PEMAKAIAN OBAT HARIAN PUSKESMAS

BULAN MARET 2017

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BULAN
NO NAMA OBAT 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7 8
INI
1 Abbocath No 18
2 Abbocath No 20
3 Abbocath No 22
4 Abbocath No 24
5 Acyclovir cream 5 % 1 1 1
6 Acyclovir cream 5 %
7 Acyclovir tablet 200 mg
8 Acyclovir tablet 400 mg 35 28
9 Alat suntik sekali pakai 0.05 ml
10 Alat suntik sekali pakai 1 ml
11 Alat suntik sekali pakai 1 ml
12 Alat suntik sekali pakai 3 ml
13 Alat suntik sekali pakai 3 ml
14 Alat suntik sekali pakai 5 ml
15 Alat suntik sekali pakai 5 ml
16 Alat suntik sekali pakai 20 ml
17 Alat suntik sekali pakai 50 ml
18 Albendazole 400 mg
19 Alkohol swab
20 Allopurinol tablet 100 mg 6
21 Amboxol tablet 30 mg
22 Amboxol tablet 30 mg
23 Ambroxol syrup 15mg/5ml
24 Ambroxol syrup 15mg/5ml
25 Aminofilin injeksi 24 mg/ml - 10 ml
26 Aminofilin tablet 200 mg
27 Amitriptilin HCl tablet salut 25 mg 10 10 30
28 Amobiotik Drop
29 Amlodipine 5mg 10 10 6
 BULAN
NO NAMA OBAT 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7 8
INI
30 Amoxicillin 250 mg
31 Amoxicillin kaplet 500 mg 20 5 10 2 40 10 15 10 30 30 15 12
32 Amoxicillin syrup kering 125mg/5ml 1 1 1 2 1 2
33 Antalgin ( metampiron ) tablet 500 mg
34 Antalgin ( metampiron ) tablet 500 mg
35 Antalgin ( metampiron ) tablet 500 mg
36 Antalgin injeksi 250 mg/ml - 8 ml
37 Antalgin injeksi 250 mg/ml - 8 ml
38 Antasida doen suspensi 1
39 Antasida doen tablet kombinasi
40 Antihaemoroid
41 Anti sera A
42 Anti sera A
43 Anti sera AB
44 Anti sera AB
45 Anti sera B
46 Anti sera B
47 Antibakteri doen ( basitrasin)
48 Antimigren (ergotamin kofein)
49 Antimigren (ergotamin kofein)
50 Aqua proinjeksi steril , bebas pirogen
51 Asam Asetilsalisilat 80 mg ( Miniaspi )
52 Asam askorbat ( Vit C ) tablet 50 mg
53 Asam askorbat ( Vit C ) tablet 250 mg
54 Asam Mefenamat 500 mg
55 Asam Mefenamat 500 mg
56 Asam Traneksamat 500 mg
57 Aspimec tablet
58 Atropine sulfat injeksi 0,25 mg/ml - 1 ml
59 Becefort
60 Benovit c dragee
61 Bekamin B comp forte
 BULAN
NO NAMA OBAT 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7 8
INI
62 Betahistin maleat tab 5 mg
63 Betametason krim 0,1 % 1 1 1 1 1 1
64 Biolysin Multivitamin
65 Bioneuron injeksi
66 Bioneuron injeksi
67 Bioplacenton
68 Bioplacenton
69 Bioralit
70 Bismecon krim 5
71 Bisoprolol tab 5 mg
72 Bledstop Injeksi
73 Borraginol suppos
74 Box Slide
75 Calcidin tablet
76 Calcidol suspensi
77 Captropil 12,5 mg
78 Captropil 25 mg 10 2 6 6 16 6 16 10 10
79 Captropil 25 mg
80 Catgut / benang bedah no.2/0 cromic
81 Catgut / benang bedah no.2/0 cromic
82 Catgut / benang bedah no.3/0 cromic
83 Catgut / benang bedah no.3/0 cromic
84 Catgut / benang bedah no.2/0 plain
85 Catgut / benang bedah no.2/0 plain
86 Catgut / benang bedah no.3/0 plain
87 Catgut / benang bedah no.3/0 plain
88 Cefadroxil Syrup kering 100 mg/ 5ml
89 Cefadroxil tab 500 mg 10
90 Cefadroxil tab 500 mg
91 Cefotaxime injeksi 1g / vial
92 Cefotaxime injeksi 1g / vial
93 Ceftriaxone injeksi 1g / vial
 BULAN
NO NAMA OBAT 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7 8
INI
94 Cendo Xitrol
95 Ceterizin syrup 3
96 Ceterizine 10 mg
97 Chlorpromazine tab 100 mg
98 Chlorpromazine tab 100 mg
99 Chlorpromazine tab 25 mg
100 Cimetidin
101 Cimetidin
102 Ciprofloxacin 500 mg 10 10 10 10
103 Ciprofloxacin 500 mg
104 Clonex cap
105 Clonex Inj
106 Coamox
107 Codein
108 Combivent UDV
109 Dasabion
110 Dexametasone inj 5 mg/ml - 1 ml
111 Dexametasone tablet 0,5 mg 10 10 10 10 20 10 10
112 Dextromethorphan HBr syrup 10 mg/5 ml
113 Dextromethorphan HBr tablet 15 mg
114 Diazepam tablet 2 mg
115 Diazepam tablet 2 mg ( VASANBE )
116 Diazepam tablet 5 mg ( VASANBE )
117 Difenhidramin inj
118 Digoksin tablet 0,25 mg
119 Doksisiklin 100 mg
120 Domperidon Suspensi 5 mg/5ml 5
121 Domperidon tablet 10 mg 20
122 D-Pulp
123 Dumin supp
124 Ekstrabelladon
125 Epinefrin HCl / bitatrat (adrenalin) inj 0,1 % - 1ml
 BULAN
NO NAMA OBAT 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7 8
INI
126 Erithromicyn cap 250 mg
127 Erithromicyn cap 250 mg
128 Erithromicyn cap 500 mg
129 Erithromicyn cap 500 mg ( TAMARET )
130 Erithromicyn syrup
131 Erlamycetin tetes mata
132 Erlamycetin tetes telinga 3 %
133 Etakridin (Rivanol)larutan 0,1 %
134 Etakridin (rivanol) 300 cc
135 Etanol 70 % 1
136 Etanol 70 %
137 Eter alkohol
138 Etil klorida semprot
139 Etil klorida semprot
140 Eugenol
141 Farbivent inj
142 Fasolon cream
143 Fenobarbital injeksi 50 mg/ml - 2 ml
144 Fenobarbital tablet 30 mg
145 Fenobarbital tablet 30 mg
146 Fenol gliserol tetes telinga 10 %
147 Ferrous sulfat 300 mg
148 Fitomenadion (vit K1) tablet salut 10 mg 5
149 Flucodin tablet
150 Folley cateter 2 way 30cc no 14
151 Folley cateter 2 way 30cc no 14
152 Folley cateter 2 way 30cc no 16
153 Folley cateter 2 way 30cc no 16
154 Folley cateter 2 way 30cc no 18
155 Folley cateter 2 way 30cc no 18
156 Furosemida injeksi
157 Furosemida tablet 40 mg 10
 BULAN
NO NAMA OBAT 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7 8
INI
158 Garam oralit untuk 200 ml air 4 4 3 4 4 5 13
159 Garexin tetes mata
160 Genoint Salep Mata 0,3%
161 Gentamycin 0,1% salep kulit
162 Gentamycin 0,1% salep kulit
163 Gentamycin sulfat tetes mata 0,3 %
164 Gentian violet larutan 1 %
165 Glibenklamid tablet 5 mg 10
166 Glimepiride 2 mg
167 Gliseril guayakolat 100 mg
168 Gliseril guayakolat 100 mg
169 Glukosa larutan infus 40 % steril
170 Glukosa larutan infus 10 % steril
171 Glukosa larutan infus 5 % steril
172 Grisiovulfin 125 mg
173 H2O2 3%
174 Haloperidol 1,5 mg
175 Handscoend Examination Glove S & M
176 Handscoend No. 7
177 Handscoend No. 7
178 Handscoend No. 7,5
179 Handscoend No. 7,5
180 Hemafort multivitamin
181 Hidroklorotiazid ( HCT ) tablet 25 mg 20 5 20 16 10 18 10
182 Hidrokortison krim 2,5 %
183 Hyorex
184 Ibuprofen tablet 200 mg 20
185 Ibuprofen tablet 400 mg 10
186 Infusion set anak
187 Infusion set dewasa
188 Isoplast 1,25 cm x 4,5 m
189 Isosorbid dinitrat tablet sublingual 5 mg
 BULAN
NO NAMA OBAT 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7 8
INI
190 Jarum Jahit Kulit G 1113 No. 9 - 14
191 Jarum Jahit Kulit GT No. 9 - 14
192 Kalsium laktat ( kalk ) tablet 500 mg 10 10 10 20 5 10 10
193 Kalsium laktat ( kalk ) tablet 500 mg
