BERITA ACARA STOCK OPNAME PERSEDIAN OBAT-OBATAN

PUSKESMAS PURUK CAHU
TAHUN ANGGARAN 2012
Pada hari ini senin tanggal 31 Desember 2012, telah dilakukan Opname Fisik Persediaan Obat-obatan pada Gudang
Obat Puskesmas Puruk Cahu Kabupaten Murung Raya dengan hasil sebagai bereikut :

Sisa Harga Satuan Jumlah
No Nama Sediaan satuan
Barang ( Rp ) (Rp)
1 Abocate No. 20 11 Pcs 7,788 85,668
2 Abocate No. 22 26 Pcs 7,788 202,488
3 Abocate No. 24 0 Pcs 8,566 -
4 Alat suntik sekali pakai 1 ml 630 Pcs -
5 Alat suntik sekali pakai 2,5 ml 2300 Pcs -
6 Alat suntik sekali pakai 5 ml 910 Pcs -
7 Allopurinol 100mg tablet 4400 Tablet -
8 Ambroxol 100mg 0 Tablet -
9 Ambroxol 15mg/5ml sirup 0 Botol -
10 Aminopillin inj. 24mg/5ml 10 Ampul -
11 Aminopillin 100mg tablet 1900 Tablet -
12 Amoksisilin 250mg capsul 12840 Tablet -
13 Amoksisilin 500 mg tablet 23000 Tablet -
14 Amoksisilin sirup krng 125 mg 1302 Botol -
15 Antalgin 250 mg/ml inj 710 Tablet -
16 Antalgin 500 mg tablet 9500 Tablet -
17 Antasida doen srp 315 Botol -
18 Antasida doen tablet 24000 Tablet -
19 Antimigrain Kombinasi tablet 350 Tablet -
20 Antihaemaroid suppositoria 65 Tablet -
21 Aqua pro injeksi 137 Vial -
22 Asiklovir 200mg tablet 400 Tablet -
23 Asiklovir 400mg tablet 0 Tablet -
24 Asiklovir cream 25 Tube -
25 As. Ascorbat 50 mg tab 19000 Tablet -
26 As. ascorbat 250 mg tab 2000 Tablet -
27 As. Mefenamatt 500 mg tab 12400 Tablet -
28 Asetosal 500 tab 800 Tablet -
29 Atropin sulfat inj. 0.25mg/ml 0 Ampul -
30 Atropin sulfat 0.5mg tablet 0 Tablet -
31 Betametason cream 420 Tube -
32 Catgut benang bedah no.2/0,3/0 30 sachet -
33 Cimetidine tab 2800 Tablet -
34 Captopril 12,5 mg tab 6240 Tablet -
35 Captopril 25 mg tab 5540 Tablet -
36 Dexsametason 0,5 mg tab 24600 Tablet -
37 Dexsametason 5 mg/ml inj 1020 Ampul -

38 Dextromethorphan 15mg tab 22900 Tablet -
39 Dextromethorphan 15mg/5ml srp 55 Botol -
40 Difenhidramin Hcl Inj 1050 Ampul -
41 Diazepam 5mg/2ml inj 7 Ampul -
42 Diazepam 5mg tab 1835 Tablet -
43 Diazepam 2mg tab 5170 Tablet -
44 Digoksin 0,25 tablet 30 Tablet -
45 Ephedrin 25mg tab 6000 Tablet -
46 Epeneprin HCL /Bitartat(adrenalin) 5 Ampul -
47 Ektrak beladon 100mg tab 800 Tablet -
48 Erytromisin 250mg cap 1800 Tablet -
49 Erytromisin 500mg tab 1000 Tablet -
50 Erytromisin 125mg/5ml srp krg 450 Botol -
51 Etyl klorida semprot 7 Botol -
52 Etanol 70% 17 Botol -
53 Etakridina (rivanol) lar. 0.1% 3 Botol -
54 Etambuthol HCL 500mg tablet 155 Tablet -
55 Fenobarbital 30mg tab 6700 Tablet -
56 Fenobarbital inj. 28 Ampul -
57 Fenol gliserol 56 Botol -
58 Fitomenadion 10mg tab 1400 Tablet -
59 Fitomenadion 10mg/ml inj 84 Ampul -
60 Furosemid 40mg tab 1290 Tablet -
61 Garam oralit 1780 sachet -
62 Gentamisin salep 0.1% 155 Tube -
63 Gentamisin tetes mata 0.3% 40 Botol -
64 Gentian violet 230 Botol -
65 Glibenklamid 5mg tablet 2050 Tablet -
66 Gliseril guaiacolat 100mg tab 35100 Tablet -
67 Griseufulvin 125mg tab 1000 Tablet -
68 Glukosa lar. Infus 5% 18 Botol -
69 Hidrocortison krim 2,5% 203 Tube -
70 Haloperidol 0.5mg tablet 0 Tablet -
71 Haloperidol 1.5mg tablet 400 Tablet -
72 Haloperidol 5mg tablet 200 Tablet -
73 Hidroklortiazid HCT 25mg tablet 1000 Tablet -
74 Ibuprofen 400mg tab 5130 Tablet -
75 Ibuprofen 200mg tab 5170 Tablet -
76 Kalsium laktat 500mg tab 18000 Tablet -
77 Kapas pembalut 500gr 17 Rol -
78 Kloramfenicol 125mg/5 suspensi 355 Botol -
79 Kloramfenicol kapsul 250 mg 10580 Tablet -
80 Kloramfenicol tts telinga 3 % 126 Botol -
81 Kloramfenicol salep mata 1% 81 Tube -
82 Klorfeniramini Maleat 4mg tab 53000 Tablet -

83 Kloroquin 250mg tab 0 Tablet -
84 Klorpromazine HCL 25mg tablet 0 Tablet -
85 Klorpromazine HCL 100mg tablet 1860 Tablet -
86 Klorpromazine HCL inj. 5mg/2ml 0 Ampul -
87 Kotrimoxazol 120mg tab 650 Tablet -
88 Kotrimoxazol 480mg tab 6150 Tablet -
89 Kotrimoxazol Suspensi 800 Botol -
90 Lidokain komp. Inj 605 Ampul -
91 Methilergometrin maleat inj 150 Ampul -
92 Methilergometrin maleat tab 0 Tablet -
93 Metronidazol 250mg tab 4950 Tablet -
94 Metronidazol 500mg tab 4050 Tablet -
95 Natrium Diklofenak tab 930 Tablet -
96 Natrium klorida lar. Infus 0.9% 10 Botol -
97 Nistatin 100.000 IU/g tab vag 280 Tablet vaginal -
98 Nistatin 500.000 IU tablet 100 Tablet -
99 Nipedipin tab 1500 Tablet -
100 Obat batuk hitam 170 Tablet -
101 Oksitetrasiklin inj 100 Tablet -
102 Oksitetrasiklin Hcl salep kulit 3% 350 Tube -
103 Oksitetrasiklin Hcl salep 1% 75 Tube -
104 Oksitosin 10IU/ml inj 205 Ampul -
105 Parasetamol 120mg/5ml srp 970 Botol -
106 Parasetamol 100mg tab 0 Tablet -
107 Parasetamol 500mg tab 50000 Tablet -
108 Papaverin tab 6000 Tablet -
109 Piridoksin 10mg tab 17700 Tablet -
110 Piroksikam 10mg tab 4500 Tablet -
111 Piroksikam 20mg tab 3400 Tablet -
112 Pyrantel pamoat tab 140 Tablet -
113 Povidon iodida 10% 30ml 24 Botol -
114 Povidon iodida 10% 300ml 9 Botol -
115 Prednison tab 28000 Tablet -
116 Primakuin 15mg tab 200 Tablet -
117 Propanolol HCL 40mg tablet 50 Tablet -
118 Propilthiourasil (PTU) 100mg tablet 80 Tablet -
119 Ringer laktat lar inf 25 Botol -
120 Salbutamol 2mg tablet 1200 Tablet -
121 Sarung tangan steril No. 6.5 0 Tablet -
122 Sarung tangan steril No. 7 400 Tablet -
123 Sarung tangan steril No. 7.5 208 Tablet -
124 Sefadroxil 500mg kapsul 1000 Tablet -
125 Salep 2-4 komb 135 Pot -
126 Salisil bedak 2% 145 Box -
127 Sianokobalamin (vit B12) inj 995 Ampul -

128 Silk benang bedah sutra No. 3/0 20 sachet - 129 Simvastatin 10mg tablet 300 Tablet - 130 Siprofloksasin HCL 500mg tablet 500 Tablet - 131 Sulfadoksin tab komb 200 Tablet - 132 Sulfacetamid tts mata 15% 96 Botol - 133 Tablet tambah darah 34500 Tablet - 134 Tetrasiklin Hcl cap 250mg cap 4700 Capsul - 135 Tetrasiklin Hcl cap 500mg cap 3600 Capsul - 136 Thiamin Hcl 50mg tab 1600 Tablet - 137 Thiamin Hcl 100mg/ml inj 240 Ampul - 138 Tramadol 50mg kasul 300 Capsul - 139 Vitamin B komplek tab 25300 Tablet - TOTAL PERSEDIAAN PER 31 DESEMBER 2012 .

-obatan pada Gudang Ket .

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000.00 150.425.210. .200.00 - 31 Asiklovir cream 6 Tube 5.300.250.560.180.00 26.768.560. 0 Tablet 75.425.00 - 6 Alat suntik sekali pakai 3 ml 115 Pcs 1.025.00 68 Botol 2.500. Mefenamatt 500 mg tab 0 Tablet 114.142.00 22.00 .00 132.00 500 Tablet 90.00 .142.00 300 Tablet 168.00 7 Alat suntik sekali pakai 5 ml 100 Pcs 1.4.00 - 34 As.00 25.00 .00 290.00 40.00 .600.00 180 Pcs 1.00 80.00 .00 22 Antasida doen tablet 210 Tablet 73.00 90.400.260.200.00 120 Capsul 220.00 .5ml 0 Pcs 1.000.00 33.700.600. 20 0 Pcs 8.00 116.200.00 1000 Tablet 279.80 114.00 100 Botol 2.565.00 .300.00 1320 Capsul 220.750.300.920.00 35 Botol 4.000. 24mg/5ml 0 Ampul 3.800.000.juta IU/vial injeksi 0 Vial . Tranexamat 250mg capsul/ Kalnex 250mg cap 350 Capsul 1.142.00 19. 0 Tablet 154.00 .00 154. .00 .00 228.00 17 Amoksisilin 500 mg tablet 300 Tablet 226. 0 Tablet 171. 0 Pcs 17.00 20 Botol 2.800.00 . 0 Supp . 0 Vial .00 . 0 Tube 2.00 2300 Tablet 105.600.00 - 3 Abocate No. 0 Tube 2.00 .00 65 Botol 4.00 0 Pcs 1.00 .500.00 .00 - 39 Atropin sulfat 0. 20 Pcs 1.00 .500. 0 Pcs 1.00 135 Pcs 1. - 26 Antimigrain Kombinasi tablet 300 Tablet 135. 20 Vial 4.00 0 Pcs 1. 0 Tablet 245.00 460 Tablet 197.400.200.600. 0 Tube 3. 0 Tablet .00 36 Asetosal 100mg tablet 300 Tablet 110. 0 Pcs 17. 100 Botol 4.300.000. 10 Ampul 3.250.00 25 Antiparkinson tab 0 Tablet .00 .00 256.213. 0 Tablet 525.00 0 Tablet 2.00 153. - 14 Aminopillin inj.700.00 102.00 37 Asetosal 500mg tablet 0 Tablet 171.00 - 40 Benzatil penisilin 1. .00 97.00 . 0 Supp .625.210.00 .650. .00 6.140.565.000.00 2000 Tablet 279.000.00 .00 - 38 Atropin sulfat inj.142.00 200 Pcs 1.00 11 Amlodipin 5mg tab 220 Tablet 240.00 .00 30.00 0 Vial 4.000.800. 0 Tablet 135.00 80 Pcs 1. 300 Tablet 110.00 91.00 .000.00 27.000.00 67. 0 Pcs 1.00 157. 0 Pcs 17.00 .141.00 20 Antalgin 500 mg tablet 1290 Tablet 163.142.00 600 Capsul 220. .000.00 85.00 19 Antalgin 250 mg/ml inj (Noralges inj 500mg/2 ml) 0 Ampul 163.00 123. . 0 Ampul 1.00 0 Tablet 110.00 15 Aminopillin 100mg tablet 300 Tablet 103.00 .100. - 28 Aqua pro injeksi 0 Vial 6.00 . 0 Tablet 2.142.00 - 24 Antimalaria DOEN komb (suldox) tab 300 Tablet 525.00 70.600.00 - 4 Alat suntik sekali pakai 1 ml 20 Pcs 1.00 300 Tablet 90.00 610 Tablet 73. 0 Tablet 154.00 . 0 Tablet .560.570.210.00 117.00 . 1290 Tablet 2.00 .000. 0 Pcs 8.00 44.00 .00 52.000.00 146.00 21 Antasida doen srp 38 Botol 2.000. 0 Pcs 1.050. 0 Tablet 245.300.00 . DAFTAR MUTASI OBAT .00 .600.00 .00 131. 0 Tablet 171.000.768.00 . .875.900.200.00 .000.250.00 33. 0 Tablet 154.00 94.00 8 Allopurinol 100mg tablet 850 Tablet 145. 0 Vial .00 157.00 168. 20 Pcs 1.00 1050 Tablet 90.565.00 120 Botol 2.00 18 Amoksisilin sirup krng 125 mg 40 Botol 2. - .00 287. 24 0 Pcs 8.00 23 Antibakteri DOEN komb (basitrasinpollimiksin) salep 0 Tube 2. 0 Ampul 1.025.560.00 .00 - 30 Asiklovir 400mg tablet 0 Tablet 427.00 . 0 Tablet 440.142.00 .300.500.00 70.00 35 As.768.565.200. 0 Vial .00 0 Tablet 86.210.665. 0 Tablet . 0 Tablet .00 .00 . - 41 Benzatil penisilin 2.00 241.140. 10 Ampul 3.250.00 700 Tablet 168.00 . 0 Capsul 2. . 0 Tube 2. 0 Pcs 17. 0 Tablet 354. 0 Tablet . Ascorbat 50 mg tab 2500 Tablet 28.875. 0 Tablet 171.000. 0 Tablet 75. 0 Tablet 354.00 154. 1000 Tablet 168.000.00 .00 442.00 32 As.800.530.00 24.00 558. 0 Vial .90 211.250.000.25mg/ml 0 Ampul 1.00 40.00 1300 Tablet 122.360.00 40 Ampul 164.00 18.00 . 0.00 0 Tablet 525. 0 Tablet 86.000.00 .5mg tablet 0 Tablet 75. 22 0 Pcs 8.400. 0 Vial .00 50.768.00 33 As.00 118.00 2.00 362.00 0 Ampul 3.00 244.00 .00 45. 0 Pcs 8. 0 Tablet 245.500. 0 Tablet 110.00 33.400. 300 Tablet 135.00 .00 110. 350 Capsul 2.00 .00 360 Tablet 197. 0 Tablet 75.438.00 . . 300 Tablet 86.00 0 Tablet 105.00 205.00 700 Tablet 122.142.juta IU/vial injeksi 0 Vial .00 .025.00 .500.838.00 12 Amlodipin 10mg tab 0 Tablet 440.355.00 708.000.600.00 - 13 Amitrippilin 25 mg tab 0 Tablet .00 . .00 5 Alat suntik sekali pakai 2. 300 Tablet 525.600.00 .00 .566.00 .00 16 Amoksisilin 250mg capsul 840 Capsul 150.00 307.000.00 279.2.OBATAN PUSKESMAS PURUK CAHU KABUPATEN MURUNG RAYA Bulan : JANUARI Tahun : 2015 SALDO AKHIR MUTASI SELAMA BULAN DESEMBER 2014 SALDO AKHIR per 30 November 2014 MASUK KELUAR NO Nama persediaan Harga Harga Harga Harga Jumlah Jumlah Jumlah Jumlah Vol Satuan satuan Vol Satuan satuan Vol Satuan satuan Vol Satuan satuan (Rp) (Rp) (Rp) (Rp) (Rp) (Rp) (Rp) (Rp) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 1 Abocate No. 200 Tablet 105. 0 Tablet .00 25.170.00 .00 . 0 Pcs 8. .400.620.00 .84 .00 656.000.00 . 0 Ampul 1.00 .040.00 20 Vial 4.00 158. 0 Pcs 17.600.800. ascorbat 250 mg tab 0 Tablet 154. 2000 Tablet 122.00 0 Capsul 2.00 27 Antihaemaroid suppositoria 0 Supp 2. .20 2000 Tablet 73.00 25.213.00 .431. 0 Tablet 440.000. .000.00 9 Ambroxol 100mg tablet 0 Tablet 137.00 126.00 60 Botol 2. 0 Supp .00 - 29 Asiklovir 200mg tablet 0 Tablet 110.520.500.600.00 .484.425.00 600 Tablet 197.600. 0 Vial .00 21.250.00 80. 0 Tablet 354.000. 6 Tube 3.840. 0 Pcs 1.00 10 Ambroxol 15mg/5ml sirup 0 Botol 2. 0 Tablet 440.00 50 Botol 2.00 44.90 . 150 Ampul 164.300.00 33.560.00 0 Tube 3.213.12 15.00 - 2 Abocate No.00 .00 110 Ampul 164.00 0 Tablet 135.142.00 30.00 1600 Tablet 73. 0 Pcs 17.00 1300 Tablet 279. .

5 mg tab 300 Tablet 81. 330 Sachet 322.00 0 Tablet 35.00 767. 26 Tube 2. 100 Tablet 79.469.605.669.290.926.00 175.00 37.84 10. 40 Supp 19.160.00 .00 70 Erytromisin 125mg/5ml srp krg 77 Botol 8. 0 Supp 19.00 60. 70 Ampul 1.1% 26 Tube 1.00 34.00 30 Botol 6. 0 Tablet 56.160.968. 0 Botol 3.00 5 Pcs 10.00 106.160.145. 5 Pcs 12.125.00 115.40 0 Tablet 96.000.900.000. 0 Tablet . 0 Botol 3. 10 Ampul .000.00 .00 115.84 10.00 7.00 34. 120 Botol 6.000. .33 297.00 380.150.700.800.00 600 Tablet 68.39 - 65 Enzyplex tablet 150 Tab 955.00 10 Botol 3.00 1 Botol 115. .125.652. 0 Ampul .00 1 Botol 115. 10 Ampul .194.00 - 45 Caviplex tablet 0 Tablet 437.00 .450.00 - 75 Etambuthol HCL 500mg tablet 0 Tablet 525.500.00 .00 .00 115.00 115.00 70. 200 Tablet 2.1% 0 Botol 10. - 54 Difenhidramin Hcl Inj 40 Ampul 1.40 59 Doksisiklin 100mg capsul 0 Capsul .090.145. 1000 Tablet 437.164. .00 300 Tablet 437.023.000.00 . 30 Botol 8.000.500.00 . 0 Tablet 525.00 80 Fitomenadion 10mg tab 234 Tablet 123.05 437.3/0 7 Pcs 10.00 63 Dulcolax supp 40 Supp 19.260.669.499.000.000.00 70.600.00 72 Etanol 70% 1000 ml 1 Botol 32.00 .00 55 Diazepam 5mg/2ml inj 11 Ampul 2. . 310 Capsul 987.000. - 78 Fenobarbital 30mg tab.00 . .490. 18 5 Pcs 12. 860 Tablet 1.00 10 Pcs 10.625. 50 Tablet 1.00 595.00 50 Tube 1.00 .00 .00 7.00 .00 85 Furosemid Injeksi 50 Tablet 1.75 .05 . 0 Capsul .300. 10 Ampul .00 .500.500.00 .00 .00 83.600.00 .00 198.84 .500. 0 Capsul 509.150.00 83 Folley Cateter no.042.625.00 65.00 0 Pcs 12.926.125.023.00 100. 110 Tablet 96.65 0 Ampul 2.00 96.620. 8 Ampul 5. 0 Ampul .500.84 .00 .125.605.00 71 Etyl klorida semprot 1 Botol 115. 0 Tablet 51.732.00 - .926.00 68 Erytromisin 250mg cap 250 Capsul 542.00 0 Capsul 509.250.625.605.000.75 .128. 0 Tablet 51.00 .00 .00 - 74 Etakridina (rivanol) lar.00 67.00 86 Garam oralit 330 Sachet 322. 0 Tablet 52.000.00 0 Pcs 12. .00 .500.00 173.250. 0 Capsul 987. .00 84 Furosemid tab 50 Ampul 92.00 0 Tablet 955.200.00 28 Tube 1. 800 Tablet 174.200.00 81.115.50 143. 0 Botol 3.00 .00 .00 90 Botol 6.500.500.250. 20 Ampul .00 52 Dexsametason 5 mg/ml inj 35 Ampul 1.00 81.00 . 0 Tablet 174.980.00 35 Ampul 1.760.200.00 0 Tablet 174.00 29.00 2 Botol 32.195.00 150 Tablet 39.5 mg tab 850 Tablet 79.125.00 175.620.00 0 Tube 2. 0 Capsul .982.935.00 .00 1.39 . 0 Botol 24.00 61.2/0.97 .800. 0 Ampul 2.15 .833.620.00 62 Dulcolax 5mg tab 200 Tablet 2.00 .00 - 57 Diazepam 2mg tab 0 Tablet 39.00 0 Botol 8.00 12 Pcs 10.50 .300.00 91 Glibenklamid 5mg tablet 0 Tablet 66.00 686.00 69 Erytromisin 500mg tab 860 Tablet 912. 350 Tablet 495.33 .00 127.94 785.325.00 47 Botol 8.00 . 0 Capsul .050. 0 Tablet 51.655.00 50 Tablet 39.125.700.1% /1ml 8 Ampul 5.00 . 100 Tablet 42.833.00 . .090. 16 10 Pcs 12.00 38.00 .500.15 . 0 Botol 3.50 .625.00 .00 242.15 .00 .968.00 .00 .00 0 Tablet 495. 0 Tablet 52.00 0 Ampul 5.500.00 1200 Tablet 68. 0 Tube 2. 105 Ampul 2.625.00 794. .00 767.800.00 174. 0 Botol 10.00 .000.000. 0 Tablet 105. 0 Tablet 1.00 .019.97 .00 700 Tablet 437.50 143. 0 Tablet 2.97 .00 .75 255.000.00 30.00 4.000.00 .00 96.33 297. - 90 Gentian violet 12 Botol 3.00 - 89 Gentamisin Injeksi 0 Ampul . .250. 0 Tablet 42.833. 0 Tablet 66.290. 0 Tablet .000.980. 10 Pcs 12. 12 Botol 3.80 16.850.195.15 - 79 Fenol gliserol 15 Botol 1.00 0 Supp 19.50 306.00 24.00 88 Gentamisin tetes mata 0.780.00 .00 60.500.00 . 2000 Tablet 35.00 0 Tablet 42.950.000. 0 Botol 1.910. 0 Botol 10.00 120.75 28.00 0 Ampul 2.00 87 Gentamisin salep 0.250. 0 Tablet .00 100 Ampul 1. 0 Pcs 12.750.125.500.00 600 Tablet 495.00 - 92 Gliseril guaiacolat 100mg tab 0 Tablet 30.968.145.000.00 30 Ampul 1.00 0 Botol 1.3% 0 Botol 3.000.00 40. 0 Tablet 525.625.500.750. 0 Tablet 66.33 .070.00 41.00 .00 61 Domperidom syr/ Vesverum syr 30 Botol 5. 0 Pcs 12.108.00 .00 .00 120.968.00 1 Botol 115.00 . 0 Ampul 92.75 .056.00 0 Tablet 79.65 82 Folley Cateter no.150.00 0 Botol 2.490.00 1500 Tablet 68.000.39 .00 . 0 Tablet 56.00 61.50 41.300.240.00 50. . 0 Botol 2.00 120.000.00 5.00 48 Cimetidine tab 0 Tablet 105.00 28.00 0 Capsul 987.00 102.00 .750.632.00 52.230. .75 458.00 67 Ektrak beladon 100mg tab 100 Tablet 42.750.00 750 Tablet 79. 0 Tablet 525.00 66 Epineprin HCL (adrenalin) Inj 0.957. 234 Tablet 123.800. 0 2.00 64 Efedrin tab 0 Tablet 56.460.400.00 179.50 .05 305.000.97 - 49 Captopril 12.019. 0 Botol 24.325.00 58 Digoksin 0.00 40 Tube 1.620.000. 0 Ampul 5.800.00 43 Catgut benang bedah no.00 53 Diethylcarbamazin sitrat 100mg tab 0 Tablet .499.00 879.250.00 .25 tablet 110 Tablet 96.605. 0 Botol 24. 0 Sachet 322.500.290. 50 Ampul 92.00 139.800.669.900.125.05 131.00 .090.00 0 Botol 3. 0 Tablet 51. 0.00 0 Tablet 2.160. .00 46 Caviplex Syr 0 Botol 6.00 3 Botol 32.000. 0 Tablet .00 0 Ampul 1.500. 11 Ampul 2.625.00 65.00 4.00 56 Diazepam 5mg tab 0 Tablet 52. 0 Tablet 66.260. 0 Tablet 105. 10 Ampul .500.50 81 Fitomenadion 10mg/ml inj 105 Ampul 2.600. 0 Tablet 56.00 42.957.00 100 Ampul 1.00 .00 135.40 0 Tablet 1.300.019.00 51 Dexsametason 0. 0 Tablet 955.00 47 Ceterizine 10mg cap / Lerzin capsul 310 Capsul 987.00 .39 .652. 0 Tablet 1.75 .00 46.125. - 60 Domperidom 10mg tab/ Vesverum 10mg tab 800 Tablet 318. 200 Tablet 39.600.655.00 106.000. 0 Tablet 105.000.500.200. 15 Botol 1.50 .00 470. 150 Tablet 955.194.00 44 Calcidol syr 0 Botol 24.00 66.00 0 Tablet 1.023.42 Betametason cream 18 Tube 1.75 458.00 70.494.00 70 Botol 3.00 .195. 0 Tablet 123. 0 Tablet 52.00 244.000. 0 Tablet 96.50 306.145.00 50 Botol 3.000.980.50 0 Tablet 123.00 73 Etanol 70% 100 ml 0 Botol 2.00 .195.926.00 297.00 .625.75 28.00 28.00 4. 0 Tablet .00 - 76 Famotidine tab 0 Tablet .00 .000.669. 0 Ampul 2.00 0 Sachet 322. . .00 0 Ampul 92.00 .00 50 Captopril 25mg tab/ Dexacap 25mg tab 950 Tablet 495. - 77 Fenobarbital inj.00 2000 Tablet 35.490.00 97.00 .290. 250 Capsul 509.00 . 0 Botol 10.00 .00 2 Botol 32.00 37.00 32.833.00 59. 0 Tablet .00 4.

