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NILAI PERSEDIAAN AKHIR PUSKESMAS TAMBORA

PER 31 DESEMBER 2014

Tambora
STOCK
HARGA OPNAME PER NILAI
NO NAMA SEDIAAN SATUAN PEROLEHAN 30 APRIL PERSEDIAAN
(E_Catalog) 2015
1 2 3 4 5 6=(4X5)
1 ACT Antimalaria / Arterakine tablet Tablet 1,409.00 -
2 ACT Antimalaria /Artesunat tab Ampul 1,409.00 -
3 Aluporinol tablet 100 mg Tablet 88.00 -
4 Aminofillin Inj 24mg/ml-10ml Ampul 4,013.00 10 40,130
5 Aminofillin tablet 200 mg Tablet 82.00 -
6 Aminofluid Kantong 64,680.00 -
7 Amitriptillin tablet 25 mg Tablet 117.00 -
8 Amoxicillin kaplet 500mg Tablet 270.00 2,300 621,000
9 Amoxicillin Syr Kering 125mg/5ml Botol 2,500.00 20 50,000
10 Antasida Doen tab Tablet 74.00 1,000 74,000
11 Antasida Syrup Botol 2,160.00 -
12 Anti Bakteri Doen salep kombinasi Tube 2,641.00 20 52,820
13 Anti fungi Doen Kombinasi Tube 2,001.04 -
14 Anti Haemoroid Doen Kombinasi Supp 2,100.00 -
15 Anti migrain Doen Kombinasi Tablet 142.00 150 21,300
16 Antiparkinson/ levopar Tablet 1,575.00 -
17 Aqua pro Inj Steril bebas pirogen Botol 2,100.00 5 10,500
18 Arthemeter injeksi Ampul 23,100.00 -
19 Asam ascorbat (vitc ) tab 50 mg Tablet 100.00 500 50,000
20 Asam mefenamat tablet 500mg Tablet 116.00 -
21 Atropin sulfas Inj 0,2ml/ml-1ml Ampul 1,540.00 -
22 Atropin sulfas tablet 0,5mg Tablet 77.00 -
23 Benzatin B. penisillin 1,2 jt iu/vial Vial 10,290.00 -
24 Benzatin B. penisillin 2,4 jt iu/vial Vial 14,070.00 -
25 Betamethason cream 0,1% Tube 1,558.00 -
26 Captopril 12,5 mg tablet Tablet 62.00 -
27 Captopril 25 mg tablet Tablet 89.00 -
28 Carbamazepin 200 mg Tablet 257.00 -
29 Cimetidin tablet Tablet 179.25 800 143,400
30 Co-Amoxiclav 500 mg Tablet 5,308.37 -
31 Codein 20m mg Tablet 1,155.00 -
32 Depo Profera Vial 10,500.00 -
33 Dexamethason Inj 5ml/ml-1ml Ampul 1,659.00 30 49,770
34 Dexamethason tablet 0,5 mg Tablet 64.00 1,200 76,800
35 Diazepam Inj 5mg /ml,2ml Ampul 2,487.00 -
36 Diazepam tablet 2mg Tablet 46.00 -
Tambora
STOCK
HARGA
NO NAMA SEDIAAN SATUAN PEROLEHAN OPNAME PER NILAI
30 APRIL PERSEDIAAN
(E_Catalog) 2015
1 2 3 4 5 6=(4X5)
37 Diazepam tablet 5 mg btl 250 Tablet 42.00 -
38 Digoksin tablet 0,25mg Tablet 100.00 -
39 Diphenhidramin Inj 10mg/ml,1ml Ampul 840.00 -
40 Efedrin tablet Tablet 45.00 -
41 Epinerpin Inj 0,1% , 1ml Ampul 8,505.00 -
42 Erytromicin 500 mg Kaplet 976.00 -
43 Etakrida (Rivanol) larutan 0,1% Botol 3,239.00 -
44 Etanol 70% 100 ml Botol 2,575.00 -
45 Eugenol Cairan Botol 17,500.00 -
46 Extrak belladon tablet 10 mg Tablet 28.00 580 16,240
47 Fenitoin kaps 30mg Tablet 140.00 -
48 Fenobarbital 30 mg Tablet 49.00 -
49 Fenobarbital injeksi ampul 1,890.00 -
50 Fitomenadion (vit k ) Inj 10mg/ml 1ml Ampul 3,582.00 5 17,910
51 Fitomenadion (vit k) tablet salut 10mg Tablet 666.00 -
52 Furosemida tablet 40 mg Tablet 80.00 200 16,000
53 Gameksan Emulsi 1% Botol 2,310.00 -
54 Garam Oralit untuk 200ml air saset 303.00 500 151,500
55 Gentamisin inj.80 mg/2 ml Ampul 3,569.00 -
56 Gentamisin salep kulit Tube 1,929.00 25 48,225
57 Gentian violet larutan 1% Botol 473.00 12 5,676
58 Glibenclamid Tablet 58.00 -
59 Gliseril Guayakolat tablet 100 mg Tablet 24.00 1,000 24,000
60 Glukosa infus 10% Botol 5,985.00 -
61 Glukosa infus 5% Botol 5,460.00 30 163,800
62 Griseofulvin tab 125 mg Tablet 220.00 1,000 220,000
63 Haloperidol 5 mg Tablet 100.00 -
64 Haloperidol Tab 0,5 mg Tablet 61.00 -
65 Haloperidol Tab 1,5 mg Tablet 72.00 -
66 Hidroklorotiazid ( HCT ) tab 25 mg Tablet 38.00 -
67 Hidrokortizon Cream Tube 2,966.00 30 88,980
68 Ibuprofen Syr 200 mg Botol 116.00 -
69 Ibuprofen tablet 400 mg Tablet 153.00 -
70 Isosorbit dinitrat sublingual tablet Tablet 93.00 -
71 Kalsium Lactat tablet 500 mg Tablet 73.00 700 51,100
72 Kalsium Gluconas inj Ampul 7,800.00 -
73 Kaptopril 12,5 mg tablet Tablet 62.00 300 18,600
74 Kaptopril 25 mg tablet Tablet 89.00 -
75 Karbamazepin 200 mg Tablet 257.00 -
76 Karbogliserin TT 10% Tube 2,144.00 -
Tambora
STOCK
HARGA
NO NAMA SEDIAAN SATUAN PEROLEHAN OPNAME PER NILAI
30 APRIL PERSEDIAAN
(E_Catalog) 2015
1 2 3 4 5 6=(4X5)
77 Ketokonazole Crim Tube 2,993.00 -
78 Klofeniramin maleat ( CTM ) tab 4 mg Tablet 25.00 2,000 50,000
79 Kloramfenikol kapsul 250 mg Kapsul 258.00 400 103,200
80 Kloramfenikol salep mata 1% Tube 1,640.00 162 265,680
81 Kloramfenikol tetes telinga 3% Botol 1,260.00 50 63,000
82 Klorokina fosfat tablet 250 mg Tablet 110.00 -
83 Klorpromazin Injeksi 25 mg/ml Ampul 1,103.00 -
84 Klorpromazin tablet 100 mg Tablet 153.00 -
85 Klorpromazin tablet 25 mg Tablet 71.00 -
86 Komb piritamin 25mg+sulfadoxin 500m Tablet 544.00 -
87 Kotrimoxazol dewasa tablet Tablet 145.00 2,000 290,000
88 Kotrimoxazol pediaktrik tablet Tablet 50.00 -
89 Kotrimoxazol suspensi Botol 2,222.00 50 111,100
90 Kuinin dihidroklorida Inj 25% 2ml Ampul 6,510.00 10 65,100
91 Kuinin dihidroklorida tablet 200 mg Tablet 704.00 -
92 Lidokain kompositum Inj Ampul 879.00 30 26,370
93 Lisol 1 liter Botol 52,070.00 2 104,140
94 Loratadine 10 mg Tablet 162.00 -
95 Manegsium sulfat inj (IV) 20 % 25ml Botol 1,617.00 -
96 Manegsium sulfat inj (IV) 40% 25ml Botol 2,045.00 -
97 Metil ergometrin Inj 0,2mg /ml Tablet 2,750.00 40 110,000
98 Metil ergometrin tab 0,125 mg Tablet 162.00 -
99 Metoclorpamid Tablet 111.00 -
100 Metronidazol 250mg tablet Tablet 113.00 -
101 Metronidazol 500mg tablet Tablet 164.00 500 82,000
102 Metronidazol infus 500mg/100ml Botol 10,250.00 -
103 Mikonazole krim Tube 3,075.00 -
104 Natrium bikarbonat tab 500 mg Tablet 19.31 -
105 Natrium Diklovenac Tablet 140.00 -
106 Natrium klorida Infus 0,9% Botol 4,935.00 30 148,050
107 Neo-K Inj Ampul 11,000.00 -
108 Nifedipin 10 mg Tablet 110.00 -
109 Nistatin 100.000 IU tablet vaginal Tablet 504.00 -
110 Nistatin 500.000 IU tablet salut Tablet 672.00 -
111 Obat anti tuberkolusis katagori anak Paket 225,740.00 -
112 Obat anti tuberkolusis kategori I Paket 377,900.00 -
113 Obat anti tuberkolusis kategori II Paket 1,259,990.00 -
114 Obat anti tuberkolusis kategori sisipan Paket 168,000.00 -
115 Obat batuk hitam (OBH ) cairan Botol 1,299.38 10 12,994
116 Oksitetrasiclin Hcl Inj IM 50mg/ml 10ml Vial 3,255.00 15 48,825
Tambora
STOCK
HARGA
NO NAMA SEDIAAN SATUAN PEROLEHAN OPNAME PER NILAI
30 APRIL PERSEDIAAN
(E_Catalog) 2015
1 2 3 4 5 6=(4X5)
117 Oksitetrasiclin salep kulit 3% Tube 2,261.00 -
118 Oksitetrasiclin salep mata 1% Tube 2,016.00 60 120,960
119 Oksitosin inj 10 IU/ ml,1ml Ampul 1,874.27 -
120 Omeprazol 20 mg Kapsul 216.00 -
121 Paracetamol syr 120mg/ 5ml Botol 1,496.00 70 104,720
122 Paracetamol drop Botol -
123 Paracetamol tablet 100 mg Tablet 56.57 -
124 Paracetamol tablet 500 mg Tablet 84.00 -
125 Pirantel pamoat tablet 125 mg Tablet 308.00 100 30,800
126 Piridoxin Hcl tablet 10 mg Tablet 18.27 1,000 18,270
127 Piroksicam kaps 20 mg Kapsul 110.25 -
128 Prednison tablet 5 mg Tablet 119.00 -
129 Primakina tablet 15 mg Tablet 147.15 -
130 Prokain Benz Penicillin Inj 3 Jt IU / vl Vial 7,549.00 16 120,784
131 Propanolol tablet 10 mg Tablet 79.00 -
132 Propanolol tablet 40 mg Tablet 110.00 -
133 Propiltiourasil tablet 100 mg Tablet 335.00 -
134 Ranitidine 150 mg Tablet 122.00 -
135 Ranitidine injeksi ampul 1,190.00 -
136 Reserpin tablet 0,25 mg Tablet 118.80 -
137 Retinol (Vit.A) 100.000 IU Kapsul 273.00 -
138 Retinol (Vit.A) 200.000 IU Kapsul 482.00 -
139 Ringer Lactat infus steril Botol 5,460.00 160 873,600
140 Sabupolivalen 5 ml ( ABU I ) vial 495,000.00 -
141 Salbutamol tablet 2 mg Tablet 62.00 -
142 Salbutamol tablet 4 mg Tablet 91.00 -
143 Salep 2 - 4 kombinasi Tablet 2,100.00 -
144 Salisil bedak 2% Tube 1,250.00 50 62,500
145 Serum anti tetanus 1.500 IU/VL (ATS ) Ampul 72,450.00 -
146 Serum anti tetanus 20.000 IU/VL (ATS ) Ampul 525,000.00 -
147 Sianocobalamin (Vit B12 ) inj 500mcg/m Ampul 1,132.00 200 226,400
148 Simvastatin 20 mg Tablet 394.00 -
149 Siprofloxacin 500 mg Tablet 260.00 200 52,000
150 Tablet tambah darah kombinasi Tablet 43.00 1,640 70,520
151 Tetracain Tetes Mata 0,5% Botol 11,500.00 -
152 Tetrasiclin Hcl kapsul 250 mg Kapsul 154.00 600 92,400
153 Thiamine Hcl 50 mg tab Tablet 58.97 1,000 58,970
154 Thiamine Hcl inj. Ampul 997.47 50 49,873
155 Triheksipenidil Hcl tablet 2mg Tablet 43.00 -
156 Vitamin B complek tab Tablet 110.00 1,800 198,000
Tambora
STOCK
HARGA
NO NAMA SEDIAAN SATUAN PEROLEHAN OPNAME PER NILAI
30 APRIL PERSEDIAAN
(E_Catalog) 2015
1 2 3 4 5 6=(4X5)
157 Yodium povidon larutan 10% 30 ml Botol 3,683.00 12 44,196
158 Yodium povidon larutan 10% 300 ml Botol 22,860.00 5 114,300
159 Zink tablet 20 mg Tablet 497.00 -
-
II OBAT GIGI DAN PERBEKKES -
160 Abbocath 18 G pcs 4,826.00 -
161 Abbocath 20 G pcs 4,826.00 -
162 Abbocath 22 G pcs 4,826.00 -
163 Abbocath 24 G pcs 4,826.00 10 48,260
164 Alat suntik sekali pakai 1 ml pcs 826.00 -
165 Alat suntik sekali pakai 2,5 ml pcs 826.00 20 16,520
166 Alat suntik sekali pakai 5 ml pcs 953.00 10 9,530
167 Catgut / benang bedah 2/0-3/0 pcs 7,090.83 -
168 Devitalisasi Pasta Botol 495,000.00 -
169 Etil klorida semprot Botol 126,500.00 -
170 Folley Catheter 2 way No.14 Pcs 10,160.00 -
171 Folley Catheter 2 way No.16 Pcs 10,160.00 -
172 Folley Catheter 2 way No.18 Pcs 10,160.00 -
173 Glass Ionmer (Gcix) Set 715,000.00 -
174 Hand scond pcs 4,462.00 -
175 Infusion set anak anak pcs 4,445.00 30 133,350
176 Infusion set dewasa pcs 4,064.00 40 162,560
177 Kalsium Hidroksida pasta Tube 865,700.00 -
178 Kasa Elastic / Elastomul hulf Rol 48,650.00 -
179 Kasa Kompres 40 x 40 Rol 2,032.00 -
180 Kapas pembalut/absorben 250gram Rol 15,875.00 3 47,625
181 Kasa pembalut hidrofil 2x80 Rol 9,779.00 -
182 Kasa pembalut hidrofil 4x10 Rol 1,905.00 20 38,100
183 Kasa pembalut hidrofil 4x5 Rol 953.00 10 9,530
184 Kasa Steril 16 x 16 Kotak 7,366.00 -
185 Khlor Canfer Menthol (CHKM) Botol 57,750.00 -
186 Kohesive Bandage ( Elastic Bandage) Rol 39,328.00 -
187 Masker Kotak 20 pcs 22,500.00 -
188 Mummiffyng Pasta Botol 242,200.00 -
189 Plester 5 yard X 2 inchi Rol 23,625.00 6 141,750
190 Semen Seng Fosfat Set 242,200.00 -
191 Silk (benang brdah sutera) no3/0 , 2/0 pcs 3,880.56 -
192 Temporary (Fletcher) Set 165,000.00 -
193 Tricresol Formalin Set 49,500.00 -
194 Urine Bag Set 3,810.00 -
Tambora
STOCK
HARGA
NO NAMA SEDIAAN SATUAN PEROLEHAN OPNAME PER NILAI
30 APRIL PERSEDIAAN
(E_Catalog) 2015
1 2 3 4 5 6=(4X5)
-
III REAGENT DAN BAHAN LAB -
195 Alkohol Botol 1000 ml 27,305.00 -
196 Aquadest Botol 1000 ml 13,000.00 -
197 Asam Acetat 6 % Botol 100 ml 34,000.00 -
198 BaCl2 10 % Botol 100 ml 19,000.00 -
199 Benedict Botol 100 ml 100,000.00 -
200 Blood Lancet Kotak @ 200 buah 52,000.00 -
201 Box Slide Kotak 138,000.00 -
202 Cover Glass Kotak @ 50 lbr 17,000.00 -
203 EDTA 10 % Botol 100 ml 95,000.00 -
204 Fouchet Botol 100 ml 140,000.00 -
205 Giemza Botol100 ml 190,000.00 -
206 Golongan Darah Set 3 x 10 ml 257,000.00 -
207 Haemocytometer Set 1,300,000.00 -
208 Haemometer/HB Sahli Unit 110,000.00 -
209 Handscund 7,5 Kotak 50 psg 467,500.00 -
210 Handscund 7 Kotak 50 psg 467,500.00 -
211 HCl 0,1 N Botol 100 ml 15,000.00 -
212 Kapas Bungkus 1/2 kg 24,000.00 -
213 Na Citrat 3,8 % Botol 50 ml 13,000.00 -
214 Oil Emersi Botol 100 ml 360,000.00 -
215 Paper Lens Buah 16,000.00 -
216 Penjepit Tabung Buah 4,000.00 -
217 Pipet Tetes PCS 3,000.00 -
218 Pot Dahak Buah 3,000.00 -
219 Reagen Widal Set 426,000.00 -
220 Rees Ecker Botol 100 ml 45,000.00 -
221 Slide Frosted Kotak / 72's 27,000.00 -
222 Spiritus Kantong 500 ml 40,000.00 -
223 Tabung Serologi PCS 6,500.00 -
224 Tabung Reaksi PCS 4,500.00 -
225 Tabung Centrifuge PCS 6,250.00 -
226 Ziel nelsen Kotak 177,000.00 -

V OBAT JIWA -
227 Sikzonoate inj Ampul 60,000.00 -
-
VI VAKSIN -
228 Vaksin Polio Vial 12500.00 -
Tambora
STOCK
HARGA
NO NAMA SEDIAAN SATUAN PEROLEHAN OPNAME PER NILAI
30 APRIL PERSEDIAAN
(E_Catalog) 2015
1 2 3 4 5 6=(4X5)
229 Vaksin TT Vial 13475.00 -
230 Vaksin BCG Vial 40000.00 -
231 Vaksin DPT/ HB Vial 65000.00 -
232 Vaksin Campak Vial 45000.00 -
233 Hb 0 Vial 175000.00 -

TOTAL NILAI PERSEDIAAN :

Bima, Januari 2015

Petugas Pengelola Obat Puskesmas

Asri
AAN AKHIR PUSKESMAS TAMBORA
ER 31 DESEMBER 2014

PENGELUARAN STOCK PER 31 DES NILAI PERSEDIAAN


JAN-APRIL 2015 2014 PER 31 DES 2015

7 5 6

- -
300 300 26,400
35 45 180,585
300 300 24,600
- -
200 200 23,400
6,900 9,200 2,484,000
58 78 195,000
1,000 74,000
2,100 2,100 4,536,000
36 56 147,896
- -
- -
250 400 56,800
- -
10 15 31,500
- -
2,500 3,000 300,000
1,100 1,100 127,600
- -
- -
- -
- -
- -
- -
- -
- -
1,700 2,500 448,125
- -
- -
- -
110 140 232,260
3,800 5,000 320,000
- -
- -
PENGELUARAN STOCK PER 31 DES NILAI PERSEDIAAN
JAN-APRIL 2015 2014 PER 31 DES 2015

7 5 6
- -
- -
- -
- -
- -
- -
4 4 12,956
10 10 25,750
- -
1,700 2,280 63,840
- -
- -
- -
20 25 89,550
- -
700 900 72,000
- -
1,300 1,800 545,400
- -
25 50 96,450
12 24 11,352
- -
2,000 3,000 72,000
- -
50 80 436,800
1,300 2,300 506,000
- -
- -
- -
- -
42 72 213,552
- -
5,000 5,000 765,000
- -
1,200 1,900 138,700
- -
300 18,600
800 800 71,200
- -
- -
PENGELUARAN STOCK PER 31 DES NILAI PERSEDIAAN
JAN-APRIL 2015 2014 PER 31 DES 2015

7 5 6
- -
3,000 5,000 125,000
700 1,100 283,800
38 200 328,000
16 66 83,160
- -
- -
- -
- -
- -
3,600 5,600 812,000
- -
88 138 306,636
10 65,100
1,280 1,280 901,120
70 100 87,900
2 104,140
- -
3 3 4,851
- -
50 90 247,500
130 130 21,060
- -
- -
800 1,300 213,200
- -
- -
- -
- -
80 110 542,850
- -
- -
- -
- -
- -
- -
- -
- -
26 36 46,778
35 50 162,750
PENGELUARAN STOCK PER 31 DES NILAI PERSEDIAAN
JAN-APRIL 2015 2014 PER 31 DES 2015

7 5 6
- -
15 75 151,200
20 20 37,485
- -
118 188 281,248
- -
- -
1,300 1,300 109,200
200 300 92,400
2,000 3,000 54,810
800 800 88,200
- -
- -
19 35 264,215
- -
- -
- -
- -
- -
- -
- -
- -
260 420 2,293,200
1 1 495,000
100 100 6,200
- -
- -
34 84 105,000
- -
- -
160 360 407,520
- -
1,300 1,500 390,000
5,650 7,290 313,470
- -
1,300 1,900 292,600
2,000 3,000 176,910
100 150 149,620
- -
3,100 4,900 539,000
PENGELUARAN STOCK PER 31 DES NILAI PERSEDIAAN
JAN-APRIL 2015 2014 PER 31 DES 2015

7 5 6
38 50 184,150
12 17 388,620
- -
- -
- -
9 9 43,434
41 41 197,866
24 24 115,824
90 100 482,600
- -
120 140 115,640
150 160 152,480
27 27 191,453
- -
- -
- -
- -
- -
- -
- -
85 115 511,175
105 145 589,280
2 2 1,731,400
6 6 291,900
- -
3 47,625
- -
50 70 133,350
80 90 85,770
30 30 220,980
- -
- -
- -
- -
15 21 496,125
- -
- -
- -
- -
- -
PENGELUARAN STOCK PER 31 DES NILAI PERSEDIAAN
JAN-APRIL 2015 2014 PER 31 DES 2015

7 5 6
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
PENGELUARAN STOCK PER 31 DES NILAI PERSEDIAAN
JAN-APRIL 2015 2014 PER 31 DES 2015

7 5 6
- -
- -
- -
- -
- -

28,910,111

Bima, Januari 2015.-

Kepala Puskesmas Tambora


Petugas Pengelola Obat Puskesmas

Sahbuddin, A.Md Kep, S.Sos


Nip. 19681231 198803 1 180
HARGA HARGA HARGA
NO NAMA SEDIAAN SATUAN SATUAN / SATUAN / SATUAN /
PEROLEHAN 1 PEROLEHAN 2 PEROLEHAN 3 DAK

VOLUME NILAI
1 2 3 4
1 ACT Antimalaria / Arterakine tablet Tablet 1,409.00 #DIV/0! -
2 ACT Antimalaria /Artesunat tab Tablet 1,409.00 #DIV/0!
Acyclovir SK Tube #DIV/0!
Acyclovir tablet Tablet #DIV/0!
3 Aluporinol tablet 100 mg Tablet 88.00 106.00 4,300 455,800.00
4 Aminofillin Inj 24mg/ml-10ml Ampul 4,013.00 3,150.00 1,620 5,103,000.00
5 Aminofillin tablet 200 mg Tablet 82.00 97.28 23,700 2,305,489.00
6 Aminofluid 500 ml infus Botol 64,680.00 #DIV/0!
7 Amitriptillin tablet 25 mg Tablet 117.00 107.00 8,800 941,600.00
8 Amoxicillin kaplet 500mg Tablet 270.00 228.00 1,539,250 350,949,000.00
9 Amoxicillin Syr Kering 125mg/5ml Botol 2,500.00 2,328.09 9,050 21,069,215.00
10 Antasida Doen tab Tablet 74.00 83.00 528,520 43,867,160.00
11 Antasida Syrup Botol 2,160.00 #DIV/0!
12 Anti Bakteri Doen salep kombinasi Tube 2,641.00 2,616.00 1,550 4,054,800.00
13 Anti fungi Doen Kombinasi Tube 2,001.04 2,001.04 52 104,054.00
14 Anti Haemoroid Doen Kombinasi Supp 2,100.00 2,100.00 1,250 2,625,000.00
15 Anti migrain Doen Kombinasi Tablet 142.00 #DIV/0!
16 Antiparkinson Tablet 1,575.00 #DIV/0!
17 Aqua pro Inj Steril bebas pirogen Botol 2,100.00 5,082.00 220 1,118,040.00
18 Arthemeter injeksi Ampul 23,100.00 #DIV/0!
19 Asam ascorbat (vitc ) tab 50 mg Tablet 100.00 33.60 86,000 2,889,599.00
HARGA HARGA HARGA
NO NAMA SEDIAAN SATUAN SATUAN / SATUAN / SATUAN /
PEROLEHAN 1 PEROLEHAN 2 PEROLEHAN 3 DAK

VOLUME NILAI
1 2 3 4
20 Asam mefenamat tablet 500mg Tablet 116.00 110.00 520,750 57,282,500.00
21 Atropin sulfas Inj 0,2ml/ml-1ml Ampul 1,540.00 #DIV/0!
22 Atropin sulfas tablet 0,5mg Tablet 77.00 #DIV/0!
23 Benzatin B. penisillin 1,2 jt iu/vial Vial 10,290.00 #DIV/0!
24 Benzatin B. penisillin 2,4 jt iu/vial Vial 14,070.00 #DIV/0!
25 Betamethason cream 0,1% Tube 1,558.00 #DIV/0!
27 Captopril 12,5 mg tablet Tablet 62.00 #DIV/0!
28 Captopril 25 mg tablet Tablet 89.00 92.00 10,550 970,600.00
29 Carbamazepin 200 mg Tablet 257.00 255.00 1,000 255,000.00
30 Cimetidin tablet Tablet 179.00 103.74 5,770 598,580.00
31 Co-Amoxiclav 500 mg Tablet 5,308.37 #DIV/0!
32 Codein 20m mg Tablet 1,155.00 #DIV/0!
33 Depo Profera Vial 10,500.00 #DIV/0!
34 Dexamethason Inj 5ml/ml-1ml Ampul 1,659.00 1,650.00 4,210 6,946,500.00
35 Dexamethason tablet 0,5 mg Tablet 64.00 71.89 245,300 17,634,617.00
Dextrometorphan tab Tablet - 49,700
Dextrometorphan syr botol - 3,018
36 Diazepam Inj 5mg /ml,2ml Ampul 2,487.00 #DIV/0!
37 Diazepam tablet 2 mg Tablet 46.00 #DIV/0!
38 Diazepam tablet 5 mg btl 250 Tablet 42.00 #DIV/0!
39 Digoksin tablet 0,25mg Tablet 100.00 #DIV/0!
40 Diphenhidramin Inj 10mg/ml,1ml ktk 30 Ampul 840.00 #DIV/0!
41 Efedrin tablet btl 250 Tablet 45.00 #DIV/0!
42 Epinerpin Inj 0,1% , 1ml Ampul 8,505.00 #DIV/0!
43 Erytromicin 500 mg Kaplet 976.00 #DIV/0!
HARGA HARGA HARGA
NO NAMA SEDIAAN SATUAN SATUAN / SATUAN / SATUAN /
PEROLEHAN 1 PEROLEHAN 2 PEROLEHAN 3 DAK

VOLUME NILAI
1 2 3 4
44 Etakrida (Rivanol) larutan 0,1% Botol 3,239.00 #DIV/0!
45 Etanol 70% 100 ml ( Alkohol ) Botol 2,575.00 #DIV/0!
46 Eugenol Cairan Botol 17,500.00 #DIV/0!
47 Extrak belladon tablet 10 mg btl 1000 Tablet 28.00 #DIV/0!
48 Fenitoin 30 mg kapsul 140.00 #DIV/0!
49 Fenobarbital 30 mg botol 250 Tablet 49.00 #DIV/0!
50 Fenobarbital injeksi ampul 1,890.00 #DIV/0!
51 Fitomenadion (vit k ) Inj 10mg/ml 1ml Ampul 3,582.00 #DIV/0!
52 Fitomenadion (vit k) tablet salut 10mg Tablet 666.00 #DIV/0!
53 Furosemida tablet 40 mg Tablet 80.00 #DIV/0!
54 Gameksan Emulsi 1% Botol 2,310.00 #DIV/0!
55 Garam Oralit untuk 200ml air saset 303.00 #DIV/0!
56 Gentamisin inj.80 mg/2 ml Ampul 3,569.00 #DIV/0!
57 Gentamisin salep kulit ktk 25 Tube 1,929.00 #DIV/0!
58 Gentian violet larutan 1% Botol 473.00 #DIV/0!
59 Glibenclamid Tablet 58.00 #DIV/0!
60 Gliseril Guayakolat tablet 100 mg btl 1000 Tablet 24.00 #DIV/0!
61 Glukosa infus 10% Botol 5,985.00 #DIV/0!
62 Glukosa infus 5% Botol 5,460.00 #DIV/0!
63 Griseofulvin tab 125 mg Tablet 220.00 #DIV/0!
64 Haloperidol 5 mg Tablet 100.00 #DIV/0!
65 Haloperidol Tab 0,5 mg Tablet 61.00 #DIV/0!
66 Haloperidol Tab 1,5 mg Tablet 72.00 #DIV/0!
67 Hidroklorotiazid ( HCT ) tab 25 mg btl 1000 Tablet 38.00 #DIV/0!
68 Hidrokortizon Cream ktk 24 Tube 2,966.00 #DIV/0!
HARGA HARGA HARGA
NO NAMA SEDIAAN SATUAN SATUAN / SATUAN / SATUAN /
PEROLEHAN 1 PEROLEHAN 2 PEROLEHAN 3 DAK

VOLUME NILAI
1 2 3 4
69 Ibuprofen Syr 200 mg Botol 116.00 #DIV/0!
70 Ibuprofen tablet 400 mg Tablet 153.00 #DIV/0!
71 Isosorbit dinitrat sublingual tablet 5mg Tablet 93.00 #DIV/0!
72 Kalsium Lactat tablet 500 mg Tablet 73.00 #DIV/0!
73 Kalsium Gluconas inj Ampul 7,800.00 #DIV/0!
74 kaptopril 12,5 mg Tablet 62.00 #DIV/0!
75 kaptopril 25 mg Tablet 89.00 #DIV/0!
76 Karbamazepin 200mg Tablet 257.00 #DIV/0!
77 Karbogliserin TT 10% botol 2,144.00 #DIV/0!
78 Ketokonazole Crim Tube 2,993.00 #DIV/0!
79 Klofeniramin maleat ( CTM ) tab 4 mg btl 1000 Tablet 25.00 #DIV/0!
80 Kloramfenikol kapsul 250 mg ktk 100 Kapsul 258.00 #DIV/0!
81 Kloramfenikol salep mata 1% Tube 1,640.00 #DIV/0!
82 Kloramfenikol tetes telinga 3% Botol 1,260.00 #DIV/0!
83 Klorokina fosfat tablet 250 mg btl 1000 Tablet 110.00 #DIV/0!
84 Klorpromazin Injeksi 5 mg/ml Ampul 1,103.00 #DIV/0!
85 Klorpromazin tablet 100 mg Tablet 153.00 #DIV/0!
86 Klorpromazin tablet 25 mg Tablet 71.00 #DIV/0!
87 Komb piritamin 25mg+sulfadoxin 500mg Tablet 544.00 #DIV/0!
88 Kotrimoxazol dewasa tablet Tablet 145.00 #DIV/0!
89 Kotrimoxazol pediaktrik tablet ktk 100 Tablet 50.00 #DIV/0!
90 Kotrimoxazol suspensi Botol 2,222.00 #DIV/0!
91 Kuinin dihidroklorida Inj 25% 2ml Ampul 6,510.00 #DIV/0!
92 Kuinin dihidroklorida tablet 200 mg Tablet 704.00 #DIV/0!
93 Lidokain kompositum Inj Ampul 879.00 #DIV/0!
HARGA HARGA HARGA
NO NAMA SEDIAAN SATUAN SATUAN / SATUAN / SATUAN /
PEROLEHAN 1 PEROLEHAN 2 PEROLEHAN 3 DAK

VOLUME NILAI
1 2 3 4
94 Lisol 1 liter Botol 52,070.00 #DIV/0!
95 Loratadine 10 mg Tablet 162.00 #DIV/0!
96 Manegsium sulfat inj (IV) 20 % 25ml ktk 10 vial 1,617.00 #DIV/0!
97 Manegsium sulfat inj (IV) 40% 25ml ktk 10 vial 2,045.00 #DIV/0!
98 Metil ergometrin Inj 0,2mg /ml/ pospargin inj Tablet 2,750.00 #DIV/0!
99 Metoklopramid 5mg tablet 111.00 #DIV/0!
100 Metil ergometrin tab 0,125 mg Tablet 162.00 #DIV/0!
101 Metronidazol 250mg tablet Tablet 113.00 #DIV/0!
102 Metronidazol 500mg tablet Tablet 164.00 #DIV/0!
103 Metronidazol infus 500mg/100ml Botol 10,250.00 #DIV/0!
104 Mikonazole krim Tube 3,075.00 #DIV/0!
105 Natrium bikarbonat tab 500 mg Tablet 19.31 #DIV/0!
106 Natrium Diklofenak 25 ng Tablet 140.00 #DIV/0!
107 Natrium klorida Infus 0,9% Botol 4,935.00 #DIV/0!
108 Neo K inj Ampul 11,000.00 #DIV/0!
109 Nifedipin 10 mg Tablet 110.00 #DIV/0!
110 Nistatin 100.000 IU tablet vaginal Tablet 504.00 #DIV/0!
111 Nistatin 500.000 IU tablet salut Tablet 672.00 #DIV/0!
112 Obat anti tuberkolusis katagori anak Paket 225,740.00 #DIV/0!
113 Obat anti tuberkolusis kategori I Paket 377,900.00 #DIV/0!
114 Obat anti tuberkolusis kategori II Paket 1,259,990.00 #DIV/0!
115 Obat anti tuberkolusis kategori sisipan Paket 168,000.00 #DIV/0!
116 Obat batuk hitam (OBH ) cairan Botol 1,299.38 #DIV/0!
117 Oksitetrasiclin Hcl Inj IM 50mg/ml 10ml ktk 10 Vial 3,255.00 #DIV/0!
118 Oksitetrasiclin salep kulit 3% Tube 2,261.00 #DIV/0!
HARGA HARGA HARGA
NO NAMA SEDIAAN SATUAN SATUAN / SATUAN / SATUAN /
PEROLEHAN 1 PEROLEHAN 2 PEROLEHAN 3 DAK

VOLUME NILAI
1 2 3 4
119 Oksitetrasiclin salep mata 1% Tube 2,016.00 #DIV/0!
120 Oksitosin inj 10 IU/ ml,1ml Ampul 18,747.27 #DIV/0!
121 Omeprazol 20 mg Kapsul 216.00 #DIV/0!

122 Paracetamol syr 120mg/ 5ml Botol 1,496.00 #DIV/0!

123 Paracetamol drop Botol 5,460.00 #DIV/0!

124 Paracetamol tablet 100 mg Tablet 56.57 #DIV/0!

125 Paracetamol tablet 500 mg Tablet 84.00 #DIV/0!

126 Pirantel pamoat tablet 125 mg Tablet 308.00 #DIV/0!

127 Piridoxin Hcl tablet 10 mg Tablet 18.27 #DIV/0!

128 Piroksicam kaps 20 mg Kapsul 110.25 #DIV/0!

129 Prednison tablet 5 mg Tablet 119.00 #DIV/0!

130 Primakina tablet 15 mg Tablet 147.15 #DIV/0!

131 Prokain Benz Penicillin Inj 3 Jt IU / vl Vial 7,549.00 #DIV/0!

132 Propanolol tablet 10 mg Tablet 79.00 #DIV/0!

133 Propanolol tablet 40 mg Tablet 110.00 #DIV/0!

134 Propiltiourasil tablet 100 mg Tablet 335.00 #DIV/0!

135 Ranitidine 150 mg Tablet 122.00 #DIV/0!

136 Ranitidine injeksi ampul 1,190.00 #DIV/0!

137 Reserpin tablet 0,25 mg Tablet 118.80 #DIV/0!

138 Retinol (Vit.A) 100.000 IU Kapsul 273.00 #DIV/0!


139 Retinol (Vit.A) 200.000 IU Kapsul 482.00 #DIV/0!
140 Ringer Lactat infus steril Botol 5,460.00 #DIV/0!
141 Sabupolivalen 5 ml ( ABU I ) vial 495,000.00 #DIV/0!
142 Salbutamol tablet 2 mg Tablet 62.00 #DIV/0!
HARGA HARGA HARGA
NO NAMA SEDIAAN SATUAN SATUAN / SATUAN / SATUAN /
PEROLEHAN 1 PEROLEHAN 2 PEROLEHAN 3 DAK

VOLUME NILAI
1 2 3 4
143 Salbutamol tablet 4 mg Tablet 91.00 #DIV/0!
144 Salep 2 - 4 kombinasi Tablet 2,100.00 #DIV/0!
145 Salisil bedak 2% Tube 1,250.00 #DIV/0!
146 Serum anti tetanus 1.500 IU/VL (ATS ) Ampul 72,450.00 #DIV/0!
147 Serum anti tetanus 20.000 IU/VL (ATS ) Ampul 525,000.00 #DIV/0!
148 Sianocobalamin (Vit B12 ) inj 500mcg/ml Ampul 1,132.00 #DIV/0!
149 Sinvastatin 20 mg Tablet 394.00 #DIV/0!
150 Siprofloxacin 500 mg Tablet 260.00 #DIV/0!
151 Tablet tambah darah kombinasi Tablet 43.00 #DIV/0!
152 Tetracain Tetes Mata 0,5% Botol 11,500.00 #DIV/0!
153 Tetrasiclin Hcl kapsul 250 mg Kapsul 154.00 #DIV/0!
154 Thiamine Hcl 50 mg tab Tablet 58.97 #DIV/0!
155 Thiamine Hcl inj. Ampul 997.47 #DIV/0!
156 Triheksipenidil Hcl tablet 2mg ktk 100 tablet 43.00 #DIV/0!
157 Vitamin B complek tab Tablet 110.00 #DIV/0!
158 Yodium povidon larutan 10% 30 ml Botol 3,683.00 #DIV/0!
159 Yodium povidon larutan 10% 300 ml Botol 22,860.00 #DIV/0!
160 Zink tablet 20 mg Tablet 497.00 #DIV/0!
#DIV/0!
#DIV/0!
OBAT GIGI DAN PERBEKKES #DIV/0!
161 Abbocath 18 G pcs 4,826.00 #DIV/0!
162 Abbocath 20 G pcs 4,826.00 #DIV/0!
163 Abbocath 22 G pcs 4,826.00 #DIV/0!
164 Abbocath 24 G pcs 4,826.00 #DIV/0!
HARGA HARGA HARGA
NO NAMA SEDIAAN SATUAN SATUAN / SATUAN / SATUAN /
PEROLEHAN 1 PEROLEHAN 2 PEROLEHAN 3 DAK

VOLUME NILAI
1 2 3 4
165 Alat suntik sekali pakai 1 ml pcs 826.00 #DIV/0!
166 Alat suntik sekali pakai 2,5 ml pcs 826.00 #DIV/0!
167 Alat suntik sekali pakai 5 ml pcs 953.00 #DIV/0!
168 Catgut / benang bedah 2/0-3/0 pcs 7,091.00 #DIV/0!
169 Devitalisasi Pasta Botol 495,000.00 #DIV/0!
170 Etil klorida semprot Botol 126,500.00 #DIV/0!
171 Folley Catheter 2 way No.14 Pcs 10,160.00 #DIV/0!
172 Folley Catheter 2 way No.16 Pcs 10,160.00 #DIV/0!
173 Folley Catheter 2 way No.18 Pcs 10,160.00 #DIV/0!
174 Glass Ionmer (Gcix) Set 715,000.00 #DIV/0!
175 Hand scond pcs 4,462.00 #DIV/0!
176 Infusion set anak anak pcs 4,445.00 #DIV/0!
177 Infusion set dewasa pcs 4,064.00 #DIV/0!
178 Kalsium Hidroksida pasta Tube 865,700.00 #DIV/0!
179 Kasa Elastic / Elastomul hulf Rol 48,650.00 #DIV/0!
180 Kasa Kompres 40 x 40 Rol 2,032.00 #DIV/0!
181 Kapas pembalut/absorben 250gram Rol 15,875.00 #DIV/0!
182 Kasa pembalut hidrofil 2x80 Rol 9,779.00 #DIV/0!
183 Kasa pembalut hidrofil 4x10 Rol 1,905.00 #DIV/0!
184 Kasa pembalut hidrofil 4x5 Rol 953.00 #DIV/0!
185 Kasa Steril 16 x 16 Kotak 7,366.00 #DIV/0!
186 Khlor Canfer Menthol (CHKM) Botol 57,750.00 #DIV/0!
187 Kohesive Bandage ( Elastic Bandage) Rol 39,328.00 #DIV/0!
188 Masker kotak 50 pcs 60,000.00 #DIV/0!
189 Masker kotak 20 pcs 22,500.00 #DIV/0!
HARGA HARGA HARGA
NO NAMA SEDIAAN SATUAN SATUAN / SATUAN / SATUAN /
PEROLEHAN 1 PEROLEHAN 2 PEROLEHAN 3 DAK

VOLUME NILAI
1 2 3 4
190 Mummiffyng Pasta Botol 242,200.00 #DIV/0!
191 Plester 5 yard X 2 inchi Rol 23,625.00 #DIV/0!
192 Semen Seng Fosfat Set 242,200.00 #DIV/0!
193 Silk (benang brdah sutera) no3/0 , 2/0 pcs 3,881.00 #DIV/0!
194 Temporary (Fletcher) Set 165,000.00 #DIV/0!
195 Tricresol Formalin Set 49,500.00 #DIV/0!
196 Urine Bag Set 3,810.00 #DIV/0!
#DIV/0!
#DIV/0!
III REAGENTIA DAN BAHAN LAB. #DIV/0!
197 Alkohol Botol 1000 ml 27,305.00 #DIV/0!
198 Aquadest Botol 1000 ml 13,000.00 #DIV/0!
199 Asam Acetat 6 % Botol 100 ml 34,000.00 #DIV/0!
200 BaCl2 10 % Botol 100 ml 19,000.00 #DIV/0!
201 Benedict Botol 100 ml 100,000.00 #DIV/0!
202 Blood Lancet Kotak @ 200 buah 52,000.00 #DIV/0!
203 Box Slide Kotak 138,000.00 #DIV/0!
204 Cover Glass Kotak @ 50 lbr 17,000.00 #DIV/0!
205 EDTA 10 % Botol 100 ml 95,000.00 #DIV/0!
206 Fouchet Botol 100 ml 140,000.00 #DIV/0!
207 Giemza Botol100 ml 190,000.00 #DIV/0!
208 Golongan Darah/ widal Set 3 x 10 ml 257,000.00 #DIV/0!
209 Haemocytometer Set 1,300,000.00 #DIV/0!
210 Haemometer/HB Sahli Unit 110,000.00 #DIV/0!
211 Handscund 7,5 Kotak 50 psg 467,500.00 #DIV/0!
HARGA HARGA HARGA
NO NAMA SEDIAAN SATUAN SATUAN / SATUAN / SATUAN /
PEROLEHAN 1 PEROLEHAN 2 PEROLEHAN 3 DAK

VOLUME NILAI
1 2 3 4
212 Handscund 7 Kotak 50 psg 467,500.00 #DIV/0!
213 HCl 0,1 N Botol 100 ml 15,000.00 #DIV/0!
214 Kapas Bungkus 1/2 kg 24,000.00 #DIV/0!
215 Na Citrat 3,8 % Botol 50 ml 13,000.00 #DIV/0!
216 Oil Emersi Botol 100 ml 360,000.00 #DIV/0!
217 Paper Lens Buah 16,000.00 #DIV/0!
218 Penjepit Tabung Buah 4,000.00 #DIV/0!
219 Pipet Tetes PCS 3,000.00 #DIV/0!
220 Pot Dahak Buah 3,000.00 #DIV/0!
221 Reagen Widal Set 426,000.00 #DIV/0!
222 Rees Ecker Botol 100 ml 45,000.00 #DIV/0!
223 Slide Frosted Kotak / 72's 27,000.00 #DIV/0!
224 Spiritus Kantong 500 ml 40,000.00 #DIV/0!
225 Tabung Serologi PCS 6,500.00 #DIV/0!
226 Tabung Reaksi PCS 4,500.00 #DIV/0!
227 Tabung Centrifuge PCS 6,250.00 #DIV/0!

TOTAL NILAI PERSEDIAAN

Petugas Pelaksana Stock Opname :


1. Suhari
Jabatan : Penanggung jawab Gudang

2. Rustam Effendi
HARGA HARGA HARGA
NO NAMA SEDIAAN SATUAN SATUAN / SATUAN / SATUAN /
PEROLEHAN 1 PEROLEHAN 2 PEROLEHAN 3 DAK

VOLUME NILAI
1 2 3 4
Jabatan : Staf IFK

3. Nurawaliah, S.Farm
Jabatan : Staf IFK

4. Fransiskus, SE
Jabatan : Staf Distribusi IFK
PERSEDIAAN AWAL 2014
JUMLAH
JUMLAH HARGA
JKN DAU BUFFER /PROGRAM LAIN2 PERSEDIAAN
VOLUME NILAI VOLUME NILAI VOLUME NILAI VOLUME NILAI

- -
- -
- -
- -
4,300 455,800.00
1,620 5,103,000.00
23,700 2,305,489.00
- -
8,800 941,600.00
1,539,250 350,949,000.00
9,050 21,069,215.00
528,520 43,867,160.00
- -
1,550 4,054,800.00
52 104,054.00
1,250 2,625,000.00
- -
- -
220 1,118,040.00
- -
86,000 2,889,599.00
PERSEDIAAN AWAL 2014
JUMLAH
JUMLAH HARGA
JKN DAU BUFFER /PROGRAM LAIN2 PERSEDIAAN
VOLUME NILAI VOLUME NILAI VOLUME NILAI VOLUME NILAI

520,750 57,282,500.00
- -
- -
- -
- -
- -
- -
10,550 970,600.00
1,000 255,000.00
5,770 598,580.00
- -
- -
- -
4,210 6,946,500.00
245,300 17,634,617.00
49,700 -
3,018 -
- -
- -
- -
- -
- -
- -
- -
- -
PERSEDIAAN AWAL 2014
JUMLAH
JUMLAH HARGA
JKN DAU BUFFER /PROGRAM LAIN2 PERSEDIAAN
VOLUME NILAI VOLUME NILAI VOLUME NILAI VOLUME NILAI

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
PERSEDIAAN AWAL 2014
JUMLAH
JUMLAH HARGA
JKN DAU BUFFER /PROGRAM LAIN2 PERSEDIAAN
VOLUME NILAI VOLUME NILAI VOLUME NILAI VOLUME NILAI

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
PERSEDIAAN AWAL 2014
JUMLAH
JUMLAH HARGA
JKN DAU BUFFER /PROGRAM LAIN2 PERSEDIAAN
VOLUME NILAI VOLUME NILAI VOLUME NILAI VOLUME NILAI

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
PERSEDIAAN AWAL 2014
JUMLAH
JUMLAH HARGA
JKN DAU BUFFER /PROGRAM LAIN2 PERSEDIAAN
VOLUME NILAI VOLUME NILAI VOLUME NILAI VOLUME NILAI

- -
- -
- -

- -

- -

- -

- -

- -

- -

- -

- -

- -

- -

- -

- -

- -

- -

- -

- -

- -
- -
- -
- -
- -
PERSEDIAAN AWAL 2014
JUMLAH
JUMLAH HARGA
JKN DAU BUFFER /PROGRAM LAIN2 PERSEDIAAN
VOLUME NILAI VOLUME NILAI VOLUME NILAI VOLUME NILAI

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
PERSEDIAAN AWAL 2014
JUMLAH
JUMLAH HARGA
JKN DAU BUFFER /PROGRAM LAIN2 PERSEDIAAN
VOLUME NILAI VOLUME NILAI VOLUME NILAI VOLUME NILAI

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
PERSEDIAAN AWAL 2014
JUMLAH
JUMLAH HARGA
JKN DAU BUFFER /PROGRAM LAIN2 PERSEDIAAN
VOLUME NILAI VOLUME NILAI VOLUME NILAI VOLUME NILAI

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
PERSEDIAAN AWAL 2014
JUMLAH
JUMLAH HARGA
JKN DAU BUFFER /PROGRAM LAIN2 PERSEDIAAN
VOLUME NILAI VOLUME NILAI VOLUME NILAI VOLUME NILAI

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
PERSEDIAAN AWAL 2014
JUMLAH
JUMLAH HARGA
JKN DAU BUFFER /PROGRAM LAIN2 PERSEDIAAN
VOLUME NILAI VOLUME NILAI VOLUME NILAI VOLUME NILAI
PERSEDIAAN AKHIR 2014 REVISI

PENGELUARAN 01 JNUARI S/D 30 APRIL 2015 HARGA


NILAI SATUAN
PENGELUARAN
BUFFER /PEROLEHAN
DAK JKN DAU LAIN2 JUMLAH JAN-APRIL 2015 DAK
/PROGRAM 2014

VOLUME NILAI
4 5 6
240 443 683 962,347 1,409.00 -
- - 1,409.00 -
50 50 -
500 500 -
1,410 - 1,410 124,080 88.00 100 8,800
450 450 1,805,850 4,013.00 440 1,765,720
11,000 11,000 902,000 82.00 21,300 1,746,600
- 750 750 48,510,000 64,680.00 -
1,200 1,200 140,400 117.00 -
425,960 425,960 115,009,200 270.00 1,018,080 274,881,600
7,078 7,078 17,695,000 2,500.00 1,852 4,630,000
255,840 255,840 18,932,160 74.00 21,740 1,608,760
- - - 2,160.00 -
666 666 1,758,906 2,641.00 34 89,794
- - - 2,001.04 -
260 260 546,000 2,100.00 430 903,000
4,400 4,400 624,800 142.00 5,600 795,200
- - - 1,575.00 -
390 390 819,000 2,100.00 110 231,000
- - - 23,100.00 -
114,700 114,700 11,470,000 100.00 126,400 12,640,000
PENGELUARAN 01 JNUARI S/D 30 APRIL 2015 HARGA
NILAI SATUAN
PENGELUARAN
BUFFER /PEROLEHAN
DAK JKN DAU LAIN2 JUMLAH JAN-APRIL 2015 DAK
/PROGRAM 2014

VOLUME NILAI
4 5 6
1,650 73,700 75,350 8,740,600 116.00 50 5,800
510 510 785,400 1,540.00 990 1,524,600
2,600 2,600 200,200 77.00 9,900 762,300
- - - 10,290.00 -
- - - 14,070.00 -
- 48 48 74,784 1,558.00 -
59,180 59,180 3,669,160 62.00 170,800 10,589,600
32,900 32,900 2,928,100 89.00 -
400 400 102,800 257.00 -
150,900 150,900 27,011,100 179.00 44,100 7,893,900
- - 5,308.37 -
300 300 346,500 1,155.00 -
- - 10,500.00 -
3,370 3,370 5,590,830 1,659.00 700 1,161,300
187,900 187,900 12,025,600 64.00 9,700 620,800

748 748 1,860,276 2,487.00 -


- 1,000 1,000 46,000 46.00 -
500 2,000 2,500 105,000 42.00 500 21,000
- - 100.00 -
- - 840.00 -
- - 45.00 -
375 630 1,005 8,547,525 8,505.00 -
- - - - 976.00 -
PENGELUARAN 01 JNUARI S/D 30 APRIL 2015 HARGA
NILAI SATUAN
PENGELUARAN
BUFFER /PEROLEHAN
DAK JKN DAU LAIN2 JUMLAH JAN-APRIL 2015 DAK
/PROGRAM 2014

VOLUME NILAI
4 5 6
25 7 32 103,648 3,239.00 -
- - 2,575.00 3,633 9,354,975
5 24 29 507,500 17,500.00 33 577,500
26,600 - 26,600 744,800 28.00 64,100 1,794,800
- 1,000 1,000 140,000 140.00 -
703 2,000 2,703 132,447 49.00 800 39,200
30 45 75 141,750 1,890.00 900 1,701,000
- - 3,582.00 -
- - 666.00 -
6,900 6,900 552,000 80.00 17,400 1,392,000
- - 2,310.00 -
26,000 26,000 7,878,000 303.00 -
- - 3,569.00 -
958 958 1,847,982 1,929.00 -
992 992 469,216 473.00 961 454,553
27,300 27,300 1,583,400 58.00 82,700 4,796,600
184,000 184,000 4,416,000 24.00 3,000 72,000
560 560 3,351,600 5,985.00 260 1,556,100
7,320 7,320 39,967,200 5,460.00 12,620 68,905,200
36,500 22,200 58,700 12,914,000 220.00 -
3,900 4,800 8,700 870,000 100.00 2,200 220,000
- - 61.00 -
200 200 14,400 72.00 -
- - 38.00 -
1,743 48 1,791 5,312,106 2,966.00 137 406,342
PENGELUARAN 01 JNUARI S/D 30 APRIL 2015 HARGA
NILAI SATUAN
PENGELUARAN
BUFFER /PEROLEHAN
DAK JKN DAU LAIN2 JUMLAH JAN-APRIL 2015 DAK
/PROGRAM 2014

VOLUME NILAI
4 5 6
- - 116.00 -
132,780 132,780 20,315,340 153.00 -
- - 93.00 -
93,200 93,200 6,803,600 73.00 48,000 3,504,000
- - 7,800.00 -
- - 62.00 -
- - 89.00 -
- - 257.00 -
- - 2,144.00 -
1,339 1,339 4,007,627 2,993.00 7,561 22,630,073
219,800 219,800 5,495,000 25.00 -
37,500 37,500 9,675,000 258.00 100 25,800
2,304 2,304 3,778,560 1,640.00 16 26,240
1,713 1,713 2,158,380 1,260.00 134 168,840
- - - 110.00 -
5,610 5,310 10,920 12,044,760 1,103.00 -
10,900 10,900 1,667,700 153.00 -
- - 71.00 -
- - 544.00 -
126,800 126,800 18,386,000 145.00 108,800 15,776,000
- - 50.00 -
5,618 5,618 12,483,196 2,222.00 6,132 13,625,304
1,400 1,400 9,114,000 6,510.00 -
- - 704.00 -
6,454 6,454 5,673,066 879.00 12,070 10,609,530
PENGELUARAN 01 JNUARI S/D 30 APRIL 2015 HARGA
NILAI SATUAN
PENGELUARAN
BUFFER /PEROLEHAN
DAK JKN DAU LAIN2 JUMLAH JAN-APRIL 2015 DAK
/PROGRAM 2014

VOLUME NILAI
4 5 6
51 51 2,655,570 52,070.00 -
- - 162.00 -
- - 1,617.00 -
376 376 768,920 2,045.00 -
1,180 1,180 3,245,000 2,750.00 -
3,800 3,800 421,800 111.00 -
10,600 10,600 1,717,200 162.00 -
- - 113.00 -
15,400 15,400 2,525,600 164.00 -
873 873 8,948,250 10,250.00 -
2,458 1,114 3,572 10,983,900 3,075.00 -
- - 19.31 -
32,300 32,300 4,522,000 140.00 -
4,480 4,480 22,108,800 4,935.00 9,380 46,290,300
215 75 290 3,190,000 11,000.00 -
- - 110.00 -
- - 504.00 -
1,500 1,500 1,008,000 672.00 -
50 50 11,287,000 225,740.00 -
126 126 47,615,400 377,900.00 -
9 9 11,339,910 1,259,990.00 -
- - 168,000.00 -
717 717 931,655 1,299.38 -
290 290 943,950 3,255.00 440 1,432,200
- - - 2,261.00 -
PENGELUARAN 01 JNUARI S/D 30 APRIL 2015 HARGA
NILAI SATUAN
PENGELUARAN
BUFFER /PEROLEHAN
DAK JKN DAU LAIN2 JUMLAH JAN-APRIL 2015 DAK
/PROGRAM 2014

VOLUME NILAI
4 5 6
1,150 1,150 2,318,400 2,016.00 -
54 500 554 10,385,988 18,747.27 660 12,373,198
- - 216.00 -

8,480 8,480 12,686,080 1,496.00 18,356 27,460,576

46 46 251,160 5,460.00

- - 56.57 -

500 4,000 90,000 94,500 7,938,000 84.00 1,300 109,200

2,600 2,600 800,800 308.00 9,040 2,784,320

128,000 128,000 2,338,560 18.27 66,000 1,205,820

12,100 12,100 1,334,025 110.25 -

4,900 4,900 583,100 119.00 -

250 250 36,788 147.15 -

240 240 1,811,760 7,549.00 -

2,600 1,600 4,200 331,800 79.00 -

- - - - 110.00 -

3,900 3,900 1,306,500 335.00 6,000 2,010,000

3,100 3,100 378,200 122.00 -

- - 1,190.00 -

- - 118.80 -

4,750 4,750 1,296,750 273.00 7,500 2,047,500


63,100 63,100 30,414,200 482.00 -
19,500 19,500 106,470,000 5,460.00 7,317 39,950,820
20 20 9,900,000 495,000.00 -
200 5,800 6,000 372,000 62.00 -
PENGELUARAN 01 JNUARI S/D 30 APRIL 2015 HARGA
NILAI SATUAN
PENGELUARAN
BUFFER /PEROLEHAN
DAK JKN DAU LAIN2 JUMLAH JAN-APRIL 2015 DAK
/PROGRAM 2014

VOLUME NILAI
4 5 6
- - 91.00 -
- - 2,100.00 -
1,604 1,604 2,005,000 1,250.00 6,781 8,476,250
- - 72,450.00 -
- - 525,000.00 -
3,800 3,800 4,301,600 1,132.00 3,800 4,301,600
- - 394.00 -
59,700 59,700 15,522,000 260.00 53,100 13,806,000
351,390 351,390 15,109,770 43.00 -
490 490 5,635,000 11,500.00 -
43,500 43,500 6,699,000 154.00 26,900 4,142,600
153,000 1,000 154,000 9,081,380 58.97 25,000 1,474,250
3,330 3,330 3,321,575 997.47 2,340 2,334,080
5,800 4,000 9,800 421,400 43.00 -
174,200 2,000 176,200 19,382,000 110.00 51,200 5,632,000
1,037 1,037 3,819,271 3,683.00 4,036 14,864,588
362 362 8,275,320 22,860.00 940 21,488,400
5,200 5,200 2,584,400 497.00 -
- -
- -
- -
450 2,027 2,477 11,954,002 4,826.00 2,650 12,788,900
2,150 50 500 2,700 13,030,200 4,826.00 -
600 - 300 900 4,343,400 4,826.00 -
2,000 995 2,995 14,453,870 4,826.00 5 24,130
PENGELUARAN 01 JNUARI S/D 30 APRIL 2015 HARGA
NILAI SATUAN
PENGELUARAN
BUFFER /PEROLEHAN
DAK JKN DAU LAIN2 JUMLAH JAN-APRIL 2015 DAK
/PROGRAM 2014

