Wa0010

KERTAS KERJA PERSEDIAAN BAHAN OBAT - OBATAN
UPT PUSKESMAS DAU

BULAN: JANUARI TAHUN ANGGARAN 2018
Saldo Awal Bulan Mutasi Tambah Mutasi Kurang

NO JENIS BARANG Jumlah Harga Satuan Jumlah Jumlah Harga Satuan Jumlah Jumlah Harga Satuan Jumlah
Barang ( Rp. ) ( Rp. ) Barang ( Rp. ) ( Rp. ) Barang ( Rp. ) ( Rp. )
1 2 3 Rp 4.00 5=3x4 6 Rp 7.00 8=6x7 9 Rp 10.00 11=9x10
a. Tablet/Kapsul
1 Adalat Oros 20 mg 1702 Rp 3,255.00 Rp 5,540,010.00 0 Rp 3,255.00 Rp - 178 Rp 3,255.00 Rp 579,390.00
2 Alopurinol 100 mg 1811 Rp 86.00 Rp 155,746.00 0 Rp 86.00 Rp - 368 Rp 86.00 Rp 31,648.00
3 Alopurinol 300 mg 1500 Rp 200.00 Rp 300,000.00 0 Rp 200.00 Rp - 0 Rp 200.00 Rp -
4 Ambroxol 30 mg 5387 Rp 113.00 Rp 608,731.00 0 Rp 113.00 Rp - 100 Rp 113.00 Rp 11,300.00
5 Amlodipin 5 mg 0 Rp 105.00 Rp - 0 Rp 105.00 Rp - 0 Rp 105.00 Rp -
6 Aminofilina 200 mg 500 Rp 80.00 Rp 40,000.00 0 Rp 80.00 Rp - 50 Rp 80.00 Rp 4,000.00
7 Amoksilin 250 mg 0 Rp 195.00 Rp - 0 Rp 195.00 Rp - 0 Rp 195.00 Rp -
8 Amoksilin 500 mg 20223 Rp 261.00 Rp 5,278,203.00 0 Rp 261.00 Rp - 3603 Rp 261.00 Rp 940,383.00
9 Antalgin 500 mg 0 Rp 145.00 Rp - 0 Rp 145.00 Rp - 0 Rp 145.00 Rp -
10 Antasida (MgOH 200mg+AlOH
200mg) 9624 Rp 62.00 Rp 596,688.00 0 Rp 62.00 Rp - 2585 Rp 62.00 Rp 160,270.00
Anti Hemoroid (Bismut
11 subgallat150mg+Heksaklorofen2,5m
g) 150 Rp 3,045.00 Rp 456,750.00 0 Rp 3,045.00 Rp - 11 Rp 3,045.00 Rp 33,495.00
12 Antimigran (Ergotamin Tartrat 1mg +
Kofein 50mg) 0 Rp 135.00 Rp - 0 Rp 135.00 Rp - 0 Rp 135.00 Rp -
13 Asam Askorbat ( Vit C ) 50 mg 582 Rp 95.00 Rp 55,290.00 0 Rp 95.00 Rp - 450 Rp 95.00 Rp 42,750.00
14 Asam Askorbat (Vit C) 250 mg 0 Rp 135.00 Rp - 0 Rp 135.00 Rp - 0 Rp 135.00 Rp -
15 Asam folat 1 mg 110 Rp 48.00 Rp 5,280.00 0 Rp 48.00 Rp - 0 Rp 48.00 Rp -
16 Asam mefenamat 500mg 26594 Rp 106.00 Rp 2,818,964.00 0 Rp 106.00 Rp - 2500 Rp 106.00 Rp 265,000.00
17 Asetosal 100 mg 543 Rp 148.00 Rp 80,364.00 0 Rp 148.00 Rp - 160 Rp 148.00 Rp 23,680.00
18 Asiklovir 200mg 0 Rp 237.00 Rp - 0 Rp 237.00 Rp - 0 Rp 237.00 Rp -
19 Asiklovir 400mg 2546 Rp 349.00 Rp 888,554.00 0 Rp 349.00 Rp - 230 Rp 349.00 Rp 80,270.00
20 Betahistin mesilat 5 mg 3480 Rp 149.00 Rp 518,520.00 0 Rp 149.00 Rp - 387 Rp 149.00 Rp 57,663.00
21 Bisoprolol tablet 5 mg 500 Rp 330.00 Rp 165,000.00 0 Rp 330.00 Rp - 200 Rp 330.00 Rp 66,000.00
22 Cetirizin 10mg 503 Rp 181.00 Rp 91,043.00 0 Rp 181.00 Rp - 503 Rp 181.00 Rp 91,043.00
23 Deksametason 0,5 mg 31198 Rp 44.00 Rp 1,372,712.00 0 Rp 44.00 Rp - 3176 Rp 44.00 Rp 139,744.00
24 Digoksin 0,25 mg 1235 Rp 97.00 Rp 119,795.00 0 Rp 97.00 Rp - 200 Rp 97.00 Rp 19,400.00
25 Diltiazem 30 mg 0 Rp 134.00 Rp - 0 Rp 134.00 Rp - 0 Rp 134.00 Rp -
26 Dimenhidrinat tablet 50mg 2000 Rp 104.00 Rp 208,000.00 0 Rp 104.00 Rp - 10 Rp 104.00 Rp 1,040.00
27 Doksisiklin 100mg 0 Rp 270.00 Rp - 0 Rp 270.00 Rp - 0 Rp 270.00 Rp -
28 Domperidon tablet 10 mg 2816 Rp 167.00 Rp 470,272.00 0 Rp 167.00 Rp - 487 Rp 167.00 Rp 81,329.00
29 Efedrin HCL 25 mg 0 Rp 47.00 Rp - 0 Rp 47.00 Rp - 0 Rp 47.00 Rp -
30 Eritromisin 500mg 7744 Rp 730.00 Rp 5,653,120.00 0 Rp 730.00 Rp - 862 Rp 730.00 Rp 629,260.00
31 Fitomenadion (Vit K1) 10mg 1610 Rp 630.00 Rp 1,014,300.00 0 Rp 630.00 Rp - 240 Rp 630.00 Rp 151,200.00
32 Furosemid 40 mg 1274 Rp 85.00 Rp 108,290.00 0 Rp 85.00 Rp - 311 Rp 85.00 Rp 26,435.00
33 Glibenklamid 5 mg 5120 Rp 56.00 Rp 286,720.00 0 Rp 56.00 Rp - 190 Rp 56.00 Rp 10,640.00
34 Glimepiride tablet 2 mg 1777 Rp 436.00 Rp 774,772.00 0 Rp 436.00 Rp - 75 Rp 436.00 Rp 32,700.00
35 Gliseril Guaiakolat 100 mg 39248 Rp 98.00 Rp 3,846,304.00 0 Rp 98.00 Rp - 3961 Rp 98.00 Rp 388,178.00
36 Griseofulvin 125 mg 0 Rp 209.00 Rp - 0 Rp 209.00 Rp - 0 Rp 209.00 Rp -
37 Hidroklorotiazid (HCT) 25 mg 1500 Rp 149.00 Rp 223,500.00 0 Rp 149.00 Rp - 113 Rp 149.00 Rp 16,837.00
38 Hyosin N Butilbromida 10mg 629 Rp 395.00 Rp 248,455.00 0 Rp 395.00 Rp - 629 Rp 395.00 Rp 248,455.00
39 Ibuprofen 400 mg 2188 Rp 150.00 Rp 328,200.00 0 Rp 150.00 Rp - 870 Rp 150.00 Rp 130,500.00
41 Isosorbid Dinitrat sublingual 5 mg
2371 Rp 88.00 Rp 208,648.00 0 Rp 88.00 Rp - 234 Rp 88.00 Rp 20,592.00
42 Kalium Diklofenac 50mg 0 Rp 425.00 Rp - 0 Rp 425.00 Rp - 0 Rp 425.00 Rp -
43 Kalsium Laktat (Kalk) 500 mg 15863 Rp 63.00 Rp 999,369.00 0 Rp 63.00 Rp - 1248 Rp 63.00 Rp 78,624.00
44 Kaptopril 25 mg 15766 Rp 84.00 Rp 1,324,344.00 0 Rp 84.00 Rp - 400 Rp 84.00 Rp 33,600.00
45 Kaptopril 12,5 mg 5391 Rp 62.00 Rp 334,242.00 0 Rp 62.00 Rp - 1735 Rp 62.00 Rp 107,570.00
46 Ketokonazol 200mg tablet 2164 Rp 300.00 Rp 649,200.00 0 Rp 300.00 Rp - 146 Rp 300.00 Rp 43,800.00
47 Klindamisin kapsul 150 mg 1392 Rp 361.00 Rp 502,512.00 0 Rp 361.00 Rp - 252 Rp 361.00 Rp 90,972.00
48 Klopidogrel 1080 Rp 3,400.00 Rp 3,672,000.00 0 Rp 3,400.00 Rp - 110 Rp 3,400.00 Rp 374,000.00
49 Kloramfenikol kapsul 250 mg 2244 Rp 249.00 Rp 558,756.00 0 Rp 249.00 Rp - 750 Rp 249.00 Rp 186,750.00
50 Klorfeniramin Maleat (CTM) 4 mg
40590 Rp 51.00 Rp 2,070,090.00 0 Rp 51.00 Rp - 3322 Rp 51.00 Rp 169,422.00
51 Klorokuin tablet 150 mg 0 Rp 107.00 Rp - 0 Rp 107.00 Rp - 0 Rp 107.00 Rp -
52 Klorpropamid tablet 100 mg 0 Rp 52.08 Rp - 0 Rp 52.08 Rp - 0 Rp 52.08 Rp -
Kotrimoksazol anak
53 (Sulfametoksazol100mg+Trimetopri
m20mg) 0 Rp 72.00 Rp - 0 Rp 72.00 Rp - 0 Rp 72.00 Rp -
Kotrimoksazol dewasa kombinasi :

54 Sulfametoksazol400mg+Trimetoprim
80mg
22257 Rp 151.00 Rp 3,360,807.00 0 Rp 151.00 Rp - 1070 Rp 151.00 Rp 161,570.00
55 Levofloksasin 500 mg 803 Rp 495.00 Rp 397,485.00 0 Rp 495.00 Rp - 76 Rp 495.00 Rp 37,620.00
56 Lisinopril 5mg tablet 0 Rp 448.00 Rp - 0 Rp 448.00 Rp - 0 Rp 448.00 Rp -
57 Loratadin tablet 10 mg 945 Rp 134.00 Rp 126,630.00 0 Rp 134.00 Rp - 238 Rp 134.00 Rp 31,892.00
58 Mebendazol tablet 100 mg 0 Rp 225.00 Rp - 0 Rp 225.00 Rp - 0 Rp 225.00 Rp -
59 Meloksikam tablet 7,5 mg 0 Rp 629.00 Rp - 0 Rp 629.00 Rp - 0 Rp 629.00 Rp -
60 Metformin 500mg tablet 5827 Rp 113.00 Rp 658,451.00 0 Rp 113.00 Rp - 310 Rp 113.00 Rp 35,030.00
61 Metil Prednisolon 4 mg 4505 Rp 205.00 Rp 923,525.00 0 Rp 205.00 Rp - 327 Rp 205.00 Rp 67,035.00
62 Metilergometrin Maleat 0,125 mg
1104 Rp 154.00 Rp 170,016.00 0 Rp 154.00 Rp - 82 Rp 154.00 Rp 12,628.00
63 Metoklopramid 5mg 2005 Rp 108.00 Rp 216,540.00 0 Rp 108.00 Rp - 0 Rp 108.00 Rp -
64 Metronidazol 250 mg 1 Rp 110.00 Rp 110.00 0 Rp 110.00 Rp - 0 Rp 110.00 Rp -
65 Metronidazol 500mg 6938 Rp 133.00 Rp 922,754.00 0 Rp 133.00 Rp - 560 Rp 133.00 Rp 74,480.00
66 Natrium Diklofenac 25 mg 0 Rp 133.00 Rp - 0 Rp 133.00 Rp - 0 Rp 133.00 Rp -
67 Natrium Diklofenac 50 mg 2805 Rp 176.00 Rp 493,680.00 0 Rp 176.00 Rp - 841 Rp 176.00 Rp 148,016.00
68 Nifedipin 10 mg tablet 0 Rp 110.00 Rp - 0 Rp 110.00 Rp - 0 Rp 110.00 Rp -
69 Nistatin tablet vaginal 100.000 IU/g
223 Rp 480.00 Rp 107,040.00 0 Rp 480.00 Rp - 11 Rp 480.00 Rp 5,280.00
70 Omeprazole 20mg 5543 Rp 211.00 Rp 1,169,573.00 0 Rp 211.00 Rp - 1191 Rp 211.00 Rp 251,301.00
71 Parasetamol 100 mg 0 Rp 32.23 Rp - 0 Rp 32.23 Rp - 0 Rp 32.23 Rp -
72 Parasetamol 500 mg 24289 Rp 56.00 Rp 1,360,184.00 0 Rp 56.00 Rp - 7587 Rp 56.00 Rp 424,872.00
73 Pirantel 125 mg 0 Rp 298.00 Rp - 0 Rp 298.00 Rp - 0 Rp 298.00 Rp -
74 Pirasetam 800 mg tablet 1000 Rp 400.00 Rp 400,000.00 0 Rp 400.00 Rp - 40 Rp 400.00 Rp 16,000.00
75 Piridoksin HCL (Vit B6) tablet 10 mg
3662 Rp 118.00 Rp 432,116.00 0 Rp 118.00 Rp - 1076 Rp 118.00 Rp 126,968.00
76 Prednison tablet 5 mg 1494 Rp 114.00 Rp 170,316.00 0 Rp 114.00 Rp - 172 Rp 114.00 Rp 19,608.00
77 Propanolol HCL tablet 10 mg 0 Rp 65.00 Rp - 0 Rp 65.00 Rp - 0 Rp 65.00 Rp -
78 Propiltiourasil tablet 100 mg 0 Rp 319.00 Rp - 0 Rp 319.00 Rp - 0 Rp 319.00 Rp -
79 Ranitidin tablet 150 mg 5935 Rp 120.00 Rp 712,200.00 0 Rp 120.00 Rp - 1188 Rp 120.00 Rp 142,560.00
80 Salbutamol tablet 2 mg 3603 Rp 59.00 Rp 212,577.00 0 Rp 59.00 Rp - 706 Rp 59.00 Rp 41,654.00
81 Salbutamol tablet 4 mg 0 Rp 89.00 Rp - 0 Rp 89.00 Rp - 0 Rp 89.00 Rp -
82 Simvastatin 10 mg 4785 Rp 169.00 Rp 808,665.00 0 Rp 169.00 Rp - 554 Rp 169.00 Rp 93,626.00
83 Siprofloksazin tablet 500 mg 58 Rp 281.00 Rp 16,298.00 0 Rp 281.00 Rp - 58 Rp 281.00 Rp 16,298.00
Tablet Tambah Darah Kombinasi :
84 Besi sulfat 200mg+Asam folat Rp 42.00 Rp 42.00 Rp 42.00
0,25mg 18645 Rp 783,090.00 0 Rp - 5770 Rp 242,340.00
85 Tetrasiklin HCL kapsul 250 mg 0 Rp 149.00 Rp - 0 Rp 149.00 Rp - 0 Rp 149.00 Rp -
86 Tetrasiklin HCL kapsul 500 mg 389 Rp 310.00 Rp 120,590.00 0 Rp 310.00 Rp - 234 Rp 310.00 Rp 72,540.00
87 Thiamfenikol 500mg kapsul 0 Rp 672.00 Rp - 0 Rp 672.00 Rp - 0 Rp 672.00 Rp -
88 Tiamin HCL (VitB1) 50 mg 10247 Rp 680.00 Rp 6,967,960.00 0 Rp 680.00 Rp - 636 Rp 680.00 Rp 432,480.00
89 Vitamin B Kompleks 11597 Rp 115.00 Rp 1,333,655.00 0 Rp 115.00 Rp - 6000 Rp 115.00 Rp 690,000.00
90 Zinc 10 mg 8320 Rp 474.00 Rp 3,943,680.00 0 Rp 474.00 Rp - 1187 Rp 474.00 Rp 562,638.00
91 Acarbose 100 mg 0 Rp 908.00 Rp - 0 Rp 908.00 Rp - 0 Rp 908.00 Rp -
92 Spironolactone 25mg 0 Rp 315.00 Rp - 0 Rp 315.00 Rp - 0 Rp 315.00 Rp -
93 Ondansetron 4 mg 1586 Rp 716.00 Rp 1,135,576.00 0 Rp 716.00 Rp - 1586 Rp 716.00 Rp 1,135,576.00
94 Irbesartan 150 mg 0 Rp 1,425.00 Rp - 0 Rp 1,425.00 Rp - 0 Rp 1,425.00 Rp -
95 Loperamid 2 mg 0 Rp 85.00 Rp - 0 Rp 85.00 Rp - 0 Rp 85.00 Rp -
96 Candesartan 8 mg 300 Rp 3,100.00 Rp 930,000.00 0 Rp 3,100.00 Rp - 300 Rp 3,100.00 Rp 930,000.00
97 Cefadroxil 500mg 974 Rp 516.00 Rp 502,584.00 0 Rp 516.00 Rp - 372 Rp 516.00 Rp 191,952.00
98 asetil sistein 1000 Rp 426.00 Rp 426,000.00 0 Rp 426.00 Rp - 0 Rp 426.00 Rp -
99 Clindamycin 300mg 1265 Rp 603.00 Rp 762,795.00 0 Rp 603.00 Rp - 212 Rp 603.00 Rp 127,836.00
100 Gemfibrozil 600mg 0 Rp 679.00 Rp - 0 Rp 679.00 Rp - 0 Rp 679.00 Rp -
b. Injeksi 0 Rp - 0 Rp - 0 Rp -
1 Aminofilina 24 mg/ml - 10 ml 110 Rp 3,822.00 Rp 420,420.00 0 Rp 3,822.00 Rp - 0 Rp 3,822.00 Rp -
2 Amoksisilin 1000mg 209 Rp 16,500.00 Rp 3,448,500.00 0 Rp 16,500.00 Rp - 188 Rp 16,500.00 Rp 3,102,000.00
3 Ampisillin im/iv 1000mg/ml 0 Rp 5,100.00 Rp - 0 Rp 5,100.00 Rp - 0 Rp 5,100.00 Rp -
4 Antalgin 250 mg/ml - 2 ml 0 Rp 8,400.00 Rp - 0 Rp 8,400.00 Rp - 0 Rp 8,400.00 Rp -
5 Atropin sulfat 0,25mg/ml-1 ml 18 Rp 1,672.00 Rp 30,096.00 0 Rp 1,672.00 Rp - 0 Rp 1,672.00 Rp -
6 Calsium Gluconas injeksi 10 % 10 Rp 10,425.00 Rp 104,250.00 0 Rp 10,425.00 Rp - 0 Rp 10,425.00 Rp -
7 Ceftriaxone 1 gr injeksi 0 Rp 3,300.00 Rp - 0 Rp 3,300.00 Rp - 0 Rp 3,300.00 Rp -
8 Deksametason injeksi 5 mg/ml-1ml
166 Rp 1,580.00 Rp 262,280.00 0 Rp 1,580.00 Rp - 58 Rp 1,580.00 Rp 91,640.00
9 Difenhidramin HCL Inj 10mg/ml-1 ml
955 Rp 1,050.00 Rp 1,002,750.00 0 Rp 1,050.00 Rp - 147 Rp 1,050.00 Rp 154,350.00
10 Epinefrin injeksi 66 Rp 8,100.00 Rp 534,600.00 0 Rp 8,100.00 Rp - 0 Rp 8,100.00 Rp -
11 Fitomenadion (Vit K1)inj 10mg/ml-
1ml 180 Rp 3,417.00 Rp 615,060.00 0 Rp 3,417.00 Rp - 113 Rp 3,417.00 Rp 386,121.00
12 Fitomenadion (Vit K1)inj infant 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp -
13 Furosemid injeksi 0 Rp 1,829.00 Rp - 0 Rp 1,829.00 Rp - 0 Rp 1,829.00 Rp -
14 Gentamisin injeksi 0 Rp 3,399.00 Rp - 0 Rp 3,399.00 Rp - 0 Rp 3,399.00 Rp -
Rp 4,500.00 Rp 4,500.00 Rp 4,500.00
15 Hyosin n butilbromid inj 250mg/ml
0 Rp - 0 Rp - 0 Rp -
16 Kloramfenikol injeksi 0 Rp 7,260.00 Rp - 0 Rp 7,260.00 Rp - 0 Rp 7,260.00 Rp -
Lidokain komp
17 injeksi,Kombinasi:Lidokain HCl2%
+Epinefrin1:80000-2ml 669 Rp 1,845.00 Rp 1,234,305.00 0 Rp 1,845.00 Rp - 20 Rp 1,845.00 Rp 36,900.00
18 Magnesium sulfat injeksi (IV) 20 % -
25 ml 0 Rp 3,200.00 Rp - 0 Rp 3,200.00 Rp - 0 Rp 3,200.00 Rp -
25 ml 18 Rp 2,629.00 Rp 47,322.00 0 Rp 2,629.00 Rp - 0 Rp 2,629.00 Rp -
20 Metilergometrin Maleat inj.
0,200mg-1ml 169 Rp 2,684.00 Rp 453,596.00 0 Rp 2,684.00 Rp - 7 Rp 2,684.00 Rp 18,788.00
21 Metoklopramid inj. 5mg / ml 20 Rp 4,650.00 Rp 93,000.00 0 Rp 4,650.00 Rp - 20 Rp 4,650.00 Rp 93,000.00
22 Natrium Tiosulfat injeksi 25 % - 10
ml 0 Rp 1,476.80 Rp - 0 Rp 1,476.80 Rp - 0 Rp 1,476.80 Rp -
23 Oksitetrasiklin HCL inj. i.m 50mg/ml-
10ml 0 Rp 2,818.10 Rp - 0 Rp 2,818.10 Rp - 0 Rp 2,818.10 Rp -
24 Oksitosin injeksi 10 IU/ml - 1 ml 59 Rp 1,900.00 Rp 112,100.00 0 Rp 1,900.00 Rp - 59 Rp 1,900.00 Rp 112,100.00
25 Ondansetron injeksi 480 Rp 1,650.00 Rp 792,000.00 0 Rp 1,650.00 Rp - 281 Rp 1,650.00 Rp 463,650.00
26 Piracetam injeksi 1 gr / 5 ml 0 Rp 5,000.00 Rp - 0 Rp 5,000.00 Rp - 0 Rp 5,000.00 Rp -
28 Ranitidin injeksi 25mg/2ml 157 Rp 1,390.00 Rp 218,230.00 0 Rp 1,390.00 Rp - 157 Rp 1,390.00 Rp 218,230.00
29 Sefotaksim injeksi 1 gram 112 Rp 4,898.00 Rp 548,576.00 0 Rp 4,898.00 Rp - 100 Rp 4,898.00 Rp 489,800.00
30 Sianokobalamin(VitB12)inj.500mcg/
ml-1ml 1430 Rp 1,098.00 Rp 1,570,140.00 0 Rp 1,098.00 Rp - 70 Rp 1,098.00 Rp 76,860.00
Rp 3,650.00 Rp 3,650.00 Rp 3,650.00
31 Streptomisin serbuk injeksi iv
1000mg/ml 0 Rp - 0 Rp - 0 Rp -
32 Tiamin HCl (Vit.B1) injeksi 100
mg/ml-1 ml 0 Rp 680.00 Rp - 0 Rp 680.00 Rp - 0 Rp 680.00 Rp -
33 Vitamin B Kompleks injeksi 0 Rp 36,000.00 Rp - 0 Rp 36,000.00 Rp - 0 Rp 36,000.00 Rp -
33 Omeprazol injeksi 40mg/ml +pelarut
46 Rp 2,950.00 Rp 135,700.00 0 Rp 2,950.00 Rp - 30 Rp 2,950.00 Rp 88,500.00
34 Asam traneksamat 250 mg/5ml 41 Rp 7,190.00 Rp 294,790.00 0 Rp 7,190.00 Rp - 31 Rp 7,190.00 Rp 222,890.00
35 Procain Benzil Penisilin inj 3 jt iu 0 Rp 7,190.00 Rp - 0 Rp 7,190.00 Rp - 0 Rp 7,190.00 Rp -
c. Salep 0 Rp - 0 Rp - 0 Rp -
1 Antifungi (As. Benzoat6%+As. salisilat
3%) 42 Rp 1,904.40 Rp 79,984.80 0 Rp 1,904.40 Rp - 13 Rp 1,904.40 Rp 24,757.20
2 Asiklovir krim 5% 0 Rp 839.00 Rp - 0 Rp 839.00 Rp - 0 Rp 839.00 Rp -
3 Basitrasin Polimixin B SK 0 Rp 2,516.00 Rp - 0 Rp 2,516.00 Rp - 0 Rp 2,516.00 Rp -
4 Betametason krim 0,1 % 454 Rp 1,520.00 Rp 690,080.00 0 Rp 1,520.00 Rp - 249 Rp 1,520.00 Rp 378,480.00
5 Gameksan emulsi 1 % 30ml 0 Rp 2,200.00 Rp - 0 Rp 2,200.00 Rp - 0 Rp 2,200.00 Rp -
6 Gentamisin salep kulit 0.1%-5gr 3 Rp 2,970.00 Rp 8,910.00 0 Rp 2,970.00 Rp - 3 Rp 2,970.00 Rp 8,910.00
7 Gentamisin salep mata 0,3% 156 Rp 2,600.00 Rp 405,600.00 0 Rp 2,600.00 Rp - 21 Rp 2,600.00 Rp 54,600.00
8 Hidrokortison krim 2,5 % 28 Rp 2,798.00 Rp 78,344.00 0 Rp 2,798.00 Rp - 28 Rp 2,798.00 Rp 78,344.00
9 Ketokonazol krim 2% 0 Rp 2,569.00 Rp - 0 Rp 2,569.00 Rp - 0 Rp 2,569.00 Rp -
10 Kloramfenikol salep mata 1 % 0 Rp 1,600.00 Rp - 0 Rp 1,600.00 Rp - 0 Rp 1,600.00 Rp -
11 Miconazol cream 2 % 108 Rp 3,000.00 Rp 324,000.00 0 Rp 3,000.00 Rp - 8 Rp 3,000.00 Rp 24,000.00
12 Oksitetrasiklin HCL 1 % salep mata
0 Rp 2,520.00 Rp - 0 Rp 2,520.00 Rp - 0 Rp 2,520.00 Rp -
13 Oksitetrasiklin HCL salep 3 % 0 Rp 1,499.00 Rp - 0 Rp 1,499.00 Rp - 0 Rp 1,499.00 Rp -
14 Salep 2-4 Komb: As salisilat2%
+Belerang endap4% 155 Rp 2,429.00 Rp 376,495.00 0 Rp 2,429.00 Rp - 11 Rp 2,429.00 Rp 26,719.00
d. Serbuk 0 Rp - 0 Rp - 0 Rp -
1 Garam oralit untuk 200 ml air 9708 Rp 288.00 Rp 2,795,904.00 0 Rp 288.00 Rp - 718 Rp 288.00 Rp 206,784.00
2 Salisil Bedak 2 % 0 Rp 1,250.00 Rp - 0 Rp 1,250.00 Rp - 0 Rp 1,250.00 Rp -
e. Sirup 0 Rp - 0 Rp - 0 Rp -
1 Amoksilin 125mg/5ml 149 Rp 2,445.00 Rp 364,305.00 0 Rp 2,445.00 Rp - 87 Rp 2,445.00 Rp 212,715.00
2 Antasida syr (MgOH
200mg/5ml+AlOH 200mg/5ml) 503 Rp 2,025.00 Rp 1,018,575.00 0 Rp 2,025.00 Rp - 95 Rp 2,025.00 Rp 192,375.00
3 Cetirizin syr 0 Rp 7,999.00 Rp - 0 Rp 7,999.00 Rp - 0 Rp 7,999.00 Rp -
4 Dekstrometorfan 10 mg / 5 ml 0 Rp 1,378.85 Rp - 0 Rp 1,378.85 Rp - 0 Rp 1,378.85 Rp -
5 Eritromisin sirup 0 Rp 6,700.00 Rp - 0 Rp 6,700.00 Rp - 0 Rp 6,700.00 Rp -
6 Ibuprofen suspensi 100mg/5ml 1129 Rp 4,499.00 Rp 5,079,371.00 0 Rp 4,499.00 Rp - 38 Rp 4,499.00 Rp 170,962.00
7 Kloramfenikol suspensi 125mg/5ml
250 Rp 3,955.00 Rp 988,750.00 0 Rp 3,955.00 Rp - 53 Rp 3,955.00 Rp 209,615.00
Kotrimoksazol Suspensi komb:
8 Sulfametoksazol Rp 2,140.00 Rp 2,140.00 Rp 2,140.00
200mg+Trimetoprim40mg/5ml 478 Rp 1,022,920.00 0 Rp - 64 Rp 136,960.00
9 Mebendazol sirup 100 mg/5ml 0 Rp 3,534.00 Rp - 0 Rp 3,534.00 Rp - 0 Rp 3,534.00 Rp -
10 Obat Batuk Hitam ( O B H ) 108 Rp 4,840.00 Rp 522,720.00 0 Rp 4,840.00 Rp - 91 Rp 4,840.00 Rp 440,440.00
11 Parasetamol sirup 120mg/5ml 600 Rp 1,074.00 Rp 644,400.00 0 Rp 1,074.00 Rp - 140 Rp 1,074.00 Rp 150,360.00
12 Thiamfenikol syr 0 Rp - 0 Rp - 0 Rp -
13 Metronidazol syrup 11 Rp 9,950.00 Rp 109,450.00 0 Rp 9,950.00 Rp - 0 Rp 9,950.00 Rp -
f. Tetes 0 Rp - 0 Rp - 0 Rp -
1 Fenol Gliserol tetes telinga 10 % 226 Rp 2,042.00 Rp 461,492.00 0 Rp 2,042.00 Rp - 3 Rp 2,042.00 Rp 6,126.00
2 Gentamisin tetes mata 0.3% 49 Rp 4,000.00 Rp 196,000.00 0 Rp 4,000.00 Rp - 8 Rp 4,000.00 Rp 32,000.00
3 Gentian violet larutan 1 % 0 Rp 900.00 Rp - 0 Rp 900.00 Rp - 0 Rp 900.00 Rp -
4 Kloramfenikol tetes mata 0 Rp 2,273.00 Rp - 0 Rp 2,273.00 Rp - 0 Rp 2,273.00 Rp -
5 Kloramfenikol tetes telinga 3 % 0 Rp 5,500.00 Rp - 0 Rp 5,500.00 Rp - 0 Rp 5,500.00 Rp -
6 Parasetamol drop 100mg/ml btl @
15ml 59 Rp 5,200.00 Rp 306,800.00 0 Rp 5,200.00 Rp - 56 Rp 5,200.00 Rp 291,200.00
7 Polikresulen 8 Rp 17,393.00 Rp 139,144.00 0 Rp 17,393.00 Rp - 1 Rp 17,393.00 Rp 17,393.00
8 Sulfasetamid Natrium tetes mata 15
% 0 Rp 3,226.00 Rp - 0 Rp 3,226.00 Rp - 0 Rp 3,226.00 Rp -
ALKES DAN CAIRAN LUAR 0 Rp - 0 Rp - 0 Rp -
1 Alat suntik sekali pakai 1 ml 699 Rp 1,540.00 Rp 1,076,460.00 0 Rp 1,540.00 Rp - 150 Rp 1,540.00 Rp 231,000.00
2 Alat suntik sekali pakai 3 ml 10664 Rp 792.00 Rp 8,445,888.00 0 Rp 792.00 Rp - 628 Rp 792.00 Rp 497,376.00
4 Alat suntik sekali pakai 10 ml 136 Rp 1,790.00 Rp 243,440.00 0 Rp 1,790.00 Rp - 0 Rp 1,790.00 Rp -
5 Alkohol swab 0 Rp 19,680.00 Rp - 0 Rp 19,680.00 Rp - 0 Rp 19,680.00 Rp -
6 Aqua pro injeksi, bebas pirogen 55 Rp 2,750.00 Rp 151,250.00 0 Rp 2,750.00 Rp - 29 Rp 2,750.00 Rp 79,750.00
7 Aquadest steril 0 Rp 8,600.00 Rp - 0 Rp 8,600.00 Rp - 0 Rp 8,600.00 Rp -
8 Blood Tranfusion set 50 Rp 27,830.00 Rp 1,391,500.00 0 Rp 27,830.00 Rp - 0 Rp 27,830.00 Rp -
9 Catgut chromic/benang bedah No. Rp 34,170.00 Rp 34,170.00 Rp 34,170.00
2/0-3/0 93 Rp 3,177,810.00 0 Rp - 0 Rp -
10 Catgut plain/benang bedah No. 2/0- Rp 35,740.00 Rp 35,740.00 Rp 35,740.00
3/0 65 Rp 2,323,100.00 0 Rp - 0 Rp -
11 Daryantulle/Bioplacenton tulle 57 Rp 10,400.00 Rp 592,800.00 0 Rp 10,400.00 Rp - 0 Rp 10,400.00 Rp -
12 Etanol 70 % 100 ml 82 Rp 2,500.00 Rp 205,000.00 0 Rp 2,500.00 Rp - 12 Rp 2,500.00 Rp 30,000.00
13 Etanol 70 % 1000 ml 100 Rp 22,990.00 Rp 2,299,000.00 0 Rp 22,990.00 Rp - 1 Rp 22,990.00 Rp 22,990.00
14 Foley Catheter no.16 20 Rp 8,000.00 Rp 160,000.00 0 Rp 8,000.00 Rp - 0 Rp 8,000.00 Rp -
15 Folley cath no. 18 10 Rp 8,000.00 Rp 80,000.00 0 Rp 8,000.00 Rp - 0 Rp 8,000.00 Rp -
16 Hanschoen "50 93 Rp 35,620.00 Rp 3,312,660.00 0 Rp 35,620.00 Rp - 6 Rp 35,620.00 Rp 213,720.00
17 Hanschoen steril no 6.5 (safeglove
surgical PF) 121 Rp 6,985.00 Rp 845,185.00 0 Rp 6,985.00 Rp - 0 Rp 6,985.00 Rp -
18 Hanschoen steril no 7 Safeglove
19 I.V. Catheter No 18 161 Rp 8,700.00 Rp 1,400,700.00 0 Rp 8,700.00 Rp - 15 Rp 8,700.00 Rp 130,500.00
21 I.V. Catheter No 22 89 Rp 8,700.00 Rp 774,300.00 0 Rp 8,700.00 Rp - 29 Rp 8,700.00 Rp 252,300.00
22 I.V. Catheter No 24 89 Rp 8,700.00 Rp 774,300.00 0 Rp 8,700.00 Rp - 10 Rp 8,700.00 Rp 87,000.00
23 Infusion set anak 14 Rp 5,100.00 Rp 71,400.00 0 Rp 5,100.00 Rp - 1 Rp 5,100.00 Rp 5,100.00
24 Infusion set dewasa 1271 Rp 9,070.00 Rp 11,527,970.00 0 Rp 9,070.00 Rp - 48 Rp 9,070.00 Rp 435,360.00
25 Kapas Pembalut / Absorben 250 gr
24 Rp 24,000.00 Rp 576,000.00 0 Rp 24,000.00 Rp - 24 Rp 24,000.00 Rp 576,000.00
26 Kasa Pembalut 2 m x 80 cm 62 Rp 9,400.00 Rp 582,800.00 0 Rp 9,400.00 Rp - 62 Rp 9,400.00 Rp 582,800.00
27 Kasa Pembalut elastic 3 inchi 0 Rp 6,363.00 Rp - 0 Rp 6,363.00 Rp - 0 Rp 6,363.00 Rp -
28 Kasa Pembalut Hidrofil 4 m x 15 cm
100 Rp 3,800.00 Rp 380,000.00 0 Rp 3,800.00 Rp - 5 Rp 3,800.00 Rp 19,000.00
53 Rp 800.00 Rp 42,400.00 0 Rp 800.00 Rp - 0 Rp 800.00 Rp -
30 Kasa Steril 59 Rp 7,900.00 Rp 466,100.00 0 Rp 7,900.00 Rp - 29 Rp 7,900.00 Rp 229,100.00
31 Lisol, mengandung Kresol tersabun
50% 0 Rp 49,862.00 Rp - 0 Rp 49,862.00 Rp - 0 Rp 49,862.00 Rp -
32 Masker breathing (+ selang) 0 Rp - 0 Rp - 0 Rp -
33 Masker non breathing 350 Rp 16,500.00 Rp 5,775,000.00 0 Rp 16,500.00 Rp - 23 Rp 16,500.00 Rp 379,500.00
34 masker oxygen 0 Rp 19,800.00 Rp - 0 Rp 19,800.00 Rp - 0 Rp 19,800.00 Rp -
35 NGT 7 x 75/80 0 Rp - 0 Rp - 0 Rp -
36 One Med H2 O2 3 % 0 Rp 3,960.00 Rp - 0 Rp 3,960.00 Rp - 0 Rp 3,960.00 Rp -
37 One Med Surgical Blade 0 Rp 770.00 Rp - 0 Rp 770.00 Rp - 0 Rp 770.00 Rp -
38 Plester 5 yards x 2 inch (MICROPORE)
46 Rp 18,085.67 Rp 831,940.67 0 Rp 18,085.67 Rp - 36 Rp 18,085.67 Rp 651,084.00
39 Plester infus (TEGADERM) 3 Rp 2,242.10 Rp 6,726.30 0 Rp 2,242.10 Rp - 0 Rp 2,242.10 Rp -
40 Rivanol larutan 0,1 % 300ml 82 Rp 2,550.00 Rp 209,100.00 0 Rp 2,550.00 Rp - 3 Rp 2,550.00 Rp 7,650.00
41 Silk ( Benang Bedah Sutera ) No. 3/0
26 Rp 23,480.00 Rp 610,480.00 0 Rp 23,480.00 Rp - 0 Rp 23,480.00 Rp -
42 Tensocrepe 24 Rp - 0 Rp - 0 Rp -
43 Urine Bag 43 Rp 5,500.00 Rp 236,500.00 0 Rp 5,500.00 Rp - 1 Rp 5,500.00 Rp 5,500.00
44 Wing Needle No. 18 - 27 0 Rp 1,400.00 Rp - 0 Rp 1,400.00 Rp - 0 Rp 1,400.00 Rp -
45 Yodium Povidon larutan 10 % 30 ml
52 Rp 2,900.00 Rp 150,800.00 0 Rp 2,900.00 Rp - 7 Rp 2,900.00 Rp 20,300.00
4 Rp 5,998.00 Rp 23,992.00 0 Rp 5,998.00 Rp - 0 Rp 5,998.00 Rp -
5 Rp 18,000.00 Rp 90,000.00 0 Rp 18,000.00 Rp - 0 Rp 18,000.00 Rp -
48 Policlean handrub 50ml 10 Rp 74,494.00 Rp 744,940.00 0 Rp 74,494.00 Rp - 0 Rp 74,494.00 Rp -
49 Polifix 5cmx5m 1 Rp 39,217.00 Rp 39,217.00 0 Rp 39,217.00 Rp - 0 Rp 39,217.00 Rp -
50 New DRC 4Y x 80 cm plain 5 Rp 149,158.00 Rp 745,790.00 0 Rp 149,158.00 Rp - 0 Rp 149,158.00 Rp -
51 Nurse cap 0 Rp 667.80 Rp - 0 Rp 667.80 Rp - 0 Rp 667.80 Rp -
52 Surgical gown (M) 5 Rp 51,426.00 Rp 257,130.00 0 Rp 51,426.00 Rp - 0 Rp 51,426.00 Rp -
53 Surgical gown (L) 5 Rp 51,426.00 Rp 257,130.00 0 Rp 51,426.00 Rp - 0 Rp 51,426.00 Rp -
54 Glucose protein test 100 Rp 1,045.00 Rp 104,500.00 0 Rp 1,045.00 Rp - 0 Rp 1,045.00 Rp -
55 Underpad 0 Rp 4,620.00 Rp - 0 Rp 4,620.00 Rp - 0 Rp 4,620.00 Rp -
56 Nasal kanul L 102 Rp 6,600.00 Rp 673,200.00 0 Rp 6,600.00 Rp - 0 Rp 6,600.00 Rp -
57 Nasal kanul S 110 Rp 6,600.00 Rp 726,000.00 0 Rp 6,600.00 Rp - 0 Rp 6,600.00 Rp -
58 Nasal kanul XS 0 Rp 6,600.00 Rp - 0 Rp 6,600.00 Rp - 0 Rp 6,600.00 Rp -
59 Handrub refill 8 Rp 580,000.00 Rp 4,640,000.00 0 Rp 580,000.00 Rp - 0 Rp 580,000.00 Rp -
60 Umbilical cord 0 Rp 65,000.00 Rp - 0 Rp 65,000.00 Rp - 0 Rp 65,000.00 Rp -
61 Dermafix T 5x7 0 Rp 1,629.00 Rp - 0 Rp 1,629.00 Rp - 0 Rp 1,629.00 Rp -
62 Plesterin 0 Rp 26,950.00 Rp - 0 Rp 26,950.00 Rp - 0 Rp 26,950.00 Rp -
63 Stomach tube no 16 2 Rp 7,370.00 Rp 14,740.00 0 Rp 7,370.00 Rp - 0 Rp 7,370.00 Rp -
INFUS 0 Rp - 0 Rp - 0 Rp -
1 Asering Larutan infus 17 Rp 9,275.00 Rp 157,675.00 0 Rp 9,275.00 Rp - 17 Rp 9,275.00 Rp 157,675.00
2 Glukosa larutan infus 10 % steril 20 Rp 7,500.00 Rp 150,000.00 0 Rp 7,500.00 Rp - 0 Rp 7,500.00 Rp -
3 Glukosa larutan infus 40 % steril 0 Rp 5,700.00 Rp - 0 Rp 5,700.00 Rp - 0 Rp 5,700.00 Rp -
4 Glukosa larutan infus 5 % steril 352 Rp 6,900.00 Rp 2,428,800.00 0 Rp 6,900.00 Rp - 2 Rp 6,900.00 Rp 13,800.00
5 KAEN 3B 0 Rp 10,050.00 Rp - 0 Rp 10,050.00 Rp - 0 Rp 10,050.00 Rp -
7 Metronidazol infus 0 Rp 9,950.00 Rp - 0 Rp 9,950.00 Rp - 0 Rp 9,950.00 Rp -
8 Natrium Klorida larutan infus 0,9 %
steril 371 Rp 6,410.00 Rp 2,378,110.00 0 Rp 6,410.00 Rp - 371 Rp 6,410.00 Rp 2,378,110.00
9 Ringer Lactate infus steril 205 Rp 7,150.00 Rp 1,465,750.00 0 Rp 7,150.00 Rp - 88 Rp 7,150.00 Rp 629,200.00
OBAT PATEN 0 Rp - 0 Rp - 0 Rp -
1 Aptil/Albothyl 0 Rp 23,100.00 Rp - 0 Rp 23,100.00 Rp - 0 Rp 23,100.00 Rp -
2 Bioplasenton Jelly 0 Rp 14,175.00 Rp - 0 Rp 14,175.00 Rp - 0 Rp 14,175.00 Rp -
3 Bisakodil suppositoria
10mg/Dulcolax 110 Rp 5,800.00 Rp 638,000.00 0 Rp 5,800.00 Rp - 0 Rp 5,800.00 Rp -
4 Bufacomb 10 Rp 15,000.00 Rp 150,000.00 0 Rp 15,000.00 Rp - 5 Rp 15,000.00 Rp 75,000.00
5 Cendo Lyters tetes mata 0 Rp 15,750.00 Rp - 0 Rp 15,750.00 Rp - 0 Rp 15,750.00 Rp -
6 Cendo Xitrol tetes mata 0 Rp 27,250.00 Rp - 0 Rp 27,250.00 Rp - 0 Rp 27,250.00 Rp -
7 Citicholin inj. 250 mg / 2ml 0 Rp 15,000.00 Rp - 0 Rp 15,000.00 Rp - 0 Rp 15,000.00 Rp -
8 Laxadin sirup 41 Rp 12,450.00 Rp 510,450.00 0 Rp 12,450.00 Rp - 32 Rp 12,450.00 Rp 398,400.00
9 Lactodiar 0 Rp 5,078.85 Rp - 0 Rp 5,078.85 Rp - 0 Rp 5,078.85 Rp -
10 Lytamin syrup 100 Rp 5,000.00 Rp 500,000.00 0 Rp 5,000.00 Rp - 10 Rp 5,000.00 Rp 50,000.00
11 Mecobion tablet 2047 Rp 550.00 Rp 1,125,850.00 0 Rp 550.00 Rp - 591 Rp 550.00 Rp 325,050.00
Rp 8,635.00 Rp 8,635.00 Rp 8,635.00
12 Metamizole injeksi 500mg (Norages)
0 Rp - 0 Rp - 0 Rp -
13 Microlax 0 Rp 14,500.00 Rp - 0 Rp 14,500.00 Rp - 0 Rp 14,500.00 Rp -
14 Neurotropik injeksi 5000mcg
(Mersibion) 24 Rp 4,300.00Rp 103,200.00 0 Rp 4,300.00Rp - 24 Rp 4,300.00Rp 103,200.00
15 Novalgin/Antrain injeksi 50 Rp 8,635.00Rp 431,750.00 0 Rp 8,635.00Rp - 50 Rp 8,635.00Rp 431,750.00
16 Noza /Demacolin 2797 Rp 362.00 Rp 1,012,514.00 0 Rp 362.00 Rp - 2797 Rp 362.00 Rp 1,012,514.00
17 Obat Batuk Anak sirup (Babycough)
199 Rp 3,575.00 Rp 711,425.00 0 Rp 3,575.00 Rp - 6 Rp 3,575.00 Rp 21,450.00
18 Parasetamol supp 0 Rp - 0 Rp - 0 Rp -
19 Pehacain injeksi 0 Rp 2,590.00 Rp - 0 Rp 2,590.00 Rp - 0 Rp 2,590.00 Rp -
20 Permetrin/Scabicid krim 5% 76 Rp 12,155.00 Rp 923,780.00 0 Rp 12,155.00 Rp - 23 Rp 12,155.00 Rp 279,565.00
21 Salbutamol rotacaps 0 Rp 450.00 Rp - 0 Rp 450.00 Rp - 0 Rp 450.00 Rp -
22 Salbutamol rotahaler 0 Rp 5,867.00 Rp - 0 Rp 5,867.00 Rp - 0 Rp 5,867.00 Rp -
23 Hiopar 1928 Rp 1,360.00 Rp 2,622,080.00 0 Rp 1,360.00 Rp - 1528 Rp 1,360.00 Rp 2,078,080.00
24 Puralex 5343 Rp 190.00 Rp 1,015,170.00 0 Rp 190.00 Rp - 788 Rp 190.00 Rp 149,720.00
25 Ventolin nebuliser 0 Rp 6,600.00 Rp - 0 Rp 6,600.00 Rp - 0 Rp 6,600.00 Rp -
26 Zirkum syr/ Zinkid syr 102 Rp 14,980.00 Rp 1,527,960.00 0 Rp 14,980.00 Rp - 45 Rp 14,980.00 Rp 674,100.00
27 Miniaspi (Asetosal 80mg) 0 Rp 148.00 Rp - 0 Rp 148.00 Rp - 0 Rp 148.00 Rp -
28 Ulsidex 500mg 348 Rp 424.00 Rp 147,552.00 0 Rp 424.00 Rp - 147 Rp 424.00 Rp 62,328.00
29 Combiven nebulizer 100 Rp 4,995.00 Rp 499,500.00 0 Rp 4,995.00 Rp - 0 Rp 4,995.00 Rp -
30 Dulcolax supp 5 mg (anak) 60 Rp 5,670.00 Rp 340,200.00 0 Rp 5,670.00 Rp - 0 Rp 5,670.00 Rp -
31 Bufacetin salep 236 Rp 3,091.00 Rp 729,476.00 0 Rp 3,091.00 Rp - 38 Rp 3,091.00 Rp 117,458.00
32 Pantocain TM 10 Rp 11,500.00 Rp 115,000.00 0 Rp 11,500.00 Rp - 0 Rp 11,500.00 Rp -
33 Chloramex 500mg 9306 Rp 1,007.00 Rp 9,371,142.00 0 Rp 1,007.00 Rp - 239 Rp 1,007.00 Rp 240,673.00
34 Euthyrox (Levotiroksin 100mcg) 0 Rp 850.00 Rp - 0 Rp 850.00 Rp - 0 Rp 850.00 Rp -
35 Dionicol 500mg 531 Rp 737.00 Rp 391,347.00 0 Rp 737.00 Rp - 140 Rp 737.00 Rp 103,180.00
36 Sotatic inj (metoclopramid inj) 50 Rp 4,620.00 Rp 231,000.00 0 Rp 4,620.00 Rp - 0 Rp 4,620.00 Rp -
37 Gricin 0 Rp 1,100.00 Rp - 0 Rp 1,100.00 Rp - 0 Rp 1,100.00 Rp -
38 Amoxsan serbuk injeksi 0 Rp 16,500.00 Rp - 0 Rp 16,500.00 Rp - 0 Rp 16,500.00 Rp -
OBAT KHUSUS 0 Rp - 0 Rp - 0 Rp -
a. Alkes 0 Rp - 0 Rp - 0 Rp -
1 Anisol 0 Rp - 0 Rp - 0 Rp -
2 Blood lancet 0 Rp - 0 Rp - 0 Rp -
3 Blue Tip 0 Rp 104,000.00 Rp - 0 Rp 104,000.00 Rp - 0 Rp 104,000.00 Rp -
4 Corong 0 Rp - 0 Rp - 0 Rp -
5 Kantong mayat 0 Rp 150,000.00 Rp - 0 Rp 150,000.00 Rp - 0 Rp 150,000.00 Rp -
6 Kertas lensa 0 Rp - 0 Rp - 0 Rp -
7 Lampu spiritus 0 Rp - 0 Rp - 0 Rp -
8 Ose 0 Rp - 0 Rp - 0 Rp -
9 Pipet K 0 Rp - 0 Rp - 0 Rp -
10 Pipet 50 ml 0 Rp - 0 Rp - 0 Rp -
11 Rak slide 0 Rp - 0 Rp - 0 Rp -
12 Safety box 5 l 0 Rp - 0 Rp - 0 Rp -
13 Sarung tangan no 7 0 Rp - 0 Rp - 0 Rp -
14 Sarung tangan no 7.5 0 Rp - 0 Rp - 0 Rp -
16 Syringe AD 0,5ml / Soloshot 0 1655,55 #VALUE! 0 1655,55 #VALUE! 0 1655,55 #VALUE!
17 Syringe AD 5ml / Soloshot 0 Rp - 0 Rp - 0 Rp -
18 Tabung EDTA 0 Rp 240,450.00 Rp - 0 Rp 240,450.00 Rp - 0 Rp 240,450.00 Rp -
19 Tabung serologi 0 Rp 226,550.00 Rp - 0 Rp 226,550.00 Rp - 0 Rp 226,550.00 Rp -
b. Filariasis 0 Rp - 0 Rp - 0 Rp -
1 Albendazol 32386 Rp 344.00 Rp 11,140,784.00 0 Rp 344.00 Rp - 0 Rp 344.00 Rp -
2 Betametason krim 0,1 % 0 Rp 1,520.00 Rp - 0 Rp 1,520.00 Rp - 0 Rp 1,520.00 Rp -
3 Dietilkarbamazin sitrat 100 mg 0 Rp 136.00 Rp - 0 Rp 136.00 Rp - 0 Rp 136.00 Rp -
Klorfeniramin Maleat (CTM) 4 mg Rp 51.00 Rp 51.00 Rp 51.00
4 0 Rp - 0 Rp - 0 Rp -
5 Miconazol cream 2 % 0 Rp 3,000.00 Rp - 0 Rp 3,000.00 Rp - 0 Rp 3,000.00 Rp -
7 Vitamin B Kompleks 0 Rp 107.00 Rp - 0 Rp 107.00 Rp - 0 Rp 107.00 Rp -
c. Flu burung 0 Rp - 0 Rp - 0 Rp -
1 Oseltamivir 75 mg 0 Rp 13,000.00 Rp - 0 Rp 13,000.00 Rp - 0 Rp 13,000.00 Rp -
d. Gigi 0 Rp - 0 Rp - 0 Rp -
1 Devitalisasi Pasta ( Non Arsen ) 0 Rp - 0 Rp - 0 Rp -
2 Etil Klorida semprot 3 Rp 99,000.00 Rp 297,000.00 0 Rp 99,000.00 Rp - 0 Rp 99,000.00 Rp -
3 Eugenol cairan 2 Rp - 0 Rp - 0 Rp -
4 Glass Ionomer Cemen ( GC IX ) 0 Rp - 0 Rp - 0 Rp -
5 Kalsium Hidroksida Pasta 0 Rp - 0 Rp - 0 Rp -
6 Monoklorkamfer Mentol Cairan 0 Rp - 0 Rp - 0 Rp -
7 Mummifying Pasta 0 Rp - 0 Rp - 0 Rp -
8 Semen Seng Fosfat serbuk dan cairan
0 Rp - 0 Rp - 0 Rp -
9 Silver Amalgam serbuk 65 - 75 % 0 Rp - 0 Rp - 0 Rp -
10 Temporary Stopping Fletcher serbuk
dan cairan 0 Rp - 0 Rp - 0 Rp -
11 Trikresol Formalin (TKF) cairan 0 Rp - 0 Rp - 0 Rp -
e. Gizi 0 Rp - 0 Rp - 0 Rp -
1 Retinol ( Vit A ) kapsul 100.000 IU
21 Rp 14,200.00 Rp 298,200.00 0 Rp 14,200.00 Rp - 0 Rp 14,200.00 Rp -
2 Retinol ( Vit A ) kapsul 200.000 IU Rp 22,950.00 Rp 22,950.00 Rp 22,950.00
104 Rp 2,386,800.00 0 Rp - 0 Rp -
3 Mineral Mix 0 Rp 2,695.00 Rp - 0 Rp 2,695.00 Rp - 0 Rp 2,695.00 Rp -
4 Iodine test 0 Rp 31,650.00 Rp - 0 Rp 31,650.00 Rp - 0 Rp 31,650.00 Rp -
f. Jiwa 0 Rp - 0 Rp - 0 Rp -
1 Amitriptilin HCL 25 mg 450 Rp 102.00 Rp 45,900.00 0 Rp 102.00 Rp - 163 Rp 102.00 Rp 16,626.00
2 Clobazam 10mg tab 0 Rp 900.00 Rp - 0 Rp 900.00 Rp - 0 Rp 900.00 Rp -
3 Fenitoin Natrium inj. 50 mg/ml 3000 Rp 20,250.00 Rp 60,750,000.00 0 Rp 20,250.00 Rp - 0 Rp 20,250.00 Rp -
4 Fenitoin Natrium 100 mg 300 Rp 133.00 Rp 39,900.00 200 Rp 133.00 Rp 26,600.00 0 Rp 133.00 Rp -
5 Fenitoin Natrium 30 mg 0 Rp 93.00 Rp - 0 Rp 93.00 Rp - 0 Rp 93.00 Rp -
6 Haldol decanoat 50mg/ml inj 0 Rp 83,333.00 Rp - 0 Rp 83,333.00 Rp - 0 Rp 83,333.00 Rp -
7 Haloperidol 1,5 mg 2840 Rp 69.00 Rp 195,960.00 0 Rp 69.00 Rp - 1120 Rp 69.00 Rp 77,280.00
8 Haloperidol 5 mg 0 Rp 96.00 Rp - 0 Rp 96.00 Rp - 0 Rp 96.00 Rp -
9 Karbamazepin 200 mg 0 Rp 245.00 Rp - 0 Rp 245.00 Rp - 0 Rp 245.00 Rp -
10 Klorpromazin HCL injeksi 25 mg/ml - Rp 1,021.00 Rp 1,021.00 Rp 1,021.00
1 ml 0 Rp - 0 Rp - 0 Rp -
11 Klorpromazin HCL injeksi 5 mg/ml - 2 Rp 950.00 Rp 950.00 Rp 950.00
ml 0 Rp - 0 Rp - 0 Rp -
12 Klorpromazin HCL tablet salut 100 Rp 144.00 Rp 144.00 Rp 144.00
mg 400 Rp 57,600.00 200 Rp 28,800.00 490 Rp 70,560.00
13 Klorpromazin HCL tablet salut 25 mg Rp 68.00 Rp 68.00 Rp 68.00
0 Rp - 0 Rp - 0 Rp -
14 Lodomer 5mg/ml inj 0 Rp - 0 Rp - 0 Rp -
15 Risperidone 2mg 2200 Rp 1,008.00 Rp 2,217,600.00 0 Rp 1,008.00 Rp - 1870 Rp 1,008.00 Rp 1,884,960.00
16 Sikzonoat/Flufenazin 25mg/ml inj Rp 55,000.00 Rp 55,000.00 Rp 55,000.00
0 Rp - 0 Rp - 0 Rp -
17 Trifluoperazin tablet 5 mg 0 Rp 405.00 Rp - 0 Rp 405.00 Rp - 0 Rp 405.00 Rp -
18 Triheksifenidil Hidroklorida tab 2 mg Rp 95.00 Rp 95.00 Rp 95.00
0 Rp - 870 Rp 82,650.00 390 Rp 37,050.00
19 Clozapin 25 mg tab 0 Rp 1,550.00 Rp - 0 Rp 1,550.00 Rp - 0 Rp 1,550.00Rp -
20 Fluoksetin/Nopres 20 mg 0 Rp 423.00 Rp - 0 Rp 423.00 Rp - 0 Rp 423.00 Rp -
21 Haloperidol 0,5 mg 0 Rp 88.00 Rp - 0 Rp 88.00 Rp - 0 Rp 88.00 Rp -
22 Haloperidol tts 2 mg/ml (Lodomer Rp 16,500.00 Rp 16,500.00 Rp 16,500.00
drop) 0 Rp - 0 Rp - 0 Rp -
23 Stelazin 1 mg 725 Rp 479.00 Rp 347,275.00 0 Rp 479.00 Rp - 30 Rp 479.00 Rp 14,370.00
g. Kelamin + H I V 0 Rp - 0 Rp - 0 Rp -
Benzatin Benzil Penisilin inj. 1,2 juta
1 IU/vial 0 Rp 8,935.00 Rp - 0 Rp 8,935.00 Rp - 0 Rp 8,935.00 Rp -
Benzatin Benzil Penisilin inj. 2,4 juta Rp 12,185.00 Rp 12,185.00 Rp 12,185.00
2 IU/vial 0 Rp - 0 Rp - 0 Rp -
3 Cyprofloxacin 500 mg 0 Rp 250.00 Rp - 0 Rp 250.00 Rp - 0 Rp 250.00 Rp -
4 Cyre Tube 0 Rp - 0 Rp - 0 Rp -
5 Doxycyclin 100 mg 0 Rp 270.00 Rp - 0 Rp 270.00 Rp - 0 Rp 270.00 Rp -
6 Erythromycin 500 mg 0 Rp 930.00 Rp - 0 Rp 930.00 Rp - 0 Rp 930.00 Rp -
7 Fladex Forte ( Metronidazol ) 0 Rp - 0 Rp - 0 Rp -
8 Fluconazole tab 0 Rp 18,000.00 Rp - 0 Rp 18,000.00 Rp - 0 Rp 18,000.00 Rp -
9 Kapas Alkohol 0 Rp - 0 Rp - 0 Rp -
10 Komb: Cefixim + Azithromycin 0 Rp 1,000.00 Rp - 0 Rp 1,000.00 Rp - 0 Rp 1,000.00 Rp -
11 Pehavral 0 Rp - 0 Rp - 0 Rp -
12 Sarung tangan 0 Rp - 0 Rp - 0 Rp -
13 Tabung + Jarum 0 Rp - 0 Rp - 0 Rp -
14 Zidovudine (ZDV) 100mg 0 Rp 1,583.00 Rp - 0 Rp 1,583.00 Rp - 0 Rp 1,583.00 Rp -
15 Lamivudine 150 mg 0 Rp 1,400.00 Rp - 0 Rp 1,400.00 Rp - 0 Rp 1,400.00 Rp -
16 Efavirenz (EFV) 600 mg 0 Rp - 0 Rp - 0 Rp -
17 Nevirapine (NVP) 200mg 0 Rp 2,800.00 Rp - 0 Rp 2,800.00 Rp - 0 Rp 2,800.00 Rp -
18 Tenofovir 300 0 Rp - 0 Rp - 0 Rp -
19 Tenofovir 300 + Emcitritabine (FT 0 Rp - 0 Rp - 0 Rp -
Zidovudine(ZDV)300mg+Lamivudine(
3TC)150mg Rp 3,429.00 Rp 3,429.00 Rp 3,429.00
20 0 Rp - 0 Rp - 0 Rp -
Tenofovir 300 + Lamivudin 300 +
Efaviren 600 (Triple FDC) Dewasa Rp 12,210.00 Rp 12,210.00 Rp 12,210.00
21 0 Rp - 0 Rp - 0 Rp -
22 Azithromycin 0 Rp 4,500.00 Rp - 0 Rp 4,500.00 Rp - 0 Rp 4,500.00 Rp -
23 Cefixim 100mg 0 Rp 590.00 Rp - 0 Rp 590.00 Rp - 0 Rp 590.00 Rp -
h. Kusta 0 Rp - 0 Rp - 0 Rp -
1 Lampren 100 mg 0 Rp - 0 Rp - 0 Rp -
2 MB Anak 0 Rp - 0 Rp - 0 Rp -
3 MB Dewasa 0 Rp - 0 Rp - 0 Rp -
4 PB Anak 0 Rp - 0 Rp - 0 Rp -
5 PB Dewasa 0 Rp - 0 Rp - 0 Rp -
6 Prednison 5 mg 0 Rp - 0 Rp - 0 Rp -
7 Prednipac 0 Rp - 0 Rp - 0 Rp -
i. Malaria 0 Rp - 0 Rp - 0 Rp -
Besi sulfat 200mg+Asam folat
1 0,25mg 0 Rp 42.00 Rp - 0 Rp 42.00 Rp - 0 Rp 42.00 Rp -
Kuinin dihidroklorida injeksi 25 % - 2 Rp 4,227.00 Rp 4,227.00 Rp 4,227.00
3 ml 0 Rp - 0 Rp - 0 Rp -
4 Kuinin ( Kina ) tablet 200 mg 0 Rp 610.29 Rp - 0 Rp 610.29 Rp - 0 Rp 610.29 Rp -
Komb.
(Pirimetamin25mg+Sulfadoksin500m Rp 473.00 Rp 473.00 Rp 473.00
5 g) 0 Rp - 0 Rp - 0 Rp -
6 Primakuin tablet 15 mg 0 Rp 114.00 Rp - 0 Rp 114.00 Rp - 0 Rp 114.00 Rp -
7 Asam Askorbat 250 mg 0 Rp 74.00 Rp - 0 Rp 74.00 Rp - 0 Rp 74.00 Rp -
8 ACT (Artesunat+Amodiaquin
Rp 30,000.00 Rp 30,000.00 Rp 30,000.00
Hydrochloride) 0 Rp - 0 Rp - 0 Rp -
9 Artemeter injeksi 0 Rp 22,167.00 Rp - 0 Rp 22,167.00 Rp - 0 Rp 22,167.00 Rp -
10 Artesunat injeksi 0 Rp 25,063.00 Rp - 0 Rp 25,063.00 Rp - 0 Rp 25,063.00 Rp -
11 Tetrasiklin 250 mg 0 Rp 140.00 Rp - 0 Rp 140.00 Rp - 0 Rp 140.00 Rp -
12 Vit B Komplex tab 0 Rp 22.20 Rp - 0 Rp 22.20 Rp - 0 Rp 22.20 Rp -
j. Psikotropik & Narkotik 0 Rp - 0 Rp - 0 Rp -
1 Diazepam injeksi 5 mg/ml - 2 ml 0 Rp 4,180.00 Rp - 0 Rp 4,180.00 Rp - 0 Rp 4,180.00 Rp -
2 Diazepam 2 mg 0 Rp 45.00 Rp - 0 Rp 45.00 Rp - 0 Rp 45.00 Rp -
3 Diazepam 5 mg 0 Rp - 0 Rp - 0 Rp -
4 Fenobarbital injeksi 50 mg / ml - 2 ml
0 Rp 1,980.00 Rp - 0 Rp 1,980.00 Rp - 0 Rp 1,980.00 Rp -
5 Fenobarbital 30 mg 0 Rp 62.00 Rp - 0 Rp 62.00 Rp - 0 Rp 62.00 Rp -
6 Kodein tablet 10mg 1500 Rp 500.00 Rp 750,000.00 0 Rp 500.00 Rp - 654 Rp 500.00 Rp 327,000.00
7 Stesolid rectal supp 5 mg 16 Rp 11,517.00 Rp 184,272.00 0 Rp 11,517.00 Rp - 4 Rp 11,517.00 Rp 46,068.00
8 Alprazolam 1mg 400 Rp 233.00 Rp 93,200.00 0 Rp 233.00 Rp - 69 Rp 233.00 Rp 16,077.00
9 Stesolid rectal supp 10 mg 10 Rp 16,742.00 Rp 167,420.00 0 Rp 16,742.00 Rp - 4 Rp 16,742.00 Rp 66,968.00
k. Reagen 0 Rp - 0 Rp - 0 Rp -
1 Reagen Alat ( GPT ) 0 Rp - 0 Rp - 0 Rp -
2 Reagen Alat test gol darah 1 Rp - 0 Rp - 0 Rp -
3 Reagen ASAT ( GOT ) 0 Rp - 0 Rp - 0 Rp -
4 Reagen Cell Clean 1 Rp - 0 Rp - 0 Rp -
5 Reagen Cell Pack D 20 lt 0 Rp - 0 Rp - 0 Rp -
6 Reagen Cholesterol 2 Rp - 9 Rp - 3 Rp -
7 Reagen Creatinin 0 Rp - 0 Rp - 0 Rp -
8 Reagen Glukose GOD 1 Rp - 10 Rp - 1 Rp -
9 Reagen Pack D 5 lt 1 Rp - 1 Rp - 2 Rp -
10 Reagen Pack L - 500ml 1 Rp - 1 Rp - 2 Rp -
11 Reagen Stromalyzer 500ml 0 Rp - 0 Rp - 0 Rp -
12 Reagen Trigliserid 0 Rp - 0 Rp - 0 Rp -
13 Reagen Uric acid 6 Rp - 0 Rp - 5 Rp -
14 Urea FS 0 Rp - 0 Rp - 0 Rp -
15 Ragen narkoba 0 Rp - 0 Rp - 0 Rp -
l. Serum 0 Rp - 0 Rp - 0 Rp -
1 Serum Anti Bisa Ular Polivalen inj.5
ml(ABUI) 10 Rp 430,000.00 Rp 4,300,000.00 0 Rp 430,000.00 Rp - 0 Rp 430,000.00 Rp -
2 Serum Anti Difteri inj. 20.000 IU/vial
(ADS) 0 Rp 429,550.00 Rp - 0 Rp 429,550.00 Rp - 0 Rp 429,550.00 Rp -
3 Serum Anti Tetanus inj. 1.500
IU/ampul (Tetagam) 10 Rp 115,000.00 Rp 1,150,000.00 0 Rp 115,000.00 Rp - 0 Rp 115,000.00 Rp -
m. TB Paru 0 Rp - 0 Rp - 0 Rp -
1 Isoniazid (INH) 100mg 200 Rp 293.00 Rp 58,600.00 0 Rp 293.00 Rp - 0 Rp 293.00 Rp -
2 Kombipack Kategori 1 0 Rp - 0 Rp - 0 Rp -
3 Obat Antituberkulosis Anak 1 Rp 214,900.00 Rp 214,900.00 0 Rp 214,900.00 Rp - 0 Rp 214,900.00 Rp -
Obat Antituberkulosis kategori 2 Rp 1,199,990.00 Rp 1,199,990.00 Rp 1,199,990.00
4 ( FDC ) 1 Rp 1,199,990.00 0 Rp - 0 Rp -
Obat Antituberkulosis kategori 3 Rp 154,000.00 Rp 154,000.00 Rp 154,000.00
5 (FDC) 0 Rp - 0 Rp - 0 Rp -
Obat Antituberkulosis kategori I Rp 359,990.00 Rp 359,990.00 Rp 359,990.00
6 ( FDC ) 10 Rp 3,599,900.00 0 Rp - 0 Rp -
7 Obat Antituberkulosis Sisipan 3 Rp 160,000.00 Rp 480,000.00 0 Rp 160,000.00 Rp - 0 Rp 160,000.00 Rp -
8 Slide 0 Rp 19,500.00 Rp - 0 Rp 19,500.00 Rp - 0 Rp 19,500.00 Rp -
9 Slide box 5 Rp - 0 Rp - 0 Rp -
10 Sputum pot 338 Rp 1,750.00 Rp 591,500.00 0 Rp 1,750.00 Rp - 14 Rp 1,750.00 Rp 24,500.00
11 Streptomycin inj./iv 1500 mg/ml 0 Rp - 0 Rp - 0 Rp -
12 Ziehl nelseen 6 Rp - 0 Rp - 0 Rp -
n. REAGEN 0 Rp - 0 Rp - 0 Rp -
1 Stik Hb 1 Rp - 0 Rp - 0 Rp -
3 Obyek Glass 2 Rp - 0 Rp - 0 Rp -
4 widal test 1 Rp - 0 Rp - 0 Rp -
5 hcg test 76 Rp - 0 Rp - 0 Rp -
6 tabung k3 edta 105 Rp - 0 Rp - 0 Rp -
7 yellow tip 0 Rp - 0 Rp - 0 Rp -
8 Blue Tip 0 Rp - 0 Rp - 0 Rp -
9 stik urin lengkap 76 Rp - 2 Rp - 1 Rp -
10 rapid HIV 0 Rp - 0 Rp - 0 Rp -
SD HIV 652 Rp - 0 Rp - 227 Rp -
INTEC 66 Rp - 0 Rp - 0 Rp -
ONCOPROBE 44 Rp - 0 Rp - 0 Rp -
11 Kloramphenikol 500mg 748 Rp - 0 Rp - 0 Rp -
12 RAPID TEST HBS AG NON WB 137 Rp - 0 Rp - 0 Rp -
RAPID TEST HBS AG WB 321 Rp - 0 Rp - 35 Rp -
13 ATS 0 Rp - 0 Rp - 0 Rp -
14 Sarung Tangan Obgin 17 Rp - 0 Rp - 0 Rp -
15 Care Handscrub 10 Rp - 0 Rp - 0 Rp -
16 handscrub 16 Rp - 0 Rp - 1 Rp -
17 USG Gel 6 Rp - 0 Rp - 0 Rp -
18 Jelly 3 Rp - 0 Rp - 0 Rp -
19 Monwoven 5x10 10 Rp - 0 Rp - 0 Rp -
20 lomatul 38 Rp - 0 Rp - 10 Rp -
21 superhoid/anti hemoroid supp 0 Rp 5,000.00 Rp - 0 Rp 5,000.00 Rp - 0 Rp 5,000.00 Rp -
22 Voseo / Metoclopramid Syirup 22 Rp 4,850.00 Rp 106,700.00 0 Rp 4,850.00 Rp - 2 Rp 4,850.00 Rp 9,700.00
23 IV 26 50 Rp - 0 Rp - 0 Rp -
24 Cavilon flem 3 Rp - 0 Rp - 0 Rp -
25 plester infus + pot 10 Rp - 0 Rp - 0 Rp -
26 femal 16 10 Rp - 0 Rp - 0 Rp -
27 femal 18 10 Rp - 0 Rp - 0 Rp -
28 mecobalamin 600 Rp 8,912.00 Rp 5,347,200.00 0 Rp 8,912.00 Rp - 41 Rp 8,912.00 Rp 365,392.00
29 clorethyil walter ritte 6 Rp 103,500.00 Rp 621,000.00 0 Rp 103,500.00 Rp - 0 Rp 103,500.00 Rp -
30 plester 7.5 10 Rp - 0 Rp - 0 Rp -
31 plester 2.5 4 Rp - 0 Rp - 0 Rp -
32 pamol infus 18 Rp - 0 Rp - 0 Rp -
33 one cleane 10 Rp - 0 Rp - 0 Rp -
34 perak sulfa 56 Rp - 0 Rp - 0 Rp -
35 hioxy dewasa 50 Rp - 0 Rp - 0 Rp -
36 hioxy anak 50 Rp - 0 Rp - 0 Rp -
37 nebul 40x80 dewasa 75 Rp - 0 Rp - 0 Rp -
38 nebul 40x80 anak 75 Rp - 0 Rp - 0 Rp -
39 kassa panjang 8 Rp - 0 Rp - 0 Rp -
40 norvom syr 48 Rp - 0 Rp - 8 Rp -
41 seltifort syr jeruk 45 Rp - 0 Rp - 0 Rp -
42 seltifort syr stbr 28 Rp - 0 Rp - 0 Rp -
43 obh ank syr 23 Rp - 0 Rp - 0 Rp -
44 borak gliserin 48 Rp - 0 Rp - 14 Rp -
45 amlodipin 10mg 4372 Rp - 0 Rp - 1004 Rp -
46 anelat 4880 Rp - 0 Rp - 656 Rp -
47 spalk 2 Rp - 0 Rp - 0 Rp -
48 spuit 0,05 0 Rp - 0 Rp - 0 Rp -
49 spuit 0,5 0 Rp - 0 Rp - 0 Rp -
50 reco tt 22 Rp - 0 Rp - 10 Rp -
51 masker n95 15 Rp - 0 Rp - 1 Rp -
52 hanschone s 0 Rp - 0 Rp - 0 Rp -
53 hanschone m 1600 Rp - 0 Rp - 170 Rp -
54 hanschone l 4000 Rp - 0 Rp - 165 Rp -
55 oil mersi 100 ml 0 Rp 800,000.00 Rp - 1 Rp 800,000.00 Rp 800,000.00 1 Rp 800,000.00 Rp 800,000.00
56 laktobe 0 Rp - 0 Rp - 0 Rp -
57 koatin syr Rp - Rp - Rp -
Rp - Rp - Rp -
JUMLAH #VALUE! #VALUE! #VALUE!
Menyetujui
Pengguna / Kuasa Pengguna
dr. YULIA RACHMAWATI

NIP.19790730 200604 2 017
KETERANGAN :
- Tabel diatas merupakan kertas kerja persediaan bulanan
- Apabila obyek/ rincian obyek atas persediaan yang tidak tercantum seperti tersebut di atas harap disesuaikan atau
ditambahkan sesuai rincian masing-masing SKPD
- Jumlah pada mutasi tambah (kolom 8) merupakan jumlah pembelian/pengadaan
- Jumlah pada mutasi kurang (kolom 11)merupakan jumlah pemakaian persediaan (merupakan beban persediaan)
Saldo akhir Bulan
Jumlah Harga Satuan Jumlah
Barang ( Rp. ) ( Rp. )
12 Rp 13.00 14=12x13
1524 Rp 3,255.00 Rp 4,960,620.00

1443 Rp 86.00 Rp 124,098.00
1500 Rp 200.00 Rp 300,000.00
5287 Rp 113.00 Rp 597,431.00
0 Rp 105.00 Rp -
450 Rp 80.00 Rp 36,000.00
0 Rp 195.00 Rp -
16620 Rp 261.00 Rp 4,337,820.00
0 Rp 145.00 Rp -
7039 Rp 62.00 Rp 436,418.00
139 Rp 3,045.00 Rp 423,255.00
0 Rp 135.00 Rp -
132 Rp 95.00 Rp 12,540.00
0 Rp 135.00 Rp -
110 Rp 48.00 Rp 5,280.00
24094 Rp 106.00 Rp 2,553,964.00
383 Rp 148.00 Rp 56,684.00
0 Rp 237.00 Rp -
2316 Rp 349.00 Rp 808,284.00
3093 Rp 149.00 Rp 460,857.00
300 Rp 330.00 Rp 99,000.00
0 Rp 181.00 Rp -
28022 Rp 44.00 Rp 1,232,968.00
1035 Rp 97.00 Rp 100,395.00
0 Rp 134.00 Rp -
1990 Rp 104.00 Rp 206,960.00
0 Rp 270.00 Rp -
2329 Rp 167.00 Rp 388,943.00
0 Rp 47.00 Rp -
6882 Rp 730.00 Rp 5,023,860.00
1370 Rp 630.00 Rp 863,100.00
963 Rp 85.00 Rp 81,855.00
4930 Rp 56.00 Rp 276,080.00
1702 Rp 436.00 Rp 742,072.00
35287 Rp 98.00 Rp 3,458,126.00
0 Rp 209.00 Rp -
1387 Rp 149.00 Rp 206,663.00
0 Rp 395.00 Rp -
1318 Rp 150.00 Rp 197,700.00
526 Rp 110.00 Rp 57,860.00
2137 Rp 88.00 Rp 188,056.00

0 Rp 425.00 Rp -
14615 Rp 63.00 Rp 920,745.00
15366 Rp 84.00 Rp 1,290,744.00
3656 Rp 62.00 Rp 226,672.00
2018 Rp 300.00 Rp 605,400.00
1140 Rp 361.00 Rp 411,540.00
970 Rp 3,400.00 Rp 3,298,000.00
1494 Rp 249.00 Rp 372,006.00
37268 Rp 51.00 Rp 1,900,668.00

0 Rp 107.00 Rp -
0 Rp 52.08 Rp -
0 Rp 72.00 Rp -
21187 Rp 151.00 Rp 3,199,237.00

727 Rp 495.00 Rp 359,865.00
0 Rp 448.00 Rp -
707 Rp 134.00 Rp 94,738.00
0 Rp 225.00 Rp -
0 Rp 629.00 Rp -
5517 Rp 113.00 Rp 623,421.00
4178 Rp 205.00 Rp 856,490.00
1022 Rp 154.00 Rp 157,388.00

2005 Rp 108.00 Rp 216,540.00
1 Rp 110.00 Rp 110.00
6378 Rp 133.00 Rp 848,274.00
0 Rp 133.00 Rp -
1964 Rp 176.00 Rp 345,664.00
0 Rp 110.00 Rp -
212 Rp 480.00 Rp 101,760.00

4352 Rp 211.00 Rp 918,272.00
0 Rp 32.23 Rp -
16702 Rp 56.00 Rp 935,312.00
0 Rp 298.00 Rp -
960 Rp 400.00 Rp 384,000.00
2586 Rp 118.00 Rp 305,148.00

1322 Rp 114.00 Rp 150,708.00
0 Rp 65.00 Rp -
0 Rp 319.00 Rp -
4747 Rp 120.00 Rp 569,640.00
2897 Rp 59.00 Rp 170,923.00
0 Rp 89.00 Rp -
4231 Rp 169.00 Rp 715,039.00
0 Rp 281.00 Rp -
Rp 42.00
12875 Rp 540,750.00
0 Rp 149.00 Rp -
155 Rp 310.00 Rp 48,050.00
0 Rp 672.00 Rp -
9611 Rp 680.00 Rp 6,535,480.00
5597 Rp 115.00 Rp 643,655.00
7133 Rp 474.00 Rp 3,381,042.00
0 Rp 908.00 Rp -
0 Rp 315.00 Rp -
0 Rp 716.00 Rp -
0 Rp 1,425.00 Rp -
0 Rp 85.00 Rp -
0 Rp 3,100.00 Rp -
602 Rp 516.00 Rp 310,632.00
1000 Rp 426.00 Rp 426,000.00
1053 Rp 603.00 Rp 634,959.00
0 Rp 679.00 Rp -
0 Rp -
110 Rp 3,822.00 Rp 420,420.00
21 Rp 16,500.00 Rp 346,500.00
0 Rp 5,100.00 Rp -
0 Rp 8,400.00 Rp -
18 Rp 1,672.00 Rp 30,096.00
10 Rp 10,425.00 Rp 104,250.00
0 Rp 3,300.00 Rp -
108 Rp 1,580.00 Rp 170,640.00
808 Rp 1,050.00 Rp 848,400.00

66 Rp 8,100.00 Rp 534,600.00
67 Rp 3,417.00 Rp 228,939.00
0 Rp 8,250.00 Rp -
0 Rp 1,829.00 Rp -
0 Rp 3,399.00 Rp -
Rp 4,500.00
0 Rp -
0 Rp 7,260.00 Rp -
649 Rp 1,845.00 Rp 1,197,405.00
0 Rp 3,200.00 Rp -
18 Rp 2,629.00 Rp 47,322.00
162 Rp 2,684.00 Rp 434,808.00

0 Rp 4,650.00 Rp -
0 Rp 1,476.80 Rp -
0 Rp 2,818.10 Rp -
0 Rp 1,900.00 Rp -
199 Rp 1,650.00 Rp 328,350.00
0 Rp 5,000.00 Rp -
0 Rp 15,550.00 Rp -
0 Rp 1,390.00 Rp -
12 Rp 4,898.00 Rp 58,776.00
1360 Rp 1,098.00 Rp 1,493,280.00

Rp 3,650.00
0 Rp -
0 Rp 680.00 Rp -
0 Rp 36,000.00 Rp -
16 Rp 2,950.00 Rp 47,200.00
10 Rp 7,190.00 Rp 71,900.00
0 Rp 7,190.00 Rp -
0 Rp -
29 Rp 1,904.40 Rp 55,227.60
0 Rp 839.00 Rp -
0 Rp 2,516.00 Rp -
205 Rp 1,520.00 Rp 311,600.00
0 Rp 2,200.00 Rp -
0 Rp 2,970.00 Rp -
135 Rp 2,600.00 Rp 351,000.00
0 Rp 2,798.00 Rp -
0 Rp 2,569.00 Rp -
0 Rp 1,600.00 Rp -
100 Rp 3,000.00 Rp 300,000.00
0 Rp 2,520.00 Rp -
0 Rp 1,499.00 Rp -
144 Rp 2,429.00 Rp 349,776.00

0 Rp -
8990 Rp 288.00 Rp 2,589,120.00
0 Rp 1,250.00 Rp -
0 Rp -
62 Rp 2,445.00 Rp 151,590.00
408 Rp 2,025.00 Rp 826,200.00

0 Rp 7,999.00 Rp -
0 Rp 1,378.85 Rp -
0 Rp 6,700.00 Rp -
1091 Rp 4,499.00 Rp 4,908,409.00
197 Rp 3,955.00 Rp 779,135.00
Rp 2,140.00
414 Rp 885,960.00
0 Rp 3,534.00 Rp -
17 Rp 4,840.00 Rp 82,280.00
460 Rp 1,074.00 Rp 494,040.00
0 Rp -
11 Rp 9,950.00 Rp 109,450.00
0 Rp -
223 Rp 2,042.00 Rp 455,366.00
41 Rp 4,000.00 Rp 164,000.00
0 Rp 900.00 Rp -
0 Rp 2,273.00 Rp -
0 Rp 5,500.00 Rp -
3 Rp 5,200.00 Rp 15,600.00
7 Rp 17,393.00 Rp 121,751.00
0 Rp 3,226.00 Rp -
0 Rp -
549 Rp 1,540.00 Rp 845,460.00
10036 Rp 792.00 Rp 7,948,512.00
2772 Rp 979.00 Rp 2,713,788.00
136 Rp 1,790.00 Rp 243,440.00
0 Rp 19,680.00 Rp -
26 Rp 2,750.00 Rp 71,500.00
0 Rp 8,600.00 Rp -
50 Rp 27,830.00 Rp 1,391,500.00
Rp 34,170.00
93 Rp 3,177,810.00
Rp 35,740.00
65 Rp 2,323,100.00
57 Rp 10,400.00 Rp 592,800.00
70 Rp 2,500.00 Rp 175,000.00
99 Rp 22,990.00 Rp 2,276,010.00
20 Rp 8,000.00 Rp 160,000.00
10 Rp 8,000.00 Rp 80,000.00
87 Rp 35,620.00 Rp 3,098,940.00
121 Rp 6,985.00 Rp 845,185.00
110 Rp 6,985.00 Rp 768,350.00

146 Rp 8,700.00 Rp 1,270,200.00
200 Rp 8,700.00 Rp 1,740,000.00
60 Rp 8,700.00 Rp 522,000.00
79 Rp 8,700.00 Rp 687,300.00
13 Rp 5,100.00 Rp 66,300.00
1223 Rp 9,070.00 Rp 11,092,610.00
0 Rp 24,000.00 Rp -
0 Rp 9,400.00 Rp -
0 Rp 6,363.00 Rp -
95 Rp 3,800.00 Rp 361,000.00
53 Rp 800.00 Rp 42,400.00
30 Rp 7,900.00 Rp 237,000.00
0 Rp 49,862.00 Rp -
0 Rp -
327 Rp 16,500.00 Rp 5,395,500.00
0 Rp 19,800.00 Rp -
0 Rp -
0 Rp 3,960.00 Rp -
0 Rp 770.00 Rp -
10 Rp 18,085.67 Rp 180,856.67
3 Rp 2,242.10 Rp 6,726.30
79 Rp 2,550.00 Rp 201,450.00
26 Rp 23,480.00 Rp 610,480.00
24 Rp -
42 Rp 5,500.00 Rp 231,000.00
0 Rp 1,400.00 Rp -
45 Rp 2,900.00 Rp 130,500.00
4 Rp 5,998.00 Rp 23,992.00
5 Rp 18,000.00 Rp 90,000.00
10 Rp 74,494.00 Rp 744,940.00
1 Rp 39,217.00 Rp 39,217.00
5 Rp 149,158.00 Rp 745,790.00
0 Rp 667.80 Rp -
5 Rp 51,426.00 Rp 257,130.00
5 Rp 51,426.00 Rp 257,130.00
100 Rp 1,045.00 Rp 104,500.00
0 Rp 4,620.00 Rp -
102 Rp 6,600.00 Rp 673,200.00
110 Rp 6,600.00 Rp 726,000.00
0 Rp 6,600.00 Rp -
8 Rp 580,000.00 Rp 4,640,000.00
0 Rp 65,000.00 Rp -
0 Rp 1,629.00 Rp -
0 Rp 26,950.00 Rp -
2 Rp 7,370.00 Rp 14,740.00
2 Rp 7,370.00 Rp 14,740.00
0 Rp -
0 Rp 9,275.00 Rp -
20 Rp 7,500.00 Rp 150,000.00
0 Rp 5,700.00 Rp -
350 Rp 6,900.00 Rp 2,415,000.00
0 Rp 10,050.00 Rp -
0 Rp 15,730.00 Rp -
0 Rp 9,950.00 Rp -
0 Rp 6,410.00 Rp -
117 Rp 7,150.00 Rp 836,550.00
0 Rp -
0 Rp 23,100.00 Rp -
0 Rp 14,175.00 Rp -
110 Rp 5,800.00 Rp 638,000.00

5 Rp 15,000.00 Rp 75,000.00
0 Rp 15,750.00 Rp -
0 Rp 27,250.00 Rp -
0 Rp 15,000.00 Rp -
9 Rp 12,450.00 Rp 112,050.00
0 Rp 5,078.85 Rp -
90 Rp 5,000.00 Rp 450,000.00
1456 Rp 550.00 Rp 800,800.00
Rp 8,635.00
0 Rp -
0 Rp 14,500.00 Rp -
0 Rp 4,300.00Rp -
0 Rp 8,635.00Rp -
0 Rp 362.00 Rp -
193 Rp 3,575.00 Rp 689,975.00

0 Rp -
0 Rp 2,590.00 Rp -
53 Rp 12,155.00 Rp 644,215.00
0 Rp 450.00 Rp -
0 Rp 5,867.00 Rp -
400 Rp 1,360.00 Rp 544,000.00
4555 Rp 190.00 Rp 865,450.00
0 Rp 6,600.00 Rp -
57 Rp 14,980.00 Rp 853,860.00
0 Rp 148.00 Rp -
201 Rp 424.00 Rp 85,224.00
100 Rp 4,995.00 Rp 499,500.00
60 Rp 5,670.00 Rp 340,200.00
198 Rp 3,091.00 Rp 612,018.00
10 Rp 11,500.00 Rp 115,000.00
9067 Rp 1,007.00 Rp 9,130,469.00
0 Rp 850.00 Rp -
391 Rp 737.00 Rp 288,167.00
50 Rp 4,620.00 Rp 231,000.00
0 Rp 1,100.00 Rp -
0 Rp 16,500.00 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp 104,000.00 Rp -
0 Rp -
0 Rp 150,000.00 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 1655,55 #VALUE!
0 Rp -
0 Rp 240,450.00 Rp -
0 Rp 226,550.00 Rp -
0 Rp -
32386 Rp 344.00 Rp 11,140,784.00
0 Rp 1,520.00 Rp -
0 Rp 136.00 Rp -
Rp 51.00
0 Rp -
0 Rp 3,000.00 Rp -
0 Rp 298.00 Rp -
0 Rp 107.00 Rp -
0 Rp -
0 Rp 13,000.00 Rp -
0 Rp -
0 Rp -
3 Rp 99,000.00 Rp 297,000.00
2 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
21 Rp 14,200.00 Rp 298,200.00
Rp 22,950.00
104 Rp 2,386,800.00
0 Rp 2,695.00 Rp -
0 Rp 31,650.00 Rp -
0 Rp -
287 Rp 102.00 Rp 29,274.00
0 Rp 900.00 Rp -
3000 Rp 20,250.00 Rp 60,750,000.00
500 Rp 133.00 Rp 66,500.00
0 Rp 93.00 Rp -
0 Rp 83,333.00 Rp -
1720 Rp 69.00 Rp 118,680.00
0 Rp 96.00 Rp -
0 Rp 245.00 Rp -
Rp 1,021.00
0 Rp -
Rp 950.00
0 Rp -
Rp 144.00
110 Rp 15,840.00
Rp 68.00
0 Rp -
0 Rp -
330 Rp 1,008.00 Rp 332,640.00
Rp 55,000.00
0 Rp -
0 Rp 405.00 Rp -
Rp 95.00
480 Rp 45,600.00
0 Rp 1,550.00Rp -
0 Rp 423.00 Rp -
0 Rp 88.00 Rp -
Rp 16,500.00
0 Rp -
695 Rp 479.00 Rp 332,905.00
0 Rp -
0 Rp 8,935.00 Rp -
Rp 12,185.00
0 Rp -
0 Rp 250.00 Rp -
0 Rp -
0 Rp 270.00 Rp -
0 Rp 930.00 Rp -
0 Rp -
0 Rp 18,000.00 Rp -
0 Rp -
0 Rp 1,000.00 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp 1,583.00 Rp -
0 Rp 1,400.00 Rp -
0 Rp -
0 Rp 2,800.00 Rp -
0 Rp -
0 Rp -
Rp 3,429.00
0 Rp -
Rp 12,210.00
0 Rp -
0 Rp 4,500.00 Rp -
0 Rp 590.00 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp 42.00 Rp -
0 Rp 107.00 Rp -
Rp 4,227.00
0 Rp -
0 Rp 610.29 Rp -
Rp 473.00
0 Rp -
0 Rp 114.00 Rp -
0 Rp 74.00 Rp -
Rp 30,000.00
0 Rp -
0 Rp 22,167.00 Rp -
0 Rp 25,063.00 Rp -
0 Rp 140.00 Rp -
0 Rp 22.20 Rp -
0 Rp -
0 Rp 4,180.00 Rp -
0 Rp 45.00 Rp -
0 Rp -
0 Rp 1,980.00 Rp -
0 Rp 62.00 Rp -
846 Rp 500.00 Rp 423,000.00
12 Rp 11,517.00 Rp 138,204.00
331 Rp 233.00 Rp 77,123.00
6 Rp 16,742.00 Rp 100,452.00
0 Rp -
0 Rp -
1 Rp -
0 Rp -
1 Rp -
0 Rp -
8 Rp -
0 Rp -
10 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
1 Rp -
0 Rp -
0 Rp -
0 Rp -
10 Rp 430,000.00 Rp 4,300,000.00
0 Rp 429,550.00 Rp -
10 Rp 115,000.00 Rp 1,150,000.00
0 Rp -
200 Rp 293.00 Rp 58,600.00
0 Rp -
1 Rp 214,900.00 Rp 214,900.00
Rp 1,199,990.00
1 Rp 1,199,990.00
Rp 154,000.00
0 Rp -
Rp 359,990.00
10 Rp 3,599,900.00
3 Rp 160,000.00 Rp 480,000.00
0 Rp 19,500.00 Rp -
5 Rp -
324 Rp 1,750.00 Rp 567,000.00
0 Rp -
6 Rp -
0 Rp -
1 Rp -
2 Rp -
2 Rp -
1 Rp -
76 Rp -
105 Rp -
0 Rp -
0 Rp -
77 Rp -
0 Rp -
425 Rp -
66 Rp -
44 Rp -
748 Rp -
137 Rp -
286 Rp -
0 Rp -
17 Rp -
10 Rp -
15 Rp -
6 Rp -
3 Rp -
10 Rp -
28 Rp -
0 Rp 5,000.00 Rp -
20 Rp 4,850.00 Rp 97,000.00
50 Rp -
3 Rp -
10 Rp -
10 Rp -
10 Rp -
559 Rp 8,912.00 Rp 4,981,808.00
6 Rp 103,500.00 Rp 621,000.00
10 Rp -
4 Rp -
18 Rp -
10 Rp -
56 Rp -
50 Rp -
50 Rp -
75 Rp -
75 Rp -
8 Rp -
40 Rp -
45 Rp -
28 Rp -
23 Rp -
34 Rp -
3368 Rp -
4224 Rp -
2 Rp -
0 Rp -
0 Rp -
12 Rp -
14 Rp -
0 Rp -
1430 Rp -
3835 Rp -
0 Rp 800,000.00 Rp -
0 Rp -
0 Rp -
0 Rp -
#VALUE!
Pengurus/ Penyimpan Barang
Lilin Sudarmanisati
NIP.19611114 199103 2 001
UPT PUSKESMAS DAU
BULAN: FEBRUARI TAHUN ANGGARAN 2018

