LAPORAN PENERIMAAN OBAT TAHUN 2018

BULAN
NO NAMA OBAT JAN FEB MAR APR MEI JUN JUL AGST SEPT OKT NOV DES TOTAL
1 Abbocat No. 18 0 50 50
2 Abbocat No.22 50 50 150 150 50 50 500
3 Abbocat No.24 50 0 100 50 50 50 300
4 Alat suntik sekali pakai 2,5 Ml 100 200 100 200 100 200 100 100 100 200 1400
5 Alat suntik sekali pakai 5 Ml 0 100 100
6 Allopurinol tablet 100 mg 0 0 500 700 1200
7 Alprazolam 0,5 0
8 Ambroxol Syrup 15 mg/60 ml 50 50 50 100 50 50 100 450
9 Ambroxol Tablet 30 Mg 700 1000 700 300 500 500 500 500 2000 6700
10 Aminophillin tablet 200 mg 0 0 100 100
11 Amitripthyllin Hcl tablet 25 Mg 0 100 100 200
12 amlodipin 10 mg 300 600 210 150 450 600 2310
13 Amlodipin 5 mg 0 300 300 300 300 300 600 2100
14 Amoxicillin 500 Mg 0 1000 700 500 1000 200 500 300 1000 5200
15 Amoxicillin Syrup Kering 125mg/60 ml 0 0 50 50
16 Andalan Injeksi 0
17 Antasida Doen Suspensi 100 50 100 50 100 100 50 550
18 Antasida Doen Tablet 600 800 600 1000 1500 1500 500 500 7000
19 anti bakteri DOEN salep / Bacitracin 0 10 10
20 antihemoroid 0 0 10 10
21 Antimigrain Ergotamin tablet 0 0 100 100
22 Asam Ascorbat (Vit.C) Tab 50 mg 100 100 300 100 500 200 1000 2300
23 asam folat 400 mcg 400 0 400
24 asam folat 1 mg 0 0 100 500 500 1100
25 Asam Asetil Sallisilat (Miniaspi) 0 100 100
26 Asam Mefenamat 500 Mg 0 1000 1500 1000 2000 1000 500 2000 1000 10000
27 Asiclovir Krim 5% 5 gr 10 20 20 10 10 70
28 Asiclovir Tablet 200 Mg 0 100 100 200
29 asiclovir tablet 400 Mg 0 0 100 300 200 600
30 atropin injeksi 0 0 20 20
31 atropin tablet 0.5 mg 0 0 100 100
32 beneuron tablet 500 500 1000 500 2500
33 Besi II sulfat Tambah Darah 0 0 3000 3000
34 Betahistin Mesilat 6 Mg 0 0 0
35 Betametason Krim 0,1% 5Gr 20 50 50 100 100 25 50 25 25 445
36 bisacodyl tablet 60 60 120
37 bisacodyl suppositoria 0 18 18
38 Bromhexin Tablet 8 Mg 0 0
39 Cat Gut (benang bedah) 0 24 24
40 cetirizine syr 0 0 60 60 60 60 50 100 390
41 ciprofloxacin tablet 200 100 200 100 300 100 200 500 1700
42 clobazam tab 0 0
43 curbion syr 60 50 50 50 100 50 100 460
44 Dexamethasone injeksi 0 30 20 50
45 Dexamethasone tablet 0,5 Mg 0 1000 1000 500 1000 1000 1000 5500
46 Diaform Tablet 0 0 500 500 1000
47 Diazepam 2 Mg Tablet 0 0
48 diltiazem tablet 100 0 100
49 dimenhydrinate 100 0 100 200
50 Diphenhydramin injeksi 0 0 0
51 Domperidon Suspensi 60 ml 0 0 50 50
52 Domperidon Tablet 800 500 1000 1000 500 300 500 4600
53 doxyxycline kapsul 0 500 500
54 Efinefrin Injeksi 0 5 10 15
55 Erytromicin Kaplet 500 mg 0 0 0
56 Erytromicin syr 0 0 0
57 Etakridin (Rivanol) 25 0 10 10 45
58 Etanol 70% 1 liter 2 5 5 4 10 26
59 ETANOL 70% 100 ML 0 0
60 Etanol 96% 1 liter 0 0
61 Etil Klorida semprot 0 5 5 5 15
62 Eugenol Cairan 0 0
63 Extrak Belladona Tablet 10 mg 0
64 Fenobarbital Injeksi 0 0 0
65 Fenobarbital Tablet 30 Mg 0 0 0
66 fenol gliserol 0
67 Fitomenadion Injeksi 0 0 10 20 20 50
68 Fitomenadion Tablet 0 100 200 500 800
69 Furosemid Tablet 100 200 200 200 700
70 furosemid injeksi 0 0 5 5 10 20
71 Garam Oralit 200 ml 0 0 100 100 200
72 Gentamicin Salap Kulit 3% 0 0 24 10 20 54
73 Gentamicin Tetes Mata 0 0 10 10
74 Gentian Violet 10 Ml 0 0 0
75 Glibenklamid 5 Mg 500 600 200 1000 400 300 300 3300
76 Glimepirid 2 mg 0 100 100
77 Gliserilguaiacolas Tablet 0 0 0
78 glucosa larutan infus 5% 20 40 40 20 40 20 180
79 Griseofulpin 125 MG tablet 0 0 0
80 H2O2 3% 0
81 Halloperidol 0,5 Mg 0 100 200 200 500
82 Halloperidol 1,5 Mg 0 0 0
83 Halloperidol 5 Mg 100 0 200 200 500
84 Hidrokortison Krim 2,5 % 0 0 48 48 96
85 Ibuprofen 200 mg 0 0 100 500 500 1100
86 Ibuprofen 400 mg 1200 800 1500 300 1000 4800
 87 Ibuprofen Suspensi 100 mg/5 ml 0 0 0
88 Ichtyol Salap 0 0 24 24
89 Illiadin tetes hidung 0 0 5 5 10
90 Infusion Set Anak 50 50 50 150
91 Infusion Set Dewasa 50 50 50 100 100 50 50 100 550
92 Isosorbiddinitrat sublingual 5 mg 0 100 100
93 isosorbiddinitrat sublingual 10 mg 0 0 0
94 Kalsium Laktas 0 500 300 500 1500 500 2000 5300
95 Kapas Adsorben 0 5 5 10
96 Kaptopril 12,5 Mg 300 100 400
97 Kaptopril 25 Mg 0 0 0
98 Karbamazepin Tablet 200 mg 0 0 0
99 Kasa Pembalut Hidrofil 4x15 50 100 50 100 100 100 200 50 750
100 Kasa Steril 16x16 0 50 50 100
101 karbogliseril tetes telinga 0 0 0
102 Ketokonazole Krim 0 0 50 10 60
103 Ketokonazole Tablet 200 mg 0 0 100 100
104 Klindamicin kapsul 150 mg 100 300 300 200 100 200 300 1500
105 Kloramfenikol Kapsul 250 Mg 0 0 200 200
106 Kloramfenikol Salap Mata 0 10 20 48 78
107 kloramfenikol salep kulit 10 10 20
108 Kloramfenikol Tetes Telinga 0 0 10 10 20 40
109 Klorpheniramin Maleat (CTM)4 mg 0 1000 500 1000 2000 4500
110 Klorpromazin 25 mg tablet 0 0 0
111 klorpromazin 100 mg tab 0 0 0
112 klorpromazin injeksi 0 0 0
113 kodein tablet 0 0 0
114 kolkisisn tablet 0 0 0
115 Kotrimoksazole suspensi 0 0 0
116 Kotrimoksazole Tablet 480 Mg 0 0 0
117 Lansoprazole kapsul 30 mg 0
118 Levertran Salap 0
119 Lidokain Injeksi Komp 0 0 30 210 90 60 30 420
120 Lisol 0 0
121 Loperamid 2 Mg 0 0 0
122 Loratadine 10 Mg tablet 700 1000 800 1000 300 300 1000 5100
123 Magnesium Sulfar Injeksi 1 1
124 Masker 200 100 150 150 200 200 200 100 400 1700
125 Metamphiron (Antalgin) Tablet 0 0 0
126 Metformin 500 mg tablet 0 0 100 100
127 metformin 850 mg tab 100 0 100
128 methylergometrin injeksi 0 0 5 5
129 Methylergometrin Maleat Tablet 0 0 0
130 Methylprednisolon tablet 4 mg 300 800 1000 1000 1000 4100
131 Metoklorpramid Sirup 5 mg/60 ml 0 0 60 60
132 Metoklorpramid Tablet 300 0 300
133 Metronidazole 500 Mg 300 300 300 200 1100
134 Mikonazole Krim 0 0 24 24
135 Natrium Bicarbonat tablet 0
136 Natrium Diklofenat 50 Mg 0 0 0
137 Natrium Klorida Larutan Infus 500 ml 20 80 40 40 120 20 60 40 100 520
138 neurodex tablet 0
139 Nifedipin tablet 10 Mg 0 0 100 100
140 nystatin tablet vagina 100 0 100 200
141 O B H sirup 0
142 O B P sirup 0
143 Ofloxacin tablet 200 mg 0
144 Oksitosin Injeksi 5 0 20 25
145 omeprazole injeksi 30 30 10 20 40 40 170
146 Omeprazole kapsul 20 mg 2100 2100 1020 1500 600 2100 450 2100 2100 14070
