1.master Vaksin Edisi 13 Mar 2023

DAFTAR MASUK VAKSIN COVID-19 APBN TAHUN 2022
SATUAN / KELUAR SISA STOK KELUAR SISA STOK HARGA SATUAN TOTAL HARGA TOTAL HARGA
NO TGL MASUK NAMA VAKSIN BATCH Expire Date MASUK (VIAL) MASUK (DOSIS) TOTAL HARGA (MASUK) PACKING SLIP SURAT KETERANGAN
KEMASAN (VIAL) (VIAL) (DOSIS) (DOSIS) (vial) (KELUAR) (SISA SALDO)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
APBN 2022
SR.02.06/4/222/2022 TGL 6
1 8 JANUARI 2022 VAKSIN COVID-19 (CORONA VAC) 2 DS DOSIS 202110214E Apr-22 100,000 100,000 - 200,000 200,000 - Rp - Rp - Rp - Rp - PS-00039824
JANUARI 2022
2 10 JANUARI 2022 VAKSIN COVID-19 (PFIZER 6 DS) DOSIS FM2957 Jul-22 17,355 17,355 - 104,130 104,130 - Rp - Rp - Rp - Rp -
SR.02.06/II/222/2022 TGL 6
3 10 JANUARI 2022 VAKSIN COVID-19 (PFIZER 6 DS) DOSIS FM7783 Jun-22 13,650 13,650 - 81,900 81,900 - Rp - Rp - Rp - Rp - PS-00039667
JANUARI 2022
SR.02.06/II/182/2022 TGL 5
4 10 JANUARI 2022 VAKSIN COVID-19 (PFIZER 6 DS) DOSIS FM7785 Jun-22 4,290 4,290 - 25,740 25,740 - Rp - Rp - Rp - Rp - PS-00039888
JANUARI 2022
SR.02.06/II/206/2022 TGL 7
5 14 JANUARI 2022 VAKSIN COVID-19 (CORONA VAC) 1 DS DOSIS C202110213 Apr-22 167,560 167,560 - 167,560 167,560 - Rp - Rp - Rp - Rp - PS-00039985
JANUARI 2022
202111227F/ KN.01.01/6/158-PK/2022
6 17 JANUARI 2022 VAKSIN COVID-19 (CORONA VAC) 2 DS DOSIS 1-May-22 41,400 41,400 - 82,800 82,800 - Rp - Rp - Rp - Rp - PS-00040001
202111229F TGL 13 JANUARI 2022
MARET 2022 / APR PS-00040071 / SR.02.06/4/13367/2021 TGL

7 19 JANUARI 2022 VAKSIN COVID-19 ( MODERNA) 14 DS DOSIS 018F21A/066F21A 2,045 2,045 - 28,630 28,630 - Rp - Rp - Rp - Rp -
2022 ACEHMO1801 28 DES 2021
SR.02.06/4/1059/2022 TGL
8 26 JANUARI 2022 VAKSIN COVID-19 (CORONA VAC) 2 DS DOSIS 202111238F May-22 20,000 20,000 - 40,000 40,000 - Rp - Rp - Rp - Rp - PS-00040118
24 JANUARI 2022
202112238G /
9 29 JANUARI 2022 VAKSIN COVID-19 (CORONA VAC) 2 DS DOSIS Jun-22 67,800 67,800 - 135,600 135,600 - Rp - Rp - Rp - Rp - PS-00040260
202112239G
10 29 JANUARI 2022 VAKSIN COVID-19 (ASTRAZENECA) 10 DS DOSIS NM0004 Feb-22 3,060 3,060 - 30,600 30,600 - Rp - Rp - Rp - PS-00040266
SR.02.06/II/392/2022 TGL
11 31 JANUARI 2022 VAKSIN COVID-19 (CORONA VAC) 2 DS DOSIS 202112238K Jun-22 11,640 11,640 - 23,280 23,280 - Rp - Rp - Rp - Rp - PS-00040286
26 JANUARI 2022
SR.02.06/4/1829/2022 TGL
12 10 FEBRUARI 2022 VAKSIN COVID-19 (CORONA VAC) 2 DS DOSIS 202112235K 7 JUNI 2022 127,249 127,249 - 254,498 254,498 - Rp - Rp - Rp - Rp - PS-00040301
8 FEBRUARI 2022
SR.02.06/4/1829/2022 TGL
13 10 FEBRUARI 2022 VAKSIN COVID-19 (CORONA VAC) 2 DS DOSIS 202112222M 10 JUNI 2022 72,751 72,751 - 145,502 145,502 - Rp - Rp - Rp - Rp - PS-00040302
8 FEB 2022
PS-00040094 / SR.02,06/4/1829/2022 TGL

14 10 FEBRUARI 2022 VAKSIN COVID-19 (PFIZER 6 DS) DOSIS FM7785 JUNI 2022 584 584 - 3,504 3,504 - Rp - Rp - Rp - Rp -
0902ACEHPF 8 FEBRUARI 2022
PS-00040873 / SR.02,06/4/1829/2022 TGL

15 16 FEBRUARI 2022 VAKSIN COVID-19 (PFIZER 6 DS) DOSIS FM2956 Jul-22 32,750 32,750 - 196,500 196,500 - Rp - Rp - Rp - Rp -
1502ACEHPF 8 FEBRUARI 2022
SR.02,06/II/922/2022 TGL
16 16 FEBRUARI 2022 VAKSIN COVID-19 (PFIZER 6 DS) DOSIS 35020BD Jul-22 12,285 12,285 - 73,710 73,710 - Rp - Rp - Rp - Rp - PS-00040829
13 FEB 2022
202112223M / SR.02,06/4/49/2022 TGL 24

17 25 FEBRUARI 2022 VAKSIN COVID-19 (CORONA VAC) 2 DS DOSIS 10 JUNI 2022 175,000 175,000 - 350,000 350,000 - Rp - Rp - Rp - Rp - PS-00040302
202112179N FEBRUARI 2022
PS-00040071 / SR.02.06/4/49/2022 TGL 24

18 25 FEBRUARI 2022 VAKSIN COVID-19 ( MODERNA) 14 DS DOSIS 066F21A Apr-22 3,572 3,572 - 50,008 50,008 - Rp - Rp - Rp - Rp -
MODACH24222 FEBRUARI 2022
SR.02.06/4/49/2022 TGL 24
19 25 FEBRUARI 2022 VAKSIN COVID-19 (ASTRAZENECA) 10 DS DOSIS CTMAV5147 MARET 2022 70 70 - 700 700 Rp - Rp - Rp - PS-00041062
FEBRUARI 2022
20 9 MARET 2022 VAKSIN COVID-19 (PFIZER 6 DS) DOSIS FM2968 Jul-22 14,820 14,820 - 88,920 88,920 - Rp 4,683.05 Rp 69,402,801 Rp 69,402,801 Rp -
SR.022.06/II/1522/2022 TGL
21 14 MARET 2022 VAKSIN COVID-19 (COVOVAX 10 DS) DOSIS 4301MF001 Mar-22 38,310 38,310 - 383,100 383,100 - Rp 1,052,295.05 Rp 40,313,423,366 Rp 40,313,423,366 Rp - PS-00041963
7 MARET 2022
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
6276/DINKES/
202110209G/
11 APR 2022/7 APR P2P/SURV.I/III/2022 SR.02.06/C/IV/305/2022
22 21 MARET 2022 VAKSIN COVID-19 (CORONA VAC) 2 DS DOSIS 202110118J/ 13,000 13,000 - 26,000 26,000 - Rp - Rp - Rp - Rp -
2022/9 JUNI 2022 TGL 18 MARET TGL 17 MAR 2022
2021112104I
2022
SBBK
202110220F/
1066/SDK/III/2022 1066/SDK/III/2022 TGL 21
23 22 MARET 2022 VAKSIN COVID-19 (CORONA VAC) 2 DS DOSIS 202110221F/ 26/04/2022 ; apr 2022 52,901 52,901 - 105,802 105,802 - Rp - Rp - Rp - Rp - RELOKASI DKI JAKARTA
TGL 21 MARET MARET 2022
2021091390
2022
SR.02.06/II/1696/2022 TGL
24 23 MARET 2022 VAKSIN COVID-19 ( MODERNA SPIKEVAX) 10 DS DOSIS 066H21A Apr-22 800 800 - 8,000 8,000 - Rp - Rp - Rp - Rp - PS-00042532
20 MARET 2022
202110220FA/..1FA/
..22FA/..23FA/..24FA
/..25FA/..26FA/..27F PS-00043255 DAN SR.02.06/C.IV/527/2022
25 1 APRIL 2022 VAKSIN COVID-19 (CORONA VAC) 2 DS DOSIS APR 2022/MEI 2022 900 900 - 1,800 1,800 - Rp - Rp - Rp - Rp -
A/,,28FA/..29FA/..23 PS-00043202 TGL 30 MARET 2022
5FA/..236FA/..237FA
/..238FA/…239FA
SR.02.06/C.IV/527/2022
26 1 April 2022 VAKSIN COVID-19 (PFIZER 6 DS) DOSIS FM2956 Jul-22 16,667 16,667 - 100,002 100,002 - Rp - Rp - Rp - Rp - PS-00040873
TGL 30 MARET 2022
MAI 2022 / JUNI SR.02.06/II/…/2022

27 5 APRIL 2022 VAKSIN COVID-19 ( MODERNA SPIKEVAX) 10 DS DOSIS 000079A/000115A 5,530 5,530 - 55,300 55,300 - Rp - Rp - Rp - Rp - PS-00043343
2022 TGL ..APR 2022
SR.02.06/C.IV/620/2022
28 8 APRIL 2022 VAKSIN COVID-19 (CORONA VAC) 2 DS DOSIS 202112222M 22 Jun 2022 50,000 50,000 - 100,000 100,000 - Rp - Rp - Rp - Rp - PS-00043523
TGL 6 APRIL 2022
202110211G/ SBBK
18 APR 2022/ 1 MEI SBBK NO
202111223F/ 6495/DINKES/P2P/SURV.I/I
2022/ 7 JUNI 2022/ 9 6495/DINKES/P2P/
29 11 APRIL 2022 VAKSIN COVID-19 (CORONA VAC) 2 DS DOSIS 202112100L/ 78,378 78,378 - 156,756 156,756 - Rp - Rp - Rp - Rp - V/2022 TGL 8 APRIL 2022 RELOKASI JATENG
JUNI 2022/9 JUNI SURV.1/IV/2022
202112191H/ BERDASARKAN
2022 TGL 8 APR 2022
202112104L SR.02.06/C.IV/578/2022
30 14 APRIL 2022 VAKSIN COVID-19 (PFIZER 6 DS) DOSIS FN1430 JUNI 2022 16,667 16,667 - 100,002 100,002 - Rp 4,918.56 Rp 81,977,640 Rp 81,977,640 Rp - PS-00044008 SR.02.06/C/2089/2022 TGL
8 April 2022
SR.02.06/C/2089/2022 TGL
31 26 APRIL 2022 VAKSIN COVID-19 (PFIZER 6 DS) DOSIS PCB0010 JUNI 2022 14,235 14,235 - 85,410 85,410 - Rp 4,918.56 Rp 70,015,702 Rp 70,015,702 Rp - PS-00044929
8 April 2022
SR.02.06/C/2517/2022 TGL
32 10 MAI 2022 VAKSIN COVID-19 ( MODERNA SPIKEVAX) 10 DS DOSIS 007L21A 15 JUNI 2022 3,970 3,970 - 39,700 39,700 - Rp - Rp - Rp - Rp - PS-00045178
27 APRIL 2022
SR.02.06/C/2650/2022 TGL
33 17 MAI 2022 VAKSIN COVID-19 ( MODERNA SPIKEVAX) 10 DS DOSIS 000156A 20 JUNI 2022 1,940 1,940 - 19,400 19,400 - Rp - Rp - Rp - Rp - PS-00045452
13 MEI 2022
PS-00045774 /
34 31 MAI 2022 VAKSIN COVID-19 ( MODERNA SPIKEVAX) 10 DS DOSIS 007L21A 15 JUNI 2022 2,500 2,500 - 25,000 25,000 - Rp - Rp - Rp - Rp -
MODACH30522
SR.02.06/CC.IV/1243/2022
35 31 MAI 2022 VAKSIN COVID-19 (PFIZER 6 DS) DOSIS FM7376 Jul-22 16,667 16,667 - 100,002 100,002 - Rp 4,683.05 Rp 78,052,394 Rp 78,052,394 Rp - PS-00045766
TGL 24 MEI 2022
SBBK
36 16 JUNI 2022 VAKSIN COVID-19 (CORONA VAC) 1 DS DOSIS B202106073 JUNI 2022 10,000 10,000 - 10,000 10,000 - Rp - Rp - Rp - Rp - 0711/P2P/2022 TGL
14 JUNI 2022
PS-00046137 /
37 16 JUNI 2022 VAKSIN COVID-19 ( MODERNA SPIKEVAX) 10 DS DOSIS 000164A 23 JUNI 2022 5,000 5,000 - 50,000 50,000 - Rp - Rp - Rp - Rp - KN.01.01/6/5176-PK/2021
1506ACEHMO
SBBK 442.8/484/TU SBBK 442.8/484/TU TGL 20

38 21 JUNI 2022 VAKSIN COVID-19 (CORONA VAC) 2 DS DOSIS 202110213K JULI 2022 10,000 10,000 - 20,000 20,000 - Rp - Rp - Rp - Rp - RELOKASI TANGERANG SELATAN
TGL 20 JUNI 2022 JUNI 2022
39 27 JUNI 2022 VAKSIN COVID-19 ( MODERNA SPIKEVAX) 14 DS DOSIS 088M21A 11 AGUSTUS 2022 4,250 4,250 - 59,500 59,500 - Rp - Rp - Rp - Rp - PS-00046406 KN.01.01/6/081-PK/2022
PS-00046410 /
40 27 JUNI 2022 VAKSIN COVID-19 ( MODERNA SPIKEVAX) 14 DS DOSIS 088M21A 11AGUSTUS 2022 1,786 1,786 - 25,004 25,004 - Rp - Rp - Rp - Rp - KN.01.01/6/081-PK/2022
MOACH26622
41 27 JUNI 2022 VAKSIN COVID-19 (PFIZER 6 DS) DOSIS FM9282 Jul-22 6,045 6,045 - 36,270 36,270 - Rp 4,918.56 Rp 29,732,695 Rp 29,732,695 Rp - PS-00046413 KN.01.01/6/4506-PK/2022
42 29 JUNI 2022 VAKSIN COVID-19 ( MODERNA SPIKEVAX) 14 DS DOSIS 088M21A 11AGUSTUS 2022 4,246 4,246 - 59,444 59,444 - Rp - Rp - Rp - Rp - PS-00046564 KN.01.01/6/081-PK/2022
SR.02.06/C.IV/1803/2022
43 4 JULI 2022 VAKSIN COVID-19 (PFIZER 6 DS) DOSIS FM9282 JULI 2022 1,092 1,092 - 6,552 6,552 - Rp - Rp - Rp - Rp - PS-00046394
TGL 28 JUNI 2022
SR.02.06/C/3343/2022 TGL
44 13 JULI 2022 VAKSIN COVID-19 (PFIZER 6 DS) DOSIS 36015BD AGUS 2022 2,730 2,730 - 16,380 16,380 Rp - Rp - Rp - PS-00046838
4 JULI 2022
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
45 19 JULI 2022 VAKSIN COVID-19 ( MODERNA SPIKEVAX) 14 DS DOSIS 088M21A 11AGUSTUS 2022 1,511 1,511 - 21,154 21,154 - Rp - Rp - Rp - Rp - PS-00046410 KN.01.01/6/081-PK/2022
SR.02.06/C.IV/1803/2022
46 22 JULI 2022 VAKSIN COVID-19 ( MODERNA SPIKEVAX) 14 DS DOSIS 088M21A 11AGUSTUS 2022 2,800 2,800 - 39,200 39,200 - Rp - Rp - Rp - Rp - PS-00046990
TGL 28 JUNI 2022
SR.02.06/C/3487/2022 TGL
47 22 JULI 2022 VAKSIN COVID-19 (PFIZER 6 DS) DOSIS FT5335 Sep-22 11,700 11,700 - 70,200 70,200 - Rp - Rp - Rp - Rp - PS-00047009
18 JULI 2022
SBBK NO
SR.02.06/C.IV/2293/2022 tgl
48 3 AGUSTUS 2022 VAKSIN COVID-19 (CORONA VAC) 2 DS DOSIS 202112229I Sep-22 15,000 15,000 - 30,000 30,000 - Rp - Rp - Rp - Rp - 1062/IFP/APBN/VIII/2022
TGL 1 AGUS 2022 21 Juli 2022
49 29 AGUS 2022 VAKSIN COVID-19 (PFIZER 6 DS) DOSIS P0001384 DES 2022 8,385 8,385 - 50,310 50,310 - Rp - Rp - Rp - Rp - PS-00048258 KN.01.01/6/079-PK/2022
50 13 SEPT 2022 VAKSIN COVID-19 (PFIZER 6 DS) DOSIS P0001431 Jan-23 4,167 4,167 - 25,002 25,002 - Rp - Rp - Rp - Rp - PS-00048410 KN.01.01/6/079-PK/2022
…/K2BF/COV/X/
SR.02.06/C.IV/3434/2022
51 8 OKT 2022 VAKSIN COVID-19 (PFIZER 6 DS) DOSIS P0001431 Jan-23 390 390 - 2,340 2,340 - Rp - Rp - Rp - Rp - 2022 TGL 5 OKT RELOKASI SULSEL
TGL 3 OKT 2022
2022
…/K2BF/COV/X/
52 26 OKT 2022 VAKSIN COVID-19 (PFIZER 6 DS) DOSIS FM2968 Nov-22 75 75 - 450 450 - Rp - Rp - Rp - Rp - 2022 TGL 25 OKT RELOKASI SULSEL
2022
SR.02.06/C.IV/3739/2022
53 26 OKT 2022 VAKSIN COVID-19 (PFIZER 6 DS) DOSIS FM2968 Nov-22 444 444 - 2,664 2,664 - Rp - Rp - Rp - Rp - RELOKASI MALUKU
TGL 19 OKT 2022
SR.02.06/C/5116/2022 TGL
54 31 OKT 2022 VAKSIN COVID-19 (PFIZER 6 DS) DOSIS FX2761 FRB 2022 24,408 24,180 228 146,448 146,448 - Rp - Rp - Rp - Rp - PS-00049426
24 OKTOBER 2022
TOTAL Rp 40,642,604,597 Rp 40,642,604,597 Rp -

REKAP VAKSIN COVID-19 ( SINOVAC, MODERNA, ASTRAZENECA, PFIZER, COVOVAX )
JLH
TANGGAL JLH MASUK SISA STOK
NO
MASUK
NAMA SUMBER DANA
(dosis)
PENGELUARAN
(dosis) NO Batch ED HARGA PACKING SLIP SALES ORDER
(dosis)
TOTAL DINKES PROV ACEH 7,267,346 7,267,346 -
TOTAL SINGLE DOSE 293,400 293,400 -
1 5 Januari 2021 Vaksin Covid 19 1 D Biofarma 14,000 14,000 - 202009007 Sep-23 Rp 211,282.00 PS-00026209 SO-00021632
3 25 Januari 2021 Vaksin Covid 19 1 D Biofarma 19,600 19,600 - 202011045 Nov-23 Rp 211,282.00 PS-00026368 SO-00021632
5 19 Februari 2021 Vaksin Covid 19 1 D Biofarma 20,960 20,960 - 202011048 Apr-21 Rp 211,282.00 - -
6 27 Sep 2021 Vaksin Covid 19 1 D Biofarma 28,000 28,000 - C202106124 Jun-22 Rp 211,282.00 ACEHCV1269 SO-00025523
7 14 JAN 2022 Vaksin Covid 19 1 D Biofarma 167,560 167,560 - C202110213 Apr-22 Rp 211,282.00 PS-00039985 SO-00026761
TOTAL MULTI DOSE 6,973,946 6,973,946 -
8 15 Maret 2021 Vaksin Covid 19 10 D Biofarma 65,000 65,000 - 24001221 AGUSTUS 2021 Rp 1,339,440.50 PS-00026693 SO-00022074
9 25 Februari 2021 Vaksin Covid 19 10 D Biofarma 46,900 46,900 - 24000821 JULI 2021 Rp 1,339,440.50 PS-00026593 SO-00022074
11 26 Maret 2021 Vaksin Covid 19 10 D 13,000 13,000 - CTMAV516 May-21 Rp 1,339,440.50 PS-00026835 SO-00022223
astrazeneca Biofarma
12 7 April 2021 Vaksin Covid 19 10 D Biofarma 26,600 26,600 - 24001721 AGUSTUS 2021 Rp 1,339,440.50 PS-00027029 SO-00022074
13 21 Mei 2021 Vaksin Covid 19 10 D Biofarma 3,700 3,700 - 24003121 Oct-21 Rp 1,339,440.50
14 9 Juni 2021 Vaksin Covid 19 10 D Biofarma 800 800 - 24003821 Oct-21 Rp 1,339,440.50
15 17 Juni 2021 Vaksin Covid 19 10 D Biofarma 148,700 148,700 - 24003921 Nov-21 Rp 1,339,440.50 - -
18 2 Juli 2021 Vaksin Covid 19 10 D Biofarma 1,800 1,800 - 24201121 Nov-21 Rp 1,339,440.50 - -
19 6 Juli 2021 Vaksin Covid 19 10 D Biofarma 44,200 44,200 - 24201221 DES 2021 Rp 1,339,440.50 - -
20 9 juli 2021 Vaksin Covid 19 10 D Biofarma 4,500 4,500 - 24201421 DES 2021 Rp 1,339,440.50 - -
21 12 Juli 2021 Vaksin Covid 19 10 D Biofarma 55,700 55,700 - 24201421 DES 2021 Rp 1,339,440.50
Vaksin Covid 19
24 29 Juli 2021 Biofarma 46,620 46,620 - 012D21A Nov-21
MODERNA 14 D
26 2 Agustus 2021 Vaksin Covid 19 10 D Biofarma 93,000 93,000 - 24004821 Jan-22 Rp 1,339,440.50 PS-31634 SO-22074
29 11 agustus 2021 Vaksin Covid 19 Biofarma 128,380 128,380 - 939900 Jan-22
MODERNA 14 D
30 12 agustus 2021 Vaksin Covid 19 10 D Biofarma 6,500 6,500 - 24202321 Jan-22 Rp 1,339,440.50 PS-32102 SO-22074
31 16 Agustus 2021 Vaksin Covid 19 10 D Biofarma 75,800 75,800 - 24005421 Jan-22 Rp - - -

Vaksin Covid 19
32 24 Agustus 2021 Biofarma 98,050 98,050 - 2021071361 Jan-22 Rp - PS-00033302 SO-00024581
(Corona Vac) 2 D
33 27 Agustus 2021 Vaksin Covid 19 10 D Biofarma 15,500 15,500 - 24202621 Jan-22 Rp 1,339,440.50 PS-22074 -
Vaksin Covid 19 2021081501/
34 28 Agustus 2021 Biofarma 50,510 50,510 - Feb-22 Rp - PS-00033607 SO-00024581
(Corona Vac) 2 D 2021081511
Vaksin Covid 19
35 28 Agustus 2021 Biofarma 2,400 2,400 - 202108144G Feb-22 Rp - PS-33631 SO-24581
(Corona Vac) 2 D
36 1 Sep 2021 Vaksin Covid 19 10 D Biofarma 2,000 2,000 - 24005721 Jan-22 Rp 1,339,440.50 - -
Vaksin Covid 19
37 2 Sep 2021 Biofarma 45,680 45,680 - 2021081531 Feb-22 Rp - PS-00033927 SO-00024581
(Corona Vac) 2 D
Vaksin Covid 19
38 4 sep 2021 Biofarma 55,440 55,440 - 2021081561 Feb-22 Rp - PS-00034040 SO-00024581
(Corona Vac) 2 D
Vaksin Covid 19
39 7 Sep 2021 Biofarma 11,600 11,600 - 202108152G Feb-22 Rp - PS-00034300 SO-00024581
(Corona Vac) 2 D
Vaksin Covid 19
40 15 Sep 22021 Biofarma 24,640 24,640 - 2021081691 Feb-22 Rp - PS-00035140 SO-00024581
(Corona Vac) 2 D
Vaksin Covid 19
41 17 Sep 2021 Biofarma 1,526 1,526 - 20210817OF Feb-22 Rp - PS-34987 SO-24581
(Corona Vac) 2 D
Vaksin Covid 19
42 21 Sep 2021 Biofarma 5,450 5,450 - 20210817OF Feb-22 Rp - PS-34987 SO-24581
(Corona Vac) 2 D
43 21 Sep 2021 Vaksin Covid 19 Biofarma 56 56 - 028D21A Nov-21 Rp -
MODERNA 14 D
Vaksin Covid 19
44 28 Sep 2021 Biofarma 12,600 12,600 - 202108169F Feb-22 Rp - PS-00035920 SO-00024581
(Corona Vac) 2 D
Vaksin Covid 19
45 29 Sep 2021 Biofarma 80,720 80,720 - 202108175F Feb-22 Rp - PS-00036035 SO-00024581
(Corona Vac) 2 D
Vaksin Covid 19
46 5 Okt 2021 Biofarma 7,000 7,000 - 202109180F Mar-22 Rp - ACEHCV2410 SO-00024581
(Corona Vac) 2 D
Vaksin Covid 19
47 12 OKT 2021 PT.PFIZER 46,800 46,800 - FK6858 Jan-22 Rp -
PFIZER 6 DOSIS
Vaksin Covid 19
48 11 OKT 2021 Biofarma 38,000 38,000 - 202108144H Feb-22 Rp - PS-00036686 SO-00024581
(Corona Vac) 2 D
Vaksin Covid 19
49 14 okt 2021 Biofarma 10,720 10,720 - 202109153H Mar-22 Rp - PS-00036826 SO-00024581
(Corona Vac) 2 D
Vaksin Covid 19
50 15 okt 2021 Biofarma 21,520 21,520 - 202108172I Feb-22 Rp - PS-00036884 SO-00024581
(Corona Vac) 2 D
Vaksin Covid 19
51 18 OKT 2021 Biofarma 2,600 2,600 - 24203221 Feb-22 Rp 1,339,440.50 PS-00036986 SO-00022074
(Corona Vac) 10 D
Vaksin Covid 19
52 21 okt 2021 Biofarma 500 500 - 202108173I Feb-22 Rp - ACEHCV22010 SO-00024581
(Corona Vac) 2 D
Vaksin Covid 19
53 25 okt 2021 Biofarma 1,000 1,000 - 24203121 Feb-22 Rp 1,339,440.50 PS-00037350 SO-00022074
(Corona Vac) 10 D
Vaksin Covid 19
54 27 okt 2021 Biofarma 30,000 30,000 - 24203321 Feb-22 Rp 1,339,440.50 ACEH2610 SO-00022074
(Corona Vac) 10 D
Vaksin Covid 19
55 6 Nov 2021 Biofarma 50,000 50,000 - 24007121 Mar-22 Rp 1,339,440.50 ACEH0511 SO-00022074
(Corona Vac) 10 D
Vaksin Covid 19 202109175M/
56 8 Nov 2021 Biofarma 28,800 28,800 - Mar-22 Rp - PS-00037903 SO-00026179
(Corona Vac) 2 D 202109176M
Vaksin Covid 19 202109146P &
57 11 Nov 2021 Biofarma 50,280 50,280 - Mar-22 Rp - PS-00038091 SO-00026179
Vaksin Covid 19
58 12 NOV 2021 Biofarma 150,000 150,000 - 202109175M Mar-22 Rp - ACEHCV21111 SO-00026179
(Corona Vac) 2 D
Vaksin Covid 19
59 17 Nov 2021 Biofarma 28,360 28,360 - 202109146P Mar-22 Rp - PS-00038236 SO-00026179
(Corona Vac) 2 D
Vaksin Covid 19
60 19 Nov 2021 Biofarma 1,000 1,000 - 202109145P Mar-22 Rp - ACEHCV21811 SO-00026179
(Corona Vac) 2 D
Vaksin Covid 19
61 25 NOV 2021 Biofarma 35,240 35,240 - 202109185M 15-Mar-22 Rp - PS-00038484 SO-00026179
(Corona Vac) 2 D
Vaksin Covid 19
62 27 NOV 2021 Biofarma 148,120 148,120 - 202109198K 18-Mar-22 Rp - PS-00038538 SO-00026179
(Corona Vac) 2 D
Vaksin Covid 19
63 27 NOV 2021 Biofarma 600 600 - 202109200E Mar-22 Rp - ACEHCV22611 SO-00026179
(Corona Vac) 2 D
Vaksin Covid 19
64 1 Des 2021 Biofarma 276,560 276,560 - 202109198G 22-Mar-22 Rp - PS-00038626 SO-00026179
(Corona Vac) 2 D
Vaksin Covid 19 202109201E/
65 2 Des 2021 Biofarma 200,760 200,760 - 23-Mar-22 Rp - PS-00038681 SO-00026179
(Corona Vac) 2 D 202109203E
66 3 Des 2021 Vaksin Covid 19 Biofarma 100,000 100,000 - 214022 Jan-22 Rp - PS-00038780 SO-00026496
MODERNA 10 D
Vaksin Covid 19
67 7 Des 2021 Biofarma 60,840 60,840 - 202109188M Maret/2022 Rp - PS-00038991 SO-00026179
(Corona Vac) 2 D
JLH
TANGGAL JLH MASUK SISA STOK
NO
MASUK
NAMA SUMBER DANA
(dosis)
PENGELUARAN
(dosis) NO Batch ED HARGA PACKING SLIP SALES ORDER
(dosis)
Vaksin Covid 19
68 8 Des 2021 Biofarma 144,760 144,760 - 202109138O Maret/2022 Rp - PS-00039138 SO-00026435
(Corona Vac) 2 D
Vaksin Covid 19
69 14 DES 2021 PT.BIOFARMA 46,800 46,800 - 33040BD Jun-22 Rp - ACEHPF1312 SO-00026563
PFIZER 6 DOSIS
Vaksin Covid 19
70 16 des 2021 Biofarma 76,720 76,720 - 202109154P 18-Mar-22 Rp - ACEHCV21512 SO-00026179
(Corona Vac) 2 D
Vaksin Covid 19
71 22 DES 2021 Biofarma 200,760 200,760 - 212110210G 1-Apr-22 Rp - PS-00039466 SO-00026652
(Corona Vac) 2 D
Vaksin Covid 19 202109116J/ MAR 2022/APR
72 22 DES 2021 Biofarma 276,440 276,440 - Rp - PS-00039450 SO-00026652
(Corona Vac) 2 D 202110201I 2022
BAP.167/K2BF/COV/
Vaksin Covid 19
73 23 DES 2021 Biofarma 102,000 102,000 - 202109152P 1-Mar-22 Rp - XII/2021 TGL 22 DES
(Corona Vac) 2 D
2021
Vaksin Covid 19
74 23 DES 2021 Biofarma 54,000 54,000 - 3005789 Feb-22 Rp - ACEHMO2212 SO-00026496
(MODERNA) 10 D
Vaksin Covid 19
75 26 DES 2021 PT.FRIZER 25,740 25,740 - FL4789 Jun-22 Rp - S2105818289 TB05949460
(PFIZER) 6 D
Vaksin Covid 19
76 29 DES 2021 Biofarma 43,290 43,290 - FM7783 Jun-22 Rp - PS-00039662 SO-00026676
(PFIZER) 6 D
Vaksin Covid 19
77 31 DES 2021 Biofarma 21,370 21,370 - 3005789 Feb-22 Rp - ACEHMO3012 SO-00026496
(MODERNA) 10 D
Vaksin Covid 19
78 31 DES 2021 Biofarma 150,000 150,000 - 202109188I 15-Mar-22 Rp - ACEHCV23012 SO-00026179
(Corona Vac) 2 D
Vaksin Covid 19
79 8 Jan 2022 Biofarma 200,000 200,000 - 202110214E 18-Apr-22 Rp - CVACH7122 SO-00026652
(Corona Vac) 2 D
Vaksin Covid 19
80 10 JAN 2022 PT.BIOFARMA 104,130 104,130 - FM2957 Jul-22 Rp - PS-00039904 SO-00026563
PFIZER 6 DOSIS
Vaksin Covid 19
81 10 JAN 2022 PT.BIOFARMA 81,900 81,900 - FM7783 Jun-22 Rp - ACEHPF901 SO-00026676
PFIZER 6 DOSIS
Vaksin Covid 19
82 10 JAN 2022 PT.BIOFARMA 25,740 25,740 - FM7785 Jun-22 Rp - PS-00039888 SO-00026676
PFIZER 6 DOSIS
Vaksin Covid 19 202111227F/
83 17 Jan 2022 Biofarma 82,800 82,800 - 1-May-22 Rp - PS-00040001 SO-00026775
(Corona Vac) 2 D 202111229F
018F21A/ MEI 2022 / APR

84 19 jan 2022 Vaksin Covid 19 Biofarma 28,630 28,630 - Rp - ACEHMO1801 SO-00026743
066F21A 2022
MODERNA 14 D
Vaksin Covid 19
85 26 JAN 2022 Biofarma 40,000 40,000 - 202111238F 23-May-22 Rp - 2501ACEHCV2 SO-00026775
(Corona Vac) 2 D
Vaksin Covid 19 202112238G/
86 29 JAN 2022 Biofarma 135,600 135,600 - 09 JUNI 2022 Rp - PS-00040260 SO-00026775
(Corona Vac) 2 D 202112239G
87 29 JAN 2022 Vaksin Covid 19 10 D 30,600 30,600 - NM0004 28 FEB 2022 Rp - PS-00040266 SO-00026838
Vaksin Covid 19
88 31 JAN 2022 Biofarma 23,280 23,280 - 202112238K JUNI 2022 Rp - PS-00040286 SO-00026775
(Corona Vac) 2 D
Vaksin Covid 19
89 10 FEB 2022 Biofarma 254,498 254,498 - 202112235K 07 JUNI 2022 Rp - 0902ACEHCV2 SO-00026775
(Corona Vac) 2 D
Vaksin Covid 19
90 10 FEB 2022 Biofarma 145,502 145,502 - 202112222M 10 JUNI 2022 Rp - 0902CV2ACEH SO-00026775
(Corona Vac) 2 D
Vaksin Covid 19
91 10 FEB 2021 PT.BIOFARMA 3,504 3,504 - FM7785 JUNI 2022 Rp - 0902ACEHPF SO-00026676
PFIZER 6 DOSIS
Vaksin Covid 19
92 16 FEB 2022 PT.BIOFARMA 196,500 196,500 - FM2956 01 July 2022 Rp - 1502ACEHPF SO-00026563
PFIZER 6 DOSIS
Vaksin Covid 19
93 16 FEB 2022 PT.BIOFARMA 73,710 73,710 - 35020BD 01 July 2022 Rp - PS-00040829 SO-00026563
PFIZER 6 DOSIS
Vaksin Covid 19
94 25 FEB 2022 Biofarma 350,000 350,000 - 202112223M/20 10-Jun-22 Rp - CRVACH2402 SO-00026775
(Corona Vac) 2 D 2112179N
95 25 FEB 2022 Vaksin Covid 19 10 D Biofarma 700 700 - CTMAV5147 31 MARET 2022 Rp - AZACEH24222 SO-00024068
astrazeneca
96 25 FEB 2022 Vaksin Covid 19 Biofarma 50,008 50,008 - 066F21A 3-Apr-22 Rp - MODACH24222 SO-00026743
MODERNA 14 D
Vaksin Covid 19
97 9 MAR 2022 PT.BIOFARMA 88,920 88,920 - FM2968 Jul-22 Rp 4,683.05 PS-0041765 SO-00026563
PFIZER 6 DOSIS
98 14 Maret 2022 Vaksin Covid 19 Biofarma 383,100 383,100 - 4301MF001 31 Mar 2022 Rp 1,052,295.05 PS-00041963 SO-00026520
COVOVAX 10 DS
202110209G/
Vaksin Covid 19 11 APR 2022/7 APR
21 MARET 2022 Biofarma 26,000 26,000 - 202110118J/ 2022/9 JUNI 2022
(Corona Vac) 2 D 2021112104I
202110220F/ 26/04/2022 ; 2
Vaksin Covid 19
22 Maret 2022
(Corona Vac) 2 D
Biofarma 105,802 105,802 - 202110221F/
sep 2023
2021091390
23 MARET 2022 Vaksin Covid 19 Biofarma 8,000 8,000 - 066H21A 22-Apr-22 PS-00042532
MODERNA 10 D
(SPIKEVAX)
202110220FA/..1
FA/..22FA/..23FA
/..24FA/..25FA/..2 APR 2022/MEI
Vaksin Covid 19
1 APR 2022 (Corona Vac) 2 D
Biofarma 1,800 1,800 - 6FA/..27FA/,,28F 2022
A/..29FA/..235FA
/..236FA/..237FA/
..238FA/…239FA
Vaksin Covid 19
1 APRIL 2022
PFIZER 6 DOSIS
PT.BIOFARMA 100,002 100,002 - FM2956 Jul-22 3103ACEHPF
000079A/ MAI 2022 & JUNI

5 APRIL 2022 Vaksin Covid 19 Biofarma 55,300 55,300 - 000115A 2022 PS-00043343
MODERNA 10 D
(SPIKEVAX)
Vaksin Covid 19
8 APRIL 2022
(Corona Vac) 2 D
Biofarma 100,000 100,000 - 202112222M 22 Jun 2022 PS-00043523
202110211G/ 18 APR 2022/ 1

