LAPORAN KETERSEDIAAN OBAT, ALAT KESEHATAN DAN REAGENSIA

UPTD PUSKESMAS KONCARA

DINAS KESEHATAN KABUPATEN PURWAKARTA
PERIODE TRIWULAN SATU (I)

NILAI SALDO AWAL PUSKESMAS NILAI PENERIMAAN PUSKESMAS NILAI PENGELUARAN PUSKESMAS TOTAL NILAI PERSEDIAAN PUSKESMAS
NAMA PUSKESMAS
RUTIN JKN RUTIN JKN RUTIN JKN RUTIN JKN

PUSKESMAS 96457711.137 0.000 49875033.430 0.000 116112933.614 0.000 30219810.954 0.000

JUMLAH TOTAL 96457711.137 49875033.430 116112933.614 30219810.954

Purwakarta, 05 April 2023

Mengetahui:
KEPALA PUSKESMAS PENGELOLA OBAT

Hj. Neni Ruhiyawati, SKM apt. Luthfina Maulida, S.Farm

NIP. 19680521 198803 2 004 NIP. 19921004 202203 2 012
 LAPORAN KETERSEDIAAN OBAT, BAHAN MEDIS HABIS PAKAI DAN REAGENSIA UPTD PUSKESMAS TAHUN 2023
472,230
NAMA PUSKESMAS : KONCARA

HARGA SATUAN (Rp) NILAI PESEDIAAN PKM SALDO AWAL HARGA SATUAN (RP) NILAI PESEDIAAN PENERIMAAN HARGA SATUAN (RP) NILAI PESEDIAAN PENGELUARAN PKM HARGA SATUAN (Rp) NILAI PESEDIAAN PKM SALDO AKHIR
SALDO AWAL PENERIMAAN PENGELUARAN SALDO AKHIR TOTAL NILAI
SALDO AWAL (Rp) PENERIMAAN PKM (Rp) PENGELUARAN (Rp) SALDO AKHIR (Rp)
KODREK/ NO. URUT NAMA OBAT SATUAN PERSEDIAAN PKM
LAMA BARU TOTAL LAMA BARU LAMA BARU LAMA BARU TOTAL LAMA BARU LAMA BARU LAMA BARU TOTAL LAMA BARU LAMA BARU LAMA BARU TOTAL LAMA BARU LAMA BARU (Rp)

1 2 3 4 5 6=4+5 7 8 9=4x7 10=5x8 11 12 13=11+12 14 15 16=11x14 17=12x15 18 19 20=18+19 21 22 23=18x21 24=19x22 25 26 27=25+26 28 29 30=25x28 31=26x29 32=30+31
5.1.02.01.01.0037 Belanja Obat_Obat-Obatan
Belanja Obat_Obat-Obatan_Perbekkes - - - - - - - - - - - - - - - - - - -
1 Alopurinol Tablet 100 mg Tablet 106 106 87 9,222 - 300 300 87 - 26,100 - 382 382 87 - 33,234 - 24 - 24 87 - 2,088 - 2,088
2 Ambroksol sirup 15 mg/ml 1 krt=50 btl Botol - 4,464 - - - 4,464 - - - - 4,464 - - - - - - 4,464 - - - -
3 Aminofilin 200 mg Tablet Tablet - - - - - - - - - - - - - - - - - - - - -
4 Amitriptilin HCl Tablet Salut 25 mg Tablet 630 630 167 105,210 - 500 500 167 - 83,500 - 61 61 167 - 10,187 - 1,069 - 1,069 167 - 178,523 - 178,523
5 Amlodipin tablet 10 mg Tablet 2477 2,477 70 173,390 - 2,000 2,000 70 - 140,000 - 3,339 3,339 70 - 233,730 - 1,138 - 1,138 70 - 79,660 - 79,660
6 Amlodipin tablet 5 mg Tablet 697 697 53 36,941 - 2,400 2,400 53 - 127,200 - 2,349 2,349 53 - 124,497 - 748 - 748 53 - 39,644 - 39,644
7 Amoksisilin 500 mg kaplet 4694 4,694 201 943,494 - 3,000 3,000 486 1,620,260 - 6,234 6,234 486 - 1,853,483 1,460 - 1,460 486 - 710,270 - 710,270
8 Amoksisilin Sirup Kering Forte 125 mg/5 ml Botol - - - - - - - - - - - - - - - - - - - - -
9 Amoksisilin Sirup Kering Forte 250 mg/5 ml Botol 135 135 3,498 472,230 - 240 240 3,498 - 839,520 - 247 247 3,498 - 864,006 - 128 - 128 3,498 - 447,744 - 447,744
10 Antasida DOEN Tablet Kombinasi Tablet 220 220 54 11,880 - - 54 - - - 220 220 54 - 11,880 - - - - 54 - - - -
11 Antasida DOEN Suspensi Botol - 1,679 - - - 3,855 - - - 3,855 - - - - - - 3,855 - - - -
12 Anti Bakteri DOEN Salep Kombinasi : Basitrasin + Polimiksin Tube - 5,731 - - - 5,731 - - - - 5,731 - - - - - - 5,731 - - - -
13 Antimigren DOEN Kombinasi : Ergotamin Tartrat + Kofein Tablet - - - - - - - - - - - - - - - - - - - - -
14 Anti Hemorhoid DOEN ktk 10 supp. Supp 20 20 3,250 65,000 - 50 50 3,250 - 162,500 - 5 5 3,250 - 16,250 - 65 - 65 3,250 - 211,250 - 211,250
15 Antidiare Tablet Tablet - 434 - - - 434 - - - - 434 - - - - - - 434 - - - -
16 Asam Askorbat (Vit. C) Tablet 50 mg Tablet 630 630 42 26,460 - 800 800 42 - 33,600 - 1,007 1,007 42 - 42,294 - 423 - 423 42 - 17,766 - 17,766
17 Ampicillin serbuk inj. 1000mg/ml Vial - - - - - - - - - - - - - - - - - - - - -
18 Asam Mefenamat 500 mg Tablet Tablet 548 548 111 60,828 - 2,200 2,200 111 - 244,200 - 1,698 1,698 111 - 188,478 - 1,050 - 1,050 111 - 116,550 - 116,550
19 Asiklovir Cream 5% - 5 g Tube - 3,124 - - 50 50 3,495 174,750 - 14 14 3,495 - 48,930 - 36 - 36 3,495 - 125,820 - 125,820
20 Asiklovir tablet 400 mg Tablet 730 730 554 385,050 500 500 554 277,215 - 1,039 1,039 554 - 556,369 191 - 191 554 - 105,896 105,896
21 Bisakodil Supp 5 mg Supp 13 13 6,000 78,000 - 12 12 6,000 - 72,000 - 19 19 6,000 - 114,000 - 6 - 6 6,000 - 36,000 - 36,000
22 Borax Gliserin Botol 13 13 3,443 44,759 - 48 48 3,443 - 165,264 - 22 22 3,443 - 75,746 - 39 - 39 3,443 - 134,277 - 134,277
23 Cetirizin sirup 5 mg/5ml Botol 95 95 2,090 198,550 - - 2,090 - - - - 2,090 - - - 95 - 95 2,090 - 198,550 - 198,550
24 Cetirizin 10 mg Kapsul 1189 1,189 49 58,261 - 2,200 2,200 49 - 107,800 - 2,778 2,778 49 - 136,122 - 611 - 611 49 - 29,939 - 29,939
25 Deksametason Injeksi 5 mg/ml-1 ml Ampul - 1,097 - - - 1,097 - - - - 1,097 - - - - - - 1,097 - - - -
26 Deksametason Tablet 0,5 mg Tablet 1470 1,470 34 49,980 - 800 800 34 - 27,200 - 1,958 1,958 34 - 66,572 - 312 - 312 34 - 10,608 - 10,608
27 Diazepam Rectal Supp 16 16 12,573 201,168 - - 12,573 - - - 16 16 12,573 - 201,168 - - - - 12,573 - - - -
28 Diazepam Tablet 2 mg Tablet 56 56 86 4,816 - 400 400 86 - 34,400 - 79 79 86 - 6,794 - 377 - 377 86 - 32,422 - 32,422
29 Difenhidramin HCl Inj 10 mg/ml-1 ml Ampul - - - - - - - - - - - - - - - - - - - - -
30 Dimenhydrinate 50 mg Tablet 180 180 108 19,440 - 100 100 108 - 10,800 - 124 124 108 - 13,392 - 156 - 156 108 - 16,848 - 16,848
31 Digoksin Tablet 0,25 mg Tablet - - - - - - - - - - - - - - - - - - - - -
32 Doksisiklin 100 mg kapsul - 275 - - - 275 - - - - 275 - - - - - - 275 - - - -
33 Domperidon Tablet 10 mg Tablet 217 217 363 78,845 - - 363 - - 217 217 363 - 78,845 - - - 363 - - - -
34 Domperidon suspensi 5 mg/5ml mg Botol - 2,296 - - - 2,296 - - - - 2,296 - - - - - - 2,296 - - - -
35 Efinephrin 1mg/ml inj Ampul - - - - - - - - - - - - - - - - - - - - -
36 Eritromisin 500 mg Kapsul Kaplet - 750 - - - 750 - - - - 750 - - - - - - 750 - - - -
37 Eritromisin Sirop 200 mg /5ml Botol 47 47 6,462 303,714 - - 6,462 - - - 39 39 6,462 - 252,018 - 8 - 8 6,462 - 51,696 - 51,696
38 Fenobarbital Injeksi 5 mg/ml -2 ml Ampul 4 4 1,969 7,876 - - 1,969 - - - 4 4 1,969 - 7,876 - - - - 1,969 - - - -
39 Fenobarbital tablet 30 mg Tablet - - - - - - - - - - - - - - - - - - - - -
40 Fenol Gliserol Tetes Telinga 10% - 5 ml Botol 42 42 3,300 138,600 - - 3,300 - - - 4 4 3,300 - 13,200 - 38 - 38 3,300 - 125,400 - 125,400
41 Fitomenadion (Vit. K1) tablet 10 mg Tablet 203 203 748 151,844 - - 748 - - - 195 195 748 - 145,860 - 8 - 8 748 - 5,984 - 5,984
42 Fitomenadion inj 2 mg/ml (PEHA) Ampul - 3,682 - - - 3,682 - - - - 3,682 - - - - - - 3,682 - - - -
43 Furosemid Tablet 40 mg Tablet 141 141 217 30,555 - - 217 - - - 141 141 217 - 30,555 - - - - 217 - - - -
44 Furosemid inj 10 mg/mL Ampul - - - - - - - - - - - - - - - - - - - - -
45 Gentamisin 0,3% TM Fls 39 39 4,520 176,280 - 20 20 9,999 199,980 - 28 28 9,999 - 126,560 - 31 - 31 9,999 - 249,700 - 249,700
46 Gentamisin Salep Kulit 0,1% - 5 g Tube 48 48 4,950 237,600 - 192 192 4,950 - 950,400 - 229 229 4,950 - 1,133,550 - 11 - 11 4,950 - 54,450 - 54,450
47 Gentamisin Salep Mata 0,3 % Tube 42 42 2,665 111,930 - - 2,665 - - - 25 25 2,665 - 66,625 - 17 - 17 2,665 - 45,305 - 45,305
48 Glibenklamid Tablet 5 mg Tablet 635 635 83 52,705 - 500 500 83 - 41,500 - 702 702 83 - 58,266 - 433 - 433 83 - 35,939 - 35,939
 HARGA SATUAN (Rp) NILAI PESEDIAAN PKM SALDO AWAL HARGA SATUAN (RP) NILAI PESEDIAAN PENERIMAAN HARGA SATUAN (RP) NILAI PESEDIAAN PENGELUARAN PKM HARGA SATUAN (Rp) NILAI PESEDIAAN PKM SALDO AKHIR
SALDO AWAL PENERIMAAN PENGELUARAN SALDO AKHIR TOTAL NILAI
SALDO AWAL (Rp) PENERIMAAN PKM (Rp) PENGELUARAN (Rp) SALDO AKHIR (Rp)
KODREK/ NO. URUT NAMA OBAT SATUAN PERSEDIAAN PKM
LAMA BARU TOTAL LAMA BARU LAMA BARU LAMA BARU TOTAL LAMA BARU LAMA BARU LAMA BARU TOTAL LAMA BARU LAMA BARU LAMA BARU TOTAL LAMA BARU LAMA BARU (Rp)

