LAPORAN MUTASI & STOCK OPNAME PUSKESMAS .............. BULAN ................... 2019v1

LAPORAN PERSEDIAAN DAN MUTASI PUSKESMAS KABUPATEN ACEH UTARA
UNIT KERJA :
BULAN :
TAHUN :
HARGA SATUAN HARGA SATUAN BERDASARKAN SUMBER TAHUN 2019

NO NAMA OBAT & BMHP
SA
STOCK OPNAME
DESEMBER 2018
T
JKN DAK APBK
1 Acyclovir 200 mg Tab Rp 259.00

2 Acyclovir 400 mg Tab Rp 425.00
3 Albendazole Tab Rp 271.14
4 Allopurinol 100 mg Tab Rp 90.00
5 Allopurinol 300 mg Tab Rp 315.00
6 Aminofilina injeksi 24 mg/ml-10ml Amp Rp 2,878.00
7 Aminofilina tablet 200 mg Tab Rp 86.00
8 Amlodipine 5 mg Tab Rp 74.00
9 Amoksisilina kapsul 500 mg Kap Rp 400.00
10 Amoksisilina sir kering 125 mg/5ml Btl Rp 3,270.00
11 Amoksisilina sir kering 250 mg/5ml Forte Btl Rp 3,604.00
12 Antasida DOEN Suspensi Btl Rp 2,098.00
13 Antasida DOEN tablet Tab Rp 59.00
14 Anti Sera A & B Btl Rp 120,000.00
15 Antihaemorrhoid suppositoria Kap Rp 3,642.00
16 Artemeter Inj Amp Rp 25,490.00
17 Artesunate Inj Amp Rp 33,792.00
18 Asam Askorbat ( Vit. C ) tablet 50 mg Tab Rp 120.00
19 Asam Folat tablet Tab Rp 60.00
20 Asam Mefenamat 500 mg Kap Rp 102.00
21 Attapulgit / PuralexTablet Tab Rp 175.00
22 Betametason krem 0.1 % 5 gr Tube Rp 1,373.00
23 Bufacetin salep Kulit Tube Rp 3,360.00
24 Calcii Gluconas Injeksi iv 10% Amp Rp 9,955.00
25 Captopril 12,5 mg Tab Rp 86.00
26 Captopril 25 mg Tab Rp 100.00
27 Ceterizine sirup Btl Rp 2,993.00
28 Chloramphenikol 1% Salp Mata Tube Rp 1,925.00
29 Chloramphenikol suspensi 125mg / 5ml Btl Rp 4,985.00
30 Chloramphenikol tetes mata Btl Rp 3,850.00
31 Chlorfeniramina Maleat ( CTM ) tab. 4 mg Tab Rp 37.00
32 Cyanocobolamin ( Vitamin B12 ) Inj 500 mcg Amp Rp 1,087.00
33 D-Artepp Paket Rp 32,100.00
34 Decacetin Tetes Mata Btl Rp 3,850.00
35 Deksametason injeksi 5 mg / ml- 1ml Amp Rp 1,210.00
36 Deksametason tablet 0,5 mg Tab Rp 55.00
37 Dextamin syr btl Rp 30,204.00
38 Dextrofen syr Botol Rp 11,550.00
39 DHP-Primal Kotak Rp 32,100.00
40 Diethyl Carbamazin (DEC) Tab Rp 208.40
41 Digoksin tablet 0,25 mg Tab Rp 96.00
42 Dipenhidramine HCL injeksi 1 ml Amp Rp 1,262.00
43 Domperidon sirup Btl Rp 2,860.00
44 Domperidon Tab Tab Rp 86.00
45 Efedrin Tab Rp 160.00
46 Epinefrin inj 1 mg/ml Ampul Rp 1,848.00
47 Eritromicin 500 mg Tab Rp 1,150.00
48 Erytromicin syrup Btl Rp 6,461.00
49 Fitomenadion ( Vit. K ) tab. salut 10 mg Tab Rp 818.00
50 Fitomenadion ( Vit.K ) inj. 10 mg/ ml- 1 ml Amp Rp 3,754.00
51 Fluocort-N salap Tube Rp 18,844.00
52 Furosemida tablet 40 mg Tab Rp 79.00
53 Garam Oralit untuk 200 ml air Sak Rp 273.00
54 Gentamicin salep kulit 5gr 0,1% Tube Rp 2,200.00
55 Glibenklamida tablet 5 mg Tab Rp 61.00
56 Glimeperid 2 mg Tab Rp 207.00
57 Glimepiride 1 mg Tab Rp 174.00
58 Glukosa Larutan Infus 5 % Steril Btl Rp 6,900.00
59 Griseofulvin tablet 125 mg, Micronized Tab Rp 223.00
60 Hidroklorotiazida ( HCT ) tab. 25 mg Tab Rp 178.00
61 Hidrokortison krim 2,5 % Tube Rp 2,533.00
62 Hustab P 60 ml Sirup Botol Rp 11,550.00
NO NAMA OBAT & BMHP
SA
STOCK OPNAME
DESEMBER 2018
T
JKN DAK APBK
63 Hustab P tab Tab Rp 256.67

64 Hustab tab Tab Rp 256.67
65 Ibuprofen syrup Btl Rp 2,520.00
66 Ibuprofen tablet 200 mg Tab Rp 108.00
67 Ibuprofen tablet 400 mg Tab Rp 240.00
68 Iliadin DROPS-Oksimetazolin tetes hidung Btl Rp 37,433.00
69 Isoniazid tab Rp 125.00
70 Kalsium Laktat ( Kalk ) tablet 500 mg Tab Rp 59.00
71 Ketokonazole 200 mg Tab Rp 320.00
72 Ketokonazole salap Tube Rp 2,577.00
73 Kotrimoksazol dewasa tablet Tab Rp 125.00
74 Kotrimoksazol suspensi Btl Rp 2,052.00
75 Lidokain 2 % Amp Rp 1,317.00
76 Lidokain comp. injeksi Amp Rp 1,317.00
77 MB Anak Blister Rp 20,207.00
78 MB Dewasa Blister Rp 28,424.00
79 Metformin 500 mg Tab Rp 102.00
80 Metilergometrin Maleat tablet salut 0,125 mg Tab Rp 169.00
81 Metilergometrin Maleat inj. 0,200 mg/ml - 1ml Amp Rp 3,278.00
82 Metronidazol tablet 500 mg Tab Rp 210.00
83 Metylprednisolone Tab Tab Rp 139.00
84 MgSO4 20% Tab Rp 3,200.00
85 MgSO4 40% Tab Rp 3,650.00
86 Mikonazol krem 2 % Tube Rp 3,926.00
87 Mineral Mix Sachet Rp 2,805.00
88 N-Acetylsystein 200 mg kapsul Kap Rp 412.00
89 Natrium Diklofenak 50 mg tab Rp 136.00
90 Natrium Klorida Lrt Infus 0,9 % Steril Btl Rp 6,410.00
91 NB topical Oinment Tube Rp 17,007.00
92 New Antides Tab Rp 173.00
93 Nifedipin 10 mg Tab Rp 120.00
94 Nystatin 500.000 IU Tab Rp 910.00
95 OAT Kombipat I Paket Rp 413,984.00
96 Obat Anti Tuberculosis FDC Kategori Anak Paket Rp 224,758.00
97 Obat Anti Tuberculosis FDC Kategori I Paket Rp 447,747.00
98 Obat Anti Tuberculosis FDC Kategori II Paket Rp 1,492,579.00
99 Oksitetrasiklin HCL salep mata 1 % Tube Rp 2,260.00
100 Omeprazole 20 mg tab Kap Rp 138.00
101 Oxytosin Injeksi Amp Rp 1,900.00
102 Parasetamol drops Btl Rp 8,000.00
103 Parasetamol sirup 120 mg/ 5 ml Btl Rp 1,160.00
104 Parasetamol tablet 500 mg Tab Rp 60.00
105 PB anak Blister Rp 8,891.00
106 PB Dewasa Blister Rp 12,569.00
107 Pirantel Pamoat tablet 365 mg Tab Rp 331.00
108 Piridoksina HCL ( Vit.B6 ) tab.10 mg Tab Rp 141.00
109 Primakuin Tab Rp 258.00
110 PROFOLAT - Asam Folat tablet 0,4 mg Tab Rp 60.00
111 Propanolol Hcl tablet 10 mg Tab Rp 80.00
112 Propanolol Hcl tablet 40 mg Tab Rp 80.00
113 Propiltiourasil ( PTU ) tablet 100 mg Tab Rp 351.00
114 Ranitidin tablet 150 mg Tab Rp 114.00
115 Ranitidine HCL inj.25 mg/ml Amp Rp 2,000.00
116 Retinol 100. 000 IU Kap Rp 331.00
117 Retinol 200. 000 IU Kap Rp 585.00
118 Ringer Laktat larutan infus steril Btl Rp 7,150.00
119 Salap 2 - 4 kombinasi pot Rp 3,013.00
120 Salbutamol 4 mg Tab Rp 77.00
121 Salbutamol tablet 2 mg Tab Rp 64.00
122 Salicyl Talk Ktk Rp 2,750.00
123 Serum anti bisa ular : A.B.U. I inj (i.m./i.v.) 5ml Amp Rp 462,000.00
124 Simvastatin 20 mg Tab Rp 225.00
125 Siprofloksacin 500 mg Tab Rp 355.00
126 Stesolid enema 5mg Vial Rp 14,459.00
127 Tablet tambah Darah Tab Rp 409.00
128 Tiamin HCL Mononitrat ( Vit. B 1 ) tablet 50 mg Tab Rp 88.00
129 Ventolin Nebules Amp Rp 11,000.00
130 Vit C 250 mg Tab Rp 89.00
NO NAMA OBAT & BMHP
SA
STOCK OPNAME
DESEMBER 2018
T
JKN DAK APBK
131 Vitamin B Komplek tablet Tab Rp 89.00

