PEMERINTAH KABUPATEN CILACAP PUSKESMAS BANTARSARI 4 Rawajaya-Bantarsari KM 01 Telp (0280) 6260827 emall Pkmbantarsari@gmail.com Kode Pos 53258 Nomar: 028/322b/V1/2023 Pada hari ini, Jum'at Tanggal tiga puluh Bulan Juni Tahun dua ribu dua puluh tiga (30-6- 2023) yang bertanda tangan |o—[Pesnanat Panett Taon | a rr TI 7 lo | Alat Suntik / Syringe 0.5 mi 900 | Pos 1,072 964,800 ef le Kalium Diklofenak / Diclofenac 150 | Tablet 599.397 89,909.52 > lo Kalium Diklofenak / Diclofenac 250 | Tablet 599.4 149,850 10 |o Protective Suit Index HNSOO2 28 | Pes 172,608.756 | _4,315,243.902| WT fo Ambroksol / Ambroxol Tablet 1,500 | Tablet 102,768 154,152.67 12 [o Alkohol 70% cairan 100 mi 108 | Botol 3.318.345 358,381.26 13 Jo Asam Mefenamat / Mefenamic 2,900 | Tablet 227.55 659,895 14 Yo Bioplacenton Salep Kulit 15. 80 | Tube 26,640 2,131,200 "5 lo Piroksikam / Piroxicam Tablet 90 | Tablet 108.225, 9,740.25 | 16 |o Antasida / Antacid DOEN 5,500 | Tablet 99.9 549,450 Hao Phytomenadion/Vitamin K 110 | Ampul 2,880 976,800 18 [o ‘Kalsium Laktat / Calcium 3,300 | Tablet 94.35 311,355 Te Pelarut Nacl 10 mi (VAKSIN) 100 | Pes 3,280 328,000 20 Jo Td 10 ds (PROV) 7 | Viat 23,000 161,000 21 lo Parasetamol / Paracetamol 16,000 | Tablet 183.15 2,930,400 22 |o Parasetamol / Paracetamol 17,700 | Tablet 194.25 3,438,225 23 lo Amoxicillin Tablet 500 mg 700 | Tablet 493.35 345,345 24 lo Metronidazol / Metronidazole 14,878 | Tablet 208.766 3,106,020.92 25 lo Ketokonazol / Ketoconazole 4,150 | Tablet 510.6 587,189.6, 26 Jo Ketokonazol / Ketoconazole 600 | Tablet 510.6 306,360) 2? lo Ondansetron Tablet 4 mg 380 | Tablet 536.5 203,870) 28 lo Amoxicillin Tablet 500 mg 1,030 | Tablet 330.66 340,679.8 9 |o Amoxicillin Tablet 500 mg 2,344 | Tablet 427.35 1,001,708.4 30 fo Amoxicillin Tablet 500 mg 5,000 | Tablet 475 | 2,374,997.625 St lo PCV 4 ds (PROV) 36 | Vial 190,657 6,863,652, sz [o Polio IPV 5 ds (PROV) 29 | Vial 158,500 4,596,500 “Print leh PECAP (Aplikasi Persediaan Ciacap) 4 G Dipindai dengan CamScannerBA Inventarisasi Fisik Persediaan (stock oprame) Nomor ozerazabrvu2023 Tanggal 30/06/2023 Kode Barang 111201040001 NamaBarang Obat Fiarga__] lai Total (Rp) No} NUSP | Spesifkasi Nama Bareng Jumiah | satuan Satuan (Rp) } Jo | Katsium Laktat/ Calcium 2,400 | Tablet var27| 330,086.02 2 Jo __| Tetagam Immunoglobulin 18 | Ampul 176,000 3,168,000 9 09h [> [o | Neo Diagon Atapugt Tablet 1135 | Tablet 242 274,670 [* [0 _| Plastik Krosok Put 18 em x 45 | Pack 37,900 ‘568,500 [0 _[ Pot Dahak Stent 150 | Pes 2,200 330,000 JS [o _| Povidon lodin Lanutan 100 78 | Botol 4.246 331,188 7 [o __[ Prednison Tablet 5 mg (DAK 5,000 | Tablet 68 340,000 & [0 __[ Ranitidin / Ranitidine Injeksi 25 425 | Ampul at 345,950 & [eo _[ Raniisin Ranitidine Tablet 29,667 | Tablet 85 2,521,695 10 [o [Rapid Test indec ViroCheck 225 | Test 3391 1,887,975; To __[Reagen Rapid Test HBsAg 200 | Unit 7,420 4,424,000) 12 [0 [Retinot/ vitamin A Kapsul 200 | Kapsul 305 88,450) 73 [0 | Retinot/ vitamin A Kapsut 3,740 | Kapsul 559 2,068,220 14 [0 | Pindoksin / Pyridoxine / 8,340 | Tablet 7 558,780) a CO Gee 22 | Rot 29,994 659,868 So [Neo Diagon / Atapulgit Tablet 6,000 | Tablet 216.45 4,298,700) AT Jo __ [Nevirapin / Nevirapine Tablet 300 | Tablet 3,058 917,400 FS [o __[Nistatin/ Nystatin Tablet 420 | Tablet 825 346,500 18 Jo | Nistatin/ Nystatin Tablet 100 | Tablet 550, 55,000 | 20 [a __ [OAT FOC Kategori 1 & 3 Dosis 2 | Paket 495,247 990,494 27 [o __[ Oksitosin / Oxytocin injoksi 10, 180 | Ampul 1.126 202,680 22 [0 [oral 200 Serbuk Kombinasi ‘500 | Sachet 280 140,000 23 [o | Parasetamol/ Paracetamol 40 | Bag 2880 355,200 25 [0 __| Parasetamol / Paracetamol 50 | Botot 4,460 58,000 25 [0 _| Parasetamol/ Paracetamol 13,697 | Tablet 138.75 [ _1,900,458.75 26 [0 | Ritampisin 75 mg / isoniazid 112 | Tablet 121,744| 27 [o | Ringer Asetat / Acetate Ringer 160 | Boto! 1,408,009] 28 fo Ringer Lait nts -Ob1 (OAK 1,200 | Botot 19,156,000 [29 [o | Setiizin/ Cotiizine Tablet 10 5.832 | Tablet 49 285,768 30 Jo __[ Oksitetrasittin / 256 | Tube 3,500 £896,000 57 [0 __[Sianokobalamin / Vitamin B12 26,480 | Tablet 43 1,198,640] 32 [o [Simvastatin Tablet 10 mg 6,800 | Tablet 68 394,400) 3 G Dipindai dengan CamScanner{BA Inventarisasi Fisik Persediaan (stock opname) Nomor 026/322b/V/2023 Tangga! —: agrosra023 Kode Barang 111201040008 NamaBarang Obst Farga [ital Total (Rp) No | nse | spesithas! Nama Barong Pr Salvan (Rp) [7 ]o__[ simvastatin Tabet 10a 4,900 | Tablet 8 335,200 2 [lo Siprofloksasin / Ciprofloxacin 8,067 | Tablet 248 2,000,616 So Tambah Darah Tablet 80,000 | Tablet 207 16,560,000 wo Tambah Darah Tablet 123,245 | Tablet 226 27,853,370] slo ‘TCM Xpert MTB/RIF Assay Kit 170 | Pes. 252,930,303 | 42,998,151.515) ie fo Tenofovir + Lamivudin + ‘540 | Tablet 6,800 3,672,000 7 fo ‘Serum Anti Tetanus (ATS) 23 | Ampul 140,188 3,224,324 slo ‘Serum Anti Bisa Ular (ABU) 14 | Vial 517,132 7,239,848 slo ‘Salbutamol tablet 4 mg 3,747 | Tablet 63 (236,061 [1 | o ‘Salbutamol Tablet 4 mg (DAK 4,900 | Tablet 63 308,700 | 11 To Salep 2 - 4 Salep Kombinasi 30. 72 | Pot 2,333 167,976 Jo | Satis Bedak serbuk 2 OAK 25 | Kotak zat 61,050 0 _| Saung Tangan Ginekoiog 100 | Par 20720] 4,073.0] fo_| Sern Tengen Ginekolog 100 | Par 23.401] 4.040.100 15 To ‘Sarung Tangan Non Steril ‘37 | Kotak 185,000 6,845,000 | 6 Jo ‘Sarung Tangan Non Steril 2.300 | Pes 1,595 3,668,500 | 17 To Sarung Tangan Steril EWG 50 | Pair 4,980 249,000) 18 lo ‘Sefotaksim / Cefotaxim Injeksi 138 | Vial 2,850 393,300) 19 Jo Tenofovir Tablet 300 mg_ 150 | Tablet 8.424 1,263,600 [20 To ‘Klorpheniramin Maleat (CTM) 24,010 | Tablet 68.821 | _1,652,384.099) 21 lo Lidokain / Lidocaine Injeksi 100 | Ampul 9.141.356 314,135.55 | 22 lo Amoxicillin DS Sirup 125 70 | Botot 5,883 411,810) 23 lo ‘Sianokobalamin / Vitamin B12 30 | Ampul 8,991 269,730. 24 lo ‘Gentamisin / Gentamicin 35 | Tube 4.995 174,825 25 lo Parasetamol / Paracetamol 27 | Botol 3,885 104,895 | 26 [o “Amoxicilin (Yusimox) Sirup 289 | Botol 5,550 4,603,950 27 lo |Asiklovir | Acyclovir (Lycavir) 55 | Tube 5,738,691 315,628 28 lo Seftriakson / Ceftriaxone 540 | Vial 4,262.4 2,301,696 28 [o __[Entromisin Enthromycin [055 [Tabiet “046.309 | 094.620.0846 30 lo Oralit Serbuk (BLUD) 2,011 | Sachet 280.009 563,097.596 | st [o Gentamisin / Gentamicin Tetes 27 | Botol 9,346.2 252,347.4 32 [o Gentamisin / Gentamicin Tetes 124 | Botol 9,346 104 Tre SER PEGA (ipitan Porsedaan CTacap) eee ee G Dipindai dengan CamScannerBA Inventarisasi Fisk Persediaan (stock opname) Nomar caeaeane2003 Kode Barang 111201040001 aoe wee Nama Barang Obat pe [wee eoomasnonessoy Yaw [um] ae FE 0 Erlamycetin Salep Mata 40 | Tube 8,787.87 351,514.8) 0 __| Pyrex Paracetamol tus 31 | Boro! e3e25| 1.978875 3s [o Asetil Sistein / Acetyl Cysteine 4,200 | Kapsul 7 932,400 i. 0 Asetil Sistein / Acetyl Cysteine 2,100 | Kapsul 1,110 2,331,000 i. o ‘Sianokobalamin / Vitamin B12 3,000 | Tablet 72.15 216,450) elo (Oksitetrasikin 7 192 | Tube 2,109 404,928 [7 [o | Protocin (Oxytocin ) injokst 70 | Ampul 7,992 359,440 ia oO Furosemid / Furosemide 10 | Ampul 7,610 76,100 8 0 Meloksikam / Meloxicam 3,160 | Tablet 3774 1,192,584 | 10 To ‘Salbutamol Tablet 4mg (BLUD) 2,700 | Tablet 128.76 (347,652 | 1 Yo Semen Seng Fosfat Serbuk 1 | Kotak 205,350, 205,350) 12 Io Bahan Tambalan Komposit 1 | Pack 3,328,900 3,328,900 | 13 [o Cavit gigi (Orafil Plus) Pasta 2 | Kotak 61,050 122,100] 14 To Benzidin Occult Blood Test 41 | Kotak 706,122.612 | 28,951,027.096 15 Jo Blood Lancet N3 SGD (DAK 67 | Kotak 15,200 1,018,400) [© [o Dengue Rapid Test Virotec 50 | Test 48,000 2,400,000 17 Jo Gula Darah / Glucose Test 134 | Kotak 175,000 23,450,000 18 lo Infus Set Dewasa Nousmed 200 | Pes 6,500 1,300,000 19 Jo IV Catheter / Kateter 18 G 238 | Pos 5,995 1,426,810) 20 [9 | Kolesterot Total Liguiform 8 | Pack 1.287 142.857 | T0287. H265T 21 lo Pot Feses PTM (DAK P2P 2023) 4,000 | Pes 3,300 13,200,000 22 [0 __| Sarung Tangan Non Steril 4198 | Kotak 104,173 | 20,626,254 23 [o | Trigliserida Kit Liguiform 8 | Pack 4,627,142.057 | 19:017.142.857 24 Io Alkohol Swab Ecogreen SGD 67 | Kotak 16,525,595 1,107,214.85, 25 To ‘Alat Suntik / Syringe Dinaku 5 21 | Kotak 196,500 2,026,500 26 lo Glass lonomer Cement Pasta 1 | Kotak 915,750 915,750) 27 [o Sefotaksim / Cefotaxim Injeksi a 200 | Vial 4,315.68 863,136 16 Ropid Test Ant 1/2 Test IT 48 | Test 11,440 $49,120) 29 Jo ‘Alat Suntik / Syringe 0.05 ml 200 | Pes 1,465 293,000 | 30 [o Rifapetine 300 mg/ Isoniasid 312 | Tablet 6.924 2,159,352, et _[o | Alet Gek Guta Daran CodeFree 8 | Unit 200,000 1,600,000 ‘GI Paint oleh PECAP (Aplikasl Persediaan Cilacap) G Dipindai dengan CamScannerBA Inventarisasi Fisik Persediaan (stock opname) Nomor 28/322b/0/2023 Tanggal 30/06/2023 Kode Barang 111201040001 Nama Barang bat Haga] Nia Total (Rp) No_| NusP | Spesitkasi Nama Barang Jumiah | satuan Satan Re) | Jo _[ cata Pian 270 Serenity (OAD 5 | Kotak 92,000 460,000 Fo [eeteut Pin so Seroniy onv | 8 | Kotak 92,000 460,000] S[o _ [Diazepam Enema mg /2.5 10 | Tube 10.545 105.450) fo [Atat Suntk 7 Syringe 3 mt 21 | Kotak 1,386.985 | —2,339,105.263 | |o | Yetow Tip Pipet Onemed PTM 1 [Pack 32,870 32,370 & [0 | Kiorphenramin Matoat (oTM) 56,280 | Tablet eas2] 3879,1096 7 [2 | Metronidazot Metronidazole 100 | Bott 5.9385 593.850 & [0 | Sipronoxsasin/Ciprotoxacin 1,600 | Tablet 4995 799,200 8 fo | Setvizin cetirizine Tablet 10,000 | Tablet 77 777,000] 10 [0 [Gentian Violet Suspensi 2 | Botot 32856 65712 TT ]o_[ Setadroksi/Getaaroxt Sirup 2 | Botat 74925 14,985) feo __| Setadrokst/ Cetadroxt Stup 96 | Bott ga57 | _946,1872| TS [0 _[tsoniaaias 300 | Tablet 311.85 93,555 14 [o_[Betametason Vaterat Salep 75 | Tube 2553, 191,475 18 [0 [Dutootax, Bisacodyl Suppo 15 | Supp 27.108.874| 406,649.61 18 [0 | Prednison Tablet mg (BLUD) 2.234 | Tablet seeis| 220.3125 7 [0 | Piridoksin Pyridoxine / 3.00 | Tablet sose9 | 417,58%.000 18 [o_[cycent Guaikotat Tabet 6,145 | Tablet e546 | 586,6017 19 [0 __| Gtycert