Daftar Obat BLN Des 2022

PEMERINTAH DAERAH KABUPATEN BREBES
LAMPIRAN STOK OPNAME BARANG

PAKAI HABIS
PUSKESMAS JATIROKEH
PERIODE 01 Dec 2022 S.D. 31 Dec 2022
Gudang - PUSKESMAS JATIROKEH
SALDO AWAL
NO. BARC. NAMA REKENING SAT. HARGA SAT. JML.
JML. HARGA
BARANG
SUMBER DANA : DAK
1 10338 ACETYLCYSTEINE KAPSUL 200 MG Kapsul 301.00 61.00 18,361.00
2 10338 ACETYLCYSTEINE KAPSUL 200 MG Kapsul 304.00 2,400.00 729,600.00
3 10329 ACYCLOVIR TABLET 400 MG Tablet 407.00 421.00 171,347.00
4 20004 Alat suntik sekali pakai 1 ml Buah 646.00 2,012.00 1,299,752.00
5 20005 Alat suntik sekali pakai 10 ml Buah 932.00 264.00 246,048.00
6 20006 Alat suntik sekali pakai 20 ml Buah 1,502.00 94.00 141,188.00
7 20007 Alat suntik sekali pakai 3 ml Buah 652.00 122.00 79,544.00
8 20410 ALKOHOL 95% Liter 27,373.00 15.00 410,595.00
9 10002 ALLOPURINOL 100 MG TABLET Tablet 87.00 300.00 26,100.00
10 10002 ALLOPURINOL 100 MG TABLET Tablet 105.00 175.00 18,375.00
11 10468 ALPRAZOLAM 0,5 MG Tablet 78.00 95.00 7,410.00
12 10007 AMINOFILLIN 200 MG TABLET Tablet 95.00 80.00 7,600.00
13 10012 AMOKSISILIN 125 MG SIRUP KERING Botol 4,107.00 282.00 1,158,174.00
14 10014 AMOKSISILIN 500 MG KAPLET Kaplet 201.00 8,594.00 1,727,394.00
15 10016 ANTASIDA DOEN SUSPENSI Botol 1,679.00 225.00 377,775.00
16 10020 ANTIHAEMOROID DOEN SUPP Sup 3,250.00 49.00 159,250.00
17 10023 ASAM ASKORBAT 50 MG TABLET Tablet 42.00 3,690.00 154,980.00
18 10024 ASAM FOLAT TABLET Tablet 56.00 1,000.00 56,000.00
19 10025 ASAM MAFENAMAT 500 MG KAPT Kaplet 111.00 3,899.00 432,789.00
20 10396 ASETOSAL 80 MG Tablet 89.00 210.00 18,690.00
21 10029 ASIKLOVIR 5 % KRIM Tube 3,773.00 46.00 173,558.00
22 10030 ATROPIN SULFAT INJEKSI Ampul 1,718.00 8.00 13,744.00
23 10035 BETAHISTIN TABLET Tablet 89.00 1,251.00 111,339.00
24 10036 BETAMETASON KRIM Tube 1,540.00 398.00 612,920.00
25 20022 Blood lancet autoclik Buah 12,400.00 1.00 12,400.00

