BERITA ACARA PEMERIKSAAN FISIK BARANG (OBAT DAN BMHP) PERSEDIAAN GUDANG FARMASI

SKPD : Dinas Kesehatan

Puskesmas : Bahari
Kabupaten : Buton Selatan
Tahun Anggaran : 2023

Pada hari ini, Kamis Tanggal dua puluh tujuh bulan Agustus Tahun Dua Ribu Dua Puluh Tiga bertempat di Puskesmas Bahari,
Desa Bahari 3, Kecamatan Sampolawa,Kabupaten Buton Selatan , kami yang bertanda tangan di bawah ini :

1 Nama : Rumiati,A.Md.Kep
NIP : 198409152009032004
Jabatan : Ketua
2 Nama : Wa Ode Jasiani,A.Md.Keb
NIP : 198412132017042010
Jabatan : Sekretaris

Menyatakan bahwa telah melakukan pemeriksaan fisik barang (Obat dan BMHP) persediaan ( Stock Opname) Tanggal 27 Agustus
tahun 2023 sebagaimana tercantum dalam Lampiran Daftar Hasil Stock Opname, dan Laporan Mutasi Barang Persediaan Per27
Agustus Tahun 2023. Adapun total nilai Barang Persediaan Per 27 Agustus Tahun 2022 sebesar Rp 73.723.327,60 (tujuh puluh
tiga juta tujuh ratus dua puluh tiga rubu tiga ratus dua puluh tujuh koma enam putuh rupiah.)

Demikian Berita Acara Pemeriksaan Fisik Barang (Obat dan BMHP) Persediaan (Stock Opname) ini dibuat untuk dipergunakan
sebagaimana mestinya

Tim Pelaksana Pemeriksaan Fisik Barang Persediaan (Stock Opname) :