VOLUME NILAI
4 5 6
- - 826.00 -
200 85 285 235,410 826.00 -
2,600 7,400 10,000 9,530,000 953.00 400 381,200
1,598 1,598 11,331,418 7,091.00 -
10 10 4,950,000 495,000.00 24 11,880,000
65 65 8,222,500 126,500.00 139 17,583,500
11 11 111,760 10,160.00 11 111,760
23 23 233,680 10,160.00 -
20 20 203,200 10,160.00 -
6 6 4,290,000 715,000.00 28 20,020,000
47 60 107 477,434 4,462.00 - -
2,900 300 3,200 14,224,000 4,445.00 -
5,300 25 300 5,625 22,860,000 4,064.00 -
13 13 11,254,100 865,700.00 36 31,165,200
426 431 857 41,693,050 48,650.00 -
450 450 914,400 2,032.00 470 955,040
283 49 332 5,270,500 15,875.00 -
174 174 1,701,546 9,779.00 -
310 3,000 3,310 6,305,550 1,905.00 790 1,504,950
2,355 650 3,005 2,863,765 953.00 -
- 233 233 1,716,278 7,366.00 -
16 16 924,000 57,750.00 43 2,483,250
468 468 18,405,504 39,328.00 -
- - 60,000.00 46 2,760,000
3 165 168 3,780,000 22,500.00
PENGELUARAN 01 JNUARI S/D 30 APRIL 2015 HARGA
NILAI SATUAN
PENGELUARAN
BUFFER /PEROLEHAN
DAK JKN DAU LAIN2 JUMLAH JAN-APRIL 2015 DAK
/PROGRAM 2014

VOLUME NILAI
4 5 6
11 11 2,664,200 242,200.00 50 12,110,000
- 273 255 737 1,265 29,885,625 23,625.00 -
7 7 1,695,400 242,200.00 30 7,266,000
1,728 1,728 6,706,368 3,881.00 -
8 8 1,320,000 165,000.00 29 4,785,000
6 6 297,000 49,500.00 93 4,603,500
181 181 689,610 3,810.00 283 1,078,230
- -
- -
- -
8 21 29 791,845 27,305.00 59 1,610,995
5 4 9 117,000 13,000.00 34 442,000
3 3 102,000 34,000.00 33 1,122,000
7 7 133,000 19,000.00 37 703,000
7 7 700,000 100,000.00 13 1,300,000
20 20 1,040,000 52,000.00 8 416,000
2 75 77 10,626,000 138,000.00 18 2,484,000
4 4 68,000 17,000.00 16 272,000
19 19 1,805,000 95,000.00 29 2,755,000
- - 140,000.00 10 1,400,000
1 1 190,000 190,000.00 10 1,900,000
8 4 12 3,084,000 257,000.00 44 11,308,000
9 9 11,700,000 1,300,000.00 25 32,500,000
11 11 1,210,000 110,000.00 11 1,210,000
30 30 14,025,000 467,500.00 -
PENGELUARAN 01 JNUARI S/D 30 APRIL 2015 HARGA
NILAI SATUAN
PENGELUARAN
BUFFER /PEROLEHAN
DAK JKN DAU LAIN2 JUMLAH JAN-APRIL 2015 DAK
/PROGRAM 2014

VOLUME NILAI
4 5 6
14 14 6,545,000 467,500.00 -
11 1 12 180,000 15,000.00 8 120,000
- - 24,000.00 -
3 3 39,000 13,000.00 33 429,000
1 1 360,000 360,000.00 19 6,840,000
13 13 208,000 16,000.00 35 560,000
50 50 200,000 4,000.00 57 228,000
57 10 67 201,000 3,000.00 147 441,000
1 2,543 19,000 21,544 64,632,000 3,000.00 7,000 21,000,000
6 12 18 7,668,000 426,000.00 28 11,928,000
2 2 90,000 45,000.00 18 810,000
27 27 729,000 27,000.00 -
20 20 800,000 40,000.00 19 760,000
27 50 77 500,500 6,500.00 327 2,125,500
34 34 153,000 4,500.00 266 1,197,000
25 25 156,250 6,250.00 175 1,093,750

930,155,438
PENGELUARAN 01 JNUARI S/D 30 APRIL 2015 HARGA
NILAI SATUAN
PENGELUARAN
BUFFER /PEROLEHAN
DAK JKN DAU LAIN2 JUMLAH JAN-APRIL 2015 DAK
/PROGRAM 2014

VOLUME NILAI
4 5 6

Bima, 30 April 20
STOCK OPNAME 31 APRIL 2015
NILAI JUMLAH HARGA
JUMLAH PERSEDIAAN PERSEDIAAN
JKN DAU BUFFER / PROGRAM DAK

VOLUME NILAI VOLUME NILAI VOLUME NILAI VOLUME


7 8 9 10 11 12 13 14 14 5
- - 37 52,133 37 52,133 240
- - - - - -
-
-
- - - 100 8,800 1,510
- - - 440 1,765,720 890
20,000 1,640,000 - - 41,300 3,386,600 32,300
9,250 598,290,000 - - 9,250 598,290,000 -
- - - - - 1,200
- - - 1,018,080 274,881,600 1,444,040
- - - 1,852 4,630,000 8,930
70,000 5,180,000 - - 91,740 6,788,760 277,580
- - - - - -
- - - 34 89,794 700
- - - - - -
- - - 430 903,000 690
- - - 5,600 795,200 10,000
5,200 8,190,000 - - 5,200 8,190,000 -
- - - 110 231,000 500
- - - - - -
- - - 126,400 12,640,000 241,100
STOCK OPNAME 31 APRIL 2015
NILAI JUMLAH HARGA
JUMLAH PERSEDIAAN PERSEDIAAN
JKN DAU BUFFER / PROGRAM DAK

VOLUME NILAI VOLUME NILAI VOLUME NILAI VOLUME


7 8 9 10 11 12 13 14 14 5
- - - 50 5,800 1,700
- - - 990 1,524,600 1,500
- - - 9,900 762,300 12,500
- - - - - -
- - - - - -
- - - - - -
- - - 170,800 10,589,600 229,980
16,800 1,495,200 - - 16,800 1,495,200 -
- - - - - 400
- - - 44,100 7,893,900 195,000
- - - - - -
4,700 5,428,500 - - 4,700 5,428,500 -
- - - - - -
- - - 700 1,161,300 4,070
- - - 9,700 620,800 197,600

- - - - - -
- - - - - -
- - - 500 21,000 1,000
- - - - - -
- - - - - -
- - - - - -
3,870 32,914,350 - - 3,870 32,914,350 375
- - - - - -
STOCK OPNAME 31 APRIL 2015
NILAI JUMLAH HARGA
JUMLAH PERSEDIAAN PERSEDIAAN
JKN DAU BUFFER / PROGRAM DAK

VOLUME NILAI VOLUME NILAI VOLUME NILAI VOLUME


7 8 9 10 11 12 13 14 14 5
7 22,673 - - 7 22,673 25
- - - 3,633 9,354,975 3,633
140 2,450,000 - - 173 3,027,500 38
- - - 64,100 1,794,800 90,700
39,750 5,565,000 - - 39,750 5,565,000 -
- - - 800 39,200 1,503
- - - 900 1,701,000 930
500 1,791,000 - 4,720 16,907,040 5,220 18,698,040 -
- - - - - -
- - - 17,400 1,392,000 24,300
- - - - - -
157,900 47,843,700 - - 157,900 47,843,700 -
- - - - - -
- - - - - 958
- - - 961 454,553 1,953
- - 100 5,800 82,800 4,802,400 110,000
- - - 3,000 72,000 187,000
- - - 260 1,556,100 820
- - - 12,620 68,905,200 19,940
27,800 6,116,000 - - 27,800 6,116,000 36,500
- - - 2,200 220,000 6,100
- - - - - -
- - - - - 200
- - - - - -
- - 14 41,524 151 447,866 1,880
STOCK OPNAME 31 APRIL 2015
NILAI JUMLAH HARGA
JUMLAH PERSEDIAAN PERSEDIAAN
JKN DAU BUFFER / PROGRAM DAK

VOLUME NILAI VOLUME NILAI VOLUME NILAI VOLUME


7 8 9 10 11 12 13 14 14 5
- - - - - -
- - - - - 132,780
- - - - - -
- - - 48,000 3,504,000 141,200
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - 7,561 22,630,073 8,900
- - - - - 219,800
- - - 100 25,800 37,600
- - - 16 26,240 2,320
- - - 134 168,840 1,847
- - - - - -
5,310 5,856,930 - - 5,310 5,856,930 5,610
2,200 336,600 - - 2,200 336,600 -
- - - - - -
- - - - - -
- - - 108,800 15,776,000 235,600
- - - - - -
- - - 6,132 13,625,304 11,750
- - - - - -
- - - - - -
- - - 12,070 10,609,530 18,524
STOCK OPNAME 31 APRIL 2015
NILAI JUMLAH HARGA
JUMLAH PERSEDIAAN PERSEDIAAN
JKN DAU BUFFER / PROGRAM DAK

VOLUME NILAI VOLUME NILAI VOLUME NILAI VOLUME


7 8 9 10 11 12 13 14 14 5
11 572,770 - - 11 572,770 -
- - - - - -
- - - - - -
- - 259 529,655 259 529,655 -
4,310 11,852,500 - 1,510 4,152,500 5,820 16,005,000 -
31,700 3,518,700 - - 31,700 3,518,700 -
10,400 1,684,800 - - 10,400 1,684,800 -
- - - - - -
- - - - - 15,400
4,127 42,301,750 - - 4,127 42,301,750 -
1,114 3,425,550 - - 1,114 3,425,550 2,458
- - - - - -
45,380 6,353,200 - - 45,380 6,353,200 -
- - - 9,380 46,290,300 13,860
425 4,675,000 - - 425 4,675,000 -
- - - - - -
- - - - - -
15,900 10,684,800 - - 15,900 10,684,800 -
- - 50 11,287,000 50 11,287,000 -
- - 126 47,615,400 126 47,615,400 -
- - 9 11,339,910 9 11,339,910 -
- - - - - -
- - - - - -
- - - 440 1,432,200 730
- - - - - -
STOCK OPNAME 31 APRIL 2015
NILAI JUMLAH HARGA
JUMLAH PERSEDIAAN PERSEDIAAN
JKN DAU BUFFER / PROGRAM DAK

VOLUME NILAI VOLUME NILAI VOLUME NILAI VOLUME


7 8 9 10 11 12 13 14 14 5
- - - - - 1,150
- - - 660 12,373,198 714
- - - - - -

- - - 18,356 27,460,576 26,836

- - - -

- - - - - -

- - - 1,300 109,200 1,800

- - - 9,040 2,784,320 11,640

- - - 66,000 1,205,820 194,000

- - - - - -

- - - - - 4,900

- - 250 36,788 250 36,788 -

- - 605 4,567,145 605 4,567,145 -

8,400 663,600 - - 8,400 663,600 2,600

- - - - - -

- - - 6,000 2,010,000 9,900

- - - - - -

- - - - - -

- - - - - -

10,000 2,730,000 - 500 136,500 18,000 4,914,000 7,500


- - 18,600 8,965,200 18,600 8,965,200 -
- - - 7,317 39,950,820 26,817
- - - - - 20
- - - - - 200
STOCK OPNAME 31 APRIL 2015
NILAI JUMLAH HARGA
JUMLAH PERSEDIAAN PERSEDIAAN
JKN DAU BUFFER / PROGRAM DAK

VOLUME NILAI VOLUME NILAI VOLUME NILAI VOLUME


7 8 9 10 11 12 13 14 14 5
- - - - - -
- - - - - -
- - - 6,781 8,476,250 8,385
- - - - - -
- - - - - -
- - - 3,800 4,301,600 7,600
- - - - - -
- - - 53,100 13,806,000 112,800
344,610 14,818,230 - - 344,610 14,818,230 -
2,960 34,040,000 - - 2,960 34,040,000 -
- - - 26,900 4,142,600 70,400
- - 1,000 58,970 26,000 1,533,220 178,000
- - - 2,340 2,334,080 5,670
- - - - - -
- - - 51,200 5,632,000 225,400
- - - 4,036 14,864,588 5,073
- - - 940 21,488,400 1,302
- - - - - -
-
-
-
123 593,598 - - 2,773 13,382,498 3,100
- - - - - 2,150
- - - - - 600
- - - 5 24,130 2,005
STOCK OPNAME 31 APRIL 2015
NILAI JUMLAH HARGA
JUMLAH PERSEDIAAN PERSEDIAAN
JKN DAU BUFFER / PROGRAM DAK

VOLUME NILAI VOLUME NILAI VOLUME NILAI VOLUME


7 8 9 10 11 12 13 14 14 5
- - - - - -
- - - - - 200
1,600 1,524,800 - - 2,000 1,906,000 3,000
- - - - - 1,598
- - - 24 11,880,000 34
- - - 139 17,583,500 204
- - - 11 111,760 22
- - - - - 23
- - - - - 20
- - - 28 20,020,000 34
- - - - - 47
- - - - - 2,900
- - - - - 5,300
- - - 36 31,165,200 49
- 426 20,724,900 - 426 20,724,900 -
- - - 470 955,040 920
- - - - - 283
- - - - - 174
- - - 790 1,504,950 1,100
- - - - - 2,355
595 4,382,770 - - 595 4,382,770 -
- - - 43 2,483,250 59
468 18,405,504 - - 468 18,405,504 -
49 2,940,000 - - 95 5,700,000 46
- 166 3,735,000 166 3,735,000 3
STOCK OPNAME 31 APRIL 2015
NILAI JUMLAH HARGA
JUMLAH PERSEDIAAN PERSEDIAAN
JKN DAU BUFFER / PROGRAM DAK

VOLUME NILAI VOLUME NILAI VOLUME NILAI VOLUME


7 8 9 10 11 12 13 14 14 5
- - - 50 12,110,000 61
- 255 6,024,375 - 255 6,024,375 -
- - - 30 7,266,000 37
- - - - - 1,728
- - - 29 4,785,000 37
- - - 93 4,603,500 99
- - - 283 1,078,230 464
-
-
-
41 1,119,505 - - 100 2,730,500 67
36 468,000 - - 70 910,000 39
30 1,020,000 - - 63 2,142,000 36
28 532,000 - - 65 1,235,000 44
- - - 13 1,300,000 20
76 3,952,000 - - 84 4,368,000 28
20 2,760,000 - 75 10,350,000 113 15,594,000 20
20 340,000 - - 36 612,000 20
20 1,900,000 - - 49 4,655,000 48
20 2,800,000 - - 30 4,200,000 10
10 1,900,000 - - 20 3,800,000 11
56 14,392,000 - - 100 25,700,000 52
20 26,000,000 - - 45 58,500,000 34
20 2,200,000 - - 31 3,410,000 22
40 18,700,000 - - 40 18,700,000 30
STOCK OPNAME 31 APRIL 2015
NILAI JUMLAH HARGA
JUMLAH PERSEDIAAN PERSEDIAAN
JKN DAU BUFFER / PROGRAM DAK

VOLUME NILAI VOLUME NILAI VOLUME NILAI VOLUME


7 8 9 10 11 12 13 14 14 5
20 9,350,000 - - 20 9,350,000 14
19 285,000 - - 27 405,000 19
- - - - - -
30 390,000 - - 63 819,000 36
20 7,200,000 - - 39 14,040,000 20
50 800,000 - - 85 1,360,000 48
50 200,000 - - 107 428,000 107
196 588,000 - - 343 1,029,000 204
4,457 13,371,000 - 19,000 57,000,000 30,457 91,371,000 7,001
28 11,928,000 - - 56 23,856,000 34
20 900,000 - - 38 1,710,000 20
40 1,080,000 - - 40 1,080,000 27
74 2,960,000 - - 93 3,720,000 19
250 1,625,000 - - 577 3,750,500 354
300 1,350,000 - - 566 2,547,000 300
200 1,250,000 - - 375 2,343,750 200

1,019,648,030 26,749,275 176,780,565 2,153,333,308 - 4,938,907

TOTAL NILAI PERSEDIAAN Rp 2,153,333,308


STOCK OPNAME 31 APRIL 2015
NILAI JUMLAH HARGA
JUMLAH PERSEDIAAN PERSEDIAAN
JKN DAU BUFFER / PROGRAM DAK

VOLUME NILAI VOLUME NILAI VOLUME NILAI VOLUME


7 8 9 10 11 12 13 14 14 5

Bima, 30 April 2015.


PERSEDIAAN 31 DESEMBER 2014
JUMLAH PERSEDIAAN
DAK JKN DAU BUFFER / PROGRAM

NILAI VOLUME NILAI VOLUME NILAI VOLUME NILAI VOLUME NILAI


6 7 8 9 10 11 12 13 14
338,160 - - - 0 480 676,320 720 1,014,480
- - - - 0 - - - -
- - - - 0 - - - -
- - - - 0 - - - -
132,880 - - - 0 - - 1,510 132,880
3,571,570 - - - 0 - - 890 3,571,570
2,648,600 20,000 1,640,000 - 0 - - 52,300 4,288,600
- 10,000 646,800,000 - 0 - - 10,000 646,800,000
140,400 - - - 0 - - 1,200 140,400
389,890,800 - - - 0 - - 1,444,040 389,890,800
22,325,000 - - - 0 - - 8,930 22,325,000
20,540,920 70,000 5,180,000 - 0 - - 347,580 25,720,920
- - - - 0 - - - -
1,848,700 - - - 0 - - 700 1,848,700
- - - - 0 - - - -
1,449,000 - - - 0 - - 690 1,449,000
1,420,000 - - - 0 - - 10,000 1,420,000
- 5,200 8,190,000 - 0 - - 5,200 8,190,000
1,050,000 - - - 0 - - 500 1,050,000
- - - - 0 - - - -
24,110,000 - - - 0 - - 241,100 24,110,000
PERSEDIAAN 31 DESEMBER 2014
JUMLAH PERSEDIAAN
DAK JKN DAU BUFFER / PROGRAM

NILAI VOLUME NILAI VOLUME NILAI VOLUME NILAI VOLUME NILAI


6 7 8 9 10 11 12 13 14
197,200 - - - 0 - - 1,700 197,200
2,310,000 - - - 0 - - 1,500 2,310,000
962,500 - - - 0 - - 12,500 962,500
- - - - 0 - - - -
- - - - 0 - - - -
- - - - 0 48 74,784 48 74,784
14,258,760 - - - 0 - - 229,980 14,258,760
- 49,700 4,423,300 - 0 - - 49,700 4,423,300
102,800 - - - 0 - - 400 102,800
34,905,000 - - - 0 - - 195,000 34,905,000
- - - - 0 - - - -
- 5,000 5,775,000 - 0 - - 5,000 5,775,000
- - - - 0 - - - -
6,752,130 - - - 0 - - 4,070 6,752,130
12,646,400 - - - 0 - - 197,600 12,646,400

- - - - 0 748 1,860,276 748 1,860,276


- - - - 0 - - - -
42,000 - - - 0 - - 1,000 42,000
- - - - 0 - - - -
- - - - 0 - - - -
- - - - 0 - - - -
3,189,375 4,500 38,272,500 - 0 - - 4,875 41,461,875
- - - - 0 - - - -
PERSEDIAAN 31 DESEMBER 2014
JUMLAH PERSEDIAAN
DAK JKN DAU BUFFER / PROGRAM

NILAI VOLUME NILAI VOLUME NILAI VOLUME NILAI VOLUME NILAI


6 7 8 9 10 11 12 13 14
80,975 14 45,346 - 0 - - 39 126,321
9,354,975 - - - 0 - - 3,633 9,354,975
665,000 164 2,870,000 - 0 - - 202 3,535,000
2,539,600 - - - 0 - - 90,700 2,539,600
- 40,750 5,705,000 - 0 - - 40,750 5,705,000
73,647 - - - 0 - - 1,503 73,647
1,757,700 - - - 0 45 85,050 975 1,842,750
- 500 1,791,000 - 0 4,720 16,907,040 5,220 18,698,040
- - - - 0 - - - -
1,944,000 - - - 0 - - 24,300 1,944,000
- - - - 0 - - - -
- 183,900 55,721,700 - 0 - - 183,900 55,721,700
- - - - 0 - - - -
1,847,982 - - - 0 - - 958 1,847,982
923,769 - - - 0 - - 1,953 923,769
6,380,000 - - - 0 100 5,800 110,100 6,385,800
4,488,000 - - - 0 - - 187,000 4,488,000
4,907,700 - - - 0 - - 820 4,907,700
108,872,400 - - - 0 - - 19,940 108,872,400
8,030,000 50,000 11,000,000 - 0 - - 86,500 19,030,000
610,000 - - - 0 - - 6,100 610,000
- - - - 0 - - - -
14,400 - - - 0 - - 200 14,400
- - - - 0 - - - -
5,576,080 - - - 0 62 183,892 1,942 5,759,972
PERSEDIAAN 31 DESEMBER 2014
JUMLAH PERSEDIAAN
DAK JKN DAU BUFFER / PROGRAM

NILAI VOLUME NILAI VOLUME NILAI VOLUME NILAI VOLUME NILAI


6 7 8 9 10 11 12 13 14
- - - - 0 - - - -
20,315,340 - - - 0 - - 132,780 20,315,340
- - - - 0 - - - -
10,307,600 - - - 0 - - 141,200 10,307,600
- - - - 0 - - - -
- - - - 0 - - - -
- - - - 0 - - - -
- - - - 0 - - - -
- - - - 0 - - - -
26,637,700 - - - 0 - - 8,900 26,637,700
5,495,000 - - - 0 - - 219,800 5,495,000
9,700,800 - - - 0 - - 37,600 9,700,800
3,804,800 - - - 0 - - 2,320 3,804,800
2,327,220 - - - 0 - - 1,847 2,327,220
- - - - 0 - - - -
6,187,830 10,620 11,713,860 - 0 - - 16,230 17,901,690
- 13,100 2,004,300 - 0 - - 13,100 2,004,300
- - - - 0 - - - -
- - - - 0 - - - -
34,162,000 - - - 0 - - 235,600 34,162,000
- - - - 0 - - - -
26,108,500 - - - 0 - - 11,750 26,108,500
- - - - 0 1,400 9,114,000 1,400 9,114,000
- - - - 0 - - - -
16,282,596 - - - 0 - - 18,524 16,282,596
PERSEDIAAN 31 DESEMBER 2014
JUMLAH PERSEDIAAN
DAK JKN DAU BUFFER / PROGRAM

NILAI VOLUME NILAI VOLUME NILAI VOLUME NILAI VOLUME NILAI


6 7 8 9 10 11 12 13 14
- 62 3,228,340 - 0 - - 62 3,228,340
- - - - 0 - - - -
- - - - 0 - - - -
- - - - 0 635 1,298,575 635 1,298,575
- 5,490 15,097,500 - 0 1,510 4,152,500 7,000 19,250,000
- 35,500 3,940,500 - 0 - - 35,500 3,940,500
- 21,000 3,402,000 - 0 - - 21,000 3,402,000
- - - - 0 - - - -
2,525,600 - - - 0 - - 15,400 2,525,600
- 5,000 51,250,000 - 0 - - 5,000 51,250,000
7,558,350 2,228 6,851,100 - 0 - - 4,686 14,409,450
- - - - 0 - - - -
- 77,680 10,875,200 - 0 - - 77,680 10,875,200
68,399,100 - - - 0 - - 13,860 68,399,100
- 640 7,040,000 - 0 - - 640 7,040,000
- - - - 0 - - - -
- - - - 0 - - - -
- 17,400 11,692,800 - 0 - - 17,400 11,692,800
- - - - 0 100 22,574,000 100 22,574,000
- - - - 0 252 95,230,800 252 95,230,800
- - - - 0 18 22,679,820 18 22,679,820
- - - - 0 - - - -
- 717 931,655 - 0 - - 717 931,655
2,376,150 - - - 0 - - 730 2,376,150
- - - - 0 - - - -
PERSEDIAAN 31 DESEMBER 2014
JUMLAH PERSEDIAAN
DAK JKN DAU BUFFER / PROGRAM

NILAI VOLUME NILAI VOLUME NILAI VOLUME NILAI VOLUME NILAI


6 7 8 9 10 11 12 13 14
2,318,400 - - - 0 - - 1,150 2,318,400
13,385,551 - - - 0 - - 714 13,385,551
- - - - 0 - - - -

40,146,656 - - - 0 - - 26,836 40,146,656

- - - - 0 - - - -

- - - - 0 - - - -

151,200 4,000 336,000 - 0 - - 5,800 487,200

3,585,120 - - - 0 - - 11,640 3,585,120

3,544,380 - - - 0 - - 194,000 3,544,380

- 12,100 1,334,025 - 0 - - 12,100 1,334,025

583,100 - - - 0 - - 4,900 583,100

- - - - 0 500 73,575 500 73,575

- - - - 0 845 6,378,905 845 6,378,905

205,400 10,000 790,000 - 0 - - 12,600 995,400

- - - - 0 - - - -

3,316,500 - - - 0 - - 9,900 3,316,500

- 3,100 378,200 - 0 - - 3,100 378,200

- - - - 0 - - - -

- - - - 0 - - - -

2,047,500 10,000 2,730,000 - 0 5,250 1,433,250 22,750 6,210,750


- - - - 0 81,700 39,379,400 81,700 39,379,400
146,420,820 - - - 0 - - 26,817 146,420,820
9,900,000 - - - 0 - - 20 9,900,000
12,400 5,800 359,600 - 0 - - 6,000 372,000
PERSEDIAAN 31 DESEMBER 2014
JUMLAH PERSEDIAAN
DAK JKN DAU BUFFER / PROGRAM

NILAI VOLUME NILAI VOLUME NILAI VOLUME NILAI VOLUME NILAI


6 7 8 9 10 11 12 13 14
- - - - 0 - - - -
- - - - 0 - - - -
10,481,250 - - - 0 - - 8,385 10,481,250
- - - - 0 - - - -
- - - - 0 - - - -
8,603,200 - - - 0 - - 7,600 8,603,200
- - - - 0 - - - -
29,328,000 - - - 0 - - 112,800 29,328,000
- 696,000 29,928,000 - 0 - - 696,000 29,928,000
- 3,450 39,675,000 - 0 - - 3,450 39,675,000
10,841,600 - - - 0 - - 70,400 10,841,600
10,496,660 - - - 0 2,000 117,940 180,000 10,614,600
5,655,655 - - - 0 - - 5,670 5,655,655
- 5,800 249,400 - 0 - - 5,800 249,400
24,794,000 - - - 0 2,000 220,000 227,400 25,014,000
18,683,859 - - - 0 - - 5,073 18,683,859
29,763,720 - - - 0 - - 1,302 29,763,720
- - - - 0 5,200 2,584,400 5,200 2,584,400
- - - - 0 - - - -
- - - - 0 - - - -
- - - - 0 - - - -
14,960,600 2,150 10,375,900 - 0 - - 5,250 25,336,500
10,375,900 50 241,300 - 0 - - 2,200 10,617,200
2,895,600 - - - 0 - - 600 2,895,600
9,676,130 - - - 0 - - 2,005 9,676,130
PERSEDIAAN 31 DESEMBER 2014
JUMLAH PERSEDIAAN
DAK JKN DAU BUFFER / PROGRAM

NILAI VOLUME NILAI VOLUME NILAI VOLUME NILAI VOLUME NILAI


6 7 8 9 10 11 12 13 14
- - - - 0 - - - -
165,200 85 70,210 - 0 - - 285 235,410
2,859,000 9,000 8,577,000 - 0 - - 12,000 11,436,000
11,331,418 - - - 0 - - 1,598 11,331,418
16,830,000 - - - 0 - - 34 16,830,000
25,806,000 - - - 0 - - 204 25,806,000
223,520 - - - 0 - - 22 223,520
233,680 - - - 0 - - 23 233,680
203,200 - - - 0 - - 20 203,200
24,310,000 - - - 0 - - 34 24,310,000
209,714 60 267,720 - 0 - - 107 477,434
12,890,500 - - - 0 - - 2,900 12,890,500
21,539,200 25 101,600 - 0 - - 5,325 21,640,800
42,419,300 - - - 0 - - 49 42,419,300
- - - 852 41449800 431 20,968,150 1,283 62,417,950
1,869,440 - - - 0 - - 920 1,869,440
4,492,625 49 777,875 - 0 - - 332 5,270,500
1,701,546 - - - 0 - - 174 1,701,546
2,095,500 - - - 0 - - 1,100 2,095,500
2,244,315 650 619,450 - 0 - - 3,005 2,863,765
- 828 6,099,048 - 0 - - 828 6,099,048
3,407,250 - - - 0 - - 59 3,407,250
- 936 36,811,008 - 0 - - 936 36,811,008
2,760,000 49 2,940,000 - 0 - - 95 5,700,000
67,500 - - - 0 331 7,447,500 334 7,515,000
PERSEDIAAN 31 DESEMBER 2014
JUMLAH PERSEDIAAN
DAK JKN DAU BUFFER / PROGRAM

NILAI VOLUME NILAI VOLUME NILAI VOLUME NILAI VOLUME NILAI


6 7 8 9 10 11 12 13 14
14,774,200 - - - 0 - - 61 14,774,200
- 273 6,449,625 510 12048750 737 17,411,625 1,520 35,910,000
8,961,400 - - - 0 - - 37 8,961,400
6,706,368 - - - 0 - - 1,728 6,706,368
6,105,000 - - - 0 - - 37 6,105,000
4,900,500 - - - 0 - - 99 4,900,500
1,767,840 - - - 0 - - 464 1,767,840
- - - - 0 - - - -
- - - - 0 - - - -
- - - - 0 - - - -
1,829,435 62 1,692,910 - 0 - - 129 3,522,345
507,000 40 520,000 - 0 - - 79 1,027,000
1,224,000 30 1,020,000 - 0 - - 66 2,244,000
836,000 28 532,000 - 0 - - 72 1,368,000
2,000,000 - - - 0 - - 20 2,000,000
1,456,000 76 3,952,000 - 0 - - 104 5,408,000
2,760,000 20 2,760,000 - 0 150 20,700,000 190 26,220,000
340,000 20 340,000 - 0 - - 40 680,000
4,560,000 20 1,900,000 - 0 - - 68 6,460,000
1,400,000 20 2,800,000 - 0 - - 30 4,200,000
2,090,000 10 1,900,000 - 0 - - 21 3,990,000
13,364,000 60 15,420,000 - 0 - - 112 28,784,000
44,200,000 20 26,000,000 - 0 - - 54 70,200,000
2,420,000 20 2,200,000 - 0 - - 42 4,620,000
14,025,000 40 18,700,000 - 0 - - 70 32,725,000
PERSEDIAAN 31 DESEMBER 2014
JUMLAH PERSEDIAAN
DAK JKN DAU BUFFER / PROGRAM

NILAI VOLUME NILAI VOLUME NILAI VOLUME NILAI VOLUME NILAI


6 7 8 9 10 11 12 13 14
6,545,000 20 9,350,000 - 0 - - 34 15,895,000
285,000 20 300,000 - 0 - - 39 585,000
- - - - 0 - - - -
468,000 30 390,000 - 0 - - 66 858,000
7,200,000 20 7,200,000 - 0 - - 40 14,400,000
768,000 50 800,000 - 0 - - 98 1,568,000
428,000 50 200,000 - 0 - - 157 628,000
612,000 206 618,000 - 0 - - 410 1,230,000
21,003,000 7,000 21,000,000 - 0 38,000 114,000,000 52,001 156,003,000
14,484,000 40 17,040,000 - 0 - - 74 31,524,000
900,000 20 900,000 - 0 - - 40 1,800,000
729,000 40 1,080,000 - 0 - - 67 1,809,000
760,000 94 3,760,000 - 0 - - 113 4,520,000
2,301,000 300 1,950,000 - 0 - - 654 4,251,000
1,350,000 300 1,350,000 - 0 - - 600 2,700,000
1,250,000 200 1,250,000 - 0 - - 400 2,500,000

1,730,228,861 1,402,426 1,211,476,972 1,362 53,498,550 147,262 405,557,602 6,489,957 3,400,761,985


PERSEDIAAN 31 DESEMBER 2014
JUMLAH PERSEDIAAN
DAK JKN DAU BUFFER / PROGRAM

NILAI VOLUME NILAI VOLUME NILAI VOLUME NILAI VOLUME NILAI


6 7 8 9 10 11 12 13 14

MENGETAHUI :
Kepala UPT.Instalasi Farmasi Dikes Kabupaten Bima

Nurkasna Wahyuni, S.Si, Apt, MARS


Nip. 19830824 200604 2 011
NILAI PERSEDIAAN AKHIR PUSKESMAS SOROMANDI
PER 31 DESEMBER 2014
SOROMANDI

HARGA SISA PER 31


NO NAMA SEDIAAN SATUAN PEROLEHAN DESEMBER
(E_Catalog) 2014

1 2 3 4 5
1 ACT Antimalaria / Arterakine tablet Tablet 1,409.00 90
2 ACT Antimalaria /Artesunat tab Ampul 1,409.00 -
3 Aluporinol tablet 100 mg Tablet 88.00 400
4 Aminofillin Inj 24mg/ml-10ml Ampul 4,013.00 60
5 Aminofillin tablet 200 mg Tablet 82.00 550
6 Aminofluid Kantong 64,680.00 -
7 Amitriptillin tablet 25 mg Tablet 117.00 500
8 Amoxicillin kaplet 500mg Tablet 270.00 13,900
9 Amoxicillin Syr Kering 125mg/5ml Botol 2,500.00 410
10 Antasida Doen tab Tablet 74.00 9,100
11 Antasida Syrup Botol 2,160.00 -
12 Anti Bakteri Doen salep kombinasi Tube 2,641.00 100
13 Anti fungi Doen Kombinasi Tube 2,001.04 -
14 Anti Haemoroid Doen Kombinasi Supp 2,100.00 -
15 Anti migrain Doen Kombinasi Tablet 142.00 300
16 Antiparkinson/ levopar Tablet 1,575.00 450
17 Aqua pro Inj Steril bebas pirogen Botol 2,100.00 3
18 Arthemeter injeksi Ampul 23,100.00 6
19 Asam ascorbat (vitc ) tab 50 mg Tablet 100.00 4,600
20 Asam mefenamat tablet 500mg Tablet 116.00 2,000
21 Atropin sulfas Inj 0,2ml/ml-1ml Ampul 1,540.00 6
22 Atropin sulfas tablet 0,5mg Tablet 77.00 500
23 Benzatin B. penisillin 1,2 jt iu/vial Vial 10,290.00 -
24 Benzatin B. penisillin 2,4 jt iu/vial Vial 14,070.00 -
25 Betamethason cream 0,1% Tube 1,558.00 -
26 Captopril 12,5 mg tablet Tablet 62.00 -
27 Captopril 25 mg tablet Tablet 89.00 -
28 Carbamazepin 200 mg Tablet 257.00 -
29 Cimetidin tablet Tablet 179.25 6,500
30 Co-Amoxiclav 500 mg Tablet 5,308.37 -
31 Codein 20m mg Tablet 1,155.00 -
32 Depo Profera Vial 10,500.00 -
33 Dexamethason Inj 5ml/ml-1ml Ampul 1,659.00 184
34 Dexamethason tablet 0,5 mg Tablet 64.00 8,900
35 Diazepam Inj 5mg /ml,2ml Ampul 2,487.00 -
36 Diazepam tablet 2mg Tablet 46.00 -
37 Diazepam tablet 5 mg btl 250 Tablet 42.00 -
38 Digoksin tablet 0,25mg Tablet 100.00 -
39 Diphenhidramin Inj 10mg/ml,1ml Ampul 840.00 -
SOROMANDI

HARGA SISA PER 31


NO NAMA SEDIAAN SATUAN PEROLEHAN DESEMBER
(E_Catalog) 2014

1 2 3 4 5
40 Efedrin tablet Tablet 45.00 -
41 Epinerpin Inj 0,1% , 1ml Ampul 8,505.00 10
42 Erytromicin 500 mg Kaplet 976.00 -
43 Etakrida (Rivanol) larutan 0,1% Botol 3,239.00 9
44 Etanol 70% 100 ml Botol 2,575.00 8
45 Eugenol Cairan Botol 17,500.00 -
46 Extrak belladon tablet 10 mg Tablet 28.00 2,600
47 Fenitoin kaps 30mg Tablet 140.00 3,000
48 Fenobarbital 30 mg Tablet 49.00 -
49 Fenobarbital injeksi ampul 1,890.00 -
50 Fitomenadion (vit k ) Inj 10mg/ml 1ml Ampul 3,582.00 40
51 Fitomenadion (vit k) tablet salut 10mg Tablet 666.00 100
52 Furosemida tablet 40 mg Tablet 80.00 200
53 Gameksan Emulsi 1% Botol 2,310.00 -
54 Garam Oralit untuk 200ml air saset 303.00 3,100
55 Gentamisin inj.80 mg/2 ml Ampul 3,569.00 -
56 Gentamisin salep kulit Tube 1,929.00 120
57 Gentian violet larutan 1% Botol 473.00 50
58 Glibenclamid Tablet 58.00 1,200
59 Gliseril Guayakolat tablet 100 mg Tablet 24.00 9,000
60 Glukosa infus 10% Botol 5,985.00 72
61 Glukosa infus 5% Botol 5,460.00 234
62 Griseofulvin tab 125 mg Tablet 220.00 1,900
63 Haloperidol 5 mg Tablet 100.00 900
64 Haloperidol Tab 0,5 mg Tablet 61.00 -
65 Haloperidol Tab 1,5 mg Tablet 72.00 -
66 Hidroklorotiazid ( HCT ) tab 25 mg Tablet 38.00 -
67 Hidrokortizon Cream Tube 2,966.00 78
68 Ibuprofen Syr 200 mg Botol 116.00 -
69 Ibuprofen tablet 400 mg Tablet 153.00 4,000
70 Isosorbit dinitrat sublingual tablet Tablet 93.00 -
71 Kalsium Lactat tablet 500 mg Tablet 73.00 1,400
72 Kalsium Gluconas inj Ampul 7,800.00 -
73 Kaptopril 12,5 mg tablet Tablet 62.00 -
74 Kaptopril 25 mg tablet Tablet 89.00 2,500
75 Karbamazepin 200 mg Tablet 257.00 300
76 Karbogliserin TT 10% Tube 2,144.00 -
77 Ketokonazole Crim Tube 2,993.00 50
78 Klofeniramin maleat ( CTM ) tab 4 mg Tablet 25.00 6,600
79 Kloramfenikol kapsul 250 mg Kapsul 258.00 500
80 Kloramfenikol salep mata 1% Tube 1,640.00 66
81 Kloramfenikol tetes telinga 3% Botol 1,260.00 57
SOROMANDI

HARGA SISA PER 31


NO NAMA SEDIAAN SATUAN PEROLEHAN DESEMBER
(E_Catalog) 2014

1 2 3 4 5
82 Klorokina fosfat tablet 250 mg Tablet 110.00 -
83 Klorpromazin Injeksi 25 mg/ml Ampul 1,103.00 30
84 Klorpromazin tablet 100 mg Tablet 153.00 600
85 Klorpromazin tablet 25 mg Tablet 71.00 -
86 Komb piritamin 25mg+sulfadoxin 500mg Tablet 544.00 -
87 Kotrimoxazol dewasa tablet Tablet 145.00 6,600
88 Kotrimoxazol pediaktrik tablet Tablet 50.00 -
89 Kotrimoxazol suspensi Botol 2,222.00 272
90 Kuinin dihidroklorida Inj 25% 2ml Ampul 6,510.00 -
91 Kuinin dihidroklorida tablet 200 mg Tablet 704.00 1,980
92 Lidokain kompositum Inj Ampul 879.00 341
93 Lisol 1 liter Botol 52,070.00 -
94 Loratadine 10 mg Tablet 162.00 -
95 Manegsium sulfat inj (IV) 20 % 25ml Botol 1,617.00 -
96 Manegsium sulfat inj (IV) 40% 25ml Botol 2,045.00 68
97 Metil ergometrin Inj 0,2mg /ml Tablet 2,750.00 -
98 Metil ergometrin tab 0,125 mg Tablet 162.00 900
99 Metoclorpamid Tablet 111.00 500
100 Metronidazol 250mg tablet Tablet 113.00 -
101 Metronidazol 500mg tablet Tablet 164.00 1,300
102 Metronidazol infus 500mg/100ml Botol 10,250.00 3
103 Mikonazole krim Tube 3,075.00 66
104 Natrium bikarbonat tab 500 mg Tablet 19.31 -
105 Natrium Diklovenac Tablet 140.00 340
106 Natrium klorida Infus 0,9% Botol 4,935.00 454
107 Neo-K Inj Ampul 11,000.00 20
108 Nifedipin 10 mg Tablet 110.00 450
109 Nistatin 100.000 IU tablet vaginal Tablet 504.00 -
110 Nistatin 500.000 IU tablet salut Tablet 672.00 500
111 Obat anti tuberkolusis katagori anak Paket 225,740.00 -
112 Obat anti tuberkolusis kategori I Paket 377,900.00 4
113 Obat anti tuberkolusis kategori II Paket 1,259,990.00 -
114 Obat anti tuberkolusis kategori sisipan Paket 168,000.00 -
115 Obat batuk hitam (OBH ) cairan Botol 1,299.38 65
116 Oksitetrasiclin Hcl Inj IM 50mg/ml 10ml Vial 3,255.00 14
117 Oksitetrasiclin salep kulit 3% Tube 2,261.00 -
118 Oksitetrasiclin salep mata 1% Tube 2,016.00 17
119 Oksitosin inj 10 IU/ ml,1ml Ampul 1,874.27 43
120 Omeprazol 20 mg Kapsul 216.00 -
121 Paracetamol syr 120mg/ 5ml Botol 1,496.00 510
122 Paracetamol drop Botol 5,460.00 -
123 Paracetamol tablet 100 mg Tablet 56.57 -
SOROMANDI

HARGA SISA PER 31


NO NAMA SEDIAAN SATUAN PEROLEHAN DESEMBER
(E_Catalog) 2014

1 2 3 4 5
124 Paracetamol tablet 500 mg Tablet 84.00 4,200
125 Pirantel pamoat tablet 125 mg Tablet 308.00 68
126 Piridoxin Hcl tablet 10 mg Tablet 18.27 2,000
127 Piroksicam kaps 20 mg Kapsul 110.25 1,000
128 Prednison tablet 5 mg Tablet 119.00 840
129 Primakina tablet 15 mg Tablet 147.15 -
130 Prokain Benz Penicillin Inj 3 Jt IU / vl Vial 7,549.00 -
131 Propanolol tablet 10 mg Tablet 79.00 -
132 Propanolol tablet 40 mg Tablet 110.00 100
133 Propiltiourasil tablet 100 mg Tablet 335.00 100
134 Ranitidine 150 mg Tablet 122.00 300
135 Ranitidine injeksi ampul 1,190.00 -
136 Reserpin tablet 0,25 mg Tablet 118.80 -
137 Retinol (Vit.A) 100.000 IU Kapsul 273.00 150
138 Retinol (Vit.A) 200.000 IU Kapsul 482.00 1,348
139 Ringer Lactat infus steril Botol 5,460.00 1,078
140 Sabupolivalen 5 ml ( ABU I ) vial 495,000.00 3
141 Salbutamol tablet 2 mg Tablet 62.00 650
142 Salbutamol tablet 4 mg Tablet 91.00 -
143 Salep 2 - 4 kombinasi Tablet 2,100.00 -
144 Salisil bedak 2% Tube 1,250.00 65
145 Serum anti tetanus 1.500 IU/VL (ATS ) Ampul 72,450.00 -
146 Serum anti tetanus 20.000 IU/VL (ATS ) Ampul 525,000.00 -
147 Sianocobalamin (Vit B12 ) inj 500mcg/ml Ampul 1,132.00 30
148 Simvastatin 20 mg Tablet 394.00 -
149 Siprofloxacin 500 mg Tablet 260.00 3,500
150 Tablet tambah darah kombinasi Tablet 43.00 10,070
151 Tetracain Tetes Mata 0,5% Botol 11,500.00 -
152 Tetrasiclin Hcl kapsul 250 mg Kapsul 154.00 1,200
153 Thiamine Hcl 50 mg tab Tablet 58.97 3,300
154 Thiamine Hcl inj. Ampul 997.47 -
155 Triheksipenidil Hcl tablet 2mg Tablet 43.00 1,650
156 Vitamin B complek tab Tablet 110.00 8,300
157 Yodium povidon larutan 10% 30 ml Botol 3,683.00 83
158 Yodium povidon larutan 10% 300 ml Botol 22,860.00 7
159 Zink tablet 20 mg Tablet 497.00 -

II OBAT GIGI DAN PERBEKKES


160 Abbocath 18 G pcs 4,826.00 131
161 Abbocath 20 G pcs 4,826.00 233
162 Abbocath 22 G pcs 4,826.00 147
163 Abbocath 24 G pcs 4,826.00 198
SOROMANDI

HARGA SISA PER 31


NO NAMA SEDIAAN SATUAN PEROLEHAN DESEMBER
(E_Catalog) 2014

1 2 3 4 5
164 Alat suntik sekali pakai 1 ml pcs 826.00 10
165 Alat suntik sekali pakai 2,5 ml pcs 826.00 600
166 Alat suntik sekali pakai 5 ml pcs 953.00 448
167 Catgut / benang bedah 2/0-3/0 pcs 7,090.83 92
168 Devitalisasi Pasta Botol 495,000.00 3
169 Etil klorida semprot Botol 126,500.00 5
170 Folley Catheter 2 way No.14 Pcs 10,160.00 -
171 Folley Catheter 2 way No.16 Pcs 10,160.00 -
172 Folley Catheter 2 way No.18 Pcs 10,160.00 -
173 Glass Ionmer (Gcix) Set 715,000.00 3
174 Hand scond pcs 4,462.00 -
175 Infusion set anak anak pcs 4,445.00 233
176 Infusion set dewasa pcs 4,064.00 282
177 Kalsium Hidroksida pasta Tube 865,700.00 2
178 Kasa Elastic / Elastomul hulf Rol 48,650.00 5
179 Kasa Kompres 40 x 40 Rol 2,032.00 -
180 Kapas pembalut/absorben 250gram Rol 15,875.00 2
181 Kasa pembalut hidrofil 2x80 Rol 9,779.00 31
182 Kasa pembalut hidrofil 4x10 Rol 1,905.00 200
183 Kasa pembalut hidrofil 4x5 Rol 953.00 120
184 Kasa Steril 16 x 16 Kotak 7,366.00 -
185 Khlor Canfer Menthol (CHKM) Botol 57,750.00 -
186 Kohesive Bandage ( Elastic Bandage) Rol 39,328.00 -
187 Masker Kotak 20 pcs 22,500.00 257
188 Mummiffyng Pasta Botol 242,200.00 -
189 Plester 5 yard X 2 inchi Rol 23,625.00 35
190 Semen Seng Fosfat Set 242,200.00 1
191 Silk (benang brdah sutera) no3/0 , 2/0 pcs 3,880.56 66
192 Temporary (Fletcher) Set 165,000.00 3
193 Tricresol Formalin Set 49,500.00 1
194 Urine Bag Set 3,810.00 25

III REAGENT DAN BAHAN LAB


195 Alkohol Botol 1000 ml 27,305.00 -
196 Aquadest Botol 1000 ml 13,000.00 1
197 Asam Acetat 6 % Botol 100 ml 34,000.00 -
198 BaCl2 10 % Botol 100 ml 19,000.00 -
199 Benedict Botol 100 ml 100,000.00 -
200 Blood Lancet Kotak @ 200 buah 52,000.00 26
201 Box Slide Kotak 138,000.00 -
202 Cover Glass Kotak @ 50 lbr 17,000.00 -
203 EDTA 10 % Botol 100 ml 95,000.00 -
SOROMANDI

HARGA SISA PER 31


NO NAMA SEDIAAN SATUAN PEROLEHAN DESEMBER
(E_Catalog) 2014

1 2 3 4 5
204 Fouchet Botol 100 ml 140,000.00 -
205 Giemza Botol100 ml 190,000.00 400
206 Golongan Darah Set 3 x 10 ml 257,000.00 -
207 Haemocytometer Set 1,300,000.00 -
208 Haemometer/HB Sahli Unit 110,000.00 -
209 Handscund 7,5 Kotak 50 psg 467,500.00 -
210 Handscund 7 Kotak 50 psg 467,500.00 -
211 HCl 0,1 N Botol 100 ml 15,000.00 -
212 Kapas Bungkus 1/2 kg 24,000.00 -
213 Na Citrat 3,8 % Botol 50 ml 13,000.00 -
214 Oil Emersi Botol 100 ml 360,000.00 -
215 Paper Lens Buah 16,000.00 -
216 Penjepit Tabung Buah 4,000.00 -
217 Pipet Tetes PCS 3,000.00 -
218 Pot Dahak Buah 3,000.00 -
219 Reagen Widal Set 426,000.00 -
220 Rees Ecker Botol 100 ml 45,000.00 -
221 Slide Frosted Kotak / 72's 27,000.00 30
222 Spiritus Kantong 500 ml 40,000.00 -
223 Tabung Serologi PCS 6,500.00 -
224 Tabung Reaksi PCS 4,500.00 -
225 Tabung Centrifuge PCS 6,250.00 -
226 Ziel nelsen Kotak 177,000.00 1
-
V OBAT JIWA -
227 Sikzonoate inj Ampul 60,000.00 20
-
VI VAKSIN -
228 Vaksin carier Vial -
229 Vaksin Polio Vial 12500.00 12
230 Vaksin TT Vial 13475.00 2
231 Vaksin BCG Vial 40000.00 1
232 Vaksin DPT/ HB Vial 65000.00 20
233 Vaksin Campak Vial 45000.00 10
234 Hb 0 Vial 175000.00 44

TOTAL NILAI PER

Bima, Januari 2015


SOROMANDI

HARGA SISA PER 31


NO NAMA SEDIAAN SATUAN PEROLEHAN DESEMBER
(E_Catalog) 2014

1 2 3 4 5
Kepala Puskesmas Soromandi

Alamsyah, SKM
Nip. 19721231 199303 1 049
ROMANDI

NILAI PERSEDIAAN
AKHIR PER 31 DES
2014

6
126,810
-
35,200
240,780
45,100
-
58,500
3,753,000
1,025,000
673,400
-
264,100
-
-
42,600
708,750
6,300
138,600
460,000
232,000
9,240
38,500
-
-
-
-
-
-
1,165,125
-
-
-
305,256
569,600
-
-
-
-
-
NILAI PERSEDIAAN
AKHIR PER 31 DES
2014

6
-
85,050
-
29,151
20,600
-
72,800
420,000
-
-
143,280
66,600
16,000
-
939,300
-
231,480
23,650
69,600
216,000
430,920
1,277,640
418,000
90,000
-
-
-
231,348
-
612,000
-
102,200
-
-
222,500
77,100
-
149,650
165,000
129,000
108,240
71,820
NILAI PERSEDIAAN
AKHIR PER 31 DES
2014

6
-
33,090
91,800
-
-
957,000
-
604,384
-
1,393,920
299,739
-
-
-
139,060
-
145,800
55,500
-
213,200
30,750
202,950
-
47,600
2,240,490
220,000
49,500
-
336,000
-
1,511,600
-
-
84,460
45,570
-
34,272
80,594
-
762,960
-
-
NILAI PERSEDIAAN
AKHIR PER 31 DES
2014

6
352,800
20,944
36,540
110,250
99,960
-
-
-
11,000
33,500
36,600
-
-
40,950
649,736
5,885,880
1,485,000
40,300
-
-
81,250
-
-
33,960
-
910,000
433,010
-
184,800
194,601
-
70,950
913,000
305,689
160,020
-

632,206
1,124,458
709,422
955,548
NILAI PERSEDIAAN
AKHIR PER 31 DES
2014

6
8,260
495,600
426,944
652,357
1,485,000
632,500
-
-
-
2,145,000
-
1,035,685
1,146,048
1,731,400
243,250
-
31,750
303,149
381,000
114,360
-
-
-
5,782,500
-
826,875
242,200
256,117
495,000
49,500
95,250

-
13,000
-
-
-
1,352,000
-
-
-
NILAI PERSEDIAAN
AKHIR PER 31 DES
2014

6
-
76,000,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
810,000
-
-
-
-
177,000
-
-
1,200,000
-
-
-
150,000
26,950
40,000
1,300,000
450,000
7,700,000

149,208,097

a, Januari 2015
NILAI PERSEDIAAN
AKHIR PER 31 DES
2014

6
kesmas Soromandi

231 199303 1 049


NILAI PERSEDIAAN AKHIR PUSKESMAS PAI
PER 31 DESEMBER 2014
PAI
HARGA Sisa Stok per 31
NO NAMA SEDIAAN SATUAN PEROLEHAN Desember 2014
(E_Catalog)

1 2 3 4 5
1 ACT Antimalaria / Arterakine tablet Tablet 1,409 1,460
2 ACT Antimalaria /Artesunat tab Ampul 1,409 -
3 Aluporinol tablet 100 mg Tablet 88 -
4 Aminofillin Inj 24mg/ml-10ml Ampul 4,013 51
5 Aminofillin tablet 200 mg Tablet 82 2,700
6 Aminofluid Kantong 64,680 11
7 Amitriptillin tablet 25 mg Tablet 117 700
8 Amoxicillin kaplet 500mg Tablet 270 10,600
9 Amoxicillin Syr Kering 125mg/5ml Botol 2,500 258
10 Antasida Doen tab Tablet 74 8,500
11 Antasida Syrup Botol 2,160 -
12 Anti Bakteri Doen salep kombinasi Tube 2,641 -
13 Anti fungi Doen Kombinasi Tube 2,001 -
14 Anti Haemoroid Doen Kombinasi Supp 2,100 20
15 Anti migrain Doen Kombinasi Tablet 142 500
16 Antiparkinson/ levopar Tablet 1,575 200
17 Aqua pro Inj Steril bebas pirogen Botol 2,100 13
18 Arthemeter injeksi Ampul 23,100 -
19 Asam ascorbat (vitc ) tab 50 mg Tablet 100 3,400
20 Asam mefenamat tablet 500mg Tablet 116 2,000
21 Atropin sulfas Inj 0,2ml/ml-1ml Ampul 1,540 10
22 Atropin sulfas tablet 0,5mg Tablet 77 200
23 Benzatin B. penisillin 1,2 jt iu/vial Vial 10,290 -
24 Benzatin B. penisillin 2,4 jt iu/vial Vial 14,070 -
25 Betamethason cream 0,1% Tube 1,558 -
26 Captopril 12,5 mg tablet Tablet 62 -
27 Captopril 25 mg tablet Tablet 89 -
28 Carbamazepin 200 mg Tablet 257 -
29 Cimetidin tablet Tablet 179 3,000
30 Co-Amoxiclav 500 mg Tablet 5,308 -
31 Codein 20m mg Tablet 1,155 -
32 Depo Profera Vial 10,500 -
33 Dexamethason Inj 5ml/ml-1ml Ampul 1,659 158
34 Dexamethason tablet 0,5 mg Tablet 64 9,000
35 Diazepam Inj 5mg /ml,2ml Ampul 2,487 -
36 Diazepam tablet 2mg Tablet 46 -
PAI
HARGA Sisa Stok per 31
NO NAMA SEDIAAN SATUAN PEROLEHAN
(E_Catalog) Desember 2014

1 2 3 4 5
37 Diazepam tablet 5 mg btl 250 Tablet 42 -
38 Digoksin tablet 0,25mg Tablet 100 -
39 Diphenhidramin Inj 10mg/ml,1ml Ampul 840 -
40 Efedrin tablet Tablet 45 -
41 Epinerpin Inj 0,1% , 1ml Ampul 8,505 35
42 Erytromicin 500 mg Kaplet 976 -
43 Etakrida (Rivanol) larutan 0,1% Botol 3,239 11
44 Etanol 70% 100 ml Botol 2,575 13
45 Eugenol Cairan Botol 17,500 -
46 Extrak belladon tablet 10 mg Tablet 28 3,500
47 Fenitoin kaps 30mg Tablet 140 -
48 Fenobarbital 30 mg Tablet 49 170
49 Fenobarbital injeksi ampul 1,890 5
50 Fitomenadion (vit k ) Inj 10mg/ml 1ml Ampul 3,582 103
51 Fitomenadion (vit k) tablet salut 10mg Tablet 666 200
52 Furosemida tablet 40 mg Tablet 80 2,500
53 Gameksan Emulsi 1% Botol 2,310 -
54 Garam Oralit untuk 200ml air saset 303 540
55 Gentamisin inj.80 mg/2 ml Ampul 3,569 -
56 Gentamisin salep kulit Tube 1,929 14
57 Gentian violet larutan 1% Botol 473 22
58 Glibenclamid Tablet 58 600
59 Gliseril Guayakolat tablet 100 mg Tablet 24 7,000
60 Glukosa infus 10% Botol 5,985 -
61 Glukosa infus 5% Botol 5,460 559
62 Griseofulvin tab 125 mg Tablet 220 3,500
63 Haloperidol 5 mg Tablet 100 100
64 Haloperidol Tab 0,5 mg Tablet 61 100
65 Haloperidol Tab 1,5 mg Tablet 72 300
66 Hidroklorotiazid ( HCT ) tab 25 mg Tablet 38 51
67 Hidrokortizon Cream Tube 2,966 29
68 Ibuprofen Syr 200 mg Botol 116 -
69 Ibuprofen tablet 400 mg Tablet 153 5,300
70 Isosorbit dinitrat sublingual tablet Tablet 93 -
71 Kalsium Lactat tablet 500 mg Tablet 73 2,200
72 Kalsium Gluconas inj Ampul 7,800 -
73 Kaptopril 12,5 mg tablet Tablet 62 -
74 Kaptopril 25 mg tablet Tablet 89 1,900
75 Karbamazepin 200 mg Tablet 257 -
PAI
HARGA Sisa Stok per 31
NO NAMA SEDIAAN SATUAN PEROLEHAN
(E_Catalog) Desember 2014

