LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPL

DINAS KESEHATAN KABUPATEN MUKOMUKO

PUSKESMAS : Bukit Mulya

KECAMATAN : Penarik
KABUPATEN : Mukomuko
PROVINSI : Bengkulu

NO NAMA OBAT SATUAN STOK AWAL PENERIMAAN

a b c d e
1 Acyclovir Krim Tube 20 0
2 Acyclovir tablet 200 mg Tab 1,400 0
3 Acyclovir tablet 400 mg Tab 700 0
4 AIR STREIL INJ Botol 18 0
5 Air untuk injeksi amp 25 ml Ampul - 0
6 Albendazol susp 200 mg/5 ml Botol - 0
7 Albendazol tab 400 mg Tab 180 0
8 Alopurinol tab 100 mg Tab 2,700 0
9 Alopurinol tab 300 mg Tab 3,500 0
10 Alprazolam tab 1 mg Tab - 0
11 Aminofilin inj 24 mg/ml Ampul 180 0
12 Aminofilin Tab 200 mg Tab - 0
13 Amitriptilin tab sal 25 mg Tab sal - 0
14 Amlodipin tab 10 mg Tab 190 0
15 Amlodipin tab 5 mg Tab 2,400 900
16 Amoksisilin drops 100 mg/ml Botol - 0
17 Amoksisilin sir forte 250 mg/5 ml Botol - 0
18 Amoksisilin sir kering 125 mg/5 ml Botol 178 150
19 Amoksisilin tab 250 mg Tab 1,000 0
20 Amoksisilin tab 500 mg Tab 1,600 2,000
21 Ampisilin serb inj 250 mg/vial Vial - 0
Anestetik lokal gigi kombinasi : lidokain hcl 2% + Vial
22
epinefrin 1 : 80.000 inj 2 ml - 0
23 Antalgin tab 500 mg Tab
700 0
Antasida, kombinasi : aluminium hidroksida 200 mg + Tab
24
magnesium hidroksida 200 mg 1,500 2,000
Antasida sirup, kombinasi : aluminium hidroksida 200 Botol
25 mg + magnesium hidroksida 200 mg 110 100
Antibakteri, kombinasi : basitrasin 500 UI/g+ Tube
26 Polimiskin B 10.000 UI/g - 0
27 Anti Bisa Ular (ABU) Vial - 0
Antifungi salep, kombinasi : asam benzoat 6%+ asam Tube
28
salisilat 3% - 0
Antihemoroid, kombinasi: bismut subgalat 150 mg + Botol
29 heksaklorofen 2,5 mg + lidokain lidokain 10 mg+ seng
oksida 120 mg + sup ad 2 g
20 0
Antimalaria, Kombinasi : Sulfadoksin 500 mg + Tab
30
Pirimetamin 25 mg - 0
31 Anti Tetanus Serum (ATS) Ampul - 0
32 Asam asetilsalisilat (asetosal) tab 80 mg Tab - 0
33 Asam askorbat (vitamin C) tab 250 mg Tab - 0
34 Asam askorbat (vitamin C) tab 50 mg Tab - 3,000
35 Asam folat tab 0,4 mg Tab - 0
36 Asam folat tab 1 mg Tab - 0
37 Asam mefenamat kaps 250 mg Kaps - 0
38 Asam mefenamat kaps 500 mg Kaps 800 1,000
39 Asam Pipemidat 400 mg Tab - 0
40 Asam Traneksamat inj 50 mg/ml Ampul 8 0
41 Atapulgit 600 mg Tab - 0
42 Atapulgit tablet 650 mg Tab - 0
43 Atenolol tab 100 mg Tab - 0
44 Atenolol tab 50 mg Tab - 0
45 Atropin inj 0,25 mg/ml (i.m./i.v./s.k) Ampul - 0
46 Atropin tab 0,5 mg Tab - 0
47 Azitromisin syr kering 200 mg/ 5 ml Botol - 0
48 Betahistin 6 mg Tab 1,000 1,700
49 Betametason krim 0,1% Tube 75 0
50 Betametason tts mata 1 mg/ml Botol - 0
51 Bisakodil sup 10 mg Botol - 0
52 Bisakodil sup 5 mg Botol - 0
53 Bisakodil tab sal 5 mg Tab sal - 0
54 Bisoprolol tab 5 mg Tab 420 0
55 Deksametason inj 5 mg/ml (i.v./i.m.) Ampul - 0
56 Deksametason tab 0,5 mg Tab 1,700 0
57 Desoksimetason 0,25% krim Tube - 0
58 Diazepam inj 5 mg/ml (i.v./i.m.) Ampul - 0
59 Diazepam larutan rektal 5mg/2,5 ml (Stesolid) Tube - 0
60 Diazepam tab 2 mg Tab - 0
61 Diazepam tab 5 mg Tab - 0
62 Dietilkarbamazin tab 100 mg Tab - 0
63 Difenhidramin inj 10 mg/ml (i.v./i.m.) Ampul 60 0
64 Digoksin tab 0,25 mg Tab 200 0
65 Dimenhidrinat tab 50 mg Tab - 0
66 Doksisiklin kaps 100 mg Kaps - 0
67 Domperidon susp 5 mg/5 ml Botol 90 0
68 Domperidon tab 10 mg Tab 1,600 1,000
69 Efedrin inj 50 mg / ml Ampul 100 0
70 Ekstrak Belladon tab 10 mg Tab - 0
71 Epinefrin (adrenalin) inj 0,1% (i.v./s.k./i.m.) Ampul 27 0
72 Ergotamin tab 1 mg Tab - 0
73 Eritromisin kaps 250 mg Kaps - 0
74 Eritromisin sir 200 mg/5 ml Botol - 120
75 Eritromisin tab 500 mg Tab 1,000 0
76 Eugenol Botol 10 0
77 Fenol gliserol tts Telinga Botol - 48
78 Fenobarbital tab 30 mg Tab - 0
79 Fenoksimetil penisilin (penisilin V) tab 250 mg Tab - 0
80 Ferro sulfat sir. 15 mg/5 ml Botol - 0
81 Ferro sulfat tab salut 300 mg (TTD) /FE Tab sal - 0
82 Fitomenadion (vitamin K 1) inj 2 mg/ml (i.m.) Vial 140 0
83 Fitomenadion (vitamin K 1) tab sal 10 mg Tab sal 800 0
84 Fitomenadion (vitamin K1) inj 10 mg/ml (i.m) Ampul - 0
85 Furosemid inj 10 mg/ml (i.v./i.m.) Ampul - 0
86 Furosemid / Farsik tab 40 mg Tab 1,200 0
Garam oralit kombinasi : natrium klorida 0,52 g + Sachet
87 kalium klorida 0,30 g + trinatrium sitrat 0,58 g +
glukosa anhidrat 2,7 g
900 0
88 Gentamicin krim mata 0,3% Tube 25 0
89 Gentamicin inj 40 mg Ampul 30 0
90 Gentamicin Sulfat Tetes Mata 0,3% Botol - 0
91 Gentian Violet Botol - 0
92 Glibenklamid tab 5 mg Tab 600 3,000
93 Glimepirid tab 1 mg Tab - 0
94 Glimepirid tab 2 mg Tab - 0
95 Glipizid tab 5 mg Tab - 0
96 Glukosa Larutan Infus 5% steril 100 ml Botol 70 0
97 Griseofulvin (micronized) tab 125 mg Tab 400 0
98 Griseofulvin (micronized) tab scored 250 mg Tab - 0
99 Haloperidol inj 5 mg/ml (i.m.) Vial - 0
100 Haloperidol tab 0,5 mg Tab - 0
101 Haloperidol tab 1,5 mg Tab - 0
102 Haloperidol tab 2 mg Tab - 0
103 Haloperidol tab 5 mg Tab - 0
104 Haloperidol tts 2 mg/ml Botol - 0
105 Hidroklorotiazid tab 25 mg Tab - 0
106 Hidrokortison krim 2,5% Tube 168 0
107 Hidrokortison serb inj 100 mg/vial Vial - 0
108 Hiosina butilbromida tab 10 mg Tab - 0
109 Ibuprofen sir 100 mg/5 ml Botol 120 100
110 Ibuprofen sir 200 mg/5 ml Botol - 0
111 Ibuprofen tab 200 mg Tab 1,100 2,000
112 Ibuprofen tab 400 mg Tab 500 2,000
113 Irbesartan tab 150 mg Tab - 0
114 Irbesartan tab 300 mg Tab - 0
115 Isoniazid tab 100 mg Tab - 0
116 Isoniazid tab 300 mg Tab 2,000 0
117 Isosorbid dinitrat tab 5 mg Tab 1,100 0
118 Kalsium glukonat inj 100 mg/ml Ampul - 0
119 Kalsium karbonat tab 500 mg Tab - 0
120 Kalsium laktat (kalk) tab 500 mg Tab - 2,100
121 Kanamisin inj Vial - 0
122 Kaptopril tab 12,5 mg Tab 1,100 0
123 Kaptopril tab 25 mg Tab 100 2,000
124 Kaptopril tab 50 mg Tab - 0
125 Karbamazepin sir 100 mg/5 ml Botol - 0
126 Karbamazepin tab 200 mg Tab - 0
127 Karbogliserin tts telinga 10 % (Phenol Glycerol) Botol - 0
128 Ketokonazol tab 200 mg Tab 800 2,000
129 Ketokonazol krim Tube 85 0
130 Klindamisin kaps 150 mg Kaps - 0
131 Kloramfenikol kaps 250 mg Kaps 200 0
132 Kloramfenikol kaps 500 mg Kaps 1,000 0
133 Kloramfenikol salep kulit 2% Tube - 0
134 Kloramfenikol salep mata 1% Tube 72 0
135 Kloramfenikol susp 125 mg/5 ml Botol 80 0
136 Kloramfenikol tetes telinga 3% Botol - 0
137 Kloramfenikol tts mata 0,5% Botol - 0
138 Kloramfenikol tts mata 1% Botol - 0
139 Klorfeniramin Maleat (CTM) tab 4 mg Tab 2,100 1,000
140 Klorfenol kamfer mentol (CHKM) Botol - 0
141 Klorpromazin inj 25 mg/ml (i.m.) Ampul - 0
142 Klorpromazin inj 5 mg/ml (i.m.) Ampul - 0
143 Klorpromazin tab sal 100 mg Tab sal - 0
144 Klorpromazin tab sal 25 mg Tab sal - 0
145 Kodein tab 10 mg Tab - 0
146 Kombinasi : ergotamin 1 mg+ kafein 50 mg Tab - 0
147 Kombinasi : ferro sulfat 200 mg+ as. Folat 0,25 mg Tab sal - 0
Kotrimoksazol (dewasa) kombinasi : sulfametoksazol Tab
148 400 mg+ trimetoprim 80 mg
1,100 0
149 Kotrimoksazol DOEN Pediatrik Kombinasi Tab
- 0
 Kotrimoksazol (dewasa) kombinasi tiap 5 ml suspensi : Botol
150 sulfametoksazol 200 mg + trimetoprim 40 mg
285 0
151 Laktulosa syr 3,335 g/ 5 ml Botol
38 0
152 Lansoperazol tab 30 mg Tab
- 800
153 Lidokain inj Ampul
210 0
154 Loratadin tab 10 mg Tab
- 0
155 Lugol Botol
- 0
156 Magnesium sulfat inj 20% Vial
- 0
157 Magnesium sulfat inj 40% Vial
- 0
158 Mebendazol sir 50 mg/ml Botol
- 0
159 Mebendazol tab 100 mg Tan
- 0
160 Mebendazol tab 500 mg (Vermox) Tab
- 0
161 Metformin tab 500 mg Tab
300 2,000
162 Metformin tab 850 mg Tab
- 0