1 Rumiati,A.Md.Kep 1. …………………………..

2 Wa Ode Jasiani,A.Md.Keb 2. …………………………..

Mengatahui
Kepala UPTD Puskesmas Bahari.
Kabupaten Buton Selatan

MULIANI DUMA, SKM

NIP.19820410 200903 2 007
Lampiran
DAFTAR HASIL PEMERIKSAAN FISK PERSEDIAAN ( STOCK OPNAME) G

Puskesmas : Bahari
BULAN : Agustus
TA : 2023
Menurut Laporan Persediaan Hasil Cek Fisik
Kode
No. Nama Obat Jumlah Jumlah
Barang Harga Jumlah
Satuan Satuan
1 2 3 4 5 6=4x5 7
Perbekalan Kesehatan
1 Alat Suntik sekali pakai 0.05 ml 49 1376.25 67,436.25 49
2 Alat Suntik sekali pakai 1 ml 0 900.00 - 0
3 Alat Suntik sekali pakai 1 ml (ASSP RD) 0 862.45 - 0
4 Alat Suntik sekali pakai 2,5 ml 0 747.50 - 0
5 Alat Suntik sekali pakai 5 ml 153 1,500.00 229,500.00 153
6 Alat Suntik Sekali Pakai 3 ml (KIMSMED) 300 837.25 251,175.00 300
7 Disposible Syringe 1 ml 300 1,172.50 351,750.00 300
8 Disposible Syringe 3 ml 92 1,097.50 100,970.00 92
9 Alkohol Swab (Baymed) 0 12,650.00 - 0
10 Alkohol Swab 0 9,218.00 - 0
11 Aksamed Alkohol Swab 2 ply 40 15,258.00 610,320.00 40
12 Alkohol 70% 1 liter 5 58,850.00 294,250.00 5
13 Aximed Paper Tape 7,5cm x 9,14 m 0 26,220.00 - 0
14 Aximed Lancet No.28G 20 17,449.20 348,983.99 20
15 Acro Malaria P.F /Pan Rapid 0 75.00 - 0
16 Baju Bedah OK 5 255,300.00 1,276,500.00 5
17 BD Microtainer 0 5,950.00 - 0
18 Blood Lancets 0 17,449.20 - 0
19 Blood Lancets 1 16,800.00 16,800.00 1
20 Box Slide 0 43,374.37 - 0
21 Betadine Kumur 8 42,800.00 342,400.00 8
22 Catgut/benang bedah no. 3/0 dgn jarum bedah 0 35,475.00 - 0
23 Catgut/benang bedah no. 2/0 dgn jarum bedah 0 35,475.00 - 0
24 Catgut/benang Plain no. 2/0 dgn jarum bedah 108 35,425.00 3,825,900.00 108
25 Catgut/benang Plain no. 3/0 dgn jarum bedah 0 36,192.00 - 0
26 Catgut Chromic 2/0 HR 30 MM 0 34,843.00 - 0
27 Catgut Chrom 3/0 HR 37 MM 48 31,152.00 1,495,296.00 48
28 Dermafix s IV 84 2,463.60 206,942.40 84
29 Eugenol Cairan 2 20,175.00 40,350.00 2
30 foley cateter no.18 (cosmo) 1 16,008.00 16,008.00 1
31 foley cateter no.18 0 21,220.00 - 0
32 Focus Malaria Pv/Pf Casettle 0 21,300.71 - 0
33 Focus New HIV 1/2 3 Line 0 13,235.71 - 0
34 Giemsa 250 cc 0 279,820.80 - 0
35 Infusion set anak 0 4,025.00 - 0
36 Infusion set anak 28 7,995.00 223,860.00 28
37 Infusion Adult 20 drop/ML WITH Y Tipe 0 7,540.00 - 0
38 Infusion set dewasa 0 3,680.00 - 0
39 Infusion set dewasa 42 7,540.00 316,680.00 42
40 Handschoen Steril 7 (Shamrock PWD) 50 13,200.00 660,000.00 50
41 Handschoen No. 7,5 0 4,680.00 - 0
42 Handschoen steril No. 6,5 0 11,000.00 - 0
43 Handscoon Non Steril S 0 242,000.00 - 0
44 Handscoon Non Steril M (shamrock latex exam) 0 242,000.00 - 0
45 Henscun Size L (protos) (non steril) 0 51695.00 - 0
46 RDT HbSAg 50 10,410.00 520,500.00 50
47 IV. Catheter WP No. 18 eximed 50 8,800.00 440,000.00 50
48 IV. Catheter WP No. 20 40 8,800.00 352,000.00 40
49 IV. Catheter No. 20 0 9,060.00 - 0
50 IV. Catheter No. 20 With needle (Jelco) 0 16,660.00 - 0
51 IV. Catheter No. 22 0 9060.00 - 0
52 IV. Catheter WP No. 24 (Aximed) 14 8,800.00 123,200.00 14
53 IV. Canula FG-26 0 9,097.00 - 0
54 Aximed IV - Cath WP No.22 50 8,800.00 440,000.00 50
55 IV Cath-Troge Sine 24G 50 18,426.00 921,300.00 50
56 Folley Catheter No. 18 10 21,090.00 210,900.00 10
57 Folley Catheter No. 20 10 21,090.00 210,900.00 10
58 Folley Catheter No. 22 10 21,090.00 210,900.00 10
59 Kacamata Goggle APD 1 27,600.00 27,600.00 1
60 Kelambu 0 240,000.00 - 0
61 Kapas putih 250 gr 1 15,000.00 15,000.00 1
62 Kapas berlemak 500 mg 0 18,975.00 - 0
63 Kapas pembalut absorben 250 gram 0 14,375.00 - 0
64 Kasa kompres 40/40 steril 0 1,518.00 - 0
65 Kasa pembalut 2m x 80 cm 0 10,467.00 - 0
66 Kasa pembalut hidrofil 4 m x 3 cm 0 872.00 - 0
67 Kasa steril 16 X 16 CM 0 8,426.00 - 0
68 Kasa Hidrofil 4 m X 15 cm 110 2415.00 265,650.00 110
69 Kasa Hidrofil 4 m X 15 cm 50 3406.00 170,300.00 50
70 Kasa Hidrofil 16 cm X 16 cm 100 5980.00 598,000.00 100
71 Kasa Hidrofil 36 m X 80 cm 0 153040.00 - 0
72 Kondom (Male Condom) 144 488.00 70,272.00 144
73 Lab. Kit 0 1016565.00 - 0
74 Larutan Ziehl Neelsen 3% 1 274,560.00 274,560.00 1
75 Plaster 5 cm x 5 mtr (coklat) 0 52,250.00 - 0
76 Masker N95 (DREAMCAN) 0 19,900.00 - 0
77 Masker N95 6 149,776.00 898,656.00 6
78 Masker Bedah 0 706.42 - 0
79 Maxiflow Anak 9 16,200.00 145,800.00 9
80 Maxiflow Dewasa 7 16,200.00 113,400.00 7
81 M-I Surgucal Face Mask (Head Loop)/ Masker 0 54,456.00 - 0
82 Baymed Face Mask Hijab 10 35,455.35 354,553.50 10
83 Baymed Masker Earloop 13 40,624.90 528,123.70 13
84 Metanol 250 ml 0 45,360.00 - 0
85 Nonwoven Fixation 5 cm x 10 m 7 48,675.00 340,725.00 7
86 Nonwoven Fixation 5 cm x 10 m 0 53,720.40 - 0
87 New HIV 1/2 3 ine 0 16,025.00 - 0
88 fokus new HIV 1/2 3 line 0 16,151.00 - 0
89 Onecrub 2 % 100 ml 0 26,400.00 - 0
90 Objek Glass 1 20,244.77 20,244.77 1
91 Paper tape 2,5 cm x 9.14 m 0 13,899.60 - 0
92 Pot Sputum 60 2,640.00 158,400.00 60
93 Pot Sputum 0 2,675.00 - 0
94 Plasretin non women roll 5 cm x 5 m 0 28,512.00 - 0
95 aximed 12 52,250.00 627,000.00 12
96 Examination Gloves Powder Free Size M 32 90,731.40 2,903,404.80 32
97 Protos Latex Examination Gloves, Size M 0 132,825.00 - 0
Protos Sterille Latex Surgical Gloves Powder Free,
98 50 7,590.00 379,500.00 50
Size
99 Rapid I (Virocheck) 25 7,879.00 196,975.00 25
100 Rapid I (Virocheck) 100 8,391.00 839,100.00 100
101 Rapid 11 (KHB Diagnotik) 0 12,500.00 - 0
102 Rapid Spylish (TREPOCHECK) 75 8,096.00 607,200.00 75
103 Rapid Spylish (TREPOCHECK) 0 9,639.00 - 0
104 Rapid Tes HIV I (SD Bioline) 0 11,975.00 - 0
105 RDT DBD COMBO 0 50,600.00 - 0
106 RDT Virotec Dengue Combo 67 45,366.00 3,039,522.00 67
107 DFI Health Mate Malaria (RDT Malaria) 0 473,112.00 - 0
108 Rapid Test HBsAg 100 6,798.00 679,800.00 100
109 Retinol 100.000 IU 0 367.00 - 0
110 Retinol 200.000 IU 150 663.00 99,450.00 150
111 Sabun Anti bakteri 500 ml + Dispenser 2 33,000.00 66,000.00 2
112 Silk (benang bedah sutra) no. 3/0 dgn jarum bedah 0 24,785.00 - 0
113 Silk Black 3/0 HR 30 MM 12 21,897.48 262,769.76 12
114 Silk Black 3/0 HR 30 MM 0 21,491.00 - 0
115 SD Shypilish (RDT) 0 9,300.00 - 0
116 strip asam urat (Nesco) 0 148,500.00 - 0
117 Strip gula darah (Nesco) 0 151,800.00 - 0
118 strip kolesterol (Nesco) 0 220,000.00 - 0
119 strip asam urat (Easy Touch) 0 155,400.00 - 0
120 strip asam urat (Easy Touch) 12 160,950.00 1,931,400.00 12
121 Strip gula darah (Easy Touch) 0 151,800.00 - 0
122 strip kolesterol (Easy Touch) 4 244,200.00 976,800.00 4
123 Strip Hemoglobin (Easy Touch) 0 210,900.00 - 0
124 Strip Hb (Hemoglobin) (Easy Touch) 0 266,400.00 - 0
125 Strip Glukosa (Easy Touch) 0 149,850.00 - 0
126 Nipro Premier Blood Glucose Test Strip 50T 21 147,852.00 3,104,892.00 21
127 U-pad Steril 60x90 cm 80 8976.00 718,080.00 80
128 U-pad Steril 60x90 cm 0 9151.20 - 0
129 Urine Bag sterile With Hanger (Cosmo) 10 9,280.00 92,800.00 10
130 Ultra One (Test Kehamilan) 200 2,797.20 559,440.00 200
131 urin bag steril 0 7,500.00 - 0
132 Wing Needle No. 25 G 0 - 0
133 Obat-obat Gigi 0 - 0
134 Albendazol tablet 400 mg 0 366.50 - 0
135 Allopurinol tablet 100 mg 0 108.00 - 0
136 Allopurinol tablet 100 mg 1600 95.00 152,000.00 1600
137 Ambroksol Syrup 0 5,830.00 - 0
138 Ambroksol 30mg 0 243.410 - 0
139 Ambroksol 30mg 0 231.000 - 0
140 Aminofilin tablet 200 mg 0 141.46 - 0
141 Aminofilin Injeksi 20 mg/ml - 10 ml 0 - 0
142 Amitriptilin tablet salut 25 mg 200 173.00 34,600.00 200
143 Amoksisilin sirup kering 125 mg/5 ml 0 2,070.00 - 0
144 Amoksisilin sirup kering 125 mg/5 ml 40 6,660.00 266,400.00 40
145 Amoksisilin Tab 500 mg 0 201.00 - 0
146 Amoksisilin Trihydrate 1600 525.00 840,000.00 1600
147 Amoksisilin 500 mg 0 241.00 - 0
148 Ampisilin kaplet 500 mg 0 - 0
149 Amlodipin 5 mg 1500 59.00 88,500.00 1500
150 Amlodipin 5 mg Tablet 600 1,162.47 697,482.00 600
151 Amlodipin 10 mg 2500 76.00 190,000.00 2500
152 Anacetyn Babys Cough Syrup 0 12,100.00 - 0
153 Anacetyn Babys Cough Syrup 45 12,210.00 549,450.00 45
154 Antalgin (metapiron) tablet 500 mg 0 - 0
155 Antasida Suspensi 0 1,767.00 - 0
156 Antasida doen suspensi 0 2,290.00 - 0
157 Antasida Tab 2400 54.00 129,600.00 2400
158 Antasida Doen tablet, kombinasi 0 61.00 - 0
159 Acyclovir 400 mg 0 473.00 - 0
160 Acyclovir 400 mg 1000 1,079.44 1,079,440.00 1000
161 Acyclovir cream 40 4,400.00 176,000.00 40
162 Antibakteri Doen salep kombinasi 0 3,642.00 - 0
163 Basitrasin IU/g + Polmiksin 1000 IU/g 0 - 0
164 Antihemoroid Doen kombinasi 30 3,265.00 97,950.00 30
165 Antifungi Doen kombinasi Asam Benzoat 6% + 0 4,990.00 - 0
166 Asam Salisilat 3 % 0 - 0
167 Antimigrain Doen kombinasi : Ergotamin 0 - 0
168 Tartrat 1 mg + Kofen 50 mg 0 - 0
169 Antiparkinson Doen tablet kombinasi 0 - 0
170 Karbidopa 25 mg + Levodopa 0 - 0
171 Air Untuk Inj. 25 ml (Otsu) 3 2,860.00 8,580.00 3
172 Asam askorbat (Vit. C) tablet 250 mg 0 124.00 - 0
173 Asam askorbat (Vit. C) tablet 50 mg 300 50.00 15,000.00 300
174 Asam askorbat (Vit. C) tablet 50 mg 200 42.00 8,400.00 200
175 Asam Mefenamat 500 mg 500 128.00 64,000.00 500
176 Asam Mefenamat 500 mg 900 111.00 99,900.00 900
177 Asam Traneksamat 500 mg 10 1,929.00 19,290.00 10
178 Aseptan Antiseptik Liquid 8 45,787.50 366,300.00 8
179 Aseptic Gel Antiseptic Peembersih Tangan 8 33,125.00 265,000.00 8
180 Asam Folat 1 mg 0 90.00 - 0
181 Asam Folat 0.4 mg 600 46.00 27,600.00 600
182 Azitromicin 500 mg 0 4,725.00 - 0
183 Benzatin benzil penisilin inj. 1,2 juta iu/vial 0 - 0
184 Betametason krim 0,1 % 0 1,740.00 - 0
185 Betametason krim 0,1 % 100 3,850.00 385,000.00 100
186 Betahistin tab 6 mg 1300 93.00 120,900.00 1300
187 Becefort Tab 1200 1,548.43 1,858,116.00 1200
188 Cefadroxyl 500 mg 0 401.00 - 0
189 Cefadroxyl 500 mg 1500 1,221.00 1,831,500.00 1500
190 Cefadroksil Syrup kering 125mg/ml 0 5,910.00 - 0
191 Cefadroksil Syrup kering 125mg/ml 45 4,180.00 188,100.00 45
192 Cefadroksil Syrup kering 125mg/ml 0 4,360.00 - 0
193 Cefotaxim sodium 10 3197.00 31,970.00 10
194 Cimetidin 200 mg 0 211.94 - 0
195 Cendo Xitrol 0 33000.00 - 0
196 Cendo Lyteers 0 39939.00 - 0
197 Cetirizine syrup btl 60 ml 0 3,104.00 - 0
198 Cetirizine syrup btl 60 ml 50 2,278.00 113,900.00 50
199 Cetirizine Tab 10 mg 1600 53.00 84,800.00 1600
200 Combiven UDV 0 33,000.00 - 0
201 Deksametason inj. 5 mg/ml - 1 ml 90 1,012.00 91,080.00 90
202 Dexametason 0,5 mg 1800 149.85 269,730.00 1800
203 Diazepam Inj. 5 mg/ml - 2 ml 20 2010.00 40,200.00 20
204 Diazepan Stesolin 5 mg 0 15,088.00 - 0
205 Diazepam tablet 2 mg 198 86.00 17,028.00 198
206 Dexosa 500 ml 10% (D5) 0 8,003.00 - 0
207 Dietilkarbamazin sitrat tablet 100 mg 0 - 0
208 Dipenhidramin Hcl inj. 10 mg/ml - 1 ml 30 902.00 27,060.00 30
209 Doksisiklin Tab 100 mg 400 280.00 112,000.00 400
210 DHP/ OAM (Anti Malaria) 18 2,851.00 51,318.00 18
211 Domperidin tab 10 mg 0 90.00 - 0
212 Domperidon suspensi 5 mg/5ml 0 2,465.00 - 0
213 Efedrin Hcl tablet 25 mg 0 - 0
214 Ekstrak Belladon tablet 10 mg 0 - 0
215 Epinefrin HCl/bitartrat (Epinefrina+andrenalina) inj. 0,1 - 1 ml 5 2,068.00 10,340.00 5
216 Epinefrin Inj 1 mg/ ml 30 1,813.00 54,390.00 30
217 Rivanol 300 ml 3 9,460.00 28,380.00 3
218 Etanol 70% 0 31,416.67 - 0
219 Ethil Khlorida Spray 0 272,800.00 - 0
220 Erythromisin 500 mg 0 781.00 - 0
221 Erythromisin 250 mg 0 666.00 - 0
222 Fenobarbital inj. 50 mg/ ml - 2 ml 0 - 0
223 Fenobarbital tablet 30 mg 100 205.00 20,500.00 100
224 Farbiven injeksi 18 18,250.00 328,500.00 18
225 Farbiven injeksi 0 12,980.00 - 0
226 Furosemida tab 1000 118.00 118,000.00 1000
227 Fitomenadion (Vit. K 1) inj. 10 mg/ml - 1 ml 30 1,595.00 47,850.00 30
228 Fitomenadion (Vit. K 1) tablet salut gula 10 mg 0 847.00 - 0
229 Gameksan emulsi 1 % 0 - 0
230 Oralit 0 280.00 - 0
231 Gentian violet larutan 1 % 0 4,995.00 - 0
232 Glibenklamid tablet 5 mg 2000 143.00 286,000.00 2000
233 Gliseril guayakolat tablet 100 mg 0 64.79 - 0
234 Glukose + Protein Strip 0 1,254.00 - 0
235 Glukosa 500 ml 5% (D5) 5 6,627.00 33,135.00 5
236 Glukosa larutan infus 10% 500 mL 20 7,200.00 144,000.00 20
237 Glimepiride tab 1 mg 0 174.00 - 0
238 Glimepiride tab 4 mg 1000 291.00 291,000.00 1000
239 Griseofulvin tablet 125 mg, micronized 0 266.00 - 0
240 Gentamicyn Salep 0,1 % 0 2,937.00 - 0
241 Gentamisin 0,1 % SK 5 gram 80 7,251.61 580,128.80 80
242 Gentamisin SK 0,1 % 0 5,929.00 - 0
243 Guafenisin tab 700 138.60 97,020.00 700
244 Haloperidol tablet 1,5 mg 0 59.00 - 0
245 Haloperidol tablet 5 mg 0 61.00 - 0
246 Haloperidol tablet 5 mg 200 54.00 10,800.00 200
247 Hidroklorotiazid (HCt) tablet 25 mg 0 179.00 - 0
248 Hidrokortison krim 2,5 % 0 2,648.00 - 0
249 Hidrokortison krim 2,5 % 32 2,556.00 81,792.00 32
250 Ibuprofen tablet 400 mg 1600 223.00 356,800.00 1600
251 Ibuprofen tablet 400 mg 0 638.00 - 0
252 Ibuprofen tablet 200 mg 0 638.00 - 0
253 Ibuprofen tablet 200 mg 2000 160.00 320,000.00 2000
254 Imboost force 0 5,808.07 - 0
255 Imboost Tablet 1500 4,720.00 7,080,000.00 1500
256 Imboost syrup 20 4,720.00 94,400.00 20
257 Isosorbid dinitrat tablet sublungual 5 mg 0 89.00 - 0
258 Iodium Test 0 61,600.00 - 0
259 Kartu Golongan Darah 1 112,200.00 112,200.00 1
260 Kalium permanganat serbuk 0 - 0
261 Ketokonazol krim 130 2,521.00 327,730.00 130
262 Ketokonazol tab 200 mg 500 270.00 135,000.00 500
263 Ketorolak 3% Inj. 20 1,475.00 29,500.00 20
264 Kloramfenikol kapsul 250 mg 0 - 0
265 Kloramfenikol (Erlamincetin salep mata) 9 14,015.97 126,143.73 9
266 Erlamicetyn Tetes Mata 50 18,200.00 910,000.00 50
267 Kloramfenikol tetes telingan 0 13,750.00 - 0
268 Klorfeniramin maleat (CTM) 2600 98.00 254,800.00 2600
269 Klorpamazin HCl Injeksi 5 mg/ml - 2 ml 0 1,495.00 - 0
270 Klorpromazin tablet salut 100 mg 0 177.00 - 0
271 Klorpromazin Hcl tablet salut 25 mg 0 - 0
272 Kodein Hcl tablet 10 mg 0 - 0
273 Kombinasi pirimetamin 25 mg + sulfadoksin 500 mg 0 - 0
274 Kotrimoksazol tablet 500 138.00 69,000.00 500
275 Kotrimoksazol suspensi 49 2,100.00 102,900.00 49
276 Kotrimoksazol dewasa tablet 0 129.00 - 0
277 Kuinin dihidroklorida injeksi 25 % - 2 ml 0 - 0
278 Kuinin sulfat tablet 222 mg (7H2O) 0 - 0
279 Kaptopril 25 mg 900 75.00 67,500.00 900
280 Kaptopril 12,5 mg 100 68.00 6,800.00 100
281 Kaptopril 50 mg 0 149.00 - 0
282 Kalsium Laktat 500 mg 1800 60.00 108,000.00 1800
283 Kanina syrup (Kaolin+pektin) 0 7,040.00 - 0
284 Levloksasin Tablet 500 0 - 0
285 Lidokain kompositum injeksi kombinasi : 75 979.00 73,425.00 75
286 Lidokain HCl 2%+Epinefrin 1:80.000-2ml 0 - 0
287 Lisol, mengandung Kesol tersabun 50% 0 49,200.00 - 0
288 Loperamida tab 2 mg (Lexadium/Novadium) 0 352.00 - 0
289 Loperamida tab 2 mg 1600 83.00 132,800.00 1600
290 Lovofloxacin 500 Mg 0 702.00 - 0
291 MgSO4 20 % (Otsu) 10 4,300.00 43,000.00 10
292 MgSO4 40 % (Otsu) 12 4,900.00 58,800.00 12
293 Methylergometrin 0,125 mg 400 234.00 93,600.00 400
294 Methylergometrine Maleate Inj 0,2 mg/ml 100 1,069.00 106,900.00 100
295 Metoklopramide 10 mg 0 93.00 - 0
296 Metoklopramide 10 mg 0 87.00 - 0
297 Metoklopramide Syrup 0 6,600.00 - 0
298 Metoklopramide injeksi (Flasil injeksi) 0 - 0
299 Metronidazol tablet 500 mg 1600 264.00 422,400.00 1600
300 Metformin tab 500 mg 0 77.00 - 0
301 Metformin tab 500mg 0 86.00 - 0
302 Metformin HCL 2200 190.00 418,000.00 2200
303 My Jelly 82 gram 0 33,982.31 - 0
304 M-Y Jelly 82 gram 9 35,460.00 319,140.00 9
305 My Jelly 82 gram 0 36,937.33 - 0
306 Micinazole 2% Cream 48 2,090.00 100,320.00 48
307 MB Dewasa 0 40,128.00 - 0
308 Metilprednisolon tab 4 mg 1300 115.00 149,500.00 1300
309 Natrium klorida larutan infus 0,9 % steril 100 6,900.00 690,000.00 100
310 Nistatin tablet vaginal 100.000 IU/g 0 550.00 - 0
311 Natrium diklofenat 25 mg 2100 127.00 266,700.00 2100
312 Natrium diklofenat 50 mg 200 118.00 23,600.00 200
313 Natrium diklofenat 50 mg 2500 119.00 297,500.00 2500
314 N-Acetylcysteine 200 mg 1620 337.00 545,940.00 1620
315 Noza Tablet 1000 804.75 804,750.00 1000
316 Obat Antituberkulosis Kategori 1 Dewasa (FDC) 4 503,401.00 2,013,604.00 4
317 Obat Antituberkulosis Kategori 1 Dewasa (FDC) 0 498,866.00 - 0
318 Obat Antituberkulosis Kategori 2 Dewasa (FDC) 0 - 0
319 Obat Antituberkulosis Kategori Anak (FDC) 3 299,912.00 899,736.00 3
320 Obat Antituberkulosis Sisipan Dewasa (FDC) 0 - 0
321 Obat batuk hitam (OBH) cairan 0 - 0
322 Oksitosin injeksi 10 IU/ml - 1 ml 0 1,448.00 - 0
323 Oksitetrasiklin salep Kulit 3 % 100 4,800.00 480,000.00 100
324 Oksitetrasiklin HCl salep Kulit 3 % 10 5,009.40 50,094.00 10
325 Oksitetrasiklin hcl salep mata 1 % 0 3,850.00 - 0
326 Oksitosin injeksi 10 IU/ml - 1 ml 0 1,900.00 - 0
327 Omeprazole tab 20 mg 1900 577.20 1,096,680.00 1900
328 Omeprazole inj 40 mg 0 11,868.00 - 0
329 Onecrub antiseptik surgical scrub 2% 12 26,250.00 315,000.00 12
330 Parasetamol syr 120 mg/5ml 99 1,160.00 114,840.00 99
331 Parasetamol tablet 500 mg 0 203.50 - 0
332 Parasetamol tablet 500 mg 1500 330.78 496,170.00 1500
333 Parasetamol Drops 100 mg 0 5,306.00 - 0
334 Pehacain Injeksi 0 3,141.35 - 0
335 Piridoksin HCl (Vitamin B6) tablet 10 mg 1250 220.00 275,000.00 1250
336 Polikresulen 0 - 0
337 Pyrantel pamoat tab 125 mg 0 346.00 - 0
338 Pyrantel pamoat tab 125 mg 1400 369.00 516,600.00 1400
339 Prednison tablet 5 mg 1000 78.00 78,000.00 1000
340 Primakuin tablet 15 mg 260 386.39 100,461.40 260
341 Propiltiourasil tablet 100 mg 0 - 0
342 Proranolol hcl tablet 40 mg 0 - 0
343 Primpen sirup 5 mg/5 ml ( Metoklorpramid ) 0 2,870.00 - 0
344 Reagen Golongan Darah Anti A 0 135,425.00 - 0
345 Reagen Golongan Darah Anti AB 0 184,366.00 - 0
346 Reagen Golongan Darah Anti B 0 135,425.00 - 0
347 Reagen Golongan Darah Anti D 0 225,739.00 - 0
348 Reagen ZN 0 196,971.00 - 0
349 Reserpin tablet 0,10 mg 0 - 0
350 Reserpin tablet 0,25 mg 0 - 0
351 Retinol (Vitamin A) kapsul 200.000 iu 0 664.00 - 0
352 Retinol (Vitamin A) kapsul 200.000 iu 400 663.00 265,200.00 400
353 Ringer laktat larutan infus steril 32 7,703.00 246,496.00 32
354 Ranitidin 150 mg 0 423.50 - 0
355 Ranitidin tab 150 mg 800 96.00 76,800.00 800
356 Ranitidin Inj. 25 mg/ml 20 891.00 17,820.00 20
357 Retinol (Vitamin A) kapsul 100.000 iu 0 369.00 - 0
358 Safety Box 0 14,000.00 - 0
359 Salbutamol tablet 4 mg 0 81.00 - 0
360 Salbutamol tablet 2 mg 0 53.00 - 0
361 Salep 2-4 kombinasi Asam Salisilat 2% + 100 1,614.00 161,400.00 100
362 Salisil bedak 5 6,710.00 33,550.00 5
363 Salisil spiritus 10 % 0 - 0
364 Semen seng fosfat serbuk dan cairan 0 - 0
365 Sianokobalamin (Vit. B12) inj. 500 mcg/ml - 1 ml 0 1,277.00 - 0
366 Sulfastemida natrium tetes mata 15 % 0 - 0
367 Siprofloksasin 500 mg 1900 770.00 1,463,000.00 1900
368 Simetidin 200 mg 0 211.937 - 0
369 Simvastatin 10 mg 1100 73.00 80,300.00 1100
370 Simvastatin 20 mg 1550 165.00 255,750.00 1550
371 Tablet Tambah Darah 0 260.00 - 0
372 Tablet Tambah Darah (Ibu Hamil) 5400 260.00 1,404,000.00 5400
373 Tetrasiklin HCl kapsul 250 mg 0 174.00 - 0
374 Tetrasiklin HCl kapsul 500 mg 0 - 0
375 Tiamin HCl (Vitamin B1) inj. 100 mg/ml - 1 ml 0 1,253.96 - 0
376 Tiamin (Vit. B1) tablet 50 mg 1600 98.00 156,800.00 1600
377 Tiamin (Vit. B1) tablet 50 mg 0 92.00 - 0
378 Triheksifenidil hidroklorida tablet 2 mg 330 63.00 20,790.00 330
379 Vaksin rabies vero 0 - 0
380 Vitamin B kompleks tablet 2700 63.00 170,100.00 2700
381 Povidon Iodida 10 % 30 ml 0 7,050.00 - 0
382 Povidon Iodida 30 ml 11 6,600.00 72,600.00 11
383 Yodium povidon larutan 10 % 60 ml 0 5,637.50 - 0
384 Povidon 60 ml 1 5,637.50 5,637.50 1
385 Povidon 60 ml 5 12,540.00 62,700.00 5
386 Yodium povidon larutan 10 % 300 ml 2 37,290.00 74,580.00 2
387 Zink Syrup 20 mg/5 ml 36 2,700.00 97,200.00 36
388 Zinc 0 631.00 - 0
389 Zinc Sulfat Tab 20 mg 1000 275.00 275,000.00 1000
TOTAL 73,723,328