202111223F/ MEI 2022/ 7
Vaksin Covid 19
11 APR 2022
(Corona Vac) 2 D
Biofarma 156,756 156,756 - 202112100L/ JUNI 2022/ 9
202112191H/ JUNI 2022/9
202112104L JUNI 2022
SR.02.06/C/
Vaksin Covid 19 2089/2022 TGL 8
14 APRIL 2022 PT.BIOFARMA 100,002 100,002 - FN1430 Jun-22 4,918.56 PS-00044008
PFIZER 6 DOSIS April 2022
Vaksin Covid 19
26 april 2022
PFIZER 6 DOSIS
PT.BIOFARMA 85,410 85,410 - PCB0010 Jun-22 4,918.56 PS-00044929
Vaksin Covid 19
10 MAI 2022 MODERNA 10 D Biofarma 39,700 39,700 - 007L21A 15 JUNI 2022 PS-00045178 SO-00028198
(SPIKEVAX)
TOTAL HUB + DINKES PROV 7,267,346 7,267,346 -
Kabid Sumber Daya Kesehatan
Muzakir, SKM,M.Kes
NIP. 19720707 200012 1 001
A, PFIZER, COVOVAX )
SURAT ALOKASI
NO.SR.02.06/4/8603/2021 TGL 21 SEP 2021

SR.02.06/II/206/2022 TGL 7 JAN 2022
KN.02.02/4.3/2838.14/2021 TGL 21 MEI 2021

SR.02.06/II/1439/2021 TGL 31 MEI 2021
SR.02.06/II/1568/2021 TGL 15 JUNI 2021
SR.02.06/II/1613/2021 TGL 18 JUNI 2021
SR.02.06/II/1717/2021 TGL 29 JUNI 2021

SR.02.06/II/1787/2021 TGL 3 JULI 2021
SR.02.06/II/1963/2021 TGL 27 JULI 2021

SR.02.06/II/1978/2021 TGL 28 JULI 2021
SR.02.06/II/2000/2021 TGL 29 JULI 2021
SR.02.06/II/2001/2021 TGL 30 JULI 2021
SR.02.06/II/2027/2021 TGL 4 AGUS 2021
KN.01.01/6/2235-PK/2021 TGL 6 AGUS 2021
SR.02.06/II/2044/2021 TGL 6 AGUS 2021
SR.02.06/II/2090/2021 TGL 14 AGUS 2021
SR.02.06/II/2144/2021 TGL 22 AGUS 2021
KN.01.01/6/2447-PK/2021 TGL 24 AGUS 2021
SR.02.06/II/2145/2021 TGL 22 AGUS 2021
KN.01.01/6/2493-PK/2021 TGL 26 AGUS 2021
SR.02.06./4/7492/2021 TGL 29 AGUS 2021
KN.01.01/6/2543-PK/2021 TGL 30 AGUS 2021
KN.01.01/6/2544-PK/2021 TGL 30 AGUS 2021
SR.02.06/II/2302/2021 TGL 4 SEP 2021
KN.01.01/6/2734-PK/2021 TGL 10 SEP 2021
SR.02.06/4/8335/2021 TGL 15 SEP 2021
SR.02.06/4/8550/2021 TGL 20 SEP 2021
NO.SR.02.06/II/2438/2021 TGL 20 SEP 2021
NO.SR.02.06/II/2488/2021 TGL 24 SEP 2021
NO.02.06/4/9041/2021 TGL 30 SEP 2021 &

NO.02.06/4/9103/2021 TGL 1 OKT 2021
KN.01.01/6/3315-PK/2021 TGL 8 OKT 2021
NO.02.06/II/2689/2021 TGL 12 OKT 2021
SR.02.06./II/2689/2021 TGL 12 OKT 2021
SR.02.06./II/2730/2021 TGL 14 OKT 2021
SR.02.06/4/9982/2021 TGL 19 OKT 2021
SR.02.06/4/10248/2021 TGL 25 OKT 2021
SR.02.06/4/10746 TGL 4 NOV 2021
SR.02.06/II/2971/2021 TGL 5 NOV 2021
SR.02.06/II/2984/2021 TGL 8 NOV 2021
SR.02.06.4/11046/2021 TGL 10 NOV 2021
SR.02.06/II/3041/2021 TGL 12 NOV 2021
SR.02.06/4/11395/2021 TGL 17 NOV 2021
NO SR .02.06/II/3125/2021 TGL 22 NOV 2021
SR.02.06/II/3149/2021 TGL 23 NOV 2021
SR.02.06/4/11741/2021 TGL 24 NOV 2021

SR.02.06/II/3169/2021 TGL 26 NOVEMBER
2021
SR.02.06/II/3184/2021 TGL 29 November 2021
SR.02.06/II/3143/2021 TGL 23 NOV 2021
SR.02,06/II/3223/2021 TGL 2 DES 2021

SURAT ALOKASI
SR.02.06/4/12533/2021 TGL 10 DES 2021
SR.02,06/II/3373/2021 TGL 20 DES 2021
SR.02.06/II/3369/2021 TGL 20 DES 2021
SR.02.06/4/3014/2021 TGL 21 DES 2021
SR.02.06/4/3014/2021 TGL 21 DES 2021
SR.02.06/II/3221/2021 TGL 2 DES 2021
SR.02.06/II/3452/2021 TGL 26 DES 2021
SR.02.06/4/13367/2021 TGL 28 DES 2021
SR.02.06/4/13367/2021 TGL 28 DES 2021
SR,02,06/4/222/2022 TGL 6 JAN 2022
SR,02,06/4/222/2022 TGL 6 JAN 2022
SR.02.06/II/182/2022 TGL 5 JAN 2022
SR.02.06/II/255/2022 TGL 12 JANUARI 2022
SR,02,06/4/13367/2021 TGL 28 DES 2021
SR,02,06/4/1059/2022 TGL 24 JANUARI 2022
SR,02,06/II/392/2022 TGL 26 JAN 2022
SR.02,06/4/1829/2022 TGL 8 FEBRUARI 2022
SR.02,06/4/1829/2022 TGL 8 FEBRUARI 2022
SR.02,06/4/1829/2022 TGL 8 FEBRUARI 2022
SR.02,06/4/1829/2022 TGL 8 FEBRUARI 2022
SR.02,06/II/922/2022 TGL 13 FEB 2022
SR.02,06/4/49/2022 TGL 24 FEBRUARI 2022
SR.02,06/4/49/2022 TGL 24 FEBRUARI 2022
SR.02,06/4/49/2022 TGL 24 FEBRUARI 2022
SR.02,06/II/1521/2022 TGL 7 MARET 2022
BATCH 202109129O 80 DOSIS EXPIRE DATE
SR.02.06/C.IV/621/2022 TGL 6 APRIL 2022
SBBK 6495/DINKES/P2P/SURV.I/IV/2022 TGL

8 APRIL 2022 BERDASARKAN
SR.02.06/C.IV/578/2022
Banda Aceh, 18 Maret 2022

Kasie Obat dan Pelayanan Kefarmasian
Elfina, S.Farm., Apt. M.Si

NIP. 19710912 200604 2 004
REKAP VAKSIN COVID-19 (COVOVAX 10 DS)
JLH
JLH MASUK SISA STOK
NO TANGGAL MASUK NAMA SUMBER DANA
(dosis)
PENGELUARAN
(dosis) NO Batch ED PACKING SLIP HARGA SURAT ALOKASI
(dosis)
TOTAL DINKES PROV ACEH 383,100 383,100 -
TOTAL MULTI DOSE 383,100 383,100 -
Vaksin Covid 19 SR.02,06/II/1521/2022 TGL 7

1 14 Maret 2022 Biofarma 383,100 383,100 - 4301MF001 31 Mar 2022 SO-00026520 Rp 1,052,295.05
COVOVAX 10 DS MARET 2022
383,100 383,100 -
Kondisi Sisa Stok Per Tanggal 8 DESEMBER 2022 jam 08.00 WIB
Team Stok Opname Banda Aceh 8 DESEMBER 2022

Vaksin dan Logistik Penanggungjawab Vaksin
1 Asyari, SKM …………………

2 Amri ………………… Tajul Muna, S.Farm., Apt.
3 Fakhruradhi ………………… NIP. 19821020 200803 2 001
4 Jasril …………………
Mengetahui

NIP. 19710912 200604 2 004
REKAP VAKSIN COVID-19 (PFIZER)
JLH
JLH MASUK SISA STOK
(dosis)
PENGELUARAN
(dosis) NO Batch ED PACKING SLIP HARGA SURAT PUSAT
(dosis)
TOTAL MULTI DOSE (1 VIAL = 6 DOSIS) 1,486,866 1,486,866 -
1 12 OKT 2021 Vaksin Covid 19 PFIZER 6 DOSIS PT.PFIZER 46,800 46,800 - FK6858 Jan-22
2 14 DES 2021 Vaksin Covid 19 PFIZER 6 DOSIS PT.BIOFARMA 46,800 46,800 - 33040BD Jun-22
3 26 des 2021 Vaksin Covid 19 PFIZER 6 DOSIS PT.PFIZER 25,740 25,740 - FL4789 Jun-22
4 29 DES 2021 Vaksin Covid 19 PFIZER 6 DOSIS PT.BIOFARMA 43,290 43,290 - FM7783 Jun-22
5 10 JAN 2022 Vaksin Covid 19 PFIZER 6 DOSIS PT.BIOFARMA 104,130 104,130 - FM2957 Jul-22
6 10 JAN 2022 Vaksin Covid 19 PFIZER 6 DOSIS PT.BIOFARMA 81,900 81,900 - FM7783 Jun-22
7 10 JAN 2022 Vaksin Covid 19 PFIZER 6 DOSIS PT.BIOFARMA 25,740 25,740 - FM7785 Jun-22
SR.02,06/4/1829/2022 TGL 8
8 10 FEB 2022 Vaksin Covid 19 PFIZER 6 DOSIS PT.BIOFARMA 3,504 3,504 - FM7785 Jun-22 0902ACEHPF
FEBRUARI 2022
SR.02,06/4/1829/2022 TGL 8
9 16 FEB 2022 Vaksin Covid 19 PFIZER 6 DOSIS PT.BIOFARMA 196,500 196,500 - FM2956 Jul-22 1502ACEHPF
FEBRUARI 2022
SR.02,06/II/922/2022 TGL
10 16 FEB 2022 Vaksin Covid 19 PFIZER 6 DOSIS PT.BIOFARMA 73,710 73,710 - 35020BD Jul-22 PS-00040829
13 FEB 2022
11 9 MAR 2022 Vaksin Covid 19 PFIZER 6 DOSIS PT.BIOFARMA 88,920 88,920 - FM2968 Jul-22 SO-00026563 4,683.05
12 1 APRIL 2022 Vaksin Covid 19 PFIZER 6 DOSIS PT.BIOFARMA 100,002 100,002 - FM2956 Jul-22 3103ACEHPF
13 14 APRIL 2022 Vaksin Covid 19 PFIZER 6 DOSIS PT.BIOFARMA 100,002 100,002 - FN1430 Jun-22 PS-00044008 4,918.56 SR.02.06/C/2089/2022
TGL 8 April 2022
14 26 April 2022 Vaksin Covid 19 PFIZER 6 DOSIS PT.BIOFARMA 85,410 85,410 - PCB0010 Jun-22 PS-00044929 4,918.56
15 31 MEI 2022 Vaksin Covid 19 PFIZER 6 DOSIS PT.BIOFARMA 100,002 100,002 - FM7376 Jul-22 PS-00045766 4,683.05 SR.02.06/C.IV/1243/2022
TL 24 MEI 2022
16 27 juni 2022 Vaksin Covid 19 PFIZER 6 DOSIS PT.BIOFARMA 36,270 36,270 - FM9282 Jul-22 PS-00046413 4,918.56 SR.02.06/C/…./2022 TGL
JUNI 2022
17 4 juli 2022 Vaksin Covid 19 PFIZER 6 DOSIS PT.BIOFARMA 6,552 6,552 - FM9282 Jul-22 0307ACEHPF SR.02.06/C/IV/1803/2022
TGL 28 JUNI 2022
18 13 JULI 2022 Vaksin Covid 19 PFIZER 6 DOSIS PT.BIOFARMA 16,380 16,380 - 36015BD AGUS 2022 PS-00046838 SR.02.06/C/3343/2022
TGL 4 JULI 2022
JLH
JLH MASUK SISA STOK
(dosis)
PENGELUARAN
(dosis) NO Batch ED PACKING SLIP HARGA SURAT PUSAT
(dosis)
19 22 JULI 2022 Vaksin Covid 19 PFIZER 6 DOSIS PT.BIOFARMA 70,200 70,200 - FT5335 Sep-22 PS-00047009 SR.02.06/C/3487/2022
TGL 18 JULI 2022
20 29 AGUS 2022 Vaksin Covid 19 PFIZER 6 DOSIS PT.BIOFARMA 50,310 50,310 - P0001384 DES 2022 PS-00048258 SR.02.06/II/…../2022 TGL
…AGUS 2022
21 13 Sept 2022 Vaksin Covid 19 PFIZER 6 DOSIS PT.BIOFARMA 25,002 25,002 - P0001431 Jan-23 PS-00048410 SR.02.06/c/iv/…../2022 tgl
…sept 2022
22 8 OKT 2022 Vaksin Covid 19 PFIZER 6 DOSIS PT.BIOFARMA 2,340 2,340 - P0001431 Jan-23 RELOKASI MALUKU
UTARA
23 26 OKT 2022 Vaksin Covid 19 PFIZER 6 DOSIS PT.BIOFARMA 450 450 - FM2968 Nov-22 RELOKASI SULAWESI
SELATAN
24 26 OKT 2022 Vaksin Covid 19 PFIZER 6 DOSIS PT.BIOFARMA 2,664 2,664 - FM2968 Nov-22 RELOKASI MALUKU
SR.02.06/C/516/2022 TGL
25 31 OKT 2022 Vaksin Covid 19 PFIZER 6 DOSIS PT.BIOFARMA 146,448 146,448 - FX2761 Feb-23 PS-00049426
24 OKTOBER 2022
26 28 Feb 2023 Vaksin Covid 19 PFIZER 6 DOSIS 7,800 7,800 - FY7381 28 MEI 2023 PS-00050402
TOTAL DINKES PROV 1,486,866 1,486,866 -


2 Ira Safriana ………………… Tajul Muna, S.Farm., Apt.
3 Fakhruradhi ………………… NIP. 19821020 200803 2 001
Mengetahui

NIP. 19710912 200604 2 004
REKAP VAKSIN COVID-19 (SINOVAC)
JLH
JLH MASUK SISA STOK
(dosis)
PENGELUARAN
(dosis) NO Batch ED HARGA PACKING SLIP SURAT KEMENKES
(dosis)
TOTAL HUB & IF DINKES ACEH 5,782,734 5,782,734 -
TOTAL HUB IGM & DOSNIROHA 437,300 437,300 -
1 22-Apr-21 BIOFARMA/IGM 13,000 13,000 - 24002121-24002221 Sep-21
Vaksin Covid 19 10 D
2 30-Apr-21 BIOFARMA/IGM 13,500 13,500 - 24002321 Sep-21
3 06-May-21 BIOFARMA/IGM 23,200 23,200 - 24002721 Oct-21
7 22 JUNI 2021 BIOFARMA/IGM 78,500 78,500 - 24200121A Oct-21
8 BIOFARMA / DRH 8,100 8,100 -
9 BIOFARMA/DRH 13,900 13,900 -
10 BIOFARMA/DRH 9,600 9,600 -
11 BIOFARMA/DRH 10,700 10,700 -
12 BIOFARMA/DRH 4,300 4,300 -
13 BIOFARMA/DRH 42,800 42,800 -
14 Vaksin Covid 19 10 D BIOFARMA/DRH 63,700 63,700 -
15 21 OKT 2021 Vaksin Covid 19 10 D BIOFARMA/DRH 19,600 19,600 - 24203421 Feb-22
16 23 OKT 2021 Vaksin Covid 19 10 D BIOFARMA/DRH 20,600 20,600 - 24007321 Jan-22
17 19 OKT 2021 Vaksin Covid 19 10 D BIOFARMA/IGM 3,800 3,800 - 24203621 Mar-22

1 5 Januari 2021 Vaksin Covid 19 1 D Biofarma 14,000 14,000 - 202009007 Sep-23 Rp 211,282.00
3 25 Januari 2021 Vaksin Covid 19 1 D Biofarma 19,600 19,600 - 202011045 Nov-23 Rp 211,282.00
5 19 Februari 2021 Vaksin Covid 19 1 D Biofarma 20,960 20,960 - 202011048 Apr-21 Rp 211,282.00
JLH
JLH MASUK SISA STOK
(dosis)
PENGELUARAN
(dosis)
NO.SR.02.06/4/8603/2021 TGL 21 SEP
38 27 September 2021 Vaksin Covid 19 1 D Biofarma 28,000 28,000 - C202106124 Jun-22
2021
82 14 JAN 2022 Vaksin Covid 19 1 D Biofarma 167,560 167,560 - C202110213 Apr-22
113 16 JUNI 2022 Vaksin Covid 19 1 D Biofarma 10,000 10,000 - B202106073 JUNI 2022 REALOKASI DIY
TOTAL MULTI DOSE 5,042,034 5,042,034 -
6 15 Maret 2021 Vaksin Covid 19 10 D Biofarma 65,000 65,000 - 24001221 AGUSTUS 2021 Rp 1,339,440.50
7 25 Februari 2021 Vaksin Covid 19 10 D Biofarma 46,900 46,900 - 24000821 JULI 2021 Rp 1,339,440.50
9 7 April 2021 Vaksin Covid 19 10 D Biofarma 26,600 26,600 - 24001721 AGUSTUS 2021 Rp 1,339,440.50
12 17 Juni 2021 Vaksin Covid 19 10 D Biofarma 148,700 148,700 - 24003921 Nov-21 Rp 1,339,440.50
15 2 Juli 2021 Vaksin Covid 19 10 D Biofarma 1,800 1,800 - 24201121 Nov-21 Rp 1,339,440.50
17 9 juli 2021 Vaksin Covid 19 10 D Biofarma 4,500 4,500 - 24201421 DES 2021 Rp 1,339,440.50
22 2 Agustus 2021 Vaksin Covid 19 10 D Biofarma 93,000 93,000 - 24004821 Jan-22 Rp 1,339,440.50
25 12 agustus 2021 Vaksin Covid 19 10 D Biofarma 6,500 6,500 - 24202321 Jan-22 Rp 1,339,440.50
Vaksin Covid 19 (Corona

27 24 Agustus 2021 Biofarma 98,050 98,050 - 2021071361 Jan-22
Vac) 2 D
Vaksin Covid 19 (Corona 2021081501/20210

29 28 Agustus 2021 Biofarma 50,510 50,510 - Feb-22
Vac) 2 D 81511
30 28 Agustus 2021 Biofarma 2,400 2,400 - 202108144G Feb-22
Vac) 2 D
31 1 Sep 2021 Vaksin Covid 19 10 D Biofarma 2,000 2,000 - 24005721 Jan-22 Rp 1,339,440.50

32 2 Sep 2021 Biofarma 45,680 45,680 - 2021081531 Feb-22
Vac) 2 D
33 4 september 2021 Biofarma 55,440 55,440 - 2021081561 Feb-22
Vac) 2 D
34 7 Sep 2021 Biofarma 11,600 11,600 - 202108152G Feb-22
Vac) 2 D
35 15 Sep 22021 Biofarma 24,640 24,640 - 2021081691 Feb-22
Vac) 2 D
JLH
JLH MASUK SISA STOK
(dosis)
PENGELUARAN
(dosis)
36 17 Sep 2021 Biofarma 1,526 1,526 - 20210817OF Feb-22
Vac) 2 D
37 21 Sep 2021 Biofarma 5,450 5,450 - 20210817OF Feb-22 2 DOSIS RUSAK
Vac) 2 D
Vaksin Covid 19 (Corona NO.SR.02.06/II/2438/2021 TGL 20 SEP
39 28 Sep 2021 Biofarma 12,600 12,600 - 202108169F Feb-22
Vac) 2 D 2021
Vaksin Covid 19 (Corona NO.SR.02.06/II/2488/2021 TGL 24 SEP
Vac) 2 D 2021
NO.02.06/4/9041/2021 TGL 30 SEP 2021
41 5 Okt 2021 Biofarma 7,000 7,000 - 202109180F Mar-22 & NO.02.06/4/9103/2021 TGL 1 OKT
Vac) 2 D
2021
42 11 OKT 2021 Biofarma 38,000 38,000 - 202108144H Feb-22
Vac) 2 D
Vaksin Covid 19 (Corona NO.02.06/II/2689/2021 TGL 12 OKT
43 14 okt 2021 Biofarma 10,720 10,720 - 202109153H Mar-22
Vac) 2 D 2021
44 15 okt 2021 Biofarma 21,520 21,520 - 202108172I Feb-22
Vac) 2 D
45 18 OKT 2021 Biofarma 2,600 2,600 - 24203221 Feb-22 Rp 1,339,440.50
Vac) 10 D
Vaksin Covid 19 (Corona NO.SR.02.06/4/9982/2021 TGL 19 OKT
46 21 okt 2021 Biofarma 500 500 - 202108173I Feb-22
Vac) 2 D 2021
47 25 okt 2021 Biofarma 1,000 1,000 - 24203121 Feb-22 Rp 1,339,440.50 NO.02.06/II/2807/2021 TGL 19 OKT 2021
Vac) 10 D
Vaksin Covid 19 (Corona NO.SR.02.06/4/10248/2021 TGL 25 OKT
48 27 okt 2021 Biofarma 30,000 30,000 - 24203321 Feb-22 Rp 1,339,440.50
Vac) 10 D 2021
49 6 Nov 2021 Biofarma 50,000 50,000 - 24007121 Mar-22 Rp 1,339,440.50
Vac) 10 D
Vaksin Covid 19 (Corona 202109175M/ NO.SR.02.06/II/2911/2021 TGL 5 NOV
50 8 Nov 2021 Biofarma 28,800 28,800 - Mar-22
Vac) 2 D 202109176M 2021
Vaksin Covid 19 (Corona 202109146P &
51 11 Nov 2021 Biofarma 50,280 50,280 - Mar-22
Vac) 2 D 202109179M
52 12 Nov 2021 Biofarma 150,000 150,000 - 202109175M Mar-22
Vac) 2 D
53 17 Nov 2021 Biofarma 28,360 28,360 - 202109147P Mar-22
Vac) 2 D
54 19 NOV 2021 Biofarma 1,000 1,000 - 202109145P Mar-22
Vac) 2 D
Vaksin Covid 19 (Corona NO SR .02.06/II/3125/2021 TGL 22 NOV
55 25 NOV 2021 Biofarma 35,240 35,240 - 202109185M 15-Mar-22
Vac) 2 D 2021
56 27 NOV 2021 Biofarma 148,120 148,120 - 202109198K 18-Mar-22
Vac) 2 D
57 27 NOV 2021 Biofarma 600 600 - 202109200E Mar-22
Vac) 2 D
Vaksin Covid 19 (Corona SR.02.06/II/3169/2021 TGL 26
58 1 Des 2021 Biofarma 276,560 276,560 - 202109198G 22-Mar-22
Vac) 2 D NOVEMBER 2021
Vaksin Covid 19 (Corona 202109201E/
59 2 Des 2021 Biofarma 200,760 200,760 - 23-Mar-22
Vac) 2 D 202109203E
60 7 Des 2021 Biofarma 60,840 60,840 - 202109188M Maret/2022
Vac) 2 D
JLH
JLH MASUK SISA STOK
(dosis)
PENGELUARAN
(dosis)
61 8 Des 2021 Biofarma 144,760 144,760 - 202109138O Maret/2022
Vac) 2 D
62 16 des 2021 Biofarma 76,720 76,720 - 202109154P 18-Mar-22
Vac) 2 D
63 22 DES 2021 Biofarma 200,760 200,760 - 212110210G 1-Apr-22
Vac) 2 D
Vaksin Covid 19 (Corona 202109116J/ MAR 2022/APR
64 22 DES 2021 Biofarma 276,440 276,440 -
Vac) 2 D 202110201I 2022
65 23 DES 2021 Biofarma 102,000 102,000 - 202109152P 1-Mar-22
Vac) 2 D
66 31 Des 2021 Biofarma 150,000 150,000 - 202109188I 15-Mar-22
Vac) 2 D
67 8 Jan 2022 Biofarma 200,000 200,000 - 202110214E 18-Apr-22
Vac) 2 D
Vaksin Covid 19 (Corona 202111227F/
68 17 jan 2022 Biofarma 82,800 82,800 - 1-May-22
Vac) 2 D 202111229F
69 26 JAN 2022 Biofarma 40,000 40,000 - 202111238F 23-May-22
Vac) 2 D
Vaksin Covid 19 (Corona 202112238G/
70 29 JAN 2022 Biofarma 135,600 135,600 - 9-Jun-22
Vac) 2 D 202112239G
71 31 JAN 2022 Biofarma 23,280 23,280 - 202112238K 1-Jun-22
Vac) 2 D
72 10 FEB 2022 Biofarma 254,498 254,498 - 202112235K 7-Jun-22
Vac) 2 D
73 10 FEB 2022 Biofarma 145,502 145,502 - 202112222M 10-Jun-22
Vac) 2 D
Vaksin Covid 19 (Corona SR.02,06/4/49/2022 TGL 24 FEBRUARI

74 25 FEB 2022 Biofarma 350,000 350,000 - 202112223M/2021 10-Jun-22 SO-00026775
Vac) 2 D 2022
12179N
202110209G/
Vaksin Covid 19 (Corona 11 APR 2022/7 APR SR.02.06/C/IV/305/2022 TGL 17 MAR
75 21 Maret 2022 Biofarma 26,000 26,000 - 202110118J/ 2022/9 JUNI 2022
Vac) 2 D 2022
2021112104I
202110220F/ 26/04/2022 ;
76 22 Maret 2022 Biofarma 105,802 105,802 - 202110221F/ 1066/SDK/III/2022 TGL 21 MARET 2022
Vac) 2 D
2021091390
apr 2022
202110220FA/..1F
A/..22FA/..23FA/..
24FA/..25FA/..26F APR 2022/MEI
Vaksin Covid 19 (Corona SR.02.06/C.IV/527/2022 TGL 30 MARET
77 1 APRIL 2022 Biofarma 1,800 1,800 - A/..27FA/,,28FA/..
Vac) 2 D
29FA/..235FA/..23
2022 2022
6FA/..237FA/..238
FA/…239FA
Vaksin Covid 19 (Corona SR.02.06/C.IV/621/2022 TGL 6 APRIL

78 8 APRIL 2022
Vac) 2 D
Biofarma 100,000 100,000 - 202112222M 22 Jun 2022 PS-00043523
2022
JLH
JLH MASUK SISA STOK
(dosis)
PENGELUARAN
(dosis)
202110211G/ 18 APR 2022/ 1

SBBK
202111223F/ MEI 2022/ 7
Vaksin Covid 19 (Corona 6495/DINKES/P2P/SURV.I/IV/2022
79 11 APR 2022 Biofarma 156,756 156,756 - 202112100L/ JUNI 2022/ 9
Vac) 2 D TGL 8 APRIL 2022 BERDASARKAN
202112191H/ JUNI 2022/9
SR.02.06/C.IV/578/2022
202112104L JUNI 2022

80 21 JUNI 2022
Vac) 2 D
Biofarma 20,000 20,000 - 202110213K JULI 2022
Vaksin Covid 19 (Corona SR.02.06/C.IV/2293/2022 tgl 21

81 3 AGUSTUS 2022 RELOKASI BANTE 30,000 30,000 - 202112229I 7 Sep 2022
Vac) 2 D Juli 2022
Kondisi Sisa Stok Per Tanggal 8 DESEMNBER 2022 jam 08.00 WIB


3 Fakhruradhi ………………… NIP. 19821020 200803 2 001
4 Jasril …………………
Mengetahui

NIP. 19710912 200604 2 004
REKAP VAKSIN COVID-19 (ASTRAZENECA)
JLH
SUMBER JLH MASUK SISA STOK
NO TANGGAL MASUK NAMA
DANA (dosis)
PENGELUARAN
(dosis) NO Batch ED PACKING SLIP HARGA KETERANGAN
(dosis)
TOTAL DINKES PROV ACEH 43,600 43,600 -
1 26 Maret 2021 Vaksin Covid 19 10 D Biofarma 13,000 13,000 - CTMAV516 May-21 RELOKASI KE SUMUT
astrazeneca
2 29 Jan 2022 Vaksin Covid 19 10 D Biofarma 30,600 30,600 - NM0004 28 FEB 2022
astrazeneca
3 25 FEB 2022 Vaksin Covid 19 10 D Biofarma 700 700 - CTMAV5147 31 MARET 2022 AZACEH24222
astrazeneca
44,300 44,300 -


3 Fakhruradhi ………………… NIP. 19821020 200803 2 001
4 Jasril …………………
Mengetahui

NIP. 19710912 200604 2 004
REKAP VAKSIN COVID-19 (ASTRAZENECA-SINOVAC)
JLH
JLH MASUK SISA STOK
(dosis)
PENGELUARAN
(dosis) NO Batch ED HARGA
(dosis)
1 22-Apr-21 BIOFARMA/IGM 13,000 13,000 - 24002121-24002221 Sep-21
2 30-Apr-21 BIOFARMA/IGM 13,500 13,500 - 24002321 Sep-21
7 22 JUNI 2021 BIOFARMA/IGM 78,500 78,500 - 24200121A Oct-21
8 BIOFARMA / DRH 8,100 8,100 -
9 BIOFARMA/DRH 13,900 13,900 -
10 BIOFARMA/DRH 9,600 9,600 -
11 BIOFARMA/DRH 10,700 10,700 -
12 BIOFARMA/DRH 4,300 4,300 -
13 BIOFARMA/DRH 42,800 42,800 -

JLH
JLH MASUK SISA STOK
(dosis)
PENGELUARAN
(dosis)
5 19 Februari 2021 Vaksin Covid 19 1 D Biofarma 20,960 20,960 - 202011048 Apr-21 Rp 211,282.00
42 27 Sep 2021 Vaksin Covid 19 1 D Biofarma 28,000 28,000 - C202106124 Jun-22
82 14 JAN 2022 Vaksin Covid 19 1 D Biofarma 167,560 167,560 - C202110213 Apr-22
TOTAL MULTI DOSE 4,645,976 4,645,976 -
6 15 Maret 2021 Vaksin Covid 19 10 D Biofarma 65,000 65,000 - 24001221 AGUSTUS 2021 Rp 1,339,440.50
9 26 Maret 2021 Vaksin Covid 19 10 D 13,000 13,000 - CTMAV516 May-21 Rp 1,339,440.50

10 7 April 2021 Vaksin Covid 19 10 D Biofarma 26,600 26,600 - 24001721 AGUSTUS 2021 Rp 1,339,440.50
16 2 Juli 2021 Vaksin Covid 19 10 D Biofarma 1,800 1,800 - 24201121 Nov-21 Rp 1,339,440.50
26 12 agustus 2021 Vaksin Covid 19 10 D Biofarma 6,500 6,500 - 24202321 Jan-22 Rp 1,339,440.50
JLH
JLH MASUK SISA STOK
(dosis)
PENGELUARAN
(dosis)

28 24 Agustus 2021 Biofarma 98,050 98,050 - 2021071361 Jan-22
Vac) 2 D
Vaksin Covid 19 (Corona 2021081501/20210

30 28 Agustus 2021 Biofarma 50,510 50,510 - Feb-22
Vac) 2 D 81511
31 28 Agustus 2021 Biofarma 2,400 2,400 - 202108144G Feb-22
Vac) 2 D
32 1 Sep 2021 Vaksin Covid 19 10 D Biofarma 2,000 2,000 - 24005721 Jan-22 Rp 1,339,440.50

33 2 Sep 2021 Biofarma 45,680 45,680 - 2021081531 Feb-22
Vac) 2 D
34 4 september 2021 Biofarma 55,440 55,440 - 2021081561 Feb-22
Vac) 2 D
35 7 Sep 2021 Biofarma 11,600 11,600 - 202108152G Feb-22
Vac) 2 D
36 15 Sep 22021 Biofarma 24,640 24,640 - 2021081691 Feb-22
Vac) 2 D
Vac) 2 D
Vac) 2 D
Vac) 2 D
40 29 sep 2021 Biofarma 80,720 80,720 - 202108175F Feb-22
Vac) 2 D
41 5 Okt 2021 Biofarma 7,000 7,000 - 202109180F Mar-22
Vac) 2 D
42 11 OKT 2021 Biofarma 38,000 38,000 - 202108144H Feb-22
Vac) 2 D
43 14 okt 2021 Biofarma 10,720 10,720 - 202109153H Mar-22
Vac) 2 D
44 15 okt 2021 Biofarma 21,520 21,520 - 202108172I Feb-22
Vac) 2 D
45 18 OKT 2021 Biofarma 2,600 2,600 - 24203221 Feb-22 Rp 1,339,440.50
Vac) 10 D
46 21 okt 2021 Biofarma 500 500 - 202108173I Feb-22
Vac) 2 D
JLH
JLH MASUK SISA STOK
(dosis)
PENGELUARAN
(dosis)
47 25 OKT 2021 Biofarma 1,000 1,000 - 24203121 Feb-22
Vac) 10 D
48 27 okt 2021 Biofarma 30,000 30,000 - 24203321 Feb-22 Rp 1,339,440.50
Vac) 10 D
49 6 Nov 2021 Biofarma 50,000 50,000 - 24007121 Mar-22 Rp 1,339,440.50
Vac) 10 D
Vaksin Covid 19 (Corona 202109175M/
50 8 Nov 2021 Biofarma 28,800 28,800 - Mar-22
Vac) 2 D 202109176M
Vaksin Covid 19 (Corona 202109146P &
51 11 Nov 2021 Biofarma 50,280 50,280 - Mar-22
Vac) 2 D 202109179M
52 12 NOV 2021 Biofarma 150,000 150,000 - 202109175M Mar-22
Vac) 2 D
Vac) 2 D
Vac) 2 D
55 25 NOV 2021 Biofarma 35,240 35,240 - 202109185M 15-Mar-22
Vac) 2 D
56 27 NOV 2021 Biofarma 148,120 148,120 - 202109198K 18-Mar-22
Vac) 2 D
57 27 NOV 2021 Biofarma 600 600 - 202109200E Mar-22
Vac) 2 D
58 1 Des 2021 Biofarma 276,560 276,560 - 202109198G 22-Mar-22
Vac) 2 D
Vaksin Covid 19 (Corona 202109201E/
59 2 Des 2021 Biofarma 200,760 200,760 - 23-Mar-22
Vac) 2 D 202109203E
60 7 Des 2021 Biofarma 60,840 60,840 - 202109188M Maret/2022
Vac) 2 D
61 8 Des 2021 Biofarma 144,760 144,760 - 202109138O Maret/2022
Vac) 2 D
62 16 Des 2021 Biofarma 76,720 76,720 - 202109154P 18-Mar-22
Vac) 2 D
63 22 DES 2021 Biofarma 200,760 200,760 - 212110210G 1-Apr-22
Vac) 2 D
Vaksin Covid 19 (Corona 202109116J/ MAR 2022/APR
64 22 DES 2021 Biofarma 276,440 276,440 -
Vac) 2 D 202110201I 2022
65 23 DES 2021 Biofarma 102,000 102,000 - 202109152P 1-Mar-22
Vac) 2 D
66 31 Des 2021 Biofarma 150,000 150,000 - 202109188I 15-Mar-22
Vac) 2 D
JLH
JLH MASUK SISA STOK
(dosis)
PENGELUARAN
(dosis)
67 8 Jan 2022 Biofarma 200,000 200,000 - 202110214E 18-Apr-22
Vac) 2 D
Vaksin Covid 19 (Corona 202111227F/
68 17 Jan 2022 Biofarma 82,800 82,800 - 1-May-22
Vac) 2 D 202111229F
69 26 JAN 2022 Biofarma 40,000 40,000 - 202111238F 23-May-22
Vac) 2 D
70 29 JAN 2022 Biofarma 135,600 135,600 -
Vac) 2 D
71 29 JAN 2022 Vaksin Covid 19 10 D 30,600 30,600 -

72 31 JAN 2022 Biofarma 23,280 23,280 -
Vac) 2 D
73 10 FEB 2022 Biofarma 254,498 254,498 -
Vac) 2 D
74 10 FEB 2022 Biofarma 145,502 145,502 -
Vac) 2 D

75 25 FEB 2022 Biofarma 350,000 350,000 - 202112223M/2021 10-Jun-22
Vac) 2 D
12179N
76 25 FEB 2025 Vaksin Covid 19 10 D Biofarma 700 700 - CTMAV5147 31 MARET 2022
astrazeneca
Kabid Sumber Daya Kesehatan Kasie Obat dan Pelayanan Kefarmasian
Muzakir, SKM, M.Kes Elfina, S.Farm., Apt. M.Si

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
PMI A.UTARA;PMI PIDIE;PMMI
A.BESAR;PMI BIREUN
UMKM
TNI POLRI
POLTEKKES
KKP
DINKES,POLRI,TNI
PUPR,OJK
DINKES,POLRI,TNI, SENTRA DLL
RS VERTIKAL,KKP,POLTEKES
DINKES,POLRI,TNI
KKP,POLTEKES
FASKES, SENTRA,TNI POLRI
DINKES,DPR,ORMAS,KEMENKOP
UKM,PUPR,SENTRA BANK OJK &BI
DINKES, SENTRA RUTIN, TNI POLRI
dinkes(24980 ds),Setra (8510 ds),TNI (8510

ds);Polri (8510 ds)
poltekes(1000 dosis) KKP(1400 Dosis)
DPR BIREUN ACEH UTARA
KKP, POLTEKES
DINKES, TNI,POLRI
DPR,OJK
DINKES,TNI,POLRI
KKP B.ACEH (100 DOSIS) KKP LHOK 400

DOSIS
BKKBN
KKP BNA DAN LHOKSEMAWE
SR.02.06/II/3169/2021 TGL 26
NOVEMBER 2021
REKAP VAKSIN COVID-19 (MODERNA)
JLH MASUK JLH PENGELUARAN SISA STOK
(dosis) (dosis) (dosis) NO Batch ED PACKING SLIP HARGA SURAT
1 29 Juli 2021 Vaksin Covid 19 Biofarma 46,620 46,620 - 012D21A Nov-21

MODERNA 14 D
2 11 agustus 2021 Vaksin Covid 19 Biofarma 128,380 128,380 - 939900 Jan-22