Guaikolat Tablet 1940 | Tablet 94.35 183,039) 20 Jo | vitamin & Komplek Tablet 65,242 | Tablet 9435| 6.155,502.7 21 [0 [Rantidin/ Ranitidine Tablet 3.500 | Tablet 2109 738,150 22 [0 __| Simvastatin Tablet (BLUD) 4,000 | Tablet 1443 577,200 25 [0 __| Salep 2-4 Salop Kurt (LUD) 52 | Pot 3.483.402 | _ 181,138.908 24 [0 | Salop 2a Salep Kult (BLUD) 476 | Pot 43956 | 2,092,3086 PS |e _[Domperidon / Domperidone 127 | Botot 4440 563,880 25 [0 | Zink dispersibel Tablet dus 600 | Tabiet 45925[ 275.5503 27 [0 [Ketokonazol Ketoconazole | _—41 | Tube 6216 254.856 25 |o | Reco Tetes Teinga 10m! 225 | Bote e325 [ 1.873.125 290 _ | Giycort Guakotat Tablet 10,000 | Tabiet 77, 77,000 > [o _[ Piridoksin Pyridoxine / 11,000 | Tablet toaeo| 1,208,700] PT [o [sist Surgical Blade BHP 140 | Pes 1400 196.000] 22 [o | cerarose 5% MIB Infus SOOM 10 [Bota ese774a | 66877475 “G Pint oleh PECAP (iplkaal Persediaan Clacap) 8 G Dipindai dengan CamScannerBA Inventarisasi Fisk Persediaan (stock opname) Nomor o2asz20vi2023 Terggat = 3006/2023 Kode Barang 111201040001 Nama Barang Obst Targa] ia Taal (Ray No] NUSP | Spesitkasi Nama Barang Jumiah | satuan Satuan (Rp) Jo [Tetras Tevacycin HoL 500 | Kapsut 288 444,000 2 |e _[Papaverin/ Papaverine Tablet 74 | Tablet 3108 22,9902 5 [o | Nistatin nystatintabiet 87 | Tate, 350 47850 [2 | Vitamin 817Tamin Tabet 4.100 | Tabet 235.32 904812 [® [0 [Asam Askorbat/ iain © 6,300 [Tablet 116.816 735,943 F [2 | Kestopet Captopr Tabiet 1,900 | Tabiet 138,75 263,625 [oP ketoroak Ketorolac ineksh #40 | Arput 1asros2 | 645.493.06 8 [e___ | Raniisin Rantcine jekst 720 | Arput 15207 | 1,094,008 8 [0 | Hidrokorison Hydrocortisone 72 | Tube 4955.08| 356,762.88 10 [o__[Lidokain Lidocaine nekst 470 | Amul 1,508,744 | _751.409.704 1 Jo [Tetrasiin Tetracyein HoL 130 | Kapeu eor.164 | 99,a51.261 20 _[ Satey bedak 2% Serbuk 75 83 | Boot 53635 | 446.0005 13 [o__[Ntedinin/Ntedipine Tablet 3.460 | Tabiet a8 614,496 1 [0 [Nicipin Nteipine Tablet 800 | Tablet 183.15 146,520 15 [0 [Ondansetron inj mgmt 270 | Amput 3390 888,100 16 [0 | Selediar Tabet @LUD) 400 | Tablet zearot| 197.480.5939 7 Jo [Domperidon / Domperidone 3,900 | Tobiet 120.961] 522,592,604 80 | Domperidon / Domperidone 200 | Tablet 108.925 37,185; 19 [0 [isosorbid Dinivat/eosorbide 400 | Tablet 12 49,400) 20 [0 | Isosorbid Dinvat/ sosorbde 1.100 | Tablet 1685 183,150) PT [| cindanycn Kapeut s00m9 420 | Kapsul 1443 606,060 22 [0 _| Loperamia Loperamide 8,757 | Tabiet 99.234 | _068.992.198 25a [Zink sua sup Sip Omi 150 | Bota 527472 791/208 24 Jo [Natu Kiorida 7 Sodium 140 | Bota 8.800 952,000 5 [0 | Griseotuhin Tabet 125 mg 2,000 [Tablet 210 420,000 25" [0 | Dimenniarinat/ 4.100 | Tabet 108 442,800 27 [0 _[Digoksin Digoxin Tabet 0,25, 300 | Tabtet 1887 56,610] 25 [ao [Ditenhisramin? 740 | Arp 721 57,940 29 [0 [Diazepam inj! injeksi 5 mg 70 | Amput 15 108,160 20 To Diazepam injeksi 10 mg/2 mi 20 | Amput 1,735 34,700) 1 [o [Diazepam ijk 10 ma/2 mi 30 | Ampul 15 46,350] 2 |e [Deksametason 23,855 | Tablet, seca| 1429,0087; “GiPrint oleh PECAP (Aplikasi Persedlaan Cilacap) ° G Dipindai dengan CamScannerBA Inventarisasi Fisik Persediaan (stock opname) Nomor = 926/a2abrvi/2023 Tanggal = 30/06/2023 Kode Barang 111201040001 Nama Barang —Obat larga] Niel Total (Rp) No_| NUSP | Spositkasi Nama Barang umish | satuan ‘Satuan (Rp) To __[Deksametason 1.200 | Ampul 928 108,600 Po | Biood Transtusion Set 50 | Set 9,650 482,500 So | Betametason Valerat Salop 4 60 | Tube 2547.45| _ 152,846.097 4 [0 [Betahistin Mesiat / Betahistine 14,800 | Tablet 88 1,302,400 [0 _[Betahistin Mesilat / Betahistine 7.480 | Tablet 88 658,240 [Jo | Becetort Mutivtamin Tablet 60 | Tablet 1,199.84 74,9904 7 [oie Hazmat T-we (P2P-DAU) 1 | Pes 120,000 20,000) Bo [Azytnromyein Tabet 500 mg 100 | Tablet 4,136.3 113,650 2 [0 | Dossiciktin 7 Doxyeyetine 90 | Kapeut 2220 199,600 FO [o | Dotutegravir + Lamivudine + 630 | Tablet 3.499 2,204,370 11 [0 [Bregon winyak Kayu Puth 24 | Botot 5.500 132,000) Feo | Giukosa/ Glucose infus 5 % 200 | Boot 6627 4,825,400 13 Jo [eimepinia / Gimepiide Tabiet 123 2,361,600 14 [o | Gimepina / Gimepiride Tabiet 8 1,406,904 FS [0 | Gentamicin / Gentamicin Totes 52 | Botol 4520 235,040 5 [0 | Gentamisin / Gentamicin 58 | Ampul 3,355 194,580) 7 Jo | Furosemia / Furosemide 25 | Ampul 3.885 97.125 Fé [0 _ [Fotey catheter No. 18 58 | Pes 9,680 561,440 Jo [Fottey Gatieter No. 16 30 | Pes 9,680 290,400) [20 Jo | Fitomenadion / Vitamin K 11025 | Tablet 748 766,700 27 Jo | Fenobarttal/ Phenobarbital 188 | Tabiot 171 32,146) 22 [o | Fenobarbital Phenobarbital 24 | Ampul 1,700 40,800 [23 [o___| Ett Kiorda / Ethyl Chioride 2 | Botot 144,300 288,600 [2 [o | Ergotamin 1 mg + Katoin 50 “00 | Tablet 185 18,500 25 Jo | Epinetin Epinephrine injeks 100 [ Amput 1518 151,500 [25 Jo | Dragon Minyak Teton Gairan 24 | Botol 2,800 235,200 27 [0 [Atropin Suita ineksi 0,25 mg 75 | Ampal 1718 126,850 28 [0 Asitovr/ Acyclovir Tabet 400 3.300 | Tabiet 47 1,343,100) 29 [o | Asikiovr Acyciovir Tablet 400 4,800 | Tablet 405 [1,984,000 80 [0 [Aminottin Aminophyline 60 | Amput 2,604 156,240 St [0 | Ambroksot/ Ambroxol Tablet 1.160 | Tablet eros { 1056206 82 [0 | Apurnat/ Alopurnol Tablet 5.000 | Tatiet a 435,000) “Print cleh PECAP (Apikasi Persediaan Clacap) 10 G Dipindai dengan CamScannerBA Inventarisasi Fisik Persediaan (stock opname) Nomor o2e/sz26n2023 Tanggal + 30/06/2023 Kode Barang 111201040001 Nama Barang Oba Targa] Nia Total py INo_ | NUSP | Sposihas! Nama Barang Jumiah | satuan Satuan (Re) TT ]o | Atcpurinat Attopurinel Tablet 12,800 | Tabet a7| 1,113,600) FF [eo | Akon Solution 70 % (APBD) 229 | Botot @50| 2,026,650 S [0 | Akohot/ Alcohol Swab ATM-U 70 | Kotak 10,000 700,000 F [0 [Akohot Alcohol Swab 70 % 96 | Kotak 17,000] 1,066,000) [| Akohot Alcohol Cairan 70% 22 | Bota 12,000 284,000 JB [2 | Abendazet Albendazole 11.400 | Tabet 300 | 4,448,000 7 [0 | AtvendazetAlbendazole 7.108 | Tablet sar { 2999711 8 [0 _[ Alat Suntk / Syringe Onionex 11350 | Pes a00 | _ 1,080,000 & [0 [Att suntic 7 Syringe JM 3 mt +1500 [Pes Tra __4,168,500 tO [o [Alot Suntk Syringe Smt 650 | Pos 976 634,400, TT [o_ [Ait Sunuk7 Syringe mi 120 | Pos 828 99,480] 72 [0 Akohot Alcon Swab (P2P- 30 | Kotak 12,600 378,000 13 To | Aminottin Aminophysine 7,500 | Tablet 96 145,350) [0 __ | Amiocipin Amiodipine Tablet 45,395 | Tablet, sa] 205,935; So | Amoksisin Amoxctin ‘70 | Vial 19.360 3,281,200 8 lo Asiklovir | Acyclovir Salep 5 % 322 | Tube 2.902 963,424 | 17 Jo | Asetosal / Acetosal Miniasph 3,900 | Tablet 2 355,110 18 [o _[Aseti Sistoin/ Acetyl Cysteine 11,368 | Kapsul sor] 3.418750) 18 Jo [Asam Tranekeamat injeks! 