NO JENIS BARANG Jumlah Harga Satuan Jumlah Jumlah Harga Satuan Jumlah Jumlah Harga Satuan Jumlah Jumlah
Barang ( Rp. ) ( Rp. ) Barang ( Rp. ) ( Rp. ) Barang ( Rp. ) ( Rp. ) Barang
1 2 3 4 5=3x4 6 5 8=6x7 9 10 11=9x10 12
a. Tablet/Kapsul
1 Adalat Oros 20 mg 1524 Rp 3,255.00 Rp 4,960,620.00 0 Rp 3,255.00 Rp - 1330 Rp 3,255.00 Rp 4,329,150.00 194
2 Alopurinol 100 mg 1443 Rp 86.00 Rp 124,098.00 0 Rp 86.00 Rp - 213 Rp 86.00 Rp 18,318.00 1230
4 Ambroxol 30 mg 5287 Rp 113.00 Rp 597,431.00 0 Rp 113.00 Rp - 54 Rp 113.00 Rp 6,102.00 5233
5 Amlodipin 5 mg 0 Rp 105.00 Rp - 0 Rp 105.00 Rp - 0 Rp 105.00 Rp - 0
6 Aminofilina 200 mg 450 Rp 80.00 Rp 36,000.00 0 Rp 80.00 Rp - 20 Rp 80.00 Rp 1,600.00 430
7 Amoksilin 250 mg 0 Rp 195.00 Rp - 0 Rp 195.00 Rp - 0 Rp 195.00 Rp - 0
8 Amoksilin 500 mg 16620 Rp 261.00 Rp 4,337,820.00 0 Rp 261.00 Rp - 3940 Rp 261.00 Rp 1,028,340.00 12680
9 Antalgin 500 mg 0 Rp 145.00 Rp - 0 Rp 145.00 Rp - 0 Rp 145.00 Rp - 0
200mg) 7039 Rp 62.00 Rp 436,418.00 0 Rp 62.00 Rp - 2308 Rp 62.00 Rp 143,096.00 4731
11 subgallat150mg+Heksaklorofen2,
5mg) 139 Rp 3,045.00 Rp 423,255.00 0 Rp 3,045.00 Rp - 11 Rp 3,045.00 Rp 33,495.00 128
12 Antimigran (Ergotamin Tartrat
1mg + Kofein 50mg) 0 Rp 135.00 Rp - 0 Rp 135.00 Rp - 0 Rp 135.00 Rp - 0
13 Asam Askorbat ( Vit C ) 50 mg 132 Rp 95.00 Rp 12,540.00 2000 Rp 95.00 Rp 190,000.00 732 Rp 95.00 Rp 69,540.00 1400
14 Asam Askorbat (Vit C) 250 mg 0 Rp 135.00 Rp - 0 Rp 135.00 Rp - 0 Rp 135.00 Rp - 0
15 Asam folat 1 mg 110 Rp 48.00 Rp 5,280.00 0 Rp 48.00 Rp - 0 Rp 48.00 Rp - 110
16 Asam mefenamat 500mg 24094 Rp 106.00 Rp 2,553,964.00 0 Rp 106.00 Rp - 1871 Rp 106.00 Rp 198,326.00 22223
17 Asetosal 100 mg 383 Rp 148.00 Rp 56,684.00 500 Rp 148.00 Rp 74,000.00 67 Rp 148.00 Rp 9,916.00 816
18 Asiklovir 200mg 0 Rp 237.00 Rp - 0 Rp 237.00 Rp - 0 Rp 237.00 Rp - 0
19 Asiklovir 400mg 2316 Rp 349.00 Rp 808,284.00 0 Rp 349.00 Rp - 150 Rp 349.00 Rp 52,350.00 2166
20 Betahistin mesilat 5 mg 3093 Rp 149.00 Rp 460,857.00 1500 Rp 149.00 Rp 223,500.00 571 Rp 149.00 Rp 85,079.00 4022
21 Bisoprolol tablet 5 mg 300 Rp 330.00 Rp 99,000.00 1000 Rp 330.00 Rp 330,000.00 165 Rp 330.00 Rp 54,450.00 1135
22 Cetirizin 10mg 0 Rp 181.00 Rp - 0 Rp 181.00 Rp - 0 Rp 181.00 Rp - 0
23 Deksametason 0,5 mg 28022 Rp 44.00 Rp 1,232,968.00 0 Rp 44.00 Rp - 3389 Rp 44.00 Rp 149,116.00 24633
24 Digoksin 0,25 mg 1035 Rp 97.00 Rp 100,395.00 0 Rp 97.00 Rp - 129 Rp 97.00 Rp 12,513.00 906
25 Diltiazem 30 mg 0 Rp 134.00 Rp - 0 Rp 134.00 Rp - 0 Rp 134.00 Rp - 0
26 Dimenhidrinat tablet 50mg 1990 Rp 104.00 Rp 206,960.00 0 Rp 104.00 Rp - 27 Rp 104.00 Rp 2,808.00 1963
27 Doksisiklin 100mg 0 Rp 270.00 Rp - 0 Rp 270.00 Rp - 0 Rp 270.00 Rp - 0
28 Domperidon tablet 10 mg 2329 Rp 167.00 Rp 388,943.00 0 Rp 167.00 Rp - 403 Rp 167.00 Rp 67,301.00 1926
29 Efedrin HCL 25 mg 0 Rp 47.00 Rp - 0 Rp 47.00 Rp - 0 Rp 47.00 Rp - 0
30 Eritromisin 500mg 6882 Rp 730.00 Rp 5,023,860.00 0 Rp 730.00 Rp - 253 Rp 730.00 Rp 184,690.00 6629
31 Fitomenadion (Vit K1) 10mg 1370 Rp 630.00 Rp 863,100.00 0 Rp 630.00 Rp - 249 Rp 630.00 Rp 156,870.00 1121
32 Furosemid 40 mg 963 Rp 85.00 Rp 81,855.00 0 Rp 85.00 Rp - 260 Rp 85.00 Rp 22,100.00 703
33 Glibenklamid 5 mg 4930 Rp 56.00 Rp 276,080.00 0 Rp 56.00 Rp - 135 Rp 56.00 Rp 7,560.00 4795
34 Glimepiride tablet 2 mg 1702 Rp 436.00 Rp 742,072.00 0 Rp 436.00 Rp - 277 Rp 436.00 Rp 120,772.00 1425
35 Gliseril Guaiakolat 100 mg 35287 Rp 98.00 Rp 3,458,126.00 0 Rp 98.00 Rp - 3481 Rp 98.00 Rp 341,138.00 31806
36 Griseofulvin 125 mg 0 Rp 209.00 Rp - 0 Rp 209.00 Rp - 0 Rp 209.00 Rp - 0
37 Hidroklorotiazid (HCT) 25 mg 1387 Rp 149.00 Rp 206,663.00 0 Rp 149.00 Rp - 0 Rp 149.00 Rp - 1387
38 Hyosin N Butilbromida 10mg 0 Rp 395.00 Rp - 0 Rp 395.00 Rp - 0 Rp 395.00 Rp - 0
39 Ibuprofen 400 mg 1318 Rp 150.00 Rp 197,700.00 3000 Rp 150.00 Rp 450,000.00 2191 Rp 150.00 Rp 328,650.00 2127
40 Ibuprofen 200 mg 526 Rp 110.00 Rp 57,860.00 0 Rp 110.00 Rp - 464 Rp 110.00 Rp 51,040.00 62
2137 Rp 88.00 Rp 188,056.00 0 Rp 88.00 Rp - 20 Rp 88.00 Rp 1,760.00 2117
42 Kalium Diklofenac 50mg 0 Rp 425.00 Rp - 0 Rp 425.00 Rp - 0 Rp 425.00 Rp - 0
43 Kalsium Laktat (Kalk) 500 mg 14615 Rp 63.00 Rp 920,745.00 0 Rp 63.00 Rp - 1100 Rp 63.00 Rp 69,300.00 13515
44 Kaptopril 25 mg 15366 Rp 84.00 Rp 1,290,744.00 0 Rp 84.00 Rp - 807 Rp 84.00 Rp 67,788.00 14559
45 Kaptopril 12,5 mg 3656 Rp 62.00 Rp 226,672.00 0 Rp 62.00 Rp - 1150 Rp 62.00 Rp 71,300.00 2506
46 Ketokonazol 200mg tablet 2018 Rp 300.00 Rp 605,400.00 0 Rp 300.00 Rp - 190 Rp 300.00 Rp 57,000.00 1828
47 Klindamisin kapsul 150 mg 1140 Rp 361.00 Rp 411,540.00 0 Rp 361.00 Rp - 202 Rp 361.00 Rp 72,922.00 938
48 Klopidogrel 970 Rp 3,400.00 Rp 3,298,000.00 0 Rp 3,400.00 Rp - 71 Rp 3,400.00 Rp 241,400.00 899
49 Kloramfenikol kapsul 250 mg 1494 Rp 249.00 Rp 372,006.00 0 Rp 249.00 Rp - 1494 Rp 249.00 Rp 372,006.00 0
37268 Rp 51.00 Rp 1,900,668.00 0 Rp 51.00 Rp - 3866 Rp 51.00 Rp 197,166.00 33402
51 Klorokuin tablet 150 mg 0 Rp 107.00 Rp - 0 Rp 107.00 Rp - 0 Rp 107.00 Rp - 0
52 Klorpropamid tablet 100 mg 0 Rp 52.08 Rp - 0 Rp 52.08 Rp - 0 Rp 52.08 Rp - 0
Kotrimoksazol anak
53 (Sulfametoksazol100mg+Trimetop
rim20mg) 0 Rp 72.00 Rp - 0 Rp 72.00 Rp - 0 Rp 72.00 Rp - 0

54 Sulfametoksazol400mg+Trimetopr
im80mg
21187 Rp 151.00 Rp 3,199,237.00 0 Rp 151.00 Rp - 953 Rp 151.00 Rp 143,903.00 20234
55 Levofloksasin 500 mg 727 Rp 495.00 Rp 359,865.00 1000 Rp 495.00 Rp 495,000.00 243 Rp 495.00 Rp 120,285.00 1484
56 Lisinopril 5mg tablet 0 Rp 448.00 Rp - 0 Rp 448.00 Rp - 0 Rp 448.00 Rp - 0
57 Loratadin tablet 10 mg 707 Rp 134.00 Rp 94,738.00 0 Rp 134.00 Rp - 372 Rp 134.00 Rp 49,848.00 335
58 Mebendazol tablet 100 mg 0 Rp 225.00 Rp - 0 Rp 225.00 Rp - 0 Rp 225.00 Rp - 0
59 Meloksikam tablet 7,5 mg 0 Rp 629.00 Rp - 0 Rp 629.00 Rp - 0 Rp 629.00 Rp - 0
60 Metformin 500mg tablet 5517 Rp 113.00 Rp 623,421.00 0 Rp 113.00 Rp - 671 Rp 113.00 Rp 75,823.00 4846
61 Metil Prednisolon 4 mg 4178 Rp 205.00 Rp 856,490.00 0 Rp 205.00 Rp - 164 Rp 205.00 Rp 33,620.00 4014
1022 Rp 154.00 Rp 157,388.00 0 Rp 154.00 Rp - 102 Rp 154.00 Rp 15,708.00 920
63 Metoklopramid 5mg 2005 Rp 108.00 Rp 216,540.00 0 Rp 108.00 Rp - 0 Rp 108.00 Rp - 2005
64 Metronidazol 250 mg 1 Rp 110.00 Rp 110.00 0 Rp 110.00 Rp - 0 Rp 110.00 Rp - 1
65 Metronidazol 500mg 6378 Rp 133.00 Rp 848,274.00 2000 Rp 133.00 Rp 266,000.00 746 Rp 133.00 Rp 99,218.00 7632
66 Natrium Diklofenac 25 mg 0 Rp 133.00 Rp - 2800 Rp 133.00 Rp 372,400.00 0 Rp 133.00 Rp - 2800
67 Natrium Diklofenac 50 mg 1964 Rp 176.00 Rp 345,664.00 0 Rp 176.00 Rp - 843 Rp 176.00 Rp 148,368.00 1121
68 Nifedipin 10 mg tablet 0 Rp 110.00 Rp - 0 Rp 110.00 Rp - 0 Rp 110.00 Rp - 0
69 Nistatin tablet vaginal 100.000
IU/g 212 Rp 480.00 Rp 101,760.00 0 Rp 480.00 Rp - 19 Rp 480.00 Rp 9,120.00 193
70 Omeprazole 20mg 4352 Rp 211.00 Rp 918,272.00 0 Rp 211.00 Rp - 755 Rp 211.00 Rp 159,305.00 3597
71 Parasetamol 100 mg 0 Rp 32.23 Rp - 0 Rp 32.23 Rp - 0 Rp 32.23 Rp - 0
72 Parasetamol 500 mg 16702 Rp 56.00 Rp 935,312.00 16800 Rp 56.00 Rp 940,800.00 6890 Rp 56.00 Rp 385,840.00 26612
73 Pirantel 125 mg 0 Rp 298.00 Rp - 0 Rp 298.00 Rp - 0 Rp 298.00 Rp - 0
74 Pirasetam 800 mg tablet 960 Rp 400.00 Rp 384,000.00 0 Rp 400.00 Rp - 17 Rp 400.00 Rp 6,800.00 943
75 Piridoksin HCL (Vit B6) tablet 10
mg 2586 Rp 118.00 Rp 305,148.00 5000 Rp 118.00 Rp 590,000.00 926 Rp 118.00 Rp 109,268.00 6660
76 Prednison tablet 5 mg 1322 Rp 114.00 Rp 150,708.00 0 Rp 114.00 Rp - 114 Rp 114.00 Rp 12,996.00 1208
77 Propanolol HCL tablet 10 mg 0 Rp 65.00 Rp - 500 Rp 65.00 Rp 32,500.00 0 Rp 65.00 Rp - 500
78 Propiltiourasil tablet 100 mg 0 Rp 319.00 Rp - 0 Rp 319.00 Rp - 0 Rp 319.00 Rp - 0
79 Ranitidin tablet 150 mg 4747 Rp 120.00 Rp 569,640.00 0 Rp 120.00 Rp - 1025 Rp 120.00 Rp 123,000.00 3722
80 Salbutamol tablet 2 mg 2897 Rp 59.00 Rp 170,923.00 0 Rp 59.00 Rp - 525 Rp 59.00 Rp 30,975.00 2372
81 Salbutamol tablet 4 mg 0 Rp 89.00 Rp - 0 Rp 89.00 Rp - 0 Rp 89.00 Rp - 0
82 Simvastatin 10 mg 4231 Rp 169.00 Rp 715,039.00 0 Rp 169.00 Rp - 380 Rp 169.00 Rp 64,220.00 3851
83 Siprofloksazin tablet 500 mg 0 Rp 281.00 Rp - 0 Rp 281.00 Rp - 0 Rp 281.00 Rp - 0
0,25mg 12875 Rp 540,750.00 0 Rp - 2668 Rp 112,056.00 10207
85 Tetrasiklin HCL kapsul 250 mg 0 Rp 149.00 Rp - 0 Rp 149.00 Rp - 0 Rp 149.00 Rp - 0
86 Tetrasiklin HCL kapsul 500 mg 155 Rp 310.00 Rp 48,050.00 0 Rp 310.00 Rp - 60 Rp 310.00 Rp 18,600.00 95
87 Thiamfenikol 500mg kapsul 0 Rp 672.00 Rp - 0 Rp 672.00 Rp - 0 Rp 672.00 Rp - 0
88 Tiamin HCL (VitB1) 50 mg 9611 Rp 680.00 Rp 6,535,480.00 2000 Rp 680.00 Rp 1,360,000.00 641 Rp 680.00 Rp 435,880.00 10970
89 Vitamin B Kompleks 5597 Rp 115.00 Rp 643,655.00 9400 Rp 115.00 Rp 1,081,000.00 4508 Rp 115.00 Rp 518,420.00 10489
90 Zinc 10 mg 7133 Rp 474.00 Rp 3,381,042.00 0 Rp 474.00 Rp - 855 Rp 474.00 Rp 405,270.00 6278
91 Acarbose 100 mg 0 Rp 908.00 Rp - 0 Rp 908.00 Rp - 0 Rp 908.00 Rp - 0
92 Spironolactone 25mg 0 Rp 315.00 Rp - 0 Rp 315.00 Rp - 0 Rp 315.00 Rp - 0
93 Ondansetron 4 mg 0 Rp 716.00 Rp - 648 Rp 716.00 Rp 463,968.00 347 Rp 716.00 Rp 248,452.00 301
94 Irbesartan 150 mg 0 Rp 1,425.00 Rp - 0 Rp 1,425.00 Rp - 0 Rp 1,425.00 Rp - 0
95 Loperamid 2 mg 0 Rp 85.00 Rp - 0 Rp 85.00 Rp - 0 Rp 85.00 Rp - 0
96 Candesartan 8 mg 0 Rp 3,100.00 Rp - 0 Rp 3,100.00 Rp - 0 Rp 3,100.00 Rp - 0
97 Cefadroxil 500mg 602 Rp 516.00 Rp 310,632.00 1000 Rp 516.00 Rp 516,000.00 0 Rp 516.00 Rp - 1602
98 asetil sistein 1000 Rp 426.00 Rp 426,000.00 0 Rp 426.00 Rp - 0 Rp 426.00 Rp - 1000
99 Clindamycin 300mg 1053 Rp 603.00 Rp 634,959.00 0 Rp 603.00 Rp - 0 Rp 603.00 Rp - 1053
100 Gemfibrozil 600mg 0 Rp 679.00 Rp - 500 Rp 679.00 Rp 339,500.00 0 Rp 679.00 Rp - 500
b. Injeksi 0 Rp - 0 Rp - 0 Rp - 0
1 Aminofilina 24 mg/ml - 10 ml 110 Rp 3,822.00 Rp 420,420.00 0 Rp 3,822.00 Rp - 1 Rp 3,822.00 Rp 3,822.00 109
2 Amoksisilin 1000mg 21 Rp 16,500.00 Rp 346,500.00 240 Rp 16,500.00 Rp 3,960,000.00 83 Rp 16,500.00 Rp 1,369,500.00 178
3 Ampisillin im/iv 1000mg/ml 0 Rp 5,100.00 Rp - 0 Rp 5,100.00 Rp - 0 Rp 5,100.00 Rp - 0
4 Antalgin 250 mg/ml - 2 ml 0 Rp 8,400.00 Rp - 0 Rp 8,400.00 Rp - 0 Rp 8,400.00 Rp - 0
5 Atropin sulfat 0,25mg/ml-1 ml 18 Rp 1,672.00 Rp 30,096.00 0 Rp 1,672.00 Rp - 0 Rp 1,672.00 Rp - 18
6 Calsium Gluconas injeksi 10 % 10 Rp 10,425.00 Rp 104,250.00 0 Rp 10,425.00 Rp - 0 Rp 10,425.00 Rp - 10
7 Ceftriaxone 1 gr injeksi 0 Rp 3,300.00 Rp - 0 Rp 3,300.00 Rp - 0 Rp 3,300.00 Rp - 0
8 Deksametason injeksi 5 mg/ml-
1ml 108 Rp 1,580.00 Rp 170,640.00 300 Rp 1,580.00 Rp 474,000.00 109 Rp 1,580.00 Rp 172,220.00 299
9 Difenhidramin HCL Inj 10mg/ml-1
ml 808 Rp 1,050.00 Rp 848,400.00 0 Rp 1,050.00 Rp - 175 Rp 1,050.00 Rp 183,750.00 633
10 Epinefrin injeksi 66 Rp 8,100.00 Rp 534,600.00 0 Rp 8,100.00 Rp - 0 Rp 8,100.00 Rp - 66
11 Fitomenadion (Vit K1)inj
10mg/ml-1ml 67 Rp 3,417.00 Rp 228,939.00 90 Rp 3,417.00 Rp 307,530.00 7 Rp 3,417.00 Rp 23,919.00 150
12 Fitomenadion (Vit K1)inj infant
0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - 0
13 Furosemid injeksi 0 Rp 1,829.00 Rp - 0 Rp 1,829.00 Rp - 0 Rp 1,829.00 Rp - 0
14 Gentamisin injeksi 0 Rp 3,399.00 Rp - 0 Rp 3,399.00 Rp - 0 Rp 3,399.00 Rp - 0
Rp 4,500.00 Rp 4,500.00 Rp 4,500.00
15 Hyosin n butilbromid inj
250mg/ml 0 Rp - 0 Rp - 0 Rp - 0
16 Kloramfenikol injeksi 0 Rp 7,260.00 Rp - 0 Rp 7,260.00 Rp - 0 Rp 7,260.00 Rp - 0
Lidokain komp
+Epinefrin1:80000-2ml 649 Rp 1,845.00 Rp 1,197,405.00 0 Rp 1,845.00 Rp - 27 Rp 1,845.00 Rp 49,815.00 622
18 Magnesium sulfat injeksi (IV) 20 %
- 25 ml 0 Rp 3,200.00 Rp - 0 Rp 3,200.00 Rp - 0 Rp 3,200.00 Rp - 0
- 25 ml 18 Rp 2,629.00 Rp 47,322.00 0 Rp 2,629.00 Rp - 0 Rp 2,629.00 Rp - 18
0,200mg-1ml 162 Rp 2,684.00 Rp 434,808.00 0 Rp 2,684.00 Rp - 6 Rp 2,684.00 Rp 16,104.00 156
21 Metoklopramid inj. 5mg / ml 0 Rp 4,650.00 Rp - 0 Rp 4,650.00 Rp - 0 Rp 4,650.00 Rp - 0
22 Natrium Tiosulfat injeksi 25 % -
10 ml 0 Rp 1,476.80 Rp - 0 Rp 1,476.80 Rp - 0 Rp 1,476.80 Rp - 0
23 Oksitetrasiklin HCL inj. i.m
50mg/ml-10ml 0 Rp 2,818.10 Rp - 0 Rp 2,818.10 Rp - 0 Rp 2,818.10 Rp - 0
24 Oksitosin injeksi 10 IU/ml - 1 ml
0 Rp 1,900.00 Rp - 0 Rp 1,900.00 Rp - 0 Rp 1,900.00 Rp - 0
25 Ondansetron injeksi 199 Rp 1,650.00 Rp 328,350.00 0 Rp 1,650.00 Rp - 147 Rp 1,650.00 Rp 242,550.00 52
26 Piracetam injeksi 1 gr / 5 ml 0 Rp 5,000.00 Rp - 0 Rp 5,000.00 Rp - 0 Rp 5,000.00 Rp - 0
28 Ranitidin injeksi 25mg/2ml 0 Rp 1,390.00 Rp - 1440 Rp 1,390.00 Rp 2,001,600.00 142 Rp 1,390.00 Rp 197,380.00 1298
29 Sefotaksim injeksi 1 gram 12 Rp 4,898.00 Rp 58,776.00 0 Rp 4,898.00 Rp - 12 Rp 4,898.00 Rp 58,776.00 0
30 Sianokobalamin(VitB12)inj.500mc
g/ml-1ml 1360 Rp 1,098.00 Rp 1,493,280.00 0 Rp 1,098.00 Rp - 101 Rp 1,098.00 Rp 110,898.00 1259
Rp 3,650.00 Rp 3,650.00 Rp 3,650.00
1000mg/ml 0 Rp - 0 Rp - 0 Rp - 0
mg/ml-1 ml 0 Rp 680.00 Rp - 0 Rp 680.00 Rp - 0 Rp 680.00 Rp - 0
33 Vitamin B Kompleks injeksi 0 Rp 36,000.00 Rp - 0 Rp 36,000.00 Rp - 0 Rp 36,000.00 Rp - 0
33 Omeprazol injeksi 40mg/ml
+pelarut 16 Rp 2,950.00 Rp 47,200.00 10 Rp 2,950.00 Rp 29,500.00 9 Rp 2,950.00 Rp 26,550.00 17
34 Asam traneksamat 250 mg/5ml
10 Rp 7,190.00 Rp 71,900.00 30 Rp 7,190.00 Rp 215,700.00 5 Rp 7,190.00 Rp 35,950.00 35
35 Procain Benzil Penisilin inj 3 jt iu Rp 7,190.00 Rp 7,190.00 Rp 7,190.00
0 Rp - 0 Rp - 0 Rp - 0
c. Salep 0 Rp - 0 Rp - 0 Rp - 0
1 Antifungi (As. Benzoat6%+As.
salisilat 3%) 29 Rp 1,904.40 Rp 55,227.60 120 Rp 1,904.40 Rp 228,528.00 1 Rp 1,904.40 Rp 1,904.40 148
2 Asiklovir krim 5% 0 Rp 839.00 Rp - 50 Rp 839.00 Rp 41,950.00 1 Rp 839.00 Rp 839.00 49
3 Basitrasin Polimixin B SK 0 Rp 2,516.00 Rp - 0 Rp 2,516.00 Rp - 0 Rp 2,516.00 Rp - 0
4 Betametason krim 0,1 % 205 Rp 1,520.00 Rp 311,600.00 0 Rp 1,520.00 Rp - 24 Rp 1,520.00 Rp 36,480.00 181
5 Gameksan emulsi 1 % 30ml 0 Rp 2,200.00 Rp - 0 Rp 2,200.00 Rp - 0 Rp 2,200.00 Rp - 0
6 Gentamisin salep kulit 0.1%-5gr
0 Rp 2,970.00 Rp - 0 Rp 2,970.00 Rp - 0 Rp 2,970.00 Rp - 0
7 Gentamisin salep mata 0,3% 135 Rp 2,600.00 Rp 351,000.00 0 Rp 2,600.00 Rp - 33 Rp 2,600.00 Rp 85,800.00 102
8 Hidrokortison krim 2,5 % 0 Rp 2,798.00 Rp - 0 Rp 2,798.00 Rp - 0 Rp 2,798.00 Rp - 0
9 Ketokonazol krim 2% 0 Rp 2,569.00 Rp - 0 Rp 2,569.00 Rp - 0 Rp 2,569.00 Rp - 0
10 Kloramfenikol salep mata 1 % 0 Rp 1,600.00 Rp - 0 Rp 1,600.00 Rp - 0 Rp 1,600.00 Rp - 0
11 Miconazol cream 2 % 100 Rp 3,000.00 Rp 300,000.00 0 Rp 3,000.00 Rp - 6 Rp 3,000.00 Rp 18,000.00 94
0 Rp 2,520.00 Rp - 0 Rp 2,520.00 Rp - 0 Rp 2,520.00 Rp - 0
13 Oksitetrasiklin HCL salep 3 % 0 Rp 1,499.00 Rp - 0 Rp 1,499.00 Rp - 0 Rp 1,499.00 Rp - 0
+Belerang endap4% 144 Rp 2,429.00 Rp 349,776.00 0 Rp 2,429.00 Rp - 9 Rp 2,429.00 Rp 21,861.00 135
d. Serbuk 0 Rp - 0 Rp - 0 Rp - 0
1 Garam oralit untuk 200 ml air 8990 Rp 288.00 Rp 2,589,120.00 0 Rp 288.00 Rp - 461 Rp 288.00 Rp 132,768.00 8529
2 Salisil Bedak 2 % 0 Rp 1,250.00 Rp - 100 Rp 1,250.00 Rp 125,000.00 0 Rp 1,250.00 Rp - 100
e. Sirup 0 Rp - 0 Rp - 0 Rp - 0
1 Amoksilin 125mg/5ml 62 Rp 2,445.00 Rp 151,590.00 100 Rp 2,445.00 Rp 244,500.00 137 Rp 2,445.00 Rp 334,965.00 25
200mg/5ml+AlOH 200mg/5ml) 408 Rp 2,025.00 Rp 826,200.00 0 Rp 2,025.00 Rp - 126 Rp 2,025.00 Rp 255,150.00 282
3 Cetirizin syr 0 Rp 7,999.00 Rp - 0 Rp 7,999.00 Rp - 0 Rp 7,999.00 Rp - 0
4 Dekstrometorfan 10 mg / 5 ml 0 Rp 1,378.85 Rp - 0 Rp 1,378.85 Rp - 0 Rp 1,378.85 Rp - 0
5 Eritromisin sirup 0 Rp 6,700.00 Rp - 60 Rp 6,700.00 Rp 402,000.00 17 Rp 6,700.00 Rp 113,900.00 43
6 Ibuprofen suspensi 100mg/5ml
1091 Rp 4,499.00 Rp 4,908,409.00 0 Rp 4,499.00 Rp - 74 Rp 4,499.00 Rp 332,926.00 1017
7 Kloramfenikol suspensi
125mg/5ml 197 Rp 3,955.00 Rp 779,135.00 0 Rp 3,955.00 Rp - 24 Rp 3,955.00 Rp 94,920.00 173
200mg+Trimetoprim40mg/5ml 414 Rp 885,960.00 0 Rp - 66 Rp 141,240.00 348
9 Mebendazol sirup 100 mg/5ml 0 Rp 3,534.00 Rp - 0 Rp 3,534.00 Rp - 0 Rp 3,534.00 Rp - 0
10 Obat Batuk Hitam ( O B H ) 17 Rp 4,840.00 Rp 82,280.00 480 Rp 4,840.00 Rp 2,323,200.00 69 Rp 4,840.00 Rp 333,960.00 428
11 Parasetamol sirup 120mg/5ml 460 Rp 1,074.00 Rp 494,040.00 0 Rp 1,074.00 Rp - 102 Rp 1,074.00 Rp 109,548.00 358
12 Thiamfenikol syr 0 Rp - 0 Rp - 0 Rp - 0
13 Metronidazol syrup 11 Rp 9,950.00 Rp 109,450.00 0 Rp 9,950.00 Rp - 5 Rp 9,950.00 Rp 49,750.00 6
f. Tetes 0 Rp - 0 Rp - 0 Rp - 0
1 Fenol Gliserol tetes telinga 10 %
223 Rp 2,042.00 Rp 455,366.00 0 Rp 2,042.00 Rp - 13 Rp 2,042.00 Rp 26,546.00 210
2 Gentamisin tetes mata 0.3% 41 Rp 4,000.00 Rp 164,000.00 0 Rp 4,000.00 Rp - 12 Rp 4,000.00 Rp 48,000.00 29
3 Gentian violet larutan 1 % 0 Rp 900.00 Rp - 0 Rp 900.00 Rp - 0 Rp 900.00 Rp - 0
4 Kloramfenikol tetes mata 0 Rp 2,273.00 Rp - 0 Rp 2,273.00 Rp - 0 Rp 2,273.00 Rp - 0
5 Kloramfenikol tetes telinga 3 %
0 Rp 5,500.00 Rp - 0 Rp 5,500.00 Rp - 0 Rp 5,500.00 Rp - 0
6 Parasetamol drop 100mg/ml btl
@ 15ml 3 Rp 5,200.00 Rp 15,600.00 0 Rp 5,200.00 Rp - 0 Rp 5,200.00 Rp - 3
7 Polikresulen 7 Rp 17,393.00 Rp 121,751.00 0 Rp 17,393.00 Rp - 0 Rp 17,393.00 Rp - 7
8 Sulfasetamid Natrium tetes mata
15 % 0 Rp 3,226.00 Rp - 0 Rp 3,226.00 Rp - 0 Rp 3,226.00 Rp - 0
ALKES DAN CAIRAN LUAR 0 Rp - 0 Rp - 0 Rp - 0
1 Alat suntik sekali pakai 1 ml 549 Rp 1,540.00 Rp 845,460.00 0 Rp 1,540.00 Rp - 185 Rp 1,540.00 Rp 284,900.00 364
2 Alat suntik sekali pakai 3 ml 10036 Rp 792.00 Rp 7,948,512.00 0 Rp 792.00 Rp - 1132 Rp 792.00 Rp 896,544.00 8904
5 Alkohol swab 0 Rp 19,680.00 Rp - 10 Rp 19,680.00 Rp 196,800.00 2 Rp 19,680.00 Rp 39,360.00 8
6 Aqua pro injeksi, bebas pirogen
26 Rp 2,750.00 Rp 71,500.00 60 Rp 2,750.00 Rp 165,000.00 57 Rp 2,750.00 Rp 156,750.00 29
7 Aquadest steril 0 Rp 8,600.00 Rp - 0 Rp 8,600.00 Rp - 0 Rp 8,600.00 Rp - 0
8 Blood Tranfusion set 50 Rp 27,830.00 Rp 1,391,500.00 0 Rp 27,830.00 Rp - 0 Rp 27,830.00 Rp - 50
9 Catgut chromic/benang bedah Rp 34,170.00 Rp 34,170.00 Rp 34,170.00
No. 2/0-3/0 93 Rp 3,177,810.00 0 Rp - 1 Rp 34,170.00 92
10 Catgut plain/benang bedah No. Rp 35,740.00 Rp 35,740.00 Rp 35,740.00
2/0-3/0 65 Rp 2,323,100.00 0 Rp - 0 Rp - 65
Rp 10,400.00 Rp 10,400.00 Rp 10,400.00
11 Daryantulle/Bioplacenton tulle
57 Rp 592,800.00 0 Rp - 0 Rp - 57
12 Etanol 70 % 100 ml 70 Rp 2,500.00 Rp 175,000.00 50 Rp 2,500.00 Rp 125,000.00 11 Rp 2,500.00 Rp 27,500.00 109
13 Etanol 70 % 1000 ml 99 Rp 22,990.00 Rp 2,276,010.00 0 Rp 22,990.00 Rp - 0 Rp 22,990.00 Rp - 99
14 Foley Catheter no.16 20 Rp 8,000.00 Rp 160,000.00 0 Rp 8,000.00 Rp - 0 Rp 8,000.00 Rp - 20
15 Folley cath no. 18 10 Rp 8,000.00 Rp 80,000.00 0 Rp 8,000.00 Rp - 0 Rp 8,000.00 Rp - 10
16 Hanschoen "50 87 Rp 35,620.00 Rp 3,098,940.00 0 Rp 35,620.00 Rp - 1 Rp 35,620.00 Rp 35,620.00 86
surgical PF) 121 Rp 6,985.00 Rp 845,185.00 0 Rp 6,985.00 Rp - 7 Rp 6,985.00 Rp 48,895.00 114
surgical PF) 110 Rp 6,985.00 Rp 768,350.00 0 Rp 6,985.00 Rp - 0 Rp 6,985.00 Rp - 110
19 I.V. Catheter No 18 146 Rp 8,700.00 Rp 1,270,200.00 0 Rp 8,700.00 Rp - 6 Rp 8,700.00 Rp 52,200.00 140
21 I.V. Catheter No 22 60 Rp 8,700.00 Rp 522,000.00 100 Rp 8,700.00 Rp 870,000.00 80 Rp 8,700.00 Rp 696,000.00 80
22 I.V. Catheter No 24 79 Rp 8,700.00 Rp 687,300.00 100 Rp 8,700.00 Rp 870,000.00 13 Rp 8,700.00 Rp 113,100.00 166
23 Infusion set anak 13 Rp 5,100.00 Rp 66,300.00 0 Rp 5,100.00 Rp - 0 Rp 5,100.00 Rp - 13
24 Infusion set dewasa 1223 Rp 9,070.00 Rp 11,092,610.00 0 Rp 9,070.00 Rp - 65 Rp 9,070.00 Rp 589,550.00 1158
25 Kapas Pembalut / Absorben 250
gr 0 Rp 24,000.00 Rp - 20 Rp 24,000.00 Rp 480,000.00 3 Rp 24,000.00 Rp 72,000.00 17
26 Kasa Pembalut 2 m x 80 cm 0 Rp 9,400.00 Rp - 0 Rp 9,400.00 Rp - 0 Rp 9,400.00 Rp - 0
27 Kasa Pembalut elastic 3 inchi 0 Rp 6,363.00 Rp - 0 Rp 6,363.00 Rp - 0 Rp 6,363.00 Rp - 0
28 Kasa Pembalut Hidrofil 4 m x 15
cm 95 Rp 3,800.00 Rp 361,000.00 0 Rp 3,800.00 Rp - 4 Rp 3,800.00 Rp 15,200.00 91
53 Rp 800.00 Rp 42,400.00 100 Rp 800.00 Rp 80,000.00 0 Rp 800.00 Rp - 153
30 Kasa Steril 30 Rp 7,900.00 Rp 237,000.00 0 Rp 7,900.00 Rp - 5 Rp 7,900.00 Rp 39,500.00 25
31 Lisol, mengandung Kresol
tersabun 50% 0 Rp 49,862.00 Rp - 0 Rp 49,862.00 Rp - 0 Rp 49,862.00 Rp - 0
32 Masker breathing (+ selang) 0 Rp - 0 Rp - 0 Rp - 0
33 Masker non breathing 327 Rp 16,500.00 Rp 5,395,500.00 0 Rp 16,500.00 Rp - 3 Rp 16,500.00 Rp 49,500.00 324
34 masker oxygen 0 Rp 19,800.00 Rp - 0 Rp 19,800.00 Rp - 0 Rp 19,800.00 Rp - 0
35 NGT 7 x 75/80 0 Rp - 0 Rp - 0 Rp - 0
36 One Med H2 O2 3 % 0 Rp 3,960.00 Rp - 0 Rp 3,960.00 Rp - 0 Rp 3,960.00 Rp - 0
37 One Med Surgical Blade 0 Rp 770.00 Rp - 0 Rp 770.00 Rp - 0 Rp 770.00 Rp - 0
38 Plester 5 yards x 2 inch
(MICROPORE) 10 Rp 18,085.67 Rp 180,856.67 0 Rp 18,085.67 Rp - 4 Rp 18,085.67 Rp 72,342.67 6
39 Plester infus (TEGADERM) 3 Rp 2,242.10 Rp 6,726.30 0 Rp 2,242.10 Rp - 0 Rp 2,242.10 Rp - 3
40 Rivanol larutan 0,1 % 300ml 79 Rp 2,550.00 Rp 201,450.00 0 Rp 2,550.00 Rp - 3 Rp 2,550.00 Rp 7,650.00 76
41 Silk ( Benang Bedah Sutera ) No.
3/0 26 Rp 23,480.00 Rp 610,480.00 0 Rp 23,480.00 Rp - 0 Rp 23,480.00 Rp - 26
42 Tensocrepe 24 Rp - 0 Rp - 0 Rp - 24
43 Urine Bag 42 Rp 5,500.00 Rp 231,000.00 0 Rp 5,500.00 Rp - 0 Rp 5,500.00 Rp - 42
44 Wing Needle No. 18 - 27 0 Rp 1,400.00 Rp - 0 Rp 1,400.00 Rp - 0 Rp 1,400.00 Rp - 0
45 Yodium Povidon larutan 10 % 30
ml 45 Rp 2,900.00 Rp 130,500.00 0 Rp 2,900.00 Rp - 7 Rp 2,900.00 Rp 20,300.00 38
ml 4 Rp 5,998.00 Rp 23,992.00 0 Rp 5,998.00 Rp - 0 Rp 5,998.00 Rp - 4
ml 5 Rp 18,000.00 Rp 90,000.00 0 Rp 18,000.00 Rp - 0 Rp 18,000.00 Rp - 5
48 Policlean handrub 50ml 10 Rp 74,494.00 Rp 744,940.00 0 Rp 74,494.00 Rp - 0 Rp 74,494.00 Rp - 10
49 Polifix 5cmx5m 1 Rp 39,217.00 Rp 39,217.00 0 Rp 39,217.00 Rp - 0 Rp 39,217.00 Rp - 1
50 New DRC 4Y x 80 cm plain 5 Rp 149,158.00 Rp 745,790.00 0 Rp 149,158.00 Rp - 0 Rp 149,158.00 Rp - 5
51 Nurse cap 0 Rp 667.80 Rp - 0 Rp 667.80 Rp - 0 Rp 667.80 Rp - 0
52 Surgical gown (M) 5 Rp 51,426.00 Rp 257,130.00 0 Rp 51,426.00 Rp - 0 Rp 51,426.00 Rp - 5
53 Surgical gown (L) 5 Rp 51,426.00 Rp 257,130.00 0 Rp 51,426.00 Rp - 0 Rp 51,426.00 Rp - 5
54 Glucose protein test 100 Rp 1,045.00 Rp 104,500.00 0 Rp 1,045.00 Rp - 0 Rp 1,045.00 Rp - 100
55 Underpad 0 Rp 4,620.00 Rp - 150 Rp 4,620.00 Rp 693,000.00 16 Rp 4,620.00 Rp 73,920.00 134
56 Nasal kanul L 102 Rp 6,600.00 Rp 673,200.00 0 Rp 6,600.00 Rp - 0 Rp 6,600.00 Rp - 102
57 Nasal kanul S 110 Rp 6,600.00 Rp 726,000.00 0 Rp 6,600.00 Rp - 0 Rp 6,600.00 Rp - 110
58 Nasal kanul XS 0 Rp 6,600.00 Rp - 0 Rp 6,600.00 Rp - 0 Rp 6,600.00 Rp - 0
59 Handrub refill 8 Rp 580,000.00 Rp 4,640,000.00 0 Rp 580,000.00 Rp - 0 Rp 580,000.00 Rp - 8
60 Umbilical cord 0 Rp 65,000.00 Rp - 0 Rp 65,000.00 Rp - 0 Rp 65,000.00 Rp - 0
61 Dermafix T 5x7 0 Rp 1,629.00 Rp - 0 Rp 1,629.00 Rp - 0 Rp 1,629.00 Rp - 0
62 Plesterin 0 Rp 26,950.00 Rp - 0 Rp 26,950.00 Rp - 0 Rp 26,950.00 Rp - 0
63 Stomach tube no 16 2 Rp 7,370.00 Rp 14,740.00 0 Rp 7,370.00 Rp - 0 Rp 7,370.00 Rp - 2
INFUS 0 Rp - 0 Rp - 0 Rp - 0
1 Asering Larutan infus 0 Rp 9,275.00 Rp - 0 Rp 9,275.00 Rp - 0 Rp 9,275.00 Rp - 0
2 Glukosa larutan infus 10 % steril
20 Rp 7,500.00 Rp 150,000.00 0 Rp 7,500.00 Rp - 12 Rp 7,500.00 Rp 90,000.00 8
0 Rp 5,700.00 Rp - 0 Rp 5,700.00 Rp - 0 Rp 5,700.00 Rp - 0
350 Rp 6,900.00 Rp 2,415,000.00 0 Rp 6,900.00 Rp - 3 Rp 6,900.00 Rp 20,700.00 347
5 KAEN 3B 0 Rp 10,050.00 Rp - 0 Rp 10,050.00 Rp - 0 Rp 10,050.00 Rp - 0
7 Metronidazol infus 0 Rp 9,950.00 Rp - 0 Rp 9,950.00 Rp - 0 Rp 9,950.00 Rp - 0
8 Natrium Klorida larutan infus 0,9
% steril 0 Rp 6,410.00 Rp - 500 Rp 6,410.00 Rp 3,205,000.00 81 Rp 6,410.00 Rp 519,210.00 419
9 Ringer Lactate infus steril 117 Rp 7,150.00 Rp 836,550.00 0 Rp 7,150.00 Rp - 67 Rp 7,150.00 Rp 479,050.00 50
OBAT PATEN 0 Rp - 0 Rp - 0 Rp - 0
1 Aptil/Albothyl 0 Rp 23,100.00 Rp - 0 Rp 23,100.00 Rp - 0 Rp 23,100.00 Rp - 0
2 Bioplasenton Jelly 0 Rp 14,175.00 Rp - 0 Rp 14,175.00 Rp - 0 Rp 14,175.00 Rp - 0
10mg/Dulcolax 110 Rp 5,800.00 Rp 638,000.00 0 Rp 5,800.00 Rp - 0 Rp 5,800.00 Rp - 110
4 Bufacomb 5 Rp 15,000.00 Rp 75,000.00 0 Rp 15,000.00 Rp - 5 Rp 15,000.00 Rp 75,000.00 0
5 Cendo Lyters tetes mata 0 Rp 15,750.00 Rp - 0 Rp 15,750.00 Rp - 0 Rp 15,750.00 Rp - 0
6 Cendo Xitrol tetes mata 0 Rp 27,250.00 Rp - 0 Rp 27,250.00 Rp - 0 Rp 27,250.00 Rp - 0
7 Citicholin inj. 250 mg / 2ml 0 Rp 15,000.00 Rp - 0 Rp 15,000.00 Rp - 0 Rp 15,000.00 Rp - 0
8 Laxadin sirup 9 Rp 12,450.00 Rp 112,050.00 0 Rp 12,450.00 Rp - 7 Rp 12,450.00 Rp 87,150.00 2
9 Lactodiar 0 Rp 5,078.85 Rp - 0 Rp 5,078.85 Rp - 0 Rp 5,078.85 Rp - 0
10 Lytamin syrup 90 Rp 5,000.00 Rp 450,000.00 0 Rp 5,000.00 Rp - 0 Rp 5,000.00 Rp - 90
11 Mecobion tablet 1456 Rp 550.00 Rp 800,800.00 0 Rp 550.00 Rp - 0 Rp 550.00 Rp - 1456
Rp 8,635.00 Rp 8,635.00 Rp 8,635.00
12 Metamizole injeksi 500mg
(Norages) 0 Rp - 0 Rp - 0 Rp - 0
13 Microlax 0 Rp 14,500.00 Rp - 0 Rp 14,500.00 Rp - 0 Rp 14,500.00 Rp - 0
(Mersibion) 0 Rp 4,300.00Rp - 200 Rp 4,300.00Rp 860,000.00 5 Rp 4,300.00Rp 21,500.00 195
15 Novalgin/Antrain injeksi 0 Rp 8,635.00Rp - 0 Rp 8,635.00Rp - 75 Rp 8,635.00Rp 647,625.00 -75
16 Noza /Demacolin 0 Rp 362.00 Rp - 2000 Rp 362.00 Rp 724,000.00 928 Rp 362.00 Rp 335,936.00 1072
17 Obat Batuk Anak sirup
(Babycough) 193 Rp 3,575.00 Rp 689,975.00 0 Rp 3,575.00 Rp - 64 Rp 3,575.00 Rp 228,800.00 129
18 Parasetamol supp 0 Rp - 0 Rp - 0 Rp - 0
19 Pehacain injeksi 0 Rp 2,590.00 Rp - 0 Rp 2,590.00 Rp - 0 Rp 2,590.00 Rp - 0
20 Permetrin/Scabicid krim 5% 53 Rp 12,155.00 Rp 644,215.00 0 Rp 12,155.00 Rp - 35 Rp 12,155.00 Rp 425,425.00 18
21 Salbutamol rotacaps 0 Rp 450.00 Rp - 0 Rp 450.00 Rp - 0 Rp 450.00 Rp - 0
22 Salbutamol rotahaler 0 Rp 5,867.00 Rp - 0 Rp 5,867.00 Rp - 0 Rp 5,867.00 Rp - 0
23 Hiopar 400 Rp 1,360.00 Rp 544,000.00 0 Rp 1,360.00 Rp - 0 Rp 1,360.00 Rp - 400
24 Puralex 4555 Rp 190.00 Rp 865,450.00 0 Rp 190.00 Rp - 480 Rp 190.00 Rp 91,200.00 4075
25 Ventolin nebuliser 0 Rp 6,600.00 Rp - 0 Rp 6,600.00 Rp - 0 Rp 6,600.00 Rp - 0
26 Zirkum syr/ Zinkid syr 57 Rp 14,980.00 Rp 853,860.00 0 Rp 14,980.00 Rp - 10 Rp 14,980.00 Rp 149,800.00 47
27 Miniaspi (Asetosal 80mg) 0 Rp 148.00 Rp - 500 Rp 148.00 Rp 74,000.00 0 Rp 148.00 Rp - 500
28 Ulsidex 500mg 201 Rp 424.00 Rp 85,224.00 0 Rp 424.00 Rp - 80 Rp 424.00 Rp 33,920.00 121
29 Combiven nebulizer 100 Rp 4,995.00 Rp 499,500.00 0 Rp 4,995.00 Rp - 0 Rp 4,995.00 Rp - 100
30 Dulcolax supp 5 mg (anak) 60 Rp 5,670.00 Rp 340,200.00 0 Rp 5,670.00 Rp - 0 Rp 5,670.00 Rp - 60
31 Bufacetin salep 198 Rp 3,091.00 Rp 612,018.00 0 Rp 3,091.00 Rp - 40 Rp 3,091.00 Rp 123,640.00 158
32 Pantocain TM 10 Rp 11,500.00 Rp 115,000.00 0 Rp 11,500.00 Rp - 0 Rp 11,500.00 Rp - 10
33 Chloramex 500mg 9067 Rp 1,007.00 Rp 9,130,469.00 0 Rp 1,007.00 Rp - 546 Rp 1,007.00 Rp 549,822.00 8521
34 Euthyrox (Levotiroksin 100mcg)
0 Rp 850.00 Rp - 0 Rp 850.00 Rp - 0 Rp 850.00 Rp - 0
35 Dionicol 500mg 391 Rp 737.00 Rp 288,167.00 0 Rp 737.00 Rp - 391 Rp 737.00 Rp 288,167.00 0
36 Sotatic inj (metoclopramid inj) 50 Rp 4,620.00 Rp 231,000.00 0 Rp 4,620.00 Rp - 0 Rp 4,620.00 Rp - 50
37 Gricin 0 Rp 1,100.00 Rp - 0 Rp 1,100.00 Rp - 0 Rp 1,100.00 Rp - 0
38 Amoxsan serbuk injeksi 0 Rp 16,500.00 Rp - 0 Rp 16,500.00 Rp - 0 Rp 16,500.00 Rp - 0
OBAT KHUSUS 0 Rp - 0 Rp - 0 Rp - 0
a. Alkes 0 Rp - 0 Rp - 0 Rp - 0
1 Anisol 0 Rp - 0 Rp - 0 Rp - 0
2 Blood lancet 0 Rp - 0 Rp - 0 Rp - 0
3 Blue Tip 0 Rp 104,000.00 Rp - 0 Rp 104,000.00 Rp - 0 Rp 104,000.00 Rp - 0
4 Corong 0 Rp - 0 Rp - 0 Rp - 0
5 Kantong mayat 0 Rp 150,000.00 Rp - 0 Rp 150,000.00 Rp - 0 Rp 150,000.00 Rp - 0
6 Kertas lensa 0 Rp - 0 Rp - 0 Rp - 0
7 Lampu spiritus 0 Rp - 0 Rp - 0 Rp - 0
8 Ose 0 Rp - 0 Rp - 0 Rp - 0
9 Pipet K 0 Rp - 0 Rp - 0 Rp - 0
10 Pipet 50 ml 0 Rp - 0 Rp - 0 Rp - 0
11 Rak slide 0 Rp - 0 Rp - 0 Rp - 0
12 Safety box 5 l 0 Rp - 0 Rp - 0 Rp - 0
13 Sarung tangan no 7 0 Rp - 0 Rp - 0 Rp - 0
14 Sarung tangan no 7.5 0 Rp - 0 Rp - 0 Rp - 0
16 Syringe AD 0,5ml / Soloshot 0 1655,55 #VALUE! 0 1655,55 #VALUE! 0 1655,55 #VALUE! 0
17 Syringe AD 5ml / Soloshot 0 Rp - 0 Rp - 0 Rp - 0
18 Tabung EDTA 0 Rp 240,450.00 Rp - 0 Rp 240,450.00 Rp - 0 Rp 240,450.00 Rp - 0
19 Tabung serologi 0 Rp 226,550.00 Rp - 0 Rp 226,550.00 Rp - 0 Rp 226,550.00 Rp - 0
b. Filariasis 0 Rp - 0 Rp - 0 Rp - 0
1 Albendazol 32386 Rp 344.00 Rp 11,140,784.00 0 Rp 344.00 Rp - 0 Rp 344.00 Rp - 32386
2 Betametason krim 0,1 % 0 Rp 1,520.00 Rp - 0 Rp 1,520.00 Rp - 0 Rp 1,520.00 Rp - 0
3 Dietilkarbamazin sitrat 100 mg 0 Rp 136.00 Rp - 0 Rp 136.00 Rp - 0 Rp 136.00 Rp - 0
4 0 Rp - 0 Rp - 0 Rp - 0
5 Miconazol cream 2 % 0 Rp 3,000.00 Rp - 0 Rp 3,000.00 Rp - 0 Rp 3,000.00 Rp - 0
7 Vitamin B Kompleks 0 Rp 107.00 Rp - 0 Rp 107.00 Rp - 0 Rp 107.00 Rp - 0
c. Flu burung 0 Rp - 0 Rp - 0 Rp - 0
1 Oseltamivir 75 mg 0 Rp 13,000.00 Rp - 0 Rp 13,000.00 Rp - 0 Rp 13,000.00 Rp - 0
d. Gigi 0 Rp - 0 Rp - 0 Rp - 0
1 Devitalisasi Pasta ( Non Arsen )
0 Rp - 0 Rp - 0 Rp - 0
2 Etil Klorida semprot 3 Rp 99,000.00 Rp 297,000.00 0 Rp 99,000.00 Rp - 0 Rp 99,000.00 Rp - 3
3 Eugenol cairan 2 Rp - 0 Rp - 0 Rp - 2
4 Glass Ionomer Cemen ( GC IX ) 0 Rp - 0 Rp - 0 Rp - 0
5 Kalsium Hidroksida Pasta 0 Rp - 0 Rp - 0 Rp - 0
6 Monoklorkamfer Mentol Cairan
0 Rp - 0 Rp - 0 Rp - 0
7 Mummifying Pasta 0 Rp - 0 Rp - 0 Rp - 0
8 Semen Seng Fosfat serbuk dan
cairan 0 Rp - 0 Rp - 0 Rp - 0
9 Silver Amalgam serbuk 65 - 75 %
0 Rp - 0 Rp - 0 Rp - 0
10 Temporary Stopping Fletcher
serbuk dan cairan 0 Rp - 0 Rp - 0 Rp - 0
11 Trikresol Formalin (TKF) cairan 0 Rp - 0 Rp - 0 Rp - 0
e. Gizi 0 Rp - 0 Rp - 0 Rp - 0
21 Rp 14,200.00 Rp 298,200.00 0 Rp 14,200.00 Rp - 0 Rp 14,200.00 Rp - 21
104 Rp 2,386,800.00 0 Rp - 0 Rp - 104
3 Mineral Mix 0 Rp 2,695.00 Rp - 0 Rp 2,695.00 Rp - 0 Rp 2,695.00 Rp - 0
4 Iodine test 0 Rp 31,650.00 Rp - 0 Rp 31,650.00 Rp - 0 Rp 31,650.00 Rp - 0
f. Jiwa 0 Rp - 0 Rp - 0 Rp - 0
1 Amitriptilin HCL 25 mg 287 Rp 102.00 Rp 29,274.00 0 Rp 102.00 Rp - 83 Rp 102.00 Rp 8,466.00 204
2 Clobazam 10mg tab 0 Rp 900.00 Rp - 0 Rp 900.00 Rp - 0 Rp 900.00 Rp - 0
3 Fenitoin Natrium inj. 50 mg/ml Rp 20,250.00 Rp 20,250.00 Rp 20,250.00
3000 Rp 60,750,000.00 0 Rp - 0 Rp - 3000
4 Fenitoin Natrium 100 mg 500 Rp 133.00 Rp 66,500.00 0 Rp 133.00 Rp - 20 Rp 133.00 Rp 2,660.00 480
5 Fenitoin Natrium 30 mg 0 Rp 93.00 Rp - 0 Rp 93.00 Rp - 0 Rp 93.00 Rp - 0
6 Haldol decanoat 50mg/ml inj 0 Rp 83,333.00 Rp - 0 Rp 83,333.00 Rp - 0 Rp 83,333.00 Rp - 0
7 Haloperidol 1,5 mg 1720 Rp 69.00 Rp 118,680.00 0 Rp 69.00 Rp - 190 Rp 69.00 Rp 13,110.00 1530
8 Haloperidol 5 mg 0 Rp 96.00 Rp - 0 Rp 96.00 Rp - 0 Rp 96.00 Rp - 0
9 Karbamazepin 200 mg 0 Rp 245.00 Rp - 0 Rp 245.00 Rp - 0 Rp 245.00 Rp - 0
10 Klorpromazin HCL injeksi 25 Rp 1,021.00 Rp 1,021.00 Rp 1,021.00
mg/ml - 1 ml 0 Rp - 0 Rp - 0 Rp - 0
11 Klorpromazin HCL injeksi 5 mg/ml Rp 950.00 Rp 950.00 Rp 950.00
- 2 ml 0 Rp - 0 Rp - 0 Rp - 0
mg 110 Rp 15,840.00 0 Rp - 110 Rp 15,840.00 0
mg 0 Rp - 0 Rp - 0 Rp - 0
14 Lodomer 5mg/ml inj 0 Rp - 0 Rp - 0 Rp - 0
15 Risperidone 2mg 330 Rp 1,008.00 Rp 332,640.00 0 Rp 1,008.00 Rp - 40 Rp 1,008.00 Rp 40,320.00 290
0 Rp - 0 Rp - 0 Rp - 0
17 Trifluoperazin tablet 5 mg 0 Rp 405.00 Rp - 0 Rp 405.00 Rp - 0 Rp 405.00 Rp - 0
18 Triheksifenidil Hidroklorida tab 2 Rp 95.00 Rp 95.00 Rp 95.00
mg 480 Rp 45,600.00 0 Rp - 410 Rp 38,950.00 70
19 Clozapin 25 mg tab 0 Rp 1,550.00 Rp - 0 Rp 1,550.00 Rp - 0 Rp 1,550.00 Rp - 0
20 Fluoksetin/Nopres 20 mg 0 Rp 423.00 Rp - 0 Rp 423.00 Rp - 0 Rp 423.00 Rp - 0
21 Haloperidol 0,5 mg 0 Rp 88.00 Rp - 0 Rp 88.00 Rp - 0 Rp 88.00 Rp - 0
drop) 0 Rp - 0 Rp - 0 Rp - 0
23 Stelazin 1 mg 695 Rp 479.00 Rp 332,905.00 0 Rp 479.00 Rp - 0 Rp 479.00 Rp - 695
g. Kelamin + H I V 0 Rp - 0 Rp - 0 Rp - 0
Benzatin Benzil Penisilin inj. 1,2
1 juta IU/vial 0 Rp 8,935.00 Rp - 0 Rp 8,935.00 Rp - 0 Rp 8,935.00 Rp - 0
Benzatin Benzil Penisilin inj. 2,4 Rp 12,185.00 Rp 12,185.00 Rp 12,185.00
2 juta IU/vial 0 Rp - 0 Rp - 0 Rp - 0
3 Cyprofloxacin 500 mg 0 Rp 250.00 Rp - 0 Rp 250.00 Rp - 0 Rp 250.00 Rp - 0
4 Cyre Tube 0 Rp - 0 Rp - 0 Rp - 0
5 Doxycyclin 100 mg 0 Rp 270.00 Rp - 0 Rp 270.00 Rp - 0 Rp 270.00 Rp - 0
6 Erythromycin 500 mg 0 Rp 930.00 Rp - 0 Rp 930.00 Rp - 0 Rp 930.00 Rp - 0
7 Fladex Forte ( Metronidazol ) 0 Rp - 0 Rp - 0 Rp - 0
8 Fluconazole tab 0 Rp 18,000.00 Rp - 0 Rp 18,000.00 Rp - 0 Rp 18,000.00 Rp - 0
9 Kapas Alkohol 0 Rp - 0 Rp - 0 Rp - 0
10 Komb: Cefixim + Azithromycin 0 Rp 1,000.00 Rp - 0 Rp 1,000.00 Rp - 0 Rp 1,000.00 Rp - 0
11 Pehavral 0 Rp - 0 Rp - 0 Rp - 0
12 Sarung tangan 0 Rp - 0 Rp - 0 Rp - 0
13 Tabung + Jarum 0 Rp - 0 Rp - 0 Rp - 0
14 Zidovudine (ZDV) 100mg 0 Rp 1,583.00 Rp - 0 Rp 1,583.00 Rp - 0 Rp 1,583.00 Rp - 0
15 Lamivudine 150 mg 0 Rp 1,400.00 Rp - 0 Rp 1,400.00 Rp - 0 Rp 1,400.00 Rp - 0
16 Efavirenz (EFV) 600 mg 0 Rp - 0 Rp - 0 Rp - 0
17 Nevirapine (NVP) 200mg 0 Rp 2,800.00 Rp - 0 Rp 2,800.00 Rp - 0 Rp 2,800.00 Rp - 0
18 Tenofovir 300 0 Rp - 0 Rp - 0 Rp - 0
Tenofovir 300 + Emcitritabine (FT
19 0 Rp - 0 Rp - 0 Rp - 0
Zidovudine(ZDV)300mg+Lamivudi
ne(3TC)150mg Rp 3,429.00 Rp 3,429.00 Rp 3,429.00
20 0 Rp - 0 Rp - 0 Rp - 0
21 0 Rp - 0 Rp - 0 Rp - 0
22 Azithromycin 0 Rp 4,500.00 Rp - 0 Rp 4,500.00 Rp - 0 Rp 4,500.00 Rp - 0
23 Cefixim 100mg 0 Rp 590.00 Rp - 0 Rp 590.00 Rp - 0 Rp 590.00 Rp - 0
h. Kusta 0 Rp - 0 Rp - 0 Rp - 0
1 Lampren 100 mg 0 Rp - 0 Rp - 0 Rp - 0
2 MB Anak 0 Rp - 0 Rp - 0 Rp - 0
3 MB Dewasa 0 Rp - 0 Rp - 0 Rp - 0
4 PB Anak 0 Rp - 0 Rp - 0 Rp - 0
5 PB Dewasa 0 Rp - 0 Rp - 0 Rp - 0
6 Prednison 5 mg 0 Rp - 0 Rp - 0 Rp - 0
7 Prednipac 0 Rp - 0 Rp - 0 Rp - 0
i. Malaria 0 Rp - 0 Rp - 0 Rp - 0
1 0,25mg 0 Rp 42.00 Rp - 0 Rp 42.00 Rp - 0 Rp 42.00 Rp - 0
Kuinin dihidroklorida injeksi 25 % - Rp 4,227.00 Rp 4,227.00 Rp 4,227.00
3 2 ml 0 Rp - 0 Rp - 0 Rp - 0
4 Kuinin ( Kina ) tablet 200 mg 0 Rp 610.29 Rp - 0 Rp 610.29 Rp - 0 Rp 610.29 Rp - 0
Komb.
(Pirimetamin25mg+Sulfadoksin50 Rp 473.00 Rp 473.00 Rp 473.00
5 0mg) 0 Rp - 0 Rp - 0 Rp - 0
6 Primakuin tablet 15 mg 0 Rp 114.00 Rp - 0 Rp 114.00 Rp - 0 Rp 114.00 Rp - 0
7 Asam Askorbat 250 mg 0 Rp 74.00 Rp - 0 Rp 74.00 Rp - 0 Rp 74.00 Rp - 0
Rp 30,000.00 Rp 30,000.00 Rp 30,000.00
Hydrochloride) 0 Rp - 0 Rp - 0 Rp - 0
9 Artemeter injeksi 0 Rp 22,167.00 Rp - 0 Rp 22,167.00 Rp - 0 Rp 22,167.00 Rp - 0
10 Artesunat injeksi 0 Rp 25,063.00 Rp - 0 Rp 25,063.00 Rp - 0 Rp 25,063.00 Rp - 0
11 Tetrasiklin 250 mg 0 Rp 140.00 Rp - 0 Rp 140.00 Rp - 0 Rp 140.00 Rp - 0
12 Vit B Komplex tab 0 Rp 22.20 Rp - 0 Rp 22.20 Rp - 0 Rp 22.20 Rp - 0
j. Psikotropik & Narkotik 0 Rp - 0 Rp - 0 Rp - 0
1 Diazepam injeksi 5 mg/ml - 2 ml
0 Rp 4,180.00Rp - 0 Rp 4,180.00Rp - 0 Rp 4,180.00Rp - 0
2 Diazepam 2 mg 0 Rp 45.00 Rp - 0 Rp 45.00 Rp - 0 Rp 45.00 Rp - 0
3 Diazepam 5 mg 0 Rp - 0 Rp - 0 Rp - 0
4 Fenobarbital injeksi 50 mg / ml - 2
ml 0 Rp 1,980.00 Rp - 0 Rp 1,980.00 Rp - 0 Rp 1,980.00 Rp - 0
5 Fenobarbital 30 mg 0 Rp 62.00 Rp - 0 Rp 62.00 Rp - 0 Rp 62.00 Rp - 0
6 Kodein tablet 10mg 846 Rp 500.00 Rp 423,000.00 0 Rp 500.00 Rp - 390 Rp 500.00 Rp 195,000.00 456
7 Stesolid rectal supp 5 mg 12 Rp 11,517.00 Rp 138,204.00 0 Rp 11,517.00 Rp - 0 Rp 11,517.00 Rp - 12
8 Alprazolam 1mg 331 Rp 233.00 Rp 77,123.00 0 Rp 233.00 Rp - 218 Rp 233.00 Rp 50,794.00 113
k. Reagen 0 Rp - 0 Rp - 0 Rp - 0
1 Reagen Alat ( GPT ) 0 Rp - 0 Rp - 0 Rp - 0
2 Reagen Alat test gol darah 1 Rp - 0 Rp - 0 Rp - 1
3 Reagen ASAT ( GOT ) 0 Rp - 0 Rp - 0 Rp - 0
4 Reagen Cell Clean 1 Rp - 0 Rp - 0 Rp - 1
5 Reagen Cell Pack D 20 lt 0 Rp - 0 Rp - 0 Rp - 0
6 Reagen Cholesterol 8 Rp - 0 Rp - 0 Rp - 8
7 Reagen Creatinin 0 Rp - 0 Rp - 0 Rp - 0
8 Reagen Glukose GOD 10 Rp - 0 Rp - 0 Rp - 10
9 Reagen Pack D 5 lt 0 Rp - 0 Rp - 0 Rp - 0
10 Reagen Pack L - 500ml 0 Rp - 0 Rp - 0 Rp - 0
11 Reagen Stromalyzer 500ml 0 Rp - 0 Rp - 0 Rp - 0
12 Reagen Trigliserid 0 Rp - 0 Rp - 0 Rp - 0
13 Reagen Uric acid 1 Rp - 0 Rp - 0 Rp - 1
14 Urea FS 0 Rp - 0 Rp - 0 Rp - 0
15 Ragen narkoba 0 Rp - 0 Rp - 0 Rp - 0
l. Serum 0 Rp - 0 Rp - 0 Rp - 0
1 Serum Anti Bisa Ular Polivalen
inj.5 ml(ABUI) 10 Rp 430,000.00 Rp 4,300,000.00 0 Rp 430,000.00 Rp - 0 Rp 430,000.00 Rp - 10
2 Serum Anti Difteri inj. 20.000
IU/vial (ADS) 0 Rp 429,550.00 Rp - 0 Rp 429,550.00 Rp - 0 Rp 429,550.00 Rp - 0
IU/ampul (Tetagam) 10 Rp 115,000.00 Rp 1,150,000.00 0 Rp 115,000.00 Rp - 0 Rp 115,000.00 Rp - 10
m. TB Paru 0 Rp - 0 Rp - 0 Rp - 0
1 Isoniazid (INH) 100mg 200 Rp 293.00 Rp 58,600.00 0 Rp 293.00 Rp - 0 Rp 293.00 Rp - 200
2 Kombipack Kategori 1 0 Rp - 0 Rp - 0 Rp - 0
3 Obat Antituberkulosis Anak 1 Rp 214,900.00 Rp 214,900.00 0 Rp 214,900.00 Rp - 0 Rp 214,900.00 Rp - 1
Obat Antituberkulosis kategori 2 Rp 1,199,990.00 Rp 1,199,990.00 Rp 1,199,990.00
4 ( FDC ) 1 Rp 1,199,990.00 0 Rp - 0 Rp - 1
5 (FDC) 0 Rp - 0 Rp - 0 Rp - 0
6 ( FDC ) 10 Rp 3,599,900.00 0 Rp - 0 Rp - 10
7 Obat Antituberkulosis Sisipan 3 Rp 160,000.00 Rp 480,000.00 0 Rp 160,000.00 Rp - 0 Rp 160,000.00 Rp - 3
8 Slide 0 Rp 19,500.00 Rp - 0 Rp 19,500.00 Rp - 0 Rp 19,500.00 Rp - 0
9 Slide box 5 Rp - 0 Rp - 0 Rp - 5
10 Sputum pot 324 Rp 1,750.00 Rp 567,000.00 0 Rp 1,750.00 Rp - 0 Rp 1,750.00 Rp - 324
Streptomycin inj./iv 1500 mg/ml
11 0 Rp - 0 Rp - 0 Rp - 0
12 Ziehl nelseen 6 Rp - 0 Rp - 0 Rp - 6
n. REAGEN 0 Rp - 0 Rp - 0 Rp - 0
1 Stik Hb 1 Rp - 0 Rp - 0 Rp - 1
3 Obyek Glass 2 Rp - 0 Rp - 0 Rp - 2
4 widal test 1 Rp - 0 Rp - 0 Rp - 1
5 hcg test 76 Rp - 0 Rp - 0 Rp - 76
6 tabung k3 edta 105 Rp - 0 Rp - 0 Rp - 105
7 yellow tip 0 Rp - 0 Rp - 0 Rp - 0
8 Blue Tip 0 Rp - 0 Rp - 0 Rp - 0
9 stik urin lengkap 77 Rp - 0 Rp - 0 Rp - 77
10 rapid HIV 0 Rp - 0 Rp - 0 Rp - 0
SD HIV 425 Rp - 0 Rp - 0 Rp - 425
INTEC 66 Rp - 0 Rp - 0 Rp - 66
ONCOPROBE 44 Rp - 0 Rp - 0 Rp - 44
11 Kloramphenikol 500mg 748 Rp - 0 Rp - 0 Rp - 748
12 RAPID TEST HBS AG NON WB 137 Rp - 0 Rp - 0 Rp - 137
RAPID TEST HBS AG WB 286 Rp - 0 Rp - 0 Rp - 286
13 ATS 0 Rp - 0 Rp - 0 Rp - 0
14 Sarung Tangan Obgin 17 Rp - 0 Rp - 1 Rp - 16
15 Care Handscrub 10 Rp - 0 Rp - 0 Rp - 10
16 handscrub 15 Rp - 0 Rp - 0 Rp - 15
17 USG Gel 6 Rp - 0 Rp - 0 Rp - 6
18 Jelly 3 Rp - 0 Rp - 0 Rp - 3
19 Monwoven 5x10 10 Rp - 0 Rp - 0 Rp - 10
20 lomatul 28 Rp - 0 Rp - 0 Rp - 28
superhoid/anti hemoroid supp Rp 5,000.00 Rp 5,000.00 Rp 5,000.00
21 0 Rp - 0 Rp - 0 Rp - 0
22 Voseo / Metoclopramid Syirup 20 Rp 4,850.00 Rp 97,000.00 0 Rp 4,850.00 Rp - 0 Rp 4,850.00 Rp - 20
23 IV 26 50 Rp - 0 Rp - 0 Rp - 50
24 Cavilon flem 3 Rp - 0 Rp - 0 Rp - 3
25 plester infus + pot 10 Rp - 0 Rp - 0 Rp - 10
26 femal 16 10 Rp - 0 Rp - 0 Rp - 10
27 femal 18 10 Rp - 0 Rp - 0 Rp - 10
28 mecobalamin 559 Rp 8,912.00 Rp 4,981,808.00 0 Rp 8,912.00 Rp - 0 Rp 8,912.00 Rp - 559
29 clorethyil walter ritte 6 Rp 103,500.00 Rp 621,000.00 0 Rp 103,500.00 Rp - 0 Rp 103,500.00 Rp - 6
30 plester 7.5 10 Rp - 0 Rp - 0 Rp - 10
31 plester 2.5 4 Rp - 0 Rp - 0 Rp - 4
32 pamol infus 18 Rp - 0 Rp - 0 Rp - 18
33 one cleane 10 Rp - 0 Rp - 0 Rp - 10
34 perak sulfa 56 Rp - 0 Rp - 0 Rp - 56
35 hioxy dewasa 50 Rp - 0 Rp - 0 Rp - 50
36 hioxy anak 50 Rp - 0 Rp - 0 Rp - 50
37 nebul 40x80 dewasa 75 Rp - 0 Rp - 0 Rp - 75
38 nebul 40x80 anak 75 Rp - 0 Rp - 1 Rp - 74
39 kassa panjang 8 Rp - 0 Rp - 0 Rp - 8
40 norvom syr 40 Rp - 0 Rp - 2 Rp - 38
41 seltifort syr jeruk 45 Rp - 0 Rp - 11 Rp - 34
42 seltifort syr stbr 28 Rp - 0 Rp - 28 Rp - 0
43 obh ank syr 23 Rp - 0 Rp - 0 Rp - 23
44 borak gliserin 34 Rp - 0 Rp - 4 Rp - 30
45 amlodipin 10mg 3368 Rp - 0 Rp - 770 Rp - 2598
46 anelat 4224 Rp - 0 Rp - 420 Rp - 3804
47 spalk 2 Rp - 0 Rp - 0 Rp - 2
48 spuit 0,05 0 Rp - 0 Rp - 0 Rp - 0
49 spuit 0,5 0 Rp - 0 Rp - 0 Rp - 0
50 reco tt 12 Rp - 0 Rp - 0 Rp - 12
51 masker n95 14 Rp - 0 Rp - 0 Rp - 14
52 hanschone s 0 Rp - 0 Rp - 0 Rp - 0
53 hanschone m 1430 Rp - 1000 Rp - 100 Rp - 2330
54 hanschone l 3835 Rp - 1000 Rp - 50 Rp - 4785
55 oil mersi 100 ml 0 Rp 800,000.00 Rp - 0 Rp 800,000.00 Rp - 0 Rp 800,000.00 Rp - 0
56 laktobe 0 Rp - 0 Rp - Rp - 0
57 koatin syr 0 Rp - 0 Rp - 0 Rp - 0
0 Rp - 0 Rp - 0 Rp - 0
Menyetujui Pengurus/ Peny

Pengguna / Kuasa Penggu
Lilin Sudar
dr. YULIA RACHMAWATI NIP.19611114 1
NIP.19790730 200604 2 017
KETERANGAN :
Saldo akhir Bulan
Harga Satuan Jumlah
( Rp. ) ( Rp. )
13 14=12x13
Rp 3,255.00 Rp 631,470.00
Rp 86.00 Rp 105,780.00
Rp 200.00 Rp 286,000.00
Rp 113.00 Rp 591,329.00
Rp 105.00 Rp -
Rp 80.00 Rp 34,400.00
Rp 195.00 Rp -
Rp 261.00 Rp 3,309,480.00
Rp 145.00 Rp -
Rp 62.00 Rp 293,322.00
Rp 3,045.00 Rp 389,760.00
Rp 135.00 Rp -
Rp 95.00 Rp 133,000.00
Rp 135.00 Rp -
Rp 48.00 Rp 5,280.00
Rp 106.00 Rp 2,355,638.00
Rp 148.00 Rp 120,768.00
Rp 237.00 Rp -
Rp 349.00 Rp 755,934.00
Rp 149.00 Rp 599,278.00
Rp 330.00 Rp 374,550.00
Rp 181.00 Rp -
Rp 44.00 Rp 1,083,852.00
Rp 97.00 Rp 87,882.00
Rp 134.00 Rp -
Rp 104.00 Rp 204,152.00
Rp 270.00 Rp -
Rp 167.00 Rp 321,642.00
Rp 47.00 Rp -
Rp 730.00 Rp 4,839,170.00
Rp 630.00 Rp 706,230.00
Rp 85.00 Rp 59,755.00
Rp 56.00 Rp 268,520.00
Rp 436.00 Rp 621,300.00
Rp 98.00 Rp 3,116,988.00
Rp 209.00 Rp -
Rp 149.00 Rp 206,663.00
Rp 395.00 Rp -
Rp 150.00 Rp 319,050.00
Rp 110.00 Rp 6,820.00
Rp 88.00 Rp 186,296.00
Rp 425.00 Rp -
Rp 63.00 Rp 851,445.00
Rp 84.00 Rp 1,222,956.00
Rp 62.00 Rp 155,372.00
Rp 300.00 Rp 548,400.00
Rp 361.00 Rp 338,618.00
Rp 3,400.00 Rp 3,056,600.00
Rp 249.00 Rp -
Rp 51.00 Rp 1,703,502.00
Rp 107.00 Rp -
Rp 52.08 Rp -
Rp 72.00 Rp -
Rp 151.00 Rp 3,055,334.00
Rp 495.00 Rp 734,580.00
Rp 448.00 Rp -
Rp 134.00 Rp 44,890.00
Rp 225.00 Rp -
Rp 629.00 Rp -
Rp 113.00 Rp 547,598.00
Rp 205.00 Rp 822,870.00
Rp 154.00 Rp 141,680.00
Rp 108.00 Rp 216,540.00
Rp 110.00 Rp 110.00
Rp 133.00 Rp 1,015,056.00
Rp 133.00 Rp 372,400.00
Rp 176.00 Rp 197,296.00
Rp 110.00 Rp -
Rp 480.00 Rp 92,640.00
Rp 211.00 Rp 758,967.00
Rp 32.23 Rp -
Rp 56.00 Rp 1,490,272.00
Rp 298.00 Rp -
Rp 400.00 Rp 377,200.00
Rp 118.00 Rp 785,880.00
Rp 114.00 Rp 137,712.00
Rp 65.00 Rp 32,500.00
Rp 319.00 Rp -
Rp 120.00 Rp 446,640.00
Rp 59.00 Rp 139,948.00
Rp 89.00 Rp -
Rp 169.00 Rp 650,819.00
Rp 281.00 Rp -
Rp 42.00
Rp 428,694.00
Rp 149.00 Rp -
Rp 310.00 Rp 29,450.00
Rp 672.00 Rp -
Rp 680.00 Rp 7,459,600.00
Rp 115.00 Rp 1,206,235.00
Rp 474.00 Rp 2,975,772.00
Rp 908.00 Rp -
Rp 315.00 Rp -
Rp 716.00 Rp 215,516.00
Rp 1,425.00 Rp -
Rp 85.00 Rp -
Rp 3,100.00 Rp -
Rp 516.00 Rp 826,632.00
Rp 426.00 Rp 426,000.00
Rp 603.00 Rp 634,959.00
Rp 679.00 Rp 339,500.00
Rp -
Rp 3,822.00 Rp 416,598.00
Rp 16,500.00 Rp 2,937,000.00
Rp 5,100.00 Rp -
Rp 8,400.00 Rp -
Rp 1,672.00 Rp 30,096.00
Rp 10,425.00 Rp 104,250.00
Rp 3,300.00 Rp -
Rp 1,580.00 Rp 472,420.00
Rp 1,050.00 Rp 664,650.00
Rp 8,100.00 Rp 534,600.00
Rp 3,417.00 Rp 512,550.00
Rp 8,250.00 Rp -
Rp 1,829.00 Rp -
Rp 3,399.00 Rp -
Rp 4,500.00
Rp -
Rp 7,260.00 Rp -
Rp 1,845.00 Rp 1,147,590.00
Rp 3,200.00 Rp -
Rp 2,629.00 Rp 47,322.00
Rp 2,684.00 Rp 418,704.00
Rp 4,650.00 Rp -
Rp 1,476.80 Rp -
Rp 2,818.10 Rp -
Rp 1,900.00 Rp -
Rp 1,650.00 Rp 85,800.00
Rp 5,000.00 Rp -
Rp 15,550.00 Rp -
Rp 1,390.00 Rp 1,804,220.00
Rp 4,898.00 Rp -
Rp 1,098.00 Rp 1,382,382.00
Rp 3,650.00
Rp -
Rp 680.00 Rp -
Rp 36,000.00 Rp -
Rp 2,950.00 Rp 50,150.00
Rp 7,190.00 Rp 251,650.00
Rp 7,190.00
Rp -
Rp -
Rp 1,904.40 Rp 281,851.20
Rp 839.00 Rp 41,111.00
Rp 2,516.00 Rp -
Rp 1,520.00 Rp 275,120.00
Rp 2,200.00 Rp -
Rp 2,970.00 Rp -
Rp 2,600.00 Rp 265,200.00
Rp 2,798.00 Rp -
Rp 2,569.00 Rp -
Rp 1,600.00 Rp -
Rp 3,000.00 Rp 282,000.00
Rp 2,520.00 Rp -
Rp 1,499.00 Rp -
Rp 2,429.00 Rp 327,915.00
Rp -
Rp 288.00 Rp 2,456,352.00
Rp 1,250.00 Rp 125,000.00
Rp -
Rp 2,445.00 Rp 61,125.00
Rp 2,025.00 Rp 571,050.00
Rp 7,999.00 Rp -
Rp 1,378.85 Rp -
Rp 6,700.00 Rp 288,100.00
Rp 4,499.00 Rp 4,575,483.00
Rp 3,955.00 Rp 684,215.00
Rp 2,140.00
Rp 744,720.00
Rp 3,534.00 Rp -
Rp 4,840.00 Rp 2,071,520.00
Rp 1,074.00 Rp 384,492.00
Rp -
Rp 9,950.00 Rp 59,700.00
Rp -
Rp 2,042.00 Rp 428,820.00
Rp 4,000.00 Rp 116,000.00
Rp 900.00 Rp -
Rp 2,273.00 Rp -
Rp 5,500.00 Rp -
Rp 5,200.00 Rp 15,600.00
Rp 17,393.00 Rp 121,751.00
Rp 3,226.00 Rp -
Rp -
Rp 1,540.00 Rp 560,560.00
Rp 792.00 Rp 7,051,968.00
Rp 979.00 Rp 2,444,563.00
Rp 1,790.00 Rp 171,840.00
Rp 19,680.00 Rp 157,440.00
Rp 2,750.00 Rp 79,750.00
Rp 8,600.00 Rp -
Rp 27,830.00 Rp 1,391,500.00
Rp 34,170.00
Rp 3,143,640.00
Rp 35,740.00
Rp 2,323,100.00
Rp 10,400.00
Rp 592,800.00
Rp 2,500.00 Rp 272,500.00
Rp 22,990.00 Rp 2,276,010.00
Rp 8,000.00 Rp 160,000.00
Rp 8,000.00 Rp 80,000.00
Rp 35,620.00 Rp 3,063,320.00
Rp 6,985.00 Rp 796,290.00
Rp 6,985.00 Rp 768,350.00
Rp 8,700.00 Rp 1,218,000.00
Rp 8,700.00 Rp 1,392,000.00
Rp 8,700.00 Rp 696,000.00
Rp 8,700.00 Rp 1,444,200.00
Rp 5,100.00 Rp 66,300.00
Rp 9,070.00 Rp 10,503,060.00
Rp 24,000.00 Rp 408,000.00
Rp 9,400.00 Rp -
Rp 6,363.00 Rp -
Rp 3,800.00 Rp 345,800.00
Rp 800.00 Rp 122,400.00
Rp 7,900.00 Rp 197,500.00
Rp 49,862.00 Rp -
Rp -
Rp 16,500.00 Rp 5,346,000.00
Rp 19,800.00 Rp -
Rp -
Rp 3,960.00 Rp -
Rp 770.00 Rp -
Rp 18,085.67 Rp 108,514.00
Rp 2,242.10 Rp 6,726.30
Rp 2,550.00 Rp 193,800.00
Rp 23,480.00 Rp 610,480.00
Rp -
Rp 5,500.00 Rp 231,000.00
Rp 1,400.00 Rp -
Rp 2,900.00 Rp 110,200.00
Rp 5,998.00 Rp 23,992.00
Rp 18,000.00 Rp 90,000.00
Rp 74,494.00 Rp 744,940.00
Rp 39,217.00 Rp 39,217.00
Rp 149,158.00 Rp 745,790.00
Rp 667.80 Rp -
Rp 51,426.00 Rp 257,130.00
Rp 51,426.00 Rp 257,130.00
Rp 1,045.00 Rp 104,500.00
Rp 4,620.00 Rp 619,080.00
Rp 6,600.00 Rp 673,200.00
Rp 6,600.00 Rp 726,000.00
Rp 6,600.00 Rp -
Rp 580,000.00 Rp 4,640,000.00
Rp 65,000.00 Rp -
Rp 1,629.00 Rp -
Rp 26,950.00 Rp -
Rp 7,370.00 Rp 14,740.00
Rp 7,370.00 Rp 14,740.00
Rp -
Rp 9,275.00 Rp -
Rp 7,500.00 Rp 60,000.00
Rp 5,700.00 Rp -
Rp 6,900.00 Rp 2,394,300.00
Rp 10,050.00 Rp -
Rp 15,730.00 Rp -
Rp 9,950.00 Rp -
Rp 6,410.00 Rp 2,685,790.00
Rp 7,150.00 Rp 357,500.00
Rp -
Rp 23,100.00 Rp -
Rp 14,175.00 Rp -
Rp 5,800.00 Rp 638,000.00
Rp 15,000.00 Rp -
Rp 15,750.00 Rp -
Rp 27,250.00 Rp -
Rp 15,000.00 Rp -
Rp 12,450.00 Rp 24,900.00
Rp 5,078.85 Rp -
Rp 5,000.00 Rp 450,000.00
Rp 550.00 Rp 800,800.00
Rp 8,635.00
Rp -
Rp 14,500.00 Rp -
Rp 4,300.00Rp 838,500.00
Rp 8,635.00Rp (647,625.00)
Rp 362.00 Rp 388,064.00
Rp 3,575.00 Rp 461,175.00
Rp -
Rp 2,590.00 Rp -
Rp 12,155.00 Rp 218,790.00
Rp 450.00 Rp -
Rp 5,867.00 Rp -
Rp 1,360.00 Rp 544,000.00
Rp 190.00 Rp 774,250.00
Rp 6,600.00 Rp -
Rp 14,980.00 Rp 704,060.00
Rp 148.00 Rp 74,000.00
Rp 424.00 Rp 51,304.00
Rp 4,995.00 Rp 499,500.00
Rp 5,670.00 Rp 340,200.00
Rp 3,091.00 Rp 488,378.00
Rp 11,500.00 Rp 115,000.00
Rp 1,007.00 Rp 8,580,647.00
Rp 850.00 Rp -
Rp 737.00 Rp -
Rp 4,620.00 Rp 231,000.00
Rp 1,100.00 Rp -
Rp 16,500.00 Rp -
Rp -
Rp -
Rp -
Rp -
Rp 104,000.00 Rp -
Rp -
Rp 150,000.00 Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
1655,55 #VALUE!
Rp -
Rp 240,450.00 Rp -
Rp 226,550.00 Rp -
Rp -
Rp 344.00 Rp 11,140,784.00
Rp 1,520.00 Rp -
Rp 136.00 Rp -
Rp 51.00
Rp -
Rp 3,000.00 Rp -
Rp 298.00 Rp -
Rp 107.00 Rp -
Rp -
Rp 13,000.00 Rp -
Rp -
Rp -
Rp 99,000.00 Rp 297,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 14,200.00 Rp 298,200.00
Rp 22,950.00
Rp 2,386,800.00
Rp 2,695.00 Rp -
Rp 31,650.00 Rp -
Rp -
Rp 102.00 Rp 20,808.00
Rp 900.00 Rp -
Rp 20,250.00
Rp 60,750,000.00
Rp 133.00 Rp 63,840.00
Rp 93.00 Rp -
Rp 83,333.00 Rp -
Rp 69.00 Rp 105,570.00
Rp 96.00 Rp -
Rp 245.00 Rp -
Rp 1,021.00
Rp -
Rp 950.00
Rp -
Rp 144.00
Rp -
Rp 68.00
Rp -
Rp -
Rp 1,008.00 Rp 292,320.00
Rp 55,000.00
Rp -
Rp 405.00 Rp -
Rp 95.00
Rp 6,650.00
Rp 1,550.00 Rp -
Rp 423.00 Rp -
Rp 88.00 Rp -
Rp 16,500.00
Rp -
Rp 479.00 Rp 332,905.00
Rp -
Rp 8,935.00 Rp -
Rp 12,185.00
Rp -
Rp 250.00 Rp -
Rp -
Rp 270.00 Rp -
Rp 930.00 Rp -
Rp -
Rp 18,000.00 Rp -
Rp -
Rp 1,000.00 Rp -
Rp -
Rp -
Rp -
Rp 1,583.00 Rp -
Rp 1,400.00 Rp -
Rp -
Rp 2,800.00 Rp -
Rp -
Rp -
Rp 3,429.00
Rp -
Rp 12,210.00
Rp -
Rp 4,500.00 Rp -
Rp 590.00 Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 42.00 Rp -
Rp 107.00 Rp -
Rp 4,227.00
Rp -
Rp 610.29 Rp -
Rp 473.00
Rp -
Rp 114.00 Rp -
Rp 74.00 Rp -
Rp 30,000.00
Rp -
Rp 22,167.00 Rp -
Rp 25,063.00 Rp -
Rp 140.00 Rp -
Rp 22.20 Rp -
Rp -
Rp 4,180.00Rp -
Rp 45.00 Rp -
Rp -
Rp 1,980.00 Rp -
Rp 62.00 Rp -
Rp 500.00 Rp 228,000.00
Rp 11,517.00 Rp 138,204.00
Rp 233.00 Rp 26,329.00
Rp 16,742.00 Rp 100,452.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 430,000.00 Rp 4,300,000.00
Rp 429,550.00 Rp -
Rp 115,000.00 Rp 1,150,000.00
Rp -
Rp 293.00 Rp 58,600.00
Rp -
Rp 214,900.00 Rp 214,900.00
Rp 1,199,990.00
Rp 1,199,990.00
Rp 154,000.00
Rp -
Rp 359,990.00
Rp 3,599,900.00
Rp 160,000.00 Rp 480,000.00
Rp 19,500.00 Rp -
Rp -
Rp 1,750.00 Rp 567,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 5,000.00
Rp -
Rp 4,850.00 Rp 97,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 8,912.00 Rp 4,981,808.00
Rp 103,500.00 Rp 621,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 800,000.00 Rp -
Rp -
Rp -
Rp -
#VALUE!
us/ Penyimpan Barang
in Sudarmanisati
11114 199103 2 001
UPT PUSKESMAS DAU
BULAN: MARET TAHUN ANGGARAN 2018
Saldo Awal Bulan Mutasi Tambah Mutasi Kurang S

NO JENIS BARANG Harga Harga Harga
Jumlah Satuan Jumlah Jumlah Satuan Jumlah Jumlah Satuan Jumlah Jumlah
Barang ( Rp. ) Barang ( Rp. ) Barang ( Rp. ) Barang
( Rp. ) ( Rp. ) ( Rp. )
1 2 3 Rp 4 5=3x4 6 Rp 7 8=6x7 9 Rp 10 11=9x10 12
a. Tablet/Kapsul
1 Adalat Oros 20 mg 194 Rp 3,255.00 Rp 631,470.00 0 Rp 3,255.00 Rp - 172 Rp 3,255.00 Rp 559,860.00 22
8 Amoksilin 500 mg 12680 Rp 261.00 Rp 3,309,480.00 0 Rp 261.00 Rp - 3999 Rp 261.00 Rp 1,043,739.00 8681
200mg) 4731 Rp 62.00 Rp 293,322.00 0 Rp 62.00 Rp - 3048 Rp 62.00 Rp 188,976.00 1683
11 subgallat150mg+Heksaklorofen2,5
mg) 128 Rp 3,045.00 Rp 389,760.00 0 Rp 3,045.00 Rp - 6 Rp 3,045.00 Rp 18,270.00 122
12 Antimigran (Ergotamin Tartrat 1mg
+ Kofein 50mg) 0 Rp 135.00 Rp - 0 Rp 135.00 Rp - 0 Rp 135.00 Rp - 0
13 Asam Askorbat ( Vit C ) 50 mg 1400 Rp 95.00 Rp 133,000.00 0 Rp 95.00 Rp - 1104 Rp 95.00 Rp 104,880.00 296
14 Asam Askorbat (Vit C) 250 mg 0 Rp 135.00 Rp - 0 Rp 135.00 Rp - 0 Rp 135.00 Rp - 0
15 Asam folat 1 mg 110 Rp 48.00 Rp 5,280.00 0 Rp 48.00 Rp - 0 Rp 48.00 Rp - 110
17 Asetosal 100 mg 816 Rp 148.00 Rp 120,768.00 0 Rp 148.00 Rp - 67 Rp 148.00 Rp 9,916.00 749
20 Betahistin mesilat 5 mg 4022 Rp 149.00 Rp 599,278.00 0 Rp 149.00 Rp - 371 Rp 149.00 Rp 55,279.00 3651
21 Bisoprolol tablet 5 mg 1135 Rp 330.00 Rp 374,550.00 0 Rp 330.00 Rp - 165 Rp 330.00 Rp 54,450.00 970
22 Cetirizin 10mg 0 Rp 181.00 Rp - 0 Rp 181.00 Rp - 0 Rp 181.00 Rp - 0
26 Dimenhidrinat tablet 50mg 1963 Rp 104.00 Rp 204,152.00 0 Rp 104.00 Rp - 27 Rp 104.00 Rp 2,808.00 1936
37 Hidroklorotiazid (HCT) 25 mg 1387 Rp 149.00 Rp 206,663.00 0 Rp 149.00 Rp - 169 Rp 149.00 Rp 25,181.00 1218
2117 Rp 88.00 Rp 186,296.00 0 Rp 88.00 Rp - 20 Rp 88.00 Rp 1,760.00 2097
49 Kloramfenikol kapsul 250 mg 0 Rp 249.00 Rp - 0 Rp 249.00 Rp - 0 Rp 249.00 Rp - 0
33402 Rp 51.00 Rp 1,703,502.00 0 Rp 51.00 Rp - 4120 Rp 51.00 Rp 210,120.00 29282
Kotrimoksazol anak
m20mg) 0 Rp 72.00 Rp - 0 Rp 72.00 Rp - 0 Rp 72.00 Rp - 0

