LAPORAN PENERIMAAN DAN PEMAKAIAN OBAT PROGRAM

JANUARI S/D DESEMBER 2021

TAHUN 2021
OBAT PROGRAM : KB
PUSKESMAS : BANTEN GIRANG

JANUARI FEBRUARI

SATUAN
TAHUN STOK AWAL HARGA OBAT PENERIMAAN PEMAKAIAN STOK AKHIR HARGA OBAT PENERIMAAN PEMAKAIAN STOK AKHIR
NO. NAMA OBAT
2021

OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp

1 IUD BUAH 2020 3 35,400.00 11,800.00 - - 1 11,800.00 2.00 23,600.00 11,800.00 - 1.00 11,800.00 1.00 11,800.00
IUD BUAH 2021 12,500.00 - - - - - -
2 IMPLAN BUAH 2020 8 1,401,448.00 175,181.00 - - 2 350,362.00 6.00 1,051,086.00 175,181.00 - 2.00 350,362.00 4.00 700,724.00
implan BUAH 2021 175,050.00 - - - - - -
3 SUNTIK VIAL 2020 619 3,769,710.00 6,090.00 - - 230 1,400,700.00 389.00 2,369,010.00 6,090.00 - 135.00 822,150.00 254.00 1,546,860.00
SUNTIK VIAL 2021 - - 6,090.00 - - - - - - 6,090.00 - - - -
SUNTIK VIAL 2021 11,210.00 - - - - - -
4 PIL Tablet 2020 320 485,760.00 1,518.00 - - 170 258,060.00 150.00 227,700.00 1,518.00 - 80.00 121,440.00 70.00 106,260.00
PIL Tablet 2021 1,153.00 - - - - - -
Mini pil Tablet 2021 4,017.00 - - - - - -
5 KONDOM dus 2020 2 8,000.00 4,000.00 - - - 2.00 8,000.00 4,000.00 - 1.00 4,000.00 1.00 4,000.00
KONDOM dus 2021 - - 4,100.00 - - - - - - 4,100.00 - - - -
5,700,318.00 - 2,020,922.00 3,679,396.00 - 1,309,752.00 2,369,644.00

Ket :
Mengetahui
Kepala UPT Puskesmas Banten Girang Pengelola Program Kb

(Hj. Yuheni, S.ST, M.Kes) Ratu syarifatul amnah.S.ST

Nip. 19670928 198902 2 003 Nip. 19830722 200902 2 006

Catatan :
Penerimaan barang disesuaikan dengan SBBK yang diterima dari Dinas Kesehatan maupun pihak selain Dinas Kesehatan baik jumlah, satuan dan harga satuan obat
Jika ada perubahan harga dari penerimaan sebelumnya, buatkan baris baru dibawahnya untuk membuktikan ada perubahan harga, beri tanda dengan menggunakan warna
 MARET APRIL MEI

HARGA OBAT PENERIMAAN PEMAKAIAN STOK AKHIR HARGA OBAT PENERIMAAN PEMAKAIAN STOK AKHIR HARGA OBAT PENERIMAAN PEMAKAIAN STOK AKHIR

OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp

11,800.00 - - 1 11,800.00 - - 11,800.00 - - - - - - 11,800.00 - - - - - -

12,500.00 - - - - 12,500.00 5 62,500.00 1 12,500.00 4 50,000.00 12,500.00 - 2 25,000.00 2 25,000.00
175,181.00 - - 4 700,724.00 - - 175,181.00 - - - - - - 175,181.00 - - - - - -
175,050.00 - - - - 175,050.00 5 875,250.00 1 175,050.00 4 700,200.00 175,050.00 - 2 350,100.00 2 350,100.00
6,090.00 - - 254 1,546,860.00 - - 6,090.00 - - - - - - 6,090.00 - - - - - -
6,090.00 - - - - 6,090.00 300 1,827,000.00 120 730,800.00 180 1,096,200.00 6,090.00 - - 150 913,500.00 30 182,700.00
11,210.00 - - - - 11,210.00 - - - - - 11,210.00 - - - -
1,518.00 - - 70 106,260.00 - - 1,518.00 - - - - - 1,518.00 - - - - - -
1,153.00 - - - - 1,153.00 100 115,300.00 30 34,590.00 70 80,710.00 1,153.00 - 40 46,120.00 30 34,590.00
4,017.00 - - - - 4,017.00 - - - - - 4,017.00 - - - -
4,000.00 - - 1 4,000.00 - - 4,000.00 - - - - - - 4,000.00 - - - - - -
4,100.00 - - - - 4,100.00 - - - - - - 4,100.00 - - - - -
- 2,369,644.00 - 2,880,050.00 952,940.00 1,927,110.00 - 1,334,720.00 592,390.00
 JUNI JULI AGUSTUS

