You are on page 1of 16

RUMAH SAKIT UMUM KARITAS WEETABULA - SUMBA

LAPORAN MUTASI BARANG


MODEL HARGA : MOV_AVG3
PERSEDIAAN UNTUK DIJUAL
DARI TANGGAL 1/01/2016 S/D 8/06/2016
UNIT KERJA PEMILIK : 504 GUDANG FARMASI
KATEGORI 2 : GENERIK OBAT BEBAS

NO KODE NAMA SATUAN HARGA BELI

1 EJ00002 Acid Boric /gr [G] - BPJS Gram 60


2 EJ00003 Acyclover - 200 mg Tablet [G] - BPJS Tablet 362
3 EJ00004 Acyclovir 400 mg Tablet [G] - BPJS Tablet 473
4 EJ00005 Acyclovir 5 gr-5% salep kulit Tube [G] - BPJS Tube 2,849
5 EJ00006 Albendasol 400 mg Tablet [G] - BPJS Tablet 635
6 EJ00007 Alloporinol - 100 mg Tablet [G] - BPJS Tablet 141
7 EJ00008 Allopurinol 300 mg Tablet [G] - BPJS Tablet 266
8 EJ00010 Alprazolam 0.25mg Tablet [G] - BPJS Tablet 512
9 EJ00011 Alprazolam 0.5 mg Tablet [G] - BPJS Tablet 725
10 EJ00012 Ambroxol 30 mg Tablet [G] - BPJS Tablet 3,564
11 EJ00013 Ambroxol 60 ml Syrup Botol [G] - BPJS Botol 3,536
12 EJ00016 Aminophyllin injeksi - 24 mg - 10 ml Ampul [G] - BPJS Ampul 6,033
13 EJ00017 Amitryptyline 25 mg tablet [G] - BPJS Tablet 119
14 EJ00018 Amlodipine 10 mg Tablet [G] - BPJS Tablet 701
15 EJ00019 Amoxycillin - 125 mg/60 ml Syrup Btl [G] - BPJS Botol 4,931
16 EJ00020 Amoxycillin - 500 mg Tablet [G] - BPJS Tablet 370
17 EJ00021 Ampicilin Injeksi Vial [G] - BPJS vial 8,140
18 EJ00022 Antalgin - 500 mg Tablet [G] - BPJS Tablet 137
19 EJ00023 Antalgin injeksi- 250 mg/ml Ampul [G] - BPJS Ampul 2,107
20 EJ00024 Antasida D 60 ml Syrup Btl [G] - BPJS Botol 4,235
21 EJ00025 Antasida Doen Tablet [G] - BPJS Tablet 162
22 EJ00242 Antihemoroid Suppositoria [G] - BPJS Suppo 3,400
23 EJ00027 Aquabidest injeksi - 25 ml Flacon (Ots) - BPJS Flacon 2,650
24 EJ00028 Aquadest - 1000 ml cairan Flabot [G] - BPJS Flabot 12,300
25 EJ00030 Asam Mefenamat - 500mg Tablet [G] - BPJS Tablet 197
26 EJ00031 Asam Traneksamat 500 mg Tablet [G] - BPJS Tablet 1,078
27 EJ00032 Asam Traneksamat inj 500 mg/ 5 ml per mg [G] - BPJS mg 4,582
28 EJ00033 Asam Traneksamat injeksi 500 mg/ 5 ml [G] - BPJS Ampul 4,447
29 EJ00034 Atropin Sulfas injek- 0,25 mg - 1 ml [G] - BPJS Ampul 1,299
30 EJ00036 Azithromicin 200 mg/5ml 15 ml Syrup [G] - BPJS Botol 42,075
31 EJ00037 Azitromycin 500mg Tablet [G] - BPJS Tablet 6,908
32 EJ00038 Betametazon 0,1%-5gr Salep Kulit [G] - BPJS Tube 1,849
33 EJ00040 Bisoprolol 5 mg tablet [G] - BPJS Tablet 1,067
34 EJ00041 Bupivacaine hcl 5mg/4ml Injeksi Ampul [G] - BPJS Ampul 26,928
35 EJ00044 Calcium Lactas - 500 mg tablet [G] - BPJS Tablet 170
36 EJ00045 CalciumGluconas -100 mg -10 ml Ampul [G] - BPJS Ampul 12,883
37 EJ00046 Candesartan 8 mg Tablet [G] - BPJS Tablet 4,804
38 EJ00047 Captopril - 25 mg tablet [G] - BPJS Tablet 129
