Ba Juli 2019

PEMERINTAH KOTA PONTIANAK
DINAS KESEHATAN
JALAN JEND. AHMAD YANI TELP. (0561) 760528
1771
PONTIANAK
BERITA ACARA SERAH TERIMA

PUSKESMAS KHATULISTWA
TANGGAL 9 JULI 2019
NO URAIAN KATEGORI ANGG NO BATCH SATUAN

SUMBER DANA HARGA JUMLAH SALDO
ARAN EXPIRED
1 ACYCLOVIR TAB 400 MG OBAT APBD 2018 16304029 TAB 425.00 200 85,000.00 5 2022
2 ALOPURINOL TAB 100MG OBAT APBD 2017 1706-17-106 TAB 117.00 200 23,400.00 6 2020
3 AMLODIPINE 10 MG OBAT APBD 2019 RC09E001 TAB 95.00 3,000 285,000.00 3 2022
4 AMOXYCILLIN 500MG TAB OBAT APBD 2019 B90044 TAB 248.00 2,000 496,000.00 7/82020/2021
5 ANTASIDA DOEN SYR OBAT APBD 2019 19SA182 BTL 2,098.00 50 104,900.00 1 2021
6 ASAM ASCORBAT 50 MG TAB OBAT APBD 2019 J82021B KAP 120.00 4,000 480,000.00 9 2021
7 ASAM MEFENAMAT 500 MG OBAT APBD 2019 T09059AJ TAB 265.00 1,000 265,000.00 9 2021
8 BETAMETASON KRIM 0.1% OBAT APBD 2018 D80682T TUBE 1,373.00 50 68,650.00 4 2021
9 CAPTOPRIL 12,5MG OBAT APBD 2017 95323017 TAB 69.00 2,000 138,000.00 11 2021
10 DEXAMETASON TAB 0.5MG OBAT APBD 2018 1807-28-150 TAB 34.00 2,000 68,000.00 7 2020
11 DIAZEPAM 5 MG OBAT APBD 2018 A80296 TAB 109.00 100 10,900.00 2 2022
12 DOMPERIDON 10 MG OBAT APBD 2018 A5004CV TAB 90.00 500 45,000.00 3 2021
13 FITOMENADION 10MG OBAT APBD 2018 16381004 TAB 818.00 200 163,600.00 3 2021
14 FUROSEMIDE 40 MG OBAT APBD 2018 C80553B TAB 79.00 200 15,800.00 2 2021
15 GLIBENKLAMIDA 5MG(2014) OBAT APBD 2014 1406054 TAB 61.00 500 30,500.00 6 2019
16 HIDROKORTISON KRIM 2.5 % OBAT APBD 2019 J82129T TUBE 2,533.00 48 121,584.00 10 2022
17 KALC. LAKTATED 500 MG OBAT APBD 2018 A80823 TAB 59.00 3,000 177,000.00 4 2020
18 KLORFENIRAMIN MALEAT CTM OBAT APBD 2018 1807-43-152 TAB 24.00 2,000 48,000.00 7 2020
19 KOTRIMOXASOL DEWASA OBAT APBD 2018/2019
171711/A80459TAB 125.00 500 62,500.00 8/22019/2021
20 KOTRIMOXASOL SUSP OBAT APBD 2019 A81373 BOTOL 2,052.00 100 205,200.00 6 2021
21 LIDOCAIN KOMP INJ OBAT APBD 2017 171C050 AMP 2,227.00 90 200,430.00 3 2021
22 METFORMIN 500 MG OBAT APBD 2019HTMFNA91646 TAB 102.00 1,000 102,000.00 1 2021
23 MIKONAZOL KRIM 2 % OBAT APBD 2019 F81531W TUBE 3,926.00 48 188,448.00 1 2022
24 NEW ANTIDES OBAT APBD 2018 SE0221 TAB 149.00 300 44,700.00 5 2021
25 PARASETAMOL 500 MG OBAT APBD 2018 A81034 TAB 60.00 2,000 120,000.00 5 2020
26 PIRIDOKSIN HCL TAB 10MG OBAT APBD 2019 H81710B TAB 141.00 1,000 141,000.00 8 2021
27 RANITIDIN HCL OBAT APBD 2019HTRNTB93084 TAB 139.00 500 69,500.00 5 2022
28 SALBUTAMOL 4MG OBAT APBD 2018 XJ003G TABLET 77.00 500 38,500.00 10 2021
29 SIMVASTATIN 10 MG OBAT APBD 2018 A8760GV TAB 110.00 900 99,000.00 7 2020
30 SULFADIAZIN KRIM 1 % OBAT APBD 2018 0910VM TUBE 20,700.00 5 103,500.00 7 2020
31 VITAMIN B-COMPLEX TAB OBAT APBD 2019 E81093T TAB 135.00 1,500 202,500.00 5 2021
APBD * 4,203,612.00
31 ERYTROMYCIN 500MG OBAT BUFFER PROV2019 T09139AF TAB 766.00 500 383,000.00 4 2020
32 OBAT ANTITUBERKLOSIS KAT 1 / FDC OBAT BUFFER PROV2018 H82440J PKT 413,984.00 5 2,069,920.00 6 2021
33 OBAT ANTITUBERKLOSIS KAT II OBAT BUFFER PROV2019 26471027-4 PKT 1,492,579.00 1 1,492,579.00 6 2022
BUFFER * 3,945,499.00
34 FE II FUMARAT + ASAM FOLAT OBAT DAK 2019 26818001 TAB 409.00 21,600 8,834,400.00 1 2021
DAK * 8,834,400.00
JUMLAH OBAT * 16,983,511.00
1 ALAT SUNTIK SEKALI PAKAI 3 ML BHP APBD 2019 180906P PCS 1,138.00 300 341,400.00 8 2023
2 GLUKOSA STRIP (ON CALL PLUS) BHP LAB APBD 2019 1690540 BOX 186,330.00 5 931,650.00 4 2021
3 HBsAg STRIP (RAPIDAN) BHP LAB APBD 2019 HB041804 KTK 248,330.00 5 1,241,650.00 10 2020
APBD * 2,514,700.00
4 MASKER BHP BUFFER PROV
2018/20192051688 PCS 462.00 500 231,000.00
BUFFER * 231,000.00
BHP * 2,745,700.00
TOTAL * 19,729,211.00
Petugas Farmasi Koordinator Puslofar
Raihanah,S.Farm.,Apt
DINAS KESEHATAN
1771
PONTIANAK

PUSKESMAS SIANTAN HILIR
TANGGAL 19 JULI 2019

ARAN EXPIRED
2 ALOPURINOL TAB 100MG OBAT APBD 2017 1706-17-106 TAB 117.00 1,000 117,000.00 6 2020
4 AMOXYCILLIN 500MG TAB OBAT APBD 2019 B90044 TAB 248.00 8,000 1,984,000.00 7/82020/2021
5 ANTASIDA DOEN SYR OBAT APBD 2019 19SA182 BTL 2,098.00 500 1,049,000.00 1 2021
8 BETAHISTIN MESILAT 6 MG OBAT APBD 2018 49C0321 TAB 119.00 1,000 119,000.00 9 2020
10 COMBIVENT NEBU OBAT APBD 2019 8984010-2 VIAL 4,550.00 200 910,000.00 10 2020
12 DOMPERIDON 10 MG OBAT APBD 2018 A5004CV TAB 90.00 1,000 90,000.00 3 2021
13 EPINEPHRINE INJ 1MG/ML OBAT APBD 2017 97L60099 AMP 1,848.00 100 184,800.00 7 2020
16 GARAM ORALIT 200 OBAT APBD 2017 06373075CC SACH 274.00 1,200 328,800.00 1 2020
18 ISOSORBID DINITRAT OBAT APBD 2017 A2327FU TAB 93.00 1,000 93,000.00 6 2021
19 KALC. LAKTATED 500 MG OBAT APBD 2018 A80823 TAB 59.00 500 29,500.00 4 2020
21 LIDOCAIN KOMP INJ OBAT APBD 2017 171C050 AMP 2,227.00 600 1,336,200.00 3 2021
22 LORATADIN 10 MG OBAT APBD 2018 10218F0030 TAB 127.00 500 63,500.00 6 2021
23 METOKLORPROPAMIDA 10 MG OBAT APBD 2017 H71770B TAB 93.00 500 46,500.00 8 2022
25 NATRIUM DIKLOFENAK TAB 25 MG OBAT APBD 2019 16364091 TAB 142.00 4,000 568,000.00 10 2021
26 NEW ANTIDES OBAT APBD 2018 SE0221 TAB 149.00 2,000 298,000.00 5 2021
27 PARASETAMOL 500 MG OBAT APBD 2019 T09169AJ TAB 95.00 2,000 190,000.00 9 2021
28 PERMETRIN KRIM 5%/SCBIMITE CRE OBAT APBD 2019 K18004 TUBE 11,825.00 10 118,250.00 11 2020
30 RINGER LACTAT 500 ML OBAT APBD 2019 480705 BOTOL 7,150.00 600 4,290,000.00 6 2022
31 SALBUTAMOL 4MG OBAT APBD 2018 XJ003G TABLET 77.00 1,500 115,500.00 10 2021
32 SALISIL BEDAK 10% OBAT APBD 2017 A80JGT0760 KOTAK 1,071.00 20 21,420.00 10 2020
33 SERUM ANTI BISA ULAR 5ML OBAT APBD 2018 4700118 VIAL 479,996.00 2 959,992.00 2 2020
35 ZINC 20 MG OBAT APBD 2018 1802005 TAB 604.00 1,000 604,000.00 3 2021
APBD * 16,287,476.00
36 DIAZEPAM INJ OBAT BUFFER PROV2019 F8H513 AMPUL 1,913.00 10 19,130.00 8 2020
37 ERYTROMYCIN 500MG OBAT BUFFER PROV2019 T09139AF TAB 766.00 1,000 766,000.00 4 2020
39 RETINOL 200.000 IU (MERAH) OBAT BUFFER PROV2019 B80303W KAP 596.00 2,000 1,192,000.00 3 2021
40 RETINOL 100.000 IU(BIRU) OBAT BUFFER PROV2019 J72853W KAP 331.00 400 132,400.00 10 2020
BUFFER * 7,905,306.00
DAK * 11,484,720.00
JUMLAH OBAT * 35,677,502.00
1 ALAT SUNTIK SEKALI PAKAI 3 ML BHP APBD 2019 180906P PCS 1,138.00 1,000 1,138,000.00 8 2023
2 ALKOHOL SWAB BHP APBD 2018 180420 BOX 13,530.00 30 405,900.00 3 2023
3 INFUS SET BHP APBD 2019 20180910 PCS 6,096.00 300 1,828,800.00 8 2023
4 SARUNG TANGAN NO 7 BHP APBD 2018 3254570 PCS 9,196.00 300 2,758,800.00 4 2023
5 SARUNG TANGAN NON STERIL UK S BHP APBD 2019 190121 BOX 58,102.00 20 1,162,040.00 1 2024
6 SARUNG TANGAN NON STERIL UK M BHP APBD 2019 190122 BOX 58,102.00 20 1,162,040.00 1 2024
7 ALAT SUNTIK 1 ML TUBERCULIN BHP PROGRAM P32016 151217 D PCS 1,540.00 500 770,000.00
10 REAGEN WIDAL BHP LAB APBD 2019 SET 616,000.00 1 616,000.00
APBD * 12,324,880.00
2018/20192051688 PCS 462.00 3,000 1,386,000.00
12 RAPID TEST SYPHILIS (HEXAGON) BHP LABBUFFER PROV2019 17015 PCS 26,734.50 200 5,346,900.00 9 2019
BUFFER * 6,732,900.00
BHP * 19,057,780.00
TOTAL * 54,735,282.00

DINAS KESEHATAN
1771
PONTIANAK

PUSKESMAS SIANTAN TENGAH
TANGGAL 4 JULI 2019

ARAN EXPIRED
12 SIANOCABALAMIN TAB OBAT APBD 2018 D80715B TAB 49.00 1,000 49,000.00 3 2023
APBD * 2,883,100.00
14 BERLOSON KRIM OBAT BUFFER PROV2019 DEFD 013 TUBE 11,900.00 48 571,200.00 4 2022
16 PARASETAMOL 500 MG OBAT BUFFER PROV2019 A32416 TAB 51.00 5,800 295,800.00 9 2019
BUFFER * 2,936,920.00
DAK * -
JUMLAH OBAT * 5,820,020.00
1 ASAM URAT (BENECHECK PLUS) BHP LAB APBD 2018 LOT 8331 KTK 127,003.125 5 635,015.63 12 2019
2 GLUKOSA STRIP (ON CALL PLUS) BHP LAB APBD 2019 1690540 BOX 186,330.00 10 1,863,300.00 4 2021
3 HBsAg STRIP (RAPIDAN) BHP LAB APBD 2019 HB041804 KTK 248,330.00 2 496,660.00 10 2020
APBD * 2,994,975.63
4 KAPAS 250 GRAM BHP BUFFER PROV2019 000030815 ROLL 16,120.00 5 80,600.00
5 RAPID HIV 1 SD BIOLINE BHP LABBUFFER PROV
2017/2018
O3AM5002A BOX 1,434,000.00 2 2,868,000.00 8 2019
BUFFER * 5,622,050.00
BHP * 8,617,025.63
TOTAL * 14,437,045.63
DINAS KESEHATAN
1771
PONTIANAK