147 Oxytetrasiklin Salap Kulit 3% 0 0 25 25
148 Oxytetrasiklin Salap Mata 1% 0 0 0
149 Papaverin tablet 40 Mg 0
150 Paracetamol Drops 20 20
151 Parasetamol Syrup 120 mg/60 ml 0 100 50 50 100 300
152 Parasetamol tablet 100 mg 0 0
153 Parasetamol Tablet 500 mg 700 1000 500 1500 2000 3000 8700
154 Pil KB Levigest 0
155 Pil KB Lynestrenol 0
156 Piroxicam 20 mg 0 100 200 200 200 200 800 1700
157 Plester 5 yard 2 inc 0 6 6 6 12 30
158 Povidone Iodine 30 Ml 5 0 10 10 25
159 primakuin 0 0 0
160 Prednisone tablet 5 Mg 0 0 0
161 probenecid 0 0
162 Propiltiouracil 100 mg tablet 0 0
163 Propranolol Hcl 10 mg 0 0
164 propranolol Hcl 40 mg 0 0
165 Pyrantel tablet 125 mg 100 0 100 200
166 Pyridoxin hcl (vit.B6) tablet 0 0 0
167 Ranitidine Injeksi 25 mg/2 ml 40 60 100 30 150 50 100 50 60 200 50 890
168 Ranitidine Tablet 500 600 600 1000 500 500 1000 4700
169 Ringer Laktat Larutan Infus 500 Ml 100 60 100 60 200 60 140 100 140 180 100 1240
170 Risperidone tab 1 mg 0 0
171 safeglove exam M 0 0
172 safeglove exam S 500 200 600 200 1000 500 1000 4000
173 Salbutamol 2 Mg tablet 100 100 500 200 900
174 salbutamol 4 Mg tablet 0 500 200 200 900
175 salep 2-4 24 0 10 34
176 Salicyl Bedak 30 40 50 60 24 30 60 294
177 Sarung Tangan No. 7 50 100 100 200 450
178 Sarung Tangan No. 8 0 0
179 scabimite krim 20 0 30 30 80
180 Sefadroxil kapsul 500 Mg 0
181 Sefadroxil Syrup Kering 125 mg/60 ml 0
182 serum anti bisa ular polovalen inj (ABU II) 0 0
183 serum anti tetanus 1500 IU 0 0
184 Simvastatin 10 mg tablet 60 300 300 150 810
185 spironolactone 25 mg 0 0
186 sulfadiazine silver krim 0 10 10
187 Syanocobalamin (Vit.B12) injeksi 10 0 30 10 20 10 80
188 Syanocobalamin (Vit.B12)tablet 100 0 400 500
189 Tetrasiklin kapsul 250 Mg 0 0
190 Thiamfenikol Kapsul 500 mg 0 0
191 Thiamin Hcl (Vit.B1) Injeksi 0 0
192 Thiamin Hcl (Vit.B1)tablet 0 0
193 Trihexyphenidryl Hcl tablet 2 mg 200 0 100 100 200 600
194 Univit Syrup 0
195 Vitamin B Komplex Tablet 1300 1500 1500 1000 1500 6800
196 Zink Tablet 100 0 300 200 600
197 zinkid syr 15 0 50 50 115
198 obat suntik KB II 0
LAPORAN PENGELUARAN OBAT 2018

BULAN
NO NAMA OBAT JAN FEB MAR APR MEI JUN
1 Abbocat No. 18
2 Abbocat No.22
3 Abbocat No.24
4 Alat suntik sekali pakai 2,5 Ml
5 Alat suntik sekali pakai 5 Ml
6 Allopurinol tablet 100 mg
7 Alprazolam 0,5
8 Ambroxol Syrup 15 mg/60 ml
9 Ambroxol Tablet 30 Mg
10 Aminophillin tablet 200 mg
11 Amitripthyllin Hcl tablet 25 Mg
12 amlodipin 10 mg
13 Amlodipin 5 mg
14 Amoxicillin 500 Mg
15 Amoxicillin Syrup Kering 125mg/60 ml
16 Andalan Injeksi
17 Antasida Doen Suspensi
18 Antasida Doen Tablet
19 anti bakteri DOEN salep / Bacitracin
20 antihemoroid
21 Antimigrain Ergotamin tablet
22 Asam Ascorbat (Vit.C) Tab 50 mg
23 asam folat 400 mcg
24 Asam Mefenamat 500 Mg
25 Asiclovir Krim 5% 5 gr
26 Asiclovir Tablet 200 Mg
Asiclovir tablet 400 mg
27 atropin injeksi
28 atropin tablet 0.5 mg
beneuron tab
29 Besi II sulfat Tambah Darah
30 Betahistin Mesilat 6 Mg
31 Betametason Krim 0,1% 5Gr
32 bisacodyl tablet
bisacodyl suppositoria
33 Bromhexin Tablet 8 Mg
34 Cat Gut (benang bedah)
35 cetirizine syr
36 ciprofloxacin tablet
37 clobazam tab
38 curbion syr
39 Dexamethasone injeksi
40 Dexamethasone tablet 0,5 Mg
41 Diaform Tablet
42 Diazepam 2 Mg Tablet
43 diltiazem tablet
44 dimenhydrinate
45 Diphenhydramin injeksi
46 Domperidon Suspensi 60 ml
47 Domperidon Tablet
48 Efinefrin Injeksi
49 Erytromicin Kaplet 500 mg
50 Erytromicin syr
51 Etakridin (Rivanol)
52 Etanol 70% 1 liter
53 ETANOL 70% 100 ML
54 Etanol 96% 1 liter
55 Etil Klorida semprot
56 Eugenol Cairan
57 Extrak Belladona Tablet 10 mg
58 Fenobarbital Injeksi
59 Fenobarbital Tablet 30 Mg
60 Fenol Gliserol
61 Fitomenadion Injeksi
62 Fitomenadion Tablet
63 Furosemid Tablet
64 Garam Oralit 200 ml
65 Gentamicin Salap Kulit 3%
66 Gentamicin Tetes Mata
67 Gentian Violet 10 Ml
68 Glibenklamid 5 Mg
69 Gliserilguaiacolas Tablet
70 glucosa larutan infus 5%
71 Griseofulpin 125 MG tablet
72 H2O2 3%
73 Halloperidol 0,5 Mg
74 Halloperidol 1,5 Mg
75 Halloperidol 5 Mg
76 Hidrokortison Krim 2,5 %
77 Ibuprofen 200 mg
78 Ibuprofen 400 mg
79 Ibuprofen Suspensi 100 mg/5 ml
80 Ichtyol Salap
illiadin tetes hidung
81 Infusion Set Anak
82 Infusion Set Dewasa
83 Isosorbiddinitrat sublingual
84 Kalsium Laktas
85 Kapas Adsorben
86 Kaptopril 12,5 Mg
87 Kaptopril 25 Mg
88 Karbamazepin Tablet 200 mg
89 Kasa Pembalut Hidrofil 4x15
90 Kasa Steril 16x16
91 Ketokonazole Krim
92 Ketokonazole Tablet 200 mg
93 Klindamicin kapsul 150 mg
95 Kloramfenikol Kapsul 250 Mg
kloramfenikol salep kulit
96 Kloramfenikol Salap Mata
97 Kloramfenikol Tetes Telinga
98 Klorpheniramin Maleat (CTM)4 mg
99 Klorpromazin 25 mg tablet
100 klorpromazin 100 mg tabl
101 Kotrimoksazole suspensi
102 Kotrimoksazole Tablet 480 Mg
103 Lansoprazole kapsul 30 mg
104 Levertran Salap
105 Lidokain Injeksi Komp
106 Lisol
107 Loperamid 2 Mg
108 Loratadine 10 Mg tablet
109 Masker
110 Metamphiron (Antalgin) Tablet
111 Metformin 500 mg tablet
112 metformin 850 mg tab
113 methylergometrin injeksi
114 Methylergometrin Maleat Tablet
115 Methylprednisolon tablet 4 mg
116 Metoklorpramid Sirup 5 mg/60 ml
117 Metoklorpramid Tablet
118 Metronidazole 500 Mg
119 Mikonazole Krim
120 Natrium Bicarbonat tablet
121 Natrium Diklofenat 50 Mg
122 Natrium Klorida Larutan Infus 500 ml
123 neurodex tablet
124 Nifedipin tablet 10 Mg
125 nystatin tablet vagina
126 O B H sirup
127 O B P sirup
128 Ofloxacin tablet 200 mg
129 Oksitosin Injeksi
130 omeprazole injeksi
131 Omeprazole kapsul 20 mg
132 Oxytetrasiklin Salap Kulit 3%
133 Oxytetrasiklin Salap Mata 1%
134 Papaverin tablet 40 Mg
135 Parasetamol Syrup 120 mg/60 ml
136 Parasetamol tablet 100 mg
137 Parasetamol Tablet 500 mg
138 Pil KB Levigest
139 Pil KB Lynestrenol
140 Piroxicam 20 mg
141 Plester 5 yard 2 inc
142 Povidone Iodine 30 Ml
143 Prednisone tablet 5 Mg
144 probenecid
145 Propiltiouracil 100 mg tablet
146 Propranolol Hcl 10 mg
147 Pyrantel tablet 125 mg
148 Pyridoxin hcl (vit.B6) tablet