54 Sulfametoksazol400mg+Trimetopri
m80mg
20234 Rp 151.00 Rp 3,055,334.00 0 Rp 151.00 Rp - 1768 Rp 151.00 Rp 266,968.00 18466
55 Levofloksasin 500 mg 1484 Rp 495.00 Rp 734,580.00 0 Rp 495.00 Rp - 1084 Rp 495.00 Rp 536,580.00 400
57 Loratadin tablet 10 mg 335 Rp 134.00 Rp 44,890.00 150 Rp 134.00 Rp 20,100.00 312 Rp 134.00 Rp 41,808.00 173
920 Rp 154.00 Rp 141,680.00 0 Rp 154.00 Rp - 49 Rp 154.00 Rp 7,546.00 871
65 Metronidazol 500mg 7632 Rp 133.00 Rp 1,015,056.00 0 Rp 133.00 Rp - 959 Rp 133.00 Rp 127,547.00 6673
193 Rp 480.00 Rp 92,640.00 0 Rp 480.00 Rp - 6 Rp 480.00 Rp 2,880.00 187
72 Parasetamol 500 mg 26612 Rp 56.00 Rp 1,490,272.00 0 Rp 56.00 Rp - 21612 Rp 56.00 Rp 1,210,272.00 5000
6660 Rp 118.00 Rp 785,880.00 0 Rp 118.00 Rp - 1071 Rp 118.00 Rp 126,378.00 5589
77 Propanolol HCL tablet 10 mg 500 Rp 65.00 Rp 32,500.00 0 Rp 65.00 Rp - 0 Rp 65.00 Rp - 500
82 Simvastatin 10 mg 3851 Rp 169.00 Rp 650,819.00 0 Rp 169.00 Rp - 390 Rp 169.00 Rp 65,910.00 3461
0,25mg 10207 Rp 428,694.00 0 Rp - 9000 Rp 378,000.00 1207
86 Tetrasiklin HCL kapsul 500 mg 95 Rp 310.00 Rp 29,450.00 0 Rp 310.00 Rp - 0 Rp 310.00 Rp - 95
88 Tiamin HCL (VitB1) 50 mg 10970 Rp 680.00 Rp 7,459,600.00 0 Rp 680.00 Rp - 1223 Rp 680.00 Rp 831,640.00 9747
89 Vitamin B Kompleks 10489 Rp 115.00 Rp 1,206,235.00 0 Rp 115.00 Rp - 7098 Rp 115.00 Rp 816,270.00 3391
93 Ondansetron 4 mg 301 Rp 716.00 Rp 215,516.00 0 Rp 716.00 Rp - 282 Rp 716.00 Rp 201,912.00 19
97 Cefadroxil 500mg 1602 Rp 516.00 Rp 826,632.00 0 Rp 516.00 Rp - 200 Rp 516.00 Rp 103,200.00 1402
98 asetil sistein 1000 Rp 426.00 Rp 426,000.00 0 Rp 426.00 Rp - 0 Rp 426.00 Rp - 1000
99 Clindamycin 300mg 1053 Rp 603.00 Rp 634,959.00 0 Rp 603.00 Rp - 70 Rp 603.00 Rp 42,210.00 983
100 Gemfibrozil 600mg 500 Rp 679.00 Rp 339,500.00 0 Rp 679.00 Rp - 58 Rp 679.00 Rp 39,382.00 442
b. Injeksi 0 Rp - Rp - Rp - 0
1 Aminofilina 24 mg/ml - 10 ml 109 Rp 3,822.00 Rp 416,598.00 0 Rp 3,822.00 Rp - 0 Rp 3,822.00 Rp - 109
2 Amoksisilin 1000mg 178 Rp 16,500.00 Rp 2,937,000.00 0 Rp 16,500.00 Rp - 80 Rp 16,500.00 Rp 1,320,000.00 98
299 Rp 1,580.00 Rp 472,420.00 0 Rp 1,580.00 Rp - 77 Rp 1,580.00 Rp 121,660.00 222
ml 633 Rp 1,050.00 Rp 664,650.00 0 Rp 1,050.00 Rp - 148 Rp 1,050.00 Rp 155,400.00 485
1ml 150 Rp 3,417.00 Rp 512,550.00 0 Rp 3,417.00 Rp - 8 Rp 3,417.00 Rp 27,336.00 142
12 Fitomenadion (Vit K1)inj infant 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - 0
Rp 4,500.00 Rp 4,500.00 Rp 4,500.00
0 Rp - 0 Rp - 0 Rp - 0
Lidokain komp
25 ml 0 Rp 3,200.00 Rp - 0 Rp 3,200.00 Rp - 0 Rp 3,200.00 Rp - 0
25 ml 18 Rp 2,629.00 Rp 47,322.00 0 Rp 2,629.00 Rp - 0 Rp 2,629.00 Rp - 18
ml 0 Rp 1,476.80 Rp - 0 Rp 1,476.80 Rp - 0 Rp 1,476.80 Rp - 0
24 Oksitosin injeksi 10 IU/ml - 1 ml 0 Rp 1,900.00 Rp - 30 Rp 1,900.00 Rp 57,000.00 13 Rp 1,900.00 Rp 24,700.00 17
28 Ranitidin injeksi 25mg/2ml 1298 Rp 1,390.00 Rp 1,804,220.00 0 Rp 1,390.00 Rp - 150 Rp 1,390.00 Rp 208,500.00 1148
29 Sefotaksim injeksi 1 gram 0 Rp 4,898.00 Rp - 200 Rp 4,898.00 Rp 979,600.00 10 Rp 4,898.00 Rp 48,980.00 190
30 Sianokobalamin(VitB12)inj.500mcg
/ml-1ml 1259 Rp 1,098.00 Rp 1,382,382.00 0 Rp 1,098.00 Rp - 161 Rp 1,098.00 Rp 176,778.00 1098
Rp 3,650.00 Rp 3,650.00 Rp 3,650.00
1000mg/ml 0 Rp - 0 Rp - 0 Rp - 0
+pelarut 17 Rp 2,950.00 Rp 50,150.00 0 Rp 2,950.00 Rp - 5 Rp 2,950.00 Rp 14,750.00 12
34 Asam traneksamat 250 mg/5ml 35 Rp 7,190.00 Rp 251,650.00 0 Rp 7,190.00 Rp - 15 Rp 7,190.00 Rp 107,850.00 20
0 Rp - 0 Rp - 0 Rp - 0
c. Salep 0 Rp - Rp - Rp - 0
salisilat 3%) 148 Rp 1,904.40 Rp 281,851.20 0 Rp 1,904.40 Rp - 0 Rp 1,904.40 Rp - 148
2 Asiklovir krim 5% 49 Rp 839.00 Rp 41,111.00 0 Rp 839.00 Rp - 11 Rp 839.00 Rp 9,229.00 38
6 Gentamisin salep kulit 0.1%-5gr 0 Rp 2,970.00 Rp - 100 Rp 2,970.00 Rp 297,000.00 0 Rp 2,970.00 Rp - 100
7 Gentamisin salep mata 0,3% 102 Rp 2,600.00 Rp 265,200.00 0 Rp 2,600.00 Rp - 33 Rp 2,600.00 Rp 85,800.00 69
8 Hidrokortison krim 2,5 % 0 Rp 2,798.00 Rp - 0 Rp 2,798.00 Rp - 0 Rp 2,798.00 Rp - 0
0 Rp 2,520.00 Rp - 0 Rp 2,520.00 Rp - 0 Rp 2,520.00 Rp - 0
d. Serbuk 0 Rp - Rp - Rp - 0
2 Salisil Bedak 2 % 100 Rp 1,250.00 Rp 125,000.00 0 Rp 1,250.00 Rp - 31 Rp 1,250.00 Rp 38,750.00 69
e. Sirup 0 Rp - Rp - Rp - 0
1 Amoksilin 125mg/5ml 25 Rp 2,445.00 Rp 61,125.00 0 Rp 2,445.00 Rp - 25 Rp 2,445.00 Rp 61,125.00 0
5 Eritromisin sirup 43 Rp 6,700.00 Rp 288,100.00 0 Rp 6,700.00 Rp - 7 Rp 6,700.00 Rp 46,900.00 36
6 Ibuprofen suspensi 100mg/5ml 1017 Rp 4,499.00 Rp 4,575,483.00 0 Rp 4,499.00 Rp - 64 Rp 4,499.00 Rp 287,936.00 953
173 Rp 3,955.00 Rp 684,215.00 0 Rp 3,955.00 Rp - 10 Rp 3,955.00 Rp 39,550.00 163
10 Obat Batuk Hitam ( O B H ) 428 Rp 4,840.00 Rp 2,071,520.00 0 Rp 4,840.00 Rp - 112 Rp 4,840.00 Rp 542,080.00 316
f. Tetes 0 Rp - Rp - Rp - 0
210 Rp 2,042.00 Rp 428,820.00 0 Rp 2,042.00 Rp - 70 Rp 2,042.00 Rp 142,940.00 140
5 Kloramfenikol tetes telinga 3 % 0 Rp 5,500.00 Rp - 0 Rp 5,500.00 Rp - 0 Rp 5,500.00 Rp - 0
15ml 3 Rp 5,200.00 Rp 15,600.00 0 Rp 5,200.00 Rp - 3 Rp 5,200.00 Rp 15,600.00 0
15 % 0 Rp 3,226.00 Rp - 0 Rp 3,226.00 Rp - 0 Rp 3,226.00 Rp - 0
ALKES DAN CAIRAN LUAR 0 Rp - Rp - Rp - 0
5 Alkohol swab 8 Rp Rp
19,680.00 157,440.00 0 Rp Rp
19,680.00 - 6 Rp Rp
19,680.00 118,080.00 2
6 Aqua pro injeksi, bebas pirogen 29 Rp 2,750.00 Rp 79,750.00 0 Rp 2,750.00 Rp - 23 Rp 2,750.00 Rp 63,250.00 6
2/0-3/0 92 Rp 3,143,640.00 0 Rp - 0 Rp - 92
2/0-3/0 65 Rp 2,323,100.00 0 Rp - 0 Rp - 65
11 Daryantulle/Bioplacenton tulle 57 Rp 10,400.00 Rp 592,800.00 0 Rp 10,400.00 Rp - 0 Rp 10,400.00 Rp - 57
12 Etanol 70 % 100 ml 109 Rp 2,500.00 Rp 272,500.00 0 Rp 2,500.00 Rp - 6 Rp 2,500.00 Rp 15,000.00 103
13 Etanol 70 % 1000 ml 99 Rp 22,990.00 Rp 2,276,010.00 0 Rp 22,990.00 Rp - 99 Rp 22,990.00 Rp 2,276,010.00 0
16 Hanschoen "50 86 Rp 35,620.00 Rp 3,063,320.00 0 Rp 35,620.00 Rp - 1 Rp 35,620.00 Rp 35,620.00 85
19 I.V. Catheter No 18 140 Rp 8,700.00 Rp 1,218,000.00 0 Rp 8,700.00 Rp - 0 Rp 8,700.00 Rp - 140
20 I.V. Catheter No 20 160 Rp 8,700.00 Rp 1,392,000.00 0 Rp 8,700.00 Rp - 160 Rp 8,700.00 Rp 1,392,000.00 0
21 I.V. Catheter No 22 80 Rp 8,700.00 Rp 696,000.00 0 Rp 8,700.00 Rp - 80 Rp 8,700.00 Rp 696,000.00 0
22 I.V. Catheter No 24 166 Rp 8,700.00 Rp 1,444,200.00 0 Rp 8,700.00 Rp - 154 Rp 8,700.00 Rp 1,339,800.00 12
23 Infusion set anak 13 Rp 5,100.00 Rp 66,300.00 0 Rp 5,100.00 Rp - 3 Rp 5,100.00 Rp 15,300.00 10
17 Rp 24,000.00 Rp 408,000.00 0 Rp 24,000.00 Rp - 3 Rp 24,000.00 Rp 72,000.00 14
91 Rp 3,800.00 Rp 345,800.00 0 Rp 3,800.00 Rp - 10 Rp 3,800.00 Rp 38,000.00 81
153 Rp 800.00 Rp 122,400.00 0 Rp 800.00 Rp - 0 Rp 800.00 Rp - 153
30 Kasa Steril 25 Rp 7,900.00 Rp 197,500.00 0 Rp 7,900.00 Rp - 0 Rp 7,900.00 Rp - 25
50% 0 Rp 49,862.00 Rp - 0 Rp 49,862.00 Rp - 0 Rp 49,862.00 Rp - 0
35 NGT 7 x 75/80 0 Rp - 0 Rp - 0 Rp - 0
(MICROPORE) 6 Rp 18,085.67 Rp 108,514.00 0 Rp 18,085.67 Rp - 6 Rp 18,085.67 Rp 108,514.00 0
39 Plester infus (TEGADERM) 3 Rp 2,242.10 Rp 6,726.30 0 Rp 2,242.10 Rp - 3 Rp 2,242.10 Rp 6,726.30 0
40 Rivanol larutan 0,1 % 300ml 76 Rp 2,550.00 Rp 193,800.00 0 Rp 2,550.00 Rp - 1 Rp 2,550.00 Rp 2,550.00 75
3/0 26 Rp 23,480.00 Rp 610,480.00 0 Rp 23,480.00 Rp - 0 Rp 23,480.00 Rp - 26
38 Rp 2,900.00 Rp 110,200.00 0 Rp 2,900.00 Rp - 37 Rp 2,900.00 Rp 107,300.00 1
4 Rp 5,998.00 Rp 23,992.00 0 Rp 5,998.00 Rp - 0 Rp 5,998.00 Rp - 4
ml 5 Rp 18,000.00 Rp 90,000.00 0 Rp 18,000.00 Rp - 0 Rp 18,000.00 Rp - 5
55 Underpad 134 Rp 4,620.00 Rp 619,080.00 0 Rp 4,620.00 Rp - 26 Rp 4,620.00 Rp 120,120.00 108
INFUS 0 Rp - Rp - Rp - 0
2 Glukosa larutan infus 10 % steril 8 Rp 7,500.00 Rp 60,000.00 0 Rp 7,500.00 Rp - 0 Rp 7,500.00 Rp - 8
3 Glukosa larutan infus 40 % steril 0 Rp 5,700.00 Rp - 0 Rp 5,700.00 Rp - 0 Rp 5,700.00 Rp - 0
4 Glukosa larutan infus 5 % steril 347 Rp 6,900.00 Rp 2,394,300.00 0 Rp 6,900.00 Rp - 0 Rp 6,900.00 Rp - 347
steril 419 Rp Rp
6,410.00 2,685,790.00 0 Rp Rp
6,410.00 - 69 Rp Rp
6,410.00 442,290.00 350
9 Ringer Lactate infus steril 50 Rp 7,150.00 Rp 357,500.00 500 Rp 7,150.00 Rp 3,575,000.00 157 Rp 7,150.00 Rp 1,122,550.00 393
OBAT PATEN 0 Rp - Rp - Rp - 0
10mg/Dulcolax 110 Rp 5,800.00 Rp 638,000.00 0 Rp 5,800.00 Rp - 13 Rp 5,800.00 Rp 75,400.00 97
4 Bufacomb 0 Rp 15,000.00 Rp - 0 Rp 15,000.00 Rp - 0 Rp 15,000.00 Rp - 0
8 Laxadin sirup 2 Rp 12,450.00 Rp 24,900.00 0 Rp 12,450.00 Rp - 2 Rp 12,450.00 Rp 24,900.00 0
10 Lytamin syrup 90 Rp 5,000.00 Rp 450,000.00 0 Rp 5,000.00 Rp - 20 Rp 5,000.00 Rp 100,000.00 70
11 Mecobion tablet 1456 Rp 550.00 Rp 800,800.00 0 Rp 550.00 Rp - 228 Rp 550.00 Rp 125,400.00 1228
Rp 8,635.00 Rp 8,635.00 Rp 8,635.00
(Mersibion) 195 Rp 4,300.00Rp 838,500.00 0 Rp 4,300.00Rp - 29 Rp 4,300.00Rp 124,700.00 166
15 Novalgin/Antrain injeksi -75 Rp 8,635.00Rp (647,625.00) 400 Rp 8,635.00Rp 3,454,000.00 275 Rp 8,635.00Rp 2,374,625.00 50
16 Noza /Demacolin 1072 Rp 362.00 Rp 388,064.00 0 Rp 362.00 Rp - 802 Rp 362.00 Rp 290,324.00 270
129 Rp 3,575.00 Rp 461,175.00 0 Rp 3,575.00 Rp - 54 Rp 3,575.00 Rp 193,050.00 75
20 Permetrin/Scabicid krim 5% 18 Rp 12,155.00 Rp 218,790.00 0 Rp 12,155.00 Rp - 18 Rp 12,155.00 Rp 218,790.00 0
23 Hiopar 400 Rp 1,360.00 Rp 544,000.00 0 Rp 1,360.00 Rp - 185 Rp 1,360.00 Rp 251,600.00 215
27 Miniaspi (Asetosal 80mg) 500 Rp 148.00 Rp 74,000.00 0 Rp 148.00 Rp - 0 Rp 148.00 Rp - 500
28 Ulsidex 500mg 121 Rp 424.00 Rp 51,304.00 0 Rp 424.00 Rp - 121 Rp 424.00 Rp 51,304.00 0
29 Combiven nebulizer 100 Rp 4,995.00 Rp 499,500.00 0 Rp 4,995.00 Rp - 100 Rp 4,995.00 Rp 499,500.00 0
30 Dulcolax supp 5 mg (anak) 60 Rp 5,670.00 Rp 340,200.00 0 Rp 5,670.00 Rp - 2 Rp 5,670.00 Rp 11,340.00 58
31 Bufacetin salep 158 Rp 3,091.00 Rp 488,378.00 0 Rp 3,091.00 Rp - 125 Rp 3,091.00 Rp 386,375.00 33
33 Chloramex 500mg 8521 Rp 1,007.00 Rp 8,580,647.00 0 Rp 1,007.00 Rp - 1254 Rp 1,007.00 Rp 1,262,778.00 7267
34 Euthyrox (Levotiroksin 100mcg) 0 Rp 850.00 Rp - 0 Rp 850.00 Rp - 0 Rp 850.00 Rp - 0
35 Dionicol 500mg 0 Rp 737.00 Rp - 0 Rp 737.00 Rp - 0 Rp 737.00 Rp - 0
36 Sotatic inj (metoclopramid inj) 50 Rp 4,620.00 Rp 231,000.00 0 Rp 4,620.00 Rp - 10 Rp 4,620.00 Rp 46,200.00 40
OBAT KHUSUS 0 Rp - Rp - Rp - 0
a. Alkes 0 Rp - Rp - Rp - 0
1 Anisol 0 Rp - 0 Rp - 0 Rp - 0
4 Corong 0 Rp - 0 Rp - 0 Rp - 0
8 Ose 0 Rp - 0 Rp - 0 Rp - 0
9 Pipet K 0 Rp - 0 Rp - 0 Rp - 0
10 Pipet 50 ml 0 Rp - 0 Rp - 0 Rp - 0
b. Filariasis 0 Rp - Rp - Rp - 0
4 0 Rp - 0 Rp - 0 Rp - 0
c. Flu burung 0 Rp - Rp - Rp - 0
d. Gigi 0 Rp - Rp - Rp - 0
1 Devitalisasi Pasta ( Non Arsen ) 0 Rp - 0 Rp - 0 Rp - 0
6 Monoklorkamfer Mentol Cairan 0 Rp - 0 Rp - 0 Rp - 0
0 Rp - 0 Rp - 0 Rp - 0
10 Temporary Stopping Fletcher
serbuk dan cairan 0 Rp - 0 Rp - 0 Rp - 0
e. Gizi 0 Rp - Rp - Rp - 0
21 Rp 14,200.00 Rp 298,200.00 0 Rp 14,200.00 Rp - 0 Rp 14,200.00 Rp - 21
104 Rp 2,386,800.00 0 Rp - 0 Rp - 104
f. Jiwa 0 Rp - Rp - Rp - 0
1 Amitriptilin HCL 25 mg 204 Rp 102.00 Rp 20,808.00 0 Rp 102.00 Rp - 0 Rp 102.00 Rp - 204
3 Fenitoin Natrium inj. 50 mg/ml 3000 Rp 20,250.00 Rp 60,750,000.00 0 Rp 20,250.00 Rp - 0 Rp 20,250.00 Rp - 3000
4 Fenitoin Natrium 100 mg 480 Rp 133.00 Rp 63,840.00 200 Rp 133.00 Rp 26,600.00 320 Rp 133.00 Rp 42,560.00 360
7 Haloperidol 1,5 mg 1530 Rp 69.00 Rp 105,570.00 0 Rp 69.00 Rp - 1530 Rp 69.00 Rp 105,570.00 0
10 Klorpromazin HCL injeksi 25 mg/ml Rp 1,021.00 Rp 1,021.00 Rp 1,021.00
- 1 ml 0 Rp - 0 Rp - 0 Rp - 0
11 Klorpromazin HCL injeksi 5 mg/ml - Rp 950.00 Rp 950.00 Rp 950.00
2 ml 0 Rp - 0 Rp - 0 Rp - 0
mg 0 Rp - 2000 Rp 288,000.00 0 Rp - 2000
mg 0 Rp - 1000 Rp 68,000.00 430 Rp 29,240.00 570
15 Risperidone 2mg 290 Rp 1,008.00 Rp 292,320.00 2500 Rp 1,008.00 Rp 2,520,000.00 308 Rp 1,008.00 Rp 310,464.00 2482
0 Rp - 0 Rp - 0 Rp - 0
mg 70 Rp 6,650.00 5000 Rp 475,000.00 600 Rp 57,000.00 4470
drop) 0 Rp - 0 Rp - 0 Rp - 0
g. Kelamin + H I V 0 Rp - Rp - Rp - 0
1 IU/vial 0 Rp 8,935.00 Rp - 0 Rp 8,935.00 Rp - 0 Rp 8,935.00 Rp - 0
2 IU/vial 0 Rp - 0 Rp - 0 Rp - 0
19 0 Rp - 0 Rp - 0 Rp - 0
Zidovudine(ZDV)300mg+Lamivudin
e(3TC)150mg Rp 3,429.00 Rp 3,429.00 Rp 3,429.00
20 0 Rp - 0 Rp - 0 Rp - 0
21 0 Rp - 0 Rp - 0 Rp - 0
h. Kusta 0 Rp - Rp - Rp - 0
2 MB Anak 0 Rp - 0 Rp - 0 Rp - 0
4 PB Anak 0 Rp - 0 Rp - 0 Rp - 0
i. Malaria 0 Rp - Rp - Rp - 0
1 0,25mg 0 Rp 42.00 Rp - 0 Rp 42.00 Rp - 0 Rp 42.00 Rp - 0
3 2 ml 0 Rp - 0 Rp - 0 Rp - 0
Komb.
5 mg) 0 Rp - 0 Rp - 0 Rp - 0
Rp 30,000.00 Rp 30,000.00 Rp 30,000.00
j. Psikotropik & Narkotik 0 Rp - Rp - Rp - 0
1 Diazepam injeksi 5 mg/ml - 2 ml 0 Rp 4,180.00Rp - 0 Rp 4,180.00Rp - 0 Rp 4,180.00Rp - 0
2 Diazepam 2 mg 0 Rp 45.00 Rp - 0 Rp 45.00 Rp - 0 Rp 45.00 Rp - 0
ml 0 Rp 1,980.00 Rp - 0 Rp 1,980.00 Rp - 0 Rp 1,980.00 Rp - 0
8 Alprazolam 1mg 113 Rp 233.00 Rp 26,329.00 300 Rp 233.00 Rp 69,900.00 202 Rp 233.00 Rp 47,066.00 211
k. Reagen 0 Rp - Rp - Rp - 0
14 Urea FS 0 Rp - 0 Rp - 0 Rp - 0
l. Serum 0 Rp - Rp - Rp - 0
ml(ABUI) 10 Rp 430,000.00 Rp 4,300,000.00 0 Rp 430,000.00 Rp - 0 Rp 430,000.00 Rp - 10
IU/ampul (Tetagam) 10 Rp 115,000.00 Rp 1,150,000.00 0 Rp 115,000.00 Rp - 10 Rp 115,000.00 Rp 1,150,000.00 0
m. TB Paru 0 Rp - Rp - Rp - 0
Obat Antituberkulosis kategori 2 ### ### ###
4 ( FDC ) 1 Rp 1,199,990.00 0 Rp - 0 Rp - 1
5 (FDC) 0 Rp - 0 Rp - 0 Rp - 0
6 ( FDC ) 10 Rp 3,599,900.00 0 Rp - 0 Rp - 10
10 Sputum pot 324 Rp 1,750.00 Rp 567,000.00 0 Rp 1,750.00 Rp - 294 Rp 1,750.00 Rp 514,500.00 30
11 0 Rp - 0 Rp - 0 Rp - 0
n. REAGEN 0 Rp - Rp - Rp - 0
1 Stik Hb 1 Rp - 0 Rp - 0 Rp - 1
5 hcg test 76 Rp - 0 Rp - 0 Rp - 76
8 Blue Tip 0 Rp - 0 Rp - 0 Rp - 0
SD HIV 425 Rp - 0 Rp - 0 Rp - 425
INTEC 66 Rp - 0 Rp - 0 Rp - 66
13 ATS 0 Rp - 0 Rp - 0 Rp - 0
17 USG Gel 6 Rp - 0 Rp - 0 Rp - 6
18 Jelly 3 Rp - 0 Rp - 0 Rp - 3
20 lomatul 28 Rp - 50 Rp - 0 Rp - 78
21 superhoid/anti hemoroid supp 0 Rp 5,000.00 Rp - 0 Rp 5,000.00 Rp - 0 Rp 5,000.00 Rp - 0
23 IV 26 50 Rp - 0 Rp - 0 Rp - 50
26 femal 16 10 Rp - 0 Rp - 0 Rp - 10
27 femal 18 10 Rp - 0 Rp - 0 Rp - 10
28 mecobalamin 559 Rp 8,912.00 Rp 4,981,808.00 0 Rp 8,912.00 Rp - 46 Rp 8,912.00 Rp 409,952.00 513
30 plester 7.5 10 Rp - 0 Rp - 10 Rp - 0
31 plester 2.5 4 Rp - 0 Rp - 0 Rp - 4
46 anelat 3804 Rp - 0 Rp - 500 Rp - 3304
47 spalk 2 Rp - 0 Rp - 2 Rp - 0
48 spuit 0,05 0 Rp - 0 Rp - 0 Rp - 0
49 spuit 0,5 0 Rp - 0 Rp - 0 Rp - 0
50 reco tt 12 Rp - 0 Rp - 6 Rp - 6
51 masker n95 14 Rp - 0 Rp - 10 Rp - 4
56 laktobe 0 Rp - 50 Rp - 10 Rp - 40
0 Rp - 0 Rp - 0 Rp - 0
Menyetujui Pengur
Li
dr. YULIA RACHMAWATI NIP.19
NIP.19790730 200604 2 017
KETERANGAN :
Saldo akhir Bulan
Harga Jumlah
Satuan ( Rp. )
( Rp. )
Rp 13 14=12x13
Rp 3,255.00 Rp 71,610.00
Rp 86.00 Rp 81,872.00
Rp 200.00 Rp 272,000.00
Rp 113.00 Rp 586,922.00
Rp 105.00 Rp -
Rp 80.00 Rp 32,000.00
Rp 195.00 Rp -
Rp 261.00 Rp 2,265,741.00
Rp 145.00 Rp -
Rp 62.00 Rp 104,346.00
Rp 3,045.00 Rp 371,490.00
Rp 135.00 Rp -
Rp 95.00 Rp 28,120.00
Rp 135.00 Rp -
Rp 48.00 Rp 5,280.00
Rp 106.00 Rp 2,105,796.00
Rp 148.00 Rp 110,852.00
Rp 237.00 Rp -
Rp 349.00 Rp 675,664.00
Rp 149.00 Rp 543,999.00
Rp 330.00 Rp 320,100.00
Rp 181.00 Rp -
Rp 44.00 Rp 470,272.00
Rp 97.00 Rp 78,376.00
Rp 134.00 Rp -
Rp 104.00 Rp 201,344.00
Rp 270.00 Rp -
Rp 167.00 Rp 273,713.00
Rp 47.00 Rp -
Rp 730.00 Rp 4,634,770.00
Rp 630.00 Rp 493,920.00
Rp 85.00 Rp 44,540.00
Rp 56.00 Rp 255,080.00
Rp 436.00 Rp 509,248.00
Rp 98.00 Rp 2,573,774.00
Rp 209.00 Rp -
Rp 149.00 Rp 181,482.00
Rp 395.00 Rp -
Rp 150.00 Rp 89,850.00
Rp 110.00 Rp -
Rp 88.00 Rp 184,536.00
Rp 425.00 Rp -
Rp 63.00 Rp 776,853.00
Rp 84.00 Rp 1,160,208.00
Rp 62.00 Rp 95,976.00
Rp 300.00 Rp 509,400.00
Rp 361.00 Rp 274,360.00
Rp 3,400.00 Rp 2,815,200.00
Rp 249.00 Rp -
Rp 51.00 Rp 1,493,382.00
Rp 107.00 Rp -
Rp 52.08 Rp -
Rp 72.00 Rp -
Rp 151.00 Rp 2,788,366.00
Rp 495.00 Rp 198,000.00
Rp 448.00 Rp -
Rp 134.00 Rp 23,182.00
Rp 225.00 Rp -
Rp 629.00 Rp -
Rp 113.00 Rp 475,165.00
Rp 205.00 Rp 780,025.00
Rp 154.00 Rp 134,134.00
Rp 108.00 Rp 216,540.00
Rp 110.00 Rp 110.00
Rp 133.00 Rp 887,509.00
Rp 133.00 Rp 298,585.00
Rp 176.00 Rp -
Rp 110.00 Rp -
Rp 480.00 Rp 89,760.00
Rp 211.00 Rp 618,441.00
Rp 32.23 Rp -
Rp 56.00 Rp 280,000.00
Rp 298.00 Rp -
Rp 400.00 Rp 370,400.00
Rp 118.00 Rp 659,502.00
Rp 114.00 Rp 135,432.00
Rp 65.00 Rp 32,500.00
Rp 319.00 Rp -
Rp 120.00 Rp 305,640.00
Rp 59.00 Rp 99,356.00
Rp 89.00 Rp -
Rp 169.00 Rp 584,909.00
Rp 281.00 Rp -
Rp 42.00
Rp 50,694.00
Rp 149.00 Rp -
Rp 310.00 Rp 29,450.00
Rp 672.00 Rp -
Rp 680.00 Rp 6,627,960.00
Rp 115.00 Rp 389,965.00
Rp 474.00 Rp 2,670,042.00
Rp 908.00 Rp -
Rp 315.00 Rp -
Rp 716.00 Rp 13,604.00
Rp 1,425.00 Rp -
Rp 85.00 Rp -
Rp 3,100.00 Rp -
Rp 516.00 Rp 723,432.00
Rp 426.00 Rp 426,000.00
Rp 603.00 Rp 592,749.00
Rp 679.00 Rp 300,118.00
Rp -
Rp 3,822.00 Rp 416,598.00
Rp 16,500.00 Rp 1,617,000.00
Rp 5,100.00 Rp -
Rp 8,400.00 Rp -
Rp 1,672.00 Rp 30,096.00
Rp 10,425.00 Rp 104,250.00
Rp 3,300.00 Rp -
Rp 1,580.00 Rp 350,760.00
Rp 1,050.00 Rp 509,250.00
Rp 8,100.00 Rp 534,600.00
Rp 3,417.00 Rp 485,214.00
Rp 8,250.00 Rp -
Rp 1,829.00 Rp -
Rp 3,399.00 Rp -
Rp 4,500.00
Rp -
Rp 7,260.00 Rp -
Rp 1,845.00 Rp 1,088,550.00
Rp 3,200.00 Rp -
Rp 2,629.00 Rp 47,322.00
Rp 2,684.00 Rp 405,284.00
Rp 4,650.00 Rp -
Rp 1,476.80 Rp -
Rp 2,818.10 Rp -
Rp 1,900.00 Rp 32,300.00
Rp 1,650.00 Rp 41,250.00
Rp 5,000.00 Rp -
Rp 15,550.00 Rp -
Rp 1,390.00 Rp 1,595,720.00
Rp 4,898.00 Rp 930,620.00
Rp 1,098.00 Rp 1,205,604.00
Rp 3,650.00
Rp -
Rp 680.00 Rp -
Rp 36,000.00 Rp -
Rp 2,950.00 Rp 35,400.00
Rp 7,190.00 Rp 143,800.00
Rp 7,190.00
Rp -
Rp -
Rp 1,904.40 Rp 281,851.20
Rp 839.00 Rp 31,882.00
Rp 2,516.00 Rp -
Rp 1,520.00 Rp 241,680.00
Rp 2,200.00 Rp -
Rp 2,970.00 Rp 297,000.00
Rp 2,600.00 Rp 179,400.00
Rp 2,798.00 Rp -
Rp 2,569.00 Rp -
Rp 1,600.00 Rp -
Rp 3,000.00 Rp 264,000.00
Rp 2,520.00 Rp -
Rp 1,499.00 Rp -
Rp 2,429.00 Rp 301,196.00
Rp -
Rp 288.00 Rp 2,135,232.00
Rp 1,250.00 Rp 86,250.00
Rp -
Rp 2,445.00 Rp -
Rp 2,025.00 Rp 382,725.00
Rp 7,999.00 Rp -
Rp 1,378.85 Rp -
Rp 6,700.00 Rp 241,200.00
Rp 4,499.00 Rp 4,287,547.00
Rp 3,955.00 Rp 644,665.00
Rp 2,140.00
Rp 564,960.00
Rp 3,534.00 Rp -
Rp 4,840.00 Rp 1,529,440.00
Rp 1,074.00 Rp 283,536.00
Rp -
Rp 9,950.00 Rp 19,900.00
Rp -
Rp 2,042.00 Rp 285,880.00
Rp 4,000.00 Rp 68,000.00
Rp 900.00 Rp -
Rp 2,273.00 Rp -
Rp 5,500.00 Rp -
Rp 5,200.00Rp -
Rp 17,393.00 Rp 121,751.00
Rp 3,226.00 Rp -
Rp -
Rp 1,540.00 Rp 321,860.00
Rp 792.00 Rp 6,376,392.00
Rp 979.00 Rp 1,915,903.00
Rp 1,790.00 Rp 141,410.00
Rp Rp
19,680.00 39,360.00
Rp 2,750.00 Rp 16,500.00
Rp 8,600.00 Rp -
Rp 27,830.00 Rp 1,391,500.00
Rp 34,170.00
Rp 3,143,640.00
Rp 35,740.00
Rp 2,323,100.00
Rp 10,400.00 Rp 592,800.00
Rp 2,500.00 Rp 257,500.00
Rp 22,990.00 Rp -
Rp 8,000.00 Rp 160,000.00
Rp 8,000.00 Rp 80,000.00
Rp 35,620.00 Rp 3,027,700.00
Rp 6,985.00 Rp 607,695.00
Rp 6,985.00 Rp 768,350.00
Rp 8,700.00 Rp 1,218,000.00
Rp 8,700.00 Rp -
Rp 8,700.00 Rp -
Rp 8,700.00 Rp 104,400.00
Rp 5,100.00 Rp 51,000.00
Rp 9,070.00 Rp 9,977,000.00
Rp 24,000.00 Rp 336,000.00
Rp 9,400.00 Rp -
Rp 6,363.00 Rp -
Rp 3,800.00 Rp 307,800.00
Rp 800.00 Rp 122,400.00
Rp 7,900.00 Rp 197,500.00
Rp 49,862.00 Rp -
Rp -
Rp 16,500.00 Rp 5,313,000.00
Rp 19,800.00 Rp -
Rp -
Rp 3,960.00 Rp -
Rp 770.00 Rp -
Rp 18,085.67 Rp -
Rp 2,242.10 Rp -
Rp 2,550.00 Rp 191,250.00
Rp 23,480.00 Rp 610,480.00
Rp -
Rp 5,500.00 Rp 231,000.00
Rp 1,400.00 Rp -
Rp 2,900.00 Rp 2,900.00
Rp 5,998.00 Rp 23,992.00
Rp 18,000.00 Rp 90,000.00
Rp 74,494.00 Rp 744,940.00
Rp 39,217.00 Rp 39,217.00
Rp 149,158.00 Rp 745,790.00
Rp 667.80 Rp -
Rp 51,426.00 Rp 257,130.00
Rp 51,426.00 Rp 257,130.00
Rp 1,045.00 Rp 104,500.00
Rp 4,620.00 Rp 498,960.00
Rp 6,600.00 Rp 673,200.00
Rp 6,600.00 Rp 726,000.00
Rp 6,600.00 Rp -
Rp 580,000.00 Rp 4,640,000.00
Rp 65,000.00 Rp -
Rp 1,629.00 Rp -
Rp 26,950.00 Rp -
Rp 7,370.00 Rp 14,740.00
Rp 7,370.00 Rp 14,740.00
Rp -
Rp 9,275.00 Rp -
Rp 7,500.00 Rp 60,000.00
Rp 5,700.00 Rp -
Rp 6,900.00 Rp 2,394,300.00
Rp 10,050.00 Rp -
Rp 15,730.00 Rp -
Rp 9,950.00 Rp -
Rp Rp
6,410.00 2,243,500.00
Rp 7,150.00 Rp 2,809,950.00
Rp -
Rp 23,100.00 Rp -
Rp 14,175.00 Rp -
Rp 5,800.00 Rp 562,600.00
Rp 15,000.00 Rp -
Rp 15,750.00 Rp -
Rp 27,250.00 Rp -
Rp 15,000.00 Rp -
Rp 12,450.00 Rp -
Rp 5,078.85 Rp -
Rp 5,000.00 Rp 350,000.00
Rp 550.00 Rp 675,400.00
Rp 8,635.00
Rp -
Rp 14,500.00 Rp -
Rp 4,300.00Rp 713,800.00
Rp 8,635.00Rp 431,750.00
Rp 362.00 Rp 97,740.00
Rp 3,575.00 Rp 268,125.00
Rp -
Rp 2,590.00 Rp -
Rp 12,155.00 Rp -
Rp 450.00 Rp -
Rp 5,867.00 Rp -
Rp 1,360.00 Rp 292,400.00
Rp 190.00 Rp 111,910.00
Rp 6,600.00 Rp -
Rp 14,980.00 Rp 29,960.00
Rp 148.00 Rp 74,000.00
Rp 424.00 Rp -
Rp 4,995.00 Rp -
Rp 5,670.00 Rp 328,860.00
Rp 3,091.00 Rp 102,003.00
Rp 11,500.00 Rp 115,000.00
Rp 1,007.00 Rp 7,317,869.00
Rp 850.00 Rp -
Rp 737.00 Rp -
Rp 4,620.00 Rp 184,800.00
Rp 1,100.00 Rp -
Rp 16,500.00 Rp -
Rp -
Rp -
Rp -
Rp -
Rp 104,000.00 Rp -
Rp -
Rp 150,000.00 Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
1655,55 #VALUE!
Rp -
Rp 240,450.00 Rp -
Rp 226,550.00 Rp -
Rp -
Rp 344.00 Rp 11,140,784.00
Rp 1,520.00 Rp -
Rp 136.00 Rp -
Rp 51.00
Rp -
Rp 3,000.00 Rp -
Rp 298.00 Rp -
Rp 107.00 Rp -
Rp -
Rp 13,000.00 Rp -
Rp -
Rp -
Rp 99,000.00 Rp 297,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 14,200.00 Rp 298,200.00
Rp 22,950.00
Rp 2,386,800.00
Rp 2,695.00 Rp -
Rp 31,650.00 Rp -
Rp -
Rp 102.00 Rp 20,808.00
Rp 900.00 Rp -
Rp 20,250.00 Rp 60,750,000.00
Rp 133.00 Rp 47,880.00
Rp 93.00 Rp -
Rp 83,333.00 Rp -
Rp 69.00 Rp -
Rp 96.00 Rp -
Rp 245.00 Rp -
Rp 1,021.00
Rp -
Rp 950.00
Rp -
Rp 144.00
Rp 288,000.00
Rp 68.00
Rp 38,760.00
Rp -
Rp 1,008.00 Rp 2,501,856.00
Rp 55,000.00
Rp -
Rp 405.00 Rp -
Rp 95.00
Rp 424,650.00
Rp 1,550.00 Rp -
Rp 423.00 Rp -
Rp 88.00 Rp -
Rp 16,500.00
Rp -
Rp 479.00 Rp 332,905.00
Rp -
Rp 8,935.00 Rp -
Rp 12,185.00
Rp -
Rp 250.00 Rp -
Rp -
Rp 270.00 Rp -
Rp 930.00 Rp -
Rp -
Rp 18,000.00 Rp -
Rp -
Rp 1,000.00 Rp -
Rp -
Rp -
Rp -
Rp 1,583.00 Rp -
Rp 1,400.00 Rp -
Rp -
Rp 2,800.00 Rp -
Rp -
Rp -
Rp 3,429.00
Rp -
Rp 12,210.00
Rp -
Rp 4,500.00 Rp -
Rp 590.00 Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 42.00 Rp -
Rp 107.00 Rp -
Rp 4,227.00
Rp -
Rp 610.29 Rp -
Rp 473.00
Rp -
Rp 114.00 Rp -
Rp 74.00 Rp -
Rp 30,000.00
Rp -
Rp 22,167.00 Rp -
Rp 25,063.00 Rp -
Rp 140.00 Rp -
Rp 22.20 Rp -
Rp -
Rp 4,180.00Rp -
Rp 45.00 Rp -
Rp -
Rp 1,980.00 Rp -
Rp 62.00 Rp -
Rp 500.00 Rp 71,000.00
Rp 11,517.00 Rp 138,204.00
Rp 233.00 Rp 49,163.00
Rp 16,742.00 Rp 100,452.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 430,000.00 Rp 4,300,000.00
Rp 429,550.00 Rp -
Rp 115,000.00 Rp -
Rp -
Rp 293.00 Rp 58,600.00
Rp -
Rp 214,900.00 Rp 214,900.00
###
Rp 1,199,990.00
Rp 154,000.00
Rp -
Rp 359,990.00
Rp 3,599,900.00
Rp 160,000.00Rp 480,000.00
Rp 19,500.00 Rp -
Rp -
Rp 1,750.00 Rp 52,500.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 5,000.00 Rp -
Rp 4,850.00 Rp 97,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 8,912.00 Rp 4,571,856.00
Rp 103,500.00 Rp 621,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 800,000.00 Rp -
Rp -
Rp -
Rp -
#VALUE!
Lilin Sudarmanisati
NIP.19611114 199103 2 001
UPT PUSKESMAS DAU
BULAN: APRIL TAHUN ANGGARAN 2018
Saldo Awal Bulan Mutasi Tambah Mutasi Kurang Saldo ak

( Rp. ) ( Rp. ) ( Rp. )
1 2 3 4 5=3x4 6 7 8=6x7 9 10 11=9x10 12
a. Tablet/Kapsul
1 Adalat Oros 20 mg 22 Rp 3,255.00 Rp 71,610.00 600 Rp 3,255.00 Rp 1,953,000.00 0 Rp 3,255.00 Rp - 622
3 Alopurinol 300 mg 1360 Rp 200.00 Rp 272,000.00 0 Rp 200.00 Rp - 0 Rp 200.00 Rp - 1360
4 Ambroxol 30 mg 5194 Rp 113.00 Rp 586,922.00 0 Rp 113.00 Rp - 0 Rp 113.00 Rp - 5194
6 Aminofilina 200 mg 400 Rp 80.00 Rp 32,000.00 0 Rp 80.00 Rp - 0 Rp 80.00 Rp - 400
8 Amoksilin 500 mg 8681 Rp 261.00 Rp 2,265,741.00 20000 Rp 261.00 Rp 5,220,000.00 3994 Rp 261.00 Rp 1,042,434.00 24687
200mg) 1683 Rp 62.00 Rp 104,346.00 7200 Rp 62.00 Rp 446,400.00 2138 Rp 62.00 Rp 132,556.00 6745
11 subgallat150mg+Heksaklorofen2,5
mg) 122 Rp 3,045.00 Rp 371,490.00 0 Rp 3,045.00 Rp - 3 Rp 3,045.00 Rp 9,135.00 119
12 Antimigran (Ergotamin Tartrat
1mg + Kofein 50mg) 0 Rp 135.00 Rp - 0 Rp 135.00 Rp - 0 Rp 135.00 Rp - 0
14 Asam Askorbat (Vit C) 250 mg 0 Rp 135.00 Rp - 3000 Rp 135.00 Rp 405,000.00 1156 Rp 135.00 Rp 156,060.00 1844
15 Asam folat 1 mg 110 Rp 48.00 Rp 5,280.00 0 Rp 48.00 Rp - 110 Rp 48.00 Rp 5,280.00 0
16 Asam mefenamat 500mg 19866 Rp 106.00 Rp 2,105,796.00 12000 Rp 106.00 Rp 1,272,000.00 470 Rp 106.00 Rp 49,820.00 31396
17 Asetosal 100 mg 749 Rp 148.00 Rp 110,852.00 0 Rp 148.00 Rp - 0 Rp 148.00 Rp - 749
21 Bisoprolol tablet 5 mg 970 Rp 330.00 Rp 320,100.00 0 Rp 330.00 Rp - 0 Rp 330.00 Rp - 970
22 Cetirizin 10mg 0 Rp 181.00 Rp - 1000 Rp 181.00 Rp 181,000.00 0 Rp 181.00 Rp - 1000
23 Deksametason 0,5 mg 10688 Rp 44.00 Rp 470,272.00 16500 Rp 44.00 Rp 726,000.00 1527 Rp 44.00 Rp 67,188.00 25661
24 Digoksin 0,25 mg 808 Rp 97.00 Rp 78,376.00 0 Rp 97.00 Rp - 0 Rp 97.00 Rp - 808
26 Dimenhidrinat tablet 50mg 1936 Rp 104.00 Rp 201,344.00 0 Rp 104.00 Rp - 0 Rp 104.00 Rp - 1936
28 Domperidon tablet 10 mg 1639 Rp 167.00 Rp 273,713.00 1000 Rp 167.00 Rp 167,000.00 0 Rp 167.00 Rp - 2639
32 Furosemid 40 mg 524 Rp 85.00 Rp 44,540.00 0 Rp 85.00 Rp - 0 Rp 85.00 Rp - 524
34 Glimepiride tablet 2 mg 1168 Rp 436.00 Rp 509,248.00 0 Rp 436.00 Rp - 0 Rp 436.00 Rp - 1168
40 Ibuprofen 200 mg 0 Rp 110.00 Rp - 0 Rp 110.00 Rp - 0 Rp 110.00 Rp - 0
2097 Rp 88.00 Rp 184,536.00 0 Rp 88.00 Rp - 3 Rp 88.00 Rp 264.00 2094
44 Kaptopril 25 mg 13812 Rp 84.00 Rp 1,160,208.00 0 Rp 84.00 Rp - 0 Rp 84.00 Rp - 13812
48 Klopidogrel 828 Rp 3,400.00 Rp 2,815,200.00 0 Rp 3,400.00 Rp - 0 Rp 3,400.00 Rp - 828
49 Kloramfenikol kapsul 250 mg 0 Rp 249.00 Rp - 3900 Rp 249.00 Rp 971,100.00 160 Rp 249.00 Rp 39,840.00 3740
29282 Rp 51.00 Rp 1,493,382.00 0 Rp 51.00 Rp - 3390 Rp 51.00 Rp 172,890.00 25892
Kotrimoksazol anak
rim20mg) 0 Rp 72.00 Rp - 0 Rp 72.00 Rp - 0 Rp 72.00 Rp - 0

54 Sulfametoksazol400mg+Trimetopr
im80mg
18466 Rp 151.00 Rp 2,788,366.00 5000 Rp 151.00 Rp 755,000.00 1156 Rp 151.00 Rp 174,556.00 22310
55 Levofloksasin 500 mg 400 Rp 495.00 Rp 198,000.00 0 Rp 495.00 Rp - 0 Rp 495.00 Rp - 400
57 Loratadin tablet 10 mg 173 Rp 134.00 Rp 23,182.00 0 Rp 134.00 Rp - 173 Rp 134.00 Rp 23,182.00 0
61 Metil Prednisolon 4 mg 3805 Rp 205.00 Rp 780,025.00 2000 Rp 205.00 Rp 410,000.00 0 Rp 205.00 Rp - 5805
871 Rp 154.00 Rp 134,134.00 500 Rp 154.00 Rp 77,000.00 25 Rp 154.00 Rp 3,850.00 1346
66 Natrium Diklofenac 25 mg 2245 Rp 133.00 Rp 298,585.00 0 Rp 133.00 Rp - 0 Rp 133.00 Rp - 2245
67 Natrium Diklofenac 50 mg 0 Rp 176.00 Rp - 5600 Rp 176.00 Rp 985,600.00 667 Rp 176.00 Rp 117,392.00 4933
69 Nistatin tablet vaginal 100.000
IU/g 187 Rp 480.00 Rp 89,760.00 0 Rp 480.00 Rp - 13 Rp 480.00 Rp 6,240.00 174
72 Parasetamol 500 mg 5000 Rp 56.00 Rp 280,000.00 33600 Rp 56.00 Rp 1,881,600.00 7285 Rp 56.00 Rp 407,960.00 31315
74 Pirasetam 800 mg tablet 926 Rp 400.00 Rp 370,400.00 0 Rp 400.00 Rp - 0 Rp 400.00 Rp - 926
75 Piridoksin HCL (Vit B6) tablet 10
mg 5589 Rp 118.00 Rp 659,502.00 1000 Rp 118.00 Rp 118,000.00 430 Rp 118.00 Rp 50,740.00 6159
76 Prednison tablet 5 mg 1188 Rp 114.00 Rp 135,432.00 200 Rp 114.00 Rp 22,800.00 0 Rp 114.00 Rp - 1388
79 Ranitidin tablet 150 mg 2547 Rp 120.00 Rp 305,640.00 2000 Rp 120.00 Rp 240,000.00 530 Rp 120.00 Rp 63,600.00 4017
80 Salbutamol tablet 2 mg 1684 Rp 59.00 Rp 99,356.00 7000 Rp 59.00 Rp 413,000.00 300 Rp 59.00 Rp 17,700.00 8384
82 Simvastatin 10 mg 3461 Rp 169.00 Rp 584,909.00 3000 Rp 169.00 Rp 507,000.00 31 Rp 169.00 Rp 5,239.00 6430
0,25mg 1207 Rp 50,694.00 0 Rp - 1207 Rp 50,694.00 0
88 Tiamin HCL (VitB1) 50 mg 9747 Rp 680.00 Rp 6,627,960.00 2000 Rp 680.00 Rp 1,360,000.00 0 Rp 680.00 Rp - 11747
89 Vitamin B Kompleks 3391 Rp 115.00 Rp 389,965.00 3000 Rp 115.00 Rp 345,000.00 2346 Rp 115.00 Rp 269,790.00 4045
90 Zinc 10 mg 5633 Rp 474.00 Rp 2,670,042.00 500 Rp 474.00 Rp 237,000.00 80 Rp 474.00 Rp 37,920.00 6053
93 Ondansetron 4 mg 19 Rp 716.00 Rp 13,604.00 0 Rp 716.00 Rp - 0 Rp 716.00 Rp - 19
98 asetil sistein 1000 Rp 426.00 Rp 426,000.00 0 Rp 426.00 Rp - 934 Rp 426.00 Rp 397,884.00 66
100 Gemfibrozil 600mg 442 Rp 679.00 Rp 300,118.00 0 Rp 679.00 Rp - 195 Rp 679.00 Rp 132,405.00 247
2 Amoksisilin 1000mg 98 Rp 16,500.00 Rp 1,617,000.00 0 Rp 16,500.00 Rp - 0 Rp 16,500.00 Rp - 98
8 Deksametason injeksi 5 mg/ml-
1ml 222 Rp 1,580.00 Rp 350,760.00 0 Rp 1,580.00 Rp - 19 Rp 1,580.00 Rp 30,020.00 203
ml 485 Rp 1,050.00 Rp 509,250.00 0 Rp 1,050.00 Rp - 48 Rp 1,050.00 Rp 50,400.00 437
11 Fitomenadion (Vit K1)inj
10mg/ml-1ml 142 Rp 3,417.00 Rp 485,214.00 0 Rp 3,417.00 Rp - 3 Rp 3,417.00 Rp 10,251.00 139
12 Fitomenadion (Vit K1)inj infant
0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - 0
Rp 4,500.00 Rp 4,500.00 Rp 4,500.00
15 Hyosin n butilbromid inj
250mg/ml 0 Rp - 0 Rp - 0 Rp - 0
Lidokain komp
- 25 ml 0 Rp 3,200.00 Rp - 0 Rp 3,200.00 Rp - 0 Rp 3,200.00 Rp - 0
- 25 ml 18 Rp 2,629.00 Rp 47,322.00 0 Rp 2,629.00 Rp - 0 Rp 2,629.00 Rp - 18
ml 0 Rp 1,476.80 Rp - 0 Rp 1,476.80 Rp - 0 Rp 1,476.80 Rp - 0
24 Oksitosin injeksi 10 IU/ml - 1 ml
17 Rp 1,900.00 Rp 32,300.00 0 Rp 1,900.00 Rp - 6 Rp 1,900.00 Rp 11,400.00 11
29 Sefotaksim injeksi 1 gram 190 Rp 4,898.00 Rp 930,620.00 0 Rp 4,898.00 Rp - 0 Rp 4,898.00 Rp - 190
30 Sianokobalamin(VitB12)inj.500mc
g/ml-1ml 1098 Rp 1,098.00 Rp 1,205,604.00 0 Rp 1,098.00 Rp - 72 Rp 1,098.00 Rp 79,056.00 1026
Rp 3,650.00 Rp 3,650.00 Rp 3,650.00
1000mg/ml 0 Rp - 0 Rp - 0 Rp - 0
+pelarut 12 Rp 2,950.00 Rp 35,400.00 0 Rp 2,950.00 Rp - 0 Rp 2,950.00 Rp - 12
34 Asam traneksamat 250 mg/5ml 20 Rp 7,190.00 Rp 143,800.00 10 Rp 7,190.00 Rp 71,900.00 0 Rp 7,190.00 Rp - 30
0 Rp - 0 Rp - 0 Rp - 0
c. Salep 0 Rp - 0 Rp - 0 Rp - 0
salisilat 3%) 148 Rp 1,904.40 Rp 281,851.20 0 Rp 1,904.40 Rp - 0 Rp 1,904.40 Rp - 148
6 Gentamisin salep kulit 0.1%-5gr
100 Rp 2,970.00 Rp 297,000.00 0 Rp 2,970.00 Rp - 0 Rp 2,970.00 Rp - 100
7 Gentamisin salep mata 0,3% 69 Rp 2,600.00 Rp 179,400.00 96 Rp 2,600.00 Rp 249,600.00 19 Rp 2,600.00 Rp 49,400.00 146
8 Hidrokortison krim 2,5 % 0 Rp 2,798.00 Rp - 120 Rp 2,798.00 Rp 335,760.00 20 Rp 2,798.00 Rp 55,960.00 100
11 Miconazol cream 2 % 88 Rp 3,000.00 Rp 264,000.00 0 Rp 3,000.00 Rp - 0 Rp 3,000.00 Rp - 88
0 Rp 2,520.00 Rp - 0 Rp 2,520.00 Rp - 0 Rp 2,520.00 Rp - 0
1 Garam oralit untuk 200 ml air 7414 Rp 288.00 Rp 2,135,232.00 12000 Rp 288.00 Rp 3,456,000.00 696 Rp 288.00 Rp 200,448.00 18718
e. Sirup 0 Rp - 0 Rp - 0 Rp - 0
1 Amoksilin 125mg/5ml 0 Rp 2,445.00 Rp - 600 Rp 2,445.00 Rp 1,467,000.00 108 Rp 2,445.00 Rp 264,060.00 492
200mg/5ml+AlOH 200mg/5ml) 189 Rp 2,025.00 Rp 382,725.00 500 Rp 2,025.00 Rp 1,012,500.00 648 Rp 2,025.00 Rp 1,312,200.00 41
5 Eritromisin sirup 36 Rp 6,700.00 Rp 241,200.00 0 Rp 6,700.00 Rp - 0 Rp 6,700.00 Rp - 36
6 Ibuprofen suspensi 100mg/5ml
953 Rp 4,499.00 Rp 4,287,547.00 0 Rp 4,499.00 Rp - 20 Rp 4,499.00 Rp 89,980.00 933
125mg/5ml 163 Rp 3,955.00 Rp 644,665.00 0 Rp 3,955.00 Rp - 17 Rp 3,955.00 Rp 67,235.00 146
200mg+Trimetoprim40mg/5ml 264 Rp 564,960.00 200 Rp 428,000.00 37 Rp 79,180.00 427
10 Obat Batuk Hitam ( O B H ) 316 Rp 4,840.00 Rp 1,529,440.00 64 Rp 4,840.00 Rp 309,760.00 64 Rp 4,840.00 Rp 309,760.00 316
11 Parasetamol sirup 120mg/5ml 264 Rp 1,074.00 Rp 283,536.00 200 Rp 1,074.00 Rp 214,800.00 133 Rp 1,074.00 Rp 142,842.00 331
f. Tetes 0 Rp - 0 Rp - 0 Rp - 0
140 Rp 2,042.00 Rp 285,880.00 24 Rp 2,042.00 Rp 49,008.00 2 Rp 2,042.00 Rp 4,084.00 162
5 Kloramfenikol tetes telinga 3 %
0 Rp 5,500.00 Rp - 24 Rp 5,500.00 Rp 132,000.00 16 Rp 5,500.00 Rp 88,000.00 8
15ml 0 Rp 5,200.00 Rp - 0 Rp 5,200.00 Rp - 0 Rp 5,200.00 Rp - 0
15 % 0 Rp 3,226.00 Rp - 0 Rp 3,226.00 Rp - 0 Rp 3,226.00 Rp - 0
4 Alat suntik sekali pakai 10 ml 79 Rp 1,790.00 Rp 141,410.00 0 Rp 1,790.00 Rp - 0 Rp 1,790.00 Rp - 79
5 Alkohol swab 2 Rp 19,680.00 Rp 39,360.00 0 Rp 19,680.00 Rp - 0 Rp 19,680.00 Rp - 2
6 Aqua pro injeksi, bebas pirogen
6 Rp 2,750.00 Rp 16,500.00 0 Rp 2,750.00 Rp - 2 Rp 2,750.00 Rp 5,500.00 4
2/0-3/0 92 Rp 3,143,640.00 24 Rp 820,080.00 0 Rp - 116
2/0-3/0 65 Rp 2,323,100.00 0 Rp - 0 Rp - 65
Rp 10,400.00 Rp 10,400.00 Rp 10,400.00
11 Daryantulle/Bioplacenton tulle
57 Rp 592,800.00 0 Rp - 0 Rp - 57
13 Etanol 70 % 1000 ml 0 Rp 22,990.00 Rp - 0 Rp 22,990.00 Rp - 0 Rp 22,990.00 Rp - 0
16 Hanschoen "50 85 Rp 35,620.00 Rp 3,027,700.00 20 Rp 35,620.00 Rp 712,400.00 105 Rp 35,620.00 Rp 3,740,100.00 0
surgical PF) 87 Rp 6,985.00 Rp 607,695.00 20 Rp 6,985.00 Rp 139,700.00 0 Rp 6,985.00 Rp - 107
19 I.V. Catheter No 18 140 Rp 8,700.00 Rp 1,218,000.00 100 Rp 8,700.00 Rp 870,000.00 0 Rp 8,700.00 Rp - 240
20 I.V. Catheter No 20 0 Rp 8,700.00 Rp - 0 Rp 8,700.00 Rp - 0 Rp 8,700.00 Rp - 0
22 I.V. Catheter No 24 12 Rp 8,700.00 Rp 104,400.00 0 Rp 8,700.00 Rp - 0 Rp 8,700.00 Rp - 12
24 Infusion set dewasa 1100 Rp 9,070.00 Rp 9,977,000.00 200 Rp 9,070.00 Rp 1,814,000.00 13 Rp 9,070.00 Rp 117,910.00 1287
14 Rp 24,000.00 Rp 336,000.00 0 Rp 24,000.00 Rp - 2 Rp 24,000.00 Rp 48,000.00 12
28 Kasa Pembalut Hidrofil 4 m x 15
cm 81 Rp 3,800.00 Rp 307,800.00 0 Rp 3,800.00 Rp - 34 Rp 3,800.00 Rp 129,200.00 47
153 Rp 800.00 Rp 122,400.00 0 Rp 800.00 Rp - 0 Rp 800.00 Rp - 153
30 Kasa Steril 25 Rp 7,900.00 Rp 197,500.00 100 Rp 7,900.00 Rp 790,000.00 54 Rp 7,900.00 Rp 426,600.00 71
31 Lisol, mengandung Kresol
tersabun 50% 0 Rp 49,862.00 Rp - 10 Rp 49,862.00 Rp 498,620.00 0 Rp 49,862.00 Rp - 10
33 Masker non breathing 322 Rp 16,500.00 Rp 5,313,000.00 0 Rp 16,500.00 Rp - 200 Rp 16,500.00 Rp 3,300,000.00 122
35 NGT 7 x 75/80 0 Rp - 0 Rp - 0 Rp - 0
(MICROPORE) 0 Rp 18,085.67 Rp - 0 Rp 18,085.67 Rp - 0 Rp 18,085.67 Rp - 0
39 Plester infus (TEGADERM) 0 Rp 2,242.10 Rp - 0 Rp 2,242.10 Rp - 0 Rp 2,242.10 Rp - 0
40 Rivanol larutan 0,1 % 300ml 75 Rp 2,550.00 Rp 191,250.00 10 Rp 2,550.00 Rp 25,500.00 9 Rp 2,550.00 Rp 22,950.00 76
3/0 26 Rp 23,480.00 Rp 610,480.00 0 Rp 23,480.00 Rp - 26 Rp 23,480.00 Rp 610,480.00 0
43 Urine Bag 42 Rp 5,500.00 Rp 231,000.00 20 Rp 5,500.00 Rp 110,000.00 20 Rp 5,500.00 Rp 110,000.00 42
ml 1 Rp 2,900.00 Rp 2,900.00 10 Rp 2,900.00 Rp 29,000.00 11 Rp 2,900.00 Rp 31,900.00 0
ml 4 Rp 5,998.00 Rp 23,992.00 0 Rp 5,998.00 Rp - 0 Rp 5,998.00 Rp - 4
ml 5 Rp 18,000.00 Rp 90,000.00 100 Rp 18,000.00 Rp 1,800,000.00 40 Rp 18,000.00 Rp 720,000.00 65
55 Underpad 108 Rp 4,620.00 Rp 498,960.00 0 Rp 4,620.00 Rp - 0 Rp 4,620.00 Rp - 108
56 Nasal kanul L 102 Rp 6,600.00 Rp 673,200.00 10 Rp 6,600.00 Rp 66,000.00 0 Rp 6,600.00 Rp - 112
57 Nasal kanul S 110 Rp 6,600.00 Rp 726,000.00 10 Rp 6,600.00 Rp 66,000.00 0 Rp 6,600.00 Rp - 120
63 Stomach tube no 16 2 Rp 7,370.00 Rp 14,740.00 2 Rp 7,370.00 Rp 14,740.00 0 Rp 7,370.00 Rp - 4
64 Stomach tube no 18 2 Rp 7,370.00 Rp 14,740.00 2 Rp 7,370.00 Rp 14,740.00 0 Rp 7,370.00 Rp - 4
INFUS 0 Rp - 0 Rp - 0 Rp - 0
8 Rp 7,500.00 Rp 60,000.00 0 Rp 7,500.00 Rp - 0 Rp 7,500.00 Rp - 8
0 Rp 5,700.00 Rp - 0 Rp 5,700.00 Rp - 0 Rp 5,700.00 Rp - 0
4 Glukosa larutan infus 5 % steril 347 Rp 6,900.00 Rp 2,394,300.00 0 Rp 6,900.00 Rp - 5 Rp 6,900.00 Rp 34,500.00 342
8 Natrium Klorida larutan infus 0,9
% steril 350 Rp Rp
6,410.00 2,243,500.00 0 Rp Rp
6,410.00 - 8 Rp Rp
6,410.00 51,280.00 342
9 Ringer Lactate infus steril 393 Rp 7,150.00 Rp 2,809,950.00 0 Rp 7,150.00 Rp - 22 Rp 7,150.00 Rp 157,300.00 371
8 Laxadin sirup 0 Rp 12,450.00 Rp - 0 Rp 12,450.00 Rp - 0 Rp 12,450.00 Rp - 0
Rp 8,635.00 Rp 8,635.00 Rp 8,635.00
(Mersibion) 166 Rp 4,300.00Rp 713,800.00 0 Rp 4,300.00Rp - 0 Rp 4,300.00Rp - 166
15 Novalgin/Antrain injeksi 50 Rp 8,635.00Rp 431,750.00 0 Rp 8,635.00Rp - 0 Rp 8,635.00Rp - 50
16 Noza /Demacolin 270 Rp 362.00 Rp 97,740.00 1000 Rp 362.00 Rp 362,000.00 1113 Rp 362.00 Rp 402,906.00 157
17 Obat Batuk Anak sirup
(Babycough) 75 Rp 3,575.00 Rp 268,125.00 0 Rp 3,575.00 Rp - 0 Rp 3,575.00 Rp - 75
20 Permetrin/Scabicid krim 5% 0 Rp 12,155.00 Rp - 0 Rp 12,155.00 Rp - 0 Rp 12,155.00 Rp - 0
25 Ventolin nebuliser 0 Rp 6,600.00 Rp - 20 Rp 6,600.00 Rp 132,000.00 0 Rp 6,600.00 Rp - 20
28 Ulsidex 500mg 0 Rp 424.00 Rp - 0 Rp 424.00 Rp - 0 Rp 424.00 Rp - 0
29 Combiven nebulizer 0 Rp 4,995.00 Rp - 40 Rp 4,995.00 Rp 199,800.00 0 Rp 4,995.00 Rp - 40
30 Dulcolax supp 5 mg (anak) 58 Rp 5,670.00 Rp 328,860.00 0 Rp 5,670.00 Rp - 0 Rp 5,670.00 Rp - 58
31 Bufacetin salep 33 Rp 3,091.00 Rp 102,003.00 0 Rp 3,091.00 Rp - 0 Rp 3,091.00 Rp - 33
33 Chloramex 500mg 7267 Rp 1,007.00 Rp 7,317,869.00 0 Rp 1,007.00 Rp - 0 Rp 1,007.00 Rp - 7267
34 Euthyrox (Levotiroksin 100mcg)
0 Rp 850.00 Rp - 0 Rp 850.00 Rp - 0 Rp 850.00 Rp - 0
35 Dionicol 500mg 0 Rp 737.00 Rp - 500 Rp 737.00 Rp 368,500.00 0 Rp 737.00 Rp - 500
a. Alkes 0 Rp - 0 Rp - 0 Rp - 0
1 Anisol 0 Rp - 0 Rp - 0 Rp - 0
4 Corong 0 Rp - 0 Rp - 0 Rp - 0
8 Ose 0 Rp - 0 Rp - 0 Rp - 0
9 Pipet K 0 Rp - 0 Rp - 0 Rp - 0
10 Pipet 50 ml 0 Rp - 0 Rp - 0 Rp - 0
1 Albendazol 32386 Rp 344.00 Rp 11,140,784.00 0 Rp 344.00 Rp - 56 Rp 344.00 Rp 19,264.00 32330
4 0 Rp - 0 Rp - 0 Rp - 0
d. Gigi 0 Rp - 0 Rp - 0 Rp - 0
1 Devitalisasi Pasta ( Non Arsen )
0 Rp - 0 Rp - 0 Rp - 0
6 Monoklorkamfer Mentol Cairan
0 Rp - 0 Rp - 0 Rp - 0
0 Rp - 0 Rp - 0 Rp - 0
Temporary Stopping Fletcher
10 serbuk dan cairan
0 Rp - 0 Rp - 0 Rp - 0
e. Gizi 0 Rp - 0 Rp - 0 Rp - 0
21 Rp 14,200.00 Rp 298,200.00 0 Rp 14,200.00 Rp - 0 Rp 14,200.00 Rp - 21
104 Rp 2,386,800.00 0 Rp - 0 Rp - 104
f. Jiwa 0 Rp - 0 Rp - 0 Rp - 0
1 Amitriptilin HCL 25 mg 204 Rp 102.00 Rp 20,808.00 0 Rp 102.00 Rp - 0 Rp 102.00 Rp - 204
3 Fenitoin Natrium inj. 50 mg/ml Rp 20,250.00 Rp 20,250.00 Rp 20,250.00
3000 Rp 60,750,000.00 0 Rp - 0 Rp - 3000
4 Fenitoin Natrium 100 mg 360 Rp 133.00 Rp 47,880.00 0 Rp 133.00 Rp - 0 Rp 133.00 Rp - 360
10 Klorpromazin HCL injeksi 25 Rp 1,021.00 Rp 1,021.00 Rp 1,021.00
mg/ml - 1 ml 0 Rp - 0 Rp - 0 Rp - 0
11 Klorpromazin HCL injeksi 5 mg/ml Rp 950.00 Rp 950.00 Rp 950.00
- 2 ml 0 Rp - 0 Rp - 0 Rp - 0
mg 2000 Rp 288,000.00 0 Rp - 143 Rp 20,592.00 1857
mg 570 Rp 38,760.00 0 Rp - 0 Rp - 570
15 Risperidone 2mg 2482 Rp 1,008.00 Rp 2,501,856.00 1500 Rp 1,008.00 Rp 1,512,000.00 150 Rp 1,008.00 Rp 151,200.00 3832
0 Rp - 0 Rp - 0 Rp - 0
mg 4470 Rp 424,650.00 0 Rp - 270 Rp 25,650.00 4200
19 Clozapin 25 mg tab 0 Rp 1,550.00 Rp - 0 Rp 1,550.00 Rp - 0 Rp 1,550.00Rp - 0
drop) 0 Rp - 0 Rp - 0 Rp - 0
1 juta IU/vial 0 Rp 8,935.00 Rp - 0 Rp 8,935.00 Rp - 0 Rp 8,935.00 Rp - 0
Benzatin Benzil Penisilin inj. 2,4 Rp 12,185.00 Rp 12,185.00 Rp 12,185.00
2 juta IU/vial 0 Rp - 0 Rp - 0 Rp - 0
19 0 Rp - 0 Rp - 0 Rp - 0
Zidovudine(ZDV)300mg+Lamivudi
ne(3TC)150mg Rp 3,429.00 Rp 3,429.00 Rp 3,429.00
20 0 Rp - 0 Rp - 0 Rp - 0
21 0 Rp - 0 Rp - 0 Rp - 0
22 Azithromycin 0 Rp 4,500.00Rp - 0 Rp 4,500.00Rp - 0 Rp 4,500.00Rp - 0
h. Kusta 0 Rp - 0 Rp - 0 Rp - 0
2 MB Anak 0 Rp - 0 Rp - 0 Rp - 0
4 PB Anak 0 Rp - 0 Rp - 0 Rp - 0
1 0,25mg 0 Rp 42.00 Rp - 0 Rp 42.00 Rp - 0 Rp 42.00 Rp - 0
3 2 ml 0 Rp - 0 Rp - 0 Rp - 0
Komb.
5 0mg) 0 Rp - 0 Rp - 0 Rp - 0
Rp 30,000.00 Rp 30,000.00 Rp 30,000.00
1 Diazepam injeksi 5 mg/ml - 2 ml
0 Rp 4,180.00Rp - 0 Rp 4,180.00Rp - 0 Rp 4,180.00Rp - 0
2 Diazepam 2 mg 0 Rp 45.00 Rp - 200 Rp 45.00 Rp 9,000.00 26 Rp 45.00 Rp 1,170.00 174
ml 0 Rp 1,980.00 Rp - 0 Rp 1,980.00 Rp - 0 Rp 1,980.00 Rp - 0
6 Kodein tablet 10mg 142 Rp 500.00 Rp 71,000.00 0 Rp 500.00 Rp - 0 Rp 500.00 Rp - 142
8 Alprazolam 1mg 211 Rp 233.00 Rp 49,163.00 0 Rp 233.00 Rp - 0 Rp 233.00 Rp - 211
14 Urea FS 0 Rp - 0 Rp - 0 Rp - 0
l. Serum 0 Rp - 0 Rp - 0 Rp - 0
1 Serum Anti Bisa Ular Polivalen
inj.5 ml(ABUI) 10 Rp 430,000.00 Rp 4,300,000.00 0 Rp 430,000.00 Rp - 0 Rp 430,000.00 Rp - 10
IU/ampul (Tetagam) 0 Rp 115,000.00 Rp - 0 Rp 115,000.00 Rp - 0 Rp 115,000.00 Rp - 0
m. TB Paru 0 Rp - 0 Rp - 0 Rp - 0
4 ( FDC ) 1 Rp 1,199,990.00 0 Rp - 0 Rp - 1
5 (FDC) 0 Rp - 0 Rp - 0 Rp - 0
6 ( FDC ) 10 Rp 3,599,900.00 0 Rp - 0 Rp - 10
10 Sputum pot 30 Rp 1,750.00 Rp 52,500.00 100 Rp 1,750.00 Rp 175,000.00 26 Rp 1,750.00 Rp 45,500.00 104
11 0 Rp - 0 Rp - 0 Rp - 0
1 Stik Hb 1 Rp - 0 Rp - 0 Rp - 1
5 hcg test 76 Rp - 0 Rp - 2 Rp - 74
8 Blue Tip 0 Rp - 0 Rp - 0 Rp - 0
SD HIV 425 Rp - 0 Rp - 27 Rp - 398
INTEC 66 Rp - 0 Rp - 0 Rp - 66
13 ATS 0 Rp - 0 Rp - 0 Rp - 0
17 USG Gel 6 Rp - 0 Rp - 0 Rp - 6
18 Jelly 3 Rp - 0 Rp - 0 Rp - 3
20 lomatul 78 Rp - 0 Rp - 0 Rp - 78
superhoid/anti hemoroid supp Rp 5,000.00 Rp 5,000.00 Rp 5,000.00
21 0 Rp - 0 Rp - 0 Rp - 0
23 IV 26 50 Rp - 0 Rp - 0 Rp - 50
26 femal 16 10 Rp - 0 Rp - 0 Rp - 10
27 femal 18 10 Rp - 0 Rp - 0 Rp - 10
28 mecobalamin 513 Rp 8,912.00 Rp 4,571,856.00 0 Rp 8,912.00 Rp - 46 Rp 8,912.00 Rp 409,952.00 467
30 plester 7.5 0 Rp - 0 Rp - 0 Rp - 0
31 plester 2.5 4 Rp - 0 Rp - 0 Rp - 4
46 anelat 3304 Rp - 0 Rp - 500 Rp - 2804
47 spalk 0 Rp - 0 Rp - 0 Rp - 0
48 spuit 0,05 0 Rp - 0 Rp - 0 Rp - 0
49 spuit 0,5 0 Rp - 0 Rp - 0 Rp - 0
50 reco tt 6 Rp - 0 Rp - 6 Rp - 0
51 masker n95 4 Rp - 0 Rp - 4 Rp - 0
56 laktobe 40 Rp - 0 Rp - 10 Rp - 30
58 Hansaplast rol (7,5cm x 4,5 cm) 0 Rp - 0 Rp - 0 Rp - 0
59 extradine 5L 0 Rp - 0 Rp - 0 Rp - 0
60 0 Rp - 0 Rp - 0 Rp - 0
61 0 Rp - 0 Rp - 0 Rp - 0
62 0 Rp - 0 Rp - 0 Rp - 0
63 0 Rp - 0 Rp - 0 Rp - 0
64 0 Rp - 0 Rp - 0 Rp - 0
65 0 Rp - 0 Rp - 0 Rp - 0
Menyetujui Pengurus/ Penyimpan B

Pengguna / Kuasa Penggu
Lilin Sudarmanisati
dr. YULIA RACHMAWATI NIP.19611114 199103 2
NIP.19790730 200604 2 017
KETERANGAN :
- Apabila obyek/ rincian obyek atas persediaan yang tidak tercantum seperti tersebut di atas harap disesuaikan
atau ditambahkan sesuai rincian masing-masing SKPD
Saldo akhir Bulan
Harga Jumlah
Satuan ( Rp. )
( Rp. )
13 14=12x13
Rp 3,255.00 Rp 2,024,610.00
Rp 86.00 Rp 75,852.00
Rp 200.00 Rp 272,000.00
Rp 113.00 Rp 586,922.00
Rp 105.00 Rp -
Rp 80.00 Rp 32,000.00
Rp 195.00 Rp -
Rp 261.00 Rp 6,443,307.00
Rp 145.00 Rp -
Rp 62.00 Rp 418,190.00
Rp 3,045.00 Rp 362,355.00
Rp 135.00 Rp -
Rp 95.00 Rp 7,885.00
Rp 135.00 Rp 248,940.00
Rp 48.00 Rp -
Rp 106.00 Rp 3,327,976.00
Rp 148.00 Rp 110,852.00
Rp 237.00 Rp -
Rp 349.00 Rp 577,595.00
Rp 149.00 Rp 511,964.00
Rp 330.00 Rp 320,100.00
Rp 181.00 Rp 181,000.00
Rp 44.00 Rp 1,129,084.00
Rp 97.00 Rp 78,376.00
Rp 134.00 Rp -
Rp 104.00 Rp 201,344.00
Rp 270.00 Rp -
Rp 167.00 Rp 440,713.00
Rp 47.00 Rp -
Rp 730.00 Rp 4,539,870.00
Rp 630.00 Rp 459,900.00
Rp 85.00 Rp 44,540.00
Rp 56.00 Rp 242,984.00
Rp 436.00 Rp 509,248.00
Rp 98.00 Rp 2,541,826.00
Rp 209.00 Rp -
Rp 149.00 Rp 181,482.00
Rp 395.00 Rp -
Rp 150.00 Rp 666,750.00
Rp 110.00 Rp -
Rp 88.00 Rp 184,272.00
Rp 425.00 Rp -
Rp 63.00 Rp 699,300.00
Rp 84.00 Rp 1,160,208.00
Rp 62.00 Rp -
Rp 300.00 Rp 448,200.00
Rp 361.00 Rp 239,704.00
Rp 3,400.00 Rp 2,815,200.00
Rp 249.00 Rp 931,260.00
Rp 51.00 Rp 1,320,492.00
Rp 107.00 Rp -
Rp 52.08 Rp -
Rp 72.00 Rp -
Rp 151.00 Rp 3,368,810.00
Rp 495.00 Rp 198,000.00
Rp 448.00 Rp -
Rp 134.00 Rp -
Rp 225.00 Rp -
Rp 629.00 Rp -
Rp 113.00 Rp 454,825.00
Rp 205.00 Rp 1,190,025.00
Rp 154.00 Rp 207,284.00
Rp 108.00 Rp 216,540.00
Rp 110.00 Rp 110.00
Rp 133.00 Rp 899,612.00
Rp 133.00 Rp 298,585.00
Rp 176.00 Rp 868,208.00
Rp 110.00 Rp -
Rp 480.00 Rp 83,520.00
Rp 211.00 Rp 480,869.00
Rp 32.23 Rp -
Rp 56.00 Rp 1,753,640.00
Rp 298.00 Rp -
Rp 400.00 Rp 370,400.00
Rp 118.00 Rp 726,762.00
Rp 114.00 Rp 158,232.00
Rp 65.00 Rp 32,500.00
Rp 319.00 Rp -
Rp 120.00 Rp 482,040.00
Rp 59.00 Rp 494,656.00
Rp 89.00 Rp -
Rp 169.00 Rp 1,086,670.00
Rp 281.00 Rp -
Rp 42.00
Rp -
Rp 149.00 Rp -
Rp 310.00 Rp 29,450.00
Rp 672.00 Rp -
Rp 680.00 Rp 7,987,960.00
Rp 115.00 Rp 465,175.00
Rp 474.00 Rp 2,869,122.00
Rp 908.00 Rp -
Rp 315.00 Rp -
Rp 716.00 Rp 13,604.00
Rp 1,425.00 Rp -
Rp 85.00 Rp -
Rp 3,100.00 Rp -
Rp 516.00 Rp 720,336.00
Rp 426.00 Rp 28,116.00
Rp 603.00 Rp 592,749.00
Rp 679.00 Rp 167,713.00
Rp -
Rp 3,822.00 Rp 416,598.00
Rp 16,500.00 Rp 1,617,000.00
Rp 5,100.00 Rp -
Rp 8,400.00 Rp -
Rp 1,672.00 Rp 30,096.00
Rp 10,425.00 Rp 104,250.00
Rp 3,300.00 Rp -
Rp 1,580.00 Rp 320,740.00
Rp 1,050.00 Rp 458,850.00
Rp 8,100.00 Rp 534,600.00
Rp 3,417.00 Rp 474,963.00
Rp 8,250.00 Rp -
Rp 1,829.00 Rp -
Rp 3,399.00 Rp -
Rp 4,500.00
Rp -
Rp 7,260.00 Rp -
Rp 1,845.00 Rp 933,570.00
Rp 3,200.00 Rp -
Rp 2,629.00 Rp 47,322.00
Rp 2,684.00 Rp 391,864.00
Rp 4,650.00 Rp -
Rp 1,476.80 Rp -
Rp 2,818.10 Rp -
Rp 1,900.00 Rp 20,900.00
Rp 1,650.00 Rp 24,750.00
Rp 5,000.00 Rp -
Rp 15,550.00 Rp -
Rp 1,390.00 Rp 1,581,820.00
Rp 4,898.00 Rp 930,620.00
Rp 1,098.00 Rp 1,126,548.00
Rp 3,650.00
Rp -
Rp 680.00 Rp -
Rp 36,000.00 Rp -
Rp 2,950.00 Rp 35,400.00
Rp 7,190.00 Rp 215,700.00
Rp 7,190.00
Rp -
Rp -
Rp 1,904.40 Rp 281,851.20
Rp 839.00 Rp 27,687.00
Rp 2,516.00 Rp -
Rp 1,520.00 Rp 197,600.00
Rp 2,200.00 Rp -
Rp 2,970.00 Rp 297,000.00
Rp 2,600.00 Rp 379,600.00
Rp 2,798.00 Rp 279,800.00
Rp 2,569.00 Rp -
Rp 1,600.00 Rp -
Rp 3,000.00 Rp 264,000.00
Rp 2,520.00 Rp -
Rp 1,499.00 Rp -
Rp 2,429.00 Rp 289,051.00
Rp -
Rp 288.00 Rp 5,390,784.00
Rp 1,250.00 Rp 78,750.00
Rp -
Rp 2,445.00 Rp 1,202,940.00
Rp 2,025.00 Rp 83,025.00
Rp 7,999.00 Rp -
Rp 1,378.85 Rp -
Rp 6,700.00 Rp 241,200.00
Rp 4,499.00 Rp 4,197,567.00
Rp 3,955.00 Rp 577,430.00
Rp 2,140.00
Rp 913,780.00
Rp 3,534.00 Rp -
Rp 4,840.00 Rp 1,529,440.00
Rp 1,074.00 Rp 355,494.00
Rp -
Rp 9,950.00 Rp -
Rp -
Rp 2,042.00 Rp 330,804.00
Rp 4,000.00 Rp 40,000.00
Rp 900.00 Rp -
Rp 2,273.00 Rp -
Rp 5,500.00 Rp 44,000.00
Rp 5,200.00Rp -
Rp 17,393.00 Rp 121,751.00
Rp 3,226.00 Rp -
Rp -
Rp 1,540.00 Rp 304,920.00
Rp 792.00 Rp 6,163,344.00
Rp 979.00 Rp 1,896,323.00
Rp 1,790.00 Rp 141,410.00
Rp 19,680.00 Rp 39,360.00
Rp Rp
2,750.00 11,000.00
Rp 8,600.00 Rp -
Rp 27,830.00 Rp 1,391,500.00
Rp 34,170.00
Rp 3,963,720.00
Rp 35,740.00
Rp 2,323,100.00
Rp 10,400.00
Rp 592,800.00
Rp 2,500.00 Rp 222,500.00
Rp 22,990.00 Rp -
Rp 8,000.00 Rp 160,000.00
Rp 8,000.00 Rp 80,000.00
Rp 35,620.00 Rp -
Rp 6,985.00 Rp 747,395.00
Rp 6,985.00 Rp 768,350.00
Rp 8,700.00 Rp 2,088,000.00
Rp 8,700.00 Rp -
Rp 8,700.00 Rp -
Rp 8,700.00 Rp 104,400.00
Rp 5,100.00 Rp 51,000.00
Rp 9,070.00 Rp 11,673,090.00
Rp 24,000.00 Rp 288,000.00
Rp 9,400.00 Rp -
Rp 6,363.00 Rp -
Rp 3,800.00 Rp 178,600.00
Rp 800.00 Rp 122,400.00
Rp 7,900.00 Rp 560,900.00
Rp 49,862.00 Rp 498,620.00
Rp -
Rp 16,500.00 Rp 2,013,000.00
Rp 19,800.00 Rp -
Rp -
Rp 3,960.00 Rp -
Rp 770.00 Rp -
Rp 18,085.67 Rp -
Rp 2,242.10 Rp -
Rp 2,550.00 Rp 193,800.00
Rp 23,480.00 Rp -
Rp -
Rp 5,500.00 Rp 231,000.00
Rp 1,400.00 Rp -
Rp 2,900.00 Rp -
Rp 5,998.00 Rp 23,992.00
Rp 18,000.00 Rp 1,170,000.00
Rp 74,494.00 Rp 744,940.00
Rp 39,217.00 Rp 39,217.00
Rp 149,158.00 Rp 745,790.00
Rp 667.80 Rp -
Rp 51,426.00 Rp 257,130.00
Rp 51,426.00 Rp 257,130.00
Rp 1,045.00 Rp 104,500.00
Rp 4,620.00 Rp 498,960.00
Rp 6,600.00 Rp 739,200.00
Rp 6,600.00 Rp 792,000.00
Rp 6,600.00 Rp -
Rp 580,000.00 Rp 4,640,000.00
Rp 65,000.00 Rp -
Rp 1,629.00 Rp -
Rp 26,950.00 Rp -
Rp 7,370.00 Rp 29,480.00
Rp 7,370.00 Rp 29,480.00
Rp -
Rp 9,275.00 Rp -
Rp 7,500.00 Rp 60,000.00
Rp 5,700.00 Rp -
Rp 6,900.00 Rp 2,359,800.00
Rp 10,050.00 Rp -
Rp 15,730.00 Rp -
Rp 9,950.00 Rp -
Rp Rp
6,410.00 2,192,220.00
Rp 7,150.00 Rp 2,652,650.00
Rp -
Rp 23,100.00 Rp -
Rp 14,175.00 Rp -
Rp 5,800.00 Rp 562,600.00
Rp 15,000.00 Rp -
Rp 15,750.00 Rp -
Rp 27,250.00 Rp -
Rp 15,000.00 Rp -
Rp 12,450.00 Rp -
Rp 5,078.85 Rp -
Rp 5,000.00 Rp 350,000.00
Rp 550.00 Rp 675,400.00
Rp 8,635.00
Rp -
Rp 14,500.00 Rp -
Rp 4,300.00Rp 713,800.00
Rp 8,635.00Rp 431,750.00
Rp 362.00 Rp 56,834.00
Rp 3,575.00 Rp 268,125.00
Rp -
Rp 2,590.00 Rp -
Rp 12,155.00 Rp -
Rp 450.00 Rp -
Rp 5,867.00 Rp -
Rp 1,360.00 Rp 292,400.00
Rp 190.00 Rp 18,620.00
Rp 6,600.00 Rp 132,000.00
Rp 14,980.00 Rp -
Rp 148.00 Rp 74,000.00
Rp 424.00 Rp -
Rp 4,995.00 Rp 199,800.00
Rp 5,670.00 Rp 328,860.00
Rp 3,091.00 Rp 102,003.00
Rp 11,500.00 Rp 115,000.00
Rp 1,007.00 Rp 7,317,869.00
Rp 850.00 Rp -
Rp 737.00 Rp 368,500.00
Rp 4,620.00 Rp 184,800.00
Rp 1,100.00 Rp -
Rp 16,500.00 Rp -
Rp -
Rp -
Rp -
Rp -
Rp 104,000.00 Rp -
Rp -
Rp 150,000.00 Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
1655,55 #VALUE!
Rp -
Rp 240,450.00 Rp -
Rp 226,550.00 Rp -
Rp -
Rp 344.00 Rp 11,121,520.00
Rp 1,520.00 Rp -
Rp 136.00 Rp -
Rp 51.00
Rp -
Rp 3,000.00 Rp -
Rp 298.00 Rp -
Rp 107.00 Rp -
Rp -
Rp 13,000.00 Rp -
Rp -
Rp -
Rp 99,000.00 Rp 297,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 14,200.00 Rp 298,200.00
Rp 22,950.00
Rp 2,386,800.00
Rp 2,695.00 Rp -
Rp 31,650.00 Rp -
Rp -
Rp 102.00 Rp 20,808.00
Rp 900.00 Rp -
Rp 20,250.00
Rp 60,750,000.00
Rp 133.00 Rp 47,880.00
Rp 93.00 Rp -
Rp 83,333.00 Rp -
Rp 69.00 Rp -
Rp 96.00 Rp -
Rp 245.00 Rp -
Rp 1,021.00
Rp -
Rp 950.00
Rp -
Rp 144.00
Rp 267,408.00
Rp 68.00
Rp 38,760.00
Rp -
Rp 1,008.00 Rp 3,862,656.00
Rp 55,000.00
Rp -
Rp 405.00 Rp -
Rp 95.00
Rp 399,000.00
Rp 1,550.00Rp -
Rp 423.00 Rp -
Rp 88.00 Rp -
Rp 16,500.00
Rp -
Rp 479.00 Rp 332,905.00
Rp -
Rp 8,935.00 Rp -
Rp 12,185.00
Rp -
Rp 250.00 Rp -
Rp -
Rp 270.00 Rp -
Rp 930.00 Rp -
Rp -
Rp 18,000.00 Rp -
Rp -
Rp 1,000.00 Rp -
Rp -
Rp -
Rp -
Rp 1,583.00 Rp -
Rp 1,400.00 Rp -
Rp -
Rp 2,800.00 Rp -
Rp -
Rp -
Rp 3,429.00
Rp -
Rp 12,210.00
Rp -
Rp 4,500.00Rp -
Rp 590.00 Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 42.00 Rp -
Rp 107.00 Rp -
Rp 4,227.00
Rp -
Rp 610.29 Rp -
Rp 473.00
Rp -
Rp 114.00 Rp -
Rp 74.00 Rp -
Rp 30,000.00
Rp -
Rp 22,167.00 Rp -
Rp 25,063.00 Rp -
Rp 140.00 Rp -
Rp 22.20 Rp -
Rp -
Rp 4,180.00Rp -
Rp 45.00 Rp 7,830.00
Rp -
Rp 1,980.00 Rp -
Rp 62.00 Rp -
Rp 500.00 Rp 71,000.00
Rp 11,517.00 Rp 138,204.00
Rp 233.00 Rp 49,163.00
Rp 16,742.00 Rp 100,452.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 430,000.00 Rp 4,300,000.00
Rp 429,550.00 Rp -
Rp 115,000.00 Rp -
Rp -
Rp 293.00 Rp 58,600.00
Rp -
Rp 214,900.00 Rp 214,900.00
###
Rp 1,199,990.00
Rp 154,000.00
Rp -
Rp 359,990.00
Rp 3,599,900.00
Rp 160,000.00 Rp 480,000.00
Rp 19,500.00 Rp -
Rp -
Rp 1,750.00 Rp 182,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 5,000.00
Rp -
Rp 4,850.00 Rp 97,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 8,912.00 Rp 4,161,904.00
Rp 103,500.00 Rp 621,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 800,000.00 Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
#VALUE!
gurus/ Penyimpan Barang
lin Sudarmanisati
19611114 199103 2 001
UPT PUSKESMAS DAU
BULAN: MEI TAHUN ANGGARAN 2018

