Laporan Persediaan - LK Tupabbiring

LAPORAN PERSEDIAAN OBAT, VAKSIN DAN BAHAN MEDIS HABIS PAKAI (BMHP)
PUSKESMAS LIUKANG TUPABBIRING

DINAS KESEHATAN KABUPATEN PANGKEP
TAHUN ANGGARAN 2021
STOK AWAL JANUARI 2021 PENERIMAAN JANUARI 2021 PEMAKAIAN JANUARI 2021 SISA PERSEDIAAN 31 JANUARI 2021
NAMA OBAT/BAHAN HABIS PAKAI SATUAN HARGA SATUAN
JUMLAH TOTAL 'HARGA JUMLAH TOTAL 'HARGA JUMLAH TOTAL 'HARGA JUMLAH TOTAL 'HARGA
1 2 3 4 5 6 7 8 9 10 11 12
DAU 1 Albendazol 400 mg tab kotak 30 447.33 0 - - - 0 -
2 Alopurinol tab 100 mg Kotak / 100 tab 143.75 0 - - - 0 -
3 Aminophyllin tablet 200mg tab 86.00 0 - - - 0 -
4 Amitriptyline tablet salut 25 mg (HCl) tab 123.00 0 - - - 0 -
5 Ambroxol tab Tablet 217.55 0 - - - 0 -
7 Amlodipine 10 mg tab Tablet 352.00 0 - - - 0 -
8 Amoksisillin sirup 125 mg/5 ml Botol 2,560.00 0 - - - 0 -
9 Antalgin (Metampiron) tablet 500 mg Kotak / 100 tab 164.20 0 - - - 0 -
11 Anti A Monocloral Blood Grouping Reagents Botol 75,020.00 8 600,160.00 - - 8 600,160.00
12 Anti B Monocloral Blood Grouping Reagents Botol 75,020.00 8 600,160.00 - - 8 600,160.00
13 Anti AB Monocloral Blood Grouping Reagents Botol 101,761.00 8 814,088.00 - - 8 814,088.00
14 Anti D Duocloral Monocloral Botol 125,477.00 8 1,003,816.00 - - 8 1,003,816.00
15 Antasida Doen Kotak / 100 tab 177.31 0 - - - 0 -
16 Asiklovir tablet 400 mg Ktk 10 x 10 tab 622.11 0 - - - 0 -
17 Asam urat Test Strip Botol/25 Strip 276,875.00 0 - - - 0 -
19 Asetil sistein tab 200 mg Tablet 369.00 0 - - - 0 -
20 Alkohol 96% botol 100mL 99,000.00 0 - - - 0 -
21 Alat suntik 3mL Pcs 904.18 0 - - - 0 -
22 Alat suntik 3mL pcs 970.00 0 - - - 0 -
Becefort Tablet 1,536.70 1,800 2,766,060.00 - 300 461,010.00 1,500 2,305,050.00
23 Bioplacenton tulle Box 108,324.00 14 1,516,536.00 - - 14 1,516,536.00
24 Blood lancet box/ 99 138.00 0 - - - 0 -
25 Blood lancet box/ 100 14,400.00 0 - - - 0 -
26 Bufacetin (Kloramfenikol salep kulit 2 %) Tube 3,360.00 0 - - - 0 -
27 Cairan Pembersih Tangan (Handsrub 500mL) Botol 60,800.00 0 - - - 0 -
28 Captopril 25 Ktk 10 x 10 tab 137.75 0 - - - 0 -
29 Clorfenamin Maleat (CTM) Tab 4mg botol/1000 tab 26.40 0 - - - 0 -
31 Difenhidramin inj 10 mg/ml Ampul 1,156.00 0 - - - 0 -
32 dengue test NS1 Box/25 3,300,000.00 0 - - - 0 -
33 Efinefrin (Adrenalin) inj 0,1 sebagai HCl Ampul 1,364.00 0 - - - 0 -
34 Eugenol Botol 10 ml 21,648.00 0 - - - 0 -
35 0 - - - 0 -
Fitomenadion (Vit K1) injeksi 2 mg/ 1 ml Ampul 4,236.00
36 Fokus Febrile Antigen O-A Paratiphy Vial 26,784.00 8 214,272.00 - - 8 214,272.00
37 Fokus Febrile Antigen O-B Paratiphy Vial 26,784.00 8 214,272.00 - - 8 214,272.00
38 Fokus Febrile Antigen O-C Paratiphy Vial 26,784.00 8 214,272.00 - - 8 214,272.00
39 Fokus Febrile Antigen O-D Paratiphy Vial 26,784.00 8 214,272.00 - - 8 214,272.00
40 Fokus Febrile Antigen H-A Paratiphy Vial 26,784.00 8 214,272.00 - - 8 214,272.00
41 Fokus Febrile Antigen H-B Paratiphy Vial 26,784.00 8 214,272.00 - - 8 214,272.00
42 Fokus Febrile Antigen H-C Paratiphy Vial 26,784.00 8 214,272.00 - - 8 214,272.00
43 Fokus Febrile Antigen H Paratiphy Vial 26,784.00 8 214,272.00 - - 8 214,272.00
44 Folley Cathether No 18 (Fosfomed) Pcs 13,570.00 0 - - - 0 -
46 Garam Oralit kombinasi serbuk 200mL air Sachet 317.00 0 - - - 0 -
47 Gliseril Guaicolat tab 100mg botol/1000 tab 41.67 0 - - - 0 -
48 Gliseril Guaicolat tab 100mg Tablet 140.00 0 - - - 0 -
49 Glibenclamid tablet 5 mg box/ 100 tab 79.20 0 - - - 0 -
50 Glukosa Test strip botol/50 strip 252,298.00 0 - - - 0 -
51 Handschoen 7 steril psg 11,432.00 0 - - - 0 -
52 Handschoen 7,5 steril psg 11,432.00 0 - - - 0 -
53 Hidrokortison krim 2,5% Tube 2,648.00 11 29,128.00 - - 11 29,128.00
54 Human humasens plus unit 814,009.50 0 - - - 0 -
55 I.V Catheter 24G (Abbocath) Pcs 16,000.00 0 - - - 0 -
56 I.V Catheter 24G (Abbocath) pcs 16,000.00 0 - - - 0 -
57 I.V Catheter 20G (Abbocath) pcs 16,000.00 35 560,000.00 - - 35 560,000.00
57 Infusion set dewasa pcs 8,547.00 0 - - - 0 -
59 Isoniazid 100mg tab 282.00 0 - - - 0 -
60 Dengue Test IgG/IgM Test 40,290.00 0 - - - 0 -
61 Kalsium Laktat (Kalk) tablet 500 botol / 1000 tab 56.82 0 - - - 0 -
62 Kloramfenikol salep mata 1 % Tube 1,680.00 0 - - - 0 -
63 Kloramfenikol suspensi 125mg/5 ml Botol 4,950.00 0 - - - 0 -
64 Kotrimosazol tab 480mg (dewasa) Tablet 152.00 0 - - - 0 -
65 Kolestrol test strip (human humasens) Dus/ 20 strip 547,300.00 0 - - - 0 -
66 Kolesttrol test strip (human humasens) Dus/ 20 strip 547,319.00 0 - - - 0 -
67 Latex Powder Surgical Gloves 7,0 Psg 11,432.00 0 - - - 0 -
68 Lidocain injk 2% com pehacain Ampul 3,113.05 0 - - - 0 -
69 Lidocain gel 2% Tube 41,600.00 0 - - - 0 -
70 Lidocain spray oral 10% Botol 177,216.00 0 - - - 0 -
71 Natrium klorida larutan infus steril 0,9% Botol 500 ml 6,410.00 0 - - - 0 -
72 Metformin HCl tablet 500 mg Kotak 10 x 10 tab 162.25 0 - - - 0 -
73 Metformin HCl tablet 500 mg Kotak / 100 tab 199.10 0 - - - 0 -
74 Metylergometrin Maleat inj 0.2 mg / ml Ampul 3,712.00 25 92,800.00 - - 25 92,800.00
75 Metronidazole tablet 250 mg Ktk 10 x 10 tab 157.30 0 - - - 0 -
76 Multivitamin syrup (Libex) Botol 60 ml 18,150.00 0 - - - 0 -
77 Nistatin tablet salut 500.000 UI/g Ktk 10 x 10 tab salut 653.40 0 - - - 0 -
78 Nistatin vaginal tablet 100.000 UI/g Ktk 10 x10 tab vaginal 402.93 0 - - - 0 -
79 Nacl 0,9 % Botol 5,170.00 0 - - - 0 -
80 Nacl 0,9 % Botol 6,410.00 0 - - - 0 -
81 Nasal Oksigen Dewasa Pcs 4,600.00 0 - - - 0 -
82 Nasal Oksigen Anak Pcs 4,600.00 0 - - - 0 -
83 Obat Batuk Hitam sirup Botol 24,500.00 0 - - - 0 -
84 Omeprazol kaps20 mg caps 148.00 0 - - - 0 -
85 Oksitetrasiklin HCl salep mata 1% Tube 2,103.20 0 - - - 0 -
86 Otsucath no.24 Pcs / set 14,850.00 9 133,650.00 - - 9 133,650.00
87 Paraformaldehide tablet 1 gram Botol/100tab 62.51 0 - - - 0 -
88 Parasetamol sirup 120 mg/ 5 ml Botol 60 ml 1,535.00 0 - - - 0 -
90 Parasetamol tablet 500 mg Kotak / 100 tab 60.00 0 - - - 0 -
93 Phenylbutazon tab 200mg Botol/1000 tab 88.21 0 - - - 0 -
94 Papaverin tab 40 mg Botol/1000 tab 180.90 0 - - - 0 -
95 Piroksikam tablet 20 mg Kotak 10 x 10 tab 1,144.00 0 - - - 0 -
96 Pitogen injeksi 10 UI/ml-1 ml Ampul 4,840.00 0 - - - 0 -
97 Piridoksin (Vitamin B6) tablet 10 mg (HCl) Botol / 1000 tab 19.03 0 - - - 0 -
98 Pirantel Pamoat tab scored 125 mg TABLET 318.00 0 - - - 0 -
99 Piridoksin (Vitamin B6) tablet 10 mg (HCl) Botol/1000 tab 18.95 0 - - - 0 -
100 Prednison tablet 5 mg Botol / 1000 tab 105.88 0 - - - 0 -
102 Propanolol tablet 10 mg tablet 80.00 0 - - - 0 -
103 Propiltiourasil tablet 100 mg botol 100 tab 314.40 0 - - - 0 -
104 Plester (Leukoplast 7,5 x 4,5 m) Roll 35,532.00 0 - - - 0 -
105 Plester elastic 1624 H Roll 41,499.70 0 - - - 0 -
106 Ranitidin tablet 150 mg TABLET 132.00 0 - - - 0 -
107 Lidocain injk 2% com pehacain ampul 3,113.05 0 - - - 0 -
108 Ringer laktat larutan infus steril Botol 500 ml 5,720.00 0 - - - 0 -
110 Sarung Tangan S Pcs 495.00 0 - - - 0 -
111 Sarung Tangan M Pcs 495.00 0 - - - 0 -
112 sarung tangan steril no. 7,5 pcs 3,630.00 0 - - - 0 -
113 sarung tangan steril no. 7 pcs 3,630.00 0 - - - 0 -
114 Salbutamol tablet 4 mg TABLET 99.00 0 - - - 0 -
116 Salep 2 - 4 kombinasi Pot 30 gr 1,351.90 0 - - - 0 -
117 Salisil Bedak 2% Botol / 50 gr 1,573.00 0 - - - 0 -
118 Sefadroksil kapsul 500 mg Ktk 10 x 10 tab 911.41 0 - - - 0 -
119 Sianokobalamin (Vit. B12) tablet 50 mcg Botol / 1000 tab 21.50 0 - - - 0 -
121 Sianokobalamin (Vit. B12) inj 500 mcg-ml Ampul 1,134.10 0 - - - 0 -
122 Tetrasiklin HCl kapsul 250 mg Botol / 1000 kap 182.16 0 - - - 0 -
123 Tetrasiklin HCl kapsul 500 mg Ktk 10x10 279.83 0 - - - 0 -
124 Thiamin HCl/Mononitrat (Vit.B1) tablet 50 mg Botol / 1000 tab 57.55 0 - - - 0 -
126 Thiamin HCl/Mononitrat (Vit.B1) inj 100mg/ml-1ml Ampul 836.00 0 - - - 0 -
127 Urine Bag pcs 7,935.00 0 - - - 0 -
128 Urine Bag pcs 4,488.00 0 - - - 0 -
129 Vitamin B Kompleks tablet Botol / 1000 tab 22.20 0 - - - 0 -
Total DAU 9,830,574.00 - 461,010.00 9,369,564.00
1 Albendazol tablet 400 mg Tablet 363.00 0 - - - 0 -

2 Albendazol 200mg Suspensi Botol/200 4,600.00 0 - - - 0 -
5 Albendazol tablet 400 mg Tablet 494.00 600 296,400.00 - - 600 296,400.00
6 Alkohol Swab Pcs 242.00 0 - - - 0 -
7 Alat Suntik skali pake 0,5 ml Pcs 1,240.00 0 - - - 0 -
10 Alat Suntik skali pake 5 ml Pcs 1,640.00 100 164,000.00 - 100 164,000.00 0 -
11 Alat Suntik skali pake 5 ml Pcs 1,583.00 100 158,300.00 100 158,300.00 40 63,320.00 160 253,280.00
12 Amitriptiline tablet salut 25mg Tablet 167.00 100 16,700.00 500 83,500.00 - 600 100,200.00
13 Clozapine 25 mg tab Tablet 1,121.00 100 112,100.00 - - 100 112,100.00
14 Dietil Caramazepin (DEC) tablet 100 mg Tablet 104.00 0 - - - 0 -
15 Garam Oralit untuk 200 ml air Sachet 275.00 100 27,500.00 100 27,500.00 - 200 55,000.00
16 Handschoen No. 8 steril psg 6,985.00 0 - - - 0 -
17 Handschoen No. 7.5 steril psg 6,985.00 0 - - - 0 -
18 Handschoen L Pcs 490.00 0 - - - 0 -
19 Kondom Pcs 358.00 0 - - - 0 -
20 Klorpromazine tab salut 100 mg (HCl) Tablet 147.00 200 29,400.00 - - 200 29,400.00
21 Isoniazid 100mg Tablet 145.00 0 - - - 0 -
22 Isoniazid 100mg Tablet 282.00 430 121,260.00 - - 430 121,260.00
23 Obat FDC Kategori 1 Paket 477,791.00 11 5,255,701.00 - 2 955,582.00 9 4,300,119.00
24 Obat FDC Kategori 1 Paket 395,000.00 0 - - - 0 -
25 Obat FDC Kategori 1 Paket 413,984.00 0 - - - 0 -
26 Obat FDC Kategori 2 Paket 1,492,57
SUMBER NO STOK AWAL JANUARI 2021 PENERIMAAN JANUARI 2021 PEMAKAIAN JANUARI 2021 SISA PERSEDIAAN 31 JANUARI 2021
NAMA OBAT/BAHAN HABIS PAKAI SATUAN HARGA SATUAN
DANA URUT
291 I.V. Catheter 20 pcs 13,437.60 0 - - - 0 -
292 I.V. Catheter 20 Pcs 8,566.00 0 - - - 0 -
293 I.V. Catheter 22 pcs 13,437.60 0 - - - 0 -
294 I.V. Catheter 22 Pcs 8,566.00 0 - - - 0 -
295 Kapas pembalut / absorben 250 g Roll 22,500.00 0 - - - 0 -
296 Kapas pembalut / absorben 250 g Bungkus 8,102.60 0 - - - 0 -
298 Kasa Kompres 40/40 steril Roll 2,048.00 0 - - - 0 -
299 Kasa pembalut 2 m x 80 cm Bungkus 14,334.10 0 - - - 0 -
300 Kasa pembalut hidrofil 4 x 10 Roll 3,000.00 0 - - - 0 -
304 Kasa Hidrofil Steril uk. 16 x 16 Kotak (isi 16 lmr) 7,424.00 0 - - - 0 -
305 Kasa Hidrofil uk. 18 x 22 cm KOtak (isi 12 lmr) 4,620.00 0 - - - 0 -
306 Kasa pembalut hidrofil 4 x 5 Roll 960.00 0 - - - 0 -
308 Lidokain Injeksi 2% (HCl) + Epinefrin 1 : 80.000 Ampul 1,250.33 0 - - - 0 -
309 Lisol Botol 1000 ml 52,650.00 0 - - - 0 -
310 Masker Tali Pcs 1,232.00 0 - - - 0 -
311 NaCl 0.9 % Botol 5,390.00 0 - - - 0 -
312 Otsucath No 20 Pcs 14,300.00 0 - - - 0 -
313 Otsucath No 22 Pcs 14,300.00 0 - - - 0 -
314 Otsucath No 24 Pcs 14,300.00 0 - - - 0 -
317 Plester elastic 3x5 1625 H Roll 45,793.00 8 366,344.00 - 8 366,344.00 0 -
318 Pot dahak Transparan pcs 3,325.00 0 - - - 0 -
319 Rivanol Botol 300 ml 1,980.00 0 - - - 0 -
320 Safeglove Exam (s) Box/100 41,600.00 0 - - - 0 -
321 Safeglove Exam (m) Box/100 41,600.00 0 - - - 0 -
322 Safeglove Exam (L) Box/100 41,600.00 0 - - - 0 -
323 Steracath i.v catheter no18G x 32mm Pcs 4,864.00 56 272,384.00 - - 56 272,384.00
324 Steracath i.v catheter no 20G x 11/4 Pcs 4,864.00 0 - - - 0 -
325 Steracath i.v catheter no 22 G x 1 pcs 4,864.00 0 - - - 0 -
326 Steracath i.v catheter no 24 G x 1/2 Pcs 4,864.00 0 - - - 0 -
327 Selang Oksigen Anak Pcs 9,000.00 0 - - - 0 -
328 Selang Oksigen dewasa Pcs 9,000.00 0 - - - 0 -
329 Syringe disposible 3ccx23Gx11/2 Box/100 832.00 0 - - - 0 -
330 Silk (Benang Bedah Sutera) No. 3/0 dengan jarum bedah pcs 3,911.11 0
- - - 0 -
331 Silk (Benang Bedah Sutera) No. 3/0 dengan jarum bedah Roll 7,680.20 0
- - - 0 -
332 Widal Test Kotak 517,633.60 0 - - - 0 -
333 Yodium Povidon larutan 10% 30 ml Botol 2,200.00 0 - - - 0 -
Total DAK 14,445,685.34 6,017,630.00 3,965,933.30 16,497,382.04
KESGA 1 Albendazol 400 mg tab/tab kunyah Kotak 5 x 6 tab 447.33 0 - - - 0 -

2 Calcii gluconas inj 10% ampul 9,955.00 0 - - - 0 -
4 MgSO4Inj 40% Botol 178.56 0 - - - 0 -
5 MgSO4Inj 40% botol 3,796.00 - - -
6 Diazepam inj. 5mg/ Ampul @ 2 ml 2,578.00 0 - - - 0 -
7 Fenobarbital injek Ampul 2,265.00 78 176,670.00 - - 78 176,670.00
8 Diazepam inj. 5mg/ml Ampul @ 2 ml 2,604.87 0 - - - 0 -
9 Vitamin K1/Phytomenadion inj.10 Ampul 3,754.00 15 56,310.00 - - 15 56,310.00
10 Vitamin A Bayi (biru) Botol/50 caps 286.00 0 - - - 0 -
12 Vitamin A Bayi (biru) Botol/50 caps 16,350.00 0 - - - 0 -
14 Vitamin A Balita ( merah) Botol/50 caps 25,960.00 0 - - - 0 -
15 Vitamin A Balita ( merah) Botol/50 caps 583.00 0 - - - 0 -
18 Tablet tambah darah Tablet 409.00 2,220 907,980.00 - 960 392,640.00 1,260 515,340.00
19 Tablet tambah darah Tablet 367.00 0 - - - 0 -
20 Gentamisin inj 40 mg/ml Ampul @ 2 ml 16,995.45 0 - - - 0 -
21 mineral mix sachet Sachet 2,550.00 0 - - - 0 -
22 mineral mix sachet Sachet 2,920.00 120 350,400.00 - - 120 350,400.00
Total KESGA 1,491,360.00 - 392,640.00 0 1,098,720.00
ASKES 1 steril Pcs 5,500.00 0 - - - 0 -

2 Micropore Dispenser Pcs 11,550.00 0 - - - 0 -
Total ASKES - - - -
1 Alat suntik skali pake 0.05ml Pcs 1,492.13 0 - - - 0 -

2 Alat suntik 3 cc (Abada) Pcs 887.70 60 53,262.00 200 177,540.00 145 128,716.50 115 102,085.50
3 Anios Gel 85 Botol 88,678.66 0 - - - 0 -
4 Catgut 3/0 Pcs 51,290.00 12 615,480.00 - - 12 615,480.00
5 Dermafix S IV (Onemed) Botol 57,471.109 0 - - - 0 -
6 Examination Gloves Size M Pcs 508.20 0 - - - 0 -
7 Nipro infuset dewasa pcs 5,721.25 0 - - - 0 -
9 Handschoen no 6,5 steril psg 8,487.66 0 - - - 0 -
10 Handschoen no 7 steril psg 8,482.00 0 - - - 0 -
12 Handschoen Non steril M psg 508.20 0 - - - 0 -
13 Handschoen Non steril L psg 508.20 0 - - - 0 -
14 IV catheter 20G x 1 1/2 (Steracath) pcs 4,256.00 0 - - - 0 -
16 IV catheter 22G x 1 1/2 (Steracath) pcs 6,455.90 120 774,708.00 100 645,590.00 - 220 1,420,298.00
17 IV catheter 24G x 3/4 (Steracath) pcs 4,256.00 100 425,600.00 - - 100 425,600.00
18 IV catheter 24G x 3/4 (Steracath) Pcs 6,455.90 170 1,097,503.00 - - 170 1,097,503.00
19 Infuset anak pcs 5,566.00 22 122,452.00 100 556,600.00 - 122 679,052.00
20 Infuset Dewasa Pcs 8,547.00 0 - 100 854,700.00 - 100 854,700.00
21 Folley Catheter 2 Way No. 16 (Urocare) pcs 8,960.00 0 - - - 0 -
23 Kasa 40m x 80 cm Roll 129,375.00 0 - - - 0 -
24 Kasa 40m x 80 cm Roll 143,022.00 6 858,132.00 4 572,088.00 2 286,044.00 8 1,144,176.00
25 Kasa 16 x 16 Steril Kotak 5 x 6 tab 4,114.00 38 156,332.00 50 205,700.00 - 88 362,032.00
26 Onemed Alcohol Swab Box 11,200.00 0 - - - 0 -
BMHP E- 27 Onemed Alcohol 70% 1L Botol 25,155.00 0 - - - 0 -
Cat DAK
28 Onemed Aseptan 500cc + pump Btl 35,100.00 0 - - - 0 -
29 Onelab objk Glass Frosted 7105 box isi 72 Box 23,237.48 0 - - - 0 -
30 Onemed Blood Lancet Box 16,313.92 0 - - - 0 -
31 Onemed Dermafix S IV Box/25 2,298.84 8 18,390.76 - - 8 18,390.76
32 Onemed Gluco Protein Pcs 1,170.40 0 - - - 0 -
33 Onemed Povodone iodine 30 ml Btl 3,393.00 11 37,323.00 - - 11 37,323.00
34 Onemed Povodone iodine 300 ml Btl 21,060.00 0 - - - 0 -
35 Onemed rivanol 300 cc Btl 2,983.50 0 - - - 0 -
36 Onemed surgical mask plus 3Ply Plus Box 24,640.00 0 - - - 0 -
38 Onemed kasa pembalut hydrofil 4mx3cm roll 660.80 0 - - - 0 -
39 Onemed Kasa kompres steril 40x40 Pcs 1,792.00 0 - - - 0 -
40 onemed ultraone Tes Kehamilan Pcs 2,132.90 0 - - - 0 -
41 Nasal Canula Adult Pcs 7,502.00 4 30,008.00 - 4 30,008.00 0 -
42 Nasal Canula Child Pcs 7,502.00 3 22,506.00 10 75,020.00 - 13 97,526.00
43 Nasal Canula Neonite Pcs 7,502.00 0 - - - 0 -
44 Nebuliser Mask Adult Pcs 16,032.50 5 80,162.50 - 1 16,032.50 4 64,130.00
45 Nebuliser Mask Pediatric Pcs 16,032.50 5 80,162.50 - - 5 80,162.50
46 Plester 3 x 5 H Leukoplast Roll 50,600.00 0 - - - 0 -
47 Polipix 5 cm x 5 m Roll 41,100.00 0 - 5 205,500.00 - 5 205,500.00
48 Stera Syringe 1 cc Pcs 728.00 70 50,960.00 - - 70 50,960.00
49 Stera Syringe 3 cc Pcs 728.00 0 - - - 0 -
51 Urocare folley cateter 2 way no 18 Pcs 8,960.00 0 - - - 0 -
52 Urine bag Pcs 5,405.00 0 - - - 0 -
53 Urine bag Pcs 5,864.00 0 - - - 0 -
Total DAK BMHP 4,422,981.76 3,292,738.00 460,801.00 7,254,918.76
2,332.00 0 - - - 0 -
1 Becefort tab Box/100 tab
3,234.00 0 - - - 0 -
2 Bio ATP Box/100 tab
63,103.00 0 - - - 0 -
3 Catgut 3/0 Pcs
55,000.00 0 - - - 0 -
4 Cairan Pembersih tangan botol
1,078.00 0 - - - 0 -
5 Heafort tab Box/100 tab
429.00 0 - - - 0 -
6 Hustab tab Box/300 tab
470.50 0 - - - 0 -
7 Handscoen non steril S pcs
470.50 0 - - - 0 -
8 Handscoen non steril L pcs
DBHCHT
470.50 0 - - - 0 -
9 Handscoen non steril M pcs
464.64 0 - - - 0 -
464.64 0 - - - 0 -
464.64 0 - - - 0 -
5,775.00 0 - - - 0 -
13 IV Cateter 22G (Nipro) Pcs
4,774.00 0 - - - 0 -
14 Methisholprinol tab 500 mg Box/50 tab
3,300.00 0 - - - 0 -
15 Pot Dahak Pcs
Total DBHCHT - - - -
1 Ampisillin serbuk inj 1000 mg/ml (Kesbu) Vial 9,473.00 0 - - - 0 -

2 Calcii Gluconas injeksi 10% Ampul 10,351.00 0 - - - 0 -
3 Diazepam injeksi 5mg/ml ampul 2 ml 3,310.00 0 - - - 0 -
4 Gentamisin injeksi 40mg/ml ampul 2 ml 4,036.00 0 - - - 0 -
5 MgS04 Inj 40% Ampul 3,796.00 0 - - - 0 -
KESMAS
6 Oksitoksin Injeksi ampul 1,199.00 0 - - - 0 -
7 Oksitoksin Injeksi ampul 1,232.00 0 - - 0 -
8 Vit A Balita (Biru) Kapsul 354.00 0 - - - 0 -
9 Vit A Balita (Merah) Kapsul 637.00 0 - - - 0 -
TOTAL KESMAS - - - -
1 Kasa pembalut 2 x 80 cm 9,856 100 985,600 - - 100 985,600.00

BHP
KESGRA 2 Kasa pembalut 2 x 80 cm 14,334.10 90 1,290,069 - 10 143,341.00 80 1,146,728.00
bungkus
0 2,275,669.00 - 143,341.00 2,132,328.00
Total BHP KESGRA
TO TAL 0 70,966,182.75 11,983,048.00 6,724,427.30 76,224,803.45
s
Mengetahui, Pulau Balang Lompo, 31 Januari 2021
Kepala Puskesmas Liukang Tupabbiring
dr.H. Muhammad Ishaq Muhammad Thoha, S.Si, Apt

NIP. 19790115 200604 1 010 NIP. 19930409 201903 1 002
TAHUN ANGGARAN 2021
STOK AWAL FEBRUARI 2021 PENERIMAAN FEBRUARI 2021 PEMAKAIAN FEBRUARI 2021 SISA PERSEDIAAN 28 FEBRUARI 2021
SUMBER DANA NAMA OBAT/BAHAN HABIS PAKAI SATUAN HARGA SATUAN
1 2 3 4 5 6 7 8 9 10 11 12
20 Alkohol 96% botol 100mL 99,000.00 0 - - - 0 -
23 Becefort Tablet 1,536.70 1,500 2,305,050.00 - 1000 1,536,700.00 500 768,350.00
25 Blood lancet box/ 99 138.00 0 - - - 0 -
26 Blood lancet box/ 100 14,400.00 0 - - - 0 -
35 Eugenol Botol 10 ml 21,648.00 0 - - - 0 -
36 0 - - - 0 -
54 Hidrokortison krim 2,5% Tube 2,648.00 11 29,128.00 - 10 26,480.00 1 2,648.00
58 I.V Catheter 20G (Abbocath) pcs 16,000.00 35 560,000.00 100 1,600,000.00 - 135 2,160,000.00
61 Isoniazid 100mg tab 282.00 0 - - - 0 -
81 Nacl 0,9 % Botol 5,170.00 0 - - - 0 -
82 Nacl 0,9 % Botol 6,410.00 0 - - - 0 -
129 Urine Bag pcs 7,935.00 0 - - - 0 -
130 Urine Bag pcs 4,488.00 0 - - - 0 -
Total DAU 9,369,564.00 1,600,000.00 1,563,180.00 9,406,384.00 9,406,384.00

2 Albendazol 200mg Suspensi Botol/200 4,600.00 0 - 100 460,000.00 - 100 460,000.00
3 Albendazol tablet 400 mg Tablet 431.00 0 - 1196 515,476.00 - 1,196 515,476.00
5 Albendazol tablet 400 mg Tablet 494.00 600 296,400.00 - 600 296,400.00 0 -
6 Alkohol Swab Pcs 242.00 0 - - - 0 -
8 Alat Suntik skali pake 0,5 ml Pcs 1,650.00 0 - 500 825,000.00 - 500 825,000.00
10 Alat Suntik skali pake 5 ml Pcs 1,640.00 0 - - - 0 -
11 Alat Suntik skali pake 5 ml Pcs 1,583.00 160 253,280.00 - - 160 253,280.00
12 Amitriptiline tablet salut 25mg Tablet 167.00 600 100,200.00 - 220 36,740.00 380 63,460.00
PROGRAM P2PL
15 Garam Oralit untuk 200 ml air Sachet 275.00 200 55,000.00 - 120 33,000.00 80 22,000.00
18 Handschoen L Pcs 490.00 0 - - - 0 -
19 Kondom Pcs 358.00 0 - - - 0 -
20 Klorpromazine tab salut 100 mg (HCl) Tablet 147.00 200 29,400.00
SUMBER DANA NO NAMA OBAT/BAHAN HABIS PAKAI SATUAN HARGA SATUAN
URUT
40 Asam Mefenamat kaplet 500 mg Tablet 113.00 0 - - - 0 -

