Rekapan Blnan APOTEK TW 1

LAPORAN PERSEDIAAN OBAT
KAMAR OBAT PUSKESMAS CEMPA

PEMERINTAH KABUPATEN PINRANG
SALDO AWAL 2015 PENERIMAAN JANUARI PERSEDIAAN PENGELUARAAN SISA STOK

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1 2 3 4 5 = (3X4) 6 7 8=(6X7) 9 10 11=(9X10) 12 13 14=(12X13) 15 16 17=(15X16)
1 Alat Suntik 1 ml 1,050 - 1050 - - 1,050 - - 1,050 - 1,050 -
2 Abbocath No. 18 8,200 - 8200 - - 8,200 - - 8,200 - 8,200 -
3 Abbocath No. 20 8,200 - 8200 - - 8,200 - - 8,200 - 8,200 -
4 Abbocath No. 22 8,200 - 8200 - - 8,200 - - 8,200 - 8,200 -
5 Abbocath No. 24 8,200 - 8200 - - 8,200 - - 8,200 - 8,200 -
6 Alat Suntik 2,5 ml 1,100 - 1100 - - 1,100 - - 1,100 - 1,100 -
7 Alat Suntik 5 ml 1,100 - 1100 - - 1,100 - - 1,100 - 1,100 -
8 Albendazole 18 363 6,534 363 - 18 363 6,534 - 363 - 18 363 6,534
9 Alopurinol tablet 100 mg 1,000 90 90,000 300 90 27,000 1,300 90 117,000 260 90 23,400 1040 90 93,600
10 Aminofilin injeksi 4,200 - 4200 - - 4,200 - - 4,200 - 4,200 -
11 Aminofilin tablet 200 mg 300 86 25,800 200 86 17,200 500 86 43,000 - 86 - 500 86 43,000
12 Amitriptilin hcl tab salut 25 80 123 9,840 100 123 12,300 180 123 22,140 80 123 9,840 100 123 12,300
13 Amoksisilin Kapsul 250 mg 320 220 70,400 360 220 79,200 680 220 149,600 - 220 - 680 220 149,600
14 Amoksisilin Kapsul 500 mg 400 292 116,800 2,700 292 788,400 3,100 292 905,200 1,810 292 528,520 1290 292 376,680
15 Amoksisilin sirup kering 39 2,560 99,840 32 2560 81,920 71 2,560 181,760 50 2,560 128,000 21 2,560 53,760
16 Ampisilin Inj 5,610 - 5610 - - 5,610 - - 5,610 - 5,610 -
17 Ampisilin Kaplet 500 mg 419 - 419 - - 419 - - 419 - 419 -
18 Antalgin Tab 500 mg 142 - 141.85 - - 142 - - 142 - 142 -
19 Antasida doen tablet kombin 3,400 78 265,200 2,800 78 218,400 6,200 78 483,600 1,121 78 87,438 5079 78 396,162
20 Antifungi doen kombinasi 2,096 - 2096 - - 2,096 - - 2,096 - 2,096 -
21 Antihemoroid doen kombina 40 2,200 88,000 10 2200 22,000 50 2,200 110,000 - 2,200 - 50 2,200 110,000
22 Antimigrain doen kombinasi 149 - 149 - - 149 - - 149 - 149 -
23 Aqua proinjeksi steril 5,800 - 5800 - - 5,800 - - 5,800 - 5,800 -
24 Artesunate Anak - - - - - - -
25 Artesunate Dewasa - - - - - - -
26 Artesunate Inj - - - - - - -
27 Artesunate Remaja - - - - - - -
28 Asam askorbat ( Vit c ) tab 4,000 105 420,000 3,000 105 315,000 7,000 105 735,000 1,892 105 198,660 5108 105 536,340
29 Asam Mefenamat tablet 2,200 122 268,400 1,650 122 201,300 3,850 122 469,700 720 122 87,840 3130 122 381,860
30 Asam Traneksamat Inj
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1 2 3 4 5 = (3X4) 6 7 8=(6X7) 9 10 11=(9X10) 12 13 14=(12X13) 15 16 17=(15X16)
31 Asetosal tablet 100 mg 700 127 88,900 200 127 25,400 900 127 114,300 549 127 69,723 351 127 44,577
32 Asklovir 400 mg 600 362 217,200 500 362 181,000 1,100 362 398,200 - 362 - 1100 362 398,200
33 Atropin sulfat injeksi 0,25 mg/ml - - - - - - -
34 Benzatin benzil penisilin injeksi 10,780 - 10780 - - 10,780 - - 10,780 - 10,780 -
35 Betahistin 1,016 - 1016 - - 1,016 - - 1,016 - 1,016 -
36 Betametason krim 0,1 % 17 1,596 27,132 30 1596 47,880 47 1,596 75,012 7 1,596 11,172 40 1,596 63,840
37 Captopril 25 mg 100 - 1,500 100 150,000 1,500 100 150,000 695 100 69,500 805 100 80,500
38 Catgut/benang bedah no.2/0 - 3/0 26,500 - 26500 - 26,500 - - 26,500 - 26,500 -
39 Ciprofloksasin 500 mg 400 265 106,000 180 265 47,700 580 265 153,700 110 265 29,150 470 265 124,550
40 Deksametason injeksi 5 mg/ml 1,738 - 1738 - - 1,738 - - 1,738 - 1,738 -
41 Deksametason tablet 0,5 mg 2,900 74 214,600 2,700 74 199,800 5,600 74 414,400 2,514 74 186,036 3086 74 228,364
42 Dekstrometorfan sirup 10 30 1,467 44,010 1467 - 30 1,467 44,010 - 1,467 - 30 1,467 44,010
43 Dekstrometorfan hbr tab 15 mg 102 - 102 - - 102 - - 102 - 102 -
44 Devitalisasi pasta ( non Arsen ) ### - 429000 - - ### - - ### - ### -
45 Diazepam tablet 2 mg 39 - 1,000 39 39,000 1,000 39 39,000 957 39 37,323 43 39 1,677
46 Diazepam inj 5 mg/ml - 2 ml 2,578 - 2578 - - 2,578 - - 2,578 - 2,578 -
47 Difenhidramin inj 10 mg/ml-1ml 1,156 - 1156 - - 1,156 - - 1,156 - 1,156 -
48 Digoksin tablet 0,25 mg 300 103 30,900 300 103 30,900 600 103 61,800 - 103 - 600 103 61,800
49 Doksisiklin 700 278 194,600 100 278 27,800 800 278 222,400 - 278 - 800 278 222,400
50 Efedrin tablet 25 mg 200 56 11,268 2,000 56.34 112,680 2,200 56 123,948 411 56 23,156 1789 56 100,792
51 Ekstrak belladon tablet 10 mg 42 - 42 - - 42 - - 42 - 42 -
52 Epinefrin (adrenalin) inj.0,1%-1ml 8,910 - 8910 - - 8,910 - - 8,910 - 8,910 -
53 Etakridin ( rivanol ) lar. 0,1% 2,354 - 2354 - - 2,354 - - 2,354 - 2,354 -
54 Etanol 70% 18,698 - 18698 - - 18,698 - - 18,698 - 18,698 -
55 Etilklorida semprot 11,550 - 11550 - - 11,550 - - 11,550 - 11,550 -
56 Eugenol cairan 18,333 - 18333 - - 18,333 - - 18,333 - 18,333 -
57 Fenobarbital Inj 1,980 - 1980 - - 1,980 - - 1,980 - 1,980 -
58 Fenobarbital tablet 30 mg 74 - 2,000 74 148,000 2,000 74 148,000 410 74 30,340 1590 74 117,660
59 Fenol gliserol tetes telinga 10% 1,109 - 10 1108.8 11,088 10 1,109 11,088 - 1,109 - 10 1,109 11,088
60 Ferro Sulfat 300 mg 3,500 24 84,000 1,000 24 24,000 4,500 24 108,000 834 24 20,016 3666 24 87,984
61 Fitomenadion ( vit k 1) injeksi 3,754 - 3754 - - 3,754 - - 3,754 - 3,754 -
62 Fitomenadion ( vit k 1) tab 300 690 207,000 300 690 207,000 600 690 414,000 50 690 34,500 550 690 379,500
63 Furosemida tablet 40 mg 100 84 8,400 100 84 8,400 200 84 16,800 40 84 3,360 160 84 13,440
64 Garam oralit untuk 200 ml 500 317 158,500 100 317 31,700 600 317 190,200 151 317 47,867 449 317 142,333
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1 2 3 4 5 = (3X4) 6 7 8=(6X7) 9 10 11=(9X10) 12 13 14=(12X13) 15 16 17=(15X16)
65 Gentamisin Inj 3,739 - 3739 - - 3,739 - - 3,739 - 3,739 -
66 Gentian violet larutan 1 % 985 - 985 - - 985 - - 985 - 985 -
67 Glass Ionomer cement (gc ix ) ### - 435500 - - ### - - ### - ### -
68 Glibenklamid tablet 5 mg 480 61 29,280 100 61 6,100 580 61 35,380 280 61 17,080 300 61 18,300
69 Gliseril guayakolat tab 100 4,000 4 14,760 2,000 3.69 7,380 6,000 4 22,140 1,352 4 4,989 4648 4 17,151
70 Glukonas Kalsikus Inj - - - - - - -
71 Glukosa 5 % 5,720 - 5720 - - 5,720 - - 5,720 - 5,720 -
72 Griseofulvin tab 125 mg 4,300 241 1,036,300 400 241 96,400 4,700 241 1,132,700 70 241 16,870 4630 241 1,115,830
73 Haloperidol tablet 1,5 mg 300 76 22,800 400 76 30,400 700 76 53,200 325 76 24,700 375 76 28,500
74 Handshoen No. 7 4,675 - 4675 - - 4,675 - - 4,675 - 4,675 -
75 Hidroklorotiazid (hct) tab 2 6,000 40 240,000 1,000 40 40,000 7,000 40 280,000 1,000 40 40,000 6000 40 240,000
76 Hidrokotrizon krim 2,5 % 2,938 - 20 2938 58,760 20 2,938 58,760 12 2,938 35,256 8 2,938 23,504
77 Ibuprofen 200 mg 300 96 28,863 800 96.21 76,968 1,100 96 105,831 837 96 80,528 263 96 25,303
78 Ibuprofen 400 mg 157 - 500 157 78,500 500 157 78,500 494 157 77,558 6 157 942
79 Infusion set anak 4,400 - 4400 - - 4,400 - - 4,400 - 4,400 -
80 Infusion set dewasa 3,850 - 3850 - - 3,850 - - 3,850 - 3,850 -
81 Iodiol Kapsul Lunak 1,023 - 1023 - - 1,023 - - 1,023 - 1,023 -
82 Isosorbit dinitrat tab 5 mg 98 - 200 98 19,600 200 98 19,600 20 98 1,960 180 98 17,640
83 Kalsium hidroksida pasta ### - 266200 - - ### - - ### - ### -
84 Kalsium laktat ( kalk ) tab 3,650 57 208,780 1,000 57.2 57,200 4,650 57 265,980 240 57 13,728 4410 57 252,252
85 Kapas pembalut 250 gr 8,000 - 8000 - - 8,000 - - 8,000 - 8,000 -
86 Karbamazepin tab 200 mg 269 - 200 269 53,800 200 269 53,800 - 269 - 200 269 53,800
87 Kasa 4 m x 15 cm 3,708 - 3708 - - 3,708 - - 3,708 - 3,708 -
88 Kasa 4 m x 3 cm 806 - 806 - - 806 - - 806 - 806 -
89 Kasa Gulung 40 y x 80 cm 60,720 - 60720 - - 60,720 - - 60,720 - 60,720 -
90 Kasa kompres 40/40 steril 1,532 - 1532 - - 1,532 - - 1,532 - 1,532 -
91 Kasa steril uk. 18 x 22 297 - 297 - - 297 - - 297 - 297 -
92 Ketokenazole Tab 150 320 48,000 200 320 64,000 350 320 112,000 200 320 64,000 150 320 48,000
93 Kina Tab ( Quinine ) 737 - 737 - - 737 - - 737 - 737 -
94 Kloramfenikol kapsul 250 mg 250 - 500 250 125,000 500 250 125,000 148 250 37,000 352 250 88,000
95 Kloramfenikol Salep mata 1 84 1,680 141,120 8 1680 13,440 92 1,680 154,560 2 1,680 3,360 90 1,680 151,200