000.00 142 Metronidazol 250mg tab 500 Tablet 129.00 409.844. 20 Ampul .891.00 .62 50 Botol 2.00 - 127 Klorpromazine HCL inj.00 .000.00 114.00 .00 .00 .00 . 150 Tablet .00 15 Ktk 10. 50 Tablet 152. - 117 Ketorolac 10mg inj 0 Ampul 2.600.00 30 Botol 2.419.00 120 Kloramfenicol kapsul 250 mg 0 Capsul 264.20 98 Haloperidol 5mg tablet 0 Tablet .050.844. 80 Tablet 90.000.228.778.485.00 0 Tablet 157. .225.00 - 133 Lidokain komp. 0 Ampul 929.80 0 Tablet 107.00 125. 0 Rol 25.00 - 123 Klorfeniramini Maleat 4mg tab 0 Tablet 23.00 .00 0 Rol 20.00 140 Methilergometrin maleat inj 10 Ampul 4.00 100.560.485.575.485.20 28. 0 Tablet 400.00 .700.200. .00 0 Tablet 116.700.600.575.00 30.00 .00 0 Tablet 169.665.00 125.224. 0 Tube 2. .00 .050.00 50 Botol 4.00 .00 891.00 700 Tablet 57.00 0 Capsul 264.384. .800.00 .020.00 40 Botol 5. 0 Tablet .00 - 137 Metilprednisolon 4mg tab/ Vadrol 4mg tab 0 Tablet 400.800.944.212.575.00 14.00 800 Tablet 891.00 2500 Tablet 25.00 5 Ktk 10.00 .00 118.00 2500 Tablet 25.00 114 Kasa Pembalut Hidrofil 4m X 15cm 0 Rol .00 .000.000.00 .26 - 97 Haloperidol 1. 200 Tablet 91.878.419.000. 5000 Tablet 25.000.00 130 Kotrimoxazol Suspensi 23 Botol 2.633.00 103. 0 Tablet 39.900.00 44.00 - 110 Karbamazepin 200mg tab 0 Tablet .00 0 Tablet 91.09 .93 .00 28 Botol 2.050.00 .298.000. 0 Ampul .000.00 89. 0 Pcs 8.00 0 Tablet 57. 0 Tablet 157.760.00 .00 .20 68.228.00 .000. .00 0 Tablet .00 131 Lisol 0 Botol 52.26 .300. 5 Rol 25.00 46.800. 0 Pcs 1. 0 Tablet 605.00 .00 19.00 .00 .20 171.800.00 62.00 152. 500 Tablet 57. .896.000.00 0 Ampul 48.50 - 138 Metilprednisolon inj 8 Ampul 48.600.00 124 Kloroquin 250mg tab 0 Tablet . 0 Vial 4. 0 Botol 52.00 23. 0 Tablet .00 0 Tablet 147.112.00 - 105 Intunal Forte tablet 0 Tablet 891.700.00 500 Tablet 224.938.814.300.633.00 .00 14. 0 Tube 22.000.00 .00 - 113 Kasa Pembalut 2M X 80cm 5 Rol 25.00 143 Metronidazol 500mg tab 700 Tablet 174.00 98.205.608.00 - 136 Magnesium Sulfat injeksi (IV) 40% .00 .968.00 200 Tablet 224.00 .00 40. 0 Tablet 91. 0 Tablet 39.00 62.000.00 125.09 2. .040.50 .419.00 .00 44.00 . 0 Tablet 39.93 Griseufulvin 125mg tab 700 Tablet 199.00 200 Tablet 891.00 .00 .700.500. .400.600.00 0 Rol 25.25ml 0 Vial 4.00 112 Kasa Hidrofil 36m X 80cm/40 Y X 80cm 0 Rol 155.00 .000.750.600. 0 Tablet .00 10 Tube 3.228.00 .00 109 Kapas pembalut 500gr 3 Rol 20.00 70 Ampul 1.00 . 0 Pcs 8. 0 Ampul 2.200.00 10 Ktk 10.00 106 Isoniazid 300mg tab 140 Tablet 106. 0 Tablet 605.00 102 Ibuprofen 200mg tab 240 Tablet 152.00 .897. . 8 Ampul 48.000.5% 0 Tube 2. 20 Tablet 107. 0 Tube 22.84 .00 0 Tube 3.00 35. 0 Ampul . 0 Tablet 147. 0 Tablet .00 .00 .500.000. 0 Tablet 605.00 68 Botol 4.00 .00 18.00 . 500 Tablet 116.00 50.400.00 43 Botol 2. 0 Tablet 106.000.50 36.21 76.00 . 0 Botol 52. 300 Tablet 79.00 264.550. 0 Ampul 929.00 20 Botol 4.00 . .600. 0 Tablet 66.00 100 Botol 5.00 23.00 62.778.100.224. 0 Tablet .020.93 - 100 Hufalysin syr 0 Botol 8.70 .00 - 135 Magnesium Sulfat injeksi (IV) 20% .93 .141.00 .00 .93 .00 50.760.00 1000 Tablet 224.610.20 7. 0 Rol .00 .400.000.00 20 Ampul 1.300.334.00 .00 584.000. 140 Tablet 106.800.778.00 .00 275.00 134 Masker 0 Pcs 1.00 . - 125 Klorpromazine HCL 25mg tab 0 Tablet .600.20 0 Tablet 90.000.00 . 0 Pcs 8.00 116 Ketoconazole 200mg tab 150 Tablet 267.5mg tablet 80 Tablet 90.200. 0 Tablet 116.09 .00 500 Tablet 151.00 390.00 62. 5mg/2ml 20 Ampul .00 224.419.000.00 62.891.500.00 150. 0 Rol .00 .878.94 50. .500.20 164.50 . 24 Tube 2.000.00 138.00 18. 0 Ampul 929.000.00 264.298.00 .70 14.00 .000.00 0 Tablet 79.50 .09 2. Infus 5% 70 Botol 5.300.26 .00 100. 100 Tablet 147.459. 0 Tablet 79.00 139 Metoclorprofamid 10mg tab 200 Tablet 91.00 540 Tablet 151. 0 Vial 5.000.00 94 Glukosa lar.540.300.267.205.267.000.00 68. 0 Pcs 1.640.00 .500. 0 Vial 5.000. 48 Botol 2.00 44.00 390. .000.00 30 Ampul 4.000. - 126 Klorpromazine HCL 100mg tab 0 Tablet 605.050.00 .00 95 Hidrocortison krim 2. .84 . .00 1000 Capsul 264. 0 Tablet .878.400. 0 Vial 4.00 .700.665.00 .634.00 29.00 81. 0 Tablet 400.00 - 119 Kloramfenicol 125mg/5 susp 38 Botol 4. 0 Tube 3.00 .000. .665.000. 0 Tablet 90.00 10 Botol 5. 0 Ampul 2.84 7.633.634.778. 0 Tablet . Inj 30 Ampul 1.300.600. .891.70 14.00 14 Tube 3.00 . 0 Vial 5.000.020.00 0 Ampul 4. . 0 Pcs 8. .00 202.00 75.00 20 Botol 2.00 222.00 81. 0 Tablet .000. 0 Rol 155. 0 Tablet . - 115 Ketoconazole 2 % krim 24 Tube . .00 103 Infusion set anak 0 Pcs 6.00 .600. 800 Tablet 157.800.00 19. 0 Pcs 8.938.00 122 Kloramfenicol salep mata 1%(cendo Fenicol) 0 Tube 22.26 .20 . 1000 Capsul 264.00 233.950.00 58.485.00 63. 0 Tablet 66. 0 Tablet .20 40. 0 Pcs 8.000. 0 Tablet . 6 Tube 3.00 200 Tablet 151.00 106.844.00 184.00 1.00 .665.00 64.00 125 Botol 8.080.00 107 Isosorbit Dinitrat 5mg tab sublingual 20 Tablet 107.00 121. 0 Tablet 66.000. 0 Tablet 107. 0 Ampul 2.440.891.878.896.00 125.000.016.00 - 121 Kloramfenicol tts telinga 3 % 0 Botol 1.000.00 . .000.70 .205. 40 Ampul 4.600.00 712.844.00 144 Miconazole cream 6 Tube 3.00 . 150 Botol 8.00 58.00 .000.00 - 104 Infusion set dewasa 0 Pcs 6.84 7.20 .00 - 132 Lidokain 2 % inj 0 Ampul 950. 0 Botol 52.141. 0 Rol 155.00 139.00 0 Tablet 106. - 128 Kotrimoxazol 120mg tab 300 Tablet 79.020. 1000 Tablet 891.600.00 . 24 Tube 3.00 60 Ampul 1. - 111 Kasa Hidrofil 40 x 40 steril/ 16 X 16 cm 10 Ktk 10.00 . 0 Ampul 2.00 101 Ibuprofen 400mg tab 800 Tablet 96.896.00 85. 3 Rol 20.192. 700 Tablet 169.00 25 Botol 8.376. 0 Ampul 48. 0 Tube 2.00 96 Haloperidol 0.00 129 Kotrimoxazol 480mg tab 1130 Tablet 152.00 0 Rol 20. 0 Tablet . 0 Ampul 2. 0 Rol . 0 Tube 22.896. 0 Tablet .00 112.940.000.00 .00 141 Methilergometrin maleat tab 100 Tablet 147.298. 0 Tablet 169. . 0 Pcs 1.050.00 1.000.00 1080 Tablet 152.00 0 Tablet 152. 0 Ampul 2.986.00 178.80 108 Kalsium laktat 500mg tab 1200 Tablet 57.5mg tablet 0 Tablet 66.25ml 0 Vial 5.00 - 118 Ketorolac 30mg inj 0 Ampul 2. 0 Tablet 400. - 99 Hidroklortiazid HCT 25mg tab 0 Tablet 39.205.00 . 0 Rol 155. 0 Vial 4.200.

00 0 Pcs 10.00 449. .00 - 187 Rifampisin 450mg kaplet 0 Tablet .40 161 Parasetamol 120mg/5ml srp 20 Botol 2.000.350. 0 Vial 3.00 66.500.00 793. .050.600.00 3.00 0 Botol 5. .00 . 0 Tablet . .471.00 137. .000.00 .925. 0 Tablet .000. 0 Tube 22.00 .00 177 Propanolol HCL 40mg tablet 126 Tablet 133.00 .00 180.200. 66 Botol 5.00 .00 .00 60 Ampul 7.050.00 400 Tablet 440.00 - 195 Sefadroxil 500mg kapsul 0 Capsul 521.00 146 Natrium Diklofenak 50mg tab 500 Tab .00 .00 87.00 839.000.493.00 49. 0 Capsul 490. 0 Tube 22. .996.770.00 172 Povidon iodida 10% 30ml 3 Botol 2.00 . - 168 Piroksikam 10mg tab 0 Tablet 90. 136 Pcs 10.520. .500. - 166 Piracetam 1g injeksi 20 Vial 1.700.390.390.00 . 1000 Tablet 440. 0 Pcs 10.00 13.145 Microlax enema 3 Tube 18.900.00 .00 . 700 Tablet 125. 300 Tablet . 0 Botol 2.000. 0 Tablet 825.360.10 16.620. .00 297.00 264.112.840.00 0 Vial . 0 Tube 14.500. 0 Rol . 0 Botol 2.00 192 Sarung tangan steril No.588.350.588.000. .40 200 Tablet 330.000. .00 80 Ampul 7. 0 Tube 687.00 .00 .00 .588. 0 Tablet 133. 0 Pcs 10. 0 Tablet .00 . 0 Capsul 490.00 170 Plester 5 yard X 2 inc 3 Rol 65. 0 Tube 22.500.350.00 10 Ampul 125.000.00 . 0 pot .374. 500 Tablet .390.500.000.00 343. .00 152 Nistatin 500.00 .00 194 Sarung Tangan steril No.00 .00 . 0 Capsul .550.00 0 Botol .00 159 Omeperazol 0 Capsul .00 176.350. 0 Capsul 490.200. .00 . 0 Tube 14.00 66. 8 0 Pcs .000.600.00 .00 - 165 Piracetam 400mg tablet 270 Tablet 194. 0 Capsul 440.500.00 1000 Capsul 529.000.500. . 0 Tablet 448.00 .610.00 .00 0 Botol 14.00 .588. .500.60 0 Tablet 133.00 191 Sarung tangan steril No.00 0 Tablet .00 0 Tablet 704. . . 0 Vial .374.00 190 Salbutamol 2mg tablet 300 Tablet 69.00 .00 .000.00 810.721. 0 Tablet 490. 0 Capsul .00 87.00 .10 .00 400 Tablet 579.360.00 6.181. 20 Vial .00 0 Botol 5.90 40 Botol 329.687.00 175 Prednison tab 0 Tablet 69. 0 Capsul 440.00 100 Tablet 119.00 330.360. . . .00 0 Pcs 10. 0 Tablet .049.157.000.00 231. 500 0 239.000 IU/g tab vag 195 Tablet 448. 30 Tablet . .5 30 Pcs 5.000. . 0 Capsul 440.00 312.00 5 Rol .00 .00 2000 Tablet 687.030.000.00 7. . 0 Tablet 825. 400 Tablet 825.157. 0 Tablet 1.00 . 0 Tablet .157.00 3.620. 0 Pcs 10. 0 Tablet .900.00 1450 Tablet 579.00 9.00 .020.280.588.700.00 300.10 .493.00 . 140 Ampul 7.5 36 Pcs 5.157.00 .10 .00 .00 .00 300 Tablet 119. 58 Botol 5. 4000 Tablet 687.00 .9% 58 Botol 5.500. 0 Tablet .00 6.350.00 570 Tablet 119.00 67.00 38.00 .00 150 NGT Nasogastric Tube no.000.00 1.00 30 Tablet 330. . 0 Tube 687.900.00 599.00 4000 Tablet 119.00 .00 82. 0 Tube 687.00 312.00 153 Nipedipin tab 0 Tablet 115.00 28.00 . 0 Tablet 1.471. 0 Tablet 125. 0 Botol 133.00 179 Ramabion capsul 0 Capsul 490.00 - 151 Nistatin 100.00 377. - 188 Rifampisin 600mg kaplet 0 Tablet 825.00 28.00 476. - 186 Rifampisin 300mg kapsul 0 Capsul 440. 126 Tablet 133.00 50.53 26. .200. 500 Tablet .00 - 154 Obat batuk hitam 0 Botol 1.00 500 Capsul 529.00 6.00 .10 16.00 20.00 . 60 Ampul 125.380.00 0 Tablet 125.000.00 1. 0 Botol .00 150.00 0 Tablet 1.00 .38 260. .200.280.00 22.050.00 .00 182 Reserpin 0.00 .00 49.350.000.00 440. 0 Tablet 825. 6.800.000 IU tablet 70 Tablet 704.00 250 Tablet 330.00 149 Neurodex tab 450 Tablet 579. .00 164 Papaverin tab 0 Tablet 125.700.00 .00 176 Primakuin 15mg tab 700 Tablet 125.00 . .00 87.00 264. 0 Tube 14. 0 Tube 22.00 .80 169.53 9.00 600 Tablet 440. 0 Botol 3. 0 Tablet 490. 2 Botol 14. 30 Pcs 10. 200 Tablet .748.00 .720. .00 .000.00 . 0 Tablet 115. 0 Pcs 10.00 .00 44. 7.000.440.500.00 - 180 Ranitidine 150mg tablet 370 Tablet 119.700.00 52.000.000.150. 4 Botol 133.00 - 158 Oksitosin 10IU/ml inj 0 Ampul 11. 0 Tablet 115.00 .00 .770.362. . 0 Tablet 1. 0 Tablet . - 184 Retinol (Vit A) 100.10 .00 . 0 Tablet . 195 Tablet 448. 0 Botol 3. . 0 Capsul . 0 Botol 3.830.000. 0 Tablet 1.000. 3 Botol .00 .200.000.600.00 50 Botol 329.50 30 Botol 329.53 16. 100 Tablet 69.600.10mg tablet 0 Tablet .000.00 .749.000. - 167 Piridoksin 10mg tab 300 Tablet 35.350.00 - 157 Oksitetrasiklin Hcl salep 1% 0 Tube 2.00 .00 300.00 148 Neurobion inj 0 Ampul 7. 1500 Capsul 529.00 119. 0 Tablet . 0 Tablet 825.000. 30 Pcs 10.00 0 Tablet 825.53 13.25mg tablet 0 Tablet .00 150.000 IU kapsul lunak 0 Tablet . 10 0 Tube 22.500. 0 Tablet .500.000. 0 Tablet .00 . 0 Vial 3.00 .00 529. 0 Tablet 490. - 185 Retinol (Vit A) 200.500.00 2000 Tablet 687.00 87. . .00 .00 1.00 - 189 Ringer laktat lar inf 66 Botol 5.00 .00 1.00 .000.493.00 35.00 1400 Tablet 579.10 532. 0 Tablet 115.00 147 Natrium klorida lar. Infus 0.000. 14 pot .588. 0 Tablet . 800 Tablet .000. 0 Botol 14.410.250. 3 Tube 22. 0 Tablet .00 1000 Tablet .00 .580. 0 Botol 5.00 - 174 Povidon iodida 10% 300ml 2 Botol 14.00 1.390.493.20 162 Parasetamol 100mg tab 0 Tablet .500.00 0 Tablet 448.00 416.000.00 .000. 0 Botol 5.00 - 156 Oksitetrasiklin Hcl salep kulit 3% 0 Tube 1. - 171 Pyrantel pamoat tab 400 Tablet 343.00 200 Tablet 69. 0 pot .00 .00 0 Pcs 10. . 240 Tablet .00 195.646.530.000.520. 0 Pcs 10.000.00 . . - . 0 0 239.00 .00 100 Pcs 10. 0 Vial 3.00 - 155 Oksitetrasiklin inj 0 Vial 3.050. .00 . 3 Tablet 1. - 173 Povidon iodida 10% 60ml 0 Botol 3.000.00 3500 Tablet 119.00 0 Botol 133.157. - 169 Piroksikam 20mg tab 0 Tablet 90.00 0 Tablet 69.00 .00 2. 0 Tablet .00 196 Salep 2-4 komb 14 pot .00 181 Ranitidine 25mg/2ml injeksi 3 Tablet 1.00 50 Ampul 125.000 IU kapsul lunak 0 Tablet . 0 Tablet 704.588.157. 0 Tablet 239. - 183 Reserpin 0.00 193 Sarung tangan steril No.00 0 Tube 22.00 2500 Tablet 119.00 - 163 Parasetamol 500mg tab 2000 Tablet 84.00 1. 8 Rol .500. .00 .00 11.157. 7 30 Pcs 5.476.60 178 Propilthiourasil (PTU) 100mg tablet 80 Tablet 329.250.000.00 56. 70 Tablet 704.00 10. - 160 Paracetamol drops 4 Botol 5.000.885. 0 Botol 2.