41 Asiklovir tab 400mg Tablet 425.00 0 - - - 0 -
42 Asetil sistein 200mg Tablet 908.00 0 - - - 0 -
43 Alkohol Swab Box 11,200.00 18 201,600.00 - - 18 201,600.00
44 Alkohol 70% 1 Liter Botol 27,500.00 0 - - - 0 -
45 Asering Botol 500 ml 9,275.00 0 - - - 0 -
46 Asering Botol 500 ml 9,646.00 0 - - - 0 -
47 alat suntik 1cc Pcs 728.00 0 - - - 0 -
48 alat suntik 3cc (stera) Pcs 728.00 0 - - - 0 -
49 Alat suntik 5cc luerlock with needle 22Gx1 1/2 (Nipro) Pcs 1,126 0 - - - 0 -
50 Alat suntik 5cc Pcs 840.00 0 - - - 0 -
52 Bisakodil Suppositoria 5 mg Suppositoria 6,000.00 0 - - - 0 -
53 Bisakodil tab 5mg Tablet 337.00 0 - - - 0 -
54 Bisakodil Suppositoria 10mg Suppositoria 5,900.00 0 - - - 0 -
55 Bedak salisil serbuk 2 % Kotak 50gram 1,066.00 0 - - - 0 -
56 Bufacetin cloramfenicol Tube 3,409.00 0 - - - 0 -
57 Betametason krim 0,1% Tube 1,515.00 0 - - - 0 -
60 Captopril tablet 12,5 mg Kotak / 100 tab 98.01 0 - - - 0 -
61 Cetirizine Syr Botol 3,061.00 6 18,366.00 - 6 18,366.00 0 -
62 Cetirizine Syr Botol 7,756.00 0 - - - 0 -
63 Captopril tablet 25 mg Tablet 80.00 0 - - - 0 -
65 Ciprofloxacin tablet 500 mg Tablet 298.00 0 - - - 0 -
66 Ciprofloxacin tablet 500 mg Tablet 281.00 900 252,900.00 - 900 252,900.00 0 -
67 Cotrimoksazol suspensi 240/5ml Botol 2,225.00 0 - - - 0 -
68 Cotrimoksazol suspensi Botol 60 ml 2,052.00 0 - - - 0 -
70 Cotrimoksazol DOEN (Dewasa) kombinasi Tablet 152.00 0 - - - 0 -
73 Cloramfenicol salep mata tube 2,013.00 127 255,651.00 - 127 255,651.00 0 -
74 Cloramfenicol salep mata Tube 1,850.00 81 149,850.00 - 81 149,850.00 0 -
75 Cotrimoksazol DOEN (Pediatrik) Tablet 83.49 0 - - - 0 -
76 Combivent UDV Vial 4,550.00 0 - - - 0 -
77 Deksametason tablet 0,5 mg Tablet 74.00 0 - - - 0 -
81 Dekstrometorfan HBr sirup 10 mg/5 ml Botol 60 ml 3,150.40 0 - - - 0 -
82 Deksametason inj 5 mg/ml-1ml Ampul 2,180.20 5 10,901.00 - 5 10,901.00 0 -
83 Deksametason inj 5 mg/ml-1ml Ampul 2,191.19 0 - - - 0 -
84 Deksametason inj Ampul 1,210.00 0 - - - 0 -
85 Dekstrometorphan HBr tablet 15 mg Kotak / 100 tab 119.79 0 - - - 0 -
86 Disposible safety box 5 liter Buah 18,000.00 20 360,000.00 - 1 18,000.00 19 342,000.00
87 Difenhidramin HCL injek Ampul 1,354.00 0 - - - 0 -
88 Difenhidramin HCL injek Ampul 1,261.00 5 6,305.00 - - 5 6,305.00
89 Diazepam tablet 2mg botol 86.00 0 - - - 0 -
90 Diazepam tablet 2mg Botol/100 tab 47.00 0 - - - 0 -
91 Diazepam inj 5mg/ml-2ml Ampul 1,913.00 0 - - - 0 -
93 Domperidon suspensi 5mg Botol 2,862.00 0 - - - 0 -
94 Domperidon Tablet 1mg Tablet 90.00 0 - - - 0 -
95 Ergotamin 1 mg + caffein 50 mg tab Tablet 199.00 100 19,900.00 - 6 1,194.00 94 18,706.00
96 Examination Gloves Size L Pcs 508.20 0 - - - 0 -
98 Efinefrin (Adrenalin ) injek 1mg/ml Ampul 2,354.00 0 - - - 0 -
99 Efinefrin (Adrenalin ) injek 1mg/ml Ampul 1,518.00 30 45,540.00 - 30 45,540.00 0 -
100 Etil clorida semprot Botol100ml 115,500.00 0 - - - 0 -
101 Eritromiosin 500mg kapsul 766.00 600 459,600.00 - - 600 459,600.00
102 Folley Cathether Two Way No 16 (Eurocare) Pcs 8,960.00 0 - - - 0 -
103 Fitomenadion (Vit K1) inj 10mg/ml-1 kotak 30 Ampul 1,904.39 0 - - - 0 -
104 Fitomenadion (Vit K1) inj 10mg/ml-2 kotak 30 Ampul 4,236.00 4 16,944.00 - - 4 16,944.00
105 Fitomenadion (Vit K1) inj 10mg/ml-1 kotak 30 Ampul 796.00 0 - - - 0 -
106 Fitomenadion (Vit K1) tablet salut gula 10 mg Tablet 690.00 0 - - - 0 -
108 Fenobarbital tablet Tablet 197.00 0 - - - 0 -
109 Fenobarbital tablet Tablet 177.00 88 15,576.00 - 88 15,576.00 0 -
110 Furosemid tablet 40 mg Tablet 88.00 0 - - - 0 -
113 Furosemid tablet 40 mg Kotak 100 tab 112.29 0 - - - 0 -
114 Garam oralit Sachet 317.00 0 - - - 0 -
115 Garam oralit kombinasi Sachet 275.00 0 - - - 0 -
116 Garam oralit kombinasi Kotak 100 sach 274.00 0 - - - 0 -
117 Glass ionomert ART Buah 606,900.00 0 - - - 0 -
118 Glukosa larutan infus steril 5% Botol 5,720.00 0 - - - 0 -
120 Glukosa larutan infus steril 5% Botol 7,363.00 20 147,260.00 - - 20 147,260.00
121 Glimepirid tab 2mg Tablet 297.00 2,210 656,370.00 - 1260 374,220.00 950 282,150.00
122 Gliseril Guaiakolat tablet 100 mg Botol / 1000 tab 228.00 0 - - - 0 -
124 Gliseril Guaiakolat tablet 100 mg kotak 146,003.00 0 - - - 0 -
125 Gliseril Guaiakolat tablet 100 mg (Guaiafenesin) kotak 14,600.30 34 496,410.20 - - 34 496,410.20
126 Griseofulvin tab 125 mg Tablet 223.00 100 22,300.00 - 100 22,300.00 0 -
127 Griseofulvin tab 125 mg Tablet 238.00 1,000 238,000.00 - 1000 238,000.00 0 -
128 Griseofulvin tab 125 mg Tablet 241.00 0 - - - 0 -
129 Haloperidol tab 2 mg (Iodomer) Tablet 90.00 290 26,100.00 - 137 12,330.00 153 13,770.00
130 Hidrokortison krim 2,5% Tube 2,812.00 0 - - - 0 -
133 Hiosina Butilbromida tablet 10 mg (Scopamin) Tab 2,329.80 550 1,281,390.00 - - 550 1,281,390.00
134 Handscoen No 6,5 Psg 8,487.66 0 - - - 0 -
135 infuset anak (PKD 2) Set 6,930.00 0 - - - 0 -
136 Ibuprofen tablet 200 mg Tablet 112.00 0 - - - 0 -
138 Ibu profen 400 mg Tablet 133.00 0 - - - 0 -
139 Isosorbid dinitrat Tablet 93.00 100 9,300.00 - - 100 9,300.00
141 Ibuprofen suspensi 100mg/5ml Botol 2,560.00 0 - - - 0 -
142 IV Catheter 18G x 1 1/4 (Steracath) Pcs 4,256.00 0 - - - 0 -
143 IV Catheter 20G x 1 1/4 (Nipro) Pcs 8,070.70 0 - - - 0 -
144 IV Catheter 20G x 1 1/4 (Steracath) Pcs 4,256.00 90 383,040.00 - - 90 383,040.00
146 IV Catheter 24G x 3/4 (Steracath) Pcs 4,256.00 0 - - - 0 -
147 Kapas Pembalut Bungkus /1kg 60,830.00 0 - - - 0 -
148 Kasa Pembalut 4 m x 10 cm (Onemed) Roll 1,680.00 0 - - - 0 -
149 Kasa 40m X 80cm Roll 129,375.00 0 - - - 0 -
150 Kasa Pembalut Hidrofil l uk. 4 m x 3 cm (Onemed) Roll 660.80 0 - - - 0 -
152 Kasa kompres steril 40m x 40cm Bungkus 1,700.00 0 - - - 0 -
153 Kalsium laktat tablet 500 mg Tablet 82.00 100 8,200.00 - 100 8,200.00 0 -
154 Kalsium laktat tablet 500 mg Botol / 1000 tab 56.62 0 - - - 0 -
155 Ketokonazol tablet 200 mg Tablet 572.00 0 - - - 0 -
156 Ketokonazol tablet 200 mg Tablet 305.00 1,950 594,750.00 - - 1,950 594,750.00
158 Klorfeniramin Maleat (CTM) tablet 4 mg Tablet 45.00 0 - - - 0 -
160 Klorfeniramin Maleat (CTM) tablet 4 mg Botol / 1000 tab 26.27 0 - - - 0 -
161 kloramfenikol kapsul 250 mg botol /250 kaps 254.10 0 - - - 0 -
162 kloramfenikol salep mata 1 % Tube 2,013.00 0 - - - 0 -
163 Loperamide tab 2 mg Tablet 97.00 0 - - - 0 -
164 Loratadine tablet Tablet 127.00 1,000 127,000.00 - 500 63,500.00 500 63,500.00
165 Lidocain comp inj ampul 1,317.00 0 - - - 0 -
166 Lidocain injeksi ampul 2,122.00 0 - - - 0 -
167 Lidocain injeksi ampul 1,405.00 0 - 180 252,900.00 - 180 252,900.00
167 Klorpromazine tablet salut 100mg tablet 165.00 100 16,500.00 - 10 1,650.00 90 14,850.00
168 Masker Tali Box 31,165.00 0 - - - 0 -
169 Mikonazol krim Tube 3,926.00 0 - - - 0 -
170 MgSO4 40% Ampul 3,796.00 0 - - - 0 -
171 MgSO4 20% Ampul 3,200.00 0 - - - 0 -
172 Metronidazol tablet 500mg Tablet 140.00 0 - - - 0 -
173 Metformin HCL tablet 500mg Tablet 115.00 0 - - - 0 -
177 Metoklopramide Botol 2,750.00 0 - - - 0 -
178 Metoklopramide tablet 10 mg Tablet 100.00 300 30,000.00 - - 300 30,000.00
179 Metoklopramide tablet 10 mg Tablet 119.79 0 - - - 0 -
180 Metilergometrin tab 0,125mg Tablet 245.00 200 49,000.00 - - 200 49,000.00
181 Natrium diklofenak tablet 50 mg Ktk / 50 tablet 237.05 0 - - - 0 -
182 Natrium diklofenak tablet 50 mg Tablet 193.00 0 - - - 0 -
185 Natrium Klorida larutan infus steril 0,9% Botol 500 ml 6,840.00 55 376,200.00 - - 55 376,200.00
186 Natrium Klorida larutan infus steril 0,9% Botol 500 ml 5,390.00 0 - - - 0 -
187 Nifedipin tablet Tablet 123.00 400 49,200.00 - 400 49,200.00 0 -
188 Nistatin tab 500.000iu Tablet 910.00 98 89,180.00 - - 98 89,180.00
189 Obat Antituberkulosis FDC Kategori 1 Paket 395,900.00 0 - - - 0 -
190 Obat Batuk Hitam (OBH) Botol 100 ml 1,557.60 0 - - - 0 -
191 Obat Batuk Hitam (OBH) Botol 100 ml 1,540.00 0 - - - 0
URUT
288 Handschoen No. 7,5 steril Pcs 4,675.00 0 - - - 0 -

289 Infusion set dewasa Set/Kantong 4,096.00 0 - - - 0 -
291 infusion set anak Set/Kantong 4,480.00 0 - - - 0 -
293 I.V. Catheter 20 pcs 13,437.60 0 - - - 0 -
294 I.V. Catheter 20 Pcs 8,566.00 0 - - - 0 -
295 I.V. Catheter 22 pcs 13,437.60 0 - - - 0 -
296 I.V. Catheter 22 Pcs 8,566.00 0 - - - 0 -
311 Lisol Botol 1000 ml 52,650.00 0 - - - 0 -
312 Masker Tali Pcs 1,232.00 0 - - - 0 -
313 NaCl 0.9 % Botol 5,390.00 0 - - - 0 -
314 Otsucath No 20 Pcs 14,300.00 0 - - - 0 -
315 Otsucath No 22 Pcs 14,300.00 0 - - - 0 -
316 Otsucath No 24 Pcs 14,300.00 0 - - - 0 -
319 Plester elastic 3x5 1625 H Roll 45,793.00 0 - - - 0 -
321 Rivanol Botol 300 ml 1,980.00 0 - - - 0 -
325 Steracath i.v catheter no18G x 32mm Pcs 4,864.00 56 272,384.00 - - 56 272,384.00
- - - 0 -
- - - 0 -
334 Widal Test Kotak 517,633.60 0 - - - 0 -
Total DAK 16,497,382.04 4,633,660.00 6,541,329.44 14,589,712.60 14,589,712.60

4 MgSO4Inj 40% Botol 178.56 0 - - - 0 -
5 MgSO4Inj 40% botol 3,796.00 0 - - -
7 Fenobarbital injek Ampul 2,265.00 78 176,670.00 - - 78 176,670.00
18 Tablet tambah darah Tablet 409.00 1,260 515,340.00 - 1260 515,340.00 0 -
Total KESGA 1,098,720.00 - 515,340.00 0 583,380.00 583,380.00
ASKES 1 steril Pcs 5,500.00 0 - - - 0 -

Total ASKES - - - -

3 Anios Gel 85 Botol 88,678.66 0 - - - 0 -
4 Catgut 3/0 Pcs 51,290.00 12 615,480.00 - 12 615,480.00 0 -
16 IV catheter 22G x 1 1/2 (Steracath) pcs 6,455.90 220 1,420,298.00 100 645,590.00 - 320 2,065,888.00
18 IV catheter 24G x 3/4 (Steracath) Pcs 6,455.90 170 1,097,503.00 100 645,590.00 - 270 1,743,093.00
19 Infuset anak pcs 5,566.00 122 679,052.00 - 15 83,490.00 107 595,562.00
20 Infuset Dewasa Pcs 8,547.00 100 854,700.00 - 25 213,675.00 75 641,025.00
23 Kasa 40m x 80 cm Roll 129,375.00 0 - - - 0 -
24 Kasa 40m x 80 cm Roll 143,022.00 8 1,144,176.00 5 715,110.00 - 13 1,859,286.00
25 Kasa 16 x 16 Steril Kotak 5 x 6 tab 4,114.00 88 362,032.00 - 18 74,052.00 70 287,980.00
BMHP E-Cat DAK 27 Onemed Alcohol 70% 1L Botol 25,155.00 0 - - - 0 -
33 Onemed Povodone iodine 30 ml Btl 3,393.00 11 37,323.00 - 11 37,323.00 0 -
41 Nasal Canula Adult Pcs 7,502.00 0 - - - 0 -
42 Nasal Canula Child Pcs 7,502.00 13 97,526.00 - - 13 97,526.00
44 Nebuliser Mask Adult Pcs 16,032.50 4 64,130.00 - - 4 64,130.00
47 Polipix 5 cm x 5 m Roll 41,100.00 5 205,500.00 - 5 205,500.00 0 -
48 Stera Syringe 1 cc Pcs 728.00 70 50,960.00 - - 70 50,960.00
52 Urine bag Pcs 5,405.00 0 - - - 0 -
53 Urine bag Pcs 5,864.00 0 - - - 0 -
Total DAK BMHP 7,254,918.76 2,095,060.00 1,331,605.50 8,018,373.26 8,018,373.26
2,332.00 0 - - - 0 -
3,234.00 0 - - - 0 -
63,103.00 0 - - - 0 -
3 Catgut 3/0 Pcs
55,000.00 0 - - - 0 -
1,078.00 0 - - - 0 -
429.00 0 - - - 0 -
470.50 0 - - - 0 -
DBHCHT 470.50 0 - 500 235,250.00 - 500 235,250.000
470.50 0 - 500 235,250.00 - 500 235,250.000
464.64 0 - - - 0 -
464.64 0 - - - 0 -
464.64 0 - - - 0 -
5,775.00 0 - - - 0 -
4,774.00 0 - - - 0 -
3,300.00 0 - - - 0 -
15 Pot Dahak Pcs
Total DBHCHT - 470,500.00 - 470,500.00 470,500.00

5 MgS04 Inj 40% Ampul 3,796.00 0 - - - 0 -
6 Metilergometrin Injeksi 0,200mg Amp 2 mL 3,399.00 0 - 37 125,763.00 - 37 125,763.00
KESMAS 7 Oksitetrasiklin 1% Salep Mata Tube 2,600.00 0 - 50 130,000.00 - 50 130,000.00
9 Oksitoksin Injeksi ampul 1,232.00 0 - - 0 -
10 Tablet Tambah Darah Tablet 409.00 0 3000 1,227,000.00 2070 846,630.00 930 380,370.00
12 Vit A Balita (Merah) Kapsul 637.00 0 - - - 0 -
TOTAL KESMAS
TAHUN ANGGARAN 2021
STOK AWAL MARET 2021 PENERIMAAN MARET 2021 PEMAKAIAN MARET 2021 SISA PERSEDIAAN 31 MARET 2021
1 2 3 4 5 6 7 8 9 10 11 12
20 Alkohol 96% botol 100mL 99,000.00 0 - - - 0 -
23 Becefort Tablet 1,536.70 500 768,350.00 - 500 768,350.00 0 -
25 Blood lancet box/ 99 138.00 0 - - - 0 -
26 Blood lancet box/ 100 14,400.00 0 - - - 0 -
35 Eugenol Botol 10 ml 21,648.00 0 - - - 0 -
36 0 - - - 0 -
54 Hidrokortison krim 2,5% Tube 2,648.00 1 2,648.00 - 1 2,648.00 0 -
58 I.V Catheter 20G (Abbocath) pcs 16,000.00 135 2,160,000.00 200 3,200,000.00 85 1,360,000.00 250 4,000,000.00
61 Isoniazid 100mg tab 282.00 0 - - - 0 -
81 Nacl 0,9 % Botol 5,170.00 0 - - - 0 -
82 Nacl 0,9 % Botol 6,410.00 0 - - - 0 -
129 Urine Bag pcs 7,935.00 0 - - - 0 -
130 Urine Bag pcs 4,488.00 0 - - - 0 -
Total DAU 9,406,384.00 3,200,000.00 2,130,998.00 10,475,386.00

2 Albendazol 200mg Suspensi Botol/200 4,600.00 100 460,000.00 - 20 92,000.00 80 368,000.00
3 Albendazol tablet 400 mg Tablet 431.00 1,196 515,476.00 - 100 43,100.00 1,096 472,376.00
6 Alkohol Swab Pcs 242.00 0 - - - 0 -
8 Alat Suntik skali pake 0,5 ml Pcs 1,650.00 500 825,000.00 - - 500 825,000.00
11 Alat Suntik skali pake 5 ml Pcs 1,583.00 160 253,280.00 - 130 205,790.00 30 47,490.00
14 Clobazam tab 10 mg Tablet 776.00 0 - 100 77,600.00 10 7,760.00 90 69,840.00
16 Garam Oralit untuk 200 ml air Sachet 275.00 80 22,000.00 100 27,500.00 - 180 49,500.00
19 Handschoen L Pcs 490.00 0 - - - 0 -
20 Kondom Pcs 358.00 0 - -
NO STOK AWAL MARET 2021 PENERIMAAN MARET 2021 PEMAKAIAN MARET 2021 SISA PERSEDIAAN 31 MARET 2021
URUT
43 Alkohol Swab Box 11,200.00 18 201,600.00 48 537,600.00 6 67,200.00 60 672,000.00
45 Asering Botol 500 ml 9,275.00 0 - - - 0 -
46 Asering Botol 500 ml 9,646.00 0 - 7 67,522.00 7 67,522.00 0 -
73 Cloramfenicol salep mata tube 2,013.00 0 - - - 0 -
74 Cloramfenicol salep mata Tube 1,850.00 0 - - - 0 -
86 Disposible safety box 5 liter Buah 18,000.00 19 342,000.00 - - 19 342,000.00
95 Ergotamin 1 mg + caffein 50 mg tab Tablet 199.00 94 18,706.00 - - 94 18,706.00
104 Fitomenadion (Vit K1) inj 10mg/ml-2 kotak 30 Ampul 4,236.00 4 16,944.00 - 4 16,944.00 0 -
108 Fenobarbital tablet Tablet 197.00 0 - 100 19,700.00 25 4,925.00 75 14,775.00
120 Glukosa larutan infus steril 5% Botol 7,363.00 20 147,260.00 - 20 147,260.00 0 -
121 Glimepirid tab 2mg Tablet 297.00 950 282,150.00 - 450 133,650.00 500 148,500.00
125 Gliseril Guaiakolat tablet 100 mg (Guaiafenesin) kotak 14,600.30 34 496,410.20 - 5 73,001.50 29 423,408.70
129 Haloperidol tab 2 mg (Iodomer) Tablet 90.00 153 13,770.00 - 103 9,270.00 50 4,500.00
134 Handscoen No 6,5 Psg 8,487.66 0 - - - 0 -
139 Isosorbid dinitrat Tablet 93.00 100 9,300.00 - 100 9,300.00 0 -
149 Kasa 40m X 80cm Roll 129,375.00 0 - - - 0 -
153 Kalsium laktat tablet 500 mg Tablet 82.00 0 - - - 0 -
156 Ketokonazol tablet 200 mg Tablet 305.00 1,950 594,750.00 - 100 30,500.00 1,850 564,250.00
164 Loratadine tablet Tablet 127.00 500 63,500.00 - 250 31,750.00 250 31,750.00
167 Lidocain injeksi ampul 1,405.00 180 252,900.00 - 30 42,150.00 150 210,750.00
167 Klorpromazine tablet salut 100mg tablet 165.00 90 14,850.00 - 90 14,850.00 0 -
168 Masker Tali Box 31,165.00 0 - - - 0 -
170 MgSO4 40% Ampul 3,796.00 0 - - - 0 -
171 MgSO4 20% Ampul 3,200.00 0 - - - 0 -
178 Metoklopramide tablet 10 mg Tablet 100.00 300 30,000.00 - 100 10,000.00 200 20,000.00
187 Nifedipin tablet Tablet 123.00 0 - - - 0 -
188 Nistatin tab 500.000iu Tablet 910.00 98 89,180.00 - - 98 89,180.00
189 Obat Antituberkulosis FDC Kategori 1 Paket 395,900.00 0 - - - 0 -
190 Obat Batuk Hitam (OBH) Botol 100 ml 1,557.60 0 - - - 0 -
191 Obat Batuk Hitam (OBH) Botol 100 ml 1,540.00 0
NO STOK AWAL MARET 2021 PENERIMAAN MARET 2021 PEMAKAIAN MARET 2021 SISA PERSEDIAAN 31 MARET 2021
URUT
293 I.V. Catheter 20 pcs 13,437.60 0 - - - 0 -
294 I.V. Catheter 20 Pcs 8,566.00 0 - - - 0 -
295 I.V. Catheter 22 pcs 13,437.60 0 - - - 0 -
296 I.V. Catheter 22 Pcs 8,566.00 0 - - - 0 -
311 Lisol Botol 1000 ml 52,650.00 0 - - - 0 -
312 Masker Tali Pcs 1,232.00 0 - - - 0 -
313 NaCl 0.9 % Botol 5,390.00 0 - - - 0 -
314 Otsucath No 20 Pcs 14,300.00 0 - - - 0 -
315 Otsucath No 22 Pcs 14,300.00 0 - - - 0 -
316 Otsucath No 24 Pcs 14,300.00 0 - - - 0 -
321 Rivanol Botol 300 ml 1,980.00 0 - - - 0 -
325 Steracath i.v catheter no18G x 32mm Pcs 4,864.00 56 272,384.00 - 56 272,384.00 0 -
- - - 0 -
- - - 0 -
334 Widal Test Kotak 517,633.60 0 - - - 0 -
Total DAK 14,589,712.60 3,645,842.00 2,772,318.50 15,463,236.10

4 MgSO4Inj 40% Botol 178.56 0 - - - 0 -
5 MgSO4Inj 40% botol 3,796.00 0 - - -
7 Fenobarbital injek Ampul 2,265.00 78 176,670.00 - 78 176,670.00 0 -
Total KESGA 583,380.00 - 176,670.00 0 406,710.00
ASKES 1 steril Pcs 5,500.00 0 - - - 0 -

Total ASKES - - - -

3 Anios Gel 85 Botol 88,678.66 0 - - - 0 -
4 Catgut 3/0 Pcs 51,290.00 0 - - - 0 -
16 IV catheter 22G x 1 1/2 (Steracath) pcs 6,455.90 320 2,065,888.00 200 1,291,180.00 - 520 3,357,068.00
18 IV catheter 24G x 3/4 (Steracath) Pcs 6,455.90 270 1,743,093.00 50 322,795.00 - 320 2,065,888.00
19 Infuset anak pcs 5,566.00 107 595,562.00 100 556,600.00 54 300,564.00 153 851,598.00
20 Infuset Dewasa Pcs 8,547.00 75 641,025.00 200 1,709,400.00 65 555,555.00 210 1,794,870.00
23 Kasa 40m x 80 cm Roll 129,375.00 0 - - - 0 -
24 Kasa 40m x 80 cm Roll 143,022.00 13 1,859,286.00 - 13 1,859,286.00 0 -
25 Kasa 16 x 16 Steril Kotak 5 x 6 tab 4,114.00 70 287,980.00 - - 70 287,980.00
42 Nasal Canula Child Pcs 7,502.00 13 97,526.00 - - 13 97,526.00
47 Polipix 5 cm x 5 m Roll 41,100.00 0 - 5 205,500.00 5 205,500.00 0 -
48 Stera Syringe 1 cc Pcs 728.00 70 50,960.00 - 70 50,960.00 0 -
52 Urine bag Pcs 5,405.00 0 - - - 0 -
53 Urine bag Pcs 5,864.00 0 - - - 0 -
Total DAK BMHP 8,018,373.26 4,529,325.00 3,238,175.00 9,309,523.26
2,332.00 0 - - - 0 -
3,234.00 0 - - - 0 -
63,103.00 0 - - - 0 -
3 Catgut 3/0 Pcs
55,000.00 0 - - - 0 -
1,078.00 0 - - - 0 -
429.00 0 - - - 0 -
470.50 0 - - - 0 -
DBHCHT 470.50 500 235,250.00 - - 500 235,250.000
470.50 500 235,250.00 - - 500 235,250.000
464.64 0 - - - 0 -
464.64 0 - - - 0 -
464.64 0 - - - 0 -
5,775.00 0 - - - 0 -
4,774.00 0 - - - 0 -
3,300.00 0 - - - 0 -
15 Pot Dahak Pcs
Total DBHCHT 470,500.00 - - 470,500.00

5 MgS04 Inj 40% Ampul 3,796.00 0 - - - 0 -
6 Metilergometrin Injeksi 0,200mg Amp 2 mL 3,399.00 37 125,763.00 - - 37 125,763.00
KESMAS 7 Oksitetrasiklin 1% Salep Mata Tube 2,600.00 50 130,000.00 - 25 65,000.00 25 65,000.00
8 Oksitoksin Injeksi ampul 1,199.00 0 - 10 11,990.00 - 10 11,990.00
10 Tablet Tambah Darah Tablet 409.00 930 380,370.00 3000 1,227,000.00 750 306,750.00 3,180 1,300,620.00
12 Vit A Balita (Merah) Kapsul 637.00 0 - 300 191,100.00 - 300 191,100.00
TOTAL KESMAS
TAHUN ANGGARAN 2021
STOK AWAL APRIL 2021 PENERIMAAN APRIL 2021 PEMAKAIAN APRIL 2021 SISA PERSEDIAAN 30 APRIL 2021
1 2 3 4 5 6 7 8 9 10 11 12
20 Alkohol 96% botol 100mL 99,000.00 0 - - - 0 -
23 Becefort Tablet 1,536.70 0 - - - 0 -
25 Blood lancet box/ 99 138.00 0 - - - 0 -
26 Blood lancet box/ 100 14,400.00 0 - - - 0 -
29 Captopril 25 Ktk 10 x 10 tab 75.00 0 - 500 37,500.00 - 500 37,500.00
35 Eugenol Botol 10 ml 21,648.00 0 - - - 0 -
36 0 - - - 0 -
58 I.V Catheter 20G (Abbocath) pcs 16,000.00 250 4,000,000.00 - 15 240,000.00 235 3,760,000.00
61 Isoniazid 100mg tab 282.00 0 - - - 0 -
81 Nacl 0,9 % Botol 5,170.00 0 - - - 0 -
82 Nacl 0,9 % Botol 6,410.00 0 - - - 0 -
129 Urine Bag pcs 7,935.00 0 - - - 0 -
130 Urine Bag pcs 4,488.00 0 - - - 0 -
Total DAU 10,475,386.00 37,500.00 240,000.00 10,272,886.00

2 Albendazol 200mg Suspensi Botol/200 4,600.00 80 368,000.00 - - 80 368,000.00
3 Albendazol tablet 400 mg Tablet 431.00 1,096 472,376.00 - - 1,096 472,376.00
6 Alkohol Swab Pcs 242.00 0 - - - 0 -
8 Alat Suntik skali pake 0,5 ml Pcs 1,650.00 500 825,000.00 - - 500 825,000.00
11 Alat Suntik skali pake 5 ml Pcs 1,583.00 30 47,490.00 - 30 47,490.00 0 -
14 Clobazam tab 10 mg Tablet 776.00 90 69,840.00 - - 90 69,840.00
16 DHP Tablet 2,134.00 180 384,120.00 18 38,412.00 - 18 38,412.00
17 Garam Oralit untuk 200 ml air Sachet 275.00 180 49,500.00 - - 180 49,500.00
20 Handschoen L Pcs 490.00 0 -
NO STOK AWAL APRIL 2021 PENERIMAAN APRIL 2021 PEMAKAIAN APRIL 2021 SISA PERSEDIAAN 30 APRIL 2021
URUT
37 Asam Askorbat (Vit C) tab 50 mg Botol / 1000 tab 34.85 0 - - - 0 -
38 Asam Mefenamat kaplet 500 mg Kotak / 100 kaplet 192.63 0 - - - 0 -
43 Alkohol Swab Box 11,200.00 60 672,000.00 - - 60 672,000.00
45 Asering Botol 500 ml 9,275.00 0 - - - 0 -
46 Asering Botol 500 ml 9,646.00 0 - - - 0 -
73 Cloramfenicol salep mata tube 2,013.00 0 - - - 0 -
74 Cloramfenicol salep mata Tube 1,850.00 0 - - - 0 -
86 Disposible safety box 5 liter Buah 18,000.00 19 342,000.00 - - 19 342,000.00
95 Ergotamin 1 mg + caffein 50 mg tab Tablet 199.00 94 18,706.00 - - 94 18,706.00
108 Fenobarbital tablet Tablet 197.00 75 14,775.00 - - 75 14,775.00
121 Glimepirid tab 2mg Tablet 297.00 500 148,500.00 - - 500 148,500.00
125 Gliseril Guaiakolat tablet 100 mg (Guaiafenesin) kotak 14,600.30 29 423,408.70 30 438,009.00 10 146,003.00 49 715,414.70
129 Haloperidol tab 2 mg (Iodomer) Tablet 90.00 50 4,500.00 300 27,000.00 63 5,670.00 287 25,830.00
134 Handscoen No 6,5 Psg 8,487.66 0 - - - 0 -
139 Isosorbid dinitrat Tablet 93.00 0 - - - 0 -
149 Kasa 40m X 80cm Roll 129,375.00 0 - - - 0 -
153 Kalsium laktat tablet 500 mg Tablet 82.00 0 - - - 0 -
156 Ketokonazol tablet 200 mg Tablet 305.00 1,850 564,250.00 - 200 61,000.00 1,650 503,250.00
164 Loratadine tablet Tablet 127.00 250 31,750.00 - 250 31,750.00 0 -
167 Lidocain injeksi ampul 1,405.00 150 210,750.00 - 90 126,450.00 60 84,300.00
167 Klorpromazine tablet salut 100mg tablet 165.00 0 - - - 0 -
168 Masker Tali Box 31,165.00 0 - - - 0 -
170 MgSO4 40% Ampul 3,796.00 0 - - - 0 -
171 MgSO4 20% Ampul 3,200.00 0 - - - 0 -
178 Metoklopramide tablet 10 mg Tablet 100.00 200 20,000.00 - 200 20,000.00 0 -
187 Nifedipin tablet Tablet 123.00 0 - -
NO STOK AWAL APRIL 2021 PENERIMAAN APRIL 2021 PEMAKAIAN APRIL 2021 SISA PERSEDIAAN 30 APRIL 2021
URUT
285 Gentian violet larutan 1% 10 ml Botol 495.00 0 - - - 0 -
286 Handschoen No. 7 steril Pcs 4,654.00 0 - - - 0 -
287 Handschoen No. 7 steril pCS 4,654.10 0 - - - 0 -
293 I.V. Catheter 20 pcs 13,437.60 0 - - - 0 -
294 I.V. Catheter 20 Pcs 8,566.00 0 - - - 0 -
295 I.V. Catheter 22 pcs 13,437.60 0 - - - 0 -
296 I.V. Catheter 22 Pcs 8,566.00 0 - - - 0 -
311 Lisol Botol 1000 ml 52,650.00 0 - - - 0 -
312 Masker Tali Pcs 1,232.00 0 - - - 0 -
313 NaCl 0.9 % Botol 5,390.00 0 - - - 0 -
314 Otsucath No 20 Pcs 14,300.00 0 - - - 0 -
315 Otsucath No 22 Pcs 14,300.00 0 - - - 0 -
316 Otsucath No 24 Pcs 14,300.00 0 - - - 0 -
321 Rivanol Botol 300 ml 1,980.00 0 - - - 0 -
325 Steracath i.v catheter no18G x 32mm Pcs 4,864.00 0 - - - 0 -
- - - 0 -
- - - 0 -
334 Widal Test Kotak 517,633.60 0 - - - 0 -
Total DAK 15,463,236.10 465,009.00 3,391,039.00 12,537,206.10

4 MgSO4Inj 40% Botol 178.56 0 - - - 0 -
5 MgSO4Inj 40% botol 3,796.00 0 - - -
7 Fenobarbital injek Ampul 2,265.00 0 - - - 0 -
Total KESGA 406,710.00 - - 0 406,710.00
ASKES 1 steril Pcs 5,500.00 0 - - - 0 -