50 130 | Amp 1670 247,400 20 [0 | Asam Metenamat Tablet 600 16,312 | Tabet Tl 2 [o [Asam Askorbat/ Vitamin & 24,000 | Tabet 42| 1,008,000] 22 [0 | Asam Askorbat /Viamin © 1.715 | Tablet 2 72,030 5 [0 | Anthemoroid 48 | Supp 3250 149,500 2 [0 | Anti Tuberkulosis (OAT) FDC 1 | Paket 31424 314241 25 [0 [Anti Tubersaoss (OAT) FDC 6 [Paket 416696 [ 2,500,176 25 [0 | Anasida / Antacid DOEN 35,000 | Tabet 4] 1,890,000 27 [0 _ [Antasida/ Antacid DOEN 32,124 | Tabet sa[ 1,734,606 28 Jo __[Amoksstin /Amoxiciin Tablet 8,000 | Tobiet 201] 1,608,000 280 [Amoksistin / Amoxiiin Tablet 24,000 | Tabiet zor[ 4,824,000 Oo _[Amoksistin Amoxctin 50 | Viet ‘4ao0| 2.220.000 ST [o | Keptopri/ Captopril Tabet 400 | Tablet 1443 57.720] 2 "Jo [ Navium Dikotenak 4.420 | Tablet 1538| 677.0556 GiPrint cish PECAP (ipian Persediaan Clacap) 1 G Dipindai dengan CamScannerBA Inventarisasi Fisik Persediaan (stock oprame) ‘Nomor oze/sz2bivu2023 Tanggal 30/06/2023 Kode Barang 111201040001 Nama Barang bat Targa] Wier Total Rp) No | NUSP | Spesitkasi Nema Barang Jumioh | satuan Satuan (Rp) Te Leukoplast Plester 7,5 om x 2| Roll 30,800 61,600 2 [0 __ | Lansoprazcl Lansoprazole 6,325 | Tabet 278| 1,758,360 5 Jo | Kotrinoksazol/ Cotimoxazole 7,000 | Tablet 12 882,000 fF [o __ | Kotrimoksazol/ Cotimoxazole 11,200 | Tabiet tas[_1411,200 5 [o_ | Kotrimoksazol/ Covimoxazole 200 | Bota 2,100 420,000] fF [o | Kotimoksazot/Cotimoxazole 117 | Bote 2,100 245,700 7 [0 [Komeksiain/ Chiorhexidine 2 96 | Bota aioe | 3,985,136 8 [2 __ | Kotheksisin Chiorhexidine 2 72 | Bota 41516 499,302 > [o__| Kitheksidin Chiomexidine 2 4 [Gaton i FO Jo | Kioramtenikot? 48 | Bote 6,800 378,400 FT Jo | Kioramtenikot 240 | Tube 3206 785,840 2 ]o | Kioramtenikot 219 | Tube 3.288 715.254 73 ]o | Ketorolak/ Ketorolac ijoks 20 2,360 [ Ampul ea [1,980,040 [0 | Ketokonazol/ Ketoconazole 260 | Tablet 252 70,560 "5 Jo | Kateterinvavena/ tv. 50 [ Set 6238 3.43%,460 75 Jo | Lidokain Lidocaine jets 750 | Ampul 208 602,250 17 [o | Loratacin Loratadine Tabet 840 | Tablet “09 915,600 78 [0 [Loratadin /Loratoine Tablet 13.400 | Tabet toa [1,460,600 19 Jo __[Natium Diotenak 70 | Tablet, 28 6.930 zo Mineral Mie 20 | Sachet 2.981 238,480 21 [0 | Mkonazol Nivat/ Mconazole 514 | Tube 1.900 976,500, 220 | Mewonidazol / Metronidazole 2 | Bot 5.805 52,965; 23 [0 | Metiprednisoton 19,823 | Tabet toa] 1,409,046) 24 0 | Mettergometin Maloat Tablet 400 | Tablet 24 85,600) 25 [0 | Metiergomevin Moat Ineksi 370 | Ampul 028 378,510 25 Jo | Metiormin Tablet 600 mg (OAK 20,000 | Tablet 77 | __1,540,000 27 [o | Metiormin tablet 500 mg 19,600 | Tabet 77|_1.816,130 78 Jo [ Mettormin Hidrokoria Tablet 30,725 | Tablet 7] 2,365,625 29 [0 | Masker Nousmed Headloop 80 | Kotak 3,300,000] 80 Jo [Maskor Nousmed Earloop 80 | Kotak 3,300,000 ST Jo [Masker N95 1860 (PROP) 20 | Pes 396,000) 82 Jo _ [Masker meais (DAK-2021) 40 | Kotak 1,655,260 G Dipindai dengan CamScannerBA Inventarisas Fisk Persediat (stock opname) Noor oaerszabevuzo23 ‘Tanggal ‘30/06/2023 Kode Barang 111201040001 Nama Barang —Obat No | NusP | spesitias! Nama Barang Jumian | satuan a) | [0 [Masker (OAKFar-P2P) 1,100 [ Pes. 660 726,000 2 Jo | Kateteritravena iv. 450 4818| 2,168,100 ee Kalteter Intravena / IV 120 | Set 4818 878,160 fo | Kateterintravena WV. 300 | Pes 5500 | 1,850,000 fo [intus Set anak 170 | Set ee9[ 