132 Zinc syr btl Rp 3,285.00
133 Zinc Tab Tab Rp 604.00
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
NO NAMA OBAT & BMHP
SA
STOCK OPNAME
DESEMBER 2018
T
JKN DAK APBK
199
200
JUMLAH HARGA OBAT PSIKOTROPIKA
OBAT PSIKOTROPIKA
1 Amitriptilin 25 mg Tab Rp 165.00
2 Carbamazepin 200 mg Tab Rp 230.00
3 Chlorpromazine 100 mg Tab Rp 147.00
4 Chlorpromazine 25 mg Tab Rp 1,425.00
5 Chlorpromazine 25 mg Injeksi Amp Rp 1,425.00
6 Clobazam 10 mg Tab Rp 967.00
7 Clozapine Tab Rp 1,121.00
8 Diazepam 2 mg Tab Rp 99.00
9 Diazepam 5mg INJ Amp Rp 10,000.00
11 Halloperidol 0,5 mg Tab Rp 62.00
12 Halloperidol 1,5 mg Tab Rp 76.00
13 Halloperidol 5 mg Tab Rp 98.00
14 Lodomer Inj [Haloperidol inj 5 mg/ml (i.m.)] Amp Rp 6,250.00
15 Phenobarbital Injeksi Amp Rp 1,857.00
16 Phenobarbital tab 30 mg Tab Rp 171.00
17 Risperidone 2 mg Tab Rp 273.00
18 Sikzonoat Inj Amp Rp 57,500.00
19 Trihexilphenidil 2 mg Tab Rp 80.00
OBAT GIGI
1 Etil Klorida Semprot Btl Rp 198,000.00
2 Eugenol cairan Btl Rp 20,815.00
3 Glass Lonomer semen ( GC IX ) Set Rp 434,850.00
4 Iodent Hardening Pasta (Mummifying Pasta) Btl Rp 501,750.00
5 Lidocain Amp Rp 1,317.00
6 Kalsium Hidroksida Pasta Btl Rp 501,750.00
7 Monoklorkamper Menthol Cairan Btl Rp 139,375.00
8 Pehacain Amp Rp 2,830.05
9 Ceivitron Btl Rp 95,000.00
9 Ceivitron Btl Rp 95,000.00
11 Calxyl Btl Rp 153,870.00
12 Tricresol Formalina (TKF) Btl Rp 117,075.00
13 Temporary Stoping Flecher sebuk Btl Rp 378,543.00
14 Paramonoclorofenol 20MI C.H.K.M Btl Rp 76,935.00
15 Dental needle Box Rp 195,125.00
16 Septocain/SCANDOSEN/Scandonest Kotak Rp 1,115,000.00
17 Cotton Rol Btl Rp 72,475.00
18
19
20
21
22
23
24
25
26
27
28
29
30
JUMLAH HARGA OBAT GIGI
ALAT FARMASI
1 Aesculap no 11/Bisturi Pcs Rp 3,150.00
2 Alat GCU Aesy Touch Ktk Rp 350,000.00
3 Alat GCHB Aesy Touch Ktk Rp 450,000.00
4 Alat suntik sekali pakai 0.05 ml ( ADS ) Pcs Rp 1,456.00
5 Alat suntik sekali pakai 1 ml Pcs Rp 746.35
6 Alat Suntik sekali pakai 2,5 ml Set Rp 848.25
9 Alat Tes Kehamilan (Ultraone Onemed) Pcs Rp 2,229.85
10 Alkacide 1 Liter Buah Rp 3,108,105.00
NO NAMA OBAT & BMHP
SA
STOCK OPNAME
DESEMBER 2018
T
JKN DAK APBK
11 Alkazym powder 25gr ( sachet 25 x 25 gr ) Kotak Rp 921,150.00

12 Alkohol 70% 1 Liter Btl Rp 30,000.00
13 Aseptan cair Btl Rp 41,400.00
14 Aximed Alkohol pred pad swab Pcs Rp 135.30
15 Aximed Examination Gloves Set Rp 582.12
16 Blender Pulvis Set Set Rp 2,700,000.00
17 Blood Lancet ( Jayamas Onemed ) Kotak/100 Rp 16,750.91
18 Cannofix Pu 6 cm x 8 pcs Rp 7,877.50
19 Catgut chromic 2/0+ jarum 1/2 GT 35 mm Kotak / 24 Rp 154,100.00
20 Catgut chromic 3/0+ jarum 1/2 GT 35 mm Kotak / 24 Rp 154,100.00
21 Catgut Plain 2/0+ jarum 1/2 GT 35 mm Kotak / 24 Rp 154,100.00
22 Catgut Plain 3/0+ jarum 1/2 GT 35 mm Kotak / 24 Rp 154,100.00
23 Dermavix Pcs Rp 15,147.00
24 Foley catheter 2 way no 16 Buah Rp 19,101.50
25 Foley catheter 2 way no 18 Buah Rp 19,101.50
26 Hand Scun Pcs Rp 657.80
27 Hand Scun Steril Pcs Rp 7,584.25
28 Indikator strip (stream) Kotak Rp 597,397.40
29 Infusion Set Anak (Aximed Pediatric set) Pcs Rp 6,273.00
30 Infusion Set Dewasa (Troge Tro Soluset Medic) Pcs Rp 6,261.75
31 Iodium Test Botol Rp 5,833.00
32 Kapas Pembalut / Abssorb.250 gram Bks Rp 1,789.00
33 Kasa Hidrofil 36 x 80 cm Rol Rp 144,396.33
34 Kasa Hidrofil 4 m x 15 cm Rol Rp 4,121.42
35 Kasa Hidrofil 40 x 80 cm Rol Rp 120,750.00
36 Kasa Hidrofil Steril 18 x 22 cm Kotak Rp 5,900.00
37 Kasa Kompres 16 / 16 steril Kotak / 16 Rp 8,848.43
38 Kasa Kompres 40 x 40 Lmbr Rp 1,978.62
One Lab 7 105 Frosted Microscope Slide,Object Closs
39 Kotak Rp 20,000.00
25,4x76,2 mm(1x3)
40 Optime 2/0, 1/2 TP 40 mm, 90 cm Pcs Rp 79,995.15
41 Optime 3/0, 1/2 TP 26 mm, 75 cm Pcs Rp 78,697.95
42 Perban 2 m x 80 cm Rol Rp 7,700.00
43 Peter slik 2/0,1/2 TP 25 mm,75 cm Pcs Rp 45,403.10
45 Peter slik 2/0,3/8 RC 25 mm,75 cm Pcs Rp 50,592.00
48 Pewarna Ziehl Neelsen(Basil Tahan Asam) Paket Rp 50,592.00
49 Pharmafik 5 cm x 500 cm Kotak Rp 31,050.00
50 Poly Clean unit Rp 74,494.00
51 Polypropelene 2/0 Pcs Rp 31,645.00
54 Pot Sputum Kotak Rp 5,890.00
55 Reagensia Paket Rp 263,255.00
56 Rivanol ( Etakridina ) larutan 0,1 % Btl Rp 3,600.00
57 Sendok Obat Pcs Rp 200.00
58 Silk ( Benang Bedah Sutera ) No. 2/0 Pcs Rp 14,588.00
59 Silk ( Benang Bedah Sutera ) No. 3/0 Sak Rp 14,588.00
60 Slide Kotak Rp 20,000.00
61 Stericlin Adesif Tape with indicator rol Rp 74,345.20
62 Stericlin indicator strip steam Kotak Rp 597,397.40
63 Stericlin Pouches FLAT 20 CM X200 M rol Rp 1,768,700.00
64 Stericlin Pouches GUSSET 25X6,5 Cm ROL Rp 1,773,300.00
65 Stik Asam Urat ktk Rp 105,000.00
66 Stik Colestrol ktk Rp 180,000.00
67 Stik Glucosa ktk Rp 100,000.00
68 Stik Hemoglobin ktk Rp 165,000.00
69 Surgical Mask - 3 ply kotak / 50 Rp 25,300.00
70 Surgicryl Rapid USP 2/0 Pcs Rp 84,875.00
71 Surgicryl Rapid USP 3/0 PCS Rp 84,615.00
72 Tro-Sensosurge Surgical glove steril 7,5 Pcs Rp 7,584.25
73 Tro-vensite IV safe Plus 18 G Pcs Rp 26,565.00
77 Urine Bag steril ( Tro-Urocol Plus ) Pcs Rp 9,280.50
NO NAMA OBAT & BMHP
SA
STOCK OPNAME
DESEMBER 2018
T
JKN DAK APBK
78 Wing Nedle No.23G Buah Rp 1,400.00

79 Yodium Povidon larutan 10 % - 300 ml Btl Rp 21,600.00
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
JUMLAH HARGA BMHP/ALKES
JUMLAH TOTAL HARGA REKAPAN OBAT DAN ALAT FARMASI :

KAN SUMBER TAHUN 2019 STOCK AWAL BERDASARKAN SUMBER DAN TAHUN PENERIMAAN
JKN DAK APBK BANTUAN HIBAH

BANTUAN HIBAH
2017 2018 2017 2018 2017 2018 2017 2018 2017

BANTUAN HIBAH
2017 2018 2017 2018 2017 2018 2017 2018 2017

BANTUAN HIBAH
2017 2018 2017 2018 2017 2018 2017 2018 2017

BANTUAN HIBAH
2017 2018 2017 2018 2017 2018 2017 2018 2017

BANTUAN HIBAH
2017 2018 2017 2018 2017 2018 2017 2018 2017

BANTUAN HIBAH
2017 2018 2017 2018 2017 2018 2017 2018 2017
PENERIMAAN BERDASARKAN SUMBER
HIBAH JKN DAK

2018 2017 2018 2019 2017
HIBAH JKN DAK

2018 2017 2018 2019 2017
HIBAH JKN DAK

2018 2017 2018 2019 2017
HIBAH JKN DAK

2018 2017 2018 2019 2017
HIBAH JKN DAK

2018 2017 2018 2019 2017
HIBAH JKN DAK

2018 2017 2018 2019 2017
PEMAKAIAN BERDASARKAN SUMBER DAN TAHUN PENERIMAAN
DAK APBK BANTUAN HIBAH

2018 2019 2017 2018 2019 2017 2018 2019 2017 2018

2018 2019 2017 2018 2019 2017 2018 2019 2017 2018

2018 2019 2017 2018 2019 2017 2018 2019 2017 2018

2018 2019 2017 2018 2019 2017 2018 2019 2017 2018

2018 2019 2017 2018 2019 2017 2018 2019 2017 2018

2018 2019 2017 2018 2019 2017 2018 2019 2017 2018
AH
2019
AH
2019
AH
2019
AH
2019
AH
2019
AH
2019
UNIT KERJA :
BULAN :
TAHUN :
HARGA SATUAN BERDASARKAN SUMBER TAHUN 2019 JUMLAH STOCK

HARGA SATUAN
NO NAMA OBAT & BMHP
SA
STOCK OPNAME
DESEMBER 2018
T
JKN DAK APBK BANTUAN HIBAH 2017
1 Acyclovir 200 mg Tab Rp 259.00 Rp - Rp - Rp - Rp - Rp - 0

