LAPORAN OBAT POSKESDES BULUH

Hasil Opname Persediaan Obat-Obatan Dinas Kesehatan

Pakpak Bharat per 31 Desember 201

Saldo pertanggal Opname 2013

No Nama Obat Kemasan
Fisik Harga Persatuan
1 Amoksisilin Kaplet 500 mg Kaplet 500 388.5
2 Amoksisilin Sirup kering 125 mg/ 5 ml Botol 10 3,885
3 Enervon C Tablet 1,818
4 Ampisisilin Sirup kering 125 mg/ 5 ml Botol 6 4,620
5 Ambroksol tablet 30 mg Kaplet 200 131.3
6 Amilopidin tablet 5 mg Tablet 0 1,008.0
7 Antasida Deon Tablet Kaplet 0 141.8
8 Antasida deon Suspensi Botol 0 4,025
9 Asam Ascorbat (Vit.C) tablet 50 mg Tablet 1000 28.875
10 Asam mefenamat 500 mg Tablet 0 185
11 Bisoprolol Tablet 5 mg Tablet 2,437.77
12 Cetrizen Tablet 10 mg Tablet 50 329.18
13 Dexamethason Tablet 0,5 mg Tablet 70.2
14 Dexamethason Injeksi 5 mg/ml Ampul 2,012.10
15 Domperidon Suspensi 5 mg/mg Botol 5 13,283.0
16 Domperidon Tablet 10 mg Tablet 200 424.0
17 Eritromisin Sirup Botol 1,776.0
18 Etakridine ( RIVANOL) Larutan 0,1 % Botol 1 1,890
19 Etanol 70 % Botol 0 26,250.0
20 Fitomenadion ( Vit K) Injeksi 10 mg/ml Ampul 2 1,827
21 Glukosa Larutan Infus 5 % Steril Botol 4 5,313
22 Hidrokortison krim 2,5 % Tube 10 2,609.0
23 Kalsium Lactat (kalk) Tablet 500 mg Tablet 1000 54.8
24 Kaptropil Tablet 12,5 mg Tablet 200 95.0
25 Klorfeniramin Maleat ( CTM) Tablet 4 mg Tablet 1000 26.0
26 Kotrimoksazole Tablet 480 mg Tablet 100 173.3
27 Kotrimoksazole Suspensi Botol 5 4,155
28 Lansoprazole Kapsul 30 mg Tablet 1,419.0
29 Moleksikam Tablet 15 mg Tablet 1,259
30 Metamphiron (Antalgin) Tablet 500 mg Tablet 500 143.9
31 Metil Ergometrin Maleat inj 0,02 mg Ampul 10 1,565.0
32 Metil Ergometrin Maleat inj 0,125 mg Tablet 0 127.0
33 Metronidazole Tablet 500 mg Tablet 400 231.0
34 Mikonazole krim / salep 2 % Tube 3,150
35 Natrium Klorida Larutan Infus 0,9 % Botol 5,145.0
36 Natrium Bicarbonat Tablet 500 mg Tablet 50 15.0
37 Natrium Diklofenak Tablet 25 mg Tablet 0 229.0
38 Nifedipin Tablet 10 mg Tablet 100 135.0
39 Obat Batuk Hitam ( OBH ) Cairan Botol 20 1,502.0
40 Obat Batuk Kombinasi ( Poncolin) Botol 5 18,000.0
41 Ofloxsasin Tablet 400 mg Tablet 50 917.0
42 Paracetamol Tablet 500 mg Tablet 500 110.3
43 Paracetamol sirup 120 mg/5 l Botol 10 2,415.0
44 Papaverin Tablet 40 mg Tablet 122.2
45 Pyridoksin ( vit.B6) tablet 10 mg Tablet 0 18.0
46 Ringer Laktat Larutan Infus Botol 0 5,460.0
47 Ranitidine Tablet 150 mg Tablet 100 231.0
48 Ranitidine inj 25 mg/ 2 ml Ampul 10 2,699.0
49 Salbutamol Tablet 2 mg Tablet 100 88.2
50 Sianokobalamin (Vit B12) injeksi Ampul 10 1,089.0
51 Salep 2-4 Kombinasi Pot 0 1,290.1
52 Sirup Multivitamin Anak Botol 5 15,000.0
53 Tiamin ( Vit B1) inj 100mg/ml Ampul 0 805.0
54 Vitamin B. Complek Tablet Tablet 1000 23.3
55 Infus Set Anak Buah 0 4,200.0
56 Infus Set Dewasa Buah 0 3,675.0
57 Kapas Pembalut/ absorben 250 gr Bungkus 0 7,875.0
58 Alat Suntik Sekali Pakai 2,5 ml Set 50 1,090.0
59 Alat Suntik Sekali Pakai 5 ml Set 0 1,037.0
60 Kasa Pembalut Hidrofil 4 x 5 Rol 2 303.5
61 Lysol Botol 1 25,000.0
Jumlah

Mengetahui,
Plt. Kepala Puskesmas Tinada

Sulastri Berutu, SKM

NIP. 19840623 200903 2 012
T POSKESDES BULUH TELLANG
bat-Obatan Dinas Kesehatan Dari DAK Kabupaten
harat per 31 Desember 2014