149 Ranitidine Injeksi 25 mg/2 ml
150 Ranitidine Tablet
151 Ringer Laktat Larutan Infus 500 Ml
152 risperidon 1mg
153 safeglove exam M
154 safeglove exam S
155 Salbutamol 2 Mg tablet
156 Salicyl Bedak
salep 2-4
157 Sarung Tangan steril No 7
158 Sarung Tangan steril No 8
159 Scabimite krim
160 Sefadroxil kapsul 500 Mg
161 Sefadroxil Syrup Kering 125 mg/60 ml
162 serum anti bisa ular polovalen inj (ABU II)
163 serum anti tetanus 1500 IU
164 Simvastatin 10 mg tablet
165 spironolactone 25 mg
166 sulfadiazine silver krim
167 Syanocobalamin (Vit.B12) injeksi
168 Syanocobalamin (Vit.B12)tablet
169 Tetrasiklin kapsul 250 Mg
170 Thiamfenikol Kapsul 500 mg
171 Thiamin Hcl (Vit.B1) Injeksi
172 Thiamin Hcl (Vit.B1)tablet
173 Trihexyphenidryl Hcl tablet 2 mg
174 Univit Syrup
175 Vitamin B Komplex Tablet
176 Zink Tablet
177 zinkid syr
178 Obat Suntik KB
BULAN
JUL AGST SEPT OKT NOV DES TOTAL
 LAPORAN PEMAKAIAN OBAT TAHUN 2018

BULAN
NO NAMA OBAT JAN FEB MAR APR MEI JUN JUL AGST SEPT OKT NOV DES TOTAL
1 Abbocat No. 18 17 12 29
2 Abbocat No.22 51 20 29 50 10 140 50 50 50 50 500
3 Abbocat No.24 20 80 50 2 24 74 49 50 349
4 Alat suntik sekali pakai 2,5 Ml 115 55 168 57 69 100 203 70 130 221 179 107 1474
5 Alat suntik sekali pakai 5 Ml 20 20 27 1 125 1 21 100 5 1 321
6 Allopurinol tablet 100 mg 70 94 184 36 70 60 190 180 112 290 274 80 1640
7 Alprazolam 0,5 0 0
8 Ambroxol Syrup 15 mg/60 ml 48 36 29 16 20 18 36 46 46 55 63 39 452
9 Ambroxol Tablet 30 Mg 690 560 330 300 220 452 503 560 512 904 614 300 5945
10 Aminophillin tablet 200 mg 0 0
11 Amitripthyllin Hcl tablet 25 Mg 230 230
12 amlodipin 10 mg 307 93 210 107 130 370 110 70 95 348 100 220 2160
13 Amlodipin 5 mg 658 30 60 71 69 230 127 255 366 496 230 210 2802
14 Amoxicillin 500 Mg 482 423 423 538 252 462 344 617 316 848 607 310 5622
15 Amoxicillin Syrup Kering 125mg/60 ml 3 7 15 16 1 3 7 11 13 15 11 9 111
16 Andalan Injeksi 0 0
17 Antasida Doen Suspensi 39 64 36 82 101 51 57 50 56 14 550
18 Antasida Doen Tablet 561 360 930 1310 980 492 494 579 633 822 7161
19 anti bakteri DOEN salep / Bacitracin 31 3 1 1 2 3 41
20 antihemoroid 0 2 1 7 10
21 Antimigrain Ergotamin tablet 0 11 1 20 20 5 43 100
22 Asam Ascorbat (Vit.C) Tab 50 mg 187 84 80 341 55 184 42 19 130 452 278 295 2147
23 asam folat 400 mcg 70 40 70 170 50 400
24 asam folat 1 mg 0 60 50 210 320
25 Asam Asetil Sallisilat (Miniaspi) 0 0
26 Asam Mefenamat 500 Mg 740 765 960 920 655 747 733 615 1880 846 1352 600 10813
27 Asiclovir Krim 5% 5 gr 9 9 4 4 6 1 1 3 13 7 6 9 72
28 Asiclovir Tablet 200 Mg 60 50 30 25 84 55 142 165 611
29 asiclovir tablet 400 Mg 0 100 170 60 330
30 atropin injeksi 0 0 3 5 10 1 19
31 atropin tablet 0.5 mg 0 100 100 0 200
32 beneuron tablet 0 240 86 666 303 195 650 2140
33 Besi II sulfat Tambah Darah 130 310 470 100 690 180 290 6 320 460 60 70 3086
34 Betahistin Mesilat 6 Mg 0 0 0
35 Betametason Krim 0,1% 5Gr 18 22 57 79 11 35 23 11 41 36 38 51 422
36 bisacodyl tablet 52 18 9 21 50 150
37 bisacodyl suppositoria 0 1 11 2 4 0 18
38 Bromhexin Tablet 8 Mg 0 0 0
39 Cat Gut (benang bedah) 0 12 10 2 24
40 cetirizine syr 21 19 32 27 9 27 58 45 29 80 67 38 452
41 ciprofloxacin tablet 107 50 122 130 180 120 194 150 161 178 186 80 1658
42 clobazam tab 0
43 curbion syr 61 44 55 23 24 26 36 30 40 20 23 38 420
44 Dexamethasone injeksi 36 8 10 10 10 33 107
45 Dexamethasone tablet 0,5 Mg 575 610 142 148 436 270 945 316 485 805 514 290 5536
46 Diaform Tablet 40 46 218 134 60 180 81 126 149 140 146 180 1500
47 Diazepam 2 Mg Tablet 0
48 diltiazem tablet 0
49 dimenhydrinate 15 18 10 25 68
50 Diphenhydramin injeksi 5 5
51 Domperidon Suspensi 60 ml 16 6 7 13 3 3 7 10 5 25 5 4 104
52 Domperidon Tablet 425 650 310 220 680 243 213 430 220 495 395 462 4743
53 doxyxycline kapsul 0
54 Efinefrin Injeksi 1 4 5
55 Erytromicin Kaplet 500 mg 0
56 Erytromicin syr 1 1 2
57 Etakridin (Rivanol) 3 5 2 4 3 11 2 1 31
58 Etanol 70% 1 liter 2 1 1 2 2 3 3 2 4 4 3 27
59 ETANOL 70% 100 ML 0
60 Etanol 96% 1 liter 0
61 Etil Klorida semprot 2 2 1 2 1 3 2 13
62 Eugenol Cairan 1 1
63 Extrak Belladona Tablet 10 mg 0
64 Fenobarbital Injeksi 0
65 Fenobarbital Tablet 30 Mg 600 600
66 fenol gliserol 0
67 Fitomenadion Injeksi 10 10 10 10 10 50
68 Fitomenadion Tablet 39 38 19 33 131 265 30 25 34 35 85 37 771
69 Furosemid Tablet 98 20 32 20 8 27 37 23 27 194 115 102 703
70 furosemid injeksi 5 5 10 20
 71 Garam Oralit 200 ml 3 47 37 10 10 107
72 Gentamicin Salap Kulit 3% 5 10 4 10 5 10 6 50
73 Gentamicin Tetes Mata 3 1 1 1 2 1 1 1 11
74 Gentian Violet 10 Ml 1 1 2 1 2 2 9
75 Glibenklamid 5 Mg 320 130 210 411 157 60 315 301 372 355 430 325 3386
76 Glimepirid 2 mg 20 20
77 Gliserilguaiacolas Tablet 90 410 30 40 10 114 39 179 104 1016
78 glucosa larutan infus 5% 20 20 20 20 40 40 160
79 Griseofulpin 125 MG tablet 10 60 20 100 190
80 H2O2 3% 0
81 Halloperidol 0,5 Mg 280 200 20 7 507
82 Halloperidol 1,5 Mg 40 40
83 Halloperidol 5 Mg 50 35 116 200 401
84 Hidrokortison Krim 2,5 % 4 4 6 6 2 4 6 8 6 46
85 Ibuprofen 200 mg 10 30 40 10 20 48 165 80 2 299 40 744
86 Ibuprofen 400 mg 831 875 463 354 492 398 1353 445 5 5216
87 Ibuprofen Suspensi 100 mg/5 ml 0
88 Ichtyol Salap 3 1 2 1 1 4 3 2 17
89 Illiadin tetes hidung 1 2 3
90 Infusion Set Anak 10 40 52 13 0 115
91 Infusion Set Dewasa 2 33 30 40 34 86 40 51 49 52 50 33 500
92 Isosorbiddinitrat sublingual 5 mg 0
93 isosorbiddinitrat sublingual 10 mg 0
94 Kalsium Laktas 420 370 431 389 400 160 290 220 1876 500 510 490 6056
95 Kapas Adsorben 1 3 2 3 2 2 1 14
96 Kaptopril 12,5 Mg 40 642 518 1200
97 Kaptopril 25 Mg 20 30 50 100 100 20 10 20 350
98 Karbamazepin Tablet 200 mg 10 0 60 70
99 Kasa Pembalut Hidrofil 4x15 45 40 81 29 25 15 10 180 75 13 6 50 569
100 Kasa Steril 16x16 2 2 8 6 16 30 5 10 35 23 137
101 karbogliseril tetes telinga 0
102 Ketokonazole Krim 7 14 4 0 16 6 6 7 10 12 10 92
103 Ketokonazole Tablet 200 mg 20 20 30 52 10 51 52 50 285
104 Klindamicin kapsul 150 mg 186 208 74 22 80 186 158 184 90 68 100 1356