Total ASKES - - - -

2 Alat suntik 3 cc (Abada) Pcs 887.70 300 266,310.00 - 70 62,139.00 230 204,171.00
3 Anios Gel 85 Botol 88,678.66 0 - - - 0 -
4 Catgut 3/0 Pcs 51,290.00 0 - - - 0 -
5 Chlodine 0,5% Jerigen 5Liter 395,384.74 0 0 1 395,384.74 1 395,384.74 0 -
17 IV catheter 22G x 1 1/2 (Steracath) pcs 6,455.90 520 3,357,068.00 - 140 903,826.00 380 2,453,242.00
19 IV catheter 24G x 3/4 (Steracath) Pcs 6,455.90 320 2,065,888.00 - 320 2,065,888.00 0 -
20 Infuset anak pcs 5,566.00 153 851,598.00 - 13 72,358.00 140 779,240.00
21 Infuset Dewasa Pcs 8,547.00 210 1,794,870.00 - 20 170,940.00 190 1,623,930.00
24 Kasa 40m x 80 cm Roll 129,375.00 0 - - - 0 -
25 Kasa 40m x 80 cm Roll 143,022.00 0 - 4 572,088.00 4 572,088.00 0 -
26 Kasa 16 x 16 Steril Kotak 5 x 6 tab 4,114.00 70 287,980.00 - 10 41,140.00 60 246,840.00
43 Nasal Canula Child Pcs 7,502.00 13 97,526.00 - 3 22,506.00 10 75,020.00
48 Polipix 5 cm x 5 m Roll 41,100.00 0 - 5 205,500.00 5 205,500.00 0 -
53 Urine bag Pcs 5,405.00 0 - - - 0 -
54 Urine bag Pcs 5,864.00 0 - - - 0 -
Total DAK BMHP 9,309,523.26 1,172,972.74 4,511,769.74 5,970,726.26
2,332.00 0 - - - 0 -
3,234.00 0 - - - 0 -
63,103.00 0 - - - 0 -
3 Catgut 3/0 Pcs
55,000.00 0 - - - 0 -
1,078.00 0 - - - 0 -
429.00 0 - - - 0 -
470.50 0 - - - 0 -
DBHCHT 470.50 500 235,250.00 - - 500 235,250.000
470.50 500 235,250.00 - - 500 235,250.000
464.64 0 - - - 0 -
464.64 0 - - - 0 -
464.64 0 - - - 0 -
5,775.00 0 - - - 0 -
4,774.00 0 - - - 0 -
3,300.00 0 - - - 0 -
15 Pot Dahak Pcs
Total DBHCHT 470,500.00 - - 470,500.00

5 MgS04 Inj 40% Ampul 3,796.00 0 - - - 0 -
6 Metilergometrin Injeksi 0,200mg Amp 2 mL 3,399.00 37 125,763.00 - - 37 125,763.00
KESMAS 7 Oksitetrasiklin 1% Salep Mata Tube 2,600.00 25 65,000.00 - - 25 65,000.00
8 Oksitoksin Injeksi ampul 1,199.00 10
TAHUN ANGGARAN 2021
NO STOK AWAL MEI 2021 PENERIMAAN MEI 2021

URUT
JUMLAH TOTAL 'HARGA JUMLAH TOTAL 'HARGA
1 2 3 4 5 6 7 8
DAU 1 Anti A Monocloral Blood Grouping Reagents Botol 75,020.00 8 600,160.00 -
2 Anti B Monocloral Blood Grouping Reagents Botol 75,020.00 8 600,160.00 -
3 Anti AB Monocloral Blood Grouping Reagents Botol 101,761.00 8 814,088.00 -
4 Anti D Duocloral Monocloral Botol 125,477.00 8 1,003,816.00 -
5 Bioplacenton tulle Box 108,324.00 14 1,516,536.00 -
6 Captopril 25 Ktk 10 x 10 tab 75.00 500 37,500.00 1500 112,500.00
7 Fokus Febrile Antigen O-A Paratiphy Vial 26,784.00 8 214,272.00 -
8 Fokus Febrile Antigen O-B Paratiphy Vial 26,784.00 8 214,272.00 -
9 Fokus Febrile Antigen O-C Paratiphy Vial 26,784.00 8 214,272.00 -
10 Fokus Febrile Antigen O-D Paratiphy Vial 26,784.00 8 214,272.00 -
11 Fokus Febrile Antigen H-A Paratiphy Vial 26,784.00 8 214,272.00 -
12 Fokus Febrile Antigen H-B Paratiphy Vial 26,784.00 8 214,272.00 -
13 Fokus Febrile Antigen H-C Paratiphy Vial 26,784.00 8 214,272.00 -
14 Fokus Febrile Antigen H Paratiphy Vial 26,784.00 8 214,272.00 -
15 Herbakof Syrup Sirup 14,273.00 0 - 48 685,104.00
16 I.V Catheter 20G (Abbocath) pcs 16,000.00 235 3,760,000.00 -
17 Kloramfenikol Kapsul 500mg Tablet 1,174.00 0 - 1000 1,174,000.00
18 Metylergometrin Maleat inj 0.2 mg / ml Ampul 3,712.00 25 92,800.00 -
19 Nistatin vaginal tablet 100.000 UI/g Ktk 10 x10 tab vaginal 550.00 0 - 100 55,000.00
20 Otsucath no.24 Pcs / set 14,850.00 9 133,650.00 -
Total DAU 10,272,886.00 2,026,604.00
PRORAM 1 Albendazol tablet 400 mg Tablet 363.00 0 - -

P2PL 2 Albendazol 200mg Suspensi Botol/200 4,600.00 80 368,000.00 -
3 Albendazol tablet 400 mg Tablet 431.00 1,096 472,376.00 -
4 Alat Suntik skali pake 0,5 ml Pcs 1,650.00 500 825,000.00 -
5 Amitriptiline tablet salut 25mg Tablet 167.00 280 46,760.00 300 50,100.00
6 Clozapine 25 mg tab Tablet 1,121.00 100 112,100.00 -
7 Clobazam tab 10 mg Tablet 776.00 90 69,840.00 -
8 DHP Tablet 2,134.00 18 38,412.00 -
9 Garam Oralit untuk 200 ml air Sachet 275.00 180 49,500.00 -
10 Isoniazid 100mg Tablet 282.00 240 67,680.00 -
11 Obat FDC Kategori 1 Paket 477,791.00 6 2,866,746.00 -
12 Obat FDC Kategori 2 Paket 1,592,731.0 2 3,185,462.00 -
13 Pot Sputum Steril Pcs 5,890.00 490 2,886,100.00 -
14 Primaquin Tablet 242.00 30 7,260.00 -
15 Rapid test HbSAg Tes 8,068.00 175 1,411,900.00 -
16 RDT Thyphoid Test 33,334.00 25 833,350.00 -
17 Reagen Ziehl Neelson (ZN) Paket 239,593.00 1 239,593.00 -
18 Risperidon 2 mg tab Tablet 273.00 80 21,840.00 -
19 Triheksifenidil 2 mg tab Tablet 91.00 80 7,280.00 100 9,100.00
20 Vaksin BCG Vial 61,996.00 13 805,948.00 -
21 Vaksin IPV Vial 158,994.00 11 1,748,934.00 5 794,970.00
22 Vaksin HB Recomendasi (HB\0) Vial 23,991.00 19 455,829.00 15 359,865.00
23 Vaksin DPT HB HIB Vial 78,991.00 14 1,105,874.00 10 789,910.00
24 Vaksin Imunoglobulin Vial 1,300,000.00 1 1,300,000.00 -
26 Vaksin TD Vial 16,995.00 7 118,965.00 5 84,975.00
27 Vaksin DT Vial 17,996.00 0 - -
28 Vaksin MR Vial 155,813.00 18 2,804,634.00 5 779,065.00
29 Vaksin Polio Oral (OPV) Vial 19,954.00 9 179,586.00 10 199,540.00
30 Vaksin Covid-19 Vial 211.28 0 -
URUT
31 ADS 0,5 mL Pcs 1,650.00 0 -
32 Safety Box Pcs 23.40 0 -
Total P2PL 26,003,969.00 3,067,525.00
158,300.00
DAK 1 Amoksisilin kaplet 500 mg Tablet 360.00 6,500 2,340,000.00 -
2 Amoksisilin sirup KERING 125 mg/5 ml Botol 2,560.00 0 - -
3 Amoksisilin sirup KERING 250 mg/5 ml Botol 3,846.00 130 499,980.00 -
4 Asam Askorbat (Vit C) tab 50 mg Botol / 1000 tab 46.00 0 - 1500 69,000.00
5 Asam Mefenamat kaplet 500 mg Kotak / 100 kaplet 117.00 0 - 4000 468,000.00
6 Alkohol Swab Box 11,200.00 60 672,000.00 -
7 Alat suntik 5cc Pcs 1,583.00 0 - 100 158,300.00
8 Disposible safety box 5 liter Buah 18,000.00 19 342,000.00 -
9 Difenhidramin HCL injek Ampul 1,261.00 5 6,305.00 -
10 Ergotamin 1 mg + caffein 50 mg tab Tablet 199.00 94 18,706.00 -
11 Eritromisin 500mg kapsul 766.00 600 459,600.00 -
12 Fenobarbital tablet Tablet 197.00 75 14,775.00 200 39,400.00
13 Glukosa larutan infus steril 5% Botol 6,627.00 0 - 40 265,080.00
14 Glimepirid tab 2mg Tablet 297.00 500 148,500.00 -
15 Gliseril Guaiakolat tablet 100 mg (Guaiafenesin) kotak 14,600.30 49 715,414.70 -
16 Haloperidol tab 2 mg (Iodomer) Tablet 90.00 287 25,830.00 100 9,000.00
17 Hidrokortison krim 2,5% Tube 2,648.00 48 127,104.00 -
18 Hiosina Butilbromida tablet 10 mg (Scopamin) Tab 2,329.80 550 1,281,390.00 -
19 Hiosina Butilbromida tablet 10 mg (Scopamin) Tab 1,050.00 200 210,000.00
20 IV Catheter 20G x 1 1/4 (Steracath) Pcs 4,256.00 90 383,040.00 -
22 Ketokonazol tablet 200 mg Tablet 305.00 1,650 503,250.00 -
23 Klorfeniramin Maleat (CTM) tablet 4 mg Tablet 24.00 0 - 2000 48,000.00
24 Lidocain injeksi ampul 1,405.00 60 84,300.00 150 210,750.00
25 Metilergometrin tab 0,125mg Tablet 245.00 200 49,000.00 -
26 Natrium Klorida larutan infus steril 0,9% Botol 500 ml 6,840.00 55 376,200.00 -
27 Oksitosin injeksi Ampul 1,232.00 84 103,488.00 -
28 Paracetamol tablet 500 mg Tablet 162.80 6,500 1,058,200.00 -
29 Permetrin krim 5% Tube 11,466.00 0 - 10 114,660.00
30 Propanolol tab 10 mg Tablet 59.00 5,000 295,000.00 -
31 Prednison tab 5mg Tablet 79.00 1,300 102,700.00 -
32 Ranitidin tab Tablet 114.00 2,100 239,400.00 500 57,000.00
33 Ringer Laktat larutan infus botol 7,630.00 140 1,068,200.00 200 1,526,000.00
34 Stesolid Rektal 10mg/2.5 Ml Tube 21,021.00 10 210,210.00 -
35 Stesolid rektal 5 mg/2.5mL Tube 14,459.00 9 130,131.00 -
36 Vitamin B Kompleks tablet Tablet 144.00 6,000 864,000.00 5000 720,000.00
37 Foley Catheter no 16 Set 9,794.40 9 88,149.60 -
TOTAL DAK 12,537,206.10 3,895,190.00
KESGA 1 Vitamin K1/Phytomenadion inj.10 Ampul 3,754.00 15 56,310.00 -

2 mineral mix sachet Sachet 2,920.00 120 350,400.00 -
Total KESGA 406,710.00 -
ASKES 1 steril Pcs 5,500.00 0 - -

2 Micropore Dispenser Pcs 11,550.00 0 - -
Total ASKES - -
1 Alat suntik skali pake 0.05ml Pcs 1,492.13 0 - -

BMHP E-Cat DAK 2 Alat suntik 3 cc (Abada) Pcs 887.70 230 204,171.00 500 443,850.00
3 Anios Gel 85 Botol 88,678.66 0 - -
4 Catgut 3/0 Pcs 51,290.00 0 - -
5 Chlodine 0,5% Jerigen 5Liter 395,384.74 0 0 1 395,384.74
6 IV catheter 22G x 1 1/2 (Steracath) pcs 6,455.90 380 2,453,242.00 -
7 IV catheter 24G x 3/4 (Steracath) pcs 4,256.00 100 425,600.00 -
URUT
8 Infuset anak pcs 5,566.00 140 779,240.00 -
9 Infuset Dewasa Pcs 8,547.00 190 1,623,930.00 -
10 Kasa 40m x 80 cm Roll 143,022.00 0 - 5 715,110.00
11 Kasa 16 x 16 Steril Kotak 5 x 6 tab 4,114.00 60 246,840.00 100 411,400.00
12 Onemed Dermafix S IV Box/25 2,298.84 8 18,390.76 -
13 Nasal Canula Child Pcs 7,502.00 10 75,020.00 -
14 Nebuliser Mask Adult Pcs 16,032.50 4 64,130.00 -
15 Nebuliser Mask Pediatric Pcs 16,032.50 5 80,162.50 -
16 Polipix 5 cm x 5 m Roll 41,100.00 0 - 5 205,500.00
Total DAK BMHP 5,970,726.26 2,171,244.74
DBHCHT 470.50 500 235,250.00 -

470.50 500 235,250.00 500 235,250.00
Total DBHCHT 470,500.00 235,250.00
1 Metilergometrin Injeksi 0,200mg Amp 2 mL 3,399.00 37 125,763.00 -

KESMAS 2 Oksitetrasiklin 1% Salep Mata Tube 2,600.00 25 65,000.00 -
3 Oksitoksin Injeksi ampul 1,199.00 10 11,990.00 -
4 Oksitoksin Injeksi ampul 1,232.00 0 - -
5 Tablet Tambah Darah Tablet 409.00 2,680 1,096,120.00 -
6 Vit A Balita (Biru) Kapsul 354.00 0 - -
7 Vit A Balita (Merah) Kapsul 637.00 300 191,100.00 -
TOTAL KESMAS 1,489,973.00 -
1 Baju Hasmat / APD Pcs 180,000.00 40 7,200,000.00 -

2 Celemek Plastik Pcs 66,000.00 40 2,640,000.00 -
BIAYA TAK
3 Face shield anti droplet Pcs 38,000.00 25 950,000.00 -
TERDUGA (BTT)
4 Handscoen steril 7 Psg 12,000.00 0 - -
KABUPATEN
5 Handscoen steril 7,5 Psg 12,000.00 0 - -
6 Masker Kotak/50 100,000.00 0 - 2 200,000.00
7 Masker N95 Pcs 66,000.00 0 - 20 1,320,000.00
8 Nurse Cap Pcs 5,000.00 45 225,000.00 -
9 Onoiwa Kapsul 6,000.00 0 - -
10 Rapid test antigen Test 70,000.00 140 9,800,000.00 -
11 Sarung tangan Ginokologi non steril Pcs 55,000.00 0 - -
12 Sarung tangan L Box/100 200,000.00 0 - -
13 Sarung tangan M Box/100 200,000.00 0 - -
TOTAL BTT 20,815,000.00 1,520,000.00
BTT
PROPINSI 1 Efinefrin injeksi 1 mg Ampul 6,691.85 10 66,918.50 -
TOTAL BIAYA TAK TERDUGA (BTT) PROVINSI 66,918.50 -
BHP KESGRA 1 Kasa pembalut 2 x 80 cm bungkus 9,856 0 - -

Kasa pembalut 2 x 80 cm 53
2 14,334.10 759,707 -
bungkus
Total BHP KESGRA 759,707.30 -
TOTAL 78,793,596.15 12,915,813.74
Mengetahui,
dr.H. Muhammad Ishaq

NIP. 19790115 200604 1 010
AKSIN DAN BAHAN MEDIS HABIS PAKAI (BMHP)
S LIUKANG TUPABBIRING
ATAN KABUPATEN PANGKEP
N ANGGARAN 2021
PEMAKAIAN MEI 2021 SISA PERSEDIAAN 31 MEI 2021

9 10 11 12
- 8 600,160.00
- 8 600,160.00
- 8 814,088.00
- 8 1,003,816.00
- 14 1,516,536.00
1500 112,500.00 500 37,500.00
- 8 214,272.00
- 8 214,272.00
- 8 214,272.00
- 8 214,272.00
- 8 214,272.00
- 8 214,272.00
- 8 214,272.00
- 8 214,272.00
48 685,104.00 0 -
20 320,000.00 215 3,440,000.00
- 1,000 1,174,000.00
- 25 92,800.00
- 100 55,000.00
- 9 133,650.00
1,117,604.00 11,181,886.00
- 0 -
- 80 368,000.00
- 1,096 472,376.00
500 825,000.00 0 -
420 70,140.00 160 26,720.00
- 100 112,100.00
10 7,760.00 80 62,080.00
- 18 38,412.00
- 180 49,500.00
140 39,480.00 100 28,200.00
- 6 2,866,746.00
1 1,592,731.00 1 1,592,731.00
230 1,354,700.00 260 1,531,400.00
- 30 7,260.00
25 201,700.00 150 1,210,200.00
- 25 833,350.00
- 1 239,593.00
- 80 21,840.00
- 180 16,380.00
- 13 805,948.00
- 16 2,543,904.00
- 34 815,694.00
- 24 1,895,784.00
- 1 1,300,000.00
- 3 3,975,000.00
- 12 203,940.00
- 0 -
- 23 3,583,699.00
- 19 379,126.00
- 0 -

- 0 -
- 0 -
3,225,825.00 4,091,511.00 24,979,983.00
1000 360,000.00 5,500 1,980,000.00

- 0 -
55 211,530.00 75 288,450.00
1500 69,000.00 0 -
4000 468,000.00 0 -
32 358,400.00 28 313,600.00
- 100 158,300.00
- 19 342,000.00
- 5 6,305.00
- 94 18,706.00
600 459,600.00 0 -
160 31,520.00 115 22,655.00
- 40 265,080.00
500 148,500.00 0 -
- 49 715,414.70
- 387 34,830.00
- 48 127,104.00
550 1,281,390.00 0 -
100 105,000.00 100 105,000.00
- 90 383,040.00
- 50 212,800.00
1650 503,250.00 0 -
2000 48,000.00 0 -
- 210 295,050.00
200 49,000.00 0 -
- 55 376,200.00
84 103,488.00 0 -
1900 309,320.00 4,600 748,880.00
3 34,398.00 7 80,262.00
- 5,000 295,000.00
- 1,300 102,700.00
200 22,800.00 2,400 273,600.00
20 152,600.00 320 2,441,600.00
5 105,105.00 5 105,105.00
2 28,918.00 7 101,213.00
2500 360,000.00 8,500 1,224,000.00
- 9 88,149.60
- 12 117,532.80
5,209,819.00 11,222,577.10
0 - 15 56,310.00
0 - 120 350,400.00
- 406,710.00
- -
- -
- -
- 0 -
80 71,016.00 650 577,005.00
- 0 -
- 0 -
1 395,384.74 0 -
- 380 2,453,242.00
- 100 425,600.00

20 111,320.00 120 667,920.00
25 213,675.00 165 1,410,255.00
- 5 715,110.00
11 45,254.00 149 612,986.00
- 8 18,390.76
- 10 75,020.00
1 16,032.50 3 48,097.50
- 5 80,162.50
5 205,500.00 0 -
1,058,182.24 7,083,788.76
500 235,250.00 0 -
500 235,250.00 500 235,250.000
470,500.00 235,250.00
- 37 125,763.00
25 65,000.00 0 -
- 10 11,990.00
- 0 -
1300 531,700.00 1,380 564,420.00
- 0 -
- 300 191,100.00
596,700.00 893,273.00
- 40 7,200,000.00
- 40 2,640,000.00
5 190,000.00 20 760,000.00
- 0 -
- 0 -
2 200,000.00 0 -
- 20 1,320,000.00
- 45 225,000.00
- 0 -
- 140 9,800,000.00
- 0 -
- 0 -
- 0 -
390,000.00 21,945,000.00
10 66,918.50 -
66,918.50 -
- 0 -
- 53 759,707.30
- 759,707.30
13,001,234.74 78,708,175.15
Pulau Balang Lompo, 31 Mei 2021
Muhammad Thoha, S.Si, Apt

NIP. 19930409 201903 1 002
TAHUN ANGGARAN 2021
STOK AWAL JANUARI 2021 PENERIMAAN JANU

NO
SUMBER DANA URUT NAMA OBAT/BAHAN HABIS PAKAI SATUAN HARGA SATUAN
JUMLAH TOTAL 'HARGA JUMLAH
1 2 3 4 5 6 7
DAU 1 Anti A Monocloral Blood Grouping Reagents Botol 75,020.00 8 600,160.00
2 Anti B Monocloral Blood Grouping Reagents Botol 75,020.00 8 600,160.00
3 Anti AB Monocloral Blood Grouping Reagents Botol 101,761.00 8 814,088.00
4 Anti D Duocloral Monocloral Botol 125,477.00 8 1,003,816.00
5 Alkohol Swab Kotak 100 pcs 14,490.00 - 3
6 Bioplacenton tulle Box 108,324.00 14 1,516,536.00
7 Becefort Tablet 1,536.70 1,800 2,766,060.00 500
8 Captopril 25 Ktk 10 x 10 tab 75.00 -
9 Fokus Febrile Antigen O-A Paratiphy Vial 26,784.00 8 214,272.00
10 Fokus Febrile Antigen O-B Paratiphy Vial 26,784.00 8 214,272.00
11 Fokus Febrile Antigen O-C Paratiphy Vial 26,784.00 8 214,272.00
12 Fokus Febrile Antigen O-D Paratiphy Vial 26,784.00 8 214,272.00
13 Fokus Febrile Antigen H-A Paratiphy Vial 26,784.00 8 214,272.00
14 Fokus Febrile Antigen H-B Paratiphy Vial 26,784.00 8 214,272.00
15 Fokus Febrile Antigen H-C Paratiphy Vial 26,784.00 8 214,272.00
16 Fokus Febrile Antigen H Paratiphy Vial 26,784.00 8 214,272.00
17 Herbakof Syrup Sirup 14,273.00 - 48
18 Hidrokortison cream 2,5% Tube 2,648.00 11 29,128.00
19 I.V Catheter 20G (Abbocath) pcs 16,000.00 35 560,000.00 300
20 Kloramfenikol Kapsul 500mg Tablet 1,174.00 -
21 Metylergometrin Maleat inj 0.2 mg / ml Ampul 3,712.00 25 92,800.00
22 Nistatin vaginal tablet 100.000 UI/g Ktk 10 x10 tab vaginal 550.00 -
23 Nacl 0,9% Botol 6,900.00 - 20
24 Otsucath no.24 Pcs / set 14,850.00 -
Total DAU 9,696,924.00
PRORAM 1 Albendazol tablet 400 mg Tablet 363.00 -

P2PL 2 Albendazol 200mg Suspensi Botol/200 4,600.00 - 100
3 Albendazol tablet 400 mg Tablet 494.00 600 296,400.00
Albendazol tablet 400 mg Tablet 431.00 - 1196
4 Alat Suntik skali pake 0,5 ml Pcs 1,650.00 - 700
5 Alat Suntik skali pake 5 ml Pcs 1,640.00 100 164,000.00
6 Alat Suntik skali pake 5 ml Pcs 1,583.00 100 158,300.00 100
7 Amitriptiline tablet salut 25mg Tablet 167.00 100 16,700.00 500
8 Clozapine 25 mg tab Tablet 1,121.00 100 112,100.00 300
9 Clobazam tab 10 mg Tablet 776.00 -
10 DHP Tablet 2,134.00 -
11 Garam Oralit untuk 200 ml air Sachet 275.00 100 27,500.00 200
12 Haloperidol 5 mg Sachet 60.00 - 500
13 Isoniazid 100mg Tablet 282.00 430 121,260.00
14 Klorpromazine tab salut 100mg (HCl) Tablet 147.00 200 29,400.00
15 Obat FDC Kategori 1 Paket 477,791.00 11 5,255,701.00 16
16 Obat FDC Kategori 2 Paket 1,592,731.0 - 2
17 Pot Sputum Steril Pcs 5,890.00 420 2,473,800.00 200
18 Primaquin Tablet 242.00 -
19 Rapid test HbSAg Tes 8,068.00 -
NO
Rapid 1 HIV (SD) Tes 11,975.00 - 200
Rapid test one step Syphilis (Diagnostar) Tes 14,014.00 - 200
20 RDT Thyphoid Test 33,334.00 -
21 Reagen Ziehl Neelson (ZN) Paket 263,011.00 1 263,011.00
Reagen Ziehl Neelson (ZN) Paket 239,593.00 - 1
22 Risperidon 2 mg tab Tablet 273.00 80 21,840.00
23 Risperidon 2 mg tab Tablet 287.00 - 300
24 Triheksifenidil 2 mg tab Tablet 91.00 - 300
25 Vaksin BCG Vial 61,996.00 22 1,363,912.00 10
26 Vaksin IPV Vial 158,994.00 13 2,066,922.00 15
27 Vaksin HB Recomendasi (HB\0) Vial 23,991.00 45 1,079,595.00 35
28 Vaksin DPT HB HIB Vial 78,991.00 52 4,107,532.00 30
29 Vaksin Imunoglobulin Vial 1,300,000.00 1 1,300,000.00
31 Vaksin TD Vial 16,995.00 65 1,104,675.00 10
32 Vaksin DT Vial 17,996.00 33 593,868.00
33 Vaksin MR Vial 155,813.00 79 12,309,227.00 10
34 Vaksin Polio Oral (OPV) Vial 19,954.00 36 718,344.00 25
35 Vaksin Covid-19 Vial 211.28 -
36 ADS 0,5 mL Pcs 1,650.00 -
37 Safety Box Pcs 23.40 -
38 Zinc tablet 20 mg Kotak/100tab 604.00 200 120,800.00
Total P2PL 37,679,887.00
DAK 1 Amoksisilin kaplet 500 mg Tablet 265.00 2,400 636,000.00

Amoksisilin kaplet 500 mg Tablet 360.00 - 10000
2 Amlodipine 5 mg tab Tablet 79.00 2,700 213,300.00 1200
3 Amlodipine 5 mg tab Tablet 55.00 - 1000
4 Amlodipine 10 mg tab Tablet 74.00 - 1000
5 Amoksisilin sirup KERING 125 mg/5 ml Botol 2,560.00 -
6 Amoksisilin sirup KERING 250 mg/5 ml Botol 3,846.00 38 146,148.00 300
7 Asam Askorbat (Vit C) tab 50 mg Tablet 120.00 3,900 468,000.00 400
8 Asam Askorbat (Vit C) tab 50 mg Tablet 46.00 4000
9 Asam Mefenamat kaplet 500 mg Kotak / 100 kaplet 117.00 - 4000
10 Asering Softbag 500mL 9,646.00 - 7
11 Antifungi salep Pot 5,170.00 15 77,550.00

12 Alkohol Swab Box 11,200.00 18 201,600.00 48
13 Alat suntik 5cc Pcs 1,583.00 -
14 Bisakodil tab 5mg Tablet 337.00 45 15,165.00
15 Cetirizine Syr Botol 3,061.00 6 18,366.00
16 Ciprofloxacin 500 mg Tablet 281.00 900 252,900.00
17 Disposible safety box 5 liter Buah 18,000.00 -
18 Difenhidramin HCL injek Ampul 1,261.00 -
19 Ergotamin 1 mg + caffein 50 mg tab Tablet 199.00 -
20 Eritromisin 500mg kapsul 766.00 -
21 Fenobarbital tablet Tablet 197.00 - 100
22 Glukosa larutan infus steril 5% Botol 6,627.00 - 40
23 Glimepirid tab 2mg Tablet 297.00 -
24 Gliseril Guaiakolat tablet 100 mg (Guaiafenesin) kotak 14,600.30 - 20
25 Haloperidol tab 2 mg (Iodomer) Tablet 90.00 - 200
26 Hidrokortison krim 2,5% Tube 2,648.00 - 48
27 Hiosina Butilbromida tablet 10 mg (Scopamin) Tab 2,329.80 -
NO
28 Hiosina Butilbromida tablet 10 mg (Scopamin) Tab 1,050.00 - 300
29 IV Catheter 20G x 1 1/4 (Steracath) Pcs 4,256.00 -
30 IV Catheter 22G x 1 1/4 (Steracath) Pcs 4,256.00 -
Isosorbid Dinitrat Tablet 93.00 - 100
31 Ketokonazol tablet 200 mg Tablet 305.00 -
32 Klorfeniramin Maleat (CTM) tablet 4 mg Tablet 24.00 - 5000
Loratadine Tablet 127.00 - 1000
33 Lidocain injeksi ampul 1,405.00 - 270
34 Metilergometrin tab 0,125mg Tablet 245.00 -
35 Natrium Klorida larutan infus steril 0,9% Botol 500 ml 6,840.00 - 60
36 Oksitosin injeksi Ampul 1,232.00 -
37 Paracetamol tablet 500 mg Tablet 162.80 - 12000
38 Permetrin krim 5% Tube 11,466.00 -
39 Propanolol tab 10 mg Tablet 59.00 -
40 Prednison tab 5mg Tablet 79.00 - 500
41 Ranitidin tab Tablet 114.00 - 2000
42 Ringer Laktat larutan infus botol 7,630.00 - 400
43 Stesolid Rektal 10mg/2.5 Ml Tube 21,021.00 - 10
44 Stesolid rektal 5 mg/2.5mL Tube 14,459.00 -
45 Vitamin B Kompleks tablet Tablet 144.00 - 15000
46 Foley Catheter no 16 Set 9,794.40 -
47 Foley Catheter no 18 Set 9,794.40 -
TOTAL DAK 2,029,029.00
9,193,548.10
KESGA 1 Vitamin K1/Phytomenadion inj.10 Ampul 3,754.00 15 56,310.00
2 mineral mix sachet Sachet 2,920.00 120 350,400.00
Total KESGA 406,710.00
ASKES 1 steril Pcs 5,500.00 0 -

2 Micropore Dispenser Pcs 11,550.00 0 -
Total ASKES -
1 Alat suntik skali pake 0.05ml Pcs 1,492.13 0 -

BMHP DAK 2 Alat suntik 3 cc (Abada) Pcs 887.70 650 577,005.00 800
3 Anios Gel 85 Botol 88,678.66 0 -
4 Blood Lancet (Ekomed) Kotak 16,401.00 - 5
5 Catgut 3/0 Pcs 51,290.00 0 -
6 Chlodine 0,5% Jerigen 5Liter 395,384.74 0 0 1
7 IV catheter 22G x 1 1/2 (Steracath) pcs 6,455.90 380 2,453,242.00
8 IV catheter 24G x 3/4 (Steracath) pcs 4,256.00 100 425,600.00
9 IV catheter 22G (Abada) pcs 6,455.90 - 400
10 IV catheter 24G (Abada) pcs 6,455.90 - 100
11 Infuset anak pcs 5,566.00 120 667,920.00 200
12 Infuset Dewasa Pcs 8,547.00 165 1,410,255.00 100
13 Kasa 40m x 80 cm Roll 143,022.00 5 715,110.00 9
14 Kasa 16 x 16 Steril Kotak 5 x 6 tab 4,114.00 149 612,986.00 50
15 Onemed Dermafix S IV Box/25 2,298.84 8 18,390.76
16 Nasal Canula Child Pcs 7,502.00 10 75,020.00 10
17 Nebuliser Mask Adult Pcs 16,032.50 3 48,097.50
18 Nebuliser Mask Pediatric Pcs 16,032.50 5 80,162.50
19 Polipix 5 cm x 5 m Roll 41,100.00 0 - 5
Total DAK BMHP 7,083,788.76
NO
DBHCHT 470.50 0 - 1000

470.50 500 235,250.00 1000
Total DBHCHT 235,250.00
1 Metilergometrin Injeksi 0,200mg Amp 2 mL 3,399.00 37 125,763.00 37

KESMAS 2 Oksitetrasiklin 1% Salep Mata Tube 2,600.00 0 - 50
3 Oksitoksin Injeksi ampul 1,199.00 10 11,990.00
4 Oksitoksin Injeksi ampul 1,232.00 0 -
5 Tablet Tambah Darah Tablet 409.00 1,380 564,420.00 4920
6 Vit A Balita (Biru) Kapsul 354.00 0 -
7 Vit A Balita (Merah) Kapsul 637.00 300 191,100.00
TOTAL KESMAS 893,273.00
1 Baju Hasmat / APD Pcs 180,000.00 40 7,200,000.00