96 Kloramfenikol Tetes Mata 5 1,759 8,795 15 1759 26,385 20 1,759 35,180 4 1,759 7,036 16 1,759 28,144
97 Klorfeniramin ( ctm ) tab 4 9,200 23 211,600 4,000 23 92,000 13,200 23 303,600 2,844 23 65,412 10356 23 238,188
98 Klorfenol ( CHKM) 50,500 - 50500 - - 50,500 - - 50,500 - 50,500 -
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1 2 3 4 5 = (3X4) 6 7 8=(6X7) 9 10 11=(9X10) 12 13 14=(12X13) 15 16 17=(15X16)
99 Kloroquin fosfat tablet 250 mg
100 Klorpromazin hcl tab salut 400 165 66,000 1,200 165 198,000 1,600 165 264,000 170 165 28,050 1430 165 235,950
101 Klorpromazin hcl tab salut 25 mg 40 - 40 - - 40 - - 40 - 40 -
102 Kodein tablet 10 mg 550 - 250 550 137,500 250 550 137,500 106 550 58,300 144 550 79,200
103 Kontrasepsi Implant Susuk KB - - 0 - - - - - - - - -
104 Kontrasepsi KB 3 Bulan - - 0 - - - - - - - - -
105 Kotrimoksazol pediatrik tabl 600 79 47,400 79 - 600 79 47,400 - 79 - 600 79 47,400
106 Kotrimoksazol suspensi 6 2,298 13,788 22 2298 50,556 28 2,298 64,344 19 2,298 43,662 9 2,298 20,682
107 Kotrmoksazol dewasa tablet 4,200 152 638,400 1,200 152 182,400 5,400 152 820,800 294 152 44,688 5106 152 776,112
108 Kuinin dihidroklorida inj. 25%-2ml 6,820 - 6820 - - 6,820 - - 6,820 - 6,820 -
109 Larutan Anisol ### - 910000 - - ### - - ### - ### -
110 Larutan benedict 28,935 - 28935 - - 28,935 - - 28,935 - 28,935 -
111 Larutan Spiritus 17,000 - 17000 - - 17,000 - - 17,000 - 17,000 -
112 Larutan Ziehl Nielsen ( TB ) ### - 154038 - - ### - - ### - ### -
113 Lidokain kompositum injeksi 1,499 - 1499 - - 1,499 - - 1,499 - 1,499 -
114 Lisol 49,861 - 49861 - - 49,861 - - 49,861 - 49,861 -
115 Masker 1,237 - 1237 - - 1,237 - - 1,237 - 1,237 -
116 MB Anak - - - - - - -
117 MB Dewasa - - - - - - -
118 Metformin 500 mg 1,000 119 118,500 118.5 - 1,000 119 118,500 30 119 3,555 970 119 114,945
119 Metilergometrin inj 0,200 mg-1ml 1,503 - 1503 - - 1,503 - - 1,503 - 1,503 -
120 Metilergometrin tab salut 0 540 121 65,340 121 - 540 121 65,340 - 121 - 540 121 65,340
121 Metoklopramida Tab 110 - 100 110 11,000 100 110 11,000 5 110 550 95 110 10,450
122 Metronidazol tablet 500 mg 200 169 33,800 169 - 200 169 33,800 110 169 18,590 90 169 15,210
123 MgSO4 Inj 20% - - - - - - -
124 MgSO4 Inj 40% 2,629 - 2629 - - 2,629 - - 2,629 - 2,629 -
125 Mineral Mix 3,300 - 3300 - - 3,300 - - 3,300 - 3,300 -
126 Mummifying pasta ### - 193600 - - ### - - ### - ### -
127 Natrium Diklofenak 100 193 19,300 193 - 100 193 19,300 20 193 3,860 80 193 15,440
128 Natrium Klorida Infus Steril 5,170 - 5170 - - 5,170 - - 5,170 - 5,170 -
129 Natrium Tiroksin Tab 1,530 - 1530 - - 1,530 - - 1,530 - 1,530 -
130 Nifedipin 10 mg 240 2,999 719,760 200 2999 599,800 440 2,999 1,319,560 - 2,999 - 440 2,999 1,319,560
131 Nistatin 500.000 iu/g tab 528 - 528 - - 528 - - 528 - 528 -
132 Oil Emersi
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1 2 3 4 5 = (3X4) 6 7 8=(6X7) 9 10 11=(9X10) 12 13 14=(12X13) 15 16 17=(15X16)
133 OAT ( FDC ) Kategori Anak ### - 236500 - - ### - - ### - ### -
134 OAT ( FDC ) Kategori I ### - 395900 - - ### - - ### - ### -
135 OAT ( FDC ) Kategori II ### - 1E+06 - - ### - - ### - ### -
136 OAT ( Kombipak) Kat. I ### - 317015 - - ### - - ### - ### -
137 OAT (Kombipak) Kategori anak
138 OAT (Kombipak) Kategori Sisipan
139 Obat batuk hitam ( OBH ) ca 20 1,340 26,800 2 1340 2,680 22 1,340 29,480 2 1,340 2,680 20 1,340 26,800
140 Objek Glass 14,994 - 14994 - - 14,994 - - 14,994 - 14,994 -
141 Oksitetrasiklin hcl injeksi 341 - 341 - - 341 - - 341 - 341 -
142 Oksitetrasiklin salep 3 % 1,646 - 1646 - - 1,646 - - 1,646 - 1,646 -
143 Oksitetrasiklin Salep mata 1,680 - 20 1680 33,600 20 1,680 33,600 6 1,680 10,080 14 1,680 23,520
144 Oksitosin Injeksi 10 iu/ml - 1 ml 1,963 - 1963 - - 1,963 - - 1,963 - 1,963 -
145 Papaverin Tab 1,500 128 192,000 1,000 128 128,000 2,500 128 320,000 176 128 22,528 2324 128 297,472
146 Parasetamol sirup 120 mg/5 15 1,535 23,025 12 1535 18,420 27 1,535 41,445 12 1,535 18,420 15 1,535 23,025
147 Parasetamol tablet 100 mg 900 35 31,059 200 34.51 6,902 1,100 35 37,961 34 35 1,173 1066 35 36,788
148 Parasetamol tablet 500 mg 3,000 88 264,000 5,670 88 498,960 8,670 88 762,960 2,727 88 239,976 5943 88 522,984
149 PB Anak - - - - - - -
150 PB Dewasa - - - - - - -
151 Pirantel pamoat tab 125 mg 90 318 28,620 100 318 31,800 190 318 60,420 24 318 7,632 166 318 52,788
152 Piridoksin hcl tab 10 mg 19 - 2,000 19.4 38,800 2,000 19 38,800 1,933 19 37,500 67 19 1,300
153 Plester 5 yard x 2 inch 25,967 - 25967 - - 25,967 - - 25,967 - 25,967 -
154 Polikresulen ( Albotil ) - - - - - - -
155 Poly Katether 18 9,344 - 9344 - - 9,344 - - 9,344 - 9,344 -
156 Poly Katether 22 9,344 - 9344 - - 9,344 - - 9,344 - 9,344 -
157 Pot Dahak 1,000 - 1000 - - 1,000 - - 1,000 - 1,000 -
158 Prednison tablet 5 mg 57 - 200 57 11,400 200 57 11,400 200 57 11,400 57 -
159 Prokain penisilin injeksi 2 6,618 13,236 6618 - 2 6,618 13,236 - 6,618 - 2 6,618 13,236
160 Propiltiourasil tab 100 mg 230 297 68,310 100 297 29,700 330 297 98,010 280 297 83,160 50 297 14,850
161 Propranolol hcl tablet 10 mg 600 80 48,000 80 - 600 80 48,000 - 80 - 600 80 48,000
162 Ranitidin 150 mg 132 - 132 - - 132 - - 132 - 132 -
163 Reserpin tablet 0, 25 mg 114 - 114 - - 114 - - 114 - 114 -
164 Retinol 100.000 IU 286 - 286 - - 286 - - 286 - 286 -
165 Retinol 200.000 IU 505 - 505 - - 505 - - 505 - 505 -
166 Ringer laktat larutan infus steril 5,720 - 5720 - - 5,720 - - 5,720 - 5,720 -
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1 2 3 4 5 = (3X4) 6 7 8=(6X7) 9 10 11=(9X10) 12 13 14=(12X13) 15 16 17=(15X16)
167 Salbutamol tablet 2 mg 65 - 200 65 13,000 200 65 13,000 190 65 12,350 10 65 650
168 Salep 2 - 4 kombinasi 15 2,200 33,000 2200 - 15 2,200 33,000 - 2,200 - 15 2,200 33,000
169 Salisil bedak 2 % 3 1,180 3,540 8 1180 9,440 11 1,180 12,980 8 1,180 9,440 3 1,180 3,540
170 Salisil spiritus 10 % 1,313 - 1313 - - 1,313 - - 1,313 - 1,313 -
171 Semen fosfat serbuk dan cairan ### - 102855 - - ### - - ### - ### -
172 Sianokobalamin ( Vit.b 12 ) injeksi 1,067 - 1067 - - 1,067 - - 1,067 - 1,067 -
173 Sianokobalamin tablet 15 - 2,000 15 30,000 2,000 15 30,000 1,861 15 27,915 139 15 2,085
174 Silk no.3/0 7,682 - 7682 - - 7,682 - - 7,682 - 7,682 -
175 Simvastatin 480 - 100 480 48,000 100 480 48,000 100 480 48,000 480 -
176 Tablet tambah darah kombinasi 2,200 - 2200 - - 2,200 - - 2,200 - 2,200 -
177 Temporary stopping fletcher
178 Tetrasiklin hcl kapsul 250 2,500 162 405,000 500 162 81,000 3,000 162 486,000 - 162 - 3000 162 486,000
179 Tetrasiklin hcl kapsul 500 mg 226 - 226 - - 226 - - 226 - 226 -
180 Tiamin hcl ( Vit.b1) injeksi 189 - 20 189 3,780 20 189 3,780 20 189 3,780 189 -
181 Tiamin hcl ( Vit.b1) tablet 226 - 2,000 226 452,000 2,000 226 452,000 1,831 226 413,806 169 226 38,194
182 Triheksifenidil tablet 2 mg 730 - 730 - - 730 - 730 - 730 -
183 Trireksol formalin ( tkf ) cairan 85,000 - 85000 - - 85,000 - - 85,000 - 85,000 -
184 Urine bag 4,400 - 4400 - - 4,400 - - 4,400 - 4,400 -
185 Vitamin b kompleks tablet 1,100 112 123,200 2,000 112 224,000 3,100 112 347,200 1,122 112 125,664 1978 112 221,536
186 Wing Needle 23G 6,345 - 6345 - - 6,345 - - 6,345 - 6,345 -
187 Wing Needle 27G 6,047 - 6047 - - 6,047 - - 6,047 - 6,047 -
188 Yodina Test 7,500 - 7500 - - 7,500 - - 7,500 - 7,500 -
189 Yodium povidon lar.10% 30 ml 2,200 - 2200 - - 2,200 - - 2,200 - 2,200 -
190 Yodium povidon lar.10% 300 ml 15,950 - 15950 - - 15,950 - - 15,950 - 15,950 -
191 Zinc Tablet 20 mg 300 521 156,300 200 521 104,200 500 521 260,500 - 521 - 500 521 260,500
192 Amoropo Kaps 2,750 - 2750 - - 2,750 - - 2,750 - 2,750 -
193 Amlodipin Kap 700 352 246,400 300 352 105,600 1,000 352 352,000 265 352 93,280 735 352 258,720
194 Ketokenazole Krim 2,697 - 2697 - - 2,697 - - 2,697 - 2,697 -
195 Pospargin Tab 100 388.64 38,864 200 388.64 77,728 300 388.64 116,592 100 388.64 38,864 200 388.64 77,728
196 Stesolid Injeksi ### - 11441 - - ### - - ### - ### -
197 Heksimer 2 mg Tablet 297 - 400 297 118,800 400 297 118,800 - 297 - 400 297 118,800
198 Pehacain Inj 3100 - 3100 - - 3100 - - 3100 - 3100 -
199 Cefotaxime 1 g 3,500 - 3500 - - 3,500 - - 3,500 - 3,500 -
TOTAL 8,267,264 7,148,067 ### 3,524,221 ###