Mengetahui
Kepala UPTD Pusk. Bahari
Kabupaten Buton Selatan

MULIANI DUMA, SKM

NIP.19820410 200903 2 007
AAN ( STOCK OPNAME) GUDANG OBAT

Hasil Cek Fisik Selisih Kondisi

Jumlah
Harga Jumlah Harga Jumlah Baik Rusak
Satuan
8 9=7x8 10=4-7 11 12 = 10x11 13 14

1376.25 67,436.25 0 0.00 - Ö

900.00 - 0 0.00 - Ö
862.45 - 0 0.00 - Ö
747.50 - 0 0.00 - Ö
1,500.00 229,500.00 0 0.00 - Ö
837.25 251,175.00 0 0.00 - Ö
1,172.50 351,750.00 0 0.00 - Ö
1,097.50 100,970.00 0 0.00 - Ö
12,650.00 - 0 0.00 - Ö
9,218.00 - 0 0.00 - Ö
15,258.00 610,320.00 0 0.00 - Ö
58,850.00 294,250.00 0 0.00 - Ö
26,220.00 - 0 0.00 - Ö
17,449.20 348,983.99 0 0.00 - Ö
75.00 - 0 0.00 - Ö
255,300.00 1,276,500.00 0 0.00 - Ö
5,950.00 - 0 0.00 - Ö
17,449.20 - 0 0.00 - Ö
16,800.00 16,800.00 0 0.00 - Ö
43,374.37 - 0 0.00 - Ö
42,800.00 342,400.00 0 0.00 - Ö
35,475.00 - 0 0.00 - Ö
35,475.00 - 0 0.00 - Ö
35,425.00 3,825,900.00 0 0.00 - Ö
36,192.00 - 0 0.00 - Ö
34,843.00 - 0 0.00 - Ö
31,152.00 1,495,296.00 0 0.00 - Ö
2,463.60 206,942.40 0 0.00 - Ö
20,175.00 40,350.00 0 0.00 - Ö
16,008.00 16,008.00 0 0.00 - Ö
21,220.00 - 0 0.00 - Ö
21,300.71 - 0 0.00 - Ö
13,235.71 - 0 0.00 - Ö
279,820.80 - 0 0.00 - Ö
 4,025.00 - 0 0.00 - Ö
7,995.00 223,860.00 0 0.00 - Ö
7,540.00 - 0 0.00 - Ö
3,680.00 - 0 0.00 - Ö
7,540.00 316,680.00 0 0.00 - Ö
13,200.00 660,000.00 0 0.00 - Ö
4,680.00 - 0 0.00 - Ö
11,000.00 - 0 0.00 - Ö
242,000.00 - 0 0.00 - Ö
242,000.00 - 0 0.00 - Ö
51695.00 - 0 0.00 - Ö
10,410.00 520,500.00 0 0.00 - Ö
8,800.00 440,000.00 0 0.00 - Ö
8,800.00 352,000.00 0 0.00 - Ö
9,060.00 - 0 0.00 - Ö
16,660.00 - 0 0.00 - Ö
9060.00 - 0 0.00 - Ö
8,800.00 123,200.00 0 0.00 - Ö
9,097.00 - 0 0.00 - Ö
8,800.00 440,000.00 0 0.00 - Ö
18,426.00 921,300.00 0 0.00 - Ö
21,090.00 210,900.00 0 0.00 - Ö
21,090.00 210,900.00 0 0.00 - Ö
21,090.00 210,900.00 0 0.00 - Ö
27,600.00 27,600.00 0 0.00 - Ö
240,000.00 - 0 0.00 - Ö
15,000.00 15,000.00 0 0.00 - Ö
18,975.00 - 0 0.00 - Ö
14,375.00 - 0 0.00 - Ö
1,518.00 - 0 0.00 - Ö
10,467.00 - 0 0.00 - Ö
872.00 - 0 0.00 - Ö
8,426.00 - 0 0.00 - Ö
2415.00 265,650.00 0 0.00 - Ö
3406.00 170,300.00 0 0.00 - Ö
5980.00 598,000.00 0 0.00 - Ö
153040.00 - 0 0.00 - Ö
488.00 70,272.00 0 0.00 - Ö
1016565.00 - 0 0.00 - Ö
274,560.00 274,560.00 0 0.00 - Ö
52,250.00 - 0 0.00 - Ö
19,900.00 - 0 0.00 - Ö
149,776.00 898,656.00 0 0.00 - Ö
706.42 - 0 0.00 - Ö
16,200.00 145,800.00 0 0.00 - Ö
 16,200.00 113,400.00 0 0.00 - Ö
54,456.00 - 0 0.00 - Ö
35,455.35 354,553.50 0 0.00 - Ö
40,624.90 528,123.70 0 0.00 - Ö
45,360.00 - 0 0.00 - Ö
48,675.00 340,725.00 0 0.00 - Ö
53,720.40 - 0 0.00 - Ö
16,025.00 - 0 0.00 - Ö
16,151.00 - 0 0.00 - Ö
26,400.00 - 0 0.00 - Ö
20,244.77 20,244.77 0 0.00 - Ö
13,899.60 - 0 0.00 - Ö
2,640.00 158,400.00 0 0.00 - Ö
2,675.00 - 0 0.00 - Ö
28,512.00 - 0 0.00 - Ö
52,250.00 627,000.00 0 0.00 - Ö
90,731.40 2,903,404.80 0 0.00 - Ö
132,825.00 - 0 0.00 - Ö
7,590.00 379,500.00 0.00
0 - Ö
7,879.00 196,975.00 0 0.00 - Ö
8,391.00 839,100.00 0 0.00 - Ö
12,500.00 - 0 0.00 - Ö
8,096.00 607,200.00 0 0.00 - Ö
9,639.00 - 0 0.00 - Ö
11,975.00 - 0 0.00 - Ö
50,600.00 - 0 0.00 - Ö
45,366.00 3,039,522.00 0 0.00 - Ö
473,112.00 - 0 0.00 - Ö
6,798.00 679,800.00 0 0.00 - Ö
367.00 - 0 0.00 - Ö
663.00 99,450.00 0 0.00 - Ö
33,000.00 66,000.00 0 0.00 - Ö
24,785.00 - 0 0.00 - Ö
21,897.48 262,769.76 0 0.00 - Ö
21,491.00 - 0 0.00 - Ö
9,300.00 - 0 0.00 - Ö
148,500.00 - 0 0.00 - Ö
151,800.00 - 0 0.00 - Ö
220,000.00 - 0 0.00 - Ö
155,400.00 - 0 0.00 - Ö
160,950.00 1,931,400.00 0 0.00 - Ö
151,800.00 - 0 0.00 - Ö
244,200.00 976,800.00 0 0.00 - Ö
210,900.00 - 0 0.00 - Ö
266,400.00 - 0 0.00 - Ö
149,850.00 - 0 0.00 - Ö
147,852.00 3,104,892.00 0 0.00 - Ö
8976.00 718,080.00 0 0.00 - Ö
9151.20 - 0 0.00 - Ö
9,280.00 92,800.00 0 0.00 - Ö
2,797.20 559,440.00 0 0.00 - Ö
7,500.00 - 0 0.00 - Ö
- 0 0.00 - Ö
- 0 0.00 - Ö
366.50 - 0 0.00 - Ö
108.00 - 0 0.00 - Ö
95.00 152,000.00 0 0.00 - Ö
5,830.00 - 0 0.00 - Ö
243.410 - 0 0.00 - Ö
231.000 - 0 0.00 - Ö
141.46 - 0 0.00 - Ö
- 0 0.00 - Ö
173.00 34,600.00 0 0.00 - Ö
2,070.00 - 0 0.00 - Ö
6,660.00 266,400.00 0 0.00 - Ö
201.00 - 0 0.00 - Ö
525.00 840,000.00 0 0.00 - Ö
241.00 - 0 0.00 - Ö
- 0 0.00 - Ö
59.00 88,500.00 0 0.00 - Ö
1,162.47 697,482.00 0 0.00 - Ö
76.00 190,000.00 0 0.00 - Ö
12,100.00 - 0 0.00 - Ö
12,210.00 549,450.00 0 0.00 - Ö
- 0 0.00 - Ö
1,767.00 - 0 0.00 - Ö
2,290.00 - 0 0.00 - Ö
54.00 129,600.00 0 0.00 - Ö
61.00 - 0 0.00 - Ö
473.00 - 0 0.00 - Ö
1,079.44 1,079,440.00 0 0.00 - Ö
4,400.00 176,000.00 0 0.00 - Ö
3,642.00 - 0 0.00 - Ö
- 0 0.00 - Ö
3,265.00 97,950.00 0 0.00 - Ö
4,990.00 - 0 0.00 - Ö
- 0 0.00 - Ö
- 0 0.00 - Ö
- 0 0.00 - Ö
 - 0 0.00 - Ö
- 0 0.00 - Ö
2,860.00 8,580.00 0 0.00 - Ö
124.00 - 0 0.00 - Ö
50.00 15,000.00 0 0.00 - Ö
42.00 8,400.00 0 0.00 - Ö
128.00 64,000.00 0 0.00 - Ö
111.00 99,900.00 0 0.00 - Ö
1,929.00 19,290.00 0 0.00 - Ö
45,787.50 366,300.00 0 0.00 - Ö
33,125.00 265,000.00 0 0.00 - Ö
90.00 - 0 0.00 - Ö
46.00 27,600.00 0 0.00 - Ö
4,725.00 - 0 0.00 - Ö
- 0 0.00 - Ö
1,740.00 - 0 0.00 - Ö
3,850.00 385,000.00 0 0.00 - Ö
93.00 120,900.00 0 0.00 - Ö
1,548.43 1,858,116.00 0 0.00 - Ö
401.00 - 0 0.00 - Ö
1,221.00 1,831,500.00 0 0.00 - Ö
5,910.00 - 0 0.00 - Ö
4,180.00 188,100.00 0 0.00 - Ö
4,360.00 - 0 0.00 - Ö
3197.00 31,970.00 0 0.00 - Ö
211.94 - 0 0.00 - Ö
33000.00 - 0 0.00 - Ö
39939.00 - 0 0.00 - Ö
3,104.00 - 0 0.00 - Ö
2,278.00 113,900.00 0 0.00 - Ö
53.00 84,800.00 0 0.00 - Ö
33,000.00 - 0 0.00 - Ö
1,012.00 91,080.00 0 0.00 - Ö
149.85 269,730.00 0 0.00 - Ö
2010.00 40,200.00 0 0.00 - Ö
15,088.00 - 0 0.00 - Ö
86.00 17,028.00 0 0.00 - Ö
8,003.00 - 0 0.00 - Ö
- 0 0.00 - Ö
902.00 27,060.00 0 0.00 - Ö
280.00 112,000.00 0 0.00 - Ö
2,851.00 51,318.00 0 0.00 - Ö
90.00 - 0 0.00 - Ö
2,465.00 - 0 0.00 - Ö
- 0 0.00 - Ö
 - 0 0.00 - Ö
2,068.00 10,340.00 0 0.00 - Ö
1,813.00 54,390.00 0 0.00 - Ö
9,460.00 28,380.00 0 0.00 - Ö
31,416.67 - 0 0.00 - Ö
272,800.00 - 0 0.00 - Ö
781.00 - 0 0.00 - Ö
666.00 - 0 0.00 - Ö
- 0 0.00 - Ö
205.00 20,500.00 0 0.00 - Ö
18,250.00 328,500.00 0 0.00 - Ö
12,980.00 - 0 0.00 - Ö
118.00 118,000.00 0 0.00 - Ö
1,595.00 47,850.00 0 0.00 - Ö
847.00 - 0 0.00 - Ö
- 0 0.00 - Ö
280.00 - 0 0.00 - Ö
4,995.00 - 0 0.00 - Ö
143.00 286,000.00 0 0.00 - Ö
64.79 - 0 0.00 - Ö
1,254.00 - 0 0.00 - Ö
6,627.00 33,135.00 0 0.00 - Ö
7,200.00 144,000.00 0 0.00 - Ö
174.00 - 0 0.00 - Ö
291.00 291,000.00 0 0.00 - Ö
266.00 - 0 0.00 - Ö
2,937.00 - 0 0.00 - Ö
7,251.61 580,128.80 0 0.00 - Ö
5,929.00 - 0 0.00 - Ö
138.60 97,020.00 0 0.00 - Ö
59.00 - 0 0.00 - Ö
61.00 - 0 0.00 - Ö
54.00 10,800.00 0 0.00 - Ö
179.00 - 0 0.00 - Ö
2,648.00 - 0 0.00 - Ö
2,556.00 81,792.00 0 0.00 - Ö
223.00 356,800.00 0 0.00 - Ö
638.00 - 0 0.00 - Ö
638.00 - 0 0.00 - Ö
160.00 320,000.00 0 0.00 - Ö
5,808.07 - 0 0.00 - Ö
4,720.00 7,080,000.00 0 0.00 - Ö
4,720.00 94,400.00 0 0.00 - Ö
89.00 - 0 0.00 - Ö
61,600.00 - 0 0.00 - Ö
112,200.00 112,200.00 0 0.00 - Ö
- 0 0.00 - Ö
2,521.00 327,730.00 0 0.00 - Ö
270.00 135,000.00 0 0.00 - Ö
1,475.00 29,500.00 0 0.00 - Ö
- 0 0.00 - Ö
14,015.97 126,143.73 0 0.00 - Ö
18,200.00 910,000.00 0 0.00 - Ö
13,750.00 - 0 0.00 - Ö
98.00 254,800.00 0 0.00 - Ö
1,495.00 - 0 0.00 - Ö
177.00 - 0 0.00 - Ö
- 0 0.00 - Ö
- 0 0.00 - Ö
- 0 0.00 - Ö
138.00 69,000.00 0 0.00 - Ö
2,100.00 102,900.00 0 0.00 - Ö
129.00 - 0 0.00 - Ö
- 0 0.00 - Ö
- 0 0.00 - Ö
75.00 67,500.00 0 0.00 - Ö
68.00 6,800.00 0 0.00 - Ö
149.00 - 0 0.00 - Ö
60.00 108,000.00 0 0.00 - Ö
7,040.00 - 0 0.00 - Ö
- 0 0.00 - Ö
979.00 73,425.00 0 0.00 - Ö
- 0 0.00 - Ö
49,200.00 - 0 0.00 - Ö
352.00 - 0 0.00 - Ö
83.00 132,800.00 0 0.00 - Ö
702.00 - 0 0.00 - Ö
4,300.00 43,000.00 0 0.00 - Ö
4,900.00 58,800.00 0 0.00 - Ö
234.00 93,600.00 0 0.00 - Ö
1,069.00 106,900.00 0 0.00 - Ö
93.00 - 0 0.00 - Ö
87.00 - 0 0.00 - Ö
6,600.00 - 0 0.00 - Ö
- 0 0.00 - Ö
264.00 422,400.00 0 0.00 - Ö
77.00 - 0 0.00 - Ö
86.00 - 0 0.00 - Ö
190.00 418,000.00 0 0.00 - Ö
33,982.31 - 0 0.00 - Ö
 35,460.00 319,140.00 0 0.00 - Ö
36,937.33 - 0 0.00 - Ö
2,090.00 100,320.00 0 0.00 - Ö
40,128.00 - 0 0.00 - Ö
115.00 149,500.00 0 0.00 - Ö
6,900.00 690,000.00 0 0.00 - Ö
550.00 - 0 0.00 - Ö
127.00 266,700.00 0 0.00 - Ö
118.00 23,600.00 0 0.00 - Ö
119.00 297,500.00 0 0.00 - Ö
337.00 545,940.00 0 0.00 - Ö
804.75 804,750.00 0 0.00 - Ö
503,401.00 2,013,604.00 0 0.00 - Ö
498,866.00 - 0 0.00 - Ö
- 0 0.00 - Ö
299,912.00 899,736.00 0 0.00 - Ö
- 0 0.00 - Ö
- 0 0.00 - Ö
1,448.00 - 0 0.00 - Ö
4,800.00 480,000.00 0 0.00 - Ö
5,009.40 50,094.00 0 0.00 - Ö
3,850.00 - 0 0.00 - Ö
1,900.00 - 0 0.00 - Ö
577.20 1,096,680.00 0 0.00 - Ö
11,868.00 - 0 0.00 - Ö
26,250.00 315,000.00 0 0.00 - Ö
1,160.00 114,840.00 0 0.00 - Ö
203.50 - 0 0.00 - Ö
330.78 496,170.00 0 0.00 - Ö
5,306.00 - 0 0.00 - Ö
3,141.35 - 0 0.00 - Ö
220.00 275,000.00 0 0.00 - Ö
- 0 0.00 - Ö
346.00 - 0 0.00 - Ö
369.00 516,600.00 0 0.00 - Ö
78.00 78,000.00 0 0.00 - Ö
386.39 100,461.40 0 0.00 - Ö
- 0 0.00 - Ö
- 0 0.00 - Ö
2,870.00 - 0 0.00 - Ö
135,425.00 - 0 0.00 - Ö
184,366.00 - 0 0.00 - Ö
135,425.00 - 0 0.00 - Ö
225,739.00 - 0 0.00 - Ö
196,971.00 - 0 0.00 - Ö
 - 0 0.00 - Ö
- 0 0.00 - Ö
664.00 - 0 0.00 - Ö
663.00 265,200.00 0 0.00 - Ö
7,703.00 246,496.00 0 0.00 - Ö
423.50 - 0 0.00 - Ö
96.00 76,800.00 0 0.00 - Ö
891.00 17,820.00 0 0.00 - Ö
369.00 - 0 0.00 - Ö
14,000.00 - 0 0.00 - Ö
81.00 - 0 0.00 - Ö
53.00 - 0 0.00 - Ö
1,614.00 161,400.00 0 0.00 - Ö
6,710.00 33,550.00 0 0.00 - Ö
- 0 0.00 - Ö
- 0 0.00 - Ö
1,277.00 - 0 0.00 - Ö
- 0 0.00 - Ö
770.00 1,463,000.00 0 0.00 - Ö
211.937 - 0 0.00 - Ö
73.00 80,300.00 0 0.00 - Ö
165.00 255,750.00 0 0.00 - Ö
260.00 - 0 0.00 - Ö
260.00 1,404,000.00 0 0.00 - Ö
174.00 - 0 0.00 - Ö
- 0 0.00 - Ö
1,253.96 - 0 0.00 - Ö
98.00 156,800.00 0 0.00 - Ö
92.00 - 0 0.00 - Ö
63.00 20,790.00 0 0.00 - Ö
- 0 0.00 - Ö
63.00 170,100.00 0 0.00 - Ö
7,050.00 - 0 0.00 - Ö
6,600.00 72,600.00 0 0.00 - Ö
5,637.50 - 0 0.00 - Ö
5,637.50 5,637.50 0 0.00 - Ö
12,540.00 62,700.00 0 0.00 - Ö
37,290.00 74,580.00 0 0.00 - Ö
2,700.00 97,200.00 0 0.00 - Ö
631.00 - 0 0.00 - Ö
275.00 275,000.00 0 0.00 - Ö
73,723,328

