Lplpo Busua 01C

LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
PUSKESMAS : PROPINSI : MALUKU UTARA

KECAMATAN : TAHUN : 2019
KABUPATEN : HAL-SEL BULAN :
HARGA HARGA STOK HARGA HARGA HARGA HARGA SISA

KODE NAMA OBAT SATUAN STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN SISA STOK STOK PKM
SATUAN AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK
1 Abbocath No. 18 Set 8,700 3 26,100 0 0 3 26,100 3 26100 0 0 0
2 Abbocath No. 20 Set 8,700 31 269,700 50 435000 81 704,700 16 139200 65 565,500 15
3 Abbocath No. 22 Set 8,700 29 252,300 50 435000 79 687,300 19 165300 60 522,000 0
4 Abbocath No. 24 Set 8,700 31 269,700 50 435000 81 704,700 11 95700 70 609,000 20
5 Abbocath No. 26 pcs 5,125 51 261,375 50 256250 101 517,625 9 46125 92 471,500 42
6 Actifed/Attapulgit Tablet 162 420 68,040 0 0 420 68,040 12 1944 408 66,096 400
7 Acyclovir 200 mg Tablet 640 0 0 0 0 0 0 0 0 0 0 0
8 Acyclovir 400 mg Tablet 930 300 279,000 0 0 300 279,000 0 0 300 279,000 300
9 Acyclovir cream Tube 165 32 5,272 0 0 32 5,272 6 988.5 26 4,284 25
10 Alat Check 3P (CGU) Buah 495,000 0 0 0 0 0 0 0 0 0 0 0
11 Alat Suntik 0,05 ml Set 3,100 0 0 0 0 0 0 0 0 0 0 0
12 Alat suntik 0,5 ml Set 8,437 100 843,700 0 0 100 843,700 0 0 100 843,700 100
13 Alat suntik 1 ml Set 897 89 79,833 0 0 89 79,833 13 11661 76 68,172 76
14 Alat suntik 2.5 ml Set 845 0 0 0 0 0 0 0 0 0 0 0
15 Alat suntik 3 ml Set 900 193 173,700 0 0 193 173,700 132 118800 61 54,900 0
16 Alat suntik 5 ml Set 1,071 0 0 0 0 0 0 0 0 0 0 0
17 Alat suntik 10 ml Set 1,380 55 75,900 0 0 55 75,900 0 0 55 75,900 55
18 Alat suntik 20 ml Set 4,147 5 20,735 0 0 5 20,735 0 0 5 20,735 5
19 Alat Suntik 50 ml Chateter Tip Pcs 9,745 5 48,725 0 0 5 48,725 0 0 5 48,725 5
20 Alat Suntik 50 ml Pcs 4,899 0 0 0 0 0 0 0 0 0 0 0
21 Alat test Hb pcs 608,113 0 0 0 0 0 0 0 0 0 0 0
22 Albendazole 400 mg Tablet 842 453 381,277 0 0 453 381,277 0 0 453 381,277 450
23 Alkohol 70% 1 L Botol 22,950 0 0 0 0 0 0 0 0 0 0 0
24 Alkohol 70% 300 ml Botol 13,400 6 80,400 5 67000 11 147,400 1 13400 10 134,000 5
25 Alkohol Gel Botol 28,600 0 0 2 57200 2 57,200 0 0 2 57,200 0
26 Alkohol swab (Aseptic Gel) lembar 125 460 57,500 0 0 460 57,500 232 29000 228 28,500 220
27 Allopurinol tablet 100 mg Tablet 108 2,940 317,520 0 0 2,940 317,520 310 33480 2,630 284,040 2600
28 Ambroxol 30 mg Tablet 232 639 148,133 0 0 639 148,133 513 118923.66 126 29,209 126
29 Ambroxol 15 mg/ml Botol 6,955 11 76,505 0 0 11 76,505 9 62595 2 13,910 0
30 Aminophilin 24 mg/ml Ampul 3,349 0 0 0 0 0 0 0 0 0 0 0
31 Aminophilin tablet 200 mg Tablet 130 100 13,000 0 0 100 13,000 0 0 100 13,000 100
32 Amlodipin 5 mg Tablet 83 320 26,560 0 0 320 26,560 0 0 320 26,560 320
33 Amlodipin 10 mg Tablet 99 338 33,462 0 0 338 33,462 0 0 338 33,462 338
34 Amoxicilin 250 mg Tablet 226 470 106,220 0 0 470 106,220 460 103960 10 2,260 10
35 Amoxicilin 500 mg Tablet 288 1,354 389,952 0 0 1,354 389,952 934 268992 420 120,960 400
36 Amoxicilin Sirup kering 125 mg/5 ml Botol 1,974 35 69,090 120 236880 155 305,970 12 23688 143 282,282 20
37 Amoxicilin Sirup kering 250 mg/5 ml Botol 7,315 0 0 0 0 0 0 0 0 0 0 0
38 Ampicillin injeksi Vial 10,296 7 72,072 0 0 7 72,072 0 0 7 72,072 7
39 Anisol Tablet 0 0 0 0 0 0 0 0 0 0 0 0
40 Antalgin (Metampiron) tablet 500 mg Tablet 172 550 94,600 0 0 550 94,600 493 84796 57 9,804 0
41 Antalgin inj Ampul 4,375 0 0 0 0 0 0 0 0 0 0 0
42 Antrain Inj Ampul 9,240 0 0 0 0 0 0 0 0 0 0 0
43 Antasida DOEN Suspensi Botol 2,408 33 79,464 0 0 33 79,464 5 12040 28 67,424 25
44 Antasida DOEN tablet kombinasi Tablet 58 1,665 96,570 0 0 1,665 96,570 370 21460 1,295 75,110 1280
45 Anti Haemoroid suppo Suppo 3,806 10 38,060 0 0 10 38,060 0 0 10 38,060 10
46 Antifungi DOEN kombinasi pot 5,198 21 109,158 0 0 21 109,158 0 0 21 109,158 21
47 Anvomer B6 Tablet 2,508 0 0 0 0 0 0 0 0 0 0 0
48 Aqua Pro injeksi steril Vial 2,860 6 17,160 0 0 6 17,160 1 2860 5 14,300 5
49 Arm sling S pcs 19,800 2 39,600 0 0 2 39,600 0 0 2 39,600 2
50 Arm sling M pcs 19,800 2 39,600 0 0 2 39,600 0 0 2 39,600 2
51 Arm Sling L pcs 19,800 2 39,600 0 0 2 39,600 0 0 2 39,600 2
52 Asam asetil salisilat 80 mg (Miniaspi) Tablet 104 2,245 233,480 0 0 2,245 233,480 170 17680 2,075 215,800 2000
53 Asam asetil salisilat 100 mg (Asetosal) Tablet 169 0 0 0 0 0 0 0 0 0 0 0
54 Asam asetil salisilat 500 mg Tablet 194 0 0 0 0 0 0 0 0 0 0 0
55 Asam askorbat (Vit. C) 50 mg Tablet 131 466 61,046 1,000 131000 1,466 192,046 418 54758 1,048 137,288 0
56 Asam askorbat (Vit. C) 250 mg Tablet 279 470 131,243 1,000 279240 1,470 410,483 460 128450.4 1,010 282,032 0
57 Asam Folat 1 mg Tablet 88 4,400 387,200 0 0 4,400 387,200 0 0 4,400 387,200 4400
58 Asam Mefenamat Tablet 500 mg Tablet 103 520 53,560 0 0 520 53,560 510 52530 10 1,030 0
59 Asam tranexamat inj Ampul 2,498 8 19,984 0 0 8 19,984 0 0 8 19,984 8
60 Asam tranexamat tab Tablet 1,800 265 477,000 0 0 265 477,000 30 54000 235 423,000 230
61 Aspar K Tablet 2,321 0 0 0 0 0 0 0 0 0 0 0
62 Atropina sulfat injeksi 0.25 mg/ml Ampul 1,476 0 0 0 0 0 0 0 0 0 0 0
63 Atropine 0,5 mg Tablet 100 1,500 150,000 0 0 1,500 150,000 0 0 1,500 150,000 1500
64 Bacitrasin polymixin Tube 3,000 0 0 0 0 0 0 0 0 0 0 0
65 Barotec inhaler Botol 170,700 0 0 0 0 0 0 0 0 0 0 0
66 Batugin elixir Botol 34,499 3 103,497 0 0 3 103,497 0 0 3 103,497 3
67 Becefort Botol 18,590 0 0 0 0 0 0 0 0 0 0 0
68 Benzatin bensil penisillin inj Vial 11,760 0 0 0 0 0 0 0 0 0 0 0
69 Besi (II) sulfat tablet salut kombinasi Tablet 354 9,545 3,378,930 0 0 9,545 3,378,930 465 164610 9,080 3,214,320 9050
70 Betahistin 6 mg Tablet 126 720 90,720 0 0 720 90,720 0 0 720 90,720 720
71 Betametason cream tube 1,520 31 47,120 0 0 31 47,120 29 44080 2 3,040 2
72 Biolisin syr Botol 11,655 0 0 0 0 0 0 0 0 0 0 0
73 Bioplacenton Tube 13,515 0 0 0 0 0 0 0 0 0 0 0
74 Bioron ampul 4,630 0 0 0 0 0 0 0 0 0 0 0
75 Bisoprolol Tablet 909 0 0 0 0 0 0 0 0 0 0 0
76 Bisturi pcs 1,050 132 138,600 0 0 132 138,600 22 23100 110 115,500 110
77 Blood lancet pcs 189 95 17,989 0 0 95 17,989 0 0 95 17,989 95
