LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT

PUSKESMAS TAMALANREA

BULAN : JULI
TAHUN : 2019

SISA
STOK
NO NAMA OBAT SATUAN SEMENTA TOTAL HARGA
RA DAN
AKHIR

- Rp -
OBAT JKN 2015 - Rp -
Ketokonazole 200 mg Tablet 330 Rp 105,600.00
- Rp -
ASKES 2013 ANGGARAN 2015 - Rp -
Parasetamol 500 mg Tablet 20,010 Rp 1,760,880.00
Ibuprofen 200 mg Tablet 213 Rp 25,773.00
- Rp -
OBAT JKN 2016 - Rp -
Amoksisillin kaplet 500 mg Kaplet 465 Rp 155,775.00
Retinol (Vitamin A) 100.000 IU Kapsul - Rp -
- Rp -
OBAT JKN 2017 - Rp -
Betahistin tablet 6 mg TABLET - Rp -
Clotrimazol cream Tube 5 gr 9 Rp 37,620.00
Epinefrin (Adrenalin) injeksi i.v/s.k./i.m 1 m Ampul 5 Rp 9,240.00
LEXAPRAM SIRUP Metoklopramida sirup 5 mBotol 3 Rp 8,850.00
Metformin 500 mg Tablet - Rp -
Omeprazole kapsul Kapsul 810 Rp 119,880.00
PTU tablet TABLET 300 Rp 128,700.00
Sefadroksil 500 mg Kapsul 2,510 Rp 1,142,050.00
Deksametason tablet 0.5 mg Tablet 70 Rp 3,150.00
STESOLID 5 MG Diazepam enema 5 mg/2.5 Tube 5 Rp 66,920.00
OBAT JKN 2018 - Rp -
Ambroksol sirup Botol 60 ml 352 Rp 1,442,320.00
Amoksisilin Sirup Kering 125 mg/5 ml Botol 60 ml 45 Rp 158,400.00
Amlodipin 10 mg Tablet 1,672 Rp 158,840.00
Chlorpeniramine maleat 4mg TABLET 5,885 Rp 141,240.00
Guaifenesin tablet (GG) Tablet 6,661 Rp 622,803.50
Parasetamol sirup Botol 321 Rp 1,341,780.00
Salbutamol 4 mg Tablet 115 Rp 8,855.00
- Rp -
OBAT PG 2015 - Rp -
Parasetamol 500 mg Tablet 5,035 Rp 443,080.00
Permetrin krim 5 % (Scabimite) Tube 10 g 6 Rp 68,850.00
- Rp -
OBAT DAK 2016 - Rp -
Amoksisillin kaplet 500 mg Kaplet 7,220 Rp 1,682,260.00
Domperidon tablet 10 mg Tablet 320 Rp 42,560.00
Haloperidol 1.5 mg Tablet 310 Rp 22,940.00
Doksisiklin 100 mg Kapsul 1,000 Rp -
- Rp -
OBAT DAK 2017 - Rp -
Alopurinol tablet 300 mg Tablet 1,105 Rp 254,150.00
Bedak salisil serbuk 2 % Dus 62 Rp 66,402.00
Griseofulvin tablet 125 mg Tablet 95 Rp 24,985.00
Lidokain injeksi 2% (HCl) + Epinefrin 1:80.00 Ampul 7 Rp 15,589.00
Loperamid tablet 2 mg Tablet 30 Rp 2,550.00
Metronidazol 500 mg Tablet 260 Rp 29,900.00
NaCl 0.9 % Botol 18 Rp 115,380.00
Piridoksin (Vitamin B6) tablet 10 mg Tablet 840 Rp 114,240.00
Sianokobalamin(Vitamin B12) tablet 50 mcg Tablet 930 Rp 51,150.00
Thiamin (Vitamin B1) tablet 50 mg Tablet 9,570 Rp 832,590.00
Vitamin B Kompleks tablet Tablet 26,940 Rp 3,556,080.00
OBAT DAK 2018 - Rp -
Betahistin tablet 6 mg Tablet 290 Rp -
Kombinasi Kaolin + Pektin NOVADIAR Botol 60 ml 50 Rp 313,500.00
Allopurinol 100 mg Tablet 210 Rp 20,790.00
Antasida DOEN suspensi Botol 17 Rp 35,666.00
