STOCK OPNAME OBAT DAN BMHP PUSKESMAS MUARA KULAM KAB.

MUSI R
SUMBER DANA APBD KABUPATEN MUSI RAWAS UTARA
PER 31 DESEMBER 2018

TAHUN SISA STOCK PER

NO NAMA OBAT/AHP/REAGEN SATUAN PENGADAAN 31 DES 2018

1 Albendazol tablet 400 mg tablet 2016 240

2 Amoksisilin Kapsul/Kaplet 250 mg tablet 2016

3 Amoksisilin kapsul/kaplet/tablet scored 500 mg tablet 2016 500

4 Amoksisilin sirup kering forte 250mg/5 ml botol 2016 700

5 Asam folat tablet 0,4 mg tablet 2016
6 Asiklovir tablet/kapsul 200 mg tablet 2016
7 Desoksimetason 0,25 % tube 2016
8 Digoksin 0,25 mg tablet 2016
9 Domperidon Tablet/kapsul 10 mg tablet 2016 5,140
10 Dosisiklin tablet/kapsul/kaplet tablet 2016

11 Dulcolax Supp Infant-Bisakodil Suppositoria 5 mg tablet 2016

12 Epinefrin (Adrenalin) inj i.v/s.k/i.m 1mg/ml (0,1%) ampul 2016

13 Eritromisin tablet/kapsul/kaplet 250 mg tablet 2016 400
Fitomenadion (Vit.K1) tablet/kaplet salut gula 10
14 mg tablet 2016

15 Furosemid tablet 40 mg tablet 2016 500

16 Glukosa lar infus 5% botol 2016 100
17 Haloperidol tablet 0,5 mg tablet 2016

18 Human Tetanus Imunoglobulin Injeksi i.m 250 UI ampul 2016

19 Ibuprofen tablet/kapsul/kaplet 200 mg tablet 2016

20 Ketorolak inj 30 mg/ml ampul 2016 216
21 Klindamisin tablet/kapsul/kaplet 150 mg tablet 2016 3,300
22 Metformin HCL 500 mg tablet 2016
23 Metoklopramid 10 mg tablet 2016
24 Metronidazol tablet 500 mg tablet 2016
25 Mikonazol krim/salep 2% (Nitrat) tube 2016
26 Nacl 0,9 % botol 2016

1
 TAHUN SISA STOCK PER
NO NAMA OBAT/AHP/REAGEN SATUAN PENGADAAN 31 DES 2018

27 Natrium diklofenak tablet/kapsul/kaplet 25 mg tablet 2016

28 Nifedipin tablet 10 mg tablet 2016 200

29 Obat Anti Tuberculosis FDC Kategori II paket 2016 2
30 Parasetamol drop 100mg/ml btl @15 ml botol 2016
31 Piridoksin ( Vitamin B6) tablet 10 mg (HCL) tablet 2016
32 Prednison Kaplet 5 mg tablet 2016
33 Propanolol tablet 10 mg (Hcl) tablet 2016
34 Ringer Laktat botol 2016
Salep 2-4, Kombinasi : Asam Salisilat 2% +
35 Belerang Endap 4 % pot 2016

36 Sefadroksil Sirup Kering 125 mg/5ml botol 2016

37 Sefadroxil tablet/kapsul 500 mg tablet 2016 500
38 Sefotaksim serbuk injeksi 1000 mg ampul 2016
39 Simvastatin tablet/kaplet/salut 20 mg tablet 2016 200
40 Siprofloksasin tab 500 mg tablet 2016
41 Tetrasiklin tablet/kapsul/kaplet 500 mg tablet 2016
Tiamin (Vit B1) tablet/kapsul/kaplet 50 mg
42 (Hcl/Nitrat) tablet 2016 800

43 Vitamin B Komplek tablet tablet 2016

44 Infusion Set Adult 20 pcs 2016 106
45 Syringe 1 cc set 2016 42
46 Syringe 3 cc set 2016 2,700
47 Syringe 5 cc set 2016 2,400
48 Catheter 18 G set 2016 6
49 Catheter No. 22 set 2016
50 Catheter No. 24 set 2016 50
51 Folley Chateter 10ml/cc-24 set 2016
52 Alkohol Swab piece 2016
53 Masker Tie On piece 2016 800
54 Handscoon No.8 pasang 2016
55 Alprazolam tab. 0,25 mg tablet 2015
56 Diazepam 2 mg tablet 2015
57 Diazepam larutan rektal 5 mg/ 2,5 ml tube 2015
58 Hydrocortison cr 2,5% tube 2015 240
59 Retinol 100.000 Kaplet 2015
60 Air untuk injeksi 25 ml vial 2017 266
61 Albendazol tablet 400 mg tablet 2017 450
62 Allopurinol tab. 100 mg tablet 2017 1,500
63 Aminofilin injeksi 24 mg/ml ampul 2017 285
64 Aminofilin tab. 200 mg tablet 2017 1,000
65 Amoksisilin Kapsul/Kaplet 250 mg tablet 2017
66 Amoksisilin sirup kering 125 mg/5 ml botol 2017 950

