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PERSEDIAAN OBAT 2017 TAHUN ANGGARAN 2017

Bulan
No NAMA OBAT/BMHP Satuan Pembelian 2017
1 2 3 4 5 6 7 8 9 10

1 Tablet 0 0 0 0 0 0 0 0 0 0
Amlodipin 5 mg 30,000

2 Amoxillin Kaps 250 mg Tablet 0 0 0 0 0 0 0 0 0 0


80,000

3 Tablet 0 0 0 0 0 0 0 0 0 0
As.Askorbat 250 mg 200,000

4 As.Askorbat 50 mg Tablet 0 0 0 0 0 0 0 0 0 0
300,000
5 As.Folat 0,4mg Tablet
100,000
0 0 0 0 0 0 0 0 0 0

6 As.Mefenamat 500 mg Tablet 0 0 0 0 0 0 0 0 0 0


500,000

7 Asetosal 80 mg Tablet 0 0 0 0 0 0 0 0 0 0
4,300

8 Asiklovir 200 mg Tablet 0 0 0 0 0 0 0 0 0 0


25,000

9 Asiklovir 400 mg Tablet 0 0 0 0 0 0 0 0 0 0


25,000

10 Dexametason 0,5mg Tablet 0 0 0 0 0 0 0 0 0 0


300,000

11 Dexametason Inj 5 mg/ml Ampul 0 0 0 0 0 0 0 0 0 0


5,000

12 Diazepam 5 mg Botol 0 0 0 0 0 0 0 0 0 0
13 Digoksin 0,25 mg Tablet 0 0 0 0 0 0 0 0 0 0

14 Tablet 0 0 0 0 0 0 0 0 0 0
Domperdone 10 mg 50,000

15 Eritromisin 500 mg Tablet 0 0 0 0 0 0 0 0 0 0


175,000
Eritromisin Srp Kering
16 Tablet 0 0 0 0 0 0 0 0 0 0
200mg/5ml 3,200

17 Fenobarbital Inj 50mg/ml Ampul 0 0 0 0 0 0 0 0 0 0


0

18
Fitomenadion (Vit.K) Tab 10 Tablet 0 0 0 0 0 0 0 0 0 0
mg/ml 5,000

19 Fitomenadion (Vit.K) inj 10 mg/ml Ampul


4,980

20 Furosemid 40 mg Tablet 0 0 0 0 0 0 0 0 0 0
100,000

21 Glimeperide 1mg Tablet 0 0 0 0 0 0 0 0 0 0


100,000

22 Glukosa 5 % Tablet 0 0 0 0 0 0 0 0 0 0
500

23 Kalsium Laktat Tablet 0 0 0 0 0 0 0 0 0 0


200,000

24 Tablet 0 0 0 0 0 0 0 0 0 0
Kaptopril 12,5 mg
25 Tablet 0 0 0 0 0 0 0 0 0 0
Karbogliserin T.Telinga 2,000

26 Ketokonazol 200 mg Tablet 0 0 0 0 0 0 0 0 0 0


100,000

27 Klindamisin 300 mg Tablet 0 0 0 0 0 0 0 0 0 0


60,000

28 Klorpromazin 100 mg Tablet 0 0 0 0 0 0 0 0 0 0


Komb:Ergotamin 1mg+Kafein 50 Tablet
29 0 0 0 0 0 0 0 0 0 0
mg 10,000

30 Kotrimoksazol DWS 480 mg Tablet 0 0 0 0 0 0 0 0 0 0


64,800

31 Metronidazol 500 mg 0 0 0 0 0 0 0 0 0 0
Tablet 244,000

32 0 0 0 0 0 0 0 0 0 0
Metylergometrin Inj 0.2 mg/ml Tablet 5,000

33 MGSO4 20% 0 0 0 0 0 0 0 0 0 0
Tablet 500

34 Oksitosin Inj 10 UI/ml 0 0 0 0 0 0 0 0 0 0


Tablet 5,000
35 Paracetamol 500 mg Botol 0 0 0 0 0 0 0 0 0 0

36 0 0 0 0 0 0 0 0 0 0
Perak Sulfadiazin Krim 1 % Tablet 500

37 Piridoksin (Vit.B6) 10 mg 0 0 0 0 0 0 0 0 0 0
Tablet 100,000
38 Prednison 5 mg Tablet 300,000 0 0 0 0 0 0 0 0 0 0

39 Tablet 0 0 0 0 0 0 0 0 0 0
Ranitidine 150 mg 300,000

40 Ringer Laktat Tablet 0 0 0 0 0 0 0 0 0 0


5,000

41 Sianocobalamin(Vit.B12) 50 mg Ampul 0 0 0 0 0 0 0 0 0 0
100,000

42 Siprofloxaxin 500 mg Ampul 0 0 0 0 0 0 0 0 0 0


200,000

43 THF 2 mg Ampul 0 0 0 0 0 0 0 0 0 0
100,000

44 Thiamin(Vit.B1) Ampul 0 0 0 0 0 0 0 0 0 0
200,000
45 Vitamin Bcomplex Ampul
200,000
0 0 0 0 0 0 0 0 0 0

46 Zinc 20 mg Tube 200,000 0 0 0 0 0 0 0 0 0 0


46 0 0 0 0 0 0 0 0 0 0

98 0 0 0 0 0 0 0 0 0 0
99 0 0 0 0 0 0 0 0 0 0

Mengetahui
Kabid PSDK

M.Nurdin Zaini
NIP : 19670210 199103 1 002
HUN ANGGARAN 2017

Jumlah Harga Barang yg Diterima/Yang Dikeluarkan/Sisa


Keluar Sisa Harga Satuan Ket
11 12 Tambah Kurang Sisa

0 0 0 30,000
Rp 90 2,700,000 - 2,700,000

0 0 0 80,000
Rp 191 15,280,000 - 15,280,000

0 0 0 200,000
Rp 124 24,800,000 - 24,800,000

0 0 0 300,000
Rp 120 36,000,000 - 36,000,000
0 0 0 100,000
Rp 62 6,200,000 - 6,200,000

0 0 0 500,000
Rp 102 51,000,000 - 51,000,000

0 0 0 4,300
Rp 94 404,200 - 404,200

0 0 0 25,000
Rp 259 6,475,000 - 6,475,000

0 0 0 25,000
Rp 415 10,375,000 - 10,375,000

0 0 0 300,000
Rp 45 13,500,000 - 13,500,000

0 0 0 5,000
Rp 1,805 9,025,000 - 9,025,000

0 0 0 0
Rp - - - -
0 0 0 0
Rp - - - -

0 0 0 50,000
Rp 116 5,800,000 - 5,800,000

0 0 0 175,000
Rp 766 134,050,000 - 134,050,000

0 0 0 3,200
Rp 6,461 20,675,200 - 20,675,200

0 0 0 0
Rp - - - -

0 0 0 5,000
Rp 790 3,950,000 - 3,950,000

4,980
Rp 4,167 20,751,660 - 20,751,660

0 0 0 100,000
Rp 84 8,400,000 - 8,400,000

0 0 0 100,000
Rp 200 20,000,000 - 20,000,000

0 0 0 500
Rp 6,900 3,450,000 - 3,450,000

0 0 0 200,000
Rp 57 11,400,000 - 11,400,000

0 0 0 0
Rp 102 - - -

0 0 0 2,000
Rp 2,500 5,000,000 - 5,000,000

0 0 0 100,000
Rp 297 29,700,000 - 29,700,000

0 0 0 60,000
Rp 589 35,340,000 - 35,340,000

0 0 0 0
Rp 589 - - -
0 0 0 10,000
Rp 179 1,790,000 - 1,790,000

0 0 0 64,800
Rp 131 8,488,800 - 8,488,800

0 0 0 244,000
Rp 115 28,060,000 - 28,060,000

0 0 0 5,000
Rp 3,278 16,390,000 - 16,390,000

0 0 0 500
Rp 3,200 1,600,000 - 1,600,000

0 0 0 5,000
Rp 1,900 9,500,000 - 9,500,000
0 0 0 0 Rp 109 - - -

0 0 0 500
Rp 20,700 10,350,000 - 10,350,000

0 0 0 100,000
Rp 136 13,600,000 - 13,600,000
0 0 0 300,000 Rp 85 25,500,000 - 25,500,000

0 0 0 300,000
Rp 110 33,000,000 - 33,000,000

0 0 0 5,000
Rp 7,150 35,750,000 - 35,750,000

0 0 0 100,000
Rp 55 5,500,000 - 5,500,000

0 0 0 200,000
Rp 254 50,800,000 - 50,800,000

0 0 0 100,000
Rp 80 8,000,000 - 8,000,000

0 0 0 200,000
Rp 87 17,400,000 - 17,400,000
0 0 0 200,000
Rp 132 26,400,000 - 26,400,000
0 0 0 200,000 Rp 591 118,200,000 - 118,200,000
0 0 0 0 - - -
0 0 0 0 - - -
0 0 0 0 - - -
Rp 884,604,860 Rp - Rp 884,604,860

Blangkejeren,31 Sept - 2017


Kasi Farmasi Dan PKRT

Ners.Armidawati S.Kep
NIP : 19800217 200604 2 004
PERSEDIAAN OBAT 2017 TAHUN ANGGARAN 2017
PUSKESMAS BLANGKEJEREN

Bulan
No NAMA OBAT/BMHP Satuan Pembelian 2017
1 2 3 4 5 6 7 8 9 10

1 Tablet 0 0 0 0 0 0 0 0 0 0
Amlodipin 5 mg 30,000

2 Amoxillin Kaps 250 mg Tablet 0 0 0 0 0 0 0 0 0 0


80,000

3 Tablet 0 0 0 0 0 0 0 0 0 1,000
As.Askorbat 250 mg 200,000

4 As.Askorbat 50 mg Tablet 0 0 0 0 0 0 0 0 0
300,000
5 As.Folat 0,4mg Tablet
100,000
0 0 0 0 0 0 0 0 1,000 0

6 As.Mefenamat 500 mg Tablet 0 0 0 0 0 0 0 0 0 0


500,000

7 Asetosal 80 mg Tablet 0 0 0 0 0 0 0 0 0 0
4,300

8 Asiklovir 200 mg Tablet 0 0 0 0 0 0 0 0 0 150


25,000

9 Asiklovir 400 mg Tablet 0 0 0 0 0 0 0 0 0 0


25,000

10 Dexametason 0,5mg Tablet 0 0 0 0 0 0 0 0 0 3,000


300,000

11 Dexametason Inj 5 mg/ml Ampul 0 0 0 0 0 0 0 300 0 0


5,000

12 Diazepam 5 mg Botol 0 0 0 0 0 0 0 0 0 0
13 Digoksin 0,25 mg Tablet 0 0 0 0 0 0 0 0 0 0

14 Tablet 0 0 0 0 0 0 0 0 0 0
Domperdone 10 mg 50,000

15 Eritromisin 500 mg Tablet 0 0 0 0 0 0 0 0 0 0


175,000
Eritromisin Srp Kering
16 Tablet 0 0 0 0 0 0 0 0 0 0
200mg/5ml 3,200

17 Fenobarbital Inj 50mg/ml Ampul 0 0 0 0 0 0 0 0 0 0


0

18
Fitomenadion (Vit.K) Tab 10 Tablet 0 0 0 0 0 0 0 0 0 0
mg/ml 5,000

19 Fitomenadion (Vit.K) inj 10 mg/ml Ampul


4,980

20 Furosemid 40 mg Tablet 0 0 0 0 0 0 0 0 0 0
100,000

21 Glimeperide 1mg Tablet 0 0 0 0 0 0 0 0 0 0


100,000

22 Glukosa 5 % Tablet 0 0 0 0 0 0 0 0 0 0
500

23 Kalsium Laktat Tablet 0 0 0 0 0 0 0 0 0 0


200,000

24 Tablet 0 0 0 0 0 0 0 0 0 0
Kaptopril 12,5 mg
25 Tablet 0 0 0 0 0 0 0 0 0 0
Karbogliserin T.Telinga 2,000

26 Ketokonazol 200 mg Tablet 0 0 0 0 0 0 0 0 0 0


100,000

27 Klindamisin 300 mg Tablet 0 0 0 0 0 0 0 0 0 0


60,000

28 Klorpromazin 100 mg Tablet 0 0 0 0 0 0 0 0 0 0


Komb:Ergotamin 1mg+Kafein 50 Tablet
29 0 0 0 0 0 0 0 0 0 0
mg 10,000

30 Kotrimoksazol DWS 480 mg Tablet 0 0 0 0 0 0 0 0 0 0


64,800

31 Metronidazol 500 mg 0 0 0 0 0 0 0 0 0 0
Tablet 244,000

32 0 0 0 0 0 0 0 100 0 0
Metylergometrin Inj 0.2 mg/ml Tablet 5,000

33 MGSO4 20% 0 0 0 0 0 0 0 0 0 0
Tablet 500

34 Oksitosin Inj 10 UI/ml 0 0 0 0 0 0 0 100 0 0


Tablet 5,000
35 Paracetamol 500 mg Botol 420,000 0 0 0 0 0 0 0 0 0 0

36 0 0 0 0 0 0 0 12 0 0
Perak Sulfadiazin Krim 1 % Tablet 500

37 Piridoksin (Vit.B6) 10 mg 0 0 0 0 0 0 0 2,000 2,000 0


Tablet 100,000
38 Prednison 5 mg Tablet 300,000 0 0 0 0 0 0 0 0 0 0

39 Tablet 0 0 0 0 0 0 0 0 0 3,000
Ranitidine 150 mg 300,000

40 Ringer Laktat Tablet 0 0 0 0 0 0 0 0 0 0


5,000

41 Sianocobalamin(Vit.B12) 50 mg Ampul 0 0 0 0 0 0 0 2,000 3,000 2,000


100,000

42 Siprofloxaxin 500 mg Ampul 0 0 0 0 0 0 0 0 0 0


200,000

43 THF 2 mg Ampul 0 0 0 0 0 0 0 0 0 0
100,000

44 Thiamin(Vit.B1) Ampul 0 0 0 0 0 0 0 0 1,000 2,000


200,000
45 Vitamin Bcomplex Ampul
200,000
0 0 0 0 0 0 0 0 1,000 3,000

46 Zinc 20 mg Tube 200,000 0 0 0 0 0 0 0 0 0 0


46 0 0 0 0 0 0 0 0 0 0

98 0 0 0 0 0 0 0 0 0 0
99 0 0 0 0 0 0 0 0 0 0

Mengetahui
Kabid PSDK

M.Nurdin Zaini
NIP : 19670210 199103 1 002
UN ANGGARAN 2017
KEJEREN

Jumlah Harga Barang yg Diterima/Yang Dikeluarkan/Sisa


Keluar Sisa Harga Satuan Ket
11 12 Tambah Kurang Sisa

1,500 3,000 4,500 25,500


Rp 90 2,700,000 405,000 2,295,000

0 0 0 80,000
Rp 191 15,280,000 - 15,280,000

1,000 6,000 8,000 192,000


Rp 124 24,800,000 992,000 23,808,000

0 0 300,000
Rp 120 36,000,000 - 36,000,000
0 1,000 2,000 98,000
Rp 62 6,200,000 124,000 6,076,000

0 5,000 5,000 495,000


Rp 102 51,000,000 510,000 50,490,000

0 0 4,300
Rp 94 404,200 - 404,200

500 1,500 2,150 22,850


Rp 259 6,475,000 556,850 5,918,150

0 1,500 1,500 23,500


Rp 415 10,375,000 622,500 9,752,500

5,000 8,000 292,000


Rp 45 13,500,000 360,000 13,140,000

0 300 4,700
Rp 1,805 9,025,000 541,500 8,483,500

0 0 0
Rp - - - -
0 0 0
Rp - - - -

0 0 50,000
Rp 116 5,800,000 - 5,800,000

0 0 175,000
Rp 766 134,050,000 - 134,050,000

0 0 3,200
Rp 6,461 20,675,200 - 20,675,200

0 0 0
Rp - - - -

0 0 5,000
Rp 790 3,950,000 - 3,950,000

4,980
Rp 4,167 20,751,660 - 20,751,660

0 1,000 1,000 99,000


Rp 84 8,400,000 84,000 8,316,000

0 1,000 1,000 99,000


Rp 200 20,000,000 200,000 19,800,000

0 0 500
Rp 6,900 3,450,000 - 3,450,000

0 2,000 2,000 198,000


Rp 57 11,400,000 114,000 11,286,000

0 0 0
Rp 102 - - -

0 0 2,000
Rp 2,500 5,000,000 - 5,000,000

0 0 100,000
Rp 297 29,700,000 - 29,700,000

0 0 60,000
Rp 589 35,340,000 - 35,340,000

0 0 0
Rp 589 - - -
0 0 10,000
Rp 179 1,790,000 - 1,790,000

0 0 64,800
Rp 131 8,488,800 - 8,488,800

0 0 244,000
Rp 115 28,060,000 - 28,060,000

0 100 4,900
Rp 3,278 16,390,000 327,800 16,062,200

0 0 500
Rp 3,200 1,600,000 - 1,600,000

0 100 4,900
Rp 1,900 9,500,000 190,000 9,310,000
0 10,000 10,000 410,000 Rp 152 63,840,000 1,520,000 62,320,000