105 Kloramfenikol Kapsul 250 Mg 40 20 200 100 20 380
106 Kloramfenikol Salap Mata 4 4 43 9 4 8 2 8 7 3 3 95
107 kloramfenikol salep kulit 1 3 1 1 6
108 Kloramfenikol Tetes Telinga 5 3 20 2 1 2 2 2 5 4 4 50
109 Klorpheniramin Maleat (CTM)4 mg 656 625 867 639 561 552 43 3943
110 Klorpromazin 25 mg tablet 0
111 klorpromazin 100 mg tab 10 30 235 275
112 klorpromazin injeksi 0
113 kodein tablet 0
114 kolkisisn tablet 0
115 Kotrimoksazole suspensi 1 1 1 11 14
116 Kotrimoksazole Tablet 480 Mg 9 54 6 10 190 269
117 Lansoprazole kapsul 30 mg 0
118 Levertran Salap 0
119 Lidokain Injeksi Komp 50 30 30 60 90 60 60 30 410
120 Lisol 0
121 Loperamid 2 Mg 20 10 100 70 200
122 Loratadine 10 Mg tablet 620 321 318 395 362 469 311 15 166 585 149 220 3931
123 Magnesium Sulfar Injeksi 0
124 Masker 145 101 58 51 111 200 279 101 9 190 265 138 1648
125 Metamphiron (Antalgin) Tablet 0
126 Metformin 500 mg tablet 10 40 7 20 63 15 30 185
127 metformin 850 mg tab 0 100 100
128 methylergometrin injeksi 4 4
129 Methylergometrin Maleat Tablet 0
130 Methylprednisolon tablet 4 mg 586 450 350 316 360 500 294 110 515 353 380 4214
131 Metoklorpramid Sirup 5 mg/60 ml 0 0
132 Metoklorpramid Tablet 16 284 300
133 Metronidazole 500 Mg 134 37 80 52 257 56 40 20 167 90 60 993
134 Mikonazole Krim 2 1 52 2 4 61
135 Natrium Bicarbonat tablet 0
136 Natrium Diklofenat 50 Mg 10 20 10 10 50 100
137 Natrium Klorida Larutan Infus 500 ml 70 20 40 60 40 20 60 20 60 40 60 490
138 neurodex tablet 0
139 Nifedipin tablet 10 Mg 10 7 205 100 322
140 nystatin tablet vagina 14 14 54 82
141 O B H sirup 0
142 O B P sirup 0
143 Ofloxacin tablet 200 mg 0
144 Oksitosin Injeksi 10 9 6 25
145 omeprazole injeksi 30 10 20 20 30 40 150
146 Omeprazole kapsul 20 mg 1298 1300 925 750 626 616 1572 696 1510 1760 1645 1302 14000
147 Oxytetrasiklin Salap Kulit 3% 6 11 6 2 1 1 27
148 Oxytetrasiklin Salap Mata 1% 1 1
149 Papaverin tablet 40 Mg 0
150 Parasetamol Syrup 120 mg/60 ml 67 50 49 66 39 105 19 395
151 Parasetamol tablet 100 mg 0
152 Parasetamol Tablet 500 mg 944 792 405 597 597 600 200 1169 1967 1177 812 9260
153 Pil KB Levigest 0
154 Pil KB Lynestrenol 0
155 Piroxicam 20 mg 250 110 180 60 100 30 327 80 82 158 300 60 1737
156 Plester 5 yard 2 inc 1 1 1 1 3 1 4 8 1 6 27
157 Povidone Iodine 30 Ml 11 4 2 3 3 3 5 14 45
158 primakuin 0
159 Prednisone tablet 5 Mg 230 56 112 398
160 probenecid 0
161 Propiltiouracil 100 mg tablet 0
162 Propranolol Hcl 10 mg 0
163 propranolol Hcl 40 mg 0
164 Pyrantel tablet 125 mg 4 16 8 4 1 33
165 Pyridoxin hcl (vit.B6) tablet 40 360 100 500
166 Ranitidine Injeksi 25 mg/2 ml 60 90 40 60 50 70 100 70 60 100 100 100 900
167 Ranitidine Tablet 610 350 91 141 250 500 282 546 90 297 366 40 3563
168 Ringer Laktat Larutan Infus 500 Ml 140 80 80 80 80 80 140 100 80 160 140 180 1340
169 Risperidone tab 1 mg 0
170 safeglove exam M 206 90 296
171 safeglove exam S 200 316 204 310 300 370 230 300 270 410 290 300 3500
172 Salbutamol 2 Mg tablet 83 180 140 100 50 5 15 44 108 64 110 899
173 salbutamol 4 Mg tablet 258 35 100 10 100 503
174 salep 2-4 5 2 2 5 10 5 29
175 Salicyl Bedak 19 24 34 24 8 11 11 9 29 39 38 21 267
176 Sarung Tangan No. 7 42 15 16 26 10 10 133 19 63 18 32 384
177 Sarung Tangan No. 8 0
178 scabimite krim 13 8 15 7 43
179 Sefadroxil kapsul 500 Mg 1 1
180 Sefadroxil Syrup Kering 125 mg/60 ml 0
181 serum anti bisa ular polovalen inj (ABU II) 2 2
182 serum anti tetanus 1500 IU 2 2
183 Simvastatin 10 mg tablet 217 150 210 110 400 1087
184 spironolactone 25 mg 10 10
185 sulfadiazine silver krim 1 1 1 3 6
186 Syanocobalamin (Vit.B12) injeksi 10 30 10 20 10 80
187 Syanocobalamin (Vit.B12)tablet 60 0 10 100 100 400 130 10 20 830
188 Tetrasiklin kapsul 250 Mg 110 110
189 Thiamfenikol Kapsul 500 mg 24 128 20 30 50 252
190 Thiamin Hcl (Vit.B1) Injeksi 7 7
191 Thiamin Hcl (Vit.B1)tablet 110 100 10 10 10 10 30 10 290
192 Trihexyphenidryl Hcl tablet 2 mg 61 40 50 26 20 197
193 Univit Syrup 0
194 Vitamin B Komplex Tablet 1147 1128 816 827 700 697 967 747 5 7034
195 Zink Tablet 20 130 550 30 730
196 zinkid syr 2 2 10 1 17 10 2 15 3 3 9 74
197 obat suntik KB II 0
 LAMPIRAN BERITA ACARA PEMERIKSAAN FISIK PERSEDIAAN OBAT TAHUN 2018

NAMA PUSKESMAS : ATU LINTANG

NAMA PERSEDIAAN : OBAT DAN BMHP

SALDO AWAL PENERIMAAN PENGELUARAN SALDO AKHIR HASIL CEK ONAME AKHIR TAHUN Selisih (Rp)
NO NAMA OBAT JUMLAH JUMLAH HARGA JUMLAH HARGA JUMLAH HARGA JUMLAH HARGA Saldo Akhir
HARGA SATUAN JUMLAH JUMLAH JUMLAH JUMLAH JUMLAH
BARANG BARANG SATUAN BARANG SATUAN BARANG SATUAN BARANG SATUAN Cek- Opname
1 Abbocat No. 18 37 Rp 8,225 Rp 304,325 50 Rp 8,225 Rp 411,250 29 Rp 8,225 Rp 238,525 58 Rp 8,225 Rp 477,050 58 Rp 8,225 Rp 477,050 Rp -
2 Abbocat No.22 50 Rp 8,225 Rp 411,250 500 Rp 8,225 Rp 4,112,500 500 Rp 8,225 Rp 4,112,500 50 Rp 8,225 Rp 411,250 50 Rp 8,225 Rp 411,250 Rp -
3 Abbocat No.24 50 Rp 8,225 Rp 411,250 300 Rp 8,225 Rp 2,467,500 350 Rp 8,225 Rp 2,878,750 0 Rp 8,225 Rp - 0 Rp 8,225 Rp - Rp -
4 Alat suntik sekali pakai 2,5 Ml 167 Rp 748 Rp 124,833 1400 Rp 969.375 Rp 1,357,125 1474 Rp 969.375 Rp 1,428,859 93 Rp 969.375 Rp 53,099 93 Rp 969.375 Rp 90,152 Rp (37,053)
5 Alat suntik sekali pakai 5 Ml 350 Rp 979 Rp 342,563 100 Rp 978.750 Rp 97,875 321 Rp 978.750 Rp 314,179 129 Rp 978.750 Rp 126,259 129 Rp 978.750 Rp 126,259 Rp -
6 Allopurinol tablet 100 mg 1024 Rp 90 Rp 92,160 1200 Rp 90 Rp 108,000 1640 Rp 90 Rp 147,600 584 Rp 90 Rp 52,560 584 Rp 90 Rp 52,560 Rp -
7 Alprazolam 0,5 0 Rp 435 Rp - 0 Rp 435 Rp - 0 Rp 435 Rp - 0 Rp 435 Rp - 0 Rp 435 Rp - Rp -
8 Asam Asetil Salisilat 0 Rp 94 Rp - 100 Rp 94 Rp 9,400 0 Rp 94 Rp - 100 Rp 94 Rp 9,400 100 Rp 94 Rp 9,400 Rp -
9 Ambroxol Syrup 15 mg/60 ml 60 Rp 3,630 Rp 217,800 450 Rp 17,600 Rp 7,920,000 452 Rp 17,600 Rp 7,955,200 58 Rp 17,600 Rp 182,600 58 Rp 17,600 Rp 1,020,800 Rp (838,200)
10 Ambroxol Tablet 30 Mg 715 Rp 770 Rp 550,550 6700 Rp 770 Rp 5,159,000 5945 Rp 770 Rp 4,577,650 1470 Rp 770 Rp 1,131,900 1470 Rp 770 Rp 1,131,900 Rp -