PUSKESMAS SIANTAN HULU

ARAN EXPIRED
9 CLINDAMISIN 150 MG OBAT APBD 2018 EBE090 TAB 754.00 500 377,000.00 5 2021
11 ERYTROMYCIN SYR OBAT APBD 2016 AH980085 BTL 7,039.00 50 351,950.00 11 2019
19 THIAMIN HCL MONONITRAT 50MG OBAT APBD 2018 E80913B TAB 88.00 2,000 176,000.00 4 2023
VITAMIN B-COMPLEX TAB OBAT APBD 2019 E81093T TAB 135.00 5,000 675,000.00 5 2021
APBD * 6,377,255.00
BUFFER * -
DAK * -
JUMLAH OBAT * 6,377,255.00
1 HB STRIP (ACON) BHP LAB APBD 2019 HB 9030026 BOX 404,000.00 5 2,020,000.00 1 2021
APBD * 2,516,660.00
2018/20192051688 PCS 462.00 500 231,000.00
BUFFER * 231,000.00
BHP * 2,747,660.00
TOTAL * 9,124,915.00
DINAS KESEHATAN
1771
PONTIANAK

PUSKESMAS TELAGA BIRU
TANGGAL 5 JULI 2019

ARAN EXPIRED
1 ACYCLOVIR TAB 200MG OBAT APBD 2016 A1316JT TAB 272.00 100 27,200.00 10 2020
6 BETAHISTIN MESILAT 6 MG OBAT APBD 2018 49C0321 TAB 119.00 700 83,300.00 9 2020
19 PIRIDOKSIN HCL TAB 10MG OBAT APBD 2019 H81710B TAB 141.00 500 70,500.00 8 2021
20 PREDNISON 5MG OBAT APBD 2018 1804093 TAB 74.00 100 7,400.00 4 2020
23 SIMVASTATIN 10 MG OBAT APBD 2018 A8760GV TAB 110.00 1,200 132,000.00 7 2020
APBD * 3,267,367.00
26 RETINOL 200.000 IU (MERAH) OBAT BUFFER PROV2019 B80303W KAP 596.00 1,000 596,000.00 3 2021
BUFFER * 914,700.00
DAK * 8,834,400.00
JUMLAH OBAT * 13,016,467.00
1 SARUNG TANGAN NON STERIL UK M BHP APBD 2016 05100816 BOX 52,206.00 3 156,618.00
APBD * 404,948.00
BUFFER * -
BHP * 404,948.00
TOTAL * 13,421,415.00
DINAS KESEHATAN
1771
PONTIANAK

PUSKESMAS TANJUNG HULU
TANGGAL 8 JULI 2019

ARAN EXPIRED
4 ANTIHEMOROID SUPP OBAT APBD 2018 B80539W SUPP 3,642.00 10 36,420.00 2 2022
10 RINGER LACTAT 500 ML OBAT APBD 2019 480705 BOTOL 7,150.00 10 71,500.00 6 2022
APBD * 2,113,320.00
14 NATRIUM KLORIDA LAR 0.9% OBAT BUFFER PROV2019 48D78A BOTOL 6,410.00 20 128,200.00 4 2023
15 OBAT ANTITUBERCULOSIS FDC KAT OBAT BUFFER PROV2019 19PK2003 PAKET 283,339.00 1 283,339.00 2 2021
16 TRIHEXYLFENIDIL HCL 2MG OBAT BUFFER PROV2018 1709117 TAB 85.00 200 17,000.00 9 2019
BUFFER * 581,739.00
DAK * 7,950,960.00
JUMLAH OBAT * 10,646,019.00
APBD * -
BUFFER * 1,069,380.00
BHP * 1,069,380.00
TOTAL * 11,715,399.00
DINAS KESEHATAN
1771
PONTIANAK

PUSKESMAS KAMPUNG DALAM

ARAN EXPIRED
5 ANTASIDA DOEN SYR OBAT APBD 2019 19SA182 BTL 2,098.00 500 1,049,000.00 1 2021
12 METFORMIN 500 MG OBAT APBD 2019HTMFNA91646 TAB 102.00 500 51,000.00 1 2021
18 RINGER LACTAT 500 ML OBAT APBD 2019 480705 BOTOL 7,150.00 60 429,000.00 6 2022
APBD * 7,411,714.00
BUFFER * 320,500.00
DAK * -
JUMLAH OBAT * 7,732,214.00
1 SARUNG TANGAN NON STERIL UK M BHP APBD 2016 05100816 BOX 52,206.00 5 261,030.00
2 SARUNG TANGAN NON STERIL UK M BHP APBD 2019 190122 BOX 58,102.00 5 290,510.00 1 2024
3 SARUNG TANGAN NON STERIL UK L BHP APBD 2016 05100816 BOX 52,206.00 30 1,566,180.00
6 RAPID TEST HIV 1 FOKUS (1/2 CASSE BHP LAB APBD 2016/2018
1617124/1813143PCS 15,147.00 25 378,675.00 8/22018/2020
APBD * 5,261,385.00
2017/2018
O3AM5002A BOX 1,434,000.00 1 1,434,000.00 8 2019
BUFFER * 1,434,000.00
BHP * 6,695,385.00
TOTAL * 14,427,599.00
DINAS KESEHATAN
1771
PONTIANAK

PUSKESMAS TAMBELAN SAMPIT
TANGGAL 3 JULI 2019

ARAN EXPIRED
11 SULFADIAZIN KRIM 1 % OBAT APBD 2018 0910VM TUBE 20,700.00 56 1,159,200.00 7 2020
APBD * 3,328,885.00
13 RETINOL 200.000 IU (MERAH) OBAT BUFFER PROV2019 B80303W KAP 596.00 600 357,600.00 3 2021
BUFFER * 1,665,752.00
DAK * 7,067,520.00
JUMLAH OBAT * 12,062,157.00
5 BLOOD LANCET BHP PTM APBD 2019 01181201 BOX 15,772.00 3 47,316.00 12 2023
APBD * 3,195,886.00
BUFFER * -
BHP * 3,195,886.00
TOTAL * 15,258,043.00
DINAS KESEHATAN
1771
PONTIANAK

PUSKESMAS BANJAR SERASAN

ARAN EXPIRED
11 GARAM ORALIT 200 OBAT APBD 2017 06373075CC SACH 274.00 200 54,800.00 1 2020
12 HYDROKLORTIASIDA 25 MG OBAT APBD 2018 K72733B TAB 178.00 1,000 178,000.00 10 2022
171711/A80459TAB 125.00 500 62,500.00 8/22019/2021
25 ZINC 20 MG OBAT APBD 2018 1802005 TAB 604.00 300 181,200.00 3 2021
APBD * 3,616,980.00
BUFFER * 302,200.00
DAK * 5,300,640.00
JUMLAH OBAT * 9,219,820.00
APBD * 2,257,048.00
BUFFER * 48,360.00
BHP * 2,305,408.00
TOTAL * 11,525,228.00
DINAS KESEHATAN
1771
PONTIANAK

PUSKESMAS SAIGON

ARAN EXPIRED
1 AMLODIPINE 10 MG OBAT APBD 2019 RC09E001 TAB 95.00 600 57,000.00 3 2022
APBD * 2,916,850.00
11 MB DEWASA (KUSTA) OBAT BUFFER PROV2019 BHV6129 BLISTER 31,570.00 6 189,420.00 12 2021
BUFFER * 3,929,424.00
DAK * 4,417,200.00
JUMLAH OBAT * 11,263,474.00
2 INFUS SET BHP APBD 2019 20180910 PCS 6,096.00 2 12,192.00 8 2023
5 REAGEN WIDAL BHP LAB APBD 2019 SET 616,000.00 1 616,000.00
APBD * 1,319,822.00
2017/2018
O3AM5002A BOX 1,434,000.00 1 1,434,000.00 8 2019
7 RAPID TEST SYPHILIS (HEXAGON) BHP LABBUFFER PROV2019 17015 PCS 26,734.50 20 534,690.00 9 2019
BUFFER * 1,968,690.00
BHP * 3,288,512.00
TOTAL * 14,551,986.00
DINAS KESEHATAN
1771
PONTIANAK

PUSKESMAS PARIT MAYOR

ARAN EXPIRED
8 KALC. LAKTATED 500 MG OBAT APBD 2018 A80823 TAB 59.00 500 29,500.00 4 2020
9 NATRIUM DIKLOFENAK TAB 25 MG OBAT APBD 2019 16364091 TAB 142.00 300 42,600.00 10 2021
11 PARASETAMOL 500 MG OBAT APBD 2019 T09169AJ TAB 95.00 2000 190,000.00 9 2021
14 VITAMIN B-COMPLEX TAB OBAT APBD 2019 E81093T TAB 135.00 2000 270,000.00 5 2021
APBD * 2,590,700.00
BUFFER * 380,750.00
DAK * -
JUMLAH OBAT * 2,971,450.00
APBD * -
BUFFER * -
BHP * -
TOTAL * 2,971,450.00
DINAS KESEHATAN
1771
PONTIANAK

PUSKESMAS KAMPUNG BANGKA

ARAN EXPIRED
7 CAPTOPRIL 12,5MG OBAT APBD 2017 95323017 TAB 69.00 600 41,400.00 11 2021
APBD * 2,951,310.00
BUFFER * 3,015,792.00
DAK * -
JUMLAH OBAT * 5,967,102.00
3 GLUKOSA STRIP (ON CALL PLUS) BHP LAB APBD 2019 1690540 BOX 186,330.00 10 1,863,300.00 4 2021
APBD * 4,823,300.00
BUFFER * 2,673,450.00
BHP * 7,496,750.00
TOTAL * 13,463,852.00
DINAS KESEHATAN
1771
PONTIANAK

PUSKESMAS PARIT H HUSIN II

ARAN EXPIRED
10 HYDROKLORTIASIDA 25 MG OBAT APBD 2018 K72733B TAB 178.00 300 53,400.00 10 2022
APBD * 2,903,404.00
19 RETINOL 200.000 IU (MERAH) OBAT BUFFER PROV2019 B80303W KAP 596.00 1,000 596,000.00 3 2021
BUFFER * 2,003,452.00
DAK * 7,067,520.00
JUMLAH OBAT * 11,974,376.00
1 SARUNG TANGAN NON STERIL UK S BHP APBD 2019 190121 BOX 58,102.00 5 290,510.00 1 2024
APBD * 2,866,840.00
2017/2018
O3AM5002A BOX 1,434,000.00 2 2,868,000.00 8 2019
BUFFER * 3,937,380.00
BHP * 6,804,220.00
TOTAL * 18,778,596.00
DINAS KESEHATAN
1771
PONTIANAK

PUSKESMAS GANG SEHAT

ARAN EXPIRED
APBD * 3,782,380.00
21 OBAT ANTITUBERCULOSIS KOMBIPAK OBAT BUFFER PROV2019 1808004 PAKET 317,018.00 1 317,018.00 7 2022
23 OKSITOSIN INJEKSI OBAT BUFFER PROV2019 9618E0077AAMPUL 1,232.00 200 246,400.00 5 2020
BUFFER * 4,549,538.00
DAK * -
JUMLAH OBAT * 8,331,918.00
APBD * 1,326,010.00
2017/2018
O3AM5002A BOX 1,434,000.00 5 7,170,000.00 8 2019
BUFFER * 12,516,900.00
BHP * 13,842,910.00
TOTAL * 22,174,828.00
DINAS KESEHATAN
1771
PONTIANAK

PUSKESMAS PURNAMA

ARAN EXPIRED
APBD * 2,369,760.00
9 ERYTROMYCIN 500MG OBAT BUFFER PROV2019 T09139AF TAB 766.00 2,000 1,532,000.00 4 2020
10 OBAT ANTITUBERCULOSIS KOMBIPAK OBAT BUFFER PROV2019 1808004 PAKET 317,018.00 2 634,036.00 7 2022
BUFFER * 2,166,036.00
DAK * -
JUMLAH OBAT * 4,535,796.00
APBD * 496,660.00
2018/20192051688 PCS 462.00 500 231,000.00
BUFFER * 1,461,580.00
BHP * 1,958,240.00
TOTAL * 6,494,036.00
DINAS KESEHATAN
1771
PONTIANAK

PUSKESMAS KAMPUNG BALI

ARAN EXPIRED
APBD * 9,212,568.00
BUFFER * 3,562,499.00
DAK * -
JUMLAH OBAT * 12,775,067.00
APBD * 581,020.00
2018/20192051688 PCS 462.00 250 115,500.00
BUFFER * 115,500.00
BHP * 696,520.00
TOTAL * 13,471,587.00
DINAS KESEHATAN
1771
PONTIANAK