0 12 488
Rp 20,700 10,350,000 248,400 10,101,600

0 4,000 96,000
Rp 136 13,600,000 544,000 13,056,000
0 0 300,000 Rp 85 25,500,000 - 25,500,000

10,800 5,000 18,800 281,200


Rp 110 33,000,000 2,068,000 30,932,000

0 0 5,000
Rp 7,150 35,750,000 - 35,750,000

0 1,000 8,000 92,000


Rp 55 5,500,000 440,000 5,060,000

0 0 200,000
Rp 254 50,800,000 - 50,800,000

0 2,000 2,000 98,000


Rp 80 8,000,000 160,000 7,840,000

2,000 1,000 6,000 194,000


Rp 87 17,400,000 522,000 16,878,000
9,400 1,000 14,400 185,600
Rp 132 26,400,000 1,900,800 24,499,200
1,000 1,000 199,000 Rp 591 118,200,000 591,000 117,609,000
0 0 0 - - -
0 0 0 - - -
0 0 0 0 - - -
Rp 948,444,860 Rp 13,021,850 Rp 935,423,010

Blangkejeren,31 Sept - 2017


Kasi Farmasi Dan PKRT

Ners.Armidawati S.Kep
NIP : 19800217 200604 2 004
PERSEDIAAN OBAT 2017 TAHUN ANGGARAN 2017

Bulan
No NAMA OBAT/BMHP Satuan Pembelian 2017
1 2 3 4 5 6 7 8 9 10

1 Tablet 0 0 0 0 0 0 0 0 0 0
Amlodipin 5 mg 30,000

2 Amoxillin Kaps 250 mg Tablet 0 0 0 0 0 0 0 0 0 0


80,000

3 Tablet 0 0 0 0 0 0 0 0 0 0
As.Askorbat 250 mg 200,000

4 As.Askorbat 50 mg Tablet 0 0 0 0 0 0 0 0 0 100


300,000
5 As.Folat 0,4mg Tablet
100,000
0 0 0 0 0 0 0 1,000 1,000 500

6 As.Mefenamat 500 mg Tablet 0 0 0 0 0 0 0 0 0 0


500,000

7 Asetosal 80 mg Tablet 0 0 0 0 0 0 0 0 0 0
4,300

8 Asiklovir 200 mg Tablet 0 0 0 0 0 0 0 0 0 0


25,000

9 Asiklovir 400 mg Tablet 0 0 0 0 0 0 0 0 0 0


25,000

10 Dexametason 0,5mg Tablet 0 0 0 0 0 0 0 0 0 0


300,000

11 Dexametason Inj 5 mg/ml Ampul 0 0 0 0 0 0 0 100 0 0


5,000

12 Diazepam 5 mg Botol 0 0 0 0 0 0 0 0 0 0
13 Digoksin 0,25 mg Tablet 0 0 0 0 0 0 0 0 0 0

14 Tablet 0 0 0 0 0 0 0 0 0 0
Domperdone 10 mg 50,000

15 Eritromisin 500 mg Tablet 0 0 0 0 0 0 0 0 0 0


175,000
Eritromisin Srp Kering
16 Tablet 0 0 0 0 0 0 0 0 0 0
200mg/5ml 3,200

17 Fenobarbital Inj 50mg/ml Ampul 0 0 0 0 0 0 0 0 0 0


0

18
Fitomenadion (Vit.K) Tab 10 Tablet 0 0 0 0 0 0 0 0 0 0
mg/ml 5,000

19 Fitomenadion (Vit.K) inj 10 mg/ml Ampul


4,980

20 Furosemid 40 mg Tablet 0 0 0 0 0 0 0 0 0 0
100,000

21 Glimeperide 1mg Tablet 0 0 0 0 0 0 0 0 0 0


100,000

22 Glukosa 5 % Tablet 0 0 0 0 0 0 0 0 0 0
500

23 Kalsium Laktat Tablet 0 0 0 0 0 0 0 0 0 0


200,000

24 Tablet 0 0 0 0 0 0 0 0 0 0
Kaptopril 12,5 mg
25 Tablet 0 0 0 0 0 0 0 0 0 0
Karbogliserin T.Telinga 2,000

26 Ketokonazol 200 mg Tablet 0 0 0 0 0 0 0 0 0 0


100,000

27 Klindamisin 300 mg Tablet 0 0 0 0 0 0 0 0 0 0


60,000

28 Klorpromazin 100 mg Tablet 0 0 0 0 0 0 0 0 0 0


Komb:Ergotamin 1mg+Kafein 50 Tablet
29 0 0 0 0 0 0 0 0 0 0
mg 10,000

30 Kotrimoksazol DWS 480 mg Tablet 0 0 0 0 0 0 0 0 0 0


64,800

31 Metronidazol 500 mg 0 0 0 0 0 0 0 0 0 0
Tablet 244,000

32 0 0 0 0 0 0 0 0 0 0
Metylergometrin Inj 0.2 mg/ml Tablet 5,000

33 MGSO4 20% 0 0 0 0 0 0 0 0 0 0
Tablet 500

34 Oksitosin Inj 10 UI/ml 0 0 0 0 0 0 0 100 0 0


Tablet 5,000
35 Paracetamol 500 mg Botol 0 0 0 0 0 0 0 0 0 0

36 0 0 0 0 0 0 0 12 0 0
Perak Sulfadiazin Krim 1 % Tablet 500

37 Piridoksin (Vit.B6) 10 mg 0 0 0 0 0 0 0 20 10 10
Tablet 100,000
38 Prednison 5 mg Tablet 300,000 0 0 0 0 0 0 0 0 0 0

39 Tablet 0 0 0 0 0 0 0 0 0 0
Ranitidine 150 mg 300,000

40 Ringer Laktat Tablet 0 0 0 0 0 0 0 0 0 0


5,000

41 Sianocobalamin(Vit.B12) 50 mg Ampul 0 0 0 0 0 0 0 1,000 1,000 0


100,000

42 Siprofloxaxin 500 mg Ampul 0 0 0 0 0 0 0 0 0 0


200,000

43 THF 2 mg Ampul 0 0 0 0 0 0 0 0 0 0
100,000

44 Thiamin(Vit.B1) Ampul 0 0 0 0 0 0 0 0 0 0
200,000
45 Vitamin Bcomplex Ampul
200,000
0 0 0 0 0 0 0 0 0 0

46 Zinc 20 mg Tube 200,000 0 0 0 0 0 0 0 0 0 0


46 0 0 0 0 0 0 0 0 0 0

98 0 0 0 0 0 0 0 0 0 0
99 0 0 0 0 0 0 0 0 0 0

Mengetahui
Kabid PSDK

M.Nurdin Zaini
NIP : 19670210 199103 1 002
UN ANGGARAN 2017

Jumlah Harga Barang yg Diterima/Yang Dikeluarkan/Sisa


Keluar Sisa Harga Satuan Ket
11 12 Tambah Kurang Sisa

500 300 800 29,200


Rp 90 2,700,000 72,000 2,628,000

0 1,000 1,000 79,000


Rp 191 15,280,000 191,000 15,089,000

100 0 100 199,900


Rp 124 24,800,000 12,400 24,787,600

0 0 100 299,900
Rp 120 36,000,000 12,000 35,988,000
0 1,000 3,500 96,500
Rp 62 6,200,000 217,000 5,983,000

0 1,500 1,500 498,500


Rp 102 51,000,000 153,000 50,847,000

0 0 0 4,300
Rp 94 404,200 - 404,200

500 500 1,000 24,000


Rp 259 6,475,000 259,000 6,216,000

0 0 0 25,000
Rp 415 10,375,000 - 10,375,000

0 0 0 300,000
Rp 45 13,500,000 - 13,500,000

0 0 100 4,900
Rp 1,805 9,025,000 180,500 8,844,500

0 0 0 0
Rp - - - -
0 0 0 0
Rp - - - -

0 0 0 50,000
Rp 116 5,800,000 - 5,800,000

0 0 0 175,000
Rp 766 134,050,000 - 134,050,000

0 0 0 3,200
Rp 6,461 20,675,200 - 20,675,200

0 0 0 0
Rp - - - -

0 0 0 5,000
Rp 790 3,950,000 - 3,950,000

30 4,980
Rp 4,167 20,751,660 - 20,751,660

1,000 0 1,000 99,000


Rp 84 8,400,000 84,000 8,316,000

0 0 0 100,000
Rp 200 20,000,000 - 20,000,000

0 0 0 500
Rp 6,900 3,450,000 - 3,450,000

0 1,000 1,000 199,000


Rp 57 11,400,000 57,000 11,343,000

0 0 0 0
Rp 102 - - -

0 0 0 2,000
Rp 2,500 5,000,000 - 5,000,000

0 500 500 99,500


Rp 297 29,700,000 148,500 29,551,500

0 0 0 60,000
Rp 589 35,340,000 - 35,340,000

0 0 0 0
Rp 589 - - -
0 500 500 9,500
Rp 179 1,790,000 89,500 1,700,500

0 0 0 64,800
Rp 131 8,488,800 - 8,488,800

0 0 0 244,000
Rp 115 28,060,000 - 28,060,000

0 0 0 5,000
Rp 3,278 16,390,000 - 16,390,000

0 0 0 500
Rp 3,200 1,600,000 - 1,600,000

100 0 200 4,800


Rp 1,900 9,500,000 380,000 9,120,000
0 2,500 2,500 -2,500 Rp 109 - 272,500 (272,500)

0 0 12 488
Rp 20,700 10,350,000 248,400 10,101,600

0 1,000 1,040 98,960


Rp 136 13,600,000 141,440 13,458,560
0 1,500 1,500 298,500 Rp 85 25,500,000 127,500 25,372,500

2,500 2,500 5,000 295,000


Rp 110 33,000,000 550,000 32,450,000

0 0 0 5,000
Rp 7,150 35,750,000 - 35,750,000

500 1,000 3,500 96,500


Rp 55 5,500,000 192,500 5,307,500

0 0 0 200,000
Rp 254 50,800,000 - 50,800,000

0 0 0 100,000
Rp 80 8,000,000 - 8,000,000

1,000 1,000 2,000 198,000


Rp 87 17,400,000 174,000 17,226,000
2,000 2,000 4,000 196,000
Rp 132 26,400,000 528,000 25,872,000
0 0 0 200,000 Rp 591 118,200,000 - 118,200,000
0 0 0 0 - - -
0 0 0 0 - - -
0 0 0 0 - - -
Rp 884,604,860 Rp 4,090,240 Rp 880,514,620

Blangkejeren,31 Sept - 2017


Kasi Farmasi Dan PKRT

Ners.Armidawati S.Kep
NIP : 19800217 200604 2 004
PERSEDIAAN OBAT 2017 TAHUN ANGGARAN 2017

Bulan
No NAMA OBAT/BMHP Satuan Pembelian 2017
1 2 3 4 5 6 7 8 9 10

1 Tablet 0 0 0 0 0 0 0 0 0 0
Amlodipin 5 mg 30,000

2 Amoxillin Kaps 250 mg Tablet 0 0 0 0 0 0 0 0 0 0


80,000

3 Tablet 0 0 0 0 0 0 0 0 2,000 0
As.Askorbat 250 mg 200,000

4 As.Askorbat 50 mg Tablet 0 0 0 0 0 0 0 0 0 0
300,000
5 As.Folat 0,4mg Tablet
100,000
0 0 0 0 0 0 0 0 0 0

6 As.Mefenamat 500 mg Tablet 0 0 0 0 0 0 0 0 0 0


500,000

7 Asetosal 80 mg Tablet 0 0 0 0 0 0 0 0 0 0
4,300

8 Asiklovir 200 mg Tablet 0 0 0 0 0 0 0 0 0 0


25,000

9 Asiklovir 400 mg Tablet 0 0 0 0 0 0 0 0 0 0


25,000

10 Dexametason 0,5mg Tablet 0 0 0 0 0 0 0 0 0 0


300,000

11 Dexametason Inj 5 mg/ml Ampul 0 0 0 0 0 0 0 0 0 0


5,000

12 Diazepam 5 mg Botol 0 0 0 0 0 0 0 0 0 0
13 Digoksin 0,25 mg Tablet 0 0 0 0 0 0 0 0 0 0

14 Tablet 0 0 0 0 0 0 0 0 0 0
Domperdone 10 mg 50,000

15 Eritromisin 500 mg Tablet 0 0 0 0 0 0 0 0 0 0


175,000
Eritromisin Srp Kering
16 Tablet 0 0 0 0 0 0 0 0 0 0
200mg/5ml 3,200

17 Fenobarbital Inj 50mg/ml Ampul 0 0 0 0 0 0 0 0 0 0


0

18
Fitomenadion (Vit.K) Tab 10 Tablet 0 0 0 0 0 0 0 0 0 0
mg/ml 5,000

19 Fitomenadion (Vit.K) inj 10 mg/ml Ampul


4,980

20 Furosemid 40 mg Tablet 0 0 0 0 0 0 0 0 0 0
100,000

21 Glimeperide 1mg Tablet 0 0 0 0 0 0 0 0 0 0


100,000

22 Glukosa 5 % Tablet 0 0 0 0 0 0 0 0 0 0
500

23 Kalsium Laktat Tablet 0 0 0 0 0 0 0 0 0 0


200,000

24 Tablet 0 0 0 0 0 0 0 0 0 0
Kaptopril 12,5 mg
25 Tablet 0 0 0 0 0 0 0 0 0 0
Karbogliserin T.Telinga 2,000

26 Ketokonazol 200 mg Tablet 0 0 0 0 0 0 0 0 0 0


100,000

27 Klindamisin 300 mg Tablet 0 0 0 0 0 0 0 0 0 0


60,000

28 Klorpromazin 100 mg Tablet 0 0 0 0 0 0 0 0 0 0


Komb:Ergotamin 1mg+Kafein 50 Tablet
29 0 0 0 0 0 0 0 0 0 0
mg 10,000

30 Kotrimoksazol DWS 480 mg Tablet 0 0 0 0 0 0 0 0 0 0


64,800

31 Metronidazol 500 mg 0 0 0 0 0 0 0 0 0 0
Tablet 244,000

32 0 0 0 0 0 0 0 0 0 0
Metylergometrin Inj 0.2 mg/ml Tablet 5,000

33 MGSO4 20% 0 0 0 0 0 0 0 0 0 0
Tablet 500

34 Oksitosin Inj 10 UI/ml 0 0 0 0 0 0 0 0 0 0


Tablet 5,000
35 Paracetamol 500 mg Botol 0 0 0 0 0 0 0 0 0 0

36 0 0 0 0 0 0 0 12 0 0
Perak Sulfadiazin Krim 1 % Tablet 500

37 Piridoksin (Vit.B6) 10 mg 0 0 0 0 0 0 0 1,000 0 2,000


Tablet 100,000
38 Prednison 5 mg Tablet 300,000 0 0 0 0 0 0 0 0 0 0

39 Tablet 0 0 0 0 0 0 0 0 0 0
Ranitidine 150 mg 300,000

40 Ringer Laktat Tablet 0 0 0 0 0 0 0 0 0 0


5,000

41 Sianocobalamin(Vit.B12) 50 mg Ampul 0 0 0 0 0 0 0 0 0 2,000


100,000

42 Siprofloxaxin 500 mg Ampul 0 0 0 0 0 0 0 0 0 0


200,000

43 THF 2 mg Ampul 0 0 0 0 0 0 0 0 0 0
100,000

44 Thiamin(Vit.B1) Ampul 0 0 0 0 0 0 0 0 2,000 2,000


200,000
45 Vitamin Bcomplex Ampul
200,000
0 0 0 0 0 0 0 0 2,000 2,000

46 Zinc 20 mg Tube 200,000 0 0 0 0 0 0 0 0 0 0


46 0 0 0 0 0 0 0 0 0 0

98 0 0 0 0 0 0 0 0 0 0
99 0 0 0 0 0 0 0 0 0 0

Mengetahui
Kabid PSDK

M.Nurdin Zaini
NIP : 19670210 199103 1 002
HUN ANGGARAN 2017

Jumlah Harga Barang yg Diterima/Yang Dikeluarkan/Sisa


Keluar Sisa Harga Satuan Ket
11 12 Tambah Kurang Sisa

900 900 1,800 28,200


Rp 90 2,700,000 162,000 2,538,000

0 0 0 80,000
Rp 191 15,280,000 - 15,280,000

2,000 0 4,000 196,000


Rp 124 24,800,000 496,000 24,304,000

0 0 0 300,000
Rp 120 36,000,000 - 36,000,000
0 1,000 1,000 99,000
Rp 62 6,200,000 62,000 6,138,000

