Januari Februari

NO. NAMA OBAT

TL CL CB Surya TL
Acyclovir 400 mg
1 Acyclovir SK 25 25 25 25
2 Ambroxol tab 30 mg 800 200 1400
Ambroxol syr 70
3 Amlodipin 5 mg 7980
4 amlodipin 10 mg
5 Amoksisilin 500 mg 8000 4000+300 500 500
6 amoksisilin syrup 125 mg 10 70
7 Asam Mefenamat 100 500
8 Attapulgit 400
9 betahistin 1500 500 250 250
10 bicnat
11 Borax Gliserin
12 Ciprofloxacin
Domperidon Tablet
13 Furosemid
14 Dexamethason inj.
15 Gliseril Guayakolat 100 mg 3000 1500 1000 500 1800
16 Ibuprofen 3000 1000 500 500
17 Kalk 1000 1000 1000 1000
18 Kloramfenikol Tetes Mata
19 Kloramfenikol Tetes Telinga
20 Kotrimoksazole tablet
21 Loratadin Tablet
22 Loratadin 10 mg tablet 270 150 90 90 600
23 Metformin
24 Natrium Diklofenak 3800 1200 1000 1000
Metoklopramid Tablet
Metoklopramid syr 18
25 Metil Prednisolon 4 mg
26 Obat Batuk Anak 120 60 60 60
27 Obat Batuk pilek Anak 20 94
28 OBH itrasal 60 20 20 20 30
29 Omeprazol 600
30 Povidon iodine 10 mL
31 Povidone iodine 300 mL
32 Simvastatin
33 salep 24 12 12
34 Vit B12
35 Tablet Tambah Darah
36 tetrasiklin 500 mg
37 Thiamphenicol
38 Zink tablet
39 Plastik Obat 10
Kresek Limbah Medis
Kresek Hitam 80x120
Kresek Hitam 50x60
40 Kresek
Tisu Gulung ??
Tisu Kotak ??

ALKES
 1 Masker 250 100 100 100
2 Ultrasound Dopler 1 1 1 1
3 Plester 2 1 1 1
4 Bisturi 4 4 4
5 Chromic No.3/0 24 6 3 3

note warna merah stok dari 2017

biru mgkn bllm d tmbh stok baru
orange blm dididstribusikan
 Februari Maret April
CL CB Surya TL CL CB Surya TL CL CB
200 100 100 100