78 Box Slide Pcs 98,066 0 0 0 0 0 0 0 0 0 0 0
79 Bromhexin Tablet 105 0 0 0 0 0 0 0 0 0 0 0
80 Buscopan Injeksi Ampul 23,600 0 0 0 0 0 0 0 0 0 0 0
81 Buscopan tablet Tablet 3,494 0 0 0 0 0 0 0 0 0 0 0
82 Calcii Gluconas 100 mg/mL Ampul 7,800 0 0 0 0 0 0 0 0 0 0 0
83 Captopril Tablet 12.5 mg Tablet 77 680 52,360 0 0 680 52,360 290 22330 390 30,030 390
84 Captopril Tablet 25 mg Tablet 150 450 67,626 0 0 450 67,626 0 0 450 67,626 450
85 Captopril Tablet 50 mg Tablet 153 0 0 0 0 0 0 0 0 0 0 0
86 Catgut Plan 2/0 Set 7,258 29 210,492 0 0 29 210,492 2 14516.66 27 195,975 27
87 Catgut plan 2/0 HR 26MM Set 35,725 0 0 0 0 0 0 0 0 0 0 0
88 Catgut Plan 3/0 Set 7,258 29 210,492 0 0 29 210,492 3 21774.99 26 188,717 25
89 Catgut plan 3/0 HR 26MM Set 35,725 0 0 0 0 0 0 0 0 0 0 0
90 Catgut Chromic 2/0 Set 6,979 17 118,646 0 0 17 118,646 1 6979.16 16 111,667 16
91 Catgut Chromic 2/0 HR 26MM Set 34,225 0 0 0 0 0 0 0 0 0 0 0
92 Catgut Chromic 3/0 Set 7,258 35 254,042 0 0 35 254,042 0 0 35 254,042 35
93 Catgut Chromic 3/0 HR 26MM Set 34,225 0 0 0 0 0 0 0 0 0 0 0
94 Caviplex Tablet 557 495 275,616 0 0 495 275,616 435 242208 60 33,408 0
95 Caviplex drop Botol 4,199 0 0 0 0 0 0 0 0 0 0 0
96 Caviplex syrup Botol 8,880 10 88,800 0 0 10 88,800 9 79920 1 8,880 0
97 Cefadroxil 500 mg Tablet Kapsul 1,126 110 123,816 0 0 110 123,816 90 101304 20 22,512 0
98 Cefadroxyl syr botol 19,318 3 57,954 0 0 3 57,954 3 57954 0 0 0
99 Cefazolin inj 1 gr Vial 19,800 0 0 0 0 0 0 0 0 0 0 0
100 Cefixim 100 mg Tablet 3,185 0 0 0 0 0 0 0 0 0 0 0
101 Cefixim syr Botol 26,334 3 79,002 0 0 3 79,002 3 79002 0 0 0
102 Cefotaximin Injeksi Vial 4,704 18 84,672 0 0 18 84,672 2 9408 16 75,264 15
103 Ceftriaxon Injeksi Vial 5,143 9 46,287 0 0 9 46,287 0 0 9 46,287 9
104 Cetrizin syr 5mg/5 ml Botol 3,192 13 41,496 0 0 13 41,496 3 9576 10 31,920 10
105 Cetrizin tab 10 mg Tablet 111 270 29,970 0 0 270 29,970 40 4440 230 25,530 200
106 Chloramfenicol tetes telinga Botol 7,680 10 76,800 0 0 10 76,800 0 0 10 76,800 10
107 Chlorampenicol Capsul 250 mg Kapsul 357 5 1,785 0 0 5 1,785 0 0 5 1,785 5
108 Chlorampenicol Salap mata 1 % Tube 1,375 79 108,625 0 0 79 108,625 8 11000 71 97,625 70
109 Chlorampenicol Syrup 60 ml Botol 4,900 0 0 0 0 0 0 0 0 0 0 0
110 Chlorampenicol Tetes Mata Botol 3,000 0 0 0 0 0 0 0 0 0 0 0
111 Cimetidin Tablet 200 mg Tablet 115 0 0 0 0 0 0 0 0 0 0 0
112 Ciprofloxasin infus Botol 24,487 0 0 0 0 0 0 0 0 0 0 0
113 Ciprofoxacin Tablet 500 mg Tablet 927 20 18,545 0 0 20 18,545 20 18545.2 0 0 0
114 Citocetin syr Botol 3,300 0 0 0 0 0 0 0 0 0 0 0
115 Clindamycin 150 mg Tablet 451 0 0 0 0 0 0 0 0 0 0 0
116 Clindamycin 300 mg Tablet 1,415 0 0 0 0 0 0 0 0 0 0 0
117 Clonidin Tablet 156 377 58,812 0 0 377 58,812 0 0 377 58,812 377
118 Clopidogrel bisulfate Tablet 1,659 0 0 0 0 0 0 0 0 0 0 0
119 Colcitin Tablet 2,874 150 431,100 0 0 150 431,100 0 0 150 431,100 150
120 Combivent 2.5ml Flesh 4,550 100 455,000 0 0 100 455,000 0 0 100 455,000 100
121 Curcuma +DHA syr Botol 10,590 0 0 0 0 0 0 0 0 0 0 0
122 Curcuma Tab Tablet 953 190 181,070 0 0 190 181,070 20 19060 170 162,010 150
123 Dasabion Tablet 864 0 0 0 0 0 0 0 0 0 0 0
124 Decamidon Vial 16,852 0 0 0 0 0 0 0 0 0 0 0
125 Dekstrometorfan hbr syrup 10 mg/ml Botol 8,590 0 0 0 0 0 0 0 0 0 0 0
126 Dermafix-t lembar 14,683 0 0 0 0 0 0 0 0 0 0 0
127 Dexametason Injeksi 5 mg / 1 mL Ampul 1,910 14 26,740 0 0 14 26,740 2 3820 12 22,920 12
128 Dexametason Tablet 0.5 mg Tablet 37 5,414 200,318 0 0 5,414 200,318 430 15910 4,984 184,408 4970
130 Dextran 70 lar.infs 6% Tablet 38,755 0 0 0 0 0 0 0 0 0 0 0
131 Difenhidramin Ampul 1,474 41 60,434 0 0 41 60,434 0 0 41 60,434 41
132 Digoksin Kapsul 0.25 mg Kapsul 119 0 0 0 0 0 0 0 0 0 0 0
133 Diltiazem Tablet 153 100 15,300 0 0 100 15,300 0 0 100 15,300 100
134 Dimenhidrinat Tablet 131 400 52,400 0 0 400 52,400 0 0 400 52,400 400
135 Doksisiklin Kapsul 100 mg Kapsul 252 0 0 0 0 0 0 0 0 0 0 0
136 Domperidon 10 mg Tablet 144 360 51,840 1,000 144000 1,360 195,840 0 0 1,360 195,840 360
137 Domperidon Syrup Botol 3,105 6 18,630 50 155250 56 173,880 6 18630 50 155,250 0
138 Dulcolac Tablet Tablet 1,149 0 0 0 0 0 0 0 0 0 0 0
139 Dulcolactol Botol 55,745 0 0 0 0 0 0 0 0 0 0 0
140 Ephynefrin Injeksi Ampul 5,290 179 946,910 0 0 179 946,910 0 0 179 946,910 179
141 Erytromisin 250 mg Tablet 833 0 0 0 0 0 0 0 0 0 0 0
142 Erytomisin 500 mg Tablet 1,399 500 699,600 0 0 500 699,600 0 0 500 699,600 500
143 Erytromisin Syrup Botol 10,594 0 0 0 0 0 0 0 0 0 0 0
144 Etakridina (Rivanol) Larutan 0.1 % Botol 3,443 18 61,974 0 0 18 61,974 0 0 18 61,974 17
145 Ethyl Khlorida Spray Botol 220,000 0 0 0 0 0 0 0 0 0 0 0
146 Famotidin 40 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0
147 Farbion 5000 Ampul 6,471 0 0 0 0 0 0 0 0 0 0 0
148 Feeding Tube FR 5/100 Pcs 9,570 2 19,140 0 0 2 19,140 0 0 2 19,140 2
149 Feeding Tube FR 5/40 pcs 9,570 2 19,140 0 0 2 19,140 0 0 2 19,140 2
150 Feeding Tube FR 8/100 pcs 9,570 2 19,140 0 0 2 19,140 0 0 2 19,140 2
151 Feeding Tube FR 8/40 Pcs 9,570 2 19,140 0 0 2 19,140 0 0 2 19,140 2
152 FG throches Tablet 1,066 0 0 0 0 0 0 0 0 0 0 0
153 Fitomenadion (Vit-K) 10 mg/ml injeksi Ampul 2,088 51 106,488 0 0 51 106,488 0 0 51 106,488 50
154 Fitomenadion (Vit-K) 2 mg/ml injeksi Ampul 2,874 0 0 0 0 0 0 0 0 0 0 0
155 Fitomenadion (Vit-K) Tablet Salut 10 mg Tablet 761 85 64,685 0 0 85 64,685 70 53270 15 11,415 0
156 Fixer Botol 268,728 0 0 0 0 0 0 0 0 0 0 0
157 Folley Cateter 2 way no 8 Pcs 39,000 4 156,000 0 0 4 156,000 0 0 4 156,000 4
161 Folley Cateter 2 way no 22 Pcs 18,450 0 0 0 0 0 0 0 0 0 0 0
164 Furosemid Tablet 40 mg Tablet 89 450 40,050 0 0 450 40,050 0 0 450 40,050 450
165 Fucilex cream 5 mg Tube 5,112 2 10,224 0 0 2 10,224 0 0 2 10,224 2
166 Gemfibrosil 300 mg Tablet 347 0 0 0 0 0 0 0 0 0 0 0
167 Gentamisin Salep Mata/Genoit Tube 3,300 31 102,300 0 0 31 102,300 0 0 31 102,300 25
168 Gentamysin injeksi Ampul 3,854 0 0 0 0 0 0 0 0 0 0 0
169 Gentamysin Salep Kulit Tube 6,955 16 111,280 0 0 16 111,280 3 20865 13 90,415 10