0 2,000 2,000 498,000


Rp 102 51,000,000 204,000 50,796,000

0 0 0 4,300
Rp 94 404,200 - 404,200

1,000 0 1,000 24,000


Rp 259 6,475,000 259,000 6,216,000

0 0 0 25,000
Rp 415 10,375,000 - 10,375,000

0 0 0 300,000
Rp 45 13,500,000 - 13,500,000

0 0 0 5,000
Rp 1,805 9,025,000 - 9,025,000

0 0 0 0
Rp - - - -
0 0 0 0
Rp - - - -

0 0 0 50,000
Rp 116 5,800,000 - 5,800,000

0 0 0 175,000
Rp 766 134,050,000 - 134,050,000

0 0 0 3,200
Rp 6,461 20,675,200 - 20,675,200

0 0 0 0
Rp - - - -

0 0 0 5,000
Rp 790 3,950,000 - 3,950,000

30 30 4,980
Rp 4,167 20,751,660 - 20,751,660

0 300 300 99,700


Rp 84 8,400,000 25,200 8,374,800

0 500 500 99,500


Rp 200 20,000,000 100,000 19,900,000

0 0 0 500
Rp 6,900 3,450,000 - 3,450,000

0 1,000 1,000 199,000


Rp 57 11,400,000 57,000 11,343,000

0 0 0 0
Rp 102 - - -

0 0 0 2,000
Rp 2,500 5,000,000 - 5,000,000

0 0 0 100,000
Rp 297 29,700,000 - 29,700,000

0 0 0 60,000
Rp 589 35,340,000 - 35,340,000

0 0 0 0
Rp 589 - - -
0 0 0 10,000
Rp 179 1,790,000 - 1,790,000

0 0 0 64,800
Rp 131 8,488,800 - 8,488,800

0 0 0 244,000
Rp 115 28,060,000 - 28,060,000

0 0 0 5,000
Rp 3,278 16,390,000 - 16,390,000

0 0 0 500
Rp 3,200 1,600,000 - 1,600,000

0 0 0 5,000
Rp 1,900 9,500,000 - 9,500,000
0 0 0 0 Rp 109 - - -

0 0 12 488
Rp 20,700 10,350,000 248,400 10,101,600

0 0 3,000 97,000
Rp 136 13,600,000 408,000 13,192,000
0 0 0 300,000 Rp 85 25,500,000 - 25,500,000

0 0 0 300,000
Rp 110 33,000,000 - 33,000,000

0 0 0 5,000
Rp 7,150 35,750,000 - 35,750,000

1,000 2,000 5,000 95,000


Rp 55 5,500,000 275,000 5,225,000

0 0 0 200,000
Rp 254 50,800,000 - 50,800,000

0 0 0 100,000
Rp 80 8,000,000 - 8,000,000

0 2,000 6,000 194,000


Rp 87 17,400,000 522,000 16,878,000
1,000 3,000 8,000 192,000
Rp 132 26,400,000 1,056,000 25,344,000
0 0 0 200,000 Rp 591 118,200,000 - 118,200,000
0 0 0 0 - - -
0 0 0 0 - - -
0 0 0 0 - - -
Rp 884,604,860 Rp 3,874,600 Rp 880,730,260

Blangkejeren,31 Sept - 2017


Kasi Farmasi Dan PKRT

Ners.Armidawati S.Kep
NIP : 19800217 200604 2 004
PERSEDIAAN OBAT 2017 TAHUN ANGGARAN 2017
PUSKESMAS REREBE

Bulan
No NAMA OBAT/BMHP Satuan Pembelian 2017
1 2 3 4 5 6 7 8 9 10

1 Tablet 0 0 0 0 0 0 0 0 0 0
Amlodipin 5 mg 30,000

2 Amoxillin Kaps 250 mg Tablet 0 0 0 0 0 0 0 0 0 0


80,000

3 Tablet 0 0 0 0 0 0 0 0 2,000 0
As.Askorbat 250 mg 200,000

4 As.Askorbat 50 mg Tablet 0 0 0 0 0 0 0 0 0
300,000
5 As.Folat 0,4mg Tablet
100,000
0 0 0 0 0 0 0 1,000 1,000 2,000

6 As.Mefenamat 500 mg Tablet 0 0 0 0 0 0 0


500,000

7 Asetosal 80 mg Tablet 0 0 0 0 0 0 0
4,300

8 Asiklovir 200 mg Tablet 0 0 0 0 0 0 0


25,000

9 Asiklovir 400 mg Tablet 0 0 0 0 0 0 0


25,000

10 Dexametason 0,5mg Tablet 0 0 0 0 0 0 0 1,000


300,000

11 Dexametason Inj 5 mg/ml Ampul 0 0 0 0 0 0 0 100


5,000

12 Diazepam 5 mg Botol 0 0 0 0 0 0 0
13 Digoksin 0,25 mg Tablet 0 0 0 0 0 0 0

14 Tablet 0 0 0 0 0 0 0 500
Domperdone 10 mg 50,000

15 Eritromisin 500 mg Tablet 0 0 0 0 0 0 0


175,000
Eritromisin Srp Kering
16 Tablet 0 0 0 0 0 0 0
200mg/5ml 3,200

17 Fenobarbital Inj 50mg/ml Ampul 0 0 0 0 0 0 0


0

18
Fitomenadion (Vit.K) Tab 10 Tablet 0 0 0 0 0 0 0
mg/ml 5,000

19 Fitomenadion (Vit.K) inj 10 mg/ml Ampul


4,980

20 Furosemid 40 mg Tablet 0 0 0 0 0 0 0
100,000

21 Glimeperide 1mg Tablet 0 0 0 0 0 0 0


100,000

22 Glukosa 5 % Tablet 0 0 0 0 0 0 0
500

23 Kalsium Laktat Tablet 0 0 0 0 0 0 0


200,000

24 Tablet 0 0 0 0 0 0 0
Kaptopril 12,5 mg
25 Tablet 0 0 0 0 0 0 0
Karbogliserin T.Telinga 2,000

26 Ketokonazol 200 mg Tablet 0 0 0 0 0 0 0


100,000

27 Klindamisin 300 mg Tablet 0 0 0 0 0 0 0


60,000

28 Klorpromazin 100 mg Tablet 0 0 0 0 0 0 0


Komb:Ergotamin 1mg+Kafein 50 Tablet
29 0 0 0 0 0 0 0
mg 10,000

30 Kotrimoksazol DWS 480 mg Tablet 0 0 0 0 0 0 0


64,800

31 Metronidazol 500 mg 0 0 0 0 0 0 0
Tablet 244,000

32 0 0 0 0 0 0 0
Metylergometrin Inj 0.2 mg/ml Tablet 5,000

33 MGSO4 20% 0 0 0 0 0 0 0
Tablet 500

34 Oksitosin Inj 10 UI/ml 0 0 0 0 0 0 0


Tablet 5,000
35 Paracetamol 500 mg Botol 420,000 0 0 0 0 0 0 0

36 0 0 0 0 0 0 0
Perak Sulfadiazin Krim 1 % Tablet 500

37 Piridoksin (Vit.B6) 10 mg 0 0 0 0 0 0 0
Tablet 100,000
38 Prednison 5 mg Tablet 300,000 0 0 0 0 0 0 0

39 Tablet 0 0 0 0 0 0 0
Ranitidine 150 mg 300,000

40 Ringer Laktat Tablet 0 0 0 0 0 0 0


5,000

41 Sianocobalamin(Vit.B12) 50 mg Ampul 0 0 0 0 0 0 0 2,000 2,000 1,000


100,000

42 Siprofloxaxin 500 mg Ampul 0 0 0 0 0 0 0


200,000

43 THF 2 mg Ampul 0 0 0 0 0 0 0
100,000

44 Thiamin(Vit.B1) Ampul 0 0 0 0 0 0 0 2,000 2,000


200,000
45 Vitamin Bcomplex Ampul
200,000
0 0 0 0 0 0 0 2,000 1,000 2,000

46 Zinc 20 mg Tube 200,000 0 0 0 0 0 0 0


46 0 0 0 0 0 0 0 0 0 0

98 0 0 0 0 0 0 0 0 0 0
99 0 0 0 0 0 0 0 0 0 0

Mengetahui
Kabid PSDK

M.Nurdin Zaini
NIP : 19670210 199103 1 002
UN ANGGARAN 2017
REBE

Jumlah Harga Barang yg Diterima/Yang Dikeluarkan/Sisa


Keluar Sisa Harga Satuan Ket
11 12 Tambah Kurang Sisa

3,000 3,000 27,000


Rp 90 2,700,000 270,000 2,430,000

0 80,000
Rp 191 15,280,000 - 15,280,000

2,000 198,000
Rp 124 24,800,000 248,000 24,552,000

2,000 2,000 298,000


Rp 120 36,000,000 240,000 35,760,000
2,000 2,000 8,000 92,000
Rp 62 6,200,000 496,000 5,704,000

2,000 2,000 498,000


Rp 102 51,000,000 204,000 50,796,000

0 4,300
Rp 94 404,200 - 404,200

0 25,000
Rp 259 6,475,000 - 6,475,000

0 25,000
Rp 415 10,375,000 - 10,375,000

1,000 299,000
Rp 45 13,500,000 45,000 13,455,000

100 100 300 4,700


Rp 1,805 9,025,000 541,500 8,483,500

0 0
Rp - - - -
0 0
Rp - - - -

500 49,500
Rp 116 5,800,000 58,000 5,742,000

0 175,000
Rp 766 134,050,000 - 134,050,000

0 3,200
Rp 6,461 20,675,200 - 20,675,200

0 0
Rp - - - -

0 5,000
Rp 790 3,950,000 - 3,950,000

30 60 4,980
Rp 4,167 20,751,660 - 20,751,660

20 20 99,980
Rp 84 8,400,000 1,680 8,398,320

0 100,000
Rp 200 20,000,000 - 20,000,000

0 500
Rp 6,900 3,450,000 - 3,450,000

0 200,000
Rp 57 11,400,000 - 11,400,000

0 0
Rp 102 - - -

0 2,000
Rp 2,500 5,000,000 - 5,000,000

500 500 99,500


Rp 297 29,700,000 148,500 29,551,500

300 300 59,700


Rp 589 35,340,000 176,700 35,163,300

0 0
Rp 589 - - -
5 5 9,995
Rp 179 1,790,000 895 1,789,105

0 64,800
Rp 131 8,488,800 - 8,488,800

0 244,000
Rp 115 28,060,000 - 28,060,000

0 5,000
Rp 3,278 16,390,000 - 16,390,000

0 500
Rp 3,200 1,600,000 - 1,600,000

0 5,000
Rp 1,900 9,500,000 - 9,500,000
2,000 2,000 418,000 Rp 152 63,840,000 304,000 63,536,000

0 500
Rp 20,700 10,350,000 - 10,350,000

2,000 2,000 98,000


Rp 136 13,600,000 272,000 13,328,000
1,000 1,000 299,000 Rp 85 25,500,000 85,000 25,415,000

2,000 2,000 298,000


Rp 110 33,000,000 220,000 32,780,000

0 5,000
Rp 7,150 35,750,000 - 35,750,000

1,000 6,000 94,000


Rp 55 5,500,000 330,000 5,170,000

0 200,000
Rp 254 50,800,000 - 50,800,000

0 100,000
Rp 80 8,000,000 - 8,000,000

2,000 6,000 194,000


Rp 87 17,400,000 522,000 16,878,000
2,000 7,000 193,000
Rp 132 26,400,000 924,000 25,476,000
0 200,000 Rp 591 118,200,000 - 118,200,000
0 0 0 - - -
0 0 0 - - -
0 0 0 0 - - -
Rp 948,444,860 Rp 5,087,275 Rp 943,357,585

Blangkejeren,31 Sept - 2017


Kasi Farmasi Dan PKRT

Ners.Armidawati S.Kep
NIP : 19800217 200604 2 004
PERSEDIAAN OBAT 2017 TAHUN ANGGARAN 2017
PUSKESMAS CINTA MAJU

Bulan
No NAMA OBAT/BMHP Satuan Pembelian 2017
1 2 3 4 5 6 7 8 9 10

1 Tablet 0 0 0 0 0 0 0 0 0 0
Amlodipin 5 mg 30,000

2 Amoxillin Kaps 250 mg Tablet 0 0 0 0 0 0 0 0 0 0


80,000

3 Tablet 0 0 0 0 0 0 0 2,000 0 0
As.Askorbat 250 mg 200,000

4 As.Askorbat 50 mg Tablet 0 0 0 0 0 0 0 0 0 0
300,000
5 As.Folat 0,4mg Tablet
100,000
0 0 0 0 0 0 0 1,000 0 0

6 As.Mefenamat 500 mg Tablet 0 0 0 0 0 0 0 0 0 0


500,000

7 Asetosal 80 mg Tablet 0 0 0 0 0 0 0 0 0 0
4,300

8 Asiklovir 200 mg Tablet 0 0 0 0 0 0 0 0 0 2,000


25,000

9 Asiklovir 400 mg Tablet 0 0 0 0 0 0 0 0 0 0


25,000

10 Dexametason 0,5mg Tablet 0 0 0 0 0 0 0 0 0 0


300,000

11 Dexametason Inj 5 mg/ml Ampul 0 0 0 0 0 0 0 0 0 0


5,000

12 Diazepam 5 mg Botol 0 0 0 0 0 0 0 0 0 0
13 Digoksin 0,25 mg Tablet 0 0 0 0 0 0 0 0 0 0

14 Tablet 0 0 0 0 0 0 0 0 0 0
Domperdone 10 mg 50,000

15 Eritromisin 500 mg Tablet 0 0 0 0 0 0 0 0 0 0


175,000
Eritromisin Srp Kering
16 Tablet 0 0 0 0 0 0 0 0 0 0
200mg/5ml 3,200

17 Fenobarbital Inj 50mg/ml Ampul 0 0 0 0 0 0 0 0 0 0


0

18
Fitomenadion (Vit.K) Tab 10 Tablet 0 0 0 0 0 0 0 0 0 0
mg/ml 5,000

19 Fitomenadion (Vit.K) inj 10 mg/ml Ampul 0 0 0 0 0 0 0 0 0 0


4,980

20 Furosemid 40 mg Tablet 0 0 0 0 0 0 0 0 0 0
100,000

21 Glimeperide 1mg Tablet 0 0 0 0 0 0 0 0 0 0


100,000

22 Glukosa 5 % Tablet 0 0 0 0 0 0 0 0 0 0
500

23 Kalsium Laktat Tablet 0 0 0 0 0 0 0 0 0 0


200,000

24 Tablet 0 0 0 0 0 0 0 0 0 0
Kaptopril 12,5 mg
25 Tablet 0 0 0 0 0 0 0 0 0 0
Karbogliserin T.Telinga 2,000

26 Ketokonazol 200 mg Tablet 0 0 0 0 0 0 0 0 0 0


100,000

27 Klindamisin 300 mg Tablet 0 0 0 0 0 0 0 0 0 0


60,000

28 Klorpromazin 100 mg Tablet 0 0 0 0 0 0 0 0 0 0


Komb:Ergotamin 1mg+Kafein 50 Tablet
29 0 0 0 0 0 0 0 0 0 0
mg 10,000

30 Kotrimoksazol DWS 480 mg Tablet 0 0 0 0 0 0 0 0 0 0


64,800

31 Metronidazol 500 mg 0 0 0 0 0 0 0 0 0 0
Tablet 244,000

32 0 0 0 0 0 0 0 100 0 0
Metylergometrin Inj 0.2 mg/ml Tablet 5,000

33 MGSO4 20% 0 0 0 0 0 0 0 0 0 0
Tablet 500

34 Oksitosin Inj 10 UI/ml 0 0 0 0 0 0 0 100 0 0


Tablet 5,000
35 Paracetamol 500 mg Botol 420,000 0 0 0 0 0 0 0 0 0 0

36 0 0 0 0 0 0 0 0 0 0
Perak Sulfadiazin Krim 1 % Tablet 500

37 Piridoksin (Vit.B6) 10 mg 0 0 0 0 0 0 0 3,000 0 0


Tablet 100,000
38 Prednison 5 mg Tablet 300,000 0 0 0 0 0 0 0 0 0 0

39 Tablet 0 0 0 0 0 0 0 0 0 0
Ranitidine 150 mg 300,000

40 Ringer Laktat Tablet 0 0 0 0 0 0 0 0 0 0


5,000

41 Sianocobalamin(Vit.B12) 50 mg Ampul 0 0 0 0 0 0 0 2,000 0 1,000


100,000

42 Siprofloxaxin 500 mg Ampul 0 0 0 0 0 0 0 0 0 0


200,000

43 THF 2 mg Ampul 0 0 0 0 0 0 0 0 0 0
100,000

44 Thiamin(Vit.B1) Ampul 0 0 0 0 0 0 0 0 0 1,000


200,000
45 Vitamin Bcomplex Ampul
200,000
0 0 0 0 0 0 0 0 0 2,000

46 Zinc 20 mg Tube 200,000 0 0 0 0 0 0 0 0 0 0


46 0 0 0 0 0 0 0 0 0 0

98 0 0 0 0 0 0 0 0 0 0
99 0 0 0 0 0 0 0 0 0 0

Mengetahui
Kabid PSDK

M.Nurdin Zaini
NIP : 19670210 199103 1 002
UN ANGGARAN 2017
A MAJU

Jumlah Harga Barang yg Diterima/Yang Dikeluarkan/Sisa


Keluar Sisa Harga Satuan Ket
11 12 Tambah Kurang Sisa

450 1,000 1,450 28,550


Rp 90 2,700,000 130,500 2,569,500

0 0 0 80,000
Rp 191 15,280,000 - 15,280,000

0 2,000 4,000 196,000


Rp 124 24,800,000 496,000 24,304,000

0 0 0 300,000
Rp 120 36,000,000 - 36,000,000
0 0 1,000 99,000
Rp 62 6,200,000 62,000 6,138,000

