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LAPORAN PENGAMBILAN OBAT ALKES DAN BHP HEMODIALIASA AGUSTUS 2016

JUMLAH HARGA
NO NAMA BARANG SATUAN PENGAMBILAN HARGA KETERANGAN
Rp
BARANG SATUAN
1 ALKOHOL 70 % 20 L Jerigen 1 780,000 780,000
2 CITRIC ACID kg 20 97,500 1,950,000
3 DEXAMETHASON INJ ampl 10 3,500 35,000
4 FIXOMUL 10 X 5 Rol 9 130,500 1,174,500
5 GENTAMISIN AMP ampl 50 5,000 250,000
6 H2O2 50% Botol 24 58,500 1,404,000
7 IKANEURON amp 600 7,000 4,200,000
8 INFUSET Terumo pcs 100 19,500 1,950,000
9 INFUSET Otsu -Y Set pcs 400 10,300 4,120,000
10 INVICLOT Vial 140 86,000 12,040,000
11 MASKER pcs 300 1,500 450,000
12 NACL 1000 cc Otsu Botol 600 26,000 15,600,000
13 NACL 500 cc Botol 120 17,500 2,100,000
14 NASAL Canul Oksigen pcs 5 14,000 70,000
15 PARACETAMOL tab 30 250 7,500
16 SPUIT 3 cc Terumo pcs 100 6,500 650,000
17 VACU TENER UNGU pcs 100 4,000 400,000
J U M L A H 47,181,000
Terbilang : Empat puluh tujuh juta seratus delapan puluh satu ribu rupiah