1000 300 300 2200 1000 400 400

50 40 40 100 70 40 30
1500 900 300

1000 500 500 1500 1500+1500 500+500 700

50 40 40 204 30 6
1300 700 500 500
150 100 100 50 50 50
250

24 24 24
200 100 100 100
500 100 100 100

1500 600 600 500 600 200

24 24 24

100 20

800 500 500

120 100 40 40
5 5 5

50 36 36
15 15 20

200 150

7 4 4 175 75 25 25
7 1 1 1
7 1 1 1
7 1 1 1

6 5 5
20 10 10
pril Mei Juni Juli
Surya TL CL CB Surya TL CL CB Surya TL
 Juli September
Agustus
CL CB Surya TL CL CB Surya TL CL CB
ember Oktober November Desember
Surya TL CL CB Surya TL CL CB Surya TL
 Desember
Jumlah
CL CB Surya
 Tanggal Nama Obat Jumlah Harga Satuan Harga Total
11/1/2018 GG 800 Rp 75.50 Rp 60,403.20
18/1/2018 Amoksisilin tablet 500 mg 3000 Rp 295.00 Rp 884,994.00
Amoksisilin tablet 500 mg 5000 Rp 285.00 Rp 1,424,995.00
Ibuprofen tablet 400 mg 3000 Rp 191.99 Rp 575,982.00
Histigo 1500 Rp 528.00 Rp 792,000.00
OBP syrup 120 Rp 3,455.10 Rp 414,612.00
Acyclovir cream 25 Rp 3,055.80 Rp 76,395.00
GG 2200 Rp 75.50 Rp 166,108.80
Na.Diklofenak 700 Rp 141.00 Rp 98,698.60
Na.Diklofenak 3100 Rp 200.14 Rp 620,429.04
Kalsium Lactas 1000 Rp 54.00 Rp 53,999.00
Loratadin 10 mg 270 Rp 256.04 Rp 69,131.70
OBH syrup 60 Rp 3,896.20 Rp 233,772.00
31/1/2018 Masker 250 Rp -
Ultrasound dopler 1 Rp -
Plester 2 Rp -
Chromic No.3/0 24 Rp -
Rp -
14/2/2018 Ambroxol tablet 1400 Rp 140.00 Rp 195,995.80
Ambroxol Syrup 70 Rp 2,999.70 Rp 209,979.00
Amlodipin 5 mg 7980 Rp 85.00 Rp 678,299.47
Amoksisilin Syrup 125 mg 70 Rp 3,699.30 Rp 258,951.00
Asam Mefenamat 500 Rp 147.84 Rp 73,920.00
Attapulgit 400 Rp 432.00 Rp 172,799.73
GG 1800 Rp 75.49 Rp 135,887.40
Loratadin 10 mg 600 Rp 264.00 Rp 158,400.00
Metoklopramid Syrup 18 Rp 3,250.30 Rp 58,505.44
Obat Batuk pilek Anak 94 Rp 3,999.60 Rp 375,962.40
OBH itrasal 30 Rp 4,277.90 Rp 128,337.00
Omeprazol 600 Rp 327.54 Rp 196,526.00
Plastik Obat 10 Rp 28,500.00 Rp 285,000.00
Tisu Gulung Rp -
Tisu Kotak Rp -
Plastik Obat 175 Rp 29,000.00 Rp 5,075,000.00
Kresek Limbah Medis 7 Rp 30,000.00 Rp 210,000.00
Kresek Hitam 80x120 7 Rp 17,100.00 Rp 119,700.00
Kresek Hitam 50x60 7 Rp 17,100.00 Rp 119,700.00
Rp -
1/3/2018 Ambroxol syrup 90 Rp 2,802.20 Rp 252,197.55
Amoksisilin syr 125 mg 190 Rp 2,700.01 Rp 513,000.95
Ambroxol Tab 1300 Rp 143.68 Rp 186,786.60
amoksisilin 500 mg 1500 Rp 280.01 Rp 420,019.46
 Domperidon 500 Rp 169.99 Rp 84,995.55
Ciprofloxacin 200 Rp 350.02 Rp 70,003.41
Asam Mefenamat 1300 Rp 134.99 Rp 175,489.60
Metoklopramid tablet 120 Rp 150.00 Rp 17,999.52
Rp -
6/3/2018 Kloramfenikol tetes mata 24 Rp 7,000.13 Rp 168,003.03
Acyclovir 400 mg 200 Rp 499.98 Rp 99,996.98
Rp -
15/3/2018 Natrium Diklofenak 1700 Rp 141.00 Rp 239,696.60
Boraks Gliserin (Gom) 24 Rp 2,869.90 Rp 68,877.60
Rp -
5/4/2018 amoksisilin 500 mg 5000 Rp 279.99 Rp 1,399,970.00
Ambroxol tab 1200 Rp 104.31 Rp 125,174.28
Ambroxol Syr 15 mg 150 Rp 2,794.33 Rp 419,149.50
GG 3500 Rp 97.99 Rp 342,963.78
Obat batuk pilek anak 118 Rp 3,999.60 Rp 471,952.80
Obat batuk anak 100 Rp 4,430.80 Rp 443,080.00
OBH 50 Rp 3,055.58 Rp 152,779.00
Ibuprofen 400 mg 400 Rp 195.94 Rp 78,375.00
Attapulgit 200 Rp 312.00 Rp 62,399.92
Boraks Gliserin (Gom) 48 Rp 2,869.90 Rp 137,755.20
Natrium Diklofenak 1000 Rp 141.00 Rp 140,998.00
Rp -
24/4/2018 Amlodipin 10 mg 2000 Rp 93.00 Rp 186,000.00
Ciprofloxacin 1000 Rp 265.00 Rp 265,000.00
Ibuprofen 1800 Rp 196.00 Rp 352,800.00
Domperidon 500 Rp 85.00 Rp 42,500.00
Attapulgit 270 Rp 312.00 Rp 84,240.00
Kloramfenikol Tetes Telinga 20 Rp 5,663.00 Rp 113,260.00
Omperazol 420 Rp 130.00 Rp 54,600.00
Metilprednisolon 4 mg 500 Rp 134.00 Rp 67,000.00
Simvastatin 10 mg 2100 Rp 110.00 Rp 231,000.00

Rp -
2/5/2018 Masker Tali 2300 Rp 543.00 Rp 1,248,900.00
Masker Karet 1250 Rp 522.00 Rp 652,500.00

9/5/2018 GG 500 Rp 91.34 Rp 45,670.00

Amoksisilin 500 mg 5000 Rp 290.00 Rp 1,450,000.00
Obat Batuk Anak 70 Rp 4,430.80 Rp 310,156.00
Ambroxol Syr 100 Rp 2,859.12 Rp 285,912.00
Ambroxol Tab 300 Rp 104.31 Rp 31,293.57
Obat Batuk Pilek Anak 50 Rp 4,540.53 Rp 227,026.25
 Pot Plastik 1000 Rp 1,000.00 Rp 1,000,000.00

19/5/2018 Attapulgit 300 Rp 152.00 Rp 45,600.00

Ciprofloxacin 400 Rp 265.00 Rp 106,000.00
Amlodipin 10 mg 1950 Rp 93.00 Rp 181,350.00
Antihemoroid supp 40 Rp 3,167.00 Rp 126,680.00
Amoksisilin syr 125 mg 70 Rp 3,299.84 Rp 230,988.45
Kloramfenikol Tetes Mata 24 Rp 7,000.13 Rp 168,003.03
Kloramfenikol Tetes Telinga 12 Rp 5,099.74 Rp 61,196.85
Asam Mefenamat 500 mg 1600 Rp 134.99 Rp 215,987.20
Omperazol 630 Rp 130.00 Rp 81,900.00
Rp -
23/5/2018 Na. Diklofenak 1100 Rp 141.00 Rp 155,100.00

11/6/2018 Ambroxol tablet 200 Rp 104.31 Rp 20,862.38

ambroxol syrup 100 Rp 2,859.12 Rp 285,912.00
antihemoroid supp 70 Rp 3,167.01 Rp 221,690.70
amoksisilin syrup 125 mg 140 Rp 2,700.01 Rp 378,000.70
amoksisilin 500 mg 5500 Rp 285.01 Rp 1,567,543.55
GG 3000 Rp 75.00 Rp 225,000.43
Na. Diklofenak 3000 Rp 141.00 Rp 422,994.00
Attapulgit 750 Rp 334.22 Rp 250,668.00
Amlodipin 10 mg 1500 Rp 92.99 Rp 139,491.00
Metilprednisolon 4 mg 500 Rp 133.99 Rp 66,995.50
Ciprofloxacin 500 mg 500 Rp 265.00 Rp 132,500.50
Domperidon Syr 60 Rp 2,700.50 Rp 162,030.00