170 Gentamysin Tetes mata 5 ml Botol 5,315 19 100,985 0 0 19 100,985 2 10630 17 90,355 15
171 Gentian Violet Larutan 1 % Botol 3,000 17 51,000 0 0 17 51,000 9 27000 8 24,000 8
172 Gitas inj Ampul 13,200 0 0 0 0 0 0 0 0 0 0 0
173 Glibenclamida Tablet Tablet 92 0 0 0 0 0 0 0 0 0 0 0
174 Glimepirid Tablet 216 0 0 0 0 0 0 0 0 0 0 0
175 Gliseryl guaycolate 100 mg Tablet 126 118 14,868 1,000 126000 1,118 140,868 118 14868 1,000 126,000 0
176 Glucoprotein test strip 2,038 0 0 0 0 0 0 0 0 0 0 0
177 Glukosa Larutan 5 % steril Botol 6,240 38 237,120 0 0 38 237,120 0 0 38 237,120 38
178 Glukosa Larutan 10 % steril Botol 7,500 20 150,000 0 0 20 150,000 0 0 20 150,000 20
179 Griseovulvin/Gricin Tablet 125 mg Tablet 239 813 194,307 0 0 813 194,307 410 97990 403 96,317 400
180 Handscoon non steril pcs 500 312 156,000 200 100000 512 256,000 34 17000 478 239,000 270
181 Handscoon Steril Obgin pcs 24,200 4 96,800 0 0 4 96,800 2 48400 2 48,400 2
182 Hanscoon Steril No.6,5 pcs 4,020 17 68,340 0 0 17 68,340 15 60300 2 8,040 0
183 Hanscoon Steril No.7 Pcs 4,020 106 426,120 0 0 106 426,120 3 12060 103 414,060 100
184 Hanscoon Steril No.7,5 Pcs 4,020 44 176,880 0 0 44 176,880 23 92460 21 84,420 0
185 Hanscoon Steril No.8 Pcs 5,434 0 0 0 0 0 0 0 0 0 0 0
186 Harnal Osce Tablet 0 0 0 0 0 0 0 0 0 0 0 0
187 Hemafort Tablet 843 0 0 0 0 0 0 0 0 0 0 0
188 Hidrocortisone Cream 2.5 % Tube 3,000 40 120,000 0 0 40 120,000 5 15000 35 105,000 30
189 Hidroklortisida (HCT) Tablet 25 mg Tablet 128 730 93,440 0 0 730 93,440 0 0 730 93,440 730
190 Hufagrib syr Botol 10,750 0 0 0 0 0 0 0 0 0 0 0
191 Humulin N 10 ml Botol 319,000 0 0 0 0 0 0 0 0 0 0 0
192 Humulin R 10 ml Botol 319,000 0 0 0 0 0 0 0 0 0 0 0
193 Hyoscine N butilbrimoda 10 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0
194 Hypafix roll 51,700 0 0 0 0 0 0 0 0 0 0 0
195 Ibuprofen 200 mg Tablet 121 0 0 0 0 0 0 0 0 0 0 0
196 Ibuprofen 400 mg Tablet 465 210 97,745 0 0 210 97,745 210 97744.5 0 0 0
197 Ibuprofen syr Botol 2,795 79 220,805 0 0 79 220,805 43 120185 36 100,620 15
198 Ictyol Salap kulit Pot 0 0 0 0 0 0 0 0 0 0 0 0
199 Infusion set Anak Set 4,830 40 193,200 0 0 40 193,200 27 130410 13 62,790 10
200 Infusion Set Dewasa Set 4,160 75 312,000 0 0 75 312,000 22 91520 53 220,480 50
201 Insto TM Botol 15,475 0 0 0 0 0 0 0 0 0 0 0
202 Isosorbit Dinihidrat (ISDN) Tablet 5 mg Tablet 107 200 21,400 0 0 200 21,400 0 0 200 21,400 200
203 Kalnex 500 mg Tablet 2,695 0 0 0 0 0 0 0 0 0 0 0
204 Kalsium Laktat Tablet 500 mg Tablet 75 765 57,375 0 0 765 57,375 430 32250 335 25,125 330
205 Kantong Darah Bks 11,000 0 0 0 0 0 0 0 0 0 0 0
206 Kapas Pembalut / Atsorben 250 g Bks 16,250 2 32,500 0 0 2 32,500 0 0 2 32,500 2
207 Kapas Pembalut / Atsorben 500 g Bks 35,464 1 35,464 0 0 1 35,464 0 0 1 35,464 1
208 Kapas Pembalut / Atsorben 1000 g Bks 70,928 0 0 0 0 0 0 0 0 0 0 0
209 Kasa pembalut 40 x 80 cm Bks 136,500 4 546,000 0 0 4 546,000 0 0 4 546,000 4
210 Kasa Pembalut 2 x 80 cm bks 10,010 0 0 0 0 0 0 0 0 0 0 0
211 Kasa Kompres 40 x 40 cm Bks 2,080 10 20,800 0 0 10 20,800 0 0 10 20,800 10
212 Kasa Pembalut Hidrofil 3,8 x 15 cm roll 2,730 0 0 0 0 0 0 0 0 0 0 0
213 Kasa Pembalut Hydrofil 16 x 16 cm Kotak 10,000 18 180,000 0 0 18 180,000 14 140000 4 40,000 0
214 Kasa Pembalut Hydrofil 18 x 22 cm Kotak 8,142 0 0 0 0 0 0 0 0 0 0 0
215 Kasa Pembalut Hydrofil 4 x15 cm Rol 0 0 0 0 0 0 0 0 0 0 0
216 Kertas puyer lembar 100 0 0 0 0 0 0 0 0 0 0 0
217 Ketokonazole 200 mg Tablet 311 170 52,870 0 0 170 52,870 30 9330 140 43,540 120
218 Ketokonazole Kream 2 % Tube 2,930 34 99,620 0 0 34 99,620 16 46880 18 52,740 15
219 Ketoprofen suppo suppo 2,591 20 51,820 0 0 20 51,820 0 0 20 51,820 20
220 Ketorolac 30 mg/ml Ampul 1,444 47 67,868 0 0 47 67,868 3 4332 44 63,536 40
221 Khlorampeniramin Maleat (CTM) Tablet 4 mg Tablet 25 2,716 67,900 0 0 2,716 67,900 1312 32800 1,404 35,100 1400
222 Kotrimoxasole Suspensi Botol 2,439 165 402,435 0 0 165 402,435 23 56097 142 346,338 140
223 Kotrimoxasole Tablet Komb 480 mg Tablet 132 1,596 210,672 0 0 1,596 210,672 320 42240 1,276 168,432 1100
224 Kotrimoxasole Tablet Pediatrik komb 120 mg Tablet 828 0 0 0 0 0 0 0 0 0 0 0
225 Lacbon Tablet 1,430 0 0 0 0 0 0 0 0 0 0 0
226 Lactulosa Botol 14,500 8 116,000 0 0 8 116,000 5 72500 3 43,500 3
227 Lansoprazol Tablet 596 0 0 0 0 0 0 0 0 0 0 0
228 Levodopa Tablet 1,455 0 0 0 0 0 0 0 0 0 0 0
229 Levoploksasin 500 mg Tablet 690 150 103,500 0 0 150 103,500 0 0 150 103,500 150
230 Licalvit Tablet 0 0 0 0 0 0 0 0 0 0 0
231 Licalvit syr Botol 25,210 0 0 0 0 0 0 0 0 0 0 0
232 Lidocain inj Ampul 1,433 140 200,620 0 0 140 200,620 0 0 140 200,620 140
233 Lidocain 2%+epinefrin 2ml (compositium) Ampul 1,440 0 0 0 0 0 0 0 0 0 0 0
234 Lisinopril Tablet 126 0 0 0 0 0 0 0 0 0 0 0
235 Lisol. Mengandung kresol tersabun 50 % Botol 53,300 2 106,600 0 0 2 106,600 1 53300 1 53,300 0
236 Livron B-Plex Tablet 259 1,375 356,125 0 0 1,375 356,125 0 0 1,375 356,125 1305
237 Loperamid Botol 100 396 39,600 0 0 396 39,600 60 6000 336 33,600 320
238 Loratadin Tablet 180 440 79,200 0 0 440 79,200 0 0 440 79,200 440
239 Lumpang dan alu Set 89,562 0 0 0 0 0 0 0 0 0 0 0
240 Masker pcs 429 142 60,918 700 300300 842 361,218 132 56628 710 304,590 0
241 Mebendasole Tablet 100 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
242 Mebendazol syr 100 mg botol 4,241 0 0 0 0 0 0 0 0 0 0 0
243 Meloxicam 7,5 mg Tablet 872 210 183,120 0 0 210 183,120 210 183120 0 0 0
244 Meloxicam 15 mg Tablet 1,380 0 0 0 0 0 0 0 0 0 0 0
245 Metformin Botol 120 400 48,000 0 0 400 48,000 130 15600 270 32,400 250
246 Methyl Prednisolon 4 mg Tablet 143 390 55,770 0 0 390 55,770 0 0 390 55,770 350
247 Methyl Prednisolon 8 mg Tablet 440 0 0 0 0 0 0 0 0 0 0 0
248 Methyl Prednisolon inj 125 mg Vial 12,899 6 77,394 0 0 6 77,394 0 0 6 77,394 6
249 Methyl Prednisolon inj 500 mg Vial 84,455 0 0 0 0 0 0 0 0 0 0 0
250 Metildopa 250 mg tab Tablet 1,920 200 384,000 0 0 200 384,000 0 0 200 384,000 200
251 Metilen Blue Botol 151,400 0 0 0 0 0 0 0 0 0 0 0