2
 TAHUN SISA STOCK PER
NO NAMA OBAT/AHP/REAGEN SATUAN PENGADAAN 31 DES 2018

67 Amoksisilin sirup kering forte 250mg/5 ml botol 2017 700

Anti Malaria DONE kombinasi : Pirimetamin 25 mg
68 + Sulfadoksin 500 mg tablet 2017 1,100

Antifungi DONE salep Kombinasi : Asam Benzoat

69 6% + Asam Salisilat 3% tube 2017 96

70 Asam Asetilsalisilat (asetosal) 80 mg tablet 2017 800

71 Asam Askorbat (Vitamin C) tab. 50 mg tablet 2017 4,900
72 Asam Folat tablet 1 mg tablet 2017
73 Asam Mefenamat 500 mg tablet 2017 5,000
74 Asiklovir tablet/kapsul 200 mg tablet 2017 3,180
75 Bedak Salisil serbuk 2 % sachet 2017 381
76 Betametason Cream 0,1% tube 2017 275
BIOSAT 1,5 serum Anti Tetanus (ATS) cairan injeksi
77 1500 IU/amp. ampul 2017 12

78 Biosave serum anti bisa ular (ABU) I cairan injeksi vial 2017 25

79 Captopril tab. 12,5 mg tablet 2017 1,300

80 Deksametason injeksi 5 mg/ml ampul 2017 1,458
81 Deksametason tab. 0,5 mg tablet 2017 5,000
82 Digoksin 0,25 mg tablet 2017 1,400
83 Domperidon Suspensi 5 mg/ml botol 2017 60
84 Domperidon Tablet/kapsul 10 mg tablet 2017
85 Dulcolax Supp Adult (Bisakodil Supp) 10 mg suppos 2017
86 Ferro Fumarat 60 mg + Asam Folat 0,4 mg tablet 2017 1,300

87 Fitomenadion (Vit.K1) injeksi i.m 2 mg/ml ampul 2017 300

Fitomenadion (Vit.K1) tablet/kaplet salut gula 10

88 mg tablet 2017 4,250

89 Foleycath, 2 way latex No. 16 pcs 2017 10

90 Furosemid tablet 40 mg tablet 2017 500
91 Garam Oralit sachet 2017 1,000
92 Glukosa lar infus 5% botol 2017 100
93 Griseofulvin tab. 125 mg tablet 2017
94 Haloperidol tablet 0,5 mg tablet 2017 1,300
95 Handscoon (Examination Gloves) size L pcs 2017 1,000
96 Handscoon (Examination Gloves) size M pcs 2017 2,000
97 Hidroklorotiazid 25 mg tablet 2017 7,790
98 Hidrokortison Cream 2,5% tube 2017 120
99 Ibuprofen tablet/kapsul/kaplet 200 mg tablet 2017 2,900
100 Infusion Set Adult 20 pcs 2017 106
101 Isosorbid Dinitrat tab. 10 mg tablet 2017 6,100
102 IV Catheter No. 20 pcs 2017 25
103 IV Catheter No. 22 set 2017

3
 TAHUN SISA STOCK PER
NO NAMA OBAT/AHP/REAGEN SATUAN PENGADAAN 31 DES 2018

104 IV Catheter No. 24 set 2017 50

105 Kalsium Laktat 500 mg tablet 2017 600
106 Ketokonazol krim 2 % tube 2017 95
107 Ketokonazol tab. 200 mg tablet 2017 100
108 Klindamisin tablet/kapsul/kaplet 300 mg tablet 2017 1,700
109 Kloramfenikol Salep Kulit 2 % tube 2017
110 Kloramfenikol Salep Mata 1 % tube 2017 216
111 Klorfeniramina maleat (CTM) tab 4 mg tablet 2017 1,730

112 Kotrimoksazol (anak) Kombinasi tiap 5 ml suspensi

: Sulfametoksazol 200 mg + Trimetoprin 40 mg botol 2017 239

Kotrimoksazol (dewasa) Kombinasi tiap 5 ml

113 suspensi : Sulfametoksazol 400 mg + Trimetoprin tablet 2017 2,100
80 mg
114 Ladomer (Haloperidol) injeksi i.m. 5 mg/ml ampul 2017 194
115 Ladomer (Haloperidol) tab. 2 mg tablet 2017
116 Lansoprazol tab. 30 mg tablet 2017 2,420
117 Lidokain Injeksi 2 % (HCL) ampul 2017 400
118 Metformin HCL 500 mg tablet 2017 4,800
119 Metoklopramid 10 mg tablet 2017 2,770
120 Nacl 0,9 % botol 2017 140

