Rekapan Blnan APOTEK TW 2

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 -
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
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 -
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
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
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
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
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 -
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
SALDO AWAL PENERIMAAN APRIL PERSEDIAAN PENGELUARAAN SISA STOK

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)
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 363 - 363 - - 363 - 363 - - 363 -
10 Aminofilin injeksi 4,200 - 4,200 - - 4,200 - 4,200 - - 4,200 -
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 40 123 4,920 123 - 40 123 4,920 20 123 2,460 20 123 2,460
13 Amoksisilin Kapsul 250 mg 220 - 360 220 79,200 360 220 79,200 86 220 18,920 274 220 60,280
14 Amoksisilin Kapsul 500 mg 200 292 58,400 2,400 292 700,800 2,600 292 759,200 2,600 292 759,200 - 292 -
15 Amoksisilin sirup kering 2,560 - 30 2,560 76,800 30 2,560 76,800 30 2,560 76,800 - 2,560 -
16 Ampisilin Inj 5,610 - 5,610 - - 5,610 - 5,610 - - 5,610 -
17 Ampisilin Kaplet 500 mg 419 - 419 - - 419 - 419 - - 419 -
18 Antalgin Tab 500 mg 142 - 142 - - 142 - 142 - - 142 -
19 Antasida doen tablet kombina 2453 78 191,334 500 78 39,000 2,953 78 230,334 1,463 78 114,114 1,490 78 116,220
20 Antifungi doen kombinasi 2,096 - 2,096 - - 2,096 - 2,096 - - 2,096 -
22 Antimigrain doen kombinasi 149 - 149 - - 149 - 149 - - 149 -
23 Aqua proinjeksi steril 5,800 - 5,800 - - 5,800 - 5,800 - - 5,800 -
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 2817 105 295,785 2,000 105 210,000 4,817 105 505,785 1,184 105 124,320 3,633 105 381,465
29 Asam Mefenamat tablet 1640 122 200,080 1,500 122 183,000 3,140 122 383,080 820 122 100,040 2,320 122 283,040
30 Asam Traneksamat Inj - -
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 -
37 Captopril 25 mg 241 100 24,100 1,000 100 100,000 1,241 100 124,100 720 100 72,000 521 100 52,100
38 Catgut/benang bedah no.2/0 - 3/0 26,500 - 26,500 - - 26,500 - 26,500 - - 26,500 -
40 Deksametason injeksi 5 mg/ml 1,738 - 1,738 - - 1,738 - 1,738 - - 1,738 -
41 Deksametason tablet 0,5 mg 19 74 1,406 3,200 74 236,800 3,219 74 238,206 2,300 74 170,200 919 74 68,006
42 Dekstrometorfan sirup 10 m 30 1,467 44,010 1,467 - 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 ) 429,000 - 429,000 - - 429,000 - 429,000 - - 429,000 -
45 Diazepam tablet 2 mg 101 39 3,939 1,000 39 39,000 1,101 39 42,939 1,101 39 42,939 - 39 -
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 595 103 61,285 103 - 595 103 61,285 10 103 1,030 585 103 60,255
49 Doksisiklin 800 278 222,400 278 - 800 278 222,400 278 - 800 278 222,400
51 Ekstrak belladon tablet 10 mg 42 - 42 - - 42 - 42 - - 42 -
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)
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 -
58 Fenobarbital tablet 30 mg 1727 74 127,798 500 74 37,000 2,227 74 164,798 402 74 29,748 1,825 74 135,050
60 Ferro Sulfat 300 mg 2530 24 60,720 24 - 2,530 24 60,720 890 24 21,360 1,640 24 39,360
61 Fitomenadion ( vit k 1) injeksi 3,754 - 3,754 - - 3,754 - 3,754 - - 3,754 -
63 Furosemida tablet 40 mg 210 84 17,640 100 84 8,400 310 84 26,040 10 84 840 300 84 25,200
65 Gentamisin Inj 3,739 - 3,739 - - 3,739 - 3,739 - - 3,739 -
66 Gentian violet larutan 1 % 985 - 985 - - 985 - 985 - - 985 -
67 Glass Ionomer cement (gc ix ) 435,500 - 435,500 - - 435,500 - 435,500 - - 435,500 -
69 Gliseril guayakolat tab 100 2701 4 9,967 1,000 4 3,690 3,701 4 13,657 762 4 2,812 2,939 4 10,845
71 Glukosa 5 % 5,720 - 5,720 - - 5,720 - 5,720 - - 5,720 -
73 Haloperidol tablet 1,5 mg 795 76 60,420 76 - 795 76 60,420 85 76 6,460 710 76 53,960
74 Handshoen No. 7 4,675 - 4,675 - - 4,675 - 4,675 - - 4,675 -
75 Hidroklorotiazid (hct) tab 2 6000 40 240,000 40 - 6,000 40 240,000 10 40 400 5,990 40 239,600
76 Hidrokotrizon krim 2,5 % 2 2,938 5,876 2,938 - 2 2,938 5,876 2 2,938 5,876 - 2,938 -
77 Ibuprofen 200 mg 22 96 2,117 700 96 67,347 722 96 69,464 677 96 65,134 45 96 4,329
78 Ibuprofen 400 mg 4 157 628 500 157 78,500 504 157 79,128 470 157 73,790 34 157 5,338
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)
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 -
83 Kalsium hidroksida pasta 266,200 - 266,200 - - 266,200 - 266,200 - - 266,200 -
84 Kalsium laktat ( kalk ) tab 3840 57 219,648 57 - 3,840 57 219,648 435 57 24,882 3,405 57 194,766
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 -
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 -
93 Kina Tab ( Quinine ) 737 - 737 - - 737 - 737 - - 737 -
94 Kloramfenikol kapsul 250 m 409 250 102,250 250 - 409 250 102,250 60 250 15,000 349 250 87,250
95 Kloramfenikol Salep mata 1 90 1,680 151,200 1,680 - 90 1,680 151,200 2 1,680 3,360 88 1,680 147,840
97 Klorfeniramin ( ctm ) tab 4 5471 23 125,833 23 - 5,471 23 125,833 2,213 23 50,899 3,258 23 74,934
98 Klorfenol ( CHKM) 50,500 - 50,500 - - 50,500 - 50,500 - - 50,500 -
99 Kloroquin fosfat tablet 250 mg - -
100 Klorpromazin hcl tab salut 1,050 165 173,250 165 - 1,050 165 173,250 100 165 16,500 950 165 156,750
101 Klorpromazin hcl tab salut 25 mg 40 - 40 - - 40 - 40 - - 40 -
102 Kodein tablet 10 mg 52 550 28,600 200 550 110,000 252 550 138,600 230 550 126,500 22 550 12,100
105 Kotrimoksazol pediatrik tabl 600 79 47,400 79 - 600 79 47,400 65 79 5,135 535 79 42,265
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 4610 152 700,720 152 - 4,610 152 700,720 255 152 38,760 4,355 152 661,960
108 Kuinin dihidroklorida inj. 25%-2ml 6,820 - 6,820 - - 6,820 - 6,820 - - 6,820 -
109 Larutan Anisol 910,000 - 910,000 - - 910,000 - 910,000 - - 910,000 -
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 ) 154,038 - 154,038 - - 154,038 - 154,038 - - 154,038 -
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 - - - - - - -
118 Metformin 500 mg 810 119 95,985 119 - 810 119 95,985 40 119 4,740 770 119 91,245
119 Metilergometrin inj 0,200 mg-1ml 1,503 - 1,503 - - 1,503 - 1,503 - - 1,503 -
120 Metilergometrin tab salut 0, - 121 - 121 - - 121 - 121 - - 121 -
121 Metoklopramida Tab 110 - 100 110 11,000 100 110 11,000 60 110 6,600 40 110 4,400
122 Metronidazol tablet 500 mg 169 - 200 169 33,800 200 169 33,800 110 169 18,590 90 169 15,210
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 - 200 193 38,600 200 193 38,600 30 193 5,790 170 193 32,810
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 420 2,999 1,259,580 2,999 - 420 2,999 1,259,580 20 2,999 59,980 400 2,999 1,199,600
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 -
135 OAT ( FDC ) Kategori II ### - ### - - ### - ### - - ### -
136 OAT ( Kombipak) Kat. I 317,015 - 317,015 - - 317,015 - 317,015 - - 317,015 -
137 OAT (Kombipak) Kategori anak - -
138 OAT (Kombipak) Kategori Sisipan - -
139 Obat batuk hitam ( OBH ) ca 14 1,340 18,760 16 1,340 21,440 30 1,340 40,200 7 1,340 9,380 23 1,340 30,820
140 Objek Glass 14,994 - 14,994 - - 14,994 - 14,994 - - 14,994 -
141 Oksitetrasiklin hcl injeksi 341 - 341 - - 341 - 341 - - 341 -
142 Oksitetrasiklin salep 3 % 1 1,646 1,646 10 1,646 16,460 11 1,646 18,106 7 1,646 11,522 4 1,646 6,584
144 Oksitosin Injeksi 10 iu/ml - 1 ml 1,963 - 1,963 - - 1,963 - 1,963 - - 1,963 -
145 Papaverin Tab 1924 128 246,272 128 - 1,924 128 246,272 270 128 34,560 1,654 128 211,712
147 Parasetamol tablet 100 mg 816 35 28,160 35 - 816 35 28,160 30 35 1,035 786 35 27,125
148 Parasetamol tablet 500 mg 8 88 704 3,000 88 264,000 3,008 88 264,704 3,008 88 264,704 - 88 -
149 PB Anak - - - - - - -
150 PB Dewasa - - - - - - -
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 -
159 Prokain penisilin injeksi 2 6,618 13,236 6,618 - 2 6,618 13,236 6,618 - 2 6,618 13,236
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)
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 - 300 132 39,600 300 132 39,600 280 132 36,960 20 132 2,640
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 - 5,720 - - 5,720 - 5,720 - - 5,720 -
167 Salbutamol tablet 2 mg 4 65 260 400 65 26,000 404 65 26,260 140 65 9,100 264 65 17,160
168 Salep 2 - 4 kombinasi 2 2,200 4,400 2,200 - 2 2,200 4,400 2,200 - 2 2,200 4,400
169 Salisil bedak 2 % 9 1,180 10,620 10 1,180 11,800 19 1,180 22,420 7 1,180 8,260 12 1,180 14,160
170 Salisil spiritus 10 % 1,313 - 1,313 - - 1,313 - 1,313 - - 1,313 -
171 Semen fosfat serbuk dan cairan 102,855 - 102,855 - - 102,855 - 102,855 - - 102,855 -
172 Sianokobalamin ( Vit.b 12 ) injeksi 1,067 - 1,067 - - 1,067 - 1,067 - - 1,067 -
173 Sianokobalamin tablet 1,783 15 26,745 2,000 15 30,000 3,783 15 56,745 1,165 15 17,475 2,618 15 39,270
174 Silk no.3/0 7,682 - 7,682 - - 7,682 - 7,682 - - 7,682 -
175 Simvastatin 480 - 200 480 96,000 200 480 96,000 155 480 74,400 45 480 21,600
176 Tablet tambah darah kombinasi 2,200 - 2,200 - - 2,200 - 2,200 - - 2,200 -
177 Temporary stopping fletcher - -
178 Tetrasiklin hcl kapsul 250 m 2,800 162 453,600 1,000 162 162,000 3,800 162 615,600 120 162 19,440 3,680 162 596,160
179 Tetrasiklin hcl kapsul 500 mg 226 - 226 - - 226 - 226 - - 226 -
180 Tiamin hcl ( Vit.b1) injeksi 189 - 189 - - 189 - 189 - - 189 -
181 Tiamin hcl ( Vit.b1) tablet 1,165 226 263,290 2,000 226 452,000 3,165 226 715,290 1,398 226 315,948 1,767 226 399,342
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 1,616 112 180,992 1,500 112 168,000 3,116 112 348,992 3,116 112 348,992 - 112 -
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 -
189 Yodium povidon lar.10% 30 ml 2,200 - 2,200 - - 2,200 - 2,200 - - 2,200 -
191 Zinc Tablet 20 mg 431 521 224,551 521 - 431 521 224,551 25 521 13,025 406 521 211,526
192 Amoropo Kaps 2,750 - 2,750 - - 2,750 - 2,750 - - 2,750 -
193 Amlodipin Kap 241 352 84,832 60 352 21,120 301 352 105,952 301 352 105,952 - 352 -
194 Ketokenazole Krim 2,697 - 2,697 - - 2,697 - 2,697 - - 2,697 -
195 Pospargin Tab 300 388.64 116,592 388.64 - 300 388.64 116,592 388.64 - 300 388.64 116,592
196 Stesolid Injeksi ### - ### - - ### - ### - - ### -
197 Heksimer 2 mg Tablet 297 - 200 297 59,400 200 297 59,400 85 297 25,245 115 297 34,155
198 Pehacain Inj 3100 - 3100 - - 3100 - 3100 - - 3100 -
199 Cefotaxime 1 g 3,500 - 3,500 - - 3,500 - - 3,500 - 3,500 -
TOTAL 8,962,286.71 ### ### ### ###
Cempa, April 2015