Tim Pemeriksa Barang

1 Rumiati,A.Md.Kep 1……………………

2 Wa Ode Jasiani,A.Md.Keb 2 ………………..

`
 LAPORAN PENERIMAAN BARANG
TAHUN 2023

SKPD : DINAS KESEHATAN KAB. BUTON SELATAN

Bulan : Agustus
TA : 2023

NO BARANG NOMOR BUKTI TANGGAL

1 2 3 4

1 Amlodipin 10 mg 028/0510/DAK & DAU EARMARK/VIII/2023 16/08/23

2 Allopurinol tablet 100 mg
3 Asam askorbat (Vit. C) tablet 50 mg
4 DFI Health Mate Malaria (RDT Malaria)
5 Farbiven injeksi
6 Guafenisin tab
7 Kloramfenikol (Erlamicetyn) TT
8 Metilprednisolon tab 4 mg
9 Natrium diklofenat 50 mg
10 Parasetamol tablet 500 mg
11 Ringer laktat larutan infus steril
12 Simvastatin 10 mg
13 Simvastatin 20 mg
14 Salbutamol tablet 2 mg
15 Reagen Golongan Darah Anti A
16 Reagen Golongan Darah Anti AB
17 Reagen Golongan Darah Anti B
18 Reagen Golongan Darah Anti D
19 Alat Suntik 10 ml (KIMSMED)
20 Baymed Masker Earloop
21 Infusion Set Dewasa / Adult (KIMSMED)
22 Nonwoven Fixation 5 cm x 10 m
23 strip asam urat (Nesco)
24 Strip Hb (Nesco)
25 strip kolesterol (Nesco)
26 Curaspon
27 Masker Headloop (Abramed)
28 Diazepam Inj. 5 mg/ml - 2 ml 028/0511/PROG/VIII/2023 16/08/23
29 Primakuin tablet 15 mg
30 Giemsa 250 cc
31 Pot Sputum
32 Rapid Spylish (TREPOCHECK)

33 PE 12x144 Circle parf 226 Sheet (Kertas Saring) 028/0523/PROGRAM/VIII/2023

22/08/23
34 Blood Lancets (BD Microtainer)

Mengetahui
Kepala UPTD Pusk. Bahari
Kabupaten Buton Selatan

MULIANI DUMA, SKM

NIP.19820410 200903 2 007
PENERIM
HARGA
AAN JUMLAH KET
SATUAN
BARANG
5 6 7 8

1000 76.00 76,000.00

500 95.00 47,500.00
300 70.00 21,000.00
3 473,112.00 1,419,336.00
10 18,250.00 182,500.00
2000 138.60 277,200.00
50 11,264.00 563,200.00
1000 115.00 115,000.00
500 119.00 59,500.00
1500 330.78 496,170.00
80 7,703.00 616,240.00
500 73.00 36,500.00
2000 165.00 330,000.00
2000 95.00 190,000.00
1 135,425.00 135,425.00
1 184,366.00 184,366.00
1 135,425.00 135,425.00
1 225,739.00 225,739.00
100 1,443.75 144,375.00
20 40,624.90 812,498.00
50 7,437.50 371,875.00
10 50,296.32 502,963.20
10 160,950.00 1,609,500.00
4 277,500.00 1,110,000.00
15 233,100.00 3,496,500.00
2 79,659.00 159,318.00
20 56,400.00 1,128,000.00
10 242.00 2,420.00
100 242.00 24,200.00
1 374,998.00 374,998.00
100 2,675.00 267,500.00
50 8,096.00 404,800.00

4,000.00 20,000.00
5
5 6,000.00 30,000.00

15,570,048.20

Bahari, 27 Agustus 2023

Pengelola Obat

Muh. Ichsan Ramadhan, A.Md.Farm

NIP.19981218 202203 1 004
 LAPORAN PENGELUARAN BARANG (OBAT dan BMHP) TAHUN 2023

SKPD : DINAS KESEHATAN KAB. BUTON SELATAN

Bulan : Agustus
TA : 2023

NO NOMOR HARGA
TANGGAL NAMA BARANG Jumlah
TBK SATUAN
1 4 3 2 5 6

26-Jul-23 Anacetyn Babys Cough Syrup 5 12,210.00

27-Jul-23 Antasida Tab 200 54.00
Ibuprofen tablet 400 mg 100 223.00
Metilprednisolon tab 4 mg 200 115.00
Parasetamol tablet 500 mg 100 330.78
Simvastatin 20 mg 200 165.00
Vitamin B kompleks tablet 200 63.00
Ibuprofen tablet 200 mg 100 160.00
Salep 2-4 kombinasi Asam Salisilat 2% + 10 1,614.00
Natrium diklofenat 50 mg 200 118.00
1-Aug-23 Amoksisilin sirup kering 125 mg/5 ml 1 6,660.00
Salisil bedak 1 6,710.00
4-Aug-23 Klorfeniramin maleat (CTM) 400 98.00
Noza Tablet 100 804.75
Acetylcysteine 200 mg 180 337.00
Zink Syrup 20 mg/5 ml 6 2,700.00
Acyclovir cream 10 4,400.00
Salep 2-4 kombinasi Asam Salisilat 2% + 20 1,614.00
7-Aug-23 Omeprazole tab 20 mg 200 577.20
10-Aug-23 Ketokonazol tab 200 mg 200 270.00
Acetylcysteine 200 mg 180 337.00
Amoksisilin sirup kering 125 mg/5 ml 5 6,660.00
14-Aug-23 Acetylcysteine 200 mg 120 337.00
15-Aug-23 Ibuprofen tablet 400 mg 200 223.00
18-Aug-23 Amlodipin 10 mg 200 76.00
Amoksisilin Trihydrate 200 525.00
Imboost Tablet 200 53.00
Kotrimoksazol tablet 200 126.00
Cefadroxyl 500 mg 100 1,221.00
Dexametason 0,5 mg 200 149.85
Dexametason 0,5 mg 200 149.85
Guafenisin tab 200 138.60
Glimepiride tab 4 mg 50 291.00
Parasetamol tablet 500 mg 200 330.78
Anacetyn Babys Cough Syrup 4 12,210.00
 Kotrimoksazol suspensi 2 2,100.00
Zinc Sulfat Tab 20 mg 200 275.00
Salbutamol tablet 2 mg 200 95.00
23-Aug-23 Metformin HCL 400 190.00

28-Jul-23 Infusion set dewasa 16 7,540.00

31-Jul-23 Noza Tablet 100 804.75
Simvastatin 20 mg 450 165.00
Vitamin B kompleks tablet 400 63.00
1-Aug-23 Ringer laktat larutan infus steril 2 7,703.00
2-Aug-23 Imboost Tablet 200 4,720.00
3-Aug-23 Amlodipin 10 mg 1800 76.00
Allopurinol tablet 100 mg 400 95.00
Amoksisilin Trihydrate 800 525.00
Natrium diklofenat 50 mg 800 119.00
Acetylcysteine 200 mg 120 337.00
Zink Syrup 20 mg/5 ml 6 2,700.00
strip asam urat (Easy Touch) 1 160,950.00
Nipro Premier Blood Glucose Test Strip 50T 2 147,852.00
Aximed Lancet No.28G 1 17,449.20
Aksamed Alkohol Swab 2 ply 6 15,258.00
4-Aug-23 Tablet Tambah Darah (Ibu Hamil) 500 260.00
Onecrub antiseptik surgical scrub 2% 3 26,250.00
5-Aug-23 Imboost Tablet 150 4,720.00
Imboost Tablet 150 4,720.00
7-Aug-23 Alkohol 70% 1 liter 1 58,850.00
10-Aug-23 Ringer laktat larutan infus steril 30 7,703.00
11-Aug-23 Alkohol 70% 1 liter 1 58,850.00
Pot Sputum 50 2,640.00
12-Aug-23 Anacetyn Babys Cough Syrup 5 12,210.00
14-Aug-23 Imboost Tablet 200 4,720.00
Aseptic Gel Antiseptic Peembersih Tangan 2 33,125.00
Acyclovir cream 2 4,400.00
Aseptan Antiseptik Liquid 3 45,787.50
15-Aug-23 Examination Gloves Powder Free Size M 5 90,731.40
16-Aug-23 Povidon 60 ml 1 12,540.00
Povidon Iodida 30 ml 2 6,600.00
Natrium klorida larutan infus 0,9 % steril 18 6,900.00
Examination Gloves Powder Free Size M 5 90,731.40
Kasa Hidrofil 4 m X 15 cm 50 3406.00
17-Aug-23 Ringer laktat larutan infus steril 40 7,703.00
Reagen Golongan Darah Anti A 1 135,425.00
Reagen Golongan Darah Anti AB 1 184,366.00
 Reagen Golongan Darah Anti B 1 135,425.00
Reagen Golongan Darah Anti D 1 225,739.00
Curaspon 2 79,659.00
19-Aug-23 Alat Suntik sekali pakai 5 ml 5 1,500.00
Aximed IV - Cath WP No.22 3 8,800.00
Aximed IV - Cath WP No.22 4 8,800.00
21-Aug-23 Alkohol 70% 1 liter 2 58,850.00
23-Aug-23 Imboost Tablet 200 4,720.00
24-Aug-23 Imboost Tablet 200 4,720.00

Diazepam Inj. 5 mg/ml - 2 ml 20 2010.00

Primakuin tablet 15 mg 260 386.39
Aseptan Antiseptik Liquid 5 45,787.50
Glukosa larutan infus 10% 500 mL 4 7,200.00

Total

Mengetahui
Kepala UPTD Pusk. Bahari
Kabupaten Buton Selatan

MULIANI DUMA, SKM

NIP.19820410 200903 2 007
AT dan BMHP) TAHUN 2023

Jumlah (Rp) Untuk Tanggal Penyerahan KET.