2 Celemek Plastik Pcs 66,000.00 40 2,640,000.00
BIAYA TAK
TERDUGA (BTT) 3 Efinefrin injeksi 1 mg Ampul 6,691.85 10
4 Face shield anti droplet Pcs 38,000.00 20 760,000.00
KABUPATEN
5 Handscoen steril 7 Psg 12,000.00 0 -
6 Handscoen steril 7,5 Psg 12,000.00 0 -
7 Masker Kotak/50 100,000.00 0 -
8 Masker N95 Pcs 66,000.00 20 1,320,000.00
9 Nurse Cap Pcs 5,000.00 45 225,000.00
10 Onoiwa Kapsul 6,000.00 0 -
11 Rapid test antigen Test 70,000.00 140 9,800,000.00
12 Sarung tangan Ginokologi non steril Pcs 55,000.00 0 -
13 Sarung tangan L Box/100 200,000.00 0 -
14 Sarung tangan M Box/100 200,000.00 0 -
TOTAL BTT 21,945,000.00
BTT
PROPINSI 1 Efinefrin injeksi 1 mg Ampul 6,691.85 0 -
TOTAL BIAYA TAK TERDUGA (BTT) PROVINSI
DAU RECOFUSING 1 Onoiwa Kapsul 6,000.00 - 150

TOTAL DAU RECOFUSING -
BHP KESGRA 1
bungkus
14,334.10 759,707
Total BHP KESGRA 759,707.30

TOTAL 78,708,175.15
Mengetahui,

NIP. 19790115 200604 1 010
KSIN DAN BAHAN MEDIS HABIS PAKAI (BMHP)
N ANGGARAN 2021
PENERIMAAN JANUARI-JUNI 2021 PEMAKAIAN JANUARI-JUNI 2021 SISA PERSEDIAAN 30 JUNI 2021
TOTAL 'HARGA JUMLAH TOTAL 'HARGA JUMLAH TOTAL 'HARGA
8 9 10 11 12
- - 8 600,160.00
- - 8 600,160.00
- - 8 814,088.00
- - 8 1,003,816.00
43,470.00 - 3 43,470.00
- - 14 1,516,536.00
768,350.00 - 2,300 3,534,410.00
- - 0 -
- - 8 214,272.00
- - 8 214,272.00
- - 8 214,272.00
- - 8 214,272.00
- - 8 214,272.00
- - 8 214,272.00
- - 8 214,272.00
- - 8 214,272.00
685,104.00 - 48 685,104.00
- - 11 29,128.00
4,800,000.00 - 335 5,360,000.00
- - 0 -
- - 25 92,800.00
- - 0 -
138,000.00 - 20 138,000.00
- - 0 -
6,434,924.00 - 16,131,848.00
- - 0 -
460,000.00 - 100 460,000.00
- - 600 296,400.00
515,476.00 - 1,196 515,476.00
1,155,000.00 - 700 1,155,000.00
- - 100 164,000.00
158,300.00 - 200 316,600.00
83,500.00 - 600 100,200.00
336,300.00 - 400 448,400.00
- - 0 -
- - 0 -
55,000.00 - 300 82,500.00
30,000.00 - 500 30,000.00
- - 430 121,260.00
- - 200 29,400.00
7,644,656.00 - 27 12,900,357.00
3,185,462.00 - 2 3,185,462.00
1,178,000.00 - 620 3,651,800.00
- - 0 -
- - 0 -
2,395,000.00 - 200 2,395,000.00

2,802,800.00 - 200 2,802,800.00
- - 0 -
- - 1 263,011.00
239,593.00 - 1 239,593.00
- - 80 21,840.00
86,100.00 - 300 86,100.00
27,300.00 - 300 27,300.00
619,960.00 - 32 1,983,872.00
2,384,910.00 - 28 4,451,832.00
839,685.00 - 80 1,919,280.00
2,369,730.00 - 82 6,477,262.00
- - 1 1,300,000.00
- - 3 3,975,000.00
169,950.00 - 75 1,274,625.00
- - 33 593,868.00
1,558,130.00 - 89 13,867,357.00
498,850.00 - 61 1,217,194.00
- 0 -
- 0 -
- 0 -
- 200 120,800.00
28,793,702.00 - 66,352,789.00
- - 2,400 636,000.00
3,600,000.00 - 10,000 3,600,000.00
94,800.00 - 3,900 308,100.00
55,000.00 - 1,000 55,000.00
74,000.00 - 1,000 74,000.00
- - 0 -
1,153,800.00 - 338 1,299,948.00
48,000.00 - 4,300 516,000.00
184,000.00 - 4,000 184,000.00
468,000.00 - 4,000 468,000.00
67,522.00 - 7 67,522.00
- -
537,600.00 - 66 739,200.00
- - 0 -
- - 45 15,165.00
- - 6 18,366.00
- - 900 252,900.00
- - 0 -
- - 0 -
- - 0 -
- - 0 -
19,700.00 - 100 19,700.00
265,080.00 - 40 265,080.00
- - 0 -
292,006.00 - 20 292,006.00
18,000.00 - 200 18,000.00
127,104.00 - 48 127,104.00
- - 0 -
315,000.00 - 300 315,000.00

- - 0 -
- - 0 -
9,300.00 - 100 9,300.00
- - 0 -
120,000.00 - 5,000 120,000.00
127,000.00 - 1,000 127,000.00
379,350.00 - 270 379,350.00
- - 0 -
410,400.00 - 60 410,400.00
- - 0 -
1,953,600.00 - 12,000 1,953,600.00
- - 0 -
- - 0 -
39,500.00 - 500 39,500.00
228,000.00 - 2,000 228,000.00
3,052,000.00 - 400 3,052,000.00
210,210.00 - 10 210,210.00
- - 0 -
2,160,000.00 - 15,000 2,160,000.00
- - 0 -
- - 0 -
16,008,972.00 - 17,960,451.00
- - 15 56,310.00
- - 120 350,400.00
- - 406,710.00
- - -
- - -
- - -
- - 0 -
710,160.00 - 1,450 1,287,165.00
- - 0 -
82,005.00 - 5 82,005.00
- - 0 -
395,384.74 - 1 395,384.74
- - 380 2,453,242.00
- - 100 425,600.00
2,582,360.00 - 400 2,582,360.00
645,590.00 - 100 645,590.00
1,113,200.00 - 320 1,781,120.00
854,700.00 - 265 2,264,955.00
1,287,198.00 - 14 2,002,308.00
205,700.00 - 199 818,686.00
- - 8 18,390.76
75,020.00 - 20 150,040.00
- - 3 48,097.50
- - 5 80,162.50
205,500.00 - 5 205,500.00
8,156,817.74 - 15,240,606.50
470,500.00 - 1,000 470,500.000

470,500.00 - 1,500 705,750.000
941,000.00 - 1,176,250.00
125,763.00 - 74 251,526.00
130,000.00 - 50 130,000.00
- - 10 11,990.00
- - 0 -
2,012,280.00 - 6,300 2,576,700.00
- - 0 -
- - 300 191,100.00
2,268,043.00 - 3,161,316.00
- - 40 7,200,000.00
- - 40 2,640,000.00
66,918.50 - 10 66,918.50
- - 20 760,000.00
- - 0 -
- - 0 -
- - 0 -
- - 20 1,320,000.00
- - 45 225,000.00
- - 0 -
- - 140 9,800,000.00
- - 0 -
- - 0 -
- - 0 -
66,918.50 - 22,011,918.50
- - 0 -
- - -
900,000.00 - 150 900,000.00

900,000.00 - 900,000.00
- - 53 759,707.30
- - 759,707.30
63,570,377.24 - 142,278,552.39
- 35,524,111.00
Pulau Balang Lompo, 31 Juni 2021

NIP. 19930409 201903 1 002
LAPORAN PERSEDIAAN OBAT, VAKSIN DAN BAHAN MEDIS HABIS PAKAI (BMHP
TAHUN ANGGARAN 2021
NO STOK AWAL JUNI 2021 PENERIMAAN

URUT
1 2 3 4 5 6 7
5 Alkohol Swab Kotak 100 pcs 14,490.00 0 - 3
7 Becefort Tablet 1,536.70 0 500
8 Captopril 25 Ktk 10 x 10 tab 75.00 500 37,500.00 1500
17 Herbakof Syrup Sirup 14,273.00 0 - 48
18 I.V Catheter 20G (Abbocath) pcs 16,000.00 215 3,440,000.00
19 Kloramfenikol Kapsul 500mg Tablet 1,174.00 1,000 1,174,000.00 1000
21 Nistatin vaginal tablet 100.000 UI/g Ktk 10 x10 tab vaginal 550.00 100 55,000.00 100
22 Nacl 0,9% Botol
23 Otsucath no.24 Pcs / set 14,850.00 9 133,650.00

Total DAU 11,181,886.00
PRORAM 1 Albendazol tablet 400 mg Tablet 363.00 0 -

P2PL 2 Albendazol 200mg Suspensi Botol/200 4,600.00 80 368,000.00
3 Albendazol tablet 400 mg Tablet 431.00 1,096 472,376.00
4 Alat Suntik skali pake 0,5 ml Pcs 1,650.00 0 -
5 Amitriptiline tablet salut 25mg Tablet 167.00 160 26,720.00 300
6 Clozapine 25 mg tab Tablet 1,121.00 100 112,100.00
7 Clobazam tab 10 mg Tablet 776.00 80 62,080.00
8 DHP Tablet 2,134.00 18 38,412.00
9 Garam Oralit untuk 200 ml air Sachet 275.00 180 49,500.00
11 Obat FDC Kategori 1 Paket 477,791.00 6 2,866,746.00
12 Obat FDC Kategori 2 Paket 1,592,731.0 1 1,592,731.00
13 Pot Sputum Steril Pcs 5,890.00 260 1,531,400.00
14 Primaquin Tablet 242.00 30 7,260.00
15 Rapid test HbSAg Tes 8,068.00 150 1,210,200.00
16 RDT Thyphoid Test 33,334.00 25 833,350.00
19 Triheksifenidil 2 mg tab Tablet 91.00 180 16,380.00 100
20 Vaksin BCG Vial 61,996.00 13 805,948.00
URUT
21 Vaksin IPV Vial 158,994.00 16 2,543,904.00 5
22 Vaksin HB Recomendasi (HB\0) Vial 23,991.00 34 815,694.00 15
26 Vaksin TD Vial 16,995.00 12 203,940.00 5
27 Vaksin DT Vial 17,996.00 0 -
28 Vaksin MR Vial 155,813.00 23 3,583,699.00 5
31 ADS 0,5 mL Pcs 1,650.00 0 -
Total P2PL 24,979,983.00
DAK 1 Amoksisilin kaplet 500 mg Tablet 360.00 5,500 1,980,000.00

2 Amoksisilin sirup KERING 125 mg/5 ml Botol 2,560.00 0 -
3 Amoksisilin sirup KERING 250 mg/5 ml Botol 3,846.00 75 288,450.00
4 Asam Askorbat (Vit C) tab 50 mg Botol / 1000 tab 46.00 0 - 1500
5 Asam Mefenamat kaplet 500 mg Kotak / 100 kaplet 117.00 0 - 4000
6 Alkohol Swab Box 11,200.00 28 313,600.00
7 Alat suntik 5cc Pcs 1,583.00 100 158,300.00 100
8 Disposible safety box 5 liter Buah 18,000.00 19 342,000.00
9 Difenhidramin HCL injek Ampul 1,261.00 5 6,305.00
10 Ergotamin 1 mg + caffein 50 mg tab Tablet 199.00 94 18,706.00
11 Eritromisin 500mg kapsul 766.00 0 -
12 Fenobarbital tablet Tablet 197.00 115 22,655.00 200
13 Glukosa larutan infus steril 5% Botol 6,627.00 40 265,080.00 40
14 Glimepirid tab 2mg Tablet 297.00 0 -
15 Gliseril Guaiakolat tablet 100 mg (Guaiafenesin) kotak 14,600.30 49 715,414.70
16 Haloperidol tab 2 mg (Iodomer) Tablet 90.00 387 34,830.00 100
17 Hidrokortison krim 2,5% Tube 2,648.00 48 127,104.00
18 Hiosina Butilbromida tablet 10 mg (Scopamin) Tab 2,329.80 0 -
19 Hiosina Butilbromida tablet 10 mg (Scopamin) Tab 1,050.00 100 105,000.00 200
20 IV Catheter 20G x 1 1/4 (Steracath) Pcs 4,256.00 90 383,040.00
22 Ketokonazol tablet 200 mg Tablet 305.00 0 -
23 Klorfeniramin Maleat (CTM) tablet 4 mg Tablet 24.00 0 - 2000
24 Lidocain injeksi ampul 1,405.00 210 295,050.00 150
25 Metilergometrin tab 0,125mg Tablet 245.00 0 -
26 Natrium Klorida larutan infus steril 0,9% Botol 500 ml 6,840.00 55 376,200.00
27 Oksitosin injeksi Ampul 1,232.00 0 -
28 Paracetamol tablet 500 mg Tablet 162.80 4,600 748,880.00
29 Permetrin krim 5% Tube 11,466.00 7 80,262.00 10
30 Propanolol tab 10 mg Tablet 59.00 5,000 295,000.00
31 Prednison tab 5mg Tablet 79.00 1,300 102,700.00
32 Ranitidin tab Tablet 114.00 2,400 273,600.00 500
33 Ringer Laktat larutan infus botol 7,630.00 320 2,441,600.00 200
34 Stesolid Rektal 10mg/2.5 Ml Tube 21,021.00 5 105,105.00
35 Stesolid rektal 5 mg/2.5mL Tube 14,459.00 7 101,213.00
36 Vitamin B Kompleks tablet Tablet 144.00 8,500 1,224,000.00 5000
37 Foley Catheter no 16 Set 9,794.40 9 88,149.60
URUT
TOTAL DAK 11,222,577.10
-

Total ASKES -

BMHP E-Cat DAK 2 Alat suntik 3 cc (Abada) Pcs 887.70 650 577,005.00 500
3 Anios Gel 85 Botol 88,678.66 0 -
4 Catgut 3/0 Pcs 51,290.00 0 -
8 Infuset anak pcs 5,566.00 120 667,920.00
9 Infuset Dewasa Pcs 8,547.00 165 1,410,255.00
10 Kasa 40m x 80 cm Roll 143,022.00 5 715,110.00 5
11 Kasa 16 x 16 Steril Kotak 5 x 6 tab 4,114.00 149 612,986.00 100
13 Nasal Canula Child Pcs 7,502.00 10 75,020.00
DBHCHT 470.50 0 -
470.50 500 235,250.00 500
1 Metilergometrin Injeksi 0,200mg Amp 2 mL 3,399.00 37 125,763.00

KESMAS 2 Oksitetrasiklin 1% Salep Mata Tube 2,600.00 0 -
5 Tablet Tambah Darah Tablet 409.00 1,380 564,420.00

BIAYA TAK
TERDUGA (BTT)
KABUPATEN
6 Masker Kotak/50 100,000.00 0 - 2
7 Masker N95 Pcs 66,000.00 20 1,320,000.00 20
8 Nurse Cap Pcs 5,000.00 45 225,000.00
URUT
TOTAL BTT 21,945,000.00
BTT
1 14,334.10 759,707
bungkus
TOTAL 78,708,175.15
Mengetahui,

NIP. 19790115 200604 1 010
N ANGGARAN 2021
PENERIMAAN JUNI 2021 PEMAKAIAN JUNI 2021 SISA PERSEDIAAN 30 JUNI 2021

8 9 10 11 12
- - 8 600,160.00
- - 8 600,160.00
- - 8 814,088.00
- - 8 1,003,816.00
43,470.00 - 3 43,470.00
- - 14 1,516,536.00
768,350.00 - 500 768,350.00
112,500.00 1500 112,500.00 500 37,500.00
- - 8 214,272.00
- - 8 214,272.00
- - 8 214,272.00
- - 8 214,272.00
- - 8 214,272.00
- - 8 214,272.00
- - 8 214,272.00
- - 8 214,272.00
685,104.00 48 685,104.00 0 -
- 20 320,000.00 195 3,120,000.00
1,174,000.00 - 2,000 2,348,000.00
- - 25 92,800.00
55,000.00 - 200 110,000.00
- - 9 133,650.00
2,838,424.00 1,117,604.00 12,902,706.00
- - 0 -
- - 80 368,000.00
- - 1,096 472,376.00
- - 0 -
50,100.00 420 70,140.00 40 6,680.00
- - 100 112,100.00
- 10 7,760.00 70 54,320.00
- - 18 38,412.00
- - 180 49,500.00
- 100 28,200.00 0 -
- - 6 2,866,746.00
- 1 1,592,731.00 0 -
- 230 1,354,700.00 30 176,700.00
- - 30 7,260.00
- 25 201,700.00 125 1,008,500.00
- - 25 833,350.00
- - 1 239,593.00
- - 80 21,840.00
9,100.00 - 280 25,480.00
- - 13 805,948.00

794,970.00 - 21 3,338,874.00
359,865.00 - 49 1,175,559.00
789,910.00 - 34 2,685,694.00
- - 1 1,300,000.00
- - 3 3,975,000.00
84,975.00 - 17 288,915.00
- - 0 -
779,065.00 - 28 4,362,764.00
199,540.00 - 29 578,666.00
- 0 -
- 0 -
- 0 -
3,067,525.00 3,255,231.00 24,792,277.00
- 1000 360,000.00 4,500 1,620,000.00

- - 0 -
- 55 211,530.00 20 76,920.00
69,000.00 1500 69,000.00 0 -
468,000.00 4000 468,000.00 0 -
- 32 358,400.00 -4 (44,800.00)
158,300.00 - 200 316,600.00
- - 19 342,000.00
- - 5 6,305.00
- - 94 18,706.00
- 600 459,600.00 -600 (459,600.00)
39,400.00 160 31,520.00 155 30,535.00
265,080.00 - 80 530,160.00
- 500 148,500.00 -500 (148,500.00)
- - 49 715,414.70
9,000.00 - 487 43,830.00
- - 48 127,104.00
- 550 1,281,390.00 -550 (1,281,390.00)
210,000.00 100 105,000.00 200 210,000.00
- - 90 383,040.00
- - 50 212,800.00
- 0 - 0 -
48,000.00 2000 48,000.00 0 -
210,750.00 - 360 505,800.00
- 200 49,000.00 -200 (49,000.00)
- - 55 376,200.00
- 84 103,488.00 -84 (103,488.00)
- 1900 309,320.00 2,700 439,560.00
114,660.00 3 34,398.00 14 160,524.00
- - 5,000 295,000.00
- - 1,300 102,700.00
57,000.00 200 22,800.00 2,700 307,800.00
1,526,000.00 20 152,600.00 500 3,815,000.00
- 5 105,105.00 0 -
- 2 28,918.00 5 72,295.00
720,000.00 2500 360,000.00 11,000 1,584,000.00
- - 9 88,149.60
- - 12 117,532.80

3,895,190.00 4,706,569.00 10,411,198.10
- 0 - 15 56,310.00
- 0 - 120 350,400.00
- - 406,710.00
- - -
- - -
- - -
- - 0 -
443,850.00 80 71,016.00 1,070 949,839.00
- - 0 -
- - 0 -
395,384.74 1 395,384.74 0 -
- - 380 2,453,242.00
- - 100 425,600.00
- 20 111,320.00 100 556,600.00
- 25 213,675.00 140 1,196,580.00
715,110.00 - 10 1,430,220.00
411,400.00 11 45,254.00 238 979,132.00
- - 8 18,390.76
- - 10 75,020.00
- 1 16,032.50 2 32,065.00
- - 5 80,162.50
205,500.00 5 205,500.00 0 -
2,171,244.74 1,058,182.24 8,196,851.26
- - 0 -
235,250.00 500 235,250.00 500 235,250.000
235,250.00 235,250.00 235,250.00
- - 37 125,763.00
- - 0 -
- - 10 11,990.00
- - 0 -
- 1300 531,700.00 80 32,720.00
- - 0 -
- - 300 191,100.00
- 531,700.00 361,573.00
- - 40 7,200,000.00
- - 40 2,640,000.00
- 5 190,000.00 15 570,000.00
- - 0 -
- - 0 -
200,000.00 2 200,000.00 0 -
1,320,000.00 - 40 2,640,000.00
- - 45 225,000.00
- - 0 -
- - 140 9,800,000.00
- - 0 -

- - 0 -
- - 0 -
1,520,000.00 390,000.00 23,075,000.00
- 0 - 0 -
- - -
- - 53 759,707.30
- - 759,707.30
13,727,633.74 11,294,536.24 80,004,742.65

8,389,308.74
5,338,325.00 Pulau Balang Lompo, 31 Juni 2021

NIP. 19930409 201903 1 002
LAMPIRAN NAMA-NAMA OBAT YANG DIKELUARKAN KE PUSKESMAS LIUKANG TUPABBIRING
BULAN : JULI
NO. BAP : 190/ IFK-PK /BAP/PO/TU/VII/2021
JUMLAH TOTAL
SUMBER DANA NO NAMA OBAT SATUAN HARGA T.A
PEMBERIAN HARGA
1 2 3 4 5 6 7 8
APBD II (DAU) 1 Face Mask Ear Loop Kotak/50 pcs 69,000.00 40 2,760,000.00 2021
2 NaCl 0,9% Botol 6,900.00 40 276,000.00 2021
3 Natrium Diklofenak 50 mg Tablet 109.00 2,000 218,000.00 2021
4 Obat Batuk Hitam (Herbakof Syrup) Botol 14,273.00 20 285,460.00 2021
5 Pritavit Kaplet Kaplet 1,027.95 1,000 1,027,950.00 2021
6 Salep 24 Pot 1,475.00 10 14,750.00 2021
Total DAU 4,582,160.00
PROGRAM P2PL 1 Isoniazid tab 100 mg Tablet 282.00 200 56,400.00 2021
2 Nevirapin 200 mg Botol/60 Tablet 167,880.00 2 335,760.00 2021
4 Vaksin DPT HB HiB Vial 78,991.00 10 789,910.00 2021
5 Vaksin MR Vial 155,813.00 5 779,065.00 2021
7 TDF(300)+3TC(300)+EFV(600)FDC Dewasa Botol/30 Tab 204,000.00 4 816,000.00 2021
8 Zink Tablet 20 mg Tablet 604.00 200 120,800.00 2021
Total P2PL 12,653,295.00
DAU PAJAK ROKOK 1 Handscoon non steril M Pcs 470.50 500 235,250.00 2020
Total DAU PAJAK ROKOK 235,250.00
DAK OBAT 1 Amlodipin tablet 10 mg Tablet 74.00 2,000 148,000.00 2021

2 Amlodipin tablet 5 mg Tablet 55.00 2,000 110,000.00 2021
3 Amoksisilin kaplet 500 mg Tablet 231.00 3,000 693,000.00 2021
4 Antasida Doen Tablet 54.00 3,000 162,000.00 2021
5 Antasida Suspensi Botol 1,756.00 30 52,680.00 2021
Page 35
JUMLAH TOTAL
PEMBERIAN HARGA
1 2 3 4 5 6 7 8
6 Asam Askorbat (Vit C) tab 50 mg Tablet 46.00 5,000 230,000.00 2021
7 Asam Mefenamat Tablet 117.00 5,000 585,000.00 2021
8 Attapulgit 600 mg (New Antidest) Tablet 149.00 100 14,900.00 2019
9 Diazepam 2 mg Tablet 70.00 100 7,000.00 2021
10 Disposable safety box 5 liter Buah 18,000.00 2 36,000.00 2017
11 Domperidon Tablet 10 mg Tablet 75.00 100 7,500.00 2021
12 Domperidon sirup Botol 2,401.00 20 48,020.00 2021
13 Glukosa Infus 5% Steril 500 ml Botol 6,627.00 40 265,080.00 2021
14 Isosorbid dinitrat Tablet 93.00 200 18,600.00 2017
15 Kalsium laktat Tablet 60.00 1,000 60,000.00 2021
16 Kaptopril tab 25 mg Tablet 75.00 2,000 150,000.00 2021
17 Klorfeniramine Maleat Tablet (CTM) Tablet 24.00 5,000 120,000.00 2021
18 Kotrimoksazol dewasa Tablet 126.00 3,000 378,000.00 2021
19 Kotrimoksazol suspensi Botol 2,100.00 30 63,000.00 2021
20 Miconazole Salep Kulit Tube 1,900.00 48 91,200.00 2021
21 Parasetamol sirup Botol 1,160.00 100 116,000.00 2021
22 Parasetamol tablet 500 mg Tablet 186.78 1,000 186,780.00 2021
23 Ringer Laktat Larutan (Otsuka) Botol 7,150.00 200 1,430,000.00 2019
24 Simvastatin 20 mg Tablet 150.00 2,000 300,000.00 2021
25 Vitamin B kompleks tablet Tablet 144.00 3,000 432,000.00 2019
DAK 5,704,760.00
DAK BMHP 1 Chlodine 0,5% Jergen 5 ml 395,384.74 1 395,384.74 2021

2 Chromic surgical catgut suture 3/0 (kulit) Pcs 49,491.20 12 593,894.40 2021
3 Chromic surgical catgut suture 2/0 (kulit) Pcs 55,030.80 12 660,369.60 2021
4 Folley Catheher No. 18 Pcs 11,945.23 10 119,452.30 2021
5 Handscoon Non Steril S Pcs 1,740.20 300 522,060.00 2021
6 Handscoon Steril No. 7 Pasang 11,808.50 100 1,180,850.00 2021
7 IV Catheter 18 G ( Ekomed ) Pcs 5,827.80 50 291,390.00 2021
8 IV Catheter 24 G ( Ekomed ) Pcs 5,827.00 50 291,350.00 2021
9 Nassal Canula Dewasa Pcs 4,983.00 5 24,915.00 2021
10 Polipix 5 cm x 5 m Roll 41,100.00 5 205,500.00 2021
11 Silk Braided Silk Coated Suture 3/0 (Kulit) Pcs 38,119.40 12 457,432.80 2021
12 Urine Bag With Hanger Pcs 6,062.10 10 60,621.00 2021
DAK BMHP 4,803,219.84
Page 36
JUMLAH TOTAL
PEMBERIAN HARGA
1 2 3 4 5 6 7 8
BIAYA TAK TERDUGA 1 Rapid test Antigen Pcs 57,194.00 60 3,431,640.00 2021
(BTT) KABUPATEN
Total BTT 3,431,640.00
KESMAS 1 Calcii Gluconas injeksi 10% Ampul 10,351.00 2 20,702.00 2019

2 Tablet Tambah Darah Tablet 255.00 1,500 382,500.00 2021
Total KESMAS 403,202.00
TOTAL 31,813,526.84
Pangkajene, 15 JULI 2021
Yang menerima Yang Menyerahkan

Penanggung Jawab Instalasi Farmasi
Kabupaten Pangkep
MUHAMMAD THOHA,S.Si.,Apt N A W I R , S. Si, Apt

Nip. 19930409201903 1 002 Nip. 19741129 199702 1 001
Page 37
LAPORAN PERSEDIAAN OBAT, VAKSIN DAN BAHAN MEDIS HABIS PAKAI (BMH
TAHUN ANGGARAN 2021
NO STOK AWAL JULI 2021 PENERIMAAN JULI 2

1 2 3 4 5 6 7
5 Alkohol Swab Kotak 100 pcs 14,490.00 3 43,470.00
7 Becefort Tablet 1,536.70 500 768,350.00
8 Captopril 25 Ktk 10 x 10 tab 75.00 500 37,500.00
17 Herbakof Syrup Sirup 14,273.00 0 - 20
19 Kloramfenikol Kapsul 500mg Tablet 1,174.00 2,000 2,348,000.00
21 Face Mask Ear Loop Kotak/50 pcs 69,000.00 - 40
22 Nistatin vaginal tablet 100.000 UI/g Ktk 10 x10 tab vaginal 550.00 200 110,000.00
23 Nacl 0,9% Botol 6,900.00 0 - 40
24 Natrium Diklofenak 50 mg Tablet 109.00 2000
26 Pritavit Kaplet Kaplet 1,027.95 1000
27 Salep 24 Pot 1,475.00 10
Total DAU 12,902,706.00

5 Amitriptiline tablet salut 25mg Tablet 167.00 40 6,680.00
8 DHP Tablet 2,134.00 18 38,412.00
10 Isoniazid 100mg Tablet 282.00 0 - 200
11 Nevirapin 200 mg Botol/60 Tablet 167,880.00 2
13 Obat FDC Kategori 2 Paket 1,592,731.0 0 -
14 Pot Sputum Steril Pcs 5,890.00 30 176,700.00
20 Triheksifenidil 2 mg tab Tablet 91.00 280 25,480.00
21 TDF(300)+3TC(300)+EFV(600)FDC Dewasa Botol/30 Tab 204,000.00 4
22 Vaksin BCG Vial 61,996.00 13 805,948.00
23 Vaksin IPV Vial 158,994.00 21 3,338,874.00
24 Vaksin HB Recomendasi (HB\0) Vial 23,991.00 49 1,175,559.00
28 Vaksin TD Vial 16,995.00 17 288,915.00
29 Vaksin DT Vial 17,996.00 0 -
30 Vaksin MR Vial 155,813.00 28 4,362,764.00 5
33 ADS 0,5 mL Pcs 1,650.00 0 -
35 Zink tablet Tablet 604.00 200
Total P2PL 24,792,277.00

2 Amoksisilin kaplet 500 mg Tablet 231.00 - 3000
5 Amlodipine 10 mg Tablet 74.00 - 2000
7 Antasida Doen Tablet Tablet 54.00 - 3000
8 Antasida Suspensi Botol 1,756.00 - 30
9 Asam Askorbat (Vit C) tab 50 mg Botol / 1000 tab 46.00 0 - 5000
10 Kotak / 100 117.00 0
Asam Mefenamat kaplet 500 mg kaplet - 5000
11 Attapulgit 600 mg (New Antidest) Tablet 149.00 - 100
12 Alkohol Swab Box 11,200.00 -
13 Alat suntik 5cc Pcs 1,583.00 200 316,600.00
14 Disposible safety box 5 liter Buah 18,000.00 19 342,000.00 2
15 Diazepam 2 mg Tablet 70.00 - 100
17 Domperidon Tablet 10 mg Tablet 75.00 - 100
18 Domperidon sirup Botol 60mL 2,401.00 - 20
20 Eritromisin 500mg kapsul 766.00 -
21 Fenobarbital tablet Tablet 197.00 155 30,535.00
22 Glukosa larutan infus steril 5% Botol 6,627.00 80 530,160.00 40
23 Glimepirid tab 2mg Tablet 297.00 -
25 Haloperidol tab 2 mg (Iodomer) Tablet 90.00 487 43,830.00
27 Hiosina Butilbromida tablet 10 mg (Scopamin) Tab 2,329.80 -
31 Isosorbid dinitrat Tablet 93.00 - 200
33 Klorfeniramin Maleat (CTM) tablet 4 mg Tablet 24.00 0 - 5000
34 Kalsium laktat Tablet 60.00 - 1000
35 Kaptopril 25 mg Tablet 75.00 - 2000
36 Kotrimoksazol dewasa Tablet 126.00 - 3000
37 Kotrimoksazol suspensi Botol 2,100.00 - 30
38 Lidocain injeksi ampul 1,405.00 360 505,800.00
39 Metilergometrin tab 0,125mg Tablet 245.00 -
40 Miconazole Salep Kulit Tube 1,900.00 - 48
42 Oksitosin injeksi Ampul 1,232.00 -
44 Paracetamol tablet 500 mg Tablet 186.78 - 1000
45 Parasetamol sirup Botol 1,160.00 - 100
46 Permetrin krim 5% Tube 11,466.00 14 160,524.00
49 Ranitidin tab Tablet 114.00 2,700 307,800.00
50 Ringer Laktat larutan infus botol 7,630.00 500 3,815,000.00
51 Ringer Laktat larutan infus botol 7,150.00 - 200
52 Simvastatin 20 mg Tablet 150.00 - 2000
53 Stesolid Rektal 10mg/2.5 Ml Tube 21,021.00 0 -
55 Vitamin B Kompleks tablet Tablet 144.00 11,000 1,584,000.00 3000
TOTAL DAK 12,497,976.10


BMHP E-Cat 2 Alat suntik 3 cc (Abada) Pcs 887.70 1,070 949,839.00
DAK 3 Anios Gel 85 Botol 88,678.66 0 -
4 Catgut 3/0 Pcs 49,491.20 0 - 12
5 Chromic surgical catgut suture 2/0 (kulit) Pcs 55,030.80 12
7 Folley Catheher No. 18 Pcs 11,945.23 10
8 Handscoon Non Steril S Pcs 1,740.20 300
9 Handscoon Steril No. 7 Pasang 11,808.50 100
10 IV catheter 18G (Ekomed) pcs 5,827.80 50
13 IV Catheter 24 G ( Ekomed ) Pcs 5,827.00 50
14 Infuset anak pcs 5,566.00 100 556,600.00
16 Kasa 40m x 80 cm Roll 143,022.00 10 1,430,220.00
17 Kasa 16 x 16 Steril Kotak 5 x 6 tab 4,114.00 238 979,132.00
20 Nassal Canula Dewasa Pcs 4,983.00 5
24 Silk Braided Silk Coated Suture 3/0 (Kulit) Pcs 38,119.40 12
25 Urine Bag With Hanger Pcs 6,062.10 10
DBHCHT 470.50 0 -
470.50 500 235,250.00 500
Calcii Gluconas injeksi 10% Ampul 10,351.00 2