49 Glimepiride 1 mg Tablet 156 156 93 14,508 - - 93 - - - 154 154 93 - 14,322 - 2 - 2 93 - 186 - 186
50 Glimepiride 2 mg Tablet 238 238 289 68,782 - 100 100 289 28,900 - 155 155 289 - 44,795 183 - 183 289 - 52,887 52,887
51 Glukosa Larutan Infus 5% Steril 500 ml Botol 5 5 6,627 33,135 - - 6,627 - - - 5 5 6,627 - 33,135 - - - - 6,627 - - - -
52 Griseofulvin Tablet 125 mg, Micronized Tablet - 224 - - - 224 - - - - 224 - - - - - - 224 - - - -
53 Haloperidol 1,5 mg Tablet Tablet 3 3 59 177 - 500 500 59 - 29,500 - 30 30 59 - 1,770 - 473 - 473 59 - 27,907 - 27,907
54 Hidroklorotiazid (HCT) Tablet 25 mg Tablet 313 313 148 46,324 - 400 400 148 - 59,200 - 625 625 148 - 92,500 - 88 - 88 148 - 13,024 - 13,024
55 Hidrokortison Krim 2,5% Tube 29 29 2,325 67,425 - 72 72 2,325 - 167,400 - 49 49 2,325 - 113,925 - 52 - 52 2,325 - 120,900 - 120,900
56 Hyoscine-N-butilbromide tablet 10mg Tablet - - - - - - - - - - - - - - - - - - - - -
57 Ibuprofen Tablet 400 mg Tablet 624 624 333 207,567 - 500 500 333 - 166,320 - 1,124 1,124 333 - 373,887 - - - - 333 - - - -
58 Isosorbid Dinitrat sublingual tab 5 mg Tablet 167 167 213 35,571 - - 213 - - - 17 17 213 - 3,621 - 150 - 150 213 - 31,950 - 31,950
59 Kalsium Glukonas Inj. 100 mg/ml Ampul - - - - - - - - - - - - - - - - - - - - -
60 Kalsium Laktat (Kalk) Tablet 500 mg Tablet 2119 2,119 60 127,140 - 1,000 1,000 60 - 60,000 - 2,639 2,639 60 - 158,340 - 480 - 480 60 - 28,800 - 28,800
61 Kaptopril tablet 25 mg ktk 100 tab Tablet - 153 - - - 153 - - - - 153 - - - - - - 153 - - - -
62 Ketokonazol cream Tube - 2,518 - - - 2,518 - - - - 2,518 - - - - - - 2,518 - - - -
63 Ketokonazol tab 200 mg (ktk 50 tab) Tablet 402 402 252 101,304 - - 252 - - - 235 235 252 59,220 - 167 - 167 252 - 42,084 - 42,084
64 Klindamisin kapsul 300mg Kapsul - - - - - - - - - - - - - - - - - - - - -
65 Klobazam 10 mg (kotak 100 tab) Tablet - - - - - - - - - - - - - - - - - - - - -
66 Kloramfenikol Salep Kulit 1% Tube - - - - - - - - - - - - - - - - - - - - -
67 Kloramfenikol Tetes Telinga 3% Fls 19 19 8,514 161,766 - - 8,514 - - - 4 4 8,514 - 34,056 - 15 - 15 8,514 - 127,710 - 127,710
68 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet - 22 - - - 23 - - - 23 - - - - - - 23 - - - -
69 Kotrimoksazol Suspensi Kombinasi Botol 98 98 2,100 205,800 - - 2,100 - - - - 2,100 - - - 98 - 98 2,100 - 205,800 - 205,800
70 Kotrimoksazol Tablet Kombinasi/Dewasa: Tablet 669 669 126 84,294 - 400 400 126 - 50,400 - 767 767 126 - 96,642 - 302 - 302 126 - 38,052 - 38,052
71 Lidokain Injeksi Ampul 30 30 803 24,090 - - 803 - - - 30 30 803 - 24,090 - - - - 803 - - - -
72 Lisinopril Tablet 5 mg Tablet 110 110 145 16,040 - 400 400 145 - 58,000 - 230 230 145 - 33,440 - 280 - 280 145 - 40,600 - 40,600
73 Loratadin 10 mg Tablet 986 986 109 107,474 - - 109 - - - 353 353 109 - 38,477 - 633 - 633 109 - 68,997 - 68,997
74 Magnesium Sulfas Inj. 20%-25ml Vial - - - 8 8 3,580 28,640 - - 3,580 - - - 8 - 8 3,580 - 28,640 - 28,640
75 Magnesium Sulfas Inj. 40%-25ml Vial 2 2 3,580 7,160 - 8 8 4,090 32,720 - - 4,090 - - - 10 - 10 4,090 - 39,880 - 39,880
76 Meloxicam 15 mg Tablet 505 505 718 362,469 - 500 500 718 - 358,880 - 346 346 718 - 248,345 - 659 - 659 718 - 473,004 - 473,004
77 Metformin HCl 500 mg tab Tablet 1060 1,060 77 81,620 - 1,200 1,200 77 92,400 - 1,394 1,394 77 - 107,338 - 866 - 866 77 - 66,682 - 66,682
78 Metildopa Tablet 250 mg Tablet 139 139 946 131,494 - - 946 - - - 139 139 946 - 131,494 - - - - 946 - - - -
79 Metilergometrin Tablet Salut 0,125 g Tablet - 210 - - 100 100 214 21,400 - 25 25 214 - 5,350 - 75 - 75 214 - 16,050 - 16,050
80 Metilergometrin Maleat Injeksi 0,200 mg/ml Ampul 10 10 1,023 10,230 - - 1,023 - - - - 1,023 - - - 10 - 10 1,023 - 10,230 - 10,230
81 Metilprednison tablet 4 mg Tablet 185 185 102 18,870 - 1,500 1,500 102 - 153,000 - 1,125 1,125 102 - 114,750 - 560 - 560 102 - 57,120 - 57,120
82 Metronidazol Tablet 500 mg Tablet - 215 - - - 215 - - - - 215 - - - - - - 215 - - - -
83 Metronidazol Infus 5 mg/ml Botol - - - - - - - - - - - - - - - - - - - - -
84 Molaneuron Tablet Tablet - - - - - - - - - - - - - - - - - - - - -
85 Multi vitamin kaplet Tablet - 997 - - - 997 - - - - 997 - - - - - - 997 - - - -
86 Multi vitamin syrup Botol 36 36 11,980 431,280 - 96 96 11,980 - 1,150,080 - 132 132 11,980 - 1,581,360 - - - - 11,980 - - - -
87 N-asetil sistein 200 mg Kapsul 1682 1,682 271 456,103 - 900 900 271 - 244,050 - 2,582 2,582 271 - 700,153 - - - - 271 - - - -
88 Natrium Bikarbonat Tablet 500 mg Tablet 140 140 185 25,900 - - 185 - - - - 185 - - - 140 - 140 185 - 25,900 - 25,900
89 Natrium Clorida Lrt. Infus 0,9% Steril Botol 32 32 6,800 217,600 - - 6,800 - - - 22 22 6,800 - 149,600 - 10 - 10 6,800 - 68,000 - 68,000
90 Natrium Diklofenak 25 mg (ktk 50 tab) Tablet 576 576 114 65,664 - 300 300 114 - 34,200 - 876 876 114 - 99,864 - - - - 114 - - - -
91 Neocenta gell Tube 13 13 15,345 199,485 - 30 30 15,345 - 460,350 - 12 12 15,345 - 184,140 - 31 - 31 15,345 - 475,695 - 475,695
92 Nifedipin 10 mg Tablet 90 90 211 18,990 - - 211 - - - - 211 - - - 90 - 90 211 - 18,990 - 18,990
93 Nistatin 500.000 IU/gram Tablet Vaginal Tablet - - - - - - - - - - - - - - - - - - - - -
94 Nistatin 100.000 IU/gram Tablet Vaginal Tablet 66 66 598 39,468 - - 598 - - - 9 9 598 - 5,382 - 57 - 57 598 - 34,086 - 34,086
95 Norit Tablet - - - - - - - - - - - - - - - - - - - - -
96 Obat batuk kombinasi tablet Tablet 2070 2,070 529 1,094,326 - 2,400 2,400 529 - 1,268,784 - 4,088 4,088 529 - 2,161,162 - 382 - 382 529 - 201,948 - 201,948
97 Obat batuk kombinasi syrup Botol 72 72 8,910 641,520 - - 8,910 - - - - 8,910 - - - 72 - 72 8,910 - 641,520 - 641,520
98 Obat Batuk Hitam (OBH) Cairan- 100 ml Botol - 14,402 - - 48 48 14,402 691,296 - 48 48 14,402 - 691,296 - - - - 14,402 - - - -
99 Oksitetrasiklin HCl Salep Kulit 3% - 5 g Tube - - - - - - - - - - - - - - - - - - - - -
100 Omeprazol Kaps 20 mg Kapsul 366 366 325 118,851 - - 325 - - 366 366 325 - 118,851 - - - - 325 - - - -
101 Parasetamol drops Botol - 4,976 - - - 4,976 - - - - 4,976 - - - - - - 4,976 - - - -
102 Parasetamol Tablet 500 mg Tablet 4131 4,131 203 838,386 - 11,000 11,000 203 2,232,450 - 13,644 13,644 203 2,769,050 - 1,487 - 1,487 203 301,787 - 301,787
103 Parasetamol Syrup Botol - 1,181 - - - 1,181 - - - - 1,181 - - - - - - 1,181 - - - -
104 Permetrin krim 5% (Scabimite Krim) Tube 45 45 11,250 506,250 - 60 60 11,250 - 675,000 - 37 37 11,250 - 416,250 - 68 - 68 11,250 - 765,000 - 765,000
105 Piroksikam 20 mg Tablet 318 318 223 70,835 - 100 100 223 - 22,275 - 230 230 223 - 51,233 - 188 - 188 223 - 41,877 - 41,877
106 Prednison Tablet 5 mg Tablet 815 815 68 55,420 - - 68 - - - 198 198 68 - 13,464 - 617 - 617 68 - 41,956 - 41,956
107 Ranitidin inj. 50 mg/2ml Ampul - - - - - - - - - - - - - - - - - - - - -
108 Ranitidin tablet 150 mg Tablet 320 320 112 35,840 - 2,500 2,500 112 - 280,000 - 2,228 2,228 112 - 249,536 - 592 - 592 112 - 66,304 - 66,304
109 Ringer Laktat Larutan Infus Steril-500 ml Botol 24 24 7,630 183,120 - - 7,630 - - - - 7,630 - - - 24 - 24 7,630 - 183,120 - 183,120
110 Salbutamol tablet 2 mg Tablet 393 393 48 18,864 - 800 800 48 - 38,400 - 677 677 48 - 32,496 - 516 - 516 48 - 24,768 - 24,768
111 Salbutamol Sol.for inhalation Ampul 10 10 8,910 89,100 - - 8,910 - - - - 8,910 - - - 10 - 10 8,910 - 89,100 - 89,100
112 Salep 2-4, Kombinasi Pot 28 28 2,797 50,576 20 20 1,410 28,200 - 24 24 1,410 - 44,936 24 - 24 1,410 - 33,840 - 33,840
113 Salisil Bedak 2%-75 gram Botol 42 42 5,025 211,050 - - 5,025 - - - 42 42 5,025 - 211,050 - - - - 5,025 - - - -
114 Sefadroksil Tablet 500 mg Kapsul 1152 1,152 1,429 1,645,715 - 1,700 1,700 1,287 - 2,187,900 - 2,408 2,408 1,287 - 3,262,187 - 444 - 444 1,287 - 571,428 - 571,428
115 Sefadroksil sirup kering 125mg/5ml Botol 47 47 3,423 160,901 - 60 60 3,423 - 205,405 - 41 41 3,423 - 140,360 - 66 - 66 3,423 - 225,946 - 225,946
116 Serum Anti Bisa Ular Inj.5 ml (ABU I) Vial - - - - - - - - - - - - - - - - - - - - -
117 Serum Anti Tetanus injeksi Vial - 130,999 - - - 130,999 - - - - 130,999 - - - - - - 130,999 - - - -
118 Serum Anti Rabies Vero 4"s Set - - - - - - - - - - - - - - - - - - - - -
119 Sianokobalamin (Vit.B12) Tablet Tablet 1085 1,085 39 42,031 - 900 900 39 - 34,865 - 998 998 39 - 38,661 - 987 - 987 39 - 38,235 - 38,235
120 Simvastatin Tablet 10 mg Tablet 372 372 68 25,296 - 1,000 1,000 68 - 68,000 - 1,085 1,085 68 - 73,780 - 287 - 287 68 - 19,516 - 19,516
121 Siprofloksasin 500 mg Tablet 324 324 248 80,352 - 500 500 248 - 124,000 - 824 824 248 - 204,352 - - - - 248 - - - -
122 Stimuno Syrup Orange Berry 100 ml Botol 89 89 25,548 2,273,772 - - 25,548 - - - 34 34 25,548 - 868,632 - 55 - 55 25,548 - 1,405,140 - 1,405,140
123 Stimuno Forte Tablet 287 287 1,763 505,981 - 1,200 1,200 1,763 - 2,115,600 - 610 610 1,763 - 1,075,430 - 877 - 877 1,763 - 1,546,151 - 1,546,151
 HARGA SATUAN (Rp) NILAI PESEDIAAN PKM SALDO AWAL HARGA SATUAN (RP) NILAI PESEDIAAN PENERIMAAN HARGA SATUAN (RP) NILAI PESEDIAAN PENGELUARAN PKM HARGA SATUAN (Rp) NILAI PESEDIAAN PKM SALDO AKHIR
SALDO AWAL PENERIMAAN PENGELUARAN SALDO AKHIR TOTAL NILAI
SALDO AWAL (Rp) PENERIMAAN PKM (Rp) PENGELUARAN (Rp) SALDO AKHIR (Rp)
KODREK/ NO. URUT NAMA OBAT SATUAN PERSEDIAAN PKM
LAMA BARU TOTAL LAMA BARU LAMA BARU LAMA BARU TOTAL LAMA BARU LAMA BARU LAMA BARU TOTAL LAMA BARU LAMA BARU LAMA BARU TOTAL LAMA BARU LAMA BARU (Rp)