PUSKESMAS ALIANYANG

ARAN EXPIRED
7 HYPERHEP B VAKSIN APBD 2019 H2MAB00103 VIAL 1,325,000.00 2 2,650,000.00 8 2020
171711/A80459TAB 125.00 500 62,500.00 8/22019/2021
APBD * 3,951,620.00
12 MGSO4 LARUTAN STERIL OBAT BUFFER PROV2019 76148B BOTOL 3,796.00 5 18,980.00 9 2020
OBAT ANTITUBERKLOSIS KAT 1 / FDC OBAT BUFFER PROV2018 H82440J PKT 413,984.00 6 2,483,904.00 6 2021
BUFFER * 4,034,884.00
DAK * -
JUMLAH OBAT * 7,986,504.00
2 VERBAN 3,6 X 15 (BHP Pusk) BHP APBD 2014
AKD 10902900146PCS 1,650.00 50 82,500.00 1 2017
3 VERBAN GULUNG 4X10(lab) BHP APBD lab 2013 PCS 2,980.00 50 149,000.00
APBD * 3,549,620.00
2018/20192051688 PCS 462.00 500 231,000.00
BUFFER * 5,577,900.00
BHP * 9,127,520.00
TOTAL * 17,114,024.00
DINAS KESEHATAN
1771
PONTIANAK

PUSKESMAS PAL III
TANGGAL 9 JULI 2019

ARAN EXPIRED
5 EPINEPHRINE INJ 1MG/ML OBAT APBD 2017 97L60099 AMP 1,848.00 4 7,392.00 7 2020
6 KARBOGLISERIN TETES TELINGA 10% OBAT APBD 2019 19LA008 BOTOL 2,590.00 49 126,910.00 1 2021
7 LORATADIN 10 MG OBAT APBD 2018 10218F0030 TAB 127.00 3,000 381,000.00 6 2021
14 PREDNISON 5MG OBAT APBD 2018 1804093 TAB 74.00 1,000 74,000.00 4 2020
17 SERUM ANTITETANUS 1.500 IU OBAT APBD 2019 4202718 AMPUL 130,999.00 5 654,995.00 9 2020
APBD * 4,525,805.00
BUFFER * -
DAK * -
JUMLAH OBAT * 4,525,805.00
APBD * 4,365,254.00
2017/2018
O3AM5002A BOX 1,434,000.00 3 4,302,000.00 8 2019
BUFFER * 4,302,000.00
BHP * 8,667,254.00
TOTAL * 13,193,059.00
DINAS KESEHATAN
1771
PONTIANAK

PUSKESMAS KARYA MULIA
TANGGAL 8 JULI 2019

ARAN EXPIRED
5 CLINDAMISIN 150 MG OBAT APBD 2018 EBE090 TAB 754.00 1,000 754,000.00 5 2021
APBD * 3,435,500.00
BUFFER * 4,139,840.00
DAK * -
JUMLAH OBAT * 7,575,340.00
APBD * 787,170.00
2018/20192051688 PCS 462.00 500 231,000.00
BUFFER * 231,000.00
BHP * 1,018,170.00
TOTAL * 8,593,510.00
DINAS KESEHATAN
1771
PONTIANAK

PUSKESMAS PERUM I

ARAN EXPIRED
5 DIFENHIDRAMIN INJ OBAT APBD 2019 181G026 AMPUL 1,262.00 30 37,860.00 7 2021
APBD * 1,834,964.00
13 RETINOL 100.000 IU(BIRU) OBAT BUFFER PROV2019 J72853W KAP 331.00 1,000 331,000.00 10 2020
BUFFER * 6,954,744.00
DAK * -
JUMLAH OBAT * 8,789,708.00
1617124/1813143PCS 15,147.00 100 1,514,700.00 8/22018/2020
APBD * 2,095,720.00
2017/2018
O3AM5002A BOX 1,434,000.00 1 1,434,000.00 8 2019
BUFFER * 1,514,600.00
BHP * 3,610,320.00
TOTAL * 12,400,028.00
DINAS KESEHATAN
1771
PONTIANAK

PUSKESMAS PERUM II

ARAN EXPIRED
171711/A80459TAB 125.00 300 37,500.00 8/22019/2021
APBD * 3,679,000.00
BUFFER * -
DAK * -
JUMLAH OBAT * 3,679,000.00
1617124/1813143PCS 15,147.00 25 378,675.00 8/22018/2020
APBD * 3,826,985.00
2018/20192051688 PCS 462.00 500 231,000.00
2017/2018
O3AM5002A BOX 1,434,000.00 2 2,868,000.00 8 2019
8 RAPID TEST SYPHILIS (HEXAGON) BHP LABBUFFER PROV2019 17015 PCS 26,734.50 20 534,690.00 9 2019
BUFFER * 3,682,050.00
BHP * 7,509,035.00
TOTAL * 11,188,035.00
DINAS KESEHATAN
1771
PONTIANAK

PUSKESMAS KOM YOS SUDARSO

ARAN EXPIRED
1 ACYCLOVIR TAB 400 MG OBAT APBD 2018 16304029 TAB 425.00 2,400 1,020,000.00 5 2022
22 LORATADIN 10 MG OBAT APBD 2018 10218F0030 TAB 127.00 2,000 254,000.00 6 2021
32 SALBUTAMOL 4MG OBAT APBD 2018 XJ003G TABLET 77.00 2,000 154,000.00 10 2021
APBD * 11,800,434.00
BUFFER * 447,100.00
DAK * 15,901,920.00
JUMLAH OBAT * 28,149,454.00
APBD * 3,621,348.00
2018/20192051688 PCS 462.00 200 92,400.00
BUFFER * 1,161,780.00
BHP * 4,783,128.00
TOTAL * 32,932,582.00
DINAS KESEHATAN
1771
PONTIANAK

PUSKESMAS PAL V
TANGGAL 8 JULI 2019

ARAN EXPIRED
7 CLINDAMISIN 150 MG OBAT APBD 2018 EBE090 TAB 754.00 1,000 754,000.00 5 2021
APBD * 3,150,833.00
18 OBAT ANTITUBERKLOSIS KAT 1 / FDC OBAT BUFFER PROV2018 H82440J PKT 413,984.00 2 827,968.00 6 2021
BUFFER * 5,345,126.00
DAK * -
JUMLAH OBAT * 8,495,959.00
APBD * -
BUFFER * -
BHP * -
TOTAL * 8,495,959.00
DINAS KESEHATAN
1771
PONTIANAK

BALAI KESEHATAN MATA MASYARAKAT

ARAN EXPIRED
OBAT * -
1 ALAT SUNTIK SEKALI PAKAI 3 ML BHP APBD 2018/2019
180425K/180906PPCS 1,138.00 200 227,600.00 5/8 2023
BHP * 689,600.00
TOTAL * 689,600.00
Yang Menerima Yang Menyerahkan
DINAS KESEHATAN
1771
PONTIANAK

