RENCANA KEBUTUHAN OBAT PADA FASILITAS KESEHATAN TINGKAT PERTAMA (FKTP) TAHUN 2021

SATUAN KERJA : UPT. PUSKESMAS TANJUNG BERINGIN

KECAMATAN : LUNANG
KABUPATEN : PESISIR SELATAN

PEMAKAIAN
SISA STOK
RATA-RATA JUMLAH RENCANA RENCANA HARGA
SATUAN PER 31
NO NAMA OBAT PER BULAN KEBUTUHAN KEBUTUHAN PENGADAAN SATUAN TOTAL (RP)
TERKECIL DESEMBER
SELAMA TAHUN TAHUN 2021 TAHUN 2021 TAHUN 2021 TERKECIL
2020
2020

1 2 3 4 5 6 7 8 9 10
01 ALBENDAZOL TAB 200 MG TAB 990 - - (990) (990) 452 (447,480)
02 ALLOPURINOL TABLET 100 MG TAB 4,810 300 5,400 590 590 105 61,950
03 AMBROKSOL SIRUP BTL - - - - - -
04 AMBROXOL TAB 30 MG TAB 2,470 700 12,600 10,130 10,130 210 2,127,300
05 AMINOFILLIN INJ 24 MG/ML-10 ML AMP 155 2 36 (119) (119) 2,976 (354,144)
06 AMINOFILLIN TABLET 150 MG BTL - 60 1,080 1,080 1,080 152 164,160
07 AMITRIPTILIN HCL TABLET SALUT 25 MG TAB 2,590 10 180 (2,410) (2,410) 168 (404,880)
08 AMLODIPIN 5 MG TAB TAB - 500 9,000 9,000 9,000 78 702,000
09 AMOKSISILIN KAPSUL 500 MG TAB 10,460 2,100 37,800 27,340 27,340 261 7,135,740
10 AMOKSISILIN SIRUP KERING 125 MG/ 5 ML BTL - 20 360 360 360 -
11 AMOKSISILIN SIRUP KERING 250 MG/ 5 ML BTL - - - - - 3,737 -
12 ANTALGIN (METAMPIRON)TABLET 500 MG TAB - - - - - -
13 ANTASIDA DOEN KOMBINASI SUSPENSI BTL 163 20 360 197 197 2,189 431,233
14 ANTASIDA DOEN TABLET KOMBINASI TAB 10,520 2,000 36,000 25,480 25,480 60 1,528,800
15 ANTI FUNGI DOEN SLP POT - 5 90 90 90 5,038 453,420
16 ANTI HEMOROID KOMB, SUPPOS SUPPOS 40 6 108 68 68 3,325 226,100
17 ANTIMIGRAIN DOEN KOMBINASI (ERGOT+COFEIN) TAB - - - - - 194 -
18 ASAM ASKORBAT (VIT C) TABLET 250 MG TAB - - - - - -
19 ASAM ASKORBAT (VIT C) TABLET 50 MG TAB 11,000 1,000 18,000 7,000 7,000 110 770,000
20 ASAM MEFENAMAT TAB 500 MG TAB - 1,000 18,000 18,000 18,000 103 1,854,000
21 ASIKLOVIR KRIM TUBE 37 10 180 143 143 3,303 472,329
22 ASIKLOVIR TABLET 400 MG TAB 2,625 200 3,600 975 975 426 415,350
23 ATROPIN INJ 0,25 MG/ML AMP 100 1 18 (82) (82) 1,694 (138,908)
24 ATROPIN SULFAT TAB 0,5 MG TAB - - - - - -
25 BENZATIN BENZIN PENISILIN INJ VIAL - - - - - -
26 BETAHISTIN MESILAT TAB 6 MG TAB - 500 9,000 9,000 9,000 110 990,000
27 BETAMETASON KRIM 0,1 % TUBE 123 27 494 371 371 1,430 529,815
28 CETRIZINE KAP 10 MG KAPS 2,450 500 9,000 6,550 6,550 101 661,550
29 CHLORAMEX KAPS 500 MG TAB 435 200 3,600 3,165 3,165 1,222 3,867,630