11 Aminophillin tablet 200 mg 0 Rp 86 Rp - 100 Rp 97 Rp 9,700 0 Rp 97 Rp - 100 Rp 97 Rp 9,700 100 Rp 97 Rp 9,700 Rp -
12 Amitripthyllin Hcl tablet 25 Mg 230 Rp 397 Rp 91,310 200 Rp 397 Rp 79,400 230 Rp 397 Rp 91,310 200 Rp 397 Rp 79,400 200 Rp 397 Rp 79,400 Rp -
13 amlodipin 10 mg 150 Rp 107 Rp 16,050 2310 Rp 86.333 Rp 199,430 2160 Rp 86.333 Rp 186,480 300 Rp 86.333 Rp 29,000 300 Rp 86.333 Rp 25,900 Rp 3,100
14 Amlodipin 5 mg 1015 Rp 90 Rp 91,350 2100 Rp 74 Rp 155,400 2802 Rp 74 Rp 207,348 313 Rp 74 Rp 39,402 313 Rp 74 Rp 23,162 Rp 16,240
15 Amoxicillin 500 Mg 920 Rp 191 Rp 175,720 5200 Rp 245 Rp 1,274,000 5622 Rp 245 Rp 1,377,390 498 Rp 245 Rp 72,330 498 Rp 245 Rp 122,010 Rp (49,680)
16 Amoxicillin Syrup Kering 125mg/60 ml 92 Rp 1,920 Rp 176,640 50 Rp 1,920 Rp 96,000 111 Rp 1,920 Rp 213,120 31 Rp 1,920 Rp 59,520 31 Rp 1,920 Rp 59,520 Rp -
17 Andalan Injeksi 0 Rp 6,500 Rp - 0 Rp 6,500 Rp - 0 Rp 6,500 Rp - 0 Rp 6,500 Rp - 0 Rp 6,500 Rp - Rp -
18 Antasida Doen Suspensi 0 Rp 7,590 Rp - 550 Rp 7,590 Rp 4,174,500 550 Rp 7,590 Rp 4,174,500 0 Rp 7,590 Rp - 0 Rp 7,590 Rp - Rp -
19 Antasida Doen Tablet 161 Rp 78 Rp 12,558 7000 Rp 64 Rp 448,000 7161 Rp 64 Rp 458,304 0 Rp 64 Rp 2,254 0 Rp 64 Rp - Rp 2,254
20 anti bakteri DOEN salep 31 Rp 3,365 Rp 104,315 10 Rp 3,365 Rp 33,650 41 Rp 3,365 Rp 137,965 0 Rp 3,365 Rp - 0 Rp 3,365 Rp - Rp -
21 antihemoroid 10 Rp 3,502 Rp 35,020 10 Rp 3,502 Rp 35,020 10 Rp 3,502 Rp 35,020 10 Rp 3,502 Rp 35,020 10 Rp 3,502 Rp 35,020 Rp -
22 Antimigrain Ergotamin tablet 0 Rp 197 Rp - 100 Rp 149 Rp 14,900 100 Rp 149 Rp 14,900 0 Rp 149 Rp - 0 Rp 149 Rp - Rp -
23 Asam Ascorbat (Vit.C) Tab 50 mg 392 Rp 120 Rp 47,040 2300 Rp 120 Rp 276,000 2147 Rp 120 Rp 257,640 545 Rp 120 Rp 65,400 545 Rp 120 Rp 65,400 Rp -
24 Asam Folat 1 mg 0 Rp 81 Rp - 1100 Rp 81 Rp 89,100 450 Rp 81 Rp 36,450 650 Rp 81 Rp 52,650 650 Rp 81 Rp 52,650 Rp -
25 asam folat 400 mcg 0 Rp 104 Rp - 400 Rp 104 Rp 41,600 400 Rp 104 Rp 41,600 0 Rp 104 Rp - 0 Rp 104 Rp - Rp -
26 Asam Mefenamat 500 Mg 1015 Rp 102 Rp 103,530 10000 Rp 102 Rp 1,020,000 10813 Rp 102 Rp 1,102,926 202 Rp 102 Rp 20,604 202 Rp 102 Rp 20,604 Rp -
27 Asiclovir Krim 5% 5 gr 11 Rp 11,000 Rp 121,000 70 Rp 9,926 Rp 694,820 72 Rp 9,926 Rp 714,672 9 Rp 9,926 Rp 101,148 9 Rp 9,926 Rp 89,334 Rp 11,814
28 Asiclovir Tablet 200 Mg 418 Rp 272 Rp 113,696 200 Rp 770 Rp 154,000 611 Rp 770 Rp 470,470 7 Rp 770 Rp (202,774) 7 Rp 770 Rp 5,390 Rp (208,164)
29 Asiklovir Tablet 400 mg 0 Rp 354 Rp - 500 Rp 354 Rp 177,000 230 Rp 354 Rp 81,420 270 Rp 354 Rp 95,580 270 Rp 354 Rp 95,580 Rp -
30 atropin injeksi 8 Rp 1,540 Rp 12,320 20 Rp 1,540 Rp 30,800 19 Rp 1,540 Rp 29,260 9 Rp 1,540 Rp 13,860 9 Rp 1,540 Rp 13,860 Rp -
31 atropin tablet 0.5 mg 100 Rp 81 Rp 8,100 100 Rp 81 Rp 8,100 200 Rp 81 Rp 16,200 0 Rp 81 Rp - 0 Rp 81 Rp - Rp -
32 Besi II sulfat Tambah Darah 1600 Rp 406 Rp 649,600 3000 Rp 406 Rp 1,218,000 3086 Rp 406 Rp 1,252,916 1514 Rp 406 Rp 614,684 1514 Rp 406 Rp 614,684 Rp -
33 Betahistin Mesilat 6 Mg 0 Rp 116 Rp - 0 Rp 116 Rp - 0 Rp 116 Rp - 0 Rp 116 Rp - 0 Rp 116 Rp - Rp -
34 Betametason Krim 0,1% 5Gr 3 Rp 1,450 Rp 4,350 445 Rp 1,373 Rp 610,985 422 Rp 1,373 Rp 579,406 26 Rp 1,373 Rp 35,929 26 Rp 1,373 Rp 35,698 Rp 231
35 Beneuron Tablet 0 Rp 770 Rp - 2500 Rp 770 Rp 1,925,000 2140 Rp 770 Rp 1,647,800 360 Rp 770 Rp 277,200 360 Rp 770 Rp 277,200 Rp -
36 bisacodyl tablet 90 Rp 317 Rp 28,530 120 Rp 317 Rp 38,040 150 Rp 317 Rp 47,550 60 Rp 317 Rp 19,020 60 Rp 317 Rp 19,020 Rp -
37 Bromhexin Tablet 8 Mg 0 Rp 42 Rp - 0 Rp 42 Rp - 0 Rp 42 Rp - 0 Rp 42 Rp - 0 Rp 42 Rp - Rp -
38 Cat Gut (benang bedah) 12 Rp 27,000 Rp 324,000 24 Rp 27,000 Rp 648,000 24 Rp 27,000 Rp 648,000 12 Rp 27,000 Rp 324,000 12 Rp 27,000 Rp 324,000 Rp -
39 cetirizine syr 84 Rp 3,300 Rp 277,200 390 Rp 3,300 Rp 1,287,000 452 Rp 3,300 Rp 1,491,600 22 Rp 3,300 Rp 72,600 22 Rp 3,300 Rp 72,600 Rp -
40 ciprofloxacin tablet 364 Rp 298 Rp 108,472 1700 Rp 298 Rp 506,600 1658 Rp 298 Rp 494,084 406 Rp 298 Rp 120,988 406 Rp 298 Rp 120,988 Rp -
41 clobazam tab 0 Rp 980 Rp - 0 Rp 980 Rp - 0 Rp 980 Rp - 0 Rp 980 Rp - 0 Rp 980 Rp - Rp -
42 curbion syr 44 Rp 17,000 Rp 748,000 460 Rp 17,000 Rp 7,820,000 420 Rp 17,000 Rp 7,140,000 84 Rp 17,000 Rp 1,428,000 84 Rp 17,000 Rp 1,428,000 Rp -
43 Dexamethasone injeksi 75 Rp 1,805 Rp 135,375 50 Rp 1,210 Rp 60,500 107 Rp 1,210 Rp 129,470 18 Rp 1,210 Rp 66,405 18 Rp 1,210 Rp 21,780 Rp 44,625
44 Dexamethasone tablet 0,5 Mg 876 Rp 45 Rp 39,420 5500 Rp 34 Rp 187,000 5536 Rp 34 Rp 188,224 840 Rp 34 Rp 38,196 840 Rp 34 Rp 28,560 Rp 9,636
45 Diaform Tablet 500 Rp 220 Rp 110,000 1000 Rp 225 Rp 225,000 1500 Rp 225 Rp 337,500 0 Rp 225 Rp (2,500) 0 Rp 225 Rp - Rp (2,500)
46 Diazepam 2 Mg Tablet 0 Rp 46 Rp - 0 Rp 46 Rp - 0 Rp 46 Rp - 0 Rp 46 Rp - 0 Rp 46 Rp - Rp -
47 Digoxin 0 Rp 130 Rp - 0 Rp 130 Rp - 0 Rp 130 Rp - 0 Rp 130 Rp - 0 Rp 130 Rp - Rp -
48 diltiazem tablet 80 Rp 137 Rp 10,960 100 Rp 137 Rp 13,700 0 Rp 137 Rp - 180 Rp 137 Rp 24,660 180 Rp 137 Rp 24,660 Rp -
49 dimenhydrinate 0 Rp 114 Rp - 200 Rp 114 Rp 22,800 68 Rp 114 Rp 7,752 132 Rp 114 Rp 15,048 132 Rp 114 Rp 15,048 Rp -
50 Diphenhydramin injeksi 5 Rp 1,355 Rp 6,775 0 Rp 1,262 Rp - 5 Rp 1,262 Rp 6,310 0 Rp 1,262 Rp 465 0 Rp 1,262 Rp - Rp 465
51 Domperidon Suspensi 60 ml 99 Rp 3,180 Rp 314,820 50 Rp 2,862 Rp 143,100 104 Rp 2,862 Rp 297,648 45 Rp 2,862 Rp 160,272 45 Rp 2,862 Rp 128,790 Rp 31,482
52 Domperidon Tablet 318 Rp 116 Rp 36,888 4600 Rp 86 Rp 395,600 4743 Rp 86 Rp 407,898 175 Rp 86 Rp 24,590 175 Rp 86 Rp 15,050 Rp 9,540
53 Efinefrin Injeksi 0 Rp 1,848 Rp - 15 Rp 1,518 Rp 22,770 5 Rp 1,518 Rp 7,590 10 Rp 1,518 Rp 15,180 10 Rp 1,518 Rp 15,180 Rp -
 54 Erytromicin Kaplet 500 mg 0 Rp 1,250 Rp - 0 Rp 1,250 Rp - 0 Rp 1,250 Rp - 0 Rp 1,250 Rp - 0 Rp 1,250 Rp - Rp -
55 Erytromicin syr 19 Rp 10,700 Rp 203,300 0 Rp 10,700 Rp - 2 Rp 10,700 Rp 21,400 17 Rp 10,700 Rp 181,900 17 Rp 10,700 Rp 181,900 Rp -
56 Etakridin (Rivanol) 0 Rp 3,060 Rp - 45 Rp 3,600 Rp 162,000 31 Rp 3,600 Rp 111,600 14 Rp 3,600 Rp 50,400 14 Rp 3,600 Rp 50,400 Rp -