163 Metilergometrin inj 0,2 mg/ml Ampul
162 0
164 Metilergometrin tab salut 0,125 mg Tab sal
200 0
165 Metilprednisolon tab 4 mg Tab
1,800 1,000
166 Metilprednisolon sebuk inj 125 mg Vial
- 0
167 Metoklopramid tab 10 mg Tab
- 3,000
168 Metoklopramid tab 5 mg Tab
- 0
169 Metoklopramid inj 5 mg/ml Ampul
- 0
170 Metoklopramid sir 5 mg/5 ml Botol
- 0
171 Metronidazol lar inf 5 mg/ml Botol
- 0
172 Metronidazol sir 125 mg/5 Ml Botol
90 0
173 Metronidazol tab 250 mg Tab
1,000 0
174 Metronidazol tab 500 mg Tab
1,800 0
175 Mikonazol krim 2% Tube
24 0
176 Mineral Mix Tab
- 0
177 NaCl 0,9% Larutan Botol
60 0
178 Natrium Bicarbonat inj 8,4% Botol
- 0
179 Natrium diklofenak tab 25 mg Tab
2,550 0
180 Natrium diklofenak tab 50 mg Tab
1,400 600
181 Nifedipin kaps 10 mg Kaps
100 0
182 Nistatin susp 100.000 UI/ml Botol
- 0
183 Nistatin tab salut 500.000 UI Tab
- 0
184 Nistatin tab vaginal 100.000 UI Tab
- 0
185 Obat Anti Tuberculosis FDC Kategori Anak Paket
- 0
186 Obat Anti Tuberculosis FDC Kategori II Paket
- 0
187 Obat Anti Tuberculosis Kategori I Paket
- 0
188 Oksitosin inj 10 UI/ml Pitogin Ampul
120 0
189 Omeprazol kaps 20 mg Kaps
- 1,350
190 Ondansetron tab 4 mg Tab
- 0
191 Ondansetron inj 2 mg/ml Ampul
- 300
192 Parasetamol sir 120 mg/5 ml Botol
80 300
193 Parasetamol tab 500 mg Tab
1,500 2,000
194 Parasetamol tts 60 mg/0,6 ml Botol
- 0
195 Pirantel pamoat susp 125 mg/5 ml Botol
45 0
196 Pirantel pamoat tab scored 125 mg Tab
1,000 0
197 Piridoksin (vitamin B6) inj 100 mg/ml Ampul
- 0
198 Piridoksin (vitamin B6) tab 10 mg Tab
400 0
199 Piridoksin (vitamin B6) tab 25 mg Tab
- 0
200 Piroksikam Tab 20 mg Tab
- 0
201 Prednison tab 5 mg Tab
2,200 0
202 Primakuin tab 15 mg Tab
1,000 0
203 Prokain benzilpenisilin serb inj 3 juta UI/vial (i.m.) Vial
- 0
204 Propiltiourasil tab 100 mg Tab
- 0
205 Propranolol tab 10 mg Tab
1,800 1,000
206 Propranolol tab 40 mg Tab
400 0
207 Ranitidin tab 150 mg Tab
1,000 0
208 Ranitidin inj Ampul
- 30
209 Retinol (vitamin A) kaps lunak 100.000 UI Kaps lunak
- 0
210 Retinol (vitamin A) kaps lunak 200.000 UI Kaps lunak
- 0
211 Rifampisin kaps 300 mg Kaps
- 0
212 Ringer Laktat Larutan Botol
60 0
213 Risperidon tab 1 mg Tab
- 0
214 Risperidon tab 2 mg Tab
- 0
215 Salbutamol sir 2 mg/5 ml Botol
35 0
216 Salbutamol tab 2 mg Tab
1,100 1,000
217 Salbutamol tab 4 mg Tab
- 0
Salep 2-4, kombinasi : asam salisilat 2 %+ belerang Pot
218
endap 4 % 24 0
219 Setirizin sir 5 mg/5 ml. Botol
30 0
220 Setirizin tab 10 mg Tab
500 1,600
221 Sefadroksil tab 500 mg Tab
1,400 0
222 Sefadroksil tab sir kering 125 mg/5 ml Botol
91 0
223 Sefotaksim serbuk inj 1000 mg Vial
- 0
224 Sefiksim Kap 100 mg Kap
- 0
225 Sefiksim sir 100 mg/ 5 ml Botol
- 72
226 Seftriakson Serbuk inj 1000 mg Vial
- 0
227 Sianokobalamin (vitamin B12) tab 50 mcg Tab
- 0
228 Sianokobalamin (vitamin B12) inj 500 mcg/ml Ampul
- 200
229 Simvastatin tab sal 10 mg Tab sal
540 0
230 Simvastatin tab sal 20 mg Tab sal
350 0
231 Siprofloksasin infus2% Fls
- 0
232 Siprofloksasin tab scored 500 mg Tab
1,500 1,500
233 Siprofloksasin tetes mata 3 mg/ml Botol
- 0
234 Spironolakton tab 25 mg Tab
- 0
235 Streptomicin inj 1000 mg/ml Ampul
- 0
236 Tetrasiklin kaps 250 mg Kaps
- 0
237 Tetrasiklin kaps 500 mg Kaps
- 0
238 Thiamphenikol tab 500 mg Tab
- 0
239 Tiamin (vitamin B1) tab 50 mg Tab
- 500
240 Tramadol Inj 100 mg/2ml Ampul
- 0
241 Triheksifenidil tab 2 mg Tab
- 0
242 Vitamin B kompleks Tab
- 3,000
243 Zinc sir 10 mg/ml Botol
- 50
244 Zinc sir 20 mg/5 ml Botol
- 0
245 Zinc tab disp 20 mg Tab
- 0
Betametasone krim TUBE 50
NON GENERIK
1 Alletrol Botol - 72
2 Alpara sir Botol 35 0
3 Antapugit Tab 1,000 0
4 Batugin sir Botol 43 0
5 BIOPLACENTON TUBE - 53
6 Biovitan sir Botol - 0
7 Bufacetin cream Tube - 0
8 Brocon Tab 100 0
9 Colsgrip / Calortusin Tab 800 300
10 Colsgrip / Calortusin sirup Botol 40 0
11 Decatine Tts Mata Kloram 1% Botol 60 0
12 Dulkolak supp Supp 65 0
13 Farsik 40 mg Tab 200 0
14 Farizol sir Botol 50 0
15 Loperamid tab 2 mg Tab
1,000 600
16 Neocenta gel Tube 40 0
17 Neurobat inj - 0
18 Novaxicam Tab 700 0
19 Novapiron Tab - 0
20 Novatusin sir Botol - 0
21 Nuvopec Tab tab 200 0
22 Nuvopec sir Botol - 0
23 OMEGESIK Tab 800 0
24 Panviton tab Tab - 0
25 Plasmodin tab Tab 800 0
26 Pritagesik kap Kap - 0
27 Profolat Tab Tab 170 0
28 Pronalges supp Supp 8 0
29 Remco Baby Cough Botol 30 0
30 Rosidon syr Botol 50 0
31 Stimuno syr Botol - 58
32 Superhoid supp Supp - 0
33 Tera F Tab 100 700
34 Urinter Tab 900 0
35 Ulsidek Tab - 0
36 Vitalamin Tab - 500
37 Vagizol Supp - 0
38 Wicold tab Tab - 0
39 Zinc/ Inter Zink sir 20 mg/5 ml Botol
- 0
0
BMHP 0
1 Alat Suntik sekali pakai 0,5 ml pcs - 0
2 Alat Suntik sekali pakai 1 ml Set 500 0
3 Alat Suntik sekali pakai 3 ml Set 750 500
4 Alat Suntik sekali pakai 5 ml Set 500 300
5 Betadine Salep Antiseptilk 5 gr Bot - 0
6 Bioplacenton Tulle 10 x 10 pcs - 0
7 Blood Lanset kotak - 0
8 Catgut plain no.2/0 Sak - 0
9 Catgut plain no.3/0 Sak 132 0
10 Chromic Catgut 2/0 Pcs 180 0
11 Chromic Catgut 3/0 Pcs 60 0
12 Chatheter Norta 2 Way No 16 Pcs - 10
13 Chatheter Norta 2 Way No 18 Pcs - 10
14 Chatheter Norta 2 Way No 20 Pcs - 10
15 Derby Dental DD391-15 Scapel Blade ( Bisturi) Box - 0
16 Descodermp Pcs - 0
17 Etakridina (rivanol) larutan 0,1 % Btl 60 0
18 Etanol 70 % 100 ml Btl - 0
19 Etanol 70 % 300 ml Btl 25 0
20 Etanol 70% 1000 ml Btl 4 6
21 Handscond Non Steril M Box 200 1,000
22 Handscond Non Steril L Box 300 800
23 Handscond 6 pcs - 0
24 Handscoond 6,5 pcs - 0
25 Handscoond 7 pcs - 0
26 Handscoond 7,5 pcs - 0
27 Hipafix / Fixomul Stretch 10 cm x 5 cm pcs 8 0
28 Human Hexagon Syphilis test - 0
29 Easy Toucg Plus Cholesterol Test Trips kotak - 0
30 Easy Toucg Plus Cholesterol Test Trips kotak - 0
31 Easy Toucg Plus Cholesterol Test Trips kotak - 0
32 Infusion set anak Set 55 0
33 Infusion set dewasa Set 80 0
34 IV Chateter /Albocath No.22 Set 23 0
35 IV Chateter /Albocath No.24 Set 9 0
36 IV Chateter /Albocath No.20 Set 50 0
37 Jayamas Onemed Masker pcs - 0
38 Jarum jahit segi tiga no 24 Pcs - 0
39 Kapas berlemak 500 mg rol 1 0
40 Kapas pembalut absorben 250 mg rol 14 0
41 Kasa kompres 40mx 40cm Rol 100 0
42 Kasa pembalut 2 m x 80 cm Rol 16 0
43 Kasa pembalut hirofil 4 m x 3 cm Rol - 0
44 Kasa pembalut hirofil 4 m x 15 cm Rol - 0
45 Kasa pembalut hirofil 40 m x 80 cm Rol 8 2
46 kasa gulung 40 yard x 80 cm rol - 0
47 Kasa Pembalut Elastis rol - 0
48 Kolesterol Test kotak - 0
49 Leukoplas Plester Rol 8 0
50 Lisol Btl 8 0
51 Masker pcs 350 0
Masker NGS pcs 20 0
52 Merkuri Btl - 0
53 Nasal Oxygen Canula - Adult Strainghrt pcs - 10
54 Nasal Oxygen Canula - Child Strainghrt pcs 8 0
55 Needle 24 G Pcs - 0
56 Nonwoven Fixation 10 cm x 10 cm Rol - 0
57 Paper Tape 1,25 cm X 9,14 M Rol - 0
pewarna TB bot - 0
58 Plester 2,5cmX4,5 cm Colombia Rol 18 0
59 Pot Sputum pcs - 0
60 Reagen Ziehl Nielsen Paket - 0
61 Salisil bedak Ktk 200 0
62 Stamper Unit - 0
63 Silk 3/0 Pcs 120 0
64 Supratul / Cuticell Clasic 10 cm x 10 cm Pcs - 0
65 Swab 4-play Box - 0
66 Umbilical Cord Klem Steril Nylon Pcs 150 0
67 Underpad Pcs - 0
68 Urine Drainage Bag Pcs 10 0
69 Wing no 22 Pcs - 0
70 Wings Needle no 23 G Pcs - 0
71 Wing No 24 Pcs - 0
72 Wings Needle 25 Pcs - 0
73 Xpert MTB / Cartridge test - 0
74 Yodium povidon larutan 10 % 30 ml Btl 68 0
75 Yodium povidon larutan 10 % 60 ml Btl 96 0
76 Yodium povidon larutan 10 % 300 ml Btl 34 0
77 Yodium povidon larutan 10 % 1000 ml Btl 7 0