124 Tiamin HCI/Mononitrat (Vit.B1) Tablet 50 mg Tablet 613 613 91 42,421 - 2,200 2,200 57 125,400 - 2,078 2,078 57 - 125,926 - 735 - 735 57 - 41,895 - 41,895
125 Vitamin B Komplek Tablet Tablet 732 732 57 41,724 - 3,000 3,000 57 - 171,000 - 2,498 2,498 57 - 142,386 - 1,234 - 1,234 57 - 70,338 - 70,338
126 ZINC Tablet dis 20 mg Tablet Disp 769 769 524 402,956 - 500 500 524 - 262,000 - 1,116 1,116 524 - 584,784 - 153 - 153 524 - 80,172 - 80,172
Belanja Obat_Obat-Obatan_P2P - - - - - - - - - - - - - - - - - - - - -
1 Alopurinol Tablet 100 mg Tablet - - - - - - - - - - - - - - - - - - - - -
2 Amlodipin tablet 10 mg Tablet - - - - - - - - - - - - - - - - - - - - -
3 Amlodipin tablet 5 mg Tablet - - - - - - - - - - - - - - - - - - - - -
4 Amoksisilin 500 mg kaplet - - - 800 800 201 - 160,800 - 800 800 201 - 160,800 - - - - 201 - - - -
5 Amoksisilin Sirup Kering 125 mg/5 ml Botol 176 176 2,050 360,800 - 100 100 6,308.50 630,850 - 122 122 6,309 - 250,100 - 154 - 154 6,309 - 741,550 741,550
6 Antasida DOEN Tablet Kombinasi Tablet - - - 4,000 4,000 217.56 - 870,240 - 2,904 2,904 218 - 631,794 - 1,096 - 1,096 218 - 238,446 - 238,446
7 Antasida Syrup Botol 120 120 3,855.03 462,604 24 24 3,855 92,521 96 3,855 370,083 370,083
8 Antidiare Tablet Tablet - - - 600 600 476.19 - 285,714 - 300 300 476 - 142,857 - 300 - 300 476 - 142,857 - 142,857
9 Asam Askorbat (Vit. C) Tablet 50 mg Tablet - - - - - - - - - - - - - - - - - - - - -
10 Asam Mefenamat 500 mg Tablet Tablet - - - - - - - - - - - - - - - - - - - - -
11 Asiklovir tablet 400 mg Tablet - - - 500 500 405 - 202,500 - - 405 - - - 500 - 500 405 - 202,500 - 202,500
12 Betametason Krim 0,1%-5g Tube - 1,540 - - 100 100 3,394 339,438 - 50 50 3,394 - 169,719 - 50 - 50 3,394 - 169,719 - 169,719
13 Betahistin Mesilate Tablet - - - 1,050 1,050 653 685,314 - 239 239 653 - 155,991 - 811 - 811 653 - 529,323 - 529,323
14 Domperidon Tablet 10 mg @ 50 TAB Tablet - - - 500 500 326 - 163,170 - 300 300 326 - 97,902 - 200 - 200 326 - 65,268 - 65,268
15 Furosemid Tablet 40 mg Tablet - - - 200 200 326 - 65,268 - 62 62 326 - 20,233 - 138 - 138 326 - 45,035 - 45,035
16 Gentamisin Salep Kulit 0,1% - 5 g Tube - - - - - - - - - - - - - - - - - - - - -
17 Gliseril Guaikolat Tablet 100 mg (Guaiafenisin) Tablet 1498 1,498 190 284,620 - 1,000 1,000 87 86,720 - 2,163 2,163 87 - 342,288.800 - 335 - 335 87 - 29,051 - 29,051
18 Hidrokortison Krim 2,5% Tube - - - - - - - - - - - - - - - - - - - - -
19 Ibuprofen Tablet 400 mg Tablet - - - 1,700 1,700 283 - 481,185 - 1,065 1,065 283 - 301,448 - 635 - 635 283 - 179,737 - 179,737
20 Kalsium Laktat (Kalk) Tablet 500 mg Tablet - - - 500 500 185 - 92,685 - - 185 - - - 500 - 500 185 - 92,685 - 92,685
21 Ketokonazol tab 200 mg (ktk 50 tab) Tablet - - - - - - - - - - - - - - - - - - - - -
22 Kloramfenikol Tetes Telinga 3% (RECO) Fls - - - - - - - - - - - - - - - - - - - - -
23 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet - - - 1,500 1,500 52 - 78,255 - 1,200 1,200 52 - 62,604 - 300 - 300 52 - 15,651 - 15,651
24 Lidokain Injeksi Ampul - - - - - - - - - - - - - - - - - - - - -
25 N-asetil sistein 200 mg Kapsul - - - - - - - - - - - - - - - - - - - - -
26 Natrium Diklofenak 50 mg (ktk 50 tab) Tablet - - - 1,500 1,500 189 - 283,050 - 958 958 189 - 180,775 - 542 - 542 189 - 102,275 - 102,275
27 Obat batuk Pilek kombinasi tablet (molexflu) Tablet - - - - - - - - - - - - - - - - - - - - -
28 Omeprazol Kaps 20 mg Kapsul - - - 600 600 129 - 77,394 - 155 155 129 - 19,993 - 445 - 445 129 - 57,401 - 57,401
29 Parasetamol Tablet 500 mg Tablet - - - - - - - - - - - - - - - - - - - - -
30 Parasetamol Syrup Botol - - - - - - - - - - - - - - - - - - - - -
31 Piridoksin HCl. Tablet Tablet 1257 1,257 222 279,054 - 2,000 2,000 150 299,700 - 2,187 2,187 150 - 418,415 - 1,070 - 1,070 150 - 160,340 - 160,340
32 Prednison Tablet 5 mg Tablet - - - - - - - - - - - - - - - - - - - - -
33 Ranitidin tablet 150 mg Tablet - - - - - - - - - - - - - - - - - - - - -
34 Salbutamol tablet 2 mg Tablet - - - - - - - - - - - - - - - - - - - - -
35 Sefadroksil Tablet 500 mg Kapsul - - - - - - - - - - - - - - - - - - - - -
36 Sefadroksil sirup kering 125mg/5ml Botol - - - - - - - - - - - - - - - - - - - - -
Belanja Obat_Obat-Obatan_PROGRAM (HIBAH) - - - - - - - - - - - - - - - - - - - - -
1 Albendazol Tablet 400 mg Tablet - - - 6,500 6,500 367 - 2,385,500 - 6,500 6,500 367 - 2,385,500 - - - - 367 - - - -
2 Albendazol Suspensi 200 mg/5 mL Tablet - 4,300 - - - 4,300 - - - - 4,300 - - - - - - 4,300 - - - -
3 Amitriptilin HCl Tablet Salut 25 mg Tablet - - - - - 167 - - - - 167 - - - - - - 167 - - -
4 Besi (II) Sulfat + Asam Folat (Tablet Tambah Darah Kombinas Tablet 232344 232,344 226 70,562,032 - - 226 - - - 197,344 197,344 226 - 62,652,032 - 35,000 - 35,000 226 - 7,910,000 - 7,910,000
5 Clozapin 25 mg (KTK 50 TAB) Tablet 2 2 1,121 2,242 - 200 200 473 94,600 - 32 32 473 - 16,432 170 - 170 473 - 80,410 - 80,410
6 Diazepam Injeksi 5 mg/ml-2 ml Ampul 6 6 1,735 10,030 - - 1,735 - - - 4 4 1,735 - 6,940 - 2 - 2 1,735 - 3,090 - 3,090
7 Diazepam tablet 5 mg Tablet - - - - - - - - - - - - - - - - - - - - -
8 Dietilkarbamazin sitrat (DEC) tab 100 mg Tablet - - - - - - - - - - - - - - - - - - - - -
9 Flufenazine Dekanoat injk 25mg/ml Ampul - - - - - - - - - - - - - - - - - - - - -
10 Garam Oralit 200 ml air Sachet 1073 1,073 280 300,440 - 500 500 257 128,500 - 1,016 1,016 257 - 284,480 - 557 - 557 257 - 144,460 144,460
11 Gentamisin inj 40 mg/ 2 mL Ampul - - - 4 4 3,355 13,420 - - 3,355 - - - 4 - 4 3,355 - 13,420 - 13,420
12 Haloperidol Dekanoat Injeksi 50 mg/ml Ampul 5 5 101,300 506,500 - 10 10 109,000 - 862,500 - - 109,000 - - - 15 - 15 109,000 - 1,369,000 - 1,369,000
13 Haloperidol 5 mg Tablet Tablet - 56 - - 2,500 2,500 54 - 162,000 - 254 254 54 - 27,432 - 2,246 - 2,246 54 - 134,568 - 134,568
14 Oksitetrasiklin HCl Salep Mata 1% - 3,5 g Tube - 2,668 - - - 2,668 - - - - 2,668 - - - - - - 2,668 - - - -
15 Oksitosin Injeksi 10 IU/ml-1 ml Ampul 331 331 1,126 379,296 - - 1,126 - - - - 1,126 - - - 331 - 331 1,126 - 379,296 - 379,296
16 Retinol (Vit.A) 100.000 IU Kapsul (biru) Kapsul Lunak - 307 - - 500 500 305 - 152,500 - 500 500 305 - 152,500 - - - - 305 - - - -
17 Retinol (Vit.A) 200.000 IU Kapsul (merah) Kapsul Lunak - 553 - - 4,050 4,050 553 2,239,650 - 4,050 4,050 553 - 2,239,650 - - - - 553 - - - -
18 Risperidon 2 mg Tablet - 123 - - 5,000 5,000 123 - 615,000 - 874 874 123 - 107,502 - 4,126 - 4,126 123 - 507,498 - 507,498
19 Trifluoperazin HCl Tab 5 mg Tablet - - - - - - - - - - - - - - - - - - - - -
20 Triheksifenidil Tablet Tablet - 63 - - 5,200 5,200 63 - 327,600 - 1,112 1,112 63 - 70,056 - 4,088 - 4,088 63 - 257,544 - 257,544
21 ZINC Tablet dis 20 mg Tablet Disp - - - - - - - - - - - - - - - - - - - - -
Belanja Obat_Obat-Obatan_PROGRAM HIV - - - - - - - - - - - - - - - - - - - - -
1 Cefixime+ Azithromisin Kombipak Paket - - - - - - - - - - - - - - - - - - - - -
2 Flukonazol 150 mg Tablet - - - - - - - - - - - - - - - - - - - - -
3 Isoniazid 300 mg (INH) Tablet - - - - - - - - - - - - - - - - - - - - -
4 Kotrimoksazol 960 mg Tablet - - - - - - - - - - - - - - - - - - - - -
5 Piridoksin 25 Mg Tablet - - - - - - - - - - - - - - - - - - - - -
Belanja Obat_Obat-Obatan_PROGRAM KUSTA - - - - - - - - - - - - - - - - - - - - -
1 MB Anak Blister - - - - - - - - - - - - - - - - - - - - -
2 MB Dewasa Blister - - - - - - - - - - - - - - - - - - - - -
3 PB Dewasa Blister - - - - - - - - - - - - - - - - - - - - -
4 PB Anak Blister - - - - - - - - - - - - - - - - - - - - -
Belanja Obat_Obat-Obatan_PROGRAM DBD - - - - - - - - - - - - - - - - - - - - -
1 ABATE (LAVARSIDA) Botol - - - - - - - - - - - - - - - - - - - - -
 HARGA SATUAN (Rp) NILAI PESEDIAAN PKM SALDO AWAL HARGA SATUAN (RP) NILAI PESEDIAAN PENERIMAAN HARGA SATUAN (RP) NILAI PESEDIAAN PENGELUARAN PKM HARGA SATUAN (Rp) NILAI PESEDIAAN PKM SALDO AKHIR
SALDO AWAL PENERIMAAN PENGELUARAN SALDO AKHIR TOTAL NILAI
SALDO AWAL (Rp) PENERIMAAN PKM (Rp) PENGELUARAN (Rp) SALDO AKHIR (Rp)
KODREK/ NO. URUT NAMA OBAT SATUAN PERSEDIAAN PKM
LAMA BARU TOTAL LAMA BARU LAMA BARU LAMA BARU TOTAL LAMA BARU LAMA BARU LAMA BARU TOTAL LAMA BARU LAMA BARU LAMA BARU TOTAL LAMA BARU LAMA BARU (Rp)