NIP.19780405 200604 2 024
n,S.Si.,Apt.
SALDO AWAL PENERIMAAN MEI PERSEDIAAN PENGELUARAAN SISA STOK

NO JENIS PERSEDIAAN
BANYAK
HARGA 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 363 - 363 - - 363 - 363 - - 363 -
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 20 123 2,460 123 - 20 123 2,460 20 123 2,460 - 123 -
13 Amoksisilin Kapsul 250 mg 274 220 60,280 480 220 105,600 754 220 165,880 451 220 99,220 303 220 66,660
14 Amoksisilin Kapsul 500 mg 292 - 2,200 292 642,400 2,200 292 642,400 2,191 292 639,772 9 292 2,628
15 Amoksisilin sirup kering 2,560 - 30 2,560 76,800 30 2,560 76,800 14 2,560 35,840 16 2,560 40,960
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 1,490 78 116,220 2000 78 156,000 3,490 78 272,220 1,797 78 140,166 1,693 78 132,054
21 Antihemoroid doen kombinas 38 2,200 83,600 2,200 - 38 2,200 83,600 2,200 - 38 2,200 83,600
22 Antimigrain doen kombinasi 149 - 149 - - 149 - 149 - - 149 -
23 Aqua proinjeksi steril 5,800 - 5,800 - - 5,800 - 5,800 - - 5,800 -
NO JENIS PERSEDIAAN
BANYAK
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 3,633 105 381,465 2000 105 210,000 5,633 105 591,465 761 105 79,905 4,872 105 511,560
29 Asam Mefenamat tablet 2,320 122 283,040 500 122 61,000 2,820 122 344,040 922 122 112,484 1,898 122 231,556
32 Asklovir 400 mg 1,100 362 398,200 362 - 1,100 362 398,200 362 - 1,100 362 398,200
35 Betahistin 1,016 - 1,016 - - 1,016 - 1,016 - - 1,016 -
37 Captopril 25 mg 521 100 52,100 100 - 521 100 52,100 521 100 52,100 - 100 -
38 Catgut/benang bedah no.2/0 - 3/0 26,500 - 26,500 - - 26,500 - 26,500 - - 26,500 -
40 Deksametason injeksi 5 mg/ml 1,738 - 1,738 - - 1,738 - 1,738 - - 1,738 -
41 Deksametason tablet 0,5 mg 919 74 68,006 2500 74 185,000 3,419 74 253,006 2,506 74 185,444 913 74 67,562
45 Diazepam tablet 2 mg 39 - 1135 39 44,265 1,135 39 44,265 1,135 39 44,265 - 39 -
47 Difenhidramin inj 10 mg/ml-1ml 1,156 - 1,156 - - 1,156 - 1,156 - - 1,156 -
48 Digoksin tablet 0,25 mg 585 103 60,255 103 - 585 103 60,255 103 - 585 103 60,255
49 Doksisiklin 800 278 222,400 278 - 800 278 222,400 278 - 800 278 222,400
50 Efedrin tablet 25 mg 1,417 56 79,834 56 - 1,417 56 79,834 104 56 5,859 1,313 56 73,974
NO JENIS PERSEDIAAN
BANYAK
1 2 3 4 5 = (3X4) 6 7 8=(6X7) 9 10 11=(9X10) 12 13 14=(12X13) 15 16 17=(15X16)
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 -
58 Fenobarbital tablet 30 mg 1,825 74 135,050 74 - 1,825 74 135,050 500 74 37,000 1,325 74 98,050
59 Fenol gliserol tetes telinga 3 1,109 3,326 1,109 - 3 1,109 3,326 1 1,109 1,109 2 1,109 2,218
60 Ferro Sulfat 300 mg 1,640 24 39,360 24 - 1,640 24 39,360 456 24 10,944 1,184 24 28,416
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 2,939 4 10,845 1000 4 3,690 3,939 4 14,535 762 4 2,812 3,177 4 11,723
71 Glukosa 5 % 5,720 - 5,720 - - 5,720 - 5,720 - - 5,720 -
72 Griseofulvin tab 125 mg 4,420 241 1,065,220 241 - 4,420 241 1,065,220 70 241 16,870 4,350 241 1,048,350
73 Haloperidol tablet 1,5 mg 710 76 53,960 76 - 710 76 53,960 160 76 12,160 550 76 41,800
74 Handshoen No. 7 4,675 - 4,675 - - 4,675 - 4,675 - - 4,675 -
75 Hidroklorotiazid (hct) tab 2 5,990 40 239,600 40 - 5,990 40 239,600 40 - 5,990 40 239,600
76 Hidrokotrizon krim 2,5 % 2,938 - 10 2,938 29,380 10 2,938 29,380 3 2,938 8,814 7 2,938 20,566
77 Ibuprofen 200 mg 45 96 4,329 600 96 57,726 645 96 62,055 440 96 42,332 205 96 19,723
78 Ibuprofen 400 mg 34 157 5,338 700 157 109,900 734 157 115,238 506 157 79,442 228 157 35,796
NO JENIS PERSEDIAAN
BANYAK
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 368 98 36,064 98 - 368 98 36,064 98 - 368 98 36,064
84 Kalsium laktat ( kalk ) tab 3,405 57 194,766 57 - 3,405 57 194,766 230 57 13,156 3,175 57 181,610
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 -
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 -
93 Kina Tab ( Quinine ) 737 - 737 - - 737 - 737 - - 737 -
97 Klorfeniramin ( ctm ) tab 4 3,258 23 74,934 1000 23 23,000 4,258 23 97,934 1,741 23 40,043 2,517 23 57,891
98 Klorfenol ( CHKM) 50,500 - 50,500 - - 50,500 - 50,500 - - 50,500 -
100 Klorpromazin hcl tab salut 950 165 156,750 165 - 950 165 156,750 330 165 54,450 620 165 102,300
102 Kodein tablet 10 mg 22 550 12,100 200 550 110,000 222 550 122,100 121 550 66,550 101 550 55,550
105 Kotrimoksazol pediatrik tabl 535 79 42,265 79 - 535 79 42,265 10 79 790 525 79 41,475
NO JENIS PERSEDIAAN
BANYAK
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 4,355 152 661,960 152 - 4,355 152 661,960 320 152 48,640 4,035 152 613,320
109 Larutan Anisol 910,000 - 910,000 - - 910,000 - 910,000 - - 910,000 -
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 770 119 91,245 119 - 770 119 91,245 80 119 9,480 690 119 81,765
120 Metilergometrin tab salut 0,125 mg 121 - 121 - - 121 - 121 - - 121 -
121 Metoklopramida Tab 40 110 4,400 150 110 16,500 190 110 20,900 71 110 7,810 119 110 13,090
122 Metronidazol tablet 500 mg 90 169 15,210 169 - 90 169 15,210 90 169 15,210 - 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 -
127 Natrium Diklofenak 170 193 32,810 350 193 67,550 520 193 100,360 225 193 43,425 295 193 56,935
130 Nifedipin 10 mg 400 2,999 1,199,600 2,999 - 400 2,999 1,199,600 80 2,999 239,920 320 2,999 959,680
131 Nistatin 500.000 iu/g tab 528 - 528 - - 528 - 528 - - 528 -
132 Oil Emersi - -
NO JENIS PERSEDIAAN
BANYAK
1 2 3 4 5 = (3X4) 6 7 8=(6X7) 9 10 11=(9X10) 12 13 14=(12X13) 15 16 17=(15X16)
139 Obat batuk hitam ( OBH ) ca 23 1,340 30,820 1,340 - 23 1,340 30,820 5 1,340 6,700 18 1,340 24,120
140 Objek Glass 14,994 - 14,994 - - 14,994 - 14,994 - - 14,994 -
143 Oksitetrasiklin Salep mata 19 1,680 31,920 1,680 - 19 1,680 31,920 4 1,680 6,720 15 1,680 25,200
144 Oksitosin Injeksi 10 iu/ml - 1 ml 1,963 - 1,963 - - 1,963 - 1,963 - - 1,963 -
145 Papaverin Tab 1,654 128 211,712 128 - 1,654 128 211,712 60 128 7,680 1,594 128 204,032
147 Parasetamol tablet 100 mg 786 35 27,125 35 - 786 35 27,125 35 - 786 35 27,125
148 Parasetamol tablet 500 mg 88 - 2500 88 220,000 2,500 88 220,000 2,500 88 220,000 - 88 -
149 PB Anak - - - - - - -
150 PB Dewasa - - - - - - -
152 Piridoksin hcl tab 10 mg 942 19 18,275 2000 19 38,800 2,942 19 57,075 1,071 19 20,777 1,871 19 36,297
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 -
NO JENIS PERSEDIAAN
BANYAK
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 35 297 10,395 100 297 29,700 135 297 40,095 297 - 135 297 40,095
162 Ranitidin 150 mg 20 132 2,640 300 132 39,600 320 132 42,240 231 132 30,492 89 132 11,748
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 264 65 17,160 300 65 19,500 564 65 36,660 142 65 9,230 422 65 27,430
168 Salep 2 - 4 kombinasi 2 2,200 4,400 2,200 - 2 2,200 4,400 2,200 - 2 2,200 4,400
169 Salisil bedak 2 % 12 1,180 14,160 6 1,180 7,080 18 1,180 21,240 6 1,180 7,080 12 1,180 14,160
172 Sianokobalamin ( Vit.b 12 ) injeksi 1,067 - 1,067 - - 1,067 - 1,067 - - 1,067 -
173 Sianokobalamin tablet 2,618 15 39,270 1,000 15 15,000 3,618 15 54,270 680 15 10,200 2,938 15 44,070
174 Silk no.3/0 7,682 - 7,682 - - 7,682 - 7,682 - - 7,682 -
175 Simvastatin 45 480 21,600 480 - 45 480 21,600 480 - 45 480 21,600
181 Tiamin hcl ( Vit.b1) tablet 1,767 226 399,342 1,000 226 226,000 2,767 226 625,342 850 226 192,100 1,917 226 433,242
184 Urine bag 4,400 - 4,400 - - 4,400 - 4,400 - - 4,400 -
185 Vitamin b kompleks tablet 112 - 2,000 112 224,000 2,000 112 224,000 2,000 112 224,000 - 112 -
186 Wing Needle 23G 6,345 - 6,345 - - 6,345 - 6,345 - - 6,345 -
NO JENIS PERSEDIAAN
BANYAK
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 406 521 211,526 521 - 406 521 211,526 25 521 13,025 381 521 198,501
192 Amoropo Kaps 2,750 - 2,750 - - 2,750 - 2,750 - - 2,750 -
193 Amlodipin Kap 352 - 352 - - 352 - 352 - - 352 -
195 Pospargin Tab 300 388.64 116,592 388.64 - 300 388.64 116,592 388.64 - 300 388.64 116,592
197 Heksimer 2 mg Tablet 115 297 34,155 297 - 115 297 34,155 115 297 34,155 - 297 -
198 Pehacain Inj 3100 - 3100 - - 3100 - 3100 - - 3100 -
199 Cefotaxime 1 g 3,500 - 3,500 - - 3,500 - 3,500 - - 3,500 -
TOTAL ### ### ### ### ###
Cempa, Mei 2015