30 CIPROFLOKSACIN TABLET 500 MG TAB - 500 9,000 9,000 9,000 272 2,448,000
31 DEKSAMETASON INJ 5 MG/ML-1 ML AMP 38 3 54 16 16 1,152 18,432
32 DEKSAMETASON TABLET 0,5 MG TAB - 600 10,800 10,800 10,800 114 1,231,200
33 DIAZEPAM 5 MG TAB TAB 1,634 20 360 (1,274) (1,274) 114 (145,236)
34 DIAZEPAM INJEKSI 5 MG/ML-2 ML AMP 38 1 18 (20) (20) 1,822 (36,440)
35 DIAZEPAM TABLET 2 MG TAB - 20 360 360 360 86 30,960
36 DIFENHIDRAMIN INJ 10 MG/ML - 1ML AMP 178 11 198 20 20 1,228 24,560
37 DIGOKSIN TABLET 0,25 MG TAB - - - - - 104 -
38 DILTIAZEM TAB 30 MG TAB - - - - - 133 -
39 DOMPERIDON SYRUP BTL - 5 90 90 90 2,781 250,290
40 DOMPERIDONE TAB 10 MG TAB 1,680 300 5,400 3,720 3,720 86 319,920
41 EFINEFRINHCL BITARTRAT(ADRENALIN)INJ 0,1 %-1ML AMP 96 1 18 (78) (78) 1,408 (109,824)
42 ERYTROMISIN KAPSUL 250 MG TAB - - - - - 615 -
43 ETAKRIDIN (RIVANOL) LARUTAN 0,1 % BTL - 4 78 78 78 2,933 228,774
44 ETANOL 70% 100 ML BTL 122 2 36 (86) (86) 5,600 (481,600)
45 ETIL KLORIDA SEMPROT BTL - - - - - -
46 ERGOTAMIN TAB TAB - - - - - 194 -
47 FENOBARBITAL 30 MG TAB TAB 1,847 200 3,600 1,753 1,753 180 315,540
48 FENOBARBITAL INJ 5 MG/ML-2 ML AMP 60 1 18 (42) (42) 2,081 (87,402)
49 FENOKSIMETILPENISILINA TABLET 250 MG TAB - - - - - -
50 FENOKSIMETILPENISILINA TABLET 500 MG TAB - - - - - 660 -
51 FENOL GLISEROL TETES TELINGA 10 % BTL 30 5 90 60 60 2,764 165,840
52 FITOMENADION (VIT K1) INJ 10 MG/ML AMP 129 10 180 51 51 -
53 FITOMENADION (VIT K1) TABLET SALUT 10 MG TAB 4,520 300 5,400 880 880 797 701,360
54 FITOMENADION INJ 2 MG/ML AMP - - - - - 3,867 -
55 FUROSEMID TABLET 40 MG TAB 2,910 100 1,800 (1,110) (1,110) 82 (91,020)
56 GARAM ORALIT UNTUK 200 ML AIR SACHET 1,394 200 3,600 2,206 2,206 274 604,444
57 GENTAMISIN SULFAT TTS MATA 0.3 % BTL 162 20 360 198 198 4,452 881,496
58 GENTIAN VIOLET 10 ML BTL - - - - - -
59 GLIBENKLAMID TABLET 5 MG TAB 1,810 100 1,800 (10) (10) 125 (1,250)
60 GLISERIN BTL - - - - - -
61 GLUKOSA LARUTAN INFUS 10 % BTL - - - - - 8,003 -
62 GLUKOSA LARUTAN INFUS 5 % BTL 92 10 180 88 88 7,363 647,944
63 GRISEOPULFIN TABLET 125 MG,MICRONIZED TAB 830 200 3,600 2,770 2,770 217 601,090
64 HALOPERIDOL 5 MG TAB TAB - - - - - 60 -
65 HALOPERIDOL TABLET 0,5 MG TAB - - - - - 55 -
66 HALOPERIDOL TABLET 1,5 MG TAB 770 10 180 (590) (590) 59 (34,810)