KUNINGAN, 31 AGUSTUS 2016


INSTALASI FARMASI RSU EL-SYIFA

Dra. ULUN SUNANGSIH , Apt


laporan inventarisasi alkes ruang hemodialisa JULI 2016

NO NAMA BARANG SATUAN STOK AWAL PENERIMAAN PEMAKAIAN


BARANG BARANG
1 ACCUCEK pcs 73 0 11
2 ALKOHOL dlm cc cc 99 20 2
3 AMLODIPIN 10 mg tab 13 0 0
4 AMLODIPIN 5 mg tab 11 0 0
5 ANTASIDA tab 3 0 0
6 AQUA BIDEST 25 ML pcs 25 0 0
7 ASAM TRANEKSAMAT 500 MG ampl 1 0 0
8 BAYCLIN cc 0 0 0
9 BETADINE cc 350 0 130
10 BIBAG pcs 485 200 354
11 BLOOD LINE pcs 628 300 380
12 BLOODSET pcs 4 50 9
13 Captopril 25 tab 17 0 0
14 CITRIC ACID kg 1 0 0
15 CLONIDIN 0,15 tab 10 0 0
16 D5% pcs 5 0 0
17 D-40 pcs 12 0 0
18 DEXAMETHASON INJ ampl 7 0 0
19 DIALIZER F8HPS pcs 180 50 19
20 DIALIZER HF80S pcs 5 0 0
21 DOPAMIN ampl 2 0 0
22 EDTA cc 0 0 0
23 EPINEPRIN ampl 5 0 0
24 FARBION AMP ampl 68 0 0
25 FIXOUMOL pcs 1 10 8
26 GARAM kg 6 0 0
27 GENTAMISIN AMP ampl 10 0 0
28 H2O2 50% dlm cc Botol 15091 0 0
29 HANDSCON pcs 50 100 50
30 HD PACK pcs 143 300 380
31 IKANEURON amp 317 400 380
32 INFUSET pcs 204 300 380
33 INVICLOT pcs 21 100 0
34 ISDN 0,5 tab 10 0 0
35 KASA GULUNG pcs 0 0 0
36 KETOROLAC 1 ml ampl 14 0 0
37 KETOROLAC 2 ml ampl 6 0 0
38 LIDOCAIN ampl 10 0 0
39 MASKER pcs 180 0 0
40 MERSIBION ampl 0 0 0
41 NACL 1000 cc pcs 290 600 760
42 NACL 500 cc pcs 20 0 0
43 NASAL O2 pcs 13 0 0
44 NEFROFER AMP ampl 1 0 0
45 NEUROSANBE ampl 0 0 0
46 NIFEDIPIN 10 MG tab 15 0 0
47 OMEPRAZOLE tab 14 0 0
48 ONDANSENTRON ampl 10 5 3
49 PARACETAMOL tab 4 30 8
50 PART A pcs 1113 300 0
51 PLESTER COKLAT pcs 1 0 0
52 RANITIDINE tab 0 0 0
53 RECORD / DIPHENHIDRINAT ampl 1 0 0
54 RECORDRIL ampl 1 0 0
55 RENALIN dlm cc cc 2035 0 0
56 RIVANOL pcs 1 0 0
57 SPUIT 1 cc pcs 5 0 0
58 SPUIT 20 cc pcs 149 50 28
59 SPUIT 3 cc pcs 522 0 0
60 SPUIT 5 cc pcs 20 0 0
61 SULFAS ATROPIN ampl 10 0 0
62 TRAMADOL 1 ML ampl 1 0 0
63 TRAMADOL 2 ml ampl 5 0 0
64 VACUM TENER MERAH pcs 90 0 0
65 VACUM TENER UNGU pcs 58 200 96
66 VALISANBE AMP ampl 10 0 0
67 FISTULA 16 GA pcs 528 300 380
68 FISTULA 16 GV pcs 552 300 380
69 Nacl 100cc cc 100 0 0
70 Bibag 5008 pcs 39 100 0
71 VALISANBE AMP AMP 28 0 0
2016
JUMLAH
STOK AKHIR HARGA HARGA NAMA DISTRIBUTOR KETERANGAN
SATUAN PEMAKAIAN
62 6,996 433,752
117 44 5,148
13 2,032 26,416
11 1,154 12,692
3 79 237
25 3,300 82,500
1 11,000 11,000
0 -
220 193 42,460
331 80,850 26,761,350
548 97,680 53,528,640
45 25,410 1,143,450
17 250 4,250
1 35,000 35,000
10 205 2,050
5 9,100 45,500
12 6,600 79,200
7 2,402 16,814
211 195,250 41,197,750
5 195,250 976,250
2 72,457 144,914
0 -
5 9,499 47,495
68 -
3 121,387 364,161
6 500 3,000
10 3,692 36,920
15091 45 679,095
100 786 78,600
63 39,050 2,460,150
337 5,445 1,834,965
124 7,920 982,080
121 66,000 7,986,000
10 97 970
0 192,500 -
14 16,038 224,532
6 -
10 1,540 15,400
180 944 169,920
0 -
130 19,800 2,574,000
20 13,200 264,000
13 11,000 143,000
1 -
0 5,170 -
15 129 1,935
14 408 5,712
12 7,000 84,000
26 165 4,290
1413 92,400 130,561,200
1 -
0 3,465 -
1 -
1 15,000 15,000
2035 -
1 1,815 1,815
5 4,417 22,085
171 1,070 182,970
522 3,207 1,674,054
20 3,872 77,440
10 1,650 16,500
1 6,396 6,396
5 -
90 1,650 148,500
162 1,650 267,300
10 14,025 140,250
448 11,330 5,075,840
472 11,330 5,347,760
100 10,010 1,001,000
139 80,850 11,238,150
28 -
298,285,858
laporan inventarisasi alkes ruang hemodialisa JUNIi 2016