39 EJ00048 captopril 12,5mg [G] - BPJS Tablet 90
40 EJ00050 Cefadroxil 250 mg capsul tablet [G] - BPJS Tablet 579
41 EJ00051 Cefadroxil 60 ml Syrup [G] - BPJS Botol 6,723
42 EJ00052 Cefadroxyl 500 mg capsul tablet [G] - BPJS Tablet 665
43 EJ00053 Cefixime 100 mg tablet [G] - BPJS Tablet 1,563
44 EJ00054 Cefixime 200 mg Capsul [G] - BPJS Capsul 3,429
45 EJ00055 Cefixime 30 ml Syrup Botol [G] - BPJS Botol 21,175
46 EJ00056 Cefoperazone Sulbactam 1 gr [G] - BPJS vial 112,200
47 EJ00057 Cefotaxime - 1 gr [G] - BPJS vial 5,831
48 EJ00058 Ceftazidime injeksi 1 gr [G] - BPJS vial 24,378
49 EJ00059 Ceftriaxon 1 gr [G] - BPJS vial 5,157
50 EJ00060 Cetrisin 10 mg tablet [G] - BPJS Tablet 251
51 EJ00061 Chlorampenicol TT 3%-30 mg-5 ml [G] - BPJS Botol 2,090
52 EJ00063 Chloramphenicol 1% 5 gr Salep Mata [G] - BPJS Tube 1,563
53 EJ00065 Chloroquine - 250 mg tablet [G] - BPJS Tablet 75
54 EJ00066 Chlorpheniramine - 4 mg tablet [G] - BPJS Tablet 24
55 EJ00067 Citicoline 500 mg tablet [G] - BPJS Tablet 5,544
56 EJ00068 Citikolin injeksi [G] - BPJS Ampul 15,675
57 EJ00069 Clindamicin 300 mg tablet [G] - BPJS Tablet 1,155
58 EJ00070 Clonidine 0,15 mg tablet [G] - BPJS Tablet 189
59 EJ00071 Clopidogrel 75 mg tablet [G] - BPJS Tablet 4,376
60 EJ00072 Co Amoxiclav 625 mg tablet [G] - BPJS Tablet 4,671
61 EJ00073 Codein 10 mg tablet [G] - BPJS Tablet 507
62 EJ00074 Cotrimoxasole - 240 mg/5ml 60 ml Syrup [G] - BPJS Botol 3,960
63 EJ00075 Cotrimoxasole - 480 mg tablet [G] - BPJS Tablet 191
64 EJ00076 Cotrimoxasole - 960 mg tablet [G] - BPJS Tablet 297
65 EJ00080 Cyprofloxacin Infus 200 mg/100ml Btl [G] - BPJS Botol 24,484
66 EJ00081 Cyprofloxacine - 500 mg tablet [G] - BPJS Tablet 473
67 EJ00082 Dexamethasone - 0,5 mg tablet [G] - BPJS Tablet 87
68 EJ00084 Dexamethasone injeksi - 5mg/ml -1ml Amp [G] - BPJS Ampul 1,950
69 EJ00085 Dextrose 1/2% otsuka 500 ml infus Flabot [G] - BPJS Flabot 9,293
70 EJ00086 Dextrose 1/4% otsuka 500 ml infus Flabot [G] - BPJS Flabot 9,240
71 EJ00087 Dextrose 10% otsuka 500 ml infus Flabot [G] - BPJS Flabot 5,419
72 EJ00088 Dextrose 40% - 25 ml Flacon [G] - BPJS Flacon 1,980
73 EJ00090 Dextrose 5% otsuka 500 ml infus Flabot [G] - BPJS Flabot 6,680
74 EJ00091 Digoxin - 0,25 mg tablet [G] - BPJS Tablet 142
75 EJ00092 Diltiazem HCL 30 mg tablet [G] - BPJS Tablet 140
76 EJ00093 Dimenhydrinate 50 mg [G] - BPJS Tablet 106
77 EJ00094 Diphenhydramine injeksi 10 mg - 1 ml [G] - BPJS Ampul 800
78 EJ00095 Dobutamin injeksi 50 mg/ml 5 ml [G] - BPJS Ampul 51,455
79 EJ00097 Domperidon 10 mg tablet [G] - BPJS Tablet 388
80 EJ00098 Domperidon 60 ml Syrup [G] - BPJS Botol 9,747
81 EJ00099 Dopamin giulini 200 mg/ml Ampul [G] - BPJS Ampul 27,441