67 HEMAFORT TAB TAB - - - - - -
68 HIDROKLORTIAZID TAB 25 MG TAB 1,500 100 1,800 300 300 163 48,900
69 HIDROKORTISON KRIM 2,5 % TUBE 160 20 360 200 200 2,475 495,000
70 HUSTAB TAB TAB - - - - - -
71 IBU PROFEN SUSPENSI BTL - 10 180 180 180 2,776 499,680
72 IBUPROFEN TABLET 200 MG TAB - 500 9,000 9,000 9,000 -
73 IBUPROFEN TABLET 400 MG/ETAFEN TAB 2,380 1,000 18,000 15,620 15,620 130 2,030,600
74 ISONIAZID TAB 100 MG TAB - - - - - 78 -
75 ISOSORBIT DINITRAT TABLET 100 MG TAB - 10 180 180 180 -
76 KALIUM PERMANGGANAT ( PK ) POT - - - - - -
77 KALSIUM LAKTAT 500 TAB TAB 9,130 1,000 18,000 8,870 8,870 63 558,810
78 KAPTOPRIL TABLET 12,5 MG TAB 9,275 968 17,415 8,140 8,140 68 553,520
79 KAPTOPRIL TABLET 25 MG TAB 180 500 9,000 8,820 8,820 130 1,146,600
80 KARBAMAZEPIN TABLET 200 MG TAB - - - - - 247 -
81 KETOKONAZOL KRIM TUBE 50 10 180 130 130 2,518 327,340
82 KLORAMFENIKOL 1% SALEP MATA TUBE 73 17 308 235 235 2,007 470,641
83 KLORAMFENIKOL KAPSUL 500 MG KAPS - - - - - 1,222 -
84 KLORAMFENIKOL SUSPENSI 125 MG/5 ML BTL - - - - - -
85 KLORAMFENIKOL TTS TELINGA 3 % BTL 16 5 90 74 74 8,250 610,500
86 KLORFENIRAMIN MALAEAT TAB 4 MG (ktk @ 100 TAB) TAB 10,085 2,000 36,000 25,915 25,915 25 647,875
87 KLORPROMAZIN HCL TABLET SALUT 100 MG TAB 1,190 - - (1,190) (1,190) 257 (305,711)
88 KLORPROMAZIN HCL TABLET SALUT 25 MG TAB - - - - - -
89 KLORPROMAZIN INJ 25 MG/ML AMP - - - - - 1,398 -
90 KOTRIMOKSAZOL DEWASA TABLET KOMB TAB 3,965 1,000 18,000 14,035 14,035 133 1,866,655
91 KOTRIMOKSAZOL PEDIATRIK TABLET KOMB TAB - - - - - -
92 KOTRIMOKSAZOL SUSPENSI BTL 83 10 180 97 97 2,190 212,430
93 KUININ (KINA) TAB 200 MG TAB 1,160 2 30 (1,130) (1,130) 732 (827,160)
94 LANSOPRAZOL TAB 30 MG TAB 1,300 400 7,200 5,900 5,900 323 1,905,700
95 LIDOKAIN INJ 2 % AMP 178 30 540 362 362 1,289 466,618
96 LIDOKAIN INJEKSI 2 % + EFINERFIN AMP - - - - - 1,286 -
97 HALDOL DECANOAT INJ AMP 29 - - (29) (29) 101,300 (2,937,700)
98 LOPERAMID TAB TAB - 100 1,800 1,800 1,800 -
99 METFORMIN TAB 500 MG TAB 7,370 1,000 18,000 10,630 10,630 106 1,126,780
100 METIL ERGOMETRIN MALEAT INJ 0,2 MG/ML AMP 195 7 132 (63) (63) 3,102 (195,426)
101 METIL PREDNISOLON TAB 4 MG TAB 1,710 200 3,600 1,890 1,890 146 275,940
102 METOKLOPROPAMID TAB 10 MG TAB - 200 3,600 3,600 3,600 85 306,000
103 METRONIDAZOL TABLET 250 MG TAB - - - - - -