gal Opname 2013 Mutasi 1 Jan 2014 s/d per tanggal opname Saldo pertanggal
Jumlah (Rp) Bertambah Berkurang Dec-14
194,250 2800 1,087,800 2850 1,107,225.0 450 174,825.0
38,850 35 135,975 34 132,090.0 11 42,735.0
- 120 218,100 100 181,750.0 20 36,350.0
27,720 2 9,240 8 36,960.0 0 -
26,264 500 65,660 680 89,297.6 20 2,626.4
- 90 90,720 30 30,240.0 60 60,480.0
- 400 56,700 290 41,107.5 110 15,592.5
- 45 181,125 40 161,000.0 5 20,125.0
28,875 2000 57,750 900 25,987.5 2100 60,637.5
- 200 37,000 200 37,000 0 -
- 60 146,266.20 20 48,755.4 40 97,510.8
16,459 - 50 16,459.0 0 -
- 100 7,020 100 7,020.0
10 20,121 10 20,121.0
66,415 2 26,566 5 66,415.0 2 26,566.0
84,800 300 127,200 160 67,840.0 340 144,160.0
- 100 177,600 50 88,800.0 50 88,800.0
1,890 1 1,890 2 3,780.0 0 -
- 1 26,250 1 26,250.0 0 -
3,654 - 2 3,654.0 0 -
21,252 7 37,191 - 11 58,443.0
26,090 10 26,090 15 39,135.0 5 13,045.0
54,800 1000 54,800 1150 63,020.0 850 46,580.0
19,000 100 9,500 300 28,500 - -
26,000 4,000 104,000 3250 84,500.0 1750 45,500.0
17,325 300 51,975 270 46,777.5 130 22,522.5
20,775 10 41,550 12 49,860.0 3 12,465.0
- 80 113,520 50 70,950.0 30 42,570.0
- 250 314,750 180 226,620.0 70 88,130.0
71,925 700 100,695 830 119,395.5 370 53,224.5
15,650 5 7,825 - 15 23,475.0
- 100 12,700 70 8,890.0 30 3,810.0
92,400 200 46,200 510 117,810.0 90 20,790.0
- 6 18,900 6 18,900.0 0 -
- 3 15,435 1 5,145.0 2 10,290.0
751 - 50 750.8 0 -
- 100 22,900 100 22,900.0 0 -
 13,500 100 13,500 110 14,850.0 90 12,150.0
30,040 8 12,016 25 37,550.0 3 4,506.0
90,000 0 - 5 90,000.0 0 -
45,850 - 50 45,850.0 0 -
55,125 2200 242,550 2180 240,345.0 520 57,330.0
24,150 35 84,525 39 94,185.0 6 14,490.0
- 100 12,220 80 9,776.0 20 2,444.0
1000 18,000 450 8,100.0 550 9,900.0
- 6 32,760 3 16,380.0 3 16,380.0
23,100 600 138,600 610 140,910.0 90 20,790.0
26,990 40 107,960 45 121,455.0 5 13,495.0
8,823 100 8,823 90 7,940.7 110 9,705.3
10,890 25 27,225 30 32,670.0 5 5,445.0
- 12 15,481 5 6,450.4 7 9,030.6
75,000 5 75,000 10 150,000.0 0 -
- 3 2,415 3 2,415.0 0 -
23,310 1000 23,310 1170 27,272.7 830 19,347.3
- 4 16,800 - 4 16,800.0
- 1 3,675 1 3,675.0 0 -
- 1 7,875 1 7,875.0 0 -
54,500 135 147,150 170 185,300.0 15 16,350.0
- 40 41,480 15 15,555.0 25 25,925.0
607 - 2 607.0 0 -
25,000 1 25,000 2 50,000.0 0 -
1,362,030 4,507,379 4,404,067.6 1,465,341.4
5,869,409 5,869,408.9

Buluh Tellang , Januari 2015

Bidan Desa Buluh Tellang

Sevalina Br. Barus

NRPTT. 02.4.026975
 LAPORAN OBAT SANTAR JULU
Hasil Opname Persediaan Obat-Obatan Dinas Kesehatan Dari DAK Kabupaten
Pakpak Bharat per 31 Desember 2013