MODERNA 14 D
3 21 Sep 2021 Vaksin Covid 19 Biofarma 56 56 - 028D21A Nov-21

MODERNA 14 D
4 3 Des 2021 Vaksin Covid 19 Biofarma 100,000 100,000 - 214022 Jan-22 PS-00038780
MODERNA 10 D
5 23 DES 2021 Vaksin Covid 19 Biofarma 54,000 54,000 - 3005789 Feb-22 ACEHMO2212
MODERNA 10 D
6 31 des 2021 Vaksin Covid 19 Biofarma 21,370 21,370 - 3005789 Feb-22 ACEHMO3012
MODERNA 10 D
Vaksin Covid 19 MAR 2022 / APR
7 19 jan 2022 Biofarma 28,630 28,630 - 018F21A/066F21A
2022
ACEHMO1801
MODERNA 14 D
8 25 FEB 2022 Vaksin Covid 19 Biofarma 50,008 50,008 - 066F21A 3-Apr-22 MODACH24222
MODERNA 14 D
Vaksin Covid 19
9 23 Maret 2022 MODERNA 10 D Biofarma 8,000 8,000 - 066H21A 22-Apr-22 PS-00042532
(SPIKEVAX)
Vaksin Covid 19
MODERNA 10 D MAI 2022 & JUNI
10 5 APRIL 2022 Biofarma 55,300 55,300 - 000079A/000115A 2022 PS-00043343
(SPIKEVAX)
Vaksin Covid 19
11 10 MAI 2022 MODERNA 10 D Biofarma 39,700 39,700 - 007L21A 15 JUNI 2022 PS-00045178
(SPIKEVAX)
Vaksin Covid 19
12 17 MEI 2022 MODERNA 10 D Biofarma 19,400 19,400 - 000156A 20 JUNI 2022 PS-00045452
(SPIKEVAX)
Vaksin Covid 19
13 31 MEI 2022 MODERNA 10 D Biofarma 25,000 25,000 - 007L21A 15 JUNI 2022 MODACH30522
(SPIKEVAX)
Vaksin Covid 19
14 16 JUNI 2022 MODERNA 10 D Biofarma 50,000 50,000 - 000164A 23 Juni 2022 1506ACEHMO
(SPIKEVAX)
Vaksin Covid 19
15 27 JUNI 2022 MODERNA 14 D Biofarma 59,500 59,500 - 088M21A 11 AGUS 2022 PS-00046406
(SPIKEVAX)
Vaksin Covid 19
16 27 JUNI 2022 MODERNA 14 D Biofarma 25,004 25,004 - 088M21A 11 AGUS 2022 MOACH26622
(SPIKEVAX)
Vaksin Covid 19
17 29 JUNI 2022 MODERNA 14 D Biofarma 59,444 59,444 - 088M21A 11 AGUS 2022
(SPIKEVAX)
JLH MASUK JLH PENGELUARAN SISA STOK
(dosis) (dosis) (dosis) NO Batch ED PACKING SLIP HARGA SURAT
Vaksin Covid 19
18 19 JULI 2022 MODERNA 14 D Biofarma 21,154 21,154 - 088M21A 11 AGUS 2022 1807ACEHMO
(SPIKEVAX)
Vaksin Covid 19
MODERNA 14 D SR.02.06/C.IV/1803/2022
19 22 JULI 2022 Biofarma 39,200 39,200 - 088M21A 11 AGUS 2022 2107ACEHMO TGL 28 JUNI 2022
(SPIKEVAX)
TOTAL DINKES PROV 830,766 830,766 -
Kondisi stok Per 28 Februari 2022



3 Fakhruradhi ………………… NIP. 19821020 200803 2 001
4 Jasril …………………
Mengetahui

NIP. 19710912 200604 2 004
REKAP VAKSIN COVID-19 ( SINOVAC, MODERNA, ASTRAZENECA, PFIZER, COVOVAX )
JLH
TANGGAL SUMBER JLH MASUK SISA STOK
NO
MASUK
NAMA
DANA (dosis)
PENGELUARA
(dosis) NO Batch ED HARGA PACKING SLIP SALES ORDER SURAT ALOKASI
N (dosis)
24002121-
1 22-Apr-21 Vaksin Covid 19 10 D BIOFARMA/IGM 13,000 13,000 -
24002221
Sep-21
2 30-Apr-21 Vaksin Covid 19 10 D BIOFARMA/IGM 13,500 13,500 - 24002321 Sep-21
3 06-May-21 Vaksin Covid 19 10 D BIOFARMA/IGM 23,200 23,200 - 24002721 Oct-21
7 22 JUNI 2021 Vaksin Covid 19 10 D BIOFARMA/IGM 78,500 78,500 - 24200121A Oct-21

BIOFARMA /
8 Vaksin Covid 19 10 D DRH
8,100 8,100 -

JLH
NO
MASUK
NAMA
DANA (dosis)
PENGELUARA
N (dosis)
5 19 Februari 2021 Vaksin Covid 19 1 D Biofarma 20,960 20,960 - 202011048 Apr-21 Rp 211,282.00 - -
6 27 Sep 2021 Vaksin Covid 19 1 D Biofarma 28,000 28,000 - C202106124 Jun-22 ACEHCV1269 SO-00025523 NO.SR.02.06/4/8603/2021 TGL 21 SEP 2021
14 JAN 2022 Vaksin Covid 19 1 D Biofarma 167,560 167,560 - C202110213 Apr-22 PS-00039985 SO-00026761 SR.02.06/II/206/2022 TGL 7 JAN 2022
TOTAL MULTI DOSE 6,195,174 6,195,174 -
7 15 Maret 2021 Vaksin Covid 19 10 D Biofarma 65,000 65,000 - 24001221 AGUSTUS 2021 Rp 1,339,440.50 PS-00026693 SO-00022074
10 26 Maret 2021 Vaksin Covid 19 10 D 13,000 13,000 - CTMAV516 May-21 Rp 1,339,440.50 PS-00026835 SO-00022223
11 7 April 2021 Vaksin Covid 19 10 D Biofarma 26,600 26,600 - 24001721 AGUSTUS 2021 Rp 1,339,440.50 PS-00027029 SO-00022074
12 21 Mei 2021 Vaksin Covid 19 10 D Biofarma 3,700 3,700 - 24003121 Oct-21 Rp 1,339,440.50 KN.02.02/4.3/2838.14/2021 TGL 21 MEI 2021
13 9 Juni 2021 Vaksin Covid 19 10 D Biofarma 800 800 - 24003821 Oct-21 Rp 1,339,440.50 SR.02.06/II/1439/2021 TGL 31 MEI 2021
14 17 Juni 2021 Vaksin Covid 19 10 D Biofarma 148,700 148,700 - 24003921 Nov-21 Rp 1,339,440.50 - - SR.02.06/II/1568/2021 TGL 15 JUNI 2021
15 23 Juni 2021 Vaksin Covid 19 10 D Biofarma 112,800 112,800 - 24200621 Nov-21 Rp 1,339,440.50 - - SR.02.06/II/1613/2021 TGL 18 JUNI 2021
17 2 Juli 2021 Vaksin Covid 19 10 D Biofarma 1,800 1,800 - 24201121 Nov-21 Rp 1,339,440.50 - - SR.02.06/II/1717/2021 TGL 29 JUNI 2021
18 6 Juli 2021 Vaksin Covid 19 10 D Biofarma 44,200 44,200 - 24201221 DES 2021 Rp 1,339,440.50 - - SR.02.06/II/1787/2021 TGL 3 JULI 2021
23 29 Juli 2021 Vaksin Covid 19 Biofarma 46,620 46,620 - 012D21A Nov-21 Rp - SR.02.06/II/1963/2021 TGL 27 JULI 2021
MODERNA 14 D
24 30 juli 2021 Vaksin Covid 19 10 D Biofarma 38,300 38,300 - 24004521 DES 2021 Rp 1,339,440.50 - - SR.02.06/II/1978/2021 TGL 28 JULI 2021
25 2 Agustus 2021 Vaksin Covid 19 10 D Biofarma 93,000 93,000 - 24004821 Jan-22 Rp 1,339,440.50 PS-31634 SO-22074 SR.02.06/II/2000/2021 TGL 29 JULI 2021
26 4 Agustus 2021 Vaksin Covid 19 10 D Biofarma 2,400 2,400 - 24202021 Jan-22 Rp 1,339,440.50 PS-31786 SO-22074 SR.02.06/II/2001/2021 TGL 30 JULI 2021
27 9 Agustus 2021 Vaksin Covid 19 10 D Biofarma 99,300 99,300 - 24202221 Jan-22 Rp 1,339,440.50 PS-32102 SO-22074 SR.02.06/II/2027/2021 TGL 4 AGUS 2021
28 11 agustus 2021 Vaksin Covid 19 Biofarma 128,380 128,380 - 939900 Jan-22 Rp - KN.01.01/6/2235-PK/2021 TGL 6 AGUS 2021
MODERNA 14 D
29 12 agustus 2021 Vaksin Covid 19 10 D Biofarma 6,500 6,500 - 24202321 Jan-22 Rp 1,339,440.50 PS-32102 SO-22074 SR.02.06/II/2044/2021 TGL 6 AGUS 2021
30 16 Agustus 2021 Vaksin Covid 19 10 D Biofarma 75,800 75,800 - 24005421 Jan-22 Rp - - - SR.02.06/II/2090/2021 TGL 14 AGUS 2021
Vaksin Covid 19
31 24 Agustus 2021 Biofarma 98,050 98,050 - 2021071361 Jan-22 Rp - PS-00033302 SO-00024581 SR.02.06/II/2144/2021 TGL 22 AGUS 2021
(Corona Vac) 2 D
32 27 Agustus 2021 Vaksin Covid 19 10 D Biofarma 15,500 15,500 - 24202621 Jan-22 Rp - PS-22074 - KN.01.01/6/2447-PK/2021 TGL 24 AGUS 2021
Vaksin Covid 19 2021081501/202

33 28 Agustus 2021 Biofarma 50,510 50,510 - Feb-22 Rp - PS-00033607 SO-00024581 SR.02.06/II/2145/2021 TGL 22 AGUS 2021
(Corona Vac) 2 D 1081511
Vaksin Covid 19
34 28 Agustus 2021 Biofarma 2,400 2,400 - 202108144G Feb-22 Rp - PS-33631 SO-24581 KN.01.01/6/2493-PK/2021 TGL 26 AGUS 2021
(Corona Vac) 2 D
35 1 Sep 2021 Vaksin Covid 19 10 D Biofarma 2,000 2,000 - 24005721 Jan-22 Rp - - - SR.02.06./4/7492/2021 TGL 29 AGUS 2021
JLH
NO
MASUK
NAMA
DANA (dosis)
PENGELUARA
N (dosis)
Vaksin Covid 19
36 2 Sep 2021 Biofarma 45,680 45,680 - 2021081531 Feb-22 Rp - PS-00033927 SO-00024581 KN.01.01/6/2543-PK/2021 TGL 30 AGUS 2021
(Corona Vac) 2 D
Vaksin Covid 19
37 4 sep 2021 Biofarma 55,440 55,440 - 2021081561 Feb-22 Rp - PS-00034040 SO-00024581 KN.01.01/6/2544-PK/2021 TGL 30 AGUS 2021
(Corona Vac) 2 D
Vaksin Covid 19
38 7 Sep 2021 Biofarma 11,600 11,600 - 202108152G Feb-22 Rp - PS-00034300 SO-00024581 SR.02.06/II/2302/2021 TGL 4 SEP 2021
(Corona Vac) 2 D
Vaksin Covid 19
39 15 Sep 22021 Biofarma 24,640 24,640 - 2021081691 Feb-22 Rp - PS-00035140 SO-00024581 KN.01.01/6/2734-PK/2021 TGL 10 SEP 2021
(Corona Vac) 2 D
Vaksin Covid 19
40 17 Sep 2021 Biofarma 1,526 1,526 - 20210817OF Feb-22 Rp - PS-34987 SO-24581 SR.02.06/4/8335/2021 TGL 15 SEP 2021
(Corona Vac) 2 D
Vaksin Covid 19
41 21 Sep 2021 Biofarma 5,450 5,450 - 20210817OF Feb-22 Rp - PS-34987 SO-24581 SR.02.06/4/8550/2021 TGL 20 SEP 2021
(Corona Vac) 2 D
42 21 Sep 2021 Vaksin Covid 19 Biofarma 56 56 - 028D21A Nov-21 Rp -

MODERNA 14 D
Vaksin Covid 19
43 28 Sep 2021 Biofarma 12,600 12,600 - 202108169F Feb-22 Rp - PS-00035920 SO-00024581 NO.SR.02.06/II/2438/2021 TGL 20 SEP 2021
(Corona Vac) 2 D
Vaksin Covid 19
44 29 Sep 2021 Biofarma 80,720 80,720 - 202108175F Feb-22 Rp - PS-00036035 SO-00024581 NO.SR.02.06/II/2488/2021 TGL 24 SEP 2021
(Corona Vac) 2 D
Vaksin Covid 19 NO.02.06/4/9041/2021 TGL 30 SEP 2021 &

45 5 Okt 2021 Biofarma 7,000 7,000 - 202109180F Mar-22 Rp - ACEHCV2410 SO-00024581
(Corona Vac) 2 D NO.02.06/4/9103/2021 TGL 1 OKT 2021
Vaksin Covid 19
46 12 OKT 2021 PT.PFIZER 46,800 46,800 - FK6858 Jan-22 Rp -
PFIZER 6 DOSIS
Vaksin Covid 19
47 11 OKT 2021 Biofarma 38,000 38,000 - 202108144H Feb-22 Rp - PS-00036686 SO-00024581 KN.01.01/6/3315-PK/2021 TGL 8 OKT 2021
(Corona Vac) 2 D
Vaksin Covid 19
48 14 okt 2021 Biofarma 10,720 10,720 - 202109153H Mar-22 Rp - PS-00036826 SO-00024581 NO.02.06/II/2689/2021 TGL 12 OKT 2021
(Corona Vac) 2 D
Vaksin Covid 19
49 15 okt 2021 Biofarma 21,520 21,520 - 202108172I Feb-22 Rp - PS-00036884 SO-00024581 SR.02.06./II/2689/2021 TGL 12 OKT 2021
(Corona Vac) 2 D
Vaksin Covid 19
50 18 OKT 2021 Biofarma 2,600 2,600 - 24203221 Feb-22 Rp 1,339,440.50 PS-00036986 SO-00022074 SR.02.06./II/2730/2021 TGL 14 OKT 2021
(Corona Vac) 10 D
Vaksin Covid 19
51 21 okt 2021 Biofarma 500 500 - 202108173I Feb-22 Rp - ACEHCV22010 SO-00024581 SR.02.06/4/9982/2021 TGL 19 OKT 2021
(Corona Vac) 2 D
Vaksin Covid 19
52 25 okt 2021 Biofarma 1,000 1,000 - 24203121 Feb-22 Rp 1,339,440.50 PS-00037350 SO-00022074
(Corona Vac) 10 D
Vaksin Covid 19
53 27 okt 2021 Biofarma 30,000 30,000 - 24203321 Feb-22 Rp 1,339,440.50 ACEH2610 SO-00022074 SR.02.06/4/10248/2021 TGL 25 OKT 2021
(Corona Vac) 10 D
Vaksin Covid 19
54 6 Nov 2021 Biofarma 50,000 50,000 - 24007121 Mar-22 Rp 1,339,440.50 ACEH0511 SO-00022074 SR.02.06/4/10746 TGL 4 NOV 2021
(Corona Vac) 10 D
Vaksin Covid 19 202109175M/
55 8 Nov 2021 Biofarma 28,800 28,800 - Mar-22 Rp - PS-00037903 SO-00026179 SR.02.06/II/2971/2021 TGL 5 NOV 2021
Vaksin Covid 19 202109146P &
56 11 Nov 2021 Biofarma 50,280 50,280 - Mar-22 Rp - PS-00038091 SO-00026179 SR.02.06/II/2984/2021 TGL 8 NOV 2021
Vaksin Covid 19
57 12 NOV 2021 Biofarma 150,000 150,000 - 202109175M Mar-22 Rp - ACEHCV21111 SO-00026179 SR.02.06.4/11046/2021 TGL 10 NOV 2021
(Corona Vac) 2 D
JLH
NO
MASUK
NAMA
DANA (dosis)
PENGELUARA
N (dosis)
Vaksin Covid 19
58 17 Nov 2021 Biofarma 28,360 28,360 - 202109146P Mar-22 Rp - PS-00038236 SO-00026179 SR.02.06/II/3041/2021 TGL 12 NOV 2021
(Corona Vac) 2 D
Vaksin Covid 19
59 19 Nov 2021 Biofarma 1,000 1,000 - 202109145P Mar-22 Rp - ACEHCV21811 SO-00026179 SR.02.06/4/11395/2021 TGL 17 NOV 2021
(Corona Vac) 2 D
Vaksin Covid 19
60 25 NOV 2021 Biofarma 35,240 35,240 - 202109185M 15-Mar-22 Rp - PS-00038484 SO-00026179 NO SR .02.06/II/3125/2021 TGL 22 NOV 2021
(Corona Vac) 2 D
Vaksin Covid 19
61 27 NOV 2021 Biofarma 148,120 148,120 - 202109198K 18-Mar-22 Rp - PS-00038538 SO-00026179 SR.02.06/II/3149/2021 TGL 23 NOV 2021
(Corona Vac) 2 D
Vaksin Covid 19
62 27 NOV 2021 Biofarma 600 600 - 202109200E Mar-22 Rp - ACEHCV22611 SO-00026179 SR.02.06/4/11741/2021 TGL 24 NOV 2021
(Corona Vac) 2 D
Vaksin Covid 19 SR.02.06/II/3169/2021 TGL 26 NOVEMBER
63 1 Des 2021 Biofarma 276,560 276,560 - 202109198G 22-Mar-22 Rp - PS-00038626 SO-00026179
(Corona Vac) 2 D 2021
Vaksin Covid 19 202109201E/
64 2 Des 2021 Biofarma 200,760 200,760 - 23-Mar-22 Rp - PS-00038681 SO-00026179 SR.02.06/II/3184/2021 TGL 29 November 2021
(Corona Vac) 2 D 202109203E
3 Des 2021 Vaksin Covid 19 Biofarma 100,000 100,000 - 214022 Jan-22 Rp - PS-00038780 SO-00026496 SR.02.06/II/3143/2021 TGL 23 NOV 2021
MODERNA 10 D
Vaksin Covid 19
65 7 Des 2021 Biofarma 60,840 60,840 - 202109188M Maret/2022 Rp - PS-00038991 SO-00026179 SR.02,06/II/3223/2021 TGL 2 DES 2021
(Corona Vac) 2 D
Vaksin Covid 19
66 8 Des 2021 Biofarma 144,760 144,760 - 202109138O Maret/2022 Rp - PS-00039138 SO-00026435
(Corona Vac) 2 D
Vaksin Covid 19
67 14 DES 2021 PT.BIOFARMA 46,800 46,800 - 33040BD Jun-22 Rp - ACEHPF1312 SO-00026563 SR.02.06/4/12533/2021 TGL 10 DES 2021
PFIZER 6 DOSIS
Vaksin Covid 19
68 16 des 2021 Biofarma 76,720 76,720 - 202109154P 18-Mar-22 Rp - ACEHCV21512 SO-00026179
(Corona Vac) 2 D
Vaksin Covid 19
69 22 DES 2021 Biofarma 200,760 200,760 - 212110210G 1-Apr-22 Rp - PS-00039466 SO-00026652 SR.02,06/II/3373/2021 TGL 20 DES 2021
(Corona Vac) 2 D
Vaksin Covid 19 202109116J/ MAR 2022/APR
70 22 DES 2021 Biofarma 276,440 276,440 - Rp - PS-00039450 SO-00026652 SR.02.06/II/3369/2021 TGL 20 DES 2021
(Corona Vac) 2 D 202110201I 2022
Vaksin Covid 19 BAP.167/K2BF/COV/XII/

71 23 DES 2021 Biofarma 102,000 102,000 - 202109152P 1-Mar-22 Rp - SR.02.06/4/3014/2021 TGL 21 DES 2021
(Corona Vac) 2 D 2021 TGL 22 DES 2021
Vaksin Covid 19
72 23 DES 2021 Biofarma 54,000 54,000 - 3005789 Feb-22 Rp - ACEHMO2212 SO-00026496 SR.02.06/4/3014/2021 TGL 21 DES 2021
(MODERNA) 10 D
Vaksin Covid 19
73 26 DES 2021 PT.FRIZER 25,740 25,740 - FL4789 Jun-22 Rp - S2105818289 TB05949460 SR.02.06/II/3221/2021 TGL 2 DES 2021
(PFIZER) 6 D
Vaksin Covid 19
74 29 DES 2021 Biofarma 43,290 43,290 - FM7783 Jun-22 Rp - PS-00039662 SO-00026676 SR.02.06/II/3452/2021 TGL 26 DES 2021
(PFIZER) 6 D
Vaksin Covid 19
75 31 DES 2021 Biofarma 21,370 21,370 - 3005789 Feb-22 Rp - ACEHMO3012 SO-00026496 SR.02.06/4/13367/2021 TGL 28 DES 2021
(MODERNA) 10 D
Vaksin Covid 19
76 31 DES 2021 Biofarma 150,000 150,000 - 202109188I 15-Mar-22 Rp - ACEHCV23012 SO-00026179 SR.02.06/4/13367/2021 TGL 28 DES 2021
(Corona Vac) 2 D
Vaksin Covid 19
77 8 Jan 2022 Biofarma 200,000 200,000 - 202110214E 18-Apr-22 Rp - CVACH7122 SO-00026652 SR,02,06/4/222/2022 TGL 6 JAN 2022
(Corona Vac) 2 D
Vaksin Covid 19
78 10 JAN 2022 PT.BIOFARMA 104,130 104,130 - FM2957 Jul-22 Rp - PS-00039904 SO-00026563
PFIZER 6 DOSIS
Vaksin Covid 19
79 10 JAN 2022 PT.BIOFARMA 81,900 81,900 - FM7783 Jun-22 Rp - ACEHPF901 SO-00026676 SR,02,06/4/222/2022 TGL 6 JAN 2022
PFIZER 6 DOSIS
JLH
NO
MASUK
NAMA
DANA (dosis)
PENGELUARA
N (dosis)
Vaksin Covid 19
80 10 JAN 2022 PT.BIOFARMA 25,740 25,740 - FM7785 Jun-22 Rp - PS-00039888 SO-00026676 SR.02.06/II/182/2022 TGL 5 JAN 2022
PFIZER 6 DOSIS
Vaksin Covid 19 202111227F/
81 17 Jan 2022 Biofarma 82,800 82,800 - 1-May-22 Rp - PS-00040001 SO-00026775 SR.02.06/II/255/2022 TGL 12 JANUARI 2022
(Corona Vac) 2 D 202111229F
Vaksin Covid 19 018F21A/
82 19 jan 2022 Biofarma 28,630 28,630 - MEI 2022 / APR 2022 Rp - ACEHMO1801 SO-00026743 SR,02,06/4/13367/2021 TGL 28 DES 2021
MODERNA 14 D 066F21A
Vaksin Covid 19
83 26 JAN 2022 Biofarma 40,000 40,000 - 202111238F 23-May-22 Rp - 2501ACEHCV2 SO-00026775 SR,02,06/4/1059/2022 TGL 24 JANUARI 2022
(Corona Vac) 2 D
Vaksin Covid 19 202112238G/ 09 JUNI 2022
84 29 JAN 2022 Biofarma 135,600 135,600 - Rp - PS-00040260 SO-00026775
(Corona Vac) 2 D 202112239G
85 29 JAN 2022 Vaksin Covid 19 10 D 30,600 30,600 - NM0004 28 FEB 2022 Rp - PS-00040266 SO-00026838
Vaksin Covid 19
86 31 JAN 2022
(Corona Vac) 2 D
Biofarma 23,280 23,280 - 202112238K JUNI 2022 Rp - PS-00040286 SO-00026775 SR,02,06/II/392/2022 TGL 26 JAN 2022
Vaksin Covid 19 07 JUNI 2022

87 10 FEB 2022
(Corona Vac) 2 D
Biofarma 254,498 254,498 - 202112235K Rp - 0902ACEHCV2 SO-00026775 SR.02,06/4/1829/2022 TGL 8 FEBRUARI 2022
Vaksin Covid 19 10 JUNI 2022

88 10 FEB 2022
(Corona Vac) 2 D
Biofarma 145,502 145,502 - 202112222M Rp - 0902CV2ACEH SO-00026775 SR.02,06/4/1829/2022 TGL 8 FEBRUARI 2022
Vaksin Covid 19 JUNI 2022

89 10 FEB 2021
PFIZER 6 DOSIS
PT.BIOFARMA 3,504 3,504 - FM7785 Rp - 0902ACEHPF SO-00026676 SR.02,06/4/1829/2022 TGL 8 FEBRUARI 2022
Vaksin Covid 19
90 16 FEB 2022
PFIZER 6 DOSIS
PT.BIOFARMA 196,500 196,500 - FM2956 01 July 2022 Rp - 1502ACEHPF SO-00026563 SR.02,06/4/1829/2022 TGL 8 FEBRUARI 2022
Vaksin Covid 19
91 16 FEB 2022
PFIZER 6 DOSIS
PT.BIOFARMA 73,710 73,710 - 35020BD 01 July 2022 Rp - PS-00040829 SO-00026563 SR.02,06/II/922/2022 TGL 13 FEB 2022
Vaksin Covid 19
92 25 FEB 2022 Biofarma 350,000 350,000 - 202112223M/20 10-Jun-22 Rp - CRVACH2402 SO-00026775 SR.02,06/4/49/2022 TGL 24 FEBRUARI 2022
(Corona Vac) 2 D 2112179N
93 25 FEB 2022 Vaksin Covid 19 10 D Biofarma 700 700 - CTMAV5147 31 MARET 2022 Rp - AZACEH24222 SO-00024068 SR.02,06/4/49/2022 TGL 24 FEBRUARI 2022
astrazeneca
94 25 FEB 2022 Vaksin Covid 19 Biofarma 50,008 50,008 - 066F21A 3-Apr-22 Rp - MODACH24222 SO-00026743 SR.02,06/4/49/2022 TGL 24 FEBRUARI 2022
MODERNA 14 D
Vaksin Covid 19
95 9 MAR 2022
PFIZER 6 DOSIS
PT.BIOFARMA 88,920 88,920 - FM2968 Jul-22 Rp 4,683.05 PS-0041765 SO-00026563
96 14 Maret 2022 Vaksin Covid 19 Biofarma 383,100 383,100 - 4301MF001 31 March 2022 Rp 1,052,295.05 PS-00041963 SO-00026520 SR.02,06/II/1521/2022 TGL 7 MARET 2022
COVOVAX 10 DS

Muzakir, SKM,M.Kes Elfina, S.Farm., Apt. M.Si

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
ZER, COVOVAX )
KETERANGAN
KETERANGAN
PMI A.UTARA;PMI PIDIE;PMMI

A.BESAR;PMI BIREUN
UMKM
TNI POLRI
POLTEKKES
KKP
DINKES,POLRI,TNI
PUPR,OJK
DINKES,POLRI,TNI, SENTRA DLL
RS VERTIKAL,KKP,POLTEKES
DINKES,POLRI,TNI
DINKES. KKP
DINKES TNI POLRI
KKP,POLTEKES
FASKES, SENTRA,TNI POLRI
DINKES,DPR,ORMAS,KEMENKOP
UKM,PUPR,SENTRA BANK OJK &BI
DINKES, SENTRA RUTIN, TNI POLRI
dinkes(24980 ds),Setra (8510 ds),TNI (8510

ds);Polri (8510 ds)
poltekes(1000 dosis) KKP(1400 Dosis)
MITRA KOMISI IX DPR RI

KETERANGAN
RS,VERTIKAL,KKP, POLTEKES
poltekes
DINKES, TNI,POLRI
DPR,OJK
DINKES,TNI,POLRI
KKP B.ACEH (100 DOSIS) KKP LHOK 400

DOSIS
BKKBN
KETERANGAN
DPR RI -DPD PARTAI GERINDRA
KKP POLTEKES
KETERANGAN


NIP. 19710912 200604 2 004
Daftar Distribusi COVID-19 VAKSIN PFIZER 6 DS
Dinas Kesehatan Aceh
COVID-19 VAKSIN PFIZER 6 DS Pabrikan
No Tanggal Sumber Keluar NO SBBK Batch

Masuk Saldo Stock
Volume Tujuan Harga
JUMLAH 7,800 7,800 - ED
1 44985 PT.Biofarma 7,800 7,800 1,300
2 44987 2,340 D. BANDA ACEH 5,460 001 390 910
4 44988 1,170 D. ACEH BESAR 4,290 002 195 715
5 44988 1,170 D. ACEH BARAT 3,120 003 195 520
6 44988 1,170 D. NAGAN RAYA 1,950 004 195 325
7 44988 1,170 D. BIREUEN 780 005 195 130
8 13 maret 2023 390 D.SABANG 390 006 65 65
9 20 maret 2023 210 D.BENER MERIAH 180 007 35 30
10 20 MARET 2023 180 D.ACEH JAYA - 008 30 -
11
12
13
14
15
16
18
19
20
21
23
24
26
27
28 -
29 -
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
/vial
No Tanggal Sumber Keluar BATCH NO SBBK Batch

Masuk Saldo Stock
Volume Tujuan Harga
JUMLAH 146,448 146,448 - ED
1 44865 PT.Biofarma 146,448 146,448
2 44867 1,170 SIMEULUE 145,278 FX2761 849 195
4 44867 1,170 ACEH SINGKIL 144,108 FX2761 850 195
5 44867 8,190 ACEH SELATAN 135,918 FX2761 851 1,365
6 44867 8,190 ACEH TENGGARA 127,728 FX2761 852 1,365
7 44867 12,870 ACEH TIMUR 114,858 FX2761 853 2,145
8 44867 2,340 ACEH TENGAH 112,518 FX2761 854 390
9 44867 2,340 ACEH BARAT 110,178 FX2761 855 390
10 44867 9,360 ACEH BESAR 100,818 FX2761 856 1,560
11 44867 14,040 PIDIE 86,778 FX2761 857 2,340
12 44867 17,550 BIREUEN 69,228 FX2761 858 2,925
13 44867 19,890 ACEH UTARA 49,338 FX2761 859 3,315
14 44867 1,170 ACEH BARAT DAYA 48,168 FX2761 860 195
15 44867 1,170 GAYO LUES 46,998 FX2761 861 195
16 44867 8,190 ACEH TAMIANG 38,808 FX2761 862 1,365
18 44867 3,510 NAGAN RAYA 35,298 FX2761 863 585
19 44867 1,170 ACEH JAYA 34,128 FX2761 864 195
20 44867 2,340 BENER MERIAH 31,788 FX2761 865 390
21 44867 9,360 PIDIE JAYA 22,428 FX2761 866 1,560
23 44867 3,510 BANDA ACEH 18,918 FX2761 867 585
24 44867 1,170 SABANG 17,748 FX2761 868 195
26 44867 3,510 LANGSA 14,238 FX2761 869 585
27 44867 3,510 LHOKSEUMAWE 10,728 FX2761 870 585
28 44867 1,170 SUBULUSSALAM 9,558 FX2761 871 195
29 2 des 2022 4,680 NAGAN RAYA 4,878 FX2761 875 780
30 9 des 2022 3,510 ACEH JAYA 1,368 FX2761 876 585
31 21 DES 2022 1,368 PIDIE - FX2761 877 228
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
PT.BIOFARMA
FX2761
/vial
01/02/23
24,408
24,213
24,018
22,653
21,288
19,143
18,753
18,363
16,803
14,463
11,538
8,223
8,028
7,833
6,468
5,883
5,688
5,298
3,738
3,153
2,958
2,373
1,788
1,593
813 4680
228
-
COVID-19 VAKSIN PFIZER 6 DS Pabrikan RELOKASI MALUKU
No Tanggal Sumber Keluar NO SBBK Batch FM2968

Masuk Saldo Stock
Volume Tujuan Harga
JUMLAH 2,664 2,664 - ED 30 November 2022
1 44860 PT.Biofarma 2,664 2,664 444
2 27 OKT 2022 450 BANDA ACEH 2,214 844 75 369
4 29 okt 2022 600 aceh besar 1,614 845 100 269
5 8 DES 2022 1,614 VAKSIN ED -

442.1/070/ 269 -
XII/2022
6 -
7 -
8 -
9 -
10 -
11 -
12 -
13 -
14 -
15 -
16 -
18 -
19 -
20 -
21 -
23 -
24 -
26 -
27 -
28 - -
29 - -
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
/vial
COVID-19 VAKSIN PFIZER 6 DS Pabrikan RELOKASI SULSEL

Masuk Saldo Stock
Volume Tujuan Harga
JUMLAH 450 450 - ED 30 November 2022
1 44860 PT.Biofarma 450 450 75
150
banda aceh (KKP
2 31 okt 2022
BANDA ACEH)
300 846 25 50
4 44867 150 SABANG (KKP SABANG) 150 847 25 25
150
LHOKSEUMAWE (KKP
5 44867
LHOKSEUMAWE)
- 848 25 -
6 -
7 -
8 -
9 -
10 -
11 -
12 -
13 -
14 -
15 -
16 -
18 -
19 -
20 -
21 -
23 -
24 -
26 -
27 -
28 - -
29 - -
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
/vial
COVID-19 VAKSIN PFIZER 6 DS Pabrikan RELOKASI MALUT
No Tanggal Sumber Keluar NO SBBK Batch P0001431

Masuk Saldo Stock
Volume Tujuan Harga
JUMLAH 2,340 2,340 - ED 01 January 2023
1 44842 PT.Biofarma 2,340 2,340 390
2 11 okt 2022 960 bireun 1,380 818 160 230
4 11 okt 2022 960 a.tamiang 420 819 160 70
5 11 okt 2022 420 banda aceh - 820 70 -
6 -
7 - 960
8 -
9 -
10 -
11 -
12 -
13 -
14 -
15 -
16 -
18 -
19 -
20 -
21 -
23 -
24 -
26 -
27 -
28 - -
29 - -
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
/vial
COVID-19 VAKSIN PFIZER 6 DS Pabrikan PT.BIOFARMA

Masuk Saldo Stock
Volume Tujuan Harga
JUMLAH 25,002 25,002 - ED 01 January 2023
1 44817 PT.Biofarma 25,002 25,002 4,167
2 44818 3,510 aceh timur 21,492 783 585 3,582
4 44818 1,170 aceh besar 20,322 784 195 3,387
5 44818 2,340 pidie 17,982 785 390 2,997
6 44818 2,340 bireuen 15,642 786 390 2,607
7 44818 4,680 aceh utara 10,962 787 780 1,827
8 44818 7,020 aceh tamiang 3,942 788 1,170 657
9 44818 1,602 banda aceh 2,340 789 267 390
10 44818 1,170 langsa 1,170 790 195 195
11 44818 1,170 lhokseumawe - 791 195 -
12
13
14
15
16
18
19
20
21
23
24
26
27
28 -
29 -
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
/vial

Masuk Saldo Stock
Volume Tujuan Harga
JUMLAH 50,310 50,310 - ED DES 2022
1 44802 PT.Biofarma 50,310 50,310 8,385
2 31 agus 2022 2,340 ACEH SELATAN 47,970 763 390 7,995
4 31 agus 2022 1,170 ACEH TENGGARA 46,800 764 195 7,800
5 31 agus 2022 4,680 ACEH TIMUR 42,120 765 780 7,020
6 31 agus 2022 2,340 ACEH TENGAH 39,780 766 390 6,630
7 31 agus 2022 2,340 ACEH BARAT 37,440 767 390 6,240
8 31 agus 2022 1,170 ACEH BESAR 36,270 768 195 6,045
9 31 agus 2022 4,680 PIDIE 31,590 769 780 5,265
10 31 agus 2022 4,680 BIREUEN 26,910 770 780 4,485
11 31 agus 2022 5,850 ACEH UTARA 21,060 771 975 3,510
12 31 agus 2022 2,340 ACEH BARAT DAYA 18,720 772 390 3,120
13 31 agus 2022 2,340 GAYO LUES 16,380 773 390 2,730
14 31 agus 2022 2,340 ACEH TAMIANG 14,040 774 390 2,340
15 31 agus 2022 2,340 NAGAN RAYA 11,700 775 390 1,950
16 31 agus 2022 1,170 ACEH JAYA 10,530 776 195 1,755
18 31 agus 2022 1,170 BENER MERIAH 9,360 777 195 1,560
19 31 agus 2022 2,340 PIDIE JAYA 7,020 778 390 1,170
20 31 agus 2022 1,170 BANDA ACEH 5,850 779 195 975
21 31 agus 2022 1,170 SABANG 4,680 780 195 780
23 31 agus 2022 2,340 LANGSA 2,340 781 390 390
24 31 agus 2022 2,340 LHOKSEUMAWE - 782 390 -
26
27
28 -
29 -
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
/vial
Daftar Distribusi COVID-19 VAKSIN SINOVAC 2 DS
COVID-19 VAKSIN SINOVAC 2 DS Pabrikan RELOKASI BANTEN
No Tanggal Sumber Keluar BATCH NO SBBK Batch 202110299I

Masuk Saldo Stock
Volume Tujuan Harga
JUMLAH 30,000 30,000 - ED 7 Sep 2022
RELOKASI
1 44776 30,000 30,000 15,000
BANTEN
2 15 Agus 2022 1,000 ACEH SELATAN 29,000 202110299I 744 500 14,500
3 15 Agus 2022 1,000 ACEH TENGGARA 28,000 202110299I 745 500 14,000
4 15 Agus 2022 2,000 ACEH TIMUR 26,000 202110299I 746 1,000 13,000
5 15 Agus 2022 2,000 ACEH TENGAH 24,000 202110299I 747 1,000 12,000
7 15 Agus 2022 3,000 ACEH BARAT 21,000 202110299I 748 1,500 10,500
8 15 Agus 2022 2,000 ACEH BESAR 19,000 202110299I 749 1,000 9,500
9 15 Agus 2022 2,000 PIDIE 17,000 202110299I 750 1,000 8,500