252 Metilergometrina Maleat Injeksi 0.0002mg/ml Ampul 3,564 35 124,740 0 0 35 124,740 0 0 35 124,740 35
253 Metilergometrina Maleat Tablet 0.125 mg Tablet 271 672 182,112 0 0 672 182,112 0 0 672 182,112 672
254 Metoclopramid 5 mg Tablet 689 0 0 0 0 0 0 0 0 0 0 0
255 Metoclopramid 10 mg Tablet 109 330 35,970 0 0 330 35,970 0 0 330 35,970 330
256 Metoclopramid drop Botol 5,818 25 145,450 0 0 25 145,450 3 17454 22 127,996 20
257 Metoclopramid inj 5 mg/ml Ampul 4,950 0 0 0 0 0 0 0 0 0 0 0
258 Metoclopramid syr 5 mg/ml Botol 3,300 0 0 0 0 0 0 0 0 0 0 0
259 Metronidasole infus Botol 8,250 60 495,000 0 0 60 495,000 0 0 60 495,000 60
260 Metronidasole syr Botol 3,455 7 24,185 0 0 7 24,185 2 6910 5 17,275 5
261 Metronidasole tablet 250 mg Tablet 106 0 0 0 0 0 0 0 0 0 0 0
262 Metronidasole tablet 500 mg Tablet 151 540 81,540 0 0 540 81,540 80 12080 460 69,460 450
263 MgSO4 20% Botol 1,539 2 3,078 0 0 2 3,078 0 0 2 3,078 2
264 MgSO4 40% vial 2,500 7 17,500 0 0 7 17,500 0 0 7 17,500 7
265 Miconazole Cream Tube 4,060 29 117,740 0 0 29 117,740 9 36540 20 81,200 20
266 Miomergin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0
267 Molagit Tablet 502 0 0 0 0 0 0 0 0 0 0 0
268 Na. cklorida larutan infus 0.9% steril (NACL) Botol 6,410 43 275,630 0 0 43 275,630 4 25640 39 249,990 37
269 Na. Diklofenak 25 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
270 Na. Diklofenak 50 mg Tablet 77 10 770 0 0 10 770 0 0 10 770 0
271 Nefrolit Tablet 662 0 0 0 0 0 0 0 0 0 0 0
272 Neo Kaominal Botol 5,200 0 0 0 0 0 0 0 0 0 0 0
273 Nerobion inj vial 10,000 0 0 0 0 0 0 0 0 0 0 0
274 Neurodial Tablet 4,290 0 0 0 0 0 0 0 0 0 0 0
275 Neurosanbe 3ml Ampul 1,840 0 0 0 0 0 0 0 0 0 0 0
276 Nifedipine Tablet 10mg Tablet 139 360 50,040 0 0 360 50,040 0 0 360 50,040 360
277 Nistatin 100.000 IU tab vaginal Tablet 655 300 196,500 0 0 300 196,500 0 0 300 196,500 300
278 Nistatin 500.000 IU tab vaginal Tablet 932 0 0 0 0 0 0 0 0 0 0 0
279 Nodiar Tablet 0 0 0 0 0 0 0 0 0 0 0
280 Norelut Tablet 4,410 0 0 0 0 0 0 0 0 0 0 0
281 Novadryl inj vial 0 0 0 0 0 0 0 0 0 0 0
282 Novamidon vial 0 0 0 0 0 0 0 0 0 0 0
283 NOZA Tablet 798 63 50,274 0 0 63 50,274 24 19152 39 31,122 0
284 OBH Syr Botol 0 0 0 0 0 0 0 0 0 0 0
285 Ofloxasin 400 mg Tablet 785 0 0 0 0 0 0 0 0 0 0 0
286 Oksitetrasiklin Salep Kulit 3% Ampul 2,012 163 327,956 0 0 163 327,956 32 64384 131 263,572 130
287 Oksitetrasiklin Salep Mata 1% Tube 1,375 111 152,625 0 0 111 152,625 7 9625 104 143,000 100
288 Omeprazol Tablet 150 130 19,500 0 0 130 19,500 80 12000 50 7,500 50
289 Ondansetron 4mg Tablet 440 80 35,200 0 0 80 35,200 0 0 80 35,200 80
290 Ondansetron inj Ampul 1,300 10 13,000 0 0 10 13,000 0 0 10 13,000 10
291 Oralit Sachet 278 210 58,380 0 0 210 58,380 45 12510 165 45,870 160
292 Papaverin Tablet 166 360 59,760 0 0 360 59,760 80 13280 280 46,480 250
293 Papaverin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0
294 Paracetamol 100 mg Tablet 38 0 0 0 0 0 0 0 0 0 0 0
295 Paracetamol 500mg Tablet 62 2,933 181,846 0 0 2,933 181,846 870 53940 2,063 127,906 2060
296 Paracetamol infus Botol 29,426 5 147,130 0 0 5 147,130 0 0 5 147,130 5
297 Parasetamol drops Botol 22,384 0 0 0 0 0 0 0 0 0 0 0
298 Parasetamol Syrup Botol 6,635 178 1,181,030 0 0 178 1,181,030 18 119430 160 1,061,600 150
299 Pehacain inj Ampul 3,113 0 0 0 0 0 0 0 0 0 0 0
300 Phenol Gliserol Botol 2,500 47 117,500 0 0 47 117,500 2 5000 45 112,500 40
301 Phenyl Butason Tablet 0 0 0 0 0 0 0 0 0 0 0 0
302 Phenytoin Ampul 4,543 0 0 0 0 0 0 0 0 0 0 0
303 Phenytoin sodium Tablet 158 0 0 0 0 0 0 0 0 0 0 0
304 Pilocarpin TM 2% Botol 0 0 0 0 0 0 0 0 0 0 0 0
305 Pipet plastik pcs 2,500 0 0 0 0 0 0 0 0 0 0 0
306 Piracetam 800 mg Tablet 876 0 0 0 0 0 0 0 0 0 0 0
307 Piridoksina HcL (Vit. B6) inj Ampul 1,280 0 0 0 0 0 0 0 0 0 0 0
308 Piridoksina HcL (Vit. B6) Tablet 10 mg Tablet 154 50 7,700 0 0 50 7,700 0 0 50 7,700 50
309 Piroksicam Kapsul 10 mg Kapsul 232 210 48,682 0 0 210 48,682 210 48682.2 0 0 0
310 Pita ukur lila lembar 0 0 0 0 0 0 0 0 0 0 0 0
311 Pitogen Injeksi/ Oxytosin Ampul 92,400 16 1,478,400 0 0 16 1,478,400 6 554400 10 924,000 10
312 Plester 10 cm x 5 inci Rol 18,311 0 0 0 0 0 0 0 0 0 0 0
313 Plester 2,5 yards x 4,5 inci Rol 11,964 8 95,712 0 0 8 95,712 2 23928 6 71,784 5
314 Plester 5 yards x 2 inci Rol 31,600 0 0 0 0 0 0 0 0 0 0 0
315 Plester 7,5 cm x 4,5 cm roll 51,700 0 0 0 0 0 0 0 0 0 0 0
316 Policrepe 7,5 x 4,55 Roll 28,980 0 0 0 0 0 0 0 0 0 0 0
317 Policrepe 10 x 4,55 Roll 29,980 0 0 0 0 0 0 0 0 0 0 0
318 Policrepe 15 x 4,55 Roll 44,470 0 0 0 0 0 0 0 0 0 0 0
319 Poligyp 10 x 2,7 Roll 24,080 0 0 0 0 0 0 0 0 0 0 0
320 Poligyp 15x2,7 Roll 32,009 0 0 0 0 0 0 0 0 0 0 0
321 Poligyp 7,5x2,7 Roll 17,113 0 0 0 0 0 0 0 0 0 0 0
322 PP Tes Kehamilan pcs 2,521 92 231,932 0 0 92 231,932 16 40336 76 191,596 73
323 Pralax Botol 52,800 0 0 0 0 0 0 0 0 0 0 0
324 Prednisone Tablet 5 mg Tablet 91 5,252 477,932 0 0 5,252 477,932 430 39130 4,822 438,802 4800
325 Pritacort Tablet 616 0 0 0 0 0 0 0 0 0 0 0
326 Prodiluent Botol 2,695,000 0 0 0 0 0 0 0 0 0 0 0
327 Prokaina Bensil Penisillin Vial 0 0 0 0 0 0 0 0 0 0 0 0
328 Propanolol HcL Tablet 10 mg Tablet 80 0 0 0 0 0 0 0 0 0 0 0
329 Propiltiourasil Tablet 100 mg Tablet 471 0 0 0 0 0 0 0 0 0 0 0
330 Pyrantel Pamoat (Pyrantel) syr 125mg Botol 10,420 0 0 0 0 0 0 0 0 0 0 0
331 Pyrantel Pamoat (Pyrantel) tab 125mg Tablet 361 215 77,615 0 0 215 77,615 8 2888 207 74,727 200
332 Ranitidin 150 mg Tablet 240 385 92,400 0 0 385 92,400 160 38400 225 54,000 225
333 Ranitidin Injeksi Ampul 1,653 0 0 0 0 0 0 0 0 0 0 0
334 Relivan Inj 0.5mg Ampul 3,400 0 0 0 0 0 0 0 0 0 0 0
335 Reserpina Tablet 0.25 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0
336 Retinol (Vit.A) Kapsul lunak 100.000 mg Kapsul 355 120 42,600 0 0 120 42,600 0 0 120 42,600 120
337 Retinol (Vit.A) Kapsul lunak 200.000 mg Kapsul 407 250 101,750 0 0 250 101,750 0 0 250 101,750 250
338 Rhinofed Tablet 850 0 0 0 0 0 0 0 0 0 0 0
339 Ringer Laktat Larutan Infus Steril Botol 7,150 74 529,100 0 0 74 529,100 34 243100 40 286,000 20