Antasida DOEN Tablet Kunyah 380 Rp 21,280.00
Antihaemorroid suppositoria Suppositoria 31 Rp 112,902.00
Amlodipin tablet 5 mg Tablet 4,627 Rp 342,398.00
Asam Askorbat (vitamin C) tablet 50 mg Tablet 11,560 Rp 1,387,200.00
Asiklovir krim 5 % Tube 85 Rp 355,300.00
Betametason krim 0,1 % (sebagai Valerat) Tube 369 Rp 523,980.00
Deksametason tablet 0.5 mg Tablet 6,925 Rp 235,450.00
Diazepam 2 mg Tablet 83 Rp 7,138.00
Domperidon suspensi/sirup 5 mg/5 ml BOTOL 90 Rp 257,580.00
Antimigren: Ergotamin Tartrat 1 mg + Kofein Tablet 140 Rp 27,860.00
Fitomenadion (Vitamin K1) 10 mg Tablet 56 Rp 45,808.00
Gentamisin salep mata 0,3% Tube 64 Rp 196,800.00
Hidrokortison krim Tube 97 Rp 256,856.00
Kalamin Lotion Botol 99 Rp 1,448,370.00
Kloramfenikol suspensi 125 mg/ 5 ml BOTOL 168 Rp 837,480.00
Kloramfenikol -RECO Tetes Telinga Botol 9 Rp 69,300.00
BUFACETINE Kloramfenikol salep kulit 2 % Tube 86 Rp 288,960.00
Ketokonazole 2 % krim Tube 49 Rp 132,006.00
Loperamide NOVADIUM Tablet 220 Rp 72,600.00
Lidokain injeksi 2% (HCl) + Epinefrin 1:80.00 Ampul 79 Rp 104,043.00
Metilprednisolon tablet 4 mg Tablet 4,818 Rp 669,702.00
Mikonazole krim/Salep 2% Nitrat Tube 55 Rp 215,930.00
Natrium Diklofenak tablet 25 mg Tablet 130 Rp 18,460.00
Karbogliserin tetes telinga 10% Botol 19 Rp 49,210.00
Ranitidin 150 mg Tablet 3,110 Rp 354,540.00
Salep 2-4 , Kombinasi : Asam Salisilat 2% + Pot 57 Rp 171,969.00
Hiosin butilbromid tab Tablet 165 Rp 435,600.00
Zinc sir 20 mg/5 Ml BOTOL 146 Rp 479,610.00
Acetyl cysteine Kapsul 3,674 Rp 1,355,706.00
OBAT DAK 2019 - Rp -
Asam Mefenamat 500 mg Tablet 9,970 Rp -
Antasida DOEN I tablet kunyah, kombinasi TABLET 2,000 Rp 112,000.00
Asiklovir 400 mg Tablet 540 Rp 229,500.00
Difenhidramin injeksi Ampul 5 Rp 6,305.00
Bisakodil Suppositoria 10 mg (Dulcolax) Suppositoria 19 Rp 112,100.00
Glimepiride 2 mg Tablet 610 Rp 126,270.00
Kotrimoksazole suspensi Botol 60 ml 16 Rp 32,832.00
Kalsium Laktat (Kalk) 500 mg Tablet 760 Rp 44,840.00
Kotrimoksazol (dewasa) kombinasi sulfamet Tablet 730 Rp 91,250.00
Prednison 5 mg Tablet 300 Rp 22,200.00
Sefadroksil sirup kering 125 mg/5ml Botol 60 m 58 Rp 236,988.00
Simvastatin 10 mg Tablet 1,280 Rp 140,800.00
Simvastatin 20 mg Tablet 180 Rp 40,500.00
Tablet tambah darah (surat penugasan) Tablet 75,600 Rp -
Metformin 500 mg tablet 490 Rp -
Klorpromazin HCI 100 mg Tablet 460 Rp 82,340.00
Triheksifenedil 2 mg Tablet 500 Rp 42,500.00
Garam Oralit Sachet 1,422 Rp 391,050.00
Tablet tambah darah Tablet 2,040 Rp 836,400.00