194 Kapas pembalut / absorben 250 mg
195 Kapas pembalut / absorben 250 mg
196 Kasa hidrofil 40 cm x 80m
197 Kasa hidrofil 36 cm x 80m
198 Kasa Kompres 40 x40
199 Kasa steril 16 x 16
200 Kasa steril 16 x 16
201 Kertas Perkarmen
202 Kertas Perkarmen
203 Ketokonazol cream
204 Ketokonazol tab 10
205 Ketokonazol tab
206 Ketoprofen tablet 100 mg
207 Ketoprofen tablet 100 mg 10 20 10 20
208 Ketorolak injeksi 10 mg /ml
209 Ketorolak injeksi 10 mg /ml
210 Klindamisin 150 mg 10 10 20 30 10 10 10
211 Kloramfenikol kapsul 250 mg
212 Kloramfenikol salaf mata 1 % 1
213 Kloramfenikol salaf mata 1 %
214 Kloramfenikol syrup
215 Kloramfenikol tetes telinga 3 %
216 Klorfeniramin maleat ( CTM ) tablet 4 mg
217 Klorfeniramin maleat / Pehaclor ( CTM 4 mg )
218 Kotrimoksazol dewasa tablet 10
219 Kotrimoksazol dewasa tablet Trimetopirin 80 mg
220 Kotrimoksazol suspensi 1 2
221 Lansoprazole 30mg
 BULAN
NO NAMA OBAT 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7 8
INI
222 Larutan giemsa stain
223 Lens tissue
224 Leucoplast 1,25 cm x 4,5 m
225 Lexatrans 500
226 Lidokain comp inj
227 Lidokain inj
228 Lisol 50 %
229 Livron B-Plex
230 Livron B-Plex
231 Loperamid tablet 10 20 10 30
232 Loratadin tablet 10 3 6
233 Loratadin tablet
234 Masker Tie On 3 Fly
235 Masker Tie On 3 Fly
236 Masker N95
237 Mata Bor Gigi High Speed
238 Meloxicam 15 mg
239 Meloxicam 7,5 mg
240 Metanol 100 ml
241 Meterinal
242 Metformin tablet
243 Metilergometrin maleat inj 0,200 mg-1 ml
244 Metilergometrin maleat tablet
245 Metil prednisolon tab 4mg
246 Metoklopramid tablet 10 mg
247 Metronidazol tablet 250 mg
248 Metronidazol tablet 500 mg 10 10 10 10 10 10
249 Meylon Injeksi i.v 4,8 %
250 Mineral Mix
251 Molagit tablet 20
252 Molaneuron
253 Molaneuron
 BULAN
NO NAMA OBAT 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7 8
INI
254 Myconazol krim 2%
255 Myomergin inj
256 Nald inj 23 / Needle 23G x 11/4"
257 Nald inj 23 / Needle 23G x 11/4"
258 Nasal oxigen adult
259 Nasal oxigen adult
260 Nasal oxigen child
261 Natrium bikarbonat tablet 500 mg 10
262 Natrium diklofenak 50 mg 6 10
263 Natrium klorida larutan infus 0,9 % steril
264 Natrium klorida larutan infus 0,9 % steril
265 Nifedipine 10 mg
266 Nifudiar Suspensi
267 Noza
268 Obat Antituberkolosis Anak
269 Obat Antituberkolosis FDC Anak Fase intensif
270 Obat Antituberkolosis FDC Anak Fase lanjutan
271 Obat Antituberkolosis Kategori 1
272 Obat Antituberkolosis Kategori 2
273 Obat Antituberkolosis Kombipak
274 Obat Antituberkolosis sisipan
275 OBH Indoplus 3
276 Objek glass
277 Ofloxacin tablet 200mg
278 Oksitetrasiklin Hcl salap kulit 3%
279 Oksitetrasiklin Hcl salap kulit 3%
280 Oksitetrasiklin Hcl salap mata 1%
281 Oksitocyn injeksi
282 Omeprazole
283 Omeprazole
284 Ondansetron Injeksi 4 mg/2ml
285 Ondarin inj
 BULAN
NO NAMA OBAT 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7 8
INI
286 Oxican
287 Oxyvit Tablet
288 Pantocain tetes mata 0,5 %
289 Papaverin 40 mg tablet 9 5 10 20 13 6 16 30 10 30 20
290 Papaverin 40 mg tablet
291 Parasetamol Drops
292 Parasetamol kaplet 500 mg 30 29 61 33 26 22 58 41 40 52 152 77 21
293 Parasetamol kaplet 500 mg
294 Parasetamol syrup 120 mg/5ml 2 2 1 1 2 3 1 1 2 1
295 Pedimin Drop
296 Pehacain inj
297 Pehavral Tablet
298 Persidal
299 Piracetam 800 mg
300 Piracetam inj
301 Piracetam inj
302 Plester Drasing dispenser ( MICROPORE )
303 Plester Drasing non dispenser ( MICROPORE )
304 Pyrantel tablet 125 mg
305 Pyrantel tablet 125 mg
306 Piridoksin HCl (B6) tablet 10 mg 20
307 Piridoksin HCl tablet 10 mg
308 Piroxicam 20 mg
309 Piroxicam 20 mg
310 Pot sputum
311 Prednisone tablet 5 mg
312 Prednisone tablet 5 mg
313 Prednisone tablet 5 mg
314 Probiokid suplemen makan
315 Propanolol HCl tablet 40 mg 10
316 Propitiurasil 100 mg
317 Protein Urine Test
 BULAN
NO NAMA OBAT 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7 8
INI
318 Pyrantin tab
319 Ranitidin 150 mg 10 38 10 10 26 32 32 20 10 16 30 22
320 Ranitidin inj 25mg/ml - 2 ml
321 Rapid diagnostik test (RDT) malaria
322 Reagent hematology MS4-s-e
323 Reagen Zeihl Neelsen
324 Retinol A 100 000 IU kapsul lunak (Vit A Biru)
325 Retinol A 200 000 IU kapsul lunak (Vit A Merah)
326 Renabetic ( glibenclamide ) 5 mg
327 Ringer laktat larutan infus steril
328 Risperidone tablet 1 mg
329 Salbutamol tablet 2 mg 10
330 Salbutamol tablet 4 mg
331 Salbutamol tablet 4 mg
332 Salisil bedak 2 %
333 Sanadryl syrup
334 Santocyn Injeksi
335 Scabisid cream
336 Scaple Blade No. 11
337 Scaple Blade No. 11
338 Scopamin inj
339 Serum Anti Bisa Ular (ABU) Polivalent 1,500 IU
340 Serum Anti Bisa Ular (ABU) Polivalent 1,500 IU
341 Serum Anti Tetanus 1,500 IU
342 Sianokobalamin (Vit B12) inj 500 mcg/ml - 1 ml
343 Sianokobalamin (Vit B12) tab
344 Sianokobalamin (Vit B12) tab 20 10 10 46 10
345 Silk ( benang bedah sutera ) no. 3/0
346 Silk ( benang bedah sutera ) no. 2/0
347 Simvastatin 10 mg 130
348 Soft cholt drassing IV (3M)
349 Spalk set
350 Spalk set
 BULAN
NO NAMA OBAT 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7 8
INI
351 Spironolacton tablet 25 mg
352 Stesolid 5 mg/ 2,5 ml Rectal
353 Stesolid injeksi
354 Stesolid injeksi
355 Stesolid tab 5 mg
356 Stomach tube no 16
357 Stomach tube no 18
358 Synarcus krim 0,025%
359 Tablet tambah darah
360 tetrakain HCL tetes mata 0,5 %
361 Tetrasiklin 500 mg
362 Tiamfenikol 500 mg
363 Tiamin HCl mononitrat (vit B1) inj
364 Tiamin HCl mononitrat ( vit B1) tablet 100mg 10 10
365 Tiamin HCl mononitrat ( vit B1) tablet 100mg
366 Tramadol injeksi
367 Tramadol tablet 50 mg
368 Trihexyphenidyl HCl tab 2 mg
369 Tuzalos cap
370 Truvit Syrup
371 Umbilical cord clamb
372 Underpad
373 Urine Bag
374 Urine Bag
375 Vasovix no. 18
376 Vasovix no. 20
377 Vasovix no. 22
378 Vasovix no. 24
379 Verorab injeksi
380 Verorab injeksi ( RABIPUR )
381 Vitamin B Kompleks tablet 32 66 36 53 17 77 52 39 70 4 61 46 26 32
382 Vitka infant inj
 BULAN
NO NAMA OBAT 21 22 23 24 25 26 27 28 29 30 31 1 2 3 4 5 6 7 8
INI
383 Vitka infant inj
384 Wing Needle No. 23 G
385 Xephalium Tablet
386 Xilol 100 ml
387 Yodium povidon larutan 10% - 30 ml
388 Yodium povidon larutan 10% - 60 ml
389 Yodium povidon larutan 10% - 60 ml
390 Yodium povidon larutan 10% - 300 ml
391 Yodium povidon larutan 10% -1000 ml
392 Zink Tablet 20 mg 10 10 10 20
AT HARIAN PUSKESMAS
N MARET 2017