10 15 Agus 2022 1,000 BIREUEN 16,000 202110299I 751 500 8,000
11 15 Agus 2022 3,000 ACEH UTARA 13,000 202110299I 752 1,500 6,500
13 15 Agus 2022 2,000 ACEH BARAT DAYA 11,000 202110299I 753 1,000 5,500
14 15 Agus 2022 2,000 GAYO LUES 9,000 202110299I 754 1,000 4,500
15 15 Agus 2022 2,000 ACEH TAMIANG 7,000 202110299I 755 1,000 3,500
16 15 Agus 2022 2,000 NAGAN RAYA 5,000 202110299I 756 1,000 2,500
17 15 Agus 2022 1,000 ACEH JAYA 4,000 202110299I 757 500 2,000
18 15 Agus 2022 1,000 BENER MERIAH 3,000 202110299I 758 500 1,500
19 15 Agus 2022 1,000 PIDIE JAYA 2,000 202110299I 759 500 1,000
22 15 Agus 2022 1,000 LANGSA 1,000 202110299I 761 500 500
23 15 Agus 2022 1,000 LHOKSEUMAWE - 202110299I 762 500 -
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
/vial
Daftar Distribusi COVID-19 VAKSIN MODERNA 14 DS
COVID-19 VAKSIN MODERNA 14 DS Pabrikan PT.BIOFARMA
No Tanggal Sumber
MASUK
Keluar
Saldo Stock
BATCH NO SBBK Batch 088M21A
Volume Tujuan Harga
JUMLAH 39,200 39,200 - ED AGUS 2022
1 44764 PT.Biofarma 39,200 39,200 2,800

2 23 JULI 2022 1,400 SIMEULU 37,800 088M21A 720 100 2,700
3 23 JULI 2022 4,200 ACEH SELATAN 33,600 088M21A 722 300 2,400
4 23 JULI 2022 1,400 ACEH TIMUR 32,200 088M21A 724 100 2,300
5 23 JULI 2022 1,400 ACEH TENGAH 30,800 088M21A 725 100 2,200
6 23 JULI 2022 4,200 ACEH BARAT 26,600 088M21A 726 300 1,900
7 23 JULI 2022 4,200 ACEH UTARA 22,400 088M21A 730 300 1,600
8 23 JULI 2022 2,800 ACEH BARAT DAYA 19,600 088M21A 731 200 1,400
9 23 JULI 2022 4,200 ACEH TAMIANG 15,400 088M21A 733 300 1,100
10 23 JULI 2022 1,400 ACEH JAYA 14,000 088M21A 735 100 1,000
11 23 JULI 2022 1,400 BENER MERIAH 12,600 088M21A 736 100 900
12 23 JULI 2022 2,800 PIDIE JAYA 9,800 088M21A 737 200 700
13 23 JULI 2022 2,800 BANDA ACEH 7,000 088M21A 738 200 500
14 23 JULI 2022 2,800 LANGSA 4,200 088M21A 740 200 300
15 23 JULI 2022 2,800 LHOKSEUNAWE 1,400 088M21A 741 200 100
16 23 JULI 2022 1,400 SUBULUSSALAM - 088M21A 742 100 -
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
No Tanggal Sumber Keluar NO SBBK Batch FT5335

Masuk Saldo Stock
Volume Tujuan Harga
JUMLAH 70,200 70,200 - ED 01 September 2022
1 44764 PT.Biofarma 70,200 70,200 11,700

2 23 JULI 2022 1,170 SIMEULUE 69,030 720 195 11,505
4 23 JULI 2022 2,340 ACEH SINGKIL 66,690 721 390 11,115
5 23 JULI 2022 4,680 ACEH SELATAN 62,010 722 780 10,335
6 23 JULI 2022 3,510 ACEH TENGGARA 58,500 723 585 9,750
7 23 JULI 2022 4,680 ACEH TIMUR 53,820 724 780 8,970
8 23 JULI 2022 1,170 ACEH TENGAH 52,650 725 195 8,775
9 23 JULI 2022 2,340 ACEH BARAT 50,310 726 390 8,385
10 23 JULI 2022 4,680 ACEH BESAR 45,630 727 780 7,605
11 23 JULI 2022 3,510 PIDIE 42,120 728 585 7,020
12 23 JULI 2022 4,680 BIREUEN 37,440 729 780 6,240
13 23 JULI 2022 8,190 ACEH UTARA 29,250 730 1,365 4,875
14 23 JULI 2022 2,340 ACEH BARAT DAYA 26,910 731 390 4,485
15 23 JULI 2022 1,170 GAYO LUES 25,740 732 195 4,290
16 23 JULI 2022 5,850 ACEH TAMIANG 19,890 733 975 3,315
18 23 JULI 2022 2,340 NAGAN RAYA 17,550 734 390 2,925
19 23 JULI 2022 2,340 ACEH JAYA 15,210 735 390 2,535
20 23 JULI 2022 1,170 BENER MERIAH 14,040 736 195 2,340
21 23 JULI 2022 1,170 PIDIE JAYA 12,870 737 195 2,145
23 23 JULI 2022 2,340 BANDA ACEH 10,530 738 390 1,755
24 23 JULI 2022 1,170 SABANG 9,360 739 195 1,560
26 23 JULI 2022 2,340 LANGSA 7,020 740 390 1,170
27 23 JULI 2022 2,340 LHOKSEUMAWE 4,680 741 390 780
28 23 JULI 2022 2,340 SUBULUSSALAM 2,340 742 390 390
29 15 Agus 2022 1,170 BENER MERIAH 1,170 758 195 195

30 15 Agus 2022 1,170 BANDA ACEH - 760 195 -
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
/vial
No Tanggal Sumber
MASUK
Keluar
Saldo Stock
Volume Tujuan Harga
JUMLAH 21,154 21,154 - ED 11 AGUSTUS 2022
1 44761 PT.Biofarma 21,154 21,154 1,511

2 44762 1,400 D.ACEH BARAT 19,754 088M21A 711 100 1,411
3 44762 2,954 D.BIREUEN 16,800 088M21A 712 211 1,200
4 44762 5,600 D.ACEH UTARA 11,200 088M21A 713 400 800
5 44762 1,400 D.ABDYA 9,800 088M21A 714 100 700
6 44762 1,400 D.GALUS 8,400 088M21A 715 100 600
7 44762 2,800 D.A.TAMIANG 5,600 088M21A 716 200 400
8 44762 1,400 D.ACEH JAYA 4,200 088M21A 717 100 300
9 44762 2,800 D.BENER MERIAH 1,400 088M21A 718 200 100
10 44762 1,400 D.LHOKSEUMAWE - 088M21A 719 100 -
- -
- -

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
/vial
No Tanggal Sumber Keluar NO SBBK Batch 36015BD

Masuk Saldo Stock
Volume Tujuan Harga
JUMLAH 16,380 16,380 - ED AGUS 2022
1 44755 PT.Biofarma 16,380 16,380 2,730
2 15 JULI 2022 1,170 D.BANDA ACEH 15,210 703 195 2,535
4 15 JULI 2022 2,340 ACEH TIMUR 12,870 704 390 2,145
5 15 JULI 2022 2,340 PIDIE 10,530 705 390 1,755
6 15 JULI 2022 2,340 BIREUEN 8,190 706 390 1,365
7 15 JULI 2022 3,510 ACEH UTARA 4,680 707 585 780
8 15 JULI 2022 1,170 GAYO LUES 3,510 708 195 585
9 15 JULI 2022 2,340 ACEH TAMIANG 1,170 709 390 195
10 15 JULI 2022 1,170 BENER MERIAH - 710 195 -
11
12
13
14
15
16
18
19
20
21
23
24
26
27
28 -
29 -
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
/vial
No Tanggal Sumber Keluar NO SBBK Batch FM 9282

Masuk Saldo Stock
Volume Tujuan Harga
JUMLAH 6,552 6,552 - ED 31 July 2022
1 44746 PT.Biofarma 6,552 6,552 1,092
2 6 JULI 2022 6,552 ACEH BESAR - 700 1,092 -
4
5
6
7
8
9
10
11
12
13
14
15
16
18
19
20
21
23
24
26
27
28 -
29 -
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
/vial
No Tanggal Sumber
MASUK
Keluar
Saldo Stock
Volume Tujuan Harga
1 44741 PT.Biofarma 59,444 59,444 4,246
2 29 JUNI 2022 10,696 ACEH UTARA 48,748 088M21A 687 764 3,482
3 29 JUNI 2022 4,200 ACEH BARAT DAYA 44,548 088M21A 688 300 3,182
4 29 JUNI 2022 1,400 GAYO LUES 43,148 088M21A 689 100 3,082
5 29 JUNI 2022 5,600 ACEH TAMIANG 37,548 088M21A 690 400 2,682
6 29 JUNI 2022 5,600 NAGAN RAYA 31,948 088M21A 691 400 2,282
7 29 JUNI 2022 2,800 ACEH JAYA 29,148 088M21A 692 200 2,082
8 29 JUNI 2022 2,800 BENER MERIAH 26,348 088M21A 693 200 1,882
9 29 JUNI 2022 2,800 PIDIE JAYA 23,548 088M21A 694 200 1,682
10 29 JUNI 2022 6,020 BANDA ACEH 17,528 088M21A 695 430 1,252
11 29 JUNI 2022 4,200 LANGSA 13,328 088M21A 696 300 952
12 29 JUNI 2022 7,000 LHOKSEUMAWE 6,328 088M21A 697 500 452
13 29 JUNI 2022 2,800 SUBULUSSALAM 3,528 088M21A 698 200 252
6 JULI 2022 3,528 ACEH BESAR - 088M21A 700 252 -
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
/vial

Masuk Saldo Stock
Volume Tujuan Harga 4,918.56
JUMLAH 36,270 36,270 - ED 31 July 2022
1 44739 PT.Biofarma 36,270 36,270 6,045
2 29 JUNI 2022 1,170 SIMEULUE 35,100 677 195 5,850
4 29 JUNI 2022 1,170 ACEH SINGKIL 33,930 678 195 5,655
5 29 JUNI 2022 2,340 ACEH SELATAN 31,590 679 390 5,265
6 29 JUNI 2022 2,340 ACEH TENGGARA 29,250 680 390 4,875
7 29 JUNI 2022 2,340 ACEH TIMUR 26,910 681 390 4,485
8 29 JUNI 2022 2,340 ACEH TENGAH 24,570 682 390 4,095
9 29 JUNI 2022 2,340 ACEH BARAT 22,230 683 390 3,705
10 29 JUNI 2022 2,340 ACEH BESAR 19,890 684 390 3,315
11 29 JUNI 2022 3,510 PIDIE 16,380 685 585 2,730
12 29 JUNI 2022 2,340 BIREUEN 14,040 686 390 2,340
13 29 JUNI 2022 3,510 ACEH UTARA 10,530 687 585 1,755
14 29 JUNI 2022 1,170 ACEH BARAT DAYA 9,360 688 195 1,560
15 29 JUNI 2022 1,170 GAYO LUES 8,190 689 195 1,365
16 29 JUNI 2022 1,170 ACEH TAMIANG 7,020 690 195 1,170
18 29 JUNI 2022 1,170 ACEH JAYA 5,850 692 195 975
19 29 JUNI 2022 1,170 BENER MERIAH 4,680 693 195 780
20 29 JUNI 2022 1,170 PIDIE JAYA 3,510 694 195 585
21 29 JUNI 2022 1,170 BANDA ACEH 2,340 695 195 390
23 29 JUNI 2022 1,170 LANGSA 1,170 696 195 195
24 29 JUNI 2022 1,170 LHOKSEUMAWE - 697 195 -
26
27
28 -
29 -
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
/vial
No Tanggal Sumber
MASUK
Keluar
Saldo Stock
Volume Tujuan Harga
1 44739 PT.Biofarma 25,004 25,004 1,786

2 29 JUNI 2022 6,300 PIDIE 18,704 088M21A 685 450 1,336
4 29 JUNI 2022 11,200 BIREUEN 7,504 088M21A 686 800 536
6 29 JUNI 2022 7,504 ACEH UTARA - 088M21A 687 536 -
7
8
11
12
13
18
/vial
No Tanggal Sumber
MASUK
Keluar
Saldo Stock
Volume Tujuan Harga
JUMLAH 59,500 59,500 - ED 11 AGUS 2022
1 44739 PT.Biofarma 59,500 59,500 4,250

29 JUNI 2022 1,400 SIMEULUE 58,100 088M21A 677 100 4,150
29 JUNI 2022 2,800 ACEH SINGKIL 55,300 088M21A 678 200 3,950
29 JUNI 2022 8,400 ACEH SELATAN 46,900 088M21A 679 600 3,350
29 JUNI 2022 8,400 ACEH TENGGARA 38,500 088M21A 680 600 2,750
29 JUNI 2022 9,800 ACEH TIMUR 28,700 088M21A 681 700 2,050
29 JUNI 2022 5,600 ACEH TENGAH 23,100 088M21A 682 400 1,650
29 JUNI 2022 5,600 ACEH BARAT 17,500 088M21A 683 400 1,250
29 JUNI 2022 9,800 ACEH BESAR 7,700 088M21A 684 700 550
29 JUNI 2022 7,700 PIDIE - 088M21A 685 550 -
/vial
COVID-19 VAKSIN SINOVAC 2 DS Pabrikan RELOKASI TANGERANG
No Tanggal Sumber Keluar BATCH NO SBBK Batch 202110213K

Masuk Saldo Stock
Volume Tujuan Harga
JUMLAH 20,000 20,000 - ED 17 JULI 2022
relokasi
1 44733 20,000 20,000 10,000
TANGERANG
2 22 juni 2022 1,000 SIMEULUE 19,000 202110213K 667 500 9,500
3 22 juni 2022 1,000 ACEH SINGKIL 18,000 202110213K 668 500 9,000
4 22 juni 2022 2,000 ACEH SELATAN 16,000 202110213K 669 1,000 8,000
5 22 juni 2022 2,000 ACEH TIMUR 14,000 202110213K 670 1,000 7,000
7 22 juni 2022 3,000 ACEH BARAT 11,000 202110213K 671 1,500 5,500
8 22 juni 2022 2,000 ACEH BESAR 9,000 202110213K 672 1,000 4,500
9 22 juni 2022 3,000 BIREUEN 6,000 202110213K 673 1,500 3,000

10 22 juni 2022 4,000 ACEH UTARA 2,000 202110213K 674 2,000 1,000
11 22 juni 2022 1,000 ACEH BARAT DAYA 1,000 202110213K 675 500 500
13 22 juni 2022 1,000 SUBULUSSALAM - 202110213K 676 500 -
14 - -
15 - -
16 - -
17 - -
18 - -
19 - -
20 - -
21 - -
22 - -
23 - -
24 -
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
RELOKASI TANGERANG
/vial
No Tanggal Sumber
MASUK
Keluar
Saldo Stock
BATCH NO SBBK Batch 000164A
Volume Tujuan Harga
JUMLAH 50,000 50,000 - ED 23 JUNI 2022
1 44728 PT.Biofarma 50,000 50,000 5,000

2 16 JUNI 2022 2,000 D.PIDIE JAYA 48,000 656 200 4,800
4 16 JUNI 2022 2,000 D.ACEH BARAT 46,000 657 200 4,600
6 16 JUNI 2022 10,000 D.PIDIE 36,000 658 1,000 3,600
7 16 JUNI 2022 10,000 D.ACEH UTARA 26,000 659 1,000 2,600
8 16 JUNI 2022 10,000 LHOKSEUMAWE 16,000 660 1,000 1,600
11 16 JUNI 2022 2,000 A.BESAR 14,000 661 200 1,400
12 16 JUNI 2022 4,000 A.TIMUR 10,000 662 400 1,000
13 16 JUNI 2022 4,000 LANGSA 6,000 663 400 600
18 16 JUNI 2022 2,000 BIREUEN 4,000 664 200 400
/vial
COVID-19 VAKSIN SINOVAC 1 DS Pabrikan PT.BIOFARMA
No Tanggal Sumber
Masuk
Keluar
Saldo Stock
BATCH NO SBBK Batch B202106073
Volume Tujuan Harga /vial
JUMLAH 10,000 10,000 - ED 27 Jun 2022
1 16 JUNI2022 PT.BIOFARMA 10,000 10,000 10,000
2 16 JUNI 2022 2,000 D.PIDIE JAYA 8,000 656 1,000 9,000

3 16 JUNI 2022 2,000 D.ACEH BARAT 6,000 657 1,000 8,000
4 16 JUNI 2022 2,000 D.PIDIE 4,000 658 1,000 7,000
5 16 JUNI 2022 2,000 D.ACEH UTARA 2,000 659 1,000 6,000
7 16 JUNI 2022 1,000 LHOKSEUMAWE 1,000 660 500 5,500
8 16 JUNI 2022 1,000 A.BESAR - 661 500 5,000
9
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004

Masuk Saldo Stock
Volume Tujuan Harga 4,683.05
JUMLAH 100,002 100,002 - ED 31 July 2022
1 44712 PT.Biofarma 100,002 100,002 16,667
2 2 JUNI 2022 2,340 SIMEULUE 97,662 629 390 16,277
4 2 JUNI 2022 8,190 ACEH SELATAN 89,472 631 1,365 14,912
5 2 JUNI 2022 3,510 ACEH TENGGARA 85,962 632 585 14,327
6 2 JUNI 2022 4,680 ACEH TIMUR 81,282 633 780 13,547
7 2 JUNI 2022 2,340 ACEH TENGAH 78,942 634 390 13,157
8 2 JUNI 2022 7,020 ACEH BARAT 71,922 635 1,170 11,987
9 2 JUNI 2022 3,510 ACEH BESAR 68,412 636 585 11,402
10 2 JUNI 2022 5,850 PIDIE 62,562 637 975 10,427
11 2 JUNI 2022 8,190 BIREUEN 54,372 638 1,365 9,062
12 2 JUNI 2022 11,700 ACEH UTARA 42,672 639 1,950 7,112
13 2 JUNI 2022 3,510 ACEH BARAT DAYA 39,162 640 585 6,527
14 2 JUNI 2022 2,340 GAYO LUES 36,822 641 390 6,137
15 2 JUNI 2022 3,510 ACEH TAMIANG 33,312 642 585 5,552
16 2 JUNI 2022 2,340 NAGAN RAYA 30,972 643 390 5,162
17 2 JUNI 2022 3,510 ACEH JAYA 27,462 644 585 4,577
18 2 JUNI 2022 4,680 BENER MERIAH 22,782 645 780 3,797
19 2 JUNI 2022 3,510 PIDIE JAYA 19,272 646 585 3,212
20 2 JUNI 2022 2,340 BANDA ACEH 16,932 647 390 2,822
21 2 JUNI 2022 2,340 SABANG 14,592 648 390 2,432
22 2 JUNI 2022 4,680 LANGSA 9,912 649 780 1,652
23 2 JUNI 2022 4,680 LHOKSEUMAWE 5,232 650 780 872
24 2 JUNI 2022 3,510 SUBULUSSALAM 1,722 651 585 287
25 15 JUNI 2022 1,020 ACEH BARAT 702 654 170 117
26 15 JUNI 2022 702 PIDIE JAYA - 655 117 -
27 -
28 -
29 -
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
/vial
No Tanggal Sumber Keluar BATCH NO SBBK Batch 007L21A

MASUK Saldo Stock
Volume Tujuan Harga
JUMLAH 25,000 25,000 - ED 15 JUNI 2022
1 44712 PT.Biofarma 25,000 25,000 2,500

2 2 JUNI 2022 1,000 SIMEULUE 24,000 007L21A 629 100 2,400
4 2 JUNI 2022 3,000 ACEH SELATAN 21,000 007L21A 631 300 2,100
6 2 JUNI 2022 2,000 ACEH TIMUR 19,000 007L21A 633 200 1,900
7 2 JUNI 2022 1,000 ACEH TENGAH 18,000 007L21A 634 100 1,800
8 2 JUNI 2022 3,000 ACEH BARAT 15,000 007L21A 635 300 1,500
11 2 JUNI 2022 3,000 BIREUEN 12,000 007L21A 638 300 1,200
12 2 JUNI 2022 5,000 ACEH UTARA 7,000 007L21A 639 500 700
13 2 JUNI 2022 1,000 ACEH BARAT DAYA 6,000 007L21A 640 100 600
18 2 JUNI 2022 2,000 BENER MERIAH 4,000 007L21A 645 200 400
2 JUNI 2022 2,000 LANGSA 2,000 007L21A 649 200 200
2 JUNI 2022 2,000 LHOKSEUMAWE - 007L21A 650 200 -
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
/vial
No Tanggal Sumber Keluar BATCH NO SBBK Batch 000156A

MASUK Saldo Stock
Volume Tujuan Harga
JUMLAH 19,400 19,400 - ED 20 JUNI 2022
1 44698 PT.Biofarma 19,400 19,400 1,940

2 19 MEI 222 3,000 D.ACEH BESAR 16,400 000156A 613 300 1,640
3 19 MEI 222 4,000 D.BIREUEN 12,400 000156A 615 400 1,240
4 19 MEI 222 7,000 D.ACEH UTARA 5,400 000156A 616 700 540
5 19 MEI 222 1,000 D.SABANG 4,400 000156A 625 100 440
6 19 MEI 222 2,000 D.LANGSA 2,400 000156A 626 200 240
7 19 MEI 222 2,000 D.LHOKSEUMAWE 400 000156A 627 200 40
8 3 JUNI 2022 400 D.ACEH BESAR - 000156A 653 40
9
10
11
12
13
14
15
16
17
18
19
20
/vial
No Tanggal Sumber Keluar BATCH NO SBBK Batch 007L21A

MASUK Saldo Stock
Volume Tujuan Harga
JUMLAH 39,700 39,700 - ED 15 JUNI 2022
1 44691 PT.Biofarma 39,700 39,700 3,970

2 17 mei 2022 2,000 D.BANDA ACEH 37,700 007L21A 605 200 3,770
3 19 MEI 2022 1,000 D.SIMEULU 36,700 007L21A 606 100 3,670
4 19 MEI 2022 3,000 D.ACEH SELATAN 33,700 007L21A 608 300 3,370
5 19 MEI 2022 3,000 D.ACEH TENGGARA 30,700 007L21A 609 300 3,070
6 19 MEI 2022 3,000 D.ACEH TIMUR 27,700 007L21A 610 300 2,770
7 19 MEI 2022 2,000 D.ACEH TENGAH 25,700 007L21A 611 200 2,570
8 19 MEI 2022 4,000 D.ACEH BARAT 21,700 007L21A 612 400 2,170
9 19 MEI 2022 4,000 D.PIDIE 17,700 007L21A 614 400 1,770
10 19 MEI 2022 2,000 D.ABDYA 15,700 007L21A 617 200 1,570
11 19 MEI 2022 2,000 D.GAYO LUES 13,700 007L21A 618 200 1,370
12 19 MEI 2022 2,000 D.ACEH TAMIANG 11,700 007L21A 619 200 1,170
13 19 MEI 2022 3,000 D.NAGAN RAYA 8,700 007L21A 620 300 870
14 19 MEI 2022 2,000 D.ACEH JAYA 6,700 007L21A 621 200 670
15 19 MEI 2022 3,000 D.BENER MERIAH 3,700 007L21A 622 300 370
16 19 MEI 2022 2,000 D.PIDIE JAYA 1,700 007L21A 623 200 170
17 19 MEI 2022 1,000 D.SUBULUSSALAM 700 007L21A 628 100 70
18 3 JUNI 2022 700 D.ACEH BESAR - 007L21A 653 70
19
20
/vial
No Tanggal Sumber Keluar NO SBBK Batch PCB0010

Masuk Saldo Stock
Volume Tujuan Harga 4,918.56 /vial
JUMLAH 85,410 85,410 - ED 01 June 2022
1 44677 PT.Biofarma 85,410 85,410 14,235
2 44677 1,170 SIMEULUE 84,240 536 195 14,040
3 44677 3,510 ACEH SINGKIL 80,730 537 585 13,455
4 44677 2,340 ACEH SELATAN 78,390 538 390 13,065
5 44677 3,510 ACEH TENGGARA 74,880 539 585 12,480
6 44677 7,020 ACEH TIMUR 67,860 540 1,170 11,310
7 44677 4,680 ACEH TENGAH 63,180 541 780 10,530
8 44677 4,680 ACEH BARAT 58,500 542 780 9,750
9 44677 3,510 ACEH BESAR 54,990 543 585 9,165
10 44677 7,020 PIDIE 47,970 544 1,170 7,995
11 44677 7,020 BIREUEN 40,950 545 1,170 6,825
12 44677 9,360 ACEH UTARA 31,590 546 1,560 5,265
13 44677 2,340 ACEH BARAT DAYA 29,250 547 390 4,875
14 44677 2,340 GAYO LUES 26,910 548 390 4,485
15 44677 3,510 ACEH TAMIANG 23,400 549 585 3,900
16 44677 3,510 NAGAN RAYA 19,890 550 585 3,315
17 44677 1,170 ACEH JAYA 18,720 551 195 3,120
18 44677 2,340 BENER MERIAH 16,380 552 390 2,730
19 44677 1,170 PIDIE JAYA 15,210 553 195 2,535
20 44677 3,510 BANDA ACEH 11,700 554 585 1,950
21 44677 1,170 SABANG 10,530 555 195 1,755
22 44677 1,170 LANGSA 9,360 556 195 1,560
23 44677 2,340 LHOKSEUMAWE 7,020 557 390 1,170
24 44677 3,510 SUBULUSSALAM 3,510 558 585 585
25 44680 3,510 ACEH BARAT - 602 585 -
26 -
27 -
28 -
29 -
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
No Tanggal Sumber Keluar NO SBBK Batch FN 1430

Masuk Saldo Stock
JUMLAH 100,002 100,002 - ED 01 June 2022
1 44665 PT.Biofarma 100,002 100,002 16,667
2 44666 11,700 D.ACEH BESAR 88,302 493 1,950 14,717
3 44666 8,190 D.BANDA ACEH 80,112 494 1,365 13,352
4 44671 5,850 ACEH SELATAN 74,262 496 975 12,377
5 44671 3,510 ACEH TENGGARA 70,752 497 585 11,792
6 44671 9,360 ACEH TIMUR 61,392 498 1,560 10,232
7 44671 2,340 ACEH TENGAH 59,052 499 390 9,842
8 44671 4,680 ACEH BARAT 54,372 500 780 9,062
9 44671 7,020 PIDIE 47,352 501 1,170 7,892
10 44671 7,020 BIREUEN 40,332 502 1,170 6,722
11 44671 12,870 ACEH UTARA 27,462 503 2,145 4,577
12 44671 3,510 ACEH BARAT DAYA 23,952 504 585 3,992
13 44671 1,170 GAYO LUES 22,782 505 195 3,797
14 44671 5,850 ACEH TAMIANG 16,932 506 975 2,822
15 44671 4,680 BENER MERIAH 12,252 507 780 2,042
16 44671 1,170 PIDIE JAYA 11,082 508 195 1,847
17 44671 2,340 ACEH JAYA 8,742 509 390 1,457
18 44671 2,340 LANGSA 6,402 510 390 1,067
19 44671 3,510 LHOKSEUMAWE 2,892 511 585 482
20 44671 2,340 SUBULUSSALAM 552 512 390 92
21 44673 552 BIREUEN - 533 92
21 -
22 -
23 -
24 -
25 -
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
COVID-19 VAKSIN SINOVAC 2 DS Pabrikan RELOKASI JATENG

Masuk Saldo Stock
Volume Tujuan Harga
JUMLAH 156,756 156,756 - ED
1 44662 relokasi jateng 156,756 156,756 78,378
2 44663 4,000 D.SIMEULU 152,756 202111223F 467 2,000 76,378

3 44663 5,000 D.ACEH SINGKIL 147,756 202112100L 468 2,500 73,878
4 44663 10,000 D.ACEH TENGGARA 137,756 202111223F 470 5,000 68,878
5 44663 11,000 D.ACEH TENGAH 126,756 202111223F 472 5,500 63,378
7 44663 10,000 D.ACEH BARAT 116,756 202111223F 473 5,000 58,378
8 44663 18,000 D.ACEH BESAR 98,756 202110211G/ 474 9,000 49,378

2021112104L
9 44663 16,000 D.BIREUN 82,756 202112191H 476 8,000 41,378
10 44663 8,000 D.ABDYA 74,756 202112100L 478 4,000 37,378
11 44663 3,000 D.GALUS 71,756 202111223F 479 1,500 35,878
13 44663 12,000 D.BENER MERIAH 59,756 202111223F 481 6,000 29,878
14 44663 6,000 D.PIDIE JAYA 53,756 202112104L 482 3,000 26,878
15 44663 7,000 D.NAGAN RAYA 46,756 202112100L 483 3,500 23,378
16 44663 5,000 D.ACEH JAYA 41,756 202112100L 484 2,500 20,878
202110211G/
17 44663 18,000 D.BANDA ACEH 23,756
202112100L 485 9,000 11,878
18 44663 2,000 D.SABANG 21,756 202112100L 486 1,000 10,878

19 44663 5,000 D.LANGSA 16,756 202112191H 487 2,500 8,378
20 44663 6,000 D.SUBULUSSALAM 10,756 202112100L 489 3,000 5,378
21 44671 3,000 ACEH BARAT 7,756 202112100L 513 1,500 3,878
22 44673 2,000 NAGAN RAYA 5,756 202112191H 534 1,000 2,878
23 44673 3,000 BIREUEN 2,756 202112191H 535 1,500 1,378
202112100L/2021
24 44680 2,756 ACEH BARAT -
12191H/20211210 601 1,378
4L
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
/vial
No Tanggal Sumber Keluar BATCH NO SBBK Batch 202112222M

Masuk Saldo Stock
Volume Tujuan Harga
JUMLAH 100,000 100,000 - ED 22 Jun 2022
1 44659 PT.BIOFARMA 100,000 100,000 50,000
2 44663 14,000 A.SELATAN 86,000 202112222M 469 7,000 43,000

3 44663 19,000 A.TIMUR 67,000 202112222M 471 9,500 33,500
4 44663 20,000 PIDIE 47,000 202112222M 475 10,000 23,500
5 44663 20,000 A.UTARA 27,000 202112222M 477 10,000 13,500
7 44663 18,000 A.TAMIANG 9,000 202112222M 480 9,000 4,500
8 44663 9,000 LHOKSEUMAWE - 202112222M 488 4,500 -
9
10
11
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
/vial
COVID-19 VAKSIN MODERNA 10 DS
No Tanggal Sumber Keluar BATCH NO SBBK

MASUK Saldo Stock
Volume Tujuan
JUMLAH 55,300 55,300 -
1 44656 PT.Biofarma 55,300 55,300
2 44657 1,000 SIMEULUE 54,300 000115A 427
3 44657 4,000 ACEH SELATAN 50,300 000115A 428
4 44657 3,000 ACEH TENGGARA 47,300 000115A 429
5 44657 4,000 ACEH TIMUR 43,300 000115A 430
6 44657 2,000 ACEH TENGAH 41,300 000115A 431
7 44657 3,000 ACEH BARAT 38,300 000115A 432
8 44657 4,000 ACEH BESAR 34,300 000115A 433
9 44657 3,000 PIDIE 31,300 000115A 434
10 44657 5,000 BIREUEN 26,300 000079A 435
11 44657 9,000 ACEH UTARA 17,300 000115A 436
12 44657 1,000 ACEH BARAT DAYA 16,300 000115A 437
13 44657 3,000 ACEH TAMIANG 13,300 000115A 438
14 44657 2,000 BENER MERIAH 11,300 000115A 439
15 44657 500 PIDIE JAYA 10,800 000115A 440
16 44657 1,000 NAGAN RAYA 9,800 000115A 441
17 44657 1,000 ACEH JAYA 8,800 000115A 442
18 44657 4,000 BANDA ACEH 4,800 000115A 443
19 44657 3,000 LANGSA 1,800 000115A 444
20 44657 800 LHOKSEUMAWE 1,000 000115A 445
000079A 27 VIAL
21 44663 1,000 BANDA ACEH - + 000115A 73 491
VIAL
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004

Masuk Saldo Stock
JUMLAH 100,002 100,002 - ED 01 July 2022
1 44652 PT.Biofarma 100,002 100,002 16,667
2 44656 8,190 D.ACEH BESAR 91,812 425 1,365 15,302
3 44657 2,340 SIMEULUE 89,472 446 390 14,912
4 44657 1,170 ACEH SINGKIL 88,302 447 195 14,717
5 44657 8,190 ACEH SELATAN 80,112 448 1,365 13,352
6 44657 4,680 ACEH TENGGARA 75,432 449 780 12,572
7 44657 4,680 ACEH TIMUR 70,752 450 780 11,792
8 44657 3,510 ACEH TENGAH 67,242 451 585 11,207
9 44657 8,190 ACEH BARAT 59,052 452 1,365 9,842
10 44657 9,360 PIDIE 49,692 454 1,560 8,282
11 44657 8,190 BIREUEN 41,502 455 1,365 6,917
12 44657 11,700 ACEH UTARA 29,802 456 1,950 4,967
13 44657 3,510 ACEH BARAT DAYA 26,292 457 585 4,382
14 44657 3,510 ACEH TAMIANG 22,782 458 585 3,797
15 44657 7,020 BENER MERIAH 15,762 459 1,170 2,627
16 44657 2,340 PIDIE JAYA 13,422 460 390 2,237
17 44657 3,510 NAGAN RAYA 9,912 461 585 1,652
18 44657 3,510 ACEH JAYA 6,402 462 585 1,067
19 44657 1,170 SABANG 5,232 463 195 872
20 44657 1,170 LANGSA 4,062 464 195 677
21 44657 1,170 LHOKSEUMAWE 2,892 465 195 482
44663 2,892 BANDA ACEH - 490 482 -
21 -
22 -
23 -
24 -
25 -
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004

Masuk Saldo Stock
Volume Tujuan Harga
JUMLAH 1,800 1,800 - ED
1 44652 PT.BIOFARMA 1,800 1,800 900
2 44666 120 D.ACEH BESAR 1,680 202110220F 495 60 840

3 44666 120 D.ACEH BESAR 1,560 202110221F 495 60 780
4 44666 120 D.ACEH BESAR 1,440 202111222F 495 60 720
5 44666 120 D.ACEH BESAR 1,320 202111223F 495 60 660
7 44666 120 D.ACEH BESAR 1,200 202111224F 495 60 600
8 44666 120 D.ACEH BESAR 1,080 202111225F 495 60 540
9 44666 120 D.ACEH BESAR 960 202111226F 495 60 480
10 44666 120 D.ACEH BESAR 840 202111227F 495 60 420
11 44666 120 D.ACEH BESAR 720 202111228F 495 60 360
13 44666 120 D.ACEH BESAR 600 202111229F 495 60 300
14 44666 120 D.ACEH BESAR 480 202111235F 495 60 240
15 44666 120 D.ACEH BESAR 360 202111236F 495 60 180
16 44666 120 D.ACEH BESAR 240 202111237F 495 60 120

17 44666 120 D.ACEH BESAR 120 202111238F 495 60 60
18 44666 120 D.ACEH BESAR - 202111239F 495 60 -
19 -
20 -
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
/vial
No Tanggal Sumber Keluar NO SBBK Batch 066H21A

MASUK Saldo Stock
Volume Tujuan Harga
JUMLAH 8,000 8,000 - ED 22 Apr 2022
1 44643 PT.Biofarma 8,000 8,000 800
2 44644 1,000 A.SELATAN 7,000 370 100 700
3 44644 1,000 A.TENGAH 6,000 373 100 600
4 44644 1,000 PIDIE 5,000 376 100 500
5 44644 1,000 BIREUEN 4,000 377 100 400
6 44644 1,000 A.UTARA 3,000 378 100 300
7 44644 1,000 ABDYA 2,000 379 100 200
8 44644 500 BENER MERIAH 1,500 382 50 150
9 44644 1,000 LHOKSEUMAWE 500 389 100 50
10 44644 500 SUBULUSSALAM - 390 50 -
11
12
13
14
15
16
17
18
19
20
21
22
23
/vial
COVID-19 VAKSIN SINOVAC 2 DS Pabrikan RELOKASI DKI
No Tanggal Sumber Keluar BATCH NO SBBK Batch 202110220F/202110221F

Masuk Saldo Stock
Volume Tujuan Harga
JUMLAH 105,802 105,802 - ED 22 Apr 2022
1 44642 Realokasi DKI 105,802 105,802 52,901
2 44644 2,000 SIMEULUE 103,802 202110220F 368 1,000 51,901

3 44644 2,400 ACEH SINGKIL 101,402 202110221F 369 1,200 50,701
4 44644 10,000 ACEH SELATAN 91,402 202110221F 370 5,000 45,701
5 44644 4,800 ACEH TENGGARA 86,602 202110221F 371 2,400 43,301
7 44644 6,000 ACEH TENGAH 80,602 202110221F 373 3,000 40,301
8 44644 4,000 ACEH BARAT 76,602 202110221F 374 2,000 38,301
9 44644 4,800 ACEH BESAR 71,802 202110220F 375 2,400 35,901
10 44644 10,000 PIDIE 61,802 202110221F 376 5,000 30,901
11 44644 9,200 BIREUEN 52,602 202110220F 377 4,600 26,301
13 44644 3,200 ACEH BARAT DAYA 49,402 202110221F 379 1,600 24,701
14 44644 2,800 GAYO LUES 46,602 202110221F 380 1,400 23,301
(202110221F = 6000
15 44644 7,000 ACEH TAMIANG 39,602 DOSIS);(202110220F 381 3,500 19,801
=1000 DOSIS)
16 44644 8,000 BENER MERIAH 31,602 202110221F 382 4,000 15,801
17 44644 2,400 PIDIE JAYA 29,202 202110221F 383 1,200 14,601
18 44644 4,000 NAGAN RAYA 25,202 202110221F 384 2,000 12,601
19 44644 2,800 ACEH JAYA 22,402 202110221F 385 1,400 11,201
20 44644 6,800 BANDA ACEH 15,602 202110220F 386 3,400 7,801
21 44644 1,200 SABANG 14,402 202110220F 387 600 7,201
22 44644 4,000 LANGSA 10,402 202110221F 388 2,000 5,201
23 44644 6,000 LHOKSEUMAWE 4,402 202110221F 389 3,000 2,201
24 44644 3,600 SUBULUSSALAM 802 202110221F 390 1,800 401
202110221F =
25 44666 722 D.ACEH BESAR 80
162 DOSIS 495 361 40
202110220F = 560
DOSIS
26 44680 80 Expire date (dimusnahkan) - 603 40 -