UMUM
BPJS
JUMLAH KUNJUNGAN RESEP BAYAR TIDAK BAYAR

Mengetahui
Kepala Puskesmas Bukit Mulya

H. AHMAD HIJAZI
NIP. 19700809 199001 1 001
MBAR PERMINTAAN OBAT (LPLPO)
ABUPATEN MUKOMUKO

BULAN : APRIL
TAHUN : 2019

PERSEDIAAN PEMAKAIAN SISA STOK PERMINTAAN KETERANGAN

f g h i j
20 0 20 0
1,400 800 600 0
700 0 700 0
18 0 18 0
0 0 - 0
0 0 - 0
180 0 180 0
2,700 1,600 1,100 0
3,500 1,680 1,820 0
0 0 - 0
180 0 180 0
0 0 - 0
 0 0 - 0
190 190 - 0
3,300 900 2,400 0
0 0 - 0
0 0 - 0
328 100 228 0
1,000 0 1,000 0
3,600 2,000 1,600 0
0 0 - 0

0 0 - 0
700 0 700 0

3,500 1,600 1,900 0

210 120 90 0

0 0 - 0
0 0 - 0

0 0 - 0

20 0 20 0

0 0 - 0
0 0 - 0
0 0 - 0
 0 0 - 0
3,000 1,700 1,300 0
0 0 - 0
0 0 - 0
0 0 - 0
1,800 600 1,200 0
0 0 - 0
8 0 8 0
0 0 - 0
0 0 - 0
0 0 - 0
0 0 - 0
0 0 - 0
0 0 - 0
0 0 - 0
2,700 1,200 1,500 0
75 0 75 0
0 0 - 0
0 0 - 0
0 0 - 0
0 0 - 0
420 0 420 0
0 0 - 0
1,700 100 1,600 0
 0 0 - 0
0 0 - 0
0 0 - 0
0 0 - 0
0 0 - 0
0 0 - 0
60 0 60 0
200 0 200 0
0 0 - 0
0 0 - 0
90 40 50 0
2,600 800 1,800 0
100 0 100 0
0 0 - 0
27 0 27 0
0 0 - 0
0 0 - 0
120 120 - 0
1,000 0 1,000 0
10 0 10 0
48 48 - 0
0 0 - 0
0 0 - 0
0 0 - 0
 0 0 - 0
140 0 140 0
800 0 800 0
0 0 - 0
0 0 - 0
1,200 0 1,200 0

900 800 100 0

25 0 25 0
30 0 30 0
0 0 - 0
0 0 - 0
3,600 3,000 600 0
0 0 - 0
0 0 - 0
0 0 - 0
70 0 70 0
400 0 400 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
168 0 168 0
0 0 - 0
0 0 - 0
220 80 140 0
0 0 - 0
3,100 800 2,300 0
2,500 1,600 900 0
0 0 - 0
0 0 - 0
0 0 - 0
2,000 0 2,000 0
1,100 0 1,100 0
0 0 - 0
0 0 - 0
2,100 800 1,300 0
0 0 - 0
1,100 200 900 0
2,100 900 1,200 0
0 0 - 0
0 0 - 0
0 0 - 0
 0 0 - 0
2,800 400 2,400 0
85 0 85 0
0 0 - 0
200 0 200 0
1,000 0 1,000 0
0 0 - 0
72 0 72 0
80 0 80 0
0 0 - 0
0 0 - 0
0 0 - 0
3,100 1,200 1,900 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

