - 0
11 Asam Ascorbat (Vit C) tab 250 mg tablet 119 0 Rp - Rp - 0 Rp - Err:522
19 Deksametason tab 0,5 mg tablet 34 100 Rp 3,400.00 Rp - 20 Rp 680.00 80
22 Furosemid tab 40 mg tablet 82 0 Rp - Rp - 0 Rp - 0
32 Kalsium Lactat ( Kalk ) tab 500 mg tablet 63 0 Rp - Rp - 0 Rp - 0
34 Kloramfenikol Salep Mata 1 % Tube 2007 0 Rp - Rp - 0 Rp - Err:522
36 Klorfeniramin Maleat ( CTM ) tab 4 mg tablet 23 40 Rp 920.00 Rp - 40 Rp 920.00 0
44 Natrium Diklofenak tab 50 mg tablet 99 150 Rp 14,850.00 Rp - 25 Rp 2,475.00 125
48 Parasetamol drop Botol 4976 2 Rp 9,952.00 Rp - 2 Rp 9,952.00 0
52 Piridoxin HCL (vit B 6) tab 10 mg tablet 131 0 Rp - Rp - 0 Rp - Err:522
56 Sianokobalamin (B 12) tab 50mcg tablet 49 130 Rp 6,370.00 Rp - 40 Rp 1,960.00 90
57 Sianokobalamin (B 12) tab 50mcg tablet 43 0 Rp - Rp - 0 Rp - Err:522
58 simvastatin tab 10mg tablet 68 0 Rp - Rp - 0 Rp - Err:522
59 Tambah darah kombinasi ( ferro fumarat 60 mgtablet 226 0 Rp - Rp - 0 Rp - 0
65 Vaksin MR Vial 166265 0 Rp - Rp - Rp - 0
68 Vitamin B kompleks tab tablet 89 0 Rp - 100 Rp 8,900 40 Rp 3,560.00 60
TOTAL Rp 45,623.00 Rp 274,491.00 Rp 376,692.00
Wonosobo, 31 mei 2022


NIP 19670906198903 1 005 NIP 1994020202020122014
PERIODE JUNI
PEMAKAIAN
rupiah
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 12) 9 = (4x8) 10 11 = (4x10) 12

5 amlodipin tab 10mg tablet 70 0 Rp - Rp - 0 Rp - 0
8 Amoksisilin syr kering 250mg/5ml tablet 3628 0 Rp - Rp - 0 Rp - 0
10 Antasida DOEN tablet tablet 58 0 Rp - 200 Rp 11,600 Rp - 200
11 Antasida DOEN Suspensi tablet 1679 0 Rp - Rp - 0 Rp - 0
12 Asam Ascorbat (Vit C) tab 250 mg tablet 119 0 Rp - 200 Rp 23,800 0 Rp - Err:522
20 Deksametason tab 0,5 mg tablet 34 80 Rp 2,720.00 Rp - 20 Rp 680.00 60
35 Kaptopril tab 12,5 mg vial 66 0 Rp - 100 Rp 6,600 Rp - 100
36 Kloramfenikol Salep Mata 1 % Tube 2007 0 Rp - Rp - 0 Rp - Err:522
38 Klorfeniramin Maleat ( CTM ) tab 4 mg tablet 23 0 Rp - Rp - 0 Rp - 0
54 Piridoxin HCL (vit B 6) tab 10 mg tablet 131 0 Rp - 200 Rp 26,200 0 Rp - Err:522
59 Sianokobalamin (B 12) tab 50mcg tablet 43 0 Rp - 200 Rp 8,600 0 Rp - Err:522
60 simvastatin tab 10mg tablet 68 0 Rp - Rp - 0 Rp - Err:522
61 Tambah darah kombinasi ( ferro fumarat 60 mgtablet 226 0 Rp - Rp - 0 Rp - 0
62 Tiamin HCL (B 1) tab 50 mg tablet 57 0 Rp - Rp - 0 Rp - 0
70 Vitamin B kompleks tab tablet 89 60 Rp 5,340.00 Rp - 40 Rp 3,560.00 20
TOTAL 0 Rp 27,020.00 Rp 373,071.00 Rp 287,982.00 0


NIP 19670906198903 1 005 NIP 1994020202020122014
JANUARI-JUNI 2022
PEMAKAIAN
rupiah
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 9 = (4x8) 10 11 = (4x10) 12
12)
1 Acyclovir cream tablet 2531.5862 0 Rp - 0 Rp - 0 Rp - 0
2 Acyclovir tab 400mg tablet 405 0 Rp - 0 Rp - 0 Rp - 0
3 Alopurinol tab 100 mg tablet 87 0 Rp - 0 Rp - 0 Rp - 0
4 alopurinol tab 300mg tablet 210 0 Rp - 0 Rp - 0 Rp - 0
6 amlodipin tab 5 mg tablet 53 50 Rp 2,650.00 0 Rp - 50 Rp 2,650.00 0
8 Amoksisilin syr kering 250mg/5ml tablet 3628 0 Rp - 5 Rp 18,140 5 Rp 18,140.00 0
9 Antasida DOEN tablet tablet 54 50 Rp 2,700.00 0 Rp - 50 Rp 2,700.00 0
10 Antasida DOEN Suspensi tablet 1679 0 Rp - 5 Rp 8,395 5 Rp 8,395.00 0
11 Asam Ascorbat (Vit C) tab 250 mg tablet 119 0 Rp - 200 Rp 23,800 200 Rp 23,800.00 0
13 asam asetilsalisilat tab (asetosal) 80mg tablet 105 0 Rp - 0 Rp - 0 Rp - 0
14 asam folat tab 1 mg tablet 56 0 Rp - 0 Rp - 0 Rp - 0
17 Betametason cream 0,05 % Tube 1430 0 Rp - 0 Rp - 0 Rp - 0
18 cetirizine tab 10mg tablet 49 0 Rp - 0 Rp - 0 Rp - 0
20 domperidon syr 5mg/5ml Botol 2700 0 Rp - 0 Rp - 0 Rp - 0
21 Domperidon tab 10 mg tablet 90 0 Rp - 0 Rp - 0 Rp - 0
22 Furosemid tab 40 mg tablet 82 70 Rp 5,740.00 0 Rp - 70 Rp 5,740.00 0
23 Garam oralit kombinasi sachet 257 0 Rp - 0 Rp - 0 Rp - 0
24 Gentamisin Tetes Mata 0,3% tube 4232 0 Rp - 0 Rp - 0 Rp - 0
25 Glimepiride tab 2 mg tablet 123 0 Rp - 0 Rp - 0 Rp - 0
26 hand sanitizer 500 ml (alkohol 70% + chlorhexibuah 34000 0 Rp - 2 Rp 68,000 2 Rp 68,000.00 0
27 Hand Scrub Sabun Cuci Tangan Cair + clorhexidbuah 30450 0 Rp - 1 Rp 30,450 1 Rp 30,450.00 0
28 Hidroklorotiazid ( HCT ) tab 25 mg tablet 148 50 Rp 7,400.00 0 Rp - 50 Rp 7,400.00 0
29 Hidrokortison cream 2,5 % Tube 2475 0 Rp - 0 Rp - 0 Rp - 0
30 ibuprofen Suspensi 100mg/5ml Botol 2721 0 Rp - 0 Rp - 0 Rp - 0
31 Kalsium Glukonas inj ampul 10351 0 Rp - 0 Rp - 0 Rp - 0
32 Kalsium Lactat ( Kalk ) tab 500 mg tablet 63 10 Rp 630.00 100 Rp 6,300 110 Rp 6,930.00 0
34 Kloramfenikol Salep Mata 1 % Tube 2007 0 0 Rp - 0 Rp - 0
35 Kloramfenikol SK Tube 3266 0 Rp - 0 Rp - 0 Rp - 0
36 Klorfeniramin Maleat ( CTM ) tab 4 mg tablet 23 20 Rp 460.00 200 Rp 4,600 220 Rp 5,060.00 0
37 Kotrimoksasol Syr 240mg/5ml - 60ml Botol 2190 0 Rp - 0 Rp - 0 Rp - 0
38 Lidokain + epineprin inj ampul 1229 0 Rp - 0 Rp - 0 Rp - 0
39 Metformin 500mg tablet 77 50 Rp 3,850.00 0 Rp - 50 Rp 3,850.00 0
40 metilprednisolon tab 4 mg tablet 102 0 Rp - 0 Rp - 0 Rp - 0
41 N-asetil sistein tab 200mg tablet 373 25 Rp 9,325.00 0 Rp - 25 Rp 9,325.00 0
42 Natrium Diklofenak tab 25mg tablet 128 0 Rp - 0 Rp - 0 Rp - 0
44 Oksitoksin inj 10 IU/ ml - 1 ml ampul 1199 0 Rp - 0 Rp - 0 Rp - 0
45 omeprazole kapsul 20mg tablet 129 0 Rp - 0 Rp - 0 Rp - 0
46 Ondansetron tab 8 mg tablet 270 0 Rp - 0 Rp - 0 Rp - 0
50 Parasetamol tab 500 mg tablet 124.85 0 Rp - 0 Rp - 0 Rp - 0
51 Piridoxin HCL (vit B 6) tab 10 mg tablet 131 0 Rp - 200 Rp 26,200 200 Rp 26,200.00 0
56 simvastatin tab 10mg tablet 68 0 Rp - 100 Rp 6,800 100 Rp 6,800.00 0
57 Tambah darah kombinasi ( ferro fumarat 60 mgtablet 226 70 Rp 15,820.00 100 Rp 22,600 170 Rp 38,420.00 0
59 Vaksin BCG inj 20 DOSIS Vial 97780 0 Rp - 0 Rp - 0 Rp - 0
61 Vaksin hepatitis B rekombinan inj 0,5 ml (AnakVial 25839 0 Rp - 11 Rp 284,229 11 Rp 284,229.00 0
65 Vaksin Tetanus (Td) Vial 18128 0 Rp - 2 Rp 36,256 2 Rp 36,256.00 0
67 Zinc drops 10 mg/ml Botol 5051 0 Rp - 0 Rp - 0 Rp - 0
68 Zink Sirup 20mg/5 ml Botol 3171 0 Rp - 0 Rp - 0 Rp - 0
69 Zink tab tablet 208 0 Rp - 0 Rp - 0 Rp - 0
73 Kaptopril tab 12,5 mg vial 66 0 Rp - 100 Rp 6,600 0 Rp - 100
74 Antasida DOEN tablet tablet 58 0 Rp - 200 Rp 11,600 0 Rp - 200
TOTAL Rp 86,468.00 Rp 2,766,027.00 Rp 2,741,556.00


NIP 19670906198903 1 005 NIP 1994020202020122014
PERIODE JANUARI-FEBUARI 2022 Rp916,149.00000
PERIODE MARET 2022 460,974.00
PERIODE JUNI 2022 Rp373,071
KET.
13
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obo, 28 Febuari 2022

ngelola Farmasi
m Palupi, S. Farm., Apt

94020202020122014
KET.
13
sobo, 31 maret 2022

ngelola Farmasi

94020202020122014
KET.
13
obo, 30 APRIL 2022

ngelola Farmasi

94020202020122014
KET.
13
osobo, 31 mei 2022

ngelola Farmasi

94020202020122014
KET.
13
sobo, 30 Juni 2022

ngelola Farmasi

94020202020122014
KET.
13
Langsung Ke pasien
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sobo, 30 Juni 2022

ngelola Farmasi

94020202020122014
REKAP DISTRIBUSI PER UNIT PKD PARIKESIT

PEMAKAIAN
NAMA OBAT SATUAN HARGA STOCK NILAI STOCK PENERIM SISA
SATUAN AWAL AWAL (Rp) AAN Peneriman x RESEP NILAI (Rp) NON-RESEP Nilai (Rp) STOCK
Harga rupiah
8 = (5+7-
2 3 4 5 6 = (4x5) 7 12) 9 = (4x8) 10 11 = (4x10) 12
Acyclovir cream tablet 2531.5862 0 Rp - Rp - 0 Rp -

Acyclovir tab 400mg tablet 405 0 Rp - Rp - 0 Rp -
Alopurinol tab 100 mg tablet 87 0 Rp - Rp - 0 Rp -
alopurinol tab 300mg tablet 210 0 Rp - Rp - 0 Rp -
amlodipin tab 10mg tablet 99 0 Rp - 200 Rp 19,800 0 Rp - 200
amlodipin tab 5 mg tablet 53 20 Rp 1,060.00 300 Rp 15,900 210 Rp 11,130.00 110
Amoksisilin kaplet 500 mg tablet 253 80 Rp 20,240.00 Rp - 60 Rp 15,180.00 20
Amoksisilin syr kering 250mg/5ml Botol 3628 0 Rp - Rp - 0 Rp -
Antasida DOEN tablet tablet 54 80 Rp 4,320.00 Rp - 30 Rp 1,620.00 50
Antasida DOEN Suspensi Botol 1679 0 Rp - Rp - 0 Rp -
Asam Ascorbat (Vit C) tab 250 mg tablet 119 0 Rp - Rp - 0 Rp -
Asam Ascorbat (Vit C) tab 50 mg tablet 105 0 Rp - 600 Rp 63,000 470 Rp 49,350.00 130
asam asetilsalisilat tab (asetosal) 80mg tablet 105 0 Rp - Rp - 0 Rp -
asam folat tab 1 mg tablet 56 20 Rp 1,120.00 Rp - 20 Rp 1,120.00
Asam Mefenamat tab 500 mg tablet 111 0 Rp - 100 Rp 11,100 100 Rp 11,100.00
Attapulgit (Antidiare) tab tablet 145 0 Rp - Rp - 0 Rp -
Betametason cream 0,05 % Tube 1430 1 Rp 1,430.00 Rp - 1 Rp 1,430.00
cetirizine tab 10mg tablet 49 0 Rp - 100 Rp 4,900 100 Rp 4,900.00
Deksametason tab 0,5 mg tablet 34 15 Rp 510.00 Rp - 15 Rp 510.00
domperidon syr 5mg/5ml Botol 2700 0 Rp - Rp - 0 Rp -
Domperidon tab 10 mg tablet 90 0 Rp - Rp - 0 Rp -
Furosemid tab 40 mg tablet 82 0 Rp - Rp - 0 Rp -
Garam oralit kombinasi sachet 257 0 Rp - Rp - 0 Rp -
Gentamisin Tetes Mata 0,3% tube 4520 0 Rp - 5 Rp 22,600 5 Rp 22,600.00 0
hand sanitizer 500 ml (alkohol 70% + chlorheBuah 34000 0 Rp - 2 Rp 68,000 2 Rp 68,000.00 0
Hand Scrub Sabun Cuci Tangan Cair + clorhebuah 30450 0 Rp - 1 Rp 30,450 1 Rp 30,450.00 0
Hidroklorotiazid ( HCT ) tab 25 mg buah 148 0 Rp - Rp - 0 Rp -
Hidrokortison cream 2,5 % Tube 2475 0 Rp - Rp - 0 Rp -
ibuprofen Suspensi 100mg/5ml Botol 2721 0 Rp - Rp - 0 Rp -
Kalsium Glukonas inj ampul 10351 0 Rp - Rp - 0 Rp -
Kalsium Lactat ( Kalk ) tab 500 mg tablet 63 10 Rp 630.00 300 Rp 18,900 310 Rp 19,530.00
Kaptopril tab 25 mg tablet 75 20 Rp 1,500.00 100 Rp 7,500 30 Rp 2,250.00 90
Kloramfenikol Salep Mata 1 % tube 2007 0 Rp - Rp - 0 Rp -
Klorfeniramin Maleat ( CTM ) tab 4 mg tablet 23 15 Rp 345.00 100 Rp 2,300 115 Rp 2,645.00 0
Kotrimoksasol Syr 240mg/5ml - 60ml Botol 2190 0 Rp - Rp - 0 Rp -
Lidokain + epineprin inj ampul 1229 0 Rp - Rp - 0 Rp -
Metformin 500mg tablet 77 40 Rp 3,080.00 Rp - 40 Rp 3,080.00
metilprednisolon tab 4 mg tablet 102 0 100 Rp 10,200 100 Rp 10,200.00
N-asetil sistein tab 200mg tablet 350 10 Rp 3,500.00 200 Rp 70,000 160 Rp 56,000.00 50
Natrium Diklofenak tab 25mg tablet 128 100 Rp 12,800.00 Rp - 80 Rp 10,240.00 20
Natrium Diklofenak tab 50 mg tablet 99 0 Rp - 200 Rp 19,800 200 Rp 19,800.00 0
Oksitoksin inj 10 IU/ ml - 1 ml ampul 1199 0 Rp - Rp - 0 Rp -
omeprazole kapsul 20mg tablet 129 0 Rp - Rp - 0 Rp -
Ondansetron tab 8 mg tablet 270 0 Rp - Rp - 0 Rp -
Parasetamol drop Botol 4976 0 Rp - 5 Rp 24,880 4 Rp 19,904.00 1
Parasetamol syr 120mg/5ml Botol 1181 0 Rp - 15 Rp 17,715 13 Rp 15,353.00 2
Parasetamol tab 500 mg tablet 97.9 25 Rp 2,447.50 200 Rp 19,580 205 Rp 20,069.50 20
Parasetamol tab 500 mg tablet 124.85 0 Rp - 200 Rp 24,970 200 Rp 24,970.00 0
Piridoxin HCL (vit B 6) tab 10 mg tablet 131 0 Rp - 100 Rp 13,100 70 Rp 9,170.00 30
Prednison tab 5 mg tablet 73 0 Rp - Rp - 0 Rp -
Retinol 100.000 UI tablet 306 0 Rp - 52 Rp 15,912 52 Rp 15,912.00
Retinol 200.000 UI tablet 552 0 Rp - Rp - 0 Rp -
Sianokobalamin (B 12) tab 50mcg tablet 43 220 Rp 9,460.00 100 Rp 4,300 90 Rp 3,870.00 230
Tambah darah kombinasi ( ferro fumarat 60 tablet 226 30 Rp 6,780.00 200 Rp 45,200 230 Rp 51,980.00 0
Tiamin HCL (B 1) tab 50 mg tablet 57 80 Rp 4,560.00 Rp - 40 Rp 2,280.00 40
Vaksin BCG inj 20 DOSIS tablet 97780 0 Rp - Rp - 0 Rp -
Vaksin DPT-HB-Hib 5 dosis Vial 85103 0 Rp - Rp - 0 Rp -
Vaksin hepatitis B rekombinan inj 0,5 ml (AnVial 25839 0 Rp - Rp - 0 Rp -
Vaksin IPV Vial 158994 0 Rp - 1 Rp 158,994 1 Rp 158,994.00
Vaksin MR Vial 166265 0 Rp - 1 Rp 166,265 1 Rp 166,265.00
Vaksin polio bivalent 10 dosis Vial 21494 0 Rp - 2 Rp 42,988 2 Rp 42,988.00
Vaksin Tetanus (Td) Vial 18128 0 Rp - Rp - 0 Rp -
Vitamin B kompleks tab tablet 89 50 Rp 4,450.00 Rp - 50 Rp 4,450.00 0
Zinc drops 10 mg/ml tablet 5051 0 Rp - Rp - 0 Rp -
Zink Sirup 20mg/5 ml Botol 3171 0 Rp - Rp - 0 Rp -
Zink tab tablet 208 0 Rp - Rp - 0 Rp -
Alkohol swab pcs 145 0 Rp - Rp - 0 Rp -
TOTAL Rp 78,232.50 Rp 898,354 Rp 877,340.50

NIP 19670906198903 1 005 NIP 1994020202020122014

PERIODE 01 Maret 22 - 31 maret2022

PEMAKAIAN
SATUAN AWAL AWAL (Rp) AAN Peneriman x STOCK
Harga rupiah RESEP NILAI (Rp) NON-RESEP Nilai (Rp)
2 3 4 5 6 = (4x5) 7 8 = (5+7- 9 = (4x8) 10 11 = (4x10) 12

12)
Acyclovir cream tablet 2531.5862 0 Rp - Rp - 0 Rp - 0
Acyclovir tab 400mg tablet 405 0 Rp - Rp - 0 Rp - 0
Alopurinol tab 100 mg tablet 87 0 Rp - Rp - 0 Rp - 0
alopurinol tab 300mg tablet 210 0 Rp - Rp - 0 Rp - 0
amlodipin tab 10mg tablet 99 200 Rp - Rp - 0 Rp - 200
amlodipin tab 5 mg tablet 53 110 Rp 5,830.00 Rp - 60 Rp 3,180.00 50
Amoksisilin kaplet 500 mg tablet 253 20 Rp 5,060.00 100 Rp 25,300 120 Rp 30,360.00 0
Amoksisilin syr kering 250mg/5ml Botol 3628 Rp - Rp - 0 Rp - Err:522
Antasida DOEN Suspensi Botol 1679 0 Rp - Rp - 0 Rp - 0
Asam Ascorbat (Vit C) tab 250 mg tablet 119 0 Rp - Rp - 0 Rp - Err:522
Asam Ascorbat (Vit C) tab 50 mg tablet 105 130 Rp 13,650.00 200 Rp 21,000 230 Rp 24,150.00 100
asam asetilsalisilat tab (asetosal) 80mg tablet 105 0 Rp - Rp - 0 Rp - Err:522
asam folat tab 1 mg tablet 56 0 Rp - Rp - 0 Rp - Err:522
Asam Mefenamat tab 500 mg tablet 111 0 Rp - 100 Rp 11,100 80 Rp 8,880.00 20
Attapulgit (Antidiare) tab tablet 145 0 Rp - Rp - 0 Rp - Err:522
Betametason cream 0,05 % Tube 1430 0 Rp - Rp - 0 Rp - Err:522
cetirizine tab 10mg tablet 49 0 Rp - Rp - 0 Rp - Err:522
Deksametason tab 0,5 mg tablet 34 0 Rp - 100 Rp 3,400 80 Rp 2,720.00 20
domperidon syr 5mg/5ml Botol 2700 0 Rp - Rp - 0 Rp - Err:522
Domperidon tab 10 mg tablet 90 0 Rp - Rp - 0 Rp - Err:522
Furosemid tab 40 mg tablet 82 0 Rp - Rp - 0 Rp - Err:522
Garam oralit kombinasi sachet 257 0 Rp - Rp - 0 Rp - Err:522
Gentamisin Tetes Mata 0,3% tube 4520 0 Rp - Rp - 0 Rp - 0
hand sanitizer 500 ml (alkohol 70% + chlorheBuah 34000 0 Rp - Rp - 0 Rp - 0
Hand Scrub Sabun Cuci Tangan Cair + clorhebuah 30450 0 Rp - Rp - 0 Rp - 0
Hidroklorotiazid ( HCT ) tab 25 mg buah 148 0 Rp - Rp - 0 Rp - Err:522
Hidrokortison cream 2,5 % Tube 2475 0 Rp - Rp - 0 Rp - Err:522
ibuprofen Suspensi 100mg/5ml Botol 2721 0 Rp - Rp - 0 Rp - Err:522
Kalsium Glukonas inj ampul 10351 0 Rp - Rp - 0 Rp - Err:522
Kalsium Lactat ( Kalk ) tab 500 mg tablet 63 0 Rp - 100 Rp 6,300 90 Rp 5,670.00 10
Kaptopril tab 25 mg tablet 75 90 Rp 6,750.00 Rp - 30 Rp 2,250.00 60
Kloramfenikol Salep Mata 1 % tube 2007 0 Rp - 2 Rp 4,014 0 Rp - 2
Klorfeniramin Maleat ( CTM ) tab 4 mg tablet 23 0 Rp - 100 Rp 2,300 90 Rp 2,070.00 10
Kotrimoksasol Syr 240mg/5ml - 60ml Botol 2190 0 Rp - Rp - 0 Rp - Err:522
Lidokain + epineprin inj ampul 1229 0 Rp - Rp - 0 Rp - Err:522
Metformin 500mg tablet 77 0 Rp - Rp - 0 Rp - Err:522
metilprednisolon tab 4 mg tablet 102 0 Rp - Rp - 0
N-asetil sistein tab 200mg tablet 350 50 Rp 17,500.00 Rp - 50 Rp 17,500.00 0
Natrium Diklofenak tab 25mg tablet 128 20 Rp 2,560.00 Rp - 20 Rp 2,560.00 0
Natrium Diklofenak tab 50 mg tablet 99 0 Rp - 100 Rp 9,900 80 Rp 7,920.00 20
Oksitoksin inj 10 IU/ ml - 1 ml ampul 1199 Rp - Rp - 0 Rp - Err:522
omeprazole kapsul 20mg tablet 129 Rp - Rp - 0 Rp - Err:522
Ondansetron tab 8 mg tablet 270 Rp - Rp - 0 Rp - Err:522
Parasetamol drop Botol 4976 1 Rp 4,976.00 Rp - 1 Rp 4,976.00 0
Parasetamol syr 120mg/5ml Botol 1181 2 Rp 2,362.00 Rp - 0 Rp - Err:522
Parasetamol tab 500 mg tablet 97.9 20 Rp 1,958.00 Rp - 10 Rp 979.00 10
Piridoxin HCL (vit B 6) tab 10 mg tablet 131 30 Rp 3,930.00 Rp - 30 Rp 3,930.00 0
Prednison tab 5 mg tablet 73 0 Rp - Rp - 0 Rp - Err:522
Retinol 100.000 UI tablet 306 0 Rp - Rp - 0 Rp - Err:522
Sianokobalamin (B 12) tab 50mcg tablet 43 230 Rp 9,890.00 Rp - 140 Rp 6,020.00 90
Tambah darah kombinasi ( ferro fumarat 60 tablet 226 0 Rp - Rp - 0 Rp - Err:522
Tiamin HCL (B 1) tab 50 mg tablet 57 40 Rp 2,280.00 Rp - 40 Rp 2,280.00 0
Vaksin BCG inj 20 DOSIS tablet 97780 0 Rp - Rp - 0 Rp - Err:522
Vaksin DPT-HB-Hib 5 dosis Vial 85103 0 Rp - 2 Rp 170,206 2 Rp 170,206.00 Err:522
Vaksin hepatitis B rekombinan inj 0,5 ml (AnVial 25839 0 Rp - Rp - 0 Rp - Err:522
Vaksin IPV Vial 158994 0 Rp - Rp - 0 Rp - Err:522
Vaksin MR Vial 166265 0 Rp - 1 Rp 166,265 1 Rp 166,265.00 Err:522
Vaksin polio bivalent 10 dosis Vial 21494 0 Rp - 2 Rp 42,988 2 Rp 42,988.00 Err:522
Vaksin Tetanus (Td) Vial 18128 0 Rp - Rp - 0 Rp - Err:522
Vitamin B kompleks tab tablet 89 0 Rp - Rp - 0 Rp - Err:522
Zinc drops 10 mg/ml tablet 5051 0 Rp - Rp - 0 Rp - Err:522
Zink Sirup 20mg/5 ml Botol 3171 0 Rp - Rp - 0 Rp - Err:522
Zink tab tablet 208 0 Rp - Rp - 0 Rp - Err:522
Alkohol swab pcs 145 0 Rp - Rp - 0 Rp - Err:522
TOTAL Rp 79,446.00 Rp 462,773.00 Rp 506,524.00
Wonosobo, 31 MARET 2022

NIP 19670906198903 1 005 NIP 1994020202020122014

Laporan Stok Obat Untuk transaksi antara tanggal : 01/04/2022 sampai dengan 31/042022
PERIODE APRIL
PEMAKAIAN
HARGA STOCK NILAI STOCK PENERIM SISA
NAMA OBAT SATUAN Peneriman x
SATUAN AWAL AWAL (Rp) AAN RESEP NILAI (Rp) NON-RESEP Nilai (Rp) STOCK
Harga rupiah
8 = (5+7-
2 3 4 5 6 = (4x5) 7 9 = (4x8) 10 11 = (4x10) 12
12)
amlodipin tab 5 mg tablet 53 50 Rp 2,650.00 Rp - 50 Rp 2,650.00 0
Amoksisilin kaplet 500 mg tablet 253 0 Rp - 100 Rp 25,300 50 Rp 12,650.00 50
Amoksisilin syr kering 250mg/5ml Botol 3628 Err:522 Err:522 Rp - 0 Rp - Err:522
Antasida DOEN tablet tablet 58 0 Rp - 100 Rp 5,800 30 Rp 1,740.00 70
Asam Ascorbat (Vit C) tab 250 mg tablet 119 Err:522 Err:522 Rp - 0 Rp - Err:522
Asam Ascorbat (Vit C) tab 50 mg tablet 105 100 Rp 10,500.00 Rp - 90 Rp 9,450.00 10
asam asetilsalisilat tab (asetosal) 80mg tablet 105 Err:522 Err:522 Rp - 0 Rp - Err:522
asam folat tab 1 mg tablet 56 Err:522 Err:522 100 Rp 5,600 40 Rp 2,240.00 Err:522
Asam Mefenamat tab 500 mg tablet 111 20 Rp 2,220.00 Rp - 20 Rp 2,220.00 0
Attapulgit (Antidiare) tab tablet 145 Err:522 Err:522 Rp - 0 Rp - Err:522
Betametason cream 0,05 % Tube 1430 Err:522 Err:522 3 Rp 4,290 0 Rp - Err:522
cetirizine tab 10mg tablet 49 Err:522 Err:522 Rp - 0 Rp - Err:522
Deksametason tab 0,5 mg tablet 34 20 Rp 680.00 Rp - 20 Rp 680.00 0
domperidon syr 5mg/5ml Botol 2700 Err:522 Err:522 Rp - 0 Rp - Err:522
Domperidon tab 10 mg tablet 90 Err:522 Err:522 Rp - 0 Rp - Err:522
Furosemid tab 40 mg tablet 82 Err:522 Err:522 Rp - 0 Rp - Err:522
Garam oralit kombinasi sachet 257 Err:522 Err:522 Rp - 0 Rp - Err:522
Hidroklorotiazid ( HCT ) tab 25 mg buah 148 Err:522 Err:522 Rp - 0 Rp - Err:522
Hidrokortison cream 2,5 % Tube 2475 Err:522 Err:522 Rp - 0 Rp - Err:522
ibuprofen Suspensi 100mg/5ml Botol 2721 Err:522 Err:522 Rp - 0 Rp - Err:522
Kalsium Glukonas inj ampul 10351 Err:522 Err:522 Rp - 0 Rp - Err:522
Kalsium Lactat ( Kalk ) tab 500 mg tablet 63 10 Rp 630.00 100 Rp 6,300 90 Rp 5,670.00 20
Kaptopril tab 25 mg tablet 75 60 Rp 4,500.00 Rp - 30 Rp 2,250.00 30
Kloramfenikol Salep Mata 1 % tube 2007 2 Rp 4,014.00 Rp - 0 Rp - Err:522
Klorfeniramin Maleat ( CTM ) tab 4 mg tablet 23 10 Rp 230.00 100 Rp 2,300 90 Rp 2,070.00 20
Kotrimoksasol Syr 240mg/5ml - 60ml Botol 2190 Err:522 Err:522 Rp - 0 Rp - Err:522
Lidokain + epineprin inj ampul 1229 Err:522 Err:522 Rp - 0 Rp - Err:522
Metformin 500mg tablet 77 Err:522 Err:522 Rp - 0 Rp - Err:522
metilprednisolon tab 4 mg tablet 102 0 Rp - 0 Rp - 0
N-asetil sistein tab 200mg tablet 350 0 Rp - Rp - 0 Rp - 0
Natrium Diklofenak tab 25mg tablet 128 0 Rp - Rp - 0 Rp - 0
Natrium Diklofenak tab 50 mg tablet 99 20 Rp 1,980.00 Rp - 20 Rp 1,980.00 0
Oksitoksin inj 10 IU/ ml - 1 ml ampul 1199 Err:522 Err:522 Rp - 0 Rp - Err:522
omeprazole kapsul 20mg tablet 129 Err:522 Err:522 Rp - 0 Rp - Err:522
Ondansetron tab 8 mg tablet 270 Err:522 Err:522 Rp - 0 Rp - Err:522
Parasetamol drop Botol 4976 0 Rp - 8 Rp 39,808 7 Rp 34,832.00 1
Parasetamol syr 120mg/5ml Botol 1181 Err:522 Err:522 Rp - 0 Rp - Err:522
Parasetamol tab 500 mg tablet 97.9 10 Rp 979.00 300 Rp 29,370 120 Rp 11,748.00 190
Piridoxin HCL (vit B 6) tab 10 mg tablet 131 0 Rp - 100 Rp 13,100 60 Rp 7,860.00 40
Prednison tab 5 mg tablet 73 Err:522 Err:522 Rp - 0 Rp - Err:522
Retinol 100.000 UI tablet 306 Err:522 Err:522 Rp - 0 Rp - Err:522
Retinol 200.000 UI tablet 552 Err:522 Err:522 Rp - 0 Rp - Err:522
Sianokobalamin (B 12) tab 50mcg tablet 49 0 Rp - 100 Rp 4,900 40 Rp 1,960.00 60
Sianokobalamin (B 12) tab 50mcg tablet 43 90 Rp 3,870.00 Rp - 0 Rp - 90
Tambah darah kombinasi ( ferro fumarat 60 tablet 226 Err:522 Err:522 200 Rp 45,200 120 Rp 27,120.00 Err:522
Tiamin HCL (B 1) tab 50 mg tablet 57 0 Rp - 200 Rp 11,400 70 Rp 3,990.00 130
Vaksin BCG inj 20 DOSIS tablet 97780 Err:522 Err:522 Rp - 0 Rp - Err:522
Vaksin DPT-HB-Hib 5 dosis Vial 85103 Err:522 Err:522 2 Rp 170,206 1 Rp 85,103.00 Err:522
Vaksin hepatitis B rekombinan inj 0,5 ml (AnVial 25839 Err:522 Err:522 Rp - 0 Rp - Err:522
Vaksin IPV Vial 158994 Err:522 Err:522 Rp - 1 Rp 158,994.00 Err:522
Vaksin MR Vial 166265 Err:522 Err:522 1 Rp 166,265 0 Rp - Err:522
Vaksin polio bivalent 10 dosis Vial 21494 Err:522 Err:522 1 Rp 21,494 1 Rp 21,494.00 Err:522
Vaksin polio bivalent 10 dosis Vial 23643 Err:522 Err:522 2 Rp 47,286 2 Rp 47,286.00 Err:522
Vaksin Tetanus (Td) Vial 18128 Err:522 Err:522 Rp - 0 Rp - Err:522
Vitamin B kompleks tab tablet 89 Err:522 Err:522 Rp - 0 Rp - Err:522
Zinc drops 10 mg/ml tablet 5051 Err:522 Err:522 Rp - 0 Rp - Err:522
Zink Sirup 20mg/5 ml Botol 3171 Err:522 Err:522 Rp - 0 Rp - Err:522
Zink tab tablet 208 Err:522 Err:522 Rp - 0 Rp - Err:522
Alkohol swab pcs 145 Err:522 Err:522 Rp - 0 Rp - Err:522
TOTAL Rp 35,695.00 Rp 604,419.00 Rp 449,707.00


NIP 19670906198903 1 005 NIP 1994020202020122014

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

amlodipin tab 5 mg tablet 53 0 Rp - Rp - 0 Rp - 0
Amoksisilin kaplet 500 mg tablet 253 50 Rp 12,650.00 Rp - 50 Rp 12,650.00 0
Amoksisilin syr kering 250mg/5ml Botol 3628 0 Rp - Rp - 0 Rp - 0
Antasida DOEN tablet tablet 54 0 Rp - Rp - 0 Rp - 0
Asam Ascorbat (Vit C) tab 50 mg tablet 105 10 Rp 1,050.00 Rp - 10 Rp 1,050.00 0
asam folat tab 1 mg tablet 56 0 Rp - Rp - 0 Rp - 0
Asam Mefenamat tab 500 mg tablet 111 0 Rp - 100 Rp 11,100 50 Rp 5,550.00 50
Betametason cream 0,05 % Tube 1540 0 Rp - 5 Rp 7,700 2 Rp 3,080.00 3
Deksametason tab 0,5 mg tablet 34 0 Rp - Rp - 0 Rp - 0
domperidon syr 5mg/5ml Botol 2700 0 Rp - Rp - 0 Rp - 0
Glimepiride tab 4 mg tablet 183 0 Rp - 100 Rp 18,300 40 Rp 7,320.00 60
Kalsium Lactat ( Kalk ) tab 500 mg tablet 63 20 Rp 1,260.00 Rp - 20 Rp 1,260.00 0
Kaptopril tab 25 mg tablet 75 30 Rp 2,250.00 Rp - 10 Rp 750.00 20
Kloramfenikol Salep Mata 1 % tube 2007 0 Rp - Rp - 0 Rp - Err:522
Klorfeniramin Maleat ( CTM ) tab 4 mg tablet 23 20 Rp 460.00 Rp - 20 Rp 460.00 0
N-asetil sistein tab 200mg tablet 373 0 Rp - 100 Rp 37,300 60 Rp 22,380.00 40
Natrium Diklofenak tab 25mg tablet 128 0 Rp - 100 Rp 12,800 50 Rp 6,400.00 50
Natrium Diklofenak tab 50 mg tablet 99 0 Rp - Rp - 0 Rp - 0
Oksitoksin inj 10 IU/ ml - 1 ml ampul 1199 0 Rp - Rp - 0 Rp - Err:522
omeprazole kapsul 20mg tablet 129 0 Rp - Rp - 0 Rp - Err:522
Ondansetron tab 8 mg tablet 270 0 Rp - Rp - 0 Rp - Err:522
Parasetamol drop Botol 4976 1 Rp 4,976.00 10 Rp 49,760 8 Rp 39,808.00 3
Parasetamol syr 120mg/5ml Botol 1160 1 Rp 1,160.00 Rp - 1 Rp 1,160.00 0
Parasetamol tab 500 mg tablet 124.85 0 Rp - 300 Rp 37,455 130 Rp 16,230.50 170
Parasetamol syr 120mg/5ml Botol 1181 0 Rp - Rp - 0 Rp - Err:522
Parasetamol tab 500 mg tablet 97.9 190 Rp 18,601.00 Rp - 0 Rp - 190
Piridoxin HCL (vit B 6) tab 10 mg tablet 131 40 Rp 5,240.00 100 Rp 13,100 40 Rp 5,240.00 100
Sianokobalamin (B 12) tab 50mcg tablet 49 60 Rp 2,940.00 Rp - Rp - 60
Sianokobalamin (B 12) tab 50mcg tablet 43 90 Rp 3,870.00 100 Rp 4,300 50 Rp 2,150.00 140
Tambah darah kombinasi ( ferro fumarat 60 tablet 226 0 Rp - Rp - 0 Rp - 0
Tiamin HCL (B 1) tab 50 mg tablet 57 130 Rp 7,410.00 200 Rp 11,400 60 Rp 3,420.00 270
Vaksin DPT-HB-Hib 5 dosis Vial 85103 0 Rp - 1 Rp 85,103 1 Rp 205,073.00 0
Vaksin IPV Vial 158994 0 Rp - 1 Rp 158,994 1 Rp 158,994.00 0
Vaksin MR Vial 166265 0 Rp - Rp - 0 Rp - Err:522
Vaksin polio bivalent 10 dosis Vial 21494 0 Rp - 1 Rp 21,494 1 Rp 21,494.00 0
Vaksin polio bivalent 10 dosis Vial 23643 0 Rp - Rp - Rp - 0
Vitamin B kompleks tab tablet 89 0 Rp - Rp - 0 Rp - Err:522
TOTAL Rp 65,927.00 Rp 468,806.00 Rp 517,369.50


NIP 19670906198903 1 005 NIP 1994020202020122014

PERIODE JUNI
PEMAKAIAN
HARGA STOCK NILAI STOCK PENERIM SISA
NAMA OBAT SATUAN SATUAN AWAL AWAL (Rp) AAN Peneriman x STOCK
RESEP NILAI (Rp) NON-RESEP Nilai (Rp)
Harga rupiah
2 3 4 5 6 = (4x5) 7 8 = (5+7- 9 = (4x8) 10 11 = (4x10) 12