9 10 11 12 13 14 15 16 17 18 19 20 JUMLAH

0
0
0
0
1 4
0
0
63
0
0
0
0
100 100
0
0
0
0
0
0
6
0
0
0
0
0
0
50
0
26
9 10 11 12 13 14 15 16 17 18 19 20 JUMLAH

0
12 5 30 24 15 25 10 55 40 415
15 1 1 2 27
0
0
0
0
0
1
0
3 2 5
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
30 30
0
9 10 11 12 13 14 15 16 17 18 19 20 JUMLAH

0
1 1 1 1 10
0
0
5 5
0
0
0
5
0
0
0
0
0
0
0
10 18 16 10 6 142
0
0
0
0
0
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0
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0
10
0
0
0
0
9 10 11 12 13 14 15 16 17 18 19 20 JUMLAH

0
3
0
0
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0
10 10 60
0
0
0
0
0
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0
0
6 110 20 12 10 6 244
0
0
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0
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3 23
0
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9 10 11 12 13 14 15 16 17 18 19 20 JUMLAH

0
0
100 100
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0
0
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0
0
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10 11 26
0
0
0
0
0
0
0
0
20 16 20 66
9 10 11 12 13 14 15 16 17 18 19 20 JUMLAH

4 4 6 10 3 3 67
0
0
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0
20 10 40
0
908 908
0
0
0
0
300 20 320
0
0
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0
0
0
0
6 12 22 6 6 16 167
0
0
20
200 210
0
0
0
0
9 10 11 12 13 14 15 16 17 18 19 20 JUMLAH

0
0
20 46 30 24 6 10 10 221
0
0
0
0
0
0
0
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0
0
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20 30
0
0
10 20 90
0
0
10 10 10 10 10 20 170
0
1 2
0
0
0
54 54
0
200 210
0
3 2 1 9
0
9 10 11 12 13 14 15 16 17 18 19 20 JUMLAH

0
0
0
0
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0
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0
0
10 110 190
14 14 20 7 3 9 86
0
0
0
0
0
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0
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10 10 80
0
0
150 10 180
0
0
9 10 11 12 13 14 15 16 17 18 19 20 JUMLAH

1 1 1 24 27
0
0
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0
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1000 1010
6 6 50 78
0
0
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0
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0
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1 1 1 3
0
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0
0
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9 10 11 12 13 14 15 16 17 18 19 20 JUMLAH

0
0
0
1 6 3 10 6 16 10 3 224
0
0
36 28 24 55 263 51 29 16 45 46 1235
0
1 1 5 1 2 2 3 31
0
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0
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6 5 6 37
0
0
0
0
0
0
0
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6 6 22
0
0
9 10 11 12 13 14 15 16 17 18 19 20 JUMLAH

0
12 16 22 38 10 18 372
0
0
0
0
0
0
0
0
0
10 20
0
0
0
0
0
0
0
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0
0
0
0
100 100
0
10 110 6 16 238
0
0
10 20 20 180
0
0
0
9 10 11 12 13 14 15 16 17 18 19 20 JUMLAH

0
0
0
0
0
0
0
0
0
0
0
0
0
10 26 1000 1056
0
0
0
0
0
0
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28 39 32 16 62 24 28 26 3 40 909
0
9 10 11 12 13 14 15 16 17 18 19 20 JUMLAH

0
0
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10 10 20 100 5 10 205
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
TAHUN 2017
UPTD KESEHATAN TELUK KUANTAN