7 8 9 10

61,050.00 apotek
10,800.00 apotek
22,300.00 apotek
23,000.00 apotek
33,078.00 apotek
33,000.00 apotek
12,600.00 apotek
16,000.00 apotek
16,140.00 apotek
23,600.00 apotek
6,660.00 apotek
6,710.00 apotek
39,200.00 apotek
80,475.00 apotek
60,660.00 apotek
16,200.00 apotek
44,000.00 apotek
32,280.00 apotek
115,440.00 apotek
54,000.00 apotek
60,660.00 apotek
33,300.00 apotek
40,440.00 apotek
44,600.00 apotek
15,200.00 apotek
105,000.00 apotek
10,600.00 apotek
25,200.00 apotek
122,100.00 apotek
29,970.00 apotek
29,970.00 apotek
27,720.00 apotek
14,550.00 apotek
66,156.00 apotek
48,840.00 apotek
 4,200.00 apotek
55,000.00 apotek
19,000.00 apotek
76,000.00 apotek

1,535,699.00

120,640.00 kia
80,475.00 posbindu
74,250.00 posbindu
25,200.00 posbindu
15,406.00 kia
944,000.00 posbindu
136,800.00 posbindu
38,000.00 posbindu
420,000.00 posbindu
95,200.00 posbindu
40,440.00 posbindu
16,200.00 posbindu
160,950.00 posbindu
295,704.00 posbindu
17,449.20 posbindu
91,548.00 posbindu
130,000.00 prog. Gizi
78,750.00 pelayanan
708,000.00 polindes baahari
708,000.00 polindes bahari 2
58,850.00 ruang tindakan
231,090.00 kia
58,850.00 ruang lab
132,000.00 ruang lab
61,050.00 ruang lab
944,000.00 pustu tira
66,250.00 pustu tira
8,800.00 pustu tira
137,362.50 pustu tira
453,657.00 kia
12,540.00 ruang tindakan
13,200.00 ruang tindakan
124,200.00 ruang tindakan
453,657.00 ruang tindakan
170,300.00 ruang tindakan
308,120.00 kia
135,425.00 ruang lab
184,366.00 ruang lab
 135,425.00 ruang lab
225,739.00 ruang lab
159,318.00 ruang lab
7,500.00 ruang tindakan
26,400.00 ruang tindakan
35,200.00 kia
117,700.00 ruang tindakan
944,000.00 polindes bahari
944,000.00 polindes bahari 2
-
-
-
40,200.00 gfk
100,461.40 gfk
228,937.50 gfk
28,800.00
10,744,410.60
12,280,109.60

Bahari, 27 Agustus 2023

Pengelola Obat

Muh. Ichsan Ramadhan, A.Md.Farm

NIP.19981218 202203 1 004
 LAPORAN BULANAN MUTASI BARANG (OBAT dan BMHP) PERSEDIAAN GUDANG PUSKESMAS BAHARI
Pusk : Bahari
Bulan : Agustus
TA : 2023

SALDO AWAL PENERIMAAN PENGELUARAN SALDO AKHIR

Satuan /
NO Nama Obat Harga Harga Ket.
Kemasan Jumlah Harga Satuan Nilai Jumlah Nilai Jumlah Nilai Jumlah Harga Satuan Nilai
Satuan Satuan
1 2 3 4 5 6 7 8 9 =(7x8) 10 11 12=(10x11) 13=(4+7)-10 14 15=13x14 16
Perbekalan Kesehatan
1 Alat Suntik sekali pakai 0.05 ml pcs 49 1376.25 67,436.25 1376.25 - 1376.25 - 49 1376.25 67,436.25
2 Alat Suntik sekali pakai 1 ml pcs 0 900.00 - 900.00 - 900.00 - 0 900.00 -
3 Alat Suntik sekali pakai 1 ml (ASSP RD) pcs 0 862.45 - 862.45 - 862.45 - 0 862.45 -
4 Alat Suntik sekali pakai 2,5 ml pcs 0 747.50 - 747.50 - 747.50 - 0 747.50 -
5 Alat Suntik sekali pakai 5 ml pcs 153 1,500.00 229,500.00 1,500.00 - 5 1,500.00 7,500.00 148 1,500.00 222,000.00
6 Alat Suntik Sekali Pakai 3 ml (KIMSMED) pcs 300 837.25 251,175.00 837.25 - 837.25 - 300 837.25 251,175.00
6 Alat Suntik 10 ml (KIMSMED) pcs 0 1,443.75 - 100 1,443.75 144,375.00 1,443.75 - 100 1,443.75 144,375.00
7 Disposible Syringe 1 ml Pcs 300 1,172.50 351,750.00 1,172.50 - 1,172.50 - 300 1,172.50 351,750.00
8 Disposible Syringe 3 ml Pcs 92 1,097.50 100,970.00 1,097.50 - 1,097.50 - 92 1,097.50 100,970.00
9 Alkohol Swab (Baymed) Bks 0 12,650.00 - 12,650.00 - 12,650.00 - 0 12,650.00 -
10 Alkohol Swab Box 0 9,218.00 - 9,218.00 - 9,218.00 - 0 9,218.00 -
11 Aksamed Alkohol Swab 2 ply Box 40 15,258.00 610,320.00 15,258.00 - 6 15,258.00 91,548.00 34 15,258.00 518,772.00
12 Alkohol 70% 1 liter Bks 5 58,850.00 294,250.00 58,850.00 - 4 58,850.00 235,400.00 1 58,850.00 58,850.00
13 Aximed Paper Tape 7,5cm x 9,14 m Psg 0 26,220.00 - 26,220.00 - 26,220.00 - 0 26,220.00 -
14 Aximed Lancet No.28G Box 20 17,449.20 348,983.99 17,449.20 - 1 17,449.20 17,449.20 19 17,449.20 331,534.79
15 Acro Malaria P.F /Pan Rapid Kotak 0 75.00 - 75.00 - 75.00 - 0 75.00 -
16 Baju Bedah OK Pcs 5 255,300.00 1,276,500.00 255,300.00 - 255,300.00 - 5 255,300.00 1,276,500.00
17 BD Microtainer Set 0 5,950.00 - 5,950.00 - 5,950.00 - 0 5,950.00 -
18 Blood Lancets Set 0 17,449.20 - 17,449.20 - 17,449.20 - 0 17,449.20 -
19 Blood Lancets Set 1 16,800.00 16,800.00 16,800.00 - 16,800.00 - 1 16,800.00 16,800.00
19 Blood Lancets (BD Microtainer) pcs 0 6,000.00 - 5 6,000.00 30,000.00 6,000.00 - 5 6,000.00 30,000.00
20 Box Slide Kotak 0 43,374.37 - 43,374.37 - 43,374.37 - 0 43,374.37 -
21 Betadine Kumur Btl 190 ml 8 42,800.00 342,400.00 42,800.00 - 42,800.00 - 8 42,800.00 342,400.00
22 Curaspon kotak @50 pcs 0 79,659.00 - 2 79,659.00 159,318.00 2 79,659.00 159,318.00 0 79,659.00 -
22 Catgut/benang bedah no. 3/0 dgn jarum bedah Set 0 35,475.00 - 35,475.00 - 35,475.00 - 0 35,475.00 -
23 Catgut/benang bedah no. 2/0 dgn jarum bedah Set 0 35,475.00 - 35,475.00 - 35,475.00 - 0 35,475.00 -
24 Catgut/benang Plain no. 2/0 dgn jarum bedah Set 108 35,425.00 3,825,900.00 35,425.00 - 35,425.00 - 108 35,425.00 3,825,900.00
25 Catgut/benang Plain no. 3/0 dgn jarum bedah Set 0 36,192.00 - 36,192.00 - 36,192.00 - 0 36,192.00 -
26 Catgut Chromic 2/0 HR 30 MM scht 0 34,843.00 - 34,843.00 - 34,843.00 - 0 34,843.00 -
27 Catgut Chrom 3/0 HR 37 MM pcs 48 31,152.00 1,495,296.00 31,152.00 - 31,152.00 - 48 31,152.00 1,495,296.00
28 Dermafix s IV pcs 84 2,463.60 206,942.40 2,463.60 - 2,463.60 - 84 2,463.60 206,942.40
29 Eugenol Cairan Botol 2 20,175.00 40,350.00 20,175.00 - 20,175.00 - 2 20,175.00 40,350.00
30 foley cateter no.18 (cosmo) Set 1 16,008.00 16,008.00 16,008.00 - 16,008.00 - 1 16,008.00 16,008.00
31 foley cateter no.18 Set 0 21,220.00 - 21,220.00 - 21,220.00 - 0 21,220.00 -
32 Focus Malaria Pv/Pf Casettle Set 0 21,300.71 - 21,300.71 - 21,300.71 - 0 21,300.71 -
33 Focus New HIV 1/2 3 Line Set 0 13,235.71 - 13,235.71 - 13,235.71 - 0 13,235.71 -
34 Giemsa 250 cc Btl 0 374,998.00 - 1 374,998.00 374,998.00 374,998.00 - 1 374,998.00 374,998.00
35 Infusion set anak Set 0 4,025.00 - 4,025.00 - 4,025.00 - 0 4,025.00 -
36 Infusion set anak Set 28 7,995.00 223,860.00 7,995.00 - 7,995.00 - 28 7,995.00 223,860.00
37 Infusion Adult 20 drop/ML WITH Y Tipe pcs 0 7,540.00 - 7,540.00 - 7,540.00 - 0 7,540.00 -
37 Infusion Set Dewasa / Adult (KIMSMED) pcs 0 7,437.50 - 50 7,437.50 371,875.00 7,437.50 - 50 7,437.50 371,875.00
38 Infusion set dewasa Set 0 3,680.00 - 3,680.00 - 3,680.00 - 0 3,680.00 -
39 Infusion set dewasa Set 42 7,540.00 316,680.00 7,540.00 - 16 7,540.00 120,640.00 26 7,540.00 196,040.00
40 Handschoen Steril 7 (Shamrock PWD) pcs 50 13,200.00 660,000.00 13,200.00 - 13,200.00 - 50 13,200.00 660,000.00
41 Handschoen No. 7,5 Psg 0 4,680.00 - 4,680.00 - 4,680.00 - 0 4,680.00 -
42 Handschoen steril No. 6,5 Psg 0 11,000.00 - 11,000.00 - 11,000.00 - 0 11,000.00 -
43 Handscoon Non Steril S Box 0 242,000.00 - 242,000.00 - 242,000.00 - 0 242,000.00 -
44 Handscoon Non Steril M (shamrock latex exam) Psg 0 242,000.00 - 242,000.00 - 242,000.00 - 0 242,000.00 -
45 Henscun Size L (protos) (non steril) Psg 0 51695.00 - 51695.00 - 51695.00 - 0 51695.00 -
46 RDT HbSAg Test 50 10,410.00 520,500.00 10,410.00 - 10,410.00 - 50 10,410.00 520,500.00
47 IV. Catheter WP No. 18 eximed Set 50 8,800.00 440,000.00 8,800.00 - 8,800.00 - 50 8,800.00 440,000.00
48 IV. Catheter WP No. 20 Set 40 8,800.00 352,000.00 8,800.00 - 8,800.00 - 40 8,800.00 352,000.00
49 IV. Catheter No. 20 Set 0 9,060.00 - 9,060.00 - 9,060.00 - 0 9,060.00 -
50 IV. Catheter No. 20 With needle (Jelco) Pcs 0 16,660.00 - 16,660.00 - 16,660.00 - 0 16,660.00 -
51 IV. Catheter No. 22 Set 0 9060.00 - 9060.00 - 9060.00 - 0 9060.00 -
52 IV. Catheter WP No. 24 (Aximed) Set 14 8,800.00 123,200.00 8,800.00 - 8,800.00 - 14 8,800.00 123,200.00
53 IV. Canula FG-26 Pcs 0 9,097.00 - 9,097.00 - 9,097.00 - 0 9,097.00 -
54 Aximed IV - Cath WP No.22 Pcs 50 8,800.00 440,000.00 8,800.00 - 7 8,800.00 61,600.00 43 8,800.00 378,400.00
55 IV Cath-Troge Sine 24G Pcs 50 18,426.00 921,300.00 18,426.00 - 18,426.00 - 50 18,426.00 921,300.00
56 Folley Catheter No. 18 Pcs 10 21,090.00 210,900.00 21,090.00 - 21,090.00 - 10 21,090.00 210,900.00
57 Folley Catheter No. 20 Pcs 10 21,090.00 210,900.00 21,090.00 - 21,090.00 - 10 21,090.00 210,900.00
58 Folley Catheter No. 22 Pcs 10 21,090.00 210,900.00 21,090.00 - 21,090.00 - 10 21,090.00 210,900.00
59 Kacamata Goggle APD buah 1 27,600.00 27,600.00 27,600.00 - 27,600.00 - 1 27,600.00 27,600.00
60 Kelambu pcs 0 240,000.00 - 240,000.00 - 240,000.00 - 0 240,000.00 -
61 Kapas putih 250 gr Psg 1 15,000.00 15,000.00 15,000.00 - 15,000.00 - 1 15,000.00 15,000.00
62 Kapas berlemak 500 mg Bks 0 18,975.00 - 18,975.00 - 18,975.00 - 0 18,975.00 -
63 Kapas pembalut absorben 250 gram Bks 0 14,375.00 - 14,375.00 - 14,375.00 - 0 14,375.00 -
64 Kasa kompres 40/40 steril Rol 0 1,518.00 - 1,518.00 - 1,518.00 - 0 1,518.00 -
65 Kasa pembalut 2m x 80 cm Rol 0 10,467.00 - 10,467.00 - 10,467.00 - 0 10,467.00 -
66 Kasa pembalut hidrofil 4 m x 3 cm Rol 0 872.00 - 872.00 - 872.00 - 0 872.00 -
67 Kasa steril 16 X 16 CM Rol 0 8,426.00 - 8,426.00 - 8,426.00 - 0 8,426.00 -
68 Kasa Hidrofil 4 m X 15 cm tab 110 2415.00 265,650.00 2415.00 - 2415.00 - 110 2415.00 265,650.00
69 Kasa Hidrofil 4 m X 15 cm tab 50 3406.00 170,300.00 3406.00 - 50 3406.00 170,300.00 0 3406.00 -
70 Kasa Hidrofil 16 cm X 16 cm Box 100 5980.00 598,000.00 5980.00 - 5980.00 - 100 5980.00 598,000.00
71 Kasa Hidrofil 36 m X 80 cm Roll 0 153040.00 - 153040.00 - 153040.00 - 0 153040.00 -
72 Kondom (Male Condom) Pcs 144 488.00 70,272.00 488.00 - 488.00 - 144 488.00 70,272.00
73 Lab. Kit Paket 0 1016565.00 - 1016565.00 - 1016565.00 - 0 1016565.00 -
74 Larutan Ziehl Neelsen 3% paket 1 274,560.00 274,560.00 274,560.00 - 274,560.00 - 1 274,560.00 274,560.00
75 Plaster 5 cm x 5 mtr (coklat) Set 0 52,250.00 - 52,250.00 - 52,250.00 - 0 52,250.00 -
76 Masker Headloop (Abramed) Box 0 56,400.00 - 20 56,400.00 1,128,000.00 56,400.00 - 20 56,400.00 1,128,000.00
76 Masker N95 (DREAMCAN) Pcs 0 19,900.00 - 19,900.00 - 19,900.00 - 0 19,900.00 -
77 Masker N95 Set 6 149,776.00 898,656.00 149,776.00 - 149,776.00 - 6 149,776.00 898,656.00
78 Masker Bedah Pcs 0 706.42 - 706.42 - 706.42 - 0 706.42 -
79 Maxiflow Anak pcs 9 16,200.00 145,800.00 16,200.00 - 16,200.00 - 9 16,200.00 145,800.00
80 Maxiflow Dewasa pcs 7 16,200.00 113,400.00 16,200.00 - 16,200.00 - 7 16,200.00 113,400.00
81 M-I Surgucal Face Mask (Head Loop)/ Masker Box 0 54,456.00 - 54,456.00 - 54,456.00 - 0 54,456.00 -
82 Baymed Face Mask Hijab Box 10 35,455.35 354,553.50 35,455.35 - 35,455.35 - 10 35,455.35 354,553.50
83 Baymed Masker Earloop Box 13 40,624.90 528,123.70 20 40,624.90 812,498.00 40,624.90 - 33 40,624.90 1,340,621.70
84 Metanol 250 ml Btl 0 45,360.00 - 45,360.00 - 45,360.00 - 0 45,360.00 -
85 Nonwoven Fixation 5 cm x 10 m Pcs 7 48,675.00 340,725.00 48,675.00 - 48,675.00 - 7 48,675.00 340,725.00
86 Nonwoven Fixation 5 cm x 10 m Pcs 0 50,296.32 - 10 50,296.32 502,963.20 50,296.32 - 10 50,296.32 502,963.20
87 New HIV 1/2 3 ine Pcs 0 16,025.00 - 16,025.00 - 16,025.00 - 0 16,025.00 -
88 fokus new HIV 1/2 3 line pcs 0 16,151.00 - 16,151.00 - 16,151.00 - 0 16,151.00 -
89 Onecrub 2 % 100 ml btl 0 26,400.00 - 26,400.00 - 26,400.00 - 0 26,400.00 -
90 Objek Glass Box 1 20,244.77 20,244.77 20,244.77 - 20,244.77 - 1 20,244.77 20,244.77
91 Paper tape 2,5 cm x 9.14 m Psg 0 13,899.60 - 13,899.60 - 13,899.60 - 0 13,899.60 -
92 Pot Sputum pcs 60 2,640.00 158,400.00 2,640.00 - 50 2,640.00 132,000.00 10 2,640.00 26,400.00
93 Pot Sputum Buah 0 2,675.00 - 100 2,675.00 267,500.00 2,675.00 - 100 2,675.00 267,500.00