PUSKESMAS
TANGGAL JULI 2019
ANGG
NO URAIAN KATEGORI
SUMBER DANA NO BATCH SATUAN HARGA JUMLAH SALDO EXPIRED
ARAN
BLN TAHUN
1 ACYCLOVIR TAB 200MG OBAT APBD 2016 A1316JT TAB 272.00 - 10 2020
ACYCLOVIR TAB 200MG OBAT APBD 2017 06303020 TAB 259.00 - 6 2021
ACYCLOVIR TAB 200MG OBAT APBD 2017 06303021 TAB 259.00 - 8 2021
ACYCLOVIR TAB 200MG OBAT APBD 2018 A1316JT TAB 236.00 - 10 2020
ACYCLOVIR TAB 200MG OBAT APBD 2018 A1308AV TAB 236.00 - 1 2022
2 ACYCLOVIR TAB 400 MG OBAT APBD 2018 16304029 TAB 425.00 - 5 2022
ACYCLOVIR TAB 400 MG OBAT APBD 2019 16304085 TAB 425.00 - 11 2022
3 ACYCLOVIR CREAM 5% OBAT APBD 2018 TAB 3,621.00 -
1 ACYCLOVIR CREAM 5% OBAT APBD 2019 26305001 TUBE 3,461.00 - 7 2022
ACYCLOVIR CREAM 5% OBAT APBD 2019 26305006 TUBE 3,461.00 - 7 2022
ACYCLOVIR CREAM 5% OBAT APBD 2019 26305027 TUBE 3,461.00 - 9 2023
ALOPURINOL TAB 100MG OBAT APBD 2017 1706-17-106 TAB 117.00 - 6 2020
ALOPURINOL TAB 100MG OBAT APBD 2017 1706-19-106 TAB 117.00 - 6 2020
5 ALOPURINOL TAB 100MG OBAT APBD 2017 1709-11-106 TAB 117.00 - 9 2020
ALPRAZOLAM 0,5 MG OBAT APBD 2018 A80007 TAB 88.00 - 1 2020
4 AMINOPHILIN INJ. OBAT APBD 2016 85307028-2 AMP 3,349.00 - 8 2018
7 AMITRIPTILINE TAB SAL 25MG OBAT APBD 2018 A1408EV TAB 168.00 - 5 2022
AMITRIPTILINE TAB SAL 25MG OBAT APBD 2019 A1415FW TAB 168.00 - 6 2023
AMLODIPINE 10 MG OBAT APBD 2017 HH098048 TAB 107.00 - 8/9 2020
AMLODIPINE 10 MG OBAT APBD 2019 RC09E001 TAB 95.00 - 3 2022
5 AMLODIPINE 10 MG OBAT APBD 2019 RC09E004 TAB 95.00 - 3 2022
7 AMLODIPINE 10 MG OBAT APB 2018 1805038 TAB 753.00 - 5 2020
8 AMLODIPINE 10 MG OBAT APBD 2019 RC09E005 BTL 95.00 - 3 2022
8 AMLODIPINE 10 MG OBAT APBD 2019 RC09E004 CAPSUL 95.00 - 3 2022
AMOXYCILLIN 500MG TAB OBAT APBD 2019 B90044 TAB 248.00 - 7/82020/2021
AMOXYCILLIN 500MG TAB OBAT APBD 2019 B90045 TAB 248.00 - 8 2018
AMOXYCILLIN SYRUP OBAT APBD 2019 1910-19-96 BOTOL 3,250.00 - 10 2021
AMOXYCILLIN SYRUP OBAT APBD 2019 1910-21-96 BOTOL 3,250.00 - 10 2021
ANTASIDA DOEN SYR OBAT APBD 2016 BTL 2,106.00 - 7 2019
10 ANTASIDA DOEN SYR OBAT APBD 2019 19SA182 BTL 2,098.00 - 1 2021
ANTASIDA DOEN SYR OBAT APBD 2019 19SA183 BTL 2,098.00 - 1 2021
9 ANTASIDA DOEN SYR OBAT APBD 2019 19SA184 BTL 2,098.00 - 1 2021
ANTASIDA DOEN SYR OBAT APBD 2019 19SA185 BTL 2,098.00 - 1 2021
10 ANTASIDA DOEN SYR OBAT APBD 2019 19SC004 BTL 2,098.00 - 3 2021
3 ANTASIDA DOEN TAB OBAT APBD 2019 A91440 TAB 56.00 - 6 2022
12 ANTIBACTERI DOEN SALEP KOMB ( BaciOBAT APBD 2018 1804002 TUBE 3,490.00 - 4 2022
13 ANTIBACTERI DOEN SALEP KOMB ( BaciOBAT APBD 2018 1810011 TUBE 3,490.00 - 10 2022
4 ANTIHEMOROID SUPP OBAT APBD 2018 B80539W SUPP 3,642.00 - 2 2022
13 ASAM ASCORBAT 50 MG OBAT APBD 2016 F151007B TAB 120.00 - 6 2018
14 ASAM ASCORBAT 50 MG TAB OBAT APBD 2019 J82021B KAP 120.00 - 9 2021
5 ASAM ASCORBAT 50 MG TAB OBAT APBD 2019 J82025B TAB 120.00 - 9 2021
16 ASAM MEFENAMAT 500 MG OBAT APBD 2018 A80514 TAB 103.00 - 3 2020
6 ASAM MEFENAMAT 500 MG OBAT APBD 2019 TO8090AJ TAB 265.00 - 8 2022
17 ASAM MEFENAMAT 500 MG OBAT APBD 2019 TO8089AJ TAB 265.00 - 8 2022
ASAM MEFENAMAT 500 MG OBAT APBD 2019 T09058AJ TAB 265.00 - 9 2021
17 ASAM MEFENAMAT 500 MG OBAT APBD 2019 T09059AJ TAB 265.00 - 9 2021
18 ASAM MEFENAMAT 500 MG OBAT APBD 2019 T09148AJ TAB 265.00 - 10 2021
19 ASAM TRANEKSAMAT INJ 10% OBAT APBD 2018 2480777 AMPUL 2,225.00 - 3 2021
ASETOSAL TAB 100MG OBAT APBD2014 / 2015
85301002 TAB 127.00 - 8 2017
20 ATROPIN SULFAT INJ OBAT APBD 2013 1304003 AMP 1,353.00 - 4 2018
20 BENZATIN PENISILIN 2,4 UI/ML OBAT APBD 2017 95319019 VIAL 16,675.00 - 11 2020
21 BETAHISTIN MESILAT 6 MG OBAT APBD 2017 171276 TAB 151.00 - 7 2020
7 BETAHISTIN MESILAT 6 MG OBAT APBD 2018 49C0321 TAB 119.00 - 9 2020
8 BETAMETASON KRIM 0.1% OBAT APBD 2018 D80682T TUBE 1,373.00 - 4 2021
BETAMETASON KRIM 0.1% OBAT APBD 2019 J82201T TUBE 1,373.00 - 10 2021
22 BRONKRIS ELIXIR OBAT APBD 2017 XB106G BOTOL 4,600.00 - 2 2020
C.FENIKOL EO OBAT APBD 2017 6F30317 TUBE 27,650.00 - 5 2019
22 CAPTOPRIL 12,5MG OBAT APBD 2017 95323017 TAB 69.00 - 11 2021
24 CAPTOPRIL 12,5MG OBAT APBD 2017 95323016 TAB 69.00 - 11 2021
23 CARBAMAZEPIN 200MG KAP OBAT APBD 2015 1412006 TAB 269.00 - 1 2019
24 CARBAMAZEPIN 200MG KAP OBAT APBD 2018 A80705 TAB 234.00 - 4 2020
CEFADROXIL 500 MG OBAT APBD 2017 HH038147 KAP 455.00 - 8 2021
25 CEFADROXIL 500 MG OBAT APBD 2019 KCFDC90963 KAP 713.00 - 8 2023
26 CEFADROXIL 500 MG OBAT APBD 2019 KCFDC90900 KAP 713.00 - 7 2023
CHLORAMPENICOL KAPS 250 MG OBAT APBD 2019 1908-01-251 KAP 557.00 - 8 2023
9 CHLORAMPENICOL KAPS 250 MG OBAT APBD 2019 1908-02-251 KAP 557.00 - 8 2023
25 CIPROFLOXACIN 500 MG OBAT APBD 2018 1803-29-108 TAB 281.00 - 3 2020
10 CLINDAMISIN 150 MG OBAT APBD 2018 EBE090 TAB 754.00 - 5 2021
CLINDAMISIN 150 MG OBAT APBD 2019 ECG047 TAB 803.00 - 7 2021
26 COMBIVENT NEBU OBAT APBD 2019 8984010-2 VIAL 4,550.00 - 10 2020
27 COMBIVENT NEBU(2016) OBAT APBD 2016 5984010 VIAL 4,995.00 - 7 2017
30 DECACETIN TM 0,5% OBAT APBD 2017 7H504116 BOTOL 3,850.00 - 8 2020
11 DEXAMETASON TAB 0.5MG OBAT APBD 2017 00717E0470 TAB 45.00 - 5 2020
28 DEXAMETASON TAB 0.5MG OBAT APBD 2018 1807-28-150 TAB 34.00 - 7 2020
32 DEXAMETASON TAB 0.5MG OBAT APBD 2019 D08BG005 TAB 63.00 - 8 2024
29 DEXAMETASON TAB 0.5MG OBAT APBD 2019 D08BS006 TAB 63.00 - 9 2024
30 DIAZEPAM 5 MG OBAT APBD 2018 A80296 TAB 109.00 - 2 2022
34 DIFENHIDRAMIN INJ OBAT APBD 2019 181G026 AMPUL 1,262.00 - 7 2021
35 DIGOKSIN (2014) OBAT APBD 2014 A 1615 GR TAB 103.00 - 7 2018
31 DOKSISIKLIN 100MG(2013) OBAT APBD 2013 1308005 KAP 250.00 - 10 2017
36 DOKSISIKLIN 100MG(2014) OBAT APBD 2014 1402002 CAPSUL 252.75 - 6 2018
32 DOMPERIDON 10 MG OBAT APBD 2017 HTDP082005 TAB 110.00 - 4 2019
33 DOMPERIDON 10 MG OBAT APBD 2018 A5004CV TAB 90.00 - 3 2021
37 DOMPERIDON 10 MG OBAT APBD 2018 A5006CV TAB 90.00 - 4 2021
34 DOMPERIDON 10 MG OBAT APBD 2019 A5009GW TAB 90.00 - 7 2022
DOMPERIDON SIRUP 5 MG / ML OBAT APBD 2015 150304186 BTL 3,490.00 - 3 2019
EPINEPHRINE INJ 1MG/ML OBAT APBD 2017 97L60099 AMP 1,848.00 - 7 2020
39 ERYTROMYCIN 500MG(2015) OBAT APBD 2015 1503003 BTL 1,023.00 - 5 2019
35 ERYTROMYCIN 500MG OBAT APBD 2017 T07073A6 TAB 766.00 - 1 2021
36 ERYTROMYCIN SYR OBAT APBD 2016 AH980085 BTL 7,039.00 - 11 2019
41 FARMABES INJEKSI 25 MG OBAT APBD 2016 IF-2023 VIAL 55,000.00 - 6 2018
42 FENITOIN 100MG KAP OBAT APBD 2016 360602 CAPSUL 154.00 - 6 2019
43 FE II FUMARAT + ASAM FOLAT OBAT APBD 2018 06818535 TAB 409.00 - 12 2019
12 FE II FUMARAT + ASAM FOLAT OBAT APBD 2019
26818001/26818003
TAB 409.00 - 1 2021
FITOMENADION 10MG OBAT APBD 2017 06381005 TAB 790.00 - 8 2020
45 FITOMENADION 10MG OBAT APBD 2018 16381004 TAB 818.00 - 3 2021
46 FLOXA ED OBAT APBD 2017 6F30317 BOTOL 45,400.00 - 9 2018
FLUCONAZOLE 150 MG OBAT APBD 2018 L73882J KAPSUL 21,528.00 - 12 2021
47 FUROSEMIDE 40 MG OBAT APBD 2018 C80553B TAB 79.00 - 2 2021
13 FUROSEMIDE 40 MG OBAT APBD 2019 L826748 TAB 79.00 - 12 2021
48 GARAM ORALIT 200 OBAT APBD 2017 06373075CC SACH 274.00 - 1 2020
GLIBENKLAMIDA 5MG OBAT APBD 2019 19CD1014 TAB 137.00 - 6 2024
GLIBENKLAMIDA 5MG(2014) OBAT APBD 2014 1406054 TAB 61.00 - 6 2019
40 GLISERIL GUAICOLAT OBAT APBD 2017 BR05T 14 B TAB 80.00 - 2 2022
41 GLUCOPHAGE XR OBAT APBD 2016 TAB 2,550.00 - 9 2018
GLUKOSA 40%(2014) OBAT APBD 2014 88F44 BTL 3,960.00 - 6 2018
52 GLUKOSA 5% OBAT APBD 2017 270315 BOTOL 6,900.00 -
14 GLUKOSA LAR INF 10% OBAT APBD 2015 250304 BOTOL 6,270.00 - 2 2020
GRISEOFULVIN 125 MG OBAT APBD 2018 1803-01-176 TAB 223.00 - 3 2020
GUAIFENESIN TAB OBAT APBD 2019 1908-17-155 TAB 88.00 - 8 2023
GUAIFENESIN TAB OBAT APBD 2019 1908-18-155 TAB 88.00 - 8 2023
42 GUAIFENESIN TAB OBAT APBD 2019 1908-19-155 TAB 88.00 - 8 2023
43 GUAIFENESIN TAB OBAT APBD 2019 1809-02-155 TAB 88.00 - 9 2022
53 HALLOPERIDOL 5MG(2014) OBAT APBD 2014 1408015 TAB 105.00 - 9 2018
44 HALOPERIDOL 2 MG OBAT APBD 2014 140659 TAB 134.00 - 7/22017/2018
54 HALOPERIDOL 2 MG 2015 OBAT APBD 2015 13471 134.00 -
45 HYDROKLORTIASIDA 25 MG OBAT APBD 2017 F70891B TAB 171.00 - 4 2022
15 HYDROKLORTIASIDA 25 MG OBAT APBD 2018 K72733B TAB 178.00 - 10 2022
HIDROKORTISON KRIM 2.5 % OBAT APBD 2017 F70616T TUBE 2,838.00 - 4 2021
46 HIDROKORTISON KRIM 2.5 % OBAT APBD 2019 J82129T TUBE 2,533.00 - 10 2022
56 HYPERHEP B VAKSIN APBD 2018 H2MAB00073 VIAL 1,773,000.00 - 8 2020
57 HYPERHEP B VAKSIN APBD 2017 H1AA5A3002 VIAL 1,300,000.00 - 6 2019
16 HYPERHEP B VAKSIN APBD 2019 H2MAB00103 VIAL 1,325,000.00 - 8 2020
47 IBUPROFEN 200MG OBAT APBD 2017 17100817 TAB 108.00 - 10 2020
IBUPROFEN 200MG OBAT APBD 2019 1910-05-177 TAB 231.29 - 10 2021
60 IBUPROFEN 200MG OBAT APBD 2019 1910-06-177 TAB 231.29 - 10 2021
61 ISOSORBID DINITRAT OBAT APBD 2017 A2327FU TAB 93.00 - 6 2021
48 ISOSORBID DINITRAT OBAT APBD 2018 A2310BV TAB 89.00 - 2 2022
KALC. LAKTATED 500 MG OBAT APBD 2019 A81511 TAB 59.00 - 6 2020
17 KALC. LAKTATED 500 MG OBAT APBD 2019 A82600 TAB 59.00 - 12 2021
50 KARBOGLISERIN TETES TELINGA 10% OBAT APBD 2019 19LA008 BOTOL 2,590.00 - 1 2021
66 KARBOGLISERIN TETES TELINGA 10% OBAT APBD 2019 19LA008 BOTOL 2,590.00 - 1 2021
18 KLORAMFENICOL 250MG OBAT APBD 2018 16325001 KAP 791.10 - 4 2023
68 KLORFENIRAMIN MALEAT CTM OBAT APBD 2016 1610-62-152 TAB 45.00 - 10 2020
51 KLORFENIRAMIN MALEAT CTM OBAT APBD 2018 1807-43-152 TAB 24.00 - 7 2020
69 KOTRIMOXASOL DEWASA OBAT APBD 2016 1607004 TAB 158.00 - 7 2018
19 KOTRIMOXASOL DEWASA OBAT APBD 2017 170867 TAB 131.00 - 5 2019
KOTRIMOXASOL DEWASA OBAT APBD 2018/2019
171711/A80459TAB 125.00 - 8/22019/2021
20 KOTRIMOXASOL SUSP OBAT APBD 2019 A81373 BOTOL 2,052.00 - 6 2021
KOTRIMOXASOL SUSP OBAT APBD 2019 A81393 TUBE 2,052.00 - 7 2021