1 2 3 4 5
76 Karbogliserin TT 10% Tube 2,144 -
77 Ketokonazole Crim Tube 2,993 -
78 Klofeniramin maleat ( CTM ) tab 4 mg Tablet 25 3,800
79 Kloramfenikol kapsul 250 mg Kapsul 258 1,500
80 Kloramfenikol salep mata 1% Tube 1,640 36
81 Kloramfenikol tetes telinga 3% Botol 1,260 19
82 Klorokina fosfat tablet 250 mg Tablet 110 -
83 Klorpromazin Injeksi 25 mg/ml Ampul 1,103 30
84 Klorpromazin tablet 100 mg Tablet 153 900
85 Klorpromazin tablet 25 mg Tablet 71 -
86 Komb piritamin 25mg+sulfadoxin 500mg Tablet 544 -
87 Kotrimoxazol dewasa tablet Tablet 145 7,600
88 Kotrimoxazol pediaktrik tablet Tablet 50 -
89 Kotrimoxazol suspensi Botol 2,222 146
90 Kuinin dihidroklorida Inj 25% 2ml Ampul 6,510 30
91 Kuinin dihidroklorida tablet 200 mg Tablet 704 240
92 Lidokain kompositum Inj Ampul 879 85
93 Lisol 1 liter Botol 52,070 3
94 Loratadine 10 mg Tablet 162 -
95 Manegsium sulfat inj (IV) 20 % 25ml Botol 1,617 -
96 Manegsium sulfat inj (IV) 40% 25ml Botol 2,045 40
97 Metil ergometrin Inj 0,2mg /ml Tablet 2,750 50
98 Metil ergometrin tab 0,125 mg Tablet 162 650
99 Metoclorpamid Tablet 111 200
100 Metronidazol 250mg tablet Tablet 113 -
101 Metronidazol 500mg tablet Tablet 164 2,000
102 Metronidazol infus 500mg/100ml Botol 10,250 50
103 Mikonazole krim Tube 3,075 90
104 Natrium bikarbonat tab 500 mg Tablet 19 200
105 Natrium Diklovenac Tablet 140 100
106 Natrium klorida Infus 0,9% Botol 4,935 560
107 Neo-K Inj Ampul 11,000 -
108 Nifedipin 10 mg Tablet 110 -
109 Nistatin 100.000 IU tablet vaginal Tablet 504 -
110 Nistatin 500.000 IU tablet salut Tablet 672 -
111 Obat anti tuberkolusis katagori anak Paket 225,740 -
112 Obat anti tuberkolusis kategori I Paket 377,900 10
113 Obat anti tuberkolusis kategori II Paket 1,259,990 -
114 Obat anti tuberkolusis kategori sisipan Paket 168,000 -
PAI
HARGA Sisa Stok per 31
NO NAMA SEDIAAN SATUAN PEROLEHAN
(E_Catalog) Desember 2014

1 2 3 4 5
115 Obat batuk hitam (OBH ) cairan Botol 1,299 60
116 Oksitetrasiclin Hcl Inj IM 50mg/ml 10ml Vial 3,255 48
117 Oksitetrasiclin salep kulit 3% Tube 2,261 -
118 Oksitetrasiclin salep mata 1% Tube 2,016 -
119 Oksitosin inj 10 IU/ ml,1ml Ampul 1,874 44
120 Omeprazol 20 mg Kapsul 216 -
121 Paracetamol syr 120mg/ 5ml Botol 1,496 275
122 Paracetamol drop Botol 5,460 -
123 Paracetamol tablet 100 mg Tablet 57 -
124 Paracetamol tablet 500 mg Tablet 84 2,000
125 Pirantel pamoat tablet 125 mg Tablet 308 100
126 Piridoxin Hcl tablet 10 mg Tablet 18 4,000
127 Piroksicam kaps 20 mg Kapsul 110 1,300
128 Prednison tablet 5 mg Tablet 119 2,300
129 Primakina tablet 15 mg Tablet 147 1,000
130 Prokain Benz Penicillin Inj 3 Jt IU / vl Vial 7,549 -
131 Propanolol tablet 10 mg Tablet 79 -
132 Propanolol tablet 40 mg Tablet 110 300
133 Propiltiourasil tablet 100 mg Tablet 335 -
134 Ranitidine 150 mg Tablet 122 -
135 Ranitidine injeksi ampul 1,190 -
136 Reserpin tablet 0,25 mg Tablet 119 -
137 Retinol (Vit.A) 100.000 IU Kapsul 273 -
138 Retinol (Vit.A) 200.000 IU Kapsul 482 -
139 Ringer Lactat infus steril Botol 5,460 664
140 Sabupolivalen 5 ml ( ABU I ) vial 495,000 -
141 Salbutamol tablet 2 mg Tablet 62 2,700
142 Salbutamol tablet 4 mg Tablet 91 -
143 Salep 2 - 4 kombinasi Tablet 2,100 -
144 Salisil bedak 2% Tube 1,250 70
145 Serum anti tetanus 1.500 IU/VL (ATS ) Ampul 72,450 -
146 Serum anti tetanus 20.000 IU/VL (ATS ) Ampul 525,000 -
147 Sianocobalamin (Vit B12 ) inj 500mcg/ml Ampul 1,132 183
148 Simvastatin 20 mg Tablet 394 -
149 Siprofloxacin 500 mg Tablet 260 1,500
150 Tablet tambah darah kombinasi Tablet 43 8,820
151 Tetracain Tetes Mata 0,5% Botol 11,500 -
152 Tetrasiclin Hcl kapsul 250 mg Kapsul 154 2,900
153 Thiamine Hcl 50 mg tab Tablet 59 2,900
PAI
HARGA Sisa Stok per 31
NO NAMA SEDIAAN SATUAN PEROLEHAN
(E_Catalog) Desember 2014

1 2 3 4 5
154 Thiamine Hcl inj. Ampul 997 94
155 Triheksipenidil Hcl tablet 2mg Tablet 43 100
156 Vitamin B complek tab Tablet 110 7,900
157 Yodium povidon larutan 10% 30 ml Botol 3,683 34
158 Yodium povidon larutan 10% 300 ml Botol 22,860 9
159 Zink tablet 20 mg Tablet 497 -

II OBAT GIGI DAN PERBEKKES


160 Abbocath 18 G pcs 4,826 229
161 Abbocath 20 G pcs 4,826 245
162 Abbocath 22 G pcs 4,826 121
163 Abbocath 24 G pcs 4,826 147
164 Alat suntik sekali pakai 1 ml pcs 826 -
165 Alat suntik sekali pakai 2,5 ml pcs 826 266
166 Alat suntik sekali pakai 5 ml pcs 953 329
167 Catgut / benang bedah 2/0-3/0 pcs 7,091 29
168 Devitalisasi Pasta Botol 495,000 -
169 Etil klorida semprot Botol 126,500 2
170 Folley Catheter 2 way No.14 Pcs 10,160 -
171 Folley Catheter 2 way No.16 Pcs 10,160 -
172 Folley Catheter 2 way No.18 Pcs 10,160 -
173 Glass Ionmer (Gcix) Set 715,000 -
174 Hand scond pcs 4,462 86
175 Infusion set anak anak pcs 4,445 153
176 Infusion set dewasa pcs 4,064 193
177 Kalsium Hidroksida pasta Tube 865,700 -
178 Kasa Elastic / Elastomul hulf Rol 48,650 -
179 Kasa Kompres 40 x 40 Rol 2,032 -
180 Kapas pembalut/absorben 250gram Rol 15,875 11
181 Kasa pembalut hidrofil 2x80 Rol 9,779 5
182 Kasa pembalut hidrofil 4x10 Rol 1,905 135
183 Kasa pembalut hidrofil 4x5 Rol 953 80
184 Kasa Steril 16 x 16 Kotak 7,366 5
185 Khlor Canfer Menthol (CHKM) Botol 57,750 -
186 Kohesive Bandage ( Elastic Bandage) Rol 39,328 -
187 Masker Kotak 20 pcs 22,500 67
188 Mummiffyng Pasta Botol 242,200 -
189 Plester 5 yard X 2 inchi Rol 23,625 -
190 Semen Seng Fosfat Set 242,200 -
PAI
HARGA Sisa Stok per 31
NO NAMA SEDIAAN SATUAN PEROLEHAN
(E_Catalog) Desember 2014

1 2 3 4 5
191 Silk (benang brdah sutera) no3/0 , 2/0 pcs 3,881 46
192 Temporary (Fletcher) Set 165,000 -
193 Tricresol Formalin Set 49,500 -
194 Urine Bag Set 3,810 -

III REAGENT DAN BAHAN LAB


195 Alkohol Botol 1000 ml 27,305 -
196 Aquadest Botol 1000 ml 13,000 1
197 Asam Acetat 6 % Botol 100 ml 34,000 -
198 BaCl2 10 % Botol 100 ml 19,000 -
199 Benedict Botol 100 ml 100,000 -
200 Blood Lancet Kotak @ 200 buah 52,000 100
201 Box Slide Kotak 138,000 -
202 Cover Glass Kotak @ 50 lbr 17,000 -
203 EDTA 10 % Botol 100 ml 95,000 -
204 Fouchet Botol 100 ml 140,000 -
205 Giemza Botol100 ml 190,000 1
206 Golongan Darah Set 3 x 10 ml 257,000 -
207 Haemocytometer Set 1,300,000 -
208 Haemometer/HB Sahli Unit 110,000 -
209 Handscund 7,5 Kotak 50 psg 467,500 -
210 Handscund 7 Kotak 50 psg 467,500 -
211 HCl 0,1 N Botol 100 ml 15,000 -
212 Kapas Bungkus 1/2 kg 24,000 -
213 Na Citrat 3,8 % Botol 50 ml 13,000 -
214 Oil Emersi Botol 100 ml 360,000 -
215 Paper Lens Buah 16,000 -
216 Penjepit Tabung Buah 4,000 -
217 Pipet Tetes PCS 3,000 -
218 Pot Dahak Buah 3,000 -
219 Reagen Widal Set 426,000 -
220 Rees Ecker Botol 100 ml 45,000 -
221 Slide Frosted Kotak / 72's 27,000 11
222 Spiritus Kantong 500 ml 40,000 -
223 Tabung Serologi PCS 6,500 -
224 Tabung Reaksi PCS 4,500 -
225 Tabung Centrifuge PCS 6,250 -
226 Ziel nelsen Kotak 177,000 2
PAI
HARGA Sisa Stok per 31
NO NAMA SEDIAAN SATUAN PEROLEHAN
(E_Catalog) Desember 2014

1 2 3 4 5
V OBAT JIWA
227 Sikzonoate inj Ampul 60,000 -

VI VAKSIN
229 Vaksin Polio Vial 12,500 -
230 Vaksin TT Vial 13,475 -
231 Vaksin BCG Vial 40,000 -
232 Vaksin DPT/ HB Vial 65,000 -
233 Vaksin Campak Vial 45,000 -
234 Hb 0 Vial 175,000 -
-
-

TOTAL NILAI PE

Bima, Januari 2015,-

Kepala Puskesmas Pai

Ahmadin, SKM
Nip. 19660623 198803 1 010
SEDIAAN AKHIR PUSKESMAS PAI
ER 31 DESEMBER 2014

Nilai Persediaan
akhir per 31
Desember 2014

6
2,057,140
-
-
204,663
221,400
711,480
81,900
2,862,000
645,000
629,000
-
-
-
42,000
71,000
315,000
27,300
-
340,000
232,000
15,400
15,400
-
-
-
-
-
-
537,750
-
-
-
262,122
576,000
-
-
Nilai Persediaan
akhir per 31
Desember 2014

6
-
-
-
-
297,675
-
35,629
33,475
-
98,000
-
8,330
9,450
368,946
133,200
200,000
-
163,620
-
27,006
10,406
34,800
168,000
-
3,052,140
770,000
10,000
6,100
21,600
1,938
86,014
-
810,900
-
160,600
-
-
169,100
-
Nilai Persediaan
akhir per 31
Desember 2014

6
-
-
95,000
387,000
59,040
23,940
-
33,090
137,700
-
-
1,102,000
-
324,412
195,300
168,960
74,715
156,210
-
-
81,800
137,500
105,300
22,200
-
328,000
512,500
276,750
3,861
14,000
2,763,600
-
-
-
-
-
3,779,000
-
-
Nilai Persediaan
akhir per 31
Desember 2014

6
77,963
156,240
-
-
82,468
-
411,400
-
-
168,000
30,800
73,080
143,325
273,700
147,150
-
-
33,000
-
-
-
-
-
-
3,625,440
-
167,400
-
-
87,500
-
-
207,156
-
390,000
379,260
-
446,600
171,013
Nilai Persediaan
akhir per 31
Desember 2014

6
93,762
4,300
869,000
125,222
205,740
-

1,105,154
1,182,370
583,946
709,422
-
219,716
313,537
205,634
-
253,000
-
-
-
-
383,732
680,085
784,352
-
-
-
174,625
48,895
257,175
76,240
36,830
-
-
1,507,500
-
-
-
Nilai Persediaan
akhir per 31
Desember 2014

6
178,506
-
-
-

-
13,000
-
-
-
5,200,000
-
-
-
-
190,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
297,000
-
-
-
-
354,000
Nilai Persediaan
akhir per 31
Desember 2014

-
-
-
-
-
-
-
-

50,429,599

Bima, Januari 2015,-

Kepala Puskesmas Pai

Nip. 19660623 198803 1 010


NILAI PERSEDIAAN AKHIR PUSKESMAS PARADO
PER 31 DESEMBER 2014

PARADO

HARGA Sisa Stok per 31


NO NAMA SEDIAAN SATUAN PEROLEHAN Desember 2014
(E_Catalog)

1 2 3 4 5
1 ACT Antimalaria / Arterakine tablet Tablet 1,409.00 -
2 ACT Antimalaria /Artesunat tab Ampul 1,409.00 -
3 Aluporinol tablet 100 mg Tablet 88.00
4 Aminofillin Inj 24mg/ml-10ml Ampul 4,013.00 44
5 Aminofillin tablet 200 mg Tablet 82.00 500
6 Aminofluid Kantong 64,680.00 -
7 Amitriptillin tablet 25 mg Tablet 117.00 100
8 Amoxicillin kaplet 500mg Tablet 270.00 12,800
9 Amoxicillin Syr Kering 125mg/5ml Botol 2,500.00 190
10 Antasida Doen tab Tablet 74.00 7,950
11 Antasida Syrup Botol 2,160.00 -
12 Anti Bakteri Doen salep kombinasi Tube 2,641.00 25
13 Anti fungi Doen Kombinasi Tube 2,001.04 -
14 Anti Haemoroid Doen Kombinasi Supp 2,100.00 10
15 Anti migrain Doen Kombinasi Tablet 142.00 100
16 Antiparkinson/ levopar Tablet 1,575.00 -
17 Aqua pro Inj Steril bebas pirogen Botol 2,100.00 21
18 Arthemeter injeksi Ampul 23,100.00 -
19 Asam ascorbat (vitc ) tab 50 mg Tablet 100.00 3,600
20 Asam mefenamat tablet 500mg Tablet 116.00 1,000
21 Atropin sulfas Inj 0,2ml/ml-1ml Ampul 1,540.00 -
22 Atropin sulfas tablet 0,5mg Tablet 77.00 -
23 Benzatin B. penisillin 1,2 jt iu/vial Vial 10,290.00 -
24 Benzatin B. penisillin 2,4 jt iu/vial Vial 14,070.00 -
25 Betamethason cream 0,1% Tube 1,558.00 -
26 Captopril 12,5 mg tablet Tablet 62.00 -
27 Captopril 25 mg tablet Tablet 89.00 -
28 Carbamazepin 200 mg Tablet 257.00 -
29 Cimetidin tablet Tablet 179.25 2,000
30 Co-Amoxiclav 500 mg Tablet 5,308.37 -
31 Codein 20m mg Tablet 1,155.00 100
32 Depo Profera Vial 10,500.00 -
33 Dexamethason Inj 5ml/ml-1ml Ampul 1,659.00 104
34 Dexamethason tablet 0,5 mg Tablet 64.00 5,300
35 Diazepam Inj 5mg /ml,2ml Ampul 2,487.00 18
36 Diazepam tablet 2mg Tablet 46.00 -
37 Diazepam tablet 5 mg btl 250 Tablet 42.00 -
PARADO

HARGA Sisa Stok per 31


NO NAMA SEDIAAN SATUAN PEROLEHAN Desember 2014
(E_Catalog)

1 2 3 4 5
38 Digoksin tablet 0,25mg Tablet 100.00 500
39 Diphenhidramin Inj 10mg/ml,1ml Ampul 840.00 -
40 Efedrin tablet Tablet 45.00 -
41 Epinerpin Inj 0,1% , 1ml Ampul 8,505.00 184
42 Erytromicin 500 mg Kaplet 976.00 -
43 Etakrida (Rivanol) larutan 0,1% Botol 3,239.00 -
44 Etanol 70% 100 ml Botol 2,575.00 10
45 Eugenol Cairan Botol 17,500.00 -
46 Extrak belladon tablet 10 mg Tablet 28.00 2,300
47 Fenitoin kaps 30mg Tablet 140.00 -
48 Fenobarbital 30 mg Tablet 49.00 270
49 Fenobarbital injeksi ampul 1,890.00 6
50 Fitomenadion (vit k ) Inj 10mg/ml 1ml Ampul 3,582.00 12
51 Fitomenadion (vit k) tablet salut 10mg Tablet 666.00 -
52 Furosemida tablet 40 mg Tablet 80.00 200
53 Gameksan Emulsi 1% Botol 2,310.00 -
54 Garam Oralit untuk 200ml air saset 303.00 1,710
55 Gentamisin inj.80 mg/2 ml Ampul 3,569.00 -
56 Gentamisin salep kulit Tube 1,929.00 25
57 Gentian violet larutan 1% Botol 473.00 24
58 Glibenclamid Tablet 58.00 600
59 Gliseril Guayakolat tablet 100 mg Tablet 24.00 6,220
60 Glukosa infus 10% Botol 5,985.00 -
61 Glukosa infus 5% Botol 5,460.00 263
62 Griseofulvin tab 125 mg Tablet 220.00 2,700
63 Haloperidol 5 mg Tablet 100.00 200
64 Haloperidol Tab 0,5 mg Tablet 61.00 -
65 Haloperidol Tab 1,5 mg Tablet 72.00 250
66 Hidroklorotiazid ( HCT ) tab 25 mg Tablet 38.00 -
67 Hidrokortizon Cream Tube 2,966.00 53
68 Ibuprofen Syr 200 mg Botol 116.00 -
69 Ibuprofen tablet 400 mg Tablet 153.00 5,100
70 Isosorbit dinitrat sublingual tablet Tablet 93.00 100
71 Kalsium Lactat tablet 500 mg Tablet 73.00 2,010
72 Kalsium Gluconas inj Ampul 7,800.00 -
73 Kaptopril 12,5 mg tablet Tablet 62.00 3,030
74 Kaptopril 25 mg tablet Tablet 89.00 -
75 Karbamazepin 200 mg Tablet 257.00 130
76 Karbogliserin TT 10% Tube 2,144.00 -
77 Ketokonazole Crim Tube 2,993.00 66
78 Klofeniramin maleat ( CTM ) tab 4 mg Tablet 25.00 7,800
PARADO

HARGA Sisa Stok per 31


NO NAMA SEDIAAN SATUAN PEROLEHAN Desember 2014
(E_Catalog)

1 2 3 4 5
79 Kloramfenikol kapsul 250 mg Kapsul 258.00 1,000
80 Kloramfenikol salep mata 1% Tube 1,640.00 72
81 Kloramfenikol tetes telinga 3% Botol 1,260.00 84
82 Klorokina fosfat tablet 250 mg Tablet 110.00 -
83 Klorpromazin Injeksi 25 mg/ml Ampul 1,103.00 -
84 Klorpromazin tablet 100 mg Tablet 153.00 500
85 Klorpromazin tablet 25 mg Tablet 71.00 -
86 Komb piritamin 25mg+sulfadoxin 500mg Tablet 544.00 -
87 Kotrimoxazol dewasa tablet Tablet 145.00 8,050
88 Kotrimoxazol pediaktrik tablet Tablet 50.00 -
89 Kotrimoxazol suspensi Botol 2,222.00 240
90 Kuinin dihidroklorida Inj 25% 2ml Ampul 6,510.00 10
91 Kuinin dihidroklorida tablet 200 mg Tablet 704.00 -
92 Lidokain kompositum Inj Ampul 879.00 338
93 Lisol 1 liter Botol 52,070.00 5
94 Loratadine 10 mg Tablet 162.00 -
95 Manegsium sulfat inj (IV) 20 % 25ml Botol 1,617.00 -
96 Manegsium sulfat inj (IV) 40% 25ml Botol 2,045.00 25
97 Metil ergometrin Inj 0,2mg /ml Tablet 2,750.00 100
98 Metil ergometrin tab 0,125 mg Tablet 162.00 2,370
99 Metoclorpamid Tablet 111.00 600
100 Metronidazol 250mg tablet Tablet 113.00 -
101 Metronidazol 500mg tablet Tablet 164.00 3,060
102 Metronidazol infus 500mg/100ml Botol 10,250.00 10
103 Mikonazole krim Tube 3,075.00 43
104 Natrium bikarbonat tab 500 mg Tablet 19.31 -
105 Natrium Diklovenac Tablet 140.00 2,700
106 Natrium klorida Infus 0,9% Botol 4,935.00 260
107 Neo-K Inj Ampul 11,000.00 12
108 Nifedipin 10 mg Tablet 110.00 200
109 Nistatin 100.000 IU tablet vaginal Tablet 504.00 -
110 Nistatin 500.000 IU tablet salut Tablet 672.00 100
111 Obat anti tuberkolusis katagori anak Paket 225,740.00 -
112 Obat anti tuberkolusis kategori I Paket 377,900.00 1
113 Obat anti tuberkolusis kategori II Paket 1,259,990.00 1
114 Obat anti tuberkolusis kategori sisipan Paket 168,000.00 -
115 Obat batuk hitam (OBH ) cairan Botol 1,299.38 97
116 Oksitetrasiclin Hcl Inj IM 50mg/ml 10ml Vial 3,255.00 48
117 Oksitetrasiclin salep kulit 3% Tube 2,261.00 23
118 Oksitetrasiclin salep mata 1% Tube 2,016.00 50
119 Oksitosin inj 10 IU/ ml,1ml Ampul 1,874.27 36
PARADO

HARGA Sisa Stok per 31


NO NAMA SEDIAAN SATUAN PEROLEHAN Desember 2014
(E_Catalog)

1 2 3 4 5
120 Omeprazol 20 mg Kapsul 216.00 180
121 Paracetamol syr 120mg/ 5ml Botol 1,496.00 312
122 Paracetamol drop Botol 5,460.00 -
123 Paracetamol tablet 100 mg Tablet 56.57 -
124 Paracetamol tablet 500 mg Tablet 84.00 7,000
125 Pirantel pamoat tablet 125 mg Tablet 308.00 -
126 Piridoxin Hcl tablet 10 mg Tablet 18.27 2,000
127 Piroksicam kaps 20 mg Kapsul 110.25 700
128 Prednison tablet 5 mg Tablet 119.00 2,000
129 Primakina tablet 15 mg Tablet 147.15 -
130 Prokain Benz Penicillin Inj 3 Jt IU / vl Vial 7,549.00 -
131 Propanolol tablet 10 mg Tablet 79.00 -
132 Propanolol tablet 40 mg Tablet 110.00
133 Propiltiourasil tablet 100 mg Tablet 335.00 100
134 Ranitidine 150 mg Tablet 122.00 200
135 Ranitidine injeksi ampul 1,190.00 -
136 Reserpin tablet 0,25 mg Tablet 118.80 -
137 Retinol (Vit.A) 100.000 IU Kapsul 273.00 -
138 Retinol (Vit.A) 200.000 IU Kapsul 482.00 1,150
139 Ringer Lactat infus steril Botol 5,460.00 469
140 Sabupolivalen 5 ml ( ABU I ) vial 495,000.00 -
141 Salbutamol tablet 2 mg Tablet 62.00 920
142 Salbutamol tablet 4 mg Tablet 91.00 -
143 Salep 2 - 4 kombinasi Tablet 2,100.00 -
144 Salisil bedak 2% Tube 1,250.00 61
145 Serum anti tetanus 1.500 IU/VL (ATS ) Ampul 72,450.00 -
146 Serum anti tetanus 20.000 IU/VL (ATS ) Ampul 525,000.00 -
147 Sianocobalamin (Vit B12 ) inj 500mcg/ml Ampul 1,132.00 282
148 Simvastatin 20 mg Tablet 394.00 -
149 Siprofloxacin 500 mg Tablet 260.00 2,400
150 Tablet tambah darah kombinasi Tablet 43.00 6,990
151 Tetracain Tetes Mata 0,5% Botol 11,500.00 35
152 Tetrasiclin Hcl kapsul 250 mg Kapsul 154.00 450
153 Thiamine Hcl 50 mg tab Tablet 58.97 1,000
154 Thiamine Hcl inj. Ampul 997.47 95
155 Triheksipenidil Hcl tablet 2mg Tablet 43.00 400
156 Vitamin B complek tab Tablet 110.00 7,590
157 Yodium povidon larutan 10% 30 ml Botol 3,683.00 34
158 Yodium povidon larutan 10% 300 ml Botol 22,860.00 17
159 Zink tablet 20 mg Tablet 497.00 600
-
PARADO

HARGA Sisa Stok per 31


NO NAMA SEDIAAN SATUAN PEROLEHAN Desember 2014
(E_Catalog)

1 2 3 4 5
II OBAT GIGI DAN PERBEKKES -
160 Abbocath 18 G pcs 4,826.00 154
161 Abbocath 20 G pcs 4,826.00 120
162 Abbocath 22 G pcs 4,826.00 66
163 Abbocath 24 G pcs 4,826.00 176
164 Alat suntik sekali pakai 1 ml pcs 826.00 -
165 Alat suntik sekali pakai 2,5 ml pcs 826.00 473
166 Alat suntik sekali pakai 5 ml pcs 953.00 438
167 Catgut / benang bedah 2/0-3/0 pcs 7,090.83 67
168 Devitalisasi Pasta Botol 495,000.00 3
169 Etil klorida semprot Botol 126,500.00 3
170 Folley Catheter 2 way No.14 Pcs 10,160.00 3
171 Folley Catheter 2 way No.16 Pcs 10,160.00 1
172 Folley Catheter 2 way No.18 Pcs 10,160.00 2
173 Glass Ionmer (Gcix) Set 715,000.00 -
174 Hand scond pcs 4,462.00 135
175 Infusion set anak anak pcs 4,445.00 183
176 Infusion set dewasa pcs 4,064.00 196
177 Kalsium Hidroksida pasta Tube 865,700.00 -
178 Kasa Elastic / Elastomul hulf Rol 48,650.00 -
179 Kasa Kompres 40 x 40 Rol 2,032.00 50
180 Kapas pembalut/absorben 250gram Rol 15,875.00 9
181 Kasa pembalut hidrofil 2x80 Rol 9,779.00 -
182 Kasa pembalut hidrofil 4x10 Rol 1,905.00 50
183 Kasa pembalut hidrofil 4x5 Rol 953.00 149
184 Kasa Steril 16 x 16 Kotak 7,366.00 10
185 Khlor Canfer Menthol (CHKM) Botol 57,750.00 -
186 Kohesive Bandage ( Elastic Bandage) Rol 39,328.00 -
187 Masker Kotak 20 pcs 22,500.00 212
188 Mummiffyng Pasta Botol 242,200.00 4
189 Plester 5 yard X 2 inchi Rol 23,625.00 20
190 Semen Seng Fosfat Set 242,200.00 -
191 Silk (benang brdah sutera) no3/0 , 2/0 pcs 3,880.56 77
192 Temporary (Fletcher) Set 165,000.00 -
193 Tricresol Formalin Set 49,500.00 -
194 Urine Bag Set 3,810.00 3
-
III REAGENT DAN BAHAN LAB -
195 Alkohol Botol 1000 ml 27,305.00 -
196 Aquadest Botol 1000 ml 13,000.00 1
197 Asam Acetat 6 % Botol 100 ml 34,000.00 -
PARADO

HARGA Sisa Stok per 31


NO NAMA SEDIAAN SATUAN PEROLEHAN Desember 2014
(E_Catalog)

1 2 3 4 5
198 BaCl2 10 % Botol 100 ml 19,000.00 -
199 Benedict Botol 100 ml 100,000.00 1
200 Blood Lancet Kotak @ 200 buah 52,000.00 1
201 Box Slide Kotak 138,000.00 3
202 Cover Glass Kotak @ 50 lbr 17,000.00 50
203 EDTA 10 % Botol 100 ml 95,000.00 -
204 Fouchet Botol 100 ml 140,000.00 -
205 Giemza Botol100 ml 190,000.00 1
206 Golongan Darah Set 3 x 10 ml 257,000.00 2
207 Haemocytometer Set 1,300,000.00 1
208 Haemometer/HB Sahli Unit 110,000.00 2
209 Handscund 7,5 Kotak 50 psg 467,500.00 -
210 Handscund 7 Kotak 50 psg 467,500.00 -
211 HCl 0,1 N Botol 100 ml 15,000.00 2
212 Kapas Bungkus 1/2 kg 24,000.00 -
213 Na Citrat 3,8 % Botol 50 ml 13,000.00 -
214 Oil Emersi Botol 100 ml 360,000.00 1
215 Paper Lens Buah 16,000.00 -
216 Penjepit Tabung Buah 4,000.00 5
217 Pipet Tetes PCS 3,000.00 20
218 Pot Dahak Buah 3,000.00 30
219 Reagen Widal Set 426,000.00 1
220 Rees Ecker Botol 100 ml 45,000.00 -
221 Slide Frosted Kotak / 72's 27,000.00 5
222 Spiritus Kantong 500 ml 40,000.00 3
223 Tabung Serologi PCS 6,500.00 -
224 Tabung Reaksi PCS 4,500.00 15
225 Tabung Centrifuge PCS 6,250.00 12
226 Ziel nelsen Kotak 177,000.00 -
227 Turk botol 8,000.00 -
-
V OBAT JIWA -
228 Sikzonoate inj Ampul 60,000.00 -
-
VI VAKSIN -
229 Vaksin Polio Vial 12,500.00 48
230 Vaksin TT Vial 13,475.00 -
231 Vaksin BCG Vial 40,000.00 31
232 Vaksin DPT/ HB Vial 65,000.00 16
233 Vaksin Campak Vial 45,000.00 36
234 Vaksin Hb 0 Vial 175,000.00 -
PARADO

HARGA Sisa Stok per 31


NO NAMA SEDIAAN SATUAN PEROLEHAN Desember 2014
(E_Catalog)

1 2 3 4 5
235 VaksinDPT/HIB Vial 49,962.00 -
-
VII OBAT KECACINGAN -
236 Albendazole 400mg Tablet 354.00 -

TOTAL PERSEDIAAN

Bima, Januari 2015

Kepala Puskesmas Parado

H. Abdul Salam, S.Kep


Nip. 19720206 200601 1 014
RADO

Nilai Persediaan
akhir per 31
Desember 2014

6
-
-
-
176,572
41,000
-
11,700
3,456,000
475,000
588,300
-
66,025
-
21,000
14,200
-
44,100
-
360,000
116,000
-
-
-
-
-
-
-
-
358,500
-
115,500
-
172,536
339,200
44,766
-
-
Nilai Persediaan
akhir per 31
Desember 2014

6
50,000
-
-
1,564,920
-
-
25,750
-
64,400
-
13,230
11,340
42,984
-
16,000
-
518,130
-
48,225
11,352
34,800
149,280
-
1,435,980
594,000
20,000
-
18,000
-
157,198
-
780,300
9,300
146,730
-
187,860
-
33,410
-
197,538
195,000
Nilai Persediaan
akhir per 31
Desember 2014

6
258,000
118,080
105,840
-
-
76,500
-
-
1,167,250
-
533,280
65,100
-
297,102
260,350
-
-
51,125
275,000
383,940
66,600
-
501,840
102,500
132,225
-
378,000
1,283,100
132,000
22,000
-
67,200
-
377,900
1,259,990
-
126,040
156,240
52,003
100,800
67,474
Nilai Persediaan
akhir per 31
Desember 2014

6
38,880
466,752
-
-
588,000
-
36,540
77,175
238,000
-
-
-

33,500
24,400
-
-
-
554,300
2,560,740
-
57,040
-
-
76,250
-
-
319,224
-
624,000
300,570
402,500
69,300
58,970
94,759
17,200
834,900
125,222
388,620
298,200
-
Nilai Persediaan
akhir per 31
Desember 2014

6
-
743,204
579,120
318,516
849,376
-
390,698
417,414
475,086
1,485,000
379,500
30,480
10,160
20,320
-
602,370
813,435
796,544
-
-
101,600
142,875
-
95,250
141,997
73,660
-
-
4,770,000
968,800
472,500
-
298,803
-
-
11,430
-
-
-
13,000
-
Nilai Persediaan
akhir per 31
Desember 2014

6
-
100,000
52,000
414,000
850,000
-
-
190,000
514,000
1,300,000
220,000
-
-
30,000
-
-
360,000
-
20,000
60,000
90,000
426,000
-
135,000
120,000
-
67,500
75,000
-
-
-
-
-
-
-
600,000
-
1,240,000
1,040,000
1,620,000
-
Nilai Persediaan
akhir per 31
Desember 2014

6
-
-
-
-

53,953,285

Januari 2015

skesmas Parado

Salam, S.Kep
06 200601 1 014
NILAI PERSEDIAAN AKHIR PUSKESMAS PALIBELO
PER 31 DESEMBER 2014

Palibelo
HARGA SISA STOCK PER
NO NAMA SEDIAAN SATUAN PEROLEHAN 31 DESEMBER
(E_Catalog) 2014

1 2 3 4 5
1 ACT Antimalaria / Arterakine tablet Tablet 1,409.00 -
2 ACT Antimalaria /Artesunat tab Ampul 1,409.00 -
3 Aluporinol tablet 100 mg Tablet 88.00 -
4 Aminofillin Inj 24mg/ml-10ml Ampul 4,013.00 12
5 Aminofillin tablet 200 mg Tablet 82.00 500
6 Aminofluid Kantong 64,680.00 60
7 Amitriptillin tablet 25 mg Tablet 117.00 460
8 Amoxicillin kaplet 500mg Tablet 270.00 34,000
9 Amoxicillin Syr Kering 125mg/5ml Botol 2,500.00 625
10 Antasida Doen tab Tablet 74.00 20,050
11 Antasida Syrup Botol 2,160.00 -
12 Anti Bakteri Doen salep kombinasi Tube 2,641.00 75
13 Anti fungi Doen Kombinasi Tube 2,001.04 -
14 Anti Haemoroid Doen Kombinasi Supp 2,100.00 15
15 Anti migrain Doen Kombinasi Tablet 142.00 700
16 Antiparkinson/ levopar Tablet 1,575.00 -
17 Aqua pro Inj Steril bebas pirogen Botol 2,100.00 10
18 Arthemeter injeksi Ampul 23,100.00 -
19 Asam ascorbat (vitc ) tab 50 mg Tablet 100.00 8,100
20 Asam mefenamat tablet 500mg Tablet 116.00 5,000
21 Atropin sulfas Inj 0,2ml/ml-1ml Ampul 1,540.00 30
22 Atropin sulfas tablet 0,5mg Tablet 77.00 -
23 Benzatin B. penisillin 1,2 jt iu/vial Vial 10,290.00 -
24 Benzatin B. penisillin 2,4 jt iu/vial Vial 14,070.00 -
25 Betamethason cream 0,1% Tube 1,558.00 -
26 Captopril 12,5 mg tablet Tablet 62.00 -
27 Captopril 25 mg tablet Tablet 89.00 -
28 Carbamazepin 200 mg Tablet 257.00 -
29 Cimetidin tablet Tablet 179.25 4,950
30 Co-Amoxiclav 500 mg Tablet 5,308.37 -
31 Codein 20m mg Tablet 1,155.00 -
32 Depo Profera Vial 10,500.00 -
33 Dexamethason Inj 5ml/ml-1ml Ampul 1,659.00 161
34 Dexamethason tablet 0,5 mg Tablet 64.00 10,000
35 Diazepam Inj 5mg /ml,2ml Ampul 2,487.00 30
36 Diazepam tablet 2mg Tablet 46.00 250
37 Diazepam tablet 5 mg btl 250 Tablet 42.00 -
Palibelo
HARGA SISA STOCK PER
NO NAMA SEDIAAN SATUAN PEROLEHAN 31 DESEMBER
(E_Catalog) 2014

1 2 3 4 5
38 Digoksin tablet 0,25mg Tablet 100.00 -
39 Diphenhidramin Inj 10mg/ml,1ml Ampul 840.00 -
40 Efedrin tablet Tablet 45.00 -
41 Epinerpin Inj 0,1% , 1ml Ampul 8,505.00 30
42 Erytromicin 500 mg Kaplet 976.00 -
43 Etakrida (Rivanol) larutan 0,1% Botol 3,239.00 -
44 Etanol 70% 100 ml Botol 2,575.00 100
45 Eugenol Cairan Botol 17,500.00 -
46 Extrak belladon tablet 10 mg Tablet 28.00 3,700
47 Fenitoin kaps 30mg Tablet 140.00 2,027
48 Fenobarbital 30 mg Tablet 49.00 220
49 Fenobarbital injeksi ampul 1,890.00 -
50 Fitomenadion (vit k ) Inj 10mg/ml 1ml Ampul 3,582.00 11
51 Fitomenadion (vit k) tablet salut 10mg Tablet 666.00 -
52 Furosemida tablet 40 mg Tablet 80.00 260
53 Gameksan Emulsi 1% Botol 2,310.00 -
54 Garam Oralit untuk 200ml air saset 303.00 2,400
55 Gentamisin inj.80 mg/2 ml Ampul 3,569.00 48
56 Gentamisin salep kulit Tube 1,929.00 35
57 Gentian violet larutan 1% Botol 473.00 72
58 Glibenclamid Tablet 58.00 5,268
59 Gliseril Guayakolat tablet 100 mg Tablet 24.00 16,000
60 Glukosa infus 10% Botol 5,985.00 -
61 Glukosa infus 5% Botol 5,460.00 562
62 Griseofulvin tab 125 mg Tablet 220.00 2,200
63 Haloperidol 5 mg Tablet 100.00 770
64 Haloperidol Tab 0,5 mg Tablet 61.00 -
65 Haloperidol Tab 1,5 mg Tablet 72.00 -
66 Hidroklorotiazid ( HCT ) tab 25 mg Tablet 38.00 -
67 Hidrokortizon Cream Tube 2,966.00 74
68 Ibuprofen Syr 200 mg Botol 116.00 -
69 Ibuprofen tablet 400 mg Tablet 153.00 14,800
70 Isosorbit dinitrat sublingual tablet Tablet 93.00 -
71 Kalsium Lactat tablet 500 mg Tablet 73.00 8,000
72 Kalsium Gluconas inj Ampul 7,800.00 -
73 Kaptopril 12,5 mg tablet Tablet 62.00 2,900
74 Kaptopril 25 mg tablet Tablet 89.00 3,000
75 Karbamazepin 200 mg Tablet 257.00 -
76 Karbogliserin TT 10% Tube 2,144.00 -
77 Ketokonazole Crim Tube 2,993.00 72
78 Klofeniramin maleat ( CTM ) tab 4 mg Tablet 25.00 15,800
Palibelo
HARGA SISA STOCK PER
NO NAMA SEDIAAN SATUAN PEROLEHAN 31 DESEMBER
(E_Catalog) 2014

1 2 3 4 5
79 Kloramfenikol kapsul 250 mg Kapsul 258.00 2,000
80 Kloramfenikol salep mata 1% Tube 1,640.00 115
81 Kloramfenikol tetes telinga 3% Botol 1,260.00 97
82 Klorokina fosfat tablet 250 mg Tablet 110.00 -
83 Klorpromazin Injeksi 25 mg/ml Ampul 1,103.00 -
84 Klorpromazin tablet 100 mg Tablet 153.00 1,340
85 Klorpromazin tablet 25 mg Tablet 71.00 -
86 Komb piritamin 25mg+sulfadoxin 500mg Tablet 544.00 -
87 Kotrimoxazol dewasa tablet Tablet 145.00 5,730
88 Kotrimoxazol pediaktrik tablet Tablet 50.00 -
89 Kotrimoxazol suspensi Botol 2,222.00 555
90 Kuinin dihidroklorida Inj 25% 2ml Ampul 6,510.00 -
91 Kuinin dihidroklorida tablet 200 mg Tablet 704.00 -
92 Lidokain kompositum Inj Ampul 879.00 180
93 Lisol 1 liter Botol 52,070.00 3
94 Loratadine 10 mg Tablet 162.00 -
95 Manegsium sulfat inj (IV) 20 % 25ml Botol 1,617.00 -
96 Manegsium sulfat inj (IV) 40% 25ml Botol 2,045.00 30
97 Metil ergometrin Inj 0,2mg /ml Tablet 2,750.00 20
98 Metil ergometrin tab 0,125 mg Tablet 162.00 180
99 Metoclorpamid Tablet 111.00 -
100 Metronidazol 250mg tablet Tablet 113.00 -
101 Metronidazol 500mg tablet Tablet 164.00 1,700
102 Metronidazol infus 500mg/100ml Botol 10,250.00 50
103 Mikonazole krim Tube 3,075.00 59
104 Natrium bikarbonat tab 500 mg Tablet 19.31 -
105 Natrium Diklovenac Tablet 140.00 2,300
106 Natrium klorida Infus 0,9% Botol 4,935.00 123
107 Neo-K Inj Ampul 11,000.00 30
108 Nifedipin 10 mg Tablet 110.00 -
109 Nistatin 100.000 IU tablet vaginal Tablet 504.00 -
110 Nistatin 500.000 IU tablet salut Tablet 672.00 -
111 Obat anti tuberkolusis katagori anak Paket 225,740.00 -
112 Obat anti tuberkolusis kategori I Paket 377,900.00 -
113 Obat anti tuberkolusis kategori II Paket 1,259,990.00 -
114 Obat anti tuberkolusis kategori sisipan Paket 168,000.00 -
115 Obat batuk hitam (OBH ) cairan Botol 1,299.38 146
116 Oksitetrasiclin Hcl Inj IM 50mg/ml 10ml Vial 3,255.00 28
117 Oksitetrasiclin salep kulit 3% Tube 2,261.00 -
118 Oksitetrasiclin salep mata 1% Tube 2,016.00 50
119 Oksitosin inj 10 IU/ ml,1ml Ampul 1,874.27 60
Palibelo
HARGA SISA STOCK PER
NO NAMA SEDIAAN SATUAN PEROLEHAN 31 DESEMBER
(E_Catalog) 2014

1 2 3 4 5
120 Omeprazol 20 mg Kapsul 216.00 -
121 Paracetamol syr 120mg/ 5ml Botol 1,496.00 708
122 Paracetamol drop Botol -
123 Paracetamol tablet 100 mg Tablet 56.57 -
124 Paracetamol tablet 500 mg Tablet 84.00 7,500
125 Pirantel pamoat tablet 125 mg Tablet 308.00 220
126 Piridoxin Hcl tablet 10 mg Tablet 18.27 8,000
127 Piroksicam kaps 20 mg Kapsul 110.25 200
128 Prednison tablet 5 mg Tablet 119.00 2,000
129 Primakina tablet 15 mg Tablet 147.15 -
130 Prokain Benz Penicillin Inj 3 Jt IU / vl Vial 7,549.00 26
131 Propanolol tablet 10 mg Tablet 79.00 -
132 Propanolol tablet 40 mg Tablet 110.00 500
133 Propiltiourasil tablet 100 mg Tablet 335.00 700
134 Ranitidine 150 mg Tablet 122.00 500
135 Ranitidine injeksi ampul 1,190.00 -
136 Reserpin tablet 0,25 mg Tablet 118.80 -
137 Retinol (Vit.A) 100.000 IU Kapsul 273.00 250
138 Retinol (Vit.A) 200.000 IU Kapsul 482.00 2,610
139 Ringer Lactat infus steril Botol 5,460.00 1,365
140 Sabupolivalen 5 ml ( ABU I ) vial 495,000.00 -
141 Salbutamol tablet 2 mg Tablet 62.00 590
142 Salbutamol tablet 4 mg Tablet 91.00 -
143 Salep 2 - 4 kombinasi Tablet 2,100.00 -
144 Salisil bedak 2% Tube 1,250.00 73
145 Serum anti tetanus 1.500 IU/VL (ATS ) Ampul 72,450.00 -
146 Serum anti tetanus 20.000 IU/VL (ATS ) Ampul 525,000.00 -
147 Sianocobalamin (Vit B12 ) inj 500mcg/ml Ampul 1,132.00 120
148 Simvastatin 20 mg Tablet 394.00 -
149 Siprofloxacin 500 mg Tablet 260.00 7,090
150 Tablet tambah darah kombinasi Tablet 43.00 13,810
151 Tetracain Tetes Mata 0,5% Botol 11,500.00 5
152 Tetrasiclin Hcl kapsul 250 mg Kapsul 154.00 2,920
153 Thiamine Hcl 50 mg tab Tablet 58.97 13,000
154 Thiamine Hcl inj. Ampul 997.47 90
155 Triheksipenidil Hcl tablet 2mg Tablet 43.00 -
156 Vitamin B complek tab Tablet 110.00 11,600
157 Yodium povidon larutan 10% 30 ml Botol 3,683.00 104
158 Yodium povidon larutan 10% 300 ml Botol 22,860.00 10
159 Zink tablet 20 mg Tablet 497.00 300
-
Palibelo
HARGA SISA STOCK PER
NO NAMA SEDIAAN SATUAN PEROLEHAN 31 DESEMBER
(E_Catalog) 2014

1 2 3 4 5
II OBAT GIGI DAN PERBEKKES -
160 Abbocath 18 G pcs 4,826.00 140
161 Abbocath 20 G pcs 4,826.00 257
162 Abbocath 22 G pcs 4,826.00 218
163 Abbocath 24 G pcs 4,826.00 237
164 Alat suntik sekali pakai 1 ml pcs 826.00 10
165 Alat suntik sekali pakai 2,5 ml pcs 826.00 175
166 Alat suntik sekali pakai 5 ml pcs 953.00 608
167 Catgut / benang bedah 2/0-3/0 pcs 7,090.83 98
168 Devitalisasi Pasta Botol 495,000.00 -
169 Etil klorida semprot Botol 126,500.00 4
170 Folley Catheter 2 way No.14 Pcs 10,160.00 -
171 Folley Catheter 2 way No.16 Pcs 10,160.00 -
172 Folley Catheter 2 way No.18 Pcs 10,160.00 3
173 Glass Ionmer (Gcix) Set 715,000.00 -
174 Hand scond pcs 4,462.00 162
175 Infusion set anak anak pcs 4,445.00 274
176 Infusion set dewasa pcs 4,064.00 305
177 Kalsium Hidroksida pasta Tube 865,700.00 -
178 Kasa Elastic / Elastomul hulf Rol 48,650.00 -
179 Kasa Kompres 40 x 40 Rol 2,032.00 -
180 Kapas pembalut/absorben 250gram Rol 15,875.00 30
181 Kasa pembalut hidrofil 2x80 Rol 9,779.00 10
182 Kasa pembalut hidrofil 4x10 Rol 1,905.00 175
183 Kasa pembalut hidrofil 4x5 Rol 953.00 73
184 Kasa Steril 16 x 16 Kotak 7,366.00 13
185 Khlor Canfer Menthol (CHKM) Botol 57,750.00 -
186 Kohesive Bandage ( Elastic Bandage) Rol 39,328.00 1
187 Masker Kotak 20 pcs 22,500.00 80
188 Mummiffyng Pasta Botol 242,200.00 -
189 Plester 5 yard X 2 inchi Rol 23,625.00 35
190 Semen Seng Fosfat Set 242,200.00 -
191 Silk (benang brdah sutera) no3/0 , 2/0 pcs 3,880.56 85
192 Temporary (Fletcher) Set 165,000.00 -
193 Tricresol Formalin Set 49,500.00 -
194 Urine Bag Set 3,810.00 25

III REAGENT DAN BAHAN LAB


195 Alkohol Botol 1000 ml 27,305.00 -
196 Aquadest Botol 1000 ml 13,000.00 -
197 Asam Acetat 6 % Botol 100 ml 34,000.00 1
Palibelo
HARGA SISA STOCK PER
NO NAMA SEDIAAN SATUAN PEROLEHAN 31 DESEMBER
(E_Catalog) 2014

1 2 3 4 5
198 BaCl2 10 % Botol 100 ml 19,000.00 -
199 Benedict Botol 100 ml 100,000.00 -
200 Blood Lancet Kotak @ 200 buah 52,000.00 -
201 Box Slide Kotak 138,000.00 -
202 Cover Glass Kotak @ 50 lbr 17,000.00 -
203 EDTA 10 % Botol 100 ml 95,000.00 -
204 Fouchet Botol 100 ml 140,000.00 -
205 Giemza Botol100 ml 190,000.00 1
206 Golongan Darah Set 3 x 10 ml 257,000.00 1
207 Haemocytometer Set 1,300,000.00 -
208 Haemometer/HB Sahli Unit 110,000.00 -
209 Handscund 7,5 Kotak 50 psg 467,500.00 -
210 Handscund 7 Kotak 50 psg 467,500.00 -
211 HCl 0,1 N Botol 100 ml 15,000.00 2
212 Kapas Bungkus 1/2 kg 24,000.00 -
213 Na Citrat 3,8 % Botol 50 ml 13,000.00 -
214 Oil Emersi Botol 100 ml 360,000.00 1
215 Paper Lens Buah 16,000.00 -
216 Penjepit Tabung Buah 4,000.00 -
217 Pipet Tetes PCS 3,000.00 -
218 Pot Dahak Buah 3,000.00 -
219 Reagen Widal Set 426,000.00 1
220 Rees Ecker Botol 100 ml 45,000.00 -
221 Slide Frosted Kotak / 72's 27,000.00 -
222 Spiritus Kantong 500 ml 40,000.00 1
223 Tabung Serologi PCS 6,500.00 -
224 Tabung Reaksi PCS 4,500.00 -
225 Tabung Centrifuge PCS 6,250.00 -
226 Ziel nelsen Kotak 177,000.00 4
-
V OBAT JIWA -
227 Sikzonoate inj Ampul 60,000.00 -

VI VAKSIN
228 Vaksin carier Vial -
229 Vaksin Polio Vial 12,500.00 20
230 Vaksin TT Vial 13,475.00 25
231 Vaksin BCG Vial 40,000.00 -
232 Vaksin DPT/ HB Vial 65,000.00 30
233 Vaksin Campak Vial 45,000.00 10
234 Hb 0 Vial 175,000.00 -
Palibelo
HARGA SISA STOCK PER
NO NAMA SEDIAAN SATUAN PEROLEHAN 31 DESEMBER
(E_Catalog) 2014

1 2 3 4 5
TOTAL NILAI PE

Bima, Januari 2015.-


Kepala Puskesmas Palibelo

Dr. Hj. Titin Sumarni


Nip. 19641208 200008 2 001
BELO

NILAI PERSEDIAAN
PER 31 DESEMBER
2014.

6
-
-
-
48,156
41,000
3,880,800
53,820
9,180,000
1,562,500
1,483,700
-
198,075
-
31,500
99,400
-
21,000
-
810,000
580,000
46,200
-
-
-
-
-
-
-
887,288
-
-
-
267,099
640,000
74,610
11,500
-
NILAI PERSEDIAAN
PER 31 DESEMBER
2014.

6
-
-
-
255,150
-
-
257,500
-
103,600
283,780
10,780
-
39,402
-
20,800
-
727,200
171,312
67,515
34,056
305,544
384,000
-
3,068,520
484,000
77,000
-
-
-
219,484
-
2,264,400
-
584,000
-
179,800
267,000
-
-
215,496
395,000
NILAI PERSEDIAAN
PER 31 DESEMBER
2014.

6
516,000
188,600
122,220
-
-
205,020
-
-
830,850
-
1,233,210
-
-
158,220
156,210
-
-
61,350
55,000
29,160
-
-
278,800
512,500
181,425
-
322,000
607,005
330,000
-
-
-
-
-
-
-
189,709
91,140
-
100,800
112,456
NILAI PERSEDIAAN
PER 31 DESEMBER
2014.

6
-
1,059,168
-
-
630,000
67,760
146,160
22,050
238,000
-
196,274
-
55,000
234,500
61,000
-
-
68,250
1,258,020
7,452,900
-
36,580
-
-
91,250
-
-
135,840
-
1,843,400
593,830
57,500
449,680
766,610
89,772
-
1,276,000
383,032
228,600
149,100
-
NILAI PERSEDIAAN
PER 31 DESEMBER
2014.

6
-
675,640
1,240,282
1,052,068
1,143,762
8,260
144,550
579,424
694,902
-
506,000
-
-
30,480
-
722,844
1,217,930
1,239,520
-
-
-
476,250
97,790
333,375
69,569
95,758
-
39,328
1,800,000
-
826,875
-
329,847
-
-
95,250

-
-
34,000
NILAI PERSEDIAAN
PER 31 DESEMBER
2014.

6
-
-
-
-
-
-
-
190,000
257,000
-
-
-
-
30,000
-
-
360,000
-
-
-
-
426,000
-
-
40,000
-
-
-
708,000
-
-
-

-
250,000
336,875
-
1,950,000
450,000
-
NILAI PERSEDIAAN
PER 31 DESEMBER
2014.