1,100 0 1,100 0
0 0 - 0
285 0 285 0
38 0 38 0
800 570 230 0
210 30 180 0
0 0 - 0
0 0 - 0
0 0 - 0
0 0 - 0
0 0 - 0
0 0 - 0
0 0 - 0
2,300 1,900 400 0
0 0 - 0
162 0 162 0
200 0 200 0
2,800 800 2,000 0
0 0 - 0
3,000 200 2,800 0
0 0 - 0
0 0 - 0
0 0 - 0
 0 0 - 0
90 0 90 0
1,000 0 1,000 0
1,800 1,600 200 0
24 0 24 0
0 0 - 0
60 0 60 0
0 0 - 0
2,550 950 1,600 0
2,000 950 1,050 0
100 0 100 0
0 0 - 0
0 0 - 0
0 0 - 0
0 0 - 0
0 0 - 0
0 0 - 0
120 0 120 0
1,350 750 600 0
0 0 - 0
300 0 300 0
380 300 80 0
3,500 2,200 1,300 0
0 0 - 0
45 0 45 0
1,000 0 1,000 0
0 0 - 0
400 0 400 0
0 0 - 0
0 0 - 0
2,200 0 2,200 0
1,000 0 1,000 0
0 0 - 0
0 0 - 0
2,800 1,600 1,200 0
400 0 400 0
1,000 400 600 0
30 0 30 0
0 0 - 0
0 0 - 0
0 0 - 0
60 0 60 0
0 0 - 0
0 0 - 0
 35 0 35 0
2,100 900 1,200 0
0 0 - 0

24 0 24 0
30 15 15 0
2,100 1,400 700 0
1,400 0 1,400 0
91 -30 121 0
0 0 - 0
0 0 - 0
72 12 60 0
0 0 - 0
0 0 - 0
200 0 200 0
540 300 240 0
350 0 350 0
0 0 - 0
3,000 1,900 1,100 0
0 0 - 0
0 0 - 0
0 0 - 0
0 0 - 0
 0 0 - 0
0 0 - 0
500 0 500 0
0 0 - 0
0 0 - 0
3,000 1,100 1,900 0
50 24 26 0
0 0 - 0
0 0 - 0
0 0 50 0
0
72 24 48 0
35 0 35 0
1,000 0 1,000 0
43 0 43 0
53 0 53 0
0 0 - 0
0 0 - 0
100 0 100 0
1,100 300 800 0
40 0 40 0
60 0 60 0
 65 0 65 0
200 0 200 0
50 0 50 0
1,600 750 850 0
40 0 40 0
0 0 - 0
700 0 700 0
0 0 - 0
0 0 - 0
200 200 - 0
0 0 - 0
800 300 500 0
0 0 - 0
800 0 800 0
0 0 - 0
170 0 170 0
8 0 8 0
30 10 20 0
50 0 50 0
58 36 22 0
0 0 - 0
800 200 600 0
900 0 900 0
0 0 - 0
500 200 300 0
0 0 - 0
0 0 - 0
0 0 - 0
0
0
0 0 - 0
500 0 500 0
1,250 0 1,250 0
800 0 800 0
0 0 - 0
0 0 - 0
0 0 - 0
0 0 - 0
132 0 132 0
180 0 180 0
60 0 60 0
10 0 10 0
10 0 10 0
10 0 10 0
 0 0 - 0
0 0 - 0
60 0 60 0
0 0 - 0
25 0 25 0
10 0 10 0
1,200 100 1,100 0
1,100 200 900 0
0 0 - 0
0 0 - 0
0 0 - 0
0 0 - 0
8 0 8 0
0 0 - 0
0 0 - 0
0 0 - 0
0 0 - 0
55 0 55 0
80 0 80 0
23 0 23 0
9 0 9 0
50 0 50 0
0 0 - 0
0 0 - 0
1 0 1 0
14 8 6 0
100 0 100 0
16 0 16 0
0 0 - 0
0 0 - 0
10 8 2 0
0 0 - 0
0 0 - 0
0 0 - 0
8 0 8 0
8 0 8 0
350 0 350 0
20 0 20 0
0 0 - 0
10 0 10 0
8 0 8 0
0 0 - 0
0 0 - 0
0 0 - 0
0 0 - 0
18 0 18 0
0 0 - 0
0 0 - 0
200 20 180 0
0 0 - 0
120 0 120 0
0 0 - 0
0 0 - 0
150 0 150 0
0 0 - 0
10 0 10 0
0 0 - 0
0 0 - 0
0 0 - 0
0 0 - 0
 0 0 - 0
68 0 68 0
96 0 96 0
34 0 34 0
7 0 7 0