24/7/2018 Na. Diklofenak 50 mg 2800 Rp 141.00 Rp 394,794.40

Acyclovir 400 mg 350 Rp 500.00 Rp 175,000.00
obat batuk pilek anak 100 Rp 3,600.00 Rp 360,000.00
amoksisilin syrup 125 mg 150 Rp 2,700.00 Rp 405,000.00
amoksisilin tablet 500 mg 5000 Rp 300.00 Rp 1,500,000.00
domperidon 10 mg 500 Rp 135.00 Rp 67,500.00
salbutamol 2 mg 400 Rp 90.45 Rp 36,180.00
GG 2800 Rp 75.00 Rp 210,000.00
Ambroxol 2000 Rp 104.31 Rp 208,623.80
OBH 70 Rp 3,264.58 Rp 228,520.60
Obat batuk anak 30 Rp 4,965.84 Rp 148,975.20
Antihemoroid supp 80 Rp 3,300.00 Rp 264,000.00
Fenol Gliserol tetes telinga 24 Rp 2,500.00 Rp 60,000.00
Ibuprofen 400 mg 2000 Rp 223.73 Rp 447,460.00
Metilprednisolon 4 mg 1000 Rp 133.99 Rp 133,991.00
Rp 5,471,520.34

Rp 8,452,963.24
Rp 2,297,066.86

Rp 5,170,997
Rp 4,722,863

Rp 3,873,689

Rp 4,640,045.00
34629145.0211933
 Distribusi Obat BLUD
Cijagra Lama

Tanggal Nama Obat Jumlah Harga Satuan Harga Total

11/1/2018 Amoksisilin 500 mg 1000 Rp 295.00 Rp 294,998.00
Amoksisilin 500 mg 300 Rp 260.00 Rp 78,000.00
GG 200 Rp 75.50 Rp 15,100.80
Asam Mefenamat 100 Rp 134.99 Rp 13,499.20
Ambroxol 500 Rp 123.49 Rp 61,747.06
18/1/2018 Amoksisilin tablet 500 mg 3000 Rp 295.00 Rp 884,994.00
Ibuprofen tablet 400 mg 1000 Rp 191.99 Rp 191,994.00
Histigo 500 Rp 528.00 Rp 264,000.00
OBP syrup 60 Rp 3,455.10 Rp 207,306.00
Acyclovir cream 25 Rp 3,055.80 Rp 76,395.00
GG 700 Rp 75.50 Rp 52,852.80
Na.Diklofenak 800 Rp 141.00 Rp 112,798.40
Na.Diklofenak 400 Rp 200.14 Rp 80,055.36
Kalsium Lactas 1000 Rp 54.00 Rp 53,999.00
Loratadin 10 mg 150 Rp 256.04 Rp 38,406.50
Salep 24 12 Rp 3,600.30 Rp 43,203.60
OBH syrup 20 Rp 3,896.20 Rp 77,924.00
Amoksisilin Syrup 125 mg 10 Rp 2,700.01 Rp 27,000.05
31/1/2018 GG 600 Rp 75.50 Rp 45,302.40
Ambroxol 300 Rp 123.49 Rp 37,048.24
31/1/2018 Masker 100 Rp -
Ultrasound dopler 1 Rp -
Plester 1 Rp -
Bisturi 4 Rp -
Chromic No.3/0 6 Rp -

6/2/2018 Amlodipin 5 mg 300 Rp 152.02 Rp 45,606.00

Rp -
14/2/2018 Ambroxol tablet 1000 Rp 140.00 Rp 139,997.00
Ambroxol Syrup 50 Rp 2,999.70 Rp 149,985.00
Amoksisilin tablet 500 mg 1000 Rp 295.00 Rp 294,998.00
Amoksisilin Syrup 125 mg 50 Rp 3,699.30 Rp 184,965.00
Attapulgit 150 Rp 432.00 Rp 64,799.90
GG 1500 Rp 75.49 Rp 113,239.50
Metoklopramid Syrup 5 Rp 3,250.30 Rp 16,251.51
Obat Batuk pilek Anak 50 Rp 3,999.60 Rp 199,980.00
OBH itrasal 15 Rp 4,277.90 Rp 64,168.50
Plastik Obat 7 Rp 28,500.00 Rp 199,500.00
Tisu Gulung 6 Rp -
Tisu Kotak 20 Rp -
Plastik Obat 75 Rp 29,000.00 Rp 2,175,000.00
Kresek Limbah Medis 1 Rp 30,000.00 Rp 30,000.00
Kresek Hitam 80x120 1 Rp 17,100.00 Rp 17,100.00
Kresek Hitam 50x60 1 Rp 17,100.00 Rp 17,100.00

1/3/2018 Ambroxol syrup 70 Rp 2,802.20 Rp 196,153.65

Ambroxol Tab 1000 Rp 143.68 Rp 143,682.00
amoksisilin 500 mg 3000 Rp 280.01 Rp 840,038.92
Domperidon 100 Rp 169.99 Rp 16,999.11
Ciprofloxacin 100 Rp 350.02 Rp 35,001.71
Asam Mefenamat 700 Rp 134.99 Rp 94,494.40
 Metoklopramid tablet 100 Rp 150.00 Rp 14,999.60
GG 500 Rp 75.49 Rp 37,746.50

6/3/2018 Betahistin Tablet 250 Rp 528.00 Rp 132,000.00

Amlodipin 5 mg 1500 Rp 85.00 Rp 127,500.00
Acyclovir 400 mg 100 Rp 500.00 Rp 50,000.00
Kloramfenikol Tetes Mata 24 Rp 7,000.00 Rp 168,000.00
Simvastatin 10 mg 200 Rp 185.00 Rp 37,000.00
OBH 20 Rp 4,277.90 Rp 85,558.00
Attapugit 50 Rp 432.00 Rp 21,599.97
Rp -
15/3/2018 Natrium Diklofenak 800 Rp 141.00 Rp 112,798.40
Boraks Gliserin / Gom 24 Rp 2,869.90 Rp 68,877.60