6
72,655,517

Januari 2015.-
Kepala Puskesmas Palibelo

Dr. Hj. Titin Sumarni


Nip. 19641208 200008 2 001
NILAI PERSEDIAAN AKHIR PUSKESMAS NGALI
PER 31 DESEMBER 2014

Ngali

HARGA SISA STOCK PER 31


NO NAMA SEDIAAN SATUAN PEROLEHAN DESEMBER 2014
(E_Catalog)

1 2 3 4 5
1 ACT Antimalaria / Arterakine tablet Tablet 1,409.00 81
2 ACT Antimalaria /Artesunat tab Ampul 1,409.00 -
3 Aluporinol tablet 100 mg Tablet 88.00 -
4 Aminofillin Inj 24mg/ml-10ml Ampul 4,013.00 -
5 Aminofillin tablet 200 mg Tablet 82.00 900
6 Aminofluid Kantong 64,680.00 20
7 Amitriptillin tablet 25 mg Tablet 117.00 500
8 Amoxicillin kaplet 500mg Tablet 270.00 10,300
9 Amoxicillin Syr Kering 125mg/5ml Botol 2,500.00 193
10 Antasida Doen tab Tablet 74.00 3,480
11 Antasida Syrup Botol 2,160.00 -
12 Anti Bakteri Doen salep kombinasi Tube 2,641.00 53
13 Anti fungi Doen Kombinasi Tube 2,001.04 -
14 Anti Haemoroid Doen Kombinasi Supp 2,100.00 -
15 Anti migrain Doen Kombinasi Tablet 142.00 300
16 Antiparkinson/ levopar Tablet 1,575.00 -
17 Aqua pro Inj Steril bebas pirogen Botol 2,100.00 9
18 Arthemeter injeksi Ampul 23,100.00 -
19 Asam ascorbat (vitc ) tab 50 mg Tablet 100.00 5,000
20 Asam mefenamat tablet 500mg Tablet 116.00 2,100
21 Atropin sulfas Inj 0,2ml/ml-1ml Ampul 1,540.00 -
22 Atropin sulfas tablet 0,5mg Tablet 77.00 -
23 Benzatin B. penisillin 1,2 jt iu/vial Vial 10,290.00 -
24 Benzatin B. penisillin 2,4 jt iu/vial Vial 14,070.00 -
25 Betamethason cream 0,1% Tube 1,558.00 24
26 Captopril 12,5 mg tablet Tablet 62.00 -
27 Captopril 25 mg tablet Tablet 89.00 -
28 Carbamazepin 200 mg Tablet 257.00 -
29 Cimetidin tablet Tablet 179.00 2,500
30 Co-Amoxiclav 500 mg Tablet 5,308.37 -
31 Codein 20m mg Tablet 1,155.00 -
32 Depo Profera Vial 10,500.00 -
33 Dexamethason Inj 5ml/ml-1ml Ampul 1,659.00 75
34 Dexamethason tablet 0,5 mg Tablet 64.00 2,600
35 Diazepam Inj 5mg /ml,2ml Ampul 2,487.00 15
36 Diazepam tablet 2mg Tablet 46.00 -
37 Diazepam tablet 5 mg btl 250 Tablet 42.00 -
38 Digoksin tablet 0,25mg Tablet 100.00 600
Ngali

HARGA SISA STOCK PER 31


NO NAMA SEDIAAN SATUAN PEROLEHAN DESEMBER 2014
(E_Catalog)

1 2 3 4 5
39 Diphenhidramin Inj 10mg/ml,1ml Ampul 840.00 -
40 Efedrin tablet Tablet 45.00 -
41 Epinerpin Inj 0,1% , 1ml Ampul 8,505.00 9
42 Erytromicin 500 mg Kaplet 976.00 -
43 Etakrida (Rivanol) larutan 0,1% Botol 3,239.00 6
44 Etanol 70% 100 ml Botol 2,575.00 13
45 Eugenol Cairan Botol 17,500.00 -
46 Extrak belladon tablet 10 mg Tablet 28.00 900
47 Fenitoin kaps 30mg Tablet 140.00 -
48 Fenobarbital 30 mg Tablet 49.00 -
49 Fenobarbital injeksi ampul 1,890.00 -
50 Fitomenadion (vit k ) Inj 10mg/ml 1ml Ampul 3,582.00 -
51 Fitomenadion (vit k) tablet salut 10mg Tablet 666.00 100
52 Furosemida tablet 40 mg Tablet 80.00 70
53 Gameksan Emulsi 1% Botol 2,310.00 -
54 Garam Oralit untuk 200ml air saset 303.00 1,027
55 Gentamisin inj.80 mg/2 ml Ampul 3,569.00 -
56 Gentamisin salep kulit Tube 1,929.00 -
57 Gentian violet larutan 1% Botol 473.00 55
58 Glibenclamid Tablet 58.00 1,100
59 Gliseril Guayakolat tablet 100 mg Tablet 24.00 6,400
60 Glukosa infus 10% Botol 5,985.00 22
61 Glukosa infus 5% Botol 5,460.00 140
62 Griseofulvin tab 125 mg Tablet 220.00 3,300
63 Haloperidol 5 mg Tablet 100.00 1,640
64 Haloperidol Tab 0,5 mg Tablet 61.00 -
65 Haloperidol Tab 1,5 mg Tablet 72.00 -
66 Hidroklorotiazid ( HCT ) tab 25 mg Tablet 38.00 1,700
67 Hidrokortizon Cream Tube 2,966.00 81
68 Ibuprofen Syr 200 mg Botol 116.00 -
69 Ibuprofen tablet 400 mg Tablet 153.00 2,980
70 Isosorbit dinitrat sublingual tablet Tablet 93.00 -
71 Kalsium Lactat tablet 500 mg Tablet 73.00 3,000
72 Kalsium Gluconas inj Ampul 7,800.00 -
73 Kaptopril 12,5 mg tablet Tablet 62.00 -
74 Kaptopril 25 mg tablet Tablet 89.00 1,500
75 Karbamazepin 200 mg Tablet 257.00 -
76 Karbogliserin TT 10% Tube 2,144.00 -
77 Ketokonazole Crim Tube 2,993.00 45
78 Klofeniramin maleat ( CTM ) tab 4 mg Tablet 25.00 5,500
79 Kloramfenikol kapsul 250 mg Kapsul 258.00 500
80 Kloramfenikol salep mata 1% Tube 1,640.00 48
Ngali

HARGA SISA STOCK PER 31


NO NAMA SEDIAAN SATUAN PEROLEHAN DESEMBER 2014
(E_Catalog)

1 2 3 4 5
81 Kloramfenikol tetes telinga 3% Botol 1,260.00 87
82 Klorokina fosfat tablet 250 mg Tablet 110.00 -
83 Klorpromazin Injeksi 25 mg/ml Ampul 1,103.00 -
84 Klorpromazin tablet 100 mg Tablet 153.00 200
85 Klorpromazin tablet 25 mg Tablet 71.00 -
86 Komb piritamin 25mg+sulfadoxin 500mg Tablet 544.00 -
87 Kotrimoxazol dewasa tablet Tablet 145.00 5,200
88 Kotrimoxazol pediaktrik tablet Tablet 50.00 -
89 Kotrimoxazol suspensi Botol 2,222.00 298
90 Kuinin dihidroklorida Inj 25% 2ml Ampul 6,510.00 -
91 Kuinin dihidroklorida tablet 200 mg Tablet 704.00 -
92 Lidokain kompositum Inj Ampul 879.00 65
93 Lisol 1 liter Botol 52,070.00 6
94 Loratadine 10 mg Tablet 162.00 -
95 Manegsium sulfat inj (IV) 20 % 25ml Botol 1,617.00 -
96 Manegsium sulfat inj (IV) 40% 25ml Botol 2,045.00 20
97 Metil ergometrin Inj 0,2mg /ml Tablet 2,750.00 150
98 Metil ergometrin tab 0,125 mg Tablet 162.00 900
99 Metoclorpamid Tablet 111.00 -
100 Metronidazol 250mg tablet Tablet 113.00 -
101 Metronidazol 500mg tablet Tablet 164.00 1,500
102 Metronidazol infus 500mg/100ml Botol 10,250.00 20
103 Mikonazole krim Tube 3,075.00 50
104 Natrium bikarbonat tab 500 mg Tablet 19.31 -
105 Natrium Diklovenac Tablet 140.00 -
106 Natrium klorida Infus 0,9% Botol 4,935.00 57
107 Neo-K Inj Ampul 11,000.00 10
108 Nifedipin 10 mg Tablet 110.00 100
109 Nistatin 100.000 IU tablet vaginal Tablet 504.00 -
110 Nistatin 500.000 IU tablet salut Tablet 672.00 -
111 Obat anti tuberkolusis katagori anak Paket 225,740.00 -
112 Obat anti tuberkolusis kategori I Paket 377,900.00 2
113 Obat anti tuberkolusis kategori II Paket 1,259,990.00 -
114 Obat anti tuberkolusis kategori sisipan Paket 168,000.00 -
115 Obat batuk hitam (OBH ) cairan Botol 1,299.38 70
116 Oksitetrasiclin Hcl Inj IM 50mg/ml 10ml Vial 3,255.00 -
117 Oksitetrasiclin salep kulit 3% Tube 2,261.00 25
118 Oksitetrasiclin salep mata 1% Tube 2,016.00 -
119 Oksitosin inj 10 IU/ ml,1ml Ampul 1,874.27 20
120 Omeprazol 20 mg Kapsul 216.00 -
121 Paracetamol syr 120mg/ 5ml Botol 1,496.00 282
122 Paracetamol drop Botol 5,460.00 -
Ngali

HARGA SISA STOCK PER 31


NO NAMA SEDIAAN SATUAN PEROLEHAN DESEMBER 2014
(E_Catalog)

1 2 3 4 5
123 Paracetamol tablet 100 mg Tablet 56.57 -
124 Paracetamol tablet 500 mg Tablet 84.00 4,600
125 Pirantel pamoat tablet 125 mg Tablet 308.00 -
126 Piridoxin Hcl tablet 10 mg Tablet 18.27 5,000
127 Piroksicam kaps 20 mg Kapsul 110.25 400
128 Prednison tablet 5 mg Tablet 119.00 2,400
129 Primakina tablet 15 mg Tablet 147.15 -
130 Prokain Benz Penicillin Inj 3 Jt IU / vl Vial 7,549.00 -
131 Propanolol tablet 10 mg Tablet 79.00 -
132 Propanolol tablet 40 mg Tablet 110.00 400
133 Propiltiourasil tablet 100 mg Tablet 335.00 500
134 Ranitidine 150 mg Tablet 122.00 -
135 Ranitidine injeksi ampul 1,190.00 -
136 Reserpin tablet 0,25 mg Tablet 118.80 -
137 Retinol (Vit.A) 100.000 IU Kapsul 273.00 100
138 Retinol (Vit.A) 200.000 IU Kapsul 482.00 1,300
139 Ringer Lactat infus steril Botol 5,460.00 644
140 Sabupolivalen 5 ml ( ABU I ) vial 495,000.00 -
141 Salbutamol tablet 2 mg Tablet 62.00 500
142 Salbutamol tablet 4 mg Tablet 91.00 -
143 Salep 2 - 4 kombinasi Tablet 2,100.00 -
144 Salisil bedak 2% Tube 1,250.00 107
145 Serum anti tetanus 1.500 IU/VL (ATS ) Ampul 72,450.00 -
146 Serum anti tetanus 20.000 IU/VL (ATS ) Ampul 525,000.00 -
147 Sianocobalamin (Vit B12 ) inj 500mcg/ml Ampul 1,132.00 180
148 Simvastatin 20 mg Tablet 394.00 -
149 Siprofloxacin 500 mg Tablet 260.00 300
150 Tablet tambah darah kombinasi Tablet 43.00 6,490
151 Tetracain Tetes Mata 0,5% Botol 11,500.00 -
152 Tetrasiclin Hcl kapsul 250 mg Kapsul 154.00 1,300
153 Thiamine Hcl 50 mg tab Tablet 58.97 6,000
154 Thiamine Hcl inj. Ampul 997.47 90
155 Triheksipenidil Hcl tablet 2mg Tablet 43.00 860
156 Vitamin B complek tab Tablet 110.00 5,400
157 Yodium povidon larutan 10% 30 ml Botol 3,683.00 57
158 Yodium povidon larutan 10% 300 ml Botol 22,860.00 -
159 Zink tablet 20 mg Tablet 497.00 -
-
II OBAT GIGI DAN PERBEKKES -
160 Abbocath 18 G pcs 4,826.00 -
161 Abbocath 20 G pcs 4,826.00 107
162 Abbocath 22 G pcs 4,826.00 107
Ngali

HARGA SISA STOCK PER 31


NO NAMA SEDIAAN SATUAN PEROLEHAN DESEMBER 2014
(E_Catalog)

1 2 3 4 5
163 Abbocath 24 G pcs 4,826.00 162
164 Alat suntik sekali pakai 1 ml pcs 826.00 54
165 Alat suntik sekali pakai 2,5 ml pcs 826.00 170
166 Alat suntik sekali pakai 5 ml pcs 953.00 99
167 Catgut / benang bedah 2/0-3/0 pcs 7,091.00 44
168 Devitalisasi Pasta Botol 495,000.00 -
169 Etil klorida semprot Botol 126,500.00 4
170 Folley Catheter 2 way No.14 Pcs 10,160.00 -
171 Folley Catheter 2 way No.16 Pcs 10,160.00 -
172 Folley Catheter 2 way No.18 Pcs 10,160.00 -
173 Glass Ionmer (Gcix) Set 715,000.00 -
174 Hand scond pcs 4,462.00 50
175 Infusion set anak anak pcs 4,445.00 137
176 Infusion set dewasa pcs 4,064.00 166
177 Kalsium Hidroksida pasta Tube 865,700.00 -
178 Kasa Elastic / Elastomul hulf Rol 48,650.00 -
179 Kasa Kompres 40 x 40 Rol 2,032.00 -
180 Kapas pembalut/absorben 250gram Rol 15,875.00 9
181 Kasa pembalut hidrofil 2x80 Rol 9,779.00 11
182 Kasa pembalut hidrofil 4x10 Rol 1,905.00 70
183 Kasa pembalut hidrofil 4x5 Rol 953.00 70
184 Kasa Steril 16 x 16 Kotak 7,366.00 -
185 Khlor Canfer Menthol (CHKM) Botol 57,750.00 -
186 Kohesive Bandage ( Elastic Bandage) Rol 39,328.00 -
187 Masker Kotak 20 pcs 22,500.00 100
188 Mummiffyng Pasta Botol 242,200.00 -
189 Plester 5 yard X 2 inchi Rol 23,625.00 18
190 Semen Seng Fosfat Set 242,200.00 -
191 Silk (benang brdah sutera) no3/0 , 2/0 pcs 3,881.00 72
192 Temporary (Fletcher) Set 165,000.00 -
193 Tricresol Formalin Set 49,500.00 -
194 Urine Bag Set 3,810.00 -
-
III REAGENT DAN BAHAN LAB -
195 Alkohol Botol 1000 ml 27,305.00 1
196 Aquadest Botol 1000 ml 13,000.00 2
197 Asam Acetat 6 % Botol 100 ml 34,000.00 -
198 BaCl2 10 % Botol 100 ml 19,000.00 -
199 Benedict Botol 100 ml 100,000.00 -
200 Blood Lancet Kotak @ 200 buah 52,000.00 -
201 Box Slide Kotak 138,000.00 3
202 Cover Glass Kotak @ 50 lbr 17,000.00 -
Ngali

HARGA SISA STOCK PER 31


NO NAMA SEDIAAN SATUAN PEROLEHAN DESEMBER 2014
(E_Catalog)

1 2 3 4 5
203 EDTA 10 % Botol 100 ml 95,000.00 -
204 Fouchet Botol 100 ml 140,000.00 -
205 Giemza Botol100 ml 190,000.00 1
206 Golongan Darah Set 3 x 10 ml 257,000.00 1
207 Haemocytometer Set 1,300,000.00 -
208 Haemometer/HB Sahli Unit 110,000.00 1
209 Handscund 7,5 Kotak 50 psg 467,500.00 100
210 Handscund 7 Kotak 50 psg 467,500.00 -
211 HCl 0,1 N Botol 100 ml 15,000.00 2
212 Kapas Bungkus 1/2 kg 24,000.00 -
213 Na Citrat 3,8 % Botol 50 ml 13,000.00 -
214 Oil Emersi Botol 100 ml 360,000.00 1
215 Paper Lens Buah 16,000.00 2
216 Penjepit Tabung Buah 4,000.00 -
217 Pipet Tetes PCS 3,000.00 -
218 Pot Dahak Buah 3,000.00 -
219 Reagen Widal Set 426,000.00 1
220 Rees Ecker Botol 100 ml 45,000.00 -
221 Slide Frosted Kotak / 72's 27,000.00 -
222 Spiritus Kantong 500 ml 40,000.00 1
223 Tabung Serologi PCS 6,500.00 -
224 Tabung Reaksi PCS 4,500.00 -
225 Tabung Centrifuge PCS 6,250.00 1
226 Ziel nelsen Kotak 177,000.00 1
-
V OBAT JIWA -
227 Sikzonoate inj Ampul 60,000.00 7
-
VI VAKSIN -
228 Vaksin Polio Vial 12,500.00 -
229 Vaksin TT Vial 13,475.00 5
230 Vaksin BCG Vial 40,000.00 5
231 Vaksin DPT/ HB Vial 65,000.00 5
232 Vaksin Campak Vial 45,000.00 10
233 Hb 0 Vial 175,000.00 -
-
VII OBAT KECACINGAN -
234 Albendazole 400mg Tablet 354.00 1,880

TOTAL NILAI PERSEDIAAN :


Ngali

HARGA SISA STOCK PER 31


NO NAMA SEDIAAN SATUAN PEROLEHAN DESEMBER 2014
(E_Catalog)

1 2 3 4 5

Bima, januari 2015.-


Kepala Puskesmas Ngali

Sarafiah, S.Sos
Nip. 19681231 198803 1 179
EDIAAN AKHIR PUSKESMAS NGALI
ER 31 DESEMBER 2014

NILAI PERSEDIAAN
AKHIR PER 31
DESEMBER 2014

6
114,129
-
-
-
73,800
1,293,600
58,500
2,781,000
482,500
257,520
-
139,973
-
-
42,600
-
18,900
-
500,000
243,600
-
-
-
-
37,392
-
-
-
447,500
-
-
-
124,425
166,400
37,305
-
-
60,000
NILAI PERSEDIAAN
AKHIR PER 31
DESEMBER 2014

6
-
-
76,545
-
19,434
33,475
-
25,200
-
-
-
-
66,600
5,600
-
311,181
-
-
26,015
63,800
153,600
131,670
764,400
726,000
164,000
-
-
64,600
240,246
-
455,940
-
219,000
-
-
133,500
-
-
134,685
137,500
129,000
78,720
NILAI PERSEDIAAN
AKHIR PER 31
DESEMBER 2014

6
109,620
-
-
30,600
-
-
754,000
-
662,156
-
-
57,135
312,420
-
-
40,900
412,500
145,800
-
-
246,000
205,000
153,750
-
-
281,295
110,000
11,000
-
-
-
755,800
-
-
90,957
-
56,525
-
37,485
-
421,872
-
NILAI PERSEDIAAN
AKHIR PER 31
DESEMBER 2014

6
-
386,400
-
91,350
44,100
285,600
-
-
-
44,000
167,500
-
-
-
27,300
626,600
3,516,240
-
31,000
-
-
133,750
-
-
203,760
-
78,000
279,070
-
200,200
353,820
89,772
36,980
594,000
209,931
-
-
-
-
-
516,382
516,382
NILAI PERSEDIAAN
AKHIR PER 31
DESEMBER 2014

6
781,812
44,604
140,420
94,347
312,004
-
506,000
-
-
-
-
223,100
608,965
674,624
-
-
-
142,875
107,569
133,350
66,710
-
-
-
2,250,000
-
425,250
-
279,432
-
-
-
-
-
27,305
26,000
-
-
-
-
414,000
-
NILAI PERSEDIAAN
AKHIR PER 31
DESEMBER 2014

6
-
-
190,000
257,000
-
110,000
46,750,000
-
30,000
-
-
360,000
32,000
-
-
-
426,000
-
-
40,000
-
-
6,250
177,000
-
-
420,000
-
-
-
67,375
200,000
325,000
450,000
-
-
-
665,520

82,131,319
NILAI PERSEDIAAN
AKHIR PER 31
DESEMBER 2014

Bima, januari 2015.-


Kepala Puskesmas Ngali

Sarafiah, S.Sos
Nip. 19681231 198803 1 179
NILAI PERSEDIAAN AKHIR PUSKESMAS AMBALAWI
PER 31 DESEMBER 2014

Ambalawi
HARGA SISA STOCK PER 31
NO NAMA SEDIAAN SATUAN PEROLEHAN DESEMBER 2014
(E_Catalog)

1 2 3 4 5
1 ACT Antimalaria / Arterakine tablet Tablet 1,409.00 -

2 ACT Antimalaria /Artesunat tab Tablet 1,409.00 -

3 Aluporinol tablet 100 mg Tablet 88.00 470

4 Aminofillin Inj 24mg/ml-10ml Ampul 4,013.00 44

5 Aminofillin tablet 200 mg Tablet 82.00 310

6 Aminofluid Kantong 64,680.00 -

7 Amitriptillin tablet 25 mg Tablet 117.00 168

8 Amoxicillin kaplet 500mg Tablet 270.00 32,336

9 Amoxicillin Syr Kering 125mg/5ml Botol 2,500.00 597

10 Antasida Doen tab Tablet 74.00 16,574

11 Antasida Syrup Botol 2,160.00 -

12 Anti Bakteri Doen salep kombinasi Tube 2,641.00 25

13 Anti fungi Doen Kombinasi Tube 2,001.04 -

14 Anti Haemoroid Doen Kombinasi Supp 2,100.00 -

15 Anti migrain Doen Kombinasi Tablet 142.00 -

16 Antiparkinson Tablet 1,575.00 -

17 Aqua pro Inj Steril bebas pirogen Botol 2,100.00 21

18 Arthemeter injeksi Ampul 23,100.00 -

19 Asam ascorbat (vitc ) tab 50 mg Tablet 100.00 6,322

20 Asam mefenamat tablet 500mg Tablet 116.00 2,100

21 Atropin sulfas Inj 0,2ml/ml-1ml Ampul 1,540.00 -

22 Atropin sulfas tablet 0,5mg Tablet 77.00 200

23 Benzatin B. penisillin 1,2 jt iu/vial Vial 10,290.00 -

24 Benzatin B. penisillin 2,4 jt iu/vial Vial 14,070.00 -

25 Betamethason cream 0,1% Tube 1,558.00 30

26 Captopril 12,5 mg tablet Tablet 62.00 2,280

27 Captopril 25 mg tablet Tablet 89.00 -

28 Carbamazepin 200 mg Tablet 257.00 -

29 Cimetidin tablet Tablet 179.25 6,780

30 Co-Amoxiclav 500 mg Tablet 5,308.37 -


Ambalawi
HARGA SISA STOCK PER 31
NO NAMA SEDIAAN SATUAN PEROLEHAN DESEMBER 2014
(E_Catalog)

1 2 3 4 5
31 Codein 20m mg Tablet 1,155.00 100

32 Depo Profera Vial 10,500.00 -

33 Dexamethason Inj 5ml/ml-1ml Ampul 1,659.00 285

34 Dexamethason tablet 0,5 mg Tablet 64.00 15,750

35 Diazepam Inj 5mg /ml,2ml Ampul 2,487.00 31

36 Diazepam tablet 2mg Tablet 46.00 230

37 Diazepam tablet 5 mg btl 250 Tablet 42.00 20

38 Digoksin tablet 0,25mg Tablet 100.00 -

39 Diphenhidramin Inj 10mg/ml,1ml Ampul 840.00 -

40 Efedrin tablet Tablet 45.00 -

41 Epinerpin Inj 0,1% , 1ml Ampul 8,505.00 30

42 Erytromicin 500 mg Kaplet 976.00 -

43 Etakrida (Rivanol) larutan 0,1% Botol 3,239.00 24

44 Etanol 70% 100 ml Botol 2,575.00 45

45 Eugenol Cairan Botol 17,500.00 -

46 Extrak belladon tablet 10 mg Tablet 28.00 1,600

47 Fenitoin kaps 30mg Tablet 140.00 -

48 Fenobarbital 30 mg Tablet 49.00 542

49 Fenobarbital injeksi ampul 1,890.00 -

50 Fitomenadion (vit k ) Inj 10mg/ml 1ml Ampul 3,582.00 45

51 Fitomenadion (vit k) tablet salut 10mg Tablet 666.00 -

52 Furosemida tablet 40 mg Tablet 80.00 550

53 Gameksan Emulsi 1% Botol 2,310.00 -

54 Garam Oralit untuk 200ml air saset 303.00 1,602

55 Gentamisin inj.80 mg/2 ml Ampul 3,569.00 -

56 Gentamisin salep kulit Tube 1,929.00 70

57 Gentian violet larutan 1% Botol 473.00 73

58 Glibenclamid Tablet 58.00 3,750

59 Gliseril Guayakolat tablet 100 mg Tablet 24.00 13,651

60 Glukosa infus 10% Botol 5,985.00 75

61 Glukosa infus 5% Botol 5,460.00 545

62 Griseofulvin tab 125 mg Tablet 220.00 6,230

63 Haloperidol 5 mg Tablet 100.00 200

64 Haloperidol Tab 0,5 mg Tablet 61.00 -


Ambalawi
HARGA SISA STOCK PER 31
NO NAMA SEDIAAN SATUAN PEROLEHAN DESEMBER 2014
(E_Catalog)

1 2 3 4 5
65 Haloperidol Tab 1,5 mg Tablet 72.00 -

66 Hidroklorotiazid ( HCT ) tab 25 mg Tablet 38.00 -

67 Hidrokortizon Cream Tube 2,966.00 151

68 Ibuprofen Syr 200 mg Botol 116.00 -

69 Ibuprofen tablet 400 mg Tablet 153.00 9,541

70 Isosorbit dinitrat sublingual tablet Tablet 93.00 -

71 Kalsium Lactat tablet 500 mg Tablet 73.00 1,780

72 Kalsium Gluconas inj Ampul 7,800.00 -

73 Kaptopril 12,5 mg tablet Tablet 62.00 7,681

74 Kaptopril 25 mg tablet Tablet 89.00 1,674

75 Karbamazepin 200 mg Tablet 257.00 -

76 Karbogliserin TT 10% Tube 2,144.00 -

77 Ketokonazole Crim Tube 2,993.00 -

78 Klofeniramin maleat ( CTM ) tab 4 mg Tablet 25.00 12,424

79 Kloramfenikol kapsul 250 mg Kapsul 258.00 1,298

80 Kloramfenikol salep mata 1% Tube 1,640.00 87

81 Kloramfenikol tetes telinga 3% Botol 1,260.00 97

82 Klorokina fosfat tablet 250 mg Tablet 110.00 -

83 Klorpromazin Injeksi 25 mg/ml Ampul 1,103.00 -

84 Klorpromazin tablet 100 mg Tablet 153.00 -

85 Klorpromazin tablet 25 mg Tablet 71.00 -

86 Komb piritamin 25mg+sulfadoxin 500mg Tablet 544.00 -

87 Kotrimoxazol dewasa tablet Tablet 145.00 8,954

88 Kotrimoxazol pediaktrik tablet Tablet 50.00 -

89 Kotrimoxazol suspensi Botol 2,222.00 550

90 Kuinin dihidroklorida Inj 25% 2ml Ampul 6,510.00 -

91 Kuinin dihidroklorida tablet 200 mg Tablet 704.00 -

92 Lidokain kompositum Inj Ampul 879.00 181

93 Lisol 1 liter Botol 52,070.00 -

94 Loratadine 10 mg Tablet 162.00 100

95 Manegsium sulfat inj (IV) 20 % 25ml Botol 1,617.00 -

96 Manegsium sulfat inj (IV) 40% 25ml Botol 2,045.00 48

97 Metil ergometrin Inj 0,2mg /ml Tablet 2,750.00 -

98 Metil ergometrin tab 0,125 mg Tablet 162.00 170


Ambalawi
HARGA SISA STOCK PER 31
NO NAMA SEDIAAN SATUAN PEROLEHAN DESEMBER 2014
(E_Catalog)

1 2 3 4 5
99 Metoclorpamid Tablet 111.00 370

100 Metronidazol 250mg tablet Tablet 113.00 -

101 Metronidazol 500mg tablet Tablet 164.00 2,184

102 Metronidazol infus 500mg/100ml Botol 10,250.00 -

103 Mikonazole krim Tube 3,075.00 120

104 Natrium bikarbonat tab 500 mg Tablet 19.31 -

105 Natrium Diklovenac Tablet 140.00 600

106 Natrium klorida Infus 0,9% Botol 4,935.00 379

107 Neo-K Inj Ampul 11,000.00 25

108 Nifedipin 10 mg Tablet 110.00 -

109 Nistatin 100.000 IU tablet vaginal Tablet 504.00 100

110 Nistatin 500.000 IU tablet salut Tablet 672.00 -

111 Obat anti tuberkolusis katagori anak Paket 225,740.00 -

112 Obat anti tuberkolusis kategori I Paket 377,900.00 -

113 Obat anti tuberkolusis kategori II Paket 1,259,990.00 -

114 Obat anti tuberkolusis kategori sisipan Paket 168,000.00 -

115 Obat batuk hitam (OBH ) cairan Botol 1,299.38 125

116 Oksitetrasiclin Hcl Inj IM 50mg/ml 10ml Vial 3,255.00 61

117 Oksitetrasiclin salep kulit 3% Tube 2,261.00 -

118 Oksitetrasiclin salep mata 1% Tube 2,016.00 -

119 Oksitosin inj 10 IU/ ml,1ml Ampul 1,874.27 125

120 Omeprazol 20 mg Kapsul 216.00 -

121 Paracetamol syr 120mg/ 5ml Botol 1,496.00 503

122 Paracetamol drop Botol 5,460.00 -

123 Paracetamol tablet 100 mg Tablet 56.57 -

124 Paracetamol tablet 500 mg Tablet 84.00 6,000

125 Pirantel pamoat tablet 125 mg Tablet 308.00 360

126 Piridoxin Hcl tablet 10 mg Tablet 18.27 3,798

127 Piroksicam kaps 20 mg Kapsul 110.25 1,170

128 Prednison tablet 5 mg Tablet 119.00 2,640

129 Primakina tablet 15 mg Tablet 147.15 -

130 Prokain Benz Penicillin Inj 3 Jt IU / vl Vial 7,549.00 -

131 Propanolol tablet 10 mg Tablet 79.00 -

132 Propanolol tablet 40 mg Tablet 110.00 285


Ambalawi
HARGA SISA STOCK PER 31
NO NAMA SEDIAAN SATUAN PEROLEHAN DESEMBER 2014
(E_Catalog)

1 2 3 4 5
133 Propiltiourasil tablet 100 mg Tablet 335.00 560

134 Ranitidine 150 mg Tablet 122.00 -

135 Ranitidine injeksi ampul 1,190.00 -

136 Reserpin tablet 0,25 mg Tablet 118.80 -

137 Retinol (Vit.A) 100.000 IU Kapsul 273.00 -

138 Retinol (Vit.A) 200.000 IU Kapsul 482.00 -

139 Ringer Lactat infus steril Botol 5,460.00 602

140 Sabupolivalen 5 ml ( ABU I ) vial 495,000.00 -

141 Salbutamol tablet 2 mg Tablet 62.00 -

142 Salbutamol tablet 4 mg Tablet 91.00 -

143 Salep 2 - 4 kombinasi Tablet 2,100.00 -

144 Salisil bedak 2% Tube 1,250.00 69

145 Serum anti tetanus 1.500 IU/VL (ATS ) Ampul 72,450.00 -

146 Serum anti tetanus 20.000 IU/VL (ATS ) Ampul 525,000.00 -

147 Sianocobalamin (Vit B12 ) inj 500mcg/ml Ampul 1,132.00 92

148 Simvastatin 20 mg Tablet 394.00 -

149 Siprofloxacin 500 mg Tablet 260.00 560

150 Tablet tambah darah kombinasi Tablet 43.00 13,252

151 Tetracain Tetes Mata 0,5% Botol 11,500.00 -

152 Tetrasiclin Hcl kapsul 250 mg Kapsul 154.00 1,796

153 Thiamine Hcl 50 mg tab Tablet 58.97 4,830

154 Thiamine Hcl inj. Ampul 997.47 29

155 Triheksipenidil Hcl tablet 2mg Tablet 43.00 300

156 Vitamin B complek tab Tablet 110.00 3,165

157 Yodium povidon larutan 10% 30 ml Botol 3,683.00 22

158 Yodium povidon larutan 10% 300 ml Botol 22,860.00 1

159 Zink tablet 20 mg Tablet 497.00 -


-
II OBAT GIGI DAN PERBEKKES -

160 Abbocath 18 G pcs 4,826.00 50

161 Abbocath 20 G pcs 4,826.00 30

162 Abbocath 22 G pcs 4,826.00 -

163 Abbocath 24 G pcs 4,826.00 38

164 Alat suntik sekali pakai 1 ml pcs 826.00 -


Ambalawi
HARGA SISA STOCK PER 31
NO NAMA SEDIAAN SATUAN PEROLEHAN DESEMBER 2014
(E_Catalog)

1 2 3 4 5
165 Alat suntik sekali pakai 2,5 ml pcs 826.00 -

166 Alat suntik sekali pakai 5 ml pcs 953.00 332

167 Catgut / benang bedah 2/0-3/0 pcs 7,090.83 21

168 Devitalisasi Pasta Botol 495,000.00 -

169 Etil klorida semprot Botol 126,500.00 1

170 Folley Catheter 2 way No.14 Pcs 10,160.00 -

171 Folley Catheter 2 way No.16 Pcs 10,160.00 -

172 Folley Catheter 2 way No.18 Pcs 10,160.00 -

173 Glass Ionmer (Gcix) Set 715,000.00 -

174 Hand scond pcs 4,462.00 -

175 Infusion set anak anak pcs 4,445.00 58

176 Infusion set dewasa pcs 4,064.00 7

177 Kalsium Hidroksida pasta Tube 865,700.00 -

178 Kasa Elastic / Elastomul hulf Rol 48,650.00 -

179 Kasa Kompres 40 x 40 Rol 2,032.00 -

180 Kapas pembalut/absorben 250gram Rol 15,875.00 15

181 Kasa pembalut hidrofil 2x80 Rol 9,779.00 2

182 Kasa pembalut hidrofil 4x10 Rol 1,905.00 22

183 Kasa pembalut hidrofil 4x5 Rol 953.00 -

184 Kasa Steril 16 x 16 Kotak 7,366.00 -

185 Khlor Canfer Menthol (CHKM) Botol 57,750.00 -

186 Kohesive Bandage ( Elastic Bandage) Rol 39,328.00 -

187 Masker Kotak 20 pcs 22,500.00 140

188 Mummiffyng Pasta Botol 242,200.00 -

189 Plester 5 yard X 2 inchi Rol 23,625.00 -

190 Semen Seng Fosfat Set 242,200.00 -

191 Silk (benang brdah sutera) no3/0 , 2/0 pcs 3,880.56 33

192 Temporary (Fletcher) Set 165,000.00 -

193 Tricresol Formalin Set 49,500.00 -

194 Urine Bag Set 3,810.00 -

III REAGENT DAN BAHAN LAB -

195 Alkohol Botol 1000 ml 27,305.00 -

196 Aquadest Botol 1000 ml 13,000.00 -


Ambalawi
HARGA SISA STOCK PER 31
NO NAMA SEDIAAN SATUAN PEROLEHAN DESEMBER 2014
(E_Catalog)

1 2 3 4 5
197 Asam Acetat 6 % Botol 100 ml 34,000.00 -

198 BaCl2 10 % Botol 100 ml 19,000.00 -

199 Benedict Botol 100 ml 100,000.00 -

200 Blood Lancet Kotak @ 200 buah 52,000.00 1

201 Box Slide Kotak 138,000.00 12

202 Cover Glass Kotak @ 50 lbr 17,000.00 -

203 EDTA 10 % Botol 100 ml 95,000.00 -

204 Fouchet Botol 100 ml 140,000.00 -

205 Giemza Botol100 ml 190,000.00 3

206 Golongan Darah Set 3 x 10 ml 257,000.00 -

207 Haemocytometer Set 1,300,000.00 -

208 Haemometer/HB Sahli Unit 110,000.00 -

209 Handscund 7,5 Kotak 50 psg 467,500.00 -

210 Handscund 7 Kotak 50 psg 467,500.00 -

211 HCl 0,1 N Botol 100 ml 15,000.00 -

212 Kapas Bungkus 1/2 kg 24,000.00 -

213 Na Citrat 3,8 % Botol 50 ml 13,000.00 -

214 Oil Emersi Botol 100 ml 360,000.00 -

215 Paper Lens Buah 16,000.00 -

216 Penjepit Tabung Buah 4,000.00 -

217 Pipet Tetes PCS 3,000.00 3

218 Pot Dahak Buah 3,000.00 350

219 Reagen Widal Set 426,000.00 1

220 Rees Ecker Botol 100 ml 45,000.00 -

221 Slide Frosted Kotak / 72's 27,000.00 1

222 Spiritus Kantong 500 ml 40,000.00 -

223 Tabung Serologi PCS 6,500.00 -

224 Tabung Reaksi PCS 4,500.00 10

225 Tabung Centrifuge PCS 6,250.00 1

V OBAT JIWA -

226 Sikzonoate inj Ampul 60,000.00 -

VI VAKSIN -
Ambalawi
HARGA SISA STOCK PER 31
NO NAMA SEDIAAN SATUAN PEROLEHAN DESEMBER 2014
(E_Catalog)

1 2 3 4 5
227 Vaksin carier Vial 2

228 Vaksin Polio Vial 12500.00 3

229 Vaksin TT Vial 13475.00 4

TOTAL NILAI PERSEDIAAN :

Bima, Januari 2015


Kepala Puskesmas Ambalawi

ILHAM AKBAR, SKM


Nip. 19790230 200604 1 008
MBALAWI

NILAI PERSEDIAAN
PER 31 DESEMBER
2014

6
-

41,360

176,572

25,420

19,656

8,730,720

1,492,500

1,226,476

66,025

44,100

632,200

243,600

15,400

46,740

141,360

1,215,315

-
NILAI PERSEDIAAN
PER 31 DESEMBER
2014

6
115,500

472,815

1,008,000

77,097

10,580

840

255,150

77,736

115,875

44,800

26,558

161,190

44,000

485,406

135,030

34,529

217,500

327,624

448,875

2,975,700

1,370,600

20,000

-
NILAI PERSEDIAAN
PER 31 DESEMBER
2014

6
-

447,866

1,459,773

129,940

476,222

148,986

310,600

334,884

142,680

122,220

1,298,330

1,222,100

159,099

16,200

98,160

27,540
NILAI PERSEDIAAN
PER 31 DESEMBER
2014

6
41,070

358,176

369,000

84,000

1,870,365

275,000

50,400

162,423

198,555

234,284

752,488

504,000

110,880

69,389

128,993

314,160

31,350
NILAI PERSEDIAAN
PER 31 DESEMBER
2014

6
187,600

3,286,920

86,250

104,144

145,600

569,836

276,584

284,825

28,927

12,900

348,150

81,026

22,860

-
-
-

241,300

144,780

183,388

-
NILAI PERSEDIAAN
PER 31 DESEMBER
2014

6
-

316,396

148,908

126,500

257,810

28,448

238,125

19,558

41,910

3,150,000

128,058

-
NILAI PERSEDIAAN
PER 31 DESEMBER
2014

6
-

52,000

1,656,000

570,000

9,000

1,050,000

426,000

27,000

45,000

6,250

-
NILAI PERSEDIAAN
PER 31 DESEMBER
2014

6
-

37,500

53,900

48,885,434

Bima, Januari 2015


epala Puskesmas Ambalawi

ILHAM AKBAR, SKM


ip. 19790230 200604 1 008
NILAI PERSEDIAAN AKHIR PUSKESMAS MONTA
PER 31 DESEMBER 2014

Monta
HARGA Sisa Stok per 31
NO NAMA SEDIAAN SATUAN PEROLEHAN Desember 2014
(E_Catalog)
1 2 3 4 5
1 ACT Antimalaria / Arterakine tablet Tablet 1,409.00 33
2 ACT Antimalaria /Artesunat tab Ampul 1,409.00 -
3 Aluporinol tablet 100 mg Tablet 88.00 -
4 Aminofillin Inj 24mg/ml-10ml Ampul 4,013.00 55
5 Aminofillin tablet 200 mg Tablet 82.00 2,200
6 Aminofluid Kantong 64,680.00 35
7 Amitriptillin tablet 25 mg Tablet 117.00 500
8 Amoxicillin kaplet 500mg Tablet 270.00 51,600
9 Amoxicillin Syr Kering 125mg/5ml Botol 2,500.00 400
10 Antasida Doen tab Tablet 74.00 22,150
11 Antasida Syrup Botol 2,160.00 -
12 Anti Bakteri Doen salep kombinasi Tube 2,641.00 75
13 Anti fungi Doen Kombinasi Tube 2,001.04 -
14 Anti Haemoroid Doen Kombinasi Supp 2,100.00 100
15 Anti migrain Doen Kombinasi Tablet 142.00 100
16 Antiparkinson/ levopar Tablet 1,575.00 100
17 Aqua pro Inj Steril bebas pirogen Botol 2,100.00 30
18 Arthemeter injeksi Ampul 23,100.00 -
19 Asam ascorbat (vitc ) tab 50 mg Tablet 100.00 11,400
20 Asam mefenamat tablet 500mg Tablet 116.00 7,100
21 Atropin sulfas Inj 0,2ml/ml-1ml Ampul 1,540.00 90
22 Atropin sulfas tablet 0,5mg Tablet 77.00 500
23 Benzatin B. penisillin 1,2 jt iu/vial Vial 10,290.00 -
24 Benzatin B. penisillin 2,4 jt iu/vial Vial 14,070.00 -
25 Betamethason cream 0,1% Tube 1,558.00 -
26 Captopril 12,5 mg tablet Tablet 62.00 -
27 Captopril 25 mg tablet Tablet 89.00 -
28 Carbamazepin 200 mg Tablet 257.00 -
29 Cimetidin tablet Tablet 179.25 15,800
30 Co-Amoxiclav 500 mg Tablet 5,308.37 -
31 Codein 20m mg Tablet 1,155.00 -
32 Depo Profera Vial 10,500.00 -
33 Dexamethason Inj 5ml/ml-1ml Ampul 1,659.00 470
34 Dexamethason tablet 0,5 mg Tablet 64.00 19,550
35 Diazepam Inj 5mg /ml,2ml Ampul 2,487.00 78
36 Diazepam tablet 2mg Tablet 46.00 100
Monta
HARGA Sisa Stok per 31
NO NAMA SEDIAAN SATUAN PEROLEHAN Desember 2014
(E_Catalog)
1 2 3 4 5
37 Diazepam tablet 5 mg btl 250 Tablet 42.00 -
38 Digoksin tablet 0,25mg Tablet 100.00 -
39 Diphenhidramin Inj 10mg/ml,1ml Ampul 840.00 -
40 Efedrin tablet Tablet 45.00 -
41 Epinerpin Inj 0,1% , 1ml Ampul 8,505.00 142
42 Erytromicin 500 mg Kaplet 976.00 -
43 Etakrida (Rivanol) larutan 0,1% Botol 3,239.00 3
44 Etanol 70% 100 ml Botol 2,575.00 16
45 Eugenol Cairan Botol 17,500.00 -
46 Extrak belladon tablet 10 mg Tablet 28.00 5,000
47 Fenitoin kaps 30mg Tablet 140.00 -
48 Fenobarbital 30 mg Tablet 49.00 100
49 Fenobarbital injeksi ampul 1,890.00 30
50 Fitomenadion (vit k ) Inj 10mg/ml 1ml Ampul 3,582.00 55
51 Fitomenadion (vit k) tablet salut 10mg Tablet 666.00 100
52 Furosemida tablet 40 mg Tablet 80.00 -
53 Gameksan Emulsi 1% Botol 2,310.00 -
54 Garam Oralit untuk 200ml air saset 303.00 5,800
55 Gentamisin inj.80 mg/2 ml Ampul 3,569.00 -
56 Gentamisin salep kulit Tube 1,929.00 -
57 Gentian violet larutan 1% Botol 473.00 30
58 Glibenclamid Tablet 58.00 4,700
59 Gliseril Guayakolat tablet 100 mg Tablet 24.00 16,000
60 Glukosa infus 10% Botol 5,985.00 100
61 Glukosa infus 5% Botol 5,460.00 1,332
62 Griseofulvin tab 125 mg Tablet 220.00 6,200
63 Haloperidol 5 mg Tablet 100.00 300
64 Haloperidol Tab 0,5 mg Tablet 61.00 -
65 Haloperidol Tab 1,5 mg Tablet 72.00 -
66 Hidroklorotiazid ( HCT ) tab 25 mg Tablet 38.00 -
67 Hidrokortizon Cream Tube 2,966.00 189
68 Ibuprofen Syr 200 mg Botol 116.00 -
69 Ibuprofen tablet 400 mg Tablet 153.00 16,000
70 Isosorbit dinitrat sublingual tablet Tablet 93.00 -
71 Kalsium Lactat tablet 500 mg Tablet 73.00 7,000
72 Kalsium Gluconas inj Ampul 7,800.00 -
73 Kaptopril 12,5 mg tablet Tablet 62.00 11,000
74 Kaptopril 25 mg tablet Tablet 89.00 -
75 Karbamazepin 200 mg Tablet 257.00 -
76 Karbogliserin TT 10% Tube 2,144.00 -
Monta
HARGA Sisa Stok per 31
NO NAMA SEDIAAN SATUAN PEROLEHAN Desember 2014
(E_Catalog)
1 2 3 4 5
77 Ketokonazole Crim Tube 2,993.00 100
78 Klofeniramin maleat ( CTM ) tab 4 mg Tablet 25.00 1,600
79 Kloramfenikol kapsul 250 mg Kapsul 258.00 4,000
80 Kloramfenikol salep mata 1% Tube 1,640.00 307
81 Kloramfenikol tetes telinga 3% Botol 1,260.00 48
82 Klorokina fosfat tablet 250 mg Tablet 110.00 -
83 Klorpromazin Injeksi 25 mg/ml Ampul 1,103.00 60
84 Klorpromazin tablet 100 mg Tablet 153.00 1,000
85 Klorpromazin tablet 25 mg Tablet 71.00 -
86 Komb piritamin 25mg+sulfadoxin 500mg Tablet 544.00 -
87 Kotrimoxazol dewasa tablet Tablet 145.00 19,900
88 Kotrimoxazol pediaktrik tablet Tablet 50.00 296
89 Kotrimoxazol suspensi Botol 2,222.00 190
90 Kuinin dihidroklorida Inj 25% 2ml Ampul 6,510.00 -
91 Kuinin dihidroklorida tablet 200 mg Tablet 704.00 -
92 Lidokain kompositum Inj Ampul 879.00 371
93 Lisol 1 liter Botol 52,070.00 2
94 Loratadine 10 mg Tablet 162.00 -
95 Manegsium sulfat inj (IV) 20 % 25ml Botol 1,617.00 -
96 Manegsium sulfat inj (IV) 40% 25ml Botol 2,045.00 20
97 Metil ergometrin Inj 0,2mg /ml Tablet 2,750.00 75
98 Metil ergometrin tab 0,125 mg Tablet 162.00 1,000
99 Metoclorpamid Tablet 111.00 -
100 Metronidazol 250mg tablet Tablet 113.00 -
101 Metronidazol 500mg tablet Tablet 164.00 4,327
102 Metronidazol infus 500mg/100ml Botol 10,250.00 -
103 Mikonazole krim Tube 3,075.00 166
104 Natrium bikarbonat tab 500 mg Tablet 19.31 -
105 Natrium Diklovenac Tablet 140.00 -
106 Natrium klorida Infus 0,9% Botol 4,935.00 209
107 Neo-K Inj Ampul 11,000.00 -
108 Nifedipin 10 mg Tablet 110.00 -
109 Nistatin 100.000 IU tablet vaginal Tablet 504.00 300
110 Nistatin 500.000 IU tablet salut Tablet 672.00 -
111 Obat anti tuberkolusis katagori anak Paket 225,740.00 2
112 Obat anti tuberkolusis kategori I Paket 377,900.00 20
113 Obat anti tuberkolusis kategori II Paket 1,259,990.00 -
114 Obat anti tuberkolusis kategori sisipan Paket 168,000.00 -
115 Obat batuk hitam (OBH ) cairan Botol 1,299.38 100
116 Oksitetrasiclin Hcl Inj IM 50mg/ml 10ml Vial 3,255.00 48
Monta
HARGA Sisa Stok per 31
NO NAMA SEDIAAN SATUAN PEROLEHAN Desember 2014
(E_Catalog)
1 2 3 4 5
117 Oksitetrasiclin salep kulit 3% Tube 2,261.00 50
118 Oksitetrasiclin salep mata 1% Tube 2,016.00 100
119 Oksitosin inj 10 IU/ ml,1ml Ampul 1,874.27 106
120 Omeprazol 20 mg Kapsul 216.00 -
121 Paracetamol syr 120mg/ 5ml Botol 1,496.00 660
122 Paracetamol drop Botol -
123 Paracetamol tablet 100 mg Tablet 56.57 -
124 Paracetamol tablet 500 mg Tablet 84.00 9,500
125 Pirantel pamoat tablet 125 mg Tablet 308.00 810
126 Piridoxin Hcl tablet 10 mg Tablet 18.27 11,000
127 Piroksicam kaps 20 mg Kapsul 110.25 1,900
128 Prednison tablet 5 mg Tablet 119.00 4,200
129 Primakina tablet 15 mg Tablet 147.15 -
130 Prokain Benz Penicillin Inj 3 Jt IU / vl Vial 7,549.00 28
131 Propanolol tablet 10 mg Tablet 79.00 -
132 Propanolol tablet 40 mg Tablet 110.00 300
133 Propiltiourasil tablet 100 mg Tablet 335.00 300
134 Ranitidine 150 mg Tablet 122.00 -
135 Ranitidine injeksi ampul 1,190.00 -
136 Reserpin tablet 0,25 mg Tablet 118.80 -
137 Retinol (Vit.A) 100.000 IU Kapsul 273.00 431
138 Retinol (Vit.A) 200.000 IU Kapsul 482.00 4,127
139 Ringer Lactat infus steril Botol 5,460.00 2,532
140 Sabupolivalen 5 ml ( ABU I ) vial 495,000.00 -
141 Salbutamol tablet 2 mg Tablet 62.00 1,000
142 Salbutamol tablet 4 mg Tablet 91.00 -
143 Salep 2 - 4 kombinasi Tablet 2,100.00 -
144 Salisil bedak 2% Tube 1,250.00 179
145 Serum anti tetanus 1.500 IU/VL (ATS ) Ampul 72,450.00 -
146 Serum anti tetanus 20.000 IU/VL (ATS ) Ampul 525,000.00 -
147 Sianocobalamin (Vit B12 ) inj 500mcg/ml Ampul 1,132.00 436
148 Simvastatin 20 mg Tablet 394.00 -
149 Siprofloxacin 500 mg Tablet 260.00 3,100
150 Tablet tambah darah kombinasi Tablet 43.00 21,300
151 Tetracain Tetes Mata 0,5% Botol 11,500.00 -
152 Tetrasiclin Hcl kapsul 250 mg Kapsul 154.00 2,080
153 Thiamine Hcl 50 mg tab Tablet 58.97 17,700
154 Thiamine Hcl inj. Ampul 997.47 180
155 Triheksipenidil Hcl tablet 2mg Tablet 43.00 300
156 Vitamin B complek tab Tablet 110.00 16,800
Monta
HARGA Sisa Stok per 31
NO NAMA SEDIAAN SATUAN PEROLEHAN Desember 2014
(E_Catalog)
1 2 3 4 5
157 Yodium povidon larutan 10% 30 ml Botol 3,683.00 92
158 Yodium povidon larutan 10% 300 ml Botol 22,860.00 32
159 Zink tablet 20 mg Tablet 497.00 -
-
II OBAT GIGI DAN PERBEKKES -
160 Abbocath 18 G pcs 4,826.00 -
161 Abbocath 20 G pcs 4,826.00 425
162 Abbocath 22 G pcs 4,826.00 176
163 Abbocath 24 G pcs 4,826.00 500
164 Alat suntik sekali pakai 1 ml pcs 826.00 70
165 Alat suntik sekali pakai 2,5 ml pcs 826.00 -
166 Alat suntik sekali pakai 5 ml pcs 953.00 784
167 Catgut / benang bedah 2/0-3/0 pcs 7,090.83 155
168 Devitalisasi Pasta Botol 495,000.00 1
169 Etil klorida semprot Botol 126,500.00 5
170 Folley Catheter 2 way No.14 Pcs 10,160.00 -
171 Folley Catheter 2 way No.16 Pcs 10,160.00 -
172 Folley Catheter 2 way No.18 Pcs 10,160.00 9
173 Glass Ionmer (Gcix) Set 715,000.00 1
174 Hand scond pcs 4,462.00 234
175 Infusion set anak anak pcs 4,445.00 640
176 Infusion set dewasa pcs 4,064.00 606
177 Kalsium Hidroksida pasta Tube 865,700.00 2
178 Kasa Elastic / Elastomul hulf Rol 48,650.00 -
179 Kasa Kompres 40 x 40 Rol 2,032.00 100
180 Kapas pembalut/absorben 250gram Rol 15,875.00 8
181 Kasa pembalut hidrofil 2x80 Rol 9,779.00 52
182 Kasa pembalut hidrofil 4x10 Rol 1,905.00 250
183 Kasa pembalut hidrofil 4x5 Rol 953.00 40
184 Kasa Steril 16 x 16 Kotak 7,366.00 40
185 Khlor Canfer Menthol (CHKM) Botol 57,750.00 -
186 Kohesive Bandage ( Elastic Bandage) Rol 39,328.00 -
187 Masker Kotak 20 pcs 22,500.00 463
188 Mummiffyng Pasta Botol 242,200.00 -
189 Plester 5 yard X 2 inchi Rol 23,625.00 43
190 Semen Seng Fosfat Set 242,200.00 -
191 Silk (benang brdah sutera) no3/0 , 2/0 pcs 3,880.56 112
192 Temporary (Fletcher) Set 165,000.00 -
193 Tricresol Formalin Set 49,500.00 -
194 Urine Bag Set 3,810.00 -
Monta
HARGA Sisa Stok per 31
NO NAMA SEDIAAN SATUAN PEROLEHAN Desember 2014
(E_Catalog)
1 2 3 4 5
-
III REAGENT DAN BAHAN LAB -
195 Alkohol Botol 1000 ml 27,305.00 1
196 Aquadest Botol 1000 ml 13,000.00 3
197 Asam Acetat 6 % Botol 100 ml 34,000.00 -
198 BaCl2 10 % Botol 100 ml 19,000.00 3
199 Benedict Botol 100 ml 100,000.00 13
200 Blood Lancet Kotak @ 200 buah 52,000.00 4
201 Box Slide Kotak 138,000.00 5
202 Cover Glass Kotak @ 50 lbr 17,000.00 -
203 EDTA 10 % Botol 100 ml 95,000.00 1
204 Fouchet Botol 100 ml 140,000.00 -
205 Giemza Botol100 ml 190,000.00 -
206 Golongan Darah Set 3 x 10 ml 257,000.00 1
207 Haemocytometer Set 1,300,000.00 -
208 Haemometer/HB Sahli Unit 110,000.00 1
209 Handscund 7,5 Kotak 50 psg 467,500.00 2
210 Handscund 7 Kotak 50 psg 467,500.00 -
211 HCl 0,1 N Botol 100 ml 15,000.00 2
212 Kapas Bungkus 1/2 kg 24,000.00 -
213 Na Citrat 3,8 % Botol 50 ml 13,000.00 -
214 Oil Emersi Botol 100 ml 360,000.00 -
215 Paper Lens Buah 16,000.00 -
216 Penjepit Tabung Buah 4,000.00 1
217 Pipet Tetes PCS 3,000.00 3
218 Pot Dahak Buah 3,000.00 188
219 Reagen Widal Set 426,000.00 -
220 Rees Ecker Botol 100 ml 45,000.00 -
221 Slide Frosted Kotak / 72's 27,000.00 418
222 Spiritus Kantong 500 ml 40,000.00 1
223 Tabung Serologi PCS 6,500.00 -
224 Tabung Reaksi PCS 4,500.00 -
225 Tabung Centrifuge PCS 6,250.00 -
226 Ziel nelsen Kotak 177,000.00 3
227 Turk botol 8,000.00 -
-
V OBAT JIWA -
228 Sikzonoate inj Ampul 60,000.00 8
-
VI VAKSIN -
Monta
HARGA Sisa Stok per 31
NO NAMA SEDIAAN SATUAN PEROLEHAN Desember 2014
(E_Catalog)
1 2 3 4 5
229 Vaksin carier Vial -
230 Vaksin Polio Vial 12,500.00 -
231 Vaksin TT Vial 13,475.00 -
232 Vaksin BCG Vial 40,000.00 -
233 Vaksin DPT/ HB Vial 65,000.00 -
234 Vaksin Campak Vial 45,000.00 -
235 Vaksin Hb 0 Vial 175,000.00 -
236 VaksinDPT/HIB Vial 49,962.00 -
-
VII OBAT KECACINGAN -
236 Albendazole 400mg Tablet 354.00 -

TOTAL PERSEDIAAN

Bima, januari 2015.-


Kepala Puskesmas Monta

dr. Wahyuni
Nip. 19771408 200604 2 013
NTA

Nilai Persediaan
akhir per 31
Desember 2014
6
46,497
-
-
220,715
180,400
2,263,800
58,500
13,932,000
1,000,000
1,639,100
-
198,075
-
210,000
14,200
157,500
63,000
-
1,140,000
823,600
138,600
38,500
-
-
-
-
-
-
2,832,150
-
-
-
779,730
1,251,200
193,986
4,600
Nilai Persediaan
akhir per 31
Desember 2014
6
-
-
-
-
1,207,710
-
9,717
41,200
-
140,000
-
4,900
56,700
197,010
66,600
-
-
1,757,400
-
-
14,190
272,600
384,000
598,500
7,272,720
1,364,000
30,000
-
-
-
560,574
-
2,448,000
-
511,000
-
682,000
-
-
-
Nilai Persediaan
akhir per 31
Desember 2014
6
299,300
40,000
1,032,000
503,480
60,480
-
66,180
153,000
-
-
2,885,500
14,800
422,180
-
-
326,109
104,140
-
-
40,900
206,250
162,000
-
-
709,628
-
510,450
-
-
1,031,415
-
-
151,200
-
451,480
7,558,000
-
-
129,938
156,240
Nilai Persediaan
akhir per 31
Desember 2014
6
113,050
201,600
198,673
-
987,360
-
-
798,000
249,480
200,970
209,475
499,800
-
211,372
-
33,000
100,500
-
-
-
117,663
1,989,214
13,824,720
-
62,000
-
-
223,750
-
-
493,552
-
806,000
915,900
-
320,320
1,043,769
179,544
12,900
1,848,000
Nilai Persediaan
akhir per 31
Desember 2014
6
338,836
731,520
-
-
-
-
2,051,050
849,376
2,413,000
57,820
-
747,152
1,099,079
495,000
632,500
-
-
91,440
715,000
1,044,108
2,844,800
2,462,784
1,731,400
-
203,200
127,000
508,508
476,250
38,120
294,640
-
-
10,417,500
-
1,015,875
-
434,622
-
-
-
Nilai Persediaan
akhir per 31
Desember 2014
6
-
-
27,305
39,000
-
57,000
1,300,000
208,000
690,000
-
95,000
-
-
257,000
-
110,000
935,000
-
30,000
-
-
-
-
4,000
9,000
564,000
-
-
11,286,000
40,000
-
-
-
531,000
-
-
-
480,000
-
-
Nilai Persediaan
akhir per 31
Desember 2014
6
-
-
-
-
-
-
-
-
-
-
-

135,943,141

Bima, januari 2015.-


Kepala Puskesmas Monta

dr. Wahyuni
p. 19771408 200604 2 013
NILAI PERSEDIAAN AKHIR PUSKESMAS BOLO
PER 31 DESEMBER 2014
BOLO

HARGA
NO NAMA SEDIAAN SATUAN PEROLEHAN SISA STOK PER 31
(E_Catalog) DESEMBER

1 2 3 4 5
1 ACT Antimalaria / Arterakine tablet Tablet 1,409.00 90
2 ACT Antimalaria /Artesunat tab Ampul 1,409.00 -
3 Aluporinol tablet 100 mg Tablet 88.00 1,400
4 Aminofillin Inj 24mg/ml-10ml Ampul 4,013.00 30
5 Aminofillin tablet 200 mg Tablet 82.00 1,100
6 Aminofluid Kantong 64,680.00 15
7 Amitriptillin tablet 25 mg Tablet 117.00 500
8 Amoxicillin kaplet 500mg Tablet 270.00 62,800
9 Amoxicillin Syr Kering 125mg/5ml Botol 2,500.00 922
10 Antasida Doen tab Tablet 74.00 28,700
11 Antasida Syrup Botol 2,160.00 -
12 Anti Bakteri Doen salep kombinasi Tube 2,641.00 250
13 Anti fungi Doen Kombinasi Tube 2,001.04 -
14 Anti Haemoroid Doen Kombinasi Supp 2,100.00 190
15 Anti migrain Doen Kombinasi Tablet 142.00 700
16 Antiparkinson/ levopar Tablet 1,575.00 -
17 Aqua pro Inj Steril bebas pirogen Botol 2,100.00 25
18 Arthemeter injeksi Ampul 23,100.00 -
19 Asam ascorbat (vitc ) tab 50 mg Tablet 100.00 11,600
20 Asam mefenamat tablet 500mg Tablet 116.00 8,000
21 Atropin sulfas Inj 0,2ml/ml-1ml Ampul 1,540.00 120
22 Atropin sulfas tablet 0,5mg Tablet 77.00 200
23 Benzatin B. penisillin 1,2 jt iu/vial Vial 10,290.00 -
24 Benzatin B. penisillin 2,4 jt iu/vial Vial 14,070.00 -
25 Betamethason cream 0,1% Tube 1,558.00 -
26 Captopril 12,5 mg tablet Tablet 62.00 -
27 Captopril 25 mg tablet Tablet 89.00 -
28 Carbamazepin 200 mg Tablet 257.00 -
29 Cimetidin tablet Tablet 179.25 14,600
30 Co-Amoxiclav 500 mg Tablet 5,308.37 -
31 Codein 20m mg Tablet 1,155.00 100
32 Depo Profera Vial 10,500.00 -
33 Dexamethason Inj 5ml/ml-1ml Ampul 1,659.00 426
34 Dexamethason tablet 0,5 mg Tablet 64.00 19,500
35 Diazepam Inj 5mg /ml,2ml Ampul 2,487.00 152
36 Diazepam tablet 2mg Tablet 46.00 -
BOLO

HARGA SISA STOK PER 31


NO NAMA SEDIAAN SATUAN PEROLEHAN DESEMBER
(E_Catalog)

1 2 3 4 5
37 Diazepam tablet 5 mg btl 250 Tablet 42.00 250
38 Digoksin tablet 0,25mg Tablet 100.00 -
39 Diphenhidramin Inj 10mg/ml,1ml Ampul 840.00 -
40 Efedrin tablet Tablet 45.00 -
41 Epinerpin Inj 0,1% , 1ml Ampul 8,505.00 60
42 Erytromicin 500 mg Kaplet 976.00 -
43 Etakrida (Rivanol) larutan 0,1% Botol 3,239.00 -
44 Etanol 70% 100 ml Botol 2,575.00 92
45 Eugenol Cairan Botol 17,500.00 12
46 Extrak belladon tablet 10 mg Tablet 28.00 750
47 Fenitoin kaps 30mg Tablet 140.00 -
48 Fenobarbital 30 mg Tablet 49.00 -
49 Fenobarbital injeksi ampul 1,890.00 5
50 Fitomenadion (vit k ) Inj 10mg/ml 1ml Ampul 3,582.00 97
51 Fitomenadion (vit k) tablet salut 10mg Tablet 666.00 -
52 Furosemida tablet 40 mg Tablet 80.00 200
53 Gameksan Emulsi 1% Botol 2,310.00 -
54 Garam Oralit untuk 200ml air saset 303.00 4,807
55 Gentamisin inj.80 mg/2 ml Ampul 3,569.00 -
56 Gentamisin salep kulit Tube 1,929.00 100
57 Gentian violet larutan 1% Botol 473.00 72
58 Glibenclamid Tablet 58.00 3,300
59 Gliseril Guayakolat tablet 100 mg Tablet 24.00 18,000
60 Glukosa infus 10% Botol 5,985.00 440
61 Glukosa infus 5% Botol 5,460.00 1,155
62 Griseofulvin tab 125 mg Tablet 220.00 4,100
63 Haloperidol 5 mg Tablet 100.00 2,300
64 Haloperidol Tab 0,5 mg Tablet 61.00 -
65 Haloperidol Tab 1,5 mg Tablet 72.00 -
66 Hidroklorotiazid ( HCT ) tab 25 mg Tablet 38.00 -
67 Hidrokortizon Cream Tube 2,966.00 440
68 Ibuprofen Syr 200 mg Botol 116.00 -
69 Ibuprofen tablet 400 mg Tablet 153.00 15,800
70 Isosorbit dinitrat sublingual tablet Tablet 93.00 -
71 Kalsium Lactat tablet 500 mg Tablet 73.00 8,000
72 Kalsium Gluconas inj Ampul 7,800.00 -
73 Kaptopril 12,5 mg tablet Tablet 62.00 3,900
74 Kaptopril 25 mg tablet Tablet 89.00 500
75 Karbamazepin 200 mg Tablet 257.00 -
BOLO

HARGA SISA STOK PER 31


NO NAMA SEDIAAN SATUAN PEROLEHAN DESEMBER
(E_Catalog)