121 Natrium diklofenak tablet/kapsul/kaplet 25 mg tablet 2017 2,850

122 Nifedipin tablet 10 mg tablet 2017

123 Nistatin tab. 500.000 IU/g tablet 2017 2,600
124 Nonwoven Fixation / 5 cm x 10 cm roll 2017 16
125 Obat Anti Tuberculosis FDC Kategori I paket 2017 17
126 Omeprazole tab. 20 mg tablet 2017 930
127 Parasetamol syrup 120 mg/5ml botol 2017
128 Pirantel Pamoat tab. 125 mg tablet 2017
129 Piridoksin ( Vitamin B6) tablet 10 mg (HCL) tablet 2017 2,000
130 Ranitidin tab. 150 mg tablet 2017 6,600
131 Ringer Laktat botol 2017 100
132 Sabutamol tab. 2 mg tablet 2017 3,800
133 Salbutamol 4 mg tablet 2017 1,200

134 Salep 2-4, Kombinasi : Asam Salisilat 2% +

Belerang Endap 4 % pot 2017 72

135 Setirizin tab. 10 mg tablet 2017

136 Sianokobalamin (Vitamin B12) tab. 50 mcg tablet 2017 1,600
137 Siprofloksasin tab 500 mg tablet 2017
138 Syringe 3 cc set 2017
139 Syringe 5 cc set 2017

4
 TAHUN SISA STOCK PER
NO NAMA OBAT/AHP/REAGEN SATUAN PENGADAAN 31 DES 2018

140 Tiamin (Vit B1) tablet/kapsul/kaplet 50 mg

(Hcl/Nitrat) tablet 2017 800

141 Triheksifenidil tab 2 mg tablet 2017 2,600

142 Urine Draunage Bag, T valve pcs 2017 3
143 Vitamin B Komplek tablet tablet 2017 1,000

JUMLAH

Mengetahui,
Ka.UPT Puskesmas Muara Kulam

Ns.Nelly Haryanti,S.Kep
NIP.198004162011012004

5
SKESMAS MUARA KULAM KAB. MUSI RAWAS UTARA
D KABUPATEN MUSI RAWAS UTARA
31 DESEMBER 2018

HARGA TOTAL HARGA KETERANGAN

SATUAN (Rp.) (Rp.)

313 75,120
201 -

233 116,500

4,128 2,889,600
66 -
261 -
10,800 -
106 -
118 606,520
282 -

5,670 -

2,354 -
594 237,600

726 -

81 40,500
6,900 690,000
62 -

170,000 -

108 -
1,308 282,528
481 1,587,300
108 -
95 -
133 -
3,410 -
6,410 -

6
 HARGA TOTAL HARGA KETERANGAN
SATUAN (Rp.) (Rp.)

157 -

110 22,000
1,259,985 2,519,970
5,460 -
47 -
96 -
66 -
7,150 -

2,554 -

4,485 -
525 262,500
5,635 -
252 50,400
289 -
319 -

89 71,200

121 -
5,800 614,800
646 27,132
652 1,760,400
776 1,862,400
7,700 46,200
7,700 -
7,700 385,000
11,200 -
500 -
500 400,000
6,325 -
410 -
45 -
12,159 -
2,798 671,520
273 -
2,750 731,500
413 185,850
113 169,500
2,998 854,430
92 92,000
185 -
1,920 1,824,000

7
 HARGA TOTAL HARGA KETERANGAN
SATUAN (Rp.) (Rp.)

3,642 2,549,400

593 652,300

4,540 435,840

94 75,200
109 534,100
70 -
102 510,000
245 779,100
1,040 396,240
1,349 370,975

126,500 1,518,000

462,000 11,550,000

62 80,600
1,605 2,340,090
43 215,000
107 149,800
3,105 186,300
95 -
5,800 -
370 481,000

3,728 1,118,400

721 3,064,250

13,200 132,000
81 40,500
265 265,000
6,900 690,000
249 -
58 75,400
554 554,400
554 1,108,800
156 1,215,240
2,640 316,800
105 304,500
5,760 610,560
198 1,207,800
7,200 180,000
7,200 -

8
 HARGA TOTAL HARGA KETERANGAN
SATUAN (Rp.) (Rp.)

7,200 360,000
57 34,200
2,595 246,525
288 28,800
589 1,001,300
3,107 -
1,810 390,960
37 64,010