194,250
Saldo pertanggal Opname Mutasi 1 Jan 2013 s/d per tanggal opname
No Nama Obat Kemasan
Fisik Harga Persatuan Jumlah (Rp) Bertambah Berkurang
1 Amoksisilin Kaplet 500 mg Kaplet 500 388.5 194,250 2800 1,087,800 2900 1,126,650.0
2 Amoksisilin Sirup kering 125 mg/ 5 ml Botol 10 3,885 38,850 35 135,975 38 147,630.0
3 Ampisisilin Sirup kering 125 mg/ 5 ml Botol 6 4,620 27,720 2 9,240 7 32,340.0
4 Ambroksol tablet 30 mg Kaplet 200 131.3 26,269 500 65,673 680 89,314.6
5 Antasida Deon Tablet Kaplet - 141.8 - 400 56,700 300 42,525.0
6 Antasida deon Suspensi Botol - 4,025 - 45 181,125 42 169,050.0
7 Asam Ascorbat ( Vit C) Tablet 50 mg Tablet 1000 28.8 28,800 2000 57,600 1000 28,800.0
8 Asam Mefenamat Tablet 500 mg Tablet - 184.8 - 200 36,960 200 36,960.0
9 Cetrizen Tablet 10 mg Tablet 50 329.8 16,490 - - 50 16,490.0
10 Dexamethason Tablet 0,5 mg Tablet - 70.2 100 7,020 100 7,020.0
11 Dextrometrophan Sirup 10 mg/ 5 ml Botol 8 3,008 24,064 - - 8 24,064.0
12 Domperidon Suspensi 5 mg/mg Botol 5 13,283.0 66,415 - - 5 66,415.0
13 Domperidon Tablet 10 mg Tablet 200 423.8 84,760 - - 150 63,570.0
14 Etakridine ( RIVANOL) Larutan 0,1 % Botol 1 1,890 1,890 - - 1 1,890.0
15 Fitomenadion ( Vit K) Injeksi 10 mg/ml Ampul 2 1,827 3,654 - - 2 3,654.0
16 Glukosa Larutan Infus 5 % Steril Botol 4 5,313 21,252 7 37,191 - -
17 Hidrokortison krim 2,5 % Tube 10 2,608.6 26,086 - - 10 26,086.0
18 Kalsium Lactat (kalk) Tablet 500 mg Tablet 1000 54.8 54,800 1000 54,800 1000 54,800.0
19 Dextrometrophan Tablet 15 mg Tablet 100 11.5 1,150 - 100 1,150.0
20 Kaptropil Tblet 12,5 mg Tablet 200 94.5 18,900 100 9,450 300 28,350.0
21 Klorfeniramin Maleat ( CTM) Tablet 4 mg Tablet 1000 25.2 25,200 4000 100,800 3800 95,760.0
22 Kotrimoksazole Suspensi Botol 5 4,155 20,775 10 41,550 12 49,860.0
23 Lansoprazole Kapsul 30 mg Tablet - 1,418.9 - 80 113,512 60 85,134.0
24 Kotrimoksazole Tablet 480 mg Tablet 100 173.3 17,325 300 51,975 350 60,637.5
25 Moleksikam Tablet 15 mg Tablet - 1,259 - 250 314,740 150 188,844.0
26 Metamphiron (Antalgin) Tablet 500 mg Tablet 500 143.9 71,925 700 100,695 840 120,834.0
27 Metil Ergometrin Maleat inj 0,02 mg Ampul 10 1,564.5 15,645 5 7,823 - -
28 Metronidazole Tablet 500 mg Tablet 400 400.0 160,000 200 80,000 600 240,000.0
29 Natrium Bicarbonat Tablet 500 mg Tablet 50 15.0 751 - 50 750.8
30 Mikonazole krim / salep 2 % Tube - 3,150 - 6 18,900 6 18,900.0
31 Natrium Diklofenak Tablet 25 mg Tablet 228.6 - 100 22,856 100 22,856.0
32 Nifedipin Tablet 10 mg Tablet 100 135.5 13,545 100 13,545 120 16,254.0
33 Obat Batuk Hitam ( OBH ) Cairan Botol 20 1,502.0 30,040 8 12,016 20 30,040.0
34 Obat Batuk Kombinasi ( Poncolin) Botol 5 18,000.0 90,000 - 5 90,000.0
35 Ofloxsasin Tablet 400 mg Tablet 50 916.7 45,833 - 50 45,833.0
36 Paracetamol Tablet 500 mg Tablet 500 110.3 55,125 2200 242,550 2200 242,550.0
37 Paracetamol 120 mg/5 l Botol 10 2,415.0 24,150 35 84,525 40 96,600.0
38 Ringer Laktat Larutan Infus Botol - 5,460.0 - 6 32,760 4 21,840.0
39 Ranitidine Tablet 150 mg Tablet 100 231.0 23,100 600 138,600 640 147,840.0
40 Raninitidine inj 25 mg/ 2 ml Ampul 10 2,690.5 26,905 40 107,621 42 113,001.8
41 Salbutamol Tablet 2 mg Tablet 100 88.2 8,823 100 8,823 80 7,058.4
42 Sianocobalamin (Vit B12) inj. 500 mg Ampul 10 1,088.9 10,889 25 27,221 35 38,109.8
43 Sirup Multivitamin Anak Botol 5 15,000.0 75,000 5 75,000 10 150,000.0
44 Tiamin ( Vit B1) inj 100mg/ml Ampul 805.0 - 3 2,415 3 2,415.0
45 Vitamin B. Complek Tablet Tablet 1000 23.3 23,310 1000 23,310 2000 46,620.0
46 Infus Set Anak Buah 16,800.0 - 4 67,200 4 67,200.0
47 Infus Set Dewasa Buah 3,675.0 - 1 3,675 1 3,675.0
48 Kapas Pembalut/ absorben 250 gr Bungkus 7,875.0 - 1 7,875 1 7,875.0
49 Alat Suntik Sekali Pakai 2,5 ml Set 50 189.9 9,495 135 25,637 180 34,182.0
50 Kas Pembalut Hidrofil 4 x 5 Rol 2 303.5 607 - - 2 607.0
51 Lisol Botol 1 25,000.0 25,000 1 25,000 2 50,000.0
52 Salep 2-4 Kombinasi Pot 1,290.1 - 12 15,481 12 15,481.0
53 Salisil Bedak 2% Kotak 1,502.0 - 7 10,514 4 6,008.0
54 Alat Suntik Sekali Pakai 5 ml Set 1,037.0 - 40 41,480 40 41,480.0
55 Pyrodoksin ( Vit B6) Tab 10 mg Tablet 18.3 - 1000 18,270 -
56 Papaverin Tablet 40 mg Tablet 122.0 - 100 12,200 80 9,760.0
57 Nartium Klorida Larutan Infus 0,9 % Botol 5,145.0 - 3 15,435 1 5,145.0
58 Bisoprolol Tablet 5 mg Tablet 2,437.7 - 60 146,262 -
59 Amlodipin Tablet 5 mg Tablet 1,008.0 - 90 90,720 -
60 Eritromisin Tablet 500 mg Tablet 1,776.0 - 100 177,600 50 88,800.0
61 Etanol 70 % Botol 26,250.0 - 1 26,250 1 26,250.0
62 Metil Ergometrin Maleat inj 0,125 mg Tablet 127.1 - 100 12,705 70 8,893.5
63 Deksametason inj IV 5 mg/ml Ampul 2,012.1 - 10 20,121 10 20,121.0
Jumlah 1,408,792 4,077,195 4,283,974.3
5,485,987 5