0 2,000 2,000 498,000


Rp 102 51,000,000 204,000 50,796,000

0 0 0 4,300
Rp 94 404,200 - 404,200

0 0 2,000 23,000
Rp 259 6,475,000 518,000 5,957,000

0 0 0 25,000
Rp 415 10,375,000 - 10,375,000

0 0 0 300,000
Rp 45 13,500,000 - 13,500,000

0 0 0 5,000
Rp 1,805 9,025,000 - 9,025,000

0 0 0 0
Rp - - - -
0 0 0 0
Rp - - - -

0 0 0 50,000
Rp 116 5,800,000 - 5,800,000

0 0 0 175,000
Rp 766 134,050,000 - 134,050,000

0 0 0 3,200
Rp 6,461 20,675,200 - 20,675,200

0 0 0 0
Rp - - - -

0 0 0 5,000
Rp 790 3,950,000 - 3,950,000

0 30 4,980
Rp 4,167 20,751,660 - 20,751,660

0 0 0 100,000
Rp 84 8,400,000 - 8,400,000

0 0 0 100,000
Rp 200 20,000,000 - 20,000,000

0 0 0 500
Rp 6,900 3,450,000 - 3,450,000

0 1,000 1,000 199,000


Rp 57 11,400,000 57,000 11,343,000

0 0 0 0
Rp 102 - - -

0 0 0 2,000
Rp 2,500 5,000,000 - 5,000,000

0 0 0 100,000
Rp 297 29,700,000 - 29,700,000

0 500 500 59,500


Rp 589 35,340,000 294,500 35,045,500

1,000 1,000 2,000 -2,000


Rp 589 - 1,178,000 (1,178,000)
0 0 0 10,000
Rp 179 1,790,000 - 1,790,000

0 0 0 64,800
Rp 131 8,488,800 - 8,488,800

0 0 0 244,000
Rp 115 28,060,000 - 28,060,000

0 100 200 4,800


Rp 3,278 16,390,000 655,600 15,734,400

0 0 0 500
Rp 3,200 1,600,000 - 1,600,000

0 0 100 4,900
Rp 1,900 9,500,000 190,000 9,310,000
0 0 0 420,000 Rp 152 63,840,000 - 63,840,000

20 20 40 460
Rp 20,700 10,350,000 828,000 9,522,000

0 0 3,000 97,000
Rp 136 13,600,000 408,000 13,192,000
0 2,000 2,000 298,000 Rp 85 25,500,000 170,000 25,330,000

2,000 2,000 4,000 296,000


Rp 110 33,000,000 440,000 32,560,000

0 0 0 5,000
Rp 7,150 35,750,000 - 35,750,000

0 0 3,000 97,000
Rp 55 5,500,000 165,000 5,335,000

0 0 0 200,000
Rp 254 50,800,000 - 50,800,000

0 0 0 100,000
Rp 80 8,000,000 - 8,000,000

1,000 0 2,000 198,000


Rp 87 17,400,000 174,000 17,226,000
1,000 1,000 4,000 196,000
Rp 132 26,400,000 528,000 25,872,000
0 0 0 200,000 Rp 591 118,200,000 - 118,200,000
0 0 0 0 - - -
0 0 0 0 - - -
0 0 0 0 - - -
Rp 948,444,860 Rp 6,498,600 Rp 941,946,260

Blangkejeren,31 Sept - 2017


Kasi Farmasi Dan PKRT

Ners.Armidawati S.Kep
NIP : 19800217 200604 2 004
PERSEDIAAN OBAT 2017 TAHUN ANGGARAN 2017
PUSKESMAS KUTAPANJANG

Bulan
No NAMA OBAT/BMHP Satuan Pembelian 2017
1 2 3 4 5 6 7 8 9 10

1 Tablet 0 0 0 0 0 0 0 0 0 0
Amlodipin 5 mg 30,000

2 Amoxillin Kaps 250 mg Tablet 0 0 0 0 0 0 0 0 0 0


80,000

3 Tablet 0 0 0 0 0 0 0 0 0 0
As.Askorbat 250 mg 200,000

4 As.Askorbat 50 mg Tablet 0 0 0 0 0 0 0 0 0 0
300,000
5 As.Folat 0,4mg Tablet
100,000
0 0 0 0 0 0 0 2,000 0 0

6 As.Mefenamat 500 mg Tablet 0 0 0 0 0 0 0 0 0 0


500,000

7 Asetosal 80 mg Tablet 0 0 0 0 0 0 0 0 0 0
4,300

8 Asiklovir 200 mg Tablet 0 0 0 0 0 0 0 0 0 1,000


25,000

9 Asiklovir 400 mg Tablet 0 0 0 0 0 0 0 0 0 0


25,000

10 Dexametason 0,5mg Tablet 0 0 0 0 0 0 0 0 0 0


300,000

11 Dexametason Inj 5 mg/ml Ampul 0 0 0 0 0 0 0 100 0 0


5,000

12 Diazepam 5 mg Botol 0 0 0 0 0 0 0 0 0 0
13 Digoksin 0,25 mg Tablet 0 0 0 0 0 0 0 0 0 0

14 Tablet 0 0 0 0 0 0 0 0 0 0
Domperdone 10 mg 50,000

15 Eritromisin 500 mg Tablet 0 0 0 0 0 0 0 0 0 0


175,000
Eritromisin Srp Kering
16 Tablet 0 0 0 0 0 0 0 0 0 0
200mg/5ml 3,200

17 Fenobarbital Inj 50mg/ml Ampul 0 0 0 0 0 0 0 0 0 0


0

18
Fitomenadion (Vit.K) Tab 10 Tablet 0 0 0 0 0 0 0 0 0 0
mg/ml 5,000

19 Fitomenadion (Vit.K) inj 10 mg/ml Ampul


4,980

20 Furosemid 40 mg Tablet 0 0 0 0 0 0 0 0 0 0
100,000

21 Glimeperide 1mg Tablet 0 0 0 0 0 0 0 0 0 0


100,000

22 Glukosa 5 % Tablet 0 0 0 0 0 0 0 0 0 0
500

23 Kalsium Laktat Tablet 0 0 0 0 0 0 0 0 0 0


200,000

24 Tablet 0 0 0 0 0 0 0 0 0 0
Kaptopril 12,5 mg
25 Tablet 0 0 0 0 0 0 0 0 0 0
Karbogliserin T.Telinga 2,000

26 Ketokonazol 200 mg Tablet 0 0 0 0 0 0 0 0 0 0


100,000

27 Klindamisin 300 mg Tablet 0 0 0 0 0 0 0 0 0 0


60,000

28 Klorpromazin 100 mg Tablet 0 0 0 0 0 0 0 0 0 0


Komb:Ergotamin 1mg+Kafein 50 Tablet
29 0 0 0 0 0 0 0 0 0 0
mg 10,000

30 Kotrimoksazol DWS 480 mg Tablet 0 0 0 0 0 0 0 0 0 0


64,800

31 Metronidazol 500 mg 0 0 0 0 0 0 0 0 0 0
Tablet 244,000

32 0 0 0 0 0 0 0 0 0 0
Metylergometrin Inj 0.2 mg/ml Tablet 5,000

33 MGSO4 20% 0 0 0 0 0 0 0 0 12 0
Tablet 500

34 Oksitosin Inj 10 UI/ml 0 0 0 0 0 0 0 100 0 0


Tablet 5,000
35 Paracetamol 500 mg Botol 420,000 0 0 0 0 0 0 0 0 0 0

36 0 0 0 0 0 0 0 0 0 0
Perak Sulfadiazin Krim 1 % Tablet 500

37 Piridoksin (Vit.B6) 10 mg 0 0 0 0 0 0 0 0 1,000 1,000


Tablet 100,000
38 Prednison 5 mg Tablet 300,000 0 0 0 0 0 0 0 0 0 0

39 Tablet 0 0 0 0 0 0 0 0 0 0
Ranitidine 150 mg 300,000

40 Ringer Laktat Tablet 0 0 0 0 0 0 0 0 0 0


5,000

41 Sianocobalamin(Vit.B12) 50 mg Ampul 0 0 0 0 0 0 0 2,000 0 0


100,000

42 Siprofloxaxin 500 mg Ampul 0 0 0 0 0 0 0 0 0 0


200,000

43 THF 2 mg Ampul 0 0 0 0 500 0 0 0 0 0


100,000

44 Thiamin(Vit.B1) Ampul 0 0 0 0 0 0 0 0 0 2,000


200,000
45 Vitamin Bcomplex Ampul
200,000
0 0 0 0 0 0 0 0 0 2,000

46 Zinc 20 mg Tube 200,000 0 0 0 0 0 0 0 0 0 0


46 0 0 0 0 0 0 0 0 0 0

98 0 0 0 0 0 0 0 0 0 0
99 0 0 0 0 0 0 0 0 0 0

Mengetahui
Kabid PSDK

M.Nurdin Zaini
NIP : 19670210 199103 1 002
UN ANGGARAN 2017
ANJANG

Jumlah Harga Barang yg Diterima/Yang Dikeluarkan/Sisa


Keluar Sisa Harga Satuan Ket
11 12 Tambah Kurang Sisa

900 900 1,800 28,200


Rp 90 2,700,000 162,000 2,538,000

0 0 0 80,000
Rp 191 15,280,000 - 15,280,000

5,000 2,000 7,000 193,000


Rp 124 24,800,000 868,000 23,932,000

0 0 0 300,000
Rp 120 36,000,000 - 36,000,000
500 1,000 3,500 96,500
Rp 62 6,200,000 217,000 5,983,000

0 2,000 2,000 498,000


Rp 102 51,000,000 204,000 50,796,000

0 0 0 4,300
Rp 94 404,200 - 404,200

0 0 1,000 24,000
Rp 259 6,475,000 259,000 6,216,000

0 1,000 1,000 24,000


Rp 415 10,375,000 415,000 9,960,000

1,000 0 1,000 299,000


Rp 45 13,500,000 45,000 13,455,000

200 100 400 4,600


Rp 1,805 9,025,000 722,000 8,303,000

0 0 0 0
Rp - - - -
0 0 0 0
Rp - - - -

0 0 0 50,000
Rp 116 5,800,000 - 5,800,000

0 0 0 175,000
Rp 766 134,050,000 - 134,050,000

0 0 0 3,200
Rp 6,461 20,675,200 - 20,675,200

0 0 0 0
Rp - - - -

150 0 150 4,850


Rp 790 3,950,000 118,500 3,831,500

4,980
Rp 4,167 20,751,660 - 20,751,660

1,000 0 1,000 99,000


Rp 84 8,400,000 84,000 8,316,000

0 0 0 100,000
Rp 200 20,000,000 - 20,000,000

0 0 0 500
Rp 6,900 3,450,000 - 3,450,000

0 1,000 1,000 199,000


Rp 57 11,400,000 57,000 11,343,000

0 0 0 0
Rp 102 - - -

0 0 0 2,000
Rp 2,500 5,000,000 - 5,000,000

0 2,000 2,000 98,000


Rp 297 29,700,000 594,000 29,106,000

0 250 250 59,750


Rp 589 35,340,000 147,250 35,192,750

0 0 0 0
Rp 589 - - -
0 500 500 9,500
Rp 179 1,790,000 89,500 1,700,500

0 0 0 64,800
Rp 131 8,488,800 - 8,488,800

0 0 0 244,000
Rp 115 28,060,000 - 28,060,000

0 0 0 5,000
Rp 3,278 16,390,000 - 16,390,000

0 0 12 488
Rp 3,200 1,600,000 38,400 1,561,600

100 0 200 4,800


Rp 1,900 9,500,000 380,000 9,120,000
0 0 0 420,000 Rp 152 63,840,000 - 63,840,000

0 0 0 500
Rp 20,700 10,350,000 - 10,350,000

1,000 0 3,000 97,000


Rp 136 13,600,000 408,000 13,192,000
0 2,000 2,000 298,000 Rp 85 25,500,000 170,000 25,330,000

3,000 3,000 6,000 294,000


Rp 110 33,000,000 660,000 32,340,000

0 0 0 5,000
Rp 7,150 35,750,000 - 35,750,000

2,000 0 4,000 96,000


Rp 55 5,500,000 220,000 5,280,000

0 0 0 200,000
Rp 254 50,800,000 - 50,800,000

0 1,000 1,500 98,500


Rp 80 8,000,000 120,000 7,880,000

2,000 1,000 5,000 195,000


Rp 87 17,400,000 435,000 16,965,000
3,000 3,000 8,000 192,000
Rp 132 26,400,000 1,056,000 25,344,000
0 0 0 200,000 Rp 591 118,200,000 - 118,200,000
0 0 0 0 - - -
0 0 0 0 - - -
0 0 0 0 - - -
Rp 948,444,860 Rp 7,469,650 Rp 940,975,210

Blangkejeren,31 Sept - 2017


Kasi Farmasi Dan PKRT

Ners.Armidawati S.Kep
NIP : 19800217 200604 2 004
PERSEDIAAN OBAT 2017 TAHUN ANGGARAN 2017
PUSKESMAS PINTU RIME

Bulan
No NAMA OBAT/BMHP Satuan Pembelian 2017
1 2 3 4 5 6 7 8 9 10 11

1 Tablet 0 0 0 0 0 0 0 0 900 0 0
Amlodipin 5 mg 30,000

2 Amoxillin Kaps 250 mg Tablet 0 0 0 0 0 0 0 0 0 0 0


80,000

3 Tablet 0 0 0 0 0 0 0 0 0 0 0
As.Askorbat 250 mg 200,000

4 As.Askorbat 50 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
300,000
5 As.Folat 0,4mg Tablet
100,000
0 0 0 0 0 0 0 0 0 0 0

6 As.Mefenamat 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0


500,000

7 Asetosal 80 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
4,300

8 Asiklovir 200 mg Tablet 0 0 0 0 0 0 0 0 0 0 0


25,000

9 Asiklovir 400 mg Tablet 0 0 0 0 0 0 0 0 0 0 0


25,000

10 Dexametason 0,5mg Tablet 0 0 0 0 0 0 0 0 0 0 0


300,000

11 Dexametason Inj 5 mg/ml Ampul 0 0 0 0 0 0 0 0 0 0 0


5,000

12 Diazepam 5 mg Botol 0 0 0 0 0 0 0 0 0 0 0

13 Digoksin 0,25 mg Tablet 0 0 0 0 0 0 0 0 0 0 0


14 Tablet 0 0 0 0 0 0 0 0 0 0 0
Domperdone 10 mg 50,000

15 Eritromisin 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0


175,000
Eritromisin Srp Kering
16 Tablet 0 0 0 0 0 0 0 0 0 0 0
200mg/5ml 3,200

17 Fenobarbital Inj 50mg/ml Ampul 0 0 0 0 0 0 0 0 0 0 0


0
Fitomenadion (Vit.K) Tab 10
18 Tablet 0 0 0 0 0 0 0 0 0 0 0
mg/ml 5,000

19 Fitomenadion (Vit.K) inj 10 mg/ml Ampul


4,980

20 Furosemid 40 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
100,000

21 Glimeperide 1mg Tablet 0 0 0 0 0 0 0 0 0 0 0


100,000

22 Glukosa 5 % Tablet 0 0 0 0 0 0 0 0 0 0 0
500

23 Kalsium Laktat Tablet 0 0 0 0 0 0 0 0 0 0 0


200,000

24 Tablet 0 0 0 0 0 0 0 0 0 0 0
Kaptopril 12,5 mg
25 Tablet 0 0 0 0 0 0 0 0 0 0 0
Karbogliserin T.Telinga 2,000

26 Ketokonazol 200 mg Tablet 0 0 0 0 0 0 0 0 0 0 0


100,000

27 Klindamisin 300 mg Tablet 0 0 0 0 0 0 0 0 0 0 0


60,000

28 Klorpromazin 100 mg Tablet 0 0 0 0 0 0 0 0 0 0 0

Komb:Ergotamin 1mg+Kafein 50 Tablet


29 0 0 0 0 0 0 0 0 0 0 0
mg 10,000

30 Kotrimoksazol DWS 480 mg Tablet 0 0 0 0 0 0 0 0 0 0 0


64,800
31 Metronidazol 500 mg 0 0 0 0 0 0 0 0 0 0 0
Tablet 244,000

32 0 0 0 0 0 0 0 0 0 0 0
Metylergometrin Inj 0.2 mg/ml Tablet 5,000

33 MGSO4 20% 0 0 0 0 0 0 0 0 0 0 0
Tablet 500

34 Oksitosin Inj 10 UI/ml 0 0 0 0 0 0 0 100 0 0 0


Tablet 5,000
35 Paracetamol 500 mg Botol 420,000 0 0 0 0 0 0 0 0 0 0 0

36 0 0 0 0 0 0 0 12 0 0 0
Perak Sulfadiazin Krim 1 % Tablet 500

37 Piridoksin (Vit.B6) 10 mg 0 0 0 0 0 0 0 1,500 0 0 0


Tablet 100,000
38 Prednison 5 mg Tablet 300,000 0 0 0 0 0 0 0 0 0 0 0

39 Tablet 0 0 0 0 0 0 0 0 0 0 0
Ranitidine 150 mg 300,000

40 Ringer Laktat Tablet 0 0 0 0 0 0 0 0 0 0 0


5,000

41 Sianocobalamin(Vit.B12) 50 mg Ampul 0 0 0 0 0 0 0 2,000 0 0 0


100,000

42 Siprofloxaxin 500 mg Ampul 0 0 0 0 0 0 0 0 0 0 0


200,000

43 THF 2 mg Ampul 0 0 0 0 0 0 0 0 0 0 0
100,000

44 Thiamin(Vit.B1) Ampul 0 0 0 0 0 0 0 0 0 0 0
200,000
45 Vitamin Bcomplex Ampul
200,000
0 0 0 0 0 0 0 3,000 0 0 0

46 Zinc 20 mg Tube 200,000 0 0 0 0 0 0 0 0 0 0 0

46 0 0 0 0 0 0 0 0 0 0 0

98 0 0 0 0 0 0 0 0 0 0 0
99 0 0 0 0 0 0 0 0 0 0 0

Mengetahui
Kabid PSDK

M.Nurdin Zaini
NIP : 19670210 199103 1 002
017

Jumlah Harga Barang yg Diterima/Yang Dikeluarkan/Sisa


Keluar Sisa Harga Satuan Ket
12 Tambah Kurang Sisa

0 900 29,100
Rp 90 2,700,000 81,000 2,619,000

0 0 80,000
Rp 191 15,280,000 - 15,280,000

0 0 200,000
Rp 124 24,800,000 - 24,800,000

0 0 300,000
Rp 120 36,000,000 - 36,000,000
0 0 100,000
Rp 62 6,200,000 - 6,200,000