KODE UPTD KESEHATAN : BULAN : JANUARI

UPTD KESEHATAN : TELUK KUANTAN
KECAMATAN : KUANTAN TENGAH
KAB/KOTA : KUANTAN SINGINGI
PROPINSI : RIAU

NO NAMA OBAT KEMASAN STOK AWAL PENERIMAAN PEMAKAIAN SISA STOK

1 Abbocath No 18 pcs 0 0 0 0
2 Abbocath No 20 pcs 50 0 0 50
3 Abbocath No 22 pcs 50 0 0 50
4 Abbocath No 24 pcs 0 0 0 0
5 Acyclovir cream 5 % tube 5 gr 27 0 6 21
6 Acyclovir cream 5 % tube 5 gr 0 0 0 0
7 Acyclovir tablet 200 mg 100 tablet / box 0 0 0 0
8 Acyclovir tablet 400 mg 100 tablet / box 428 0 0 428
9 Alat suntik sekali pakai 0.05 ml 100 pcs / box 0 0 0 0
10 Alat suntik sekali pakai 1 ml 100 pcs / box 0 0 0 0
11 Alat suntik sekali pakai 1 ml 100 pcs / box 0 0 0 0
12 Alat suntik sekali pakai 3 ml 100 pcs / box 0 0 0 0
13 Alat suntik sekali pakai 3 ml 100 pcs / box 500 0 0 500
14 Alat suntik sekali pakai 5 ml 100 pcs / box 0 0 0 0
15 Alat suntik sekali pakai 5 ml 100 pcs / box 0 0 0 0
16 Alat suntik sekali pakai 20 ml pcs 0 0 0 0
17 Alat suntik sekali pakai 50 ml pcs 0 0 0 0
18 Albendazole 400 mg 200 tablet / botol 0 0 0 0
19 Alkohol swab 100 pcs / box 0 0 0 0
20 Allopurinol tablet 100 mg 100 tablet/ box 0 0 0 0
21 Amboxol tablet 30 mg 100 tablet/ box 0 0 0 0
22 Amboxol tablet 30 mg 100 tablet/ box 0 0 0 0
23 Ambroxol syrup 15mg/5ml botol 60 ml 0 0 0 0
NO NAMA OBAT KEMASAN STOK AWAL PENERIMAAN PEMAKAIAN SISA STOK
24 Ambroxol syrup 15mg/5ml botol 60 ml 0 0 0 0
25 Aminofilin injeksi 24 mg/ml - 10 ml ampul 0 0 0 0
26 Aminofilin tablet 200 mg 100 tablet / botol 0 0 0 0
27 Amitriptilin HCl tablet salut 25 mg 100 tablet /box 1195 0 0 1195
28 Amobiotik Drop 0 0 0 0
29 Amlodipine 5mg 30 tablet / box 0 0 0 0
30 Amoxicillin 250 mg 120 cap / box 0 0 0 0
31 Amoxicillin kaplet 500 mg 100 tablet / box 0 0 0 0
32 Amoxicillin syrup kering 125mg/5ml botol 60 ml 161 0 21 140
33 Antalgin ( metampiron ) tablet 500 mg 100 tabet /box 0 0 0 0
34 Antalgin ( metampiron ) tablet 500 mg 1000 tablet / botl 0 0 0 0
35 Antalgin ( metampiron ) tablet 500 mg 100 tabet /box 0 0 0 0
36 Antalgin injeksi 250 mg/ml - 8 ml ampul 0 0 0 0
37 Antalgin injeksi 250 mg/ml - 8 ml ampul 0 0 0 0
38 Antasida doen suspensi botol 60 ml 3 0 0 3
39 Antasida doen tablet kombinasi 100 tabet /box 0 0 0 0
40 Antihaemoroid 10 supp / box 23 0 0 23
41 Anti sera A botol 10 ml 0 0 0 0
42 Anti sera A botol 10 ml 0 0 0 0
43 Anti sera AB botol 10 ml 0 0 0 0
44 Anti sera AB botol 10 ml 0 0 0 0
45 Anti sera B botol 10 ml 0 0 0 0
46 Anti sera B botol 10 ml 0 0 0 0
47 Antibakteri doen ( basitrasin) tube 2 0 2 0
48 Antimigren (ergotamin kofein) 100 tabet / botol 0 0 0 0
49 Antimigren (ergotamin kofein) 100 tabet / botol 0 0 0 0
50 Aqua proinjeksi steril , bebas pirogen vial 25 ml 0 0 0 0
51 Asam Asetilsalisilat 80 mg ( Miniaspi ) 100 tablet / box 0 0 0 0
52 Asam askorbat ( Vit C ) tablet 50 mg 100 tablet / box 0 0 0 0
53 Asam askorbat ( Vit C ) tablet 250 mg 100 tablet / box 0 0 0 0
54 Asam Mefenamat 500 mg 100 tabet /box 0 0 0 0
55 Asam Mefenamat 500 mg 100 tabet /box 0 0 0 0
56 Asam Traneksamat 500 mg 100 tabet /box 0 0 0 0
57 Aspimec tablet 100 tabet /box 0 0 0 0
NO NAMA OBAT KEMASAN STOK AWAL PENERIMAAN PEMAKAIAN SISA STOK
58 Atropine sulfat injeksi 0,25 mg/ml - 1 ml ampul 0 0 0 0
59 Becefort 100 tablet/ box 0 0 0 0
60 Benovit c dragee 100 tablet / box 30 0 0 30
61 Bekamin B comp forte 1000 tablet / botol 0 0 0 0
62 Betahistin maleat tab 5 mg 30 tablet / box 0 0 0 0
63 Betametason krim 0,1 % tube 5 gr 75 0 12 63
64 Biolysin Multivitamin botol @ 100 ml 0 0 0 0
65 Bioneuron injeksi ampul 0 0 0 0
66 Bioneuron injeksi ampul 20 0 0 20
67 Bioplacenton tube 15 gram 0 0 0 0
68 Bioplacenton tube 15 gram 0 0 0 0
69 Bioralit 25 sach / box 0 0 0 0
70 Bismecon krim tube 15 gram 20 0 0 20
71 Bisoprolol tab 5 mg 30 tablet / box 0 0 0 0
72 Bledstop Injeksi 10 ampul / box 0 0 0 0
73 Borraginol suppos 20 supp / box 0 0 0 0
74 Box Slide Unit 0 0 0 0
75 Calcidin tablet 100 tablet / box 0 0 0 0
76 Calcidol suspensi botol 60 ml 0 0 0 0
77 Captropil 12,5 mg 60 tablet / box 0 0 0 0
78 Captropil 25 mg 100 tablet / box 260 0 157 103
79 Captropil 25 mg 100 tablet / box 0 0 0 0
80 Catgut / benang bedah no.2/0 cromic 24 pcs / box 24 0 0 24
81 Catgut / benang bedah no.2/0 cromic 24 pcs / box 0 0 0 0
82 Catgut / benang bedah no.3/0 cromic 24 pcs / box 0 0 0 0
83 Catgut / benang bedah no.3/0 cromic 24 pcs / box 0 0 0 0
84 Catgut / benang bedah no.2/0 plain 24 pcs / box 0 0 0 0
85 Catgut / benang bedah no.2/0 plain 24 pcs / box 0 0 0 0
86 Catgut / benang bedah no.3/0 plain 24 pcs / box 0 0 0 0
87 Catgut / benang bedah no.3/0 plain 24 pcs / box 0 0 0 0
88 Cefadroxil Syrup kering 100 mg/ 5ml botol 60 ml 0 0 0 0
89 Cefadroxil tab 500 mg 100 tab / box 410 0 0 410
90 Cefadroxil tab 500 mg 100 tab / box 0 0 0 0
91 Cefotaxime injeksi 1g / vial vial 20 ml 0 0 0 0
NO NAMA OBAT KEMASAN STOK AWAL PENERIMAAN PEMAKAIAN SISA STOK
92 Cefotaxime injeksi 1g / vial vial 20 ml 0 0 0 0
93 Ceftriaxone injeksi 1g / vial vial 20 ml 0 0 0 0
94 Cendo Xitrol botol 0 0 0 0
95 Ceterizin syrup botol 0 0 0 0
96 Ceterizine 10 mg 50 tablet / box 0 0 0 0
97 Chlorpromazine tab 100 mg 100 tablet / box 0 0 0 0
98 Chlorpromazine tab 100 mg 1000 tablet / botol 0 0 0 0
99 Chlorpromazine tab 25 mg 1000 tablet / botol 0 0 0 0
100 Cimetidin 100 tablet / box 0 0 0 0
101 Cimetidin 100 tablet / box 0 0 0 0
102 Ciprofloxacin 500 mg 100 tablet / box 1131 0 276 855
103 Ciprofloxacin 500 mg 100 tablet / box 0 0 0 0
104 Clonex cap 100 cap / box 0 0 0 0
105 Clonex Inj ampul 0 0 0 0
106 Coamox 30 tablet / box 0 0 0 0
107 Codein 100 tablet / box 0 0 0 0
108 Combivent UDV 20 vial / box 0 0 0 0
109 Dasabion 100 tablet /box 0 0 0 0
110 Dexametasone inj 5 mg/ml - 1 ml ampul 0 0 0 0
111 Dexametasone tablet 0,5 mg 100 tablet / box 0 0 0 0
112 Dextromethorphan HBr syrup 10 mg/5 ml botol 60 ml 0 0 0 0
113 Dextromethorphan HBr tablet 15 mg 100 tablet /box 0 0 0 0
114 Diazepam tablet 2 mg 100 tablet / botol 0 0 0 0
115 Diazepam tablet 2 mg ( VASANBE ) 100 tablet / botol 0 0 0 0
116 Diazepam tablet 5 mg ( VASANBE ) 100 tablet / box 0 0 0 0
117 Difenhidramin inj ampul 210 0 0 210
118 Digoksin tablet 0,25 mg 100 tablet / box 0 0 0 0
119 Doksisiklin 100 mg 100 tablet /box 0 0 0 0
120 Domperidon Suspensi 5 mg/5ml botol 60 ml 15 0 3 12
121 Domperidon tablet 10 mg 100 tablet /box 800 0 80 720
122 D-Pulp botol 0 0 0 0
123 Dumin supp 5 supp / box 0 0 0 0
124 Ekstrabelladon 100 tablet /box 0 0 0 0
125 Epinefrin HCl / bitatrat (adrenalin) inj 0,1 % - 1ml ampul 90 0 0 90
NO NAMA OBAT KEMASAN STOK AWAL PENERIMAAN PEMAKAIAN SISA STOK
126 Erithromicyn cap 250 mg 120 cap /box 0 0 0 0
127 Erithromicyn cap 250 mg 100 cap /box 0 0 0 0
128 Erithromicyn cap 500 mg 100 cap / box 470 0 10 460
129 Erithromicyn cap 500 mg ( TAMARET ) 100 cap / box 0 0 0 0