2,364 564,996

131 275,100

4,000 776,000
94 -
331 801,020
1,168 467,200
99 475,200
98 271,460
6,410 897,400

140 399,000

110 -
803 2,087,800
52,622 841,952
393,099 6,682,683
144 133,920
1,013 -
288 -
124 248,000
98 646,800
7,150 715,000
78 296,400
87 104,400

2,654 191,088

96 -
52 83,200
247 -
990 -
1,114 -

9
 HARGA TOTAL HARGA KETERANGAN
SATUAN (Rp.) (Rp.)

84 67,200

80 208,000
6,600 19,800
121 121,000

72,284,479

Muara Kulam, 31 Desember 2018

Petugas Kefarmasian
Puskemas Muara Kulam

Rahmi Utami,A.Md.Far

10
 STOCK OPNAME OBAT DAN BMHP PUSKESMAS MUARA KULAM KAB.
SUMBER DANA BPJS KABUPATEN MUSI RAWAS UTA
PER 31 DESEMBER 2018

NO NAMA OBAT SATUAN SISA STOK PER 31 HARGA SATUAN (Rp)

DESEMBER 2018

(a) (b)

1 Paracetamol 500 mg box 0 Rp 14,700

2 Antasid Generic BOX 0 Rp 14,300
3 samcodryl syr botol 0 Rp 5,500
4 Ondansentron hcl 4 mg box 0 Rp 58,500
5 Parasetamol Pot Besar pot 0 Rp 118,500
6 Uni Baby cought botol 0 Rp 6,800
7 Midix tab box 0 Rp 23,000
8 Flucadex box 0 Rp 71,800
9 Gliserin Gualacolat pot pot 0 Rp 7,000
10 Omeroxol tab tab 0 Rp 25,100
11 Acifar salep tube 0 Rp 7,000
12 Grafadon syr botol 0 Rp 11,900
13 Neosma Syr botol 0 Rp 7,500
14 Proporis supp box 0 Rp 81,000
15 Tiacinon box 0 Rp 123,800
16 Omecought syr botol 0 Rp 6,500
17 Metiagin box 0 Rp 128,800
18 Gom Borak 10 % pcs 0 Rp 5,200
19 Histigo Tablet box 0 Rp 39,500
20 Paracetamol syr botol 0 Rp 4,500
21 Caricur Emulsion Syr botol 0 Rp 11,700
22 Superhoid supp box 0 Rp 45,000
23 Omedrinat box 0 Rp 48,000
24 Itramol syr botol 0 Rp 4,800
25 Ifarsyl syr botol 0 Rp 6,500
26 Bidium box 0 Rp 16,900
27 Erlamycetin T.T btl 0 Rp 8,400
28 Ekacatol syr btl 0 Rp 5,700
29 Erlamycetin T.M btl 0 Rp 12,200
30 Etafen box 0 Rp 34,200
31 Tiafen 400 box 0 Rp 45,300
32 Cubion Kids syr botol 0 Rp 8,200
33 Microlac supp pcs 0 Rp 87,000
34 Bromifar box 0 Rp 18,600
35 Samconal tablet box 0 Rp 18,600
36 Asam Traneksamat box 0 Rp 216,000
JUMLAH

BAHAN MEDIS HABIS PAKAI

1 ventolin nebu pcs 0 Rp 90,000
2 one swab box 0 Rp 22,500
3 easy touch asam urat box 0 Rp 180,000
4 easy touch kolesterol box 0 Rp 277,500
5 easy touch glucose box 0 Rp 165,000
6 alkohol 70 % 100 ml botol 0 Rp 6,800
7 kasa steril pack 0 Rp 54,000
8 blood lancet box 0 Rp 37,500
9 plastik obat kecil pack 0 Rp 15,000
10 pispot pcs 0 Rp 45,000
11 pispot BAB pcs 0 Rp 75,000
12 spuit 1 cc box 0 Rp 112,500
13 plastik medis pcs 0 Rp 28,690
JUMLAH

Mengetahui,
Ka.UPT Puskesmas Muara Kulam
Kec. Ulu Rawas

Ns.Nelly Haryanti,S.Kep
NIP.198004162011012004
KESMAS MUARA KULAM KAB. MUSI RAWAS UTARA
KABUPATEN MUSI RAWAS UTARA
1 DESEMBER 2018

TOTAL HARGA (Rp) KETERANGAN

(c) (d)

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
 0
0
0
0
0

0
0
0
0
0
0
0
0
0
0
0
0
0

Muara Kulam, 31 Desember 2018

Petugas Kefarmasian
Puskemas Muara Kulam

Rahmi Utami,A.Md.Far