Laporan Neraca Farmasi - halaman 1 dari 9
SALDO AWAL
JML. HARGA
BARANG
26 10038 CAPTOPRIL 12,5 MG TABLET Tablet 66.00 1,055.00 69,630.00
27 10039 CAPTOPRIL 25 MG TABLET Tablet 75.00 4,444.00 333,300.00
28 20028 Catgut Chromic 2/0 Buah 36,500.00 55.00 2,007,500.00
29 20029 Catgut Cromic 3/0 Buah 25,009.00 72.00 1,800,648.00
30 10043 CEFADROXIL 500 MG KAPSUL Kapsul 732.00 2,329.00 1,704,828.00
31 10046 CEFOTAXIME 1G INJEKSI Vial 2,850.00 100.00 285,000.00
32 10047 CEFTRIAXON INJEKSI Ampul 2,745.00 10.00 27,450.00
33 10051 CIPROFLOKSASIN 500 MG TABLET Tablet 248.00 3,292.00 816,416.00
34 20114 Citodur (tambalan sementara) Botol 100,769.00 3.00 302,307.00
35 10054 COTRIMOKSAZOL SUSPENSI Botol 2,100.00 252.00 529,200.00
36 10055 COTRIMOKSAZOL TAB DEWASA Tablet 126.00 525.00 66,150.00
37 10055 COTRIMOKSAZOL TAB DEWASA Tablet 127.00 3,000.00 381,000.00
38 10056 DEKSAMETASON 0,5 MG TABLET Tablet 34.00 8,064.00 274,176.00
39 10056 DEKSAMETASON 0,5 MG TABLET Tablet 64.00 577.00 36,928.00
40 10057 DEKSAMETASON INJEKSI Ampul 924.00 20.00 18,480.00
41 10062 DIAZEPAM INJEKSI Ampul 1,545.00 8.00 12,360.00
42 10069 DOMPERIDON 10 MG TABLET Tablet 166.00 1,000.00 166,000.00
43 10071 DOMPERIDON SUSPENSI Botol 4,496.00 90.00 404,640.00
44 10077 EFINEFRIN INJEKSI Ampul 1,515.00 8.00 12,120.00
45 10093 FITOMENADION 10 MG TABLET Tablet 748.00 836.00 625,328.00
46 10095 FITOMENADION 2 MG/ ML INJEKSI Ampul 1,386.00 111.00 153,846.00
47 20047 Folley cateter 16 Buah 7,865.00 7.00 55,055.00
48 20048 Folley cateter 18 Buah 14,445.00 20.00 288,900.00
49 10100 GARAM ORALIT Sachet 280.00 247.00 69,160.00
50 10268 GENTAMISIN SALEP KULIT Tube 3,885.00 56.00 217,560.00
51 10103 GENTAMISIN TETES MATA Botol 4,520.00 175.00 791,000.00
52 10106 GLIBENKLAMID 5 G TABLET Tablet 83.00 260.00 21,580.00
53 10106 GLIBENKLAMID 5 G TABLET Tablet 144.00 1,000.00 144,000.00
54 10107 GLIMEPIRIDE 1 MG TABLET Tablet 333.00 2,060.00 685,980.00
55 20052 Glukocard Lembar 50,050.00 7.00 350,350.00
56 10110 GLUKOSA 5 % LAR INFUS STERIL Botol 7,363.00 18.00 132,534.00
57 10118 HALOPERIDOL TABLET 5 mg Tablet 54.00 100.00 5,400.00
58 20054 Handscoon L Buah 666.00 1,000.00 666,000.00
59 20055 Handscoon M Buah 666.00 4,142.00 2,758,572.00
60 20056 Handscoon S Buah 666.00 900.00 599,400.00

SALDO AWAL
JML. HARGA
BARANG
61 20612 Handscoon Steril no.7,5 Pasang 4,424.00 50.00 221,200.00
62 10120 HIDROKORTISON 2,5 % KRIM Tube 2,325.00 168.00 390,600.00
63 10120 HIDROKORTISON 2,5 % KRIM Tube 2,475.00 25.00 61,875.00
64 20073 Infusion set anak Set 3,520.00 150.00 528,000.00
65 20073 Infusion set anak Set 6,300.00 100.00 630,000.00
66 20074 Infusion set dewasa Set 6,600.00 421.00 2,778,600.00
67 20077 IV Cateter No. 18 G Buah 4,818.00 150.00 722,700.00
68 20078 IV Cateter No. 20 G Buah 4,818.00 352.00 1,695,936.00
69 20080 IV Cateter No.22 G Buah 4,818.00 400.00 1,927,200.00
70 20081 IV Cateter No.24 G Buah 4,818.00 200.00 963,600.00
71 10127 KALSIUM GLUKONAS INJEKSI Ampul 5,723.00 5.00 28,615.00
72 10128 KALSIUM LAKTAT 500 MG TABLET Tablet 60.00 18,328.00 1,099,680.00
73 20083 Kapas pembalut 250 g Buah 26,036.00 7.00 182,252.00
74 20084 Kapas pembalut 500 g Gulung 27,280.00 5.00 136,400.00
75 20087 Kassa pembalut hidrofil 3,6mx15cm Buah 3,990.00 210.00 837,900.00