0 0 500,000
Rp 102 51,000,000 - 51,000,000

0 0 4,300
Rp 94 404,200 - 404,200

0 0 25,000
Rp 259 6,475,000 - 6,475,000

0 0 25,000
Rp 415 10,375,000 - 10,375,000

0 0 300,000
Rp 45 13,500,000 - 13,500,000

0 0 5,000
Rp 1,805 9,025,000 - 9,025,000

0 0 0
Rp - - - -

0 0 0
Rp - - - -
0 0 50,000
Rp 116 5,800,000 - 5,800,000

0 0 175,000
Rp 766 134,050,000 - 134,050,000

0 0 3,200
Rp 6,461 20,675,200 - 20,675,200

0 0 0
Rp - - - -

0 0 5,000
Rp 790 3,950,000 - 3,950,000

4,980
Rp 4,167 20,751,660 - 20,751,660

500 500 99,500


Rp 84 8,400,000 42,000 8,358,000

0 0 100,000
Rp 200 20,000,000 - 20,000,000

0 0 500
Rp 6,900 3,450,000 - 3,450,000

500 500 199,500


Rp 57 11,400,000 28,500 11,371,500

0 0 0
Rp 102 - - -

0 0 2,000
Rp 2,500 5,000,000 - 5,000,000

500 500 99,500


Rp 297 29,700,000 148,500 29,551,500

0 0 60,000
Rp 589 35,340,000 - 35,340,000

0 0 0
Rp 589 - - -

500 500 9,500


Rp 179 1,790,000 89,500 1,700,500

0 0 64,800
Rp 131 8,488,800 - 8,488,800
0 0 244,000
Rp 115 28,060,000 - 28,060,000

0 0 5,000
Rp 3,278 16,390,000 - 16,390,000

0 0 500
Rp 3,200 1,600,000 - 1,600,000

0 100 4,900
Rp 1,900 9,500,000 190,000 9,310,000
2,000 2,000 418,000 Rp 152 63,840,000 304,000 63,536,000

0 12 488
Rp 20,700 10,350,000 248,400 10,101,600

0 1,500 98,500
Rp 136 13,600,000 204,000 13,396,000
1,000 1,000 299,000 Rp 85 25,500,000 85,000 25,415,000

1,000 1,000 299,000


Rp 110 33,000,000 110,000 32,890,000

0 0 5,000
Rp 7,150 35,750,000 - 35,750,000

0 2,000 98,000
Rp 55 5,500,000 110,000 5,390,000

0 0 200,000
Rp 254 50,800,000 - 50,800,000

500 500 99,500


Rp 80 8,000,000 40,000 7,960,000

0 0 200,000
Rp 87 17,400,000 - 17,400,000
0 3,000 197,000
Rp 132 26,400,000 396,000 26,004,000
0 0 200,000 Rp 591 118,200,000 - 118,200,000
0 0 0 - - -
0 0 0 - - -
0 0 0 - - -
Rp 948,444,860 Rp 2,076,900 Rp 946,367,960

Blangkejeren,31 Sept - 2017


Kasi Farmasi Dan PKRT

Ners.Armidawati S.Kep
NIP : 19800217 200604 2 004
PERSEDIAAN OBAT 2017 TAHUN ANGGARAN 2017
PUSKESMAS KENYARAN

Bulan
No NAMA OBAT/BMHP Satuan Pembelian 2017
1 2 3 4 5 6 7 8 9 10

1 Tablet 0 0 0 0 0 0 0 0 0 300
Amlodipin 5 mg 30,000

2 Amoxillin Kaps 250 mg Tablet 0 0 0 0 0 0 0 0 0 0


80,000

3 Tablet 0 0 0 0 0 0 0 0 2,000 0
As.Askorbat 250 mg 200,000

4 As.Askorbat 50 mg Tablet 0 0 0 0 0 0 0 0 0 0
300,000
5 As.Folat 0,4mg Tablet
100,000
0 0 0 0 0 0 0 0 0 0

6 As.Mefenamat 500 mg Tablet 0 0 0 0 0 0 0 0 0 0


500,000

7 Asetosal 80 mg Tablet 0 0 0 0 0 0 0 0 0 0
4,300

8 Asiklovir 200 mg Tablet 0 0 0 0 0 0 0 0 0 500


25,000

9 Asiklovir 400 mg Tablet 0 0 0 0 0 0 0 0 0 0


25,000

10 Dexametason 0,5mg Tablet 0 0 0 0 0 0 0 0 0 1,000


300,000

11 Dexametason Inj 5 mg/ml Ampul 0 0 0 0 0 0 0 100 0 0


5,000

12 Diazepam 5 mg Botol 0 0 0 0 0 0 0 0 0 0
13 Digoksin 0,25 mg Tablet 0 0 0 0 0 0 0 0 0 0

14 Tablet 0 0 0 0 0 0 0 0 0 0
Domperdone 10 mg 50,000

15 Eritromisin 500 mg Tablet 0 0 0 0 0 0 0 0 0 0


175,000
Eritromisin Srp Kering
16 Tablet 0 0 0 0 0 0 0 0 0 0
200mg/5ml 3,200

17 Fenobarbital Inj 50mg/ml Ampul 0 0 0 0 0 0 0 0 0 0


0

18
Fitomenadion (Vit.K) Tab 10 Tablet 0 0 0 0 0 0 0 0 0 0
mg/ml 5,000

19 Fitomenadion (Vit.K) inj 10 mg/ml Ampul


4,980

20 Furosemid 40 mg Tablet 0 0 0 0 0 0 0 0 0 0
100,000

21 Glimeperide 1mg Tablet 0 0 0 0 0 0 0 0 0 0


100,000

22 Glukosa 5 % Tablet 0 0 0 0 0 0 0 0 0 0
500

23 Kalsium Laktat Tablet 0 0 0 0 0 0 0 0 0 0


200,000

24 Tablet 0 0 0 0 0 0 0 0 0 0
Kaptopril 12,5 mg
25 Tablet 0 0 0 0 0 0 0 0 0 0
Karbogliserin T.Telinga 2,000

26 Ketokonazol 200 mg Tablet 0 0 0 0 0 0 0 0 0 0


100,000

27 Klindamisin 300 mg Tablet 0 0 0 0 0 0 0 0 0 0


60,000

28 Klorpromazin 100 mg Tablet 0 0 0 0 0 0 0 0 0 0


Komb:Ergotamin 1mg+Kafein 50 Tablet
29 0 0 0 0 0 0 0 0 0 0
mg 10,000

30 Kotrimoksazol DWS 480 mg Tablet 0 0 0 0 0 0 0 0 0 0


64,800

31 Metronidazol 500 mg 0 0 0 0 0 0 0 0 0 0
Tablet 244,000

32 0 0 0 0 0 0 0 0 0 0
Metylergometrin Inj 0.2 mg/ml Tablet 5,000

33 MGSO4 20% 0 0 0 0 0 0 0 0 0 0
Tablet 500

34 Oksitosin Inj 10 UI/ml 0 0 0 0 0 0 0 0 0 0


Tablet 5,000
35 Paracetamol 500 mg Botol 420,000 0 0 0 0 0 0 0 0 0 0

36 0 0 0 0 0 0 0 12 0 5
Perak Sulfadiazin Krim 1 % Tablet 500

37 Piridoksin (Vit.B6) 10 mg 0 0 0 0 0 0 0 0 0 1,000


Tablet 100,000
38 Prednison 5 mg Tablet 300,000 0 0 0 0 0 0 0 0 0 0

39 Tablet 0 0 0 0 0 0 0 0 0 0
Ranitidine 150 mg 300,000

40 Ringer Laktat Tablet 0 0 0 0 0 0 0 0 0 0


5,000

41 Sianocobalamin(Vit.B12) 50 mg Ampul 0 0 0 0 0 0 0 1,000 1,000 0


100,000

42 Siprofloxaxin 500 mg Ampul 0 0 0 0 0 0 0 0 0 0


200,000

43 THF 2 mg Ampul 0 0 0 0 0 0 0 0 0 0
100,000

44 Thiamin(Vit.B1) Ampul 0 0 0 0 0 0 0 0 1,000 0


200,000
45 Vitamin Bcomplex Ampul
200,000
0 0 0 0 0 0 0 0 0

46 Zinc 20 mg Tube 200,000 0 0 0 0 0 0 0 0 0 0


46 0 0 0 0 0 0 0 0 0 0

98 0 0 0 0 0 0 0 0 0 0
99 0 0 0 0 0 0 0 0 0 0

Mengetahui
Kabid PSDK

M.Nurdin Zaini
NIP : 19670210 199103 1 002
UN ANGGARAN 2017
YARAN

Jumlah Harga Barang yg Diterima/Yang Dikeluarkan/Sisa


Keluar Sisa Harga Satuan Ket
11 12 Tambah Kurang Sisa

600 450 1,350 28,650


Rp 90 2,700,000 121,500 2,578,500

0 0 0 80,000
Rp 191 15,280,000 - 15,280,000

0 0 2,000 198,000
Rp 124 24,800,000 248,000 24,552,000

0 0 0 300,000
Rp 120 36,000,000 - 36,000,000
1,000 0 1,000 99,000
Rp 62 6,200,000 62,000 6,138,000

0 0 0 500,000
Rp 102 51,000,000 - 51,000,000

0 0 0 4,300
Rp 94 404,200 - 404,200

250 0 750 24,250


Rp 259 6,475,000 194,250 6,280,750

0 0 0 25,000
Rp 415 10,375,000 - 10,375,000

500 1,000 2,500 297,500


Rp 45 13,500,000 112,500 13,387,500

100 0 200 4,800


Rp 1,805 9,025,000 361,000 8,664,000

0 0 0 0
Rp - - - -
0 0 0 0
Rp - - - -

0 0 0 50,000
Rp 116 5,800,000 - 5,800,000

0 0 0 175,000
Rp 766 134,050,000 - 134,050,000

0 0 0 3,200
Rp 6,461 20,675,200 - 20,675,200

0 0 0 0
Rp - - - -

0 0 0 5,000
Rp 790 3,950,000 - 3,950,000

60 4,980
Rp 4,167 20,751,660 - 20,751,660

500 0 500 99,500


Rp 84 8,400,000 42,000 8,358,000

0 0 0 100,000
Rp 200 20,000,000 - 20,000,000

0 0 0 500
Rp 6,900 3,450,000 - 3,450,000

0 500 500 199,500


Rp 57 11,400,000 28,500 11,371,500

0 0 0 0
Rp 102 - - -

0 0 0 2,000
Rp 2,500 5,000,000 - 5,000,000

0 500 500 99,500


Rp 297 29,700,000 148,500 29,551,500

0 300 300 59,700


Rp 589 35,340,000 176,700 35,163,300

0 0 0 0
Rp 589 - - -
0 500 500 9,500
Rp 179 1,790,000 89,500 1,700,500

0 0 0 64,800
Rp 131 8,488,800 - 8,488,800

0 0 0 244,000
Rp 115 28,060,000 - 28,060,000

0 0 0 5,000
Rp 3,278 16,390,000 - 16,390,000

0 0 0 500
Rp 3,200 1,600,000 - 1,600,000

100 0 100 4,900


Rp 1,900 9,500,000 190,000 9,310,000
0 2,000 2,000 418,000 Rp 152 63,840,000 304,000 63,536,000

5 0 22 478
Rp 20,700 10,350,000 455,400 9,894,600

1,000 1,000 3,000 97,000


Rp 136 13,600,000 408,000 13,192,000
0 1,000 1,000 299,000 Rp 85 25,500,000 85,000 25,415,000

0 1,000 1,000 299,000


Rp 110 33,000,000 110,000 32,890,000

0 0 0 5,000
Rp 7,150 35,750,000 - 35,750,000

0 0 2,000 98,000
Rp 55 5,500,000 110,000 5,390,000

0 0 0 200,000
Rp 254 50,800,000 - 50,800,000

0 500 500 99,500


Rp 80 8,000,000 40,000 7,960,000

1,000 0 2,000 198,000


Rp 87 17,400,000 174,000 17,226,000
2,000 2,000 4,000 196,000
Rp 132 26,400,000 528,000 25,872,000
0 0 0 200,000 Rp 591 118,200,000 - 118,200,000
0 0 0 0 - - -
0 0 0 0 - - -
0 0 0 0 - - -
Rp 948,444,860 Rp 3,988,850 Rp 944,456,010

Blangkejeren,31 Sept - 2017


Kasi Farmasi Dan PKRT

Ners.Armidawati S.Kep
NIP : 19800217 200604 2 004
PERSEDIAAN OBAT 2017 TAHUN ANGGARAN 2017
PUSKESMAS PINING

Bulan
No NAMA OBAT/BMHP Satuan Pembelian 2017
1 2 3 4 5 6 7 8 9 10

1 Tablet 0 0 0 0 0 0 0 0 300 600


Amlodipin 5 mg 30,000

2 Amoxillin Kaps 250 mg Tablet 0 0 0 0 0 0 0 0 0 0


80,000

3 Tablet 0 0 0 0 0 0 0 0 0 0
As.Askorbat 250 mg 200,000

4 As.Askorbat 50 mg Tablet 0 0 0 0 0 0 0 0 0 0
300,000
5 As.Folat 0,4mg Tablet
100,000
0 0 0 0 0 0 0 1,000 1,000 1,000

6 As.Mefenamat 500 mg Tablet 0 0 0 0 0 0 0 0 0 0


500,000

7 Asetosal 80 mg Tablet 0 0 0 0 0 0 0 0 0
4,300

8 Asiklovir 200 mg Tablet 0 0 0 0 0 0 0 0 0 0


25,000

9 Asiklovir 400 mg Tablet 0 0 0 0 0 0 0 0 0 250


25,000

10 Dexametason 0,5mg Tablet 0 0 0 0 0 0 0 0 1,000 1,000


300,000

11 Dexametason Inj 5 mg/ml Ampul 0 0 0 0 0 0 0 0 0 0


5,000

12 Diazepam 5 mg Botol 0 0 0 0 0 0 0 0 0 0
13 Digoksin 0,25 mg Tablet 0 0 0 0 0 0 0 0 0 0

14 Tablet 0 0 0 0 0 0 0 0 0 0
Domperdone 10 mg 50,000

15 Eritromisin 500 mg Tablet 0 0 0 0 0 0 0 0 0 0


175,000
Eritromisin Srp Kering
16 Tablet 0 0 0 0 0 0 0 0 0 0
200mg/5ml 3,200

17 Fenobarbital Inj 50mg/ml Ampul 0 0 0 0 0 0 0 0 0 0


0

18
Fitomenadion (Vit.K) Tab 10 Tablet 0 0 0 0 0 0 0 0 0 0
mg/ml 5,000

19 Fitomenadion (Vit.K) inj 10 mg/ml Ampul


4,980

20 Furosemid 40 mg Tablet 0 0 0 0 0 0 0 0 0 0
100,000

21 Glimeperide 1mg Tablet 0 0 0 0 0 0 0 0 0 0


100,000

22 Glukosa 5 % Tablet 0 0 0 0 0 0 0 0 0 0
500

23 Kalsium Laktat Tablet 0 0 0 0 0 0 0 0 0 0


200,000

24 Tablet 0 0 0 0 0 0 0 0 0 0
Kaptopril 12,5 mg
25 Tablet 0 0 0 0 0 0 0 0 0 0
Karbogliserin T.Telinga 2,000

26 Ketokonazol 200 mg Tablet 0 0 0 0 0 0 0 0 0 0


100,000

27 Klindamisin 300 mg Tablet 0 0 0 0 0 0 0 0 0 0


60,000

28 Klorpromazin 100 mg Tablet 0 0 0 0 0 0 0 0 0 0


Komb:Ergotamin 1mg+Kafein 50 Tablet
29 0 0 0 0 0 0 0 0 0 0
mg 10,000

30 Kotrimoksazol DWS 480 mg Tablet 0 0 0 0 0 0 0 0 0 0


64,800

31 Metronidazol 500 mg 0 0 0 0 0 0 0 0 0 0
Tablet 244,000

32 0 0 0 0 0 0 0 0 0 0
Metylergometrin Inj 0.2 mg/ml Tablet 5,000

33 MGSO4 20% 0 0 0 0 0 0 0 0 0 0
Tablet 500

34 Oksitosin Inj 10 UI/ml 0 0 0 0 0 0 0 0 0 0


Tablet 5,000
35 Paracetamol 500 mg Botol 420,000 0 0 0 0 0 0 0 0 0 0

36 0 0 0 0 0 0 0 12 0 5
Perak Sulfadiazin Krim 1 % Tablet 500

37 Piridoksin (Vit.B6) 10 mg 0 0 0 0 0 0 0 2,000 500 1,000


Tablet 100,000
38 Prednison 5 mg Tablet 300,000 0 0 0 0 0 0 0 0 0 0

39 Tablet 0 0 0 0 0 0 0 0 2,000 2,000


Ranitidine 150 mg 300,000

40 Ringer Laktat Tablet 0 0 0 0 0 0 0 0 0 60


5,000

41 Sianocobalamin(Vit.B12) 50 mg Ampul 0 0 0 0 0 0 0 1,000 1,000 2,000


100,000

42 Siprofloxaxin 500 mg Ampul 0 0 0 0 0 0 0 0 0 0


200,000

43 THF 2 mg Ampul 0 0 0 0 0 0 0 500 0 0


100,000

44 Thiamin(Vit.B1) Ampul 0 1,000 0 0 0 0 0 0 1,000 2,000


200,000
45 Vitamin Bcomplex Ampul
200,000
0 0 0 0 0 0 0 0 0 1,500

46 Zinc 20 mg Tube 200,000 0 0 0 0 0 0 0 0 0 0


46 0 0 0 0 0 0 0 0 0 0

98 0 0 0 0 0 0 0 0 0 0
99 0 0 0 0 0 0 0 0 0 0

Mengetahui
Kabid PSDK

M.Nurdin Zaini
NIP : 19670210 199103 1 002
UN ANGGARAN 2017
NING

Jumlah Harga Barang yg Diterima/Yang Dikeluarkan/Sisa


Keluar Sisa Harga Satuan Ket
11 12 Tambah Kurang Sisa

900 900 2,700 27,300


Rp 90 2,700,000 243,000 2,457,000

0 0 0 80,000
Rp 191 15,280,000 - 15,280,000

0 0 0 200,000
Rp 124 24,800,000 - 24,800,000

0 0 0 300,000
Rp 120 36,000,000 - 36,000,000
2,000 0 5,000 95,000
Rp 62 6,200,000 310,000 5,890,000