2 Bactivec Btl 30 mL - - - - - - - - - - - - - - - - - - - - -
3 Sipermetrin Zeta 15 UL Liter - - - - - - - - - - - - - - - - - - - - -
4 Temephos 1 Gr (Abate 1kg/btl) Kg - - - - - - - - - - - - - - - - - - - - -
Belanja Obat_Obat-Obatan_ PROGRAM MALARIA - - - - - - - - - - - - - - - - - - - - -
1 Dehidroartemisin+Piperaqine (DHP) Tablet - - - - - - - - - - - - - - - - - - - - -
2 Primakuin tablet 15 mg Tablet - - - - - - - - - - - - - - - - - - - - -
3 Primakuin tablet 15 mg Tablet - - - - - - - - - - - - - - - - - - - - -
4 Primakuin tablet 15 mg Tablet - - - - - - - - - - - - - - - - - - - - -
5 Kuinin tablet 200 mg Tablet - - - - - - - - - - - - - - - - - - - - -
Belanja Obat_Obat-Obatan_ PROGRAM RABIES - - - - - - - - - - - - - - - - - - - - -
1 Vaksin Anti Rabies (VAR) Vial - - - - - - - - - - - - - - - - - - - - -
Belanja Obat_Obat-Obatan_PROGRAM TB - - - - - - - - - - - - - - - - - - - - -
1 Isoniazid tablet 300mg Tablet - - - - - - - - - - - - - - - - - - - - -
2 Isoniazid 300 MG/ Rifapentin 300mg (3HP) Paket - - - 6 6 239,383 - 1,436,298 - 6 6 239,383 - 1,436,298 - - - - 239,383 - - - -
3 Rifampicin 75/ Inh 50 (3HR) Tablet - - - - - - - - - - - - - - - - - - - - -
4 Obat Anti tuberkulosis FDC kategori I (INTERMITEN) Tablet - 415,721 - - 16 16 419,500 - 6,712,000 - 16 16 419,500 - 6,712,000 - - - - 419,500 - - - -
5 Obat Anti tuberkulosis KDT Dosis Harian Paket - 397,612 - - 2 2 397,612 - 795,224 - 2 2 397,612 - 795,224 - - - - 397,612 - - - -
6 Obat Anti tuberkulosis FDC kategori II Paket - - - - - - - - - - - - - - - - - - - - -
7 Obat Anti tuberkulosis kategori anak Paket - 248,120 - - 6 6 246,010 - 1,490,943 - 6 6 246,010 - 1,490,943 - - - - 246,010 - - - -
8 Piridoksin HCl 25 mg Tablet - - - - - - - - - - - - - - - - - - - - -
Belanja Obat_Obat-Obatan_PROGRAM HEPATITIS - - - - - - - - - - - - - - - - - - - - -
1 Vaksin HBig Vial - - - - - - - - - - - - - - - - - - - - -
5.1.02.01.01.0015 Belanja Suku Cadang_Suku Cadang Alat Kedokteran - - - - - - - - - - - - - - - - - - - - -
Suku Cadang Alat Kedokteran_Perbekkes - - - - - - - - - - - - - - - - - - - - -
1 Alat suntik sekali pakai 1 cc Pcs 141 141 1,101 146,155 - - 1,101 - - - 141 141 1,101 - 146,155 - - - - 1,101 - - - -
2 Alat Suntik Sekali Pakai 3 ml Pcs 300 300 1,021 306,309 - 400 400 1,021 - 408,412 - 200 200 1,021 - 204,206 - 500 - 500 1,021 - 510,515 - 510,515
3 Alat suntik sekali pakai 5 cc Pcs 300 300 1,151 345,318 - - 1,151 - - - - 1,151 - - - 300 - 300 1,151 - 345,318 - 345,318
4 Alat suntik 10 mL Pcs 100 100 932 93,216 - - 932 - - - - 932 - - - 100 - 100 932 - 93,216 - 93,216
5 Catgut chromic no. 2/0 1 ktk=12pcs Pcs - 61,800 - - - 61,800 - - - - 61,800 - - - - - - 61,800 - - - -
6 Catgut chromic no. 3/0 1 ktk=12pcs Pcs - - - - - - - - - - - - - - - - - - - - -
7 Infuset Dewasa Pcs 2 2 5,800 11,600 - - 5,800 - - - - 5,800 - - - 2 - 2 5,800 - 11,600 - 11,600
8 IV catheter no. 18 G x 1" Pcs - 12,100 - - - 12,100 - - - - 12,100 - - - - - - 12,100 - - - -
9 IV Chateter No-20G x 1 1/4" Pcs - - - - - - - - - - - - - - - - - - - - -
10 IV Catheter no. 22 G x 1" Pcs - - - - - - - - - - - - - - - - - - - - -
11 IV Chateter No-24G Pcs 2 2 12,100 24,200 - - 12,100 - - - - 12,100 - - - 2 - 2 12,100 - 24,200 - 24,200
12 Kapas berlemak 500g Bungkus - - - - - - - - - - - - - - - - - - - - -
13 Kapas Pembalut/Absorben 250 g Bungkus - - - - - - - - - - - - - - - - - - - - -
14 Kassa Pembalut Hidrofil 4 m x 5 cm Roll 69 69 980 67,620 - - 980 - - - - 980 - - - 69 - 69 980 - 67,620 - 67,620
15 Kassa Pembalut Hidrofil 4 m x 6 cm Roll - - - - - - - - - - - - - - - - - - - - -
16 Kasa Pembalut 2 m x 80 cm Roll 20 20 7,700 154,000 - - 7,700 - - - 7 7 7,700 - 53,900 - 13 - 13 7,700 - 100,100 - 100,100
17 Kasa Pembalut 40 y x 80 cm Roll - - - - - - - - - - - - - - - - - - - - -
18 Kasa Pembalut Hidrofil 4 m x 15 cm Roll 15 15 3,694 55,410 - 20 20 3,694 - 73,880 - 15 15 3,694 - 55,410 - 20 - 20 3,694 - 73,880 - 73,880
19 Kertas puyer Pak - 30,500 - - - 30,500 - - - - 30,500 - - - - - - 30,500 - - - -
20 Masker Tali Box 18 18 35,047 630,839 - - 35,047 - - - 7 7 35,047 - 245,326 - 11 - 11 35,047 - 385,513 - 385,513
21 Masker N95 Pcs - - - - - - - - - - - - - - - - - - - - -
22 Masker O2 Anak Pcs 10 10 9,500 95,000 - - 9,500 - - - 10 10 9,500 - 95,000 - - - - 9,500 - - - -
23 Masker O2 Dewasa Pcs 5 5 9,500 47,500 - 2 2 10,500 21,000 - 5 5 10,500 - 47,500 - 2 - 2 10,500 - 21,000 - 21,000
24 Nasal Oksigen Canula Dewasa Pcs 2 2 6,786 13,572 - - 6,786 - - - - 6,786 - - - 2 - 2 6,786 - 13,572 - 13,572
25 Nasal Oksigen Canula anak Pcs 2 2 6,786 13,572 - - 6,786 - - - - 6,786 - - - 2 - 2 6,786 - 13,572 - 13,572
26 Nasal Oksigen Canula Bayi(Neonatal) Pcs - - - - - - - - - - - - - - - - - - - - -
27 Needle 27 Pcs - - - - - - - - - - - - - - - - - - - - -
28 Object glass/ Kaca preparat Box - - - - - - - - - - - - - - - - - - - - -
29 Pot Dahak Pot - 2,139 - - - 2,139 - - - - 2,139 - - - - - - 2,139 - - - -
30 Sarung Tangan non steril (S) (box isi 100 pair) Pasang - 2,619 - - 750 750 2,619 - 1,964,305 - 750 750 2,619 - 1,964,305 - - - - 2,619 - - - -
31 Sarung Tangan non steril M Pasang 250 250 2,619 654,768 - 150 150 2,619 - 392,861 - 350 350 2,619 - 916,675.61660000 - 50 - 50 2,619 - 130,954 - 130,954
32 Sarung tangan non steril uk. L Pasang 200 200 2,616 523,281 - - 2,616 - - - - 2,616 - - - 200 - 200 2,616 - 523,281 - 523,281
33 Sarung tangan obgyn steril Pasang - - - - - - - - - - - - - - - - - - - - -
34 Sarung tangan steril No. 6.5 Pasang - - - - - - - - - - - - - - - - - - - - -
35 Sarung tangan steril No. 7,5 Pasang - 4,000 - - - 4,000 - - - - 4,000 - - - - - - 4,000 - - - -
36 Sarung tangan steril No. 8 Pasang - - - - - - - - - - - - - - - - - - - - -
37 Silk (Benang Bedah Sutra)No.3/0 Pcs 12 12 33,220 398,640 - - 33,220 - - - 1 1 33,220 - 33,220 - 11 - 11 33,220 - 365,420 - 365,420
38 Umbilical cord Pcs - - - - - - - - - - - - - - - - - - - - -
39 Urine Bag (disterilisasi oleh EO) Pcs - 4,800 - - - 4,800 - - - - 4,800 - - - - - - 4,800 - - - -
Suku Cadang Alat Kedokteran_Program (HIBAH) - - - - - - - - - - - - - - - - - - - - -
1 Face Shield safety helm Pcs - - - - - - - - - - - - - - - - - - - - -
2 Masker N95 Pcs - - - - - - - - - - - - - - - - - - - - -
3 Sarung Tangan Latex Non Powder Box - - - - - - - - - - - - - - - - - - - - -
4 Surgical Gown Pcs - - - - - - - - - - - - - - - - - - - - -
Suku Cadang Alat Kedokteran_PROGRAM HIV - - - - - - - - - - - - - - - - - - - - -
1 Kondom Rubber Latex Pcs - - - - - - - - - - - - - - - - - - - - -
2 Lubricant Cupid Pcs - - - - - - - - - - - - - - - - - - - - -
Suku Cadang Alat Kedokteran_PROGRAM DBD - - - - - - - - - - - - - - - - - - - - -
 HARGA SATUAN (Rp) NILAI PESEDIAAN PKM SALDO AWAL HARGA SATUAN (RP) NILAI PESEDIAAN PENERIMAAN HARGA SATUAN (RP) NILAI PESEDIAAN PENGELUARAN PKM HARGA SATUAN (Rp) NILAI PESEDIAAN PKM SALDO AKHIR
SALDO AWAL PENERIMAAN PENGELUARAN SALDO AKHIR TOTAL NILAI
SALDO AWAL (Rp) PENERIMAAN PKM (Rp) PENGELUARAN (Rp) SALDO AKHIR (Rp)
KODREK/ NO. URUT NAMA OBAT SATUAN PERSEDIAAN PKM
LAMA BARU TOTAL LAMA BARU LAMA BARU LAMA BARU TOTAL LAMA BARU LAMA BARU LAMA BARU TOTAL LAMA BARU LAMA BARU LAMA BARU TOTAL LAMA BARU LAMA BARU (Rp)