HARGA OBAT PENERIMAAN PEMAKAIAN STOK AKHIR HARGA OBAT PENERIMAAN PEMAKAIAN STOK AKHIR HARGA OBAT PENERIMAAN PEMAKAIAN STOK AKHIR

OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp

11,800.00 - - - - - - 11,800.00 - - - - - - 11,800.00 - - - - - -

12,500.00 30 375,000.00 25 312,500.00 7 87,500.00 12,500.00 - 3 37,500.00 4 50,000.00 12,500.00 - 3 37,500.00 1 12,500.00
175,181.00 - - - - - - 175,181.00 - - - - - - 175,181.00 - - - - - -
175,050.00 35 6,126,750.00 30 5,251,500.00 7 1,225,350.00 175,050.00 - 2 350,100.00 5 875,250.00 175,050.00 - 3 525,150.00 2 350,100.00
6,090.00 - - - - - - 6,090.00 - - - - - - 6,090.00 - - - - - -
6,090.00 200 1,218,000.00 130 791,700.00 100 609,000.00 6,090.00 - - 50 304,500.00 50 304,500.00 6,090.00 - - 50 304,500.00 - -
11,210.00 - - - - 11,210.00 - - - - 11,210.00 - - - -
1,518.00 - - - - - - 1,518.00 - - - - - - 1,518.00 - - - - - -
1,153.00 100 115,300.00 50 57,650.00 80 92,240.00 1,153.00 - 40 46,120.00 40 46,120.00 1,153.00 - 40 46,120.00 - -
4,017.00 - - - - 4,017.00 - - - - 4,017.00 - - - -
4,000.00 - - - - - - 4,000.00 - - - - - - 4,000.00 - - - - - -
4,100.00 - - - - 4,100.00 - - - - - 4,100.00 - - - - -
7,835,050.00 6,413,350.00 2,014,090.00 - 738,220.00 1,275,870.00 - 913,270.00 362,600.00
 SEPTEMBER OKTOBER NOVEMBER

HARGA OBAT PENERIMAAN PEMAKAIAN STOK AKHIR HARGA OBAT PENERIMAAN PEMAKAIAN STOK AKHIR HARGA OBAT PENERIMAAN PEMAKAIAN STOK AKHIR

OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp

11,800.00 - - - - - - 11,800.00 - - - - - - 11,800.00 - - - - - -

12,500.00 25 312,500.00 20 250,000.00 6 75,000.00 12,500.00 25 312,500.00 5 62,500.00 26 325,000.00 12,500.00 - 6 75,000.00 20 250,000.00
175,181.00 - - - - - - 175,181.00 - - - - - - 175,181.00 - - - - - -
175,050.00 10 1,750,500.00 4 700,200.00 8 1,400,400.00 175,050.00 10 1,750,500.00 2 350,100.00 16 2,800,800.00 175,050.00 - 6 1,050,300.00 10 1,750,500.00
6,090.00 - - - - - - 6,090.00 - - - - - - 6,090.00 - - - - - -
6,090.00 - - - - - 6,090.00 - - - - - 6,090.00 - - - -
11,210.00 500 5,605,000.00 350 3,923,500.00 150 1,681,500.00 11,210.00 500 5,605,000.00 350 3,923,500.00 300 3,363,000.00 11,210.00 500 5,605,000.00 380 4,259,800.00 420 4,708,200.00
1,518.00 - - - - - - 1,518.00 - - - - - - 1,518.00 - - - - - -
1,153.00 500 576,500.00 270 311,310.00 230 265,190.00 1,153.00 - 100 115,300.00 130 149,890.00 1,153.00 500 576,500.00 150 172,950.00 480 553,440.00
4,017.00 - - - - 4,017.00 - - - - 4,017.00 500 2,008,500.00 170 682,890.00 330 1,325,610.00
4,000.00 - - - - - - 4,000.00 - - - - - - 4,000.00 - - - - - -
4,100.00 - - - - - 4,100.00 5 20,500.00 1 4,100.00 4 16,400.00 4,100.00 - - - - 4 16,400.00
8,244,500.00 5,185,010.00 3,422,090.00 7,688,500.00 4,455,500.00 6,655,090.00 8,190,000.00 6,240,940.00 8,604,150.00
 DESEMBER JANUARI S/D DESEMBER