Kassa pembalut hidrofil 4mx3cm
76 20089 Gulung 840.00 110.00 92,400.00
elastis
77 20090 Kassa pembelut 2mx80cm Gulung 9,740.00 89.00 866,860.00
78 10134 KLINDAMISIN 300 MG KAPSUL Kapsul 526.00 420.00 220,920.00
79 10135 KLONIDIN 0,15 MG TABLET Tablet 146.00 300.00 43,800.00
80 10137 KLORAMFENIKOL 500 MG KAPSUL Kapsul 1,185.00 1,166.00 1,381,710.00
81 10141 KLORPENIRAMIN M 4 MG TABLET Tablet 24.00 14,684.00 352,416.00
82 10146 LANZOPRAZOL 30 MG KAPSUL Kapsul 278.00 458.00 127,324.00
83 10147 LIDOCAIN 2 % INJEKSI Ampul 847.00 100.00 84,700.00
84 10148 LIDOCAIN COMP INJEKSI Ampul 803.00 200.00 160,600.00
85 20097 Lisol, mengandung kresol 50% Botol 42,735.00 11.00 470,085.00
86 10153 MAGNESIUM SULFAT 20 % INJEKSI Vial 3,580.00 26.00 93,080.00
87 10157 MELOXICAM 15 MG TABLET Tablet 240.00 1,959.00 470,160.00
88 10159 METILERGOMETRIN M INJEKSI Ampul 1,023.00 17.00 17,391.00
89 10161 METILPREDNISOLON TABLET Tablet 102.00 3,293.00 335,886.00
90 10163 METOKLORPRMIDA TABLET Tablet 121.00 600.00 72,600.00
91 10164 METRONIDAZOL 250 MG TABLET Tablet 253.00 558.00 141,174.00
92 10167 MIKONAZOL 2 % KRIM Tube 1,900.00 42.00 79,800.00

MOMETASONE FUROATE KRIM 1
93 10467 Tube 5,743.00 45.00 258,435.00
MG/G
94 20106 Mucus Extractor (25ml) serenity Buah 7,040.00 10.00 70,400.00

SALDO AWAL
JML. HARGA
BARANG
95 10171 Na. DIKLOFENAK 50 MG TABLET Tablet 100.00 4,330.00 433,000.00
96 10172 NaCl LART INFUS STERIL Botol 6,800.00 10.00 68,000.00
97 10174 NIPEDIPIN 10 MG TABLET Tablet 220.00 240.00 52,800.00
98 20110 Non Woven Fixation 5 cm x 10 m Gulung 41,360.00 10.00 413,600.00

OBAT BATUK HERBAL (HERBAKOF
99 10574 Botol 14,402.00 48.00 691,296.00
SIRUP 100ml)
100 10186 OKSITOSIN INJEKSI Ampul 1,126.00 200.00 225,200.00
101 10191 PAPAVERIN 40 MG TABLET Tablet 299.00 430.00 128,570.00
102 10192 PARASETAMOL 500 MG TABLET Tablet 256.00 33,980.00 8,698,880.00
103 10193 PARASETAMOL SIRUP Botol 1,160.00 382.00 443,120.00
104 20419 PHARMAFIX/POLIFIX 10 cm x 500 cm Roll 78,310.00 9.00 704,790.00
105 10203 PIRIDOKSIN 10 MG TABLET Tablet 67.00 4,135.00 277,045.00
106 10320 PIROKSIKAM 10 MG Tablet 135.00 1,850.00 249,750.00