57 Etanol 70% 1 liter 5 Rp 23,650 Rp 118,250 26 Rp 23,650 Rp 614,900 27 Rp 23,650 Rp 638,550 4 Rp 23,650 Rp 94,600 4 Rp 23,650 Rp 94,600 Rp -
58 ETANOL 70% 100 ML 0 Rp 2,625 Rp - 0 Rp 2,625 Rp - 0 Rp 2,625 Rp - 0 Rp 2,625 Rp - 0 Rp 2,625 Rp - Rp -
59 Etanol 96% 1 liter 0 Rp 30,000 Rp - 0 Rp 30,000 Rp - 0 Rp 30,000 Rp - 0 Rp 30,000 Rp - 0 Rp 30,000 Rp - Rp -
60 Etil Klorida semprot 4 Rp 105,000 Rp 420,000 15 Rp 105,000 Rp 1,575,000 13 Rp 105,000 Rp 1,365,000 6 Rp 105,000 Rp 630,000 6 Rp 105,000 Rp 630,000 Rp -
61 Eugenol Cairan 1 Rp 18,333 Rp 18,333 0 Rp 18,333 Rp - 1 Rp 18,333 Rp 18,333 0 Rp 18,333 Rp - 0 Rp 18,333 Rp - Rp -
62 Extrak Belladona Tablet 10 mg 0 Rp 42 Rp - 0 Rp 42 Rp - 0 Rp 42 Rp - 0 Rp 42 Rp - 0 Rp 42 Rp - Rp -
63 Fenobarbital Injeksi 0 Rp 1,980 Rp - 0 Rp 1,980 Rp - 0 Rp 1,980 Rp - 0 Rp 1,980 Rp - 0 Rp 1,980 Rp - Rp -
64 Fenobarbital Tablet 30 Mg 600 Rp 128 Rp 76,800 0 Rp 197 Rp - 600 Rp 197 Rp 118,200 0 Rp 197 Rp (41,400) 0 Rp 197 Rp - Rp (41,400)
65 fenol gliserol 24 Rp 2,500 Rp 60,000 0 Rp 2,500 Rp - 0 Rp 2,500 Rp - 24 Rp 2,500 Rp 60,000 24 Rp 2,500 Rp 60,000 Rp -
66 Fitomenadion Injeksi 10 Rp 4,167 Rp 41,670 50 Rp 4,236 Rp 211,800 50 Rp 4,236 Rp 211,800 10 Rp 4,236 Rp 41,670 10 Rp 4,236 Rp 42,360 Rp (690)
67 Fitomenadion Tablet 481 Rp 790 Rp 379,990 800 Rp 1,098 Rp 878,400 771 Rp 1,098 Rp 846,558 510 Rp 1,098 Rp 411,832 510 Rp 1,098 Rp 559,980 Rp (148,148)
68 Furosemid Tablet 288 Rp 187 Rp 53,856 700 Rp 79 Rp 55,300 703 Rp 79 Rp 55,537 285 Rp 79 Rp 53,619 285 Rp 79 Rp 22,515 Rp 31,104
69 Garam Oralit 200 ml 0 Rp 322 Rp - 200 Rp 273 Rp 54,600 107 Rp 273 Rp 29,211 93 Rp 273 Rp 25,389 93 Rp 273 Rp 25,389 Rp -
70 Gentamicin Salap Kulit 3% 5 Rp 5,500 Rp 27,500 54 Rp 5,500 Rp 297,000 50 Rp 5,500 Rp 275,000 9 Rp 5,500 Rp 49,500 9 Rp 5,500 Rp 49,500 Rp -
71 Gentamicin Tetes Mata 9 Rp 4,800 Rp 43,200 10 Rp 4,800 Rp 48,000 11 Rp 4,800 Rp 52,800 8 Rp 4,800 Rp 38,400 8 Rp 4,800 Rp 38,400 Rp -
72 Gentian Violet 10 Ml 16 Rp 3,617 Rp 57,872 0 Rp 3,620 Rp - 9 Rp 3,620 Rp 32,580 7 Rp 3,620 Rp 25,292 7 Rp 3,620 Rp 25,340 Rp (48)
73 Glimepirid 2 mg 0 Rp 231 Rp - 100 Rp 231 Rp 23,100 20 Rp 231 Rp 4,620 80 Rp 231 Rp 18,480 80 Rp 231 Rp 18,480 Rp -
74 Glibenklamid 5 Mg 86 Rp 825 Rp 70,950 3300 Rp 137 Rp 452,100 3386 Rp 137 Rp 463,882 0 Rp 137 Rp 59,168 0 Rp 137 Rp - Rp 59,168
75 Gliserilguaiacolas Tablet 1500 Rp 76 Rp 114,404 0 Rp 85 Rp - 1016 Rp 85 Rp 86,360 484 Rp 85 Rp 28,044 484 Rp 85 Rp 41,140 Rp (13,097)
76 glucosa larutan infus 5% 20 Rp 6,900 Rp 138,000 180 Rp 6,900 Rp 1,242,000 160 Rp 6,900 Rp 1,104,000 40 Rp 6,900 Rp 276,000 40 Rp 6,900 Rp 276,000 Rp -
77 Griseofulpin 125 MG tablet 390 Rp 660 Rp 257,400 0 Rp 223 Rp - 190 Rp 223 Rp 42,370 200 Rp 223 Rp 215,030 200 Rp 223 Rp 44,600 Rp 170,430
78 H2O2 3% 1 Rp 28,500 Rp 28,500 0 Rp 28,500 Rp - 1 Rp 28,500 Rp 28,500 0 Rp 28,500 Rp - 0 Rp 28,500 Rp - Rp -
79 Halloperidol 0,5 Mg 180 Rp 62 Rp 11,160 500 Rp 62 Rp 31,000 507 Rp 62 Rp 31,434 173 Rp 62 Rp 10,726 173 Rp 62 Rp 10,726 Rp -
80 Halloperidol 1,5 Mg 40 Rp 74 Rp 2,960 0 Rp 61 Rp - 40 Rp 61 Rp 2,440 0 Rp 61 Rp 520 0 Rp 61 Rp - Rp 520
81 Halloperidol 5 Mg 101 Rp 105 Rp 10,605 500 Rp 109 Rp 54,500 401 Rp 109 Rp 43,709 200 Rp 109 Rp 21,396 200 Rp 109 Rp 21,800 Rp (404)
82 Hidroklortiazid 0 Rp 171 Rp - 0 Rp 171 Rp - 0 Rp 171 Rp - 0 Rp 171 Rp - 0 Rp 171 Rp - Rp -
83 Hidrokortison Krim 2,5 % 29 Rp 2,712 Rp 78,648 96 Rp 2,533 Rp 243,168 46 Rp 2,533 Rp 116,518 79 Rp 2,533 Rp 205,298 79 Rp 2,533 Rp 200,107 Rp 5,191
84 Ibuprofen 200 mg 305 Rp 108 Rp 32,940 1100 Rp 112 Rp 123,200 744 Rp 112 Rp 83,328 661 Rp 112 Rp 72,812 661 Rp 112 Rp 74,032 Rp (1,220)
85 Ibuprofen 400 mg 416 Rp 133 Rp 55,328 4800 Rp 133 Rp 638,400 5216 Rp 133 Rp 693,728 0 Rp 133 Rp - 0 Rp 133 Rp - Rp -
86 Ibuprofen Suspensi 100 mg/5 ml 0 Rp 3,849 Rp - 0 Rp 3,849 Rp - 0 Rp 3,849 Rp - 0 Rp 3,849 Rp - 0 Rp 3,849 Rp - Rp -
87 Ichtyol Salap 16 Rp 4,840 Rp 77,440 24 Rp 3,667 Rp 88,008 17 Rp 3,667 Rp 62,339 23 Rp 3,667 Rp 103,109 23 Rp 3,667 Rp 84,341 Rp 18,768
88 Iliadin tetes hidung Dewasa 0 Rp 39,468 Rp - 10 Rp 39,468 Rp 394,680 3 Rp 39,468 Rp 118,404 7 Rp 39,468 Rp 276,276 7 Rp 39,468 Rp 276,276 Rp -
89 Infusion Set Anak 15 Rp 5,993 Rp 89,888 150 Rp 5,993 Rp 898,875 115 Rp 5,992.5 Rp 689,138 50 Rp 5,993 Rp 299,625 50 Rp 5,993 Rp 299,625 Rp -
90 Infusion Set Dewasa 50 Rp 5,640 Rp 282,000 550 Rp 5,640 Rp 3,102,000 500 Rp 5,640 Rp 2,820,000 100 Rp 5,640 Rp 564,000 100 Rp 5,640 Rp 564,000 Rp -
91 Isosorbiddinitrat sublingual 0 Rp 110 Rp - 100 Rp 110 Rp 11,000 0 Rp 110 Rp - 100 Rp 110 Rp 11,000 100 Rp 110 Rp 11,000 Rp -
92 Kalsium Laktas 1256 Rp 69 Rp 86,664 5300 Rp 97 Rp 514,100 6056 Rp 97 Rp 587,432 500 Rp 97 Rp 13,332 500 Rp 97 Rp 48,500 Rp (35,168)
93 Kapas Adsorben 14 Rp 13,750 Rp 192,500 10 Rp 13,750 Rp 137,500 14 Rp 13,750 Rp 192,500 10 Rp 13,750 Rp 137,500 10 Rp 13,750 Rp 137,500 Rp -
94 Kaptopril 12,5 Mg 800 Rp 69 Rp 55,200 400 Rp 65 Rp 26,000 1200 Rp 65 Rp 78,000 0 Rp 65 Rp 3,200 0 Rp 65 Rp - Rp 3,200
95 Kaptopril 25 Mg 800 Rp 72 Rp 57,600 0 Rp 172 Rp - 350 Rp 172 Rp 60,200 450 Rp 172 Rp (2,600) 450 Rp 172 Rp 77,400 Rp (80,000)
96 Karbamazepin Tablet 200 mg 70 Rp 306 Rp 21,420 0 Rp 306 Rp - 70 Rp 306 Rp 21,420 0 Rp 306 Rp - 0 Rp 306 Rp - Rp -
97 Kasa Pembalut Hidrofil 4x15 0 Rp 2,117 Rp - 750 Rp 2,117 Rp 1,587,750 569 Rp 2,117 Rp 1,204,573 181 Rp 2,117 Rp 383,177 181 Rp 2,117 Rp 383,177 Rp -
98 Kasa Steril 16x16 75 Rp 6,670 Rp 500,250 100 Rp 6,670 Rp 667,000 137 Rp 6,670 Rp 913,790 38 Rp 6,670 Rp 253,460 38 Rp 6,670 Rp 253,460 Rp -
99 Ketokonazole Krim 41 Rp 8,800 Rp 360,800 60 Rp 2,577 Rp 154,620 92 Rp 2,577 Rp 237,084 9 Rp 2,577 Rp 278,336 9 Rp 2,577 Rp 23,193 Rp 255,143
100 Ketokonazole Tablet 200 mg 250 Rp 297 Rp 74,250 100 Rp 286 Rp 28,600 285 Rp 286 Rp 81,510 65 Rp 286 Rp 21,340 65 Rp 286 Rp 18,590 Rp 2,750
