REKAP PENERIMAAN LOGISTIK TB TAHUN 2023

HARGA TOTAL HARGA

NO NAMA OBAT SATUAN Nov Des TOTAL PENGELUA HARGA
SATUAN Okt PENERIMAAN RAN PENGELUARAN SISA HARGA SISA
1 TUBERKULIN PPD RT 23 SSI VIAL Rp 608,280 2.00 2 Rp 1,216,560 Rp - Rp -
2 OAT KATEGORI ANAK PAKET Rp 314,241 0 Rp - Rp - Rp -
4.2 CATRIDGE TCM PCS Rp 160,000 0 Rp - Rp - Rp -
5 OAT KATEGORI 1(HARIAN) PAKET Rp 548,865 0 Rp - Rp - Rp -
5.4 OAT KATEGORI 1(HARIAN) PAKET Rp 530,025 10.00 10.00 20 Rp 10,600,500 Rp - 8 Rp 4,240,200
RIFAPENTIN 150 mg (TPT) TABLET Rp 5,525 288.00 288 Rp 1,591,200 Rp - 324 Rp 1,790,100
INH 300 mg TABLET Rp 400 144.00 144 Rp 57,600 Rp - 0 Rp -
REAGEN ZN KIT Rp 180,400 2.00 2 Rp 360,800 Rp - 0 Rp -
POT DAHAK STERIL PCS Rp 2,200 50.00 50 Rp 110,000 Rp - 0 Rp -
CARTRIDGE ULTRA 50 PCS Rp 167,000 242.00 242 Rp 40,414,000 Rp - Rp -
MASKER N95 WEGEN BOX Rp 240,000 20.00 20 Rp 4,800,000 Rp - 0 Rp -
5.8 TUBERKULIN PPD RT 23 SSI VIAL Rp 833,333 3.00 3 Rp 2,499,998 Rp - 0 Rp -
TOTAL Rp 61,650,658 Rp - Rp 6,030,300

Tangerang Selatan, 11 Oktober 2023

Petugas Farmasi

Citra Lilis A,. S.Farm., Apt.

No Nama Obat Satuan

1 Diazepam 5mg injeksi Box

2 Triheksifenidil 2 mg Kotak
3 Clozapine 25 mg Kotak
4 Risperidone 2 mg Kotak
5 Haloperidol 5 mg Kotak
6 Carbamazepine 200 mg Kotak
7 Diazepam 5 mg Kotak
8
TOTAL
 Harga Satuan Total Total Harga PENGELU
OKT NOV DES ARAN
(Rp) Penerimaan Penerimaan

Rp 15,450.00 2 2 4 Rp 61,800.00 -10

Rp 9,100.00 3 10 13 Rp 118,300.00
Rp 23,650.00 20 10 30 Rp 709,500.00
Rp 12,300.00 3 10 13 Rp 159,900.00
Rp 5,400.00 10 10 Rp 54,000.00
Rp 24,500.00 1 1 Rp 24,500.00
Rp 10,800.00 2 2 Rp 21,600.00
0 Rp -
TOTAL Rp 1,149,600.00

45
 HARGA
SISA HARGA SISA
PENGELUARAN

-Rp 154,500.00 14 Rp 216,300.00

Rp - 14 Rp 127,400.00
Rp - 45 ###
Rp - 16 Rp 196,800.00
Rp - 20 Rp 108,000.00
Rp - 1 Rp 24,500.00
Rp - 2 Rp 21,600.00
Rp - Rp -
No Nama Obat Satuan

1 Vaksin Rabies vial

2 Vaksin HBIG Pcs
3 Hepatitis-B Dewasa Syringe
4 ABATE kg
5 Rapid Test Anti HCV Test
6
7
8
TOTAL
 Harga Satuan Total Total Harga
OKT NOV DES
(Rp) Penerimaan Penerimaan

Rp 154,790.00 18 18 Rp 2,786,220.00
Rp 1,375,000.00 1 1 Rp 1,375,000.00
Rp 51,351.00 117 117 Rp 6,008,067.00
Rp 71,500.00 2 2 Rp 143,000.00
Rp 6,332.00 50 50 Rp 316,600.00
0 Rp -
0 Rp -
0 Rp -
TOTAL Rp 10,628,887.00
PENGELUARAN HARGA PENGELUARAN SISA HARGA SISA