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

NO JENIS PERSEDIAAN
BANYAK
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 - 20 1,050 21,000 20 1,050 21,000 20 1,050 21,000 - 1,050 -
2 Abbocath No. 18 8,200 - 20 8,200 164,000 20 8,200 164,000 8,200 - 20 8,200 164,000
3 Abbocath No. 20 8,200 - 30 8,200 246,000 30 8,200 246,000 18 8,200 147,600 12 8,200 98,400
4 Abbocath No. 22 8,200 - 30 8,200 246,000 30 8,200 246,000 26 8,200 213,200 4 8,200 32,800
5 Abbocath No. 24 8,200 - 25 8,200 205,000 25 8,200 205,000 16 8,200 131,200 9 8,200 73,800
6 Alat Suntik 2,5 ml 1,100 - 165 1,100 181,500 165 1,100 181,500 59 1,100 64,900 106 1,100 116,600
7 Alat Suntik 5 ml 1,100 - 70 1,100 77,000 70 1,100 77,000 40 1,100 44,000 30 1,100 33,000
8 Albendazole 363 - 363 - - 363 - 363 - - 363 -
12 Amitriptilin hcl tab salut 25 mg 123 - 123 - - 123 - 123 - - 123 -
13 Amoksisilin Kapsul 250 mg 303 220 66,660 220 - 303 220 66,660 184 220 40,480 119 220 26,180
15 Amoksisilin sirup kering 16 2,560 40,960 30 2,560 76,800 46 2,560 117,760 23 2,560 58,880 23 2,560 58,880
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 1,693 78 132,054 1000 78 78,000 2,693 78 210,054 1,950 78 152,100 743 78 57,954
22 Antimigrain doen kombinasi 149 - 100 149 14,900 100 149 14,900 149 - 100 149 14,900
23 Aqua proinjeksi steril 5,800 - 17 5,800 98,600 17 5,800 98,600 5 5,800 29,000 12 5,800 69,600
NO JENIS PERSEDIAAN
BANYAK
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 4,872 105 511,560 2000 105 210,000 6,872 105 721,560 683 105 71,715 6,189 105 649,845
29 Asam Mefenamat tablet 1,898 122 231,556 1000 122 122,000 2,898 122 353,556 1,010 122 123,220 1,888 122 230,336
32 Asklovir 400 mg 1,100 362 398,200 362 - 1,100 362 398,200 50 362 18,100 1,050 362 380,100
35 Betahistin 1,016 - 1,016 - - 1,016 - 1,016 - - 1,016 -
36 Betametason krim 0,1 % 46 1,596 73,416 1,596 - 46 1,596 73,416 2 1,596 3,192 44 1,596 70,224
37 Captopril 25 mg 100 - 1000 100 100,000 1,000 100 100,000 570 100 57,000 430 100 43,000
38 Catgut/benang bedah no.2/0 - 3/0 26,500 - 10 26,500 265,000 10 26,500 265,000 8 26,500 212,000 2 26,500 53,000
40 Deksametason injeksi 5 mg/ml 1,738 - 20 1,738 34,760 20 1,738 34,760 2 1,738 3,476 18 1,738 31,284
41 Deksametason tablet 0,5 mg 913 74 67,562 2000 74 148,000 2,913 74 215,562 2,744 74 203,056 169 74 12,506
45 Diazepam tablet 2 mg - 39 - 1000 39 39,000 1,000 39 39,000 1,000 39 39,000 - 39 -
47 Difenhidramin inj 10 mg/ml-1ml 1,156 - 30 1,156 34,680 30 1,156 34,680 1,156 - 30 1,156 34,680
48 Digoksin tablet 0,25 mg 585 103 60,255 103 - 585 103 60,255 103 - 585 103 60,255
49 Doksisiklin 800 278 222,400 278 - 800 278 222,400 278 - 800 278 222,400
50 Efedrin tablet 25 mg 1,313 56 73,974 56 - 1,313 56 73,974 42 56 2,366 1,271 56 71,608
NO JENIS PERSEDIAAN
BANYAK
1 2 3 4 5 = (3X4) 6 7 8=(6X7) 9 10 11=(9X10) 12 13 14=(12X13) 15 16 17=(15X16)
52 Epinefrin (adrenalin) inj.0,1%-1ml 8,910 - 10 8,910 89,100 10 8,910 89,100 8,910 - 10 8,910 89,100
53 Etakridin ( rivanol ) lar. 0,1% 2,354 - 3 2,354 7,062 3 2,354 7,062 1 2,354 2,354 2 2,354 4,708
54 Etanol 70% 18,698 - 4 18,698 74,792 4 18,698 74,792 2 18,698 37,396 2 18,698 37,396
55 Etilklorida semprot 11,550 - 1 11,550 11,550 1 11,550 11,550 11,550 - 1 11,550 11,550
56 Eugenol cairan 18,333 - 18,333 - - 18,333 - 18,333 - - 18,333 -
58 Fenobarbital tablet 30 mg 1,325 74 98,050 400 74 29,600 1,725 74 127,650 233 74 17,242 1,492 74 110,408
60 Ferro Sulfat 300 mg 1,184 24 28,416 24 - 1,184 24 28,416 180 24 4,320 1,004 24 24,096
62 Fitomenadion ( vit k 1) tab 425 690 293,250 690 - 425 690 293,250 690 - 425 690 293,250
65 Gentamisin Inj 3,739 - 3,739 - - 3,739 - 3,739 - - 3,739 -
67 Glass Ionomer cement (gc ix ) 435,500 - 2 435,500 871,000 2 435,500 871,000 2 435,500 871,000 - 435,500 -
69 Gliseril guayakolat tab 100 3,177 4 11,723 1000 4 3,690 4,177 4 15,413 982 4 3,624 3,195 4 11,790
71 Glukosa 5 % 5,720 - 5,720 - - 5,720 - 5,720 - - 5,720 -
72 Griseofulvin tab 125 mg 4,350 241 1,048,350 241 - 4,350 241 1,048,350 60 241 14,460 4,290 241 1,033,890
73 Haloperidol tablet 1,5 mg 550 76 41,800 300 76 22,800 850 76 64,600 155 76 11,780 695 76 52,820
74 Handshoen No. 7 4,675 - 10 4,675 46,750 10 4,675 46,750 6 4,675 28,050 4 4,675 18,700
75 Hidroklorotiazid (hct) tab 2 5,990 40 239,600 40 - 5,990 40 239,600 40 - 5,990 40 239,600
76 Hidrokotrizon krim 2,5 % 7 2,938 20,566 2,938 - 7 2,938 20,566 5 2,938 14,690 2 2,938 5,876
77 Ibuprofen 200 mg 205 96 19,723 700 96 67,347 905 96 87,070 520 96 50,029 385 96 37,041
78 Ibuprofen 400 mg 228 157 35,796 800 157 125,600 1,028 157 161,396 710 157 111,470 318 157 49,926
NO JENIS PERSEDIAAN
BANYAK
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 368 98 36,064 98 - 368 98 36,064 98 - 368 98 36,064
84 Kalsium laktat ( kalk ) tab 3,175 57 181,610 57 - 3,175 57 181,610 360 57 20,592 2,815 57 161,018
85 Kapas pembalut 250 gr 8,000 - 2 8,000 16,000 2 8,000 16,000 8,000 - 2 8,000 16,000
86 Karbamazepin tab 200 mg 200 269 53,800 100 269 26,900 300 269 80,700 269 - 300 269 80,700
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 - 3 60,720 182,160 3 60,720 182,160 2 60,720 121,440 1 60,720 60,720