104 MGSO4 40 % VIAL - 1 18 18 18 -
105 MIKONAZOL KRIM 2 % TUBE 21 20 360 339 339 3,585 1,215,315
106 N- ASETIL SISTEIN TAB TAB 910 500 9,000 8,090 8,090 381 3,082,290
107 NATRIUM DIKLOFENAK 50 MG TAB - 500 9,000 9,000 9,000 -
108 NATRIUM KLORIDA LARUTAN INFUS 0,9 % STERIL BTL 189 30 540 351 351 6,840 2,400,840
109 NIFEDIFIN TAB 10 MG TAB - 20 360 360 360 -
110 NACL SATORIA TAB - - - - - 6,840 -
111 OBH INDO PLUS BTL - - - - - 10,725 -
112 OKSITOSIN INJEKSI 10 IU/ML-1 ML AMP 166 4 71 (96) (96) 1,199 (114,505)
113 PARASETAMOL SIRUP 120 MG/5 ML BTL 114 41 729 615 615 1,181 726,315
114 PARASETAMOL TABLET 500 MG TAB 10,580 3,178 57,210 46,630 46,630 178 8,281,488
115 PIRANTEL PAMOAT SYRUP BTL - 7 120 120 120 322 38,640
116 PIRANTEL PAMOAT TABLET 125 MG TAB 478 10 180 (298) (298) 302 (89,996)
117 PIRIDOKSIN HCL TABLET 10 MG TAB 2,190 500 9,000 6,810 6,810 138 939,780
118 PIROKSIKAM 10 MG TAB TAB - - - - - -
119 PIROKSIKAM 20 MG TAB TAB - 400 7,200 7,200 7,200 413 2,973,600
120 PREDNISON TABLET 5 MG TAB 7,785 700 12,600 4,815 4,815 77 370,755
121 PROPILTIOURASIL TABLET 100 MG TAB - - - - - 586 -
122 PROPANOLOL HCL TAB 10 MG TAB - - - - - 61 -
123 RANITIDIN 150 TAB TAB - 600 10,800 10,800 10,800 -
124 RETINOL (VIT A) KAPS 200.000 IU KAPS - 5 90 90 90 581 52,290
125 RETINOL (VIT A) KAPS 100.000 IU KAPS - 5 90 90 90 324 29,160
126 RINGER LAKTAT LARUTAN INFUS STERIL BTL 125 111 1,995 1,870 1,870 7,630 14,268,100
127 RISPERIDON TAB 2 MG TAB 1,450 10 180 (1,270) (1,270) 240 (304,800)
128 SALAP 24 KOMB POT 71 10 180 109 109 2,938 320,242
129 SALBUTAMOL TABLET 2 MG TAB 8,030 500 9,000 970 970 67 64,990
130 SALBUTAMOL TABLET 4 MG TAB - - - - - -
131 SALISILK BEDAK 2% KTK - 5 90 90 90 -
132 SCABIMITE KRIM TUBE - 5 90 90 90 11,825 1,064,250
133 SIANOKOBALAMIN (VIT B12) INJ 500 MCG/ML AMP 63 12 221 158 158 1,136 178,920
134 SIANOKOBALAMIN TAB 50 MCG TAB - 200 3,600 3,600 3,600 50 180,000
135 SIMVASTATIN 10MG TAB TAB 1,530 200 3,600 2,070 2,070 117 242,190
136 STESOLID SUPPOS (DIAZEPAM ENEMA) SUPPOS 49 1 18 (31) (31) 13,202 (409,262)
137 TABLET TAMBAH DARAH KOMBINASI SACHET - 1,000 18,000 18,000 18,000 372 6,696,000
138 TETAGAM AMP 6 - - (6) (6) 188,663 (1,131,978)
139 TETRASIKLIN HCL KAPSUL 250 MG TAB - - - - - -
140 TETRASIKLIN HCL KAPSUL 500 MG TAB - - - - - 323 -