2 Acyclovir 400 mg Tab Rp 425.00 Rp - Rp - Rp - Rp - Rp - 0
3 Albendazole Tab Rp 271.14 Rp - Rp - Rp - Rp - Rp - 0
4 Allopurinol 100 mg Tab Rp 90.00 Rp - Rp - Rp - Rp - Rp - 0
5 Allopurinol 300 mg Tab Rp 315.00 Rp - Rp - Rp - Rp - Rp - 0
6 Aminofilina injeksi 24 mg/ml-10ml Amp Rp 2,878.00 Rp - Rp - Rp - Rp - Rp - 0
7 Aminofilina tablet 200 mg Tab Rp 86.00 Rp - Rp - Rp - Rp - Rp - 0
8 Amlodipine 5 mg Tab Rp 74.00 Rp - Rp - Rp - Rp - Rp - 0
9 Amoksisilina kapsul 500 mg Kap Rp 400.00 Rp - Rp - Rp - Rp - Rp - 0
10 Amoksisilina sir kering 125 mg/5ml Btl Rp 3,270.00 Rp - Rp - Rp - Rp - Rp - 0
11 Amoksisilina sir kering 250 mg/5ml Forte Btl Rp 3,604.00 Rp - Rp - Rp - Rp - Rp - 0
12 Antasida DOEN Suspensi Btl Rp 2,098.00 Rp - Rp - Rp - Rp - Rp - 0
13 Antasida DOEN tablet Tab Rp 59.00 Rp - Rp - Rp - Rp - Rp - 0
14 Anti Sera A & B Btl Rp 120,000.00 Rp - Rp - Rp - Rp - Rp - 0
15 Antihaemorrhoid suppositoria Kap Rp 3,642.00 Rp - Rp - Rp - Rp - Rp - 0
16 Artemeter Inj Amp Rp 25,490.00 Rp - Rp - Rp - Rp - Rp - 0
17 Artesunate Inj Amp Rp 33,792.00 Rp - Rp - Rp - Rp - Rp - 0
18 Asam Askorbat ( Vit. C ) tablet 50 mg Tab Rp 120.00 Rp - Rp - Rp - Rp - Rp - 0
19 Asam Folat tablet Tab Rp 60.00 Rp - Rp - Rp - Rp - Rp - 0
20 Asam Mefenamat 500 mg Kap Rp 102.00 Rp - Rp - Rp - Rp - Rp - 0
21 Attapulgit / PuralexTablet Tab Rp 175.00 Rp - Rp - Rp - Rp - Rp - 0
22 Betametason krem 0.1 % 5 gr Tube Rp 1,373.00 Rp - Rp - Rp - Rp - Rp - 0
23 Bufacetin salep Kulit Tube Rp 3,360.00 Rp - Rp - Rp - Rp - Rp - 0
24 Calcii Gluconas Injeksi iv 10% Amp Rp 9,955.00 Rp - Rp - Rp - Rp - Rp - 0
25 Captopril 12,5 mg Tab Rp 86.00 Rp - Rp - Rp - Rp - Rp - 0
26 Captopril 25 mg Tab Rp 100.00 Rp - Rp - Rp - Rp - Rp - 0
27 Ceterizine sirup Btl Rp 2,993.00 Rp - Rp - Rp - Rp - Rp - 0
28 Chloramphenikol 1% Salp Mata Tube Rp 1,925.00 Rp - Rp - Rp - Rp - Rp - 0
29 Chloramphenikol suspensi 125mg / 5ml Btl Rp 4,985.00 Rp - Rp - Rp - Rp - Rp - 0
30 Chloramphenikol tetes mata Btl Rp 3,850.00 Rp - Rp - Rp - Rp - Rp - 0
31 Chlorfeniramina Maleat ( CTM ) tab. 4 mg Tab Rp 37.00 Rp - Rp - Rp - Rp - Rp - 0
32 Cyanocobolamin ( Vitamin B12 ) Inj 500 mcg Amp Rp 1,087.00 Rp - Rp - Rp - Rp - Rp - 0
33 D-Artepp Paket Rp 32,100.00 Rp - Rp - Rp - Rp - Rp - 0
34 Decacetin Tetes Mata Btl Rp 3,850.00 Rp - Rp - Rp - Rp - Rp - 0
35 Deksametason injeksi 5 mg / ml- 1ml Amp Rp 1,210.00 Rp - Rp - Rp - Rp - Rp - 0
36 Deksametason tablet 0,5 mg Tab Rp 55.00 Rp - Rp - Rp - Rp - Rp - 0
37 Dextamin syr btl Rp 30,204.00 Rp - Rp - Rp - Rp - Rp - 0
38 Dextrofen syr Botol Rp 11,550.00 Rp - Rp - Rp - Rp - Rp - 0
39 DHP-Primal Kotak Rp 32,100.00 Rp - Rp - Rp - Rp - Rp - 0
40 Diethyl Carbamazin (DEC) Tab Rp 208.40 Rp - Rp - Rp - Rp - Rp - 0
41 Digoksin tablet 0,25 mg Tab Rp 96.00 Rp - Rp - Rp - Rp - Rp - 0
42 Dipenhidramine HCL injeksi 1 ml Amp Rp 1,262.00 Rp - Rp - Rp - Rp - Rp - 0
43 Domperidon sirup Btl Rp 2,860.00 Rp - Rp - Rp - Rp - Rp - 0
44 Domperidon Tab Tab Rp 86.00 Rp - Rp - Rp - Rp - Rp - 0
45 Efedrin Tab Rp 160.00 Rp - Rp - Rp - Rp - Rp - 0
46 Epinefrin inj 1 mg/ml Ampul Rp 1,848.00 Rp - Rp - Rp - Rp - Rp - 0
47 Eritromicin 500 mg Tab Rp 1,150.00 Rp - Rp - Rp - Rp - Rp - 0
48 Erytromicin syrup Btl Rp 6,461.00 Rp - Rp - Rp - Rp - Rp - 0
49 Fitomenadion ( Vit. K ) tab. salut 10 mg Tab Rp 818.00 Rp - Rp - Rp - Rp - Rp - 0
50 Fitomenadion ( Vit.K ) inj. 10 mg/ ml- 1 ml Amp Rp 3,754.00 Rp - Rp - Rp - Rp - Rp - 0
51 Fluocort-N salap Tube Rp 18,844.00 Rp - Rp - Rp - Rp - Rp - 0
52 Furosemida tablet 40 mg Tab Rp 79.00 Rp - Rp - Rp - Rp - Rp - 0
53 Garam Oralit untuk 200 ml air Sak Rp 273.00 Rp - Rp - Rp - Rp - Rp - 0
54 Gentamicin salep kulit 5gr 0,1% Tube Rp 2,200.00 Rp - Rp - Rp - Rp - Rp - 0
55 Glibenklamida tablet 5 mg Tab Rp 61.00 Rp - Rp - Rp - Rp - Rp - 0
56 Glimeperid 2 mg Tab Rp 207.00 Rp - Rp - Rp - Rp - Rp - 0
HARGA SATUAN
NO NAMA OBAT & BMHP
SA
STOCK OPNAME
DESEMBER 2018
T
57 Glimepiride 1 mg Tab Rp 174.00 Rp - Rp - Rp - Rp - Rp - 0

58 Glukosa Larutan Infus 5 % Steril Btl Rp 6,900.00 Rp - Rp - Rp - Rp - Rp - 0
59 Griseofulvin tablet 125 mg, Micronized Tab Rp 223.00 Rp - Rp - Rp - Rp - Rp - 0
60 Hidroklorotiazida ( HCT ) tab. 25 mg Tab Rp 178.00 Rp - Rp - Rp - Rp - Rp - 0
61 Hidrokortison krim 2,5 % Tube Rp 2,533.00 Rp - Rp - Rp - Rp - Rp - 0
62 Hustab P 60 ml Sirup Botol Rp 11,550.00 Rp - Rp - Rp - Rp - Rp - 0
63 Hustab P tab Tab Rp 256.67 Rp - Rp - Rp - Rp - Rp - 0
64 Hustab tab Tab Rp 256.67 Rp - Rp - Rp - Rp - Rp - 0
65 Ibuprofen syrup Btl Rp 2,520.00 Rp - Rp - Rp - Rp - Rp - 0
66 Ibuprofen tablet 200 mg Tab Rp 108.00 Rp - Rp - Rp - Rp - Rp - 0
67 Ibuprofen tablet 400 mg Tab Rp 240.00 Rp - Rp - Rp - Rp - Rp - 0
68 Iliadin DROPS-Oksimetazolin tetes hidung Btl Rp 37,433.00 Rp - Rp - Rp - Rp - Rp - 0
69 Isoniazid tab Rp 125.00 Rp - Rp - Rp - Rp - Rp - 0
70 Kalsium Laktat ( Kalk ) tablet 500 mg Tab Rp 59.00 Rp - Rp - Rp - Rp - Rp - 0
71 Ketokonazole 200 mg Tab Rp 320.00 Rp - Rp - Rp - Rp - Rp - 0
72 Ketokonazole salap Tube Rp 2,577.00 Rp - Rp - Rp - Rp - Rp - 0
73 Kotrimoksazol dewasa tablet Tab Rp 125.00 Rp - Rp - Rp - Rp - Rp - 0
74 Kotrimoksazol suspensi Btl Rp 2,052.00 Rp - Rp - Rp - Rp - Rp - 0
75 Lidokain 2 % Amp Rp 1,317.00 Rp - Rp - Rp - Rp - Rp - 0
76 Lidokain comp. injeksi Amp Rp 1,317.00 Rp - Rp - Rp - Rp - Rp - 0
77 MB Anak Blister Rp 20,207.00 Rp - Rp - Rp - Rp - Rp - 0
78 MB Dewasa Blister Rp 28,424.00 Rp - Rp - Rp - Rp - Rp - 0
79 Metformin 500 mg Tab Rp 102.00 Rp - Rp - Rp - Rp - Rp - 0
80 Metilergometrin Maleat tablet salut 0,125 mg Tab Rp 169.00 Rp - Rp - Rp - Rp - Rp - 0
81 Metilergometrin Maleat inj. 0,200 mg/ml - 1ml Amp Rp 3,278.00 Rp - Rp - Rp - Rp - Rp - 0
82 Metronidazol tablet 500 mg Tab Rp 210.00 Rp - Rp - Rp - Rp - Rp - 0
83 Metylprednisolone Tab Tab Rp 139.00 Rp - Rp - Rp - Rp - Rp - 0
84 MgSO4 20% Tab Rp 3,200.00 Rp - Rp - Rp - Rp - Rp - 0
85 MgSO4 40% Tab Rp 3,650.00 Rp - Rp - Rp - Rp - Rp - 0
86 Mikonazol krem 2 % Tube Rp 3,926.00 Rp - Rp - Rp - Rp - Rp - 0
87 Mineral Mix Sachet Rp 2,805.00 Rp - Rp - Rp - Rp - Rp - 0
88 N-Acetylsystein 200 mg kapsul Kap Rp 412.00 Rp - Rp - Rp - Rp - Rp - 0
89 Natrium Diklofenak 50 mg tab Rp 136.00 Rp - Rp - Rp - Rp - Rp - 0
90 Natrium Klorida Lrt Infus 0,9 % Steril Btl Rp 6,410.00 Rp - Rp - Rp - Rp - Rp - 0
91 NB topical Oinment Tube Rp 17,007.00 Rp - Rp - Rp - Rp - Rp - 0
92 New Antides Tab Rp 173.00 Rp - Rp - Rp - Rp - Rp - 0
93 Nifedipin 10 mg Tab Rp 120.00 Rp - Rp - Rp - Rp - Rp - 0
94 Nystatin 500.000 IU Tab Rp 910.00 Rp - Rp - Rp - Rp - Rp - 0
95 OAT Kombipat I Paket Rp 413,984.00 Rp - Rp - Rp - Rp - Rp - 0
96 Obat Anti Tuberculosis FDC Kategori Anak Paket Rp 224,758.00 Rp - Rp - Rp - Rp - Rp - 0
97 Obat Anti Tuberculosis FDC Kategori I Paket Rp 447,747.00 Rp - Rp - Rp - Rp - Rp - 0
98 Obat Anti Tuberculosis FDC Kategori II Paket Rp 1,492,579.00 Rp - Rp - Rp - Rp - Rp - 0
99 Oksitetrasiklin HCL salep mata 1 % Tube Rp 2,260.00 Rp - Rp - Rp - Rp - Rp - 0
100 Omeprazole 20 mg tab Kap Rp 138.00 Rp - Rp - Rp - Rp - Rp - 0
101 Oxytosin Injeksi Amp Rp 1,900.00 Rp - Rp - Rp - Rp - Rp - 0
102 Parasetamol drops Btl Rp 8,000.00 Rp - Rp - Rp - Rp - Rp - 0
103 Parasetamol sirup 120 mg/ 5 ml Btl Rp 1,160.00 Rp - Rp - Rp - Rp - Rp - 0
104 Parasetamol tablet 500 mg Tab Rp 60.00 Rp - Rp - Rp - Rp - Rp - 0
105 PB anak Blister Rp 8,891.00 Rp - Rp - Rp - Rp - Rp - 0
106 PB Dewasa Blister Rp 12,569.00 Rp - Rp - Rp - Rp - Rp - 0
107 Pirantel Pamoat tablet 365 mg Tab Rp 331.00 Rp - Rp - Rp - Rp - Rp - 0
108 Piridoksina HCL ( Vit.B6 ) tab.10 mg Tab Rp 141.00 Rp - Rp - Rp - Rp - Rp - 0
109 Primakuin Tab Rp 258.00 Rp - Rp - Rp - Rp - Rp - 0
110 PROFOLAT - Asam Folat tablet 0,4 mg Tab Rp 60.00 Rp - Rp - Rp - Rp - Rp - 0
111 Propanolol Hcl tablet 10 mg Tab Rp 80.00 Rp - Rp - Rp - Rp - Rp - 0
112 Propanolol Hcl tablet 40 mg Tab Rp 80.00 Rp - Rp - Rp - Rp - Rp - 0
113 Propiltiourasil ( PTU ) tablet 100 mg Tab Rp 351.00 Rp - Rp - Rp - Rp - Rp - 0
114 Ranitidin tablet 150 mg Tab Rp 114.00 Rp - Rp - Rp - Rp - Rp - 0
115 Ranitidine HCL inj.25 mg/ml Amp Rp 2,000.00 Rp - Rp - Rp - Rp - Rp - 0
116 Retinol 100. 000 IU Kap Rp 331.00 Rp - Rp - Rp - Rp - Rp - 0
117 Retinol 200. 000 IU Kap Rp 585.00 Rp - Rp - Rp - Rp - Rp - 0
118 Ringer Laktat larutan infus steril Btl Rp 7,150.00 Rp - Rp - Rp - Rp - Rp - 0
HARGA SATUAN
NO NAMA OBAT & BMHP
SA
STOCK OPNAME
DESEMBER 2018
T
119 Salap 2 - 4 kombinasi pot Rp 3,013.00 Rp - Rp - Rp - Rp - Rp - 0