Rp -
5/4/2018 amoksisilin 500 mg 3000 Rp 279.99 Rp 839,982.00
Amoksisilin syr 125 mg 50 Rp 3,353.41 Rp 167,670.25
Ambroxol tab 1500 Rp 104.31 Rp 156,467.85
Ambroxol Syr 15 mg 100 Rp 2,794.33 Rp 279,433.00
GG 1000 Rp 97.99 Rp 97,989.65
Obat batuk pilek anak 72 Rp 3,999.60 Rp 287,971.20
Obat batuk anak 50 Rp 4,430.80 Rp 221,540.00
OBH 50 Rp 3,055.58 Rp 152,779.00
Asam Mefenamat 300 Rp 134.99 Rp 40,497.60
Betahistin 300 Rp 528.00 Rp 158,400.00
Ibuprofen 400 mg 200 Rp 196.00 Rp 39,200.00
Attapulgit 150 Rp 312.00 Rp 46,799.94
Simvasatin 10 mg 100 Rp 185.00 Rp 18,500.00
Boraks Gliserin (Gom) 24 Rp 2,869.90 Rp 68,877.60
Natrium Diklofenak 500 Rp 141.00 Rp 70,499.00

24/4/2018 Amlodipin 10 mg 1000 Rp 93.00 Rp 93,000.00

Ciprofloxacin 500 Rp 265.00 Rp 132,500.00
Ibuprofen 600 Rp 196.00 Rp 117,600.00
Domperidon 200 Rp 85.00 Rp 17,000.00
Attapulgit 150 Rp 312.00 Rp 46,799.94
Kloramfenikol Tetes Telinga 15 Rp 5,663.00 Rp 84,945.00
Omperazol 210 Rp 130.00 Rp 27,300.00
Rp -
9/5/2018 Masker Tali 100 Rp 543.00 Rp 54,300.00
GG 1200 Rp 91.34 Rp 109,608.00
Amoksisilin 500 mg 3500 Rp 290.00 Rp 1,015,000.00
Obat Batuk Anak 50 Rp 4,430.80 Rp 221,540.00
Ambroxol Syr 100 Rp 2,859.12 Rp 285,912.00
Ambroxol Tab 1000 Rp 104.31 Rp 104,311.90
Obat Batuk Pilek Anak 50 Rp 4,540.53 Rp 227,026.25
Rp -
19/5/2018 Attapulgit 300 Rp 152.00 Rp 45,600.00
Ciprofloxacin 300 Rp 265.00 Rp 79,500.00
Amlodipin 10 mg 450 Rp 93.00 Rp 41,850.00
Antihemoroid supp 20 Rp 3,167.00 Rp 63,340.00
Amoksisilin syr 125 mg 60 Rp 3,299.84 Rp 197,990.10
Kloramfenikol Tetes Mata 24 Rp 7,000.13 Rp 168,003.03
Kloramfenikol Tetes Telinga 6 Rp 5,099.74 Rp 30,598.43
Asam Mefenamat 500 mg 800 Rp 134.99 Rp 107,993.60
Omperazol 450 Rp 130.00 Rp 58,500.00
 Rp -
23/5/2018 Na. Diklofenak 800 Rp 141.00 Rp 112,800.00

11/6/2018 Ambroxol tablet 800 Rp 104.31Rp 83,449.52

ambroxol syrup 100 Rp 2,859.12Rp 285,912.00
antihemoroid supp 10 Rp 3,167.01Rp 31,670.10
amoksisilin syrup 125 mg 110 Rp 2,700.01Rp 297,000.55
amoksisilin 500 mg 3000 Rp 285.01Rp 855,023.76
GG 1000 Rp 75.00Rp 75,000.14
Na. Diklofenak 1000 Rp 141.00Rp 140,998.00
Attapulgit 250 Rp 334.22Rp 83,556.00
Amlodipin 10 mg 1000 Rp 92.99Rp 92,994.00
Rp -
6/7/2018 Ambroxol tab 500 Rp 104.31 Rp 52,155.95
Rp -
16/7/2018 Ambroxol tab 500 Rp 104.31 Rp 52,155.95

24/7/2018 Na. Diklofenak 50 mg 1700 Rp 141.00 Rp 239,696.60

Acyclovir 400 mg 50 Rp 500.00 Rp 25,000.00
obat batuk pilek anak 50 Rp 3,600.00 Rp 180,000.00
amoksisilin syrup 125 mg 150 Rp 2,700.00 Rp 405,000.00
domperidon 10 mg 200 Rp 135.00 Rp 27,000.00
salbutamol 2 mg 200 Rp 90.45 Rp 18,090.00
GG 1200 Rp 75.00 Rp 90,000.00
Ciprofloxacin 500 mg 300 Rp 265.00 Rp 79,500.30
Ambroxol 1200 Rp 104.31 Rp 125,174.28
OBH 50 Rp 3,264.58 Rp 163,229.00
Obat batuk anak 30 Rp 4,965.84 Rp 148,975.20
Antihemoroid supp 30 Rp 3,300.00 Rp 99,000.00
Fenol Gliserol tetes telinga 8 Rp 2,500.00 Rp 20,000.00
Ibuprofen 400 mg 1300 Rp 223.73 Rp 290,849.00
omperazol 30 mg 150 Rp 130.00 Rp 19,500.00
Domperidon syrup 15 Rp 2,700.50 Rp 40,507.50
Tisu kotak 1 Rp -
Rp 2,656,624.40