Plester obat/ Cuticell Classic 10
107 20117 Gulung 5,520.00 5.00 27,600.00
cmx10 cm
108 10210 RANITIDIN 150 MG TABLET Tablet 85.00 2,138.00 181,730.00
109 10498 RECO TETES MATA Botol 7,000.00 100.00 700,000.00
110 10222 RINGER LAKTAT LART INFUS STERIL Botol 7,630.00 5,580.00 42,575,400.00
111 10226 SALEP 2 - 4 Pot 1,410.00 61.00 86,010.00
112 10229 SERUM A B U 5 ML Vial 521,833.00 2.00 1,043,666.00
113 10230 SERUM A T S 1.500 UI Ampul 148,531.00 8.00 1,188,248.00
114 20129 Silk balck 3/0 DS 16 mm Buah 22,992.00 24.00 551,808.00
115 10232 SIMVASTATIN 10 MG TABLET Tablet 68.00 1,330.00 90,440.00
116 10234 STESOLID RECTAL Tube 30,063.00 9.00 270,567.00
117 10483 STIMUNO STICKPACK Sachet 1,650.00 271.00 447,150.00
118 10482 SUCRAFATE SIRUP 500 MG/5ML Botol 4,989.00 185.00 922,965.00
119 10484 SUCRAFATE TABLET 500MG Tablet 222.00 570.00 126,540.00
120 10242 THIAMINA HCl 50 MG TABLET Tablet 233.00 9,862.00 2,297,846.00
121 10245 TRIHEXIPENIDIL 2 MG TABLET Tablet 63.00 100.00 6,300.00
122 20150 Urine Bag Buah 7,186.00 27.00 194,022.00
123 10251 VITAMIN B KOMPLEK TABLET Tablet 57.00 12,137.00 691,809.00
JUMLAH DAK 184,227.00 106,310,182.00
SUMBER DANA : APBD I / APBD PROV
1 20001 ADS 0,05 ml Buah 1,465.00 0.00 0.00

SALDO AWAL
JML. HARGA
BARANG
2 20002 ADS 0,5 ml Buah 1,190.00 1,751.00 2,083,690.00
3 20007 Alat suntik sekali pakai 3 ml Buah 569.00 0.00 0.00
4 10017 ANTASIDA DOEN TABLET Tablet 58.00 6,000.00 348,000.00
5 20013 Antiseptic Hand Srub Botol 45,000.00 4.00 180,000.00
6 10022 AQUA PRO INJEKSI Vial 2,860.00 103.00 294,580.00
7 10055 COTRIMOKSAZOL TAB DEWASA Tablet 133.00 449.00 59,717.00
8 10061 DIAZEPAM 5 MG TABLET Tablet 108.00 121.00 13,068.00
9 10074 EFAVIRENZ TABLET 600 MG Tablet 7,050.00 210.00 1,480,500.00
10 20060 HBSAG Strip Test 7,120.00 0.00 0.00
11 10124 ISONIAZIDE 300 MG TABLET Tablet 150.00 200.00 30,000.00
12 10145 LAMIVUDINE TABLET 150 MG Tablet 1,640.00 240.00 393,600.00
13 20404 MASKER KN92 Pcs 40,000.00 100.00 4,000,000.00
14 20102 Masker N95 Buah 19,900.00 100.00 1,990,000.00
15 20102 Masker N95 Buah 89,500.00 40.00 3,580,000.00
16 10155 MDT COMBI MB ADULT Blister 40,128.00 5.00 200,640.00
17 10155 MDT COMBI MB ADULT Blister 49,748.00 0.00 0.00
18 10173 NEVIRAPINE 200 MG TABLET Tablet 2,940.00 1,620.00 4,762,800.00
19 10179 OAT KATEGORI I Paket 416,696.00 0.00 0.00
20 10184 OKSITETRASIKLIN SALEP MATA Tube 3,500.00 91.00 318,500.00
PEWARNA ZIECHL NEALSON

21 10198 Kit 172,527.00 2.00 345,054.00
LARUTAN
22 20122 Pot sputum Buah 2,728.00 220.00 600,160.00
23 10384 RAPID TEST 3 HIV Test 10,500.00 22.00 231,000.00
24 10214 RAPID TEST TAHAP 2 HIV Test 11,500.00 22.00 253,000.00
25 20623 RDT ANTI HCV (HEPATITIS) Test 10,038.00 24.00 240,912.00
26 10219 RETINOL 100.000 IU Kapsul 305.00 32.00 9,760.00
27 10220 RETINOL 200.000 IU Kapsul 553.00 289.00 159,817.00