JUMLAH

Mukomuko, 30 April 2019

Pengelola Gudang Obat
Puskesmas Bukit Mulya

Apdika Poespa Renny, A.Md.Kep

NIP.19881230 201001 2 003
 REKAPITULASI PENERIMAAN DAN PENGELUARAN
PUSKESMAS BUKIT MULY
PER 31 DESEMBER 2018

PENERIMAAN

SISA STOK PER BUFFER STO

NO NAMA OBAT SATUAN HARGA SATUAN
31 DES 2017
DINKES APBD
PROV

a b c d e f g h
1 Acyclovir Krim Tube Rp3,619 25 150
2 Acyclovir tablet 200 mg Tab Rp239 700 1,700
3 Acyclovir tablet 400 mg Tab Rp345 400 800
4 Air untuk injeksi amp 20 ml Ampul
5 Air untuk injeksi amp 25 ml Ampul Rp2,750
6 Albendazol susp 200 mg/5 ml Botol Rp4,041
7 Albendazol tab 400 mg Tab Rp413 720
8 Alopurinol tab 100 mg Tab Rp113 5,000
9 Alopurinol tab 300 mg Tab Rp234 400 5,000
10 Aminofilin inj 24 mg/ml Ampul Rp3,349 180
11 Aminofilin Tab 200 mg Tab Rp86 600
12 Amitriptilin tab sal 25 mg Tab sal Rp117 -
13 Amlodipin tab 10 mg Tab Rp106 - 3,300
14 Amlodipin tab 5 mg Tab Rp105 1,200 2,100
15 Amoksisilin drops 100 mg/ml Botol -
16 Amoksisilin sir forte 250 mg/5 ml Botol Rp4,128 50 300
17 Amoksisilin sir kering 125 mg/5 ml Botol Rp1,920 50 300
18 Amoksisilin tab 250 mg Tab Rp185 120 3,200
19 Amoksisilin tab 500 mg Tab Rp191 3,600 5,100
20 Ampisilin serb inj 250 mg/vial Vial Rp3,075
21 Anestetik lokal gigi kombinasi : lidokain hcl 2% + epinefrin Vial Rp2,037
1Antalgin
: 80.000tabinj500
2 mlmg Tab 1,000
22 Rp172
23 Antasida, kombinasi : aluminium hidroksida 200 mg + Tab Rp63 2,000 4,000
magnesium hidroksida
Antasida, kombinasi 200 mg hidroksida 200 mg +
: aluminium Botol 60
24 Rp1,962 210
magnesium hidroksida :200
Antibakteri, kombinasi mg 500 UI/g+ Polimiskin B
basitrasin Tube
25 Rp2,767
10.000
Anti BisaUI/g
Ular (ABU) Vial
26 Rp462,000
27 Antifungi salep, kombinasi : asam benzoat 6%+ asam Tube Rp4,366 24
salisilat 3% kombinasi: bismut subgalat 150 mg +
Antihemoroid, Botol 220
28 Rp3,197
heksaklorofen 2,5 mg(ATS)
Anti Tetanus Serum + lidokain lidokain 10 mg+ seng Ampul
29 Rp170,000
oksida 120 mg + sup ad 2 g
30 Asam asetilsalisilat (asetosal) tab 80 mg Tab Rp23
31 Asam askorbat (vitamin C) tab 250 mg Tab Rp125
32 Asam askorbat (vitamin C) tab 50 mg Tab Rp100 500 1,200
33 Asam folat tab 0,4 mg Tab Rp60
34 Asam folat tab 1 mg Tab Rp70 400 1,000
35 Asam mefenamat kaps 250 mg Kaps Rp96
36 Asam mefenamat kaps 500 mg Kaps Rp102 800 5,000
37 Asam Pipemidat 400 mg Tab Rp1,348
38 Asam Traneksamat inj 50 mg/ml Ampul Rp2,045 10 0
39 Atapulgit 600 mg Tab - 2,952
40 Atapulgit tablet 650 mg Tab Rp210
41 Atenolol tab 100 mg Tab Rp792
42 Atenolol tab 50 mg Tab Rp330
43 Atropin inj 0,25 mg/ml (i.m./i.v./s.k) Ampul Rp1,540 70
44 Atropin tab 0,5 mg Tab Rp77
45 Betahistin 6 mg Tab Rp162 3,100
46 Betametason krim 0,5 mg/g Tube Rp1,349 125 100
47 Betametason tts mata 1 mg/ml Botol
48 Bisakodil sup 10 mg Botol Rp5,800
49 Bisakodil sup 5 mg Botol Rp5,800
50 Bisakodil tab sal 5 mg Tab sal
51 Bisoprolol tab 5 mg Tab Rp363 2,000
52 Deksametason inj 5 mg/ml (i.v./i.m.) Vial Rp1,605 100
53 Deksametason tab 0,5 mg Tab Rp43 1,300 6,700
54 Desoksimetason 0,25% krim Tube Rp9,983
55 Diazepam inj 5 mg/ml (i.v./i.m.) Vial Rp4,389
56 Diazepam larutan rektal 5mg/2,5 ml Ampul Rp12,155 81
57 Diazepam tab 2 mg Tab Rp43
58 Diazepam tab 5 mg Tab Rp105 1,175
59 Dietilkarbamazin tab 100 mg Tab Rp119
60 Difenhidramin inj 10 mg/ml (i.v./i.m.) Ampul Rp1,114 60
61 Digoksin tab 0,25 mg Tab Rp106 300
62 Dimenhidrinat tab 50 mg Tab Rp104
63 Doksisiklin kaps 100 mg Kaps Rp288
64 Domperidon susp 5 mg/5 ml Botol 70 50
65 Domperidon tab 10 mg Tab Rp95 4,600 500
66 Ekstrak Belladon tab 10 mg Tab Rp30 200
67 Efedrin inj 50 mg/ml Ampul 100
68 Epinefrin (adrenalin) inj 0,1% (i.v./s.k./i.m.) Ampul Rp1,749 100
69 Ergotamin tab 1 mg Tab Rp117
70 Eritromisin kaps 250 mg Kaps Rp594 -
71 Eritromisin sir 200 mg/5 ml Botol Rp6,303 25
72 Eritromisin tab 500 mg Tab Rp751 100 1,900
73 Eugenol Botol Rp17,500 10
74 Fenobarbital inj Ampul Rp2,068
75 Fenobarbital tab 30 mg Tab Rp145
76 Fenoksimetil penisilin (penisilin V) tab 250 mg Tab Rp368
77 Fenol Gliserol tts telinga Botol 48
78 Ferro sulfat sir. 15 mg/5 ml Botol
79 Ferro sulfat tab salut 300 mg (TTD) / FE Tab sal Rp360 1,200
80 Fitomenadion (vitamin K 1) inj 2 mg/ml (i.m.) Vial Rp3,728
 81 Fitomenadion (vitamin K 1) tab sal 10 mg Tab sal Rp721 900 900
82 Fitomenadion (vitamin K1) inj 10 mg/ml (i.m) Ampul Rp4,167 108 180
83 Furosemid inj 10 mg/ml (i.v./i.m.) Ampul Rp1,920 25
84 Furosemid tab 40 mg Tab Rp120 1,100 1,600
85 Garam oralit kombinasi : natrium klorida 0,52 g + kalium Sachet Rp303 300 900
86 klorida 0,30 krim
Gentamicin g + trinatrium
0,3% sitrat 0,58 g + glukosa anhidrat Tube Rp4,380
87 2,7 g
Gentamicin inj 40 mg Ampul Rp3,556 30
88 Gentamicin Sulfat Tetes Mata 0,3% Tube Rp3,109 48
89 Gentamicin Sulfat Salp Mata 0,3% Tube Rp3,110 89
90 Gentian Violet Botol Rp606
91 Glibenklamid tab 5 mg Tab Rp58 - 1,000
92 Glimepirid tab 1 mg Tab Rp220 100 1,000
93 Glimepirid tab 2 mg Tab Rp290
94 Glipizid tab 5 mg Tab Rp825
95 Glukosa Larutan Infus 5% steril 100 ml Botol Rp6,900 30 40
96 Griseofulvin (micronized) tab 125 mg Tab Rp219 500 100
97 Griseofulvin (micronized) tab scored 250 mg Tab Rp387
98 Haloperidol inj 5 mg/ml (i.m.) Vial Rp4,000
99 Haloperidol tab 0,5 mg Tab Rp58
100 Haloperidol tab 1,5 mg Tab Rp63
101 Haloperidol tab 2 mg Tab Rp94
102 Haloperidol tab 5 mg Tab Rp74
103 Haloperidol tts 2 mg/ml Botol Rp18,100
104 Hidroklorotiazid tab 25 mg Tab Rp156 300
105 Hidrokortison krim 2,5% Tube Rp2,650 - 216
106 Hidrokortison serb inj 100 mg/vial Vial
107 Hiosina butilbromida tab 10 mg Tab
108 Ibuprofen sir 100 mg/5 ml Botol Rp2,550 250 50
109 Ibuprofen sir 200 mg/5 ml Botol
110 Ibuprofen tab 200 mg Tab Rp105 2,000 3,700
111 Ibuprofen tab 400 mg Tab Rp130 2,700 1,400
112 Irbesartan tab 150 mg Tab Rp1,496
113 Irbesartan tab 300 mg Tab Rp2,593
114 Isoniazid tab 100 mg Tab Rp75
115 Isoniazid tab 300 mg Tab Rp170 2,000
116 Isosorbid dinitrat tab 5 mg Tab Rp93 1,100
117 Kalsium glukonat inj 100 mg/ml Ampul Rp7,800
118 Kalsium karbonat tab 500 mg Tab
119 Kalsium laktat (kalk) tab 500 mg Tab Rp57 300
120 Kanmisin inj Vial Rp4,900
121 Kaptopril tab 12,5 mg Tab Rp63 - 2,200
122 Kaptopril tab 25 mg Tab Rp89 300 1,000
123 Kaptopril tab 50 mg Tab Rp131 900 1,000
124 Karbamazepin sir 100 mg/5 ml Botol
125 Karbamazepin tab 100 mg Tab
126 Karbogliserin tts telinga 10 % (Phenol Glycerol) Botol Rp2,500