120 Salbutamol 4 mg Tab Rp 77.00 Rp - Rp - Rp - Rp - Rp - 0
121 Salbutamol tablet 2 mg Tab Rp 64.00 Rp - Rp - Rp - Rp - Rp - 0
122 Salicyl Talk Ktk Rp 2,750.00 Rp - Rp - Rp - Rp - Rp - 0
123 Serum anti bisa ular : A.B.U. I inj (i.m./i.v.) 5ml Amp Rp 462,000.00 Rp - Rp - Rp - Rp - Rp - 0
124 Simvastatin 20 mg Tab Rp 225.00 Rp - Rp - Rp - Rp - Rp - 0
125 Siprofloksacin 500 mg Tab Rp 355.00 Rp - Rp - Rp - Rp - Rp - 0
126 Stesolid enema 5mg Vial Rp 14,459.00 Rp - Rp - Rp - Rp - Rp - 0
127 Tablet tambah Darah Tab Rp 409.00 Rp - Rp - Rp - Rp - Rp - 0
128 Tiamin HCL Mononitrat ( Vit. B 1 ) tablet 50 mg Tab Rp 88.00 Rp - Rp - Rp - Rp - Rp - 0
129 Ventolin Nebules Amp Rp 11,000.00 Rp - Rp - Rp - Rp - Rp - 0
130 Vit C 250 mg Tab Rp 89.00 Rp - Rp - Rp - Rp - Rp - 0
131 Vitamin B Komplek tablet Tab Rp 89.00 Rp - Rp - Rp - Rp - Rp - 0
132 Zinc syr btl Rp 3,285.00 Rp - Rp - Rp - Rp - Rp - 0
133 Zinc Tab Tab Rp 604.00 Rp - Rp - Rp - Rp - Rp - 0
134 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
135 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
136 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
137 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
138 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
139 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
140 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
141 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
142 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
143 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
144 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
145 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
146 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
147 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
148 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
149 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
150 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
151 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
152 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
153 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
154 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
155 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
156 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
157 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
158 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
159 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
160 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
161 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
162 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
163 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
164 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
165 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
166 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
167 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
168 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
169 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
170 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
171 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
172 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
173 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
174 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
175 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
176 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
177 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
178 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
179 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
180 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
HARGA SATUAN
NO NAMA OBAT & BMHP
SA
STOCK OPNAME
DESEMBER 2018
T
181 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
182 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
183 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
184 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
185 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
186 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
187 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
188 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
189 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
190 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
191 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
192 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
193 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
194 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
195 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
196 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
197 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
198 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
199 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
200 00 Rp - Rp - Rp - Rp - Rp - Rp - 0

OBAT PSIKOTROPIKA
1 Amitriptilin 25 mg Tab Rp 165.00 Rp - Rp - Rp - Rp - Rp - 0
2 Carbamazepin 200 mg Tab Rp 230.00 Rp - Rp - Rp - Rp - Rp - 0
3 Chlorpromazine 100 mg Tab Rp 147.00 Rp - Rp - Rp - Rp - Rp - 0
4 Chlorpromazine 25 mg Tab Rp 1,425.00 Rp - Rp - Rp - Rp - Rp - 0
5 Chlorpromazine 25 mg Injeksi Amp Rp 1,425.00 Rp - Rp - Rp - Rp - Rp - 0
6 Clobazam 10 mg Tab Rp 967.00 Rp - Rp - Rp - Rp - Rp - 0
7 Clozapine Tab Rp 1,121.00 Rp - Rp - Rp - Rp - Rp - 0
8 Diazepam 2 mg Tab Rp 99.00 Rp - Rp - Rp - Rp - Rp - 0
9 Diazepam 5mg INJ Amp Rp 10,000.00 Rp - Rp - Rp - Rp - Rp - 0
11 Halloperidol 0,5 mg Tab Rp 62.00 Rp - Rp - Rp - Rp - Rp - 0
12 Halloperidol 1,5 mg Tab Rp 76.00 Rp - Rp - Rp - Rp - Rp - 0
13 Halloperidol 5 mg Tab Rp 98.00 Rp - Rp - Rp - Rp - Rp - 0
14 Lodomer Inj [Haloperidol inj 5 mg/ml (i.m.)] Amp Rp 6,250.00 Rp - Rp - Rp - Rp - Rp - 0
15 Phenobarbital Injeksi Amp Rp 1,857.00 Rp - Rp - Rp - Rp - Rp - 0
16 Phenobarbital tab 30 mg Tab Rp 171.00 Rp - Rp - Rp - Rp - Rp - 0
17 Risperidone 2 mg Tab Rp 273.00 Rp - Rp - Rp - Rp - Rp - 0
18 Sikzonoat Inj Amp Rp 57,500.00 Rp - Rp - Rp - Rp - Rp - 0
19 Trihexilphenidil 2 mg Tab Rp 80.00 Rp - Rp - Rp - Rp - Rp - 0