SALDO AWAL
JML. HARGA
BARANG
28 10236 TABLET TAMBAH DARAH Tablet 226.00 32,910.00 7,437,660.00
29 10512 TDF/3TC/DTG (300/300/50) Tablet 3,499.00 90.00 314,910.00
30 10238 TENOFOVIR TABLET 300 MG Tablet 8,424.00 120.00 1,010,880.00
31 10245 TRIHEXIPENIDIL 2 MG TABLET Tablet 91.00 50.00 4,550.00
TRIPLE FDC DEWASA TABLET

32 10246 TENOVOVIR 300 MG, LAMIVUDINE Tablet 6,800.00 960.00 6,528,000.00
300 MG, EFAVIRENZ 600 MG
ZIDOVUDINE 300 MG + LAMIVUDINE
33 10253 Tablet 3,848.00 1,230.00 4,733,040.00
150 MG
JUMLAH APBD I / APBD PROV 47,005.00 41,603,838.00
SUMBER DANA : APBN

1 20002 ADS 0,5 ml Buah 1,165.00 724.00 843,460.00
2 20614 ADS 0.3 ml Pcs 1,255.00 0.00 0.00
3 20614 ADS 0.3 ml Pcs 1,256.00 900.00 1,130,400.00
4 20003 ADS 5 ml Buah 1,500.00 1,500.00 2,250,000.00
5 10001 ALBENDAZOL TAB Tablet 282.00 90.00 25,380.00
6 20011 Alkohol swab Buah 79.00 0.00 0.00
7 5028 Nacl 0.9 % Pelarut Pfizer Ampul 3,280.00 0.00 0.00
8 20125 Safety box 5 LT Set 1,250.00 100.00 125,000.00
9 5027 Vaksin Covid-19 Pfizer Vial 1,600,000.00 0.00 0.00
10 5039 VAKSIN COVID-19 IndoVac Vial 1,600,000.00 4.00 6,400,000.00
JUMLAH APBN 3,318.00 10,774,240.00
SUMBER DANA : APBD II

1 20011 Alkohol swab Buah 80.00 4,890.00 391,200.00
2 10505 ARCAPEC TABLET Tablet 1,207.00 1,377.00 1,662,039.00
3 10511 BENOSON CREAM Tube 19,745.00 66.00 1,303,170.00
4 10519 CENTABIO GEL 20 gr Tube 23,100.00 20.00 462,000.00
5 10496 CHLORAMFECORT H CREAM Tube 12,650.00 134.00 1,695,100.00
6 20616 Chlorhexidine 0.5% 500 ml Botol 33,000.00 38.00 1,254,000.00
7 10052 CLOZAPINE 25 MG TABLET Tablet 473.00 100.00 47,300.00
8 10493 DEXTRAL TABLET Tablet 596.00 290.00 172,840.00
9 20040 Diluent/ Diatro dil 5 Botol 1,540,000.00 4.00 6,160,000.00
10 20613 Disinfektan cair 5 LITER Botol 684,000.00 4.00 2,736,000.00
11 10069 DOMPERIDON 10 MG TABLET Tablet 341.00 549.00 187,209.00