50 0 7.834.00 .00 570. Pada per 1 januari 2015 ada perubahan harga satuan pada beberapa item obat.00 . .600.584.629. .00 - 205 Surgical Blade 175 Pcs 3. 0 Tablet 180. 0 Tablet 180.251.500. 19 Pcs 8.00 6 Reagent Gol Darah B 5 Botol 150.000.00 0 Pcs 8.00 105.584.500. . . 0 Botol . 0 Ampul 770. .640. 0 Pcs 7.00 - 7 Cholrfenol Camfer Mentol (CHKM) 0 Botol .00 8 Reagent Widal Type H 3 Botol 190.00 - 204 Siprofloksasin HCL 500mg tablet 0 Tablet 241.00 510. . 0 Botol .500.327. 0 0 2. 400 Strip 31.500. 0 Pcs 15. 0 Botol . 19790811 200003 2002 .00 216 Zinc 0 Tablet 522.00 . .000.320. 661.00 0 Botol 150. .578. 0 Pcs 7.50 35. 0 Ampul 770. .00 10 Stick Gula darah 0 Strip 5.000.000. .00 .00 220. 0 Set .426. 0 Vial 2.000.000. 0 Botol 3. 0 Pcs 193. 0 Tablet 522. 0 Pcs 193.00 .00 209 Tetrasiklin Hcl cap 500mg cap 0 Capsul 282.850.00 358.00 . - 8 TKF 0 Botol .00 37.797.00 162.492.00 32 Ampul 1.00 570.578.584. 0 Pcs 193.00 68 Ampul 1.00 - 211 Thiamin Hcl 100mg/ml inj 0 Ampul 770.00 3.00 .00 - 198 Sefotaksim injeksi 12 Vial 2. - 9 Bahan TUMPATAN SEMENTARA 0 Kotak .00 440.00 11 Stick Kolesterol 0 Strip 31.00 .000.00 .417. 0 Vial 2.000.00 .00 . 0 0 2.00 .00 79.250. . 300 Capsul 409.75 OBAT GIGI 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 1 Dental Mercury 100gr 0 Botol .426.112.250.00 55. - 12 Alvogyl 0 Kotak . .00 .600.584.00 .00 12.42 43.180.00 .00 . 0 Capsul 183. .00 .00 206 Sulfacetamid tts mata 15% 0 Botol 3.067.00 .00 50.417.00 .500. . .323.112.00 225. .00 0 Capsul 409. 0 Capsul 541. .00 4 Bahan TUMPATAN PERMANEN 0 Kotak .174.417. 0 Botol . 0 Supp .00 25 Strip 5. 0 Tablet 53.584.000. 2 Kotak . 0 Vial 2.700.444. 300 Strip 5.300.00 100. 4 Botol . 50 Capsul 183.000.850.00 9 Stick Asam Urat Nesco 10 Strip 5.00 0 Botol 190.584.000. 0 Ampul 770.279.00 1000 Tablet 112.253.00 275 Strip 5.00 .657.000.00 0 Vial 2. 0 Botol .00 1. 0 Set . 0 Botol .00 .250.00 151.50 2 Reagent Benedict 4 Botol 89.00 2300 Tablet 112.00 202 Silk benang bedah sutra No.00 17.00 158.000.578.700.500.50 589.091.00 .450.00 .000. - TOTAL .840. 0 Kotak 1.00 0 Capsul 183.00 570.535. .00 9. .00 612.00 .00 9.417. 100 Ampul 1.00 - 207 Tablet tambah darah 0 Sacht 2.512.00 . 0 Botol 3.000.000. 0 Tablet 522.00 2. 0 Pcs 15.00 0 0 3. 0 Botol 190.700.00 3 Strip 11.850.00 2 Kotak 170. 12 Vial 2. 1 Kotak . .000.584.333. 3/0 19 Pcs 8.700. 0 Kotak . 197 Salisil bedak 2% 0 Kotak 1.00 .00 .00 750.00 .333. 0 Supp . 0 Botol 89. .000. 0 Botol .797.000.606. 0 Supp . 0 Tablet 180.426.00 6 Mummifying Pasta/ Iodoform Paste 0 Pcs 193.00 750. 300 Capsul 541. 0 Botol 56. - 4 Reagent Turk 4 Botol 56.00 0 Botol 89. 0 Botol .00 257.90 26.000.00 .200.00 .00 .000. 50 Strip 11.832.075.500.426.00 3. 0 Kotak . 0 Pcs 15.327. .00 5 Reagent Gol Darah A 5 Botol 150.00 Laboratorium Reagent 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 1 HBsAG Stick 0 Strip 11.00 .000.500.00 2.00 - 201 Sianokobalamin (vit B12) inj 0 Ampul 1. 0 Set .600.956.251. .00 100 Strip 31. .00 507.417.00 340.00 .00 9. Mengetahui Puruk Cahu. - 3 Eugenol cairan 0 Botol 50.00 . 0 Kotak . 0 Botol 150.578. 0 Kotak .00 .000. 5 Kotak . 0 Botol 3.000.00 132. 0 Kotak . 0 Kotak . .150.00 .00 .00 158.00 2 Botol 50.800.200.00 .000.00 570. 0 Set . 0 Pcs 8.50 NB.000. 0 Botol . 0 Pcs 7.561.00 .00 .00 .00 . 0 Tablet 53. - 10 Fletcher (powder + Liquid) 0 Set .00 122.792.00 .00 .905.00 .00 1 Botol 50.00 . 0 Botol .00 .00 .000.00 145 0 3. 0 Kotak 1.00 - 200 Selang Oksigen 0 Pcs 15.00 .202.00 117.503.174.00 . 3 Botol 50.000. 31 Januari 2015 Kepala Puskesmas Puruk Cahu Yang Membuat Laporan SRI RAHAYU FITRI AGUSYANI NIP. 300 Capsul 409.00 - 212 Tramadol 50mg kasul 300 Capsul 196.680.000.417.00 0 Botol 56.00 225. 30 0 3. 0 Vial 2. 4 Botol 56.00 29.200.500. 19700306 200212 2006 NIP.00 210 Thiamin Hcl 50mg tab 0 Tablet 38.150.00 .00 199 Seftriakson injeksi 0 Vial 2.00 750.500. 0 Botol .250. 0 Kotak .50 . - 2 Devitalisasi Pasta (Non Arsen)/ Devitec 0 Kotak .00 . 0 Set . 5 Botol 150.00 .700.00 0 Botol 190. . . 0 0 2.50 554. 0 Tablet 522.00 TOTAL 3.00 - 208 Tetrasiklin Hcl cap 250mg cap 50 Capsul 183.700.00 30 Strip 5.00 203 Simvastatin 10mg tablet 0 Tablet 180. 3 Botol 190.00 .400.00 170. - 5 Kalsium Hidroksida Pasta/ Dorident Calcidor 0 Kotak 170.600.00 56.00 1 Kotak 170.000.35 58.00 213 Ultraproct N suppositoria 0 Supp .520.00 500 Tablet 265.200. .00 500 Tablet 112.500.797.700.000. 0 Set .77 16. .000.00 .000.000.834.00 - TOTAL 13. 3 Kotak .500.000.00 29.00 1. 1 Kotak .500.180.00 0 Tablet 265.600.00 .180. 3 Kotak 170.000. 0 Botol 150. .500.850.00 122.00 358.180.00 750. 0 Tablet 53. 3 Botol 190.675.000.00 .00 3 Reagent Rees & Ecker 4 Botol .568.797.333. .600.00 500 Strip 5.00 0 Capsul 541.00 112.00 480 Strip 5.500.50 47 Strip 11.600.200.000.00 139.00 7 Reagent Widal Type O 3 Botol 190.00 .00 .500.000. 4 Botol 89.150. 500 Tablet 265.875.600.00 .00 167.800.174.00 300 Strip 31. 0 Botol 190. - 11 Zink Phosphat cement (Powder + Liquid) 0 Set .00 0 Botol 150. - 214 Urine Bag 0 Pcs 7.000.00 - 215 Vitamin B komplek tab 1800 Tablet 24. .482.000.000. 0 Kotak 1. 5 Botol 150.584.000.00 132.00 .000. .392.50 17.00 .333.

00 33.00 118.00 0 Capsul 220. 0 Tablet 171.840.530.000.00 189.00 .142.OBATAN PUSKESMAS PURUK CAHU KABUPATEN MURUNG RAYA Bulan : PEBRUARI Tahun : 2015 SALDO AKHIR MUTASI SELAMA BULAN JANUARI 2015 SALDO AKHIR per 31 JANUARI 2015 MASUK KELUAR NO Nama persediaan Harga Harga Harga Harga Jumlah Jumlah Jumlah Jumlah Vol Satuan satuan Vol Satuan satuan Vol Satuan satuan Vol Satuan satuan (Rp) (Rp) (Rp) (Rp) (Rp) (Rp) (Rp) (Rp) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 1 Abocate No. 0 Tablet 86.210. 200 Capsul 2.00 33.00 25.000.250.00 110.00 228.00 405.00 100 Pcs 1. 0 Tablet 354.00 35 Botol 4. 0 Tube 2.00 .00 18 Amoksisilin sirup krng 125 mg 60 Botol 2.00 .210.00 . 0 Supp . - . 0 Pcs 8.00 37 Asetosal 500mg tablet 0 Tablet 171. 0 Tablet 440.00 45.00 25.00 8 Allopurinol 100mg tablet 1050 Tablet 90. Ascorbat 50 mg tab 2300 Tablet 105. 0 Tablet 75. 0 Pcs 17.00 2.00 40.000.000.00 157. .00 .000.00 - 5 Alat suntik sekali pakai 2. 50 Ampul 164.875.560.00 300 Tablet 168.400.00 153.00 167. 0 Pcs 17.00 40.00 200 Pcs 1.00 .00 60.00 154.00 .00 19 Antalgin 250 mg/ml inj (Noralges inj 500mg/2 ml) 110 Ampul 164.00 - 32 As.200.00 .00 - 39 Atropin sulfat 0.00 300 Pcs 1.000.000. 0 Tablet 110.00 251.040.142.00 44.00 - 13 Amitrippilin 25 mg tab 0 Tablet .768.600.800.00 720 Capsul 220.00 279.00 17 Amoksisilin 500 mg tablet 1000 Tablet 279. 6 Tube 3. 0 Vial .560.200.620.000.650.025. - 41 Benzatil penisilin 2. 0 Tablet 154.600. 0 Pcs 17.00 .00 50 Botol 2.00 117.00 1000 Tablet 122.00 .00 .00 . 0 Pcs 17.210.425.800.00 310 Tablet 73.00 16 Amoksisilin 250mg capsul 1320 Capsul 220.000. 0 Ampul 3.00 1100 Tablet 122.00 - 3 Abocate No.00 . 0 Pcs 1.5mg tablet 0 Tablet 75.00 150 Capsul 2.00 0 Tablet 168.300. 0 Pcs 8.00 30 Asiklovir 400mg tablet 0 Tablet 354.00 0 Tablet 525.00 91.00 384.00 134.00 .00 .00 0 Ampul 164.00 .00 205.00 2.00 .300.00 15 Aminopillin 100mg tablet 300 Tablet 86.00 241.00 42 Botol 2.620.00 2000 Tablet 279.213. .00 36 Asetosal 100mg tablet 300 Tablet 110. 0 Supp . 0 Pcs 17.213.00 125.00 . 0 Tablet 171. .00 50 Botol 2.425.00 .000.00 .00 558.00 .00 150. 300 Tablet 110. 0 Tablet .000.00 - 40 Benzatil penisilin 1.210.00 600 Tablet 197. Tranexamat 250mg capsul/ Kalnex 250mg c 350 Capsul 2.00 35 As.630.00 90.00 49.425. 0 Tablet .600. 500 Tablet 245.00 0 Tablet 90.00 19.00 19.625.00 290.250.00 23 Antibakteri DOEN komb (basitrasinpollimiksin) s 0 Tube 2.00 303.000.200.000.00 25.00 18.484.200. 0 Tablet .600.00 1200 Tablet 122. . 0 Tablet 135. - 28 Aqua pro injeksi 0 Vial 4. 0 Tablet 75.600.768.142.00 146.00 0 Tablet 86.00 50. 10 Ampul 3.00 52.00 .00 1800 Tablet 105.000.000.00 708.00 200 Tablet 245. .800.00 73.142.200.00 0 Tube 3.juta IU/vial injeksi 0 Vial . 0 Ampul 1.025.00 122.425.00 .00 0 Pcs 1. . 500 Tablet 105.000.300.200. 24mg/5ml 10 Ampul 3.00 .00 .00 20 Antalgin 500 mg tablet 1290 Tablet 2.200.00 .768.00 2100 Tablet 279.00 . 0 Tablet 354.00 122.142.560.5ml 0 Pcs 1.300.00 . 0 Tablet 525.300. 22 0 Pcs 17.00 114.00 27 Antihaemaroid suppositoria 0 Supp .025. 0 Tablet 154. 0 Ampul 1. 0 Tablet 154.00 10 Ambroxol 15mg/5ml sirup 65 Botol 4.00 0 Tablet 135.00 .142.484.080.360. DAFTAR MUTASI OBAT .25mg/ml 0 Ampul 1.200.200. . .00 168 Botol 2. 300 Tablet 135.00 990 Tablet 2.00 .00 . 0 Tube 2. 0 Tablet .00 .00 91. 20 0 Pcs 8.500.00 - 38 Atropin sulfat inj.142.00 .500.00 - 2 Abocate No.00 460 Tablet 197. .500.00 660.600.00 8.750.300. 0 Vial .213.00 100 Pcs 1.00 0 Tablet 110.00 80 Pcs 1.500.00 68 Botol 2. 0 Tablet 354. - 26 Antimigrain Kombinasi tablet 300 Tablet 135.00 21 Antasida doen srp 68 Botol 2.000.00 35 Vial 4.00 22 Antasida doen tablet 610 Tablet 73.200.00 0 Ampul 3.00 430.000.00 107.00 157.000.750.00 29 Asiklovir 200mg tablet 0 Tablet 245. 0 Vial .600. 0 Pcs 1. 300 Tablet 525.00 - 31 Asiklovir cream 6 Tube 3. 0 Tablet 75.00 140.178. . .00 . 0 Ampul 1.00 . 0 Vial .360.000.500.00 550 Tablet 90.250.000.500.00 .600.00 . 0. 0 Tube 2.560.600.838.00 12 Amlodipin 10mg tab 0 Tablet 440.00 15 Vial 4.400.00 150.025. 0 Tablet 171.00 300 Tablet 245.900. 0 Tablet .000. - 14 Aminopillin inj.00 110. .00 90.00 .00 - 6 Alat suntik sekali pakai 3 ml 180 Pcs 1.142.565. 24 0 Pcs 17.00 132.00 2300 Tablet 73. 50 Vial 4.142.00 100 Pcs 1.00 0 Tube 3.600.00 . 30 Botol 4. .00 600 Tablet 197.142.00 - 34 As.00 120 Pcs 1.00 132.100.00 67.300. 600 Capsul 220. 500 Tablet 90.560.500.00 . 300 Tablet 2.4.00 158.500.142.00 . 300 Tablet 86.00 .00 33.00 33 As.00 .768.00 .00 .00 0 Capsul 2.00 0 Tablet 105.00 146.250.00 .00 - 24 Antimalaria DOEN komb (suldox) tab 300 Tablet 525.00 94.00 158.600.000.565.00 0 Botol 4. 0 Tablet 440.00 0 Tablet 2.00 150 Botol 2. 0 Pcs 8.750.00 49.00 7 Alat suntik sekali pakai 5 ml 80 Pcs 1.000.000.00 342.00 25 Antiparkinson tab 0 Tablet .00 80 Pcs 1.00 .00 150.00 287.00 200.360.00 .400.juta IU/vial injeksi 0 Vial .400.800.500. 0 Vial . 0 Supp . 0 Pcs 17.00 .2.00 .00 114. 0 Vial .00 91.00 9.00 60 Ampul 164. Mefenamatt 500 mg tab 1300 Tablet 122. 0 Tablet 440.00 22.565.500. .00 900 Tablet 279. 0 Pcs 1.00 33.00 2000 Tablet 73. ascorbat 250 mg tab 0 Tablet 154. .565.200.00 11 Amlodipin 5mg tab 460 Tablet 197.000.300.00 .00 9 Ambroxol 100mg tablet 700 Tablet 168.600.00 .00 - 4 Alat suntik sekali pakai 1 ml 20 Pcs 1.900.00 118.400.00 585.00 .000. 400 Tablet 168.213. 0 Tablet .142.520.00 .650.

10 Pcs 12. 0 Botol 10.00 346.750.00 2300 Tablet 68.00 .700.926. 0 Ampul 2.00 4. .00 88 Gentamisin tetes mata 0.499.000.00 72 Etanol 70% 1000 ml 2 Botol 32.000.00 87.00 1 Botol 115. 0 Tablet .500.00 87.00 .00 .957.968.00 230 Sachet 322.50 .652.00 . 0 Tablet 56.700. . 0 Botol 2. 50 Ampul 92.00 71 Etyl klorida semprot 1 Botol 115. 0 Tablet 105.00 . .00 86 Garam oralit 330 Sachet 322.00 0 Tablet 495.00 385.33 .250.000. 0 Botol 24.980. 0 Botol 1.75 .605.600.019.00 74. 0 Tablet 66.00 28.160.023.00 .000.00 37. 0 Tablet 56.00 300 Tablet 495. 0. - 77 Fenobarbital inj.530.97 .00 87.00 .968.00 300 Tablet 68. 30 Botol 8.00 17 Botol 8.00 .000.00 59.40 0 Tablet 96. 0 Ampul 2.780. 30 Botol 3.00 .00 91 Glibenklamid 5mg tablet 0 Tablet 66.000.160.50 - 66 Epineprin HCL (adrenalin) Inj 0.15 . .023.000.00 139. .00 767.325.00 34.494.00 41.00 20.75 28. .00 11.200. - 90 Gentian violet 12 Botol 3.290. 0 Tablet 52.00 .655.00 - 92 Gliseril guaiacolat 100mg tab 0 Tablet 35.200.00 73 Etanol 70% 100ml 0 Botol 2.50 81 Fitomenadion 10mg/ml inj 105 Ampul 2.00 0 Tablet 39. 110 Tablet 96.150.00 40.490.00 67 Ektrak beladon 100mg tab 100 Tablet 42.00 47.00 0 Tablet 955. 0 Pcs 12.669.75 458.00 .00 .125. .850.65 82 Folley Cateter no.000.380.00 120.625.00 69 Erytromisin 500mg tab 860 Tablet 1.000.00 0 Ampul 92.00 5.00 136.00 51 Dexsametason 0.00 317.00 500 Tablet 174.620. 0 Botol 3.00 120. 0 Tablet .655.00 0 Botol 8.00 80 Tablet 1.00 46 Caviplex Syr 90 Botol 6.00 0 Tablet 2. 600 Tablet 79.00 0 Pcs 10.00 .500.290.00 154.980.500.620.00 327.00 62 Dulcolax 5mg tab 200 Tablet 2.00 50.125. 0 Tablet 525. 0 Botol 10. .300. - 60 Domperidom 10mg tab/ Vesverum 10mg tab 800 Tablet 174.39 .00 . 0 Botol 3.00 .000.00 346.00 . 50 Ampul 1.500.125. 30 Ampul 1.500. 0 Tablet .605. 48 Botol 6.00 130.00 4.833.620.090.023. 105 Ampul 2.00 .00 0 Botol 3.500.05 437.00 - 74 Etakridina (rivanol) lar. 0 Tablet 51.000.00 50 Ampul 1.00 148.00 . 5 Pcs 12. 200 Tablet 1.968.00 .00 .000. 250 Capsul 509.00 6 Tube 2.00 50 Captopril 25mg tab/ Dexacap 25mg tab 600 Tablet 495.00 70.652.1% 0 Botol 10.090.39 .00 55 Diazepam 5mg/2ml inj 11 Ampul 2.125.980.00 68 Erytromisin 250mg cap 250 Capsul 509.500.750.000.023.33 .145.00 48 Cimetidine tab 0 Tablet 105.00 52.490. 0 Botol 24.05 305.00 700 Tablet 437.500.00 4.605.00 56 Diazepam 5mg tab 0 Tablet 52.195.00 87 Gentamisin salep 0. 0 Tablet 51.00 .00 .00 85 Furosemid 40mg tab 50 Tablet 1.968.84 .00 .00 1000 Tablet 437.00 879.00 660 Tablet 1.1% 26 Tube 2.145.00 0 Botol 2.000.00 4 Botol 32.84 10. 150 Tablet 955.00 41.75 28. 100 Sachet 322.400.00 .00 3 Botol 32.000.00 96. 0 Ampul 5.00 - 58 Digoksin 0.25 tablet 110 Tablet 96.00 105.50 143.00 . 20 Ampul .00 32. 0 Botol 3.260. 0 Ampul . 0 Tablet 52.669.625. 0 Tablet 2.00 104.975.935.00 0 Tube 2.00 83 Folley Cateter no.00 127.200.000.00 84 Furosemid 10mg/ml inj 50 Ampul 92.114.000. 0 Tablet .00 0 Capsul 509.926. .00 - 57 Diazepam 2mg tab 150 Tablet 39. .00 63 Dulcolax supp 40 Supp 19.700.500.000.00 115.00 61 Domperidom syr/ Vesverum syr 70 Botol 3.00 .00 53 Diethylcarbamazin sitrat 100mg tab 0 Tablet .00 60.00 .200.00 242.325. 0 Tablet 42.00 .500.250.125.00 127.00 0 Pcs 12.00 244. 0 Ampul .725.499.00 0 Tablet 174.00 44 Calcidol syr 0 Botol 24.00 40 Botol 3. 0 Tablet 51.926.00 .00 .00 40 Ampul 1.019.800.000.50 143. 0 Tablet 105.00 156.00 5. 0 Tablet 66.050.160. .200.150.019. 0 Tablet 525. 150 Capsul 987. 8 Ampul 5.3% 0 Botol 3.00 1 Botol 32.84 . 15 Botol 1.000.00 0 Tablet 79. 0 Botol 3.125.625.00 595.00 .00 12.3/0 12 Pcs 10.00 3 Botol 115. 0 Tablet 123. 0 Capsul .65 0 Ampul 2.00 0 Supp 19.400.75 .490.00 . .97 - 49 Captopril 12.000.00 297.833.39 - 65 Enzyplex tablet 150 Tab 955. 0 Capsul .00 .250.060.5 mg tab 600 Tablet 68.00 64 Efedrin tab 0 Tablet 56. 0 Tablet 56.00 .750.760.00 28. 0 Capsul .15 .625.00 95.420.00 115.00 0 Tablet 42.145. 300 Tablet 174.00 .290.00 150 Tablet 79.195.00 0 Botol 1.160.00 137.00 .00 160 Capsul 987. 300 Tablet 495.200.800.750.926.00 37.00 35 Tube 1.500.000.415. 0 Botol 10.125.00 52.080.75 458.05 437.00 0 Sachet 322.200.00 50.125.33 297.00 42 Botol 6.97 .00 0 Botol 6. 0 Capsul 509.00 0 Tablet 39.00 .000.195.00 2000 Tablet 35.490.00 .125.84 10.00 35 Supp 19.800.00 41.833. 20 Ampul .50 306.00 170 Tablet 1. .620. - 54 Difenhidramin Hcl Inj 70 Ampul 1.195.500.600.935.50 0 Tablet 123. 20 Tube 2.00 81.00 97.00 675.97 .500. 150 Tablet 39. 5 Supp 19.600.145.00 - 76 Famotidine tab 0 Tablet .50 . 0 Botol 2. 100 Tablet 42. 0 Tablet . 0 Pcs 12. 200 Tablet 2.00 66.500.00 0 955.040.00 0 Ampul 1. 11 Ampul 2.500.00 2000 Tablet 68. 0 Tablet 66.00 1000 Tablet 437.400.625.00 278.00 32.700.50 158.00 80 Fitomenadion 10mg tab 234 Tablet 123.290.00 139.00 46.00 380.1% /1ml 8 Ampul 5.625.00 .00 200 Tablet 1.75 .00 - 89 Gentamisin Injeksi 10 Ampul .00 0 Pcs 12.980.00 .125.00 0 Capsul 987.00 .600. 0 Tablet 96.39 . .019.500. 0 Tablet 51. 0 Botol 24.669.833. 0 Tablet 525. 12 Botol 3.050.00 25 Tube 1.800.00 .00 671.75 .00 1000 Tablet 35.00 204.00 .00 .00 70. 0 Tablet 52.000.180.000. 10 Ampul .50 148.090. .00 29.760. 20 Ampul .400.15 - 79 Fenol gliserol 15 Botol 1.00 .00 47 Ceterizine 10mg cap / Lerzin capsul 310 Capsul 987. 18 5 Pcs 12.00 .5 mg tab 750 Tablet 79. 0 Tablet . 0 Tablet 105. 16 10 Pcs 12.00 148.00 .00 .500.40 59 Doksisiklin 100mg capsul 0 Capsul .00 65.05 305.00 4.00 . 0 Ampul 92.00 .825.669.000.300.957.000.500.160.00 40. 234 Tablet 123.00 0 Tablet 1.160.00 43 Catgut benang bedah no.000.850.625.33 297.00 0 Botol 3.850.00 3 Botol 115.42 Betametason cream 40 Tube 1.00 175.00 29.3000 Tablet 35.00 - 75 Etambuthol HCL 500mg tablet 0 Tablet 525.090.00 - 45 Caviplex tablet 700 Tablet 437.00 60.070.00 52 Dexsametason 5 mg/ml inj 100 Ampul 1.500.00 .00 .00 0 Ampul 5.500.605.000.2/0.00 0 Ampul 1.15 .00 35.00 58.00 . - 78 Fenobarbital 30mg tab. 5 Pcs 10.00 106.00 . 0 Ampul .00 70 Erytromisin 125mg/5ml srp krg 47 Botol 8.00 30 Tube 1.00 7 Pcs 10.00 0 Ampul 2.230.00 120.625.