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1 2
TOTAL 3 4 5 = (3X4)
8,267,264 6 7 8=(6X7)
7,148,067 9 10 11=(9X10)
### 12 13 14=(12X13)
3,524,221 15 16 17=(15X16)
###
Cempa, Januari 20
Pengurus / Penyimpan Barang /Obat Pengurus Kamar Obat
Marwah. C Hj.Rezki Amaliyah Rahman,S.Si.,Apt.

NIP.19780405 200604 2 024
SALDO AWAL PENERIMAAN FEBRUARI PERSEDIAAN PENGELUARAAN SISA STOK

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1 2 3 4 5 = (3X4) 6 7 8=(6X7) 9 10 11=(9X10) 12 13 14=(12X13) 15 16 17=(15X16)
1 Alat Suntik 1 ml 1,050 - 1,050 - - 1,050 - - 1,050 - 1,050 -
2 Abbocath No. 18 8,200 - 8,200 - - 8,200 - - 8,200 - 8,200 -
3 Abbocath No. 20 8,200 - 8,200 - - 8,200 - - 8,200 - 8,200 -
4 Abbocath No. 22 8,200 - 8,200 - - 8,200 - - 8,200 - 8,200 -
5 Abbocath No. 24 8,200 - 8,200 - - 8,200 - - 8,200 - 8,200 -
6 Alat Suntik 2,5 ml 1,100 - 1,100 - - 1,100 - - 1,100 - 1,100 -
7 Alat Suntik 5 ml 1,100 - 1,100 - - 1,100 - - 1,100 - 1,100 -
8 Albendazole 18 363 6,534 363 - 18 363 6,534 - 363 - 18 363 6,534
9 Alopurinol tablet 100 mg 1040 90 93,600 90 - 1,040 90 93,600 140 90 12,600 900 90 81,000
10 Aminofilin injeksi 4,200 - 4,200 - - 4,200 - - 4,200 - 4,200 -
11 Aminofilin tablet 200 mg 500 86 43,000 86 - 500 86 43,000 20 86 1,720 480 86 41,280
12 Amitriptilin hcl tab salut 100 123 12,300 123 - 100 123 12,300 20 123 2,460 80 123 9,840
13 Amoksisilin Kapsul 250 m 680 220 149,600 220 - 680 220 149,600 680 220 149,600 220 -
14 Amoksisilin Kapsul 500 m 1290 292 376,680 700 292 204,400 1,990 292 581,080 1,984 292 579,328 6 292 1,752
15 Amoksisilin sirup kering 21 2,560 53,760 11 2,560 28,160 32 2,560 81,920 21 2,560 53,760 11 2,560 28,160
16 Ampisilin Inj 5,610 - 5,610 - - 5,610 - - 5,610 - 5,610 -
18 Antalgin Tab 500 mg 142 - 142 - - 142 - - 142 - 142 -
19 Antasida doen tablet kombi 5079 78 396,162 78 - 5,079 78 396,162 1,340 78 104,520 3,739 78 291,642
20 Antifungi doen kombinasi 2,096 - 2,096 - - 2,096 - - 2,096 - 2,096 -
21 Antihemoroid doen kombin 50 2,200 110,000 2,200 - 50 2,200 110,000 3 2,200 6,600 47 2,200 103,400
23 Aqua proinjeksi steril 5,800 - 5,800 - - 5,800 - - 5,800 - 5,800 -
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HARGA NILAI BANYAK
HARGA NILAI
1 2 3 4 5 = (3X4) 6 7 8=(6X7) 9 10 11=(9X10) 12 13 14=(12X13) 15 16 17=(15X16)
28 Asam askorbat ( Vit c ) ta 5108 105 536,340 105 - 5,108 105 536,340 1,343 105 141,015 3,765 105 395,325
29 Asam Mefenamat tablet 3130 122 381,860 122 - 3,130 122 381,860 710 122 86,620 2,420 122 295,240
31 Asetosal tablet 100 mg 351 127 44,577 127 - 351 127 44,577 - 127 - 351 127 44,577
32 Asklovir 400 mg 1100 362 398,200 362 - 1,100 362 398,200 - 362 - 1,100 362 398,200
34 Benzatin benzil penisilin injeksi 10,780 - 10,780 - - 10,780 - - 10,780 - 10,780 -
35 Betahistin 1,016 - 1,016 - - 1,016 - - 1,016 - 1,016 -
36 Betametason krim 0,1 % 40 1,596 63,840 1,596 - 40 1,596 63,840 9 1,596 14,364 31 1,596 49,476
37 Captopril 25 mg 805 100 80,500 100 - 805 100 80,500 781 100 78,100 24 100 2,400
38 Catgut/benang bedah no.2/0 - 3/0 26,500 - 26,500 - - 26,500 - - 26,500 - 26,500 -
39 Ciprofloksasin 500 mg 470 265 124,550 265 - 470 265 124,550 200 265 53,000 270 265 71,550
40 Deksametason injeksi 5 mg/ml 1,738 - 1,738 - - 1,738 - - 1,738 - 1,738 -
41 Deksametason tablet 0,5 m 3086 74 228,364 74 - 3,086 74 228,364 3,049 74 225,626 37 74 2,738
42 Dekstrometorfan sirup 10 30 1,467 44,010 1,467 - 30 1,467 44,010 - 1,467 - 30 1,467 44,010
44 Devitalisasi pasta ( non Arsen ) ### - ### - - ### - - ### - ### -
45 Diazepam tablet 2 mg 43 39 1,677 3,000 39 117,000 3,043 39 118,677 1,523 39 59,397 1,520 39 59,280
46 Diazepam inj 5 mg/ml - 2 ml 2,578 - 2,578 - - 2,578 - - 2,578 - 2,578 -
47 Difenhidramin inj 10 mg/ml-1ml 1,156 - 1,156 - - 1,156 - - 1,156 - 1,156 -
48 Digoksin tablet 0,25 mg 600 103 61,800 103 - 600 103 61,800 5 103 515 595 103 61,285
49 Doksisiklin 800 278 222,400 278 - 800 278 222,400 - 278 - 800 278 222,400
50 Efedrin tablet 25 mg 1789 56 100,792 56 - 1,789 56 100,792 136 56 7,662 1,653 56 93,130
52 Epinefrin (adrenalin) inj.0,1%-1ml 8,910 - 8,910 - - 8,910 - - 8,910 - 8,910 -
53 Etakridin ( rivanol ) lar. 0,1% 2,354 - 2,354 - - 2,354 - - 2,354 - 2,354 -
54 Etanol 70% 18,698 - 18,698 - - 18,698 - - 18,698 - 18,698 -
55 Etilklorida semprot 11,550 - 11,550 - - 11,550 - - 11,550 - 11,550 -
56 Eugenol cairan 18,333 - 18,333 - - 18,333 - - 18,333 - 18,333 -
57 Fenobarbital Inj 1,980 - 1,980 - - 1,980 - - 1,980 - 1,980 -
NO JENIS PERSEDIAAN
BANYAK
HARGA NILAI BANYAK
HARGA NILAI BANYAK
HARGA NILAI
1 2 3 4 5 = (3X4) 6 7 8=(6X7) 9 10 11=(9X10) 12 13 14=(12X13) 15 16 17=(15X16)
58 Fenobarbital tablet 30 mg 1590 74 117,660 74 - 1,590 74 117,660 366 74 27,084 1,224 74 90,576
59 Fenol gliserol tetes teling 10 1,109 11,088 1,109 - 10 1,109 11,088 7 1,109 7,762 3 1,109 3,326
60 Ferro Sulfat 300 mg 3666 24 87,984 24 - 3,666 24 87,984 470 24 11,280 3,196 24 76,704
61 Fitomenadion ( vit k 1) injeksi 3,754 - 3,754 - - 3,754 - - 3,754 - 3,754 -
62 Fitomenadion ( vit k 1) ta 550 690 379,500 690 - 550 690 379,500 20 690 13,800 530 690 365,700
64 Garam oralit untuk 200 ml 449 317 142,333 317 - 449 317 142,333 36 317 11,412 413 317 130,921
65 Gentamisin Inj 3,739 - 3,739 - - 3,739 - - 3,739 - 3,739 -
67 Glass Ionomer cement (gc ix ) ### - ### - - ### - - ### - ### -
68 Glibenklamid tablet 5 mg 300 61 18,300 61 - 300 61 18,300 225 61 13,725 75 61 4,575
69 Gliseril guayakolat tab 10 4648 4 17,151 4 - 4,648 4 17,151 1,005 4 3,708 3,643 4 13,443
71 Glukosa 5 % 5,720 - 5,720 - - 5,720 - - 5,720 - 5,720 -
72 Griseofulvin tab 125 mg 4630 241 1,115,830 241 - 4,630 241 1,115,830 20 241 4,820 4,610 241 1,111,010
73 Haloperidol tablet 1,5 mg 375 76 28,500 400 76 30,400 775 76 58,900 - 76 - 775 76 58,900
74 Handshoen No. 7 4,675 - 4,675 - - 4,675 - - 4,675 - 4,675 -
75 Hidroklorotiazid (hct) tab 6000 40 240,000 40 - 6,000 40 240,000 - 40 - 6,000 40 240,000
76 Hidrokotrizon krim 2,5 % 8 2,938 23,504 20 2,938 58,760 28 2,938 82,264 28 2,938 82,264 - 2,938 -
77 Ibuprofen 200 mg 263 96 25,303 400 96 38,484 663 96 63,787 659 96 63,402 4 96 385
78 Ibuprofen 400 mg 6 157 942 500 157 78,500 506 157 79,442 506 157 79,442 - 157 -
79 Infusion set anak 4,400 - 4,400 - - 4,400 - - 4,400 - 4,400 -
80 Infusion set dewasa 3,850 - 3,850 - - 3,850 - - 3,850 - 3,850 -
81 Iodiol Kapsul Lunak 1,023 - 1,023 - - 1,023 - - 1,023 - 1,023 -
82 Isosorbit dinitrat tab 5 mg 180 98 17,640 200 98 19,600 380 98 37,240 2 98 196 378 98 37,044
83 Kalsium hidroksida pasta ### - ### - - ### - - ### - ### -
84 Kalsium laktat ( kalk ) ta 4410 57 252,252 57 - 4,410 57 252,252 170 57 9,724 4,240 57 242,528
85 Kapas pembalut 250 gr 8,000 - 8,000 - - 8,000 - - 8,000 - 8,000 -
86 Karbamazepin tab 200 mg 200 269 53,800 269 - 200 269 53,800 - 269 - 200 269 53,800
87 Kasa 4 m x 15 cm 3,708 - 3,708 - - 3,708 - - 3,708 - 3,708 -
NO JENIS PERSEDIAAN
BANYAK
HARGA NILAI BANYAK
HARGA NILAI BANYAK
HARGA NILAI
1 2 3 4 5 = (3X4) 6 7 8=(6X7) 9 10 11=(9X10) 12 13 14=(12X13) 15 16 17=(15X16)
88 Kasa 4 m x 3 cm 806 - 806 - - 806 - - 806 - 806 -
89 Kasa Gulung 40 y x 80 cm 60,720 - 60,720 - - 60,720 - - 60,720 - 60,720 -
90 Kasa kompres 40/40 steril 1,532 - 1,532 - - 1,532 - - 1,532 - 1,532 -
91 Kasa steril uk. 18 x 22 297 - 297 - - 297 - - 297 - 297 -
92 Ketokenazole Tab 150 320 48,000 320 - 150 320 48,000 10 320 3,200 140 320 44,800
93 Kina Tab ( Quinine ) 737 - 737 - - 737 - - 737 - 737 -
94 Kloramfenikol kapsul 250 352 250 88,000 250 - 352 250 88,000 89 250 22,250 263 250 65,750
95 Kloramfenikol Salep mata 90 1,680 151,200 1,680 - 90 1,680 151,200 - 1,680 - 90 1,680 151,200