NO JENIS BARANG Harga Harga
Jumlah Satuan Jumlah Jumlah Harga Satuan Jumlah Jumlah Satuan Jumlah
Barang ( Rp. ) Barang ( Rp. ) ( Rp. ) Barang ( Rp. )
( Rp. ) ( Rp. )
1 2 3 Rp 4 5=3x4 6 Rp 7 8=6x7 9 Rp 10 11=9x10
a. Tablet/Kapsul
1 Adalat Oros 20 mg 622 Rp 3,255.00 Rp 2,024,610.00 Rp 3,255.00 Rp - 0 Rp 3,255.00 Rp -
2 Alopurinol 100 mg 882 Rp 86.00 Rp 75,852.00 Rp 86.00 Rp - 326 Rp 86.00 Rp 28,036.00
3 Alopurinol 300 mg 1360 Rp 200.00 Rp 272,000.00 Rp 200.00 Rp - 0 Rp 200.00 Rp -
4 Ambroxol 30 mg 5194 Rp 113.00 Rp 586,922.00 Rp 113.00 Rp - 0 Rp 113.00 Rp -
5 Amlodipin 5 mg 0 Rp 105.00 Rp - Rp 105.00 Rp - 0 Rp 105.00 Rp -
6 Aminofilina 200 mg 400 Rp 80.00 Rp 32,000.00 Rp 80.00 Rp - 0 Rp 80.00 Rp -
7 Amoksilin 250 mg 0 Rp 195.00 Rp - Rp 195.00 Rp - 0 Rp 195.00 Rp -
8 Amoksilin 500 mg 24687 Rp 261.00 Rp 6,443,307.00 Rp 261.00 Rp - 4160 Rp 261.00 Rp 1,085,760.00
9 Antalgin 500 mg 0 Rp 145.00 Rp - Rp 145.00 Rp - 0 Rp 145.00 Rp -
200mg) 6745 Rp 62.00 Rp 418,190.00 Rp 62.00 Rp - 2758 Rp 62.00 Rp 170,996.00
g) 119 Rp 3,045.00 Rp 362,355.00 Rp 3,045.00 Rp - 0 Rp 3,045.00 Rp -
Kofein 50mg) 0 Rp 135.00 Rp - Rp 135.00 Rp - 0 Rp 135.00 Rp -
13 Asam Askorbat ( Vit C ) 50 mg 83 Rp 95.00 Rp 7,885.00 Rp 95.00 Rp - 0 Rp 95.00 Rp -
14 Asam Askorbat (Vit C) 250 mg 1844 Rp 135.00 Rp 248,940.00 Rp 135.00 Rp - 710 Rp 135.00 Rp 95,850.00
15 Asam folat 1 mg 0 Rp 48.00 Rp - Rp 48.00 Rp - 0 Rp 48.00 Rp -
16 Asam mefenamat 500mg 31396 Rp 106.00 Rp 3,327,976.00 Rp 106.00 Rp - 1653 Rp 106.00 Rp 175,218.00
17 Asetosal 100 mg 749 Rp 148.00 Rp 110,852.00 Rp 148.00 Rp - 0 Rp 148.00 Rp -
18 Asiklovir 200mg 0 Rp 237.00 Rp - Rp 237.00 Rp - 0 Rp 237.00 Rp -
19 Asiklovir 400mg 1655 Rp 349.00 Rp 577,595.00 Rp 349.00 Rp - 305 Rp 349.00 Rp 106,445.00
20 Betahistin mesilat 5 mg 3436 Rp 149.00 Rp 511,964.00 Rp 149.00 Rp - 0 Rp 149.00 Rp -
21 Bisoprolol tablet 5 mg 970 Rp 330.00 Rp 320,100.00 Rp 330.00 Rp - 0 Rp 330.00 Rp -
22 Cetirizin 10mg 1000 Rp 181.00 Rp 181,000.00 Rp 181.00 Rp - 94 Rp 181.00 Rp 17,014.00
23 Deksametason 0,5 mg 25661 Rp 44.00 Rp 1,129,084.00 Rp 44.00 Rp - 2673 Rp 44.00 Rp 117,612.00
24 Digoksin 0,25 mg 808 Rp 97.00 Rp 78,376.00 Rp 97.00 Rp - 0 Rp 97.00 Rp -
25 Diltiazem 30 mg 0 Rp 134.00 Rp - Rp 134.00 Rp - 0 Rp 134.00 Rp -
26 Dimenhidrinat tablet 50mg 1936 Rp 104.00 Rp 201,344.00 Rp 104.00 Rp - 0 Rp 104.00 Rp -
27 Doksisiklin 100mg 0 Rp 270.00 Rp - Rp 270.00 Rp - 0 Rp 270.00 Rp -
28 Domperidon tablet 10 mg 2639 Rp 167.00 Rp 440,713.00 Rp 167.00 Rp - 0 Rp 167.00 Rp -
29 Efedrin HCL 25 mg 0 Rp 47.00 Rp - Rp 47.00 Rp - 0 Rp 47.00 Rp -
30 Eritromisin 500mg 6219 Rp 730.00 Rp 4,539,870.00 Rp 730.00 Rp - 2509 Rp 730.00 Rp 1,831,570.00
31 Fitomenadion (Vit K1) 10mg 730 Rp 630.00 Rp 459,900.00 Rp 630.00 Rp - 30 Rp 630.00 Rp 18,900.00
32 Furosemid 40 mg 524 Rp 85.00 Rp 44,540.00 Rp 85.00 Rp - 0 Rp 85.00 Rp -
33 Glibenklamid 5 mg 4339 Rp 56.00 Rp 242,984.00 Rp 56.00 Rp - 765 Rp 56.00 Rp 42,840.00
34 Glimepiride tablet 2 mg 1168 Rp 436.00 Rp 509,248.00 Rp 436.00 Rp - 0 Rp 436.00 Rp -
35 Gliseril Guaiakolat 100 mg 25937 Rp 98.00 Rp 2,541,826.00 Rp 98.00 Rp - 1910 Rp 98.00 Rp 187,180.00
36 Griseofulvin 125 mg 0 Rp 209.00 Rp - Rp 209.00 Rp - 0 Rp 209.00 Rp -
37 Hidroklorotiazid (HCT) 25 mg 1218 Rp 149.00 Rp 181,482.00 Rp 149.00 Rp - 0 Rp 149.00 Rp -
38 Hyosin N Butilbromida 10mg 0 Rp 395.00 Rp - Rp 395.00 Rp - 0 Rp 395.00 Rp -
39 Ibuprofen 400 mg 4445 Rp 150.00 Rp 666,750.00 Rp 150.00 Rp - 1014 Rp 150.00 Rp 152,100.00
40 Ibuprofen 200 mg 0 Rp 110.00 Rp - Rp 110.00 Rp - 0 Rp 110.00 Rp -
2094 Rp 88.00 Rp 184,272.00 Rp 88.00 Rp - 0 Rp 88.00 Rp -
42 Kalium Diklofenac 50mg 0 Rp 425.00 Rp - Rp 425.00 Rp - 0 Rp 425.00 Rp -
43 Kalsium Laktat (Kalk) 500 mg 11100 Rp 63.00 Rp 699,300.00 Rp 63.00 Rp - 1411 Rp 63.00 Rp 88,893.00
44 Kaptopril 25 mg 13812 Rp 84.00 Rp 1,160,208.00 Rp 84.00 Rp - 1506 Rp 84.00 Rp 126,504.00
45 Kaptopril 12,5 mg 0 Rp 62.00 Rp - Rp 62.00 Rp - 0 Rp 62.00 Rp -
46 Ketokonazol 200mg tablet 1494 Rp 300.00 Rp 448,200.00 Rp 300.00 Rp - 15 Rp 300.00 Rp 4,500.00
47 Klindamisin kapsul 150 mg 664 Rp 361.00 Rp 239,704.00 Rp 361.00 Rp - 0 Rp 361.00 Rp -
48 Klopidogrel 828 Rp 3,400.00 Rp 2,815,200.00 Rp 3,400.00 Rp - 0 Rp 3,400.00 Rp -
49 Kloramfenikol kapsul 250 mg 3740 Rp 249.00 Rp 931,260.00 Rp 249.00 Rp - 227 Rp 249.00 Rp 56,523.00
25892 Rp 51.00 Rp 1,320,492.00 Rp 51.00 Rp - 3517 Rp 51.00 Rp 179,367.00
51 Klorokuin tablet 150 mg 0 Rp 107.00 Rp - Rp 107.00 Rp - 0 Rp 107.00 Rp -
52 Klorpropamid tablet 100 mg 0 Rp 52.08 Rp - Rp 52.08 Rp - 0 Rp 52.08 Rp -
Kotrimoksazol anak
m20mg) 0 Rp 72.00 Rp - Rp 72.00 Rp - 0 Rp 72.00 Rp -

80mg
22310 Rp 151.00 Rp 3,368,810.00 Rp 151.00 Rp - 1234 Rp 151.00 Rp 186,334.00
55 Levofloksasin 500 mg 400 Rp 495.00 Rp 198,000.00 Rp 495.00 Rp - 0 Rp 495.00 Rp -
56 Lisinopril 5mg tablet 0 Rp 448.00 Rp - Rp 448.00 Rp - 0 Rp 448.00 Rp -
57 Loratadin tablet 10 mg 0 Rp 134.00 Rp - Rp 134.00 Rp - 0 Rp 134.00 Rp -
58 Mebendazol tablet 100 mg 0 Rp 225.00 Rp - Rp 225.00 Rp - 0 Rp 225.00 Rp -
59 Meloksikam tablet 7,5 mg 0 Rp 629.00 Rp - Rp 629.00 Rp - 0 Rp 629.00 Rp -
60 Metformin 500mg tablet 4025 Rp 113.00 Rp 454,825.00 Rp 113.00 Rp - 313 Rp 113.00 Rp 35,369.00
61 Metil Prednisolon 4 mg 5805 Rp 205.00 Rp 1,190,025.00 Rp 205.00 Rp - 0 Rp 205.00 Rp -
1346 Rp 154.00 Rp 207,284.00 Rp 154.00 Rp - 31 Rp 154.00 Rp 4,774.00
63 Metoklopramid 5mg 2005 Rp 108.00 Rp 216,540.00 Rp 108.00 Rp - 0 Rp 108.00 Rp -
64 Metronidazol 250 mg 1 Rp 110.00 Rp 110.00 Rp 110.00 Rp - 0 Rp 110.00 Rp -
65 Metronidazol 500mg 6764 Rp 133.00 Rp 899,612.00 Rp 133.00 Rp - 419 Rp 133.00 Rp 55,727.00
66 Natrium Diklofenac 25 mg 2245 Rp 133.00 Rp 298,585.00 Rp 133.00 Rp - 0 Rp 133.00 Rp -
67 Natrium Diklofenac 50 mg 4933 Rp 176.00 Rp 868,208.00 Rp 176.00 Rp - 285 Rp 176.00 Rp 50,160.00
68 Nifedipin 10 mg tablet 0 Rp 110.00 Rp - Rp 110.00 Rp - 0 Rp 110.00 Rp -
174 Rp 480.00 Rp 83,520.00 Rp 480.00 Rp - 28 Rp 480.00 Rp 13,440.00
70 Omeprazole 20mg 2279 Rp 211.00 Rp 480,869.00 Rp 211.00 Rp - 752 Rp 211.00 Rp 158,672.00
71 Parasetamol 100 mg 0 Rp 32.23 Rp - Rp 32.23 Rp - 0 Rp 32.23 Rp -
72 Parasetamol 500 mg 31315 Rp 56.00 Rp 1,753,640.00 Rp 56.00 Rp - 27185 Rp 56.00 Rp 1,522,360.00
73 Pirantel 125 mg 0 Rp 298.00 Rp - Rp 298.00 Rp - 0 Rp 298.00 Rp -
74 Pirasetam 800 mg tablet 926 Rp 400.00 Rp 370,400.00 Rp 400.00 Rp - 0 Rp 400.00 Rp -
6159 Rp 118.00 Rp 726,762.00 Rp 118.00 Rp - 739 Rp 118.00 Rp 87,202.00
76 Prednison tablet 5 mg 1388 Rp 114.00 Rp 158,232.00 Rp 114.00 Rp - 0 Rp 114.00 Rp -
77 Propanolol HCL tablet 10 mg 500 Rp 65.00 Rp 32,500.00 Rp 65.00 Rp - 0 Rp 65.00 Rp -
78 Propiltiourasil tablet 100 mg 0 Rp 319.00 Rp - Rp 319.00 Rp - 0 Rp 319.00 Rp -
79 Ranitidin tablet 150 mg 4017 Rp 120.00 Rp 482,040.00 Rp 120.00 Rp - 425 Rp 120.00 Rp 51,000.00
80 Salbutamol tablet 2 mg 8384 Rp 59.00 Rp 494,656.00 Rp 59.00 Rp - 476 Rp 59.00 Rp 28,084.00
81 Salbutamol tablet 4 mg 0 Rp 89.00 Rp - Rp 89.00 Rp - 0 Rp 89.00 Rp -
82 Simvastatin 10 mg 6430 Rp 169.00 Rp 1,086,670.00 Rp 169.00 Rp - 31 Rp 169.00 Rp 5,239.00
83 Siprofloksazin tablet 500 mg 0 Rp 281.00 Rp - Rp 281.00 Rp - 0 Rp 281.00 Rp -
0,25mg 0 Rp - 126420 Rp 5,309,640.00 1530 Rp 64,260.00
85 Tetrasiklin HCL kapsul 250 mg 0 Rp 149.00 Rp - Rp 149.00 Rp - 0 Rp 149.00 Rp -
86 Tetrasiklin HCL kapsul 500 mg 95 Rp 310.00 Rp 29,450.00 Rp 310.00 Rp - 0 Rp 310.00 Rp -
87 Thiamfenikol 500mg kapsul 0 Rp 672.00 Rp - Rp 672.00 Rp - 0 Rp 672.00 Rp -
88 Tiamin HCL (VitB1) 50 mg 11747 Rp 680.00 Rp 7,987,960.00 Rp 680.00 Rp - 259 Rp 680.00 Rp 176,120.00
89 Vitamin B Kompleks 4045 Rp 115.00 Rp 465,175.00 Rp 115.00 Rp - 3952 Rp 115.00 Rp 454,480.00
90 Zinc 10 mg 6053 Rp 474.00 Rp 2,869,122.00 Rp 474.00 Rp - 175 Rp 474.00 Rp 82,950.00
91 Acarbose 100 mg 0 Rp 908.00 Rp - Rp 908.00 Rp - 0 Rp 908.00 Rp -
92 Spironolactone 25mg 0 Rp 315.00 Rp - Rp 315.00 Rp - 0 Rp 315.00 Rp -
93 Ondansetron 4 mg 19 Rp 716.00 Rp 13,604.00 Rp 716.00 Rp - 0 Rp 716.00 Rp -
94 Irbesartan 150 mg 0 Rp 1,425.00 Rp - Rp 1,425.00 Rp - 0 Rp 1,425.00 Rp -
95 Loperamid 2 mg 0 Rp 85.00 Rp - Rp 85.00 Rp - 0 Rp 85.00 Rp -
96 Candesartan 8 mg 0 Rp 3,100.00 Rp - Rp 3,100.00 Rp - 0 Rp 3,100.00 Rp -
97 Cefadroxil 500mg 1396 Rp 516.00 Rp 720,336.00 Rp 516.00 Rp - 19 Rp 516.00 Rp 9,804.00
98 asetil sistein 66 Rp 426.00 Rp 28,116.00 Rp 426.00 Rp - 66 Rp 426.00 Rp 28,116.00
99 Clindamycin 300mg 983 Rp 603.00 Rp 592,749.00 Rp 603.00 Rp - 0 Rp 603.00 Rp -
100 Gemfibrozil 600mg 247 Rp 679.00 Rp 167,713.00 Rp 679.00 Rp - 247 Rp 679.00 Rp 167,713.00
b. Injeksi 0 Rp - Rp - 0 Rp -
1 Aminofilina 24 mg/ml - 10 ml 109 Rp 3,822.00 Rp 416,598.00 Rp 3,822.00 Rp - 0 Rp 3,822.00 Rp -
2 Amoksisilin 1000mg 98 Rp 16,500.00 Rp 1,617,000.00 Rp 16,500.00 Rp - 0 Rp 16,500.00 Rp -
3 Ampisillin im/iv 1000mg/ml 0 Rp 5,100.00 Rp - Rp 5,100.00 Rp - 0 Rp 5,100.00 Rp -
4 Antalgin 250 mg/ml - 2 ml 0 Rp 8,400.00 Rp - Rp 8,400.00 Rp - 0 Rp 8,400.00 Rp -
5 Atropin sulfat 0,25mg/ml-1 ml 18 Rp 1,672.00 Rp 30,096.00 Rp 1,672.00 Rp - 0 Rp 1,672.00 Rp -
6 Calsium Gluconas injeksi 10 % 10 Rp 10,425.00 Rp 104,250.00 Rp 10,425.00 Rp - 0 Rp 10,425.00 Rp -
7 Ceftriaxone 1 gr injeksi 0 Rp 3,300.00 Rp - Rp 3,300.00 Rp - 0 Rp 3,300.00 Rp -
203 Rp 1,580.00 Rp 320,740.00 Rp 1,580.00 Rp - 69 Rp 1,580.00 Rp 109,020.00
437 Rp 1,050.00 Rp 458,850.00 Rp 1,050.00 Rp - 48 Rp 1,050.00 Rp 50,400.00
10 Epinefrin injeksi 66 Rp 8,100.00 Rp 534,600.00 Rp 8,100.00 Rp - 11 Rp 8,100.00 Rp 89,100.00
1ml 139 Rp 3,417.00 Rp 474,963.00 Rp 3,417.00 Rp - 34 Rp 3,417.00 Rp 116,178.00
12 Fitomenadion (Vit K1)inj infant 0 Rp 8,250.00 Rp - Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp -
13 Furosemid injeksi 0 Rp 1,829.00 Rp - Rp 1,829.00 Rp - 0 Rp 1,829.00 Rp -
14 Gentamisin injeksi 0 Rp 3,399.00 Rp - Rp 3,399.00 Rp - 0 Rp 3,399.00 Rp -
Rp 4,500.00 Rp 4,500.00 Rp 4,500.00
0 Rp - Rp - 0 Rp -
16 Kloramfenikol injeksi 0 Rp 7,260.00 Rp - Rp 7,260.00 Rp - 0 Rp 7,260.00 Rp -
Lidokain komp
+Epinefrin1:80000-2ml 506 Rp 1,845.00 Rp 933,570.00 Rp 1,845.00 Rp - 55 Rp 1,845.00 Rp 101,475.00
25 ml 0 Rp 3,200.00 Rp - Rp 3,200.00 Rp - 0 Rp 3,200.00 Rp -
25 ml 18 Rp 2,629.00 Rp 47,322.00 Rp 2,629.00 Rp - 0 Rp 2,629.00 Rp -
0,200mg-1ml 146 Rp 2,684.00 Rp 391,864.00 Rp 2,684.00 Rp - 1 Rp 2,684.00 Rp 2,684.00
21 Metoklopramid inj. 5mg / ml 0 Rp 4,650.00 Rp - Rp 4,650.00 Rp - 0 Rp 4,650.00 Rp -
ml 0 Rp 1,476.80 Rp - Rp 1,476.80 Rp - 0 Rp 1,476.80 Rp -
10ml 0 Rp 2,818.10 Rp - Rp 2,818.10 Rp - 0 Rp 2,818.10 Rp -
24 Oksitosin injeksi 10 IU/ml - 1 ml 11 Rp 1,900.00 Rp 20,900.00 Rp 1,900.00 Rp - 7 Rp 1,900.00 Rp 13,300.00
25 Ondansetron injeksi 15 Rp 1,650.00 Rp 24,750.00 Rp 1,650.00 Rp - 15 Rp 1,650.00 Rp 24,750.00
26 Piracetam injeksi 1 gr / 5 ml 0 Rp 5,000.00 Rp - Rp 5,000.00 Rp - 0 Rp 5,000.00 Rp -
27 Piracetam injeksi 3 gr / 5 ml 0 Rp 15,550.00 Rp - Rp 15,550.00 Rp - 0 Rp 15,550.00 Rp -
28 Ranitidin injeksi 25mg/2ml 1138 Rp 1,390.00 Rp 1,581,820.00 Rp 1,390.00 Rp - 170 Rp 1,390.00 Rp 236,300.00
29 Sefotaksim injeksi 1 gram 190 Rp 4,898.00 Rp 930,620.00 30 Rp 4,898.00 Rp 146,940.00 220 Rp 4,898.00 Rp 1,077,560.00
ml-1ml 1026 Rp 1,098.00 Rp 1,126,548.00 Rp 1,098.00 Rp - 113 Rp 1,098.00 Rp 124,074.00
Rp 3,650.00 Rp 3,650.00 Rp 3,650.00
1000mg/ml 0 Rp - Rp - 0 Rp -
mg/ml-1 ml 0 Rp 680.00 Rp - Rp 680.00 Rp - 0 Rp 680.00 Rp -
33 Vitamin B Kompleks injeksi 0 Rp 36,000.00 Rp - Rp 36,000.00 Rp - 0 Rp 36,000.00 Rp -
12 Rp 2,950.00 Rp 35,400.00 Rp 2,950.00 Rp - 0 Rp 2,950.00 Rp -
34 Asam traneksamat 250 mg/5ml 30 Rp 7,190.00 Rp 215,700.00 Rp 7,190.00 Rp - 10 Rp 7,190.00 Rp 71,900.00
35 Procain Benzil Penisilin inj 3 jt iu 0 Rp 7,190.00 Rp - Rp 7,190.00 Rp - 0 Rp 7,190.00 Rp -
c. Salep 0 Rp - Rp - 0 Rp -
3%) 148 Rp 1,904.40 Rp 281,851.20 Rp 1,904.40 Rp - 0 Rp 1,904.40 Rp -
2 Asiklovir krim 5% 33 Rp 839.00 Rp 27,687.00 Rp 839.00 Rp - 3 Rp 839.00 Rp 2,517.00
3 Basitrasin Polimixin B SK 0 Rp 2,516.00 Rp - Rp 2,516.00 Rp - 0 Rp 2,516.00 Rp -
4 Betametason krim 0,1 % 130 Rp 1,520.00 Rp 197,600.00 Rp 1,520.00 Rp - 20 Rp 1,520.00 Rp 30,400.00
5 Gameksan emulsi 1 % 30ml 0 Rp 2,200.00 Rp - Rp 2,200.00 Rp - 0 Rp 2,200.00 Rp -
6 Gentamisin salep kulit 0.1%-5gr 100 Rp 2,970.00 Rp 297,000.00 Rp 2,970.00 Rp - 49 Rp 2,970.00 Rp 145,530.00
7 Gentamisin salep mata 0,3% 146 Rp 2,600.00 Rp 379,600.00 Rp 2,600.00 Rp - 96 Rp 2,600.00 Rp 249,600.00
8 Hidrokortison krim 2,5 % 100 Rp 2,798.00 Rp 279,800.00 Rp 2,798.00 Rp - 43 Rp 2,798.00 Rp 120,314.00
9 Ketokonazol krim 2% 0 Rp 2,569.00 Rp - Rp 2,569.00 Rp - 0 Rp 2,569.00 Rp -
10 Kloramfenikol salep mata 1 % 0 Rp 1,600.00 Rp - Rp 1,600.00 Rp - 0 Rp 1,600.00 Rp -
11 Miconazol cream 2 % 88 Rp 3,000.00 Rp 264,000.00 Rp 3,000.00 Rp - 0 Rp 3,000.00 Rp -
0 Rp 2,520.00 Rp - Rp 2,520.00 Rp - 0 Rp 2,520.00 Rp -
13 Oksitetrasiklin HCL salep 3 % 0 Rp 1,499.00 Rp - Rp 1,499.00 Rp - 0 Rp 1,499.00 Rp -
+Belerang endap4% 119 Rp 2,429.00 Rp 289,051.00 Rp 2,429.00 Rp - 10 Rp 2,429.00 Rp 24,290.00
d. Serbuk 0 Rp - Rp - 0 Rp -
1 Garam oralit untuk 200 ml air 18718 Rp 288.00 Rp 5,390,784.00 Rp 288.00 Rp - 448 Rp 288.00 Rp 129,024.00
2 Salisil Bedak 2 % 63 Rp 1,250.00 Rp 78,750.00 Rp 1,250.00 Rp - 0 Rp 1,250.00 Rp -
e. Sirup 0 Rp - Rp - 0 Rp -
1 Amoksilin 125mg/5ml 492 Rp 2,445.00 Rp 1,202,940.00 Rp 2,445.00 Rp - 72 Rp 2,445.00 Rp 176,040.00
200mg/5ml+AlOH 200mg/5ml) 41 Rp 2,025.00 Rp 83,025.00 Rp 2,025.00 Rp - 38 Rp 2,025.00 Rp 76,950.00
3 Cetirizin syr 0 Rp 7,999.00 Rp - 20 Rp 7,999.00 Rp 159,980.00 0 Rp 7,999.00 Rp -
4 Dekstrometorfan 10 mg / 5 ml 0 Rp 1,378.85 Rp - Rp 1,378.85 Rp - 0 Rp 1,378.85 Rp -
5 Eritromisin sirup 36 Rp 6,700.00 Rp 241,200.00 Rp 6,700.00 Rp - 15 Rp 6,700.00 Rp 100,500.00
6 Ibuprofen suspensi 100mg/5ml 933 Rp 4,499.00 Rp 4,197,567.00 Rp 4,499.00 Rp - 20 Rp 4,499.00 Rp 89,980.00
146 Rp 3,955.00 Rp 577,430.00 Rp 3,955.00 Rp - 21 Rp 3,955.00 Rp 83,055.00
200mg+Trimetoprim40mg/5ml 427 Rp 913,780.00 Rp - 70 Rp 149,800.00
9 Mebendazol sirup 100 mg/5ml 0 Rp 3,534.00 Rp - Rp 3,534.00 Rp - 0 Rp 3,534.00 Rp -
10 Obat Batuk Hitam ( O B H ) 316 Rp 4,840.00 Rp 1,529,440.00 Rp 4,840.00 Rp - 0 Rp 4,840.00 Rp -
11 Parasetamol sirup 120mg/5ml 331 Rp 1,074.00 Rp 355,494.00 Rp 1,074.00 Rp - 100 Rp 1,074.00 Rp 107,400.00
12 Thiamfenikol syr 0 Rp - Rp - 0 Rp -
13 Metronidazol syrup 0 Rp 9,950.00 Rp - Rp 9,950.00 Rp - 0 Rp 9,950.00 Rp -
f. Tetes 0 Rp - Rp - 0 Rp -
1 Fenol Gliserol tetes telinga 10 % 162 Rp 2,042.00 Rp 330,804.00 Rp 2,042.00 Rp - 20 Rp 2,042.00 Rp 40,840.00
2 Gentamisin tetes mata 0.3% 10 Rp 4,000.00 Rp 40,000.00 Rp 4,000.00 Rp - 10 Rp 4,000.00 Rp 40,000.00
3 Gentian violet larutan 1 % 0 Rp 900.00 Rp - Rp 900.00 Rp - 0 Rp 900.00 Rp -
4 Kloramfenikol tetes mata 0 Rp 2,273.00 Rp - Rp 2,273.00 Rp - 0 Rp 2,273.00 Rp -
5 Kloramfenikol tetes telinga 3 % 8 Rp 5,500.00 Rp 44,000.00 72 Rp 5,500.00 Rp 396,000.00 15 Rp 5,500.00 Rp 82,500.00
15ml 0 Rp 5,200.00 Rp - 112 Rp 5,200.00 Rp 582,400.00 24 Rp 5,200.00 Rp 124,800.00
7 Polikresulen 7 Rp 17,393.00 Rp 121,751.00 Rp 17,393.00 Rp - 0 Rp 17,393.00 Rp -
% 0 Rp 3,226.00 Rp - Rp 3,226.00 Rp - 0 Rp 3,226.00 Rp -
ALKES DAN CAIRAN LUAR 0 Rp - Rp - 0 Rp -
1 Alat suntik sekali pakai 1 ml 198 Rp 1,540.00 Rp 304,920.00 Rp 1,540.00 Rp - 5 Rp 1,540.00 Rp 7,700.00
2 Alat suntik sekali pakai 3 ml 7782 Rp 792.00 Rp 6,163,344.00 Rp 792.00 Rp - 899 Rp 792.00 Rp 712,008.00
3 Alat suntik sekali pakai 5 ml 1937 Rp 979.00 Rp 1,896,323.00 Rp 979.00 Rp - 20 Rp 979.00 Rp 19,580.00
4 Alat suntik sekali pakai 10 ml 79 Rp 1,790.00 Rp 141,410.00 Rp 1,790.00 Rp - 0 Rp 1,790.00 Rp -
5 Alkohol swab 2 Rp 19,680.00 Rp 39,360.00 Rp 19,680.00 Rp - 2 Rp 19,680.00 Rp 39,360.00
6 Aqua pro injeksi, bebas pirogen 4 Rp 2,750.00 Rp 11,000.00 Rp 2,750.00 Rp - 4 Rp 2,750.00 Rp 11,000.00
7 Aquadest steril 0 Rp 8,600.00 Rp - Rp 8,600.00 Rp - 0 Rp 8,600.00 Rp -
8 Blood Tranfusion set 50 Rp 27,830.00 Rp 1,391,500.00 Rp 27,830.00 Rp - 0 Rp 27,830.00 Rp -
2/0-3/0 116 Rp 3,963,720.00 Rp - 16 Rp 546,720.00
3/0 65 Rp 2,323,100.00 Rp - 0 Rp -
11 Daryantulle/Bioplacenton tulle 57 Rp 10,400.00 Rp 592,800.00 Rp 10,400.00 Rp - 3 Rp 10,400.00 Rp 31,200.00
12 Etanol 70 % 100 ml 89 Rp 2,500.00 Rp 222,500.00 5 Rp 2,500.00 Rp 12,500.00 60 Rp 2,500.00 Rp 150,000.00
13 Etanol 70 % 1000 ml 0 Rp 22,990.00 Rp - Rp 22,990.00 Rp - 0 Rp 22,990.00 Rp -
14 Foley Catheter no.16 20 Rp 8,000.00 Rp 160,000.00 Rp 8,000.00 Rp - 2 Rp 8,000.00 Rp 16,000.00
15 Folley cath no. 18 10 Rp 8,000.00 Rp 80,000.00 Rp 8,000.00 Rp - 0 Rp 8,000.00 Rp -
16 Hanschoen "50 0 Rp 35,620.00 Rp - Rp 35,620.00 Rp - 0 Rp 35,620.00 Rp -
surgical PF) 107 Rp 6,985.00 Rp 747,395.00 Rp 6,985.00 Rp - 0 Rp 6,985.00 Rp -
surgical PF) 110 Rp 6,985.00 Rp 768,350.00 Rp 6,985.00 Rp - 0 Rp 6,985.00 Rp -
19 I.V. Catheter No 18 240 Rp 8,700.00 Rp 2,088,000.00 Rp 8,700.00 Rp - 0 Rp 8,700.00 Rp -
20 I.V. Catheter No 20 0 Rp 8,700.00 Rp - Rp 8,700.00 Rp - 0 Rp 8,700.00 Rp -
21 I.V. Catheter No 22 0 Rp 8,700.00 Rp - Rp 8,700.00 Rp - 0 Rp 8,700.00 Rp -
22 I.V. Catheter No 24 12 Rp 8,700.00 Rp 104,400.00 Rp 8,700.00 Rp - 12 Rp 8,700.00 Rp 104,400.00
23 Infusion set anak 10 Rp 5,100.00 Rp 51,000.00 Rp 5,100.00 Rp - 10 Rp 5,100.00 Rp 51,000.00
24 Infusion set dewasa 1287 Rp 9,070.00 Rp 11,673,090.00 Rp 9,070.00 Rp - 20 Rp 9,070.00 Rp 181,400.00
12 Rp 24,000.00 Rp 288,000.00 Rp 24,000.00 Rp - 3 Rp 24,000.00 Rp 72,000.00
26 Kasa Pembalut 2 m x 80 cm 0 Rp 9,400.00 Rp - Rp 9,400.00 Rp - 0 Rp 9,400.00 Rp -
27 Kasa Pembalut elastic 3 inchi 0 Rp 6,363.00 Rp - Rp 6,363.00 Rp - 0 Rp 6,363.00 Rp -
47 Rp 3,800.00 Rp 178,600.00 Rp 3,800.00 Rp - 47 Rp 3,800.00 Rp 178,600.00
153 Rp 800.00 Rp 122,400.00 Rp 800.00 Rp - 0 Rp 800.00 Rp -
30 Kasa Steril 71 Rp 7,900.00 Rp 560,900.00 Rp 7,900.00 Rp - 0 Rp 7,900.00 Rp -
50% 10 Rp 49,862.00 Rp 498,620.00 10 Rp 49,862.00 Rp 498,620.00 15 Rp 49,862.00 Rp 747,930.00
32 Masker breathing (+ selang) 0 Rp - Rp - 0 Rp -
33 Masker non breathing 122 Rp 16,500.00 Rp 2,013,000.00 Rp 16,500.00 Rp - 2 Rp 16,500.00 Rp 33,000.00
34 masker oxygen 0 Rp 19,800.00 Rp - Rp 19,800.00 Rp - 0 Rp 19,800.00 Rp -
35 NGT 7 x 75/80 0 Rp - Rp - 0 Rp -
36 One Med H2 O2 3 % 0 Rp 3,960.00 Rp - Rp 3,960.00 Rp - 0 Rp 3,960.00 Rp -
37 One Med Surgical Blade 0 Rp 770.00 Rp - Rp 770.00 Rp - 0 Rp 770.00 Rp -
0 Rp 18,085.67 Rp - Rp 18,085.67 Rp - 0 Rp 18,085.67 Rp -
39 Plester infus (TEGADERM) 0 Rp 2,242.10 Rp - Rp 2,242.10 Rp - 0 Rp 2,242.10 Rp -
40 Rivanol larutan 0,1 % 300ml 76 Rp 2,550.00 Rp 193,800.00 Rp 2,550.00 Rp - 0 Rp 2,550.00 Rp -
0 Rp 23,480.00 Rp - Rp 23,480.00 Rp - 0 Rp 23,480.00 Rp -
42 Tensocrepe 24 Rp - Rp - 0 Rp -
43 Urine Bag 42 Rp 5,500.00 Rp 231,000.00 Rp 5,500.00 Rp - 0 Rp 5,500.00 Rp -
44 Wing Needle No. 18 - 27 0 Rp 1,400.00 Rp - Rp 1,400.00 Rp - 0 Rp 1,400.00 Rp -
0 Rp 2,900.00 Rp - 10 Rp 2,900.00 Rp 29,000.00 10 Rp 2,900.00 Rp 29,000.00
4 Rp 5,998.00 Rp 23,992.00 Rp 5,998.00 Rp - 0 Rp 5,998.00 Rp -
65 Rp 18,000.00 Rp 1,170,000.00 Rp 18,000.00 Rp - 65 Rp 18,000.00 Rp 1,170,000.00
48 Policlean handrub 50ml 10 Rp 74,494.00 Rp 744,940.00 Rp 74,494.00 Rp - 0 Rp 74,494.00 Rp -
49 Polifix 5cmx5m 1 Rp 39,217.00 Rp 39,217.00 Rp 39,217.00 Rp - 0 Rp 39,217.00 Rp -
50 New DRC 4Y x 80 cm plain 5 Rp 149,158.00 Rp 745,790.00 Rp 149,158.00 Rp - 0 Rp 149,158.00 Rp -
51 Nurse cap 0 Rp 667.80 Rp - Rp 667.80 Rp - 0 Rp 667.80 Rp -
52 Surgical gown (M) 5 Rp 51,426.00 Rp 257,130.00 Rp 51,426.00 Rp - 0 Rp 51,426.00 Rp -
53 Surgical gown (L) 5 Rp 51,426.00 Rp 257,130.00 Rp 51,426.00 Rp - 0 Rp 51,426.00 Rp -
54 Glucose protein test 100 Rp 1,045.00 Rp 104,500.00 Rp 1,045.00 Rp - 0 Rp 1,045.00 Rp -
55 Underpad 108 Rp 4,620.00 Rp 498,960.00 Rp 4,620.00 Rp - 0 Rp 4,620.00 Rp -
56 Nasal kanul L 112 Rp 6,600.00 Rp 739,200.00 Rp 6,600.00 Rp - 0 Rp 6,600.00 Rp -
57 Nasal kanul S 120 Rp 6,600.00 Rp 792,000.00 Rp 6,600.00 Rp - 0 Rp 6,600.00 Rp -
58 Nasal kanul XS 0 Rp 6,600.00 Rp - Rp 6,600.00 Rp - 0 Rp 6,600.00 Rp -
59 Handrub refill 8 Rp 580,000.00 Rp 4,640,000.00 Rp 580,000.00 Rp - 0 Rp 580,000.00 Rp -
60 Umbilical cord 0 Rp 65,000.00 Rp - Rp 65,000.00 Rp - 0 Rp 65,000.00 Rp -
61 Dermafix T 5x7 0 Rp 1,629.00 Rp - Rp 1,629.00 Rp - 0 Rp 1,629.00 Rp -
62 Plesterin 0 Rp 26,950.00 Rp - Rp 26,950.00 Rp - 0 Rp 26,950.00 Rp -
63 Stomach tube no 16 4 Rp 7,370.00 Rp 29,480.00 Rp 7,370.00 Rp - 0 Rp 7,370.00 Rp -
64 Stomach tube no 18 4 Rp 7,370.00 Rp 29,480.00 Rp 7,370.00 Rp - 0 Rp 7,370.00 Rp -
INFUS 0 Rp - Rp - 0 Rp -
1 Asering Larutan infus 0 Rp 9,275.00 Rp - Rp 9,275.00 Rp - 0 Rp 9,275.00 Rp -
2 Glukosa larutan infus 10 % steril 8 Rp 7,500.00 Rp 60,000.00 Rp 7,500.00 Rp - 0 Rp 7,500.00 Rp -
3 Glukosa larutan infus 40 % steril 0 Rp 5,700.00 Rp - Rp 5,700.00 Rp - 0 Rp 5,700.00 Rp -
4 Glukosa larutan infus 5 % steril 342 Rp 6,900.00 Rp 2,359,800.00 Rp 6,900.00 Rp - 6 Rp 6,900.00 Rp 41,400.00
5 KAEN 3B 0 Rp 10,050.00 Rp - Rp 10,050.00 Rp - 0 Rp 10,050.00 Rp -
6 KAEN 4B 0 Rp 15,730.00 Rp - Rp 15,730.00 Rp - 0 Rp 15,730.00 Rp -
7 Metronidazol infus 0 Rp 9,950.00 Rp - Rp 9,950.00 Rp - 0 Rp 9,950.00 Rp -
steril 342 Rp 6,410.00 Rp 2,192,220.00 Rp 6,410.00 Rp - 5 Rp 6,410.00 Rp 32,050.00
9 Ringer Lactate infus steril 371 Rp 7,150.00 Rp 2,652,650.00 Rp 7,150.00 Rp - 49 Rp 7,150.00 Rp 350,350.00
OBAT PATEN 0 Rp - Rp - 0 Rp -
1 Aptil/Albothyl 0 Rp 23,100.00 Rp - Rp 23,100.00 Rp - 0 Rp 23,100.00 Rp -
2 Bioplasenton Jelly 0 Rp 14,175.00 Rp - Rp 14,175.00 Rp - 0 Rp 14,175.00 Rp -
10mg/Dulcolax 97 Rp 5,800.00 Rp 562,600.00 Rp 5,800.00 Rp - 0 Rp 5,800.00 Rp -
4 Bufacomb 0 Rp 15,000.00 Rp - Rp 15,000.00 Rp - 0 Rp 15,000.00 Rp -
5 Cendo Lyters tetes mata 0 Rp 15,750.00 Rp - Rp 15,750.00 Rp - 0 Rp 15,750.00 Rp -
6 Cendo Xitrol tetes mata 0 Rp 27,250.00 Rp - Rp 27,250.00 Rp - 0 Rp 27,250.00 Rp -
7 Citicholin inj. 250 mg / 2ml 0 Rp 15,000.00 Rp - Rp 15,000.00 Rp - 0 Rp 15,000.00 Rp -
8 Laxadin sirup 0 Rp 12,450.00 Rp - Rp 12,450.00 Rp - 0 Rp 12,450.00 Rp -
9 Lactodiar 0 Rp 5,078.85 Rp - Rp 5,078.85 Rp - 0 Rp 5,078.85 Rp -
10 Lytamin syrup 70 Rp 5,000.00 Rp 350,000.00 Rp 5,000.00 Rp - 0 Rp 5,000.00 Rp -
11 Mecobion tablet 1228 Rp 550.00 Rp 675,400.00 Rp 550.00 Rp - 156 Rp 550.00 Rp 85,800.00
Rp 8,635.00 Rp 8,635.00 Rp 8,635.00
0 Rp - Rp - 0 Rp -
13 Microlax 0 Rp 14,500.00 Rp - Rp 14,500.00 Rp - 0 Rp 14,500.00 Rp -
(Mersibion) 166 Rp 4,300.00Rp 713,800.00 Rp 4,300.00Rp - 27 Rp 4,300.00Rp 116,100.00
15 Novalgin/Antrain injeksi 50 Rp 8,635.00Rp 431,750.00 Rp 8,635.00Rp - 50 Rp 8,635.00Rp 431,750.00
16 Noza /Demacolin 157 Rp 362.00 Rp 56,834.00 Rp 362.00 Rp - 157 Rp 362.00 Rp 56,834.00
75 Rp 3,575.00 Rp 268,125.00 Rp 3,575.00 Rp - 0 Rp 3,575.00 Rp -
18 Parasetamol supp 0 Rp - Rp - 0 Rp -
19 Pehacain injeksi 0 Rp 2,590.00 Rp - Rp 2,590.00 Rp - 0 Rp 2,590.00 Rp -
20 Permetrin/Scabicid krim 5% 0 Rp 12,155.00 Rp - Rp 12,155.00 Rp - 0 Rp 12,155.00 Rp -
21 Salbutamol rotacaps 0 Rp 450.00 Rp - Rp 450.00 Rp - 0 Rp 450.00 Rp -
22 Salbutamol rotahaler 0 Rp 5,867.00 Rp - Rp 5,867.00 Rp - 0 Rp 5,867.00 Rp -
23 Hiopar 215 Rp 1,360.00 Rp 292,400.00 Rp 1,360.00 Rp - 0 Rp 1,360.00 Rp -
24 Puralex 98 Rp 190.00 Rp 18,620.00 Rp 190.00 Rp - 98 Rp 190.00 Rp 18,620.00
25 Ventolin nebuliser 20 Rp 6,600.00 Rp 132,000.00 Rp 6,600.00 Rp - 20 Rp 6,600.00 Rp 132,000.00
26 Zirkum syr/ Zinkid syr 0 Rp 14,980.00 Rp - Rp 14,980.00 Rp - 0 Rp 14,980.00 Rp -
27 Miniaspi (Asetosal 80mg) 500 Rp 148.00 Rp 74,000.00 Rp 148.00 Rp - 0 Rp 148.00 Rp -
28 Ulsidex 500mg 0 Rp 424.00 Rp - Rp 424.00 Rp - 0 Rp 424.00 Rp -
29 Combiven nebulizer 40 Rp 4,995.00 Rp 199,800.00 Rp 4,995.00 Rp - 0 Rp 4,995.00 Rp -
30 Dulcolax supp 5 mg (anak) 58 Rp 5,670.00 Rp 328,860.00 Rp 5,670.00 Rp - 8 Rp 5,670.00 Rp 45,360.00
31 Bufacetin salep 33 Rp 3,091.00 Rp 102,003.00 Rp 3,091.00 Rp - 22 Rp 3,091.00 Rp 68,002.00
32 Pantocain TM 10 Rp 11,500.00 Rp 115,000.00 Rp 11,500.00 Rp - 0 Rp 11,500.00 Rp -
33 Chloramex 500mg 7267 Rp 1,007.00 Rp 7,317,869.00 Rp 1,007.00 Rp - 0 Rp 1,007.00 Rp -
34 Euthyrox (Levotiroksin 100mcg) 0 Rp 850.00 Rp - Rp 850.00 Rp - 0 Rp 850.00 Rp -
35 Dionicol 500mg 500 Rp 737.00 Rp 368,500.00 Rp 737.00 Rp - 151 Rp 737.00 Rp 111,287.00
36 Sotatic inj (metoclopramid inj) 40 Rp 4,620.00 Rp 184,800.00 Rp 4,620.00 Rp - 0 Rp 4,620.00 Rp -
37 Gricin 0 Rp 1,100.00 Rp - Rp 1,100.00 Rp - 0 Rp 1,100.00 Rp -
38 Amoxsan serbuk injeksi 0 Rp 16,500.00 Rp - Rp 16,500.00 Rp - 0 Rp 16,500.00 Rp -
OBAT KHUSUS 0 Rp - Rp - 0 Rp -
a. Alkes 0 Rp - Rp - 0 Rp -
1 Anisol 0 Rp - Rp - 0 Rp -
2 Blood lancet 0 Rp - Rp - 0 Rp -
3 Blue Tip 0 Rp 104,000.00 Rp - Rp 104,000.00 Rp - 0 Rp 104,000.00 Rp -
4 Corong 0 Rp - Rp - 0 Rp -
5 Kantong mayat 0 Rp 150,000.00 Rp - Rp 150,000.00 Rp - 0 Rp 150,000.00 Rp -
6 Kertas lensa 0 Rp - Rp - 0 Rp -
7 Lampu spiritus 0 Rp - Rp - 0 Rp -
8 Ose 0 Rp - Rp - 0 Rp -
9 Pipet K 0 Rp - Rp - 0 Rp -
10 Pipet 50 ml 0 Rp - Rp - 0 Rp -
11 Rak slide 0 Rp - Rp - 0 Rp -
12 Safety box 5 l 0 Rp - Rp - 0 Rp -
13 Sarung tangan no 7 0 Rp - Rp - 0 Rp -
14 Sarung tangan no 7.5 0 Rp - Rp - 0 Rp -
15 Sarung tangan no 8 0 Rp - Rp - 0 Rp -
16 Syringe AD 0,5ml / Soloshot 0 1655,55 #VALUE! 1655,55 #VALUE! 0 1655,55 #VALUE!
17 Syringe AD 5ml / Soloshot 0 Rp - Rp - 0 Rp -
18 Tabung EDTA 0 Rp 240,450.00 Rp - Rp 240,450.00 Rp - 0 Rp 240,450.00 Rp -
19 Tabung serologi 0 Rp 226,550.00 Rp - Rp 226,550.00 Rp - 0 Rp 226,550.00 Rp -
b. Filariasis 0 Rp - Rp - 0 Rp -
1 Albendazol 32330 Rp 344.00 Rp 11,121,520.00 Rp 344.00 Rp - 376 Rp 344.00 Rp 129,344.00
2 Betametason krim 0,1 % 0 Rp 1,520.00 Rp - Rp 1,520.00 Rp - 0 Rp 1,520.00 Rp -
3 Dietilkarbamazin sitrat 100 mg 0 Rp 136.00 Rp - Rp 136.00 Rp - 0 Rp 136.00 Rp -
4 0 Rp - Rp - 0 Rp -
5 Miconazol cream 2 % 0 Rp 3,000.00 Rp - Rp 3,000.00 Rp - 0 Rp 3,000.00 Rp -
6 Pirantel 125 mg 0 Rp 298.00 Rp - Rp 298.00 Rp - 0 Rp 298.00 Rp -
7 Vitamin B Kompleks 0 Rp 107.00 Rp - Rp 107.00 Rp - 0 Rp 107.00 Rp -
c. Flu burung 0 Rp - Rp - 0 Rp -
1 Oseltamivir 75 mg 0 Rp 13,000.00 Rp - Rp 13,000.00 Rp - 0 Rp 13,000.00 Rp -
d. Gigi 0 Rp - Rp - 0 Rp -
1 Devitalisasi Pasta ( Non Arsen ) 0 Rp - Rp - 0 Rp -
2 Etil Klorida semprot 3 Rp 99,000.00 Rp 297,000.00 Rp 99,000.00 Rp - 0 Rp 99,000.00 Rp -
3 Eugenol cairan 2 Rp - Rp - 0 Rp -
4 Glass Ionomer Cemen ( GC IX ) 0 Rp - Rp - 0 Rp -
5 Kalsium Hidroksida Pasta 0 Rp - Rp - 0 Rp -
6 Monoklorkamfer Mentol Cairan 0 Rp - Rp - 0 Rp -
7 Mummifying Pasta 0 Rp - Rp - 0 Rp -
0 Rp - Rp - 0 Rp -
9 Silver Amalgam serbuk 65 - 75 % 0 Rp - Rp - 0 Rp -
dan cairan 0 Rp - Rp - 0 Rp -
11 Trikresol Formalin (TKF) cairan 0 Rp - Rp - 0 Rp -
e. Gizi 0 Rp - Rp - 0 Rp -
21 Rp 14,200.00 Rp 298,200.00 12 Rp 14,200.00 Rp 170,400.00 0 Rp 14,200.00 Rp -
104 Rp 2,386,800.00 123 Rp 2,822,850.00 0 Rp -
3 Mineral Mix 0 Rp 2,695.00 Rp - Rp 2,695.00 Rp - 0 Rp 2,695.00 Rp -
4 Iodine test 0 Rp 31,650.00 Rp - Rp 31,650.00 Rp - 0 Rp 31,650.00 Rp -
f. Jiwa 0 Rp - Rp - 0 Rp -
1 Amitriptilin HCL 25 mg 204 Rp 102.00 Rp 20,808.00 Rp 102.00 Rp - 0 Rp 102.00 Rp -
2 Clobazam 10mg tab 0 Rp 900.00 Rp - Rp 900.00 Rp - 0 Rp 900.00 Rp -
3 Fenitoin Natrium inj. 50 mg/ml 3000 Rp 20,250.00 Rp 60,750,000.00 Rp 20,250.00 Rp - 0 Rp 20,250.00 Rp -
4 Fenitoin Natrium 100 mg 360 Rp 133.00 Rp 47,880.00 Rp 133.00 Rp - 0 Rp 133.00 Rp -
5 Fenitoin Natrium 30 mg 0 Rp 93.00 Rp - Rp 93.00 Rp - 0 Rp 93.00 Rp -
6 Haldol decanoat 50mg/ml inj 0 Rp 83,333.00 Rp - Rp 83,333.00 Rp - 0 Rp 83,333.00 Rp -
7 Haloperidol 1,5 mg 0 Rp 69.00 Rp - Rp 69.00 Rp - 0 Rp 69.00 Rp -
8 Haloperidol 5 mg 0 Rp 96.00 Rp - Rp 96.00 Rp - 0 Rp 96.00 Rp -
9 Karbamazepin 200 mg 0 Rp 245.00 Rp - Rp 245.00 Rp - 0 Rp 245.00 Rp -
1 ml 0 Rp - Rp - 0 Rp -
ml 0 Rp - Rp - 0 Rp -
mg 1857 Rp 267,408.00 Rp - 0 Rp -
570 Rp 38,760.00 Rp - 0 Rp -
14 Lodomer 5mg/ml inj 0 Rp - Rp - 0 Rp -
15 Risperidone 2mg 3832 Rp 1,008.00 Rp 3,862,656.00 Rp 1,008.00 Rp - 0 Rp 1,008.00 Rp -
0 Rp - Rp - 0 Rp -
17 Trifluoperazin tablet 5 mg 0 Rp 405.00 Rp - Rp 405.00 Rp - 0 Rp 405.00 Rp -
4200 Rp 399,000.00 Rp - 0 Rp -
19 Clozapin 25 mg tab 0 Rp 1,550.00 Rp - Rp 1,550.00 Rp - 0 Rp 1,550.00 Rp -
20 Fluoksetin/Nopres 20 mg 0 Rp 423.00 Rp - Rp 423.00 Rp - 0 Rp 423.00 Rp -
21 Haloperidol 0,5 mg 0 Rp 88.00 Rp - Rp 88.00 Rp - 0 Rp 88.00 Rp -
drop) 0 Rp - Rp - 0 Rp -
23 Stelazin 1 mg 695 Rp 479.00 Rp 332,905.00 Rp 479.00 Rp - 0 Rp 479.00 Rp -
g. Kelamin + H I V 0 Rp - Rp - 0 Rp -
1 IU/vial 0 Rp 8,935.00 Rp - Rp 8,935.00 Rp - 0 Rp 8,935.00 Rp -
2 IU/vial 0 Rp - Rp - 0 Rp -
3 Cyprofloxacin 500 mg 0 Rp 250.00 Rp - Rp 250.00 Rp - 0 Rp 250.00 Rp -
4 Cyre Tube 0 Rp - Rp - 0 Rp -
5 Doxycyclin 100 mg 0 Rp 270.00 Rp - Rp 270.00 Rp - 0 Rp 270.00 Rp -
6 Erythromycin 500 mg 0 Rp 930.00 Rp - Rp 930.00 Rp - 0 Rp 930.00 Rp -
7 Fladex Forte ( Metronidazol ) 0 Rp - Rp - 0 Rp -
8 Fluconazole tab 0 Rp 18,000.00 Rp - Rp 18,000.00 Rp - 0 Rp 18,000.00 Rp -
9 Kapas Alkohol 0 Rp - Rp - 0 Rp -
10 Komb: Cefixim + Azithromycin 0 Rp 1,000.00 Rp - Rp 1,000.00 Rp - 0 Rp 1,000.00 Rp -
11 Pehavral 0 Rp - Rp - 0 Rp -
12 Sarung tangan 0 Rp - Rp - 0 Rp -
13 Tabung + Jarum 0 Rp - Rp - 0 Rp -
14 Zidovudine (ZDV) 100mg 0 Rp 1,583.00 Rp - Rp 1,583.00 Rp - 0 Rp 1,583.00 Rp -
15 Lamivudine 150 mg 0 Rp 1,400.00 Rp - Rp 1,400.00 Rp - 0 Rp 1,400.00 Rp -
16 Efavirenz (EFV) 600 mg 0 Rp - Rp - 0 Rp -
17 Nevirapine (NVP) 200mg 0 Rp 2,800.00 Rp - Rp 2,800.00 Rp - 0 Rp 2,800.00 Rp -
18 Tenofovir 300 0 Rp - Rp - 0 Rp -
19 Tenofovir 300 + Emcitritabine (FT 0 Rp - Rp - 0 Rp -
3TC)150mg Rp 3,429.00 Rp 3,429.00 Rp 3,429.00
20 0 Rp - Rp - 0 Rp -
21 0 Rp - Rp - 0 Rp -
22 Azithromycin 0 Rp 4,500.00 Rp - Rp 4,500.00 Rp - 0 Rp 4,500.00 Rp -
23 Cefixim 100mg 0 Rp 590.00 Rp - Rp 590.00 Rp - 0 Rp 590.00 Rp -
h. Kusta 0 Rp - Rp - 0 Rp -
1 Lampren 100 mg 0 Rp - Rp - 0 Rp -
2 MB Anak 0 Rp - Rp - 0 Rp -
3 MB Dewasa 0 Rp - Rp - 0 Rp -
4 PB Anak 0 Rp - Rp - 0 Rp -
5 PB Dewasa 0 Rp - Rp - 0 Rp -
6 Prednison 5 mg 0 Rp - Rp - 0 Rp -
7 Prednipac 0 Rp - Rp - 0 Rp -
i. Malaria 0 Rp - Rp - 0 Rp -
1 0,25mg 0 Rp 42.00 Rp - Rp 42.00 Rp - 0 Rp 42.00 Rp -
2 Klorokuin tablet 150 mg 0 Rp 107.00 Rp - Rp 107.00 Rp - 0 Rp 107.00 Rp -
3 ml 0 Rp - Rp - 0 Rp -
4 Kuinin ( Kina ) tablet 200 mg 0 Rp 610.29 Rp - Rp 610.29 Rp - 0 Rp 610.29 Rp -
Komb.
5 g) 0 Rp - Rp - 0 Rp -
6 Primakuin tablet 15 mg 0 Rp 114.00 Rp - Rp 114.00 Rp - 0 Rp 114.00 Rp -
7 Asam Askorbat 250 mg 0 Rp 74.00 Rp - Rp 74.00 Rp - 0 Rp 74.00 Rp -
Rp 30,000.00 Rp 30,000.00 Rp 30,000.00
Hydrochloride) 0 Rp - Rp - 0 Rp -
Artemeter injeksi
9 0 Rp 22,167.00 Rp - Rp 22,167.00 Rp - 0 Rp 22,167.00 Rp -
Artesunat injeksi
10 0 Rp 25,063.00 Rp - Rp 25,063.00 Rp - 0 Rp 25,063.00 Rp -
Tetrasiklin 250 mg
11 0 Rp 140.00 Rp - Rp 140.00 Rp - 0 Rp 140.00 Rp -
Vit B Komplex tab
12 0 Rp 22.20 Rp - Rp 22.20 Rp - 0 Rp 22.20 Rp -
j. Psikotropik & Narkotik 0 Rp - Rp - 0 Rp -
1 Diazepam injeksi 5 mg/ml - 2 ml 0 Rp 4,180.00 Rp - Rp 4,180.00 Rp - 0 Rp 4,180.00 Rp -
2 Diazepam 2 mg 174 Rp 45.00 Rp 7,830.00 Rp 45.00 Rp - 0 Rp 45.00 Rp -
3 Diazepam 5 mg 0 Rp - Rp - 0 Rp -
0 Rp 1,980.00 Rp - Rp 1,980.00 Rp - 0 Rp 1,980.00 Rp -
5 Fenobarbital 30 mg 0 Rp 62.00 Rp - Rp 62.00 Rp - 0 Rp 62.00 Rp -
6 Kodein tablet 10mg 142 Rp 500.00 Rp 71,000.00 Rp 500.00 Rp - 0 Rp 500.00 Rp -
7 Stesolid rectal supp 5 mg 12 Rp 11,517.00 Rp 138,204.00 Rp 11,517.00 Rp - 0 Rp 11,517.00 Rp -
8 Alprazolam 1mg 211 Rp 233.00 Rp 49,163.00 Rp 233.00 Rp - 0 Rp 233.00 Rp -
9 Stesolid rectal supp 10 mg 6 Rp 16,742.00 Rp 100,452.00 Rp 16,742.00 Rp - 0 Rp 16,742.00 Rp -
k. Reagen 0 Rp - Rp - 0 Rp -
1 Reagen Alat ( GPT ) 0 Rp - Rp - 0 Rp -
2 Reagen Alat test gol darah 1 Rp - Rp - 1 Rp -
3 Reagen ASAT ( GOT ) 0 Rp - Rp - 0 Rp -
4 Reagen Cell Clean 1 Rp - Rp - 0 Rp -
5 Reagen Cell Pack D 20 lt 0 Rp - Rp - 0 Rp -
6 Reagen Cholesterol 8 Rp - Rp - 1 Rp -
7 Reagen Creatinin 0 Rp - Rp - 0 Rp -
8 Reagen Glukose GOD 7 Rp - Rp - 4 Rp -
9 Reagen Pack D 5 lt 0 Rp - Rp - 0 Rp -
10 Reagen Pack L - 500ml 0 Rp - Rp - 0 Rp -
11 Reagen Stromalyzer 500ml 0 Rp - Rp - 0 Rp -
12 Reagen Trigliserid 0 Rp - Rp - 0 Rp -
13 Reagen Uric acid 0 Rp - Rp - 0 Rp -
14 Urea FS 0 Rp - Rp - 0 Rp -
15 Ragen narkoba 0 Rp - Rp - 0 Rp -
l. Serum 0 Rp - Rp - 0 Rp -
ml(ABUI) 10 Rp 430,000.00 Rp 4,300,000.00 Rp 430,000.00 Rp - 0 Rp 430,000.00 Rp -
(ADS) 0 Rp 429,550.00 Rp - Rp 429,550.00 Rp - 0 Rp 429,550.00 Rp -
IU/ampul (Tetagam) 0 Rp 115,000.00 Rp - 10 Rp 115,000.00 Rp 1,150,000.00 0 Rp 115,000.00 Rp -
m. TB Paru 0 Rp - Rp - 0 Rp -
1 Isoniazid (INH) 100mg 200 Rp 293.00 Rp 58,600.00 Rp 293.00 Rp - 0 Rp 293.00 Rp -
2 Kombipack Kategori 1 0 Rp - Rp - 0 Rp -
3 Obat Antituberkulosis Anak 1 Rp 214,900.00 Rp 214,900.00 Rp 214,900.00 Rp - 0 Rp 214,900.00 Rp -
Obat Antituberkulosis kategori 2 ### Rp 1,199,990.00 ###
4 ( FDC ) 1 Rp 1,199,990.00 2 Rp 2,399,980.00 1 Rp 1,199,990.00
5 (FDC) 0 Rp - Rp - 0 Rp -
6 ( FDC ) 10 Rp 3,599,900.00 Rp - 0 Rp -
7 Obat Antituberkulosis Sisipan 3 Rp 160,000.00 Rp 480,000.00 5 Rp 160,000.00 Rp 800,000.00 2 Rp 160,000.00 Rp 320,000.00
8 Slide 0 Rp 19,500.00 Rp - Rp 19,500.00 Rp - 0 Rp 19,500.00 Rp -
9 Slide box 5 Rp - Rp - 0 Rp -
10 Sputum pot 104 Rp 1,750.00 Rp 182,000.00 Rp 1,750.00 Rp - 21 Rp 1,750.00 Rp 36,750.00
11 Streptomycin inj./iv 1500 mg/ml 0 Rp - Rp - 0 Rp -
12 Ziehl nelseen 6 Rp - Rp - 0 Rp -
n. REAGEN 0 Rp - Rp - 0 Rp -
1 Stik Hb 1 Rp - Rp - 0 Rp -
2 Blood lancet 2 Rp - Rp - 2 Rp -
3 Obyek Glass 0 Rp - Rp - 0 Rp -
4 widal test 0 Rp - Rp - 0 Rp -
5 hcg test 74 Rp - Rp - 2 Rp -
6 tabung k3 edta 105 Rp - Rp - 45 Rp -
7 yellow tip 0 Rp - Rp - 0 Rp -
8 Blue Tip 0 Rp - Rp - 0 Rp -
9 stik urin lengkap 174 Rp - Rp - 27 Rp -
10 rapid HIV 0 Rp - Rp - 0 Rp -
SD HIV 398 Rp - Rp - 51 Rp -
INTEC 66 Rp - Rp - 0 Rp -
ONCOPROBE 44 Rp - Rp - 0 Rp -
11 Kloramphenikol 500mg 16 Rp - Rp - 16 Rp -
12 RAPID TEST HBS AG NON WB 137 Rp - Rp - 0 Rp -
RAPID TEST HBS AG WB 286 Rp - Rp - 64 Rp -
13 ATS 0 Rp - Rp - 0 Rp -
14 Sarung Tangan Obgin 16 Rp - Rp - 0 Rp -
15 Care Handscrub 10 Rp - Rp - 0 Rp -
16 handscrub 15 Rp - Rp - 0 Rp -
17 USG Gel 6 Rp - Rp - 0 Rp -
18 Jelly 3 Rp - Rp - 0 Rp -
19 Monwoven 5x10 10 Rp - Rp - 0 Rp -
20 lomatul 78 Rp - Rp - 30 Rp -
21 superhoid/anti hemoroid supp 0 Rp 5,000.00 Rp - Rp 5,000.00 Rp - 0 Rp 5,000.00 Rp -
22 Voseo / Metoclopramid Syirup 20 Rp 4,850.00 Rp 97,000.00 Rp 4,850.00 Rp - 3 Rp 4,850.00 Rp 14,550.00
23 IV 26 50 Rp - Rp - 0 Rp -
24 Cavilon flem 3 Rp - Rp - 0 Rp -
25 plester infus + pot 10 Rp - Rp - 0 Rp -
26 femal 16 10 Rp - Rp - 0 Rp -
27 femal 18 10 Rp - Rp - 0 Rp -
28 mecobalamin 467 Rp 8,912.00 Rp 4,161,904.00 Rp 8,912.00 Rp - 46 Rp 8,912.00 Rp 409,952.00
29 clorethyil walter ritte 6 Rp 103,500.00 Rp 621,000.00 Rp 103,500.00 Rp - 0 Rp 103,500.00 Rp -
30 plester 7.5 0 Rp - Rp - 0 Rp -
31 plester 2.5 4 Rp - Rp - 0 Rp -
32 pamol infus 18 Rp - Rp - 0 Rp -
33 one cleane 8 Rp - Rp - 1 Rp -
34 perak sulfa 56 Rp - Rp - 0 Rp -
35 hioxy dewasa 100 Rp - Rp - 0 Rp -
36 hioxy anak 150 Rp - Rp - 0 Rp -
37 nebul 40x80 dewasa 75 Rp - Rp - 0 Rp -
38 nebul 40x80 anak 74 Rp - Rp - 0 Rp -
39 kassa panjang 0 Rp - Rp - 0 Rp -
40 norvom syr 0 Rp - Rp - 0 Rp -
41 seltifort syr jeruk 4 Rp - Rp - 4 Rp -
42 seltifort syr stbr 0 Rp - Rp - 0 Rp -
43 obh ank syr 0 Rp - Rp - 0 Rp -
44 borak gliserin 22 Rp - Rp - 4 Rp -
45 amlodipin 10mg 462 Rp - Rp - 462 Rp -
46 anelat 2804 Rp - Rp - 500 Rp -
47 spalk 0 Rp - Rp - 0 Rp -
48 spuit 0,05 0 Rp - Rp - 0 Rp -
49 spuit 0,5 0 Rp - Rp - 0 Rp -
50 reco tt 0 Rp - Rp - 0 Rp -
51 masker n95 0 Rp - Rp - 0 Rp -
52 hanschone s 0 Rp - Rp - 0 Rp -
53 hanschone m 0 Rp - Rp - 0 Rp -
54 hanschone l 4685 Rp - Rp - 50 Rp -
55 oil mersi 100 ml 0 Rp 800,000.00 Rp - Rp 800,000.00 Rp - 0 Rp 800,000.00 Rp -
56 laktobe 30 Rp - Rp - 10 Rp -
57 koatin syr 88 Rp - Rp - 6 Rp -
58 Hansaplast rol (7,5cm x 4,5 cm) 0 Rp - 0 Rp - 0 Rp -
59 extradine 5L 0 Rp - 0 Rp - 0 Rp -
60 0 Rp - 0 Rp - 0 Rp -
61 0 Rp - 0 Rp - 0 Rp -
62 0 Rp - 0 Rp - 0 Rp -
63 0 Rp - 0 Rp - 0 Rp -
64 0 Rp - 0 Rp - 0 Rp -
65 0 Rp - 0 Rp - 0 Rp -
Menyetujui

NIP.19790730 200604 2 017
KETERANGAN :
Saldo akhir Bulan
Harga
Jumlah Satuan Jumlah
Barang ( Rp. )
( Rp. )
12 Rp 13 14=12x13
622 Rp 3,255.00 Rp 2,024,610.00

556 Rp 86.00 Rp 47,816.00
1360 Rp 200.00 Rp 272,000.00
5194 Rp 113.00 Rp 586,922.00
0 Rp 105.00 Rp -
400 Rp 80.00 Rp 32,000.00
0 Rp 195.00 Rp -
20527 Rp 261.00 Rp 5,357,547.00
0 Rp 145.00 Rp -
3987 Rp 62.00 Rp 247,194.00
119 Rp 3,045.00 Rp 362,355.00
0 Rp 135.00 Rp -
83 Rp 95.00 Rp 7,885.00
1134 Rp 135.00 Rp 153,090.00
0 Rp 48.00 Rp -
29743 Rp 106.00 Rp 3,152,758.00
749 Rp 148.00 Rp 110,852.00
0 Rp 237.00 Rp -
1350 Rp 349.00 Rp 471,150.00
3436 Rp 149.00 Rp 511,964.00
970 Rp 330.00 Rp 320,100.00
906 Rp 181.00 Rp 163,986.00
22988 Rp 44.00 Rp 1,011,472.00
808 Rp 97.00 Rp 78,376.00
0 Rp 134.00 Rp -
1936 Rp 104.00 Rp 201,344.00
0 Rp 270.00 Rp -
2639 Rp 167.00 Rp 440,713.00
0 Rp 47.00 Rp -
3710 Rp 730.00 Rp 2,708,300.00
700 Rp 630.00 Rp 441,000.00
524 Rp 85.00 Rp 44,540.00
3574 Rp 56.00 Rp 200,144.00
1168 Rp 436.00 Rp 509,248.00
24027 Rp 98.00 Rp 2,354,646.00
0 Rp 209.00 Rp -
1218 Rp 149.00 Rp 181,482.00
0 Rp 395.00 Rp -
3431 Rp 150.00 Rp 514,650.00
0 Rp 110.00 Rp -
2094 Rp 88.00 Rp 184,272.00

0 Rp 425.00 Rp -
9689 Rp 63.00 Rp 610,407.00
12306 Rp 84.00 Rp 1,033,704.00
0 Rp 62.00 Rp -
1479 Rp 300.00 Rp 443,700.00
664 Rp 361.00 Rp 239,704.00
828 Rp 3,400.00 Rp 2,815,200.00
3513 Rp 249.00 Rp 874,737.00
22375 Rp 51.00 Rp 1,141,125.00

0 Rp 107.00 Rp -
0 Rp 52.08 Rp -
0 Rp 72.00 Rp -
21076 Rp 151.00 Rp 3,182,476.00

400 Rp 495.00 Rp 198,000.00
0 Rp 448.00 Rp -
0 Rp 134.00 Rp -
0 Rp 225.00 Rp -
0 Rp 629.00 Rp -
3712 Rp 113.00 Rp 419,456.00
5805 Rp 205.00 Rp 1,190,025.00
1315 Rp 154.00 Rp 202,510.00

2005 Rp 108.00 Rp 216,540.00
1 Rp 110.00 Rp 110.00
6345 Rp 133.00 Rp 843,885.00
2245 Rp 133.00 Rp 298,585.00
4648 Rp 176.00 Rp 818,048.00
0 Rp 110.00 Rp -
146 Rp 480.00 Rp 70,080.00

1527 Rp 211.00 Rp 322,197.00
0 Rp 32.23 Rp -
4130 Rp 56.00 Rp 231,280.00
0 Rp 298.00 Rp -
926 Rp 400.00 Rp 370,400.00
5420 Rp 118.00 Rp 639,560.00

1388 Rp 114.00 Rp 158,232.00
500 Rp 65.00 Rp 32,500.00
0 Rp 319.00 Rp -
3592 Rp 120.00 Rp 431,040.00
7908 Rp 59.00 Rp 466,572.00
0 Rp 89.00 Rp -
6399 Rp 169.00 Rp 1,081,431.00
0 Rp 281.00 Rp -
Rp 42.00
124890 Rp 5,245,380.00
0 Rp 149.00 Rp -
95 Rp 310.00 Rp 29,450.00
0 Rp 672.00 Rp -
11488 Rp 680.00 Rp 7,811,840.00
93 Rp 115.00 Rp 10,695.00
5878 Rp 474.00 Rp 2,786,172.00
0 Rp 908.00 Rp -
0 Rp 315.00 Rp -
19 Rp 716.00 Rp 13,604.00
0 Rp 1,425.00 Rp -
0 Rp 85.00 Rp -
0 Rp 3,100.00 Rp -
1377 Rp 516.00 Rp 710,532.00
0 Rp 426.00 Rp -
983 Rp 603.00 Rp 592,749.00
0 Rp 679.00 Rp -
0 Rp -
109 Rp 3,822.00 Rp 416,598.00
98 Rp 16,500.00 Rp 1,617,000.00
0 Rp 5,100.00 Rp -
0 Rp 8,400.00 Rp -
18 Rp 1,672.00 Rp 30,096.00
10 Rp 10,425.00 Rp 104,250.00
0 Rp 3,300.00 Rp -
134 Rp 1,580.00 Rp 211,720.00
389 Rp 1,050.00 Rp 408,450.00

55 Rp 8,100.00 Rp 445,500.00
105 Rp 3,417.00 Rp 358,785.00
0 Rp 8,250.00 Rp -
0 Rp 1,829.00 Rp -
0 Rp 3,399.00 Rp -
Rp 4,500.00
0 Rp -
0 Rp 7,260.00 Rp -
451 Rp 1,845.00 Rp 832,095.00
0 Rp 3,200.00 Rp -
18 Rp 2,629.00 Rp 47,322.00
145 Rp 2,684.00 Rp 389,180.00

0 Rp 4,650.00 Rp -
0 Rp 1,476.80 Rp -
0 Rp 2,818.10 Rp -
4 Rp 1,900.00 Rp 7,600.00
0 Rp 1,650.00 Rp -
0 Rp 5,000.00 Rp -
0 Rp 15,550.00 Rp -
968 Rp 1,390.00 Rp 1,345,520.00
0 Rp 4,898.00 Rp -
913 Rp 1,098.00 Rp 1,002,474.00

Rp 3,650.00
0 Rp -
0 Rp 680.00 Rp -
0 Rp 36,000.00 Rp -
12 Rp 2,950.00 Rp 35,400.00
20 Rp 7,190.00 Rp 143,800.00
0 Rp 7,190.00 Rp -
0 Rp -
148 Rp 1,904.40 Rp 281,851.20

30 Rp 839.00 Rp 25,170.00
0 Rp 2,516.00 Rp -
110 Rp 1,520.00 Rp 167,200.00
0 Rp 2,200.00 Rp -
51 Rp 2,970.00 Rp 151,470.00
50 Rp 2,600.00 Rp 130,000.00
57 Rp 2,798.00 Rp 159,486.00
0 Rp 2,569.00 Rp -
0 Rp 1,600.00 Rp -
88 Rp 3,000.00 Rp 264,000.00
0 Rp 2,520.00 Rp -
0 Rp 1,499.00 Rp -
109 Rp 2,429.00 Rp 264,761.00

0 Rp -
18270 Rp 288.00 Rp 5,261,760.00
63 Rp 1,250.00 Rp 78,750.00
0 Rp -
420 Rp 2,445.00 Rp 1,026,900.00
3 Rp 2,025.00 Rp 6,075.00
20 Rp 7,999.00 Rp 159,980.00
0 Rp 1,378.85 Rp -
21 Rp 6,700.00 Rp 140,700.00
913 Rp 4,499.00 Rp 4,107,587.00
125 Rp 3,955.00 Rp 494,375.00

Rp 2,140.00
357 Rp 763,980.00
0 Rp 3,534.00 Rp -
316 Rp 4,840.00 Rp 1,529,440.00
231 Rp 1,074.00 Rp 248,094.00
0 Rp -
0 Rp 9,950.00 Rp -
0 Rp -
142 Rp 2,042.00 Rp 289,964.00
0 Rp 4,000.00 Rp -
0 Rp 900.00 Rp -
0 Rp 2,273.00 Rp -
65 Rp 5,500.00 Rp 357,500.00
88 Rp 5,200.00 Rp 457,600.00
7 Rp 17,393.00 Rp 121,751.00
0 Rp 3,226.00 Rp -
0 Rp -
193 Rp 1,540.00 Rp 297,220.00
6883 Rp 792.00 Rp 5,451,336.00
1917 Rp 979.00 Rp 1,876,743.00
79 Rp 1,790.00 Rp 141,410.00
0 Rp 19,680.00 Rp -
0 Rp 2,750.00 Rp -
0 Rp 8,600.00 Rp -
50 Rp 27,830.00 Rp 1,391,500.00
Rp 34,170.00
100 Rp 3,417,000.00
Rp 35,740.00
65 Rp 2,323,100.00
54 Rp 10,400.00 Rp 561,600.00
34 Rp 2,500.00 Rp 85,000.00
0 Rp 22,990.00 Rp -
18 Rp 8,000.00 Rp 144,000.00
10 Rp 8,000.00 Rp 80,000.00
0 Rp 35,620.00 Rp -
107 Rp 6,985.00 Rp 747,395.00
110 Rp 6,985.00 Rp 768,350.00

240 Rp 8,700.00 Rp 2,088,000.00
0 Rp 8,700.00 Rp -
0 Rp 8,700.00 Rp -
0 Rp 8,700.00 Rp -
0 Rp 5,100.00 Rp -
1267 Rp 9,070.00 Rp 11,491,690.00
9 Rp 24,000.00 Rp 216,000.00
0 Rp 9,400.00 Rp -
0 Rp 6,363.00 Rp -
0 Rp 3,800.00 Rp -
153 Rp 800.00 Rp 122,400.00

71 Rp 7,900.00 Rp 560,900.00
5 Rp 49,862.00 Rp 249,310.00
0 Rp -
120 Rp 16,500.00 Rp 1,980,000.00
0 Rp 19,800.00 Rp -
0 Rp -
0 Rp 3,960.00 Rp -
0 Rp 770.00 Rp -
0 Rp 18,085.67 Rp -
0 Rp 2,242.10 Rp -
76 Rp 2,550.00 Rp 193,800.00
0 Rp 23,480.00 Rp -
24 Rp -
42 Rp 5,500.00 Rp 231,000.00
0 Rp 1,400.00 Rp -
0 Rp 2,900.00 Rp -
4 Rp 5,998.00 Rp 23,992.00
0 Rp 18,000.00 Rp -
10 Rp 74,494.00 Rp 744,940.00
1 Rp 39,217.00 Rp 39,217.00
5 Rp 149,158.00 Rp 745,790.00
0 Rp 667.80 Rp -
5 Rp 51,426.00 Rp 257,130.00
5 Rp 51,426.00 Rp 257,130.00
100 Rp 1,045.00 Rp 104,500.00
108 Rp 4,620.00 Rp 498,960.00
112 Rp 6,600.00 Rp 739,200.00
120 Rp 6,600.00 Rp 792,000.00
0 Rp 6,600.00 Rp -
8 Rp 580,000.00 Rp 4,640,000.00
0 Rp 65,000.00 Rp -
0 Rp 1,629.00 Rp -
0 Rp 26,950.00 Rp -
4 Rp 7,370.00 Rp 29,480.00
4 Rp 7,370.00 Rp 29,480.00
0 Rp -
0 Rp 9,275.00 Rp -
8 Rp 7,500.00 Rp 60,000.00
0 Rp 5,700.00 Rp -
336 Rp 6,900.00 Rp 2,318,400.00
0 Rp 10,050.00 Rp -
0 Rp 15,730.00 Rp -
0 Rp 9,950.00 Rp -
337 Rp 6,410.00 Rp 2,160,170.00

322 Rp 7,150.00 Rp 2,302,300.00
0 Rp -
0 Rp 23,100.00 Rp -
0 Rp 14,175.00 Rp -
97 Rp 5,800.00 Rp 562,600.00
0 Rp 15,000.00 Rp -
0 Rp 15,750.00 Rp -
0 Rp 27,250.00 Rp -
0 Rp 15,000.00 Rp -
0 Rp 12,450.00 Rp -
0 Rp 5,078.85 Rp -
70 Rp 5,000.00 Rp 350,000.00
1072 Rp 550.00 Rp 589,600.00
Rp 8,635.00
0 Rp -
0 Rp 14,500.00 Rp -
139 Rp 4,300.00Rp 597,700.00

0 Rp 8,635.00Rp -
0 Rp 362.00 Rp -
75 Rp 3,575.00 Rp 268,125.00
0 Rp -
0 Rp 2,590.00 Rp -
0 Rp 12,155.00 Rp -
0 Rp 450.00 Rp -
0 Rp 5,867.00 Rp -
215 Rp 1,360.00 Rp 292,400.00
0 Rp 190.00 Rp -
0 Rp 6,600.00 Rp -
0 Rp 14,980.00 Rp -
500 Rp 148.00 Rp 74,000.00
0 Rp 424.00 Rp -
40 Rp 4,995.00 Rp 199,800.00
50 Rp 5,670.00 Rp 283,500.00
11 Rp 3,091.00 Rp 34,001.00
10 Rp 11,500.00 Rp 115,000.00
7267 Rp 1,007.00 Rp 7,317,869.00
0 Rp 850.00 Rp -
349 Rp 737.00 Rp 257,213.00
40 Rp 4,620.00 Rp 184,800.00
0 Rp 1,100.00 Rp -
0 Rp 16,500.00 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp 104,000.00 Rp -
0 Rp -
0 Rp 150,000.00 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 1655,55 #VALUE!
0 Rp -
0 Rp 240,450.00 Rp -
0 Rp 226,550.00 Rp -
0 Rp -
31954 Rp 344.00 Rp 10,992,176.00
0 Rp 1,520.00 Rp -
0 Rp 136.00 Rp -
Rp 51.00
0 Rp -
0 Rp 3,000.00 Rp -
0 Rp 298.00 Rp -
0 Rp 107.00 Rp -
0 Rp -
0 Rp 13,000.00 Rp -
0 Rp -
0 Rp -
3 Rp 99,000.00 Rp 297,000.00
2 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
33 Rp 14,200.00 Rp 468,600.00
Rp 22,950.00
227 Rp 5,209,650.00
0 Rp 2,695.00 Rp -
0 Rp 31,650.00 Rp -
0 Rp -
204 Rp 102.00 Rp 20,808.00
0 Rp 900.00 Rp -
3000 Rp 20,250.00 Rp 60,750,000.00
360 Rp 133.00 Rp 47,880.00
0 Rp 93.00 Rp -
0 Rp 83,333.00 Rp -
0 Rp 69.00 Rp -
0 Rp 96.00 Rp -
0 Rp 245.00 Rp -
Rp 1,021.00
0 Rp -
Rp 950.00
0 Rp -
Rp 144.00
1857 Rp 267,408.00
Rp 68.00
570 Rp 38,760.00
0 Rp -
3832 Rp 1,008.00 Rp 3,862,656.00
Rp 55,000.00
0 Rp -
0 Rp 405.00 Rp -
Rp 95.00
4200 Rp 399,000.00
0 Rp 1,550.00 Rp -
0 Rp 423.00 Rp -
0 Rp 88.00 Rp -
Rp 16,500.00
0 Rp -
695 Rp 479.00 Rp 332,905.00
0 Rp -
0 Rp 8,935.00 Rp -
Rp 12,185.00
0 Rp -
0 Rp 250.00 Rp -
0 Rp -
0 Rp 270.00 Rp -
0 Rp 930.00 Rp -
0 Rp -
0 Rp 18,000.00 Rp -
0 Rp -
0 Rp 1,000.00 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp 1,583.00 Rp -
0 Rp 1,400.00 Rp -
0 Rp -
0 Rp 2,800.00 Rp -
0 Rp -
0 Rp -
Rp 3,429.00
0 Rp -
Rp 12,210.00
0 Rp -
0 Rp 4,500.00 Rp -
0 Rp 590.00 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp 42.00 Rp -
0 Rp 107.00 Rp -
Rp 4,227.00
0 Rp -
0 Rp 610.29 Rp -
Rp 473.00
0 Rp -
0 Rp 114.00 Rp -
0 Rp 74.00 Rp -
Rp 30,000.00
0 Rp -
0 Rp 22,167.00 Rp -
0 Rp 25,063.00 Rp -
0 Rp 140.00 Rp -
0 Rp 22.20 Rp -
0 Rp -
0 Rp 4,180.00 Rp -
174 Rp 45.00 Rp 7,830.00
0 Rp -
0 Rp 1,980.00 Rp -
0 Rp 62.00 Rp -
142 Rp 500.00 Rp 71,000.00
12 Rp 11,517.00 Rp 138,204.00
211 Rp 233.00 Rp 49,163.00
6 Rp 16,742.00 Rp 100,452.00
0 Rp -
0 Rp -
0 Rp -
0 Rp -
1 Rp -
0 Rp -
7 Rp -
0 Rp -
3 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
10 Rp 430,000.00 Rp 4,300,000.00
0 Rp 429,550.00 Rp -
10 Rp 115,000.00 Rp 1,150,000.00
0 Rp -
200 Rp 293.00 Rp 58,600.00
0 Rp -
1 Rp 214,900.00 Rp 214,900.00
###
2 Rp 2,399,980.00
Rp 154,000.00
0 Rp -
Rp 359,990.00
10 Rp 3,599,900.00
6 Rp 160,000.00 Rp 960,000.00
0 Rp 19,500.00 Rp -
5 Rp -
83 Rp 1,750.00 Rp 145,250.00
0 Rp -
6 Rp -
0 Rp -
1 Rp -
0 Rp -
0 Rp -
0 Rp -
72 Rp -
60 Rp -
0 Rp -
0 Rp -
147 Rp -
0 Rp -
347 Rp -
66 Rp -
44 Rp -
0 Rp -
137 Rp -
222 Rp -
0 Rp -
16 Rp -
10 Rp -
15 Rp -
6 Rp -
3 Rp -
10 Rp -
48 Rp -
0 Rp 5,000.00 Rp -
17 Rp 4,850.00 Rp 82,450.00
50 Rp -
3 Rp -
10 Rp -
10 Rp -
10 Rp -
421 Rp 8,912.00 Rp 3,751,952.00
6 Rp 103,500.00 Rp 621,000.00
0 Rp -
4 Rp -
18 Rp -
7 Rp -
56 Rp -
100 Rp -
150 Rp -
75 Rp -
74 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
18 Rp -
0 Rp -
2304 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
4635 Rp -
0 Rp 800,000.00 Rp -
20 Rp -
82 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
#VALUE!
Lilin Sudarmanisati
NIP.19611114 199103 2 001
UPT PUSKESMAS DAU
BULAN: JUNI TAHUN ANGGARAN 2018
Saldo Awal Bulan Mutasi Tambah Mutasi Kurang Sa

( Rp. ) ( Rp. ) ( Rp. )
1 2 3 Rp 4 5=3x4 6 Rp 7 8=6x7 9 Rp 10 11=9x10 12
a. Tablet/Kapsul
1 Adalat Oros 20 mg 622 Rp 3,255.00 Rp 2,024,610.00 840 Rp 3,255.00 Rp 2,734,200.00 258 Rp 3,255.00 Rp 839,790.00 1204
8 Amoksilin 500 mg 20527 Rp 261.00 Rp 5,357,547.00 0 Rp 261.00 Rp - 519 Rp 261.00 Rp 135,459.00 20008
200mg) 3987 Rp 62.00 Rp 247,194.00 0 Rp 62.00 Rp - 0 Rp 62.00 Rp - 3987
g) 119 Rp 3,045.00 Rp 362,355.00 0 Rp 3,045.00 Rp - 0 Rp 3,045.00 Rp - 119
Kofein 50mg) 0 Rp 135.00 Rp - 0 Rp 135.00 Rp - 0 Rp 135.00 Rp - 0
14 Asam Askorbat (Vit C) 250 mg 1134 Rp 135.00 Rp 153,090.00 0 Rp 135.00 Rp - 0 Rp 135.00 Rp - 1134
15 Asam folat 1 mg 0 Rp 48.00 Rp - 0 Rp 48.00 Rp - 0 Rp 48.00 Rp - 0
21 Bisoprolol tablet 5 mg 970 Rp 330.00 Rp 320,100.00 0 Rp 330.00 Rp - 0 Rp 330.00 Rp - 970
22 Cetirizin 10mg 906 Rp 181.00 Rp 163,986.00 1860 Rp 181.00 Rp 336,660.00 0 Rp 181.00 Rp - 2766
23 Deksametason 0,5 mg 22988 Rp 44.00 Rp 1,011,472.00 16500 Rp 44.00 Rp 726,000.00 3604 Rp 44.00 Rp 158,576.00 35884
40 Ibuprofen 200 mg 0 Rp 110.00 Rp - 0 Rp 110.00 Rp - 0 Rp 110.00 Rp - 0
2094 Rp 88.00 Rp 184,272.00 0 Rp 88.00 Rp - 190 Rp 88.00 Rp 16,720.00 1904
45 Kaptopril 12,5 mg 0 Rp 62.00 Rp - 0 Rp 62.00 Rp - 0 Rp 62.00 Rp - 0
49 Kloramfenikol kapsul 250 mg 3513 Rp 249.00 Rp 874,737.00 0 Rp 249.00 Rp - 0 Rp 249.00 Rp - 3513
22375 Rp 51.00 Rp 1,141,125.00 0 Rp 51.00 Rp - 3342 Rp 51.00 Rp 170,442.00 19033
Kotrimoksazol anak