00 - 137 Metilprednisolon 4mg tab/ Vadrol 4mg tab 0 Tablet 400.00 .000. 0 Vial 4.00 .00 101.20 98 Haloperidol 5mg tablet 0 Tablet . 0 Rol 20.5mg tablet 80 Tablet 90.200.485. 0 Ampul .00 43 Botol 4.00 129 Kotrimoxazol 480mg tab 1080 Tablet 152.00 507.400.00 122 Kloramfenicol salep mata 1%(cendo Fenicol) 0 Tube 22. 400 Tablet 891. 0 Rol 155. 0 Tablet .00 - 123 Klorfeniramini Maleat 4mg tab 2500 Tablet 25.600.00 12 Tube 3.500. . 0 Rol . .00 .00 81.000.000.600. 100 Tablet 116.00 55.00 90 Botol 5.020.150.896. 0 Tablet 39.00 0 Tablet 224.00 .00 19.878.00 114.878.00 33.00 - 104 Infusion set dewasa 0 Pcs 8.26 . - 115 Ketoconazole 2 % krim 24 Tube 2.20 100 Tablet 90.00 82.00 26 Tube 3.50 .00 - 119 Kloramfenicol 125mg/5 susp 68 Botol 4.800.00 42.800.00 0 Tablet 147.112. 0 Tablet .000.84 4. 200 Tablet 224.00 .00 0 Tube 2.00 184.00 400 Tablet 116. 20 Tablet 107. 0 Tablet 66.400.00 .575.600.00 .09 .000.00 .00 .00 800 Tablet 224. 0 Ampul 929. 0 Tablet 39. 0 Tablet .000.00 0 Botol 4.300.00 356.20 - 109 Kapas pembalut 500gr 0 Rol 20. 0 Vial 5. 0 Vial 4.072.660.00 275. 0 Tablet 39.00 . 0 Tablet 400. 250 Tablet 169.891.00 140 Methilergometrin maleat inj 40 Ampul 4.00 .224. .20 40.00 . .20 45.00 .00 0 Tablet 169.00 264.00 .950.00 112 Kasa Hidrofil 36m X 80cm/40 Y X 80cm 0 Rol 155.880.891.00 . 0 Tablet 66.00 100 Ampul 1.00 .020.800.575.205.400.00 .00 2 Pcs 1.020.700.00 2.00 0 Tablet 106.00 400 Tablet 891.70 14.267.540.00 . 0 Rol 20.93 .80 0 Tablet 107.00 121 Kloramfenicol tts telinga 3 % 28 Botol 2.000.00 18.00 .050.00 198 Pcs 1. 0 Tube 22. 0 Tablet 107.665. .950.00 184. 0 Tablet .000. 0 Tablet 66. 140 Tablet 106.00 125.814. 0 Tablet .80 108 Kalsium laktat 500mg tab 700 Tablet 57. 0 Tube 22.00 .00 . 0 Rol 20. 25 Botol 4.00 106 Isoniazid 300mg tab 140 Tablet 106.419.00 174.00 148. 0 Ampul 2.228.00 0 Botol 5. 0 Ampul 929.00 .700. .000.419.00 .25ml 0 Vial 4.00 . 0 Tablet 106.891.205.20 .844. 0 Vial 5. 0 Tablet .040.200.00 102 Ibuprofen 200mg tab 540 Tablet 151. 0 Tablet 79. 0 Pcs 8.00 0 Botol 8.485.00 - 114 Kasa Pembalut Hidrofil 4m X 15cm 0 Rol .00 18. .00 0 Tube 3.794. 0 Tablet . 0 Tablet 91.00 63.00 1000 Capsul 264.00 134 Masker 0 Pcs 1.00 400 Tablet 157.900.00 62.00 143 Metronidazol 500mg tab 700 Tablet 169.809. 0 Ampul 2. 0 Ampul 929.000.00 .00 0 Ampul 48. 0 Ampul 2.600.575.00 50 Botol 2.000. 0 Pcs 8.200.00 3000 Tablet 25.09 2.00 62.00 . - 125 Klorpromazine HCL 25mg tab 0 Tablet .5% 14 Tube 3.100. 200 Tablet 151.00 130 Tablet 90.298. 200 Pcs 1.800. 0 Tablet .050.000. 10 Botol 5. - 126 Klorpromazine HCL 100mg tab 0 Tablet 605.542.192. 0 Tablet .00 50.000.938.00 0 Tablet 152.00 584.00 107 Isosorbit Dinitrat 5mg tab sublingual 20 Tablet 107.84 11.600.00 .00 57 Botol 8. 0 Pcs 8.00 .00 1.93 .00 124 Kloroquin 250mg tab 0 Tablet . 700 Tablet 57.844.00 .419. 93 Griseufulvin 125mg tab 1000 Tablet 224.00 46.00 . - 111 Kasa Hidrofil 40 x 40 steril/ 16 X 16 cm 15 Ktk 10.300.00 92.00 0 Rol 25.00 604.960.00 0 Tablet 116. . 0 Tablet 605.716.205.00 100. 5 Rol 25.228.00 .00 62. . 0 Vial 4.00 .00 .00 . 0 Rol .00 .00 13 Botol 2.00 .000.00 0 Tablet 57. 0 Botol 52. .70 14. 15 Botol 2.050.891.00 2200 Tablet 25.000.192. Inj 70 Ampul 1.250. 0 Tablet 400. 300 Tablet 79.000.00 141 Methilergometrin maleat tab 100 Tablet 147.00 24 Tube 3.050.00 - 105 Intunal Forte tablet 800 Tablet 891. 200 Tablet 91. 40 Ampul 4. 0 Tablet .00 125.000.298.00 200. .00 390.00 103.26 - 97 Haloperidol 1.84 9.00 23.00 0 Tablet 91.485.00 131 Lisol 0 Botol 52. .00 101 Ibuprofen 400mg tab 800 Tablet 157.00 179.00 0 Tablet 57. 68 Botol 8. 0 Tablet .600.000. - 117 Ketorolac 10mg inj 0 Ampul 2. 0 Tablet .200.00 98.00 .00 .70 .633.928.2000 Capsul 264.00 450 Tablet 169.400.778.600.000.00 .298.00 .00 11.000.000.00 85.84 7.000.000.000.00 75.00 5 Ktk 10.000.665.665.896.485.00 .844.298. .400. 8 Ampul 48.00 .00 14.000. 0 Pcs 8.00 528.050.20 40.00 130 Kotrimoxazol Suspensi 43 Botol 2.00 224.20 . - 128 Kotrimoxazol 120mg tab 300 Tablet 79. 300 Tablet 152.938.900.00 118.000.440. .00 60 Ampul 1.376.00 0 Tablet 891.00 42.00 - 110 Karbamazepin 200mg tab 0 Tablet .00 712.000.00 62.00 94 Glukosa lar.633.00 142 Metronidazol 250mg tab 500 Tablet 116.00 125.00 139 Metoclorprofamid 10mg tab 200 Tablet 91.25ml 0 Vial 5.000.00 0 Botol 2. 0 Tube 2.00 89. 0 Vial 5.00 0 Tablet 79.5mg tablet 0 Tablet 66.00 .00 .000.00 .00 .20 164. 0 Pcs 8.00 30 Ampul 1. .00 .00 .09 .00 .00 0 Ampul 4.205. 0 Ampul 2.00 58.633.00 0 Tablet 157.896. 0 Tube 3.00 .228. 24 Tube 2.00 30.26 .00 .00 0 Rol 25.00 - 113 Kasa Pembalut 2M X 80cm 5 Rol 25.665.00 3300 Tablet 25.800.00 780 Tablet 152.878.00 96 Haloperidol 0.000.00 58.00 .340.00 50 Tablet 90.20 118.224. 150 Tablet .000.550.300.00 .050.09 2.00 50. .00 .00 14. 10 Ktk 10.00 . 0 Ampul 2.600.50 - 138 Metilprednisolon inj 8 Ampul 48. 0 Rol .844.00 0 Tablet 151.00 116 Ketoconazole 200mg tab 150 Tablet . 100 Tablet 147.000.00 44.00 - 132 Lidokain 2 % inj 0 Ampul 929. 0 Ampul 48.800.141.084.00 356. 0 Tablet 605.00 .000.00 76. 0 Tube 22.420.00 .00 . 0 Tablet 605.600.00 63.500.000.000.896.500. . 0 Rol 155.00 51.00 53 Botol 2. 400 Tablet 157.00 525.700.00 - 136 Magnesium Sulfat injeksi (IV) 40% .633.020.141. 0 Ampul . 0 Pcs 8.00 137.575.228.00 .00 60 Botol 2.000.00 390.300.70 .600.00 . - 99 Hidroklortiazid HCT 25mg tab 0 Tablet 39.000. .778.93 .00 120 Kloramfenicol kapsul 250 mg 0 Capsul 264.778. .384.00 135 Magnesium Sulfat injeksi (IV) 20% .00 121.000.00 - 118 Ketorolac 30mg inj 0 Ampul 2. 20 Ampul .878.778.250.800.419. 0 Tablet 400. .000.00 144 Miconazole cream 6 Tube 3.26 .00 1000 Capsul 264.50 . 0 Botol 52. 0 Ampul 4.00 - 127 Klorpromazine HCL inj.040.00 28.00 .00 264. 5mg/2ml 20 Ampul .00 340 Tablet 151.50 .00 . 0 Tablet 147.00 95 Hidrocortison krim 2.00 .00 .00 150. 0 Botol 52.000.00 - 133 Lidokain komp. 6 Tube 3. .00 198.93 - 100 Hufalysin syr 125 Botol 8.964. 0 Tablet .000.00 103 Infusion set anak 0 Pcs 8. Infus 5% 100 Botol 5.300. 0 Tablet . 0 Rol 155.00 0 Ktk 10.700.00 .00 44. 0 Ampul 2.00 23.00 19.

00 82.00 0 Tablet 825.700. . 50 Tablet . . 2000 Tablet . 100 Pcs 10.350. 0 Capsul 440.20 0 Botol 329.00 84 Ampul 7. .00 13. 0 Tablet .00 0 Botol 5.00 . .000. . 0 Tablet .00 - 156 Oksitetrasiklin Hcl salep kulit 3% 0 Tube 14.160.390.00 581.00 80 Pcs 10.157.00 . 0 Tube 687.000. .00 9.00 .350. 20 Vial . 500 0 239.00 .500.00 1.412.00 330.200.00 - 194 Sarung Tangan steril No.000.000.00 312.000.00 1.00 .390. 40 Botol 329.00 529. 0 Tube 22.250.00 .000.00 .280. . .00 60 Ampul 125.00 - 174 Povidon iodida 10% 300ml 2 Botol 14. . 0 Tablet 1.00 - 191 Sarung tangan steril No. .00 .00 599.500.00 330. .350.000.00 .00 600 Tablet 579.588.500.00 1000 Tablet 440.350. .000. . 7 30 Pcs 10.00 1.00 0 Tablet 69. 0 Tablet 448.00 - 158 Oksitosin 10IU/ml inj 50 Ampul 125.471.00 - 151 Nistatin 100. .00 - 189 Ringer laktat lar inf 66 Botol 5.440.5 30 Pcs 10.00 423.00 0 Tablet 119.000. 0 Botol 133.588.00 300.800.00 67.280.00 106 Tablet 125.00 220 Tablet 330. 0 Botol 2.00 . 0 Botol 5.53 . 20 Pcs 10.471. 0 pot .00 .00 - 180 Ranitidine 150mg tablet 570 Tablet 119.000. .360.00 153 Nipedipin tab 0 Tablet 115. 0 Tablet . - 166 Piracetam 1g injeksi 20 Vial . 0 Botol 3.00 .00 - 155 Oksitetrasiklin inj 0 Vial 3.00 .000. 300 Tablet 119.00 .00 .500.00 - 165 Piracetam 400mg tablet 240 Tablet .00 1.00 200.181. 0 Capsul .25mg tablet 0 Tablet .000.60 0 Tablet 133. - 167 Piridoksin 10mg tab 800 Tablet .588.00 312.00 .608.10 .00 343. 20 Tablet 125.000.000.00 3.5 136 Pcs 10. 0 Tablet . 14 pot .00 0 Botol 14.500.000. 10 0 Tube 22.00 .00 .000.00 .00 6.157.00 66.00 100.00 .00 300.00 800 Capsul 529.600.00 0 Tablet 704.500. 0 Botol 14.000.000.000 IU tablet 70 Tablet 704.00 .00 172 Povidon iodida 10% 30ml 3 Botol . - 184 Retinol (Vit A) 100.050. 0 Tablet 133.00 . 900 Tablet . .00 .00 .00 . 0 Rol . 0 Tablet 490.00 308.00 - 163 Parasetamol 500mg tab 3500 Tablet 119.000. 0 Botol 2.800. 0 Tablet .500. 0 Tablet .588. 0 Botol .00 .350.00 177 Propanolol HCL 40mg tablet 126 Tablet 133.00 694. 0 Botol 3.00 176.00 0 Pcs 10.00 196 Salep 2-4 komb 14 pot . 0 Tube 14.00 .00 . 0 Tablet 1.00 193 Sarung tangan steril No.500. 0 Tube 22.00 7. .00 800.20 0 Botol 329. 6. .130.00 116 Pcs 10.00 .00 535. 0 Capsul 490.200.00 49.620.770.00 .00 6.350.800.00 . 0 Vial . 400 Tablet 825. 66 Botol 5.000. 2000 Tablet 687. 300 Tablet .157.53 13.000 IU kapsul lunak 0 Tablet .10 16. .588.00 87. . .390.00 0 Tablet 687.00 . .00 .900. 20 Pcs 10. 0 Tablet .10 532.00 4500 Tablet 119.157.00 5000 Tablet 119.588.000. 30 Tablet 330.00 170 Plester 5 yard X 2 inc 8 Rol .00 . 0 Tablet .00 - 187 Rifampisin 450mg kaplet 0 Tablet .00 .350. 0 Tablet 825. 200 Tablet 69. - 169 Piroksikam 20mg tab 400 Tablet 440.00 308. - 183 Reserpin 0.000.00 13. 0 Tablet 704. 0 Vial 3. 0 Botol .374.374.500. 0 Tablet .00 0 Tablet 125.150.00 66.00 - 154 Obat batuk hitam 0 Botol 2.000.00 1.00 7. .000.00 146 Natrium Diklofenak 50mg tab 500 Tab 239.00 347.500.000. . 0 Capsul 490. .000.050. 0 Botol 2.00 192 Sarung tangan steril No. 0 Tube 22. 3 Tablet 1. 0 Tablet 490.00 190 Salbutamol 2mg tablet 200 Tablet 69. 250 Tablet 133.00 56 Ampul 7. 0 Tube 22.620.00 0 Tablet 69.00 419. - 168 Piroksikam 10mg tab 200 Tablet .00 . 0 Capsul .00 159 Omeperazol 0 Capsul .00 . .00 .00 .00 700 Tablet 440. 0 Tablet 115.00 149 Neurodex tab 1450 Tablet 579. 5 Rol .00 .700.00 700 Capsul 529.00 440.493. .250.000 IU/g tab vag 195 Tablet 448.000 IU kapsul lunak 0 Tablet .00 0 Tablet 1.000.580.000.00 449. - 160 Paracetamol drops 4 Botol 133.10 . 0 Capsul .00 370. 7.00 148 Neurobion inj 80 Ampul 7. 1000 Tablet .00 . 0 Tablet .900. 0 Capsul 490. 0 Tablet .00 175 Prednison tab 2000 Tablet 687. 0 pot .360.00 .500.157. 0 Tube 687.200.00 - 176 Primakuin 15mg tab 700 Tablet 125.000.00 181 Ranitidine 25mg/2ml injeksi 3 Tablet 1.00 35.00 .00 476.00 49.493.00 147 Natrium klorida lar.00 850 Tablet 579. 58 Botol 5.00 60 Ampul 7. . .00 28. .00 - 157 Oksitetrasiklin Hcl salep 1% 0 Tube 687. 70 Tablet 704.00 .00 150 NGT Nasogastric Tube no.00 .000.00 1200 Tablet 579.00 200. 0 Tablet 1.00 182 Reserpin 0.400. .00 60 Ampul 125.10mg tablet 0 Tablet . 0 Tablet 825.300.00 .00 .10 532.9% 58 Botol 5.00 .00 . 0 Vial 3.00 0 Tablet 330.00 . 0 Botol 3.00 .181. .00 0 Pcs 10.000.00 300.00 152 Nistatin 500.00 . 0 Vial 3. .00 0 Botol 5.00 .000.050.00 . 0 Tablet .00 28. 0 Tablet . .00 164 Papaverin tab 0 Tablet 1.000.00 839.000.00 32. 0 Tablet 115.00 .00 20 Pcs 10. 0 Tablet 825.200. 0 Tablet 490.00 0 Tablet 448.500.493.00 50 Ampul 125.200.00 119.145 Microlax enema 3 Tube 22.00 416.00 119. - 188 Rifampisin 600mg kaplet 0 Tablet 825.00 3.00 87.000. 0 Capsul 440.00 0 Tube 22.10 33.00 .00 492.00 .00 .00 .000.000. 0 Botol 5.00 179 Ramabion capsul 0 Capsul 490. 0 Botol .00 270 Tablet 119. .00 200. - 185 Retinol (Vit A) 200. - 186 Rifampisin 300mg kapsul 0 Capsul 440.000.00 629.830.00 .360. 30 Pcs 10.000.00 0 0 239. - .00 .493.00 700 Tablet 440. 0 Tablet 825.588.00 87. 0 Tube 687.000. 1000 Tablet .10 .00 595.00 .200.200. 1800 Tablet . 8 0 Pcs 10.00 72.390.000.157.00 0 Pcs 10.00 . 0 Capsul 440.000.500. 0 Tablet 1. 0 Tube 14. 0 Tube 14.000. 195 Tablet 448.00 13.588. 0 Tablet 115.700.40 161 Parasetamol 120mg/5ml srp 40 Botol 329. 0 Vial . 190 Tablet . - 171 Pyrantel pamoat tab 400 Tablet 825.000.00 0 Tablet 687.00 195 Sefadroxil 500mg kapsul 1000 Capsul 529. 3 Rol .53 - 162 Parasetamol 100mg tab 0 Tablet 490.00 1100 Capsul 529.00 343. 0 Tablet .00 4000 Tablet 119.53 13. 4 Botol 133. 2 Botol 14. 0 Tablet . Infus 0.157.350.000. .00 0 Pcs 10. . - 173 Povidon iodida 10% 60ml 0 Botol 3. 0 Tablet . 3 Tube 22.40 0 Botol 133. 0 Tablet 239. .275.250.00 2.550. .10 .00 10 Pcs 10.050.157.00 178 Propilthiourasil (PTU) 100mg tablet 250 Tablet 330.

000.00 209 Tetrasiklin Hcl cap 500mg cap 300 Capsul 409.197 Salisil bedak 2% 0 Kotak 1. 0 Tablet 53.578.00 115 0 3.00 206 Sulfacetamid tts mata 15% 0 Botol 3.00 81. 24 Botol 3. 0 Pcs 7.00 37.200.00 0 Vial 2.00 105.00 9. 50 Capsul 183.00 .400.00 .00 64 Ampul 1.00 92.400.850.00 .00 700 Kotak 1.174.327.95 .112.00 - 212 Tramadol 50mg kasul 300 Capsul 541.00 199 Seftriakson injeksi 0 Vial 2. 800 Kotak 1.00 . . 3/0 19 Pcs 8.00 .00 944.500.00 0 Tablet 265.180. 0 Pcs 7.535.00 22.500.00 .000. 0 Pcs 8.180.00 203 Simvastatin 10mg tablet 0 Tablet 180. 0 Tablet 53.00 .500.150.600.00 0 0 3. 0 Ampul 770. 0 0 2. 0 Supp .426.00 .00 . 12 Vial 2. 0 0 2.400.00 216 Zinc 0 Tablet 522. 200 Capsul 409.400.00 .333.00 198 Sefotaksim injeksi 12 Vial 2.568.400.00 79.00 . 0 Tablet 180.00 162.00 .00 24 Botol 3.327.00 118. 0 0 2.00 29.00 0 Botol 3.00 .150.00 0 Capsul 409.00 .00 132.426.00 500 Tablet 265.00 - 201 Sianokobalamin (vit B12) inj 32 Ampul 1.000. 0 Pcs 15. 0 Pcs 15.949.00 162.900.426. .169.500. 0 Tablet 53.20 20. 0 Pcs 15. 0 Vial 2.00 .00 - 200 Selang Oksigen 0 Pcs 15. - 214 Urine Bag 0 Pcs 7.00 .500.00 .00 .00 . 0 Vial 2. 0 Tablet 180.012.333.578.00 . 0 Supp .00 .00 300 Tablet 112.000.174.200. 0 Tablet 180.333.00 - 207 Tablet tambah darah 0 Sacht 2.500.00 - 204 Siprofloksasin HCL 500mg tablet 0 Tablet 265.300.500.00 507.00 246.500.850.00 100 Kotak 1.00 .300.000.00 0 Capsul 541.00 .00 68 Ampul 1. 0 Capsul 183.000.00 117.00 100 Capsul 409.091. 0 Tablet 522.00 .00 - 211 Thiamin Hcl 100mg/ml inj 0 Ampul 770.00 9. 0 Vial 2.832.174.00 .112.00 0 Capsul 183.00 29.00 .500. 500 Tablet 265. 19 Pcs 8.00 75.00 .578.333.00 40.00 210 Thiamin Hcl 50mg tab 0 Tablet 53.00 100 Ampul 1.00 .00 2200 Tablet 112.00 .600.180.00 .00 . 300 Capsul 541.00 0 Pcs 8.000.00 200 Tablet 112.00 158.561.00 0 Ampul 770.00 .00 .174.00 92.136.500.00 257.578.75 9. 30 0 3. 0 Tablet 522.500. 0 Ampul 770.00 213 Ultraproct N suppositoria 0 Supp .200. 0 Tablet 522.00 402.00 15.497.00 202 Silk benang bedah sutra No.500.00 .000. 0 Capsul 541.00 - TOTAL 26.00 - 208 Tetrasiklin Hcl cap 250mg cap 50 Capsul 183.850.180.00 - 215 Vitamin B komplek tab 2300 Tablet 112.00 - 205 Surgical Blade 145 Pcs 3.00 158. .800.426. 0 Vial 2. 0 Pcs 7.00 .00 .850. 0 Supp .00 33.00 122.200.700.474.00 132.00 826.