94 PE 12x144 Circle parf 226 Sheet (Kertas Saring) 0 4,000.00 - 4,000.00 20,000.00 4,000.00 - 5 4,000.00 20,000.00
set 5
95 Plasretin non women roll 5 cm x 5 m pcs 12 52,250.00 627,000.00 52,250.00 - 52,250.00 - 12 52,250.00 627,000.00
96 Examination Gloves Powder Free Size M Box 32 90,731.40 2,903,404.80 90,731.40 - 10 90,731.40 907,314.00 22 90,731.40 1,996,090.80
97 Protos Latex Examination Gloves, Size M Box@100pcs 0 132,825.00 - 132,825.00 - 132,825.00 - 0 132,825.00 -
Protos Sterille Latex Surgical Gloves Powder
98 Box 50 7,590.00 379,500.00 7,590.00 - 7,590.00 - 50 7,590.00 379,500.00
Free, Size
99 Rapid I (Virocheck) test 25 7,879.00 196,975.00 7,879.00 - 7,879.00 - 25 7,879.00 196,975.00

100 Rapid I (Virocheck) test 100 8,391.00 839,100.00 8,391.00 - 8,391.00 - 100 8,391.00 839,100.00

101 Rapid 11 (KHB Diagnotik) test 0 12,500.00 - 12,500.00 - 12,500.00 - 0 12,500.00 -

102 Rapid Spylish (TREPOCHECK) Test 75 8,096.00 607,200.00 50 8,096.00 404,800.00 8,096.00 - 125 8,096.00 1,012,000.00

103 Rapid Spylish (TREPOCHECK) Test 0 9,639.00 - 9,639.00 - 9,639.00 - 0 9,639.00 -

104 Rapid Tes HIV I (SD Bioline) Set 0 11,975.00 - 11,975.00 - 11,975.00 - 0 11,975.00 -

105 RDT DBD COMBO Test 0 50,600.00 - 50,600.00 - 50,600.00 - 0 50,600.00 -

106 RDT Virotec Dengue Combo Test 67 45,366.00 3,039,522.00 45,366.00 - 45,366.00 - 67 45,366.00 3,039,522.00
107 DFI Health Mate Malaria (RDT Malaria) Box 0 473,112.00 - 3 473,112.00 1,419,336.00 473,112.00 - 3 473,112.00 1,419,336.00
108 Rapid Test HBsAg Test 100 6,798.00 679,800.00 6,798.00 - 6,798.00 - 100 6,798.00 679,800.00
109 Retinol 100.000 IU Kaps Lunak 0 367.00 - 367.00 - 367.00 - 0 367.00 -
110 Retinol 200.000 IU Kaps Lunak 150 663.00 99,450.00 663.00 - 663.00 - 150 663.00 99,450.00
111 Sabun Anti bakteri 500 ml + Dispenser botol 2 33,000.00 66,000.00 33,000.00 - 33,000.00 - 2 33,000.00 66,000.00
112 Silk (benang bedah sutra) no. 3/0 dgn jarum bedah Scht 0 24,785.00 - 24,785.00 - 24,785.00 - 0 24,785.00 -
113 Silk Black 3/0 HR 30 MM Scht 12 21,897.48 262,769.76 21,897.48 - 21,897.48 - 12 21,897.48 262,769.76
114 Silk Black 3/0 HR 30 MM Scht 0 21,491.00 - 21,491.00 - 21,491.00 - 0 21,491.00 -
115 SD Shypilish (RDT) Set 0 9,300.00 - 9,300.00 - 9,300.00 - 0 9,300.00 -
116 strip asam urat (Nesco) stip 0 160,950.00 - 10 160,950.00 1,609,500.00 160,950.00 - 10 160,950.00 1,609,500.00
117 Strip gula darah (Nesco) stip 0 277,500.00 - 4 277,500.00 1,110,000.00 277,500.00 - 4 277,500.00 1,110,000.00
118 strip kolesterol (Nesco) stip 0 233,100.00 - 15 233,100.00 3,496,500.00 233,100.00 - 15 233,100.00 3,496,500.00
119 strip asam urat (Easy Touch) Box 25 Pcs 0 155,400.00 - 155,400.00 - 155,400.00 - 0 155,400.00 -
120 strip asam urat (Easy Touch) Box 25 Pcs 12 160,950.00 1,931,400.00 160,950.00 - 1 160,950.00 160,950.00 11 160,950.00 1,770,450.00
121 Strip Hb (Easy Touch) stip 0 151,800.00 - 151,800.00 - 151,800.00 - 0 151,800.00 -
122 strip kolesterol (Easy Touch) Box 10 Pcs 4 244,200.00 976,800.00 244,200.00 - 244,200.00 - 4 244,200.00 976,800.00
123 Strip Hemoglobin (Easy Touch) Kotaak 25'S 0 210,900.00 - 210,900.00 - 210,900.00 - 0 210,900.00 -
124 Strip Hb (Hemoglobin) (Easy Touch) Kotaak 25'S 0 266,400.00 - 266,400.00 - 266,400.00 - 0 266,400.00 -
125 Strip Glukosa (Easy Touch) Box 25'S 0 149,850.00 - 149,850.00 - 149,850.00 - 0 149,850.00 -
126 Nipro Premier Blood Glucose Test Strip 50T Btl @50strip 21 147,852.00 3,104,892.00 147,852.00 - 2 147,852.00 295,704.00 19 147,852.00 2,809,188.00
127 U-pad Steril 60x90 cm pcs 80 8976.00 718,080.00 8976.00 - 8976.00 - 80 8976.00 718,080.00
128 U-pad Steril 60x90 cm pcs 0 9151.20 - 9151.20 - 9151.20 - 0 9151.20 -
129 Urine Bag sterile With Hanger (Cosmo) pcs 10 9,280.00 92,800.00 9,280.00 - 9,280.00 - 10 9,280.00 92,800.00
130 Ultra One (Test Kehamilan) Set 200 2,797.20 559,440.00 2,797.20 - 2,797.20 - 200 2,797.20 559,440.00
131 urin bag steril Set 0 7,500.00 - 7,500.00 - 7,500.00 - 0 7,500.00 -
132 Wing Needle No. 25 G 0 - - - 0 -
Set
133 Obat-obat Gigi 0 - - - 0 -
134 Albendazol tablet 400 mg Tab 0 366.50 - 366.50 - 366.50 - 0 366.50 -
135 Allopurinol tablet 100 mg Tab 0 108.00 - 108.00 - 108.00 - 0 108.00 -
136 Allopurinol tablet 100 mg Tab 1600 95.00 152,000.00 500 95.00 47,500.00 400 95.00 38,000.00 1700 95.00 161,500.00
137 Ambroksol Syrup Btl 0 5,830.00 - 5,830.00 - 5,830.00 - 0 5,830.00 -
138 Ambroksol 30mg Tab 0 243.410 - 243.410 - 243.410 - 0 243.410 -
139 Ambroksol 30mg Tab 0 231.000 - 231.000 - 231.000 - 0 231.000 -
140 Aminofilin tablet 200 mg Tab 0 141.46 - 141.46 - 141.46 - 0 141.46 -
141 Aminofilin Injeksi 20 mg/ml - 10 ml Amp 0 - - - 0 -
142 Amitriptilin tablet salut 25 mg Tab 200 173.00 34,600.00 173.00 - 173.00 - 200 173.00 34,600.00
143 Amoksisilin sirup kering 125 mg/5 ml Btl 0 2,070.00 - 2,070.00 - 2,070.00 - 0 2,070.00 -
144 Amoksisilin sirup kering 125 mg/5 ml Btl 40 6,660.00 266,400.00 6,660.00 - 6 6,660.00 39,960.00 34 6,660.00 226,440.00
145 Amoksisilin Tab 500 mg Tab 0 201.00 - 201.00 - 201.00 - 0 201.00 -
146 Amoksisilin Trihydrate Tab 1600 525.00 840,000.00 525.00 - 1000 525.00 525,000.00 600 525.00 315,000.00
147 Amoksisilin 500 mg Tab 0 241.00 - 241.00 - 241.00 - 0 241.00 -
148 Ampisilin kaplet 500 mg Kap 0 - - - 0 -
149 Amlodipin 5 mg Tab 2000 59.00 118,000.00 59.00 - 59.00 - 2000 59.00 118,000.00
150 Amlodipin 5 mg Tablet Tab 600 1,162.47 697,482.00 1,162.47 - 1,162.47 - 600 1,162.47 697,482.00
151 Amlodipin 10 mg Tab 2500 76.00 190,000.00 1000 76.00 76,000.00 2000 76.00 152,000.00 1500 76.00 114,000.00
152 Anacetyn Babys Cough Syrup Btl 0 12,100.00 - 12,100.00 - 12,100.00 - 0 12,100.00 -
153 Anacetyn Babys Cough Syrup Btl 45 12,210.00 549,450.00 12,210.00 - 14 12,210.00 170,940.00 31 12,210.00 378,510.00
154 Antalgin (metapiron) tablet 500 mg Tab 0 - - - 0 -
155 Antasida Suspensi Btl 0 1,767.00 - 1,767.00 - 1,767.00 - 0 1,767.00 -
156 Antasida doen suspensi Btl 0 2,290.00 - 2,290.00 - 2,290.00 - 0 2,290.00 -
157 Antasida Tab Tab 2400 54.00 129,600.00 54.00 - 200 54.00 10,800.00 2200 54.00 118,800.00
158 Antasida Doen tablet, kombinasi Tab 0 61.00 - 61.00 - 61.00 - 0 61.00 -
159 Acyclovir 400 mg Tab 0 473.00 - 473.00 - 473.00 - 0 473.00 -
160 Acyclovir 400 mg Tab 1000 1,079.44 1,079,440.00 1,079.44 - 1,079.44 - 1000 1,079.44 1,079,440.00
161 Acyclovir cream tube 40 4,400.00 176,000.00 4,400.00 - 12 4,400.00 52,800.00 28 4,400.00 123,200.00
162 Antibakteri Doen salep kombinasi Tab 0 3,642.00 - 3,642.00 - 3,642.00 - 0 3,642.00 -
163 Basitrasin IU/g + Polmiksin 1000 IU/g 0 - - - 0 -
164 Antihemoroid Doen kombinasi Sup 30 3,265.00 97,950.00 3,265.00 - 3,265.00 - 30 3,265.00 97,950.00
165 Antifungi Doen kombinasi Asam Benzoat 6% + Pot 0 4,990.00 - 4,990.00 - 4,990.00 - 0 4,990.00 -
166 Asam Salisilat 3 % 0 - - - 0 -
167 Antimigrain Doen kombinasi : Ergotamin Tab 0 - - - 0 -
168 Tartrat 1 mg + Kofen 50 mg 0 - - - 0 -
169 Antiparkinson Doen tablet kombinasi Tab 0 - - - 0 -
170 Karbidopa 25 mg + Levodopa 0 - - - 0 -
171 Air Untuk Inj. 25 ml (Otsu) vial 3 2,860.00 8,580.00 2,860.00 - 2,860.00 - 3 2,860.00 8,580.00
172 Asam askorbat (Vit. C) tablet 250 mg Tab 0 124.00 - 124.00 - 124.00 - 0 124.00 -
173 Asam askorbat (Vit. C) tablet 50 mg Tab 300 50.00 15,000.00 50.00 - 50.00 - 300 50.00 15,000.00
174 Asam askorbat (Vit. C) tablet 50 mg Tab 200 42.00 8,400.00 42.00 - 42.00 - 200 42.00 8,400.00
174 Asam askorbat (Vit. C) tablet 50 mg Tab 0 70.00 - 300 70.00 21,000.00 70.00 - 300 70.00 21,000.00
175 Asam Mefenamat 500 mg Tab 500 128.00 64,000.00 128.00 - 128.00 - 500 128.00 64,000.00
176 Asam Mefenamat 500 mg Tab 900 111.00 99,900.00 111.00 - 111.00 - 900 111.00 99,900.00
177 Asam Traneksamat 500 mg Tab 10 1,929.00 19,290.00 1,929.00 - 1,929.00 - 10 1,929.00 19,290.00
178 Aseptan Antiseptik Liquid Btl 8 45,787.50 366,300.00 45,787.50 - 8 45,787.50 366,300.00 0 45,787.50 -
179 Aseptic Gel Antiseptic Peembersih Tangan Btl 8 33,125.00 265,000.00 33,125.00 - 2 33,125.00 66,250.00 6 33,125.00 198,750.00
180 Asam Folat 1 mg Tab 0 90.00 - 90.00 - 90.00 - 0 90.00 -
181 Asam Folat 0.4 mg Tab 600 46.00 27,600.00 46.00 - 46.00 - 600 46.00 27,600.00