HARGA OBAT PENERIMAAN PEMAKAIAN STOK AKHIR HARGA OBAT PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR

OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp

11,800.00 - - - - - - 11,800.00 - - 3 35,400.00 3 35,400.00 - -

12,500.00 - - - 20 250,000.00 12,500.00 85 1,062,500.00 85 1,062,500.00 65 812,500.00 20 250,000.00
175,181.00 - - - - - - 175,181.00 - - 8 1,401,448.00 8 1,401,448.00 - -
175,050.00 - - - 10 1,750,500.00 175,050.00 60 10,503,000.00 60 10,503,000.00 50 8,752,500.00 10 1,750,500.00
6,090.00 - - - - - - 6,090.00 - - 619 3,769,710.00 619 3,769,710.00 - -
6,090.00 - - - - - - 6,090.00 500 3,045,000.00 500 3,045,000.00 500 3,045,000.00 - -
11,210.00 500 5,605,000.00 400 4,484,000.00 520 5,829,200.00 11,210.00 2,000 22,420,000.00 2,000 22,420,000.00 1,480 16,590,800.00 520 5,829,200.00
1,518.00 - - - - - - 1,518.00 - - 320 485,760.00 320 485,760.00 - -
1,153.00 500 576,500.00 200 230,600.00 780 899,340.00 1,153.00 1,700 1,960,100.00 1,700 1,960,100.00 920 1,060,760.00 780 899,340.00
4,017.00 500 2,008,500.00 150 602,550.00 680 2,731,560.00 4,017.00 1,000 4,017,000.00 1,000 4,017,000.00 320 1,285,440.00 680 2,731,560.00
4,000.00 - - - - - - 4,000.00 - - 2 8,000.00 2 8,000.00 - -
4,100.00 - - 1 4,100.00 3 12,300.00 4,100.00 5 20,500.00 5 20,500.00 2 8,200.00 3 12,300.00
8,190,000.00 5,321,250.00 - 11,472,900.00 43,028,100.00 48,728,418.00 37,255,518.00 11,472,900.00
LAPORAN PENERIMAAN DAN PEMAKAIAN OBAT PROGRAM
JANUARI S/D DESEMBER 2018
TAHUN 2018
OBAT PROGRAM : GIZI
PUSKESMAS : BANTEN GIRANG

JANUARI FEBRUARI

SATUAN
STOK AWAL HARGA OBAT PENERIMAAN PEMAKAIAN STOK AKHIR HARGA OBAT PENERIMAAN PEMAKAIAN STOK AKHIR
TAHUN
NO. NAMA OBAT
2017

OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT

1 Biskuit Balita kg 2017 538 28,110,500.00 52,250.00 - 0.00 15 783,750.00 523 27,326,750.00 52,250.00 0 0.00 16 836,000.00 507
Biskuit Balita kg 2018 - 0.00 0.00 - 0.00 0 0.00 0 0.00 0.00 0 0.00 0 0.00 0
2 Biskuit Bumil kg 2017 117 7,528,950.00 64,350.00 - 0.00 20 1,287,000.00 97 6,241,950.00 64,350.00 0 0.00 12 772,200.00 85
Biskuit Bumil kg 2018 - 0.00 0.00 - 0.00 0 0.00 0 0.00 0.00 0 0.00 0 0.00 0
3 Formula 75 Scht 2017 168 794,640.00 4,730.00 - 0.00 84 397,320.00 84 397,320.00 4,730.00 0 0.00 84 397,320.00 0
4 Formula 100 Scht 2017 630 2,979,900.00 4,730.00 - 0.00 315 1,489,950.00 315 1,489,950.00 4,730.00 0 0.00 315 1,489,950.00 0
5 TTD Tablet 2017 95,040 33,454,080.00 352.00 - 0.00 15,510 5,459,520.00 79,530 27,994,560.00 352.00 0 0.00 4,230 1,488,960.00 75,300
6 VIT A kapsul 2018 - 0.00 715.00 8,500 6,077,500.00 0 0.00 8,500 6,077,500.00 715.00 0 0.00 4,250 3,038,750.00 4,250
72,868,070.00 6,077,500.00 9,417,540.00 69,528,030.00 0.00 8,023,180.00