127 Ketokonazol tab 200 mg Tab Rp288 - 3,500
128 Ketokonazol krim Tube Rp2,599 123 55
129 Klindamisin kaps 300 mg Kaps -
130 Kloramfenikol kaps 250 mg Kaps Rp262 1,000
131 Kloramfenikol kaps 500 mg Kaps Rp1,056 - 1,000
132 Kloramfenikol salep kulit 2% Tube Rp3,223
133 Kloramfenikol salep mata 1% Tube Rp1,810 48 72
134 Kloramfenikol susp 125 mg/5 ml Botol Rp4,841 35 50
135 Kloramfenikol tetes telinga 3% Botol
136 Kloramfenikol tts mata 0,5% Botol Rp3,500 - 50
137 Kloramfenikol tts mata 1% Botol
138 Klorfeniramin Maleat (CTM) tab 4 mg Tab Rp37 3,200 4,000
139 Klorfenol kamfer mentol (CHKM) Botol Rp55,000
140 Klorpromazin inj 25 mg/ml (i.m.) Ampul Rp1,300
141 Klorpromazin inj 5 mg/ml (i.m.) Ampul Rp1,483
142 Klorpromazin tab sal 100 mg Tab sal Rp148
143 Klorpromazin tab sal 25 mg Tab sal Rp155 500
144 Kodein tab 10 mg Tab Rp577 500
145 Kombinasi : ergotamin 1 mg+ kafein 50 mg Tab
146 Kombinasi : ferro sulfat 200 mg+ as. Folat 0,25 mg Tab sal
147 Kotrimoksazol (dewasa) kombinasi : sulfametoksazol 400 Tab Rp131 200 2,000
148 mg+ trimetoprim
Kotrimoksazol 80 mgPediatrik Kombinasi
DOEN Tab Rp102 -
149 Kotrimoksazol (dewasa) kombinasi tiap 5 ml suspensi : Botol Rp2,222 54 300
150 sulfametoksazol
Lansoperazol tab20030 mg + trimetoprim 40 mg Tab Rp473
151 Lakt0sa Sirup sirup 48
152 Lidocain Ampul 120 330
153 Loperamid tab 2 mg Tab Rp82 1,100
154 Loratadin tab 10 mg Tab Rp139
155 Lugol Botol
156 Magnesium sulfat inj 20% Vial Rp3,200 3
157 Magnesium sulfat inj 40% Vial Rp3,650 2
158 Mebendazol sir 50 mg/ml Botol
159 Mebendazol tab 100 mg Tan
160 Mebendazol tab 500 mg (Vermox) Tab Rp880
161 Metformin tab 500 mg Tab Rp99 1,900 3,000
162 Metformin tab 850 mg Tab Rp170
163 Metilergometrin inj 0,2 mg/ml Ampul Rp2,992 100 100
164 Metilergometrin tab salut 0,125 mg Tab sal Rp162 200
165 Metilprednisolon tab 4 mg Tab Rp160 2,200 3,500
166 Metoklopramid tab 10 mg Tab Rp98
167 Metoklopramid tab 5 mg Tab
168 Metoklopramid inj 5 mg/ml Ampul Rp3,565
169 Metoklopramid sir 5 mg/5 ml Botol Rp2,650
170 Metronidazol lar inf 5 mg/ml Botol Rp10,250 -
171 Metronidazol sir 125 mg/5 Ml Botol Rp3,800 40 50
172 Metronidazol tab 250 mg Tab Rp96 400 1,000
173 Metronidazol tab 500 mg Tab Rp114 900 3,000
174 Mikonazol krim 2% Tube Rp3,410 96
175 NaCl 0,9% Larutan Botol Rp6,410 51 40
176 Natrium Bicarbonat inj Botol Rp6,510
177 Natrium diklofenak tab 25 mg Tab Rp157 550 3,350
178 Natrium diklofenak tab 50 mg Tab Rp160 100 4,150
179 Nifedipin kaps 10 mg Kaps Rp110 1,000
180 Nistatin susp 100.000 UI/ml Botol
181 Nistatin tab salut 500.000 UI Tab Rp782
182 Nistatin tab vaginal 100.000 UI Tab Rp549 100
183 Obat Anti Tuberculosis FDC Kategori Anak Paket Rp234,764
184 Obat Anti Tuberculosis FDC Kategori II Paket Rp1,310,380
185 Obat Anti Tuberculosis Kategori I Paket Rp377,986
186 Oksitosin inj 10 UI/ml Ampul Rp1,900 100
187 Omeprazol kaps 20 mg Kaps Rp164 780 3,600
188 Parasetamol sir 120 mg/5 ml Botol Rp1,013 200 200
189 Parasetamol tab 500 mg Tab Rp51 - 2,200
190 Parasetamol tts 60 mg/0,6 ml Botol Rp5,460
191 Pirantel pamoat susp 125 mg/5 ml Botol Rp9,885 50
192 Pirantel pamoat tab scored 125 mg Tab Rp288 1,428 1,000
193 Piridoksin (vitamin B6) inj 100 mg/ml Ampul
194 Piridoksin (vitamin B6) tab 10 mg Tab Rp124 2,000
195 Piridoksin (vitamin B6) tab 25 mg Tab
196 Piroksikam Tab 20 mg Tab Rp130 1,200 1,500
197 Prednison tab 5 mg Tab Rp82 1,200 1,600
198 Primakuin tab 15 mg Tab Rp235 1,000
199 Prokain benzilpenisilin serb inj 3 juta UI/vial (i.m.) Vial Rp9,046
200 Propiltiourasil tab 100 mg Tab Rp292
201 Propranolol tab 10 mg Tab Rp57
202 Propranolol tab 40 mg Tab Rp110 2,900 500
203 Ranitidin tab 150 mg Tab Rp105 2,900 3,200
204 Ranitidin inj Ampul Rp1,532 130 50
205 Retinol (vitamin A) kaps lunak 100.000 UI Kaps lunak Rp298 500
206 Retinol (vitamin A) kaps lunak 200.000 UI Kaps lunak Rp534 500
207 Rifampisin kaps 300 mg Kaps
208 Ringer Laktat Larutan Botol Rp7,150 90 160
209 Risperidon tab 1 mg Tab Rp336
210 Risperidon tab 2 mg Tab Rp347
211 Salbutamol sir 2 mg/5 ml Botol Rp4,489 49
212 Salbutamol tab 2 mg Tab Rp67 1,700 1,000
213 Salbutamol tab 4 mg Tab Rp95 100
214 Salep 2-4, kombinasi : asam salisilat 2 %+ belerang endap Pot Rp2,554 - 48
215 4Setirizin
% sir 5 mg/5 ml. Botol Rp3,200 200 270
216 Setirizin tab 10 mg Tab Rp96 3,500
217 Sefadroksil tab 500 mg Tab Rp451 900 3,500
218 Sefadroksil tab sir kering 125 mg/5 ml Botol Rp4,100 48 146
219 Sefotaksim serbuk inj 1000 mg Vial Rp5,500
220 Sefiksim Kap 100 mg Kap Rp626
221 Sianokobalamin (vitamin B12) tab 50 mcg Tab Rp52 1,000 2,000
222 Sianokobalamin (vitamin B12) 500 mcg inj Ampul Rp1,132 20 100
223 Simvastatin tab sal 10 mg Tab sal Rp113 870 1,050
224 Simvastatin tab sal 20 mg Tab sal Rp252 350 450
225 Siprofloksasin infus2% Fls Rp15,000
226 Siprofloksasin tab scored 500 mg Tab Rp247 2,400 2,600
227 Siprofloksasin tetes mata 3 mg/ml Botol
228 Spironolakton tab 25 mg Tab Rp304
229 Streptomicin inj 1000 mg/ml Ampul Rp5,250
230 Tetrasiklin kaps 250 mg Kaps Rp169
231 Tetrasiklin kaps 500 mg Kaps Rp319 500
232 Tiamin (vitamin B1) tab 50 mg Tab Rp84 1,000
233 Tramadol Inj 100 mg/ml Ampul Rp2,520 30
234 Thiamphenicol 500 Tab 400
235 Triheksifenidil tab 2 mg Tab Rp80 910
236 Vitamin B kompleks Tab Rp121 200 5,000
237 Zinc sir 10 mg/ml Botol Rp6,600 0
238 Zinc sir 20 mg/5 ml Botol 24 37
239 Zinc tab disp 20 mg Tab Rp540 100
 NON GENERIK
1 Alpara sir Botol Rp24,000 - 90
2 Batugin sir Botol Rp25,000 - 48
3 Biovitan sir Botol Rp8,800 - 150
4 bufacetin salp Tube 24 120
5 Brocon Tab Rp600 - 2,000
6 Colsagrip / Colortusin Tab 1,000
7 Colsagrip / Colortusin sirup 50
8 Denicam tab 20 mg Tab Rp148 -
9 Decatin tts mata Botol 80
10 Dulkolak Supp biji 100
11 Farizol sir Botol Rp4,200 - 100
12 Farsik tab Rp0 - 1,000
13 Neocenta gel Tube Rp15,000 - 60
14 Novapiron Tab Rp950 - 500
15 Novatusin sir Botol Rp7,500 - 100
16 Noasicam tab 1,000
17 Nuvopec Tab tab Rp150 - 4,000
18 Nuvopec sir Botol Rp5,000 - 200
19 Panviton tab Tab Rp500 - 1,500
20 Plasmodin tab Tab Rp2,350 - 1,000
21 Pritagesik kap Kap Rp518 -
22 Profolat Tab 1,900
23 Pronalges supp Supp Rp11,900 8
24 Remco Baby Cough Botol 100
25 Rosidon syr Botol Rp17,000 - 50
26 Stimuno syr Botol Rp22,000 - 96
27 Superhoid supp Supp Rp3,300 -
28 Tera F Tab 500
29 Urinter Tab 1,000
30 ulsidek Tab 600
31 Vagizol Supp Rp4,043 - 10
32 Wicold tab Tab Rp720 - 1,000