1 2 3 4 5
76 Karbogliserin TT 10% Tube 2,144.00 -
77 Ketokonazole Crim Tube 2,993.00 200
78 Klofeniramin maleat ( CTM ) tab 4 mg Tablet 25.00 25,200
79 Kloramfenikol kapsul 250 mg Kapsul 258.00 4,000
80 Kloramfenikol salep mata 1% Tube 1,640.00 248
81 Kloramfenikol tetes telinga 3% Botol 1,260.00 48
82 Klorokina fosfat tablet 250 mg Tablet 110.00 -
83 Klorpromazin Injeksi 25 mg/ml Ampul 1,103.00 180
84 Klorpromazin tablet 100 mg Tablet 153.00 500
85 Klorpromazin tablet 25 mg Tablet 71.00 -
86 Komb piritamin 25mg+sulfadoxin 500mg Tablet 544.00 -
87 Kotrimoxazol dewasa tablet Tablet 145.00 15,600
88 Kotrimoxazol pediaktrik tablet Tablet 50.00 -
89 Kotrimoxazol suspensi Botol 2,222.00 847
90 Kuinin dihidroklorida Inj 25% 2ml Ampul 6,510.00 -
91 Kuinin dihidroklorida tablet 200 mg Tablet 704.00 960
92 Lidokain kompositum Inj Ampul 879.00 600
93 Lisol 1 liter Botol 52,070.00 2
94 Loratadine 10 mg Tablet 162.00 -
95 Manegsium sulfat inj (IV) 20 % 25ml Botol 1,617.00 -
96 Manegsium sulfat inj (IV) 40% 25ml Botol 2,045.00 35
97 Metil ergometrin Inj 0,2mg /ml Tablet 2,750.00 152
98 Metil ergometrin tab 0,125 mg Tablet 162.00 500
99 Metoclorpamid Tablet 111.00 200
100 Metronidazol 250mg tablet Tablet 113.00 -
101 Metronidazol 500mg tablet Tablet 164.00 1,000
102 Metronidazol infus 500mg/100ml Botol 10,250.00 50
103 Mikonazole krim Tube 3,075.00 216
104 Natrium bikarbonat tab 500 mg Tablet 19.31 -
105 Natrium Diklovenac Tablet 140.00 4,100
106 Natrium klorida Infus 0,9% Botol 4,935.00 744
107 Neo-K Inj Ampul 11,000.00 30
108 Nifedipin 10 mg Tablet 110.00 490
109 Nistatin 100.000 IU tablet vaginal Tablet 504.00 -
110 Nistatin 500.000 IU tablet salut Tablet 672.00 100
111 Obat anti tuberkolusis katagori anak Paket 225,740.00 3
112 Obat anti tuberkolusis kategori I & III Paket 377,900.00 34
113 Obat anti tuberkolusis kategori II Paket 1,259,990.00 2
114 Obat anti tuberkolusis kategori sisipan Paket 168,000.00 -
BOLO

HARGA SISA STOK PER 31


NO NAMA SEDIAAN SATUAN PEROLEHAN DESEMBER
(E_Catalog)

1 2 3 4 5
115 Obat batuk hitam (OBH ) cairan Botol 1,299.38 92
116 Oksitetrasiclin Hcl Inj IM 50mg/ml 10ml Vial 3,255.00 4
117 Oksitetrasiclin salep kulit 3% Tube 2,261.00 -
118 Oksitetrasiclin salep mata 1% Tube 2,016.00 100
119 Oksitosin inj 10 IU/ ml,1ml Ampul 1,874.27 70
120 Omeprazol 20 mg Kapsul 216.00 -
121 Paracetamol syr 120mg/ 5ml Botol 1,496.00 1,341
122 Paracetamol drop Botol 5,460.00 -
123 Paracetamol tablet 100 mg Tablet 56.57 -
124 Paracetamol tablet 500 mg Tablet 84.00 8,000
125 Pirantel pamoat tablet 125 mg Tablet 308.00 150
126 Piridoxin Hcl tablet 10 mg Tablet 18.27 16,000
127 Piroksicam kaps 20 mg Kapsul 110.25 2,300
128 Prednison tablet 5 mg Tablet 119.00 6,000
129 Primakina tablet 15 mg Tablet 147.15 500
130 Prokain Benz Penicillin Inj 3 Jt IU / vl Vial 7,549.00 6
131 Propanolol tablet 10 mg Tablet 79.00 -
132 Propanolol tablet 40 mg Tablet 110.00 400
133 Propiltiourasil tablet 100 mg Tablet 335.00 400
134 Ranitidine 150 mg Tablet 122.00 500
135 Ranitidine injeksi ampul 1,190.00 -
136 Reserpin tablet 0,25 mg Tablet 118.80 -
137 Retinol (Vit.A) 100.000 IU Kapsul 273.00 450
138 Retinol (Vit.A) 200.000 IU Kapsul 482.00 3,764
139 Ringer Lactat infus steril Botol 5,460.00 2,740
140 Sabupolivalen 5 ml ( ABU I ) vial 495,000.00 -
141 Salbutamol tablet 2 mg Tablet 62.00 1,600
142 Salbutamol tablet 4 mg Tablet 91.00 -
143 Salep 2 - 4 kombinasi Tablet 2,100.00 -
144 Salisil bedak 2% Tube 1,250.00 180
145 Serum anti tetanus 1.500 IU/VL (ATS ) Ampul 72,450.00 -
146 Serum anti tetanus 20.000 IU/VL (ATS ) Ampul 525,000.00 -
147 Sianocobalamin (Vit B12 ) inj 500mcg/ml Ampul 1,132.00 295
148 Simvastatin 20 mg Tablet 394.00 -
149 Siprofloxacin 500 mg Tablet 260.00 4,400
150 Tablet tambah darah kombinasi Tablet 43.00 57,800
151 Tetracain Tetes Mata 0,5% Botol 11,500.00 49
152 Tetrasiclin Hcl kapsul 250 mg Kapsul 154.00 4,400
153 Thiamine Hcl 50 mg tab Tablet 58.97 17,000
BOLO

HARGA SISA STOK PER 31


NO NAMA SEDIAAN SATUAN PEROLEHAN DESEMBER
(E_Catalog)

1 2 3 4 5
154 Thiamine Hcl inj. Ampul 997.47 198
155 Triheksipenidil Hcl tablet 2mg Tablet 43.00 1,500
156 Vitamin B complek tab Tablet 110.00 20,500
157 Yodium povidon larutan 10% 30 ml Botol 3,683.00 232
158 Yodium povidon larutan 10% 300 ml Botol 22,860.00 96
159 Zink tablet 20 mg Tablet 497.00 1,000

II OBAT GIGI DAN PERBEKKES


160 Abbocath 18 G pcs 4,826.00 290
161 Abbocath 20 G pcs 4,826.00 455
162 Abbocath 22 G pcs 4,826.00 150
163 Abbocath 24 G pcs 4,826.00 300
164 Alat suntik sekali pakai 1 ml pcs 826.00 -
165 Alat suntik sekali pakai 2,5 ml pcs 826.00 240
166 Alat suntik sekali pakai 5 ml pcs 953.00 890
167 Catgut / benang bedah 2/0-3/0 pcs 7,090.83 96
168 Devitalisasi Pasta Botol 495,000.00 1
169 Etil klorida semprot Botol 126,500.00 8
170 Folley Catheter 2 way No.14 Pcs 10,160.00 3
171 Folley Catheter 2 way No.16 Pcs 10,160.00 7
172 Folley Catheter 2 way No.18 Pcs 10,160.00 6
173 Glass Ionmer (Gcix) Set 715,000.00 2
174 Hand scond pcs 4,462.00 6
175 Infusion set anak anak pcs 4,445.00 400
176 Infusion set dewasa pcs 4,064.00 671
177 Kalsium Hidroksida pasta Tube 865,700.00 2
178 Kasa Elastic / Elastomul hulf Rol 48,650.00 -
179 Kasa Kompres 40 x 40 Rol 2,032.00 78
180 Kapas pembalut/absorben 250gram Rol 15,875.00 39
181 Kasa pembalut hidrofil 2x80 Rol 9,779.00 92
182 Kasa pembalut hidrofil 4x10 Rol 1,905.00 345
183 Kasa pembalut hidrofil 4x5 Rol 953.00 422
184 Kasa Steril 16 x 16 Kotak 7,366.00 20
185 Khlor Canfer Menthol (CHKM) Botol 57,750.00 -
186 Kohesive Bandage ( Elastic Bandage) Rol 39,328.00 10
187 Masker Kotak 20 pcs 22,500.00 9
188 Mummiffyng Pasta Botol 242,200.00 -
189 Plester 5 yard X 2 inchi Rol 23,625.00 86
190 Semen Seng Fosfat Set 242,200.00 -
BOLO

HARGA SISA STOK PER 31


NO NAMA SEDIAAN SATUAN PEROLEHAN DESEMBER
(E_Catalog)

1 2 3 4 5
191 Silk (benang brdah sutera) no3/0 , 2/0 pcs 3,880.56 216
192 Temporary (Fletcher) Set 165,000.00 2
193 Tricresol Formalin Set 49,500.00 -
194 Urine Bag Set 3,810.00 23

III REAGENT DAN BAHAN LAB


195 Alkohol Botol 100 ml 2,575.00 11
196 Aquadest Botol 1000 ml 13,000.00 -
197 Asam Acetat 6 % Botol 100 ml 34,000.00 -
198 BaCl2 10 % Botol 100 ml 19,000.00 -
199 Benedict Botol 100 ml 100,000.00 -
200 Blood Lancet Kotak @ 200 buah 52,000.00 1
201 Box Slide Kotak 138,000.00 3
202 Cover Glass Kotak @ 50 lbr 17,000.00 1
203 EDTA 10 % Botol 100 ml 95,000.00 -
204 Fouchet Botol 100 ml 140,000.00 -
205 Giemza Botol100 ml 190,000.00 2
206 Golongan Darah Set 3 x 10 ml 257,000.00 1
207 Haemocytometer Set 1,300,000.00 -
208 Haemometer/HB Sahli Unit 110,000.00 1
209 Handscund 7,5 Kotak 50 psg 467,500.00 -
210 Handscund 7 Kotak 50 psg 467,500.00 1
211 HCl 0,1 N Botol 100 ml 15,000.00 2
212 Kapas Bungkus 1/2 kg 24,000.00 2
213 Na Citrat 3,8 % Botol 50 ml 13,000.00 -
214 Oil Emersi Botol 100 ml 360,000.00 1
215 Paper Lens Buah 16,000.00 -
216 Penjepit Tabung Buah 4,000.00 -
217 Pipet Tetes PCS 3,000.00 8
218 Pot Dahak Buah 3,000.00 318
219 Reagen Widal Set 426,000.00 1
220 Rees Ecker Botol 100 ml 45,000.00 -
221 Slide Frosted Kotak / 72's 27,000.00 296
222 Spiritus Kantong 500 ml 40,000.00 -
223 Tabung Serologi PCS 6,500.00 -
224 Tabung Reaksi PCS 4,500.00 40
225 Tabung Centrifuge PCS 6,250.00 -
226 Ziel nelsen Kotak 177,000.00 15
227 Turk botol 8,000.00 -
BOLO

HARGA SISA STOK PER 31


NO NAMA SEDIAAN SATUAN PEROLEHAN DESEMBER
(E_Catalog)

1 2 3 4 5
-
V OBAT JIWA -
228 Sikzonoate inj Ampul 60,000.00 110

VI VAKSIN
229 Vaksin Polio Vial 12,500.00 212
230 Vaksin TT Vial 13,475.00 77
231 Vaksin BCG Vial 40,000.00 81
232 Vaksin DPT/ HB Vial 65,000.00 -
233 Vaksin Campak Vial 45,000.00 161
234 Vaksin Hb 0 Vial 175,000.00 273
235 VaksinDPT/HIB Vial 49,962.00 380
-
VII OBAT KECACINGAN -
236 Albendazole 400mg Tablet 354.00 12,000

TOTAL NILAI PER

Bima, Januari 2015

Kepala Puskesmas Bolo

B i s r u n , SKM
Nip. 19741231 200003 1 026
O

Nilai Persediaan akhir


per 31 Desember 2014

6
126,810
-
123,200
120,390
90,200
970,200
58,500
16,956,000
2,305,000
2,123,800
-
660,250
-
399,000
99,400
-
52,500
-
1,160,000
928,000
184,800
15,400
-
-
-
-
-
-
2,617,050
-
115,500
-
706,734
1,248,000
378,024
-
Nilai Persediaan akhir
per 31 Desember 2014

6
10,500
-
-
-
510,300
-
-
236,900
210,000
21,000
-
-
9,450
347,454
-
16,000
-
1,456,521
-
192,900
34,056
191,400
432,000
2,633,400
6,306,300
902,000
230,000
-
-
-
1,305,040
-
2,417,400
-
584,000
-
241,800
44,500
-
Nilai Persediaan akhir
per 31 Desember 2014

6
-
598,600
630,000
1,032,000
406,720
60,480
-
198,540
76,500
-
-
2,262,000
-
1,882,034
-
675,840
527,400
104,140
-
-
71,575
418,000
81,000
22,200
-
164,000
512,500
664,200
-
574,000
3,671,640
330,000
53,900
-
67,200
677,220
12,848,600
2,519,980
-
Nilai Persediaan akhir
per 31 Desember 2014

6
119,543
13,020
-
201,600
131,199
-
2,006,136
-
-
672,000
46,200
292,320
253,575
714,000
73,575
45,294
-
44,000
134,000
61,000
-
-
122,850
1,814,248
14,960,400
-
99,200
-
-
225,000
-
-
333,940
-
1,144,000
2,485,400
563,500
677,600
1,002,490
Nilai Persediaan akhir
per 31 Desember 2014

6
197,498
64,500
2,255,000
854,456
2,194,560
497,000

1,399,540
2,195,830
723,900
1,447,800
-
198,240
848,170
680,720
495,000
1,012,000
30,480
71,120
60,960
1,430,000
26,772
1,778,000
2,726,944
1,731,400
-
158,496
619,125
899,668
657,225
402,166
147,320
-
393,280
202,500
-
2,031,750
-
Nilai Persediaan akhir
per 31 Desember 2014

6
838,200
330,000
-
87,630

28,325
-
-
-
-
52,000
414,000
17,000
-
-
380,000
257,000
-
110,000
-
467,500
30,000
48,000
-
360,000
-
-
24,000
954,000
426,000
-
7,992,000
-
-
180,000
-
2,655,000
-
Nilai Persediaan akhir
per 31 Desember 2014

6
-
-
6,600,000

2,650,000
1,037,575
3,240,000
-
7,245,000
47,775,000
18,985,560
-
-
4,248,000

245,001,248

Januari 2015

uskesmas Bolo

31 200003 1 026
NILAI PERSEDIAAN AKHIR PUSKESMAS WOHA
PER 31 DESEMBER 2014
WOHA

HARGA Sisa Stok per 31


NO NAMA SEDIAAN SATUAN PEROLEHAN Desember
(E_Catalog)

1 2 3 4 5
1 ACT Antimalaria / Arterakine tablet Tablet 1,409.00 42
2 ACT Antimalaria /Artesunat tab Ampul 1,409.00 -
3 Aluporinol tablet 100 mg Tablet 88.00 370
4 Aminofillin Inj 24mg/ml-10ml Ampul 4,013.00 25
5 Aminofillin tablet 200 mg Tablet 82.00 -
6 Aminofluid Kantong 64,680.00 50
7 Amitriptillin tablet 25 mg Tablet 117.00 -
8 Amoxicillin kaplet 500mg Tablet 270.00 46,550
9 Amoxicillin Syr Kering 125mg/5ml Botol 2,500.00 490
10 Antasida Doen tab Tablet 74.00 16,380
11 Antasida Syrup Botol 2,160.00 -
12 Anti Bakteri Doen salep kombinasi Tube 2,641.00 32
13 Anti fungi Doen Kombinasi Tube 2,001.04 -
14 Anti Haemoroid Doen Kombinasi Supp 2,100.00 58
15 Anti migrain Doen Kombinasi Tablet 142.00 -
16 Antiparkinson/ levopar Tablet 1,575.00 -
17 Aqua pro Inj Steril bebas pirogen Botol 2,100.00 50
18 Arthemeter injeksi Ampul 23,100.00 -
19 Asam ascorbat (vitc ) tab 50 mg Tablet 100.00 7,280
20 Asam mefenamat tablet 500mg Tablet 116.00 5,900
21 Atropin sulfas Inj 0,2ml/ml-1ml Ampul 1,540.00 -
22 Atropin sulfas tablet 0,5mg Tablet 77.00 -
23 Benzatin B. penisillin 1,2 jt iu/vial Vial 10,290.00 -
24 Benzatin B. penisillin 2,4 jt iu/vial Vial 14,070.00 -
25 Betamethason cream 0,1% Tube 1,558.00 -
26 Captopril 12,5 mg tablet Tablet 62.00 1,240
27 Captopril 25 mg tablet Tablet 89.00 -
28 Carbamazepin 200 mg Tablet 257.00 -
29 Cimetidin tablet Tablet 179.25 10,370
30 Co-Amoxiclav 500 mg Tablet 5,308.37 -
31 Codein 20m mg Tablet 1,155.00 -
32 Depo Profera Vial 10,500.00 -
33 Dexamethason Inj 5ml/ml-1ml Ampul 1,659.00 77
34 Dexamethason tablet 0,5 mg Tablet 64.00 11,850
35 Diazepam Inj 5mg /ml,2ml Ampul 2,487.00 30
36 Diazepam tablet 2mg Tablet 46.00 240
37 Diazepam tablet 5 mg btl 250 Tablet 42.00 -
38 Digoksin tablet 0,25mg Tablet 100.00 450
39 Diphenhidramin Inj 10mg/ml,1ml Ampul 840.00 -
40 Efedrin tablet Tablet 45.00 -
41 Epinerpin Inj 0,1% , 1ml Ampul 8,505.00 30
WOHA

HARGA Sisa Stok per 31


NO NAMA SEDIAAN SATUAN PEROLEHAN Desember
(E_Catalog)

1 2 3 4 5
42 Erytromicin 500 mg Kaplet 976.00 -
43 Etakrida (Rivanol) larutan 0,1% Botol 3,239.00 13
44 Etanol 70% 100 ml Botol 2,575.00 31
45 Eugenol Cairan Botol 17,500.00 12
46 Extrak belladon tablet 10 mg Tablet 28.00 1,630
47 Fenitoin kaps 30mg Tablet 140.00 -
48 Fenobarbital 30 mg Tablet 49.00 97
49 Fenobarbital injeksi ampul 1,890.00 15
50 Fitomenadion (vit k ) Inj 10mg/ml 1ml Ampul 3,582.00 50
51 Fitomenadion (vit k) tablet salut 10mg Tablet 666.00 60
52 Furosemida tablet 40 mg Tablet 80.00 -
53 Gameksan Emulsi 1% Botol 2,310.00 -
54 Garam Oralit untuk 200ml air saset 303.00 2,480
55 Gentamisin inj.80 mg/2 ml Ampul 3,569.00 -
56 Gentamisin salep kulit Tube 1,929.00 -
57 Gentian violet larutan 1% Botol 473.00 55
58 Glibenclamid Tablet 58.00 1,450
59 Gliseril Guayakolat tablet 100 mg Tablet 24.00 12,930
60 Glukosa infus 10% Botol 5,985.00 -
61 Glukosa infus 5% Botol 5,460.00 538
62 Griseofulvin tab 125 mg Tablet 220.00 960
63 Haloperidol 5 mg Tablet 100.00 830
64 Haloperidol Tab 0,5 mg Tablet 61.00 2,090
65 Haloperidol Tab 1,5 mg Tablet 72.00 -
66 Hidroklorotiazid ( HCT ) tab 25 mg Tablet 38.00 -
67 Hidrokortizon Cream Tube 2,966.00 73
68 Ibuprofen Syr 200 mg Botol 116.00 -
69 Ibuprofen tablet 400 mg Tablet 153.00 -
70 Isosorbit dinitrat sublingual tablet Tablet 93.00 16,600
71 Kalsium Lactat tablet 500 mg Tablet 73.00 7,240
72 Kalsium Gluconas inj Ampul 7,800.00 -
73 Kaptopril 12,5 mg tablet Tablet 62.00 4,290
74 Kaptopril 25 mg tablet Tablet 89.00 -
75 Karbamazepin 200 mg Tablet 257.00 -
76 Karbogliserin TT 10% Tube 2,144.00 -
77 Ketokonazole Crim Tube 2,993.00 200
78 Klofeniramin maleat ( CTM ) tab 4 mg Tablet 25.00 13,310
79 Kloramfenikol kapsul 250 mg Kapsul 258.00 -
80 Kloramfenikol salep mata 1% Tube 1,640.00 119
81 Kloramfenikol tetes telinga 3% Botol 1,260.00 88
82 Klorokina fosfat tablet 250 mg Tablet 110.00 -
83 Klorpromazin Injeksi 25 mg/ml Ampul 1,103.00 -
84 Klorpromazin tablet 100 mg Tablet 153.00 1,428
85 Klorpromazin tablet 25 mg Tablet 71.00 -
WOHA

HARGA Sisa Stok per 31


NO NAMA SEDIAAN SATUAN PEROLEHAN Desember
(E_Catalog)

1 2 3 4 5
86 Komb piritamin 25mg+sulfadoxin 500mg Tablet 544.00 -
87 Kotrimoxazol dewasa tablet Tablet 145.00 8,690
88 Kotrimoxazol pediaktrik tablet Tablet 50.00 -
89 Kotrimoxazol suspensi Botol 2,222.00 408
90 Kuinin dihidroklorida Inj 25% 2ml Ampul 6,510.00 -
91 Kuinin dihidroklorida tablet 200 mg Tablet 704.00 -
92 Lidokain kompositum Inj Ampul 879.00 304
93 Lisol 1 liter Botol 52,070.00 2
94 Loratadine 10 mg Tablet 162.00 -
95 Manegsium sulfat inj (IV) 20 % 25ml Botol 1,617.00 -
96 Manegsium sulfat inj (IV) 40% 25ml Botol 2,045.00 146
97 Metil ergometrin Inj 0,2mg /ml Tablet 2,750.00 -
98 Metil ergometrin tab 0,125 mg Tablet 162.00 270
99 Metoclorpamid Tablet 111.00 630
100 Metronidazol 250mg tablet Tablet 113.00 -
101 Metronidazol 500mg tablet Tablet 164.00 2,450
102 Metronidazol infus 500mg/100ml Botol 10,250.00 50
103 Mikonazole krim Tube 3,075.00 83
104 Natrium bikarbonat tab 500 mg Tablet 19.31 -
105 Natrium Diklovenac Tablet 140.00 2,030
106 Natrium klorida Infus 0,9% Botol 4,935.00 1,047
107 Neo-K Inj Ampul 11,000.00 -
108 Nifedipin 10 mg Tablet 110.00 -
109 Nistatin 100.000 IU tablet vaginal Tablet 504.00 200
110 Nistatin 500.000 IU tablet salut Tablet 672.00 -
111 Obat anti tuberkolusis katagori anak Paket 225,740.00 -
112 Obat anti tuberkolusis kategori I Paket 377,900.00 -
113 Obat anti tuberkolusis kategori II Paket 1,259,990.00 -
114 Obat anti tuberkolusis kategori sisipan Paket 168,000.00 -
115 Obat batuk hitam (OBH ) cairan Botol 1,299.38 122
116 Oksitetrasiclin Hcl Inj IM 50mg/ml 10ml Vial 3,255.00 -
117 Oksitetrasiclin salep kulit 3% Tube 2,261.00 -
118 Oksitetrasiclin salep mata 1% Tube 2,016.00 -
119 Oksitosin inj 10 IU/ ml,1ml Ampul 1,874.27 -
120 Omeprazol 20 mg Kapsul 216.00 -
121 Paracetamol syr 120mg/ 5ml Botol 1,496.00 617
122 Paracetamol drop Botol -
123 Paracetamol tablet 100 mg Tablet 56.57 1,370
124 Paracetamol tablet 500 mg Tablet 84.00 130
125 Pirantel pamoat tablet 125 mg Tablet 308.00 -
126 Piridoxin Hcl tablet 10 mg Tablet 18.27 3,590
127 Piroksicam kaps 20 mg Kapsul 110.25 830
128 Prednison tablet 5 mg Tablet 119.00 -
129 Primakina tablet 15 mg Tablet 147.15 234
WOHA

HARGA Sisa Stok per 31


NO NAMA SEDIAAN SATUAN PEROLEHAN Desember
(E_Catalog)

1 2 3 4 5
130 Prokain Benz Penicillin Inj 3 Jt IU / vl Vial 7,549.00 -
131 Propanolol tablet 10 mg Tablet 79.00 -
132 Propanolol tablet 40 mg Tablet 110.00 700
133 Propiltiourasil tablet 100 mg Tablet 335.00 700
134 Ranitidine 150 mg Tablet 122.00 500
135 Ranitidine injeksi ampul 1,190.00 -
136 Reserpin tablet 0,25 mg Tablet 118.80 -
137 Retinol (Vit.A) 100.000 IU Kapsul 273.00 -
138 Retinol (Vit.A) 200.000 IU Kapsul 482.00 -
139 Ringer Lactat infus steril Botol 5,460.00 1,230
140 Sabupolivalen 5 ml ( ABU I ) vial 495,000.00 -
141 Salbutamol tablet 2 mg Tablet 62.00 -
142 Salbutamol tablet 4 mg Tablet 91.00 810
143 Salep 2 - 4 kombinasi Tablet 2,100.00 -
144 Salisil bedak 2% Tube 1,250.00 121
145 Serum anti tetanus 1.500 IU/VL (ATS ) Ampul 72,450.00 -
146 Serum anti tetanus 20.000 IU/VL (ATS ) Ampul 525,000.00 -
147 Sianocobalamin (Vit B12 ) inj 500mcg/ml Ampul 1,132.00 79
148 Simvastatin 20 mg Tablet 394.00 -
149 Siprofloxacin 500 mg Tablet 260.00 1,790
150 Tablet tambah darah kombinasi Tablet 43.00 33,810
151 Tetracain Tetes Mata 0,5% Botol 11,500.00 47
152 Tetrasiclin Hcl kapsul 250 mg Kapsul 154.00 2,570
153 Thiamine Hcl 50 mg tab Tablet 58.97 4,910
154 Thiamine Hcl inj. Ampul 997.47 -
155 Triheksipenidil Hcl tablet 2mg Tablet 43.00 1,631
156 Vitamin B complek tab Tablet 110.00 10,480
157 Yodium povidon larutan 10% 30 ml Botol 3,683.00 51
158 Yodium povidon larutan 10% 300 ml Botol 22,860.00 13
159 Zink tablet 20 mg Tablet 497.00 -
-
II OBAT GIGI DAN PERBEKKES -
160 Abbocath 18 G pcs 4,826.00 200
161 Abbocath 20 G pcs 4,826.00 301
162 Abbocath 22 G pcs 4,826.00 87
163 Abbocath 24 G pcs 4,826.00 277
164 Alat suntik sekali pakai 1 ml pcs 826.00 -
165 Alat suntik sekali pakai 2,5 ml pcs 826.00 -
166 Alat suntik sekali pakai 5 ml pcs 953.00 116
167 Catgut / benang bedah 2/0-3/0 pcs 7,090.83 100
168 Devitalisasi Pasta Botol 495,000.00 3
169 Etil klorida semprot Botol 126,500.00 -
170 Folley Catheter 2 way No.14 Pcs 10,160.00 -
171 Folley Catheter 2 way No.16 Pcs 10,160.00 -
WOHA

HARGA Sisa Stok per 31


NO NAMA SEDIAAN SATUAN PEROLEHAN Desember
(E_Catalog)

1 2 3 4 5
172 Folley Catheter 2 way No.18 Pcs 10,160.00 -
173 Glass Ionmer (Gcix) Set 715,000.00 72
174 Hand scond pcs 4,462.00 95
175 Infusion set anak anak pcs 4,445.00 155
176 Infusion set dewasa pcs 4,064.00 470
177 Kalsium Hidroksida pasta Tube 865,700.00 1
178 Kasa Elastic / Elastomul hulf Rol 48,650.00 -
179 Kasa Kompres 40 x 40 Rol 2,032.00 -
180 Kapas pembalut/absorben 250gram Rol 15,875.00 10
181 Kasa pembalut hidrofil 2x80 Rol 9,779.00 102
182 Kasa pembalut hidrofil 4x10 Rol 1,905.00 65
183 Kasa pembalut hidrofil 4x5 Rol 953.00 70
184 Kasa Steril 16 x 16 Kotak 7,366.00 -
185 Khlor Canfer Menthol (CHKM) Botol 57,750.00 93
186 Kohesive Bandage ( Elastic Bandage) Rol 39,328.00 -
187 Masker Kotak 20 pcs 22,500.00 38
188 Mummiffyng Pasta Botol 242,200.00 -
189 Plester 5 yard X 2 inchi Rol 23,625.00 35
190 Semen Seng Fosfat Set 242,200.00 44
191 Silk (benang brdah sutera) no3/0 , 2/0 pcs 3,880.56 80
192 Temporary (Fletcher) Set 165,000.00 -
193 Tricresol Formalin Set 49,500.00 -
194 Urine Bag Set 3,810.00 -
195 Pembalut Gips Rol 49,000.00 19
196 Scalvin 27 pcs 1,778.00 3

III REAGENT DAN BAHAN LAB -


197 Alkohol Botol 100 ml 2,575.00 26
198 Aquadest Botol 1000 ml 13,000.00 -
199 Asam Acetat 6 % Botol 100 ml 34,000.00 -
200 BaCl2 10 % Botol 100 ml 19,000.00 -
201 Benedict Botol 100 ml 100,000.00 -
202 Blood Lancet Kotak @ 200 buah 52,000.00 -
203 Box Slide Kotak 138,000.00 -
204 Cover Glass Kotak @ 50 lbr 17,000.00 -
205 EDTA 10 % Botol 100 ml 95,000.00 -
206 Fouchet Botol 100 ml 140,000.00 -
207 Giemza Botol100 ml 190,000.00 -
208 Golongan Darah Set 3 x 10 ml 257,000.00 -
209 Haemocytometer Set 1,300,000.00 -
210 Haemometer/HB Sahli Unit 110,000.00 -
211 Handscund 7,5 Kotak 50 psg 467,500.00 -
212 Handscund 7 Kotak 50 psg 467,500.00 -
213 HCl 0,1 N Botol 100 ml 15,000.00 10
WOHA

HARGA Sisa Stok per 31


NO NAMA SEDIAAN SATUAN PEROLEHAN Desember
(E_Catalog)

1 2 3 4 5
214 Kapas Bungkus 1/2 kg 24,000.00 -
215 Na Citrat 3,8 % Botol 50 ml 13,000.00 -
216 Oil Emersi Botol 100 ml 360,000.00 -
217 Paper Lens Buah 16,000.00 -
218 Penjepit Tabung Buah 4,000.00 -
219 Pipet Tetes PCS 3,000.00 -
220 Pot Dahak Buah 3,000.00 -
221 Reagen Widal Set 426,000.00 -
222 Rees Ecker Botol 100 ml 45,000.00 -
223 Slide Frosted Kotak / 72's 27,000.00 -
224 Spiritus Kantong 500 ml 40,000.00 -
225 Tabung Serologi PCS 6,500.00 -
226 Tabung Reaksi PCS 4,500.00 -
227 Tabung Centrifuge PCS 6,250.00 -
228 Ziel nelsen Kotak 177,000.00 -
229 Turk botol 8,000.00 -
230 HbSag Set 200,000.00 1
-
V OBAT JIWA -
231 Sikzonoate inj Ampul 60,000.00 -
-
VI VAKSIN -
232 Vaksin Polio Vial 12,500.00 -
233 Vaksin TT Vial 13,475.00 -
234 Vaksin BCG Vial 40,000.00 -
235 Vaksin DPT/ HB Vial 65,000.00 -
236 Vaksin Campak Vial 45,000.00 -
237 Vaksin Hb 0 Vial 175,000.00 -
238 VaksinDPT/HIB Vial 49,962.00 -
-
VII OBAT KECACINGAN -
239 Albendazole 400mg Tablet 354.00 -

TOTAL PERSEDIAAN

Bima, januari 2015.-

Kepala Puskesmas Woha

dr. H. Ganis KP
Nip. 19631015 199003 1 017
EDIAAN AKHIR PUSKESMAS WOHA
ER 31 DESEMBER 2014

Nilai Persediaan akhir


per 31 Desember 2014

6
59,178
-
32,560
100,325
-
3,234,000
-
12,568,500
1,225,000
1,212,120
-
84,512
-
121,800
-
-
105,000
-
728,000
684,400
-
-
-
-
-
76,880
-
-
1,858,823
-
-
-
127,743
758,400
74,610
11,040
-
45,000
-
-
255,150
Nilai Persediaan akhir
per 31 Desember 2014

6
-
42,107
79,825
210,000
45,640
-
4,753
28,350
179,100
39,960
-
-
751,440
-
-
26,015
84,100
310,320
-
2,937,480
211,200
83,000
127,490
-
-
216,518
-
-
1,543,800
528,520
-
265,980
-
-
-
598,600
332,750
-
195,160
110,880
-
-
218,484
-
Nilai Persediaan akhir
per 31 Desember 2014

6
-
1,260,050
-
906,576
-
-
267,216
104,140
-
-
298,570
-
43,740
69,930
-
401,800
512,500
255,225
-
284,200
5,166,945
-
-
100,800
-
-
-
-
-
158,524
-
-
-
-
-
923,032
-
77,501
10,920
-
65,589
91,508
-
34,433
Nilai Persediaan akhir
per 31 Desember 2014

6
-
-
77,000
234,500
61,000
-
-
-
-
6,715,800
-
-
73,710
-
151,250
-
-
89,428
-
465,400
1,453,830
540,500
395,780
289,543
-
70,133
1,152,800
187,833
297,180
-
-
-
965,200
1,452,626
419,862
1,336,802
-
-
110,548
709,083
1,485,000
-
-
-
Nilai Persediaan akhir
per 31 Desember 2014

6
-
51,480,000
423,890
688,975
1,910,080
865,700
-
-
158,750
997,458
123,825
66,710
-
5,370,750
-
855,000
-
826,875
10,656,800
310,444
-
-
-
931,000
5,334

-
66,950
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
150,000
Nilai Persediaan akhir
per 31 Desember 2014

6
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
200,000
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-

138,391,061

Bima, januari 2015.-

Kepala Puskesmas Woha

Nip. 19631015 199003 1 017


NILAI PERSEDIAAN AKHIR PUSKESMAS DONGGO
PER 31 DESEMBER 2014

Donggo
HARGA Sisa Stok per 31
NO NAMA SEDIAAN SATUAN PEROLEHAN Desember
(E_Catalog)
1 2 3 4 5
1 ACT Antimalaria / Arterakine tablet Tablet 1,409.00 -
2 ACT Antimalaria /Artesunat tab Ampul 1,409.00 -
3 Aluporinol tablet 100 mg Tablet 88.00 350
4 Aminofillin Inj 24mg/ml-10ml Ampul 4,013.00 -
5 Aminofillin tablet 200 mg Tablet 82.00 -
6 Aminofluid Kantong 64,680.00 -
7 Amitriptillin tablet 25 mg Tablet 117.00 -
8 Amoxicillin kaplet 500mg Tablet 270.00 7,100
9 Amoxicillin Syr Kering 125mg/5ml Botol 2,500.00 207
10 Antasida Doen tab Tablet 74.00 5,300
11 Antasida Syrup Botol 2,160.00 -
12 Anti Bakteri Doen salep kombinasi Tube 2,641.00 -
13 Anti fungi Doen Kombinasi Tube 2,001.04 -
14 Anti Haemoroid Doen Kombinasi Supp 2,100.00 20
15 Anti migrain Doen Kombinasi Tablet 142.00 -
16 Antiparkinson/ levopar Tablet 1,575.00 -
17 Aqua pro Inj Steril bebas pirogen Botol 2,100.00 20
18 Arthemeter injeksi Ampul 23,100.00 -
19 Asam ascorbat (vitc ) tab 50 mg Tablet 100.00 2,900
20 Asam mefenamat tablet 500mg Tablet 116.00 1,500
21 Atropin sulfas Inj 0,2ml/ml-1ml Ampul 1,540.00 -
22 Atropin sulfas tablet 0,5mg Tablet 77.00 -
23 Benzatin B. penisillin 1,2 jt iu/vial Vial 10,290.00 -
24 Benzatin B. penisillin 2,4 jt iu/vial Vial 14,070.00 -
25 Betamethason cream 0,1% Tube 1,558.00 -
26 Captopril 12,5 mg tablet Tablet 62.00 -
27 Captopril 25 mg tablet Tablet 89.00 -
28 Carbamazepin 200 mg Tablet 257.00 -
29 Cimetidin tablet Tablet 179.25 900
30 Co-Amoxiclav 500 mg Tablet 5,308.37 -
31 Codein 20m mg Tablet 1,155.00 -
32 Depo Profera Vial 10,500.00 -
33 Dexamethason Inj 5ml/ml-1ml Ampul 1,659.00 70
34 Dexamethason tablet 0,5 mg Tablet 64.00 4,900
35 Diazepam Inj 5mg /ml,2ml Ampul 2,487.00 -
36 Diazepam tablet 2mg Tablet 46.00 250
Donggo
HARGA Sisa Stok per 31
NO NAMA SEDIAAN SATUAN PEROLEHAN Desember
(E_Catalog)
1 2 3 4 5
37 Diazepam tablet 5 mg btl 250 Tablet 42.00 -
38 Digoksin tablet 0,25mg Tablet 100.00 -
39 Diphenhidramin Inj 10mg/ml,1ml Ampul 840.00 -
40 Efedrin tablet Tablet 45.00 -
41 Epinerpin Inj 0,1% , 1ml Ampul 8,505.00 40
42 Erytromicin 500 mg Kaplet 976.00 -
43 Etakrida (Rivanol) larutan 0,1% Botol 3,239.00 5
44 Etanol 70% 100 ml Botol 2,575.00 5
45 Eugenol Cairan Botol 17,500.00 -
46 Extrak belladon tablet 10 mg Tablet 28.00 200
47 Fenitoin kaps 30mg Tablet 140.00 -
48 Fenobarbital 30 mg Tablet 49.00 200
49 Fenobarbital injeksi ampul 1,890.00 -
50 Fitomenadion (vit k ) Inj 10mg/ml 1ml Ampul 3,582.00 -
51 Fitomenadion (vit k) tablet salut 10mg Tablet 666.00 -
52 Furosemida tablet 40 mg Tablet 80.00 200
53 Gameksan Emulsi 1% Botol 2,310.00 -
54 Garam Oralit untuk 200ml air saset 303.00 1,170
55 Gentamisin inj.80 mg/2 ml Ampul 3,569.00 -
56 Gentamisin salep kulit Tube 1,929.00 -
57 Gentian violet larutan 1% Botol 473.00 68
58 Glibenclamid Tablet 58.00 200
59 Gliseril Guayakolat tablet 100 mg Tablet 24.00 4,000
60 Glukosa infus 10% Botol 5,985.00 -
61 Glukosa infus 5% Botol 5,460.00 280
62 Griseofulvin tab 125 mg Tablet 220.00 450
63 Haloperidol 5 mg Tablet 100.00 790
64 Haloperidol Tab 0,5 mg Tablet 61.00 -
65 Haloperidol Tab 1,5 mg Tablet 72.00 -
66 Hidroklorotiazid ( HCT ) tab 25 mg Tablet 38.00 -
67 Hidrokortizon Cream Tube 2,966.00 91
68 Ibuprofen Syr 200 mg Botol 116.00 -
69 Ibuprofen tablet 400 mg Tablet 153.00 4,700
70 Isosorbit dinitrat sublingual tablet Tablet 93.00 -
71 Kalsium Lactat tablet 500 mg Tablet 73.00 2,000
72 Kalsium Gluconas inj Ampul 7,800.00 -
73 Kaptopril 12,5 mg tablet Tablet 62.00 -
74 Kaptopril 25 mg tablet Tablet 89.00 400
75 Karbamazepin 200 mg Tablet 257.00 -
76 Karbogliserin TT 10% Tube 2,144.00 -
Donggo
HARGA Sisa Stok per 31
NO NAMA SEDIAAN SATUAN PEROLEHAN Desember
(E_Catalog)
1 2 3 4 5
77 Ketokonazole Crim Tube 2,993.00 -
78 Klofeniramin maleat ( CTM ) tab 4 mg Tablet 25.00 6,600
79 Kloramfenikol kapsul 250 mg Kapsul 258.00 800
80 Kloramfenikol salep mata 1% Tube 1,640.00 76
81 Kloramfenikol tetes telinga 3% Botol 1,260.00 38
82 Klorokina fosfat tablet 250 mg Tablet 110.00 -
83 Klorpromazin Injeksi 25 mg/ml Ampul 1,103.00 -
84 Klorpromazin tablet 100 mg Tablet 153.00 -
85 Klorpromazin tablet 25 mg Tablet 71.00 -
86 Komb piritamin 25mg+sulfadoxin 500mg Tablet 544.00 -
87 Kotrimoxazol dewasa tablet Tablet 145.00 3,600
88 Kotrimoxazol pediaktrik tablet Tablet 50.00 -
89 Kotrimoxazol suspensi Botol 2,222.00 120
90 Kuinin dihidroklorida Inj 25% 2ml Ampul 6,510.00 -
91 Kuinin dihidroklorida tablet 200 mg Tablet 704.00 -
92 Lidokain kompositum Inj Ampul 879.00 270
93 Lisol 1 liter Botol 52,070.00 2
94 Loratadine 10 mg Tablet 162.00 -
95 Manegsium sulfat inj (IV) 20 % 25ml Botol 1,617.00 -
96 Manegsium sulfat inj (IV) 40% 25ml Botol 2,045.00 18
97 Metil ergometrin Inj 0,2mg /ml Tablet 2,750.00 158
98 Metil ergometrin tab 0,125 mg Tablet 162.00 1,050
99 Metoclorpamid Tablet 111.00 800
100 Metronidazol 250mg tablet Tablet 113.00 -
101 Metronidazol 500mg tablet Tablet 164.00 1,100
102 Metronidazol infus 500mg/100ml Botol 10,250.00 -
103 Mikonazole krim Tube 3,075.00 10
104 Natrium bikarbonat tab 500 mg Tablet 19.31 -
105 Natrium Diklovenac Tablet 140.00 1,300
106 Natrium klorida Infus 0,9% Botol 4,935.00 175
107 Neo-K Inj Ampul 11,000.00 -
108 Nifedipin 10 mg Tablet 110.00 30
109 Nistatin 100.000 IU tablet vaginal Tablet 504.00 -
110 Nistatin 500.000 IU tablet salut Tablet 672.00 100
111 Obat anti tuberkolusis katagori anak Paket 225,740.00 -
112 Obat anti tuberkolusis kategori I Paket 377,900.00 6
113 Obat anti tuberkolusis kategori II Paket 1,259,990.00 -
114 Obat anti tuberkolusis kategori sisipan Paket 168,000.00 -
115 Obat batuk hitam (OBH ) cairan Botol 1,299.38 100
116 Oksitetrasiclin Hcl Inj IM 50mg/ml 10ml Vial 3,255.00 -
Donggo
HARGA Sisa Stok per 31
NO NAMA SEDIAAN SATUAN PEROLEHAN Desember
(E_Catalog)
1 2 3 4 5
117 Oksitetrasiclin salep kulit 3% Tube 2,261.00 -
118 Oksitetrasiclin salep mata 1% Tube 2,016.00 35
119 Oksitosin inj 10 IU/ ml,1ml Ampul 1,874.27 10
120 Omeprazol 20 mg Kapsul 216.00 -
121 Paracetamol syr 120mg/ 5ml Botol 1,496.00 213
122 Paracetamol drop Botol 5,460.00 -
123 Paracetamol tablet 100 mg Tablet 56.57 -
124 Paracetamol tablet 500 mg Tablet 84.00 1,800
125 Pirantel pamoat tablet 125 mg Tablet 308.00 -
126 Piridoxin Hcl tablet 10 mg Tablet 18.27 2,000
127 Piroksicam kaps 20 mg Kapsul 110.25 300
128 Prednison tablet 5 mg Tablet 119.00 1,300
129 Primakina tablet 15 mg Tablet 147.15 500
130 Prokain Benz Penicillin Inj 3 Jt IU / vl Vial 7,549.00 -
131 Propanolol tablet 10 mg Tablet 79.00 -
132 Propanolol tablet 40 mg Tablet 110.00 100
133 Propiltiourasil tablet 100 mg Tablet 335.00 -
134 Ranitidine 150 mg Tablet 122.00 100
135 Ranitidine injeksi ampul 1,190.00 -
136 Reserpin tablet 0,25 mg Tablet 118.80 -
137 Retinol (Vit.A) 100.000 IU Kapsul 273.00 300
138 Retinol (Vit.A) 200.000 IU Kapsul 482.00 2,000
139 Ringer Lactat infus steril Botol 5,460.00 332
140 Sabupolivalen 5 ml ( ABU I ) vial 495,000.00 2
141 Salbutamol tablet 2 mg Tablet 62.00 150
142 Salbutamol tablet 4 mg Tablet 91.00 -
143 Salep 2 - 4 kombinasi Tablet 2,100.00 -
144 Salisil bedak 2% Tube 1,250.00 39
145 Serum anti tetanus 1.500 IU/VL (ATS ) Ampul 72,450.00 -
146 Serum anti tetanus 20.000 IU/VL (ATS ) Ampul 525,000.00 -
147 Sianocobalamin (Vit B12 ) inj 500mcg/ml Ampul 1,132.00 -
148 Simvastatin 20 mg Tablet 394.00 -
149 Siprofloxacin 500 mg Tablet 260.00 400
150 Tablet tambah darah kombinasi Tablet 43.00 14,700
151 Tetracain Tetes Mata 0,5% Botol 11,500.00 -
152 Tetrasiclin Hcl kapsul 250 mg Kapsul 154.00 1,400
153 Thiamine Hcl 50 mg tab Tablet 58.97 400
154 Thiamine Hcl inj. Ampul 997.47 -
155 Triheksipenidil Hcl tablet 2mg Tablet 43.00 460
156 Vitamin B complek tab Tablet 110.00 3,600
Donggo
HARGA Sisa Stok per 31
NO NAMA SEDIAAN SATUAN PEROLEHAN Desember
(E_Catalog)
1 2 3 4 5
157 Yodium povidon larutan 10% 30 ml Botol 3,683.00 82
158 Yodium povidon larutan 10% 300 ml Botol 22,860.00 -
159 Zink tablet 20 mg Tablet 497.00 500

II OBAT GIGI DAN PERBEKKES


160 Abbocath 18 G pcs 4,826.00 -
161 Abbocath 20 G pcs 4,826.00 83
162 Abbocath 22 G pcs 4,826.00 72
163 Abbocath 24 G pcs 4,826.00 136
164 Alat suntik sekali pakai 1 ml pcs 826.00 -
165 Alat suntik sekali pakai 2,5 ml pcs 826.00 67
166 Alat suntik sekali pakai 5 ml pcs 953.00 229
167 Catgut / benang bedah 2/0-3/0 pcs 7,090.83 81
168 Devitalisasi Pasta Botol 495,000.00 1
169 Etil klorida semprot Botol 126,500.00 1
170 Folley Catheter 2 way No.14 Pcs 10,160.00 -
171 Folley Catheter 2 way No.16 Pcs 10,160.00 -
172 Folley Catheter 2 way No.18 Pcs 10,160.00 -
173 Glass Ionmer (Gcix) Set 715,000.00 -
174 Hand scond pcs 4,462.00 2
175 Infusion set anak anak pcs 4,445.00 127
176 Infusion set dewasa pcs 4,064.00 180
177 Kalsium Hidroksida pasta Tube 865,700.00 -
178 Kasa Elastic / Elastomul hulf Rol 48,650.00 -
179 Kasa Kompres 40 x 40 Rol 2,032.00 -
180 Kapas pembalut/absorben 250gram Rol 15,875.00 14
181 Kasa pembalut hidrofil 2x80 Rol 9,779.00 8
182 Kasa pembalut hidrofil 4x10 Rol 1,905.00 183
183 Kasa pembalut hidrofil 4x5 Rol 953.00 50
184 Kasa Steril 16 x 16 Kotak 7,366.00 -
185 Khlor Canfer Menthol (CHKM) Botol 57,750.00 -
186 Kohesive Bandage ( Elastic Bandage) Rol 39,328.00 -
187 Masker Kotak 20 pcs 22,500.00 -
188 Mummiffyng Pasta Botol 242,200.00 -
189 Plester 5 yard X 2 inchi Rol 23,625.00 27
190 Semen Seng Fosfat Set 242,200.00 -
191 Silk (benang brdah sutera) no3/0 , 2/0 pcs 3,880.56 52
192 Temporary (Fletcher) Set 165,000.00 -
193 Tricresol Formalin Set 49,500.00 -
194 Urine Bag Set 3,810.00 -
Donggo
HARGA Sisa Stok per 31
NO NAMA SEDIAAN SATUAN PEROLEHAN Desember
(E_Catalog)
1 2 3 4 5

III REAGENT DAN BAHAN LAB


195 Alkohol Botol 100 ml 2,575.00 1
196 Aquadest Botol 1000 ml 13,000.00 -
197 Asam Acetat 6 % Botol 100 ml 34,000.00 -
198 BaCl2 10 % Botol 100 ml 19,000.00 -
199 Benedict Botol 100 ml 100,000.00 -
200 Blood Lancet Kotak @ 200 buah 52,000.00 1
201 Box Slide Kotak 138,000.00 2
202 Cover Glass Kotak @ 50 lbr 17,000.00 1
203 EDTA 10 % Botol 100 ml 95,000.00 1
204 Fouchet Botol 100 ml 140,000.00 -
205 Giemza Botol100 ml 190,000.00 2
206 Golongan Darah Set 3 x 10 ml 257,000.00 -
207 Haemocytometer Set 1,300,000.00 -
208 Haemometer/HB Sahli Unit 110,000.00 2
209 Handscund 7,5 Kotak 50 psg 467,500.00 -
210 Handscund 7 Kotak 50 psg 467,500.00 -
211 HCl 0,1 N Botol 100 ml 15,000.00 2
212 Kapas Bungkus 1/2 kg 24,000.00 -
213 Na Citrat 3,8 % Botol 50 ml 13,000.00 1
214 Oil Emersi Botol 100 ml 360,000.00 2
215 Paper Lens Buah 16,000.00 6
216 Penjepit Tabung Buah 4,000.00 5
217 Pipet Tetes PCS 3,000.00 9
218 Pot Dahak Buah 3,000.00 340
219 Reagen Widal Set 426,000.00 1
220 Rees Ecker Botol 100 ml 45,000.00 1
221 Slide Frosted Kotak / 72's 27,000.00 11
222 Spiritus Kantong 500 ml 40,000.00 3
223 Tabung Serologi PCS 6,500.00 20
224 Tabung Reaksi PCS 4,500.00 20
225 Tabung Centrifuge PCS 6,250.00 10
226 Ziel nelsen Kotak 177,000.00 3

V OBAT JIWA
227 Sikzonoate inj Ampul 60,000.00 35

VI VAKSIN
229 Vaksin Polio Vial 12,500.00 7
Donggo
HARGA Sisa Stok per 31
NO NAMA SEDIAAN SATUAN PEROLEHAN Desember
(E_Catalog)
1 2 3 4 5
230 Vaksin TT Vial 13,475.00 4
231 Vaksin BCG Vial 40,000.00 3
232 Vaksin DPT/ HB Vial 65,000.00 4
233 Vaksin Campak Vial 45,000.00 6
234 Hb 0 Vial 175,000.00 -

TOTAL NILAI PERSEDIAAN :

Bima, Januari 2015.-


Kepala Puskesmas Donggo

Muhammad Ali, A.Md. Kep


Nip. 19681231 198903 1009
ONGGO

Nilai Persediaan
akhir per 31
Desember 2014
6
-
-
30,800
-
-
-
-
1,917,000
517,500
392,200
-
-
-
42,000
-
-
42,000
-
290,000
174,000
-
-
-
-
-
-
-
-
161,325
-
-
-
116,130
313,600
-
11,500
Nilai Persediaan
akhir per 31
Desember 2014
6
-
-
-
-
340,200
-
16,195
12,875
-
5,600
-
9,800
-
-
-
16,000
-
354,510
-
-
32,164
11,600
96,000
-
1,528,800
99,000
79,000
-
-
-
269,906
-
719,100
-
146,000
-
-
35,600
-
-
Nilai Persediaan
akhir per 31
Desember 2014
6
-
165,000
206,400
124,640
47,880
-
-
-
-
-
522,000
-
266,640
-
-
237,330
104,140
-
-
36,810
434,500
170,100
88,800
-
180,400
-
30,750
-
182,000
863,625
-
3,300
-
67,200
-
2,267,400
-
-
129,938
-
Nilai Persediaan
akhir per 31
Desember 2014
6
-
70,560
18,743
-
318,648
-
-
151,200
-
36,540
33,075
154,700
73,575
-
-
11,000
-
12,200
-
-
81,900
964,000
1,812,720
990,000
9,300
-
-
48,750
-
-
-
-
104,000
632,100
-
215,600
23,588
-
19,780
396,000
Nilai Persediaan
akhir per 31
Desember 2014
6
302,006
-
248,500

-
400,558
347,472
656,336
-
55,342
218,237
574,358
495,000
126,500
-
-
-
-
8,924
564,515
731,520
-
-
-
222,250
78,232
348,615
47,650
-
-
-
-
-
637,875
-
201,789
-
-
-
Nilai Persediaan
akhir per 31
Desember 2014
6

2,575
-
-
-
-
52,000
276,000
17,000
95,000
-
380,000
-
-
220,000
-
-
30,000
-
13,000
720,000
96,000
20,000
27,000
1,020,000
426,000
45,000
297,000
120,000
130,000
90,000
62,500
531,000

2,100,000

87,500
Nilai Persediaan
akhir per 31
Desember 2014
6
53,900
120,000
260,000
270,000
-

33,914,390

Bima, Januari 2015.-


epala Puskesmas Donggo

Muhammad Ali, A.Md. Kep


p. 19681231 198903 1009
NILAI PERSEDIAAN AKHIR PUSKESMAS WERA

PER 31 DESEMBER 2014


WERA
HARGA Sisa Stok per 31
NO NAMA SEDIAAN SATUAN PEROLEHAN Desember 2014
(E_Catalog)

1 2 3 4 5
1 ACT Antimalaria / Arterakine tablet Tablet 1,409.00 326

2 ACT Antimalaria /Artesunat tab Tablet 1,409.00 -

3 Aluporinol tablet 100 mg Tablet 88.00 -

4 Aminofillin Inj 24mg/ml-10ml Ampul 4,013.00 53

5 Aminofillin tablet 200 mg Tablet 82.00 1,800

6 Aminofluid Kantong 64,680.00 43

7 Amitriptillin tablet 25 mg Tablet 117.00 600

8 Amoxicillin kaplet 500mg Tablet 270.00 34,000

9 Amoxicillin Syr Kering 125mg/5ml Botol 2,500.00 250


10 Antasida Doen tab Tablet 74.00 12,700
11 Antasida Syrup Botol 2,160.00 -
12 Anti Bakteri Doen salep kombinasi Tube 2,641.00 193
13 Anti fungi Doen Kombinasi Tube 2,001.04 -
14 Anti Haemoroid Doen Kombinasi Supp 2,100.00 -
15 Anti migrain Doen Kombinasi Tablet 142.00 -
16 Antiparkinson Tablet 1,575.00 1,000
17 Aqua pro Inj Steril bebas pirogen Botol 2,100.00 52
18 Arthemeter injeksi Ampul 23,100.00 -
19 Asam ascorbat (vitc ) tab 50 mg Tablet 100.00 5,600
20 Asam mefenamat tablet 500mg Tablet 116.00 5,100
21 Atropin sulfas Inj 0,2ml/ml-1ml Ampul 1,540.00 35
22 Atropin sulfas tablet 0,5mg Tablet 77.00 500
23 Benzatin B. penisillin 1,2 jt iu/vial Vial 10,290.00 -
24 Benzatin B. penisillin 2,4 jt iu/vial Vial 14,070.00 -
25 Betamethason cream 0,1% Tube 1,558.00 -
26 Captopril 12,5 mg tablet Tablet 62.00 -
27 Captopril 25 mg tablet Tablet 89.00 -
28 Carbamazepin 200 mg Tablet 257.00 -
29 Cimetidin tablet Tablet 179.25 4,100
30 Co-Amoxiclav 500 mg Tablet 5,308.37 -
31 Codein 20m mg Tablet 1,155.00 -
32 Depo Profera Vial 10,500.00 -
33 Dexamethason Inj 5ml/ml-1ml Ampul 1,659.00 387
34 Dexamethason tablet 0,5 mg Tablet 64.00 2,800
35 Diazepam Inj 5mg /ml,2ml Ampul 2,487.00 51
36 Diazepam tablet 2mg Tablet 46.00 200
37 Diazepam tablet 5 mg btl 250 Tablet 42.00 -
WERA
HARGA Sisa Stok per 31
NO NAMA SEDIAAN SATUAN PEROLEHAN Desember 2014
(E_Catalog)

1 2 3 4 5
38 Digoksin tablet 0,25mg Tablet 100.00 -
39 Diphenhidramin Inj 10mg/ml,1ml Ampul 840.00 -
40 Efedrin tablet Tablet 45.00 -
41 Epinerpin Inj 0,1% , 1ml Ampul 8,505.00 -
42 Erytromicin 500 mg Kaplet 976.00 -
43 Etakrida (Rivanol) larutan 0,1% Botol 3,239.00 -
44 Etanol 70% 100 ml Botol 2,575.00 30
45 Eugenol Cairan Botol 17,500.00 2
46 Extrak belladon tablet 10 mg Tablet 28.00 1,300
47 Fenitoin kaps 30mg Tablet 140.00 -
48 Fenobarbital 30 mg Tablet 49.00 100
49 Fenobarbital injeksi ampul 1,890.00 58
50 Fitomenadion (vit k ) Inj 10mg/ml 1ml Ampul 3,582.00 35
51 Fitomenadion (vit k) tablet salut 10mg Tablet 666.00 -
52 Furosemida tablet 40 mg Tablet 80.00 2,200
53 Gameksan Emulsi 1% Botol 2,310.00 -
54 Garam Oralit untuk 200ml air saset 303.00 1,000
55 Gentamisin inj.80 mg/2 ml Ampul 3,569.00 -
56 Gentamisin salep kulit Tube 1,929.00 25
57 Gentian violet larutan 1% Botol 473.00 60
58 Glibenclamid Tablet 58.00 5,000
59 Gliseril Guayakolat tablet 100 mg Tablet 24.00 7,000
60 Glukosa infus 10% Botol 5,985.00 60
61 Glukosa infus 5% Botol 5,460.00 310
62 Griseofulvin tab 125 mg Tablet 220.00 4,300
63 Haloperidol 5 mg Tablet 100.00 1,600
64 Haloperidol Tab 0,5 mg Tablet 61.00 -
65 Haloperidol Tab 1,5 mg Tablet 72.00 -
66 Hidroklorotiazid ( HCT ) tab 25 mg Tablet 38.00 -
67 Hidrokortizon Cream Tube 2,966.00 -
68 Ibuprofen Syr 200 mg Botol 116.00 -
69 Ibuprofen tablet 400 mg Tablet 153.00 -
70 Isosorbit dinitrat sublingual tablet Tablet 93.00 -
71 Kalsium Lactat tablet 500 mg Tablet 73.00 5,100
72 Kalsium Gluconas inj Ampul 7,800.00 -
73 Kaptopril 12,5 mg tablet Tablet 62.00 2,100
74 Kaptopril 25 mg tablet Tablet 89.00 3,200
75 Karbamazepin 200 mg Tablet 257.00 -
76 Karbogliserin TT 10% Tube 2,144.00 -
77 Ketokonazole Crim Tube 2,993.00 282
78 Klofeniramin maleat ( CTM ) tab 4 mg Tablet 25.00 10,300
79 Kloramfenikol kapsul 250 mg Kapsul 258.00 3,600
WERA
HARGA Sisa Stok per 31
NO NAMA SEDIAAN SATUAN PEROLEHAN Desember 2014
(E_Catalog)