141 THIAMIN HCL (VIT B1) INJ 100 MG/ML-1ML AMP - - - - - -
142 THIAMIN HCL MONONITRAT (VITB1) TAB 50 MG TAB 5,655 868 15,630 9,975 9,975 92 917,700
143 TRIHEKSILFENIDIL TAB TAB - 100 1,800 1,800 1,800 93 167,400
144 VITAMIN B KOMPLEK TABLET TAB 7,425 1,055 18,990 11,565 11,565 131 1,515,015
145 YODIUM POVIDON LARUTAN 10 % 30 ML BTL - 1 18 18 18 3,306 59,508
146 YODIUM POVIDON LARUTAN 10 % 300 ML BTL 40 1 14 (27) (27) 24,150 (639,975)
147 ZINC SYRUP BTL 72 10 180 108 108 3,322 358,776
148 ZINC TAB 20 MG TAB 2,730 300 5,400 2,670 2,670 551 1,471,170
BAHAN LABOR - - - - - -
149 AQUADEST BTL - - - - - -
150 LARUTAN ASAM ASETAT 6 % BTL - - - - - -
151 LARUTAN BENEDICT BTL - - - - - 23,993 -
152 LARUTAN CARBOL FUCHSIN 0,3 % BTL - - - - - 139,490 -
153 LARUTAN EOSIN 2 % BTL - - - - - 180,268 -
154 LARUTAN FOUCHET BTL - - - - - 179,793 -
155 LARUTAN GABET BTL - - - - - -
156 LARUTAN GIEMSA STAIN BTL - - - - - 360,293 -
157 LARUTAN HAYEM BTL - - - - - -
158 LARUTAN HCL 0.1 N BTL - - - - - 23,993 -
159 LARUTAN KINYOUN BTL - - - - - -
160 LARUTAN NAOH 0.1 % BTL - - - - - -
161 LARUTAN TURK BTL - - - - - 27,793 -
162 LARUTAN IMMERSION OIL BTL - - - - - 371,693 -
163 LARUTAN BARIUM CLORIDA BTL - - - - - 38,243 -
164 OBJEK GLASS ONELAB BOKS - - - - - 19,365 -
165 DEC GLASS ONELAB PACK - - - - - 138,318 -
166 LARUTAN METILEN BLUE BTL - - - - - -
167 LANSET DARAH/BLOOD LANSET PCS 40 - - (40) (40) 15,877 (635,080)
168 ALKOHOL 70 % BTL - - - - - 31,625 -
169 LISOL BTL - - - - - -
170 EDTA 10 % BTL - - - - - 78,143 -
171 AMMONIUM OKSALAT 1 % BTL - - - - - -
172 HB SAHLI SET - - - - - 96,800 -
173 LANSET DARAH ONEMED BLOOD LANCET BOX - - - - - 14,000 -
174 REES ECKER BTL - - - - - 50,593 -
175 ALKOHOL SWAB (HIV) BOX - - - - - 12,000 -
176 HANSCOON SAFE GLOVES NO.7 PSG - - - - - 4,680 -
177 SAFETY BOX (HIV) BOx - - - - - 17,287 -
178 SURGIKAL MASK (HIV) BOX - - - - - 17,150 -
179 SABUN ANTI BAKTERI BTL - - - - - 30,360 -
PERBEKALAN KESEHATAN - - - - - -
181 ALAT SUNTIK SEKALI PAKAI 0,05 ML PCS - - - - - 1,354 -
182 ALAT SUNTIK SEKALI PAKAI 2,5 ML SET 400 50 900 500 500 928 464,000
183 BD SOLOSHOT MINI 0.5 TAB - - - - - 1,307 -
184 CAT GUT/BENANG BEDAH NO.2/0 {CHROMIC) ONEMED PCS 72 - - (72) (72) 6,142 (442,224)
185 CAT GUT/BENANG BEDAH NO.3/0 (PLAIN%CHROMIC) PCS 120 20 360 240 240 -