UMUM
BPJS JUMLAH
JUMLAH KUNJUNGAN RESEP BAYAR TIDAK BAYAR

Mengetahui
Kepala Puskesmas Bukit Mulya

H. AHMAD HIJAZI
NIP. 19700809 199001 1 001
NGELUARAN SERTA SISA STOK OBAT
BUKIT MULYA
EMBER 2018

ENERIMAAN 2018
PENGELUARAN 2018
BUFFER STOCK PERSEDIAAN SISA STOK PER JUMLAH HARGA
JUMLAH HARGA 2018 31 DES 2018 (Rp)
JUMLAH
(Rp)
JUMLAH JUMLAH HARGA
PUSAT
PENGELUARAN (Rp)
i j k=j*d l=e+j m n=m*d o=l-m p=o*d
150 542,850 175 130 470,470 45 162,855
1,700 406,300 2,400 1,000 239,000 1,400 334,600
800 276,000 1,200 300 103,500 900 310,500
0 0 0 -18 0 18 -
0 0 0 0 0 -
0 0 0 0 0 -
0 0 720 540 223,020 180 74,340
5,000 565,000 5,000 1,700 192,100 3,300 372,900
5,000 1,170,000 5,400 1,800 421,200 3,600 842,400
0 0 180 180 602,820 - -
0 0 600 600 51,600 - -
0 0 0 0 0 - -
3,300 349,800 3,300 2,670 283,020 630 66,780
2,100 220,500 3,300 3,300 346,500 - -
 0 0 0 0 0 - -
300 1,238,400 350 350 1,444,800 - -
300 576,000 350 81 155,520 269 516,480
3,200 592,000 3,320 2,020 373,700 1,300 240,500
5,100 974,100 8,700 6,300 1,203,300 2,400 458,400
0 0 0 0 0 - -
0 0 0 0 0 - -
0 0 1,000 300 51,600 700 120,400
4,000 252,000 6,000 3,700 233,100 2,300 144,900
210 412,020 270 120 235,440 150 294,300
0 0 0 0 0 - -
0 0 0 0 0 - -
24 104,784 24 24 104,784 - -
0 0 220 160 511,520 60 191,820
0 0 0 0 0 - -
0 0 0 0 0 - -
0 0 0 0 0 - -
1,200 120,000 1,700 1,700 170,000 - -
0 0 0 0 0 - -
1,000 70,000 1,400 1,400 98,000 - -
0 0 0 0 0 - -
5,000 510,000 5,800 3,800 387,600 2,000 204,000
0 0 0 0 0 - -
10 20,450 10 2 4,090 8 16,360
2,952 0 2,952 1,952 0 1,000 -
0 0 0 0 0 - -
 0 0 0 0 0 - -
0 0 0 0 0 - -
0 0 70 70 107,800 - -
0 0 0 0 0 - -
3,100 502,200 3,100 1,100 178,200 2,000 324,000
100 134,900 225 140 188,860 85 114,665
0 0 0 0 0 - -
0 0 0 0 0 - -
0 0 0 0 0 - -
0 0 0 0 0 - -
2,000 726,000 2,000 1,580 573,540 420 152,460
 0 0 100 100 160,500 - -
6,700 288,100 8,000 4,700 202,100 3,300 141,900
0 0 0 0 0 - -
0 0 0 0 0 - -
0 0 81 81 984,555 - -
0 0 0 0 0 - -
0 0 1,175 1,175 123,375 - -
0 0 0 0 0 - -
60 66,840 60 0 0 60 66,840
300 31,800 300 100 10,600 200 21,200
0 0 0 0 0 - -
0 0 0 0 0 - -
50 0 120 10 0 110 -
500 47,500 5,100 3,100 294,500 2,000 190,000
0 0 200 200 6,000 - -
100 0 100 0 0 100 -
0 0 100 73 127,677 27 47,223
0 0 0 0 0 - -
0 0 0 0 0 - -
0 0 25 25 157,575 - -
1,900 1,426,900 2,000 1,000 751,000 1,000 751,000
0 0 10 0 0 10 175,000
0 0 0 0 0 - -
0 0 0 0 0 - -
0 0 0 0 0 - -
0 0 48 48 0 - -
0 0 0 0 0 - -
1,200 432,000 1,200 0 0 1,200 432,000
0 0 0 -140 -521,920 140 521,920
 900 648,900 1,800 1,000 721,000 800 576,800
180 750,060 288 288 1,200,096 - -
25 48,000 25 25 48,000 - -
1,600 192,000 2,700 1,500 180,000 1,200 144,000
900 272,700 1,200 300 90,900 900 272,700
0 0 0 -25 -109,500 25 109,500
30 106,680 30 0 0 30 106,680
0 0 48 0 0 48 149,232
0 0 89 89 276,790 - -
0 0 0 0 0 - -
1,000 58,000 1,000 0 0 1,000 58,000
1,000 220,000 1,100 1,100 242,000 - -
0 0 0 0 0 - -
0 0 0 0 0 - -
40 276,000 70 0 0 70 483,000
100 21,900 600 200 43,800 400 87,600
0 0 0 0 0 - -
0 0 0 0 0 - -
0 0 0 -110 -6,380 110 6,380
0 0 0 0 0 - -
0 0 0 0 0 - -
0 0 0 0 0 - -
0 0 0 0 0 - -
300 46,800 300 300 46,800 - -
216 572,400 216 0 0 216 572,400
0 0 0 0 0 - -
0 0 0 0 0 - -
50 127,500 300 180 459,000 120 306,000
0 0 0 0 0 - -
3,700 388,500 5,700 3,000 315,000 2,700 283,500
1,400 182,000 4,100 2,500 325,000 1,600 208,000
0 0 0 0 0 - -
0 0 0 0 0 - -
0 0 0 0 0 - -
0 0 2,000 0 0 2,000 340,000
0 0 1,100 0 0 1,100 102,300
 0 0 0 0 0 - -
0 0 0 0 0 - -
0 0 300 300 17,100 - -
0 0 0 0 0 - -
2,200 138,600 2,200 200 12,600 2,000 126,000
1,000 89,000 1,300 600 53,400 700 62,300
1,000 131,000 1,900 1,400 183,400 500 65,500
0 0 0 0 0 - -
0 0 0 0 0 - -
0 0 0 0 0 - -
3,500 1,008,000 3,500 2,600 748,800 900 259,200
55 142,945 178 73 189,727 105 272,895
0 0 0 0 0 - -
0 0 1,000 800 209,600 200 52,400
1,000 1,056,000 1,000 0 0 1,000 1,056,000
0 0 0 0 0 - -
72 130,320 120 64 115,840 56 101,360
50 242,050 85 0 0 85 411,485
0 0 0 0 0 - -
50 175,000 50 0 0 50 175,000
0 0 0 0 0 - -
4,000 148,000 7,200 4,200 155,400 3,000 111,000
0 0 0 0 0 - -
0 0 0 0 0 - -
0 0 0 0 0 - -
0 0 0 0 0 - -
0 0 500 493 76,415 7 1,085
500 288,500 500 20 11,540 480 276,960
0 0 0 0 0 - -
0 0 0 0 0 - -
2,000 262,000 2,200 1,000 131,000 1,200 157,200
0 0 0 0 0 - -
300 666,600 354 54 119,988 300 666,600
0 0 0 0 0 - -
48 0 48 0 0 48 -
330 0 450 450 0 - -
1,100 90,200 1,100 860 70,520 240 19,680
0 0 0 0 0 - -
0 0 0 0 0 - -
0 0 3 3 9,600 - -
0 0 2 2 7,300 - -
0 0 0 0 0 - -
0 0 0 0 0 - -
0 0 0 0 0 - -
3,000 297,000 4,900 3,800 376,200 1,100 108,900
0 0 0 0 0 - -
100 299,200 200 38 113,696 162 484,704
0 0 200 0 0 200 32,400
3,500 560,000 5,700 3,100 496,000 2,600 416,000
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 - -
50 190,000 90 0 0 90 342,000
1,000 96,000 1,400 400 38,400 1,000 96,000
3,000 342,000 3,900 2,100 239,400 1,800 205,200
0 0 96 88 300,080 8 27,280
 40 256,400 91 31 198,710 60 384,600
0 0 0 0 0 - -
3,350 525,950 3,900 850 133,450 3,050 478,850
4,150 664,000 4,250 2,550 408,000 1,700 272,000
1,000 110,000 1,000 900 99,000 100 11,000
0 0 0 0 0 - -
0 0 0 0 0 - -
0 0 100 100 54,900 - -
0 0 0 0 0 - -
0 0 0 0 0 - -
0 0 0 0 0 - -
100 190,000 100 -20 -38,000 120 228,000
3,600 590,400 4,380 3,480 570,720 900 147,600
200 202,600 400 370 374,810 30 30,390
2,200 112,200 2,200 200 10,200 2,000 102,000
0 0 0 0 0 - -
0 0 50 5 49,425 45 444,825
1,000 288,000 2,428 1,428 411,264 1,000 288,000
0 0 0 0 0 - -
2,000 248,000 2,000 1,400 173,600 600 74,400
0 0 0 0 0 - -
1,500 195,000 2,700 2,500 325,000 200 26,000
1,600 131,200 2,800 600 49,200 2,200 180,400
0 0 1,000 0 0 1,000 235,000
0 0 0 0 0 - -
0 0 0 0 0 - -
0 0 0 -2,400 -136,800 2,400 136,800
500 55,000 3,400 3,000 330,000 400 44,000
3,200 336,000 6,100 3,900 409,500 2,200 231,000
50 76,600 180 180 275,760 - -
 500 149,000 500 500 149,000 - -
500 267,000 500 500 267,000 - -
0 0 0 0 0 - -
160 1,144,000 250 170 1,215,500 80 572,000
0 0 0 0 0 - -
0 0 0 0 0 - -
0 0 49 14 62,846 35 157,115
1,000 67,000 2,700 1,600 107,200 1,100 73,700
0 0 100 100 9,500 - -
48 122,592 48 24 61,296 24 61,296
270 864,000 470 394 1,260,800 76 243,200
3,500 336,000 3,500 2,150 206,400 1,350 129,600
3,500 1,578,500 4,400 3,400 1,533,400 1,000 451,000
146 598,600 194 63 258,300 131 537,100
0 0 0 0 0 - -
0 0 0 0 0 - -
2,000 104,000 3,000 2,900 150,800 100 5,200
100 113,200 120 20 22,640 100 113,200
1,050 118,650 1,920 1,290 145,770 630 71,190
450 113,400 800 300 75,600 500 126,000
0 0 0 0 0 - -
2,600 642,200 5,000 4,000 988,000 1,000 247,000
0 0 0 0 0 - -
0 0 0 0 0 - -
0 0 0 0 0 - -
0 0 0 0 0 - -
0 0 500 200 63,800 300 95,700
0 0 1,000 600 50,400 400 33,600
0 0 30 30 75,600 - -
0 0 400 400 0 - -
 0 0 910 830 66,400 80 6,400
5,000 605,000 5,200 3,100 375,100 2,100 254,100
0 0 0 0 0 - -
37 0 61 51 0 10 -
0 0 100 100 54,000 - -
0 0 0 0 0 - -
 0 - -
90 2,160,000 90 40 960,000 50 1,200,000
48 1,200,000 48 5 125,000 43 1,075,000
150 1,320,000 150 130 1,144,000 20 176,000
120 0 144 144 0 - -
2,000 1,200,000 2,000 1,900 1,140,000 100 60,000
1,000 0 1,000 0 0 1,000 -
50 0 50 0 0 50 -
0 0 0 0 0 - -
80 0 80 60 0 20 -
100 0 100 35 0 65 -
100 420,000 100 60 252,000 40 168,000
1,000 0 1,000 800 0 200 -
60 900,000 60 40 600,000 20 300,000
500 475,000 500 500 475,000 - -
100 750,000 100 76 570,000 24 180,000
1,000 0 1,000 0 0 1,000 -
4,000 600,000 4,000 3,100 465,000 900 135,000
200 1,000,000 200 150 750,000 50 250,000
1,500 750,000 1,500 1,150 575,000 350 175,000
1,000 2,350,000 1,000 200 470,000 800 1,880,000
0 0 0 0 0 - -
1,900 0 1,900 1,730 0 170 -
0 0 8 0 0 8 95,200
100 0 100 50 0 50 -
50 850,000 50 0 0 50 850,000
96 2,112,000 96 96 2,112,000 - -
0 0 0 0 0 - -
500 0 500 200 0 300 -
1,000 0 1,000 100 0 900 -
 0 0 600 600 0 - -
10 40,430 10 10 40,430 - -
1,000 720,000 1,000 900 648,000 100 72,000

Mukomuko, 31 Desember 2018

Pengelola Gudang Obat
PuskesmaS Bukit Mulya

Apdika Poespa Renny, A.Md.Kep

NIP.19881230 201001 2 003
 REKAPITULASI PENERIMAAN DAN PENGELUARA
PUSKESMAS........................................
PER 31 DESEMBER .................