5 Tablet Tambah Darah Tablet 409.00 80 32,720.00
6 Tablet Tambah Darah Tablet 255.00 1500

DAU RECOFUSING 0
4 Handscoen steril 7 Psg 12,000.00 -
6 Masker Kotak/50 100,000.00 0 -
7 Masker N95 Pcs 66,000.00 40 2,640,000.00
8 Nurse Cap Pcs 5,000.00 45 225,000.00
11 Rapid test Antigen Pcs 57,194.00 60
TOTAL DAU RECOFUSING 23,075,000.00
BTT
53
1 14,334.10 759,707
Kasa pembalut 2 x 80 cm bungkus
TOTAL 80,004,742.65
Mengetahui,

NIP. 19790115 200604 1 010
AT, VAKSIN DAN BAHAN MEDIS HABIS PAKAI (BMHP)
ESMAS LIUKANG TUPABBIRING
ESEHATAN KABUPATEN PANGKEP
TAHUN ANGGARAN 2021
PENERIMAAN JULI 2021 PEMAKAIAN JULI 2021 SISA PERSEDIAAN 30 JULI 2021

8 9 10 11 12
- 8 600,160.00 0 -
- 8 600,160.00 0 -
- 8 814,088.00 0 -
- 8 1,003,816.00 0 -
- - 3 43,470.00
- - 14 1,516,536.00
- - 500 768,350.00
- - 500 37,500.00
- 8 214,272.00 0 -
- 8 214,272.00 0 -
- 8 214,272.00 0 -
- 8 214,272.00 0 -
- 8 214,272.00 0 -
- 8 214,272.00 0 -
- 8 214,272.00 0 -
- 8 214,272.00 0 -
285,460.00 20 285,460.00 0 -
- 20 320,000.00 175 2,800,000.00
- 1500 1,761,000.00 500 587,000.00
- - 25 92,800.00
2,760,000.00 - 40 2,760,000.00
- - 200 110,000.00
276,000.00 20 138,000.00 20 138,000.00
218,000.00 1000 109,000.00 1,000 109,000.00
- 9 133,650.00 0 -
1,027,950.00 1000 1,027,950.00 0 -
14,750.00 10 14,750.00 0 -
4,582,160.00 8,522,210.00 8,962,656.00
- - 0 -
- 80 368,000.00 0 -
- - 1,096 472,376.00
- - 0 -
- - 40 6,680.00
- - 100 112,100.00
- - 70 54,320.00
- - 18 38,412.00
- 45 12,375.00 135 37,125.00
56,400.00 - 200 56,400.00
335,760.00 - 2 335,760.00
9,555,820.00 6 2,866,746.00 20 9,555,820.00
- - 0 -
- 30 176,700.00 0 -
- - 30 7,260.00
- - 125 1,008,500.00
- - 25 833,350.00
- - 1 239,593.00
- - 80 21,840.00
- - 280 25,480.00

816,000.00 - 4 816,000.00
- - 13 805,948.00
- - 21 3,338,874.00
- - 49 1,175,559.00
789,910.00 - 44 3,475,604.00
- - 1 1,300,000.00
- - 3 3,975,000.00
- - 17 288,915.00
- - 0 -
779,065.00 - 33 5,141,829.00
199,540.00 - 39 778,206.00
- - 0 -
- - 0 -
- - 0 -
120,800.00 100 60,400.00 100 60,400.00
12,653,295.00 3,484,221.00 33,961,351.00
- 1000 360,000.00 3,500 1,260,000.00

693,000.00 3000 693,000.00 0 -
- - 0 -
- 20 76,920.00 0 -
148,000.00 2000 148,000.00 0 -
110,000.00 2000 110,000.00 0 -
162,000.00 3000 162,000.00 0 -
52,680.00 30 52,680.00 0 -
230,000.00 3000 138,000.00 2,000 92,000.00
585,000.00 3000 351,000.00 2,000 234,000.00
14,900.00 - 100 14,900.00

- - 0 -
- 130 205,790.00 70 110,810.00
36,000.00 - 21 378,000.00
7,000.00 - 100 7,000.00
- - 5 6,305.00
7,500.00 - 100 7,500.00
48,020.00 - 20 48,020.00
- - 94 18,706.00
- - 0 -
- - 155 30,535.00
265,080.00 120 795,240.00 0 -
- - 0 -
- 27 394,208.10 22 321,206.60
- - 487 43,830.00
- - 48 127,104.00
- - 0 -
- 200 210,000.00 0 -
- - 90 383,040.00
- - 50 212,800.00
18,600.00 - 200 18,600.00
- - 0 -
120,000.00 5000 120,000.00 0 -
60,000.00 1000 60,000.00 0 -
150,000.00 1000 75,000.00 1,000 75,000.00
378,000.00 - 3,000 378,000.00
63,000.00 10 21,000.00 20 42,000.00
- 260 365,300.00 100 140,500.00
- - 0 -

91,200.00 48 91,200.00 0 -
- - 55 376,200.00
- - 0 -
- 2700 439,560.00 0 -
186,780.00 1000 186,780.00 0 -
116,000.00 100 116,000.00 0 -
- 10 114,660.00 4 45,864.00
- - 5,000 295,000.00
- - 1,300 102,700.00
- 1700 193,800.00 1,000 114,000.00
- 220 1,678,600.00 280 2,136,400.00
1,430,000.00 200 1,430,000.00 0 -
300,000.00 - 2,000 300,000.00
- - 0 -
- - 5 72,295.00
432,000.00 10000 1,440,000.00 4,000 576,000.00
- - 9 88,149.60
- - 12 117,532.80
5,704,760.00 10,028,738.10 8,173,998.00
- 15 56,310.00 0 -
- - 120 350,400.00
- 56,310.00 350,400.00
- - 0 -
- 870 772,299.00 200 177,540.00
- - 0 -
593,894.40 12 593,894.40 0 -
660,369.60 12 660,369.60 0 -
395,384.74 1 395,384.74 0 -
119,452.30 5 59,726.15 5 59,726.15
522,060.00 300 522,060.00
1,180,850.00 100 1,180,850.00
291,390.00 50 291,390.00
- - 380 2,453,242.00
- 10 42,560.00 90 383,040.00
291,350.00 - 50 291,350.00
- - 100 556,600.00
- 140 1,196,580.00 0 -
- 10 1,430,220.00 0 -
- 238 979,132.00 0 -
- - 8 18,390.76
- - 10 75,020.00
24,915.00 5 24,915.00 0 -
- - 2 32,065.00
- 5 80,162.50 0 -
205,500.00 5 205,500.00 0 -
457,432.80 12 457,432.80 0 -
60,621.00 10 60,621.00 0 -
4,803,219.84 6,958,797.19 6,041,273.91
- - 0 -
235,250.00 1000 470,500.00 0 -
235,250.00 470,500.00 -

20,702.00 2 20,702.00 0 -
- - 37 125,763.00
- - 0 -
- - 10 11,990.00
- - 0 -
- 80 32,720.00 0 -
382,500.00 - 1,500 382,500.00
- - 0 -
- - 300 191,100.00
403,202.00 53,422.00 711,353.00
- - 40 7,200,000.00
- - 40 2,640,000.00
- - 15 570,000.00
- - 0 -
- - 0 -
- - 0 -
- 30 1,980,000.00 10 660,000.00
- - 45 225,000.00
- - 0 -
- - 140 9,800,000.00
3,431,640.00 - 60 3,431,640.00
- - 0 -
- - 0 -
- - 0 -
3,431,640.00 1,980,000.00 24,526,640.00
- - 0 -
- - -
- - 53 759,707.30
- - 759,707.30
31,813,526.84 31,554,198.29 80,264,071.20
Pulau Balang Lompo, 31 Juli 2021

NIP. 19930409 201903 1 002
TAHUN ANGGARAN 2021
NO STOK AWAL AGUSTUS 2021 PENERIMAAN AGUSTUS 2021 PEMAKAIAN AGUST

JUMLAH TOTAL 'HARGA JUMLAH TOTAL 'HARGA JUMLAH
1 2 3 4 5 6 7 8 9
DAU 1 Anti A Monocloral Blood Grouping Reagents Botol 75,020.00 0 - -
2 Anti B Monocloral Blood Grouping Reagents Botol 75,020.00 0 - -
3 Anti AB Monocloral Blood Grouping Reagents Botol 101,761.00 0 - -
4 Anti D Duocloral Monocloral Botol 125,477.00 0 - -
5 Antihemorohid Suppo 3,260.00 0 - 20 65,200.00 5
6 Alkohol Swab Kotak 100 pcs 14,490.00 3 43,470.00 5 72,450.00
8 BD Gard Kapsul 10,890.00 0 300 3,267,000.00 300
9 Becefort Tablet 1,536.70 500 768,350.00 -
10 Captopril 25 Ktk 10 x 10 tab 75.00 500 37,500.00 -
11 Cetirizine syrup 5mg/5mL botol 2,215.00 0 - 10 22,150.00 10
12 Dimenhidrinat 50mg Tablet 109.00 0 - 100 10,900.00
13 Face Mask Ear Loop Kotak/50 pcs 69,000.00 0 - 40 2,760,000.00
14 Fokus Febrile Antigen O-A Paratiphy Vial 26,784.00 0 - -
15 Fokus Febrile Antigen O-B Paratiphy Vial 26,784.00 0 - -
16 Fokus Febrile Antigen O-C Paratiphy Vial 26,784.00 0 - -
17 Fokus Febrile Antigen O-D Paratiphy Vial 26,784.00 0 - -
18 Fokus Febrile Antigen H-A Paratiphy Vial 26,784.00 0 - -
19 Fokus Febrile Antigen H-B Paratiphy Vial 26,784.00 0 - -
20 Fokus Febrile Antigen H-C Paratiphy Vial 26,784.00 0 - -
21 Fokus Febrile Antigen H Paratiphy Vial 26,784.00 0 - -
22 Griseofulvin 125mg Tablet 210.00 0 - 1000 210,000.00 100
23 Herbakof Syrup Sirup 14,273.00 0 - 48 685,104.00 48
24 I.V Catheter 20G (Abbocath) pcs 16,000.00 175 2,800,000.00 - 10
25 Ibuprofen Sirup 100mg botol 2,339.00 0 50 116,950.00 10
26 Chloramex Tablet 1,174.00 500 587,000.00 - 100
27 Loperamide Tablet Tablet 81.00 0 300 24,300.00
28 Metylergometrin Maleat inj 0.2 mg / ml Ampul 3,712.00 25 92,800.00 -
29 Face Mask Ear Loop Kotak/50 pcs 69,000.00 40 2,760,000.00 -
30 Nistatin vaginal tablet 100.000 UI/g Ktk 10 x10 tab vaginal 550.00 200 110,000.00 -
31 Nacl 0,9% Botol 6,900.00 20 138,000.00 - 20
32 Natrium Diklofenak 50 mg Tablet 109.00 1,000 109,000.00 2000 218,000.00 1450
33 Otsucath no.24 Pcs / set 14,850.00 0 - -
34 Pritavit Kaplet Kaplet 1,027.95 0 1000 1,027,950.00 1000
35 Salep 24 Pot 1,475.00 0 20 29,500.00 20
Total DAU 8,962,656.00 8,509,504.00

P2PL 2 Albendazol 200mg Suspensi Botol/200 4,600.00 0 - -
4 Alat Suntik skali pake 0,5 ml Pcs 1,650.00 0 - 100 165,000.00 100
5 Amitriptiline tablet salut 25mg Tablet 167.00 40 6,680.00 300 50,100.00 40
6 Clozapine 25 mg tab Tablet 1,121.00 100 112,100.00 300 336,300.00 107
8 DHP Tablet 2,134.00 18 38,412.00 -
9 Garam Oralit untuk 200 ml air Sachet 275.00 135 37,125.00 -
10 Isoniazid 100mg Tablet 282.00 200 56,400.00 - 100
11 Nevirapin 200 mg Botol/60 Tablet 167,880.00 2 335,760.00 -
12 Obat FDC Kategori 1 Paket 477,791.00 20 9,555,820.00 - 5
13 Obat FDC Kategori 2 Paket 1,592,731.0 0 - -
14 Pot Sputum Steril Pcs 5,890.00 0 - -
19 Risperidon 2 mg tab Tablet 273.00 80 21,840.00 - 20
20 Triheksifenidil 2 mg tab Tablet 91.00 280 25,480.00 300 27,300.00 385
21 TDF(300)+3TC(300)+EFV(600)FDC Dewasa Botol/30 Tab 204,000.00 4 816,000.00 - 4
22 Vaksin BCG Vial 61,996.00 13 805,948.00 5 309,980.00
23 Vaksin IPV Vial 158,994.00 21 3,338,874.00 -
24 Vaksin HB Recomendasi (HB\0) Vial 23,991.00 49 1,175,559.00 10 239,910.00
28 Vaksin TD Vial 16,995.00 17 288,915.00 -
29 Vaksin DT Vial 17,996.00 0 - -
30 Vaksin MR Vial 155,813.00 33 5,141,829.00 -
31 Vaksin Polio Oral (OPV) Vial 19,954.00 39 778,206.00 5 99,770.00
32 Vaksin Covid-19 Vial 211.28 0 - -
33 ADS 0,5 mL Pcs 1,650.00 0 - -
34 Safety Box Pcs 23.40 0 - -
35 Zink tablet Tablet 604.00 100 60,400.00 - 100
Total P2PL 33,961,351.00 1,623,315.00
DAK 1 Amoksisilin kaplet 500 mg Tablet 360.00 3,500 1,260,000.00 -

2 Amoksisilin kaplet 500 mg Tablet 231.00 0 - 5000 1,155,000.00
5 Amlodipine 10 mg Tablet 74.00 0 - 1500 111,000.00 1500
7 Antasida Doen Tablet Tablet 54.00 0 - 5000 270,000.00 1000
8 Antasida Suspensi Botol 1,756.00 0 - 50 87,800.00 10
9 Asam Askorbat (Vit C) tab 50 mg Botol / 1000 tab 46.00 2,000 92,000.00 3000 138,000.00 5000
10 Kotak / 100 117.00 2,000
Asam Mefenamat kaplet 500 mg kaplet 234,000.00 3000 351,000.00 1900
11 Attapulgit 600 mg (New Antidest) Tablet 149.00 100 14,900.00 -
12 Alkohol Swab Box 11,200.00 0 - -
13 Alat suntik 5cc Pcs 1,583.00 70 110,810.00 -
14 Disposible safety box 5 liter Buah 18,000.00 21 378,000.00 -
15 Diazepam 2 mg Tablet 70.00 100 7,000.00 - 10
16 Diazepam Injeksi Ampul 1,545.00 0 - 10 15,450.00
18 Domperidon Tablet 10 mg Tablet 75.00 100 7,500.00 -
19 Domperidon sirup Botol 60mL 2,401.00 20 48,020.00 -
20 Dexamethasone 5mg injeksi Ampul 968.00 15 14,520.00
22 Eritromisin 500mg kapsul 766.00 0 - -
23 Fenobarbital tablet Tablet 197.00 155 30,535.00 - 79
24 Glukosa larutan infus steril 5% Botol 6,627.00 0 - 40 265,080.00 40
25 Glimepirid tab 2mg Tablet 297.00 0 - -
26 Gliseril Guaiakolat tablet 100 mg (Guaiafenesin) kotak 14,600.30 22 321,206.60 - 6
27 Haloperidol tab 2 mg (Iodomer) Tablet 90.00 487 43,830.00 -
28 Hidrokortison krim 2,5% Tube 2,648.00 48 127,104.00 48 127,104.00
29 Hiosina Butilbromida tablet 10 mg (Scopamin) Tab 2,329.80 0 - -
33 Isosorbid dinitrat Tablet 93.00 200 18,600.00 -
34 Ketokonazol tablet 200 mg Tablet 305.00 0 - -
35 Klorfeniramin Maleat (CTM) tablet 4 mg Tablet 24.00 0 - 5000 120,000.00 2200
36 Kalsium laktat Tablet 60.00 0 - 2000 120,000.00 700
37 Kaptopril 25 mg Tablet 75.00 1,000 75,000.00 1000 75,000.00
38 Kotrimoksazol dewasa Tablet 126.00 3,000 378,000.00 - 500
39 Kotrimoksazol suspensi Botol 2,100.00 20 42,000.00 - 20
40 Lidocain injeksi ampul 1,405.00 100 140,500.00 -
41 Lidocain injeksi ampul 847.00 0 90 76,230.00
42 Metilergometrin tab 0,125mg Tablet 245.00 0 - -
43 Miconazole Salep Kulit Tube 1,900.00 0 - 48 91,200.00 48
44 Natrium Klorida larutan infus steril 0,9% Botol 500 ml 6,840.00 55 376,200.00 -
45 Oksitosin injeksi Ampul 1,348.00 0 100 134,800.00
46 Oksitosin injeksi Ampul 1,232.00 0 - -
47 Paracetamol tablet 500 mg Tablet 162.80 0 - -
49 Parasetamol sirup Botol 1,160.00 0 - 100 116,000.00 100
50 Permetrin krim 5% Tube 11,466.00 4 45,864.00 -
52 Prednison tab 5mg Tablet 79.00 1,300 102,700.00 -
53 Ranitidin tab Tablet 114.00 1,000 114,000.00 - 200
54 Ringer Laktat larutan infus botol 7,630.00 280 2,136,400.00 - 280
55 Ringer Laktat larutan infus botol 7,150.00 0 - -
56 Simvastatin 20 mg Tablet 150.00 2,000 300,000.00 2000 300,000.00 1900
57 Salbutamol 4mg Tablet 67.00 0 500 33,500.00 500
58 Sianokobalamin (B12) 50mcg Tablet 44.00 500 22,000.00 500
59 Stesolid Rektal 10mg/2.5mL Tube 21,021.00 0 - -
60 Stesolid rektal 5 mg/2.5mL Tube 14,459.00 5 72,295.00 - 2
61 Vitamin B Kompleks tablet Tablet 144.00 4,000 576,000.00 5000 720,000.00 1900
TOTAL DAK 8,173,998.00 4,426,184.00
KESGA 1 Vitamin K1/Phytomenadion inj.10 Ampul 3,754.00 0 - -

BMHP E-Cat 2 Alat suntik 3 cc (Abada) Pcs 887.70 200 177,540.00 - 200
DAK 3 Alat suntik 3 cc (Abada) Pcs 924.00 - 500 462,000.00 210

4 Anios Gel 85 Botol 88,678.66 0 - -
5 Catgut 3/0 Pcs 46,959.00 0 - 24 1,127,016.00 24
6 Chromic surgical catgut suture 2/0 (kulit) Pcs 55,030.80 0 - 24 1,320,739.20 24
7 Chlodine 0,5% Jerigen 5Liter 395,384.74 0 - 1 395,384.74 1
8 Folley Catheher No. 18 Pcs 11,945.23 5 59,726.15 10 119,452.30
9 Handscoen Non Steril L Pcs 1,740.20 - 500 870,100.00 500
10 Handscoon Non Steril S Pcs 1,740.20 300 522,060.00 500 870,100.00
11 Handscoon Steril No. 7 Pasang 11,808.50 100 1,180,850.00 -
12 Handscoen Steril No 7,5 Pasang 11,808.50 0 - 20 236,170.00
13 IV catheter 18G (Ekomed) pcs 5,827.80 50 291,390.00 -
14 IV catheter 22G x 1 1/2 (Steracath) pcs 6,455.90 380 2,453,242.00 - 80
15 IV catheter 24G x 3/4 (Steracath) pcs 4,256.00 90 383,040.00 - 20
16 IV Catheter 24 G ( Ekomed ) Pcs 5,827.00 50 291,350.00 - 50
17 Infuset anak pcs 5,566.00 100 556,600.00 - 20
18 Infuset Dewasa Pcs 6,527.40 0 - 100 652,739.90 40
19 Kasa 40m x 80 cm Roll 143,022.00 0 - 5 715,110.00
20 Kasa 16 x 16 Steril Kotak 5 x 6 tab 4,114.00 0 - 50 205,700.00
23 Nassal Canula Dewasa Pcs 4,983.00 0 - -
25 Nebuliser Mask Pediatric Pcs 16,032.50 0 - -
26 Polipix 5 cm x 5 m Roll 41,100.00 0 - 5 205,500.00 5
27 Silk Braided Silk Coated Suture 3/0 (Kulit) Pcs 38,119.40 0 - 24 914,865.60 24
28 Urine Bag With Hanger Pcs 6,062.10 0 - 10 60,621.00 5
Total DAK BMHP 6,041,273.91 8,155,498.74
DBHCHT 470.50 0 - -
470.50 0 - 500 235,250.00
Total DBHCHT - 235,250.00
1 Calcii Gluconas injeksi 10% Ampul 10,351.00 0 - 2 20,702.00

KESMAS 3 Oksitetrasiklin 1% Salep Mata Tube 2,600.00 0 - -

4 Oksitoksin Injeksi ampul 1,199.00 10 11,990.00 - 10
6 Tablet Tambah Darah Tablet 409.00 0 - -
7 Tablet Tambah Darah Tablet 255.00 1,500 382,500.00 -
8 Vit A Balita (Biru) Kapsul 297.00 0 - 1000 297,000.00 200
9 Vit A Balita (Merah) Kapsul 637.00 300 191,100.00 1250 796,250.00 300
TOTAL KESMAS 711,353.00 1,113,952.00
1 Baju Hasmat / APD Pcs 180,000.00 40 7,200,000.00 - 14

2 Celemek Plastik Pcs 66,000.00 40 2,640,000.00 - 5
BIAYA TAK
3 Face shield anti droplet Pcs 38,000.00 15 570,000.00 - 15
TERDUGA (BTT)
KABUPATEN
6 Masker Kotak/50 100,000.00 0 - -
7 Masker N95 Pcs 66,000.00 10 660,000.00 - 10
8 Nurse Cap Pcs 5,000.00 45 225,000.00 - 45
10 Rapid test antigen Test 70,000.00 140 9,800,000.00 - 63
11 Rapid test Antigen Pcs 57,194.00 60 3,431,640.00 - 60
TOTAL BTT 24,526,640.00 -
BTT
PROPINSI 1 Efinefrin injeksi 1 mg Ampul 6,691.85 0 - -
TOTAL BIAYA TAK TERDUGA (BTT) PROVINSI -
53
1 14,334.10 759,707 -
TOTAL 80,264,071.20 24,063,703.74
Mengetahui,

NIP. 19790115 200604 1 010
AS LIUKANG TUPABBIRING
UN ANGGARAN 2021
PEMAKAIAN AGUSTUS 2021 SISA PERSEDIAAN 25 AGUSTUS 2021
TOTAL 'HARGA JUMLAH TOTAL 'HARGA

10 11 12
- 0 -
- 0 -
- 0 -
- 0 -
16,300.00 15 48,900.00
- 8 115,920.00
- 14 1,516,536.00
3,267,000.00 0 -
- 500 768,350.00
- 500 37,500.00
22,150.00 0 -
- 100 10,900.00
- 40 2,760,000.00
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
21,000.00 900 189,000.00
685,104.00 0 -
160,000.00 165 2,640,000.00
23,390.00 40 93,560.00
117,400.00 400 469,600.00
- 300 24,300.00
- 25 92,800.00
- 40 2,760,000.00
- 200 110,000.00
138,000.00 0 -
158,050.00 1,550 168,950.00
- 0 -
1,027,950.00 0 -
29,500.00 0 -
5,665,844.00 11,806,316.00
- 0 -
- 0 -
- 1,096 472,376.00
165,000.00 0 -
6,680.00 300 50,100.00
119,947.00 293 328,453.00
- 70 54,320.00
- 18 38,412.00
- 135 37,125.00
28,200.00 100 28,200.00
- 2 335,760.00
2,388,955.00 15 7,166,865.00
- 0 -
- 0 -
- 30 7,260.00
- 125 1,008,500.00
- 25 833,350.00
- 1 239,593.00
5,460.00 60 16,380.00
35,035.00 195 17,745.00

816,000.00 0 -
- 18 1,115,928.00
- 21 3,338,874.00
- 59 1,415,469.00
- 49 3,870,559.00
- 1 1,300,000.00
- 3 3,975,000.00
- 17 288,915.00
- 0 -
- 33 5,141,829.00
- 44 877,976.00
- 0 -
- 0 -
- 0 -
60,400.00 0 -
3,625,677.00 31,958,989.00
- 3,500 1,260,000.00
- 5,000 1,155,000.00
- 0 -
- 0 -
111,000.00 0 -
82,500.00 0 -
54,000.00 4,000 216,000.00
17,560.00 40 70,240.00
230,000.00 0 -
222,300.00 3,100 362,700.00
- 100 14,900.00
- 0 -
- 70 110,810.00
- 21 378,000.00
700.00 90 6,300.00
- 10 15,450.00
- 5 6,305.00
- 100 7,500.00
- 20 48,020.00
- 15 14,520.00
- 94 18,706.00
- 0 -
15,563.00 76 14,972.00
265,080.00 0 -
- 0 -
87,601.80 16 233,604.80
- 487 43,830.00
- 96 254,208.00
- 0 -
- 0 -
- 90 383,040.00
- 50 212,800.00
- 200 18,600.00
- 0 -
52,800.00 2,800 67,200.00
42,000.00 1,300 78,000.00
- 2,000 150,000.00
63,000.00 2,500 315,000.00
42,000.00 0 -
- 100 140,500.00
- 90 76,230.00
- 0 -
91,200.00 0 -
- 55 376,200.00
- 100 134,800.00
- 0 -
- 0 -

- 0 -
116,000.00 0 -
- 4 45,864.00
- 5,000 295,000.00
- 1,300 102,700.00
22,800.00 800 91,200.00
2,136,400.00 0 -
- 0 -
285,000.00 2,100 315,000.00
33,500.00 0 -
22,000.00 0 -
- 0 -
28,918.00 3 43,377.00
273,600.00 7,100 1,022,400.00
- 9 88,149.60
- 12 117,532.80
4,295,522.80 8,304,659.20
- 0 -
- 120 350,400.00
- 350,400.00
- 0 -
177,540.00 0 -
194,040.00 290 267,960.00
- 0 -
1,127,016.00 0 -
1,320,739.20 0 -
395,384.74 0 -
- 15 179,178.45
870,100.00 0 -
800 1,392,160.00
100 1,180,850.00
20 236,170.00
50 291,390.00
516,472.00 300 1,936,770.00
85,120.00 70 297,920.00
291,350.00 0 -
111,320.00 80 445,280.00
261,095.96 60 391,643.94
- 5 715,110.00
- 50 205,700.00
- 8 18,390.76
- 10 75,020.00
- 0 -
- 2 32,065.00
- 0 -
205,500.00 0 -
914,865.60 0 -
30,310.50 5 30,310.50
6,500,854.00 7,695,918.65
- 0 -
- 500 235,250.000
- 235,250.00
- 2 20,702.00
- 37 125,763.00
- 0 -
11,990.00 0 -
- 0 -
- 0 -
- 1,500 382,500.00

59,400.00 800 237,600.00
191,100.00 1,250 796,250.00
262,490.00 1,562,815.00
2,520,000.00 26 4,680,000.00
330,000.00 35 2,310,000.00
570,000.00 0 -
- 0 -
- 0 -
- 0 -
660,000.00 0 -
225,000.00 0 -
- 0 -
4,410,000.00 77 5,390,000.00
3,431,640.00 0 -
- 0 -
- 0 -
- 0 -
12,146,640.00 12,380,000.00
- 0 -
- -
- 53 759,707.30
- 759,707.30
32,497,027.80 71,830,747.14
Pulau Balang Lompo, 25 Agustus 2021

NIP. 19930409 201903 1 002
TAHUN ANGGARAN 2021
NO STOK AWAL SEPTEMBER 2021 PENERIMAAN SEPTEMBER 2021 PEMAKAIAN SEPTEM

1 2 3 4 5 6 7 8 9
5 Antihemorohid Suppo 3,260.00 15 48,900.00 -
6 Alkohol Swab Kotak 100 pcs 14,490.00 8 115,920.00 -
8 Benecheck Strip Kolesterol Pcs 25,283.92 - 50 1,264,196.15 10
9 Benecheck Strip Glucose Pcs 3,206.20 - 500 1,603,100.00 25
10 Benecheck Strip uric Acid Pcs 6,689.54 - 50 334,477.00 25
11 BD Gard Kapsul 10,890.00 0 - 300 3,267,000.00 300
12 Becefort Tablet 1,536.70 500 768,350.00 -
13 Captopril 25 Pcs 75.00 500 37,500.00 -
14 Cetirizine syrup 5mg/5mL Pcs 2,215.00 0 - 6 13,290.00 6
15 Dimenhidrinat 50mg Pcs 109.00 100 10,900.00 -
16 Face Mask Ear Loop Ktk 10 x 10 tab 69,000.00 40 2,760,000.00 40 2,760,000.00
17 Fokus Febrile Antigen O-A Paratiphy botol 26,784.00 0 - -
18 Fokus Febrile Antigen O-B Paratiphy Tablet 26,784.00 0 - -
19 Fokus Febrile Antigen O-C Paratiphy Kotak/50 pcs 26,784.00 0 - -
25 Griseofulvin 125mg Vial 210.00 900 189,000.00 -
26 Glimepiride tab 1 mg Tablet 96.00 0 - 3000 288,000.00 500
27 Herbakof Syrup Vial 14,273.00 0 - 48 685,104.00 48
28 I.V Catheter 20G (Abbocath) Vial 16,000.00 165 2,640,000.00 -
29 Ibuprofen Sirup 100mg Tablet 2,339.00 40 93,560.00 - 10
31 Loperamide Tablet Sirup 81.00 300 24,300.00 -
32 Metylergometrin Maleat inj 0.2 mg / ml pcs 3,712.00 25 92,800.00 -
33 Face Mask Ear Loop botol 69,000.00 40 2,760,000.00 -
34 Nistatin vaginal tablet 100.000 UI/g Tablet 550.00 200 110,000.00 -
35 Nacl 0,9% Tablet 6,900.00 0 - -
36 Natrium Diklofenak 50 mg Ampul 109.00 1,550 168,950.00 - 350
37 Otsucath no.24 Kotak/50 pcs 14,850.00 0 - -
38 Pritavit Kaplet Ktk 10 x10 tab vaginal 1,027.95 0 - 1000 1,027,950.00 1000
39 Salep 24 Botol 1,475.00 0 - 20 29,500.00 20
Total DAU 11,806,316.00 11,272,617.15

3 Albendazol tablet 400 mg Tablet 431.00 1,096 472,376.00 - 30
4 Alat Suntik skali pake 0,5 ml Pcs 1,650.00 0 - 400 660,000.00
5 Amitriptiline tablet salut 25mg Tablet 167.00 300 50,100.00 -
8 DHP Tablet 2,134.00 18 38,412.00 -
9 Garam Oralit untuk 200 ml air Sachet 275.00 135 37,125.00 100 27,500.00
10 Isoniazid 100mg Tablet 282.00 100 28,200.00 200 56,400.00
12 Obat FDC Kategori 1 Paket 477,791.00 15 7,166,865.00 18 8,600,238.00
14 Pot Sputum Steril Pcs 2,272.00 0 - 300 681,600.00
18 Reagen Ziehl Neelson (ZN) Paket 239,593.00 1 239,593.00 1 239,593.00
19 Risperidon 2 mg tab Tablet 273.00 60 16,380.00 -
20 Triheksifenidil 2 mg tab Tablet 91.00 195 17,745.00 -
21 TDF(300)+3TC(300)+EFV(600)FDC Dewasa Botol/30 Tab 204,000.00 0 - 6 1,224,000.00
22 Vaksin BCG Vial 61,996.00 18 1,115,928.00 -
23 Vaksin IPV Vial 158,994.00 21 3,338,874.00 -
24 Vaksin HB Recomendasi (HB\0) Vial 23,991.00 59 1,415,469.00 -
26 Vaksin HB Pid Uniject 23,991.00 - 10 239,910.00
29 Vaksin TD Vial 16,995.00 17 288,915.00 -
30 Vaksin DT Vial 17,996.00 0 - -
31 Vaksin MR Vial 155,813.00 33 5,141,829.00 5 779,065.00
32 Vaksin Polio Oral (OPV) Vial 19,954.00 44 877,976.00 -
34 ADS 0,5 mL Pcs 1,650.00 0 - -
36 Zink tablet Tablet 604.00 0 - -
Total P2PL 31,958,989.00 12,903,261.00
DAK 1 Amoksisilin kaplet 500 mg Tablet 360.00 3,500 1,260,000.00 - 2900