9 Rp 1,393,110.00 9 Rp 1,393,110.00
1 Rp 1,375,000.00 0 Rp -
78 Rp 4,005,378.00 39 Rp 2,002,689.00
2 Rp 143,000.00 0 Rp -
50 Rp 316,600.00 0 Rp -
0 Rp - 0 Rp -
0 Rp - 0 Rp -
0 Rp - 0 Rp -
Rp 7,233,088.00 Rp 3,395,799.00
 STOK
AWAL Harga Satuan
OKTOB No Jenis Vaksin Okt Nov
(Rp)
ER

1 HB0 Rp 23,490.00 400 300

2 BCG Rp 88,891.00 25 30
3 PELARUT BCG Rp - 25 30
4 POLIO Rp 19,540.00 52 50
5 DROPPER Rp - 60 50
6 DPT HB-HIB Rp 77,366.00 40
7 IPV Rp 144,540.00 35 30
8 MR Rp 152,600.00 20 30
9 PELARUT MR Rp - 20 30
10 ADS 0.5 ML (COVID) Rp 1,185.00 100 200
11 PCV Rp 190,657.00 80 50
TOTAL

11 ADS 0.5 (BIAS) Rp 1,190.00 1966

12 DT (BIAS) Rp 36,153.00 89
13 TD (BIAS) Rp 29,279.00 157
14 ROTAVIRUS Rp 225,000.00 20
15 DROPPER ROTAVIRUS Rp -
16 MR (BIAS) Rp 152,600.00
17 MR PELARUT (BIAS) Rp -
18 SB (BIAS) Rp 22,433.00 20
TOTAL
 R

Total Total Harga

Des TOTAL PERSEDIAAN
Penerimaan Penerimaan

100 800 Rp 18,792,000.00 800

20 75 Rp 6,666,825.00 75
20 75 Rp - 75
50 152 Rp 2,970,080.00 152
50 160 Rp - 160
40 Rp 3,094,640.00 40
20 85 Rp 12,285,900.00 85
50 Rp 7,630,000.00 50
50 Rp - 50
300 Rp 355,500.00 300
30 160 Rp 30,505,120.00 160
Rp 82,300,065.00

1966 Rp 2,339,540.00 1966

89 Rp 3,217,617.00 89
157 Rp 4,596,803.00 157
20 40 Rp 9,000,000.00 40
20 20 Rp - 20
20 20 Rp 3,052,000.00 20
20 20 Rp - 20
20 Rp 448,660.00 20
Rp 22,654,620.00
 REKAP PENERIMAAN VAKSIN

PENGELUARAN

TOTAL
TOTAL HARGA PEMAKAIA
TOTAL HARGA
OKT NOV DES PEMAKAIAN
PERSEDIAAN N

Rp 18,792,000.00 0 Rp -
Rp 6,666,825.00 Rp - Rp -
Rp - Rp - Rp -
Rp 2,970,080.00 Rp - Rp -
Rp - Rp - Rp -
Rp 3,094,640.00 Rp - Rp -
Rp 12,285,900.00 Rp - Rp -
Rp 7,630,000.00 Rp - Rp -
Rp - Rp - Rp -
Rp 355,500.00 Rp - Rp -
Rp 30,505,120.00 Rp - Rp -
Rp -
Rp -
Rp 2,339,540.00 Rp - Rp -
Rp 3,217,617.00 Rp - Rp -
Rp 4,596,803.00 Rp - Rp -
Rp 9,000,000.00 Rp - Rp -
Rp - Rp - Rp -
Rp 3,052,000.00 Rp - Rp -
Rp - Rp - Rp -
Rp 448,660.00 Rp - Rp -
Rp 22,654,620.00 Rp -
 SISA HARGA SISA

800 Rp 18,792,000.00
Rp 75.00 Rp 6,666,825.00
Rp 75.00 Rp -
Rp152.00 Rp 2,970,080.00
Rp160.00 Rp -
Rp 40.00 Rp 3,094,640.00
Rp 85.00 Rp 12,285,900.00
Rp 50.00 Rp 7,630,000.00
Rp 50.00 Rp -
Rp300.00 Rp 355,500.00
Rp160.00 Rp 30,505,120.00

### Rp 2,339,540.00
Rp 89.00 Rp 3,217,617.00
Rp157.00 Rp 4,596,803.00
Rp 40.00 Rp 9,000,000.00
Rp 20.00 Rp -
Rp 20.00 Rp 3,052,000.00
Rp 20.00 Rp -
Rp 20.00 Rp 448,660.00
###
Total Penerimaan Vaksin Rutin Rp 82,300,065.00
Total Penerimaan Vaksin BIAS Rp 22,654,620.00
TOTAL Rp 104,954,685.00