12)
amlodipin tab 5 mg tablet 53 0 Rp - Rp - 0 Rp - 0
Amoksisilin kaplet 500 mg tablet 253 0 Rp - Rp - 0 Rp - 0
Amoksisilin syr kering 250mg/5ml Botol 3628 0 Rp - Rp - 0 Rp - 0
Antasida DOEN tablet tablet 54 0 Rp - Rp - 0 Rp - 0
Asam Ascorbat (Vit C) tab 50 mg tablet 105 0 Rp - Rp - 0 Rp - 0
asam folat tab 1 mg tablet 56 0 Rp - 100 Rp 5,600 80 Rp 4,480.00 20
Asam Mefenamat tab 500 mg tablet 111 50 Rp 5,550.00 100 Rp 11,100 80 Rp 8,880.00 70
Betametason cream 0,05 % Tube 1540 3 Rp 4,620.00 3 Rp 4,620 1 Rp 1,540.00 5
Deksametason tab 0,5 mg tablet 34 0 Rp - Rp - 0 Rp - 0
domperidon syr 5mg/5ml Botol 2700 0 Rp - Rp - 0 Rp - 0
Glimepiride tab 4 mg tablet 183 60 Rp 10,980.00 Rp - 20 Rp 3,660.00 40
Kalsium Lactat ( Kalk ) tab 500 mg tablet 63 0 Rp - 100 Rp 6,300 50 Rp 3,150.00 50
Kaptopril tab 25 mg tablet 75 20 Rp 1,500.00 Rp - 10 Rp 750.00 10
Kloramfenikol Salep Mata 1 % tube 2007 0 Rp - Rp - 0 Rp - Err:522
Klorfeniramin Maleat ( CTM ) tab 4 mg tablet 23 0 Rp - Rp - 0 Rp - 0
N-asetil sistein tab 200mg tablet 373 40 Rp 14,920.00 Rp - 40 Rp 14,920.00 0
N-asetil sistein tab 200mg 301 0 Rp - 60 Rp 18,060 10 Rp 3,010.00 50
Natrium Diklofenak tab 25mg tablet 128 50 Rp 6,400.00 100 Rp 12,800 40 Rp 5,120.00 110
Natrium Diklofenak tab 50 mg tablet 99 0 Rp - Rp - 0 Rp - 0
Oksitoksin inj 10 IU/ ml - 1 ml ampul 1199 0 Rp - Rp - 0 Rp - Err:522
omeprazole kapsul 20mg tablet 129 0 Rp - Rp - 0 Rp - Err:522
Ondansetron tab 8 mg tablet 270 0 Rp - Rp - 0 Rp - Err:522
Parasetamol drop Botol 4976 3 Rp 14,928.00 5 Rp 24,880 5 Rp 24,880.00 3
Parasetamol tab 500 mg tablet 124.85 170 Rp 21,224.50 Rp - 100 Rp 12,485.00 70
Parasetamol syr 120mg/5ml Botol 1181 0 Rp - Rp - 0 Rp - Err:522
Parasetamol tab 500 mg tablet 97.9 190 Rp 18,601.00 200 Rp 19,580 0 Rp - 390
Piridoxin HCL (vit B 6) tab 10 mg tablet 131 100 Rp 13,100.00 Rp - 50 Rp 6,550.00 50
Sianokobalamin (B 12) tab 50mcg tablet 49 60 Rp 2,940.00 Rp - 20 Rp 980.00 40
Sianokobalamin (B 12) tab 50mcg tablet 43 140 Rp 6,020.00 Rp - 20 Rp 860.00 120
Tambah darah kombinasi ( ferro fumarat 60 tablet 226 0 Rp - 200 Rp 45,200 50 Rp 11,300.00 150
Tiamin HCL (B 1) tab 50 mg tablet 57 270 Rp 15,390.00 200 Rp 11,400 50 Rp 2,850.00 420
Vaksin DPT-HB-Hib 5 dosis Vial 85103 0 Rp - 1 Rp 85,103 1 Rp 85,103.00 0
Vaksin IPV Vial 158994 0 Rp - 1 Rp 158,994 1 Rp 158,994.00 0
Vaksin MR Vial 166265 0 Rp - Rp - 0 Rp - Err:522
Vaksin polio bivalent 10 dosis Vial 21494 0 Rp - 2 Rp 42,988 2 Rp 42,988.00 0
Vaksin polio bivalent 10 dosis Vial 23643 0 Rp - Rp - 0 Rp - 0
Vitamin B kompleks tab tablet 89 0 Rp - 200 Rp 17,800 80 Rp 7,120.00 120
TOTAL Rp 113,523.50 Rp 470,225 Rp 405,420.00


NIP 19670906198903 1 005 NIP 1994020202020122014

JANUARI - JUNI 2022

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

12)
Acyclovir cream tablet 2531.5862 0 Rp - 0 Rp - 0 0 0 Rp - 0
Acyclovir tab 400mg tablet 405 0 Rp - 0 Rp - 0 0 0 Rp - 0
Alopurinol tab 100 mg tablet 87 0 Rp - 0 Rp - 0 0 0 Rp - 0
alopurinol tab 300mg tablet 210 0 Rp - 0 Rp - 0 0 0 Rp - 0
amlodipin tab 10mg tablet 99 0 Rp - 200 Rp 19,800 0 0 0 Rp - 200
amlodipin tab 5 mg tablet 53 20 Rp 1,060.00 300 Rp 15,900 0 0 320 Rp 16,960.00 0
Amoksisilin kaplet 500 mg tablet 253 80 Rp 20,240.00 200 Rp 50,600 0 0 280 Rp 70,840.00 0
Amoksisilin syr kering 250mg/5ml Botol 3628 0 Rp - 0 Rp - 0 0 0 Rp - Err:522
Antasida DOEN tablet tablet 54 80 Rp 4,320.00 0 Rp - 0 0 80 Rp 4,320.00 0
Antasida DOEN Suspensi Botol 1679 0 Rp - 0 Rp - 0 0 0 Rp - 0
Asam Ascorbat (Vit C) tab 250 mg tablet 119 0 Rp - 0 Rp - 0 0 0 Rp - Err:522
Asam Ascorbat (Vit C) tab 50 mg tablet 105 0 Rp - 800 Rp 84,000 0 0 800 Rp 84,000.00 0
asam asetilsalisilat tab (asetosal) 80mg tablet 105 0 Rp - 0 Rp - 0 0 0 Rp - Err:522
asam folat tab 1 mg tablet 56 20 Rp 1,120.00 200 Rp 11,200 0 0 200 Rp 11,200.00 20
Asam Mefenamat tab 500 mg tablet 111 0 Rp - 400 Rp 44,400 0 0 330 Rp 36,630.00 70
Attapulgit (Antidiare) tab tablet 145 0 Rp - 0 Rp - 0 0 0 Rp - Err:522
Betametason cream 0,05 % Tube 1430 1 Rp 1,430.00 3 Rp 4,290 0 0 3 Rp 4,290.00 Err:522
cetirizine tab 10mg tablet 49 0 Rp - 100 Rp 4,900 0 0 100 Rp 4,900.00 Err:522
Deksametason tab 0,5 mg tablet 34 15 Rp 510.00 100 Rp 3,400 0 0 115 Rp 3,910.00 0
domperidon syr 5mg/5ml Botol 2700 0 Rp - 0 Rp - 0 0 0 Rp - Err:522
Domperidon tab 10 mg tablet 90 0 Rp - 0 Rp - 0 0 0 Rp - Err:522
Furosemid tab 40 mg tablet 82 0 Rp - 0 Rp - 0 0 0 Rp - Err:522
Garam oralit kombinasi sachet 257 0 Rp - 0 Rp - 0 0 0 Rp - Err:522
Gentamisin Tetes Mata 0,3% tube 4520 0 Rp - 5 Rp 22,600 0 0 5 Rp 22,600.00 0
hand sanitizer 500 ml (alkohol 70% + chlorheBuah 34000 0 Rp - 2 Rp 68,000 0 0 2 Rp 68,000.00 0
Hand Scrub Sabun Cuci Tangan Cair + clorhebuah 30450 0 Rp - 1 Rp 30,450 0 0 1 Rp 30,450.00 0
Hidroklorotiazid ( HCT ) tab 25 mg buah 148 0 Rp - 0 Rp - 0 0 0 Rp - Err:522
Hidrokortison cream 2,5 % Tube 2475 0 Rp - 0 Rp - 0 0 0 Rp - Err:522
ibuprofen Suspensi 100mg/5ml Botol 2721 0 Rp - 0 Rp - 0 0 0 Rp - Err:522
Kalsium Glukonas inj ampul 10351 0 Rp - 0 Rp - 0 0 0 Rp - Err:522
Kalsium Lactat ( Kalk ) tab 500 mg tablet 63 10 Rp 630.00 600 Rp 37,800 0 0 560 Rp 35,280.00 50
Kaptopril tab 25 mg tablet 75 20 Rp 1,500.00 100 Rp 7,500 0 0 110 Rp 8,250.00 10
Kloramfenikol Salep Mata 1 % tube 2007 0 Rp - 2 Rp 4,014 0 0 2 Rp 4,014.00 Err:522
Klorfeniramin Maleat ( CTM ) tab 4 mg tablet 23 15 Rp 345.00 300 Rp 6,900 0 0 315 Rp 7,245.00 0
Kotrimoksasol Syr 240mg/5ml - 60ml Botol 2190 0 Rp - 0 Rp - 0 0 0 Rp - Err:522
Lidokain + epineprin inj ampul 1229 0 Rp - 0 Rp - 0 0 0 Rp - Err:522
Metformin 500mg tablet 77 40 Rp 3,080.00 0 Rp - 0 0 0 Rp - Err:522
metilprednisolon tab 4 mg tablet 102 0 100 Rp 10,200 0 0 100 Rp 10,200.00 0
N-asetil sistein tab 200mg tablet 350 10 Rp 3,500.00 200 Rp 70,000 0 0 210 Rp 73,500.00 0
Natrium Diklofenak tab 25mg tablet 128 100 Rp 12,800.00 200 Rp 25,600 0 0 190 Rp 24,320.00 110
Natrium Diklofenak tab 50 mg tablet 99 0 Rp - 300 Rp 29,700 0 0 300 Rp 29,700.00 0
Oksitoksin inj 10 IU/ ml - 1 ml ampul 1199 0 Rp - 0 Rp - 0 0 0 Rp - Err:522
omeprazole kapsul 20mg tablet 129 0 Rp - 0 Rp - 0 0 0 Rp - Err:522
Ondansetron tab 8 mg tablet 270 0 Rp - 0 Rp - 0 0 0 Rp - Err:522
Parasetamol drop Botol 4976 0 Rp - 28 Rp 139,328 0 0 25 Rp 124,400.00 3
Parasetamol syr 120mg/5ml Botol 1181 0 Rp - 15 Rp 17,715 0 0 15 Rp 17,715.00 0
Parasetamol tab 500 mg tablet 97.9 25 Rp 2,447.50 700 Rp 68,530 0 0 335 Rp 32,796.50 390
Parasetamol tab 500 mg tablet 124.85 0 Rp - 500 Rp 62,425 0 0 430 Rp 53,685.50 70
Piridoxin HCL (vit B 6) tab 10 mg tablet 131 0 Rp - 300 Rp 39,300 0 0 250 Rp 32,750.00 50
Prednison tab 5 mg tablet 73 0 Rp - 0 Rp - 0 0 0 Rp - Err:522
Retinol 100.000 UI tablet 306 0 Rp - 52 Rp 15,912 0 0 52 Rp 15,912.00 Err:522
Retinol 200.000 UI tablet 552 0 Rp - 0 Rp - 0 0 0 Rp - Err:522
Sianokobalamin (B 12) tab 50mcg tablet 43 220 Rp 9,460.00 200 Rp 8,600 0 0 300 Rp 12,900.00 120
Tambah darah kombinasi ( ferro fumarat 60 tablet 226 30 Rp 6,780.00 600 Rp 135,600 0 0 480 Rp 108,480.00 150
Tiamin HCL (B 1) tab 50 mg tablet 57 80 Rp 4,560.00 600 Rp 34,200 0 0 260 Rp 14,820.00 420
Vaksin BCG inj 20 DOSIS tablet 97780 0 Rp - 0 Rp - 0 0 0 Rp - Err:522
Vaksin DPT-HB-Hib 5 dosis Vial 85103 0 Rp - 6 Rp 510,618 0 0 6 Rp 510,618.00 Err:522
Vaksin hepatitis B rekombinan inj 0,5 ml (AnVial 25839 0 Rp - 0 Rp - 0 0 0 Rp - Err:522
Vaksin IPV Vial 158994 0 Rp - 3 Rp 476,982 0 0 3 Rp 476,982.00 Err:522
Vaksin MR Vial 166265 0 Rp - 3 Rp 498,795 0 0 3 Rp 498,795.00 Err:522
Vaksin polio bivalent 10 dosis Vial 21494 0 Rp - 8 Rp 171,952 0 0 8 Rp 171,952.00 Err:522
Vaksin Tetanus (Td) Vial 18128 0 Rp - 0 Rp - 0 0 0 Rp - Err:522
Vitamin B kompleks tab tablet 89 50 Rp 4,450.00 200 Rp 17,800 0 0 130 Rp 11,570.00 120
Zinc drops 10 mg/ml tablet 5051 0 Rp - 0 Rp - 0 0 0 Rp - Err:522
Zink Sirup 20mg/5 ml Botol 3171 0 Rp - 0 Rp - 0 0 0 Rp - Err:522
Zink tab tablet 208 0 Rp - 0 Rp - 0 0 0 Rp - Err:522
Alkohol swab pcs 145 0 Rp - 0 Rp - 0 0 0 Rp - Err:522
Vaksin polio bivalent 10 dosis Vial 23643 0 Rp - 2 Rp 47,286 0 0 2 Rp 47,286.00 0
Sianokobalamin (B 12) tab 50mcg tablet 49 0 Rp - 100 Rp 4,900 0 0 60 Rp 2,940.00 40
Parasetamol syr 120mg/5ml Botol 1160 0 Rp - 10 Rp 11,600 0 0 9 Rp 10,440.00 1
Antasida DOEN tablet tablet 58 0 Rp - 100 Rp 5,800 0 0 100 Rp 5,800.00 0
Betametason cream 0,05 % Tube 1540 0 Rp - 8 Rp 12,320 0 0 3 Rp 4,620.00 5
Glimepiride tab 4 mg tablet 183 0 Rp - 100 Rp 18,300 0 0 60 Rp 10,980.00 40
N-asetil sistein tab 200mg tablet 373 0 Rp - 100 Rp 37,300 0 0 100 Rp 37,300.00 0
N-asetil sistein tab 200mg 301 0 Rp - 60 Rp 18,060 0 0 10 Rp 3,010.00 50
TOTAL Rp 78,232.50 Rp 2,904,577 Rp 2,756,361.00


NIP 19670906198903 1 005 NIP 1994020202020122014

KET.
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o, 28 Febuari 2022
elola Farmasi
Palupi, S. Farm., Apt
020202020122014
KET.
13
o, 31 MARET 2022
elola Farmasi

020202020122014
KET.
13
bo, 30 April 2022
elola Farmasi

020202020122014
KET.
13
bo, 31 Mei 2022
elola Farmasi

020202020122014
KET.
13
bo, 30 Juni 2022
elola Farmasi

020202020122014
KET.
13
Langsung Kepasien
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bo, 30 Juni 2022

elola Farmasi

020202020122014
REKAP DISTRIBUSI PER UNIT PKD PATAK BANTENG

PEMAKAIAN
NO NAMA OBAT SATUAN HARGA STOCK NILAI STOCK AWAL PENERIMAAN
SATUAN AWAL (Rp) Peneriman x Harga
rupiah
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 9 = (4x8) 10 11 = (4x10)
12)
1 Acyclovir cream tablet 2531.5862 0 Rp - Rp - 0 Rp -
2 Acyclovir tab 400mg tablet 405 0 Rp - Rp - 0 Rp -
3 Alopurinol tab 100 mg tablet 87 80 Rp 6,960.00 Rp - 80 Rp 6,960.00
4 alopurinol tab 300mg tablet 210 0 Rp - Rp - 0 Rp -
5 amlodipin tab 10mg tablet 99 210 Rp 20,790.00 Rp - 160 Rp 15,840.00
6 amlodipin tab 5 mg tablet 53 130 Rp 6,890.00 Rp - 20 Rp 1,060.00
7 Amoksisilin kaplet 500 mg tablet 253 0 Rp - Rp - 0 Rp -
8 Amoksisilin syr kering 250mg/5ml Botol 3628 0 Rp - Rp - 0 Rp -
9 Antasida DOEN tablet tablet 54 200 Rp 10,800.00 Rp - 110 Rp 5,940.00
10 Antasida DOEN Suspensi Botol 1679 0 Rp - Rp - 0 Rp -
11 Asam Ascorbat (Vit C) tab 250 mg tablet 119 70 Rp 8,330.00 Rp - 70 Rp 8,330.00
13 asam asetilsalisilat tab (asetosal) 80mg tablet 105 0 Rp - Rp - 0 Rp -
14 asam folat tab 1 mg tablet 56 80 Rp 4,480.00 Rp - 0 Rp -
15 Asam Mefenamat tab 500 mg tablet 111 50 Rp 5,550.00 Rp - 0 Rp -
16 Attapulgit (Antidiare) tab tablet 145 50 Rp 7,250.00 Rp - 10 Rp 1,450.00
17 Betametason cream 0,05 % Tube 1430 0 Rp - Rp - 0 Rp -
18 cetirizine tab 10mg tablet 49 0 Rp - Rp - 0 Rp -
19 Deksametason tab 0,5 mg tablet 34 0 Rp - Rp - 0 Rp -
20 domperidon syr 5mg/5ml Botol 2700 0 Rp - Rp - 0 Rp -
21 Domperidon tab 10 mg tablet 90 0 Rp - Rp - 0 Rp -
22 Furosemid tab 40 mg tablet 82 0 Rp - Rp - 0 Rp -
23 Garam oralit kombinasi sachet 257 0 Rp - Rp - 0 Rp -
24 Gentamisin Tetes Mata 0,3% tube 4520 2 Rp 9,040.00 Rp - 0 Rp -
25 Glimepiride tab 2 mg tablet 123 70 Rp 8,610.00 Rp - 40 Rp 4,920.00
26 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) buah 34000 0 Rp - 2 Rp 68,000 2 Rp 68,000.00
27 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine buah 30450 0 Rp - 1 Rp 30,450 1 Rp 30,450.00
28 Hidroklorotiazid ( HCT ) tab 25 mg tablet 148 0 Rp - Rp - 0 Rp -
29 Hidrokortison cream 2,5 % Tube 2475 1 Rp 2,475.00 Rp - 1 Rp 2,475.00
30 ibuprofen Suspensi 100mg/5ml Botol 2721 0 Rp - Rp - 0 Rp -
31 Kalsium Glukonas inj ampul 10351 0 Rp - Rp - 0 Rp -
32 Kalsium Lactat ( Kalk ) tab 500 mg tablet 63 0 Rp - 100 Rp 6,300 20 Rp 1,260.00
33 Kaptopril tab 25 mg tablet 75 40 Rp 3,000.00 Rp - 20 Rp 1,500.00
34 Kloramfenikol SK Tube 3266 0 Rp - 3 Rp 9,798 2 Rp 6,532.00
35 Klorfeniramin Maleat ( CTM ) tab 4 mg Tube 23 0 Rp - 200 Rp 4,600 140 Rp 3,220.00
36 Kotrimoksasol Syr 240mg/5ml - 60ml Botol 2190 0 Rp - Rp - 0 Rp -
37 Lidokain + epineprin inj ampul 1229 0 Rp - Rp - 0 Rp -
38 Metformin 500mg tablet 77 50 Rp 3,850.00 Rp - 10 Rp 770.00
39 metilprednisolon tab 4 mg tablet 102 0 Rp - Rp - 0 Rp -
40 N-asetil sistein tab 200mg tablet 350 70 Rp 24,500.00 Rp - 40 Rp 14,000.00
41 Natrium Diklofenak tab 25mg tablet 128 140 Rp 17,920.00 Rp - 140 Rp 17,920.00
42 Natrium Diklofenak tab 50 mg tablet 99 0 Rp - Rp - 0 Rp -
43 Oksitoksin inj 10 IU/ ml - 1 ml ampul 1199 0 Rp - Rp - 0 Rp -
44 omeprazole kapsul 20mg tablet 129 0 Rp - Rp - 0 Rp -
45 Ondansetron tab 8 mg tablet 270 0 Rp - Rp - 0 Rp -
46 Parasetamol drop Botol 4976 15 Rp 74,640.00 10 Rp 49,760 23 Rp 114,448.00
47 Parasetamol syr 120mg/5ml Botol 1181 10 Rp 11,810.00 30 Rp 35,430 33 Rp 38,973.00
48 Parasetamol tab 500 mg tablet 97.9 100 Rp 9,790.00 Rp - 0 Rp -
49 Parasetamol tab 500 mg tablet 124.85 0 Rp - Rp - 0 Rp -
50 Piridoxin HCL (vit B 6) tab 10 mg tablet 131 100 Rp 13,100.00 Rp - 0 Rp -
51 Prednison tab 5 mg tablet 73 0 Rp - Rp - 0 Rp -
52 Retinol 100.000 UI tablet 306 0 Rp - 40 Rp 12,240 40 Rp 12,240.00
53 Retinol 200.000 UI tablet 552 0 Rp - Rp - 0 Rp -
54 Sianokobalamin (B 12) tab 50mcg tablet 43 0 Rp - Rp - 0 Rp -
55 simvastatin tab 10mg tablet 68 30 Rp 2,040.00 Rp - 30 Rp 2,040.00
56 Tambah darah kombinasi ( ferro fumarat 60 mg, asamtablet 226 400 Rp 90,400.00 Rp - 90 Rp 20,340.00
57 Tiamin HCL (B 1) tab 50 mg tablet 57 50 Rp 2,850.00 Rp - 0 Rp -
58 Vaksin BCG inj 20 DOSIS Vial 97780 0 Rp - Rp - 0 Rp -
59 Vaksin DPT-HB-Hib 5 dosis Vial 85103 0 Rp - 7 Rp 595,721 7 Rp 595,721.00
60 Vaksin hepatitis B rekombinan inj 0,5 ml (Anak) Vial 25839 0 Rp - Rp - 0 Rp -
61 Vaksin IPV Vial 158994 0 Rp - 2 Rp 317,988 2 Rp 317,988.00
62 Vaksin MR Vial 164686.5 0 Rp - 2 Rp 329,373 2 Rp 329,373.00
63 Vaksin polio bivalent 10 dosis Vial 21494 0 Rp - 2 Rp 42,988 2 Rp 42,988.00
64 Vaksin Tetanus (Td) Vial 18128 0 Rp - Rp - 0 Rp -
65 Vitamin B kompleks tab tablet 89 190 Rp 16,910.00 400 Rp 35,600 430 Rp 38,270.00
66 Zinc drops 10 mg/ml Botol 5051 0 Rp - Rp - 0 Rp -
67 Zink Sirup 20mg/5 ml Botol 3171 0 Rp - Rp - 0 Rp -
68 Zink tab tablet 208 0 Rp - Rp - 0 Rp -
TOTAL Rp 375,635.00 Rp 1,538,248 Rp 1,706,158.00


NIP 19670906198903 1 005 NIP 1994020202020122014

Laporan Stok Obat Untuk transaksi antara tanggal : 01/03/2022 sampai dengan31/03/2022

PEMAKAIAN
NO NAMA OBAT SATUAN PENERIMAAN Peneriman x Harga
SATUAN AWAL (Rp) RESEP NILAI (Rp) NON-RESEP Nilai (Rp)
rupiah
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 9 = (4x8) 10 11 = (4x10)
12)
3 Alopurinol tab 100 mg tablet 87 0 Rp - Rp - 0 Rp -
5 amlodipin tab 10mg tablet 99 50 Rp 4,950.00 Rp - 50 Rp 4,950.00
6 amlodipin tab 5 mg tablet 53 110 Rp 5,830.00 Rp - 110 Rp 5,830.00
10 Antasida DOEN tablet tablet 58 0 Rp - 100 Rp 5,800 70 Rp 4,060.00
12 Asam Ascorbat (Vit C) tab 250 mg tablet 119 0 Rp - 100 Rp 11,900 10 Rp 1,190.00
13 Asam Ascorbat (Vit C) tab 50 mg tablet 105 100 Rp 10,500.00 100 Rp 10,500 120 Rp 12,600.00
15 asam folat tab 1 mg tablet 56 80 Rp 4,480.00 Rp - 30 Rp 1,680.00
16 Asam Mefenamat tab 500 mg tablet 111 50 Rp 5,550.00 Rp - 10 Rp 1,110.00
20 Deksametason tab 0,5 mg tablet 34 0 Rp - 100 Rp 3,400 100 Rp 3,400.00
23 Furosemid tab 40 mg tablet 82 0 Rp - Rp - 0 Rp -
25 Gentamisin Tetes Mata 0,3% tube 4520 2 Rp 9,040.00 Rp - 1 Rp 4,520.00
27 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) buah 34000 0 Rp - Rp - 0 Rp -
28 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine buah 30450 0 Rp - Rp - 0 Rp -
30 Hidrokortison cream 2,5 % Tube 2475 0 Rp - Rp - 0 Rp -
33 Kalsium Lactat ( Kalk ) tab 500 mg tablet 63 80 Rp 5,040.00 100 Rp 6,300 40 Rp 2,520.00
34 Kaptopril tab 25 mg tablet 75 20 Rp 1,500.00 Rp - 20 Rp 1,500.00
35 Kloramfenikol SK Tube 3266 1 Rp 3,266.00 0 Rp - 0 Rp -
36 Klorfeniramin Maleat ( CTM ) tab 4 mg Tube 23 60 Rp 1,380.00 100 Rp 2,300 100 Rp 2,300.00
39 Metformin 500mg tablet 77 40 Rp 3,080.00 Rp - 40 Rp 3,080.00
41 N-asetil sistein tab 200mg tablet 350 30 Rp 10,500.00 Rp - 30 Rp 10,500.00
42 Natrium Diklofenak tab 25mg tablet 128 0 Rp - 100 Rp 12,800 100 Rp 12,800.00
43 Natrium Diklofenak tab 50 mg tablet 99 0 Rp - 100 Rp 9,900 50 Rp 4,950.00
47 Parasetamol drop Botol 4976 2 Rp 9,952.00 Rp - 2 Rp 9,952.00
48 Parasetamol syr 120mg/5ml Botol 1181 7 Rp 8,267.00 Rp - 7 Rp 8,267.00
49 Parasetamol tab 500 mg tablet 97.9 100 Rp 9,790.00 Rp - 70 Rp 6,853.00
51 Piridoxin HCL (vit B 6) tab 10 mg tablet 131 100 Rp 13,100.00 Rp - 0 Rp -
56 simvastatin tab 10mg tablet 68 0 Rp - Rp - 0 Rp -
57 Tambah darah kombinasi ( ferro fumarat 60 mg, asamtablet 226 310 Rp 70,060.00 Rp - 90 Rp 20,340.00
58 Tiamin HCL (B 1) tab 50 mg tablet 57 50 Rp 2,850.00 Rp - 50 Rp 2,850.00
69 Zink tab tablet 208 0 Rp - Rp - 0 Rp -
TOTAL Rp 207,725.00 Rp 848,019 Rp 914,861.00


NIP 19670906198903 1 005 NIP 1994020202020122014

Laporan Stok Obat Untuk transaksi antara tanggal : 01/04/2022 sampai dengan31/042022
PERIODE APRIL
PEMAKAIAN
rupiah
1 2 3 4 5 6 = (4x5) 7 8 = (5+7- 9 = (4x8) 10 11 = (4x10)

12)
5 amlodipin tab 10mg tablet 70 0 Rp - 300 Rp 21,000 120 Rp 8,400.00
6 amlodipin tab 10mg tablet 99 0 Rp - Rp - 0 Rp -
7 amlodipin tab 5 mg tablet 53 0 Rp - Rp - 0 Rp -
8 Amoksisilin kaplet 500 mg tablet 253 Err:522 Err:522 Rp - 0 Rp -
9 Amoksisilin syr kering 250mg/5ml Botol 3628 Err:522 Err:522 Rp - 0 Rp -
11 Antasida DOEN tablet tablet 58 30 Rp 1,740.00 100 Rp 5,800 20 Rp 1,160.00
12 Antasida DOEN Suspensi Botol 1679 Err:522 Err:522 Rp - 0 Rp -
15 asam asetilsalisilat tab (asetosal) 80mg tablet 105 Err:522 Err:522 Rp - 0 Rp -
16 asam folat tab 1 mg tablet 56 50 Rp 2,800.00 100 Rp 5,600 50 Rp 2,800.00
18 Attapulgit (Antidiare) tab tablet 145 20 Rp 2,900.00 Rp - 0 Rp -
19 Betametason cream 0,05 % Tube 1430 Err:522 Err:522 Rp - 0 Rp -
20 cetirizine tab 10mg tablet 49 Err:522 Err:522 Rp - 0 Rp -
21 Deksametason tab 0,5 mg tablet 34 Err:522 Err:522 200 Rp 6,800 60 Rp 2,040.00
22 domperidon syr 5mg/5ml Botol 2700 Err:522 Err:522 Rp - 0 Rp -
23 Domperidon tab 10 mg tablet 90 Err:522 Err:522 Rp - 0 Rp -
24 Furosemid tab 40 mg tablet 82 0 Rp - 200 Rp 16,400 40 Rp 3,280.00
25 Garam oralit kombinasi sachet 257 Err:522 Err:522 Rp - 0 Rp -
26 Gentamisin Tetes Mata 0,3% tube 4520 1 Rp 4,520.00 Rp - 1 Rp 4,520.00
27 Glimepiride tab 4 mg tablet 183 0 Rp - 100 Rp 18,300 30 Rp 5,490.00
28 Glimepiride tab 2 mg tablet 123 0 Rp - Rp - 0 Rp -
29 hand sanitizer 500 ml (alkohol 70% + chlorhexidine)
buah 34000 Err:522 Err:522 Rp - 0 Rp -
30 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine buah 30450 Err:522 Err:522 Rp - 0 Rp -
31 Hidroklorotiazid ( HCT ) tab 25 mg tablet 148 Err:522 Err:522 Rp - 0 Rp -
32 Hidrokortison cream 2,5 % Tube 2475 Err:522 Err:522 Rp - 0 Rp -
33 ibuprofen Suspensi 100mg/5ml Botol 2721 Err:522 Err:522 Rp - 0 Rp -
34 Kalsium Glukonas inj ampul 10351 Err:522 Err:522 Rp - 0 Rp -
36 Kaptopril tab 25 mg tablet 75 0 Rp - Rp - 0 Rp -
37 Kloramfenikol SK Tube 3266 Err:522 Err:522 Rp - 0 Rp -
38 Klorfeniramin Maleat ( CTM ) tab 4 mg Tube 23 60 Rp 1,380.00 100 Rp 2,300 90 Rp 2,070.00
39 Kotrimoksasol Syr 240mg/5ml - 60ml Botol 2190 Err:522 Err:522 Rp - 0 Rp -
40 Lidokain + epineprin inj ampul 1229 Err:522 Err:522 Rp - 0 Rp -
41 Metformin 500mg tablet 77 0 Rp - Rp - 0 Rp -
42 metilprednisolon tab 4 mg tablet 102 Err:522 Err:522 Rp - 0 Rp -
43 N-asetil sistein tab 200mg tablet 301 0 Rp - 60 Rp 18,060 60 Rp 18,060.00
44 N-asetil sistein tab 200mg tablet 350 0 Rp - Rp - 0 Rp -
45 Natrium Diklofenak tab 25mg tablet 128 Err:522 Err:522 Rp - 0 Rp -
46 Natrium Diklofenak tab 50 mg tablet 99 50 Rp 4,950.00 Rp - 40 Rp 3,960.00
47 Oksitoksin inj 10 IU/ ml - 1 ml ampul 1199 Err:522 Err:522 Rp - 0 Rp -
48 omeprazole kapsul 20mg tablet 129 Err:522 Err:522 Rp - 0 Rp -
49 Ondansetron tab 8 mg tablet 270 Err:522 Err:522 Rp - 0 Rp -
50 Parasetamol drop Botol 4976 0 Rp - 10 Rp 49,760 0 Rp -
51 Parasetamol syr 120mg/5ml botol 1160 10 Rp 11,600 0 Rp -
52 Parasetamol syr 120mg/5ml Botol 1181 0 Rp - Rp - 0 Rp -
53 Parasetamol tab 500 mg tablet 97.9 30 Rp 2,937.00 100 Rp 9,790 100 Rp 9,790.00
54 Parasetamol tab 500 mg tablet 124.85 Err:522 Err:522 Rp - 0 Rp -
55 Piridoxin HCL (vit B 6) tab 10 mg tablet 131 Err:522 Err:522 Rp - 0 Rp -
56 Prednison tab 5 mg tablet 73 Err:522 Err:522 Rp - 0 Rp -
57 Retinol 100.000 UI tablet 306 Err:522 Err:522 Rp - 0 Rp -
58 Retinol 200.000 UI tablet 552 Err:522 Err:522 Rp - 0 Rp -
59 Sianokobalamin (B 12) tab 50mcg tablet 43 Err:522 Err:522 Rp - 0 Rp -
60 simvastatin tab 10mg tablet 68 Err:522 Err:522 Rp - 0 Rp -
61 Tambah darah kombinasi ( ferro fumarat 60 mg, asamtablet 226 220 Rp 49,720.00 100 Rp 22,600 120 Rp 27,120.00
62 Tiamin HCL (B 1) tab 50 mg tablet 57 0 Rp - 200 Rp 11,400 50 Rp 2,850.00
63 Vaksin BCG inj 20 DOSIS Vial 97780 Err:522 Err:522 Rp - 0 Rp -
64 Vaksin DPT-HB-Hib 5 dosis Vial 85103 Err:522 Err:522 2 Rp 170,206 2 Rp 151,049.00
65 Vaksin hepatitis B rekombinan inj 0,5 ml (Anak) Vial 25839 Err:522 Err:522 Rp - 0 Rp -
66 Vaksin IPV Vial 158994 Err:522 Err:522 1 Rp 158,994 1 Rp 158,994.00
69 Vaksin Tetanus (Td) Vial 18128 Err:522 Err:522 Rp - 0 Rp -
71 Zinc drops 10 mg/ml Botol 5051 Err:522 Err:522 Rp - 0 Rp -
73 Zink tab tablet 208 0 Rp - Rp - Rp -
TOTAL Rp 140,883.00 Rp 752,940 Rp 622,492.50


NIP 19670906198903 1 005 NIP 1994020202020122014

Laporan Stok Obat Untuk transaksi antara tanggal : 01/05/2022 sampai dengan31/05/2022
PERIODE MEI
PEMAKAIAN
rupiah
1 2 3 4 5 6 = (4x5) 7 8 = (5+7- 9 = (4x8) 10 11 = (4x10)

12)
10 Antasida DOEN tablet tablet 54 0 Rp - Rp - 0 Rp -
18 Attapulgit (Antidiare) tab tablet 145 20 Rp 2,900.00 Rp - 0 Rp -
24 Furosemid tab 40 mg tablet 82 160 Rp 13,120.00 Rp - 50 Rp 4,100.00
26 Gentamisin Tetes Mata 0,3% tube 4520 0 Rp - Rp - 0 Rp -
29 hand sanitizer 500 ml (alkohol 70% + chlorhexidine)
buah 34000 0 Rp - Rp - 0 Rp -
37 Kloramfenikol SK Tube 3266 0 Rp - Rp - 0 Rp -
38 Klorfeniramin Maleat ( CTM ) tab 4 mg Tube 23 70 Rp 1,610.00 Rp - 70 Rp 1,610.00
45 Natrium Diklofenak tab 25mg tablet 128 0 Rp - Rp - 0 Rp -
46 Natrium Diklofenak tab 50 mg tablet 99 10 Rp 990.00 Rp - 10 Rp 990.00
50 Parasetamol drop Botol 4976 10 Rp 49,760.00 10 Rp 49,760 0 Rp -
51 Parasetamol syr 120mg/5ml botol 1160 Rp - Rp - 0 Rp -
53 Parasetamol tab 500 mg tablet 97.9 30 Rp 2,937.00 Rp - Rp -
54 Parasetamol tab 500 mg tablet 124.85 0 Rp - 100 Rp 12,485 100 Rp 12,485.00
55 Piridoxin HCL (vit B 6) tab 10 mg tablet 131 0 Rp - Rp - 0 Rp -
62 Tiamin HCL (B 1) tab 50 mg tablet 57 150 Rp 8,550.00 Rp - 50 Rp 2,850.00
TOTAL Rp 206,847.00 Rp 681,675 Rp 605,264.50


NIP 19670906198903 1 005 NIP 1994020202020122014

Laporan Stok Obat Untuk transaksi antara tanggal : 01/04/2022 sampai dengan31/042022
PERIODE JUNI
PEMAKAIAN
SATUAN AWAL (Rp) Peneriman x Harga RESEP NILAI (Rp) NON-RESEP Nilai (Rp)
rupiah
1 2 3 4 5 6 = (4x5) 7 8 = (5+7- 9 = (4x8) 10 11 = (4x10)

12)
10 Antasida DOEN tablet tablet 54 0 Rp - Rp - 0 Rp -
12 Antasida DOEN Suspensi Botol 1679 0 Rp - 5 Rp 8,395 3 Rp 5,037.00
14 Asam Ascorbat (Vit C) tab 50 mg tablet 105 20 Rp 2,100.00 Rp - 0 Rp -
17 Asam Mefenamat tab 500 mg tablet 111 0 Rp - 100 Rp 11,100 80 Rp 8,880.00
21 Deksametason tab 0,5 mg tablet 34 130 Rp 4,420.00 Rp - 90 Rp 3,060.00
24 Furosemid tab 40 mg tablet 82 110 Rp 9,020.00 Rp - 50 Rp 4,100.00
26 Gentamisin Tetes Mata 0,3% tube 4520 0 Rp - Rp - 0 Rp -
29 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) buah 34000 0 Rp - Rp - 0 Rp -
37 Kloramfenikol SK Tube 3266 0 Rp - Rp - 0 Rp -
41 Lidokain murni inj 2 % 1221 0 Rp - 5 Rp 6,105 2 Rp 2,442.00
44 Metronidazole tab 500 mg 133 0 Rp - 100 Rp 13,300 30 Rp 3,990.00
47 Natrium Diklofenak tab 25mg tablet 128 0 Rp - Rp - 0 Rp -
48 Natrium Diklofenak tab 50 mg tablet 99 0 Rp - Rp - 0 Rp -
52 Parasetamol drop Botol 4976 10 Rp 49,760.00 Rp - 0 Rp -
53 Parasetamol syr 120mg/5ml botol 1160 Rp - Rp - 0 Rp -
57 Piridoxin HCL (vit B 6) tab 10 mg tablet 131 0 Rp - 100 Rp 13,100 50 Rp 6,550.00
61 Sianokobalamin (B 12) tab 50mcg tablet 43 0 Rp - 200 Rp 8,600 110 Rp 4,730.00
64 Tiamin HCL (B 1) tab 50 mg tablet 57 100 Rp 5,700.00 200 Rp 11,400 50 Rp 2,850.00
70 Vaksin polio bivalent 10 dosis Vial 23643 0 Rp - Rp - 0 Rp -
72 Vitamin B kompleks tab tablet 89 180 Rp 16,020.00 Rp - 90 Rp 8,010.00
TOTAL Rp 233,497.00 Rp 848,443 Rp 788,110.00


NIP 19670906198903 1 005 NIP 1994020202020122014


PEMAKAIAN
SATUAN AWAL (Rp) Peneriman x Harga RESEP NILAI (Rp) NON-RESEP Nilai (Rp)
rupiah
1 2 3 4 5 6 = (4x5) 7 8 = (5+7- 9 = (4x8) 10 11 = (4x10)