0 3,000 3,000 497,000


Rp 102 51,000,000 306,000 50,694,000

0 0 0 4,300
Rp 94 404,200 - 404,200

0 0 0 25,000
Rp 259 6,475,000 - 6,475,000

0 250 500 24,500


Rp 415 10,375,000 207,500 10,167,500

1,000 1,000 4,000 296,000


Rp 45 13,500,000 180,000 13,320,000

100 0 100 4,900


Rp 1,805 9,025,000 180,500 8,844,500

0 0 0 0
Rp - - - -
0 0 0 0
Rp - - - -

0 0 0 50,000
Rp 116 5,800,000 - 5,800,000

0 0 0 175,000
Rp 766 134,050,000 - 134,050,000

0 0 0 3,200
Rp 6,461 20,675,200 - 20,675,200

0 0 0 0
Rp - - - -

30 0 30 4,970
Rp 790 3,950,000 23,700 3,926,300

4,980
Rp 4,167 20,751,660 - 20,751,660

500 500 1,000 99,000


Rp 84 8,400,000 84,000 8,316,000

0 0 0 100,000
Rp 200 20,000,000 - 20,000,000

0 0 0 500
Rp 6,900 3,450,000 - 3,450,000

0 0 0 200,000
Rp 57 11,400,000 - 11,400,000

0 0 0 0
Rp 102 - - -

0 0 0 2,000
Rp 2,500 5,000,000 - 5,000,000

0 0 0 100,000
Rp 297 29,700,000 - 29,700,000

0 0 0 60,000
Rp 589 35,340,000 - 35,340,000

0 0 0 0
Rp 589 - - -
0 0 0 10,000
Rp 179 1,790,000 - 1,790,000

0 0 0 64,800
Rp 131 8,488,800 - 8,488,800

0 0 0 244,000
Rp 115 28,060,000 - 28,060,000

0 0 0 5,000
Rp 3,278 16,390,000 - 16,390,000

0 0 0 500
Rp 3,200 1,600,000 - 1,600,000

0 0 0 5,000
Rp 1,900 9,500,000 - 9,500,000
0 3,000 3,000 417,000 Rp 152 63,840,000 456,000 63,384,000

10 10 37 463
Rp 20,700 10,350,000 765,900 9,584,100

2,000 0 5,500 94,500


Rp 136 13,600,000 748,000 12,852,000
0 2,000 2,000 298,000 Rp 85 25,500,000 170,000 25,330,000

2,000 2,000 8,000 292,000


Rp 110 33,000,000 880,000 32,120,000

0 0 60 4,940
Rp 7,150 35,750,000 429,000 35,321,000

3,000 2,000 9,000 91,000


Rp 55 5,500,000 495,000 5,005,000

0 0 0 200,000
Rp 254 50,800,000 - 50,800,000

0 0 500 99,500
Rp 80 8,000,000 40,000 7,960,000

3,000 2,000 9,000 191,000


Rp 87 17,400,000 783,000 16,617,000
3,000 2,000 6,500 193,500
Rp 132 26,400,000 858,000 25,542,000
0 0 0 200,000 Rp 591 118,200,000 - 118,200,000
0 0 0 0 - - -
0 0 0 0 - - -
0 0 0 0 - - -
Rp 948,444,860 Rp 7,159,600 Rp 941,285,260

Blangkejeren,31 Sept - 2017


Kasi Farmasi Dan PKRT

Ners.Armidawati S.Kep
NIP : 19800217 200604 2 004
PERSEDIAAN OBAT 2017 TAHUN ANGGARAN 2017
PUSKESMAS TERANGUN

Bulan
No NAMA OBAT/BMHP Satuan Pembelian 2017
1 2 3 4 5 6 7 8 9 10 11

1 Tablet 0 0 0 0 0 0 0 0 0 0 900
Amlodipin 5 mg 30,000

2 Amoxillin Kaps 250 mg Tablet 0 0 0 0 0 0 0 0 0 0 0


80,000

3 Tablet 0 0 0 0 0 0 0 0 5,000 0 2,000


As.Askorbat 250 mg 200,000

4 As.Askorbat 50 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
300,000
5 As.Folat 0,4mg Tablet
100,000
0 0 0 0 0 0 0 1,500 0 0 0

6 As.Mefenamat 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0


500,000

7 Asetosal 80 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
4,300

8 Asiklovir 200 mg Tablet 0 0 0 0 0 0 0 0 0 0 1,000


25,000

9 Asiklovir 400 mg Tablet 0 0 0 0 0 0 0 0 0 0 0


25,000

10 Dexametason 0,5mg Tablet 0 0 0 0 0 0 0 0 0 0 0


300,000

11 Dexametason Inj 5 mg/ml Ampul 0 0 0 0 0 0 0 100 100 0 0


5,000

12 Diazepam 5 mg Botol 0 0 0 0 0 0 0 0 0 0 0
13 Digoksin 0,25 mg Tablet 0 0 0 0 0 0 0 0 0 0 0

14 Tablet 0 0 0 0 0 0 0 0 0 0 0
Domperdone 10 mg 50,000

15 Eritromisin 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0


175,000
Eritromisin Srp Kering
16 Tablet 0 0 0 0 0 0 0 0 0 0 0
200mg/5ml 3,200

17 Fenobarbital Inj 50mg/ml Ampul 0 0 0 0 0 0 0 0 0 0 0


0

18
Fitomenadion (Vit.K) Tab 10 Tablet 0 0 0 0 0 0 0 0 0 0 0
mg/ml 5,000

19 Fitomenadion (Vit.K) inj 10 mg/ml Ampul 0 0 0 0 0 0 0 0 0 0 30


4,980

20 Furosemid 40 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
100,000

21 Glimeperide 1mg Tablet 0 0 0 0 0 0 0 0 0 0 0


100,000

22 Glukosa 5 % Tablet 0 0 0 0 0 0 0 0 0 0 0
500

23 Kalsium Laktat Tablet 0 0 0 0 0 0 0 0 0 0 0


200,000

24 Tablet 0 0 0 0 0 0 0 0 0 0 0
Kaptopril 12,5 mg
25 Tablet 0 0 0 0 0 0 0 0 0 0 0
Karbogliserin T.Telinga 2,000

26 Ketokonazol 200 mg Tablet 0 0 0 0 0 0 0 0 0 0 0


100,000

27 Klindamisin 300 mg Tablet 0 0 0 0 0 0 0 0 0 0 0


60,000

28 Klorpromazin 100 mg Tablet 0 0 0 0 0 0 0 0 0 0 0


Komb:Ergotamin 1mg+Kafein 50 Tablet
29 0 0 0 0 0 0 0 0 0 0 0
mg 10,000

30 Kotrimoksazol DWS 480 mg Tablet 0 0 0 0 0 0 0 0 0 0 0


64,800

31 Metronidazol 500 mg 0 0 0 0 0 0 0 0 0 0 0
Tablet 244,000

32 0 0 0 0 0 0 0 0 0 0 0
Metylergometrin Inj 0.2 mg/ml Tablet 5,000

33 MGSO4 20% 0 0 0 0 0 0 0 0 12 0 0
Tablet 500

34 Oksitosin Inj 10 UI/ml 0 0 0 0 0 0 0 0 0 0 0


Tablet 5,000
35 Paracetamol 500 mg Botol 420,000 0 0 0 0 0 0 0 0 0 0 0

36 0 0 0 0 0 0 0 12 10 0 0
Perak Sulfadiazin Krim 1 % Tablet 500

37 Piridoksin (Vit.B6) 10 mg 0 0 0 0 0 0 0 1,000 1,500 0


Tablet 100,000
38 Prednison 5 mg Tablet 300,000 0 0 0 0 0 0 0 0 0 0 0

39 Tablet 0 0 0 0 0 0 0 0 0 0 0
Ranitidine 150 mg 300,000

40 Ringer Laktat Tablet 0 0 0 0 0 0 0 0 0 0 0


5,000

41 Sianocobalamin(Vit.B12) 50 mg Ampul 0 0 0 0 0 0 0 1,000 1,500 0 0


100,000

42 Siprofloxaxin 500 mg Ampul 0 0 0 0 0 0 0 0 0 0 0


200,000

43 THF 2 mg Ampul 0 0 0 0 0 0 0 0 0 0 0
100,000

44 Thiamin(Vit.B1) Ampul 0 0 0 0 0 0 0 0 1,000 1,000 0


200,000
45 Vitamin Bcomplex Ampul
200,000
0 0 0 0 0 0 0 0 2,000 2,000 0

46 Zinc 20 mg Tube 200,000 0 0 0 0 0 0 0 0 0 0 0


46 0 0 0 0 0 0 0 0 0 0 0

98 0 0 0 0 0 0 0 0 0 0 0
99 0 0 0 0 0 0 0 0 0 0 0

Mengetahui
Kabid PSDK

M.Nurdin Zaini
NIP : 19670210 199103 1 002
NGGARAN 2017

Jumlah Harga Barang yg Diterima/Yang Dikeluarkan/Sisa


Keluar Sisa Harga Satuan Ket
12 Tambah Kurang Sisa

900 1,800 28,200


Rp 90 2,700,000 162,000 2,538,000

0 0 80,000
Rp 191 15,280,000 - 15,280,000

0 7,000 193,000
Rp 124 24,800,000 868,000 23,932,000

0 0 300,000
Rp 120 36,000,000 - 36,000,000
1,000 2,500 97,500
Rp 62 6,200,000 155,000 6,045,000

2,000 2,000 498,000


Rp 102 51,000,000 204,000 50,796,000

0 0 4,300
Rp 94 404,200 - 404,200

0 1,000 24,000
Rp 259 6,475,000 259,000 6,216,000

0 0 25,000
Rp 415 10,375,000 - 10,375,000

0 0 300,000
Rp 45 13,500,000 - 13,500,000

0 200 4,800
Rp 1,805 9,025,000 361,000 8,664,000

0 0 0
Rp - - - -
0 0 0
Rp - - - -

0 0 50,000
Rp 116 5,800,000 - 5,800,000

0 0 175,000
Rp 766 134,050,000 - 134,050,000

0 0 3,200
Rp 6,461 20,675,200 - 20,675,200

0 0 0
Rp - - - -

0 0 5,000
Rp 790 3,950,000 - 3,950,000

30 4,980
Rp 4,167 20,751,660 - 20,751,660

300 300 99,700


Rp 84 8,400,000 25,200 8,374,800

500 500 99,500


Rp 200 20,000,000 100,000 19,900,000

0 0 500
Rp 6,900 3,450,000 - 3,450,000

1,000 1,000 199,000


Rp 57 11,400,000 57,000 11,343,000

0 0 0
Rp 102 - - -

0 0 2,000
Rp 2,500 5,000,000 - 5,000,000

0 0 100,000
Rp 297 29,700,000 - 29,700,000

0 0 60,000
Rp 589 35,340,000 - 35,340,000

0 0 0
Rp 589 - - -
0 0 10,000
Rp 179 1,790,000 - 1,790,000

0 0 64,800
Rp 131 8,488,800 - 8,488,800

0 0 244,000
Rp 115 28,060,000 - 28,060,000

0 0 5,000
Rp 3,278 16,390,000 - 16,390,000

0 12 488
Rp 3,200 1,600,000 38,400 1,561,600

0 0 5,000
Rp 1,900 9,500,000 - 9,500,000
0 0 420,000 Rp 152 63,840,000 - 63,840,000

0 22 478
Rp 20,700 10,350,000 455,400 9,894,600

0 2,500 97,500
Rp 136 13,600,000 340,000 13,260,000
0 0 300,000 Rp 85 25,500,000 - 25,500,000

0 0 300,000
Rp 110 33,000,000 - 33,000,000

0 0 5,000
Rp 7,150 35,750,000 - 35,750,000

0 2,500 97,500
Rp 55 5,500,000 137,500 5,362,500

0 0 200,000
Rp 254 50,800,000 - 50,800,000

0 0 100,000
Rp 80 8,000,000 - 8,000,000

0 2,000 198,000
Rp 87 17,400,000 174,000 17,226,000
0 4,000 196,000
Rp 132 26,400,000 528,000 25,872,000
0 0 200,000 Rp 591 118,200,000 - 118,200,000
0 0 0 - - -
0 0 0 - - -
0 0 0 - - -
Rp 948,444,860 Rp 3,864,500 Rp 944,580,360

Blangkejeren,31 Sept - 2017


Kasi Farmasi Dan PKRT

Ners.Armidawati S.Kep
NIP : 19800217 200604 2 004
PERSEDIAAN OBAT 2017 TAHUN ANGGARAN 2017
PUSKESMAS GUMPANG

Bulan
No NAMA OBAT/BMHP Satuan Pembelian 2017
1 2 3 4 5 6 7 8 9 10 11

1 Tablet 0 0 0 0 0 0 0 0 600 0 0
Amlodipin 5 mg 30,000

2 Amoxillin Kaps 250 mg Tablet 0 0 0 0 0 0 0 0 0 0 0


80,000

3 Tablet 0 0 0 0 0 0 0 0 5,000 10,000 3,000


As.Askorbat 250 mg 200,000

4 As.Askorbat 50 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
300,000
5 As.Folat 0,4mg Tablet
100,000
0 0 0 0 0 0 0 1,000 0 0 0