340 Salbutamol 2 mg Tablet 164 440 72,362 0 0 440 72,362 30 4933.8 410 67,429 400
341 Salbutamol 4 mg Tablet 81 1,225 99,225 0 0 1,225 99,225 125 10125 1,100 89,100 1000
342 Salep 2-4 cream Pot 3,040 44 133,760 0 0 44 133,760 3 9120 41 124,640 40
343 Salisil Bedak 2.5 % Botol 6,552 24 157,248 0 0 24 157,248 9 58968 15 98,280 15
344 Scabicid Cream Tube 48,000 1 48,000 0 0 1 48,000 0 0 1 48,000 1
345 Scabicore Tube 74,074 0 0 0 0 0 0 0 0 0 0 0
346 Scopamin 20 mg/ml Ampul 0 0 0 0 0 0 0 0 0 0 0 0
347 Sianocobalamin (Vit. B 12) 10 mg Tablet 53 1,490 78,970 0 0 1,490 78,970 670 35510 820 43,460 800
348 Sianocobalamin (Vit. B 12) 500 mg/ml injeksi Ampul 1,423 31 44,113 100 142300 131 186,413 11 15653 120 170,760 20
349 Silk (Benang Bedah Sutra) N0. 2/0 set 3,972 19 75,468 0 0 19 75,468 1 3972 18 71,496 18
350 Silk (Benang Bedah Sutra) N0. 3/0 Set 3,819 31 118,389 0 0 31 118,389 1 3819 30 114,570 30
351 Silk black 24 MM pcs 25,325 0 0 0 0 0 0 0 0 0 0 0
352 Silk black 37 MM pcs 22,125 0 0 0 0 0 0 0 0 0 0 0
353 Silk black 2/0 HR 26 pcs 21,125 0 0 0 0 0 0 0 0 0 0 0
354 Silk black 3/0 HR 26 pcs 21,125 0 0 0 0 0 0 0 0 0 0 0
355 Simvastatin 10 Tablet 117 400 46,800 0 0 400 46,800 0 0 400 46,800 400
356 Simvastatin 20 Tablet 240 330 79,200 0 0 330 79,200 180 43200 150 36,000 150
357 Slide set 542 91 49,322 0 0 91 49,322 0 0 91 49,322 90
358 Softratule Lambar 21,700 0 0 0 0 0 0 0 0 0 0 0
359 Stik Asam Urat Strip 4,400 50 220,000 0 0 50 220,000 0 0 50 220,000 50
360 Stik Glucosa Strip 3,575 50 178,750 0 0 50 178,750 0 0 50 178,750 50
361 Stik Cholesterol Strip 8,195 25 204,875 0 0 25 204,875 0 0 25 204,875 25
362 Stik Nesco Hb Strip 15,840 25 396,000 0 0 25 396,000 0 0 25 396,000 25
363 Streptomisin inj vial 0 0 0 0 0 0 0 0 0 0 0 0
364 Tabung EDTA Botol 4,840 100 484,000 0 0 100 484,000 0 0 100 484,000 100
365 Teofillin Tablet 1,260 0 0 0 0 0 0 0 0 0 0 0
366 Tetrasiklin Kapsul 250 mg Kapsul 0 0 0 0 0 0 0 0 0 0 0 0
367 Tetrasiklin Kapsul 500 mg Kapsul 348 250 87,000 0 0 250 87,000 0 0 250 87,000 250
368 Thrombopop Gel Tube 52,910 0 0 0 0 0 0 0 0 0 0 0
369 Tiamin HcL (Vit. B1) Tablet 50 mg Tablet 41 650 26,650 0 0 650 26,650 460 18860 190 7,790 190
370 Tiamin inj 100 mg/ml Ampul 1,368 47 64,296 0 0 47 64,296 21 28728 26 35,568 24
371 Transfusion set Set 4,680 0 0 0 0 0 0 0 0 0 0 0
372 Trifed Tablet 1,265 0 0 0 0 0 0 0 0 0 0 0
373 Trifluoperazin 5 mg Tablet 49 0 0 0 0 0 0 0 0 0 0 0
374 Urin Bag Steril pcs 10,000 8 80,000 0 0 8 80,000 0 0 8 80,000 8
375 USG Gel pcs 16,360 2 32,720 0 0 2 32,720 0 0 2 32,720 2
376 Valsartan Tablet 10,294 0 0 0 0 0 0 0 0 0 0 0
377 Vicanatal/Pehavral Tablet 831 0 0 0 0 0 0 0 0 0 0 0
378 Visine TM Botol 0 0 0 0 0 0 0 0 0 0 0 0
379 Vitamin B Compleks inj Ampul 10,800 11 118,800 0 0 11 118,800 4 43200 7 75,600 5
380 Vitamin B Compleks Tablet Tablet 147 1,547 227,409 0 0 1,547 227,409 1117 164199 430 63,210 200
381 Vitamin K3/menadion Ampul 1,450 0 0 0 0 0 0 0 0 0 0 0
382 Vitamin K3/Menadion Tablet 60 0 0 0 0 0 0 0 0 0 0 0
383 Wing Nedlle No. 21 Set 1,820 0 0 0 0 0 0 0 0 0 0 0
384 Wing Nedlle No. 23 Set 1,750 179 313,250 0 0 179 313,250 0 0 179 313,250 178
385 Wing Nedlle No. 25 Set 1,820 0 0 0 0 0 0 0 0 0 0 0
386 Yodium Pavidon 10 % 60 ml Botol 7,532 0 0 0 0 0 0 0 0 0 0 0
387 Yodium Pavidon 10 % 300 ml Botol 23,400 2 46,800 0 0 2 46,800 1 23400 1 23,400 1
388 Yodium Pavidon 10 % 1000 ml Botol 0 0 0 0 0 0 0 0 0 0 0 0
389 Zinc Prima Eye drop Botol 16,125 0 0 0 0 0 0 0 0 0 0 0
390 Zink Dispersible Tablet 658 1,040 684,320 400 263200 1,440 947,520 220 144760 1,220 802,760 800
391 Zink Syr Botol 49,120 6 294,720 0 0 6 294,720 6 294720 0 0 0
392 Kapas Pembalut 100 mg Pcs 15,000 0 0 0 0 0 0 0 0 0 0 0
393 Mixagrib Tablet 624 0 0 0 0 0 0 0 0 0 0 0
394 Nebacetin SK Tube 27,330 0 0 0 0 0 0 0 0 0 0 0
395 Sangobion Tablet 1,647 0 0 0 0 0 0 0 0 0 0 0
396 Piroksicam Kapsul 20 mg Tablet 100 0 0 0 0 0 0 0 0 0 0 0
397 Alkohol 70% 100 ml Botol 3,800 0 0 0 0 0 0 0 0 0 0 0
398 Amoxicilin drops Botol 31,246 0 0 0 0 0 0 0 0 0 0 0
399 Kasa Pembalut Hydrofil 36 x 80 cm Roll 156,975 0 0 0 0 0 0 0 0 0 0 0
400 Cefotaximin Injeksi 0,5mg vial 7,539 0 0 0 0 0 0 0 0 0 0 0
401 Sukrafat Syr Botol 8,178 2 16,356 0 0 2 16,356 2 16356 0 0 0
402 Intunal F Tablet 1,050 0 0 0 0 0 0 0 0 0 0 0
403 OBH PLus Botol 33,000 0 0 0 0 0 0 0 0 0 0 0
404 OBH Anak Botol 19,000 0 0 0 0 0 0 0 0 0 0 0
405 Otopain Tetes Telinga Botol 100,000 0 0 0 0 0 0 0 0 0 0 0
406 San B Plex Drops Botol 18,590 0 0 0 0 0 0 0 0 0 0 0
407 Sanbe Kids Emulsion Botol 37,895 0 0 0 0 0 0 0 0 0 0 0
408 Baby Cough Botol 8,000 0 0 0 0 0 0 0 0 0 0 0
409 Viks Formula 44 Botol 12,000 0 0 0 0 0 0 0 0 0 0 0
410 Bcom-C Tablet 1,800 0 0 0 0 0 0 0 0 0 0 0
411 Feeding tube 125 cm FG12 pcs 16,000 0 0 0 0 0 0 0 0 0 0 0
412 Stimuno syr Botol 46,000 0 0 0 0 0 0 0 0 0 0 0
413 Onaiwa Tablet 6,934 0 0 0 0 0 0 0 0 0 0 0
414 Peinlos 800 mg inj Ampul 80,500 0 0 0 0 0 0 0 0 0 0 0
415 Focyn 1 gr vial 101,250 0 0 0 0 0 0 0 0 0 0 0
416 Gabaxa Botol 230,000 0 0 0 0 0 0 0 0 0 0 0
417 Venodenol Ampul 172,425 0 0 0 0 0 0 0 0 0 0 0
418 Moxyfloxacin 400 mg Botol 230,000 0 0 0 0 0 0 0 0 0 0 0
419 Ambu bag dewasa pcs 800,000 0 0 0 0 0 0 0 0 0 0 0
420 Ultrafix Roll 42,000 0 0 0 0 0 0 0 0 0 0 0
421 Baju Ok L pcs 200,000 0 0 0 0 0 0 0 0 0 0 0
422 Baju Ok M Set 200,000 0 0 0 0 0 0 0 0 0 0 0
423 Nurse Cup kotak 70,000 0 0 0 0 0 0 0 0 0 0 0
424 Celemek/Apron pcs 70,000 0 0 0 0 0 0 0 0 0 0 0
425 Tensoplas kotak 270,000 0 0 0 0 0 0 0 0 0 0 0
426 JMI 5 cc Pcs 155,000 0 0 0 0 0 0 0 0 0 0 0
427 Gudel uk 03 Pcs 30,000 0 0 0 0 0 0 0 0 0 0 0
428 LMA uk 3 Pcs 380,000 0 0 0 0 0 0 0 0 0 0 0
429 Aseptan Botol 70,000 0 0 0 0 0 0 0 0 0 0 0
430 Nasal Canul Bayi Pcs 15,000 0 0 0 0 0 0 0 0 0 0 0
431 Nasal Canul Dewasa Pcs 15,000 0 0 0 0 0 0 0 0 0 0 0
432 Mess 5x10 cm Pcs 500,000 0 0 0 0 0 0 0 0 0 0 0
433 Cefixime 200 mg Tablet 3,675 0 0 0 0 0 0 0 0 0 0 0
434 Sianocobalamin inj vial 17,500 0 0 0 0 0 0 0 0 0 0 0
NARKOTIKA, PSIKOTROPIKA & ZAT ADIKTIF 0 0