12)
1 Acyclovir cream tablet 2531.5862 0 Rp - 0 Rp - 0 Rp -
2 Acyclovir tab 400mg tablet 405 0 Rp - 0 Rp - 0 Rp -
3 Alopurinol tab 100 mg tablet 87 80 Rp 6,960.00 0 Rp - 80 Rp 6,960.00
4 alopurinol tab 300mg tablet 210 0 Rp - 0 Rp - 0 Rp -
5 amlodipin tab 10mg tablet 99 210 Rp 20,790.00 0 Rp - 210 Rp 20,790.00
6 amlodipin tab 5 mg tablet 53 130 Rp 6,890.00 0 Rp - 130 Rp 6,890.00
7 Amoksisilin kaplet 500 mg tablet 253 0 Rp - 0 Rp - 0 Rp -
8 Amoksisilin syr kering 250mg/5ml Botol 3628 0 Rp - 0 Rp - 0 Rp -
9 Antasida DOEN tablet tablet 54 200 Rp 10,800.00 0 Rp - 200 Rp 10,800.00
10 Antasida DOEN Suspensi Botol 1679 0 Rp - 5 Rp 8,395 3 Rp 5,037.00
13 asam asetilsalisilat tab (asetosal) 80mg tablet 105 0 Rp - 0 Rp - 0 Rp -
14 asam folat tab 1 mg tablet 56 80 Rp 4,480.00 100 Rp 5,600 150 Rp 8,400.00
15 Asam Mefenamat tab 500 mg tablet 111 50 Rp 5,550.00 100 Rp 11,100 130 Rp 14,430.00
16 Attapulgit (Antidiare) tab tablet 145 50 Rp 7,250.00 0 Rp - 40 Rp 5,800.00
17 Betametason cream 0,05 % Tube 1430 0 Rp - 0 Rp - 0 Rp -
18 cetirizine tab 10mg tablet 49 0 Rp - 0 Rp - 0 Rp -
20 domperidon syr 5mg/5ml Botol 2700 0 Rp - 0 Rp - 0 Rp -
21 Domperidon tab 10 mg tablet 90 0 Rp - 0 Rp - 0 Rp -
22 Furosemid tab 40 mg tablet 82 0 Rp - 200 Rp 16,400 140 Rp 11,480.00
23 Garam oralit kombinasi sachet 257 0 Rp - 0 Rp - 0 Rp -
24 Gentamisin Tetes Mata 0,3% tube 4520 2 Rp 9,040.00 0 Rp - 2 Rp 9,040.00
25 Glimepiride tab 2 mg tablet 123 70 Rp 8,610.00 0 Rp - 0 Rp -
26 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) buah 34000 0 Rp - 2 Rp 68,000 2 Rp 68,000.00
27 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine buah 30450 0 Rp - 1 Rp 30,450 1 Rp 30,450.00
28 Hidroklorotiazid ( HCT ) tab 25 mg tablet 148 0 Rp - 0 Rp - 0 Rp -
29 Hidrokortison cream 2,5 % Tube 2475 1 Rp 2,475.00 0 Rp - 0 Rp -
30 ibuprofen Suspensi 100mg/5ml Botol 2721 0 Rp - 0 Rp - 0 Rp -
31 Kalsium Glukonas inj ampul 10351 0 Rp - 0 Rp - 0 Rp -
32 Kalsium Lactat ( Kalk ) tab 500 mg tablet 63 0 Rp - 700 Rp 44,100 340 Rp 21,420.00
33 Kaptopril tab 25 mg tablet 75 40 Rp 3,000.00 0 Rp - 40 Rp 3,000.00
34 Kloramfenikol SK Tube 3266 0 Rp - 3 Rp 9,798 3 Rp 9,798.00
36 Kotrimoksasol Syr 240mg/5ml - 60ml Botol 2190 0 Rp - 0 Rp - 0 Rp -
37 Lidokain + epineprin inj ampul 1229 0 Rp - 0 Rp - 0 Rp -
38 Metformin 500mg tablet 77 50 Rp 3,850.00 0 Rp - 50 Rp 3,850.00
39 metilprednisolon tab 4 mg tablet 102 0 Rp - 0 Rp - 0 Rp -
40 N-asetil sistein tab 200mg tablet 350 70 Rp 24,500.00 0 Rp - 0 Rp -
41 Natrium Diklofenak tab 25mg tablet 128 140 Rp 17,920.00 100 Rp 12,800 100 Rp 12,800.00
42 Natrium Diklofenak tab 50 mg tablet 99 0 Rp - 100 Rp 9,900 100 Rp 9,900.00
43 Oksitoksin inj 10 IU/ ml - 1 ml ampul 1199 0 Rp - 0 Rp - 0 Rp -
44 omeprazole kapsul 20mg tablet 129 0 Rp - 0 Rp - 0 Rp -
45 Ondansetron tab 8 mg tablet 270 0 Rp - 0 Rp - 0 Rp -
46 Parasetamol drop Botol 4976 15 Rp 74,640.00 30 Rp 149,280 30 Rp 149,280.00
47 Parasetamol syr 120mg/5ml Botol 1181 10 Rp 11,810.00 30 Rp 35,430 30 Rp 35,430.00
49 Parasetamol tab 500 mg tablet 124.85 0 Rp - 100 Rp 12,485 100 Rp 12,485.00
50 Piridoxin HCL (vit B 6) tab 10 mg tablet 131 100 Rp 13,100.00 100 Rp 13,100 100 Rp 13,100.00
51 Prednison tab 5 mg tablet 73 0 Rp - 0 Rp - 0 Rp -
52 Retinol 100.000 UI tablet 306 0 Rp - 40 Rp 12,240 40 Rp 12,240.00
53 Retinol 200.000 UI tablet 552 0 Rp - 0 Rp - 0 Rp -
54 Sianokobalamin (B 12) tab 50mcg tablet 43 0 Rp - 200 Rp 8,600 200 Rp 8,600.00
55 simvastatin tab 10mg tablet 68 30 Rp 2,040.00 0 Rp - 0 Rp -
57 Tiamin HCL (B 1) tab 50 mg tablet 57 50 Rp 2,850.00 400 Rp 22,800 200 Rp 11,400.00
58 Vaksin BCG inj 20 DOSIS Vial 97780 0 Rp - 0 Rp - 0 Rp -
59 Vaksin DPT-HB-Hib 5 dosis Vial 85103 0 Rp - 16 Rp 1,361,648 16 Rp 1,361,648.00
60 Vaksin hepatitis B rekombinan inj 0,5 ml (Anak) Vial 25839 0 Rp - 0 Rp - 0 Rp -
62 Vaksin MR Vial 164686.5 0 Rp - 8 Rp 1,317,492 8 Rp 1,317,492.00
64 Vaksin Tetanus (Td) Vial 18128 0 Rp - 0 Rp - 0 Rp -
66 Zinc drops 10 mg/ml Botol 5051 0 Rp - 0 Rp - 0 Rp -
67 Zink Sirup 20mg/5 ml Botol 3171 0 Rp - 0 Rp - 0 Rp -
68 Zink tab tablet 208 0 Rp - 0 Rp - 0 Rp -
69 Antasida DOEN tablet tablet 58 0 Rp - 400 Rp 23,200 240 Rp 13,920.00
71 amlodipin tab 10mg tablet 70 0 Rp - 300 Rp 21,000 370 Rp 25,900.00
72 Glimepiride tab 4 mg tablet 183 0 Rp - 100 Rp 18,300 70 Rp 12,810.00
73 N-asetil sistein tab 200mg tablet 301 0 Rp - 60 Rp 18,060 60 Rp 18,060.00
74 Parasetamol syr 120mg/5ml botol 1160 10 Rp 11,600 0 Rp -
75 Lidokain murni inj 2 % 1221 0 Rp - 5 Rp 6,105 2 Rp 2,442.00
76 Metronidazole tab 500 mg 133 0 Rp - 100 Rp 13,300 30 Rp 3,990.00
TOTAL Rp 375,635.00 Rp 4,669,324 Rp 4,649,514.00


NIP 19670906198903 1 005 NIP 1994020202020122014

SISA KET.
STOCK
12 13
0
0
0 Langsung Ke Pasien
0
0
0
0
0
80
50
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
100
0
100
0
0
0
50
0
0
0
0
0
0

Pengelola Farmasi
ih Arum Palupi, S. Farm., Apt

NIP 1994020202020122014
SISA
KET.
STOCK
12 13
0
0
0
0
0
0
Err:522
Err:522
30
30
Err:522
90
80
Err:522
50
40
20
Err:522
Err:522
Err:522
Err:522
Err:522
0
Err:522
1
0
Err:522
Err:522
Err:522
Err:522
Err:522
Err:522
140
0
Err:522
60
Err:522
Err:522
0
Err:522
0
Err:522
50
Err:522
Err:522
Err:522
0
0
30
Err:522
Err:522
Err:522
Err:522
Err:522
Err:522
Err:522
220
0
Err:522
Err:522
Err:522
Err:522
0
0
Err:522
220
Err:522
0
0

Pengelola Farmasi

NIP 1994020202020122014
SISA
KET.
STOCK
12 13
0
0
0
0
0
0
0
Err:522
Err:522
0
110
Err:522
170
50
Err:522
100
20
20
Err:522
Err:522
Err:522
Err:522
Err:522
160
Err:522
0
70
0
Err:522
Err:522
Err:522
Err:522
Err:522
Err:522
140
0
Err:522
70
Err:522
Err:522
0
Err:522
0
0
Err:522
10
Err:522
Err:522
Err:522
Err:522
Err:522
30
Err:522
Err:522
Err:522
Err:522
Err:522
Err:522
Err:522
200
150
Err:522
Err:522
Err:522
Err:522
0
0
Err:522
230
Err:522
0
0

Pengelola Farmasi

NIP 1994020202020122014
SISA
KET.
STOCK
12 13
0
0
0
0
0
0
0
0
0
0
150
0
120
20
0
60
0
20
0
0
130
0
0
110
0
0
50
0
0
0
0
0
0
0
270
0
0
0
0
0
0
0
0
0
0
0
0
Err:522
0
Err:522
Err:522
30
0
0
0
0
0
0
0
390
100
0
0
0
0
0
0
0
180
0
0
0

Pengelola Farmasi

NIP 1994020202020122014
SISA KET.
STOCK
12 13
0
0
0
0
0
0
0
0
0
0
160
2
60
20
0
30
20
10
0
0
40
0
0
60
0
0
30
0
0
0
0
0
0
0
360
0
0
40
0
0
3
0
0
70
0
0
0
0
0
Err:522
0
Err:522
0
Err:522
210
0
50
0
0
0
90
0
510
250
0
0
0
0
0
0
0
90
0
0
0

Pengelola Farmasi

NIP 1994020202020122014
SISA KET.
STOCK
12 13
0
0
0
Err:522
Err:522
0
2
Err:522
30
20
Err:522
Err:522
40
Err:522
Err:522
60
Err:522
0
0
Err:522 Langsung Ke Pasien
Err:522
Err:522
Err:522
Err:522
Err:522
0
Err:522
0
Err:522
Err:522
Err:522
Err:522 10
210
Err:522
Err:522
Err:522
Err:522
Err:522
250
Err:522
Err:522
Err:522
Err:522
0
0
160
0
0
30
0
10
3
70

Pengelola Farmasi

NIP 1994020202020122014
REKAP DISTRIBUSI PER UNIT PKD SEMBUNGAN

PEMAKAIAN
HARGA NILAI STOCK PENERIMA SISA
NO NAMA OBAT SATUAN STOCK AWAL Peneriman x Harga KET.
SATUAN AWAL (Rp) AN RESEP NILAI (Rp) NON-RESEP Nilai (Rp) STOCK
rupiah
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 9 = (4x8) 10 11 = (4x10) 12 13
12)
5 amlodipin tab 10mg tablet 70 0 Rp - 200 Rp 14,000 0 Rp - 200
6 amlodipin tab 5 mg tablet 53 160 Rp 8,480.00 300 Rp 15,900 140 Rp 7,420.00 320
7 Amoksisilin kaplet 500 mg tablet 253 0 Rp - 100 Rp 25,300 0 Rp - 100
8 Amoksisilin syr kering 250mg/5ml Botol 3628 0 Rp - Rp - 0 Rp - 0
10 Antasida DOEN Suspensi Botol 1679 0 Rp - 1 Rp 1,679 0 Rp - 1
12 Asam Ascorbat (Vit C) tab 50 mg tablet 105 0 Rp - 400 Rp 42,000 0 Rp - 400
17 Betametason cream 0,05 % Tube 1430 0 Rp - 5 Rp 7,150 0 Rp - 5
24 Gentamisin Tetes Mata 0,3% tube 4232 0 Rp - 5 Rp 21,160 3 Rp 12,696.00 2
26 hand sanitizer 500 ml (alkohol 70% + chlorhbuah 34000 0 Rp - 2 Rp 68,000 0 Rp - 2
27 Hand Scrub Sabun Cuci Tangan Cair + clorhebuah 30450 0 Rp - 1 Rp 30,450 0 Rp - 1
29 Hidrokortison cream 2,5 % Tube 2475 0 Rp - 5 Rp 12,375 0 Rp - 5
33 Kaptopril tab 25 mg tablet 75 0 Rp - Rp - 0 Rp - 0
34 Kloramfenikol Salep Mata 1 % Tube 2007 0 5 Rp 10,035 0 Rp - 5
35 Kloramfenikol SK Tube 3266 0 Rp - 5 Rp 16,330 0 Rp - 5
36 Klorfeniramin Maleat ( CTM ) tab 4 mg tablet 23 0 Rp - 200 Rp 4,600 130 Rp 2,990.00 70
39 Metformin 500mg tablet 77 0 Rp - 400 Rp 30,800 120 Rp 9,240.00 280
41 N-asetil sistein tab 200mg tablet 373 0 Rp - 100 Rp 37,300 0 Rp - 100
50 Parasetamol tab 500 mg tablet 124.85 0 Rp - 300 Rp 37,455 0 Rp - 300
51 Piridoxin HCL (vit B 6) tab 10 mg tablet 131 0 Rp - 100 Rp 13,100 10 Rp 1,310.00 90
53 Retinol 100.000 UI tablet 306 0 Rp - 28 Rp 8,568 0 Rp - 28
56 simvastatin tab 10mg tablet 68 0 Rp - Rp - 0 Rp - 0
57 Tambah darah kombinasi ( ferro fumarat 60tablet 226 0 Rp - Rp - 0 Rp - 0
60 Vaksin DPT-HB-Hib 5 dosis Vial 85103 0 Rp - Rp - 0 Rp - 0
61 Vaksin hepatitis B rekombinan inj 0,5 ml (A Vial 25839 0 Rp - Rp - 0 Rp - 0
63 Vaksin MR Vial 166265 0 Rp - Rp - 0 Rp - 0
66 Vitamin B kompleks tab tablet 89 0 Rp - Rp - 0 Rp - 0
TOTAL Rp 60,640.00 Rp 473,882 Rp 98,669.00


NIP 19670906198903 1 005 NIP 1994020202020122014
PERIODE MARET
PEMAKAIAN
rupiah
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 9 = (4x8) 10 11 = (4x10) 12 13
12)
5 amlodipin tab 10mg tablet 70 200 Rp 14,000.00 Rp - 0 Rp - 200
6 amlodipin tab 5 mg tablet 53 320 Rp 16,960.00 Rp - 120 Rp 6,360.00 200 Langsung Ke Pasien
8 Amoksisilin syr kering 250mg/5ml Botol 3628 Rp - Rp - 0 Rp - 0
9 Antasida DOEN tablet tablet 54 100 Rp 5,400.00 Rp - 40 Rp 2,160.00 60 Langsung Ke Pasien
10 Antasida DOEN Suspensi Botol 1679 1 Rp 1,679.00 Rp - 1 Rp 1,679.00 0
16 Attapulgit (Antidiare) tab tablet 145 40 Rp 5,800.00 Rp - 10 Rp 1,450.00 30 Langsung Ke Pasien
17 Betametason cream 0,05 % Tube 1430 5 Rp 7,150.00 Rp - 3 Rp 4,290.00 2
24 Gentamisin Tetes Mata 0,3% tube 4232 2 Rp 8,464.00 Rp - 2 Rp 8,464.00 0 Langsung Ke Pasien
26 hand sanitizer 500 ml (alkohol 70% + chlorhbuah 34000 2 Rp 68,000.00 Rp - 2 Rp 68,000.00 0
27 Hand Scrub Sabun Cuci Tangan Cair + clorhebuah 30450 1 Rp 30,450.00 Rp - 1 Rp 30,450.00 0
29 Hidrokortison cream 2,5 % Tube 2475 5 Rp 12,375.00 Rp - 3 Rp 7,425.00 2
32 Kalsium Lactat ( Kalk ) tab 500 mg tablet 63 110 Rp 6,930.00 Rp - 90 Rp 5,670.00 20 Langsung Ke Pasien
35 Kloramfenikol SK Tube 3266 5 Rp 16,330.00 Rp - 0 Rp - 5
36 Klorfeniramin Maleat ( CTM ) tab 4 mg tablet 23 70 Rp 1,610.00 Rp - 70 Rp 1,610.00 0 Langsung Ke Pasien
39 Metformin 500mg tablet 77 280 Rp 21,560.00 Rp - 120 Rp 9,240.00 160 Langsung Ke Pasien
43 Natrium Diklofenak tab 50 mg tablet 99 60 Rp 5,940.00 100 Rp 9,900 130 Rp 12,870.00 30 Langsung Ke Pasien
49 Parasetamol tab 500 mg tablet 97.9 30 Rp 2,937.00 Rp - 30 Rp 2,937.00 0 Langsung Ke Pasien
51 Piridoxin HCL (vit B 6) tab 10 mg tablet 131 90 Rp 11,790.00 Rp - 10 Rp 1,310.00 80 Langsung Ke Pasien
52 Perak sulfadiazin tablet 20700 0 Rp - 2 Rp 41,400 1 Rp 20,700.00 1
53 Prednison tab 5 mg tablet 68 0 Rp - 200 Rp 13,600 0 Rp - 200
54 Prednison tab 5 mg tablet 73 420 Rp 30,660.00 0 Rp - 180 Rp 13,140.00 240 Langsung Ke Pasien
55 Retinol 100.000 UI tablet 306 28 Rp 8,568.00 Rp - 0 Rp - 28
57 Sianokobalamin (B 12) tab 50mcg tablet 43 140 Rp 6,020.00 Rp - 60 Rp 2,580.00 80 Langsung Ke Pasien
60 Tiamin HCL (B 1) tab 50 mg tablet 57 20 Rp 1,140.00 Rp - 20 Rp 1,140.00 0 Langsung Ke Pasien
TOTAL Rp 425,818.00 Rp 688,539 Rp 897,213.00


NIP 19670906198903 1 005 NIP 1994020202020122014
PERIODE APRIL
PEMAKAIAN
rupiah
1 2 3 4 5 6 = (4x5) 7 8 = (5+7- 9 = (4x8) 10 11 = (4x10) 12 13

12)
6 amlodipin tab 5 mg tablet 53 200 Rp 10,600.00 Rp - 120 Rp 6,360.00 80 Langsung Ke Pasien
9 Antasida DOEN tablet tablet 58 0 Rp - 100 Rp 5,800 80 Rp 4,640.00 20
10 Antasida DOEN tablet tablet 54 60 Rp 3,240.00 Rp - 40 Rp 2,160.00 20 Langsung Ke Pasien
11 Antasida DOEN Suspensi Botol 1679 0 Rp - Rp - 0 Rp - 0
17 Attapulgit (Antidiare) tab tablet 145 30 Rp 4,350.00 Rp - 0 Rp - 30 Langsung Ke Pasien
22 Domperidon tab 10 mg tablet 71 0 Rp - 100 Rp 7,100 10 Rp 710.00 90
26 Gentamisin Tetes Mata 0,3% tube 4232 0 Rp - Rp - 0 Rp - 0 Langsung Ke Pasien
28 hand sanitizer 500 ml (alkohol 70% + chlorhbuah 34000 0 Rp - Rp - 0 Rp - 0
29 Hand Scrub Sabun Cuci Tangan Cair + clorhebuah 30450 0 Rp - Rp - 0 Rp - 0
34 Kalsium Lactat ( Kalk ) tab 500 mg tablet 63 20 Rp 1,260.00 Rp - 20 Rp 1,260.00 0 Langsung Ke Pasien
38 Klorfeniramin Maleat ( CTM ) tab 4 mg tablet 23 0 Rp - 100 Rp 2,300 0 Rp - 100 Langsung Ke Pasien
41 Metformin 500mg tablet 77 160 Rp 12,320.00 Rp - 120 Rp 9,240.00 40 Langsung Ke Pasien
44 Natrium Diklofenak tab 25mg tablet 128 0 Rp - 300 Rp 38,400 0 Rp - 300
45 Natrium Diklofenak tab 50 mg tablet 99 30 Rp 2,970.00 Rp - 30 Rp 2,970.00 0 Langsung Ke Pasien
51 Parasetamol tab 500 mg tablet 97.9 0 Rp - Rp - 0 Rp - 0 Langsung Ke Pasien
53 Piridoxin HCL (vit B 6) tab 10 mg tablet 131 80 Rp 10,480.00 Rp - 20 Rp 2,620.00 60 Langsung Ke Pasien
54 Perak sulfadiazin tablet 20700 1 Rp - 1 Rp 20,700.00 1
55 Prednison tab 5 mg tablet 73 240 0 Rp - 240
56 Prednison tab 5 mg tablet 68 200 Rp 13,600.00 Rp - 200 Rp 13,600.00 0 Langsung Ke Pasien
59 Sianokobalamin (B 12) tab 50mcg tablet 49 0 200 Rp 9,800 140 Rp 6,860.00 60
60 Sianokobalamin (B 12) tab 50mcg tablet 43 80 Rp 3,440.00 Rp - 60 Rp 2,580.00 20 Langsung Ke Pasien
62 Tiamin HCL (B 1) tab 50 mg tablet 57 0 Rp - Rp - 0 Rp - 0 Langsung Ke Pasien
TOTAL Rp 178,924.00 Rp 566,491 Rp 600,795.50


NIP 19670906198903 1 005 NIP 1994020202020122014
PERIODE MEI
PEMAKAIAN
rupiah
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 9 = (4x8) 10 11 = (4x10) 12 13
12)
7 Amoksisilin kaplet 500 mg tablet 253 0 Rp - Rp - 0 Rp - 0
22 Domperidon tab 10 mg tablet 71 Rp - Rp - 0 Rp - 0
34 Kalsium Lactat ( Kalk ) tab 500 mg tablet 63 0 Rp - 200 Rp 12,600 60 Rp 3,780.00 140
36 Kloramfenikol Salep Mata 1 % Tube 2007 5 Rp 10,035.00 Rp - 0 Rp - 5
44 Natrium Diklofenak tab 25mg tablet 128 300 Rp 38,400.00 200 Rp 25,600 125 Rp 16,000.00 375
47 omeprazole kapsul 20mg tablet 129 0 Rp - 200 Rp 25,800 0 Rp - 200
53 Piridoxin HCL (vit B 6) tab 10 mg tablet 131 60 Rp 7,860.00 Rp - 20 Rp 2,620.00 40
54 Perak sulfadiazin tablet 20700 1 Rp 20,700.00 Rp - 0 Rp - 1
55 Prednison tab 5 mg tablet 73 240 Rp 17,520.00 Rp - 110 Rp 8,030.00 130
56 Ranitidin tab 150mg tablet 85 0 Rp - 100 Rp 8,500 0 Rp - 100
60 Sianokobalamin (B 12) tab 50mcg tablet 43 20 Rp 860.00 200 Rp 8,600 70 Rp 3,010.00 150
TOTAL Rp 207,184.50 Rp 410,346 Rp 354,063.50 0


NIP 19670906198903 1 005 NIP 1994020202020122014
PERIODE JUNI
PEMAKAIAN
rupiah
1 2 3 4 5 6 = (4x5) 7 8 = (5+7- 9 = (4x8) 10 11 = (4x10) 12 13

12)
7 Amoksisilin kaplet 500 mg tablet 253 0 Rp - 200 Rp 50,600 90 Rp 22,770.00 110
9 Antasida DOEN tablet tablet 58 20 Rp 1,160.00 200 Rp 11,600 60 Rp 3,480.00 160
19 cetirizine tab 10mg tablet 49 0 Rp - 100 Rp 4,900 50 Rp 2,450.00 50
22 Domperidon tab 10 mg tablet 71 0 Rp - 100 Rp 7,100 30 Rp 2,130.00 70
34 Kalsium Lactat ( Kalk ) tab 500 mg tablet 63 140 Rp 8,820.00 300 Rp 18,900 100 Rp 6,300.00 340
36 Kloramfenikol Salep Mata 1 % Tube 2007 5 Rp 10,035.00 Rp - 0 Rp - 5
42 Metformin 850mg 153 0 Rp - 200 Rp 30,600 90 Rp 13,770.00 110
45 N-asetil sistein tab 200mg 301 0 Rp - 180 Rp 54,180 110 Rp 33,110.00 70
46 Natrium Diklofenak tab 25mg tablet 128 375 Rp 48,000.00 100 Rp 12,800 140 Rp 17,920.00 335
48 Natrium Diklofenak tab 50 mg 100 0 Rp - 100 Rp 10,000 60 Rp 6,000.00 40
50 omeprazole kapsul 20mg tablet 129 200 Rp 25,800.00 200 Rp 25,800 70 Rp 9,030.00 330
53 Parasetamol syr 120mg/5ml 1160 0 Rp - 5 Rp 5,800 5 Rp 5,800.00 0
58 Perak sulfadiazin tablet 20700 1 Rp 20,700.00 Rp - 0 Rp - 1
59 Prednison tab 5 mg tablet 73 130 Rp 9,490.00 100 Rp 7,300 90 Rp 6,570.00 140
60 Ranitidin tab 150mg tablet 85 100 Rp 8,500.00 200 Rp 17,000 50 Rp 4,250.00 250
61 Retinol 100.000 UI tablet 306 28 Rp 8,568.00 Rp - 28 Rp 8,568.00 0
64 Sianokobalamin (B 12) tab 50mcg tablet 43 150 Rp 6,450.00 200 Rp 8,600 120 Rp 5,160.00 230
66 Tambah darah kombinasi ( ferro fumarat 60tablet 226 0 Rp - 300 Rp 67,800 0 Rp - 300
67 Tiamin HCL (B 1) tab 50 mg tablet 57 0 Rp - 200 Rp 11,400 0 Rp - 200
70 Vaksin hepatitis B rekombinan inj 0,5 ml (A Vial 25839 0 Rp - 1 Rp 25,839 1 Rp 25,839.00 0
TOTAL Rp 263,467.00 Rp 876,842 Rp 631,006.50

NIP 19670906198903 1 005 NIP 1994020202020122014

JANUARI - JUNI 2022
PEMAKAIAN
NO NAMA OBAT SATUAN SATUAN STOCK AWAL AWAL (Rp) AN Peneriman x Harga STOCK KET.
rupiah
1 2 3 4 5 6 = (4x5) 7 8 = (5+7- 9 = (4x8) 10 11 = (4x10) 12 13

12)
1 Acyclovir cream tablet 2531.5862 0 Rp - 0 Rp - 0 0 0 Rp - 0
2 Acyclovir tab 400mg tablet 405 0 Rp - 0 Rp - 0 0 0 Rp - 0
3 Alopurinol tab 100 mg tablet 87 0 Rp - 0 Rp - 0 0 0 Rp - 0
4 alopurinol tab 300mg tablet 210 0 Rp - 0 Rp - 0 0 0 Rp - 0
5 amlodipin tab 10mg tablet 70 0 Rp - 400 Rp 28,000 0 0 310 Rp 21,700.00 90
6 amlodipin tab 5 mg tablet 53 160 Rp 8,480.00 700 Rp 37,100 0 0 560 Rp 29,680.00 300
7 Amoksisilin kaplet 500 mg tablet 253 0 Rp - 400 Rp 101,200 0 0 290 Rp 73,370.00 110
8 Amoksisilin syr kering 250mg/5ml Botol 3628 0 Rp - 0 Rp - 0 0 0 Rp - 0
9 Antasida DOEN tablet tablet 54 140 Rp 7,560.00 0 Rp - 0 0 140 Rp 7,560.00 0
10 Antasida DOEN Suspensi Botol 1679 0 Rp - 1 Rp 1,679 0 0 1 Rp 1,679.00 0
11 Asam Ascorbat (Vit C) tab 250 mg tablet 119 0 Rp - 0 Rp - 0 0 0 Rp - 0
12 Asam Ascorbat (Vit C) tab 50 mg tablet 105 0 Rp - 800 Rp 84,000 0 0 530 Rp 55,650.00 270
13 asam asetilsalisilat tab (asetosal) 80mg tablet 105 0 Rp - 0 Rp - 0 0 0 Rp - 0
14 asam folat tab 1 mg tablet 56 0 Rp - 0 Rp - 0 0 0 Rp - 0
15 Asam Mefenamat tab 500 mg tablet 111 0 Rp - 0 Rp - 0 0 0 Rp - 0
16 Attapulgit (Antidiare) tab tablet 145 50 Rp 7,250.00 0 Rp - 0 0 40 Rp 5,800.00 10
17 Betametason cream 0,05 % Tube 1430 0 Rp - 5 Rp 7,150 0 0 5 Rp 7,150.00 0
18 cetirizine tab 10mg tablet 49 0 Rp - 100 Rp 4,900 0 0 50 Rp 2,450.00 50
19 Deksametason tab 0,5 mg tablet 34 0 Rp - 0 Rp - 0 0 0 Rp - 0
20 domperidon syr 5mg/5ml Botol 2700 0 Rp - 0 Rp - 0 0 0 Rp - 0
21 Domperidon tab 10 mg tablet 90 0 Rp - 0 Rp - 0 0 0 Rp - 0
22 Furosemid tab 40 mg tablet 82 0 Rp - 0 Rp - 0 0 0 Rp - 0
23 Garam oralit kombinasi sachet 257 0 Rp - 0 Rp - 0 0 0 Rp - 0
24 Gentamisin Tetes Mata 0,3% tube 4232 0 Rp - 5 Rp 21,160 0 0 5 Rp 21,160.00 0
25 Glimepiride tab 2 mg tablet 123 0 Rp - 0 Rp - 0 0 0 Rp - 0
26 hand sanitizer 500 ml (alkohol 70% + chlorhbuah 34000 0 Rp - 2 Rp 68,000 0 0 2 Rp 68,000.00 0
27 Hand Scrub Sabun Cuci Tangan Cair + clorhebuah 30450 0 Rp - 1 Rp 30,450 0 0 1 Rp 30,450.00 0
28 Hidroklorotiazid ( HCT ) tab 25 mg tablet 148 0 Rp - 0 Rp - 0 0 0 Rp - 0
29 Hidrokortison cream 2,5 % Tube 2475 0 Rp - 5 Rp 12,375 0 0 5 Rp 12,375.00 0
30 ibuprofen Suspensi 100mg/5ml Botol 2721 0 Rp - 0 Rp - 0 0 0 Rp - 0
31 Kalsium Glukonas inj ampul 10351 0 Rp - 0 Rp - 0 0 0 Rp - 0
32 Kalsium Lactat ( Kalk ) tab 500 mg tablet 63 200 Rp 12,600.00 500 Rp 31,500 0 0 360 Rp 22,680.00 340
33 Kaptopril tab 25 mg tablet 75 0 Rp - 0 Rp - 0 0 0 Rp - 0
34 Kloramfenikol Salep Mata 1 % Tube 2007 0 5 Rp 10,035 0 0 0 Rp - 5
35 Kloramfenikol SK Tube 3266 0 Rp - 5 Rp 16,330 0 0 0 Rp - 5
36 Klorfeniramin Maleat ( CTM ) tab 4 mg tablet 23 0 Rp - 900 Rp 20,700 0 0 440 Rp 10,120.00 460
37 Kotrimoksasol Syr 240mg/5ml - 60ml Botol 2190 0 Rp - 0 Rp - 0 0 0 Rp - 0
38 Lidokain + epineprin inj ampul 1229 0 Rp - 0 Rp - 0 0 0 Rp - 0
39 Metformin 500mg tablet 77 0 Rp - 400 Rp 30,800 0 0 400 Rp 30,800.00 0
40 metilprednisolon tab 4 mg tablet 102 0 Rp - 0 Rp - 0 0 0 Rp - 0
41 N-asetil sistein tab 200mg tablet 373 0 Rp - 100 Rp 37,300 0 0 100 Rp 37,300.00 0
42 Natrium Diklofenak tab 25mg tablet 128 0 Rp - 600 Rp 76,800 0 0 265 Rp 33,920.00 335
43 Natrium Diklofenak tab 50 mg tablet 99 250 Rp 24,750.00 100 Rp 9,900 0 0 350 Rp 34,650.00 0
44 Oksitoksin inj 10 IU/ ml - 1 ml ampul 1199 0 Rp - 0 Rp - 0 0 0 Rp - 0
45 omeprazole kapsul 20mg tablet 129 0 Rp - 400 Rp 51,600 0 0 70 Rp 9,030.00 330
46 Ondansetron tab 8 mg tablet 270 0 Rp - 0 Rp - 0 0 0 Rp - 0
47 Parasetamol drop Botol 4976 0 Rp - 10 Rp 49,760 0 0 10 Rp 49,760.00 0
48 Parasetamol syr 120mg/5ml Botol 1181 0 Rp - 0 Rp - 0 0 0 Rp - 0
49 Parasetamol tab 500 mg tablet 97.9 0 Rp - 200 Rp 19,580 0 0 200 Rp 19,580.00 0
50 Parasetamol tab 500 mg tablet 124.85 0 Rp - 1200 Rp 149,820 0 0 650 Rp 81,152.50 550
51 Piridoxin HCL (vit B 6) tab 10 mg tablet 131 0 Rp - 100 Rp 13,100 0 0 80 Rp 10,480.00 20
52 Prednison tab 5 mg tablet 73 0 Rp - 700 Rp 51,100 0 0 560 Rp 40,880.00 140
53 Retinol 100.000 UI tablet 306 0 Rp - 28 Rp 8,568 0 0 28 Rp 8,568.00 0
54 Retinol 200.000 UI tablet 552 0 Rp - 0 Rp - 0 0 0 Rp - 0
55 Sianokobalamin (B 12) tab 50mcg tablet 43 0 Rp - 600 Rp 25,800 0 0 370 Rp 15,910.00 230
56 simvastatin tab 10mg tablet 68 0 Rp - 0 Rp - 0 0 0 Rp - 0
57 Tambah darah kombinasi ( ferro fumarat 60tablet 226 0 Rp - 300 Rp 67,800 0 0 0 Rp - 300
58 Tiamin HCL (B 1) tab 50 mg tablet 57 0 Rp - 300 Rp 17,100 0 0 100 Rp 5,700.00 200
59 Vaksin BCG inj 20 DOSIS Vial 97780 0 Rp - 0 Rp - 0 0 0 Rp - 0
60 Vaksin DPT-HB-Hib 5 dosis Vial 85103 0 Rp - 7 Rp 595,721 0 0 7 Rp 595,721.00 0
61 Vaksin hepatitis B rekombinan inj 0,5 ml (A Vial 25839 0 Rp - 1 Rp 25,839 0 0 1 Rp 25,839.00 0
62 Vaksin IPV Vial 158994 0 Rp - 3 Rp 476,982 0 0 3 Rp 476,982.00 0
63 Vaksin MR Vial 166265 0 Rp - 3 Rp 498,795 0 0 3 Rp 498,795.00 0
64 Vaksin polio bivalent 10 dosis Vial 21494 0 Rp - 4 Rp 85,976 0 0 4 Rp 85,976.00 0
65 Vaksin Tetanus (Td) Vial 18128 0 Rp - 0 Rp - 0 0 0 Rp - 0
66 Vitamin B kompleks tab tablet 89 0 Rp - 300 Rp 26,700 0 0 170 Rp 15,130.00 130
67 Zinc drops 10 mg/ml Botol 5051 0 Rp - 0 Rp - 0 0 0 Rp - 0
68 Zink Sirup 20mg/5 ml Botol 3171 0 Rp - 0 Rp - 0 0 0 Rp - 0
69 Zink tab tablet 208 0 Rp - 0 Rp - 0 0 0 Rp - 0
70 Perak sulfadiazin tablet 20700 0 Rp - 2 Rp 41,400 0 0 2 Rp 45,460.00 1
71 Prednison tab 5 mg tablet 68 0 Rp - 200 Rp 13,600 0 0 200 Rp 13,600.00 0
72 Antasida DOEN tablet tablet 58 0 Rp - 300 Rp 17,400 0 0 140 Rp 8,120.00 160
73 Domperidon tab 10 mg tablet 71 0 Rp - 200 Rp 14,200 0 0 130 Rp 9,230.00 70
75 Ranitidin tab 150mg tablet 85 0 Rp - 300 Rp 25,500 0 0 50 Rp 4,250.00 250
76 Metformin 850mg tablet 153 0 Rp - 200 Rp 30,600 0 0 90 Rp 13,770.00 110
78 Natrium Diklofenak tab 50 mg tablet 100 0 Rp - 100 Rp 10,000 0 0 60 Rp 6,000.00 40
79 Parasetamol syr 120mg/5ml botol 1160 0 Rp - 5 Rp 5,800 0 0 5 Rp 5,800.00 0
TOTAL Rp 60,640.00 Rp 3,016,100 Rp 2,592,197.50


NIP 19670906198903 1 005 NIP 1994020202020122014
TOTAL PENERIMAAN DARI GUDANG JAN-JUNI 2022=Rp3,016,100
REKAP DISTRIBUSI PER UNIT PKD SIKUNANG

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

12)
2 Acyclovir tab 400mg tablet 405 0 Rp - Rp - Rp - 0
3 Alopurinol tab 100 mg tablet 87 0 Rp - Rp - Rp - 0
4 alopurinol tab 300mg tablet 210 0 Rp - Rp - Rp - 0
6 amlodipin tab 5 mg tablet 53 0 Rp - 300 Rp 15,900 90 Rp 4,770.00 210
14 asam folat tab 1 mg tablet 56 0 Rp - 200 Rp 11,200 60 Rp 3,360.00 140
16 Attapulgit (Antidiare) tab tablet 145 0 Rp - Rp - 0 Rp - 0
17 Betametason cream 0,05 % Tube 1430 0 Rp - 10 Rp 14,300 10 Rp 14,300.00 0
18 cetirizine syr 5mg/5ml Botol 2915 0 Rp - 10 Rp 29,150 10 Rp 29,150.00 0
22 Furosemid tab 40 mg tablet 82 0 Rp - 200 Rp 16,400 200 Rp 16,400.00 0
24 Gentamisin Tetes Mata 0,3% tube 4520 8 Rp 36,160.00 Rp - 4 Rp 18,080.00 4
25 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) Buah 34000 0 Rp - 2 Rp 68,000 2 Rp 68,000.00 0
26 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine buah 30450 0 Rp - Rp - 0 Rp - 0
27 Hidroklorotiazid ( HCT ) tab 25 mg buah 148 0 Rp - 1 Rp 148 1 Rp 148.00 0
29 ibuprofen Suspensi 100mg/5ml Botol 2721 0 Rp - 10 Rp 27,210 10 Rp 27,210.00 0
33 Kloramfenikol Salep Mata 1 % tube 2007 2 Rp 4,014.00 Rp - 2 Rp 4,014.00 0
37 Metformin 500mg tablet 77 30 Rp 2,310.00 Rp - 0 Rp - 30
52 Sianokobalamin (B 12) tab 50mcg tablet 43 0 Rp - 200 Rp 8,600 0 Rp - 200
53 Tambah darah kombinasi ( ferro fumarat 60 mg, asam fotablet 226 380 Rp 85,880.00 500 Rp 113,000 680 Rp 153,680.00 200
54 Tiamin HCL (B 1) tab 50 mg tablet 57 50 Rp 2,850.00 400 Rp 22,800 260 Rp 14,820.00 190
55 Vaksin BCG inj 20 DOSIS Vial 97780 0 Rp - 1 Rp 97,780 1 Rp 97,780.00 0
57 Vaksin hepatitis B rekombinan inj 0,5 ml (Anak) Vial 25839 0 Rp - Rp - 0 Rp - 0
59 Vaksin MR Vial 160831 0 Rp - Rp - 0 Rp - 0
67 Alkohol swab buah 145 0 Rp - 200 Rp 29,000 200 Rp 29,000.00 0
TOTAL Rp 228,819.00 Rp 993,220 Rp 1,051,256.00