000.00 750.00 3 Kotak 170. 0 Kotak .584.150. .00 .584.584. 5 Strip 11.834. 30 Strip 5.00 .600.00 570.000. .50 495. 1 Kotak . .202. 30 Strip 5. .800.000.000.00 750.00 2.00 200 Strip 31. .417.000.668.680.000. . 0 Botol 150.000.000.200. . - 9 Bahan TUMPATAN SEMENTARA 0 Kotak .000.50 .00 7 Reagent Widal Type O 3 Botol 190.00 .00 1.00 1.00 0 Botol 150. - 12 Alvogyl 0 Kotak .00 387. .495.00 11 Stick Kolesterol 300 Strip 31. . . 4 Botol 56. 0 Botol .700. .00 358.500. 0 Kotak .000.797. 0 Set .000.700.584. .027. 0 Kotak .00 151.000.00 0 Botol 56. 1 Kotak .00 245 Strip 5.00 170.00 680.00 8 Reagent Widal Type H 3 Botol 190.00 0 Strip 5. 0 Set .00 . .00 7 Cholrfenol Camfer Mentol (CHKM) 0 Botol .797.00 .00 TOTAL 17.000.000.00 .50 554. 0 Kotak . 3 Botol 190.00 6.000.00 0 Pcs 193.584.800.368.00 340.00 1 Kotak 170.512.50 0 Strip 11.868. .175. .000. OBAT GIGI 1 2 14 4 5 6 7 8 9 10 11 12 13 14 15 16 17 1 Dental Mercury 100gr 0 Botol .00 9 Stick Asam Urat Nesco 480 Strip 5.00 570.797.900.00 1. .00 .000. 0 Botol . . 0 Botol . .00 570. 4 Botol 89.00 6 Mummifying Pasta/ Iodoform Paste 0 Pcs 193.520.520. 0 Set . 3 Botol 190.600.000. 0 Botol . 2 Kotak .00 750.417. 0 Botol . - 5 Kalsium Hidroksida Pasta/ Dorident Calcidor 2 Kotak 170. 5 Kotak .50 58.00 1 Botol 50.200.00 167.000. 0 Botol 190. .544.584.00 .00 450 Strip 5. 100 Strip 31. .00 2.000. - TOTAL 440.000.00 6 Reagent Gol Darah B 5 Botol 150.000.00 50.00 0 Strip 31.000. . 0 Botol .048. 0 Kotak . 5 Botol 150.482.000.50 13.600.00 3 Botol 50. 0 Botol 150. - 2 Devitalisasi Pasta (Non Arsen)/ Devitec 0 Kotak . 0 Botol 56.00 10 Stick Gula darah 275 Strip 5.451.000.00 .00 510.000.00 0 Botol 150. - 3 Eugenol cairan 2 Botol 50.797.417.00 0 Botol 190.000. 0 Botol .00 0 Botol 190.417.00 220.600.000. 5 Botol 150.450. - 8 TKF 0 Botol .320.987. 0 Set . 0 Set .00 5 Reagent Gol Darah A 5 Botol 150.000.00 387.250.080.00 358.00 .00 .00 .000.00 .000.00 Mengetahui Puruk Cahu. 2 Pcs 193.000.00 1. 0 Kotak .00 750.250.00 0 Botol 89. - 10 Fletcher (powder + Liquid) 0 Set . .00 9. - 4 Reagent Turk 4 Botol 56.268.00 3 Reagent Rees & Ecker 4 Botol .00 100.250.000. 19790811 200003 2002 .00 .00 201.00 3.500.000.50 42 Strip 11. .00 .000. 0 Botol .000.700.417.00 4 Kotak 170.600.700.00 Laboratorium Reagent 1 2 14 4 5 6 7 8 9 10 11 12 13 14 15 16 17 1 HBsAG Stick 47 Strip 11. 3.00 225. - 11 Zink Phosphat cement (Powder + Liquid) 0 Set .00 . .500.250.535. . 28 Februari 2015 Kepala Puskesmas Puruk Cahu Yang Membuat Laporan SRI RAHAYU FITRI AGUSYANI NIP. 0 Botol .00 570. .00 4 Botol 50.00 225. .00 4 Bahan TUMPATAN PERMANEN 3 Kotak .444.00 .251. 19700306 200212 2006 NIP.417.300. .00 0 Strip 5. .50 .00 167.00 2 Reagent Benedict 4 Botol 89.584.000. 0 Botol 89. 2 Pcs 193.500. 0 Botol .800. 0 Botol . 0 Kotak . 0 Set . .584.834. 4 Botol . 6 Kotak . 0 Botol 190.

00 107.00 .900.142. 0 Pcs 1.00 73. 0 Tube 3.142. 40 Botol 2.025. 480 Capsul 220.00 .00 660.00 136 Botol 2. .00 29.500.142.00 9.00 .00 103.00 .00 . .500.000.00 40.000.600.00 . . 300 Tablet 110. 0 Pcs 17.00 1900 Tablet 73. .00 100.000.00 0 Tablet 525. 100 Pcs 1.00 0 Ampul 164.00 . Ascorbat 50 mg tab 1800 Tablet 105.300.00 .00 66.00 .00 33.00 20 Pcs 1.00 400 Pcs 1.00 .00 138.000.00 .00 .200. 0 Tablet 354.00 101.00 150 Botol 2.00 . 0 Pcs 1.142.00 0 Botol 4. 0 Tablet 154.00 .00 0 Tablet 110.00 33. .00 42. 0 Tube 3.00 52.520.213.00 25 Antiparkinson tab 0 Tablet .213. 20 0 Pcs 8.00 60.00 80 Pcs 1.560.600.000. 24mg/5ml 10 Ampul 3.700. 0 Pcs 17.500.00 91.425.560.500.300.juta IU/vial injeksi 0 Vial .5mg tablet 0 Tablet 75.00 157.142.00 0 Tablet 135. 0 Supp . 22 0 Pcs 17. 0 Tablet 440.425. 0 Tablet 110.00 7 Alat suntik sekali pakai 5 ml 80 Pcs 1.200.768.000.00 25.025. 20 Botol 4. 0. 0 Ampul 3. 0 Pcs 17.00 88.00 1800 Tablet 279. 300 Tablet 525.00 .00 . 0 Tablet 171.00 558.00 .00 .142. 10 Ampul 3.00 30 Asiklovir 400mg tablet 0 Tablet 354.OBATAN PUSKESMAS PURUK CAHU KABUPATEN MURUNG RAYA Bulan : MARET Tahun : 2015 SALDO AKHIR MUTASI SELAMA BULAN MARET 2015 SALDO AKHIR PER 28 PEBRUARI 2015 MASUK KELUAR NO Nama persediaan Harga Harga Harga Harga Jumlah Jumlah Jumlah Jumlah Vol Satuan satuan Vol Satuan satuan Vol Satuan satuan Vol Satuan satuan (Rp) (Rp) (Rp) (Rp) (Rp) (Rp) (Rp) (Rp) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 1 Abocate No.00 122.00 148.00 49.00 2.375.200.00 800 Tablet 105. .00 - 2 Abocate No.00 410 Tablet 73.00 456. Tranexamat 250mg capsul/ Kalnex 250mg c 150 Capsul 2. 0 Pcs 17.00 25.600. - 41 Benzatil penisilin 2.00 1.00 303.00 .565.142.00 . 24 0 Pcs 17.000.00 1100 Tablet 279.00 49.213. 0 Tablet .00 18 Amoksisilin sirup krng 125 mg 42 Botol 2. 0 Tube 2.00 8.00 .00 158.00 105.000.000.00 1250 Tablet 122. 0 Tablet .025.768. 0 Tablet 354. 0 Vial .00 .00 0 Tablet 90.00 152.600.00 0 Tablet 168.800.000.00 .00 37 Asetosal 500mg tablet 0 Tablet 171.00 50. 0 Tablet 75.300.600.750.425.00 .300. 0 Tablet 525.500. 0 Tablet 171.00 .00 12 Amlodipin 10mg tab 0 Tablet 440.00 .210.00 2000 Tablet 73.00 20 Antalgin 500 mg tablet 990 Tablet 2. .00 33 As. 0 Vial .518. DAFTAR MUTASI OBAT . 0 Tube 2. 0 Tablet .00 28 Botol 2.920.00 .00 202. 0 Pcs 17.768.00 15 Aminopillin 100mg tablet 300 Tablet 86. 0 Pcs 8.00 19 Antalgin 250 mg/ml inj (Noralges inj 500mg/2 ml) 60 Ampul 164.00 .000.00 .360. 0 Tablet . 1000 Tablet 105. 0 Tube 3. 200 Tablet 245.500.00 88. 30 Ampul 164.00 502. 0 Tablet 75.600.00 0 Capsul 220.000. 0 Tablet 135. 15 Vial 4.00 130 Pcs 1.00 118.00 0 Tablet 2.200.00 61.00 .00 22 Antasida doen tablet 310 Tablet 73.2.00 2000 Tablet 279.000. - .200.000.00 . 0 Pcs 1. .00 25.juta IU/vial injeksi 0 Vial .00 11 Amlodipin 5mg tab 460 Tablet 197.00 - 34 As.00 - 39 Atropin sulfat 0.00 . 0 Supp . .00 114.964.00 22.000.000. 0 Tablet 154.5ml 0 Pcs 1.620.560. 0 Tablet 440.000.500.250.000.400.400.875.25mg/ml 0 Ampul 1.800.00 306.00 60.520.00 35 As.00 .00 1000 Tablet 122.00 157.00 0 Tablet 105.00 36 Asetosal 100mg tablet 300 Tablet 110.460.00 40.360.00 610 Tablet 197. 0 Tablet 86.400.160.00 4.00 4. 300 Tablet 2. 0 Ampul 1.4. 0 Tube 2.300.360.00 .00 16 Amoksisilin 250mg capsul 720 Capsul 220. Mefenamatt 500 mg tab 1100 Tablet 122.142.00 .00 .500.00 690 Tablet 2.00 .000.00 - 13 Amitrippilin 25 mg tab 0 Tablet .210.00 189. .142.00 91.00 125. - 28 Aqua pro injeksi 15 Vial 4.00 .00 - 31 Asiklovir cream 0 Tube 3. 0 Vial . - 26 Antimigrain Kombinasi tablet 300 Tablet 135. .00 600 Tablet 197. 250 Tablet 168.00 .500.200.142.00 .300. 300 Tablet 135.00 . 0 Tablet 75.00 450 Tablet 197.00 10 Ambroxol 15mg/5ml sirup 35 Botol 4. 500 Tablet 90.00 100 Pcs 1.00 0 Botol 2.700.00 .00 . .00 5 Alat suntik sekali pakai 2.200.920.00 15 Botol 4.00 21 Antasida doen srp 68 Botol 2. 0 Tablet .00 91.00 50 Tablet 90. 0 Vial .300.00 399.00 - 40 Benzatil penisilin 1.565.840. 0 Tablet 171.930. 0 Vial . 0 Tablet 440.565.00 0 Vial 4.178.000.00 .00 .00 4.800.00 143. 100 Capsul 2.360.142.142. 0 Pcs 8.025.00 .00 .000. ascorbat 250 mg tab 0 Tablet 154.300.00 80 Pcs 1.250.700.00 146.00 0 Capsul 2.500.00 45.250.00 24.00 - 38 Atropin sulfat inj.00 348.00 .00 33.00 100 Tablet 245.00 251.00 .00 154.200.200.00 134.00 84.600.00 384.00 .00 23 Antibakteri DOEN komb (basitrasinpollimiksin) s 0 Tube 2. .00 350 Pcs 1.600. 0 Pcs 8.000. - 14 Aminopillin inj.250.00 9 Ambroxol 100mg tablet 300 Tablet 168.00 90.00 27 Antihaemaroid suppositoria 0 Supp . 0 Supp .213.000.100.630.00 150. .484.000.00 17 Amoksisilin 500 mg tablet 900 Tablet 279.00 114.00 .425. 0 Ampul 1.00 .500.00 .00 - 4 Alat suntik sekali pakai 1 ml 0 Pcs 1.00 - 6 Alat suntik sekali pakai 3 ml 80 Pcs 1.00 0 Vial 4.650. 300 Tablet 86.00 .000.00 88.170.00 0 Tablet 245.00 100 Pcs 1.00 120.00 - 29 Asiklovir 200mg tablet 300 Tablet 245.600.00 0 Tablet 86.565. 0 Tablet . 0 Pcs 17.768.560.00 .800. 0 Tablet 354.210. 0 Ampul 1.00 .00 33.210.00 - 3 Abocate No.00 - 24 Antimalaria DOEN komb (suldox) tab 300 Tablet 525.00 50 Tablet 168.00 56 Botol 2.00 . .00 .00 8 Allopurinol 100mg tablet 550 Tablet 90.00 105.00 30 Ampul 164.00 50 Capsul 2.000.00 850 Tablet 122.00 - 32 As. 0 Vial .00 0 Ampul 3.00 240 Capsul 220.250. 0 Tablet 154.

00 0 Sachet 322.00 28.290.00 0 Tablet 42.50 . 0 Tablet 105.00 0 Tube 2.00 9.023.625.750. . 0 Tablet 105.00 0 Pcs 12. 0 Tablet .00 20 Botol 3.00 19.800.50 98.75 458.97 .200. .00 .195.950.500.00 30 Supp 19.00 1.00 62 Dulcolax 5mg tab 200 Tablet 2. 250 Capsul 509.75 343.00 350 Tablet 79.00 204. 18 5 Pcs 12.125.00 0 Pcs 10. 20 Ampul 1.00 32.114.980.00 56 Diazepam 5mg tab 0 Tablet 52.00 .00 600 Tablet 495.00 64 Efedrin tab 0 Tablet 56.500.160. 0 0 955.000.957.00 327. 0 Ampul .00 48 Botol 6.250. 105 Ampul 2.114.00 . 7 Pcs 10.00 60 Ampul 1. 0 Tablet 51. .080.500.00 85 Furosemid 40mg tab 170 Tablet 1.00 . 0 Botol 10.00 0 Botol 3.000.00 50 Tablet 39. 16 10 Pcs 12. 0 Tablet 56. 0 Botol 10.00 .00 43 Catgut benang bedah no.195. 0 Tablet 525.145.800.700.800. 0 0 955.980.15 .00 . 0 0 955. 0 Tablet 52.00 60. 100 Capsul 987.500.957.75 28.000.00 .000.900.000.00 .019.000. 0 Botol 10.00 86 Garam oralit 230 Sachet 322.00 0 Tablet 1.926.00 0 Tube 2.00 80 Fitomenadion 10mg tab 234 Tablet 123.605.75 .00 87 Gentamisin salep 0.00 123.490.00 . 0 Botol 24.00 58.00 .200.5 mg tab 150 Tablet 79.00 .00 .125.00 231.75 .000.00 404.00 105.97 - 49 Captopril 12.968.000.39 . 0 Tablet 123.00 105.00 .00 60.75 28.00 69.00 67 Ektrak beladon 100mg tab 100 Tablet 42.00 575.00 .625.00 . .612. 0 Botol 3.00 .00 12. 0 Pcs 10. 0 Capsul 509.125.00 60 Capsul 987. 0 Tablet 66.00 .669. 2 Botol 115.090. 0 Tablet .00 675.00 .620.00 7.500.00 0 Botol 3.00 12 Tube 1.1% /1ml 8 Ampul 5. 0 Ampul 92. 0 Tablet 51. 0.00 .00 65.500.620.000.00 100 Ampul 1.00 278.500.05 437.00 173.00 91 Glibenklamid 5mg tablet 0 Tablet 66. 234 Tablet 123. 100 Tablet 42.250.00 250 Tablet 495. 50 Tablet 2.00 2500 Tablet 68.290.387. 5 Botol 2.023.00 12. 0 Botol 3.00 2 Botol 32.00 5.50 158.00 90 Ampul 1.00 4.00 0 Ampul 5. 0 Tablet 96.00 0 Tablet 2. 200 Tablet 174.3% 0 Botol 3.280.499.97 .000.00 23.50 .160.00 54.97 . 12 Botol 3. 0 Tablet 51.00 13. 0 Capsul . .50 150 Tablet 2.00 79.145.00 .00 317. 0 Tablet 525.50 81 Fitomenadion 10mg/ml inj 105 Ampul 2.00 4.850.00 32 Botol 8.340.00 55 Diazepam 5mg/2ml inj 11 Ampul 2.833.605. 5 Supp 19.05 218.00 157.00 127.090.00 65.150.00 20 Ampul 1.00 69.00 70.833. .00 - 88 Gentamisin tetes mata 0.00 0 Tablet 1.145.50 63 Dulcolax supp 35 Supp 19. 0 Tablet 66. 0 Tablet 52.00 44 Calcidol syr 0 Botol 24.00 .50 59.652.00 4.00 42 Botol 6.600.500.00 800 Tablet 68. 0 Botol 3.400.39 - 65 Enzyplex tablet 0 Tab 955. 80 Tablet 1.84 10.00 0 Capsul 987.00 71 Etyl klorida semprot 3 Botol 115.00 .00 35.669. - 54 Difenhidramin Hcl Inj 40 Ampul 1.00 87.00 61 Domperidom syr/ Vesverum syr 40 Botol 3.00 - 75 Etambuthol HCL 500mg tablet 0 Tablet 525.33 .00 278.500.625.750.00 - 45 Caviplex tablet 1000 Tablet 437.650.00 127.625.00 368.980.00 346.125.530.00 500 Tablet 437.3/0 7 Pcs 10. 0 Tablet 66.00 0 Tablet 174.00 . 0 Ampul 2.00 27.00 - 57 Diazepam 2mg tab 0 Tablet 39.00 5 Botol 2.00 . 10 Pcs 12.00 41.760.00 .00 23.290. 0 Tablet .500.180.090.655.00 47 Ceterizine 10mg cap / Lerzin capsul 160 Capsul 987.490.00 .25 tablet 110 Tablet 96.00 41.000.620. 0 Tablet 56.760.019.00 1000 Tablet 79.500.00 .000. 0 Ampul . 110 Tablet 96.00 11.860.00 0 Botol 115.625.090.000.05 218.00 .00 95.00 175.00 283. .00 0 Ampul 2.00 52.00 671.00 120.00 306.33 .84 .00 115.040.019.00 .00 0 Botol 1.980.00 53 Diethylcarbamazin sitrat 100mg tab 0 Tablet .00 38.00 1200 Tablet 79.00 148. 300 Tablet 1.000.39 .00 2 Botol 32.00 .125.600.1% 6 Tube 2.850.00 0 2.15 - 79 Fenol gliserol 15 Botol 1. 50 Ampul 92.00 3000 Tablet 35.75 114.195.200.00 50 Captopril 25mg tab/ Dexacap 25mg tab 300 Tablet 495.625.00 50 Botol 8.605.160.499.000.00 300 Tablet 174.00 .00 3000 Tablet 68.00 .00 120.65 0 Ampul 2.000.00 .000.00 46 Caviplex Syr 42 Botol 6.652.000.145. .490.00 0 Tablet 437. - 60 Domperidom 10mg tab/ Vesverum 10mg tab 500 Tablet 174. - 77 Fenobarbital inj.00 46.028. 11 Ampul 2. .00 150 Tablet 39.160.33 297.525.160. 500 Tablet 437.00 37.00 0 Pcs 12. 0 Pcs 12.40 0 Tablet 96. 0 Botol 3.000.800. .000. 20 Ampul .15 .490.00 .200.00 69 Erytromisin 500mg tab 660 Tablet 1.50 .00 68 Erytromisin 250mg cap 250 Capsul 509.500.00 0 Tube 1.00 20.525.800.833.00 94. 10 Botol 1.00 5 Botol 1.00 37. 8 Ampul 5.000.400.000.00 .00 48 Botol 6.00 297.669.15 .00 0 Ampul 1.00 .019.00 34. 0 Tablet 42.750.000.00 .00 321.669.000.00 . 0 Tablet .84 .00 .600.023.00 29. 0 Pcs 12.00 28.00 .620.00 .150.00 3 Botol 32.00 32. 0 Botol 24.00 70 Erytromisin 125mg/5ml srp krg 17 Botol 8.415. 20 Ampul .00 .00 650 Tablet 495.00 35 Botol 8.5 mg tab 300 Tablet 68.200. 20 Ampul .625.00 84 Furosemid 10mg/ml inj 50 Ampul 92.00 258.00 74.00 - 92 Gliseril guaiacolat 100mg tab 1000 Tablet 35.05 . 20 Botol 3.00 .023.00 154.500. 0 Tablet 525.195. - 78 Fenobarbital 30mg tab.250.00 .000.060.125.00 58 Digoksin 0.000.00 35.65 82 Folley Cateter no.00 170.00 90 Tablet 1.125.33 297.50 0 Tablet 123.00 .926.000.00 72 Etanol 70% 1000 ml 1 Botol 32. 200 Tablet 39.750. 5 Pcs 12. 0 Tablet 56.00 1 Botol 115. 23 Tube 1.00 .50 .00 . 0 Tablet 105.500. .000.00 1000 Tablet 35.000. 100 Sachet 322.968. 0 Capsul .040.42 Betametason cream 35 Tube 1.00 0 Supp 19.84 10. 0 Botol 24. .655. 0 Tablet .125.00 .00 97.00 73 Etanol 70% 100ml 0 Botol 2.00 0 Capsul 509. .500.050. 6 Tube 2. 0 Ampul 5.290.968.750.2/0.968.00 70.00 52 Dexsametason 5 mg/ml inj 50 Ampul 1.420.00 . 0 Tablet 51.00 130 Sachet 322.00 51 Dexsametason 0.00 105.00 - 76 Famotidine tab 0 Tablet .500.880.00 - 89 Gentamisin Injeksi 20 Ampul .00 317.750.926.825.00 41. .800.850.00 0 Ampul 92.500.750.625. - 90 Gentian violet 12 Botol 3.00 - 74 Etakridina (rivanol) lar.926.1% 0 Botol 10. 0 Ampul .00 360 Tablet 1.605.00 4.50 - 66 Epineprin HCL (adrenalin) Inj 0.00 87.000.160. 0 Tablet .900.75 .00 20.00 3000 Tablet 35.200. 0 Capsul .00 83 Folley Cateter no.537.39 .00 48 Cimetidine tab 0 Tablet 105.00 137. 0 Ampul .833.000. .40 59 Doksisiklin 100mg capsul 0 Capsul .00 139. 0 Ampul 2.00 .125.000.500.975.400.000. 0 Tablet 52.