80mg
21076 Rp 151.00 Rp 3,182,476.00 0 Rp 151.00 Rp - 605 Rp 151.00 Rp 91,355.00 20471
57 Loratadin tablet 10 mg 0 Rp 134.00 Rp - 0 Rp 134.00 Rp - 0 Rp 134.00 Rp - 0
61 Metil Prednisolon 4 mg 5805 Rp 205.00 Rp 1,190,025.00 0 Rp 205.00 Rp - 542 Rp 205.00 Rp 111,110.00 5263
1315 Rp 154.00 Rp 202,510.00 0 Rp 154.00 Rp - 0 Rp 154.00 Rp - 1315
63 Metoklopramid 5mg 2005 Rp 108.00 Rp 216,540.00 0 Rp 108.00 Rp - 100 Rp 108.00 Rp 10,800.00 1905
64 Metronidazol 250 mg 1 Rp 110.00 Rp 110.00 0 Rp 110.00 Rp - 1 Rp 110.00 Rp 110.00 0
65 Metronidazol 500mg 6345 Rp 133.00 Rp 843,885.00 0 Rp 133.00 Rp - 490 Rp 133.00 Rp 65,170.00 5855
67 Natrium Diklofenac 50 mg 4648 Rp 176.00 Rp 818,048.00 11190 Rp 176.00 Rp 1,969,440.00 442 Rp 176.00 Rp 77,792.00 15396
146 Rp 480.00 Rp 70,080.00 200 Rp 480.00 Rp 96,000.00 6 Rp 480.00 Rp 2,880.00 340
5420 Rp 118.00 Rp 639,560.00 0 Rp 118.00 Rp - 525 Rp 118.00 Rp 61,950.00 4895
76 Prednison tablet 5 mg 1388 Rp 114.00 Rp 158,232.00 2000 Rp 114.00 Rp 228,000.00 154 Rp 114.00 Rp 17,556.00 3234
77 Propanolol HCL tablet 10 mg 500 Rp 65.00 Rp 32,500.00 0 Rp 65.00 Rp - 100 Rp 65.00 Rp 6,500.00 400
82 Simvastatin 10 mg 6399 Rp 169.00 Rp 1,081,431.00 6000 Rp 169.00 Rp 1,014,000.00 133 Rp 169.00 Rp 22,477.00 12266
83 Siprofloksazin tablet 500 mg 0 Rp 281.00 Rp - 1500 Rp 281.00 Rp 421,500.00 361 Rp 281.00 Rp 101,441.00 1139
0,25mg 124890 Rp 5,245,380.00 0 Rp - 555 Rp 23,310.00 124335
89 Vitamin B Kompleks 93 Rp 115.00 Rp 10,695.00 0 Rp 115.00 Rp - 93 Rp 115.00 Rp 10,695.00 0
93 Ondansetron 4 mg 19 Rp 716.00 Rp 13,604.00 120 Rp 716.00 Rp 85,920.00 44 Rp 716.00 Rp 31,504.00 95
98 asetil sistein 0 Rp 426.00 Rp - 0 Rp 426.00 Rp - 0 Rp 426.00 Rp - 0
100 Gemfibrozil 600mg 0 Rp 679.00 Rp - 0 Rp 679.00 Rp - 0 Rp 679.00 Rp - 0
2 Amoksisilin 1000mg 98 Rp 16,500.00 Rp 1,617,000.00 240 Rp 16,500.00 Rp 3,960,000.00 50 Rp 16,500.00 Rp 825,000.00 288
134 Rp 1,580.00 Rp 211,720.00 300 Rp 1,580.00 Rp 474,000.00 50 Rp 1,580.00 Rp 79,000.00 384
389 Rp 1,050.00 Rp 408,450.00 0 Rp 1,050.00 Rp - 85 Rp 1,050.00 Rp 89,250.00 304
10 Epinefrin injeksi 55 Rp 8,100.00 Rp 445,500.00 0 Rp 8,100.00 Rp - 13 Rp 8,100.00 Rp 105,300.00 42
1ml 105 Rp 3,417.00 Rp 358,785.00 120 Rp 3,417.00 Rp 410,040.00 44 Rp 3,417.00 Rp 150,348.00 181
Rp 4,500.00 Rp 4,500.00 Rp 4,500.00
0 Rp - 0 Rp - 0 Rp - 0
Lidokain komp
+Epinefrin1:80000-2ml 451 Rp 1,845.00 Rp 832,095.00 600 Rp 1,845.00 Rp 1,107,000.00 60 Rp 1,845.00 Rp 110,700.00 991
25 ml 0 Rp 3,200.00 Rp - 0 Rp 3,200.00 Rp - 0 Rp 3,200.00 Rp - 0
25 ml 18 Rp 2,629.00 Rp 47,322.00 0 Rp 2,629.00 Rp - 0 Rp 2,629.00 Rp - 18
ml 0 Rp 1,476.80 Rp - 0 Rp 1,476.80 Rp - 0 Rp 1,476.80 Rp - 0
10ml 0 Rp 2,818.10 Rp - 0 Rp 2,818.10 Rp - 0 Rp 2,818.10 Rp - 0
24 Oksitosin injeksi 10 IU/ml - 1 ml 4 Rp 1,900.00 Rp 7,600.00 100 Rp 1,900.00 Rp 190,000.00 69 Rp 1,900.00 Rp 131,100.00 35
25 Ondansetron injeksi 0 Rp 1,650.00 Rp - 540 Rp 1,650.00 Rp 891,000.00 145 Rp 1,650.00 Rp 239,250.00 395
ml-1ml 913 Rp 1,098.00 Rp 1,002,474.00 0 Rp 1,098.00 Rp - 105 Rp 1,098.00 Rp 115,290.00 808
Rp 3,650.00 Rp 3,650.00 Rp 3,650.00
1000mg/ml 0 Rp - 0 Rp - 0 Rp - 0
12 Rp 2,950.00 Rp 35,400.00 0 Rp 2,950.00 Rp - 0 Rp 2,950.00 Rp - 12
34 Asam traneksamat 250 mg/5ml 20 Rp 7,190.00 Rp 143,800.00 0 Rp 7,190.00 Rp - 0 Rp 7,190.00 Rp - 20
35 Procain Benzil Penisilin inj 3 jt iu 0 Rp 7,190.00 Rp - 0 Rp 7,190.00 Rp - 0 Rp 7,190.00 Rp - 0
c. Salep 0 Rp - 0 Rp - 0 Rp - 0
3%) 148 Rp 1,904.40 Rp 281,851.20 0 Rp 1,904.40 Rp - 7 Rp 1,904.40 Rp 13,330.80 141
2 Asiklovir krim 5% 30 Rp 839.00 Rp 25,170.00 0 Rp 839.00 Rp - 0 Rp 839.00 Rp - 30
4 Betametason krim 0,1 % 110 Rp 1,520.00 Rp 167,200.00 125 Rp 1,520.00 Rp 190,000.00 53 Rp 1,520.00 Rp 80,560.00 182
6 Gentamisin salep kulit 0.1%-5gr 51 Rp 2,970.00 Rp 151,470.00 120 Rp 2,970.00 Rp 356,400.00 42 Rp 2,970.00 Rp 124,740.00 129
7 Gentamisin salep mata 0,3% 50 Rp 2,600.00 Rp 130,000.00 0 Rp 2,600.00 Rp - 0 Rp 2,600.00 Rp - 50
8 Hidrokortison krim 2,5 % 57 Rp 2,798.00 Rp 159,486.00 240 Rp 2,798.00 Rp 671,520.00 20 Rp 2,798.00 Rp 55,960.00 277
11 Miconazol cream 2 % 88 Rp 3,000.00 Rp 264,000.00 72 Rp 3,000.00 Rp 216,000.00 36 Rp 3,000.00 Rp 108,000.00 124
0 Rp 2,520.00 Rp - 75 Rp 2,520.00 Rp 189,000.00 27 Rp 2,520.00 Rp 68,040.00 48
+Belerang endap4% 109 Rp 2,429.00 Rp 264,761.00 96 Rp 2,429.00 Rp 233,184.00 13 Rp 2,429.00 Rp 31,577.00 192
e. Sirup 0 Rp - 0 Rp - 0 Rp - 0
1 Amoksilin 125mg/5ml 420 Rp 2,445.00 Rp 1,026,900.00 300 Rp 2,445.00 Rp 733,500.00 43 Rp 2,445.00 Rp 105,135.00 677
200mg/5ml+AlOH 200mg/5ml) 3 Rp 2,025.00 Rp 6,075.00 300 Rp 2,025.00 Rp 607,500.00 125 Rp 2,025.00 Rp 253,125.00 178
3 Cetirizin syr 20 Rp 7,999.00 Rp 159,980.00 50 Rp 7,999.00 Rp 399,950.00 0 Rp 7,999.00 Rp - 70
125 Rp 3,955.00 Rp 494,375.00 0 Rp 3,955.00 Rp - 3 Rp 3,955.00 Rp 11,865.00 122
13 Metronidazol syrup 0 Rp 9,950.00 Rp - 300 Rp 9,950.00 Rp 2,985,000.00 1 Rp 9,950.00 Rp 9,950.00 299
f. Tetes 0 Rp - 0 Rp - 0 Rp - 0
1 Fenol Gliserol tetes telinga 10 % 142 Rp 2,042.00 Rp 289,964.00 0 Rp 2,042.00 Rp - 0 Rp 2,042.00 Rp - 142
2 Gentamisin tetes mata 0.3% 0 Rp 4,000.00 Rp - 0 Rp 4,000.00 Rp - 0 Rp 4,000.00 Rp - 0
5 Kloramfenikol tetes telinga 3 % 65 Rp 5,500.00 Rp 357,500.00 0 Rp 5,500.00 Rp - 0 Rp 5,500.00 Rp - 65
15ml 88 Rp 5,200.00 Rp 457,600.00 0 Rp 5,200.00 Rp - 0 Rp 5,200.00 Rp - 88
% 0 Rp 3,226.00 Rp - 0 Rp 3,226.00 Rp - 0 Rp 3,226.00 Rp - 0
1 Alat suntik sekali pakai 1 ml 193 Rp 1,540.00 Rp 297,220.00 500 Rp 1,540.00 Rp 770,000.00 39 Rp 1,540.00 Rp 60,060.00 654
5 Alkohol swab 0 Rp 19,680.00 Rp - 0 Rp 19,680.00 Rp - 0 Rp 19,680.00 Rp - 0
6 Aqua pro injeksi, bebas pirogen 0 Rp 2,750.00 Rp - 0 Rp 2,750.00 Rp - 0 Rp 2,750.00 Rp - 0
2/0-3/0 100 Rp 3,417,000.00 0 Rp - 6 Rp 205,020.00 94
3/0 65 Rp 2,323,100.00 0 Rp - 0 Rp - 65
11 Daryantulle/Bioplacenton tulle 54 Rp 10,400.00 Rp 561,600.00 0 Rp 10,400.00 Rp - 20 Rp 10,400.00 Rp 208,000.00 34
12 Etanol 70 % 100 ml 34 Rp 2,500.00 Rp 85,000.00 0 Rp 2,500.00 Rp - 0 Rp 2,500.00 Rp - 34
13 Etanol 70 % 1000 ml 0 Rp 22,990.00 Rp - 5 Rp 22,990.00 Rp 114,950.00 0 Rp 22,990.00 Rp - 5
16 Hanschoen "50 0 Rp 35,620.00 Rp - 0 Rp 35,620.00 Rp - 0 Rp 35,620.00 Rp - 0
23 Infusion set anak 0 Rp 5,100.00 Rp - 100 Rp 5,100.00 Rp 510,000.00 6 Rp 5,100.00 Rp 30,600.00 94
9 Rp 24,000.00 Rp 216,000.00 0 Rp 24,000.00 Rp - 1 Rp 24,000.00 Rp 24,000.00 8
0 Rp 3,800.00 Rp - 100 Rp 3,800.00 Rp 380,000.00 5 Rp 3,800.00 Rp 19,000.00 95
153 Rp 800.00 Rp 122,400.00 0 Rp 800.00 Rp - 3 Rp 800.00 Rp 2,400.00 150
50% 5 Rp 49,862.00 Rp 249,310.00 5 Rp 49,862.00 Rp 249,310.00 2 Rp 49,862.00 Rp 99,724.00 8
33 Masker non breathing 120 Rp Rp
16,500.00 1,980,000.00 0 Rp Rp
16,500.00 - 4 Rp Rp
16,500.00 66,000.00 116
35 NGT 7 x 75/80 0 Rp - 0 Rp - 0 Rp - 0
0 Rp 18,085.67 Rp - 0 Rp 18,085.67 Rp - 0 Rp 18,085.67 Rp - 0
40 Rivanol larutan 0,1 % 300ml 76 Rp 2,550.00 Rp 193,800.00 0 Rp 2,550.00 Rp - 0 Rp 2,550.00 Rp - 76
0 Rp 23,480.00 Rp - 84 Rp 23,480.00 Rp 1,972,320.00 10 Rp 23,480.00 Rp 234,800.00 74
0 Rp 2,900.00 Rp - 50 Rp 2,900.00 Rp 145,000.00 7 Rp 2,900.00 Rp 20,300.00 43
4 Rp 5,998.00 Rp 23,992.00 0 Rp 5,998.00 Rp - 0 Rp 5,998.00 Rp - 4
0 Rp 18,000.00 Rp - 5 Rp 18,000.00 Rp 90,000.00 0 Rp 18,000.00 Rp - 5
57 Nasal kanul S 120 Rp 6,600.00 Rp 792,000.00 0 Rp 6,600.00 Rp - 5 Rp 6,600.00 Rp 33,000.00 115
INFUS 0 Rp - 0 Rp - 0 Rp - 0
steril 337 Rp Rp
6,410.00 2,160,170.00 0 Rp Rp
6,410.00 - 24 Rp Rp
6,410.00 153,840.00 313
Rp 8,635.00 Rp 8,635.00 Rp 8,635.00
0 Rp - 500 Rp 4,317,500.00 0 Rp - 500
15 Novalgin/Antrain injeksi 0 Rp 8,635.00Rp - 0 Rp 8,635.00Rp - 0 Rp 8,635.00Rp - 0
16 Noza /Demacolin 0 Rp 362.00 Rp - 5000 Rp 362.00 Rp 1,810,000.00 0 Rp 362.00 Rp - 5000
75 Rp 3,575.00 Rp 268,125.00 72 Rp 3,575.00 Rp 257,400.00 45 Rp 3,575.00 Rp 160,875.00 102
24 Puralex 0 Rp 190.00 Rp - 0 Rp 190.00 Rp - 0 Rp 190.00 Rp - 0
26 Zirkum syr/ Zinkid syr 0 Rp 14,980.00 Rp - 0 Rp 14,980.00 Rp - 0 Rp 14,980.00 Rp - 0
27 Miniaspi (Asetosal 80mg) 500 Rp 148.00 Rp 74,000.00 0 Rp 148.00 Rp - 30 Rp 148.00 Rp 4,440.00 470
29 Combiven nebulizer 40 Rp 4,995.00 Rp 199,800.00 20 Rp 4,995.00 Rp 99,900.00 8 Rp 4,995.00 Rp 39,960.00 52
33 Chloramex 500mg 7267 Rp 1,007.00 Rp 7,317,869.00 2000 Rp 1,007.00 Rp 2,014,000.00 1303 Rp 1,007.00 Rp 1,312,121.00 7964
35 Dionicol 500mg 349 Rp 737.00 Rp 257,213.00 1000 Rp 737.00 Rp 737,000.00 100 Rp 737.00 Rp 73,700.00 1249
a. Alkes 0 Rp - 0 Rp - 0 Rp - 0
1 Anisol 0 Rp - 0 Rp - 0 Rp - 0
4 Corong 0 Rp - 0 Rp - 0 Rp - 0
8 Ose 0 Rp - 0 Rp - 0 Rp - 0
9 Pipet K 0 Rp - 0 Rp - 0 Rp - 0
10 Pipet 50 ml 0 Rp - 0 Rp - 0 Rp - 0
1 Albendazol 31954 Rp 344.00 Rp 10,992,176.00 0 Rp 344.00 Rp - 120 Rp 344.00 Rp 41,280.00 31834
4 0 Rp - 0 Rp - 0 Rp - 0
d. Gigi 0 Rp - 0 Rp - 0 Rp - 0
0 Rp - 0 Rp - 0 Rp - 0
9 Silver Amalgam serbuk 65 - 75 % 0 Rp - 0 Rp - 0 Rp - 0
dan cairan 0 Rp - 0 Rp - 0 Rp - 0
e. Gizi 0 Rp - 0 Rp - 0 Rp - 0
33 Rp 14,200.00 Rp 468,600.00 0 Rp 14,200.00 Rp - 0 Rp 14,200.00 Rp - 33
227 Rp 5,209,650.00 0 Rp - 0 Rp - 227
f. Jiwa 0 Rp - 0 Rp - 0 Rp - 0
1 ml 0 Rp - 0 Rp - 0 Rp - 0
ml 0 Rp - 0 Rp - 0 Rp - 0
mg 1857 Rp 267,408.00 0 Rp - 246 Rp 35,424.00 1611
570 Rp 38,760.00 0 Rp - 0 Rp - 570
15 Risperidone 2mg 3832 Rp 1,008.00 Rp 3,862,656.00 0 Rp 1,008.00 Rp - 246 Rp 1,008.00 Rp 247,968.00 3586
0 Rp - 0 Rp - 0 Rp - 0
4200 Rp 399,000.00 0 Rp - 306 Rp 29,070.00 3894
drop) 0 Rp - 0 Rp - 0 Rp - 0
2 IU/vial 0 Rp - 0 Rp - 0 Rp - 0
19 Tenofovir 300 + Emcitritabine (FT 0 Rp - 0 Rp - 0 Rp - 0
3TC)150mg Rp 3,429.00 Rp 3,429.00 Rp 3,429.00
20 0 Rp - 0 Rp - 0 Rp - 0
21 0 Rp - 0 Rp - 0 Rp - 0
22 Azithromycin 0 Rp 4,500.00Rp - 0 Rp 4,500.00Rp - 0 Rp 4,500.00Rp - 0
h. Kusta 0 Rp - 0 Rp - 0 Rp - 0
2 MB Anak 0 Rp - 0 Rp - 0 Rp - 0
4 PB Anak 0 Rp - 0 Rp - 0 Rp - 0
1 0,25mg 0 Rp 42.00 Rp - 0 Rp 42.00 Rp - 0 Rp 42.00 Rp - 0
3 ml 0 Rp - 0 Rp - 0 Rp - 0
Komb.
5 g) 0 Rp - 0 Rp - 0 Rp - 0
Rp 30,000.00 Rp 30,000.00 Rp 30,000.00
1 Diazepam injeksi 5 mg/ml - 2 ml 0 Rp 4,180.00 Rp - 0 Rp 4,180.00 Rp - 0 Rp 4,180.00 Rp - 0
2 Diazepam 2 mg 174 Rp 45.00 Rp 7,830.00 0 Rp 45.00 Rp - 0 Rp 45.00 Rp - 174
0 Rp 1,980.00 Rp - 0 Rp 1,980.00 Rp - 0 Rp 1,980.00 Rp - 0
5 Fenobarbital 30 mg 0 Rp 62.00 Rp - 0 Rp 62.00Rp - 0 Rp 62.00Rp - 0
6 Kodein tablet 10mg 142 Rp 500.00 Rp 71,000.00 0 Rp 500.00Rp - 103 Rp 500.00Rp 51,500.00 39
7 Stesolid rectal supp 5 mg 12 Rp 11,517.00 Rp 138,204.00 10 Rp 11,517.00 Rp 115,170.00 0 Rp 11,517.00 Rp - 22
14 Urea FS 0 Rp - 0 Rp - 0 Rp - 0
l. Serum 0 Rp - 0 Rp - 0 Rp - 0
(ADS) 0 Rp 429,550.00 Rp - 0 Rp 429,550.00 Rp - 0 Rp 429,550.00 Rp - 0
m. TB Paru 0 Rp - 0 Rp - 0 Rp - 0
4 ( FDC ) 2 Rp 2,399,980.00 0 Rp - 0 Rp - 2
5 (FDC) 0 Rp - 0 Rp - 0 Rp - 0
6 ( FDC ) 10 Rp 3,599,900.00 0 Rp - 0 Rp - 10
11 Streptomycin inj./iv 1500 mg/ml 0 Rp - 0 Rp - 0 Rp - 0
1 Stik Hb 1 Rp - 0 Rp - 0 Rp - 1
5 hcg test 72 Rp - 0 Rp - 0 Rp - 72
8 Blue Tip 0 Rp - 0 Rp - 0 Rp - 0
SD HIV 347 Rp - 0 Rp - 0 Rp - 347
INTEC 66 Rp - 0 Rp - 0 Rp - 66
13 ATS 0 Rp - 0 Rp - 0 Rp - 0
17 USG Gel 6 Rp - 0 Rp - 0 Rp - 6
18 Jelly 3 Rp - 0 Rp - 0 Rp - 3
20 lomatul 48 Rp - 0 Rp - 0 Rp - 48
22 Voseo / Metoclopramid Syirup 17 Rp 4,850.00 Rp 82,450.00 24 Rp 4,850.00 Rp 116,400.00 0 Rp 4,850.00 Rp - 41
23 IV 26 50 Rp - 0 Rp - 0 Rp - 50
26 femal 16 10 Rp - 0 Rp - 0 Rp - 10
27 femal 18 10 Rp - 0 Rp - 0 Rp - 10
30 plester 7.5 0 Rp - 48 Rp - 0 Rp - 48
31 plester 2.5 4 Rp - 36 Rp - 0 Rp - 40
46 anelat 2304 Rp - 0 Rp - 46 Rp - 2258
47 spalk 0 Rp - 0 Rp - 0 Rp - 0
48 spuit 0,05 0 Rp - 0 Rp - 0 Rp - 0
49 spuit 0,5 0 Rp - 0 Rp - 0 Rp - 0
50 reco tt 0 Rp - 120 Rp - 15 Rp - 105
51 masker n95 0 Rp - 0 Rp - 0 Rp - 0
56 laktobe 20 Rp - 0 Rp - 0 Rp - 20
60 0 Rp - 0 Rp - 0 Rp - 0
61 0 Rp - 0 Rp - 0 Rp - 0
62 0 Rp - 0 Rp - 0 Rp - 0
63 0 Rp - 0 Rp - 0 Rp - 0
64 0 Rp - 0 Rp - 0 Rp - 0
65 0 Rp - 0 Rp - 0 Rp - 0
Menyetujui Pengurus/ Penyim

Lilin Sudarman
NIP.19790730 200604 2 017
KETERANGAN :
Saldo akhir Bulan
Harga Jumlah
Satuan ( Rp. )
( Rp. )
Rp 13 14=12x13
Rp 3,255.00 Rp 3,919,020.00
Rp 86.00 Rp 38,356.00
Rp 200.00 Rp 272,000.00
Rp 113.00 Rp 581,498.00
Rp 105.00 Rp -
Rp 80.00 Rp 32,000.00
Rp 195.00 Rp -
Rp 261.00 Rp 5,222,088.00
Rp 145.00 Rp -
Rp 62.00 Rp 247,194.00
Rp 3,045.00 Rp 362,355.00
Rp 135.00 Rp -
Rp 95.00 Rp 624,435.00
Rp 135.00 Rp 153,090.00
Rp 48.00 Rp -
Rp 106.00 Rp 3,803,916.00
Rp 148.00 Rp 86,136.00
Rp 237.00 Rp -
Rp 349.00 Rp 401,350.00
Rp 149.00 Rp 438,805.00
Rp 330.00 Rp 320,100.00
Rp 181.00 Rp 500,646.00
Rp 44.00 Rp 1,578,896.00
Rp 97.00 Rp 59,752.00
Rp 134.00 Rp -
Rp 104.00 Rp 201,344.00
Rp 270.00 Rp -
Rp 167.00 Rp 407,814.00
Rp 47.00 Rp -
Rp 730.00 Rp 2,399,510.00
Rp 630.00 Rp 357,210.00
Rp 85.00 Rp 39,950.00
Rp 56.00 Rp 183,120.00
Rp 436.00 Rp 443,412.00
Rp 98.00 Rp 2,260,468.00
Rp 209.00 Rp -
Rp 149.00 Rp 181,482.00
Rp 395.00 Rp -
Rp 150.00 Rp 442,650.00
Rp 110.00 Rp -
Rp 88.00 Rp 167,552.00
Rp 425.00 Rp -
Rp 63.00 Rp 553,203.00
Rp 84.00 Rp 951,552.00
Rp 62.00 Rp -
Rp 300.00 Rp 434,700.00
Rp 361.00 Rp 222,376.00
Rp 3,400.00 Rp 2,162,400.00
Rp 249.00 Rp 874,737.00
Rp 51.00 Rp 970,683.00
Rp 107.00 Rp -
Rp 52.08 Rp -
Rp 72.00 Rp -
Rp 151.00 Rp 3,091,121.00
Rp 495.00 Rp 123,750.00
Rp 448.00 Rp -
Rp 134.00 Rp -
Rp 225.00 Rp -
Rp 629.00 Rp -
Rp 113.00 Rp 285,664.00
Rp 205.00 Rp 1,078,915.00
Rp 154.00 Rp 202,510.00
Rp 108.00 Rp 205,740.00
Rp 110.00 Rp -
Rp 133.00 Rp 778,715.00
Rp 133.00 Rp 298,585.00
Rp 176.00 Rp 2,709,696.00
Rp 110.00 Rp -
Rp 480.00 Rp 163,200.00
Rp 211.00 Rp 180,616.00
Rp 32.23 Rp -
Rp 56.00 Rp 1,129,072.00
Rp 298.00 Rp -
Rp 400.00 Rp 348,400.00
Rp 118.00 Rp 577,610.00
Rp 114.00 Rp 368,676.00
Rp 65.00 Rp 26,000.00
Rp 319.00 Rp -
Rp 120.00 Rp 363,120.00
Rp 59.00 Rp 426,747.00
Rp 89.00 Rp -
Rp 169.00 Rp 2,072,954.00
Rp 281.00 Rp 320,059.00
Rp 42.00
Rp 5,222,070.00
Rp 149.00 Rp -
Rp 310.00 Rp 29,450.00
Rp 672.00 Rp -
Rp 680.00 Rp 7,390,240.00
Rp 115.00 Rp -
Rp 474.00 Rp 2,485,182.00
Rp 908.00 Rp -
Rp 315.00 Rp -
Rp 716.00 Rp 68,020.00
Rp 1,425.00 Rp -
Rp 85.00 Rp -
Rp 3,100.00 Rp -
Rp 516.00 Rp 499,488.00
Rp 426.00 Rp -
Rp 603.00 Rp 547,524.00
Rp 679.00 Rp -
Rp -
Rp 3,822.00 Rp 416,598.00
Rp 16,500.00 Rp 4,752,000.00
Rp 5,100.00 Rp -
Rp 8,400.00 Rp -
Rp 1,672.00 Rp 30,096.00
Rp 10,425.00 Rp 104,250.00
Rp 3,300.00 Rp -
Rp 1,580.00 Rp 606,720.00
Rp 1,050.00 Rp 319,200.00
Rp 8,100.00 Rp 340,200.00
Rp 3,417.00 Rp 618,477.00
Rp 8,250.00 Rp -
Rp 1,829.00 Rp -
Rp 3,399.00 Rp -
Rp 4,500.00
Rp -
Rp 7,260.00 Rp -
Rp 1,845.00 Rp 1,828,395.00
Rp 3,200.00 Rp -
Rp 2,629.00 Rp 47,322.00
Rp 2,684.00 Rp 375,760.00
Rp 4,650.00 Rp -
Rp 1,476.80 Rp -
Rp 2,818.10 Rp -
Rp 1,900.00 Rp 66,500.00
Rp 1,650.00 Rp 651,750.00
Rp 5,000.00 Rp -
Rp 15,550.00 Rp -
Rp 1,390.00 Rp 1,164,820.00
Rp 4,898.00 Rp -
Rp 1,098.00 Rp 887,184.00
Rp 3,650.00
Rp -
Rp 680.00 Rp -
Rp 36,000.00 Rp -
Rp 2,950.00 Rp 35,400.00
Rp 7,190.00 Rp 143,800.00
Rp 7,190.00 Rp -
Rp -
Rp 1,904.40 Rp 268,520.40
Rp 839.00 Rp 25,170.00
Rp 2,516.00 Rp -
Rp 1,520.00 Rp 276,640.00
Rp 2,200.00 Rp -
Rp 2,970.00 Rp 383,130.00
Rp 2,600.00 Rp 130,000.00
Rp 2,798.00 Rp 775,046.00
Rp 2,569.00 Rp -
Rp 1,600.00 Rp -
Rp 3,000.00 Rp 372,000.00
Rp 2,520.00 Rp 120,960.00
Rp 1,499.00 Rp -
Rp 2,429.00 Rp 466,368.00
Rp -
Rp 288.00 Rp 5,120,064.00
Rp 1,250.00 Rp 58,750.00
Rp -
Rp 2,445.00 Rp 1,655,265.00
Rp 2,025.00 Rp 360,450.00
Rp 7,999.00 Rp 559,930.00
Rp 1,378.85 Rp -
Rp 6,700.00 Rp 120,600.00
Rp 4,499.00 Rp 4,013,108.00
Rp 3,955.00 Rp 482,510.00
Rp 2,140.00
Rp 691,220.00
Rp 3,534.00 Rp -
Rp 4,840.00 Rp 1,805,320.00
Rp 1,074.00 Rp 228,762.00
Rp -
Rp 9,950.00 Rp 2,975,050.00
Rp -
Rp 2,042.00 Rp 289,964.00
Rp 4,000.00 Rp -
Rp 900.00 Rp -
Rp 2,273.00 Rp -
Rp 5,500.00 Rp 357,500.00
Rp Rp
5,200.00 457,600.00
Rp 17,393.00 Rp 121,751.00
Rp 3,226.00 Rp -
Rp -
Rp 1,540.00 Rp 1,007,160.00
Rp 792.00 Rp 5,204,232.00
Rp 979.00 Rp 1,852,268.00
Rp 1,790.00 Rp 141,410.00
Rp 19,680.00 Rp -
Rp 2,750.00 Rp -
Rp Rp
8,600.00 -
Rp 27,830.00 Rp 1,391,500.00
Rp 34,170.00
Rp 3,211,980.00
Rp 35,740.00
Rp 2,323,100.00
Rp 10,400.00 Rp 353,600.00
Rp 2,500.00 Rp 85,000.00
Rp 22,990.00 Rp 114,950.00
Rp 8,000.00 Rp 144,000.00
Rp 8,000.00 Rp 80,000.00
Rp 35,620.00 Rp -
Rp 6,985.00 Rp 747,395.00
Rp 6,985.00 Rp 754,380.00
Rp 8,700.00 Rp 1,887,900.00
Rp 8,700.00 Rp -
Rp 8,700.00 Rp -
Rp 8,700.00 Rp -
Rp 5,100.00 Rp 479,400.00
Rp 9,070.00 Rp 11,373,780.00
Rp 24,000.00 Rp 192,000.00
Rp 9,400.00 Rp -
Rp 6,363.00 Rp -
Rp 3,800.00 Rp 361,000.00
Rp 800.00 Rp 120,000.00
Rp 7,900.00 Rp 521,400.00
Rp 49,862.00 Rp 398,896.00
Rp -
Rp Rp
16,500.00 1,914,000.00
Rp 19,800.00 Rp -
Rp -
Rp 3,960.00 Rp -
Rp 770.00 Rp -
Rp 18,085.67 Rp -
Rp 2,242.10 Rp -
Rp 2,550.00 Rp 193,800.00
Rp 23,480.00 Rp 1,737,520.00
Rp -
Rp 5,500.00 Rp 231,000.00
Rp 1,400.00 Rp -
Rp 2,900.00 Rp 124,700.00
Rp 5,998.00 Rp 23,992.00
Rp 18,000.00 Rp 90,000.00
Rp 74,494.00 Rp 744,940.00
Rp 39,217.00 Rp 39,217.00
Rp 149,158.00 Rp 745,790.00
Rp 667.80 Rp -
Rp 51,426.00 Rp 257,130.00
Rp 51,426.00 Rp 257,130.00
Rp 1,045.00 Rp 104,500.00
Rp 4,620.00 Rp 332,640.00
Rp 6,600.00 Rp 739,200.00
Rp 6,600.00 Rp 759,000.00
Rp 6,600.00 Rp -
Rp 580,000.00 Rp 4,640,000.00
Rp 65,000.00 Rp -
Rp 1,629.00 Rp -
Rp 26,950.00 Rp -
Rp 7,370.00 Rp 29,480.00
Rp 7,370.00 Rp 29,480.00
Rp -
Rp 9,275.00 Rp -
Rp 7,500.00 Rp 60,000.00
Rp 5,700.00 Rp -
Rp 6,900.00 Rp 2,297,700.00
Rp 10,050.00 Rp -
Rp 15,730.00 Rp -
Rp 9,950.00 Rp -
Rp Rp
6,410.00 2,006,330.00
Rp 7,150.00 Rp 2,087,800.00
Rp -
Rp 23,100.00 Rp -
Rp 14,175.00 Rp -
Rp 5,800.00 Rp 562,600.00
Rp 15,000.00 Rp -
Rp 15,750.00 Rp -
Rp 27,250.00 Rp -
Rp 15,000.00 Rp -
Rp 12,450.00 Rp -
Rp 5,078.85 Rp -
Rp 5,000.00 Rp 350,000.00
Rp 550.00 Rp 319,550.00
Rp 8,635.00
Rp 4,317,500.00
Rp 14,500.00 Rp -
Rp 4,300.00Rp 498,800.00
Rp 8,635.00Rp -
Rp 362.00 Rp 1,810,000.00
Rp 3,575.00 Rp 364,650.00
Rp -
Rp 2,590.00 Rp -
Rp 12,155.00 Rp -
Rp 450.00 Rp -
Rp 5,867.00 Rp -
Rp 1,360.00 Rp 292,400.00
Rp 190.00 Rp -
Rp 6,600.00 Rp -
Rp 14,980.00 Rp -
Rp 148.00 Rp 69,560.00
Rp 424.00 Rp -
Rp 4,995.00 Rp 259,740.00
Rp 5,670.00 Rp 243,810.00
Rp 3,091.00 Rp 34,001.00
Rp 11,500.00 Rp 115,000.00
Rp 1,007.00 Rp 8,019,748.00
Rp 850.00 Rp -
Rp 737.00 Rp 920,513.00
Rp 4,620.00 Rp 184,800.00
Rp 1,100.00 Rp -
Rp 16,500.00 Rp -
Rp -
Rp -
Rp -
Rp -
Rp 104,000.00 Rp -
Rp -
Rp 150,000.00 Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
1655,55 #VALUE!
Rp -
Rp 240,450.00 Rp -
Rp 226,550.00 Rp -
Rp -
Rp 344.00 Rp 10,950,896.00
Rp 1,520.00 Rp -
Rp 136.00 Rp -
Rp 51.00
Rp -
Rp 3,000.00 Rp -
Rp 298.00 Rp -
Rp 107.00 Rp -
Rp -
Rp 13,000.00 Rp -
Rp -
Rp -
Rp 99,000.00 Rp 297,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 14,200.00 Rp 468,600.00
Rp 22,950.00
Rp 5,209,650.00
Rp 2,695.00 Rp -
Rp 31,650.00 Rp -
Rp -
Rp 102.00 Rp 18,258.00
Rp 900.00 Rp -
Rp 20,250.00 Rp 60,750,000.00
Rp 133.00 Rp 47,880.00
Rp 93.00 Rp -
Rp 83,333.00 Rp -
Rp 69.00 Rp -
Rp 96.00 Rp -
Rp 245.00 Rp -
Rp 1,021.00
Rp -
Rp 950.00
Rp -
Rp 144.00
Rp 231,984.00
Rp 68.00
Rp 38,760.00
Rp -
Rp 1,008.00 Rp 3,614,688.00
Rp 55,000.00
Rp -
Rp 405.00 Rp -
Rp 95.00
Rp 369,930.00
Rp 1,550.00 Rp -
Rp 423.00 Rp -
Rp 88.00 Rp -
Rp 16,500.00
Rp -
Rp 479.00 Rp 332,905.00
Rp -
Rp 8,935.00 Rp -
Rp 12,185.00
Rp -
Rp 250.00 Rp -
Rp -
Rp 270.00 Rp -
Rp 930.00 Rp -
Rp -
Rp 18,000.00 Rp -
Rp -
Rp 1,000.00 Rp -
Rp -
Rp -
Rp -
Rp 1,583.00 Rp -
Rp 1,400.00 Rp -
Rp -
Rp 2,800.00 Rp -
Rp -
Rp -
Rp 3,429.00
Rp -
Rp 12,210.00
Rp -
Rp 4,500.00Rp -
Rp 590.00 Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 42.00 Rp -
Rp 107.00 Rp -
Rp 4,227.00
Rp -
Rp 610.29 Rp -
Rp 473.00
Rp -
Rp 114.00 Rp -
Rp 74.00 Rp -
Rp 30,000.00
Rp -
Rp 22,167.00 Rp -
Rp 25,063.00 Rp -
Rp 140.00 Rp -
Rp 22.20 Rp -
Rp -
Rp 4,180.00 Rp -
Rp 45.00 Rp 7,830.00
Rp -
Rp 1,980.00 Rp -
Rp 62.00Rp -
Rp 500.00Rp 19,500.00
Rp 11,517.00 Rp 253,374.00
Rp 233.00 Rp 49,163.00
Rp 16,742.00 Rp 100,452.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 430,000.00 Rp 4,300,000.00
Rp 429,550.00 Rp -
Rp 115,000.00 Rp 1,150,000.00
Rp -
Rp 293.00 Rp 58,600.00
Rp -
Rp 214,900.00 Rp 214,900.00
###
Rp 2,399,980.00
Rp 154,000.00
Rp -
Rp 359,990.00
Rp 3,599,900.00
Rp 160,000.00 Rp 960,000.00
Rp 19,500.00 Rp -
Rp -
Rp 1,750.00 Rp 145,250.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 5,000.00 Rp -
Rp 4,850.00 Rp 198,850.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 8,912.00 Rp 3,751,952.00
Rp 103,500.00 Rp 621,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 800,000.00 Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
#VALUE!
us/ Penyimpan Barang
Sudarmanisati
611114 199103 2 001
UPT PUSKESMAS DAU
BULAN: JULI TAHUN ANGGARAN 2018

( Rp. ) ( Rp. ) ( Rp. )
1 2 3 Rp 4 5=3x4 6 Rp 7 8=6x7 9 Rp 10 11=9x10 12
a. Tablet/Kapsul
1 Adalat Oros 20 mg 1204 Rp 3,255.00 Rp 3,919,020.00 0 Rp 3,255.00 Rp - 310 Rp 3,255.00 Rp 1,009,050.00 894
4 Ambroxol 30 mg 5146 Rp 113.00 Rp 581,498.00 2000 Rp 113.00 Rp 226,000.00 624 Rp 113.00 Rp 70,512.00 6522
200mg) 3987 Rp 62.00 Rp 247,194.00 0 Rp 62.00 Rp - 1046 Rp 62.00 Rp 64,852.00 2941
g) 119 Rp 3,045.00 Rp 362,355.00 50 Rp 3,045.00 Rp 152,250.00 34 Rp 3,045.00 Rp 103,530.00 135
22 Cetirizin 10mg 2766 Rp 181.00 Rp 500,646.00 0 Rp 181.00 Rp - 580 Rp 181.00 Rp 104,980.00 2186
32 Furosemid 40 mg 470 Rp 85.00 Rp 39,950.00 0 Rp 85.00 Rp - 10 Rp 85.00 Rp 850.00 460
35 Gliseril Guaiakolat 100 mg 23066 Rp 98.00 Rp 2,260,468.00 20000 Rp 98.00 Rp 1,960,000.00 2118 Rp 98.00 Rp 207,564.00 40948
40 Ibuprofen 200 mg 0 Rp 110.00 Rp - 2000 Rp 110.00 Rp 220,000.00 0 Rp 110.00 Rp - 2000
1904 Rp 88.00 Rp 167,552.00 0 Rp 88.00 Rp - 75 Rp 88.00 Rp 6,600.00 1829
44 Kaptopril 25 mg 11328 Rp 84.00 Rp 951,552.00 0 Rp 84.00 Rp - 274 Rp 84.00 Rp 23,016.00 11054
46 Ketokonazol 200mg tablet 1449 Rp 300.00 Rp 434,700.00 0 Rp 300.00 Rp - 0 Rp 300.00 Rp - 1449
47 Klindamisin kapsul 150 mg 616 Rp 361.00 Rp 222,376.00 0 Rp 361.00 Rp - 0 Rp 361.00 Rp - 616
19033 Rp 51.00 Rp 970,683.00 0 Rp 51.00 Rp - 2805 Rp 51.00 Rp 143,055.00 16228
Kotrimoksazol anak

80mg
20471 Rp 151.00 Rp 3,091,121.00 0 Rp 151.00 Rp - 14812 Rp 151.00 Rp 2,236,612.00 5659
1315 Rp 154.00 Rp 202,510.00 0 Rp 154.00 Rp - 50 Rp 154.00 Rp 7,700.00 1265
64 Metronidazol 250 mg 0 Rp 110.00 Rp - 0 Rp 110.00 Rp - 0 Rp 110.00 Rp - 0
67 Natrium Diklofenac 50 mg 15396 Rp 176.00 Rp 2,709,696.00 0 Rp 176.00 Rp - 948 Rp 176.00 Rp 166,848.00 14448
340 Rp 480.00 Rp 163,200.00 0 Rp 480.00 Rp - 37 Rp 480.00 Rp 17,760.00 303
72 Parasetamol 500 mg 20162 Rp 56.00 Rp 1,129,072.00 20000 Rp 56.00 Rp 1,120,000.00 35520 Rp 56.00 Rp 1,989,120.00 4642
4895 Rp 118.00 Rp 577,610.00 2000 Rp 118.00 Rp 236,000.00 2919 Rp 118.00 Rp 344,442.00 3976
82 Simvastatin 10 mg 12266 Rp 169.00 Rp 2,072,954.00 0 Rp 169.00 Rp - 758 Rp 169.00 Rp 128,102.00 11508
83 Siprofloksazin tablet 500 mg 1139 Rp 281.00 Rp 320,059.00 0 Rp 281.00 Rp - 643 Rp 281.00 Rp 180,683.00 496
0,25mg 124335 Rp 5,222,070.00 0 Rp - 1795 Rp 75,390.00 122540
88 Tiamin HCL (VitB1) 50 mg 10868 Rp 680.00 Rp 7,390,240.00 0 Rp 680.00 Rp - 5071 Rp 680.00 Rp 3,448,280.00 5797
90 Zinc 10 mg 5243 Rp 474.00 Rp 2,485,182.00 0 Rp 474.00 Rp - 3508 Rp 474.00 Rp 1,662,792.00 1735
2 Amoksisilin 1000mg 288 Rp 16,500.00 Rp 4,752,000.00 0 Rp 16,500.00 Rp - 20 Rp 16,500.00 Rp 330,000.00 268
384 Rp 1,580.00 Rp 606,720.00 0 Rp 1,580.00 Rp - 39 Rp 1,580.00 Rp 61,620.00 345
304 Rp 1,050.00 Rp 319,200.00 0 Rp 1,050.00 Rp - 102 Rp 1,050.00 Rp 107,100.00 202
1ml 181 Rp 3,417.00 Rp 618,477.00 0 Rp 3,417.00 Rp - 36 Rp 3,417.00 Rp 123,012.00 145
Rp 4,500.00 Rp 4,500.00 Rp 4,500.00
0 Rp - 0 Rp - 0 Rp - 0
Lidokain komp
25 ml 0 Rp 3,200.00 Rp - 0 Rp 3,200.00 Rp - 0 Rp 3,200.00 Rp - 0
25 ml 18 Rp 2,629.00 Rp 47,322.00 0 Rp 2,629.00 Rp - 0 Rp 2,629.00 Rp - 18
ml 0 Rp 1,476.80 Rp - 0 Rp 1,476.80 Rp - 0 Rp 1,476.80 Rp - 0
10ml 0 Rp 2,818.10 Rp - 0 Rp 2,818.10 Rp - 0 Rp 2,818.10 Rp - 0
24 Oksitosin injeksi 10 IU/ml - 1 ml 35 Rp 1,900.00 Rp 66,500.00 0 Rp 1,900.00 Rp - 30 Rp 1,900.00 Rp 57,000.00 5
25 Ondansetron injeksi 395 Rp 1,650.00 Rp 651,750.00 180 Rp 1,650.00 Rp 297,000.00 65 Rp 1,650.00 Rp 107,250.00 510
29 Sefotaksim injeksi 1 gram 0 Rp 4,898.00 Rp - 0 Rp 4,898.00 Rp - 0 Rp 4,898.00 Rp - 0
ml-1ml 808 Rp 1,098.00 Rp 887,184.00 0 Rp 1,098.00 Rp - 783 Rp 1,098.00 Rp 859,734.00 25
Rp 3,650.00 Rp 3,650.00 Rp 3,650.00
1000mg/ml 0 Rp - 0 Rp - 0 Rp - 0
12 Rp 2,950.00 Rp 35,400.00 100 Rp 2,950.00 Rp 295,000.00 0 Rp 2,950.00 Rp - 112
c. Salep 0 Rp - 0 Rp - 0 Rp - 0
3%) 141 Rp 1,904.40 Rp 268,520.40 0 Rp 1,904.40 Rp - 19 Rp 1,904.40 Rp 36,183.60 122
6 Gentamisin salep kulit 0.1%-5gr 129 Rp 2,970.00 Rp 383,130.00 0 Rp 2,970.00 Rp - 47 Rp 2,970.00 Rp 139,590.00 82
8 Hidrokortison krim 2,5 % 277 Rp 2,798.00 Rp 775,046.00 0 Rp 2,798.00 Rp - 220 Rp 2,798.00 Rp 615,560.00 57
48 Rp 2,520.00 Rp 120,960.00 0 Rp 2,520.00 Rp - 22 Rp 2,520.00 Rp 55,440.00 26
e. Sirup 0 Rp - 0 Rp - 0 Rp - 0
1 Amoksilin 125mg/5ml 677 Rp 2,445.00 Rp 1,655,265.00 0 Rp 2,445.00 Rp - 75 Rp 2,445.00 Rp 183,375.00 602
3 Cetirizin syr 70 Rp 7,999.00 Rp 559,930.00 0 Rp 7,999.00 Rp - 10 Rp 7,999.00 Rp 79,990.00 60
122 Rp 3,955.00 Rp 482,510.00 0 Rp 3,955.00 Rp - 12 Rp 3,955.00 Rp 47,460.00 110
13 Metronidazol syrup 299 Rp 9,950.00 Rp 2,975,050.00 0 Rp 9,950.00 Rp - 2 Rp 9,950.00 Rp 19,900.00 297
f. Tetes 0 Rp - 0 Rp - 0 Rp - 0
1 Fenol Gliserol tetes telinga 10 % 142 Rp 2,042.00 Rp 289,964.00 120 Rp 2,042.00 Rp 245,040.00 6 Rp 2,042.00 Rp 12,252.00 256
15ml 88 Rp 5,200.00 Rp 457,600.00 0 Rp 5,200.00 Rp - 0 Rp 5,200.00 Rp - 88
7 Polikresulen 7 Rp 17,393.00 Rp 121,751.00 0 Rp 17,393.00 Rp - 7 Rp 17,393.00 Rp 121,751.00 0
% 0 Rp 3,226.00 Rp - 0 Rp 3,226.00 Rp - 0 Rp 3,226.00 Rp - 0
1 Alat suntik sekali pakai 1 ml 654 Rp 1,540.00 Rp 1,007,160.00 0 Rp 1,540.00 Rp - 110 Rp 1,540.00 Rp 169,400.00 544
2 Alat suntik sekali pakai 3 ml 6571 Rp 792.00 Rp 5,204,232.00 0 Rp 792.00 Rp - 5145 Rp 792.00 Rp 4,074,840.00 1426
6 Aqua pro injeksi, bebas pirogen 0 Rp 2,750.00 Rp - 0 Rp 2,750.00 Rp - 0 Rp 2,750.00 Rp - 0
2/0-3/0 94 Rp 3,211,980.00 0 Rp - 86 Rp 2,938,620.00 8
3/0 65 Rp 2,323,100.00 0 Rp - 65 Rp 2,323,100.00 0
11 Daryantulle/Bioplacenton tulle 34 Rp 10,400.00 Rp 353,600.00 0 Rp 10,400.00 Rp - 0 Rp 10,400.00
Rp - 34
14 Foley Catheter no.16 18 Rp 8,000.00 Rp 144,000.00 0 Rp 8,000.00 Rp - 18 Rp 8,000.00 Rp 144,000.00 0
24 Infusion set dewasa 1254 Rp 9,070.00 Rp 11,373,780.00 0 Rp 9,070.00 Rp - 487 Rp 9,070.00 Rp 4,417,090.00 767
8 Rp 24,000.00 Rp 192,000.00 0 Rp 24,000.00 Rp - 8 Rp 24,000.00 Rp 192,000.00 0
95 Rp 3,800.00 Rp 361,000.00 0 Rp 3,800.00 Rp - 5 Rp 3,800.00 Rp 19,000.00 90
150 Rp 800.00 Rp 120,000.00 0 Rp 800.00 Rp - 9 Rp 800.00 Rp 7,200.00 141
50% 8 Rp 49,862.00 Rp 398,896.00 0 Rp 49,862.00 Rp - 1 Rp 49,862.00 Rp 49,862.00 7
35 NGT 7 x 75/80 0 Rp - 0 Rp - 0 Rp - 0
0 Rp 18,085.67 Rp - 0 Rp 18,085.67 Rp - 0 Rp 18,085.67 Rp - 0
74 Rp 23,480.00 Rp 1,737,520.00 0 Rp 23,480.00 Rp - 0 Rp 23,480.00 Rp - 74
43 Rp 2,900.00 Rp 124,700.00 0 Rp 2,900.00 Rp - 9 Rp 2,900.00 Rp 26,100.00 34
4 Rp 5,998.00 Rp 23,992.00 0 Rp 5,998.00 Rp - 0 Rp 5,998.00 Rp - 4
5 Rp 18,000.00 Rp 90,000.00 0 Rp 18,000.00 Rp - 0 Rp 18,000.00 Rp - 5
57 Nasal kanul S 115 Rp 6,600.00 Rp 759,000.00 0 Rp 6,600.00 Rp - 2 Rp 6,600.00 Rp 13,200.00 113
INFUS 0 Rp - 0 Rp - 0 Rp - 0
7 Metronidazol infus 0 Rp 9,950.00 Rp - 50 Rp 9,950.00 Rp 497,500.00 23 Rp 9,950.00 Rp 228,850.00 27
steril 313 Rp 6,410.00 Rp 2,006,330.00 0 Rp 6,410.00 Rp - 85 Rp 6,410.00 Rp 544,850.00 228
4 Bufacomb 0 Rp 15,000.00 Rp - 120 Rp 15,000.00 Rp 1,800,000.00 9 Rp 15,000.00 Rp 135,000.00 111
Rp 8,635.00 Rp 8,635.00 Rp 8,635.00
500 Rp 4,317,500.00 0 Rp - 0 Rp - 500
16 Noza /Demacolin 5000 Rp 362.00 Rp 1,810,000.00 0 Rp 362.00 Rp - 430 Rp 362.00 Rp 155,660.00 4570
102 Rp 3,575.00 Rp 364,650.00 0 Rp 3,575.00 Rp - 9 Rp 3,575.00 Rp 32,175.00 93
23 Hiopar 215 Rp 1,360.00 Rp 292,400.00 2000 Rp 1,360.00 Rp 2,720,000.00 0 Rp 1,360.00 Rp - 2215
33 Chloramex 500mg 7964 Rp 1,007.00 Rp 8,019,748.00 0 Rp 1,007.00 Rp - 2030 Rp 1,007.00 Rp 2,044,210.00 5934
a. Alkes 0 Rp - 0 Rp - 0 Rp - 0
1 Anisol 0 Rp - 0 Rp - 0 Rp - 0
4 Corong 0 Rp - 0 Rp - 0 Rp - 0
8 Ose 0 Rp - 0 Rp - 0 Rp - 0
9 Pipet K 0 Rp - 0 Rp - 0 Rp - 0
10 Pipet 50 ml 0 Rp - 0 Rp - 0 Rp - 0
4 0 Rp - 0 Rp - 0 Rp - 0
6 Pirantel 125 mg 0 Rp 298.00Rp - 0 Rp Rp
298.00 - 0 Rp Rp
298.00 - 0
7 Vitamin B Kompleks 0 Rp 107.00 Rp - 0 Rp 107.00 Rp - 0 Rp Rp
107.00 - 0
d. Gigi 0 Rp - 0 Rp - 0 Rp - 0
2 Etil Klorida semprot 3 Rp 99,000.00 Rp 297,000.00 10 Rp 99,000.00 Rp 990,000.00 0 Rp 99,000.00 Rp - 13
0 Rp - 0 Rp - 0 Rp - 0
e. Gizi 0 Rp - 0 Rp - 0 Rp - 0
33 Rp 14,200.00 Rp 468,600.00 0 Rp 14,200.00 Rp - 0 Rp 14,200.00 Rp - 33
227 Rp 5,209,650.00 0 Rp - 0 Rp - 227
f. Jiwa 0 Rp - 0 Rp - 0 Rp - 0
8 Haloperidol 5 mg 0 Rp 96.00 Rp - 2000 Rp 96.00 Rp 192,000.00 0 Rp 96.00 Rp - 2000
1 ml 0 Rp - 0 Rp - 0 Rp - 0
ml 0 Rp - 0 Rp - 0 Rp - 0
Klorpromazin HCL tablet salut 100
12 mg Rp 144.00 Rp 144.00 Rp 144.00
1611 Rp 231,984.00 0 Rp - 300 Rp 43,200.00 1311
570 Rp 38,760.00 0 Rp - 0 Rp - 570
0 Rp - 0 Rp - 0 Rp - 0
3894 Rp 369,930.00 0 Rp - 300 Rp 28,500.00 3594
19 Clozapin 25 mg tab 0 Rp 1,550.00 Rp - 0 Rp 1,550.00 Rp - 0 Rp 1,550.00Rp - 0
drop) 0 Rp - 0 Rp - 0 Rp - 0
2 IU/vial 0 Rp - 0 Rp - 0 Rp - 0
3TC)150mg Rp 3,429.00 Rp 3,429.00 Rp 3,429.00
20 0 Rp - 0 Rp - 0 Rp - 0
21 0 Rp - 0 Rp - 0 Rp - 0
h. Kusta 0 Rp - 0 Rp - 0 Rp - 0
2 MB Anak 0 Rp - 0 Rp - 0 Rp - 0
4 PB Anak 0 Rp - 0 Rp - 0 Rp - 0
1 0,25mg 0 Rp 42.00 Rp - 0 Rp 42.00 Rp - 0 Rp 42.00 Rp - 0
3 ml 0 Rp - 0 Rp - 0 Rp - 0
Komb.
5 g) 0 Rp - 0 Rp - 0 Rp - 0
Rp 30,000.00 Rp 30,000.00 Rp 30,000.00
1 Diazepam injeksi 5 mg/ml - 2 ml 0 Rp 4,180.00 Rp - 0 Rp 4,180.00Rp - 0 Rp 4,180.00Rp - 0
0 Rp 1,980.00 Rp - 0 Rp 1,980.00 Rp - 0 Rp 1,980.00 Rp - 0
14 Urea FS 0 Rp - 0 Rp - 0 Rp - 0
l. Serum 0 Rp - 0 Rp - 0 Rp - 0
m. TB Paru 0 Rp - 0 Rp - 0 Rp - 0
4 ( FDC ) 2 Rp 2,399,980.00 0 Rp - 0 Rp - 2
5 (FDC) 0 Rp - 0 Rp - 0 Rp - 0
6 ( FDC ) 10 Rp 3,599,900.00 0 Rp - 0 Rp - 10
1 Stik Hb 1 Rp - 0 Rp - 0 Rp - 1
5 hcg test 72 Rp - 0 Rp - 0 Rp - 72
8 Blue Tip 0 Rp - 0 Rp - 0 Rp - 0
SD HIV 347 Rp - 0 Rp - 0 Rp - 347
INTEC 66 Rp - 0 Rp - 0 Rp - 66
13 ATS 0 Rp - 0 Rp - 0 Rp - 0
17 USG Gel 6 Rp - 0 Rp - 0 Rp - 6
18 Jelly 3 Rp - 0 Rp - 0 Rp - 3
20 lomatul 48 Rp - 0 Rp - 0 Rp - 48
22 Voseo / Metoclopramid Syirup 41 Rp 4,850.00 Rp 198,850.00 0 Rp 4,850.00 Rp - 9 Rp 4,850.00 Rp 43,650.00 32
23 IV 26 50 Rp - 0 Rp - 0 Rp - 50
26 femal 16 10 Rp - 0 Rp - 0 Rp - 10
27 femal 18 10 Rp - 0 Rp - 0 Rp - 10
30 plester 7.5 48 Rp - 0 Rp - 0 Rp - 48
31 plester 2.5 40 Rp - 0 Rp - 2 Rp - 38
46 anelat 2258 Rp - 3000 Rp - 785 Rp - 4473
47 spalk 0 Rp - 0 Rp - 0 Rp - 0
48 spuit 0,05 0 Rp - 0 Rp - 0 Rp - 0
49 spuit 0,5 0 Rp - 0 Rp - 0 Rp - 0
50 reco tt 105 Rp - 0 Rp - 9 Rp - 96
51 masker n95 0 Rp - 0 Rp - 0 Rp - 0
56 laktobe 20 Rp - 0 Rp - 20 Rp - 0
60 0 Rp - 0 Rp - 0 Rp - 0
61 0 Rp - 0 Rp - 0 Rp - 0
62 0 Rp - 0 Rp - 0 Rp - 0
63 0 Rp - 0 Rp - 0 Rp - 0
64 0 Rp - 0 Rp - 0 Rp - 0
65 0 Rp - 0 Rp - 0 Rp - 0

Lilin Sudarma
NIP.19790730 200604 2 017
KETERANGAN :
Saldo akhir Bulan
Harga Jumlah
Satuan ( Rp. )
( Rp. )
Rp 13 14=12x13
Rp 3,255.00 Rp 2,909,970.00
Rp 86.00 Rp 30,014.00
Rp 200.00 Rp 258,000.00
Rp 113.00 Rp 736,986.00
Rp 105.00 Rp -
Rp 80.00 Rp 32,000.00
Rp 195.00 Rp -
Rp 261.00 Rp 4,528,089.00
Rp 145.00 Rp -
Rp 62.00 Rp 182,342.00
Rp 3,045.00 Rp 411,075.00
Rp 135.00 Rp -
Rp 95.00 Rp 505,780.00
Rp 135.00 Rp 153,090.00
Rp 48.00 Rp -
Rp 106.00 Rp 3,660,286.00
Rp 148.00 Rp 86,136.00
Rp 237.00 Rp -
Rp 349.00 Rp 338,181.00
Rp 149.00 Rp 396,787.00
Rp 330.00 Rp 265,650.00
Rp 181.00 Rp 395,666.00
Rp 44.00 Rp 1,429,076.00
Rp 97.00 Rp 59,752.00
Rp 134.00 Rp -
Rp 104.00 Rp 201,344.00
Rp 270.00 Rp -
Rp 167.00 Rp 359,718.00
Rp 47.00 Rp -
Rp 730.00 Rp 1,854,930.00
Rp 630.00 Rp 255,150.00
Rp 85.00 Rp 39,100.00
Rp 56.00 Rp 140,504.00
Rp 436.00 Rp 220,180.00
Rp 98.00 Rp 4,012,904.00
Rp 209.00 Rp -
Rp 149.00 Rp 150,639.00
Rp 395.00 Rp -
Rp 150.00 Rp 334,650.00
Rp 110.00 Rp 220,000.00
Rp 88.00 Rp 160,952.00
Rp 425.00 Rp -
Rp 63.00 Rp 16,884.00
Rp 84.00 Rp 928,536.00
Rp 62.00 Rp -
Rp 300.00 Rp 434,700.00
Rp 361.00 Rp 222,376.00
Rp 3,400.00 Rp 1,890,400.00
Rp 249.00 Rp 874,737.00
Rp 51.00 Rp 827,628.00
Rp 107.00 Rp -
Rp 52.08 Rp -
Rp 72.00 Rp -
Rp 151.00 Rp 854,509.00
Rp 495.00 Rp 172,755.00
Rp 448.00 Rp -
Rp 134.00 Rp -
Rp 225.00 Rp -
Rp 629.00 Rp -
Rp 113.00 Rp 108,028.00
Rp 205.00 Rp 1,034,635.00
Rp 154.00 Rp 194,810.00
Rp 108.00 Rp 203,580.00
Rp 110.00 Rp -
Rp 133.00 Rp 954,408.00
Rp 133.00 Rp 290,073.00
Rp 176.00 Rp 2,542,848.00
Rp 110.00 Rp -
Rp 480.00 Rp 145,440.00
Rp 211.00 Rp 144,113.00
Rp 32.23 Rp -
Rp 56.00 Rp 259,952.00
Rp 298.00 Rp -
Rp 400.00 Rp 348,400.00
Rp 118.00 Rp 469,168.00
Rp 114.00 Rp 366,396.00
Rp 65.00 Rp 26,000.00
Rp 319.00 Rp -
Rp 120.00 Rp 240.00
Rp 59.00 Rp 380,786.00
Rp 89.00 Rp -
Rp 169.00 Rp 1,944,852.00
Rp 281.00 Rp 139,376.00
Rp 42.00
Rp 5,146,680.00
Rp 149.00 Rp -
Rp 310.00 Rp 29,450.00
Rp 672.00 Rp -
Rp 680.00 Rp 3,941,960.00
Rp 115.00 Rp -
Rp 474.00 Rp 822,390.00
Rp 908.00 Rp -
Rp 315.00 Rp -
Rp 716.00 Rp 52,984.00
Rp 1,425.00 Rp -
Rp 85.00 Rp -
Rp 3,100.00 Rp -
Rp 516.00 Rp 293,088.00
Rp 426.00 Rp -
Rp 603.00 Rp 489,636.00
Rp 679.00 Rp -
Rp -
Rp 3,822.00 Rp 416,598.00
Rp 16,500.00 Rp 4,422,000.00
Rp 5,100.00 Rp -
Rp 8,400.00 Rp -
Rp 1,672.00 Rp 30,096.00
Rp 10,425.00 Rp 104,250.00
Rp 3,300.00 Rp -
Rp 1,580.00 Rp 545,100.00
Rp 1,050.00 Rp 212,100.00
Rp 8,100.00 Rp 299,700.00
Rp 3,417.00 Rp 495,465.00
Rp 8,250.00 Rp -
Rp 1,829.00 Rp -
Rp 3,399.00 Rp -
Rp 4,500.00
Rp -
Rp 7,260.00 Rp -
Rp 1,845.00 Rp 1,765,665.00
Rp 3,200.00 Rp -
Rp 2,629.00 Rp 47,322.00
Rp 2,684.00 Rp 254,980.00
Rp 4,650.00 Rp -
Rp 1,476.80 Rp -
Rp 2,818.10 Rp -
Rp 1,900.00 Rp 9,500.00
Rp 1,650.00 Rp 841,500.00
Rp 5,000.00 Rp -
Rp 15,550.00 Rp -
Rp 1,390.00 Rp 998,020.00
Rp 4,898.00 Rp -
Rp 1,098.00 Rp 27,450.00
Rp 3,650.00
Rp -
Rp 680.00Rp -
Rp 36,000.00 Rp -
Rp 2,950.00 Rp 330,400.00
Rp 7,190.00 Rp 143,800.00
Rp 7,190.00 Rp -
Rp -
Rp 1,904.40 Rp 232,336.80
Rp 839.00 Rp 18,458.00
Rp 2,516.00 Rp -
Rp 1,520.00 Rp 234,080.00
Rp 2,200.00 Rp -
Rp 2,970.00 Rp 243,540.00
Rp 2,600.00 Rp 130,000.00
Rp 2,798.00 Rp 159,486.00
Rp 2,569.00 Rp -
Rp 1,600.00 Rp -
Rp 3,000.00 Rp 357,000.00
Rp 2,520.00 Rp 65,520.00
Rp 1,499.00 Rp -
Rp 2,429.00 Rp 439,649.00
Rp -
Rp 288.00 Rp 4,959,360.00
Rp 1,250.00 Rp 13,750.00
Rp -
Rp 2,445.00 Rp 1,471,890.00
Rp 2,025.00 Rp 151,875.00
Rp 7,999.00 Rp 479,940.00
Rp 1,378.85 Rp -
Rp 6,700.00 Rp 107,200.00
Rp 4,499.00 Rp 3,873,639.00
Rp 3,955.00 Rp 435,050.00
Rp 2,140.00
Rp 618,460.00
Rp 3,534.00 Rp -
Rp 4,840.00 Rp 1,452,000.00
Rp 1,074.00 Rp 256,686.00
Rp -
Rp 9,950.00 Rp 2,955,150.00
Rp -
Rp 2,042.00 Rp 522,752.00
Rp 4,000.00 Rp -
Rp 900.00 Rp -
Rp 2,273.00 Rp -
Rp 5,500.00 Rp 357,500.00
Rp Rp
5,200.00 457,600.00
Rp 17,393.00 Rp -
Rp 3,226.00 Rp -
Rp -
Rp 1,540.00 Rp 837,760.00
Rp 792.00 Rp 1,129,392.00
Rp 979.00 Rp 1,651,573.00
Rp 1,790.00 Rp 103,820.00
Rp 19,680.00 Rp -
Rp 2,750.00 Rp -
Rp 8,600.00 Rp -
Rp 27,830.00 Rp 1,391,500.00
Rp 34,170.00
Rp 273,360.00
Rp 35,740.00
Rp -
Rp 10,400.00
Rp 353,600.00
Rp 2,500.00 Rp 77,500.00
Rp 22,990.00 Rp 68,970.00
Rp 8,000.00 Rp -
Rp Rp
8,000.00 80,000.00
Rp 35,620.00 Rp -
Rp 6,985.00 Rp 628,650.00
Rp 6,985.00 Rp 754,380.00
Rp 8,700.00 Rp 1,887,900.00
Rp 8,700.00 Rp -
Rp 8,700.00 Rp -
Rp 8,700.00 Rp -
Rp 5,100.00 Rp 479,400.00
Rp 9,070.00 Rp 6,956,690.00
Rp 24,000.00 Rp -
Rp 9,400.00 Rp -
Rp 6,363.00 Rp -
Rp 3,800.00 Rp 342,000.00
Rp 800.00 Rp 112,800.00
Rp 7,900.00 Rp 521,400.00
Rp 49,862.00 Rp 349,034.00
Rp -
Rp 16,500.00 Rp 1,617,000.00
Rp 19,800.00 Rp -
Rp -
Rp 3,960.00 Rp -
Rp 770.00 Rp -
Rp 18,085.67 Rp -
Rp 2,242.10 Rp -
Rp 2,550.00 Rp 193,800.00
Rp 23,480.00 Rp 1,737,520.00
Rp -
Rp 5,500.00 Rp 231,000.00
Rp 1,400.00 Rp -
Rp 2,900.00 Rp 98,600.00
Rp 5,998.00 Rp 23,992.00
Rp 18,000.00 Rp 90,000.00
Rp 74,494.00 Rp 744,940.00
Rp 39,217.00 Rp 39,217.00
Rp 149,158.00 Rp 745,790.00
Rp 667.80 Rp -
Rp 51,426.00 Rp 257,130.00
Rp 51,426.00 Rp 257,130.00
Rp 1,045.00 Rp 104,500.00
Rp 4,620.00 Rp -
Rp 6,600.00 Rp 739,200.00
Rp 6,600.00 Rp 745,800.00
Rp 6,600.00 Rp -
Rp 580,000.00 Rp 4,640,000.00
Rp 65,000.00 Rp -
Rp 1,629.00 Rp -
Rp 26,950.00 Rp -
Rp 7,370.00 Rp 29,480.00
Rp 7,370.00 Rp 29,480.00
Rp -
Rp 9,275.00 Rp -
Rp 7,500.00 Rp 60,000.00
Rp 5,700.00 Rp -
Rp 6,900.00 Rp 2,297,700.00
Rp 10,050.00 Rp -
Rp 15,730.00 Rp -
Rp 9,950.00 Rp 268,650.00
Rp 6,410.00 Rp 1,461,480.00
Rp 7,150.00 Rp 1,444,300.00
Rp -
Rp Rp
23,100.00 -
Rp 14,175.00 Rp -
Rp 5,800.00 Rp 545,200.00
Rp 15,000.00 Rp 1,665,000.00
Rp 15,750.00 Rp -
Rp 27,250.00 Rp -
Rp 15,000.00 Rp -
Rp 12,450.00 Rp -
Rp 5,078.85 Rp -
Rp 5,000.00 Rp 350,000.00
Rp 550.00 Rp 220,000.00
Rp 8,635.00
Rp 4,317,500.00
Rp 14,500.00 Rp -
Rp 4,300.00Rp 498,800.00
Rp 8,635.00Rp -
Rp 362.00 Rp 1,654,340.00
Rp 3,575.00 Rp 332,475.00
Rp -
Rp 2,590.00 Rp -
Rp 12,155.00 Rp -
Rp 450.00 Rp -
Rp 5,867.00 Rp -
Rp 1,360.00 Rp 3,012,400.00
Rp 190.00 Rp -
Rp 6,600.00 Rp -
Rp 14,980.00 Rp -
Rp 148.00 Rp 69,560.00
Rp 424.00 Rp -
Rp 4,995.00 Rp 199,800.00
Rp 5,670.00 Rp 187,110.00
Rp 3,091.00 Rp 34,001.00
Rp 11,500.00 Rp 115,000.00
Rp 1,007.00 Rp 5,975,538.00
Rp 850.00 Rp -
Rp 737.00 Rp 749,529.00
Rp 4,620.00 Rp 184,800.00
Rp 1,100.00 Rp -
Rp 16,500.00 Rp -
Rp -
Rp -
Rp -
Rp -
Rp 104,000.00 Rp -
Rp -
Rp 150,000.00 Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
1655,55 #VALUE!
Rp -
Rp 240,450.00 Rp -
Rp 226,550.00 Rp -
Rp -
Rp 344.00 Rp 10,950,896.00
Rp 1,520.00 Rp -
Rp 136.00 Rp -
Rp 51.00
Rp -
Rp 3,000.00 Rp -
Rp 298.00Rp -
Rp 107.00Rp -
Rp -
Rp 13,000.00 Rp -
Rp -
Rp -
Rp 99,000.00 Rp 1,287,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 14,200.00 Rp 468,600.00
Rp 22,950.00
Rp 5,209,650.00
Rp 2,695.00 Rp -
Rp 31,650.00 Rp -
Rp -
Rp 102.00 Rp 11,118.00
Rp 900.00 Rp -
Rp 20,250.00 Rp 60,750,000.00
Rp 133.00 Rp 47,880.00
Rp 93.00 Rp -
Rp 83,333.00 Rp -
Rp 69.00 Rp -
Rp 96.00 Rp 192,000.00
Rp 245.00 Rp -
Rp 1,021.00
Rp -
Rp 950.00
Rp -
Rp 144.00
Rp 188,784.00
Rp 68.00
Rp 38,760.00
Rp -
Rp 1,008.00 Rp 3,523,968.00
Rp 55,000.00
Rp -
Rp 405.00 Rp -
Rp 95.00
Rp 341,430.00
Rp 1,550.00Rp -
Rp 423.00 Rp -
Rp 88.00 Rp -
Rp 16,500.00
Rp -
Rp 479.00 Rp 332,905.00
Rp -
Rp 8,935.00 Rp -
Rp 12,185.00
Rp -
Rp 250.00 Rp -
Rp -
Rp 270.00 Rp -
Rp 930.00 Rp -
Rp -
Rp 18,000.00 Rp -
Rp -
Rp 1,000.00 Rp -
Rp -
Rp -
Rp -
Rp 1,583.00 Rp -
Rp 1,400.00 Rp -
Rp -
Rp 2,800.00 Rp -
Rp -
Rp -
Rp 3,429.00
Rp -
Rp 12,210.00
Rp -
Rp 4,500.00 Rp -
Rp 590.00 Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 42.00 Rp -
Rp 107.00 Rp -
Rp 4,227.00
Rp -
Rp 610.29 Rp -
Rp 473.00
Rp -
Rp 114.00 Rp -
Rp 74.00 Rp -
Rp 30,000.00
Rp -
Rp 22,167.00 Rp -
Rp 25,063.00 Rp -
Rp 140.00 Rp -
Rp 22.20 Rp -
Rp -
Rp 4,180.00 Rp -
Rp 45.00 Rp 7,830.00
Rp -
Rp 1,980.00 Rp -
Rp 62.00 Rp -
Rp 500.00 Rp -
Rp 11,517.00 Rp 253,374.00
Rp 233.00 Rp 49,163.00
Rp 16,742.00 Rp 100,452.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 430,000.00 Rp 4,300,000.00
Rp 429,550.00 Rp -
Rp 115,000.00 Rp 1,150,000.00
Rp -
Rp 293.00 Rp 58,600.00
Rp -
Rp 214,900.00 Rp 214,900.00
###
Rp 2,399,980.00
Rp 154,000.00
Rp -
Rp 359,990.00
Rp 3,599,900.00
Rp 160,000.00Rp 960,000.00
Rp 19,500.00 Rp -
Rp -
Rp 1,750.00 Rp 145,250.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 5,000.00 Rp -
Rp 4,850.00 Rp 155,200.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 8,912.00 Rp 3,751,952.00
Rp 103,500.00 Rp 621,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 800,000.00 Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
#VALUE!
urus/ Penyimpan Barang
n Sudarmanisati
9611114 199103 2 001
UPT PUSKESMAS DAU
BULAN: AGUSTUS TAHUN ANGGARAN 2018

( Rp. ) ( Rp. ) ( Rp. )
1 2 3 Rp 4 5=3x4 6 Rp 7 8=6x7 9 Rp 10 11=9x10 12
a. Tablet/Kapsul
1 Adalat Oros 20 mg 894 Rp 3,255.00 Rp 2,909,970.00 0 Rp 3,255.00 Rp - 140 Rp 3,255.00 Rp 455,700.00 754
2 Alopurinol 100 mg 349 Rp 86.00 Rp 30,014.00 5000 Rp 86.00 Rp 430,000.00 302 Rp 86.00 Rp 25,972.00 5047
5 Amlodipin 5 mg 0 Rp 105.00 Rp - 8280 Rp 105.00 Rp 869,400.00 90 Rp 105.00 Rp 9,450.00 8190
200mg) 2941 Rp 62.00 Rp 182,342.00 16800 Rp 62.00 Rp 1,041,600.00 2226 Rp 62.00 Rp 138,012.00 17515
g) 135 Rp 3,045.00 Rp 411,075.00 0 Rp 3,045.00 Rp - 6 Rp 3,045.00 Rp 18,270.00 129
19 Asiklovir 400mg 969 Rp 349.00 Rp 338,181.00 2000 Rp 349.00 Rp 698,000.00 281 Rp 349.00 Rp 98,069.00 2688
20 Betahistin mesilat 5 mg 2663 Rp 149.00 Rp 396,787.00 1500 Rp 149.00 Rp 223,500.00 372 Rp 149.00 Rp 55,428.00 3791
22 Cetirizin 10mg 2186 Rp 181.00 Rp 395,666.00 1240 Rp 181.00 Rp 224,440.00 1085 Rp 181.00 Rp 196,385.00 2341
28 Domperidon tablet 10 mg 2154 Rp 167.00 Rp 359,718.00 1000 Rp 167.00 Rp 167,000.00 526 Rp 167.00 Rp 87,842.00 2628
31 Fitomenadion (Vit K1) 10mg 405 Rp 630.00 Rp 255,150.00 2000 Rp 630.00 Rp 1,260,000.00 204 Rp 630.00 Rp 128,520.00 2201
32 Furosemid 40 mg 460 Rp 85.00 Rp 39,100.00 1600 Rp 85.00 Rp 136,000.00 22 Rp 85.00 Rp 1,870.00 2038
33 Glibenklamid 5 mg 2509 Rp 56.00 Rp 140,504.00 5000 Rp 56.00 Rp 280,000.00 392 Rp 56.00 Rp 21,952.00 7117
34 Glimepiride tablet 2 mg 505 Rp 436.00 Rp 220,180.00 2500 Rp 436.00 Rp 1,090,000.00 993 Rp 436.00 Rp 432,948.00 2012
1829 Rp 88.00 Rp 160,952.00 0 Rp 88.00 Rp - 75 Rp 88.00 Rp 6,600.00 1754
43 Kalsium Laktat (Kalk) 500 mg 268 Rp 63.00 Rp 16,884.00 6000 Rp 63.00 Rp 378,000.00 917 Rp 63.00 Rp 57,771.00 5351
44 Kaptopril 25 mg 11054 Rp 84.00 Rp 928,536.00 10000 Rp 84.00 Rp 840,000.00 526 Rp 84.00 Rp 44,184.00 20528
46 Ketokonazol 200mg tablet 1449 Rp 300.00 Rp 434,700.00 100 Rp 300.00 Rp 30,000.00 92 Rp 300.00 Rp 27,600.00 1457
47 Klindamisin kapsul 150 mg 616 Rp 361.00 Rp 222,376.00 0 Rp 361.00 Rp - 0 Rp 361.00 Rp - 616
48 Klopidogrel 556 Rp 3,400.00 Rp 1,890,400.00 600 Rp 3,400.00 Rp 2,040,000.00 126 Rp 3,400.00 Rp 428,400.00 1030
16228 Rp 51.00 Rp 827,628.00 19800 Rp 51.00 Rp 1,009,800.00 3692 Rp 51.00 Rp 188,292.00 32336
Kotrimoksazol anak

80mg
5659 Rp 151.00 Rp 854,509.00 0 Rp 151.00 Rp - 448 Rp 151.00 Rp 67,648.00 5211
1265 Rp 154.00 Rp 194,810.00 0 Rp 154.00 Rp - 60 Rp 154.00 Rp 9,240.00 1205
303 Rp 480.00 Rp 145,440.00 0 Rp 480.00 Rp - 23 Rp 480.00 Rp 11,040.00 280
72 Parasetamol 500 mg 4642 Rp 56.00 Rp 259,952.00 0 Rp 56.00 Rp - 4017 Rp 56.00 Rp 224,952.00 625
3976 Rp 118.00 Rp 469,168.00 0 Rp 118.00 Rp - 438 Rp 118.00 Rp 51,684.00 3538
79 Ranitidin tablet 150 mg 2 Rp 120.00 Rp 240.00 0 Rp 120.00 Rp - 0 Rp 120.00 Rp - 2
80 Salbutamol tablet 2 mg 6454 Rp 59.00 Rp 380,786.00 3000 Rp 59.00 Rp 177,000.00 528 Rp 59.00 Rp 31,152.00 8926
0,25mg 122540 Rp 5,146,680.00 0 Rp - 2623 Rp 110,166.00 119917
88 Tiamin HCL (VitB1) 50 mg 5797 Rp 680.00 Rp 3,941,960.00 2000 Rp 680.00 Rp 1,360,000.00 836 Rp 680.00 Rp 568,480.00 6961
90 Zinc 10 mg 1735 Rp 474.00 Rp 822,390.00 5000 Rp 474.00 Rp 2,370,000.00 369 Rp 474.00 Rp 174,906.00 6366
96 Candesartan 8 mg 0 Rp 3,100.00 Rp - 300 Rp 3,100.00 Rp 930,000.00 0 Rp 3,100.00 Rp - 300
97 Cefadroxil 500mg 568 Rp 516.00 Rp 293,088.00 5000 Rp 516.00 Rp 2,580,000.00 195 Rp 516.00 Rp 100,620.00 5373
345 Rp 1,580.00 Rp 545,100.00 0 Rp 1,580.00 Rp - 56 Rp 1,580.00 Rp 88,480.00 289
202 Rp 1,050.00 Rp 212,100.00 0 Rp 1,050.00 Rp - 89 Rp 1,050.00 Rp 93,450.00 113
1ml 145 Rp 3,417.00 Rp 495,465.00 0 Rp 3,417.00 Rp - 34 Rp 3,417.00 Rp 116,178.00 111
13 Furosemid injeksi 0 Rp 1,829.00 Rp - 25 Rp 1,829.00 Rp 45,725.00 0 Rp 1,829.00 Rp - 25
Rp 4,500.00 Rp 4,500.00 Rp 4,500.00
0 Rp - 0 Rp - 0 Rp - 0
Lidokain komp
25 ml 0 Rp 3,200.00 Rp - 0 Rp 3,200.00 Rp - 0 Rp 3,200.00 Rp - 0
25 ml 18 Rp 2,629.00 Rp 47,322.00 0 Rp 2,629.00 Rp - 0 Rp 2,629.00 Rp - 18
ml 0 Rp 1,476.80 Rp - 0 Rp 1,476.80 Rp - 0 Rp 1,476.80 Rp - 0
10ml 0 Rp 2,818.10 Rp - 0 Rp 2,818.10 Rp - 0 Rp 2,818.10 Rp - 0
24 Oksitosin injeksi 10 IU/ml - 1 ml 5 Rp 1,900.00 Rp 9,500.00 200 Rp 1,900.00 Rp 380,000.00 9 Rp 1,900.00 Rp 17,100.00 196
28 Ranitidin injeksi 25mg/2ml 718 Rp 1,390.00 Rp 998,020.00 0 Rp 1,390.00 Rp - 40 Rp 1,390.00 Rp 55,600.00 678
ml-1ml 25 Rp 1,098.00 Rp 27,450.00 500 Rp 1,098.00 Rp 549,000.00 242 Rp 1,098.00 Rp 265,716.00 283
Rp 3,650.00 Rp 3,650.00 Rp 3,650.00
1000mg/ml 0 Rp - 0 Rp - 0 Rp - 0
112 Rp 2,950.00 Rp 330,400.00 0 Rp 2,950.00 Rp - 0 Rp 2,950.00 Rp - 112
c. Salep 0 Rp - 0 Rp - 0 Rp - 0
3%) 122 Rp 1,904.40 Rp 232,336.80 48 Rp 1,904.40 Rp 91,411.20 10 Rp 1,904.40 Rp 19,044.00 160
4 Betametason krim 0,1 % 154 Rp 1,520.00 Rp 234,080.00 100 Rp 1,520.00 Rp 152,000.00 16 Rp 1,520.00 Rp 24,320.00 238
8 Hidrokortison krim 2,5 % 57 Rp 2,798.00 Rp 159,486.00 120 Rp 2,798.00 Rp 335,760.00 26 Rp 2,798.00 Rp 72,748.00 151
26 Rp 2,520.00 Rp 65,520.00 200 Rp 2,520.00 Rp 504,000.00 16 Rp 2,520.00 Rp 40,320.00 210
2 Salisil Bedak 2 % 11 Rp 1,250.00 Rp 13,750.00 100 Rp 1,250.00 Rp 125,000.00 24 Rp 1,250.00 Rp 30,000.00 87
e. Sirup 0 Rp - 0 Rp - 0 Rp - 0
1 Amoksilin 125mg/5ml 602 Rp 2,445.00 Rp 1,471,890.00 150 Rp 2,445.00 Rp 366,750.00 70 Rp 2,445.00 Rp 171,150.00 682
200mg/5ml+AlOH 200mg/5ml) 75 Rp 2,025.00 Rp 151,875.00 300 Rp 2,025.00 Rp 607,500.00 117 Rp 2,025.00 Rp 236,925.00 258
3 Cetirizin syr 60 Rp 7,999.00 Rp 479,940.00 0 Rp 7,999.00 Rp - 0 Rp 7,999.00 Rp - 60
6 Ibuprofen suspensi 100mg/5ml 861 Rp 4,499.00 Rp 3,873,639.00 0 Rp 4,499.00 Rp - 0 Rp 4,499.00 Rp - 861
110 Rp 3,955.00 Rp 435,050.00 100 Rp 3,955.00 Rp 395,500.00 4 Rp 3,955.00 Rp 15,820.00 206
200mg+Trimetoprim40mg/5ml 289 Rp 618,460.00 100 Rp 214,000.00 30 Rp 64,200.00 359
f. Tetes 0 Rp - 0 Rp - 0 Rp - 0
15ml 88 Rp 5,200.00 Rp 457,600.00 0 Rp 5,200.00 Rp - 0 Rp 5,200.00 Rp - 88
7 Polikresulen 0 Rp 17,393.00 Rp - 0 Rp 17,393.00 Rp - 0 Rp 17,393.00 Rp - 0
% 0 Rp 3,226.00 Rp - 0 Rp 3,226.00 Rp - 0 Rp 3,226.00 Rp - 0
1 Alat suntik sekali pakai 1 ml 544 Rp 1,540.00 Rp 837,760.00 200 Rp 1,540.00 Rp 308,000.00 165 Rp 1,540.00 Rp 254,100.00 579
2 Alat suntik sekali pakai 3 ml 1426 Rp 792.00 Rp 1,129,392.00 5000 Rp 792.00 Rp 3,960,000.00 545 Rp 792.00 Rp 431,640.00 5881
4 Alat suntik sekali pakai 10 ml 58 Rp 1,790.00 Rp 103,820.00 100 Rp 1,790.00 Rp 179,000.00 0 Rp 1,790.00 Rp - 158
6 Aqua pro injeksi, bebas pirogen 0 Rp 2,750.00 Rp - 200 Rp 2,750.00 Rp 550,000.00 57 Rp 2,750.00 Rp 156,750.00 143
8 Blood Tranfusion set 50 Rp 27,830.00 Rp 1,391,500.00 50 Rp 27,830.00 Rp 1,391,500.00 0 Rp 27,830.00 Rp - 100
2/0-3/0 8 Rp 273,360.00 60 Rp 2,050,200.00 0 Rp - 68
3/0 0 Rp - 60 Rp 2,144,400.00 1 Rp 35,740.00 59
11 Daryantulle/Bioplacenton tulle 34 Rp 10,400.00 Rp 353,600.00 50 Rp 10,400.00 Rp 520,000.00 0 Rp 10,400.00 Rp - 84
14 Foley Catheter no.16 0 Rp 8,000.00 Rp - 30 Rp 8,000.00 Rp 240,000.00 7 Rp 8,000.00 Rp 56,000.00 23
surgical PF) 90 Rp 6,985.00 Rp 628,650.00 20 Rp 6,985.00 Rp 139,700.00 0 Rp 6,985.00 Rp - 110
21 I.V. Catheter No 22 0 Rp 8,700.00 Rp - 200 Rp 8,700.00 Rp 1,740,000.00 1 Rp 8,700.00 Rp 8,700.00 199
23 Infusion set anak 94 Rp 5,100.00 Rp 479,400.00 50 Rp 5,100.00 Rp 255,000.00 1 Rp 5,100.00 Rp 5,100.00 143
24 Infusion set dewasa 767 Rp 9,070.00 Rp 6,956,690.00 200 Rp 9,070.00 Rp 1,814,000.00 43 Rp 9,070.00 Rp 390,010.00 924
0 Rp 24,000.00 Rp - 30 Rp 24,000.00 Rp 720,000.00 3 Rp 24,000.00 Rp 72,000.00 27
90 Rp 3,800.00 Rp 342,000.00 0 Rp 3,800.00 Rp - 16 Rp 3,800.00 Rp 60,800.00 74
141 Rp 800.00 Rp 112,800.00 0 Rp 800.00 Rp - 0 Rp 800.00 Rp - 141
50% 7 Rp 49,862.00 Rp 349,034.00 10 Rp 49,862.00 Rp 498,620.00 2 Rp 49,862.00 Rp 99,724.00 15
35 NGT 7 x 75/80 0 Rp - 0 Rp - 0 Rp - 0
0 Rp 18,085.67 Rp - 0 Rp 18,085.67 Rp - 0 Rp 18,085.67 Rp - 0
74 Rp 23,480.00 Rp 1,737,520.00 36 Rp 23,480.00 Rp 845,280.00 10 Rp 23,480.00 Rp 234,800.00 100
43 Urine Bag 42 Rp 5,500.00 Rp 231,000.00 0 Rp 5,500.00 Rp - 5 Rp 5,500.00 Rp 27,500.00 37
34 Rp 2,900.00 Rp 98,600.00 50 Rp 2,900.00 Rp 145,000.00 9 Rp 2,900.00 Rp 26,100.00 75
4 Rp 5,998.00 Rp 23,992.00 0 Rp 5,998.00 Rp - 0 Rp 5,998.00 Rp - 4
5 Rp 18,000.00 Rp 90,000.00 0 Rp 18,000.00 Rp - 0 Rp 18,000.00 Rp - 5
55 Underpad 0 Rp 4,620.00 Rp - 150 Rp 4,620.00 Rp 693,000.00 8 Rp 4,620.00 Rp 36,960.00 142
INFUS 0 Rp - 0 Rp - 0 Rp - 0
7 Metronidazol infus 27 Rp 9,950.00 Rp 268,650.00 0 Rp 9,950.00 Rp - 0 Rp 9,950.00 Rp - 27
steril 228 Rp 6,410.00 Rp 1,461,480.00 200 Rp 6,410.00 Rp 1,282,000.00 43 Rp 6,410.00 Rp 275,630.00 385
4 Bufacomb 111 Rp 15,000.00 Rp 1,665,000.00 0 Rp 15,000.00 Rp - 0 Rp 15,000.00 Rp - 111
Rp 8,635.00 Rp 8,635.00 Rp 8,635.00
500 Rp 4,317,500.00 0 Rp - 0 Rp - 500
(Mersibion) 116 Rp 4,300.00Rp 498,800.00 100 Rp 4,300.00Rp 430,000.00 10 Rp 4,300.00Rp 43,000.00 206
16 Noza /Demacolin 4570 Rp 362.00 Rp 1,654,340.00 0 Rp 362.00 Rp - 575 Rp 362.00 Rp 208,150.00 3995
93 Rp 3,575.00 Rp 332,475.00 0 Rp 3,575.00 Rp - 26 Rp 3,575.00 Rp 92,950.00 67
23 Hiopar 2215 Rp 1,360.00 Rp 3,012,400.00 0 Rp 1,360.00 Rp - 0 Rp 1,360.00 Rp - 2215
27 Miniaspi (Asetosal 80mg) 470 Rp 148.00 Rp 69,560.00 0 Rp 148.00 Rp - 20 Rp 148.00 Rp 2,960.00 450
a. Alkes 0 Rp - 0 Rp - 0 Rp - 0
1 Anisol 0 Rp - 0 Rp - 0 Rp - 0
4 Corong 0 Rp - 0 Rp - 0 Rp - 0
8 Ose 0 Rp - 0 Rp - 0 Rp - 0
9 Pipet K 0 Rp - 0 Rp - 0 Rp - 0
10 Pipet 50 ml 0 Rp - 0 Rp - 0 Rp - 0
4 0 Rp - 0 Rp - 0 Rp - 0
d. Gigi 0 Rp - 0 Rp - 0 Rp - 0
2 Etil Klorida semprot 13 Rp 99,000.00 Rp 1,287,000.00 10 Rp 99,000.00 Rp 990,000.00 0 Rp 99,000.00 Rp - 23
0 Rp - 0 Rp - 0 Rp - 0
e. Gizi 0 Rp - 0 Rp - 0 Rp - 0
33 Rp 14,200.00 Rp 468,600.00 0 Rp 14,200.00 Rp - 0 Rp 14,200.00 Rp - 33
227 Rp 5,209,650.00 0 Rp - 0 Rp - 227
4 Iodine test 0 Rp 31,650.00 Rp - 10 Rp 31,650.00 Rp 316,500.00 0 Rp 31,650.00 Rp - 10
f. Jiwa 0 Rp - 0 Rp - 0 Rp - 0
8 Haloperidol 5 mg 2000 Rp 96.00 Rp 192,000.00 0 Rp 96.00 Rp - 120 Rp 96.00 Rp 11,520.00 1880
1 ml 0 Rp - 0 Rp - 0 Rp - 0
ml 0 Rp - 0 Rp - 0 Rp - 0
mg 1311 Rp 188,784.00 0 Rp - 336 Rp 48,384.00 975
570 Rp 38,760.00 0 Rp - 0 Rp - 570
0 Rp - 0 Rp - 0 Rp - 0
3594 Rp 341,430.00 0 Rp - 390 Rp 37,050.00 3204
drop) 0 Rp - 0 Rp - 0 Rp - 0
2 IU/vial 0 Rp - 0 Rp - 0 Rp - 0
3TC)150mg Rp 3,429.00 Rp 3,429.00 Rp 3,429.00
20 0 Rp - 0 Rp - 0 Rp - 0
21 0 Rp - 0 Rp - 0 Rp - 0
h. Kusta 0 Rp - 0 Rp - 0 Rp - 0
2 MB Anak 0 Rp - 0 Rp - 0 Rp - 0
4 PB Anak 0 Rp - 0 Rp - 0 Rp - 0
1 0,25mg 0 Rp 42.00 Rp - 0 Rp 42.00 Rp - 0 Rp 42.00 Rp - 0
3 ml 0 Rp - 0 Rp - 0 Rp - 0
Komb.
5 g) 0 Rp - 0 Rp - 0 Rp - 0
Rp 30,000.00 Rp 30,000.00 Rp 30,000.00
Artemeter injeksi
9 0 Rp 22,167.00 Rp - 0 Rp 22,167.00 Rp - 0 Rp 22,167.00 Rp - 0
Artesunat injeksi
10 0 Rp 25,063.00 Rp - 0 Rp 25,063.00 Rp - 0 Rp 25,063.00 Rp - 0
Tetrasiklin 250 mg
11 0 Rp 140.00 Rp - 0 Rp 140.00 Rp - 0 Rp 140.00 Rp - 0
Vit B Komplex tab
12 0 Rp 22.20 Rp - 0 Rp 22.20 Rp - 0 Rp 22.20 Rp - 0
0 Rp 1,980.00 Rp - 0 Rp 1,980.00 Rp - 0 Rp 1,980.00 Rp - 0
6 Kodein tablet 10mg 0 Rp 500.00 Rp - 0 Rp 500.00 Rp - 0 Rp 500.00 Rp - 0
14 Urea FS 0 Rp - 0 Rp - 0 Rp - 0
l. Serum 0 Rp - 0 Rp - 0 Rp - 0
m. TB Paru 0 Rp - 0 Rp - 0 Rp - 0
4 ( FDC ) 2 Rp 2,399,980.00 0 Rp - 0 Rp - 2
5 (FDC) 0 Rp - 0 Rp - 0 Rp - 0
6 ( FDC ) 10 Rp 3,599,900.00 0 Rp - 0 Rp - 10
1 Stik Hb 1 Rp - 0 Rp - 0 Rp - 1
5 hcg test 72 Rp - 0 Rp - 0 Rp - 72
8 Blue Tip 0 Rp - 0 Rp - 0 Rp - 0
SD HIV 347 Rp - 0 Rp - 0 Rp - 347
INTEC 66 Rp - 0 Rp - 0 Rp - 66
13 ATS 0 Rp - 0 Rp - 0 Rp - 0
17 USG Gel 6 Rp - 0 Rp - 0 Rp - 6
18 Jelly 3 Rp - 0 Rp - 0 Rp - 3
20 lomatul 48 Rp - 0 Rp - 0 Rp - 48
23 IV 26 50 Rp - 0 Rp - 0 Rp - 50
26 femal 16 10 Rp - 0 Rp - 0 Rp - 10
27 femal 18 10 Rp - 0 Rp - 0 Rp - 10
28 mecobalamin 421 Rp 8,912.00 Rp 3,751,952.00 0 Rp 8,912.00 Rp - 202 Rp 8,912.00 Rp 1,800,224.00 219
29 clorethyil walter ritte 6 Rp 103,500.00 Rp 621,000.00 0 Rp 103,500.00 Rp - 1 Rp 103,500.00 Rp 103,500.00 5
30 plester 7.5 48 Rp - 0 Rp - 2 Rp - 46
31 plester 2.5 38 Rp - 0 Rp - 4 Rp - 34
46 anelat 4473 Rp - 0 Rp - 50 Rp - 4423
47 spalk 0 Rp - 0 Rp - 0 Rp - 0
48 spuit 0,05 0 Rp - 0 Rp - 0 Rp - 0
49 spuit 0,5 0 Rp - 0 Rp - 0 Rp - 0
50 reco tt 96 Rp - 0 Rp - 20 Rp - 76
51 masker n95 0 Rp - 0 Rp - 0 Rp - 0
56 laktobe 0 Rp - 0 Rp - 0 Rp - 0
60 0 Rp - 0 Rp - 0 Rp - 0
61 0 Rp - 0 Rp - 0 Rp - 0
62 0 Rp - 0 Rp - 0 Rp - 0
63 0 Rp - 0 Rp - 0 Rp - 0
64 0 Rp - 0 Rp - 0 Rp - 0
65 0 Rp - 0 Rp - 0 Rp - 0