Ket :
Mengetahui
Kepala UPT Puskesmas Banten Girang Pengelola Program Gizi

(Hj. Yuheni, S.ST, M.Kes) (Maya Sinaga)

Nip. 19670928 198902 2 003 Nip. 19680416 199403 2 005

Catatan :
Penerimaan barang disesuaikan dengan SBBK yang diterima dari Dinas Kesehatan maupun pihak selain Dinas Kesehatan baik jumlah, satuan dan harga satuan obat
Jika ada perubahan harga dari penerimaan sebelumnya, buatkan baris baru dibawahnya untuk membuktikan ada perubahan harga, beri tanda dengan menggunakan warna
STOK AKHIR

Rp

26,490,750.00
0.00
5,469,750.00
0.00
0.00
0.00
26,505,600.00
3,038,750.00
61,504,850.00
 MARET APRIL MEI

HARGA OBAT PENERIMAAN PEMAKAIAN STOK AKHIR HARGA OBAT PENERIMAAN PEMAKAIAN STOK AKHIR HARGA OBAT PENERIMAAN PEMAKAIAN STOK AKHIR HARGA OBAT

OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp

25,520.00 0 0.00 16 408,320.00 491 12,530,320.00 25,520.00 0 0.00 12 306,240.00 479 12,224,080.00 52,250.00 0 0.00 12 627,000.00 467 24,400,750.00 52,250.00
0.00 0 0.00 0 0.00 0 0.00 0.00 0 0.00 0 0.00 0 0.00 0.00 0 0.00 0 0.00 0 0.00 0.00
64,350.00 0 0.00 7 450,450.00 78 5,019,300.00 64,350.00 0 0.00 0 0.00 78 5,019,300.00 64,350.00 0 0.00 0 0.00 78 5,019,300.00 64,350.00
0.00 0 0.00 8 0.00 0 0.00 0.00 0 0.00 0 0.00 0 0.00 0.00 0 0.00 0 0.00 0 0.00 0.00
4,730.00 0 0.00 0 0.00 0 0.00 4,730.00 0 0.00 0 0.00 0 0.00 4,730.00 0 0.00 0 0.00 0 0.00 4,730.00
4,730.00 0 0.00 0 0.00 0 0.00 4,730.00 0 0.00 0 0.00 0 0.00 4,730.00 0 0.00 0 0.00 0 0.00 4,730.00
352.00 0 0.00 4,230 1,488,960.00 71,070 25,016,640.00 352.00 0 0.00 4,230 1,488,960.00 66,840 23,527,680.00 352.00 0 0.00 4,230 1,488,960.00 62,610 22,038,720.00 352.00
715.00 0 0.00 0 0.00 4,250 3,038,750.00 715.00 0 0.00 0 0.00 4,250 3,038,750.00 715.00 0 0.00 0 0.00 4,250 3,038,750.00 715.00
0.00 2,347,730.00 45,605,010.00 0.00 1,795,200.00 43,809,810.00 0.00 2,115,960.00 54,497,520.00
 JUNI JULI AGUSTUS SEPTEM

PENERIMAAN PEMAKAIAN STOK AKHIR HARGA OBAT PENERIMAAN PEMAKAIAN STOK AKHIR HARGA OBAT PENERIMAAN PEMAKAIAN STOK AKHIR HARGA OBAT PENERIMAAN

OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT

0 0.00 9 470,250.00 458 23,930,500.00 52,250.00 0 0.00 0 0.00 458 23,930,500.00 52,250.00 0 0.00 0 0.00 458 23,930,500.00 52,250.00 0
0 0.00 0 0.00 0 0.00 0.00 0 0.00 0 0.00 0 0.00 0.00 0 0.00 0 0.00 0 0.00 0.00 0
0 0.00 0 0.00 78 5,019,300.00 64,350.00 0 0.00 0 0.00 78 5,019,300.00 64,350.00 0 0.00 0 0.00 78 5,019,300.00 64,350.00 0
0 0.00 0 0.00 0 0.00 0.00 0 0.00 0 0.00 0 0.00 0.00 0 0.00 0 0.00 0 0.00 0.00 0
0 0.00 0 0.00 0 0.00 4,730.00 0 0.00 0 0.00 0 0.00 4,730.00 0 0.00 0 0.00 0 0.00 4,730.00 0
0 0.00 0 0.00 0 0.00 4,730.00 0 0.00 0 0.00 0 0.00 4,730.00 0 0.00 0 0.00 0 0.00 4,730.00 0
0 0.00 4,230 1,488,960.00 58,380 20,549,760.00 352.00 0 0.00 4,230 1,488,960.00 54,150 19,060,800.00 352.00 0 0.00 4,230 1,488,960.00 49,920 17,571,840.00 352.00 0
0 0.00 0 0.00 4,250 3,038,750.00 715.00 0 0.00 0 0.00 4,250 3,038,750.00 715.00 0 0.00 4,250 3,038,750.00 0 0.00 715.00 0
0.00 1,959,210.00 52,538,310.00 0.00 1,488,960.00 51,049,350.00 0.00 4,527,710.00 46,521,640.00
 SEPTEMBER OKTOBER NOVEMBER