186 CAT GUT/BENANG BEDAH NO.3/0 DEMETECH PCS 153 10 180 27 27 31,083 839,250
187 FIXOMUL ROL - - - - - 37,440 -
188 HANDSCOON 7 PSG 224 50 900 676 676 6,595 4,458,220
189 DISPOSAPE 2,5 ML PCS - - - - - 15,820 -
190 INFUSION SET ANAK SET 146 20 360 214 214 5,415 1,158,810
191 INFUSION SET DEWASA (AXIMED) SET 194 30 540 346 346 5,096 1,763,216
192 IV CATETER NO.18 PCS 250 30 540 290 290 6,277 1,820,330
193 IV CATETER NO.20 PCS 258 20 360 102 102 6,277 640,254
194 IV CATETER NO.22 PCS 400 30 540 140 140 6,239 873,460
195 IV CATETER NO.24 PCS 384 10 180 (204) (204) 6,239 (1,272,756)
196 KAPAS PEMBALUT /ABSORBEN 250 MG BKS 31 4 72 41 41 29,900 1,225,900
197 KASA PEMBALUT HIDROFIL 4 M X 15 Cm ROL - 5 90 90 90 2,310 207,900
198 KASA HIDROFIL STERIL 16 X 16 KTK - - - - - 8,800 -
199 KASA KOMPRES 40/40 CM STERIL ROL - 10 180 180 180 1,744 313,920
200 KASA PEMBALUT 2 M X 80 cm ROL 82 - - (82) (82) 8,470 (694,540)
201 KASA PEMBALUT HIDROFIL 4 M X 3 Cm ROL - - - - - 893 -
202 KASA PEMBALUT HIDROFIL 4 M X 10 CM ROL - - - - - 1,650 -
203 KASA PEMBALUT HIDROFIL 4 M X 5 CM ROL 60 - - (60) (60) 1,171 (70,260)
204 KASA PEMBALUT HIDROFIL 40 M X 80 CM ROL - - - - - 156,600 -
205 LEUKOPLAS 2,5 CM X 4,5 M ROL 155 2 36 (119) (119) 12,076 (1,437,044)
206 MASKER PCS - 100 1,800 1,800 1,800 18,150 32,670,000
207 MASKER N 95 BOX - 2 36 36 36 143,264 5,157,504
208 POLICLEAN HANDRUB BTL 60 15 270 210 210 78,200 16,422,000
209 WATER ONE 1 LITER BTL - - - - - 16,698 -
210 POLIWASH BTL 54 5 90 36 36 58,300 2,098,800
211 SILK BS656-1 PCS - - - - - 39,799 -
212 SILK 3/0 HR 27, 75 CM PCS 144 20 360 216 216 40,109 8,663,596
213 HANSCOON 6,5 PCS - - - - - 6,595 -
214 SILK BLACK 3/0 HR 30 PCS - - - - - 20,186 -
215 AQUA PRO INJEKSI VIAL - 1 18 18 18 2,860 51,480
216 DOKSISIKLIN TAB KAPS - - - - - -
217 EFEDRIN HCL TAB TAB - - - - - -
218 KUININ SULFAT TAB - - - - - -
219 METIL ERGOMETRIN MALEAT TAB 0,125 MG TAB 1,070 200 3,600 2,530 2,530 236 597,080
220 NATRIUM KARBONAT TAB TAB - - - - - -
221 NISTATIN VAGINAL TAB TAB - - - - - -
222 OKSITETRASIKLIN SLP KULIT 3 % TUBE - 20 360 360 360 -
223 OKSITETRASIKLIN SLP MATA 1 % TUBE 64 10 180 116 116 2,774 321,784
224 PARASETAMOL TAB 100 MG TAB - - - - - -
225 SIMETIDIN TAB TAB - - - - - -
226 ERITROMISIN 500 MG TAB - - - - - -
227 RANITIDIN INJEKSI AMP - - - - - 1,188 -