27
28
29
30
31
32
33
34
35
36
37
38
39
/vial
COVID-19 VAKSIN SINOVAC 2 DS Pabrikan
Masuk Saldo Stock
Volume Tujuan Harga
JUMLAH 26,000 26,000 - ED
REALOKASI
1 44641 26,000 26,000 13,000
JATENG
2 44644 11,200 ACEH TIMUR 14,800 202110209G 372 5,600 7,400
(202112104L = 5736
DOSIS) ; (202110118J = 7808
3 44644 14,800 ACEH UTARA - DOSIS); (202110209G =1256 378 7,400 -
DOSIS)
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
RELOKASI JATENG
202110209G/202110118J/
2021112104I
/vial
11 APR 2022/7 APR 2022/9

JUNI 2022
Daftar Distribusi COVID-19 VAKSIN COVOVAX 10 DS
COVID-19 VAKSIN COVOVAX 10 DS Pabrikan PT.BIOFARMA
No Tanggal Sumber Keluar NO SBBK Batch 4301MF001

Masuk Saldo Stock
Volume Tujuan Harga 1,052,295.05 /vial
JUMLAH 383,100 383,100 - ED 31 March 2022
1 44634 PT.Biofarma 383,100 383,100 38,310
2 14 Maret 2022 5,000 SIMEULU 378,100 321 500 37,810
3 14 Maret 2022 10,000 A.SINGKIL 368,100 322 1,000 36,810
4 14 Maret 2022 20,000 A.SELATAN 348,100 323 2,000 34,810
5 14 Maret 2022 15,000 A.TENGGARA 333,100 324 1,500 33,310
6 14 Maret 2022 30,000 A.TIMUR 303,100 325 3,000 30,310
7 14 Maret 2022 10,000 A.TENGAH 293,100 326 1,000 29,310
8 14 Maret 2022 20,000 A.BARAT 273,100 327 2,000 27,310
9 14 Maret 2022 30,000 A.BESAR 243,100 328 3,000 24,310
10 14 Maret 2022 30,000 PIDIE 213,100 329 3,000 21,310
11 14 Maret 2022 30,000 BIREUEN 183,100 330 3,000 18,310
12 14 Maret 2022 40,000 A.UTARA 143,100 331 4,000 14,310
13 14 Maret 2022 10,000 ABDYA 133,100 332 1,000 13,310
14 14 Maret 2022 10,000 GAYO LUES 123,100 333 1,000 12,310
15 14 Maret 2022 20,000 A.TAMIANG 103,100 334 2,000 10,310
16 14 Maret 2022 20,000 BENER MERIAH 83,100 335 2,000 8,310
17 14 Maret 2022 10,000 PIDIE JAYA 73,100 336 1,000 7,310
18 14 Maret 2022 10,000 N.RAYA 63,100 337 1,000 6,310
19 14 Maret 2022 10,000 A.JAYA 53,100 338 1,000 5,310
20 14 Maret 2022 10,000 B.ACEH 43,100 339 1,000 4,310
21 14 Maret 2022 8,100 SABANG 35,000 340 810 3,500
22 14 Maret 2022 10,000 LANGSA 25,000 341 1,000 2,500
23 14 Maret 2022 15,000 LHOKSEUMAWE 10,000 342 1500 1,000
24 14 Maret 2022 10,000 SUBULUSSALAM - 343 1000 -
25
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004

Masuk Saldo Stock
JUMLAH 88,920 88,920 - ED 01 July 2022
1 44629 PT.Biofarma 88,920 88,920 14,820
2 14 MARET 2022 3,510 A.SINGKIL 85,410 301 585 14,235
3 14 MARET 2022 5,850 A.TENGGARA 79,560 302 975 13,260
4 14 MARET 2022 5,850 A.TIMUR 73,710 303 975 12,285
5 14 MARET 2022 8,190 A.TENGAH 65,520 304 1,365 10,920
6 14 MARET 2022 3,510 A.BARAT 62,010 305 585 10,335
7 14 MARET 2022 8,190 PIDIE 53,820 307 1,365 8,970
8 14 MARET 2022 7,020 BIREUEN 46,800 308 1,170 7,800
9 14 MARET 2022 5,850 A.UTARA 40,950 309 975 6,825
10 14 MARET 2022 5,850 ABDYA 35,100 310 975 5,850
11 14 MARET 2022 3,510 GAYO LUES 31,590 311 585 5,265
12 14 MARET 2022 5,850 A.TAMIANG 25,740 312 975 4,290
13 14 MARET 2022 2,340 PIDIE JAYA 23,400 314 390 3,900
14 14 MARET 2022 4,680 NAGAN RAYA 18,720 315 780 3,120
15 14 MARET 2022 4,680 A.JAYA 14,040 316 780 2,340
16 14 MARET 2022 5,850 B.ACEH 8,190 317 975 1,365
17 14 MARET 2022 2,340 SABANG 5,850 318 390 975
18 14 MARET 2022 3,510 LHOKSEUMAWE 2,340 319 585 390
19 14 MARET 2022 2,340 SUBULUSSALAM - 320 390 -
20 -
21
22
23
24
25
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
No Tanggal Sumber Keluar NO SBBK Batch 066F21A

MASUK Saldo Stock
Volume Tujuan Harga
JUMLAH 50,008 50,008 - ED 03 April 2022
1 44617 PT.Biofarma 50,008 50,008 3,572
2 44620 2,800 SIMEULUE 47,208 226 200 3,372
3 44620 1,400 ACEH SINGKIL 45,808 227 100 3,272
4 44620 1,400 ACEH SELATAN 44,408 228 100 3,172
5 44620 1,400 ACEH TENGGARA 43,008 229 100 3,072
6 44620 2,800 ACEH TIMUR 40,208 230 200 2,872
7 44620 1,400 ACEH TENGAH 38,808 231 100 2,772
8 44620 1,400 ACEH BARAT 37,408 232 100 2,672
9 44620 1,400 ACEH BESAR 36,008 233 100 2,572
10 44620 4,200 PIDIE 31,808 234 300 2,272
11 44620 1,400 BIREUEN 30,408 235 100 2,172
12 44620 7,000 ACEH UTARA 23,408 236 500 1,672
13 44620 1,400 ACEH BARAT DAYA 22,008 237 100 1,572
14 44620 1,400 GAYO LUES 20,608 238 100 1,472
15 44620 1,400 ACEH TAMIANG 19,208 239 100 1,372
16 44620 2,800 BENER MERIAH 16,408 240 200 1,172
17 44620 1,400 PIDIE JAYA 15,008 241 100 1,072
18 44620 1,400 NAGAN RAYA 13,608 242 100 972
19 44620 1,400 ACEH JAYA 12,208 243 100 872
20 44620 1,400 BANDA ACEH 10,808 244 100 772
21 44620 1,400 LANGSA 9,408 246 100 672
22 44620 1,400 SUBULUSSALAM 8,008 248 100 572
23 10 maret 2022 504 BANDA ACEH 7,504 268 36 536
24 10 maret 2022 2,002 ACEH JAYA 5,502 270 143 393
25 11 MARET 2022 980 ACEH TENGGARA 4,522 272 70 323
26 11 MARET 2022 2,100 ACEH UTARA 2,422 277 150 173
27 11 MARET 2022 980 ACEH TAMIANG 1,442 278 70 103
28 11 MARET 2022 1,260 LANGSA 182 282 90 13
29 14 maret 2022 182 BANDA ACEH - 299 13 -
30
/vial
Daftar Distribusi COVID-19 VAKSIN ASTRAZENECA 10 DS
COVID-19 VAKSIN ASTRAZENECA 10 DS Pabrikan PT.BIOFARMA
No Tanggal Sumber Keluar NO SBBK Batch CTMAV5147

Masuk Saldo Stock
JUMLAH 700 700 - ED 31 March 2022
1 44617 PT.Biofarma 700 700 70
2 44620 350 ACEH SINGKIL 350 262 35 35
3 44620 350 SIMEULU - 263 35 -
4 - -
5 - -
6 - -
7 - -
8 - -
9 - -
10 - -
11 -
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
No Tanggal Sumber Keluar BATCH NO SBBK Batch 202112223M/202112179

Masuk Saldo Stock N
Volume Tujuan Harga

JUMLAH 350,000 350,000 - ED 10 JUNI 2022
1 44617 PT.Biofarma 350,000 350,000 175,000
2 44620 5,000 SIMEULUE 345,000 202112223M 226 2,500 172,500

3 44620 5,000 ACEH SINGKIL 340,000 202112179N 227 2,500 170,000
4 44620 11,000 ACEH SELATAN 329,000 202112179N 228 5,500 164,500
5 44620 8,000 ACEH TENGGARA 321,000 202112223M 229 4,000 160,500
6 44620 30,000 ACEH TIMUR 291,000 202112223M 230 15,000 145,500
7 44620 6,000 ACEH TENGAH 285,000 202112223M 231 3,000 142,500
8 44620 12,000 ACEH BARAT 273,000 202112179N 232 6,000 136,500
9 44620 10,000 ACEH BESAR 263,000 202112223M 233 5,000 131,500
10 44620 50,000 PIDIE 213,000 202112223M 234 25,000 106,500
11 44620 26,000 BIREUEN 187,000 202112223M 235 13,000 93,500
12 44620 40,000 ACEH UTARA 147,000 202112223M 236 20,000 73,500
13 44620 14,000 ACEH BARAT DAYA 133,000 202112179N 237 7,000 66,500
14 44620 8,000 GAYO LUES 125,000 202112223M 238 4,000 62,500
15 44620 20,000 ACEH TAMIANG 105,000 202112223M 239 10,000 52,500
16 44620 14,000 BENER MERIAH 91,000 202112223M 240 7,000 45,500
17 44620 8,000 PIDIE JAYA 83,000 202112223M 241 4,000 41,500
18 44620 4,000 NAGAN RAYA 79,000 202112179N 242 2,000 39,500
19 44620 5,000 ACEH JAYA 74,000 202112179N 243 2,500 37,000
20 44620 8,000 BANDA ACEH 66,000 202112179N 244 4,000 33,000
21 44620 5,000 SABANG 61,000 202112223M 245 2,500 30,500
22 44620 10,000 LANGSA 51,000 202112223M 246 5,000 25,500
23 44620 10,000 LHOKSEUMAWE 41,000 202112223M 247 5,000 20,500
24 44620 8,000 SUBULUSSALAM 33,000 202112179N 248 4,000 16,500
25 7 MARET 2022 4,000 ACEH JAYA 29,000 202112179N 267 2,000 14,500
26 11 MARET 2022 1,000 ACEH SELATAN 28,000 202112179N 271 500 14,000
27 11 MARET 2022 1,000 ACEH TENGGARA 27,000 202112179N 272 500 13,500
28 11 MARET 2022 2,724 ACEH TIMUR 24,276 202112223M 273 1,362 12,138
29 11 MARET 2022 276 ACEH TIMUR 24,000 202112179N 273 138 12,000
30 11 MARET 2022 4,000 ACEH BARAT 20,000 202112179N 274 2,000 10,000
31 11 MARET 2022 4,000 PIDIE 16,000 202112179N 275 2,000 8,000
32 11 MARET 2022 1,000 BIREUEN 15,000 202112179N 276 500 7,500
33 11 MARET 2022 4,000 ACEH UTARA 11,000 202112179N 277 2,000 5,500
34 11 MARET 2022 4,000 ACEH TAMIANG 7,000 202112179N 278 2,000 3,500
35 11 MARET 2022 1,000 BENER MERIAH 6,000 202112179N 279 500 3,000
36 11 MARET 2022 1,000 PIDIE JAYA 5,000 202112179N 280 500 2,500
37 11 MARET 2022 1,000 BANDA ACEH 4,000 202112179N 281 500 2,000
38 11 MARET 2022 2,000 LANGSA 2,000 202112179N 282 1,000 1,000
39 11 MARET 2022 2,000 LHOKSEUMAWE - 202112179N 283 1,000 -
/vial

Masuk Saldo Stock
JUMLAH 73,710 73,710 - ED 01 July 2022
1 44608 PT.Biofarma 73,710 73,710 12,285
2 11 Maret 2022 3,510 ACEH SELATAN 70,200 284 585 11,700
3 11 Maret 2022 3,510 ACEH TIMUR 66,690 285 585 11,115
4 11 Maret 2022 4,680 ACEH TENGAH 62,010 286 780 10,335
5 11 Maret 2022 5,850 ACEH BARAT 56,160 287 975 9,360
6 11 Maret 2022 3,510 PIDIE 52,650 288 585 8,775
7 11 Maret 2022 3,510 BIREUEN 49,140 289 585 8,190
8 11 Maret 2022 10,530 ACEH UTARA 38,610 290 1,755 6,435
9 11 Maret 2022 3,510 ACEH BARAT DAYA 35,100 291 585 5,850
10 11 Maret 2022 7,020 ACEH TAMIANG 28,080 292 1,170 4,680
11 11 Maret 2022 3,510 BENER MERIAH 24,570 293 585 4,095
12 11 Maret 2022 2,340 NAGAN RAYA 22,230 294 390 3,705
13 11 Maret 2022 7,020 BANDA ACEH 15,210 295 1,170 2,535
14 11 Maret 2022 3,510 LANGSA 11,700 296 585 1,950
15 11 Maret 2022 2,340 SUBULUSSALAM 9,360 297 390 1,560
16 24 MARET 2022 4,680 ACEH SELATAN 4,680 391 780 780
17 24 MARET 2022 2,340 BENER MERIAH 2,340 395 390 390
18 24 MARET 2022 2,340 LHOKSEUMAWE - 396 390 -

Masuk Saldo Stock
JUMLAH 196,500 196,500 - ED 01 July 2022
1 44608 PT.Biofarma 196,500 196,500 32,750
2 44610 2,340 SIMEULUE 194,160 197 390 32,360
3 44610 2,340 ACEH SINGKIL 191,820 198 390 31,970
4 44610 4,680 ACEH SELATAN 187,140 198 780 31,190
5 44610 3,510 ACEH TENGGARA 183,630 199 585 30,605
6 44610 3,510 ACEH TIMUR 180,120 199 585 30,020
7 44610 4,680 ACEH TENGAH 175,440 200 780 29,240
8 44610 4,680 ACEH BARAT 170,760 200 780 28,460
9 44610 4,680 ACEH BESAR 166,080 201 780 27,680
10 44610 4,680 PIDIE 161,400 201 780 26,900
11 44610 4,680 BIREUEN 156,720 202 780 26,120
12 44610 4,680 ACEH UTARA 152,040 202 780 25,340
13 44610 2,340 ACEH BARAT DAYA 149,700 203 390 24,950
14 44610 1,170 GAYO LUES 148,530 203 195 24,755
15 44610 3,510 ACEH TAMIANG 145,020 204 585 24,170
16 44610 3,510 BENER MERIAH 141,510 204 585 23,585
17 44610 2,340 PIDIE JAYA 139,170 205 390 23,195
18 44610 3,510 NAGAN RAYA 135,660 205 585 22,610
19 44610 2,340 ACEH JAYA 133,320 206 390 22,220
20 44610 11,700 BANDA ACEH 121,620 206 1,950 20,270
21 44610 1,170 SABANG 120,450 207 195 20,075
22 44610 4,680 LANGSA 115,770 207 780 19,295
23 44610 4,680 LHOKSEUMAWE 111,090 208 780 18,515
24 44610 3,510 SUBULUSSALAM 107,580 208 585 17,930
25 44616 5,850 PIDIE 101,730 223 975 16,955
26 44620 2,340 SIMEULUE 99,390 249 390 16,565
27 44620 1,170 ACEH SINGKIL 98,220 250 195 16,370
28 44620 2,340 ACEH SELATAN 95,880 251 390 15,980
29 44620 1,170 ACEH TENGGARA 94,710 252 195 15,785
30 44620 5,850 ACEH TIMUR 88,860 253 975 14,810
31 44620 2,340 ACEH TENGAH 86,520 254 390 14,420
32 44620 5,850 PIDIE 80,670 255 975 13,445
33 44620 5,850 ACEH UTARA 74,820 256 975 12,470
34 44620 5,850 BENER MERIAH 68,970 257 975 11,495
35 44620 2,340 PIDIE JAYA 66,630 258 390 11,105
36 44620 5,850 LANGSA 60,780 259 975 10,130
37 44620 5,850 LHOKSEUMAWE 54,930 260 975 9,155
38 44620 1,170 SUBULUSSALAM 53,760 261 195 8,960
39 7 MARET 2022 5,850 ACEH BESAR 47,910 265 975 7,985
40 7 MARET 2022 2,340 ACEH JAYA 45,570 266 390 7,595
41 9 MARET 2022 3,510 ACEH JAYA 42,060 269 585 7,010
42 14 MARET 2022 2,340 SIMEULUE 39,720 300 390 6,620
43 14 MARET 2022 7,020 A.BESAR 32,700 306 1170 5,450
44 14 MARET 2022 17,550 BENER MERIAH 15,150 313 2925 2,525
24 MARET 2022 3,510 PIDIE 11,640 392 585 1,940
24 MARET 2022 8,190 ACEH UTARA 3,450 393 1365 575
24 MARET 2022 2,340 ACEH TAMIANG 1,110 394 390 185
31 MARET 2022 1,110 ACEH BESAR - 421 185
2,525

Masuk Saldo Stock
JUMLAH 3,504 3,504 - ED Jun-22
1 44602 PT.Biofarma 3,504 3,504 584
2 44607 1,170 D.ACEH BESAR 2,334 186 195 389
3 31 MARET 2022 2,334 D.ACEH BESAR - 421 389 -
4 - -
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Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
No Tanggal Sumber Keluar NO SBBK Batch 202112222M

Masuk Saldo Stock
JUMLAH 145,502 145,502 - ED 10 JUNI 2022
1 44602 PT.Biofarma 145,502 145,502 72,751
2 44602 20,000 ACEH TIMUR 125,502 168 10,000 62,751

3 44602 10,000 ACEH BARAT DAYA 115,502 175 5,000 57,751
4 44602 30,000 ACEH TAMIANG 85,502 176 15,000 42,751
5 44602 12,000 BENER MERIAH 73,502 177 6,000 36,751
6 44602 10,000 PIDIE JAYA 63,502 178 5,000 31,751
7 44602 12,000 NAGAN RAYA 51,502 179 6,000 25,751
8 44602 5,000 ACEH JAYA 46,502 180 2,500 23,251
9 44602 3,000 SABANG 43,502 181 1,500 21,751
10 44602 15,000 LANGSA 28,502 182 7,500 14,251
11 44602 20,000 LHOKSEUMAWE 8,502 183 10,000 4,251
12 44602 8,000 SUBULUSSALAM 502 184 4,000 251
13 44610 502 ACEH JAYA - 196 251 -
14
No Tanggal Sumber Keluar NO SBBK Batch 202112235K

Masuk Saldo Stock
JUMLAH 254,498 254,498 - ED 07 JUNI 2022
1 44602 PT.Biofarma 254,498 254,498 127,249
2 44602 20,000 ACEH SELATAN 234,498 166 10,000 117,249
3 44602 20,000 ACEH TENGGARA 214,498 167 10,000 107,249
4 44602 40,000 ACEH TIMUR 174,498 168 20,000 87,249
5 44602 15,000 ACEH TENGAH 159,498 169 7,500 79,749
6 44602 15,000 ACEH BARAT 144,498 170 7,500 72,249
7 44602 30,000 ACEH BESAR 114,498 171 15,000 57,249
8 44602 35,000 PIDIE 79,498 172 17,500 39,749
9 44602 35,000 BIREUEN 44,498 173 17,500 22,249
10 44602 40,000 ACEH UTARA 4,498 174 20,000 2,249
11 44610 3,000 ACEH BARAT 1,498 194 1,500 749
12 44610 1,000 NAGAN RAYA 498 195 500 249
13 44610 498 ACEH JAYA - 196 249 -
14

Masuk Saldo Stock
JUMLAH 23,280 23,280 - ED JUNI 2022
1 44592 PT.Biofarma 23,280 23,280 11,640
2 44592 2,000 ACEH JAYA 21,280 138 1,000 10,640
3 44595 8,000 ACEH BESAR 13,280 159 4,000 6,640
4 44596 2,000 BIREUEN 11,280 160 1,000 5,640
5 44596 2,000 LHOKSEUMAWE 9,280 161 1,000 4,640
6 44596 3,000 ACEH UTARA 6,280 162 1,500 3,140
7 44596 4,000 ACEH TIMUR 2,280 163 2,000 1,140
8 44596 2,000 LANGSA 280 164 1,000 140
9 44680 280 ACEH BARAT - 601 140
Daftar Distribusi COVID-19 VAKSIN ASTRAZENECA 10 DS
COVID-19 VAKSIN ASTRAZENECA 10 DS Pabrikan PT.BIOFARMA
No Tanggal Sumber Keluar NO SBBK Batch NM0004

Masuk Saldo Stock
JUMLAH 30,600 30,600 - ED 28 FEB 2022
1 44590 PT.Biofarma 30,600 30,600 3,060
2 44596 5,000 BIREUEN 25,600 160 500 2,560
3 44596 5,000 LHOKSEUMAWE 20,600 161 500 2,060
4 44596 5,000 ACEH UTARA 15,600 162 500 1,560
5 44596 5,000 ACEH TIMUR 10,600 163 500 1,060
6 44596 5,000 LANGSA 5,600 164 500 560
7 44596 4,000 BANDA ACEH 1,600 165 400 160
8 44606 1,600 BANDA ACEH - 185 160 -
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Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
202112238G/
No Tanggal Sumber Keluar BATCH NO SBBK Batch 202112239G
Masuk Saldo Stock
Volume Tujuan Harga
JUMLAH 135,600 135,600 - ED 09 JUNI 2022
1 44590 PT.Biofarma 135,600 135,600 67,800
2 44592 2,000 SIMEULUE 133,600 202112239G 122 1,000 66,800
3 44592 2,000 ACEH SINGKIL 131,600 202112239G 123 1,000 65,800
4 44592 8,000 ACEH SELATAN 123,600 202112239G 124 4,000 61,800
5 44592 8,000 ACEH TENGGARA 115,600 202112239G 125 4,000 57,800
6 44592 10,000 ACEH TIMUR 105,600 202112239G 126 5,000 52,800
7 44592 6,000 ACEH TENGAH 99,600 202112239G 127 3,000 49,800
8 44592 4,000 ACEH BARAT 95,600 202112239G 128 2,000 47,800
9 44592 7,000 ACEH BESAR 88,600 202112239G 129 3,500 44,300
10 44592 10,000 PIDIE 78,600 202112239G 130 5,000 39,300
10000 DOSIS
(202112239G)/
11 44592 11,600 BIREUEN 67,000 1600 DOSIS 131 5,800 33,500
(202111238G)
13000 DOSIS
(202112239G)/
12 44592 15,000 ACEH UTARA 52,000 2000 DOSIS 132 7,500 26,000
(202111238G)
13 44592 8,000 ACEH BARAT DAYA 44,000 202112239G 133 4,000 22,000
15 44592 8,000 ACEH TAMIANG 36,000 202112239G 134 4,000 18,000
16 44592 3,000 BENER MERIAH 33,000 202112239G 135 1,500 16,500
2000 DOSIS
(202112239G)/
17 44592 3,000 PIDIE JAYA 30,000 1000 DOSIS 136 1,500 15,000
(202111238G)
18 44592 6,000 NAGAN RAYA 24,000 202112239G 137 3,000 12,000
3224 DOSIS
(202112239G)/
20 44592 8,000 BANDA ACEH 16,000 4776 DOSIS 139 4,000 8,000
(202111238G)
21 44592 2,000 SABANG 14,000 202112239G 140 1,000 7,000

22 44592 6,000 LANGSA 8,000 202112239G 141 3,000 4,000
23 44592 4,000 LHOKSEUMAWE 4,000 202112239G 142 2,000 2,000
24 44592 4,000 SUBULUSSALAM - 202112239G 143 2,000 -
25
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
/vial
1000 DOSIS LAGI BATCH BERBEDA SHEET 85

No Tanggal Sumber Keluar NO SBBK Batch 202111238F

Masuk Saldo Stock
JUMLAH 40,000 40,000 - ED 23 MEI 2022
1 44587 PT.Biofarma 40,000 40,000 20,000
2 44587 7,000 D.ACEH TIMUR 33,000 115 3,500 16,500
3 44587 5,000 DACEH BESAR 28,000 116 2,500 14,000
4 44587 7,000 D.PIDIE 21,000 117 3,500 10,500
5 44587 5,000 D.ACEH UTARA 16,000 118 2,500 8,000
6 44587 5,000 D.ACEH TAMIANG 11,000 119 2,500 5,500
7 44587 5,000 D.PIDE JAYA 6,000 120 2,500 3,000
8 44587 5,000 D.BANDA ACEH 1,000 121 2,500 500
9 44592 1,000 D.ACEH TIMUR - 126 500 -
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Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
Daftar Distribusi COVID-19 VAKSIN MODENA 14 DS
COVID-19 VAKSIN MODENA 14 DS Pabrikan PT.BIOFARMA
No Tanggal Sumber Keluar NO SBBK BATCH Batch 018F21A/066F21A

Masuk Saldo Stock
Volume Tujuan Harga
JUMLAH 28,630 28,630 - ED MEI 2022/APR 2022
1 44580 PT.Biofarma 28,630 28,630 2,045
2 44582 9,996 ACEH BESAR 18,634 109 066F21A 714 1,331
3 44582 2,996 PIDIE 15,638 110 018F21A 214 1,117
4 44583 1,400 BANDA ACEH 14,238 113 018F21A 100 1,017
5 44592 1,400 SIMEULU 12,838 122 066F21A 100 917
6 44592 1,750 A.SELATAN 11,088 124 018F21A 125 792
066F21A/
7 44592 1,750 ACEH BESAR 9,338 129 125 667
018F21A )
8 44592 1,750 PIDIE 7,588 130 018F21A 125 542
9 44592 1,750 BIREUEN 5,838 131 018F21A 125 417
10 44592 1,750 ACEH UTARA 4,088 132 018F21A 125 292
11 44592 1,050 ACEH TAMIANG 3,038 134 018F21A 75 217
12 44592 700 PIDIE JAYA 2,338 136 018F21A 50 167
066F21A/
13 44592 1,288 BANDA ACEH 1,050 139 92 75
018F21A )
14 44592 1,050 LANGSA - 141 018F21A 75 -
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Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
018F21A
066F21A
/vial
No Tanggal Sumber Keluar NO SBBK Batch 202111227F/202111229F

Masuk Saldo Stock
JUMLAH 82,800 82,800 - ED MEI 2022
1 44578 PT.Biofarma 82,800 82,800 41,400
2 44579 2,800 LHOKSEMAWE 80,000 102 1,400 40,000
3 44579 70,000 ACEH UTARA 10,000 103 35,000 5,000
4 44579 10,000 BIREUEN - 104 5,000 -
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Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
No Tanggal Sumber Keluar NO SBBK Batch C202110213

Masuk Saldo Stock
JUMLAH 167,560 167,560 - ED 20/04/2022
1 44575 PT.Biofarma 167,560 167,560
2 44575 1,000 SIMEULUE 166,560 053
3 44575 3,000 ACEH SINGKIL 163,560 054
4 44575 10,000 ACEH SELATAN 153,560 055
5 44575 5,000 ACEH TENGGARA 148,560 056
6 44575 8,000 ACEH TIMUR 140,560 057
7 44575 4,000 ACEH TENGAH 136,560 058
8 44575 9,000 ACEH BARAT 127,560 059
9 44575 11,000 ACEH BESAR 116,560 060
10 44575 13,000 PIDIE 103,560 061
11 44575 10,000 BIREUEN 93,560 062
12 44575 10,000 ACEH UTARA 83,560 063
13 44575 8,000 ACEH BARAT DAYA 75,560 064
14 44575 5,000 GAYO LUES 70,560 065
15 44575 8,000 ACEH TAMIANG 62,560 066
16 44575 9,000 BENER MERIAH 53,560 067
17 44575 8,000 PIDIE JAYA 45,560 068
18 44575 8,000 NAGAN RAYA 37,560 069
19 44575 5,000 ACEH JAYA 32,560 070
20 44575 5,000 BANDA ACEH 27,560 071
21 44575 1,000 SABANG 26,560 072
22 44575 4,000 LANGSA 22,560 073
23 44575 8,000 LHOKSEUMAWE 14,560 074
24 44575 5,000 SUBULUSSALAM 9,560 075
25 44579 2,200 LHOKSEUMAWE 7,360 102
44579 7,000 ACEH BESAR 360 105
44582 360 ACEH BESAR - 108
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004

Masuk Saldo Stock
JUMLAH 25,740 25,740 - ED 01/06/2022
1 44571 PT.Biofarma 25,740 25,740 4,290
2 44579 11,700 ACEH UTARA 14,040 101 1,950 2,340
3 44582 14,040 ACEH BESAR - 107 2,340 -
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Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004

Masuk Saldo Stock
JUMLAH 81,900 81,900 - ED 01/06/2022
1 44571 PT.Biofarma 81,900 81,900 13,650
2 44580 23,400 ACEH BESAR 58,500 106 3,900 9,750
3 44582 9,360 ACEH BESAR 49,140 107 1,560 8,190
4 44582 11,700 PIDIE 37,440 111 1,950 6,240
5 44585 5,850 BANDA ACEH 31,590 112 975 5,265
6 44592 2,340 SIMEULU 29,250 144 390 4,875
7 44592 1,170 ACEH SELATAN 28,080 145 195 4,680
8 44592 3,510 ACEH TENGAH 24,570 146 585 4,095
9 44592 2,340 ACEH BARAT 22,230 147 390 3,705
10 44592 3,510 PIDIE 18,720 148 585 3,120
11 44592 2,340 BIREUEN 16,380 149 390 2,730
12 44592 2,340 ACEH UTARA 14,040 150 390 2,340
13 44592 2,340 ACEH TAMIANG 11,700 151 390 1,950
14 44592 1,170 NAGAN RAYA 10,530 152 195 1,755
15 44592 2,340 BANDA ACEH 8,190 153 390 1,365
16 44592 2,340 LANGSA 5,850 154 390 975
17 44592 3,510 LHOKSEUMAWE 2,340 155 585 390
18 44592 1,170 SUBULUSSALAM 1,170 156 195 195
19 44592 1,170 GAYO LUES - 157 195 -
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Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
COVID-19 VAKSIN PFIZER 6 DS Pabrikan PT.biofarma

Masuk Saldo Stock
JUMLAH 104,130 104,130 - ED Friday, July 1, 2022
1 44571 PT.Biofarma 104,130 104,130 17,355
2 44573 23,400 D.BIREUN 80,730 051 3,900 13,455
3 44574 11,700 D.ACEH BESAR 69,030 052 1,950 11,505
4 44575 1,170 SIMEULUE 67,860 076 195 11,310
5 44575 1,170 ACEH SINGKIL 66,690 077 195 11,115
6 44575 1,170 ACEH SELATAN 65,520 078 195 10,920
7 44575 2,340 ACEH TENGGARA 63,180 079 390 10,530
8 44575 3,510 ACEH TIMUR 59,670 080 585 9,945
9 44575 3,510 ACEH TENGAH 56,160 081 585 9,360
10 44575 1,170 ACEH BARAT 54,990 082 195 9,165
11 44575 4,680 ACEH BESAR 50,310 083 780 8,385
12 44575 4,680 PIDIE 45,630 084 780 7,605
13 44575 8,190 BIREUEN 37,440 085 1,365 6,240
14 44575 4,680 ACEH UTARA 32,760 086 780 5,460
15 44575 3,510 ACEH BARAT DAYA 29,250 087 585 4,875
16 44575 2,340 GAYO LUES 26,910 088 390 4,485
17 44575 3,510 ACEH TAMIANG 23,400 089 585 3,900
18 44575 2,340 BENER MERIAH 21,060 090 390 3,510
19 44575 1,170 PIDIE JAYA 19,890 091 195 3,315
20 44575 2,340 NAGAN RAYA 17,550 092 390 2,925
21 44575 1,170 ACEH JAYA 16,380 093 195 2,730
22 44575 2,340 BANDA ACEH 14,040 094 390 2,340
23 44575 1,170 SABANG 12,870 095 195 2,145
24 44575 3,510 LANGSA 9,360 096 585 1,560
25 44575 2,340 LHOKSEUMAWE 7,020 097 390 1,170
26 44575 1,170 SUBULUSSALAM 5,850 098 195 975
27 44579 4,680 BIREUEN 1,170 100 780 195
44592 1,170 ACEH BESAR - 158 195
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
COVID-19 VAKSIN SINOVAC 2 DS Pabrikan BIOFARMA
No Tanggal Sumber Keluar NO SBBK Batch 202110214E

Masuk Saldo Stock
JUMLAH 200,000 200,000 - ED 18 April 2022
1 44569 PT.Biofarma 200,000 200,000 100,000
2 44569 4,000 SIMEULUE 196,000 028 2,000 98,000
3 44569 4,000 ACEH SINGKIL 192,000 029 2,000 96,000
4 44569 19,000 ACEH SELATAN 173,000 030 9,500 86,500
5 44569 5,000 ACEH TENGGARA 168,000 031 2,500 84,000
6 44569 10,000 ACEH TIMUR 158,000 032 5,000 79,000
7 44569 6,000 ACEH TENGAH 152,000 033 3,000 76,000
8 44569 6,000 ACEH BARAT 146,000 034 3,000 73,000
9 44569 18,000 ACEH BESAR 128,000 035 9,000 64,000
10 44569 24,000 PIDIE 104,000 036 12,000 52,000
11 44569 20,000 BIREUEN 84,000 037 10,000 42,000
12 44569 20,000 ACEH UTARA 64,000 038 10,000 32,000
13 44569 5,000 ACEH BARAT DAYA 59,000 039 2,500 29,500
15 44569 5,000 ACEH TAMIANG 54,000 040 2,500 27,000
16 44569 7,000 BENER MERIAH 47,000 041 3,500 23,500
17 44569 9,000 PIDIE JAYA 38,000 042 4,500 19,000
18 44569 9,000 NAGAN RAYA 29,000 043 4,500 14,500
20 44569 3,000 BANDA ACEH 26,000 044 1,500 13,000
21 44569 2,000 SABANG 24,000 045 1,000 12,000
23 44569 10,000 LHOKSEUMAWE 14,000 046 5,000 7,000
24 44569 5,000 SUBULUSSALAM 9,000 047 2,500 4,500
25 44573 5,000 BIREUN 4,000 050 2,500 2,000
26 44576 4,000 A.BESAR - 099 2,000 -
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
No Tanggal Sumber Keluar NO SBBK Batch 202109188I

Masuk Saldo Stock
JUMLAH 150,000 150,000 - ED 15 February 2022
1 44561 PT.Biofarma 150,000 150,000 75,000
2 44562 5,000 D.ACEH SELATAN 145,000 001 2,500 72,500
3 44562 10,000 D.ACEH TENGGARA 135,000 002 5,000 67,500
4 44562 20,000 D.ACEH TIMUR 115,000 003 10,000 57,500
5 44562 10,000 D.ACEH BESAR 105,000 004 5,000 52,500
6 44562 20,000 D.PIDIE 85,000 006 10,000 42,500
7 44562 15,000 D.BIREUEN 70,000 007 7,500 35,000
8 44562 20,000 D.ACEH UTARA 50,000 008 10,000 25,000
9 44562 10,000 D.ABDYA 40,000 009 5,000 20,000
10 44562 5,000 D.ACEH TAMIANG 35,000 010 2,500 17,500
11 44562 8,000 D.BENER MERIAH 27,000 011 4,000 13,500
12 44562 5,000 D.PIDIE JAYA 22,000 012 2,500 11,000
13 44562 10,000 D.NAGAN RAYA 12,000 013 5,000 6,000
14 44562 5,000 D.LHOKSEUMAWE 7,000 015 2,500 3,500
15 44563 5,000 D.ACEH BESAR 2,000 017 2,500 1,000
16 44564 2,000 D.PIDIE - 019 1,000 -
17
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20
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22
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Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
COVID-19 VAKSIN MODENA 10 DS Pabrikan BIOFARMA
No Tanggal Sumber Keluar NO SBBK Batch 3005789

Masuk Saldo Stock
1 44561 PT.Biofarma 21,370 21,370 2,137
2 44562 5,000 D.ACEH TENGGARA 16,370 002 500 1,637
3 44562 4,000 D.ACEH TIMUR 12,370 003 400 1,237
4 44562 3,000 D.PIDIE 9,370 006 300 937
5 44562 5,000 D.ABDYA 4,370 009 500 437
6 44563 2,000 D.ACEH BESAR 2,370 017 200 237
7 44565 2,370 D.PIDIE - 022 237 -
8 -
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Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
COVID-19 VAKSIN PFIZER 6 DS Pabrikan PT.PFIZER

Masuk Saldo Stock
JUMLAH 43,290 43,290 - ED 01 June 2022
1 44559 PT.Biofarma 43,290 43,290 7,215
2 29 DES 2021 21,060 D.BIREUEN 22,230 1011 3,510 3,705
3 30 DES 2021 11,700 D.PIDIE 10,530 1013 1,950 1,755
4 44562 1,170 D.ACEH BESAR 9,360 005 195 1,560
5 44562 5,850 D.LANGSA 3,510 014 975 585
6 44563 2,340 D.ACEH BESAR 1,170 016 390 195
7 44564 1,170 D.BANDA ACEH - 018 195 -
8
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Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
COVID-19 VAKSIN PFIZER 6 DS Pabrikan PT.PFIZER
No Tanggal Sumber Keluar NO SBBK Batch FL4789