96 Kloramfenikol Tetes Mata 16 1,759 28,144 1,759 - 16 1,759 28,144 2 1,759 3,518 14 1,759 24,626
97 Klorfeniramin ( ctm ) tab 10356 23 238,188 23 - 10,356 23 238,188 2,307 23 53,061 8,049 23 185,127
98 Klorfenol ( CHKM) 50,500 - 50,500 - - 50,500 - - 50,500 - 50,500 -
100 Klorpromazin hcl tab salu 1430 165 235,950 165 - 1,430 165 235,950 215 165 35,475 1,215 165 200,475
102 Kodein tablet 10 mg 144 550 79,200 200 550 110,000 344 550 189,200 212 550 116,600 132 550 72,600
103 Kontrasepsi Implant Susuk KB - - - - - - - - - - - -
104 Kontrasepsi KB 3 Bulan - - - - - - - - - - - -
105 Kotrimoksazol pediatrik ta 600 79 47,400 79 - 600 79 47,400 - 79 - 600 79 47,400
106 Kotrimoksazol suspensi 9 2,298 20,682 20 2,298 45,960 29 2,298 66,642 12 2,298 27,576 17 2,298 39,066
107 Kotrmoksazol dewasa table 5106 152 776,112 152 - 5,106 152 776,112 90 152 13,680 5,016 152 762,432
108 Kuinin dihidroklorida inj. 25%-2ml 6,820 - 6,820 - - 6,820 - - 6,820 - 6,820 -
109 Larutan Anisol ### - ### - - ### - - ### - ### -
110 Larutan benedict 28,935 - 28,935 - - 28,935 - - 28,935 - 28,935 -
111 Larutan Spiritus 17,000 - 17,000 - - 17,000 - - 17,000 - 17,000 -
112 Larutan Ziehl Nielsen ( TB ) ### - ### - - ### - - ### - ### -
113 Lidokain kompositum injeksi 1,499 - 1,499 - - 1,499 - - 1,499 - 1,499 -
114 Lisol 49,861 - 49,861 - - 49,861 - - 49,861 - 49,861 -
115 Masker 1,237 - 1,237 - - 1,237 - - 1,237 - 1,237 -
116 MB Anak - - - - - - -
117 MB Dewasa - - - - - - -
NO JENIS PERSEDIAAN
BANYAK
HARGA NILAI BANYAK
HARGA NILAI BANYAK
HARGA NILAI
1 2 3 4 5 = (3X4) 6 7 8=(6X7) 9 10 11=(9X10) 12 13 14=(12X13) 15 16 17=(15X16)
118 Metformin 500 mg 970 119 114,945 119 - 970 119 114,945 70 119 8,295 900 119 106,650
119 Metilergometrin inj 0,200 mg-1ml 1,503 - 1,503 - - 1,503 - - 1,503 - 1,503 -
120 Metilergometrin tab salut 540 121 65,340 121 - 540 121 65,340 - 121 - 540 121 65,340
121 Metoklopramida Tab 95 110 10,450 110 - 95 110 10,450 95 110 10,450 - 110 -
122 Metronidazol tablet 500 m 90 169 15,210 169 - 90 169 15,210 71 169 11,999 19 169 3,211
123 MgSO4 Inj 20% - - - - - - -
124 MgSO4 Inj 40% 2,629 - 2,629 - - 2,629 - - 2,629 - 2,629 -
125 Mineral Mix 3,300 - 3,300 - - 3,300 - - 3,300 - 3,300 -
126 Mummifying pasta ### - ### - - ### - - ### - ### -
127 Natrium Diklofenak 80 193 15,440 193 - 80 193 15,440 80 193 15,440 - 193 -
128 Natrium Klorida Infus Steril 5,170 - 5,170 - - 5,170 - - 5,170 - 5,170 -
129 Natrium Tiroksin Tab 1,530 - 1,530 - - 1,530 - - 1,530 - 1,530 -
130 Nifedipin 10 mg 440 2,999 1,319,560 2,999 - 440 2,999 1,319,560 - 2,999 - 440 2,999 1,319,560
131 Nistatin 500.000 iu/g tab 528 - 528 - - 528 - - 528 - 528 -
132 Oil Emersi
133 OAT ( FDC ) Kategori Anak ### - ### - - ### - - ### - ### -
134 OAT ( FDC ) Kategori I ### - ### - - ### - - ### - ### -
135 OAT ( FDC ) Kategori II ### - ### - - ### - - ### - ### -
136 OAT ( Kombipak) Kat. I ### - ### - - ### - - ### - ### -
139 Obat batuk hitam ( OBH ) 20 1,340 26,800 1,340 - 20 1,340 26,800 7 1,340 9,380 13 1,340 17,420
140 Objek Glass 14,994 - 14,994 - - 14,994 - - 14,994 - 14,994 -
142 Oksitetrasiklin salep 3 % 1,646 - 1,646 - - 1,646 - - 1,646 - 1,646 -
143 Oksitetrasiklin Salep mata 14 1,680 23,520 1,680 - 14 1,680 23,520 1 1,680 1,680 13 1,680 21,840
144 Oksitosin Injeksi 10 iu/ml - 1 ml 1,963 - 1,963 - - 1,963 - - 1,963 - 1,963 -
145 Papaverin Tab 2324 128 297,472 128 - 2,324 128 297,472 151 128 19,328 2,173 128 278,144
146 Parasetamol sirup 120 mg/ 15 1,535 23,025 20 1,535 30,700 35 1,535 53,725 5 1,535 7,675 30 1,535 46,050
147 Parasetamol tablet 100 mg 1066 35 36,788 35 - 1,066 35 36,788 62 35 2,140 1,004 35 34,648
NO JENIS PERSEDIAAN
BANYAK
HARGA NILAI BANYAK
HARGA NILAI BANYAK
HARGA NILAI
1 2 3 4 5 = (3X4) 6 7 8=(6X7) 9 10 11=(9X10) 12 13 14=(12X13) 15 16 17=(15X16)
148 Parasetamol tablet 500 mg 5943 88 522,984 88 - 5,943 88 522,984 3,590 88 315,920 2,353 88 207,064
149 PB Anak - - - - - - -
150 PB Dewasa - - - - - - -
151 Pirantel pamoat tab 125 m 166 318 52,788 318 - 166 318 52,788 10 318 3,180 156 318 49,608
152 Piridoksin hcl tab 10 mg 67 19 1,300 2,000 19 38,800 2,067 19 40,100 1,496 19 29,022 571 19 11,077
153 Plester 5 yard x 2 inch 25,967 - 25,967 - - 25,967 - - 25,967 - 25,967 -
154 Poly Katether 18 9,344 - 9,344 - - 9,344 - - 9,344 - 9,344 -
155 Poly Katether 22 9,344 - 9,344 - - 9,344 - - 9,344 - 9,344 -
156 Pot Dahak 1,000 - 1,000 - - 1,000 - - 1,000 - 1,000 -
157 Prednison tablet 5 mg 57 - 57 - - 57 - - 57 - - 57 -
158 Primakuin tablet 15 mg - - - - - - -
159 Prokain penisilin injeksi 2 6,618 13,236 6,618 - 2 6,618 13,236 - 6,618 - 2 6,618 13,236
161 Propranolol hcl tablet 10 600 80 48,000 80 - 600 80 48,000 20 80 1,600 580 80 46,400
162 Ranitidin 150 mg 132 - 100 132 13,200 100 132 13,200 100 132 13,200 - 132 -
164 Retinol 100.000 IU 286 - 286 - - 286 - - 286 - 286 -
165 Retinol 200.000 IU 505 - 505 - - 505 - - 505 - 505 -
166 Ringer laktat larutan infus steril 5,720 - 5,720 - - 5,720 - - 5,720 - 5,720 -
167 Salbutamol tablet 2 mg 10 65 650 200 65 13,000 210 65 13,650 158 65 10,270 52 65 3,380
168 Salep 2 - 4 kombinasi 15 2,200 33,000 2,200 - 15 2,200 33,000 8 2,200 17,600 7 2,200 15,400
169 Salisil bedak 2 % 3 1,180 3,540 14 1,180 16,520 17 1,180 20,060 9 1,180 10,620 8 1,180 9,440
170 Salisil spiritus 10 % 1,313 - 1,313 - - 1,313 - - 1,313 - 1,313 -
171 Semen fosfat serbuk dan cairan ### - ### - - ### - - ### - ### -
172 Sianokobalamin ( Vit.b 12 ) injeksi 1,067 - 1,067 - - 1,067 - - 1,067 - 1,067 -
173 Sianokobalamin tablet 139 15 2,085 2,000 15 30,000 2,139 15 32,085 1,121 15 16,815 1,018 15 15,270
174 Silk no.3/0 7,682 - 7,682 - - 7,682 - - 7,682 - 7,682 -
175 Simvastatin 480 - 200 480 96,000 200 480 96,000 200 480 96,000 480 -
176 Tablet tambah darah kombinasi 2,200 - 2,200 - - 2,200 - - 2,200 - 2,200 -
NO JENIS PERSEDIAAN
BANYAK
HARGA NILAI BANYAK
HARGA NILAI BANYAK
HARGA NILAI
1 2 3 4 5 = (3X4) 6 7 8=(6X7) 9 10 11=(9X10) 12 13 14=(12X13) 15 16 17=(15X16)
178 Tetrasiklin hcl kapsul 250 3000 162 486,000 162 - 3,000 162 486,000 100 162 16,200 2,900 162 469,800
180 Tiamin hcl ( Vit.b1) injeksi 189 - 189 - - 189 - - 189 - 189 -
181 Tiamin hcl ( Vit.b1) tablet 169 226 38,194 2,000 226 452,000 2,169 226 490,194 1,417 226 320,242 752 226 169,952
182 Triheksifenidil tablet 2 mg 730 - 730 - - 730 - - 730 - 730 -
183 Trireksol formalin ( tkf ) cairan 85,000 - 85,000 - - 85,000 - - 85,000 - 85,000 -
184 Urine bag 4,400 - 4,400 - - 4,400 - - 4,400 - 4,400 -
185 Vitamin b kompleks tablet 1978 112 221,536 2,000 112 224,000 3,978 112 445,536 2,059 112 230,608 1,919 112 214,928
186 Wing Needle 23G 6,345 - 6,345 - - 6,345 - - 6,345 - 6,345 -
187 Wing Needle 27G 6,047 - 6,047 - - 6,047 - - 6,047 - 6,047 -
188 Yodina Test 7,500 - 7,500 - - 7,500 - - 7,500 - 7,500 -
189 Yodium povidon lar.10% 30 ml 2,200 - 2,200 - - 2,200 - - 2,200 - 2,200 -
191 Zinc Tablet 20 mg 500 521 260,500 521 - 500 521 260,500 36 521 18,756 464 521 241,744
192 Amoropo Kaps 2,750 - 2,750 - - 2,750 - - 2,750 - 2,750 -
193 Amlodipin Kap 735 352 258,720 352 - 735 352 258,720 229 352 80,608 506 352 178,112
194 Ketokenazole Krim 2,697 - 2,697 - - 2,697 - - 2,697 - 2,697 -
195 Pospargin Tab 200 388.64 77,728 388.64 - 200 388.64 77,728 - 388.64 - 200 388.64 77,728
196 Stesolid Injeksi ### - ### - - ### - - ### - ### -
197 Heksimer 2 mg Tablet 400 297 118,800 400 297 118,800 800 297 237,600 - 297 - 800 297 237,600
198 Pehacain Inj 3100 - 3100 - - 3100 - - 3100 - 3100 -
199 Cefotaxime 1 g 3,500 - 15 3,500 52,500 15 3,500 52,500 - 3,500 - 15 3,500 52,500
TOTAL 11,891,110 1,854,884 13,745,994 3,493,060 10,252,934
Cempa, Februari 2015