130 Erithromicyn syrup botol 60 ml 0 0 0 0
131 Erlamycetin tetes mata botol 5ml 0 0 0 0
132 Erlamycetin tetes telinga 3 % botol 10 ml 0 0 0 0
133 Etakridin (rivanol)larutan 0,1 % botol 300 ml 0 0 0 0
134 Etakridin (rivanol) 300 cc botol 300 ml 3 0 0 3
135 Etanol 70 % botol 1000 ml 7 0 0 7
136 Etanol 70 % botol 1000 ml 0 0 0 0
137 Eter alkohol botol 100 ml 0 0 0 0
138 Etil klorida semprot botol100 ml 2 0 0 2
139 Etil klorida semprot botol100 ml 0 0 0 0
140 Eugenol botol 20 ml 0 0 0 0
141 Farbivent inj ampul 0 0 0 0
142 Fasolon cream tube 5 gr 0 0 0 0
143 Fenobarbital injeksi 50 mg/ml - 2 ml ampul 0 0 0 0
144 Fenobarbital tablet 30 mg 1000 tablet / botol 0 0 0 0
145 Fenobarbital tablet 30 mg 100 tablet / botol 0 0 0 0
146 Fenol gliserol tetes telinga 10 % botol 5 ml 48 0 7 41
147 Ferrous sulfat 300 mg 1000 tablet / botol 0 0 0 0
148 Fitomenadion (vit K1) tablet salut 10 mg 100 tablet / botol 604 0 30 574
149 Flucodin tablet 60 tablet / box 0 0 0 0
150 Folley cateter 2 way 30cc no 14 unit 0 0 0 0
151 Folley cateter 2 way 30cc no 14 unit 0 0 0 0
152 Folley cateter 2 way 30cc no 16 unit 0 0 0 0
153 Folley cateter 2 way 30cc no 16 unit 0 0 0 0
154 Folley cateter 2 way 30cc no 18 unit 0 0 0 0
155 Folley cateter 2 way 30cc no 18 unit 0 0 0 0
156 Furosemida injeksi ampul 0 0 0 0
157 Furosemida tablet 40 mg 200 tablet / box 1390 0 186 1204
158 Garam oralit untuk 200 ml air 100 sach / bok 572 0 19 553
159 Garexin tetes mata botol 0 0 0 0
NO NAMA OBAT KEMASAN STOK AWAL PENERIMAAN PEMAKAIAN SISA STOK
160 Genoint Salep Mata 0,3% tube 3,5 gr 0 0 0 0
161 Gentamycin 0,1% salep kulit tube 5 gr 0 0 0 0
162 Gentamycin 0,1% salep kulit tube 5 gr 0 0 0 0
163 Gentamycin sulfat tetes mata 0,3 % botol 5 ml 12 0 0 12
164 Gentian violet larutan 1 % botol 10 ml 0 0 0 0
165 Glibenklamid tablet 5 mg 100 tablet / box 1245 0 76 1169
166 Glimepiride 2 mg 50 tablet / box 0 0 0 0
167 Gliseril guayakolat 100 mg 1000 tablet / botol 1427 0 451 976
168 Gliseril guayakolat 100 mg 1000 tablet / botol 0 0 0 0
169 Glukosa larutan infus 40 % steril ampul 25 ml 0 0 0 0
170 Glukosa larutan infus 10 % steril botol 500 ml 0 0 0 0
171 Glukosa larutan infus 5 % steril botol 500 ml 20 0 0 20
172 Grisiovulfin 125 mg 100 tab /box 1814 0 0 1814
173 H2O2 3% botol 800 ml 0 0 0 0
174 Haloperidol 1,5 mg 100 tablet / box 1350 0 0 1350
175 Handscoend Examination Glove S & M 100 pcs / box 0 0 0 0
176 Handscoend No. 7 pasang 0 0 0 0
177 Handscoend No. 7 pasang 0 0 0 0
178 Handscoend No. 7,5 pasang 0 0 0 0
179 Handscoend No. 7,5 pasang 0 0 0 0
180 Hemafort multivitamin 100 tablet / box 0 0 0 0
181 Hidroklorotiazid ( hct ) tablet 25 mg 1000 tablet / botol 0 0 0 0
182 Hidrokortison krim 2,5 % tube 5 gr 0 0 0 0
183 Hyorex 50 tablet / box 0 0 0 0
184 Ibuprofen tablet 200 mg 100 tablet /botol 861 0 0 861
185 Ibuprofen tablet 400 mg 100 tablet / box 1803 0 56 1747
186 Infusion set anak pcs 0 0 0 0
187 Infusion set dewasa pcs 0 0 0 0
188 Isoplast 1,25 cm x 4,5 m roll 0 0 0 0
189 Isosorbid dinitrat tablet sublingual 5 mg 100 tablet / box 50 0 0 50
190 Jarum Jahit Kulit G 1113 No. 9 - 14 12 pcs / bks 108 0 0 108
191 Jarum Jahit Kulit GT No. 9 - 14 12 pcs / bks 0 0 0 0
192 Kalsium laktat ( kalk ) tablet 500 mg 1000 tablet / botol 3500 0 361 3139
193 Kalsium laktat ( kalk ) tablet 500 mg 1000 tablet / botol 0 0 0 0
NO NAMA OBAT KEMASAN STOK AWAL PENERIMAAN PEMAKAIAN SISA STOK
194 Kapas pembalut / absorben 250 mg bungkus 3 0 0 3
195 Kapas pembalut / absorben 250 mg bungkus 0 0 0 0
196 Kasa hidrofil 40 cm x 80m roll 0 0 0 0
197 Kasa hidrofil 36 cm x 80m roll 2 0 0 2
198 Kasa Kompres 40 x40 bks 0 0 0 0
199 Kasa steril 16 x 16 16 lbr / box 0 0 0 0
200 Kasa steril 16 x 16 box 0 0 0 0
201 Kertas Perkarmen 1000 lbr / pack 0 0 0 0
202 Kertas Perkarmen 1000 lbr / pack 0 0 0 0
203 Ketokonazol cream tube 18 0 2 16
204 Ketokonazol tab 50 tablet / box 446 0 0 446
205 Ketokonazol tab 50 tablet / box 0 0 0 0
206 Ketoprofen tablet 100 mg 100 tablet /box 0 0 0 0
207 Ketoprofen tablet 100 mg 100 tablet /box 260 0 156 104
208 Ketorolak injeksi 10 mg /ml ampul 0 0 0 0
209 Ketorolak injeksi 10 mg /ml ampul 0 0 0 0
210 Klindamisin 150 mg 50 kapsul /box 185 0 75 110
211 Kloramfenikol kapsul 250 mg 100 kap / box 0 0 0 0
212 Kloramfenikol salaf mata 1 % tube 72 0 3 69
213 Kloramfenikol salaf mata 1 % tube 0 0 0 0
214 Kloramfenikol syrup botol 60 ml 0 0 0 0
215 Kloramfenikol tetes telinga 3 % botol 5 ml 0 0 0 0
216 Klorfeniramin maleat ( CTM ) tablet 4 mg 100 tablet / box 0 0 0 0
217 Klorfeniramin maleat / Pehaclor ( CTM 4 mg ) 1500 Tab / Botol 0 0 0 0
218 Kotrimoksazol dewasa tablet 100 tablet /box 432 0 0 432
219 Kotrimoksazol dewasa tablet Trimetopirin 80 mg 100 tablet /box 0 0 0 0
220 Kotrimoksazol suspensi botol 60 ml 21 0 10 11
221 Lansoprazole 30mg 20 tablet / box 0 0 0 0
222 Larutan giemsa stain botol 100 ml 0 0 0 0
223 Lens tissue 50 pcs / box 0 0 0 0
224 Leucoplast 1,25 cm x 4,5 m roll 0 0 0 0
225 Lexatrans 500 50 kaplet / box 0 0 0 0
226 Lidokain comp inj ampul 0 0 0 0
227 Lidokain inj ampul 170 0 0 170
NO NAMA OBAT KEMASAN STOK AWAL PENERIMAAN PEMAKAIAN SISA STOK
228 Lisol 50 % botol 1000 ml 0 0 0 0
229 Livron B-Plex 100 tablet / box 0 0 0 0
230 Livron B-Plex 100 tablet / box 0 0 0 0
231 Loperamid tablet 100 tablet / box 464 0 116 348
232 Loratadin tablet 50 tablet / box 150 0 83 67
233 Loratadin tablet 50 tablet / box 0 0 0 0
234 Masker Tie On 3 Fly 50 pcs / box 200 0 0 200
235 Masker Tie On 3 Fly 50 pcs / box 0 0 0 0
236 Masker N95 20 pcs / box 0 0 0 0
237 Mata Bor Gigi High Speed pcs 0 0 0 0
238 Meloxicam 15 mg 50 tablet / box 0 0 0 0
239 Meloxicam 7,5 mg 50 tablet / box 0 0 0 0
240 Metanol 100 ml botol 100 ml 0 0 0 0
241 Meterinal 100 tab /box 0 0 0 0
242 Metformin tablet 100 tablet /box 0 0 0 0
243 Metilergometrin maleat inj 0,200 mg-1 ml ampul 0 0 0 0
244 Metilergometrin maleat tablet 100 tablet / box 0 0 0 0
245 Metil prednisolon tab 4mg 100 tablet /box 0 0 0 0
246 Metoklopramid tablet 10 mg 100 tablet /box 0 0 0 0
247 Metronidazol tablet 250 mg 100 tablet / box 0 0 0 0
248 Metronidazol tablet 500 mg 100 tablet /box 300 0 20 280
249 Meylon Injeksi i.v 4,8 % ampul 25 ml 0 0 0 0
250 Mineral Mix 40 sach /box 0 0 0 0
251 Molagit tablet 150 tablet / box 0 0 0 0
252 Molaneuron 50 tablet / box 0 0 0 0
253 Molaneuron 50 tablet / box 0 0 0 0
254 Myconazol krim 2% tube 233 0 4 229
255 Myomergin inj ampul 0 0 0 0
256 Nald inj 23 / Needle 23G x 11/4" 100 pcs / box 0 0 0 0
257 Nald inj 23 / Needle 23G x 11/4" 100 pcs / box 0 0 0 0
258 Nasal oxigen adult pcs 0 0 0 0
259 Nasal oxigen adult pcs 0 0 0 0
260 Nasal oxigen child pcs 0 0 0 0
261 Natrium bikarbonat tablet 500 mg 1000 tablet / botol 1770 0 0 1770
NO NAMA OBAT KEMASAN STOK AWAL PENERIMAAN PEMAKAIAN SISA STOK
262 Natrium diklofenak 50 mg 50 tablet / box 270 0 132 138