1001 Alprazolam 0,5 mg Tablet 97 0 0 0 0 0 0 0 0 0 0 0
1002 Alprazolam 1 mg Tablet 141 0 0 0 0 0 0 0 0 0 0 0
1003 Amitriptilin 25 mg Tablet 168 0 0 0 0 0 0 0 0 0 0 0
1004 Carbamazepin Tablet 333 0 0 0 0 0 0 0 0 0 0 0
1005 Codein 5 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0
1006 Diazepam injeksi 5 mg/ 2ml Ampul 2,150 0 0 0 0 0 0 0 0 0 0 0
1007 Diazepam Tablet 2 mg Tablet 50 0 0 0 0 0 0 0 0 0 0 0
1008 Fenobarbital Injeksi 50 mg/ ml- 2ml Ampul 2,192 0 0 0 0 0 0 0 0 0 0 0
1009 Fenobarbital Tablet 30 mg Tablet 13,200 200 2,640,000 0 0 200 2,640,000 0 0 200 2,640,000 200
1010 Halloperidol Tablet 0.5 mg Tablet 55 0 0 0 0 0 0 0 0 0 0 0
1011 Halloperidol Tablet 1.5 mg Tablet 59 0 0 0 0 0 0 0 0 0 0 0
1012 Halloperidol Tablet 5 mg Tablet 115 0 0 0 0 0 0 0 0 0 0 0
1013 Klorpromazine inj Ampul 2,640 0 0 0 0 0 0 0 0 0 0 0
1014 Klorpromazine Tablet salut 100 mg Tablet 179 0 0 0 0 0 0 0 0 0 0 0
1015 Klorpromazine Tablet salut 25 mg Tablet 82 0 0 0 0 0 0 0 0 0 0 0
1016 Metaneuron Ampul 1,166 0 0 0 0 0 0 0 0 0 0 0
1017 Stesolid inj Ampul 0 0 0 0 0 0 0 0 0 0 0 0
1018 Stesolid Rectal 5mg/2.5ML Tube 15,717 0 0 0 0 0 0 0 0 0 0 0
1019 Stesolid Rectal 10mg/2.5ML Tube 28,849 0 0 0 0 0 0 0 0 0 0 0
1020 Tramadol 50 mg Tablet Tablet 618 0 0 0 0 0 0 0 0 0 0 0
1021 Tramadol inj 50 mg/ml Ampul 1,652 0 0 0 0 0 0 0 0 0 0 0
1022 Trihexilpenidil 2 mg (THP) Tablet 48 0 0 0 0 0 0 0 0 0 0 0
PROGRAM HIV 0 0
2001 Test HIV Multi strip 22,475 0 0 0 0 0 0 0 0 0 0 0
2002 Test HIV strip 15,657 0 0 0 0 0 0 0 0 0 0 0
2003 Test HIV Card strip 13,100 0 0 0 0 0 0 0 0 0 0 0
2004 Test HIV Card (Rapid HIV) 1&2 strip 14,975 0 0 0 0 0 0 0 0 0 0 0
2005 Test Syphilis HIV strip 11,300 0 0 0 0 0 0 0 0 0 0 0
2006 Kondom Sutra pcs 0 0 0 0 0 0 0 0 0 0 0 0
2007 Lubrikan Sutra pcs 0 0 0 0 0 0 0 0 0 0 0 0
2008 Virochek HBSAG pcs 9,054 0 0 0 0 0 0 0 0 0 0 0
2009 Virochek HIV 1/2 pcs 12,754 0 0 0 0 0 0 0 0 0 0 0
2010 Kombipak azithromicyn-Cefixime Tablet 0 0 0 0 0 0 0 0 0 0 0 0
PROGRAM GIGI 0 0
3001 Alvogyl tube 498,500 0 0 0 0 0 0 0 0 0 0 0
3002 Arsen caustinerf rapide pot 596,750 0 0 0 0 0 0 0 0 0 0 0
3003 Articulating paper lembar 1,212 0 0 0 0 0 0 0 0 0 0 0
3004 Calc Hydoxyd/Hydcal kotak 143,000 0 0 0 0 0 0 0 0 0 0 0
3005 Calolus/Calci Gel kotak 116,795 0 0 0 0 0 0 0 0 0 0 0
3006 Catgut Chromic 4/0 HR 17 75 cm pcs 46,244 0 0 0 0 0 0 0 0 0 0 0
3007 Catgut Plain 5/0 TS-15 75 cm pcs 58,133 0 0 0 0 0 0 0 0 0 0 0
3008 Caviton Pot 257,847 0 0 0 0 0 0 0 0 0 0 0
3009 CHKM Botol 85,000 0 0 0 0 0 0 0 0 0 0 0
3010 Dental Cutten Roll Kotak 37,860 0 0 0 0 0 0 0 0 0 0 0
3011 Dentin Conditioner kotak 203,014 0 0 0 0 0 0 0 0 0 0 0
3012 EDTA 15 ml Botol 163,350 0 0 0 0 0 0 0 0 0 0 0
3013 Elite cement 100 kotak 319,534 0 0 0 s 0 0 0 0 0 0 0
3014 Eugenol Botol 20,000 0 0 0 0 0 0 0 0 0 0 0
3015 FG Diamond Set 437,426 0 0 0 0 0 0 0 0 0 0 0
3016 FG Diamond High Speed Set 332,412 0 0 0 0 0 0 0 0 0 0 0
3017 Fuji Amalgam/Miracle Mix kotak 1,976,535 0 0 0 0 0 0 0 0 0 0 0
3018 Fuji 9/tambal permanen Botol 1,308,106 0 0 0 0 0 0 0 0 0 0 0
3019 FUJI II kotak 1,151,781 0 0 0 0 0 0 0 0 0 0 0
3020 Guttap kotak 79,061 0 0 0 0 0 0 0 0 0 0 0
3021 Hyposol 500 ml Botol 89,842 0 0 0 0 0 0 0 0 0 0 0
3022 Jarum K-File Pieces 278,512 0 0 0 0 0 0 0 0 0 0 0
3023 Occo 15 Pieces 278,512 0 0 0 0 0 0 0 0 0 0 0
3024 Paper Point no 15-40 Unit 56,463 0 0 0 0 0 0 0 0 0 0 0
3025 RA Diamond Set 584,100 0 0 0 0 0 0 0 0 0 0 0
3026 Saliva Ejector Botol 2,030 0 0 0 0 0 0 0 0 0 0 0
3027 Scapel Blades Dental(Bisturi) 10 Pcs 4,432 0 0 0 0 0 0 0 0 0 0 0
3028 Scapel Blades Dental(Bisturi) 11 Pcs 4,432 0 0 0 0 0 0 0 0 0 0 0
3029 Trimix kotak 416,542 0 0 0 0 0 0 0 0 0 0 0
3030 Ziacaine vial 0 0 0 0 0 0 0 0 0 0 0 0
3031 Zinc Pospot Cement kotak 319,539 0 0 0 0 0 0 0 0 0 0 0
3032 Pulp X kotak 237,000 0 0 0 0 0 0 0 0 0 0 0
3033 Mouth Mirror Pcs 41,000 0 0 0 0 0 0 0 0 0 0 0
3034 Mouth Mirror Handle 4900 Pcs 84,000 0 0 0 0 0 0 0 0 0 0 0
3035 Endoseal kotak 187,000 0 0 0 0 0 0 0 0 0 0 0
3036 Orafil Plus kotak 72,000 0 0 0 0 0 0 0 0 0 0 0
PROGRAM TB 0 0
4001 Etambutol 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0
4002 FDC Kategori Anak Paket 268,733 0 0 0 0 0 0 0 0 0 0 0
4003 FDC Kategori I Paket 486,683 0 0 2 973366 2 973,366 0 0 2 973,366 0
4004 FDC Kategori I dan III Paket 0 0 0 0 0 0 0 0 0 0 0 0
4005 FDC Kategori II Paket 1,499,983 0 0 0 0 0 0 0 0 0 0 0
4006 Isoniasida (INH) Tablet300 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0
4007 Isoniazida (INH) Tablet 100 mg Tablet 53 0 0 0 0 0 0 0 0 0 0 0
4008 Pyrasinamid Tablet Tablet 0 0 0 0 0 0 0 0 0 0 0 0
4009 Pot Dahak pot 3,410 0 0 0 0 0 0 0 0 0 0 0
4010 Reagent Ziehl Neelsen Botol 297,440 0 0 0 0 0 0 0 0 0 0 0
4011 Rifampisin 450 mg Tablet 0 0 0 0 0 0 0 0 0 0 0 0
PROGRAM MALARIA & LAB 0 0