NO NAMA BARANG SATUAN STOK AWAL PENERIMAAN


BARANG
1 ACCUCEK pcs 105 0
2 ALKOHOL dlm cc cc 369 0
3 AMLODIPIN 10 mg tab 16 0
4 AMLODIPIN 5 mg tab 13 0
5 ANTASIDA tab 3 0
6 AQUA BIDEST 25 ML pcs 15 10
7 ASAMTRANEKSAMAT ampl 1 0
8 BAYCLIN cc 0 0
9 BETADINE cc 350 0
10 BIBAG pcs 721 300
11 BLOOD LINE pcs 569 600
12 BLOODSET pcs 40 500
13 Captopril 25 tab 17 0
14 CITRIC ACID kg 5 0
15 CLONIDIN 0,15 tab 10 0
16 D5% pcs 5 0
17 D-40 pcs 13 0
18 DEXAMETHASON INJ ampl 8 0
19 DIALIZER F8HPS pcs 97 100
20 DIALIZER HF80S pcs 5 0
21 DOPAMIN ampl 2 0
22 EDTA cc 0 0
23 EPINEPRIN ampl 5 0
24 FARBION AMP ampl 68 0
25 FIXOUMOL pcs 1 4
26 GARAM kg 56 0
27 GENTAMISIN AMP ampl 15 10
28 H2O2 50% dlm cc Botol 15100 0
29 HANDSCON pcs 50 0
30 HD PACK pcs 79 600
31 IKANEURON amp 445 400
32 INFUSET pcs 340 400
33 INVICLOT pcs 13 50
34 ISDN 0,5 tab 10 0
35 KASA GULUNG pcs 0 0
36 KETOROLAC 1 ml ampl 24 0
38 LIDOCAIN ampl 10 0
39 MASKER pcs 225 0
40 MERSIBION ampl 0 0
41 NACL 1000 cc pcs 746 600
42 NACL 500 cc pcs 420 0
43 NASAL O2 pcs 13 0
44 NEFROFER AMP ampl 1 0
45 NEUROSANBE ampl 0 0
46 NIFEDIPIN 10 MG tab 15 0
47 OMEPRAZOLE tab 20 0
48 ONDANSENTRON ampl 12 0
49 PARACETAMOL tab 30 0
50 PART A pcs 1041 600
51 PLESTER COKLAT pcs 2 2
52 RANITIDINE tab 0 0
53 RECORD / DIPHENHIDRINAT ampl 1 0
54 RECORDRIL ampl 1 0
55 RENALIN dlm cc cc 3635 0
56 RIVANOL pcs 1 0
57 SPUIT 1 cc pcs 5 0
58 SPUIT 20 cc pcs 191 0
59 SPUIT 3 cc pcs 322 200
60 SPUIT 5 cc pcs 50 0
61 SULFAS ATROPIN ampl 10 0
62 TRAMADOL 50 mg / 2 ml ampl 6 0
63 VACUM TENER MERAH pcs 90 0
64 VACUM TENER UNGU pcs 150 0
65 VALISANBE AMP ampl 10 0
66 FISTULA 16 GA pcs 480 600
67 FISTULA 16 GV pcs 480 600
68 Nacl 100cc cc 50 50
69 Bibag 5008 pcs 50 50
70 VALISANBE AMP AMP 14 14
71
lisa JUNIi 2016
NAMA
PEMAKAIAN STOK AKHIR DISTRIBU
BARANG HARGA SATUAN JUMLAH HARGA PEMAKAIAN TOR
32 73 6,996 510,708
270 99 44 4,356
3 13 2,032 26,416
2 11 1,154 12,692
0 3 79 237
0 25 3,300 82,500
0 1 11,000 11,000
0 0 -
0 350 193 67,550
536 485 80,850 39,212,250
541 628 97,680 61,343,040
536 4 25,410 101,640
0 17 250 4,250
4 1 35,000 35,000
0 10 205 2,050
0 5 9,100 45,500
1 12 6,600 79,200
1 7 2,402 16,814
17 180 195,250 35,145,000
0 5 195,250 976,250
0 2 72,457 144,914
0 0 -
0 5 9,499 47,495
0 68 -
4 1 121,387 121,387
50 6 500 3,000
15 10 3,692 36,920
9 15091 45 679,095
0 50 786 39,300
536 143 39,050 5,584,150
528 317 5,445 1,726,065
536 204 7,920 1,615,680
42 21 66,000 1,386,000
0 10 97 970
0 0 192,500 -
4 20 16,038 320,760
0 10 1,540 15,400
45 180 944 169,920
0 0 -
1056 290 19,800 5,742,000
400 20 13,200 264,000
0 13 11,000 143,000
0 1 -
0 0 5,170 -
0 15 129 1,935
6 14 408 5,712
2 10 7,000 70,000
26 4 165 660
528 1113 92,400 102,841,200
3 1 -
0 0 3,465 -
0 1 -
0 1 15,000 15,000
1600 2035 -
0 1 1,815 1,815
0 5 4,417 22,085
42 149 1,070 159,430
0 522 3,207 1,674,054
30 20 3,872 77,440
0 10 1,650 16,500
0 6 6,396 38,376
0 90 1,650 148,500
92 58 1,650 95,700
0 10 14,025 140,250
552 528 11,330 5,982,240
528 552 11,330 6,254,160
0 100 10,010 1,001,000
61 39 80,850 3,153,150
0 28 -
277,415,716
KETERANGAN
laporan inventarisasi alkes ruang hemodialisa Mei 2016