Masuk Saldo Stock
JUMLAH 25,740 25,740 - ED 01 June 2022
1 44556 PT.Biofarma 25,740 25,740 4,290
2 29 DES 2021 25,740 D.ACEH BESAR - 1010 4,290 -
3
4
5
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Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
COVID-19 VAKSIN MODENA 10 DS Pabrikan BIOFARMA

Masuk Saldo Stock
1 44553 PT.Biofarma 54,000 54,000 5,400
2 24 DES 2021 4,000 D.LANGSA 50,000 994 400 5,000
3 27 des 2021 5,560 D.BENER MERIAH 44,440 1002 556 4,444
4 27 des 2021 15,600 D.ACEH TENGAH 28,840 1003 1,560 2,884
5 27 des 2021 3,040 D.GAYO LUES 25,800 1004 304 2,580
6 27 des 2021 8,480 D.ACEH TENGGARA 17,320 1005 848 1,732
7 27 des 2021 1,560 D.SABANG 15,760 1006 156 1,576
8 27 des 2021 1,880 D.BANDA ACEH 13,880 1007 188 1,388
9 29 DES 2021 6,000 D.BIREUEN 7,880 1012 600 788
10 44562 7,880 D.ACEH UTARA - 008 788 -
11
12
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Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
No Tanggal Sumber Keluar NO SBBK Batch 202109152P

Masuk Saldo Stock
JUMLAH 102,000 102,000 - ED 18 March 2022
1 44553 PT.Biofarma 102,000 102,000 51,000
2 27 Des 2021 40,000 D.ACEH TIMUR 62,000 995 20,000 31,000
3 27 Des 2021 20,000 D.ACEH TAMIANG 42,000 998 10,000 21,000
4 27 Des 2021 2,000 D.PIDIE JAYA 40,000 999 1,000 20,000
5 27 Des 2021 20,000 D.LANGSA 20,000 1000 10,000 10,000
6 27 Des 2021 20,000 D.LHOKSEUMAWE - 1001 10,000 -
7
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Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
202109116J/
Masuk Saldo Stock
JUMLAH 276,440 276,440 - ED 01 March 2022
1 44552 PT.Biofarma 276,440 276,440 ###
2 22 DES 2021 4,440 D.ACEH BESAR 272,000 976 202109116J 2,220 136000
3 23 DES 2021 10,120 D.SIMEULU 261,880 977 202109116J 5,060 130940
4 23 DES 2021 14,680 D.ACEH SINGKIL 247,200 978 202110201I 7,340 123600
5 23 DES 2021 10,640 D.ACEH SELATAN 236,560 979 202109116J 5,320 118280
6 23 DES 2021 8,480 D.ACEH TENGGARA 228,080 980 202110201I 4,240 114040
7 23 DES 2021 15,600 D.ACEH TENGAH 212,480 981 202110201I 7,800 106240
8 23 DES 2021 40,320 D.ACEH BARAT 172,160 982 202110201I 20,160 86080
9 23 DES 2021 20,120 D.ABDYA 152,040 983 202110201I 10,060 76020
10 23 DES 2021 3,040 D.GAYO LUES 149,000 984 202110201I 1,520 74500
11 23 DES 2021 20,520 D.ACEH TAMIANG 128,480 985 202110201I 10,260 64240
12 23 DES 2021 17,400 D.NAGAN RAYA 111,080 986 202110201I 8,700 55540
13 23 DES 2021 8,280 D.ACEH JAYA 102,800 987 202110201I 4,140 51400
14 23 DES 2021 5,560 D.BENER MERIAH 97,240 988 202110201I 2,780 48620
15 23 DES 2021 1,880 D.BANDA ACEH 95,360 989 202109116J 940 47680
16 23 DES 2021 1,560 D.SABANG 93,800 990 202109116J 780 46900
17 23 DES 2021 12,560 D.LANGSA 81,240 991 202110201I 6,280 40620
18 23 DES 2021 20,200 D.LHOKSEUMAWE 61,040 992 202110201I 10,100 30520
19 23 DES 2021 8,600 D.SUBULUSSALAM 52,440 993 202110201I 4,300 26220
20 27 DES 2021 15,000 D.PIDIE 37,440 996 202110201I 7,500 18720
202110201I =
23156
21 27 DES 2021 24,440 D.ACEH UTARA 13,000 997 DOSIS202109 12,220 6500
116J = 1284
DOSIS
22 27 DES 2021 13,000 D.PIDIE JAYA - 999 6,500 0

23 -
24
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Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
No Tanggal Sumber Keluar NO SBBK Batch 202110210G

Masuk Saldo Stock
JUMLAH 200,760 200,760 - ED 18 April 2022
1 44552 PT.Biofarma 200,760 200,760 100380
2 22 DES 2021 50,560 ACEH TIMUR 150,200 971 25,280 75,100
3 22 DES 2021 30,880 ACEH UTARA 119,320 972 15,440 59,660
4 22 DES 2021 32,640 PIDIE 86,680 973 16,320 43,340
5 22 DES 2021 30,280 PIDIE JAYA 56,400 974 15,140 28,200
6 22 DES 2021 30,840 BIREUEN 25,560 975 15,420 12,780
7 22 DES 2021 25,560 ACEH BESAR - 976 12,780 -
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Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004

Masuk Saldo Stock
JUMLAH 76,720 76,720 - ED ###
1 44546 PT.Biofarma 76,720 76,720 38,360
2 17 DES 2021 2,000 SIMEULUE 74,720 941 1,000 37,360
3 17 DES 2021 2,000 ACEH SINGKIL 72,720 942 1,000 36,360
4 17 DES 2021 4,000 ACEH SELATAN 68,720 943 2,000 34,360
5 17 DES 2021 4,000 ACEH TENGGARA 64,720 944 2,000 32,360
6 17 DES 2021 4,000 ACEH TIMUR 60,720 945 2,000 30,360
7 17 DES 2021 4,000 ACEH TENGAH 56,720 946 2,000 28,360
8 17 DES 2021 4,000 ACEH BARAT 52,720 947 2,000 26,360
9 17 DES 2021 4,000 D.ACEH BESAR 48,720 948 2,000 24,360
10 17 DES 2021 4,000 D.PIDIE 44,720 949 2,000 22,360
11 17 DES 2021 6,000 D.BIREUEN 38,720 950 3,000 19,360
12 17 DES 2021 6,000 D.ACEH UTARA 32,720 951 3,000 16,360
13 17 DES 2021 2,000 D.ACEH BARAT DAYA 30,720 952 1,000 15,360
14 17 DES 2021 1,000 D.GAYO LUES 29,720 953 500 14,860
15 17 DES 2021 4,000 D.ACEH TAMIANG 25,720 954 2,000 12,860
16 17 DES 2021 4,000 D.NAGAN RAYA 21,720 955 2,000 10,860
17 17 DES 2021 2,000 D.ACEH JAYA 19,720 956 1,000 9,860
18 17 DES 2021 2,000 D.BENER MERIAH 17,720 957 1,000 8,860
19 17 DES 2021 4,000 D.PIJAY 13,720 958 2,000 6,860
20 17 DES 2021 2,000 D.BANDA ACEH 11,720 959 1,000 5,860
21 17 DES 2021 500 D.SABANG 11,220 960 250 5,610
22 17 DES 2021 1,500 D.LANGSA 9,720 961 750 4,860
23 17 DES 2021 3,000 D.LHOKSEUMAWE 6,720 962 1,500 3,360
24 17 DES 2021 2,000 D.SUBULUSSALAM 4,720 963 1,000 2,360
25 20 DES 2021 4,720 D.ACEH TIMUR - 967 2,360 -
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
COVID-19 VAKSIN PFIZER 6 DS Pabrikan BIOFARMA

Masuk Saldo Stock
Volume Tujuan Harga
JUMLAH 46,800 46,800 - ED 06/2022
1 44544 PT.Biofarma 46,800 46,800 7,800
2 14 DES 2021 7,020 D.BANDA ACEH 39,780 935 1,170 6,630
3 14 DES 2021 14,040 D.ACEH BESAR 25,740 936 2,340 4,290
4 14 DES 2021 8,190 D.ACEH TENGAH 17,550 937 1,365 2,925
5 15 DES 2021 9,360 D.BIREUN 8,190 938 1,560 1,365
6 15 DES 2021 2,340 D.LHOKSEUMAWE 5,850 939 390 975
7 15 DES 2021 3,510 D.LANGSA 2,340 940 585 390
28 DES 2021 2,340 D.BANDA ACEH - 1009 390 -
- -
- -
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
/vial
No Tanggal Sumber Keluar NO SBBK Batch 202109138O

Masuk Saldo Stock
JUMLAH 144,760 144,760 - ED 03/2022
1 44538 PT.Biofarma 144,760 144,760 72380
2 13 DES 2021 6,360 ACEH BARAT 138,400 918 3,180 69,200
3 13 DES 2021 10,280 ACEH BESAR 128,120 919 5,140 64,060
4 13 DES 2021 13,600 PIDIE 114,520 920 6,800 57,260
5 13 DES 2021 14,360 BIREUEN 100,160 921 7,180 50,080
6 13 DES 2021 16,840 ACEH UTARA 83,320 922 8,420 41,660
7 13 DES 2021 5,520 ACEH BARAT DAYA 77,800 923 2,760 38,900
8 13 DES 2021 6,840 GAYO LUES 70,960 924 3,420 35,480
9 13 DES 2021 14,800 ACEH TAMIANG 56,160 925 7,400 28,080
10 13 DES 2021 6,720 NAGAN RAYA 49,440 926 3,360 24,720
11 13 DES 2021 7,720 ACEH JAYA 41,720 927 3,860 20,860
12 13 DES 2021 7,040 BENER MERIAH 34,680 928 3,520 17,340
13 13 DES 2021 5,840 PIDIE JAYA 28,840 929 2,920 14,420
14 13 DES 2021 6,400 BANDA ACEH 22,440 930 3,200 11,220
15 13 DES 2021 2,480 SABANG 19,960 931 1,240 9,980
16 13 DES 2021 7,160 LANGSA 12,800 932 3,580 6,400
17 13 DES 2021 7,160 LHOKSEUMAWE 5,640 933 3,580 2,820
18 13 DES 2021 4,760 SUBULUSSALAM 880 934 2,380 440
20 DES 2021 880 D.ACEH TIMUR - 967 440
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004

Masuk Saldo Stock
Volume Tujuan Harga
JUMLAH 60,840 60,840 - ED 03/2022
1 44537 PT.Biofarma 60,840 60,840 30420
2 13 DES 2021 6,120 SIMEULUE 54,720 912 3,060 27,360
3 13 DES 2021 8,000 ACEH SINGKIL 46,720 913 4,000 23,360
4 13 DES 2021 10,840 ACEH SELATAN 35,880 914 5,420 17,940
5 13 DES 2021 10,160 ACEH TENGGARA 25,720 915 5,080 12,860
6 13 DES 2021 12,480 ACEH TIMUR 13,240 916 6,240 6,620
7 13 DES 2021 8,360 ACEH TENGAH 4,880 917 4,180 2,440
8 20 DES 2021 1,320 D.BIREUN 3,560 965 660 1,780
9 20 DES 2021 3000 D.LHOKSEUMAWE 560 966 1,500 280
10 20 DES 2021 400 D.ACEH TIMUR 160 967 200 80
11 27 DES 2021 160 D.ACEH UTARA - 997 80 -
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
/vial
COVID-19 VAKSIN MODERNA 10 DS Pabrikan BIOFARMA
Masuk Saldo Stock
JUMLAH 100,000 100,000 - ED 30-Jan-22
1 3 Des 2021 PT.Biofarma 100,000 100,000 10,000
2 4 DES 2021 4,000 D.SIMEULU 96,000 886 400 9,600
3 6 DES 2021 6,000 D.ACEH SELATAN 90,000 888 600 9,000
4 6 DES 2021 8,000 D.ACEH TENGGARA 82,000 889 800 8,200
5 6 DES 2021 4,000 D.ACEH TIMUR 78,000 890 400 7,800
6 6 DES 2021 8,000 D.ACEH TENGAH 70,000 891 800 7,000
7 6 DES 2021 6,000 D.ACEH BESAR 64,000 893 600 6,400
8 6 DES 2021 8,000 D.PIDIE 56,000 894 800 5,600
9 6 DES 2021 8,000 D.BIREUEN 48,000 895 800 4,800
10 6 DES 2021 8,000 D.ACEH UTARA 40,000 896 800 4,000
11 6 DES 2021 4,000 D.GAYO LUES 36,000 898 400 3,600
12 6 DES 2021 8,000 D.ACEH TAMIANG 28,000 899 800 2,800
13 6 DES 2021 2,000 D.NAGAN RAYA 26,000 900 200 2,600
14 6 DES 2021 4,000 D.ACEH JAYA 22,000 901 400 2,200
15 6 DES 2021 4,000 D.BENER MERIAH 18,000 902 400 1,800
16 6 DES 2021 6,000 D.BANDA ACEH 12,000 904 600 1,200
17 6 DES 2021 2,000 D.LANGSA 10,000 906 200 1,000
18 6 DES 2021 2,000 D.LHOKSEUMAWE 8,000 907 200 800
19 6 DES 2021 2,000 D.SUBULUSSALAM 6,000 908 200 600
20 13 des 2021 2,000 D.PIJAY 4,000 929 200 400
21 24 DES 2021 4,000 D.LANGSA - 994 400 -
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
202109201E/
Masuk Saldo Stock
Volume Tujuan Harga
JUMLAH 200,760 200,760 - ED 22-Mar-22
1 44532 PT.Biofarma 200,760 200,760 100380
2 4 DES 2021 3,120 D.SIMEULU 197,640 886 1,560 98,820
3 6 DES 2021 4,680 D.ACEH SINGKIL 192,960 887 2,340 96,480
4 6 DES 2021 10,640 D.ACEH SELATAN 182,320 888 5,320 91,160
5 6 DES 2021 8,480 D.ACEH TENGGARA 173,840 889 4,240 86,920
6 6 DES 2021 19,560 D.ACEH TIMUR 154,280 890 9,780 77,140
7 6 DES 2021 7,600 D.ACEH TENGAH 146,680 891 3,800 73,340
8 6 DES 2021 9,320 D.ACEH BARAT 137,360 892 4,660 68,680
10 6 DES 2021 22640 D.PIDIE 114,720 893 11,320 57,360
11 6 DES 2021 20,840 D.BIREUEN 93,880 894 10,420 46,940
12 6 DES 2021 30,880 D.ACEH UTARA 63,000 895 15,440 31,500
13 6 DES 2021 6,120 D.ABDYA 56,880 896 3,060 28,440
14 6 DES 2021 3,040 D.GAYO LUES 53,840 897 1,520 26,920
16 6 DES 2021 7,400 D.NAGAN RAYA 35,920 899 3,700 17,960
17 6 DES 2021 3,280 D.ACEH JAYA 32,640 900 1,640 16,320
19 6 DES 2021 6,280 D.PIDIE JAYA 20,800 902 3,140 10,400
20 6 DES 2021 1,880 D.BANDA ACEH 18,920 903 940 9,460
21 6 DES 2021 1,560 D.SABANG 17,360 904 780 8,680
22 6 DES 2021 6,560 D.LANGSA 10,800 905 3,280 5,400
24 6 DES 2021 3,600 D.SUBULUSSALAM - 907 1,800 -
25
26
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
/vial

Masuk Saldo Stock
Volume Tujuan Harga
JUMLAH 276,560 276,560 - ED 22-Mar-22
1 44531 PT.Biofarma 276,560 276,560 138280
2 1 DES 2021 10,000 D.SIMEULU 266,560 863 5,000 133,280
3 1 DES 2021 10,000 D.ACEH SINGKIL 256,560 864 5,000 128,280
4 1 DES 2021 15,000 D.ACEH SELATAN 241,560 865 7,500 120,780
5 1 DES 2021 10,000 D.ACEH TENGGARA 231,560 866 5,000 115,780
6 1 DES 2021 15,000 D.ACEH TIMUR 216,560 867 7,500 108,280
7 1 DES 2021 10,000 D.ACEH TENGAH 206,560 868 5,000 103,280
8 1 DES 2021 10,000 D.ACEH BARAT 196,560 869 5,000 98,280
9 1 DES 2021 15,000 D.ACEH BESAR 181,560 870 7,500 90,780
10 1 DES 2021 15000 D.PIDIE 166,560 871 7,500 83,280
11 1 DES 2021 20,000 D.BIREUEN 146,560 872 10,000 73,280
12 1 DES 2021 20,000 D.ACEH UTARA 126,560 873 10,000 63,280
13 1 DES 2021 10,000 D.ABDYA 116,560 874 5,000 58,280
14 1 DES 2021 10,000 D.GAYO LUES 106,560 875 5,000 53,280
16 1 DES 2021 10,000 D.NAGAN RAYA 76,560 877 5,000 38,280
17 1 DES 2021 10,000 D.ACEH JAYA 66,560 878 5,000 33,280
19 1 DES 2021 10,000 D.PIDIE JAYA 46,560 880 5,000 23,280
20 1 DES 2021 5,000 D.BANDA ACEH 41,560 881 2,500 20,780
21 1 DES 2021 5,000 D.SABANG 36,560 882 2,500 18,280
22 1 DES 2021 10,000 D.LANGSA 26,560 883 5,000 13,280
24 1 DES 2021 5,000 D.SUBULUSSALAM 13,560 885 2,500 6,780
25 10 DES 2021 13,560 D.ACEH BESAR - 911 6,780
26
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
/vial
Dinas Kesehatan Aceh BKKBN
Masuk Saldo Stock
Volume Tujuan Harga
JUMLAH 600 600 - ED Mar-22
1 44527 PT.Biofarma 600 600
D.LHOKSEUMAWE (KKP
2 44527 400 200 859
LHOKSEUMAWE)
3 44530 200 D.BANDA ACEH (KKP BNA) - 862

4
5
6
7
8
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Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
/vial

Masuk Saldo Stock
JUMLAH 148,120 148,120 - ED 18 March 2022
1 44527 PT.Biofarma 148,120 148,120 74060
2 44527 5,000 D.SIMEULU 143,120 838 2,500 71,560
3 44527 7,000 D.ACEH SINGKIL 136,120 839 3,500 68,060
4 44527 10,000 D.ACEH SELATAN 126,120 840 5,000 63,060
5 44527 10,000 D.ACEH TENGGARA 116,120 841 5,000 58,060
6 44527 10,000 D.ACEH TENGAH 106,120 842 5,000 53,060
7 44527 7,000 D.ACEH BARAT 99,120 843 3,500 49,560
8 44527 10,000 D.ACEH BESAR 89,120 844 5,000 44,560
9 44527 10,000 D.PIDIE 79,120 845 5,000 39,560
10 44527 3,000 D.BIREUEN 76,120 846 1,500 38,060
11 44527 3,000 D.ACEH UTARA 73,120 847 1,500 36,560
12 44527 7,000 D.ABDYA 66,120 848 3,500 33,060
13 44527 8,000 D.GAYO LUES 58,120 849 4,000 29,060
14 44527 7,000 D.NAGAN RAYA 51,120 850 3,500 25,560
15 44527 7,000 D.ACEH JAYA 44,120 851 3,500 22,060
16 44527 5,000 D.BENER MERIAH 39,120 852 2,500 19,560
17 44527 7,000 D.PIDIE JAYA 32,120 853 3,500 16,060
18 44527 5,000 D.BANDA ACEH 27,120 854 2,500 13,560
19 44527 2,000 D.SABANG 25,120 855 1,000 12,560
20 44527 5,000 D.LANGSA 20,120 856 2,500 10,060
21 44527 3,000 D.LHOKSEUMAWE 17,120 857 1,500 8,560
22 44527 5,000 D.SUBULUSSALAM 12,120 858 2,500 6,060
23 44527 3,000 D.BIREUN 9,120 860 1,500 4,560
24 44527 2,000 D.LHOKSEUMAWE 7,120 861 1,000 3,560
25 10 DES 2021 1,440 D.ACEH BESAR 5,680 911 720 2,840
20 DES 2021 4,000 D.PIDIE JAYA 1,680 964 2,000 840
20 DES 2021 1,680 D.BIREUN - 965 840 -
- -
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004

Masuk Saldo Stock
JUMLAH 35,240 35,240 - ED 15-Mar-22
1 44525 PT.Biofarma 35,240 35,240 17620
2 44525 10,000 D.ACEH TAMIANG 25,240 831 5,000 12,620
3 44525 10,000 D.ACEH TIMUR 15,240 832 5,000 7,620
4 44525 10,000 D.ACEH UTARA 5,240 833 5,000 2,620
5 44525 5,240 D.BIREUEN - 834 2,620 -
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Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
Dinas Kesehatan Aceh MPR
Masuk Saldo Stock
Volume Tujuan Harga
JUMLAH 1,000 1,000 - ED
1 44519 PT.Biofarma 1,000 1,000
2 44526 1,000 D.PIDIE - 836
3
4
5
6
7
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Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
BIOFARMA
202109145P
/vial
Mar-22
Masuk Saldo Stock
JUMLAH 28,360 28,360 - ED Mar-22
1 44517 PT.Biofarma 28,360 28,360 14,180
2 44519 600 D.SIMEULU 27,760 813 300 13,880
3 44519 2,000 D.ACEH TENGGARA 25,760 814 1,000 12,880
4 44519 2,400 D.ACEH TIMUR 23,360 815 1,200 11,680
5 44519 2,000 D.ACEH BARAT 21,360 816 1,000 10,680
6 44519 2,400 D.ACEH BESAR 18,960 817 1,200 9,480
7 44519 2,000 D.PIDIE 16,960 818 1,000 8,480
8 44519 2,400 D.BIREUEN 14,560 819 1,200 7,280
9 44519 3,000 D.ACEH UTARA 11,560 820 1,500 5,780
10 44519 3,200 D.ACEH TAMIANG 8,360 821 1,600 4,180
11 44519 2,000 D.ACEH JAYA 6,360 822 1,000 3,180
12 44519 4,000 D.PIDIE JAYA 2,360 823 2,000 1,180
13 44519 2,360 D.LANGSA - 824 1,180 -
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Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
Masuk Saldo Stock
Volume Tujuan Harga
JUMLAH 150,000 150,000 - ED Mar-22
1 44512 PT.Biofarma 150,000 150,000 75000
2 44513 5,040 D.SIMEULU 144,960 788 2,520 72,480
3 44513 5,520 D.ACEH SINGKIL 139,440 789 2,760 69,720
4 44513 8,720 D.ACEH SELATAN 130,720 790 4,360 65,360
5 44513 5,120 D.ACEH TENGGARA 125,600 791 2,560 62,800
6 44513 5,680 D.ACEH TIMUR 119,920 792 2,840 59,960
7 44513 6,880 D.ACEH TENGAH 113,040 793 3,440 56,520
8 44513 3,840 D.ACEH BARAT 109,200 794 1,920 54,600
9 44513 7,600 D.ACEH BESAR 101,600 795 3,800 50,800
10 44513 5,040 D.PIDIE 96,560 796 2,520 48,280
11 44513 7,120 D.BIREUEN 89,440 797 3,560 44,720
12 44513 7,040 D.ACEH UTARA 82,400 798 3,520 41,200
13 44513 5,920 D.ABDYA 76,480 799 2,960 38,240
14 44513 7,760 D.GAYO LUES 68,720 800 3,880 34,360
15 44513 5,680 D.ACEH TAMIANG 63,040 801 2,840 31,520
16 44513 6,640 D.NAGAN RAYA 56,400 802 3,320 28,200
17 44513 6,080 D.ACEH JAYA 50,320 803 3,040 25,160
18 44513 7,920 D.BENER MERIAH 42,400 804 3,960 21,200
19 44513 5,920 D.PIDIE JAYA 36,480 805 2,960 18,240
20 44513 5,760 D.BANDA ACEH 30,720 806 2,880 15,360
21 44513 2,960 D.SABANG 27,760 807 1,480 13,880
22 44513 5,920 D.LANGSA 21,840 808 2,960 10,920
23 44513 7,440 D.LHOKSEUMAWE 14,400 809 3,720 7,200
24 44513 5,760 D.SUBUSSALAM 8,640 810 2,880 4,320
25 44519 640 D.LANGSA 8,000 824 320 4,000
26 44519 2,800 D.LHOKSEUMAWE 5,200 825 1,400 2,600
27 44519 2,000 D.ACEH SELATAN 3,200 826 1,000 1,600
28 44525 3,200 D.BIREUEN - 834 1,600 -
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
/vial
COVID-19 VAKSIN SINOVAC 2 DS Pabrikan BIOFARMA 202109146P
No Tanggal Sumber Keluar NO SBBK Batch 202109146P & 202109179M

Masuk Saldo Stock 202109179M
JUMLAH 50,280 50,280 - ED Mar-22
1 44511 PT.Biofarma 50,280 50,280 25140
2 44512 3,960 D.SIMEULU 46,320 787 1,980 23,160
3 44513 2,520 D.ACEH SINGKIL 43,800 789 1,260 21,900
4 44513 1,280 D.ACEH SELATAN 42,520 790 640 21,260
5 44513 4,920 D.ACEH TENGGARA 37,600 791 2,460 18,800
6 44513 2,360 D.ACEH TIMUR 35,240 792 1,180 17,620
7 44513 2,120 D.ACEH TENGAH 33,120 793 1,060 16,560
8 44513 1,160 D.ACEH BARAT 31,960 794 580 15,980
9 44513 1,400 D.ACEH BESAR 30,560 795 700 15,280
10 44513 3,000 D.PIDIE 27,560 796 1,500 13,780
11 44513 2,920 D.BIREUEN 24,640 797 1,460 12,320
12 44513 2,960 D.ACEH UTARA 21,680 798 1,480 10,840
13 44513 1,080 D.ABDYA 20,600 799 540 10,300
14 44513 1,280 D.GAYO LUES 19,320 800 640 9,660
15 44513 7,320 D.ACEH TAMIANG 12,000 801 3,660 6,000
16 44513 1,320 D.NAGAN RAYA 10,680 802 660 5,340
17 44513 920 D.ACEH JAYA 9,760 803 460 4,880
18 44513 120 D.BENER MERIAH 9,640 804 60 4,820
19 44513 2,080 D.PIDIE JAYA 7,560 805 1,040 3,780
20 44513 2,280 D.BANDA ACEH 5,280 806 1,140 2,640
21 44513 360 D.SABANG 4,920 807 180 2,460
22 44513 2,080 D.LANGSA 2,840 808 1,040 1,420
23 44513 1,600 D.LHOKSEUMAWE 1,240 809 800 620
24 44513 1,240 D.SUBUSSALAM - 810 620 -
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
19132 VIAL
6008
202109175M/
Masuk Saldo Stock
Volume Tujuan Harga
JUMLAH 28,800 28,800 - ED Mar-22
1 44508 PT.Biofarma 28,800 28,800 14400
2 44508 800 D.SIMEULU 28,000 758 400 14,000
3 44508 1,200 D.ACEH SINGKIL 26,800 759 600 13,400
4 44508 1,200 D.ACEH SELATAN 25,600 760 600 12,800
5 44508 1,600 D.ACEH TENGGARA 24,000 761 800 12,000
6 44508 1,600 D.ACEH TIMUR 22,400 762 800 11,200
7 44508 1,200 D.ACEH TENGAH 21,200 763 600 10,600
8 44508 800 D.ACEH BARAT 20,400 764 400 10,200
9 44508 1,200 D.ACEH BESAR 19,200 765 600 9,600
10 44508 1,600 D.PIDIE 17,600 766 800 8,800
11 44508 1,600 D.BIREUEN 16,000 767 800 8,000
12 44508 2,000 D.ACEH UTARA 14,000 768 1,000 7,000
13 44508 1,200 D.ABDYA 12,800 769 600 6,400
14 44508 1,200 D.GAYO LUES 11,600 770 600 5,800
15 44508 2,400 D.ACEH TAMIANG 9,200 771 1,200 4,600
16 44508 800 D.NAGAN RAYA 8,400 772 400 4,200
17 44508 1,200 D.ACEH JAYA 7,200 773 600 3,600
18 44508 800 D.BENER MERIAH 6,400 774 400 3,200
19 44508 1,200 D.PIDIE JAYA 5,200 775 600 2,600
20 44508 1,200 D.BANDA ACEH 4,000 776 600 2,000
21 44508 400 D.SABANG 3,600 777 200 1,800
22 44508 1,200 D.LANGSA 2,400 778 600 1,200
23 44508 1,200 D.LHOKSEUMAWE 1,200 779 600 600
24 44508 800 D.SUBUSSALAM 400 780 400 200
44519 400 D.SIMEULU - 813 200 -
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
/vial
Masuk Saldo Stock
Volume Tujuan Harga 1,339,440.50
JUMLAH 50,000 50,000 - ED Mar-22
1 44506 PT.Biofarma 50,000 50,000 5000
2 44506 3,000 D.SIMEULU 47,000 734 300 4,700
3 44506 2,000 D.ACEH SINGKIL 45,000 735 200 4,500
4 44506 3,000 D.ACEH SELATAN 42,000 736 300 4,200
5 44506 2,000 D.ACEH TENGGARA 40,000 737 200 4,000
6 44506 4,000 D.ACEH TIMUR 36,000 738 400 3,600
7 44506 2,000 D.ACEH TENGAH 34,000 739 200 3,400
8 44506 2,000 D.ACEH BARAT 32,000 740 200 3,200
9 44506 2,000 D.ACEH BESAR 30,000 741 200 3,000
10 44506 4,000 D.PIDIE 26,000 742 400 2,600
11 44506 2,000 D.BIREUEN 24,000 743 200 2,400
12 44506 4,000 D.ACEH UTARA 20,000 744 400 2,000
13 44506 2,000 D.ABDYA 18,000 745 200 1,800
14 44506 3,000 D.GAYO LUES 15,000 746 300 1,500
15 44506 3,000 D.ACEH TAMIANG 12,000 747 300 1,200
16 44506 2,000 D.NAGAN RAYA 10,000 748 200 1,000
17 44506 2,000 D.ACEH JAYA 8,000 749 200 800
18 44506 2,000 D.BENER MERIAH 6,000 750 200 600
19 44506 1,000 D.PIDIE JAYA 5,000 751 100 500
20 44506 1,000 D.LANGSA 4,000 752 100 400
21 44506 2,000 D.LHOKSEUMAWE 2,000 753 200 200
D.BANDA ACEH (VAKSINASI

22 44508 1,000 1,000 781 100 100
MASSAL DI BACH)
D.BANDA ACEH (BRIMOB

23 44510 500 500 785 50 50
POLDA ACEH)
24 44522 500 D.ACEH JAYA - 729 50 -
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
/vial
Masuk Saldo Stock
JUMLAH 30,000 30,000 - ED Feb-22
1 44496 PT.Biofarma 30,000 30,000 3000
2 29 OKT 2021 2,000 D.ACEH BESAR 28,000 696 200 2,800
3 29 OKT 2021 2,000 D.BANDA ACEH 26,000 697 200 2,600
D.BANDA ACEH (RS
4 29 OKT 2021 1,000 25,000 698 100 2,500
BHAYANGKARA)
5 29 OKT 2021 1,000 D.BANDA ACEH (RS KESDAM) 24,000 699 100 2,400
6 30 OKT 2021 2,000 D.ACEH BARAT 22,000 704 200 2,200
7 30 OKT 2021 2,000 D.ACEH SINGKIL 20,000 705 200 2,000
8 30 OKT 2021 2,000 D.ACEH TAMIANG 18,000 706 200 1,800
9 30 OKT 2021 2,000 D.ACEH JAYA 16,000 707 200 1,600
10 30 OKT 2021 2,000 D.ACEH SELATAN 14,000 708 200 1,400
11 30 OKT 2021 1,000 D.NAGAN RAYA 13,000 709 100 1,300
12 30 OKT 2021 1,000 D.PIDIE 12,000 710 100 1,200
13 30 OKT 2021 1,000 D.LHOKSEUMAWE 11,000 711 100 1,100
14 30 OKT 2021 3,000 D.ACEH UTARA 8,000 712 300 800
15 30 OKT 2021 2,000 D.ACEH TIMUR 6,000 713 200 600
16 30 OKT 2021 2,000 D.BENER MERIAH 4,000 714 200 400
17 30 OKT 2021 2,000 D.ACEH TENGAH 2,000 715 200 200
18 30 OKT 2021 1,000 D.GAYOLUES 1,000 716 100 100
19 44502 500 D.ACEH BESAR 500 729 50 50
D.BANDA ACEH ( VAKSINASI
20 44503 500 - 731 50 -
MASSAL DI BACH)
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
Dinas Kesehatan Aceh BKKBN
Masuk Saldo Stock
JUMLAH 1,000 1,000 - ED Feb-22
1 44494 PT.Biofarma 1,000 1,000
2 44522 500 D.ACEH JAYA 500 729
3 44526 500 D.ACEH JAYA - 835
4
5
6
7
8
9
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
/vial
Masuk Saldo Stock
Volume Tujuan Harga
JUMLAH 500 500 - ED Feb-22
1 44490 PT.Biofarma 500 500
2 44503 100 D.BANDA ACEH (KKP B.ACEH ) 400 732
D.LHOKSEUMAWE (KKP
3 44506 400 - 755
Lhokseumawe)
4
5
6
7
8
9
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
/vial
Masuk Saldo Stock
JUMLAH 2,600 2,600 - ED Feb-22
1 44487 PT.Biofarma 2,600 2,600
2 26 okt 2021 600 D.ACEH BESAR 2,000 674 60 200
D.BANDA ACEH (RS
3 28 OKT 2021 500 1,500 686 50 150
BHAYANGKARA)
4 28 OKT 2021 1,000 D.ACEH BESAR 500 694 100 50

5 44501 500 - 724 50 -
MASSAL DI BACH)
6
7
8
9
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
/vial
Masuk Saldo Stock
JUMLAH 21,520 21,520 - ED Feb-22
1 44484 PT.Biofarma 21,520 21,520 10760
2 15 OKT 2021 2,000 D.ACEH TENGGARA 19,520 640 1000 9,760
3 15 OKT 2021 2,400 D.ACEH TIMUR 17,120 641 1200 8,560
4 15 OKT 2021 2,000 D.ACEH TENGAH 15,120 642 1000 7,560

5 15 OKT 2021 1,600 D.ACEH BESAR 13,520 643 800 6,760
6 15 OKT 2021 2,000 D.PIDIE 11,520 645 1000 5,760
7 15 OKT 2021 2,000 D.ACEH UTARA 9,520 646 1000 4,760
8 15 OKT 2021 2,400 D.GALUS 7,120 647 1200 3,560
9 15 OKT 2021 2,400 D.BENER MERIAH 4,720 648 1200 2,360
10 23 okt 2021 1,600 D.ACEH SELATAN 3,120 663 800 1,560
11 23 okt 2021 1,600 D.ACEH SINGKIL 1,520 664 800 760
12 23 okt 2021 1,200 D.ACEH BARAT 320 665 600 160
13 44502 320 D.ACEH BESAR - 729 160 -
14
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
No Tanggal Sumber Keluar NO SBBK Batch 202109153H
Masuk Saldo Stock
Volume Tujuan Harga
JUMLAH 10,720 10,720 - ED Mar-22
1 44483 PT.Biofarma 10,720 10,720 5360
2 15 OKT 2021 2,240 D.SIMEULU 8,480 639 1,120 4,240
3 15 OKT 2021 2,160 D.ACEH TENGGARA 6,320 640 1,080 3,160
4 15 OKT 2021 1,200 D.ACEH TENGAH 5,120 642 600 2,560

5 15 OKT 2021 5,120 D.ACEH TAMIANG - 638 2,560 -
6 -
7
8
9
10
11
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
/vial
10720

Masuk Saldo Stock
Volume Tujuan Harga

JUMLAH 46,800 46,800 - ED
PT.Pfizer
1 44481 46,800 46,800
Indonesia
D.BANDA ACEH
2 16 OKT 2021 30 46,770 649 12346 5
(RS.BHAYANGKARA)
3 19 OKT 2021 5,850 D.BANDA ACEH 40,920 654 12347 975
4 19 OKT 2021 5,850 D.BANDA ACEH 35,070 654 12348 975

5 28 OKT 2021 5,850 D.ACEH BESAR 29,220 695 975
6 28 OKT 2021 5,850 D.ACEH BESAR 23,370 695 975
7 30 OKT 2021 5,850 D.KOTA LANGSA 17,520 721 975
8 30 OKT 2021 5,850 D.ACEH TENGAH 11,670 722 12344 975
9 44506 5,850 D.BIREUN 5,820 754 12345 975
10 44508 3,510 D.ACEH BESAR 2,310 757 585
44511 2,310 D.BIREUEN - 786 385
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
BIOFARMA
12346;12347;12348;123
49;12343;12350;12344;
12345
/vial
7,795
6,820
5,845
4,870
3,895
2,920
1,945
970
385
-
No Tanggal Sumber Keluar NO SBBK Batch 202108144H
Masuk Saldo Stock
Volume Tujuan Harga
JUMLAH 38,000 38,000 - ED Feb-22
1 44480 PT.Biofarma 38,000 38,000 19000
2 11 OKT 2021 2,800 D.ACEH SELATAN 35,200 627 1,400 17,600
3 11 OKT 2021 3,200 D.ACEH TIMUR 32,000 628 1,600 16,000
4 11 OKT 2021 4,800 D.ACEH TENGAH 27,200 629 2,400 13,600

5 11 OKT 2021 4,000 D.GAYO LUES 23,200 630 2,000 11,600
6 11 OKT 2021 3,200 D.NAGAN RAYA 20,000 631 1,600 10,000
7 11 OKT 2021 4,000 D.BENER MERIAH 16,000 632 2,000 8,000
8 11 OKT 2021 3,200 D.PIDIE JAYA 12,800 633 1,600 6,400
9 11 OKT 2021 1,200 D.LANGSA 11,600 634 600 5,800
11 13 OKT 2021 5,000 D.KOTA BANDA ACEH 4,600 636 2500 2,300
15 OKT 2021 4,600 D.ACEH TAMIANG - 638 2300 -
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
/vial
Masuk Saldo Stock
Volume Tujuan Harga
JUMLAH 7,000 7,000 - ED
1 44474 PT.Biofarma 7,000 7,000
2 18 OKT 2021 3,200 D.PIDIE JAYA (DPR PIDIE JAYA) 3,800 651 1600
3 19 OKT 2021 1,800 D.BANDA ACEH 2,000 652 900
4 25 OKT 2021 1,000 D.BANDA ACEH (BIDDOKES) 1,000 669 500