- 111 Kasa Hidrofil 40 x 40 steril/ 16 X 16 cm 5 Ktk 10.00 0 Botol 4.020.00 - 114 Kasa Pembalut Hidrofil 4m X 15cm 0 Rol .00 3 Botol 2. 0 Tablet .00 50.684.20 42. 0 Rol 155.00 . 0 Rol . 0 Tablet .000.00 24 Tube 3.633. 0 Tube 22.00 . 93 Griseufulvin 125mg tab 800 Tablet 224.00 .00 500 Tablet 157.00 . 0 Rol .00 - 121 Kloramfenicol tts telinga 3 % 13 Botol 2.5mg tablet 0 Tablet 66.00 50 Botol 2.80 98 Haloperidol 5mg tablet 0 Tablet .00 0 Capsul 264.800.00 30 Tube 3.00 300 Tablet 169.00 75.00 67 Botol .00 104.00 50.00 16 Tube 3.700. 0 Botol 52.665.844.09 2.00 - 133 Lidokain komp.000.205.600.938.192.00 .00 650 Tablet 169.00 2 Rol 20. .93 . Infus 5% 90 Botol 5.00 14.00 89.50 .00 .050. 140 Tablet 106.300.93 .000.00 . 400 Tablet 224.00 400 Tablet 157.00 .26 - 97 Haloperidol 1.00 .00 112 Kasa Hidrofil 36m X 80cm/40 Y X 80cm 0 Rol 155.700. 500 Tablet 152.00 0 Tablet 224.200.228.000.027.00 30.09 .400.00 50.00 19.665.00 3.00 .250.298.600.84 11.00 .000.00 500 Tablet 891. 0 Botol 52.00 - 123 Klorfeniramini Maleat 4mg tab 2200 Tablet 25.00 10 Tube 3. 0 Pcs 8.00 94 Glukosa lar.665.00 41.00 3000 Tablet 25.000. 0 Ampul 2.880.00 445.00 23.000.00 .00 92.300.844.00 . 0 Tablet 107.800.938.00 18. - 125 Klorpromazine HCL 25mg tab 0 Tablet .00 22.000.00 - 118 Ketorolac 30mg inj 0 Ampul 2.964.00 71.00 0 Tablet 79.00 300 Tablet 116.00 60 Botol 2.00 89.20 . 8 Ampul 48.205.84 .00 .84 6.00 140 Methilergometrin maleat inj 40 Ampul 4. 5 Tube 2.00 500 Tablet 151. .000.00 .00 50.298.00 264.000.00 198 Pcs 1.00 34. 20 Ampul .00 444.00 141 Methilergometrin maleat tab 100 Tablet 147.00 . 0 Vial 4.00 .000.00 0 Capsul 264. 0 Ampul 4.200. 0 Rol 25.00 . 0 Tablet .400. 0 Vial 5.00 109.000.298. 0 Tablet .000.20 . 0 Tablet 400.26 .600. .600.419. 0 Tablet 400.500.00 63 Botol 2.520.20 118. 0 Tablet 39.100. 0 Tablet .50 .00 62.00 137.20 76.390.850.072.891.419.000.00 23 Botol 4.600.358. 0 Tablet .00 116 Ketoconazole 200mg tab 150 Tablet .419.000.020.800.778. 0 Tablet 39.000.50 . - 117 Ketorolac 10mg inj 0 Ampul 2. 0 Ampul 2.700.200.00 23.00 - 132 Lidokain 2 % inj 0 Ampul 929.600.224.00 178.00 356.000.00 .00 .100.000.20 .00 .00 76.000.00 467.485.00 144. Inj 100 Ampul 1.900.00 .00 .000. 0 Ampul 2.878.00 .00 93.00 .00 .00 134 Masker 198 Pcs 1. 60 Tablet 90.00 100. 0 Tablet 605.00 - 137 Metilprednisolon 4mg tab/ Vadrol 4mg tab 0 Tablet 400.844.00 . 0 Tablet 57.000.633.00 . 20 Tablet 107. 0 Pcs 8.00 .500. 0 Tablet .00 200 Tablet 891. 0 Rol . 0 Ampul 2. 300 Tablet 79.00 100.878.80 108 Kalsium laktat 500mg tab 0 Tablet 57. .20 .00 .00 400 Tablet 151.00 .00 144 Miconazole cream 6 Tube 3.00 3 Pcs 1.00 107.00 121.00 75. 0 Ampul 48.000.500.00 0 Tablet 116.778.00 1200 Tablet 25.00 55.93 .00 390.485.00 3 Pcs 1.00 122 Kloramfenicol salep mata 1%(cendo Fenicol) 0 Tube 22. .00 58.600. 0 Tablet 605. 0 Vial 5.500. - 99 Hidroklortiazid HCT 25mg tab 0 Tablet 39.000.300.000.00 - 104 Infusion set dewasa 0 Pcs 8.891. 5mg/2ml 20 Ampul .00 . 0 Vial 5. 0 Tablet 66. 0 Rol 155.00 124 Kloroquin 250mg tab 0 Tablet .00 525.878.800.00 179.20 0 Tablet 90. . 0 Tablet 147.00 0 Tablet 147.00 20 Tube 3. 0 Tablet .00 130 Kotrimoxazol Suspensi 53 Botol 2.00 10 Ktk 10.00 400 Tablet 224. - 128 Kotrimoxazol 120mg tab 300 Tablet 79.896.00 100. .26 .00 .809.228.00 .00 80 Botol 5. - 126 Klorpromazine HCL 100mg tab 0 Tablet 605. 40 Ampul 4.70 14.00 84.774.09 .00 60 Ampul 1.00 .440.00 106 Isoniazid 300mg tab 140 Tablet 106.00 .00 .00 19 Tube 2. .760.141. .844.00 143 Metronidazol 500mg tab 450 Tablet 169.00 11.300.00 14.000.000.00 148.205. 0 Pcs 8.00 .00 95 Hidrocortison krim 2.450.00 .00 .000.00 5 Ktk 10.00 6.00 13.00 - 119 Kloramfenicol 125mg/5 susp 43 Botol 4. 0 Ampul 929.575. . 0 Rol 25.00 .800.419.000.00 107 Isosorbit Dinitrat 5mg tab sublingual 20 Tablet 107.00 .485. 0 Pcs 8. .633.00 120 Kloramfenicol kapsul 250 mg 1000 Capsul 264.00 10 Ktk 10.100.600.00 62.00 102 Ibuprofen 200mg tab 340 Tablet 151.00 51. 0 Tablet .665.700.70 .00 174.00 78.00 . 1000 Capsul 264.00 - 105 Intunal Forte tablet 400 Tablet 891. 0 Tablet 91.00 81.891. 100 Tablet 147.00 63. .00 .00 60 Botol 8.00 184. .500.25ml 0 Vial 4.150. . 0 Tablet 57.00 .00 - 113 Kasa Pembalut 2M X 80cm 0 Rol 25. 20 Botol 4.794.00 89.950.00 0 Tablet 152.00 - 127 Klorpromazine HCL inj.778.70 14.84 5.633. 0 Ampul 929.00 .00 .00 60.800.00 0 Tablet 106.000.00 4000 Tablet 25.500.165.000.40 70 Tablet 90.000.575.00 100 Tablet 891. 0 Ampul .00 52. 0 Tablet 605.878.00 198.93 - 100 Hufalysin syr 57 Botol 8.00 66.00 198.228.298.000.575.141.00 66. 0 Ampul .00 3 Rol 20.778.00 62. 0 Tablet 400.00 89.00 135 Magnesium Sulfat injeksi (IV) 20% .00 3.400.00 20 Tube 3.09 2.00 60 Ampul 1.716.616.800.050.70 .00 46.100. 0 Tablet 106.200.00 . 10 Botol 5.891. 0 Tablet 57.500.00 28.756. 0 Tablet 66. 0 Tablet 79. 200 Tablet 91. 0 Tablet .00 500 Tablet 157. 0 Ampul 2. 0 Rol 155.80 0 Tablet 107.00 0 Ampul 48.00 184.000.280.575. 0 Rol 25.050. 0 Tablet .000.00 110 Karbamazepin 200mg tab 0 Tablet . 0 Botol 52. - 115 Ketoconazole 2 % krim 24 Tube 2.25ml 0 Vial 5.340. .600.000.00 390.00 . - 101 Ibuprofen 400mg tab 400 Tablet 157. 0 Tube 22. 0 Tablet .000.00 89. 10 Botol 2. . . 0 Tablet 66.020.440.00 .000.600.00 0 Tablet 91.960. 0 Ampul 2.00 . 5 Rol 20.000.00 139 Metoclorprofamid 10mg tab 200 Tablet 91. 0 Ampul 929.485.000.00 264.896.150.50 - 138 Metilprednisolon inj 8 Ampul 48. 0 Tablet 39.00 0 Ampul 4.00 85. .5mg tablet 130 Tablet 90.634.00 148.000.896.00 33.00 18.00 96 Haloperidol 0.000. . 0 Vial 4.205.228.00 .00 50 Botol 8.00 500 Tablet 169.700.00 .00 103 Infusion set anak 0 Pcs 8. 0 Tablet .00 507.00 280 Tablet 152.00 440 Tablet 151.00 0 Tube 2.00 - 136 Magnesium Sulfat injeksi (IV) 40% .600.00 142 Metronidazol 250mg tab 400 Tablet 116.500.00 533. 100 Tablet 116.20 - 109 Kapas pembalut 500gr 0 Rol 20.26 . 0 Vial 4. 0 Pcs 8.00 0 Botol 2.00 0 Botol 5. 150 Tablet .00 114.050.00 131 Lisol 0 Botol 52.020.00 .00 129 Kotrimoxazol 480mg tab 780 Tablet 152.050. 0 Tablet . 0 Pcs 8.224. 0 Tube 22.00 78. .000. .5% 26 Tube 3.00 100 Ampul 1.00 .000.

.000.00 - 158 Oksitosin 10IU/ml inj 60 Ampul 125.000 IU/g tab vag 195 Tablet 448.600.00 - 163 Parasetamol 500mg tab 4500 Tablet 119. 14 pot .000. 7.157. 0 Tube 687.00 - 180 Ranitidine 150mg tablet 270 Tablet 119. 0 Tablet 1.00 195 Sefadroxil 500mg kapsul 1100 Capsul 529. 30 Tablet . 70 Tablet 704.00 2000 Tablet 687. 0 Tablet .390.00 500 Capsul 529.000. 0 Tube 14.00 120 Tablet 330.000. 0 Tablet 825.00 . 0 pot . .00 28.360.00 .00 . . 0 Pcs 10.750.720.00 193 Sarung tangan steril No. .130. 50 Tablet 125. . 2000 Tablet 687.00 .00 147 Natrium klorida lar.00 . .5 0 Pcs 10.00 .00 440.00 .00 1.00 48 Botol 5.700.00 .00 4000 Tablet 119.390.00 149 Neurodex tab 850 Tablet 579.000.720. 0 Capsul 440.20 162 Parasetamol 100mg tab 0 Tablet 490.00 500. 0 Tablet .280. 0 Tablet .471.00 152 Nistatin 500.00 - 157 Oksitetrasiklin Hcl salep 1% 0 Tube 687.00 - 181 Ranitidine 25mg/2ml injeksi 3 Tablet 1.00 179 Ramabion capsul 0 Capsul 490. 0 Capsul 490.00 . 0 Tablet 115.00 . - 169 Piroksikam 20mg tab 700 Tablet 440.500.00 .00 . 0 Capsul .130.00 - 189 Ringer laktat lar inf 66 Botol 5. 0 Tube 687.200.00 32.000.00 3.00 0 Botol 5.00 . 40 Ampul 7.200.5 116 Pcs 10.53 .53 13. . 0 Botol 3.00 0 Ampul 125. 0 Tablet .00 .00 106 Pcs 10.00 .00 . - 185 Retinol (Vit A) 200.00 0 Tablet 704.00 33.00 330.10 . . .00 0 0 239.00 .00 - 176 Primakuin 15mg tab 106 Tablet 125.00 343.000.00 3.00 .00 100.888. 0 Vial 3.900.60 80 Botol 329.00 300 0 239.00 .00 119.400.00 196 Salep 2-4 komb 14 pot .00 . 0 Tablet .00 16 Ampul 7. 0 Botol . - 167 Piridoksin 10mg tab 1800 Tablet .800.00 0 Tube 22. . .000 IU kapsul lunak 0 Tablet .00 0 Tablet 119.00 .00 6. 160 Tablet . 10 Pcs 10.00 .588.000. 0 Tablet . - 186 Rifampisin 300mg kapsul 0 Capsul 440.40 0 Botol 133.200. 0 Botol 14.00 .350.00 .00 .00 192 Sarung tangan steril No.00 7. .00 800.00 0 Botol 5.00 .00 50 Pcs 10.00 .00 3.00 . 0 Tablet . 100 Tablet 330.588.000.00 182 Reserpin 0. 0 Tablet .050.00 47. .000.00 - 151 Nistatin 100.157. 0 Botol 2.10 29.700. .000.00 .00 0 Ampul 7.00 - 156 Oksitetrasiklin Hcl salep kulit 3% 0 Tube 14.00 32.00 - 154 Obat batuk hitam 0 Botol 2.10 532. - 184 Retinol (Vit A) 100.00 357. 0 Tablet 825.00 . 0 Pcs 10. .588.282.588.10mg tablet 0 Tablet .060. 0 Rol .00 343. 3 Rol . . 0 Tablet . 0 Tablet 1. - 166 Piracetam 1g injeksi 20 Vial .10 33. 1000 Tablet . . 0 Botol 2.00 170 Plester 5 yard X 2 inc 5 Rol .500.000.000.000.00 39.000.00 100. 0 Tablet .00 159 Omeperazol 0 Capsul .00 0 Pcs 10. Infus 0.00 299.000.00 416. 220 Tablet 133. - 183 Reserpin 0.275.00 . 0 Capsul 490.00 200 Tablet 125. 0 Vial 3.00 3.00 750.600.9% 58 Botol 5. 0 Capsul .00 1. 0 Capsul 440. 0 Tablet 133.157.500.250.00 0 Tablet 330. 0 Vial 3.000. .00 - 165 Piracetam 400mg tablet 190 Tablet .181.00 312.00 .00 0 Tablet 825.400.000.00 178 Propilthiourasil (PTU) 100mg tablet 220 Tablet 330.00 .00 1. . 0 Botol 5.000.00 0 Tube 22. .00 10 Pcs 10. 120 Botol 329.00 264.00 581.00 0 Tablet 687.000.00 .000.00 66.00 0 Tablet 125.53 26. 0 Tablet 825. - 188 Rifampisin 600mg kaplet 0 Tablet 825.000. 0 Tablet .00 476.00 78.00 175 Prednison tab 0 Tablet 687.588. 0 Tube 14. 200 Tablet 239.00 500. 700 Tablet .000.588. 0 Tablet . 0 Pcs 10.00 .00 3500 Tablet 119.00 .00 .000.000.00 66. .00 . .00 .00 . - 171 Pyrantel pamoat tab 400 Tablet 825. - .000.500.00 0 Tablet 133.350.00 0 Tablet 448. . . 0 Botol .150.00 49.950.00 8.050. 0 Capsul 490.00 .00 .588.050. 3 Tablet 1.00 71. 400 Tablet 825.00 50. 0 Tablet 115.00 0 Capsul 529.00 0 Pcs 10.00 535.750.00 - 194 Sarung Tangan steril No.00 87.00 . 0 Botol 3. 2 Rol .500.000.000. 1000 Tablet . 0 Tablet 1.00 164 Papaverin tab 0 Tablet 1.00 .200.00 28. 0 Tablet 490.157.500. 30 Ampul 125.050. 0 Tablet 1.000.145 Microlax enema 3 Tube 22.00 .00 . .00 - 155 Oksitetrasiklin inj 0 Vial 3.00 .00 53.00 0 Tablet 579.000.000. 0 Tube 22.00 419. 7 10 Pcs 10. 0 Tablet 69.00 - 187 Rifampisin 450mg kaplet 0 Tablet .00 175 Tablet 448.493. 0 Tablet 490.157.157.00 . 66 Botol 5. 5 Pcs 10.00 308. 0 Tablet 69.10 - 161 Parasetamol 120mg/5ml srp 0 Botol 329.00 .10 .00 28. 0 Botol .00 150 NGT Nasogastric Tube no.00 172 Povidon iodida 10% 30ml 0 Botol .000.157.00 . . 0 Botol 3.00 72.374.00 258. - 173 Povidon iodida 10% 60ml 0 Botol 3. . 0 Tablet 115.00 190 Salbutamol 2mg tablet 0 Tablet 69.00 . .00 .00 1. 0 Capsul 440.00 153 Nipedipin tab 0 Tablet 115.390.00 .00 317.350. 0 Tablet 69. 0 Vial .10 532.350. .700. .00 . 10 Botol 5.000.00 - 191 Sarung tangan steril No.157. 0 Tablet 704. 1800 Tablet .00 0 Tablet 119.900. 0 Tablet .000. .280. . .00 308. 0 Tube 22.00 463. 20 Tablet 448.000. 0 Tube 22.000.200.000. 0 Vial . 600 Capsul 529.200. - 168 Piroksikam 10mg tab 900 Tablet . .000. .00 700 Tablet 440.500. 2 Botol 14.493.00 - 146 Natrium Diklofenak 50mg tab 500 Tab 239.00 .00 1000 Tablet 440. 20 Vial .00 .00 50 Tablet 579.250.00 .00 .000 IU kapsul lunak 0 Tablet .500. 270 Tablet 119. 0 Tablet .00 177 Propanolol HCL 40mg tablet 250 Tablet 133.000 IU tablet 70 Tablet 704.53 39.000.00 .620.00 25.10 . 8 80 Pcs 10.471. 0 Tablet . 0 pot .00 119.00 .588. 0 Tablet 825. 3 Tube 22. - 160 Paracetamol drops 4 Botol 133.200. 0 Tube 14.000. 4 Botol 133.00 75 Pcs 10.40 40 Botol 329.362. .960. 0 Tablet . 0 Capsul . 1200 Tablet .00 30 Ampul 125.493.00 492. 10 0 Tube 22.160.000. 800 Tablet 579.00 0 Tablet 1.00 .000.00 3000 Tablet 119. .00 100.40 0 Botol 133.00 .350.543.500.00 .00 13.00 330.374. 1000 Tablet .00 440.350.00 49.000.493.00 1000 Tablet 440.25mg tablet 0 Tablet . .00 0 Botol 14. 6.390. 0 Botol 2.00 . 0 Tube 687.350.00 148 Neurobion inj 56 Ampul 7.00 . . 0 Tablet 490.00 50 Pcs 10.00 - 174 Povidon iodida 10% 300ml 2 Botol 14.000.608.00 .350.

00 208 Tetrasiklin Hcl cap 250mg cap 50 Capsul 183.000.00 53.00 246. 0 Ampul 770.00 207 Tablet tambah darah 0 Sacht 2.00 1. 0 Tablet 53.150.00 .266.00 118.00 40.00 1.00 .00 - 212 Tramadol 50mg kasul 300 Capsul 541.174. 0 Ampul 770.00 - 205 Surgical Blade 115 Pcs 3.180.180. 0 Tablet 53.200.000. 3/0 19 Pcs 8.00 .200.00 0 Pcs 3.00 9.00 .00 .00 .00 - 215 Vitamin B komplek tab 2200 Tablet 112. 0 Tablet 522.00 . 0 Pcs 7. 100 Capsul 409.000.00 .00 220.426.00 - 204 Siprofloksasin HCL 500mg tablet 0 Tablet 265.497.95 10.00 85 0 3.00 198 Sefotaksim injeksi 12 Vial 2. 0 Tablet 522.00 9.850.000.500. 0 Tablet 522. .00 .333.00 402. 100 Sachet 2.000. 0 Capsul 541.1000 Tablet 180.00 .500.000. 0 Supp .000.00 210 Thiamin Hcl 50mg tab 0 Tablet 53.426.00 1000 Tablet 180.042.136.00 14 Botol 3.00 .00 .00 0 Tablet 180.180.327.112.578.00 0 Pcs 8.426.00 .00 10 Botol 3. 24 Botol 3.000.180.00 297.00 . 0 Vial 2.150.327.00 40 Sachet 2.578.00 201 Sianokobalamin (vit B12) inj 64 Ampul 1. 2200 Tablet 112. 19 Pcs 8.000.00 29. 0 Tablet 53. 0 Tablet 265.00 60 Sachet 2. 30 Pcs 3. 0 Supp . - 214 Urine Bag 0 Pcs 7.500.174.578.00 . 0 Tablet 265.174.133.00 88.333.300. 0 Pcs 8.00 0 Capsul 409. 0 Vial 2.00 - 200 Selang Oksigen 0 Pcs 15.00 38.00 5.578.00 . 0 Tablet 265.00 158.870. 0 Kotak 1. 0 Pcs 7.00 . 0 Capsul 409.00 0 Vial 2. 0 Pcs 7.00 - 211 Thiamin Hcl 100mg/ml inj 0 Ampul 770.00 180.00 0 Tablet 112.00 .00 0 Ampul 770.870.00 199 Seftriakson injeksi 0 Vial 2.000.00 209 Tetrasiklin Hcl cap 500mg cap 100 Capsul 409.00 0 Capsul 541.00 29.500. 0 Vial 2.850.275.333.333.900.000.00 105. 12 Vial 2.00 - TOTAL 20.70 15.00 158. 0 Tablet 112.00 0 Capsul 183.00 .200.174.00 75. .000.00 .500.500.000.500. 50 Capsul 183.050.00 180.400.00 162.00 59 Ampul 1.00 .00 132. 300 Capsul 541. 100 Pcs 15. 0 Vial 2.500.00 246.000.00 . 100 Kotak 1.00 69.00 92. 0 Capsul 183.500.300.00 30 Pcs 15.00 70 Pcs 15.900.00 .900.426.00 .112.00 206 Sulfacetamid tts mata 15% 0 Botol 3.00 .00 .00 203 Simvastatin 10mg tablet 0 Tablet 180.200.00 0 Kotak 1.00 .400.500.00 .850.00 .00 .60 14.00 .00 0 Ampul 1.00 162.400.00 .500.00 118.00 .907.000.00 213 Ultraproct N suppositoria 0 Supp .00 . 0 Supp . 5 Ampul 1.00 450.100.00 40.00 216 Zinc 0 Tablet 522.00 .85 .197 Salisil bedak 2% 100 Kotak 1.00 202 Silk benang bedah sutra No.00 . .850.00 .949.500.

0 Botol 56. 0 Set .000.00 .00 570.250.00 600.250.368. 4 Botol .000.700.600.00 Stick Asam Urat Nesco 450 Strip 5.000. - 2 Zink Phosphat cement (Powder + Liquid) 0 Set .480.000. 2 Botol 190. 0 Botol .868. 0 Pcs 193.000. 0 Kotak .268.00 400 Strip 5.00 358.900.00 358.00 Reagent Widal Type H 3 Botol 190.584.00 . .00 680.200.00 Stick Kolesterol 200 Strip 31.000.000.00 100 Strip 31. 0 Botol . . 1 1 2 3 4 5 6 OBAT GIGI 7 2 14 4 5 6 7 8 9 10 11 12 13 14 15 16 17 8 Dental Mercury 100gr 0 Botol .000. 4 Botol 89.50 377. 2 Pcs 193.00 600.250. . - 9 Devitalisasi Pasta (Non Arsen)/ Devitec 0 Kotak . 0 Botol .975.00 Stick Gula darah 245 Strip 5.000.00 Mummifying Pasta/ Iodoform Paste 2 Pcs 193.00 225.500.695.00 TOTAL 13.00 5 6 7 2 14 4 5 6 7 8 9 10 11 12 13 14 15 16 17 8 HBsAG Stick 42 Strip 11. 0 Kotak .00 3. 4. .000.00 .600. - 10 Eugenol cairan 4 Botol 50.150.000. 0 Botol 89. . 28 Februari 2015 Kepala Puskesmas Puruk Cahu Yang Membuat Laporan SRI RAHAYU FITRI AGUSYANI NIP.00 0 Botol 190.520.800. .00 150.797.00 .50 117.000. . .000.00 . - 4 TOTAL 1.800.00 10 Reagent Rees & Ecker 4 Botol .00 167.125. 19700306 200212 2006 NIP.00 201.00 . - 1 Bahan TUMPATAN SEMENTARA 0 Kotak .000.560. 0 Botol . 0 Botol .00 750.00 387.233.300.00 . 0 Kotak . 0 Kotak . .00 190. 2 Botol 190.584.600. 0 Set .000. .00 279. 1. . . 0 Kotak .000.000. . 0 Set . 0 Kotak . 0 Botol 50.00 . 1 Botol 150.00 201.000.000. . .00 32 Strip 11. . . . . 4 Kotak 170.080.00 .797. - 11 Reagent Turk 4 Botol 56.417.584.00 750.00 .000. 0 Set .00 380.00 0 Botol 150.520.00 2. 0 Kotak 170. 100 Strip 31.00 0 Strip 31.00 215 Strip 5.00 387.00 Reagent Widal Type O 3 Botol 190.00 0 Botol 89.000.00 0 Strip 11.268.00 . 0 Botol .584.417. 0 Set .00 . .00 Cholrfenol Camfer Mentol (CHKM) 0 Botol . 0 Kotak .797. .00 570.000. 0 Kotak .500.00 Mengetahui Puruk Cahu.200.000.700. .000.00 .00 9 Reagent Benedict 4 Botol 89.00 150.868.000.00 0 Kotak 170. .000.500.00 . .00 0 Strip 5.500.800. - 1 Fletcher (powder + Liquid) 0 Set . .495.000. .200.00 0 Botol 56.00 1 Botol 190.774.000.00 1 Botol 190. 4 Botol 50. 50 Strip 5.00 225.000.00 2.000. 30 Strip 5.584.00 4 Botol 150.150.175. 0 Kotak . 1 Botol 150.668. 0 Set . 0 Kotak .00 3.700.700.00 1.00 0 Botol 50.50 495.00 380.50 .00 Reagent Gol Darah A 5 Botol 150.000.00 4 Botol 150.000. .584.00 .000.00 0 Botol 190.00 1. - 3 Alvogyl 0 Kotak .00 0 Botol 150.250.000.000.797.600. - LaborTKF 0 Botol .00 0 Pcs 193. 19790811 200003 2002 .00 11 Bahan TUMPATAN PERMANEN 6 Kotak . .600.00 9.000.512.584.00 .00 680. . 10 Strip 11.00 Reagent Gol Darah B 5 Botol 150.584. - 12 Kalsium Hidroksida Pasta/ Dorident Calcidor 4 Kotak 170.417. 4 Botol 56.417. 0 Botol . 0 Botol .200.00 0 Strip 5.000. .00 . 6 Kotak .00 .00 190.00 .00 6.000. 0 Botol . . 0 Botol .668. 0 Kotak . 0 Botol .000.