2 Amoksisilin kaplet 500 mg Tablet 231.00 5,000 1,155,000.00 5000 1,155,000.00
4 Amoksisilin sirup KERING 250 mg/5 ml Botol 3,846.00 0 - 100 384,600.00 6
7 Antasida Doen Tablet Tablet 54.00 4,000 216,000.00 - 1200
8 Antasida Suspensi Botol 1,756.00 40 70,240.00 - 20
9 Asam Askorbat (Vit C) tab 50 mg Botol / 1000 tab 46.00 0 - 5000 230,000.00 600
10 Kotak / 100 117.00 3,100
Asam Mefenamat kaplet 500 mg kaplet 362,700.00 3000 351,000.00 500
13 Alat suntik 5cc Pcs 1,583.00 70 110,810.00 -
14 Disposible safety box 5 liter Buah 18,000.00 21 378,000.00 10 180,000.00
15 Diazepam 2 mg Tablet 70.00 90 6,300.00 -
16 Diazepam Injeksi Ampul 1,545.00 10 15,450.00 -
Difenhidramin HCL injek Ampul 825.00 0 - 10 8,250.00
19 Domperidon sirup Botol 60mL 2,401.00 20 48,020.00 30 72,030.00
20 Dexamethasone 5mg injeksi Ampul 968.00 15 14,520.00 5 4,840.00
23 Fenobarbital tablet Tablet 197.00 76 14,972.00 100 19,700.00 100
24 Glukosa larutan infus steril 5% Botol 6,627.00 0 - 40 265,080.00
26 Gliseril Guaiakolat tablet 100 mg (Guaiafenesin) kotak 14,600.30 16 233,604.80 -
31 IV Catheter 20G x 1 1/4 (Steracath) Pcs 4,256.00 90 383,040.00 - 40
35 Klorfeniramin Maleat (CTM) tablet 4 mg Tablet 24.00 2,800 67,200.00 - 600
36 Kalsium laktat Tablet 60.00 1,300 78,000.00 2000 120,000.00 1500
37 Kaptopril 25 mg Tablet 75.00 2,000 150,000.00 -
38 Kotrimoksazol dewasa Tablet 126.00 2,500 315,000.00 -
39 Kotrimoksazol suspensi Botol 2,100.00 0 - 40 84,000.00
40 Lidocain injeksi ampul 1,405.00 100 140,500.00 -
41 Lidocain injeksi ampul 847.00 90 76,230.00 - 60
43 Miconazole Salep Kulit Tube 1,900.00 0 - 72 136,800.00
44 Natrium Klorida larutan infus steril 0,9% Botol 500 ml 6,840.00 55 376,200.00 - 35
45 Oksitosin injeksi Ampul 1,348.00 100 134,800.00 100 134,800.00
48 Paracetamol tablet 500 mg Tablet 186.78 0 - 1000 186,780.00 1000
49 Parasetamol sirup Botol 1,160.00 0 - 200 232,000.00 100
Prednison tab 5mg Tablet 73.00 0 - 2000 146,000.00 1500
52 Prednison tab 5mg Tablet 79.00 1,300 102,700.00 - 500
53 Piridoksin (Vitamin B6) Tab 10 mg Tablet 72.00 800 57,600.00 1000 72,000.00 1000
53 Ranitidin tab Tablet 114.00 800 91,200.00 -
55 Ringer Laktat larutan infus botol 7,150.00 0 - 300 2,145,000.00 100
56 Simvastatin 20 mg Tablet 150.00 2,100 315,000.00 1000 150,000.00 800
57 Salbutamol 4mg Tablet 67.00 0 1000 67,000.00 400
58 Sianokobalamin (B12) 50mcg Tablet 44.00 0 1000 44,000.00 100
61 Vitamin B Kompleks tablet Tablet 144.00 7,100 1,022,400.00 5000 720,000.00 2900
TOTAL DAK 8,362,259.20 7,166,880.00

BMHP E-Cat 2 Alat suntik 3 cc (Abada) Pcs 887.70 0 - -
DAK 3 Alat suntik 3 cc (Abada) Pcs 924.00 290 267,960.00 - 30

4 Anios Gel 85 Botol 88,678.66 0 - -
5 Blood Lancet (Ekomed) 0 - 5 82,005.00
Kotak 16,401
6 Catgut 3/0 Pcs 46,959.00 0 - 24 1,127,016.00 24
7 Chromic surgical catgut suture 2/0 (kulit) Pcs 55,030.80 0 - 12 660,369.60 12
8 Chlodine 0,5% Jerigen 5Liter 395,384.74 0 - 1 395,384.74
9 Folley Catheher No. 16 Pcs 11,945.23 0 - 20 238,904.60 10
10 Folley Catheher No. 18 Pcs 11,945.23 15 179,178.45 - 10
11 Handscoen Non Steril L Pcs 1,740.20 0 - 100 174,020.00 100
12 Handscoon Non Steril S Pcs 1,740.20 800 1,392,160.00 500 870,100.00 800
13 Handscoon Steril No. 7 Pasang 11,808.50 100 1,180,850.00 - 100
14 Handscoen Steril No 7,5 Pasang 11,808.50 20 236,170.00 - 20
15 IV catheter 18G (Ekomed) pcs 5,827.80 50 291,390.00 - 20
16 IV catheter 22G x 1 1/2 (Steracath) pcs 6,455.90 300 1,936,770.00 -
17 IV catheter 24G x 3/4 (Steracath) pcs 4,256.00 70 297,920.00 -
18 IV Catheter 24 G ( Ekomed ) Pcs 5,827.00 0 - -
19 Infuset anak pcs 5,566.00 80 445,280.00 - 10
20 Infuset Dewasa Pcs 6,527.40 60 391,643.94 - 20
21 Kasa 40m x 80 cm Roll 143,022.00 5 715,110.00 -
22 Kasa 16 x 16 Steril Kotak 5 x 6 tab 4,114.00 50 205,700.00 100 411,400.00 50
24 Oxygen Mask Anak Pcs 11,656.00 0 - 10 116,560.00
25 Oxygen Mask Dewasa Pcs 11,656.00 0 - 10 116,560.00
27 Nasal Canula Child Pcs 4,983.00 0 - 10 49,830.00
29 Nebuliser Mask Pediatric Pcs 16,032.50 0 - -
30 Polipix 5 cm x 5 m Roll 41,100.00 0 - 5 205,500.00 5
31 Silk Braided Silk Coated Suture 3/0 (Kulit) Pcs 38,119.40 0 - 12 457,432.80
32 Urine Bag With Hanger Pcs 6,062.10 5 30,310.50 10 60,621.00 5
Total DAK BMHP 7,695,918.65 4,965,703.74
DBHCHT 470.50 0 - -
470.50 500 235,250.00 500 235,250.00 300
Total DBHCHT 235,250.00 235,250.00
1 Calcii Gluconas injeksi 10% Ampul 10,351.00 2 20,702.00 - 2

KESMAS 3 Oksitetrasiklin 1% Salep Mata Tube 2,774.00 0 - 25 69,350.00 5

6 MgSO4 40% Ampul 4,700.00 0 - 2 9,400.00 2
7 Tablet Tambah Darah Tablet 409.00 0 - 1020 417,180.00 1020
8 Tablet Tambah Darah Tablet 255.00 1,500 382,500.00 - 600
9 Vit A Balita (Biru) Kapsul 297.00 800 237,600.00 - 100
10 Vit A Balita (Merah) Kapsul 637.00 1,250 796,250.00 - 200
TOTAL KESMAS 1,562,815.00 495,930.00

BIAYA TAK
3 Face shield anti droplet Pcs 38,000.00 0 - -
TERDUGA (BTT)
KABUPATEN
6 Masker Kotak/50 100,000.00 0 - -
7 Masker N95 Pcs 66,000.00 0 - -
8 Nurse Cap Pcs 5,000.00 0 - -
10 Rapid test antigen Test 70,000.00 77 5,390,000.00 - 2
11 Rapid test Antigen Pcs 57,194.00 0 - -
TOTAL BTT 12,380,000.00 -
BTT
PROPINSI 1 Efinefrin injeksi 1 mg Ampul 6,691.85 0 - -
TOTAL BIAYA TAK TERDUGA (BTT) PROVINSI - -
53
1 14,334.10 759,707 -
TOTAL 71,830,747.14 37,039,641.89
Mengetahui,

NIP. 19790115 200604 1 010
UN ANGGARAN 2021
PEMAKAIAN SEPTEMBER 2021 SISA PERSEDIAAN 25 SEPTEMBER 2021

10 11 12
- 0 -
- 0 -
- 0 -
- 0 -
- 15 48,900.00
- 8 115,920.00
- 14 1,516,536.00
252,839.23 40 1,011,356.92
80,155.00 475 1,522,945.00
167,238.50 25 167,238.50
3,267,000.00 0 -
- 500 768,350.00
- 500 37,500.00
13,290.00 0 -
- 100 10,900.00
- 80 5,520,000.00
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 900 189,000.00
48,000.00 2,500 240,000.00
685,104.00 0 -
- 165 2,640,000.00
23,390.00 30 70,170.00
117,400.00 300 352,200.00
- 300 24,300.00
- 25 92,800.00
- 40 2,760,000.00
- 200 110,000.00
- 0 -
38,150.00 1,200 130,800.00
- 0 -
1,027,950.00 0 -
29,500.00 0 -
5,750,016.73 17,328,916.42
- 0 -
- 0 -
12,930.00 1,066 459,446.00
- 400 660,000.00
- 300 50,100.00
- 293 328,453.00
- 70 54,320.00
- 18 38,412.00
- 235 64,625.00
- 300 84,600.00
- 2 335,760.00
- 33 15,767,103.00
- 0 -
- 300 681,600.00
- 30 7,260.00
- 125 1,008,500.00

- 25 833,350.00
- 2 479,186.00
- 60 16,380.00
- 195 17,745.00
- 6 1,224,000.00
- 18 1,115,928.00
- 21 3,338,874.00
- 59 1,415,469.00
- 54 4,265,514.00
- 10 239,910.00
- 1 1,300,000.00
- 3 3,975,000.00
- 17 288,915.00
- 0 -
- 38 5,920,894.00
- 44 877,976.00
- 0 -
- 0 -
- 0 -
- 0 -
12,930.00 44,849,320.00
1,044,000.00 600 216,000.00

- 10,000 2,310,000.00
- 0 -
23,076.00 94 361,524.00
59,200.00 1,200 88,800.00
11,000.00 1,800 99,000.00
64,800.00 2,800 151,200.00
35,120.00 20 35,120.00
27,600.00 4,400 202,400.00
58,500.00 5,600 655,200.00
- 100 14,900.00
- 0 -
- 70 110,810.00
- 31 558,000.00
- 90 6,300.00
- 10 15,450.00
- 10 8,250.00
- 5 6,305.00
- 100 7,500.00
- 50 120,050.00
- 20 19,360.00
- 94 18,706.00
- 0 -
19,700.00 76 14,972.00
- 40 265,080.00
- 0 -
- 16 233,604.80
- 487 43,830.00
- 96 254,208.00
- 0 -
- 0 -
170,240.00 50 212,800.00
42,560.00 40 170,240.00
- 200 18,600.00
- 0 -
14,400.00 2,200 52,800.00
90,000.00 1,800 108,000.00
- 2,000 150,000.00
- 2,500 315,000.00
- 40 84,000.00
- 100 140,500.00
50,820.00 30 25,410.00

- 0 -
- 72 136,800.00
239,400.00 20 136,800.00
- 200 269,600.00
- 0 -
- 0 -
186,780.00 0 -
116,000.00 100 116,000.00
- 4 45,864.00
- 5,000 295,000.00
109,500.00 500 36,500.00
39,500.00 800 63,200.00
72,000.00 800 57,600.00
- 800 91,200.00
- 0 -
715,000.00 200 1,430,000.00
120,000.00 2,300 345,000.00
26,800.00 600 40,200.00
4,400.00 900 39,600.00
- 0 -
- 3 43,377.00
417,600.00 9,200 1,324,800.00
- 9 88,149.60
- 12 117,532.80
3,757,996.00 11,771,143.20
- 0 -
- 120 350,400.00
- 350,400.00
- 0 -
- 0 -
27,720.00 260 240,240.00
- 0 -
- 5 82,005.00
1,127,016.00 0 -
660,369.60 0 -
- 1 395,384.74
119,452.30 10 119,452.30
119,452.30 5 59,726.15
174,020.00 0 -
500 870,100.00
0 -
0 -
30 174,834.00
- 300 1,936,770.00
- 70 297,920.00
- 0 -
55,660.00 70 389,620.00
130,547.98 40 261,095.96
- 5 715,110.00
205,700.00 100 411,400.00
- 8 18,390.76
- 10 116,560.00
- 10 116,560.00
- 10 75,020.00
- 10 49,830.00
- 2 32,065.00
- 0 -
205,500.00 0 -
- 12 457,432.80
30,310.50 10 60,621.00
2,855,748.68 6,880,137.71
- 0 -
141,150.00 700 329,350.000
141,150.00 329,350.00
20,702.00 0 -
- 37 125,763.00
13,870.00 20 55,480.00
- 0 -
- 0 -
9,400.00 0 -
417,180.00 0 -
153,000.00 900 229,500.00
29,700.00 700 207,900.00
127,400.00 1,050 668,850.00
771,252.00 1,287,493.00
- 26 4,680,000.00
- 35 2,310,000.00
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
140,000.00 75 5,250,000.00
- 0 -
- 0 -
- 0 -
- 0 -
140,000.00 12,240,000.00
- 0 -
- -
- 53 759,707.30
- 759,707.30
13,429,093.41 96,005,697.62
Pulau Balang Lompo, 25 September 2021

NIP. 19930409 201903 1 002
TAHUN ANGGARAN 2021
NO STOK AWAL OKTOBER 2021 PENERIMAAN OKTOBER 2021 PEMAKAIAN OKT

1 2 3 4 5 6 7 8 9
5 Antihemorohid Suppo 3,260.00 15 48,900.00 -
6 Alkohol Swab Kotak 100 pcs 14,490.00 8 115,920.00 -
8 Benecheck Strip Kolesterol Pcs 25,283.92 40 1,011,356.92 -
9 Benecheck Strip Glucose Pcs 3,206.20 475 1,522,945.00 -
10 Benecheck Strip uric Acid Pcs 6,689.54 25 167,238.50 -
11 BD Gard Kapsul 10,890.00 0 - 300 3,267,000.00
12 Becefort Tablet 1,536.70 500 768,350.00 -
13 Captopril 25 Pcs 75.00 500 37,500.00 -
14 Cetirizine syrup 5mg/5mL Pcs 2,215.00 0 - 10 22,150.00
15 Dimenhidrinat 50mg Pcs 109.00 100 10,900.00 -
16 Face Mask Ear Loop Ktk 10 x 10 tab 69,000.00 80 5,520,000.00 40 2,760,000.00
17 Fokus Febrile Antigen O-A Paratiphy botol 26,784.00 0 - -
18 Fokus Febrile Antigen O-B Paratiphy Tablet 26,784.00 0 - -
19 Fokus Febrile Antigen O-C Paratiphy Kotak/50 pcs 26,784.00 0 - -
25 Griseofulvin 125mg Vial 210.00 900 189,000.00 -
26 Glimepiride tab 1 mg Tablet 96.00 2,500 240,000.00 - 1500
27 Herbakof Syrup Vial 14,273.00 0 - -
28 Hiosiamin butilbromida 10mg Tablet 1,050.00 0 - 200 210,000.00
29 I.V Catheter 20G (Abbocath) Vial 16,000.00 165 2,640,000.00 -
30 Ibuprofen Sirup 100mg Tablet 2,339.00 30 70,170.00 - 30
32 Loperamide Tablet Sirup 81.00 300 24,300.00 -
33 Metylergometrin Maleat inj 0.2 mg / ml pcs 3,712.00 25 92,800.00 -
34 Face Mask Ear Loop botol 69,000.00 40 2,760,000.00 -
35 Nistatin vaginal tablet 100.000 UI/g Tablet 550.00 200 110,000.00 -
36 Nacl 0,9% Tablet 6,900.00 0 - -
37 Natrium Diklofenak 50 mg Ampul 109.00 1,200 130,800.00 - 1200
38 Otsucath no.24 Kotak/50 pcs 14,850.00 0 - -
39 Pritavit Kaplet Ktk 10 x10 tab vaginal 1,027.95 0 - 1000 1,027,950.00 1000
40 Salep 24 Botol 1,475.00 0 - 40 59,000.00 24
Total DAU 17,328,916.42 7,346,100.00

4 Alat Suntik skali pake 0,5 ml Pcs 1,650.00 400 660,000.00 400 660,000.00 400
5 Alat Suntik Sekali Pakai 0,05 mL(one Ject) Pcs 1,518.00 0 - 500 759,000.00 500
6 Amitriptiline tablet salut 25mg Tablet 167.00 300 50,100.00 -
9 DHP Tablet 2,134.00 18 38,412.00 -
10 Garam Oralit untuk 200 ml air Sachet 275.00 235 64,625.00 - 2
11 Isoniazid 100mg Tablet 282.00 300 84,600.00 -
13 Obat FDC Kategori 1 Paket 477,791.00 33 15,767,103.00 -
15 Pot Sputum Steril Pcs 2,272.00 300 681,600.00 -
18 Rapidtest Syphilis Tes 9,300.00 0 - 200 1,860,000.00
21 Risperidon 2 mg tab Tablet 287.00 0 - 500 143,500.00 18
Risperidone Tablet 273.00 60 16,380.00 -
22 Triheksifenidil 2 mg tab Tablet 91.00 195 17,745.00 500 45,500.00 21
23 TDF(300)+3TC(300)+EFV(600)FDC Dewasa Botol/30 Tab 204,000.00 6 1,224,000.00 6 1,224,000.00
24 Vaksin BCG Vial 61,996.00 18 1,115,928.00 10 619,960.00
25 Vaksin IPV Vial 158,994.00 21 3,338,874.00 - 10
26 Vaksin HB Recomendasi (HB\0) Vial 23,991.00 59 1,415,469.00 - 1
27 Vaksin DPT HB HIB Vial 78,991.00 54 4,265,514.00 - 3
28 Vaksin HB Pid (Hepatitis Rekombinan Inj) Uniject 23,991.00 10 239,910.00 10 239,910.00
31 Vaksin TD Vial 16,995.00 17 288,915.00 30 509,850.00
32 Vaksin DT Vial 17,996.00 0 - -
33 Vaksin MR Vial 155,813.00 38 5,920,894.00 10 1,558,130.00 2
34 Vaksin Polio Oral (OPV) Vial 19,954.00 44 877,976.00 10 199,540.00 4
36 ADS 0,5 mL Pcs 1,650.00 0 - -
38 Zink tablet Tablet 604.00 0 - -
Total P2PL 44,849,320.00 7,819,390.00
- -
DAK 1 Amoksisilin kaplet 500 mg Tablet 360.00 600 216,000.00 - 600
2 Amoksisilin kaplet 500 mg Tablet 231.00 10,000 2,310,000.00 - 1600
3 Amoksisilin sirup KERING 250 mg/5 ml Botol 3,510.00 0 - 100 351,000.00 40
4 Amoksisilin sirup KERING 250 mg/5 ml Botol 3,846.00 94 361,524.00 -
5 Amlodipine 10 mg Tablet 74.00 1,200 88,800.00 - 1200
6 Amlodipine 5 mg Tablet 55.00 1,800 99,000.00 - 1200
7 Antasida Doen Tablet Tablet 54.00 2,800 151,200.00 - 2800
8 Antasida Suspensi Botol 1,756.00 20 35,120.00 20 35,120.00 40
9 Asam Askorbat (Vit C) tab 50 mg Botol / 1000 tab 46.00 4,400 202,400.00 - 1200
10 Kotak / 100 117.00 5,600
Asam Mefenamat kaplet 500 mg kaplet 655,200.00 - 1300
11 Asetilsistein 200mg Kapsul 317.00 0 - 600 190,200.00 600
14 Allopurinol Tablet 89.00 0 - 1000 89,000.00 500
15 Alat suntik 5cc Pcs 1,583.00 70 110,810.00 - 10
16 Betametasone krim 0,1% Tube 1,520.00 0 - 75 114,000.00
17 Disposible safety box 5 liter Buah 18,000.00 31 558,000.00 10 180,000.00
18 Diazepam 2 mg Tablet 70.00 90 6,300.00 -
19 Diazepam Injeksi Ampul 1,545.00 10 15,450.00 -
20 Difenhidramin HCL injek Ampul 825.00 10 8,250.00 -
23 Domperidon sirup Botol 60mL 2,401.00 50 120,050.00 - 25
24 Dexamethasone 5mg injeksi Ampul 968.00 20 19,360.00 -
27 Fenobarbital tablet Tablet 197.00 76 14,972.00 100 19,700.00
28 Glukosa larutan infus steril 5% Botol 6,627.00 40 265,080.00 -
30 Gliseril Guaiakolat tablet 100 mg (Guaiafenesin) kotak 14,600.30 16 233,604.80 - 16
39 Klorfeniramin Maleat (CTM) tablet 4 mg Tablet 24.00 2,200 52,800.00 - 1200
40 Kalsium laktat Tablet 60.00 1,800 108,000.00 - 1800
41 Kaptopril 25 mg Tablet 75.00 2,000 150,000.00 - 1000
42 Kotrimoksazol dewasa Tablet 126.00 2,500 315,000.00 - 300
43 Kotrimoksazol suspensi Botol 2,100.00 40 84,000.00 40 84,000.00 80
44 Lidocain injeksi ampul 1,405.00 100 140,500.00 - 100
45 Lidocain injeksi ampul 847.00 30 25,410.00 -
46 Metformin 500mg Tablet 77.00 0 1000 77,000.00 1000
48 Miconazole Salep Kulit Tube 1,900.00 72 136,800.00 - 48
49 Natrium Klorida larutan infus steril 0,9% Botol 500 ml 6,840.00 20 136,800.00 - 20
50 Oksitosin injeksi Ampul 1,348.00 200 269,600.00 -
52 Omeprazole 20mg Kapsul 129.00 0 - 200 25,800.00 200
54 Paracetamol tablet 500 mg Tablet 186.78 0 - 5000 933,900.00 5000
55 Parasetamol sirup Botol 1,160.00 100 116,000.00 - 100
58 Prednison tab 5mg Tablet 73.00 500 36,500.00 - 500
59 Prednison tab 5mg Tablet 79.00 800 63,200.00 - 800
60 Piridoksin (Vitamin B6) Tab 10 mg Tablet 72.00 800 57,600.00 1000 72,000.00 1800
61 Ranitidin tab Tablet 114.00 800 91,200.00 -
63 Ringer Laktat larutan infus botol 7,150.00 200 1,430,000.00 20 143,000.00 40
64 Simvastatin 20 mg Tablet 150.00 2,300 345,000.00 - 2300
65 Salbutamol 4mg Tablet 67.00 600 40,200.00 1000 67,000.00 1600
66 Sianokobalamin (B12) 50mcg Tablet 44.00 900 39,600.00 1000 44,000.00 1900
69 Vitamin B Kompleks tablet Tablet 144.00 9,200 1,324,800.00 - 6000
70 Foley Catheter no 16 Set 9,794.40 9 88,149.60 - 7
71 Foley Catheter no 18 Set 9,794.40 12 117,532.80 - 3
TOTAL DAK 11,771,143.20 2,425,720.00
-
1 Alat suntik skali pake 0.05ml Pcs 1,492.13 - -
BMHP E-Cat 2 Alat suntik 3 cc (Abada) Pcs 887.70 - -
DAK 3 Alat suntik 3 cc (Abada) Pcs 924.00 - -

4 Anios Gel 85 Botol 88,678.66 - -
5 Blood Lancet (Ekomed) - -
Kotak 16,401
6 Catgut 3/0 Pcs 49,491.20 - 24 1,187,788.80 24
7 Chromic surgical catgut suture 2/0 (kulit) Pcs 55,030.80 - -
8 Chlodine 0,5% Jerigen 5Liter 395,384.74 - 1 395,384.74 1
9 Folley Catheher No. 16 Pcs 11,945.23 - -
10 Folley Catheher No. 18 Pcs 11,945.23 - -
11 Handscoen Non Steril L Pcs 1,740.20 - -
12 Handscoon Non Steril S Pcs 1,740.20 - 500 870,100.00 400
13 Handscoon Steril No. 7 Pasang 11,808.50 - -
14 Handscoen Steril No 7,5 Pasang 11,808.50 - -
15 IV catheter 18G (Ekomed) pcs 5,827.80 - -
16 IV catheter 22G x 1 1/2 (Steracath) pcs 6,455.90 - -
17 IV catheter 24G x 3/4 (Steracath) pcs 4,256.00 - -
18 IV Catheter 24 G ( Ekomed ) Pcs 5,827.00 - -
19 Infuset anak pcs 5,566.00 - -
20 Infuset Dewasa Pcs 6,527.40 - -
21 Kasa 40m x 80 cm Roll 143,022.00 - -
22 Kasa 16 x 16 Steril Kotak 5 x 6 tab 4,114.00 - -
23 Onemed Dermafix S IV Box/25 2,298.84 - -
24 Oxygen Mask Anak Pcs 11,656.00 - -
25 Oxygen Mask Dewasa Pcs 11,656.00 - -
26 Polipix 5 cm x 5 m Roll 41,100.00 - 5 205,500.00 5
27 Nasal Canula Child Pcs 7,502.00 - -
28 Nasal Canula Child Pcs 4,983.00 - -
29 Nebuliser Mask Adult Pcs 16,032.50 - -
30 Nebuliser Mask Pediatric Pcs 16,032.50 - -
31 Polipix 5 cm x 5 m Roll 41,100.00 - -
32 Silk Braided Silk Coated Suture 3/0 (Kulit) Pcs 38,119.40 - 12 457,432.80 12
33 Urine Bag With Hanger Pcs 6,062.10 - -
Total DAK BMHP - 3,116,206.34
DBHCHT 470.50 0 - -
470.50 700 329,350.00 500 235,250.00 700
Total DBHCHT 329,350.00 235,250.00
1 Calcii Gluconas injeksi 10% Ampul 10,351.00 0 - 5 51,755.00

KESMAS 3 Oksitetrasiklin 1% Salep Mata Tube 2,774.00 20 55,480.00 -

6 MgSO4 40% Ampul 4,700.00 0 - -
7 Tablet Tambah Darah Tablet 409.00 0 - 4350 1,779,150.00 1500
8 Tablet Tambah Darah Tablet 255.00 900 229,500.00 -
9 Vit A Balita (Biru) Kapsul 297.00 700 207,900.00 -
10 Vit A Balita (Merah) Kapsul 637.00 1,050 668,850.00 - 50
TOTAL KESMAS 1,287,493.00 1,830,905.00

BIAYA TAK
3 Face shield anti droplet Pcs 38,000.00 0 - -
TERDUGA (BTT)
KABUPATEN
6 Masker Kotak/50 100,000.00 0 - -
7 Masker N95 Pcs 66,000.00 0 - -
8 Nurse Cap Pcs 5,000.00 0 - -
10 Rapid test antigen Test 70,000.00 75 5,250,000.00 -
11 Rapid test Antigen Pcs 57,194.00 0 - -
TOTAL BTT 12,240,000.00 -
DAU
RECOFUSING 1 Onoiwa Kapsul Kapsul 6,000.00 0 - 300 1,800,000.00 300
TOTAL BIAYA TAK TERDUGA (BTT) PROVINSI - 1,800,000.00
53
1 14,334.10 759,707 - 53
TOTAL 96,005,697.62 24,573,571.34
24,430,571.34
Mengetahui, 143000
Kepala Sub Bagian Tata Usaha
H Amiruddin, SKM
Nip.19660501 198703 1 011
KSIN DAN BAHAN MEDIS HABIS PAKAI (BMHP)
LIUKANG TUPABBIRING
TAN KABUPATEN PANGKEP
N ANGGARAN 2021
PEMAKAIAN OKTOBER 2021 SISA PERSEDIAAN 25 OKTOBER 2021

10 11 12
- 0 -
- 0 -
- 0 -
- 0 -
- 15 48,900.00
- 8 115,920.00
- 14 1,516,536.00
- 40 1,011,356.92
- 475 1,522,945.00
- 25 167,238.50
- 300 3,267,000.00
- 500 768,350.00
- 500 37,500.00
- 10 22,150.00
- 100 10,900.00
- 120 8,280,000.00
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 900 189,000.00
144,000.00 1,000 96,000.00
- 0 -
- 200 210,000.00
- 165 2,640,000.00
70,170.00 0 -
352,200.00 0 -
- 300 24,300.00
- 25 92,800.00
- 40 2,760,000.00
- 200 110,000.00
- 0 -
130,800.00 0 -
- 0 -
1,027,950.00 0 -
35,400.00 16 23,600.00
1,760,520.00 22,914,496.42
- 0 -
- 0 -
- 1,066 459,446.00
660,000.00 400 660,000.00
759,000.00 0 -
- 300 50,100.00
- 293 328,453.00
- 70 54,320.00
- 18 38,412.00
550.00 233 64,075.00
- 300 84,600.00
- 2 335,760.00
- 33 15,767,103.00
- 0 -
- 300 681,600.00

- 30 7,260.00
- 125 1,008,500.00
- 200 1,860,000.00
- 25 833,350.00
- 2 479,186.00
5,166.00 482 138,334.00
- 60 16,380.00
1,911.00 674 61,334.00
- 12 2,448,000.00
- 28 1,735,888.00
1,589,940.00 11 1,748,934.00
23,991.00 58 1,391,478.00
236,973.00 51 4,028,541.00
- 20 479,820.00
- 1 1,300,000.00
- 3 3,975,000.00
- 47 798,765.00
- 0 -
311,626.00 46 7,167,398.00
79,816.00 50 997,700.00
- 0 -
- 0 -
- 0 -
- 0 -
3,668,973.00 48,999,737.00
-
216,000.00 0 -
369,600.00 8,400 1,940,400.00
140,400.00 60 210,600.00
- 94 361,524.00
88,800.00 0 -
66,000.00 600 33,000.00
151,200.00 0 -
70,240.00 0 -
55,200.00 3,200 147,200.00
152,100.00 4,300 503,100.00
190,200.00 0 -
- 100 14,900.00
- 0 -
44,500.00 500 44,500.00
15,830.00 60 94,980.00
- 75 114,000.00
- 41 738,000.00
- 90 6,300.00
- 10 15,450.00
- 10 8,250.00
- 5 6,305.00
- 100 7,500.00
60,025.00 25 60,025.00
- 20 19,360.00
- 94 18,706.00
- 0 -
- 176 34,672.00
- 40 265,080.00
- 0 -
233,604.80 0 -
- 487 43,830.00
- 96 254,208.00
- 0 -
- 0 -
212,800.00 0 -
170,240.00 0 -
- 200 18,600.00
- 0 -

28,800.00 1,000 24,000.00
108,000.00 0 -
75,000.00 1,000 75,000.00
37,800.00 2,200 277,200.00
168,000.00 0 -
140,500.00 0 -
- 30 25,410.00
77,000.00 0 -
- 0 -
91,200.00 24 45,600.00
136,800.00 0 -
- 200 269,600.00
- 0 -
25,800.00 0 -
- 0 -
933,900.00 0 -
116,000.00 0 -
- 4 45,864.00
- 5,000 295,000.00
36,500.00 0 -
63,200.00 0 -
129,600.00 0 -
- 800 91,200.00
- 0 -
286,000.00 180 1,287,000.00
345,000.00 0 -
107,200.00 0 -
83,600.00 0 -
- 0 -
- 3 43,377.00
864,000.00 3,200 460,800.00
68,560.80 2 19,588.80
29,383.20 9 88,149.60
6,188,583.80 8,008,279.40
- 0 -
- 120 350,400.00
- 350,400.00
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
1,187,788.80 0 -
- 0 -
395,384.74 0 -
- 0 -
- 0 -
- 0 -
696,080.00 100 174,020.00
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -

- 0 -
205,500.00 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
457,432.80 0 -
- 0 -
2,942,186.34 174,020.00
- 0 -
329,350.00 500 235,250.000
329,350.00 235,250.00
- 5 51,755.00
- 37 125,763.00
- 20 55,480.00
- 0 -
- 0 -
- 0 -
613,500.00 2,850 1,165,650.00
- 900 229,500.00
- 700 207,900.00
31,850.00 1,000 637,000.00
645,350.00 2,473,048.00
- 26 4,680,000.00
- 35 2,310,000.00
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 75 5,250,000.00
- 0 -
- 0 -
- 0 -
- 0 -
- 12,240,000.00
1,800,000.00 0 -
1,800,000.00 -
759,707.30 0 -
759,707.30 -
18,094,670.44 102,484,598.52
Pulau Balang Lompo, 25 Oktober 2021

NIP. 19930409 201903 1 002
LAPORAN PERSEDIAAN OBAT, VAKSIN DAN BAHAN MEDIS HABIS PAKAI (BM
TAHUN ANGGARAN 2021
NO STOK AWAL NOVEMBER 2021 PENERIMAAN NOVEMBE