SALDO AWAL
JML. HARGA
BARANG
12 10073 DULKOLAK TABLET Tablet 1,738.00 456.00 792,528.00
13 20043 Etilclorid Vial 142,975.00 15.00 2,144,625.00
14 4041 Febrile antigen H paratyphi Vial 38,760.00 2.00 77,520.00
15 4045 febrile antigen O-A Paratiphy Vial 38,760.00 7.00 271,320.00
16 10504 FLUANZA PLUS SIRUP Botol 7,480.00 62.00 463,760.00
17 10098 FUROSEMID TABLET Tablet 154.00 417.00 64,218.00
18 10495 GASTRINAL HB SUSPENSI Botol 27,390.00 39.00 1,068,210.00
19 20407 GOWN Pcs 30,000.00 150.00 4,500,000.00
20 10121 IBUPROFEN 200 MG TABLET Tablet 220.00 2,899.00 637,780.00
21 20065 INDOREAGEN EDTA 10% 1x100mL Botol 66,710.00 3.00 200,130.00
22 10500 INTERHISTIN TABLET Tablet 649.00 1,100.00 713,900.00
23 10130 KETOKENAZOL KRIM Tube 4,268.00 104.00 443,872.00
24 20101 Masker Buah 700.00 150.00 105,000.00
25 10508 MOLASMA TABLET Tablet 308.00 1,000.00 308,000.00
26 10517 NEUROTROPIK PLUS TABLET Tablet 968.00 946.00 915,728.00
27 10516 NEUROTROPIK TABLET Tablet 935.00 252.00 235,620.00
28 10428 OBH SYRUP Botol 4,329.00 281.00 1,216,449.00
29 10509 PEHAVRAL TABLET Tablet 981.00 1,000.00 981,000.00
30 10207 PREDNISON 5 MG TABLET Tablet 154.00 1,163.00 179,102.00
31 10510 PRONEURON TABLET Tablet 1,320.00 605.00 798,600.00
32 10498 RECO TETES MATA Botol 7,150.00 21.00 150,150.00
33 10518 RECOVIT PLUS TABLET Kapsul 605.00 1,800.00 1,089,000.00
34 10271 SALBUTAMOL 2 MG TABLET Tablet 99.00 832.00 82,368.00
35 10497 SPASHI 10 mg Tablet 1,859.00 1,260.00 2,342,340.00
36 20603 STERICIDE DISINFECTANT 500 ML Botol 79,200.00 20.00 1,584,000.00
37 20146 Surgical gloves steril 7,0 Pasang 5,900.00 400.00 2,360,000.00
38 20147 Surgical gloves steril 7,5 Pasang 4,400.00 400.00 1,760,000.00
39 10499 TABAS SYRUP Botol 23,650.00 75.00 1,773,750.00
40 10501 THROMBOPHOB JELL Tube 60,500.00 6.00 363,000.00
41 4039 Urine test strip 10 Parameter Box 111,760.00 1.00 111,760.00
42 4040 Urine test strip 3 Parameter Box 86,170.00 8.00 689,360.00
43 10475 VITAMIN D3 Tablet 2,434.00 1,135.00 2,762,590.00
44 10462 ZENOVIT Kapsul 1,818.00 3,715.00 6,753,870.00
JUMLAH APBD II 27,796.00 54,010,408.00

SALDO AWAL
JML. HARGA
BARANG
SUMBER DANA : DAK PROGRAM P2
1 20008 Alat suntik sekali pakai 5 ml Pcs 905.00 284.00 257,020.00
2 20011 Alkohol swab Buah 83.00 58,900.00 4,888,700.00
3 20022 Blood lancet autoclik Buah 8,800.00 589.00 5,183,200.00
4 10305 GLUKOSA STRIP Pcs 158,786.00 1,178.00 187,049,908.00
REAGEN SYPILIS (SD BIOSENSOOR

5 10217 Test 6,624.00 300.00 1,987,200.00
STANDART Q SYPILIS Ab)
6 10557 SD BIOLINE HIV/SYPHILIS DUO Pcs 17,564.00 1,470.00 25,819,080.00
7 20151 White tipe 10 micro Buah 227.10 1,310.00 297,501.00
8 20152 white tipe 200 micro @ 1000 Buah 175.70 3,365.00 591,230.50
JUMLAH DAK PROGRAM P2 67,396.00 226,073,839.50
SUMBER DANA : DBHCHT