00 690 Tablet 2. 0 Tablet 75.142.000.900.00 2000 Tablet 73.000.768.00 0 Capsul 2.00 - 34 As. 0 Pcs 1.00 600 Tablet 197.500.00 8.300.00 88. 300 Tablet 525.00 0 Ampul 164.560.00 - 31 Asiklovir cream 0 Tube 3. 0 Pcs 17.00 251.00 25 Antiparkinson tab 0 Tablet . - 28 Aqua pro injeksi 15 Vial 4.00 114.00 399. 300 Tablet 86.00 91. 0 Tablet 75.00 10 Ambroxol 15mg/5ml sirup 35 Botol 4.00 - 39 Atropin sulfat 0.00 .00 40.00 - 4 Alat suntik sekali pakai 1 ml 0 Pcs 1. 0 Tablet 86.00 7 Alat suntik sekali pakai 5 ml 80 Pcs 1.142. 0 Tablet 154.00 122.00 4. 15 Vial 4.300.00 . 0 Tablet 440.00 .00 0 Botol 4.000.425.00 36 Asetosal 100mg tablet 300 Tablet 110.00 23 Antibakteri DOEN komb (basitrasinpollimiksin) salep 0 Tube 2.00 118. 0 Tablet 75.142. - 41 Benzatil penisilin 2. 100 Pcs 1.00 0 Vial 4.768.00 .00 130 Pcs 1.840. .700.000. 0 Vial .00 0 Tablet 525.00 .565. 0 Supp . DAFTAR MUTASI OBAT . 20 0 Pcs 8.300. 24 0 Pcs 17.250.000.00 .00 400 Pcs 1.00 143.00 .300. 0 Tablet 171.000.00 35 As.00 50 Capsul 2.00 - 24 Antimalaria DOEN komb (suldox) tab 300 Tablet 525.142.00 .00 .000. 0 Tablet 154.00 50 Tablet 168.00 .00 88.170.00 1100 Tablet 279.400.000.025.160.360. 0 Tablet .00 33.518.00 50.600.425.565. 0 Pcs 8. Ascorbat 50 mg tab 1800 Tablet 105.964.700.00 30 Asiklovir 400mg tablet 0 Tablet 354.00 558. 0 Pcs 17.360.00 .000.00 .000.560.00 17 Amoksisilin 500 mg tablet 900 Tablet 279. . 200 Tablet 245.00 0 Tablet 135.000.00 1900 Tablet 73.000.5mg tablet 0 Tablet 75.000.00 .00 138.00 15 Aminopillin 100mg tablet 300 Tablet 86.213.000.00 52. - .00 16 Amoksisilin 250mg capsul 720 Capsul 220.00 . 0 Vial .000.00 56 Botol 2.00 33 As.00 33.00 60.620.00 28 Botol 2.210.00 40.768.00 .00 150.00 45.00 5 Alat suntik sekali pakai 2. 0 Ampul 1.200. 0 Ampul 3.600.OBATAN PUSKESMAS PURUK CAHU KABUPATEN MURUNG RAYA Bulan : JANUARI Tahun : 2015 SALDO AKHIR MUTASI SELAMA BULAN DESEMBER 2014 SALDO AKHIR per 30 November 2014 MASUK KELUAR NO Nama persediaan Harga Harga Harga Harga Jumlah Jumlah Jumlah Jumlah Vol Satuan satuan Vol Satuan satuan Vol Satuan satuan Vol Satuan satuan (Rp) (Rp) (Rp) (Rp) (Rp) (Rp) (Rp) (Rp) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 1 Abocate No.00 .375.00 .00 100 Pcs 1.800.00 .00 11 Amlodipin 5mg tab 460 Tablet 197.00 .00 .00 22. ascorbat 250 mg tab 0 Tablet 154.000. 0 Vial .500. 0 Ampul 1.00 50 Tablet 90.00 27 Antihaemaroid suppositoria 0 Supp . 24mg/5ml 10 Ampul 3.00 384.025.00 100 Pcs 1.500.00 80 Pcs 1.200.00 800 Tablet 105. 0 Pcs 17.00 - 40 Benzatil penisilin 1.00 37 Asetosal 500mg tablet 0 Tablet 171.00 350 Pcs 1. 0 Tube 2. 500 Tablet 90.00 348.00 .400.00 850 Tablet 122.00 66.00 21 Antasida doen srp 68 Botol 2.00 .600.00 - 13 Amitrippilin 25 mg tab 0 Tablet .360.00 101.142. 0 Tablet 154.00 15 Botol 4.00 0 Tablet 168. 0 Tablet 171.00 0 Capsul 220. Tranexamat 250mg capsul/ Kalnex 250mg cap 150 Capsul 2.200. 0 Tube 2.00 105.00 24.00 240 Capsul 220.560.00 .00 . 0 Tablet 171.00 20 Antalgin 500 mg tablet 990 Tablet 2.00 1000 Tablet 122. 100 Capsul 2.210.142.00 22 Antasida doen tablet 310 Tablet 73.600. 0 Tablet 525.00 157.00 20 Pcs 1.00 - 32 As.00 .500.juta IU/vial injeksi 0 Vial .00 29.560.800.250. 0 Tablet 354. 0 Tablet .00 30 Ampul 164.00 105.500.00 146. 300 Tablet 2.00 100 Tablet 245.00 .025.00 90.00 0 Tablet 86.500.000.00 42.920.00 .00 0 Tablet 2.00 134. . .00 100.00 - 2 Abocate No.00 148.00 502.00 103.000.000.400.00 .00 610 Tablet 197.00 12 Amlodipin 10mg tab 0 Tablet 440.00 0 Tablet 105.00 . .00 .00 125.00 306.213.750.00 . 0 Supp .213. 0 Vial .650.875.00 . 40 Botol 2.00 .500. 0 Pcs 17.000.565.00 450 Tablet 197.600. 22 0 Pcs 17.800.00 19 Antalgin 250 mg/ml inj (Noralges inj 500mg/2 ml) 60 Ampul 164. Mefenamatt 500 mg tab 1100 Tablet 122.00 .000.00 158.000. 1000 Tablet 105.00 18 Amoksisilin sirup krng 125 mg 42 Botol 2. - 26 Antimigrain Kombinasi tablet 300 Tablet 135.600.00 154.00 107. .00 . 0 Tablet .25mg/ml 0 Ampul 1.000.00 2.00 120.000.520. .00 .2.250.00 150 Botol 2. 0 Vial .200.200. 300 Tablet 110.500. .025. 0 Vial .600. 0 Pcs 17.00 0 Ampul 3.00 - 3 Abocate No.425.630.200.200.00 25. - 14 Aminopillin inj.00 .00 0 Tablet 90.00 .500. 0 Ampul 1. 0 Tablet 440. 0 Supp . .00 .300.00 . .213.00 .00 - 6 Alat suntik sekali pakai 3 ml 80 Pcs 1.00 .00 .500.00 189.300. 10 Ampul 3.00 . 0 Pcs 1.800.00 84.565. 0 Tablet .000. .00 1.600.00 .425. 480 Capsul 220. .000.00 0 Botol 2. 300 Tablet 135.178.00 . 0 Tablet 354.00 91.00 25.920.250.142.142.200.00 2000 Tablet 279.00 61.juta IU/vial injeksi 0 Vial .00 33.250. 20 Botol 4.930.00 4. 0 Tablet 440.300.00 .00 0 Tablet 110.00 9 Ambroxol 100mg tablet 300 Tablet 168.00 456. 0 Tablet 135.768.00 - 38 Atropin sulfat inj.00 202.00 .484.00 136 Botol 2.00 .00 .00 - 29 Asiklovir 200mg tablet 300 Tablet 245.00 152. 0 Tablet .00 303.00 25.5ml 0 Pcs 1. 0 Pcs 17. 0 Pcs 8.700.00 .00 0 Tablet 245.00 49.00 4.00 91.360.00 33.00 .142. 0 Tube 3. 30 Ampul 164.460.142. 0 Tablet .00 .00 157. 0.600. 0 Tube 3.00 .00 114.00 1800 Tablet 279. 250 Tablet 168.00 1250 Tablet 122.142. 0 Tablet 110. 0 Pcs 1.4.00 8 Allopurinol 100mg tablet 550 Tablet 90. 0 Tube 2.00 660.500.00 49.00 9.142.300.00 . 0 Tube 3.520.00 . .00 .210. 0 Pcs 8.100.00 60. .00 410 Tablet 73.00 88.200.00 0 Vial 4.00 . .00 80 Pcs 1. 0 Tablet 354.00 73.210.

00 0 Tablet 1.490.620.500. .500.530.00 58.980.000.000.00 .05 218.499.250.00 20 Botol 3.125.00 48 Botol 6.200.00 .500.00 50 Tablet 39.00 0 Ampul 5.00 .957.750.00 41.290.75 . 2 Botol 115.605.090. 5 Botol 2.490.00 .650.125. 0 Tablet 525. 0 Tablet 56.000.00 .019.612.625. .000.625.40 0 Tablet 96.5 mg tab 300 Tablet 68.00 35 Botol 8.00 . 0 Botol 10.750.00 .500.00 173.200.00 .000.145.800.50 0 Tablet 123.00 9. 100 Tablet 42. 0 Botol 10. 0 0 955. 0 Tablet 56.00 .800.000.800.000. 0 Tablet 52.00 60.00 65.00 35.00 105.387.500. 0 Ampul .00 - 76 Famotidine tab 0 Tablet .05 .00 0 Botol 3.00 3000 Tablet 35.023.620.00 91 Glibenklamid 5mg tablet 0 Tablet 66. 0 Pcs 12.00 56 Diazepam 5mg tab 0 Tablet 52.00 0 Pcs 12.00 46 Caviplex Syr 42 Botol 6.97 .00 3000 Tablet 35.000. 20 Botol 3.00 675.00 72 Etanol 70% 1000 ml 1 Botol 32. 80 Tablet 1.00 3000 Tablet 68.500.00 50 Captopril 25mg tab/ Dexacap 25mg tab 300 Tablet 495.00 46.00 600 Tablet 495. - 60 Domperidom 10mg tab/ Vesverum 10mg tab 500 Tablet 174.75 114. 0 Tablet 96.500.15 .000.340.00 20.00 - 57 Diazepam 2mg tab 0 Tablet 39. 0 Ampul . 0 Tablet . 0 Tablet 123.00 - 45 Caviplex tablet 1000 Tablet 437.968.00 4.50 .00 .00 - 88 Gentamisin tetes mata 0.525. 0 Pcs 12.50 98.00 32. - 54 Difenhidramin Hcl Inj 40 Ampul 1. 0 Tablet 105.625.850.625.00 0 2.500.75 28.00 41. 300 Tablet 1.00 74.33 297.39 .833. 0 Ampul 2.160.97 - 49 Captopril 12. 11 Ampul 2.00 .05 437.968.00 175.125. 8 Ampul 5. 7 Pcs 10.00 79.00 .33 297.00 . 0 Botol 3.00 127. 0 Tablet 105.125. 0 Tablet .000.000.00 54.090.50 . 12 Botol 3.84 .145.400. 0 Tablet . - 90 Gentian violet 12 Botol 3.00 90 Ampul 1.00 .00 - 75 Etambuthol HCL 500mg tablet 0 Tablet 525. 0 Tablet 525.75 .00 90 Tablet 1.50 .00 0 Tube 1.00 0 Supp 19.00 94. 5 Supp 19.500.00 70 Erytromisin 125mg/5ml srp krg 17 Botol 8. 6 Tube 2. 0 Tablet .019.290.00 52.000.605.000.00 . .00 60 Capsul 987.00 20 Ampul 1.00 297.957.00 64 Efedrin tab 0 Tablet 56.00 . .00 231.00 4.00 .00 317.250.00 .1% /1ml 8 Ampul 5. 0 Tablet 51.655. 0 Ampul .00 95.926.200. .000.00 .00 0 Pcs 12. 200 Tablet 174. 0 Botol 24. 0 Pcs 10.00 350 Tablet 79.00 27. 50 Ampul 92. 0 Ampul 92.00 204.00 42 Botol 6.00 1.800.180.090.00 12 Tube 1.600.160.000.00 86 Garam oralit 230 Sachet 322.75 28.000.490.00 48 Botol 6.000.200.00 12.080.290.652.750.00 .50 81 Fitomenadion 10mg/ml inj 105 Ampul 2.00 68 Erytromisin 250mg cap 250 Capsul 509. 0 Capsul . 18 5 Pcs 12.00 368. 20 Ampul . 0 Tablet 56.00 85 Furosemid 40mg tab 170 Tablet 1.669.50 63 Dulcolax supp 35 Supp 19.160.00 . 0 Ampul 2.800.114.00 28.00 .00 671.600.65 0 Ampul 2.00 5 Botol 2.00 .00 404.00 0 Tablet 2.00 65.145.97 .00 0 Capsul 987.000.00 . 0 Tablet 51.00 .125.00 83 Folley Cateter no.000.800.00 . .00 0 Botol 115.500. 100 Sachet 322.00 283.00 80 Fitomenadion 10mg tab 234 Tablet 123. 0 Tablet 66.00 12.023.00 50 Botol 8. 0 Botol 10.250.42 Betametason cream 35 Tube 1. 250 Capsul 509.1% 6 Tube 2.420.833.125. 0 Tablet . 20 Ampul .00 170.114.00 157.00 346. 234 Tablet 123.00 .00 38.500.00 4.33 .00 .900.33 .150.1% 0 Botol 10.655.00 61 Domperidom syr/ Vesverum syr 40 Botol 3.00 44 Calcidol syr 0 Botol 24.500.00 . 16 10 Pcs 12. 0 Ampul 5.00 137.000.145.00 0 Capsul 509. 0 Capsul .00 650 Tablet 495.50 .00 .00 123.537.00 23.000. .060. 50 Tablet 2.000.00 0 Sachet 322.00 127.00 70.750.00 317. 0 Tablet 525.00 500 Tablet 437.00 278.200.00 1 Botol 115.669.880.25 tablet 110 Tablet 96.00 .00 - 89 Gentamisin Injeksi 20 Ampul .700.00 84 Furosemid 10mg/ml inj 50 Ampul 92.090.00 0 Tablet 42.15 - 79 Fenol gliserol 15 Botol 1.00 3 Botol 32.00 154.00 34.500.00 47 Ceterizine 10mg cap / Lerzin capsul 160 Capsul 987.00 105.00 105.00 20.00 - 92 Gliseril guaiacolat 100mg tab 1000 Tablet 35.2/0.00 32 Botol 8.5 mg tab 150 Tablet 79.00 28. .00 0 Ampul 1.415.00 0 Pcs 10.750.525.000.00 71 Etyl klorida semprot 3 Botol 115.00 .160. .00 120.160.00 .040.00 278.000. 0 Ampul .50 150 Tablet 2.05 218.00 .652.00 30 Supp 19.605.000.75 .39 .290.84 10. 23 Tube 1. 0 Tablet 51. 0 Botol 24.00 2 Botol 32.000.00 37.950.00 69. 20 Ampul .00 41.023. 0 Botol 3.00 .040.00 .926.000.00 11.00 115.00 32.00 55 Diazepam 5mg/2ml inj 11 Ampul 2.500. 105 Ampul 2.490.00 .625.00 0 Tablet 174. - 78 Fenobarbital 30mg tab. 200 Tablet 39.000.00 2500 Tablet 68.00 1000 Tablet 35.00 327.00 .669.00 29.833.00 .160.00 148.00 306.00 .00 .980.860.625.00 800 Tablet 68.00 67 Ektrak beladon 100mg tab 100 Tablet 42.400.500.00 0 Tablet 1. 0 0 955. 0 0 955. 0 Capsul 509.3% 0 Botol 3.125. - 77 Fenobarbital inj.84 .195. 10 Botol 1.400.00 - 74 Etakridina (rivanol) lar.00 48 Cimetidine tab 0 Tablet 105.000.50 - 66 Epineprin HCL (adrenalin) Inj 0.00 87 Gentamisin salep 0.669.760.50 59. .00 300 Tablet 174.00 2 Botol 32.84 10.00 43 Catgut benang bedah no.125.75 458.00 321.00 58 Digoksin 0.00 53 Diethylcarbamazin sitrat 100mg tab 0 Tablet .00 73 Etanol 70% 100ml 0 Botol 2.00 4.00 .900.833. 0 Tablet 51.00 139.39 .620.620.00 0 Botol 1.00 35.605.500. .00 575.200.00 60. 5 Pcs 12.00 .00 0 Ampul 92.000.975.40 59 Doksisiklin 100mg capsul 0 Capsul .50 158.15 . 100 Capsul 987.750.980.00 120.600.00 37.850.195.00 5.00 19. 110 Tablet 96.00 . 0 Tablet .00 0 Ampul 2. 0 Botol 3.499.75 343.150.00 69.019.968.00 87. . 0 Botol 3.195. 0 Tablet 66.00 87.980. 20 Ampul 1.3/0 7 Pcs 10.65 82 Folley Cateter no.00 360 Tablet 1.00 97.280. 0 Capsul . 500 Tablet 437.00 .00 250 Tablet 495. 0 Tablet 66. 0 Botol 24. . 10 Pcs 12.00 100 Ampul 1.028.050.968.019.825.000.00 .125.00 70. 0 Tablet 42.00 7.00 0 Tablet 437.00 1200 Tablet 79.00 . 0 Tablet 52. 0. 0 Tablet 52.00 .39 - 65 Enzyplex tablet 0 Tab 955.00 0 Tube 2.625.00 0 Botol 3.15 .625.97 .00 62 Dulcolax 5mg tab 200 Tablet 2.00 5 Botol 1.850.00 .195.00 60 Ampul 1.00 51 Dexsametason 0.00 130 Sachet 322.926.926.760.00 1000 Tablet 79.750.500.00 258.000.00 150 Tablet 39.00 52 Dexsametason 5 mg/ml inj 50 Ampul 1.00 .00 69 Erytromisin 500mg tab 660 Tablet 1.00 23.500.00 0 Tube 2. . .00 13.023. 0 Tablet 105.000.