NIP 19670906198903 1 005 NIP 1994020202020122014

PERIODE MARET
PEMAKAIAN
HARGA STOCK NILAI STOCK SISA
SATUAN AWAL AWAL (Rp) RESEP NILAI (Rp) NON-RESEP Nilai (Rp) STOCK
rupiah
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 9 = (4x8) 10 11 = (4x10) 12
12)
5 amlodipin tab 10mg tablet 70 10 Rp 700.00 Rp - 10 Rp 700.00 0
14 asam folat tab 1 mg tablet 56 140 Rp 7,840.00 Rp - 50 Rp 2,800.00 90
16 Attapulgit (Antidiare) tab tablet 145 0 Rp - Rp - 0 Rp - 0
25 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) Buah 34000 0 Rp - Rp - 0 Rp - 0
27 Hidroklorotiazid ( HCT ) tab 25 mg buah 148 0 Rp - Rp - 0 Rp - 0
29 ibuprofen Suspensi 100mg/5ml Botol 2721 10 Rp 27,210.00 Rp - 10 Rp 27,210.00 0
37 Metformin 500mg tablet 77 30 Rp 2,310.00 Rp - 10 Rp 770.00 20
40 Natrium Diklofenak tab 50 mg tablet 99 0 Rp - Rp - 0 Rp - Err:522
44 Parasetamol drop Botol 4976 0 Rp - Rp - 0 Rp - Err:522
45 Parasetamol syr 120mg/5ml Botol 1181 6 Rp 7,086.00 Rp - 6 Rp 7,086.00 0
48 Piridoxin HCL (vit B 6) tab 10 mg tablet 131 90 Rp 11,790.00 100 Rp 13,100 70 Rp 9,170.00 120
49 permetrin cream tube 11250 Rp - 2 Rp 22,500 1 Rp 11,250.00 1
51 Ranitidin Tablet tablet 85 0 Rp - 100 Rp 8,500 50 Rp 4,250.00 50
52 Retinol 100.000 UI tablet 306 10 Rp 3,060.00 Rp - 10 Rp 3,060.00 0
55 Tambah darah kombinasi ( ferro fumarat 60 mg, asam fotablet 226 200 Rp 45,200.00 Rp - 110 Rp 24,860.00 90
68 Alkohol swab buah 145 0 Rp - Rp - 0 Rp - 0
TOTAL Rp 197,993.00 Rp 969,955 Rp 1,018,128.00


NIP 19670906198903 1 005 NIP 1994020202020122014


PERIODE APRIL
PEMAKAIAN
NO NAMA OBAT SATUAN SATUAN AWAL AWAL (Rp) PENERIMAAN Peneriman x Harga STOCK
rupiah RESEP NILAI (Rp) NON-RESEP Nilai (Rp)
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 12) 9 = (4x8) 10 11 = (4x10) 12

5 amlodipin tab 10mg tablet 70 0 Rp - 100 Rp 7,000 100 Rp 7,000.00 0
13 Asam Ascorbat (Vit C) tab 50 mg tablet 105 110 Rp 11,550.00 Rp - 0 Rp - 110
15 asam folat tab 1 mg tablet 56 90 Rp 5,040.00 100 Rp 5,600 110 Rp 6,160.00 80
19 cetirizine syr 5mg/5ml Botol 2915 0 Rp - Rp - 0 Rp - 0
27 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) Buah 34000 0 Rp - Rp - 0 Rp - 0
29 Hidroklorotiazid ( HCT ) tab 25 mg buah 148 0 Rp - Rp - 0 Rp - 0
40 N-asetil sistein tab 200mg tablet 350 Err:522 Err:522 Rp - 0 Rp - Err:522
42 Natrium Diklofenak tab 25mg tablet 128 Err:522 Err:522 Rp - 0 Rp - Err:522
43 Natrium Diklofenak tab 50 mg tablet 99 Err:522 Err:522 Rp - 0 Rp - Err:522
44 Oksitoksin inj 10 IU/ ml - 1 ml ampul 1199 Err:522 Err:522 Rp - 0 Rp - Err:522
45 omeprazole kapsul 20mg tablet 129 Err:522 Err:522 Rp - 0 Rp - Err:522
46 Ondansetron tab 8 mg tablet 270 Err:522 Err:522 Rp - 0 Rp - Err:522
47 Parasetamol drop Botol 4976 Err:522 Err:522 Rp - 0 Rp - Err:522
52 permetrin cream tube 11250 1 Rp 11,250.00 Rp - 0 Rp - 1
53 Prednison tab 5 mg tablet 73 60 Rp 4,380.00 Rp - 10 Rp 730.00 50
54 Ranitidin Tablet tablet 85 50 Rp 4,250.00 100 Rp 8,500 20 Rp 1,700.00 130
58 Tambah darah kombinasi ( ferro fumarat 60 mg, asam fotablet 226 90 Rp 20,340.00 Rp - 70 Rp 15,820.00 20
60 Vaksin BCG inj 20 DOSIS Vial 97780 0 Rp - Rp - Rp - 0
71 Alkohol swab buah 145 0 Rp - Rp - 0 Rp - 0
TOTAL Rp 149,820.00 Rp 782,948.00 Rp 696,034.00


NIP 19670906198903 1 005 NIP 1994020202020122014


PERIODE MEI
PEMAKAIAN
NO NAMA OBAT SATUAN SATUAN AWAL AWAL (Rp) PENERIMAAN Peneriman x Harga STOCK
rupiah RESEP NILAI (Rp) NON-RESEP Nilai (Rp)
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 12) 9 = (4x8) 10 11 = (4x10) 12
1 Acyclovir cream tablet 2531.5862 0 Rp - Rp - Rp - 0

5 amlodipin tab 10mg tablet 70 0 Rp - Rp - Rp - 0
6 amlodipin tab 5 mg tablet 53 440 Rp 23,320.00 Rp - 160 Rp 8,480.00 280
8 Amoksisilin syr kering 250mg/5ml Botol 3628 0 Rp - Rp - Rp - 0
10 Antasida DOEN tablet tablet 54 0 Rp - Rp - Rp - 0
11 Antasida DOEN Suspensi Botol 1679 0 Rp - Rp - Rp - 0
12 Asam Ascorbat (Vit C) tab 250 mg tablet 119 0 Rp - Rp - Rp - 0
14 asam asetilsalisilat tab (asetosal) 80mg tablet 105 0 Rp - Rp - Rp - 0
15 asam folat tab 1 mg tablet 56 80 Rp 4,480.00 300 Rp 16,800 80 Rp 4,480.00 300
17 Attapulgit (Antidiare) tab tablet 145 0 Rp - Rp - Rp - 0
18 Betametason cream 0,05 % Tube 1430 0 Rp - Rp - Rp - 0
19 cetirizine syr 5mg/5ml Botol 2915 0 Rp - Rp - Rp - 0
20 Deksametason tab 0,5 mg tablet 34 0 Rp - Rp - Rp - 0
21 domperidon syr 5mg/5ml Botol 2700 0 Rp - Rp - Rp - 0
22 Domperidon tab 10 mg tablet 71 80 Rp 5,680.00 Rp - 30 Rp 2,130.00 50
23 Domperidon tab 10 mg tablet 90 0 Rp - Rp - Rp - 0
25 Garam oralit kombinasi sachet 257 0 Rp - Rp - Rp - 0
26 Gentamisin Tetes Mata 0,3% tube 4520 0 Rp - Rp - Rp - 0
27 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) Buah 34000 0 Rp - Rp - Rp - 0
28 Handscoon pendek steril no 7 (M) pasang 2772 0 Rp - 50 Rp 138,600 8 Rp 22,176.00 42
29 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine buah 30450 0 Rp - Rp - Rp - 0
30 Hidroklorotiazid ( HCT ) tab 25 mg buah 148 0 Rp - Rp - Rp - 0
31 Hidrokortison cream 2,5 % Tube 2475 0 Rp - Rp - Rp - 0
32 Hidrogen Peroksida 3% botol 3360 0 Rp - 2 Rp 6,720 1 Rp 3,360.00 1
33 ibuprofen Suspensi 100mg/5ml Botol 2721 0 Rp - Rp - Rp - 0
34 Kalsium Glukonas inj ampul 10351 0 Rp - Rp - Rp - 0
36 Kaptopril tab 25 mg tablet 75 0 Rp - Rp - Rp - 0
37 Kloramfenikol Salep Mata 1 % tube 2007 0 Rp - Rp - Rp - 0
38 Klorfeniramin Maleat ( CTM ) tab 4 mg tablet 23 0 Rp - Rp - Rp - 0
39 Kotrimoksasol Syr 240mg/5ml - 60ml Botol 2190 0 Rp - Rp - Rp - 0
40 Lidokain + epineprin inj ampul 1229 0 Rp - Rp - Rp - 0
41 Metformin 500mg tablet 77 0 Rp - Rp - Rp - 0
42 N-asetil sistein tab 200mg tablet 350 0 Rp - Rp - Rp - 0
44 Natrium Diklofenak tab 25mg tablet 128 0 Rp - Rp - Rp - 0
45 Natrium Diklofenak tab 50 mg tablet 99 0 Rp - Rp - Rp - 0
46 Oksitoksin inj 10 IU/ ml - 1 ml ampul 1199 0 Rp - Rp - Rp - 0
47 omeprazole kapsul 20mg tablet 129 0 Rp - Rp - Rp - 0
48 Ondansetron tab 8 mg tablet 270 0 Rp - Rp - Rp - 0
50 Parasetamol syr 120mg/5ml Botol 1181 0 Rp - Rp - Rp - 0
51 Parasetamol tab 500 mg tablet 97.9 0 Rp - Rp - Rp - 0
54 permetrin cream tube 11250 1 Rp 11,250.00 Rp - Rp - 1
55 Prednison tab 5 mg tablet 73 50 Rp 3,650.00 Rp - 30 Rp 2,190.00 20
56 Ranitidin Tablet tablet 85 130 Rp 11,050.00 Rp - 50 Rp 4,250.00 80
57 Ringer lactat ( RL ) infus steril botol 7630 0 Rp - 5 Rp 38,150 0 Rp - 5
58 Retinol 100.000 UI tablet 306 0 Rp - Rp - Rp - 0
65 Vaksin hepatitis B rekombinan inj 0,5 ml (Anak) Vial 25839 0 Rp - Rp - Rp - 0
68 Vaksin polio bivalent 10 dosis Vial 21494 0 Rp - Rp - Rp - 0
70 Vaksin Tetanus (Td) Vial 18128 0 Rp - Rp - Rp - 0
72 Zinc drops 10 mg/ml Botol 5051 0 Rp - Rp - Rp - 0
73 Zink Sirup 20mg/5 ml Botol 3171 0 Rp - Rp - Rp - 0
74 Zink tab tablet 208 0 Rp - Rp - Rp - 0
75 Alkohol swab buah 145 0 Rp - Rp - Rp - 0
TOTAL Rp 175,730.00 Rp 883,989 Rp 707,344.50


NIP 19670906198903 1 005 NIP 1994020202020122014

PERIODE JUNI
PEMAKAIAN
SATUAN AWAL AWAL (Rp) Peneriman x Harga STOCK
rupiah
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 9 = (4x8) 10 11 = (4x10) 12
12)
1 Acyclovir cream tablet 2531.5862 0 Rp - Rp - Rp - 0
5 amlodipin tab 10mg tablet 70 0 Rp - Rp - Rp - 0
8 Amoksisilin syr kering 250mg/5ml Botol 3628 0 Rp - Rp - Rp - 0
10 Antasida DOEN tablet tablet 54 0 Rp - Rp - Rp - 0
11 Antasida DOEN Suspensi Botol 1679 0 Rp - Rp - Rp - 0
12 Asam Ascorbat (Vit C) tab 250 mg tablet 119 0 Rp - Rp - Rp - 0
14 asam asetilsalisilat tab (asetosal) 80mg tablet 105 0 Rp - Rp - Rp - 0
17 Attapulgit (Antidiare) tab tablet 145 0 Rp - Rp - Rp - 0
18 Betametason cream 0,05 % Tube 1430 0 Rp - Rp - Rp - 0
19 cetirizine syr 5mg/5ml Botol 2915 0 Rp - Rp - Rp - 0
20 Deksametason tab 0,5 mg tablet 34 0 Rp - Rp - Rp - 0
21 domperidon syr 5mg/5ml Botol 2700 0 Rp - Rp - Rp - 0
22 Domperidon tab 10 mg tablet 71 50 Rp 3,550.00 Rp - 10 Rp 710.00 40
23 Domperidon tab 10 mg tablet 90 0 Rp - Rp - Rp - 0
25 Garam oralit kombinasi sachet 257 0 Rp - Rp - Rp - 0
26 Gentamisin Tetes Mata 0,3% tube 4520 0 Rp - 5 Rp 22,600 3 Rp 13,560.00 2
27 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) Buah 34000 0 Rp - Rp - Rp - 0
28 Handscoon pendek steril no 7 (M) pasang 2772 42 Rp 116,424.00 Rp - Rp - 42
29 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine buah 30450 0 Rp - Rp - Rp - 0
30 Hidroklorotiazid ( HCT ) tab 25 mg buah 148 0 Rp - Rp - Rp - 0
31 Hidrokortison cream 2,5 % Tube 2475 0 Rp - Rp - Rp - 0
32 Hidrogen Peroksida 3% botol 3360 1 Rp 3,360.00 Rp - Rp - 1
33 ibuprofen Suspensi 100mg/5ml Botol 2721 0 Rp - Rp - Rp - 0
34 Kalsium Glukonas inj ampul 10351 0 Rp - Rp - Rp - 0
35 Kalsium Lactat ( Kalk ) tab 500 mg tablet 63 10 Rp 630.00 Rp - 10 Rp 630.00 0
36 Kaptopril tab 25 mg tablet 75 0 Rp - Rp - Rp - 0
37 Kloramfenikol Salep Mata 1 % tube 2007 0 Rp - Rp - Rp - 0
38 Klorfeniramin Maleat ( CTM ) tab 4 mg tablet 23 0 Rp - Rp - Rp - 0
39 Kotrimoksasol Syr 240mg/5ml - 60ml Botol 2190 0 Rp - Rp - Rp - 0
40 Lidokain + epineprin inj ampul 1229 0 Rp - Rp - Rp - 0
41 Metformin 500mg tablet 77 0 Rp - Rp - Rp - 0
42 N-asetil sistein tab 200mg tablet 350 0 Rp - Rp - Rp - 0
44 Natrium Diklofenak tab 25mg tablet 128 0 Rp - Rp - Rp - 0
45 Natrium Diklofenak tab 50 mg tablet 99 0 Rp - Rp - Rp - 0
46 Oksitoksin inj 10 IU/ ml - 1 ml ampul 1199 0 Rp - Rp - Rp - 0
47 omeprazole kapsul 20mg tablet 129 0 Rp - Rp - Rp - 0
48 Ondansetron tab 8 mg tablet 270 0 Rp - Rp - Rp - 0
49 Parasetamol drop Botol 4976 2 Rp 9,952.00 Rp - 2 Rp 9,952.00 0
50 Parasetamol syr 120mg/5ml Botol 1181 0 Rp - Rp - Rp - 0
54 permetrin cream tube 11250 1 Rp 11,250.00 Rp - Rp - 1
55 Prednison tab 5 mg tablet 73 20 Rp 1,460.00 Rp - 10 Rp 730.00 10
56 Povidon iodin 30ml 3200 0 Rp - 2 Rp 6,400 1 Rp 3,200.00 1
57 Ranitidin Tablet tablet 85 80 Rp 6,800.00 Rp - 50 Rp 4,250.00 30
58 Ringer lactat ( RL ) infus steril botol 7630 5 Rp 38,150.00 Rp - 0 Rp - 5
66 Vaksin hepatitis B rekombinan inj 0,5 ml (Anak) Vial 25839 0 Rp - Rp - Rp - 0
70 Vaksin polio bivalent 10 dosis Vial 23643 Rp - 1 Rp 23,643 1 Rp 23,643.00
71 Vaksin Tetanus (Td) Vial 18128 0 Rp - Rp - Rp - 0
72 Vitamin B kompleks tab tablet 89 260 Rp 23,140.00 Rp - 115 Rp 10,235.00 145
73 Zinc drops 10 mg/ml Botol 5051 0 Rp - Rp - Rp - 0
74 Zink Sirup 20mg/5 ml Botol 3171 0 Rp - Rp - Rp - 0
75 Zink tab tablet 208 0 Rp - Rp - Rp - 0
TOTAL Rp 352,374.50 Rp 675,914 Rp 666,362.50


NIP 19670906198903 1 005 NIP 1994020202020122014

JANUARI 2022 - JUNI 2022

PEMAKAIAN
SATUAN AWAL AWAL (Rp) Peneriman x Harga STOCK
rupiah
1 2 3 4 5 6 = (4x5) 7 8 = (5+7- 9 = (4x8) 10 11 = (4x10) 12

12)
6 amlodipin tab 5 mg tablet 53 0 Rp - 1200 Rp 63,600 770 Rp 40,810.00 430
8 Amoksisilin syr kering 250mg/5ml Botol 3628 0 Rp - 0 Rp - 0 Rp - 0
9 Antasida DOEN tablet tablet 54 50 Rp 2,700.00 0 Rp - 50 Rp 2,700.00 0
10 Antasida DOEN Suspensi Botol 1679 0 Rp - 0 Rp - 0 Rp - 0
11 Asam Ascorbat (Vit C) tab 250 mg tablet 119 10 Rp 1,190.00 0 Rp - 0 Rp - 10
17 Betametason cream 0,05 % Tube 1430 0 Rp - 10 Rp 14,300 10 Rp 14,300.00 0
19 Deksametason tab 0,5 mg tablet 34 0 Rp - 0 Rp - 0 Rp - 0
21 Domperidon tab 10 mg tablet 90 0 Rp - 0 Rp - 0 Rp - 0
23 Garam oralit kombinasi sachet 257 0 Rp - 0 Rp - 0 Rp - 0
24 Gentamisin Tetes Mata 0,3% tube 4520 8 Rp 36,160.00 5 Rp 22,600 11 Rp 49,720.00 2
25 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) Buah 34000 0 Rp - 2 Rp 68,000 2 Rp 68,000.00 0
26 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine buah 30450 0 Rp - 0 Rp - 0 Rp - 0
27 Hidroklorotiazid ( HCT ) tab 25 mg buah 148 0 Rp - 1 Rp 148 1 Rp 148.00 0
28 Hidrokortison cream 2,5 % Tube 2475 3 Rp 7,425.00 0 Rp - 3 Rp 7,425.00 0
29 ibuprofen Suspensi 100mg/5ml Botol 2721 0 Rp - 10 Rp 27,210 10 Rp 27,210.00 0
32 Kaptopril tab 25 mg tablet 75 20 Rp 1,500.00 0 Rp - 20 Rp 1,500.00 0
33 Kloramfenikol Salep Mata 1 % tube 2007 2 Rp 4,014.00 0 Rp - 2 Rp 4,014.00 0
35 Kotrimoksasol Syr 240mg/5ml - 60ml Botol 2190 0 Rp - 0 Rp - 0 Rp - 0
36 Lidokain + epineprin inj ampul 1229 0 Rp - 0 Rp - 0 Rp - 0
38 N-asetil sistein tab 200mg tablet 350 150 Rp 52,500.00 0 Rp - 150 Rp 52,500.00 0
39 Natrium Diklofenak tab 25mg tablet 128 0 Rp - 0 Rp - 0 Rp - 0
40 Natrium Diklofenak tab 50 mg tablet 99 0 Rp - 0 Rp - 0 Rp - 0
41 Oksitoksin inj 10 IU/ ml - 1 ml ampul 1199 0 Rp - 0 Rp - 0 Rp - 0
42 omeprazole kapsul 20mg tablet 129 0 Rp - 0 Rp - 0 Rp - 0
43 Ondansetron tab 8 mg tablet 270 0 Rp - 0 Rp - 0 Rp - 0
54 Tiamin HCL (B 1) tab 50 mg tablet 57 50 Rp 2,850.00 400 Rp 22,800 410 Rp 23,370.00 40
55 Vaksin BCG inj 20 DOSIS Vial 97780 0 Rp - 1 Rp 97,780 1 Rp 97,780.00 0
56 Vaksin DPT-HB-Hib 5 dosis Vial 85103 0 Rp - 13 Rp 1,106,339 13 Rp 1,106,339.00 0
57 Vaksin hepatitis B rekombinan inj 0,5 ml (Anak) Vial 25839 0 Rp - 0 Rp - 0 Rp - 0
61 Vaksin Tetanus (Td) Vial 18128 0 Rp - 0 Rp - 0 Rp - 0
64 Zinc drops 10 mg/ml Botol 5051 0 Rp - 0 Rp - 0 Rp - 0
65 Zink Sirup 20mg/5 ml Botol 3171 0 Rp - 0 Rp - 0 Rp - 0
66 Zink tab tablet 208 0 Rp - 0 Rp - 0 Rp - 0
49 permetrin cream tube 11250 Rp - 2 Rp 22,500 1 Rp 11,250.00 1
51 Ranitidin Tablet tablet 85 0 Rp - 200 Rp 17,000 170 Rp 14,450.00 30
28 Handscoon pendek steril no 7 (M) pasang 2772 0 Rp - 50 Rp 138,600 8 Rp 22,176.00 42
32 Hidrogen Peroksida 3% botol 3360 0 Rp - 2 Rp 6,720 1 Rp 3,360.00 1
57 Ringer lactat ( RL ) infus steril botol 7630 0 Rp - 5 Rp 38,150 0 Rp - 5
56 Povidon iodin 30ml 3200 0 Rp - 2 Rp 6,400 1 Rp 3,200.00 1
TOTAL Rp 228,819.00 Rp 4,306,026.00 Rp 4,171,729.00
Wonosobo, 30 JUNI 2022

Maduri, S.Kep., Ners Galih Arum Palupi. S.farm.,Apt
NIP 19670906198903 1 005 NIP 1994020202020122014

KET.
13
Langsung ke Pasien
Langsung ke Pasien
Langsung ke Pasien
Langsung ke Pasien
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Expired date
Langsung ke Pasien
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Langsung ke Pasien
Langsung ke Pasien
Langsung ke Pasien
sobo, 28 Febuari 2022

Pengelola Farmasi
um Palupi, S. Farm., Apt

994020202020122014
KET.
13
osobo, 31 Maret 2022

Pengelola Farmasi

994020202020122014
KET.
13
nosobo, 30 April 2022

Pengelola Farmasi

994020202020122014
KET.
13
nosobo, 31 Mei 2022

Pengelola Farmasi

994020202020122014
KET.
13
nosobo, 30 Juni 2022

Pengelola Farmasi

994020202020122014
KET.
13
Langsung ke Pasien
Langsung ke Pasien
Langsung ke Pasien
ED
ED
Langsung ke Pasien
Langsung ke Pasien
Langsung ke Pasien
Langsung ke Pasien
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Langsung ke Pasien
Langsung ke Pasien
osobo, 30 JUNI 2022

Pengelola Farmasi
um Palupi. S.farm.,Apt
994020202020122014
REKAP DISTRIBUSI PER UNIT PKD JOJOGAN

PEMAKAIAN
HARGA STOCK SISA
NO NAMA OBAT SATUAN NILAI STOCK AWAL (Rp) PENERIMAAN Peneriman x Harga
SATUAN AWAL RESEP NILAI (Rp) NON-RESEP Nilai (Rp) STOCK
rupiah
1 2 3 4 5 6 = (4x5) 7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12
6 amlodipin tab 10mg tablet 99 0 Rp - 200 Rp 19,800 0 Rp - 0
9 Amoksisilin syr kering 250mg/5ml Botol 3628 0 Rp - 5 Rp 18,140 2 Rp 7,256.00 3
11 Antasida DOEN Suspensi Botol 1679 0 Rp - 10 Rp 16,790 10 Rp 16,790.00 0
16 Asam Mefenamat tab 500 mg tablet 111 Rp - Rp - 0 Rp - 0
17 Attapulgit (Antidiare) tab Tube 145 100 Rp 14,500.00 Rp - 50 Rp 7,250.00 50
18 Betametason cream 0,05 % Botol 1430 2 Rp 2,860.00 Rp - 2 Rp 2,860.00 0
19 Deksametason tab 0,5 mg tablet 34 70 Rp 2,380.00 Rp - 70 Rp 2,380.00 0
21 Domperidon tab 10 mg tablet 90 90 Rp 8,100.00 200 Rp 18,000 180 Rp 16,200.00 110
22 Garam oralit kombinasi Botol 257 15 Rp 3,855.00 15 Rp 3,855 20 Rp 5,140.00 10
23 Gentamisin Tetes Mata 0,3% Tube 4520 0 Rp - 5 Rp 22,600 5 Rp 22,600.00 0
24 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) buah 34000 0 Rp - 2 Rp 68,000 2 Rp 68,000.00 0
25 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine Buah 30450 0 Rp - 1 Rp 30,450 1 Rp 30,450.00 0
27 Hidrokortison cream 2,5 % tablet 2475 3 Rp 7,425.00 5 Rp 12,375 3 Rp 7,425.00 5
31 Kloramfenikol Salep Mata 1 % tablet 2007 2 Rp 4,014.00 5 Rp 10,035 1 Rp 2,007.00 6
33 Kotrimoksasol Syr 240mg/5ml - 60ml Botol 2190 Rp - 5 Rp 10,950 5 Rp 10,950.00 0
34 Lidokain + epineprin inj ampul 1229 4 Rp 4,916.00 Rp - 2 Rp 2,458.00 2
36 N-asetil sistein tab 200mg tablet 350 Rp - Rp - 0 Rp - 0
37 N-asetil sistein tab 200mg tablet 373 Rp - 100 Rp 37,300 40 Rp 14,920.00 60
38 Natrium Diklofenak tab 25mg tablet 128 Rp - Rp - 0 Rp - 0
39 Natrium Diklofenak tab 50 mg tablet 99 Rp - Rp - 0 Rp - 0
40 Oksitoksin inj 10 IU/ ml - 1 ml ampul 1199 Rp - Rp - 0 Rp - 0
41 omeprazole kapsul 20mg tablet 129 Rp - Rp - 0 Rp - 0
42 Ondansetron tab 8 mg tablet 270 Rp - Rp - 0 Rp - 0
44 Parasetamol syr 120mg/5ml Botol 1181 3 Rp 3,543.00 10 Rp 11,810 11 Rp 12,991.00 2
47 Piridoxin HCL (vit B 6) tab 10 mg tablet 131 Rp - 200 Rp 26,200 150 Rp 19,650.00 50
49 Retinol 100.000 UI tablet 306 Rp - 67 Rp 20,502 67 Rp 20,502.00 0
54 Vaksin DPT-HB-Hib 5 dosis vial 85103 0 Rp - 6 Rp 510,618 6 Rp 510,618.00 0
61 Zinc drops 10 mg/ml Botol 5051 Rp - Rp - 0 Rp - 0
62 Zink Sirup 20mg/5 ml Botol 3171 Rp - Rp - 0 Rp - 0
63 Zink tab tablet 208 Rp - 200 Rp 41,600 110 Rp 22,880.00 90
64 Alkohol swab Buah 145 Rp - 200 Rp 29,000 200 Rp 29,000.00 0
TOTAL 799 Rp 108,853.00 Rp 1,940,369 Rp 1,906,991.29


NIP 19670906198903 1 005 NIP 1994020202020122014
PERIODE 01 Maret 2022 - 31 maret 2022

PEMAKAIAN
HARGA STOCK SISA
rupiah
1 2 3 4 5 6 = (4x5) 7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12
8 Amoksisilin kaplet 500 mg tablet 253 0 Rp - Rp - 0 Rp - 0
9 Amoksisilin syr kering 250mg/5ml Botol 3628 3 Rp 10,884.00 Rp - 3 Rp 10,884.00 0
18 Betametason cream 0,05 % Botol 1430 0 Rp - Rp - 0 Rp - 0
22 Garam oralit kombinasi Botol 257 10 Rp 2,570.00 Rp - 10 Rp 2,570.00 0
24 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) buah 34000 0 Rp - Rp - 0 Rp - 0
25 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine Buah 30450 0 Rp - Rp - 0 Rp - 0
27 Hidrokortison cream 2,5 % tablet 2475 5 Rp 12,375.00 Rp - 3 Rp 7,425.00 2
34 Lidokain + epineprin inj ampul 1229 2 Rp 2,458.00 Rp - 2 Rp 2,458.00 0
35 Metformin 500mg tablet 77 40 Rp 3,080.00 Rp - 10 Rp 770.00 30
44 Parasetamol syr 120mg/5ml Botol 1181 2 Rp 2,362.00 0 Rp - 2 Rp 2,362.00 0
47 Piridoxin HCL (vit B 6) tab 10 mg tablet 131 50 Rp 6,550.00 Rp - 0 Rp - 50
48 Permetrin cream tube 11250 0 3 Rp 33,750 1 Rp 11,250.00 2
52 Sianokobalamin (B 12) tab 50mcg tablet 43 0 Rp - Rp - 0 Rp - 0
55 Vaksin DPT-HB-Hib 5 dosis vial 85103 0 Rp - 2 Rp 170,206 2 Rp 170,206.00 0
64 Zink tab tablet 208 90 Rp 18,720.00 Rp - 50 Rp 10,400.00 40
65 Alkohol swab Buah 145 0 Rp - Rp - 0 Rp - 0
TOTAL Rp 122,431.00 Rp 599,445 Rp 637,504.29


NIP 19670906198903 1 005 NIP 1994020202020122014
PERIODE APRIL
PEMAKAIAN
HARGA STOCK SISA
rupiah
1 2 3 4 5 6 = (4x5) 7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12
8 Amoksisilin kaplet 500 mg tablet 253 0 Rp - 100 Rp 25,300 50 Rp 12,650.00 50
18 Betametason cream 0,05 % Botol 1430 0 Rp - 5 Rp 7,150 2 Rp 2,860.00 3
19 Deksametason tab 0,5 mg tablet 34 30 Rp 1,020.00 Rp - 30 Rp 1,020.00 0
22 Garam oralit kombinasi Botol 257 0 Rp - Rp - 0 Rp - 0
23 Gentamisin Tetes Mata 0,3% Tube 4520 1 Rp 4,520.00 Rp - 1 Rp 4,520.00 0
27 Hidrokortison cream 2,5 % tablet 2475 2 Rp 4,950.00 Rp - 2 Rp 4,950.00 0
29 Kalsium Lactat ( Kalk ) tab 500 mg tablet 63 0 Rp - 100 Rp 6,300 60 Rp 3,780.00 40
31 Kloramfenikol Salep Mata 1 % tablet 2007 6 Rp 12,042.00 Rp - 2 Rp 4,014.00 4
47 Parasetamol tab 500 mg tablet 124.85 0 Rp - Rp - 0 Rp - Err:522
49 Permetrin cream tube 11250 2 Rp - 1 Rp 11,250.00 1
57 Vaksin DPT-HB-Hib 5 dosis vial 85103 0 Rp - 2 Rp 170,206 1 Rp 85,103.00 Err:522
58 Vaksin hepatitis B rekombinan inj 0,5 ml (Anak) Vial 25839 0 Rp - Rp - 0 Rp - Err:522
59 Vaksin IPV Vial 158994 0 Rp - Rp - 0 Rp - Err:522
64 Vitamin B kompleks tab tablet 89 0 Rp - Rp - 0 Rp - Err:522
TOTAL 401 Rp 64,572.00 Rp 462,937.14 Rp 377,142.14


NIP 19670906198903 1 005 NIP 1994020202020122014
PERIODE MEI
PEMAKAIAN
HARGA STOCK SISA
rupiah
1 2 3 4 5 6 = (4x5) 7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12
11 Antasida DOEN Suspensi Botol 1679 0 Rp - 5 Rp 8,395 0 Rp - 5
17 Attapulgit (Antidiare) tab Tube 145 10 Rp 1,450.00 Rp - 0 Rp - 10
18 Betametason cream 0,05 % Botol 1430 3 Rp 4,290.00 Rp - 2 Rp 2,860.00 1
23 Gentamisin Tetes Mata 0,3% Tube 4520 0 Rp - Rp - 0 Rp - 0
27 Hidrokortison cream 2,5 % tablet 2475 0 Rp - Rp - 0 Rp - 0
31 Kaptopril tab 12,5 mg tablet 66 0 Rp - 100 Rp 6,600 Rp - 100
33 Klorfeniramin Maleat ( CTM ) tab 4 mg tablet 23 0 Rp - 100 Rp 2,300 0 Rp - 100
36 Lidokain murni inj 2 % ampul 1221 0 Rp - 2 Rp 2,442 0 Rp - 2
50 Parasetamol tab 500 mg tablet 124.85 0 Rp - Rp - 0 Rp - Err:522
52 Permetrin cream tube 11250 1 Rp - 1 Rp 11,250.00 0
56 Sianokobalamin (B 12) tab 50mcg tablet 49 60 Rp 2,940.00 Rp - 20 Rp 980.00 40
TOTAL Rp 76,514.00 Rp 520,255.14 Rp 854,279.64


NIP 19670906198903 1 005 NIP 1994020202020122014
PERIODE JUNI
PEMAKAIAN
NO NAMA OBAT SATUAN HARGA STOCK NILAI STOCK AWAL (Rp) PENERIMAAN Peneriman x Harga SISA
rupiah
1 2 3 4 5 6 = (4x5) 7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12
11 Antasida DOEN Suspensi Botol 1679 5 Rp 8,395.00 Rp - 0 Rp - 5
18 Betametason cream 0,05 % Botol 1430 1 Rp 1,430.00 Rp - 0 Rp - 1
19 Betametason cream 0,05 % 1540 0 Rp - 10 Rp 15,400 0 Rp - 10
21 domperidon syr 5mg/5ml Botol 2700 20 Rp 54,000.00 Rp - 0 Rp - 20
24 Gentamisin Tetes Mata 0,3% Tube 4520 0 Rp - Rp - 0 Rp - 0
28 Hidrokortison cream 2,5 % tablet 2475 0 Rp - Rp - 0 Rp - 0
32 Kaptopril tab 12,5 mg tablet 66 2 Rp 132.00 Rp - Rp - 2
36 Lidokain + epineprin inj ampul 1229 2 Rp 2,458.00 Rp - 0 Rp - 2
37 Lidokain murni inj 2 % ampul 1221 0 Rp - Rp - 0 Rp - 0
40 N-asetil sistein tab 200mg tablet 301 50 Rp 15,050.00 Rp - 0 Rp - 50
53 Permetrin cream tube 11250 0 Rp - 0 Rp - 0
56 Retinol 200.000 UI tablet 552 40 Rp 22,080.00 Rp - 0 Rp - Err:522
57 Sianokobalamin (B 12) tab 50mcg tablet 49 0 Rp - Rp - 0 Rp - 0
58 Sianokobalamin (B 12) tab 50mcg tablet 43 100 Rp 4,300.00 Rp - 0 Rp - Err:522
59 Tambah darah kombinasi ( ferro fumarat 60 mg, asam folat 0,4 mg) 226 0 Rp - 200 Rp 45,200 80 Rp 18,080.00 120
64 Vaksin IPV Vial 158994 0 Rp - 1 Rp 158,994 0 Rp - Err:522
66 Vaksin polio bivalent 10 dosis Vial 23643 0 Rp - Rp - 0 Rp - Err:522
67 Vaksin polio bivalent 10 dosis Vial 21494 50 Rp 1,074,700.00 1 Rp 21,494 1 Rp 21,494.00 50
69 Vitamin B kompleks tab tablet 89 0 Rp - 200 Rp 17,800 0 Rp - Err:522
70 Zinc drops 10 mg/ml Botol 5051 10 Rp 50,510.00 Rp - 0 Rp - Err:522
TOTAL Rp 1,477,140.50 Rp 601,804.14 Rp 292,969.64


NIP 19670906198903 1 005 NIP 1994020202020122014

PEMAKAIAN
HARGA STOCK SISA
rupiah
1 2 3 4 5 6 = (4x5) 7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12
6 amlodipin tab 10mg tablet 99 0 Rp - 200 Rp 19,800 200 Rp 19,800.00 0
7 amlodipin tab 5 mg tablet 53 0 Rp - 0 Rp - 0 Rp - 0
9 Amoksisilin syr kering 250mg/5ml Botol 3628 0 Rp - 5 Rp 18,140 5 Rp 18,140.00 0
11 Antasida DOEN Suspensi Botol 1679 0 Rp - 15 Rp 25,185 10 Rp 16,790.00 5
12 Asam Ascorbat (Vit C) tab 250 mg tablet 119 0 Rp - 0 Rp - 0 Rp - 0
13 Asam Ascorbat (Vit C) tab 50 mg tablet 105 0 Rp - 0 Rp - 0 Rp - 0
16 Asam Mefenamat tab 500 mg tablet 111 Rp - 0 Rp - 0 Rp - 0
17 Attapulgit (Antidiare) tab Tube 145 100 Rp 14,500.00 0 Rp - 100 Rp 14,500.00 0
18 Betametason cream 0,05 % Botol 1430 2 Rp 2,860.00 5 Rp 7,150 6 Rp 8,580.00 1
19 Deksametason tab 0,5 mg tablet 34 70 Rp 2,380.00 100 Rp 3,400 170 Rp 5,780.00 0
21 Domperidon tab 10 mg tablet 90 90 Rp 8,100.00 200 Rp 18,000 270 Rp 24,300.00 20
22 Garam oralit kombinasi Botol 257 15 Rp 3,855.00 15 Rp 3,855 30 Rp 7,710.00 0
24 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) buah 34000 0 Rp - 2 Rp 68,000 2 Rp 68,000.00 0
25 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine Buah 30450 0 Rp - 1 Rp 30,450 1 Rp 30,450.00 0
26 Hidroklorotiazid ( HCT ) tab 25 mg tablet 148 0 Rp - 0 Rp - 0 Rp - 0
27 Hidrokortison cream 2,5 % tablet 2475 3 Rp 7,425.00 5 Rp 12,375 8 Rp 19,800.00 0
33 Kotrimoksasol Syr 240mg/5ml - 60ml Botol 2190 Rp - 5 Rp 10,950 5 Rp 10,950.00 0
34 Lidokain + epineprin inj ampul 1229 4 Rp 4,916.00 0 Rp - 4 Rp 4,916.00 0
36 N-asetil sistein tab 200mg tablet 350 Rp - 0 Rp - 0 Rp - 0
37 N-asetil sistein tab 200mg tablet 373 Rp - 100 Rp 37,300 100 Rp 37,300.00 0
38 Natrium Diklofenak tab 25mg tablet 128 Rp - 0 Rp - 0 Rp - Err:522
39 Natrium Diklofenak tab 50 mg tablet 99 Rp - 100 Rp 9,900 100 Rp 9,900.00 0
40 Oksitoksin inj 10 IU/ ml - 1 ml ampul 1199 Rp - 0 Rp - 0 Rp - Err:522
41 omeprazole kapsul 20mg tablet 129 Rp - 0 Rp - 0 Rp - Err:522
42 Ondansetron tab 8 mg tablet 270 Rp - 0 Rp - 0 Rp - Err:522
43 Parasetamol drop Botol 4976 0 Rp - 0 Rp - 0 Rp - Err:522
44 Parasetamol syr 120mg/5ml Botol 1181 3 Rp 3,543.00 10 Rp 11,810 13 Rp 15,353.00 0
47 Piridoxin HCL (vit B 6) tab 10 mg tablet 131 Rp - 300 Rp 39,300 300 Rp 39,300.00 0
48 Prednison tab 5 mg tablet 73 0 Rp - 0 Rp - 0 Rp - Err:522
53 Vaksin BCG inj 20 DOSIS Vial 97780 0 Rp - 0 Rp - 0 Rp - Err:522
54 Vaksin DPT-HB-Hib 5 dosis vial 85103 0 Rp - 13 Rp 1,106,339 13 Rp 1,106,339.00 Err:522
55 Vaksin hepatitis B rekombinan inj 0,5 ml (Anak) Vial 25839 0 Rp - 0 Rp - 0 Rp - Err:522
56 Vaksin IPV Vial 158994 0 Rp - 5 Rp 794,970 5 Rp 794,970.00 Err:522
57 Vaksin MR Vial 158651 0 Rp - 7 Rp 1,110,559 7 Rp 1,110,559.00 Err:522
59 Vaksin Tetanus (Td) Vial 18128 0 Rp - 0 Rp - 0 Rp - Err:522
61 Zinc drops 10 mg/ml Botol 5051 0 Rp - 0 Rp - 0 Rp - Err:522
62 Zink Sirup 20mg/5 ml Botol 3171 0 Rp - 0 Rp - 0 Rp - Err:522
63 Zink tab tablet 208 0 Rp - 200 Rp 41,600 190 Rp 39,520.00 10
64 Alkohol swab Buah 145 0 Rp - 200 Rp 29,000 200 Rp 29,000.00 0
65 Permetrin cream tube 11250 0 3 Rp 33,750 0 0 3 Rp 33,750.00 0
66 Vaksin polio bivalent 10 dosis Vial 23643 0 Rp - 3 Rp 70,929 0 0 3 Rp 70,929.00 0
67 Parasetamol syr 120mg/5ml Botol 1160 0 Rp - 15 Rp 17,400 0 0 10 Rp 11,600.00 5
69 Kaptopril tab 12,5 mg tablet 66 0 Rp - 100 Rp 6,600 0 0 98 Rp 6,468.00 100
70 Lidokain murni inj 2 % ampul 1221 0 Rp - 2 Rp 2,442 0 0 0 Rp - 2
72 Betametason cream 0,05 % 1540 0 Rp - 10 Rp 15,400 0 0 0 Rp - 10
73 Tambah darah kombinasi ( ferro fumarat 60 mg, asam folat 0,4 mg) 226 0 Rp - 200 Rp 45,200 0 0 80 Rp 18,080.00 120
TOTAL Rp 108,853.00 Rp 4,124,811 Rp 4,095,535.00