Mengetahui, Santar Julu, 21 Maret 2014

Plt. Kepala Puskesmas Tinada Bidan Desa Santar Julu

Sulastri Berutu, SKM Lusy Estetika Manik

NIP. 19840623 200903 2 012 NRPTT. 02.4.047.138947
Saldo pertanggal
Desember 2013
400 155,400.0
7 27,195.0
1 4,620.0
20 2,626.9
100 14,175.0
3 12,075.0
2000 57,600.0
-
-
-
-
-
50 21,190.0
-
-
11 58,443.0
-
1000 54,800.0
-
0 -
1200 30,240.0
3 12,465.0
20 28,378.0
50 8,662.5
 100 125,896.0
360 51,786.0
15 23,467.5
0 -
-
-
0 -
80 10,836.0
8 12,016.0
-
-
500 55,125.0
5 12,075.0
2 10,920.0
60 13,860.0
8 21,524.2
120 10,587.6
0 -
0 -
0 -
0 -
0 -
0 -
0 -
5 949.5
- -
0 -
0 -
3 4,506.0
0 -
1000 18,270.0
20 2,440.0
2 10,290.0
 60 146,262.0
90 90,720.0
50 88,800.0
0 -
30 3,811.5
0 -
1,202,012.7
5,485,987.0

Santar Julu, 21 Maret 2014

Bidan Desa Santar Julu

Lusy Estetika Manik

NRPTT. 02.4.047.138947
 LAPORAN OBAT SANTAR JULU
Hasil Opname Persediaan Obat-Obatan Dinas Kesehatan Dari DAK Kabupaten
Pakpak Bharat per 31 Desember 2014

Saldo pertanggal Opname 2013 Mutasi 1 Jan 2014 s/d per tanggal opname Saldo pertanggal
No Nama Obat Kemasan
Fisik Harga Persatuan Jumlah (Rp) Bertambah Berkurang Dec-14
1 Amoksisilin Kaplet 500 mg Kaplet 400 250.0 100,000 2200 550,000 2200 550,000.0 400
2 Amoksisilin Sirup kering 125 mg/ 5 ml Botol 7 2,328 16,296 45 104,760 50 116,400.0 2
3 Enervon C Tablet 1,818 - 120 218,100 100 181,750.0 20
4 Ampisisilin Sirup kering 125 mg/ 5 ml Botol 1 4,620 4,620 1
5 Ambroksol tablet 30 mg Kaplet 20 87.4 1,748 300 26,220 290 25,346.0 30
6 Antasida Deon Tablet Kaplet 100 71.4 7,140 1800 128,520 1500 107,100.0 400
7 Antasida deon Suspensi Botol 3 2,550 7,650 20 51,000 23 58,650.0 0
8 Paracetamol Drop Botol 28.8 - 3 86 3 86.4 0
9 Omeparazol Tablet 162.7 - 120 19,524 100 16,270.0 20
10 Cetrizen Tablet 10 mg Tablet 236.0 - 150 35,400 150 35,400.0 0
11 Diafrom Tablet 134.3 - 500 67,150 250 33,575.0 250
12 Dexamethason Tablet 0,5 mg Tablet -
13 Lidokain Inj Ampul 1,360 - 20 27,200 - 20
14 Domperidon Suspensi 5 mg/mg Botol 3,687.0 - 20 73,740 20 73,740.0 0
15 Domperidon Tablet 10 mg Tablet 50 188.0 9,400 100 18,800 70 13,160.0 80
16 Etakridine ( RIVANOL) Larutan 0,1 % Botol 2,283 - 2 4,566 2 4,566.0 0
17 Fitomenadion ( Vit K) Injeksi 10 mg/ml Ampul 1,644 - 39 64,116 39
18 Glukosa Larutan Infus 5 % Steril Botol 11 5,579 61,369 2 11,158 - 13
19 Hidrokortison krim 2,5 % Tube 2,668.0 - 14 37,352 9 24,012.0 5
20 Eritromisin Sirup Botol 7,220.0 - 3 21,660 3 21,660.0 0
21 Kalsium Lactat (kalk) Tablet 500 mg Tablet 1000 54.8 54,800 - - 1000
22 Kaptropil Tablet 12,5 mg Tablet 0 76.0 - 300 22,800 190 14,440 110
23 Klorfeniramin Maleat ( CTM) Tablet 4 mg Tablet 1200 25.2 30,240 2,000 50,400 800 20,160.0 2400
24 Kotrimoksazole Suspensi Botol 3 2,100 6,300 10 21,000 10 21,000.0 3
25 Lansoprazole Kapsul 30 mg Tablet 20 514.0 10,280 80 41,120 50 25,700.0 50
26 Baby cough syrup Botol 8,470.0 - 25 211,750 25 211,750.0
27 Kotrimoksazole Tablet 480 mg Tablet 50 173.3 8,663 - - 50
28 Moleksikam Tablet 15 mg Tablet 100 234 23,400 300 70,200 120 28,080.0 280
29 Klorampenicol Tetes Telinga Botol 1,679 - 8 13,432 6 10,074.0 2
30 Metamphiron (Antalgin) Tablet 500 mg Tablet 360 143.9 51,786 - - 360
31 Metil Ergometrin Maleat inj 0,02 mg Ampul 15 1,564.5 23,468 - 15
32 Tramadol Tablet 192.2 - 10 1,922 10
33 Metronidazole Tablet 500 mg Tablet 0 171.0 - 500 85,500 300 51,300.0 200
34 Lysol Botol 29,975.0 - 1 29,975 1
35 Natrium Bicarbonat Tablet 500 mg Tablet 15.0 - - - 0
36 Mikonazole krim / salep 2 % Tube 3,150 - 18 56,700 15 47,250.0 3
37 Natrium Diklofenak Tablet 25 mg Tablet 0 220.0 - 100 22,000 60 13,200.0 40
38 Nifedipin Tablet 10 mg Tablet 80 135.5 10,836 - - 80
39 Betametason Krim 0,1 Tube 1,999.3 - 19 37,987 10 19,993.0 9
40 Obat Batuk Hitam ( OBH ) Cairan Botol 8 1,502.0 12,016 2 3,004 2 3,004.0 8
41 Obat Batuk Kombinasi ( Poncolin) Botol 16,940.0 - 14 237,160 14 237,160.0 0
42 Ofloxsasin Tablet 400 mg Tablet 687.0 - 450 309,150 250 171,750.0 200
43 Paracetamol Tablet 500 mg Tablet 500 110.3 55,125 1300 143,325 1500 165,375.0 300
44 Paracetamol 120 mg/5 l Botol 5 1,361.2 6,806 20 27,224 21 28,585.2 4
45 Ringer Laktat Larutan Infus Botol 2 5,460.0 10,920 8 43,680 4 21,840.0 6
46 Ranitidine Tablet 150 mg Tablet 60 119.0 7,140 200 23,800 240 28,560.0 20
47 Ranitidine inj 25 mg/ 2 ml Ampul 8 1,619.0 12,952 60 97,140 58 93,902.0 10
48 Ibufopen Tab Tablet 94.1 - 100 9,410 100 9,410.0 0
49 Salbutamol Tablet 2 mg Tablet 120 88.2 10,588 - 100 8,823.0 20
50 Sianocobalamin (Vit B12) inj. 500 mg Ampul 1,018.0 - 26 26,468 15 15,270.0 11
51 Sirup Multivitamin Anak Botol 0 17,050.0 - 12 204,600 12 204,600.0 0
52 Tiamin ( Vit B1) inj 100mg/ml Ampul 0 805.0 - - - 0
53 Camidon Inj Ampul 8,937.5 - 2 17,875 2 17,875.0
54 Vitamin B. Complek Tablet Tablet 0 23.3 - 1000 23,310 900 20,979.0 100
55 Infus Set Anak Buah 0 4,000.0 - 4 16,000 2 8,000.0 2
56 Infus Set Dewasa Buah 0 3,500.0 - 1 3,500 1 3,500.0 0
57 Kapas Pembalut/ absorben 250 gr Bungkus 0 7,875.0 - 0
58 Pirantel Tablet 327.0 - 60 19,620 20 6,540.0 40
59 Alat Suntik Sekali Pakai 2,5 ml Set 5 137.0 685 136 18,632 126 17,262.0 15
60 Neurobion Ampul 9,515.0 - 5 47,575 5 47,575.0
61 Kasa Pembalut Hidrofil 4 x 5 Rol 0 303.5 - - - 0
62 Loratadin Tablet 160.0 - 50 8,000 - 50
63 Salep 2-4 Kombinasi Pot 0 1,290.1 - 12 15,481 8 10,320.6 4
64 Salisil Bedak 2% Kotak 3 1,156.0 3,468 5 5,780 3 3,468.0 5
65 Alat Suntik Sekali Pakai 5 ml Set 0 1,037.0 - 40 41,480 40 41,480.0 0
66 Pyrodoksin ( Vit B6) Tab 10 mg Tablet 1000 18.3 18,270 2000 36,540 1400 25,578.0 1600
67 Papaverin Tablet 40 mg Tablet 20 122.2 2,444 100 12,220 100 12,220.0 20
68 Nartium Klorida Larutan Infus 0,9 % Botol 2 5,145.0 10,290 10 51,450 - 12
69 Bisoprolol Tablet 5 mg Tablet 511.0 - 60 30,660 - 60
70 Sianokobalamin (Vit B12) Tablet 140.0 - 200 28,000 150 21,000.0 50
71 Amlodipin Tablet 5 mg Tablet 90 1,008.0 90,720 - - 90
72 Eritromisin Tablet 500 mg Tablet 50 1,776.0 88,800 100 177,600 50 88,800.0 100
73 Ekstrabelladon Tablet 40.0 - 100 4,000 70 2,800.0 30
74 Etanol 70 % Botol 0 26,250.0 - - - 0
75 Metil Ergometrin Maleat inj 0,125 mg Tablet 30 127.1 3,812 100 12,705 70 8,893.5 60
76 Camidol Inj Ampul 7947.5 - 5 39,738 5 39,737.5
77 Deksametason inj IV 5 mg/ml Ampul 0 2,012.1 - - - 0
Jumlah 762,030 3,859,265 3,088,970.2
4,621,295 4,621,294.7