6 As.Mefenamat 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0


500,000

7 Asetosal 80 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
4,300

8 Asiklovir 200 mg Tablet 0 0 0 0 0 0 0 0 1,000 2,000 0


25,000

9 Asiklovir 400 mg Tablet 0 0 0 0 0 0 0 0 0 0 0


25,000

10 Dexametason 0,5mg Tablet 0 0 0 0 0 0 0 0 0 0 0


300,000

11 Dexametason Inj 5 mg/ml Ampul 0 0 0 0 0 0 0 100 300 0 0


5,000

12 Diazepam 5 mg Botol 0 0 0 0 0 0 0 0 0 0 0
13 Digoksin 0,25 mg Tablet 0 0 0 0 0 0 0 0 0 0 0

14 Tablet 0 0 0 0 0 0 0 0 0 0 0
Domperdone 10 mg 50,000

15 Eritromisin 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0


175,000
Eritromisin Srp Kering
16 Tablet 0 0 0 0 0 0 0 0 0 0 0
200mg/5ml 3,200

17 Fenobarbital Inj 50mg/ml Ampul 0 0 0 0 0 0 0 0 0 0 0


0

18
Fitomenadion (Vit.K) Tab 10 Tablet 0 0 0 0 0 0 0 0 0 0 0
mg/ml 5,000

19 Fitomenadion (Vit.K) inj 10 mg/ml Ampul 0 0 0 0 0 0 0 0 0 0 90


4,980

20 Furosemid 40 mg Tablet 0 0 0 0 0 0 0 0 0 0 2,000


100,000

21 Glimeperide 1mg Tablet 0 0 0 0 0 0 0 0 0 0 0


100,000

22 Glukosa 5 % Tablet 0 0 0 0 0 0 0 0 0 0 0
500

23 Kalsium Laktat Tablet 0 0 0 0 0 0 0 0 0 0 0


200,000

24 Tablet 0 0 0 0 0 0 0 0 0 0 0
Kaptopril 12,5 mg
25 Tablet 0 0 0 0 0 0 0 0 0 0 0
Karbogliserin T.Telinga 2,000

26 Ketokonazol 200 mg Tablet 0 0 0 0 0 0 0 0 0 0 0


100,000

27 Klindamisin 300 mg Tablet 0 0 0 0 0 0 0 0 0 0 0


60,000

28 Klorpromazin 100 mg Tablet 0 0 0 0 0 0 0 0 0 0 0


Komb:Ergotamin 1mg+Kafein 50 Tablet
29 0 0 0 0 0 0 0 0 0 0 0
mg 10,000

30 Kotrimoksazol DWS 480 mg Tablet 0 0 0 0 0 0 0 0 0 0 0


64,800

31 Metronidazol 500 mg 0 0 0 0 0 0 0 0 0 0 0
Tablet 244,000

32 0 0 0 0 0 0 0 0 0 0 0
Metylergometrin Inj 0.2 mg/ml Tablet 5,000

33 MGSO4 20% 0 0 0 0 0 0 0 0 0 0 0
Tablet 500

34 Oksitosin Inj 10 UI/ml 0 0 0 0 0 0 0 0 0 0 200


Tablet 5,000
35 Paracetamol 500 mg Botol 420,000 0 0 0 0 0 0 0 0 0 0 0

36 0 0 0 0 0 0 0 12 12 0 10
Perak Sulfadiazin Krim 1 % Tablet 500

37 Piridoksin (Vit.B6) 10 mg 0 0 0 0 0 0 0 20 0 3,000 2,000


Tablet 100,000
38 Prednison 5 mg Tablet 300,000 0 0 0 0 0 0 0 0 0 0 0

39 Tablet 0 0 0 0 0 0 0 0 0 0 0
Ranitidine 150 mg 300,000

40 Ringer Laktat Tablet 0 0 0 0 0 60 0 40 40 80 0


5,000

41 Sianocobalamin(Vit.B12) 50 mg Ampul 0 0 0 0 0 0 0 2,000 2,000 0 1,000


100,000

42 Siprofloxaxin 500 mg Ampul 0 0 0 0 0 0 0 0 0 0 0


200,000

43 THF 2 mg Ampul 0 0 0 0 0 0 0 0 0 0 0
100,000

44 Thiamin(Vit.B1) Ampul 0 0 0 0 0 0 0 0 2,500 3,000 2,000


200,000
45 Vitamin Bcomplex Ampul
200,000
0 0 0 0 0 0 0 3,000 3,000 3,000 2,000

46 Zinc 20 mg Tube 200,000 0 0 0 0 0 0 0 0 0 0 0


46 0 0 0 0 0 0 0 0 0 0 0

98 0 0 0 0 0 0 0 0 0 0 0
99 0 0 0 0 0 0 0 0 0 0 0

Mengetahui
Kabid PSDK

M.Nurdin Zaini
NIP : 19670210 199103 1 002
NGGARAN 2017

Jumlah Harga Barang yg Diterima/Yang Dikeluarkan/Sisa


Keluar Sisa Harga Satuan Ket
12 Tambah Kurang Sisa

900 1,500 28,500


Rp 90 2,700,000 135,000 2,565,000

0 0 80,000
Rp 191 15,280,000 - 15,280,000

1,000 19,000 181,000


Rp 124 24,800,000 2,356,000 22,444,000

0 0 300,000
Rp 120 36,000,000 - 36,000,000
1,000 2,000 98,000
Rp 62 6,200,000 124,000 6,076,000

2,000 2,000 498,000


Rp 102 51,000,000 204,000 50,796,000

0 0 4,300
Rp 94 404,200 - 404,200

0 3,000 22,000
Rp 259 6,475,000 777,000 5,698,000

1,000 1,000 24,000


Rp 415 10,375,000 415,000 9,960,000

0 0 300,000
Rp 45 13,500,000 - 13,500,000

100 500 4,500


Rp 1,805 9,025,000 902,500 8,122,500

0 0 0
Rp - - - -
0 0 0
Rp - - - -

0 0 50,000
Rp 116 5,800,000 - 5,800,000

0 0 175,000
Rp 766 134,050,000 - 134,050,000

0 0 3,200
Rp 6,461 20,675,200 - 20,675,200

0 0 0
Rp - - - -

0 0 5,000
Rp 790 3,950,000 - 3,950,000

30 4,980
Rp 4,167 20,751,660 - 20,751,660

300 2,300 97,700


Rp 84 8,400,000 193,200 8,206,800

500 500 99,500


Rp 200 20,000,000 100,000 19,900,000

0 0 500
Rp 6,900 3,450,000 - 3,450,000

1,000 1,000 199,000


Rp 57 11,400,000 57,000 11,343,000

0 0 0
Rp 102 - - -

0 0 2,000
Rp 2,500 5,000,000 - 5,000,000

500 500 99,500


Rp 297 29,700,000 148,500 29,551,500

1,000 1,000 59,000


Rp 589 35,340,000 589,000 34,751,000

0 0 0
Rp 589 - - -
500 500 9,500
Rp 179 1,790,000 89,500 1,700,500

0 0 64,800
Rp 131 8,488,800 - 8,488,800

0 0 244,000
Rp 115 28,060,000 - 28,060,000

0 0 5,000
Rp 3,278 16,390,000 - 16,390,000

0 0 500
Rp 3,200 1,600,000 - 1,600,000

0 200 4,800
Rp 1,900 9,500,000 380,000 9,120,000
4,000 4,000 416,000 Rp 152 63,840,000 608,000 63,232,000

12 46 454
Rp 20,700 10,350,000 952,200 9,397,800

0 5,020 94,980
Rp 136 13,600,000 682,720 12,917,280
0 0 300,000 Rp 85 25,500,000 - 25,500,000

0 0 300,000
Rp 110 33,000,000 - 33,000,000

60 280 4,720
Rp 7,150 35,750,000 2,002,000 33,748,000

2,000 7,000 93,000


Rp 55 5,500,000 385,000 5,115,000

0 0 200,000
Rp 254 50,800,000 - 50,800,000

0 0 100,000
Rp 80 8,000,000 - 8,000,000

2,000 9,500 190,500


Rp 87 17,400,000 826,500 16,573,500
3,000 14,000 186,000
Rp 132 26,400,000 1,848,000 24,552,000
0 0 200,000 Rp 591 118,200,000 - 118,200,000
0 0 0 - - -
0 0 0 - - -
0 0 0 - - -
Rp 948,444,860 Rp 13,775,120 Rp 934,669,740

Blangkejeren,31 Sept - 2017


Kasi Farmasi Dan PKRT

Ners.Armidawati S.Kep
NIP : 19800217 200604 2 004
PERSEDIAAN OBAT 2017 TAHUN ANGGARAN 2017
PUSKESMAS GUMPANG

Bulan
No NAMA OBAT/BMHP Satuan Pembelian 2017
1 2 3 4 5 6 7 8 9 10 11

1 Tablet 0 0 0 0 0 0 0 0 0 0 0
Amlodipin 5 mg 30,000

2 Amoxillin Kaps 250 mg Tablet 0 0 0 0 0 0 0 0 0 0 0


80,000

3 Tablet 0 0 0 0 0 0 0 0 0 0 0
As.Askorbat 250 mg 200,000

4 As.Askorbat 50 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
300,000
5 As.Folat 0,4mg Tablet
100,000
0 0 0 0 0 0 0 0 0 0 0

6 As.Mefenamat 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0


500,000

7 Asetosal 80 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
4,300

8 Asiklovir 200 mg Tablet 0 0 0 0 0 0 0 0 0 0 0


25,000

9 Asiklovir 400 mg Tablet 0 0 0 0 0 0 0 0 0 0 0


25,000

10 Dexametason 0,5mg Tablet 0 0 0 0 0 0 0 0 0 0 0


300,000

11 Dexametason Inj 5 mg/ml Ampul 0 0 0 0 0 0 0 0 0 0 0


5,000

12 Diazepam 5 mg Botol 0 0 0 0 0 0 0 0 0 0 0
13 Digoksin 0,25 mg Tablet 0 0 0 0 0 0 0 0 0 0 0

14 Tablet 0 0 0 0 0 0 0 0 0 0 0
Domperdone 10 mg 50,000

15 Eritromisin 500 mg Tablet 0 0 0 0 0 0 0 0 0 0 0


175,000
Eritromisin Srp Kering
16 Tablet 0 0 0 0 0 0 0 0 0 0 0
200mg/5ml 3,200

17 Fenobarbital Inj 50mg/ml Ampul 0 0 0 0 0 0 0 0 0 0 0


0

18
Fitomenadion (Vit.K) Tab 10 Tablet 0 0 0 0 0 0 0 0 0 0 0
mg/ml 5,000

19 Fitomenadion (Vit.K) inj 10 mg/ml Ampul


4,980

20 Furosemid 40 mg Tablet 0 0 0 0 0 0 0 0 0 0 0
100,000

21 Glimeperide 1mg Tablet 0 0 0 0 0 0 0 0 0 0 0


100,000

22 Glukosa 5 % Tablet 0 0 0 0 0 0 0 0 0 0 0
500

23 Kalsium Laktat Tablet 0 0 0 0 0 0 0 0 0 0 0


200,000

24 Tablet 0 0 0 0 0 0 0 0 0 0 0
Kaptopril 12,5 mg
25 Tablet 0 0 0 0 0 0 0 0 0 0 0
Karbogliserin T.Telinga 2,000

26 Ketokonazol 200 mg Tablet 0 0 0 0 0 0 0 0 0 0 0


100,000

27 Klindamisin 300 mg Tablet 0 0 0 0 0 0 0 0 0 0 0


60,000

28 Klorpromazin 100 mg Tablet 0 0 0 0 0 0 0 0 0 0 0


Komb:Ergotamin 1mg+Kafein 50 Tablet
29 0 0 0 0 0 0 0 0 0 0 0
mg 10,000

30 Kotrimoksazol DWS 480 mg Tablet 0 0 0 0 0 0 0 0 0 0 0


64,800

31 Metronidazol 500 mg 0 0 0 0 0 0 0 0 0 0 0
Tablet 244,000

32 0 0 0 0 0 0 0 0 0 0 0
Metylergometrin Inj 0.2 mg/ml Tablet 5,000

33 MGSO4 20% 0 0 0 0 0 0 0 0 0 0 0
Tablet 500

34 Oksitosin Inj 10 UI/ml 0 0 0 0 0 0 0 0 0 0 0


Tablet 5,000
35 Paracetamol 500 mg Botol 420,000 0 0 0 0 0 0 0 0 0 0 0

36 0 0 0 0 0 0 0 0 0 0 0
Perak Sulfadiazin Krim 1 % Tablet 500

37 Piridoksin (Vit.B6) 10 mg 0 0 0 0 0 0 0 0 0 0 0
Tablet 100,000
38 Prednison 5 mg Tablet 300,000 0 0 0 0 0 0 0 0 0 0 0

39 Tablet 0 0 0 0 0 0 0 0 0 0 0
Ranitidine 150 mg 300,000

40 Ringer Laktat Tablet 0 0 0 0 0 0 0 0 0 0 0


5,000

41 Sianocobalamin(Vit.B12) 50 mg Ampul 0 0 0 0 0 0 0 0 0 0 0
100,000

42 Siprofloxaxin 500 mg Ampul 0 0 0 0 0 0 0 0 0 0 0


200,000

43 THF 2 mg Ampul 0 0 0 0 0 0 0 0 0 0 0
100,000

44 Thiamin(Vit.B1) Ampul 0 0 0 0 0 0 0 0 0 0 0
200,000
45 Vitamin Bcomplex Ampul
200,000
0 0 0 0 0 0 0 0 0 0 0

46 Zinc 20 mg Tube 200,000 0 0 0 0 0 0 0 0 0 0 0


46 0 0 0 0 0 0 0 0 0 0 0

98 0 0 0 0 0 0 0 0 0 0 0
99 0 0 0 0 0 0 0 0 0 0 0

Mengetahui
Kabid PSDK

M.Nurdin Zaini
NIP : 19670210 199103 1 002
NGGARAN 2017

Jumlah Harga Barang yg Diterima/Yang Dikeluarkan/Sisa


Keluar Sisa Harga Satuan Ket
12 Tambah Kurang Sisa

0 0 30,000
Rp 90 2,700,000 - 2,700,000

0 0 80,000
Rp 191 15,280,000 - 15,280,000

0 0 200,000
Rp 124 24,800,000 - 24,800,000

0 0 300,000
Rp 120 36,000,000 - 36,000,000
0 0 100,000
Rp 62 6,200,000 - 6,200,000

0 0 500,000
Rp 102 51,000,000 - 51,000,000

0 0 4,300
Rp 94 404,200 - 404,200

0 0 25,000
Rp 259 6,475,000 - 6,475,000

0 0 25,000
Rp 415 10,375,000 - 10,375,000

0 0 300,000
Rp 45 13,500,000 - 13,500,000

0 0 5,000
Rp 1,805 9,025,000 - 9,025,000

0 0 0
Rp - - - -
0 0 0
Rp - - - -

0 0 50,000
Rp 116 5,800,000 - 5,800,000

0 0 175,000
Rp 766 134,050,000 - 134,050,000

0 0 3,200
Rp 6,461 20,675,200 - 20,675,200

0 0 0
Rp - - - -

0 0 5,000
Rp 790 3,950,000 - 3,950,000

4,980
Rp 4,167 20,751,660 - 20,751,660

0 0 100,000
Rp 84 8,400,000 - 8,400,000

0 0 100,000
Rp 200 20,000,000 - 20,000,000

0 0 500
Rp 6,900 3,450,000 - 3,450,000

0 0 200,000
Rp 57 11,400,000 - 11,400,000

0 0 0
Rp 102 - - -

0 0 2,000
Rp 2,500 5,000,000 - 5,000,000

0 0 100,000
Rp 297 29,700,000 - 29,700,000

0 0 60,000
Rp 589 35,340,000 - 35,340,000

0 0 0
Rp 589 - - -
0 0 10,000
Rp 179 1,790,000 - 1,790,000

0 0 64,800
Rp 131 8,488,800 - 8,488,800

0 0 244,000
Rp 115 28,060,000 - 28,060,000

0 0 5,000
Rp 3,278 16,390,000 - 16,390,000

0 0 500
Rp 3,200 1,600,000 - 1,600,000

0 0 5,000
Rp 1,900 9,500,000 - 9,500,000
0 0 420,000 Rp 152 63,840,000 - 63,840,000

0 0 500
Rp 20,700 10,350,000 - 10,350,000

0 0 100,000
Rp 136 13,600,000 - 13,600,000
0 0 300,000 Rp 85 25,500,000 - 25,500,000

0 0 300,000
Rp 110 33,000,000 - 33,000,000

0 0 5,000
Rp 7,150 35,750,000 - 35,750,000

0 0 100,000
Rp 55 5,500,000 - 5,500,000

0 0 200,000
Rp 254 50,800,000 - 50,800,000

0 0 100,000
Rp 80 8,000,000 - 8,000,000

0 0 200,000
Rp 87 17,400,000 - 17,400,000
0 0 200,000
Rp 132 26,400,000 - 26,400,000
0 0 200,000 Rp 591 118,200,000 - 118,200,000
0 0 0 - - -
0 0 0 - - -
0 0 0 - - -
Rp 948,444,860 Rp - Rp 948,444,860

Blangkejeren,31 Sept - 2017


Kasi Farmasi Dan PKRT

Ners.Armidawati S.Kep
NIP : 19800217 200604 2 004
PERSEDIAAN OBAT 2017 TAHUN ANGGARAN 2017