1,058,680 oo [Hiv Rap Test Biatine 12.3.0 23 | Pes 10,500 241,500) he Hidrokortison / Hydrocortisone 418 | Tube 2325 971,850 8 [> | Hidrokorison Hydrocortisone +40 | Tube 2.325 325,500) ® [o_ [Hei Hipemep-8) 1 | syinge 11325,000[ 1,325,000) 10 [0 __[Handsanitzer § ter (P2P- 2 | Galon 235,000 590,000 fT [0 [Handsanitizer § iter (P2P- 9 | Gaton 274500 | _2470,500 #2 [0 | Hatoperidol tablet 1.5 mg 76 | Tablet St 3.876) #3 Yo | Hatoperidot ines 5 mg/ mt 2 | Amput 108,000 216,000 14 [o __ [intus Set Dewasa (DAKFar- “80 | Set 7.810[ 1,405,800 5 [o | tsosorbid Dinirat Isosorbide 200 | Tablet 8 17.200 18 [0 | tuprofon Sirup 200 mg /5 mt 16 | Bota 3,200 51,200 7 Jo [Kase stort 16 mx 16 on 84 | Kotak 7a 597,576 TE [o | Kaptopr/ Captopal Tablet 25 4,337 | Tablet 75 325,275 78 To | Kaporit 5 | Kilogram 35,000 275,000 20 Jo | Kapas Pembatut 250 or 3 [Rot 26.273 78.819) 21 [o | Kateium Laktat/ Calcium 16,029 | Tablet 60 961,740 22" To _| Katsium Gukonat/ Calcium 10 | Ampul 5728 57,230] 25 Jo | sanwm Sunt Needle 23 10,700 | Pes 282[ 3,017,400] 2 Jo | Jarum Hecting (OAKFar-P2P) 3 | Pos 1443925 [ 43,317.75] [25 [0 | tsosorbid Dinivat / Isosorbide 400 | Tablet 6 TOTAL Obat Kode Barang 111201040002 Nama Barang —_Obat-obatan Lainnya Targa] Wier Total RP) No. | NUSP | spesitiasi Nama Barang Jumiah | satuan Satuan (Rp) “HPrint oleh PECAP (aplkasl Porsedtaan CHacap) 13 G Dipindai dengan CamScannerBA Inventarisasi Fisik Porsediaan (stock opname) omer erzzunaatz3 Tanooel + Sone023 Kode Barang 111204040002 Nama Bareng—ObatobatanLainnys Targa] Ria Fata RT wo | use| spestasama Brana | durin | saian satan 0) e 0 Perbekalan Kesehatan 30 | Pes 60,000 1,800,000 | ? lo Folley Cateter 30 | pes. 15,000 450,000 slo Chromic 2/0 Catgut 1/2 CR 14 | om 80,000 1,120,000 | 4 [o Alat Suntik / Safety Syringe 1 | kotak 100,000 100,000 | Slo Kertas puyer 6 | 1 pack 18,500 111,000 wo Perbekalan Kesehatan 23 | Pes: 6,000 138,000 [7 Jo | Pebehaton Kesehatan 3 [Po zoe | 2018068 elo Infuset Dewasa_ 3 | kotak 365,000 1,095,000 | jo Lab Salmonel 3 | boks 130,000 390,000 10 Jo Lab Salmonel 4 | boks 130,000 520,000, tt To Alkohol Swab 296 | Box (100 Pcs) 11,303, 3,345,688 12 [o ‘Stik Gula Darah 592 | boks 216,946 128,432,032 | #3 lo Dituent 2 | galon 1,680,000 3,360,000 4 Jo ‘Sarung Tangan Obgyn 170 | sepasang 40,000 6,800,000 15 Yo ‘Sarung Tangan Obgyn '500 | sepasang 22,500 14,250,000 16 lo Reagent for Hematology 3 | boto! 1,400,000 4,200,000 7 To PP Test (one bad ) 250 | buah 5,000 1,250,000 | 18 lo ‘Masker Medis Hijab 40 | kotak 30,000 1,200,000 | 19 [o Perbekalan Kesehatan 100 | Pes 38,000 3,800,000 | 20 To Perbekalan Kesehatan : Folley 30 | Pos 15,000 450,000 | at lo Perbekalan Kesehatan : IV 2| Pes 5,500 11,000 | 22 lo Nurse Cap 2 | box 100 70,000 140,000 23 fo Hypafix 10 X 5 Bh 13 | rol 195,000 2,535,000 24 lo Gelang Pasien 4 | box 225,000 225,000! 