Lilin Sudarma
NIP.19790730 200604 2 017
KETERANGAN :
Saldo akhir Bulan
Harga
Jumlah
Satuan ( Rp. )
( Rp. )
Rp 13 14=12x13
Rp 3,255.00 Rp 2,454,270.00
Rp 86.00 Rp 434,042.00
Rp 200.00 Rp 238,000.00
Rp 113.00 Rp 665,231.00
Rp 105.00 Rp 859,950.00
Rp 80.00 Rp 25,840.00
Rp 195.00 Rp -
Rp 261.00 Rp 3,935,358.00
Rp 145.00 Rp -
Rp 62.00 Rp 1,085,930.00
Rp 3,045.00 Rp 392,805.00
Rp 135.00 Rp -
Rp 95.00 Rp 399,095.00
Rp 135.00 Rp 153,090.00
Rp 48.00 Rp -
Rp 106.00 Rp 4,514,858.00
Rp 148.00 Rp 54,464.00
Rp 237.00 Rp -
Rp 349.00 Rp 938,112.00
Rp 149.00 Rp 564,859.00
Rp 330.00 Rp 219,450.00
Rp 181.00 Rp 423,721.00
Rp 44.00 Rp 1,278,288.00
Rp 97.00 Rp 59,752.00
Rp 134.00 Rp -
Rp 104.00 Rp 201,344.00
Rp 270.00 Rp -
Rp 167.00 Rp 438,876.00
Rp 47.00 Rp -
Rp 730.00 Rp 1,469,490.00
Rp 630.00 Rp 1,386,630.00
Rp 85.00 Rp 173,230.00
Rp 56.00 Rp 398,552.00
Rp 436.00 Rp 877,232.00
Rp 98.00 Rp 3,613,946.00
Rp 209.00 Rp -
Rp 149.00 Rp 138,719.00
Rp 395.00 Rp -
Rp 150.00 Rp 330,000.00
Rp 110.00 Rp 687,390.00
Rp 88.00 Rp 154,352.00
Rp 425.00 Rp -
Rp 63.00 Rp 337,113.00
Rp 84.00 Rp 1,724,352.00
Rp 62.00 Rp -
Rp 300.00 Rp 437,100.00
Rp 361.00 Rp 222,376.00
Rp 3,400.00 Rp 3,502,000.00
Rp 249.00 Rp 874,737.00
Rp 51.00 Rp 1,649,136.00
Rp 107.00 Rp -
Rp 52.08 Rp -
Rp 72.00 Rp -
Rp 151.00 Rp 786,861.00
Rp 495.00 Rp 98,010.00
Rp 448.00 Rp -
Rp 134.00 Rp -
Rp 225.00 Rp -
Rp 629.00 Rp -
Rp 113.00 Rp 95,937.00
Rp 205.00 Rp 873,095.00
Rp 154.00 Rp 185,570.00
Rp 108.00 Rp 137,700.00
Rp 110.00 Rp -
Rp 133.00 Rp 1,069,852.00
Rp 133.00 Rp 290,073.00
Rp 176.00 Rp 2,143,504.00
Rp 110.00 Rp -
Rp 480.00 Rp 134,400.00
Rp 211.00 Rp 46,631.00
Rp 32.23 Rp -
Rp 56.00 Rp 35,000.00
Rp 298.00 Rp -
Rp 400.00 Rp 348,400.00
Rp 118.00 Rp 417,484.00
Rp 114.00 Rp 364,116.00
Rp 65.00 Rp 26,000.00
Rp 319.00 Rp -
Rp 120.00 Rp 240.00
Rp 59.00 Rp 526,634.00
Rp 89.00 Rp -
Rp 169.00 Rp 1,773,824.00
Rp 281.00 Rp 48,332.00
Rp 42.00
Rp 5,036,514.00
Rp 149.00 Rp -
Rp 310.00 Rp 29,450.00
Rp 672.00 Rp -
Rp 680.00 Rp 4,733,480.00
Rp 115.00 Rp -
Rp 474.00 Rp 3,017,484.00
Rp 908.00 Rp -
Rp 315.00 Rp -
Rp 716.00 Rp 4,296.00
Rp 1,425.00 Rp -
Rp 85.00 Rp -
Rp 3,100.00 Rp 930,000.00
Rp 516.00 Rp 2,772,468.00
Rp 426.00 Rp -
Rp 603.00 Rp 489,636.00
Rp 679.00 Rp -
Rp -
Rp 3,822.00 Rp 301,938.00
Rp 16,500.00 Rp 3,927,000.00
Rp 5,100.00 Rp -
Rp 8,400.00 Rp -
Rp 1,672.00 Rp 30,096.00
Rp 10,425.00 Rp 104,250.00
Rp 3,300.00 Rp -
Rp 1,580.00 Rp 456,620.00
Rp 1,050.00 Rp 118,650.00
Rp 8,100.00 Rp 251,100.00
Rp 3,417.00 Rp 379,287.00
Rp 8,250.00 Rp -
Rp 1,829.00 Rp 45,725.00
Rp 3,399.00 Rp -
Rp 4,500.00
Rp -
Rp 7,260.00 Rp -
Rp 1,845.00 Rp 1,675,260.00
Rp 3,200.00 Rp -
Rp 2,629.00 Rp 47,322.00
Rp 2,684.00 Rp 244,244.00
Rp 4,650.00 Rp -
Rp 1,476.80 Rp -
Rp 2,818.10 Rp -
Rp 1,900.00 Rp 372,400.00
Rp 1,650.00 Rp 800,250.00
Rp 5,000.00 Rp -
Rp 15,550.00 Rp -
Rp 1,390.00 Rp 942,420.00
Rp 4,898.00 Rp 205,716.00
Rp 1,098.00 Rp 310,734.00
Rp 3,650.00
Rp -
Rp 680.00Rp -
Rp 36,000.00 Rp -
Rp 2,950.00 Rp 330,400.00
Rp 7,190.00 Rp 143,800.00
Rp 7,190.00 Rp -
Rp -
Rp 1,904.40 Rp 304,704.00
Rp 839.00 Rp 15,102.00
Rp 2,516.00 Rp -
Rp 1,520.00 Rp 361,760.00
Rp 2,200.00 Rp -
Rp 2,970.00 Rp 56,430.00
Rp 2,600.00 Rp 130,000.00
Rp 2,798.00 Rp 422,498.00
Rp 2,569.00 Rp -
Rp 1,600.00 Rp -
Rp 3,000.00 Rp 318,000.00
Rp 2,520.00 Rp 529,200.00
Rp 1,499.00 Rp -
Rp 2,429.00 Rp 412,930.00
Rp -
Rp 288.00 Rp 4,853,664.00
Rp 1,250.00 Rp 108,750.00
Rp -
Rp 2,445.00 Rp 1,667,490.00
Rp 2,025.00 Rp 522,450.00
Rp 7,999.00 Rp 479,940.00
Rp 1,378.85 Rp -
Rp 6,700.00 Rp 67,000.00
Rp 4,499.00 Rp 3,873,639.00
Rp 3,955.00 Rp 814,730.00
Rp 2,140.00
Rp 768,260.00
Rp 3,534.00 Rp -
Rp 4,840.00 Rp 1,848,880.00
Rp 1,074.00 Rp 365,160.00
Rp -
Rp 9,950.00 Rp 2,935,250.00
Rp -
Rp 2,042.00 Rp 522,752.00
Rp 4,000.00 Rp -
Rp 900.00 Rp -
Rp 2,273.00 Rp -
Rp 5,500.00 Rp 357,500.00
Rp Rp
5,200.00 457,600.00
Rp 17,393.00 Rp -
Rp 3,226.00 Rp -
Rp -
Rp 1,540.00 Rp 891,660.00
Rp 792.00 Rp 4,657,752.00
Rp 979.00 Rp 1,480,248.00
Rp 1,790.00 Rp 282,820.00
Rp 19,680.00 Rp -
Rp 2,750.00 Rp 393,250.00
Rp 8,600.00 Rp -
Rp 27,830.00 Rp 2,783,000.00
Rp 34,170.00
Rp 2,323,560.00
Rp 35,740.00
Rp 2,108,660.00
Rp 10,400.00 Rp 873,600.00
Rp 2,500.00 Rp 87,500.00
Rp 22,990.00 Rp 68,970.00
Rp 8,000.00 Rp 184,000.00
Rp Rp
8,000.00 80,000.00
Rp 35,620.00 Rp -
Rp 6,985.00 Rp 768,350.00
Rp 6,985.00 Rp 754,380.00
Rp 8,700.00 Rp 1,887,900.00
Rp 8,700.00 Rp -
Rp 8,700.00 Rp 1,731,300.00
Rp 8,700.00 Rp -
Rp 5,100.00 Rp 729,300.00
Rp 9,070.00 Rp 8,380,680.00
Rp 24,000.00 Rp 648,000.00
Rp 9,400.00 Rp -
Rp 6,363.00 Rp -
Rp 3,800.00 Rp 281,200.00
Rp 800.00 Rp 112,800.00
Rp 7,900.00 Rp 466,100.00
Rp 49,862.00 Rp 747,930.00
Rp -
Rp 16,500.00 Rp 1,369,500.00
Rp 19,800.00 Rp -
Rp -
Rp 3,960.00 Rp -
Rp 770.00 Rp -
Rp 18,085.67 Rp -
Rp 2,242.10 Rp -
Rp 2,550.00 Rp 193,800.00
Rp 23,480.00 Rp 2,348,000.00
Rp -
Rp 5,500.00 Rp 203,500.00
Rp 1,400.00 Rp -
Rp 2,900.00 Rp 217,500.00
Rp 5,998.00 Rp 23,992.00
Rp 18,000.00 Rp 90,000.00
Rp 74,494.00 Rp 744,940.00
Rp 39,217.00 Rp 39,217.00
Rp 149,158.00 Rp 745,790.00
Rp 667.80 Rp -
Rp 51,426.00 Rp 257,130.00
Rp 51,426.00 Rp 257,130.00
Rp 1,045.00 Rp 104,500.00
Rp 4,620.00 Rp 656,040.00
Rp 6,600.00 Rp 739,200.00
Rp 6,600.00 Rp 745,800.00
Rp 6,600.00 Rp -
Rp 580,000.00 Rp 4,640,000.00
Rp 65,000.00 Rp -
Rp 1,629.00 Rp -
Rp 26,950.00 Rp -
Rp 7,370.00 Rp 29,480.00
Rp 7,370.00 Rp 29,480.00
Rp -
Rp 9,275.00 Rp -
Rp 7,500.00 Rp 60,000.00
Rp 5,700.00 Rp -
Rp 6,900.00 Rp 2,290,800.00
Rp 10,050.00 Rp -
Rp 15,730.00 Rp -
Rp 9,950.00 Rp 268,650.00
Rp 6,410.00 Rp 2,467,850.00
Rp Rp
7,150.00 850,850.00
Rp -
Rp 23,100.00 Rp -
Rp 14,175.00 Rp -
Rp 5,800.00 Rp 498,800.00
Rp 15,000.00 Rp 1,665,000.00
Rp 15,750.00 Rp -
Rp 27,250.00 Rp -
Rp 15,000.00 Rp -
Rp 12,450.00 Rp -
Rp 5,078.85 Rp -
Rp 5,000.00 Rp 350,000.00
Rp 550.00 Rp 165,000.00
Rp 8,635.00
Rp 4,317,500.00
Rp 14,500.00 Rp -
Rp 4,300.00Rp 885,800.00
Rp 8,635.00Rp -
Rp 362.00 Rp 1,446,190.00
Rp 3,575.00 Rp 239,525.00
Rp -
Rp 2,590.00 Rp -
Rp 12,155.00 Rp -
Rp 450.00 Rp -
Rp 5,867.00 Rp -
Rp 1,360.00 Rp 3,012,400.00
Rp 190.00 Rp -
Rp 6,600.00 Rp -
Rp 14,980.00 Rp -
Rp 148.00 Rp 66,600.00
Rp 424.00 Rp -
Rp 4,995.00 Rp 349,650.00
Rp 5,670.00 Rp 181,440.00
Rp 3,091.00 Rp 34,001.00
Rp 11,500.00 Rp 115,000.00
Rp 1,007.00 Rp 5,975,538.00
Rp 850.00 Rp -
Rp 737.00 Rp 552,013.00
Rp 4,620.00 Rp 184,800.00
Rp 1,100.00 Rp -
Rp 16,500.00 Rp -
Rp -
Rp -
Rp -
Rp -
Rp 104,000.00 Rp -
Rp -
Rp 150,000.00 Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
1655,55 #VALUE!
Rp -
Rp 240,450.00 Rp -
Rp 226,550.00 Rp -
Rp -
Rp 344.00 Rp 10,950,896.00
Rp 1,520.00 Rp -
Rp 136.00 Rp -
Rp 51.00
Rp -
Rp 3,000.00 Rp -
Rp 298.00 Rp -
Rp 107.00 Rp -
Rp -
Rp 13,000.00 Rp -
Rp -
Rp -
Rp 99,000.00 Rp 2,277,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 14,200.00 Rp 468,600.00
Rp 22,950.00
Rp 5,209,650.00
Rp 2,695.00 Rp -
Rp 31,650.00 Rp 316,500.00
Rp -
Rp 102.00 Rp 2,244.00
Rp 900.00 Rp -
Rp 20,250.00 Rp 60,750,000.00
Rp 133.00 Rp 46,550.00
Rp 93.00 Rp -
Rp 83,333.00 Rp -
Rp 69.00 Rp -
Rp 96.00 Rp 180,480.00
Rp 245.00 Rp -
Rp 1,021.00
Rp -
Rp 950.00
Rp -
Rp 144.00
Rp 140,400.00
Rp 68.00
Rp 38,760.00
Rp -
Rp 1,008.00 Rp 3,092,544.00
Rp 55,000.00
Rp -
Rp 405.00 Rp -
Rp 95.00
Rp 304,380.00
Rp 1,550.00 Rp -
Rp 423.00 Rp -
Rp 88.00 Rp -
Rp 16,500.00
Rp -
Rp 479.00 Rp 332,905.00
Rp -
Rp 8,935.00 Rp -
Rp 12,185.00
Rp -
Rp 250.00 Rp -
Rp -
Rp 270.00 Rp -
Rp 930.00 Rp -
Rp -
Rp 18,000.00 Rp -
Rp -
Rp 1,000.00 Rp -
Rp -
Rp -
Rp -
Rp 1,583.00 Rp -
Rp 1,400.00 Rp -
Rp -
Rp 2,800.00 Rp -
Rp -
Rp -
Rp 3,429.00
Rp -
Rp 12,210.00
Rp -
Rp 4,500.00 Rp -
Rp 590.00 Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 42.00 Rp -
Rp 107.00 Rp -
Rp 4,227.00
Rp -
Rp 610.29 Rp -
Rp 473.00
Rp -
Rp 114.00 Rp -
Rp 74.00 Rp -
Rp 30,000.00
Rp -
Rp 22,167.00 Rp -
Rp 25,063.00 Rp -
Rp 140.00 Rp -
Rp 22.20 Rp -
Rp -
Rp 4,180.00 Rp -
Rp 45.00 Rp 7,830.00
Rp -
Rp 1,980.00 Rp -
Rp 62.00 Rp -
Rp 500.00 Rp -
Rp 11,517.00 Rp 253,374.00
Rp 233.00 Rp 43,571.00
Rp 16,742.00 Rp 100,452.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 430,000.00 Rp 4,300,000.00
Rp 429,550.00 Rp -
Rp 115,000.00 Rp 1,150,000.00
Rp -
Rp 293.00 Rp 58,600.00
Rp -
Rp 214,900.00 Rp 214,900.00
###
Rp 2,399,980.00
Rp 154,000.00
Rp -
Rp 359,990.00
Rp 3,599,900.00
Rp 160,000.00 Rp 960,000.00
Rp 19,500.00 Rp -
Rp -
Rp 1,750.00 Rp 145,250.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 5,000.00 Rp -
Rp 4,850.00 Rp 135,800.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 8,912.00 Rp 1,951,728.00
Rp 103,500.00 Rp 517,500.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 800,000.00 Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
#VALUE!
n Sudarmanisati
9611114 199103 2 001
UPT PUSKESMAS DAU
BULAN: SEPTEMBER TAHUN ANGGARAN 2018

( Rp. ) ( Rp. ) ( Rp. )
1 2 3 Rp 4 5=3x4 6 Rp 7 8=6x7 9 Rp 10 11=9x10 12
a. Tablet/Kapsul
5 Amlodipin 5 mg 8190 Rp 105.00 Rp 859,950.00 1200 Rp 105.00 Rp 126,000.00 1172 Rp 105.00 Rp 123,060.00 8218
200mg) 17515 Rp 62.00 Rp 1,085,930.00 0 Rp 62.00 Rp - 1739 Rp 62.00 Rp 107,818.00 15776
g) 129 Rp 3,045.00 Rp 392,805.00 0 Rp 3,045.00 Rp - 6 Rp 3,045.00 Rp 18,270.00 123
31 Fitomenadion (Vit K1) 10mg 2201 Rp 630.00 Rp 1,386,630.00 0 Rp 630.00 Rp - 174 Rp 630.00 Rp 109,620.00 2027
35 Gliseril Guaiakolat 100 mg 36877 Rp 98.00 Rp 3,613,946.00 0 Rp 98.00 Rp - 13009 Rp 98.00 Rp 1,274,882.00 23868
39 Ibuprofen 400 mg 2200 Rp 150.00 Rp 330,000.00 0 Rp 150.00 Rp - 0 Rp 150.00 Rp - 2200
1754 Rp 88.00 Rp 154,352.00 0 Rp 88.00 Rp - 50 Rp 88.00 Rp 4,400.00 1704
47 Klindamisin kapsul 150 mg 616 Rp 361.00 Rp 222,376.00 1000 Rp 361.00 Rp 361,000.00 0 Rp 361.00 Rp - 1616
32336 Rp 51.00 Rp 1,649,136.00 0 Rp 51.00 Rp - 3452 Rp 51.00 Rp 176,052.00 28884
Kotrimoksazol anak

80mg
5211 Rp 151.00 Rp 786,861.00 0 Rp 151.00 Rp - 1 Rp 151.00 Rp 151.00 5210
60 Metformin 500mg tablet 849 Rp 113.00 Rp 95,937.00 2000 Rp 113.00 Rp 226,000.00 998 Rp 113.00 Rp 112,774.00 1851
1205 Rp 154.00 Rp 185,570.00 0 Rp 154.00 Rp - 547 Rp 154.00 Rp 84,238.00 658
280 Rp 480.00 Rp 134,400.00 0 Rp 480.00 Rp - 32 Rp 480.00 Rp 15,360.00 248
3538 Rp 118.00 Rp 417,484.00 2000 Rp 118.00 Rp 236,000.00 948 Rp 118.00 Rp 111,864.00 4590
79 Ranitidin tablet 150 mg 2 Rp 120.00 Rp 240.00 5000 Rp 120.00 Rp 600,000.00 707 Rp 120.00 Rp 84,840.00 4295
83 Siprofloksazin tablet 500 mg 172 Rp 281.00 Rp 48,332.00 2000 Rp 281.00 Rp 562,000.00 206 Rp 281.00 Rp 57,886.00 1966
0,25mg 119917 Rp 5,036,514.00 0 Rp - 3540 Rp 148,680.00 116377
89 Vitamin B Kompleks 0 Rp 115.00 Rp - 3000 Rp 115.00 Rp 345,000.00 1696 Rp 115.00 Rp 195,040.00 1304
96 Candesartan 8 mg 300 Rp 3,100.00 Rp 930,000.00 0 Rp 3,100.00 Rp - 96 Rp 3,100.00 Rp 297,600.00 204
97 Cefadroxil 500mg 5373 Rp 516.00 Rp 2,772,468.00 0 Rp 516.00 Rp - 692 Rp 516.00 Rp 357,072.00 4681
289 Rp 1,580.00 Rp 456,620.00 0 Rp 1,580.00 Rp - 31 Rp 1,580.00 Rp 48,980.00 258
113 Rp 1,050.00 Rp 118,650.00 0 Rp 1,050.00 Rp - 67 Rp 1,050.00 Rp 70,350.00 46
10 Epinefrin injeksi 31 Rp 8,100.00 Rp 251,100.00 10 Rp 8,100.00 Rp 81,000.00 40 Rp 8,100.00 Rp 324,000.00 1
1ml 111 Rp 3,417.00 Rp 379,287.00 0 Rp 3,417.00 Rp - 4 Rp 3,417.00 Rp 13,668.00 107
13 Furosemid injeksi 25 Rp 1,829.00 Rp 45,725.00 0 Rp 1,829.00 Rp - 0 Rp 1,829.00 Rp - 25
Rp 4,500.00 Rp 4,500.00 Rp 4,500.00
0 Rp - 0 Rp - 0 Rp - 0
Lidokain komp
25 ml 0 Rp 3,200.00 Rp - 0 Rp 3,200.00 Rp - 0 Rp 3,200.00 Rp - 0
25 ml 18 Rp 2,629.00 Rp 47,322.00 0 Rp 2,629.00 Rp - 0 Rp 2,629.00 Rp - 18
ml 0 Rp 1,476.80 Rp - 0 Rp 1,476.80 Rp - 0 Rp 1,476.80 Rp - 0
10ml 0 Rp 2,818.10 Rp - 0 Rp 2,818.10 Rp - 0 Rp 2,818.10 Rp - 0
29 Sefotaksim injeksi 1 gram 42 Rp 4,898.00 Rp 205,716.00 200 Rp 4,898.00 Rp 979,600.00 90 Rp 4,898.00 Rp 440,820.00 152
Rp 3,650.00 Rp 3,650.00 Rp 3,650.00
1000mg/ml 0 Rp - 0 Rp - 0 Rp - 0
112 Rp 2,950.00 Rp 330,400.00 0 Rp 2,950.00 Rp - 10 Rp 2,950.00 Rp 29,500.00 102
c. Salep 0 Rp - 0 Rp - 0 Rp - 0
3%) 160 Rp 1,904.40 Rp 304,704.00 0 Rp 1,904.40 Rp - 15 Rp 1,904.40 Rp 28,566.00 145
210 Rp 2,520.00 Rp 529,200.00 0 Rp 2,520.00 Rp - 49 Rp 2,520.00 Rp 123,480.00 161
e. Sirup 0 Rp - 0 Rp - 0 Rp - 0
206 Rp 3,955.00 Rp 814,730.00 0 Rp 3,955.00 Rp - 38 Rp 3,955.00 Rp 150,290.00 168
f. Tetes 0 Rp - 0 Rp - 0 Rp - 0
15ml 88 Rp 5,200.00 Rp 457,600.00 0 Rp 5,200.00 Rp - 0 Rp 5,200.00 Rp - 88
% 0 Rp 3,226.00 Rp - 0 Rp 3,226.00 Rp - 0 Rp 3,226.00 Rp - 0
6 Aqua pro injeksi, bebas pirogen 143 Rp 2,750.00 Rp 393,250.00 240 Rp 2,750.00 Rp 660,000.00 35 Rp 2,750.00 Rp 96,250.00 348
8 Blood Tranfusion set 100 Rp 27,830.00 Rp 2,783,000.00 50 Rp 27,830.00 Rp 1,391,500.00 11 Rp 27,830.00 Rp 306,130.00 139
2/0-3/0 68 Rp 2,323,560.00 0 Rp - 0 Rp - 68
3/0 59 Rp 2,108,660.00 0 Rp - 0 Rp - 59
27 Rp 24,000.00 Rp 648,000.00 0 Rp 24,000.00 Rp - 1 Rp 24,000.00 Rp 24,000.00 26
74 Rp 3,800.00 Rp 281,200.00 0 Rp 3,800.00 Rp - 18 Rp 3,800.00 Rp 68,400.00 56
141 Rp 800.00 Rp 112,800.00 0 Rp 800.00 Rp - 0 Rp 800.00 Rp - 141
50% 15 Rp 49,862.00 Rp 747,930.00 0 Rp 49,862.00 Rp - 0 Rp 49,862.00 Rp - 15
35 NGT 7 x 75/80 0 Rp - 0 Rp - 0 Rp - 0
0 Rp 18,085.67 Rp - 0 Rp 18,085.67 Rp - 0 Rp 18,085.67 Rp - 0
100 Rp 23,480.00 Rp 2,348,000.00 0 Rp 23,480.00 Rp - 0 Rp 23,480.00 Rp - 100
75 Rp 2,900.00 Rp 217,500.00 0 Rp 2,900.00 Rp - 7 Rp 2,900.00 Rp 20,300.00 68
4 Rp 5,998.00 Rp 23,992.00 0 Rp 5,998.00 Rp - 0 Rp 5,998.00 Rp - 4
5 Rp 18,000.00 Rp 90,000.00 0 Rp 18,000.00 Rp - 0 Rp 18,000.00 Rp - 5
INFUS 0 Rp - 0 Rp - 0 Rp - 0
1 Asering Larutan infus 0 Rp 9,275.00 Rp - 200 Rp 9,275.00 Rp 1,855,000.00 0 Rp 9,275.00 Rp - 200
2 Glukosa larutan infus 10 % steril 8 Rp 7,500.00 Rp 60,000.00 20 Rp 7,500.00 Rp 150,000.00 0 Rp 7,500.00 Rp - 28
7 Metronidazol infus 27 Rp 9,950.00 Rp 268,650.00 0 Rp 9,950.00 Rp - 27 Rp 9,950.00 Rp 268,650.00 0
steril 385 Rp 6,410.00 Rp 2,467,850.00 0 Rp 6,410.00 Rp - 6 Rp 6,410.00 Rp 38,460.00 379
9 Ringer Lactate infus steril 119 Rp 7,150.00 Rp 850,850.00 0 Rp 7,150.00 Rp - 69 Rp 7,150.00 Rp 493,350.00 50
4 Bufacomb 111 Rp 15,000.00 Rp 1,665,000.00 120 Rp 15,000.00 Rp 1,800,000.00 4 Rp 15,000.00 Rp 60,000.00 227
Rp 8,635.00 Rp 8,635.00 Rp 8,635.00
500 Rp 4,317,500.00 0 Rp - 500 Rp 4,317,500.00 0
15 Novalgin/Antrain injeksi 0 Rp 8,635.00Rp - 300 Rp 8,635.00Rp 2,590,500.00 118 Rp 8,635.00Rp 1,018,930.00 182
16 Noza /Demacolin 3995 Rp 362.00 Rp 1,446,190.00 0 Rp 362.00 Rp - 3036 Rp 362.00 Rp 1,099,032.00 959
67 Rp 3,575.00 Rp 239,525.00 0 Rp 3,575.00 Rp - 4 Rp 3,575.00 Rp 14,300.00 63
23 Hiopar 2215 Rp 1,360.00 Rp 3,012,400.00 0 Rp 1,360.00 Rp - 122 Rp 1,360.00 Rp 165,920.00 2093
24 Puralex 0 Rp 190.00 Rp - 1000 Rp 190.00 Rp 190,000.00 484 Rp 190.00 Rp 91,960.00 516
30 Dulcolax supp 5 mg (anak) 32 Rp 5,670.00 Rp 181,440.00 30 Rp 5,670.00 Rp 170,100.00 5 Rp 5,670.00 Rp 28,350.00 57
a. Alkes 0 Rp - 0 Rp - 0 Rp - 0
1 Anisol 0 Rp - 0 Rp - 0 Rp - 0
4 Corong 0 Rp - 0 Rp - 0 Rp - 0
8 Ose 0 Rp - 0 Rp - 0 Rp - 0
9 Pipet K 0 Rp - 0 Rp - 0 Rp - 0
10 Pipet 50 ml 0 Rp - 0 Rp - 0 Rp - 0
4 0 Rp - 0 Rp - 0 Rp - 0
d. Gigi 0 Rp - 0 Rp - 0 Rp - 0
2 Etil Klorida semprot 23 Rp 99,000.00 Rp 2,277,000.00 0 Rp 99,000.00 Rp - 0 Rp 99,000.00 Rp - 23
0 Rp - 0 Rp - 0 Rp - 0
e. Gizi 0 Rp - 0 Rp - 0 Rp - 0
33 Rp 14,200.00 Rp 468,600.00 0 Rp 14,200.00 Rp - 0 Rp 14,200.00 Rp - 33
227 Rp 5,209,650.00 0 Rp - 0 Rp - 227
4 Iodine test 10 Rp 31,650.00 Rp 316,500.00 0 Rp 31,650.00 Rp - 0 Rp 31,650.00 Rp - 10
f. Jiwa 0 Rp - 0 Rp - 0 Rp - 0
1 Amitriptilin HCL 25 mg 22 Rp 102.00 Rp 2,244.00 500 Rp 102.00 Rp 51,000.00 200 Rp 102.00 Rp 20,400.00 322
8 Haloperidol 5 mg 1880 Rp 96.00 Rp 180,480.00 0 Rp 96.00 Rp - 0 Rp 96.00 Rp - 1880
1 ml 0 Rp - 0 Rp - 0 Rp - 0
ml 0 Rp - 0 Rp - 0 Rp - 0
mg 975 Rp 140,400.00 1000 Rp 144,000.00 464 Rp 66,816.00 1511
570 Rp 38,760.00 0 Rp - 0 Rp - 570
0 Rp - 0 Rp - 0 Rp - 0
3204 Rp 304,380.00 0 Rp - 300 Rp 28,500.00 2904
drop) 0 Rp - 0 Rp - 0 Rp - 0
2 IU/vial 0 Rp - 0 Rp - 0 Rp - 0
3TC)150mg Rp 3,429.00 Rp 3,429.00 Rp 3,429.00
20 0 Rp - 0 Rp - 0 Rp - 0
21 0 Rp - 0 Rp - 0 Rp - 0
h. Kusta 0 Rp - 0 Rp - 0 Rp - 0
2 MB Anak 0 Rp - 0 Rp - 0 Rp - 0
4 PB Anak 0 Rp - 0 Rp - 0 Rp - 0
1 0,25mg 0 Rp 42.00 Rp - 0 Rp 42.00 Rp - 0 Rp 42.00 Rp - 0
3 ml 0 Rp - 0 Rp - 0 Rp - 0
Komb.
5 g) 0 Rp - 0 Rp - 0 Rp - 0
Rp 30,000.00 Rp 30,000.00 Rp 30,000.00
Artemeter injeksi
9 0 Rp 22,167.00 Rp - 0 Rp 22,167.00 Rp - 0 Rp 22,167.00 Rp - 0
Artesunat injeksi
10 0 Rp 25,063.00 Rp - 0 Rp 25,063.00 Rp - 0 Rp 25,063.00 Rp - 0
Tetrasiklin 250 mg
11 0 Rp 140.00 Rp - 0 Rp 140.00 Rp - 0 Rp 140.00 Rp - 0
Vit B Komplex tab
12 0 Rp 22.20 Rp - 0 Rp 22.20 Rp - 0 Rp 22.20 Rp - 0
2 Diazepam 2 mg 174 Rp 45.00 Rp 7,830.00 20 Rp 45.00 Rp 900.00 0 Rp 45.00 Rp - 194
0 Rp 1,980.00 Rp - 0 Rp 1,980.00 Rp - 0 Rp 1,980.00 Rp - 0
6 Kodein tablet 10mg 0 Rp 500.00 Rp - 500 Rp 500.00 Rp 250,000.00 80 Rp 500.00 Rp 40,000.00 420
14 Urea FS 0 Rp - 0 Rp - 0 Rp - 0
l. Serum 0 Rp - 0 Rp - 0 Rp - 0
ml(ABUI) 10 Rp 430,000.00 Rp 4,300,000.00 0 Rp 430,000.00 Rp - 3 Rp 430,000.00 Rp 1,290,000.00 7
m. TB Paru 0 Rp - 0 Rp - 0 Rp - 0
4 ( FDC ) 2 Rp 2,399,980.00 0 Rp - 0 Rp - 2
5 (FDC) 0 Rp - 0 Rp - 0 Rp - 0
6 ( FDC ) 10 Rp 3,599,900.00 5 Rp 1,799,950.00 11 Rp 3,959,890.00 4
1 Stik Hb 1 Rp - 0 Rp - 0 Rp - 1
5 hcg test 72 Rp - 0 Rp - 0 Rp - 72
8 Blue Tip 0 Rp - 0 Rp - 0 Rp - 0
SD HIV 347 Rp - 0 Rp - 0 Rp - 347
INTEC 66 Rp - 0 Rp - 0 Rp - 66
13 ATS 0 Rp - 0 Rp - 0 Rp - 0
17 USG Gel 6 Rp - 0 Rp - 0 Rp - 6
18 Jelly 3 Rp - 0 Rp - 0 Rp - 3
20 lomatul 48 Rp - 0 Rp - 0 Rp - 48
23 IV 26 50 Rp - 0 Rp - 0 Rp - 50
26 femal 16 10 Rp - 0 Rp - 0 Rp - 10
27 femal 18 10 Rp - 0 Rp - 0 Rp - 10
30 plester 7.5 46 Rp - 0 Rp - 46 Rp - 0
31 plester 2.5 34 Rp - 0 Rp - 34 Rp - 0
46 anelat 4423 Rp - 3000 Rp - 905 Rp - 6518
47 spalk 0 Rp - 0 Rp - 0 Rp - 0
48 spuit 0,05 0 Rp - 0 Rp - 0 Rp - 0
49 spuit 0,5 0 Rp - 0 Rp - 0 Rp - 0
50 reco tt 76 Rp - 0 Rp - 4 Rp - 72
51 masker n95 0 Rp - 0 Rp - 0 Rp - 0
56 laktobe 0 Rp - 100 Rp - 10 Rp - 90
60 Ternik Syr 0 Rp - 48 Rp - 1 Rp - 47
61 Farsil Syr 0 Rp - 48 Rp - 2 Rp - 46
62 Spuit 50 ml 0 Rp - 50 Rp - 0 Rp - 50
63 ketorolac inj 0 Rp - 12 Rp - 0 Rp - 12
64 dulcolac 10 mg 0 Rp - 100 Rp - 0 Rp - 100
65 whitbrand dewasa pink 0 Rp - 500 Rp - 0 Rp - 500
66 whitbrand dewasa blue 0 Rp - 500 Rp - 0 Rp - 500
67 whitbrand dewasa yellow 0 Rp - 100 Rp - 0 Rp - 100
68 whitbrand anak pink 0 Rp - 200 Rp - 0 Rp - 200
69 whitbrand anak blue 0 Rp - 200 Rp - 0 Rp - 200
70 whitbrand anak yellow 0 Rp - 100 Rp - 0 Rp - 100
71 Calporosis 0 Rp - 0 Rp - 0 Rp - 0

Lilin Sudarma
NIP.19790730 200604 2 017
KETERANGAN :
Saldo akhir Bulan
Harga
Jumlah
Satuan ( Rp. )
( Rp. )
Rp 13 14=12x13
Rp 3,255.00 Rp 2,258,970.00
Rp 86.00 Rp 423,722.00
Rp 200.00 Rp 238,000.00
Rp 113.00 Rp 618,449.00
Rp 105.00 Rp 862,890.00
Rp 80.00 Rp 22,640.00
Rp 195.00 Rp -
Rp 261.00 Rp 3,827,826.00
Rp 145.00 Rp -
Rp 62.00 Rp 978,112.00
Rp 3,045.00 Rp 374,535.00
Rp 135.00 Rp -
Rp 95.00 Rp 328,605.00
Rp 135.00 Rp 153,090.00
Rp 48.00 Rp -
Rp 106.00 Rp 4,374,832.00
Rp 148.00 Rp 49,284.00
Rp 237.00 Rp -
Rp 349.00 Rp 829,573.00
Rp 149.00 Rp 502,726.00
Rp 330.00 Rp -
Rp 181.00 Rp 260,821.00
Rp 44.00 Rp 1,138,280.00
Rp 97.00 Rp 59,752.00
Rp 134.00 Rp -
Rp 104.00 Rp 201,344.00
Rp 270.00 Rp -
Rp 167.00 Rp 357,380.00
Rp 47.00 Rp -
Rp 730.00 Rp 978,930.00
Rp 630.00 Rp 1,277,010.00
Rp 85.00 Rp 173,230.00
Rp 56.00 Rp 378,280.00
Rp 436.00 Rp 737,276.00
Rp 98.00 Rp 2,339,064.00
Rp 209.00 Rp -
Rp 149.00 Rp 107,876.00
Rp 395.00 Rp -
Rp 150.00 Rp 330,000.00
Rp 110.00 Rp 600,820.00
Rp 88.00 Rp 149,952.00
Rp 425.00 Rp -
Rp 63.00 Rp 307,692.00
Rp 84.00 Rp 1,660,344.00
Rp 62.00 Rp -
Rp 300.00 Rp 297,600.00
Rp 361.00 Rp 583,376.00
Rp 3,400.00 Rp 3,026,000.00
Rp 249.00 Rp 874,737.00
Rp 51.00 Rp 1,473,084.00
Rp 107.00 Rp -
Rp 52.08 Rp -
Rp 72.00 Rp -
Rp 151.00 Rp 786,710.00
Rp 495.00 Rp 59,895.00
Rp 448.00 Rp -
Rp 134.00 Rp -
Rp 225.00 Rp -
Rp 629.00 Rp -
Rp 113.00 Rp 209,163.00
Rp 205.00 Rp 709,095.00
Rp 154.00 Rp 101,332.00
Rp 108.00 Rp 126,360.00
Rp 110.00 Rp -
Rp 133.00 Rp 1,005,480.00
Rp 133.00 Rp 290,073.00
Rp 176.00 Rp 1,886,720.00
Rp 110.00 Rp -
Rp 480.00 Rp 119,040.00
Rp 211.00 Rp -
Rp 32.23 Rp -
Rp 56.00 Rp 1,574,216.00
Rp 298.00 Rp -
Rp 400.00 Rp 180,400.00
Rp 118.00 Rp 541,620.00
Rp 114.00 Rp 362,976.00
Rp 65.00 Rp 19,175.00
Rp 319.00 Rp -
Rp 120.00 Rp 515,400.00
Rp 59.00 Rp 512,297.00
Rp 89.00 Rp -
Rp 169.00 Rp 1,430,078.00
Rp 281.00 Rp 552,446.00
Rp 42.00
Rp 4,887,834.00
Rp 149.00 Rp -
Rp 310.00 Rp 29,450.00
Rp 672.00 Rp -
Rp 680.00 Rp 4,250,680.00
Rp 115.00 Rp 149,960.00
Rp 474.00 Rp 2,011,656.00
Rp 908.00 Rp -
Rp 315.00 Rp -
Rp 716.00 Rp 4,296.00
Rp 1,425.00 Rp -
Rp 85.00 Rp -
Rp 3,100.00 Rp 632,400.00
Rp 516.00 Rp 2,415,396.00
Rp 426.00 Rp -
Rp 603.00 Rp 489,636.00
Rp 679.00 Rp -
Rp -
Rp 3,822.00 Rp -
Rp 16,500.00 Rp 3,597,000.00
Rp 5,100.00 Rp -
Rp 8,400.00 Rp -
Rp 1,672.00 Rp 30,096.00
Rp 10,425.00 Rp 104,250.00
Rp 3,300.00 Rp -
Rp 1,580.00 Rp 407,640.00
Rp 1,050.00 Rp 48,300.00
Rp 8,100.00 Rp 8,100.00
Rp 3,417.00 Rp 365,619.00
Rp 8,250.00 Rp -
Rp 1,829.00 Rp 45,725.00
Rp 3,399.00 Rp -
Rp 4,500.00
Rp -
Rp 7,260.00 Rp -
Rp 1,845.00 Rp 1,621,755.00
Rp 3,200.00 Rp -
Rp 2,629.00 Rp 47,322.00
Rp 2,684.00 Rp 230,824.00
Rp 4,650.00 Rp -
Rp 1,476.80 Rp -
Rp 2,818.10 Rp -
Rp 1,900.00 Rp 366,700.00
Rp 1,650.00 Rp 544,500.00
Rp 5,000.00 Rp -
Rp 15,550.00 Rp -
Rp 1,390.00 Rp 775,620.00
Rp 4,898.00 Rp 744,496.00
Rp 1,098.00 Rp 146,034.00
Rp 3,650.00
Rp -
Rp 680.00Rp -
Rp 36,000.00 Rp -
Rp 2,950.00 Rp 300,900.00
Rp 7,190.00 Rp 143,800.00
Rp 7,190.00 Rp -
Rp -
Rp 1,904.40 Rp 276,138.00
Rp 839.00 Rp 15,102.00
Rp 2,516.00 Rp -
Rp 1,520.00 Rp 311,600.00
Rp 2,200.00 Rp -
Rp 2,970.00 Rp 11,880.00
Rp 2,600.00 Rp 130,000.00
Rp 2,798.00 Rp 318,972.00
Rp 2,569.00 Rp -
Rp 1,600.00 Rp -
Rp 3,000.00 Rp 255,000.00
Rp 2,520.00 Rp 405,720.00
Rp 1,499.00 Rp -
Rp 2,429.00 Rp 381,353.00
Rp -
Rp 288.00 Rp 4,623,552.00
Rp 1,250.00 Rp 72,500.00
Rp -
Rp 2,445.00 Rp 1,506,120.00
Rp 2,025.00 Rp 366,525.00
Rp 7,999.00 Rp 415,948.00
Rp 1,378.85 Rp -
Rp 6,700.00 Rp 33,500.00
Rp 4,499.00 Rp 3,873,639.00
Rp 3,955.00 Rp 664,440.00
Rp 2,140.00
Rp 716,900.00
Rp 3,534.00 Rp -
Rp 4,840.00 Rp 1,466,520.00
Rp 1,074.00 Rp 295,350.00
Rp -
Rp 9,950.00 Rp 2,925,300.00
Rp -
Rp 2,042.00 Rp 522,752.00
Rp 4,000.00 Rp -
Rp 900.00 Rp -
Rp 2,273.00 Rp -
Rp 5,500.00 Rp 357,500.00
Rp Rp
5,200.00 457,600.00
Rp 17,393.00 Rp -
Rp 3,226.00 Rp -
Rp -
Rp 1,540.00 Rp 891,660.00
Rp 792.00 Rp 4,329,072.00
Rp 979.00 Rp 1,362,768.00
Rp 1,790.00 Rp 282,820.00
Rp 19,680.00 Rp -
Rp 2,750.00 Rp 957,000.00
Rp 8,600.00 Rp -
Rp 27,830.00 Rp 3,868,370.00
Rp 34,170.00
Rp 2,323,560.00
Rp 35,740.00
Rp 2,108,660.00
Rp 10,400.00 Rp 873,600.00
Rp 2,500.00 Rp 77,500.00
Rp 22,990.00 Rp 68,970.00
Rp 8,000.00 Rp -
Rp Rp
8,000.00 80,000.00
Rp 35,620.00 Rp -
Rp 6,985.00 Rp 768,350.00
Rp 6,985.00 Rp 754,380.00
Rp 8,700.00 Rp 1,800,900.00
Rp 8,700.00 Rp -
Rp 8,700.00 Rp 1,644,300.00
Rp 8,700.00 Rp -
Rp 5,100.00 Rp 703,800.00
Rp 9,070.00 Rp 8,344,400.00
Rp 24,000.00 Rp 624,000.00
Rp 9,400.00 Rp -
Rp 6,363.00 Rp -
Rp 3,800.00 Rp 212,800.00
Rp 800.00 Rp 112,800.00
Rp 7,900.00 Rp 466,100.00
Rp 49,862.00 Rp 747,930.00
Rp -
Rp 16,500.00 Rp 1,336,500.00
Rp 19,800.00 Rp -
Rp -
Rp 3,960.00 Rp -
Rp 770.00 Rp -
Rp 18,085.67 Rp -
Rp 2,242.10 Rp -
Rp 2,550.00 Rp 193,800.00
Rp 23,480.00 Rp 2,348,000.00
Rp -
Rp 5,500.00 Rp 203,500.00
Rp 1,400.00 Rp -
Rp 2,900.00 Rp 197,200.00
Rp 5,998.00 Rp 23,992.00
Rp 18,000.00 Rp 90,000.00
Rp 74,494.00 Rp 744,940.00
Rp 39,217.00 Rp 39,217.00
Rp 149,158.00 Rp 745,790.00
Rp 667.80 Rp -
Rp 51,426.00 Rp 257,130.00
Rp 51,426.00 Rp 257,130.00
Rp 1,045.00 Rp 104,500.00
Rp 4,620.00 Rp 656,040.00
Rp 6,600.00 Rp 739,200.00
Rp 6,600.00 Rp 745,800.00
Rp 6,600.00 Rp -
Rp 580,000.00 Rp 4,640,000.00
Rp 65,000.00 Rp -
Rp 1,629.00 Rp -
Rp 26,950.00 Rp -
Rp 7,370.00 Rp 29,480.00
Rp 7,370.00 Rp 29,480.00
Rp -
Rp 9,275.00 Rp 1,855,000.00
Rp 7,500.00 Rp 210,000.00
Rp 5,700.00 Rp -
Rp 6,900.00 Rp 2,290,800.00
Rp 10,050.00 Rp -
Rp 15,730.00 Rp -
Rp 9,950.00 Rp -
Rp 6,410.00 Rp 2,429,390.00
Rp Rp
7,150.00 357,500.00
Rp -
Rp 23,100.00 Rp -
Rp 14,175.00 Rp -
Rp 5,800.00 Rp 498,800.00
Rp 15,000.00 Rp 3,405,000.00
Rp 15,750.00 Rp -
Rp 27,250.00 Rp -
Rp 15,000.00 Rp -
Rp 12,450.00 Rp -
Rp 5,078.85 Rp -
Rp 5,000.00 Rp 350,000.00
Rp 550.00 Rp 165,000.00
Rp 8,635.00
Rp -
Rp 14,500.00 Rp -
Rp 4,300.00Rp 356,900.00
Rp 8,635.00Rp 1,571,570.00
Rp 362.00 Rp 347,158.00
Rp 3,575.00 Rp 225,225.00
Rp -
Rp 2,590.00 Rp -
Rp 12,155.00 Rp -
Rp 450.00 Rp -
Rp 5,867.00 Rp -
Rp 1,360.00 Rp 2,846,480.00
Rp 190.00 Rp 98,040.00
Rp 6,600.00 Rp -
Rp 14,980.00 Rp -
Rp 148.00 Rp 66,600.00
Rp 424.00 Rp -
Rp 4,995.00 Rp 799,200.00
Rp 5,670.00 Rp 323,190.00
Rp 3,091.00 Rp 34,001.00
Rp 11,500.00 Rp 115,000.00
Rp 1,007.00 Rp 5,975,538.00
Rp 850.00 Rp -
Rp 737.00 Rp 459,888.00
Rp 4,620.00 Rp 184,800.00
Rp 1,100.00 Rp -
Rp 16,500.00 Rp -
Rp -
Rp -
Rp -
Rp -
Rp 104,000.00 Rp -
Rp -
Rp 150,000.00 Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
1655,55 #VALUE!
Rp -
Rp 240,450.00 Rp -
Rp 226,550.00 Rp -
Rp -
Rp 344.00 Rp 10,950,896.00
Rp 1,520.00 Rp -
Rp 136.00 Rp -
Rp 51.00
Rp -
Rp 3,000.00 Rp -
Rp 298.00 Rp -
Rp 107.00 Rp -
Rp -
Rp 13,000.00 Rp -
Rp -
Rp -
Rp 99,000.00 Rp 2,277,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 14,200.00 Rp 468,600.00
Rp 22,950.00
Rp 5,209,650.00
Rp 2,695.00 Rp -
Rp 31,650.00 Rp 316,500.00
Rp -
Rp 102.00 Rp 32,844.00
Rp 900.00 Rp -
Rp 20,250.00 Rp 60,750,000.00
Rp 133.00 Rp 46,550.00
Rp 93.00 Rp -
Rp 83,333.00 Rp -
Rp 69.00 Rp -
Rp 96.00 Rp 180,480.00
Rp 245.00 Rp -
Rp 1,021.00
Rp -
Rp 950.00
Rp -
Rp 144.00
Rp 217,584.00
Rp 68.00
Rp 38,760.00
Rp -
Rp 1,008.00 Rp 2,872,800.00
Rp 55,000.00
Rp -
Rp 405.00 Rp -
Rp 95.00
Rp 275,880.00
Rp 1,550.00 Rp -
Rp 423.00 Rp -
Rp 88.00 Rp -
Rp 16,500.00
Rp -
Rp 479.00 Rp 332,905.00
Rp -
Rp 8,935.00 Rp -
Rp 12,185.00
Rp -
Rp 250.00 Rp -
Rp -
Rp 270.00 Rp -
Rp 930.00 Rp -
Rp -
Rp 18,000.00 Rp -
Rp -
Rp 1,000.00 Rp -
Rp -
Rp -
Rp -
Rp 1,583.00 Rp -
Rp 1,400.00 Rp -
Rp -
Rp 2,800.00 Rp -
Rp -
Rp -
Rp 3,429.00
Rp -
Rp 12,210.00
Rp -
Rp 4,500.00 Rp -
Rp 590.00 Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 42.00 Rp -
Rp 107.00 Rp -
Rp 4,227.00
Rp -
Rp 610.29 Rp -
Rp 473.00
Rp -
Rp 114.00 Rp -
Rp 74.00 Rp -
Rp 30,000.00
Rp -
Rp 22,167.00 Rp -
Rp 25,063.00 Rp -
Rp 140.00 Rp -
Rp 22.20 Rp -
Rp -
Rp 4,180.00 Rp -
Rp 45.00 Rp 8,730.00
Rp -
Rp 1,980.00 Rp -
Rp 62.00 Rp -
Rp 500.00 Rp 210,000.00
Rp 11,517.00 Rp 253,374.00
Rp 233.00 Rp -
Rp 16,742.00 Rp 100,452.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 430,000.00 Rp 3,010,000.00
Rp 429,550.00 Rp -
Rp 115,000.00 Rp 1,150,000.00
Rp -
Rp 293.00 Rp 58,600.00
Rp -
Rp 214,900.00 Rp 214,900.00
###
Rp 2,399,980.00
Rp 154,000.00
Rp -
Rp 359,990.00
Rp 1,439,960.00
Rp 160,000.00 Rp 960,000.00
Rp 19,500.00 Rp -
Rp -
Rp 1,750.00 Rp 145,250.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 5,000.00 Rp -
Rp 4,850.00 Rp 121,250.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 8,912.00 Rp 1,951,728.00
Rp 103,500.00 Rp 517,500.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 800,000.00 Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
#VALUE!
n Sudarmanisati
9611114 199103 2 001
UPT PUSKESMAS DAU
BULAN: OKTOBER TAHUN ANGGARAN 2018

( Rp. ) ( Rp. ) ( Rp. )
1 2 3 Rp 4 5=3x4 6 Rp 7 8=6x7 9 Rp 10 11=9x10 12
a. Tablet/Kapsul
5 Amlodipin 5 mg 8218 Rp 105.00 Rp 862,890.00 0 Rp 105.00 Rp - 570 Rp 105.00 Rp 59,850.00 7648
8 Amoksilin 500 mg 14666 Rp 261.00 Rp 3,827,826.00 20000 Rp 261.00 Rp 5,220,000.00 4194 Rp 261.00 Rp 1,094,634.00 30472
200mg) 15776 Rp 62.00 Rp 978,112.00 5000 Rp 62.00 Rp 310,000.00 2260 Rp 62.00 Rp 140,120.00 18516
g) 123 Rp 3,045.00 Rp 374,535.00 0 Rp 3,045.00 Rp - 3 Rp 3,045.00 Rp 9,135.00 120
21 Bisoprolol tablet 5 mg 0 Rp 330.00 Rp - 300 Rp 330.00 Rp 99,000.00 115 Rp 330.00 Rp 37,950.00 185
22 Cetirizin 10mg 1441 Rp 181.00 Rp 260,821.00 1240 Rp 181.00 Rp 224,440.00 662 Rp 181.00 Rp 119,822.00 2019
23 Deksametason 0,5 mg 25870 Rp 44.00 Rp 1,138,280.00 19800 Rp 44.00 Rp 871,200.00 2184 Rp 44.00 Rp 96,096.00 43486
28 Domperidon tablet 10 mg 2140 Rp 167.00 Rp 357,380.00 1500 Rp 167.00 Rp 250,500.00 298 Rp 167.00 Rp 49,766.00 3342
30 Eritromisin 500mg 1341 Rp 730.00 Rp 978,930.00 0 Rp 730.00 Rp - 385 Rp 730.00 Rp 281,050.00 956
34 Glimepiride tablet 2 mg 1691 Rp 436.00 Rp 737,276.00 1250 Rp 436.00 Rp 545,000.00 679 Rp 436.00 Rp 296,044.00 2262
1704 Rp 88.00 Rp 149,952.00 0 Rp 88.00 Rp - 100 Rp 88.00 Rp 8,800.00 1604
46 Ketokonazol 200mg tablet 992 Rp 300.00 Rp 297,600.00 2000 Rp 300.00 Rp 600,000.00 540 Rp 300.00 Rp 162,000.00 2452
28884 Rp 51.00 Rp 1,473,084.00 0 Rp 51.00 Rp - 3991 Rp 51.00 Rp 203,541.00 24893
Kotrimoksazol anak

80mg
5210 Rp 151.00 Rp 786,710.00 5000 Rp 151.00 Rp 755,000.00 736 Rp 151.00 Rp 111,136.00 9474
57 Loratadin tablet 10 mg 0 Rp 134.00 Rp - 2000 Rp 134.00 Rp 268,000.00 0 Rp 134.00 Rp - 2000
60 Metformin 500mg tablet 1851 Rp 113.00 Rp 209,163.00 3000 Rp 113.00 Rp 339,000.00 712 Rp 113.00 Rp 80,456.00 4139
61 Metil Prednisolon 4 mg 3459 Rp 205.00 Rp 709,095.00 2000 Rp 205.00 Rp 410,000.00 382 Rp 205.00 Rp 78,310.00 5077
658 Rp 154.00 Rp 101,332.00 1000 Rp 154.00 Rp 154,000.00 70 Rp 154.00 Rp 10,780.00 1588
65 Metronidazol 500mg 7560 Rp 133.00 Rp 1,005,480.00 2000 Rp 133.00 Rp 266,000.00 729 Rp 133.00 Rp 96,957.00 8831
248 Rp 480.00 Rp 119,040.00 0 Rp 480.00 Rp - 33 Rp 480.00 Rp 15,840.00 215
70 Omeprazole 20mg 0 Rp 211.00 Rp - 5820 Rp 211.00 Rp 1,228,020.00 710 Rp 211.00 Rp 149,810.00 5110
72 Parasetamol 500 mg 28111 Rp 56.00 Rp 1,574,216.00 16500 Rp 56.00 Rp 924,000.00 4864 Rp 56.00 Rp 272,384.00 39747
4590 Rp 118.00 Rp 541,620.00 1000 Rp 118.00 Rp 118,000.00 404 Rp 118.00 Rp 47,672.00 5186
79 Ranitidin tablet 150 mg 4295 Rp 120.00 Rp 515,400.00 5000 Rp 120.00 Rp 600,000.00 1115 Rp 120.00 Rp 133,800.00 8180
82 Simvastatin 10 mg 8462 Rp 169.00 Rp 1,430,078.00 6000 Rp 169.00 Rp 1,014,000.00 1827 Rp 169.00 Rp 308,763.00 12635
0,25mg 116377 Rp 4,887,834.00 0 Rp - 4890 Rp 205,380.00 111487
89 Vitamin B Kompleks 1304 Rp 115.00 Rp 149,960.00 3000 Rp 115.00 Rp 345,000.00 1890 Rp 115.00 Rp 217,350.00 2414
90 Zinc 10 mg 4244 Rp 474.00 Rp 2,011,656.00 2000 Rp 474.00 Rp 948,000.00 794 Rp 474.00 Rp 376,356.00 5450
91 Acarbose 100 mg 0 Rp 908.00 Rp - 300 Rp 908.00 Rp 272,400.00 0 Rp 908.00 Rp - 300
1 Aminofilina 24 mg/ml - 10 ml 0 Rp 3,822.00 Rp - 0 Rp 3,822.00 Rp - 0 Rp 3,822.00 Rp - 0
2 Amoksisilin 1000mg 218 Rp 16,500.00 Rp 3,597,000.00 0 Rp 16,500.00 Rp - 0 Rp 16,500.00 Rp - 218
258 Rp 1,580.00 Rp 407,640.00 0 Rp 1,580.00 Rp - 45 Rp 1,580.00 Rp 71,100.00 213
46 Rp 1,050.00 Rp 48,300.00 0 Rp 1,050.00 Rp - 4 Rp 1,050.00 Rp 4,200.00 42
1ml 107 Rp 3,417.00 Rp 365,619.00 0 Rp 3,417.00 Rp - 9 Rp 3,417.00 Rp 30,753.00 98
Rp 4,500.00 Rp 4,500.00 Rp 4,500.00
0 Rp - 0 Rp - 0 Rp - 0
Lidokain komp
25 ml 0 Rp 3,200.00 Rp - 0 Rp 3,200.00 Rp - 0 Rp 3,200.00 Rp - 0
25 ml 18 Rp 2,629.00 Rp 47,322.00 0 Rp 2,629.00 Rp - 0 Rp 2,629.00 Rp - 18
ml 0 Rp 1,476.80 Rp - 0 Rp 1,476.80 Rp - 0 Rp 1,476.80 Rp - 0
10ml 0 Rp 2,818.10 Rp - 0 Rp 2,818.10 Rp - 0 Rp 2,818.10 Rp - 0
29 Sefotaksim injeksi 1 gram 152 Rp 4,898.00 Rp 744,496.00 300 Rp 4,898.00 Rp 1,469,400.00 140 Rp 4,898.00 Rp 685,720.00 312
Rp 3,650.00 Rp 3,650.00 Rp 3,650.00
1000mg/ml 0 Rp - 0 Rp - 0 Rp - 0
102 Rp 2,950.00 Rp 300,900.00 0 Rp 2,950.00 Rp - 20 Rp 2,950.00 Rp 59,000.00 82
c. Salep 0 Rp - 0 Rp - 0 Rp - 0
3%) 145 Rp 1,904.40 Rp 276,138.00 0 Rp 1,904.40 Rp - 21 Rp 1,904.40 Rp 39,992.40 124
6 Gentamisin salep kulit 0.1%-5gr 4 Rp 2,970.00 Rp 11,880.00 0 Rp 2,970.00 Rp - 0 Rp 2,970.00 Rp - 4
11 Miconazol cream 2 % 85 Rp 3,000.00 Rp 255,000.00 0 Rp 3,000.00 Rp - 0 Rp 3,000.00 Rp - 85
161 Rp 2,520.00 Rp 405,720.00 0 Rp 2,520.00 Rp - 24 Rp 2,520.00 Rp 60,480.00 137
+Belerang endap4% 157 Rp 2,429.00 Rp 381,353.00 48 Rp 2,429.00 Rp 116,592.00 12 Rp 2,429.00 Rp 29,148.00 193
2 Salisil Bedak 2 % 58 Rp 1,250.00 Rp 72,500.00 100 Rp 1,250.00 Rp 125,000.00 38 Rp 1,250.00 Rp 47,500.00 120
e. Sirup 0 Rp - 0 Rp - 0 Rp - 0
6 Ibuprofen suspensi 100mg/5ml 861 Rp 4,499.00 Rp 3,873,639.00 100 Rp 4,499.00 Rp 449,900.00 1 Rp 4,499.00 Rp 4,499.00 960
168 Rp 3,955.00 Rp 664,440.00 0 Rp 3,955.00 Rp - 30 Rp 3,955.00 Rp 118,650.00 138
f. Tetes 0 Rp - 0 Rp - 0 Rp - 0
1 Fenol Gliserol tetes telinga 10 % 256 Rp 2,042.00 Rp 522,752.00 0 Rp 2,042.00 Rp - 3 Rp 2,042.00 Rp 6,126.00 253
15ml 88 Rp 5,200.00 Rp 457,600.00 0 Rp 5,200.00 Rp - 0 Rp 5,200.00 Rp - 88
% 0 Rp 3,226.00 Rp - 0 Rp 3,226.00 Rp - 0 Rp 3,226.00 Rp - 0
5 Alkohol swab 0 Rp 19,680.00 Rp - 500 Rp 19,680.00 Rp 9,840,000.00 200 Rp 19,680.00 Rp 3,936,000.00 300
2/0-3/0 68 Rp 2,323,560.00 0 Rp - 1 Rp 34,170.00 67
3/0 59 Rp 2,108,660.00 0 Rp - 12 Rp 428,880.00 47
14 Foley Catheter no.16 0 Rp 8,000.00 Rp - 50 Rp 8,000.00 Rp 400,000.00 0 Rp 8,000.00 Rp - 50
26 Rp 24,000.00 Rp 624,000.00 0 Rp 24,000.00 Rp - 5 Rp 24,000.00 Rp 120,000.00 21
56 Rp 3,800.00 Rp 212,800.00 0 Rp 3,800.00 Rp - 8 Rp 3,800.00 Rp 30,400.00 48
141 Rp 800.00 Rp 112,800.00 0 Rp 800.00 Rp - 1 Rp 800.00 Rp 800.00 140
50% 15 Rp 49,862.00 Rp 747,930.00 0 Rp 49,862.00 Rp - 3 Rp 49,862.00 Rp 149,586.00 12
35 NGT 7 x 75/80 0 Rp - 0 Rp - 0 Rp - 0
0 Rp 18,085.67 Rp - 0 Rp 18,085.67 Rp - 0 Rp 18,085.67 Rp - 0
40 Rivanol larutan 0,1 % 300ml 76 Rp 2,550.00 Rp 193,800.00 20 Rp 2,550.00 Rp 51,000.00 2 Rp 2,550.00 Rp 5,100.00 94
100 Rp 23,480.00 Rp 2,348,000.00 0 Rp 23,480.00 Rp - 0 Rp 23,480.00 Rp - 100
68 Rp 2,900.00 Rp 197,200.00 0 Rp 2,900.00 Rp - 6 Rp 2,900.00 Rp 17,400.00 62
4 Rp 5,998.00 Rp 23,992.00 0 Rp 5,998.00 Rp - 0 Rp 5,998.00 Rp - 4
5 Rp 18,000.00 Rp 90,000.00 0 Rp 18,000.00 Rp - 0 Rp 18,000.00 Rp - 5
INFUS 0 Rp - 0 Rp - 0 Rp - 0
1 Asering Larutan infus 200 Rp 9,275.00 Rp 1,855,000.00 0 Rp 9,275.00 Rp - 40 Rp 9,275.00 Rp 371,000.00 160
steril 379 Rp Rp
6,410.00 2,429,390.00 0 Rp Rp
6,410.00 - 58 Rp Rp
6,410.00 371,780.00 321
9 Ringer Lactate infus steril 50 Rp 7,150.00 Rp 357,500.00 0 Rp 7,150.00 Rp - 0 Rp 7,150.00 Rp - 50
4 Bufacomb 227 Rp 15,000.00 Rp 3,405,000.00 0 Rp 15,000.00 Rp - 9 Rp 15,000.00 Rp 135,000.00 218
Rp 8,635.00 Rp 8,635.00 Rp 8,635.00
0 Rp - 0 Rp - 0 Rp - 0
15 Novalgin/Antrain injeksi 182 Rp 8,635.00Rp 1,571,570.00 0 Rp 8,635.00Rp - 182 Rp 8,635.00Rp 1,571,570.00 0
16 Noza /Demacolin 959 Rp 362.00 Rp 347,158.00 0 Rp 362.00 Rp - 844 Rp 362.00 Rp 305,528.00 115
63 Rp 3,575.00 Rp 225,225.00 0 Rp 3,575.00 Rp - 0 Rp 3,575.00 Rp - 63
23 Hiopar 2093 Rp 1,360.00 Rp 2,846,480.00 0 Rp 1,360.00 Rp - 162 Rp 1,360.00 Rp 220,320.00 1931
24 Puralex 516 Rp 190.00 Rp 98,040.00 2500 Rp 190.00 Rp 475,000.00 775 Rp 190.00 Rp 147,250.00 2241
29 Combiven nebulizer 160 Rp 4,995.00 Rp 799,200.00 0 Rp 4,995.00 Rp - 20 Rp 4,995.00 Rp 99,900.00 140
33 Chloramex 500mg 5934 Rp 1,007.00 Rp 5,975,538.00 2000 Rp 1,007.00 Rp 2,014,000.00 511 Rp 1,007.00 Rp 514,577.00 7423
a. Alkes 0 Rp - 0 Rp - 0 Rp - 0
1 Anisol 0 Rp - 0 Rp - 0 Rp - 0
4 Corong 0 Rp - 0 Rp - 0 Rp - 0
8 Ose 0 Rp - 0 Rp - 0 Rp - 0
9 Pipet K 0 Rp - 0 Rp - 0 Rp - 0
10 Pipet 50 ml 0 Rp - 0 Rp - 0 Rp - 0
4 0 Rp - 0 Rp - 0 Rp - 0
d. Gigi 0 Rp - 0 Rp - 0 Rp - 0
2 Etil Klorida semprot 23 Rp 99,000.00 Rp 2,277,000.00 0 Rp 99,000.00 Rp - 0 Rp 99,000.00 Rp - 23
0 Rp - 0 Rp - 0 Rp - 0
e. Gizi 0 Rp - 0 Rp - 0 Rp - 0
33 Rp 14,200.00 Rp 468,600.00 0 Rp 14,200.00 Rp - 0 Rp 14,200.00 Rp - 33
227 Rp 5,209,650.00 0 Rp - 0 Rp - 227
f. Jiwa 0 Rp - 0 Rp - 0 Rp - 0
1 Amitriptilin HCL 25 mg 322 Rp 102.00 Rp 32,844.00 0 Rp 102.00Rp - 47 Rp 102.00Rp 4,794.00 275
2 Clobazam 10mg tab 0 Rp 900.00 Rp - 0 Rp 900.00Rp - 0 Rp 900.00Rp - 0
6 Haldol decanoat 50mg/ml inj 0 Rp 83,333.00Rp - 0 Rp 83,333.00Rp - 0 Rp 83,333.00Rp - 0
8 Haloperidol 5 mg 1880 Rp 96.00 Rp 180,480.00 0 Rp 96.00 Rp - 0 Rp 96.00 Rp - 1880
1 ml 0 Rp - 0 Rp - 0 Rp - 0
ml 0 Rp - 0 Rp - 0 Rp - 0
mg 1511 Rp 217,584.00 0 Rp - 180 Rp 25,920.00 1331
570 Rp 38,760.00 0 Rp - 0 Rp - 570
0 Rp - 0 Rp - 0 Rp - 0
2904 Rp 275,880.00 0 Rp - 420 Rp 39,900.00 2484
drop) 0 Rp - 0 Rp - 0 Rp - 0
2 IU/vial 0 Rp - 0 Rp - 0 Rp - 0
3TC)150mg Rp 3,429.00 Rp 3,429.00 Rp 3,429.00
20 0 Rp - 0 Rp - 0 Rp - 0
21 0 Rp - 0 Rp - 0 Rp - 0
22 Azithromycin 0 Rp 4,500.00 Rp - 0 Rp 4,500.00 Rp - 0 Rp 4,500.00Rp - 0
h. Kusta 0 Rp - 0 Rp - 0 Rp - 0
2 MB Anak 0 Rp - 0 Rp - 0 Rp - 0
4 PB Anak 0 Rp - 0 Rp - 0 Rp - 0
1 0,25mg 0 Rp 42.00 Rp - 0 Rp 42.00 Rp - 0 Rp 42.00 Rp - 0
3 ml 0 Rp - 0 Rp - 0 Rp - 0
Komb.
5 g) 0 Rp - 0 Rp - 0 Rp - 0
Rp 30,000.00 Rp 30,000.00 Rp 30,000.00
Artemeter injeksi
9 0 Rp 22,167.00 Rp - 0 Rp 22,167.00 Rp - 0 Rp 22,167.00 Rp - 0
Artesunat injeksi
10 0 Rp 25,063.00 Rp - 0 Rp 25,063.00 Rp - 0 Rp 25,063.00 Rp - 0
Tetrasiklin 250 mg
11 0 Rp 140.00 Rp - 0 Rp 140.00 Rp - 0 Rp 140.00 Rp - 0
Vit B Komplex tab
12 0 Rp 22.20 Rp - 0 Rp 22.20 Rp - 0 Rp 22.20 Rp - 0
0 Rp 1,980.00 Rp - 0 Rp 1,980.00 Rp - 0 Rp 1,980.00 Rp - 0
7 Stesolid rectal supp 5 mg 22 Rp 11,517.00 Rp 253,374.00 0 Rp 11,517.00 Rp - 6 Rp 11,517.00 Rp 69,102.00 16
8 Alprazolam 1mg 0 Rp 233.00 Rp - 0 Rp 233.00 Rp - 0 Rp 233.00 Rp - 0
14 Urea FS 0 Rp - 0 Rp - 0 Rp - 0
l. Serum 0 Rp - 0 Rp - 0 Rp - 0
m. TB Paru 0 Rp - 0 Rp - 0 Rp - 0
4 ( FDC ) 2 Rp 2,399,980.00 0 Rp - 0 Rp - 2
5 (FDC) 0 Rp - 0 Rp - 0 Rp - 0
6 ( FDC ) 4 Rp 1,439,960.00 0 Rp - 0 Rp - 4
1 Stik Hb 1 Rp - 0 Rp - 0 Rp - 1
5 hcg test 72 Rp - 0 Rp - 0 Rp - 72
8 Blue Tip 0 Rp - 0 Rp - 0 Rp - 0
SD HIV 347 Rp - 0 Rp - 0 Rp - 347
INTEC 66 Rp - 0 Rp - 0 Rp - 66
13 ATS 0 Rp - 0 Rp - 0 Rp - 0
17 USG Gel 6 Rp - 0 Rp - 0 Rp - 6
18 Jelly 3 Rp - 0 Rp - 0 Rp - 3
20 lomatul 48 Rp - 0 Rp - 0 Rp - 48
23 IV 26 50 Rp - 0 Rp - 0 Rp - 50
26 femal 16 10 Rp - 0 Rp - 0 Rp - 10
27 femal 18 10 Rp - 0 Rp - 0 Rp - 10
30 plester 7.5 0 Rp - 0 Rp - 0 Rp - 0
31 plester 2.5 0 Rp - 0 Rp - 0 Rp - 0
46 anelat 6518 Rp - 0 Rp - 1083 Rp - 5435
47 spalk 0 Rp - 0 Rp - 0 Rp - 0
48 spuit 0,05 0 Rp - 0 Rp - 0 Rp - 0
49 spuit 0,5 0 Rp - 0 Rp - 0 Rp - 0
50 reco tt 72 Rp - 30 Rp - 0 Rp - 102
51 masker n95 0 Rp - 0 Rp - 0 Rp - 0
56 laktobe 90 Rp - 0 Rp - 30 Rp - 60
62 Spuit 50 ml 50 Rp - 0 Rp - 0 Rp - 50

Lilin Sudarma
NIP.19790730 200604 2 017
KETERANGAN :
Saldo akhir Bulan
Harga
Jumlah
Satuan ( Rp. )
( Rp. )
Rp 13 14=12x13
Rp 3,255.00 Rp 1,868,370.00
Rp 86.00 Rp 386,656.00
Rp 200.00 Rp 238,000.00
Rp 113.00 Rp 486,239.00
Rp 105.00 Rp 803,040.00
Rp 80.00 Rp 8,000.00
Rp 195.00 Rp -
Rp 261.00 Rp 7,953,192.00
Rp 145.00 Rp -
Rp 62.00 Rp 1,147,992.00
Rp 3,045.00 Rp 365,400.00
Rp 135.00 Rp -
Rp 95.00 Rp 272,080.00
Rp 135.00 Rp 153,090.00
Rp 48.00 Rp -
Rp 106.00 Rp 4,159,440.00
Rp 148.00 Rp 49,284.00
Rp 237.00 Rp -
Rp 349.00 Rp 563,984.00
Rp 149.00 Rp 425,991.00
Rp 330.00 Rp 61,050.00
Rp 181.00 Rp 365,439.00
Rp 44.00 Rp 1,913,384.00
Rp 97.00 Rp 59,752.00
Rp 134.00 Rp -
Rp 104.00 Rp 201,344.00
Rp 270.00 Rp -
Rp 167.00 Rp 558,114.00
Rp 47.00 Rp -
Rp 730.00 Rp 697,880.00
Rp 630.00 Rp 1,081,080.00
Rp 85.00 Rp 173,230.00
Rp 56.00 Rp 329,392.00
Rp 436.00 Rp 986,232.00
Rp 98.00 Rp 2,033,696.00
Rp 209.00 Rp -
Rp 149.00 Rp 69,583.00
Rp 395.00 Rp -
Rp 150.00 Rp 330,000.00
Rp 110.00 Rp 673,090.00
Rp 88.00 Rp 141,152.00
Rp 425.00 Rp -
Rp 63.00 Rp 223,461.00
Rp 84.00 Rp 1,553,916.00
Rp 62.00 Rp -
Rp 300.00 Rp 735,600.00
Rp 361.00 Rp 550,886.00
Rp 3,400.00 Rp 2,176,000.00
Rp 249.00 Rp 874,737.00
Rp 51.00 Rp 1,269,543.00
Rp 107.00 Rp -
Rp 52.08 Rp -
Rp 72.00 Rp -
Rp 151.00 Rp 1,430,574.00
Rp 495.00 Rp 118,305.00
Rp 448.00 Rp -
Rp 134.00 Rp 268,000.00
Rp 225.00 Rp -
Rp 629.00 Rp -
Rp 113.00 Rp 467,707.00
Rp 205.00 Rp 1,040,785.00
Rp 154.00 Rp 244,552.00
Rp 108.00 Rp 92,340.00
Rp 110.00 Rp -
Rp 133.00 Rp 1,174,523.00
Rp 133.00 Rp 290,073.00
Rp 176.00 Rp 1,658,976.00
Rp 110.00 Rp -
Rp 480.00 Rp 103,200.00
Rp 211.00 Rp 1,078,210.00
Rp 32.23 Rp -
Rp 56.00 Rp 2,225,832.00
Rp 298.00 Rp -
Rp 400.00 Rp 171,600.00
Rp 118.00 Rp 611,948.00
Rp 114.00 Rp 340,176.00
Rp 65.00 Rp 11,700.00
Rp 319.00 Rp -
Rp 120.00 Rp 981,600.00
Rp 59.00 Rp 487,871.00
Rp 89.00 Rp -
Rp 169.00 Rp 2,135,315.00
Rp 281.00 Rp 413,632.00
Rp 42.00
Rp 4,682,454.00
Rp 149.00 Rp -
Rp 310.00 Rp 29,450.00
Rp 672.00 Rp -
Rp 680.00 Rp 3,639,360.00
Rp 115.00 Rp 277,610.00
Rp 474.00 Rp 2,583,300.00
Rp 908.00 Rp 272,400.00
Rp 315.00 Rp -
Rp 716.00 Rp 4,296.00
Rp 1,425.00 Rp -
Rp 85.00 Rp -
Rp 3,100.00 Rp 260,400.00
Rp 516.00 Rp 2,193,516.00
Rp 426.00 Rp -
Rp 603.00 Rp 489,636.00
Rp 679.00 Rp -
Rp -
Rp 3,822.00 Rp -
Rp 16,500.00 Rp 3,597,000.00
Rp 5,100.00 Rp -
Rp 8,400.00 Rp -
Rp 1,672.00 Rp 30,096.00
Rp 10,425.00 Rp 104,250.00
Rp 3,300.00 Rp -
Rp 1,580.00 Rp 336,540.00
Rp 1,050.00 Rp 44,100.00
Rp 8,100.00 Rp 8,100.00
Rp 3,417.00 Rp 334,866.00
Rp 8,250.00 Rp -
Rp 1,829.00 Rp 45,725.00
Rp 3,399.00 Rp -
Rp 4,500.00
Rp -
Rp 7,260.00 Rp -
Rp 1,845.00 Rp 1,571,940.00
Rp 3,200.00 Rp -
Rp 2,629.00 Rp 47,322.00
Rp 2,684.00 Rp 201,300.00
Rp 4,650.00 Rp -
Rp 1,476.80 Rp -
Rp 2,818.10 Rp -
Rp 1,900.00 Rp 361,000.00
Rp 1,650.00 Rp 206,250.00
Rp 5,000.00 Rp -
Rp 15,550.00 Rp -
Rp 1,390.00 Rp 525,420.00
Rp 4,898.00 Rp 1,528,176.00
Rp 1,098.00 Rp 95,526.00
Rp 3,650.00
Rp -
Rp 680.00Rp -
Rp 36,000.00 Rp -
Rp 2,950.00 Rp 241,900.00
Rp 7,190.00 Rp 143,800.00
Rp 7,190.00 Rp -
Rp -
Rp 1,904.40 Rp 236,145.60
Rp 839.00 Rp 11,746.00
Rp 2,516.00 Rp -
Rp 1,520.00 Rp 270,560.00
Rp 2,200.00 Rp -
Rp 2,970.00 Rp 11,880.00
Rp 2,600.00 Rp 130,000.00
Rp 2,798.00 Rp 212,648.00
Rp 2,569.00 Rp -
Rp 1,600.00 Rp -
Rp 3,000.00 Rp 255,000.00
Rp 2,520.00 Rp 345,240.00
Rp 1,499.00 Rp -
Rp 2,429.00 Rp 468,797.00
Rp -
Rp 288.00 Rp 4,393,440.00
Rp 1,250.00 Rp 150,000.00
Rp -
Rp 2,445.00 Rp 1,290,960.00
Rp 2,025.00 Rp 172,125.00
Rp 7,999.00 Rp 391,951.00
Rp 1,378.85 Rp -
Rp 6,700.00 Rp 33,500.00
Rp 4,499.00 Rp 4,319,040.00
Rp 3,955.00 Rp 545,790.00
Rp 2,140.00
Rp 642,000.00
Rp 3,534.00 Rp -
Rp 4,840.00 Rp 1,248,720.00
Rp 1,074.00 Rp 370,530.00
Rp -
Rp 9,950.00 Rp 2,606,900.00
Rp -
Rp 2,042.00 Rp 516,626.00
Rp 4,000.00 Rp -
Rp 900.00 Rp -
Rp 2,273.00 Rp -
Rp 5,500.00 Rp 357,500.00
Rp Rp
5,200.00 457,600.00
Rp 17,393.00 Rp -
Rp 3,226.00 Rp -
Rp -
Rp 1,540.00 Rp 891,660.00
Rp 792.00 Rp 3,508,560.00
Rp 979.00 Rp 745,998.00
Rp 1,790.00 Rp 282,820.00
Rp 19,680.00 Rp 5,904,000.00
Rp 2,750.00 Rp 728,750.00
Rp 8,600.00 Rp -
Rp 27,830.00 Rp 3,868,370.00
Rp 34,170.00
Rp 2,289,390.00
Rp 35,740.00
Rp 1,679,780.00
Rp 10,400.00 Rp 873,600.00
Rp 2,500.00 Rp 77,500.00
Rp 22,990.00 Rp 22,990.00
Rp Rp
8,000.00 400,000.00
Rp 8,000.00 Rp 80,000.00
Rp 35,620.00 Rp -
Rp 6,985.00 Rp 768,350.00
Rp 6,985.00 Rp 754,380.00
Rp 8,700.00 Rp 1,800,900.00
Rp 8,700.00 Rp -
Rp 8,700.00 Rp 1,409,400.00
Rp 8,700.00 Rp -
Rp 5,100.00 Rp 540,600.00
Rp 9,070.00 Rp 8,117,650.00
Rp 24,000.00 Rp 504,000.00
Rp 9,400.00 Rp -
Rp 6,363.00 Rp -
Rp 3,800.00 Rp 182,400.00
Rp 800.00 Rp 112,000.00
Rp 7,900.00 Rp 466,100.00
Rp 49,862.00 Rp 598,344.00
Rp -
Rp 16,500.00 Rp 1,320,000.00
Rp 19,800.00 Rp -
Rp -
Rp 3,960.00 Rp -
Rp 770.00 Rp -
Rp 18,085.67 Rp -
Rp 2,242.10 Rp -
Rp 2,550.00 Rp 239,700.00
Rp 23,480.00 Rp 2,348,000.00
Rp -
Rp 5,500.00 Rp 203,500.00
Rp 1,400.00 Rp -
Rp 2,900.00 Rp 179,800.00
Rp 5,998.00 Rp 23,992.00
Rp 18,000.00 Rp 90,000.00
Rp 74,494.00 Rp 744,940.00
Rp 39,217.00 Rp 39,217.00
Rp 149,158.00 Rp 745,790.00
Rp 667.80 Rp -
Rp 51,426.00 Rp 257,130.00
Rp 51,426.00 Rp 257,130.00
Rp 1,045.00 Rp 104,500.00
Rp 4,620.00 Rp 656,040.00
Rp 6,600.00 Rp 739,200.00
Rp 6,600.00 Rp 745,800.00
Rp 6,600.00 Rp -
Rp 580,000.00 Rp 4,640,000.00
Rp 65,000.00 Rp -
Rp 1,629.00 Rp -
Rp 26,950.00 Rp -
Rp 7,370.00 Rp 29,480.00
Rp 7,370.00 Rp 29,480.00
Rp -
Rp 9,275.00 Rp 1,484,000.00
Rp 7,500.00 Rp 210,000.00
Rp 5,700.00 Rp -
Rp 6,900.00 Rp 2,277,000.00
Rp 10,050.00 Rp -
Rp 15,730.00 Rp -
Rp 9,950.00 Rp -
Rp Rp
6,410.00 2,057,610.00
Rp 7,150.00 Rp 357,500.00
Rp -
Rp 23,100.00 Rp -
Rp 14,175.00 Rp -
Rp 5,800.00 Rp 464,000.00
Rp 15,000.00 Rp 3,270,000.00
Rp 15,750.00 Rp -
Rp 27,250.00 Rp -
Rp 15,000.00 Rp -
Rp 12,450.00 Rp -
Rp 5,078.85 Rp -
Rp 5,000.00 Rp 350,000.00
Rp 550.00 Rp 165,000.00
Rp 8,635.00
Rp -
Rp 14,500.00 Rp -
Rp 4,300.00Rp 356,900.00
Rp 8,635.00Rp -
Rp 362.00 Rp 41,630.00
Rp 3,575.00 Rp 225,225.00
Rp -
Rp 2,590.00 Rp -
Rp 12,155.00 Rp -
Rp 450.00 Rp -
Rp 5,867.00 Rp -
Rp 1,360.00 Rp 2,626,160.00
Rp 190.00 Rp 425,790.00
Rp 6,600.00 Rp -
Rp 14,980.00 Rp -
Rp 148.00 Rp 66,600.00
Rp 424.00 Rp -
Rp 4,995.00 Rp 699,300.00
Rp 5,670.00 Rp 311,850.00
Rp 3,091.00 Rp 34,001.00
Rp 11,500.00 Rp 115,000.00
Rp 1,007.00 Rp 7,474,961.00
Rp 850.00 Rp -
Rp 737.00 Rp 330,913.00
Rp 4,620.00 Rp 184,800.00
Rp 1,100.00 Rp -
Rp 16,500.00 Rp -
Rp -
Rp -
Rp -
Rp -
Rp 104,000.00 Rp -
Rp -
Rp 150,000.00 Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
1655,55 #VALUE!
Rp -
Rp 240,450.00 Rp -
Rp 226,550.00 Rp -
Rp -
Rp 344.00 Rp 10,950,896.00
Rp 1,520.00 Rp -
Rp 136.00 Rp -
Rp 51.00
Rp -
Rp 3,000.00 Rp -
Rp 298.00 Rp -
Rp 107.00 Rp -
Rp -
Rp 13,000.00 Rp -
Rp -
Rp -
Rp 99,000.00 Rp 2,277,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 14,200.00 Rp 468,600.00
Rp 22,950.00
Rp 5,209,650.00
Rp 2,695.00 Rp -
Rp 31,650.00 Rp 316,500.00
Rp -
Rp 102.00 Rp 28,050.00
Rp 900.00 Rp -
Rp 20,250.00 Rp 60,750,000.00
Rp 133.00 Rp 38,570.00
Rp 93.00 Rp -
Rp 83,333.00Rp -
Rp 69.00 Rp -
Rp 96.00 Rp 180,480.00
Rp 245.00 Rp -
Rp 1,021.00
Rp -
Rp 950.00
Rp -
Rp 144.00
Rp 191,664.00
Rp 68.00
Rp 38,760.00
Rp -
Rp 1,008.00 Rp 2,570,400.00
Rp 55,000.00
Rp -
Rp 405.00 Rp -
Rp 95.00
Rp 235,980.00
Rp 1,550.00 Rp -
Rp 423.00 Rp -
Rp 88.00 Rp -
Rp 16,500.00
Rp -
Rp 479.00 Rp 332,905.00
Rp -
Rp 8,935.00 Rp -
Rp 12,185.00
Rp -
Rp 250.00 Rp -
Rp -
Rp 270.00 Rp -
Rp 930.00 Rp -
Rp -
Rp 18,000.00 Rp -
Rp -
Rp 1,000.00 Rp -
Rp -
Rp -
Rp -
Rp 1,583.00 Rp -
Rp 1,400.00 Rp -
Rp -
Rp 2,800.00 Rp -
Rp -
Rp -
Rp 3,429.00
Rp -
Rp 12,210.00
Rp -
Rp 4,500.00Rp -
Rp 590.00 Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 42.00 Rp -
Rp 107.00 Rp -
Rp 4,227.00
Rp -
Rp 610.29 Rp -
Rp 473.00
Rp -
Rp 114.00 Rp -
Rp 74.00 Rp -
Rp 30,000.00
Rp -
Rp 22,167.00 Rp -
Rp 25,063.00 Rp -
Rp 140.00 Rp -
Rp 22.20 Rp -
Rp -
Rp 4,180.00 Rp -
Rp 45.00 Rp 8,730.00
Rp -
Rp 1,980.00 Rp -
Rp 62.00 Rp -
Rp 500.00 Rp 190,000.00
Rp 11,517.00 Rp 184,272.00
Rp 233.00 Rp -
Rp 16,742.00 Rp 100,452.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 430,000.00 Rp 3,010,000.00
Rp 429,550.00 Rp -
Rp 115,000.00 Rp 1,150,000.00
Rp -
Rp 293.00 Rp 58,600.00
Rp -
Rp 214,900.00 Rp 214,900.00
###
Rp 2,399,980.00
Rp 154,000.00
Rp -
Rp 359,990.00
Rp 1,439,960.00
Rp 160,000.00 Rp 960,000.00
Rp 19,500.00 Rp -
Rp -
Rp 1,750.00 Rp 145,250.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 5,000.00 Rp -
Rp 4,850.00 Rp 121,250.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 8,912.00 Rp 1,951,728.00
Rp 103,500.00 Rp 517,500.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 800,000.00 Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
#VALUE!

n Sudarmanisati
9611114 199103 2 001
UPT PUSKESMAS DAU
BULAN: NOVEMBER TAHUN ANGGARAN 2018

( Rp. ) ( Rp. ) ( Rp. )
1 2 3 Rp 4 5=3x4 6 Rp 7 8=6x7 9 Rp 10 11=9x10 12
a. Tablet/Kapsul
5 Amlodipin 5 mg 7648 Rp 105.00 Rp 803,040.00 0 Rp 105.00 Rp - 4448 Rp 105.00 Rp 467,040.00 3200
200mg) 18516 Rp 62.00 Rp 1,147,992.00 0 Rp 62.00 Rp - 6302 Rp 62.00 Rp 390,724.00 12214
g) 120 Rp 3,045.00 Rp 365,400.00 0 Rp 3,045.00 Rp - 115 Rp 3,045.00 Rp 350,175.00 5
30 Eritromisin 500mg 956 Rp 730.00 Rp 697,880.00 0 Rp 730.00 Rp - 176 Rp 730.00 Rp 128,480.00 780
1604 Rp 88.00 Rp 141,152.00 0 Rp 88.00 Rp - 410 Rp 88.00 Rp 36,080.00 1194
24893 Rp 51.00 Rp 1,269,543.00 0 Rp 51.00 Rp - 3293 Rp 51.00 Rp 167,943.00 21600
Kotrimoksazol anak