OBAT GIGI
1 Etil Klorida Semprot Btl Rp 198,000.00 Rp - Rp - Rp - Rp - Rp - 0
2 Eugenol cairan Btl Rp 20,815.00 Rp - Rp - Rp - Rp - Rp - 0
3 Glass Lonomer semen ( GC IX ) Set Rp 434,850.00 Rp - Rp - Rp - Rp - Rp - 0
4 Iodent Hardening Pasta (Mummifying Pasta) Btl Rp 501,750.00 Rp - Rp - Rp - Rp - Rp - 0
5 Lidocain Amp Rp 1,317.00 Rp - Rp - Rp - Rp - Rp - 0
6 Kalsium Hidroksida Pasta Btl Rp 501,750.00 Rp - Rp - Rp - Rp - Rp - 0
7 Monoklorkamper Menthol Cairan Btl Rp 139,375.00 Rp - Rp - Rp - Rp - Rp - 0
8 Pehacain Amp Rp 2,830.05 Rp - Rp - Rp - Rp - Rp - 0
9 Ceivitron Btl Rp 95,000.00 Rp - Rp - Rp - Rp - Rp - 0
9 Ceivitron Btl Rp 95,000.00 Rp - Rp - Rp - Rp - Rp - 0
11 Calxyl Btl Rp 153,870.00 Rp - Rp - Rp - Rp - Rp - 0
12 Tricresol Formalina (TKF) Btl Rp 117,075.00 Rp - Rp - Rp - Rp - Rp - 0
13 Temporary Stoping Flecher sebuk Btl Rp 378,543.00 Rp - Rp - Rp - Rp - Rp - 0
14 Paramonoclorofenol 20MI C.H.K.M Btl Rp 76,935.00 Rp - Rp - Rp - Rp - Rp - 0
15 Dental needle Box Rp 195,125.00 Rp - Rp - Rp - Rp - Rp - 0
16 Septocain/SCANDOSEN/Scandonest Kotak Rp 1,115,000.00 Rp - Rp - Rp - Rp - Rp - 0
17 Cotton Rol Btl Rp 72,475.00 Rp - Rp - Rp - Rp - Rp - 0
18 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
19 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
HARGA SATUAN
NO NAMA OBAT & BMHP
SA
STOCK OPNAME
DESEMBER 2018
T
20 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
21 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
22 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
23 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
24 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
25 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
26 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
27 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
28 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
29 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
30 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
ALAT FARMASI
1 Aesculap no 11/Bisturi Pcs Rp 3,150.00 Rp - Rp - Rp - Rp - Rp - 0
2 Alat GCU Aesy Touch Ktk Rp 350,000.00 Rp - Rp - Rp - Rp - Rp - 0
3 Alat GCHB Aesy Touch Ktk Rp 450,000.00 Rp - Rp - Rp - Rp - Rp - 0
4 Alat suntik sekali pakai 0.05 ml ( ADS ) Pcs Rp 1,456.00 Rp - Rp - Rp - Rp - Rp - 0
5 Alat suntik sekali pakai 1 ml Pcs Rp 746.35 Rp - Rp - Rp - Rp - Rp - 0
6 Alat Suntik sekali pakai 2,5 ml Set Rp 848.25 Rp - Rp - Rp - Rp - Rp - 0
9 Alat Tes Kehamilan (Ultraone Onemed) Pcs Rp 2,229.85 Rp - Rp - Rp - Rp - Rp - 0
10 Alkacide 1 Liter Buah Rp 3,108,105.00 Rp - Rp - Rp - Rp - Rp - 0
11 Alkazym powder 25gr ( sachet 25 x 25 gr ) Kotak Rp 921,150.00 Rp - Rp - Rp - Rp - Rp - 0
12 Alkohol 70% 1 Liter Btl Rp 30,000.00 Rp - Rp - Rp - Rp - Rp - 0
13 Aseptan cair Btl Rp 41,400.00 Rp - Rp - Rp - Rp - Rp - 0
14 Aximed Alkohol pred pad swab Pcs Rp 135.30 Rp - Rp - Rp - Rp - Rp - 0
15 Aximed Examination Gloves Set Rp 582.12 Rp - Rp - Rp - Rp - Rp - 0
16 Blender Pulvis Set Set Rp 2,700,000.00 Rp - Rp - Rp - Rp - Rp - 0
17 Blood Lancet ( Jayamas Onemed ) Kotak/100 Rp 16,750.91 Rp - Rp - Rp - Rp - Rp - 0
18 Cannofix Pu 6 cm x 8 pcs Rp 7,877.50 Rp - Rp - Rp - Rp - Rp - 0
19 Catgut chromic 2/0+ jarum 1/2 GT 35 mm Kotak / 24 Rp 154,100.00 Rp - Rp - Rp - Rp - Rp - 0
20 Catgut chromic 3/0+ jarum 1/2 GT 35 mm Kotak / 24 Rp 154,100.00 Rp - Rp - Rp - Rp - Rp - 0
21 Catgut Plain 2/0+ jarum 1/2 GT 35 mm Kotak / 24 Rp 154,100.00 Rp - Rp - Rp - Rp - Rp - 0
22 Catgut Plain 3/0+ jarum 1/2 GT 35 mm Kotak / 24 Rp 154,100.00 Rp - Rp - Rp - Rp - Rp - 0
23 Dermavix Pcs Rp 15,147.00 Rp - Rp - Rp - Rp - Rp - 0
24 Foley catheter 2 way no 16 Buah Rp 19,101.50 Rp - Rp - Rp - Rp - Rp - 0
25 Foley catheter 2 way no 18 Buah Rp 19,101.50 Rp - Rp - Rp - Rp - Rp - 0
26 Hand Scun Pcs Rp 657.80 Rp - Rp - Rp - Rp - Rp - 0
27 Hand Scun Steril Pcs Rp 7,584.25 Rp - Rp - Rp - Rp - Rp - 0
28 Indikator strip (stream) Kotak Rp 597,397.40 Rp - Rp - Rp - Rp - Rp - 0
29 Infusion Set Anak (Aximed Pediatric set) Pcs Rp 6,273.00 Rp - Rp - Rp - Rp - Rp - 0
30 Infusion Set Dewasa (Troge Tro Soluset Medic) Pcs Rp 6,261.75 Rp - Rp - Rp - Rp - Rp - 0
31 Iodium Test Botol Rp 5,833.00 Rp - Rp - Rp - Rp - Rp - 0
32 Kapas Pembalut / Abssorb.250 gram Bks Rp 1,789.00 Rp - Rp - Rp - Rp - Rp - 0
33 Kasa Hidrofil 36 x 80 cm Rol Rp 144,396.33 Rp - Rp - Rp - Rp - Rp - 0
34 Kasa Hidrofil 4 m x 15 cm Rol Rp 4,121.42 Rp - Rp - Rp - Rp - Rp - 0
35 Kasa Hidrofil 40 x 80 cm Rol Rp 120,750.00 Rp - Rp - Rp - Rp - Rp - 0
36 Kasa Hidrofil Steril 18 x 22 cm Kotak Rp 5,900.00 Rp - Rp - Rp - Rp - Rp - 0
37 Kasa Kompres 16 / 16 steril Kotak / 16 Rp 8,848.43 Rp - Rp - Rp - Rp - Rp - 0
38 Kasa Kompres 40 x 40 Lmbr Rp 1,978.62 Rp - Rp - Rp - Rp - Rp - 0
39 One Lab 7 105 Frosted Microscope Slide,ObjecKotak Rp 20,000.00 Rp - Rp - Rp - Rp - Rp - 0
40 Optime 2/0, 1/2 TP 40 mm, 90 cm Pcs Rp 79,995.15 Rp - Rp - Rp - Rp - Rp - 0
41 Optime 3/0, 1/2 TP 26 mm, 75 cm Pcs Rp 78,697.95 Rp - Rp - Rp - Rp - Rp - 0
42 Perban 2 m x 80 cm Rol Rp 7,700.00 Rp - Rp - Rp - Rp - Rp - 0
43 Peter slik 2/0,1/2 TP 25 mm,75 cm Pcs Rp 45,403.10 Rp - Rp - Rp - Rp - Rp - 0
45 Peter slik 2/0,3/8 RC 25 mm,75 cm Pcs Rp 50,592.00 Rp - Rp - Rp - Rp - Rp - 0
48 Pewarna Ziehl Neelsen(Basil Tahan Asam) Paket Rp 50,592.00 Rp - Rp - Rp - Rp - Rp - 0
49 Pharmafik 5 cm x 500 cm Kotak Rp 31,050.00 Rp - Rp - Rp - Rp - Rp - 0
HARGA SATUAN
NO NAMA OBAT & BMHP
SA
STOCK OPNAME
DESEMBER 2018
T
50 Poly Clean unit Rp 74,494.00 Rp - Rp - Rp - Rp - Rp - 0

51 Polypropelene 2/0 Pcs Rp 31,645.00 Rp - Rp - Rp - Rp - Rp - 0
54 Pot Sputum Kotak Rp 5,890.00 Rp - Rp - Rp - Rp - Rp - 0
55 Reagensia Paket Rp 263,255.00 Rp - Rp - Rp - Rp - Rp - 0
56 Rivanol ( Etakridina ) larutan 0,1 % Btl Rp 3,600.00 Rp - Rp - Rp - Rp - Rp - 0
57 Sendok Obat Pcs Rp 200.00 Rp - Rp - Rp - Rp - Rp - 0
58 Silk ( Benang Bedah Sutera ) No. 2/0 Pcs Rp 14,588.00 Rp - Rp - Rp - Rp - Rp - 0
59 Silk ( Benang Bedah Sutera ) No. 3/0 Sak Rp 14,588.00 Rp - Rp - Rp - Rp - Rp - 0
60 Slide Kotak Rp 20,000.00 Rp - Rp - Rp - Rp - Rp - 0
61 Stericlin Adesif Tape with indicator rol Rp 74,345.20 Rp - Rp - Rp - Rp - Rp - 0
62 Stericlin indicator strip steam Kotak Rp 597,397.40 Rp - Rp - Rp - Rp - Rp - 0
63 Stericlin Pouches FLAT 20 CM X200 M rol Rp 1,768,700.00 Rp - Rp - Rp - Rp - Rp - 0
64 Stericlin Pouches GUSSET 25X6,5 Cm ROL Rp 1,773,300.00 Rp - Rp - Rp - Rp - Rp - 0
65 Stik Asam Urat ktk Rp 105,000.00 Rp - Rp - Rp - Rp - Rp - 0
66 Stik Colestrol ktk Rp 180,000.00 Rp - Rp - Rp - Rp - Rp - 0
67 Stik Glucosa ktk Rp 100,000.00 Rp - Rp - Rp - Rp - Rp - 0
68 Stik Hemoglobin ktk Rp 165,000.00 Rp - Rp - Rp - Rp - Rp - 0
69 Surgical Mask - 3 ply kotak / 50 Rp 25,300.00 Rp - Rp - Rp - Rp - Rp - 0
70 Surgicryl Rapid USP 2/0 Pcs Rp 84,875.00 Rp - Rp - Rp - Rp - Rp - 0
71 Surgicryl Rapid USP 3/0 PCS Rp 84,615.00 Rp - Rp - Rp - Rp - Rp - 0
72 Tro-Sensosurge Surgical glove steril 7,5 Pcs Rp 7,584.25 Rp - Rp - Rp - Rp - Rp - 0
73 Tro-vensite IV safe Plus 18 G Pcs Rp 26,565.00 Rp - Rp - Rp - Rp - Rp - 0
77 Urine Bag steril ( Tro-Urocol Plus ) Pcs Rp 9,280.50 Rp - Rp - Rp - Rp - Rp - 0
78 Wing Nedle No.23G Buah Rp 1,400.00 Rp - Rp - Rp - Rp - Rp - 0
79 Yodium Povidon larutan 10 % - 300 ml Btl Rp 21,600.00 Rp - Rp - Rp - Rp - Rp - 0
80 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
81 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
82 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
83 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
84 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
85 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
86 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
87 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
88 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
89 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
90 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
91 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
92 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
93 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
94 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
95 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
96 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
97 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
98 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
99 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
100 00 Rp - Rp - Rp - Rp - Rp - Rp - 0
JUMLAH TOTAL HARGA REKAPAN

:
OBAT DAN ALAT FARMASI
JUMLAH PEMAKAIAN BERDASARKAN
LAH STOCK AWAL JUMLAH JUMLAH SISA STOCK BERDASARKAN
JUMLAH TOTAL JUMLAH TAHUN PENERIMAAN JUMLAH TOTAL
TOTAL TOTAL TAHUN PENERIMAAAN
STOCK AWAL PENERIMAAN SISA STOCK
PEMAKAIAN
2018 2017 2018 2019
2017 2018 2019
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
PEMAKAIAN
2018 2017 2018 2019
2017 2018 2019
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
PEMAKAIAN
2018 2017 2018 2019
2017 2018 2019
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
PEMAKAIAN
2018 2017 2018 2019
2017 2018 2019
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
PEMAKAIAN
2018 2017 2018 2019
2017 2018 2019
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
PEMAKAIAN
2018 2017 2018 2019
2017 2018 2019
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
JUMLAH HARGA STOCK AWAL JUMLAH HARGA PEMAKAIAN BERDASARKAN TAHUN
BERDASARKAN TAHUN PENERIMAAN JUMLAH HARGA TOTAL JUMLAH HARGA TOTAL PENERIMAAN
STOCK AWAL PENERIMAAN
2017 2018 2017 2018 2019
Rp - Rp - Rp - Rp - Rp - Rp - Rp -
2017 2018 2017 2018 2019
2017 2018 2017 2018 2019
2017 2018 2017 2018 2019
2017 2018 2017 2018 2019
2017 2018 2017 2018 2019
JUMLAH HARGA SISA STOCK TAHUN 2019 BERDASARKAN SUMBER
JUMLAH HARGA TOTAL JUMLAH HARGA TOTAL SISA
PEMAKAIAN STOCK
JUMLAH HARGA SISA JUMLAH HARGA SISA JUMLAH HARGA SISA