Mengetahui, Santar Julu, Januari 2015

Plt. Kepala Puskesmas Tinada Bidan Desa Santar Julu

Sulastri Berutu, SKM Lusy Estetika Manik

NIP. 19840623 200903 2 012 NRPTT. 02.4.047.138947
Saldo pertanggal
Dec-14
100,000.0
4,656.0
36,350.0
4,620.0
2,622.0
28,560.0
-
-
3,254.0
-
33,575.0

27,200.0
-
15,040.0
-
64,116.0
72,527.0
13,340.0
-
54,800.0
8,360
60,480.0
6,300.0
 25,700.0

8,662.5
65,520.0
3,358
51,786.0
23,467.5
1,922.0
34,200.0
29,975.0
-
9,450.0
8,800.0
10,836.0
17,993.7
12,016.0
-
137,400.0
33,075.0
5,444.8
32,760.0
2,380.0
16,190.0
-
1,764.6
11,198.0
-
-

2,331.0
8,000.0
-
-
 13,080.0
2,055.0

-
8,000.0
5,160.3
5,780.0
-
29,232.0
2,444.0
61,740.0
30,660.0
7,000.0
90,720.0
177,600.0
1,200.0
-
7,623.0

-
1,532,324.4
4,621,294.7
 LAPORAN OBAT SANTAR JEHE
Hasil Opname Persediaan Obat-Obatan Dinas Kesehatan Dari DAK Kabupaten
Pakpak Bharat per 31 Desember 2013