80mg
9474 Rp 151.00 Rp 1,430,574.00 0 Rp 151.00 Rp - 2137 Rp 151.00 Rp 322,687.00 7337
57 Loratadin tablet 10 mg 2000 Rp 134.00 Rp 268,000.00 0 Rp 134.00 Rp - 0 Rp 134.00 Rp - 2000
1588 Rp 154.00 Rp 244,552.00 0 Rp 154.00 Rp - 530 Rp 154.00 Rp 81,620.00 1058
67 Natrium Diklofenac 50 mg 9426 Rp 176.00 Rp 1,658,976.00 5600 Rp 176.00 Rp 985,600.00 7998 Rp 176.00 Rp 1,407,648.00 7028
215 Rp 480.00 Rp 103,200.00 0 Rp 480.00 Rp - 40 Rp 480.00 Rp 19,200.00 175
70 Omeprazole 20mg 5110 Rp 211.00 Rp 1,078,210.00 0 Rp 211.00 Rp - 4250 Rp 211.00 Rp 896,750.00 860
72 Parasetamol 500 mg 39747 Rp 56.00 Rp 2,225,832.00 0 Rp 56.00 Rp - 36660 Rp 56.00 Rp 2,052,960.00 3087
5186 Rp 118.00 Rp 611,948.00 0 Rp 118.00 Rp - 938 Rp 118.00 Rp 110,684.00 4248
0,25mg 111487 Rp 4,682,454.00 0 Rp - 4616 Rp 193,872.00 106871
89 Vitamin B Kompleks 2414 Rp 115.00 Rp 277,610.00 0 Rp 115.00 Rp - 1472 Rp 115.00 Rp 169,280.00 942
91 Acarbose 100 mg 300 Rp 908.00 Rp 272,400.00 0 Rp 908.00 Rp - 0 Rp 908.00 Rp - 300
1 Aminofilina 24 mg/ml - 10 ml 0 Rp 3,822.00 Rp - 0 Rp 3,822.00 Rp - 0 Rp 3,822.00 Rp - 0
213 Rp 1,580.00 Rp 336,540.00 0 Rp 1,580.00 Rp - 36 Rp 1,580.00 Rp 56,880.00 177
42 Rp 1,050.00 Rp 44,100.00 1200 Rp 1,050.00 Rp 1,260,000.00 124 Rp 1,050.00 Rp 130,200.00 1118
1ml 98 Rp 3,417.00 Rp 334,866.00 0 Rp 3,417.00 Rp - 6 Rp 3,417.00 Rp 20,502.00 92
Rp 4,500.00 Rp 4,500.00 Rp 4,500.00
0 Rp - 0 Rp - 0 Rp - 0
Lidokain komp
25 ml 0 Rp 3,200.00 Rp - 0 Rp 3,200.00 Rp - 0 Rp 3,200.00 Rp - 0
25 ml 18 Rp 2,629.00 Rp 47,322.00 0 Rp 2,629.00 Rp - 18 Rp 2,629.00 Rp 47,322.00 0
ml 0 Rp 1,476.80 Rp - 0 Rp 1,476.80 Rp - 0 Rp 1,476.80 Rp - 0
10ml 0 Rp 2,818.10 Rp - 0 Rp 2,818.10 Rp - 0 Rp 2,818.10 Rp - 0
28 Ranitidin injeksi 25mg/2ml 378 Rp 1,390.00 Rp 525,420.00 1440 Rp 1,390.00 Rp 2,001,600.00 120 Rp 1,390.00 Rp 166,800.00 1698
29 Sefotaksim injeksi 1 gram 312 Rp 4,898.00 Rp 1,528,176.00 0 Rp 4,898.00 Rp - 200 Rp 4,898.00 Rp 979,600.00 112
Rp 3,650.00 Rp 3,650.00 Rp 3,650.00
1000mg/ml 0 Rp - 0 Rp - 0 Rp - 0
82 Rp 2,950.00 Rp 241,900.00 0 Rp 2,950.00 Rp - 30 Rp 2,950.00 Rp 88,500.00 52
c. Salep 0 Rp - 0 Rp - 0 Rp - 0
3%) 124 Rp 1,904.40 Rp 236,145.60 0 Rp 1,904.40 Rp - 13 Rp 1,904.40 Rp 24,757.20 111
137 Rp 2,520.00 Rp 345,240.00 0 Rp 2,520.00 Rp - 33 Rp 2,520.00 Rp 83,160.00 104
e. Sirup 0 Rp - 0 Rp - 0 Rp - 0
4 Dekstrometorfan 10 mg / 5 ml 0 Rp 1,378.85 Rp - 144 Rp 1,378.85 Rp 198,554.40 0 Rp 1,378.85 Rp - 144
138 Rp 3,955.00 Rp 545,790.00 0 Rp 3,955.00 Rp - 70 Rp 3,955.00 Rp 276,850.00 68
f. Tetes 0 Rp - 0 Rp - 0 Rp - 0
1 Fenol Gliserol tetes telinga 10 % 253 Rp 2,042.00 Rp 516,626.00 0 Rp 2,042.00 Rp - 42 Rp 2,042.00 Rp 85,764.00 211
15ml 88 Rp 5,200.00 Rp 457,600.00 112 Rp 5,200.00 Rp 582,400.00 78 Rp 5,200.00 Rp 405,600.00 122
% 0 Rp 3,226.00 Rp - 0 Rp 3,226.00 Rp - 0 Rp 3,226.00 Rp - 0
2 Alat suntik sekali pakai 3 ml 4430 Rp 792.00 Rp 3,508,560.00 3000 Rp 792.00 Rp 2,376,000.00 913 Rp 792.00 Rp 723,096.00 6517
3 Alat suntik sekali pakai 5 ml 762 Rp 979.00 Rp 745,998.00 1000 Rp 979.00 Rp 979,000.00 300 Rp 979.00 Rp 293,700.00 1462
5 Alkohol swab 300 Rp 19,680.00 Rp 5,904,000.00 100 Rp 19,680.00 Rp 1,968,000.00 100 Rp 19,680.00 Rp 1,968,000.00 300
8 Blood Tranfusion set 139 Rp 27,830.00 Rp 3,868,370.00 0 Rp 27,830.00 Rp - 1 Rp 27,830.00 Rp 27,830.00 138
2/0-3/0 67 Rp 2,289,390.00 0 Rp - 5 Rp 170,850.00 62
3/0 47 Rp 1,679,780.00 0 Rp - 0 Rp - 47
11 Daryantulle/Bioplacenton tulle 84 Rp 10,400.00 Rp 873,600.00 100 Rp 10,400.00 Rp 1,040,000.00 20 Rp 10,400.00 Rp 208,000.00 164
15 Folley cath no. 18 10 Rp 8,000.00 Rp 80,000.00 0 Rp 8,000.00 Rp - 4 Rp 8,000.00 Rp 32,000.00 6
19 I.V. Catheter No 18 207 Rp 8,700.00 Rp 1,800,900.00 200 Rp 8,700.00 Rp 1,740,000.00 68 Rp 8,700.00 Rp 591,600.00 339
21 I.V. Catheter No 22 162 Rp 8,700.00 Rp 1,409,400.00 200 Rp 8,700.00 Rp 1,740,000.00 47 Rp 8,700.00 Rp 408,900.00 315
24 Infusion set dewasa 895 Rp 9,070.00 Rp 8,117,650.00 0 Rp 9,070.00 Rp - 134 Rp 9,070.00 Rp 1,215,380.00 761
21 Rp 24,000.00 Rp 504,000.00 0 Rp 24,000.00 Rp - 3 Rp 24,000.00 Rp 72,000.00 18
48 Rp 3,800.00 Rp 182,400.00 0 Rp 3,800.00 Rp - 8 Rp 3,800.00 Rp 30,400.00 40
140 Rp 800.00 Rp 112,000.00 0 Rp 800.00 Rp - 4 Rp 800.00 Rp 3,200.00 136
50% 12 Rp 49,862.00 Rp 598,344.00 0 Rp 49,862.00 Rp - 1 Rp 49,862.00 Rp 49,862.00 11
35 NGT 7 x 75/80 0 Rp - 0 Rp - 0 Rp - 0
0 Rp 18,085.67 Rp - 96 Rp 18,085.67 Rp 1,736,224.00 0 Rp 18,085.67 Rp - 96
100 Rp 23,480.00 Rp 2,348,000.00 0 Rp 23,480.00 Rp - 6 Rp 23,480.00 Rp 140,880.00 94
62 Rp 2,900.00 Rp 179,800.00 0 Rp 2,900.00 Rp - 9 Rp 2,900.00 Rp 26,100.00 53
4 Rp 5,998.00 Rp 23,992.00 0 Rp 5,998.00 Rp - 0 Rp 5,998.00 Rp - 4
5 Rp 18,000.00 Rp 90,000.00 0 Rp 18,000.00 Rp - 0 Rp 18,000.00 Rp - 5
INFUS 0 Rp - 0 Rp - 0 Rp - 0
1 Asering Larutan infus 160 Rp 9,275.00 Rp 1,484,000.00 0 Rp 9,275.00 Rp - 20 Rp 9,275.00 Rp 185,500.00 140
steril 321 Rp Rp
6,410.00 2,057,610.00 0 Rp Rp
6,410.00 - 55 Rp Rp
6,410.00 352,550.00 266
9 Ringer Lactate infus steril 50 Rp 7,150.00 Rp 357,500.00 100 Rp 7,150.00 Rp 715,000.00 0 Rp 7,150.00 Rp - 150
2 Bioplasenton Jelly 0 Rp 14,175.00 Rp - 100 Rp 14,175.00 Rp 1,417,500.00 100 Rp 14,175.00 Rp 1,417,500.00 0
4 Bufacomb 218 Rp 15,000.00 Rp 3,270,000.00 0 Rp 15,000.00 Rp - 14 Rp 15,000.00 Rp 210,000.00 204
8 Laxadin sirup 0 Rp 12,450.00 Rp - 0 Rp 12,450.00 Rp - 8 Rp 12,450.00 Rp 99,600.00 -8
11 Mecobion tablet 300 Rp 550.00 Rp 165,000.00 1000 Rp 550.00 Rp 550,000.00 294 Rp 550.00 Rp 161,700.00 1006
Rp 8,635.00 Rp 8,635.00 Rp 8,635.00
0 Rp - 0 Rp - 0 Rp - 0
(Mersibion) 83 Rp 4,300.00Rp 356,900.00 100 Rp 4,300.00Rp 430,000.00 80 Rp 4,300.00Rp 344,000.00 103
15 Novalgin/Antrain injeksi 0 Rp 8,635.00Rp - 320 Rp 8,635.00Rp 2,763,200.00 266 Rp 8,635.00Rp 2,296,910.00 54
16 Noza /Demacolin 115 Rp 362.00 Rp 41,630.00 2000 Rp 362.00 Rp 724,000.00 716 Rp 362.00 Rp 259,192.00 1399
63 Rp 3,575.00 Rp 225,225.00 144 Rp 3,575.00 Rp 514,800.00 0 Rp 3,575.00 Rp - 207
23 Hiopar 1931 Rp 1,360.00 Rp 2,626,160.00 0 Rp 1,360.00 Rp - 1776 Rp 1,360.00 Rp 2,415,360.00 155
33 Chloramex 500mg 7423 Rp 1,007.00 Rp 7,474,961.00 2000 Rp 1,007.00 Rp 2,014,000.00 1488 Rp 1,007.00 Rp 1,498,416.00 7935
a. Alkes 0 Rp - 0 Rp - 0 Rp - 0
1 Anisol 0 Rp - 0 Rp - 0 Rp - 0
4 Corong 0 Rp - 0 Rp - 0 Rp - 0
8 Ose 0 Rp - 0 Rp - 0 Rp - 0
9 Pipet K 0 Rp - 0 Rp - 0 Rp - 0
10 Pipet 50 ml 0 Rp - 0 Rp - 0 Rp - 0
4 0 Rp - 0 Rp - 0 Rp - 0
d. Gigi 0 Rp - 0 Rp - 0 Rp - 0
2 Etil Klorida semprot 23 Rp 99,000.00 Rp 2,277,000.00 0 Rp 99,000.00 Rp - 1 Rp 99,000.00 Rp 99,000.00 22
0 Rp - 0 Rp - 0 Rp - 0
e. Gizi 0 Rp - 0 Rp - 0 Rp - 0
33 Rp 14,200.00 Rp 468,600.00 0 Rp 14,200.00 Rp - 0 Rp 14,200.00 Rp - 33
227 Rp 5,209,650.00 0 Rp - 0 Rp - 227
f. Jiwa 0 Rp - 0 Rp - 0 Rp - 0
1 Amitriptilin HCL 25 mg 275 Rp 102.00 Rp 28,050.00 0 Rp 102.00Rp - 49 Rp 102.00Rp 4,998.00 226
2 Clobazam 10mg tab 0 Rp 900.00 Rp - 0 Rp 900.00Rp - 0 Rp 900.00Rp - 0
6 Haldol decanoat 50mg/ml inj 0 Rp 83,333.00Rp - 0 Rp 83,333.00Rp - 0 Rp 83,333.00Rp - 0
8 Haloperidol 5 mg 1880 Rp 96.00 Rp 180,480.00 0 Rp 96.00 Rp - 1580 Rp 96.00 Rp 151,680.00 300
1 ml 0 Rp - 0 Rp - 0 Rp - 0
ml 0 Rp - 0 Rp - 0 Rp - 0
mg 1331 Rp 191,664.00 0 Rp - 1099 Rp 158,256.00 232
570 Rp 38,760.00 0 Rp - 0 Rp - 570
15 Risperidone 2mg 2550 Rp 1,008.00 Rp 2,570,400.00 2000 Rp 1,008.00 Rp 2,016,000.00 724 Rp 1,008.00 Rp 729,792.00 3826
0 Rp - 0 Rp - 0 Rp - 0
2484 Rp 235,980.00 2000 Rp 190,000.00 844 Rp 80,180.00 3640
drop) 0 Rp - 0 Rp - 0 Rp - 0
2 IU/vial 0 Rp - 0 Rp - 0 Rp - 0
3TC)150mg Rp 3,429.00 Rp 3,429.00 Rp 3,429.00
20 0 Rp - 0 Rp - 0 Rp - 0
21 0 Rp - 0 Rp - 0 Rp - 0
22 Azithromycin 0 Rp 4,500.00 Rp - 0 Rp 4,500.00 Rp - 0 Rp 4,500.00Rp - 0
h. Kusta 0 Rp - 0 Rp - 0 Rp - 0
2 MB Anak 0 Rp - 0 Rp - 0 Rp - 0
4 PB Anak 0 Rp - 0 Rp - 0 Rp - 0
1 0,25mg 0 Rp 42.00 Rp - 0 Rp 42.00 Rp - 0 Rp 42.00 Rp - 0
3 ml 0 Rp - 0 Rp - 0 Rp - 0
Komb.
5 g) 0 Rp - 0 Rp - 0 Rp - 0
Rp 30,000.00 Rp 30,000.00 Rp 30,000.00
Artemeter injeksi
9 0 Rp 22,167.00 Rp - 0 Rp 22,167.00 Rp - 0 Rp 22,167.00 Rp - 0
Artesunat injeksi
10 0 Rp 25,063.00 Rp - 0 Rp 25,063.00 Rp - 0 Rp 25,063.00 Rp - 0
Tetrasiklin 250 mg
11 0 Rp 140.00 Rp - 0 Rp 140.00 Rp - 0 Rp 140.00 Rp - 0
Vit B Komplex tab
12 0 Rp 22.20 Rp - 0 Rp 22.20 Rp - 0 Rp 22.20 Rp - 0
2 Diazepam 2 mg 194 Rp 45.00 Rp 8,730.00 0 Rp 45.00 Rp - 20 Rp 45.00 Rp 900.00 174
0 Rp 1,980.00 Rp - 0 Rp 1,980.00 Rp - 0 Rp 1,980.00 Rp - 0
7 Stesolid rectal supp 5 mg 16 Rp 11,517.00 Rp 184,272.00 0 Rp 11,517.00 Rp - 4 Rp 11,517.00 Rp 46,068.00 12
8 Alprazolam 1mg 0 Rp 233.00 Rp - 0 Rp 233.00 Rp - 0 Rp 233.00 Rp - 0
14 Urea FS 0 Rp - 0 Rp - 0 Rp - 0
l. Serum 0 Rp - 0 Rp - 0 Rp - 0
IU/ampul (Tetagam) 10 Rp 115,000.00 Rp 1,150,000.00 10 Rp 115,000.00 Rp 1,150,000.00 16 Rp 115,000.00 Rp 1,840,000.00 4
m. TB Paru 0 Rp - 0 Rp - 0 Rp - 0
4 ( FDC ) 2 Rp 2,399,980.00 0 Rp - 0 Rp - 2
5 (FDC) 0 Rp - 0 Rp - 0 Rp - 0
6 ( FDC ) 4 Rp 1,439,960.00 0 Rp - 0 Rp - 4
1 Stik Hb 1 Rp - 0 Rp - 0 Rp - 1
5 hcg test 72 Rp - 0 Rp - 0 Rp - 72
8 Blue Tip 0 Rp - 0 Rp - 0 Rp - 0
SD HIV 347 Rp - 0 Rp - 0 Rp - 347
INTEC 66 Rp - 0 Rp - 0 Rp - 66
13 ATS 0 Rp - 0 Rp - 0 Rp - 0
17 USG Gel 6 Rp - 0 Rp - 0 Rp - 6
18 Jelly 3 Rp - 0 Rp - 0 Rp - 3
20 lomatul 48 Rp - 0 Rp - 0 Rp - 48
22 Voseo / Metoclopramid Syirup 25 Rp 4,850.00 Rp 121,250.00 30 Rp 4,850.00 Rp 145,500.00 0 Rp 4,850.00 Rp - 55
23 IV 26 50 Rp - 200 Rp - 0 Rp - 250
26 femal 16 10 Rp - 0 Rp - 0 Rp - 10
27 femal 18 10 Rp - 0 Rp - 0 Rp - 10
30 plester 7.5 0 Rp - 10 Rp - 0 Rp - 10
31 plester 2.5 0 Rp - 0 Rp - 0 Rp - 0
46 anelat 5435 Rp - 0 Rp - 591 Rp - 4844
47 spalk 0 Rp - 0 Rp - 0 Rp - 0
48 spuit 0,05 0 Rp - 0 Rp - 0 Rp - 0
49 spuit 0,5 0 Rp - 0 Rp - 0 Rp - 0
50 reco tt 102 Rp - 0 Rp - 0 Rp - 102
51 masker n95 0 Rp - 0 Rp - 0 Rp - 0
56 laktobe 60 Rp - 0 Rp - 57 Rp - 3
62 Spuit 50 ml 50 Rp - 0 Rp - 0 Rp - 50

Lilin Sudarma
NIP.19790730 200604 2 017
KETERANGAN :
Saldo akhir Bulan
Harga
Jumlah
Satuan ( Rp. )
( Rp. )
Rp 13 14=12x13
Rp 3,255.00 Rp 1,555,890.00
Rp 86.00 Rp 360,770.00
Rp 200.00 Rp 224,000.00
Rp 113.00 Rp 462,848.00
Rp 105.00 Rp 336,000.00
Rp 80.00 Rp 8,000.00
Rp 195.00 Rp -
Rp 261.00 Rp 6,969,483.00
Rp 145.00 Rp -
Rp 62.00 Rp 757,268.00
Rp 3,045.00 Rp 15,225.00
Rp 135.00 Rp -
Rp 95.00 Rp 143,830.00
Rp 135.00 Rp 153,090.00
Rp 48.00 Rp -
Rp 106.00 Rp 3,947,546.00
Rp 148.00 Rp 49,284.00
Rp 237.00 Rp -
Rp 349.00 Rp 399,256.00
Rp 149.00 Rp 335,846.00
Rp 330.00 Rp 49,830.00
Rp 181.00 Rp 206,159.00
Rp 44.00 Rp 1,787,896.00
Rp 97.00 Rp 54,902.00
Rp 134.00 Rp -
Rp 104.00 Rp 201,344.00
Rp 270.00 Rp -
Rp 167.00 Rp 474,280.00
Rp 47.00 Rp -
Rp 730.00 Rp 569,400.00
Rp 630.00 Rp 861,210.00
Rp 85.00 Rp 49,130.00
Rp 56.00 Rp 304,752.00
Rp 436.00 Rp 88,944.00
Rp 98.00 Rp 1,710,198.00
Rp 209.00 Rp -
Rp 149.00 Rp 30,992.00
Rp 395.00 Rp -
Rp 150.00 Rp 330,000.00
Rp 110.00 Rp 265,320.00
Rp 88.00 Rp 105,072.00
Rp 425.00 Rp -
Rp 63.00 Rp 156,366.00
Rp 84.00 Rp 1,443,624.00
Rp 62.00 Rp -
Rp 300.00 Rp 675,300.00
Rp 361.00 Rp 522,728.00
Rp 3,400.00 Rp 1,768,000.00
Rp 249.00 Rp 874,737.00
Rp 51.00 Rp 1,101,600.00
Rp 107.00 Rp -
Rp 52.08 Rp -
Rp 72.00 Rp -
Rp 151.00 Rp 1,107,887.00
Rp 495.00 Rp 53,460.00
Rp 448.00 Rp -
Rp 134.00 Rp 268,000.00
Rp 225.00 Rp -
Rp 629.00 Rp -
Rp 113.00 Rp 158,087.00
Rp 205.00 Rp 765,265.00
Rp 154.00 Rp 162,932.00
Rp 108.00 Rp 540.00
Rp 110.00 Rp -
Rp 133.00 Rp 832,447.00
Rp 133.00 Rp 290,073.00
Rp 176.00 Rp 1,236,928.00
Rp 110.00 Rp -
Rp 480.00 Rp 84,000.00
Rp 211.00 Rp 181,460.00
Rp 32.23 Rp -
Rp 56.00 Rp 172,872.00
Rp 298.00 Rp -
Rp 400.00 Rp 171,600.00
Rp 118.00 Rp 501,264.00
Rp 114.00 Rp 302,442.00
Rp 65.00 Rp 9,750.00
Rp 319.00 Rp -
Rp 120.00 Rp 578,400.00
Rp 59.00 Rp 409,224.00
Rp 89.00 Rp -
Rp 169.00 Rp 1,856,803.00
Rp 281.00 Rp 151,178.00
Rp 42.00
Rp 4,488,582.00
Rp 149.00 Rp -
Rp 310.00 Rp 29,450.00
Rp 672.00 Rp -
Rp 680.00 Rp 2,710,480.00
Rp 115.00 Rp 108,330.00
Rp 474.00 Rp 1,355,166.00
Rp 908.00 Rp 272,400.00
Rp 315.00 Rp -
Rp 716.00 Rp -
Rp 1,425.00 Rp -
Rp 85.00 Rp -
Rp 3,100.00 Rp 24,800.00
Rp 516.00 Rp 2,063,484.00
Rp 426.00 Rp -
Rp 603.00 Rp 489,636.00
Rp 679.00 Rp -
Rp -
Rp 3,822.00 Rp -
Rp 16,500.00 Rp 3,267,000.00
Rp 5,100.00 Rp -
Rp 8,400.00 Rp -
Rp 1,672.00 Rp 30,096.00
Rp 10,425.00 Rp 104,250.00
Rp 3,300.00 Rp -
Rp 1,580.00 Rp 279,660.00
Rp 1,050.00 Rp 1,173,900.00
Rp 8,100.00 Rp -
Rp 3,417.00 Rp 314,364.00
Rp 8,250.00 Rp -
Rp 1,829.00 Rp 45,725.00
Rp 3,399.00 Rp -
Rp 4,500.00
Rp -
Rp 7,260.00 Rp -
Rp 1,845.00 Rp 1,036,890.00
Rp 3,200.00 Rp -
Rp 2,629.00 Rp -
Rp 2,684.00 Rp 195,932.00
Rp 4,650.00 Rp -
Rp 1,476.80 Rp -
Rp 2,818.10 Rp -
Rp 1,900.00 Rp 353,400.00
Rp 1,650.00 Rp 49,500.00
Rp 5,000.00 Rp -
Rp 15,550.00 Rp -
Rp 1,390.00 Rp 2,360,220.00
Rp 4,898.00 Rp 548,576.00
Rp 1,098.00 Rp 82,350.00
Rp 3,650.00
Rp -
Rp 680.00Rp -
Rp 36,000.00 Rp -
Rp 2,950.00 Rp 153,400.00
Rp 7,190.00 Rp 143,800.00
Rp 7,190.00 Rp -
Rp -
Rp 1,904.40 Rp 211,388.40
Rp 839.00 Rp 11,746.00
Rp 2,516.00 Rp -
Rp 1,520.00 Rp 256,880.00
Rp 2,200.00 Rp -
Rp 2,970.00 Rp -
Rp 2,600.00 Rp 130,000.00
Rp 2,798.00 Rp 181,870.00
Rp 2,569.00 Rp -
Rp 1,600.00 Rp -
Rp 3,000.00 Rp 228,000.00
Rp 2,520.00 Rp 262,080.00
Rp 1,499.00 Rp -
Rp 2,429.00 Rp 442,078.00
Rp -
Rp 288.00 Rp 4,201,056.00
Rp 1,250.00 Rp 102,500.00
Rp -
Rp 2,445.00 Rp 850,860.00
Rp 2,025.00 Rp 8,100.00
Rp 7,999.00 Rp 359,955.00
Rp 1,378.85 Rp 198,554.40
Rp 6,700.00 Rp 33,500.00
Rp 4,499.00 Rp 4,319,040.00
Rp 3,955.00 Rp 268,940.00
Rp 2,140.00
Rp 558,540.00
Rp 3,534.00 Rp -
Rp 4,840.00 Rp 1,945,680.00
Rp 1,074.00 Rp 550,962.00
Rp -
Rp 9,950.00 Rp 2,278,550.00
Rp -
Rp 2,042.00 Rp 430,862.00
Rp 4,000.00 Rp -
Rp 900.00 Rp -
Rp 2,273.00 Rp -
Rp 5,500.00 Rp 357,500.00
Rp Rp
5,200.00 634,400.00
Rp 17,393.00 Rp -
Rp 3,226.00 Rp -
Rp -
Rp 1,540.00 Rp 654,500.00
Rp 792.00 Rp 5,161,464.00
Rp 979.00 Rp 1,431,298.00
Rp 1,790.00 Rp 282,820.00
Rp 19,680.00 Rp 5,904,000.00
Rp 2,750.00 Rp 225,500.00
Rp 8,600.00 Rp -
Rp 27,830.00 Rp 3,840,540.00
Rp 34,170.00
Rp 2,118,540.00
Rp 35,740.00
Rp 1,679,780.00
Rp 10,400.00 Rp 1,705,600.00
Rp 2,500.00 Rp 77,500.00
Rp 22,990.00 Rp -
Rp Rp
8,000.00 320,000.00
Rp 8,000.00 Rp 48,000.00
Rp 35,620.00 Rp -
Rp 6,985.00 Rp 754,380.00
Rp 6,985.00 Rp 740,410.00
Rp 8,700.00 Rp 2,949,300.00
Rp 8,700.00 Rp -
Rp 8,700.00 Rp 2,740,500.00
Rp 8,700.00 Rp -
Rp 5,100.00 Rp 311,100.00
Rp 9,070.00 Rp 6,902,270.00
Rp 24,000.00 Rp 432,000.00
Rp 9,400.00 Rp -
Rp 6,363.00 Rp -
Rp 3,800.00 Rp 152,000.00
Rp 800.00 Rp 108,800.00
Rp 7,900.00 Rp 355,500.00
Rp 49,862.00 Rp 548,482.00
Rp -
Rp 16,500.00 Rp 1,237,500.00
Rp 19,800.00 Rp -
Rp -
Rp 3,960.00 Rp -
Rp 770.00 Rp -
Rp 18,085.67 Rp 1,736,224.00
Rp 2,242.10 Rp -
Rp 2,550.00 Rp 239,700.00
Rp 23,480.00 Rp 2,207,120.00
Rp -
Rp 5,500.00 Rp 203,500.00
Rp 1,400.00 Rp -
Rp 2,900.00 Rp 153,700.00
Rp 5,998.00 Rp 23,992.00
Rp 18,000.00 Rp 90,000.00
Rp 74,494.00 Rp 744,940.00
Rp 39,217.00 Rp 39,217.00
Rp 149,158.00 Rp 745,790.00
Rp 667.80 Rp -
Rp 51,426.00 Rp 257,130.00
Rp 51,426.00 Rp 257,130.00
Rp 1,045.00 Rp 104,500.00
Rp 4,620.00 Rp 609,840.00
Rp 6,600.00 Rp 739,200.00
Rp 6,600.00 Rp 745,800.00
Rp 6,600.00 Rp -
Rp 580,000.00 Rp 4,640,000.00
Rp 65,000.00 Rp -
Rp 1,629.00 Rp -
Rp 26,950.00 Rp -
Rp 7,370.00 Rp 29,480.00
Rp 7,370.00 Rp 29,480.00
Rp -
Rp 9,275.00 Rp 1,298,500.00
Rp 7,500.00 Rp 210,000.00
Rp 5,700.00 Rp -
Rp 6,900.00 Rp 2,277,000.00
Rp 10,050.00 Rp -
Rp 15,730.00 Rp -
Rp 9,950.00 Rp -
Rp Rp
6,410.00 1,705,060.00
Rp 7,150.00 Rp 1,072,500.00
Rp -
Rp 23,100.00 Rp -
Rp 14,175.00 Rp -
Rp 5,800.00 Rp 464,000.00
Rp 15,000.00 Rp 3,060,000.00
Rp 15,750.00 Rp -
Rp 27,250.00 Rp -
Rp 15,000.00 Rp -
Rp 12,450.00 Rp (99,600.00)
Rp 5,078.85 Rp -
Rp 5,000.00 Rp 350,000.00
Rp 550.00 Rp 553,300.00
Rp 8,635.00
Rp -
Rp 14,500.00 Rp -
Rp 4,300.00Rp 442,900.00
Rp 8,635.00Rp 466,290.00
Rp 362.00 Rp 506,438.00
Rp 3,575.00 Rp 740,025.00
Rp -
Rp 2,590.00 Rp -
Rp 12,155.00 Rp -
Rp 450.00 Rp -
Rp 5,867.00 Rp -
Rp 1,360.00 Rp 210,800.00
Rp 190.00 Rp 234,460.00
Rp 6,600.00 Rp -
Rp 14,980.00 Rp -
Rp 148.00 Rp 66,600.00
Rp 424.00 Rp -
Rp 4,995.00 Rp 699,300.00
Rp 5,670.00 Rp 272,160.00
Rp 3,091.00 Rp 34,001.00
Rp 11,500.00 Rp 115,000.00
Rp 1,007.00 Rp 7,990,545.00
Rp 850.00 Rp -
Rp 737.00 Rp 257,213.00
Rp 4,620.00 Rp 184,800.00
Rp 1,100.00 Rp -
Rp 16,500.00 Rp -
Rp -
Rp -
Rp -
Rp -
Rp 104,000.00 Rp -
Rp -
Rp 150,000.00 Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
1655,55 #VALUE!
Rp -
Rp 240,450.00 Rp -
Rp 226,550.00 Rp -
Rp -
Rp 344.00 Rp 10,950,896.00
Rp 1,520.00 Rp -
Rp 136.00 Rp -
Rp 51.00
Rp -
Rp 3,000.00 Rp -
Rp 298.00 Rp -
Rp 107.00 Rp -
Rp -
Rp 13,000.00 Rp -
Rp -
Rp -
Rp 99,000.00 Rp 2,178,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 14,200.00 Rp 468,600.00
Rp 22,950.00
Rp 5,209,650.00
Rp 2,695.00 Rp -
Rp 31,650.00 Rp 316,500.00
Rp -
Rp 102.00 Rp 23,052.00
Rp 900.00 Rp -
Rp 20,250.00 Rp 60,750,000.00
Rp 133.00 Rp 26,600.00
Rp 93.00 Rp -
Rp 83,333.00Rp -
Rp 69.00 Rp -
Rp 96.00 Rp 28,800.00
Rp 245.00 Rp -
Rp 1,021.00
Rp -
Rp 950.00
Rp -
Rp 144.00
Rp 33,408.00
Rp 68.00
Rp 38,760.00
Rp -
Rp 1,008.00 Rp 3,856,608.00
Rp 55,000.00
Rp -
Rp 405.00 Rp -
Rp 95.00
Rp 345,800.00
Rp 1,550.00 Rp -
Rp 423.00 Rp -
Rp 88.00 Rp -
Rp 16,500.00
Rp -
Rp 479.00 Rp 332,905.00
Rp -
Rp 8,935.00 Rp -
Rp 12,185.00
Rp -
Rp 250.00 Rp -
Rp -
Rp 270.00 Rp -
Rp 930.00 Rp -
Rp -
Rp 18,000.00 Rp -
Rp -
Rp 1,000.00 Rp -
Rp -
Rp -
Rp -
Rp 1,583.00 Rp -
Rp 1,400.00 Rp -
Rp -
Rp 2,800.00 Rp -
Rp -
Rp -
Rp 3,429.00
Rp -
Rp 12,210.00
Rp -
Rp 4,500.00Rp -
Rp 590.00 Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 42.00 Rp -
Rp 107.00 Rp -
Rp 4,227.00
Rp -
Rp 610.29 Rp -
Rp 473.00
Rp -
Rp 114.00 Rp -
Rp 74.00 Rp -
Rp 30,000.00
Rp -
Rp 22,167.00 Rp -
Rp 25,063.00 Rp -
Rp 140.00 Rp -
Rp 22.20 Rp -
Rp -
Rp 4,180.00 Rp -
Rp 45.00 Rp 7,830.00
Rp -
Rp 1,980.00 Rp -
Rp 62.00 Rp -
Rp 500.00 Rp 154,000.00
Rp 11,517.00 Rp 138,204.00
Rp 233.00 Rp -
Rp 16,742.00 Rp 100,452.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 430,000.00 Rp 3,010,000.00
Rp 429,550.00 Rp -
Rp 115,000.00 Rp 460,000.00
Rp -
Rp 293.00 Rp 58,600.00
Rp -
Rp 214,900.00 Rp 214,900.00
###
Rp 2,399,980.00
Rp 154,000.00
Rp -
Rp 359,990.00
Rp 1,439,960.00
Rp 160,000.00 Rp 960,000.00
Rp 19,500.00 Rp -
Rp -
Rp 1,750.00 Rp 145,250.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 5,000.00 Rp -
Rp 4,850.00 Rp 266,750.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 8,912.00 Rp 1,951,728.00
Rp 103,500.00 Rp 517,500.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 800,000.00 Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
#VALUE!
n Sudarmanisati
9611114 199103 2 001
UPT PUSKESMAS DAU
BULAN: DESEMBER TAHUN ANGGARAN 2018

Jumlah Satuan Jumlah Jumlah Satuan Jumlah Jumlah Satuan Jumlah
Barang ( Rp. ) Barang ( Rp. ) Barang ( Rp. )
( Rp. ) ( Rp. ) ( Rp. )
1 2 3 Rp 4 5=3x4 6 Rp 7 8=6x7 9 Rp 10 11=9x10
a. Tablet/Kapsul
1 Adalat Oros 20 mg 478 Rp 3,255.00 Rp 1,555,890.00 0 Rp 3,255.00 Rp - 70 Rp 3,255.00 Rp 227,850.00
4 Ambroxol 30 mg 4096 Rp 113.00 Rp 462,848.00 0 Rp 113.00 Rp - 1040 Rp 113.00 Rp 117,520.00
5 Amlodipin 5 mg 3200 Rp 105.00 Rp 336,000.00 14400 Rp 105.00 Rp 1,512,000.00 1553 Rp 105.00 Rp 163,065.00
6 Aminofilina 200 mg 100 Rp 80.00 Rp 8,000.00 0 Rp 80.00 Rp - 46 Rp 80.00 Rp 3,680.00
7 Amoksilin 250 mg 0 Rp 195.00 Rp - 0 Rp 195.00 Rp - 0 Rp 195.00 Rp -
8 Amoksilin 500 mg 26703 Rp 261.00 Rp 6,969,483.00 10000 Rp 261.00 Rp 2,610,000.00 2844 Rp 261.00 Rp 742,284.00
9 Antalgin 500 mg 0 Rp 145.00 Rp - 0 Rp 145.00 Rp - 0 Rp 145.00 Rp -
200mg) 12214 Rp 62.00 Rp 757,268.00 16800 Rp 62.00 Rp 1,041,600.00 1614 Rp 62.00 Rp 100,068.00
g) 5 Rp 3,045.00 Rp 15,225.00 0 Rp 3,045.00 Rp - 5 Rp 3,045.00 Rp 15,225.00
Kofein 50mg) 0 Rp 135.00 Rp - 0 Rp 135.00 Rp - 0 Rp 135.00 Rp -
13 Asam Askorbat ( Vit C ) 50 mg 1514 Rp 95.00 Rp 143,830.00 0 Rp 95.00 Rp - 1126 Rp 95.00 Rp 106,970.00
14 Asam Askorbat (Vit C) 250 mg 1134 Rp 135.00 Rp 153,090.00 0 Rp 135.00 Rp - 0 Rp 135.00 Rp -
15 Asam folat 1 mg 0 Rp 48.00 Rp - 0 Rp 48.00 Rp - 0 Rp 48.00 Rp -
16 Asam mefenamat 500mg 37241 Rp 106.00 Rp 3,947,546.00 0 Rp 106.00 Rp - 1400 Rp 106.00 Rp 148,400.00
17 Asetosal 100 mg 333 Rp 148.00 Rp 49,284.00 0 Rp 148.00 Rp - 0 Rp 148.00 Rp -
18 Asiklovir 200mg 0 Rp 237.00 Rp - 0 Rp 237.00 Rp - 0 Rp 237.00 Rp -
19 Asiklovir 400mg 1144 Rp 349.00 Rp 399,256.00 0 Rp 349.00 Rp - 115 Rp 349.00 Rp 40,135.00
20 Betahistin mesilat 5 mg 2254 Rp 149.00 Rp 335,846.00 2000 Rp 149.00 Rp 298,000.00 274 Rp 149.00 Rp 40,826.00
21 Bisoprolol tablet 5 mg 151 Rp 330.00 Rp 49,830.00 0 Rp 330.00 Rp - 10 Rp 330.00 Rp 3,300.00
22 Cetirizin 10mg 1139 Rp 181.00 Rp 206,159.00 620 Rp 181.00 Rp 112,220.00 579 Rp 181.00 Rp 104,799.00
23 Deksametason 0,5 mg 40634 Rp 44.00 Rp 1,787,896.00 0 Rp 44.00 Rp - 2164 Rp 44.00 Rp 95,216.00
24 Digoksin 0,25 mg 566 Rp 97.00 Rp 54,902.00 0 Rp 97.00 Rp - 80 Rp 97.00 Rp 7,760.00
25 Diltiazem 30 mg 0 Rp 134.00 Rp - 0 Rp 134.00 Rp - 0 Rp 134.00 Rp -
26 Dimenhidrinat tablet 50mg 1936 Rp 104.00 Rp 201,344.00 0 Rp 104.00 Rp - 0 Rp 104.00 Rp -
27 Doksisiklin 100mg 0 Rp 270.00 Rp - 0 Rp 270.00 Rp - 0 Rp 270.00 Rp -
28 Domperidon tablet 10 mg 2840 Rp 167.00 Rp 474,280.00 0 Rp 167.00 Rp - 204 Rp 167.00 Rp 34,068.00
29 Efedrin HCL 25 mg 0 Rp 47.00 Rp - 0 Rp 47.00 Rp - 0 Rp 47.00 Rp -
30 Eritromisin 500mg 780 Rp 730.00 Rp 569,400.00 0 Rp 730.00 Rp - 97 Rp 730.00 Rp 70,810.00
31 Fitomenadion (Vit K1) 10mg 1367 Rp 630.00 Rp 861,210.00 0 Rp 630.00 Rp - 195 Rp 630.00 Rp 122,850.00
32 Furosemid 40 mg 578 Rp 85.00 Rp 49,130.00 0 Rp 85.00 Rp - 0 Rp 85.00 Rp -
33 Glibenklamid 5 mg 5442 Rp 56.00 Rp 304,752.00 0 Rp 56.00 Rp - 615 Rp 56.00 Rp 34,440.00
34 Glimepiride tablet 2 mg 204 Rp 436.00 Rp 88,944.00 10000 Rp 436.00 Rp 4,360,000.00 628 Rp 436.00 Rp 273,808.00
35 Gliseril Guaiakolat 100 mg 17451 Rp 98.00 Rp 1,710,198.00 0 Rp 98.00 Rp - 476 Rp 98.00 Rp 46,648.00
36 Griseofulvin 125 mg 0 Rp 209.00 Rp - 0 Rp 209.00 Rp - 0 Rp 209.00 Rp -
37 Hidroklorotiazid (HCT) 25 mg 208 Rp 149.00 Rp 30,992.00 0 Rp 149.00 Rp - 208 Rp 149.00 Rp 30,992.00
38 Hyosin N Butilbromida 10mg 0 Rp 395.00 Rp - 0 Rp 395.00 Rp - 0 Rp 395.00 Rp -
39 Ibuprofen 400 mg 2200 Rp 150.00 Rp 330,000.00 0 Rp 150.00 Rp - 0 Rp 150.00 Rp -
1194 Rp 88.00 Rp 105,072.00 0 Rp 88.00 Rp - 111 Rp 88.00 Rp 9,768.00
42 Kalium Diklofenac 50mg 0 Rp 425.00 Rp - 0 Rp 425.00 Rp - 0 Rp 425.00 Rp -
43 Kalsium Laktat (Kalk) 500 mg 2482 Rp 63.00 Rp 156,366.00 0 Rp 63.00 Rp - 838 Rp 63.00 Rp 52,794.00
44 Kaptopril 25 mg 17186 Rp 84.00 Rp 1,443,624.00 0 Rp 84.00 Rp - 841 Rp 84.00 Rp 70,644.00
45 Kaptopril 12,5 mg 0 Rp 62.00 Rp - 0 Rp 62.00 Rp - 0 Rp 62.00 Rp -
46 Ketokonazol 200mg tablet 2251 Rp 300.00 Rp 675,300.00 0 Rp 300.00 Rp - 54 Rp 300.00 Rp 16,200.00
47 Klindamisin kapsul 150 mg 1448 Rp 361.00 Rp 522,728.00 0 Rp 361.00 Rp - 128 Rp 361.00 Rp 46,208.00
48 Klopidogrel 520 Rp 3,400.00 Rp 1,768,000.00 0 Rp 3,400.00 Rp - 0 Rp 3,400.00 Rp -
49 Kloramfenikol kapsul 250 mg 3513 Rp 249.00 Rp 874,737.00 0 Rp 249.00 Rp - 0 Rp 249.00 Rp -
21600 Rp 51.00 Rp 1,101,600.00 0 Rp 51.00 Rp - 2443 Rp 51.00 Rp 124,593.00
52 Klorpropamid tablet 100 mg 0 Rp 52.08 Rp - 0 Rp 52.08 Rp - 0 Rp 52.08 Rp -
Kotrimoksazol anak
m20mg) 0 Rp 72.00 Rp - 0 Rp 72.00 Rp - 0 Rp 72.00 Rp -
80mg
7337 Rp 151.00 Rp 1,107,887.00 5000 Rp 151.00 Rp 755,000.00 646 Rp 151.00 Rp 97,546.00
55 Levofloksasin 500 mg 108 Rp 495.00 Rp 53,460.00 300 Rp 495.00 Rp 148,500.00 97 Rp 495.00 Rp 48,015.00
56 Lisinopril 5mg tablet 0 Rp 448.00 Rp - 0 Rp 448.00 Rp - 0 Rp 448.00 Rp -
57 Loratadin tablet 10 mg 2000 Rp 134.00 Rp 268,000.00 0 Rp 134.00 Rp - 0 Rp 134.00 Rp -
58 Mebendazol tablet 100 mg 0 Rp 225.00 Rp - 0 Rp 225.00 Rp - 0 Rp 225.00 Rp -
59 Meloksikam tablet 7,5 mg 0 Rp 629.00 Rp - 0 Rp 629.00 Rp - 0 Rp 629.00 Rp -
60 Metformin 500mg tablet 1399 Rp 113.00 Rp 158,087.00 0 Rp 113.00 Rp - 550 Rp 113.00 Rp 62,150.00
61 Metil Prednisolon 4 mg 3733 Rp 205.00 Rp 765,265.00 0 Rp 205.00 Rp - 204 Rp 205.00 Rp 41,820.00
1058 Rp 154.00 Rp 162,932.00 1000 Rp 154.00 Rp 154,000.00 50 Rp 154.00 Rp 7,700.00
63 Metoklopramid 5mg 5 Rp 108.00 Rp 540.00 0 Rp 108.00 Rp - 0 Rp 108.00 Rp -
64 Metronidazol 250 mg 0 Rp 110.00 Rp - 0 Rp 110.00 Rp - 0 Rp 110.00 Rp -
65 Metronidazol 500mg 6259 Rp 133.00 Rp 832,447.00 0 Rp 133.00 Rp - 678 Rp 133.00 Rp 90,174.00
66 Natrium Diklofenac 25 mg 2181 Rp 133.00 Rp 290,073.00 0 Rp 133.00 Rp - 0 Rp 133.00 Rp -
67 Natrium Diklofenac 50 mg 7028 Rp 176.00 Rp 1,236,928.00 0 Rp 176.00 Rp - 802 Rp 176.00 Rp 141,152.00
68 Nifedipin 10 mg tablet 0 Rp 110.00 Rp - 0 Rp 110.00 Rp - 0 Rp 110.00 Rp -
175 Rp 480.00 Rp 84,000.00 100 Rp 480.00 Rp 48,000.00 24 Rp 480.00 Rp 11,520.00
70 Omeprazole 20mg 860 Rp 211.00 Rp 181,460.00 0 Rp 211.00 Rp - 422 Rp 211.00 Rp 89,042.00
71 Parasetamol 100 mg 0 Rp 32.23 Rp - 0 Rp 32.23 Rp - 0 Rp 32.23 Rp -
72 Parasetamol 500 mg 3087 Rp 56.00 Rp 172,872.00 50400 Rp 56.00 Rp 2,822,400.00 5641 Rp 56.00 Rp 315,896.00
74 Pirasetam 800 mg tablet 429 Rp 400.00 Rp 171,600.00 0 Rp 400.00 Rp - 0 Rp 400.00 Rp -
4248 Rp 118.00 Rp 501,264.00 0 Rp 118.00 Rp - 522 Rp 118.00 Rp 61,596.00
76 Prednison tablet 5 mg 2653 Rp 114.00 Rp 302,442.00 0 Rp 114.00 Rp - 152 Rp 114.00 Rp 17,328.00
77 Propanolol HCL tablet 10 mg 150 Rp 65.00 Rp 9,750.00 0 Rp 65.00 Rp - 10 Rp 65.00 Rp 650.00
78 Propiltiourasil tablet 100 mg 0 Rp 319.00 Rp - 0 Rp 319.00 Rp - 0 Rp 319.00 Rp -
79 Ranitidin tablet 150 mg 4820 Rp 120.00 Rp 578,400.00 3000 Rp 120.00 Rp 360,000.00 507 Rp 120.00 Rp 60,840.00
80 Salbutamol tablet 2 mg 6936 Rp 59.00 Rp 409,224.00 3000 Rp 59.00 Rp 177,000.00 266 Rp 59.00 Rp 15,694.00
81 Salbutamol tablet 4 mg 0 Rp 89.00 Rp - 0 Rp 89.00 Rp - 0 Rp 89.00 Rp -
82 Simvastatin 10 mg 10987 Rp 169.00 Rp 1,856,803.00 0 Rp 169.00 Rp - 1152 Rp 169.00 Rp 194,688.00
83 Siprofloksazin tablet 500 mg 538 Rp 281.00 Rp 151,178.00 2000 Rp 281.00 Rp 562,000.00 291 Rp 281.00 Rp 81,771.00
0,25mg 106871 Rp 4,488,582.00 0 Rp - 3543 Rp 148,806.00
85 Tetrasiklin HCL kapsul 250 mg 0 Rp 149.00 Rp - 0 Rp 149.00 Rp - 0 Rp 149.00 Rp -
86 Tetrasiklin HCL kapsul 500 mg 95 Rp 310.00 Rp 29,450.00 0 Rp 310.00 Rp - 0 Rp 310.00 Rp -
87 Thiamfenikol 500mg kapsul 0 Rp 672.00 Rp - 0 Rp 672.00 Rp - 0 Rp 672.00 Rp -
88 Tiamin HCL (VitB1) 50 mg 3986 Rp 680.00 Rp 2,710,480.00 0 Rp 680.00 Rp - 812 Rp 680.00 Rp 552,160.00
89 Vitamin B Kompleks 942 Rp 115.00 Rp 108,330.00 10000 Rp 115.00 Rp 1,150,000.00 1466 Rp 115.00 Rp 168,590.00
90 Zinc 10 mg 2859 Rp 474.00 Rp 1,355,166.00 3000 Rp 474.00 Rp 1,422,000.00 475 Rp 474.00 Rp 225,150.00
91 Acarbose 100 mg 300 Rp 908.00 Rp 272,400.00 0 Rp 908.00 Rp - 0 Rp 908.00 Rp -
92 Spironolactone 25mg 0 Rp 315.00 Rp - 0 Rp 315.00 Rp - 0 Rp 315.00 Rp -
93 Ondansetron 4 mg 0 Rp 716.00 Rp - 0 Rp 716.00 Rp - 0 Rp 716.00 Rp -
94 Irbesartan 150 mg 0 Rp 1,425.00 Rp - 0 Rp 1,425.00 Rp - 0 Rp 1,425.00 Rp -
95 Loperamid 2 mg 0 Rp 85.00 Rp - 0 Rp 85.00 Rp - 0 Rp 85.00 Rp -
96 Candesartan 8 mg 8 Rp 3,100.00 Rp 24,800.00 120 Rp 3,100.00 Rp 372,000.00 0 Rp 3,100.00 Rp -
97 Cefadroxil 500mg 3999 Rp 516.00 Rp 2,063,484.00 0 Rp 516.00 Rp - 242 Rp 516.00 Rp 124,872.00
98 asetil sistein 0 Rp 426.00 Rp - 0 Rp 426.00 Rp - 0 Rp 426.00 Rp -
99 Clindamycin 300mg 812 Rp 603.00 Rp 489,636.00 0 Rp 603.00 Rp - 0 Rp 603.00 Rp -
100 Gemfibrozil 600mg 0 Rp 679.00 Rp - 1000 Rp 679.00 Rp 679,000.00 15 Rp 679.00 Rp 10,185.00
b. Injeksi 0 Rp - 0 Rp - 0 Rp -
1 Aminofilina 24 mg/ml - 10 ml 0 Rp 3,822.00 Rp - 0 Rp 3,822.00 Rp - 0 Rp 3,822.00 Rp -
2 Amoksisilin 1000mg 198 Rp 16,500.00 Rp 3,267,000.00 0 Rp 16,500.00 Rp - 50 Rp 16,500.00 Rp 825,000.00
3 Ampisillin im/iv 1000mg/ml 0 Rp 5,100.00 Rp - 0 Rp 5,100.00 Rp - 0 Rp 5,100.00 Rp -
4 Antalgin 250 mg/ml - 2 ml 0 Rp 8,400.00 Rp - 0 Rp 8,400.00 Rp - 0 Rp 8,400.00 Rp -
5 Atropin sulfat 0,25mg/ml-1 ml 18 Rp 1,672.00 Rp 30,096.00 0 Rp 1,672.00 Rp - 0 Rp 1,672.00 Rp -
6 Calsium Gluconas injeksi 10 % 10 Rp 10,425.00 Rp 104,250.00 0 Rp 10,425.00 Rp - 0 Rp 10,425.00 Rp -
7 Ceftriaxone 1 gr injeksi 0 Rp 3,300.00 Rp - 0 Rp 3,300.00 Rp - 0 Rp 3,300.00 Rp -
177 Rp 1,580.00 Rp 279,660.00 200 Rp 1,580.00 Rp 316,000.00 20 Rp 1,580.00 Rp 31,600.00
1118 Rp 1,050.00 Rp 1,173,900.00 0 Rp 1,050.00 Rp - 118 Rp 1,050.00 Rp 123,900.00
10 Epinefrin injeksi 0 Rp 8,100.00 Rp - 0 Rp 8,100.00 Rp - 0 Rp 8,100.00 Rp -
1ml 92 Rp 3,417.00 Rp 314,364.00 0 Rp 3,417.00 Rp - 13 Rp 3,417.00 Rp 44,421.00
12 Fitomenadion (Vit K1)inj infant 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp - 0 Rp 8,250.00 Rp -
13 Furosemid injeksi 25 Rp 1,829.00 Rp 45,725.00 0 Rp 1,829.00 Rp - 0 Rp 1,829.00 Rp -
14 Gentamisin injeksi 0 Rp 3,399.00 Rp - 0 Rp 3,399.00 Rp - 0 Rp 3,399.00 Rp -
Rp 4,500.00 Rp 4,500.00 Rp 4,500.00
0 Rp - 0 Rp - 0 Rp -
16 Kloramfenikol injeksi 0 Rp 7,260.00 Rp - 0 Rp 7,260.00 Rp - 0 Rp 7,260.00 Rp -
Lidokain komp
+Epinefrin1:80000-2ml 562 Rp 1,845.00 Rp 1,036,890.00 300 Rp 1,845.00 Rp 553,500.00 10 Rp 1,845.00 Rp 18,450.00
25 ml 0 Rp 3,200.00 Rp - 0 Rp 3,200.00 Rp - 0 Rp 3,200.00 Rp -
25 ml 0 Rp 2,629.00 Rp - 0 Rp 2,629.00 Rp - 0 Rp 2,629.00 Rp -
0,200mg-1ml 73 Rp 2,684.00 Rp 195,932.00 0 Rp 2,684.00 Rp - 8 Rp 2,684.00 Rp 21,472.00
21 Metoklopramid inj. 5mg / ml 0 Rp 4,650.00 Rp - 0 Rp 4,650.00 Rp - 0 Rp 4,650.00 Rp -
ml 0 Rp 1,476.80 Rp - 0 Rp 1,476.80 Rp - 0 Rp 1,476.80 Rp -
10ml 0 Rp 2,818.10 Rp - 0 Rp 2,818.10 Rp - 0 Rp 2,818.10 Rp -
24 Oksitosin injeksi 10 IU/ml - 1 ml 186 Rp 1,900.00 Rp 353,400.00 0 Rp 1,900.00 Rp - 9 Rp 1,900.00 Rp 17,100.00
25 Ondansetron injeksi 30 Rp 1,650.00 Rp 49,500.00 900 Rp 1,650.00 Rp 1,485,000.00 105 Rp 1,650.00 Rp 173,250.00
28 Ranitidin injeksi 25mg/2ml 1698 Rp 1,390.00 Rp 2,360,220.00 0 Rp 1,390.00 Rp - 130 Rp 1,390.00 Rp 180,700.00
29 Sefotaksim injeksi 1 gram 112 Rp 4,898.00 Rp 548,576.00 500 Rp 4,898.00 Rp 2,449,000.00 130 Rp 4,898.00 Rp 636,740.00
ml-1ml 75 Rp 1,098.00 Rp 82,350.00 0 Rp 1,098.00 Rp - 15 Rp 1,098.00 Rp 16,470.00
Rp 3,650.00 Rp 3,650.00 Rp 3,650.00
1000mg/ml 0 Rp - 0 Rp - 0 Rp -
mg/ml-1 ml 0 Rp 680.00 Rp - 0 Rp 680.00 Rp - 0 Rp 680.00 Rp -
33 Vitamin B Kompleks injeksi 0 Rp 36,000.00 Rp - 0 Rp 36,000.00 Rp - 0 Rp 36,000.00 Rp -
52 Rp 2,950.00 Rp 153,400.00 0 Rp 2,950.00 Rp - 10 Rp 2,950.00 Rp 29,500.00
34 Asam traneksamat 250 mg/5ml 20 Rp 7,190.00 Rp 143,800.00 0 Rp 7,190.00 Rp - 0 Rp 7,190.00 Rp -
35 Procain Benzil Penisilin inj 3 jt iu 0 Rp 7,190.00 Rp - 0 Rp 7,190.00 Rp - 0 Rp 7,190.00 Rp -
c. Salep 0 Rp - 0 Rp - 0 Rp -
3%) 111 Rp 1,904.40 Rp 211,388.40 0 Rp 1,904.40 Rp - 13 Rp 1,904.40 Rp 24,757.20
2 Asiklovir krim 5% 14 Rp 839.00 Rp 11,746.00 0 Rp 839.00 Rp - 0 Rp 839.00 Rp -
3 Basitrasin Polimixin B SK 0 Rp 2,516.00 Rp - 0 Rp 2,516.00 Rp - 0 Rp 2,516.00 Rp -
4 Betametason krim 0,1 % 169 Rp 1,520.00 Rp 256,880.00 0 Rp 1,520.00 Rp - 12 Rp 1,520.00 Rp 18,240.00
5 Gameksan emulsi 1 % 30ml 0 Rp 2,200.00 Rp - 0 Rp 2,200.00 Rp - 0 Rp 2,200.00 Rp -
6 Gentamisin salep kulit 0.1%-5gr 0 Rp 2,970.00 Rp - 0 Rp 2,970.00 Rp - 0 Rp 2,970.00 Rp -
7 Gentamisin salep mata 0,3% 50 Rp 2,600.00 Rp 130,000.00 0 Rp 2,600.00 Rp - 0 Rp 2,600.00 Rp -
8 Hidrokortison krim 2,5 % 65 Rp 2,798.00 Rp 181,870.00 0 Rp 2,798.00 Rp - 8 Rp 2,798.00 Rp 22,384.00
9 Ketokonazol krim 2% 0 Rp 2,569.00 Rp - 0 Rp 2,569.00 Rp - 0 Rp 2,569.00 Rp -
10 Kloramfenikol salep mata 1 % 0 Rp 1,600.00 Rp - 0 Rp 1,600.00 Rp - 0 Rp 1,600.00 Rp -
11 Miconazol cream 2 % 76 Rp 3,000.00 Rp 228,000.00 120 Rp 3,000.00 Rp 360,000.00 4 Rp 3,000.00 Rp 12,000.00
104 Rp 2,520.00 Rp 262,080.00 0 Rp 2,520.00 Rp - 21 Rp 2,520.00 Rp 52,920.00
13 Oksitetrasiklin HCL salep 3 % 0 Rp 1,499.00 Rp - 0 Rp 1,499.00 Rp - 0 Rp 1,499.00 Rp -
+Belerang endap4% 182 Rp 2,429.00 Rp 442,078.00 0 Rp 2,429.00 Rp - 9 Rp 2,429.00 Rp 21,861.00
d. Serbuk 0 Rp - 0 Rp - 0 Rp -
1 Garam oralit untuk 200 ml air 14587 Rp 288.00 Rp 4,201,056.00 0 Rp 288.00 Rp - 391 Rp 288.00 Rp 112,608.00
2 Salisil Bedak 2 % 82 Rp 1,250.00 Rp 102,500.00 0 Rp 1,250.00 Rp - 16 Rp 1,250.00 Rp 20,000.00
e. Sirup 0 Rp - 0 Rp - 0 Rp -
1 Amoksilin 125mg/5ml 348 Rp 2,445.00 Rp 850,860.00 300 Rp 2,445.00 Rp 733,500.00 65 Rp 2,445.00 Rp 158,925.00
200mg/5ml+AlOH 200mg/5ml) 4 Rp 2,025.00 Rp 8,100.00 0 Rp 2,025.00 Rp - 4 Rp 2,025.00 Rp 8,100.00
3 Cetirizin syr 45 Rp 7,999.00 Rp 359,955.00 0 Rp 7,999.00 Rp - 6 Rp 7,999.00 Rp 47,994.00
4 Dekstrometorfan 10 mg / 5 ml 144 Rp 1,378.85 Rp 198,554.40 0 Rp 1,378.85 Rp - 1 Rp 1,378.85 Rp 1,378.85
5 Eritromisin sirup 5 Rp 6,700.00 Rp 33,500.00 0 Rp 6,700.00 Rp - 0 Rp 6,700.00 Rp -
6 Ibuprofen suspensi 100mg/5ml 960 Rp 4,499.00 Rp 4,319,040.00 0 Rp 4,499.00 Rp - 1 Rp 4,499.00 Rp 4,499.00
68 Rp 3,955.00 Rp 268,940.00 150 Rp 3,955.00 Rp 593,250.00 11 Rp 3,955.00 Rp 43,505.00
200mg+Trimetoprim40mg/5ml 261 Rp 558,540.00 200 Rp 428,000.00 42 Rp 89,880.00
9 Mebendazol sirup 100 mg/5ml 0 Rp 3,534.00 Rp - 0 Rp 3,534.00 Rp - 0 Rp 3,534.00 Rp -
10 Obat Batuk Hitam ( O B H ) 402 Rp 4,840.00 Rp 1,945,680.00 0 Rp 4,840.00 Rp - 33 Rp 4,840.00 Rp 159,720.00
11 Parasetamol sirup 120mg/5ml 513 Rp 1,074.00 Rp 550,962.00 0 Rp 1,074.00 Rp - 108 Rp 1,074.00 Rp 115,992.00
12 Thiamfenikol syr 0 Rp - 0 Rp - 0 Rp -
13 Metronidazol syrup 229 Rp 9,950.00 Rp 2,278,550.00 0 Rp 9,950.00 Rp - 31 Rp 9,950.00 Rp 308,450.00
f. Tetes 0 Rp - 0 Rp - 0 Rp -
1 Fenol Gliserol tetes telinga 10 % 211 Rp 2,042.00 Rp 430,862.00 120 Rp 2,042.00 Rp 245,040.00 8 Rp 2,042.00 Rp 16,336.00
2 Gentamisin tetes mata 0.3% 0 Rp 4,000.00 Rp - 48 Rp 4,000.00 Rp 192,000.00 13 Rp 4,000.00 Rp 52,000.00
3 Gentian violet larutan 1 % 0 Rp 900.00 Rp - 0 Rp 900.00 Rp - 0 Rp 900.00 Rp -
4 Kloramfenikol tetes mata 0 Rp 2,273.00 Rp - 0 Rp 2,273.00 Rp - 0 Rp 2,273.00 Rp -
5 Kloramfenikol tetes telinga 3 % 65 Rp 5,500.00 Rp 357,500.00 0 Rp 5,500.00 Rp - 0 Rp 5,500.00 Rp -
15ml 122 Rp 5,200.00 Rp 634,400.00 0 Rp 5,200.00 Rp - 25 Rp 5,200.00 Rp 130,000.00
7 Polikresulen 0 Rp 17,393.00 Rp - 0 Rp 17,393.00 Rp - 0 Rp 17,393.00 Rp -
% 0 Rp 3,226.00 Rp - 0 Rp 3,226.00 Rp - 0 Rp 3,226.00 Rp -
ALKES DAN CAIRAN LUAR 0 Rp - 0 Rp - 0 Rp -
5 Alkohol swab 300 Rp 19,680.00 Rp 5,904,000.00 0 Rp 19,680.00 Rp - 200 Rp 19,680.00 Rp 3,936,000.00
6 Aqua pro injeksi, bebas pirogen 82 Rp 2,750.00 Rp 225,500.00 240 Rp 2,750.00 Rp 660,000.00 49 Rp 2,750.00 Rp 134,750.00
7 Aquadest steril 0 Rp 8,600.00 Rp - 0 Rp 8,600.00 Rp - 0 Rp 8,600.00 Rp -
8 Blood Tranfusion set 138 Rp 27,830.00 Rp 3,840,540.00 0 Rp 27,830.00 Rp - 0 Rp 27,830.00 Rp -
2/0-3/0 62 Rp 2,118,540.00 0 Rp - 7 Rp 239,190.00
3/0 47 Rp 1,679,780.00 0 Rp - 0 Rp -
11 Daryantulle/Bioplacenton tulle 164 Rp 10,400.00 Rp 1,705,600.00 0 Rp 10,400.00 Rp - 0 Rp 10,400.00 Rp -
12 Etanol 70 % 100 ml 31 Rp 2,500.00 Rp 77,500.00 0 Rp 2,500.00 Rp - 0 Rp 2,500.00 Rp -
13 Etanol 70 % 1000 ml 0 Rp 22,990.00 Rp - 0 Rp 22,990.00 Rp - 0 Rp 22,990.00 Rp -
14 Foley Catheter no.16 40 Rp 8,000.00 Rp 320,000.00 0 Rp 8,000.00 Rp - 0 Rp 8,000.00 Rp -
15 Folley cath no. 18 6 Rp 8,000.00 Rp 48,000.00 0 Rp 8,000.00 Rp - 0 Rp 8,000.00 Rp -
16 Hanschoen "50 0 Rp 35,620.00 Rp - 0 Rp 35,620.00 Rp - 0 Rp 35,620.00 Rp -
surgical PF) 106 Rp 6,985.00 Rp 740,410.00 0 Rp 6,985.00 Rp - 2 Rp 6,985.00 Rp 13,970.00
20 I.V. Catheter No 20 0 Rp 8,700.00 Rp - 0 Rp 8,700.00 Rp - 0 Rp 8,700.00 Rp -
22 I.V. Catheter No 24 0 Rp 8,700.00 Rp - 0 Rp 8,700.00 Rp - 0 Rp 8,700.00 Rp -
23 Infusion set anak 61 Rp 5,100.00 Rp 311,100.00 100 Rp 5,100.00 Rp 510,000.00 3 Rp 5,100.00 Rp 15,300.00
24 Infusion set dewasa 761 Rp 9,070.00 Rp 6,902,270.00 200 Rp 9,070.00 Rp 1,814,000.00 3 Rp 9,070.00 Rp 27,210.00
18 Rp 24,000.00 Rp 432,000.00 0 Rp 24,000.00 Rp - 1 Rp 24,000.00 Rp 24,000.00
26 Kasa Pembalut 2 m x 80 cm 0 Rp 9,400.00 Rp - 0 Rp 9,400.00 Rp - 0 Rp 9,400.00 Rp -
27 Kasa Pembalut elastic 3 inchi 0 Rp 6,363.00 Rp - 0 Rp 6,363.00 Rp - 0 Rp 6,363.00 Rp -
40 Rp 3,800.00 Rp 152,000.00 0 Rp 3,800.00 Rp - 8 Rp 3,800.00 Rp 30,400.00
136 Rp 800.00 Rp 108,800.00 0 Rp 800.00 Rp - 0 Rp 800.00 Rp -
30 Kasa Steril 45 Rp 7,900.00 Rp 355,500.00 0 Rp 7,900.00 Rp - 7 Rp 7,900.00 Rp 55,300.00
50% 11 Rp 49,862.00 Rp 548,482.00 0 Rp 49,862.00 Rp - 0 Rp 49,862.00 Rp -
32 Masker breathing (+ selang) 0 Rp - 0 Rp - 0 Rp -
33 Masker non breathing 75 Rp 16,500.00 Rp 1,237,500.00 0 Rp 16,500.00 Rp - 14 Rp 16,500.00 Rp 231,000.00
34 masker oxygen 0 Rp 19,800.00 Rp - 0 Rp 19,800.00 Rp - 0 Rp 19,800.00 Rp -
35 NGT 7 x 75/80 0 Rp - 0 Rp - 0 Rp -
36 One Med H2 O2 3 % 0 Rp 3,960.00 Rp - 0 Rp 3,960.00 Rp - 0 Rp 3,960.00 Rp -
37 One Med Surgical Blade 0 Rp 770.00 Rp - 0 Rp 770.00 Rp - 0 Rp 770.00 Rp -
96 Rp 18,085.67 Rp 1,736,224.00 0 Rp 18,085.67 Rp - 0 Rp 18,085.67 Rp -
39 Plester infus (TEGADERM) 0 Rp 2,242.10 Rp - 0 Rp 2,242.10 Rp - 0 Rp 2,242.10 Rp -
40 Rivanol larutan 0,1 % 300ml 94 Rp 2,550.00 Rp 239,700.00 0 Rp 2,550.00 Rp - 0 Rp 2,550.00 Rp -
94 Rp 23,480.00 Rp 2,207,120.00 0 Rp 23,480.00 Rp - 0 Rp 23,480.00 Rp -
42 Tensocrepe 24 Rp - 0 Rp - 0 Rp -
43 Urine Bag 37 Rp 5,500.00 Rp 203,500.00 0 Rp 5,500.00 Rp - 0 Rp 5,500.00 Rp -
44 Wing Needle No. 18 - 27 0 Rp 1,400.00 Rp - 0 Rp 1,400.00 Rp - 0 Rp 1,400.00 Rp -
53 Rp 2,900.00 Rp 153,700.00 0 Rp 2,900.00 Rp - 4 Rp 2,900.00 Rp 11,600.00
4 Rp 5,998.00 Rp 23,992.00 0 Rp 5,998.00 Rp - 0 Rp 5,998.00 Rp -
5 Rp 18,000.00 Rp 90,000.00 0 Rp 18,000.00 Rp - 0 Rp 18,000.00 Rp -
48 Policlean handrub 50ml 10 Rp 74,494.00 Rp 744,940.00 0 Rp 74,494.00 Rp - 0 Rp 74,494.00 Rp -
49 Polifix 5cmx5m 1 Rp 39,217.00 Rp 39,217.00 0 Rp 39,217.00 Rp - 0 Rp 39,217.00 Rp -
50 New DRC 4Y x 80 cm plain 5 Rp 149,158.00 Rp 745,790.00 10 Rp 149,158.00 Rp 1,491,580.00 0 Rp 149,158.00 Rp -
51 Nurse cap 0 Rp 667.80 Rp - 0 Rp 667.80 Rp - 0 Rp 667.80 Rp -
52 Surgical gown (M) 5 Rp 51,426.00 Rp 257,130.00 0 Rp 51,426.00 Rp - 0 Rp 51,426.00 Rp -
53 Surgical gown (L) 5 Rp 51,426.00 Rp 257,130.00 0 Rp 51,426.00 Rp - 0 Rp 51,426.00 Rp -
54 Glucose protein test 100 Rp 1,045.00 Rp 104,500.00 0 Rp 1,045.00 Rp - 0 Rp 1,045.00 Rp -
55 Underpad 132 Rp 4,620.00 Rp 609,840.00 0 Rp 4,620.00 Rp - 10 Rp 4,620.00 Rp 46,200.00
56 Nasal kanul L 112 Rp 6,600.00 Rp 739,200.00 50 Rp 6,600.00 Rp 330,000.00 0 Rp 6,600.00 Rp -
57 Nasal kanul S 113 Rp 6,600.00 Rp 745,800.00 50 Rp 6,600.00 Rp 330,000.00 0 Rp 6,600.00 Rp -
58 Nasal kanul XS 0 Rp 6,600.00 Rp - 0 Rp 6,600.00 Rp - 0 Rp 6,600.00 Rp -
59 Handrub refill 8 Rp 580,000.00 Rp 4,640,000.00 0 Rp 580,000.00 Rp - 0 Rp 580,000.00 Rp -
60 Umbilical cord 0 Rp 65,000.00 Rp - 0 Rp 65,000.00 Rp - 0 Rp 65,000.00 Rp -
61 Dermafix T 5x7 0 Rp 1,629.00 Rp - 0 Rp 1,629.00 Rp - 0 Rp 1,629.00 Rp -
62 Plesterin 0 Rp 26,950.00 Rp - 0 Rp 26,950.00 Rp - 0 Rp 26,950.00 Rp -
INFUS 0 Rp - 0 Rp - 0 Rp -
1 Asering Larutan infus 140 Rp 9,275.00 Rp 1,298,500.00 0 Rp 9,275.00 Rp - 40 Rp 9,275.00 Rp 371,000.00
2 Glukosa larutan infus 10 % steril 28 Rp 7,500.00 Rp 210,000.00 0 Rp 7,500.00 Rp - 2 Rp 7,500.00 Rp 15,000.00
3 Glukosa larutan infus 40 % steril 0 Rp 5,700.00 Rp - 0 Rp 5,700.00 Rp - 0 Rp 5,700.00 Rp -
4 Glukosa larutan infus 5 % steril 330 Rp 6,900.00 Rp 2,277,000.00 0 Rp 6,900.00 Rp - 0 Rp 6,900.00 Rp -
7 Metronidazol infus 0 Rp 9,950.00 Rp - 0 Rp 9,950.00 Rp - 0 Rp 9,950.00 Rp -
steril 266 Rp Rp
6,410.00 1,705,060.00 200 Rp Rp
6,410.00 1,282,000.00 46 Rp Rp
6,410.00 294,860.00
9 Ringer Lactate infus steril 150 Rp 7,150.00 Rp 1,072,500.00 200 Rp 7,150.00 Rp 1,430,000.00 44 Rp 7,150.00 Rp 314,600.00
OBAT PATEN 0 Rp - 0 Rp - 0 Rp -
1 Aptil/Albothyl 0 Rp 23,100.00 Rp - 0 Rp 23,100.00 Rp - 0 Rp 23,100.00 Rp -
2 Bioplasenton Jelly 0 Rp 14,175.00 Rp - 0 Rp 14,175.00 Rp - 0 Rp 14,175.00 Rp -
10mg/Dulcolax 80 Rp 5,800.00 Rp 464,000.00 0 Rp 5,800.00 Rp - 0 Rp 5,800.00 Rp -
4 Bufacomb 204 Rp 15,000.00 Rp 3,060,000.00 0 Rp 15,000.00 Rp - 4 Rp 15,000.00 Rp 60,000.00
5 Cendo Lyters tetes mata 0 Rp 15,750.00 Rp - 0 Rp 15,750.00 Rp - 0 Rp 15,750.00 Rp -
6 Cendo Xitrol tetes mata 0 Rp 27,250.00 Rp - 0 Rp 27,250.00 Rp - 0 Rp 27,250.00 Rp -
7 Citicholin inj. 250 mg / 2ml 0 Rp 15,000.00 Rp - 0 Rp 15,000.00 Rp - 0 Rp 15,000.00 Rp -
8 Laxadin sirup -8 Rp 12,450.00 Rp (99,600.00) 48 Rp 12,450.00 Rp 597,600.00 0 Rp 12,450.00 Rp -
9 Lactodiar 0 Rp 5,078.85 Rp - 0 Rp 5,078.85 Rp - 0 Rp 5,078.85 Rp -
10 Lytamin syrup 70 Rp 5,000.00 Rp 350,000.00 0 Rp 5,000.00 Rp - 0 Rp 5,000.00 Rp -
11 Mecobion tablet 1006 Rp 550.00 Rp 553,300.00 0 Rp 550.00 Rp - 465 Rp 550.00 Rp 255,750.00
Rp 8,635.00 Rp 8,635.00 Rp 8,635.00
0 Rp - 0 Rp - 0 Rp -
13 Microlax 0 Rp 14,500.00 Rp - 0 Rp 14,500.00 Rp - 0 Rp 14,500.00 Rp -
(Mersibion) 103 Rp 4,300.00Rp 442,900.00 100 Rp 4,300.00Rp 430,000.00 0 Rp 4,300.00Rp -
15 Novalgin/Antrain injeksi 54 Rp 8,635.00Rp 466,290.00 0 Rp 8,635.00Rp - 50 Rp 8,635.00Rp 431,750.00
16 Noza /Demacolin 1399 Rp 362.00 Rp 506,438.00 0 Rp 362.00 Rp - 147 Rp 362.00 Rp 53,214.00
207 Rp 3,575.00 Rp 740,025.00 0 Rp 3,575.00 Rp - 5 Rp 3,575.00 Rp 17,875.00
18 Parasetamol supp 0 Rp - 0 Rp - 0 Rp -
19 Pehacain injeksi 0 Rp 2,590.00 Rp - 0 Rp 2,590.00 Rp - 0 Rp 2,590.00 Rp -
20 Permetrin/Scabicid krim 5% 0 Rp 12,155.00 Rp - 0 Rp 12,155.00 Rp - 0 Rp 12,155.00 Rp -
21 Salbutamol rotacaps 0 Rp 450.00 Rp - 0 Rp 450.00 Rp - 0 Rp 450.00 Rp -
22 Salbutamol rotahaler 0 Rp 5,867.00 Rp - 0 Rp 5,867.00 Rp - 0 Rp 5,867.00 Rp -
23 Hiopar 155 Rp 1,360.00 Rp 210,800.00 0 Rp 1,360.00 Rp - 0 Rp 1,360.00 Rp -
24 Puralex 1234 Rp 190.00 Rp 234,460.00 0 Rp 190.00 Rp - 190 Rp 190.00 Rp 36,100.00
25 Ventolin nebuliser 0 Rp 6,600.00 Rp - 0 Rp 6,600.00 Rp - 0 Rp 6,600.00 Rp -
26 Zirkum syr/ Zinkid syr 0 Rp 14,980.00 Rp - 0 Rp 14,980.00 Rp - 0 Rp 14,980.00 Rp -
27 Miniaspi (Asetosal 80mg) 450 Rp 148.00 Rp 66,600.00 0 Rp 148.00 Rp - 0 Rp 148.00 Rp -
28 Ulsidex 500mg 0 Rp 424.00 Rp - 0 Rp 424.00 Rp - 0 Rp 424.00 Rp -
29 Combiven nebulizer 140 Rp 4,995.00 Rp 699,300.00 0 Rp 4,995.00 Rp - 0 Rp 4,995.00 Rp -
30 Dulcolax supp 5 mg (anak) 48 Rp 5,670.00 Rp 272,160.00 0 Rp 5,670.00 Rp - 3 Rp 5,670.00 Rp 17,010.00
31 Bufacetin salep 11 Rp 3,091.00 Rp 34,001.00 0 Rp 3,091.00 Rp - 0 Rp 3,091.00 Rp -
32 Pantocain TM 10 Rp 11,500.00 Rp 115,000.00 0 Rp 11,500.00 Rp - 0 Rp 11,500.00 Rp -
33 Chloramex 500mg 7935 Rp 1,007.00 Rp 7,990,545.00 4000 Rp 1,007.00 Rp 4,028,000.00 376 Rp 1,007.00 Rp 378,632.00
34 Euthyrox (Levotiroksin 100mcg) 0 Rp 850.00 Rp - 0 Rp 850.00 Rp - 0 Rp 850.00 Rp -
35 Dionicol 500mg 349 Rp 737.00 Rp 257,213.00 0 Rp 737.00 Rp - 0 Rp 737.00 Rp -
36 Sotatic inj (metoclopramid inj) 40 Rp 4,620.00 Rp 184,800.00 0 Rp 4,620.00 Rp - 0 Rp 4,620.00 Rp -
37 Gricin 0 Rp 1,100.00 Rp - 0 Rp 1,100.00 Rp - 0 Rp 1,100.00 Rp -
38 Amoxsan serbuk injeksi 0 Rp 16,500.00 Rp - 0 Rp 16,500.00 Rp - 0 Rp 16,500.00 Rp -
OBAT KHUSUS 0 Rp - 0 Rp - 0 Rp -
a. Alkes 0 Rp - 0 Rp - 0 Rp -
1 Anisol 0 Rp - 0 Rp - 0 Rp -
3 Blue Tip 0 Rp 104,000.00 Rp - 0 Rp 104,000.00 Rp - 0 Rp 104,000.00 Rp -
4 Corong 0 Rp - 0 Rp - 0 Rp -
5 Kantong mayat 0 Rp 150,000.00 Rp - 0 Rp 150,000.00 Rp - 0 Rp 150,000.00 Rp -
6 Kertas lensa 0 Rp - 0 Rp - 0 Rp -
7 Lampu spiritus 0 Rp - 0 Rp - 0 Rp -
8 Ose 0 Rp - 0 Rp - 0 Rp -
9 Pipet K 0 Rp - 0 Rp - 0 Rp -
10 Pipet 50 ml 0 Rp - 0 Rp - 0 Rp -
11 Rak slide 0 Rp - 0 Rp - 0 Rp -
12 Safety box 5 l 0 Rp - 0 Rp - 0 Rp -
14 Sarung tangan no 7.5 0 Rp - 0 Rp - 0 Rp -
16 Syringe AD 0,5ml / Soloshot 0 1655,55 #VALUE! 0 1655,55 #VALUE! 0 1655,55 #VALUE!
17 Syringe AD 5ml / Soloshot 0 Rp - 0 Rp - 0 Rp -
18 Tabung EDTA 0 Rp 240,450.00 Rp - 0 Rp 240,450.00 Rp - 0 Rp 240,450.00 Rp -
19 Tabung serologi 0 Rp 226,550.00 Rp - 0 Rp 226,550.00 Rp - 0 Rp 226,550.00 Rp -
b. Filariasis 0 Rp - 0 Rp - 0 Rp -
1 Albendazol 31834 Rp 344.00 Rp 10,950,896.00 0 Rp 344.00 Rp - 0 Rp 344.00 Rp -
2 Betametason krim 0,1 % 0 Rp 1,520.00 Rp - 0 Rp 1,520.00 Rp - 0 Rp 1,520.00 Rp -
3 Dietilkarbamazin sitrat 100 mg 0 Rp 136.00 Rp - 0 Rp 136.00 Rp - 0 Rp 136.00 Rp -
4 0 Rp - 0 Rp - 0 Rp -
5 Miconazol cream 2 % 0 Rp 3,000.00 Rp - 0 Rp 3,000.00 Rp - 0 Rp 3,000.00 Rp -
7 Vitamin B Kompleks 0 Rp 107.00 Rp - 0 Rp 107.00 Rp - 0 Rp 107.00 Rp -
c. Flu burung 0 Rp - 0 Rp - 0 Rp -
1 Oseltamivir 75 mg 0 Rp 13,000.00 Rp - 0 Rp 13,000.00 Rp - 0 Rp 13,000.00 Rp -
d. Gigi 0 Rp - 0 Rp - 0 Rp -
1 Devitalisasi Pasta ( Non Arsen ) 0 Rp - 0 Rp - 0 Rp -
2 Etil Klorida semprot 22 Rp 99,000.00 Rp 2,178,000.00 0 Rp 99,000.00 Rp - 0 Rp 99,000.00 Rp -
3 Eugenol cairan 2 Rp - 0 Rp - 0 Rp -
4 Glass Ionomer Cemen ( GC IX ) 0 Rp - 0 Rp - 0 Rp -
5 Kalsium Hidroksida Pasta 0 Rp - 0 Rp - 0 Rp -
6 Monoklorkamfer Mentol Cairan 0 Rp - 0 Rp - 0 Rp -
7 Mummifying Pasta 0 Rp - 0 Rp - 0 Rp -
0 Rp - 0 Rp - 0 Rp -
9 Silver Amalgam serbuk 65 - 75 % 0 Rp - 0 Rp - 0 Rp -
dan cairan 0 Rp - 0 Rp - 0 Rp -
11 Trikresol Formalin (TKF) cairan 0 Rp - 0 Rp - 0 Rp -
e. Gizi 0 Rp - 0 Rp - 0 Rp -
33 Rp 14,200.00 Rp 468,600.00 0 Rp 14,200.00 Rp - 0 Rp 14,200.00 Rp -
227 Rp 5,209,650.00 0 Rp - 0 Rp -
3 Mineral Mix 0 Rp 2,695.00 Rp - 0 Rp 2,695.00 Rp - 0 Rp 2,695.00 Rp -
4 Iodine test 10 Rp 31,650.00 Rp 316,500.00 0 Rp 31,650.00 Rp - 0 Rp 31,650.00 Rp -
f. Jiwa 0 Rp - 0 Rp - 0 Rp -
1 Amitriptilin HCL 25 mg 226 Rp 102.00 Rp 23,052.00 0 Rp 102.00 Rp - 10 Rp 102.00 Rp 1,020.00
2 Clobazam 10mg tab 0 Rp 900.00 Rp - 0 Rp 900.00 Rp - 0 Rp 900.00 Rp -
3 Fenitoin Natrium inj. 50 mg/ml 3000 Rp 20,250.00 Rp 60,750,000.00 0 Rp 20,250.00 Rp - 0 Rp 20,250.00 Rp -
4 Fenitoin Natrium 100 mg 200 Rp 133.00 Rp 26,600.00 0 Rp 133.00 Rp - 0 Rp 133.00 Rp -
5 Fenitoin Natrium 30 mg 0 Rp 93.00 Rp - 0 Rp 93.00 Rp - 0 Rp 93.00 Rp -
6 Haldol decanoat 50mg/ml inj 0 Rp 83,333.00 Rp - 0 Rp 83,333.00 Rp - 0 Rp 83,333.00 Rp -
8 Haloperidol 5 mg 300 Rp 96.00 Rp 28,800.00 0 Rp 96.00 Rp - 60 Rp 96.00 Rp 5,760.00
9 Karbamazepin 200 mg 0 Rp 245.00 Rp - 100 Rp 245.00 Rp 24,500.00 10 Rp 245.00 Rp 2,450.00
1 ml 0 Rp - 0 Rp - 0 Rp -
ml 0 Rp - 0 Rp - 0 Rp -
mg 232 Rp 33,408.00 0 Rp - 0 Rp -
570 Rp 38,760.00 0 Rp - 0 Rp -
14 Lodomer 5mg/ml inj 0 Rp - 0 Rp - 0 Rp -
15 Risperidone 2mg 3826 Rp 1,008.00 Rp 3,856,608.00 0 Rp 1,008.00 Rp - 390 Rp 1,008.00 Rp 393,120.00
0 Rp - 0 Rp - 0 Rp -
17 Trifluoperazin tablet 5 mg 0 Rp 405.00 Rp - 0 Rp 405.00 Rp - 0 Rp 405.00 Rp -
3640 Rp 345,800.00 0 Rp - 425 Rp 40,375.00
19 Clozapin 25 mg tab 0 Rp 1,550.00 Rp - 0 Rp 1,550.00 Rp - 0 Rp 1,550.00 Rp -
20 Fluoksetin/Nopres 20 mg 0 Rp 423.00 Rp - 0 Rp 423.00 Rp - 0 Rp 423.00 Rp -
drop) 0 Rp - 0 Rp - 0 Rp -
23 Stelazin 1 mg 695 Rp 479.00 Rp 332,905.00 0 Rp 479.00 Rp - 0 Rp 479.00 Rp -
g. Kelamin + H I V 0 Rp - 0 Rp - 0 Rp -
1 IU/vial 0 Rp 8,935.00 Rp - 0 Rp 8,935.00 Rp - 0 Rp 8,935.00 Rp -
2 IU/vial 0 Rp - 0 Rp - 0 Rp -
3 Cyprofloxacin 500 mg 0 Rp 250.00 Rp - 0 Rp 250.00 Rp - 0 Rp 250.00 Rp -
4 Cyre Tube 0 Rp - 0 Rp - 0 Rp -
5 Doxycyclin 100 mg 0 Rp 270.00 Rp - 0 Rp 270.00 Rp - 0 Rp 270.00 Rp -
6 Erythromycin 500 mg 0 Rp 930.00 Rp - 0 Rp 930.00 Rp - 0 Rp 930.00 Rp -
7 Fladex Forte ( Metronidazol ) 0 Rp - 0 Rp - 0 Rp -
8 Fluconazole tab 0 Rp 18,000.00 Rp - 0 Rp 18,000.00 Rp - 0 Rp 18,000.00 Rp -
9 Kapas Alkohol 0 Rp - 0 Rp - 0 Rp -
10 Komb: Cefixim + Azithromycin 0 Rp 1,000.00 Rp - 0 Rp 1,000.00 Rp - 0 Rp 1,000.00 Rp -
11 Pehavral 0 Rp - 0 Rp - 0 Rp -
12 Sarung tangan 0 Rp - 0 Rp - 0 Rp -
13 Tabung + Jarum 0 Rp - 0 Rp - 0 Rp -
14 Zidovudine (ZDV) 100mg 0 Rp 1,583.00 Rp - 0 Rp 1,583.00 Rp - 0 Rp 1,583.00 Rp -
15 Lamivudine 150 mg 0 Rp 1,400.00 Rp - 0 Rp 1,400.00 Rp - 0 Rp 1,400.00 Rp -
16 Efavirenz (EFV) 600 mg 0 Rp - 0 Rp - 0 Rp -
17 Nevirapine (NVP) 200mg 0 Rp 2,800.00 Rp - 0 Rp 2,800.00 Rp - 0 Rp 2,800.00 Rp -
18 Tenofovir 300 0 Rp - 0 Rp - 0 Rp -
19 Tenofovir 300 + Emcitritabine (FT 0 Rp - 0 Rp - 0 Rp -
3TC)150mg Rp 3,429.00 Rp 3,429.00 Rp 3,429.00
20 0 Rp - 0 Rp - 0 Rp -
21 0 Rp - 0 Rp - 0 Rp -
22 Azithromycin 0 Rp 4,500.00 Rp - 0 Rp 4,500.00 Rp - 0 Rp 4,500.00 Rp -
23 Cefixim 100mg 0 Rp 590.00 Rp - 0 Rp 590.00 Rp - 0 Rp 590.00 Rp -
h. Kusta 0 Rp - 0 Rp - 0 Rp -
1 Lampren 100 mg 0 Rp - 0 Rp - 0 Rp -
2 MB Anak 0 Rp - 0 Rp - 0 Rp -
3 MB Dewasa 0 Rp - 0 Rp - 0 Rp -
4 PB Anak 0 Rp - 0 Rp - 0 Rp -
5 PB Dewasa 0 Rp - 0 Rp - 0 Rp -
6 Prednison 5 mg 0 Rp - 0 Rp - 0 Rp -
7 Prednipac 0 Rp - 0 Rp - 0 Rp -
i. Malaria 0 Rp - 0 Rp - 0 Rp -
1 0,25mg 0 Rp 42.00 Rp - 0 Rp 42.00 Rp - 0 Rp 42.00 Rp -
3 ml 0 Rp - 0 Rp - 0 Rp -
4 Kuinin ( Kina ) tablet 200 mg 0 Rp 610.29 Rp - 0 Rp 610.29 Rp - 0 Rp 610.29 Rp -
Komb.
5 g) 0 Rp - 0 Rp - 0 Rp -
6 Primakuin tablet 15 mg 0 Rp 114.00 Rp - 0 Rp 114.00 Rp - 0 Rp 114.00 Rp -
7 Asam Askorbat 250 mg 0 Rp 74.00 Rp - 0 Rp 74.00 Rp - 0 Rp 74.00 Rp -
Rp 30,000.00 Rp 30,000.00 Rp 30,000.00
Hydrochloride) 0 Rp - 0 Rp - 0 Rp -
9 Artemeter injeksi 0 Rp 22,167.00 Rp - 0 Rp 22,167.00 Rp - 0 Rp 22,167.00 Rp -
10 Artesunat injeksi 0 Rp 25,063.00 Rp - 0 Rp 25,063.00 Rp - 0 Rp 25,063.00 Rp -
11 Tetrasiklin 250 mg 0 Rp 140.00 Rp - 0 Rp 140.00 Rp - 0 Rp 140.00 Rp -
12 Vit B Komplex tab 0 Rp 22.20 Rp - 0 Rp 22.20 Rp - 0 Rp 22.20 Rp -
j. Psikotropik & Narkotik 0 Rp - 0 Rp - 0 Rp -
1 Diazepam injeksi 5 mg/ml - 2 ml 0 Rp 4,180.00 Rp - 0 Rp 4,180.00 Rp - 0 Rp 4,180.00 Rp -
2 Diazepam 2 mg 174 Rp 45.00 Rp 7,830.00 0 Rp 45.00 Rp - 0 Rp 45.00 Rp -
3 Diazepam 5 mg 0 Rp - 0 Rp - 0 Rp -
0 Rp 1,980.00 Rp - 0 Rp 1,980.00 Rp - 0 Rp 1,980.00 Rp -
5 Fenobarbital 30 mg 0 Rp 62.00 Rp - 0 Rp 62.00 Rp - 0 Rp 62.00 Rp -
6 Kodein tablet 10mg 308 Rp 500.00 Rp 154,000.00 0 Rp 500.00 Rp - 49 Rp 500.00 Rp 24,500.00
7 Stesolid rectal supp 5 mg 12 Rp 11,517.00 Rp 138,204.00 0 Rp 11,517.00 Rp - 0 Rp 11,517.00 Rp -
8 Alprazolam 1mg 0 Rp 233.00 Rp - 0 Rp 233.00 Rp - 0 Rp 233.00 Rp -
9 Stesolid rectal supp 10 mg 6 Rp 16,742.00 Rp 100,452.00 0 Rp 16,742.00 Rp - 0 Rp 16,742.00 Rp -
k. Reagen 0 Rp - 0 Rp - 0 Rp -
1 Reagen Alat ( GPT ) 0 Rp - 0 Rp - 0 Rp -
2 Reagen Alat test gol darah 0 Rp - 0 Rp - 0 Rp -
3 Reagen ASAT ( GOT ) 0 Rp - 0 Rp - 0 Rp -
4 Reagen Cell Clean 1 Rp - 0 Rp - 0 Rp -
5 Reagen Cell Pack D 20 lt 0 Rp - 0 Rp - 0 Rp -
6 Reagen Cholesterol 7 Rp - 0 Rp - 0 Rp -
7 Reagen Creatinin 0 Rp - 0 Rp - 0 Rp -
8 Reagen Glukose GOD 3 Rp - 0 Rp - 0 Rp -
9 Reagen Pack D 5 lt 0 Rp - 0 Rp - 0 Rp -
10 Reagen Pack L - 500ml 0 Rp - 0 Rp - 0 Rp -
11 Reagen Stromalyzer 500ml 0 Rp - 0 Rp - 0 Rp -
12 Reagen Trigliserid 0 Rp - 0 Rp - 0 Rp -
13 Reagen Uric acid 0 Rp - 0 Rp - 0 Rp -
14 Urea FS 0 Rp - 0 Rp - 0 Rp -
15 Ragen narkoba 0 Rp - 0 Rp - 0 Rp -
l. Serum 0 Rp - 0 Rp - 0 Rp -
ml(ABUI) 7 Rp 430,000.00 Rp 3,010,000.00 0 Rp 430,000.00 Rp - 0 Rp 430,000.00 Rp -
(ADS) 0 Rp 429,550.00 Rp - 0 Rp 429,550.00 Rp - 0 Rp 429,550.00 Rp -
IU/ampul (Tetagam) 4 Rp 115,000.00 Rp 460,000.00 0 Rp 115,000.00 Rp - 0 Rp 115,000.00 Rp -
m. TB Paru 0 Rp - 0 Rp - 0 Rp -
1 Isoniazid (INH) 100mg 200 Rp 293.00 Rp 58,600.00 0 Rp 293.00 Rp - 0 Rp 293.00 Rp -
2 Kombipack Kategori 1 0 Rp - 0 Rp - 0 Rp -
3 Obat Antituberkulosis Anak 1 Rp 214,900.00 Rp 214,900.00 0 Rp 214,900.00 Rp - 0 Rp 214,900.00 Rp -
4 ( FDC ) 2 Rp 2,399,980.00 0 Rp - 0 Rp -
5 (FDC) 0 Rp - 0 Rp - 0 Rp -
6 ( FDC ) 4 Rp 1,439,960.00 0 Rp - 0 Rp -
7 Obat Antituberkulosis Sisipan 6 Rp 160,000.00 Rp 960,000.00 0 Rp 160,000.00 Rp - 0 Rp 160,000.00 Rp -
8 Slide 0 Rp 19,500.00 Rp - 0 Rp 19,500.00 Rp - 0 Rp 19,500.00 Rp -
9 Slide box 5 Rp - 0 Rp - 0 Rp -
10 Sputum pot 83 Rp 1,750.00 Rp 145,250.00 0 Rp 1,750.00 Rp - 0 Rp 1,750.00 Rp -
11 Streptomycin inj./iv 1500 mg/ml 0 Rp - 0 Rp - 0 Rp -
12 Ziehl nelseen 6 Rp - 0 Rp - 0 Rp -
n. REAGEN 0 Rp - 0 Rp - 0 Rp -
1 Stik Hb 1 Rp - 0 Rp - 0 Rp -
3 Obyek Glass 0 Rp - 0 Rp - 0 Rp -
4 widal test 0 Rp - 0 Rp - 0 Rp -
5 hcg test 72 Rp - 0 Rp - 0 Rp -
6 tabung k3 edta 60 Rp - 0 Rp - 0 Rp -
7 yellow tip 0 Rp - 0 Rp - 0 Rp -
8 Blue Tip 0 Rp - 0 Rp - 0 Rp -
9 stik urin lengkap 147 Rp - 0 Rp - 0 Rp -
10 rapid HIV 0 Rp - 0 Rp - 0 Rp -
SD HIV 347 Rp - 0 Rp - 0 Rp -
INTEC 66 Rp - 0 Rp - 0 Rp -
ONCOPROBE 44 Rp - 0 Rp - 0 Rp -
11 Kloramphenikol 500mg 0 Rp - 0 Rp - 0 Rp -
12 RAPID TEST HBS AG NON WB 137 Rp - 0 Rp - 0 Rp -
RAPID TEST HBS AG WB 222 Rp - 0 Rp - 0 Rp -
13 ATS 0 Rp - 0 Rp - 0 Rp -
14 Sarung Tangan Obgin 16 Rp - 0 Rp - 0 Rp -
15 Care Handscrub 10 Rp - 0 Rp - 0 Rp -
16 handscrub 15 Rp - 0 Rp - 0 Rp -
17 USG Gel 6 Rp - 0 Rp - 0 Rp -
18 Jelly 3 Rp - 0 Rp - 0 Rp -
19 Monwoven 5x10 10 Rp - 0 Rp - 0 Rp -
20 lomatul 48 Rp - 0 Rp - 0 Rp -
21 superhoid/anti hemoroid supp 0 Rp 5,000.00 Rp - 0 Rp 5,000.00 Rp - 0 Rp 5,000.00 Rp -
22 Voseo / Metoclopramid Syirup 55 Rp 4,850.00 Rp 266,750.00 0 Rp 4,850.00 Rp - 2 Rp 4,850.00 Rp 9,700.00
23 IV 26 250 Rp - 0 Rp - 0 Rp -
24 Cavilon flem 3 Rp - 0 Rp - 0 Rp -
25 plester infus + pot 10 Rp - 5 Rp - 0 Rp -
26 femal 16 10 Rp - 0 Rp - 0 Rp -
27 femal 18 10 Rp - 0 Rp - 0 Rp -
28 mecobalamin 219 Rp 8,912.00 Rp 1,951,728.00 0 Rp 8,912.00 Rp - 0 Rp 8,912.00 Rp -
29 clorethyil walter ritte 5 Rp 103,500.00 Rp 517,500.00 0 Rp 103,500.00 Rp - 0 Rp 103,500.00 Rp -
30 plester 7.5 10 Rp - 0 Rp - 0 Rp -
31 plester 2.5 0 Rp - 0 Rp - 0 Rp -
32 pamol infus 0 Rp - 0 Rp - 0 Rp -
33 one cleane 7 Rp - 0 Rp - 0 Rp -
34 perak sulfa 104 Rp - 0 Rp - 1 Rp -
35 hioxy dewasa 100 Rp - 0 Rp - 0 Rp -
36 hioxy anak 150 Rp - 0 Rp - 0 Rp -
37 nebul 40x80 dewasa 75 Rp - 50 Rp - 0 Rp -
38 nebul 40x80 anak 74 Rp - 50 Rp - 0 Rp -
39 kassa panjang 0 Rp - 0 Rp - 0 Rp -
40 norvom syr 0 Rp - 0 Rp - 0 Rp -
41 seltifort syr jeruk 0 Rp - 0 Rp - 0 Rp -
42 seltifort syr stbr 0 Rp - 0 Rp - 0 Rp -
43 obh ank syr 0 Rp - 0 Rp - 0 Rp -
44 borak gliserin 30 Rp - 0 Rp - 9 Rp -
45 amlodipin 10mg 0 Rp - 1500 Rp - 0 Rp -
46 anelat 4844 Rp - 0 Rp - 675 Rp -
47 spalk 0 Rp - 0 Rp - 0 Rp -
48 spuit 0,05 0 Rp - 0 Rp - 0 Rp -
49 spuit 0,5 0 Rp - 0 Rp - 0 Rp -
50 reco tt 102 Rp - 0 Rp - 0 Rp -
51 masker n95 0 Rp - 0 Rp - 0 Rp -
52 hanschone s 51 Rp - 0 Rp - 0 Rp -
53 hanschone m 30 Rp - 0 Rp - 0 Rp -
54 hanschone l 3717 Rp - 0 Rp - 300 Rp -
55 oil mersi 100 ml 0 Rp 800,000.00 Rp - 0 Rp 800,000.00 Rp - 0 Rp 800,000.00 Rp -
56 laktobe 3 Rp - 0 Rp - 3 Rp -
57 koatin syr 71 Rp - 0 Rp - 4 Rp -
58 Hansaplast rol (7,5cm x 4,5 cm) 0 Rp - 10 Rp - 0 Rp -
59 extradine 5L 0 Rp - 0 Rp - 0 Rp -
60 Ternik Syr 29 Rp - 0 Rp - 9 Rp -
61 Farsil Syr 29 Rp - 0 Rp - 0 Rp -
62 Spuit 50 ml 50 Rp - 0 Rp - 0 Rp -
63 ketorolac inj 12 Rp - 0 Rp - 0 Rp -
64 dulcolac 10 mg 40 Rp - 0 Rp - 17 Rp -
65 whitbrand dewasa pink 500 Rp - 0 Rp - 0 Rp -
66 whitbrand dewasa blue 500 Rp - 0 Rp - 0 Rp -
67 whitbrand dewasa yellow 100 Rp - 0 Rp - 0 Rp -
68 whitbrand anak pink 200 Rp - 0 Rp - 0 Rp -
69 whitbrand anak blue 200 Rp - 0 Rp - 0 Rp -
70 whitbrand anak yellow 100 Rp - 0 Rp - 0 Rp -
71 Calporosis 2565 Rp - 0 Rp - 40 Rp -
72 Pharmafik 0 Rp - 10 Rp - 0 Rp -
Menyetujui