1 Alat Pelindung Diri Paket - - - - - - - - - - - - - - - - - - - - -

2 APD Penyemprot Petugas DBD Paket - - - - - - - - - - - - - - - - - - - - -
3 Jumantik KIT Kit - - - - - - - - - - - - - - - - - - - - -
4 Media Promosi Package - - - - - - - - - - - - - - - - - - - - -
Suku Cadang Alat Kedokteran_ PROGRAM FILARIASIS - - - - - - - - - - - - - - - - - - - - -
1 Filariasis Kit Kit - - - - - - - - - - - - - - - - - - - - -
Suku Cadang Alat Kedokteran_ PROGRAM TB - - - - - - - - - - - - - - - - - - - - -
1 Masker Tali Box - - - - - - - - - - - - - - - - - - - - -
2 Masker Bedah Box - - - - - - - - - - - - - - - - - - - - -
3 Masker N95 (Dream Can) Box - - - - - - - - - - - - - - - - - - - - -
5.1.02.01.01.0016 Belanja Suku Cadang_Suku Cadang Alat Laboratorium - - - - - - - - - - - - - - - - - - - - -
Suku Cadang Alat Laboratorium_Perbekkes - - - - - - - - - - - - - - - - - - - - -
1 Oxister Pro H2O2 2% 750 mL Botol - - - - - - - - - - - - - - - - - - - - -
2 Oxister Pro H2O2 2% 5L Jerigen 2 2 919,000 1,838,000 - - 919,000 - - - - 919,000 - - - 2 - 2 919,000 - 1,838,000 - 1,838,000
3 Handsanitizer 2% 500 mL Botol - - - - - - - - - - - - - - - - - - - - -
4 handsanitizer 2% 5L Jerigen - - - - - - - - - - - - - - - - - - - - -
Suku Cadang Alat Laboratorium_Program (HIBAH) - - - - - - - - - - - - - - - - - - - - -
1 Stik glukosa Benecheck Tube (50 Pcs) - - - - - - - - - - - - - - - - - - - - -
2 Rotator Unit - - - - - - - - - - - - - - - - - - - - -
3 Centrifuse Unit - - - - - - - - - - - - - - - - - - - - -
4 Hand Sanitizer 5L BPOM Jerigen - - - - - - - - - - - - - - - - - - - - -
Suku Cadang Alat Laboratorium_ PROGRAM HIV - - - - - - - - - - - - - - - - - - - - -
1 Reagen CD4 Control test - - - - - - - - - - - - - - - - - - - - -
2 DBS Collection Kit Kit - - - - - - - - - - - - - - - - - - - - -
3 VIROCHECK HIV (R1) Pcs - - - - - - - - - - - - - - - - - - - - -
4 DIAGNOSTAR DS HIV TEST (R2) Pcs - - - - - - - - - - - - - - - - - - - - -
5 STANDAR HIV AB 3 LINE (R2) Pcs - - - - - - - - - - - - - - - - - - - - -
6 Rapid Test HIV TURKLAB (R3) Pcs - - - - - - - - - - - - - - - - - - - - -
7 Rapid Test Syphilis trepocheck Pcs - - - - - - - - - - - - - - - - - - - - -
8 SD Bioline HIV/Syphilis Duo (6FK30) Pcs - - - - - - - - - - - - - - - - - - - - -
9 SD BIOLINE HBSAG Pcs - - - 200 200 7,900 - 1,580,000 - 200 200 7,900 - 1,580,000 - - - - 7,900 - - - -
Suku Cadang Alat Laboratorium_ PROGRAM KUSTA - - - - - - - - - - - - - - - - - - - - -
1 RAPID FRAMBUSIA (HEXAGOM) Test - - - - - - - - - - - - - - - - - - - - -
Suku Cadang Alat Laboratorium_ PROGRAM DBD - - - - - - - - - - - - - - - - - - - - -
1 RDT DBD Combo (IGG & NS1) Test - 49,205 - - 10 10 49,205 - 492,050 - 10 10 49,205 - 492,050 - - - - 49,205 - - - -
2 RDT Chikungunya Test - - - - - - - - - - - - - - - - - - - - -
Suku Cadang Alat Laboratorium_ PROGRAM MALARIA - - - - - - - - - - - - - - - - - - - - -
1 RDT Malaria test - - - - - - - - - - - - - - - - - - - - -
Suku Cadang Alat Laboratorium_ PROGRAM TB - - - - - - - - - - - - - - - - - - - - -
1 Catridge TCM test - - - - - - - - - - - - - - - - - - - - -
2 Object glass/ Kaca preparat Box - - - - - - - - - - - - - - - - - - - - -
3 Pot Dahak Pot - - - 600 600 2,200 1,320,000 - 600 600 2,200 - 1,320,000 - - - - 2,200 - - - -
4 Tuberkulin PPD RT 23 SSI Vial - 625,800 - - 3 3 625,900 1,877,700 - 3 3 625,900 - 1,877,700 - - - - 625,900 - - - -
5 Zeil Nelson (ZN set) 100 ml) No.Cat. 17134) Set - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - - -
TAMBAHAN - - - - - - - - - - - - - - - - - - - - -
1 Haloperidol injeksi 5 mg 3 3 6,250 18,750 - - 6,250 - - - 3 3 6,250 - 18,750 - - - - 6,250 - - - -
2 Etil Klorida Semprot- 100 ml 3 3 425,000 1,275,001 - - 425,000 - - - 3 3 425,000 - 1,275,001 - - - - 425,000 - - - -
3 Masker Nebulizer Anak 11 11 16,700 195,300 - - 16,700 - - - 16,700 16,700 - - - 11 - 11 16,700 - 195,300 - 195,300
4 Sarung tangan steril No. 7 12 12 4,000 48,000 - - 4,000 - - - 12 12 4,000 - 48,000 - - - - 4,000 - - - -
5 Under Pad 10 10 7,900 79,000 - - 7,900 - - - 10 10 7,900 - 79,000 - - - - 7,900 - - - -
6 - - - - - - - - - - - - - - - - - - - - -
7 - - - - - - - - - - - - - - - - - - - - -
8 - - - - - - - - - - - - - - - - - - - - -
9 - - - - - - - - - - - - - - - - - - - - -
10 - - - - - - - - - - - - - - - - - - - - -
11 - - - - - - - - - - - - - - - - - - - - -
12 - - - - - - - - - - - - - - - - - - - - -
13 - - - - - - - - - - - - - - - - - - - - -
14 - - - - - - - - - - - - - - - - - - - - -
15 - - - - - - - - - - - - - - - - - - - - -
TOTAL ASET 96,457,711.137 - 49,875,033.430 - 116,112,933.614 - 30,219,810.95355 - 30,219,810.954
1.000
96,457,711.13743 49,875,033.430 116,112,933.61358 30,219,810.954
1 SELISIH -

Mengetahui: Purwakarta, 05 April 2023

KEPALA PUSKESMAS KONCARA
PENGELOLA OBAT,
 HARGA SATUAN (Rp) NILAI PESEDIAAN PKM SALDO AWAL HARGA SATUAN (RP) NILAI PESEDIAAN PENERIMAAN HARGA SATUAN (RP) NILAI PESEDIAAN PENGELUARAN PKM HARGA SATUAN (Rp) NILAI PESEDIAAN PKM SALDO AKHIR
SALDO AWAL PENERIMAAN PENGELUARAN SALDO AKHIR TOTAL NILAI
SALDO AWAL (Rp) PENERIMAAN PKM (Rp) PENGELUARAN (Rp) SALDO AKHIR (Rp)
KODREK/ NO. URUT NAMA OBAT SATUAN PERSEDIAAN PKM
LAMA BARU TOTAL LAMA BARU LAMA BARU LAMA BARU TOTAL LAMA BARU LAMA BARU LAMA BARU TOTAL LAMA BARU LAMA BARU LAMA BARU TOTAL LAMA BARU LAMA BARU (Rp)

Hj. Neni Ruhiyawati, SKM apt. Luthfina Maulida, S.Farm

NIP. 19680521 198803 2 004 NIP. 19921004 202203 2 012
 - -
2,088 -
- -
- -
178,523 -
79,660 -
39,644 -
710,270 -
- -
447,744 -
- -
- -
- -
- -
211,250 -
- -
17,766 -
- -
116,550 -
125,820 -
105,896 -
36,000 -
134,277 -
198,550 -
29,939 -
- -
10,608 -
- -
32,422 -
- -
16,848 -
- -
- -
- -
- -
- -
- -
51,696 -
- -
- -
125,400 -
5,984 -
- -
- -
- -
249,700 -
54,450 -
45,305 -
35,939 -
 186 -
52,887 -
- -
- -
27,907 -
13,024 -
120,900 -
- -
- -
31,950 -
- -
28,800 -
- -
- -
42,084 -
- -
- -
- -
127,710 -
- -
205,800 -
38,052 -
- -
40,600 -
68,997 -
28,640 -
39,880 -
473,004 -
66,682 -
- -
16,050 -
10,230 -
57,120 -
- -
- -
- -
- -
- -
- -
25,900 -
68,000 -
- -
475,695 -
18,990 -
- -
34,086 -
- -
201,948 -
641,520 -
- -
- -
- -
- -
301,787 -
- -
765,000 -
41,877 -
41,956 -
- -
66,304 -
183,120 -
24,768 -
89,100 -
33,840 -
- -
571,428 -
225,946 -
- -
- -
- -
38,235 -
19,516 -
- -
1,405,140 -
1,546,151 -
 41,895 -
70,338 -
80,172 -
- -
- -
- -
- -
- -
741,550 -
238,446 -
370,083 -
142,857 -
- -
- -
202,500 -
169,719 -
529,323 -
65,268 -
45,035 -
- -
29,051 -
- -
179,737 -
92,685 -
- -
- -
15,651 -
- -
- -
102,275 -
- -
57,401 -
- -
- -
160,340 -
- -
- -
- -
- -
- -
- -
- -
- -
- -
7,910,000 -
80,410 -
3,090 -
- -
- -
- -
144,460 -
13,420 -
1,369,000 -
134,568 -
- -
379,296 -
- -
- -
507,498 -
- -
257,544 -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
 - -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
510,515 -
345,318 -
93,216 -
- -
- -
11,600 -
- -
- -
- -
24,200 -
- -
- -
67,620 -
- -
100,100 -
- -
73,880 -
- -
385,513 -
- -
- -
21,000 -
13,572 -
13,572 -
- -
- -
- -
- -
- -
130,954 -
523,281 -
- -
- -
- -
- -
365,420 -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
 - -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
1,838,000 -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
195,300 -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
 LAPORAN KETERSEDIAAN OBAT, BAHAN MEDIS HABIS PAKAI DAN REAGENSIA UPTD PUSKESMAS TAHUN 2023

NAMA PUSKESMAS : KONCARA

HARGA SATUAN (Rp) SALDO NILAI PESEDIAAN PKM SALDO HARGA SATUAN (RP) NILAI PESEDIAAN PENERIMAAN HARGA SATUAN (RP)
SALDO AWAL PENERIMAAN PENGELUARAN
AWAL AWAL (Rp) PENERIMAAN PKM (Rp) PENGELUARAN
NO NAMA OBAT SATUAN
LAMA BARU TOTAL LAMA BARU LAMA BARU LAMA BARU TOTAL LAMA BARU LAMA BARU LAMA BARU TOTAL LAMA

1 2 3 4 5 6=4+5 7 8 9=4X7 10=5X8 11 12 13=11+12 14 15 16=11X14 17=12X15 18 19 20=18+19 21

OBAT
- - - - - - - -
- - - - - - - -
- - - - - - - -
- - - - - - - -
- - - - - - - -
- - - - - - - -
- - - - - - - -
- - - - - - - -
- - - - - - - -
- - - - - - - -
- - - - - - - -
- - - - - - - -
- - - - - - - -
- - - - - - - -
- - - - - - - -
- - - - - - - -
- - - - - - - -
- - - - - - - -
TOTAL ASET - - - -

- -

Mengetahui:
KEPALA SATUAN KERJA,

Hj. Neni Ruhiyawati, SKM

NIP. 19680521 198803 2 004
ESMAS TAHUN 2023

HARGA SATUAN (RP) NILAI PESEDIAAN PENGELUARAN HARGA SATUAN (Rp) SALDO NILAI PESEDIAAN PKM SALDO
SALDO AKHIR TOTAL NILAI
PENGELUARAN PKM (Rp) AKHIR AKHIR (Rp)
PERSEDIAAN PKM
BARU LAMA BARU LAMA BARU TOTAL LAMA BARU LAMA BARU (Rp)

22 23=18X21 24=19X22 25 26 27=25+26 28 29 30=25X28 31=26X29 32=30+31

- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - - - - - - - -
- - - - -
1
- -
SELISIH -

Purwakarta,

PENGELOLA OBAT,

apt. Luthfina Maulida, S.Farm

NIP. 19921004 202203 2 012
 JUMLAH KUNJUNGAN PASIEN RAWAT JALAN DAN RAWAT INAP
TAHUN 2023

PUSKESMAS KONCARA
TAHUN 2023

JUMLAH PASIEN JUMLAH PASIEN

NO PERIODE TOTAL
RAWAT JALAN RAWAT INAP
1 2 3 4 5 = 3+4
1 JANUARI 1308 1,308
2 FEBRUARI 1200 1,200
3 MARET 1369 1,369
4 APRIL -
5 MEI -
6 JUNI -
7 JULI -
8 AGUSTUS -
9 SEPTEMBER -
10 OKTOBER -
11 NOVEMBER -
12 DESEMBER -
TOTAL 3,877 - 3,877
 BUKU PENERIMAAN PERSEDIAAN
TAHUN 2023
SKPD : Dinas Kesehatan
Pengguna Barang : dr. Deni Darmawan, MARS