101 Klindamicin kapsul 150 mg 406 Rp 1,832 Rp 743,792 1500 Rp 754 Rp 1,131,000 1356 Rp 754 Rp 1,022,424 550 Rp 754 Rp 852,368 550 Rp 754 Rp 414,700 Rp 437,668
102 Kloramfenikol Kapsul 250 Mg 260 Rp 733 Rp 190,666 200 Rp 329 Rp 65,800 380 Rp 329 Rp 125,020 80 Rp 329 Rp 131,446 80 Rp 329 Rp 26,320 Rp 105,126
103 Kloramfenikol Salep Kulit 0 Rp 8,250 Rp - 20 Rp 8,250 Rp 165,000 6 Rp 8,250 Rp 49,500 14 Rp 8,250 Rp 115,500 14 Rp 8,250 Rp 115,500 Rp -
104 Kloramfenikol Salap Mata 21 Rp 5,225 Rp 109,725 78 Rp 5,225 Rp 407,550 95 Rp 5,225 Rp 496,375 4 Rp 5,225 Rp 20,900 4 Rp 5,225 Rp 20,900 Rp -
105 Kloramfenikol Tetes Telinga 27 Rp 5,845 Rp 157,815 40 Rp 6,435 Rp 257,400 50 Rp 6,435 Rp 321,750 17 Rp 6,435 Rp 93,465 17 Rp 6,435 Rp 109,395 Rp (15,930)
106 Klorpheniramin Maleat (CTM)4 mg 1443 Rp 45 Rp 64,935 4500 Rp 24 Rp 108,000 3943 Rp 24 Rp 94,632 2000 Rp 24 Rp 78,303 2000 Rp 24 Rp 48,000 Rp 30,303
107 klorpromazin 100 mg tab 275 Rp 179 Rp 49,225 0 Rp 147 Rp - 275 Rp 147 Rp 40,425 0 Rp 147 Rp 8,800 0 Rp 147 Rp - Rp 8,800
108 Kodein Tablet 0 Rp 657 Rp - 0 Rp 657 Rp - 0 Rp 657 Rp - 0 Rp 657 Rp - 0 Rp 657 Rp - Rp -
109 Kotrimoksazole suspensi 19 Rp 2,462 Rp 46,778 0 Rp 2,462 Rp - 14 Rp 2,462 Rp 34,468 5 Rp 2,462 Rp 12,310 5 Rp 2,462 Rp 12,310 Rp -
110 Kotrimoksazole Tablet 480 Mg 469 Rp 131 Rp 61,439 0 Rp 131 Rp - 269 Rp 131 Rp 35,239 200 Rp 131 Rp 26,200 200 Rp 131 Rp 26,200 Rp -
111 Lansoprazole kapsul 30 mg 0 Rp 1,487 Rp - 0 Rp 1,487 Rp - 0 Rp 1,487 Rp - 0 Rp 1,487 Rp - 0 Rp 1,487 Rp - Rp -
112 Lidokain Injeksi Komp 110 Rp 2,122 Rp 233,420 420 Rp 1,317 Rp 553,140 410 Rp 1,317 Rp 539,970 120 Rp 1,317 Rp 246,590 120 Rp 1,317 Rp 158,040 Rp 88,550
113 Lisol 0 Rp 49,200 Rp - 0 Rp 49,200 Rp - 0 Rp 49,200 Rp - 0 Rp 49,200 Rp - 0 Rp 49,200 Rp - Rp -
114 Loperamid 2 Mg 200 Rp 90 Rp 18,000 0 Rp 90 Rp - 200 Rp 90 Rp 18,000 0 Rp 90 Rp - 0 Rp 90 Rp - Rp -
115 Loratadine 10 Mg tablet 200 Rp 134 Rp 26,800 5100 Rp 127 Rp 647,700 3931 Rp 127 Rp 499,237 1369 Rp 127 Rp 175,263 1369 Rp 127 Rp 173,863 Rp 1,400
116 Magnesium Sulfat MgsO4 0 Rp 3,328 Rp - 1 Rp 3,328 Rp 3,328 0 Rp 3,328 Rp - 1 Rp 3,328 Rp 3,328 1 Rp 3,328 Rp 3,328 Rp -
117 Masker 145 Rp 363 Rp 52,635 1700 Rp 564 Rp 958,800 1648 Rp 564 Rp 929,472 197 Rp 564 Rp 81,963 197 Rp 564 Rp 111,108 Rp (29,145)
118 Metamphiron (Antalgin) Tablet 0 Rp 544 Rp - 0 Rp 544 Rp - 0 Rp 544 Rp - 0 Rp 544 Rp - 0 Rp 544 Rp - Rp -
119 Metformin 500 mg tablet 190 Rp 103 Rp 19,570 100 Rp 102 Rp 10,200 185 Rp 102 Rp 18,870 105 Rp 102 Rp 10,900 105 Rp 102 Rp 10,710 Rp 190
120 metformin 850 mg tab 0 Rp - 100 Rp - 100 Rp - 0 Rp - 0 Rp - Rp -
121 methylergometrin injeksi 0 Rp 2,684 Rp - 5 Rp 2,684 Rp 13,420 1 Rp 2,684 Rp 2,684 4 Rp 2,684 Rp 10,736 4 Rp 2,684 Rp 10,736 Rp -
122 Methylergometrin Maleat Tablet 0 Rp 169 Rp - 0 Rp 244 Rp - 0 Rp 244 Rp - 0 Rp 244 Rp - 0 Rp 244 Rp - Rp -
123 Methylprednisolon tablet 4 mg 866 Rp 165 Rp 142,890 4100 Rp 139 Rp 569,900 4214 Rp 139 Rp 585,746 752 Rp 139 Rp 127,044 752 Rp 139 Rp 104,528 Rp 22,516
124 Metoklorpramid Sirup 5 mg/60 ml 0 Rp 2,750 Rp - 60 Rp 2,750 Rp 165,000 0 Rp 2,750 Rp - 60 Rp 2,750 Rp 165,000 60 Rp 2,750 Rp 165,000 Rp -
125 Metoklorpramid Tablet 0 Rp 111 Rp - 300 Rp 111 Rp 33,300 300 Rp 111 Rp 33,300 0 Rp 111 Rp - 0 Rp 111 Rp - Rp -
126 Metronidazole 500 Mg 143 Rp 169 Rp 24,167 1100 Rp 169 Rp 185,900 993 Rp 169 Rp 167,817 250 Rp 169 Rp 42,250 250 Rp 169 Rp 42,250 Rp -
127 Mikonazole Krim 55 Rp 11,574 Rp 636,570 24 Rp 3,926 Rp 94,224 61 Rp 3,926 Rp 239,486 18 Rp 3,926 Rp 491,308 18 Rp 3,926 Rp 70,668 Rp 420,640
128 Natrium Bicarbonat tablet 0 Rp 16 Rp - 0 Rp 16 Rp - 0 Rp 16 Rp - 0 Rp 16 Rp - 0 Rp 16 Rp - Rp -
129 Natrium Diklofenat 50 Mg 750 Rp 417 Rp 312,750 0 Rp 136 Rp - 100 Rp 136 Rp 13,600 650 Rp 136 Rp 299,150 650 Rp 136 Rp 88,400 Rp 210,750
130 Natrium Klorida Larutan Infus 500 ml 50 Rp 6,410 Rp 320,500 520 Rp 6,410 Rp 3,333,200 510 Rp 6,410 Rp 3,269,100 60 Rp 6,410 Rp 384,600 60 Rp 6,410 Rp 384,600 Rp -
131 neurodex tablet 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp - Rp -
132 Nifedipin tablet 10 Mg 222 Rp 123 Rp 27,306 100 Rp 690 Rp 69,000 322 Rp 690 Rp 222,180 0 Rp 690 Rp (125,874) 0 Rp 690 Rp - Rp (125,874)
133 nystatin tablet vagina 0 Rp 627 Rp - 200 Rp 627 Rp 125,400 82 Rp 627 Rp 51,414 118 Rp 627 Rp 73,986 118 Rp 627 Rp 73,986 Rp -
134 O B H sirup 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp - Rp -
135 O B P sirup 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp - Rp -
136 Ofloxacin tablet 200 mg 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp - Rp -
137 Oksitosin Injeksi 5 Rp 1,900 Rp 9,500 25 Rp 1,232 Rp 30,800 25 Rp 1,232 Rp 30,800 5 Rp 1,232 Rp 9,500 5 Rp 1,232 Rp 6,160 Rp 3,340
138 omeprazole injeksi 10 Rp 14,924 Rp 149,240 170 Rp 11,123 Rp 1,890,910 150 Rp 11,123 Rp 1,668,450 30 Rp 11,123 Rp 371,700 30 Rp 11,123 Rp 333,690 Rp 38,010
139 Omeprazole kapsul 20 mg 13 Rp 221 Rp 2,873 14070 Rp 138 Rp 1,941,660 14000 Rp 138 Rp 1,932,000 83 Rp 138 Rp 12,533 83 Rp 138 Rp 11,454 Rp 1,079
140 Oxytetrasiklin Salap Kulit 3% 25 Rp 2,010 Rp 50,250 25 Rp 2,880 Rp 72,000 27 Rp 2,880 Rp 77,760 23 Rp 2,880 Rp 44,490 23 Rp 2,880 Rp 66,240 Rp (21,750)
141 Oxytetrasiklin Salap Mata 1% 23 Rp 2,772 Rp 63,756 0 Rp 2,600 Rp - 23 Rp 2,600 Rp 59,800 0 Rp 2,600 Rp 3,956 0 Rp 2,600 Rp - Rp 3,956
142 Papaverin tablet 40 Mg 0 Rp 102 Rp - 0 Rp 102 Rp - 0 Rp 102 Rp - 0 Rp 102 Rp - 0 Rp 102 Rp - Rp -
143 Paracetamol Drops 0 Rp 7,646 Rp - 20 Rp 7,646 Rp 152,920 0 Rp 7,646 Rp - 20 Rp 7,646 Rp 152,920 20 Rp 7,646 Rp 152,920 Rp -
144 Parasetamol Syrup 120 mg/60 ml 95 Rp 1,119 Rp 106,305 300 Rp 1,119 Rp 335,700 395 Rp 1,119 Rp 442,005 0 Rp 1,119 Rp - 0 Rp 1,119 Rp - Rp -
145 Parasetamol tablet 100 mg 0 Rp 46 Rp - 0 Rp 46 Rp - 0 Rp 46 Rp - 0 Rp 46 Rp - 0 Rp 46 Rp - Rp -
146 Parasetamol Tablet 500 mg 1935 Rp 124 Rp 239,940 8700 Rp 124 Rp 1,078,800 9260 Rp 124 Rp 1,148,240 1375 Rp 124 Rp 170,500 1375 Rp 124 Rp 170,500 Rp -
147 Pil KB Levigest 0 Rp 7,700 Rp - 0 Rp 7,700 Rp - 0 Rp 7,700 Rp - 0 Rp 7,700 Rp - 0 Rp 7,700 Rp - Rp -