5 26 OKT 2021 500 D.BANDA ACEH (VAKSINASI MASSAL 500 671 250
6 26 OKT 2021 500 D.ACEH BESAR - 672 250
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
BIOFARMA
202109180F
/vial
Mar-22
1,900
1,000
500
250
-
Masuk Saldo Stock
JUMLAH 80,720 80,720 - ED Feb-22
1 44468 PT.Biofarma 80,720 80,720 tgl terima 29 Sep 2021 40,360
2 44469 2,800 D. SIMEULU 77,920 596 1400 38,960
3 44469 4,000 D.ACEH BESAR 73,920 598 2000 36,960
4 2 OKT 2021 4,000 Dinkes Singkil 69,920 600 2000 34,960

5 2 OKT 2021 4,800 Dinkes A.Selatan 65,120 601 2400 32,560
6 2 OKT 2021 3,200 Dinkes A.Tenggara 61,920 602 1600 30,960
7 2 OKT 2021 4,800 Dinkes A.Timur 57,120 603 2400 28,560
8 2 OKT 2021 2,000 Dinkes A.Tengah 55,120 604 1000 27,560
9 2 OKT 2021 2,000 Dinkes A.Barat 53,120 605 1000 26,560
10 2 OKT 2021 4,000 Dinkes Pidie 49,120 606 2000 24,560
11 2 OKT 2021 4,000 Dinkes Bireun 45,120 607 2000 22,560
12 2 OKT 2021 6,000 Dinkes A.Utara 39,120 608 3000 19,560
13 2 OKT 2021 1,600 Dinkes Abdya 37,520 609 800 18,760
14 2 OKT 2021 1,200 Dinkes Gayo Lues 36,320 610 600 18,160
15 2 OKT 2021 4,000 Dinkes A.Tamiang 32,320 611 2000 16,160
16 2 OKT 2021 2,000 Dinkes Nagan Raya 30,320 612 1000 15,160
17 2 OKT 2021 800 Dinkes A.Jaya 29,520 613 400 14,760
18 2 OKT 2021 1,200 Dinkes B.Meriah 28,320 614 600 14,160
19 2 OKT 2021 2,000 Dinkes Pidie Jaya 26,320 615 1000 13,160
20 2 OKT 2021 4,000 DINKES BANDA ACEH 22,320 616 2000 11,160
21 2 OKT 2021 1,200 Dinkes Sabang 21,120 617 600 10,560
22 2 OKT 2021 5,200 Dinkes Langsa 15,920 618 2600 7,960
23 2 OKT 2021 4,000 Dinkes Lhokseumawe 11,920 619 2000 5,960
24 2 OKT 2021 2,000 Dinkes Subulussalam 9,920 620 1000 4,960
25 10 OKT 2021 2,920 D.SIMEULU 7,000 623 1460 3,500
27 10 OKT 2021 4,000 D.ACEH TAMIANG - 625 2000 -
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
Masuk Saldo Stock
JUMLAH 12,600 12,600 - ED Feb-22
1 44467 PT.Biofarma 12,600 12,600 tgl terima 28 Sep 2021
2 44467 800 D.SIMEULU 11,800 589 400 5,900
3 44467 3,600 D.ACEH TENGGARA 8,200 590 1800 4,100
4 44467 2,800 D.ACEH TENGAH 5,400 591 1400 2,700

5 44467 800 D.GALUS 4,600 592 400 2,300
6 44467 3,000 D. ACEH TAMIANG 1,600 593 1500 800
7 44467 1,600 D.BENER MERIAH - 594 800 -
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
No Tanggal Sumber Keluar NO SBBK Batch C202106124
Masuk Saldo Stock
Volume Tujuan Harga
JUMLAH 28,000 28,000 - ED Jun-22
2 44467 7,000 D.ACEH BESAR 21,000 585
3 44467 7,000 PIDIE 14,000 586
4 44467 7,000 BIREUEN 7,000 587

5 44467 7,000 ACEH UTARA - 588
6
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
/vial
COVID-19 VAKSIN MODERNA 14 DS Pabrikan
Masuk Saldo Stock
Volume Tujuan Harga
JUMLAH 56 56 - ED
1 44460 PT.Biofarma 56 56 tgl terima 21 Sep 2021
2 44462 56 D.ACEH BESAR (POLTEKES) - 580
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
BIOFARMA
028D21A
/vial
Nov-21
tgl terima 21 Sep 2021
4
No Tanggal Sumber Keluar NO SBBK Batch 20210817OF
Masuk Saldo Stock
Volume Tujuan Harga
JUMLAH 5,450 5,450 - ED Feb-22
2 44462 450 D.ACEH BESAR (POLTEKES) 5,000 580 225 2,500
D.LHOKSEUMAWE (KKP
3 44463 1,000 4,000 584 500 2,000
LHOKSEUMAWE)
4 2 OKT 2021 1,000 D.SABANG (KKP SABANG) 3,000 621 500 1,500
5 4 OKT 2021 500 D.BANDA ACEH (KKP BNA) 2,500 622 250 1,250
6 19 OKT 2021 2,498 D.LANGSA 2 653 1249 1
19 OKT 2021 2 RUSAK DIMUSNAHKAN - 1 -
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
/vial
SISA KKP BNA HANYA AMBIL 500 DOSIS
RUSAK/PECAH
Masuk Saldo Stock
Volume Tujuan Harga
JUMLAH 1,526 1,526 - ED
2 44460 1,500 D.LHOKSEUMAWE 26 572
D.KOTA BANDA ACEH (SEKDA
3 2 OKT 2021 2 24 599
ACEH)
4 27 DES 2021 24 D.ACEH UTARA - 997
5
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
BIOFARMA
20210817OF
/vial
Feb-22
Masuk Saldo Stock
Volume Tujuan Harga
JUMLAH 24,640 24,640 - ED
1 44454 PT.Biofarma 24,640 24,640 tgl terima 15
2 44460 1,600 D.A.TENGAH 23,040 559 800
3 44460 2,000 D. A.BESAR 21,040 561 1000
4 44460 1,600 D.PIDIE 19,440 562 800
5 44460 1,600 D.BIREUN 17,840 563 800
6 44460 3,200 D.A.UTARA 14,640 564 1600
7 44460 2,000 D.GALUS 12,640 566 1000
8 44460 3,200 D.A.TAMIANG 9,440 567 1600
9 44460 1,600 D.BENER MERIAH 7,840 569 800
10 44460 1,200 D.PIJAY 6,640 570 600
11 44460 2,400 D.LANGSA 4,240 571 1200
12 44460 1,600 D.LHOKSEUMAWE 2,640 572 800
13 44460 1,200 D.SUBULUSSALAM 1,440 573 600

14 13 OKT 2021 1,440 - 637 720
MASSAL DI BACH)
3
4
5
6
7
6
7
8
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
BIOFARMA
2021081691
/vial
Feb-22
12320
11,520
10,520
9,720
8,920
7,320
6,320
4,720
3,920
3,320
2,120
1,320
720
-
Masuk Saldo Stock
JUMLAH 11,600 11,600 - ED Feb-22
2 44460 2,800 D.SIMEULU 8,800 554 1400 4,400
3 44460 1,600 D.A.SINGKIL 7,200 555 800 3,600
4 44460 2,400 D.A.SELATAN 4,800 556 1200 2,400
5 44460 2,400 D.A.TENGGARA 2,400 557 1200 1,200
6 44460 1,200 D.A.TIMUR 1,200 558 600 600
8 44460 1,200 D.A.BARAT - 560 600 -
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
Masuk Saldo Stock
JUMLAH 55,440 55,440 - ED Feb-22
2 44445 1,600 D.SIMEULU 53,840 519 800 26,920
3 44445 2,400 D.A.SINGKIL 51,440 520 1200 25,720
4 44445 960 D.A.SELATAN 50,480 521 480 25,240
5 44445 2,960 D.A.TENGGARA 47,520 522 1480 23,760
6 44445 2,960 D.A.TIMUR 44,560 523 1480 22,280
7 44445 2,960 D.A.TENGAH 41,600 524 1480 20,800
8 44445 2,000 D.A.BARAT 39,600 525 1000 19,800
9 44445 2,960 D. A.BESAR 36,640 526 1480 18,320
10 44445 2,000 D.PIDIE 34,640 527 1000 17,320
11 44445 2,960 D.BIREUN 31,680 528 1480 15,840
12 44445 4,000 D.A.UTARA 27,680 529 2000 13,840
13 44445 2,960 D.ABDYA 24,720 530 1480 12,360
14 44445 2,960 D.GALUS 21,760 531 1480 10,880
15 44445 2,960 D.A.TAMIANG 18,800 532 1480 9,400
16 44445 2,000 D.NAGAN RAYA 16,800 533 1000 8,400
17 44445 800 D.ACEH JAYA 16,000 534 400 8,000
18 44445 2,960 D.BENER MERIAH 13,040 535 1480 6,520
19 44445 2,000 D.PIJAY 11,040 536 1000 5,520
20 44445 960 D.BANDA ACEH 10,080 537 480 5,040
21 44445 800 D. SABANG 9,280 538 400 4,640
22 44445 2,000 D.LANGSA 7,280 539 1000 3,640
23 44445 2,000 D.LHOKSEUMAWE 5,280 540 1000 2,640
24 44445 2,000 D.SUBULUSSALAM 3,280 541 1000 1,640
25 44459 3,280 D.ACEH BESAR - 552 1640 -
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
Masuk Saldo Stock
JUMLAH 45,680 45,680 - ED Feb-22
2 44445 640 D.SIMEULU 45,040 519 320 22,520
3 44445 1,600 D.A.SINGKIL 43,440 520 800 21,720
4 44445 1,200 D.A.SELATAN 42,240 521 600 21,120
5 44445 2,960 D.A.TENGGARA 39,280 522 1480 19,640
6 44445 2,960 D.A.TIMUR 36,320 523 1480 18,160
7 44445 2,960 D.A.TENGAH 33,360 524 1480 16,680
8 44445 1,040 D.A.BARAT 32,320 525 520 16,160
9 44445 2,000 D. A.BESAR 30,320 526 1000 15,160
10 44445 2,000 D.PIDIE 28,320 527 1000 14,160
11 44445 2,000 D.BIREUN 26,320 528 1000 13,160
12 44445 4,000 D.A.UTARA 22,320 529 2000 11,160
13 44445 2,000 D.ABDYA 20,320 530 1000 10,160
14 44445 2,960 D.GALUS 17,360 531 1480 8,680
15 44445 2,960 D.A.TAMIANG 14,400 532 1480 7,200
16 44445 2,000 D.NAGAN RAYA 12,400 533 1000 6,200
17 44445 400 D.ACEH JAYA 12,000 534 200 6,000
18 44445 2,000 D.BENER MERIAH 10,000 535 1000 5,000
19 44445 2,000 D.PIJAY 8,000 536 1000 4,000
20 44445 1,040 D.BANDA ACEH 6,960 537 520 3,480
21 44445 400 D. SABANG 6,560 538 200 3,280
22 44445 2,000 D.LANGSA 4,560 539 1000 2,280
23 44445 2,000 D.LHOKSEUMAWE 2,560 540 1000 1,280
24 44445 2,000 D.SUBULUSSALAM 560 541 1000 280

25 13 okt 2021 560 - 637 280 -
MASSAL DI BACH)
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
Masuk Saldo Stock
Volume Tujuan Harga
JUMLAH 2,000 2,000 - ED
2 44460 1,000 D.BIREUN 1,000 574
3 44460 1,000 D.ACEH UTARA - 575
4
5
6
7
6
7
8
9
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
BIOFARMA
24005721
1,339,440.50 /vial
Jan-22
Masuk Saldo Stock
Volume Tujuan Harga
JUMLAH 2,400 2,400 - ED
1 28 AGUS 2021 PT.Biofarma 2,400 2,400 tgl terima 28 AGUS 2021
2 31 AGUS 2021 1,000 Dinke A.besar (poltekes) 1,400 483 500
Dinkes Lhokseumawe (KKP

3 31 AGUS 2021 1,000 400 484 500
Lhokseumawe)
4 31 AGUS 2021 200 Dinkes Sabang (KKP Sabang) 200 509 100
5 44440 200 Dinkes Kota BNA (KKP BNA) - 513 100
6
7
8
9
10
11
12
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
BIOFARMA
202108144G
/vial
Feb-22
tgl terima 28 AGUS 2021
COVID-19 VAKSIN SINOVAC 2 DS Pabrikan BIOFARMA batch 2021081501 = 11.987 vial
No Tanggal Sumber Keluar NO SBBK Batch batch 2021081511 = 13.268 vial
Masuk Saldo Stock
JUMLAH 50,510 50,510 - ED Feb-22
2 31 AGUS 2021 800 D.SIMEULU 49,710 486 2021081501 400 24855
3 31 AGUS 2021 2,400 D.A.SINGKIL 47,310 487 2021081501 1200 23655
4 31 AGUS 2021 1,600 D.A.SELATAN 45,710 488 2021081501 800 22855
5 31 AGUS 2021 2,400 D.A.TENGGARA 43,310 489 2021081501 1200 21655
6 31 AGUS 2021 3,200 D.A.TIMUR 40,110 490 2021081501 1600 20055
7 31 AGUS 2021 3,200 D.A.TENGAH 36,910 491 2021081501 1600 18455
8 31 AGUS 2021 2,000 D.A.BARAT 34,910 492 2021081501 1000 17455
9 31 AGUS 2021 2,000 D. A.BESAR 32,910 493 2021081501 1000 16455
10 31 AGUS 2021 2,000 D.PIDIE 30,910 494 2021081501 1000 15455
11 31 AGUS 2021 2,000 D.BIREUN 28,910 495 2021081501 1000 14455
12 31 AGUS 2021 2,400 D.A.UTARA 26,510 496 2021081511 1200 13255
13 31 AGUS 2021 2,000 D.ABDYA 24,510 497 2021081511 1000 12255
14 31 AGUS 2021 2,400 D.GALUS 22,110 498 2021081511 1200 11055
15 31 AGUS 2021 2,400 D.A.TAMIANG 19,710 499 2021081511 1200 9855
16 31 AGUS 2021 2,000 D.NAGAN RAYA 17,710 500 2021081511 1000 8855
17 31 AGUS 2021 1,200 D.ACEH JAYA 16,510 501 2021081511 600 8255
18 31 AGUS 2021 3,200 D.BENER MERIAH 13,310 502 2021081511 1600 6655
19 31 AGUS 2021 1,600 D.PIJAY 11,710 503 2021081511 800 5855
2021081511
(1040 VIAL) ;
20 31 AGUS 2021 2,400 D.BANDA ACEH 9,310 504 1200 4655
2021081501 (160
VIAL)
21 31 AGUS 2021 1,200 D. SABANG 8,110 505 2021081511 600 4055

22 31 AGUS 2021 2,400 D.LANGSA 5,710 506 2021081511 1200 2855
23 31 AGUS 2021 2,400 D.LHOKSEUMAWE 3,310 507 2021081511 1200 1655
24 31 AGUS 2021 1,200 D.SUBULUSSALAM 2,110 508 2021081511 600 1055
2021081511 (28
VIAL) ;
25 44456 2,110 D.SIMEULU - 550 1055 0
2021081501
(1027 VIAL)
26
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
Masuk Saldo Stock
JUMLAH 15,500 15,500 - ED Jan-22
2 44460 2,000 D.BANDA ACEH (BIDOKKES) 13,500 576 200 1,350
D.BANDA ACEH (RS
3 44460 1,000 12,500 577 100 1,250
BHAYANGKARA)
4 44460 2,000 D.ACEH TAMIANG 10,500 578 200 1,050
5 44462 1,500 D.SIMEULU 9,000 579 150 900
6 44462 1,000 8,000 581 100 800
MASSAL DI BACH)
7 44463 5,000 D.ACEH TAMIANG 3,000 582 500 300
6 44469 700 2,300 595 70 230
MASSAL DI BACH)
D.BANDA ACEH (RS
7 44469 1,000 1,300 597 100 130
BHAYANGKARA)
8 10 OKT 2021 1,300 D.ACEH TAMIANG - 625 130 -
9
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
Daftar Distribusi COVID-19 VAKSIN SINOVAC 2DS
COVID-19 VAKSIN SINOVAC 2DS Pabrikan BIOFARMA
Masuk Saldo Stock
Volume Tujuan Harga
JUMLAH 98,050 98,050 - ED Jan-22
2 31 Agus 2021 1,600 D.SIMEULU 96,450 486 800 48,225
3 31 Agus 2021 4,000 D.A.SINGKIL 92,450 487 2000 46,225
4 31 Agus 2021 2,000 D.A.SELATAN 90,450 488 1000 45,225
5 31 Agus 2021 4,000 D.A.TENGGARA 86,450 489 2000 43,225
6 31 Agus 2021 4,000 D.A.TIMUR 82,450 490 2000 41,225
7 31 Agus 2021 6,000 D.A.TENGAH 76,450 491 3000 38,225
8 31 Agus 2021 3,200 D.A.BARAT 73,250 492 1600 36,625
9 31 Agus 2021 4,000 D. A.BESAR 69,250 493 2000 34,625
10 31 Agus 2021 4,800 D.PIDIE 64,450 494 2400 32,225
11 31 Agus 2021 4,000 D.BIREUN 60,450 495 2000 30,225
12 31 Agus 2021 4,800 D.A.UTARA 55,650 496 2400 27,825
13 31 Agus 2021 2,400 D.ABDYA 53,250 497 1200 26,625
14 31 Agus 2021 4,800 D.GALUS 48,450 498 2400 24,225
15 31 Agus 2021 6,000 D.A.TAMIANG 42,450 499 3000 21,225
16 31 Agus 2021 3,600 D.NAGAN RAYA 38,850 500 1800 19,425
17 31 Agus 2021 1,200 D.ACEH JAYA 37,650 501 600 18,825
18 31 Agus 2021 6,000 D.BENER MERIAH 31,650 502 3000 15,825
19 31 Agus 2021 2,000 D.PIJAY 29,650 503 1000 14,825
20 31 Agus 2021 6,000 D.BANDA ACEH 23,650 504 3000 11,825
21 31 Agus 2021 1,600 D. SABANG 22,050 505 800 11,025
22 31 Agus 2021 4,800 D.LANGSA 17,250 506 2400 8,625
23 31 Agus 2021 4,800 D.LHOKSEUMAWE 12,450 507 2400 6,225
24 31 Agus 2021 2,400 D.SUBULUSSALAM 10,050 508 1200 5,025
25 44456 3,000 D.ACEH TIMUR 7,050 546 1500 3,525
26 44456 1,050 D.PIDIE 6,000 547 525 3,000
27 44456 4,000 ACEH UTARA 2,000 548 2000 1,000
28 44456 2,000 D.LANGSA - 549 1000 -
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
Daftar Distribusi COVID-19 VAKSIN 10DS
COVID-19 VAKSIN 10DS Pabrikan BIOFARMA
Masuk Saldo Stock
JUMLAH 75,800 75,800 - ED Jan-22
2 24 Agus 2021 2,000 D.SIMEULU 73,800 457 200 7,380
3 24 Agus 2021 3,000 D.A.SINGKIL 70,800 458 300 7,080
4 24 Agus 2021 1,000 D.A.SELATAN 69,800 459 100 6,980
5 24 Agus 2021 5,000 D.A.TENGGARA 64,800 460 500 6,480
6 24 Agus 2021 3,000 D.A.TIMUR 61,800 461 300 6,180
7 24 Agus 2021 5,000 D.A.TENGAH 56,800 462 500 5,680
8 24 Agus 2021 3,000 D.A.BARAT 53,800 463 300 5,380
9 24 Agus 2021 4,000 D. A.BESAR 49,800 464 400 4,980
10 24 Agus 2021 3,000 D.PIDIE 46,800 465 300 4,680
11 24 Agus 2021 3,000 D.BIREUN 43,800 466 300 4,380
12 24 Agus 2021 1,000 D.A.UTARA 42,800 467 100 4,280
13 24 Agus 2021 3,000 D.ABDYA 39,800 468 300 3,980
14 24 Agus 2021 3,000 D.GALUS 36,800 469 300 3,680
15 24 Agus 2021 2,000 D.A.TAMIANG 34,800 470 200 3,480
16 24 Agus 2021 5,000 D.NAGAN RAYA 29,800 471 500 2,980
17 24 Agus 2021 1,000 D.ACEH JAYA 28,800 472 100 2,880
18 24 Agus 2021 4,000 D.BENER MERIAH 24,800 473 400 2,480
19 24 Agus 2021 2,000 D.PIJAY 22,800 474 200 2,280
20 24 Agus 2021 5,000 D.BANDA ACEH 17,800 475 500 1,780
21 24 Agus 2021 2,000 D. SABANG 15,800 476 200 1,580
22 24 Agus 2021 4,000 D.LANGSA 11,800 477 400 1,180
23 24 Agus 2021 4,000 D.LHOKSEUMAWE 7,800 478 400 780
24 24 Agus 2021 3,000 D.SUBULUSSALAM 4,800 479 300 480
25 44456 4,800 D.ACEH TAMIANG - 545 480 -
26
27
28
29
30
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
COVID-19 VAKSIN 10DS Pabrikan
Masuk Saldo Stock
Volume Tujuan Harga
JUMLAH 6,500 6,500 - ED
2 31 agus 2021 2,000 dinkes Aceh besar (PUPR) 4,500 510
D.KOTA BNA ( VAKSINASI
3 6 AGUS 2021 700 3,800 518
MASSAL DI BACH)

4 44452 1,000 2,800 542
MASSAL DI BACH)
5 44455 1,000 1,800 543
MASSAL DI BACH)
6 44456 500 1,300 544
MASSAL DI BACH)
7 44460 1,000 300 553
MASSAL DI BACH)
6 44469 300 - 595
MASSAL DI BACH)
7
8
9
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
BIOFARMA
24202321
1,339,440.50 /vial
Jan-22
Daftar Distribusi COVID-19 VAKSIN MODERNA 14DS
COVID-19 VAKSIN MODERNA 14DS
No Tanggal Sumber Keluar NO SBBK
Masuk Saldo Stock
Volume Tujuan
JUMLAH 128,380 128,380 -
1 11 AGUS 2021 PT.Biofarma 128,380 128,380
2 12 AGUSTUS 2021 4,200 D.A.SELATAN 124,180 429 300
3 12 AGUSTUS 2021 7,000 D.A.TIMUR 117,180 431 500
4 12 AGUSTUS 2021 4,480 D.A.TENGAH 112,700 432 320
5 12 AGUSTUS 2021 14,000 D. A.BESAR 98,700 434 1000
6 12 AGUSTUS 2021 4,900 D.PIDIE 93,800 435 350
7 12 AGUSTUS 2021 6,300 D.BIREUN 87,500 436 450
8 12 AGUSTUS 2021 7,000 D.A.UTARA 80,500 437 500
9 12 AGUSTUS 2021 7,000 D.A.TAMIANG 73,500 440 500
10 12 AGUSTUS 2021 4,900 D.BENER MERIAH 68,600 443 350
11 12 AGUSTUS 2021 5,600 D.PIJAY 63,000 444 400
12 12 AGUSTUS 2021 14,000 D.BANDA ACEH 49,000 445 1000
13 12 AGUSTUS 2021 14,000 D.LANGSA 35,000 447 1000
14 12 AGUSTUS 2021 9,800 D.LHOKSEUMAWE 25,200 448 700
15 31 agus 2021 700 D.ACEH BARAT 24,500 511 50
16 31 agus 2021 700 D.GAYO LUES 23,800 512 50
17 44460 700 D.SIMEULU 23,100 554 50
18 44460 1,400 D.SINGKIL 21,700 555 100
19 44460 1,400 D.ACEH TENGGARA 20,300 557 100
20 44460 700 D.ABDYA 19,600 565 50
21 44460 1,400 D.NAGAN RAYA 18,200 568 100
22 44460 700 D.SUBULUSSALAM 17,500 573 50
23 44462 700 D.SIMEULU 16,800 579 50
24 44463 4,200 D.ACEH TAMIANG 12,600 582 300
25 44467 1,400 D.ACEH TENGGARA 11,200 590 100
26 10 OKT 2021 2,100 D.ACEH TENGGARA 9,100 624 150
27 15 OKT 2021 2,800 D.ACEH TAMIANG 6,300 638 200
28 15 OKT 2021 840 D.SIMEULU 5,460 639 60
29 15 OKT 2021 2,800 D.ACEH TENGGARA 2,660 640 200
30 30 OKT 2021 1,400 D.ACEH TENGAH 1,260 715 100
31 30 OKT 2021 700 D.GAYO LUES 560 723 50
32 44506 560 D.SIMEULU - 756 40
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
Masuk Saldo Stock
Volume Tujuan Harga
JUMLAH 99,300 99,300 - ED
2 12 AGUS 2021 2,000 D.SIMEULU 97,300 427
3 12 AGUS 2021 3,000 D.A.SINGKIL 94,300 428 Faskes 3960 VIAL
4 12 AGUS 2021 2,000 D.A.SELATAN 92,300 429 SENTRA TNI POLRI @ 1990 VIAL
5 12 AGUS 2021 3,000 D.A.TENGGARA 89,300 430
6 12 AGUS 2021 3,000 D.A.TIMUR 86,300 431
7 12 AGUS 2021 6,000 D.A.TENGAH 80,300 432
8 12 AGUS 2021 4,000 D.A.BARAT 76,300 433
9 12 AGUS 2021 4,000 D. A.BESAR 72,300 434
10 12 AGUS 2021 4,000 D.PIDIE 68,300 435
11 12 AGUS 2021 5,000 D.BIREUN 63,300 436
12 12 AGUS 2021 3,000 D.A.UTARA 60,300 437
13 12 AGUS 2021 4,000 D.ABDYA 56,300 438
14 12 AGUS 2021 3,000 D.GALUS 53,300 439
15 12 AGUS 2021 6,000 D.A.TAMIANG 47,300 440
16 12 AGUS 2021 4,000 D.NAGAN RAYA 43,300 441
17 12 AGUS 2021 1,000 D.ACEH JAYA 42,300 442
18 12 AGUS 2021 4,000 D.BENER MERIAH 38,300 443
19 12 AGUS 2021 3,000 D.PIJAY 35,300 444
20 12 AGUS 2021 10,000 D.BANDA ACEH 25,300 445
21 12 AGUS 2021 2,000 D. SABANG 23,300 446
22 12 AGUS 2021 5,000 D.LANGSA 18,300 447
23 12 AGUS 2021 5,000 D.LHOKSEUMAWE 13,300 448
24 12 AGUS 2021 2,000 D.SUBULUSSALAM 11,300 449
D.KOTA B.ACEH (VAKSINASI
25 19 agus 2021 1,000 10,300 455
MASSAL DI BACH)
26 19 agus 2021 1,000 9,300 456
MASSAL DI BACH)
27 25 Agus 2021 1,000 8,300 480
MASSAL DI BACH)

28 26 Agus 2021 1,000 7,300 481
MASSAL DI BACH)

29 27 agus 2021 500 6,800 482
MASSAL DI BACH)

30 31 agus 2021 500 6,300 485
MASSAL DI BACH)
D.KOTA BANDA ACEH (RS

31 44440 2,000 4,300 515
KESDAM)

32 44441 1,000 3,300 516
MASSAL DI BACH)
D.kota B.ACEH (polda aceh

33 44443 3,000 300 517
biddokkes)

34 44445 300 - 518
MASSAL DI BACH)
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
BIOFARMA
24202221
1,339,440.50 /vial
Jan-22
Faskes 3960 VIAL

SENTRA TNI POLRI @ 1990 VIAL
COVID-19 VAKSIN 10DS
Masuk Saldo Stock
Volume Tujuan
JUMLAH 2,400 2,400 -
1 4 AGUS 2021 PT.Biofarma 2,400 2,400
2 12 agus 2021 1,000 DINKES ACEH BESAR (POLTEKES) 1,400 450
3 12 agus 2021 200 Dinkes sabang ( kkp sabang) 1,200 451
Dinkes Lhokseumawe (KKP
4 12 agus 2021 1,000 200 452
lhokseumawe
D.KOTA B.ACEH ( KKP BANDA
5 44440 200 - 514
ACEH)
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
Pabrikan BIOFARMA
Batch 24202021
Harga 1,339,440.50 /vial
ED Jan-22
KKP
POLTEKES
Masuk Saldo Stock
Volume Tujuan Harga
JUMLAH 93,000 93,000 - ED
2 3 AGUS 2021 1,000 D.BANDA ACEH (RS KESDAM) 92,000 398

D.Kota Banda Aceh (Vaksinasi
3 4 AGUS 2021 1,000 91,000 399
massal di BACH)
4 4 Agus 2021 1,000 D.SIMEULU 90,000 400
5 4 Agus 2021 3,000 ACEH SINGKIL 87,000 401
6 4 Agus 2021 3,000 D.A.SELATAN 84,000 402

7 4 Agus 2021 3,000 D.A.TENGGARA 81,000 403
8 4 Agus 2021 6,000 D.A.TIMUR 75,000 404
9 4 Agus 2021 6,500 D.A.TENGAH 68,500 405
10 4 Agus 2021 3,000 D.A.BARAT 65,500 406
11 4 Agus 2021 5,000 D. A.BESAR 60,500 407
12 4 Agus 2021 4,000 D.PIDIE 56,500 408
13 4 Agus 2021 5,000 D.BIREUN 51,500 409
14 4 Agus 2021 4,000 D.A.UTARA 47,500 410
15 4 Agus 2021 5,000 D.ABDYA 42,500 411
16 4 Agus 2021 2,000 D.GALUS 40,500 412
17 4 Agus 2021 4,000 D.A.TAMIANG 36,500 413
18 4 Agus 2021 3,000 D.NAGAN RAYA 33,500 414
19 4 Agus 2021 1,000 D.ACEH JAYA 32,500 415
20 4 Agus 2021 4,000 D.BENER MERIAH 28,500 416
21 4 Agus 2021 2,000 D.PIJAY 26,500 417
22 4 Agus 2021 7,500 D.BANDA ACEH 19,000 418
23 4 Agus 2021 500 D. SABANG 18,500 419
24 4 Agus 2021 6,000 D.LANGSA 12,500 420
25 4 Agus 2021 3,500 D.LHOKSEUMAWE 9,000 421
26 4 Agus 2021 1,000 D.SUBULUSSALAM 8,000 422
27 5 Agus 2021 500 7,500 423
massal di BACH)
28 5 Agus 2021 1,000 6,500 424
massal di BACH)
29 6 Agus 2021 1,000 5,500 425
massal di BACH)

30 9 AGUS 2021 2,000 3,500 426
KESDAM)

31 12 agus 2021 2,000 1,500 453
KESDAM)

32 16 Agus 2021 1,000 500 454
massal di BACH)

33 31 agus 2021 500 - 485
massal di BACH)
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
BIOFARMA
24004821
1,339,440.50 /vial
Jan-22

Masuk Saldo Stock
Volume Tujuan Harga
JUMLAH 38,300 38,300 - ED
1 30 Juli 2021 PT.Biofarma 38,300 38,300 tgl terima 30 juli 2021
2 30 Juli 2021 500 D.SIMEULU 37,800 369 DINKES

3 30 Juli 2021 1,500 D.A.SINGKIL 36,300 370 TNI
4 30 Juli 2021 500 D.A.SELATAN 35,800 371 POLRI
5 30 Juli 2021 1,000 D.A.TENGGARA 34,800 372
6 30 Juli 2021 2,000 D.A.TIMUR 32,800 373
7 30 Juli 2021 2,000 D.A.TENGAH 30,800 374
8 30 Juli 2021 1,000 D.A.BARAT 29,800 375
9 30 Juli 2021 3,500 D. A.BESAR 26,300 376
10 30 Juli 2021 1,500 D.PIDIE 24,800 377
11 30 Juli 2021 2,000 D.BIREUN 22,800 378
12 30 Juli 2021 1,500 D.A.UTARA 21,300 379
13 30 Juli 2021 2,500 D.ABDYA 18,800 380
14 30 Juli 2021 1,000 D.GALUS 17,800 381
15 30 Juli 2021 2,000 D.A.TAMIANG 15,800 382
16 30 Juli 2021 1,500 D.NAGAN RAYA 14,300 383
17 30 Juli 2021 500 D.ACEH JAYA 13,800 384
18 30 Juli 2021 2,000 D.BENER MERIAH 11,800 385
19 30 Juli 2021 500 D.PIJAY 11,300 386
20 30 Juli 2021 2,000 D.BANDA ACEH 9,300 387
21 30 Juli 2021 500 D. SABANG 8,800 388
22 30 Juli 2021 2,000 D.LANGSA 6,800 389
23 30 Juli 2021 2,000 D.LHOKSEUMAWE 4,800 390
24 30 Juli 2021 1,000 D.SUBULUSSALAM 3,800 391
25 30 Juli 2021 1,000 2,800 393
massal di BACH)
D.Kota Banda Aceh (RS
26 30 Juli 2021 500 2,300 394
KESDAM)
27 2 Agus 2021 500 1,800 395
massal di BACH)
D.Kota Banda Aceh
28 2 Agus 2021 1,000 800 396
(RS.BHAYANGKARA)
29 2 Agus 2021 800 - 397
massal di BACH)
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
BIOFARMA
24004521
1,339,440.50 /vial
Dec-21
tgl terima 30 juli 2021
1532 VIAL
1149 VIAL
1149 VIAL
COVID-19 VAKSIN MODERNA 14 DS
Masuk Saldo Stock
Volume Tujuan
JUMLAH 46,620 46,620 -
1 29 Juli 2021 PT.Biofarma 46,620 46,620
2 4 Agus 2021 980 SIMEULU 45,640 400

3 4 Agus 2021 1,120 D.ACEH SINGKIL 44,520 401
4 4 Agus 2021 1,820 D.ACEH SELATAN 42,700 402
5 4 Agus 2021 1,260 D.ACEH TENGGARA 41,440 403
6 4 Agus 2021 3,080 D.ACEH TIMUR 38,360 404
7 4 Agus 2021 2,240 D.ACEH TENGAH 36,120 405
8 4 Agus 2021 1,820 D.ACEH BARAT 34,300 406
9 4 Agus 2021 1,960 D.ACEH BESAR 32,340 407
10 4 Agus 2021 4,200 D.PIDIE 28,140 408
11 4 Agus 2021 3,640 D.BIREUEN 24,500 409
12 4 Agus 2021 4,480 D.ACEH UTARA 20,020 410
13 4 Agus 2021 1,400 D.ABDYA 18,620 411
14 4 Agus 2021 840 D.GAYO LUES 17,780 412
15 4 Agus 2021 980 D. ACEH TAMIANG 16,800 413
16 4 Agus 2021 1,820 D. NAGAN RAYA 14,980 414
17 4 Agus 2021 1,680 D. ACEH JAYA 13,300 415
18 4 Agus 2021 1,540 D. BENER MERIAH 11,760 416
19 4 Agus 2021 1,540 D. PIDIE JAYA 10,220 417
20 4 Agus 2021 4,760 D.KOTA BANDA ACEH 5,460 418
21 4 Agus 2021 840 D.SABANG 4,620 419
22 4 Agus 2021 1,540 D.LANGSA 3,080 420
23 4 Agus 2021 2,380 D.LHOKSEUMAWE 700 421
24 4 Agus 2021 700 D.SUBULUSSALAM - 422
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
DINKES,, KKP
Pabrikan BIOFARMA
Batch 012D21A
Harga /vial
ED Nov-21
70 DINKES 3300 VIAL

KKP 30 VIAL
Daftar Distribusi COVID-19 VAKSIN 10 DS
COVID-19 VAKSIN 10 DS Pabrikan BIOFARMA
Masuk Saldo Stock
Volume Tujuan Harga 1.339.440,50
JUMLAH 37,400 37,400 - ED Dec-21
1 22 Juli 2021 PT.Biofarma 37,400 37,400
2 22 JULI 2021 1,000 D.SIMEULU 36,400 339
3 22 JULI 2021 1,500 A.SINGKIL 34,900 340
4 22 JULI 2021 1,000 A.SELATAN 33,900 341

5 22 JULI 2021 1,500 A.TENGGARA 32,400 342
6 22 JULI 2021 1,500 A.TIMUR 30,900 343
7 22 JULI 2021 2,000 A.TENGAH 28,900 344
8 22 JULI 2021 2,000 A.BARAT 26,900 345
9 22 JULI 2021 2,000 A.BESAR 24,900 346
10 22 JULI 2021 1,000 PIDIE 23,900 347
11 22 JULI 2021 2,000 BIREUN 21,900 348 DINKES 1480 VIAL

12 22 JULI 2021 1,000 A.UTARA 20,900 349 TNI 1130 VIAL
13 22 JULI 2021 2,000 ABDYA 18,900 350 POLRI 1130 VIAL
14 22 JULI 2021 500 GALUS 18,400 351
15 22 JULI 2021 2,000 A.TAMIANG 16,400 352
16 22 JULI 2021 2,000 NAGAN RAYA 14,400 353
17 22 JULI 2021 1,500 BENER MERIAH 12,900 354
18 22 JULI 2021 500 PIJAY 12,400 355
19 22 JULI 2021 3,000 BANDA ACEH 9,400 356
20 22 JULI 2021 500 SABANG 8,900 357
21 22 JULI 2021 2,000 LANGSA 6,900 358
22 22 JULI 2021 1,000 LHOKSEUMAWE 5,900 359
23 22 JULI 2021 1,000 SUBULUSSALAM 4,900 360
24 23 JULI 2021 1,000 DINKES BNA (KESDAM) 3,900 362
DINKES BNA
25 23 JULI 2021 1,000 2,900 363
(RS.BHAYANGKARA)
Vaksinasi massal di convention

26 24 JULI 2021 1,000 1,900 364
hall banda aceh

27 27 juli 2021 900 1,000 367
massal di BACH)