Saldo pertanggal Opname Mutasi 1 Jan 2013 s/d per tanggal opname Saldo pertanggal
No Nama Obat Kemasan
Fisik Harga Persatuan Jumlah (Rp) Bertambah Berkurang Desember 2013
1 Amoksisilin Kaplet 500 mg Kaplet 500 388.5 194,250 2800 1,087,800 2860 1,111,110.0 440
2 Amoksisilin Sirup kering 125 mg/ 5 ml Botol 10 3,885 38,850 35 135,975 34 132,090.0 11
3 Ampisisilin Sirup kering 125 mg/ 5 ml Botol 6 4,620 27,720 2 9,240 8 36,960.0 0
4 Ambroksol tablet 30 mg Kaplet 200 131.3 26,269 500 65,673 680 89,314.6 20
5 Amlodipin Tablet 5 mg Tablet 1,008.0 - 90 90,720 - 90
6 Antasida Deon Tablet Kaplet - 141.8 - 400 56,700 300 42,525.0 100
7 Antasida deon Suspensi Botol - 4,025 - 45 181,125 45 181,125.0 0
8 Asam Mefenamat Tablet 500 mg Tablet - 184.8 - 200 36,960 200 36,960.0
9 Asam Ascorbat ( Vit C) Tablet 50 mg Tablet 1000 28.8 28,800 2000 57,600 1000 28,800.0 2000
10 Bisoprolol Tablet 5 mg Tablet 2,437.7 - 60 146,262 - 60
11 Cetrizen Tablet 10 mg Tablet 50 329.8 16,490 - - 50 16,490.0
12 Dexamethason Tablet 0,5 mg Tablet - 70.2 100 7,020 100 7,020.0
13 Dextrometrophan Sirup 10 mg/ 5 ml Botol 8 3,008 24,064 - - 8 24,064.0
14 Dextrometrophan Tablet 15 mg Tablet 100 11.5 1,150 - 100 1,150.0
15 Domperidon Suspensi 5 mg/mg Botol 5 13,283.0 66,415 2 26,566 5 66,415.0 2
16 Domperidon Tablet 10 mg Tablet 200 423.8 84,760 300 127,140 160 67,808.0 340
17 Fitomenadion ( Vit K) Injeksi 10 mg/ml Ampul 2 1,827 3,654 - - 2 3,654.0
18 Glukosa Larutan Infus 5 % Steril Botol 4 5,313 21,252 7 37,191 - - 11
19 Hidrokortison krim 2,5 % Tube 10 2,608.6 26,086 10 26,086 15 39,129.0 5
20 Kalsium Lactat (kalk) Tablet 500 mg Tablet 1000 54.8 54,800 1000 54,800 1150 63,020.0 850
21 Kaptropil Tblet 12,5 mg Tablet 200 94.5 18,900 100 9,450 300 28,350.0 0
22 Klorfeniramin Maleat ( CTM) Tablet 4 mg Tablet 1000 25.2 25,200 400 10,080 1000 25,200.0 400
23 Kotrimoksazole Tablet 480 mg Tablet 100 173.3 17,325 300 51,975 270 46,777.5 130
24 Kotrimoksazole Suspensi Botol 5 4,155 20,775 10 41,550 12 49,860.0 3
25 Lansoprazole Kapsul 30 mg Tablet - 1,418.9 - 80 113,512 60 85,134.0 20
26 Moleksikam Tablet 15 mg Tablet - 1,259 - 250 314,740 150 188,844.0 100
27 Metamphiron (Antalgin) Tablet 500 mg Tablet 500 143.9 71,925 700 100,695 830 119,395.5 370
28 Metil Ergometrin Maleat inj 0,125 mg Ampul 10 1,564.5 15,645 5 7,823 - - 15
29 Metronidazole Tablet 500 mg Tablet 400 400.0 160,000 200 80,000 600 240,000.0 0
30 Natrium Bicarbonat Tablet 500 mg Tablet 50 15.0 751 - 50 750.8
31 Nartium Klorida Larutan Infus 0,9 % Botol 5,145.0 - 6 30,870 6 30,870.0 0
32 Natrium Diklofenak Tablet 25 mg Tablet 228.6 - 100 22,856 100 22,856.0 0
33 Nifedipin Tablet 10 mg Tablet 100 135.5 13,545 100 13,545 120 16,254.0 80
34 Obat Batuk Hitam ( OBH ) Cairan Botol 20 1,502.0 30,040 8 12,016 28 42,056.0 0
35 Obat Batuk Kombinasi ( Poncolin) Botol 5 18,000.0 90,000 - 5 90,000.0
36 Ofloxsasin Tablet 400 mg Tablet 50 916.7 45,833 - 50 45,833.0
37 Paracetamol Tablet 500 mg Tablet 500 110.3 55,125 2200 242,550 2170 239,242.5 530
38 Paracetamol Sirup 120 mg/5 l Botol 10 2,415.0 24,150 35 84,525 40 96,600.0 5
39 Ringer Laktat Larutan Infus Botol - 5,460.0 - 6 32,760 4 21,840.0 2
41 Raninitidine inj 25 mg/ 2 ml Ampul 10 2,690.5 26,905 40 107,621 45 121,073.4 5
40 Ranitidine Tablet 150 mg Tablet 100 231.0 23,100 600 138,600 600 138,600.0 100
42 Salbutamol Tablet 2 mg Tablet 100 88.2 8,823 100 8,823 80 7,058.4 120
43 Sianocobalamin (Vit B12) inj. 500 mg Ampul 10 1,088.9 10,889 25 27,221 30 32,665.5 5
44 Sirup Multivitamin Anak Botol 5 15,000.0 75,000 5 75,000 10 150,000.0 0
45 Tiamin ( Vit B1) inj 100mg/ml Ampul 805.0 - 3 2,415 3 2,415.0 0
46 Vitamin B. Complek Tablet Tablet 1000 23.3 23,310 1000 23,310 2000 46,620.0 0
47 Infus Set Anak Buah 16,800.0 - 4 67,200 4 67,200.0 0
48 Kapas Pembalut/ absorben 250 gr Bungkus 7,875.0 - 1 7,875 1 7,875.0 0
49 Alat Suntik Sekali Pakai 2,5 ml Set 50 189.9 9,495 - 30 5,697.0 20
50 Kas Pembalut Hidrofil 4 x 5 Rol 2 303.5 607 - - 2 607.0 -
51 Lisol Botol 1 25,000.0 25,000 1 25,000 2 50,000.0 0
52 Deksametason inj IV 5 mg/ml Ampul 2,012.1 - 10 20,121 10 20,121.0 0
53 Eritromisin Tablet 500 mg Tablet 1,776.0 - 100 177,600 50 88,800.0 50
54 Etakridine ( RIVANOL) Larutan 0,1 % Botol 1 1,890 1,890 1 1,890 2 3,780.0
55 Etanol 70 % Botol 26,250.0 - 1 26,250 1 26,250.0 0
56 Salep 2-4 Kombinasi Pot 1,290.1 - 12 15,481 12 15,481.0 0
57 Salisil Bedak 2% Kotak 1,502.0 - 7 10,514 4 6,008.0 3
58 Alat Suntik Sekali Pakai 5 ml Set 1,037.0 - 40 41,480 40 41,480.0 0
59 Pyrodoksin ( Vit B6) Tab 10 mg Tablet 18.3 - 1000 18,270 350 6,394.5 650
60 Papaverin Tablet 40 mg Tablet 122.0 - 100 12,200 80 9,760.0 20
61 Nartium Klorida Larutan Infus 0,9 % Botol 5,145.0 - 3 15,435 1 5,145.0 2
62 Mikonazole krim / salep 2 % Tube - 3,150 - 6 18,900 6 18,900.0
63 Infus Set Dewasa Buah 3,675.0 - 1 3,675 1 3,675.0 0
Jumlah 1,408,792 4,160,685 4,213,103.6
5,569,477 5,569,4
-