Pengurus Kamar Obat
Hj.Rezki Amaliyah Rahman,S.Si.,Apt.

SALDO AWAL PENERIMAAN MARET PERSEDIAAN PENGELUARAAN SISA STOK

NO JENIS PERSEDIAAN
BANYAKHARGA NILAI BANYAKHARGA NILAI BANYAKHARGA NILAI BANYAKHARGA NILAI BANYAKHARGA NILAI
1 2 3 4 5 = (3X4) 6 7 8=(6X7) 9 10 11=(9X10) 12 13 14=(12X13) 15 16 17=(15X16)
1 Alat Suntik 1 ml 1,050 - 1,050 - - 1,050 - - 1,050 - 1,050 -
2 Abbocath No. 18 8,200 - 8,200 - - 8,200 - - 8,200 - 8,200 -
3 Abbocath No. 20 8,200 - 8,200 - - 8,200 - - 8,200 - 8,200 -
4 Abbocath No. 22 8,200 - 8,200 - - 8,200 - - 8,200 - 8,200 -
5 Abbocath No. 24 8,200 - 8,200 - - 8,200 - - 8,200 - 8,200 -
6 Alat Suntik 2,5 ml 1,100 - 1,100 - - 1,100 - - 1,100 - 1,100 -
7 Alat Suntik 5 ml 1,100 - 1,100 - - 1,100 - - 1,100 - 1,100 -
8 Albendazole 18 363 6,534 363 - 18 363 6,534 18 363 6,534 363 -
9 Alopurinol tablet 100 mg 900 90 81,000 90 - 900 90 81,000 115 90 10,350 785 90 70,650
11 Aminofilin tablet 200 mg 480 86 41,280 86 - 480 86 41,280 - 86 - 480 86 41,280
12 Amitriptilin hcl tab salut 25 80 123 9,840 123 - 80 123 9,840 40 123 4,920 40 123 4,920
13 Amoksisilin Kapsul 250 mg 220 - 120 220 26,400 120 220 26,400 120 220 26,400 220 -
14 Amoksisilin Kapsul 500 mg 6 292 1,752 2,000 292 584,000 2,006 292 585,752 1,806 292 527,352 200 292 58,400
15 Amoksisilin sirup kering 11 2,560 28,160 2,560 - 11 2,560 28,160 11 2,560 28,160 2,560 -
16 Ampisilin Inj 5,610 - 5,610 - - 5,610 - - 5,610 - 5,610 -
18 Antalgin Tab 500 mg 142 - 142 - - 142 - - 142 - 142 -
19 Antasida doen tablet kombina 3,739 78 291,642 78 - 3,739 78 291,642 1,286 78 100,308 2453 78 191,334
21 Antihemoroid doen kombinas 47 2,200 103,400 2,200 - 47 2,200 103,400 6 2,200 13,200 41 2,200 90,200
NO JENIS PERSEDIAAN
1 2 3 4 5 = (3X4) 6 7 8=(6X7) 9 10 11=(9X10) 12 13 14=(12X13) 15 16 17=(15X16)
28 Asam askorbat ( Vit c ) tab 3,765 105 395,325 105 - 3,765 105 395,325 948 105 99,540 2817 105 295,785
29 Asam Mefenamat tablet 2,420 122 295,240 122 - 2,420 122 295,240 780 122 95,160 1640 122 200,080
31 Asetosal tablet 100 mg 351 127 44,577 127 - 351 127 44,577 - 127 - 351 127 44,577
32 Asklovir 400 mg 1,100 362 398,200 362 - 1,100 362 398,200 - 362 - 1100 362 398,200
35 Betahistin 1,016 - 1,016 - - 1,016 - - 1,016 - 1,016 -
36 Betametason krim 0,1 % 31 1,596 49,476 1,596 - 31 1,596 49,476 - 1,596 - 31 1,596 49,476
37 Captopril 25 mg 24 100 2,400 700 100 70,000 724 100 72,400 483 100 48,300 241 100 24,100
39 Ciprofloksasin 500 mg 270 265 71,550 265 - 270 265 71,550 160 265 42,400 110 265 29,150
41 Deksametason tablet 0,5 mg 37 74 2,738 2,400 74 177,600 2,437 74 180,338 2,418 74 178,932 19 74 1,406
42 Dekstrometorfan sirup 10 m 30 1,467 44,010 1,467 - 30 1,467 44,010 - 1,467 - 30 1,467 44,010
44 Devitalisasi pasta ( non Arsen ) 429,000 - 429,000 - - 429,000 - - 429,000 - 429,000 -
45 Diazepam tablet 2 mg 1,520 39 59,280 39 - 1,520 39 59,280 1,419 39 55,341 101 39 3,939
48 Digoksin tablet 0,25 mg 595 103 61,285 103 - 595 103 61,285 - 103 - 595 103 61,285
49 Doksisiklin 800 278 222,400 278 - 800 278 222,400 - 278 - 800 278 222,400
50 Efedrin tablet 25 mg 1,653 56 93,130 56 - 1,653 56 93,130 167 56 9,409 1486 56 83,721
NO JENIS PERSEDIAAN
1 2 3 4 5 = (3X4) 6 7 8=(6X7) 9 10 11=(9X10) 12 13 14=(12X13) 15 16 17=(15X16)
54 Etanol 70% 18,698 - 18,698 - - 18,698 - - 18,698 - 18,698 -
56 Eugenol cairan 18,333 - 18,333 - - 18,333 - - 18,333 - 18,333 -
58 Fenobarbital tablet 30 mg 1,224 74 90,576 1,000 74 74,000 2,224 74 164,576 497 74 36,778 1727 74 127,798
59 Fenol gliserol tetes telinga 3 1,109 3,326 5 1,109 5,544 8 1,109 8,870 5 1,109 5,544 3 1,109 3,326
60 Ferro Sulfat 300 mg 3,196 24 76,704 24 - 3,196 24 76,704 666 24 15,984 2530 24 60,720
62 Fitomenadion ( vit k 1) tab 530 690 365,700 690 - 530 690 365,700 35 690 24,150 495 690 341,550
63 Furosemida tablet 40 mg 235 84 19,740 84 - 235 84 19,740 25 84 2,100 210 84 17,640
64 Garam oralit untuk 200 ml 413 317 130,921 317 - 413 317 130,921 15 317 4,755 398 317 126,166
65 Gentamisin Inj 3,739 - 3,739 - - 3,739 - - 3,739 - 3,739 -
67 Glass Ionomer cement (gc ix ) 435,500 - 435,500 - - 435,500 - - 435,500 - 435,500 -
69 Gliseril guayakolat tab 100 3,643 4 13,443 4 - 3,643 4 13,443 942 4 3,476 2701 4 9,967
71 Glukosa 5 % 5,720 - 5,720 - - 5,720 - - 5,720 - 5,720 -
72 Griseofulvin tab 125 mg 4,610 241 1,111,010 241 - 4,610 241 1,111,010 80 241 19,280 4530 241 1,091,730
73 Haloperidol tablet 1,5 mg 775 76 58,900 400 76 30,400 1,175 76 89,300 380 76 28,880 795 76 60,420
74 Handshoen No. 7 4,675 - 4,675 - - 4,675 - - 4,675 - 4,675 -
75 Hidroklorotiazid (hct) tab 2 6,000 40 240,000 40 - 6,000 40 240,000 - 40 - 6000 40 240,000
76 Hidrokotrizon krim 2,5 % - 2,938 - 2,938 - - 2,938 - 2,938 - 2 2,938 5,876
77 Ibuprofen 200 mg 4 96 385 500 96 48,105 504 96 48,490 482 96 46,373 22 96 2,117
78 Ibuprofen 400 mg - 157 - 400 157 62,800 400 157 62,800 396 157 62,172 4 157 628
NO JENIS PERSEDIAAN
1 2 3 4 5 = (3X4) 6 7 8=(6X7) 9 10 11=(9X10) 12 13 14=(12X13) 15 16 17=(15X16)
82 Isosorbit dinitrat tab 5 mg 378 98 37,044 98 - 378 98 37,044 5 98 490 373 98 36,554
83 Kalsium hidroksida pasta 266,200 - 266,200 - - 266,200 - - 266,200 - 266,200 -
84 Kalsium laktat ( kalk ) tab 4,240 57 242,528 57 - 4,240 57 242,528 400 57 22,880 3840 57 219,648
86 Karbamazepin tab 200 mg 200 269 53,800 269 - 200 269 53,800 - 269 - 200 269 53,800
87 Kasa 4 m x 15 cm 3,708 - 3,708 - - 3,708 - - 3,708 - 3,708 -
88 Kasa 4 m x 3 cm 806 - 806 - - 806 - - 806 - 806 -
89 Kasa Gulung 40 y x 80 cm 60,720 - 60,720 - - 60,720 - - 60,720 - 60,720 -
91 Kasa steril uk. 18 x 22 297 - 297 - - 297 - - 297 - 297 -
92 Ketokenazole Tab 140 320 44,800 320 - 140 320 44,800 50 320 16,000 90 320 28,800
93 Kina Tab ( Quinine ) 737 - 737 - - 737 - - 737 - 737 -
94 Kloramfenikol kapsul 250 m 263 250 65,750 250 250 62,500 513 250 128,250 104 250 26,000 409 250 102,250
95 Kloramfenikol Salep mata 1 90 1,680 151,200 1,680 - 90 1,680 151,200 - 1,680 - 90 1,680 151,200
96 Kloramfenikol Tetes Mata 14 1,759 24,626 5 1,759 8,795 19 1,759 33,421 - 1,759 - 19 1,759 33,421