1 20102 Masker N95 Buah 40,000.00 30.00 1,200,000.00
2 20162 NURSE CAP Unit 632.00 45.00 28,440.00
3 20405 PETI MATI Pcs 945,000.00 3.00 2,835,000.00
JUMLAH DBHCHT 78.00 4,063,440.00
SUMBER DANA : APBD I PROV (HIBAH KEMANUSIAAN)
1 20404 MASKER KN92 Pcs 77,000.00 13.00 1,001,000.00
JUMLAH APBD I PROV (HIBAH KEMANUSIAAN) 13.00 1,001,000.00
SUMBER DANA : APBD I/ APDD PROV (VAKSIN)
1 5016 HBIG ( HIPERHEP-B) Vial 1,325,000.00 0.00 0.00
2 5001 Vaksin BCG+ Pelarut Vial 97,117.00 116.00 11,265,572.00
3 5001 Vaksin BCG+ Pelarut Vial 97,780.00 3.00 293,340.00
4 5002 Vaksin DPT-HB-Hib Vial 85,102.00 5.00 425,510.00
5 5003 Vaksin DT Vial 34,400.00 25.00 860,000.00
6 5012 Vaksin Hepatitis B (HB-U) Buah 25,840.00 148.00 3,824,320.00
7 5007 Vaksin IPV Vial 157,072.00 32.00 5,026,304.00
Vaksin Measles Rubella (MR) +

8 5005 Vial 169,386.00 98.00 16,599,828.00
Pelarut

SALDO AWAL
JML. HARGA
BARANG
9 5038 VAKSIN PCV Vial 3,400,000.00 22.00 74,800,000.00
10 5006 Vaksin Polio (BOPV) + Dropper Vial 21,494.00 23.00 494,362.00
11 5006 Vaksin Polio (BOPV) + Dropper Vial 21,689.00 0.00 0.00
12 5008 Vaksin TD Vial 18,128.00 5.00 90,640.00
JUMLAH APBD I/ APDD PROV (VAKSIN) 477.00 113,679,876.00
SUMBER DANA : DAK SUIM

1 20585 MASKER HIJAB Pcs 1,045.00 400.00 418,000.00
JUMLAH DAK SUIM 400.00 418,000.00
JUMLAH TOTAL 330,710.00 557,934,823.50
Kepala Puskesmas
Ammah Mustofiyah,S.IKom.,M.Kes
NIP. 19700606 198912 2 001

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PEMERINTAH DAERAH KABUPATEN BREBES