NIP 19670906198903 1 005 NIP 1994020202020122014

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onosobo, 28 Febuari 2022

Pengelola Farmasi
Arum Palupi, S. Farm., Apt

P 1994020202020122014
KET.
13
onosobo, 31 maret 2022
Pengelola Farmasi

P 1994020202020122014
KET.
13
Pengelola Farmasi

P 1994020202020122014
KET.
13
Pengelola Farmasi

P 1994020202020122014
KET.
13
Pengelola Farmasi

P 1994020202020122014
KET.
13
Langsung Pasien
Langsung Pasien
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Pengelola Farmasi

P 1994020202020122014
Pengelola Farmasi

NIP 1994020202020122014
REKAP DISTRIBUSI PER UNIT VK

Nilai penerimaan PEMAKAIAN
NO NAMA OBAT SATUAN HARGA SATUAN STOCK AWAL NILAI STOCK AWAL (Rp) PENERIMAAN
RESEP NILAI (Rp)
1 2 3 4 5 6 = (4x5) 7 4x7 8 = (5+7-12) 9 = (4x8)
1 Aqua pro inj steril, bebas pirogen pcs 2860 2 Rp 5,720.00 10 28600 0
2 Cat gut /benang bedah cromic + jarum no 2/0 pcs 32800 0 Rp - 16 524800
3 Cat gut /benang bedah plain + jarum no 3/0 pcs 5750.8333333 0 Rp - 72 414060
4 Disinfektan / Lisol 1000 ml pcs 53066.666667 1 Rp 53,066.67 7 371466.666666667
5 folley catheter 18 pcs 8635 3 Rp 25,905.00 5 43175
7 gelang bayi biru (blue) pcs 850 0 Rp - 100 85000
8 gelang bayi merah jambu (pink) pcs 850 0 Rp - 100 85000
9 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) botol 34000 1 Rp 34,000.00 2 68000
10 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine botol 30450 1 Rp 30,450.00 1 30450
11 Handscoon panjang no. 6.5 (S) pcs 34694 0 Rp - 80 2775520
12 Handscoon panjang no. 6.5 (S) pcs 36960 0 Rp - 25 924000
13 Handscoon panjang no. 7.5 (M) pcs 34694 0 Rp - 80 2775520
14 Handscoon panjang no. 8.5 (L) pcs 39100 0 Rp - 50 1955000
15 Handscoon pendek non steril no 6.5 (S) pcs 4272.72728 0 Rp - 100 427272.728
16 Handscoon pendek non steril no 7 (M) pcs 4272.72726 0 Rp - 100 427272.726
17 Handscoon pendek steril no 7 (M) pcs 2772 0 Rp - 100 277200
18 Handscoon pendek steril no 7.5 (L) pcs 2772 0 Rp - 100 277200
21 IV Catheter no 18 pcs 11660 5 Rp 58,300.00 285 3323100
22 IV Catheter no 20 pcs 11880 0 Rp - 100 1188000
24 Kalsium Glukonas inj ampul 10351 0 Rp - 10 103510
25 Kapas pembalut / adsorbens 250 gram pcs 24000 1 Rp 24,000.00 4 96000
26 Kasa Pembalut hidrofil 16 x 16 pcs 3500 0 Rp - 47 164500
27 Kasa Pembalut hidrofil 36m x 80 cm pcs 123000 1 Rp 123,000.00 1 123000
28 Kasa Pembalut hidrofil 4m x 10 cm pcs 1451.7 1 Rp 1,451.70 50 72585
29 Metilergometrin Maleat inj 0,200 mg - 1 ml pcs 2959 0 Rp - 2 5918
30 Oksitoksin inj 10 IU/ ml - 1 ml ampul 1126 2 Rp 2,252.00 13 14638
31 Oksitoksin inj 10 IU/ ml - 1 ml ampul 1199 0 Rp - 20 23980
32 Plaster polyester Non-woven 5cm x 10m pcs 44767 0 Rp - 3 134301
33 Ringer lactat ( RL ) infus steril pcs 7630 2 Rp 15,260.00 50 381500
34 tranfusion set pcs 9431 0 Rp - 100 943100
35 Umbilical cord clamps pcs 1300 2 Rp 2,600.00 20 26000
36 Underpads 60 x 90 pcs 7900 10 Rp 79,000.00 14 110600
37 urin bag pcs 5951 0 Rp - 80 476080
38 Nasal Oksigen size L pcs 5200 1 Rp 5,200.00 5 26000
39 Nasal Oksigen size M pcs 5200 1 Rp 5,200.00 5 26000
40 Alat suntik 1 ml pcs 881 82 Rp 72,242.00 0 0
42 Alat suntik 0,5 ml pcs 1190 99 Rp 117,810.00 0 0
43 Alkohol Swab pcs 79 155 Rp 12,245.00 0 0
44 Povidon iodin 30 ml botol 3200 0 Rp - 10 32000
45 Mucus ekstraktor FR 10 pcs 7040 0 Rp - 6 42240
TOTAL Rp 843,978.37 20190889.1206667
11660

NIP 19670906198903 1 005


RESEP NILAI (Rp)
1 2 3 4 5 6 = (4x5) 7 4x7 8 = (5+7-12) 9 = (4x8)
1 Aqua pro inj steril, bebas pirogen pcs 2860 3 Rp 8,580.00 11 31460
3 Cat gut /benang bedah plain + jarum no 3/0 pcs 5750.8333333 24 Rp 138,020.00 0
4 Disinfektan / Lisol 1000 ml pcs 53066.666667 0 Rp - 0
5 folley catheter 18 pcs 8635 5 Rp 43,175.00 0
7 gelang bayi biru (blue) pcs 850 100 Rp 85,000.00 100 85000
8 gelang bayi merah jambu (pink) pcs 850 100 Rp 85,000.00 100 85000
9 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) botol 34000 1 Rp 34,000.00 0
10 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine botol 30450 0 Rp - 0
11 Handscoon panjang no. 6.5 (S) pcs 34694 75 Rp 2,602,050.00 0
12 Handscoon panjang no. 6.5 (S) pcs 36960 19 Rp 702,240.00 0
13 Handscoon panjang no. 7.5 (M) pcs 34694 74 Rp 2,567,356.00 0
14 Handscoon panjang no. 8.5 (L) pcs 39100 40 Rp 1,564,000.00 150 5865000
15 Handscoon panjang no. 8.5 (L) pcs 36960 0 Rp - 50 1848000
16 Handscoon pendek non steril no 6.5 (S) pcs 4272.72728 98 Rp 418,727.27 0
17 Handscoon pendek non steril no 7 (M) pcs 4272.72726 97 Rp 414,454.54 0
18 Handscoon pendek steril no 7 (M) pcs 2772 90 Rp 249,480.00 0
19 Handscoon pendek steril no 7.5 (L) pcs 2772 97 Rp 268,884.00 0
20 IV Catheter no 18 pcs 11660 146 Rp 1,702,360.00 0
IV Catheter no 20 pcs 1180 65 Rp 76,700.00 0
21 IV Catheter no 20 pcs 5995 0 Rp - 100 599500
23 Kalsium Glukonas inj ampul 10351 3 Rp 31,053.00 0
24 Kapas pembalut / adsorbens 250 gram pcs 24000 0 Rp - 0
25 Kasa Pembalut hidrofil 16 x 16 pcs 3500 5 Rp 17,500.00 10 35000
26 Kasa Pembalut hidrofil 36m x 80 cm pcs 123000 0 Rp - 0
27 Kasa Pembalut hidrofil 4m x 10 cm pcs 1451.7 1 Rp 1,451.70 0
28 Metilergometrin Maleat inj 0,200 mg - 1 ml pcs 2959 0 Rp - 0
29 Oksitoksin inj 10 IU/ ml - 1 ml ampul 1126 0 Rp - 0
30 Oksitoksin inj 10 IU/ ml - 1 ml ampul 1199 0 Rp - 20 23980
31 Pitonemadion VIT K injeksi Ampul 1386 0 Rp - 30 41580
32 Plaster polyester Non-woven 5cm x 10m pcs 44767 1 Rp 44,767.00 0
33 Ringer lactat ( RL ) infus steril pcs 7630 23 Rp 175,490.00 0
34 tranfusion set pcs 9431 3 Rp 28,293.00 0
35 Umbilical cord clamps pcs 1300 22 Rp 28,600.00 0
36 Underpads 60 x 90 pcs 7900 20 Rp 158,000.00 0
37 urin bag pcs 5951 20 Rp 119,020.00 2 11902
38 urin bag pcs 5700 0 Rp - 7 39900
39 Nasal Oksigen size L pcs 5200 6 Rp 31,200.00 0
40 Nasal Oksigen size M pcs 5200 0 Rp - 0
41 Alat suntik 1 ml pcs 881 82 Rp 72,242.00 0
43 Alat suntik 0,5 ml pcs 1190 99 Rp 117,810.00 0
44 Alkohol Swab pcs 79 110 Rp 8,690.00 0
45 Povidon iodin 30 ml botol 3200 5 Rp 16,000.00 0
46 Mucus ekstraktor FR 10 pcs 7040 0 Rp - 0
TOTAL Rp 13,117,295.52 8895922

NIP 19670906198903 1 005

PERIODE april
RESEP NILAI (Rp)
1 2 3 4 5 6 = (4x5) 7 4x7 8 = (5+7-12) 9 = (4x8)
1 Aqua pro inj steril, bebas pirogen pcs 2860 14 Rp 40,040.00 0

Amoksisilin kaplet 500 mg 253
2 tablet 0 Rp - 500 126500
Asam Ascorbat (Vit C) tab 50 mg 105
3 tablet 0 Rp - 500 52500
4 Cat gut /benang bedah cromic + jarum no 2/0 pcs 32800 0 Rp - 0
5 Cat gut /benang bedah plain + jarum no 3/0 pcs 5750.8333333 18 Rp 103,515.00 0
6 Disinfektan / Lisol 1000 ml pcs 53066.666667 0 Rp - 0
7 folley catheter 18 pcs 8987 0 Rp - 15 134805
10 gelang bayi biru (blue) pcs 850 200 Rp 170,000.00 0
11 gelang bayi merah jambu (pink) pcs 850 200 Rp 170,000.00 0
12 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) botol 34000 0 Rp - 0
13 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine botol 30450 0 Rp - 0
14 Handscoon panjang no. 6.5 (S) pcs 34694 33 Rp 1,144,902.00 0
15 Handscoon panjang no. 6.5 (S) pcs 36960 19 Rp 702,240.00 0
16 Handscoon panjang no. 7.5 (M) pcs 34694 62 Rp 2,151,028.00 0
17 Handscoon panjang no. 8.5 (L) pcs 39100 187 Rp 7,311,700.00 0
18 Handscoon panjang no. 8.5 (L) pcs 36960 50 Rp 1,848,000.00 0
19 Handscoon pendek non steril no 6.5 (S) pcs 4272.72728 0 Rp - 0
20 Handscoon pendek non steril no 7 (M) pcs 4272.72726 0 Rp - 0
21 Handscoon pendek steril no 7 (M) pcs 2772 34 Rp 94,248.00 0
22 Handscoon pendek steril no 7.5 (L) pcs 2772 57 Rp 158,004.00 0
IV Catheter no 20 pcs 1180 60 0
24 IV Catheter no 20 pcs 5995 100 Rp 599,500.00 0
26 Kalsium Glukonas inj ampul 10351 3 Rp 31,053.00 0
27 Kapas pembalut / adsorbens 250 gram pcs 24000 0 Rp - 0
28 Kasa Pembalut hidrofil 16 x 16 pcs 3500 15 Rp 52,500.00 0
29 Kasa Pembalut hidrofil 36m x 80 cm pcs 123000 0 Rp - 0
30 Kasa Pembalut hidrofil 4m x 10 cm pcs 1451.7 0 Rp - 0
Lidokain murni inj 2 %
31 ampul 1221 0 Rp - 100 122100
32 Metilergometrin Maleat inj 0,200 mg - 1 ml pcs 2959 0 Rp - 36 106524
33 Oksitoksin inj 10 IU/ ml - 1 ml ampul 1199 20 Rp 23,980.00 0
Parasetamol tab 500 mg 124.85
34 tablet 0 Rp - 500 62425
35 Pitonemadion VIT K injeksi Ampul 1386 27 Rp 37,422.00 0
36 Plaster polyester Non-woven 5cm x 10m pcs 44767 0 Rp - 0
37 Ringer lactat ( RL ) infus steril pcs 7630 23 Rp 175,490.00 0
Tambah darah kombinasi ( ferro fumarat 60 mg, asam tablet
38 folat 0,4 mg) 226 0 Rp - 500 113000
39 tranfusion set pcs 9431 3 Rp 28,293.00 0
40 Umbilical cord clamps pcs 1300 21 Rp 27,300.00 0
41 Underpads 60 x 90 pcs 7900 18 Rp 142,200.00 0
42 urin bag pcs 5951 22 Rp 130,922.00 0
43 urin bag pcs 5700 7 Rp 39,900.00 0
44 Nasal Oksigen size L pcs 5200 6 Rp 31,200.00 0
50 Povidon iodin 30 ml botol 3200 0 Rp - 0
TOTAL Rp 18,721,536.00 805,954.00
mgso4 kelewat di jan feb


NIP 19670906198903 1 005
PERIODE MEI
RESEP NILAI (Rp)
1 2 3 4 5 6 = (4x5) 7 4x7 8 = (5+7-12) 9 = (4x8)

2 Amoksisilin kaplet 500 mg tablet 253 470 Rp 118,910.00 0 0
3 Asam Ascorbat (Vit C) tab 50 mg tablet 105 500 Rp 52,500.00 0 0
5 Cat gut /benang bedah plain + jarum no 3/0 pcs 5750.8333333 14 Rp 80,511.67 0 0
6 Disinfektan / Lisol 1000 ml pcs 53066.666667 0 Rp - 0 0
12 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) botol 34000 0 Rp - 0 0
13 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) pcs 27400 0 Rp - 1 27400
14 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine botol 30450 0 Rp - 0 0
15 Handscoon panjang no. 6.5 (S) pcs 34694 2 Rp 69,388.00 0 0
17 Handscoon panjang no. 7.5 (M) pcs 34694 54 Rp 1,873,476.00 0 0
20 Handscoon pendek non steril no 6.5 (S) pcs 4272.72728 0 Rp - 50 213636.364
21 Handscoon pendek non steril no 7 (M) pcs 4272.72726 0 Rp - 50 213636.363
23 Handscoon pendek steril no 7.5 (L) pcs 2772 17 Rp 47,124.00 0 0
24 IV Catheter no 18 pcs 11660 137 Rp 1,597,420.00 0 0
28 Kalsium Glukonas inj ampul 10351 3 Rp 31,053.00 0 0
29 Kapas pembalut / adsorbens 250 gram pcs 24000 0 Rp - 0 0
31 Kasa Pembalut hidrofil 36m x 80 cm pcs 123000 0 Rp - 0 0
32 Kasa Pembalut hidrofil 4m x 10 cm pcs 1451.7 0 Rp - 0 0
33 Lidokain murni inj 2 % ampul 1221 100 Rp 122,100.00 0 0
34 Metilergometrin Maleat inj 0,200 mg - 1 ml pcs 2959 36 Rp 106,524.00 0 0
36 Parasetamol tab 500 mg tablet 124.85 470 Rp 58,679.50 0 0
37 Pitonemadion VIT K injeksi Ampul 1386 22 Rp 30,492.00 0 0
40 folat 0,4 mg) 226 500 Rp 113,000.00 0 0
41 tranfusion set pcs 9431 3 Rp 28,293.00 12 113172
42 tranfusion set pcs 9548 0 Rp - 78 744744
45 urin bag pcs 5951 22 Rp 130,922.00 0 0
46 urin bag pcs 5700 7 Rp 39,900.00 0 0
53 Povidon iodin 30 ml botol 3200 0 Rp - 0
TOTAL Rp 17,291,749.17 1,333,388.73

NIP 19670906198903 1 005
PERIODE JUNI
RESEP NILAI (Rp)
1 2 3 4 5 6 = (4x5) 7 4x7 8 = (5+7-12) 9 = (4x8)

2 tablet 410 Rp 103,730.00 400 101200
Asam Ascorbat (Vit C) tab 50 mg 105
3 tablet 420 Rp 44,100.00 0 0
5 Cat gut /benang bedah plain + jarum no 3/0 pcs 5750.8333333 8 Rp 46,006.67 0 0
6 Disinfektan / Lisol 1000 ml pcs 53066.666667 0 Rp - 0 0
12 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) botol 34000 0 Rp - 1 34000
13 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) pcs 27400 1 Rp 27,400.00 0 0
14 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine botol 30450 0 Rp - 0 0
17 Handscoon panjang no. 7.5 (M) pcs 34694 38 Rp 1,318,372.00 0 0
20 Handscoon pendek non steril no 6.5 (S) pcs 4272.72728 34 Rp 145,272.73 0 0
21 Handscoon pendek non steril no 7 (M) pcs 4272.72726 50 Rp 213,636.36 0 0
23 Handscoon pendek steril no 7.5 (L) pcs 2772 17 Rp 47,124.00 0 0
IV Catheter no 20 pcs 1880 60 Rp 112,800.00 0 0
27 Kalsium Glukonas inj ampul 10351 3 Rp 31,053.00 0 0
28 Kapas pembalut / adsorbens 250 gram pcs 24000 0 Rp - 0 0
30 Kasa Pembalut hidrofil 36m x 80 cm pcs 123000 0 Rp - 0 0
31 Kasa Pembalut hidrofil 4m x 10 cm pcs 1451.7 0 Rp - 0 0
Lidokain murni inj 2 %
32 ampul 1221 100 Rp 122,100.00 0 0
33 Metilergometrin Maleat inj 0,200 mg - 1 ml pcs 2959 36 Rp 106,524.00 0 0
Parasetamol tab 500 mg 124.85
35 tablet 450 Rp 56,182.50 0 0
36 Pitonemadion VIT K injeksi Ampul 1386 15 Rp 20,790.00 0 0
38 Retinol 200000 iu tablet 553 0 Rp - 50 27650
40 folat 0,4 mg) 226 260 Rp 58,760.00 500 113000
45 urin bag pcs 5951 22 Rp 130,922.00 0 0
46 urin bag pcs 5700 7 Rp 39,900.00 0 0
48 Nasal Oksigen size M pcs 5200 0 Rp - 0 0
51 Alat suntik 0,5 ml pcs 1190 66 Rp 78,540.00 0 0
52 Alkohol Swab pcs 79 45 Rp 3,555.00 0 0
53 Povidon iodin 30 ml botol 3200 0 Rp - 0 0
54 Mucus ekstraktor FR 10 pcs 7040 0 Rp - 0 0
TOTAL Rp 17,526,501.26 2,383,450.00

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

SATU SEMESTER JANUARI S/D JUNI 2022
RESEP NILAI (Rp)
1 2 3 4 5 6 = (4x5) 7 4x7 8 = (5+7-12) 9 = (4x8)
1 Aqua pro inj steril, bebas pirogen pcs 2860 2 Rp 5,720.00 21 60060 0 0
2 tablet 0 Rp - 900 227700 0 0
3 Asam Ascorbat (Vit C) tab 50 mg tablet 105 0 Rp - 500 52500 0 0
4 Cat gut /benang bedah cromic + jarum no 2/0 pcs 32800 0 Rp - 16 524800 0 0
5 Cat gut /benang bedah plain + jarum no 3/0 pcs 5750.8333333 0 Rp - 72 414060 0 0
6 Disinfektan / Lisol 1000 ml pcs 53066.666667 1 Rp 53,066.67 7 371466.666666667 0 0
7 folley catheter 18 pcs 8635 3 Rp 25,905.00 5 43175 0 0
8 folley catheter 18 pcs 8987 0 Rp - 15 134805 0 0
9 folley catheter 16 pcs 13800 4 Rp 55,200.00 39 434900 0 0
10 gelang bayi biru (blue) pcs 850 0 Rp - 200 170000 0 0
11 gelang bayi merah jambu (pink) pcs 850 0 Rp - 200 170000 0 0
12 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) botol 34000 1 Rp 34,000.00 3 102000 0 0
13 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) botol 27400 0 Rp - 1 27400 0 0
14 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine botol 30450 1 Rp 30,450.00 1 30450 0 0
15 Handscoon panjang no. 6.5 (S) pcs 34694 0 Rp - 80 2775520 0 0
16 Handscoon panjang no. 6.5 (S) pcs 36960 0 Rp - 25 924000 0 0
17 Handscoon panjang no. 7.5 (M) pcs 34694 0 Rp - 80 2775520 0 0
18 Handscoon panjang no. 8.5 (L) pcs 39100 0 Rp - 250 9775000 0 0
19 Handscoon panjang no. 8.5 (L) pcs 36960 0 Rp - 50 1848000 0 0
20 Handscoon pendek non steril no 6.5 (S) pcs 4272.72728 0 Rp - 150 640909.092 0 0
21 Handscoon pendek non steril no 7 (M) pcs 4272.72726 0 Rp - 150 640909.089 0 0
22 Handscoon pendek steril no 7 (M) pcs 2772 0 Rp - 100 277200 0 0
23 Handscoon pendek steril no 7.5 (L) pcs 2772 0 Rp - 100 277200 0 0
24 IV Catheter no 18 pcs 11660 5 Rp 58,300.00 285 3,323,100.00 0 0
25 IV Catheter no 20 pcs 11880 0 Rp - 100 1,188,000.00 0 0
IV Catheter no 20 pcs 5995 0 Rp - 100 599,500.00 0 0
26 IV Catheter no 22 pcs 11880 10 Rp 118,800.00 90 1,069,200.00 0 0
27 Kalsium Glukonas inj ampul 10351 0 Rp - 10 103,510.00 0 0
28 Kapas pembalut / adsorbens 250 gram pcs 24000 1 Rp 24,000.00 4 96,000.00 0 0
29 Kasa Pembalut hidrofil 16 x 16 pcs 3500 0 Rp - 57 199,500.00 0 0
30 Kasa Pembalut hidrofil 36m x 80 cm pcs 123000 1 Rp 123,000.00 1 123,000.00 0 0
31 Kasa Pembalut hidrofil 4m x 10 cm pcs 1451.7 1 Rp 1,451.70 50 72,585.00 0 0
32 Metilergometrin Maleat inj 0,200 mg - 1 ml pcs 2959 0 Rp - 38 112,442.00 0 0
33 Oksitoksin inj 10 IU/ ml - 1 ml ampul 1126 2 Rp 2,252.00 13 14,638.00 0 0
34 Oksitoksin inj 10 IU/ ml - 1 ml ampul 1199 0 Rp - 40 47,960.00 0 0
35 Lidokain murni inj 2 % ampul 1221 0 Rp - 100 122,100.00 0 0
36 Fitomenadion ampul 1386 0 Rp - 30 41,580.00 0 0
37 Parasetamol 500 mg tablet 124.85 0 Rp - 500 62,425.00 0 0
38 Plaster polyester Non-woven 5cm x 10m pcs 44767 0 Rp - 3 134,301.00 0 0
39 Ringer lactat ( RL ) infus steril pcs 7630 2 Rp 15,260.00 70 534,100.00 0 0
40 Tablet Tambah darah tablet 226 0 Rp - 1000 226,000.00 0 0
41 Retinol 200.000iu tablet 553 0 Rp - 50 27,650.00 0 0
42 tranfusion set pcs 9431 0 Rp - 112 1,056,272.00 0 0
43 tranfusion set pcs 9548 0 Rp - 78 744,744.00 0 0
44 Umbilical cord clamps pcs 1300 2 Rp 2,600.00 20 26,000.00 0 0
45 Underpads 60 x 90 pcs 7900 10 Rp 79,000.00 14 110,600.00 0 0
46 urin bag pcs 5951 0 Rp - 82 487,982.00 0 0
47 urin bag pcs 5700 0 Rp - 7 39,900.00 0 0
48 Nasal Oksigen size L pcs 5200 1 Rp 5,200.00 9 46,800.00 0 0
49 Nasal Oksigen size M pcs 5200 1 Rp 5,200.00 5 26,000.00 0 0
50 Alat suntik 1 ml pcs 881 82 Rp 72,242.00 100 88,100.00 0 0
51 Alat suntik 3 ml pcs 569 4 Rp 2,276.00 200 113,800.00 0 0
52 Alat suntik 0,5 ml pcs 1190 99 Rp 117,810.00 0 0 0 0
53 Alkohol Swab pcs 79 155 Rp 12,245.00 0 0 0 0
54 Povidon iodin 30 ml botol 3200 0 Rp - 10 32,000.00 0 0
55 Mucus ekstraktor FR 10 pcs 7040 0 Rp - 6 42,240.00 0 0
TOTAL Rp 843,978.37 33,609,603.85

PERIODE MARET 2022 8,895,922.00
TOTAL PENERIMAAN DARI GUDANG JAN-JUNI 2022= Rp33,609,603.8
PEMAKAIAN
SISA STOCK KET.
NON-RESEP Nilai (Rp)
10 11 = (4x10) 12 13
9 Rp 25,740.00 3
16 Rp 524,800.00 0
48 Rp 276,040.00 24
8 Rp 424,533.33 0
3 Rp 25,905.00 5
15 Rp 207,000.00 8
0 Rp - 100
0 Rp - 100
2 Rp 68,000.00 1
2 Rp 60,900.00 0
5 Rp 173,470.00 75
6 Rp 221,760.00 19
6 Rp 208,164.00 74
10 Rp 391,000.00 40
2 Rp 8,545.45 98
3 Rp 12,818.18 97
10 Rp 27,720.00 90
3 Rp 8,316.00 97
144 Rp 1,679,040.00 146
35 Rp 415,800.00 65
0 Rp - 100
7 Rp 72,457.00 3
5 Rp 120,000.00 0
42 Rp 147,000.00 5
2 Rp 246,000.00 0
50 Rp 72,585.00 1
2 Rp 5,918.00 0
15 Rp 16,890.00 0
20 Rp 23,980.00 0
2 Rp 89,534.00 1
29 Rp 221,270.00 23
97 Rp 914,807.00 3
0 Rp - 22
4 Rp 31,600.00 20
60 Rp 357,060.00 20
0 Rp - 6
0 Rp - 6
0 Rp - 82
16 Rp 9,104.00 88
0 Rp - 99
45 Rp 3,555.00 110
5 Rp 16,000.00 5
6 Rp 42,240.00 0
Rp 7,149,551.97

Pengelola Farmasi

NIP 1994020202020122014
PEMAKAIAN
SISA STOCK KET.
10 11 = (4x10) 12 13
0 Rp - 14
0 Rp - 0
6 Rp 34,505.00 18
Rp - 0
3 Rp 25,905.00 2
7 Rp 60,445.00 21
0 Rp - 200
0 Rp - 200
1 Rp 34,000.00 0
0 Rp - 0
42 Rp 1,457,148.00 33
0 Rp - 19
12 Rp 416,328.00 62
3 Rp 117,300.00 187
Rp - 50
98 Rp 418,727.27 0
97 Rp 414,454.54 0
56 Rp 155,232.00 34
40 Rp 110,880.00 57
0 Rp - 146
5 Rp 5,900.00 60
5 Rp 29,975.00 95
0 Rp - 100
0 Rp - 3
0 Rp - 0
0 Rp - 15
0 Rp - 0
1 Rp 1,451.70 0
0 Rp - 0
0 Rp - 0
0 Rp - 20
3 Rp 4,158.00 27
1 Rp 44,767.00 0
0 Rp - 23
0 Rp - 3
1 Rp 1,300.00 21
2 Rp 15,800.00 18
0 Rp - 22
0 Rp - 7
0 Rp - 6
0 Rp - 0
0 Rp - 82
6 Rp 3,414.00 182
15 Rp 17,850.00 84
44 Rp 3,476.00 66
5 Rp 16,000.00 0
0 Rp - 0
Rp 3,389,016.52

Pengelola Farmasi

NIP 1994020202020122014
PEMAKAIAN
SISA STOCK KET.
10 11 = (4x10) 12 13
0 Rp - 14
30 Rp 7,590.00 470
0 Rp - 500
0 Rp - 0
4 Rp 23,003.33 14
0 Rp - 0
1 Rp 8,635.00 17
12 Rp 109,987.00 15
4 Rp 34,540.00 15
0 Rp - 200
0 Rp - 200
0 Rp - 0
0 Rp - 0
31 Rp 1,075,514.00 2
0 Rp - 19
8 Rp 277,552.00 54
10 Rp 391,000.00 177
0 Rp - 50
0 Rp - 0
0 Rp - 0
34 Rp 94,248.00 0
40 Rp 110,880.00 17
9 Rp 104,940.00 137
0 Rp - 60
0 Rp - 100
0 Rp - 100
0 Rp - 3
0 Rp - 0
0 Rp - 15
0 Rp - 0
0 Rp - 0
0 Rp - 100
0 Rp - 36
6 Rp 7,194.00 14
30 Rp 3,745.50 470
5 Rp 6,930.00 22
0 Rp - 0
2 Rp 15,260.00 21
0 Rp - 500
0 Rp - 3
0 Rp - 21
0 Rp - 18
0 Rp - 22
0 Rp - 7
0 Rp - 6
0 Rp - 0
0 Rp - 182
10 Rp 5,690.00 172
0 Rp - 84
21 Rp 1,659.00 45
0 Rp - 0
0 Rp - 0
Rp 2,278,367.83
2,269,380.83
Pengelola Farmasi

NIP 1994020202020122014
PEMAKAIAN
SISA STOCK KET.
10 11 = (4x10) 12 13
1 Rp 2,860.00 13
60 Rp 15,180.00 410
80 Rp 8,400.00 420
Rp - 0
6 Rp 34,505.00 8
Rp - 0
Rp - 1
Rp - 15
Rp - 17
Rp - 200
Rp - 200
Rp - 0
Rp - 1
Rp - 0
Rp - 2
Rp - 19
16 Rp 555,104.00 38
Rp - 177
6 Rp 221,760.00 44
16 Rp 68,363.64 34
Rp - 50
Rp - 0
Rp - 17
7 Rp 81,620.00 130
0 60
0 Rp - 100
Rp - 100
Rp - 3
Rp - 0
Rp - 15
Rp - 0
Rp - 0
Rp - 100
Rp - 36
Rp - 14
20 Rp 2,497.00 450
7 Rp 9,702.00 15
Rp - 0
5 Rp 38,150.00 16
240 Rp 54,240.00 260
Rp - 15
Rp - 78
Rp - 21
1 Rp 7,900.00 17
Rp - 22
Rp - 7
2 Rp 10,400.00 8
Rp - 0
Rp - 182
15 Rp 8,535.00 157
18 Rp 21,420.00 66
Rp - 45
Rp - 0
Rp - 0
Rp 1,140,636.64

Pengelola Farmasi

NIP 1994020202020122014
PEMAKAIAN
SISA STOCK KET.
10 11 = (4x10) 12 13
1 Rp 2,860.00 12
90 Rp 22,770.00 720
120 Rp 12,600.00 300
0 Rp - 0
4 Rp 23,003.33 4
0 Rp - 0
0 Rp - 1
5 Rp 44,935.00 10
4 Rp 34,540.00 13
0 Rp - 200
0 Rp - 200
0 Rp - 1
0 Rp - 1
0 0
0 Rp - 2
0 Rp - 19
16 Rp 555,104.00 22
8 Rp 312,800.00 219
0 44
15 Rp 64,090.91 19
0 Rp - 50
0 Rp - 0
0 Rp - 17
0 Rp - 130
0 Rp - 60
3 Rp 17,985.00 97
0 Rp - 100
0 Rp - 3
0 Rp - 0
2 Rp 7,000.00 13
0 Rp - 0
0 Rp - 0
0 Rp - 100
34 Rp 100,606.00 2
10 Rp 11,990.00 4
82 Rp 10,237.70 368
9 Rp 12,474.00 6
0 Rp - 0
12 Rp 6,636.00 38
16 Rp 122,080.00 20
80 Rp 18,080.00 680
9 Rp 84,879.00 6
0 Rp - 78
0 Rp - 21
3 Rp 23,700.00 14
2 Rp 11,902.00 20
0 Rp - 7
4 Rp 20,800.00 4
0 Rp - 0
0 Rp - 182
31 Rp 17,639.00 126
0 Rp - 66
18 Rp 1,422.00 27
0 Rp - 0
0 Rp - 0
Rp 1,540,133.94

Pengelola Farmasi

NIP 1994020202020122014
PEMAKAIAN
SISA STOCK KET.
10 11 = (4x10) 12 13
11 Rp 31,460.00 12
180 Rp 45,540.00 720
200 Rp 21,000.00 300
16 Rp 524,800.00 0
68 Rp 391,056.67 4
8 Rp 424,533.33 0
7 Rp 60,445.00 1
6 Rp 53,922.00 9
30 Rp 414,000.00 13
0 Rp - 200
0 Rp - 200
3 Rp 102,000.00 1
0 Rp - 1
2 Rp 60,900.00 0
78 Rp 2,706,132.00 2
6 Rp 221,760.00 19
58 Rp 2,012,252.00 22
31 Rp 1,212,100.00 219
6 Rp 221,760.00 44
131 Rp 559,727.27 19
100 Rp 427,272.73 50
100 Rp 277,200.00 0
83 Rp 230,076.00 17
160 Rp 1,865,600.00 130
40 Rp 475,200.00 60
3 Rp 17,985.00 97
0 Rp - 100
7 Rp 72,457.00 3
5 Rp 120,000.00 0
44 Rp 154,000.00 13
2 Rp 246,000.00 0
51 Rp 74,036.70 0
36 Rp 106,524.00 2
15 Rp 16,890.00 0
36 Rp 43,164.00 4
0 Rp - 100
24 Rp 33,264.00 6
132 Rp 16,480.20 368
3 Rp 134,301.00 0
52 Rp 396,760.00 20
320 Rp 72,320.00 680
12 Rp 6,636.00 38
106 Rp 999,686.00 6
0 Rp - 78
1 Rp 1,300.00 21
10 Rp 79,000.00 14
62 Rp 368,962.00 20
0 Rp - 7
6 Rp 31,200.00 4
0 Rp - 6
0 Rp - 182
78 Rp 44,382.00 126
33 Rp 39,270.00 66
128 Rp 10,112.00 27
10 Rp 32,000.00 0
6 Rp 42,240.00 0
Rp 15,497,706.90
Pengelola Farmasi

NIP 1994020202020122014
iv 18
folley 18
REKAP DISTRIBUSI LABORATORIUM

PEMAKAIAN
STOCK PENERIMAA
NO NAMA OBAT SATUAN HARGA SATUAN AWAL NILAI STOCK AWAL (Rp) N Nilai Penerimaan
RESEP NILAI (Rp)
1 2 3 4 5 6 = (4x5) 7 4x7 8 = (5+7-12) 9 = (4x8)
1 RDT covid19 Antigen buah 97450 598 Rp 58,275,100.00 21 2046450 Rp -

2 Reagen Cat Ziehl Nielsen (carbilfusin, etanol asam, met kit 224235 0 Rp - 24 5381640 Rp -
3 Reagen golongan darah serum anti A botol 63209.3023255 1 Rp 63,209.30 1 63209.3023255 Rp -
4 Reagen golongan darah serum anti B botol 63209.3023255 1 Rp 63,209.30 1 63209.3023255 Rp -
5 Reagen golongan darah serum Anti D (anti RH) botol 103209.302326 0 Rp - 1 103209.3023255 Rp -
6 Stik glukosa strip 3124 0 Rp - 1200 3748800 Rp -
7 Stik HbSAg test strip 9850 0 Rp - 125 1231250 Rp -
8 Stik HCG strip 3881 0 Rp - 150 582150 Rp -
9 stik hemoglobin (Hb) strip 8030 0 Rp - 150 1204500 Rp -
10 Stik HIV test kit I strip 8094 0 Rp - 125 1011750 Rp -
11 Stik HIV test kit II strip 13235 0 Rp - 0 0 Rp -
12 Stik HIV test kit III strip 19480 0 Rp - 25 487000 Rp -
13 Stik Rapid Test Sifilis II (Human) strip 14000 150 Rp 2,100,000.00 150 2100000 Rp -
14 Stik Urin 10 parameter strip 2134 100 Rp 213,400.00 100 213400 Rp -
15 Stik urin 3 parameter (glukosa,pH,protein) strip 1050 300 Rp 315,000.00 300 315000 Rp -
16 tuberkulin PPD (test ktk 5vialx1,5ml) kit 625800 0 Rp - 1 625800 Rp -
17 blue Tip pcs 183.9 0 Rp - 1000 183900 Rp -
18 Box Slides pcs 37717 2 Rp 75,434.00 4 150868 Rp -
19 pot sputum pcs 2927.5 0 Rp - 400 1171000 Rp -
20 slide/d-glass/objek glass BTA pack 21747 2 Rp 43,494.00 8 173976 Rp -
21 Tabung Vac-tube EDTA K3 pcs 701.8 0 Rp - 100 70180 Rp -
22 Tabung Vac-tube serum plain tutup merah pcs 1014 0 Rp - 100 101400 Rp -
23 VIRAL TRANSPORT MEDIUM (VTM) pack 29600 639 Rp 18,914,400.00 120 3552000 Rp -
24 Yellow tip pcs 234.9 0 Rp - 1000 234900 Rp -
25 Alkohol swab PCS 145 0 Rp - 200 29000 Rp
26 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) botol 34000 0 Rp - 2 68000 Rp -
27 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine botol 30450 0 Rp - 1 30450 Rp -
28 Handscoon pendek non steril no 7 (M) pasang 4272.72726 0 Rp - 200 854545.452 Rp -
29 Handscoon pendek non steril no 6.5 (S) pasang 4272.72728 0 Rp - 100 427272.728 Rp -
30 Plaster Bulat Non Woven pcs 175 0 Rp - 400 70000 Rp -
31 Alat suntik sekali pakai 3ml pcs 569 0 101 57469
TOTAL Rp 80,063,246.60 26,352,329.09
Wonosob
Ka. UPTD Kepala Puskesmas Kejajar 2 Peng
Maduri, S.Kep., Ners Galih Arum

NIP 19670906198903 1 005 NIP 1994

PERIODE 01 Maret 2022 - 31 Maret 2022

PEMAKAIAN
STOCK PENERIMAA
RESEP NILAI (Rp)
1 2 3 4 5 6 = (4x5) 7 4x7 8 = (5+7-12) 9 = (4x8)
1 RDT covid19 Antigen buah 97450 583 Rp 56,813,350.00 0 Rp -