263 Natrium klorida larutan infus 0,9 % steril botol plastik 500 ml 0 0 0 0
264 Natrium klorida larutan infus 0,9 % steril botol plastik 500 ml 0 0 0 0
265 Nifedipine 10 mg 100 tablet /box 0 0 0 0
266 Nifudiar Suspensi botol 60 ml 0 0 0 0
267 Noza 100 tablet /box 0 0 0 0
268 Obat Antituberkolosis Anak box 0 0 0 0
269 Obat Antituberkolosis FDC Anak Fase intensif ct 0 0 0 0
270 Obat Antituberkolosis FDC Anak Fase lanjutan ct 0 0 0 0
271 Obat Antituberkolosis Kategori 1 box 0 0 0 0
272 Obat Antituberkolosis Kategori 2 box 0 0 0 0
273 Obat Antituberkolosis Kombipak box 0 0 0 0
274 Obat Antituberkolosis sisipan box 0 0 0 0
275 OBH Indoplus botol 100 ml 0 0 0 0
276 Objek glass box 0 0 0 0
277 Ofloxacin tablet 200mg 50 tablet / box 0 0 0 0
278 Oksitetrasiklin Hcl salap kulit 3% tube 5 gr 0 0 0 0
279 Oksitetrasiklin Hcl salap kulit 3% tube 5 gr 0 0 0 0
280 Oksitetrasiklin Hcl salap mata 1% tube 5 gr 0 0 0 0
281 Oksitocyn injeksi ampul 0 0 0 0
282 Omeprazole 30 tablet /box 0 0 0 0
283 Omeprazole 30 tablet /box 370 0 130 240
284 Ondansetron Injeksi 4 mg/2ml ampul 0 0 0 0
285 Ondarin inj ampul 0 0 0 0
286 Oxican botol 0 0 0 0
287 Oxyvit Tablet 100 tab / box 0 0 0 0
288 Pantocain tetes mata 0,5 % botol 5 ml 0 0 0 0
289 Papaverin 40 mg tablet 1000 tablet / box 2027 0 0 2027
290 Papaverin 40 mg tablet 1000 tablet / box 0 0 0 0
291 Parasetamol Drops botol 15 ml 0 0 0 0
292 Parasetamol kaplet 500 mg 100 tablet /box 1356 0 1062 294
293 Parasetamol kaplet 500 mg 1000 tablet / botol 0 0 0 0
294 Parasetamol syrup 120 mg/5ml botol 60 ml 18 0 18 0
295 Pedimin Drop botol 15 ml 0 0 0 0
NO NAMA OBAT KEMASAN STOK AWAL PENERIMAAN PEMAKAIAN SISA STOK
296 Pehacain inj 20 ampul / box 0 0 0 0
297 Pehavral Tablet 100 tablet /box 0 0 0 0
298 Persidal 20 tablet / box 0 0 0 0
299 Piracetam 800 mg 50 tablet / box 450 0 0 450
300 Piracetam inj ampul 0 0 0 0
301 Piracetam inj ampul 0 0 0 0
302 Plester Drasing dispenser ( MICROPORE ) roll 10 0 0 10
303 Plester Drasing non dispenser ( MICROPORE ) roll 41 0 0 41
304 Pyrantel tablet 125 mg 30 tablet / box 0 0 0 0
305 Pyrantel tablet 125 mg 100 tablet / box 63 0 4 59
306 Piridoksin HCl tablet 10 mg 1000 tablet / botol 4853 0 56 4797
307 Piridoksin HCl tablet 10 mg 1000 tablet / botol 0 0 0 0
308 Piroxicam 20 mg 100 tablet / box 0 0 0 0
309 Piroxicam 20 mg 100 tablet / box 0 0 0 0
310 Pot sputum pcs 0 0 0 0
311 Prednisone tablet 5 mg 1000 tablet / botol 0 0 0 0
312 Prednisone tablet 5 mg 100 tablet / box 0 0 0 0
313 Prednisone tablet 5 mg 100 tablet / box 0 0 0 0
314 Probiokid suplemen makan 10 sachet / box 2 0 0 2
315 Propanolol HCl tablet 40 mg 100 tablet /botol 310 0 220 90
316 Propitiurasil 100 mg 100 tablet / botol 600 0 0 600
317 Protein Urine Test strip 0 0 0 0
318 Pyrantin tab 200 tablet / box 0 0 0 0
319 Ranitidin 150 mg 100 tablet /box 0 0 0 0
320 Ranitidin inj 25mg/ml - 2 ml ampul 0 0 0 0
321 Rapid diagnostik test (RDT) malaria box 0 0 0 0
322 Reagent hematology MS4-s-e paket 0 0 0 0
323 Reagen Zeihl Neelsen Kit 0 0 0 0
324 Retinol A 100 000 IU kapsul lunak (Vit A Biru) 50 cap /botol 0 0 0 0
325 Retinol A 200 000 IU kapsul lunak (Vit A Merah) 50 cap /botol 0 0 0 0
326 Renabetic ( glibenclamide ) 5 mg 100 tablet /box 0 0 0 0
327 Ringer laktat larutan infus steril botol plastik 500 ml 0 0 0 0
328 Risperidone tablet 1 mg 50 tablet / box 270 0 0 270
329 Salbutamol tablet 2 mg 100 tabet /box 1712 0 48 1664
NO NAMA OBAT KEMASAN STOK AWAL PENERIMAAN PEMAKAIAN SISA STOK
330 Salbutamol tablet 4 mg 100 tabet /box 768 0 0 768
331 Salbutamol tablet 4 mg 100 tabet /box 0 0 0 0
332 Salisil bedak 2 % kotak 0 0 0 0
333 Sanadryl syrup botol 60 ml 0 0 0 0
334 Santocyn Injeksi ampul 0 0 0 0
335 Scabisid cream tube 10 gr 0 0 0 0
336 Scaple Blade No. 11 100 pcs / box 100 0 0 100
337 Scaple Blade No. 11 100 pcs / box 0 0 0 0
338 Scopamin inj ampul 0 0 0 0
339 Serum Anti Bisa Ular (ABU) Polivalent 1,500 IU vial 5 ml 0 0 0 0
340 Serum Anti Bisa Ular (ABU) Polivalent 1,500 IU vial 5 ml 0 0 0 0
341 Serum Anti Tetanus 1,500 IU ampul 0 0 0 0
342 Sianokobalamin (Vit B12) inj 500 mcg/ml - 1 ml ampul 100 0 0 100
343 Sianokobalamin (Vit B12) tab 1000 tablet / botol 0 0 0 0
344 Sianokobalamin (Vit B12) tab 100 tabet /box 1500 0 172 1328
345 Silk ( benang bedah sutera ) no. 3/0 12 pcs /box 14 0 0 14
346 Silk ( benang bedah sutera ) no. 2/0 36 pcs /box 0 0 0 0
347 Simvastatin 10 mg 30 tab /box 0 0 0 0
348 Soft cholt drassing IV (3M) box 0 0 0 0
349 Spalk set set 0 0 0 0
350 Spalk set set 0 0 0 0
351 Spironolacton tablet 25 mg 100 tablet / box 0 0 0 0
352 Stesolid 5 mg/ 2,5 ml Rectal supp 0 0 0 0
353 Stesolid injeksi 5 ampul / box 0 0 0 0
354 Stesolid injeksi 5 ampul / box 0 0 0 0
355 Stesolid tab 5 mg 100 tablet / box 0 0 0 0
356 Stomach tube no 16 pcs 0 0 0 0
357 Stomach tube no 18 pcs 0 0 0 0
358 Synarcus krim 0,025% tube 5 gr 0 0 0 0
359 Tablet tambah darah 30 tablet / sacet 0 0 0 0
360 tetrakain HCL tetes mata 0,5 % botol 5 ml 0 0 0 0
361 Tetrasiklin 500 mg 100 tablet / box 0 0 0 0
362 Tiamfenikol 500 mg 100 tablet / box 0 0 0 0
363 Tiamin HCl mononitrat (vit B1) inj ampul 0 0 0 0
NO NAMA OBAT KEMASAN STOK AWAL PENERIMAAN PEMAKAIAN SISA STOK
364 Tiamin HCl mononitrat ( vit B1) tablet 100mg 1000 tablet / botol 4270 0 30 4240
365 Tiamin HCl mononitrat ( vit B1) tablet 100mg 1000 tablet / botol 0 0 0 0
366 Tramadol injeksi ampul 0 0 0 0
367 Tramadol tablet 50 mg 50 tablet / box 0 0 0 0
368 Trihexyphenidyl HCl tab 2 mg 100 tablet / box 580 0 40 540
369 Tuzalos cap 100 cap / box 184 0 0 184
370 Truvit Syrup botol 60 ml 0 0 0 0
371 Umbilical cord clamb pcs 0 0 0 0
372 Underpad pcs 0 0 0 0
373 Urine Bag pcs 0 0 0 0
374 Urine Bag pcs 0 0 0 0
375 Vasovix no. 18 50 pcs / box 0 0 0 0
376 Vasovix no. 20 50 pcs / box 0 0 0 0
377 Vasovix no. 22 50 pcs / box 0 0 0 0
378 Vasovix no. 24 50 pcs / box 0 0 0 0
379 Verorab injeksi ampul / kotak 0 0 0 0
380 Verorab injeksi ( RABIPUR ) ampul / kotak 0 0 0 0
381 Vitamin B Kompleks tablet 100 tablet / box 1356 0 463 893
382 Vitka infant inj ampul 60 0 0 60
383 Vitka infant inj ampul 0 0 0 0
384 Wing Needle No. 23 G pcs 0 0 0 0
385 Xephalium Tablet 50 tablet / box 0 0 0 0
386 Xilol 100 ml botol 100 ml 0 0 0 0
387 Yodium povidon larutan 10% - 30 ml botol 30 ml 6 0 0 6
388 Yodium povidon larutan 10% - 60 ml botol 60 ml 0 0 0 0
389 Yodium povidon larutan 10% - 60 ml botol 60 ml 0 0 0 0
390 Yodium povidon larutan 10% - 300 ml botol 300 ml 4 0 0 4
391 Yodium povidon larutan 10% -1000 ml botol 1000 ml 4 0 0 4
392 Zink Tablet 20 mg 100 tablet / box 163 0 60 103
NO NAMA OBAT KEMASAN STOK AWAL PENERIMAAN PEMAKAIAN SISA STOK
Mengetahui : Yang Mengeluarkan :
PLT. UPTD Kesehatan teluk kuantan Pengelola obat UPTD Kes Teluk Kuantan
Kabupaten Kuantan Singingi Kabupaten Kuantan Singingi