Rp 3,712,690.41
Rp 2,182,449.85

Rp 3,165,752.03
Rp 2,923,873.31

Rp 1,945,604.07 16586994.0714667

Rp 1,971,521.88 Rp 18,558,515.95
 Distribusi Obat BLUD
Cijagra Baru

Tanggal Nama Obat Jumlah Harga Satuan Harga Total

11/1/2018 babycough 20 Rp 3,600.14 Rp 72,002.70
Ambroxol 200 Rp 123.49 Rp 24,698.82
18/1/2018 Amoksisilin tablet 500 mg 500 Rp 295.00 Rp 147,499.00
Ibuprofen tablet 400 mg 500 Rp 191.99 Rp 95,997.00
Histigo 250 Rp 528.00 Rp 132,000.00
OBP syrup 60 Rp 3,455.10 Rp 207,306.00
Acyclovir cream 25 Rp 3,055.80 Rp 76,395.00
GG 500 Rp 75.50 Rp 37,752.00
Na.Diklofenak 500 Rp 141.00 Rp 70,499.00
Na.Diklofenak 500 Rp 200.14 Rp 100,069.20
Kalsium Lactas 1000 Rp 54.00 Rp 53,999.00
Loratadin 10 mg 90 Rp 256.04 Rp 23,043.90
OBH syrup 20 Rp 3,896.20 Rp 77,924.00
31/1/2018 GG 500 Rp 75.50 Rp 37,752.00
31/1/2018 Masker 100 Rp -
Ultrasound dopler 1 Rp -
Plester 1 Rp -
Bisturi 4 Rp -
Chromic No.3/0 3 Rp -

14/2/2018 Ambroxol tablet 300 Rp 140.00 Rp 41,999.10

Ambroxol Syrup 40 Rp 2,999.70 Rp 119,988.00
Amoksisilin tablet 500 mg 500 Rp 295.00 Rp 147,499.00
Amoksisilin Syrup 125 mg 40 Rp 3,699.30 Rp 147,972.00
Attapulgit 100 Rp 432.00 Rp 43,199.93
GG 600 Rp 75.49 Rp 45,295.80
Metoklopramid Syrup 5 Rp 3,250.30 Rp 16,251.51
Obat Batuk pilek Anak 36 Rp 3,999.60 Rp 143,985.60
OBH itrasal 15 Rp 4,277.90 Rp 64,168.50
Plastik Obat 4 Rp 28,500.00 Rp 114,000.00
Tisu Gulung 5 Rp -
Tisu Kotak 10 Rp -
Plastik Obat 25 Rp 29,000.00 Rp 725,000.00
Kresek Limbah Medis 1 Rp 30,000.00 Rp 30,000.00
Kresek Hitam 80x120 1 Rp 17,100.00 Rp 17,100.00
Kresek Hitam 50x60 1 Rp 17,100.00 Rp 17,100.00
 1/3/2018 Ambroxol syrup 40 Rp 2,802.20 Rp 112,087.80
Amoksisilin syr 125 mg 30 Rp 2,700.01 Rp 81,000.15
Ambroxol Tab 300 Rp 143.68 Rp 43,104.60
amoksisilin 500 mg 1000 Rp 280.01 Rp 280,012.97
Domperidon 100 Rp 169.99 Rp 16,999.11
Ciprofloxacin 100 Rp 350.02 Rp 35,001.71
Asam Mefenamat 500 Rp 134.99 Rp 67,496.00
Metoklopramid tablet 40 Rp 150.00 Rp 5,999.84
Amlodipin 5 mg 900 Rp 85.00 Rp 76,499.94

6/3/2018 Acyclovir 400 mg 100 Rp 500.00 Rp 50,000.00

Kloramfenikol tetes mata 24 Rp 7,000.00 Rp 168,000.00
Simvastatin 10 mg 150 Rp 185.00 Rp 27,750.00
Rp -
13/3/2018 GG 500 Rp 140.00 Rp 69,998.50
attapulgit 50 Rp 432.00 Rp 21,599.97
kotrimoksazol 480 mg 100 Rp 214.29 Rp 21,429.10
Rp -
15/3/2018 Natrium Diklofenak 500 Rp 141.00 Rp 70,499.00
Boraks Gliserin (Gom) 24 Rp 2,869.90 Rp 68,877.60
Rp -
24/3/2018 GG 100 Rp 75.49 Rp 7,549.30
Ambroxol 30 mg 100 Rp 143.68 Rp 14,368.20