91 Kasa steril uk. 18 x 22 297 - 297 - - 297 - 297 - - 297 -
93 Kina Tab ( Quinine ) 737 - 737 - - 737 - 737 - - 737 -
97 Klorfeniramin ( ctm ) tab 4 2,517 23 57,891 1000 23 23,000 3,517 23 80,891 2,300 23 52,900 1,217 23 27,991
98 Klorfenol ( CHKM) 50,500 - 50,500 - - 50,500 - 50,500 - - 50,500 -
100 Klorpromazin hcl tab salut 620 165 102,300 165 - 620 165 102,300 215 165 35,475 405 165 66,825
102 Kodein tablet 10 mg 101 550 55,550 200 550 110,000 301 550 165,550 230 550 126,500 71 550 39,050
105 Kotrimoksazol pediatrik tabl 525 79 41,475 79 - 525 79 41,475 50 79 3,950 475 79 37,525
NO JENIS PERSEDIAAN
BANYAK
1 2 3 4 5 = (3X4) 6 7 8=(6X7) 9 10 11=(9X10) 12 13 14=(12X13) 15 16 17=(15X16)
106 Kotrimoksazol suspensi 41 2,298 94,218 2,298 - 41 2,298 94,218 13 2,298 29,874 28 2,298 64,344
107 Kotrmoksazol dewasa tablet 4,035 152 613,320 152 - 4,035 152 613,320 630 152 95,760 3,405 152 517,560
109 Larutan Anisol 910,000 - 910,000 - - 910,000 - 910,000 - - 910,000 -
114 Lisol 49,861 - 49,861 - - 49,861 - 49,861 - - 49,861 -
115 Masker 1,237 - 65 1,237 80,405 65 1,237 80,405 11 1,237 13,607 54 1,237 66,798
116 MB Anak - - - - - - -
117 MB Dewasa - - - - - - -
118 Metformin 500 mg 690 119 81,765 119 - 690 119 81,765 105 119 12,443 585 119 69,323
120 Metilergometrin tab salut 0,125 mg 121 - 121 - - 121 - 121 - - 121 -
121 Metoklopramida Tab 119 110 13,090 200 110 22,000 319 110 35,090 170 110 18,700 149 110 16,390
122 Metronidazol tablet 500 mg - 169 - 200 169 33,800 200 169 33,800 90 169 15,210 110 169 18,590
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 -
127 Natrium Diklofenak 295 193 56,935 500 193 96,500 795 193 153,435 250 193 48,250 545 193 105,185
130 Nifedipin 10 mg 320 2,999 959,680 2,999 - 320 2,999 959,680 2,999 - 320 2,999 959,680
131 Nistatin 500.000 iu/g tab 528 - 528 - - 528 - 528 - - 528 -
132 Oil Emersi - -
NO JENIS PERSEDIAAN
BANYAK
1 2 3 4 5 = (3X4) 6 7 8=(6X7) 9 10 11=(9X10) 12 13 14=(12X13) 15 16 17=(15X16)
139 Obat batuk hitam ( OBH ) ca 18 1,340 24,120 1,340 - 18 1,340 24,120 7 1,340 9,380 11 1,340 14,740
140 Objek Glass 14,994 - 14,994 - - 14,994 - 14,994 - - 14,994 -
144 Oksitosin Injeksi 10 iu/ml - 1 ml 1,963 - 10 1,963 19,630 10 1,963 19,630 1,963 - 10 1,963 19,630
145 Papaverin Tab 1,594 128 204,032 128 - 1,594 128 204,032 120 128 15,360 1,474 128 188,672
147 Parasetamol tablet 100 mg 786 35 27,125 200 35 6,902 986 35 34,027 35 - 986 35 34,027
148 Parasetamol tablet 500 mg 88 - 3500 88 308,000 3,500 88 308,000 2,767 88 243,496 733 88 64,504
149 PB Anak - - - - - - -
150 PB Dewasa - - - - - - -
152 Piridoksin hcl tab 10 mg 1,871 19 36,297 2000 19 38,800 3,871 19 75,097 1,369 19 26,559 2,502 19 48,539
153 Plester 5 yard x 2 inch 25,967 - 4 25,967 103,868 4 25,967 103,868 4 25,967 103,868 - 25,967 -
154 Poly Katether 18 9,344 - 2 9,344 18,688 2 9,344 18,688 9,344 - 2 9,344 18,688
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 -
NO JENIS PERSEDIAAN
BANYAK
1 2 3 4 5 = (3X4) 6 7 8=(6X7) 9 10 11=(9X10) 12 13 14=(12X13) 15 16 17=(15X16)
161 Propranolol hcl tablet 10 mg 560 80 44,800 80 - 560 80 44,800 80 - 560 80 44,800
162 Ranitidin 150 mg 89 132 11,748 500 132 66,000 589 132 77,748 535 132 70,620 54 132 7,128
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 - 347 5,720 1,984,840 347 5,720 1,984,840 180 5,720 1,029,600 167 5,720 955,240
167 Salbutamol tablet 2 mg 422 65 27,430 300 65 19,500 722 65 46,930 170 65 11,050 552 65 35,880
168 Salep 2 - 4 kombinasi 2 2,200 4,400 2,200 - 2 2,200 4,400 2,200 - 2 2,200 4,400
169 Salisil bedak 2 % 12 1,180 14,160 10 1,180 11,800 22 1,180 25,960 3 1,180 3,540 19 1,180 22,420
172 Sianokobalamin ( Vit.b 12 ) injeksi 1,067 - 20 1,067 21,340 20 1,067 21,340 2 1,067 2,134 18 1,067 19,206
173 Sianokobalamin tablet 2,938 15 44,070 2,000 15 30,000 4,938 15 74,070 850 15 12,750 4,088 15 61,320
174 Silk no.3/0 7,682 - 10 7,682 76,820 10 7,682 76,820 3 7,682 23,046 7 7,682 53,774
175 Simvastatin 45 480 21,600 480 - 45 480 21,600 480 - 45 480 21,600
181 Tiamin hcl ( Vit.b1) tablet 1,917 226 433,242 1,000 226 226,000 2,917 226 659,242 950 226 214,700 1,967 226 444,542
184 Urine bag 4,400 - 4,400 - - 4,400 - 4,400 - - 4,400 -
185 Vitamin b kompleks tablet 112 - 3,200 112 358,400 3,200 112 358,400 2,577 112 288,624 623 112 69,776
186 Wing Needle 23G 6,345 - 6,345 - - 6,345 - 6,345 - - 6,345 -
NO JENIS PERSEDIAAN
BANYAK
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 -
190 Yodium povidon lar.10% 300 ml 15,950 - 2 15,950 31,900 2 15,950 31,900 15,950 - 2 15,950 31,900
191 Zinc Tablet 20 mg 381 521 198,501 521 - 381 521 198,501 25 521 13,025 356 521 185,476
192 Amoropo Kaps 2,750 - 2,750 - - 2,750 - 2,750 - - 2,750 -
193 Amlodipin Kap 352 - 300 352 105,600 300 352 105,600 249 352 87,648 51 352 17,952
195 Pospargin Tab 300 388.64 116,592 388.64 - 300 388.64 116,592 388.64 - 300 388.64 116,592
197 Heksimer 2 mg Tablet - 297 - 200 297 59,400 200 297 59,400 185 297 54,945 15 297 4,455
198 Pehacain Inj 3100 - 80 3100 248,000 80 3100 248,000 9 3100 27,900 71 3100 220,100
199 Cefotaxime 1 g 3,500 - 60 3,500 210,000 60 3,500 210,000 3,500 - 60 3,500 210,000
TOTAL ### ### ### ### ###
Cempa, Juni 2015