182 Azitromicin 500 mg 0 4,725.00 - 4,725.00 - 4,725.00 - 0 4,725.00 -

183 Benzatin benzil penisilin inj. 1,2 juta iu/vial Vial 0 - - - 0 -
184 Betametason krim 0,1 % Tub 0 1,740.00 - 1,740.00 - 1,740.00 - 0 1,740.00 -
185 Betametason krim 0,1 % Tub 100 3,850.00 385,000.00 3,850.00 - 3,850.00 - 100 3,850.00 385,000.00
186 Betahistin tab 6 mg Tab 1300 93.00 120,900.00 93.00 - 93.00 - 1300 93.00 120,900.00
187 Becefort Tab Tab 1200 1,548.43 1,858,116.00 1,548.43 - 1,548.43 - 1200 1,548.43 1,858,116.00
188 Cefadroxyl 500 mg Tab 0 401.00 - 401.00 - 401.00 - 0 401.00 -
189 Cefadroxyl 500 mg Tab 1500 1,221.00 1,831,500.00 1,221.00 - 100 1,221.00 122,100.00 1400 1,221.00 1,709,400.00
190 Cefadroksil Syrup kering 125mg/ml Btl 0 5,910.00 - 5,910.00 - 5,910.00 - 0 5,910.00 -
191 Cefadroksil Syrup kering 125mg/ml Btl 45 4,180.00 188,100.00 4,180.00 - 4,180.00 - 45 4,180.00 188,100.00
192 Cefadroksil Syrup kering 125mg/ml Btl 0 4,360.00 - 4,360.00 - 4,360.00 - 0 4,360.00 -
193 Cefotaxim sodium Vial 10 3197.00 31,970.00 3197.00 - 3197.00 - 10 3197.00 31,970.00
194 Cimetidin 200 mg Tab 0 211.94 - 211.94 - 211.94 - 0 211.94 -
195 Cendo Xitrol Btl 0 33000.00 - 33000.00 - 33000.00 - 0 33000.00 -
196 Cendo Lyteers Btl 0 39939.00 - 39939.00 - 39939.00 - 0 39939.00 -
197 Cetirizine syrup btl 60 ml Btl 0 3,104.00 - 3,104.00 - 3,104.00 - 0 3,104.00 -
198 Cetirizine syrup btl 60 ml Btl 50 2,278.00 113,900.00 2,278.00 - 2,278.00 - 50 2,278.00 113,900.00
199 Cetirizine Tab 10 mg Tab 1600 53.00 84,800.00 53.00 - 200 53.00 10,600.00 1400 53.00 74,200.00
200 Combiven UDV Vial 0 33,000.00 - 33,000.00 - 33,000.00 - 0 33,000.00 -
201 Deksametason inj. 5 mg/ml - 1 ml Amp 90 1,012.00 91,080.00 1,012.00 - 1,012.00 - 90 1,012.00 91,080.00
202 Dexametason 0,5 mg Tab 1800 149.85 269,730.00 149.85 - 400 149.85 59,940.00 1400 149.85 209,790.00
203 Diazepam Inj. 5 mg/ml - 2 ml tube 20 2010.00 40,200.00 2010.00 - 20 2010.00 40,200.00 0 2010.00 -
203 Diazepam Inj. 5 mg/ml - 2 ml tube 0 242.00 - 10 242.00 2,420.00 242.00 - 10 242.00 2,420.00
204 Diazepan Stesolin 5 mg tube 0 15,088.00 - 15,088.00 - 15,088.00 - 0 15,088.00 -
205 Diazepam tablet 2 mg Tab 198 86.00 17,028.00 86.00 - 86.00 - 198 86.00 17,028.00
206 Dexosa 500 ml 10% (D5) Btl 0 8,003.00 - 8,003.00 - 8,003.00 - 0 8,003.00 -
207 Dietilkarbamazin sitrat tablet 100 mg Tab 0 - - - 0 -
208 Dipenhidramin Hcl inj. 10 mg/ml - 1 ml Amp 30 902.00 27,060.00 902.00 - 902.00 - 30 902.00 27,060.00
209 Doksisiklin Tab 100 mg Tab 400 280.00 112,000.00 280.00 - 280.00 - 400 280.00 112,000.00
210 DHP/ OAM (Anti Malaria) tab 18 2,851.00 51,318.00 2,851.00 - 2,851.00 - 18 2,851.00 51,318.00
211 Domperidin tab 10 mg Tab 0 90.00 - 90.00 - 90.00 - 0 90.00 -
212 Domperidon suspensi 5 mg/5ml Btl 0 2,465.00 - 2,465.00 - 2,465.00 - 0 2,465.00 -
213 Efedrin Hcl tablet 25 mg Tab 0 - - - 0 -
214 Ekstrak Belladon tablet 10 mg 0 - - - 0 -
215 Epinefrin HCl/bitartrat (Epinefrina+andrenalina) inj. Amp 5 2,068.00 10,340.00 2,068.00 - 2,068.00 - 5 2,068.00 10,340.00
216 Epinefrin Inj 1 mg/ ml Amp 30 1,813.00 54,390.00 1,813.00 - 1,813.00 - 30 1,813.00 54,390.00
217 Rivanol 300 ml Btl 3 9,460.00 28,380.00 9,460.00 - 9,460.00 - 3 9,460.00 28,380.00
218 Etanol 70% Btl 0 31,416.67 - 31,416.67 - 31,416.67 - 0 31,416.67 -
219 Ethil Khlorida Spray Btl 0 272,800.00 - 272,800.00 - 272,800.00 - 0 272,800.00 -
220 Erythromisin 500 mg Kap 0 781.00 - 781.00 - 781.00 - 0 781.00 -
221 Erythromisin 250 mg Kap 0 666.00 - 666.00 - 666.00 - 0 666.00 -
222 Fenobarbital inj. 50 mg/ ml - 2 ml Amp 0 - - - 0 -
223 Fenobarbital tablet 30 mg Tab 100 205.00 20,500.00 205.00 - 205.00 - 100 205.00 20,500.00
224 Farbiven injeksi vial 18 18,250.00 328,500.00 10 18,250.00 182,500.00 18,250.00 - 28 18,250.00 511,000.00
225 Farbiven injeksi vial 0 12,980.00 - 12,980.00 - 12,980.00 - 0 12,980.00 -
226 Furosemida tab Tab 1000 118.00 118,000.00 118.00 - 118.00 - 1000 118.00 118,000.00
227 Fitomenadion (Vit. K 1) inj. 10 mg/ml - 1 ml Amp 30 1,595.00 47,850.00 1,595.00 - 1,595.00 - 30 1,595.00 47,850.00
228 Fitomenadion (Vit. K 1) tablet salut gula 10 mg Tab 0 847.00 - 847.00 - 847.00 - 0 847.00 -
229 Gameksan emulsi 1 % Btl 0 - - - 0 -
230 Oralit Sachet 0 280.00 - 280.00 - 280.00 - 0 280.00 -
231 Gentian violet larutan 1 % Btl 0 4,995.00 - 4,995.00 - 4,995.00 - 0 4,995.00 -
232 Glibenklamid tablet 5 mg Tab 2000 143.00 286,000.00 143.00 - 143.00 - 2000 143.00 286,000.00
233 Gliseril guayakolat tablet 100 mg Tab 0 64.79 - 64.79 - 64.79 - 0 64.79 -
234 Glukose + Protein Strip Pcs 0 1,254.00 - 1,254.00 - 1,254.00 - 0 1,254.00 -
235 Glukosa 500 ml 5% (D5) Btl 5 6,627.00 33,135.00 6,627.00 - 6,627.00 - 5 6,627.00 33,135.00

236 Glukosa larutan infus 10% 500 mL Btl 20 7,200.00 144,000.00 7,200.00 - 4 7,200.00 28,800.00 16 7,200.00 115,200.00
237 Glimepiride tab 1 mg Tab 0 174.00 - 174.00 - 174.00 - 0 174.00 -