2/4/2018 Ambroxol 30 mg 200 Rp 143.68 Rp 28,736.40

Amoksisilin syrup 125 mg 10 Rp 2,700.01 Rp 27,000.05
Asam Mefenamat 500 mg 200 Rp 134.99 Rp 26,998.40
Rp -
4/4/2018 Amlodipin 5 mg 600 Rp 85.00 Rp 50,999.96
Rp -
5/4/2018 amoksisilin 500 mg 2000 Rp 279.99 Rp 559,988.00
Amoksisilin syr 125 mg 50 Rp 2,700.01 Rp 135,000.25
Ambroxol tab 1300 Rp 104.31 Rp 135,605.47
Ambroxol Syr 15 mg 100 Rp 2,794.33 Rp 279,433.00
GG 1000 Rp 97.99 Rp 97,989.65
Obat batuk pilek anak 60 Rp 3,999.60 Rp 239,976.00
Obat batuk anak 50 Rp 4,430.80 Rp 221,540.00
OBH 50 Rp 3,055.58 Rp 152,779.00
Ibuprofen 400 mg 200 Rp 196.00 Rp 39,200.00
Attapulgit 100 Rp 312.00 Rp 31,199.96
Boraks Gliserin (Gom) 24 Rp 2,869.90 Rp 68,877.60
Natrium Diklofenak 500 Rp 141.00 Rp 70,499.00
24/4/2018 Amlodipin 10 mg 600 Rp 93.00 Rp 55,800.00
Ciprofloxacin 500 Rp 265.00 Rp 132,500.00
Ibuprofen 300 Rp 196.00 Rp 58,800.00
Domperidon 200 Rp 85.00 Rp 17,000.00
Attapulgit 50 Rp 312.00 Rp 15,599.98
Omperazol 90 Rp 130.00 Rp 11,700.00
Rp -
9/5/2018 GG 800 Rp 91.34 Rp 73,072.00
Amoksisilin 500 mg 1500 Rp 290.00 Rp 435,000.00
Obat Batuk Anak 50 Rp 4,430.80 Rp 221,540.00
Ambroxol Syr 100 Rp 2,859.12 Rp 285,912.00
Ambroxol Tab 500 Rp 104.31 Rp 52,155.95
Obat Batuk Pilek Anak 50 Rp 4,540.53 Rp 227,026.25
Rp -
19/5/2018 Attapulgit 200 Rp 152.00 Rp 30,400.00
Ciprofloxacin 300 Rp 265.00 Rp 79,500.00
Amlodipin 10 mg 300 Rp 93.00 Rp 27,900.00
Antihemoroid supp 20 Rp 3,167.00 Rp 63,340.00
Amoksisilin syr 125 mg 60 Rp 3,299.84 Rp 197,990.10
Kloramfenikol Tetes Mata 24 Rp 7,000.13 Rp 168,003.03
Kloramfenikol Tetes Telinga 6 Rp 5,099.74 Rp 30,598.43
Asam Mefenamat 500 mg 600 Rp 134.99 Rp 80,995.20
Omperazol 150 Rp 130.00 Rp 19,500.00
Rp -
23/5/2018 Na. Diklofenak 600 Rp 141.00 Rp 84,600.00

11/6/2018 Ambroxol tablet 500 Rp 104.31 Rp 52,155.95

ambroxol syrup 50 Rp 2,859.12 Rp 142,956.00
antihemoroid supp 10 Rp 3,167.01 Rp 31,670.10
amoksisilin syrup 125 mg 60 Rp 2,700.01 Rp 162,000.30
amoksisilin 500 mg 2000 Rp 285.01 Rp 570,015.84
GG 500 Rp 75.00 Rp 37,500.07
Na. Diklofenak 500 Rp 141.00 Rp 70,499.00
Attapulgit 250 Rp 334.22 Rp 83,556.00
Amlodipin 10 mg 500 Rp 92.99 Rp 46,497.00

24/7/2018 Na. Diklofenak 50 mg 1000 Rp 141.00 Rp 140,998.00

Acyclovir 400 mg 50 Rp 500.00 Rp 25,000.00
obat batuk pilek anak 50 Rp 3,600.00 Rp 180,000.00
amoksisilin syrup 125 mg 120 Rp 2,700.00 Rp 324,000.00
domperidon 10 mg 200 Rp 135.00 Rp 27,000.00
salbutamol 2 mg 200 Rp 90.45 Rp 18,090.00
GG 1000 Rp 75.00 Rp 75,000.00
Ciprofloxacin 500 mg 200 Rp 265.00 Rp 53,000.20
Ambroxol 1000 Rp 104.31 Rp 104,311.90
OBH 50 Rp 3,264.58 Rp 163,229.00
Obat batuk anak 20 Rp 4,965.84 Rp 99,316.80
Antihemoroid supp 20 Rp 3,300.00 Rp 66,000.00
Fenol Gliserol tetes telinga 8 Rp 2,500.00 Rp 20,000.00
Ibuprofen 400 mg 1000 Rp 223.73 Rp 223,730.00
Domperidon syrup 15 Rp 2,700.50 Rp 40,507.50
Tisu kotak 1 Rp -
Rp 1,156,937.62

Rp 1,673,559.44
Rp 1,238,274
Rp 2,457,222.72

Rp 2,077,532.96

Rp 1,196,850.26
Rp 1,560,183.40 11360560.1882
 Distribusi Obat BLUD
Cijagra Lama

Tanggal Nama Obat Jumlah Harga Satuan Harga Total

18/1/2018 Amoksisilin tablet 500 mg 500 Rp 295.00 Rp 147,499.00
Ibuprofen tablet 400 mg 500 Rp 191.99 Rp 95,997.00
Histigo 250 Rp 528.00 Rp 132,000.00
OBP syrup 60 Rp 3,455.10 Rp 207,306.00
Acyclovir cream 25 Rp 3,055.80 Rp 76,395.00
GG 500 Rp 75.50 Rp 37,752.00
Na.Diklofenak 500 Rp 141.00 Rp 70,499.00
Na.Diklofenak 500 Rp 200.14 Rp 100,069.20
Kalsium Lactas 1000 Rp 54.00 Rp 53,999.00
Loratadin 10 mg 90 Rp 256.04 Rp 23,043.90
Salep 24 12 Rp 3,600.30 Rp 43,203.60
OBH syrup 20 Rp 3,896.20 Rp 77,924.00
31/1/2018 Masker 100 Rp -
Ultrasound dopler 1 Rp -
Plester 1 Rp -
Bisturi 4 Rp -
Chromic No.3/0 3 Rp -