NIP.19790730 200604 2 017
KETERANGAN :
Saldo akhir Bulan
Harga
Jumlah Satuan Jumlah
Barang ( Rp. )
( Rp. )
12 Rp 13 14=12x13
408 Rp 3,255.00 Rp 1,328,040.00

3989 Rp 86.00 Rp 343,054.00
990 Rp 200.00 Rp 198,000.00
3056 Rp 113.00 Rp 345,328.00
16047 Rp 105.00 Rp 1,684,935.00
54 Rp 80.00 Rp 4,320.00
0 Rp 195.00 Rp -
33859 Rp 261.00 Rp 8,837,199.00
0 Rp 145.00 Rp -
27400 Rp 62.00 Rp 1,698,800.00
0 Rp 3,045.00 Rp -
0 Rp 135.00 Rp -
388 Rp 95.00 Rp 36,860.00
1134 Rp 135.00 Rp 153,090.00
0 Rp 48.00 Rp -
35841 Rp 106.00 Rp 3,799,146.00
333 Rp 148.00 Rp 49,284.00
0 Rp 237.00 Rp -
1029 Rp 349.00 Rp 359,121.00
3980 Rp 149.00 Rp 593,020.00
141 Rp 330.00 Rp 46,530.00
1180 Rp 181.00 Rp 213,580.00
38470 Rp 44.00 Rp 1,692,680.00
486 Rp 97.00 Rp 47,142.00
0 Rp 134.00 Rp -
1936 Rp 104.00 Rp 201,344.00
0 Rp 270.00 Rp -
2636 Rp 167.00 Rp 440,212.00
0 Rp 47.00 Rp -
683 Rp 730.00 Rp 498,590.00
1172 Rp 630.00 Rp 738,360.00
578 Rp 85.00 Rp 49,130.00
4827 Rp 56.00 Rp 270,312.00
9576 Rp 436.00 Rp 4,175,136.00
16975 Rp 98.00 Rp 1,663,550.00
0 Rp 209.00 Rp -
0 Rp 149.00 Rp -
0 Rp 395.00 Rp -
2200 Rp 150.00 Rp 330,000.00
1599 Rp 110.00 Rp 175,890.00
1083 Rp 88.00 Rp 95,304.00

0 Rp 425.00 Rp -
1644 Rp 63.00 Rp 103,572.00
16345 Rp 84.00 Rp 1,372,980.00
0 Rp 62.00 Rp -
2197 Rp 300.00 Rp 659,100.00
1320 Rp 361.00 Rp 476,520.00
520 Rp 3,400.00 Rp 1,768,000.00
3513 Rp 249.00 Rp 874,737.00
19157 Rp 51.00 Rp 977,007.00

0 Rp 107.00 Rp -
0 Rp 52.08 Rp -
0 Rp 72.00 Rp -
11691 Rp 151.00 Rp 1,765,341.00
311 Rp 495.00 Rp 153,945.00
0 Rp 448.00 Rp -
2000 Rp 134.00 Rp 268,000.00
0 Rp 225.00 Rp -
0 Rp 629.00 Rp -
849 Rp 113.00 Rp 95,937.00
3529 Rp 205.00 Rp 723,445.00
2008 Rp 154.00 Rp 309,232.00

5 Rp 108.00 Rp 540.00
0 Rp 110.00 Rp -
5581 Rp 133.00 Rp 742,273.00
2181 Rp 133.00 Rp 290,073.00
6226 Rp 176.00 Rp 1,095,776.00
0 Rp 110.00 Rp -
251 Rp 480.00 Rp 120,480.00

438 Rp 211.00 Rp 92,418.00
0 Rp 32.23 Rp -
47846 Rp 56.00 Rp 2,679,376.00
0 Rp 298.00 Rp -
429 Rp 400.00 Rp 171,600.00
3726 Rp 118.00 Rp 439,668.00

2501 Rp 114.00 Rp 285,114.00
140 Rp 65.00 Rp 9,100.00
0 Rp 319.00 Rp -
7313 Rp 120.00 Rp 877,560.00
9670 Rp 59.00 Rp 570,530.00
0 Rp 89.00 Rp -
9835 Rp 169.00 Rp 1,662,115.00
2247 Rp 281.00 Rp 631,407.00
Rp 42.00
103328 Rp 4,339,776.00
0 Rp 149.00 Rp -
95 Rp 310.00 Rp 29,450.00
0 Rp 672.00 Rp -
3174 Rp 680.00 Rp 2,158,320.00
9476 Rp 115.00 Rp 1,089,740.00
5384 Rp 474.00 Rp 2,552,016.00
300 Rp 908.00 Rp 272,400.00
0 Rp 315.00 Rp -
0 Rp 716.00 Rp -
0 Rp 1,425.00 Rp -
0 Rp 85.00 Rp -
128 Rp 3,100.00 Rp 396,800.00
3757 Rp 516.00 Rp 1,938,612.00
0 Rp 426.00 Rp -
812 Rp 603.00 Rp 489,636.00
985 Rp 679.00 Rp 668,815.00
0 Rp -
0 Rp 3,822.00 Rp -
148 Rp 16,500.00 Rp 2,442,000.00
0 Rp 5,100.00 Rp -
0 Rp 8,400.00 Rp -
18 Rp 1,672.00 Rp 30,096.00
10 Rp 10,425.00 Rp 104,250.00
0 Rp 3,300.00 Rp -
357 Rp 1,580.00 Rp 564,060.00
1000 Rp 1,050.00 Rp 1,050,000.00

0 Rp 8,100.00 Rp -
79 Rp 3,417.00 Rp 269,943.00
0 Rp 8,250.00 Rp -
25 Rp 1,829.00 Rp 45,725.00
0 Rp 3,399.00 Rp -
Rp 4,500.00
0 Rp -
0 Rp 7,260.00 Rp -
852 Rp 1,845.00 Rp 1,571,940.00
0 Rp 3,200.00 Rp -
0 Rp 2,629.00 Rp -
65 Rp 2,684.00 Rp 174,460.00
0 Rp 4,650.00 Rp -
0 Rp 1,476.80 Rp -
0 Rp 2,818.10 Rp -
177 Rp 1,900.00 Rp 336,300.00
825 Rp 1,650.00 Rp 1,361,250.00
0 Rp 5,000.00 Rp -
0 Rp 15,550.00 Rp -
1568 Rp 1,390.00 Rp 2,179,520.00
482 Rp 4,898.00 Rp 2,360,836.00
60 Rp 1,098.00 Rp 65,880.00
Rp 3,650.00
0 Rp -
0 Rp 680.00 Rp -
0 Rp 36,000.00 Rp -
42 Rp 2,950.00 Rp 123,900.00
20 Rp 7,190.00 Rp 143,800.00
0 Rp 7,190.00 Rp -
0 Rp -
98 Rp 1,904.40 Rp 186,631.20
14 Rp 839.00 Rp 11,746.00
0 Rp 2,516.00 Rp -
157 Rp 1,520.00 Rp 238,640.00
0 Rp 2,200.00 Rp -
0 Rp 2,970.00 Rp -
50 Rp 2,600.00 Rp 130,000.00
57 Rp 2,798.00 Rp 159,486.00
0 Rp 2,569.00 Rp -
0 Rp 1,600.00 Rp -
192 Rp 3,000.00 Rp 576,000.00
83 Rp 2,520.00 Rp 209,160.00
0 Rp 1,499.00 Rp -
173 Rp 2,429.00 Rp 420,217.00

0 Rp -
14196 Rp 288.00 Rp 4,088,448.00
66 Rp 1,250.00 Rp 82,500.00
0 Rp -
583 Rp 2,445.00 Rp 1,425,435.00
0 Rp 2,025.00 Rp -
39 Rp 7,999.00 Rp 311,961.00
143 Rp 1,378.85 Rp 197,175.55
5 Rp 6,700.00 Rp 33,500.00
959 Rp 4,499.00 Rp 4,314,541.00
207 Rp 3,955.00 Rp 818,685.00
Rp 2,140.00
419 Rp 896,660.00
0 Rp 3,534.00 Rp -
369 Rp 4,840.00 Rp 1,785,960.00
405 Rp 1,074.00 Rp 434,970.00
0 Rp -
198 Rp 9,950.00 Rp 1,970,100.00
0 Rp -
323 Rp 2,042.00 Rp 659,566.00
35 Rp 4,000.00 Rp 140,000.00
0 Rp 900.00 Rp -
0 Rp 2,273.00 Rp -
65 Rp 5,500.00 Rp 357,500.00
97 Rp 5,200.00 Rp 504,400.00
0 Rp 17,393.00 Rp -
0 Rp 3,226.00 Rp -
0 Rp -
425 Rp 1,540.00 Rp 654,500.00
5976 Rp 792.00 Rp 4,732,992.00
1162 Rp 979.00 Rp 1,137,598.00
158 Rp 1,790.00 Rp 282,820.00
100 Rp 19,680.00 Rp 1,968,000.00
273 Rp 2,750.00 Rp 750,750.00
0 Rp 8,600.00 Rp -
138 Rp 27,830.00 Rp 3,840,540.00
Rp 34,170.00
55 Rp 1,879,350.00
Rp 35,740.00
47 Rp 1,679,780.00
164 Rp 10,400.00 Rp 1,705,600.00
31 Rp 2,500.00 Rp 77,500.00
0 Rp 22,990.00 Rp -
40 Rp 8,000.00 Rp 320,000.00
6 Rp 8,000.00 Rp 48,000.00
0 Rp 35,620.00 Rp -
108 Rp 6,985.00 Rp 754,380.00
104 Rp 6,985.00 Rp 726,440.00

324 Rp 8,700.00 Rp 2,818,800.00
0 Rp 8,700.00 Rp -
299 Rp 8,700.00 Rp 2,601,300.00
0 Rp 8,700.00 Rp -
158 Rp 5,100.00 Rp 805,800.00
958 Rp 9,070.00 Rp 8,689,060.00
17 Rp 24,000.00 Rp 408,000.00
0 Rp 9,400.00 Rp -
0 Rp 6,363.00 Rp -
32 Rp 3,800.00 Rp 121,600.00
136 Rp 800.00 Rp 108,800.00

38 Rp 7,900.00 Rp 300,200.00
11 Rp 49,862.00 Rp 548,482.00
0 Rp -
61 Rp 16,500.00 Rp 1,006,500.00
0 Rp 19,800.00 Rp -
0 Rp -
0 Rp 3,960.00 Rp -
0 Rp 770.00 Rp -
96 Rp 18,085.67 Rp 1,736,224.00
0 Rp 2,242.10 Rp -
94 Rp 2,550.00 Rp 239,700.00
94 Rp 23,480.00 Rp 2,207,120.00
24 Rp -
37 Rp 5,500.00 Rp 203,500.00
0 Rp 1,400.00 Rp -
49 Rp 2,900.00 Rp 142,100.00
4 Rp 5,998.00 Rp 23,992.00
5 Rp 18,000.00 Rp 90,000.00
10 Rp 74,494.00 Rp 744,940.00
1 Rp 39,217.00 Rp 39,217.00
15 Rp 149,158.00 Rp 2,237,370.00
0 Rp 667.80 Rp -
5 Rp 51,426.00 Rp 257,130.00
5 Rp 51,426.00 Rp 257,130.00
100 Rp 1,045.00 Rp 104,500.00
122 Rp 4,620.00 Rp 563,640.00
162 Rp 6,600.00 Rp 1,069,200.00
163 Rp 6,600.00 Rp 1,075,800.00
0 Rp 6,600.00 Rp -
8 Rp 580,000.00 Rp 4,640,000.00
0 Rp 65,000.00 Rp -
0 Rp 1,629.00 Rp -
0 Rp 26,950.00 Rp -
4 Rp 7,370.00 Rp 29,480.00
4 Rp 7,370.00 Rp 29,480.00
0 Rp -
100 Rp 9,275.00 Rp 927,500.00
26 Rp 7,500.00 Rp 195,000.00
0 Rp 5,700.00 Rp -
330 Rp 6,900.00 Rp 2,277,000.00
0 Rp 10,050.00 Rp -
0 Rp 15,730.00 Rp -
0 Rp 9,950.00 Rp -
420 Rp Rp
6,410.00 2,692,200.00
306 Rp 7,150.00 Rp 2,187,900.00
0 Rp -
0 Rp 23,100.00 Rp -
0 Rp 14,175.00 Rp -
80 Rp 5,800.00 Rp 464,000.00
200 Rp 15,000.00 Rp 3,000,000.00
0 Rp 15,750.00 Rp -
0 Rp 27,250.00 Rp -
0 Rp 15,000.00 Rp -
40 Rp 12,450.00 Rp 498,000.00
0 Rp 5,078.85 Rp -
70 Rp 5,000.00 Rp 350,000.00
541 Rp 550.00 Rp 297,550.00
Rp 8,635.00
0 Rp -
0 Rp 14,500.00 Rp -
203 Rp 4,300.00Rp 872,900.00

4 Rp 8,635.00Rp 34,540.00
1252 Rp 362.00 Rp 453,224.00
202 Rp 3,575.00 Rp 722,150.00

0 Rp -
0 Rp 2,590.00 Rp -
0 Rp 12,155.00 Rp -
0 Rp 450.00 Rp -
0 Rp 5,867.00 Rp -
155 Rp 1,360.00 Rp 210,800.00
1044 Rp 190.00 Rp 198,360.00
0 Rp 6,600.00 Rp -
0 Rp 14,980.00 Rp -
450 Rp 148.00 Rp 66,600.00
0 Rp 424.00 Rp -
140 Rp 4,995.00 Rp 699,300.00
45 Rp 5,670.00 Rp 255,150.00
11 Rp 3,091.00 Rp 34,001.00
10 Rp 11,500.00 Rp 115,000.00
11559 Rp 1,007.00 Rp 11,639,913.00
0 Rp 850.00 Rp -
349 Rp 737.00 Rp 257,213.00
40 Rp 4,620.00 Rp 184,800.00
0 Rp 1,100.00 Rp -
0 Rp 16,500.00 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp 104,000.00 Rp -
0 Rp -
0 Rp 150,000.00 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 1655,55 #VALUE!
0 Rp -
0 Rp 240,450.00 Rp -
0 Rp 226,550.00 Rp -
0 Rp -
31834 Rp 344.00 Rp 10,950,896.00
0 Rp 1,520.00 Rp -
0 Rp 136.00 Rp -
Rp 51.00
0 Rp -
0 Rp 3,000.00 Rp -
0 Rp 298.00 Rp -
0 Rp 107.00 Rp -
0 Rp -
0 Rp 13,000.00 Rp -
0 Rp -
0 Rp -
22 Rp 99,000.00 Rp 2,178,000.00
2 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
33 Rp 14,200.00 Rp 468,600.00
Rp 22,950.00
227 Rp 5,209,650.00
0 Rp 2,695.00 Rp -
10 Rp 31,650.00 Rp 316,500.00
0 Rp -
216 Rp 102.00 Rp 22,032.00
0 Rp 900.00 Rp -
3000 Rp 20,250.00 Rp 60,750,000.00
200 Rp 133.00 Rp 26,600.00
0 Rp 93.00 Rp -
0 Rp 83,333.00 Rp -
0 Rp 69.00 Rp -
240 Rp 96.00 Rp 23,040.00
90 Rp 245.00 Rp 22,050.00
Rp 1,021.00
0 Rp -
Rp 950.00
0 Rp -
Rp 144.00
232 Rp 33,408.00
Rp 68.00
570 Rp 38,760.00
0 Rp -
3436 Rp 1,008.00 Rp 3,463,488.00
Rp 55,000.00
0 Rp -
0 Rp 405.00 Rp -
Rp 95.00
3215 Rp 305,425.00
0 Rp 1,550.00 Rp -
0 Rp 423.00 Rp -
0 Rp 88.00 Rp -
Rp 16,500.00
0 Rp -
695 Rp 479.00 Rp 332,905.00
0 Rp -
0 Rp 8,935.00 Rp -
Rp 12,185.00
0 Rp -
0 Rp 250.00 Rp -
0 Rp -
0 Rp 270.00 Rp -
0 Rp 930.00 Rp -
0 Rp -
0 Rp 18,000.00 Rp -
0 Rp -
0 Rp 1,000.00 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp 1,583.00 Rp -
0 Rp 1,400.00 Rp -
0 Rp -
0 Rp 2,800.00 Rp -
0 Rp -
0 Rp -
Rp 3,429.00
0 Rp -
Rp 12,210.00
0 Rp -
0 Rp 4,500.00 Rp -
0 Rp 590.00 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp 42.00 Rp -
0 Rp 107.00 Rp -
Rp 4,227.00
0 Rp -
0 Rp 610.29 Rp -
Rp 473.00
0 Rp -
0 Rp 114.00 Rp -
0 Rp 74.00 Rp -
Rp 30,000.00
0 Rp -
0 Rp 22,167.00 Rp -
0 Rp 25,063.00 Rp -
0 Rp 140.00 Rp -
0 Rp 22.20 Rp -
0 Rp -
0 Rp 4,180.00 Rp -
174 Rp 45.00 Rp 7,830.00
0 Rp -
0 Rp 1,980.00 Rp -
0 Rp 62.00 Rp -
259 Rp 500.00 Rp 129,500.00
12 Rp 11,517.00 Rp 138,204.00
0 Rp 233.00 Rp -
6 Rp 16,742.00 Rp 100,452.00
0 Rp -
0 Rp -
0 Rp -
0 Rp -
1 Rp -
0 Rp -
7 Rp -
0 Rp -
3 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
7 Rp 430,000.00 Rp 3,010,000.00
0 Rp 429,550.00 Rp -
4 Rp 115,000.00 Rp 460,000.00
0 Rp -
200 Rp 293.00 Rp 58,600.00
0 Rp -
1 Rp 214,900.00 Rp 214,900.00
###
2 Rp 2,399,980.00
Rp 154,000.00
0 Rp -
Rp 359,990.00
4 Rp 1,439,960.00
6 Rp 160,000.00 Rp 960,000.00
0 Rp 19,500.00 Rp -
5 Rp -
83 Rp 1,750.00 Rp 145,250.00
0 Rp -
6 Rp -
0 Rp -
1 Rp -
0 Rp -
0 Rp -
0 Rp -
72 Rp -
60 Rp -
0 Rp -
0 Rp -
147 Rp -
0 Rp -
347 Rp -
66 Rp -
44 Rp -
0 Rp -
137 Rp -
222 Rp -
0 Rp -
16 Rp -
10 Rp -
15 Rp -
6 Rp -
3 Rp -
10 Rp -
48 Rp -
0 Rp 5,000.00 Rp -
53 Rp 4,850.00 Rp 257,050.00
250 Rp -
3 Rp -
15 Rp -
10 Rp -
10 Rp -
219 Rp 8,912.00 Rp 1,951,728.00
5 Rp 103,500.00 Rp 517,500.00
10 Rp -
0 Rp -
0 Rp -
7 Rp -
103 Rp -
100 Rp -
150 Rp -
125 Rp -
124 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
21 Rp -
1500 Rp -
4169 Rp -
0 Rp -
0 Rp -
0 Rp -
102 Rp -
0 Rp -
51 Rp -
30 Rp -
3417 Rp -
0 Rp 800,000.00 Rp -
0 Rp -
67 Rp -
10 Rp -
0 Rp -
20 Rp -
29 Rp -
50 Rp -
12 Rp -
23 Rp -
500 Rp -
500 Rp -
100 Rp -
200 Rp -
200 Rp -
100 Rp -
2525 Rp -
10 Rp -
#VALUE!
Lilin Sudarmanisati
NIP.19611114 199103 2 001
JUMLAH KKP 1 TAHUN GFK DAN BMHP
HARGA SISA THN PENERIMAAN PENGELUARAN

NAMA OBAT SATUAN TOTAL TOTAL TOTAL SISA
SAT (Rp) LALU 1 TH 1 TH
OBAT GENERIK 1 2 3 4 5 6 7 8 9
a. Tablet/Kapsul 2*3 2*5 2*7
1 Adalat Oros 20 mg TABLET 3,255 1702 Rp 5,540,010.00 1440 Rp 4,687,200.00 2734 Rp 8,899,170.00 408
2 Alopurinol 100 mg TABLET 86 1811 Rp 155,746.00 5000 Rp 430,000.00 2822 Rp 242,692.00 3989
3 Alopurinol 300 mg TABLET 200 1500 Rp 300,000.00 0 Rp - 510 Rp 102,000.00 990
4 Ambroxol 30 mg TABLET 113 5387 Rp 608,731.00 2000 Rp 226,000.00 4331 Rp 489,403.00 3056
5 Amlodipin 5 mg TABLET 105 0 Rp - 23880 Rp 2,507,400.00 7833 Rp 822,465.00 16047
6 Aminofilina 200 mg TABLET 80 500 Rp 40,000.00 0 Rp - 446 Rp 35,680.00 54
7 Amoksilin 250 mg KAPSUL 195 0 Rp - 0 Rp - 0 Rp - 0
8 Amoksilin 500 mg KAPLET 261 20223 Rp 5,278,203.00 50000 Rp 13,050,000.00 36364 Rp 9,491,004.00 33859
9 Antalgin 500 mg TABLET 145 0 Rp - 0 Rp - 0 Rp - 0
Anti Hemoroid (Bismut TABLET 62 9624 Rp 596,688.00 45800 Rp 2,839,600.00 28024 Rp 1,737,488.00 27400
200mg)
11 subgallat150mg+Heksaklorofen2,5 SUPP 3,045 150 Rp 456,750.00 50 Rp 152,250.00 200 Rp 609,000.00 0
Antimigran (Ergotamin Tartrat 1mg
12 mg) TABLET 135 0 Rp - 0 Rp - 0 Rp - 0
+ Kofein 50mg)
13 Asam Askorbat ( Vit C ) 50 mg TABLET 95 582 Rp 55,290.00 10300 Rp 978,500.00 10494 Rp 996,930.00 388
14 Asam Askorbat (Vit C) 250 mg TABLET 135 0 Rp - 3000 Rp 405,000.00 1866 Rp 251,910.00 1134
15 Asam folat 1 mg TABLET 48 110 Rp 5,280.00 0 Rp - 110 Rp 5,280.00 0
16 Asam mefenamat 500mg TABLET 106 26594 Rp 2,818,964.00 31200 Rp 3,307,200.00 21953 Rp 2,327,018.00 35841
17 Asetosal 100 mg TABLET 148 543 Rp 80,364.00 500 Rp 74,000.00 710 Rp 105,080.00 333
18 Asiklovir 200mg TABLET 237 0 Rp - 0 Rp - 0 Rp - 0
19 Asiklovir 400mg TABLET 349 2546 Rp 888,554.00 2000 Rp 698,000.00 3517 Rp 1,227,433.00 1029
20 Betahistin mesilat 5 mg TABLET 149 3480 Rp 518,520.00 5000 Rp 745,000.00 4500 Rp 670,500.00 3980
21 Bisoprolol tablet 5 mg TABLET 330 500 Rp 165,000.00 1300 Rp 429,000.00 1659 Rp 547,470.00 141
22 Cetirizin 10mg TABLET 181 503 Rp 91,043.00 5960 Rp 1,078,760.00 5283 Rp 956,223.00 1180
23 Deksametason 0,5 mg TABLET 44 31198 Rp 1,372,712.00 52800 Rp 2,323,200.00 45528 Rp 2,003,232.00 38470
24 Digoksin 0,25 mg TABLET 97 1235 Rp 119,795.00 0 Rp - 749 Rp 72,653.00 486
25 Diltiazem 30 mg TABLET 134 0 Rp - 0 Rp - 0 Rp - 0
26 Dimenhidrinat tablet 50mg TABLET 104 2000 Rp 208,000.00 0 Rp - 64 Rp 6,656.00 1936
27 Doksisiklin 100mg KAPSUL 270 0 Rp - 0 Rp - 0 Rp - 0
28 Domperidon tablet 10 mg TABLET 167 2816 Rp 470,272.00 3500 Rp 584,500.00 3680 Rp 614,560.00 2636
29 Efedrin HCL 25 mg TABLET 47 0 Rp - 0 Rp - 0 Rp - 0
30 Eritromisin 500mg KAPLET 730 7744 Rp 5,653,120.00 0 Rp - 7061 Rp 5,154,530.00 683
31 Fitomenadion (Vit K1) 10mg TABLET 630 1610 Rp 1,014,300.00 2000 Rp 1,260,000.00 2438 Rp 1,535,940.00 1172
32 Furosemid 40 mg TABLET 85 1274 Rp 108,290.00 1600 Rp 136,000.00 2296 Rp 195,160.00 578
33 Glibenklamid 5 mg TABLET 56 5120 Rp 286,720.00 5000 Rp 280,000.00 5293 Rp 296,408.00 4827
34 Glimepiride tablet 2 mg TABLET 436 1777 Rp 774,772.00 13750 Rp 5,995,000.00 5951 Rp 2,594,636.00 9576
35 Gliseril Guaiakolat 100 mg TABLET 98 39248 Rp 3,846,304.00 20000 Rp 1,960,000.00 42273 Rp 4,142,754.00 16975
36 Griseofulvin 125 mg TABLET 209 0 Rp - 0 Rp - 0 Rp - 0
37 Hidroklorotiazid (HCT) 25 mg TABLET 149 1500 Rp 223,500.00 0 Rp - 1500 Rp 223,500.00 0
38 Hyosin N Butilbromida 10mg TABLET 395 629 Rp 248,455.00 0 Rp - 629 Rp 248,455.00 0
39 Ibuprofen 400 mg TABLET 150 2188 Rp 328,200.00 8000 Rp 1,200,000.00 7988 Rp 1,198,200.00 2200
40 Ibuprofen 200 mg TABLET 110 2000 Rp 220,000.00 9000 Rp 990,000.00 9401 Rp 1,034,110.00 1599
41 Isosorbid Dinitrat sublingual 5 mg TABLET 88 2371 Rp 208,648.00 0 Rp - 1288 Rp 113,344.00 1083
42 Kalium Diklofenac 50mg TABLET 425 0 Rp - 0 Rp - 0 Rp - 0
43 Kalsium Laktat (Kalk) 500 mg TABLET 63 15863 Rp 999,369.00 6000 Rp 378,000.00 20219 Rp 1,273,797.00 1644
44 Kaptopril 25 mg TABLET 84 15766 Rp 1,324,344.00 10000 Rp 840,000.00 9421 Rp 791,364.00 16345
45 Kaptopril 12,5 mg TABLET 62 5391 Rp 334,242.00 0 Rp - 5391 Rp 334,242.00 0
46 Ketokonazol 200mg tablet TABLET 300 2164 Rp 649,200.00 2100 Rp 630,000.00 2067 Rp 620,100.00 2197
47 Klindamisin kapsul 150 mg KAPSUL 361 1392 Rp 502,512.00 1000 Rp 361,000.00 1072 Rp 386,992.00 1320
48 Klopidogrel TABLET 3,400 1080 Rp 3,672,000.00 600 Rp 2,040,000.00 1160 Rp 3,944,000.00 520
49 Kloramfenikol kapsul 250 mg KAPSUL 249 2244 Rp 558,756.00 3900 Rp 971,100.00 2631 Rp 655,119.00 3513
50 Klorfeniramin Maleat (CTM) 4 mg TABLET 51 40590 Rp 2,070,090.00 19800 Rp 1,009,800.00 41233 Rp 2,102,883.00 19157
51 Klorokuin tablet 150 mg TABLET 107 0 Rp - 0 Rp - 0 Rp - 0
52 Klorpropamid
Kotrimoksazol tablet
anak 100 mg TABLET 52 0 Rp - 0 Rp - 0 Rp - 0
Kotrimoksazol dewasa kombinasi : TABLET 72 0 Rp - 0 Rp - 0 Rp - 0
54 rim20mg)
Sulfametoksazol400mg+Trimetopri TABLET 22257 Rp 3,360,807.00 15000 Rp 2,265,000.00 25566 Rp 3,860,466.00 11691
151
55 m80mg
Levofloksasin 500 mg KAPLET 803 Rp 397,485.00 1800 Rp 891,000.00 2292 Rp 1,134,540.00 311
495
56 Lisinopril 5mg tablet TABLET 448 0 Rp - 0 Rp - 0 Rp - 0
57 Loratadin tablet 10 mg TABLET 134 945 Rp 126,630.00 2150 Rp 288,100.00 1095 Rp 146,730.00 2000
58 Mebendazol tablet 100 mg TABLET 225 0 Rp - 0 Rp - 0 Rp - 0
59 Meloksikam tablet 7,5 mg TABLET 629 0 Rp - 0 Rp - 0 Rp - 0
60 Metformin 500mg tablet TABLET 113 5827 Rp 658,451.00 5000 Rp 565,000.00 9978 Rp 1,127,514.00 849
61 Metil Prednisolon 4 mg TABLET 205 4505 Rp 923,525.00 4000 Rp 820,000.00 4976 Rp 1,020,080.00 3529
62 Metilergometrin Maleat 0,125 mg TABLET 154 1104 Rp 170,016.00 2500 Rp 385,000.00 1596 Rp 245,784.00 2008
63 Metoklopramid 5mg TABLET 108 2005 Rp 216,540.00 0 Rp - 2000 Rp 216,000.00 5
64 Metronidazol 250 mg TABLET 110 1 Rp 110.00 0 Rp - 1 Rp 110.00 0
65 Metronidazol 500mg TABLET 133 6938 Rp 922,754.00 8500 Rp 1,130,500.00 9857 Rp 1,310,981.00 5581
66 Natrium Diklofenac 25 mg TABLET 133 0 Rp - 2800 Rp 372,400.00 619 Rp 82,327.00 2181
67 Natrium Diklofenac 50 mg TABLET 176 2805 Rp 493,680.00 22390 Rp 3,940,640.00 18969 Rp 3,338,544.00 6226
68 Nifedipin 10 mg tablet TABLET 110 0 Rp - 0 Rp - 0 Rp - 0
Nistatin tablet vaginal 100.000
69 TABLET 480 223 Rp 107,040.00 300 Rp 144,000.00 272 Rp 130,560.00 251
IU/g
70 Omeprazole 20mg TABLET 211 5543 Rp 1,169,573.00 5820 Rp 1,228,020.00 10925 Rp 2,305,175.00 438
71 Parasetamol 100 mg TABLET 32 0 Rp - 0 Rp - 0 Rp - 0
72 Parasetamol 500 mg TABLET 56 24289 Rp 1,360,184.00 190300 Rp 10,656,800.00 166743 Rp 9,337,608.00 47846
73 Pirantel 125 mg TABLET 298 0 Rp - 0 Rp - 0 Rp - 0
74 Pirasetam 800 mg tablet TABLET 400 1000 Rp 400,000.00 0 Rp - 571 Rp 228,400.00 429
75 Piridoksin HCL (Vit B6) tablet 10 TABLET
mg 118 3662 Rp 432,116.00 11000 Rp 1,298,000.00 10936 Rp 1,290,448.00 3726
76 Prednison tablet 5 mg TABLET 114 1494 Rp 170,316.00 2200 Rp 250,800.00 1193 Rp 136,002.00 2501
77 Propanolol HCL tablet 10 mg TABLET 65 0 Rp - 500 Rp 32,500.00 360 Rp 23,400.00 140
78 Propiltiourasil tablet 100 mg TABLET 319 0 Rp - 0 Rp - 0 Rp - 0
79 Ranitidin tablet 150 mg TABLET 120 5935 Rp 712,200.00 15000 Rp 1,800,000.00 13622 Rp 1,634,640.00 7313
80 Salbutamol tablet 2 mg TABLET 59 3603 Rp 212,577.00 13000 Rp 767,000.00 6933 Rp 409,047.00 9670
81 Salbutamol tablet 4 mg TABLET 89 0 Rp - 0 Rp - 0 Rp - 0
82 Simvastatin 10 mg TABLET 169 4785 Rp 808,665.00 15000 Rp 2,535,000.00 9950 Rp 1,681,550.00 9835
83 Siprofloksazin
Tablet Tambahtablet
Darah500 mg
Kombinasi : TABLET 281 58 Rp 16,298.00 5500 Rp 1,545,500.00 3311 Rp 930,391.00 2247
84 Besi sulfat 200mg+Asam folat TABLET 42 18645 Rp 783,090.00 126420 Rp 5,309,640.00 41737 Rp 1,752,954.00 103328
85 0,25mg
Tetrasiklin HCL kapsul 250 mg KAPSUL 0 Rp - 0 Rp - 0 Rp - 0
149
86 Tetrasiklin HCL kapsul 500 mg KAPSUL 310 389 Rp 120,590.00 0 Rp - 294 Rp 91,140.00 95
87 Thiamfenikol 500mg kapsul KAPSUL 672 0 Rp - 0 Rp - 0 Rp - 0
88 Tiamin HCL (VitB1) 50 mg TABLET 680 10247 Rp 6,967,960.00 6000 Rp 4,080,000.00 13073 Rp 8,889,640.00 3174
89 Vitamin B Kompleks TABLET 115 11597 Rp 1,333,655.00 28400 Rp 3,266,000.00 30521 Rp 3,509,915.00 9476
90 Zinc 10 mg TABLET 474 8320 Rp 3,943,680.00 10500 Rp 4,977,000.00 13436 Rp 6,368,664.00 5384
91 Acarbose 100 mg TABLET 908 0 Rp - 300 Rp 272,400.00 0 Rp - 300
92 Spironolactone 25mg TABLET 315 0 Rp - 0 Rp - 0 Rp - 0
93 Ondansetron 4 mg TABLET 716 1586 Rp 1,135,576.00 768 Rp 549,888.00 2354 Rp 1,685,464.00 0
94 Irbesartan 150 mg TABLET 1,425 0 Rp - 0 Rp - 0 Rp - 0
95 Loperamid 2 mg TABLET 85 0 Rp - 0 Rp - 0 Rp - 0
96 Candesartan 8 mg TABLET 3,100 300 Rp 930,000.00 420 Rp 1,302,000.00 592 Rp 1,835,200.00 128
97 Cefadroxil 500mg KAPSUL 516 974 Rp 502,584.00 6000 Rp 3,096,000.00 3217 Rp 1,659,972.00 3757
98 asetil sistein KAPSUL 426 1000 Rp 426,000.00 0 Rp - 1000 Rp 426,000.00 0
99 Clindamycin 300mg KAPSUL 603 1265 Rp 762,795.00 0 Rp - 453 Rp 273,159.00 812
100 Gemfibrozil 600mg TABLET 679 0 Rp - 1500 Rp 1,018,500.00 515 Rp 349,685.00 985
1 Aminofilina 24 mg/ml - 10 ml AMPUL 3,822 110 Rp 420,420.00 0 Rp - 110 Rp 420,420.00 0
2 Amoksisilin 1000mg VIAL 16,500 209 Rp 3,448,500.00 480 Rp 7,920,000.00 541 Rp 8,926,500.00 148
3 Ampisillin im/iv 1000mg/ml VIAL 5,100 0 Rp - 0 Rp - 0 Rp - 0
4 Antalgin 250 mg/ml - 2 ml AMPUL 8,400 0 Rp - 0 Rp - 0 Rp - 0
5 Atropin sulfat 0,25mg/ml-1 ml AMPUL 1,672 18 Rp 30,096.00 0 Rp - 0 Rp - 18
6 Calsium Gluconas injeksi 10 % AMPUL 10,425 10 Rp 104,250.00 0 Rp - 0 Rp - 10
7 Ceftriaxone 1 gr injeksi VIAL 3,300 0 Rp - 0 Rp - 0 Rp - 0
8 Deksametason injeksi 5 mg/ml- AMPUL
1ml 1,580 166 Rp 262,280.00 800 Rp 1,264,000.00 609 Rp 962,220.00 357
9 Difenhidramin HCL Inj 10mg/ml-1 AMPUL
ml 1,050 955 Rp 1,002,750.00 1200 Rp 1,260,000.00 1155 Rp 1,212,750.00 1000
10 Epinefrin injeksi AMPUL 8,100 66 Rp 534,600.00 10 Rp 81,000.00 76 Rp 615,600.00 0
11 Fitomenadion (Vit K1)inj 10mg/ml- AMPUL
1ml 3,417 180 Rp 615,060.00 210 Rp 717,570.00 311 Rp 1,062,687.00 79
12 Fitomenadion (Vit K1)inj infant AMPUL 8,250 0 Rp - 0 Rp - 0 Rp - 0
13 Furosemid injeksi AMPUL 1,829 0 Rp - 25 Rp 45,725.00 0 Rp - 25
14 Gentamisin injeksi AMPUL 3,399 0 Rp - 0 Rp - 0 Rp - 0
Hyosin n butilbromid inj
15 AMPUL 4,500 0 Rp - 0 Rp - 0 Rp - 0
250mg/ml
16 Kloramfenikol
Lidokain kompinjeksi VIAL 7,260 0 Rp - 0 Rp - 0 Rp - 0
17 injeksi,Kombinasi:Lidokain HCl2% AMPUL 1,845 669 Rp 1,234,305.00 900 Rp 1,660,500.00 717 Rp 1,322,865.00 852
Magnesium sulfat injeksi (IV) 20 %
+Epinefrin1:80000-2ml
18 BOTOL 3,200 0 Rp - 0 Rp - 0 Rp - 0
-Magnesium
25 ml sulfat injeksi (IV) 40 %
19 VIAL 2,629 18 Rp 47,322.00 0 Rp - 18 Rp 47,322.00 0
-Metilergometrin
25 ml Maleat inj.
20 AMPUL 2,684 169 Rp 453,596.00 0 Rp - 104 Rp 279,136.00 65
0,200mg-1ml
21 Metoklopramid inj. 5mg / ml AMPUL 4,650 20 Rp 93,000.00 0 Rp - 20 Rp 93,000.00 0
Natrium Tiosulfat injeksi 25 % - 10
22 BOTOL 1,477 0 Rp - 0 Rp - 0 Rp - 0
ml
Oksitetrasiklin HCL inj. i.m
23 AMPUL 2,818 0 Rp - 0 Rp - 0 Rp - 0
50mg/ml-10ml
24 Oksitosin injeksi 10 IU/ml - 1 ml AMPUL 1,900 59 Rp 112,100.00 330 Rp 627,000.00 212 Rp 402,800.00 177
25 Ondansetron injeksi AMPUL 1,650 480 Rp 792,000.00 1620 Rp 2,673,000.00 1275 Rp 2,103,750.00 825
26 Piracetam injeksi 1 gr / 5 ml BOTOL 5,000 0 Rp - 0 Rp - 0 Rp - 0
27 Piracetam injeksi 3 gr / 5 ml BOTOL 15,550 0 Rp - 0 Rp - 0 Rp - 0
28 Ranitidin injeksi 25mg/2ml AMPUL 1,390 157 Rp 218,230.00 2880 Rp 4,003,200.00 1469 Rp 2,041,910.00 1568
29 Sefotaksim injeksi 1 gram VIAL 4,898 112 Rp 548,576.00 1360 Rp 6,661,280.00 990 Rp 4,849,020.00 482
30 Sianokobalamin(VitB12)inj.500mc AMPUL
g/ml-1ml 1,098 1430 Rp 1,570,140.00 500 Rp 549,000.00 1870 Rp 2,053,260.00 60
31 Streptomisin serbuk injeksi iv VIAL
1000mg/ml 3,650 0 Rp - 0 Rp - 0 Rp - 0
32 Tiamin HCl (Vit.B1) injeksi 100 AMPUL
mg/ml-1 ml 680 0 Rp - 0 Rp - 0 Rp - 0
33 Vitamin B Kompleks injeksi AMPUL 36,000 0 Rp - 0 Rp - 0 Rp - 0
Omeprazol injeksi 40mg/ml
33 AMPUL 2,950 46 Rp 135,700.00 110 Rp 324,500.00 114 Rp 336,300.00 42
+pelarut
34 Asam traneksamat 250 mg/5ml AMPUL 7,190 41 Rp 294,790.00 40 Rp 287,600.00 61 Rp 438,590.00 20
35 Procain Benzil Penisilin inj 3 jt iu VIAL 7,190 0 Rp - 0 Rp - 0 Rp - 0
c. Salep 0 Rp - 0 Rp - 0 Rp - 0
1 Antifungi (As. Benzoat6%+As. POT 1,904 42 Rp 79,984.80 168 Rp 319,939.20 112 Rp 213,292.80 98
salisilat 3%)
2 Asiklovir krim 5% TUBE 839 0 Rp - 50 Rp 41,950.00 36 Rp 30,204.00 14
3 Basitrasin Polimixin B SK TUBE 2,516 0 Rp - 0 Rp - 0 Rp - 0
4 Betametason krim 0,1 % TUBE 1,520 454 Rp 690,080.00 225 Rp 342,000.00 522 Rp 793,440.00 157
5 Gameksan emulsi 1 % 30ml TUBE 2,200 0 Rp - 0 Rp - 0 Rp - 0
6 Gentamisin salep kulit 0.1%-5gr TUBE 2,970 3 Rp 8,910.00 220 Rp 653,400.00 223 Rp 662,310.00 0
7 Gentamisin salep mata 0,3% TUBE 2,600 156 Rp 405,600.00 96 Rp 249,600.00 202 Rp 525,200.00 50
8 Hidrokortison krim 2,5 % TUBE 2,798 28 Rp 78,344.00 480 Rp 1,343,040.00 451 Rp 1,261,898.00 57
9 Ketokonazol krim 2% TUBE 2,569 0 Rp - 0 Rp - 0 Rp - 0
10 Kloramfenikol salep mata 1 % TUBE 1,600 0 Rp - 0 Rp - 0 Rp - 0
11 Miconazol cream 2 % TUBE 3,000 108 Rp 324,000.00 192 Rp 576,000.00 108 Rp 324,000.00 192
12 Oksitetrasiklin HCL 1 % salep mata TUBE 2,520 0 Rp - 275 Rp 693,000.00 192 Rp 483,840.00 83
13 Oksitetrasiklin HCL salep 3 % TUBE 1,499 0 Rp - 0 Rp - 0 Rp - 0
14 Salep 2-4 Komb: As salisilat2% POT 2,429 155 Rp 376,495.00 144 Rp 349,776.00 126 Rp 306,054.00 173
+Belerang endap4%
1 Garam oralit untuk 200 ml air SACHET 288 9708 Rp 2,795,904.00 12000 Rp 3,456,000.00 7512 Rp 2,163,456.00 14196
2 Salisil Bedak 2 % POT 1,250 0 Rp - 300 Rp 375,000.00 234 Rp 292,500.00 66
e. Sirup 0 Rp - 0 Rp - 0 Rp - 0
1 Amoksilin 125mg/5ml VIAL 2,445 149 Rp 364,305.00 1450 Rp 3,545,250.00 1016 Rp 2,484,120.00 583
2 Antasida syr (MgOH BOTOL 2,025 503 Rp 1,018,575.00 1100 Rp 2,227,500.00 1603 Rp 3,246,075.00 0
200mg/5ml+AlOH 200mg/5ml)
3 Cetirizin syr BOTOL 7,999 0 Rp - 70 Rp 559,930.00 31 Rp 247,969.00 39
4 Dekstrometorfan 10 mg / 5 ml BOTOL 1,379 0 Rp - 144 Rp 198,554.40 1 Rp 1,378.85 143
5 Eritromisin sirup BOTOL 6,700 0 Rp - 60 Rp 402,000.00 55 Rp 368,500.00 5
6 Ibuprofen suspensi 100mg/5ml BOTOL 4,499 1129 Rp 5,079,371.00 100 Rp 449,900.00 270 Rp 1,214,730.00 959
Kotrimoksazol BOTOL 3,955 250 Rp 988,750.00 250 Rp 988,750.00 293 Rp 1,158,815.00 207
125mg/5ml Suspensi komb:
8 Sulfametoksazol BOTOL 2,140 478 Rp 1,022,920.00 500 Rp 1,070,000.00 559 Rp 1,196,260.00 419
9 200mg+Trimetoprim40mg/5ml
Mebendazol sirup 100 mg/5ml BOTOL 3,534 0 Rp - 0 Rp - 0 Rp - 0
10 Obat Batuk Hitam ( O B H ) BOTOL 4,840 108 Rp 522,720.00 1024 Rp 4,956,160.00 763 Rp 3,692,920.00 369
11 Parasetamol sirup 120mg/5ml BOTOL 1,074 600 Rp 644,400.00 1100 Rp 1,181,400.00 1295 Rp 1,390,830.00 405
12 Thiamfenikol syr BOTOL 0 Rp - 0 Rp - 0 Rp - 0
13 Metronidazol syrup BOTOL 9,950 11 Rp 109,450.00 300 Rp 2,985,000.00 113 Rp 1,124,350.00 198
f. Tetes 0 Rp - 0 Rp - 0 Rp - 0
1 Fenol Gliserol tetes telinga 10 % BOTOL 2,042 226 Rp 461,492.00 264 Rp 539,088.00 167 Rp 341,014.00 323
2 Gentamisin tetes mata 0.3% BOTOL 4,000 49 Rp 196,000.00 48 Rp 192,000.00 62 Rp 248,000.00 35
3 Gentian violet larutan 1 % BOTOL 900 0 Rp - 0 Rp - 0 Rp - 0
4 Kloramfenikol tetes mata BOTOL 2,273 0 Rp - 0 Rp - 0 Rp - 0
5 Kloramfenikol tetes telinga 3 % BOTOL 5,500 0 Rp - 96 Rp 528,000.00 31 Rp 170,500.00 65
6 Parasetamol drop 100mg/ml btl @ BOTOL
15ml 5,200 59 Rp 306,800.00 224 Rp 1,164,800.00 186 Rp 967,200.00 97
7 Polikresulen BOTOL 17,393 8 Rp 139,144.00 0 Rp - 8 Rp 139,144.00 0
Sulfasetamid Natrium tetes mata
8 15 % BOTOL 3,226 0 Rp - 0 Rp - 0 Rp - 0
1 Alat suntik sekali pakai 1 ml SET 1,540 699 Rp 1,076,460.00 700 Rp 1,078,000.00 974 Rp 1,499,960.00 425
2 Alat suntik sekali pakai 3 ml SET 792 10664 Rp 8,445,888.00 8000 Rp 6,336,000.00 12688 Rp 10,048,896.00 5976
3 Alat suntik sekali pakai 5 ml SET 979 2926 Rp 2,864,554.00 1000 Rp 979,000.00 2764 Rp 2,705,956.00 1162
4 Alat suntik sekali pakai 10 ml SET 1,790 136 Rp 243,440.00 100 Rp 179,000.00 78 Rp 139,620.00 158
5 Alkohol swab PAK 19,680 0 Rp - 610 Rp 12,004,800.00 510 Rp 10,036,800.00 100
6 Aqua pro injeksi, bebas pirogen BOTOL 2,750 55 Rp 151,250.00 740 Rp 2,035,000.00 522 Rp 1,435,500.00 273
7 Aquadest steril BOTOL 8,600 0 Rp - 0 Rp - 0 Rp - 0
8 Blood Tranfusion set PCS 27,830 50 Rp 1,391,500.00 100 Rp 2,783,000.00 12 Rp 333,960.00 138
Catgut chromic/benang bedah No.
9 2/0-3/0 SACHET 34,170 93 Rp 3,177,810.00 84 Rp 2,870,280.00 122 Rp 4,168,740.00 55
Catgut plain/benang bedah No.
10 2/0-3/0 SACHET 35,740 65 Rp 2,323,100.00 60 Rp 2,144,400.00 78 Rp 2,787,720.00 47
11 Daryantulle/Bioplacenton tulle LEMBAR 10,400 57 Rp 592,800.00 150 Rp 1,560,000.00 43 Rp 447,200.00 164
12 Etanol 70 % 100 ml BOTOL 2,500 82 Rp 205,000.00 65 Rp 162,500.00 116 Rp 290,000.00 31
13 Etanol 70 % 1000 ml BOTOL 22,990 100 Rp 2,299,000.00 10 Rp 229,900.00 110 Rp 2,528,900.00 0
14 Foley Catheter no.16 PCS 8,000 20 Rp 160,000.00 80 Rp 640,000.00 60 Rp 480,000.00 40
15 Folley cath no. 18 PCS 8,000 10 Rp 80,000.00 0 Rp - 4 Rp 32,000.00 6
16 Hanschoen "50 KOTAK 35,620 93 Rp 3,312,660.00 20 Rp 712,400.00 113 Rp 4,025,060.00 0
17 Hanschoen steril no 6.5 (safeglove PCS 6,985 121 Rp 845,185.00 40 Rp 279,400.00 53 Rp 370,205.00 108
surgical
HanschoenPF) steril no 7 Safeglove
18 surgical PF) PCS 6,985 110 Rp 768,350.00 0 Rp - 6 Rp 41,910.00 104
19 I.V. Catheter No 18 PCS 8,700 161 Rp 1,400,700.00 300 Rp 2,610,000.00 137 Rp 1,191,900.00 324
20 I.V. Catheter No 20 PCS 8,700 225 Rp 1,957,500.00 0 Rp - 225 Rp 1,957,500.00 0
21 I.V. Catheter No 22 PCS 8,700 89 Rp 774,300.00 500 Rp 4,350,000.00 290 Rp 2,523,000.00 299
22 I.V. Catheter No 24 PCS 8,700 89 Rp 774,300.00 100 Rp 870,000.00 189 Rp 1,644,300.00 0
23 Infusion set anak PCS 5,100 14 Rp 71,400.00 250 Rp 1,275,000.00 106 Rp 540,600.00 158
24 Infusion set dewasa PCS 9,070 1271 Rp 11,527,970.00 600 Rp 5,442,000.00 913 Rp 8,280,910.00 958
25 Kapas Pembalut / Absorben 250 gr ROL 24,000 24 Rp 576,000.00 50 Rp 1,200,000.00 57 Rp 1,368,000.00 17
26 Kasa Pembalut 2 m x 80 cm ROL 9,400 62 Rp 582,800.00 0 Rp - 62 Rp 582,800.00 0
27 Kasa Pembalut elastic 3 inchi ROL 6,363 0 Rp - 0 Rp - 0 Rp - 0
28 Kasa Pembalut Hidrofil 4 m x 15 ROL 3,800 100 Rp 380,000.00 100 Rp 380,000.00 168 Rp 638,400.00 32
cm
29 Kasa Pembalut Hidrofil 4 m x 3 cm ROL 800 53 Rp 42,400.00 100 Rp 80,000.00 17 Rp 13,600.00 136
30 Kasa Steril PAK 7,900 59 Rp 466,100.00 100 Rp 790,000.00 121 Rp 955,900.00 38
31 Lisol, mengandung Kresol tersabun BOTOL 49,862 0 Rp - 35 Rp 1,745,170.00 24 Rp 1,196,688.00 11
50%
32 Masker breathing (+ selang) PCS 0 Rp - 0 Rp - 0 Rp - 0
33 Masker non breathing PCS 16,500 350 Rp 5,775,000.00 0 Rp - 289 Rp 4,768,500.00 61
34 masker oxygen PCS 19,800 0 Rp - 0 Rp - 0 Rp - 0
35 NGT 7 x 75/80 PCS 0 Rp - 0 Rp - 0 Rp - 0
36 One Med H2 O2 3 % BOTOL 3,960 0 Rp - 0 Rp - 0 Rp - 0
37 One Med Surgical Blade PCS 770 0 Rp - 0 Rp - 0 Rp - 0
38 Plester 5 yards x 2 inch ROL 18,086 46 Rp 831,940.67 96 Rp 1,736,224.00 46 Rp 831,940.67 96
(MICROPORE)
39 Plester infus (TEGADERM) PCS 2,242 3 Rp 6,726.30 0 Rp - 3 Rp 6,726.30 0
40 Rivanol larutan 0,1 % 300ml BOTOL 2,550 82 Rp 209,100.00 30 Rp 76,500.00 18 Rp 45,900.00 94
41 Silk ( Benang Bedah Sutera ) No. SACHET 23,480 26 Rp 610,480.00 120 Rp 2,817,600.00 52 Rp 1,220,960.00 94
3/0
42 Tensocrepe PAK 24 Rp - 0 Rp - 0 Rp - 24
43 Urine Bag PCS 5,500 43 Rp 236,500.00 20 Rp 110,000.00 26 Rp 143,000.00 37
44 Wing Needle No. 18 - 27 SACHET 1,400 0 Rp - 0 Rp - 0 Rp - 0
45 Yodium Povidon larutan 10 % 30 BOTOL 2,900 52 Rp 150,800.00 120 Rp 348,000.00 123 Rp 356,700.00 49
ml
46 Yodium Povidon larutan 10 % 60 BOTOL 5,998 4 Rp 23,992.00 0 Rp - 0 Rp - 4
ml
Yodium Povidon larutan 10 % 300
47 ml BOTOL 18,000 5 Rp 90,000.00 105 Rp 1,890,000.00 105 Rp 1,890,000.00 5
48 Policlean handrub 50ml BOTOL 74,494 10 Rp 744,940.00 0 Rp - 0 Rp - 10
49 Polifix 5cmx5m PAK 39,217 1 Rp 39,217.00 0 Rp - 0 Rp - 1
50 New DRC 4Y x 80 cm plain ROL 149,158 5 Rp 745,790.00 10 Rp 1,491,580.00 0 Rp - 15
51 Nurse cap PCS 668 0 Rp - 0 Rp - 0 Rp - 0
52 Surgical gown (M) PCS 51,426 5 Rp 257,130.00 0 Rp - 0 Rp - 5
53 Surgical gown (L) PCS 51,426 5 Rp 257,130.00 0 Rp - 0 Rp - 5
54 Glucose protein test SACHET 1,045 100 Rp 104,500.00 0 Rp - 0 Rp - 100
55 Underpad LEMBAR 4,620 0 Rp - 300 Rp 1,386,000.00 178 Rp 822,360.00 122
56 Nasal kanul L SET 6,600 102 Rp 673,200.00 60 Rp 396,000.00 0 Rp - 162
57 Nasal kanul S SET 6,600 110 Rp 726,000.00 60 Rp 396,000.00 7 Rp 46,200.00 163
58 Nasal kanul XS SET 6,600 0 Rp - 0 Rp - 0 Rp - 0
59 Handrub refill BOTOL 580,000 8 Rp 4,640,000.00 0 Rp - 0 Rp - 8
60 Umbilical cord PAK 65,000 0 Rp - 0 Rp - 0 Rp - 0
61 Dermafix T 5x7 PCS 1,629 0 Rp - 0 Rp - 0 Rp - 0
62 Plesterin PAK 26,950 0 Rp - 0 Rp - 0 Rp - 0
63 Stomach tube no 16 SET 7370 2 Rp 14,740.00 2 Rp 14,740.00 0 Rp - 4
64 Stomach tube no 18 SET 7,370 2 Rp 14,740.00 2 Rp 14,740.00 0 Rp - 4
INFUS 0 Rp - 0 Rp - 0 Rp - 0
1 Asering Larutan infus BOTOL 9,275 17 Rp 157,675.00 200 Rp 1,855,000.00 117 Rp 1,085,175.00 100
2 Glukosa larutan infus 10 % steril BOTOL 7,500 20 Rp 150,000.00 20 Rp 150,000.00 14 Rp 105,000.00 26
3 Glukosa larutan infus 40 % steril BOTOL 5,700 0 Rp - 0 Rp - 0 Rp - 0
4 Glukosa larutan infus 5 % steril BOTOL 6,900 352 Rp 2,428,800.00 0 Rp - 22 Rp 151,800.00 330
5 KAEN 3B BOTOL 10,050 0 Rp - 0 Rp - 0 Rp - 0
6 KAEN 4B BOTOL 15,730 0 Rp - 0 Rp - 0 Rp - 0
7 Metronidazol infus BOTOL 9,950 0 Rp - 50 Rp 497,500.00 50 Rp 497,500.00 0
8 Natrium Klorida larutan infus 0,9 BOTOL 6,410 371 Rp 2,378,110.00 900 Rp 5,769,000.00 851 Rp 5,454,910.00 420
% steril
9 Ringer Lactate infus steril BOTOL 7,150 205 Rp 1,465,750.00 800 Rp 5,720,000.00 699 Rp 4,997,850.00 306
1 Aptil/Albothyl BOTOL 23,100 0 Rp - 0 Rp - 0 Rp - 0
2 Bioplasenton Jelly TUBE 14,175 0 Rp - 100 Rp 1,417,500.00 100 Rp 1,417,500.00 0
3 Bisakodil suppositoria BIJI 5,800 110 Rp 638,000.00 0 Rp - 30 Rp 174,000.00 80
10mg/Dulcolax
4 Bufacomb TUBE 15,000 10 Rp 150,000.00 240 Rp 3,600,000.00 50 Rp 750,000.00 200
5 Cendo Lyters tetes mata BOTOL 15,750 0 Rp - 0 Rp - 0 Rp - 0
6 Cendo Xitrol tetes mata BOTOL 27,250 0 Rp - 0 Rp - 0 Rp - 0
7 Citicholin inj. 250 mg / 2ml AMPUL 15,000 0 Rp - 0 Rp - 0 Rp - 0
8 Laxadin sirup BOTOL 12,450 41 Rp 510,450.00 48 Rp 597,600.00 49 Rp 610,050.00 40
9 Lactodiar SACHET 5,079 0 Rp - 0 Rp - 0 Rp - 0
10 Lytamin syrup BOTOL 5,000 100 Rp 500,000.00 0 Rp - 30 Rp 150,000.00 70
11 Mecobion tablet TABLET 550 2047 Rp 1,125,850.00 1000 Rp 550,000.00 2506 Rp 1,378,300.00 541
12 Metamizole injeksi 500mg 8,635
AMPUL 0 Rp - 500 Rp 4,317,500.00 500 Rp 4,317,500.00 0
(Norages)
13 Microlax BIJI 14,500 0 Rp - 0 Rp - 0 Rp - 0
14 Neurotropik injeksi 5000mcg AMPUL 4,300 24 Rp 103,200.00 500 Rp 2,150,000.00 321 Rp 1,380,300.00 203
(Mersibion)
15 Novalgin/Antrain injeksi AMPUL 8,635 50 Rp 431,750.00 1020 Rp 8,807,700.00 1066 Rp 9,204,910.00 4
16 Noza /Demacolin TABLET 362 2797 Rp 1,012,514.00 10000 Rp 3,620,000.00 11545 Rp 4,179,290.00 1252
17 Obat Batuk Anak sirup BOTOL 3,575 199 Rp 711,425.00 216 Rp 772,200.00 213 Rp 761,475.00 202
(Babycough)
18 Parasetamol supp BIJI 0 Rp - 0 Rp - 0 Rp - 0
19 Pehacain injeksi AMPUL 2,590 0 Rp - 0 Rp - 0 Rp - 0
20 Permetrin/Scabicid krim 5% TUBE 12,155 76 Rp 923,780.00 0 Rp - 76 Rp 923,780.00 0
21 Salbutamol rotacaps KAPSUL 450 0 Rp - 0 Rp - 0 Rp - 0
22 Salbutamol rotahaler PCS 5,867 0 Rp - 0 Rp - 0 Rp - 0
23 Hiopar TABLET 1,360 1928 Rp 2,622,080.00 2000 Rp 2,720,000.00 3773 Rp 5,131,280.00 155
24 Puralex TABLET 190 5343 Rp 1,015,170.00 3500 Rp 665,000.00 7799 Rp 1,481,810.00 1044
25 Ventolin nebuliser BOTOL 6,600 0 Rp - 20 Rp 132,000.00 20 Rp 132,000.00 0
26 Zirkum syr/ Zinkid syr BOTOL 14,980 102 Rp 1,527,960.00 0 Rp - 102 Rp 1,527,960.00 0
27 Miniaspi (Asetosal 80mg) TABLET 148 0 Rp - 500 Rp 74,000.00 50 Rp 7,400.00 450
28 Ulsidex 500mg TABLET 424 348 Rp 147,552.00 0 Rp - 348 Rp 147,552.00 0
29 Combiven nebulizer AMPUL 4,995 100 Rp 499,500.00 280 Rp 1,398,600.00 240 Rp 1,198,800.00 140
30 Dulcolax supp 5 mg (anak) SUPP 5,670 60 Rp 340,200.00 30 Rp 170,100.00 45 Rp 255,150.00 45
31 Bufacetin salep TUBE 3,091 236 Rp 729,476.00 0 Rp - 225 Rp 695,475.00 11
32 Pantocain TM BOTOL 11,500 10 Rp 115,000.00 0 Rp - 0 Rp - 10
33 Chloramex 500mg KAPSUL 1,007 9306 Rp 9,371,142.00 10000 Rp 10,070,000.00 7747 Rp 7,801,229.00 11559
34 Euthyrox (Levotiroksin 100mcg) TABLET 850 0 Rp - 0 Rp - 0 Rp - 0
35 Dionicol 500mg KAPSUL 737 531 Rp 391,347.00 1500 Rp 1,105,500.00 1682 Rp 1,239,634.00 349
36 Sotatic inj (metoclopramid inj) AMPUL 4,620 50 Rp 231,000.00 0 Rp - 10 Rp 46,200.00 40
37 Gricin TABLET 1,100 0 Rp - 0 Rp - 0 Rp - 0
38 Amoxsan serbuk injeksi VIAL 16,500 0 Rp - 0 Rp - 0 Rp - 0
a. Alkes 0 Rp - 0 Rp - 0 Rp - 0
1 Anisol PCS 0 Rp - 0 Rp - 0 Rp - 0
2 Blood lancet PCS 0 Rp - 0 Rp - 0 Rp - 0
3 Blue Tip PCS 104,000 0 Rp - 0 Rp - 0 Rp - 0
4 Corong PCS 0 Rp - 0 Rp - 0 Rp - 0
5 Kantong mayat PCS 150,000 0 Rp - 0 Rp - 0 Rp - 0
6 Kertas lensa PCS 0 Rp - 0 Rp - 0 Rp - 0
7 Lampu spiritus PCS 0 Rp - 0 Rp - 0 Rp - 0
8 Ose PCS 0 Rp - 0 Rp - 0 Rp - 0
9 Pipet K PCS 0 Rp - 0 Rp - 0 Rp - 0
10 Pipet 50 ml PCS 0 Rp - 0 Rp - 0 Rp - 0
11 Rak slide PCS 0 Rp - 0 Rp - 0 Rp - 0
12 Safety box 5 l PCS 0 Rp - 0 Rp - 0 Rp - 0
13 Sarung tangan no 7 PCS 0 Rp - 0 Rp - 0 Rp - 0
14 Sarung tangan no 7.5 PCS 0 Rp - 0 Rp - 0 Rp - 0
15 Sarung tangan no 8 PCS 0 Rp - 0 Rp - 0 Rp - 0
16 Syringe AD 0,5ml / Soloshot PCS 1655,55 0 Rp - 0 Rp - 0 Rp - 0
17 Syringe AD 5ml / Soloshot PCS 0 Rp - 0 Rp - 0 Rp - 0
18 Tabung EDTA PCS 240,450 0 Rp - 0 Rp - 0 Rp - 0
19 Tabung serologi PCS 226,550 0 Rp - 0 Rp - 0 Rp - 0
1 Albendazol TABLET 344 32386 Rp 11,140,784.00 0 Rp - 552 Rp 189,888.00 31834
2 Betametason krim 0,1 % TUBE 1,520 0 Rp - 0 Rp - 0 Rp - 0
3 Dietilkarbamazin sitrat 100 mg TABLET 136 0 Rp - 0 Rp - 0 Rp - 0
4 Klorfeniramin Maleat (CTM) 4 mg TABLET 51 0 Rp - 0 Rp - 0 Rp - 0
5 Miconazol cream 2 % TUBE 3,000 0 Rp - 0 Rp - 0 Rp - 0
6 Pirantel 125 mg TABLET 298 0 Rp - 0 Rp - 0 Rp - 0
7 Vitamin B Kompleks TABLET 107 0 Rp - 0 Rp - 0 Rp - 0
1 Oseltamivir 75 mg TABLET 13,000 0 Rp - 0 Rp - 0 Rp - 0
d. Gigi 0 Rp - 0 Rp - 0 Rp - 0
1 Devitalisasi Pasta ( Non Arsen ) BOTOL 0 Rp - 0 Rp - 0 Rp - 0
2 Etil Klorida semprot BOTOL 99,000 3 Rp 297,000.00 20 Rp 1,980,000.00 1 Rp 99,000.00 22
3 Eugenol cairan BOTOL 2 Rp - 0 Rp - 0 Rp - 2
4 Glass Ionomer Cemen ( GC IX ) BOTOL 0 Rp - 0 Rp - 0 Rp - 0
5 Kalsium Hidroksida Pasta TUBE 0 Rp - 0 Rp - 0 Rp - 0
6 Monoklorkamfer Mentol Cairan BOTOL 0 Rp - 0 Rp - 0 Rp - 0
7 Mummifying Pasta TUBE 0 Rp - 0 Rp - 0 Rp - 0
Semen Seng Fosfat serbuk dan
8 BOTOL 0 Rp - 0 Rp - 0 Rp - 0
cairan
9 Silver Amalgam serbuk 65 - 75 % BOTOL 0 Rp - 0 Rp - 0 Rp - 0
Temporary Stopping Fletcher
10 BOTOL 0 Rp - 0 Rp - 0 Rp - 0
serbuk dan cairan
11 Trikresol Formalin (TKF) cairan BOTOL 0 Rp - 0 Rp - 0 Rp - 0
e. Gizi 0 Rp - 0 Rp - 0 Rp - 0
1 Retinol ( Vit A ) kapsul 100.000 IU BOTOL 14,200 21 Rp 298,200.00 12 Rp 170,400.00 0 Rp - 33
2 Retinol ( Vit A ) kapsul 200.000 IU BOTOL 22,950 104 Rp 2,386,800.00 123 Rp 2,822,850.00 0 Rp - 227
3 Mineral Mix SACHET 2,695 0 Rp - 0 Rp - 0 Rp - 0
4 Iodine test PAKET 31,650 0 Rp - 10 Rp 316,500.00 0 Rp - 10
f. Jiwa 0 Rp - 0 Rp - 0 Rp - 0
1 Amitriptilin HCL 25 mg TABLET 102 450 Rp 45,900.00 500 Rp 51,000.00 734 Rp 74,868.00 216
2 Clobazam 10mg tab TABLET 900 0 Rp - 0 Rp - 0 Rp - 0
3 Fenitoin Natrium inj. 50 mg/ml AMPUL 20,250 3000 Rp 60,750,000.00 0 Rp - 0 Rp - 3000
4 Fenitoin Natrium 100 mg KAPSUL 133 300 Rp 39,900.00 400 Rp 53,200.00 500 Rp 66,500.00 200
5 Fenitoin Natrium 30 mg KAPSUL 93 0 Rp - 0 Rp - 0 Rp - 0
6 Haldol decanoat 50mg/ml inj AMPUL 83,333 0 Rp - 0 Rp - 0 Rp - 0
7 Haloperidol 1,5 mg TABLET 69 2840 Rp 195,960.00 0 Rp - 2840 Rp 195,960.00 0
8 Haloperidol 5 mg TABLET 96 0 Rp - 2000 Rp 192,000.00 1760 Rp 168,960.00 240
9 Karbamazepin 200 mg TABLET 245 0 Rp - 100 Rp 24,500.00 10 Rp 2,450.00 90
Klorpromazin HCL injeksi 25
10 AMPUL 1,021 0 Rp - 0 Rp - 0 Rp - 0
mg/ml - 1 ml HCL injeksi 5 mg/ml
Klorpromazin
11 AMPUL 950 0 Rp - 0 Rp - 0 Rp - 0
- 2 ml
12 TABLET 144 400 Rp 57,600.00 3200 Rp 460,800.00 3368 Rp 484,992.00 232
mg
13 TABLET 68 0 Rp - 1000 Rp 68,000.00 430 Rp 29,240.00 570
mg
14 Lodomer 5mg/ml inj AMPUL 0 Rp - 0 Rp - 0 Rp - 0
15 Risperidone 2mg TABLET 1,008 2200 Rp 2,217,600.00 6000 Rp 6,048,000.00 4764 Rp 4,802,112.00 3436
16 Sikzonoat/Flufenazin 25mg/ml inj AMPUL 55,000 0 Rp - 0 Rp - 0 Rp - 0
17 Trifluoperazin tablet 5 mg TABLET 405 0 Rp - 0 Rp - 0 Rp - 0
18 Triheksifenidil Hidroklorida tab 2 TABLET 95
mg 0 Rp - 7870 Rp 747,650.00 4655 Rp 442,225.00 3215
19 Clozapin 25 mg tab TABLET 1,550 0 Rp - 0 Rp - 0 Rp - 0
20 Fluoksetin/Nopres 20 mg KAPSUL 423 0 Rp - 0 Rp - 0 Rp - 0
21 Haloperidol 0,5 mg TABLET 88 0 Rp - 0 Rp - 0 Rp - 0
22 Haloperidol tts 2 mg/ml (Lodomer BOTOL 16,500
drop) 0 Rp - 0 Rp - 0 Rp - 0
23 Stelazin 1 mg TABLET 479 725 Rp 347,275.00 0 Rp - 30 Rp 14,370.00 695
1 VIAL 8,935 0 Rp - 0 Rp - 0 Rp - 0
juta IU/vial
2 VIAL 12,185 0 Rp - 0 Rp - 0 Rp - 0
juta IU/vial
3 Cyprofloxacin 500 mg TABLET 250 0 Rp - 0 Rp - 0 Rp - 0
4 Cyre Tube PCS 0 Rp - 0 Rp - 0 Rp - 0
5 Doxycyclin 100 mg KAPSUL 270 0 Rp - 0 Rp - 0 Rp - 0
6 Erythromycin 500 mg KAPSUL 930 0 Rp - 0 Rp - 0 Rp - 0
7 Fladex Forte ( Metronidazol ) TABLET 0 Rp - 0 Rp - 0 Rp - 0
8 Fluconazole tab KAPSUL 18,000 0 Rp - 0 Rp - 0 Rp - 0
9 Kapas Alkohol PCS 0 Rp - 0 Rp - 0 Rp - 0
10 Komb: Cefixim + Azithromycin TABLET 1,000 0 Rp - 0 Rp - 0 Rp - 0
11 Pehavral TABLET 0 Rp - 0 Rp - 0 Rp - 0
12 Sarung tangan PCS 0 Rp - 0 Rp - 0 Rp - 0
13 Tabung + Jarum SET 0 Rp - 0 Rp - 0 Rp - 0
14 Zidovudine (ZDV) 100mg TABLET 1,583 0 Rp - 0 Rp - 0 Rp - 0
15 Lamivudine 150 mg TABLET 1,400 0 Rp - 0 Rp - 0 Rp - 0
16 Efavirenz (EFV) 600 mg TABLET 0 Rp - 0 Rp - 0 Rp - 0
17 Nevirapine (NVP) 200mg TABLET 2,800 0 Rp - 0 Rp - 0 Rp - 0
18 Tenofovir 300 TABLET 0 Rp - 0 Rp - 0 Rp - 0
19 Tenofovir 300 + Emcitritabine (FT TABLET 0 Rp - 0 Rp - 0 Rp - 0
20 Zidovudine(ZDV)300mg+Lamivudi TABLET 3,429 0 Rp - 0 Rp - 0 Rp - 0
ne(3TC)150mg
Tenofovir 300 + Lamivudin 300 + TABLET 12,210
21 0 Rp - 0 Rp - 0 Rp - 0
Efaviren 600 (Triple FDC) Dewasa
Azithromycin TABLET 4,500
22 0 Rp - 0 Rp - 0 Rp - 0
23 Cefixim 100mg KAPSUL 590 0 Rp - 0 Rp - 0 Rp - 0
h. Kusta 0 Rp - 0 Rp - 0 Rp - 0
1 Lampren 100 mg KAPSUL 0 Rp - 0 Rp - 0 Rp - 0
2 MB Anak PAKET 0 Rp - 0 Rp - 0 Rp - 0
3 MB Dewasa PAKET 0 Rp - 0 Rp - 0 Rp - 0
4 PB Anak PAKET 0 Rp - 0 Rp - 0 Rp - 0
5 PB Dewasa PAKET 0 Rp - 0 Rp - 0 Rp - 0
6 Prednison 5 mg TABLET 0 Rp - 0 Rp - 0 Rp - 0
7 Prednipac PAKET 0 Rp - 0 Rp - 0 Rp - 0
i. Malaria
Tablet Tambah Darah Kombinasi : 0 Rp - 0 Rp - 0 Rp - 0
1 Besi sulfat 200mg+Asam folat TABLET 42 0 Rp - 0 Rp - 0 Rp - 0
2 0,25mg
Klorokuin tablet 150 mg TABLET 107 0 Rp - 0 Rp - 0 Rp - 0
Kuinin dihidroklorida injeksi 25 % - AMPUL 4,227
3 2 ml 0 Rp - 0 Rp - 0 Rp - 0
4 Kuinin
Komb. ( Kina ) tablet 200 mg TABLET 610 0 Rp - 0 Rp - 0 Rp - 0
5 (Pirimetamin25mg+Sulfadoksin50 TABLET 473 0 Rp - 0 Rp - 0 Rp - 0
6 0mg)
Primakuin tablet 15 mg TABLET 114 0 Rp - 0 Rp - 0 Rp - 0
7 Asam Askorbat 250 mg TABLET 74 0 Rp - 0 Rp - 0 Rp - 0
8 ACT (Artesunat+Amodiaquin TABLET 30,000 0 Rp - 0 Rp - 0 Rp - 0
Hydrochloride)
9 Artemeter injeksi AMPUL 22,167 0 Rp - 0 Rp - 0 Rp - 0
10 Artesunat injeksi AMPUL 25,063 0 Rp - 0 Rp - 0 Rp - 0
11 Tetrasiklin 250 mg KAPSUL 140 0 Rp - 0 Rp - 0 Rp - 0
12 Vit B Komplex tab TABLET 22 0 Rp - 0 Rp - 0 Rp - 0
1 Diazepam injeksi 5 mg/ml - 2 ml AMPUL 4,180 0 Rp - 0 Rp - 0 Rp - 0
2 Diazepam 2 mg TABLET 45 0 Rp - 220 Rp 9,900.00 46 Rp 2,070.00 174
3 Diazepam 5 mg TABLET 0 Rp - 0 Rp - 0 Rp - 0
Fenobarbital injeksi 50 mg / ml - 2 AMPUL
4 1,980 0 Rp - 0 Rp - 0 Rp - 0
ml
5 Fenobarbital 30 mg TABLET 62 0 Rp - 0 Rp - 0 Rp - 0
6 Kodein tablet 10mg TABLET 500 1500 Rp 750,000.00 500 Rp 250,000.00 1741 Rp 870,500.00 259
7 Stesolid rectal supp 5 mg SUPP 11,517 16 Rp 184,272.00 10 Rp 115,170.00 14 Rp 161,238.00 12
8 Alprazolam 1mg TABLET 233 400 Rp 93,200.00 300 Rp 69,900.00 700 Rp 163,100.00 0
9 Stesolid rectal supp 10 mg SUPP 16,742 10 Rp 167,420.00 0 Rp - 4 Rp 66,968.00 6
1 Reagen Alat ( GPT ) SET 0 Rp - 0 Rp - 0 Rp - 0
2 Reagen Alat test gol darah SET 1 Rp - 1 Rp - 2 Rp - 0
3 Reagen ASAT ( GOT ) SET 0 Rp - 0 Rp - 0 Rp - 0
4 Reagen Cell Clean SET 1 Rp - 0 Rp - 0 Rp - 1
5 Reagen Cell Pack D 20 lt SET 0 Rp - 0 Rp - 0 Rp - 0
6 Reagen Cholesterol SET 2 Rp - 13 Rp - 8 Rp - 7
7 Reagen Creatinin SET 0 Rp - 0 Rp - 0 Rp - 0
8 Reagen Glukose GOD SET 1 Rp - 14 Rp - 12 Rp - 3
9 Reagen Pack D 5 lt SET 1 Rp - 1 Rp - 2 Rp - 0
10 Reagen Pack L - 500ml SET 1 Rp - 1 Rp - 2 Rp - 0
11 Reagen Stromalyzer 500ml SET 0 Rp - 0 Rp - 0 Rp - 0
12 Reagen Trigliserid SET 0 Rp - 0 Rp - 0 Rp - 0
13 Reagen Uric acid SET 6 Rp - 4 Rp - 10 Rp - 0
14 Urea FS SET 0 Rp - 0 Rp - 0 Rp - 0
15 Ragen narkoba SET 0 Rp - 0 Rp - 0 Rp - 0
l. Serum 0 Rp - 0 Rp - 0 Rp - 0
Serum Anti Bisa Ular Polivalen
1 VIAL 430,000 10 Rp 4,300,000.00 0 Rp - 3 Rp 1,290,000.00 7
inj.5
Serum ml(ABUI)
Anti Difteri inj. 20.000
2 VIAL 429,550 0 Rp - 0 Rp - 0 Rp - 0
IU/vial (ADS)Tetanus inj. 1.500
Serum Anti
3 VIAL 115,000 10 Rp 1,150,000.00 20 Rp 2,300,000.00 26 Rp 2,990,000.00 4
IU/ampul (Tetagam)
m. TB Paru 0 Rp - 0 Rp - 0 Rp - 0
1 Isoniazid (INH) 100mg TABLET 293 200 Rp 58,600.00 0 Rp - 0 Rp - 200
2 Kombipack Kategori 1 PAKET 0 Rp - 0 Rp - 0 Rp - 0
3 Obat Antituberkulosis Anak PAKET 214,900 1 Rp 214,900.00 0 Rp - 0 Rp - 1
Obat Antituberkulosis kategori 2
4 PAKET 1,199,990 1 Rp 1,199,990.00 2 Rp 2,399,980.00 1 Rp 1,199,990.00 2
(Obat
FDC Antituberkulosis
) kategori 3
5 PAKET 154,000 0 Rp - 0 Rp - 0 Rp - 0
(FDC)
Obat Antituberkulosis kategori I
6 PAKET 359,990 10 Rp 3,599,900.00 5 Rp 1,799,950.00 11 Rp 3,959,890.00 4
( FDC )
7 Obat Antituberkulosis Sisipan PAKET 160,000 3 Rp 480,000.00 5 Rp 800,000.00 2 Rp 320,000.00 6
8 Slide PAK 19,500 0 Rp - 0 Rp - 0 Rp - 0
9 Slide box BOX 5 Rp - 0 Rp - 0 Rp - 5
10 Sputum pot BIJI 1,750 338 Rp 591,500.00 100 Rp 175,000.00 355 Rp 621,250.00 83
11 Streptomycin inj./iv 1500 mg/ml VIAL 0 Rp - 0 Rp - 0 Rp - 0
12 Ziehl nelseen PAKET 6 Rp - 0 Rp - 0 Rp - 6
1 Stik Hb SET 1 Rp - 0 Rp - 0 Rp - 1
2 Blood lancet SET 6 Rp - 4 Rp - 10 Rp - 0
3 Obyek Glass SET 2 Rp - 1 Rp - 3 Rp - 0
4 widal test SET 1 Rp - 0 Rp - 1 Rp - 0
5 hcg test SET 76 Rp - 0 Rp - 4 Rp - 72
6 tabung k3 edta SET 105 Rp - 0 Rp - 45 Rp - 60
7 yellow tip SET 0 Rp - 0 Rp - 0 Rp - 0
8 Blue Tip SET 0 Rp - 0 Rp - 0 Rp - 0
9 stik urin lengkap SET 76 Rp - 102 Rp - 31 Rp - 147
10 rapid HIV SET 0 Rp - 0 Rp - 0 Rp - 0
SD HIV SET 652 Rp - 0 Rp - 305 Rp - 347
INTEC SET 66 Rp - 0 Rp - 0 Rp - 66
ONCOPROBE SET 44 Rp - 0 Rp - 0 Rp - 44
11 Kloramphenikol 500mg tablet 748 Rp - 0 Rp - 748 Rp - 0
13 ATS 0 Rp - 0 Rp - 0 Rp - 0
17 USG Gel 6 Rp - 0 Rp - 0 Rp - 6
18 Jelly 3 Rp - 0 Rp - 0 Rp - 3
20 lomatul 38 Rp - 50 Rp - 40 Rp - 48
21 superhoid/anti hemoroid supp 5,000 0 Rp - 0 Rp - 0 Rp - 0
22 Voseo / Metoclopramid Syirup 4,850 22 Rp 106,700.00 54 Rp 261,900.00 23 Rp 111,550.00 53
23 IV 26 50 Rp - 200 Rp - 0 Rp - 250
26 femal 16 10 Rp - 0 Rp - 0 Rp - 10
27 femal 18 10 Rp - 0 Rp - 0 Rp - 10
28 mecobalamin 8,912 600 Rp 5,347,200.00 0 Rp - 381 Rp 3,395,472.00 219
29 clorethyil walter ritte 103,500 6 Rp 621,000.00 0 Rp - 1 Rp 103,500.00 5
30 plester 7.5 10 Rp - 58 Rp - 58 Rp - 10
31 plester 2.5 4 Rp - 36 Rp - 40 Rp - 0
46 anelat 4880 Rp - 6000 Rp - 6711 Rp - 4169
47 spalk 2 Rp - 0 Rp - 2 Rp - 0
48 spuit 0,05 0 Rp - 0 Rp - 0 Rp - 0
49 spuit 0,5 0 Rp - 0 Rp - 0 Rp - 0
50 reco tt 22 Rp - 150 Rp - 70 Rp - 102
51 masker n95 15 Rp - 0 Rp - 15 Rp - 0
55 oil mersi 100 ml 800,000 0 Rp - 1 Rp 800,000.00 1 Rp 800,000.00 0
56 laktobe 0 Rp - 150 Rp - 150 Rp - 0
62 Spuit 50 ml 0 Rp - 50 Rp - 0 Rp - 50
72 PHARMAFIK 0 Rp - 10 Rp - 0 Rp - 10
JUMLAH Rp 288,850,425.77 Rp 306,304,744.60 Rp 320,935,836.62
TOTAL
10
2*9
Rp 1,328,040.00
Rp 343,054.00
Rp 198,000.00
Rp 345,328.00
Rp 1,684,935.00
Rp 4,320.00
Rp -
Rp 8,837,199.00
Rp -
Rp 1,698,800.00
Rp -
Rp -
Rp 36,860.00
Rp 153,090.00
Rp -
Rp 3,799,146.00
Rp 49,284.00
Rp -
Rp 359,121.00
Rp 593,020.00
Rp 46,530.00
Rp 213,580.00
Rp 1,692,680.00
Rp 47,142.00
Rp -
Rp 201,344.00
Rp -
Rp 440,212.00
Rp -
Rp 498,590.00
Rp 738,360.00
Rp 49,130.00
Rp 270,312.00
Rp 4,175,136.00
Rp 1,663,550.00
Rp -
Rp -
Rp -
Rp 330,000.00
Rp 175,890.00
Rp 95,304.00
Rp -
Rp 103,572.00
Rp 1,372,980.00
Rp -
Rp 659,100.00
Rp 476,520.00
Rp 1,768,000.00
Rp 874,737.00
Rp 977,007.00
Rp -
Rp -
Rp -
Rp 1,765,341.00
Rp 153,945.00
Rp -
Rp 268,000.00
Rp -
Rp -
Rp 95,937.00
Rp 723,445.00
Rp 309,232.00
Rp 540.00
Rp -
Rp 742,273.00
Rp 290,073.00
Rp 1,095,776.00
Rp -
Rp 120,480.00
Rp 92,418.00
Rp -
Rp 2,679,376.00
Rp -
Rp 171,600.00
Rp 439,668.00
Rp 285,114.00
Rp 9,100.00
Rp -
Rp 877,560.00
Rp 570,530.00
Rp -
Rp 1,662,115.00
Rp 631,407.00
Rp 4,339,776.00
Rp -
Rp 29,450.00
Rp -
Rp 2,158,320.00
Rp 1,089,740.00
Rp 2,552,016.00
Rp 272,400.00
Rp -
Rp -
Rp -
Rp -
Rp 396,800.00
Rp 1,938,612.00
Rp -
Rp 489,636.00
Rp 668,815.00
Rp -
Rp -
Rp 2,442,000.00
Rp -
Rp -
Rp 30,096.00
Rp 104,250.00
Rp -
Rp 564,060.00
Rp 1,050,000.00
Rp -
Rp 269,943.00
Rp -
Rp 45,725.00
Rp -
Rp -
Rp -
Rp 1,571,940.00
Rp -
Rp -
Rp 174,460.00
Rp -
Rp -
Rp -
Rp 336,300.00
Rp 1,361,250.00
Rp -
Rp -
Rp 2,179,520.00
Rp 2,360,836.00
Rp 65,880.00
Rp -
Rp -
Rp -
Rp 123,900.00
Rp 143,800.00
Rp -
Rp -
Rp 186,631.20
Rp 11,746.00
Rp -
Rp 238,640.00
Rp -
Rp -
Rp 130,000.00
Rp 159,486.00
Rp -
Rp -
Rp 576,000.00
Rp 209,160.00
Rp -
Rp 420,217.00
Rp -
Rp 4,088,448.00
Rp 82,500.00
Rp -
Rp 1,425,435.00
Rp -
Rp 311,961.00
Rp 197,175.55
Rp 33,500.00
Rp 4,314,541.00
Rp 818,685.00
Rp 896,660.00
Rp -
Rp 1,785,960.00
Rp 434,970.00
Rp -
Rp 1,970,100.00
Rp -
Rp 659,566.00
Rp 140,000.00
Rp -
Rp -
Rp 357,500.00
Rp 504,400.00
Rp -
Rp -
Rp -
Rp 654,500.00
Rp 4,732,992.00
Rp 1,137,598.00
Rp 282,820.00
Rp 1,968,000.00
Rp 750,750.00
Rp -
Rp 3,840,540.00
Rp 1,879,350.00
Rp 1,679,780.00
Rp 1,705,600.00
Rp 77,500.00
Rp -
Rp 320,000.00
Rp 48,000.00
Rp -
Rp 754,380.00
Rp 726,440.00
Rp 2,818,800.00
Rp -
Rp 2,601,300.00
Rp -
Rp 805,800.00
Rp 8,689,060.00
Rp 408,000.00
Rp -
Rp -
Rp 121,600.00
Rp 108,800.00
Rp 300,200.00
Rp 548,482.00
Rp -
Rp 1,006,500.00
Rp -
Rp -
Rp -
Rp -
Rp 1,736,224.00
Rp -
Rp 239,700.00
Rp 2,207,120.00
Rp -
Rp 203,500.00
Rp -
Rp 142,100.00
Rp 23,992.00
Rp 90,000.00
Rp 744,940.00
Rp 39,217.00
Rp 2,237,370.00
Rp -
Rp 257,130.00
Rp 257,130.00
Rp 104,500.00
Rp 563,640.00
Rp 1,069,200.00
Rp 1,075,800.00
Rp -
Rp 4,640,000.00
Rp -
Rp -
Rp -
Rp 29,480.00
Rp 29,480.00
Rp -
Rp 927,500.00
Rp 195,000.00
Rp -
Rp 2,277,000.00
Rp -
Rp -
Rp -
Rp 2,692,200.00
Rp 2,187,900.00
Rp -
Rp -
Rp -
Rp 464,000.00
Rp 3,000,000.00
Rp -
Rp -
Rp -
Rp 498,000.00
Rp -
Rp 350,000.00
Rp 297,550.00
Rp -
Rp -
Rp 872,900.00
Rp 34,540.00
Rp 453,224.00
Rp 722,150.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 210,800.00
Rp 198,360.00
Rp -
Rp -
Rp 66,600.00
Rp -
Rp 699,300.00
Rp 255,150.00
Rp 34,001.00
Rp 115,000.00
Rp 11,639,913.00
Rp -
Rp 257,213.00
Rp 184,800.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 10,950,896.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 2,178,000.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 468,600.00
Rp 5,209,650.00
Rp -
Rp 316,500.00
Rp -
Rp 22,032.00
Rp -
Rp 60,750,000.00
Rp 26,600.00
Rp -
Rp -
Rp -
Rp 23,040.00
Rp 22,050.00
Rp -
Rp -
Rp 33,408.00
Rp 38,760.00
Rp -
Rp 3,463,488.00
Rp -
Rp -
Rp 305,425.00
Rp -
Rp -
Rp -
Rp -
Rp 332,905.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 7,830.00
Rp -
Rp -
Rp -
Rp 129,500.00
Rp 138,204.00
Rp -
Rp 100,452.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 3,010,000.00
Rp -
Rp 460,000.00
Rp -
Rp 58,600.00
Rp -
Rp 214,900.00
Rp 2,399,980.00
Rp -
Rp 1,439,960.00
Rp 960,000.00
Rp -
Rp -
Rp 145,250.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 257,050.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 1,951,728.00
Rp 517,500.00
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 274,219,333.75

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KERTAS KERJA PERSEDIAAN BAHAN OBAT - OBATAN

UPT PUSKESMAS DAU

Saldo Awal Bulan Mutasi Tambah Mutasi Kurang

Kotrimoksazol dewasa kombinasi :

dr. YULIA RACHMAWATI

1524 Rp 3,255.00 Rp 4,960,620.00

7039 Rp 62.00 Rp 436,418.00

139 Rp 3,045.00 Rp 423,255.00

2137 Rp 88.00 Rp 188,056.00

37268 Rp 51.00 Rp 1,900,668.00

21187 Rp 151.00 Rp 3,199,237.00

1022 Rp 154.00 Rp 157,388.00

212 Rp 480.00 Rp 101,760.00

2586 Rp 118.00 Rp 305,148.00

108 Rp 1,580.00 Rp 170,640.00

808 Rp 1,050.00 Rp 848,400.00

649 Rp 1,845.00 Rp 1,197,405.00

162 Rp 2,684.00 Rp 434,808.00

1360 Rp 1,098.00 Rp 1,493,280.00

144 Rp 2,429.00 Rp 349,776.00

408 Rp 2,025.00 Rp 826,200.00

121 Rp 6,985.00 Rp 845,185.00

110 Rp 6,985.00 Rp 768,350.00

110 Rp 5,800.00 Rp 638,000.00

193 Rp 3,575.00 Rp 689,975.00

Pengurus/ Penyimpan Barang

Saldo Awal Bulan Mutasi Tambah Mutasi Kurang

Kotrimoksazol dewasa kombinasi :

Menyetujui Pengurus/ Peny

us/ Penyimpan Barang

Saldo Awal Bulan Mutasi Tambah Mutasi Kurang S

Kotrimoksazol dewasa kombinasi :

Pengurus/ Penyimpan Barang

Saldo Awal Bulan Mutasi Tambah Mutasi Kurang Saldo ak

Kotrimoksazol dewasa kombinasi :

Menyetujui Pengurus/ Penyimpan B

gurus/ Penyimpan Barang

Saldo Awal Bulan Mutasi Tambah Mutasi Kurang

Kotrimoksazol dewasa kombinasi :

dr. YULIA RACHMAWATI

622 Rp 3,255.00 Rp 2,024,610.00

3987 Rp 62.00 Rp 247,194.00

119 Rp 3,045.00 Rp 362,355.00

2094 Rp 88.00 Rp 184,272.00

22375 Rp 51.00 Rp 1,141,125.00

21076 Rp 151.00 Rp 3,182,476.00

1315 Rp 154.00 Rp 202,510.00

146 Rp 480.00 Rp 70,080.00

5420 Rp 118.00 Rp 639,560.00

134 Rp 1,580.00 Rp 211,720.00

389 Rp 1,050.00 Rp 408,450.00

451 Rp 1,845.00 Rp 832,095.00

145 Rp 2,684.00 Rp 389,180.00

913 Rp 1,098.00 Rp 1,002,474.00

148 Rp 1,904.40 Rp 281,851.20

109 Rp 2,429.00 Rp 264,761.00

125 Rp 3,955.00 Rp 494,375.00

107 Rp 6,985.00 Rp 747,395.00

110 Rp 6,985.00 Rp 768,350.00

153 Rp 800.00 Rp 122,400.00

337 Rp 6,410.00 Rp 2,160,170.00

139 Rp 4,300.00Rp 597,700.00

Pengurus/ Penyimpan Barang