5001 Arterakin Tablet 0 0 0 0 0 0 0 0 0 0 0 0
5002 Artemeter Ampul 26,600 0 0 0 0 0 0 0 0 0 0 0
5003 Artem inj Vial 4,433 0 0 0 0 0 0 0 0 0 0 0
5004 Artesunat inj Vial 2,138 0 0 0 0 0 0 0 0 0 0 0
5005 Asam Sulfosalisilat Botol 234,300 0 0 0 0 0 0 0 0 0 0 0
5006 Cleanac 5 L Gln 7,810,000 0 0 0 0 0 0 0 0 0 0 0
5007 Cleanac 3 5 L Gln 5,445,000 0 0 0 0 0 0 0 0 0 0 0
5008 Control Normal 3 Diff 2 ml Vial 1,331,000 0 0 0 0 0 0 0 0 0 0 0
5009 Control High 3 Diff 2 ml vial 1,331,000 0 0 0 0 0 0 0 0 0 0 0
5010 Control Low 3 Diff 2 ml vial 1,331,000 0 0 0 0 0 0 0 0 0 0 0
5011 Darplex Tablet 4,216 90 379,440 0 0 90 379,440 0 0 90 379,440 90
5012 Developer Galon 1,977,000 0 0 0 0 0 0 0 0 0 0 0
5013 Emersil oil 100 ml Botol 0 0 0 0 0 0 0 0 0 0 0 0
5014 Emersil oil 500 ml Botol 0 0 0 0 0 0 0 0 0 0 0 0
5015 Golongan Darah Paket 564,630 0 0 0 0 0 0 0 0 0 0 0
5016 Giamsa 100 ml Botol 0 0 0 0 0 0 0 0 0 0 0 0
5017 Giamsa 500 ml Botol 0 0 0 0 0 0 0 0 0 0 0 0
5018 Hemolinac 3 N 500 ml botol 3,847,800 0 0 0 0 0 0 0 0 0 0 0
5019 Isotonic 3 18 L Gln 5,082,000 0 0 0 0 0 0 0 0 0 0 0
5020 Laboratorium Kit Paket 450,000 1 450,000 0 0 1 450,000 0 0 1 450,000 1
5021 Metanol Botol 542,850 0 0 0 0 0 0 0 0 0 0 0
5022 Primakuin Tablet 123 2,572 316,356 0 0 2,572 316,356 0 0 2,572 316,356 2572
5023 Quinina 25 %- 2ml Injeksi Ampul 7,440 0 0 0 0 0 0 0 0 0 0 0
5024 QuininaTablet 222 mg Tablet 648 120 77,760 0 0 120 77,760 0 0 120 77,760 120
5025 Reagen Hayem Botol 382,500 0 0 0 0 0 0 0 0 0 0 0
5026 RDT Malaria pcs 19,854 138 2,739,852 100 1985400 238 4,725,252 0 0 238 4,725,252 50
5027 RDT DBD pcs 19,854 0 0 0 0 0 0 0 0 0 0 0
5028 Tissue Lensa lembar 25,000 0 0 0 0 0 0 0 0 0 0 0
5029 Centin N starterkit (Amalgam) Paket 2,117,716 0 0 0 0 0 0 0 0 0 0 0
5030 Test Golongan Darah Anti A 10 ml 71,375 1 71,375 0 0 1 71,375 0 0 1 71,375 1
5031 Test Golongan Darah Anti B 10 ml 71,375 1 71,375 0 0 1 71,375 0 0 1 71,375 1
5032 Test Golongan Darah Anti AB 10 ml 93,375 1 93,375 0 0 1 93,375 0 0 1 93,375 1
5033 Test Golongan Darah Anti D 10 ml 113,375 1 113,375 0 0 1 113,375 0 0 1 113,375 1
5034 Safety Box Set 20,430 0 0 0 0 0 0 0 0 0 0 0
5035 Ditergent 500 ml Bf-6500 Botol 12,540,000 0 0 0 0 0 0 0 0 0 0 0
5036 Diluent 20 ml Bf-6500 Botol 9,075,000 0 0 0 0 0 0 0 0 0 0 0
5037 Lyse 500 ml Bf-6500 Botol 5,806,000 0 0 0 0 0 0 0 0 0 0 0
5038 Lyse 5 L Bf-6500 Botol 18,900,000 0 0 0 0 0 0 0 0 0 0 0
5039 I Lyse (SLS-I) 500 ml Bf-6500 Botol 11,880,000 0 0 0 0 0 0 0 0 0 0 0
PROGRAM GIZI 0
6001 Iodium Test Botol 5,830 0 0 0 0 0 0 0 0 0 0 0
6002 Mineral mix Sachet 2,970 148 439,560 0 0 148 439,560 0 0 148 439,560 148
6003 MP ASIH bks 0 0 0 0 0 0 0 0 0 0 0 0
6004 PMT Bumil Cake Sachet 0 0 0 0 0 0 0 0 0 0 0 0
FRAMBUSIA 0 0
7001 Azitromicin 500mg Tablet 4,500 0 0 0 0 0 0 0 0 0 0 0
7002 BD Microtainer Pieces 2,915 0 0 0 0 0 0 0 0 0 0 0
7003 Dietilcarbamazin 100 mg Tablet 138 0 0 0 0 0 0 0 0 0 0 0
7004 RDT Frambusia Syphilis Pieces 27,720 175 4,851,000 0 0 175 4,851,000 0 0 175 4,851,000 175
VAKSIN 0
8001 Hepatitis B Botol 0 15 0 10 0 25 0 1 0 24 0 24
8002 Human Albumin 20% Botol 425,568 0 0 0 0 0 0 0 0 0 0 0
8003 Serum Anti bisa Ular Vial 479,996 0 0 0 0 0 0 0 0 0 0 0
8004 Serum Anti Tetanus (ATS 15000 IU) Ampul 130,999 0 0 0 0 0 0 0 0 0 0 0
8005 Vaksin Rabies Vero Vial 214,470 0 0 0 0 0 0 0 0 0 0 0
8006 Vaksin BCG Vial 0 16 0 0 0 16 0 2 0 14 0 14
8007 Vaksin DPT/DPT-HB/DPT-HB-Hib vial 0 13 0 30 0 43 0 3 0 40 0 40
8008 Vaksin Td Vial 0 19 0 0 0 19 0 2 0 17 0 17
8009 Vaksin POLIO Vial 0 0 0 20 0 20 0 0 0 20 0 20
8010 Vaksin Pentabio Vial 0 0 0 0 0 0 0 0 0 0 0 0
8011 Vaksin IPV vial 0 0 0 0 0 0 0 0 0 0 0 0
8012 Vaksin DT Vial 0 0 0 0 0 0 0 0 0 0 0 0
PROGRAM COVID-19 0
9001 APD Paket 1,980,000 0 0 0 0 0 0 0 0 0 0 0
9002 Baju Tyfex Set 385,000 0 0 0 0 0 0 0 0 0 0 0
9003 Face Shield Pcs 110,000 0 0 0 0 0 0 0 0 0 0 0
9004 Kaca Mata Googles Pcs 121,000 0 0 0 0 0 0 0 0 0 0 0
9005 Masker KN95 Pcs 77,000 0 0 0 0 0 0 0 0 0 0 0
9006 Mesin Fogging (Alat Semprot) Pcs 4,229,250 0 0 0 0 0 0 0 0 0 0 0
9007 Rapid Test Covid (Hightop) Pcs 135,000 0 0 0 0 0 0 0 0 0 0 0
9008 Rapid Test Covid-19 (SD Biosensor) Pcs 273,900 0 0 0 0 0 0 0 0 0 0 0
9009 Thermogun 1 Pcs 2,000,000 0 0 0 0 0 0 0 0 0 0 0
9010 Thermogun 2 Pcs 2,200,000 0 0 0 0 0 0 0 0 0 0 0
9011 Alkohol Gel 500ml Botol 450,000 0 0 0 0 0 0 0 0 0 0 0
9012 Handscoon Non Steril 1 Set 120,000 0 0 0 0 0 0 0 0 0 0 0
9013 Handscoon Non Steril 2 Set 250,000 0 0 0 0 0 0 0 0 0 0 0
9014 Sarung Tangan Industri Pcs 55,000 0 0 0 0 0 0 0 0 0 0 0
9015 Sepatu Boot Pcs 365,000 0 0 0 0 0 0 0 0 0 0 0
9016 Masker N95 Pcs 0 0 0 0 0 0 0 0 0 0 0 0
9017 Tissue Alkohol Pcs 0 0 0 0 0 0 0 0 0 0 0 0
9018 Rapid Test Covid (Wondfo) Pcs 0 0 0 0 0 0 0 0 0 0 0 0
9019 Rapid Test Covid (IgM/IgG) Pcs 220,000 0 0 0 0 0 0 0 0 0 0 0
TOTAL HARGA 46,996,722 6522386 85,230 53,519,108 6635712.07 85230 46,883,396
JUMLAH KUNJUNGAN RESEP TOTAL