NIP.19780405 200604 2 024
S
PENERIMAAN TRIWULAN II PERSEDIAAN PENGELUARAAN

SALDO AWAL SISA STOK
NO JENIS PERSEDIAAN (APRIL - JUNI) (APRIL - JUNI) (APRIL - JUNI)
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 - 20 1,050 21,000 20 1,050 21,000 20 1,050 21,000 1,050 -
2 Abbocath No. 18 8,200 - 20 8,200 164,000 20 8,200 164,000 8,200 - 20 8,200 164,000
3 Abbocath No. 20 8,200 - 30 8,200 246,000 30 8,200 246,000 18 8,200 147,600 12 8,200 98,400
4 Abbocath No. 22 8,200 - 30 8,200 246,000 30 8,200 246,000 26 8,200 213,200 4 8,200 32,800
5 Abbocath No. 24 8,200 - 25 8,200 205,000 25 8,200 205,000 16 8,200 131,200 9 8,200 73,800
6 Alat Suntik 2,5 ml 1,100 - 165 1,100 181,500 165 1,100 181,500 59 1,100 64,900 106 1,100 116,600
7 Alat Suntik 5 ml 1,100 - 70 1,100 77,000 70 1,100 77,000 40 1,100 44,000 30 1,100 33,000
8 Albendazole 363 - 363 - - 363 - 363 - 363 -
10 Aminofilin injeksi 4,200 - 4,200 - - 4,200 - 4,200 - 4,200 -
12 Amitriptilin hcl tab salut 25 40 123 4,920 123 - 40 123 4,920 40 123 4,920 123 -
13 Amoksisilin Kapsul 250 mg 220 - 840 220 184,800 840 220 184,800 721 220 158,620 119 220 26,180
14 Amoksisilin Kapsul 500 mg 200 292 58,400 7400 292 2,160,800 7,600 292 2,219,200 6999 292 2,043,708 601 292 175,492
15 Amoksisilin sirup kering 2,560 - 90 2,560 230,400 90 2,560 230,400 67 2,560 171,520 23 2,560 58,880
16 Ampisilin Inj 5,610 - 5,610 - - 5,610 - 5,610 - 5,610 -
17 Ampisilin Kaplet 500 mg 419 - 419 - - 419 - 419 - 419 -
18 Antalgin Tab 500 mg 142 - 142 - - 142 - 142 - 142 -
19 Antasida doen tablet kombina 2453 78 191,334 3500 78 273,000 5,953 78 464,334 5210 78 406,380 743 78 57,954
20 Antifungi doen kombinasi 2,096 - 2,096 - - 2,096 - 2,096 - 2,096 -
22 Antimigrain doen kombinasi 149 - 100 149 14,900 100 149 14,900 149 - 100 149 14,900
23 Aqua proinjeksi steril 5,800 - 17 5,800 98,600 17 5,800 98,600 5 5,800 29,000 12 5,800 69,600
24 Artesunate Anak - - - - - -
25 Artesunate Dewasa - - - - - -
26 Artesunate Inj - - - - - -
27 Artesunate Remaja - - - - - -
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 2817 105 295,785 6000 105 630,000 8,817 105 925,785 2628 105 275,940 6,189 105 649,845
29 Asam Mefenamat tablet 1640 122 200,080 3000 122 366,000 4,640 122 566,080 2752 122 335,744 1,888 122 230,336
30 Asam Traneksamat Inj -
32 Asklovir 400 mg 1100 362 398,200 362 - 1,100 362 398,200 50 362 18,100 1,050 362 380,100
33 Atropin sulfat injeksi 0,25 mg/ml - - - - - -
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 -
37 Captopril 25 mg 241 100 24,100 2000 100 200,000 2,241 100 224,100 1811 100 181,100 430 100 43,000
38 Catgut/benang bedah no.2/0 - 3/0 26,500 - 10 26,500 265,000 10 26,500 265,000 8 26,500 212,000 2 26,500 53,000
39 Ciprofloksasin 500 mg 110 265 29,150 1400 265 371,000 1,510 265 400,150 1125 265 298,125 385 265 102,025
40 Deksametason injeksi 5 mg/ml 1,738 - 20 1,738 34,760 20 1,738 34,760 2 1,738 3,476 18 1,738 31,284
41 Deksametason tablet 0,5 mg 19 74 1,406 7700 74 569,800 7,719 74 571,206 7550 74 558,700 169 74 12,506
43 Dekstrometorfan hbr tab 15 mg 102 - 102 - - 102 - 102 - 102 -
44 Devitalisasi pasta ( non Arsen ) 429,000 - 429,000 - - 429,000 - 429,000 - 429,000 -
45 Diazepam tablet 2 mg 101 39 3,939 3135 39 122,265 3,236 39 126,204 3236 39 126,204 - 39 -
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 - 30 1,156 34,680 30 1,156 34,680 1,156 - 30 1,156 34,680
48 Digoksin tablet 0,25 mg 595 103 61,285 103 - 595 103 61,285 10 103 1,030 585 103 60,255
49 Doksisiklin 800 278 222,400 278 - 800 278 222,400 278 - 800 278 222,400
51 Ekstrak belladon tablet 10 mg 42 - 42 - - 42 - 42 - 42 -
52 Epinefrin (adrenalin) inj.0,1%-1ml 8,910 - 10 8,910 89,100 10 8,910 89,100 8,910 - 10 8,910 89,100
53 Etakridin ( rivanol ) lar. 0,1% 2,354 - 3 2,354 7,062 3 2,354 7,062 1 2,354 2,354 2 2,354 4,708
54 Etanol 70% 18,698 - 4 18,698 74,792 4 18,698 74,792 2 18,698 37,396 2 18,698 37,396
55 Etilklorida semprot 11,550 - 1 11,550 11,550 1 11,550 11,550 11,550 - 1 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 -
58 Fenobarbital tablet 30 mg 1727 74 127,798 900 74 66,600 2,627 74 194,398 1135 74 83,990 1,492 74 110,408
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 1 3 1,109 3,326 23 1,109 25,502 26 1,109 28,829 15 1,109 16,632 11 1,109 12,197
60 Ferro Sulfat 300 mg 2530 24 60,720 24 - 2,530 24 60,720 1526 24 36,624 1,004 24 24,096
61 Fitomenadion ( vit k 1) injeksi 3,754 - 3,754 - - 3,754 - 3,754 - 3,754 -
62 Fitomenadion ( vit k 1) tab 1 495 690 341,550 690 - 495 690 341,550 70 690 48,300 425 690 293,250
65 Gentamisin Inj 3,739 - 3,739 - - 3,739 - 3,739 - 3,739 -
66 Gentian violet larutan 1 % 985 - 985 - - 985 - 985 - 985 -
67 Glass Ionomer cement (gc ix ) 435,500 - 2 435,500 871,000 2 435,500 871,000 2 435,500 871,000 435,500 -
69 Gliseril guayakolat tab 100 m 2701 4 9,967 3000 4 11,070 5,701 4 21,037 2506 4 9,247 3,195 4 11,790
70 Glukonas Kalsikus Inj - - - - - -
71 Glukosa 5 % 5,720 - 5,720 - - 5,720 - 5,720 - 5,720 -
74 Handshoen No. 7 4,675 - 10 4,675 46,750 10 4,675 46,750 6 4,675 28,050 4 4,675 18,700
75 Hidroklorotiazid (hct) tab 25 6000 40 240,000 40 - 6,000 40 240,000 10 40 400 5,990 40 239,600
76 Hidrokotrizon krim 2,5 % 2 2,938 5,876 10 2,938 29,380 12 2,938 35,256 10 2,938 29,380 2 2,938 5,876
77 Ibuprofen 200 mg 22 96 2,117 2000 96 192,420 2,022 96 194,537 1637 96 157,496 385 96 37,041
78 Ibuprofen 400 mg 4 157 628 2000 157 314,000 2,004 157 314,628 1686 157 264,702 318 157 49,926
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 -
83 Kalsium hidroksida pasta 266,200 - 266,200 - - 266,200 - 266,200 - 266,200 -
84 Kalsium laktat ( kalk ) tab 5 3840 57 219,648 57 - 3,840 57 219,648 1025 57 58,630 2,815 57 161,018
85 Kapas pembalut 250 gr 8,000 - 2 8,000 16,000 2 8,000 16,000 8,000 - 2 8,000 16,000
86 Karbamazepin tab 200 mg 200 269 53,800 100 269 26,900 300 269 80,700 269 - 300 269 80,700
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 - 3 60,720 182,160 3 60,720 182,160 2 60,720 121,440 1 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)
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 -
93 Kina Tab ( Quinine ) 737 - 737 - - 737 - 737 - 737 -