6/2/2018 GG 400 Rp 75.50 Rp 30,201.60

Amlodipin 5 mg 150 Rp 152.02 Rp 22,803.00
Rp -
14/2/2018 Ambroxol tablet 300 Rp 140.00 Rp 41,999.10
Ambroxol Syrup 40 Rp 2,999.70 Rp 119,988.00
Amoksisilin tablet 500 mg 500 Rp 295.00 Rp 147,499.00
Amoksisilin Syrup 125 mg 40 Rp 3,699.30 Rp 147,972.00
Attapulgit 100 Rp 432.00 Rp 43,199.93
GG 600 Rp 75.49 Rp 45,295.80
Metoklopramid Syrup 5 Rp 3,250.30 Rp 16,251.51
Obat Batuk pilek Anak 36 Rp 3,999.60 Rp 143,985.60
Plastik Obat 4 Rp 28,500.00 Rp 114,000.00
Tisu Gulung 5 Rp -
Tisu Kotak 10 Rp -
Plastik Obat 25 Rp 29,000.00 Rp 725,000.00
Kresek Limbah Medis 1 Rp 30,000.00 Rp 30,000.00
Kresek Hitam 80x120 1 Rp 17,100.00 Rp 17,100.00
Kresek Hitam 50x60 1 Rp 17,100.00 Rp 17,100.00

1/3/2018 amoksisilin 500 mg 500 Rp 280.01 Rp 140,006.49

Domperidon 100 Rp 169.99 Rp 16,999.11
Ciprofloxacin 100 Rp 350.02 Rp 35,001.71
Asam Mefenamat 500 Rp 134.99 Rp 67,496.00
Metoklopramid tablet 40 Rp 150.00 Rp 5,999.84

6/3/2018 Acyclovir 400 mg 100 Rp 500.00 Rp 50,000.00

Kloramfenikol tetes mata 24 Rp 7,000.00 Rp 168,000.00
Attapulgit 50 Rp 432.00 Rp 21,599.97
Rp -
15/3/2018 Natrium Diklofenak 500 Rp 141.00 Rp 70,499.00
Boraks Gliserin (Gom) 24 Rp 2,869.90 Rp 68,877.60
Rp -
21/3/2018 Ambroxol tablet 400 Rp 143.68 Rp 57,472.80
 Ambroxol Syrup 30 Rp 2,802.20 Rp 84,065.85
GG 200 Rp 75.49 Rp 15,098.60
Rp -
28/3/2018 Amlodipin 5 mg 300 Rp 85.00 Rp 25,499.98
Amoksisilin 500 mg 200 Rp 280.01 Rp 56,002.59
Amoksisilin syrup 6 Rp 2,700.01 Rp 16,200.03
Kotrimoksazol 480 mg 20 Rp 214.29 Rp 4,285.82

5/4/2018 amoksisilin 500 mg 2000 Rp 279.99 Rp 559,988.00

Ambroxol tab 1000 Rp 104.31 Rp 104,311.90
Ambroxol Syr 15 mg 50 Rp 2,794.33 Rp 139,716.50
GG 500 Rp 97.99 Rp 48,994.83
Obat batuk pilek anak 50 Rp 3,999.60 Rp 199,980.00
Obat batuk anak 50 Rp 4,430.80 Rp 221,540.00
OBH 50 Rp 3,055.58 Rp 152,779.00
Ibuprofen 400 mg 200 Rp 196.00 Rp 39,200.00
Attapulgit 50 Rp 312.00 Rp 15,599.98
Boraks Gliserin (Gom) 24 Rp 2,869.90 Rp 68,877.60
Natrium Diklofenak 500 Rp 141.00 Rp 70,499.00

24/4/2018 Amlodipin 10 mg 600 Rp 93.00 Rp 55,800.00

Ibuprofen 400 mg 300 Rp 196.00 Rp 58,800.00
Domperidon 100 Rp 85.00 Rp 8,500.00
Kloramfenikol Tetes Telinga 15 Rp 5,663.00 Rp 84,945.00
Rp -
9/5/2018 Masker Tali 100 Rp 543.00 Rp 54,300.00
GG 500 Rp 91.34 Rp 45,670.00
Amoksisilin 500 mg 2000 Rp 290.00 Rp 580,000.00
Obat Batuk Anak 30 Rp 4,430.80 Rp 132,924.00
Ambroxol Syr 50 Rp 2,859.12 Rp 142,956.00
Ambroxol Tab 500 Rp 104.31 Rp 52,155.95
Obat Batuk Pilek Anak 50 Rp 4,540.53 Rp 227,026.25
Attapulgit 30 Rp 312.00 Rp 9,360.00
Rp -
19/5/2018 Attapulgit 200 Rp 152.00 Rp 30,400.00
Ciprofloxacin 200 Rp 265.00 Rp 53,000.00
Amlodipin 10 mg 300 Rp 93.00 Rp 27,900.00
Antihemoroid supp 20 Rp 3,167.00 Rp 63,340.00
Amoksisilin syr 125 mg 50 Rp 3,299.84 Rp 164,991.75
Kloramfenikol Tetes Mata 24 Rp 7,000.13 Rp 168,003.03
Asam Mefenamat 500 mg 500 Rp 134.99 Rp 67,496.00
Omperazol 120 Rp 130.00 Rp 15,600.00
Rp -
23/5/2018 Na. Diklofenak 500 Rp 141.00 Rp 70,500.00

11/6/2018 Ambroxol tablet 500 Rp 104.31 Rp 52,155.95

ambroxol syrup 50 Rp 2,859.12 Rp 142,956.00
antihemoroid supp 10 Rp 3,167.01 Rp 31,670.10
amoksisilin syrup 125 mg 50 Rp 2,700.01 Rp 135,000.25
amoksisilin 500 mg 1500 Rp 285.01 Rp 427,511.88
GG 500 Rp 75.00 Rp 37,500.07
Na. Diklofenak 500 Rp 141.00 Rp 70,499.00
Attapulgit 250 Rp 334.22 Rp 83,556.00