2 Reagen Cat Ziehl Nielsen (carbilfusin, etanol asam, met kit 224235 0 Rp - 0 Rp -
3 Reagen golongan darah serum anti A botol 29100 0 Rp - 1 29100 Rp -
Reagen golongan darah serum anti A botol 63209.3023255 2 Rp 126,418.60 0
4 Reagen golongan darah serum anti B botol 29100 0 Rp - 1 29100 Rp -
Reagen golongan darah serum anti B 63209.3023255 2 Rp 126,418.60 0
5 Reagen golongan darah serum Anti D (anti RH) botol 103209.302326 1 Rp 103,209.30 0 Rp -
6 Stik glukosa strip 3124 864 Rp 2,699,136.00 50 156200 Rp -
7 Stik HbSAg test strip 9850 95 Rp 935,750.00 50 492500 Rp -
8 Stik HCG strip 3881 52 Rp 201,812.00 0 Rp -
9 stik hemoglobin (Hb) strip 8030 98 Rp 786,940.00 0 Rp -
10 Stik Asam Urat untuk alat benececk strip 5808 0 Rp - 25 145200
11 Stik HIV test kit I strip 8094 92 Rp 744,648.00 0 Rp -
12 Stik HIV test kit II strip 13235 0 Rp - 0 Rp -
13 Stik HIV test kit III strip 19480 0 Rp - 0 Rp -
15 Stik Urin 10 parameter strip 2134 70 Rp 149,380.00 0 Rp -
16 Stik urin 3 parameter (glukosa,pH,protein) strip 1050 0 Rp - 0 Rp -
17 tuberkulin PPD (test ktk 5vialx1,5ml) kit 625800 0 Rp - 0 Rp -
18 blue Tip pcs 183.9 1000 Rp 183,900.00 1000 183900 Rp -
19 blue Tip pcs 84.4 0 Rp - 1000 84400 Rp -
21 pot sputum pcs 2927.5 340 Rp 995,350.00 200 585500 Rp -
23 Tabung Vac-tube EDTA K3 pcs 701.8 97 Rp 68,074.60 100 70180 Rp -
24 Tabung Vac-tube serum plain tutup merah pcs 1014 100 Rp 101,400.00 0 Rp -
25 VIRAL TRANSPORT MEDIUM (VTM) pack 29600 160 Rp 4,736,000.00 0 Rp -
26 VIRAL TRANSPORT MEDIUM (VTM) pack 24134 0 Rp - 160 3861400
27 Yellow tip pcs 234.9 1000 Rp 234,900.00 1000 234900 Rp -
28 Alkohol swab PCS 145 10 Rp 1,450.00 0 Rp
29 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) botol 34000 0 Rp - 0 Rp -
30 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine botol 30450 0 Rp - 0 Rp -
31 Handscoon pendek non steril no 7 (M) pasang 4272.72726 0 Rp - 0 Rp -
32 Handscoon pendek non steril no 6.5 (S) pasang 4272.72728 0 Rp - 0 Rp -
33 Plaster Bulat Non Woven pcs 175 200 Rp 35,000.00 0 Rp -
34 Masker KN-95 pcs 40000 10 Rp 400,000.00 0
35 Vaccutainer Eclipse Blood colection Needle 21Gx 1,5 pcs 1600 0 Rp - 100 160000
36 Alat suntik sekali pakai 3ml pcs 596 101 Rp 60,196.00 0
TOTAL Rp 71,499,954.11 8,973,055.00
Wonosob

NIP 19670906198903 1 005 NIP 1994

PERIODE april
PEMAKAIAN
STOCK PENERIMAA
RESEP NILAI (Rp)
1 2 3 4 5 6 = (4x5) 7 4x7 8 = (5+7-12) 9 = (4x8)
RDT covid19 Antigen buah 96934

1 377 Rp 36,544,024.57 0 Rp -
3 Reagen golongan darah serum anti A botol 29100 1 Rp 29,100.00 1 29100 Rp -
Reagen golongan darah serum anti A botol 63209.3023255 2 Rp 126,418.60
Reagen golongan darah serum anti B botol 63209.3023255 2 Rp 126,418.60
4 Reagen golongan darah serum anti B botol 29100 1 Rp 29,100.00 1 29100 Rp -
6 Stik glukosa strip 3124 534 Rp 1,668,216.00 50 156200 Rp -
7 Stik HbSAg test strip 9850 127 Rp 1,250,950.00 50 492500 Rp -
8 Stik HCG strip 3881 0 Rp - 0 Rp -
10 Stik Asam Urat untuk alat benececk strip 5808 25 Rp 145,200.00 25 145200
18 blue Tip pcs 183.9 2000 Rp 367,800.00 1000 183900 Rp -
19 blue Tip pcs 84.4 1000 Rp 84,400.00 1000 84400 Rp -
21 pot sputum pcs 2927.5 518 Rp 1,516,445.00 200 585500 Rp -
23 Tabung Vac-tube EDTA K3 pcs 701.8 180 Rp 126,324.00 0 Rp -
25 VIRAL TRANSPORT MEDIUM (VTM) pack 29600 0 Rp - 0 Rp -
26 VIRAL TRANSPORT MEDIUM (VTM) pack 24134 89 Rp 2,147,903.75 0
27 Yellow tip pcs 234.9 2000 Rp 469,800.00 1000 234900 Rp -
29 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) botol 34000 0 Rp - 0 Rp -
34 Vaccutainer Eclipse Blood colection Needle 21Gx 1,5 pcs 1600 100 Rp 160,000.00 100 160000
TOTAL Rp 50,711,721.83 5,041,475.00
Wonoso

NIP 19670906198903 1 005 NIP 1994

PERIODE MEI
PEMAKAIAN
STOCK PENERIMAA
RESEP NILAI (Rp)
1 2 3 4 5 6 = (4x5) 7 4x7 8 = (5+7-12) 9 = (4x8)

3 Reagen golongan darah serum anti A botol 29100 2 Rp 58,200.00 0 Rp -
4 Reagen golongan darah serum anti A botol 63209.3023255 2 Rp 126,418.60 0 Rp -
5 Reagen golongan darah serum anti B botol 29100 2 Rp 58,200.00 0 Rp -
6 Reagen golongan darah serum anti B botol 63209.3023255 2 Rp 126,418.60 0 Rp -
6 Stik glukosa strip 3124 429 Rp 1,340,196.00 0 Rp -
7 Stik HbSAg test strip 9850 137 Rp 1,349,450.00 0 Rp -
10 Stik Asam Urat untuk alat benececk strip 5808 25 Rp 145,200.00 50 290400
14 Stik Rapid Test Sifilis II (Human) strip 14000 474 Rp 6,636,000.00 0 Rp -
18 blue Tip pcs 183.9 3000 Rp 551,700.00 0 Rp -
19 blue Tip pcs 84.4 2000 Rp 168,800.00 0 Rp -
20 Box Slides pcs 37717 7 Rp 264,019.00 0 Rp -
21 pot sputum pcs 2927.5 718 Rp 2,101,945.00 0 Rp -
22 slide/d-glass/objek glass BTA pack 21747 16 Rp 347,952.00 0 Rp 21,747.00
23 Tabung Vac-tube EDTA K3 pcs 701.8 151 Rp 105,971.80 0 Rp -
27 VIRAL TRANSPORT MEDIUM (VTM) pcs 21557 0 Rp - 80 1724540 Rp -
28 Yellow tip pcs 234.9 3000 Rp 704,700.00 0 Rp -
30 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) botol 34000 0 Rp - 1 34000 Rp -
35 Vaccutainer Eclipse Blood colection Needle 21Gx 1,5 pcs 1600 200 Rp 320,000.00 0
TOTAL Rp 29,420,536.06 2,048,940.00
Wonoso

NIP 19670906198903 1 005 NIP 1994

PERIODE juni
PEMAKAIAN
STOCK PENERIMAA
RESEP NILAI (Rp)
1 2 3 4 5 6 = (4x5) 7 4x7 8 = (5+7-12) 9 = (4x8)

3 Reagen golongan darah serum anti A botol 29100 2 Rp 58,200.00 0 Rp -
Reagen golongan darah serum anti A botol 63209.3023255 2 Rp 126,418.60 0 Rp -
Reagen golongan darah serum anti B botol 63209.3023255 2 Rp 126,418.60 0 Rp -
4 Reagen golongan darah serum anti B botol 29100 4 Rp 116,400.00 0 Rp -
6 Stik glukosa strip 3124 314 Rp 980,936.00 0 Rp -
7 Stik HbSAg test strip 9850 126 Rp 1,241,100.00 50 492500 Rp -
10 Stik Asam Urat untuk alat benececk strip 5808 25 Rp 145,200.00 0
11 Stik HIV test kit I strip 8094 30 Rp 242,820.00 25 202350 Rp -
14 Stik Rapid Test Sifilis II (Human) strip 14000 438 Rp 6,132,000.00 0 Rp -
18 blue Tip pcs 183.9 3000 Rp 551,700.00 0 Rp -
19 blue Tip pcs 84.4 2000 Rp 168,800.00 0 Rp -
20 Box Slides pcs 37717 6 Rp 226,302.00 0 Rp -
21 pot sputum pcs 2927.5 716 Rp 2,096,090.00 0 Rp -
22 slide/d-glass/objek glass BTA pack 21747 15 Rp 326,205.00 0 Rp -
23 Tabung Vac-tube EDTA K3 pcs 701.8 141 Rp 98,953.80 100 70180 Rp -
27 VIRAL TRANSPORT MEDIUM (VTM) pcs 40000 0 Rp - 80 3200000 Rp -
28 VIRAL TRANSPORT MEDIUM (VTM) pcs 21557 80 Rp 1,724,540.00 0 Rp -
29 Yellow tip pcs 234.9 3000 Rp 704,700.00 0 Rp -
31 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) botol 34000 1 Rp 34,000.00 0 Rp -
36 Vaccutainer Eclipse Blood colection Needle 21Gx 1,5 pcs 1600 100 Rp 160,000.00 0
37 Alat suntik sekali pakai 3ml pcs 596 21 Rp 12,516.00 100 59600
TOTAL Rp 29,884,015.06 4,024,630.00
Wonoso

NIP 19670906198903 1 005 NIP 1994

PEMAKAIAN
STOCK PENERIMAA
RESEP NILAI (Rp)
1 2 3 4 5 6 = (4x5) 7 4x7 8 = (5+7-12) 9 = (4x8)
1 RDT covid19 Antigen buah 97450 598 Rp 58,275,100.00 21 2046450 0 0

2 Reagen Cat Ziehl Nielsen (carbilfusin, etanol asam, metkit 224235 0 Rp - 24 5381640 0 0
3 Reagen golongan darah serum anti A botol 63209.3023255 1 Rp 63,209.30 1 63209.3023255 0 0
4 Reagen golongan darah serum anti B botol 63209.3023255 1 Rp 63,209.30 1 63209.3023255 0 0
5 Reagen golongan darah serum anti A botol 29100 0 Rp - 2 58200 0 0
5 Reagen golongan darah serum anti B botol 29100 0 Rp - 2 58200 0 0
Reagen golongan darah serum Anti D (anti RH) botol 103209.302326 0 Rp - 1 0 0
6 Stik glukosa strip 3124 0 Rp - 1300 4061200 0 0
7 Stik HbSAg test strip 9850 0 Rp - 275 2708750 0 0
8 Stik HCG strip 3881 0 Rp - 150 582150 0 0
9 stik hemoglobin (Hb) strip 8030 0 Rp - 150 1204500 0 0
10 Stik Asam Urat untuk alat benececk strip 5808 0 Rp - 100 580800 0
11 Stik HIV test kit I strip 8094 0 Rp - 150 1214100 0 0
12 Stik HIV test kit II strip 13235 0 Rp - 0 0 0 0
13 Stik HIV test kit III strip 19480 0 Rp - 25 487000 0 0
14 Stik Rapid Test Sifilis II (Human) strip 14000 150 Rp 2,100,000.00 550 7700000 0 0
15 Stik Urin 10 parameter strip 2134 100 Rp 213,400.00 100 213400 0 0
16 Stik urin 3 parameter (glukosa,pH,protein) strip 1050 300 Rp 315,000.00 300 315000 0 0
17 tuberkulin PPD (test ktk 5vialx1,5ml) kit 625800 0 Rp - 1 625800 0 0
18 blue Tip pcs 183.9 0 Rp - 3000 551700 0 0
19 blue Tip pcs 84.4 0 Rp - 2000 168800 0 0
20 Box Slides pcs 37717 2 Rp 75,434.00 8 301736 0 0
21 pot sputum pcs 2927.5 0 Rp - 800 2342000 0 0
22 slide/d-glass/objek glass BTA pack 21747 2 Rp 43,494.00 14 304458 0 84
23 Tabung Vac-tube EDTA K3 pcs 701.8 0 Rp - 300 210540 0 0
24 Tabung Vac-tube serum plain tutup merah pcs 1014 0 Rp - 100 101400 0 0
25 VIRAL TRANSPORT MEDIUM (VTM) pack 29600 639 Rp 18,914,400.00 120 3552000 0 0
26 VIRAL TRANSPORT MEDIUM (VTM) pack 24134 0 Rp - 160 3861400 0 0
27 VIRAL TRANSPORT MEDIUM (VTM) pcs 41290 0 Rp - 80 3303209.3023255 0 0
28 VIRAL TRANSPORT MEDIUM (VTM) pcs 21557 0 Rp - 80 1724540 0 0
29 Yellow tip pcs 234.9 0 Rp - 3000 704700 0 0
30 Alkohol swab PCS 145 0 Rp - 200 29000 0
31 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) botol 34000 0 Rp - 3 102000 0
32 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine botol 30450 0 Rp - 1 30450 0 0
33 Handscoon pendek non steril no 7 (M) pasang 4272.72726 0 Rp - 200 854545.452 0 0
34 Handscoon pendek non steril no 6.5 (S) pasang 4272.72728 0 Rp - 100 427272.728 0 0
35 Plaster Bulat Non Woven pcs 175 0 Rp - 400 70000 0 0
Vaccutainer Eclipse Blood colection Needle 21Gx 1,5 pcs 1600
36 0 Rp - 200 320000 0 0
37 Alat suntik sekali pakai 3ml pcs 569 0 Rp - 201 117069 0 0
TOTAL Rp 80,063,246.60 46,440,429.09
Wonoso

NIP 19670906198903 1 005 NIP 1994
PERIODE MARET 2022 8,973,055.00
PEMAKAIAN
SISA STOCK KET.
10 11 = (4x10) 12 13
36 Rp 3,508,200.00 583
24 Rp 5,381,640.00 0
0 Rp - 2
0 Rp - 2
0 Rp - 1
336 Rp 1,049,664.00 864
30 Rp 295,500.00 95
98 Rp 380,338.00 52
52 Rp 417,560.00 98
33 Rp 267,102.00 92
0 Rp - 0
25 Rp 487,000.00 0
31 Rp 434,000.00 119
30 Rp 64,020.00 170
600 Rp 630,000.00 0
1 Rp 625,800.00 0
0 Rp - 1000
3 Rp 113,151.00 3
60 Rp 175,650.00 340
0 Rp - 10
3 Rp 2,105.40 97
0 Rp - 100
599 Rp 17,730,400.00 160
0 Rp - 1000
190 27550 10
2 Rp 68,000.00 0
1 Rp 30,450.00 0
200 Rp 854,545.45 0
100 Rp 427,272.73 0
200 Rp 35,000.00 200
0 101
Rp 33,004,948.58

Pengelola Farmasi

NIP 1994020202020122014
PEMAKAIAN
SISA STOCK KET.
10 11 = (4x10) 12 13
206 Rp 20,074,700.00 377

Rp - 0
Rp - 1
Rp - 2
Rp - 1
Rp - 2
Rp - 1
380 Rp 1,187,120.00 534
18 Rp 177,300.00 127
52 Rp 201,812.00 0
48 Rp 385,440.00 50
Rp - 25
32 Rp 259,008.00 60
Rp - 0
Rp - 0
20 Rp 280,000.00 299
6 Rp 12,804.00 64
Rp - 0
Rp - 0
Rp - 2000
Rp - 1000
Rp - 5
22 Rp 64,405.00 518
Rp - 13
17 Rp 11,930.60 180
Rp - 100
160 Rp 4,736,000.00 0
71 Rp 1,713,496.25 89
Rp - 2000
Rp - 10
Rp - 0
Rp - 0
Rp - 0
Rp - 0
14 Rp 2,450.00 186
4 Rp 160,000.00 6
Rp - 100
47 Rp 28,012.00 54
Rp 29,106,465.85

Pengelola Farmasi

NIP 1994020202020122014
PEMAKAIAN
SISA STOCK KET.
10 11 = (4x10) 12 13
252 Rp 24,427,305.55 125 kembalikan k e if k252

Rp - 0
Rp - 2
Rp - 2
Rp - 2
Rp - 2
Rp - 1
155 Rp 484,220.00 429
40 Rp 394,000.00 137
0 Rp - 0
30 Rp 240,900.00 20
25 Rp 145,200.00 25
30 Rp 242,820.00 30
Rp - 0
Rp - 0
25 Rp 350,000.00 474
41 Rp 87,494.00 23
Rp - 0
Rp - 0
Rp - 3000
Rp - 2000
Rp - 7
Rp - 718
Rp - 16
29 Rp 20,352.20 151
Rp - 100
Rp - 0
89
Rp - 3000
Rp - 10
Rp - 0
Rp - 0
Rp - 0
Rp - 0
28 Rp 4,900.00 158
Rp - 200
22 Rp 13,112.00 32
Rp 26,397,191.75

Pengelola Farmasi

NIP 1994020202020122014
PEMAKAIAN
SISA STOCK KET.
10 11 = (4x10) 12 13
Rp - 125
Rp - 0
Rp - 2
Rp - 2
Rp - 2
Rp - 2
Rp - 1
115 Rp 359,260.00 314
11 Rp 108,350.00 126
0 Rp - 0
17 Rp 136,510.00 3
50 Rp 290,400.00 25
43 Rp 351,546.45 30
Rp - 0
Rp - 0
36 Rp 504,000.00 438
6 Rp 12,804.00 17
Rp - 0
Rp - 0
Rp - 3000
Rp - 2000
1 Rp 37,717.00 6
2 Rp 5,855.00 716
1 Rp 21,747.00 15
10 Rp 7,018.00 141
Rp - 100
Rp - 0
Rp - 89
Rp - 80
Rp - 3000
Rp - 10
Rp - 1
Rp - 0
Rp - 0
Rp - 0
Rp - 158
100 Rp 160,000.00 100
11 Rp 6,556.00 21
Rp 1,835,207.45

Pengelola Farmasi

NIP 1994020202020122014
PEMAKAIAN
SISA STOCK KET.
10 11 = (4x10) 12 13
Rp - 125
Rp - 0
Rp - 2
Rp - 2
Rp - 2
Rp - 4
Rp - 1
131 Rp 409,244.00 183
26 Rp 256,100.00 150
Rp - 0
3 Rp 24,090.00 0
12 Rp 69,696.00 13
27 Rp 218,538.00 28
Rp - 0
Rp - 0
438 Rp 6,132,000.00 0 expired date
17 Rp 36,278.00 0
Rp - 0
Rp - 0
Rp - 3000
Rp - 2000
Rp - 6
Rp - 716
Rp - 15
26 Rp 18,246.80 215
Rp - 100
Rp - 0
Rp - 89
Rp - 80
Rp - 80
Rp - 3000
Rp - 10
Rp - 1
Rp - 0
Rp - 0
Rp - 0
44 Rp 7,700.00 114
Rp - 100
28 Rp 16,688.00 93
Rp 7,171,892.80

Pengelola Farmasi

NIP 1994020202020122014
PEMAKAIAN
SISA STOCK KET.
10 11 = (4x10) 12 13
494 Rp 48,140,300.00 125

24 Rp 5,381,640.00 0
0 Rp - 2
0 Rp - 2
0 Rp - 2
0 Rp - 2
0 Rp - 1
1117 Rp 3,489,508.00 183
125 Rp 1,231,250.00 150
150 Rp 582,150.00 0
150 Rp 1,204,500.00 0
87 Rp 505,296.00 13
122 Rp 987,468.00 28
0 Rp - 0
25 Rp 487,000.00 0
550 Rp 7,700,000.00 0 150 ED
100 Rp 213,400.00 100
600 Rp 630,000.00 0
1 Rp 625,800.00 0
0 Rp - 3000
0 Rp - 2000
4 Rp 150,868.00 6
84 Rp 245,910.00 716
1 Rp 21,747.00 15
85 Rp 59,653.00 215
0 Rp - 100
759 Rp 22,466,400.00 0
71 Rp 1,713,496.25 89
0 Rp - 80
0 Rp - 80
0 Rp - 3000
190 Rp 27,550.00 10
2 Rp 68,000.00 1
1 Rp 30,450.00 0
200 Rp 854,545.45 0
100 Rp 427,272.73 0
286 50050 114
100 Rp 160,000.00 100

108 Rp 61,452.00 93
Rp 97,515,706.43

Pengelola Farmasi

NIP 1994020202020122014
Pengelola Farmasi

NIP 1994020202020122014
PEMAKAIAN
HARGA STOCK Nilai penerimaan dari Gudang
NO NAMA OBAT SATUAN NILAI STOCK AWAL (Rp) PENERIMAAN SISA STOCK
SATUAN AWAL ke UNIT
Langsung dari Pengeluaran
SIMO NILAI (Rp) di UNIT Nilai (Rp)
1 2 3 4 5 6 = (4x5) 7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12

1 Vaksin BCG inj 20 DOSIS Vial 97780 18 Rp 1,760,040.00 4 Terima langsung dr IFK 12 Rp 1,173,360.00 10
2 Vaksin Covid 19 AstraZeneca 10 dosis/vial Vial 0 0 Rp - 75 Terima langsung dr IFK 75 Rp - 0
3 Vaksin Covid 19 Coronavac (2 dosis/vial) Vial 0 104 Rp - 975 Terima langsung dr IFK 1079 Rp - 0
4 Vaksin Covid 19 MODERNA multidose (14 Dosis/Vial) Vial 0 0 Rp - 15 Terima langsung dr IFK 15 Rp - 0
5 vaksin covid19 pfizer (6 dosis/vial) Vial 0 29 Rp - 200 Terima langsung dr IFK 72 Rp - 157
6 Vaksin DPT-HB-Hib 5 dosis Vial 85103 49 Rp 4,170,047.00 70 Terima langsung dr IFK 50 Rp 4,255,150.00 69
7 Vaksin hepatitis B rekombinan inj 0,5 ml (Anak) Vial 25839 75 Rp 1,937,925.00 0 Terima langsung dr IFK 12 Rp 310,068.00 63
8 Vaksin IPV Vial 158994 8 Rp 1,271,952.00 10 Terima langsung dr IFK 10 Rp 1,589,940.00 8
9 Vaksin MR Vial 166265 31 Rp 5,154,215.00 35 Terima langsung dr IFK 42 Rp 6,983,130.00 24
10 Vaksin polio bivalent 10 dosis Vial 21494 55 Rp 1,182,170.00 5 Terima langsung dr IFK 23 Rp 494,362.00 37
11 Vaksin Tetanus (Td) Vial 18128 0 Rp - 130 Terima langsung dr IFK 1 Rp 18,128.00 129
12 Vaksi DT Vial 0 Rp - 26 Terima langsung dr IFK 0 Rp - 26
13 Alat Suntik Sekali Pakai 0.3 ml Buah 1255 140 Rp 175,700.00 1100 1,380,500.00 1050 Rp 1,317,750.00 190
16 Alat Suntik Sekali Pakai 0.5 ml Buah 1185 0 Rp - 500 592,500.00 500 Rp 592,500.00 0
17 Alat Suntik Sekali Pakai 0.5 ml Buah 1190 0 Rp - 1000 1,190,000.00 1000 Rp 1,190,000.00 0
18 Alat suntik sekali pakai 3 ml Buah 569 499 Rp 283,931.00 167 95,023.00 468 Rp 266,292.00 198
19 Alat suntik sekali pakai 3 ml Buah 693 0 Rp - 86 59,598.00 86 Rp 59,598.00 0
20 Alat suntik sekali pakai 3 ml Buah 902 0 Rp - 30 27,060.00 30 Rp 27,060.00 0
21 Alkohol swab Buah 79 1480 Rp 116,920.00 2700 213,300.00 4150 Rp 327,850.00 30
22 Alkohol swab Buah 88 0 Rp - 250 22,000.00 250 Rp 22,000.00 0
23 Masker KN-95 Buah 30000 0 Rp - 9 270,000.00 9 Rp 270,000.00 0
25 Masker KN-95 Buah 68750 0 Rp - 0 - 0 Rp - 0
26 Masker N95 Buah 29000 0 Rp - 20 580,000.00 20 Rp 580,000.00 0
27 Masker N95 Buah 47500 0 Rp - 24 1,140,000.00 24 Rp 1,140,000.00 0
28 Masker N95 Buah 76000 0 Rp - 100 7,600,000.00 100 Rp 7,600,000.00 0
29 safety box Buah 14000 7 Rp 98,000.00 30 420,000.00 36 Rp 504,000.00 1
30 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) Buah 34000 0 Rp - 2 68,000.00 2 Rp 68,000.00 0
31 Natirum kloridam 0,9 % 10 ml Buah 3280 52 Rp 170,560.00 69 226,320.00 70 Rp 229,600.00 51
32 Handscoon pendek non steril no 6.5 (S) Buah 4272.7273 0 Rp - 100 427,272.73 20 Rp 85,454.55 80
33 Handscoon pendek non steril no 7 (M) Buah 4272.7273 0 Rp - 200 854,545.45 200 Rp 854,545.45 0
34 Handscoon pendek steril no 7 (M) Buah 2772 0 Rp - 100 277,200.00 100 Rp 277,200.00 0
35 Handscoon pendek steril no 7.5 (L) Buah 2772 0 Rp - 150 415,800.00 10 Rp 27,720.00 140
TOTAL Rp 16,441,260.00 23,786,419.18 Rp 14,824,138.00 Rp 23,366,870.00


NIP 19670906198903 1 005 NIP 1994020202020122014

PERIODE MARET
PEMAKAIAN
NO NAMA OBAT SATUAN NILAI STOCK AWAL (Rp) PENERIMAAN Langsung dari Pengeluaran SISA STOCK
SATUAN AWAL ke UNIT NILAI (Rp) Nilai (Rp)
SIMO di UNIT
1 2 3 4 5 6 = (4x5) 7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12
1 Vaksin BCG inj 20 DOSIS Vial 97780 10 Rp 977,800.00 0 Rp - 10
2 Vaksin Covid 19 AstraZeneca 10 dosis/vial Vial 0 55 Rp - 0 Rp - 55
3 Vaksin Covid 19 Coronavac (2 dosis/vial) Vial 0 0 Rp - 200 terima langsung dr IFK 200 Rp - 0
4 Vaksin Covid 19 MODERNA multidose (14 Dosis/Vial) Vial 0 0 Rp - Rp - 0
5 vaksin covid19 pfizer (6 dosis/vial) Vial 0 157 Rp - 30 Rp - 127
6 Vaksin DPT-HB-Hib 5 dosis Vial 85103 69 Rp 5,872,107.00 27 Rp 2,297,781.00 42
7 Vaksin hepatitis B rekombinan inj 0,5 ml (Anak) Vial 25839 63 Rp 1,627,857.00 21 Rp 542,619.00 42
8 Vaksin IPV Vial 158994 18 Rp 2,861,892.00 3 Rp 476,982.00 15
9 Vaksin MR Vial 166265 24 Rp 3,990,360.00 16 Rp 2,660,240.00 8
10 Vaksin polio bivalent 10 dosis Vial 21494 37 Rp 795,278.00 0 Rp - 37
Vaksin polio bivalent 10 dosis vial 23643 0 Rp - 4 terima langsung dr IFK 4 Rp 94,572.00 0
11 Vaksin Tetanus (Td) Vial 18128 129 Rp 2,338,512.00 4 Rp 72,512.00 125
12 Vaksin DT Vial 34400 26 Rp 894,400.00 4 Rp 137,600.00 22
13 Alat Suntik Sekali Pakai 0.3 ml Buah 1255 190 Rp 238,450.00 100 125,500.00 180 Rp 225,900.00 110
14 Alat Suntik Sekali Pakai 0.5 ml Buah 904 100 Rp 90,400.00 0 - 0 Rp - 100
15 Alat Suntik Sekali Pakai 0.5 ml Buah 1050 28 Rp 29,400.00 1100 1,155,000.00 700 Rp 735,000.00 428
16 Alat Suntik Sekali Pakai 0.5 ml Buah 1185 0 Rp - - Rp - 0
18 Alat suntik sekali pakai 3 ml Buah 569 198 Rp 112,662.00 - Rp - 198
19 Alat suntik sekali pakai 3 ml Buah 693 0 Rp - - Rp - 0
22 Alkohol swab pcs 88 0 Rp - 400 35,200.00 400 Rp 35,200.00 0
23 Alkohol swab pcs 71 0 Rp - 1000 71,000.00 800 Rp 56,800.00 200
24 Masker KN-95 Buah 40000 0 Rp - - Rp - 0
26 Masker N95 Buah 29000 0 Rp - - Rp - 0
29 Maskert Bedah buah 540 0 Rp - 100 54,000.00 70 Rp 37,800.00 30
30 safety box Buah 14000 1 Rp 14,000.00 - 1 Rp 14,000.00 0
32 Natirum kloridam 0,9 % 10 ml Buah 3280 51 Rp 167,280.00 - 10 Rp 32,800.00 41
33 Handscoon pendek non steril no 6.5 (S) Buah 4272.7273 80 Rp 341,818.18 - 40 Rp 170,909.09 40
34 Handscoon pendek non steril no 7 (M) Buah 4272.7273 0 Rp - - Rp - 0
35 Handscoon pendek steril no 7 (M) Buah 2772 0 Rp - - Rp - 0
36 Handscoon pendek steril no 7.5 (L) Buah 2772 140 Rp 388,080.00 - 30 Rp 83,160.00 110
TOTAL Rp 20,742,666.18 1,799,900.00 Rp 6,282,306.00 Rp 1,750,769.09
PERIODE APRIL
PEMAKAIAN
NO NAMA OBAT SATUAN SATUAN AWAL NILAI STOCK AWAL (Rp) PENERIMAAN ke UNIT Langsung dari Pengeluaran SISA STOCK
SIMO NILAI (Rp) di UNIT Nilai (Rp)
1 2 3 4 5 6 = (4x5) 7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12

1 Vaksin BCG inj 20 DOSIS Vial 97780 10 Rp 977,800.00 3 terima dari IFK 3 Rp 293,340.00 10
3 Vaksin Covid 19 Coronavac (2 dosis/vial) Vial 0 0 Rp - 0 Rp - 0
4 Vaksin Covid 19 MODERNA multidose (14 Dosis/Vial) Vial 0 0 Rp - 2 terima dari IFK 2 Rp - 0
5 vaksin covid19 pfizer (6 dosis/vial) Vial 0 127 Rp - 70 terima dari IFK 127 Rp - 70
6 Vaksin DPT-HB-Hib 5 dosis Vial 85103 42 Rp 3,574,326.00 31 terima dari IFK 31 Rp 2,638,193.00 42
7 Vaksin hepatitis B rekombinan inj 0,5 ml (Anak) Vial 25839 42 Rp 1,085,238.00 4 Rp 103,356.00 38
8 Vaksin IPV Vial 158994 15 Rp 2,384,910.00 5 terima dari IFK 4 Rp 635,976.00 16
9 Vaksin MR Vial 166265 8 Rp 1,330,120.00 9 terima dari IFK 7 Rp 1,163,855.00 10
10 Vaksin Meningitis Vial 135000 0 Rp - 21 terima dari IFK 10 Rp 1,350,000.00 11
11 Vaksin polio bivalent 10 dosis Vial 21494 37 Rp 795,278.00 11 terima dari IFK 7 Rp 150,458.00 41
Vaksin polio bivalent 10 dosis Vial 23643 0 4 terima dari IFK 4 Rp 94,572.00 0
13 Vaksin DT Vial 34400 22 Rp 756,800.00 0 Rp - 22
14 Alat Suntik Sekali Pakai 0.3 ml Buah 1255 110 Rp 138,050.00 800 1,004,000.00 450 Rp 564,750.00 460
16 Alat Suntik Sekali Pakai 0.5 ml Buah 1050 428 Rp 449,400.00 - 0 Rp - 428
18 Alat Suntik Sekali Pakai 5 ml Buah 1190 0 Rp - 7 8,330.00 7 Rp 8,330.00 0
19 Alat suntik sekali pakai 3 ml Buah 569 198 Rp 112,662.00 - 15 Rp 8,535.00 183
23 Alkohol swab pcs 88 0 Rp - - 0 Rp - 0
24 Alkohol swab pcs 71 200 Rp 14,200.00 - Rp - 200
30 Maskert Bedah buah 540 30 Rp 16,200.00 - 30 Rp 16,200.00 0
31 Maskert Bedah buah 500 0 Rp - 100 50,000.00 Rp - 100
32 Parasetamol tab 500 mg tablet 124.85 0 Rp - 700 87,395.00 610 Rp 76,158.50 90
33 safety box Buah 14000 0 Rp - 18 252,000.00 15 Rp 210,000.00 3
34 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) Buah 27400 0 Rp - - 0 Rp - 0
36 Handscoon pendek non steril no 6.5 (S) Buah 4272.7273 40 Rp 170,909.09 - 40 Rp 170,909.09 0
38 Handscoon pendek steril no 7 (M) Buah 2772 0 Rp - - Rp - 0
39 Handscoon pendek steril no 7.5 (L) Buah 2772 110 Rp 304,920.00 - 0 Rp - 110
TOTAL Rp 14,604,063.09 1,930,225.00 Rp 6,611,030.00 Rp 1,319,942.59

PERIODE MEI
PEMAKAIAN
HARGA STOCK PENERIMAAN dari Nilai penerimaan dari Gudang
NO NAMA OBAT SATUAN SATUAN AWAL NILAI STOCK AWAL (Rp) SIMO langsung ke UNIT Langsung dari Pengeluaran SISA STOCK
NILAI (Rp) Nilai (Rp)
SIMO di UNIT
1 2 3 4 5 6 = (4x5) 7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12
1 Vaksin BCG inj 20 DOSIS Vial 97780 10 Rp 977,800.00 1 Rp 97,780.00 9
2 Vaksin Covid 19 AstraZeneca 10 dosis/vial Vial 0 50 Rp - 10 terima dari IFK 50 Rp - 10
3 Vaksin Covid 19 Coronavac (2 dosis/vial) Vial 0 0 Rp - 350 terima dari IFK 151 Rp - 199
4 Vaksin Covid 19 MODERNA multidose (14 Dosis/Vial) Vial 0 0 Rp - 0 Rp - 0
6 Vaksin DPT-HB-Hib 5 dosis Vial 85103 42 Rp 3,574,326.00 12 Rp 1,021,236.00 30
7 Vaksin hepatitis B rekombinan inj 0,5 ml (Anak) Vial 25839 38 Rp 981,882.00 2 Rp 51,678.00 36
8 Vaksin IPV Vial 158994 6 Rp 953,964.00 6 Rp 953,964.00 0
9 Vaksin MR Vial 166265 10 Rp 1,662,650.00 5 Rp 831,325.00 5
10 Vaksin Meningitis Vial 135000 11 Rp 1,485,000.00 6 Rp 810,000.00 5
11 Vaksin polio bivalent 10 dosis Vial 21494 41 Rp 881,254.00 5 Rp 107,470.00 36
Vaksin polio bivalent 10 dosis Vial 23643 0 Rp - 3 terima dari IFK 3 Rp 70,929.00 0
13 Vaksin DT Vial 34400 22 Rp 756,800.00 6 Rp 206,400.00 16
16 Alat Suntik Sekali Pakai 0.5 ml Buah 1050 428 Rp 449,400.00 - 0 Rp - 428
18 Alat Suntik Sekali Pakai 5 ml Buah 1190 0 Rp - - Rp - 0
23 Alkohol swab pcs 88 0 Rp - - 0 Rp - 0
24 Alkohol swab pcs 71 200 Rp 14,200.00 600 42,600.00 Rp - 800
30 Maskert Bedah buah 540 0 Rp - - 0 Rp - 0
31 Maskert Bedah buah 500 100 Rp 50,000.00 250 125,000.00 100 Rp 50,000.00 250
32 Parasetamol tab 500 mg tablet 124.85 90 Rp 11,236.50 - 0 Rp - 90
32 Parasetamol tab 500 mg tablet 97.9 0 Rp - 700 68,530.00 550 Rp 53,845.00 150
33 safety box Buah 14000 3 Rp 42,000.00 4 56,000.00 7 Rp 98,000.00 0
35 Natirum kloridam 0,9 % 10 ml Buah 3280 29 Rp 95,120.00 10 32,800.00 12 Rp 39,360.00 27
36 Handscoon pendek non steril no 6.5 (S) Buah 4272.7273 0 Rp - - Rp - 0
39 Handscoon pendek steril no 7.5 (L) Buah 2772 110 Rp 304,920.00 - 0 Rp - 110
TOTAL Rp 15,402,269.50 1,759,130.00 Rp 4,368,318.00 Rp 1,592,435.00

PERIODE JUNI
PEMAKAIAN
NO NAMA OBAT SATUAN HARGA STOCK NILAI STOCK AWAL (Rp) PENERIMAAN Nilai penerimaan dari Gudang SISA STOCK
SATUAN AWAL ke UNIT Langsung dari Pengeluaran
NILAI (Rp) Nilai (Rp)
SIMO di UNIT
1 2 3 4 5 6 = (4x5) 7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12
1 Vaksin BCG inj 20 DOSIS Vial 97780 9 Rp 880,020.00 10 terima dari IFK 1 Rp 97,780.00 18
3 Vaksin Covid 19 Coronavac (2 dosis/vial) Vial 0 199 Rp - 199 Rp - 0
4 Vaksin Covid 19 MODERNA multidose (14 Dosis/Vial) Vial 0 0 Rp - 0 Rp - 0
6 Vaksin DPT-HB-Hib 5 dosis Vial 85103 30 Rp 2,553,090.00 30 terima dari IFK 13 Rp 1,106,339.00 47
7 Vaksin hepatitis B rekombinan inj 0,5 ml (Anak) Vial 25839 36 Rp 930,204.00 1 Rp 25,839.00 35
8 Vaksin IPV Vial 158994 0 Rp - 20 terima dari IFK 9 Rp 1,430,946.00 11
9 Vaksin MR Vial 166265 5 Rp 831,325.00 5 Rp 831,325.00 0
10 Vaksin Meningitis Vial 135000 5 Rp 675,000.00 0 Rp - 5
11 Vaksin polio bivalent 10 dosis Vial 21494 36 Rp 773,784.00 5 terima dari IFK 11 Rp 236,434.00 30
Vaksin polio bivalent 10 dosis Vial 23643 0 Rp - 2 terima dari IFK 2 Rp 47,286.00 0
12 Vaksin Tetanus (Td) Vial 18128 103 Rp 1,867,184.00 0 24 Rp 435,072.00 79
13 Vaksin DT Vial 34400 16 Rp 550,400.00 0 5 Rp 172,000.00 11
16 Alat Suntik Sekali Pakai 0.5 ml Buah 1050 428 Rp 449,400.00 - 280 Rp 294,000.00 148
18 Alat Suntik Sekali Pakai 5 ml Buah 1190 0 Rp - - Rp - 0
23 Alkohol swab pcs 88 0 Rp - - Rp - 0
24 Alkohol swab pcs 71 800 Rp 56,800.00 - 430 Rp 30,530.00 370
30 Maskert Bedah buah 540 0 Rp - - Rp - 0
31 Maskert Bedah buah 500 250 Rp 125,000.00 - 100 Rp 50,000.00 150
32 Parasetamol tab 500 mg tablet 124.85 90 Rp 11,236.50 - 90 Rp 11,236.50 0
32 Parasetamol tab 500 mg tablet 97.9 150 Rp 14,685.00 800 78,320.00 660 Rp 64,614.00 290
33 safety box Buah 14000 0 Rp - 5 70,000.00 5 Rp 70,000.00 0
36 Handscoon pendek non steril no 6.5 (S) Buah 4272.7273 0 Rp - - Rp - 0
37 Handscoon pendek non steril no 7.5 L Buah 4272.7273 0 Rp - 50 213,636.36 10 Rp 42,727.27 40
39 Handscoon pendek steril no 7.5 (L) Buah 2772 110 Rp 304,920.00 - 12 Rp 33,264.00 98
TOTAL Rp 11,271,575.50 1,784,256.36 Rp 4,383,021.00 Rp 2,067,313.77