Mengetahui, Santar Julu, 21 Maret 2014

Plt. Kepala Puskesmas Tinada Bidan Desa Santar Jehe

Sulastri Berutu, SKM Sondang Sidabutar

NIP. 19840623 200903 2 012 NIP.
Saldo pertanggal
Desember 2013
170,940.0
42,735.0
-
2,626.9
90,720.0
14,175.0
-
-
57,600.0
146,262.0
-
-
-
-
26,566.0
144,092.0
-
58,443.0
13,043.0
46,580.0
-
10,080.0
22,522.5
12,465.0
28,378.0
125,896.0
53,224.5
23,467.5
-
-
-
-
10,836.0
-
-
-
58,432.5
12,075.0
10,920.0
13,452.6
23,100.0
10,587.6
5,444.3
-
-
-
-
-
3,798.0
-
-
-
88,800.0
-
-
-
4,506.0
-
 11,875.5
2,440.0
10,290.0
-
-
1,356,373.9
5,569,477.5
 LAPORAN OBAT POSKESDES BULUH
Hasil Opname Persediaan Obat-Obatan Dinas Kesehatan
Pakpak Bharat per 31 Desember 201

Saldo pertanggal Opname 2013

No Nama Obat Kemasan
Fisik Harga Persatuan
1 Amoksisilin Kaplet 500 mg Kaplet 500 388.5
2 Amoksisilin Sirup kering 125 mg/ 5 ml Botol 10 3,885
3 Enervon C Tablet 1,818
4 Ampisisilin Sirup kering 125 mg/ 5 ml Botol 6 4,620
5 Ambroksol tablet 30 mg Kaplet 200 131.3
6 Amilopidin tablet 5 mg Tablet 0 1,008.0
7 Antasida Deon Tablet Kaplet 0 141.8
8 Antasida deon Suspensi Botol 0 4,025
9 Asam Ascorbat (Vit.C) tablet 50 mg Tablet 1000 28.875
10 Asam mefenamat 500 mg Tablet 0 185
11 Bisoprolol Tablet 5 mg Tablet 2,437.77
12 Cetrizen Tablet 10 mg Tablet 50 329.18
13 Dexamethason Tablet 0,5 mg Tablet 70.2
14 Dexamethason Injeksi 5 mg/ml Ampul 2,012.10
15 Domperidon Suspensi 5 mg/mg Botol 5 13,283.0
16 Domperidon Tablet 10 mg Tablet 200 424.0
17 Eritromisin Sirup Botol 1,776.0
18 Etakridine ( RIVANOL) Larutan 0,1 % Botol 1 1,890
19 Etanol 70 % Botol 0 26,250.0
20 Fitomenadion ( Vit K) Injeksi 10 mg/ml Ampul 2 1,827
21 Glukosa Larutan Infus 5 % Steril Botol 4 5,313
22 Hidrokortison krim 2,5 % Tube 10 2,609.0
23 Kalsium Lactat (kalk) Tablet 500 mg Tablet 1000 54.8
24 Kaptropil Tablet 12,5 mg Tablet 200 95.0
25 Klorfeniramin Maleat ( CTM) Tablet 4 mg Tablet 1000 26.0
26 Kotrimoksazole Tablet 480 mg Tablet 100 173.3
27 Kotrimoksazole Suspensi Botol 5 4,155
28 Lansoprazole Kapsul 30 mg Tablet 1,419.0
29 Moleksikam Tablet 15 mg Tablet 1,259
30 Metamphiron (Antalgin) Tablet 500 mg Tablet 500 143.9
31 Metil Ergometrin Maleat inj 0,02 mg Ampul 10 1,565.0
32 Metil Ergometrin Maleat inj 0,125 mg Tablet 0 127.0
33 Metronidazole Tablet 500 mg Tablet 400 231.0
34 Mikonazole krim / salep 2 % Tube 3,150
35 Natrium Klorida Larutan Infus 0,9 % Botol 5,145.0
36 Natrium Bicarbonat Tablet 500 mg Tablet 50 15.0
37 Natrium Diklofenak Tablet 25 mg Tablet 0 229.0
38 Nifedipin Tablet 10 mg Tablet 100 135.0
39 Obat Batuk Hitam ( OBH ) Cairan Botol 20 1,502.0
40 Obat Batuk Kombinasi ( Poncolin) Botol 5 18,000.0
41 Ofloxsasin Tablet 400 mg Tablet 50 917.0
42 Paracetamol Tablet 500 mg Tablet 500 110.3
43 Paracetamol sirup 120 mg/5 l Botol 10 2,415.0
44 Papaverin Tablet 40 mg Tablet 122.2
45 Pyridoksin ( vit.B6) tablet 10 mg Tablet 0 18.0
46 Ringer Laktat Larutan Infus Botol 0 5,460.0
47 Ranitidine Tablet 150 mg Tablet 100 231.0
48 Ranitidine inj 25 mg/ 2 ml Ampul 10 2,699.0
49 Salbutamol Tablet 2 mg Tablet 100 88.2
50 Sianokobalamin (Vit B12) injeksi Ampul 10 1,089.0
51 Salep 2-4 Kombinasi Pot 0 1,290.1
52 Sirup Multivitamin Anak Botol 5 15,000.0
53 Tiamin ( Vit B1) inj 100mg/ml Ampul 0 805.0
54 Vitamin B. Complek Tablet Tablet 1000 23.3
55 Infus Set Anak Buah 0 4,200.0
56 Infus Set Dewasa Buah 0 3,675.0
57 Kapas Pembalut/ absorben 250 gr Bungkus 0 7,875.0
58 Alat Suntik Sekali Pakai 2,5 ml Set 50 1,090.0
59 Alat Suntik Sekali Pakai 5 ml Set 0 1,037.0
60 Kasa Pembalut Hidrofil 4 x 5 Rol 2 303.5
61 Lysol Botol 1 25,000.0
Jumlah