24/7/2018 Na. Diklofenak 50 mg 500 Rp 141.00 Rp 70,499.00

Acyclovir 400 mg 50 Rp 500.00 Rp 25,000.00
obat batuk pilek anak 50 Rp 3,600.00 Rp 180,000.00
amoksisilin syrup 125 mg 60 Rp 2,700.00 Rp 162,000.00
domperidon 10 mg 100 Rp 135.00 Rp 13,500.00
salbutamol 2 mg 200 Rp 90.45 Rp 18,090.00
GG 1000 Rp 75.00 Rp 75,000.00
Ciprofloxacin 500 mg 200 Rp 265.00 Rp 53,000.20
Ambroxol 800 Rp 104.31 Rp 83,449.52
OBH 30 Rp 3,264.58 Rp 97,937.40
Obat batuk anak 20 Rp 4,965.84 Rp 99,316.80
Antihemoroid supp 20 Rp 3,300.00 Rp 66,000.00
Fenol Gliserol tetes telinga 8 Rp 2,500.00 Rp 20,000.00
Ibuprofen 400 mg 700 Rp 223.73 Rp 156,611.00
Domperidon syrup 10 Rp 2,700.50 Rp 27,005.00
Tisu kotak 1 Rp -
Rp 1,065,687.70

Rp 1,662,395.54
Rp 903,105.38

Rp 1,829,531.81

Rp 1,905,622.98

Rp 980,849
Rp 1,147,408.92 9494601.58336
 Total Penyerapan Dana BLUD Sementara
Obat 2018

Talagabodas Cijagra Lama Cijagra Baru Suryalaya

januari Rp 5,471,520.34 Rp 2,656,624.40 Rp 1,156,937.62 Rp 1,065,687.70
februari Rp 8,452,963.24 Rp 3,712,690.41 Rp 1,673,559.44 Rp 1,662,395.54
maret Rp 2,297,066.86 Rp 2,182,449.85 Rp 1,238,273.79 Rp 903,105.38
april Rp 5,170,997.48 Rp 3,165,752.03 Rp 2,457,222.72 Rp 1,829,531.81
mei Rp 4,722,863.35 Rp 2,923,873.31 Rp 2,077,532.96 Rp 1,905,622.98
juni Rp 3,873,688.76 Rp 1,945,604.07 Rp 1,196,850.26 Rp 980,849.25
juli Rp 4,640,045.00 Rp 1,971,521.88 Rp 1,560,183.40 Rp 1,147,408.92
ORI Rp 627,229.58 Rp 627,229.58 Rp 650,439.96 Rp 624,890.88
Jumlah Rp 34,629,145.02 Rp 18,558,515.95 Rp 11,360,560.19 Rp 9,494,601.58
Total Rp 74,042,822.74
 Distribusi Perlengkapan ORI
Talagabodas
No. Nama barang / Obat Satuan Jumlah Harga Jumlah
1 Infus set dewasa buah 14 Rp 3,652.72 Rp 51,138.08
2 Abocath 20 buah 25 Rp 7,909.09 Rp 197,727.25
3 Abocath 24 buah 25 Rp 7,909.09 Rp 197,727.25
4 Infus set Anak buah 6 Rp -
5 Spuitt 3 cc buah 28 Rp -
6 Infus NaCl labu 31 Rp 5,827.00 Rp 180,637.00
7 Alkohol swab box 450
8 Sarung Tangan Non Steril bos 14
9 Masker box 14
10 Spuitt 1 cc buah 100
Total Rp 627,229.58

Cijagra Lama
No. Nama barang / Obat Satuan Jumlah Harga Jumlah
1 Infus set dewasa buah 14 Rp 3,652.72 Rp 51,138.08
2 Abocath 20 buah 25 Rp 7,909.09 Rp 197,727.25
3 Abocath 24 buah 25 Rp 7,909.09 Rp 197,727.25
4 Infus set Anak buah 6 Rp -
5 Spuitt 3 cc buah 28 Rp -
6 Infus NaCl labu 31 Rp 5,827.00 Rp 180,637.00
7 Alkohol swab box 400
8 Sarung Tangan Non Steril bos 10
9 Masker box
Total Rp 627,229.58

Cijagra Baru
No. Nama barang / Obat Satuan Jumlah Harga Jumlah
1 Infus set dewasa buah 24 Rp 3,652.72 Rp 87,665.28
2 Abocath 20 buah 26 Rp 7,909.09 Rp 205,636.34
3 Abocath 24 buah 26 Rp 7,909.09 Rp 205,636.34
4 Infus set Anak buah 6 Rp -
5 Spuitt 3 cc buah 20 Rp -
6 Infus NaCl labu 26 Rp 5,827.00 Rp 151,502.00
7 Alkohol swab box 40
8 Sarung Tangan Non Steril bos 10
9 Masker 10
Total Rp 650,439.96

Suryalaya
No. Nama barang / Obat Satuan Jumlah Harga Jumlah
1 Infus set dewasa buah 48 Rp 3,652.72 Rp 175,330.56
2 Abocath 20 buah 24 Rp 7,909.09 Rp 189,818.16
3 Abocath 24 buah 24 Rp 7,909.09 Rp 189,818.16
4 Infus set Anak buah 7 Rp -
5 Spuitt 3 cc buah 24 Rp -
6 Infus NaCl labu 12 Rp 5,827.00 Rp 69,924.00
7 Alkohol swab box 50
8 Sarung Tangan Non Steril bos 13
9 Masker 15
Total Rp 624,890.88