52 LIDOCAIN KOMP INJ OBAT APBD 2018 06815005 AMP 1,317.00 - 12 2020
LIDOCAIN KOMP INJ OBAT APBD 2018 16815007 AMP 1,317.00 - 2 2021
53 LIDOCAIN KOMP INJ OBAT APBD 2017 171C050 AMP 2,227.00 - 3 2021
71 LIPITOR 20 MG OBAT APBD 2017 S32084B TAB 21,900.00 - 9 2018
LIPITOR 10 MG OBAT APBD 2016 R 21656 B TAB 20,800.00 - 4 2018
72 LORATADIN 10 MG OBAT APBD 2018 10218F0030 TAB 127.00 - 6 2021
LORATADIN 10 MG OBAT APBD 2018 10218G0100 TAB 127.00 - 7 2021
54 LORATADIN 10 MG OBAT APBD 2018 18050 TAB 417.00 - 5 2020
21 LORATADIN 10 MG OBAT APBD 2019 10218I0020 TAB 127.00 - 9 2021
75 MANITOL LAR INFUS 20% OBAT APBD 2016 0140664 BOTOL 44,000.00 - 6 2018
76 METFORMIN 500 MG OBAT APBD 2019HTMFNA91646 TAB 102.00 - 1 2021
77 METOKLORPROPAMIDA 10 MG OBAT APBD 2017 H71770B TAB 93.00 - 8 2022
55 METOKLOPRAMIDE SYR 2015 OBAT APBD 2015 XY 026 BTL 2,900.00 - 5 2019
METRONIDAZOL 500 MG OBAT APBD 2017 BJ912612 TAB 115.00 - 10 2020
56 METRONIDAZOL 500 MG OBAT APBD 2019 1910-11-129 TAB 218.66 - 10 2023
80 METRONIDAZOL 500 MG OBAT APBD 2019 1910-12-129 TAB 218.66 - 10 2023
MINERAL MIX OBAT APBD 2019 1905018 SACHET 3,116.00 - 6 2021
22 MGSO4 40% INJ OBAT APBD 2016 86E46A AMPUL 3,650.00 - 5 2018
82 MIKONAZOL KRIM 2 % OBAT APBD 2019 F81531W TUBE 3,926.00 - 1 2022
NATRIUM DIKLOFENAK TAB 25 MG OBAT APBD 2017 06364005 TAB 167.00 - 2 2022
58 NATRIUM DIKLOFENAK TAB 25 MG OBAT APBD 2019 16364091 TAB 142.00 - 10 2021
NEW ANTIDES OBAT APBD 2018 SE0221 TAB 149.00 - 5 2021
NEW ANTIDES OBAT APBD 2019 HH0471 TAB 159.00 - 8 2022
NISTATIN 100.0000IU VAGINA OBAT APBD 2018 16372003 TAB 645.00 - 2 2022
59 NISTATIN 100.000IU vagina OBAT APBD 2014 75372007 TAB 528.00 - 9 2018
NISTATIN 100.0000IU VAGINA OBAT APBD 2017 95372010 TAB 602.00 - 8 2020
60 NORVASK 10 MG OBAT APBD 2017 729-06003 TAB 15,766.67 - 3 2019
86 NORVASK 10 MG OBAT APBD 2016 62905014 TAB 15,650.00 - 7 2019
NORVASK 5 MG OBAT APBD 2016 629-05010 TAB 8,750.00 - 5 2019
61 OBAT ANTITUBERKULOSIS FDC II OBAT APBD 2017 95471020-1 PAKET 1,379,984.00 - 10 2018
87 OBAT ANTITUBERCULOSIS FDC KAT OBAT APBD 2017 1705003 PAKET 247,234.00 - 4 2019
88 OKSITOKSIN INJ 10 UI / ML OBAT APBD 2016 97KA0053 AMPUL 1,900.00 - 4 2019
62 PARASETAMOL 500MG OBAT APBD 2016 161174 TAB 58.00 - 9 2018
89 PARASETAMOL 500 MG OBAT APBD 2017 173001 TAB 51.00 - 11 2019
63 PARASETAMOL 500 MG OBAT APBD 2018 A81034 TAB 60.00 - 5 2020
90 PARASETAMOL 500 MG OBAT APBD 2019 T09141AJ TAB 95.00 - 9 2021
PARASETAMOL 500 MG OBAT APBD 2019 T09168AJ TAB 95.00 - 9 2021
PARASETAMOL 500 MG OBAT APBD 2019 T09169AJ TAB 95.00 - 9 2021
PARASETAMOL 500 MG OBAT APBD 2019 TO9093AJ TAB 95.00 - 9 2021
65 PARASETAMOL SYRUP OBAT APBD 2019 HE1931 BOTOL 2,640.00 - 9 2023
94 PARASETAMOL SYRUP OBAT APBD 2019 HG1970 BOTOL 2,640.00 - 7 2023
66 PARASETAMOL SYRUP OBAT APBD 2019 HK0821 BOTOL 2,640.00 - 11 2023
95 PARASETAMOL SYR OBAT APBD 2017 171833 BOTOL 1,013.00 - 8 2019
96 PERMETRIN KRIM 5%/SCBIMITE CRE OBAT APBD 2019 K18003 TUBE 11,825.00 - 11 2020
67 PERMETRIN KRIM 5%/SCBIMITE CRE OBAT APBD 2019 K18004 TUBE 11,825.00 - 11 2020
26 PIRACETAM 3 G 5 ML(2014) OBAT APBD 2014 1404005 VIAL 17,088.00 - 4 2017
68 PIRANTEL PAMOAT OBAT APBD 2017 1706140-01 TAB 303.00 - 6 2019
PIRIDOKSIN HCL TAB 10MG OBAT APBD 2016/2017
E160427B/F160572B
TAB 136.00 - 6 2019
PIRIDOKSIN HCL TAB 10MG OBAT APBD 2019 H81710B TAB 141.00 - 8 2021
PIRIDOKSIN HCL TAB 10MG OBAT APBD 2019 J82048B TAB 141.00 - 9 2021
69 PIRIDOKSIN HCL TAB 10MG OBAT APBD 2019 J82049B TAB 141.00 - 9 2021
70 PREDNISON 5MG OBAT APBD 2017 1706097 TAB 85.00 - 7 2019
PREDNISON 5MG OBAT APBD 2018 1804093 TAB 74.00 - 4 2020
PREDNISON 5MG OBAT APBD 2018 1804094 TAB 74.00 - 4 2020
71 PREDNISON 5MG OBAT APBD 2018 1707079 74.00 - 7 2019
### PRIMAKUIN TAB 15MG OBAT APBD 2017 06386002 TAB 258.00 - 1 2020
### PRIMAKUIN TAB 15MG OBAT APBD 2017 95386006 TAB 258.00 - 11 2019
72 PROSOGAN INJ 30 MG OBAT APBD 2018 11548915 VIAL 94,920.00 - 4 2021
RANITIDIN TAB(2014) OBAT APBD 2014 0349132 TAB 128.00 - 9 2018
73 RANITIDIN TAB OBAT APBD 2017HTRNTA73060 TAB 110.00 - 6 2020
### RANITIDIN TAB OBAT APBD 2018 16390002 TAB 395.95 - 6 2022
RANITIDIN HCL OBAT APBD 2019HTRNTB93083 TAB 139.00 - 5 2022
1 RANITIDIN HCL OBAT APBD 2019HTRNTB93084 TAB 139.00 - 5 2022
RANITIDIN HCL OBAT APBD 2019HTRNTB93113 TAB 139.00 - 6 2022
27 RANITIDIN HCL OBAT APBD 2019HTRNTB93117 TAB 139.00 - 6 2022
RETINOL 100.000 IU(BIRU) OBAT APBD 2019 H82262W KAP 331.00 - 8 2021
RETINOL KAP.200.000 IU (MERAH) OBAT APBD 2019 H82105W KAP 596.00 - 8 2021
28 RINGER LACTAT 500 ML OBAT APBD 2019 480705 BOTOL 7,150.00 - 6 2022
SALBUTAMOL 4MG OBAT APBD 2016 G16092IB TAB 84.00 - 7 2021
78 SALBUTAMOL 4MG OBAT APBD 2018 XJ003G TABLET 77.00 - 10 2021
SALBUTAMOL 4MG OBAT APBD 2018 YB310G TABLET 77.00 - 2 2022
SALBUTAMOL 4MG OBAT APBD 2018 YG026A TABLET 77.00 - 7 2022
SALBUTAMOL 4MG OBAT APBD 2018 YG031G TABLET 77.00 - 7 2022
29 SALBUTAMOL 4MG OBAT APBD 2018 YG032G TABLET 77.00 - 7 2022
SALBUTAMOL 4MG OBAT APBD 2019 P14B0004 TAB 120.00 - 10 2021
2 SALISIL BEDAK 10% OBAT APBD 2017 A80JGT0760 KOTAK 1,071.00 - 10 2020
SALISIL BEDAK 10% OBAT APBD 2017 A80JGS0750 KOTAK 1,071.00 - 10 2020
SALISIL BEDAK 10% OBAT APBD 2017 A80JGR0740 KOTAK 1,071.00 - 10 2020
SALISIL BEDAK 10% OBAT APBD 2017 A80JGP0720 KOTAK 1,071.00 - 10 2020
SERUM ANTI BISA ULAR 5ML OBAT APBD 2018 4700118 VIAL 479,996.00 - 2 2020
75 SERUM ANTITETANUS 1.500 IU OBAT APBD 2017 4200417 AMPUL 126,500.00 - 1 2019
30 SERUM ANTITETANUS 1.500 IU OBAT APBD 2019 4202718 AMPUL 130,999.00 - 9 2020
3 SETRIZIN TAB 10 MG OBAT APBD 2017 06807022 TAB 115.00 - 10 2019
76 SIANOCABALAMIN TAB OBAT APBD 2017 17TD024 TAB 55.00 - 4 2022
77 SIANOCABALAMIN TAB OBAT APBD 2018 D80715B TAB 49.00 - 3 2023
SIANOCABALAMIN TAB OBAT APBD 2019 H81507B BOTOL 49.00 - 7 2023
SIMVASTATIN 10 MG OBAT APBD 2017 171495 TAB 113.00 - 7 2021
SIMVASTATIN 10 MG OBAT APBD 2017 171886 TAB 113.00 - 8 2021
SIMVASTATIN 10 MG OBAT APBD 2018 A8760GV TAB 110.00 - 7 2020
31 SIMVASTATIN 10 MG OBAT APBD 2018 A8761GV TAB 110.00 - 7 2020
STREPTOMICIN INJ 1000MG OBAT APBD 2016 95395005 VIAL 5,750.00 - 8 2020
SULFADIAZIN KRIM 1 % OBAT APBD 2018 0910VM TUBE 20,700.00 - 7 2020
32 SULFADIAZIN KRIM 1 % OBAT APBD 2018 0921VM TUBE 20,700.00 - 7 2020
SULFADIAZIN KRIM 1 % OBAT APBD 2018 0484DB TUBE 20,700.00 3 2021
5 THIAMIN HCL MONONITRAT 50MG OBAT APBD 2018 E80913B TAB 88.00 - 4 2023
6 THIAMIN HCL MONONITRAT 50MG OBAT APBD 2019 I81843B TAB 88.00 - 8 2023
7 VITAMIN B-COMPLEX TAB OBAT APBD 2016 D60461T TAB 132.00 - 4 2019
VITAMIN B-COMPLEX TAB OBAT APBD 2019 E81093T TAB 135.00 - 5 2021
78 VITAMIN B-COMPLEX TAB OBAT APBD 2019 E81094T TAB 135.00 - 5 2021
ZINC 20 MG OBAT APBD 2018 1802005 TAB 604.00 - 3 2021
79 ZINC 20 MG OBAT APBD 2019 18ZC1055 TAB 604.00 - 12 2021
80 APBD -
ALBENDASOL TAB 400MG OBAT BUFFER PROV2019 H80166B1 TAB 463.00 - 7 2021
ALBENDAZOL TAB 400MG OBAT BUFFER PROV2019 C90424B TAB 463.00 - 2 2022
8 ALBENDAZOL TAB 400MG OBAT BUFFER PROV2019 C90425B TAB 463.00 - 2 2022
81 ANTIBACTERI DOEN SALEP KOMB ( BaciOBAT BUFFER PROV2019 1411009 TUBE 3,490.00 - 4 2022
AMLODIPINE 10 MG OBAT BUFFER PROV2019 20J092 TAB 95.00 - 10 2020
AMPICILLIN SODIUM 1 GR OBAT BUFFER PROV2019 PSM40547 VIAL 8,237.00 - 11 2020
AMPICILLIN SODIUM 1 GR OBAT BUFFER PROV2019 16436020BF VIAL 9,473.00 - 11 2022
AMOXYCILLIN SYR FORTE OBAT BUFFER PROV2018 5510013 BOTOL 4,750.00 - 4 2019
9 ANTASIDA DOEN TAB OBAT BUFFER PROV2019 A 8232 IT TAB 59.00 - 10 2019
ASAM ASETILSALISILAT TAB 80 MG OBAT BUFFER PROV2019 160776 TAB 123.00 - 8 2020
82 ATROPIN SULFAT INJ OBAT BUFFER PROV2019 9618F0097AAMPUL 1,813.00 - 6 2020
83 BENZATIN PENISILIN 2,4 UI/ML OBAT BUFFER PROV2019 95319006 VIAL 14,500.00 - 10 2020
BERLOSON KRIM OBAT BUFFER PROV2019 DEFD 013 TUBE 11,900.00 - 4 2022
CALCIUM GLUCONAS 10% INJ OBAT BUFFER PROV2019 97MB009 AMPUL 10,351.00 - 2 2022
10 DIAZEPAM 5 MG OBAT BUFFER PROV2019 A81684 TAB 109.00 -
DIAZEPAM INJ OBAT BUFFER PROV2019 F8H513 AMPUL 1,913.00 - 8 2020
84 ETHAMBUTOL TAB 400 MG OBAT BUFFER PROV2019 TSF 34546 TAB 543.00 - 5 2022
11 EUTHYROX 50 MG TAB OBAT BUFFER PROV2019 240294 TAB 735.00 - 8 2020
EUTHYROX 50 MG TAB OBAT BUFFER PROV2019 246917 TAB 735.00 - 1 2021
85 ERYTROMYCIN 500MG OBAT BUFFER PROV2019 T3034AF TAB 766.00 - 2 2020
1 ERYTROMYCIN 500MG OBAT BUFFER PROV2019 T09139AF TAB 766.00 - 4 2020
ERYTROMYCIN 500MG OBAT BUFFER PROV2019 T09138AF AMP 766.00 - 4 2020
FENOBARBITAL INJ OBAT BUFFER PROV2017 95803001 AMP 2,265.00 - 5 2020
FE II FUMARAT + ASAM FOLAT OBAT BUFFER PROV2018 16818013 TAB 409.00 - 2 2020
2 FE II FUMARAT + ASAM FOLAT OBAT BUFFER PROV2018 16818019 TAB 409.00 - 2 2020
FITOMENADION 2 MG INJ OBAT BUFFER PROV2019 16478023 AMPUL 4,236.00 - 4 2020
HIDROKORTISON KRIM 2.5 % OBAT BUFFER PROV2018 J71518T TUBE 4,911.00 - 10 2021
GENTAMICIN 40 MG/ML INJEKSI OBAT BUFFER PROV2019 BF181071 AMPUL 4,036.00 - 10 2020
GLIBENCLAMID 5 MG OBAT BUFFER PROV2019 1804029 TAB 137.00 - 5 2023
GLISERIL GUAICOLAT OBAT BUFFER PROV2019 93370 TAB 129.00 - 7 2022
GLISERIL GUAICOLAT OBAT BUFFER PROV2019 93370 TAB 114.00 - 7 2022
GLUKONAS KALSIKUS 10 %INJ BUFF OBAT BUFFER PROV2015 1470288 7,800.00 - 6 2018
GLUKONAS KALSIKUS 10 %INJ (2015 OBAT BUFFER PROV2015 15D0341 AMP 7,800.00 - 4 2019
88 GLUKONAS KALSIKUS INJ 1 GR OBAT BUFFER PROV2017 97K10106 AMP 9,955.00 - 9 2020
GLUKOSA 5% OBAT BUFFER PROV2018 250315 BOTOL 5,720.00 - 2 2020
GLUKOSA 5% OBAT BUFFER PROV2018 250420 BOTOL 5,720.00 - 3 2020
14 HALOPERIDOL 1,5 MG OBAT BUFFER PROV2018 1708204 TAB 61.00 - 8 2020
INH 100 MG OBAT BUFFER PROV2017 A405177 TAB - - 9 2019