Hj.SURYATI,SST YENI AFRIDA NINGSIH

NIP.19681101 198811 2 001 NIP.19671225 199203 2 008
AN LEMBAR PERMINTAAN OBAT
HUN 2017
TAN TELUK KUANTAN

PERMINTAAN
PERMINTAAN
PERMINTAAN
PERMINTAAN
PERMINTAAN
PERMINTAAN
PERMINTAAN
PERMINTAAN
PERMINTAAN
PERMINTAAN
PERMINTAAN
PERMINTAAN
 KARTU PERSEDIAAN BARANG

SKPD : UPTD KESEHATAN TELUK KUANTAN

KABUPATEN/KOTA : KUANTAN SINGINGI
PROVINSI : RIAU
BULAN : JANUARI 2017
BARANG : OBAT-OBATAN
Surat
Dasar Barang - Barang
Saldo Awal
Tanggal Peneri NO Nama Obat Kemasan Satuan Harga Satuan
Barang Masuk Keluar Sisa
maan/
1 Pengel
2 3 4 5 6 7 8.00

1 Abbocath No 18 pcs pcs 0 0 0 0 15,500.00

2 Abbocath No 20 pcs pcs 50 0 0 50 15,500.00
3 Abbocath No 22 pcs pcs 50 0 0 50 15,500.00
4 Abbocath No 24 pcs pcs 0 0 0 0 17,000.00
5 Acyclovir cream 5 % tube 5 gr tube 27 0 6 21 3,100.00
6 Acyclovir cream 5 % tube 5 gr tube 0 0 0 0 3,130.00
7 Acyclovir tablet 200 mg 100 tablet / box tablet 0 0 0 0 239.00
8 Acyclovir tablet 400 mg 100 tablet / box tablet 428 0 0 428 345.00
9 Alat suntik sekali pakai 0.05 ml 100 pcs / box pcs 0 0 0 0 2,200.00
10 Alat suntik sekali pakai 1 ml 100 pcs / box pcs 0 0 0 0 2,650.00
11 Alat suntik sekali pakai 1 ml 100 pcs / box pcs 0 0 0 0 1,540.00
12 Alat suntik sekali pakai 3 ml 100 pcs / box pcs 0 0 0 0 2,350.00
13 Alat suntik sekali pakai 3 ml 100 pcs / box pcs 500 0 0 500 957.00
14 Alat suntik sekali pakai 5 ml 100 pcs / box pcs 0 0 0 0 2,650.00
15 Alat suntik sekali pakai 5 ml 100 pcs / box pcs 0 0 0 0 1,348.00
16 Alat suntik sekali pakai 20 ml pcs pcs 0 0 0 0 3,500.00
17 Alat suntik sekali pakai 50 ml pcs pcs 0 0 0 0 9,500.00
18 Albendazole 400 mg 200 tablet / botol tablet 0 0 0 0 350.00
19 Alkohol swab 100 pcs / box pcs 0 0 0 0 250.00
20 Allopurinol tablet 100 mg 100 tablet/ box tablet 0 0 0 0 111.49
21 Amboxol tablet 30 mg 100 tablet/ box tablet 0 0 0 0 129.00
 Surat
Dasar Barang - Barang
Saldo Awal
Tanggal Peneri NO Nama Obat Kemasan Satuan Harga Satuan
Barang Masuk Keluar Sisa
maan/
1 Pengel
2 3 4 5 6 7 8.00
22 Amboxol tablet 30 mg 100 tablet/ box tablet 0 0 0 0 325.00
23 Ambroxol syrup 15mg/5ml botol 60 ml botol 0 0 0 0 3,200.00
24 Ambroxol syrup 15mg/5ml botol 60 ml botol 0 0 0 0 6,600.00
25 Aminofilin injeksi 24 mg/ml - 10 ml ampul ampul 0 0 0 0 4,013.00
26 Aminofilin tablet 200 mg 100 tablet / botol tablet 0 0 0 0 82.00
27 Amitriptilin HCl tablet salut 25 mg 100 tablet /box tablet 1195 0 0 1195 117.00
28 Amobiotik Drop BOTOL botol 0 0 0 0 23,000.00
29 Amlodipine 5mg 30 tablet / box tablet 0 0 0 0 240.00
30 Amoxicillin 250 mg 120 cap / box tablet 0 0 0 0 210.00
31 Amoxicillin kaplet 500 mg 100 tablet / box tablet 0 0 0 0 270.00
32 Amoxicillin syrup kering 125mg/5ml botol 60 ml botol 161 0 21 140 2,500.00
33 Antalgin ( metampiron ) tablet 500 100 tabet /box tablet 0 0 0 0 116.00
34 Antalgin ( metampiron ) tablet 500 1000 tablet / botl tablet 0 0 0 0 111.00
35 Antalgin ( metampiron ) tablet 500 100 tabet /box tablet 0 0 0 0 200.00
36 Antalgin injeksi 250 mg/ml - 8 ml ampul ampul 0 0 0 0 1,400.00
37 Antalgin injeksi 250 mg/ml - 8 ml ampul ampul 0 0 0 0 1,670.00
38 Antasida doen suspensi botol 60 ml botol 3 0 0 3 2,160.00
39 Antasida doen tablet kombinasi 100 tabet /box tablet 0 0 0 0 74.00
40 Antihaemoroid 10 supp / box supp 23 0 0 23 2,090.00
41 Anti sera A botol 10 ml botol 0 0 0 0 132,000.00
42 Anti sera A botol 10 ml botol 0 0 0 0 15,600.00
43 Anti sera AB botol 10 ml botol 0 0 0 0 132,000.00
44 Anti sera AB botol 10 ml botol 0 0 0 0 15,600.00
45 Anti sera B botol 10 ml botol 0 0 0 0 132,000.00
46 Anti sera B botol 10 ml botol 0 0 0 0 15,600.00
47 Antibakteri doen ( basitrasin) tube tube 2 0 2 0 2,641.00
48 Antimigren (ergotamin kofein) 100 tabet / botol tablet 0 0 0 0 129.00
49 Antimigren (ergotamin kofein) 100 tabet / botol tablet 0 0 0 0 142.00
50 Aqua proinjeksi steril , bebas pirog vial 25 ml vial 0 0 0 0 3,600.00
51 Asam Asetilsalisilat 80 mg ( Miniaspi100 tablet / box tablet 0 0 0 0 4,500.00
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Dasar Barang - Barang
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Tanggal Peneri NO Nama Obat Kemasan Satuan Harga Satuan
Barang Masuk Keluar Sisa
maan/
1 Pengel
2 3 4 5 6 7 8.00
52 Asam askorbat ( Vit C ) tablet 50 m 100 tablet / box tablet 0 0 0 0 100.00
53 Asam askorbat ( Vit C ) tablet 250 100 tablet / box tablet 0 0 0 0 159.00
54 Asam Mefenamat 500 mg 100 tabet /box tablet 0 0 0 0 184.00
55 Asam Mefenamat 500 mg 100 tabet /box tablet 0 0 0 0 220.00
56 Asam Traneksamat 500 mg 100 tabet /box tablet 0 0 0 0 1,080.00
57 Aspimec tablet 100 tabet /box tablet 0 0 0 0 360.00
58 Atropine sulfat injeksi 0,25 mg/ml - ampul ampul 0 0 0 0 1,155.00
59 Becefort 100 tablet/ box tablet 0 0 0 0 1,490.00
60 Benovit c dragee 100 tablet / box tablet 30 0 0 30 1,720.00
61 Bekamin B comp forte 1000 tablet / botol tablet 0 0 0 0 58.60
62 Betahistin maleat tab 5 mg 30 tablet / box tablet 0 0 0 0 1,033.33
63 Betametason krim 0,1 % tube 5 gr tube 75 0 12 63 1,520.00
64 Biolysin Multivitamin botol @ 100 ml botol 0 0 0 0 10,300.00
65 Bioneuron injeksi ampul ampul 0 0 0 0 4,500.00
66 Bioneuron injeksi ampul ampul 20 0 0 20 4,535.00
67 Bioplacenton tube 15 gram tablet 0 0 0 0 12,000.00
68 Bioplacenton tube 15 gram tablet 0 0 0 0 13,770.00
69 Bioralit 25 sach / box sach 0 0 0 0 545.44
70 Bismecon krim tube 15 gram tube 20 0 0 20 10,000.00
71 Bisoprolol tab 5 mg 30 tablet / box tablet 0 0 0 0 669.00
72 Bledstop Injeksi 10 ampul / box ampul 0 0 0 0 3,900.00
73 Borraginol suppos 20 supp / box supp 0 0 0 0 9,075.00
74 Box Slide Unit Unit 0 0 0 0 75,000.00
75 Calcidin tablet 100 tablet / box tablet 0 0 0 0 670.00
76 Calcidol suspensi botol 60 ml botol 0 0 0 0 10,000.00
77 Captropil 12,5 mg 60 tablet / box tablet 0 0 0 0 62.00
78 Captropil 25 mg 100 tablet / box tablet 260 0 157 103 92.00
79 Captropil 25 mg 100 tablet / box tablet 0 0 0 0 89.00
80 Catgut / benang bedah no.2/0 cromi 24 pcs / box pcs 24 0 0 24 29,000.00
81 Catgut / benang bedah no.2/0 cromi 24 pcs / box pcs 0 0 0 0 6,700.00
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Tanggal Peneri NO Nama Obat Kemasan Satuan Harga Satuan
Barang Masuk Keluar Sisa
maan/
1 Pengel
2 3 4 5 6 7 8.00
82 Catgut / benang bedah no.3/0 cromi 24 pcs / box pcs 0 0 0 0 29,000.00