Bulan
No NAMA OBAT/BMHP Satuan Pembelian 2017
1 2 3 4 5 6 7 8 9 10

1 Tablet 0 0 0 0 0 0 0 0 0 0
Amlodipin 5 mg 30,000

2 Amoxillin Kaps 250 mg Tablet 0 0 0 0 0 0 0 0 0 0


80,000

3 Tablet 0 0 0 0 0 0 0 0 0 0
As.Askorbat 250 mg 200,000

4 As.Askorbat 50 mg Tablet 0 0 0 0 0 0 0 0 0 0
300,000
5 As.Folat 0,4mg Tablet
100,000
0 0 0 0 0 0 0 0 0 0

6 As.Mefenamat 500 mg Tablet 0 0 0 0 0 0 0 0 0 0


500,000

7 Asetosal 80 mg Tablet 0 0 0 0 0 0 0 0 0 0
4,300

8 Asiklovir 200 mg Tablet 0 0 0 0 0 0 0 0 0 0


25,000

9 Asiklovir 400 mg Tablet 0 0 0 0 0 0 0 0 0 0


25,000

10 Dexametason 0,5mg Tablet 0 0 0 0 0 0 0 0 0 0


300,000

11 Dexametason Inj 5 mg/ml Ampul 0 0 0 0 0 0 0 0 0 0


5,000

12 Diazepam 5 mg Botol 0 0 0 0 0 0 0 0 0 0
13 Digoksin 0,25 mg Tablet 0 0 0 0 0 0 0 0 0 0

14 Tablet 0 0 0 0 0 0 0 0 0 0
Domperdone 10 mg 50,000

15 Eritromisin 500 mg Tablet 0 0 0 0 0 0 0 0 0 0


175,000
Eritromisin Srp Kering
16 Tablet 0 0 0 0 0 0 0 0 0 0
200mg/5ml 3,200

17 Fenobarbital Inj 50mg/ml Ampul 0 0 0 0 0 0 0 0 0 0


0

18
Fitomenadion (Vit.K) Tab 10 Tablet 0 0 0 0 0 0 0 0 0 0
mg/ml 5,000

19 Fitomenadion (Vit.K) inj 10 mg/ml Ampul 0 0 0 0 0 0 0 0 0 0


4,980

20 Furosemid 40 mg Tablet 0 0 0 0 0 0 0 0 0 0
100,000

21 Glimeperide 1mg Tablet 0 0 0 0 0 0 0 0 0 0


100,000

22 Glukosa 5 % Tablet 0 0 0 0 0 0 0 0 0 0
500

23 Kalsium Laktat Tablet 0 0 0 0 0 0 0 0 0 0


200,000

24 Tablet 0 0 0 0 0 0 0 0 0 0
Kaptopril 12,5 mg
25 Tablet 0 0 0 0 0 0 0 0 0 0
Karbogliserin T.Telinga 2,000

26 Ketokonazol 200 mg Tablet 0 0 0 0 0 0 0 0 0 0


100,000

27 Klindamisin 300 mg Tablet 0 0 0 0 0 0 0 0 0 0


60,000

28 Klorpromazin 100 mg Tablet 0 0 0 0 0 0 0 0 0 0


Komb:Ergotamin 1mg+Kafein 50 Tablet
29 0 0 0 0 0 0 0 0 0 0
mg 10,000

30 Kotrimoksazol DWS 480 mg Tablet 0 0 0 0 0 0 0 0 0 0


64,800

31 Metronidazol 500 mg 0 0 0 0 0 0 0 0 0 0
Tablet 244,000

32 0 0 0 0 0 0 0 0 0 0
Metylergometrin Inj 0.2 mg/ml Tablet 5,000

33 MGSO4 20% 0 0 0 0 0 0 0 0 0 0
Tablet 500

34 Oksitosin Inj 10 UI/ml 0 0 0 0 0 0 0 0 0 0


Tablet 5,000
35 Paracetamol 500 mg Botol 420,000 0 0 0 0 0 0 0 0 0 0

36 0 0 0 0 0 0 0 0 0 0
Perak Sulfadiazin Krim 1 % Tablet 500

37 Piridoksin (Vit.B6) 10 mg 0 0 0 0 0 0 0 0 0 0
Tablet 100,000
38 Prednison 5 mg Tablet 300,000 0 0 0 0 0 0 0 0 0 0

39 Tablet 0 0 0 0 0 0 0 0 0 0
Ranitidine 150 mg 300,000

40 Ringer Laktat Tablet 0 0 0 0 0 0 0 0 0 0


5,000

41 Sianocobalamin(Vit.B12) 50 mg Ampul 0 0 0 0 0 0 0 0 0 0
100,000

42 Siprofloxaxin 500 mg Ampul 0 0 0 0 0 0 0 0 0 0


200,000

43 THF 2 mg Ampul 0 0 0 0 0 0 0 0 0 0
100,000

44 Thiamin(Vit.B1) Ampul 0 0 0 0 0 0 0 0 0 0
200,000
45 Vitamin Bcomplex Ampul
200,000
0 0 0 0 0 0 0 0 0 0

46 Zinc 20 mg Tube 200,000 0 0 0 0 0 0 0 0 0 0


46 0 0 0 0 0 0 0 0 0 0

98 0 0 0 0 0 0 0 0 0 0
99 0 0 0 0 0 0 0 0 0 0

Mengetahui
Kabid PSDK

M.Nurdin Zaini
NIP : 19670210 199103 1 002
UN ANGGARAN 2017

Jumlah Harga Barang yg Diterima/Yang Dikeluarkan/Sisa


Keluar Sisa Harga Satuan Ket
11 12 Tambah Kurang Sisa

0 0 0 30,000
Rp 90 2,700,000 - 2,700,000

0 0 0 80,000
Rp 191 15,280,000 - 15,280,000

0 0 0 200,000
Rp 124 24,800,000 - 24,800,000

0 0 0 300,000
Rp 120 36,000,000 - 36,000,000
0 0 0 100,000
Rp 62 6,200,000 - 6,200,000

0 0 0 500,000
Rp 102 51,000,000 - 51,000,000

0 0 0 4,300
Rp 94 404,200 - 404,200

0 0 0 25,000
Rp 259 6,475,000 - 6,475,000

0 0 0 25,000
Rp 415 10,375,000 - 10,375,000

0 0 0 300,000
Rp 45 13,500,000 - 13,500,000

0 0 0 5,000
Rp 1,805 9,025,000 - 9,025,000

0 0 0 0
Rp - - - -
0 0 0 0
Rp - - - -

0 0 0 50,000
Rp 116 5,800,000 - 5,800,000

0 0 0 175,000
Rp 766 134,050,000 - 134,050,000

0 0 0 3,200
Rp 6,461 20,675,200 - 20,675,200

0 0 0 0
Rp - - - -

0 0 0 5,000
Rp 790 3,950,000 - 3,950,000

0 0 4,980
Rp 4,167 20,751,660 - 20,751,660

0 0 0 100,000
Rp 84 8,400,000 - 8,400,000

0 0 0 100,000
Rp 200 20,000,000 - 20,000,000

0 0 0 500
Rp 6,900 3,450,000 - 3,450,000

0 0 0 200,000
Rp 57 11,400,000 - 11,400,000

0 0 0 0
Rp 102 - - -

0 0 0 2,000
Rp 2,500 5,000,000 - 5,000,000

0 0 0 100,000
Rp 297 29,700,000 - 29,700,000

0 0 0 60,000
Rp 589 35,340,000 - 35,340,000

0 0 0 0
Rp 589 - - -
0 0 0 10,000
Rp 179 1,790,000 - 1,790,000

0 0 0 64,800
Rp 131 8,488,800 - 8,488,800

0 0 0 244,000
Rp 115 28,060,000 - 28,060,000

0 0 0 5,000
Rp 3,278 16,390,000 - 16,390,000

0 0 0 500
Rp 3,200 1,600,000 - 1,600,000

0 0 0 5,000
Rp 1,900 9,500,000 - 9,500,000
0 0 0 420,000 Rp 152 63,840,000 - 63,840,000

0 0 0 500
Rp 20,700 10,350,000 - 10,350,000

0 0 0 100,000
Rp 136 13,600,000 - 13,600,000
0 0 0 300,000 Rp 85 25,500,000 - 25,500,000

0 0 0 300,000
Rp 110 33,000,000 - 33,000,000

0 0 0 5,000
Rp 7,150 35,750,000 - 35,750,000

0 0 0 100,000
Rp 55 5,500,000 - 5,500,000

0 0 0 200,000
Rp 254 50,800,000 - 50,800,000

0 0 0 100,000
Rp 80 8,000,000 - 8,000,000

0 0 0 200,000
Rp 87 17,400,000 - 17,400,000
0 0 0 200,000
Rp 132 26,400,000 - 26,400,000
0 0 0 200,000 Rp 591 118,200,000 - 118,200,000
0 0 0 - - -
0 0 0 - - -
0 0 0 0 - - -
Rp 948,444,860 Rp - Rp 948,444,860

Blangkejeren,31 Sept - 2017


Kasi Farmasi Dan PKRT

Ners.Armidawati S.Kep
NIP : 19800217 200604 2 004
PERSEDIAAN OBAT 2017 TAHUN ANGGARAN 2017

Bulan
No NAMA OBAT/BMHP Satuan Pembelian 2017
1 2 3 4 5 6 7 8 9 10

1 Tablet 0 0 0 0 0 0 0 0 1,800 900


Amlodipin 5 mg 30,000

2 Amoxillin Kaps 250 mg Tablet 0 0 0 0 0 0 0 0 0 0


80,000

3 Tablet 0 0 0 0 0 0 0 2,000 16,000 11,000


As.Askorbat 250 mg 200,000

4 As.Askorbat 50 mg Tablet 0 0 0 0 0 0 0 0 0 100


300,000
5 As.Folat 0,4mg Tablet
100,000
0 0 0 0 0 0 0 8,500 4,000 3,500

6 As.Mefenamat 500 mg Tablet 0 0 0 0 0 0 0 0 0 0


500,000

7 Asetosal 80 mg Tablet 0 0 0 0 0 0 0 0 0 0
4,300

8 Asiklovir 200 mg Tablet 0 0 0 0 0 0 0 0 1,000 5,650


25,000

9 Asiklovir 400 mg Tablet 0 0 0 0 0 0 0 0 0 250


25,000

10 Dexametason 0,5mg Tablet 0 0 0 0 0 0 0 0 2,000 5,000


300,000

11 Dexametason Inj 5 mg/ml Ampul 0 0 0 0 0 0 0 900 400 0


5,000

12 Diazepam 5 mg Botol 0 0 0 0 0 0 0 0 0 0
13 Digoksin 0,25 mg Tablet 0 0 0 0 0 0 0 0 0 0

14 Tablet 0 0 0 0 0 0 0 0 500 0
Domperdone 10 mg 50,000

15 Eritromisin 500 mg Tablet 0 0 0 0 0 0 0 0 0 0


175,000
Eritromisin Srp Kering
16 Tablet 0 0 0 0 0 0 0 0 0 0
200mg/5ml 3,200

17 Fenobarbital Inj 50mg/ml Ampul 0 0 0 0 0 0 0 0 0 0


0

18
Fitomenadion (Vit.K) Tab 10 Tablet 0 0 0 0 0 0 0 0 0 0
mg/ml 5,000

19 Fitomenadion (Vit.K) inj 10 mg/ml Ampul 0 0 0 0 0 0 0 0 0 0


4,980

20 Furosemid 40 mg Tablet 0 0 0 0 0 0 0 0 0 0
100,000

21 Glimeperide 1mg Tablet 0 0 0 0 0 0 0 0 0 0


100,000

22 Glukosa 5 % Tablet 0 0 0 0 0 0 0 0 0 0
500

23 Kalsium Laktat Tablet 0 0 0 0 0 0 0 0 0 0


200,000

24 Tablet 0 0 0 0 0 0 0 0 0 0
Kaptopril 12,5 mg
25 Tablet 0 0 0 0 0 0 0 0 0 0
Karbogliserin T.Telinga 2,000

26 Ketokonazol 200 mg Tablet 0 0 0 0 0 0 0 0 0 0


100,000

27 Klindamisin 300 mg Tablet 0 0 0 0 0 0 0 0 0 0


60,000

28 Klorpromazin 100 mg Tablet 0 0 0 0 0 0 0 0 0 0


Komb:Ergotamin 1mg+Kafein 50 Tablet
29 0 0 0 0 0 0 0 0 0 0
mg 10,000

30 Kotrimoksazol DWS 480 mg Tablet 0 0 0 0 0 0 0 0 0 0


64,800

31 Metronidazol 500 mg 0 0 0 0 0 0 0 0 0 0
Tablet 244,000

32 0 0 0 0 0 0 0 200 0 0
Metylergometrin Inj 0.2 mg/ml Tablet 5,000

33 MGSO4 20% 0 0 0 0 0 0 0 0 24 0
Tablet 500

34 Oksitosin Inj 10 UI/ml 0 0 0 0 0 0 0 500 0 0


Tablet 5,000
35 Paracetamol 500 mg Botol 420,000 0 0 0 0 0 0 0 0 0 0

36 0 0 0 0 0 0 0 96 22 10
Perak Sulfadiazin Krim 1 % Tablet 500

37 Piridoksin (Vit.B6) 10 mg 0 0 0 0 0 0 0 10,540 5,010 8,010


Tablet 100,000
38 Prednison 5 mg Tablet 300,000 0 0 0 0 0 0 0 0 0 0

39 Tablet 0 0 0 0 0 0 0 0 2,000 5,000


Ranitidine 150 mg 300,000

40 Ringer Laktat Tablet 0 0 0 0 0 60 0 40 40 140


5,000

41 Sianocobalamin(Vit.B12) 50 mg Ampul 0 0 0 0 0 0 0 16,000 11,500 8,000


100,000

42 Siprofloxaxin 500 mg Ampul 0 0 0 0 0 0 0 0 0 0


200,000

43 THF 2 mg Ampul 0 0 0 0 500 0 0 500 0 0


100,000

44 Thiamin(Vit.B1) Ampul 0 1,000 0 0 0 0 0 0 10,500 15,000


200,000
45 Vitamin Bcomplex Ampul
200,000
0 0 0 0 0 0 0 8,000 9,000 17,500

46 Zinc 20 mg Tube 200,000 0 0 0 0 0 0 0 0 0 0


46 0 0 0 0 0 0 0 0 0 0

98 0 0 0 0 0 0 0 0 0 0
99 0 0 0 0 0 0 0 0 0 0

Mengetahui
Kabid PSDK

M.Nurdin Zaini
NIP : 19670210 199103 1 002
UN ANGGARAN 2017

Jumlah Harga Barang yg Diterima/Yang Dikeluarkan/Sisa


Keluar Sisa Harga Satuan Ket
11 12 Tambah Kurang Sisa

9,650 9,250 21,600 8,400


Rp 90 2,700,000 1,944,000 756,000

0 1,000 1,000 79,000


Rp 191 15,280,000 191,000 15,089,000

13,100 11,000 53,100 146,900


Rp 124 24,800,000 6,584,400 18,215,600

0 2,000 2,100 297,900


Rp 120 36,000,000 252,000 35,748,000
5,500 8,000 29,500 70,500
Rp 62 6,200,000 1,829,000 4,371,000

0 21,500 21,500 478,500


Rp 102 51,000,000 2,193,000 48,807,000

0 0 0 4,300
Rp 94 404,200 - 404,200

3,250 2,000 11,900 13,100


Rp 259 6,475,000 3,082,100 3,392,900

0 3,750 4,000 21,000


Rp 415 10,375,000 1,660,000 8,715,000

7,500 2,000 16,500 283,500


Rp 45 13,500,000 742,500 12,757,500

500 300 2,100 2,900


Rp 1,805 9,025,000 3,790,500 5,234,500

0 0 0 0
Rp - - - -
0 0 0 0
Rp - - - -

0 0 500 49,500
Rp 116 5,800,000 58,000 5,742,000

0 0 0 175,000
Rp 766 134,050,000 - 134,050,000

0 0 0 3,200
Rp 6,461 20,675,200 - 20,675,200

0 0 0 0
Rp - - - -

180 0 180 4,820


Rp 790 3,950,000 142,200 3,807,800

180 270 4,980


Rp 4,167 20,751,660 - 20,751,660

5,020 2,900 7,920 92,080


Rp 84 8,400,000 665,280 7,734,720

0 2,500 2,500 97,500


Rp 200 20,000,000 500,000 19,500,000

0 0 0 500
Rp 6,900 3,450,000 - 3,450,000

0 9,000 9,000 191,000


Rp 57 11,400,000 513,000 10,887,000

0 0 0 0
Rp 102 - - -

0 0 0 2,000
Rp 2,500 5,000,000 - 5,000,000

0 4,500 4,500 95,500


Rp 297 29,700,000 1,336,500 28,363,500

0 2,350 2,350 57,650


Rp 589 35,340,000 1,384,150 33,955,850

1,000 1,000 2,000 -2,000


Rp 589 - 1,178,000 (1,178,000)
0 2,505 2,505 7,495
Rp 179 1,790,000 448,395 1,341,605

0 0 0 64,800
Rp 131 8,488,800 - 8,488,800

0 0 0 244,000
Rp 115 28,060,000 - 28,060,000

0 100 300 4,700


Rp 3,278 16,390,000 983,400 15,406,600

0 0 24 476
Rp 3,200 1,600,000 76,800 1,523,200

500 0 1,000 4,000


Rp 1,900 9,500,000 1,900,000 7,600,000
0 25,500 25,500 394,500 Rp 152 63,840,000 3,876,000 59,964,000

45 42 215 285
Rp 20,700 10,350,000 4,450,500 5,899,500

8,000 2,000 33,560 66,440


Rp 136 13,600,000 4,564,160 9,035,840
0 10,500 10,500 289,500 Rp 85 25,500,000 892,500 24,607,500

20,300 18,500 45,800 254,200


Rp 110 33,000,000 5,038,000 27,962,000

0 60 340 4,660
Rp 7,150 35,750,000 2,431,000 33,319,000

8,500 8,000 52,000 48,000


Rp 55 5,500,000 2,860,000 2,640,000

0 0 0 200,000
Rp 254 50,800,000 - 50,800,000

0 4,000 5,000 95,000


Rp 80 8,000,000 400,000 7,600,000

14,000 9,000 49,500 150,500


Rp 87 17,400,000 4,306,500 13,093,500
25,400 17,000 76,900 123,100
Rp 132 26,400,000 10,150,800 16,249,200
1,000 0 1,000 199,000 Rp 591 118,200,000 591,000 117,609,000
0 0 0 - - -
0 0 0 - - -
0 0 0 0 - - -
Rp 948,444,860 Rp 71,014,685 Rp 877,430,175

Blangkejeren,31 Sept - 2017


Kasi Farmasi Dan PKRT

Ners.Armidawati S.Kep
NIP : 19800217 200604 2 004

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