INH 100 MG OBAT BUFFER PROV2018 A404747 TAB 59.00 - 8 2019
KALC. LAKTATED 500 MG OBAT BUFFER PROV2018 250115 TAB 76.00 - 8 2018
LAMPRENE 100 MG OBAT BUFFER PROV2019 BW8468 TAB 1,234.39 - 3 2021
KLORAMFENICOL T/T OBAT BUFFER PROV2018 0100116014 BOTOL 8,800.00 - 1 2019
KLORFENIRAMIN MALEAT CTM OBAT BUFFER PROV2019 161127 TAB 53.00 - 11 2021
MB ANAK (KUSTA) OBAT BUFFER PROV2019 BHD 1377 BLISTER 20,554.00 - 1 2021
MB DEWASA (KUSTA) OBAT BUFFER PROV2019 BHV6129 BLISTER 31,570.00 - 12 2021
MB DEWASA (KUSTA) OBAT BUFFER PROV2018
BFE2910/BFY2599
TABLET 30,595.00 - 2/8 2019
15 METOKLORPROPAMIDA 10 MG OBAT BUFFER PROV2018 WH3406 TABLET 100.00 - 8 2021
16 METIL ERGOMETRIN MAL INJEKSI 2 OBAT BUFFER PROV2019 9618L0239A AMPUL 3,399.00 - 11 2020
89 METRONIDAZOL INFUS 5MG/ML OBAT BUFFER PROV2019 3081800 BOTOL 8,110.00 - 9 2020
90 MGSO4 LARUTAN STERIL OBAT BUFFER PROV2019 76148B BOTOL 3,796.00 - 9 2020
MGSO4 40 LARUTAN STERIL OBAT BUFFER PROV2019 70K48B BOTOL 3,796.00 - 11 2020
18 MINERAL MIX OBAT BUFFER PROV2018 1707023 SACH 2,812.00 - 7 2019
NATRIUM KLORIDA LAR 0.9% OBAT BUFFER PROV2017 470605 BOTOL - - 5 2019
19 NATRIUM KLORIDA LAR 0.9% OBAT BUFFER PROV2017 470605 BOTOL 7,150.00 - 5 2019
91 NATRIUM KLORIDA LAR 0.9% OBAT BUFFER PROV2019 48D78A BOTOL 6,410.00 - 4 2023
20 NATRIUM KLORIDA LAR 0.9% OBAT BUFFER PROV2019 48J86A BOTOL 6,410.00 - 10 2023
92 NISTATIN 500.000 IU OBAT BUFFER PROV2019 16371008 TABLET 16,120.00 - 7 2021
21 OBAT ANTITUBERCULOSIS KOMBIPAK OBAT BUFFER PROV2019 1808004 PAKET 317,018.00 - 7 2022
OBAT ANTITUBERCULOSIS KOMBIPAK OBAT BUFFER PROV2019 1808002 PAKET 317,018.00 - 7 2022
93 OBAT ANTITUBERCULOSIS FDC KAT OBAT BUFFER PROV
2018/2019
1801001/16493045
PAKET 232,518.00 - 2/11 2020
94 OBAT ANTITUBERCULOSIS FDC KAT OBAT BUFFER PROV2019 19PK2003 PAKET 283,339.00 - 2 2021
OBAT ANTITUBERCULOSIS FDC KAT OBAT BUFFER PROV2019 19RZ1002 PAKET 283,339.00 - 2 2021
OBAT ANTITUBERKLOSIS KAT 1 / FDC OBAT BUFFER PROV2018 H82440J PKT 413,984.00 - 6 2021
OBAT ANTITUBERKLOSIS KAT 1 / FDC OBAT BUFFER PROV2018 H82441J PAKET 413,984.00 - 6 2021
OBAT ANTITUBERKLOSIS KAT II OBAT BUFFER PROV2019 26471027-4 PKT 1,492,579.00 - 6 2022
OBAT ANTITUBERKLOSIS KAT II OBAT BUFFER PROV2019 26471021-3 PAKET 1,492,579.00 - 6 2022
OBAT ANTITUBERKLOSIS KAT II OBAT BUFFER PROV2019 26471028-1 PAKET 1,492,579.00 - 6 2022
OKSITOSIN INJEKSI OBAT BUFFER PROV2019 9618E0077AAMPUL 1,232.00 - 5 2020
OKSITOSIN INJEKSI OBAT BUFFER PROV2019 9618E0077AAMPUL 1,815.00 - 5 2021
34 OKSITETRASIKLIN 1% SALEP MATA OBAT BUFFER PROV2019 H82380W TUBE 2,600.00 - 8 2021
OKSITETRASIKLIN 1% SALEP MATA OBAT BUFFER PROV2020 H82381W TUBE 2,600.00 - 8 2021
88 PARASETAMOL 500 MG OBAT BUFFER PROV2019 A32416 TAB 51.00 - 9 2019
PARASETAMOL 500 MG OBAT BUFFER PROV2019 A32416 TAB 176.00 - 11 2020
PARASETAMOL DROPS 15 ML OBAT BUFFER PROV2019 1810081 BOTOL 7,646.00 - 11 2021
PIRIDOKSIN HCL TAB 10MG OBAT BUFFER PROV2019 E80921B TAB 141.00 - 4 2021
1 PYRIMETHAMIN 25 MG OBAT BUFFER PROV2017 H1310728 TAB - - 8 2018
2 PB DEWASA (KUSTA) OBAT BUFFER PROV2016 B.EX6903 BLISTER 27,270.00 - 11 2018
3 PB DEWASA (KUSTA) OBAT BUFFER PROV2018 B6V4785 BLISTER 9,770.00 - 8 2020
4 PROKAIN BENZIL PENICILLIN 3JT IU OBAT BUFFER PROV2017 PSJ33244 VIAL 9,908.00 - 8 2019
1 PROKAIN BENZIL PENICILLIN 3JT IU OBAT BUFFER PROV2015 13875 VIAL 9,768.00 - 7 2017
QUININ INJ 250 MG OBAT BUFFER PROV2017 HE1957J AMPUL 6,820.00 - 7 2018
6 RANITIDIN TAB OBAT BUFFER PROV2019 26390001 TAB 240.00 - 5 2023
RETINOL 200.000 IU (MERAH) OBAT BUFFER PROV2017 15KL04 KAP 519.20 - 11 2018
2 RETINOL 200.000 IU (MERAH) OBAT BUFFER PROV2019 B80303W KAP 596.00 - 3 2021
RETINOL 100.000 IU(BIRU) OBAT BUFFER PROV2017 C70416W KAP 327.00 - 3 2020
3 RETINOL 100.000 IU(BIRU) OBAT BUFFER PROV2019 J72853W KAP 331.00 - 10 2020
9 RINGER LACTAT 500 ML OBAT BUFFER PROV2017 460904 BOTOL 6,410.00 - 8 2019
10 RINGER LACTAT 500 ML OBAT BUFFER PROV2019 460904 BOTOL 7,150.00 - 8 2019
4 SALBUTAMOL 4 MG OBAT BUFFER PROV2019 YG028 G TAB 77.00 -
SUCRALFAT SUSPENSI OBAT BUFFER PROV2018 G-7H452 BOTOL 9,192.00 - 8 2019
11 THIAMIN HCL MONONITRAT 50MG OBAT BUFFER PROV2018 170747158 TAB 87.00 - 7 2021
TRIHEXYLFENIDIL HCL 2MG OBAT BUFFER PROV2018 1709117 TAB 85.00 - 9 2019
12 VAKSIN ANTI RABIES (VAR) VAKSINBUFFER PROV2017 3399 VIAL 78,500.00 - 4 2020
13 VAKSIN ANTI RABIES (VAR) 2.5 IU VAKSINBUFFER PROV2019 R1C872M VIAL 165,000.00 - 4 2021
PAKET OBAT HAJI BUFFER PROV2018 PAKET 88,750.00 -
5 -
6 -
7 CLOFAZIMINE 100 MG OBAT
BUFFER PROVINSI
2019 JR2261 KAPSUL 14,147.00 - 2 2022
CYCLOCERIN 250 MG OBAT
BUFFER PROVINSI
2019 CSP19101173KAPSUL 4,118.00 - 1 2022
ETHIONAMIDE 250 MG OBAT
BUFFER PROVINSI
2019 16TEF038A TABLET 1,085.00 - 6 2020
ISONIASID 300 MG OBAT
BUFFER PROVINSI
2019 EIW816A TABLET 304.00 - 2 2022
KANAMYCIN 1 G OBAT
BUFFER PROVINSI
2019 9G142209 VIAL 17,074.00 - 7 2023
17 LINEZOLIDE 600 MG OBAT
BUFFER PROVINSI
2019 LINI0007 TABLET 26,338.00 - 5 2021
MOXIFLOXACIN 400 MG OBAT
BUFFER PROVINSI
2019 BT1807048ATABLET 4,303.00 - 6 2023
PAS OBAT
BUFFER PROVINSI
2019 461218 TABLET 19,789.00 - 12 2021
PIRIDOKSIN HCL TAB 100 MG OBAT
BUFFER PROVINSI
2019 16156818 TABLET 561.00 - 3 2023
PYRAZINAMID 400 MG OBAT
BUFFER PROVINSI
2019 16TPF013D TABLET 227.00 - 5 2020
18 BUFFER -
FE II FUMARAT + ASAM FOLAT OBAT DAK 2019 26818001 TAB 409.00 - 1 2021
FE II FUMARAT + ASAM FOLAT OBAT DAK 2019 26818003 409.00 - 1 2021
19 MINERAL MIX OBAT DAK 2019 1905018 SACHET 3,116.00 - 6 2021
20 RETINOL 100.000 IU(BIRU) OBAT DAK 2019 H82262W KAP 331.00 - 8 2021
1 RETINOL KAP.200.000 IU (MERAH) OBAT DAK 2019 H82105W KAP 596.00 - 8 2021
22 DAK -
JUMLAH OBAT -
-
ABOCAT/ IV CATHETER NO.26(2014) BHP APBD 2014
AKD 20902900021 13,560.00 - 6 2018
23 ABOCAT/IV CATHETER NO.24 BHP APBD AKL 20902806423Pcs 13,560.00 - 5 2018
9 ALAT SUNTIK 10 ML (BHP) BHP APBD 2014 140416 E - 1,920.00 - 3 2019
ALAT SUNTIK SEKALI PAKAI SOLOSHO BHP APBD 2017 1601404 BOX 165,550.00 - 12 2020
10 ALAT SUNTIK SEKALI PAKAI 1 ML TU BHP APBD 2016 16B1404 PCS 1,262.25 - 1 2021
2 ALAT SUNTIK SEKALI PAKAI 1 ML TU BHP APBD 2016 J16F2702 PCS 1,262.25 - 6 2021
ALAT SUNTIK SEKALI PAKAI 1 ML TU BHP APBD 2016 J16H0204 PCS 1,262.25 - 7 2021
12 ALAT SUNTIK SEKALI PAKAI 3 ML BHP APBD 2019 180906P PCS 1,138.00 - 8 2023
25 ALAT SUNTIK SEKALI PAKAI 5 ML BHP APBD 2017 302139 BOX 131,000.00 - 3 2021
13 ALAT SUNTIK SEKALI PAKAI 10 ML BHP APBD 2018/2019
180616N/181014LPCS 1,870.00 - 5/9 2023
ALAT SUNTIK SEKALI PAKAI 50 ML BHP APBD 2016 I6F0202 PCS 7,166.78 - 5 2021
14 ALBOCATH NO 20 BHP APBD 2014
AKL 20902806423KTK 13,560.00 - 6 2016
ALKOHOL SWAB BHP APBD 2019 201990620 BOX 33,349.21 - 5 2023
15 ALKOHOL SWAB BHP APBD 2018 180420 BOX 13,530.00 - 3 2023
ALKOHOL SWAB BHP APBD 2019 20190620 BOX 33,350.00 - 6 2024
BISTURI NO 25/24 BHP APBD 2014 11603905602 PCS 900.00 - 3 2019
BLOOD TRANFUSION SET (NIPRO) BHP APBD 2019 050519 Pcs 16,761.00 - 4 2024
28 BLOOD ADMINISTRATION SET BHP APBD 2018 180114 PCS 13,976.00 - 6 2020
16 CAT GUT NO 10 (MATA) BHP APBD 2014 88145457 PCS 265,000.00 - 12 2018
17 CAT GUT NO 8 (MATA) BHP APBD 2013 113144 387,400.00 - 4 2018
CAT GUT NO 8 (MATA) BHP APBD 2014
04038653947140 - 275,000.00 - 4 2018
CATGUT CHROMIC NO 2 BHP APBD 2016 1608170 KTK 140,000.00 - 8 2021
CATGUT CHROMIC NO 3 BHP APBD 2016 1607148 BOX 140,000.00 - 7 2021
22 CATGUT PLAIN NO 3 BHP APBD 2016 1606130 KTK 140,000.00 - 6 2021
CUTICELL CLASSIC 10CM x 10CM BHP APBD 2018 72631948 PCS 5,198.00 - 6 2022
23 FIXOMULL 5CM BHP APBD 2018 650158 ROLL 37,440.00 - 11 19
FOLEYCATH NO 16 BHP APBD 2018 20180515 PCS 14,065.00 - 5 2023
1 FOLEYCATH NO 18 BHP APBD 2018 20180605 PCS 14,065.00 - 6 2023
24 FOLLEY CATETER NO 20 BHP APBD 2014
AKL 20805901569PCS 9,000.00 - 6 2018
ID BAND BAYI BLUE BHP APBD 2018 KTK 121,000.00 -
26 ID BAND BAYI PINK BHP APBD 2018 KTK 121,000.00 -
3 ID BAND DEWASA BLUE BHP APBD 2018 KTK 121,000.00 -
27 ID BAND DEWASA PINK BHP APBD 2018 KTK 121,000.00 -
28 INFUS SET BHP APBD 2019 20180910 PCS 6,096.00 - 8 2023
30 IV CATHETER NO 22 BHP APBD 2018 180217SC PCS 6,270.00 - 1 2023
IV CATHETER NO 24 BHP APBD 2018 180403SB PCS 6,270.00 - 3 2023
6 KAPAS 1 KG BHP APBD 2016 ROLL 57,060.00 -
31 KLEM TALI PUSAT ( BHP 2014 ) BHP APBD 2014 01101388 - 170,000.00 - 9 2018
4 MASKER IKAT BHP APBD 2016 BOX 41,019.00 -
32 MASKER KARET BHP APBD 2016 BOX 41,019.00 -
MASKER EARLOOP ABADA BHP APBD 2019 190710004 BOX 19,965.00 - 10 2022
NASAL OXYGEN CANULA UK XS BHP APBD 2018 170902 PCS 8,430.00 - 1 2022
33 NASAL OXYGEN CANULA UK S BHP APBD 2018 161205 PCS 8,430.00 - 12 2021
NASAL OXYGEN CANULA UK L BHP APBD 2018 180530 PCS 8,430.00 - 5 2023
PEDIATRIC SOLUTION ADMINISTRATI BHP APBD 2019 190514K PCS 9,130.00 - 10 2021
9 SAFETY BOX 5L BHP APBD 2019 DOC2019 PCS 21,500.00 - 12 2024
5 SARUNG TANGAN NO 6.5 BHP APBD 2018 3254565 PCS 9,196.00 - 4 2023
34 SARUNG TANGAN NO 6.5 BHP APBD 2018 3300265 PCS 9,572.00 - 6 2023
SARUNG TANGAN NO 7 BHP APBD 2018 3254570 PCS 9,196.00 - 4 2023
SARUNG TANGAN NO 7.5 BHP APBD 2018 3455775 PCS 9,196.00 - 4 2023
SARUNG TANGAN NO 7.5 BHP APBD 2019 3455775 PCS 9,468.00 - 3 2024
SARUNG TANGAN NO 8 BHP APBD 2014 2274380 PCS 6,780.00 -
6 SARUNG TANGAN NO.7,5 BHP APBD 2016 16182311 BOX 443,850.00 - 6 2021
SARUNG TANGAN NON STERIL UK S BHP APBD 2018 1815011 BOX 55,902.00 - 1 2023
35 SARUNG TANGAN NON STERIL UK S BHP APBD 2019 190121 BOX 58,102.00 - 1 2024
11 SARUNG TANGAN NON STERIL UK M BHP APBD 2016 05100816 BOX 52,206.00 -
36 SARUNG TANGAN NON STERIL UK M BHP APBD 2019 190122 BOX 58,102.00 - 1 2024
SARUNG TANGAN NON STERIL UK L BHP APBD 2016 05100816 BOX 52,206.00 -