Mengetahui,
Plt. Kepala Puskesmas Tinada

Sulastri Berutu, SKM

NIP. 19840623 200903 2 012
T POSKESDES BULUH TELLANG
bat-Obatan Dinas Kesehatan Dari DAK Kabupaten
harat per 31 Desember 2014

gal Opname 2013 Mutasi 1 Jan 2014 s/d per tanggal opname Saldo pertanggal
Jumlah (Rp) Bertambah Berkurang Dec-14
194,250 2800 1,087,800 2850 1,107,225.0 450 174,825.0
38,850 35 135,975 34 132,090.0 11 42,735.0
- 120 218,100 100 181,750.0 20 36,350.0
27,720 2 9,240 8 36,960.0 0 -
26,264 500 65,660 680 89,297.6 20 2,626.4
- 90 90,720 30 30,240.0 60 60,480.0
- 400 56,700 290 41,107.5 110 15,592.5
- 45 181,125 40 161,000.0 5 20,125.0
28,875 2000 57,750 900 25,987.5 2100 60,637.5
- 200 37,000 200 37,000 0 -
- 60 146,266.20 20 48,755.4 40 97,510.8
16,459 - 50 16,459.0 0 -
- 100 7,020 100 7,020.0
10 20,121 10 20,121.0
66,415 2 26,566 5 66,415.0 2 26,566.0
84,800 300 127,200 160 67,840.0 340 144,160.0
- 100 177,600 50 88,800.0 50 88,800.0
1,890 1 1,890 2 3,780.0 0 -
- 1 26,250 1 26,250.0 0 -
3,654 - 2 3,654.0 0 -
21,252 7 37,191 - 11 58,443.0
26,090 10 26,090 15 39,135.0 5 13,045.0
54,800 1000 54,800 1150 63,020.0 850 46,580.0
19,000 100 9,500 300 28,500 - -
26,000 4,000 104,000 3250 84,500.0 1750 45,500.0
17,325 300 51,975 270 46,777.5 130 22,522.5
20,775 10 41,550 12 49,860.0 3 12,465.0
- 80 113,520 50 70,950.0 30 42,570.0
- 250 314,750 180 226,620.0 70 88,130.0
71,925 700 100,695 830 119,395.5 370 53,224.5
15,650 5 7,825 - 15 23,475.0
- 100 12,700 70 8,890.0 30 3,810.0
92,400 200 46,200 510 117,810.0 90 20,790.0
- 6 18,900 6 18,900.0 0 -
- 3 15,435 1 5,145.0 2 10,290.0
751 - 50 750.8 0 -
- 100 22,900 100 22,900.0 0 -
 13,500 100 13,500 110 14,850.0 90 12,150.0
30,040 8 12,016 25 37,550.0 3 4,506.0
90,000 0 - 5 90,000.0 0 -
45,850 - 50 45,850.0 0 -
55,125 2200 242,550 2180 240,345.0 520 57,330.0
24,150 35 84,525 39 94,185.0 6 14,490.0
- 100 12,220 80 9,776.0 20 2,444.0
1000 18,000 450 8,100.0 550 9,900.0
- 6 32,760 3 16,380.0 3 16,380.0
23,100 600 138,600 610 140,910.0 90 20,790.0
26,990 40 107,960 45 121,455.0 5 13,495.0
8,823 100 8,823 90 7,940.7 110 9,705.3
10,890 25 27,225 30 32,670.0 5 5,445.0
- 12 15,481 5 6,450.4 7 9,030.6
75,000 5 75,000 10 150,000.0 0 -
- 3 2,415 3 2,415.0 0 -
23,310 1000 23,310 1170 27,272.7 830 19,347.3
- 4 16,800 - 4 16,800.0
- 1 3,675 1 3,675.0 0 -
- 1 7,875 1 7,875.0 0 -
54,500 135 147,150 170 185,300.0 15 16,350.0
- 40 41,480 15 15,555.0 25 25,925.0
607 - 2 607.0 0 -
25,000 1 25,000 2 50,000.0 0 -
1,362,030 4,507,379 4,404,067.6 1,465,341.4
5,869,409 5,869,408.9

Buluh Tellang , Januari 2015

Bidan Desa Buluh Tellang

Sevalina Br. Barus

NRPTT. 02.4.026975