00 112 Kasa Hidrofil 36m X 80cm/40 Y X 80cm 0 Rol 155.00 75.93 .000.26 .00 89.00 100.100.00 41.00 400 Tablet 224.00 10 Ktk 10.000.100.84 5.633.00 198.00 142 Metronidazol 250mg tab 400 Tablet 116.500.00 280 Tablet 152.00 20 Tube 3.00 84. .000. 0 Pcs 8. 100 Tablet 147.000.00 440 Tablet 151. 0 Tablet .00 - 137 Metilprednisolon 4mg tab/ Vadrol 4mg tab 0 Tablet 400.00 2 Rol 20.878. 0 Tablet .09 .00 500 Tablet 151.00 200 Tablet 891.00 18. 0 Tablet 66. 5 Rol 20.000. - 101 Ibuprofen 400mg tab 400 Tablet 157.00 13.896. 20 Ampul .390.000.600.938.00 . 0 Tube 22.800. 40 Ampul 4.000. 0 Ampul 2.000. 0 Tablet 66.00 3 Pcs 1.027.00 120 Kloramfenicol kapsul 250 mg 1000 Capsul 264.00 500 Tablet 891.298.340.00 .00 .00 300 Tablet 169.665.050.200.900.00 . 0 Ampul 2.850.00 85.00 . 0 Ampul 2.00 93.205.00 .000.00 .00 19 Tube 2.00 0 Tablet 91.00 11.00 400 Tablet 157.000. 8 Ampul 48.00 66.600. 0 Tablet 147. 0 Botol 52.93 .80 98 Haloperidol 5mg tablet 0 Tablet .400. 0 Vial 4.896. . .00 - 113 Kasa Pembalut 2M X 80cm 0 Rol 25. 0 Pcs 8.00 94 Glukosa lar.800.93 Griseufulvin 125mg tab 800 Tablet 224.00 198.600. 0 Ampul 2.00 184.00 3000 Tablet 25. 0 Ampul 4.00 95 Hidrocortison krim 2.419.00 134 Masker 198 Pcs 1. .00 103 Infusion set anak 0 Pcs 8. . 0 Tablet .050.00 89.880.774.00 . 0 Tablet 400.520.00 124 Kloroquin 250mg tab 0 Tablet .700.500.00 109.20 .00 .00 .00 500 Tablet 157.00 - 123 Klorfeniramini Maleat 4mg tab 2200 Tablet 25. 0 Tablet .09 2.00 300 Tablet 116.000. Infus 5% 90 Botol 5. 0 Vial 4. 10 Botol 2.5% 26 Tube 3.00 50.228.575.00 .684.00 140 Methilergometrin maleat inj 40 Ampul 4. 0 Tablet .00 139 Metoclorprofamid 10mg tab 200 Tablet 91.633.00 66.665.00 - 104 Infusion set dewasa 0 Pcs 8.100.485.00 0 Botol 5.00 444.600.00 18.00 55.000.09 2. 0 Tablet .778. 150 Tablet .00 0 Capsul 264. 0 Tablet 66.00 184.00 0 Ampul 4.00 23 Botol 4.00 131 Lisol 0 Botol 52.000.00 .00 .700.00 .00 445.00 467.634.00 .800.00 50. 20 Botol 4.400. 20 Tablet 107.20 76.00 .000.00 10 Tube 3.600.20 . 0 Tube 22.00 130 Kotrimoxazol Suspensi 53 Botol 2.000.150. 300 Tablet 79.00 0 Tube 2.878.00 10 Ktk 10.440.00 62.09 .00 50 Botol 8. .00 .756. 0 Ampul 929.00 .419.00 16 Tube 3.00 144 Miconazole cream 6 Tube 3.716.00 390.00 174.000.358.50 .70 14.500.00 14.50 .00 179.00 - 133 Lidokain komp. 0 Tablet 79.809.00 0 Tablet 147.500.40 70 Tablet 90.575.00 0 Tablet 224.00 .00 .5mg tablet 130 Tablet 90.200.600.00 . 0 Tablet .00 107 Isosorbit Dinitrat 5mg tab sublingual 20 Tablet 107.00 0 Ampul 48.00 62.20 . . 0 Rol 155.84 11.00 81.00 198 Pcs 1. 0 Tablet .000. 0 Ampul 48. 0 Tablet 57.00 .000.500.00 23.616.633.00 .00 .300.500.000.000.000. 0 Vial 4.000.00 533.419.20 118.00 23.000.00 100. 500 Tablet 152.485.205.700.00 .00 390.00 - 114 Kasa Pembalut Hidrofil 4m X 15cm 0 Rol . .20 - 109 Kapas pembalut 500gr 0 Rol 20.00 63.141.00 102 Ibuprofen 200mg tab 340 Tablet 151. 0 Tablet 605.00 100 Tablet 891.00 3 Pcs 1. 140 Tablet 106. 0 Pcs 8. - 115 Ketoconazole 2 % krim 24 Tube 2.00 46. 0 Rol 25.896.00 92.93 .00 106 Isoniazid 300mg tab 140 Tablet 106.00 76. - 99 Hidroklortiazid HCT 25mg tab 0 Tablet 39.00 .00 60.665.20 .00 28. 0 Tablet 400.844.00 - 132 Lidokain 2 % inj 0 Ampul 929.00 51.00 50.20 42.00 650 Tablet 169.205. 0 Tablet 39.00 80 Botol 5.00 - 127 Klorpromazine HCL inj.00 33.00 96 Haloperidol 0.300.00 .00 14.844.700.298.050.00 0 Botol 4.485.000.000. 100 Tablet 116.00 . .00 3 Botol 2.00 148.00 143 Metronidazol 500mg tab 450 Tablet 169.00 3.200.93 - 100 Hufalysin syr 57 Botol 8. .000.00 110 Karbamazepin 200mg tab 0 Tablet . 0 Tablet 106.00 34.00 100.485.891. 400 Tablet 224.00 .000.000.000.00 0 Capsul 264.224.00 22.250.00 - 118 Ketorolac 30mg inj 0 Ampul 2.228. 0 Tablet 91. .80 0 Tablet 107. .00 . 0 Ampul 929.600.00 . 0 Vial 5.00 62.419.00 60 Botol 8.575.00 135 Magnesium Sulfat injeksi (IV) 20% .00 121. 0 Tablet .00 .80 108 Kalsium laktat 500mg tab 0 Tablet 57. 0 Botol 52.00 .26 . 0 Ampul .00 107.70 .400. 0 Tablet .00 67 Botol .000.00 58.00 . 0 Tablet . 0 Pcs 8.00 0 Tablet 79.878.00 6. 0 Rol 25.000. 0 Tablet .228.165.000.25ml 0 Vial 4.300.000.00 60 Ampul 1. 0 Rol 155.00 356.00 89.800.665.778.00 3 Rol 20.00 507. Inj 100 Ampul 1. 0 Botol 52.298. . 0 Pcs 8.575. .00 .00 50.00 - 105 Intunal Forte tablet 400 Tablet 891.020.00 .00 89.00 .00 - 121 Kloramfenicol tts telinga 3 % 13 Botol 2.100. - 128 Kotrimoxazol 120mg tab 300 Tablet 79.891. 0 Ampul .00 60 Ampul 1.800.00 500 Tablet 157.00 .00 .00 .20 0 Tablet 90.228. 0 Vial 5. 0 Tube 22.050.500.00 60 Botol 2. 5mg/2ml 20 Ampul . . 0 Pcs 8. 0 Tablet 107.70 .00 144.00 148.00 . .00 71.192.600.00 . 5 Tube 2.600.280.298.00 1200 Tablet 25.00 264.00 0 Tablet 116.00 .00 114.26 .000.800.70 14.00 5 Ktk 10.050.938.072.00 178.891. 0 Ampul 2.00 .00 .00 30 Tube 3.450. 0 Ampul 2.00 - 136 Magnesium Sulfat injeksi (IV) 40% .00 137.00 525.00 400 Tablet 151.00 141 Methilergometrin maleat tab 100 Tablet 147.205.00 .25ml 0 Vial 5.00 0 Tablet 106.84 6.00 30.00 0 Botol 2.00 20 Tube 3.020.844.760.600.000.5mg tablet 0 Tablet 66.00 75.891.300. - 126 Klorpromazine HCL 100mg tab 0 Tablet 605.000.00 - 119 Kloramfenicol 125mg/5 susp 43 Botol 4.800.00 500 Tablet 169. . - 125 Klorpromazine HCL 25mg tab 0 Tablet .00 . .00 100 Ampul 1.000.00 104. .00 0 Tablet 152.794. 0 Tablet 57.844.00 .00 3.26 - 97 Haloperidol 1.700.778.00 63 Botol 2. 10 Botol 5.50 - 138 Metilprednisolon inj 8 Ampul 48.00 116 Ketoconazole 200mg tab 150 Tablet . 1000 Capsul 264.00 .00 . 0 Tablet .00 264.020. 0 Tablet 57.224.000.020. 0 Ampul 929.00 .00 19.00 78.00 . 0 Rol .00 78. 0 Rol 155.000.633.00 129 Kotrimoxazol 480mg tab 780 Tablet 152.00 122 Kloramfenicol salep mata 1%(cendo Fenicol) 0 Tube 22. 0 Tablet 605.50 . - 111 Kasa Hidrofil 40 x 40 steril/ 16 X 16 cm 5 Ktk 10.84 .878.00 .000.600. .500. 0 Tablet 400.964.778. 0 Tablet 39. 0 Rol 25. 200 Tablet 91.200.00 50 Botol 2. 0 Tablet 39. 0 Tablet .00 89.00 52. 0 Rol . 0 Rol .150.00 24 Tube 3.000.440. 60 Tablet 90. 0 Tablet 605.00 4000 Tablet 25. 0 Vial 5. - 117 Ketorolac 10mg inj 0 Ampul 2.950.00 . .141.00 .960.000.000.

0 Rol . . 0 Vial 3.360.600.00 148 Neurobion inj 56 Ampul 7. 0 Vial .00 - 194 Sarung Tangan steril No.00 - 155 Oksitetrasiklin inj 0 Vial 3. 200 Tablet 239.00 .250. .00 308.350. 0 Pcs 10.00 . 0 Tablet .00 .00 3000 Tablet 119.200.000. .620.000.000.00 33.00 . 0 Tube 687.10 .00 0 Pcs 10.00 72. - 166 Piracetam 1g injeksi 20 Vial .00 .900.00 75 Pcs 10.000.00 100.25mg tablet 0 Tablet . . .00 .00 39.050.00 500 Capsul 529.200. .00 343. 1200 Tablet .00 1000 Tablet 440. 600 Capsul 529.00 .00 - 180 Ranitidine 150mg tablet 270 Tablet 119. 66 Botol 5.050.00 71. 30 Tablet .700. .00 6.200.00 0 Tablet 125. 0 Tablet 69.000.00 .960.00 .145 Microlax enema 3 Tube 22.00 182 Reserpin 0. 0 Capsul 490.00 .00 416. 4 Botol 133.00 .53 39.280.500.493. .00 3.00 500.374.000.543. - 168 Piroksikam 10mg tab 900 Tablet .00 308.00 1.00 419.00 0 Tablet 330.750. 0 Tube 687.00 258. .00 . 270 Tablet 119.00 - 165 Piracetam 400mg tablet 190 Tablet .00 463. 2 Rol .00 - 187 Rifampisin 450mg kaplet 0 Tablet . 70 Tablet 704. 800 Tablet 579. 0 Tablet .00 - 154 Obat batuk hitam 0 Botol 2.00 .00 .157.00 .200.500. 20 Tablet 448. 0 Capsul . 0 Capsul 490.000.00 1.00 1000 Tablet 440.00 .00 . 5 Pcs 10. - 186 Rifampisin 300mg kapsul 0 Capsul 440.10 532.000. 0 Tablet 825.00 . 100 Tablet 330.10 - 161 Parasetamol 120mg/5ml srp 0 Botol 329.00 153 Nipedipin tab 0 Tablet 115.00 0 Ampul 125.00 175 Tablet 448.00 299.00 .00 28.00 500.00 . - .500.00 . 10 Botol 5.900. 3 Tube 22.00 .00 32.00 700 Tablet 440.00 . .588.250.390.00 32.000. .000. 0 Vial 3.10 29. - 160 Paracetamol drops 4 Botol 133. .9% 58 Botol 5.00 .00 147 Natrium klorida lar.350.350.00 200 Tablet 125.00 .150.000.00 .00 .00 175 Prednison tab 0 Tablet 687.588. 0 pot .00 357.00 0 Tube 22.00 750. .00 150 NGT Nasogastric Tube no.00 .157.5 116 Pcs 10. 50 Tablet 125. 2000 Tablet 687.181. 400 Tablet 825.000.000 IU/g tab vag 195 Tablet 448. 0 Tablet . 0 Tablet 115. .400. .00 - 158 Oksitosin 10IU/ml inj 60 Ampul 125.00 312.390.00 28. 0 Botol .500.350.600.000.00 16 Ampul 7. 0 Tablet . Infus 0.000.00 - 151 Nistatin 100.00 .00 53.00 0 Tablet 579.200. 0 Tablet 1.00 317. 220 Tablet 133.157.00 119.000. 0 Capsul 440. 0 Botol 3.200. 0 Tablet 490. 0 Botol . - 185 Retinol (Vit A) 200. 0 Tablet .050.750.000. 0 Tablet .00 0 Tablet 687.00 50.00 . .500.00 0 0 239.20 162 Parasetamol 100mg tab 0 Tablet 490.5 0 Pcs 10.00 .00 100. 0 Botol 3.000.00 1.00 - 163 Parasetamol 500mg tab 4500 Tablet 119.00 .950. .00 87. 0 Tablet 825.00 - 157 Oksitetrasiklin Hcl salep 1% 0 Tube 687.00 4000 Tablet 119.362. - 183 Reserpin 0.700.00 120 Tablet 330.10 .00 159 Omeperazol 0 Capsul .390.493.00 - 146 Natrium Diklofenak 50mg tab 500 Tab 239.00 . 8 80 Pcs 10.800.000.00 177 Propanolol HCL 40mg tablet 250 Tablet 133.00 50 Pcs 10.00 0 Tablet 1.130.350.00 28.000. 0 Tablet 825.588.00 100.00 2000 Tablet 687.500. .000.000.588.000. 0 Botol 5.00 3.00 .000.608.588. - 171 Pyrantel pamoat tab 400 Tablet 825.374.000 IU kapsul lunak 0 Tablet .00 .00 178 Propilthiourasil (PTU) 100mg tablet 220 Tablet 330.588.00 - 176 Primakuin 15mg tab 106 Tablet 125.40 0 Botol 133.471.00 0 Pcs 10.00 264. 0 Tube 14.00 .000. 0 Tablet 69.000.888.200.493.000 IU kapsul lunak 0 Tablet .00 0 Tablet 133.00 13. 0 Tablet .000. . 40 Ampul 7.00 50 Pcs 10.00 3500 Tablet 119.00 66.00 581.00 . 30 Ampul 125.40 40 Botol 329.000. .493. .00 49.00 .700.00 172 Povidon iodida 10% 30ml 0 Botol .00 800.00 . 0 Tablet .157. 1000 Tablet . .00 0 Tablet 825.000. .00 . 0 Tablet 704. 0 Tablet 69. 0 Tablet 1. . . 700 Tablet . 0 Botol 2.00 .00 0 Botol 5.00 25.00 30 Ampul 125.00 193 Sarung tangan steril No. 0 Tablet .00 .00 .720. 0 Tube 14. 0 Tablet 1. 0 Pcs 10.500.00 0 Tablet 119.00 48 Botol 5. 0 Botol . 0 Tablet 115. 0 Tablet . 1000 Tablet .050.000. 7. 0 Tablet 115. .00 .10 532. 0 Capsul 440.00 66.00 78. - 188 Rifampisin 600mg kaplet 0 Tablet 825.00 .00 47.00 . - 173 Povidon iodida 10% 60ml 0 Botol 3. .00 343.00 179 Ramabion capsul 0 Capsul 490. 0 Capsul 440. - 169 Piroksikam 20mg tab 700 Tablet 440.350.000.00 . . 1800 Tablet .00 1. 10 0 Tube 22. 0 Tablet 490.53 13.60 80 Botol 329.00 440.275.00 190 Salbutamol 2mg tablet 0 Tablet 69.00 152 Nistatin 500.00 0 Botol 5. . 0 Tube 22.000. 0 Tablet . 6.00 50 Tablet 579.00 . 0 pot .000. 0 Botol 14.00 0 Tablet 448. .00 .00 196 Salep 2-4 komb 14 pot . 0 Tube 14. 0 Tablet 1.00 .00 - 174 Povidon iodida 10% 300ml 2 Botol 14.471.000. 3 Tablet 1.00 149 Neurodex tab 850 Tablet 579. 120 Botol 329. 14 pot .00 - 156 Oksitetrasiklin Hcl salep kulit 3% 0 Tube 14.00 . - 167 Piridoksin 10mg tab 1800 Tablet .00 .157.00 119. .280.00 195 Sefadroxil 500mg kapsul 1100 Capsul 529.00 . 0 Tube 22.10mg tablet 0 Tablet .00 8.000. 0 Botol 2.00 . .350. 0 Pcs 10.00 3.00 .00 - 181 Ranitidine 25mg/2ml injeksi 3 Tablet 1.390.00 10 Pcs 10.00 .000. 0 Vial 3. 20 Vial .130.00 .00 0 Tablet 704.00 0 Capsul 529.00 300 0 239.350.00 330. 0 Tablet 825.00 - 191 Sarung tangan steril No.157. 10 Pcs 10.000.00 49.160. 0 Tube 22.00 7.10 33.00 0 Botol 14.000.00 .10 . 0 Tablet .400.53 26.00 164 Papaverin tab 0 Tablet 1.500.00 476. 0 Tablet 490. 0 Vial . 0 Botol 2.720. 160 Tablet .00 .157. .000. . 0 Botol 3.000.00 0 Tube 22. 0 Tube 687.500.00 0 Ampul 7.000. 0 Tablet .00 .000.00 3. 0 Tablet 133.000.00 170 Plester 5 yard X 2 inc 5 Rol .00 .00 - 189 Ringer laktat lar inf 66 Botol 5. 1000 Tablet .00 .00 192 Sarung tangan steril No.060.00 535. 3 Rol .00 492. 0 Capsul 490. .40 0 Botol 133.00 .000 IU tablet 70 Tablet 704.00 330. .53 . 0 Capsul . .00 106 Pcs 10.00 .588. .588. 0 Tablet . - 184 Retinol (Vit A) 100. 2 Botol 14.157.000.00 . 0 Tablet . 0 Tablet .000. 7 10 Pcs 10. .00 0 Tablet 119.00 440.282.00 . 0 Capsul .

000.00 .00 - TOTAL 20. .00 4 Botol 150.00 .000. . .00 .000. 100 Strip 31. 2 Pcs 193.00 Mengetahui Puruk Cahu.500.00 203 Simvastatin 10mg tablet 0 Tablet 180.00 .00 3.00 190. - 5 Kalsium Hidroksida Pasta/ Dorident Calcidor 4 Kotak 170.500. 0 Botol .00 387.00 358.00 1. 28 Februari 2015 Kepala Puskesmas Puruk Cahu Yang Membuat Laporan SRI RAHAYU FITRI AGUSYANI NIP.133. 0 Botol . .426.00 92.00 2 Reagent Benedict 4 Botol 89. 10 Strip 11.800.00 198 Sefotaksim injeksi 12 Vial 2. 4 Botol .00 40.00 .00 .560.000.000. 0 Botol .00 201.00 .500. . 0 Tablet 112.00 .175. . 4 Botol 89.900. - 4 Reagent Turk 4 Botol 56.00 1.00 .000.000. 50 Capsul 183.250.00 213 Ultraproct N suppositoria 0 Supp .00 0 Tablet 180.000.00 - 215 Vitamin B komplek tab 2200 Tablet 112.00 0 Botol 56.797.00 .00 0 Botol 190.00 0 Strip 11. 0 Vial 2.00 380. 4.00 105.000.00 6.00 - 212 Tramadol 50mg kasul 300 Capsul 541.00 180. 0 Ampul 770.70 15. 12 Vial 2. - 9 Bahan TUMPATAN SEMENTARA 0 Kotak .500.00 .00 750.00 .00 .00 .00 .00 59 Ampul 1.00 6 Mummifying Pasta/ Iodoform Paste 2 Pcs 193.578. . 30 Strip 5. 3/0 19 Pcs 8. .250. .700.00 5.00 750. 0 Tablet 522. . 6 Kotak .426.00 70 Pcs 15.00 .00 40 Sachet 2.500.00 .495.000.000.00 - 200 Selang Oksigen 0 Pcs 15.00 30 Pcs 15.417.00 3 Reagent Rees & Ecker 4 Botol . 0 Pcs 7.00 158.900.584. 0 Tablet 53. 0 Botol .417.00 201.00 11 Stick Kolesterol 200 Strip 31.00 .00 0 Capsul 183.000.00 .000.500.00 . .000.949.870.00 0 Botol 89. 0 Botol .00 10 Stick Gula darah 245 Strip 5. 0 Botol 89.300. 0 Botol .500.000.497.400. . .00 8 Reagent Widal Type H 3 Botol 190.112.500. - 2 Devitalisasi Pasta (Non Arsen)/ Devitec 0 Kotak .00 . 0 Kotak . 0 Tablet 265.00 202 Silk benang bedah sutra No.00 75.00 .00 387.00 0 Kotak 170.327.50 . 0 Capsul 409.00 TOTAL 13. 1.00 .00 .584.00 0 Pcs 193.00 0 Strip 31.85 OBAT GIGI 1 2 14 4 5 6 7 8 9 10 11 12 13 14 15 16 17 1 Dental Mercury 100gr 0 Botol . 0 Pcs 193.00 . 0 Tablet 53.700.180.00 10 Botol 3.00 0 Ampul 770.000.000.426.00 1 Botol 190.00 246. 0 Supp .000.00 6 Reagent Gol Darah B 5 Botol 150.000.180.000.266. . 19 Pcs 8.00 . 0 Tablet 265. 100 Capsul 409.200.00 32 Strip 11.00 - 204 Siprofloksasin HCL 500mg tablet 0 Tablet 265.00 .00 - 205 Surgical Blade 115 Pcs 3.250.850.300. 300 Capsul 541.080. 0 Capsul 541.00 .00 162.136. .000. .400. 50 Strip 5.00 5 Reagent Gol Darah A 5 Botol 150.00 2.00 380.333.00 29.500. 0 Kotak .426.500.900.333.174.00 680. 4 Kotak 170.00 0 Pcs 3.95 10. 0 Set .578. . .850. 0 Kotak .00 .00 150.00 .000.00 600.050. 0 Tablet 522.00 . 0 Pcs 8.00 3.00 . 0 Kotak 170.868.00 216 Zinc 0 Tablet 522.00 220.00 0 Capsul 409.00 .275. 0 Supp .907.870. 0 Botol .300.850.150.200. .000.000.00 .00 .174. 0 Kotak .200.00 4 Bahan TUMPATAN PERMANEN 6 Kotak .00 .200. 0 Capsul 183.200. .00 38.00 . 0 Kotak .00 118.00 246.150. 0 Vial 2.268. 4 Botol 50. .00 .578. 100 Pcs 15.00 60 Sachet 2. 0 Kotak . 0 Kotak 1. .000. 2200 Tablet 112.700.00 180. 0 Set .150.327.500.00 100 Strip 31.200.000. - 8 TKF 0 Botol .00 .00 570.512.00 210 Thiamin Hcl 50mg tab 0 Tablet 53.500. 24 Botol 3.00 .00 .00 190. 0 Botol .000.100. 0 Tablet 265.695.000.180.00 570. 0 Set . 0 Supp .00 14 Botol 3.700.00 0 Strip 5. 0 Pcs 7.00 167.00 0 Capsul 541.174. .00 0 Vial 2.00 .00 1.00 0 Strip 5.500. 0 Botol .000.00 Laboratorium Reagent 1 2 14 4 5 6 7 8 9 10 11 12 13 14 15 16 17 1 HBsAG Stick 42 Strip 11.333.042.00 600. .00 7 Reagent Widal Type O 3 Botol 190.00 402.00 9.00 9.00 . - 214 Urine Bag 0 Pcs 7.400.00 9 Stick Asam Urat Nesco 450 Strip 5.00 225. 0 Botol 56.00 .00 .578.00 225.000.600.00 201 Sianokobalamin (vit B12) inj 64 Ampul 1.112.00 215 Strip 5.500.000. 0 Set . - TOTAL 1.584.00 199 Seftriakson injeksi 0 Vial 2.000.00 .000.000.00 297. 0 Botol .00 208 Tetrasiklin Hcl cap 250mg cap 50 Capsul 183.00 207 Tablet tambah darah 0 Sacht 2.868.00 158. 2 Botol 190.000. 0 Tablet 522.520. - 11 Zink Phosphat cement (Powder + Liquid) 0 Set .00 0 Botol 190. 0 Kotak .00 .797. 0 Kotak .00 . . 0 Ampul 770.00 1 Botol 190. 100 Sachet 2.00 9.00 .00 0 Botol 50.000.000.480.00 279.000.60 14. .000.600. 0 Kotak .584.00 . 0 Vial 2.00 53.900.500.00 209 Tetrasiklin Hcl cap 500mg cap 100 Capsul 409. - 10 Fletcher (powder + Liquid) 0 Set .150.00 1. - 12 Alvogyl 0 Kotak .125.00 .00 0 Botol 150.000.584.00 7 Cholrfenol Camfer Mentol (CHKM) 0 Botol .000.800.000.00 4 Botol 150.00 162.520.797. 0 Kotak .500.00 0 Tablet 112. 0 Kotak .00 .850.000.00 1000 Tablet 180.00 - 211 Thiamin Hcl 100mg/ml inj 0 Ampul 770.000. 5 Ampul 1.000.00 .000.000. .00 400 Strip 5.00 40. 2 Botol 190.333.797.180.00 .00 206 Sulfacetamid tts mata 15% 0 Botol 3.600. 0 Vial 2.000.00 118. 0 Pcs 7. 0 Set .800.00 358. 30 Pcs 3.00 85 0 3. .174.600. 1000 Tablet 180.368.668.00 .00 29. 0 Tablet 53.00 0 Kotak 1.268.50 377.50 495.417.00 88. - 3 Eugenol cairan 4 Botol 50.00 150.00 0 Pcs 8. 19700306 200212 2006 NIP. 1 Botol 150.00 0 Ampul 1.000. 19790811 200003 2002 .584. 0 Botol .197 Salisil bedak 2% 100 Kotak 1.584.584. .00 0 Botol 150. .00 . 100 Kotak 1. 4 Botol 56.417. 0 Botol 50.00 132.233.00 450.000.600.000.000.00 2.668.50 117.000. .975.000. . . .00 69.200.200. 0 Set .250. 1 Botol 150.774.00 680.