STOCK THN 2017 STOCK THN 2018 STOCK THN 2019
Rp - Rp - Rp - Rp - Rp -
PEMAKAIAN STOCK

PEMAKAIAN STOCK

PEMAKAIAN STOCK

Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
PEMAKAIAN STOCK

Rp - Rp - Rp - Rp -
PEMAKAIAN STOCK

Rp - Rp - Rp - Rp -
Rp - Rp - Rp - Rp -
UNIT KERJA :
BULAN :
TAHUN :

JUMLAH STOCK AWAL JUMLAH JUMLAH
JUMLAH TAHUN PENERIMAAN
NO NAMA OBAT & BMHP TOTAL STOCK TOTAL TOTAL
SA
PENERIMAAN
T
AWAL PEMAKAIAN
2017 2018 2017 2018 2019
1 Acyclovir 200 mg Tab 0 0 0 0 0 0 0 0

2 Acyclovir 400 mg Tab 0 0 0 0 0 0 0 0
3 Albendazole Tab 0 0 0 0 0 0 0 0
4 Allopurinol 100 mg Tab 0 0 0 0 0 0 0 0
5 Allopurinol 300 mg Tab 0 0 0 0 0 0 0 0
6 Aminofilina injeksi 24 mg/ml-10ml Amp 0 0 0 0 0 0 0 0
7 Aminofilina tablet 200 mg Tab 0 0 0 0 0 0 0 0
8 Amlodipine 5 mg Tab 0 0 0 0 0 0 0 0
9 Amoksisilina kapsul 500 mg Kap 0 0 0 0 0 0 0 0
10 Amoksisilina sir kering 125 mg/5ml Btl 0 0 0 0 0 0 0 0
11 Amoksisilina sir kering 250 mg/5ml Forte Btl 0 0 0 0 0 0 0 0
12 Antasida DOEN Suspensi Btl 0 0 0 0 0 0 0 0
13 Antasida DOEN tablet Tab 0 0 0 0 0 0 0 0
14 Anti Sera A & B Btl 0 0 0 0 0 0 0 0
15 Antihaemorrhoid suppositoria Kap 0 0 0 0 0 0 0 0
16 Artemeter Inj Amp 0 0 0 0 0 0 0 0
17 Artesunate Inj Amp 0 0 0 0 0 0 0 0
18 Asam Askorbat ( Vit. C ) tablet 50 mg Tab 0 0 0 0 0 0 0 0
19 Asam Folat tablet Tab 0 0 0 0 0 0 0 0
20 Asam Mefenamat 500 mg Kap 0 0 0 0 0 0 0 0
21 Attapulgit / PuralexTablet Tab 0 0 0 0 0 0 0 0
22 Betametason krem 0.1 % 5 gr Tube 0 0 0 0 0 0 0 0
23 Bufacetin salep Kulit Tube 0 0 0 0 0 0 0 0
24 Calcii Gluconas Injeksi iv 10% Amp 0 0 0 0 0 0 0 0
25 Captopril 12,5 mg Tab 0 0 0 0 0 0 0 0
26 Captopril 25 mg Tab 0 0 0 0 0 0 0 0
27 Ceterizine sirup Btl 0 0 0 0 0 0 0 0
28 Chloramphenikol 1% Salp Mata Tube 0 0 0 0 0 0 0 0
29 Chloramphenikol suspensi 125mg / 5ml Btl 0 0 0 0 0 0 0 0
30 Chloramphenikol tetes mata Btl 0 0 0 0 0 0 0 0
31 Chlorfeniramina Maleat ( CTM ) tab. 4 mg Tab 0 0 0 0 0 0 0 0
32 Cyanocobolamin ( Vitamin B12 ) Inj 500 mcg Amp 0 0 0 0 0 0 0 0
33 D-Artepp Paket 0 0 0 0 0 0 0 0
34 Decacetin Tetes Mata Btl 0 0 0 0 0 0 0 0
35 Deksametason injeksi 5 mg / ml- 1ml Amp 0 0 0 0 0 0 0 0
36 Deksametason tablet 0,5 mg Tab 0 0 0 0 0 0 0 0
37 Dextamin syr btl 0 0 0 0 0 0 0 0
38 Dextrofen syr Botol 0 0 0 0 0 0 0 0
39 DHP-Primal Kotak 0 0 0 0 0 0 0 0
40 Diethyl Carbamazin (DEC) Tab 0 0 0 0 0 0 0 0
41 Digoksin tablet 0,25 mg Tab 0 0 0 0 0 0 0 0
42 Dipenhidramine HCL injeksi 1 ml Amp 0 0 0 0 0 0 0 0
43 Domperidon sirup Btl 0 0 0 0 0 0 0 0
44 Domperidon Tab Tab 0 0 0 0 0 0 0 0
45 Efedrin Tab 0 0 0 0 0 0 0 0
46 Epinefrin inj 1 mg/ml Ampul 0 0 0 0 0 0 0 0
47 Eritromicin 500 mg Tab 0 0 0 0 0 0 0 0
48 Erytromicin syrup Btl 0 0 0 0 0 0 0 0
49 Fitomenadion ( Vit. K ) tab. salut 10 mg Tab 0 0 0 0 0 0 0 0
50 Fitomenadion ( Vit.K ) inj. 10 mg/ ml- 1 ml Amp 0 0 0 0 0 0 0 0
51 Fluocort-N salap Tube 0 0 0 0 0 0 0 0
52 Furosemida tablet 40 mg Tab 0 0 0 0 0 0 0 0
53 Garam Oralit untuk 200 ml air Sak 0 0 0 0 0 0 0 0
54 Gentamicin salep kulit 5gr 0,1% Tube 0 0 0 0 0 0 0 0
55 Glibenklamida tablet 5 mg Tab 0 0 0 0 0 0 0 0
56 Glimeperid 2 mg Tab 0 0 0 0 0 0 0 0
57 Glimepiride 1 mg Tab 0 0 0 0 0 0 0 0
58 Glukosa Larutan Infus 5 % Steril Btl 0 0 0 0 0 0 0 0
59 Griseofulvin tablet 125 mg, Micronized Tab 0 0 0 0 0 0 0 0
60 Hidroklorotiazida ( HCT ) tab. 25 mg Tab 0 0 0 0 0 0 0 0
61 Hidrokortison krim 2,5 % Tube 0 0 0 0 0 0 0 0
62 Hustab P 60 ml Sirup Botol 0 0 0 0 0 0 0 0
63 Hustab P tab Tab 0 0 0 0 0 0 0 0
SA
PENERIMAAN
T
AWAL PEMAKAIAN
2017 2018 2017 2018 2019
64 Hustab tab Tab 0 0 0 0 0 0 0 0

65 Ibuprofen syrup Btl 0 0 0 0 0 0 0 0
66 Ibuprofen tablet 200 mg Tab 0 0 0 0 0 0 0 0
67 Ibuprofen tablet 400 mg Tab 0 0 0 0 0 0 0 0
68 Iliadin DROPS-Oksimetazolin tetes hidung Btl 0 0 0 0 0 0 0 0
69 Isoniazid tab 0 0 0 0 0 0 0 0
70 Kalsium Laktat ( Kalk ) tablet 500 mg Tab 0 0 0 0 0 0 0 0
71 Ketokonazole 200 mg Tab 0 0 0 0 0 0 0 0
72 Ketokonazole salap Tube 0 0 0 0 0 0 0 0
73 Kotrimoksazol dewasa tablet Tab 0 0 0 0 0 0 0 0
74 Kotrimoksazol suspensi Btl 0 0 0 0 0 0 0 0
75 Lidokain 2 % Amp 0 0 0 0 0 0 0 0
76 Lidokain comp. injeksi Amp 0 0 0 0 0 0 0 0
77 MB Anak Blister 0 0 0 0 0 0 0 0
78 MB Dewasa Blister 0 0 0 0 0 0 0 0
79 Metformin 500 mg Tab 0 0 0 0 0 0 0 0
80 Metilergometrin Maleat tablet salut 0,125 mg Tab 0 0 0 0 0 0 0 0
81 Metilergometrin Maleat inj. 0,200 mg/ml - 1ml Amp 0 0 0 0 0 0 0 0
82 Metronidazol tablet 500 mg Tab 0 0 0 0 0 0 0 0
83 Metylprednisolone Tab Tab 0 0 0 0 0 0 0 0
84 MgSO4 20% Tab 0 0 0 0 0 0 0 0
85 MgSO4 40% Tab 0 0 0 0 0 0 0 0
86 Mikonazol krem 2 % Tube 0 0 0 0 0 0 0 0
87 Mineral Mix Sachet 0 0 0 0 0 0 0 0
88 N-Acetylsystein 200 mg kapsul Kap 0 0 0 0 0 0 0 0
89 Natrium Diklofenak 50 mg tab 0 0 0 0 0 0 0 0
90 Natrium Klorida Lrt Infus 0,9 % Steril Btl 0 0 0 0 0 0 0 0
91 NB topical Oinment Tube 0 0 0 0 0 0 0 0
92 New Antides Tab 0 0 0 0 0 0 0 0
93 Nifedipin 10 mg Tab 0 0 0 0 0 0 0 0
94 Nystatin 500.000 IU Tab 0 0 0 0 0 0 0 0
95 OAT Kombipat I Paket 0 0 0 0 0 0 0 0
96 Obat Anti Tuberculosis FDC Kategori Anak Paket 0 0 0 0 0 0 0 0
97 Obat Anti Tuberculosis FDC Kategori I Paket 0 0 0 0 0 0 0 0
98 Obat Anti Tuberculosis FDC Kategori II Paket 0 0 0 0 0 0 0 0
99 Oksitetrasiklin HCL salep mata 1 % Tube 0 0 0 0 0 0 0 0
100 Omeprazole 20 mg tab Kap 0 0 0 0 0 0 0 0
101 Oxytosin Injeksi Amp 0 0 0 0 0 0 0 0
102 Parasetamol drops Btl 0 0 0 0 0 0 0 0
103 Parasetamol sirup 120 mg/ 5 ml Btl 0 0 0 0 0 0 0 0
104 Parasetamol tablet 500 mg Tab 0 0 0 0 0 0 0 0
105 PB anak Blister 0 0 0 0 0 0 0 0
106 PB Dewasa Blister 0 0 0 0 0 0 0 0
107 Pirantel Pamoat tablet 365 mg Tab 0 0 0 0 0 0 0 0
108 Piridoksina HCL ( Vit.B6 ) tab.10 mg Tab 0 0 0 0 0 0 0 0
109 Primakuin Tab 0 0 0 0 0 0 0 0
110 PROFOLAT - Asam Folat tablet 0,4 mg Tab 0 0 0 0 0 0 0 0
111 Propanolol Hcl tablet 10 mg Tab 0 0 0 0 0 0 0 0
112 Propanolol Hcl tablet 40 mg Tab 0 0 0 0 0 0 0 0
113 Propiltiourasil ( PTU ) tablet 100 mg Tab 0 0 0 0 0 0 0 0
114 Ranitidin tablet 150 mg Tab 0 0 0 0 0 0 0 0
115 Ranitidine HCL inj.25 mg/ml Amp 0 0 0 0 0 0 0 0
116 Retinol 100. 000 IU Kap 0 0 0 0 0 0 0 0
117 Retinol 200. 000 IU Kap 0 0 0 0 0 0 0 0
118 Ringer Laktat larutan infus steril Btl 0 0 0 0 0 0 0 0
119 Salap 2 - 4 kombinasi pot 0 0 0 0 0 0 0 0
120 Salbutamol 4 mg Tab 0 0 0 0 0 0 0 0
121 Salbutamol tablet 2 mg Tab 0 0 0 0 0 0 0 0
122 Salicyl Talk Ktk 0 0 0 0 0 0 0 0
123 Serum anti bisa ular : A.B.U. I inj (i.m./i.v.) 5ml Amp 0 0 0 0 0 0 0 0
124 Simvastatin 20 mg Tab 0 0 0 0 0 0 0 0
125 Siprofloksacin 500 mg Tab 0 0 0 0 0 0 0 0
126 Stesolid enema 5mg Vial 0 0 0 0 0 0 0 0
127 Tablet tambah Darah Tab 0 0 0 0 0 0 0 0
128 Tiamin HCL Mononitrat ( Vit. B 1 ) tablet 50 mg Tab 0 0 0 0 0 0 0 0