1 2 3 4 5
80 Kloramfenikol salep mata 1% Tube 1,640.00 192
81 Kloramfenikol tetes telinga 3% Botol 1,260.00 106
82 Klorokina fosfat tablet 250 mg Tablet 110.00 -
83 Klorpromazin Injeksi 25 mg/ml Ampul 1,103.00 10
84 Klorpromazin tablet 100 mg Tablet 153.00 2,400
85 Klorpromazin tablet 25 mg Tablet 71.00 -
86 Komb piritamin 25mg+sulfadoxin 500mg Tablet 544.00 -
87 Kotrimoxazol dewasa tablet Tablet 145.00 12,100
88 Kotrimoxazol pediaktrik tablet Tablet 50.00 -
89 Kotrimoxazol suspensi Botol 2,222.00 422
90 Kuinin dihidroklorida Inj 25% 2ml Ampul 6,510.00 -
91 Kuinin dihidroklorida tablet 200 mg Tablet 704.00 30
92 Lidokain kompositum Inj Ampul 879.00 470
93 Lisol 1 liter Botol 52,070.00 7
94 Loratadine 10 mg Tablet 162.00 -
95 Manegsium sulfat inj (IV) 20 % 25ml Botol 1,617.00 -
96 Manegsium sulfat inj (IV) 40% 25ml Botol 2,045.00 -
97 Metil ergometrin Inj 0,2mg /ml Tablet 2,750.00 170
98 Metil ergometrin tab 0,125 mg Tablet 162.00 1,500
99 Metoclorpamid Tablet 111.00 1,900
100 Metronidazol 250mg tablet Tablet 113.00 -
101 Metronidazol 500mg tablet Tablet 164.00 2,800
102 Metronidazol infus 500mg/100ml Botol 10,250.00 110
103 Mikonazole krim Tube 3,075.00 318
104 Natrium bikarbonat tab 500 mg Tablet 19.31 -
105 Natrium Diklovenac Tablet 140.00 2,200
106 Natrium klorida Infus 0,9% Botol 4,935.00 600
107 Neo-K Inj Ampul 11,000.00 20
108 Nifedipin 10 mg Tablet 110.00 -
109 Nistatin 100.000 IU tablet vaginal Tablet 504.00 -
110 Nistatin 500.000 IU tablet salut Tablet 672.00 -
111 Obat anti tuberkolusis katagori anak Paket 225,740.00 -
112 Obat anti tuberkolusis kategori I Paket 377,900.00 24
113 Obat anti tuberkolusis kategori II Paket 1,259,990.00 -
114 Obat anti tuberkolusis kategori sisipan Paket 168,000.00 -
115 Obat batuk hitam (OBH ) cairan Botol 1,299.38 137
116 Oksitetrasiclin Hcl Inj IM 50mg/ml 10ml Vial 3,255.00 27
117 Oksitetrasiclin salep kulit 3% Tube 2,261.00 -
118 Oksitetrasiclin salep mata 1% Tube 2,016.00 75
119 Oksitosin inj 10 IU/ ml,1ml Ampul 1,874.27 -
120 Omeprazol 20 mg Kapsul 216.00 -
121 Paracetamol syr 120mg/ 5ml Botol 1,496.00 367
WERA
HARGA Sisa Stok per 31
NO NAMA SEDIAAN SATUAN PEROLEHAN Desember 2014
(E_Catalog)

1 2 3 4 5
122 Paracetamol drop Botol 5,460.00 10
123 Paracetamol tablet 100 mg Tablet 56.57 223
124 Paracetamol tablet 500 mg Tablet 84.00 5,100
125 Pirantel pamoat tablet 125 mg Tablet 308.00 -
126 Piridoxin Hcl tablet 10 mg Tablet 18.27 4,000
127 Piroksicam kaps 20 mg Kapsul 110.25 -
128 Prednison tablet 5 mg Tablet 119.00 1,500
129 Primakina tablet 15 mg Tablet 147.15 180
130 Prokain Benz Penicillin Inj 3 Jt IU / vl Vial 7,549.00 29
131 Propanolol tablet 10 mg Tablet 79.00 -
132 Propanolol tablet 40 mg Tablet 110.00 400
133 Propiltiourasil tablet 100 mg Tablet 335.00 200
134 Ranitidine 150 mg Tablet 122.00 -
135 Ranitidine injeksi ampul 1,190.00 -
136 Reserpin tablet 0,25 mg Tablet 118.80 -
137 Retinol (Vit.A) 100.000 IU Kapsul 273.00 -
138 Retinol (Vit.A) 200.000 IU Kapsul 482.00 -
139 Ringer Lactat infus steril Botol 5,460.00 1,208
140 Sabupolivalen 5 ml ( ABU I ) vial 495,000.00 -
141 Salbutamol tablet 2 mg Tablet 62.00 -
142 Salbutamol tablet 4 mg Tablet 91.00 -
143 Salep 2 - 4 kombinasi Tablet 2,100.00 -
144 Salisil bedak 2% Tube 1,250.00 355
145 Serum anti tetanus 1.500 IU/VL (ATS ) Ampul 72,450.00 -
146 Serum anti tetanus 20.000 IU/VL (ATS ) Ampul 525,000.00 -
147 Sianocobalamin (Vit B12 ) inj 500mcg/ml Ampul 1,132.00 380
148 Simvastatin 20 mg Tablet 394.00 -
149 Siprofloxacin 500 mg Tablet 260.00 4,400
150 Tablet tambah darah kombinasi Tablet 43.00 14,400
151 Tetracain Tetes Mata 0,5% Botol 11,500.00 110
152 Tetrasiclin Hcl kapsul 250 mg Kapsul 154.00 3,300
153 Thiamine Hcl 50 mg tab Tablet 58.97 9,400
154 Thiamine Hcl inj. Ampul 997.47 450
155 Triheksipenidil Hcl tablet 2mg Tablet 43.00 1,400
156 Vitamin B complek tab Tablet 110.00 4,700
157 Yodium povidon larutan 10% 30 ml Botol 3,683.00 70
158 Yodium povidon larutan 10% 300 ml Botol 22,860.00 33
159 Zink tablet 20 mg Tablet 497.00 -

II OBAT GIGI DAN PERBEKKES


160 Abbocath 18 G pcs 4,826.00 140
WERA
HARGA Sisa Stok per 31
NO NAMA SEDIAAN SATUAN PEROLEHAN Desember 2014
(E_Catalog)

1 2 3 4 5
161 Abbocath 20 G pcs 4,826.00 252
162 Abbocath 22 G pcs 4,826.00 156
163 Abbocath 24 G pcs 4,826.00 300
164 Alat suntik sekali pakai 1 ml pcs 826.00 -
165 Alat suntik sekali pakai 2,5 ml pcs 826.00 -
166 Alat suntik sekali pakai 5 ml pcs 953.00 885
167 Catgut / benang bedah 2/0-3/0 pcs 7,090.83 40
168 Devitalisasi Pasta Botol 495,000.00 2
169 Etil klorida semprot Botol 126,500.00 6
170 Folley Catheter 2 way No.14 Pcs 10,160.00 5
171 Folley Catheter 2 way No.16 Pcs 10,160.00 3
172 Folley Catheter 2 way No.18 Pcs 10,160.00 3
173 Glass Ionmer (Gcix) Set 715,000.00 -
174 Hand scond pcs 4,462.00 -
175 Infusion set anak anak pcs 4,445.00 375
176 Infusion set dewasa pcs 4,064.00 338
177 Kalsium Hidroksida pasta Tube 865,700.00 1
178 Kasa Elastic / Elastomul hulf Rol 48,650.00 -
179 Kasa Kompres 40 x 40 Rol 2,032.00 -
180 Kapas pembalut/absorben 250gram Rol 15,875.00 26
181 Kasa pembalut hidrofil 2x80 Rol 9,779.00 16
182 Kasa pembalut hidrofil 4x10 Rol 1,905.00 250
183 Kasa pembalut hidrofil 4x5 Rol 953.00 110
184 Kasa Steril 16 x 16 Kotak 7,366.00 17
185 Khlor Canfer Menthol (CHKM) Botol 57,750.00 -
186 Kohesive Bandage ( Elastic Bandage) Rol 39,328.00 -
187 Masker Kotak 20 pcs 22,500.00 39
188 Mummiffyng Pasta Botol 242,200.00 -
189 Plester 5 yard X 2 inchi Rol 23,625.00 36
190 Semen Seng Fosfat Set 242,200.00 1
191 Silk (benang brdah sutera) no3/0 , 2/0 pcs 3,880.56 70
192 Temporary (Fletcher) Set 165,000.00 -
193 Tricresol Formalin Set 49,500.00 -
194 Urine Bag Set 3,810.00 52

III REAGENT DAN BAHAN LAB


195 Alkohol Botol 1000 ml 27,305.00 -
196 Aquadest Botol 1000 ml 13,000.00 1
197 Asam Acetat 6 % Botol 100 ml 34,000.00 -
198 BaCl2 10 % Botol 100 ml 19,000.00 -
199 Benedict Botol 100 ml 100,000.00 -
200 Blood Lancet Kotak @ 200 buah 52,000.00 2
WERA
HARGA Sisa Stok per 31
NO NAMA SEDIAAN SATUAN PEROLEHAN Desember 2014
(E_Catalog)

1 2 3 4 5
201 Box Slide Kotak 138,000.00 -
202 Cover Glass Kotak @ 50 lbr 17,000.00 -
203 EDTA 10 % Botol 100 ml 95,000.00 -
204 Fouchet Botol 100 ml 140,000.00 -
205 Giemza Botol100 ml 190,000.00 1
206 Golongan Darah Set 3 x 10 ml 257,000.00 1
207 Haemocytometer Set 1,300,000.00 -
208 Haemometer/HB Sahli Unit 110,000.00 -
209 Handscund 7,5 Kotak 50 psg 467,500.00 -
210 Handscund 7 Kotak 50 psg 467,500.00 -
211 HCl 0,1 N Botol 100 ml 15,000.00 1
212 Kapas Bungkus 1/2 kg 24,000.00 -
213 Na Citrat 3,8 % Botol 50 ml 13,000.00 -
214 Oil Emersi Botol 100 ml 360,000.00 329
215 Paper Lens Buah 16,000.00 -
216 Penjepit Tabung Buah 4,000.00 -
217 Pipet Tetes PCS 3,000.00 -
218 Pot Dahak Buah 3,000.00 -
219 Reagen Widal Set 426,000.00 1
220 Rees Ecker Botol 100 ml 45,000.00 -
221 Slide Frosted Kotak / 72's 27,000.00 196
222 Spiritus Kantong 500 ml 40,000.00 -
223 Tabung Serologi PCS 6,500.00 -
224 Tabung Reaksi PCS 4,500.00 -
225 Tabung Centrifuge PCS 6,250.00 -
226 Ziehl Nelsen Kotak 177,000.00 8
V OBAT JIWA -
227 Sikzonoate inj Ampul 60,000.00 35
-
VI VAKSIN -
228 Vaksin Polio Vial 12500.00 89
229 Vaksin TT Vial 13475.00 66
-

TOTAL NILAI PERSEDIAAN :

Bima, Januari 2015.

Kepala Puskesmas Wera


WERA
HARGA Sisa Stok per 31
NO NAMA SEDIAAN SATUAN PEROLEHAN Desember 2014
(E_Catalog)

1 2 3 4 5

dr. U l f a h
Nip. 19810323 200904 2 001
RA

Nilai Persediaan
akhir per 31
Desember 2014

6
459,334

212,689

147,600

2,781,240

70,200

9,180,000

625,000
939,800
-
509,713
-
-
-
1,575,000
109,200
-
560,000
591,600
53,900
38,500
-
-
-
-
-
-
734,925
-
-
-
642,033
179,200
126,837
9,200
-
Nilai Persediaan
akhir per 31
Desember 2014

6
-
-
-
-
-
-
77,250
35,000
36,400
-
4,900
109,620
125,370
-
176,000
-
303,000
-
48,225
28,380
290,000
168,000
359,100
1,692,600
946,000
160,000
-
-
-
-
-
-
-
372,300
-
130,200
284,800
-
-
844,026
257,500
928,800
Nilai Persediaan
akhir per 31
Desember 2014

6
314,880
133,560
-
11,030
367,200
-
-
1,754,500
-
937,684
-
21,120
413,130
364,490
-
-
-
467,500
243,000
210,900
-
459,200
1,127,500
977,850
-
308,000
2,961,000
220,000
-
-
-
-
9,069,600
-
-
178,015
87,885
-
151,200
-
-
549,032
Nilai Persediaan
akhir per 31
Desember 2014

6
54,600
12,615
428,400
-
73,080
-
178,500
26,487
218,921
-
44,000
67,000
-
-
-
-
-
6,595,680
-
-
-
-
443,750
-
-
430,160
-
1,144,000
619,200
1,265,000
508,200
554,318
448,860
60,200
517,000
257,810
754,380
-

675,640
Nilai Persediaan
akhir per 31
Desember 2014

6
1,216,152
752,856
1,447,800
-
-
843,405
283,633
990,000
759,000
50,800
30,480
30,480
-
-
1,666,875
1,373,632
865,700
-
-
412,750
156,464
476,250
104,830
125,222
-
-
877,500
-
850,500
242,200
271,639
-
-
198,120

-
13,000
-
-
-
104,000
Nilai Persediaan
akhir per 31
Desember 2014

6
-
-
-
-
190,000
257,000
-
-
-
-
15,000
-
-
118,440,000
-
-
-
-
426,000
-
5,292,000
-
-
-
-
1,416,000
-
2,100,000
-
-
1,112,500
889,350
-

207,910,657

Januari 2015.

uskesmas Wera
Nilai Persediaan
akhir per 31
Desember 2014

323 200904 2 001


NILAI PERSEDIAAN AKHIR PUSKESMAS LAMBITU
PER 31 DESEMBER 2014
Lambitu

HARGA PERSEDIAN PER


NO NAMA SEDIAAN SATUAN PEROLEHAN 31 DESEMBER
(E_Catalog) 2014

1 2 3 4 5
1 ACT Antimalaria / Arterakine tablet Tablet 1,409.00 48
2 ACT Antimalaria /Artesunat tab Ampul 1,409.00 -
3 Aluporinol tablet 100 mg Tablet 88.00 300
4 Aminofillin Inj 24mg/ml-10ml Ampul 4,013.00 11
5 Aminofillin tablet 200 mg Tablet 82.00 -
6 Aminofluid Kantong 64,680.00 30
7 Amitriptillin tablet 25 mg Tablet 117.00 -
8 Amoxicillin kaplet 500mg Tablet 270.00 6,400
9 Amoxicillin Syr Kering 125mg/5ml Botol 2,500.00 118
10 Antasida Doen tab Tablet 74.00 4,100
11 Antasida Syrup Botol 2,160.00 -
12 Anti Bakteri Doen salep kombinasi Tube 2,641.00 21
13 Anti fungi Doen Kombinasi Tube 2,001.04 -
14 Anti Haemoroid Doen Kombinasi Supp 2,100.00 -
15 Anti migrain Doen Kombinasi Tablet 142.00 -
16 Antiparkinson/ levopar Tablet 1,575.00 -
17 Aqua pro Inj Steril bebas pirogen Botol 2,100.00 -
18 Arthemeter injeksi Ampul 23,100.00 -
19 Asam ascorbat (vitc ) tab 50 mg Tablet 100.00 770
20 Asam mefenamat tablet 500mg Tablet 116.00 400
21 Atropin sulfas Inj 0,2ml/ml-1ml Ampul 1,540.00 -
22 Atropin sulfas tablet 0,5mg Tablet 77.00 -
23 Benzatin B. penisillin 1,2 jt iu/vial Vial 10,290.00 -
24 Benzatin B. penisillin 2,4 jt iu/vial Vial 14,070.00 -
25 Betamethason cream 0,1% Tube 1,558.00 -
26 Captopril 12,5 mg tablet Tablet 62.00 -
27 Captopril 25 mg tablet Tablet 89.00 -
28 Carbamazepin 200 mg Tablet 257.00 -
29 Cimetidin tablet Tablet 179.25 1,900
30 Co-Amoxiclav 500 mg Tablet 5,308.37 -
31 Codein 20m mg Tablet 1,155.00 -
32 Depo Profera Vial 10,500.00 -
33 Dexamethason Inj 5ml/ml-1ml Ampul 1,659.00 85
34 Dexamethason tablet 0,5 mg Tablet 64.00 4,000
35 Diazepam Inj 5mg /ml,2ml Ampul 2,487.00 10
36 Diazepam tablet 2mg Tablet 46.00 -
Lambitu

HARGA PERSEDIAN PER


NO NAMA SEDIAAN SATUAN PEROLEHAN 31 DESEMBER
(E_Catalog) 2014

1 2 3 4 5
37 Diazepam tablet 5 mg btl 250 Tablet 42.00 -
38 Digoksin tablet 0,25mg Tablet 100.00 -
39 Diphenhidramin Inj 10mg/ml,1ml Ampul 840.00 -
40 Efedrin tablet Tablet 45.00 -
41 Epinerpin Inj 0,1% , 1ml Ampul 8,505.00 -
42 Erytromicin 500 mg Kaplet 976.00 -
43 Etakrida (Rivanol) larutan 0,1% Botol 3,239.00 2
44 Etanol 70% 100 ml Botol 2,575.00 2
45 Eugenol Cairan Botol 17,500.00 1
46 Extrak belladon tablet 10 mg Tablet 28.00 1,500
47 Fenitoin kaps 30mg Tablet 140.00 -
48 Fenobarbital 30 mg Tablet 49.00 90
49 Fenobarbital injeksi ampul 1,890.00 -
50 Fitomenadion (vit k ) Inj 10mg/ml 1ml Ampul 3,582.00 -
51 Fitomenadion (vit k) tablet salut 10mg Tablet 666.00 -
52 Furosemida tablet 40 mg Tablet 80.00 480
53 Gameksan Emulsi 1% Botol 2,310.00 -
54 Garam Oralit untuk 200ml air saset 303.00 365
55 Gentamisin inj.80 mg/2 ml Ampul 3,569.00 -
56 Gentamisin salep kulit Tube 1,929.00 -
57 Gentian violet larutan 1% Botol 473.00 25
58 Glibenclamid Tablet 58.00 200
59 Gliseril Guayakolat tablet 100 mg Tablet 24.00 2,200
60 Glukosa infus 10% Botol 5,985.00 -
61 Glukosa infus 5% Botol 5,460.00 91
62 Griseofulvin tab 125 mg Tablet 220.00 1,500
63 Haloperidol 5 mg Tablet 100.00 -
64 Haloperidol Tab 0,5 mg Tablet 61.00 -
65 Haloperidol Tab 1,5 mg Tablet 72.00 -
66 Hidroklorotiazid ( HCT ) tab 25 mg Tablet 38.00 -
67 Hidrokortizon Cream Tube 2,966.00 56
68 Ibuprofen Syr 200 mg Botol 116.00 -
69 Ibuprofen tablet 400 mg Tablet 153.00 1,890
70 Isosorbit dinitrat sublingual tablet Tablet 93.00 -
71 Kalsium Lactat tablet 500 mg Tablet 73.00 1,300
72 Kalsium Gluconas inj Ampul 7,800.00 -
73 Kaptopril 12,5 mg tablet Tablet 62.00 -
74 Kaptopril 25 mg tablet Tablet 89.00 1,200
75 Karbamazepin 200 mg Tablet 257.00 -
Lambitu

HARGA PERSEDIAN PER


NO NAMA SEDIAAN SATUAN PEROLEHAN 31 DESEMBER
(E_Catalog) 2014

1 2 3 4 5
76 Karbogliserin TT 10% Tube 2,144.00 -
77 Ketokonazole Crim Tube 2,993.00 34
78 Klofeniramin maleat ( CTM ) tab 4 mg Tablet 25.00 3,440
79 Kloramfenikol kapsul 250 mg Kapsul 258.00 200
80 Kloramfenikol salep mata 1% Tube 1,640.00 40
81 Kloramfenikol tetes telinga 3% Botol 1,260.00 19
82 Klorokina fosfat tablet 250 mg Tablet 110.00 -
83 Klorpromazin Injeksi 25 mg/ml Ampul 1,103.00 -
84 Klorpromazin tablet 100 mg Tablet 153.00 -
85 Klorpromazin tablet 25 mg Tablet 71.00 -
86 Komb piritamin 25mg+sulfadoxin 500mg Tablet 544.00 -
87 Kotrimoxazol dewasa tablet Tablet 145.00 3,400
88 Kotrimoxazol pediaktrik tablet Tablet 50.00 -
89 Kotrimoxazol suspensi Botol 2,222.00 73
90 Kuinin dihidroklorida Inj 25% 2ml Ampul 6,510.00 -
91 Kuinin dihidroklorida tablet 200 mg Tablet 704.00 -
92 Lidokain kompositum Inj Ampul 879.00 120
93 Lisol 1 liter Botol 52,070.00 2
94 Loratadine 10 mg Tablet 162.00 -
95 Manegsium sulfat inj (IV) 20 % 25ml Botol 1,617.00 -
96 Manegsium sulfat inj (IV) 40% 25ml Botol 2,045.00 43
97 Metil ergometrin Inj 0,2mg /ml Tablet 2,750.00 23
98 Metil ergometrin tab 0,125 mg Tablet 162.00 -
99 Metoclorpamid Tablet 111.00 -
100 Metronidazol 250mg tablet Tablet 113.00 40
101 Metronidazol 500mg tablet Tablet 164.00 280
102 Metronidazol infus 500mg/100ml Botol 10,250.00 -
103 Mikonazole krim Tube 3,075.00 67
104 Natrium bikarbonat tab 500 mg Tablet 19.31 -
105 Natrium Diklovenac Tablet 140.00 -
106 Natrium klorida Infus 0,9% Botol 4,935.00 48
107 Neo-K Inj Ampul 11,000.00 -
108 Nifedipin 10 mg Tablet 110.00 -
109 Nistatin 100.000 IU tablet vaginal Tablet 504.00 -
110 Nistatin 500.000 IU tablet salut Tablet 672.00 -
111 Obat anti tuberkolusis katagori anak Paket 225,740.00 -
112 Obat anti tuberkolusis kategori I Paket 377,900.00 -
113 Obat anti tuberkolusis kategori II Paket 1,259,990.00 -
114 Obat anti tuberkolusis kategori sisipan Paket 168,000.00 -
Lambitu

HARGA PERSEDIAN PER


NO NAMA SEDIAAN SATUAN PEROLEHAN 31 DESEMBER
(E_Catalog) 2014

1 2 3 4 5
115 Obat batuk hitam (OBH ) cairan Botol 1,299.38 19
116 Oksitetrasiclin Hcl Inj IM 50mg/ml 10ml Vial 3,255.00 25
117 Oksitetrasiclin salep kulit 3% Tube 2,261.00 -
118 Oksitetrasiclin salep mata 1% Tube 2,016.00 -
119 Oksitosin inj 10 IU/ ml,1ml Ampul 1,874.27 20
120 Omeprazol 20 mg Kapsul 216.00 -
121 Paracetamol syr 120mg/ 5ml Botol 1,496.00 114
122 Paracetamol drop Botol -
123 Paracetamol tablet 100 mg Tablet 56.57 -
124 Paracetamol tablet 500 mg Tablet 84.00 2,570
125 Pirantel pamoat tablet 125 mg Tablet 308.00 34
126 Piridoxin Hcl tablet 10 mg Tablet 18.27 -
127 Piroksicam kaps 20 mg Kapsul 110.25 320
128 Prednison tablet 5 mg Tablet 119.00 800
129 Primakina tablet 15 mg Tablet 147.15 -
130 Prokain Benz Penicillin Inj 3 Jt IU / vl Vial 7,549.00 -
131 Propanolol tablet 10 mg Tablet 79.00 -
132 Propanolol tablet 40 mg Tablet 110.00 -
133 Propiltiourasil tablet 100 mg Tablet 335.00 300
134 Ranitidine 150 mg Tablet 122.00 100
135 Ranitidine injeksi ampul 1,190.00 50
136 Reserpin tablet 0,25 mg Tablet 118.80 -
137 Retinol (Vit.A) 100.000 IU Kapsul 273.00 50
138 Retinol (Vit.A) 200.000 IU Kapsul 482.00 450
139 Ringer Lactat infus steril Botol 5,460.00 122
140 Sabupolivalen 5 ml ( ABU I ) vial 495,000.00 -
141 Salbutamol tablet 2 mg Tablet 62.00 260
142 Salbutamol tablet 4 mg Tablet 91.00 -
143 Salep 2 - 4 kombinasi Tablet 2,100.00 -
144 Salisil bedak 2% Tube 1,250.00 33
145 Serum anti tetanus 1.500 IU/VL (ATS ) Ampul 72,450.00 -
146 Serum anti tetanus 20.000 IU/VL (ATS ) Ampul 525,000.00 -
147 Sianocobalamin (Vit B12 ) inj 500mcg/ml Ampul 1,132.00 238
148 Simvastatin 20 mg Tablet 394.00 -
149 Siprofloxacin 500 mg Tablet 260.00 840
150 Tablet tambah darah kombinasi Tablet 43.00 2,100
151 Tetracain Tetes Mata 0,5% Botol 11,500.00 15
152 Tetrasiclin Hcl kapsul 250 mg Kapsul 154.00 1,500
153 Thiamine Hcl 50 mg tab Tablet 58.97 1,123
Lambitu

HARGA PERSEDIAN PER


NO NAMA SEDIAAN SATUAN PEROLEHAN 31 DESEMBER
(E_Catalog) 2014

1 2 3 4 5
154 Thiamine Hcl inj. Ampul 997.47 60
155 Triheksipenidil Hcl tablet 2mg Tablet 43.00 150
156 Vitamin B complek tab Tablet 110.00 4,000
157 Yodium povidon larutan 10% 30 ml Botol 3,683.00 47
158 Yodium povidon larutan 10% 300 ml Botol 22,860.00 -
159 Zink tablet 20 mg Tablet 497.00 -
-
II OBAT GIGI DAN PERBEKKES -
160 Abbocath 18 G pcs 4,826.00 -
161 Abbocath 20 G pcs 4,826.00 57
162 Abbocath 22 G pcs 4,826.00 58
163 Abbocath 24 G pcs 4,826.00 27
164 Alat suntik sekali pakai 1 ml pcs 826.00 -
165 Alat suntik sekali pakai 2,5 ml pcs 826.00 38
166 Alat suntik sekali pakai 5 ml pcs 953.00 92
167 Catgut / benang bedah 2/0-3/0 pcs 7,090.83 10
168 Devitalisasi Pasta Botol 495,000.00 -
169 Etil klorida semprot Botol 126,500.00 -
170 Folley Catheter 2 way No.14 Pcs 10,160.00 -
171 Folley Catheter 2 way No.16 Pcs 10,160.00 -
172 Folley Catheter 2 way No.18 Pcs 10,160.00 -
173 Glass Ionmer (Gcix) Set 715,000.00 -
174 Hand scond pcs 4,462.00 -
175 Infusion set anak anak pcs 4,445.00 41
176 Infusion set dewasa pcs 4,064.00 105
177 Kalsium Hidroksida pasta Tube 865,700.00 -
178 Kasa Elastic / Elastomul hulf Rol 48,650.00 -
179 Kasa Kompres 40 x 40 Rol 2,032.00 -
180 Kapas pembalut/absorben 250gram Rol 15,875.00 2
181 Kasa pembalut hidrofil 2x80 Rol 9,779.00 -
182 Kasa pembalut hidrofil 4x10 Rol 1,905.00 35
183 Kasa pembalut hidrofil 4x5 Rol 953.00 5
184 Kasa Steril 16 x 16 Kotak 7,366.00 -
185 Khlor Canfer Menthol (CHKM) Botol 57,750.00 -
186 Kohesive Bandage ( Elastic Bandage) Rol 39,328.00 -
187 Masker Kotak 20 pcs 22,500.00 5
188 Mummiffyng Pasta Botol 242,200.00 -
189 Plester 5 yard X 2 inchi Rol 23,625.00 17
190 Semen Seng Fosfat Set 242,200.00 -
Lambitu

HARGA PERSEDIAN PER


NO NAMA SEDIAAN SATUAN PEROLEHAN 31 DESEMBER
(E_Catalog) 2014

1 2 3 4 5
191 Silk (benang brdah sutera) no3/0 , 2/0 pcs 3,880.56 35
192 Temporary (Fletcher) Set 165,000.00 -
193 Tricresol Formalin Set 49,500.00 -
194 Urine Bag Set 3,810.00 -
-
III REAGENT DAN BAHAN LAB -
195 Alkohol Botol 1000 ml 27,305.00 -
196 Aquadest Botol 1000 ml 13,000.00 -
197 Asam Acetat 6 % Botol 100 ml 34,000.00 -
198 BaCl2 10 % Botol 100 ml 19,000.00 -
199 Benedict Botol 100 ml 100,000.00 -
200 Blood Lancet Kotak @ 200 buah 52,000.00 -
201 Box Slide Kotak 138,000.00 -
202 Cover Glass Kotak @ 50 lbr 17,000.00 -
203 EDTA 10 % Botol 100 ml 95,000.00 -
204 Fouchet Botol 100 ml 140,000.00 -
205 Giemza Botol100 ml 190,000.00 -
206 Golongan Darah Set 3 x 10 ml 257,000.00 -
207 Haemocytometer Set 1,300,000.00 -
208 Haemometer/HB Sahli Unit 110,000.00 -
209 Handscund 7,5 Kotak 50 psg 467,500.00 -
210 Handscund 7 Kotak 50 psg 467,500.00 -
211 HCl 0,1 N Botol 100 ml 15,000.00 -
212 Kapas Bungkus 1/2 kg 24,000.00 -
213 Na Citrat 3,8 % Botol 50 ml 13,000.00 -
214 Oil Emersi Botol 100 ml 360,000.00 -
215 Paper Lens Buah 16,000.00 -
216 Penjepit Tabung Buah 4,000.00 -
217 Pipet Tetes PCS 3,000.00 -
218 Pot Dahak Buah 3,000.00 -
219 Reagen Widal Set 426,000.00 -
220 Rees Ecker Botol 100 ml 45,000.00 -
221 Slide Frosted Kotak / 72's 27,000.00 1
222 Spiritus Kantong 500 ml 40,000.00 -
223 Tabung Serologi PCS 6,500.00 -
224 Tabung Reaksi PCS 4,500.00 -
225 Tabung Centrifuge PCS 6,250.00 -
226 Ziel nelsen Kotak 177,000.00 -
227 Turk botol 8,000.00 -
Lambitu

HARGA PERSEDIAN PER


NO NAMA SEDIAAN SATUAN PEROLEHAN 31 DESEMBER
(E_Catalog) 2014

1 2 3 4 5
-
V OBAT JIWA -
228 Sikzonoate inj Ampul 60,000.00 -
-
VI VAKSIN -
229 Vaksin Polio Vial 12,500.00 -
230 Vaksin TT Vial 13,475.00 -
231 Vaksin BCG Vial 40,000.00 14
232 Vaksin DPT/ HB Vial 65,000.00 15
233 Vaksin Campak Vial 45,000.00 13
234 Vaksin Hb 0 Vial 175,000.00 -
235 VaksinDPT/HIB Vial 49,962.00 -
-
VII OBAT KECACINGAN -
236 Albendazole 400mg Tablet 354.00 -

TOTAL PERSEDIAAN

*) Gunakan kolom tambahan bila ada stock persediaan yang belum dimasukkan.

Mengetahui Petugas Obat PKM


Kepala Puskesmas Lambitu

H. Amir, SKM Karyono


Nip.19750725 1995031002
SEDIAAN AKHIR PUSKESMAS LAMBITU
PER 31 DESEMBER 2014

NILAI
PERSEDIAAN
AKHIR 2014

6
67,632
-
26,400
44,143
-
1,940,400
-
1,728,000
295,000
303,400
-
55,461
-
-
-
-
-
-
77,000
46,400
-
-
-
-
-
-
-
-
340,575
-
-
-
141,015
256,000
24,870
-
NILAI
PERSEDIAAN
AKHIR 2014

6
-
-
-
-
-
-
6,478
5,150
17,500
42,000
-
4,410
-
-
-
38,400
-
110,595
-
-
11,825
11,600
52,800
-
496,860
330,000
-
-
-
-
166,096
-
289,170
-
94,900
-
-
106,800
-
NILAI
PERSEDIAAN
AKHIR 2014

6
-
101,762
86,000
51,600
65,600
23,940
-
-
-
-
-
493,000
-
162,206
-
-
105,480
104,140
-
-
87,935
63,250
-
-
4,520
45,920
-
206,025
-
-
236,880
-
-
-
-
-
-
-
-
NILAI
PERSEDIAAN
AKHIR 2014

6
24,688
81,375
-
-
37,485
-
170,544
-
-
215,880
10,472
-
35,280
95,200
-
-
-
-
100,500
12,200
59,500
-
13,650
216,900
666,120
-
16,120
-
-
41,250
-
-
269,416
-
218,400
90,300
172,500
231,000
66,223
NILAI
PERSEDIAAN
AKHIR 2014

6
59,848
6,450
440,000
173,101
-
-
-
-
-
275,082
279,908
130,302
-
31,388
87,676
70,908
-
-
-
-
-
-
-
182,245
426,720
-
-
-
31,750
-
66,675
4,765
-
-
-
112,500
-
401,625
-
NILAI
PERSEDIAAN
AKHIR 2014

6
135,819
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
27,000
-
-
-
-
-
-
NILAI
PERSEDIAAN
AKHIR 2014

6
-
-
-
-
-
-
-
560,000
975,000
585,000
-
-
-
-
-

16,877,905

Petugas Obat PKM

Karyono
NILAI PERSEDIAAN AKHIR PUSKESMAS MADAPANGGA
PER 31 DESEMBER 2015
Madapangga
HARGA Sisa Stok per 31
NO NAMA SEDIAAN SATUAN PEROLEHAN Desember
(E_Catalog)
1 2 3 4 5
1 ACT Antimalaria / Arterakine tablet Tablet 1,409.00 -
2 ACT Antimalaria /Artesunat tab Ampul 1,409.00 -
3 Aluporinol tablet 100 mg Tablet 88.00 400
4 Aminofillin Inj 24mg/ml-10ml Ampul 4,013.00 48
5 Aminofillin tablet 200 mg Tablet 82.00 300
6 Aminofluid Kantong 64,680.00 50
7 Amitriptillin tablet 25 mg Tablet 117.00 300
8 Amoxicillin kaplet 500mg Tablet 270.00 54,650
9 Amoxicillin Syr Kering 125mg/5ml Botol 2,500.00 740
10 Antasida Doen tab Tablet 74.00 34,800
11 Antasida Syrup Botol 2,160.00 -
12 Anti Bakteri Doen salep kombinasi Tube 2,641.00 75
13 Anti fungi Doen Kombinasi Tube 2,001.04 -
14 Anti Haemoroid Doen Kombinasi Supp 2,100.00 33
15 Anti migrain Doen Kombinasi Tablet 142.00 -
16 Antiparkinson/ levopar Tablet 1,575.00 -
17 Aqua pro Inj Steril bebas pirogen Botol 2,100.00 -
18 Arthemeter injeksi Ampul 23,100.00 -
19 Asam ascorbat (vitc ) tab 50 mg Tablet 100.00 13,300
20 Asam mefenamat tablet 500mg Tablet 116.00 4,000
21 Atropin sulfas Inj 0,2ml/ml-1ml Ampul 1,540.00 -
22 Atropin sulfas tablet 0,5mg Tablet 77.00 -
23 Benzatin B. penisillin 1,2 jt iu/vial Vial 10,290.00 -
24 Benzatin B. penisillin 2,4 jt iu/vial Vial 14,070.00 -
25 Betamethason cream 0,1% Tube 1,558.00 -
26 Captopril 12,5 mg tablet Tablet 62.00 -
27 Captopril 25 mg tablet Tablet 89.00 -
28 Carbamazepin 200 mg Tablet 257.00 -
29 Cimetidin tablet Tablet 179.25 18,000
30 Co-Amoxiclav 500 mg Tablet 5,308.37 -
31 Codein 20m mg Tablet 1,155.00 -
32 Depo Profera Vial 10,500.00 -
33 Dexamethason Inj 5ml/ml-1ml Ampul 1,659.00 349
34 Dexamethason tablet 0,5 mg Tablet 64.00 20,750
35 Diazepam Inj 5mg /ml,2ml Ampul 2,487.00 10
36 Diazepam tablet 2mg Tablet 46.00 200
37 Diazepam tablet 5 mg btl 250 Tablet 42.00 -
38 Digoksin tablet 0,25mg Tablet 100.00 30
39 Diphenhidramin Inj 10mg/ml,1ml Ampul 840.00 -
40 Efedrin tablet Tablet 45.00 -
Madapangga
HARGA Sisa Stok per 31
NO NAMA SEDIAAN SATUAN PEROLEHAN Desember
(E_Catalog)
1 2 3 4 5
41 Epinerpin Inj 0,1% , 1ml Ampul 8,505.00 31
42 Erytromicin 500 mg Kaplet 976.00 -
43 Etakrida (Rivanol) larutan 0,1% Botol 3,239.00 2
44 Etanol 70% 100 ml Botol 2,575.00 55
45 Eugenol Cairan Botol 17,500.00 12
46 Extrak belladon tablet 10 mg Tablet 28.00 5,050
47 Fenitoin kaps 30mg Tablet 140.00 -
48 Fenobarbital 30 mg Tablet 49.00 200
49 Fenobarbital injeksi ampul 1,890.00 8
50 Fitomenadion (vit k ) Inj 10mg/ml 1ml Ampul 3,582.00 118
51 Fitomenadion (vit k) tablet salut 10mg Tablet 666.00 -
52 Furosemida tablet 40 mg Tablet 80.00 1,300
53 Gameksan Emulsi 1% Botol 2,310.00 -
54 Garam Oralit untuk 200ml air saset 303.00 5,380
55 Gentamisin inj.80 mg/2 ml Ampul 3,569.00 -
56 Gentamisin salep kulit Tube 1,929.00 200
57 Gentian violet larutan 1% Botol 473.00 144
58 Glibenclamid Tablet 58.00 6,250
59 Gliseril Guayakolat tablet 100 mg Tablet 24.00 14,000
60 Glukosa infus 10% Botol 5,985.00 284
61 Glukosa infus 5% Botol 5,460.00 722
62 Griseofulvin tab 125 mg Tablet 220.00 7,800
63 Haloperidol 5 mg Tablet 100.00 1,200
64 Haloperidol Tab 0,5 mg Tablet 61.00 -
65 Haloperidol Tab 1,5 mg Tablet 72.00 -
66 Hidroklorotiazid ( HCT ) tab 25 mg Tablet 38.00 -
67 Hidrokortizon Cream Tube 2,966.00 219
68 Ibuprofen Syr 200 mg Botol 116.00 -
69 Ibuprofen tablet 400 mg Tablet 153.00 13,750
70 Isosorbit dinitrat sublingual tablet Tablet 93.00 -
71 Kalsium Lactat tablet 500 mg Tablet 73.00 5,000
72 Kalsium Gluconas inj Ampul 7,800.00 22
73 Kaptopril 12,5 mg tablet Tablet 62.00 9,850
74 Kaptopril 25 mg tablet Tablet 89.00 3,000
75 Karbamazepin 200 mg Tablet 257.00 -
76 Karbogliserin TT 10% Tube 2,144.00 -
77 Ketokonazole Crim Tube 2,993.00 199
78 Klofeniramin maleat ( CTM ) tab 4 mg Tablet 25.00 16,800
79 Kloramfenikol kapsul 250 mg Kapsul 258.00 7,000
80 Kloramfenikol salep mata 1% Tube 1,640.00 362
81 Kloramfenikol tetes telinga 3% Botol 1,260.00 168
82 Klorokina fosfat tablet 250 mg Tablet 110.00 -
83 Klorpromazin Injeksi 25 mg/ml Ampul 1,103.00 -
Madapangga
HARGA Sisa Stok per 31
NO NAMA SEDIAAN SATUAN PEROLEHAN Desember
(E_Catalog)
1 2 3 4 5
84 Klorpromazin tablet 100 mg Tablet 153.00 715
85 Klorpromazin tablet 25 mg Tablet 71.00 -
86 Komb piritamin 25mg+sulfadoxin 500mg Tablet 544.00 -
87 Kotrimoxazol dewasa tablet Tablet 145.00 19,300
88 Kotrimoxazol pediaktrik tablet Tablet 50.00 -
89 Kotrimoxazol suspensi Botol 2,222.00 769
90 Kuinin dihidroklorida Inj 25% 2ml Ampul 6,510.00 -
91 Kuinin dihidroklorida tablet 200 mg Tablet 704.00 146
92 Lidokain kompositum Inj Ampul 879.00 701
93 Lisol 1 liter Botol 52,070.00 3
94 Loratadine 10 mg Tablet 162.00 -
95 Manegsium sulfat inj (IV) 20 % 25ml Botol 1,617.00 -
96 Manegsium sulfat inj (IV) 40% 25ml Botol 2,045.00 -
97 Metil ergometrin Inj 0,2mg /ml Tablet 2,750.00 150
98 Metil ergometrin tab 0,125 mg Tablet 162.00 450
99 Metoclorpamid Tablet 111.00 700
100 Metronidazol 250mg tablet Tablet 113.00 -
101 Metronidazol 500mg tablet Tablet 164.00 4,000
102 Metronidazol infus 500mg/100ml Botol 10,250.00 50
103 Mikonazole krim Tube 3,075.00 171
104 Natrium bikarbonat tab 500 mg Tablet 19.31 -
105 Natrium Diklovenac Tablet 140.00 11,150
106 Natrium klorida Infus 0,9% Botol 4,935.00 505
107 Neo-K Inj Ampul 11,000.00 35
108 Nifedipin 10 mg Tablet 110.00 -
109 Nistatin 100.000 IU tablet vaginal Tablet 504.00 -
110 Nistatin 500.000 IU tablet salut Tablet 672.00 -
111 Obat anti tuberkolusis katagori anak Paket 225,740.00 1
112 Obat anti tuberkolusis kategori I Paket 377,900.00 16
113 Obat anti tuberkolusis kategori II Paket 1,259,990.00 -
114 Obat anti tuberkolusis kategori sisipan Paket 168,000.00 -
115 Obat batuk hitam (OBH ) cairan Botol 1,299.38 145
116 Oksitetrasiclin Hcl Inj IM 50mg/ml 10ml Vial 3,255.00 22
117 Oksitetrasiclin salep kulit 3% Tube 2,261.00 -
118 Oksitetrasiclin salep mata 1% Tube 2,016.00 325
119 Oksitosin inj 10 IU/ ml,1ml Ampul 1,874.27 130
120 Omeprazol 20 mg Kapsul 216.00 -
121 Paracetamol syr 120mg/ 5ml Botol 1,496.00 925
122 Paracetamol drop Botol 5,460.00 -
123 Paracetamol tablet 100 mg Tablet 56.57 -
124 Paracetamol tablet 500 mg Tablet 84.00 5,500
125 Pirantel pamoat tablet 125 mg Tablet 308.00 410
126 Piridoxin Hcl tablet 10 mg Tablet 18.27 18,000
Madapangga
HARGA Sisa Stok per 31
NO NAMA SEDIAAN SATUAN PEROLEHAN Desember
(E_Catalog)
1 2 3 4 5
127 Piroksicam kaps 20 mg Kapsul 110.25 -
128 Prednison tablet 5 mg Tablet 119.00 5,000
129 Primakina tablet 15 mg Tablet 147.15 -
130 Prokain Benz Penicillin Inj 3 Jt IU / vl Vial 7,549.00 -
131 Propanolol tablet 10 mg Tablet 79.00 -
132 Propanolol tablet 40 mg Tablet 110.00 100
133 Propiltiourasil tablet 100 mg Tablet 335.00 -
134 Ranitidine 150 mg Tablet 122.00 -
135 Ranitidine injeksi ampul 1,190.00 -
136 Reserpin tablet 0,25 mg Tablet 118.80 -
137 Retinol (Vit.A) 100.000 IU Kapsul 273.00 300
138 Retinol (Vit.A) 200.000 IU Kapsul 482.00 2,000
139 Ringer Lactat infus steril Botol 5,460.00 1,777
140 Sabupolivalen 5 ml ( ABU I ) vial 495,000.00 -
141 Salbutamol tablet 2 mg Tablet 62.00 -
142 Salbutamol tablet 4 mg Tablet 91.00 350
143 Salep 2 - 4 kombinasi Tablet 2,100.00 -
144 Salisil bedak 2% Tube 1,250.00 161
145 Serum anti tetanus 1.500 IU/VL (ATS ) Ampul 72,450.00 -
146 Serum anti tetanus 20.000 IU/VL (ATS ) Ampul 525,000.00 -
147 Sianocobalamin (Vit B12 ) inj 500mcg/ml Ampul 1,132.00 465
148 Simvastatin 20 mg Tablet 394.00 -
149 Siprofloxacin 500 mg Tablet 260.00 7,900
150 Tablet tambah darah kombinasi Tablet 43.00 30,000
151 Tetracain Tetes Mata 0,5% Botol 11,500.00 50
152 Tetrasiclin Hcl kapsul 250 mg Kapsul 154.00 8,050
153 Thiamine Hcl 50 mg tab Tablet 58.97 17,000
154 Thiamine Hcl inj. Ampul 997.47 330
155 Triheksipenidil Hcl tablet 2mg Tablet 43.00 1,130
156 Vitamin B complek tab Tablet 110.00 14,950
157 Yodium povidon larutan 10% 30 ml Botol 3,683.00 32
158 Yodium povidon larutan 10% 300 ml Botol 22,860.00 31
159 Zink tablet 20 mg Tablet 497.00 -

II OBAT GIGI DAN PERBEKKES


160 Abbocath 18 G pcs 4,826.00 249
161 Abbocath 20 G pcs 4,826.00 260
162 Abbocath 22 G pcs 4,826.00 50
163 Abbocath 24 G pcs 4,826.00 349
164 Alat suntik sekali pakai 1 ml pcs 826.00 -
165 Alat suntik sekali pakai 2,5 ml pcs 826.00 229
166 Alat suntik sekali pakai 5 ml pcs 953.00 1,185
167 Catgut / benang bedah 2/0-3/0 pcs 7,090.83 216
Madapangga
HARGA Sisa Stok per 31
NO NAMA SEDIAAN SATUAN PEROLEHAN Desember
(E_Catalog)
1 2 3 4 5
168 Devitalisasi Pasta Botol 495,000.00 1
169 Etil klorida semprot Botol 126,500.00 2
170 Folley Catheter 2 way No.14 Pcs 10,160.00 5
171 Folley Catheter 2 way No.16 Pcs 10,160.00 2
172 Folley Catheter 2 way No.18 Pcs 10,160.00 2
173 Glass Ionmer (Gcix) Set 715,000.00 2
174 Hand scond pcs 4,462.00 138
175 Infusion set anak anak pcs 4,445.00 295
176 Infusion set dewasa pcs 4,064.00 367
177 Kalsium Hidroksida pasta Tube 865,700.00 1
178 Kasa Elastic / Elastomul hulf Rol 48,650.00 -
179 Kasa Kompres 40 x 40 Rol 2,032.00 -
180 Kapas pembalut/absorben 250gram Rol 15,875.00 27
181 Kasa pembalut hidrofil 2x80 Rol 9,779.00 34
182 Kasa pembalut hidrofil 4x10 Rol 1,905.00 300
183 Kasa pembalut hidrofil 4x5 Rol 953.00 325
184 Kasa Steril 16 x 16 Kotak 7,366.00 10
185 Khlor Canfer Menthol (CHKM) Botol 57,750.00 -
186 Kohesive Bandage ( Elastic Bandage) Rol 39,328.00 -
187 Masker Kotak 20 pcs 22,500.00 145
188 Mummiffyng Pasta Botol 242,200.00 -
189 Plester 5 yard X 2 inchi Rol 23,625.00 42
190 Semen Seng Fosfat Set 242,200.00 -
191 Silk (benang brdah sutera) no3/0 , 2/0 pcs 3,880.56 252
192 Temporary (Fletcher) Set 165,000.00 2
193 Tricresol Formalin Set 49,500.00 -
194 Urine Bag Set 3,810.00 10

III REAGENT DAN BAHAN LAB


195 Alkohol Botol 1000 ml 27,305.00 1
196 Aquadest Botol 1000 ml 13,000.00 1
197 Asam Acetat 6 % Botol 100 ml 34,000.00 -
198 BaCl2 10 % Botol 100 ml 19,000.00 -
199 Benedict Botol 100 ml 100,000.00 -
200 Blood Lancet Kotak @ 200 buah 52,000.00 11
201 Box Slide Kotak 138,000.00 -
202 Cover Glass Kotak @ 50 lbr 17,000.00 -
203 EDTA 10 % Botol 100 ml 95,000.00 1
204 Fouchet Botol 100 ml 140,000.00 -
205 Giemza Botol100 ml 190,000.00 4
206 Golongan Darah Set 3 x 10 ml 257,000.00 -
207 Haemocytometer Set 1,300,000.00 -
208 Haemometer/HB Sahli Unit 110,000.00 -
Madapangga
HARGA Sisa Stok per 31
NO NAMA SEDIAAN SATUAN PEROLEHAN Desember
(E_Catalog)
1 2 3 4 5
209 Handscund 7,5 Kotak 50 psg 467,500.00 1
210 Handscund 7 Kotak 50 psg 467,500.00 -
211 HCl 0,1 N Botol 100 ml 15,000.00 3
212 Kapas Bungkus 1/2 kg 24,000.00 1
213 Na Citrat 3,8 % Botol 50 ml 13,000.00 1
214 Oil Emersi Botol 100 ml 360,000.00 2
215 Paper Lens Buah 16,000.00 1
216 Penjepit Tabung Buah 4,000.00 -
217 Pipet Tetes PCS 3,000.00 -
218 Pot Dahak Buah 3,000.00 -
219 Reagen Widal Set 426,000.00 -
220 Rees Ecker Botol 100 ml 45,000.00 -
221 Slide Frosted Kotak / 72's 27,000.00 105
222 Spiritus Kantong 500 ml 40,000.00 -
223 Tabung Serologi PCS 6,500.00 -
224 Tabung Reaksi PCS 4,500.00 -
225 Tabung Centrifuge PCS 6,250.00 -
226 Ziel nelsen Kotak 177,000.00 1
227 Turk botol 8,000.00 1

V OBAT JIWA
228 Sikzonoate inj Ampul 60,000.00 -

VI VAKSIN
229 Vaksin Polio Vial 12,500.00 -
230 Vaksin TT Vial 13,475.00 -
231 Vaksin BCG Vial 40,000.00 -
232 Vaksin DPT/ HB Vial 65,000.00 -
233 Vaksin Campak Vial 45,000.00 -
234 Vaksin Hb 0 Vial 175,000.00 -
235 VaksinDPT/HIB Vial 49,962.00 -

VII OBAT KECACINGAN


236 Albendazole 400mg Tablet 354.00 -

TOTAL PERSEDIAAN

Bima, Januari 2015.-

Kepala Puskesmas Madapangga


Madapangga
HARGA Sisa Stok per 31
NO NAMA SEDIAAN SATUAN PEROLEHAN Desember
(E_Catalog)
1 2 3 4 5
F i r d a u s, S.Kep
Nip. 19820417 200903 1 007
ANGGA

Nilai Persediaan
akhir per 31
Desember 2014
6
-
-
35,200
192,624
24,600
3,234,000
35,100
14,755,500
1,850,000
2,575,200
-
198,075
-
69,300
-
-
-
-
1,330,000
464,000
-
-
-
-
-
-
-
-
3,226,500
-
-
-
578,991
1,328,000
24,870
9,200
-
3,000
-
-
Nilai Persediaan
akhir per 31
Desember 2014
6
263,655
-
6,478
141,625
210,000
141,400
-
9,800
15,120
422,676
-
104,000
-
1,630,140
-
385,800
68,112
362,500
336,000
1,699,740
3,942,120
1,716,000
120,000
-
-
-
649,554
-
2,103,750
-
365,000
171,600
610,700
267,000
-
-
595,607
420,000
1,806,000
593,680
211,680
-
-
Nilai Persediaan
akhir per 31
Desember 2014
6
109,395
-
-
2,798,500
-
1,708,718
-
102,784
616,179
156,210
-
-
-
412,500
72,900
77,700
-
656,000
512,500
525,825
-
1,561,000
2,492,175
385,000
-
-
-
225,740
6,046,400
-
-
188,410
71,610
-
655,200
243,655
-
1,383,800
-
-
462,000
126,280
328,860
Nilai Persediaan
akhir per 31
Desember 2014
6
-
595,000
-
-
-
11,000
-
-
-
-
81,900
964,000
9,702,420
-
-
31,850
-
201,250
-
-
526,380
-
2,054,000
1,290,000
575,000
1,239,700
1,002,490
329,164
48,590
1,644,500
117,856
708,660
-

1,201,674
1,254,760
241,300
1,684,274
-
189,154
1,129,305
1,531,620
Nilai Persediaan
akhir per 31
Desember 2014
6
495,000
253,000
50,800
20,320
20,320
1,430,000
615,756
1,311,275
1,491,488
865,700
-
-
428,625
332,486
571,500
309,725
73,660
-
-
3,262,500
-
992,250
-
977,900
330,000
-
38,100

27,305
13,000
-
-
-
572,000
-
-
95,000
-
760,000
-
-
-
Nilai Persediaan
akhir per 31
Desember 2014
6
467,500
-
45,000
24,000
13,000
720,000
16,000
-
-
-
-
-
2,835,000
-
-
-
-
177,000
8,000

-
-
-
-
-
-
-

119,222,295

anuari 2015.-

smas Madapangga
Nilai Persediaan
akhir per 31
Desember 2014
6

17 200903 1 007
NILAI PERSEDIAAN AKHIR PUSKESMAS WAWO
PER 31 DESEMBER 2014
Wawo

HARGA Sisa Stok per 31


NO NAMA SEDIAAN SATUAN PEROLEHAN Desember
(E_Catalog)

1 2 3 4 5
1 ACT Antimalaria / Arterakine tablet Tablet 1,409.00 -
2 ACT Antimalaria /Artesunat tab Ampul 1,409.00 -
3 Aluporinol tablet 100 mg Tablet 88.00
4 Aminofillin Inj 24mg/ml-10ml Ampul 4,013.00 40
5 Aminofillin tablet 200 mg Tablet 82.00 3,000
6 Aminofluid Kantong 64,680.00 -
7 Amitriptillin tablet 25 mg Tablet 117.00 500
8 Amoxicillin kaplet 500mg Tablet 270.00 70,000
9 Amoxicillin Syr Kering 125mg/5ml Botol 2,500.00 470
10 Antasida Doen tab Tablet 74.00 21,800
11 Antasida Syrup Botol 2,160.00 -
12 Anti Bakteri Doen salep kombinasi Tube 2,641.00 -
13 Anti fungi Doen Kombinasi Tube 2,001.04 -
14 Anti Haemoroid Doen Kombinasi Supp 2,100.00 -
15 Anti migrain Doen Kombinasi Tablet 142.00 -
16 Antiparkinson/ levopar Tablet 1,575.00 -
17 Aqua pro Inj Steril bebas pirogen Botol 2,100.00 20
18 Arthemeter injeksi Ampul 23,100.00 -
19 Asam ascorbat (vitc ) tab 50 mg Tablet 100.00 9,900
20 Asam mefenamat tablet 500mg Tablet 116.00 -
21 Atropin sulfas Inj 0,2ml/ml-1ml Ampul 1,540.00 -
22 Atropin sulfas tablet 0,5mg Tablet 77.00 -
23 Benzatin B. penisillin 1,2 jt iu/vial Vial 10,290.00 -
24 Benzatin B. penisillin 2,4 jt iu/vial Vial 14,070.00 -
25 Betamethason cream 0,1% Tube 1,558.00 -
26 Captopril 12,5 mg tablet Tablet 62.00 -
27 Captopril 25 mg tablet Tablet 89.00 -
28 Carbamazepin 200 mg Tablet 257.00 -
29 Cimetidin tablet Tablet 179.25 10,000
30 Co-Amoxiclav 500 mg Tablet 5,308.37 -
31 Codein 20m mg Tablet 1,155.00 -
32 Depo Profera Vial 10,500.00 -
33 Dexamethason Inj 5ml/ml-1ml Ampul 1,659.00 285
34 Dexamethason tablet 0,5 mg Tablet 64.00 14,000
35 Diazepam Inj 5mg /ml,2ml Ampul 2,487.00 -
36 Diazepam tablet 2mg Tablet 46.00 -
37 Diazepam tablet 5 mg btl 250 Tablet 42.00 -
38 Digoksin tablet 0,25mg Tablet 100.00 -
39 Diphenhidramin Inj 10mg/ml,1ml Ampul 840.00 -
Wawo

HARGA Sisa Stok per 31


NO NAMA SEDIAAN SATUAN PEROLEHAN Desember
(E_Catalog)