PEMAKAIAN
NO NAMA OBAT SATUAN NILAI STOCK AWAL (Rp) PENERIMAAN Langsung dari Pengeluaran SISA STOCK
SATUAN AWAL ke UNIT NILAI (Rp) ke UNIT Nilai (Rp)
SIMO di UNIT
1 2 3 4 5 6 = (4x5) 7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12
1 Vaksin BCG inj 20 DOSIS Vial 97780 18 Rp 1,760,040.00 17 terima dr ifk langsung 17 1,662,260.00 Rp - 18
2 Vaksin Covid 19 AstraZeneca 10 dosis/vial Vial 0 0 Rp - 85 terima dr ifk langsung 85 - Rp - 0
3 Vaksin Covid 19 Coronavac (2 dosis/vial) Vial 0 104 Rp - 1525 terima dr ifk langsung 1629 - Rp - 0
4 Vaksin Covid 19 MODERNA multidose (14 Dosis/Vial) Vial 0 0 Rp - 17 terima dr ifk langsung 17 - Rp - 0
5 vaksin covid19 pfizer (6 dosis/vial) Vial 0 29 Rp - 340 terima dr ifk langsung 326 - Rp - 43
6 Vaksin DPT-HB-Hib 5 dosis Vial 85103 49 Rp 4,170,047.00 131 terima dr ifk langsung 133 11,318,699.00 Rp - 47
7 Vaksin hepatitis B rekombinan inj 0,5 ml (Anak) Vial 25839 75 Rp 1,937,925.00 0 terima dr ifk langsung 40 1,033,560.00 Rp - 35
8 Vaksin IPV Vial 158994 8 Rp 1,271,952.00 35 terima dr ifk langsung 32 5,087,808.00 Rp - 11
9 Vaksin MR Vial 166265 31 Rp 5,154,215.00 44 terima dr ifk langsung 75 12,469,875.00 Rp - 0
10 Vaksin Menigitis vial 135000 0 Rp - 21 terima dr ifk langsung 16 2,160,000.00 Rp - 5
11 Vaksin polio bivalent 10 dosis Vial 21494 55 Rp 1,182,170.00 21 terima dr ifk langsung 46 988,724.00 Rp - 30
12 Vaksin polio bivalent 10 dosis Vial 23643 0 Rp - 13 terima dr ifk langsung 13 307,359.00 Rp - 0
13 Vaksin Tetanus (Td) Vial 18128 0 Rp - 130 terima dr ifk langsung 51 924,528.00 Rp - 79
14 Vaksi DT Vial 34400 0 Rp - 26 terima dr ifk langsung 15 516,000.00 Rp - 11
15 Alat Suntik Sekali Pakai 0.3 ml Buah 1255 140 Rp 175,700.00 3100 3,890,500.00 0 0 2780 Rp 3,488,900.00 460
18 Alat Suntik Sekali Pakai 0.5 ml Buah 1185 0 Rp - 500 592,500.00 0 0 500 Rp 592,500.00 0
19 Alat Suntik Sekali Pakai 0.5 ml Buah 1190 0 Rp - 1007 1,198,330.00 0 0 1007 Rp 1,198,330.00 0
20 Alat Suntik Sekali Pakai 5 ml buah 1190 0 Rp - 7 8,330.00 0 0 7 Rp 8,330.00 0
21 Alat suntik sekali pakai 3 ml Buah 569 499 Rp 283,931.00 167 95,023.00 0 0 543 Rp 308,967.00 123
22 Alat suntik sekali pakai 3 ml Buah 693 0 Rp - 86 59,598.00 0 0 86 Rp 59,598.00 0
23 Alat suntik sekali pakai 3 ml Buah 902 0 Rp - 30 27,060.00 0 0 30 Rp 27,060.00 0
24 Alkohol swab Buah 79 1480 Rp 116,920.00 9200 726,800.00 0 0 10550 Rp 833,450.00 130
25 Alkohol swab Buah 88 0 Rp - 650 57,200.00 0 0 650 Rp 57,200.00 0
26 Alkohol swab Buah 71 0 Rp - 1600 113,600.00 0 0 1230 Rp 87,330.00 370
27 Masker KN-95 Buah 30000 0 Rp - 9 270,000.00 0 0 9 Rp 270,000.00 0
28 Masker KN-95 Buah 40000 0 Rp - 18 705,126.36 0 0 17 Rp 680,000.00 0.6281591
29 Masker KN-95 Buah 68750 0 Rp - 0 - 0 0 0 Rp - 0
30 Masker N95 Buah 29000 0 Rp - 20 580,000.00 0 0 20 Rp 580,000.00 0
31 Masker N95.. Buah 48270 0 Rp - 24 1,158,470.00 0 0 24 Rp 1,158,470.00 0
32 Masker N95 Buah 76000 0 Rp - 100 7,600,000.00 0 0 100 Rp 7,600,000.00 0
33 Masker Bedah buah 540 0 Rp - 350 189,000.00 0 0 200 Rp 108,000.00 150
34 Parasetamol Tablet tablet 124.85 0 Rp - 700 87,395.00 0 0 700 Rp 87,395.00 0
35 Parasetamol tablet tablet 97.9 0 Rp - 1500 146,850.00 0 0 1210 Rp 118,459.00 290
36 safety box Buah 14000 7 Rp 98,000.00 57 798,000.00 0 0 64 Rp 896,000.00 0
37 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) Buah 34000 0 Rp - 5 170,000.00 0 0 5 Rp 170,000.00 0
38 Natirum kloridam 0,9 % 10 ml Buah 3280 52 Rp 170,560.00 79 259,120.00 0 0 114 Rp 373,920.00 17
39 Handscoon pendek non steril no 6.5 (S) Buah 4272.7273 0 Rp - 100 427,272.73 0 0 100 Rp 427,272.73 0
40 Handscoon pendek non steril no 7 (M) Buah 4272.7273 0 Rp - 200 854,545.45 0 0 200 Rp 854,545.45 0
41 Handscoon pendek non steril no 7.5 L buah 4272.7273 0 Rp - 50 213,636.36 0 0 10 Rp 42,727.27 40
42 Handscoon pendek steril no 7 (M) Buah 2772 0 Rp - 250 693,000.00 0 0 156 Rp 432,432.00 94
43 Handscoon pendek steril no 7.5 (L) Buah 2772 0 Rp - 150 415,800.00 0 0 52 Rp 144,144.00 98
TOTAL Rp 16,441,260.00 31,085,056.91 36,468,813.00 Rp 30,097,330.45
Keterangan: nilai peneriman unit = nilai distribusi simo( gudang) ke unit tersebut
Nilai penerimaan (terima dari ifk langsung)berarti nilai tsb masuk ke dalam rekap penerimaan simo , karena stok vaksin satu pintu dengan gudang


NIP 19670906198903 1 005 NIP 1994020202020122014

PERIODE MARET 2022 1,799,900.00
KET.
13
sobo, 28 Febuari 2022

Pengelola Farmasi

994020202020122014
KET.
13
KET.
13
terbagi ke beberapa PKD

KET.
13
50 ED


KET.
13
EXpired date

KET.
13
ED 55
EXpired date
Penerimaan dari gudang

nosobo, 30 Juni 2022

Pengelola Farmasi

994020202020122014
Pengelola Farmasi

NIP 1994020202020122014
Vaksin polio Vial 23643 0
Pengelola Farmasi

NIP 1994020202020122014
Masker KN-95
REKAP D
HARGA
NO NAMA OBAT SATUAN SATUAN
1 2 3 4
1 Boor Gigi (set isi 6) pack 200000

2 Devitalisasi pasta ( Non Arsen ) pot 217000
3 Devitalisasi pasta ( Non Arsen ) pot 266624.6
4 Eugenol cairan botol 20087
6 hand sanitizer 500 ml (alkohol 70% + chlorhexidi botol 34000
7 Hand Scrub Sabun Cuci Tangan Cair + clorhexidi botol 30450
8 Kalsium Hidroksida Pasta tube 198000
9 Kasa Pembalut hidrofil 16 x 16 buah 3500
10 Klorfenol Kamfer Mentol (CHKM) botol 65000
11 Klorheksidin 2% botol 178200
12 Mummifying Pasta botol 112000
13 Selluloid strip pack 137500
14 Handscoon pendek non steril no 7 (M) pasang 4272.7273
15 Handscoon pendek non steril no 6.5 (S) pasang 4272.7273
16 Handscoon pendek steril no 7.5 (L) pasang 4600
17 Lidokain murni inj 2 % ampul 1144
18 Temporary Feling Pasta / Bahan tumpatan sement botol 115365
TOTAL

NIP 19670906198903 1 005
REKAP D
PERIODE 01 Maret 2022 - 31 maret 2022

HARGA
1 2 3 4

4 Flether powder +eugenol cairan botol 64000
TOTAL

NIP 19670906198903 1 005

REKAP D
PERIODE APRIL
HARGA
1 2 3 4

5 Glass Ionomer cement ART (Fuji IX ART) pcs 466666.67
TOTAL

NIP 19670906198903 1 005

REKAP D
PERIODE MEI
HARGA
1 2 3 4

TOTAL

NIP 19670906198903 1 005
REKAP D
PERIODE juni
HARGA
NO NAMA OBAT SATUAN
SATUAN
1 2 3 4

TOTAL

NIP 19670906198903 1 005
REKAP D
SATU SEMESTE
NO NAMA OBAT SATUAN HARGA

SATUAN
1 2 3 4

2 Devitalisasi pasta ( Non Arsen ) pot 217000
TOTAL

NIP 19670906198903 1 005

PERIODE MARET 2022 1,041,636.36
PERIODE MEI 2022 Rp0
an 28/02/2022
REKAP DISTRIBUSI POLI GIGI
PEMAKAIAN
STOCK AWAL NILAI STOCK AWAL (Rp) PENERIMAAN Nilai Peneriman
RESEP NILAI (Rp) NON-RESEP
5 6 = (4x5) 7 4x7 8 = (5+7-12) 9 = (4x8) 10
0 Rp - 1 200000 0
0 Rp - 1 217000 1
0 Rp - 1 266624.6 1
0 Rp - 1 20087 1
0 Rp - 2 176000 2
0 Rp - 2 68000 2
0 Rp - 1 30450 1
0 Rp - 1 198000 1
0 Rp - 3 10500 3
0 Rp - 2 130000 0
0 Rp - 1 178200 1
0 Rp - 1 112000 1
0 Rp - 1 137500 0
0 Rp - 100 427272.726 100
0 Rp - 100 427272.728 100
0 Rp - 50 230000 4
0 Rp - 10 11440 3
0 Rp - 2 230730 0
3,071,077.05
Wonosobo, 28 Fe
ejajar 2 Pengelola Fa
Galih Arum Palupi,

05 NIP 19940202020
an 31/03/2022
PEMAKAIAN
5 6 = (4x5) 7 4x7 8 = (5+7-12) 9 = (4x8) 10
1 Rp 200,000.00 1 200000 1
0 Rp - 0
0 Rp - 0
0 Rp - 0
0 Rp - 1 64000 1
0 0
0 Rp - 0
0 Rp - 1 102000
0 Rp - 0
2 Rp 130,000.00 2 130000
0 Rp - 1 220000 1
0 Rp - 1 112000 1
1 Rp 137,500.00 0
0 Rp - 0
0 Rp - 50 213636.364
46 Rp 211,600.00 0 6
7 Rp 8,008.00 0
2 Rp 230,730.00 0 1
Rp 917,838.00 1,041,636.36
Wonosobo, 31 M
Galih Arum Palupi,

05 NIP 19940202020
an 30/04/2022
PEMAKAIAN
5 6 = (4x5) 7 4x7 8 = (5+7-12) 9 = (4x8) 10
1 Rp 200,000.00 0
0 Rp - 0
0 Rp - 0
0 Rp - 0
0 Rp - 1 466666.667
0 Rp - 0
0 Rp - 0
1 Rp 102,000.00 0
0 Rp - 0
4 Rp 260,000.00 0
0 Rp - 0
0 Rp - 0
1 Rp 137,500.00 0
0 Rp - 0
50 Rp 213,636.36 0 40
40 Rp 184,000.00 0 14
7 Rp 8,008.00 0
1 Rp 115,365.00 0 0
Rp 1,220,509.36 466,666.67
Wonosobo, 30 A
Galih Arum Palupi,

05 NIP 19940202020
an 30/04/2022
PEMAKAIAN
5 6 = (4x5) 7 4x7 8 = (5+7-12) 9 = (4x8) 10
1 Rp 200,000.00
0 Rp -
0 Rp -
0 Rp -
1
0
0 Rp -
1 Rp 102,000.00
0 Rp -
4 Rp 260,000.00
0 Rp -
0 Rp -
1 Rp 137,500.00
0 Rp -
10 Rp 42,727.27 10
26 Rp 119,600.00 6
7 Rp 8,008.00
1 Rp 115,365.00 0
Rp 985,200.27 0 0
Wonosobo, 31 M
Galih Arum Palupi,

05 NIP 19940202020
PEMAKAIAN
5 6 = (4x5) 7 4x7 8 = (5+7-12) 9 = (4x8) 10
1 Rp 200,000.00
0 Rp -
0 Rp -
0 Rp -
1 Rp 466,666.67 1
0 Rp -
0 Rp -
1 Rp 102,000.00 1 102000
0 Rp -
4 Rp 260,000.00 4
0 Rp -
0 Rp -
1 Rp 137,500.00
0 Rp -
0 Rp -
20 Rp 92,000.00 4
7 Rp 8,008.00 3
1 Rp 115,365.00
Rp 1,381,539.67 102,000.00
Wonosobo, 30
Galih Arum Palupi,

05 NIP 19940202020

PEMAKAIAN
5 6 = (4x5) 7 4x7 8 = (5+7-12) 9 = (4x8) 10
0 Rp - 2 400000 0 0 1
0 Rp - 1 217000 0 0 1
0 Rp - 1 266624.6 0 0 1
0 Rp - 1 20087 0 0 1
0 Rp - 2 176000 0 0 2
0 Rp - 1 64000 0 0 1
0 Rp - 1 466666.667 1
0 Rp - 2 68000 0 0 2
0 Rp - 1 30450 0 0 1
0 Rp - 2 204000 0 0 0
0 Rp - 1 198000 0 0 1
0 Rp - 3 10500 0 0 3
0 Rp - 4 260000 0 0 4
0 Rp - 1 220000 0 0 1
0 Rp - 1 178200 0 0 1
0 Rp - 2 224000 0 0 2
0 Rp - 1 137500 0 0 0
0 Rp - 100 427272.726 0 0 100
0 Rp - 150 640909.092 0 0 150
0 Rp - 50 230000 0 0 34
0 Rp - 10 11440 0 0 6
0 Rp - 2 230730 0 0 1
Rp - 4,681,380.09
Wonosobo, 30 J
05 NIP 19940202020
PEMAKAIAN
SISA STOCK KET.
Nilai (Rp)
11 = (4x10) 12 13
Rp - 1
Rp 217,000.00 0
Rp 266,624.60 0
Rp 20,087.00 0
Rp 176,000.00 0
Rp 68,000.00 0
Rp 30,450.00 0
Rp 198,000.00 0
Rp 10,500.00 0
Rp - 2
Rp 178,200.00 0
Rp 112,000.00 0
Rp - 1
Rp 427,272.73 0
Rp 427,272.73 0
Rp 18,400.00 46
Rp 3,432.00 7
Rp - 2
Rp 2,153,239.05

Pengelola Farmasi

NIP 1994020202020122014
PEMAKAIAN
SISA STOCK KET.
Nilai (Rp)
11 = (4x10) 12 13
Rp 200,000.00 1
Rp - 0
Rp - 0
Rp - 0
Rp 64,000.00 0
Rp - 0
Rp - 0
Rp - 1
Rp - 0
Rp - 4
Rp 220,000.00 0
Rp 112,000.00 0
Rp - 1
Rp - 0
Rp - 50
Rp 27,600.00 40
Rp - 7
Rp 115,365.00 1
Rp 738,965.00

Pengelola Farmasi

NIP 1994020202020122014
PEMAKAIAN
SISA STOCK KET.
Nilai (Rp)
11 = (4x10) 12 13
Rp - 1
Rp - 0
Rp - 0
Rp - 0
1
Rp - 0
Rp - 0
Rp - 1
Rp - 0
Rp - 4
Rp - 0
Rp - 0
Rp - 1
Rp - 0
Rp 170,909.09 10
Rp 64,400.00 26
Rp - 7
Rp - 1
Rp 235,309.09

Pengelola Farmasi

NIP 1994020202020122014
PEMAKAIAN
SISA STOCK KET.
Nilai (Rp)
11 = (4x10) 12 13
Rp - 1
Rp - 0
Rp - 0
Rp - 0
Rp - 1
Rp - 0
Rp - 0
Rp - 1
Rp - 0
Rp - 4
Rp - 0
Rp - 0
Rp - 1
Rp - 0
Rp 42,727.27 0
Rp 27,600.00 20
Rp - 7
Rp - 1
Rp 70,327.27

Pengelola Farmasi

NIP 1994020202020122014
PEMAKAIAN
SISA STOCK KET.
Nilai (Rp)
11 = (4x10) 12 13
Rp - 1
Rp - 0
Rp - 0
Rp - 0
Rp 466,666.67 0
Rp - 0
Rp - 0
Rp - 2
Rp - 0
Rp 260,000.00 0 ED
Rp - 0
Rp - 0
Rp - 1
Rp - 0
Rp - 0
Rp 18,400.00 16
Rp 3,432.00 4
Rp - 1
Rp 748,498.67

Pengelola Farmasi

NIP 1994020202020122014
PEMAKAIAN
SISA STOCK KET.
Nilai (Rp)
11 = (4x10) 12 13
Rp 200,000.00 1
Rp 217,000.00 0
Rp 266,624.60 0
Rp 20,087.00 0
Rp 176,000.00 0
Rp 64,000.00 0
Rp 466,666.67 0
Rp 68,000.00 0
Rp 30,450.00 0
Rp - 2
Rp 198,000.00 0
Rp 10,500.00 0
Rp 260,000.00 0
Rp 220,000.00 0
Rp 178,200.00 0
Rp 224,000.00 0
Rp - 1
Rp 427,272.73 0
Rp 640,909.09 0
Rp 156,400.00 16
Rp 6,864.00 4
Rp 115,365.00 1
Rp 3,946,339.09

Pengelola Farmasi
NIP 1994020202020122014
Wonosobo, 28 F
Pengelola F
Galih Arum Palupi

NIP 199402020
Pengelola Farmasi

NIP 1994020202020122014
REKAP DISTRIBUSI POLI MTBS

PEMAKAIAN
HARGA STOCK NILAI STOCK
NO NAMA OBAT SATUAN SATUAN AWAL AWAL (Rp) PENERIMAAN Peneriman x SISA STOCK KET.
Harga rupiah
1 2 3 4 5 6 = (4x5) 7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12 13
1 Alat suntik sekali pakai 3 ml pcs 569 0 Rp - 100 Rp 56,900 100 Rp 56,900.00 0 Unit MTBS
2 Alkohol swab pcs 145 0 Rp - 200 Rp 29,000 200 Rp 29,000.00 0 Unit MTBS
3 safety box pcs 14000 0 Rp - 1 Rp 14,000 1 Rp 14,000.00 0 Unit MTBS
4 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) botol 34000 0 Rp - 2 Rp 68,000 2 Rp 68,000.00 0 Unit MTBS
5 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine botol 30450 0 Rp - 1 Rp 30,450 1 Rp 30,450.00 0 Unit MTBS
TOTAL 0 304 Rp 198,350 Rp 198,350.00


NIP 19670906198903 1 005 NIP 1994020202020122014

PEMAKAIAN
NO NAMA OBAT SATUAN HARGA STOCK NILAI STOCK PENERIMAAN SISA STOCK KET.
SATUAN AWAL AWAL (Rp) Peneriman x RESEP NILAI (Rp) NON-RESEP Nilai (Rp)
Harga rupiah
1 2 3 4 5 6 = (4x5) 7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12 13
1 Alat suntik sekali pakai 3 ml pcs 569 0 Rp - 0 Rp - 0 Rp - 0 Unit MTBS

2 Alkohol swab pcs 145 0 Rp - 0 Rp - 0 Rp - 0 Unit MTBS
3 safety box pcs 14000 0 Rp - 0 Rp - 0 Rp - 0 Unit MTBS
4 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) botol 34000 0 Rp - 0 Rp - 0 Rp - 0 Unit MTBS
5 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine botol 30450 0 Rp - 0 Rp - 0 Rp - 0 Unit MTBS
TOTAL 0 0 Rp - Rp -
Ka. UPTD Kepala Puskesmas Kejajar 2 Wonosobo, 31 Maret 2022

Pengelola Farmasi

NIP 19670906198903 1 005 NIP 1994020202020122014
PERIODE APRIL
PEMAKAIAN
Harga rupiah
1 2 3 4 5 6 = (4x5) 7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12 13

TOTAL 0 0 Rp - Rp -
Ka. UPTD Kepala Puskesmas Kejajar 2 Wonosobo, 30 April 2022

Pengelola Farmasi

NIP 19670906198903 1 005 NIP 1994020202020122014
PERIODE MEI
PEMAKAIAN
Harga rupiah
1 2 3 4 5 6 = (4x5) 7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12 13

2 Alat Suntik Sekali Pakai 1ml biji 881 0 Rp - 12 Rp 10,572 5 Rp 4,405.00 7
6 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) pcs 27400 0 Rp - 1 Rp 27,400 1 Rp 27,400.00 0
TOTAL 0 13 Rp 37,972 Rp 31,805.00
Ka. UPTD Kepala Puskesmas Kejajar 2 Wonosobo, 31 Mei 2022

Pengelola Farmasi
NIP 19670906198903 1 005 NIP 1994020202020122014
PERIODE Juni
PEMAKAIAN
Harga rupiah
1 2 3 4 5 6 = (4x5) 7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12 13
1 Alat suntik sekali pakai 3 ml pcs 569 0 Rp - Rp - Rp - 0 Unit MTBS

3 Alkohol swab pcs 145 0 Rp - Rp - Rp - 0 Unit MTBS
4 safety box pcs 14000 0 Rp - Rp - Rp - 0 Unit MTBS
5 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) botol 34000 0 Rp - Rp - Rp - 0 Unit MTBS
6 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) pcs 27400 0 Rp - Rp - Rp - 0
7 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine botol 30450 0 Rp - Rp - Rp - 0 Unit MTBS
TOTAL 0 2 Rp 1,762 Rp 4,405.00
Ka. UPTD Kepala Puskesmas Kejajar 2 Wonosobo, 31 Mei 2022

Pengelola Farmasi

NIP 19670906198903 1 005 NIP 1994020202020122014

JANUARI 2022 -JUNI 2022
PEMAKAIAN
Harga rupiah
1 2 3 4 5 6 = (4x5) 7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12 13
1 Alat suntik sekali pakai 3 ml pcs 569 0 Rp - 100 Rp 56,900 100 Rp 56,900.00 0 Unit MTBS
2 Alkohol swab pcs 145 0 Rp - 200 Rp 29,000 200 Rp 29,000.00 0 Unit MTBS
3 safety box pcs 14000 0 Rp - 1 Rp 14,000 1 Rp 14,000.00 0 Unit MTBS
4 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) botol 34000 0 Rp - 2 Rp 68,000 2 Rp 68,000.00 0 Unit MTBS
5 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine botol 30450 0 Rp - 1 Rp 30,450 1 Rp 30,450.00 0 Unit MTBS
TOTAL Rp - Rp 238,084 Rp 234,560.00

Rp 234,560.00

NIP 19670906198903 1 005 NIP 1994020202020122014

PERIODE MARET 2022 -
PERIODE APRIL 2022 Rp0.000
TOTAL PENERIMAAN DARI GUDANG JAN-JUNI 2022= Rp238,084
REKAP DISTRIBUSI POLI KB

PEMAKAIAN
STOCK NILAI STOCK AWAL
NO NAMA OBAT SATUAN HARGA SATUAN AWAL (Rp) PENERIMAAN Peneriman x SISA STOCK
Harga rupiah
1 2 3 4 5 6 = (4x5) 7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12
1 Handscoon pendek non steril no 7 (M) pasang 4272.72726 2 Rp 8,545.45 100 Rp 427,273 100 Rp 427,272.73 2
2 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) botol 34000 0 Rp - 2 Rp 68,000 2 Rp 68,000.00 0
3 Handscoon pendek steril no 7.5 (L) Pasang 2772 0 Rp - 50 Rp 138,600 50 Rp 138,600.00 10
4 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine botol 30450 0 Rp - 1 Rp 30,450 1 Rp 30,450.00 0
5 Lidokain + epineprin inj ampul 1229 1 Rp 1,229.00 5 Rp 6,145 0 Rp - 6
TOTAL Rp 9,774.45 102 Rp 670,468 Rp 664,322.73


NIP 19670906198903 1 005 NIP 1994020202020122014

PEMAKAIAN
Harga rupiah
1 2 3 4 5 6 = (4x5) 7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12
1 Handscoon pendek non steril no 7 (M) ( blm ada k.stoknya pasang 4272.72726 2 Rp 8,545.45 0 Rp - 2 Rp 8,545.45 0
2 Alkohol swab buah 40 0 Rp - 3 Rp 120 0 Rp - 0
2 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) botol 34000 0 Rp - 0 Rp - 0 Rp - 0
3 Handscoon pendek steril no 7.5 (L) Pasang 2772 10 Rp 27,720.00 0 Rp - 10 Rp 27,720.00 0
4 Kassa pembalut 4x10 cm pcs 1451.7 0 Rp - 18 Rp 26,131 0 Rp - 18
5 Lidokain ampul 1229 6 Rp 7,374.00 0 Rp - 0 Rp - 6
6 Kasa Pembalut hidrofil 16x16 Pcs 3500 0 Rp - 10 Rp 35,000 2 Rp 7,000.00 8
TOTAL Rp 43,639.45 3 Rp 61,251 Rp 43,265.45


NIP 19670906198903 1 005 NIP 1994020202020122014
PERIODE APRIL
PEMAKAIAN
Harga rupiah
1 2 3 4 5 6 = (4x5) 7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12
1 Handscoon pendek non steril no 7 (M) ( blm ada k.stoknya pasang 4272.72726 0 Rp - 0 Rp - Rp - 0
2 Alkohol swab buah 40 0 Rp - 0 Rp - 3 Rp 120.00 0
2 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) botol 34000 0 Rp - 0 Rp - Rp - 0
3 Handscoon pendek steril no 7.5 (L) Pasang 2772 0 Rp - 0 Rp - 4 Rp 11,088.00 0
4 Kassa pembalut 4x10 cm pcs 1451.7 18 Rp 26,130.60 18 Rp 26,131 8 Rp 11,613.60 10
5 Lidokain ampul 1229 6 Rp 7,374.00 0 Rp - 0 Rp - 6
6 Kasa Pembalut hidrofil 16x16 Pcs 3500 8 Rp 28,000.00 0 Rp - 2 Rp 7,000.00 6
TOTAL Rp 33,504.60 Rp 26,131 Rp 29,821.60


NIP 19670906198903 1 005 NIP 1994020202020122014
PERIODE MEI
PEMAKAIAN
Harga rupiah
1 2 3 4 5 6 = (4x5) 7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12
1 Handscoon pendek non steril no 7 (M) ( blm ada k.stoknya pasang 4272.72726 0 Rp - Rp - Rp - 0
3 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) botol 34000 0 Rp - Rp - Rp - 0
5 Handscoon pendek steril no 7.5 (L) Pasang 2772 0 Rp - Rp - Rp - 0
6 Kassa pembalut 4x10 cm pcs 1451.7 10 Rp 14,517.00 Rp - 2 Rp 2,903.40 8
7 Lidokain ampul 1229 6 Rp 7,374.00 Rp - Rp - 6
8 Lidokain 1221 0 Rp - 15 Rp 18,315 15 Rp 18,315.00 0
9 Kasa Pembalut hidrofil 16x16 Pcs 3500 6 Rp 21,000.00 Rp - 2 Rp 7,000.00 0
TOTAL Rp 21,891.00 Rp 45,715 Rp 55,618.40

NIP 19670906198903 1 005 NIP 1994020202020122014
PERIODE JUNI
PEMAKAIAN
Harga rupiah
1 2 3 4 5 6 = (4x5) 7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12
1 Handscoon pendek non steril no 7 (M) ( blm ada k.stoknya pasang 4272.72726 0 Rp - Rp - Rp - 0
4 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) botol 27400 0 Rp - Rp - Rp - 0
5 plaster polyster 5x10 cm pcs 61050 0 Rp - 2 Rp 122,100 1 Rp 61,050.00 1
6 Kassa pembalut 4x10 cm pcs 1451.7 8 Rp 11,613.60 Rp - 2 Rp 2,903.40 6
7 Lidokain ampul 1229 6 Rp 7,374.00 Rp - 2 Rp 2,458.00 4
8 Lidokain 1221 0 Rp - Rp - Rp - 0
9 Kasa Pembalut hidrofil 16x16 Pcs 3500 0 Rp - Rp - 0 Rp 7,000.00 0
TOTAL Rp 18,987.60 Rp 164,000 Rp 109,781.40
Wonosobo, 3O JUNI 2022


NIP 19670906198903 1 005 NIP 1994020202020122014

PEMAKAIAN
Harga rupiah
1 2 3 4 5 6 = (4x5) 7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12
1 Handscoon pendek non steril no 7 (M) pasang 4272.72726 2 Rp 8,545.45 100 Rp 427,273 102 Rp 435,818.18 0
3 Handscoon pendek steril no 7.5 (L) Pasang 2772 0 Rp - 50 Rp 138,600 50 Rp 177,408.00 0
5 Lidokain + epineprin inj ampul 1229 1 Rp 1,229.00 5 Rp 6,145 2 Rp 2,458.00 4
2 Alkohol swab buah 40 0 Rp - 3 Rp 120 3 Rp 120.00 0
4 Kassa pembalut 4x10 cm pcs 1451.7 0 Rp - 36 Rp 52,261 30 Rp 17,420.40 6
5 Lidokain ampul 1221 0 Rp - 15 Rp 18,315 15 Rp 18,315.00 0
6 Kasa Pembalut hidrofil 16x16 Pcs 3500 0 Rp - 10 Rp 35,000 10 Rp 28,000.00 0
5 plaster polyster 5x10 cm pcs 61050 0 Rp - 2 Rp 122,100 1 Rp 61,050.00 1
TOTAL Rp 9,774.45 Rp 967,564 Rp 902,809.58


NIP 19670906198903 1 005 NIP 1994020202020122014

TOTAL PENERIMAAN DARI GUDANG JAN-JUNI 2022= Rp967,564
KET.
13
obo, 28 Febuari 2022

engelola Farmasi

94020202020122014
KET.
13
minta ke vaksin
sobo, 31 Maret 2022

engelola Farmasi

94020202020122014
KET.
13
osobo, 30 April 2022

engelola Farmasi

94020202020122014
KET.
13
osobo, 31 Mei 2022
engelola Farmasi

94020202020122014
KET.
13
osobo, 3O JUNI 2022

engelola Farmasi

94020202020122014
KET.
13
minta ke vaksin
osobo, 30 Juni 2022

engelola Farmasi

94020202020122014
REKAP DISTRIBUSI PROGRAM KIA

PEMAKAIAN
HARGA STOCK SISA
NO NAMA OBAT SATUAN SATUAN AWAL NILAI STOCK AWAL (Rp) PENERIMAAN Peneriman x Harga RESEP STOCK KET.
NILAI (Rp) NON-RESEP Nilai (Rp)
rupiah
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 12) 9 = (4x8) 10 11 = (4x10) 12 13
1 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) botol 34000 0 Rp - 2 Rp 68,000 2 Rp 68,000.00 0 Unit KIA
2 Handscoon pendek non steril no 7 (M) pasang 4272.72726 0 Rp - 100 Rp 427,273 100 Rp 427,272.73 0 Unit KIA
TOTAL 0 102 Rp 495,273 Rp 495,272.73


NIP 19670906198903 1 005 NIP 1994020202020122014

PERIODE 01 JMaret 2022 - 31 Maret 2022

PEMAKAIAN
NO NAMA OBAT SATUAN HARGA STOCK NILAI STOCK AWAL (Rp) PENERIMAAN SISA KET.
SATUAN AWAL Peneriman x Harga RESEP NILAI (Rp) NON-RESEP Nilai (Rp) STOCK
rupiah
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 12) 9 = (4x8) 10 11 = (4x10) 12 13
1 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) botol 27400 0 Rp - 1 Rp 27,400 0 Rp - 0 Unit KIA
2 Handscoon pendek steril no 7,5 (L) pasang 8635 0 Rp - 100 Rp 863,500 78 Rp 673,530.00 22 Unit KIA
TOTAL 0 101 Rp 890,900 Rp 673,530.00


NIP 19670906198903 1 005 NIP 1994020202020122014

PERIODE APRIL
PEMAKAIAN
HARGA STOCK SISA
rupiah
1 2 3 4 5 6 = (4x5) 7 8 = (5+7- 9 = (4x8) 10 11 = (4x10) 12 13
12)
1 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) botol 27400 0 Rp - 0 Rp - 0 Rp - 0 Unit KIA
2 Handscoon pendek steril no 7,5 (L) pasang 8635 22 Rp 189,970.00 0 Rp - 14 Rp 120,890.00 8 Unit KIA
TOTAL 0 101 Rp - Rp 120,890.00


NIP 19670906198903 1 005 NIP 1994020202020122014

PERIODE MEI
PEMAKAIAN
NO NAMA OBAT SATUAN HARGA STOCK NILAI STOCK AWAL (Rp) PENERIMAAN SISA KET.
SATUAN AWAL Peneriman x Harga RESEP NILAI (Rp) NON-RESEP Nilai (Rp) STOCK
rupiah
1 2 3 4 5 6 = (4x5) 7 8 = (5+7- 9 = (4x8) 10 11 = (4x10) 12 13
12)
TOTAL 0 101 Rp - Rp 86,350.00


NIP 19670906198903 1 005 NIP 1994020202020122014

PERIODE JUNI
PEMAKAIAN
HARGA STOCK SISA
rupiah
1 2 3 4 5 6 = (4x5) 7 8 = (5+7- 9 = (4x8) 10 11 = (4x10) 12 13
12)
2 Alat suntik 0.5 ml pcs 904 0 100 Rp 90,400 12 Rp 10,848.00 88 Unit KIA
TOTAL 0 101 Rp 90,400 Rp 62,658.00


NIP 19670906198903 1 005 NIP 1994020202020122014

PEMAKAIAN
HARGA STOCK SISA
rupiah
8 = (5+7-
1 2 3 4 5 6 = (4x5) 7 12) 9 = (4x8) 10 11 = (4x10) 12 13
2 Handscoon pendek non steril no 7 (M) pasang 4272.72726 0 Rp - 100 Rp 427,273 100 Rp 427,272.73 16 Unit KIA
3 Handscoon pendek steril no 7,5 (L) pasang 8635 0 Rp - 100 Rp 863,500 100 Rp 863,500.00 0 Unit KIA
5 Alat suntik 0.5 ml pcs 904 0 100 Rp 90,400 12 Rp 10,848.00 88 Unit KIA
TOTAL Rp - Rp 1,476,573 Rp 1,438,700.73


NIP 19670906198903 1 005 NIP 1994020202020122014

REKAP DISTRIBUSI PER UNIT IGD

PEMAKAIAN
NO NAMA OBAT SATUAN HARGA SATUAN STOCK AWAL NILAI STOCK AWAL (Rp) PENERIMAAN Peneriman x Harga SISA STOCK KET.
rupiah
1 2 3 4 5 6 = (4x5) 7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12 13
1 Alkohol swab pcs 79 0 Rp - 150 Rp 11,850 98 Rp 7,742.00 52

2 Atropin Sulfat inj 0,25 mg/ml- 1 ml ampul 1540 0 Rp - 5 Rp 7,700 5 Rp 7,700.00 0
3 Aqua pro inj steril, bebas pirogen botol 2860 1 Rp 2,860.00 4 Rp 11,440 5 Rp 14,300.00 0
4 Cat gut /benang bedah cromic + jarum no 2/0 pcs 32800 0 Rp - 20 Rp 656,000 20 Rp 656,000.00 0
5 Cat gut /benang bedah plain + jarum no 3/0 pcs 5750.83333333333 0 Rp - 48 Rp 276,040 28 Rp 161,023.33 20
6 Etakridin ( Rivanol ) larutan 0,1 % botol 3000 1 Rp 3,000.00 2 Rp 6,000 3 Rp 9,000.00 0 Expired date
7 folley catheter 18 pcs 13800 2 Rp 27,600.00 13 Rp 179,400 8 Rp 110,400.00 7
8 folley catheter 16 pcs 13800 7 Rp 96,600.00 0 Rp - 1 Rp 13,800.00 6
9 hand sanitizer 500 ml (alkohol 70% + chlorhexidineBotol 34000 1 Rp 34,000.00 2 Rp 68,000 2 Rp 68,000.00 1
10 hand sanitizer 5000 ml ( 5 liter) botol 650000 0 Rp - 1 Rp 650,000 0 Rp - 1
15 Handscoon pendek non steril no 6.5 (S) pcs 4272.72728 2 Rp 8,545.45 100 Rp 427,273 42 Rp 179,454.55 60
16 Handscoon pendek non steril no 7 (M) pcs 4272.72726 3 Rp 12,818.18 100 Rp 427,273 63 Rp 269,181.82 40
21 Infusion set Anak pcs 5100 0 Rp - 17 Rp 86,700 17 Rp 86,700.00 0
22 Jarum Jahit (Bedah) No 10 cutting (kulit) pcs 1430.73333333333 0 Rp - 120 Rp 171,688 0 Rp - 120
23 Jarum Jahit (Bedah) No 11 cutting (kulit) pcs 1430.73333333333 0 Rp - 120 Rp 171,688 20 Rp 28,614.67 100
24 Jarum Jahit (Bedah) No 11 TAPPER (otot) pcs 1430.73333333333 0 Rp - 120 Rp 171,688 20 Rp 28,614.67 100
26 Jarum Jahit (Bedah) No 14 cutting (kulit) pcs 1430.73333333333 0 Rp - 120 Rp 171,688 0 Rp - 120
29 Kasa Pembalut hidrofil 4m x 10 cm pcs 1380 5 Rp 6,900.00 50 Rp 69,000 30 Rp 41,400.00 25
31 Lidokain murni inj 2 % ampul 1221 1 Rp 1,221.00 41 Rp 50,061 18 Rp 21,978.00 24
35 Nasal Oksigen size L pcs 5200 2 Rp 10,400.00 2 Rp 10,400 3 Rp 15,600.00 1
36 Nasal Oksigen size M pcs 5200 0 Rp - 5 Rp 26,000 5 Rp 26,000.00 0
37 Plaster polyester Non-woven 5cm x 10m pcs 44767 0 Rp - 1 Rp 44,767 0 Rp - 1
38 Povidon Iodine 10% 30 ml botol 3200 0 Rp - 10 Rp 32,000 9 Rp 28,800.00 1
39 Ringer lactat ( RL ) infus steril botol 7630 2 Rp 15,260.00 60 Rp 457,800 42 Rp 320,460.00 20
40 safety box pcs 14000 0 Rp - 3 Rp 42,000 3 Rp 42,000.00 0
41 Silk No. 2/0 + jarum pcs 20300 0 Rp - 12 Rp 243,600 11 Rp 223,300.00 1
42 tranfusion set pcs 9431 2 Rp 18,862.00 30 Rp 282,930 27 Rp 254,637.00 5
43 urin bag pcs 5951 0 Rp - 20 Rp 119,020 18 Rp 107,118.00 2
44 Kasa Pembalut hidrofil 16 x 16 pcs 3500 3 Rp 10,500.00 30 Rp 105,000 30 Rp 105,000.00 3
48 Alat suntik sekali pakai 3 ml pcs 569 26 Rp 14,794.00 0 Rp - 2 Rp 1,138.00 24
49 Alat Suntik Sekali Pakai 1 ml pcs 881 0 Rp - 0 Rp - 0 Rp - 2
TOTAL Rp 263,360.64 Rp 5,492,069 Rp 2,913,806.03 0


NIP 19670906198903 1 005 NIP 1994020202020122014

PERIODE 01 Maret 2022 - 31 Maret 2022

PEMAKAIAN
rupiah
1 2 3 4 5 6 = (4x5) 7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12 13
1 Alkohol swab pcs 79 52 Rp 4,108.00 Rp - 12 948.00 40