129 Ventolin Nebules Amp 0 0 0 0 0 0 0 0
130 Vit C 250 mg Tab 0 0 0 0 0 0 0 0
131 Vitamin B Komplek tablet Tab 0 0 0 0 0 0 0 0
SA
PENERIMAAN
T
AWAL PEMAKAIAN
2017 2018 2017 2018 2019
132 Zinc syr btl 0 0 0 0 0 0 0 0

133 Zinc Tab Tab 0 0 0 0 0 0 0 0
134 00 0 0 0 0 0 0 0 0
135 00 0 0 0 0 0 0 0 0
136 00 0 0 0 0 0 0 0 0
137 00 0 0 0 0 0 0 0 0
138 00 0 0 0 0 0 0 0 0
139 00 0 0 0 0 0 0 0 0
140 00 0 0 0 0 0 0 0 0
141 00 0 0 0 0 0 0 0 0
142 00 0 0 0 0 0 0 0 0
143 00 0 0 0 0 0 0 0 0
144 00 0 0 0 0 0 0 0 0
145 00 0 0 0 0 0 0 0 0
146 00 0 0 0 0 0 0 0 0
147 00 0 0 0 0 0 0 0 0
148 00 0 0 0 0 0 0 0 0
149 00 0 0 0 0 0 0 0 0
150 00 0 0 0 0 0 0 0 0
151 00 0 0 0 0 0 0 0 0
152 00 0 0 0 0 0 0 0 0
153 00 0 0 0 0 0 0 0 0
154 00 0 0 0 0 0 0 0 0
155 00 0 0 0 0 0 0 0 0
156 00 0 0 0 0 0 0 0 0
157 00 0 0 0 0 0 0 0 0
158 00 0 0 0 0 0 0 0 0
159 00 0 0 0 0 0 0 0 0
160 00 0 0 0 0 0 0 0 0
161 00 0 0 0 0 0 0 0 0
162 00 0 0 0 0 0 0 0 0
163 00 0 0 0 0 0 0 0 0
164 00 0 0 0 0 0 0 0 0
165 00 0 0 0 0 0 0 0 0
166 00 0 0 0 0 0 0 0 0
167 00 0 0 0 0 0 0 0 0
168 00 0 0 0 0 0 0 0 0
169 00 0 0 0 0 0 0 0 0
170 00 0 0 0 0 0 0 0 0
171 00 0 0 0 0 0 0 0 0
172 00 0 0 0 0 0 0 0 0
173 00 0 0 0 0 0 0 0 0
174 00 0 0 0 0 0 0 0 0
175 00 0 0 0 0 0 0 0 0
176 00 0 0 0 0 0 0 0 0
177 00 0 0 0 0 0 0 0 0
178 00 0 0 0 0 0 0 0 0
179 00 0 0 0 0 0 0 0 0
180 00 0 0 0 0 0 0 0 0
181 00 0 0 0 0 0 0 0 0
182 00 0 0 0 0 0 0 0 0
183 00 0 0 0 0 0 0 0 0
184 00 0 0 0 0 0 0 0 0
185 00 0 0 0 0 0 0 0 0
186 00 0 0 0 0 0 0 0 0
187 00 0 0 0 0 0 0 0 0
188 00 0 0 0 0 0 0 0 0
189 00 0 0 0 0 0 0 0 0
190 00 0 0 0 0 0 0 0 0
191 00 0 0 0 0 0 0 0 0
192 00 0 0 0 0 0 0 0 0
193 00 0 0 0 0 0 0 0 0
194 00 0 0 0 0 0 0 0 0
195 00 0 0 0 0 0 0 0 0
196 00 0 0 0 0 0 0 0 0
197 00 0 0 0 0 0 0 0 0
198 00 0 0 0 0 0 0 0 0
199 00 0 0 0 0 0 0 0 0
200 00 0 0 0 0 0 0 0 0
SA
PENERIMAAN
T
AWAL PEMAKAIAN
2017 2018 2017 2018 2019
JUMLAH HARGA OBAT

OBAT PSIKOTROPIKA
1 Amitriptilin 25 mg Tab 0 0 0 0 0 0 0 0
2 Carbamazepin 200 mg Tab 0 0 0 0 0 0 0 0
3 Chlorpromazine 100 mg Tab 0 0 0 0 0 0 0 0
4 Chlorpromazine 25 mg Tab 0 0 0 0 0 0 0 0
5 Chlorpromazine 25 mg Injeksi Amp 0 0 0 0 0 0 0 0
6 Clobazam 10 mg Tab 0 0 0 0 0 0 0 0
7 Clozapine Tab 0 0 0 0 0 0 0 0
8 Diazepam 2 mg Tab 0 0 0 0 0 0 0 0
9 Diazepam 5mg INJ Amp 0 0 0 0 0 0 0 0
11 Halloperidol 0,5 mg Tab 0 0 0 0 0 0 0 0
12 Halloperidol 1,5 mg Tab 0 0 0 0 0 0 0 0
13 Halloperidol 5 mg Tab 0 0 0 0 0 0 0 0
14 Lodomer Inj [Haloperidol inj 5 mg/ml (i.m.)] Amp 0 0 0 0 0 0 0 0
15 Phenobarbital Injeksi Amp 0 0 0 0 0 0 0 0
16 Phenobarbital tab 30 mg Tab 0 0 0 0 0 0 0 0
17 Risperidone 2 mg Tab 0 0 0 0 0 0 0 0
18 Sikzonoat Inj Amp 0 0 0 0 0 0 0 0
19 Trihexilphenidil 2 mg Tab 0 0 0 0 0 0 0 0

OBAT GIGI
1 Etil Klorida Semprot Btl 0 0 0 0 0 0 0 0
2 Eugenol cairan Btl 0 0 0 0 0 0 0 0
3 Glass Lonomer semen ( GC IX ) Set 0 0 0 0 0 0 0 0
4 Iodent Hardening Pasta (Mummifying Pasta) Btl 0 0 0 0 0 0 0 0
5 Lidocain Amp 0 0 0 0 0 0 0 0
6 Kalsium Hidroksida Pasta Btl 0 0 0 0 0 0 0 0
7 Monoklorkamper Menthol Cairan Btl 0 0 0 0 0 0 0 0
8 Pehacain Amp 0 0 0 0 0 0 0 0
9 Ceivitron Btl 0 0 0 0 0 0 0 0
9 Ceivitron Btl 0 0 0 0 0 0 0 0
11 Calxyl Btl 0 0 0 0 0 0 0 0
12 Tricresol Formalina (TKF) Btl 0 0 0 0 0 0 0 0
13 Temporary Stoping Flecher sebuk Btl 0 0 0 0 0 0 0 0
14 Paramonoclorofenol 20MI C.H.K.M Btl 0 0 0 0 0 0 0 0
15 Dental needle Box 0 0 0 0 0 0 0 0
16 Septocain/SCANDOSEN/Scandonest Kotak 0 0 0 0 0 0 0 0
17 Cotton Rol Btl 0 0 0 0 0 0 0 0
18 00 0 0 0 0 0 0 0 0
19 00 0 0 0 0 0 0 0 0
20 00 0 0 0 0 0 0 0 0
21 00 0 0 0 0 0 0 0 0
22 00 0 0 0 0 0 0 0 0
23 00 0 0 0 0 0 0 0 0
24 00 0 0 0 0 0 0 0 0
25 00 0 0 0 0 0 0 0 0
26 00 0 0 0 0 0 0 0 0
27 00 0 0 0 0 0 0 0 0
28 00 0 0 0 0 0 0 0 0
29 00 0 0 0 0 0 0 0 0
30 00 0 0 0 0 0 0 0 0
ALAT FARMASI
1 Aesculap no 11/Bisturi Pcs 0 0 0 0 0 0 0 0
2 Alat GCU Aesy Touch Ktk 0 0 0 0 0 0 0 0
3 Alat GCHB Aesy Touch Ktk 0 0 0 0 0 0 0 0
4 Alat suntik sekali pakai 0.05 ml ( ADS ) Pcs 0 0 0 0 0 0 0 0
5 Alat suntik sekali pakai 1 ml Pcs 0 0 0 0 0 0 0 0
6 Alat Suntik sekali pakai 2,5 ml Set 0 0 0 0 0 0 0 0
9 Alat Tes Kehamilan (Ultraone Onemed) Pcs 0 0 0 0 0 0 0 0
10 Alkacide 1 Liter Buah 0 0 0 0 0 0 0 0
11 Alkazym powder 25gr ( sachet 25 x 25 gr ) Kotak 0 0 0 0 0 0 0 0
12 Alkohol 70% 1 Liter Btl 0 0 0 0 0 0 0 0
13 Aseptan cair Btl 0 0 0 0 0 0 0 0
14 Aximed Alkohol pred pad swab Pcs 0 0 0 0 0 0 0 0
SA
PENERIMAAN
T
AWAL PEMAKAIAN
2017 2018 2017 2018 2019
15 Aximed Examination Gloves Set 0 0 0 0 0 0 0 0