94 Kloramfenikol kapsul 250 mg 409 250 102,250 250 - 409 250 102,250 340 250 85,000 69 250 17,250
97 Klorfeniramin ( ctm ) tab 4 m 5471 23 125,833 2000 23 46,000 7,471 23 171,833 6254 23 143,842 1,217 23 27,991
98 Klorfenol ( CHKM) 50,500 - 50,500 - - 50,500 - 50,500 - 50,500 -
99 Kloroquin fosfat tablet 250 mg -
100 Klorpromazin hcl tab salut 1 1,050 165 173,250 165 - 1,050 165 173,250 645 165 106,425 405 165 66,825
101 Klorpromazin hcl tab salut 25 mg 40 - 40 - - 40 - 40 - 40 -
102 Kodein tablet 10 mg 52 550 28,600 600 550 330,000 652 550 358,600 581 550 319,550 71 550 39,050
103 Kontrasepsi Implant Susuk KB - - - - - - - - - - -
104 Kontrasepsi KB 3 Bulan - - - - - - - - - - -
105 Kotrimoksazol pediatrik table 600 79 47,400 79 - 600 79 47,400 125 79 9,875 475 79 37,525
107 Kotrmoksazol dewasa tablet 4610 152 700,720 152 - 4,610 152 700,720 1205 152 183,160 3,405 152 517,560
108 Kuinin dihidroklorida inj. 25%-2ml 6,820 - 6,820 - - 6,820 - 6,820 - 6,820 -
109 Larutan Anisol 910,000 - 910,000 - - 910,000 - 910,000 - 910,000 -
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 ) 154,038 - 154,038 - - 154,038 - 154,038 - 154,038 -
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 - 65 1,237 80,405 65 1,237 80,405 11 1,237 13,607 54 1,237 66,798
116 MB Anak - - - - - -
117 MB Dewasa - - - - - -
118 Metformin 500 mg 810 119 95,985 119 - 810 119 95,985 225 119 26,663 585 119 69,323
119 Metilergometrin inj 0,200 mg-1ml 1,503 - 1,503 - - 1,503 - 1,503 - 1,503 -
120 Metilergometrin tab salut 0, - 121 - 121 - - 121 - 121 - 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 - 450 110 49,500 450 110 49,500 301 110 33,110 149 110 16,390
122 Metronidazol tablet 500 mg 169 - 400 169 67,600 400 169 67,600 290 169 49,010 110 169 18,590
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 - 1050 193 202,650 1,050 193 202,650 505 193 97,465 545 193 105,185
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 420 2,999 1,259,580 2,999 - 420 2,999 1,259,580 100 2,999 299,900 320 2,999 959,680
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 -
135 OAT ( FDC ) Kategori II ### - ### - - ### - ### - ### -
136 OAT ( Kombipak) Kat. I 317,015 - 317,015 - - 317,015 - 317,015 - 317,015 -
137 OAT (Kombipak) Kategori anak -
138 OAT (Kombipak) Kategori Sisipan -
139 Obat batuk hitam ( OBH ) cai 14 1,340 18,760 16 1,340 21,440 30 1,340 40,200 19 1,340 25,460 11 1,340 14,740
140 Objek Glass 14,994 - 14,994 - - 14,994 - 14,994 - 14,994 -
141 Oksitetrasiklin hcl injeksi 341 - 341 - - 341 - 341 - 341 -
144 Oksitosin Injeksi 10 iu/ml - 1 ml 1,963 - 10 1,963 19,630 10 1,963 19,630 1,963 - 10 1,963 19,630
145 Papaverin Tab 1924 128 246,272 128 - 1,924 128 246,272 450 128 57,600 1,474 128 188,672
146 Parasetamol sirup 120 mg/5 m 37 1,535 56,795 105 1,535 161,175 142 1,535 217,970 102 1,535 156,570 40 1,535 61,400
147 Parasetamol tablet 100 mg 816 35 28,160 200 35 6,902 1,016 35 35,062 30 35 1,035 986 35 34,027
148 Parasetamol tablet 500 mg 8 88 704 9000 88 792,000 9,008 88 792,704 8275 88 728,200 733 88 64,504
149 PB Anak - - - - - -
150 PB Dewasa - - - - - -
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 714 19 13,852 6000 19 116,400 6,714 19 130,252 4212 19 81,713 2,502 19 48,539
153 Plester 5 yard x 2 inch 25,967 - 4 25,967 103,868 4 25,967 103,868 4 25,967 103,868 25,967 -
154 Poly Katether 18 9,344 - 2 9,344 18,688 2 9,344 18,688 9,344 - 2 9,344 18,688
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 - - - - - -
162 p 132 - 1100 132 145,200 1,100 132 145,200 1046 132 138,072 54 132 7,128
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 - 347 5,720 1,984,840 347 5,720 1,984,840 180 5,720 1,029,600 167 5,720 955,240
167 Salbutamol tablet 2 mg 4 65 260 1000 65 65,000 1,004 65 65,260 452 65 29,380 552 65 35,880
168 Salep 2 - 4 kombinasi 2 2,200 4,400 2,200 - 2 2,200 4,400 2,200 - 2 2,200 4,400
169 Salisil bedak 2 % 9 1,180 10,620 26 1,180 30,680 35 1,180 41,300 16 1,180 18,880 19 1,180 22,420
170 Salisil spiritus 10 % 1,313 - 1,313 - - 1,313 - 1,313 - 1,313 -
171 Semen fosfat serbuk dan cairan 102,855 - 102,855 - - 102,855 - 102,855 - 102,855 -
172 Sianokobalamin ( Vit.b 12 ) injeksi 1,067 - 20 1,067 21,340 20 1,067 21,340 2 1,067 2,134 18 1,067 19,206
173 Sianokobalamin tablet 1,783 15 26,745 5000 15 75,000 6,783 15 101,745 2695 15 40,425 4,088 15 61,320
174 Silk no.3/0 7,682 - 10 7,682 76,820 10 7,682 76,820 3 7,682 23,046 7 7,682 53,774
175 Simvastatin 480 - 200 480 96,000 200 480 96,000 155 480 74,400 45 480 21,600
176 Tablet tambah darah kombinasi 2,200 - 2,200 - - 2,200 - 2,200 - 2,200 -
177 Temporary stopping fletcher -
178 Tetrasiklin hcl kapsul 250 mg 2,800 162 453,600 1000 162 162,000 3,800 162 615,600 225 162 36,450 3,575 162 579,150
179 Tetrasiklin hcl kapsul 500 mg 226 - 226 - - 226 - 226 - 226 -
180 Tiamin hcl ( Vit.b1) injeksi 189 - 189 - - 189 - 189 - 189 -
181 Tiamin hcl ( Vit.b1) tablet 1,165 226 263,290 4000 226 904,000 5,165 226 1,167,290 3198 226 722,748 1,967 226 444,542
182 Triheksifenidil tablet 2 mg 730 - 730 - - 730 - 730 - 730 -
1 2 3 4 5 = (3X4) 6 7 8=(6X7) 9 10 11=(9X10) 12 13 14=(12X13) 15 16 17=(15X16)
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 1,616 112 180,992 6700 112 750,400 8,316 112 931,392 7693 112 861,616 623 112 69,776
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 -
190 Yodium povidon lar.10% 300 ml 15,950 - 2 15,950 31,900 2 15,950 31,900 15,950 - 2 15,950 31,900
191 Zinc Tablet 20 mg 431 521 224,551 521 - 431 521 224,551 75 521 39,075 356 521 185,476
192 Amoropo Kaps 2,750 - 2,750 - - 2,750 - 2,750 - 2,750 -
193 Amlodipin Kap 241 352 84,832 360 352 126,720 601 352 211,552 550 352 193,600 51 352 17,952
194 Ketokenazole Krim 2,697 - 2,697 - - 2,697 - 2,697 - 2,697 -
195 Pospargin Tab 300 388.64 116,592 388.64 - 300 388.64 116,592 388.64 - 300 388.64 116,592
196 Stesolid Injeksi ### - ### - - ### - ### - ### -
197 Heksimer 2 mg Tablet 297 - 400 297 118,800 400 297 118,800 385 297 114,345 15 297 4,455
198 Pehacain Inj 3100 - 80 3100 248,000 80 3100 248,000 9 3100 27,900 71 3100 220,100
199 Cefotaxime 1 g 3,500 - 60 3,500 210,000 60 3,500 210,000 3,500 - 60 3,500 210,000
TOTAL ### ### ### ### ###
Cempa, Juni 2015