2 Atropin Sulfat inj 0,25 mg/ml- 1 ml ampul 1540 0 Rp - Rp - 0 - Err:522
3 Aqua pro inj steril, bebas pirogen botol 2860 0 Rp - Rp - 0 - Err:522
4 Cat gut /benang bedah cromic + jarum no 2/0 pcs 32800 0 Rp - Rp - 0 - Err:522
5 Cat gut /benang bedah plain + jarum no 3/0 pcs 5750.83333333333 20 Rp 115,016.67 Rp - 0 - 20
6 Etakridin ( Rivanol ) larutan 0,1 % botol 3000 0 Rp - Rp - 0 - 0
7 Dexametason Injeksi ampul 924 0 Rp - 10 Rp 9,240 3 2,772.00 7
8 folley catheter 18 pcs 13800 7 Rp 96,600.00 Rp - 0 - 7
9 Epineprin injeksi ampul 1408 0 Rp - 3 Rp 4,224 0 - 3
10 folley catheter 16 pcs 13800 6 Rp 82,800.00 Rp - 3 41,400.00 3
11 hand sanitizer 500 ml (alkohol 70% + chlorhexidineBotol 27400 1 Rp 27,400.00 1 Rp 27,400 1 27,400.00 1
12 hand sanitizer 5000 ml ( 5 liter) botol 650000 1 Rp 650,000.00 Rp - 0 - 1
13 Handscoon pendek non steril no 6.5 (S) pcs 4272.727 60 Rp 256,363.62 0 Rp - 60 256,363.62 0
14 Handscoon pendek non steril no 7 (M) pcs 4272.72728 40 Rp 170,909.09 Rp - 40 170,909.09 0
15 Handscoon pendek steril no 7 (M) pcs 2772 0 Rp - 50 Rp 138,600 19 52,668.00 31
16 Infusion set Anak pcs 5100 0 Rp - Rp - 0 - Err:522
17 iv cateter 18 11660 0 Rp - 2 Rp 23,320 0 - 2
18 Jarum Jahit (Bedah) No 10 cutting (kulit) pcs 1,431 120 Rp 171,688.00 Rp - 0 - Err:522
19 Jarum Jahit (Bedah) No 11 cutting (kulit) pcs 1,431 100 Rp 143,073.33 Rp - 0 - Err:522
20 Jarum Jahit (Bedah) No 11 TAPPER (otot) pcs 1,431 100 Rp 143,073.33 Rp - 10 14,307.33 90
21 Jarum Jahit (Bedah) No 12 cutting (kulit) pcs 1,431 100 Rp 143,073.33 Rp - 14 20,030.27 86
22 Jarum Jahit (Bedah) No 14 cutting (kulit) pcs 1,431 120 Rp 171,688.00 Rp - 4 5,722.93 116
23 Jarum Jahit (Bedah) No 9 cutting (kulit) pcs 1,431 100 Rp 143,073.33 Rp - 0 - 100
24 Jarum Jahit (Bedah) No 9 TAPPER (otot) pcs 1,431 100 Rp 143,073.33 Rp - 0 - 100
25 Kasa Pembalut hidrofil 4m x 10 cm pcs 1380 25 Rp 34,500.00 Rp - 2 2,760.00 23
26 Kasa Pembalut hidrofil 4m x 10 cm pcs 1451.7 0 Rp - Rp - 0 - 0
27 Lidokain + epineprin ampul 1229 0 Rp - 15 Rp 18,435 0 - 15
28 Lidokain murni inj 2 % ampul 1221 24 Rp 29,304.00 Rp - 4 4,884.00 20
29 Nasal Oksigen size L pcs 5200 1 Rp 5,200.00 Rp - 0 - 1
30 Nasal Oksigen size M pcs 5200 0 Rp - Rp - 0 - 0
31 NaCl Infus botol 6840 0 Rp - 3 Rp 20,520 0 - 3
32 Plaster polyester Non-woven 5cm x 10m pcs 44767 1 Rp 44,767.00 Rp - 1 44,767.00 0
33 Povidon Iodine 10% 30 ml botol 3200 1 Rp 3,200.00 Rp - 1 3,200.00 0
34 Ranitidin Injeksi ampul 814 0 Rp - 25 Rp 20,350 2 1,628.00 23
35 Ringer lactat ( RL ) infus steril botol 7630 20 Rp 152,600.00 Rp - 0 - 20
36 safety box pcs 14000 0 Rp - 1 Rp 14,000 1 14,000.00 Err:522
37 Silk No. 2/0 + jarum pcs 20300 1 Rp 20,300.00 12 Rp 243,600 1 20,300.00 12
38 tranfusion set pcs 9431 5 Rp 47,155.00 Rp - 1 9,431.00 4
39 urin bag pcs 5951 2 Rp 11,902.00 0 Rp - 0 - Err:522
40 Kasa Pembalut hidrofil 16 x 16 pcs 3500 3 Rp 10,500.00 43 Rp 150,500 10 35,000.00 36
41 Alat suntik sekali pakai 3 ml pcs 569 24 Rp 13,656.00 100 Rp 56,900 7 3,983.00 117
42 alat suntik 5 m L PCS 1583 0 Rp - 50 Rp 79,150 2 3,166.00 48
43 Alat Suntik Sekali Pakai 1 ml pcs 881 2 Rp 1,762.00 Rp - 2 1,762.00 0
TOTAL Rp 2,836,786.02 Rp 806,239 Rp 737,402.24


NIP 19670906198903 1 005 NIP 1994020202020122014

PERIODE April 2022

PEMAKAIAN
rupiah
1 2 3 4 5 6 = (4x5) 7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12 13
1 Alkohol swab pcs 79 40 Rp 3,160.00 Rp - 15 Rp 1,185.00 25

2 Atropin Sulfat inj 0,25 mg/ml- 1 ml ampul 1540 0 Rp - Rp - 0 Rp - Err:522
3 Aqua pro inj steril, bebas pirogen botol 2860 0 Rp - Rp - 0 Rp - Err:522
4 Cat gut /benang bedah cromic + jarum no 2/0 pcs 32800 0 Rp - Rp - 0 Rp - Err:522
5 Cat gut /benang bedah plain + jarum no 3/0 pcs 5750.83333333333 20 Rp 115,016.67 Rp - 2 Rp 11,501.67 18
6 Etakridin ( Rivanol ) larutan 0,1 % botol 3000 0 Rp - Rp - 0 Rp - 0
7 Dexametason Injeksi ampul 924 7 Rp 6,468.00 6 Rp 5,544 7 Rp 6,468.00 6
8 folley catheter 18 pcs 13800 7 Rp 96,600.00 Rp - 0 Rp - 7
9 Epineprin injeksi ampul 1408 3 Rp 4,224.00 Rp - 0 Rp - 3
10 folley catheter 16 pcs 13800 3 Rp 41,400.00 Rp - 1 Rp 13,800.00 2
11 hand sanitizer 500 ml (alkohol 70% + chlorhexidineBotol 27400 1 Rp 27,400.00 Rp - 1 Rp 27,400.00 0
12 hand sanitizer 5000 ml ( 5 liter) botol 650000 1 Rp 650,000.00 Rp - 0 Rp - 1
13 Handscoon pendek non steril no 6.5 (S) pcs 4272.72728 0 Rp - 0 Rp - 0 Rp - 0
14 Handscoon pendek non steril no 7 (M) pcs 4272.72728 0 Rp - Rp - 0 Rp - 0
15 Handscoon pendek steril no 7 (M) pcs 2772 31 Rp 85,932.00 Rp - 11 Rp 30,492.00 20
16 Infusion set Anak pcs 5100 0 Rp - Rp - 0 Rp - 0
17 iv cateter 18 11660 2 Rp 23,320.00 Rp - 0 Rp - 2
18 Jarum Jahit (Bedah) No 10 cutting (kulit) pcs 1430.73333333333 0 Rp - Rp - 0 Rp - Err:522
20 Jarum Jahit (Bedah) No 11 TAPPER (otot) pcs 1430.73333333333 90 Rp 128,766.00 Rp - 11 Rp 15,738.07 79
21 Jarum Jahit (Bedah) No 12 cutting (kulit) pcs 1430.73333333333 86 Rp 123,043.07 Rp - 21 Rp 30,045.40 65
24 Jarum Jahit (Bedah) No 9 TAPPER (otot) pcs 1430.73333333333 0 Rp - Rp - 0 Rp - Err:522
25 Kasa Pembalut hidrofil 4m x 10 cm pcs 1380 23 Rp 31,740.00 Rp - 3 Rp 4,140.00 20
26 Kasa Pembalut hidrofil 4m x 10 cm pcs 1451.7 0 Rp - Rp - 0 Rp - 0
27 Lidokain + epineprin ampul 1229 15 Rp 18,435.00 Rp - 5 Rp 6,145.00 10
28 Lidokain murni inj 2 % ampul 1221 20 Rp 24,420.00 Rp - 4 Rp 4,884.00 16
29 Nasal Oksigen size L pcs 5200 0 Rp - Rp - 0 Rp - 0
30 Nasal Oksigen size M pcs 5200 0 Rp - Rp - 0 Rp - 0
31 NaCl Infus botol 6840 3 Rp 20,520.00 Rp - 0 Rp - 3
32 Plaster polyester Non-woven 5cm x 10m pcs 44767 0 Rp - Rp - 0 Rp - 0
33 Povidon Iodine 10% 30 ml botol 3200 0 Rp - Rp - 0 Rp - 0
34 Ranitidin Injeksi ampul 814 23 Rp 18,722.00 Rp - 4 Rp 3,256.00 19
35 Ringer lactat ( RL ) infus steril botol 7630 20 Rp 152,600.00 Rp - 0 Rp - 20
36 safety box pcs 14000 0 Rp - Rp - 0 Rp - 0
37 Silk No. 2/0 + jarum pcs 20300 12 Rp 243,600.00 Rp - 1 Rp 20,300.00 11
38 tranfusion set pcs 9431 4 Rp 37,724.00 Rp - 1 Rp 9,431.00 3
39 urin bag pcs 5951 0 Rp - Rp - 0 Rp - 0
40 Kasa Pembalut hidrofil 16 x 16 pcs 3500 36 Rp 126,000.00 Rp - 15 Rp 52,500.00 21
41 Alat suntik sekali pakai 3 ml pcs 569 117 Rp 66,573.00 Rp - 25 Rp 14,225.00 92
42 alat suntik 5 m L PCS 1583 48 Rp 75,984.00 Rp - 2 Rp 3,166.00 46
43 Alat Suntik Sekali Pakai 1 ml pcs 881 0 Rp - Rp - 0 Rp - 0
TOTAL Rp 2,287,612.80 Rp 5,544 Rp 261,830.80


NIP 19670906198903 1 005 NIP 1994020202020122014

PERIODE Mei 2022

PEMAKAIAN
rupiah
1 2 3 4 5 6 = (4x5) 7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12 13
1 Alkohol swab pcs 79 25 Rp 1,975.00 Rp - 11 Rp 869.00 14

2 Atropin Sulfat inj 0,25 mg/ml- 1 ml ampul 1540 0 Rp - Rp - Rp - 0
3 Aqua pro inj steril, bebas pirogen botol 2860 0 Rp - Rp - Rp - 0
4 Cat gut /benang bedah cromic + jarum no 2/0 pcs 32800 0 Rp - Rp - Rp - 0
6 Etakridin ( Rivanol ) larutan 0,1 % botol 3000 0 Rp - Rp - Rp - 0
7 Dexametason Injeksi ampul 924 6 Rp 5,544.00 Rp - 1 Rp 924.00 5
8 folley catheter 18 pcs 13800 0 Rp - Rp - Rp - 0
9 Epineprin injeksi ampul 1408 3 Rp 4,224.00 Rp - Rp - 3
11 hand sanitizer 500 ml (alkohol 70% + chlorhexidineBotol 27400 0 Rp - 1 Rp 27,400 1 Rp 27,400.00 0
12 hand sanitizer 5000 ml ( 5 liter) botol 650000 1 Rp 650,000.00 Rp - 2 Rp 1,397,670.00 1
13 Handscoon pendek non steril no 6.5 (S) pcs 4272.72728 0 Rp - 50 Rp 213,636 20 Rp 85,454.55 30
14 Handscoon pendek non steril no 7 (M) pcs 4272.72728 0 Rp - Rp - Rp - 0
17 iv cateter 18 11660 2 Rp 23,320.00 Rp - Rp - 2
18 Jarum Jahit (Bedah) No 10 cutting (kulit) pcs 1430.73333333333 0 Rp - Rp - Rp - 0
20 Jarum Jahit (Bedah) No 11 TAPPER (otot) pcs 1430.73333333333 79 Rp 113,027.93 Rp - Rp - 79
24 Jarum Jahit (Bedah) No 9 TAPPER (otot) pcs 1430.73333333333 0 Rp - Rp - Rp - 0
26 Kasa Pembalut hidrofil 4m x 10 cm pcs 1451.7 0 Rp - Rp - Rp - 0
27 Lidokain + epineprin ampul 1229 10 Rp 12,290.00 Rp - Rp - 10
29 Nasal Oksigen size L pcs 5200 0 Rp - Rp - Rp - 0
30 Nasal Oksigen size M pcs 5200 0 Rp - Rp - Rp - 0
31 NaCl Infus botol 6840 3 Rp 20,520.00 Rp - Rp - 3
32 Plaster polyester Non-woven 5cm x 10m pcs 44767 0 Rp - 1 Rp 44,767 Rp - 1
33 Povidon Iodine 10% 30 ml botol 3200 0 Rp - Rp - Rp - 0
34 Ranitidin Injeksi ampul 814 19 Rp 15,466.00 Rp - 2 Rp 1,628.00 17
35 Ringer lactat ( RL ) infus steril botol 7630 0 Rp - Rp - Rp - 0
36 safety box pcs 14000 0 Rp - Rp - Rp - 0
37 Silk No. 2/0 + jarum pcs 20300 11 Rp 223,300.00 Rp - Rp - 11
38 tranfusion set pcs 9431 3 Rp 28,293.00 Rp - Rp - 3
39 urin bag pcs 5951 0 Rp - Rp - Rp - 0
42 alat suntik 5 m L PCS 1583 46 Rp 72,818.00 Rp - Rp - 46
43 Alat Suntik Sekali Pakai 1 ml pcs 881 0 Rp - Rp - Rp - 0
TOTAL Rp 1,782,126.00 Rp 470,983 Rp 1,637,541.58
Wonosobo, 31 MEI 2022


NIP 19670906198903 1 005 NIP 1994020202020122014

PERIODE JUNI 2022

PEMAKAIAN
rupiah
1 2 3 4 5 6 = (4x5) 7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12 13
1 Alkohol swab pcs 79 14 Rp 1,106.00 Rp - 12 Rp 948.00 2

2 Atropin Sulfat inj 0,25 mg/ml- 1 ml ampul 1540 0 Rp - Rp - Rp - 0
3 Aqua pro inj steril, bebas pirogen botol 2860 0 Rp - Rp - Rp - 0
4 Cat gut /benang bedah cromic + jarum no 2/0 pcs 32800 0 Rp - Rp - Rp - 0
6 Etakridin ( Rivanol ) larutan 0,1 % botol 3000 0 Rp - Rp - Rp - 0
7 Dexametason Injeksi ampul 924 5 Rp 4,620.00 Rp - Rp - 5
8 folley catheter 18 pcs 13800 0 Rp - Rp - Rp - 0
9 Epineprin injeksi ampul 1408 3 Rp 4,224.00 Rp - Rp - 3
11 hand sanitizer 500 ml (alkohol 70% + chlorhexidineBotol 34000 0 Rp - 1 Rp 34,000 Rp - 1
12 hand sanitizer 5000 ml ( 5 liter) botol 650000 1 Rp 650,000.00 Rp - Rp - 1
13 Handscoon pendek non steril no 6.5 (S) pcs 4272.72728 30 Rp 128,181.82 Rp - 20 Rp 85,454.55 10
14 Handscoon pendek non steril no 7 (M) pcs 4272.72728 0 Rp - Rp - Rp - 0
17 iv cateter 18 11660 2 Rp 23,320.00 Rp - Rp - 2
20 Jarum Jahit (Bedah) No 11 TAPPER (otot) pcs 1430.73333333333 79 Rp 113,027.93 Rp - Rp - 79
24 Jarum Jahit (Bedah) No 9 TAPPER (otot) pcs 1430.73333333333 0 Rp - Rp - Rp - 0
26 Kasa Pembalut hidrofil 4m x 10 cm pcs 1451.7 0 Rp - Rp - Rp - 0
27 Lidokain + epineprin ampul 1229 10 Rp 12,290.00 Rp - Rp - 10
28 Lidokain murni inj 2 % ampul 1221 91 Rp 111,111.00 Rp - 6 Rp 7,326.00 85
29 Nasal Oksigen size L pcs 5200 0 Rp - Rp - Rp - 0
30 Nasal Oksigen size M pcs 5200 0 Rp - Rp - Rp - 0
31 NaCl Infus botol 6840 3 Rp 20,520.00 Rp - Rp - 3
32 Plaster polyester Non-woven 5cm x 10m pcs 44767 1 Rp 44,767.00 Rp - Rp - 1
33 Povidon Iodine 10% 30 ml botol 3200 0 Rp - Rp - Rp - 0
34 Ranitidin Injeksi ampul 814 17 Rp 13,838.00 Rp - 1 Rp 814.00 16
35 Ringer lactat ( RL ) infus steril botol 7630 0 Rp - 4 Rp 30,520 3 Rp 22,890.00 1
36 safety box pcs 14000 0 Rp - Rp - Rp - 0
37 Silk No. 2/0 + jarum pcs 20300 11 Rp 223,300.00 Rp - Rp - 11
38 tranfusion set pcs 9431 3 Rp 28,293.00 Rp - Rp - 3
39 urin bag pcs 5951 0 Rp - Rp - Rp - 0
40 Kasa Pembalut hidrofil 16 x 16 pcs 3500 29 Rp 101,500.00 Rp - 11 Rp 38,500.00 18
42 alat suntik 5 m L PCS 1583 46 Rp 72,818.00 Rp - 5 Rp 7,915.00 41
43 Alat Suntik Sekali Pakai 1 ml pcs 881 0 Rp - Rp - Rp - 0
TOTAL Rp 2,013,237.79 Rp 64,520 Rp 254,773.51


NIP 19670906198903 1 005 NIP 1994020202020122014

PEMAKAIAN
rupiah
1 2 3 4 5 6 = (4x5) 7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12 13
1 Alkohol swab pcs 79 0 Rp - 150 Rp 11,850 148 Rp 11,692.00 2

2 Atropin Sulfat inj 0,25 mg/ml- 1 ml ampul 1540 0 Rp - 5 Rp 7,700 0 Rp - Err:522
4 Cat gut /benang bedah cromic + jarum no 2/0 pcs 32800 0 Rp - 20 Rp 656,000 0 Rp - Err:522
5 Cat gut /benang bedah plain + jarum no 3/0 pcs 5750.83333333333 0 Rp - 48 Rp 276,040 32 Rp 184,026.67 16
6 Etakridin ( Rivanol ) larutan 0,1 % botol 3000 1 Rp 3,000.00 2 Rp 6,000 0 Rp - 0 Expired date
7 folley catheter 18 pcs 13800 2 Rp 27,600.00 29 Rp 400,200 31 Rp 427,800.00 0
8 folley catheter 16 pcs 13800 7 Rp 96,600.00 0 Rp - 7 Rp 96,600.00 0
9 hand sanitizer 500 ml (alkohol 70% + chlorhexidineBotol 34000 1 Rp 34,000.00 3 Rp 102,000 3 Rp 102,000.00 1
10 hand sanitizer 5000 ml ( 5 liter) botol 650000 0 Rp - 1 Rp 650,000 1 Rp 1,270,058.98 1
11 Handscoon pendek non steril no 6.5 (S) pcs 4272.72728 2 Rp 8,545.45 150 Rp 640,909 142 Rp 606,727.27 10
12 Handscoon pendek non steril no 7 (M) pcs 4272.72726 3 Rp 12,818.18 100 Rp 427,273 103 Rp 440,090.91 0
13 Infusion set Anak pcs 5100 0 Rp - 17 Rp 86,700 17 Rp 86,700.00 0
21 Kasa Pembalut hidrofil 4m x 10 cm pcs 1380 5 Rp 6,900.00 50 Rp 69,000 39 Rp 53,820.00 16
23 Nasal Oksigen size L pcs 5200 2 Rp 10,400.00 2 Rp 10,400 4 Rp 20,800.00 0
24 Nasal Oksigen size M pcs 5200 0 Rp - 5 Rp 26,000 5 Rp 26,000.00 0
25 Plaster polyester Non-woven 5cm x 10m pcs 44767 0 Rp - 2 Rp 89,534 1 Rp 44,767.00 1
26 Povidon Iodine 10% 30 ml botol 3200 0 Rp - 10 Rp 32,000 10 Rp 32,000.00 0
27 Ringer lactat ( RL ) infus steril botol 7630 2 Rp 15,260.00 45 Rp 346,670 46 Rp 350,980.00 1
28 safety box pcs 14000 0 Rp - 4 Rp 56,000 4 Rp 56,000.00 0
29 Silk No. 2/0 + jarum pcs 20300 0 Rp - 24 Rp 487,200 13 Rp 263,900.00 11
30 tranfusion set pcs 9431 2 Rp 18,862.00 30 Rp 282,930 29 Rp 273,499.00 3
31 urin bag pcs 5951 0 Rp - 20 Rp 119,020 0 Rp - Err:522
33 Alat suntik sekali pakai 3 ml pcs 569 26 Rp 14,794.00 100 Rp 56,900 68 Rp 38,692.00 58
34 Alat Suntik Sekali Pakai 1 ml pcs 881 0 Rp - 0 Rp - 0 Rp - 0
35 Dexametason Injeksi ampul 924 0 Rp - 16 Rp 14,784 11 Rp 10,164.00 5
36 Epineprin injeksi ampul 1408 0 Rp - 3 Rp 4,224 0 Rp - 3
37 hand sanitizer 500 ml (alkohol 70% + chlorhexidineBotol 27400 0 Rp - 2 Rp 54,800 2 Rp 54,800.00 0
38 Handscoon pendek steril no 7 (M) pcs 2772 0 Rp - 50 Rp 138,600 40 Rp 110,880.00 10
39 iv cateter 18 pcs 11660 0 Rp - 2 Rp 23,320 0 Rp - 2
40 Kasa Pembalut hidrofil 4m x 10 cm pcs 1451.7 0 Rp - 0 Rp - 0 Rp - 0
41 Lidokain + epineprin ampul 1229 0 Rp - 15 Rp 18,435 5 Rp 6,145.00 10
42 NaCl Infus botol 6840 0 Rp - 3 Rp 20,520 0 Rp - 3
43 Ranitidin Injeksi ampul 814 0 Rp - 25 Rp 20,350 9 Rp 7,326.00 16
TOTAL Rp 263,360.64 Rp 6,839,356 Rp 5,805,354.16


NIP 19670906198903 1 005 NIP 1994020202020122014

REKAP DISTRIBUSI PROGRAM GIZI

PEMAKAIAN
HARGA STOCK NILAI STOCK PENERIMAA
NO NAMA OBAT SATUAN SATUAN AWAL AWAL (Rp) N Peneriman x SISA STOCK
Harga rupiah
1 2 3 4 5 6 = (4x5) 7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12
1 Retinol 100.000 UI kapsul 306 0 Rp - 151 Rp 46,206 151 Rp 46,206.00 0

3 mineral mix sachet /8gr sachet 2920 0 Rp - 200 Rp 584,000 200 Rp 584,000.00 0
TOTAL 0 Rp 1,286,633 Rp 1,286,633.00


NIP 19670906198903 1 005 NIP 1994020202020122014

Laporan Stok Obat Untuk transaksi antara tanggal : 01/03/2022 sampai dengan31 /03/2022
PERIODE 01 maret 2022 -31 maret2022

PEMAKAIAN
Harga rupiah
1 2 3 4 5 6 = (4x5) 7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12
1 Retinol 100.000 UI kapsul 306 0 Rp - 0 Rp - 0 Rp - 0

3 mineral mix sachet /8gr sachet 2920 0 Rp - 0 Rp - 0 Rp - 0
5 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine botol 30450 0 Rp - 0 Rp - 0 Rp - 0
TOTAL 0 Rp - Rp -


NIP 19670906198903 1 005 NIP 1994020202020122014

PERIODE APRIL
PEMAKAIAN
Harga rupiah
1 2 3 4 5 6 = (4x5) 7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12

TOTAL 0 Rp - Rp -


NIP 19670906198903 1 005 NIP 1994020202020122014


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

TOTAL 0 Rp 2,740 Rp 2,740.00


NIP 19670906198903 1 005 NIP 1994020202020122014

PERIODE JUNI
PEMAKAIAN
Harga rupiah
1 2 3 4 5 6 = (4x5) 7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12

5 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) pcs 2740 0 Rp - 1 Rp 2,740 0 Rp - 0
TOTAL 0 Rp 2,740 Rp -


NIP 19670906198903 1 005 NIP 1994020202020122014

JANUARI 2022 - 30 Juni 2022
PEMAKAIAN
Harga rupiah
1 2 3 4 5 6 = (4x5) 7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12

3 mineral mix sachet /8gr sachet 2920 0 Rp - 200 Rp 584,000 200 Rp 584,000.00 0
TOTAL 0 Rp 1,292,113 Rp 1,289,373.00


NIP 19670906198903 1 005 NIP 1994020202020122014

PERIODE MARET 2022 -
KET.
13

langsung di berikan dalam
kegiatan posyandu
kegiatan posyandu
kegiatan posyandu

Pengelola Farmasi

NIP 1994020202020122014
KET.
13

Pengelola Farmasi

NIP 1994020202020122014
KET.
13

Pengelola Farmasi

NIP 1994020202020122014
KET.
13

Pengelola Farmasi

NIP 1994020202020122014
KET.
13

Pengelola Farmasi

NIP 1994020202020122014
KET.
13

langsung di berikan dalam
kegiatan posyandu
kegiatan posyandu
kegiatan posyandu

Pengelola Farmasi

NIP 1994020202020122014
REKAP DISTRIBUSI PROGRAM IVA

PEMAKAIAN
NO NAMA OBAT SATUAN SATUAN AWAL AWAL (Rp) PENERIMAAN Nilai Penerimaas SISA STOCK
1 2 3 4 5 6 = (4x5) 7 4x7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12

1 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) Buah 34000 0 0 2 68000 2 Rp 68,000.00 0
2 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine Buah 30450 0 0 1 30450 1 Rp 30,450.00 0
TOTAL 0 98450 Rp 98,450.00


NIP 19670906198903 1 005 NIP 1994020202020122014


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

TOTAL 0 27400 Rp 27,400.00


NIP 19670906198903 1 005 NIP 1994020202020122014

PERIODE APRIL
PEMAKAIAN
NO NAMA OBAT SATUAN HARGA STOCK NILAI STOCK PENERIMAAN Nilai Penerimaas SISA STOCK
1 2 3 4 5 6 = (4x5) 7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12

1 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) Buah 27400 0 0 0 0 0 Rp - 0
TOTAL Rp -


NIP 19670906198903 1 005 NIP 1994020202020122014

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

TOTAL Rp -

NIP 19670906198903 1 005 NIP 1994020202020122014

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

TOTAL Rp -


NIP 19670906198903 1 005 NIP 1994020202020122014

PEMAKAIAN
NO NAMA OBAT SATUAN PENERIMAAN Nilai Penerimaas SISA STOCK
1 2 3 4 5 6 = (4x5) 7 4x7 8 = (5+7-12) 9 = (4x8) 10 11 = (4x10) 12

12 hand sanitizer 500 ml (alkohol 70% + chlorhexidine) Buah 27400 0 0 1 27400 1 Rp 27,400.00
3 Hand Scrub Sabun Cuci Tangan Cair + clorhexidine Buah 30450 0 0 1 30450 1 Rp 30,450.00 0
TOTAL 125,850.00 Rp 125,850.00
Wonosobo, 30 juni 2022


NIP 19670906198903 1 005 NIP 1994020202020122014

PERIODE JUNI 2022 Rp0
TOTAL PENERIMAAN DARI GUDANG JAN-JUNI 2022= Rp125,850.00
KET.
13
28 Febuari 2022 Wonosobo, 28 Febuari 2022

ola Farmasi Pengelola Farmasi
upi, S. Farm., Apt Galih Arum Palupi, S. Farm., Apt

0202020122014 NIP 1994020202020122014
KET.
13
31 Maret 2022
ola Farmasi
upi, S. Farm., Apt

0202020122014
KET.
13
30 April 2022
ola Farmasi
upi, S. Farm., Apt

0202020122014
KET.
13
, 31 Mei 2022
ola Farmasi
upi, S. Farm., Apt
0202020122014
KET.
13
, 30 Juni 2022
ola Farmasi
upi, S. Farm., Apt

0202020122014
KET.
13
, 30 juni 2022
ola Farmasi
upi, S. Farm., Apt

0202020122014
Jumlah nilai rupiah stok awal masing-masing unit Puskesmas Kejajar 2

1 januari - 28 Febuari
No Unit
1 IGD
2 VK
3 MTBS
4 Laboratorium
5 Imunisasi (VAKSIN)
6 IVA
7 KIA
8 KB
9 Gizi
10 Rawat Jalan
11 Gigi
12 PKD Campursari
13 PKD Sembungan
14 PKD Sikunang
15 PKD jojogan
16 PKD Dieng
17 PKD Parikesit
18 PKD Patak banteng
Total
Maduri., S.Kep., Ners

NIP 19670906198903 1 005
Nilai Stok Awal 31 Desember
Rp 263,360.64
Rp 843,978.37
0
Rp 80,063,246.60
Rp 16,441,260.00
0
0
Rp 9,774.45
0
Rp 11,391,662.99
0
Rp 186,499.00
Rp 60,640.00
Rp 228,819.00
Rp 108,853.00
Rp 86,468.00
Rp 78,232.50
Rp 375,635.00
Rp 110,138,429.55

Pengelola Farmasi
Galih Arum Palupi., S.Farm., Apt

NIP 1994020202020122014
PENAMBAHAN/ PENERIMAAN OBAT DARI IFK
No TANGGAL NOMOR SBBK JUMLAH (Rp)
1 06/01/2022 77 89,474.00
2 06/01/2022 78 278,258.00
3 12/01/2022 134 47,400.00
4 12/01/2022 246 -
5 12/01/2022 135 4,156,625.00
6 14/01/2022 157 15,800.00
7 28/01/2022 343 5,071,686.00
8 31/01/2022 373 31,600.00
9 27/01/2022 331 49,700.00
10 07/02/2022 459 381,600.00
11 07/02/2022 475 416,696.00
12 07/02/2022 441 2,386,400.00
13 21/02/2022 658 12,959,430.00
14 23/02/2022 688 4,345,491.00
15 25/02/2022 710 972,000.00
TOTAL Rp 31,202,160.0000
ntara tanggal : 01/01/2022 sampai dengan 28/2/2022
PENAMBAHAN/ PENERIMAAN OBAT DARI IFK
KETERANGAN
IFK/ Non-IFK
IFK
IFK
IFK
IFK
IFK
IFK
IFK
IFK
IFK
IFK
IFK
IFK
IFK
IFK
IFK
NILAI JUMLAH PENERIMAAN UNIT DARI GUDANG
PERIODE JANUARI-JUNI TAHUN 2022
No Nama unit Nilai Penerimaan Unit Nilai Distribusi Gudang
1 RAWAT JALAN 136,654,016.24
2 PKD CAMPURSARI 7,039,791.36
3 PKD DIENG 2,766,027.00
4 PKD JOJOGAN 4,124,811.00
5 PKD PARIKESIT 2,904,577.00
6 PKD PATAKBANTENG 4,669,324.00
7 PKD SEMBUNGAN 3,016,100.00
8 PKD SIKUNANG 4,306,026.00
9 VK 33,609,603.85
292,236,682.00
10 LABORATORIUM 46,440,429.09
11 VAKSIN 31,085,056.91
12 GIGI 4,681,380.09
13 MTBS 238,084.00
14 KB 967,563.93
15 IGD 6,839,355.82
16 GIZI 1,292,113.00
17 KIA 1,476,572.73
18 IVA 125,850.00
TOTAL 292,236,682.00 292,236,682.00
-
PUSKESMAS KEJAJAR 2
SEMESTER I
LAPORAN MUTASI OBAT DAN BMHP
NO NAMA UNIT SALDO AWAL PENERIMAAN PENERIMAAN RETU

1 GUDANG PUSKESMAS Rp 306,441,142.00 133,119,649.00 0
2 IGD Rp 263,360.64 6,839,355.82 0
3 VK Rp 843,978.37 33,609,603.85 0
4 MTBS 0 238,084.00 0
5 Laboratorium Rp 80,063,246.60 46,440,429.09 0
6 Imunisasi (VAKSIN) Rp 16,441,260.00 31,085,056.91 0
7 IVA 0 125,850.00 0
8 KIA 0 1,476,572.73 0
9 KB Rp 9,774.45 967,563.93 0
10 Gizi 0 1,292,113.00 0
11 Rawat Jalan Rp 11,391,662.99 136,654,016.24 0
12 Gigi 0 4,681,380.09 0
13 PKD Campursari Rp 186,499.00 7,039,791.36 0
14 PKD Sembungan Rp 60,640.00 3,016,100.00 0
15 PKD Sikunang Rp 228,819.00 4,306,026.00 0
16 PKD jojogan Rp 108,853.00 4,124,811.00 0
17 PKD Dieng Rp 86,468.00 2,766,027.00 0
18 PKD Parikesit Rp 78,232.50 2,904,577.00 0
19 PKD Patak banteng Rp 375,635.00 4,669,324.00 0
PENGELOLA OBAT PUSKESMAS
NAMA
NIP.
AS KEJAJAR 2
ESTER I
SI OBAT DAN BMHP
PERSEDIAAN DISTRIBUSI STOK AKHIR KET

Rp 439,560,791.00 292,236,682.00 Rp 147,324,109.00
Rp 7,102,716.45 Rp 5,805,354.16 Rp 1,297,362.29
Rp 34,453,582.21 Rp 15,497,706.90 Rp 18,955,875.31
Rp 238,084.00 Rp 234,560.00 Rp 3,524.00
Rp 126,503,675.69 Rp 97,515,706.43 Rp 28,987,969.26
Rp 47,526,316.91 Rp 30,097,330.45 Rp 17,428,986.46
Rp 125,850.00 Rp 125,850.00 Rp -
Rp 1,476,572.73 Rp 1,438,700.73 Rp 37,872.00
Rp 977,338.38 Rp 902,809.58 Rp 74,528.80
Rp 1,292,113.00 Rp 1,289,373.00 Rp 2,740.00
Rp 148,045,679.23 131,400,208.96 Rp 16,645,470.27
Rp 4,681,380.09 Rp 3,946,339.09 Rp 735,041.00
Rp 7,226,290.36 Rp 6,723,724.55 Rp 502,565.82
Rp 3,076,740.00 Rp 2,592,197.50 Rp 484,542.50
Rp 4,534,845.00 Rp 4,171,729.00 Rp 363,116.00
Rp 4,233,664.00 Rp 4,095,535.00 Rp 138,129.00
Rp 2,852,495.00 Rp 2,741,556.00 Rp 110,939.00
Rp 2,982,809.50 Rp 2,756,361.00 Rp 226,448.50
Rp 5,044,959.00 Rp 4,649,514.00 Rp 395,445.00
Wonosobo, …... 2022

MENGETAHUI
KEPALA PUSKESMAS …...
NAMA
NIP.

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NAMA PUSKESMAS : PUSKESMAS KEJAJAR 2

MUTASI DARI GUDANG KE UNIT

39 Attapulgit (Antidiare) tab tablet APBD II DAK 240 145 40 200

134 Kloramfenikol salep kulit 2% Tube APBD II DAK 0 3091 0

181 OAT FDC kategori 1 paket APBD II DAK 2 389344 2

Jumlah total distribusi

Ka. UPTD Kepala Puskesmas Kejajar 2

Maduri, S.Kep., Ners

NAMA PUSKESMAS : PUSKESMAS KEJAJAR 2

MUTASI DARI GUDANG KE UNIT

1 Acyclovir tab 400mg tablet APBD II / DID 100 405 100

2 Acyclovir tab 400mg tablet APBD II / DID 200 405 200

3 Acyclovir tab 400mg tablet APBD II / DID 150 405 150

8 Alkohol swab pcs APBD II / DAK 500 79

9 Alkohol swab pcs APBD II / DAK 300 79

10 Alkohol swab pcs APBD II / DAK 400 79

11 Alkohol swab pcs APBD II / DAK 1000 71

12 Alkohol swab pcs Program Covid19 700 79

15 Alkohol swab pcs Program Covid19 900 79

16 Alopurinol tab 100 mg tablet APBD II / DAK 100 87 100

17 amlodipin tab 10mg tablet APBD II / DAK 105 99 105

18 amlodipin tab 5 mg tablet APBD II / DAK 300 53 300

37 Boor Gigi (set isi 6) pack APBD II / DID 1 200000 1 \

38 Box Slides pcs APBD II / DID 2 37717 2

39 cefadroxil kapsul 500mg kapsul APBD II / DAK 100 388 100

40 cetirizine syr 5mg/5ml botol APBD II / DAK 10 2915 10

47 Epinefrin HCl (Adrenalin) inj 0,1% - 1 ml ampul APBD Propinsi 3 1408 3

50 Fletcher powder + eugenol liquit pack APBD II / DID 1 64000 1

51 folley catheter 16 pcs APBD II / DAK 7 8635 7

52 folley catheter 16 pcs APBD II / DAK 10 8635 10

53 folley catheter 16 pcs APBD II / DAK 3 8635 3

54 Furosemid tab 40 mg tablet APBN 200 82 200

58 Gentamisin salep mata tube APBD II / DAK 48 2675 48

62 Handscoon pendek non steril 6,5 S pasang APBD II / DAK 50 4272.72728 50

63 Handscoon panjang no. 8.5 (L) pasang APBD II / DID 50 36960 50

65 Handscoon pendek steril no 7 (M) pasang APBD II / DID 100 2772 50 50

67 Ibuprofen suspensi 100ml botol APBD II / DAK 40 2721 40

70 Kalsium Hidroksida Pasta tube APBD II / DAK 1 102000 1

72 Kasa Pembalut hidrofil 16 x 16 pack APBD II / DAK 63 3500 43 10 10

73 Kasa Pembalut hidrofil 4m x 10 cm rol APBD II / DAK 18 1451.7 18

79 Klorheksidin 2% botol APBD II / DAK 1 220000 1

80 Lidokain + epineprin inj ampul APBD II / DAK 15 1229 15

83 Metformin 500mg tablet APBD II / DAK 200 77 200

97 omeprazole kapsul 20mg kapsul APBD II / DAK 200 129 200

104 Permetrin cream 5% 30gr tube APBD II / DAK 8 11250 3 3 2

108 Povidon iodin 30 ml botol APBD II / DAK 14 3200 14

120 Stik glukosa strip APBD II / DAK 50 3124 50

121 Stik HbSAg test strip program Diare 50 9850 50

123 sukralfat syr 500mg/5ml botol APBD II / DAK 48 4989 48

128 urin bag pcs APBD II / DAK 2 5951 2

145 Yellow tip pcs APBD II / DAK 1000 175.7 1000

Ka. UPTD Kepala Puskesmas Kejajar 2

Maduri, S.Kep., Ners

1 Acyclovir tab 400mg tablet APBD II / DAK 47 407 47

12 amlodipin tab 5 mg tablet APBD II / DAK 300 53 300

62 Kloramfenikol kapsul 500mg tablet APBD II / DAK 100 1174 100

112 Vaksin Covid 19 MODERNA multidose (14 Dosis/Vial) vial Program 2 0

Ka. UPTD Kepala Puskesmas Kejajar 2

Maduri, S.Kep., Ners

Ka. UPTD Kepala Puskesmas Kejajar 2

Maduri, S.Kep., Ners

13 APBD II / DAK 400

Ka. UPTD Kepala Puskesmas Kejajar 2

Maduri, S.Kep., Ners