97 Klorfeniramin ( ctm ) tab 4 8,049 23 185,127 23 - 8,049 23 185,127 2,578 23 59,294 5471 23 125,833
98 Klorfenol ( CHKM) 50,500 - 50,500 - - 50,500 - - 50,500 - 50,500 -
100 Klorpromazin hcl tab salut 1,215 165 200,475 165 - 1,215 165 200,475 165 165 27,225 1,050 165 173,250
102 Kodein tablet 10 mg 132 550 72,600 100 550 55,000 232 550 127,600 180 550 99,000 52 550 28,600
105 Kotrimoksazol pediatrik tabl 600 79 47,400 79 - 600 79 47,400 - 79 - 600 79 47,400
NO JENIS PERSEDIAAN
1 2 3 4 5 = (3X4) 6 7 8=(6X7) 9 10 11=(9X10) 12 13 14=(12X13) 15 16 17=(15X16)
107 Kotrmoksazol dewasa tablet 5,016 152 762,432 152 - 5,016 152 762,432 406 152 61,712 4610 152 700,720
109 Larutan Anisol 910,000 - 910,000 - - 910,000 - - 910,000 - 910,000 -
112 Larutan Ziehl Nielsen ( TB ) 154,038 - 154,038 - - 154,038 - - 154,038 - 154,038 -
114 Lisol 49,861 - 49,861 - - 49,861 - - 49,861 - 49,861 -
115 Masker 1,237 - 1,237 - - 1,237 - - 1,237 - 1,237 -
116 MB Anak - - - - - - -
117 MB Dewasa - - - - - - -
118 Metformin 500 mg 900 119 106,650 119 - 900 119 106,650 90 119 10,665 810 119 95,985
120 Metilergometrin tab salut 0, 540 121 65,340 50 121 6,050 590 121 71,390 590 121 71,390 - 121 -
121 Metoklopramida Tab - 110 - 110 - - 110 - - 110 - 110 -
122 Metronidazol tablet 500 mg 19 169 3,211 169 - 19 169 3,211 19 169 3,211 169 -
123 MgSO4 Inj 20% - - - - - - -
124 MgSO4 Inj 40% 2,629 - 2,629 - - 2,629 - - 2,629 - 2,629 -
125 Mineral Mix 3,300 - 3,300 - - 3,300 - - 3,300 - 3,300 -
126 Mummifying pasta 193,600 - 193,600 - - 193,600 - - 193,600 - 193,600 -
127 Natrium Diklofenak - 193 - 193 - - 193 - - 193 - 193 -
130 Nifedipin 10 mg 440 2,999 1,319,560 2,999 - 440 2,999 1,319,560 20 2,999 59,980 420 2,999 1,259,580
131 Nistatin 500.000 iu/g tab 528 - 528 - - 528 - - 528 - 528 -
132 Oil Emersi
NO JENIS PERSEDIAAN
1 2 3 4 5 = (3X4) 6 7 8=(6X7) 9 10 11=(9X10) 12 13 14=(12X13) 15 16 17=(15X16)
133 OAT ( FDC ) Kategori Anak 236,500 - 236,500 - - 236,500 - - 236,500 - 236,500 -
134 OAT ( FDC ) Kategori I 395,900 - 395,900 - - 395,900 - - 395,900 - 395,900 -
136 OAT ( Kombipak) Kat. I 317,015 - 317,015 - - 317,015 - - 317,015 - 317,015 -
139 Obat batuk hitam ( OBH ) ca 13 1,340 17,420 6 1,340 8,040 19 1,340 25,460 5 1,340 6,700 14 1,340 18,760
140 Objek Glass 14,994 - 14,994 - - 14,994 - - 14,994 - 14,994 -
142 Oksitetrasiklin salep 3 % 1,646 - 11 1,646 18,106 11 1,646 18,106 10 1,646 16,460 1 1,646 1,646
143 Oksitetrasiklin Salep mata 13 1,680 21,840 5 1,680 8,400 18 1,680 30,240 7 1,680 11,760 11 1,680 18,480
145 Papaverin Tab 2,173 128 278,144 128 - 2,173 128 278,144 249 128 31,872 1924 128 246,272
146 Parasetamol sirup 120 mg/5 30 1,535 46,050 26 1,535 39,910 56 1,535 85,960 19 1,535 29,165 37 1,535 56,795
147 Parasetamol tablet 100 mg 1,004 35 34,648 35 - 1,004 35 34,648 188 35 6,488 816 35 28,160
148 Parasetamol tablet 500 mg 2,353 88 207,064 1,000 88 88,000 3,353 88 295,064 3,345 88 294,360 8 88 704
149 PB Anak - - - - - - -
150 PB Dewasa - - - - - - -
151 Pirantel pamoat tab 125 mg 156 318 49,608 318 - 156 318 49,608 60 318 19,080 96 318 30,528
152 Piridoksin hcl tab 10 mg 571 19 11,077 2,000 19 38,800 2,571 19 49,877 1,857 19 36,026 714 19 13,852
154 Poly Katether 18 9,344 - 9,344 - - 9,344 - - 9,344 - 9,344 -
155 Poly Katether 22 9,344 - 9,344 - - 9,344 - - 9,344 - 9,344 -
156 Pot Dahak 1,000 - 1,000 - - 1,000 - - 1,000 - 1,000 -
157 Prednison tablet 5 mg - 57 - 57 - - 57 - - 57 - 57 -
NO JENIS PERSEDIAAN
1 2 3 4 5 = (3X4) 6 7 8=(6X7) 9 10 11=(9X10) 12 13 14=(12X13) 15 16 17=(15X16)
160 Propiltiourasil tab 100 mg 5 297 1,485 297 - 5 297 1,485 - 297 - 5 297 1,485
161 Propranolol hcl tablet 10 mg 580 80 46,400 80 - 580 80 46,400 - 80 - 580 80 46,400
162 Ranitidin 150 mg - 132 - 100 132 13,200 100 132 13,200 100 132 13,200 132 -
164 Retinol 100.000 IU 286 - 286 - - 286 - - 286 - 286 -
165 Retinol 200.000 IU 505 - 505 - - 505 - - 505 - 505 -
167 Salbutamol tablet 2 mg 52 65 3,380 100 65 6,500 152 65 9,880 148 65 9,620 4 65 260
168 Salep 2 - 4 kombinasi 7 2,200 15,400 2,200 - 7 2,200 15,400 5 2,200 11,000 2 2,200 4,400
169 Salisil bedak 2 % 8 1,180 9,440 10 1,180 11,800 18 1,180 21,240 9 1,180 10,620 9 1,180 10,620
171 Semen fosfat serbuk dan cairan 102,855 - 102,855 - - 102,855 - - 102,855 - 102,855 -
173 Sianokobalamin tablet 1,018 15 15,270 2,000 15 30,000 3,018 15 45,270 1,235 15 18,525 1,783 15 26,745
174 Silk no.3/0 7,682 - 7,682 - - 7,682 - - 7,682 - 7,682 -
175 Simvastatin 480 - 300 480 144,000 300 480 144,000 300 480 144,000 480 -
178 Tetrasiklin hcl kapsul 250 m 2,900 162 469,800 162 - 2,900 162 469,800 100 162 16,200 2,800 162 453,600
180 Tiamin hcl ( Vit.b1) injeksi 189 - 189 - - 189 - - 189 - 189 -
181 Tiamin hcl ( Vit.b1) tablet 752 226 169,952 2,000 226 452,000 2,752 226 621,952 1,587 226 358,662 1,165 226 263,290
184 Urine bag 4,400 - 4,400 - - 4,400 - - 4,400 - 4,400 -
185 Vitamin b kompleks tablet 1,919 112 214,928 1,700 112 190,400 3,619 112 405,328 2,003 112 224,336 1,616 112 180,992
186 Wing Needle 23G 6,345 - 6,345 - - 6,345 - - 6,345 - 6,345 -
NO JENIS PERSEDIAAN
1 2 3 4 5 = (3X4) 6 7 8=(6X7) 9 10 11=(9X10) 12 13 14=(12X13) 15 16 17=(15X16)
187 Wing Needle 27G 6,047 - 6,047 - - 6,047 - - 6,047 - 6,047 -
188 Yodina Test 7,500 - 7,500 - - 7,500 - - 7,500 - 7,500 -
191 Zinc Tablet 20 mg 464 521 241,744 521 - 464 521 241,744 33 521 17,193 431 521 224,551
192 Amoropo Kaps 2,750 - 2,750 - - 2,750 - - 2,750 - 2,750 -
193 Amlodipin Kap 506 352 178,112 352 - 506 352 178,112 265 352 93,280 241 352 84,832
195 Pospargin Tab 200 388.64 77,728 200 388.64 77,728 400 388.64 155,456 100 388.64 38,864 300 388.64 116,592
197 Heksimer 2 mg Tablet 800 297 237,600 100 297 29,700 900 297 267,300 900 297 267,300 297 -
198 Pehacain Inj 3100 - 3100 - - 3100 - - 3100 - 3100 -
199 Cefotaxime 1 g 15 3,500 52,500 3,500 - 15 3,500 52,500 15 3,500 52,500 3,500 -
TOTAL 10,252,934 2,428,236 ### 3,724,760 8,962,287
Cempa, Maret 2015