Zinc tablet 20 mg tablet 1,000 Rp 604,000.00
Tablet tambah darah Tablet 3,612 Rp 1,480,920.00
BHP JKN 2015 - Rp -
ETT Dewasa No. 7 mm Pcs 2 Rp 55,660.00
Folay Cateter Anak No. 10 pcs 2 Rp 72,000.00
Folay Cateter Anak No. 6 pcs 2 Rp 87,600.00
Folay Cateter Anak No. 8 pcs 2 Rp 72,000.00
Folay Cateter Dewasa No. 12 pcs 2 Rp 19,200.00
Folay Cateter Dewasa No. 14 pcs 2 Rp 19,200.00
Folay Cateter Dewasa No. 16 pcs 1 Rp 9,600.00
Folay Cateter dewasa No.20 pcs 2 Rp 19,200.00
Folay Cateter Dewasa No.22 pcs 2 Rp 19,200.00
Maag Slang Dewasa No. 16 Pcs 3 Rp 30,030.00
Maag Slang Dewasa No. 18 Pcs 3 Rp 30,030.00
Nipro IV Catheter 16 Pcs 2 Rp 16,562.48
O2 Binasal Anak Pcs 4 Rp 40,000.00
O2 Binasal Dewasa Pcs 2 Rp 20,000.00
Spoit 1 cc pcs 50 Rp 40,900.00
Spoit 10 cc pcs 49 Rp 63,974.40
Spoit 20 cc pcs 24 Rp 23,736.00
Spoit 5 cc pcs 47 Rp 44,010.80
Spoit 50 cc pcs 14 Rp 43,694.00
Infus Set pcs 2 Rp 4,686.00
Suction Catheter Anak No. 10 Pcs 2 Rp 17,688.00
Suction Catheter Anak No.8 Pcs 2 Rp 17,688.00
Suction Catheter dewasa No.12 Pcs 2 Rp 17,688.00
Three Way Buntut Pcs 2 Rp 24,036.00
- Rp -
BHP JKN - Rp -
Hypafix (Plester Penutup Luka) Pcs 44 Rp 682,440.00
JAYAMAS ONEMED KAPAS PEMBALUT Roll 26 Rp 357,500.00
Spongostan Pcs 30 Rp 352,440.00
- Rp -
BHPM JKN 2017 - Rp -
KONIX Lubricating Gel 82 g /KY JELLY Botol 5 Rp 82,812.50
COSMOMED Syringe 3 ml Pcs 57 Rp 52,168.68
JAYAMAS Onemed Povidone Iodine 300 ml BOTOL 13 Rp 269,040.20
GEA HCG Pregnancy Test/ Test Kehamilan Pcs 240 Rp 331,200.00
- Rp -
BHPM JKN 2018 - Rp -
Bahan Tambalan Tetap Tube 6 Rp 3,702,270.00
JAYAMAS Onemed Alcohol Swab Pcs 200 Rp 22,000.00
HALONI JANE PROTOS Surgical Sterile PowderPasang 66 Rp 303,600.00
JAYAMAS Onemed Surgical Mask Plus 3 Ply PPcs 3,045 Rp 1,461,600.00
- Rp -
BHP 2014 - Rp -
Catgut 3/0 Pcs 17 Rp 150,457.14
Infusion set dewasa pcs 5 Rp 30,270.00
Kasa pembalut hidrofil 40 yard x 80 cm Roll 3 Rp 450,450.00
Silk (Benang Bedah Sutra) N0 3/0 dg jarum Pcs 4 Rp 13,384.00
- Rp -
BHP DAK 2016 - Rp -
Larutan Benedict Botol 100 ml - Rp -
JAYAMAS Onemed Alkohol 70% 1 L Botol 2 Rp 51,600.00
Jarum Injeksi Gigi Sekali Pakai (CK Jeet) Pcs 302 Rp 571,384.00
Larutan Asam Sulfosalisilat 20 % Botol 100 ml - Rp -
MPM Medikit Savety IV Catheter Supercath Pcs 10 Rp 172,500.00
Object Glass (Sail Brand) Pcs 274 Rp 71,166.02
- Rp -
BHPM DAK 2017 - Rp -
JAYAMAS ONEMED Masker N95 pcs 20 Rp 143,264.00
GEA-GEA HCG Pregnancy Test-Tes KehamilanPcs 3 Rp 4,050.00
Plaster Luka 2 x 5 (Onemed) Roll 49 Rp 1,045,660.00
Polikresulen Cairan (Albothyl) Bottle/10 ml 4 Rp 256,080.00