82 EJ00100 Doxycicline 100 mg tablet [G] - BPJS Tablet 253
83 EJ00101 Ephidrine injeksi 0.1% [G] - BPJS Ampul 42,900
84 EJ00103 Ephineprine injeksi [G] - BPJS Ampul 8,075
85 EJ00104 Erytomycin 500 mg capsul [G] - BPJS Capsul 1,459
86 EJ00105 Erytromicin 60ml Syrup [G] - BPJS Botol 9,801
87 EJ00107 Etambutol- 500 mg tablet [G] - BPJS Tablet 573
88 EJ00108 Fentanyl 0,05 mg/ 1ml ampul [G] - BPJS Ampul 25,039
89 EJ00110 Fluconasole 200 mg /100 ml infus [G] - BPJS Botol 80,850
90 EJ00111 Flukonasole 150mg tablet [G] - BPJS Capsul 20,240
91 EJ00112 Formalin Murni - 1000 ml cairan Botol [G] - BPJS Botol 100
92 EJ00113 Formalin Murni 1000 ml /cc [G] - BPJS CC -
93 EJ00114 Furosemide - 40 mg tablet [G] - BPJS Tablet 122
94 EJ00115 Furosemide 10mg/ml injeksi [G] - BPJS Ampul 2,104
95 EJ00118 Gentamicine 0,1% Salep Kulit Tube [G] - BPJS Tube 1,619
96 EJ00119 Gentamycin 40mg injeksi [G] - BPJS Ampul 3,889
97 EJ00121 Gimfibrosil 300 mg tablet [G] - BPJS Tablet 421
98 EJ00122 Glibenciamide 5 mg tablet [G] - BPJS Tablet 78
99 EJ00123 Gliceryl Guaicolas -100 mg tablet [G] - BPJS Tablet 52
100 EJ00124 Glimepiride 2 mg tablet [G] - BPJS Tablet 625
101 EJ00125 Glimepiride 4 mg tablet [G] - BPJS Tablet 2,363
102 EJ00126 Gliquidone 30mg tablet [G] - BPJS Tablet 1,027
103 EJ00127 Griseofulvin - 125 mg tablet [G] - BPJS Tablet 195
104 EJ00128 Haloperidol 5 mg Tablet [G] - BPJS Tablet 122
105 EJ00130 Hydrocortison ZK 2,5% 25 mg Salep Kulit Tube [G] - BPJS Tube 3,211
106 EJ00131 Ibu Profen 100 mg/60 ml Syrup [G] - BPJS Botol 4,199
107 EJ00132 Ibuprofen 400 mg tablet [G] - BPJS Tablet 238
108 EJ00133 INH Isoniazide - 100 mg tablet [G] - BPJS Tablet 48
109 EJ00135 ISDN (Isosorbide- 5 mg) tablet [G] - BPJS Tablet 107
110 EJ00137 Ketokenazol 200 mg tablet [G] - BPJS Tablet 370
111 EJ00138 Ketokenazole Crem 2% 10 gram Tube [G] - BPJS Tube 4,207
112 EJ00139 Ketorolac 10 mg/ml - 1 ml inj per mg [G] - BPJS mg 4,050
113 EJ00140 Ketorolac 10 mg/ml - 1 ml injeksi Ampul [G] - BPJS Ampul 4,050
114 EJ00141 Ketorolac 30 mg/1 ml Injeksi Ampul [G] - BPJS Ampul 4,618
115 EJ00984 Kidmin 200 ml softbag - BPJS Softbag 47,610
116 EJ00143 Lanzoprazole 30mg capsul [G] - BPJS Capsul 698
117 EJ00144 Levofloxacine 500 mg/100ml infus Botol [G] - BPJS Botol 61,600
118 EJ00145 Levofloxacine 500 tablet [G] - BPJS Tablet 969
119 EJ00147 Lidocain - 0,0125 mg - 2 ml injeksi per Ampul [G] - BPJS Ampul 1,315
120 EJ00148 Lisinopril 10 mg Tablet [G] - BPJS Tablet 594
121 EJ00149 Lisinopril 5 mg Tablet [G] - BPJS Tablet 351
122 EJ00150 Loratadine 10 mg tablet [G] - BPJS Tablet 228
123 EJ00151 Losartan 50 mg tablet [G] - BPJS Tablet 2,778
124 EJ00152 Magnesium Sulfat (MGSO4 20%) -25 ml Flacon [G] - BPJS Flacon 2,700