228 WING NEEDLE 25 G SET - - - - - 1,540 -
229 ETIL KLORIDA SEMPROT VIAL 2 1 9 7 7 165,000 1,155,000
230 SERUM ANTI BISA ULAR VIAL 1 1 9 8 8 512,204 4,097,632
231 ANTI SERUM TETANUS (SERUM ATS) AMP 43 1 18 (25) (25) 130,999 (3,274,975)
232 BISAKODIL TAB TAB - 50 900 900 900 306 275,400
233 ALAT SUNTIK 5 ML SET 110 20 360 250 250 928 232,000
234 AMLODIPIN 10 MG TAB TAB - 300 5,400 5,400 5,400 -
235 ALKOHOL SWAB E CARE KTK 26 5 90 64 64 20,467 1,309,888
236 BIOPLASENTON TULLE KTK 20 1 18 (2) (2) 104,000 (208,000)
237 DEMETECH CATGUT 3/0 SET - - - - - 60,506 -
238 SARUNG TANGAN 6,5 CHIRURGIC GLOVES PCS - - - - - 7,872 -
239 POLICREPE 7,5 CM X 4,55 M ROLL - - - - - 27,660 -
240 ALKAZYME PACK - - - - - 801,000 -
241 WIDA BES ASETAT RINGER BTL - - - - - 9,646 -
242 PHENITOIN SODIUM 100 MG TAB - - - - - 158 -
243 GLIMEPIRID TAB I MG TAB 1,890 200 3,600 1,710 1,710 174 297,540
244 OMEPRAZOL TAB TAB - 100 1,800 1,800 1,800 -
245 BETADIN SALEP OINTMENT TUBE - - - - - 11,433 -
246 PARASETAMOL DROP BTL 69 20 360 291 291 6,981 2,031,471
247 PHARMAPLAST PHARMAFIX 10 CM X 500 CM ROLL 85 2 36 (49) (49) 30,000 (1,470,000)
VAKSIN DAN OBAT PROGRAM - - - - - -
248 VAKSIN BCG VIAL 55 - - (55) (55) 59,950 (3,297,250)
249 VAKSIN POLIO VIAL 126 - - (126) (126) 19,954 (2,514,204)
250 VAKSIN IPV VIAL 40 - - (40) (40) 158,994 (6,359,760)
251 VAKSIN DPT, Hb, Hib VIAL 94 - - (94) (94) 78,991 (7,425,154)
252 VAKSIN CAMPAK VIAL - - - - - -
253 VAKSIN HB UNIJECT VIAL 5 - - (5) (5) 20,900 (104,500)
254 VAKSIN TD VIAL 93 - - (93) (93) 16,995 (1,580,535)
255 VAKSIN DT VIAL 96 - - (96) (96) 17,996 (1,727,616)
256 VAKSIN HEPATITIS B REKOMBINAN VIAL - - - - - 52,052 -
257 VAKSIN HEPATITIS B IMUNOGLOBULIN VIAL - - - - - 78,991 -
258 ADS 0,5 PCS - - - - - 1,240 -
259 ADS 0,05 PCS - - - - - 1,565 -
260 ADS 5 PCS - - - - - 74,800 -
261 SAFETY BOKS PCS - - - - - 13,900 -
262 VAKSIN MR VIAL 121 - - (121) (121) 155,813 (18,853,373)
263 SARS 10 ML VIAL - - - - - 3,999,600 -
264 VAKSIN VAR VERORAB VIAL - - - - - 165,000 -
265 Vitamin A 100.000 UI (RETINOL 100.000) TAB 150 - - (150) (150) 324 (48,600)
266 Vitamin A 200.000 UI (RETINOL 200.000) TAB 296 - - (296) (296) 581 (171,976)
267 TABLET TAMBAH DARAH KOMBINASI tablet 750 - - (750) (750) 372 (279,000)
268 SD HIV BOKS - - - - - 342,000 -
269 CENTRIFUSE paket - - - - - 8,370,000 -