Test Golongan Darah Set 1 Rp 1,040,325.00
JAYAMAS Onemed Rivanol 300 cc Botol 7 Rp 24,024.00
- Rp -
BHPM DAK 2018 - Rp -
GP CARE 3-Ply Face Mask With Tie-On (Jenis Pcs 10 Rp 6,220.00
Reagen Urinaria Test Pcs 285 Rp 3,881,130.00
COSMOMED Syringe 3 ml Pcs 415 Rp 377,235.00
Strip Asam Urat Pcs - Rp -
Pot Dahak JAYAMAS Onemed Sputum Pot Pcs 200 Rp 600,200.00
- Rp -
BHP DAK 2019 - Rp -
JAYAMAS Onemed Kasa Hydrophil 40 x 80 c Roll 2 Rp 231,000.00
UNOLAB EURODERM Latex Powdered Surgical Pasang 350 Rp 4,144,913.50
UNOLAB EURODERM Latex Powdered Surgical Pasang 468 Rp 5,541,681.60
Strip Cholesterol Stripe 76 Rp 1,226,640.00
Strip Glucose Stripe 82 Rp 282,900.00
Strip Asam Urat Pcs 125 Rp 534,375.00
SERENITY Lanset Darah Pcs 346 Rp 68,508.00
SD Dengue Duo (Dengue NS1 Ag + Ab Comb Test 50 Rp -
Obat Antituberkulosis FDC Kategori II Paket 1 Rp 1,379,984.00
Obat Antituberkulosis FDC Kategori I Paket 17 Rp 7,611,699.00
Obat Anti Tuberculosis FDC Kategori Anak Paket 1 Rp 267,397.00
Reagen Zn Paket 5 Rp 1,315,055.00
Obat Anti Tuberculosis FDC Kategori Anak Paket 2 Rp 465,036.00
- Rp -
PROGRAM GIZI 2017 - Rp -
Retinol (Vitamin A) 100.000 IU Kapsul 450 Rp 128,700.00
Tablet tambah darah tablet 3,870 Rp 1,586,700.00
- Rp -
PROGRAM GIZI 2018 - Rp -
Retinol 100.000 IU Kapsul 150 Rp 49,050.00
Retinol (Vitamin A) 100.000 IU Kapsul Lunak 400 Rp 132,800.00
Retinol (Vitamin A) 200.000 IU Kapsul Lun 1,758 Rp 1,024,914.00
- Rp -
MDT Combi PB Dewasa Strip/Blister 4 Rp 50,276.00
MDT Combi Dewasa (MB) Strip/Blister 5 Rp 158,800.00
RAPID TEST ANTI HBS Test 40 Rp 792,000.00
Rapid Test HBsAg + Dropper Test + Pcs 100 Rp 985,000.00
Dropper 80 mm (100 ml) Blue Line Pcs 100 Rp -
Rapid Test HBsAg + Dropper Test + Pcs 72 Rp 709,200.00
Dropper 80 mm (100 ml) Blue Line Pcs 72 Rp -
Dehydro Artemisin 40 mg + Piperaquine 320 Tablet 15 Rp 32,400.00
METANOL ml 71 Rp 13,880.50
Immersion Oil ml 54 Rp 90,352.26
Primaquine tab 15 mg Tablet 29 Rp 6,496.00
Albendazole 400 mg Tablet 126 Rp 40,698.00
Microlit Tips for Micropipettes MT 1 up to 2 Pcs 697 Rp -
- Rp -
Alat Deteksi Resiko Ibu Hamil (Test Kehamil Paket - Rp -
Hb Sahli Set 3 Rp -
Strip Tes Kehamilan Pcs 277 Rp -
Larutan HCL 0,1 N 100 ml Botol 6 Rp -
Autoclick Pcs 3 Rp -
Urine Gluco Protein Test Strip 47 Rp -
Hb Sahli Set 2 Rp -
HCl 0,1 N Botol @ 100 ml 1 Rp -
Autoclick Pcs 1 Rp -
- - - Rp -
Tes Golongan Darah Set @4 btl 1 Rp 422,980.00
Object Glass Pcs 182 Rp 47,269.04
DD Anti HCV Strip - Rp -
RAPID 2 FOKUS TEST 25 Rp 341,375.00