URUT
1 2 3 4 5 6 7
APBD II (DAU) 1 Air untuk injeksi amp 20mL Ampul 2,650.00 0 - 40
2 Antihemorohid Suppo 3,260.00 15 48,900.00 10
3 Amlodipine 10 mg Tablet 74.00 0 - 3000
5 Alkohol Swab Kotak 100 pcs 14,490.00 8 115,920.00 10
7 Benecheck Strip Kolesterol Pcs 25,283.92 40 1,011,356.92
8 Benecheck Strip Glucose Pcs 3,206.20 475 1,522,945.00
9 Benecheck Strip uric Acid Pcs 6,689.54 25 167,238.50
10 BD Gard Kapsul 10,890.00 300 3,267,000.00 300
11 Becefort Tablet 1,536.70 500 768,350.00
12 Captopril 25 Pcs 75.00 500 37,500.00
13 Cetirizine syrup 5mg/5mL Pcs 2,215.00 10 22,150.00 50
14 Dimenhidrinat 50mg Pcs 109.00 100 10,900.00
15 Domperidone Tablet 10mg Tablet 75.00 - 400
16 Face Mask Ear Loop Ktk 10 x 10 tab 69,000.00 120 8,280,000.00
17 Fokus Febrile Antigen O-A Paratiphy botol 26,784.00 0 -
18 Fokus Febrile Antigen O-B Paratiphy Tablet 26,784.00 0 -
19 Fokus Febrile Antigen O-C Paratiphy Kotak/50 pcs 26,784.00 0 -
20 Fokus Febrile Antigen O-D Paratiphy Vial 26,784.00 0 -
21 Fokus Febrile Antigen H-A Paratiphy Vial 26,784.00 0 -
22 Fokus Febrile Antigen H-B Paratiphy Vial 26,784.00 0 -
23 Fokus Febrile Antigen H-C Paratiphy Vial 26,784.00 0 -
24 Fokus Febrile Antigen H Paratiphy Vial 26,784.00 0 -
25 Griseofulvin 125mg Vial 210.00 900 189,000.00
26 Glimepiride tab 1 mg Tablet 96.00 1,000 96,000.00 1000
27 Herbakof Syrup Vial 14,273.00 0 -
28 Hiosiamin butilbromida 10mg Tablet 1,050.00 200 210,000.00
29 I.V Catheter 20G (Abbocath) Vial 16,000.00 165 2,640,000.00
30 Ibuprofen Sirup 100mg Tablet 2,339.00 0 -
31 Chloramex Tablet 1,174.00 0 -
32 Loperamide Tablet Sirup 81.00 300 24,300.00
33 Metylergometrin Maleat inj 0.2 mg / ml pcs 3,712.00 25 92,800.00
34 Miconazole krim 2% Nitrat Tube 10 gram 1,900.00 0 - 48
35 Face Mask Ear Loop botol 69,000.00 40 2,760,000.00
36 Nistatin vaginal tablet 100.000 UI/g Tablet 550.00 200 110,000.00
37 Nacl 0,9% Tablet 6,900.00 0 -
38 Natrium Diklofenak 50 mg Ampul 109.00 0 - 2000
39 Otsucath no.24 Kotak/50 pcs 14,850.00 0 -
40 Pritavit Kaplet Ktk 10 x10 tab vaginal 1,027.95 0 -
41 Ringer Laktat Botol 500mL 7,703.00 0 - 100
42 Softanol Botol 500mL 57,750.00 0 - 10
43 Salep 24 Botol 1,475.00 16 23,600.00
Total DAU 22,914,496.42

P2PL 2 Albendazol 200mg Suspensi Botol/200 4,600.00 0 -
4 Alat Suntik skali pake 0,5 ml Pcs 1,650.00 400 660,000.00
5 Alat Suntik Sekali Pakai 0,05 mL(one Ject) Pcs 1,518.00 0 -
URUT
7 Clozapine 25 mg tab Tablet 1,121.00 293 328,453.00 200
9 DHP Tablet 2,134.00 18 38,412.00
10 Garam Oralit untuk 200 ml air Sachet 275.00 233 64,075.00 100
11 Isoniazid 100mg Tablet 282.00 300 84,600.00 200
12 Nevirapin 200 mg Botol/60 Tablet 167,880.00 2 335,760.00
14 Obat FDC Kategori 2 Paket 1,592,731.00 0 -
15 OAT Kombipak Kategori 1 Paket 317,018.00 0 - 10
16 Pot Sputum Steril Pcs 2,272.00 300 681,600.00
19 Rapidtest Syphilis Tes 9,300.00 200 1,860,000.00
23 Risperidone Tablet 273.00 60 16,380.00
24 Triheksifenidil 2 mg tab Tablet 91.00 674 61,334.00 200
25 TDF(300)+3TC(300)+EFV(600)FDC Dewasa Botol/30 Tab 204,000.00 12 2,448,000.00
26 Vaksin BCG Vial 61,996.00 0 -
27 Vaksin IPV Vial 158,994.00 11 1,748,934.00
28 Vaksin HB Recomendasi (HB\0) Vial 23,991.00 58 1,391,478.00
30 Vaksin HB Pid (Hepatitis Rekombinan Inj) Uniject 23,991.00 20 479,820.00 10
33 Vaksin TD Vial 16,995.00 47 798,765.00
34 Vaksin DT Vial 17,996.00 0 - 10
35 Vaksin MR Vial 155,813.00 46 7,167,398.00
38 ADS 0,5 mL Pcs 1,650.00 0 -
40 Zink tablet Tablet 604.00 0 -
Total P2PL 47,263,849.00
DAK 1 Amoksisilin kaplet 500 mg Tablet 360.00 0 -

2 Amoksisilin kaplet 500 mg Tablet 231.00 8,400 1,940,400.00
5 Amlodipine 10 mg Tablet 74.00 0 -
6 Amlodipine 5 mg Tablet 55.00 600 33,000.00
7 Antasida Doen Tablet Tablet 54.00 0 - 3000
8 Antasida Suspensi Botol 1,756.00 0 - 60
9 Asam Askorbat (Vit C) tab 50 mg Botol / 1000 tab 46.00 3,200 147,200.00
10 Asam Askorbat (Vit C) tab 50 mg Botol / 1000 tab 120.00 - 5000
11 Asam Mefenamat kaplet 500 mg Kotak / 100 117.00 4,300 503,100.00 4000
kaplet
12 Asetilsistein 200mg Kapsul 317.00 0 -
13 Attapulgit 600 mg (New Antidest) Tablet 149.00 100 14,900.00
14 Alkohol Swab Box 11,200.00 0 -
15 Allopurinol Tablet 89.00 500 44,500.00 2000
17 Betametasone krim 0,1% Tube 1,520.00 75 114,000.00
19 Diazepam 2 mg Tablet 70.00 90 6,300.00 100
20 Diazepam Injeksi Ampul 1,545.00 10 15,450.00 5
21 Difenhidramin HCL injek Ampul 825.00 10 8,250.00
URUT
23 Domperidon Tablet 10 mg Tablet 75.00 100 7,500.00
24 Domperidon sirup Botol 60mL 2,401.00 25 60,025.00
25 Dexamethasone 5mg injeksi Ampul 968.00 20 19,360.00
29 Glukosa larutan infus steril 5% Botol 6,627.00 40 265,080.00
31 Gliseril Guaiakolat tablet 100 mg (Guaiafenesin) kotak 14,600.30 0 - 30
36 IV Catheter 20G x 1 1/4 (Steracath) Pcs 4,256.00 0 -
37 IV Catheter 22G x 1 1/4 (Steracath) Pcs 4,256.00 0 -
38 Isosorbid dinitrat Tablet 93.00 200 18,600.00
40 Klorfeniramin Maleat (CTM) tablet 4 mg Tablet 24.00 1,000 24,000.00 1000
41 Kalsium laktat Tablet 60.00 0 -
42 Kaptopril 25 mg Tablet 75.00 1,000 75,000.00 2000
43 Kotrimoksazol dewasa Tablet 126.00 2,200 277,200.00
44 Kotrimoksazol suspensi Botol 2,100.00 0 -
45 Lidocain injeksi ampul 1,405.00 0 -
46 Lidocain injeksi ampul 847.00 30 25,410.00 90
47 Metformin 500mg Tablet 77.00 0 2000
49 Miconazole Salep Kulit Tube 1,900.00 24 45,600.00
50 Natrium Klorida larutan infus steril 0,9% Botol 500 ml 6,900.00 0 - 60
51 Oksitosin injeksi Ampul 1,348.00 200 269,600.00
53 Omeprazole 20mg Kapsul 129.00 0 - 2000
54 Paracetamol tablet 500 mg Tablet 162.80 0 -
55 Paracetamol tablet 500 mg Tablet 186.78 0 - 10000
56 Parasetamol sirup Botol 1,160.00 0 - 100
59 Prednison tab 5mg Tablet 73.00 0 - 2000
60 Prednison tab 5mg Tablet 79.00 0 -
61 Piridoksin (Vitamin B6) Tab 10 mg Tablet 72.00 0 - 3000
62 Ranitidin tab Tablet 114.00 800 91,200.00
63 Ringer Laktat larutan infus botol 7,630.00 0 -
65 Simvastatin 20 mg Tablet 150.00 0 - 1000
66 Salbutamol 4mg Tablet 67.00 0 - 1000
67 Sianokobalamin (B12) 50mcg Tablet 44.00 0 - 3000
68 Stesolid Rektal 10mg/2.5mL Tube 21,021.00 0 - 5
70 Vitamin B Kompleks tablet Tablet 144.00 3,200 460,800.00 5000
TOTAL DAK 8,008,279.40
KESGA 1 Vitamin K1/Phytomenadion inj.10 Ampul 3,754.00 0 -

BMHP E-Cat
URUT
BMHP E-Cat 2 Alat suntik 3 cc (Abada) Pcs 887.70 0 -
DAK 3 Alat suntik 3 cc (Abada) Pcs 924.00 0 -

4 Anios Gel 85 Botol 88,678.66 0 -
5 Blood Lancet (Ekomed) 0 -
Kotak 16,401
6 Catgut 3/0 Pcs 49,491.20 0 - 24
7 Chromic surgical catgut suture 2/0 (kulit) Pcs 55,030.80 0 -
8 Chlodine 0,5% Jerigen 5Liter 395,384.74 0 -
9 Folley Catheher No. 16 Pcs 11,945.23 0 - 5
10 Folley Catheher No. 18 Pcs 11,945.23 0 -
11 Handscoen Non Steril M Pcs 1,740.20 0 - 500
12 Handscoon Non Steril S Pcs 1,740.20 100 174,020.00
13 Handscoon Steril No. 7 Pasang 11,808.50 0 -
14 Handscoen Steril No 7,5 Pasang 11,808.50 0 -
15 IV catheter 18G (Ekomed) pcs 5,827.80 0 -
16 IV catheter 22G x 1 1/2 (Steracath) pcs 6,455.90 0 -
17 IV catheter 24G x 3/4 (Steracath) pcs 4,256.00 0 -
18 IV Catheter 24 G ( Ekomed ) Pcs 5,827.00 0 -
19 Infuset anak pcs 5,566.00 0 -
20 Infuset Dewasa Pcs 6,527.40 0 -
21 Kasa 40m x 80 cm Roll 143,022.00 0 -
22 Kasa 16 x 16 Steril Kotak 5 x 6 tab 4,114.00 0 -
23 Onemed Dermafix S IV Box/25 2,298.84 0 -
24 Oxygen Mask Anak Pcs 11,656.00 0 -
25 Oxygen Mask Dewasa Pcs 11,656.00 0 -
27 Nasal Canula Child Pcs 7,502.00 0 -
28 Nasal Canula Child Pcs 4,983.00 0 -
29 Nebuliser Mask Adult Pcs 16,032.50 0 -
30 Nebuliser Mask Pediatric Pcs 16,032.50 0 -
31 Polipix 5 cm x 5 m Roll 41,100.00 0 -
32 Silk Braided Silk Coated Suture 3/0 (Kulit) Pcs 38,119.40 0 - 24
33 Urine Bag With Hanger Pcs 6,062.10 0 -
Total DAK BMHP 174,020.00
DBHCHT 470.50 0 -
470.50 500 235,250.00
1 Calcii Gluconas injeksi 10% Ampul 10,351.00 5 51,755.00

2 Fenobarbital injeksi 50mg/mL (Kes ibu dan diare) Ampul 2,278.00 0 - 5
KESMAS 4 Oksitetrasiklin 1% Salep Mata Tube 2,774.00 20 55,480.00 25

7 MgSO4 40% Ampul 4,700.00 0 -
8 Mineral Mix Sachet 3,116.00 0 - 40
9 Tablet Tambah Darah Tablet 409.00 2,850 1,165,650.00
11 Vit A Balita (Biru) Kapsul 297.00 700 207,900.00
12 Vit A Balita (Merah) Kapsul 637.00 1,000 637,000.00
TOTAL KESMAS 2,473,048.00

BIAYA TAK
TOTAL BTT 12,240,000.00
DAU
URUT
RECOFUSING 1 Onoiwa Kapsul Kapsul 6,000.00 0 - 300
2 VTM (Transport Medium Dacron Swab) 2mL Kit 1,878,709.68 0 - 5
TOTAL DAU RECOFUSING -
TOTAL 99,012,822.52
Mengetahui,
Kepala Sub Bagian Tata Usaha
H Amiruddin, SKM
Nip.19660501 198703 1 011
OBAT, VAKSIN DAN BAHAN MEDIS HABIS PAKAI (BMHP)
SKESMAS LIUKANG TUPABBIRING
KESEHATAN KABUPATEN PANGKEP
TAHUN ANGGARAN 2021
PENERIMAAN NOVEMBER 2021 PEMAKAIAN NOVEMBER 2021 SISA PERSEDIAAN 25 NOVEMBER 2021

8 9 10 11 12
106,000.00 - 40 106,000.00
32,600.00 - 25 81,500.00
222,000.00 - 3,000 222,000.00
165,000.00 200 11,000.00 2,800 154,000.00
144,900.00 - 18 260,820.00
- - 14 1,516,536.00
- - 40 1,011,356.92
- - 475 1,522,945.00
- - 25 167,238.50
3,267,000.00 90 980,100.00 510 5,553,900.00
- - 500 768,350.00
- - 500 37,500.00
110,750.00 - 60 132,900.00
- - 100 10,900.00
30,000.00 - 400 30,000.00
- - 120 8,280,000.00
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 900 189,000.00
96,000.00 200 19,200.00 1,800 172,800.00
- - 0 -
- - 200 210,000.00
- - 165 2,640,000.00
- - 0 -
- - 0 -
- - 300 24,300.00
- - 25 92,800.00
91,200.00 - 48 91,200.00
- - 40 2,760,000.00
- - 200 110,000.00
- - 0 -
218,000.00 200 21,800.00 1,800 196,200.00
- - 0 -
- - 0 -
770,300.00 20 154,060.00 80 616,240.00
577,500.00 - 10 577,500.00
- - 16 23,600.00
5,831,250.00 1,186,160.00 27,559,586.42
- - 0 -
- - 0 -
- - 1,066 459,446.00
- - 400 660,000.00
- - 0 -
- - 300 50,100.00

224,200.00 - 493 552,653.00
- - 70 54,320.00
- - 18 38,412.00
27,500.00 - 333 91,575.00
56,400.00 - 500 141,000.00
- - 2 335,760.00
- - 33 15,767,103.00
- - 0 -
3,170,180.00 - 10 3,170,180.00
- - 300 681,600.00
- - 30 7,260.00
- - 125 1,008,500.00
- - 200 1,860,000.00
- - 25 833,350.00
- - 2 479,186.00
- - 482 138,334.00
- - 60 16,380.00
18,200.00 - 874 79,534.00
- - 12 2,448,000.00
- - 0 -
- 11 1,748,934.00 0 -
- 48 1,151,568.00 10 239,910.00
1,184,865.00 59 4,660,469.00 7 552,937.00
239,910.00 22 527,802.00 8 191,928.00
- - 1 1,300,000.00
- - 3 3,975,000.00
- 47 798,765.00 0 -
179,960.00 10 179,960.00 0 -
- 42 6,544,146.00 4 623,252.00
99,770.00 51 1,017,654.00 4 79,816.00
- - 0 -
- - 0 -
- - 0 -
- - 0 -
5,200,985.00 16,629,298.00 35,835,536.00
- - 0 -
- 900 207,900.00 7,500 1,732,500.00
- - 60 210,600.00
- - 94 361,524.00
- - 0 -
- - 600 33,000.00
162,000.00 900 48,600.00 2,100 113,400.00
105,360.00 - 60 105,360.00
- 400 18,400.00 2,800 128,800.00
600,000.00 - 5,000 600,000.00
468,000.00 400 46,800.00 7,900 924,300.00
- - 0 -
- - 100 14,900.00
- - 0 -
178,000.00 - 2,500 222,500.00
- - 60 94,980.00
- 25 38,000.00 50 76,000.00
- - 41 738,000.00
7,000.00 - 190 13,300.00
7,725.00 - 15 23,175.00
- - 10 8,250.00
- - 5 6,305.00

- - 100 7,500.00
- - 25 60,025.00
- - 20 19,360.00
- - 94 18,706.00
- - 0 -
- - 176 34,672.00
- - 40 265,080.00
- - 0 -
438,009.00 2 29,200.60 28 408,808.40
- - 487 43,830.00
- - 96 254,208.00
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 200 18,600.00
- - 0 -
24,000.00 400 9,600.00 1,600 38,400.00
- - 0 -
150,000.00 - 3,000 225,000.00
- - 2,200 277,200.00
- - 0 -
- - 0 -
76,230.00 - 120 101,640.00
154,000.00 200 15,400.00 1,800 138,600.00
- - 0 -
- - 24 45,600.00
414,000.00 40 276,000.00 20 138,000.00
- - 200 269,600.00
- - 0 -
258,000.00 - 2,000 258,000.00
- - 0 -
1,867,800.00 600 112,068.00 9,400 1,755,732.00
116,000.00 6 6,960.00 94 109,040.00
- - 4 45,864.00
- - 5,000 295,000.00
146,000.00 - 2,000 146,000.00
- - 0 -
216,000.00 - 3,000 216,000.00
- 800 91,200.00 0 -
- - 0 -
- 60 429,000.00 120 858,000.00
150,000.00 - 1,000 150,000.00
67,000.00 200 13,400.00 800 53,600.00
132,000.00 - 3,000 132,000.00
105,105.00 - 5 105,105.00
- - 3 43,377.00
720,000.00 1700 244,800.00 6,500 936,000.00
- - 2 19,588.80
- - 9 88,149.60
6,562,229.00 1,587,328.60 12,983,179.80
- - 0 -
- 120 350,400.00 0 -
- 350,400.00 -
- - 0 -

- - 0 -
- - 0 -
- - 0 -
- - 0 -
1,187,788.80 - 24 1,187,788.80
- - 0 -
- - 0 -
59,726.15 5 59,726.15 0 -
- - 0 -
870,100.00 400 696,080.00 100 174,020.00
- - 100 174,020.00
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
411,000.00 10 411,000.00 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
914,865.60 - 24 914,865.60
- - 0 -
3,443,480.55 1,166,806.15 2,450,694.40
- - 0 -
- - 500 235,250.000
- - 235,250.00
- - 5 51,755.00
11,390.00 - 5 11,390.00
- - 37 125,763.00
69,350.00 25 69,350.00 20 55,480.00
- - 0 -
- - 0 -
- - 0 -
124,640.00 - 40 124,640.00
- 930 380,370.00 1,920 785,280.00
- - 900 229,500.00
- - 700 207,900.00
- 50 31,850.00 950 605,150.00
205,380.00 481,570.00 2,196,858.00
- - 26 4,680,000.00
- - 35 2,310,000.00
- - 75 5,250,000.00
- - 12,240,000.00

1,800,000.00 60 360,000.00 240 1,440,000.00
9,393,548.39 - 5 9,393,548.39
11,193,548.39 360,000.00 10,833,548.39
32,436,872.94 21,761,562.75 109,688,132.71
Pulau Balang Lompo, 25 November 2021

Apoteker Puskesmas

NIP. 19930409 201903 1 002
LAPORAN PERSEDIAAN OBAT, VAKSIN DAN BAHAN MEDIS HABIS PAKAI (B
TAHUN ANGGARAN 2021
STOK AWAL DESEMBER 2021

URUT
JUMLAH TOTAL 'HARGA
1 2 3 4 5 6
Alkohol Swab Kotak 100 pcs 14,490.00 0 -
Alkohol 70% Botol 37,638.70 0
Ambroksol HCl 30mg Tablet 224.40 0
Calcium Lactat Tablet 60.00 0
Becefort Tablet 1,536.70 0
Ciprofloxacin Tablet 260.00 0 -
Dexamethasone 0,5mg Tablet 151.80 0
Doxycyclin 100mg Kapsul 289.00 0
Fenol Gliserol Botol 3,300.00 0
15 Herbakof Syrup Sirup 14,273.00 0 -
17 Kloramfenikol Kapsul 500mg Tablet 1,174.00 1,000 1,174,000.00
Ketokonazole 200mg tab Tablet 260.00 0
19 Nistatin vaginal tablet 100.000 UI/g Ktk 10 x10 tab vaginal 550.00 100 55,000.00
Nacl 0,9% Botol
Omeprazole 20mg Kapsul 129.00 0
Ranitidine Tablet 85.00
Simvastatin tablet salut 20mg Tablet 73.00

Total DAU 11,181,886.00

8 DHP Tablet 2,134.00 18 38,412.00
URUT
JUMLAH TOTAL 'HARGA
10 Masker N95 Pcs 19,900.00 0

21 TDF 300+3TC 300+EFV 600 FDC Dewasa Botol 30 tab 204,000.00
22 Vaksin BCG Vial 61,996.00 13 805,948.00
23 Vaksin IPV Vial 158,994.00 16 2,543,904.00
24 Vaksin HB Recomendasi (HB\0) Vial 23,991.00 34 815,694.00
25 Vaksin DPT HB HIB Vial 78,991.00 24 1,895,784.00
28 Vaksin TD Vial 16,995.00 12 203,940.00
29 Vaksin DT Vial 17,996.00 0 -
30 Vaksin MR Vial 155,813.00 23 3,583,699.00
31 Vaksin Polio Oral (OPV) Vial 19,954.00 19 379,126.00
33 ADS 0,5 mL Pcs 1,650.00 0 -
Total P2PL 24,979,983.00

4 Asam Askorbat (Vit C) tab 50 mg Botol / 1000 tab 46.00 0 -
5 Asam Mefenamat kaplet 500 mg Kotak / 100 kaplet 117.00 0 -
6 Alkohol Swab Box 11,200.00 28 313,600.00
Betametasone cream 0,1% Tube 1,520.00 0
23 Klorfeniramin Maleat (CTM) tablet 4 mg Tablet 24.00 0 -
URUT
JUMLAH TOTAL 'HARGA

36 Vitamin B Kompleks tablet Tablet 144.00 8,500 1,224,000.00
TOTAL DAK 11,222,577.10
-

Total ASKES -

BMHP E-Cat DAK 2 Alat suntik 3 cc (Abada) Pcs 887.70 650 577,005.00
3 Anios Gel 85 Botol 88,678.66 0 -
4 Catgut 3/0 Pcs 51,290.00 0 -
5 Chlodine 0,5% Jerigen 5Liter 395,384.74 0 0
8 Infuset anak pcs 5,566.00 120 667,920.00
10 Kasa 40m x 80 cm Roll 143,022.00 5 715,110.00
11 Kasa 16 x 16 Steril Kotak 5 x 6 tab 4,114.00 149 612,986.00
DBHCHT 470.50 0 -
470.50 500 235,250.00

5 Tablet Tambah Darah Tablet 409.00 1,380 564,420.00
URUT
JUMLAH TOTAL 'HARGA


BIAYA TAK
TERDUGA (BTT)
KABUPATEN
6 Masker Kotak/50 100,000.00 0 -
7 Masker N95 Pcs 66,000.00 20 1,320,000.00
8 Nurse Cap Pcs 5,000.00 45 225,000.00
TOTAL BTT 21,945,000.00
BTT
1 14,334.10 759,707
bungkus
TOTAL 109,688,132.71
Mengetahui,
Plt Kepala Puskesmas Liukang Tupabbiring

NIP. 19790115 200604 1 010
HATAN KABUPATEN PANGKEP
UN ANGGARAN 2021
PENERIMAAN DESEMBER 2021 PEMAKAIAN DESEMBER 2021 SISA PERSEDIAAN 31 DESEMBER 2021
JUMLAH TOTAL 'HARGA JUMLAH TOTAL 'HARGA JUMLAH TOTAL 'HARGA
7 8 9 10 11 12
- 8 600,160.00 0 -
- 8 600,160.00 0 -
- 8 814,088.00 0 -
- 8 1,003,816.00 0 -
- - 0 -
10 376,387.00 - 10 376,387.00
500 112,200.00 500 112,200.00 0 -
1300 78,000.00 1000 60,000.00 300 18,000.00
- 14 1,516,536.00 0 -
- - 0 -
- - 500 37,500.00
1800 468,000.00 500 130,000.00 1,300 338,000.00
2000 303,600.00 2000 303,600.00 0 -
200 57,800.00 - 200 57,800.00
- 8 214,272.00 0 -
- 8 214,272.00 0 -
- 8 214,272.00 0 -
- 8 214,272.00 0 -
- 8 214,272.00 0 -
- 8 214,272.00 0 -
- 8 214,272.00 0 -
- 8 214,272.00 0 -
- - 0 -
- - 0 -
- - 215 3,440,000.00
- 1000 1,174,000.00 0 -
300 78,000.00 - 300 78,000.00
- - 25 92,800.00
- 100 55,000.00 0 -
- - 0 -
1200 154,800.00 - 1,200 154,800.00
1000 85,000.00 - 1,000 85,000.00
1500 109,500.00 - 1,500 109,500.00
- - 9 133,650.00
1,823,287.00 8,083,736.00 4,921,437.00
- - 0 -
- - 80 368,000.00
- - 1,096 472,376.00
- - 0 -
- - 160 26,720.00
- - 100 112,100.00
- - 80 62,080.00
- - 18 38,412.00
- - 180 49,500.00
480 9,552,000.00 - 480 9,552,000.00

- - 100 28,200.00
- - 6 2,866,746.00
- - 1 1,592,731.00
- - 260 1,531,400.00
- - 30 7,260.00
- - 150 1,210,200.00
- - 25 833,350.00
- - 1 239,593.00
- - 80 21,840.00
- - 180 16,380.00
15 3,060,000.00 15 3,060,000.00 0 -
5 309,980.00 18 1,115,928.00 0 -
- 16 2,543,904.00 0 -
10 239,910.00 44 1,055,604.00 0 -
5 394,955.00 29 2,290,739.00 0 -
- 1 1,300,000.00 0 -
- 3 3,975,000.00 0 -
- 12 203,940.00 0 -
- - 0 -
10 1,558,130.00 33 5,141,829.00 0 -
10 199,540.00 29 578,666.00 0 -
- 0 -
- 0 -
- 0 -
15,314,515.00 21,265,610.00 19,028,888.00
- - 5,500 1,980,000.00
- - 0 -
- - 75 288,450.00
- - 0 -
- - 0 -
- - 28 313,600.00
- - 100 158,300.00
100 152,000.00 - 100 152,000.00
- - 19 342,000.00
- - 5 6,305.00
- - 94 18,706.00
- - 0 -
- - 115 22,655.00
- - 40 265,080.00
- - 0 -
- - 49 715,414.70
- - 387 34,830.00
- - 48 127,104.00
- - 0 -
- - 100 105,000.00
- - 90 383,040.00
- - 50 212,800.00
- - 0 -
- - 0 -
- - 210 295,050.00
- - 0 -
- 20 136,800.00 35 239,400.00
- - 0 -
- 3000 488,400.00 1,600 260,480.00
- - 7 80,262.00
- - 5,000 295,000.00
- 1000 79,000.00 300 23,700.00
- 1000 114,000.00 1,400 159,600.00
- - 320 2,441,600.00
- - 5 105,105.00
- - 7 101,213.00
- 3000 432,000.00 5,500 792,000.00
- 9 88,149.60 0 -
- 12 117,532.80 0 -
152,000.00 1,455,882.40 9,918,694.70
- 15 56,310.00 0 -
- 120 350,400.00 0 -
- 406,710.00 -
- - -
- - -
- - -
- - 0 -
- - 650 577,005.00
- - 0 -
- - 0 -
- - 0 -
- - 380 2,453,242.00
- - 100 425,600.00
- - 120 667,920.00
- - 165 1,410,255.00
- 5 715,110.00 0 -
- 149 612,986.00 0 -
- - 8 18,390.76
- - 10 75,020.00
- - 3 48,097.50
- - 5 80,162.50
- - 0 -
- 1,328,096.00 5,755,692.76
- - 0 -
- 500 235,250.00 0 -
- 235,250.00 -
- - 37 125,763.00
- - 0 -
- - 10 11,990.00
- - 0 -
- 1000 409,000.00 380 155,420.00
- - 0 -
- - 300 191,100.00
- 409,000.00 484,273.00
- 40 7,200,000.00 0 -
- 40 2,640,000.00 0 -
- 20 760,000.00 0 -
- - 0 -
- - 0 -
- - 0 -
- 20 1,320,000.00 0 -
- 45 225,000.00 0 -
- - 0 -
- 140 9,800,000.00 0 -
- - 0 -
- - 0 -
- - 0 -
- 21,945,000.00 -
- - 0 -
- - -
- 53 759,707.30 0 -
- 759,707.30 -
17,289,802.00 32,488,109.30 94,489,825.41
Pulau Balang Lompo, 31 Desember 2021

NIP. 19930409 201903 1 002
TAHUN ANGGARAN 2022

URUT
JUMLAH TOTAL 'HARGA
1 2 3 4 5 6
DAU 1 Alat suntik sekali pakai 1mL Pcs 1,102.20 0
2 Alat suntik sekali pakai 3mL Pcs 995.50
3 Alkohol 70% Botol 37,638.70 10 376,387.00

4 Alkohol Swab Kotak 100 pcs 14,490.00 0 -
5 Ambroksol HCl 30mg Tablet 224.40 0 -
6 Antihemorhoid suppo Supp 3,260.00 0 -
7 Asam Askorbat 50mg Tablet 46.00 0
8 Becefort Tablet 1,536.70 0 -
9 Becefort Sirup Botol 60 Ml 17,325.00 0
10 Benecheck Strip Cholesterol Pcs 25,283.92 0
11 Benecheck Strip Glucose Pcs 3,206.20 0
12 Benecheck Strip Uric Acid Pcs 6,689.54
13 Calcium Lactat Tablet 60.00 300 18,000.00

15 Ciprofloxacin Tablet 260.00 1,300 338,000.00
16 Dexamethasone 0,5mg Tablet 151.80 0 -
17 Dextrose 5% (Satoria) Botol 6,627.00 0
18 Domperidone tablet 10 mg Tablet 75.00 0
19 Doxycyclin 100mg Kapsul 289.00 200 57,800.00
20 Fenol Gliserol Botol 3,300.00 0 -
21 Fitomenadion (Vit K1) tablet salut gula 10 mg Tablet 781.00
22 Glimepiride tab 1 mg Tablet 96.00
23 Griseofulvin 125mg Tablet 210.00
24 Guaiafenesin tab Tablet 152.90
25 Hemafort Tablet 854.70

28 Ibuprofen Syrup 200mg/5mL Botol 3,392.00 0 -
29 Infusion set dewasa Tablet 6,584.00 0 -
30 Kalsium Laktat 500mg Tablet 60.00 0
31 Kasa Pembalut Hidrofil 40 x 80 Pcs 156,200.00
32 Ketokonazole 200mg tab Tablet 260.00 300 78,000.00

33 Kloramfenikol Kapsul 500mg Tablet 1,174.00 0 -
34 Kotrimoksasol suspensi 240/5mL Botol 60mL 2,100.00

36 Miconazole krim 2% (Nitrat) Tube 10 gram 1,900.00
37 Nacl 0,9% Botol 0 -

38 Natrium Diklofenak 50 mg Tablet 109.00
39 Nistatin vaginal tablet 100.000 UI/g Ktk 10 x10 tab vaginal 550.00 0 -
40 Omeprazole 20mg Kapsul 129.00 1,200 154,800.00
42 Pritavit Kaplet Kaplet 1,027.95
43 Ranitidine Tablet 85.00 1,000 85,000.00

44 Simvastatin tablet salut 20mg Tablet 73.00 1,500 109,500.00
45 Simvastatin tablet salut 20mg Tablet 150.00
URUT
JUMLAH TOTAL 'HARGA
46 Softanol Botol 500mL 57,750.00
47 Water For Injection 25mL (Satoria) Ampul 2,650.00
Total DAU 4,921,437.00
PROGRAM 1 ADS 0,5 mL Pcs 1,650.00 0 -

P2PL 2 Alat Suntik skali pake 0,5 ml Pcs 1,650.00 0 -
3 Alat Suntik 5mL Pcs 1,583.00
4 Albendazol 200mg Suspensi Botol/200 4,600.00 80 368,000.00
5 Albendazol tablet 400 mg Tablet 363.00 0 -
10 DHP Tablet 2,134.00 18 38,412.00
11 Dietil Carbamazepin (DEC) 100 mg Tablet 190.00 0 -
13 Haloperidol tab 5 mg Tablet 60.00
15 Klozapin tab 25mg Tablet 1,121.00
16 Masker N95 Pcs 19,900.00 480 9,552,000.00
22 Rapid Test HIV 1 (Virocheck HIV) Test 8,350.00
Risperidon 2 mg tab Tablet 287.00
27 TDF 300+3TC 300+EFV 600 FDC Dewasa Botol 30 tab 204,000.00 0 -
31 Vaksin DPT HB HIB Vial 78,991.00 0 -
32 Vaksin DT Vial 17,996.00 0 -
33 Vaksin HB Recomendasi (HB\0) Vial 23,991.00 0 -
34 Vaksin Imunoglobulin Vial 1,300,000.00 0 -
36 Vaksin IPV Vial 158,994.00 0 -
37 Vaksin MR Vial 155,813.00 0 -
38 Vaksin Polio Oral (OPV) Vial 19,954.00 0 -
39 Vaksin TD Vial 16,995.00 0 -
40 Zink Tablet 20 mg Tablet 253.00
Total P2PL 19,028,888.00
DAK 1 Alat suntik 5cc Pcs 1,583.00 100 158,300.00