Dokumen Spesifikasi Barang

No. Kode Rekening Nama Barang Jumlah Satuan Barang Harga Satuan Nilai Total (Rp) Keterangan
Tanggal Nomor Nama NUSP Spesifikasi Nama (Rp)
Barang
LPLPO 5.1.02.01.01.0037 Albendazol Tablet 400 mg 6500 tablet 367 2,385,500
Acethylcystein 900 kapsul 271.167 244,050
Alopurinol Tablet 100 mg 300 tablet 87 26,100
Bisakodil supp 12 suppo 6000 72,000
Amitriptilin HCl Tablet Salut 25 mg 500 tablet 167 83,500
Amlodipin tablet 10 mg 2000 tablet 70 140,000
Amlodipin tablet 5 mg 2400 tablet 53 127,200
Amoksisilin 500 mg 3800 tablet 486.4865 1,781,059.5
Amoksisilin Sirup Kering Forte 250 mg/5 ml 240 botol 3498 839,520
Amoksisilin Sirup Kering 125 mg/5 ml 100 botol 6308.5 630,850
Antasida DOEN Tablet Kombinasi 4000 tablet 54 870,240
Antasida DOEN Suspensi 120 botol 3855.03 462,604
Anti Hemorhoid DOEN ktk 10 supp. 50 suppo 3250 162,500
Antidiare Tablet 600 tablet 433.63 285,714
Asam Askorbat (Vit. C) Tablet 50 mg 800 tablet 42 33,600
Asam Mefenamat 500 mg Tablet 2200 tablet 111 244,200
Asiklovir Cream 5% - 5 g 50 tube 3495 174,750
Asiklovir tablet 400 mg 1000 tablet 405 479,715
Besi (II) Sulfat + Asam Folat (Tablet Tambah Darah Kombinas) tablet 226
Betahistin mesilat 6 mg tab 1050 tablet 652.68 685,314
Betametason Krim 0,1%-5g 100 tube 3394.38 339,438
Bioplacenton Gel 30 tube 15345 460,350
Borax Gliserin 48 botol 3443 165,264
Cetirizin sirup 5 mg/5ml botol
Cetirizin 10 mg 2,200 tablet 49 107,800.0
Clozapin 25 mg (KTK 50 TAB) 200 tablet 473 94,600
Deksametason Tablet 0,5 mg 800 tablet 34 27,200
Diazepam Rectal suppo
Diazepam Injeksi 5 mg/ml-2 ml ampul 1735 -
Diazepam Tablet 2 mg 400 tablet 86 34,400
Difenhidramin HCl Inj 10 mg/ml-1 ml ampul
Dimenhydrinate 50 mg 100 tablet 108 10,800
Domperidon Tablet 10 mg 500 tablet 326.34 163,170
Domperidon suspensi 5 mg/5ml mg botol
Eritromisin 500 mg Kapsul kapsul
Eritromisin Sirop 200 mg /5ml botol 6462
Fenol Gliserol Tetes Telinga 10% - 5 ml botol
Fitomenadion (Vit. K1) tablet 10 mg tablet
Furosemid Tablet 40 mg 200 tablet 216.7 65,268
Garam Oralit 200 ml air 500 sachet 257 128,500
Gentamisin 0,3% TM 20 botol 9999 199,980
Gentamisin inj 40 mg/ 2 mL 4 ampul 3355 13,420
Gentamisin Salep Kulit 0,1% - 5 g 192 tube 4950 950,400
Gentamisin Salep Mata 0,3 % tube
Glimepirid 1 mg tablet
Glibenklamid Tablet 5 mg 500 tablet 83 41,500
Glimepiride 2 mg 100 tablet 289 28,900
Gliseril Guaikolat Tablet 100 mg 1,000 tablet 86.72 86,720
Glukosa Larutan Infus 5% Steril 500 ml botol
Haloperidol injeksi 5 mg ampul
Haloperidol Dekanoat Injeksi 50 mg/ml 10 ampul 101300 862,500
Haloperidol 1,5 mg Tablet 500 tablet 59 29,500
Haloperidol tablet 5 mg ktk 102 2,500 tablet 56 162,000
Hidroklorotiazid (HCT) Tablet 25 mg 400 tablet 148 59,200
Hidrokortison Krim 2,5% 72 tube 2325 167,400
Ibuprofen Tablet 400 mg 2200 tablet 332.64 647,505
Isosorbid Dinitrat sublingual tab 5 mg tablet
 Kalsium Laktat (Kalk) Tablet 500 mg 1,500 tablet 60 152,685
Ketokonazol cream tube
Ketokonazol tab 200 mg (ktk 50 tab) tablet
Klorfeniramin Maleat (CTM) Tablet 4 mg 1500 tablet 23 78,255
Klorpromazin tablet salut 100 mg btl 1000 tab tablet
Kotrimoksazol Suspensi Kombinasi botol
Kotrimoksazol Tablet Kombinasi/Dewasa: 400 tablet 126 50,400
Lisinipril 5 mg 400 tablet 145 58,000
Lidokain Injeksi ampul
Loratadin tablet
Magnesium Sulfas Inj. 40%-25ml 8 botol 3580 28,640
Magnesium Sulfas Inj. 20%-25ml 8 botol 4090 32,720
Meloksikam tablet 15 mg 500 tablet 717.76 358,880
Metformin HCl 500 mg tab 1,200 tablet 77 92,400
Metildopa Tablet 250 mg tablet
Metilergometrin Tablet Salut 0,125 g 100 tablet 214 21,400
Metilergometrin Maleat Injeksi 0,200 mg/ml ampul
Metilprednison tablet 4 mg 1,500 tablet 102 153,000
Multi vitamin syrup 96 botol 11980 1,150,080
Natrium Clorida Lrt. Infus 0,9% Steril botol
Natrium Diklofenak 25 mg (ktk 50 tab) 300 tablet 114 34,200
Natrium Diklofenak 50 mg (ktk 50 tab) 1500 tablet 188.7 283,050
Norit tab tablet
Nifedipin tablet 10 mg tablet
Nistatin 100.000 IU/gram Tablet Vaginal tablet vaginal
Obat Anti tuberkulosis FDC kategori I 16 tablet 415721 6,712,000
Obat Anti tuberkulosis FDC kategori II tablet
Obat Anti tuberkulosis FDC Harian 2 tablet 397612 795,224
Obat Anti tuberkulosis kategori anak 6 tablet 248120 1,490,943
Obat batuk kombinasi tablet 2400 tablet 528.66 1,268,784
Obat Batuk Hitam (OBH) Cairan- 100 ml 48 botol 14402 691,296
Oksitosin Injeksi 10 IU/ml-1 ml ampul
Omeprazol Kaps 20 mg 600 kapsul 129 77,394
Parasetamol Tablet 500 mg 11000 tablet 202.95 2,232,450
Permetrim cr 60 tube 11250 675,000
Piridoksin HCl. Tablet 2,000 tablet 149.85 299,700
Piroksikam 20 mg 100 tablet 222.75 22,275
Prednison Tablet 5 mg tablet
Ranitidin tablet 150 mg 2500 tablet 112 280,000
Retinol (Vit.A) 100.000 IU Kapsul (biru) 500 kapsul 307 152,500
Retinol (Vit.A) 200.000 IU Kapsul (merah) 4050 kapsul 553 2,239,650
Ringer Laktat Larutan Infus Steril-500 ml botol
Risperidon 2 mg 5,000 tablet 123 615,000
Salbutamol tablet 2 mg 800 tablet 48 38,400
Salbutamol 2.5 mg/2.5 mL NaCl sol.for inhalation ampul
Salep 2-4, Kombinasi 20 pot 1410 28,200
Salisil Bedak 2%-50 gram botol
Sefadroksil Tablet 500 mg 1700 kapsul 1428.572361658 2,187,900
Sefadroksil sirup kering 125mg/5ml 60 botol 3423.42 205,405
Sianokobalamin (Vit.B12) Tablet 900 tablet 38.7387 34,865
Simvastatin Tablet 10 mg 1000 tablet 68 68,000
Siprofloksasin 500 mg 500 tablet 248 124,000
Stimuno syr botol
Stimuno forte tab 1200 kapsul 1763 2,115,600
Tiamin HCI/Mononitrat (Vit.B1) Tablet 50 mg 2200 tablet 57 125,400
Triheksifenidil Tablet 5200 tablet 63 327,600
Vitamin B Komplek Tablet 3000 tablet 57 171,000
Zink dispersible tab 20 mg 500 tablet 524 262,000
5.1.02.01.01.0015 Alat Suntik Sekali Pakai 3 ml 400 pcs 1021.03 408,412
Kasa Pembalut Hidrofil 4 m x 15 cm 20 pcs 3694 73,880
Masker O2 Dewasa 2 pcs 10,500 21,000
Sarung Tangan non steril (S) (box isi 100 pair) 750 psg 2619.073333 1,964,305
Sarung Tangan non steril M 150 psg 2619.073333 392,861
5.1.02.01.01.0016 RDT DBD Combo (IGG & NS1) 10 pcs 49205 492,050
Pot Dahak 600 pcs 2200 1,320,000
Tuberkulin PPD RT 23 SSI 3 pcs 625800 1,877,700
SD BIOLINE HBSAG 200 pcs 7900 1,580,000
Isoniazid 300 MG/ Rifapentin 300mg (3HP) 6 Paket 239383 1,436,298
TOTAL 49,875,033 1
 BUKU PENGELUARAN PERSEDIAAN
TAHUN 2023
SKPD : Dinas Kesehatan
Pengguna Barang : dr. Deni Darmawan, MARS