37 SARUNG TANGAN NON STERIL UK L BHP APBD 2018 1824031 BOX 58,950.00 - 6 2023
38 TERUFUSION SOLUTION ADMINISTRA BHP APBD 2019 190510K PCS 7,321.00 - 10 2021
14 UNDER PAD BHP APBD 2018 051807 PCS 7,500.00 - 5 2023
15 VERBAN 3,6 X 15 (BHP Pusk) BHP APBD 2013 11603900578 PCS 2,080.00 -
39 VERBAN 3,6 X 15 (BHP Pusk) BHP APBD 2014
AKD 10902900146PCS 1,650.00 - 1 2017
18 VERBAN GULUNG 4X10( BHP PKM) BHP APBD pkm 2013
AKD10902900146PCS 250.00 -
VERBAN GULUNG 4X10( BHP PKM) BHP APBD pkm 2014 PCS 1,600.00 -
VERBAN GULUNG 4X10(lab) BHP APBD lab 2013 PCS 2,980.00 -
19 -
40 ALAT SUNTIK 1 ML TUBERCULIN BHP PROGRAM P32016 151217 D PCS 1,540.00 -
41 -
42 MASKER N 95 ( Pertamina ) BHP
HIBAH PERTAMINA
2015 15,000.00 -
21 -
ANTI-HCV STRIP BHP LAB APBD 2016 1619050 KTK 336,300.00 - 9 2018
ASAM URAT (BENECHECK PLUS) BHP LAB APBD 2018 LOT 8331 KTK 127,003.125 - 12 2019
ASAM URAT (BENECHECK PLUS) BHP LAB APBD 2018 LOT 8561 KTK 130,330.000 - 2 2020
CELL CLEAN (SYSMEX) BHP LAB APBD 2019 A9001 BOTOL 1,475,000.00 - 1 2020
CELL CLEAN (SYSMEX) BHP LAB APBD 2019 A9005 BOTOL 1,475,000.00 - 3 2020
CELL PACK (SYSMEX) BHP LAB APBD 2019 AM9032 BOTOL 2,170,800.00 - 9 2020
CLEANER 10 L PROCAN BHP LAB APBD 2019 180227 GALON 1,580,000.00 - 2 2020
7 CHOLESTEROL (BENECHECK PLUS) BHP LAB APBD 2018 LOT 9F72 KTK 231,503.13 - 11 2019
43 CHOLESTEROL (BENECHECK PLUS) BHP LAB APBD 2018 LOT A302 KTK 234,120.00 - 2 2020
DILUENT 20 LITER PROCAN BHP LAB APBD 2019 180308 GALON 2,365,000.00 - 8 2020
44 GLUKOSE OXIDASE (DIRUI) BHP LAB APBD 2017/2018
20170629/20180724
KIT 819,000.00 - 12/12018/2020
23 GLUKOSA STRIP (BENECHECK PLUS) BHP LAB APBD 2018 LOT 9333 KTK 155,272.00 - 6 2020
GLUKOSA STRIP (HUMASENS PLUS) BHP LAB APBD 2019 G19200066 KTK 252,300.00 - 6 2021
8 GLUKOSA STRIP (HUMASENS PLUS) BHP LAB APBD 2019 G19223062 KTK 252,300.00 - 6 2021
45 GLUKOSA STRIP (HUMASENS PLUS) BHP LAB APBD 2019 G19240061 KTK 252,300.00 - 6 2021
24 GLUKOSA STRIP (ON CALL PLUS) BHP LAB APBD 2018 1690153 BOX 186,200.00 - 9 2019
GLUKOSA STRIP (ON CALL PLUS) BHP LAB APBD 2019 1690540 BOX 186,330.00 - 4 2021
46 GLUKOSA STRIP (ON CALL PLUS) BHP LAB APBD 2019 1690566 BOX 186,330.00 - 3 2021
GLUKOSA STRIP (ON CALL PLUS) BHP LAB APBD 2019 1690566 BOX 187,330.00 - 3 2021
49 GLU FLUITEST (ANALYTICON) BHP LAB APBD 2019 Y765 KIT 946,517.00 - 10 2020
HB STRIP (ON CALL PLUS) BHP LAB APBD 2018 HB.8030021 BOX 403,200.00 - 1 2020
4 HB STRIP (ACON) BHP LAB APBD 2019 HB 9030026 BOX 404,000.00 - 1 2021
3 HBsAg STRIP (RAPIDAN) BHP LAB APBD 2019 HB041804 KTK 248,330.00 - 10 2020
HBsAg STRIP BHP LAB APBD 2019 HB041804 KTK 249,330.00 - 10 2020
25 KONTROL DARAH HEMATOLOGI BHP LAB APBD 2018 BC20918 SET 1,600,000.00 - 2 2019
L.ERLICH BHP LAB APBD 2016 311116-EH BOTOL 160,000.00 - 1 2019
LAR GIEMSA STAIN BHP LAB APBD 2015 6 ST 100 358,000.00 - 2 2018
3 LAR GIEMSA BHP LAB APBD 2016 581116-GM BOTOL 575,000.00 - 1 2019
29 LAR GIEMSA BHP LAB APBD 2018 BOTOL 500,000.00 -
16 LAR RESEKER BHP LAB APBD 2016 801116-RE BOTOL 79,000.00 - 1 2019
17 LAR.BENEDICT BHP LAB APBD 2016 221116-BN BOTOL 33,000.00 - 1 2019
LAR.METHANOL BHP LAB APBD 2016 780716 BOTOL 81,000.00 - 9 2018
1 LAR.TURK BHP LAB APBD 2016 481016 BOTOL 38,000.00 - 12 2018
50 LIPID PANEL TEST STRIPS (POLYMER) BHP LAB APBD 2018 7401 KTK 1,757,895.7500 - 6 2020
LYSE 500 ML BHP LAB APBD 2019 180305 BOTOL 2,469,000.00 - 5 2020
LYSE 500 ML BHP LAB APBD 2019 190306 BOTOL 2,469,000.00 - 6 2021
PROBE CLEANSER BHP LAB APBD 2019 2019081701 BOTOL 80,000.00 - 8 2020
PROBE CLEANSER BHP LAB APBD 2019 2019051201 BOTOL 80,000.00 - 5 2020
1 PROBE CLEANSER BHP LAB APBD 2019 2019011301 BOTOL 80,000.00 - 12 2020
2 RAPID TEST SYPHILIS BHP LAB APBD 2019 TP021901 KTK 240,500.00 - 4 2021
51 RAPID TEST SYPHILIS (HEXAGON) BHP LAB APBD 2018 LOT 17014 KTK 537,670.00 - 9 2019
1617124/1813143PCS 15,147.00 - 8/22018/2020
53 REAGEN GOL DARAH BHP LAB APBD 2018 SET 394,980.00 - 10 2019
REAGEN GOL DARAH BHP LAB APBD 2019 SET 251,327.00 -
REAGEN NA CITRAT 3.13 % BHP LAB APBD 2018 BOTOL 30,000.00 -
54 REAGEN PEWARNA GRAM BHP LAB APBD 2018 SET 860,000.00 -
55 REAGEN WIDAL BHP LAB APBD 2018 SET 637,280.00 - 5 2019
56 REAGEN WIDAL BHP LAB APBD 2019 SET 616,000.00 -
8 STRIP URIN BHP LAB APBD 2018 018018001 BOX 535,000.00 - 1 2019
57 STRIP URIN 10P (ACON) BHP LAB APBD 2018 UR58090107 BOX 250,000.00 - 10 2020
58 STRIP URIN 10P (VERIFY) BHP LAB APBD 2018 BOTOL 220,000.00 -
11 STRIP URIN 3P (VERIFY) BHP LAB APBD 2018 BOTOL 110,000.00 -
9 STROMATOLYSER (SYSMEX) BHP LAB APBD 2019 AM9007 BOTOL 1,440,000.00 - 3 2020
13 STROMATOLYSER (SYSMEX) BHP LAB APBD 2019 AM9011 BOTOL 1,440,000.00 - 4 2020
TOTAL CHOLESTEROL (DIRUI) BHP LAB APBD 2017/2018
20170627/20171130
KIT 2,298,000.00 - 12/52018/2019
TOTAL CHOLESTEROL (DIRUI) BHP LAB APBD 2019 201905222 KIT 630,080.00 - 12 2020
1 TOTAL CHOLESTEROL (DIRUI) BHP LAB APBD 2019 20190603 KIT 630,040.00 - 12 2020
18 TOTAL CHOLESTEROL (DIRUI) BHP LAB APBD 2019 20190603 KIT 630,080.00 - 12 2020
TOTAL CHOLESTEROL (BENECHECK) BHP LAB APBD 2019 B8E2 BOX 253,000.00 - 12 2020
-
URIC ACID (DIRUI) BHP LAB APBD 2018 20171130 KIT 1,631,620.00 - 5 2019
URIC ACID (DIRUI) BHP LAB APBD 2019 20190424 KIT 435,480.00 - 10 2020
19 URIC ACID (DIRUI) BHP LAB APBD 2019 20190424 KIT 435,440.00 - 10 2020
20 URIC ACID (BENECHECK) BHP LAB APBD 2019 9931 BOX 152,500.00 - 2 2021
21 URINALYSIS REAGENT STRIPS BHP LAB APBD 2019 018018008 BOX 535,000.00 - 2 2020
HUMASENS PLUS APBD 2018 DD16031502 UNIT 824,950.00 - 4 2020
-
COTTON SWAB BHP LABPROGRAM P32016 01061588 KTK 120,000.00 - 5 2020
-
ALKOHOL SWAB BHP P3PL APBD 2019 20180528 BOX 33,349.00 - 5 2023
ALKOHOL SWAB BHP P3PL APBD 2019 20180528 BOX 33,362.00 - 5 2023
47 BLOOD LANCET BHP P3PL APBD 2020 011909801 BOX 15,772.00 - 8 2021
CHOLESTEROL STRIP (ACON) BHP P3PL APBD 2019 CH9050006 BOX 537,500.00 - 5 2021
GLUKOSA STRIP (SINOCARE) BHP P3PL APBD 2019 940220 BOX 82,100.00 - 4 2021
48 -
ALKOHOL SWAB BHP PTM APBD 2019 20190520 KTK 33,350.00 - 5 2024
ASAM URAT (HUMASENS PLUS) BHP PTM APBD 2019 U19011011 KTK 550,800.00 - 8 2020
BLOOD LANCET BHP PTM APBD 2019 01181201 BOX 15,772.00 - 12 2023
CHOLESTEROL (HUMASENS PLUS) BHP PTM APBD 2019 C19085047 KTK 544,400.00 - 8 2020
LIPID PANEL TEST STRIPS BHP PTM APBD 2019 8402 BOTOL 1,647,410.00 - 12 2020
LIPID PANEL TEST STRIPS BHP PTM APBD 2019 8407 BOTOL 1,647,405.00 - 5 2023
-
DESCODERM PADS BHP LAB GF ATM 2016 PCS 189.20 - 2 2018
VACUTAINER PRONTO BHP LAB GF ATM 2016 PCS 2,915.00 -
-
A2 3M BHP GIGI APBD 2019 NA33338 DUS 601,500.00 - 1 2022
A3 3M BHP GIGI APBD 2019 NA13982 DUS 601,500.00 - 1 2022
A3 NANO HYBRIDE 3 M BHP GIGI APBD 2019 NA28434 DUS 189,225.00 - 11 2021
A3.5 3 M BHP GIGI APBD 2019 NA28628 DUS 188,266.00 - 9 2021
ADPER SINGLE BOND BHP GIGI APBD 2019 NA34560 BOTOL 262,425.00 - 1 2022
ARTICULATING PAPER PENANDA OKLBHP GIGI APBD 2015 - 175,000.00 -
ARTICULATING PAPER (HANNEL) BHP GIGI APBD 2016 H22370 PACK 146,000.00 - 5 2019
BAHAN PERAWATAN SALURAN AKAR BHP G GIGI APBD 2015 04-14 115,000.00 - 12 2019
BAHAN TAMBALAN FUJI IX BHP GIGI APBD 2018 BOX 425,000.00 - 4 2020
BAHAN TAMBALAN SEMENTARA BHP GIGI APBD 2018 BOX 225,000.00 - 11 2021
1 CHLOROFENOL (CHKM) PERAWATANBHP GIGI APBD 2015 CK 0434 81,000.00 - 7 2019
DESINFEKTAN PRWTAN AKAR GIGI ( TBHP GIGI APBD 2015 65,000.00 -
JARUM EXTERPAISE BHP GIGI APBD 2016 088743 STRIP 115,000.00 - 8 2019
KETAC MOLAR BHP GIGI APBD 2016 617674 SET 850,000.00 - 12 2017
K-FILE 15-40 BHP GIGI APBD 2016 158968 STRIP 155,000.00 -
K-FILE 45-80 BHP GIGI APBD 2016 14910 STRIP 155,000.00 -
PASTA PELINDUNG PULPA (hydcal te BHP GIGI APBD 2015 CE 0434 191,000.00 - 2 2018
PASTA PENGISI SAL AKAR (ENDOSEALBHP GIGI APBD 2015 19071 159,000.00 - 1 2018
2 SCOTCHBOND ETCHANT BHP GIGI APBD 2016 NA14106 BOTOL 121,727.00 - 12 2021
APBD -
ALKOHOL SWAB BHP BUFFER PROV2019 160220 PCS 13,530.00 - 7 2020
E-CARE HANDRUB@500 ML BHP BUFFER PROV2019 180621 PCS 63,300.00 - 6 2021
KAPAS 250 GRAM BHP BUFFER PROV2019 000030815 ROLL 16,120.00 -
KASA HIDROFIL STERIL 16X16 BHP BUFFER PROV2019 010816 ROLL 8,495.00 - 8 2020
KASA HIDROFIL STERIL 4 x 5 BHP BUFFER PROV2018 11603110044 PCS 334.00 - 10 2018
MASKER BHP BUFFER PROV2019 PCS 330.00 -
MASKER BHP BUFFER PROV2019 2051687 PCS 900.00 -
3 KASA HIDROFIL STERIL 40 X 40 CM BHP BUFFER PROV2018 94290915 LEMBAR 2,015.00 -
MASKER BHP BUFFER PROV
2018/20192051688 PCS 462.00 -
4 POLIFIX 5 X 5 CM BHP BUFFER PROV2019 1610737 ROLL 39,901.00 - 10 2019
MASKER N95 BHP BUFFER PROV2019 R18783 KOTAK 20,088.00 - 8 2021
-
CATRIDGE GENXPERT BHPBUFFER PROVINSI
2019 1000136135 PCS 190,741.37 - 10 2020
MASKER N95 BHPBUFFER PROVINSI
2019 PCS 19,500.00 -
-
HbBsAg Strip BHP LABBUFFER PROV2019 01EMC010A PCS 9,850.00 - 8 2019
RAPID HIV 1 SD BIOLINE BHP LABBUFFER PROV
2017/2018
O3AM5002A BOX 1,434,000.00 - 8 2019
RAPID TEST HIV ( SD Bioline) BHP LABBUFFER PROV201903AMFDO19B TES 1,197,500.00 - 10 2020
RAPID III HIV (VIKIA) BHP LABBUFFER PROV2019 1006809990 PCS 19,480.00 - 10 2020
RAPID I HIV (SD BIOLINE) BHP LABBUFFER PROV2019 03ADE009A TES 11,975.00 - 4 2021
RAPID II HIV (FOKUS) BHP LABBUFFER PROV2020 0351802 TES 13,565.00 - 7 2020
RAPID TES RDT SYPHILIS SD BIOSENS BHP LABBUFFER PROV2021 H19047 TES 9,879.00 - 8 2021
RAPID TES RDT SYPHILIS SD BIOSENS BHP LABBUFFER PROV2019 G19024 TES 9,879.00 - 7 2021
RAPID TEST SYPHILIS BHP LABBUFFER PROV2018 17012 BOX 4,250.00 - 6 2019
RPR SYPHILLIS BHP LABBUFFER PROV2019 1718079 PCS 4,250.00 - 11 2019
RAPID TEST SYPHILIS (HEXAGON) BHP LABBUFFER PROV2019 17015 PCS 26,734.50 - 9 2019
BUFFER * -
BHP * -
TOTAL * -
LAMPIRAN BERITA ACARA SERAH TERIMA
RSUD DOKTER SOEDARSO
TANGGAL JULI 2019