Rapid Test HIV Vikia 1/2 Tes 25 Rp 487,000.00
Reagen Shypilis 100 Antigen (Shypilis AB) Test 96 Rp 1,958,400.00
SD HIV-1/2 3.0 (Multi) Test 37 Rp 443,075.00
- - - Rp -
PROGRAM LANSIA 2018 - - Rp -
Alkohol swab pcs 6 Rp 399.96
Alkohol swab pcs 100 Rp 6,667.00
Stripe Asam Urat Stripe 20 Rp 160,000.00
Stripe Cholesterol Stripe 4 Rp 74,000.00
Stripe Glucose Strip 5 Rp 32,000.00
Lancet Pcs 102 Rp 19,584.00
Autoklik Pcs 1 Rp 2,066.67
- - - Rp -
P3K Kit UKK : - - Rp -
P3K Kit : Senter pen light Pcs 1 Rp -
P3K Kit : Gunting Perban Pcs 1 Rp -
P3K Kit : Sarung Tangan lateks ukuran L Pasang 35 Rp -
P3K Kit : Aquades (100 ml) Pcs 2 Rp -
P3K Kit : Povidon Iodin (60 ml) Pcs 2 Rp -
P3K Kit : Kain segitiga/mitella dilengkapi peniPcs 2 Rp -
P3K Kit : Kasa steril terbungkus Pcs 20 Rp -
P3K Kit : Perban (lebar 10 cm) Pcs 2 Rp -
P3K Kit : Perban (lebar 5 cm) Pcs 2 Rp -
P3K Kit : Kapas (25 g) Pcs 1 Rp -
P3K Kit : Plester (lebar 1.25 cm) Pcs 2 Rp -
P3K Kit : Plester cepat Pcs 10 Rp -
P3K Kit : Pinset anatomis (+-14 cm) Pcs 1 Rp -
BKKBN : - - Rp -
Povidone Iodine Botol 100 ml 1 Rp 3,115.00
Pil KB Strip 36 Rp 54,648.00
Ads Spoit Suntik Buah - Rp -
SUSUK KB II PLUS Set 9 Rp 1,431,639.00
Suntik KB Vial 64 Rp 390,400.00
Kondom Pcs 384 Rp 127,998.72
Kondom Pcs 108 Rp 36,000.72
Ads Spoit Suntik Buah 95 Rp 115,425.00
Ads/Spoit (Spoit lmp) Pcs - Rp -
Handscoen Steril Pasang 9 Rp 37,620.00
Dermafix 10 x 18 cm Lembar 1 Rp 4,412.00
Lidocaine injeksi Ampul 8 Rp 10,536.00
Iud Copper T Set 4 Rp 47,200.00
Ads/Spoit (Spoit lmp) Pcs 8 Rp 9,720.00
Plester Luka (Isoplast) Pcs 8 Rp 35,296.00
VAR Vial 10 Rp 1,650,000.00
HBIG Bx/1 Vial 3 Rp 4,050,000.00
- Rp -
Vaksin DT Vial 15 Rp 269,940.00
Vaksin Polio Vial 48 Rp 957,792.00
Vaksin Td Vial 43 Rp 730,785.00
ADS 5 ml Pcs 336 Rp 551,040.00
Safety Box 2.5 Buah 19 Rp 406,505.00
Vaksin Campak + MR Vial 3 Rp 467,439.00
Vaksin IPV Vial 2 Rp 317,988.00
Vaksin DPT/HIB Vial 35 Rp 2,764,685.00
Vaksin HPV Vial 139 Rp 20,850,000.00
ADS 0,5 ml Buah 338 Rp 557,700.00
HB.O PCS 45 Rp 1,079,595.00
Vaksin BCG Ampul 25 Rp 1,549,900.00
Vaksin Polio Suntik (IPV) Vial 13 Rp 2,066,922.00
- Rp -
Tambahan Obat Masuk 24 Juli 2019 : - Rp -
Levofloksacin 500 mg Tablet 300 Rp -
- Rp -
OBAT DAK 2019 : - Rp -
Atorvastatin 10 mg Tablet Salut Selaput 200 Rp -
Miniaspi (aspilets) 80 mg Tablet 100 Rp -
Nistatin vaginal tablet 100.000 IU/g Tablet Vaginal 100 Rp -
Pularex (Activated Attapulgite 630 mg) Tablet 50 Rp -
Piroksikam 20 mg Tablet 970 Rp -
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Rp 120,992,599.69