NIP.19780405 200604 2 024
S.Si.,Apt.
PENERIMAAN TRIWULAN I PERSEDIAAN PENGELUARAAN

SALDO AWAL 2015 SISA STOK
NO JENIS PERSEDIAAN (JANUARI - MARET) (JANUARI - MARET) (JANUARI - MARET)
1 2 3 4 5 = (3X4) 6 7 8=(6X7) 9 10 11=(9X10) 12 13 14=(12X13) 15 16 17=(15X16)
1 Alat Suntik 1 ml 1,050 - 1,050 - - 1,050 - - 1,050 - 1,050 -
2 Abbocath No. 18 8,200 - 8,200 - - 8,200 - - 8,200 - 8,200 -
3 Abbocath No. 20 8,200 - 8,200 - - 8,200 - - 8,200 - 8,200 -
4 Abbocath No. 22 8,200 - 8,200 - - 8,200 - - 8,200 - 8,200 -
5 Abbocath No. 24 8,200 - 8,200 - - 8,200 - - 8,200 - 8,200 -
6 Alat Suntik 2,5 ml 1,100 - 1,100 - - 1,100 - - 1,100 - 1,100 -
7 Alat Suntik 5 ml 1,100 - 1,100 - - 1,100 - - 1,100 - 1,100 -
8 Albendazole 18 363 6,534 363 - 18 363 6,534 18 363 6,534 363 -
9 Alopurinol tablet 100 mg 1,000 90 90,000 300 90 27,000 1,300 90 117,000 515 90 46,350 785 90 70,650
11 Aminofilin tablet 200 mg 300 86 25,800 200 86 17,200 500 86 43,000 20 86 1,720 480 86 41,280
12 Amitriptilin hcl tab salut 25 80 123 9,840 100 123 12,300 180 123 22,140 140 123 17,220 40 123 4,920
13 Amoksisilin Kapsul 250 mg 320 220 70,400 480 220 105,600 800 220 176,000 800 220 176,000 220 -
14 Amoksisilin Kapsul 500 mg 400 292 116,800 5400 292 1,576,800 5,800 292 1,693,600 5,600 292 1,635,200 200 292 58,400
15 Amoksisilin sirup kering 39 2,560 99,840 43 2,560 110,080 82 2,560 209,920 82 2,560 209,920 2,560 -
16 Ampisilin Inj 5,610 - 5,610 - - 5,610 - - 5,610 - 5,610 -
18 Antalgin Tab 500 mg 142 - 142 - - 142 - - 142 - 142 -
19 Antasida doen tablet kombina 3,400 78 265,200 2800 78 218,400 6,200 78 483,600 3,747 78 292,266 2453 78 191,334
21 Antihemoroid doen kombinas 40 2,200 88,000 10 2,200 22,000 50 2,200 110,000 9 2,200 19,800 41 2,200 90,200
1 2 3 4 5 = (3X4) 6 7 8=(6X7) 9 10 11=(9X10) 12 13 14=(12X13) 15 16 17=(15X16)
28 Asam askorbat ( Vit c ) tab 5 4,000 105 420,000 3000 105 315,000 7,000 105 735,000 4,183 105 439,215 2817 105 295,785
29 Asam Mefenamat tablet 2,200 122 268,400 1650 122 201,300 3,850 122 469,700 2,210 122 269,620 1640 122 200,080
31 Asetosal tablet 100 mg 700 127 88,900 200 127 25,400 900 127 114,300 549 127 69,723 351 127 44,577
32 Asklovir 400 mg 600 362 217,200 500 362 181,000 1,100 362 398,200 - 362 - 1100 362 398,200
35 Betahistin 1,016 - 1,016 - - 1,016 - - 1,016 - 1,016 -
36 Betametason krim 0,1 % 17 1,596 27,132 30 1,596 47,880 47 1,596 75,012 16 1,596 25,536 31 1,596 49,476
37 Captopril 25 mg 100 - 2200 100 220,000 2,200 100 220,000 1,959 100 195,900 241 100 24,100
39 Ciprofloksasin 500 mg 400 265 106,000 180 265 47,700 580 265 153,700 470 265 124,550 110 265 29,150
41 Deksametason tablet 0,5 mg 2,900 74 214,600 5100 74 377,400 8,000 74 592,000 7,981 74 590,594 19 74 1,406
42 Dekstrometorfan sirup 10 m 30 1,467 44,010 1,467 - 30 1,467 44,010 - 1,467 - 30 1,467 44,010
44 Devitalisasi pasta ( non Arsen ) 429,000 - 429,000 - - 429,000 - - 429,000 - 429,000 -
45 Diazepam tablet 2 mg 39 - 4000 39 156,000 4,000 39 156,000 3,899 39 152,061 101 39 3,939
48 Digoksin tablet 0,25 mg 300 103 30,900 300 103 30,900 600 103 61,800 5 103 515 595 103 61,285
49 Doksisiklin 700 278 194,600 100 278 27,800 800 278 222,400 - 278 - 800 278 222,400
50 Efedrin tablet 25 mg 200 56 11,268 2000 56 112,680 2,200 56 123,948 714 56 40,227 1486 56 83,721
54 Etanol 70% 18,698 - 18,698 - - 18,698 - - 18,698 - 18,698 -
56 Eugenol cairan 18,333 - 18,333 - - 18,333 - - 18,333 - 18,333 -
58 Fenobarbital tablet 30 mg 74 - 3000 74 222,000 3,000 74 222,000 1,273 74 94,202 1727 74 127,798
1 2 3 4 5 = (3X4) 6 7 8=(6X7) 9 10 11=(9X10) 12 13 14=(12X13) 15 16 17=(15X16)
59 Fenol gliserol tetes telinga 10% 1,109 - 15 1,109 16,632 15 1,109 16,632 12 1,109 13,306 3 1,109 3,326
60 Ferro Sulfat 300 mg 3,500 24 84,000 1000 24 24,000 4,500 24 108,000 1,970 24 47,280 2530 24 60,720
62 Fitomenadion ( vit k 1) tab 1 300 690 207,000 300 690 207,000 600 690 414,000 105 690 72,450 495 690 341,550
64 Garam oralit untuk 200 ml 500 317 158,500 100 317 31,700 600 317 190,200 202 317 64,034 398 317 126,166
65 Gentamisin Inj 3,739 - 3,739 - - 3,739 - - 3,739 - 3,739 -
67 Glass Ionomer cement (gc ix ) 435,500 - 435,500 - - 435,500 - - 435,500 - 435,500 -
69 Gliseril guayakolat tab 100 m 4,000 4 14,760 2000 4 7,380 6,000 4 22,140 3,299 4 12,173 2701 4 9,967
71 Glukosa 5 % 5,720 - 5,720 - - 5,720 - - 5,720 - 5,720 -
72 Griseofulvin tab 125 mg 4,300 241 ### 400 241 96,400 4,700 241 1,132,700 170 241 40,970 4530 241 1,091,730
73 Haloperidol tablet 1,5 mg 300 76 22,800 800 76 60,800 1,100 76 83,600 305 76 23,180 795 76 60,420
74 Handshoen No. 7 4,675 - 4,675 - - 4,675 - - 4,675 - 4,675 -
75 Hidroklorotiazid (hct) tab 25 6,000 40 240,000 1000 40 40,000 7,000 40 280,000 1,000 40 40,000 6000 40 240,000
76 Hidrokotrizon krim 2,5 % 2,938 - 40 2,938 117,520 40 2,938 117,520 38 2,938 111,644 2 2,938 5,876
77 Ibuprofen 200 mg 300 96 28,863 1700 96 163,557 2,000 96 192,420 1,978 96 190,303 22 96 2,117
78 Ibuprofen 400 mg 157 - 1300 157 204,100 1,300 157 204,100 1,296 157 203,472 4 157 628
82 Isosorbit dinitrat tab 5 mg 98 - 400 98 39,200 400 98 39,200 27 98 2,646 373 98 36,554
83 Kalsium hidroksida pasta 266,200 - 266,200 - - 266,200 - - 266,200 - 266,200 -
84 Kalsium laktat ( kalk ) tab 5 3,650 57 208,780 1000 57 57,200 4,650 57 265,980 810 57 46,332 3840 57 219,648
86 Karbamazepin tab 200 mg 269 - 200 269 53,800 200 269 53,800 - 269 - 200 269 53,800
87 Kasa 4 m x 15 cm 3,708 - 3,708 - - 3,708 - - 3,708 - 3,708 -
88 Kasa 4 m x 3 cm 806 - 806 - - 806 - - 806 - 806 -
89 Kasa Gulung 40 y x 80 cm 60,720 - 60,720 - - 60,720 - - 60,720 - 60,720 -
1 2 3 4 5 = (3X4) 6 7 8=(6X7) 9 10 11=(9X10) 12 13 14=(12X13) 15 16 17=(15X16)
91 Kasa steril uk. 18 x 22 297 - 297 - - 297 - - 297 - 297 -
92 Ketokenazole Tab 150 320 48,000 200 320 64,000 350 320 112,000 260 320 83,200 90 320 28,800
93 Kina Tab ( Quinine ) 737 - 737 - - 737 - - 737 - 737 -
94 Kloramfenikol kapsul 250 mg 250 - 750 250 187,500 750 250 187,500 341 250 85,250 409 250 102,250
95 Kloramfenikol Salep mata 1 84 1,680 141,120 8 1,680 13,440 92 1,680 154,560 2 1,680 3,360 90 1,680 151,200
96 Kloramfenikol Tetes Mata 5 1,759 8,795 20 1,759 35,180 25 1,759 43,975 6 1,759 10,554 19 1,759 33,421
97 Klorfeniramin ( ctm ) tab 4 m 9,200 23 211,600 4000 23 92,000 13,200 23 303,600 7,729 23 177,767 5471 23 125,833
98 Klorfenol ( CHKM) 50,500 - 50,500 - - 50,500 - - 50,500 - 50,500 -
100 Klorpromazin hcl tab salut 1 400 165 66,000 1200 165 198,000 1,600 165 264,000 550 165 90,750 1,050 165 173,250