2 Alkohol Swab Box 11,200.00 28 313,600.00
Allopurinol Tablet 100 mg 89.00
Amoksisilin kaplet 500 mg 231.00
URUT
JUMLAH TOTAL 'HARGA

Amoksisilin sirup KERING 250 mg/5 ml Botol 3,510.00
Asiklovir 400 mg Tablet 429.00
Asetylcysteine 200 mg 317.00
8 Betametasone cream 0,1% Tube 1,520.00 100 152,000.00
Diazepam 2 mg 70.00
14 Foley Catheter no 16 Set 9,794.40 0 -
Hidrokortison krim 2,5% Tube 2,325.00
Kaptopril tab 25 mg Tablet 75.00
26 Klorfeniramin Maleat (CTM) tablet 4 mg Tablet 24.00 0 -
Kotrimoksazol 480 mg (dewasa) Tablet 126.00
Metformin Tablet Tablet 77.00
Natrium Klorida larutan infus steril 0,9% Botol 500 ml 6,900.00
Paracetamol tablet 500 mg Tablet 186.78
Prednison tab 5mg Tablet 73.00
33 Prednison tab 5mg Tablet 79.00 300 23,700.00
Piridoksin (Vitamin B6 ) Tab 10 mg Tablet 72.00
Ringer Laktat larutan infus botol 7,703.00
Salbutamol 4 mg Tablet 67.00
Sianokobalamin ( Vit B12) 50 mcg Tablet 44.00
Vitamin B Kompleks tablet Tablet 60.00
39 Vitamin B Kompleks tablet Tablet 144.00 5,500 792,000.00
URUT
JUMLAH TOTAL 'HARGA
TOTAL DAK 9,918,694.70
KESGA 1 mineral mix sachet Sachet 2,920.00 0 -

2 Vitamin K1/Phytomenadion inj.10 Ampul 3,754.00 0 -
Total KESGA -
ASKES 1 Kasa Steril Pcs 5,500.00 0 -

Total ASKES -
1 Alat suntik 3 cc (Abada) Pcs 887.70 650 577,005.00

DAK BMHP 2 Alat suntik skali pake 0.05ml Pcs 1,492.13 0 -
3 Anios Gel 85 Botol 88,678.66 0 -
4 Blood Lancet (Ekomed) Kotak 16,401.00
5 Catgut 3/0 Pcs 49,491.20 0 -
7 Examination Gloves Size M 1,740.20
8 Folley Catheter No 16 11,945.23
9 Folley Catheter No 18 11,945.23
10 Infuset anak pcs 5,566.00 120 667,920.00
12 IV Catheter 20G (Ekomed) 5,827.00
18 Kasa 40m x 80 cm Roll 143,022.00 0 -
19 Masker ear loop Box/50pcs 63,250.00
24 Oxygen Mask Anak 11,656.00
25 Oxygen Mask Dewasa 11,656.00
DBHCHT 470.50 0 -
470.50 0 -
Total DBHCHT -
1 Calcii Gluconas Injeksi 10,351.00

URUT
JUMLAH TOTAL 'HARGA
DAK NON FISIK 1 Maxter Exam Glove S Kotak/100pcs 132,000.00 0 -

2 Maxter Exam Glove L Kotak/100pcs 132,000.00 0 -
TOTAL DAK NON FISIK -
1 Celemek Plastik Pcs 66,000.00 0 -

2 Baju Hasmat / APD Pcs 180,000.00 0 -
BIAYA TAK
3 Face shield anti droplet Pcs 38,000.00 0 -
TERDUGA (BTT)
KABUPATEN
6 Masker Kotak/50 100,000.00 0 -
7 Masker N95 Pcs 66,000.00 0 -
8 Nurse Cap Pcs 5,000.00 0 -
10 Rapid test antigen Test 70,000.00 0 -
TOTAL BTT -
BTT
BHP KESGRA 1 Kasa pembalut 2 x 80 cm 14,334.10

0
-
bungkus
Total BHP KESGRA -
TOTAL 94,489,825.41
Mengetahui,
Armiaty Arsyad, AMKG

NIP. 19800608 200902 2 003
UN ANGGARAN 2022
PENERIMAAN JANUARI 2022 PEMAKAIAN JANUARI 2022 SISA PERSEDIAAN 25 JANUARI 2022
7 8 9 10 11 12
200 220,440.00 - 200 220,440.00
300 298,650.00 - 300 298,650.00
- - 10 376,387.00
5 72,450.00 - 5 72,450.00
1000 224,400.00 - 1,000 224,400.00
20 65,200.00 - 20 65,200.00
1000 46,000.00 - 1,000 46,000.00
- - 0 -
240 4,158,000.00 - 240 4,158,000.00
100 2,528,392.30 - 100 2,528,392.30
100 320,620.00 - 100 320,620.00
100 668,954.00 - 100 668,954.00
- - 300 18,000.00
- - 500 37,500.00
1000 260,000.00 - 2,300 598,000.00
3000 455,400.00 - 3,000 455,400.00
60 397,620.00 - 60 397,620.00
1000 75,000.00 - 1,000 75,000.00
- - 200 57,800.00
- - 0 -
1000 781,000.00 - 1,000 781,000.00
3000 288,000.00 - 3,000 288,000.00
1000 210,000.00 - 1,000 210,000.00
2000 305,800.00 - 2,000 305,800.00
3400 2,905,976.26 - 3,400 2,905,976.26
- - 0 -
- - 215 3,440,000.00
50 169,600.00 - 50 169,600.00
100 658,400.00 - 100 658,400.00
4000 240,000.00 - 4,000 240,000.00
3 468,600.00 - 3 468,600.00
- - 300 78,000.00
- - 0 -
50 105,000.00 - 50 105,000.00
- - 25 92,800.00
48 91,200.00 - 48 91,200.00
- - 0 -
4000 436,000.00 - 4,000 436,000.00
- - 0 -
- - 1,200 154,800.00
- - 9 133,650.00
1000 1,027,950.00 - 1,000 1,027,950.00
- - 1,000 85,000.00
- - 1,500 109,500.00
1000 150,000.00 - 1,000 150,000.00
10 577,500.00 - 10 577,500.00
20 53,000.00 - 20 53,000.00
18,259,152.56 - 22,400,089.56
- 0 -
200 330,000.00 - 200 330,000.00
500 791,500.00 - 500 791,500.00
- - 80 368,000.00
- - 0 -
- - 1,096 472,376.00
500 83,500.00 - 660 110,220.00
- - 80 62,080.00
- - 100 112,100.00
- - 18 38,412.00
4600 874,000.00 - 4,600 874,000.00
1000 275,000.00 - 1,180 324,500.00
500 30,000.00 - 500 30,000.00
- - 100 28,200.00
500 560,500.00 - 500 560,500.00
- - 480 9,552,000.00
- - 6 2,866,746.00
- - 1 1,592,731.00
- - 260 1,531,400.00
- - 30 7,260.00
- - 150 1,210,200.00
25 208,750.00 -
- - 25 833,350.00
- - 1 239,593.00
- - 80 21,840.00
300 86,100.00 -
- - 0 -
- - 0 -
500 45,500.00 - 680 61,880.00
- - 0 -
- - 0 -
10 789,910.00 - 10 789,910.00
- - 0 -
10 239,910.00 - 10 239,910.00
- - 0 -
- - 0 -
- - 0 -
- - 0 -
5 99,770.00 - 5 99,770.00
- - 0 -
1000 253,000.00 -
4,667,440.00 - 23,048,708.00
- - 100 158,300.00
- - 28 313,600.00
1000 89,000.00 - 1,000 89,000.00
3000 693,000.00 - 3,000 693,000.00
- - 5,500 1,980,000.00
- - 0 -
- - 75 288,450.00
50 175,500.00 - 50 175,500.00
1000 429,000.00 -
- - 0 -
- - 0 -
900 285,300.00 -
- - 100 152,000.00
- - 5 6,305.00
500 35,000.00 -
- - 19 342,000.00
- - 94 18,706.00
- - 0 -
500 98,500.00 - 615 121,155.00
- - 0 -
- - 0 -
- - 0 -
- - 49 715,414.70
- - 40 265,080.00
- - 387 34,830.00
- - 48 127,104.00
72 167,400.00 -
- - 0 -
- - 100 105,000.00
- - 90 383,040.00
- - 50 212,800.00
1000 75,000.00 -
- - 0 -
4000 96,000.00 - 4,000 96,000.00
1000 126,000.00 - 1,000 126,000.00
- - 210 295,050.00
3000 231,000.00 - 3,000 231,000.00
- - 0 -
- - 35 239,400.00
100 690,000.00 -
- - 0 -
- - 1,600 260,480.00
5000 933,900.00 -
- - 7 80,262.00
1500 109,500.00 -
- - 300 23,700.00
- - 5,000 295,000.00
1000 72,000.00 -
- - 1,400 159,600.00
- - 320 2,441,600.00
50 385,150.00 -
- - 5 105,105.00
- - 7 101,213.00
1000 67,000.00 - 1,000 67,000.00
1000 44,000.00 - 1,000 44,000.00
2000 120,000.00 - 2,000 120,000.00
- - 5,500 792,000.00
4,922,250.00 - 11,658,694.70
- - 0 -
- - 0 -
- - -
- - -
- - -
- - -
- - 650 577,005.00
- - 0 -
- - 0 -
5 82,005.00 - 5 82,005.00
24 1,187,788.80 - 24 1,187,788.80
- - 0 -
500 870,100.00 - 500 870,100.00
50 597,261.50 - 50 597,261.50
50 597,261.50 - 50 597,261.50
100 556,600.00 - 220 1,224,520.00
- - 165 1,410,255.00
100 582,700.00 - 100 582,700.00
100 582,700.00 100 582,700.00
100 582,700.00 100 582,700.00
- - 380 2,453,242.00
- - 100 425,600.00
- - 0 -
- - 0 -
50 3,162,500.00 - 50 3,162,500.00
- - 10 75,020.00
- - 3 48,097.50
- - 5 80,162.50
- - 8 18,390.76
20 233,120.00 - 20 233,120.00
20 233,120.00 - 20 233,120.00
5 205,500.00 - 5 205,500.00
9,473,356.80 - 15,229,049.56
- - 0 -
- - 0 -
- - -
10 103,510.00 10 103,510.00
- - 37 125,763.00
- - 0 -
- - 10 11,990.00
- - 0 -
5010 2,049,090.00 - 5,390 2,204,510.00
- - 0 -
- - 300 191,100.00
2,152,600.00 - 2,533,363.00
5 660,000.00 - 5 660,000.00
5 660,000.00 - 5 660,000.00
1,320,000.00 - 1,320,000.00
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - -
- - 0 -
- - -
- - 0 -
- - -
40,794,799.36 135,284,624.77
Pulau Balang Lompo, 25 Januari 2022

NIP. 19930409 201903 1 002
TAHUN ANGGARAN 2022
STOK AWAL FEBRUARI 2022

URUT
JUMLAH TOTAL 'HARGA
1 2 3 4 5 6
DAU 1 Alat suntik sekali pakai 1mL Pcs 1,102.20 200 220,440.00
2 Alat suntik sekali pakai 3mL Pcs 995.50 300 298,650.00
3 Alkohol 70% Botol 37,638.70 10 376,387.00
4 Alkohol Swab Kotak 100 pcs 14,490.00 5 72,450.00
5 Ambroksol HCl 30mg Tablet 224.40 1,000 224,400.00
6 Antihemorhoid suppo Supp 3,260.00 20 65,200.00
7 Asam Askorbat 50mg Tablet 46.00 1,000 46,000.00
8 Becefort Tablet 1,536.70 0 -
9 Becefort Sirup Botol 60 Ml 17,325.00 240 4,158,000.00
10 Benecheck Strip Cholesterol Pcs 25,283.92 100 2,528,392.30
11 Benecheck Strip Glucose Pcs 3,206.20 100 320,620.00
12 Benecheck Strip Uric Acid Pcs 6,689.54 100 668,954.00
13 Calcium Lactat Tablet 60.00 300 18,000.00
15 Ciprofloxacin Tablet 260.00 2,300 598,000.00
16 Dexamethasone 0,5mg Tablet 151.80 3,000 455,400.00
17 Dextrose 5% (Satoria) Botol 6,627.00 60 397,620.00
18 Domperidone tablet 10 mg Tablet 75.00 1,000 75,000.00
19 Domeperidone Suspensi 5mg/5mL Botol 60m L 2,401.00 0 -
20 Doxycyclin 100mg Kapsul 289.00 200 57,800.00
21 Fit D3 1000 Tablet 2,178.00 0
22 Fenol Gliserol Botol 3,300.00 0 -
23 Fitomenadion (Vit K1) tablet salut gula 10 mg Tablet 781.00 1,000 781,000.00
24 Glimepiride tab 1 mg Tablet 96.00 3,000 288,000.00
25 Griseofulvin 125mg Tablet 210.00 1,000 210,000.00
26 Guaiafenesin tab Tablet 152.90 2,000 305,800.00
27 Hemafort Tablet 854.70 3,400 2,905,976.26
30 Ibuprofen Syrup 200mg/5mL Botol 3,392.00 50 169,600.00
31 Infusion set dewasa Tablet 6,584.00 100 658,400.00
32 Kalsium Laktat 500mg Tablet 60.00 4,000 240,000.00
33 Kasa Pembalut Hidrofil 40 x 80 Pcs 156,200.00 3 468,600.00
34 Ketokonazole 200mg tab Tablet 260.00 300 78,000.00
35 Kloramfenikol Kapsul 500mg Tablet 1,174.00 0 -
36 Kotrimoksasol suspensi 240/5mL Botol 60mL 2,100.00 50 105,000.00
37 Klorfeniramine maleat (CTM) tablet 4 mg Tablet 24.00 0 -
38 Metylergometrin Maleat 0,125 mg Tablet 214.00 0
40 Miconazole krim 2% (Nitrat) Tube 10 gram 1,900.00 48 91,200.00
41 Nacl 0,9% Botol 0 -
42 Natrium Diklofenak 50 mg Tablet 109.00 4,000 436,000.00
43 Nistatin vaginal tablet 100.000 UI/g Ktk 10 x10 tab vaginal 550.00 0 -
44 Omeprazole 20mg Kapsul 129.00 1,200 154,800.00
45 Oksitetrasiklin 1% Salep Mata Tube 10 gram 3,500.00
URUT
JUMLAH TOTAL 'HARGA

47 Pritavit Kaplet Kaplet 1,027.95 1,000 1,027,950.00
48 Ranitidine Tablet 85.00 1,000 85,000.00
51 Softanol Botol 500mL 57,750.00 10 577,500.00
52 Water For Injection 25mL (Satoria) Ampul 2,650.00 20 53,000.00
Total DAU 22,400,089.56
PROGRAM 1 ADS 0,5 mL Pcs 1,650.00 0 -

P2PL 2 Alat Suntik skali pake 0,5 ml Pcs 1,650.00 200 330,000.00
3 Alat Suntik 5mL Pcs 1,583.00 500 791,500.00
4 Albendazol 200mg Suspensi Botol/200 4,600.00 80 368,000.00
5 Albendazol tablet 400 mg Tablet 363.00 0 -
10 DHP Tablet 2,134.00 18 38,412.00
11 Dietil Carbamazepin (DEC) 100 mg Tablet 190.00 4,600 874,000.00
12 Garam Oralit untuk 200 ml air Sachet 275.00 1,180 324,500.00
13 Haloperidol tab 5 mg Tablet 60.00 500 30,000.00
15 Klozapin tab 25mg Tablet 1,121.00 500 560,500.00
16 Masker N95 Pcs 19,900.00 480 9,552,000.00
22 Rapid Test HIV 1 (Virocheck HIV) Test 8,350.00 0 -
26 Risperidon 2 mg tab Tablet 287.00 0 -
28 TDF 300+3TC 300+EFV 600 FDC Dewasa Botol 30 tab 204,000.00 0 -
30 Trepocheck Sifilis Test 8,870.00 0
33 Vaksin DPT HB HIB Vial 78,991.00 10 789,910.00
34 Vaksin DT Vial 17,996.00 0 -
35 Vaksin HB Recomendasi (HB\0) Vial 23,991.00 10 239,910.00
38 Vaksin IPV Vial 158,994.00 0 -
39 Vaksin MR Vial 155,813.00 0 -
40 Vaksin Polio Oral (OPV) Vial 19,954.00 5 99,770.00
41 Vaksin TD Vial 16,995.00 0 -
42 Zink Tablet 20 mg Tablet 253.00 0 -
Total P2PL 23,048,708.00
URUT
JUMLAH TOTAL 'HARGA
DAK 1 Alat suntik 5cc Pcs 1,583.00 100 158,300.00

2 Alkohol Swab Box 11,200.00 28 313,600.00
3 Allopurinol Tablet 100 mg 89.00 1,000 89,000.00
4 Amoksisilin kaplet 500 mg 231.00 3,000 693,000.00
9 Asiklovir 400 mg Tablet 429.00 0 -
12 Asetylcysteine 200 mg 317.00 0 -
13 Betametasone cream 0,1% Tube 1,520.00 100 152,000.00
15 Diazepam 2 mg 70.00 0 -
27 Hidrokortison krim 2,5% Tube 2,325.00 0 -
32 Kaptopril tab 25 mg Tablet 75.00 0 -
34 Klorfeniramin Maleat (CTM) tablet 4 mg Tablet 24.00 4,000 96,000.00
35 Kotrimoksazol 480 mg (dewasa) Tablet 126.00 1,000 126,000.00
37 Lidocain injeksi ampul 847.00 0
38 Metformin Tablet Tablet 77.00 3,000 231,000.00
41 Natrium Klorida larutan infus steril 0,9% Botol 500 ml 6,900.00 0 -
44 Paracetamol tablet 500 mg Tablet 186.78 0 -
45 Paracetamol Sirup Botol 1,160.00 0
47 Prednison tab 5mg Tablet 73.00 0 -
48 Prednison tab 5mg Tablet 79.00 300 23,700.00
50 Piridoksin (Vitamin B6 ) Tab 10 mg Tablet 72.00 0 -
URUT
JUMLAH TOTAL 'HARGA

53 Ringer Laktat larutan infus botol 7,703.00 0 -
56 Salbutamol 4 mg Tablet 67.00 1,000 67,000.00
57 Sianokobalamin ( Vit B12) 50 mcg Tablet 44.00 1,000 44,000.00
TOTAL DAK 11,658,694.70
KESGA 1 mineral mix sachet Sachet 2,920.00 0 -

2 Vitamin K1/Phytomenadion inj.10 Ampul 3,754.00 0 -
Total KESGA -
ASKES 1 Kasa Steril Pcs 5,500.00 0 -

Total ASKES -
1 Alat suntik 3 cc (Abada) Pcs 887.70 650 577,005.00

DAK BMHP 2 Alat suntik skali pake 0.05ml Pcs 1,492.13 0 -
3 Anios Gel 85 Botol 88,678.66 0 -
4 Blood Lancet (Ekomed) Kotak 16,401.00 5 82,005.00
5 Catgut 3/0 Pcs 49,491.20 24 1,187,788.80
7 Examination Gloves Size M 1,740.20 500 870,100.00
8 Folley Catheter No 16 11,945.23 50 597,261.50
9 Folley Catheter No 18 11,945.23 50 597,261.50
10 Infuset anak pcs 5,566.00 220 1,224,520.00
12 IV Catheter 20G (Ekomed) 5,827.00 100 582,700.00
18 Kasa 40m x 80 cm Roll 143,022.00 0 -
19 Masker ear loop Box/50pcs 63,250.00 50 3,162,500.00
24 Oxygen Mask Anak 11,656.00 20 233,120.00
25 Oxygen Mask Dewasa 11,656.00 20 233,120.00
26 Polipix 5 cm x 5 m Roll 41,100.00 5 205,500.00
DBHCHT 470.50 0 -
470.50 -
Total DBHCHT -
1 Calcii Gluconas Injeksi 10,351.00 10 103,510.00

URUT
JUMLAH TOTAL 'HARGA

6 Tablet Tambah Darah Tablet 409.00 5,390 2,204,510.00
TOTAL KESMAS 2,533,363.00
DAK NON FISIK 1 Maxter Exam Glove S Kotak/100pcs 132,000.00 5 660,000.00

2 Maxter Exam Glove L Kotak/100pcs 132,000.00 5 660,000.00
TOTAL DAK NON FISIK 1,320,000.00
1 Celemek Plastik Pcs 66,000.00 0 -

2 Baju Hasmat / APD Pcs 180,000.00 0 -
BIAYA TAK
3 Face shield anti droplet Pcs 38,000.00 0 -
TERDUGA (BTT)
KABUPATEN
6 Masker Kotak/50 100,000.00 0 -
7 Masker N95 Pcs 66,000.00 0 -
8 Nurse Cap Pcs 5,000.00 0 -
10 Rapid test antigen Test 70,000.00 0 -
TOTAL BTT -
BTT
PROPINSI 1 Efinefrin injeksi 1 mg Ampul 6,691.85 -
BHP KESGRA 1 Kasa pembalut 2 x 80 cm 14,334.10 -

bungkus
Total BHP KESGRA -
TOTAL 135,284,624.77
Mengetahui,
Armiaty Arsyad, S.Tr.Kes

NIP. 19800608 200902 2 003
UN ANGGARAN 2022
PENERIMAAN FEBRUARI 2022 PEMAKAIAN FEBRUARI 2022 SISA PERSEDIAAN 25 FEBRUARI 2022
7 8 9 10 11 12
- - 200 220,440.00
- 90 89,595.00 210 209,055.00
10 376,387.00 15 564,580.50 5 188,193.50
- 5 72,450.00 0 -
- - 1,000 224,400.00
- - 20 65,200.00
- - 1,000 46,000.00
- - 0 -
- 30 519,750.00 210 3,638,250.00
- - 100 2,528,392.30
- - 100 320,620.00
- - 100 668,954.00
- - 300 18,000.00
- - 500 37,500.00
- - 2,300 598,000.00
2000 303,600.00 1300 197,340.00 3,700 561,660.00
- - 60 397,620.00
- - 1,000 75,000.00
20 48,020.00 3 7,203.00 17 40,817.00
- - 200 57,800.00
2100 4,573,800.00 450 980,100.00 1,650 3,593,700.00
- - 0 -
- 1000 781,000.00 0 -
- 900 86,400.00 2,100 201,600.00
- - 1,000 210,000.00
- - 2,000 305,800.00
- 1100 940,168.79 2,300 1,965,807.47
50 713,650.00 - 50 713,650.00
- - 215 3,440,000.00
- - 50 169,600.00
- - 100 658,400.00
- - 4,000 240,000.00
- - 3 468,600.00
- - 300 78,000.00
- - 0 -
50 105,000.00 - 100 210,000.00
3000 72,000.00 - 3,000 72,000.00
100 21,400.00 - 100 21,400.00
- - 25 92,800.00
72 136,800.00 - 120 228,000.00
- - 0 -
- 750 81,750.00 3,250 354,250.00
- - 0 -
- - 1,200 154,800.00
25 87,500.00 - 25 87,500.00
- - 9 133,650.00
2000 2,055,900.00 1100 1,130,745.00 1,900 1,953,105.00
- - 1,000 85,000.00
- 1100 80,300.00 400 29,200.00
2000 300,000.00 - 3,000 450,000.00
10 577,500.00 - 20 1,155,000.00
- - 20 53,000.00
9,371,557.00 5,531,382.29 27,020,764.27
- 0 -
- - 200 330,000.00
- - 500 791,500.00
- 80 368,000.00 0 -
- - 0 -
- 100 43,100.00 996 429,276.00
- 317 52,939.00 343 57,281.00
- - 80 62,080.00
- - 100 112,100.00
- - 18 38,412.00
- 4600 874,000.00 0 -
- 380 104,500.00 800 220,000.00
- - 500 30,000.00
- - 100 28,200.00
- - 500 560,500.00
- - 480 9,552,000.00
- - 6 2,866,746.00
- - 1 1,592,731.00
- - 260 1,531,400.00
- - 30 7,260.00
- - 150 1,210,200.00
50 417,500.00 - 50 417,500.00
- - 25 833,350.00
- - 1 239,593.00
- - 80 21,840.00
- -
- - 0 -
- - 0 -
- - 680 61,880.00
50 443,500.00 - 50 443,500.00
5 309,980.00 - 5 309,980.00
- - 0 -
10 789,910.00 - 20 1,579,820.00
- - 0 -
4 95964 - 14 335,874.00
- - 0 -
- - 0 -
5 794,970.00 - 5 794,970.00
5 779,065.00 - 5 779,065.00
5 99,770.00 5 99,770.00 5 99,770.00
10 169,950.00 - 10 169,950.00
- -
3,900,609.00 1,542,309.00 25,506,778.00
- - 100 158,300.00
- - 28 313,600.00
- - 1,000 89,000.00
- 2500 577,500.00 500 115,500.00
- - 5,500 1,980,000.00
- - 0 -
- 17 65,382.00 58 223,068.00
- - 50 175,500.00
- -
- - 0 -
- - 0 -
- -
- - 100 152,000.00
- - 5 6,305.00
- -
- - 19 342,000.00
- 94 18,706.00 0 -
- - 0 -
- 325 64,025.00 290 57,130.00
- - 0 -
- - 0 -
- - 0 -
- 32 467,209.60 17 248,205.10
- - 40 265,080.00
- - 387 34,830.00
- - 48 127,104.00
- -
- - 0 -
- - 100 105,000.00
- - 90 383,040.00
- - 50 212,800.00
- -
- - 0 -
- - 4,000 96,000.00
- - 1,000 126,000.00
- 120 168,600.00 90 126,450.00
30 25,410.00 30 25,410.00 0 -
- - 3,000 231,000.00
- - 0 -
- - 35 239,400.00
20 138,000.00 - 20 138,000.00
- - 0 -
- - 1,600 260,480.00
- - 0 -
100 116,000.00 - 100 116,000.00
10 114,660.00 - 17 194,922.00
2000 146,000.00 - 2,000 146,000.00
- - 300 23,700.00
- - 5,000 295,000.00
1000 72,000.00 - 1,000 72,000.00
- 800 91,200.00 600 68,400.00
- 200 1,526,000.00 120 915,600.00

- -
- 2 42,042.00 3 63,063.00
- 2 28,918.00 5 72,295.00
500 33,500.00 - 1,500 100,500.00
- - 1,000 44,000.00
- 300 18,000.00 1,700 102,000.00
- 5500 792,000.00 0 -
645,570.00 3,884,992.60 8,419,272.10
- - 0 -
- - 0 -
- - -
- - -
- - -
- - -
- - 650 577,005.00
- - 0 -
- - 0 -
- - 5 82,005.00
12 593,894.40 - 36 1,781,683.20
- - 0 -
- - 500 870,100.00
- 4 47,780.92 46 549,480.58
- - 50 597,261.50
- - 220 1,224,520.00
- - 165 1,410,255.00
- 40 233,080.00 60 349,620.00
- 100 582,700.00
- 100 582,700.00
- 250 1,613,975.00 130 839,267.00
- - 100 425,600.00
- - 0 -
- - 0 -
- 50 3,162,500.00 0 -
- - 10 75,020.00
- - 3 48,097.50
- - 5 80,162.50
- - 8 18,390.76
- - 20 233,120.00
- - 20 233,120.00
5 205,500.00 10 411,000.00 0 -
799,394.40 5,468,335.92 10,560,108.04
- - 0 -
- - 0 -
- - -
- 10 103,510.00
- - 37 125,763.00
- - 0 -
- - 10 11,990.00
- - 0 -
- - 5,390 2,204,510.00
- - 0 -
- - 300 191,100.00
- - 2,533,363.00
5 660,000.00 - 10 1,320,000.00
5 660,000.00 - 10 1,320,000.00
1,320,000.00 - 2,640,000.00
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - 0 -
- - -
- - 0 -
- - -
- - 0 -
- - -
16,037,130.40 16,427,019.81 76,680,285.41
Pulau Balang Lompo, 25 Februari 2022

NIP. 19930409 201903 1 002

Laporan Persediaan - LK Tupabbiring

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LAPORAN PERSEDIAAN OBAT, VAKSIN DAN BAHAN MEDIS HABIS PAKAI (BMHP)

PUSKESMAS LIUKANG TUPABBIRING

1 Albendazol tablet 400 mg Tablet 363.00 0 - - - 0 -

KESGA 1 Albendazol 400 mg tab/tab kunyah Kotak 5 x 6 tab 447.33 0 - - - 0 -

ASKES 1 steril Pcs 5,500.00 0 - - - 0 -

1 Alat suntik skali pake 0.05ml Pcs 1,492.13 0 - - - 0 -

1 Ampisillin serbuk inj 1000 mg/ml (Kesbu) Vial 9,473.00 0 - - - 0 -

1 Kasa pembalut 2 x 80 cm 9,856 100 985,600 - - 100 985,600.00

dr.H. Muhammad Ishaq Muhammad Thoha, S.Si, Apt

1 Albendazol tablet 400 mg Tablet 363.00 0 - - - 0 -

40 Asam Mefenamat kaplet 500 mg Tablet 113.00 0 - - - 0 -

288 Handschoen No. 7,5 steril Pcs 4,675.00 0 - - - 0 -

KESGA 1 Albendazol 400 mg tab/tab kunyah Kotak 5 x 6 tab 447.33 0 - - - 0 -

ASKES 1 steril Pcs 5,500.00 0 - - - 0 -

1 Alat suntik skali pake 0.05ml Pcs 1,492.13 0 - - - 0 -

1 Ampisillin serbuk inj 1000 mg/ml (Kesbu) Vial 9,473.00 0 - - - 0 -

1 Albendazol tablet 400 mg Tablet 363.00 0 - - - 0 -

KESGA 1 Albendazol 400 mg tab/tab kunyah Kotak 5 x 6 tab 447.33 0 - - - 0 -

ASKES 1 steril Pcs 5,500.00 0 - - - 0 -

1 Alat suntik skali pake 0.05ml Pcs 1,492.13 0 - - - 0 -

1 Ampisillin serbuk inj 1000 mg/ml (Kesbu) Vial 9,473.00 0 - - - 0 -

1 Albendazol tablet 400 mg Tablet 363.00 0 - - - 0 -

KESGA 1 Albendazol 400 mg tab/tab kunyah Kotak 5 x 6 tab 447.33 0 - - - 0 -

ASKES 1 steril Pcs 5,500.00 0 - - - 0 -

1 Alat suntik skali pake 0.05ml Pcs 1,492.13 0 - - - 0 -

1 Ampisillin serbuk inj 1000 mg/ml (Kesbu) Vial 9,473.00 0 - - - 0 -

NO STOK AWAL MEI 2021 PENERIMAAN MEI 2021

PRORAM 1 Albendazol tablet 400 mg Tablet 363.00 0 - -

KESGA 1 Vitamin K1/Phytomenadion inj.10 Ampul 3,754.00 15 56,310.00 -

ASKES 1 steril Pcs 5,500.00 0 - -

1 Alat suntik skali pake 0.05ml Pcs 1,492.13 0 - -

DBHCHT 470.50 500 235,250.00 -

1 Metilergometrin Injeksi 0,200mg Amp 2 mL 3,399.00 37 125,763.00 -

1 Baju Hasmat / APD Pcs 180,000.00 40 7,200,000.00 -

BHP KESGRA 1 Kasa pembalut 2 x 80 cm bungkus 9,856 0 - -

dr.H. Muhammad Ishaq

PEMAKAIAN MEI 2021 SISA PERSEDIAAN 31 MEI 2021

JUMLAH TOTAL 'HARGA JUMLAH TOTAL 'HARGA

JUMLAH TOTAL 'HARGA JUMLAH TOTAL 'HARGA

1000 360,000.00 5,500 1,980,000.00

JUMLAH TOTAL 'HARGA JUMLAH TOTAL 'HARGA

Pulau Balang Lompo, 31 Mei 2021

Muhammad Thoha, S.Si, Apt

STOK AWAL JANUARI 2021 PENERIMAAN JANU

PRORAM 1 Albendazol tablet 400 mg Tablet 363.00 -

DAK 1 Amoksisilin kaplet 500 mg Tablet 265.00 2,400 636,000.00

11 Antifungi salep Pot 5,170.00 15 77,550.00

ASKES 1 steril Pcs 5,500.00 0 -

1 Alat suntik skali pake 0.05ml Pcs 1,492.13 0 -

DBHCHT 470.50 0 - 1000

1 Metilergometrin Injeksi 0,200mg Amp 2 mL 3,399.00 37 125,763.00 37

1 Baju Hasmat / APD Pcs 180,000.00 40 7,200,000.00

DAU RECOFUSING 1 Onoiwa Kapsul 6,000.00 - 150

Total BHP KESGRA 759,707.30

dr.H. Muhammad Ishaq

TOTAL 'HARGA JUMLAH TOTAL 'HARGA JUMLAH TOTAL 'HARGA

TOTAL 'HARGA JUMLAH TOTAL 'HARGA JUMLAH TOTAL 'HARGA

2,395,000.00 - 200 2,395,000.00

TOTAL 'HARGA JUMLAH TOTAL 'HARGA JUMLAH TOTAL 'HARGA

315,000.00 - 300 315,000.00

TOTAL 'HARGA JUMLAH TOTAL 'HARGA JUMLAH TOTAL 'HARGA

470,500.00 - 1,000 470,500.000

900,000.00 - 150 900,000.00