Dokumen Spesifikasi Barang

Harga Satuan
No. Kode Rekening Nama Barang Spesifikasi Nama Jumlah Satuan Barang Nilai Total (Rp) Keterangan
Tanggal Nomor Nama NUSP (Rp)
Barang
31-03-2023 - Stok Opname 5.1.02.01.01.0037 Albendazol Tablet 400 mg 6500 tablet 367 2,385,500
Acethylcystein 2582 kapsul 271.167 700,153
Alopurinol Tablet 100 mg 382 tablet 87 33,234
Bisakodil supp 19 suppo 6000 114,000
Amitriptilin HCl Tablet Salut 25 mg 61 tablet 167 10,187
Amlodipin tablet 10 mg 3339 tablet 70 233,730
Amlodipin tablet 5 mg 2349 tablet 53 124,497
Amoksisilin 500 mg 7034 tablet 486.4865 2,014,283
Amoksisilin Sirup Kering Forte 250 mg/5 ml 247 botol 3498 864,006
Amoksisilin Sirup Kering 125 mg/5 ml 122 botol 2050 250,100
Antasida DOEN Tablet Kombinasi 3124 tablet 54 643,674
Antasida DOEN Suspensi 24 botol 3855.03 92,521
Anti Hemorhoid DOEN ktk 10 supp. 5 suppo 3250 16,250
Antidiare Tablet 300 tablet 433.63 142,857
Asam Askorbat (Vit. C) Tablet 50 mg 1007 tablet 42 42,294
Asam Mefenamat 500 mg Tablet 1698 tablet 111 188,478
Asiklovir Cream 5% - 5 g 14 tube 3495 48,930
Asiklovir tablet 400 mg 1039 tablet 405 556,369
Besi (II) Sulfat + Asam Folat (Tablet Tambah Darah Kombinas) 197344 tablet 226 62,652,032
Betahistin mesilat 6 mg tab 239 tablet 652.68 155,991
Betametason Krim 0,1%-5g 50 tube 3394.38 169,719
Bioplacenton Gel 12 tube 15345 184,140
Borax Gliserin 22 botol 3443 75,746
Cetirizin sirup 5 mg/5ml botol -
Cetirizin 10 mg 2778 tablet 49 136,122
Clozapin 25 mg (KTK 50 TAB) 32 tablet 473 16,432
Deksametason Tablet 0,5 mg 1958 tablet 34 66,572
Diazepam Rectal 16 suppo 12573 201,168
Diazepam Injeksi 5 mg/ml-2 ml 4 ampul 1735 6,940
Diazepam Tablet 2 mg 79 tablet 86 6,794
Difenhidramin HCl Inj 10 mg/ml-1 ml ampul -
Dimenhydrinate 50 mg 124 tablet 108 13,392
Domperidon Tablet 10 mg 517 tablet 326.34 176,747
Domperidon suspensi 5 mg/5ml mg botol -
Eritromisin 500 mg Kapsul tablet -
Eritromisin Sirop 200 mg /5ml 39 botol 6462 252,018
Fenol Gliserol Tetes Telinga 10% - 5 ml 4 botol 3300 13,200
Fitomenadion (Vit. K1) tablet 10 mg 195 tablet 748 145,860
Furosemid Tablet 40 mg 203 tablet 216.7 50,788
Fenobarbital Injeksi 5 mg/ml -2 ml 4 ampul 1969 7,876
Kloramfenikol Tetes Telinga 3% 4 botol 8514 34,056
Garam Oralit 200 ml air 1016 sachet 280 284,480
Gentamisin 0,3% TM 28 botol 4520 126,560
Gentamisin inj 40 mg/ 2 mL ampul 3355 -
Gentamisin Salep Kulit 0,1% - 5 g 229 tube 4950 1,133,550
Gentamisin Salep Mata 0,3 % 25 tube 2665 66,625
Glimepirid 1 mg 154 tablet 93 14,322
Glibenklamid Tablet 5 mg 702 tablet 83 58,266
Glimepiride 2 mg 155 tablet 123 44,795
Gliseril Guaikolat Tablet 100 mg 2,163 tablet 86.72 342,289
Glukosa Larutan Infus 5% Steril 500 ml 5 botol 6627 33,135
Haloperidol injeksi 5 mg 3 ampul 6250 18,750
Haloperidol Dekanoat Injeksi 50 mg/ml ampul 109000 -
Haloperidol 1,5 mg Tablet 30 tablet 59 1,770
Haloperidol tablet 5 mg ktk 102 254 tablet 108 27,432
Hidroklorotiazid (HCT) Tablet 25 mg 625 tablet 148 92,500
Hidrokortison Krim 2,5% 49 tube 2325 113,925
 Ibuprofen Tablet 400 mg 2,189 tablet 332.64 675,336
Isosorbid Dinitrat sublingual tab 5 mg 17 tablet 213 3,621
Kalsium Laktat (Kalk) Tablet 500 mg 2,639 tablet 60 158,340
Ketokonazol cream tube -
Ketokonazol tab 200 mg (ktk 50 tab) 235 tablet 252 59,220
Klorfeniramin Maleat (CTM) Tablet 4 mg 1,200 tablet 23 62,604
Klorpromazin tablet salut 100 mg btl 1000 tab tablet -
Kotrimoksazol Suspensi Kombinasi botol -
Kotrimoksazol Tablet Kombinasi/Dewasa: 767 tablet 126 96,642
Lisinipril 5 mg 230 tablet 145 33,440
Lidokain Injeksi 30 ampul 803 24,090
Loratadin 353 tablet 109 38,477
Magnesium Sulfas Inj. 40%-25ml botol 3580 -
Magnesium Sulfas Inj. 20%-25ml botol 4090 -
Meloksikam tablet 15 mg 346 tablet 717.76 248,345
Metformin HCl 500 mg tab 1,394 tablet 77 107,338
Metildopa Tablet 250 mg 139 tablet 946 131,494
Metilergometrin Tablet Salut 0,125 g 25 tablet 214 5,350
Metilergometrin Maleat Injeksi 0,200 mg/ml ampul -
Metilprednison tablet 4 mg 1,125 tablet 102 114,750
Multi vitamin syrup 132 botol 11980 1,581,360
Natrium Clorida Lrt. Infus 0,9% Steril 22 botol 6800 149,600
Natrium Diklofenak 25 mg (ktk 50 tab) 876 tablet 114 99,864
Natrium Diklofenak 50 mg (ktk 50 tab) 958 tablet 188.7 180,775
Norit tab tablet -
Nifedipin tablet 10 mg tablet -
Nistatin 100.000 IU/gram Tablet Vaginal 9 tablet vaginal 598 5,382
Obat Anti tuberkulosis FDC kategori I 16 tablet 415721 6,712,000
Obat Anti tuberkulosis FDC kategori II tablet -
Obat Anti tuberkulosis FDC Harian 2 tablet 397612 795,224
Obat Anti tuberkulosis kategori anak 7 tablet 248120 1,490,943
Obat batuk kombinasi tablet 4,088 tablet 528.66 2,161,162
Obat Batuk Hitam (OBH) Cairan- 100 ml 48 botol 14402 691,296
Oksitosin Injeksi 10 IU/ml-1 ml ampul -
Omeprazol Kaps 20 mg 521 kapsul 128.99 138,845
Parasetamol Tablet 500 mg 13,644 tablet 203 2,769,050
Permetrim cr 37 tube 11250 416,250
Piridoksin HCl. Tablet 2,187 tablet 149.85 418,415
Piroksikam 20 mg 230 tablet 222.75 51,233
Prednison Tablet 5 mg 198 tablet 68 13,464
Ranitidin tablet 150 mg 2,228 tablet 112 249,536
Retinol (Vit.A) 100.000 IU Kapsul (biru) 500 kapsul 307 152,500
Retinol (Vit.A) 200.000 IU Kapsul (merah) 4,050 kapsul 553 2,239,650
Ringer Laktat Larutan Infus Steril-500 ml botol -
Risperidon 2 mg 874 tablet 123 107,502
Salbutamol tablet 2 mg 677 tablet 48 32,496
Salbutamol 2.5 mg/2.5 mL NaCl sol.for inhalation ampul -
Salep 2-4, Kombinasi 24 pot 1410 44,936
Salisil Bedak 2%-50 gram 42 botol 5025 211,050
Sefadroksil Tablet 500 mg 2408 kapsul 1428.572361658 3,262,187
Sefadroksil sirup kering 125mg/5ml 41 botol 3423 140,360
Sianokobalamin (Vit.B12) Tablet 998 tablet 38.7387 38,661
Simvastatin Tablet 10 mg 1085 tablet 68 73,780
Siprofloksasin 500 mg 824 tablet 248 204,352
Stimuno syr 34 botol 25548 868,632
Stimuno forte tab 610 kapsul 1763 1,075,430
Tiamin HCI/Mononitrat (Vit.B1) Tablet 50 mg 2,078 tablet 57 125,926
Triheksifenidil Tablet 1,112 tablet 63 70,056
Vitamin B Komplek Tablet 2,498 tablet 57 142,386
Zink dispersible tab 20 mg 1,116 tablet 524 584,784
5.1.02.01.01.0015 Alat Suntik Sekali Pakai 1 ml 141 pcs 1021 146,155
Kasa Pembalut Hidrofil 4 m x 15 cm 15 pcs 3694 55,410
Masker O2 Dewasa 5 pcs 9500 47,500
Sarung Tangan non steril (S) (box isi 100 pair) 750 psg 2619.073333 1,964,305
Sarung Tangan non steril M 350 psg 2619.073333 916,675.616600
Alat suntik sekali pakai 3 cc 200 pcs 1021.03 204,206
Kasa Pembalut 2 m x 80 cm 7 pcs 7700 53,900
 Masker Tali 7 pcs 35046.6 245,326
Masker O2 Anak 10 pcs 9500 95,000
Silk (Benang Bedah Sutra)No.3/0 1 pcs 33220 33,220
Sarung tangan steril No. 7 12 pcs 4000 48,000
Under Pad 10 pcs 7900 79,000
Etil Klorida Semprot- 100 ml 3 pcs 425000.4 1,275,001
5.1.02.01.01.0016 RDT DBD Combo (IGG & NS1) 10 pcs 49205 492,050
Pot Dahak 600 pcs 2200 1,320,000
Tuberkulin PPD RT 23 SSI 3 pcs 625800 1,877,700
SD BIOLINE HBSAG 200 pcs 7900 1,580,000
Isoniazid 300 MG/ Rifapentin 300mg (3HP) 6 Paket 239383 1,436,298
TOTAL 116,112,933.6136 1
 LAPORAN MUTASI BARANG PERSEDIAAN/BARANG PAKAI HABIS
PERIODE TRIWULAN I
TAHUN ANGGARAN 2023