125 EJ00153 Magnesium Sulfate (MGSO4 40%)- 25 ml Flacon [G] - BPJS Flacon 3,501
126 EJ00155 Manitol - 500 ml infus Flabot [G] - BPJS Flabot 39,500
127 EJ00156 Martos - 500 ml infus Flabot [G] - BPJS Flabot 33,050
128 EJ00157 Martos 10 % Infus 500 ml Flabot [G] - BPJS Flabot 31,100
129 EJ00158 Meloxicam 15 mg tablet [G] - BPJS Tablet 616
130 EJ00159 Meropenem 0.5 gr/500 mg injeksi Vial [G] - BPJS Vial 95,040
131 EJ00160 Meropenem 1 gr injeksi Vial [G] - BPJS Vial 158,400
132 EJ00161 Metformin 500 mg tablet [G] - BPJS Tablet 143
133 EJ00163 Methylprednisolon 125 mg (2 ml) injek Vial [G] - BPJS vial 31,502
134 EJ00164 Methylprednisolon 4 mg tablet [G] - BPJS Tablet 317
135 EJ00165 Methylprednisolon 8 mg tablet [G] - BPJS Tablet 445
136 EJ00166 Metocloperamide 10 mg tablet [G] - BPJS Tablet 110
137 EJ00167 Metocloperamide 5 mg Tablet [G] - BPJS Tablet 131
138 EJ00168 Metronidasol - 500 mg tablet [G] - BPJS Tablet 220
139 EJ00169 Metronidasole 100 ml infus Flabot [G] - BPJS Flabot 22,737
140 EJ00170 Miconazole 2%-10gr Salep Kulit Tube [G] - BPJS Tube 3,200
141 EJ00982 Miloz 15 mg/mg - BPJS Ampul 10,100
142 EJ00171 Morphin injeksi ampul [G] - BPJS Ampul 10,499
143 EJ00174 NACL Otsuka 500 ml infus Flabot [G] - BPJS Flabot 6,153
144 EJ00176 Nifedipine -10 mg tablet [G] - BPJS Tablet 155
145 EJ00177 Ofloxacine 400 mg tablet [G] - BPJS Tablet 799
146 EJ00178 Omeprasole 20 mg Capsul [G] - BPJS Capsul 327
147 EJ00179 Ondansentron 8 mg tablet [G] - BPJS Tablet 2,024
148 EJ00180 Ondansetron injeksi 4 mg/2ml Ampul [G] - BPJS Ampul 2,700
149 EJ00182 Oralith 200 ml sachet [G] - BPJS Sachet 608
150 EJ00183 Oxytetracycline 3% Salep Kulit Tube [G] - BPJS Tube 1,770
151 EJ00184 Oxytetracycline 3,5 gr Salep mata Tube [G] - BPJS Tube 2,772
152 EJ00185 Oxytocin 100mg/1ml Injeksi Ampul [G] - BPJS Ampul 2,200
153 EJ00983 Pantopam Injeksi - BPJS [G] Ampul 90,382
154 EJ00186 Papaverin 40 mg Tablet [G] - BPJS Tablet 99
155 EJ00187 Paracetamol - 500 mg tablet [G] - BPJS Tablet 105
156 EJ00188 Paracetamol 60 ml Syrup Botol [G] - BPJS Botol 2,697
157 EJ00189 Paracetamol Drops 15 ml Botol [G] - BPJS Botol 6,327
158 EJ00190 Paracetamol infus 100 ml Botol [G] - BPJS Botol 22,000
159 EJ00192 Paracetamol syr 60 ml Botol [G] - BPJS Botol -
160 EJ00195 Penicillin Procain - 3000000 ui/vial [G] - BPJS Vial 15,840
161 EJ00196 Pethidine-HCL-50 mg-2 ml Injeksi Ampul [G] - BPJS Ampul 13,192
162 EJ00198 Phenobarbital - 30 mg tablet [G] - BPJS Tablet 70
163 EJ00199 Phenoberbital injekSI 50mg/ ml [G] - BPJS Ampul 2,160
164 EJ00202 Phytomenodione 10 mg/ml Injeksi Ampul [G] - BPJS Ampul 2,036
165 EJ00203 Piracetam 200 mg/ml 5ml Injeksi Ampul [G] - BPJS Ampul 5,500
166 EJ00204 Piracetam 800 mg tablet [G] - BPJS Tablet 771