16 Blender Pulvis Set Set 0 0 0 0 0 0 0 0
17 Blood Lancet ( Jayamas Onemed ) Kotak/100 0 0 0 0 0 0 0 0
18 Cannofix Pu 6 cm x 8 pcs 0 0 0 0 0 0 0 0
19 Catgut chromic 2/0+ jarum 1/2 GT 35 mm Kotak / 24 0 0 0 0 0 0 0 0
20 Catgut chromic 3/0+ jarum 1/2 GT 35 mm Kotak / 24 0 0 0 0 0 0 0 0
21 Catgut Plain 2/0+ jarum 1/2 GT 35 mm Kotak / 24 0 0 0 0 0 0 0 0
22 Catgut Plain 3/0+ jarum 1/2 GT 35 mm Kotak / 24 0 0 0 0 0 0 0 0
23 Dermavix Pcs 0 0 0 0 0 0 0 0
24 Foley catheter 2 way no 16 Buah 0 0 0 0 0 0 0 0
25 Foley catheter 2 way no 18 Buah 0 0 0 0 0 0 0 0
26 Hand Scun Pcs 0 0 0 0 0 0 0 0
27 Hand Scun Steril Pcs 0 0 0 0 0 0 0 0
28 Indikator strip (stream) Kotak 0 0 0 0 0 0 0 0
29 Infusion Set Anak (Aximed Pediatric set) Pcs 0 0 0 0 0 0 0 0
30 Infusion Set Dewasa (Troge Tro Soluset Medic) Pcs 0 0 0 0 0 0 0 0
31 Iodium Test Botol 0 0 0 0 0 0 0 0
32 Kapas Pembalut / Abssorb.250 gram Bks 0 0 0 0 0 0 0 0
33 Kasa Hidrofil 36 x 80 cm Rol 0 0 0 0 0 0 0 0
34 Kasa Hidrofil 4 m x 15 cm Rol 0 0 0 0 0 0 0 0
35 Kasa Hidrofil 40 x 80 cm Rol 0 0 0 0 0 0 0 0
36 Kasa Hidrofil Steril 18 x 22 cm Kotak 0 0 0 0 0 0 0 0
37 Kasa Kompres 16 / 16 steril Kotak / 16 0 0 0 0 0 0 0 0
38 Kasa Kompres 40 x 40 Lmbr 0 0 0 0 0 0 0 0
One Lab 7 105 Frosted Microscope
39 Kotak 0 0 0 0 0 0 0 0
Slide,Object Closs 25,4x76,2 mm(1x3)
40 Optime 2/0, 1/2 TP 40 mm, 90 cm Pcs 0 0 0 0 0 0 0 0
41 Optime 3/0, 1/2 TP 26 mm, 75 cm Pcs 0 0 0 0 0 0 0 0
42 Perban 2 m x 80 cm Rol 0 0 0 0 0 0 0 0
43 Peter slik 2/0,1/2 TP 25 mm,75 cm Pcs 0 0 0 0 0 0 0 0
45 Peter slik 2/0,3/8 RC 25 mm,75 cm Pcs 0 0 0 0 0 0 0 0
48 Pewarna Ziehl Neelsen(Basil Tahan Asam) Paket 0 0 0 0 0 0 0 0
49 Pharmafik 5 cm x 500 cm Kotak 0 0 0 0 0 0 0 0
50 Poly Clean unit 0 0 0 0 0 0 0 0
51 Polypropelene 2/0 Pcs 0 0 0 0 0 0 0 0
54 Pot Sputum Kotak 0 0 0 0 0 0 0 0
55 Reagensia Paket 0 0 0 0 0 0 0 0
56 Rivanol ( Etakridina ) larutan 0,1 % Btl 0 0 0 0 0 0 0 0
57 Sendok Obat Pcs 0 0 0 0 0 0 0 0
58 Silk ( Benang Bedah Sutera ) No. 2/0 Pcs 0 0 0 0 0 0 0 0
59 Silk ( Benang Bedah Sutera ) No. 3/0 Sak 0 0 0 0 0 0 0 0
60 Slide Kotak 0 0 0 0 0 0 0 0
61 Stericlin Adesif Tape with indicator rol 0 0 0 0 0 0 0 0
62 Stericlin indicator strip steam Kotak 0 0 0 0 0 0 0 0
63 Stericlin Pouches FLAT 20 CM X200 M rol 0 0 0 0 0 0 0 0
64 Stericlin Pouches GUSSET 25X6,5 Cm ROL 0 0 0 0 0 0 0 0
65 Stik Asam Urat ktk 0 0 0 0 0 0 0 0
66 Stik Colestrol ktk 0 0 0 0 0 0 0 0
67 Stik Glucosa ktk 0 0 0 0 0 0 0 0
68 Stik Hemoglobin ktk 0 0 0 0 0 0 0 0
69 Surgical Mask - 3 ply kotak / 50 0 0 0 0 0 0 0 0
70 Surgicryl Rapid USP 2/0 Pcs 0 0 0 0 0 0 0 0
71 Surgicryl Rapid USP 3/0 PCS 0 0 0 0 0 0 0 0
72 Tro-Sensosurge Surgical glove steril 7,5 Pcs 0 0 0 0 0 0 0 0
73 Tro-vensite IV safe Plus 18 G Pcs 0 0 0 0 0 0 0 0
77 Urine Bag steril ( Tro-Urocol Plus ) Pcs 0 0 0 0 0 0 0 0
78 Wing Nedle No.23G Buah 0 0 0 0 0 0 0 0
79 Yodium Povidon larutan 10 % - 300 ml Btl 0 0 0 0 0 0 0 0
80 00 0 0 0 0 0 0 0 0
81 00 0 0 0 0 0 0 0 0
82 00 0 0 0 0 0 0 0 0
83 00 0 0 0 0 0 0 0 0
SA
PENERIMAAN
T
AWAL PEMAKAIAN
2017 2018 2017 2018 2019
84 00 0 0 0 0 0 0 0 0
85 00 0 0 0 0 0 0 0 0
86 00 0 0 0 0 0 0 0 0
87 00 0 0 0 0 0 0 0 0
88 00 0 0 0 0 0 0 0 0
89 00 0 0 0 0 0 0 0 0
90 00 0 0 0 0 0 0 0 0
91 00 0 0 0 0 0 0 0 0
92 00 0 0 0 0 0 0 0 0
93 00 0 0 0 0 0 0 0 0
94 00 0 0 0 0 0 0 0 0
95 00 0 0 0 0 0 0 0 0
96 00 0 0 0 0 0 0 0 0
97 00 0 0 0 0 0 0 0 0
98 00 0 0 0 0 0 0 0 0
99 00 0 0 0 0 0 0 0 0
100 00 0 0 0 0 0 0 0 0
JUMLAH TOTAL HARGA REKAPAN OBAT DAN ALAT FARMASI
Mengetahui,
Kepala Puskesmas .................................
Kabupaten Aceh Utara
....................Nama.....................
.................Nip.....................
JUMLAH SISA STOCK BERDASARKAN JUMLAH TOTAL
TAHUN PENERIMAAAN SISA STOCK
JUMLAH HARGA TOTAL SISA
STOCK
(STOCK
2017 2018 2019 OPNAME)
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
STOCK
(STOCK
2017 2018 2019 OPNAME)
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
STOCK
(STOCK
2017 2018 2019 OPNAME)
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
STOCK
(STOCK
2017 2018 2019 OPNAME)
Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
STOCK
(STOCK
2017 2018 2019 OPNAME)
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
STOCK
(STOCK
2017 2018 2019 OPNAME)
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
0 0 0 0 Rp -
Rp -
Rp -
...................................., tanggal - bulan - tahun

Pengelola Obat
....................Nama.....................
..................Nip.....................

LAPORAN MUTASI & STOCK OPNAME PUSKESMAS .............. BULAN ................... 2019v1

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LAPORAN PERSEDIAAN DAN MUTASI PUSKESMAS KABUPATEN ACEH UTARA

HARGA SATUAN HARGA SATUAN BERDASARKAN SUMBER TAHUN 2019

1 Acyclovir 200 mg Tab Rp 259.00

63 Hustab P tab Tab Rp 256.67

131 Vitamin B Komplek tablet Tab Rp 89.00

11 Alkazym powder 25gr ( sachet 25 x 25 gr ) Kotak Rp 921,150.00

78 Wing Nedle No.23G Buah Rp 1,400.00

JUMLAH TOTAL HARGA REKAPAN OBAT DAN ALAT FARMASI :

JKN DAK APBK BANTUAN HIBAH

JKN DAK APBK BANTUAN HIBAH

JKN DAK APBK BANTUAN HIBAH

JKN DAK APBK BANTUAN HIBAH

JKN DAK APBK BANTUAN HIBAH

JKN DAK APBK BANTUAN HIBAH

HIBAH JKN DAK

HIBAH JKN DAK

HIBAH JKN DAK

HIBAH JKN DAK

HIBAH JKN DAK

HIBAH JKN DAK

DAK APBK BANTUAN HIBAH

DAK APBK BANTUAN HIBAH

DAK APBK BANTUAN HIBAH

DAK APBK BANTUAN HIBAH

DAK APBK BANTUAN HIBAH

DAK APBK BANTUAN HIBAH

HARGA SATUAN BERDASARKAN SUMBER TAHUN 2019 JUMLAH STOCK

1 Acyclovir 200 mg Tab Rp 259.00 Rp - Rp - Rp - Rp - Rp - 0

57 Glimepiride 1 mg Tab Rp 174.00 Rp - Rp - Rp - Rp - Rp - 0

119 Salap 2 - 4 kombinasi pot Rp 3,013.00 Rp - Rp - Rp - Rp - Rp - 0

JUMLAH HARGA OBAT PSIKOTROPIKA

JUMLAH HARGA OBAT PSIKOTROPIKA

50 Poly Clean unit Rp 74,494.00 Rp - Rp - Rp - Rp - Rp - 0

JUMLAH HARGA BMHP/ALKES

JUMLAH TOTAL HARGA REKAPAN

JUMLAH HARGA SISA JUMLAH HARGA SISA JUMLAH HARGA SISA

JUMLAH HARGA SISA JUMLAH HARGA SISA JUMLAH HARGA SISA

JUMLAH HARGA SISA JUMLAH HARGA SISA JUMLAH HARGA SISA

JUMLAH HARGA SISA JUMLAH HARGA SISA JUMLAH HARGA SISA

JUMLAH HARGA SISA JUMLAH HARGA SISA JUMLAH HARGA SISA

JUMLAH HARGA SISA JUMLAH HARGA SISA JUMLAH HARGA SISA

JUMLAH PEMAKAIAN BERDASARKAN

1 Acyclovir 200 mg Tab 0 0 0 0 0 0 0 0

64 Hustab tab Tab 0 0 0 0 0 0 0 0

128 Tiamin HCL Mononitrat ( Vit. B 1 ) tablet 50 mg Tab 0 0 0 0 0 0 0 0

132 Zinc syr btl 0 0 0 0 0 0 0 0

JUMLAH HARGA OBAT

JUMLAH HARGA OBAT PSIKOTROPIKA

15 Aximed Examination Gloves Set 0 0 0 0 0 0 0 0

JUMLAH HARGA BMHP/ALKES

JUMLAH TOTAL HARGA REKAPAN OBAT DAN ALAT FARMASI

...................................., tanggal - bulan - tahun

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