1 2 3 4 5
40 Efedrin tablet Tablet 45.00 -
41 Epinerpin Inj 0,1% , 1ml Ampul 8,505.00 52
42 Erytromicin 500 mg Kaplet 976.00 -
43 Etakrida (Rivanol) larutan 0,1% Botol 3,239.00 -
44 Etanol 70% 100 ml Botol 2,575.00 51
45 Eugenol Cairan Botol 17,500.00 -
46 Extrak belladon tablet 10 mg Tablet 28.00 6,300
47 Fenitoin kaps 30mg Tablet 140.00 -
48 Fenobarbital 30 mg Tablet 49.00 -
49 Fenobarbital injeksi ampul 1,890.00 -
50 Fitomenadion (vit k ) Inj 10mg/ml 1ml Ampul 3,582.00 135
51 Fitomenadion (vit k) tablet salut 10mg Tablet 666.00 -
52 Furosemida tablet 40 mg Tablet 80.00 -
53 Gameksan Emulsi 1% Botol 2,310.00 -
54 Garam Oralit untuk 200ml air saset 303.00 3,100
55 Gentamisin inj.80 mg/2 ml Ampul 3,569.00 -
56 Gentamisin salep kulit Tube 1,929.00 -
57 Gentian violet larutan 1% Botol 473.00 48
58 Glibenclamid Tablet 58.00 1,000
59 Gliseril Guayakolat tablet 100 mg Tablet 24.00 6,000
60 Glukosa infus 10% Botol 5,985.00 -
61 Glukosa infus 5% Botol 5,460.00 1,050
62 Griseofulvin tab 125 mg Tablet 220.00 4,800
63 Haloperidol 5 mg Tablet 100.00 -
64 Haloperidol Tab 0,5 mg Tablet 61.00 -
65 Haloperidol Tab 1,5 mg Tablet 72.00 -
66 Hidroklorotiazid ( HCT ) tab 25 mg Tablet 38.00 -
67 Hidrokortizon Cream Tube 2,966.00 48
68 Ibuprofen Syr 200 mg Botol 116.00 -
69 Ibuprofen tablet 400 mg Tablet 153.00 10,800
70 Isosorbit dinitrat sublingual tablet Tablet 93.00 -
71 Kalsium Lactat tablet 500 mg Tablet 73.00 4,000
72 Kalsium Gluconas inj Ampul 7,800.00 -
73 Kaptopril 12,5 mg tablet Tablet 62.00 6,980
74 Kaptopril 25 mg tablet Tablet 89.00 -
75 Karbamazepin 200 mg Tablet 257.00 -
76 Karbogliserin TT 10% Tube 2,144.00 -
77 Ketokonazole Crim Tube 2,993.00 181
78 Klofeniramin maleat ( CTM ) tab 4 mg Tablet 25.00 7,600
79 Kloramfenikol kapsul 250 mg Kapsul 258.00 5,200
80 Kloramfenikol salep mata 1% Tube 1,640.00 200
81 Kloramfenikol tetes telinga 3% Botol 1,260.00 48
Wawo

HARGA Sisa Stok per 31


NO NAMA SEDIAAN SATUAN PEROLEHAN Desember
(E_Catalog)

1 2 3 4 5
82 Klorokina fosfat tablet 250 mg Tablet 110.00 -
83 Klorpromazin Injeksi 25 mg/ml Ampul 1,103.00 -
84 Klorpromazin tablet 100 mg Tablet 153.00 -
85 Klorpromazin tablet 25 mg Tablet 71.00 -
86 Komb piritamin 25mg+sulfadoxin 500mg Tablet 544.00 -
87 Kotrimoxazol dewasa tablet Tablet 145.00 10,800
88 Kotrimoxazol pediaktrik tablet Tablet 50.00 -
89 Kotrimoxazol suspensi Botol 2,222.00 510
90 Kuinin dihidroklorida Inj 25% 2ml Ampul 6,510.00 -
91 Kuinin dihidroklorida tablet 200 mg Tablet 704.00 -
92 Lidokain kompositum Inj Ampul 879.00 345
93 Lisol 1 liter Botol 52,070.00 4
94 Loratadine 10 mg Tablet 162.00 -
95 Manegsium sulfat inj (IV) 20 % 25ml Botol 1,617.00 -
96 Manegsium sulfat inj (IV) 40% 25ml Botol 2,045.00 -
97 Metil ergometrin Inj 0,2mg /ml Tablet 2,750.00 -
98 Metil ergometrin tab 0,125 mg Tablet 162.00 800
99 Metoclorpamid Tablet 111.00 -
100 Metronidazol 250mg tablet Tablet 113.00 -
101 Metronidazol 500mg tablet Tablet 164.00 2,200
102 Metronidazol infus 500mg/100ml Botol 10,250.00 82
103 Mikonazole krim Tube 3,075.00 131
104 Natrium bikarbonat tab 500 mg Tablet 19.31 -
105 Natrium Diklovenac Tablet 140.00 3,000
106 Natrium klorida Infus 0,9% Botol 4,935.00 997
107 Neo-K Inj Ampul 11,000.00 36
108 Nifedipin 10 mg Tablet 110.00 -
109 Nistatin 100.000 IU tablet vaginal Tablet 504.00 -
110 Nistatin 500.000 IU tablet salut Tablet 672.00 -
111 Obat anti tuberkolusis katagori anak Paket 225,740.00 11
112 Obat anti tuberkolusis kategori I Paket 377,900.00 3
113 Obat anti tuberkolusis kategori II Paket 1,259,990.00 -
114 Obat anti tuberkolusis kategori sisipan Paket 168,000.00 -
115 Obat batuk hitam (OBH ) cairan Botol 1,299.38 -
116 Oksitetrasiclin Hcl Inj IM 50mg/ml 10ml Vial 3,255.00 64
117 Oksitetrasiclin salep kulit 3% Tube 2,261.00 -
118 Oksitetrasiclin salep mata 1% Tube 2,016.00 47
119 Oksitosin inj 10 IU/ ml,1ml Ampul 1,874.27 -
120 Omeprazol 20 mg Kapsul 216.00 -
121 Paracetamol syr 120mg/ 5ml Botol 1,496.00 383
122 Paracetamol drop Botol -
123 Paracetamol tablet 100 mg Tablet 56.57 -
Wawo

HARGA Sisa Stok per 31


NO NAMA SEDIAAN SATUAN PEROLEHAN Desember
(E_Catalog)

1 2 3 4 5
124 Paracetamol tablet 500 mg Tablet 84.00 -
125 Pirantel pamoat tablet 125 mg Tablet 308.00 410
126 Piridoxin Hcl tablet 10 mg Tablet 18.27 7,000
127 Piroksicam kaps 20 mg Kapsul 110.25 -
128 Prednison tablet 5 mg Tablet 119.00 -
129 Primakina tablet 15 mg Tablet 147.15 -
130 Prokain Benz Penicillin Inj 3 Jt IU / vl Vial 7,549.00 101
131 Propanolol tablet 10 mg Tablet 79.00 500
132 Propanolol tablet 40 mg Tablet 110.00
133 Propiltiourasil tablet 100 mg Tablet 335.00 -
134 Ranitidine 150 mg Tablet 122.00 -
135 Ranitidine injeksi ampul 1,190.00 -
136 Reserpin tablet 0,25 mg Tablet 118.80 -
137 Retinol (Vit.A) 100.000 IU Kapsul 273.00 -
138 Retinol (Vit.A) 200.000 IU Kapsul 482.00 -
139 Ringer Lactat infus steril Botol 5,460.00 1,758
140 Sabupolivalen 5 ml ( ABU I ) vial 495,000.00 -
141 Salbutamol tablet 2 mg Tablet 62.00 -
142 Salbutamol tablet 4 mg Tablet 91.00 -
143 Salep 2 - 4 kombinasi Tablet 2,100.00 -
144 Salisil bedak 2% Tube 1,250.00 100
145 Serum anti tetanus 1.500 IU/VL (ATS ) Ampul 72,450.00 -
146 Serum anti tetanus 20.000 IU/VL (ATS ) Ampul 525,000.00 -
147 Sianocobalamin (Vit B12 ) inj 500mcg/ml Ampul 1,132.00 -
148 Simvastatin 20 mg Tablet 394.00 -
149 Siprofloxacin 500 mg Tablet 260.00 5,000
150 Tablet tambah darah kombinasi Tablet 43.00 27,200
151 Tetracain Tetes Mata 0,5% Botol 11,500.00 -
152 Tetrasiclin Hcl kapsul 250 mg Kapsul 154.00 5,200
153 Thiamine Hcl 50 mg tab Tablet 58.97 6,100
154 Thiamine Hcl inj. Ampul 997.47 297
155 Triheksipenidil Hcl tablet 2mg Tablet 43.00 -
156 Vitamin B complek tab Tablet 110.00 8,000
157 Yodium povidon larutan 10% 30 ml Botol 3,683.00 52
158 Yodium povidon larutan 10% 300 ml Botol 22,860.00 32
159 Zink tablet 20 mg Tablet 497.00 -

II OBAT GIGI DAN PERBEKKES


160 Abbocath 18 G pcs 4,826.00 -
161 Abbocath 20 G pcs 4,826.00 -
162 Abbocath 22 G pcs 4,826.00 360
163 Abbocath 24 G pcs 4,826.00 3
Wawo

HARGA Sisa Stok per 31


NO NAMA SEDIAAN SATUAN PEROLEHAN Desember
(E_Catalog)

1 2 3 4 5
164 Alat suntik sekali pakai 1 ml pcs 826.00 -
165 Alat suntik sekali pakai 2,5 ml pcs 826.00 -
166 Alat suntik sekali pakai 5 ml pcs 953.00 -
167 Catgut / benang bedah 2/0-3/0 pcs 7,090.83 74
168 Devitalisasi Pasta Botol 495,000.00 -
169 Etil klorida semprot Botol 126,500.00 81
170 Folley Catheter 2 way No.14 Pcs 10,160.00 -
171 Folley Catheter 2 way No.16 Pcs 10,160.00 -
172 Folley Catheter 2 way No.18 Pcs 10,160.00 -
173 Glass Ionmer (Gcix) Set 715,000.00 -
174 Hand scond pcs 4,462.00 85
175 Infusion set anak anak pcs 4,445.00 292
176 Infusion set dewasa pcs 4,064.00 403
177 Kalsium Hidroksida pasta Tube 865,700.00 -
178 Kasa Elastic / Elastomul hulf Rol 48,650.00 -
179 Kasa Kompres 40 x 40 Rol 2,032.00 -
180 Kapas pembalut/absorben 250gram Rol 15,875.00 21
181 Kasa pembalut hidrofil 2x80 Rol 9,779.00 90
182 Kasa pembalut hidrofil 4x10 Rol 1,905.00 -
183 Kasa pembalut hidrofil 4x5 Rol 953.00 50
184 Kasa Steril 16 x 16 Kotak 7,366.00 -
185 Khlor Canfer Menthol (CHKM) Botol 57,750.00 -
186 Kohesive Bandage ( Elastic Bandage) Rol 39,328.00 -
187 Masker Kotak 20 pcs 22,500.00 21
188 Mummiffyng Pasta Botol 242,200.00 -
189 Plester 5 yard X 2 inchi Rol 23,625.00 52
190 Semen Seng Fosfat Set 242,200.00 -
191 Silk (benang brdah sutera) no3/0 , 2/0 pcs 3,880.56 -
192 Temporary (Fletcher) Set 165,000.00 -
193 Tricresol Formalin Set 49,500.00 -
194 Urine Bag Set 3,810.00 -

III REAGENT DAN BAHAN LAB


195 Alkohol Botol 1000 ml 27,305.00 -
196 Aquadest Botol 1000 ml 13,000.00 10
197 Asam Acetat 6 % Botol 100 ml 34,000.00 -
198 BaCl2 10 % Botol 100 ml 19,000.00 -
199 Benedict Botol 100 ml 100,000.00 -
200 Blood Lancet Kotak @ 200 buah 52,000.00 320
201 Box Slide Kotak 138,000.00 25
202 Cover Glass Kotak @ 50 lbr 17,000.00 5
203 EDTA 10 % Botol 100 ml 95,000.00 1
Wawo

HARGA Sisa Stok per 31


NO NAMA SEDIAAN SATUAN PEROLEHAN Desember
(E_Catalog)

1 2 3 4 5
204 Fouchet Botol 100 ml 140,000.00 -
205 Giemza Botol100 ml 190,000.00 119
206 Golongan Darah Set 3 x 10 ml 257,000.00 2
207 Haemocytometer Set 1,300,000.00 -
208 Haemometer/HB Sahli Unit 110,000.00 1
209 Handscund 7,5 Kotak 50 psg 467,500.00 -
210 Handscund 7 Kotak 50 psg 467,500.00 -
211 HCl 0,1 N Botol 100 ml 15,000.00 1
212 Kapas Bungkus 1/2 kg 24,000.00 -
213 Na Citrat 3,8 % Botol 50 ml 13,000.00 -
214 Oil Emersi Botol 100 ml 360,000.00 73
215 Paper Lens Buah 16,000.00 -
216 Penjepit Tabung Buah 4,000.00 1
217 Pipet Tetes PCS 3,000.00 1
218 Pot Dahak Buah 3,000.00 1
219 Reagen Widal Set 426,000.00 2
220 Rees Ecker Botol 100 ml 45,000.00 2
221 Slide Frosted Kotak / 72's 27,000.00 306
222 Spiritus Kantong 500 ml 40,000.00 1
223 Tabung Serologi PCS 6,500.00 -
224 Tabung Reaksi PCS 4,500.00 50
225 Tabung Centrifuge PCS 6,250.00 -
226 Ziel nelsen Kotak 177,000.00 -
227 Turk botol 8,000.00 -
V OBAT JIWA
228 Sikzonoate inj Ampul 60,000.00 15

VI VAKSIN
229 Vaksin Polio Vial 12,500.00 25
230 Vaksin TT Vial 13,475.00 13
231 Vaksin BCG Vial 40,000.00 24
232 Vaksin DPT/ HB Vial 65,000.00 105
233 Vaksin Campak Vial 45,000.00 37
234 Vaksin Hb 0 Vial 175,000.00 -
235 VaksinDPT/HIB Vial 49,962.00 -

VII OBAT KECACINGAN


236 Albendazole 400mg Tablet 354.00 -

TOTAL PERSEDIAAN
Wawo

HARGA Sisa Stok per 31


NO NAMA SEDIAAN SATUAN PEROLEHAN Desember
(E_Catalog)

1 2 3 4 5

Bima, Januari 2015

Kepala Puskesmas Wawo

Masturudin, SKM
Nip. 19720207 199403 1 004
EDIAAN AKHIR PUSKESMAS WAWO
ER 31 DESEMBER 2014

Nilai Persediaan
akhir per 31
Desember 2014

6
-
-
-
160,520
246,000
-
58,500
18,900,000
1,175,000
1,613,200
-
-
-
-
-
-
42,000
-
990,000
-
-
-
-
-
-
-
-
-
1,792,500
-
-
-
472,815
896,000
-
-
-
-
-
Nilai Persediaan
akhir per 31
Desember 2014

6
-
442,260
-
-
131,325
-
176,400
-
-
-
483,570
-
-
-
939,300
-
-
22,704
58,000
144,000
-
5,733,000
1,056,000
-
-
-
-
142,368
-
1,652,400
-
292,000
-
432,760
-
-
-
541,733
190,000
1,341,600
328,000
60,480
Nilai Persediaan
akhir per 31
Desember 2014

6
-
-
-
-
-
1,566,000
-
1,133,220
-
-
303,255
208,280
-
-
-
-
129,600
-
-
360,800
840,500
402,825
-
420,000
4,920,195
396,000
-
-
-
2,483,140
1,133,700
-
-
-
208,320
-
94,752
-
-
572,968
-
-
Nilai Persediaan
akhir per 31
Desember 2014

6
-
126,280
127,890
-
-
-
762,449
39,500

-
-
-
-
-
-
9,598,680
-
-
-
-
125,000
-
-
-
-
1,300,000
1,169,600
-
800,800
359,717
296,248
-
880,000
191,516
731,520
-

-
-
1,737,360
14,478
Nilai Persediaan
akhir per 31
Desember 2014

6
-
-
-
524,722
-
10,246,500
-
-
-
-
379,270
1,297,940
1,637,792
-
-
-
333,375
880,110
-
47,650
-
-
-
472,500
-
1,228,500
-
-
-
-
-

-
130,000
-
-
-
16,640,000
3,450,000
85,000
95,000
Nilai Persediaan
akhir per 31
Desember 2014

6
-
22,610,000
514,000
-
110,000
-
-
15,000
-
-
26,280,000
-
4,000
3,000
3,000
852,000
90,000
8,262,000
40,000
-
225,000
-
-
-

900,000

312,500
175,175
960,000
6,825,000
1,665,000
-
-

181,243,061
Nilai Persediaan
akhir per 31
Desember 2014

Bima, Januari 2015

Kepala Puskesmas Wawo

Nip. 19720207 199403 1 004


NILAI PERSEDIAAN AKHIR PUSKESMAS SAPE
PER 31 DESEMBER 2014.-
Sape
HARGA PERSEDIAAN
NO NAMA SEDIAAN SATUAN PEROLEHAN AKHIR PER 31
(E_Catalog) DESEMBER 2014

1 2 3 4 5

1 ACT Antimalaria / Arterakine tablet Tablet 1,409.00 -


2 ACT Antimalaria /Artesunat tab Ampul 1,409.00 -
3 Aluporinol tablet 100 mg Tablet 88.00 -
4 Aminofillin Inj 24mg/ml-10ml Ampul 4,013.00 283
5 Aminofillin tablet 200 mg Tablet 82.00 2,700
6 Aminofluid Kantong 64,680.00 250
7 Amitriptillin tablet 25 mg Tablet 117.00 800
8 Amoxicillin kaplet 500mg Tablet 270.00 55,100
9 Amoxicillin Syr Kering 125mg/5ml Botol 2,500.00 601
10 Antasida Doen tab Tablet 74.00 35,350
11 Antasida Syrup Botol 2,160.00 -
12 Anti Bakteri Doen salep kombinasi Tube 2,641.00 129
13 Anti fungi Doen Kombinasi Tube 2,001.04 -
14 Anti Haemoroid Doen Kombinasi Supp 2,100.00 -
15 Anti migrain Doen Kombinasi Tablet 142.00 500
16 Antiparkinson/ levopar Tablet 1,575.00 -
17 Aqua pro Inj Steril bebas pirogen Botol 2,100.00 45
18 Arthemeter injeksi Ampul 23,100.00 -
19 Asam ascorbat (vitc ) tab 50 mg Tablet 100.00 10,600
20 Asam mefenamat tablet 500mg Tablet 116.00 5,600
21 Atropin sulfas Inj 0,2ml/ml-1ml Ampul 1,540.00 -
22 Atropin sulfas tablet 0,5mg Tablet 77.00 -
23 Benzatin B. penisillin 1,2 jt iu/vial Vial 10,290.00 -
24 Benzatin B. penisillin 2,4 jt iu/vial Vial 14,070.00 -
25 Betamethason cream 0,1% Tube 1,558.00 -
26 Captopril 12,5 mg tablet Tablet 62.00 -
27 Captopril 25 mg tablet Tablet 89.00 -
28 Carbamazepin 200 mg Tablet 257.00 -
29 Cimetidin tablet Tablet 179.25 12,950
30 Co-Amoxiclav 500 mg Tablet 5,308.37 -
31 Codein 20m mg Tablet 1,155.00 -
32 Depo Profera Vial 10,500.00 -
33 Dexamethason Inj 5ml/ml-1ml Ampul 1,659.00 600
34 Dexamethason tablet 0,5 mg Tablet 64.00 28,000
35 Diazepam Inj 5mg /ml,2ml Ampul 2,487.00 87
36 Diazepam tablet 2mg Tablet 46.00 1,070
37 Diazepam tablet 5 mg btl 250 Tablet 42.00 -
38 Digoksin tablet 0,25mg Tablet 100.00 -
39 Diphenhidramin Inj 10mg/ml,1ml Ampul 840.00 -
40 Efedrin tablet Tablet 45.00 -
41 Epinerpin Inj 0,1% , 1ml Ampul 8,505.00 210
42 Erytromicin 500 mg Kaplet 976.00 -
43 Etakrida (Rivanol) larutan 0,1% Botol 3,239.00 33
44 Etanol 70% 100 ml Botol 2,575.00 221
45 Eugenol Cairan Botol 17,500.00 12
46 Extrak belladon tablet 10 mg Tablet 28.00 1,850
47 Fenitoin kaps 30mg Tablet 140.00 -
48 Fenobarbital 30 mg Tablet 49.00 -
49 Fenobarbital injeksi ampul 1,890.00 -
50 Fitomenadion (vit k ) Inj 10mg/ml 1ml Ampul 3,582.00 401
51 Fitomenadion (vit k) tablet salut 10mg Tablet 666.00 -
52 Furosemida tablet 40 mg Tablet 80.00 -
53 Gameksan Emulsi 1% Botol 2,310.00 -
54 Garam Oralit untuk 200ml air saset 303.00 2,080
55 Gentamisin inj.80 mg/2 ml Ampul 3,569.00 -
56 Gentamisin salep kulit Tube 1,929.00 125
57 Gentian violet larutan 1% Botol 473.00 109
58 Glibenclamid Tablet 58.00 3,300
59 Gliseril Guayakolat tablet 100 mg Tablet 24.00 15,600
60 Glukosa infus 10% Botol 5,985.00 135
61 Glukosa infus 5% Botol 5,460.00 2,012
62 Griseofulvin tab 125 mg Tablet 220.00 7,550
63 Haloperidol 5 mg Tablet 100.00 1,300
64 Haloperidol Tab 0,5 mg Tablet 61.00 -
65 Haloperidol Tab 1,5 mg Tablet 72.00 -
66 Hidroklorotiazid ( HCT ) tab 25 mg Tablet 38.00 -
67 Hidrokortizon Cream Tube 2,966.00 238
68 Ibuprofen Syr 200 mg Botol 116.00 -
69 Ibuprofen tablet 400 mg Tablet 153.00 17,900
70 Isosorbit dinitrat sublingual tablet Tablet 93.00 -
71 Kalsium Lactat tablet 500 mg Tablet 73.00 13,000
72 Kalsium Gluconas inj Ampul 7,800.00 -
73 Kaptopril 12,5 mg tablet Tablet 62.00 5,450
74 Kaptopril 25 mg tablet Tablet 89.00 6,000
75 Karbamazepin 200 mg Tablet 257.00 400
76 Karbogliserin TT 10% Tube 2,144.00 -
77 Ketokonazole Crim Tube 2,993.00 175
78 Klofeniramin maleat ( CTM ) tab 4 mg Tablet 25.00 26,800
79 Kloramfenikol kapsul 250 mg Kapsul 258.00 3,000
80 Kloramfenikol salep mata 1% Tube 1,640.00 318
81 Kloramfenikol tetes telinga 3% Botol 1,260.00 264
82 Klorokina fosfat tablet 250 mg Tablet 110.00 -
83 Klorpromazin Injeksi 25 mg/ml Ampul 1,103.00 35
84 Klorpromazin tablet 100 mg Tablet 153.00 2,080
85 Klorpromazin tablet 25 mg Tablet 71.00 -
86 Komb piritamin 25mg+sulfadoxin 500mg Tablet 544.00 300
87 Kotrimoxazol dewasa tablet Tablet 145.00 16,200
88 Kotrimoxazol pediaktrik tablet Tablet 50.00 -
89 Kotrimoxazol suspensi Botol 2,222.00 463
90 Kuinin dihidroklorida Inj 25% 2ml Ampul 6,510.00 -
91 Kuinin dihidroklorida tablet 200 mg Tablet 704.00 -
92 Lidokain kompositum Inj Ampul 879.00 1,072
93 Lisol 1 liter Botol 52,070.00 12
94 Loratadine 10 mg Tablet 162.00 -
95 Manegsium sulfat inj (IV) 20 % 25ml Botol 1,617.00 -
96 Manegsium sulfat inj (IV) 40% 25ml Botol 2,045.00 105
97 Metil ergometrin Inj 0,2mg /ml Tablet 2,750.00 375
98 Metil ergometrin tab 0,125 mg Tablet 162.00 4,450
99 Metoclorpamid Tablet 111.00 -
100 Metronidazol 250mg tablet Tablet 113.00 -
101 Metronidazol 500mg tablet Tablet 164.00 5,500
102 Metronidazol infus 500mg/100ml Botol 10,250.00 -
103 Mikonazole krim Tube 3,075.00 243
104 Natrium bikarbonat tab 500 mg Tablet 19.31 -
105 Natrium Diklovenac Tablet 140.00 2,000
106 Natrium klorida Infus 0,9% Botol 4,935.00 420
107 Neo-K Inj Ampul 11,000.00 5
108 Nifedipin 10 mg Tablet 110.00 400
109 Nistatin 100.000 IU tablet vaginal Tablet 504.00 -
110 Nistatin 500.000 IU tablet salut Tablet 672.00 -
111 Obat anti tuberkolusis katagori anak Paket 225,740.00 -
112 Obat anti tuberkolusis kategori I Paket 377,900.00 -
113 Obat anti tuberkolusis kategori II Paket 1,259,990.00 -
114 Obat anti tuberkolusis kategori sisipan Paket 168,000.00 -
115 Obat batuk hitam (OBH ) cairan Botol 1,299.38 116
116 Oksitetrasiclin Hcl Inj IM 50mg/ml 10ml Vial 3,255.00 64
117 Oksitetrasiclin salep kulit 3% Tube 2,261.00 -
118 Oksitetrasiclin salep mata 1% Tube 2,016.00 145
119 Oksitosin inj 10 IU/ ml,1ml Ampul 1,874.27 100
120 Omeprazol 20 mg Kapsul 216.00 -
121 Paracetamol syr 120mg/ 5ml Botol 1,496.00 800
122 Paracetamol drop Botol -
123 Paracetamol tablet 100 mg Tablet 56.57 -
124 Paracetamol tablet 500 mg Tablet 84.00 17,150
125 Pirantel pamoat tablet 125 mg Tablet 308.00 120
126 Piridoxin Hcl tablet 10 mg Tablet 18.27 9,900
127 Piroksicam kaps 20 mg Kapsul 110.25 2,100
128 Prednison tablet 5 mg Tablet 119.00 3,458
129 Primakina tablet 15 mg Tablet 147.15 229
130 Prokain Benz Penicillin Inj 3 Jt IU / vl Vial 7,549.00 20
131 Propanolol tablet 10 mg Tablet 79.00 59
132 Propanolol tablet 40 mg Tablet 110.00 600
133 Propiltiourasil tablet 100 mg Tablet 335.00 1,100
134 Ranitidine 150 mg Tablet 122.00 -
135 Ranitidine injeksi ampul 1,190.00 -
136 Reserpin tablet 0,25 mg Tablet 118.80 -
137 Retinol (Vit.A) 100.000 IU Kapsul 273.00 511
138 Retinol (Vit.A) 200.000 IU Kapsul 482.00 4,655
139 Ringer Lactat infus steril Botol 5,460.00 2,930
140 Sabupolivalen 5 ml ( ABU I ) vial 495,000.00 -
141 Salbutamol tablet 2 mg Tablet 62.00 100
142 Salbutamol tablet 4 mg Tablet 91.00 500
143 Salep 2 - 4 kombinasi Tablet 2,100.00 -
144 Salisil bedak 2% Tube 1,250.00 307
145 Serum anti tetanus 1.500 IU/VL (ATS ) Ampul 72,450.00 -
146 Serum anti tetanus 20.000 IU/VL (ATS ) Ampul 525,000.00 -
147 Sianocobalamin (Vit B12 ) inj 500mcg/ml Ampul 1,132.00 455
148 Simvastatin 20 mg Tablet 394.00 -
149 Siprofloxacin 500 mg Tablet 260.00 5,400
150 Tablet tambah darah kombinasi Tablet 43.00 61,695
151 Tetracain Tetes Mata 0,5% Botol 11,500.00 20
152 Tetrasiclin Hcl kapsul 250 mg Kapsul 154.00 2,800
153 Thiamine Hcl 50 mg tab Tablet 58.97 14,800
154 Thiamine Hcl inj. Ampul 997.47 540
155 Triheksipenidil Hcl tablet 2mg Tablet 43.00 -
156 Vitamin B complek tab Tablet 110.00 17,630
157 Yodium povidon larutan 10% 30 ml Botol 3,683.00 241
158 Yodium povidon larutan 10% 300 ml Botol 22,860.00 32
159 Zink tablet 20 mg Tablet 497.00 500
-
II OBAT GIGI DAN PERBEKKES -
160 Abbocath 18 G pcs 4,826.00 537
161 Abbocath 20 G pcs 4,826.00 467
162 Abbocath 22 G pcs 4,826.00 149
163 Abbocath 24 G pcs 4,826.00 456
164 Alat suntik sekali pakai 1 ml pcs 826.00 -
165 Alat suntik sekali pakai 2,5 ml pcs 826.00 160
166 Alat suntik sekali pakai 5 ml pcs 953.00 3,035
167 Catgut / benang bedah 2/0-3/0 pcs 7,090.83 219
168 Devitalisasi Pasta Botol 495,000.00 1
169 Etil klorida semprot Botol 126,500.00 11
170 Folley Catheter 2 way No.14 Pcs 10,160.00 -
171 Folley Catheter 2 way No.16 Pcs 10,160.00 -
172 Folley Catheter 2 way No.18 Pcs 10,160.00 -
173 Glass Ionmer (Gcix) Set 715,000.00 2
174 Hand scond pcs 4,462.00 -
175 Infusion set anak anak pcs 4,445.00 795
176 Infusion set dewasa pcs 4,064.00 839
177 Kalsium Hidroksida pasta Tube 865,700.00 5
178 Kasa Elastic / Elastomul hulf Rol 48,650.00 -
179 Kasa Kompres 40 x 40 Rol 2,032.00 -
180 Kapas pembalut/absorben 250gram Rol 15,875.00 39
181 Kasa pembalut hidrofil 2x80 Rol 9,779.00 60
182 Kasa pembalut hidrofil 4x10 Rol 1,905.00 399
183 Kasa pembalut hidrofil 4x5 Rol 953.00 686
184 Kasa Steril 16 x 16 Kotak 7,366.00 109
185 Khlor Canfer Menthol (CHKM) Botol 57,750.00 5
186 Kohesive Bandage ( Elastic Bandage) Rol 39,328.00 -
187 Masker Kotak 20 pcs 22,500.00 5
188 Mummiffyng Pasta Botol 242,200.00 5
189 Plester 5 yard X 2 inchi Rol 23,625.00 86
190 Semen Seng Fosfat Set 242,200.00 3
191 Silk (benang brdah sutera) no3/0 , 2/0 pcs 3,880.56 22
192 Temporary (Fletcher) Set 165,000.00 4
193 Tricresol Formalin Set 49,500.00 5
194 Urine Bag Set 3,810.00 -
-
III REAGENT DAN BAHAN LAB -
195 Alkohol Botol 1000 ml 27,305.00 6
196 Aquadest Botol 1000 ml 13,000.00 2
197 Asam Acetat 6 % Botol 100 ml 34,000.00 1
198 BaCl2 10 % Botol 100 ml 19,000.00 -
199 Benedict Botol 100 ml 100,000.00 4
200 Blood Lancet Kotak @ 200 buah 52,000.00 2
201 Box Slide Kotak 138,000.00 -
202 Cover Glass Kotak @ 50 lbr 17,000.00 -
203 EDTA 10 % Botol 100 ml 95,000.00 -
204 Fouchet Botol 100 ml 140,000.00 -
205 Giemza Botol100 ml 190,000.00 5
206 Golongan Darah Set 3 x 10 ml 257,000.00 3
207 Haemocytometer Set 1,300,000.00 -
208 Haemometer/HB Sahli Unit 110,000.00 1
209 Handscund 7,5 Kotak 50 psg 467,500.00 6
210 Handscund 7 Kotak 50 psg 467,500.00 -
211 HCl 0,1 N Botol 100 ml 15,000.00 -
212 Kapas Bungkus 1/2 kg 24,000.00 8
213 Na Citrat 3,8 % Botol 50 ml 13,000.00 -
214 Oil Emersi Botol 100 ml 360,000.00 1
215 Paper Lens Buah 16,000.00 -
216 Penjepit Tabung Buah 4,000.00 -
217 Pipet Tetes PCS 3,000.00 4
218 Pot Dahak Buah 3,000.00 1,232
219 Reagen Widal Set 426,000.00 3
220 Rees Ecker Botol 100 ml 45,000.00 -
221 Slide Frosted Kotak / 72's 27,000.00 19
222 Spiritus Kantong 500 ml 40,000.00 6
223 Tabung Serologi PCS 6,500.00 -
224 Tabung Reaksi PCS 4,500.00 -
225 Tabung Centrifuge PCS 6,250.00 10
226 Ziel nelsen Kotak 177,000.00 80
227 Turk botol 8,000.00 -
-
V OBAT JIWA -
228 Sikzonoate inj Ampul 60,000.00 -
-
VI VAKSIN -
229 Vaksin Polio Vial 12,500.00 270
230 Vaksin TT Vial 13,475.00 90
231 Vaksin BCG Vial 40,000.00 205
232 Vaksin DPT/ HB Vial 65,000.00 260
233 Vaksin Campak Vial 45,000.00 110
234 Vaksin Hb 0 Vial 175,000.00 366
235 VaksinDPT/HIB Vial 49,962.00 -
-
VII OBAT KECACINGAN -
236 Albendazole 400mg Tablet 354.00 -

TOTAL PERSEDIAAN
-
*) Gunakan kolom tambahan bila ada stock persediaan yang belum dimasukkan.

Bima, Januari 2015

Kepala Puskesmas Sape

Jainuddin, SKM
Nip. 19690810 199003 1 014
SAPE

NILAI PERSEDIAAN
AKHIR 2014

-
-
-
1,135,679
221,400
16,170,000
93,600
14,877,000
1,502,500
2,615,900
-
340,689
-
-
71,000
-
94,500
-
1,060,000
649,600
-
-
-
-
-
-
-
-
2,321,288
-
-
-
995,400
1,792,000
216,369
49,220
-
-
-
-
1,786,050
-
106,887
569,075
210,000
51,800
-
-
-
1,436,382
-
-
-
630,240
-
241,125
51,557
191,400
374,400
807,975
10,985,520
1,661,000
130,000
-
-
-
705,908
-
2,738,700
-
949,000
-
337,900
534,000
102,800
-
523,775
670,000
774,000
521,520
332,640
-
38,605
318,240
-
163,200
2,349,000
-
1,028,786
-
-
942,288
624,840
-
-
214,725
1,031,250
720,900
-
-
902,000
-
747,225
-
280,000
2,072,700
55,000
44,000
-
-
-
-
-
-
150,728
208,320
-
292,320
187,427
-
1,196,800
-
-
1,440,600
36,960
180,873
231,525
411,502
33,697
150,980
4,661
66,000
368,500
-
-
-
139,503
2,243,710
15,997,800
-
6,200
45,500
-
383,750
-
-
515,060
-
1,404,000
2,652,885
230,000
431,200
872,756
538,632
-
1,939,300
887,603
731,520
248,500
-
-
2,591,562
2,253,742
719,074
2,200,656
-
132,160
2,892,355
1,552,893
495,000
1,391,500
-
-
-
1,430,000
-
3,533,775
3,409,696
4,328,500
-
-
619,125
586,740
760,095
653,758
802,894
288,750
-
112,500
1,211,000
2,031,750
726,600
85,372
660,000
247,500
-
-
-
163,830
26,000
34,000
-
400,000
104,000
-
-
-
-
950,000
771,000
-
110,000
2,805,000
-
-
192,000
-
360,000
-
-
12,000
3,696,000
1,278,000
-
513,000
240,000
-
-
62,500
14,160,000
-
-
-
-
-
-
3,375,000
1,212,750
8,200,000
16,900,000
4,950,000
64,050,000
-
-
-
-

277,673,447
-

Januari 2015

uskesmas Sape

10 199003 1 014
REKAPAN STOCK OPNAME 2014

NO NAMA JUMLAH
1 INSTALASI FARMASI =

NO PUSKESMAS
1 AMBALAWI Rp 48,885,434
2 WERA Rp 207,910,657
3 SOROMANDI Rp 149,208,097
4 PAI Rp 50,429,599
5 LAMBU Rp 106,182,430
6 TAMBORA Rp 28,910,111
7 DONGGO Rp 33,914,390
8 PALIBELO Rp 72,655,517
9 NGALI Rp 82,131,319
10 BELO Rp 39,559,530
11 BOLO Rp 245,001,248
12 LANGGUDU Rp 84,961,133
13 LAMBITU Rp 16,877,905
14 MADAPANGGA Rp 119,222,295
15 WAWO Rp 181,243,061
16 WOHA Rp 138,391,061
17 PARADO Rp 53,953,285
18 MONTA Rp 135,943,141
19 SAPE Rp 277,673,447
20 SANGGAR Rp 125,130,671 Rp 2,198,184,331

TOTAL #VALUE!

)* Data Sementara, msh dicek lagi.


REKAPAN STOCK OPNAME 2014

KETERANGAN
NILAI PERSEDIAAN AKHIR PUSKESMAS SANGGAR
PER 31 DESEMBER 2014
SANGGAR

HARGA STOCK OPNAME


NO NAMA SEDIAAN SATUAN PEROLEHAN
(E_Catalog) PER 30 APRIL 2015

1 2 3 4 5
1 ACT Antimalaria / Arterakine tablet Tablet 1,409.00 120
2 ACT Antimalaria /Artesunat tab Ampul 1,409.00
3 Aluporinol tablet 100 mg Tablet 88.00 3,000
4 Aminofillin Inj 24mg/ml-10ml Ampul 4,013.00
5 Aminofillin tablet 200 mg Tablet 82.00 600
6 Aminofluid Kantong 64,680.00
7 Amitriptillin tablet 25 mg Tablet 117.00
8 Amoxicillin kaplet 500mg Tablet 270.00 4,200
9 Amoxicillin Syr Kering 125mg/5ml Botol 2,500.00 145
10 Antasida Doen tab Tablet 74.00 3,170
11 Antasida Syrup Botol 2,160.00
12 Anti Bakteri Doen salep kombinasi Tube 2,641.00
13 Anti fungi Doen Kombinasi Tube 2,001.04
14 Anti Haemoroid Doen Kombinasi Supp 2,100.00
15 Anti migrain Doen Kombinasi Tablet 142.00
16 Antiparkinson/ levopar Tablet 1,575.00
17 Aqua pro Inj Steril bebas pirogen Botol 2,100.00
18 Arthemeter injeksi Ampul 23,100.00
19 Asam ascorbat (vitc ) tab 50 mg Tablet 100.00 3,260
20 Asam mefenamat tablet 500mg Tablet 116.00 300
21 Atropin sulfas Inj 0,2ml/ml-1ml Ampul 1,540.00 20
22 Atropin sulfas tablet 0,5mg Tablet 77.00 100
23 Benzatin B. penisillin 1,2 jt iu/vial Vial 10,290.00
24 Benzatin B. penisillin 2,4 jt iu/vial Vial 14,070.00
25 Betamethason cream 0,1% Tube 1,558.00 50
26 Captopril 12,5 mg tablet Tablet 62.00
27 Captopril 25 mg tablet Tablet 89.00
28 Carbamazepin 200 mg Tablet 257.00
29 Cimetidin tablet Tablet 179.25 2,000
30 Co-Amoxiclav 500 mg Tablet 5,308.37
31 Codein 20m mg Tablet 1,155.00
32 Depo Profera Vial 10,500.00
33 Dexamethason Inj 5ml/ml-1ml Ampul 1,659.00 50
34 Dexamethason tablet 0,5 mg Tablet 64.00 1,520
35 Diazepam Inj 5mg /ml,2ml Ampul 2,487.00 3
36 Diazepam tablet 2mg Tablet 46.00 200
37 Diazepam tablet 5 mg btl 250 Tablet 42.00
38 Digoksin tablet 0,25mg Tablet 100.00
SANGGAR

HARGA STOCK OPNAME


NO NAMA SEDIAAN SATUAN PEROLEHAN PER 30 APRIL 2015
(E_Catalog)

1 2 3 4 5
39 Diphenhidramin Inj 10mg/ml,1ml Ampul 840.00 100
40 Efedrin tablet Tablet 45.00
41 Epinerpin Inj 0,1% , 1ml Ampul 8,505.00
42 Erytromicin 500 mg Kaplet 976.00
43 Etakrida (Rivanol) larutan 0,1% Botol 3,239.00
44 Etanol 70% 100 ml Botol 2,575.00
45 Eugenol Cairan Botol 17,500.00
46 Extrak belladon tablet 10 mg Tablet 28.00
47 Fenitoin kaps 30mg Tablet 140.00
48 Fenobarbital 30 mg Tablet 49.00
49 Fenobarbital injeksi ampul 1,890.00
50 Fitomenadion (vit k ) Inj 10mg/ml 1ml Ampul 3,582.00 40
51 Fitomenadion (vit k) tablet salut 10mg Tablet 666.00
52 Furosemida tablet 40 mg Tablet 80.00 500
53 Gameksan Emulsi 1% Botol 2,310.00
54 Garam Oralit untuk 200ml air saset 303.00 300
55 Gentamisin inj.80 mg/2 ml Ampul 3,569.00
56 Gentamisin salep kulit Tube 1,929.00
57 Gentian violet larutan 1% Botol 473.00
58 Glibenclamid Tablet 58.00 450
59 Gliseril Guayakolat tablet 100 mg Tablet 24.00 1,830
60 Glukosa infus 10% Botol 5,985.00
61 Glukosa infus 5% Botol 5,460.00
62 Griseofulvin tab 125 mg Tablet 220.00 1,000
63 Haloperidol 5 mg Tablet 100.00
64 Haloperidol Tab 0,5 mg Tablet 61.00
65 Haloperidol Tab 1,5 mg Tablet 72.00
66 Hidroklorotiazid ( HCT ) tab 25 mg Tablet 38.00
67 Hidrokortizon Cream Tube 2,966.00 52
68 Ibuprofen Syr 200 mg Botol 116.00 10
69 Ibuprofen tablet 400 mg Tablet 153.00
70 Isosorbit dinitrat sublingual tablet Tablet 93.00
71 Kalsium Lactat tablet 500 mg Tablet 73.00 1,000
72 Kalsium Gluconas inj Ampul 7,800.00 5
73 Kaptopril 12,5 mg tablet Tablet 62.00 1,250
74 Kaptopril 25 mg tablet Tablet 89.00
75 Karbamazepin 200 mg Tablet 257.00
76 Karbogliserin TT 10% Tube 2,144.00
77 Ketokonazole Crim Tube 2,993.00 50
78 Klofeniramin maleat ( CTM ) tab 4 mg Tablet 25.00 800
79 Kloramfenikol kapsul 250 mg Kapsul 258.00
80 Kloramfenikol salep mata 1% Tube 1,640.00
81 Kloramfenikol tetes telinga 3% Botol 1,260.00 30
SANGGAR

HARGA STOCK OPNAME


NO NAMA SEDIAAN SATUAN PEROLEHAN PER 30 APRIL 2015
(E_Catalog)

1 2 3 4 5
82 Klorokina fosfat tablet 250 mg Tablet 110.00
83 Klorpromazin Injeksi 25 mg/ml Ampul 1,103.00
84 Klorpromazin tablet 100 mg Tablet 153.00 150
85 Klorpromazin tablet 25 mg Tablet 71.00
86 Komb piritamin 25mg+sulfadoxin 500mg Tablet 544.00
87 Kotrimoxazol dewasa tablet Tablet 145.00 1,000
88 Kotrimoxazol pediaktrik tablet Tablet 50.00 -
89 Kotrimoxazol suspensi Botol 2,222.00 50
90 Kuinin dihidroklorida Inj 25% 2ml Ampul 6,510.00
91 Kuinin dihidroklorida tablet 200 mg Tablet 704.00
92 Lidokain kompositum Inj Ampul 879.00 80
93 Lisol 1 liter Botol 52,070.00
94 Loratadine 10 mg Tablet 162.00
95 Manegsium sulfat inj (IV) 20 % 25ml Botol 1,617.00
96 Manegsium sulfat inj (IV) 40% 25ml Botol 2,045.00 25
97 Metil ergometrin Inj 0,2mg /ml Tablet 2,750.00 50
98 Metil ergometrin tab 0,125 mg Tablet 162.00 120
99 Metoclorpamid Tablet 111.00 350
100 Metronidazol 250mg tablet Tablet 113.00
101 Metronidazol 500mg tablet Tablet 164.00 400
102 Metronidazol infus 500mg/100ml Botol 10,250.00
103 Mikonazole krim Tube 3,075.00 50
104 Natrium bikarbonat tab 500 mg Tablet 19.31
105 Natrium Diklovenac Tablet 140.00 200
106 Natrium klorida Infus 0,9% Botol 4,935.00 50
107 Neo-K Inj Ampul 11,000.00 12
108 Nifedipin 10 mg Tablet 110.00 100
109 Nistatin 100.000 IU tablet vaginal Tablet 504.00
110 Nistatin 500.000 IU tablet salut Tablet 672.00
111 Obat anti tuberkolusis katagori anak Paket 225,740.00
112 Obat anti tuberkolusis kategori I Paket 377,900.00 5
113 Obat anti tuberkolusis kategori II Paket 1,259,990.00 5
114 Obat anti tuberkolusis kategori sisipan Paket 168,000.00
115 Obat batuk hitam (OBH ) cairan Botol 1,299.38
116 Oksitetrasiclin Hcl Inj IM 50mg/ml 10ml Vial 3,255.00
117 Oksitetrasiclin salep kulit 3% Tube 2,261.00 30
118 Oksitetrasiclin salep mata 1% Tube 2,016.00
119 Oksitosin inj 10 IU/ ml,1ml Ampul 1,874.27 20
120 Omeprazol 20 mg Kapsul 216.00 200
121 Paracetamol syr 120mg/ 5ml Botol 1,496.00 100
122 Paracetamol drop Botol
123 Paracetamol tablet 100 mg Tablet 56.57
124 Paracetamol tablet 500 mg Tablet 84.00 300
SANGGAR

HARGA STOCK OPNAME


NO NAMA SEDIAAN SATUAN PEROLEHAN PER 30 APRIL 2015
(E_Catalog)

1 2 3 4 5
125 Pirantel pamoat tablet 125 mg Tablet 308.00 50
126 Piridoxin Hcl tablet 10 mg Tablet 18.27 1,300
127 Piroksicam kaps 20 mg Kapsul 110.25 300
128 Prednison tablet 5 mg Tablet 119.00 600
129 Primakina tablet 15 mg Tablet 147.15
130 Prokain Benz Penicillin Inj 3 Jt IU / vl Vial 7,549.00
131 Propanolol tablet 10 mg Tablet 79.00
132 Propanolol tablet 40 mg Tablet 110.00
133 Propiltiourasil tablet 100 mg Tablet 335.00
134 Ranitidine 150 mg Tablet 122.00 2,000
135 Ranitidine injeksi ampul 1,190.00 70
136 Reserpin tablet 0,25 mg Tablet 118.80
137 Retinol (Vit.A) 100.000 IU Kapsul 273.00
138 Retinol (Vit.A) 200.000 IU Kapsul 482.00
139 Ringer Lactat infus steril Botol 5,460.00 100
140 Sabupolivalen 5 ml ( ABU I ) vial 495,000.00 5
141 Salbutamol tablet 2 mg Tablet 62.00
142 Salbutamol tablet 4 mg Tablet 91.00
143 Salep 2 - 4 kombinasi Tablet 2,100.00 -
144 Salisil bedak 2% Tube 1,250.00 50
145 Serum anti tetanus 1.500 IU/VL (ATS ) Ampul 72,450.00
146 Serum anti tetanus 20.000 IU/VL (ATS ) Ampul 525,000.00
147 Sianocobalamin (Vit B12 ) inj 500mcg/ml Ampul 1,132.00 70
148 Simvastatin 20 mg Tablet 394.00
149 Siprofloxacin 500 mg Tablet 260.00 500
150 Tablet tambah darah kombinasi Tablet 43.00 600
151 Tetracain Tetes Mata 0,5% Botol 11,500.00
152 Tetrasiclin Hcl kapsul 250 mg Kapsul 154.00 600
153 Thiamine Hcl 50 mg tab Tablet 58.97 1,500
154 Thiamine Hcl inj. Ampul 997.47 40
155 Triheksipenidil Hcl tablet 2mg Tablet 43.00
156 Vitamin B complek tab Tablet 110.00 2,350
157 Yodium povidon larutan 10% 30 ml Botol 3,683.00
158 Yodium povidon larutan 10% 300 ml Botol 22,860.00 12
159 Zink tablet 20 mg Tablet 497.00 5,000

II OBAT GIGI DAN PERBEKKES


160 Abbocath 18 G pcs 4,826.00 28
161 Abbocath 20 G pcs 4,826.00 18
162 Abbocath 22 G pcs 4,826.00
163 Abbocath 24 G pcs 4,826.00 18
164 Alat suntik sekali pakai 1 ml pcs 826.00
165 Alat suntik sekali pakai 2,5 ml pcs 826.00
SANGGAR

HARGA STOCK OPNAME


NO NAMA SEDIAAN SATUAN PEROLEHAN PER 30 APRIL 2015
(E_Catalog)

1 2 3 4 5
166 Alat suntik sekali pakai 5 ml pcs 953.00 200
167 Catgut / benang bedah 2/0-3/0 pcs 7,090.83
168 Devitalisasi Pasta Botol 495,000.00
169 Etil klorida semprot Botol 126,500.00 1
170 Folley Catheter 2 way No.14 Pcs 10,160.00 1
171 Folley Catheter 2 way No.16 Pcs 10,160.00
172 Folley Catheter 2 way No.18 Pcs 10,160.00
173 Glass Ionmer (Gcix) Set 715,000.00
174 Hand scond pcs 4,462.00 35
175 Infusion set anak anak pcs 4,445.00
176 Infusion set dewasa pcs 4,064.00
177 Kalsium Hidroksida pasta Tube 865,700.00
178 Kasa Elastic / Elastomul hulf Rol 48,650.00
179 Kasa Kompres 40 x 40 Rol 2,032.00 80
180 Kapas pembalut/absorben 250gram Rol 15,875.00
181 Kasa pembalut hidrofil 2x80 Rol 9,779.00
182 Kasa pembalut hidrofil 4x10 Rol 1,905.00 25
183 Kasa pembalut hidrofil 4x5 Rol 953.00
184 Kasa Steril 16 x 16 Kotak 7,366.00
185 Khlor Canfer Menthol (CHKM) Botol 57,750.00
186 Kohesive Bandage ( Elastic Bandage) Rol 39,328.00
187 Masker KotK a20 pcs 22,500.00 1
188 Mummiffyng Pasta Botol 242,200.00
189 Plester 5 yard X 2 inchi Rol 23,625.00 5
190 Semen Seng Fosfat Set 242,200.00
191 Silk (benang brdah sutera) no3/0 , 2/0 pcs 3,880.56
192 Temporary (Fletcher) Set 165,000.00
193 Tricresol Formalin Set 49,500.00
194 Urine Bag Set 3,810.00 10

III REAGENT DAN BAHAN LAB


195 Alkohol Botol 1000 ml 27,305.00
196 Aquadest Botol 1000 ml 13,000.00
197 Asam Acetat 6 % Botol 100 ml 34,000.00
198 BaCl2 10 % Botol 100 ml 19,000.00
199 Benedict Botol 100 ml 100,000.00
200 Blood Lancet Kotak @ 200 buah 52,000.00 100
201 Box Slide Kotak 138,000.00
202 Cover Glass Kotak @ 50 lbr 17,000.00
203 EDTA 10 % Botol 100 ml 95,000.00
204 Fouchet Botol 100 ml 140,000.00
205 Giemza Botol100 ml 190,000.00
206 Golongan Darah Set 3 x 10 ml 257,000.00
SANGGAR

HARGA STOCK OPNAME


NO NAMA SEDIAAN SATUAN PEROLEHAN PER 30 APRIL 2015
(E_Catalog)

1 2 3 4 5
207 Haemocytometer Set 1,300,000.00
208 Haemometer/HB Sahli Unit 110,000.00
209 Handscund 7,5 Kotak 50 psg 467,500.00
210 Handscund 7 Kotak 50 psg 467,500.00
211 HCl 0,1 N Botol 100 ml 15,000.00
212 Kapas Bungkus 1/2 kg 24,000.00
213 Na Citrat 3,8 % Botol 50 ml 13,000.00
214 Oil Emersi Botol 100 ml 360,000.00
215 Paper Lens Buah 16,000.00 4
216 Penjepit Tabung Buah 4,000.00
217 Pipet Tetes PCS 3,000.00
218 Pot Dahak Buah 3,000.00 50
219 Reagen Widal Set 426,000.00
220 Rees Ecker Botol 100 ml 45,000.00
221 Slide Frosted Kotak / 72's 27,000.00
222 Spiritus Kantong 500 ml 40,000.00
223 Tabung Serologi PCS 6,500.00
224 Tabung Reaksi PCS 4,500.00
225 Tabung Centrifuge PCS 6,250.00
226 Ziel nelsen Kotak 177,000.00 1
227 Turk botol 8,000.00

V OBAT JIWA
228 Sikzonoate inj Ampul 60,000.00

VI VAKSIN
229 Vaksin Polio Vial 12,500.00
230 Vaksin TT Vial 13,475.00
231 Vaksin BCG Vial 40,000.00
232 Vaksin DPT/ HB Vial 65,000.00
233 Vaksin Campak Vial 45,000.00
234 Vaksin Hb 0 Vial 175,000.00
235 VaksinDPT/HIB Vial 49,962.00

VII OBAT KECACINGAN


236 Albendazole 400mg Tablet 354.00

TOTAL PERSEDIAAN

*) Gunakan kolom tambahan bila ada stock persediaan yang belum dimasukkan.