NIP.19780405 200604 2 024
PENERIMAAN
APRIL MEI JUNI TOTAL
1 Alat Suntik 1 ml 20 20 - 20 1
2 Abbocath No. 18 20 20 - 20 2
3 Abbocath No. 20 30 30 - 30 3
4 Abbocath No. 22 30 30 - 30 4
5 Abbocath No. 24 25 25 - 25 5
6 Alat Suntik 2,5 ml 165 165 - 165 6
7 Alat Suntik 5 ml 70 70 - 70 7
8 Albendazole - - 8
9 Alopurinol tablet 100 mg - - 9
10 Aminofilin injeksi - - 10
11 Aminofilin tablet 200 mg - - 11
12 Amitriptilin hcl tab salut 25 mg - - 12
13 Amoksisilin Kapsul 250 360 480 840 - 840 13
14 Amoksisilin Kapsul 500 2,400 2,200 2,800 7,400 - 7400 14
15 Amoksisilin sirup kering 30 30 30 90 - 90 15
16 Ampisilin Inj - - 16
17 Ampisilin Kaplet 500 mg - - 17
18 Antalgin Tab 500 mg - - 18
19 Antasida doen tablet komb 500 2000 1000 3,500 - 3500 19
20 Antifungi doen kombinasi - - 20
21 Antihemoroid doen kombinasi - - 21
22 Antimigrain doen kombinasi 100 100 - 100 22
23 Aqua proinjeksi steril 17 17 - 17 23
24 Artesunate Anak - - 24
25 Artesunate Dewasa - - 25
26 Artesunate Inj - - 26
27 Artesunate Remaja - - 27
28 Asam askorbat ( Vit c ) t 2,000 2000 2000 6,000 - 6000 28
29 Asam Mefenamat tablet 1,500 500 1000 3,000 - 3000 29
30 Asam Traneksamat Inj - - 30
31 Asetosal tablet 100 mg - - 31
32 Asklovir 400 mg - - 32
33 Atropin sulfat injeksi 0,25 mg/ml - - 33
34 Benzatin benzil penisilin injeksi - - 34
35 Betahistin - - 35
36 Betametason krim 0,1 % 15 10 25 - 25 36
37 Captopril 25 mg 1,000 1000 2,000 - 2000 37
38 Catgut/benang bedah no.2/0 - 3/0 10 10 - 10 38
39 Ciprofloksasin 500 mg 300 400 700 1,400 - 1400 39
40 Deksametason injeksi 5 mg/ml 20 20 - 20 40
41 Deksametason tablet 0,5 3,200 2500 2000 7,700 - 7700 41
42 Dekstrometorfan sirup 10 mg/5ml - - 42
43 Dekstrometorfan hbr tab 15 mg - - 43
44 Devitalisasi pasta ( non Arsen ) - - 44
45 Diazepam tablet 2 mg 1,000 1135 1000 3,135 - 3135 45
46 Diazepam inj 5 mg/ml - 2 ml - - 46
47 Difenhidramin inj 10 mg/ml-1ml 30 30 - 30 47
48 Digoksin tablet 0,25 mg - - 48
49 Doksisiklin - - 49
50 Efedrin tablet 25 mg - - 50
51 Ekstrak belladon tablet 10 mg - - 51
52 Epinefrin (adrenalin) inj.0,1%-1ml 10 10 - 10 52
53 Etakridin ( rivanol ) lar. 0,1% 3 3 - 3 53
54 Etanol 70% 4 4 - 4 54
55 Etilklorida semprot 1 1 - 1 55
56 Eugenol cairan - - 56
57 Fenobarbital Inj - - 57
58 Fenobarbital tablet 30 mg 500 400 900 - 900 58
59 Fenol gliserol tetes telin 8 15 23 - 23 59
60 Ferro Sulfat 300 mg - - 60
61 Fitomenadion ( vit k 1) injeksi - - 61
62 Fitomenadion ( vit k 1) tab 10 mg - - 62
63 Furosemida tablet 40 mg 100 100 200 400 - 400 63
64 Garam oralit untuk 200 ml - - 64
65 Gentamisin Inj - - 65
66 Gentian violet larutan 1 % - - 66
67 Glass Ionomer cement (gc ix ) 2 2 - 2 67
68 Glibenklamid tablet 5 mg 300 300 300 900 - 900 68
69 Gliseril guayakolat tab 1 1,000 1000 1000 3,000 - 3000 69
70 Glukonas Kalsikus Inj - - 70
71 Glukosa 5 % - - 71
72 Griseofulvin tab 125 mg - - 72
73 Haloperidol tablet 1,5 mg 300 300 - 300 73
74 Handshoen No. 7 10 10 - 10 74
75 Hidroklorotiazid (hct) tab 25 mg - - 75
76 Hidrokotrizon krim 2,5 % 10 10 - 10 76
77 Ibuprofen 200 mg 700 600 700 2,000 - 2000 77
78 Ibuprofen 400 mg 500 700 800 2,000 - 2000 78
79 Infusion set anak - - 79
80 Infusion set dewasa - - 80
81 Iodiol Kapsul Lunak - - 81
82 Isosorbit dinitrat tab 5 mg - - 82
83 Kalsium hidroksida pasta - - 83
84 Kalsium laktat ( kalk ) tab 500 mg - - 84
85 Kapas pembalut 250 gr 2 2 - 2 85
86 Karbamazepin tab 200 mg 100 100 - 100 86
87 Kasa 4 m x 15 cm - - 87
88 Kasa 4 m x 3 cm - - 88
89 Kasa Gulung 40 y x 80 cm 3 3 - 3 89
90 Kasa kompres 40/40 steril - - 90
91 Kasa steril uk. 18 x 22 - - 91
92 Ketokenazole Tab 50 50 - 50 92
93 Kina Tab ( Quinine ) - - 93
94 Kloramfenikol kapsul 250 mg - - 94
95 Kloramfenikol Salep mata 1 % - - 95
96 Kloramfenikol Tetes Mata - - 96
97 Klorfeniramin ( ctm ) tab 4 mg 1000 1000 2,000 - 2000 97
98 Klorfenol ( CHKM) - - 98
99 Kloroquin fosfat tablet 250 mg - - 99
100 Klorpromazin hcl tab salut 100 mg - - 100
101 Klorpromazin hcl tab salut 25 mg - - 101
102 Kodein tablet 10 mg 200 200 200 600 - 600 102
103 Kontrasepsi Implant Susuk KB - - 103
104 Kontrasepsi KB 3 Bulan - - 104
105 Kotrimoksazol pediatrik tablet - - 105
106 Kotrimoksazol suspensi 26 10 36 - 36 106
107 Kotrmoksazol dewasa tablet - - 107
108 Kuinin dihidroklorida inj. 25%-2ml - - 108
109 Larutan Anisol - - 109
110 Larutan benedict - - 110
111 Larutan Spiritus - - 111
112 Larutan Ziehl Nielsen ( TB ) - - 112
113 Lidokain kompositum injeksi - - 113
114 Lisol - - 114
115 Masker 65 65 - 65 115
116 MB Anak - - 116
117 MB Dewasa - - 117
118 Metformin 500 mg - - 118
119 Metilergometrin inj 0,200 mg-1ml - - 119
120 Metilergometrin tab salut 0,125 mg - - 120
121 Metoklopramida Tab 100 150 200 450 - 450 121
122 Metronidazol tablet 500 200 200 400 - 400 122
123 MgSO4 Inj 20% - - 123
124 MgSO4 Inj 40% - - 124
125 Mineral Mix - - 125
126 Mummifying pasta - - 126
127 Natrium Diklofenak 200 350 500 1,050 - 1050 127
128 Natrium Klorida Infus Steril - - 128
129 Natrium Tiroksin Tab - - 129
130 Nifedipin 10 mg - - 130
131 Nistatin 500.000 iu/g tab - - 131
132 Oil Emersi - - 132
133 OAT ( FDC ) Kategori Anak - - 133
134 OAT ( FDC ) Kategori I - - 134
135 OAT ( FDC ) Kategori II - - 135
136 OAT ( Kombipak) Kat. I - - 136
137 OAT (Kombipak) Kategori anak - - 137
138 OAT (Kombipak) Kategori Sisipan - - 138
139 Obat batuk hitam ( OBH ) 16 16 - 16 139
140 Objek Glass - - 140
141 Oksitetrasiklin hcl injeksi - - 141
142 Oksitetrasiklin salep 3 % 10 11 24 45 - 45 142
143 Oksitetrasiklin Salep mata 12 24 36 - 36 143
144 Oksitosin Injeksi 10 iu/ml - 1 ml 10 10 - 10 144
145 Papaverin Tab - - 145
146 Parasetamol sirup 120 mg 30 35 40 105 - 105 146
147 Parasetamol tablet 100 mg 200 200 - 200 147
148 Parasetamol tablet 500 mg 3,000 2500 3500 9,000 - 9000 148
149 PB Anak - - 149
150 PB Dewasa - - 150
151 Pirantel pamoat tab 125 mg - - 151
152 Piridoksin hcl tab 10 mg 2,000 2000 2000 6,000 - 6000 152
153 Plester 5 yard x 2 inch 4 4 - 4 153
154 Poly Katether 18 2 2 - 2 154
155 Poly Katether 22 - - 155
156 Pot Dahak - - 156
157 Prednison tablet 5 mg - - 157
158 Primakuin tablet 15 mg - - 158
159 Prokain penisilin injeksi - - 159
160 Propiltiourasil tab 100 mg 100 100 100 300 - 300 160
161 Propranolol hcl tablet 10 mg - - 161
162 Ranitidin 150 mg 300 300 500 1,100 - 1100 162
163 Reserpin tablet 0, 25 mg - - 163
164 Retinol 100.000 IU - - 164
165 Retinol 200.000 IU - - 165
166 Ringer laktat larutan infus steril 347 347 - 347 166
167 Salbutamol tablet 2 mg 400 300 300 1,000 - 1000 167
168 Salep 2 - 4 kombinasi - - 168
169 Salisil bedak 2 % 10 6 10 26 - 26 169
170 Salisil spiritus 10 % - - 170
171 Semen fosfat serbuk dan cairan - - 171
172 Sianokobalamin ( Vit.b 12 ) injeksi 20 20 - 20 172
173 Sianokobalamin tablet 2,000 1,000 2,000 5,000 - 5000 173
174 Silk no.3/0 10 10 - 10 174
175 Simvastatin 200 200 - 200 175
176 Tablet tambah darah kombinasi - - 176
177 Temporary stopping fletcher - - 177
178 Tetrasiklin hcl kapsul 25 1,000 1,000 - 1000 178
179 Tetrasiklin hcl kapsul 500 mg - - 179
180 Tiamin hcl ( Vit.b1) injeksi - - 180
181 Tiamin hcl ( Vit.b1) tablet 2,000 1,000 1,000 4,000 - 4000 181
182 Triheksifenidil tablet 2 mg - - 182
183 Trireksol formalin ( tkf ) cairan - - 183
184 Urine bag - - 184
185 Vitamin b kompleks tablet 1,500 2,000 3,200 6,700 - 6700 185
186 Wing Needle 23G - - 186
187 Wing Needle 27G - - 187
188 Yodina Test - - 188
189 Yodium povidon lar.10% 30 ml - - 189
190 Yodium povidon lar.10% 300 ml 2 2 - 2 190
191 Zinc Tablet 20 mg - - 191
192 Amoropo Kaps - - 192
193 Amlodipin Kap 60 300 360 - 360 193