167 EJ00205 Piroxicam - 20 mg tablet [G] - BPJS Tablet 105
168 EJ00206 Piroxicam 10 mg Tablet [G] - BPJS Tablet 97
169 EJ00207 Potasium Chlorida / KCL - 25 ml injeksi Flacon [G] - BPJS Flacon 2,885
170 EJ00208 Prednison - 5 mg tablet [G] - BPJS Tablet 183
171 EJ00209 Primaquin - 15 mg tablet [G] - BPJS Tablet 322
172 EJ00210 Propanolol - 40 mg tablet [G] - BPJS Tablet 136
173 EJ00211 Propanolol 10 mg tablet [G] - BPJS Tablet 88
174 EJ00212 PTU ( Propylthiouracil) 100 mg Tablet [G] - BPJS Tablet 432
175 EJ00213 Pyrantel -125 mg Tablet [G] - BPJS Tablet 361
176 EJ00214 Pyrazinamide - 500 mg Tablet [G] - BPJS Tablet 234
177 EJ00215 Quinine - 222 mg(Reguler) Tablet [G] - BPJS Tablet 804
178 EJ00216 Quinine - 250 mg Injeksi Ampul [G] - BPJS Ampul 5,339
179 EJ00217 Ranitidine - 150 mg tablet [G] - BPJS Tablet 165
180 EJ00218 Ranitidine injeksi 50mg/2ml Ampul [G] - BPJS Ampul 1,842
181 EJ00220 Rifampicin - 450 mg tablet [G] - BPJS Tablet 947
182 EJ00221 Ringers Lactas Otsuka- 500 ml infus Flabot [G] - BPJS Flabot 6,847
183 EJ00222 Salbutamol - 2 mg tablet [G] - BPJS Tablet 84
184 EJ00223 Salbutamol - 4 mg tablet [G] - BPJS Tablet 98
185 EJ00224 Salbutamol 2 mg 5 ml Syrup Botol [G] - BPJS Botol 5,500
186 EJ00226 Simvastatin 20 mg Tablet (G) - BPJS Tablet 941
187 EJ00227 Spironalactone 100 mg tablet [G] - BPJS Tablet 1,045
188 EJ00228 Spironalactone 25 mg tablet [G] - BPJS Tablet 393
189 EJ00231 Tetracycline 500 mg tablet [G] - BPJS Tablet 379
190 EJ00232 Thiamphenicol 500 mg Capsul [G] - BPJS Capsul -
191 EJ01005 Tiaryt 200 mg Tablet - ( BPJS ) Tablet 3,901
192 EJ00233 Trihexyphenidine 2 mg tablet [G] - BPJS Tablet 116
193 EJ00234 Vit B1 (Thiamine - 50 mg) tablet [G] - BPJS Tablet 45
194 EJ00236 Vit B6 (Pyridoxine-10 mg) tablet [G] - BPJS Tablet 29
195 EJ00239 Vitamin B Complex tablet [G] - BPJS Tablet 33
196 EJ00240 Vitamin C - 50 mg tablet [G] - BPJS Tablet 47
197 EJ00244 Widahes Infus 500 ml Flabot [G] - BPJS Flabot 54,864
198 EJ00243 Zink Dispersibel 20 mg tablet [G] - BPJS Tablet 445
199 EJ00992 Gabapentin Kap 300 mg (G) Tablet 5,940
200 EJ00997 Pioglitazone 30 mg Tablet-BPJS [G] pcs 5,225
201 EJ00991 Pregabalin Kap 75 mg (G) Tablet 8,580
202 EJ00981 Rifampicin - 300 mg tablet [G] - BPJS Tablet 3,928
TOTAL 1,618,525
RUMAH SAKIT UMUM KARITAS WEETABULA - SUMBA
LAPORAN MUTASI BARANG
MODEL HARGA : MOV_AVG3
PERSEDIAAN UNTUK DIJUAL
DARI TANGGAL 1/01/2016 S/D 8/06/2016
UNIT KERJA PEMILIK : 504 GUDANG FARMASI
KATEGORI 2 : GENERIK OBAT BEBAS
TOTAL
627.917.557
TUNGGU, SEDANG PROSES
Baris Ke 211 [R1:1][C11:11] Alignment = taRightJustify; FontStyle = Bold;FontSize = 7; FontSize = 7; Te
ntSize = 7; FontSize = 7; Text = 627.917.557