PENERIMAAN PEMAKAIAN STOK AKHIR HARGA OBAT PENERIMAAN PEMAKAIAN STOK AKHIR HARGA OBAT PENERIMAAN PEMAKAIAN STOK AKHIR

Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp

0.00 0 0.00 458 23,930,500.00 52,250.00 0 458 23,930,500.00 0 0.00 52,250.00 0 0.00 0 0.00 0 0.00
0.00 0 0.00 0 0.00 73,645.00 161 11,877,465.60 0 0.00 161 11,877,465.60 73,645.00 0 0.00 81 5,965,245.00 80 5,912,220.60
0.00 6 386,100.00 72 4,633,200.00 64,350.00 0 0.00 72 4,633,200.00 0 0.00 359,985.00 0 0.00 0 0.00 0 0.00
0.00 0 0.00 0 0.00 88,275.00 588 51,905,700.00 0 0.00 588 88,275.00 359,985.00 0 0.00 0 0.00 588 211,671,180.00
0.00 0 0.00 0 0.00 4,730.00 0 0.00 0 0.00 0 0.00 4,730.00 0 0.00 0 0.00 0 0.00
0.00 0 0.00 0 0.00 4,730.00 0 0.00 0 0.00 0 0.00 4,730.00 0 0.00 0 0.00 0 0.00
0.00 4,230 1,488,960.00 45,690 16,082,880.00 352.00 0 0.00 4,230 1,488,960.00 41,460 14,593,920.00 352.00 0 0.00 4,230 1,488,960.00 37,230 13,104,960.00
0.00 0 0.00 0 0.00 715.00 0 0.00 0 0.00 0 0.00 715.00 0 0.00 0 0.00 0 0.00
0.00 1,875,060.00 44,646,580.00 63,783,165.60 30,052,660.00 26,559,660.60 0.00 7,454,205.00 230,688,360.60
 DESEMBER JANUARI S/D DESEMBER

HARGA OBAT PENERIMAAN PEMAKAIAN STOK AKHIR HARGA OBAT PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR

OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp

52,250.00 0 0.00 0 0.00 0 0.00 52,250.00 0 0.00 538 28,110,500.00 538 28,110,500.00 0 0.00
73,645.00 0 0.00 80 5,891,600.00 0 20,620.60 73,645.00 161 11,877,465.60 161 11,877,465.60 161 11,856,845.00 0 0.00
64,350.00 0 0.00 0 0.00 0 0.00 64,350.00 0 0.00 117 7,528,950.00 117 7,528,950.00 0 0.00
88,275.00 0 0.00 67 5,914,425.00 521 45,991,275.00 88,275.00 588 51,905,700.00 588 51,905,700.00 67 5,914,425.00 521 45,991,275.00
4,730.00 0 0.00 0 0.00 0 0.00 4,730.00 0 0.00 168 794,640.00 168 794,640.00 0 0.00
4,730.00 0 0.00 0 0.00 0 0.00 4,730.00 0 0.00 630 2,979,900.00 630 2,979,900.00 0 0.00
352.00 0 0.00 1,980 696,960.00 35,250 12,408,000.00 352.00 0 0.00 95,040 33,454,080.00 59,790 21,046,080.00 35,250 12,408,000.00
715.00 0 0.00 0 0.00 0 0.00 715.00 8,500 6,077,500.00 8,500 6,077,500.00 8,500 6,077,500.00 0 0.00
0.00 12,502,985.00 58,419,895.60 69,860,665.60 142,728,735.60 84,308,840.00 58,399,275.00

142,728,735.60 84,329,460.60
58,419,895.60