270 SARUNG TANGAN pcs - - - - - 7,635 -
271 RDT SIFILIS BOKS - - - - - 465,000 -
272 FDC KATEGORI I paket 9 - - (9) (9) 408,812 (3,679,308)
273 FDC KATEGORI II paket 1 - - (1) (1) 1,297,889 (1,297,889)
274 FDC KATEGORI ANAK paket 2 - - (2) (2) 260,526 (521,052)
275 MINERAL MIX sachet - - - - - -
276 ZINK TABLET 20 MG tablet - - - - - -
277 REAGEN ZIEHL NIELSEN duz - - - - - 229,479 -
278 ONCOPROBE pcs - - - - - -
279 ARI SOUND TIMER pcs - - - - - 298,500 -
280 PRIMAKUIN tablet - - - - - 253 -
281 MDT MB dewasa box/6 - - - - - -
282 MDT PP dewasa box/6 - - - - - -
283 RDT Hepatitis (Hbsag) Box/100 test - - - - - -
284 ALBENDAZOL TAB tablet - - - - - 424 -
285 POT SPUTUM pcs - - - - - 3,759 -
286 FOCUS SD HIV box/25 - - - - - 330,875 -
287 CATRIDGE TCM kit - - - - - 259,175 -
288 BIOMEREUX kotak/25 test - - - - - 487,000 -
289 OKSITETRASIKLIN SALEP MATA tube - - - - - 2,600 -
290 VITAMIN K INJEKSI 2 ML amp - - - - - 2,867 -
291 KACA SLIDE kotak - - - - - 19,700 -
292 BOKS SLIDE kotak - - - - - 36,000 -
293 VAKSIN MENINGITIS (MENIVAX) VIAL - - - - - -
294 SPUIT 1 CC pcs - - - - - 65,000 -
295 WING NEEDLE NO. 23 pcs - - - - - 274,450 -
296 LABORATORIUM KIT PAKET - - - - - 901,274 -
297 ALKOHOL SWAB pcs - - - - - -
298 TUBERCULIN TES MANTOUX VIAL - - - - - 625,900 -
299 EFINEFRINHCL BITARTRAT(ADRENALIN)INJ 0,1 %-1ML ampul - - - - - 1,749 -
300 OBAT ANTI MALARIA (DHP) FRIMAL ktk/9tab - - - - - 18,000 -
301 RDT MALARIA (SD MALARIA) ktk/25pot - - - - - 690,000 -
302 KONDOM pcs - - - - - 358 -
303 RUBRIKAN KONDOM pcs - - - - - 486 -
304 HUMAN HEXAGON SIFILIS box/20test - - - - - 20,400 -
305 MASKER ktk/50 27 - - (27) (27) -
306 SIFILIS KTK/25 - - - - - -
307 HBSAG KTK/25 - - - - - -
308 KOMBIPAK PAKET - - - - - -
309 INH KTK/100 TAB - - - - - -
310 ALBENDAZOL SYRUP BTL - - - - - -
311 MP ASI DUS/84 BKS 34 - - (34) (34) -
312 AZITROMISIN BOX/20 - - - - - -
313 GIEMSA BTL - - - - - -
314 SPRAY CAN PCS - - - - - -
315 HALOPERIDOL DECANOAS INJ 50 MG/ML BOKS - - - - - 101,300 -
316 OKSITETRASIKLIN 1 % SALEP MATA TUBE - - - - - 2,774 -

JUMLAH Rp 114,517,383

Lunang, 05 Januari 2021

Mengetahui, Yang mengusulkan,
Kepala Puskesmas Tanjung Beringin Penanggungjawab Pengelola Obat/Kefarmasian

ETRI CANDRA, SKM, M.Kes Apt. YOPA ARGATAMA, S.Farm

NIP. 19811019 200501 1 005 NRPK. 03.7.0509060