28 28 juli 2021 1,000 - 368
massal di BACH)
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
/vial
Dinas Kesehatan Aceh RS VERTIKAL,KKP,POLTEKES
Masuk Saldo Stock
JUMLAH 5,200 5,200 - ED Dec-21
1 14 Juli 2021 PT.Biofarma 5,200 5,200
2 16 juli 2021 1,000 dinkes aceh besar (poltekes) 4,200 335 RS VERTIKAL
Dinkes B. aceh ( Dokkes Polda
3 19 juli 2021 600 3,600 337 KKP
Aceh

4 22 JULI 2021 1,500 2,100 338 POLTEKES
hall banda aceh
5 26 JULI 2021 1,500 D.KOTA BNA(KKP BNA) 600 365
D. KOTA LHOKSEUMAWE( KKP

6 30 JULI 2021 600 - 392
LHOKSEUMAWE)
7
8
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
/vial
Masuk Saldo Stock
Volume Tujuan Harga 1.339.440,50 /vial
JUMLAH 55,700 55,700 - ED Dec-21
1 12 Juli 2021 PT.Biofarma 55,700 55,700
2 13 JULI 2021 - SIMEULU 55,700 307

3 13 JULI 2021 3,000 A.SINGKIL 52,700 308 DINKES 1760 VIAL
4 13 JULI 2021 2,000 A.SELATAN 50,700 309 TNI 1680 VIAL
5 13 JULI 2021 3,000 A.TENGGARA 47,700 310 POLRI 1680 VIAL
6 13 JULI 2021 3,000 A.TIMUR 44,700 311 SENTRA DLL 450 VIAL
7 13 JULI 2021 4,000 A.TENGAH 40,700 312
8 13 JULI 2021 3,000 A.BARAT 37,700 313
9 13 JULI 2021 3,000 A.BESAR 34,700 314
10 13 JULI 2021 3,000 BIREUN 31,700 315
11 13 JULI 2021 4,000 ABDYA 27,700 316
12 13 JULI 2021 2,000 GALUS 25,700 317
13 13 JULI 2021 3,000 A.TAMIANG 22,700 318
14 13 JULI 2021 3,000 NAGAN RAYA 19,700 319
15 13 JULI 2021 3,000 BENER MERIAH 16,700 320
16 13 JULI 2021 2,000 PIJAY 14,700 321
17 13 JULI 2021 3,000 BANDA ACEH 11,700 322
18 13 JULI 2021 2,000 SABANG 9,700 323
19 13 JULI 2021 3,000 LANGSA 6,700 324
20 13 JULI 2021 3,000 LHOKSEUMAWE 3,700 325
21 13 JULI 2021 1,700 SUBULLUSSSALLAM 2,000 326
22 14 JULI 2021 1,000 1,000 331
hall banda aceh
dinkes kota banda aceh
23 15 JULI 2021 1,000 - 332
(kesdam)
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
Masuk Saldo Stock
JUMLAH 4,500 4,500 - ED Dec-21
1 9 Juli 2021 PT.Biofarma 4,500 4,500
2 13 JULI 2021 300 SUBULUSSALAM 4,200 326 PUPR 200 VIAL

3 14 JULI 2021 1,000 3,200 328 OJK 250 VIAL
hall banda aceh
4 15 juli 2021 1,000 dinkes kota banda aceh 2,200 334

5 23 juli 2021 1,000 1,200 361
hall banda aceh
6 26 juli 2021 1,000 200 366
hall banda aceh
7 27 juli 2021 200 - 367
massal di BACH)
8
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
/vial
Masuk Saldo Stock
JUMLAH 44,200 44,200 - ED Dec-21
1 7 Juli 2021 PT.Biofarma 44,200 44,200
2 8 juli 2021 3,600 D.PIDIE 40,600 295 DINKES 1760 VIAL

3 8 juli 2021 5,000 D.BIREUN 35,600 296 TNI 1330 VIAL
4 8 juli 2021 5,000 D BENER MERIAH 30,600 297 POLRI 1330 VIAL
5 8 juli 2021 7,000 D.ACEH TENGAH 23,600 298
6 8 juli 2021 5,000 D.ACEH UTARA 18,600 299
7 8 juli 2021 5,000 D.ACEH TIMUR 13,600 300
8 8 juli 2021 5,000 D.LANGSA 8,600 301
9 8 juli 2021 5,000 ACEH TAMIANG 3,600 302

10 9 juli 2021 1,000 2,600 303
hall banda aceh
11 10 juli 2021 2,000 D.Aceh Besar 600 305

12 15 juli 2021 600 dinkes kota banda aceh - 336
13
14
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
Dinas Kesehatan Aceh KKP
Masuk Saldo Stock
JUMLAH 1,800 1,800 - ED Nov-21
1 2 Juli 2021 PT.Biofarma 1,800 1,800
2 7 juli 2021 600 KKP sabang 1,200 291 KKP BANDA ACEH
3 13 juli 2021 600 KKP banda aceh 600 306 KKP LHOKSEUMAWE
4 13 juli 2021 600 kkp lhokseummawe - 327 KKP SABANG
5
6
Mengetahui
78

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
Dinas Kesehatan Aceh POLTEKKES
Masuk Saldo Stock
JUMLAH 1,000 1,000 - ED Nov-21
1 30 Juni 2021 PT.Biofarma 1,000 1,000
2 12 juli 2021 1,000 D.ACEH BESAR(poltekes) - 304

3
4
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
Dinas Kesehatan Aceh UNTUK TNI POLRI
Masuk Saldo Stock
JUMLAH 112,800 112,800 - ED Nov-21
1 23 Juni 2021 PT.Biofarma 112,800 112,800
2 28 Juni 2021 500 D.A.Timur 112,300 265 TNI 56,400

3 28 Juni 2021 8,000 D.A.Tengah 104,300 266 POLRI 56,400
4 28 Juni 2021 5,000 D.A.Barat 99,300 267
5 28 Juni 2021 8,000 D.A.Besar 91,300 268
6 28 Juni 2021 8,000 D.Pidie 83,300 269
7 28 Juni 2021 6,000 D.Bireun 77,300 270
8 28 Juni 2021 5,000 D.A.Utara 72,300 271
9 28 Juni 2021 8,000 D.Abdya 64,300 272
10 28 Juni 2021 7,000 D.Gayo Lues 57,300 273
11 28 Juni 2021 8,000 D.A.Tamiang 49,300 274
12 28 Juni 2021 5,000 D.Nagan Raya 44,300 275
13 28 Juni 2021 7,000 D.A.Jaya 37,300 276
14 28 Juni 2021 8,400 D.B.Meriah 28,900 277
15 28 Juni 2021 5,000 D.Pijay 23,900 278
16 28 Juni 2021 - D.Kota Banda Aceh 23,900 279
17 28 Juni 2021 1,000 D.Sabang 22,900 280
18 28 Juni 2021 6,000 D.Langsa 16,900 281
19 28 Juni 2021 3,000 D.Lhokseumawe 13,900 282
20 28 Juni 2021 4,000 D.Subulussalam 9,900 283
21 44376 500 D.Banda Aceh 9,400 284
D.BNA (Vaksinasi MASSAL DI
22 1 Juli 2021 1,000 8,400 285
BACH)
23 3 Juli 2021 1,000 7,400 287
BACH)
24 5 juli 2021 1,000 6,400 288
BACH)
25 5 juli 2021 1,000 5,400 289
BACH)
26 7 juli 2021 1,000 4,400 290
BACH)
27 7 juli 2021 1,000 3,400 292
BACH)
28 8 juli 2021 1,000 2,400 293
BACH)
29 8 juli 2021 1,000 1,400 294
BACH)
30 8 juli 2021 1,400 D. Pidie - 295
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
Masuk Saldo Stock
JUMLAH 148,700 148,700 - ED Nov-21
1 17 Juni 2021 PT.Biofarma 148,700 148,700
2 18 Juni 2021 3,000 D. A.Jaya 145,700 213
3 18 Juni 2021 5,000 D.A.Barat 140,700 214
4 18 Juni 2021 3,000 D.Nagan Raya 137,700 215
5 18 Juni 2021 5,000 D.Abdya 132,700 216
6 18 Juni 2021 8,000 D.A.Selatan 124,700 217
7 18 Juni 2021 3,000 D.Subulussalam 121,700 218
8 18 Juni 2021 5,000 D.Singkil 116,700 219
9 18 Juni 2021 7,000 D.Lhoksemawe 109,700 220
10 18 Juni 2021 10,000 D.A.Utara 99,700 221
11 18 Juni 2021 5,000 D.A.Timur 94,700 222
12 18 Juni 2021 7,000 D. Langsa 87,700 223
13 18 Juni 2021 5,000 D.A.Tamiang 82,700 224
14 18 Juni 2021 5,000 D.Pidie 77,700 225
15 18 Juni 2021 2,000 D.Pidie Jaya 75,700 226
16 18 Juni 2021 5,000 D.Bireun 70,700 227
17 18 Juni 2021 5,000 D.A.Tengah 65,700 228
18 18 Juni 2021 3,000 D.B.Meriah 62,700 229
19 18 Juni 2021 5,000 D.Gayo Lues 57,700 230
20 18 Juni 2021 6,000 D.A.Tenggara 51,700 231
21 18 Juni 2021 20,000 D.Kota B.aceh 31,700 232
D.Kota B.Aceh(Vaksinasi Massal di

22 25 Juni 2021 300 31,400 258
BACH)

23 26 Juni 2021 500 30,900 259
BACH)

24 28 Juni 2021 500 30,400 260
BACH)
25 28 Juni 2021 2,000 D.Simelue 28,400 261
26 28 Juni 2021 5,000 D.Singkil 23,400 262
27 28 Juni 2021 8,000 D.A.Selatan 15,400 263
28 28 Juni 2021 7,000 D.Agara 8,400 264
29 28 Juni 2021 8,400 D.A.Timur - 265
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
Dinas Kesehatan Aceh UNTUK UMKM
Masuk Saldo Stock
JUMLAH 800 800 0 ED Oct-21
1 9 Juni 2021 PT.Biofarma 800 800

2 15 juli 2021 700 100 333 ket ; no bacth 2403921 masuk 10 vial ke UMKM
(UMKM)
3 15 juli 2021 100 0 333
(UMKM)
4
5
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
/vial
Dinas Kesehatan Aceh C
Masuk Saldo Stock
JUMLAH 3700 3700 0 ED OKT 2021
1 21 MEI 2021 PT.Biofarma 3700 3700
2 9 Juni 2021 600 KKP BANDA ACEH 3100 205
3 10 Juni 2021 PT.Biofarma 1900 POLDA ACEH 1200 208

4 15 Juni 2021 PT.Biofarma 600 KKP LHOKSEUMAWE 600 211
5 15 Juni 2021 PT.Biofarma 600 KKP SABANG 0 212
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
Daftar Distribusi VAKSIN COVID-19 10 DS
VAKSIN COVID-19 10 DS Pabrikan Biofarma
Masuk Saldo Stock
JUMLAH 26600 26600 0 ED Aug-21
1 44293 PT.Biofarma 26600 26600 Terima Tgl 7-Apr-21
2 44295 370 Dinkes Aceh Jaya 26230 074

3 44295 1400 Dinkes Aceh Barat 24830 075
4 44295 1000 Dinkes Nagan Raya 23830 076
5 44295 1100 Dinkes Aceh Barat Daya 22730 077
6 44295 1000 Dinkes Aceh Selatan 21730 078
7 44295 1000 Dinkes Subulussalam 20730 079
8 44295 1000 Dinkes Aceh Singkil 19730 080
9 44295 1000 Dinkes kota Lhokseumawe 18730 081
10 44295 1000 Dinkes Aceh Utara 17730 082
11 44295 2000 Dinkes Aceh Timur 15730 083
12 44295 1600 Dinkes Kota Langsa 14130 084
13 44295 1900 Dinkes Aceh Tamiang 12230 085
14 44295 700 Dinkes Kota Sabang 11530 086
15 44295 1000 Dinkes Simeulu 10530 087 147 087 TIDAK ADA SBBK
16 44295 1100 Dinkes Pidie 9430 088
17 44295 1000 Dinkes Pidie Jaya 8430 089
18 44295 1000 Dinkes Kab. Bireun 7430 090
19 44295 1000 Dinkes kab. Bener Meuriah 6430 091
20 44295 1300 Dinkes Kab. Aceh Tengah 5130 092
21 44295 1000 Dinkes Kab. Gayo Lues 4130 093
22 44295 1000 Dinkes Aceh Tenggara 3130 094
23 44295 3000 Dinkes Kota Banda Aceh 130 095
24 44309 130 Dinkes Kota Sabang 0 096
25
26
27
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
/vial
Daftar Distribusi COVID-19 VAKSIN ASTRA ZENECA
COVID-19 VAKSIN ASTRA ZENECA
Masuk Saldo Stock
Volume Tujuan
JUMLAH 13000 13000 0
1 26 Maret 2021 PT.Biofarma 13000 13000
SBBK 111/IFP-
DINKES/IV/2021
Dinkes Prov. Sumatera
2 44313 13000 0 DAN BAST
Utara
NO.442.1/001/IV/
2021
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
C
Pabrikan BIOFARMA
Batch CTMAV516
Harga 6007,39 /vial
ED May-21
Daftar Distribusi VACCINE COVID 19 10 DS
VACCINE COVID 19 10 DS Pabrikan Biofarma

Masuk Saldo Stock
JUMLAH 1700 1700 0 ED Jul-21
Biofarma/
1 44252 Kemenkes 1700 1700 Terima Tgl 25 Februari 2021
RI
2 4 MARET 2021 1700 Dinkes Kota Bna 0 020
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
/vial
VACCINE COVID 19 10 DS Pabrikan Biofarma
Masuk Saldo Stock
Volume Tujuan Harga 1333440.5/vial
JUMLAH 46900 46900 0 Terima Tgl 25 Februari 2021
biofarma/
1 44252 46900 46900 yg diterima 4690
kemenkes
2 4 Maret 2021 50 Dinkes Kota Bna 46850 020
3 5 Maret 2021 630 Dinkes Simelue 46220 021
4 5 Maret 2021 1000 Dinkes Singkil 45220 022
5 5 Maret 2021 1000 Dinkes A.Selatan 44220 023
6 5 Maret 2021 440 Dinkes A.Tenggara 43780 024
7 5 Maret 2021 1250 Dinkes A.Timur 42530 025
8 5 Maret 2021 810 Dinkes A.Tengah 41720 026
9 5 Maret 2021 1380 Dinkes A.Barat 40340 027
10 5 Maret 2021 1380 Dinkes A.Besar 38960 028
11 5 Maret 2021 4750 Dinkes Pidie 34210 029
12 5 Maret 2021 3380 Dinkes Bireun 30830 030
13 5 Maret 2021 3190 Dinkes A.Utara 27640 031
14 5 Maret 2021 690 Dinkes Abdya 26950 032
15 5 Maret 2021 440 Dinkes Gayo Lues 26510 033
16 5 Maret 2021 880 Dinkes A.Tamiang 25630 034
17 5 Maret 2021 940 Dinkes Nagan Raya 24690 035
18 5 Maret 2021 190 Dinkes A.Jaya 24500 036
19 5 Maret 2021 1440 Dinkes B.Meriah 23060 037
20 5 Maret 2021 880 Dinkes Pidie Jaya 22180 038
21 5 Maret 2021 630 Dinkes Sabang 21550 040
22 5 Maret 2021 1560 Dinkes Langsa 19990 041
23 5 Maret 2021 1130 Dinkes Lhokseumawe 18860 042
24 5 Maret 2021 940 Dinkes Subulussalam 17920 043
26 19 Maret 2021 390 Dinkes Kota Bna (Kesdam) 2000 048
27 2000 dikelola p2p
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
Daftar Distribusi VAKSIN COVID-19 10 DS
VAKSIN COVID-19 10 DS Pabrikan Biofarma
Masuk Saldo Stock
JUMLAH 65000 65000 0 ED Aug-21
1 15 Maret 2021 PT.Biofarma 65000 65000 Terima Tgl 15 Maret 2021
2 19 Maret 2021 9610 Dinkes Kota Bna(RS Kesdam) 55390 048
4 20 Maret 2021 800 Dinkes Kota Sabang 42290 050
5 20 Maret 2021 3600 Dinkes Aceh Besar 38690 051
6 20 Maret 2021 3000 Dinkes Pidie 35690 052
7 20 Maret 2021 1100 Dinkes Pijay 34590 053
8 20 Maret 2021 4100 Dinkes Bireun 30490 054
9 20 Maret 2021 1800 Dinkes Bener Meriah 28690 055
10 20 Maret 2021 1000 Dinkes A.Tengah 27690 056
11 20 Maret 2021 2000 Dinkes Lhokseumawe 25690 057
12 20 Maret 2021 3800 Dinkes A.Utara 21890 058
13 20 Maret 2021 2500 Dinkes A.Timur 19390 059
14 20 Maret 2021 2000 Dinkes Langsa 17390 060
15 20 Maret 2021 2000 Dinkes Tamiang 15390 061
16 20 Maret 2021 500 Dinkes A.Jaya 14890 062
17 20 Maret 2021 2000 Dinkes A.Barat 12890 063
18 20 Maret 2021 1200 Dinkes Nagan Raya 11690 064
19 20 Maret 2021 1000 Dinkes Abdya 10690 065
20 20 Maret 2021 2200 Dinkes A.Selatan 8490 066
21 20 Maret 2021 1200 Dinkes Subulussalam 7290 067
22 20 Maret 2021 1300 Dinkes A.Singkil 5990 068
23 20 Maret 2021 600 Dinkes Agara 5390 069
24 20 Maret 2021 1000 Dinkes Gayo Lues 4390 070
25 20 Maret 2021 1000 Dinkes Simelue 3390 071
26 29 Maret 2021 2460 Dinkes Kota Bna(Massal MRB) 930 072
27 44287 300 Dinkes A.Besar (Kajati) 630 073
28 44295 630 Dinkes Aceh Jaya 0 074
29
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
VACCINE COVID 19 1 DS
Masuk Saldo Stock
Volume Tujuan
JUMLAH 20960 20960 0
STOK
1 44246 20960 20960
OPNAME
2 20960 0 dikelola p2p
3
4
5
6
7
8
9
10
11
12
13
14
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
Pabrikan Biofarma
Batch 202011048
Harga Rp 211,282.00 /vial
ED Apr-21
Terima Tgl 19 Februari 2021

Masuk Saldo Stock
Volume Tujuan
JUMLAH 29400 29400 0
1 29 januari 2021 29400 29400

3
4
5
6
7
8
9
10
11
12
13
14
15
16
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
Pabrikan Biofarma
Batch 202011048
ED Tgl Nov-23
Terima Tgl 25 JANUARI 2021

Masuk Saldo Stock
Volume Tujuan
JUMLAH 19600 19600 0
STOK
1 25 Januari 2021 19600 19600
OPNAME
3
4
5
6
7
8
9
10
11
12
13
14
15
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
Pabrikan Biofarma
Batch 202011045
EDTgl Nov-23

Masuk Saldo Stock
Volume Tujuan
JUMLAH 13880 13880 0
1 12 Januari 2021 Stok Opname 13880 13880

3
4
5
6
7
8
9
10
11
12
13
14
15
16
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
Pabrikan Biofarma
Batch 202009009
Harga Rp 211,282.00 /VIAL
ED Tgl Sep-23

Masuk Saldo Stock
Volume Tujuan
JUMLAH 14000 14000 0
1 5 Januari 2021 14000 14000
2 14000 dikelola p2p

3
4
5
6
7
8
9
10
11
12
13
14
15
16
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
Pabrikan Biofarma
Batch 202009007
Harga Rp 211,282.00 /VIAL
ED Tgl 1-Sep-23
Terima Tgl 5-Jan-21

Dinas Kesehatan Aceh IGM ACEH
Masuk Saldo Stock
JUMLAH 26,400 26,400 - ED Mar-22
1 44495 PT.Biofarma 26,400 26,400
2 27 OKT 2021 1,600 D.ACEH BARAT 24,800 ALOKASI MINGGU 3 OKT
3 28 OKT 2021 3,600 D.ACEH UTARA 21,200

4 28 OKT 2021 4,500 D.BIREUN 16,700
5 28 OKT 2021 2,800 D.LHOKSEUMAWE 13,900
6 27 OKT 2021 2,800 D.BANDA ACEH 11,100
7 28 OKT 2021 3,700 D.PIDIE JAYA 7,400
8 28 OKT 2021 3,500 PIDIE 3,900
9 27 OKT 2021 1,200 ACEH JAYA 2,700
10 27 OKT 2021 2,300 ACEH BESAR 400
11 400 SABANG -
12
13
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
/vial
COVID-19 VAKSIN 10 DS
Masuk Saldo Stock
Volume Tujuan
JUMLAH 3,800 3,800 -
1 44492 PT.Biofarma 3,800 3,800
2 22 OKT 2021 3,800 D.ACEH TENGAH -
3
4
5
6
7
8
9
10
11
12
13
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
IGM ACEH
Pabrikan BIOFARMA
Batch 24007321
Harga 1.339.440,50 /vial
ED Mar-22
ALOKASI MINGGU 2 OKT

Masuk Saldo Stock
Volume Tujuan
JUMLAH 3,800 3,800 -
1 44488 PT.Biofarma 3,800 3,800
2 22 OKT 2021 3,800 D.ACEH TENGAH -
3
4
5
6
7
8
9
10
11
12
13
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
IGM ACEH
Pabrikan BIOFARMA
Batch 24203621
Harga 1.339.440,50 /vial
ED Mar-22

Masuk Saldo Stock
Volume Tujuan
JUMLAH 20,600 20,600 -
1 23 OKT 2021 PT.Biofarma 20,600 20,600
2 9,800 D.ACEH TAMIANG 10,800
5 6,300 D.ACEH TENGGARA 4,500

7 4,500 D. SIMEULU -
8
9
10
11
12
13
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
DOSNIROHA ACEH
Pabrikan BIOFARMA
Batch
Harga 1.339.440,50 /vial
ED

Masuk Saldo Stock
Volume Tujuan
JUMLAH 19,600 19,600 -
1 21 OKT 2021 PT.Biofarma 19,600 19,600
3 3,500 D.BENER MERIAH 9,700

4 1,200 D.GAYO LUES 8,500
6 2,000 D.SUBULUSSALAM 2,700
7 2,700 D. SIMEULU -
8
9
10
11
12
13
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
DOSNIROHA ACEH
Pabrikan BIOFARMA
Batch
Harga 1.339.440,50 /vial
ED

Masuk Saldo Stock
Volume Tujuan
JUMLAH 63,700 63,700 -
1 44287 PT.Biofarma 63,700 63,700
2 12,100 D.ACEH TIMUR 51,600
3 4,700 D. LANGSA 46,900

6 2,200 D.GAYO LUES 34,700
8 4,800 D. NAGAN RAYAA 23,800
9 7,600 D.ABDYA 16,200
10 8,900 D.ACEH SELATAN 7,300
11 2,500 D.SINGKIL 4,800
12 2,100 D.SUBULLUSSALAM 2,700
13 2,700 D.SIMEULU -
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
IGM ACEH
Pabrikan BIOFARMA
Batch
Harga 1.339.440,50 /vial
ED Oct-21
ALOKASI MINGGU 3 JUNI

Masuk Saldo Stock
Volume Tujuan
JUMLAH 42,800 42,800 -
1 44287 PT.Biofarma 42,800 42,800
2 7,900 D.ACEH TIMUR 34,900
3 3,400 D. LANGSA 31,500

6 1,900 D.GAYO LUES 21,000
8 3,500 D. NAGAN RAYAA 13,300
9 2,900 D.ABDYA 10,400
10 5,300 D.ACEH SELATAN 5,100
11 1,900 D.SINGKIL 3,200
12 1,400 D.SUBULLUSSALAM 1,800
13 1,800 D.SIMEULU -
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
DOSNI ROHA ACEH
Pabrikan BIOFARMA
Batch
Harga 1.339.440,50 /vial
ED Oct-21
ALOKASI MINGGU 1 APRIL

Masuk Saldo Stock
Volume Tujuan
JUMLAH 4,300 4,300 -
1 44287 PT.Biofarma 4,300 4,300
2 600 D.ACEH TIMUR 3,700
3 600 D. LANGSA 3,100

4 500 D.ACEH TAMIANG 2,600
5 500 D.BENER MERIAH 2,100
6 500 D.GAYO LUES 1,600
7 600 D. NAGAN RAYA 1,000
8 500 D.ABDYA 500
9 500 D.SINGKIL -
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
DOSNI ROHA ACEH
Pabrikan BIOFARMA
Batch
Harga 1.339.440,50 /vial
ED Oct-21
ALOKASI MINGGU 2 MAI

Masuk Saldo Stock
Volume Tujuan
JUMLAH 10,700 10,700 -
1 44287 PT.Biofarma 10,700 10,700
2 3,000 D.ACEH TIMUR 7,700
3 1,200 D. LANGSA 6,500

6 600 D.GAYO LUES 4,600
8 800 D. NAGAN RAYAA 2,700
9 1,100 D.ABDYA 1,600
10 600 D.ACEH SELATAN 1,000
11 1,000 D.SINGKIL -
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
DOSNI ROHA ACEH
Pabrikan BIOFARMA
Batch
Harga 1.339.440,50 /vial
ED Oct-21
ALOKASI MINGGU 1 MAI

Masuk Saldo Stock
Volume Tujuan
JUMLAH 9,600 9,600 -
1 44287 PT.Biofarma 9,600 9,600
2 2,700 D.ACEH TIMUR 6,900
3 500 D. LANGSA 6,400

6 900 D.ABDYA 3,100
7 2,500 D.ACEH SELATAN 600
8 600 D.SUBULLUSSALAM -
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
DOSNI ROHA ACEH
Pabrikan BIOFARMA
Batch
Harga 1.339.440,50 /vial
ED Oct-21

Masuk Saldo Stock
Volume Tujuan
JUMLAH 13,900 13,900 -
1 44287 PT.Biofarma 13,900 13,900
2 3,700 D.ACEH TIMUR 10,200

6 1,100 D.GAYO LUES 7,700
8 2,300 D. NAGAN RAYAA 3,300
9 1,000 D.ABDYA 2,300
10 600 D.ACEH SELATAN 1,700
11 800 D.SINGKIL 900
13 900 D.SIMEULU -
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
DOSNI ROHA ACEH
Pabrikan BIOFARMA
Batch
Harga 1.339.440,50 /vial
ED Oct-21

Masuk Saldo Stock
Volume Tujuan
JUMLAH 8,100 8,100 -
1 44287 PT.Biofarma 8,100 8,100
2 2,600 D.ACEH TIMUR 5,500

6 700 D.GAYO LUES 3,400
8 700 D. NAGAN RAYAA 1,400
9 500 D.ABDYA 900
10 900 D.ACEH SELATAN -
-
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
DOSNI ROHA ACEH
Pabrikan BIOFARMA
Batch
Harga 1.339.440,50 /vial
ED Oct-21

Masuk Saldo Stock
Volume Tujuan
JUMLAH 78,500 78,500 -
1 44369 PT.Biofarma 78,500 78,500
2 24 JUNI 2021 4,000 D.ACEH TENGAH 74,500
3 24 JUNI 2021 4,400 D. ACEH BARAT 70,100

4 24 Juni 2021 16,000 D.ACEH UTARA 54,100
5 23 JUNI 2021 8,800 D.BIREUEN 45,300
6 24 juni 2021 9,300 D.BANDA ACEH 36,000
7 4 Juni 2021 9,200 D.LHOKSEUMAWE 26,800
8 4,400 D. ACEH JAYA 22,400
9 24 JUNI 2021 3,300 D.PIDIE JAYA 19,100
10 24 JUNI 2021 8,200 D.PIDIE 10,900
11 1,000 D.SABANG 9,900
12 23 juni 2021 3,100 D.ACEH BESAR 6,800
13 6,800 PROV ACEH -
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
IGM ACEH
Pabrikan BIOFARMA
Batch 24003621
Harga 1.339.440,50 /vial
ED Oct-21
ALOKASI MINGGU 3 MEI

Masuk Saldo Stock
Volume Tujuan
JUMLAH 69,300 69,300 -
1 44344 PT.Biofarma 69,300 69,300
2 8 JUNI 2021 4,000 D.ACEH TENGAH 65,300
3 7 JUNI 2021 4,400 D. ACEH BARAT 60,900

4 4 Juni 2021 12,500 D.ACEH UTARA 48,400
5 8 JUNI 2021 10,000 D.BIREUEN 38,400
6 2 juni 2021 3,400 D.BANDA ACEH 35,000
7 4 Juni 2021 3,600 D.LHOKSEUMAWE 31,400
8 7 JUNI 2021 2,000 D. ACEH JAYA 29,400
9 8 JUNI 2021 3,700 D.PIDIE JAYA 25,700
10 8 JUNI 2021 10,400 D.PIDIE 15,300
11 14 juni 2021 1,100 D.SABANG 14,200
12 2 juni 2021 8,900 D.ACEH BESAR 5,300
DK PROV ACEH( untuk DK
13 9 juni 2021 5,300 -
Banda Aceh)
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
IGM ACEH
Pabrikan BIOFARMA
Batch 24003621
Harga 1.339.440,50 /vial
ED Oct-21

Masuk Saldo Stock
Volume Tujuan
JUMLAH 4,900 4,900 -
1 44336 PT.Biofarma 4,900 4,900
2 31 Mei 2021 400 D.ACEH TENGAH 4,500
3 28 Mei 2021 400 D.ACEH BARAT 4,100

4 24 Mei 2021 500 D.ACEH UTARA 3,600
5 31 Mei 2021 700 D.BIREUEN 2,900
6 25 Mei 2021 500 D.BANDA ACEH 2,400
7 24 Mei 2021 500 D.LHOKSEUMAWE 1,900
8 7 Juni 2021 500 D. ACEH JAYA 1,400
9 31 Juni 2021 500 D.PIDIE JAYA 900
10 25 Mei 2021 500 D.ACEH BESAR 400
11 9 Juni 2021 400 -
Banda Aceh)
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
IGM ACEH
Pabrikan BIOFARMA
Batch 24003321
Harga 1.339.440,50 /vial
ED Oct-21

No Tanggal Sumber Keluar
Masuk Saldo Stock
Volume Tujuan
JUMLAH 7,600 7,600 -
1 44334 PT.Biofarma 7,600 7,600
2 31 Mei 2021 1,000 D.ACEH TENGAH 6,600
3 28 Mei 2021 1,500 D.ACEH BARAT 5,100

4 31 Mei 2021 1,900 D.BIREUEN 3,200
5 28 Mei 2021 800 D.ACEH JAYA 2,400
6 24 Mei 2021 700 D.PIDIE JAYA 1,700
7 25 Mei 2021 800 D.ACEH BESAR 900
8 9 Juni 2021 900 -
Banda Aceh)
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
IGM ACEH
Pabrikan BIOFARMA
NO SBBK Batch 24003021
Harga 1.339.440,50 /vial
ED Oct-21

Masuk Saldo Stock
Volume Tujuan
JUMLAH 23,200 23,200 -
1 44322 PT.Biofarma 23,200 23,200
2 18 Mei 2021 2,000 D.ACEH TENGAH 21,200
3 10 Mei 2021 700 D.ACEH BARAT 20,500

4 24 Mei 2021 4,700 D.ACEH UTARA 15,800
5 18 Mei 2021 2,400 D.BIREUEN 13,400
6 11 Mei 2021 3,300 D.LHOKSEUMAWE 10,100
7 7 Mei 2021 4,100 D.BANDA ACEH 6,000
8 11 Mei 2021 2,300 D.PIDIE JAYA 3,700
9 11 Mei 2021 1,200 D.PIDIE 2,500
10 7 Mei 2021 900 D.ACEH BESAR 1,600
11 9 Juni 2021 1,600 -
Banda Aceh)
12
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
IGM ACEH
Pabrikan BIOFARMA
Batch 24002721
Harga 1.339.440,50 /vial
ED Oct-21

Masuk Saldo Stock
Volume Tujuan
JUMLAH 13,500 13,500 -
1 44316 PT.Biofarma 13,500 13,500
2 5 mei 2021 500 D.ACEH TENGAH 13,000
3 6 mei 2021 1,000 D.ACEH BARAT 12,000

4 24 mei 2021 1,100 D.ACEH UTARA 10,900
5 5 mei 2021 3,300 D.BIREUEN 7,600
6 11 mei 2021 900 D.LHOKSEUMAWE 6,700
7 8 mei 2021 2,000 D.SABANG 4,700
8 6 mei 2021 1,200 D.ACEH JAYA 3,500
9 11 mei 2021 1,000 D.PIDIE 2,500
10 4 mei 2021 1,200 D.ACEH BESAR 1,300
11 9 juni 2021 1,300 -
Banda Aceh)
12
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004
IGM ACEH
Pabrikan BIOFARMA
Batch 24002321
Harga 1.339.440,50 /vial
ED Sep-21

Masuk Saldo Stock
Volume Tujuan
JUMLAH 13,000 13,000 -
1 44308 PT.Biofarma 11,900 13,000
44313 1,100
2 44313 1,400 D.ACEH TENGAH 11,600
3 44312 1,000 D.ACEH BARAT 10,600

4 44315 1,300 D.ACEH UTARA 9,300
5 44313 2,700 D.BIREUEN 6,600
6 44315 3,000 D.LHOKSEUMAWE 3,600
7 44310 800 D.SABANG 2,800
8 44312 800 D.ACEH JAYA 2,000
9 44315 900 D.PIDIE JAYA 1,100

10 9 Juni 2021 1,100 -
Banda Aceh)
11
Mengetahui

NIP. 19720707 200012 1 001 NIP. 19710912 200604 2 004

1.master Vaksin Edisi 13 Mar 2023

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1.master Vaksin Edisi 13 Mar 2023

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DAFTAR MASUK VAKSIN COVID-19 APBN TAHUN 2022

MARET 2022 / APR PS-00040071 / SR.02.06/4/13367/2021 TGL

PS-00040094 / SR.02,06/4/1829/2022 TGL

PS-00040873 / SR.02,06/4/1829/2022 TGL

202112223M / SR.02,06/4/49/2022 TGL 24

PS-00040071 / SR.02.06/4/49/2022 TGL 24

MAI 2022 / JUNI SR.02.06/II/…/2022

SBBK 442.8/484/TU SBBK 442.8/484/TU TGL 20

TOTAL Rp 40,642,604,597 Rp 40,642,604,597 Rp -

31 16 Agustus 2021 Vaksin Covid 19 10 D Biofarma 75,800 75,800 - 24005421 Jan-22 Rp - - -

018F21A/ MEI 2022 / APR

000079A/ MAI 2022 & JUNI

202110211G/ 18 APR 2022/ 1

Kabid Sumber Daya Kesehatan

NO.SR.02.06/4/8603/2021 TGL 21 SEP 2021

KN.02.02/4.3/2838.14/2021 TGL 21 MEI 2021

SR.02.06/II/1717/2021 TGL 29 JUNI 2021

SR.02.06/II/1963/2021 TGL 27 JULI 2021

SR.02.06/II/2044/2021 TGL 6 AGUS 2021

SR.02.06/II/2090/2021 TGL 14 AGUS 2021

SR.02.06/II/2144/2021 TGL 22 AGUS 2021

KN.01.01/6/2447-PK/2021 TGL 24 AGUS 2021

SR.02.06/II/2145/2021 TGL 22 AGUS 2021

KN.01.01/6/2493-PK/2021 TGL 26 AGUS 2021

SR.02.06./4/7492/2021 TGL 29 AGUS 2021

KN.01.01/6/2543-PK/2021 TGL 30 AGUS 2021

KN.01.01/6/2544-PK/2021 TGL 30 AGUS 2021

SR.02.06/II/2302/2021 TGL 4 SEP 2021

KN.01.01/6/2734-PK/2021 TGL 10 SEP 2021

SR.02.06/4/8335/2021 TGL 15 SEP 2021

SR.02.06/4/8550/2021 TGL 20 SEP 2021

NO.SR.02.06/II/2438/2021 TGL 20 SEP 2021

NO.SR.02.06/II/2488/2021 TGL 24 SEP 2021

NO.02.06/4/9041/2021 TGL 30 SEP 2021 &

KN.01.01/6/3315-PK/2021 TGL 8 OKT 2021

NO.02.06/II/2689/2021 TGL 12 OKT 2021

SR.02.06./II/2689/2021 TGL 12 OKT 2021

SR.02.06./II/2730/2021 TGL 14 OKT 2021

SR.02.06/4/9982/2021 TGL 19 OKT 2021

SR.02.06/4/10248/2021 TGL 25 OKT 2021

SR.02.06/4/10746 TGL 4 NOV 2021

SR.02.06/II/2971/2021 TGL 5 NOV 2021

SR.02.06/II/2984/2021 TGL 8 NOV 2021

SR.02.06.4/11046/2021 TGL 10 NOV 2021

SR.02.06/II/3041/2021 TGL 12 NOV 2021

SR.02.06/4/11395/2021 TGL 17 NOV 2021

NO SR .02.06/II/3125/2021 TGL 22 NOV 2021

SR.02.06/II/3149/2021 TGL 23 NOV 2021

SR.02.06/4/11741/2021 TGL 24 NOV 2021

SR.02.06/II/3143/2021 TGL 23 NOV 2021

SR.02,06/II/3223/2021 TGL 2 DES 2021

SR.02.06/4/12533/2021 TGL 10 DES 2021

SR.02,06/II/3373/2021 TGL 20 DES 2021

SR.02.06/II/3369/2021 TGL 20 DES 2021

SR.02.06/4/3014/2021 TGL 21 DES 2021

SR.02.06/4/3014/2021 TGL 21 DES 2021

SR.02.06/II/3221/2021 TGL 2 DES 2021

SR.02.06/II/3452/2021 TGL 26 DES 2021

SR.02.06/4/13367/2021 TGL 28 DES 2021

SR.02.06/4/13367/2021 TGL 28 DES 2021

SR,02,06/4/222/2022 TGL 6 JAN 2022

SR,02,06/4/222/2022 TGL 6 JAN 2022

SR.02.06/II/182/2022 TGL 5 JAN 2022