JKN UMUM
8 63 71
Mengetahui/ Menyetujui Yang Menyerahkan Yang Meminta/Melaporkan Yang Mene

Kepala Dinas Kesehatan Kepala Instalasi Farmasi Kepala Puskesmas Pengelolah Obat
Kabupaten Halmahera Selatan Kabupaten Halmahera Selatan
Hasna Muhammad, SKM, M.Kes Melati Sarfan., S.Farm,. Apt Nurdewi Pandey, S. ST
NIP. 19760204 200012 2 002 NIP. 19870127 201101 2 007 NIP. 19720220 199103 2003
MALUKU UTARA
HARGA STOK EXPIRED/ RUSAK HARGA PEMAKAIAN TINGKAT

STOK OPTIMUM PERMINTAAN
PKM JUMLAH WAKTU RATA2 KECUKUPAN
OBAT/BMHP
0 4.2 4.2 0 0.125 100
130500 22.4 -42.6 0 0.666666666667 19.7530864198
0 26.6 -33.4 0 0.791666666667 24.0506329114
174000 15.4 -54.6 0 0.458333333333 13.5802469136
215250 12.6 -79.4 0 0.375 8.91089108911
64800 16.8 -391.2 0 0.5 2.85714285714
0 0 0 0 0 0
279000 0 -300 0 0 0
4118.75 8.4 -17.6 0 0.25 18.75
0 0 0 0 0 0
0 0 0 0 0 0
843700 0 -100 0 0 0
68172 18.2 -57.8 0 0.541666666667 14.606741573
0 0 0 0 0 0
0 184.8 123.8 0 5.5 68.3937823834
0 0 0 0 0 0
75900 0 -55 0 0 0
20735 0 -5 0 0 0
48725 0 -5 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
378751.5 0 -453 0 0 0
0 0 0 0 0 0
67000 1.4 -8.6 0 0.041666666667 9.09090909091
0 0 -2 0 0 0
27500 324.8 96.8 0 9.666666666667 50.4347826087
280800 434 -2196 0 12.91666666667 10.5442176871
29209.32 718.2 592.2 0 21.375 80.2816901408
0 12.6 10.6 0 0.375 81.8181818182
0 0 0 0 0 0
13000 0 -100 0 0 0
26560 0 -320 0 0 0
33462 0 -338 0 0 0
2260 644 634 0 19.16666666667 97.8723404255
115200 1307.6 887.6 0 38.91666666667 68.9807976366
39480 16.8 -126.2 0 0.5 7.74193548387
0 0 0 0 0 0
OBAT/BMHP
72072 0 -7 0 0 0
0 0 0 0 0 0
0 690.2 633.2 0 20.54166666667 89.6363636364
0 0 0 0 0 0
0 0 0 0 0 0
60200 7 -21 0 0.208333333333 15.1515151515
74240 518 -777 0 15.41666666667 22.2222222222
38060 0 -10 0 0 0
109158 0 -21 0 0 0
0 0 0 0 0 0
14300 1.4 -3.6 0 0.041666666667 16.6666666667
39600 0 -2 0 0 0
39600 0 -2 0 0 0
39600 0 -2 0 0 0
208000 238 -1837 0 7.083333333333 7.5723830735
0 0 0 0 0 0
0 0 0 0 0 0
0 585.2 -462.8 0 17.41666666667 28.5129604366
0 644 -366 0 19.16666666667 31.2925170068
387200 0 -4400 0 0 0
0 714 704 0 21.25 98.0769230769
19984 0 -8 0 0 0
414000 42 -193 0 1.25 11.320754717
0 0 0 0 0 0
0 0 0 0 0 0
150000 0 -1500 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
103497 0 -3 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
3203700 651 -8429 0 19.375 4.87166055526
90720 0 -720 0 0 0
3040 40.6 38.6 0 1.208333333333 93.5483870968
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
115500 30.8 -79.2 0 0.916666666667 16.6666666667
17989.2 0 -95 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
30030 406 16 0 12.08333333333 42.6470588235
OBAT/BMHP
67626 0 -450 0 0 0
0 0 0 0 0 0
195974.91 2.8 -24.2 0 0.083333333333 6.89655172414
0 0 0 0 0 0
181458.25 4.2 -21.8 0 0.125 10.3448275862
0 0 0 0 0 0
111666.56 1.4 -14.6 0 0.041666666667 5.88235294118
0 0 0 0 0 0
254041.655 0 -35 0 0 0
0 0 0 0 0 0
0 609 549 0 18.125 87.8787878788
0 0 0 0 0 0
0 12.6 11.6 0 0.375 90
0 126 106 0 3.75 81.8181818182
0 4.2 4.2 0 0.125 100
0 0 0 0 0 0
0 0 0 0 0 0
0 4.2 4.2 0 0.125 100
70560 2.8 -13.2 0 0.083333333333 11.1111111111
46287 0 -9 0 0 0
31920 4.2 -5.8 0 0.125 23.0769230769
22200 56 -174 0 1.666666666667 14.8148148148
76800 0 -10 0 0 0
1785 0 -5 0 0 0
96250 11.2 -59.8 0 0.333333333333 10.1265822785
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 28 28 0 0.833333333333 100
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
58812 0 -377 0 0 0
0 0 0 0 0 0
431100 0 -150 0 0 0
455000 0 -100 0 0 0
0 0 0 0 0 0
142950 28 -142 0 0.833333333333 10.5263157895
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
22920 2.8 -9.2 0 0.083333333333 14.2857142857
183890 602 -4382 0 17.91666666667 7.94237162911
0 0 0 0 0 0
OBAT/BMHP
60434 0 -41 0 0 0
0 0 0 0 0 0
15300 0 -100 0 0 0
52400 0 -400 0 0 0
0 0 0 0 0 0
51840 0 -1360 0 0 0
0 8.4 -41.6 0 0.25 10.7142857143
0 0 0 0 0 0
0 0 0 0 0 0
946910 0 -179 0 0 0
0 0 0 0 0 0
699600 0 -500 0 0 0
0 0 0 0 0 0
58531 0 -18 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
19140 0 -2 0 0 0
19140 0 -2 0 0 0
19140 0 -2 0 0 0
19140 0 -2 0 0 0
0 0 0 0 0 0
104400 0 -51 0 0 0
0 0 0 0 0 0
0 98 83 0 2.916666666667 82.3529411765
0 0 0 0 0 0
156000 0 -4 0 0 0
228800 0 -22 0 0 0
110700 0 -6 0 0 0
124800 0 -12 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
40050 0 -450 0 0 0
10224 0 -2 0 0 0
0 0 0 0 0 0
82500 0 -31 0 0 0
0 0 0 0 0 0
69550 4.2 -8.8 0 0.125 18.75
79725 2.8 -14.2 0 0.083333333333 10.5263157895
24000 12.6 4.6 0 0.375 52.9411764706
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 165.2 -834.8 0 4.916666666667 10.5545617174
0 0 0 0 0 0
OBAT/BMHP
237120 0 -38 0 0 0
150000 0 -20 0 0 0
95600 574 171 0 17.08333333333 50.430504305
135000 47.6 -430.4 0 1.416666666667 6.640625
48400 2.8 0.8 0 0.083333333333 50
0 21 19 0 0.625 88.2352941176
402000 4.2 -98.8 0 0.125 2.83018867925
0 32.2 11.2 0 0.958333333333 52.2727272727
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
90000 7 -28 0 0.208333333333 12.5
93440 0 -730 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 294 294 0 8.75 100
41925 60.2 24.2 0 1.791666666667 54.4303797468
0 0 0 0 0 0
48300 37.8 24.8 0 1.125 67.5
208000 30.8 -22.2 0 0.916666666667 29.3333333333
0 0 0 0 0 0
21400 0 -200 0 0 0
0 0 0 0 0 0
24750 602 267 0 17.91666666667 56.2091503268
0 0 0 0 0 0
32500 0 -2 0 0 0
35464 0 -1 0 0 0
0 0 0 0 0 0
546000 0 -4 0 0 0
0 0 0 0 0 0
20800 0 -10 0 0 0
0 0 0 0 0 0
0 19.6 15.6 0 0.583333333333 77.7777777778
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
37320 42 -98 0 1.25 17.6470588235
43950 22.4 4.4 0 0.666666666667 47.0588235294
51820 0 -20 0 0 0
57760 4.2 -39.8 0 0.125 6.3829787234
35000 1836.8 432.8 0 54.66666666667 48.3063328424
341460 32.2 -109.8 0 0.958333333333 13.9393939394
OBAT/BMHP
145200 448 -828 0 13.33333333333 20.0501253133
0 0 0 0 0 0
0 0 0 0 0 0
43500 7 4 0 0.208333333333 62.5
0 0 0 0 0 0
0 0 0 0 0 0
103500 0 -150 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
200620 0 -140 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 1.4 0.4 0 0.041666666667 50
337995 0 -1375 0 0 0
32000 84 -252 0 2.5 15.1515151515
79200 0 -440 0 0 0
0 0 0 0 0 0
0 184.8 -525.2 0 5.5 15.67695962
0 0 0 0 0 0
0 0 0 0 0 0
0 294 294 0 8.75 100
0 0 0 0 0 0
30000 182 -88 0 5.416666666667 32.5
50050 0 -390 0 0 0
0 0 0 0 0 0
77394 0 -6 0 0 0
0 0 0 0 0 0
384000 0 -200 0 0 0
0 0 0 0 0 0
124740 0 -35 0 0 0
182112 0 -672 0 0 0
0 0 0 0 0 0
35970 0 -330 0 0 0
116360 4.2 -17.8 0 0.125 12
0 0 0 0 0 0
0 0 0 0 0 0
495000 0 -60 0 0 0
17275 2.8 -2.2 0 0.083333333333 28.5714285714
0 0 0 0 0 0
67950 112 -348 0 3.333333333333 14.8148148148
3078 0 -2 0 0 0
17500 0 -7 0 0 0
81200 12.6 -7.4 0 0.375 31.0344827586
0 0 0 0 0 0
0 0 0 0 0 0
237170 5.6 -33.4 0 0.166666666667 9.3023255814
OBAT/BMHP
0 0 0 0 0 0
0 0 -10 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
50040 0 -360 0 0 0
196500 0 -300 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 33.6 -5.4 0 1 38.0952380952
0 0 0 0 0 0
0 0 0 0 0 0
261560 44.8 -86.2 0 1.333333333333 19.6319018405
137500 9.8 -94.2 0 0.291666666667 6.30630630631
7500 112 62 0 3.333333333333 61.5384615385
35200 0 -80 0 0 0
13000 0 -10 0 0 0
44480 63 -102 0 1.875 21.4285714286
41500 112 -168 0 3.333333333333 22.2222222222
0 0 0 0 0 0
0 0 0 0 0 0
127720 1218 -845 0 36.25 29.6624616434
147130 0 -5 0 0 0
0 0 0 0 0 0
995250 25.2 -134.8 0 0.75 10.1123595506
0 0 0 0 0 0
100000 2.8 -42.2 0 0.083333333333 4.25531914894
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
7700 0 -50 0 0 0
0 294 294 0 8.75 100
0 0 0 0 0 0
924000 8.4 -1.6 0 0.25 37.5
0 0 0 0 0 0
59820 2.8 -3.2 0 0.083333333333 25
0 0 0 0 0 0
OBAT/BMHP
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
184033 22.4 -53.6 0 0.666666666667 17.3913043478
0 0 0 0 0 0
436800 602 -4220 0 17.91666666667 8.18735719726
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
72200 11.2 -195.8 0 0.333333333333 3.72093023256
54000 224 -1 0 6.666666666667 41.5584415584
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
42600 0 -120 0 0 0
101750 0 -250 0 0 0
0 0 0 0 0 0
143000 47.6 7.6 0 1.416666666667 45.9459459459
65784 42 -368 0 1.25 6.81818181818
81000 175 -925 0 5.208333333333 10.2040816327
121600 4.2 -36.8 0 0.125 6.81818181818
98280 12.6 -2.4 0 0.375 37.5
48000 0 -1 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
42400 938 118 0 27.91666666667 44.966442953
28460 15.4 -104.6 0 0.458333333333 8.39694656489
71496 1.4 -16.6 0 0.041666666667 5.26315789474
114570 1.4 -28.6 0 0.041666666667 3.22580645161
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
46800 0 -400 0 0 0
36000 252 102 0 7.5 54.5454545455
48780 0 -91 0 0 0
0 0 0 0 0 0
220000 0 -50 0 0 0
178750 0 -50 0 0 0
OBAT/BMHP
204875 0 -25 0 0 0
396000 0 -25 0 0 0
0 0 0 0 0 0
484000 0 -100 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
87000 0 -250 0 0 0
0 0 0 0 0 0
7790 644 454 0 19.16666666667 70.7692307692
32832 29.4 3.4 0 0.875 44.6808510638
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
80000 0 -8 0 0 0
32720 0 -2 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
54000 5.6 -1.4 0 0.166666666667 36.3636363636
29400 1563.8 1133.8 0 46.54166666667 72.2042663219
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
311500 0 -179 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
23400 1.4 0.4 0 0.041666666667 50
0 0 0 0 0 0
0 0 0 0 0 0
526400 308 -912 0 9.166666666667 15.2777777778
0 8.4 8.4 0 0.25 100
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 2.8 2.8 0 0.083333333333 100
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
OBAT/BMHP
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
2640000 0 -200 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
OBAT/BMHP
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
OBAT/BMHP
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 -2 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
379440 0 -90 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
450000 0 -1 0 0 0
0 0 0 0 0 0
316356 0 -2572 0 0 0
0 0 0 0 0 0
OBAT/BMHP
77760 0 -120 0 0 0
0 0 0 0 0 0
992700 0 -238 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
71375 0 -1 0 0 0
71375 0 -1 0 0 0
93375 0 -1 0 0 0
113375 0 -1 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
439560 0 -148 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
4851000 0 -175 0 0 0
0 1.4 -22.6 0 0.041666666667 0

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 2.8 -11.2 0 0.083333333333 0
0 4.2 -35.8 0 0.125 0
0 2.8 -14.2 0 0.083333333333 0
0 0 -20 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
OBAT/BMHP
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
37423438.145 0
Yang Menerima
Pengelolah Obat Puskesmas
Nurdiana Ode Madina, A.Md. Farm

NIP. 19950703 201903 2006

Lplpo Busua 01C

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LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)

PUSKESMAS : PROPINSI : MALUKU UTARA

HARGA HARGA STOK HARGA HARGA HARGA HARGA SISA

NARKOTIKA, PSIKOTROPIKA & ZAT ADIKTIF 0 0

PROGRAM MALARIA & LAB 0 0

JUMLAH KUNJUNGAN RESEP TOTAL

Mengetahui/ Menyetujui Yang Menyerahkan Yang Meminta/Melaporkan Yang Mene

HARGA STOK EXPIRED/ RUSAK HARGA PEMAKAIAN TINGKAT

0 1.4 -22.6 0 0.041666666667 0

Nurdiana Ode Madina, A.Md. Farm

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