PENERIMAAN

SISA STOK PER BUFFER STO

NO NAMA OBAT SATUAN HARGA SATUAN
31 DES 2017
DINKES APBD
PROV

a b c d e f g h
1 ACCU-CHEK Test Strip Kotak 420,000
2 Alat Suntik sekali pakai 0,5 ml pcs 1,175
3 Alat Suntik sekali pakai 1 ml Set 762 500
4 Alat Suntik sekali pakai 3 ml Set 789 700 1,100
5 Alat Suntik sekali pakai 5 ml Set 839 800
6 Bioplacenton Tulle 10 x 10 pcs 10,400 100
7 Blood Lanset kotak 14,566 2
8 Catgut plain no.2/0 Sak 6,583 24
9 Catgut plain no.3/0 Sak 6,583 144
10 Chromic Catgut 2/0 Pcs 8,208 204
11 Chromic Catgut 3/0 Pcs 8,208 96
12 Chatheter Norta 2 Way No 16 Pcs 12,100
13 Chatheter Norta 2 Way No 18 Pcs 12,100
14 Chatheter Norta 2 Way No 20 Pcs 12,860
15 Descodermp Pcs 20,000
16 Etakridina (rivanol) larutan 0,1 % Btl 3,000 60 48
17 Etanol 70 % 100 ml Btl 2,575 103 30
18 Etanol 70 % 300 ml Btl 8,000 25
19 Etanol 70% 1000 ml Btl 21,000 5
20 Handscond 6 pcs 2,500
21 Handscoond 6,5/ Sarung Tangan M pcs 7,500 96 550
22 Handscoond 6,5 pcs 40,000
23 Handscoond 7 / Sarung Tangan L pcs 7,500 90 650
24 Hipafix / Fixomul Stretch 10 cm x 5 cm pcs 70,903 12
25 Human Hexagon Syphilis test 26,707
26 Humansens Plus Cholesterol Test Trips kotak 541,900
27 Humansens Plus Glukose Test Trips kotak 249,800
28 Humansens Plus Uric Acid Test Trips kotak 548,300
29 Infusion set anak Set 3,500 65
30 Infusion set dewasa Set 3,200 240
31 IV Chateter /Albocath No.22 Set 7,300 77
32 IV Chateter /Albocath No.24 Set 7,300 85
33 IV Chateter /Albocath No.20 Set 3,800
34 Jarum jahit / Silk 3/0 Pcs 8,897 -
35 Kapas berlemak 500 mg Bks 16,500 3
36 Kapas pembalut absorben 250 mg Bks 12,500 20 10
37 Kasa kompres 40mx 40cm Rol 1,600 20 100
38 Kasa pembalut 2 m x 80 cm Rol 7,700 32
39 Kasa pembalut hirofil 4 m x 3 cm Rol 59,700
40 Kasa pembalut hirofil 4 m x 15 cm Rol 2,100
41 Kasa pembalut hirofil 40 m x 80 cm Rol 105,000 7 5
42 kasa gulung 40 yard x 80 cm rol 105,000
43 Kasa Pembalut Elastis rol 17,500
44 Kolesterol Test kotak 541,900
45 Leukoplas Plester biji - - 8
46 Lisol Btl 41,000 12 2
47 Masker pcs 330 550 150
48 Masker NGS pcs 80
49 Merkuri Btl 187,000
50 Nasal Oxygen Canula - Adult Strainghrt pcs 10,000
51 Nasal Oxygen Canula - Child Strainghrt pcs 10,000 9
52 Needle 24 G Pcs 330
53 Plester 5 yard x 2 inchi Colombia Rol 25,404 15 20
54 Pot Sputum pcs 2,300
55 Reagen Ziehl Nielsen Paket 277,500 18
56 Salisil bedak Ktk 1,040 107
57 Stamper Unit 45,000
58 Silk 3/0 Pcs 3,958 130
59 Supratul / Cuticell Clasic 10 cm x 10 cm Pcs 5,198
60 Umbilical Cord Klem Steril Nylon Pcs 1,300 550
61 Underpad Pcs 7,800
62 Urine Bag Pcs 4,700 10
63 Wing no 22 Pcs 8,959
64 Wings Needle no 23 G Pcs 500 18
65 Wing No 24 Pcs 8,959
66 Wings Needle 25 Pcs 8,959
67 Xpert MTB / Cartridge test 190,960
68 Yodium povidon larutan 10 % 30 ml Btl 2,900 34 50
69 Yodium povidon larutan 10 % 60 ml Btl 3,700 96
70 Yodium povidon larutan 10 % 300 ml Btl 18,000 24 48
71 Yodium povidon larutan 10 % 1000 ml Btl 79,650 8
 UMUM
BPJS JUMLAH
BAYAR TIDAK BAYAR
JUMLAH KUNJUNGAN RESEP

Mengetahui
Kepala Puskesmas Bukit Mulya

H. AHMAD HIJAZI
NIP. 19700809 199001 1 001
NGELUARAN SERTA SISA STOK BMHP
...........................................
................................

NERIMAAN 2017
PENGELUARAN 2018
FFER STOCK SISA STOK PER JUMLAH HARGA
PERSEDIAAN 2018
JUMLAH HARGA 31 DES 2018 (Rp)
JUMLAH
(Rp)
JUMLAH JUMLAH HARGA
PUSAT
PENGELUARAN (Rp)
i j k=j*d l=e+f m n=m*d o=l-m p=o*d
0 0 0 - 0 - -
0 0 0 - 0 - -
0 0 500 - 0 500 381,000
1,100 867,900 1,800 1,050 828,450 750 591,750
0 0 800 300 251,700 500 419,500
0 0 100 100 1,040,000 - -
2 29,132 2 - 0 2 29,132
0 0 24 24 157,992 - -
144 947,952 144 12 78,996 132 868,956
0 0 204 24 196,992 180 1,477,440
0 0 96 36 295,488 60 492,480
0 0 0 - 0 - -
0 0 0 - 0 - -
0 0 0 - 0 - -
 0 0 0 - 0 - -
48 144,000 108 48 144,000 60 180,000
30 77,250 133 113 290,975 20 51,500
25 200,000 25 - 0 25 200,000
5 105,000 5 1 21,000 4 84,000
0 0 0 - 0 - -
550 4,125,000 646 646 4,845,000 - -
0 0 0 - 0 - -
650 4,875,000 740 740 5,550,000 - -
12 850,836 12 2 141,806 10 709,030
0 0 0 - 0 - -
0 0 0 - 0 - -
0 0 0 - 0 - -
0 0 0 - 0 - -
0 0 65 10 35,000 55 192,500
0 0 240 160 512,000 80 256,000
0 0 77 54 394,200 23 167,900
0 0 85 76 554,800 9 65,700
0 0 0 - 0 - -
0 0 0 - 0 - -
0 0 3 2 33,000 1 16,500
10 125,000 30 12 150,000 18 225,000
100 160,000 120 20 32,000 100 160,000
0 0 32 16 123,200 16 123,200
0 0 0 - 0 - -
 0 0 0 - 0 - -
5 525,000 12 4 420,000 8 840,000
0 0 0 - 0 - -
0 0 0 - 0 - -
0 0 0 - 0 - -
8 0 8 - 0 8 -
2 82,000 14 6 246,000 8 328,000
150 49,500 700 350 115,500 350 115,500
80 0 80 40 0 40 -
0 0 0 - 0 - -
0 0 0 - 0 - -
0 0 9 1 10,000 8 80,000
0 0 0 - 0 - -
20 508,080 35 25 635,100 10 254,040
0 0 0 - 0 - -
18 4,995,000 18 18 4,995,000 - -
0 0 107 - 123 -127,920 230 239,200
0 0 0 - 0 - -
0 0 130 10 39,583 120 474,996
0 0 0 - 0 - -
0 0 550 400 520,000 150 195,000
0 0 0 - 0 - -
10 47,000 10 - 0 10 47,000
0 0 0 - 0 - -
0 0 18 18 9,000 - -
0 0 0 - 0 - -
0 0 0 - 0 - -
0 0 0 - 0 - -
50 145,000 84 10 29,000 74 214,600
96 355,200 96 - 0 96 355,200
48 864,000 72 38 684,000 34 612,000
0 0 8 1 79,650 7 557,550
Mukomuko, 31 Desember 2018
Pengelola Gudang Obat
PuskesmaS Bukit Mulya

Apdika Poespa Renny, A.Md.Kep

NIP.19881230 201001 2 003