..
No Nama Obat Satuan

1 Kombipak Paket
2 Rapid HIV Standar Q HIV 1/2 AB-3 Line Test
3 Rapid 3 Anti-HIV 1/2 Test
4 Rapid 1 HIV (ViroCheck) Test
5 Rapid Duo HIV/ Sifilis Combo Test
6 Tabung tutup ulir/cryotube 2ml Pcs
7 TLE Botol
8 TLD Botol
9 TLD Botol
10 TLD Botol
11 Xpert HIV- Viral Load Test
11 Benzatin Penicilin Vial
TOTAL
 Harga Satuan Total Total Harga
OKT NOV DES
(Rp) Penerimaan Penerimaan

Rp 31,231.00 0 Rp -
Rp 10,300.00 0 Rp -
Rp 11,440.00 0 Rp -
Rp 8,391.00 0 Rp -
Rp 17,499.00 0 Rp -
Rp 2,057.94 0 Rp -
Rp 204,000.00 61 66 127 Rp 25,908,000.00
Rp 90,000.00 0 Rp -
Rp 85,800.00 0 Rp -
Rp 84,150.00 127 43 170 Rp 14,305,500.00
Rp 396,500.00 30 30 Rp 11,895,000.00
Rp 14,430.00 0 Rp -
TOTAL Rp 52,108,500.00
PENGELUARA
HARGA PENGELUARAN SISA HARGA SISA
N TW 4

0 Rp - Rp -
0 Rp - Rp -
0 Rp - Rp -
0 Rp - Rp -
0 Rp - Rp -
0 Rp - Rp -
76 Rp 15,504,000.00 51 Rp 10,404,000.00
0 Rp - Rp -
0 Rp - Rp -
59 Rp 4,964,850.00 111 Rp 9,340,650.00
30 Rp 11,895,000.00 0 Rp -
0 Rp - Rp -
Rp 32,363,850.00 Rp 19,744,650.00
No

1
2
3
4
5
6
7
8
9
10
11
TOT
 Nama Obat Satuan

Diazepam Injeksi 5 mg/ml (PROGRAM KESGA) Pcs

Oksitosin Injeksi 10 IU/ml (PROGRAM KESGA) Ampul
Metilergometrin Maleat Injeksi 0.2 mg/ml (PROGRAM KESGA) Ampul
Magnesium Sulfat Injeksi 40% (PROGRAM KESGA) Ampul
Magnesium Sulfat Injeksi 20% (PROGRAM KESGA) Ampul
Kalsium Glukonas Injeksi 10% (PROGRAM KESGA) Ampul
Metronidazole Infus 5 mg/ml (PROGRAM KESGA) Ampul
Fitomenadion (Vit K1) Injeksi 2mg/ml (PROGRAM KESGA) Ampul
Oksitetrasiklin HCl salep mata (PROGRAM KESGA) Tube
Gentamisin Injeksi 40 mg/ml (PROGRAM KESGA) Ampul
Levotiroksin 100 mcg (PROGRAM KESGA) Tablet
TOTAL
 Harga Satuan Total Total Harga PENGELU
OKT NOV DES ARAN
(Rp) Penerimaan Penerimaan

Rp 1,545.00 20 20 Rp 30,900.00 0
Rp 3,200.00 20 20 Rp 64,000.00 20
Rp 2,050.00 33 33 Rp 67,650.00 0
Rp 5,600.00 6 6 Rp 33,600.00 6
Rp 4,900.00 82 82 Rp 401,800.00 14
Rp 10,800.00 15 15 Rp 162,000.00 0
Rp 13,000.00 60 60 Rp 780,000.00 0
Rp 2,775.00 350 350 Rp 971,250.00 50
Rp 5,934.00 150 150 Rp 890,100.00 50
Rp 2,883.00 100 100 Rp 288,300.00 10
Rp 777.00 150 150 Rp 116,550.00 0
L Rp 3,806,150.00
HARGA PENGELUARAN SISA HARGA SISA

Rp - 20 Rp 30,900.00
Rp 64,000.00 0 Rp -
Rp - 33 Rp 67,650.00
Rp 33,600.00 0 Rp -
Rp 68,600.00 68 Rp 333,200.00
Rp - 15 Rp 162,000.00
Rp - 60 Rp 780,000.00
Rp 138,750.00 300 Rp 832,500.00
Rp 296,700.00 100 Rp 593,400.00
Rp 28,830.00 90 Rp 259,470.00
Rp - 150 Rp 116,550.00
Rp 630,480.00 Rp 3,175,670.00