148 Pil KB Lynestrenol 0 Rp 9,000 Rp - 0 Rp 9,000 Rp - 0 Rp 9,000 Rp - 0 Rp 9,000 Rp - 0 Rp 9,000 Rp - Rp -
149 Piroxicam 20 mg 917 Rp 880 Rp 806,960 1700 Rp 800 Rp 1,360,000 1737 Rp 800 Rp 1,389,600 880 Rp 800 Rp 777,360 880 Rp 800 Rp 704,000 Rp 73,360
150 Plester 5 yard 2 inc 6 Rp 30,000 Rp 180,000 30 Rp 30,000 Rp 900,000 27 Rp 30,000 Rp 810,000 9 Rp 30,000 Rp 270,000 9 Rp 30,000 Rp 270,000 Rp -
151 Povidone Iodine 30 Ml 20 Rp 3,480 Rp 69,600 25 Rp 3,480 Rp 87,000 45 Rp 3,480 Rp 156,600 0 Rp 3,480 Rp - 0 Rp 3,480 Rp - Rp -
152 Prednisone tablet 5 Mg 1000 Rp 160 Rp 160,000 0 Rp 74 Rp - 398 Rp 74 Rp 29,452 602 Rp 74 Rp 130,548 602 Rp 74 Rp 44,548 Rp 86,000
153 Primakuin 0 Rp 258 Rp - 0 Rp 258 Rp - 0 Rp 258 Rp - 0 Rp 258 Rp - 0 Rp 258 Rp - Rp -
154 probenecid 100 Rp 2,030 Rp 203,000 0 Rp 9,000 Rp - 0 Rp 9,000 Rp - 100 Rp 9,000 Rp 203,000 100 Rp 9,000 Rp 900,000 Rp (697,000)
155 Propiltiouracil 100 mg tablet 20 Rp 975 Rp 19,500 0 Rp 10,000 Rp - 0 Rp 10,000 Rp - 20 Rp 10,000 Rp 19,500 20 Rp 10,000 Rp 200,000 Rp (180,500)
156 Propranolol Hcl 40 mg 0 Rp 80 Rp - 0 Rp 80 Rp - 0 Rp 80 Rp - 0 Rp 80 Rp - 0 Rp 80 Rp - Rp -
157 Propranolol Hcl 10 mg 200 Rp 220 Rp 44,000 0 Rp 220 Rp - 0 Rp 220 Rp - 200 Rp 220 Rp 44,000 200 Rp 220 Rp 44,000 Rp -
158 Pyrantel tablet 125 mg 20 Rp 303 Rp 6,060 200 Rp 331 Rp 66,200 33 Rp 331 Rp 10,923 187 Rp 331 Rp 61,337 187 Rp 331 Rp 61,897 Rp (560)
159 Pyridoxin hcl (vit.B6) tablet 800 Rp 136 Rp 108,800 0 Rp 136 Rp - 500 Rp 136 Rp 68,000 300 Rp 136 Rp 40,800 300 Rp 136 Rp 40,800 Rp -
160 Ranitidine Injeksi 25 mg/2 ml 60 Rp 1,677 Rp 100,620 890 Rp 1,155 Rp 1,027,950 900 Rp 1,155 Rp 1,039,500 50 Rp 1,155 Rp 89,070 50 Rp 1,155 Rp 57,750 Rp 31,320
161 Ranitidine Tablet 395 Rp 110 Rp 43,450 4700 Rp 114 Rp 535,800 3563 Rp 114 Rp 406,182 1532 Rp 114 Rp 173,068 1532 Rp 114 Rp 174,648 Rp (1,580)
162 Ringer Laktat Larutan Infus 500 Ml 100 Rp 7,150 Rp 715,000 1240 Rp 7,150 Rp 8,866,000 1340 Rp 7,150 Rp 9,581,000 0 Rp 7,150 Rp - 0 Rp 7,150 Rp - Rp -
163 Risperidone tab 1 mg 100 Rp 308 Rp 30,800 0 Rp 308 Rp - 0 Rp 308 Rp - 100 Rp 308 Rp 30,800 100 Rp 308 Rp 30,800 Rp -
164 safeglove exam M 296 Rp 336 Rp 99,456 0 Rp 336 Rp - 296 Rp 336 Rp 99,456 0 Rp 336 Rp - 0 Rp 336 Rp - Rp -
165 safeglove exam S 0 Rp 336 Rp - 4000 Rp 336 Rp 1,344,000 3500 Rp 336 Rp 1,176,000 500 Rp 336 Rp 168,000 500 Rp 336 Rp 168,000 Rp -
166 Salbutamol 2 Mg tablet 358 Rp 65 Rp 23,270 900 Rp 64 Rp 57,600 899 Rp 64 Rp 57,536 359 Rp 64 Rp 23,334 359 Rp 64 Rp 22,976 Rp 358
167 Salbutamol 4 mg 0 Rp 77 Rp - 900 Rp 77 Rp 69,300 503 Rp 77 Rp 38,731 397 Rp 77 Rp 30,569 397 Rp 77 Rp 30,569 Rp -
168 Salicyl Bedak 0 Rp 2,750 Rp - 294 Rp 2,750 Rp 808,500 267 Rp 2,750 Rp 734,250 27 Rp 2,750 Rp 74,250 27 Rp 2,750 Rp 74,250 Rp -
169 Sarung Tangan No. 7 132 Rp 8,930 Rp 1,178,760 450 Rp 8,930 Rp 4,018,500 384 Rp 8,930 Rp 3,429,120 198 Rp 8,930 Rp 1,768,140 198 Rp 8,930 Rp 1,768,140 Rp -
170 Sarung Tangan No. 8 0 Rp 8,033 Rp - 0 Rp 8,033 Rp - 0 Rp 8,033 Rp - 0 Rp 8,033 Rp - 0 Rp 8,033 Rp - Rp -
171 scabimite krim 1 Rp 12,155 Rp 12,155 80 Rp 55,300 Rp 4,424,000 44 Rp 55,300 Rp 2,433,200 37 Rp 55,300 Rp 2,002,955 37 Rp 55,300 Rp 2,046,100 Rp (43,145)
172 Sefadroxil kapsul 500 Mg 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp - Rp -
173 Sefadroxil Syrup Kering 125 mg/60 ml 0 Rp 548 Rp - 0 Rp 548 Rp - 0 Rp 548 Rp - 0 Rp 548 Rp - 0 Rp 548 Rp - Rp -
174 serum anti bisa ular polovalen inj (ABU II) 2 Rp 591,250 Rp 1,182,500 0 Rp 591,250 Rp - 2 Rp 591,250 Rp 1,182,500 0 Rp 591,250 Rp - 0 Rp 591,250 Rp - Rp -
175 serum anti tetanus 1500 IU 2 Rp 158,125 Rp 316,250 0 Rp 130,999 Rp - 2 Rp 130,999 Rp 261,998 0 Rp 130,999 Rp 54,252 0 Rp 130,999 Rp - Rp 54,252
176 Simvastatin 10 mg tablet 277 Rp 135 Rp 37,395 810 Rp 135 Rp 109,350 1087 Rp 135 Rp 146,745 0 Rp 135 Rp - 0 Rp 135 Rp - Rp -
177 spironolactone 25 mg 200 Rp 277 Rp 55,400 0 Rp 277 Rp - 10 Rp 277 Rp 2,770 190 Rp 277 Rp 52,630 190 Rp 277 Rp 52,630 Rp -
178 sulfadiazine silver krim 3 Rp - 10 Rp - 6 Rp - 7 Rp - 7 Rp - Rp -
179 Syanocobalamin (Vit.B12) injeksi 0 Rp 1,265 Rp - 80 Rp 1,087 Rp 86,960 80 Rp 1,087 Rp 86,960 0 Rp 1,087 Rp - 0 Rp 1,087 Rp - Rp -
180 Syanocobalamin (Vit.B12) tablet 700 Rp 55 Rp 38,500 500 Rp 49 Rp 24,500 830 Rp 49 Rp 40,670 370 Rp 49 Rp 22,330 370 Rp 49 Rp 18,130 Rp 4,200
181 Tetrasiklin 500 mg 110 Rp 305 Rp 33,586 0 Rp 200 Rp - 110 Rp 200 Rp 22,000 0 Rp 200 Rp 11,586 0 Rp 200 Rp - Rp 11,586
182 Thiamfenikol Kapsul 500 mg 352 Rp 1,760 Rp 619,520 0 Rp 1,760 Rp - 252 Rp 1,760 Rp 443,520 100 Rp 1,760 Rp 176,000 100 Rp 1,760 Rp 176,000 Rp -
183 Thiamin Hcl (Vit.B1) Injeksi 7 Rp 7,150 Rp 50,050 0 Rp 7,150 Rp - 7 Rp 7,150 Rp 50,050 0 Rp 7,150 Rp - 0 Rp 7,150 Rp - Rp -
184 Thiamin Hcl (Vit.B1)tablet 900 Rp 91 Rp 81,900 0 Rp 88 Rp - 290 Rp 88 Rp 25,520 610 Rp 88 Rp 56,380 610 Rp 88 Rp 53,680 Rp 2,700
185 Trihexyphenidryl Hcl tablet 2 mg 41 Rp 80 Rp 3,280 600 Rp 80 Rp 48,000 197 Rp 80 Rp 15,760 444 Rp 80 Rp 35,520 444 Rp 80 Rp 35,520 Rp -
186 Univit Syrup 0 Rp 4,350 Rp - 0 Rp 4,350 Rp - 0 Rp 4,350 Rp - 0 Rp 4,350 Rp - 0 Rp 4,350 Rp - Rp -
187 Vitamin B Komplex Tablet 234 Rp 132 Rp 30,888 6800 Rp 132 Rp 897,600 7034 Rp 132 Rp 928,488 0 Rp 132 Rp - 0 Rp 132 Rp - Rp -
188 Zink Tablet 300 Rp 521 Rp 156,300 600 Rp 521 Rp 312,600 730 Rp 521 Rp 380,330 170 Rp 521 Rp 88,570 170 Rp 521 Rp 88,570 Rp -
189 zinkid syr 27 Rp 16,478 Rp 444,906 115 Rp 16,478 Rp 1,894,970 83 Rp 16,478 Rp 1,367,674 59 Rp 16,478 Rp 972,202 59 Rp 16,478 Rp 972,202 Rp -
190 obat suntik KB II 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp - Rp -
Rp 21,170,199 Rp 101,431,648 Rp 100,112,132 Rp 22,489,715 Rp 22,749,206 Rp (259,491)

Atu lintang, Januari 2019

Mengetahui, Pengelola obat
Kepala Puskesmas Atu Lintang

Abna Faradisioca, SKM Mengetahui, Mega Gustiani Utami, S.Farm., Apt.

Nip. 19790701200604 1 012 Kepala Inspektorat Kabupaten Nrpk. 01.7.0500679
Aceh Tengah

Kausarsyah, SE, MM
Nip. 19660329 199403 1005