LAMPIRAN STOK OPNAME BARANG

Gudang - PUSKESMAS JATIROKEH

1 10338 ACETYLCYSTEINE KAPSUL 200 MG Kapsul 301.00 61.00 18,361.00

2 10338 ACETYLCYSTEINE KAPSUL 200 MG Kapsul 304.00 2,400.00 729,600.00

3 10329 ACYCLOVIR TABLET 400 MG Tablet 407.00 421.00 171,347.00

4 20004 Alat suntik sekali pakai 1 ml Buah 646.00 2,012.00 1,299,752.00

5 20005 Alat suntik sekali pakai 10 ml Buah 932.00 264.00 246,048.00

6 20006 Alat suntik sekali pakai 20 ml Buah 1,502.00 94.00 141,188.00

7 20007 Alat suntik sekali pakai 3 ml Buah 652.00 122.00 79,544.00

8 20410 ALKOHOL 95% Liter 27,373.00 15.00 410,595.00

9 10002 ALLOPURINOL 100 MG TABLET Tablet 87.00 300.00 26,100.00

10 10002 ALLOPURINOL 100 MG TABLET Tablet 105.00 175.00 18,375.00

11 10468 ALPRAZOLAM 0,5 MG Tablet 78.00 95.00 7,410.00

12 10007 AMINOFILLIN 200 MG TABLET Tablet 95.00 80.00 7,600.00

13 10012 AMOKSISILIN 125 MG SIRUP KERING Botol 4,107.00 282.00 1,158,174.00

14 10014 AMOKSISILIN 500 MG KAPLET Kaplet 201.00 8,594.00 1,727,394.00

15 10016 ANTASIDA DOEN SUSPENSI Botol 1,679.00 225.00 377,775.00

16 10020 ANTIHAEMOROID DOEN SUPP Sup 3,250.00 49.00 159,250.00

17 10023 ASAM ASKORBAT 50 MG TABLET Tablet 42.00 3,690.00 154,980.00

18 10024 ASAM FOLAT TABLET Tablet 56.00 1,000.00 56,000.00

19 10025 ASAM MAFENAMAT 500 MG KAPT Kaplet 111.00 3,899.00 432,789.00

20 10396 ASETOSAL 80 MG Tablet 89.00 210.00 18,690.00

21 10029 ASIKLOVIR 5 % KRIM Tube 3,773.00 46.00 173,558.00

22 10030 ATROPIN SULFAT INJEKSI Ampul 1,718.00 8.00 13,744.00

23 10035 BETAHISTIN TABLET Tablet 89.00 1,251.00 111,339.00

24 10036 BETAMETASON KRIM Tube 1,540.00 398.00 612,920.00

25 20022 Blood lancet autoclik Buah 12,400.00 1.00 12,400.00

27 10039 CAPTOPRIL 25 MG TABLET Tablet 75.00 4,444.00 333,300.00

28 20028 Catgut Chromic 2/0 Buah 36,500.00 55.00 2,007,500.00

29 20029 Catgut Cromic 3/0 Buah 25,009.00 72.00 1,800,648.00

30 10043 CEFADROXIL 500 MG KAPSUL Kapsul 732.00 2,329.00 1,704,828.00

31 10046 CEFOTAXIME 1G INJEKSI Vial 2,850.00 100.00 285,000.00

32 10047 CEFTRIAXON INJEKSI Ampul 2,745.00 10.00 27,450.00

33 10051 CIPROFLOKSASIN 500 MG TABLET Tablet 248.00 3,292.00 816,416.00

34 20114 Citodur (tambalan sementara) Botol 100,769.00 3.00 302,307.00

35 10054 COTRIMOKSAZOL SUSPENSI Botol 2,100.00 252.00 529,200.00

36 10055 COTRIMOKSAZOL TAB DEWASA Tablet 126.00 525.00 66,150.00

37 10055 COTRIMOKSAZOL TAB DEWASA Tablet 127.00 3,000.00 381,000.00

38 10056 DEKSAMETASON 0,5 MG TABLET Tablet 34.00 8,064.00 274,176.00

39 10056 DEKSAMETASON 0,5 MG TABLET Tablet 64.00 577.00 36,928.00

40 10057 DEKSAMETASON INJEKSI Ampul 924.00 20.00 18,480.00

41 10062 DIAZEPAM INJEKSI Ampul 1,545.00 8.00 12,360.00

42 10069 DOMPERIDON 10 MG TABLET Tablet 166.00 1,000.00 166,000.00

43 10071 DOMPERIDON SUSPENSI Botol 4,496.00 90.00 404,640.00

44 10077 EFINEFRIN INJEKSI Ampul 1,515.00 8.00 12,120.00

45 10093 FITOMENADION 10 MG TABLET Tablet 748.00 836.00 625,328.00

46 10095 FITOMENADION 2 MG/ ML INJEKSI Ampul 1,386.00 111.00 153,846.00

47 20047 Folley cateter 16 Buah 7,865.00 7.00 55,055.00

48 20048 Folley cateter 18 Buah 14,445.00 20.00 288,900.00

49 10100 GARAM ORALIT Sachet 280.00 247.00 69,160.00

50 10268 GENTAMISIN SALEP KULIT Tube 3,885.00 56.00 217,560.00

51 10103 GENTAMISIN TETES MATA Botol 4,520.00 175.00 791,000.00

52 10106 GLIBENKLAMID 5 G TABLET Tablet 83.00 260.00 21,580.00

53 10106 GLIBENKLAMID 5 G TABLET Tablet 144.00 1,000.00 144,000.00

54 10107 GLIMEPIRIDE 1 MG TABLET Tablet 333.00 2,060.00 685,980.00

55 20052 Glukocard Lembar 50,050.00 7.00 350,350.00

56 10110 GLUKOSA 5 % LAR INFUS STERIL Botol 7,363.00 18.00 132,534.00

57 10118 HALOPERIDOL TABLET 5 mg Tablet 54.00 100.00 5,400.00

58 20054 Handscoon L Buah 666.00 1,000.00 666,000.00

59 20055 Handscoon M Buah 666.00 4,142.00 2,758,572.00

60 20056 Handscoon S Buah 666.00 900.00 599,400.00

Laporan Neraca Farmasi - halaman 2 dari 9