PD/UPB : DINAS KESEHATAN KABUPATEN PURWAKARTA

KODE UPB : Puskesmas Koncara

Mutasi/Perubahan
Saldo 1 Januari 2023 Januari s/d Maret 2023 Saldo 31 Maret 2023
Satuan (buah/
No. Urut Uraian (Nama Barang) lusin/ set/unit) Penerimaan Triwulan I Pengeluaran Triwulan I Keterangan
Jml Barang Hrg Satuan Jml Harga (Rp) Jml Barang Hrg Satuan Jml Harga (Rp) Jml Barang Hrg Satuan Jml Harga (Rp) Jml Barang Hrg Satuan Jml Harga (Rp)
1 2 3 4 5 6 7 8 8 9 10 11 12 13 14 15
I PERSEDIAAN
5.1.2.01 PERSEDIAAN BAHAN PAKAI HABIS
5.1.02.01.01.0015 Belanja Suku Cadang_Suku Cadang Alat Kedokteran 5,178,302 2,860,458 5,163,699 2,875,061
Alat suntik sekali pakai 1 cc pcs 141 146,155 - 141 1,101 146,155 - - -
Alat Suntik Sekali Pakai 3 ml pcs 300 1,021 306,309 400 1,021.03 408,412 200 1,021 204,206 500 1,021 510,515
Alat suntik sekali pakai 5 cc pcs 300 1,151 345,318 - - 300 1,151 345,318
Alat suntik 10 mL pcs 100 932 93,216 - - 100 932 93,216
Infuset Dewasa pcs 2 5,800 11,600 - - 2 5,800 11,600
IV Chateter No-24G pcs 2 12,100 24,200 - - 2 12,100 24,200
Kassa Pembalut Hidrofil 4 m x 5 cm pcs 69 980 67,620 - - 69 980 67,620
Kasa Pembalut 2 m x 80 cm pcs 20 7,700 154,000 - 7 7,700 53,900 13 7,700 100,100
Kasa Pembalut Hidrofil 4 m x 15 cm pcs 15 3,694 55,410 20 3,694.00 73,880 15 3,694 55,410 20 3,694 73,880
Masker Tali box 18 35,047 630,839 - 7 35,047 245,326 11 35,047 385,513
Masker O2 Anak pcs 10 9,500 95,000 - 10 9,500 95,000 - 9,500 -
Masker O2 Dewasa pcs 5 9,500 47,500 2 10,500.00 21,000 5 9,500 47,500 2 10,500 21,000
Nasal Oksigen Canula Dewasa pcs 2 6,786 13,572 - - 2 6,786 13,572
Nasal Oksigen Canula anak pcs 2 6,786 13,572 - - 2 6,786 13,572
Sarung Tangan non steril (S) (box isi 100 pair) psg - - - 750 2,619.07 1,964,305 750 2,619 1,964,305 - -
Sarung Tangan non steril M psg 250 2,619 654,768 150 2,619.07 392,861 350 2,619 916,675.61660000 50 2,619 130,954
Sarung tangan non steril uk. L psg 200 2,616 523,281 - - 200 2,616 523,281
Silk (Benang Bedah Sutra)No.3/0 pcs 12 33,220 398,640 - 1 33,220 33,220 11 33,220 365,420
Etil Klorida Semprot- 100 ml botol 3 425,000 1,275,001 - 3 425,000 1,275,001 425,000 -
Masker Nebulizer Anak pcs 11 16,700 195,300 - - 11 16,700 195,300
Sarung tangan steril No. 7 pcs 12 4,000 48,000 - 12 4,000 48,000 4,000 -
Under Pad pcs 10 7,900 79,000 - 10 7,900 79,000 7,900 -
5.1.02.01.01.0016 Belanja Suku Cadang_Suku Cadang Alat Laboratorium 1,838,000 5,269,750 5,269,750 1,838,000
Oxister Pro H2O2 2% 5L Botol 2 919000 1838000 - - - 2 919,000 1,838,000
RDT DBD Combo (IGG & NS1) Test 0 10 49,205 492,050 10 49,205 492,050 492,050 -
Pot Dahak pot 0 600 2,200 1,320,000 600 2,200 1,320,000 1,320,000 -
Tuberkulin PPD RT 23 SSI Vial 0 3 625,800 1,877,700 3 625,800 1,877,700 1,877,700 -
SD BIOLINE HBSAG pcs 200 7,900 1,580,000 200 7,900 1,580,000
5.1.02.01.01.0037 Belanja Obat_Obat-Obatan 89,441,409 41,744,825 105,679,485 25,506,750
Alopurinol Tablet 100 mg Tablet 106 87 9222 300 87 26,100 382 87 33,234 24 87 2,088
Amitriptilin HCl Tablet Salut 25 mg Tablet 630 167 105210 500 167 83,500 61 167 10,187 1069 167 178,523
Amlodipin tablet 10 mg Tablet 2477 70 173390 2000 70 140,000 3339 70 233,730 1138 70 79,660
Amlodipin tablet 5 mg Tablet 697 53 36941 2400 53 127,200 2349 53 124,497 748 53 39,644
Amoksisilin 500 mg kaplet 4694 201 943494 3800 486.4865 1,781,060 7034 486 2,014,283 1460 486 710,270
Amoksisilin Sirup Kering 125 mg/5 ml Botol 176 2050 360800 100 6308.5 630,850 122 6,309 250,100 154 6,309 741,550
Amoksisilin Sirup Kering Forte 250 mg/5 ml Botol 135 3498 472230 240 3498 839,520 247 3,498 864,006 128 3,498 447,744
Antasida DOEN Tablet Kombinasi Tablet 220 54 11880 4000 217.56 870,240 3124 218 643,674 1096 218 238,446
Antasida DOEN Suspensi Botol -- - 120 3855.03 462,604 24 3,855 92,521 96 3,855 370,083
Anti Hemorhoid DOEN ktk 10 supp. Supp 20 3250 65000 50 3250 162,500 5 3,250 16,250 65 3,250 211,250
Antidiare Tablet Tablet -- - 600 476.19 285,714 300 476 142,857 300 476 142,857
Asam Askorbat (Vit. C) Tablet 50 mg Tablet 630 42 26460 800 42 33,600 1007 42 42,294 423 42 17,766
Asam Mefenamat 500 mg Tablet Tablet 548 111 60828 2200 111 244,200 1698 111 188,478 1050 111 116,550
Asiklovir Cream 5% - 5 g Tube - - - 50 3495 174,750 14 3,495 48,930 36 3,495 125,820
Asiklovir tablet 400 mg Tablet 730 554 385050 1000 405 479,715 1039 405 556,369 691 405 308,396
Betametason Krim 0,1%-5g Tube - - - 100 3394.38 339,438 50 3,394 169,719 50 3,394 169,719
Betahistin Mesilate Tablet - - - 1050 652.68 685,314 239 653 155,991 811 653 529,323
Bisakodil Supp 5 mg Supp 13 6000 78000 12 6000 72,000 19 6,000 114,000 6 6,000 36,000
Borax Gliserin Botol 13 3443 44759 48 3443 165,264 22 3,443 75,746 39 3,443 134,277
Cetirizin sirup 5 mg/5ml Botol 95 2090 198550 - - - - - 95 2,090 198,550
Cetirizin 10 mg Kapsul 1189 49 58261 2200 49 107,800 2778 49 136,122 611 49 29,939
Deksametason Tablet 0,5 mg Tablet 1470 34 49980 800 34 27,200 1958 34 66,572 312 34 10,608
Diazepam Rectal Supp 16 12573 201168 - - - 16 12,573 201,168 12,573 -
Diazepam Tablet 2 mg Tablet 56 86 4816 400 86 34,400 79 86 6,794 377 86 32,422
Dimenhydrinate 50 mg Tablet 180 108 19440 100 108 10,800 124 108 13,392 156 108 16,848
Domperidon Tablet 10 mg Tablet 217 363.34 78844.78 500 326.34 163,170 517 326 176,747 200 326 65,268
Eritromisin Sirop 200 mg /5ml Botol 47 6462 303714 - - - 39 6,462 252,018 8 6,462 51,696
Fenobarbital Injeksi 5 mg/ml -2 ml Ampul 4 1969 7876 - - - 4 1,969 7,876 1,969 -
Fenol Gliserol Tetes Telinga 10% - 5 ml Botol 42 3300 138600 - - - 4 3,300 13,200 38 3,300 125,400
Fitomenadion (Vit. K1) tablet 10 mg Tablet 203 748 151844 - - - 195 748 145,860 8 748 5,984
Furosemid Tablet 40 mg Tablet 141 216.7 30554.7 200 216.7 65,268 203 217 50,788 138 326 45,035
Gentamisin 0,3% TM Fls 39 4520 176280 20 9999 199,980 28 4,520 126,560 31 4,520 249,700
Gentamisin Salep Kulit 0,1% - 5 g Tube 48 4950 237600 192 4950 950,400 229 4,950 1,133,550 11 4,950 54,450
Gentamisin Salep Mata 0,3 % Tube 42 2665 111930 - - - 25 2,665 66,625 17 2,665 45,305
Glibenklamid Tablet 5 mg Tablet 635 83 52705 500 83 41,500 702 83 58,266 433 83 35,939
Glimepiride 1 mg Tablet 156 93 14508 - - - 154 93 14,322 2 93 186
Glimepiride 2 mg Tablet 238 289 68782 100 289 28,900 155 123 44,795 183 289 52,887
Glukosa Larutan Infus 5% Steril 500 ml Botol 5 6627 33135 - - - 5 6,627 33,135 6,627 -
Gliseril Guaikolat Tablet 100 mg (Guaiafenisin) Tablet 1498 190 284620 1000 86.72 86,720 2163 87 342,288.80 335 87 29,051
Haloperidol 1,5 mg Tablet Tablet 3 59 177 500 59 29,500 30 59 1,770 473 59 27,907
Hidroklorotiazid (HCT) Tablet 25 mg Tablet 313 148 46324 400 148 59,200 625 148 92,500 88 148 13,024
Hidrokortison Krim 2,5% Tube 29 2325 67425 72 2325 167,400 49 2,325 113,925 52 2,325 120,900
Ibuprofen Tablet 400 mg Tablet 624 332.64 207567.36 2200 332.64 647,505 2189 333 675,336 635 283 179,737
Isosorbid Dinitrat sublingual tab 5 mg Tablet 167 213 35571 - - - 17 213 3,621 150 213 31,950
Kalsium Laktat (Kalk) Tablet 500 mg Tablet 2119 60 127140 1500 60 152,685 2639 60 158,340 980 60 121,485
Ketokonazol tab 200 mg (ktk 50 tab) Tablet 402 252 101304 - - - 235 252 59,220 167 252 42,084
Kloramfenikol Tetes Telinga 3% Fls 19 8514 161766 - - - 4 8,514 34,056 15 8,514 127,710
Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet - - - 1500 52.17 78,255 1200 52 62,604 300 52 15,651
Kotrimoksazol Suspensi Kombinasi Botol 98 2100 205800 - - - - - 98 2,100 205,800
Kotrimoksazol Tablet Kombinasi/Dewasa: Tablet 669 126 84294 400 126 50,400 767 126 96,642 302 126 38,052
Lidokain Injeksi Ampul 30 803 24090 - - - 30 803 24,090 803 -
Lisinopril Tablet 5 mg Tablet 110 145 16040 400 145 58,000 230 145 33,440 280 145 40,600
Loratadin 10 mg Tablet 986 109 107474 - - - 353 109 38,477 633 109 68,997
Magnesium Sulfas Inj. 20%-25ml Vial - - - 8 3580 28,640 - 3,580 - 8 3,580 28,640
Magnesium Sulfas Inj. 40%-25ml Vial 2 3580 7160 8 4090 32,720 - 4,090 - 10 4,090 39,880
Meloxicam 15 mg Tablet 505 717.76 362468.8 500 717.76 358,880 346 718 248,345 659 718 473,004
Metformin HCl 500 mg tab Tablet 1060 77 81620 1200 77 92,400 1394 77 107,338 866 77 66,682
Metildopa Tablet 250 mg Tablet 139 946 131494 - - - 139 946 131,494 946 -
Metilergometrin Tablet Salut 0,125 g Tablet - - - 100 214 21,400 25 214 5,350 75 214 16,050
Metilergometrin Maleat Injeksi 0,200 mg/ml Ampul 10 1023 10230 - - - - - 10 1,023 10,230
Metilprednison tablet 4 mg Tablet 185 102 18870 1500 102 153,000 1125 102 114,750 560 102 57,120
Multi vitamin syrup Botol 36 11980 431280 96 11980 1,150,080 132 11,980 1,581,360 11,980 -
N-asetil sistein 200 mg Kapsul 1682 271.167 456102.894 900 271.167 244,050 2582 271 700,153 271 -
Natrium Bikarbonat Tablet 500 mg Tablet 140 185 25900 - - - - - 140 185 25,900
Natrium Clorida Lrt. Infus 0,9% Steril Botol 32 6800 217600 - - - 22 6,800 149,600 10 6,800 68,000
Natrium Diklofenak 25 mg (ktk 50 tab) Tablet 576 114 65664 300 114 34,200 876 114 99,864 114 -
Neocenta gell Tube 13 15345 199485 30 15345 460,350 12 15,345 184,140 31 15,345 475,695
Nifedipin 10 mg Tablet 90 211 18990 - - - - - 90 211 18,990
Natrium Diklofenak 50 mg (ktk 50 tab) Tablet - - - 1500 188.7 283,050 958 189 180,775 542 189 102,275
Nistatin 100.000 IU/gram Tablet Vaginal Tablet 66 598 39468 - - - 9 598 5,382 57 598 34,086
Obat batuk kombinasi tablet Tablet 2070 528.66 1094326.2 2400 528.66 1,268,784 4088 529 2,161,162 382 529 201,948
Obat batuk kombinasi syrup Botol 72 8910 641520 - - - - - 72 8,910 641,520
Obat Batuk Hitam (OBH) Cairan- 100 ml Botol - - - 48 14402 691,296 48 14,402 691,296 14,402 -
Omeprazol Kaps 20 mg Kapsul 366 324.73 118851.18 600 128.99 77,394 521 129 138,845 445 129 57,401
Parasetamol Tablet 500 mg Tablet 4131 202.95 838386.45 11000 202.95 2,232,450 13644 203 2,769,050 1487 203 301,787
Permetrin krim 5% (Scabimite Krim) Tube 45 11250 506250 60 11250 675,000 37 11,250 416,250 68 11,250 765,000
Piroksikam 20 mg Tablet 318 222.75 70834.5 100 222.75 22,275 230 223 51,233 188 223 41,877
Prednison Tablet 5 mg Tablet 815 68 55420 - - - 198 68 13,464 617 68 41,956
Piridoksin HCl. Tablet Ampul 1257 222 279054 2000 149.85 299,700 2187 150 418,415 1070 150 160,340
Ranitidin tablet 150 mg Tablet 320 112 35840 2500 112 280,000 2228 112 249,536 592 112 66,304
Ringer Laktat Larutan Infus Steril-500 ml Botol 24 7630 183120 - - - - - 24 7,630 183,120
Salbutamol tablet 2 mg Tablet 393 48 18864 800 48 38,400 677 48 32,496 516 48 24,768
Salbutamol Sol.for inhalation Ampul 10 8910 89100 - - - - - 10 8,910 89,100
Salep 2-4, Kombinasi Pot 28 1410 50576 20 1410 28,200 24 1,410 44,936 24 1,410 33,840
Salisil Bedak 2%-75 gram Botol 42 5025 211050 - - - 42 5,025 211,050 5,025 -
Sefadroksil Tablet 500 mg Kapsul 1152 1428.572361658 1645715.36063 1700 1287 2,187,900 2408 1,429 3,262,187 444 1,287 571,428
Sefadroksil sirup kering 125mg/5ml Botol 47 3423.42 160900.74 60 3423.42 205,405 41 3,423 140,360 66 3,423 225,946
Sianokobalamin (Vit.B12) Tablet Tablet 1085 38.7387 42031.4895 900 38.7387 34,865 998 39 38,661 987 39 38,235
Simvastatin Tablet 10 mg Tablet 372 68 25296 1000 68 68,000 1085 68 73,780 287 68 19,516
Siprofloksasin 500 mg Tablet 324 248 80352 500 248 124,000 824 248 204,352 248 -
Stimuno Syrup Orange Berry 100 ml Botol 89 25548 2273772 - - - 34 25,548 868,632 55 25,548 1,405,140
Stimuno Forte Tablet 287 1763 505981 1200 1763 2,115,600 610 1,763 1,075,430 877 1,763 1,546,151
Tiamin HCI/Mononitrat (Vit.B1) Tablet 50 mg Tablet 613 42421 2200 57 125,400 2078 57 125,926 735 57 41,895
Vitamin B Komplek Tablet Tablet 732 57 41724 3000 57 171,000 2498 57 142,386 1234 57 70,338
ZINC Tablet dis 20 mg Tablet Disp 769 524 402956 500 524 262,000 1116 524 584,784 153 524 80,172
Albendazol Tablet 400 mg Tablet - - - 6500 367 2,385,500 6500 367 2,385,500 367 -
Besi (II) Sulfat + Asam Folat (Tablet Tambah Darah KombinasTablet 232344 226 70562032 - - - 197344 226 62,652,032 35000 226 7,910,000
Clozapin 25 mg (KTK 50 TAB) Tablet 2 1121 2242 200 473 94,600 32 473 16,432 170 473 80,410
Diazepam Injeksi 5 mg/ml-2 ml Ampul 6 10030 1735 - 4 1,735 6,940 2 1,545 3,090
Garam Oralit 200 ml air Sachet 1073 280 300440 500 257 128,500 1016 257 284,480 557 257 144,460
Gentamisin inj 40 mg/ 2 mL Ampul - - - 4 3355 13,420 3,355 - 4 3,355 13,420
Haloperidol Dekanoat Injeksi 50 mg/ml Ampul 5 101300 506500 10 101300 862,500 101,300 - 15 101,300 1,369,000
Haloperidol 5 mg Tablet Tablet - - - 2500 54 162,000 254 108 27,432 2246 54 134,568
Oksitosin Injeksi 10 IU/ml-1 ml Ampul 331 379296 - - - - - 331 1,126 379,296
Retinol (Vit.A) 100.000 IU Kapsul (biru) Kapsul Lunak - - - 500 305 152,500 500 305 152,500 305 -
Retinol (Vit.A) 200.000 IU Kapsul (merah) Kapsul Lunak - - - 4050 553 2,239,650 4050 553 2,239,650 553 -
Risperidon 2 mg Tablet - - - 5000 123 615,000 874 123 107,502 4126 123 507,498
Triheksifenidil Tablet Tablet - - - 5200 63 327,600 1112 63 70,056 4088 63 257,544
Obat Anti tuberkulosis FDC kategori I (INTERMITEN) Tablet - - - 16 419500 6,712,000 16 419,500 6,712,000 419,500 -
Obat Anti tuberkulosis KDT Dosis Harian Paket - - - 2 397612 795,224 2 397,612 795,224 397,612 -
Obat Anti tuberkulosis kategori anak Paket - - - 6 248120 1,490,943 7 248,120 1,490,943 248,120 -
Haloperidol injeksi 5 mg 3 6250 18750 6250 - 3 6,250 18,750 6,250 -
Isoniazid 300 MG/ Rifapentin 300mg (3HP) 6 239383 1,436,298 6 239,383 1,436,298
TOTAL 96,457,711 49,875,033 116,112,933.61358000 30,219,811
1 1 1 1