NAMA
NO NAMA BARANG SATUAN STOK AWAL PENERIMAAN PEMAKAIAN STOK AKHIR JUMLAH HARGA KETERANGAN
DISTRIBUTOR
BARANG BARANG HARGA SATUAN PEMAKAIAN
1 ACCUCEK pcs 30 100 25 105 6,996 734,580
2 ALKOHOL dlm cc cc 1,150 - 781 369 44 16,236
3 AMLODIPIN 10 mg tab 16 - - 16 2,032 32,512
4 AMLODIPIN 5 mg tab 13 - - 13 1,154 15,000
5 ANTASIDA tab 3 - - 3 79 237
6 AQUA BIDEST 25 ML pcs 5 10 - 15 3,300 49,500
7 ASAMTRANEKSAMAT ampl 1 - - 1 11,000 11,000
8 BAYCLIN cc - - - - -
9 BETADINE cc 350 - - 350 193 67,550
10 BIBAG pcs 421 300 - 721 80,850 58,292,850
BIBAG 5008 pcs - 50 - 50 80,850 4,042,500
11 BLOOD LINE pcs 169 400 - 569 97,680 55,579,920
12 BLOODSET pcs 40 - - 40 25,410 1,016,400
13 Captopril 25 tab 17 - - 17 250 4,250
14 CITRIC ACID kg 5 - - 5 35,000 175,000
15 CLONIDIN 0,15 tab 10 - - 10 205 2,050
16 D5% pcs 5 - - 5 9,100 45,500
17 D-40 pcs 13 - - 13 6,600 85,800
18 DEXAMETHASON INJ ampl 8 - - 8 2,402 19,216
19 DIALIZER F8HPS pcs 47 50 - 97 195,250 18,939,250
20 DIALIZER HF80S pcs 5 - - 5 195,250 976,250
21 DOPAMIN ampl 2 - - 2 72,457 144,914
22 EDTA cc - - - - -
23 EPINEPRIN ampl 5 - - 5 9,499 47,495
25 FIXOMUL 10 X 5 pcs 1 - - 1 121,387 121,387
26 GARAM kg 56 - - 56 500 28,000
27 GENTAMISIN AMP ampl 15 - - 15 3,692 55,380
28 H2O2 50% cc 15,100 - - 15,100 45 679,500
29 HANDSCON NON STERIL pcs 50 - - 50 786 39,300
30 HD PACK pcs 15 600 536 79 39,050 3,084,950
31 IKANEURON amp 45 400 - 445 5,445 2,423,025
32 INFUSET ( Otsu-Y Set ) pcs 40 300 - 340 7,920 2,692,800
33 INVICLOT (Heparin ) pcs 13 - - 13 66,000 858,000
34 ISDN 0,5 tab 10 - - 10 97 970
35 KASA GULUNG 40 x 80 pcs - - - - 192,500 -
36 Ketorolac 30mg Inj ampl 24 - - 24 16,038 384,912
38 LIDOCAIN ampl 10 - - 10 1,540 15,400
39 MASKER pcs 25 200 - 225 944 212,400
40 MERSIBION ampl - - - - -
41 NACL 1000 cc pcs 196 550 - 746 19,800 14,770,800
42 NACL 500 cc pcs 20 400 - 420 13,200 5,544,000
43 NASAL O2 pcs 13 - - 13 11,000 143,000
44 NEFROFER AMP ampl 1 - - 1 -
45 NEUROSANBE ampl - - - - 5,170 -
46 NIFEDIPIN 10 MG tab 15 - - 15 129 1,935
47 OMEPRAZOLE tab 20 - - 20 408 8,160
48 ONDANSENTRON ampl 12 - - 12 7,000 84,000
49 PARACETAMOL tab 30 - - 30 165 4,950
50 PART A pcs 741 300 - 1,041 92,400 96,188,400
51 PLESTER COKLAT pcs - 2 - 2 -
52 RANITIDINE tab - - - - 3,465 -
53 RECORD / DIPHENHIDRIN ampl 1 - - 1 -
54 RECORDRIL ampl 1 - - 1 15,000 15,000
55 RENALIN dlm cc cc 3,635 - - 3,635 -
56 RIVANOL pcs 1 - - 1 1,815 1,815
57 SPUIT 1 cc pcs 5 - - 5 4,417 22,085
58 SPUIT 20 cc pcs 191 - - 191 1,070 204,370
59 SPUIT 3 cc pcs 122 200 - 322 3,207 1,032,654
60 SPUIT 5 cc pcs 50 - - 50 3,872 193,600
61 SULFAS ATROPIN ampl 10 - - 10 1,650 16,500
63 TRAMADOL 50 mg / 2 ml ampl 6 - - 6 6,396 38,376
64 VACU TENER MERAH pcs 90 - - 90 1,650 148,500
65 VACU TENER UNGU pcs 50 100 - 150 1,650 247,500
66 VALISANBE AMP ampl 10 - - 10 14,025 140,250
67 FISTULA 16 GA pcs 180 300 - 480 11,330 5,438,400
68 FISTULA 16 GV pcs 180 300 - 480 11,330 5,438,400
69 Nacl 100cc cc - 50 - 50 10,010 500,500
70
71
281,077,229