102 Kodein tablet 10 mg 550 - 550 550 302,500 550 550 302,500 498 550 273,900 52 550 28,600
105 Kotrimoksazol pediatrik table 600 79 47,400 79 - 600 79 47,400 - 79 - 600 79 47,400
107 Kotrmoksazol dewasa tablet 4,200 152 638,400 1200 152 182,400 5,400 152 820,800 790 152 120,080 4610 152 700,720
109 Larutan Anisol 910,000 - 910,000 - - 910,000 - - 910,000 - 910,000 -
112 Larutan Ziehl Nielsen ( TB ) 154,038 - 154,038 - - 154,038 - - 154,038 - 154,038 -
114 Lisol 49,861 - 49,861 - - 49,861 - - 49,861 - 49,861 -
115 Masker 1,237 - 1,237 - - 1,237 - - 1,237 - 1,237 -
116 MB Anak - - - - - - -
117 MB Dewasa - - - - - - -
118 Metformin 500 mg 1,000 119 118,500 119 - 1,000 119 118,500 190 119 22,515 810 119 95,985
120 Metilergometrin tab salut 0, 540 121 65,340 50 121 6,050 590 121 71,390 590 121 71,390 - 121 -
1 2 3 4 5 = (3X4) 6 7 8=(6X7) 9 10 11=(9X10) 12 13 14=(12X13) 15 16 17=(15X16)
121 Metoklopramida Tab 110 - 100 110 11,000 100 110 11,000 100 110 11,000 110 -
122 Metronidazol tablet 500 mg 200 169 33,800 169 - 200 169 33,800 200 169 33,800 169 -
123 MgSO4 Inj 20% - - - - - - -
124 MgSO4 Inj 40% 2,629 - 2,629 - - 2,629 - - 2,629 - 2,629 -
125 Mineral Mix 3,300 - 3,300 - - 3,300 - - 3,300 - 3,300 -
126 Mummifying pasta 193,600 - 193,600 - - 193,600 - - 193,600 - 193,600 -
127 Natrium Diklofenak 100 193 19,300 193 - 100 193 19,300 100 193 19,300 193 -
130 Nifedipin 10 mg 240 2,999 719,760 200 2,999 599,800 440 2,999 1,319,560 20 2,999 59,980 420 2,999 1,259,580
131 Nistatin 500.000 iu/g tab 528 - 528 - - 528 - - 528 - 528 -
132 Oil Emersi
133 OAT ( FDC ) Kategori Anak 236,500 - 236,500 - - 236,500 - - 236,500 - 236,500 -
134 OAT ( FDC ) Kategori I 395,900 - 395,900 - - 395,900 - - 395,900 - 395,900 -
136 OAT ( Kombipak) Kat. I 317,015 - 317,015 - - 317,015 - - 317,015 - 317,015 -
139 Obat batuk hitam ( OBH ) cai 20 1,340 26,800 8 1,340 10,720 28 1,340 37,520 14 1,340 18,760 14 1,340 18,760
140 Objek Glass 14,994 - 14,994 - - 14,994 - - 14,994 - 14,994 -
142 Oksitetrasiklin salep 3 % 1,646 - 11 1,646 18,106 11 1,646 18,106 10 1,646 16,460 1 1,646 1,646
143 Oksitetrasiklin Salep mata 1,680 - 25 1,680 42,000 25 1,680 42,000 14 1,680 23,520 11 1,680 18,480
145 Papaverin Tab 1,500 128 192,000 1000 128 128,000 2,500 128 320,000 576 128 73,728 1924 128 246,272
146 Parasetamol sirup 120 mg/5 m 15 1,535 23,025 58 1,535 89,030 73 1,535 112,055 36 1,535 55,260 37 1,535 56,795
147 Parasetamol tablet 100 mg 900 35 31,059 200 35 6,902 1,100 35 37,961 284 35 9,801 816 35 28,160
148 Parasetamol tablet 500 mg 3,000 88 264,000 6670 88 586,960 9,670 88 850,960 9,662 88 850,256 8 88 704
149 PB Anak - - - - - - -
150 PB Dewasa - - - - - - -
151 Pirantel pamoat tab 125 mg 90 318 28,620 100 318 31,800 190 318 60,420 94 318 29,892 96 318 30,528
1 2 3 4 5 = (3X4) 6 7 8=(6X7) 9 10 11=(9X10) 12 13 14=(12X13) 15 16 17=(15X16)
152 Piridoksin hcl tab 10 mg 19 - 6000 19 116,400 6,000 19 116,400 5,286 19 102,548 714 19 13,852
154 Poly Katether 18 9,344 - 9,344 - - 9,344 - - 9,344 - 9,344 -
155 Poly Katether 22 9,344 - 9,344 - - 9,344 - - 9,344 - 9,344 -
156 Pot Dahak 1,000 - 1,000 - - 1,000 - - 1,000 - 1,000 -
157 Prednison tablet 5 mg 57 - 200 57 11,400 200 57 11,400 200 57 11,400 57 -
161 Propranolol hcl tablet 10 mg 600 80 48,000 80 - 600 80 48,000 20 80 1,600 580 80 46,400
162 p 132 - 200 132 26,400 200 132 26,400 200 132 26,400 132 -
164 Retinol 100.000 IU 286 - 286 - - 286 - - 286 - 286 -
165 Retinol 200.000 IU 505 - 505 - - 505 - - 505 - 505 -
167 Salbutamol tablet 2 mg 65 - 500 65 32,500 500 65 32,500 496 65 32,240 4 65 260
168 Salep 2 - 4 kombinasi 15 2,200 33,000 2,200 - 15 2,200 33,000 13 2,200 28,600 2 2,200 4,400
169 Salisil bedak 2 % 3 1,180 3,540 32 1,180 37,760 35 1,180 41,300 26 1,180 30,680 9 1,180 10,620
171 Semen fosfat serbuk dan cairan 102,855 - 102,855 - - 102,855 - - 102,855 - 102,855 -
173 Sianokobalamin tablet 15 - 6000 15 90,000 6,000 15 90,000 4,217 15 63,255 1,783 15 26,745
174 Silk no.3/0 7,682 - 7,682 - - 7,682 - - 7,682 - 7,682 -
175 Simvastatin 480 - 600 480 288,000 600 480 288,000 600 480 288,000 480 -
178 Tetrasiklin hcl kapsul 250 mg 2,500 162 405,000 500 162 81,000 3,000 162 486,000 200 162 32,400 2,800 162 453,600
180 Tiamin hcl ( Vit.b1) injeksi 189 - 20 189 3,780 20 189 3,780 20 189 3,780 189 -
181 Tiamin hcl ( Vit.b1) tablet 226 - 6000 226 1,356,000 6,000 226 1,356,000 4,835 226 1,092,710 1,165 226 263,290
1 2 3 4 5 = (3X4) 6 7 8=(6X7) 9 10 11=(9X10) 12 13 14=(12X13) 15 16 17=(15X16)
184 Urine bag 4,400 - 4,400 - - 4,400 - - 4,400 - 4,400 -
185 Vitamin b kompleks tablet 1,100 112 123,200 5700 112 638,400 6,800 112 761,600 5,184 112 580,608 1,616 112 180,992
186 Wing Needle 23G 6,345 - 6,345 - - 6,345 - - 6,345 - 6,345 -
187 Wing Needle 27G 6,047 - 6,047 - - 6,047 - - 6,047 - 6,047 -
188 Yodina Test 7,500 - 7,500 - - 7,500 - - 7,500 - 7,500 -
191 Zinc Tablet 20 mg 300 521 156,300 200 521 104,200 500 521 260,500 69 521 35,949 431 521 224,551
192 Amoropo Kaps 2,750 - 2,750 - - 2,750 - - 2,750 - 2,750 -
193 Amlodipin Kap 700 352 246,400 300 352 105,600 1,000 352 352,000 759 352 267,168 241 352 84,832
195 Pospargin Tab 100 388.64 38,864 400 388.64 155,456 500 388.64 194,320 200 388.64 77,728 300 388.64 116,592
197 Heksimer 2 mg Tablet 297 - 900 297 267,300 900 297 267,300 900 297 267,300 297 -
198 Pehacain Inj 3100 - 3100 - - 3100 - - 3100 - 3100 -
199 Cefotaxime 1 g 3,500 - 15 3,500 52,500 15 3,500 52,500 15 3,500 52,500 3,500 -
TOTAL ### 11,393,487 19,660,751 10,698,464 8,962,287
Cempa, Maret 2015


NIP.19780405 200604 2 024
n,S.Si.,Apt.

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LAPORAN PERSEDIAAN OBAT

KAMAR OBAT PUSKESMAS CEMPA

SALDO AWAL 2015 PENERIMAAN JANUARI PERSEDIAAN PENGELUARAAN SISA STOK

TOTAL 8,267,264 7,148,067 ### 3,524,221 ###

Marwah. C Hj.Rezki Amaliyah Rahman,S.Si.,Apt.

SALDO AWAL PENERIMAAN FEBRUARI PERSEDIAAN PENGELUARAAN SISA STOK

TOTAL 11,891,110 1,854,884 13,745,994 3,493,060 10,252,934

Cempa, Februari 2015

Hj.Rezki Amaliyah Rahman,S.Si.,Apt.

SALDO AWAL PENERIMAAN MARET PERSEDIAAN PENGELUARAAN SISA STOK

TOTAL 10,252,934 2,428,236 ### 3,724,760 8,962,287

Cempa, Maret 2015

Marwah. C Hj.Rezki Amaliyah Rahman,S.Si.,Apt.

PENERIMAAN TRIWULAN I PERSEDIAAN PENGELUARAAN

TOTAL ### 11,393,487 19,660,751 10,698,464 8,962,287

Cempa, Maret 2015

Marwah. C Hj.Rezki Amaliyah Rahman,S.Si.,Apt.

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