Bima, Januari 2015


SANGGAR

HARGA STOCK OPNAME


NO NAMA SEDIAAN SATUAN PEROLEHAN PER 30 APRIL 2015
(E_Catalog)

1 2 3 4 5
Petugas Pengelola Obat Puskesmas
AKHIR PUSKESMAS SANGGAR
DESEMBER 2014

PENGELUARAN
NILAI 2015 s/d APRIL SisaDesember
Stok per 31 Nilai Persediaan akhir
JAN
PERSEDIAAN 2015 per 31 Desember 2014

5 5 5 6
169,080 6 126 177,534
- - -
264,000 200 3,200 281,600
- - -
49,200 100 700 57,400
- - -
- - -
1,134,000 11,800 16,000 4,320,000
362,500 160 305 762,500
234,580 3,550 6,720 497,280
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
326,000 4,610 7,870 787,000
34,800 1,800 2,100 243,600
30,800 - 20 30,800
7,700 - 100 7,700
- - -
- - -
77,900 34 84 130,872
- - -
- - -
- 80 80 20,560
358,500 2,690 4,690 840,683
- - - -
- - - -
- - - -
82,950 115 165 273,735
97,280 4,000 5,520 353,280
7,461 100 103 256,161
9,200 100 300 13,800
- - - -
- - - -
PENGELUARAN
NILAI 2015 s/d APRIL SisaDesember
Stok per 31 Nilai Persediaan akhir
JAN
PERSEDIAAN per 31 Desember 2014
2015

5 5 5 6
84,000 - 100 84,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
143,280 29 69 247,158
- - -
40,000 100 600 48,000
- - -
90,900 1,110 1,410 427,230
- - -
- - -
- - -
26,100 150 600 34,800
43,920 3,300 5,130 123,120
- - - -
- 140 140 764,400
220,000 2,250 3,250 715,000
- - - -
- - - -
- 80 80 5,760
- - - -
154,232 10 62 183,892
1,160 - 10 1,160
- 4,955 4,955 758,115
- - - -
73,000 1,560 2,560 186,880
39,000 - 5 39,000
77,500 2,600 3,850 238,700
- - -
- - -
- - -
149,650 16 66 197,538
20,000 5,200 6,000 150,000
- 2,044 2,044 527,352
- 101 101 165,640
37,800 23 53 66,780
PENGELUARAN
NILAI 2015 s/d APRIL SisaDesember
Stok per 31 Nilai Persediaan akhir
JAN
PERSEDIAAN per 31 Desember 2014
2015

5 5 5 6
- - -
- - -
22,950 150 22,950
- - -
- - -
145,000 3,300 4,300 623,500
- - -
111,100 96 146 324,412
- - -
- - -
70,320 130 210 184,590
- - -
- - -
- - -
51,125 25 51,125
137,500 50 137,500
19,440 100 220 35,640
38,850 350 38,850
- - -
65,600 800 1,200 196,800
- - -
153,750 23 73 224,475
- - -
28,000 200 28,000
246,750 50 246,750
132,000 12 132,000
11,000 100 11,000
- - -
- - -
- - -
1,889,500 2 7 2,645,300
6,299,950 5 6,299,950
- - -
- - -
- - -
67,830 30 67,830
- - -
37,485 20 37,485
43,200 200 43,200
149,600 100 149,600
- - -
- - -
25,200 300 25,200
PENGELUARAN
NILAI 2015 s/d APRIL SisaDesember
Stok per 31 Nilai Persediaan akhir
JAN
PERSEDIAAN per 31 Desember 2014
2015

5 5 5 6
15,400 16 66 20,328
23,751 750 2,050 37,454
33,075 1,600 1,900 209,475
71,400 500 1,100 130,900
- 2 2 294
- - -
- - -
- - -
- - -
244,000 200 2,200 268,400
83,300 70 83,300
- - -
- - -
- - -
546,000 100 546,000
2,475,000 5 2,475,000
- 700 700 43,400
- - -
- - -
62,500 50 62,500
- - -
- - -
79,240 70 79,240
- - -
130,000 1,480 1,980 514,800
25,800 600 25,800
- - -
92,400 1,400 2,000 308,000
88,455 1,500 88,455
39,899 40 39,899
- - -
258,500 3,000 5,350 588,500
- - -
274,320 12 274,320
2,485,000 815 5,815 2,890,055
- - -
- - -
135,128 66 94 453,644
86,868 208 226 1,090,676
- 93 93 448,818
86,868 96 114 550,164
- - -
- 83 83 68,558
PENGELUARAN
NILAI 2015 s/d APRIL SisaDesember
Stok per 31 Nilai Persediaan akhir
JAN
PERSEDIAAN per 31 Desember 2014
2015

5 5 5 6
190,600 167 367 349,751
- - -
- - -
126,500 2 3 379,500
10,160 1 10,160
- - -
- - -
- - -
156,170 164 199 887,938
- - -
- - -
- - -
- - -
162,560 272 352 715,264
- - -
- - -
47,625 25 47,625
- - -
- 37 37 272,542
- - -
- - -
22,500 26 27 607,500
- - -
118,125 5 118,125
- - -
- - -
- - -
- - -
38,100 10 38,100
- - -
- - -
- - -
- - -
- - -
- - -
- - -
5,200,000 100 5,200,000
- - -
- - -
- - -
- - -
- - -
- - -
PENGELUARAN
NILAI 2015 s/d APRIL SisaDesember
Stok per 31 Nilai Persediaan akhir
JAN
PERSEDIAAN per 31 Desember 2014
2015

5 5 5 6
- - -
- - -
- 164 164 76,670,000
- - -
- - -
- - -
- - -
- - -
64,000 2 6 96,000
- - -
- - -
150,000 50 100 300,000
- - -
- - -
- 83 83 2,241,000
- - -
- - -
- - -
- - -
177,000 1 2 354,000
- - -
- -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- -
- - -
- - -

27,992,887 69,441 125,130,671

Januari 2015 Bima, Januari 2015


PENGELUARAN
NILAI 2015 s/d APRIL SisaDesember
Stok per 31 Nilai Persediaan akhir
JAN
PERSEDIAAN per 31 Desember 2014
2015

5 5 5 6
Pengelola Obat Puskesmas Kepala Puskesmas Sanggar

Anwar, S.Sos, S.Kep


Nip. 19670905 199001 1 002
NILAI PERSEDIAAN AKHIR PUSKESMAS LANGGUDU
PER 31 DESEMBER 2014
LANGGUDU
HARGA
NO NAMA SEDIAAN SATUAN PEROLEHAN
(E_Catalog)

1 2 3 4
1 ACT Antimalaria / Arterakine tablet Tablet 1,409.00
2 ACT Antimalaria /Artesunat tab Ampul 1,409.00
3 Aluporinol tablet 100 mg Tablet 88.00
4 Aminofillin Inj 24mg/ml-10ml Ampul 4,013.00
5 Aminofillin tablet 200 mg Tablet 82.00
6 Aminofluid Kantong 64,680.00
7 Amitriptillin tablet 25 mg Tablet 117.00
8 Amoxicillin kaplet 500mg Tablet 270.00
9 Amoxicillin Syr Kering 125mg/5ml Botol 2,500.00
10 Antasida Doen tab Tablet 74.00
11 Antasida Syrup Botol 2,160.00
12 Anti Bakteri Doen salep kombinasi Tube 2,641.00
13 Anti fungi Doen Kombinasi Tube 2,001.04
14 Anti Haemoroid Doen Kombinasi Supp 2,100.00
15 Anti migrain Doen Kombinasi Tablet 142.00
16 Antiparkinson/ levopar Tablet 1,575.00
17 Aqua pro Inj Steril bebas pirogen Botol 2,100.00
18 Arthemeter injeksi Ampul 23,100.00
19 Asam ascorbat (vitc ) tab 50 mg Tablet 100.00
20 Asam mefenamat tablet 500mg Tablet 116.00
21 Atropin sulfas Inj 0,2ml/ml-1ml Ampul 1,540.00
22 Atropin sulfas tablet 0,5mg Tablet 77.00
23 Benzatin B. penisillin 1,2 jt iu/vial Vial 10,290.00
24 Benzatin B. penisillin 2,4 jt iu/vial Vial 14,070.00
25 Betamethason cream 0,1% Tube 1,558.00
26 Captopril 12,5 mg tablet Tablet 62.00
27 Captopril 25 mg tablet Tablet 89.00
28 Carbamazepin 200 mg Tablet 257.00
29 Cimetidin tablet Tablet 179.25
30 Co-Amoxiclav 500 mg Tablet 5,308.37
31 Codein 20m mg Tablet 1,155.00
32 Depo Profera Vial 10,500.00
33 Dexamethason Inj 5ml/ml-1ml Ampul 1,659.00
34 Dexamethason tablet 0,5 mg Tablet 64.00
35 Diazepam Inj 5mg /ml,2ml Ampul 2,487.00
36 Diazepam tablet 2mg Tablet 46.00
37 Diazepam tablet 5 mg btl 250 Tablet 42.00
38 Digoksin tablet 0,25mg Tablet 100.00
39 Diphenhidramin Inj 10mg/ml,1ml Ampul 840.00
LANGGUDU
HARGA
NO NAMA SEDIAAN SATUAN PEROLEHAN
(E_Catalog)

1 2 3 4
40 Efedrin tablet Tablet 45.00
41 Epinerpin Inj 0,1% , 1ml Ampul 8,505.00
42 Erytromicin 500 mg Kaplet 976.00
43 Etakrida (Rivanol) larutan 0,1% Botol 3,239.00
44 Etanol 70% 100 ml Botol 2,575.00
45 Eugenol Cairan Botol 17,500.00
46 Extrak belladon tablet 10 mg Tablet 28.00
47 Fenitoin kaps 30mg Tablet 140.00
48 Fenobarbital 30 mg Tablet 49.00
49 Fenobarbital injeksi ampul 1,890.00
50 Fitomenadion (vit k ) Inj 10mg/ml 1ml Ampul 3,582.00
51 Fitomenadion (vit k) tablet salut 10mg Tablet 666.00
52 Furosemida tablet 40 mg Tablet 80.00
53 Gameksan Emulsi 1% Botol 2,310.00
54 Garam Oralit untuk 200ml air saset 303.00
55 Gentamisin inj.80 mg/2 ml Ampul 3,569.00
56 Gentamisin salep kulit Tube 1,929.00
57 Gentian violet larutan 1% Botol 473.00
58 Glibenclamid Tablet 58.00
59 Gliseril Guayakolat tablet 100 mg Tablet 24.00
60 Glukosa infus 10% Botol 5,985.00
61 Glukosa infus 5% Botol 5,460.00
62 Griseofulvin tab 125 mg Tablet 220.00
63 Haloperidol 5 mg Tablet 100.00
64 Haloperidol Tab 0,5 mg Tablet 61.00
65 Haloperidol Tab 1,5 mg Tablet 72.00
66 Hidroklorotiazid ( HCT ) tab 25 mg Tablet 38.00
67 Hidrokortizon Cream Tube 2,966.00
68 Ibuprofen Syr 200 mg Botol 116.00
69 Ibuprofen tablet 400 mg Tablet 153.00
70 Isosorbit dinitrat sublingual tablet Tablet 93.00
71 Kalsium Lactat tablet 500 mg Tablet 73.00
72 Kalsium Gluconas inj Ampul 7,800.00
73 Kaptopril 12,5 mg tablet Tablet 62.00
74 Kaptopril 25 mg tablet Tablet 89.00
75 Karbamazepin 200 mg Tablet 257.00
76 Karbogliserin TT 10% Tube 2,144.00
77 Ketokonazole Crim Tube 2,993.00
78 Klofeniramin maleat ( CTM ) tab 4 mg Tablet 25.00
79 Kloramfenikol kapsul 250 mg Kapsul 258.00
80 Kloramfenikol salep mata 1% Tube 1,640.00
81 Kloramfenikol tetes telinga 3% Botol 1,260.00
LANGGUDU
HARGA
NO NAMA SEDIAAN SATUAN PEROLEHAN
(E_Catalog)

1 2 3 4
82 Klorokina fosfat tablet 250 mg Tablet 110.00
83 Klorpromazin Injeksi 25 mg/ml Ampul 1,103.00
84 Klorpromazin tablet 100 mg Tablet 153.00
85 Klorpromazin tablet 25 mg Tablet 71.00
86 Komb piritamin 25mg+sulfadoxin 500mg Tablet 544.00
87 Kotrimoxazol dewasa tablet Tablet 145.00
88 Kotrimoxazol pediaktrik tablet Tablet 50.00
89 Kotrimoxazol suspensi Botol 2,222.00
90 Kuinin dihidroklorida Inj 25% 2ml Ampul 6,510.00
91 Kuinin dihidroklorida tablet 200 mg Tablet 704.00
92 Lidokain kompositum Inj Ampul 879.00
93 Lisol 1 liter Botol 52,070.00
94 Loratadine 10 mg Tablet 162.00
95 Manegsium sulfat inj (IV) 20 % 25ml Botol 1,617.00
96 Manegsium sulfat inj (IV) 40% 25ml Botol 2,045.00
97 Metil ergometrin Inj 0,2mg /ml Tablet 2,750.00
98 Metil ergometrin tab 0,125 mg Tablet 162.00
99 Metoclorpamid Tablet 111.00
100 Metronidazol 250mg tablet Tablet 113.00
101 Metronidazol 500mg tablet Tablet 164.00
102 Metronidazol infus 500mg/100ml Botol 10,250.00
103 Mikonazole krim Tube 3,075.00
104 Natrium bikarbonat tab 500 mg Tablet 19.31
105 Natrium Diklovenac Tablet 140.00
106 Natrium klorida Infus 0,9% Botol 4,935.00
107 Neo-K Inj Ampul 11,000.00
108 Nifedipin 10 mg Tablet 110.00
109 Nistatin 100.000 IU tablet vaginal Tablet 504.00
110 Nistatin 500.000 IU tablet salut Tablet 672.00
111 Obat anti tuberkolusis katagori anak Paket 225,740.00
112 Obat anti tuberkolusis kategori I Paket 377,900.00
113 Obat anti tuberkolusis kategori II Paket 1,259,990.00
114 Obat anti tuberkolusis kategori sisipan Paket 168,000.00
115 Obat batuk hitam (OBH ) cairan Botol 1,299.38
116 Oksitetrasiclin Hcl Inj IM 50mg/ml 10ml Vial 3,255.00
117 Oksitetrasiclin salep kulit 3% Tube 2,261.00
118 Oksitetrasiclin salep mata 1% Tube 2,016.00
119 Oksitosin inj 10 IU/ ml,1ml Ampul 1,874.27
120 Omeprazol 20 mg Kapsul 216.00
121 Paracetamol syr 120mg/ 5ml Botol 1,496.00
122 Paracetamol drop Botol
123 Paracetamol tablet 100 mg Tablet 56.57
LANGGUDU
HARGA
NO NAMA SEDIAAN SATUAN PEROLEHAN
(E_Catalog)

1 2 3 4
124 Paracetamol tablet 500 mg Tablet 84.00
125 Pirantel pamoat tablet 125 mg Tablet 308.00
126 Piridoxin Hcl tablet 10 mg Tablet 18.27
127 Piroksicam kaps 20 mg Kapsul 110.25
128 Prednison tablet 5 mg Tablet 119.00
129 Primakina tablet 15 mg Tablet 147.15
130 Prokain Benz Penicillin Inj 3 Jt IU / vl Vial 7,549.00
131 Propanolol tablet 10 mg Tablet 79.00
132 Propanolol tablet 40 mg Tablet 110.00
133 Propiltiourasil tablet 100 mg Tablet 335.00
134 Ranitidine 150 mg Tablet 122.00
135 Ranitidine injeksi ampul 1,190.00
136 Reserpin tablet 0,25 mg Tablet 118.80
137 Retinol (Vit.A) 100.000 IU Kapsul 273.00
138 Retinol (Vit.A) 200.000 IU Kapsul 482.00
139 Ringer Lactat infus steril Botol 5,460.00
140 Sabupolivalen 5 ml ( ABU I ) vial 495,000.00
141 Salbutamol tablet 2 mg Tablet 62.00
142 Salbutamol tablet 4 mg Tablet 91.00
143 Salep 2 - 4 kombinasi Tablet 2,100.00
144 Salisil bedak 2% Tube 1,250.00
145 Serum anti tetanus 1.500 IU/VL (ATS ) Ampul 72,450.00
146 Serum anti tetanus 20.000 IU/VL (ATS ) Ampul 525,000.00
147 Sianocobalamin (Vit B12 ) inj 500mcg/ml Ampul 1,132.00
148 Simvastatin 20 mg Tablet 394.00
149 Siprofloxacin 500 mg Tablet 260.00
150 Tablet tambah darah kombinasi Tablet 43.00
151 Tetracain Tetes Mata 0,5% Botol 11,500.00
152 Tetrasiclin Hcl kapsul 250 mg Kapsul 154.00
153 Thiamine Hcl 50 mg tab Tablet 58.97
154 Thiamine Hcl inj. Ampul 997.47
155 Triheksipenidil Hcl tablet 2mg Tablet 43.00
156 Vitamin B complek tab Tablet 110.00
157 Yodium povidon larutan 10% 30 ml Botol 3,683.00
158 Yodium povidon larutan 10% 300 ml Botol 22,860.00
159 Zink tablet 20 mg Tablet 497.00

II OBAT GIGI DAN PERBEKKES


160 Abbocath 18 G pcs 4,826.00
161 Abbocath 20 G pcs 4,826.00
162 Abbocath 22 G pcs 4,826.00
163 Abbocath 24 G pcs 4,826.00
LANGGUDU
HARGA
NO NAMA SEDIAAN SATUAN PEROLEHAN
(E_Catalog)

1 2 3 4
164 Alat suntik sekali pakai 1 ml pcs 826.00
165 Alat suntik sekali pakai 2,5 ml pcs 826.00
166 Alat suntik sekali pakai 5 ml pcs 953.00
167 Catgut / benang bedah 2/0-3/0 pcs 7,090.83
168 Devitalisasi Pasta Botol 495,000.00
169 Etil klorida semprot Botol 126,500.00
170 Folley Catheter 2 way No.14 Pcs 10,160.00
171 Folley Catheter 2 way No.16 Pcs 10,160.00
172 Folley Catheter 2 way No.18 Pcs 10,160.00
173 Glass Ionmer (Gcix) Set 715,000.00
174 Hand scond pcs 4,462.00
175 Infusion set anak anak pcs 4,445.00
176 Infusion set dewasa pcs 4,064.00
177 Kalsium Hidroksida pasta Tube 865,700.00
178 Kasa Elastic / Elastomul hulf Rol 48,650.00
179 Kasa Kompres 40 x 40 Rol 2,032.00
180 Kapas pembalut/absorben 250gram Rol 15,875.00
181 Kasa pembalut hidrofil 2x80 Rol 9,779.00
182 Kasa pembalut hidrofil 4x10 Rol 1,905.00
183 Kasa pembalut hidrofil 4x5 Rol 953.00
184 Kasa Steril 16 x 16 Kotak 7,366.00
185 Khlor Canfer Menthol (CHKM) Botol 57,750.00
186 Kohesive Bandage ( Elastic Bandage) Rol 39,328.00
187 Masker Kotak 20 pcs 22,500.00
188 Mummiffyng Pasta Botol 242,200.00
189 Plester 5 yard X 2 inchi Rol 23,625.00
190 Semen Seng Fosfat Set 242,200.00
191 Silk (benang brdah sutera) no3/0 , 2/0 pcs 3,880.56
192 Temporary (Fletcher) Set 165,000.00
193 Tricresol Formalin Set 49,500.00
194 Urine Bag Set 3,810.00

III REAGENT DAN BAHAN LAB


195 Alkohol Botol 1000 ml 27,305.00
196 Aquadest Botol 1000 ml 13,000.00
197 Asam Acetat 6 % Botol 100 ml 34,000.00
198 BaCl2 10 % Botol 100 ml 19,000.00
199 Benedict Botol 100 ml 100,000.00
200 Blood Lancet Kotak @ 200 buah 52,000.00
201 Box Slide Kotak 138,000.00
202 Cover Glass Kotak @ 50 lbr 17,000.00
203 EDTA 10 % Botol 100 ml 95,000.00
LANGGUDU
HARGA
NO NAMA SEDIAAN SATUAN PEROLEHAN
(E_Catalog)

1 2 3 4
204 Fouchet Botol 100 ml 140,000.00
205 Giemza Botol100 ml 190,000.00
206 Golongan Darah Set 3 x 10 ml 257,000.00
207 Haemocytometer Set 1,300,000.00
208 Haemometer/HB Sahli Unit 110,000.00
209 Handscund 7,5 Kotak 50 psg 467,500.00
210 Handscund 7 Kotak 50 psg 467,500.00
211 HCl 0,1 N Botol 100 ml 15,000.00
212 Kapas Bungkus 1/2 kg 24,000.00
213 Na Citrat 3,8 % Botol 50 ml 13,000.00
214 Oil Emersi Botol 100 ml 360,000.00
215 Paper Lens Buah 16,000.00
216 Penjepit Tabung Buah 4,000.00
217 Pipet Tetes PCS 3,000.00
218 Pot Dahak Buah 3,000.00
219 Reagen Widal Set 426,000.00
220 Rees Ecker Botol 100 ml 45,000.00
221 Slide Frosted Kotak / 72's 27,000.00
222 Spiritus Kantong 500 ml 40,000.00
223 Tabung Serologi PCS 6,500.00
224 Tabung Reaksi PCS 4,500.00
225 Tabung Centrifuge PCS 6,250.00
226 Ziel nelsen Kotak 177,000.00
227 Turk botol 8,000.00

V OBAT JIWA
228 Sikzonoate inj Ampul 60,000.00

VI VAKSIN
229 Vaksin Polio Vial 12,500.00
230 Vaksin TT Vial 13,475.00
231 Vaksin BCG Vial 40,000.00
232 Vaksin DPT/ HB Vial 65,000.00
233 Vaksin Campak Vial 45,000.00
234 Vaksin Hb 0 Vial 175,000.00
235 VaksinDPT/HIB Vial 49,962.00

VII OBAT KECACINGAN


236 Albendazole 400mg Tablet 354.00

TOTAL NILAI P
LANGGUDU
HARGA
NO NAMA SEDIAAN SATUAN PEROLEHAN
(E_Catalog)

1 2 3 4

Nip. 19631231 198603 1 365


SMAS LANGGUDU
2014

Nilai Persediaan
Sisa Stok per 31 akhir per 31
Desember Desember 2014

5 6
1,946 2,741,914
- -
500 44,000
33 132,429
1,900 155,800
10 646,800
400 46,800
35,300 9,531,000
755 1,887,500
23,200 1,716,800
- -
80 211,280
- -
40 84,000
- -
- -
30 63,000
- -
11,200 1,120,000
1,500 174,000
30 46,200
- -
- -
- -
- -
- -
- -
- -
11,000 1,971,750
- -
- -
- -
265 439,635
15,400 985,600
48 119,376
100 4,600
- -
- -
- -
Nilai Persediaan
Sisa Stok per 31 akhir per 31
Desember Desember 2014

5 6
- -
110 935,550
- -
10 32,390
80 206,000
- -
2,100 58,800
- -
- -
- -
76 272,232
- -
1,600 128,000
- -
3,100 939,300
- -
58 111,882
102 48,246
3,600 208,800
9,000 216,000
- -
644 3,516,240
5,200 1,144,000
1,900 190,000
- -
- -
- -
216 640,656
- -
6,800 1,040,400
- -
5,000 365,000
- -
6,300 390,600
- -
- -
- -
130 389,090
14,200 355,000
3,500 903,000
302 495,280
139 175,140
Nilai Persediaan
Sisa Stok per 31 akhir per 31
Desember Desember 2014

5 6
- -
- -
1,800 275,400
- -
- -
10,400 1,508,000
- -
516 1,146,552
- -
- -
360 316,440
4 208,280
- -
- -
- -
50 137,500
700 113,400
- -
- -
4,500 738,000
- -
- -
- -
450 63,000
549 2,709,315
20 220,000
- -
- -
- -
- -
- -
- -
- -
139 180,614
72 234,360
- -
40 80,640
50 93,714
- -
451 674,696
- -
- -
Nilai Persediaan
Sisa Stok per 31 akhir per 31
Desember Desember 2014

5 6
3,500 294,000
400 123,200
7,000 127,890
1,900 209,475
1,750 208,250
- -
- -
- -
500 55,000
- -
700 85,400
- -
- -
250 68,250
3,450 1,662,900
1,521 8,304,660
- -
1,300 80,600
- -
- -
205 256,250
- -
- -
355 401,860
- -
3,400 884,000
23,980 1,031,140
20 230,000
4,000 616,000
11,000 648,670
330 329,164
1,700 73,100
13,100 1,441,000
137 504,571
17 388,620
500 248,500
- -
- -
299 1,442,974
423 2,041,398
47 226,822
180 868,680
Nilai Persediaan
Sisa Stok per 31 akhir per 31
Desember Desember 2014

5 6
- -
55 45,430
573 546,069
127 900,536
- -
5 632,500
- -
- -
- -
- -
- -
269 1,195,705
380 1,544,320
- -
- -
- -
28 444,500
10 97,790
180 342,900
238 226,814
20 147,320
- -
- -
- -
- -
50 1,181,250
- -
126 488,950
- -
- -
- -
- -
- -
- -
2 26,000
- -
- -
- -
- -
- -
- -
- -
Nilai Persediaan
Sisa Stok per 31 akhir per 31
Desember Desember 2014

5 6
- -
2 380,000
1 257,000
- -
- -
- -
- -
2 30,000
- -
- -
5 1,800,000
- -
- -
- -
- -
- -
- -
- -
3 120,000
- -
- -
- -
4 708,000
- -
- -
- -
- -
- -
- -
48 600,000
33 444,675
41 1,640,000
45 2,925,000
40 1,800,000
- -
- -
- -
- -
- -
- -

272,256 84,961,133
Nilai Persediaan
Sisa Stok per 31 akhir per 31
Desember Desember 2014

5 6

Bima, Januari 2015.-

Kepala Puskesmas Langgudu

Syamsuddin, SKM
Nip. 19631231 198603 1 365
NILAI PERSEDIAAN AKHIR PUSKESMAS BELO
PER 31 DESEMBER 2014

Belo
HARGA Sisa Stok per 31
NO NAMA SEDIAAN SATUAN PEROLEHAN Desember 2014
(E_Catalog)
1 2 3 4 5
1 ACT Antimalaria / Arterakine tablet Tablet 1,409.00 -
2 ACT Antimalaria /Artesunat tab Ampul 1,409.00 -
3 Aluporinol tablet 100 mg Tablet 88.00 100
4 Aminofillin Inj 24mg/ml-10ml Ampul 4,013.00 -
5 Aminofillin tablet 200 mg Tablet 82.00 300
6 Aminofluid Kantong 64,680.00 -
7 Amitriptillin tablet 25 mg Tablet 117.00 -
8 Amoxicillin kaplet 500mg Tablet 270.00 18,750
9 Amoxicillin Syr Kering 125mg/5ml Botol 2,500.00 288
10 Antasida Doen tab Tablet 74.00 8,250
11 Antasida Syrup Botol 2,160.00 -
12 Anti Bakteri Doen salep kombinasi Tube 2,641.00 -
13 Anti fungi Doen Kombinasi Tube 2,001.04 1
14 Anti Haemoroid Doen Kombinasi Supp 2,100.00 30
15 Anti migrain Doen Kombinasi Tablet 142.00 200
16 Antiparkinson/ levopar Tablet 1,575.00 -
17 Aqua pro Inj Steril bebas pirogen Botol 2,100.00 3
18 Arthemeter injeksi Ampul 23,100.00 -
19 Asam ascorbat (vitc ) tab 50 mg Tablet 100.00 4,100
20 Asam mefenamat tablet 500mg Tablet 116.00 2,300
21 Atropin sulfas Inj 0,2ml/ml-1ml Ampul 1,540.00 -
22 Atropin sulfas tablet 0,5mg Tablet 77.00 -
23 Benzatin B. penisillin 1,2 jt iu/vial Vial 10,290.00 -
24 Benzatin B. penisillin 2,4 jt iu/vial Vial 14,070.00 -
25 Betamethason cream 0,1% Tube 1,558.00 -
26 Captopril 12,5 mg tablet Tablet 62.00 -
27 Captopril 25 mg tablet Tablet 89.00 -
28 Carbamazepin 200 mg Tablet 257.00 -
29 Cimetidin tablet Tablet 179.25 2,000
30 Co-Amoxiclav 500 mg Tablet 5,308.37 -
31 Codein 20m mg Tablet 1,155.00 -
32 Depo Profera Vial 10,500.00 -
33 Dexamethason Inj 5ml/ml-1ml Ampul 1,659.00 100
34 Dexamethason tablet 0,5 mg Tablet 64.00 5,700
35 Diazepam Inj 5mg /ml,2ml Ampul 2,487.00 -
36 Diazepam tablet 2mg Tablet 46.00 -
37 Diazepam tablet 5 mg btl 250 Tablet 42.00 -
38 Digoksin tablet 0,25mg Tablet 100.00 -
39 Diphenhidramin Inj 10mg/ml,1ml Ampul 840.00 -
Belo
HARGA Sisa Stok per 31
NO NAMA SEDIAAN SATUAN PEROLEHAN Desember 2014
(E_Catalog)
1 2 3 4 5
40 Efedrin tablet Tablet 45.00 -
41 Epinerpin Inj 0,1% , 1ml Ampul 8,505.00 23
42 Erytromicin 500 mg Kaplet 976.00 -
43 Etakrida (Rivanol) larutan 0,1% Botol 3,239.00 24
44 Etanol 70% 100 ml Botol 2,575.00 10
45 Eugenol Cairan Botol 17,500.00 -
46 Extrak belladon tablet 10 mg Tablet 28.00 100
47 Fenitoin kaps 30mg Tablet 140.00 -
48 Fenobarbital 30 mg Tablet 49.00 -
49 Fenobarbital injeksi ampul 1,890.00 -
50 Fitomenadion (vit k ) Inj 10mg/ml 1ml Ampul 3,582.00 30
51 Fitomenadion (vit k) tablet salut 10mg Tablet 666.00 200
52 Furosemida tablet 40 mg Tablet 80.00 200
53 Gameksan Emulsi 1% Botol 2,310.00 -
54 Garam Oralit untuk 200ml air saset 303.00 2,500
55 Gentamisin inj.80 mg/2 ml Ampul 3,569.00 -
56 Gentamisin salep kulit Tube 1,929.00 50
57 Gentian violet larutan 1% Botol 473.00 2
58 Glibenclamid Tablet 58.00 1,100
59 Gliseril Guayakolat tablet 100 mg Tablet 24.00 7,000
60 Glukosa infus 10% Botol 5,985.00 -
61 Glukosa infus 5% Botol 5,460.00 243
62 Griseofulvin tab 125 mg Tablet 220.00 770
63 Haloperidol 5 mg Tablet 100.00 200
64 Haloperidol Tab 0,5 mg Tablet 61.00 -
65 Haloperidol Tab 1,5 mg Tablet 72.00 -
66 Hidroklorotiazid ( HCT ) tab 25 mg Tablet 38.00 -
67 Hidrokortizon Cream Tube 2,966.00 118
68 Ibuprofen Syr 200 mg Botol 116.00 -
69 Ibuprofen tablet 400 mg Tablet 153.00 8,900
70 Isosorbit dinitrat sublingual tablet Tablet 93.00 -
71 Kalsium Lactat tablet 500 mg Tablet 73.00 5,000
72 Kalsium Gluconas inj Ampul 7,800.00 -
73 Kaptopril 12,5 mg tablet Tablet 62.00 1,000
74 Kaptopril 25 mg tablet Tablet 89.00 1,960
75 Karbamazepin 200 mg Tablet 257.00 -
76 Karbogliserin TT 10% Tube 2,144.00 -
77 Ketokonazole Crim Tube 2,993.00 50
78 Klofeniramin maleat ( CTM ) tab 4 mg Tablet 25.00 7,450
79 Kloramfenikol kapsul 250 mg Kapsul 258.00 600
80 Kloramfenikol salep mata 1% Tube 1,640.00 92
81 Kloramfenikol tetes telinga 3% Botol 1,260.00 24
82 Klorokina fosfat tablet 250 mg Tablet 110.00 -
Belo
HARGA Sisa Stok per 31
NO NAMA SEDIAAN SATUAN PEROLEHAN Desember 2014
(E_Catalog)
1 2 3 4 5
83 Klorpromazin Injeksi 25 mg/ml Ampul 1,103.00 -
84 Klorpromazin tablet 100 mg Tablet 153.00 100
85 Klorpromazin tablet 25 mg Tablet 71.00 -
86 Komb piritamin 25mg+sulfadoxin 500mg Tablet 544.00 -
87 Kotrimoxazol dewasa tablet Tablet 145.00 5,350
88 Kotrimoxazol pediaktrik tablet Tablet 50.00 -
89 Kotrimoxazol suspensi Botol 2,222.00 325
90 Kuinin dihidroklorida Inj 25% 2ml Ampul 6,510.00 -
91 Kuinin dihidroklorida tablet 200 mg Tablet 704.00 -
92 Lidokain kompositum Inj Ampul 879.00 180
93 Lisol 1 liter Botol 52,070.00 9
94 Loratadine 10 mg Tablet 162.00 -
95 Manegsium sulfat inj (IV) 20 % 25ml Botol 1,617.00 -
96 Manegsium sulfat inj (IV) 40% 25ml Botol 2,045.00 20
97 Metil ergometrin Inj 0,2mg /ml Tablet 2,750.00 60
98 Metil ergometrin tab 0,125 mg Tablet 162.00 470
99 Metoclorpamid Tablet 111.00 100
100 Metronidazol 250mg tablet Tablet 113.00 -
101 Metronidazol 500mg tablet Tablet 164.00 1,800
102 Metronidazol infus 500mg/100ml Botol 10,250.00 -
103 Mikonazole krim Tube 3,075.00 136
104 Natrium bikarbonat tab 500 mg Tablet 19.31 -
105 Natrium Diklovenac Tablet 140.00 500
106 Natrium klorida Infus 0,9% Botol 4,935.00 269
107 Neo-K Inj Ampul 11,000.00 30
108 Nifedipin 10 mg Tablet 110.00 120
109 Nistatin 100.000 IU tablet vaginal Tablet 504.00 -
110 Nistatin 500.000 IU tablet salut Tablet 672.00 -
111 Obat anti tuberkolusis katagori anak Paket 225,740.00 -
112 Obat anti tuberkolusis kategori I Paket 377,900.00 -
113 Obat anti tuberkolusis kategori II Paket 1,259,990.00 -
114 Obat anti tuberkolusis kategori sisipan Paket 168,000.00 -
115 Obat batuk hitam (OBH ) cairan Botol 1,299.38 71
116 Oksitetrasiclin Hcl Inj IM 50mg/ml 10ml Vial 3,255.00 -
117 Oksitetrasiclin salep kulit 3% Tube 2,261.00 -
118 Oksitetrasiclin salep mata 1% Tube 2,016.00 -
119 Oksitosin inj 10 IU/ ml,1ml Ampul 1,874.27 20
120 Omeprazol 20 mg Kapsul 216.00 -
121 Paracetamol syr 120mg/ 5ml Botol 1,496.00 387
122 Paracetamol drop Botol -
123 Paracetamol tablet 100 mg Tablet 56.57 -
124 Paracetamol tablet 500 mg Tablet 84.00 3,800
125 Pirantel pamoat tablet 125 mg Tablet 308.00 140
Belo
HARGA Sisa Stok per 31
NO NAMA SEDIAAN SATUAN PEROLEHAN Desember 2014
(E_Catalog)
1 2 3 4 5
126 Piridoxin Hcl tablet 10 mg Tablet 18.27 6,000
127 Piroksicam kaps 20 mg Kapsul 110.25 500
128 Prednison tablet 5 mg Tablet 119.00 2,000
129 Primakina tablet 15 mg Tablet 147.15 -
130 Prokain Benz Penicillin Inj 3 Jt IU / vl Vial 7,549.00 -
131 Propanolol tablet 10 mg Tablet 79.00 -
132 Propanolol tablet 40 mg Tablet 110.00 100
133 Propiltiourasil tablet 100 mg Tablet 335.00 100
134 Ranitidine 150 mg Tablet 122.00 400
135 Ranitidine injeksi ampul 1,190.00 -
136 Reserpin tablet 0,25 mg Tablet 118.80 -
137 Retinol (Vit.A) 100.000 IU Kapsul 273.00 1,550
138 Retinol (Vit.A) 200.000 IU Kapsul 482.00 150
139 Ringer Lactat infus steril Botol 5,460.00 467
140 Sabupolivalen 5 ml ( ABU I ) vial 495,000.00 -
141 Salbutamol tablet 2 mg Tablet 62.00 350
142 Salbutamol tablet 4 mg Tablet 91.00 -
143 Salep 2 - 4 kombinasi Tablet 2,100.00 -
144 Salisil bedak 2% Tube 1,250.00 18
145 Serum anti tetanus 1.500 IU/VL (ATS ) Ampul 72,450.00 -
146 Serum anti tetanus 20.000 IU/VL (ATS ) Ampul 525,000.00 -
147 Sianocobalamin (Vit B12 ) inj 500mcg/ml Ampul 1,132.00 -
148 Simvastatin 20 mg Tablet 394.00 -
149 Siprofloxacin 500 mg Tablet 260.00 1,400
150 Tablet tambah darah kombinasi Tablet 43.00 16,710
151 Tetracain Tetes Mata 0,5% Botol 11,500.00 -
152 Tetrasiclin Hcl kapsul 250 mg Kapsul 154.00 2,350
153 Thiamine Hcl 50 mg tab Tablet 58.97 5,000
154 Thiamine Hcl inj. Ampul 997.47 -
155 Triheksipenidil Hcl tablet 2mg Tablet 43.00 -
156 Vitamin B complek tab Tablet 110.00 9,500
157 Yodium povidon larutan 10% 30 ml Botol 3,683.00 38
158 Yodium povidon larutan 10% 300 ml Botol 22,860.00 12
159 Zink tablet 20 mg Tablet 497.00 -
-
II OBAT GIGI DAN PERBEKKES -
160 Abbocath 18 G pcs 4,826.00 90
161 Abbocath 20 G pcs 4,826.00 174
162 Abbocath 22 G pcs 4,826.00 11
163 Abbocath 24 G pcs 4,826.00 15
164 Alat suntik sekali pakai 1 ml pcs 826.00 40
165 Alat suntik sekali pakai 2,5 ml pcs 826.00 89
166 Alat suntik sekali pakai 5 ml pcs 953.00 268
Belo
HARGA Sisa Stok per 31
NO NAMA SEDIAAN SATUAN PEROLEHAN Desember 2014
(E_Catalog)
1 2 3 4 5
167 Catgut / benang bedah 2/0-3/0 pcs 7,090.83 24
168 Devitalisasi Pasta Botol 495,000.00 -
169 Etil klorida semprot Botol 126,500.00 2
170 Folley Catheter 2 way No.14 Pcs 10,160.00 -
171 Folley Catheter 2 way No.16 Pcs 10,160.00 -
172 Folley Catheter 2 way No.18 Pcs 10,160.00 -
173 Glass Ionmer (Gcix) Set 715,000.00 -
174 Hand scond pcs 4,462.00 112
175 Infusion set anak anak pcs 4,445.00 70
176 Infusion set dewasa pcs 4,064.00 291
177 Kalsium Hidroksida pasta Tube 865,700.00 -
178 Kasa Elastic / Elastomul hulf Rol 48,650.00 -
179 Kasa Kompres 40 x 40 Rol 2,032.00 -
180 Kapas pembalut/absorben 250gram Rol 15,875.00 13
181 Kasa pembalut hidrofil 2x80 Rol 9,779.00 24
182 Kasa pembalut hidrofil 4x10 Rol 1,905.00 125
183 Kasa pembalut hidrofil 4x5 Rol 953.00 80
184 Kasa Steril 16 x 16 Kotak 7,366.00 -
185 Khlor Canfer Menthol (CHKM) Botol 57,750.00 -
186 Kohesive Bandage ( Elastic Bandage) Rol 39,328.00 -
187 Masker Kotak 20 pcs 22,500.00 234
188 Mummiffyng Pasta Botol 242,200.00 -
189 Plester 5 yard X 2 inchi Rol 23,625.00 22
190 Semen Seng Fosfat Set 242,200.00 -
191 Silk (benang brdah sutera) no3/0 , 2/0 pcs 3,880.56 63
192 Temporary (Fletcher) Set 165,000.00 -
193 Tricresol Formalin Set 49,500.00 -
194 Urine Bag Set 3,810.00 -

III REAGENT DAN BAHAN LAB


195 Alkohol Botol 1000 ml 27,305.00 -
196 Aquadest Botol 1000 ml 13,000.00 -
197 Asam Acetat 6 % Botol 100 ml 34,000.00 -
198 BaCl2 10 % Botol 100 ml 19,000.00 -
199 Benedict Botol 100 ml 100,000.00 2
200 Blood Lancet Kotak @ 200 buah 52,000.00 -
201 Box Slide Kotak 138,000.00 -
202 Cover Glass Kotak @ 50 lbr 17,000.00 -
203 EDTA 10 % Botol 100 ml 95,000.00 -
204 Fouchet Botol 100 ml 140,000.00 -
205 Giemza Botol100 ml 190,000.00 1
206 Golongan Darah Set 3 x 10 ml 257,000.00 -
207 Haemocytometer Set 1,300,000.00 -
Belo
HARGA Sisa Stok per 31
NO NAMA SEDIAAN SATUAN PEROLEHAN Desember 2014
(E_Catalog)
1 2 3 4 5
208 Haemometer/HB Sahli Unit 110,000.00 -
209 Handscund 7,5 Kotak 50 psg 467,500.00 -
210 Handscund 7 Kotak 50 psg 467,500.00 -
211 HCl 0,1 N Botol 100 ml 15,000.00 -
212 Kapas Bungkus 1/2 kg 24,000.00 -
213 Na Citrat 3,8 % Botol 50 ml 13,000.00 -
214 Oil Emersi Botol 100 ml 360,000.00 -
215 Paper Lens Buah 16,000.00 -
216 Penjepit Tabung Buah 4,000.00 -
217 Pipet Tetes PCS 3,000.00 -
218 Pot Dahak Buah 3,000.00 -
219 Reagen Widal Set 426,000.00 -
220 Rees Ecker Botol 100 ml 45,000.00 -
221 Slide Frosted Kotak / 72's 27,000.00 -
222 Spiritus Kantong 500 ml 40,000.00 -
223 Tabung Serologi PCS 6,500.00 -
224 Tabung Reaksi PCS 4,500.00 -
225 Tabung Centrifuge PCS 6,250.00 -
226 Ziel nelsen Kotak 177,000.00 -
227 Turk botol 8,000.00 1

V OBAT JIWA
228 Sikzonoate inj Ampul 60,000.00 -
-
VI VAKSIN -
229 Vaksin Polio Vial 12,500.00 18
230 Vaksin TT Vial 13,475.00 8
231 Vaksin BCG Vial 40,000.00 12
232 Vaksin DPT/ HB Vial 65,000.00 -
233 Vaksin Campak Vial 45,000.00 9
234 Hb 0 Vial 175,000.00 -

VII OBAT KECACINGAN


235 Albendazole 400mg Tablet 354.00 -
-

TOTAL NILAI PE

Bima, Januari 2015,-

Kepala Puskesmas Belo


Belo
HARGA Sisa Stok per 31
NO NAMA SEDIAAN SATUAN PEROLEHAN Desember 2014
(E_Catalog)
1 2 3 4 5

Dr. Hj. Titin Sumarni


Nip. 19641208 200008 2 001
ELO

Nilai Persediaan
akhir per 31
Desember 2014
6
-
-
8,800
-
24,600
-
-
5,062,500
720,000
610,500
-
-
2,001
63,000
28,400
-
6,300
-
410,000
266,800
-
-
-
-
-
-
-
-
358,500
-
-
-
165,900
364,800
-
-
-
-
-
Nilai Persediaan
akhir per 31
Desember 2014
6
-
195,615
-
77,736
25,750
-
2,800
-
-
-
107,460
133,200
16,000
-
757,500
-
96,450
946
63,800
168,000
-
1,326,780
169,400
20,000
-
-
-
349,988
-
1,361,700
-
365,000
-
62,000
174,440
-
-
149,650
186,250
154,800
150,880
30,240
-
Nilai Persediaan
akhir per 31
Desember 2014
6
-
15,300
-
-
775,750
-
722,150
-
-
158,220
468,630
-
-
40,900
165,000
76,140
11,100
-
295,200
-
418,200
-
70,000
1,327,515
330,000
13,200
-
-
-
-
-
-
92,256
-
-
-
37,485
-
578,952
-
-
319,200
43,120
Nilai Persediaan
akhir per 31
Desember 2014
6
109,620
55,125
238,000
-
-
-
11,000
33,500
48,800
-
-
423,150
72,300
2,549,820
-
21,700
-
-
22,500
-
-
-
-
364,000
718,530
-
361,900
294,850
-
-
1,045,000
139,954
274,320
-
-
-
434,340
839,724
53,086
72,390
33,040
73,514
255,404
Nilai Persediaan
akhir per 31
Desember 2014
6
170,180
-
253,000
-
-
-
-
499,744
311,150
1,182,624
-
-
-
206,375
234,696
238,125
76,240
-
-
-
5,265,000
-
519,750
-
244,475
-
-
-

-
-
-
-
200,000
-
-
-
-
-
190,000
-
-
Nilai Persediaan
akhir per 31
Desember 2014
6
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
8,000

-
-
-
225,000
107,800
480,000
-
405,000
-

-
-

39,559,530

Januari 2015,-

uskesmas Belo
Nilai Persediaan
akhir per 31
Desember 2014
6

itin Sumarni
08 200008 2 001
NILAI PERSEDIAAN AKHIR PUSKESMAS LAMBU
PER 31 DESEMBER 2014

LAMBU
HARGA Sisa Stok per 31
NO NAMA SEDIAAN SATUAN PEROLEHAN
(E_Catalog) Desember

1 2 3 4 5
1 ACT Antimalaria / Arterakine tablet Tablet 1,409.00 -
2 ACT Antimalaria /Artesunat tab Ampul 1,409.00 -
3 Aluporinol tablet 100 mg Tablet 88.00 -
4 Aminofillin Inj 24mg/ml-10ml Ampul 4,013.00 67
5 Aminofillin tablet 200 mg Tablet 82.00 1,100
6 Aminofluid Kantong 64,680.00 -
7 Amitriptillin tablet 25 mg Tablet 117.00 100
8 Amoxicillin kaplet 500mg Tablet 270.00 45,800
9 Amoxicillin Syr Kering 125mg/5ml Botol 2,500.00 535
10 Antasida Doen tab Tablet 74.00 29,300
11 Antasida Syrup Botol 2,160.00 -
12 Anti Bakteri Doen salep kombinasi Tube 2,641.00 50
13 Anti fungi Doen Kombinasi Tube 2,001.04 -
14 Anti Haemoroid Doen Kombinasi Supp 2,100.00 10
15 Anti migrain Doen Kombinasi Tablet 142.00 -
16 Antiparkinson/ levopar Tablet 1,575.00 300
17 Aqua pro Inj Steril bebas pirogen Botol 2,100.00 28
18 Arthemeter injeksi Ampul 23,100.00 -
19 Asam ascorbat (vitc ) tab 50 mg Tablet 100.00 5,400
20 Asam mefenamat tablet 500mg Tablet 116.00 2,300
21 Atropin sulfas Inj 0,2ml/ml-1ml Ampul 1,540.00 60
22 Atropin sulfas tablet 0,5mg Tablet 77.00 -
23 Benzatin B. penisillin 1,2 jt iu/vial Vial 10,290.00 -
24 Benzatin B. penisillin 2,4 jt iu/vial Vial 14,070.00 -
25 Betamethason cream 0,1% Tube 1,558.00 -
26 Captopril 12,5 mg tablet Tablet 62.00 -
27 Captopril 25 mg tablet Tablet 89.00 -
28 Carbamazepin 200 mg Tablet 257.00 -
29 Cimetidin tablet Tablet 179.00 12,820
30 Co-Amoxiclav 500 mg Tablet 5,308.37 80
31 Codein 20m mg Tablet 1,155.00 -
32 Depo Profera Vial 10,500.00 -
33 Dexamethason Inj 5ml/ml-1ml Ampul 1,659.00 105
34 Dexamethason tablet 0,5 mg Tablet 64.00 18,520
35 Diazepam Inj 5mg /ml,2ml Ampul 2,487.00 30
36 Diazepam tablet 2mg Tablet 46.00 -
37 Diazepam tablet 5 mg btl 250 Tablet 42.00 -
38 Digoksin tablet 0,25mg Tablet 100.00 200
LAMBU
HARGA Sisa Stok per 31
NO NAMA SEDIAAN SATUAN PEROLEHAN Desember
(E_Catalog)

1 2 3 4 5
39 Diphenhidramin Inj 10mg/ml,1ml Ampul 840.00 -
40 Efedrin tablet Tablet 45.00 -
41 Epinerpin Inj 0,1% , 1ml Ampul 8,505.00 95
42 Erytromicin 500 mg Kaplet 976.00 -
43 Etakrida (Rivanol) larutan 0,1% Botol 3,239.00 11
44 Etanol 70% 100 ml Botol 2,575.00 75
45 Eugenol Cairan Botol 17,500.00 -
46 Extrak belladon tablet 10 mg Tablet 28.00 1,300
47 Fenitoin kaps 30mg Tablet 140.00 -
48 Fenobarbital 30 mg Tablet 49.00 -
49 Fenobarbital injeksi ampul 1,890.00 -
50 Fitomenadion (vit k ) Inj 10mg/ml 1ml Ampul 3,582.00 30
51 Fitomenadion (vit k) tablet salut 10mg Tablet 666.00 400
52 Furosemida tablet 40 mg Tablet 80.00 200
53 Gameksan Emulsi 1% Botol 2,310.00 -
54 Garam Oralit untuk 200ml air saset 303.00 3,070
55 Gentamisin inj.80 mg/2 ml Ampul 3,569.00 -
56 Gentamisin salep kulit Tube 1,929.00 25
57 Gentian violet larutan 1% Botol 473.00 48
58 Glibenclamid Tablet 58.00 4,700
59 Gliseril Guayakolat tablet 100 mg Tablet 24.00 11,100
60 Glukosa infus 10% Botol 5,985.00 -
61 Glukosa infus 5% Botol 5,460.00 1,208
62 Griseofulvin tab 125 mg Tablet 220.00 9,100
63 Haloperidol 5 mg Tablet 100.00 -
64 Haloperidol Tab 0,5 mg Tablet 61.00 500
65 Haloperidol Tab 1,5 mg Tablet 72.00 -
66 Hidroklorotiazid ( HCT ) tab 25 mg Tablet 38.00 -
67 Hidrokortizon Cream Tube 2,966.00 25
68 Ibuprofen Syr 200 mg Botol 116.00 -
69 Ibuprofen tablet 400 mg Tablet 153.00 7,400
70 Isosorbit dinitrat sublingual tablet Tablet 93.00 -
71 Kalsium Lactat tablet 500 mg Tablet 73.00 8,000
72 Kalsium Gluconas inj Ampul 7,800.00 -
73 Kaptopril 12,5 mg tablet Tablet 62.00 7,000
74 Kaptopril 25 mg tablet Tablet 89.00 500
75 Karbamazepin 200 mg Tablet 257.00 -
76 Karbogliserin TT 10% Tube 2,144.00 -
77 Ketokonazole Crim Tube 2,993.00 115
78 Klofeniramin maleat ( CTM ) tab 4 mg Tablet 25.00 12,270
79 Kloramfenikol kapsul 250 mg Kapsul 258.00 3,000
80 Kloramfenikol salep mata 1% Tube 1,640.00 184
LAMBU
HARGA Sisa Stok per 31
NO NAMA SEDIAAN SATUAN PEROLEHAN Desember
(E_Catalog)

1 2 3 4 5
81 Kloramfenikol tetes telinga 3% Botol 1,260.00 108
82 Klorokina fosfat tablet 250 mg Tablet 110.00 1,000
83 Klorpromazin Injeksi 25 mg/ml Ampul 1,103.00 30
84 Klorpromazin tablet 100 mg Tablet 153.00 310
85 Klorpromazin tablet 25 mg Tablet 71.00 590
86 Komb piritamin 25mg+sulfadoxin 500mg Tablet 544.00 600
87 Kotrimoxazol dewasa tablet Tablet 145.00 7,500
88 Kotrimoxazol pediaktrik tablet Tablet 50.00 -
89 Kotrimoxazol suspensi Botol 2,222.00 497
90 Kuinin dihidroklorida Inj 25% 2ml Ampul 6,510.00 -
91 Kuinin dihidroklorida tablet 200 mg Tablet 704.00 -
92 Lidokain kompositum Inj Ampul 879.00 565
93 Lisol 1 liter Botol 52,070.00 4
94 Loratadine 10 mg Tablet 162.00 -
95 Manegsium sulfat inj (IV) 20 % 25ml Botol 1,617.00 -
96 Manegsium sulfat inj (IV) 40% 25ml Botol 2,045.00 15
97 Metil ergometrin Inj 0,2mg /ml Tablet 2,750.00 90
98 Metil ergometrin tab 0,125 mg Tablet 162.00 5,500
99 Metoclorpamid Tablet 111.00 500
100 Metronidazol 250mg tablet Tablet 113.00 -
101 Metronidazol 500mg tablet Tablet 164.00 3,400
102 Metronidazol infus 500mg/100ml Botol 10,250.00 46
103 Mikonazole krim Tube 3,075.00 60
104 Natrium bikarbonat tab 500 mg Tablet 19.31 -
105 Natrium Diklovenac Tablet 140.00 1,000
106 Natrium klorida Infus 0,9% Botol 4,935.00 117
107 Neo-K Inj Ampul 11,000.00 20
108 Nifedipin 10 mg Tablet 110.00 400
109 Nistatin 100.000 IU tablet vaginal Tablet 504.00 -
110 Nistatin 500.000 IU tablet salut Tablet 672.00 300
111 Obat anti tuberkolusis katagori anak Paket 225,740.00 1
112 Obat anti tuberkolusis kategori I Paket 377,900.00 13
113 Obat anti tuberkolusis kategori II Paket 1,259,990.00 1
114 Obat anti tuberkolusis kategori sisipan Paket 168,000.00 -
115 Obat batuk hitam (OBH ) cairan Botol 1,299.38 100
116 Oksitetrasiclin Hcl Inj IM 50mg/ml 10ml Vial 3,255.00 43
117 Oksitetrasiclin salep kulit 3% Tube 2,261.00 -
118 Oksitetrasiclin salep mata 1% Tube 2,016.00 75
119 Oksitosin inj 10 IU/ ml,1ml Ampul 1,874.27 30
120 Omeprazol 20 mg Kapsul 216.00 -
121 Paracetamol syr 120mg/ 5ml Botol 1,496.00 464
122 Paracetamol drop Botol 5,460.00 -
LAMBU
HARGA Sisa Stok per 31
NO NAMA SEDIAAN SATUAN PEROLEHAN Desember
(E_Catalog)

1 2 3 4 5
123 Paracetamol tablet 100 mg Tablet 56.57 -
124 Paracetamol tablet 500 mg Tablet 84.00 5,950
125 Pirantel pamoat tablet 125 mg Tablet 308.00 300
126 Piridoxin Hcl tablet 10 mg Tablet 18.27 8,000
127 Piroksicam kaps 20 mg Kapsul 110.25 4,670
128 Prednison tablet 5 mg Tablet 119.00 4,000
129 Primakina tablet 15 mg Tablet 147.15 -
130 Prokain Benz Penicillin Inj 3 Jt IU / vl Vial 7,549.00 -
131 Propanolol tablet 10 mg Tablet 79.00 -
132 Propanolol tablet 40 mg Tablet 110.00 100
133 Propiltiourasil tablet 100 mg Tablet 335.00 -
134 Ranitidine 150 mg Tablet 122.00 200
135 Ranitidine injeksi ampul 1,190.00 -
136 Reserpin tablet 0,25 mg Tablet 118.80 -
137 Retinol (Vit.A) 100.000 IU Kapsul 273.00 -
138 Retinol (Vit.A) 200.000 IU Kapsul 482.00 300
139 Ringer Lactat infus steril Botol 5,460.00 1,274
140 Sabupolivalen 5 ml ( ABU I ) vial 495,000.00 -
141 Salbutamol tablet 2 mg Tablet 62.00 2,000
142 Salbutamol tablet 4 mg Tablet 91.00 -
143 Salep 2 - 4 kombinasi Tablet 2,100.00 -
144 Salisil bedak 2% Tube 1,250.00 56
145 Serum anti tetanus 1.500 IU/VL (ATS ) Ampul 72,450.00 -
146 Serum anti tetanus 20.000 IU/VL (ATS ) Ampul 525,000.00 -
147 Sianocobalamin (Vit B12 ) inj 500mcg/ml Ampul 1,132.00 504
148 Simvastatin 20 mg Tablet 394.00 -
149 Siprofloxacin 500 mg Tablet 260.00 4,950
150 Tablet tambah darah kombinasi Tablet 43.00 24,100
151 Tetracain Tetes Mata 0,5% Botol 11,500.00 50
152 Tetrasiclin Hcl kapsul 250 mg Kapsul 154.00 4,200
153 Thiamine Hcl 50 mg tab Tablet 58.97 12,900
154 Thiamine Hcl inj. Ampul 997.47 300
155 Triheksipenidil Hcl tablet 2mg Tablet 43.00 500
156 Vitamin B complek tab Tablet 110.00 13,500
157 Yodium povidon larutan 10% 30 ml Botol 3,683.00 112
158 Yodium povidon larutan 10% 300 ml Botol 22,860.00 30
159 Zink tablet 20 mg Tablet 497.00 200
-
II OBAT GIGI DAN PERBEKKES -
160 Abbocath 18 G pcs 4,826.00 335
161 Abbocath 20 G pcs 4,826.00 240
162 Abbocath 22 G pcs 4,826.00 145
LAMBU
HARGA Sisa Stok per 31
NO NAMA SEDIAAN SATUAN PEROLEHAN Desember
(E_Catalog)

1 2 3 4 5
163 Abbocath 24 G pcs 4,826.00 270
164 Alat suntik sekali pakai 1 ml pcs 826.00 -
165 Alat suntik sekali pakai 2,5 ml pcs 826.00 110
166 Alat suntik sekali pakai 5 ml pcs 953.00 440
167 Catgut / benang bedah 2/0-3/0 pcs 7,090.83 111
168 Devitalisasi Pasta Botol 495,000.00 -
169 Etil klorida semprot Botol 126,500.00 13
170 Folley Catheter 2 way No.14 Pcs 10,160.00 -
171 Folley Catheter 2 way No.16 Pcs 10,160.00 -
172 Folley Catheter 2 way No.18 Pcs 10,160.00 4
173 Glass Ionmer (Gcix) Set 715,000.00 -
174 Hand scond pcs 4,462.00 50
175 Infusion set anak anak pcs 4,445.00 200
176 Infusion set dewasa pcs 4,064.00 450
177 Kalsium Hidroksida pasta Tube 865,700.00 21
178 Kasa Elastic / Elastomul hulf Rol 48,650.00 -
179 Kasa Kompres 40 x 40 Rol 2,032.00 -
180 Kapas pembalut/absorben 250gram Rol 15,875.00 16
181 Kasa pembalut hidrofil 2x80 Rol 9,779.00 30
182 Kasa pembalut hidrofil 4x10 Rol 1,905.00 150
183 Kasa pembalut hidrofil 4x5 Rol 953.00 110
184 Kasa Steril 16 x 16 Kotak 7,366.00 -
185 Khlor Canfer Menthol (CHKM) Botol 57,750.00 -
186 Kohesive Bandage ( Elastic Bandage) Rol 39,328.00 -
187 Masker Kotak 20 pcs 22,500.00 19
188 Mummiffyng Pasta Botol 242,200.00 -
189 Plester 5 yard X 2 inchi Rol 23,625.00 51
190 Semen Seng Fosfat Set 242,200.00 -
191 Silk (benang brdah sutera) no3/0 , 2/0 pcs 3,881.00 -
192 Temporary (Fletcher) Set 165,000.00 -
193 Tricresol Formalin Set 49,500.00 -
194 Urine Bag Set 3,810.00 6

III REAGENT DAN BAHAN LAB


195 Alkohol Botol 1000 ml 27,305.00 -
196 Aquadest Botol 1000 ml 13,000.00 -
197 Asam Acetat 6 % Botol 100 ml 34,000.00 -
198 BaCl2 10 % Botol 100 ml 19,000.00 -
199 Benedict Botol 100 ml 100,000.00 2
200 Blood Lancet Kotak @ 200 buah 52,000.00 1
201 Box Slide Kotak 138,000.00 5
202 Cover Glass Kotak @ 50 lbr 17,000.00 -
LAMBU
HARGA Sisa Stok per 31
NO NAMA SEDIAAN SATUAN PEROLEHAN Desember
(E_Catalog)

1 2 3 4 5
203 EDTA 10 % Botol 100 ml 95,000.00 1
204 Fouchet Botol 100 ml 140,000.00 -
205 Giemza Botol100 ml 190,000.00 2
206 Golongan Darah Set 3 x 10 ml 257,000.00 1
207 Haemocytometer Set 1,300,000.00 -
208 Haemometer/HB Sahli Unit 110,000.00 1
209 Handscund 7,5 Kotak 50 psg 467,500.00 -
210 Handscund 7 Kotak 50 psg 467,500.00 -
211 HCl 0,1 N Botol 100 ml 15,000.00 1
212 Kapas Bungkus 1/2 kg 24,000.00 -
213 Na Citrat 3,8 % Botol 50 ml 13,000.00 -
214 Oil Emersi Botol 100 ml 360,000.00 3
215 Paper Lens Buah 16,000.00 -
216 Penjepit Tabung Buah 4,000.00 3
217 Pipet Tetes PCS 3,000.00 2
218 Pot Dahak Buah 3,000.00 100
219 Reagen Widal Set 426,000.00 1
220 Rees Ecker Botol 100 ml 45,000.00 -
221 Slide Frosted Kotak / 72's 27,000.00 2
222 Spiritus Kantong 500 ml 40,000.00 2
223 Tabung Serologi PCS 6,500.00 -
224 Tabung Reaksi PCS 4,500.00 2
225 Tabung Centrifuge PCS 6,250.00 3
226 Ziel nelsen Kotak 177,000.00 -

V OBAT JIWA
227 Sikzonoate inj Ampul 60,000.00 -

VI VAKSIN
228 Vaksin Polio Vial 12,500.00 15
229 Vaksin TT Vial 13,475.00 21
230 Vaksin BCG Vial 40,000.00 13
231 Vaksin DPT/ HB Vial 65,000.00 -
232 Vaksin Campak Vial 45,000.00 13
233 Hb 0 Vial 175,000.00 -

TOTAL NILAI PERSEDIAAN :

Bima, 2015.-
LAMBU
HARGA Sisa Stok per 31
NO NAMA SEDIAAN SATUAN PEROLEHAN Desember
(E_Catalog)

1 2 3 4 5
Kepala Puskesmas Lambu

Lukman, S.Kep
Nip. 19740222 199903 1 004
AMBU

Nilai Persediaan
akhir per 31
Desember 2014

6
-
-
-
268,871
90,200
-
11,700
12,366,000
1,337,500
2,168,200
-
132,050
-
21,000
-
472,500
58,800
-
540,000
266,800
92,400
-
-
-
-
-
-
-
2,294,780
424,670
-
-
174,195
1,185,280
74,610
-
-
20,000
Nilai Persediaan
akhir per 31
Desember 2014

6
-
-
807,975
-
35,629
193,125
-
36,400
-
-
-
107,460
266,400
16,000
-
930,210
-
48,225
22,704
272,600
266,400
-
6,595,680
2,002,000
-
30,500
-
-
74,150
-
1,132,200
-
584,000
-
434,000
44,500
-
-
344,195
306,750
774,000
301,760
Nilai Persediaan
akhir per 31
Desember 2014

6
136,080
110,000
33,090
47,430
41,890
326,400
1,087,500
-
1,104,334
-
-
496,635
208,280
-
-
30,675
247,500
891,000
55,500
-
557,600
471,500
184,500
-
140,000
577,395
220,000
44,000
-
201,600
225,740
4,912,700
1,259,990
-
129,938
139,965
-
151,200
56,228
-
694,144
-
Nilai Persediaan
akhir per 31
Desember 2014

6
-
499,800
92,400
146,160
514,868
476,000
-
-
-
11,000
-
24,400
-
-
-
144,600
6,956,040
-
124,000
-
-
70,000
-
-
570,528
-
1,287,000
1,036,300
575,000
646,800
760,713
299,240
21,500
1,485,000
412,496
685,800
99,400
-
-
1,616,710
1,158,240
699,770
Nilai Persediaan
akhir per 31
Desember 2014

6
1,303,020
-
90,860
419,320
787,083
-
1,644,500
-
-
40,640
-
223,100
889,000
1,828,800
18,179,700
-
-
254,000
293,370
285,750
104,830
-
-
-
427,500
-
1,204,875
-
-
-
-
22,860

-
-
-
-
200,000
52,000
690,000
-
Nilai Persediaan
akhir per 31
Desember 2014

6
95,000
-
380,000
257,000
-
110,000
-
-
15,000
-
-
1,080,000
-
12,000
6,000
300,000
426,000
-
54,000
80,000
-
9,000
18,750
-

187,500
282,975
520,000
-
585,000
-

106,182,430

2015.-
Nilai Persediaan
akhir per 31
Desember 2014

6
kesmas Lambu

22 199903 1 004

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