194 Ketokenazole Krim - - 194
195 Pospargin Tab - - 195
196 Stesolid Injeksi - - 196
197 Heksimer 2 mg Tablet 200 200 400 - 400 197
198 Pehacain Inj 80 80 - 80 198
199 Cefotaxime 1 g 60 60 - 60 199
PENGELUARAN
APRIL MEI JUNI TOTAL
Alat Suntik 1 ml 20 20 - 20
Abbocath No. 18 - -
Abbocath No. 20 18 18 - 18
Abbocath No. 22 26 26 - 26
Abbocath No. 24 16 16 - 16
Alat Suntik 2,5 ml 59 59 - 59
Alat Suntik 5 ml 40 40 - 40
Albendazole - -
Alopurinol tablet 100 mg 270 250 240 760 - 760
Aminofilin injeksi - -
Aminofilin tablet 200 mg 30 30 - 30
Amitriptilin hcl tab salut 20 20 40 - 40
Amoksisilin Kapsul 250 86 451 184 721 - 721
Amoksisilin Kapsul 500 2,600 2,191 2,208 6,999 - 6999
Amoksisilin sirup kering 30 14 23 67 - 67
Ampisilin Inj - -
Ampisilin Kaplet 500 mg - -
Antalgin Tab 500 mg - -
Antasida doen tablet komb 1,463 1,797 1,950 5,210 - 5210
Antifungi doen kombinasi - -
Antihemoroid doen kombi 3 2 5 - 5
Antimigrain doen kombinasi - -
Aqua proinjeksi steril 5 5 - 5
Artesunate Anak - -
Artesunate Dewasa - -
Artesunate Inj - -
Artesunate Remaja - -
Asam askorbat ( Vit c ) t 1,184 761 683 2,628 - 2628
Asam Mefenamat tablet 820 922 1,010 2,752 - 2752
Asam Traneksamat Inj - -
Asetosal tablet 100 mg - -
Asklovir 400 mg 50 50 - 50
Atropin sulfat injeksi 0,25 mg/ml - -
Benzatin benzil penisilin injeksi - -
Betahistin - -
Betametason krim 0,1 % 4 6 2 12 - 12
Captopril 25 mg 720 521 570 1,811 - 1811
Catgut/benang bedah no.2/0 - 3/0 8 8 - 8
Ciprofloksasin 500 mg 305 340 480 1,125 - 1125
Deksametason injeksi 5 mg/ml 2 2 - 2
Deksametason tablet 0,5 2,300 2,506 2,744 7,550 - 7550
Dekstrometorfan sirup 10 mg/5ml - -
Dekstrometorfan hbr tab 15 mg - -
Devitalisasi pasta ( non Arsen ) - -
Diazepam tablet 2 mg 1,101 1,135 1,000 3,236 - 3236
Diazepam inj 5 mg/ml - 2 ml - -
Difenhidramin inj 10 mg/ml-1ml - -
Digoksin tablet 0,25 mg 10 10 - 10
Doksisiklin - -
Efedrin tablet 25 mg 69 104 42 215 - 215
Ekstrak belladon tablet 10 mg - -
Epinefrin (adrenalin) inj.0,1%-1ml - -
Etakridin ( rivanol ) lar. 0,1% 1 1 - 1
Etanol 70% 2 2 - 2
Etilklorida semprot - -
Eugenol cairan - -
Fenobarbital Inj - -
Fenobarbital tablet 30 mg 402 500 233 1,135 - 1135
Fenol gliserol tetes telin 8 1 6 15 - 15
Ferro Sulfat 300 mg 890 456 180 1,526 - 1526
Fitomenadion ( vit k 1) injeksi - -
Fitomenadion ( vit k 1) ta 50 20 70 - 70
Furosemida tablet 40 mg 10 72 30 112 - 112
Garam oralit untuk 200 ml 36 5 23 64 - 64
Gentamisin Inj - -
Gentian violet larutan 1 % - -
Glass Ionomer cement (gc ix ) 2 2 - 2
Glibenklamid tablet 5 mg 240 370 140 750 - 750
Gliseril guayakolat tab 1 762 762 982 2,506 - 2506
Glukonas Kalsikus Inj - -
Glukosa 5 % - -
Griseofulvin tab 125 mg 110 70 60 240 - 240
Haloperidol tablet 1,5 mg 85 160 155 400 - 400
Handshoen No. 7 6 6 - 6
Hidroklorotiazid (hct) tab 10 10 - 10
Hidrokotrizon krim 2,5 % 2 3 5 10 - 10
Ibuprofen 200 mg 677 440 520 1,637 - 1637
Ibuprofen 400 mg 470 506 710 1,686 - 1686
Infusion set anak - -
Infusion set dewasa - -
Iodiol Kapsul Lunak - -
Isosorbit dinitrat tab 5 m 5 5 - 5
Kalsium hidroksida pasta - -
Kalsium laktat ( kalk ) t 435 230 360 1,025 - 1025
Kapas pembalut 250 gr - -
Karbamazepin tab 200 mg - -
Kasa 4 m x 15 cm - -
Kasa 4 m x 3 cm - -
Kasa Gulung 40 y x 80 cm 2 2 - 2
Kasa kompres 40/40 steril - -
Kasa steril uk. 18 x 22 - -
Ketokenazole Tab 10 63 20 93 - 93
Kina Tab ( Quinine ) - -
Kloramfenikol kapsul 250 60 160 120 340 - 340
Kloramfenikol Salep mata 2 3 1 6 - 6
Kloramfenikol Tetes Mata 2 1 3 6 - 6
Klorfeniramin ( ctm ) tab 2,213 1,741 2,300 6,254 - 6254
Klorfenol ( CHKM) - -
Kloroquin fosfat tablet 250 mg - -
Klorpromazin hcl tab salu 100 330 215 645 - 645
Klorpromazin hcl tab salut 25 mg - -
Kodein tablet 10 mg 230 121 230 581 - 581
Kontrasepsi Implant Susuk KB - -
Kontrasepsi KB 3 Bulan - -
Kotrimoksazol pediatrik ta 65 10 50 125 - 125
Kotrimoksazol suspensi 16 4 13 33 - 33
Kotrmoksazol dewasa tabl 255 320 630 1,205 - 1205
Kuinin dihidroklorida inj. 25%-2ml - -
Larutan Anisol - -
Larutan benedict - -
Larutan Spiritus - -
Larutan Ziehl Nielsen ( TB ) - -
Lidokain kompositum injeksi - -
Lisol - -
Masker 11 11 - 11
MB Anak - -
MB Dewasa - -
Metformin 500 mg 40 80 105 225 - 225
Metilergometrin inj 0,200 mg-1ml - -
Metilergometrin tab salut 0,125 mg - -
Metoklopramida Tab 60 71 170 301 - 301
Metronidazol tablet 500 110 90 90 290 - 290
MgSO4 Inj 20% - -
MgSO4 Inj 40% - -
Mineral Mix - -
Mummifying pasta - -
Natrium Diklofenak 30 225 250 505 - 505
Natrium Klorida Infus Steril - -
Natrium Tiroksin Tab - -
Nifedipin 10 mg 20 80 100 - 100
Nistatin 500.000 iu/g tab - -
Oil Emersi - -
OAT ( FDC ) Kategori Anak - -
OAT ( FDC ) Kategori I - -
OAT ( FDC ) Kategori II - -
OAT ( Kombipak) Kat. I - -
OAT (Kombipak) Kategori anak - -
OAT (Kombipak) Kategori Sisipan - -
Obat batuk hitam ( OBH ) 7 5 7 19 - 19
Objek Glass - -
Oksitetrasiklin hcl injeksi - -
Oksitetrasiklin salep 3 % 7 7 6 20 - 20
Oksitetrasiklin Salep mata 4 4 1 9 - 9
Oksitosin Injeksi 10 iu/ml - 1 ml - -
Papaverin Tab 270 60 120 450 - 450
Parasetamol sirup 120 mg 36 29 37 102 - 102
Parasetamol tablet 100 mg 30 30 - 30
Parasetamol tablet 500 mg 3,008 2,500 2,767 8,275 - 8275
PB Anak - -
PB Dewasa - -
Pirantel pamoat tab 125 m 23 8 24 55 - 55
Piridoksin hcl tab 10 mg 1,772 1,071 1,369 4,212 - 4212
Plester 5 yard x 2 inch 4 4 - 4
Poly Katether 18 - -
Poly Katether 22 - -
Pot Dahak - -
Prednison tablet 5 mg - -
Primakuin tablet 15 mg - -
Prokain penisilin injeksi - -
Propiltiourasil tab 100 mg 70 110 180 - 180
Propranolol hcl tablet 10 mg 20 20 - 20
Ranitidin 150 mg 280 231 535 1,046 - 1046
Reserpin tablet 0, 25 mg - -
Retinol 100.000 IU - -
Retinol 200.000 IU - -
Ringer laktat larutan infus steril 180 180 - 180
Salbutamol tablet 2 mg 140 142 170 452 - 452
Salep 2 - 4 kombinasi - -
Salisil bedak 2 % 7 6 3 16 - 16
Salisil spiritus 10 % - -
Semen fosfat serbuk dan cairan - -
Sianokobalamin ( Vit.b 12 ) injeksi 2 2 - 2
Sianokobalamin tablet 1,165 680 850 2,695 - 2695
Silk no.3/0 3 3 - 3
Simvastatin 155 155 - 155
Tablet tambah darah kombinasi - -
Temporary stopping fletcher - -
Tetrasiklin hcl kapsul 25 120 65 40 225 - 225
Tetrasiklin hcl kapsul 500 mg - -
Tiamin hcl ( Vit.b1) injeksi - -
Tiamin hcl ( Vit.b1) tablet 1,398 850 950 3,198 - 3198
Triheksifenidil tablet 2 mg - -
Trireksol formalin ( tkf ) cairan - -
Urine bag - -
Vitamin b kompleks tablet 3,116 2,000 2,577 7,693 - 7693
Wing Needle 23G - -
Wing Needle 27G - -
Yodina Test - -
Yodium povidon lar.10% 30 ml - -
Yodium povidon lar.10% 300 ml - -
Zinc Tablet 20 mg 25 25 25 75 - 75
Amoropo Kaps - -
Amlodipin Kap 301 249 550 - 550
Ketokenazole Krim - -
Pospargin Tab - -
Stesolid Injeksi - -
Heksimer 2 mg Tablet 85 115 185 385 - 385
Pehacain Inj 9 9 - 9
Cefotaxime 1 g - - -

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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.

SALDO AWAL PENERIMAAN APRIL PERSEDIAAN PENGELUARAAN SISA STOK

TOTAL 8,962,286.71 ### ### ### ###

Cempa, April 2015

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

SALDO AWAL PENERIMAAN MEI PERSEDIAAN PENGELUARAAN SISA STOK

TOTAL ### ### ### ### ###

Cempa, Mei 2015

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

SALDO AWAL PENERIMAAN JUNI PERSEDIAAN PENGELUARAAN SISA STOK

TOTAL ### ### ### ### ###

Cempa, Juni 2015

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

PENERIMAAN TRIWULAN II PERSEDIAAN PENGELUARAAN

TOTAL ### ### ### ### ###

Cempa, Juni 2015

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

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