25 [o Ultrasonic Gel 10 | 250 mi 20,000 200,000 | = |e Plastik Klip Obat Kecil 12 | Pak 100 100,000 1,200,000 27 |o Plastik Klip Obat Besar 9 | Pak 100 140,000 1,260,000 28 Jo UNDERPAD COSMOMED 500 | LBR: 4,400 2,200,000 22 Jo Plastik Klip Obat Sedang 7 | Pak 100 125,000 875,000 3° [o LAB BLUE TIP BIASA 500~ 1] Pcs 115,000 115,000, 31 Jo Hemoglobin C_ 5 | botol 90,000 450,000 | [s2 fo EKG SONY PRINTER KERTAS 1| Pcs 150,000 150,000, “G Print oleh PECAP (Aplikasi Persediaan Cllacap) 14 G Dipindai dengan CamScanner‘BA Inventarsasi Fisk Persediaan (stock opname) Nomor = ze/azzbnvva023 Tenggal 3062023 Kode Barang 111201040002 Nama Barang Obstobatan Lainnya Tiorga Mia Total Rp) No | NusP | Spesitkas! Nama Barang Jumiah | catuan Satuan (Rp) Jo | stomacts Tua no. - 100m 3 [Pcs 21,000 105,000 2 Jo | SToAcH TUBE NOS (oom 3 [Pcs 21,000 105,000 So [Stood Trantusi set 50 | Pes 71.900 595,000 [F [0 [Kasa Pembant Hkrofa mx 100 | Rat 1.400 140,000 Fo | Masker Nebutzer Dewasar 21 | Pes 25,000 525,000 Fo | Bahanateria Laboratorium 3 | pes 175,000 525,000 7 [o | Hemogiin 1 [bot 195,000 195,000 Po _[ mini Pen 158 | Siaus 4007 624.00 fo [osu 2| ow 140,000 280,000 Oo | Gestn FS tee 300 | viel 11210[ 3,363,000 FT Yo [Asam Metenamat 600 mg 20 | stip 1.200 £6,000] 2 [o | Akohot 70% Antiseptic (APBD) 3 | Buen 8.500 25,500 FS [o | implan 2 Batang a0 | set 1s0.015| 12,001,200 To __| Sunti ProgestnvAPaN) 11957 | via 4800 9,393,600 75 [o | PirProgesun(APEN) 100 | stip 4007 401,700) 16” [o | Handsaniizer 500m! (APBD) 3 | bush 92,500 277 500 77 [o | HandsaniizerS00m! (APBD) 2 | bush 45,000 540,000 FB Jo | Satety BonAPaN) 30 | buah 25613 768,390 ay |, ‘Sarung tangan steril (APBD) 100 | Pasang 27,800 2,780,000 20 Jo _[Kasa Stent 107 | buah 5 18,725 Pt Jo [Hazmat 120 | Pes 65,800 7,896,000] 22 Jo | Lidocaine, 2% Ineks, ampul 80 | buah 4000 320,000 23 Jo | Pevidone oaine (30m) 10 | buan 24,800 348,000) 25 Jo | Plastic Kip Obat Koc 9 | Pak 100 100,000 900,000 25 {0 __[ Pastickip Obat Sedang 12 | Pak 100 110,000 [1,820,000] 25 Jo _[ Sarung tangen ster (APBD) 50 | pasang 6,295 314,750 270 [Plastic Kresek keal No, 15 6 | unt 5,000 30,000 28 Jo | Amoksiin 500 mg tablet +20 | buan 7,700 824,000 > |o_[PureaPany 7 | buah 4183 Bort 30 Jo __[Masker (Face mask) (APBN) 166 | bush 458 79.028 Sto _[kondom(APEN) 65 | buah 10.400 676,000 [= [o [restr son aPaN) 20 | Buon zoo | 766000 “AiPrint ch PECAP (apikaaiPersediaan Clacapy 8 G Dipindai dengan CamScannerBA Inventarisasi Fisk Persediaan (stock opname) Nomor 026/322biV2023, Tanggal 30/06/2023, Kode Barang 111201040002 Nama Barang _Obat-obatan Lainnya Farga | Niai Total (Rp) No} NUSP | Spesinkasi Nama Barang Jumian | satuan Satuan (Rp) ¥ Jo [sarang tangan ster (APBN) 30 | Pasang 4600 198,000 2 [0 __[ Kain penutup operasi 161 | Buan 6,800 4,094,800 8 [0 [Alcon swat 2-py (APBN) 182 | Buah 127 19,304) 4 [0 _[Atcohot swab 2-ply (APEN) 36 | Buah 122 4392) Se [ Syringe 3 mit (Suntik KB) APBN 2,190 | Bush ee) 6 [o_[ Suntan (APBN) 237 | Vial 4,800 1.137,600| [7 [o [Blood Lancet (Dak) 298 | Box 15,287 4,524,982 [0 _[ Syringe 3 mi (implant) APEN 102 | Buah 699) 71,298 P [0 [Pirkombinasi (APBN) 421 | Situs 4,453 492,331 10 Jo [10 Coper T(APBN) 73 [ buah 12,500 912,500) AT [oJ Amoksiin Kaplet 500 mg 141 | kaplet| 7,700) 41,085,700 120 _[Amoksitin Kaplat 800 mg 17 | kaplet 7,730 191,410| 13 [o [aAtkohot 70% Antiseptk (APBD) 13 | Buan 8,900 115,700 4 [0 | Plester ster Dermatix (APBD) 190 | Bush 1,000 190,000 15 [0 _ | cuicosa reagent 4] 875,000 875,000| 18 [0 | Test Kehamitan (APBD) 30 [ Buah 6.250 167,500 AT Jo [Test Kehamitan (APBD) 20 | Buah 6,000 120,000] 18 fo [eistur 1 [dus 75,000 75,000 TOTAL ‘Obat-obatan Lainnya mains (Cacap, 30. 2023 seo PENGELOLA BARANG eee e ‘9750513201406 002 G Dipindai dengan CamScanner