ARAN EXPIRED
OBAT * 1,325,000.00
BHP * -
TOTAL * 1,325,000.00
PRAKTIK MANDIRI BIDAN MARSINI KARNI
TANGGAL JULI 2019

ARAN EXPIRED
OBAT * 1,325,000.00
BHP * -
TOTAL * 1,325,000.00
RUMAH SAKIT BERSALIN JEUMPA
TANGGAL JULI 2019

ARAN EXPIRED
OBAT * 1,325,000.00
BHP * -
TOTAL * 1,325,000.00
RUMAH SAKIT IBU DAN ANAK ANUGRAH
TANGGAL JULI 2019

ARAN EXPIRED
OBAT * 1,325,000.00
BHP * -
TOTAL * 1,325,000.00
PUSKESMAS ALIANYANG
TANGGAL JULI 2019

ARAN EXPIRED
OBAT * 1,325,000.00
BHP * -
TOTAL * 1,325,000.00
118
TANGGAL JULI 2019

ARAN EXPIRED
1 AMOXYCILLIN 500MG TAB OBAT APBD 2019 B90044 TAB 248.00 700 173,600.00 7/82020/2021
3 PARASETAMOL 500 MG OBAT APBD 2018 A81034 TAB 60.00 200 12,000.00 5 2020
APBD * 331,045.00
BUFFER * 12,820.00
DAK * -
JUMLAH OBAT * 343,865.00
2 CATGUT PLAIN NO 3 BHP APBD 2016 1606130 KTK 140,000.00 2 280,000.00 6 2021
4 SARUNG TANGAN NON STERIL UK L BHP APBD 2016 05100816 BOX 52,206.00 1 52,206.00
APBD * 562,210.00
BUFFER * -
BHP * 562,210.00
TOTAL * 906,075.00
RSUD SULTAN SYARIF MOHAMAD ALKADRIE
TANGGAL JULI 2019

ARAN EXPIRED
2 PREDNISON 5MG OBAT APBD 2018 1804093 TAB 74.00 3,000 222,000.00 4 2020
APBD * 774,000.00
BUFFER * -
DAK * -
APBD * -
BUFFER * -
BHP * -
TOTAL * 774,000.00
P3
TANGGAL JULI 2019

ARAN EXPIRED
APBD * -
1 OBAT ANTITUBERKLOSIS KAT 1 / FDC OBAT BUFFER PROV2018 H82440J PKT 413,984.00 1 413,984.00 6 2021
2 PAKET OBAT HAJI BUFFER PROV2018 PAKET 88,750.00 684 60,705,000.00
625 -
BUFFER * 61,118,984.00
DAK * -
JUMLAH OBAT * 61,118,984.00
1 GLUKOSA STRIP (HUMASENS PLUS) BHP LAB APBD 2019 G19200066 KTK 252,300.00 15 3,784,500.00 6 2021
2 CHOLESTEROL (HUMASENS PLUS) BHP P3PL APBD 2019 C19085047 KTK 544,400.00 40 21,776,000.00 8 2020
APBD * 25,560,500.00
BUFFER * -
BHP * 25,560,500.00
TOTAL * 86,679,484.00
RSUD DOKTER SOEDARSO
TANGGAL JULI 2019

ARAN EXPIRED
1 STREPTOMICIN INJ 1000MG OBAT APBD 2016 95395005 VIAL 5,750.00 56 322,000.00 8 2020
APBD * 322,000.00
BUFFER * 26,494,976.00
DAK * -
JUMLAH OBAT * 26,816,976.00
APBD * -
BUFFER * -
BHP * -
TOTAL * 26,816,976.00
RUMAH SAKIT UMUM SANTO ANTONIUS
TANGGAL JULI 2019

ARAN EXPIRED
APBD * -
BUFFER * 4,967,808.00
DAK * -
JUMLAH OBAT * 4,967,808.00
APBD * -
BUFFER * -
BHP * -
TOTAL * 4,967,808.00
BIDANG BINA KESEHATAN MASYARAKAT
TANGGAL JULI 2019

ARAN EXPIRED
APBD * -
BUFFER * -
DAK * -
JUMLAH OBAT * -
APBD * 116,204.00
2018/20192051688 PCS 462.00 100 46,200.00
BUFFER * 46,200.00
BHP * 162,404.00
TOTAL * 162,404.00
SAKA BHAKTI HUSADA
TANGGAL JULI 2019

ARAN EXPIRED
1 AMOXYCILLIN 500MG TAB OBAT APBD 2019 B90044 TAB 248.00 500 124,000.00 7/82020/2021
4 DEXAMETASON TAB 0.5MG OBAT APBD 2018 1807-28-150 TAB 34.00 500 17,000.00 7 2020
6 KLORFENIRAMIN MALEAT CTM OBAT APBD 2018 1807-43-152 TAB 24.00 500 12,000.00 7 2020
10 VITAMIN B-COMPLEX TAB OBAT APBD 2019 E81093T TAB 135.00 700 94,500.00 5 2021
APBD * 422,290.00
BUFFER * -
DAK * -
APBD * 116,204.00
2018/20192051688 PCS 462.00 100 46,200.00
BUFFER * 46,200.00
BHP * 162,404.00
TOTAL * 584,694.00

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