238 Glimepiride tab 4 mg Tab 1000 291.00 291,000.00 291.00 - 50 291.00 14,550.00 950 291.00 276,450.00

239 Griseofulvin tablet 125 mg, micronized Tab 0 266.00 - 266.00 - 266.00 - 0 266.00 -
240 Gentamicyn Salep 0,1 % Tub 0 2,937.00 - 2,937.00 - 2,937.00 - 0 2,937.00 -
241 Gentamisin 0,1 % SK 5 gram Tub 80 7,251.61 580,128.80 7,251.61 - 7,251.61 - 80 7,251.61 580,128.80
242 Gentamisin SK 0,1 % Tub 0 5,929.00 - 5,929.00 - 5,929.00 - 0 5,929.00 -
243 Guafenisin tab Tab 700 138.60 97,020.00 2000 138.60 277,200.00 200 138.60 27,720.00 2500 138.60 346,500.00
244 Haloperidol tablet 1,5 mg Tab 0 59.00 - 59.00 - 59.00 - 0 59.00 -
245 Haloperidol tablet 5 mg Tab 0 61.00 - 61.00 - 61.00 - 0 61.00 -
246 Haloperidol tablet 5 mg Tab 200 54.00 10,800.00 54.00 - 54.00 - 200 54.00 10,800.00
247 Hidroklorotiazid (HCt) tablet 25 mg Tab 0 179.00 - 179.00 - 179.00 - 0 179.00 -
248 Hidrokortison krim 2,5 % Tub 0 2,648.00 - 2,648.00 - 2,648.00 - 0 2,648.00 -
249 Hidrokortison krim 2,5 % Tub 32 2,556.00 81,792.00 2,556.00 - 2,556.00 - 32 2,556.00 81,792.00
250 Ibuprofen tablet 400 mg Tab 1600 223.00 356,800.00 223.00 - 300 223.00 66,900.00 1300 223.00 289,900.00
251 Ibuprofen tablet 400 mg Tab 0 638.00 - 638.00 - 638.00 - 0 638.00 -
252 Ibuprofen tablet 200 mg Tab 0 638.00 - 638.00 - 638.00 - 0 638.00 -
253 Ibuprofen tablet 200 mg Tab 2000 160.00 320,000.00 160.00 - 100 160.00 16,000.00 1900 160.00 304,000.00
254 Imboost force Kap 0 5,808.07 - 5,808.07 - 5,808.07 - 0 5,808.07 -
255 Imboost Tablet Kap 1500 4,720.00 7,080,000.00 4,720.00 - 1100 4,720.00 5,192,000.00 400 4,720.00 1,888,000.00
256 Imboost syrup btl 20 50,500.00 1,010,000.00 50,500.00 - 50,500.00 - 20 50,500.00 1,010,000.00
257 Isosorbid dinitrat tablet sublungual 5 mg Tab 0 89.00 - 89.00 - 89.00 - 0 89.00 -
258 Iodium Test Btl 0 61,600.00 - 61,600.00 - 61,600.00 - 0 61,600.00 -
259 Kartu Golongan Darah Kotak 1 112,200.00 112,200.00 112,200.00 - 112,200.00 - 1 112,200.00 112,200.00
260 Kalium permanganat serbuk Btl 0 - - - 0 -
261 Ketokonazol krim tube 130 2,521.00 327,730.00 2,521.00 - 2,521.00 - 130 2,521.00 327,730.00
262 Ketokonazol tab 200 mg Tab 500 270.00 135,000.00 270.00 - 200 270.00 54,000.00 300 270.00 81,000.00
263 Ketorolak 3% Inj. Amp 20 1,475.00 29,500.00 1,475.00 - 1,475.00 - 20 1,475.00 29,500.00
264 Kloramfenikol kapsul 250 mg Kap 0 - - - 0 -
265 Kloramfenikol (Erlamincetin salep mata) Tub 9 14,015.97 126,143.73 14,015.97 - 14,015.97 - 9 14,015.97 126,143.73
266 Erlamicetyn Tetes Mata Btl 50 18,200.00 910,000.00 18,200.00 - 18,200.00 - 50 18,200.00 910,000.00
266 Kloramfenikol (Erlamicetyn) TT Btl 0 11,264.00 - 50 11,264.00 563,200.00 11,264.00 - 50 11,264.00 563,200.00
267 Kloramfenikol tetes telingan Btl 0 13,750.00 - 13,750.00 - 13,750.00 - 0 13,750.00 -
268 Klorfeniramin maleat (CTM) Tab 2600 98.00 254,800.00 98.00 - 400 98.00 39,200.00 2200 98.00 215,600.00
269 Klorpamazin HCl Injeksi 5 mg/ml - 2 ml Amp 0 1,495.00 - 1,495.00 - 1,495.00 - 0 1,495.00 -
270 Klorpromazin tablet salut 100 mg Tab 0 177.00 - 177.00 - 177.00 - 0 177.00 -
271 Klorpromazin Hcl tablet salut 25 mg Tab 0 - - - 0 -
272 Kodein Hcl tablet 10 mg Tab 0 - - - 0 -
273 Kombinasi pirimetamin 25 mg + sulfadoksin 500 mg Tab 0 - - - 0 -
274 Kotrimoksazol tablet Tab 500 126.00 63,000.00 126.00 - 200 126.00 25,200.00 300 126.00 37,800.00
274 Kotrimoksazol tablet Tab 0 138.00 - 138.00 - 138.00 - 0 138.00 -
275 Kotrimoksazol suspensi Btl 49 2,100.00 102,900.00 2,100.00 - 2 2,100.00 4,200.00 47 2,100.00 98,700.00
276 Kotrimoksazol dewasa tablet Tab 0 129.00 - 129.00 - 129.00 - 0 129.00 -
277 Kuinin dihidroklorida injeksi 25 % - 2 ml Amp 0 - - - 0 -
278 Kuinin sulfat tablet 222 mg (7H2O) Tab 0 - - - 0 -
279 Kaptopril 25 mg Tab 900 75.00 67,500.00 75.00 - 75.00 - 900 75.00 67,500.00
280 Kaptopril 12,5 mg Tab 100 68.00 6,800.00 68.00 - 68.00 - 100 68.00 6,800.00
281 Kaptopril 50 mg Tab 0 149.00 - 149.00 - 149.00 - 0 149.00 -
282 Kalsium Laktat 500 mg Tab 1800 60.00 108,000.00 60.00 - 60.00 - 1800 60.00 108,000.00
283 Kanina syrup (Kaolin+pektin) Tab 0 7,040.00 - 7,040.00 - 7,040.00 - 0 7,040.00 -
284 Levloksasin Tablet 500 Btl 0 - - - 0 -
285 Lidokain kompositum injeksi kombinasi : 75 979.00 73,425.00 979.00 - 979.00 - 75 979.00 73,425.00
Amp
286 Lidokain HCl 2%+Epinefrin 1:80.000-2ml 0 - - - 0 -
287 Lisol, mengandung Kesol tersabun 50% Btl 0 49,200.00 - 49,200.00 - 49,200.00 - 0 49,200.00 -
288 Loperamida tab 2 mg (Lexadium/Novadium) Tab 0 352.00 - 352.00 - 352.00 - 0 352.00 -
289 Loperamida tab 2 mg Tab 1600 83.00 132,800.00 83.00 - 83.00 - 1600 83.00 132,800.00
290 Lovofloxacin 500 Mg Tab 0 702.00 - 702.00 - 702.00 - 0 702.00 -
291 MgSO4 20 % (Otsu) Vial 10 4,300.00 43,000.00 4,300.00 - 4,300.00 - 10 4,300.00 43,000.00
292 MgSO4 40 % (Otsu) Vial 12 4,900.00 58,800.00 4,900.00 - 4,900.00 - 12 4,900.00 58,800.00
293 Methylergometrin 0,125 mg Tab 400 234.00 93,600.00 234.00 - 234.00 - 400 234.00 93,600.00
294 Methylergometrine Maleate Inj 0,2 mg/ml Amp 100 1,069.00 106,900.00 1,069.00 - 1,069.00 - 100 1,069.00 106,900.00
295 Metoklopramide 10 mg Tab 0 93.00 - 93.00 - 93.00 - 0 93.00 -
296 Metoklopramide 10 mg Tab 0 87.00 - 87.00 - 87.00 - 0 87.00 -
297 Metoklopramide Syrup Btl 0 6,600.00 - 6,600.00 - 6,600.00 - 0 6,600.00 -
298 Metoklopramide injeksi (Flasil injeksi) Amp 0 - - - 0 -
299 Metronidazol tablet 500 mg Tab 1600 264.00 422,400.00 264.00 - 264.00 - 1600 264.00 422,400.00
300 Metformin tab 500 mg Tab 0 77.00 - 77.00 - 77.00 - 0 77.00 -
301 Metformin tab 500mg Tab 0 86.00 - 86.00 - 86.00 - 0 86.00 -
302 Metformin HCL Tab 2200 190.00 418,000.00 190.00 - 400 190.00 76,000.00 1800 190.00 342,000.00
303 My Jelly 82 gram Tube 0 33,982.31 - 33,982.31 - 33,982.31 - 0 33,982.31 -
304 M-Y Jelly 82 gram Tube 9 35,460.00 319,140.00 35,460.00 - 35,460.00 - 9 35,460.00 319,140.00
305 My Jelly 82 gram Tube 0 36,937.33 - 36,937.33 - 36,937.33 - 0 36,937.33 -
306 Micinazole 2% Cream Tube 48 2,090.00 100,320.00 2,090.00 - 2,090.00 - 48 2,090.00 100,320.00
307 MB Dewasa tab 0 40,128.00 - 40,128.00 - 40,128.00 - 0 40,128.00 -
308 Metilprednisolon tab 4 mg Tab 1300 115.00 149,500.00 1000 115.00 115,000.00 200 115.00 23,000.00 2100 115.00 241,500.00
309 Natrium klorida larutan infus 0,9 % steril Btl 100 6,900.00 690,000.00 6,900.00 - 18 6,900.00 124,200.00 82 6,900.00 565,800.00
310 Nistatin tablet vaginal 100.000 IU/g Tab 0 550.00 - 550.00 - 550.00 - 0 550.00 -
311 Natrium diklofenat 25 mg Tab 2100 127.00 266,700.00 127.00 - 127.00 - 2100 127.00 266,700.00
312 Natrium diklofenat 50 mg Tab 200 118.00 23,600.00 118.00 - 200 118.00 23,600.00 0 118.00 -
313 Natrium diklofenat 50 mg Tab 2500 119.00 297,500.00 500 119.00 59,500.00 800 119.00 95,200.00 2200 119.00 261,800.00
314 Acetylcysteine 200 mg Tab 1620 337.00 545,940.00 337.00 - 600 337.00 202,200.00 1020 337.00 343,740.00
315 Noza Tablet Tab 1000 804.75 804,750.00 804.75 - 200 804.75 160,950.00 800 804.75 643,800.00
316 Obat Antituberkulosis Kategori 1 Dewasa (FDC) Pkt 1 503,401.00 503,401.00 503,401.00 - 503,401.00 - 1 503,401.00 503,401.00
317 Obat Antituberkulosis Kategori 1 Dewasa (FDC) Pkt 0 498,866.00 - 498,866.00 - 498,866.00 - 0 498,866.00 -
318 Obat Antituberkulosis Kategori 2 Dewasa (FDC) Pkt 0 - - - 0 -
319 Obat Antituberkulosis Kategori Anak (FDC) Pkt 2 299,912.00 599,824.00 299,912.00 - 299,912.00 - 2 299,912.00 599,824.00
319 OAT FDC Kat. 1 Pkt 3 436,445.00 1,309,335.00 436,445.00 - 436,445.00 - 3 436,445.00 1,309,335.00
319 OAT FDC Kat. Anak Pkt 1 365,908.00 365,908.00 365,908.00 - 365,908.00 - 1 365,908.00 365,908.00
320 Obat Antituberkulosis Sisipan Dewasa (FDC) Pkt 0 - - - 0 -
321 Obat batuk hitam (OBH) cairan Btl 0 - - - 0 -
322 Oksitosin injeksi 10 IU/ml - 1 ml ampul 0 1,448.00 - 1,448.00 - 1,448.00 - 0 1,448.00 -
323 Oksitetrasiklin salep Kulit 3 % Tub 100 4,800.00 480,000.00 4,800.00 - 4,800.00 - 100 4,800.00 480,000.00
324 Oksitetrasiklin HCl salep Kulit 3 % Tub 10 5,009.40 50,094.00 5,009.40 - 5,009.40 - 10 5,009.40 50,094.00
325 Oksitetrasiklin hcl salep mata 1 % Tub 0 3,850.00 - 3,850.00 - 3,850.00 - 0 3,850.00 -
326 Oksitosin injeksi 10 IU/ml - 1 ml Amp 0 1,900.00 - 1,900.00 - 1,900.00 - 0 1,900.00 -
327 Omeprazole tab 20 mg Kaps 1900 577.20 1,096,680.00 577.20 - 200 577.20 115,440.00 1700 577.20 981,240.00
328 Omeprazole inj 40 mg Vial 0 11,868.00 - 11,868.00 - 11,868.00 - 0 11,868.00 -
329 Onecrub antiseptik surgical scrub 2% btl 12 26,250.00 315,000.00 26,250.00 - 3 26,250.00 78,750.00 9 26,250.00 236,250.00
330 Parasetamol syr 120 mg/5ml Btl 99 1,160.00 114,840.00 1,160.00 - 1,160.00 - 99 1,160.00 114,840.00
331 Parasetamol tablet 500 mg Tab 0 203.50 - 203.50 - 203.50 - 0 203.50 -
332 Parasetamol tablet 500 mg Tab 1500 330.78 496,170.00 1500 330.78 496,170.00 300 330.78 99,234.00 2700 330.78 893,106.00
333 Parasetamol Drops 100 mg Tab 0 5,306.00 - 5,306.00 - 5,306.00 - 0 5,306.00 -
334 Pehacain Injeksi Ampul 0 3,141.35 - 3,141.35 - 3,141.35 - 0 3,141.35 -
335 Piridoksin HCl (Vitamin B6) tablet 10 mg Tab 1250 220.00 275,000.00 220.00 - 220.00 - 1250 220.00 275,000.00
336 Polikresulen Btl 0 - - - 0 -
337 Pyrantel pamoat tab 125 mg Tab 0 346.00 - 346.00 - 346.00 - 0 346.00 -
338 Pyrantel pamoat tab 125 mg Tab 1400 369.00 516,600.00 369.00 - 369.00 - 1400 369.00 516,600.00
339 Prednison tablet 5 mg Tab 1000 78.00 78,000.00 78.00 - 78.00 - 1000 78.00 78,000.00
340 Primakuin tablet 15 mg Tab 260 386.39 100,461.40 386.39 - 260 386.39 100,461.40 0 386.39 -
340 Primakuin tablet 15 mg Tab 0 242.00 - 100 242.00 24,200.00 242.00 - 100 242.00 24,200.00
341 Propiltiourasil tablet 100 mg Tab 0 - - - 0 -
342 Proranolol hcl tablet 40 mg Tab 0 - - - 0 -
343 Primpen sirup 5 mg/5 ml ( Metoklorpramid ) Btl 0 2,870.00 - 2,870.00 - 2,870.00 - 0 2,870.00 -
344 Reagen Golongan Darah Anti A Btl 0 135,425.00 - 1 135,425.00 135,425.00 1 135,425.00 135,425.00 0 135,425.00 -
345 Reagen Golongan Darah Anti AB Btl 0 184,366.00 - 1 184,366.00 184,366.00 1 184,366.00 184,366.00 0 184,366.00 -
346 Reagen Golongan Darah Anti B Btl 0 135,425.00 - 1 135,425.00 135,425.00 1 135,425.00 135,425.00 0 135,425.00 -
347 Reagen Golongan Darah Anti D Btl 0 225,739.00 - 1 225,739.00 225,739.00 1 225,739.00 225,739.00 0 225,739.00 -
348 Reagen ZN Kit 0 196,971.00 - 196,971.00 - 196,971.00 - 0 196,971.00 -
349 Reserpin tablet 0,10 mg Tab 0 - - - 0 -
350 Reserpin tablet 0,25 mg Tab 0 - - - 0 -
351 Retinol (Vitamin A) kapsul 200.000 iu Kap 0 664.00 - 664.00 - 664.00 - 0 664.00 -
352 Retinol (Vitamin A) kapsul 200.000 iu Kap 400 663.00 265,200.00 663.00 - 663.00 - 400 663.00 265,200.00
353 Ringer laktat larutan infus steril Btl 32 7,703.00 246,496.00 80 7,703.00 616,240.00 72 7,703.00 554,616.00 40 7,703.00 308,120.00
354 Ranitidin 150 mg Tab 0 423.50 - 423.50 - 423.50 - 0 423.50 -
355 Ranitidin tab 150 mg Tab 800 96.00 76,800.00 96.00 - 96.00 - 800 96.00 76,800.00
356 Ranitidin Inj. 25 mg/ml Amp 20 891.00 17,820.00 891.00 - 891.00 - 20 891.00 17,820.00
357 Retinol (Vitamin A) kapsul 100.000 iu Kap 0 369.00 - 369.00 - 369.00 - 0 369.00 -
358 Safety Box pcs 0 14,000.00 - 14,000.00 - 14,000.00 - 0 14,000.00 -
359 Salbutamol tablet 4 mg Tab 0 81.00 - 81.00 - 81.00 - 0 81.00 -
360 Salbutamol tablet 2 mg Tab 0 53.00 - 53.00 - 53.00 - 0 53.00 -
360 Salbutamol tablet 2 mg Tab 0 95.00 - 2000 95.00 190,000.00 200 95.00 19,000.00 1800 95.00 171,000.00
361 Salep 2-4 kombinasi Asam Salisilat 2% + Pot 100 1,614.00 161,400.00 1,614.00 - 30 1,614.00 48,420.00 70 1,614.00 112,980.00
362 Salisil bedak Btl 5 6,710.00 33,550.00 6,710.00 - 1 6,710.00 6,710.00 4 6,710.00 26,840.00
363 Salisil spiritus 10 % Btl 0 - - - 0 -
364 Semen seng fosfat serbuk dan cairan Set 0 - - - 0 -
365 Sianokobalamin (Vit. B12) inj. 500 mcg/ml - 1 ml Amp 0 1,277.00 - 1,277.00 - 1,277.00 - 0 1,277.00 -
366 Sulfastemida natrium tetes mata 15 % Btl 0 - - - 0 -
367 Siprofloksasin 500 mg Tab 1900 770.00 1,463,000.00 770.00 - 770.00 - 1900 770.00 1,463,000.00
368 Simetidin 200 mg Tab 0 211.937 - 211.937 - 211.937 - 0 211.937 -
369 Simvastatin 10 mg Tab 1600 73.00 116,800.00 500 73.00 36,500.00 73.00 - 2100 73.00 153,300.00
370 Simvastatin 20 mg Tab 1550 165.00 255,750.00 2000 165.00 330,000.00 650 165.00 107,250.00 2900 165.00 478,500.00
371 Tablet Tambah Darah Tab 0 260.00 - 260.00 - 260.00 - 0 260.00 -
372 Tablet Tambah Darah (Ibu Hamil) Tab 5400 260.00 1,404,000.00 260.00 - 500 260.00 130,000.00 4900 260.00 1,274,000.00
373 Tetrasiklin HCl kapsul 250 mg Kap 0 174.00 - 174.00 - 174.00 - 0 174.00 -
374 Tetrasiklin HCl kapsul 500 mg kap 0 - - - 0 -
375 Tiamin HCl (Vitamin B1) inj. 100 mg/ml - 1 ml Amp 0 1,253.96 - 1,253.96 - 1,253.96 - 0 1,253.96 -
376 Tiamin (Vit. B1) tablet 50 mg Tab 1600 98.00 156,800.00 98.00 - 98.00 - 1600 98.00 156,800.00
377 Tiamin (Vit. B1) tablet 50 mg Tab 0 92.00 - 92.00 - 92.00 - 0 92.00 -
378 Triheksifenidil hidroklorida tablet 2 mg Tab 330 63.00 20,790.00 63.00 - 63.00 - 330 63.00 20,790.00
379 Vaksin rabies vero Set 0 - - - 0 -
380 Vitamin B kompleks tablet tab 2700 63.00 170,100.00 63.00 - 600 63.00 37,800.00 2100 63.00 132,300.00
381 Povidon Iodida 10 % 30 ml Btl 0 7,050.00 - 7,050.00 - 7,050.00 - 0 7,050.00 -
382 Povidon Iodida 30 ml Btl 11 6,600.00 72,600.00 6,600.00 - 2 6,600.00 13,200.00 9 6,600.00 59,400.00
383 Yodium povidon larutan 10 % 60 ml Btl 0 5,637.50 - 5,637.50 - 5,637.50 - 0 5,637.50 -
384 Povidon 60 ml Btl 1 5,637.50 5,637.50 5,637.50 - 5,637.50 - 1 5,637.50 5,637.50
385 Povidon 60 ml Btl 5 12,540.00 62,700.00 12,540.00 - 1 12,540.00 12,540.00 4 12,540.00 50,160.00
386 Yodium povidon larutan 10 % 300 ml Btl 2 37,290.00 74,580.00 37,290.00 - 37,290.00 - 2 37,290.00 74,580.00
387 Zink Syrup 20 mg/5 ml Btl 36 2,700.00 97,200.00 2,700.00 - 12 2,700.00 32,400.00 24 2,700.00 64,800.00
388 Zinc Tab 0 631.00 - 631.00 - 631.00 - 0 631.00 -
389 Zinc Sulfat Tab 20 mg Tab 1000 275.00 275,000.00 275.00 - 200 275.00 55,000.00 800 275.00 220,000.00
74,564,055.60 15,570,048.20 12,280,109.60 77,853,994.20 77,853,994.20

Mengetahui Bahari , 27 Agustus 2023

Kepala UPTD Pusk. Bahari
Kabupaten Buton Selatan Pengelola Obat
8,914,550.00
8,855,700.00

MULIANI DUMA, SKM (58,850) (58,850.00) Muh. Ichsan Ramadhan, A.Md.Farm

NIP.19820410 200903 2 007 NIP.19981218 202203 1 004