83 Catgut / benang bedah no.3/0 cromi 24 pcs / box pcs 0 0 0 0 6,700.00
84 Catgut / benang bedah no.2/0 plain 24 pcs / box pcs 0 0 0 0 29,000.00
85 Catgut / benang bedah no.2/0 plain 24 pcs / box pcs 0 0 0 0 6,700.00
86 Catgut / benang bedah no.3/0 plain 24 pcs / box pcs 0 0 0 0 29,000.00
87 Catgut / benang bedah no.3/0 plain 24 pcs / box pcs 0 0 0 0 6,700.00
88 Cefadroxil Syrup kering 100 mg/ 5m botol 60 ml botol 0 0 0 0 5,064.00
89 Cefadroxil tab 500 mg 100 tab / box tablet 410 0 0 410 519.00
90 Cefadroxil tab 500 mg 100 tab / box tablet 0 0 0 0 1,050.00
91 Cefotaxime injeksi 1g / vial vial 20 ml vial 0 0 0 0 7,100.00
92 Cefotaxime injeksi 1g / vial vial 20 ml vial 0 0 0 0 10,700.00
93 Ceftriaxone injeksi 1g / vial vial 20 ml vial 0 0 0 0 10,700.00
94 Cendo Xitrol botol botol 0 0 0 0 31,000.00
95 Ceterizin syrup botol botol 0 0 0 0 10,345.00
96 Ceterizine 10 mg 50 tablet / box tablet 0 0 0 0 236.00
97 Chlorpromazine tab 100 mg 100 tablet / box tablet 0 0 0 0 140.00
98 Chlorpromazine tab 100 mg 1000 tablet / botol tablet 0 0 0 0 158.80
99 Chlorpromazine tab 25 mg 1000 tablet / botol tablet 0 0 0 0 39.90
100 Cimetidin 100 tablet / box tablet 0 0 0 0 120.00
101 Cimetidin 100 tablet / box tablet 0 0 0 0 195.00
102 Ciprofloxacin 500 mg 100 tablet / box tablet 1131 0 276 855 260.00
103 Ciprofloxacin 500 mg 100 tablet / box tablet 0 0 0 0 460.00
104 Clonex cap 100 cap / box tablet 0 0 0 0 2,400.00
105 Clonex Inj ampul ampul 0 0 0 0 5,081.80
106 Coamox 30 tablet / box tablet 0 0 0 0 4,777.00
107 Codein 100 tablet / box tablet 0 0 0 0 525.00
108 Combivent UDV 20 vial / box vial 0 0 0 0 5,990.00
109 Dasabion 100 tablet /box tablet 0 0 0 0 840.00
110 Dexametasone inj 5 mg/ml - 1 ml ampul ampul 0 0 0 0 1,659.00
111 Dexametasone tablet 0,5 mg 100 tablet / box tablet 0 0 0 0 85.00
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Tanggal Peneri NO Nama Obat Kemasan Satuan Harga Satuan
Barang Masuk Keluar Sisa
maan/
1 Pengel
2 3 4 5 6 7 8.00
112 Dextromethorphan HBr syrup 10 mg botol 60 ml botol 0 0 0 0
113 Dextromethorphan HBr tablet 15 m 100 tablet /box tablet 0 0 0 0
114 Diazepam tablet 2 mg 100 tablet / botol tablet 0 0 0 0 45.00
115 Diazepam tablet 2 mg ( VASANBE )100 tablet / botol tablet 0 0 0 0 35.00
116 Diazepam tablet 5 mg ( VASANBE )100 tablet / box tablet 0 0 0 0 50.00
117 Difenhidramin inj ampul ampul 210 0 0 210 1,107.00
118 Digoksin tablet 0,25 mg 100 tablet / box tablet 0 0 0 0 100.00
119 Doksisiklin 100 mg 100 tablet /box tablet 0 0 0 0 231.00
120 Domperidon Suspensi 5 mg/5ml botol 60 ml botol 15 0 3 12 3,410.00
121 Domperidon tablet 10 mg 100 tablet /box tablet 800 0 80 720 170.00
122 D-Pulp botol botol 0 0 0 0 234,000.00
123 Dumin supp 5 supp / box supp 0 0 0 0 12,160.00
124 Ekstrabelladon 100 tablet /box tablet 0 0 0 0 40.00
125 Epinefrin HCl / bitatrat (adrenalin) i ampul ampul 90 0 0 90 8,505.00
126 Erithromicyn cap 250 mg 120 cap /box tablet 0 0 0 0 517.00
127 Erithromicyn cap 250 mg 100 cap /box tablet 0 0 0 0 497.00
128 Erithromicyn cap 500 mg 100 cap / box tablet 470 0 10 460 888.00
129 Erithromicyn cap 500 mg ( TAMARE 100 cap / box tablet 0 0 0 0 2,530.00
130 Erithromicyn syrup botol 60 ml botol 0 0 0 0 7,893.00
131 Erlamycetin tetes mata botol 5ml botol 0 0 0 0 2,200.00
132 Erlamycetin tetes telinga 3 % botol 10 ml botol 0 0 0 0 1,650.00
133 Etakridin (rivanol)larutan 0,1 % botol 300 ml botol 0 0 0 0 5,300.00
134 Etakridin (rivanol) 300 cc botol 300 ml botol 3 0 0 3 3,060.00
135 Etanol 70 % botol 1000 ml botol 7 0 0 7 24,545.00
136 Etanol 70 % botol 1000 ml botol 0 0 0 0 25,800.00
137 Eter alkohol botol 100 ml botol 0 0 0 0 65,500.00
138 Etil klorida semprot botol100 ml botol 2 0 0 2 110,000.00
139 Etil klorida semprot botol100 ml botol 0 0 0 0 125,500.00
140 Eugenol botol 20 ml botol 0 0 0 0 164,000.00
141 Farbivent inj ampul ampul 0 0 0 0 9,000.00
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Dasar Barang - Barang
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Tanggal Peneri NO Nama Obat Kemasan Satuan Harga Satuan
Barang Masuk Keluar Sisa
maan/
1 Pengel
2 3 4 5 6 7 8.00
142 Fasolon cream tube 5 gr tube 0 0 0 0 10,000.00
143 Fenobarbital injeksi 50 mg/ml - 2 ml ampul ampul 0 0 0 0 1,890.00
144 Fenobarbital tablet 30 mg 1000 tablet / botol tablet 0 0 0 0 31.00
145 Fenobarbital tablet 30 mg 100 tablet / botol tablet 0 0 0 0 49.00
146 Fenol gliserol tetes telinga 10 % botol 5 ml botol 48 0 7 41 2,144.00
147 Ferrous sulfat 300 mg 1000 tablet / botol tablet 0 0 0 0 22.95
148 Fitomenadion (vit K1) tablet salut 100 tablet / botol tablet 604 0 30 574 666.00
149 Flucodin tablet 60 tablet / box tablet 0 0 0 0 824.25
150 Folley cateter 2 way 30cc no 14 unit unit 0 0 0 0 23,000.00
151 Folley cateter 2 way 30cc no 14 unit unit 0 0 0 0 9,600.00
152 Folley cateter 2 way 30cc no 16 unit unit 0 0 0 0 23,000.00
153 Folley cateter 2 way 30cc no 16 unit unit 0 0 0 0 9,600.00
154 Folley cateter 2 way 30cc no 18 unit unit 0 0 0 0 23,000.00
155 Folley cateter 2 way 30cc no 18 unit unit 0 0 0 0 9,600.00
156 Furosemida injeksi ampul ampul 0 0 0 0 1,920.00
157 Furosemida tablet 40 mg 200 tablet / box tablet 1390 0 186 1204 94.00
158 Garam oralit untuk 200 ml air 100 sach / bok sach 572 0 19 553 303.00
159 Garexin tetes mata botol botol 0 0 0 0 1,160.00
160 Genoint Salep Mata 0,3% tube 3,5 gr tube 0 0 0 0 2,660.00
161 Gentamycin 0,1% salep kulit tube 5 gr tube 0 0 0 0 1,850.00
162 Gentamycin 0,1% salep kulit tube 5 gr tube 0 0 0 0 1,920.00
163 Gentamycin sulfat tetes mata 0,3 % botol 5 ml botol 12 0 0 12 3,049.00
164 Gentian violet larutan 1 % botol 10 ml botol 0 0 0 0 2,600.00
165 Glibenklamid tablet 5 mg 100 tablet / box tablet 1245 0 76 1169 58.00
166 Glimepiride 2 mg 50 tablet / box tablet 0 0 0 0 1,720.00
167 Gliseril guayakolat 100 mg 1000 tablet / botol tablet 1427 0 451 976 29.20
168 Gliseril guayakolat 100 mg 1000 tablet / botol tablet 0 0 0 0 95.00
169 Glukosa larutan infus 40 % steril ampul 25 ml ampul 0 0 0 0 3,800.00
170 Glukosa larutan infus 10 % steril botol 500 ml botol 0 0 0 0 5,985.00
171 Glukosa larutan infus 5 % steril botol 500 ml botol 20 0 0 20 5,460.00
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Tanggal Peneri NO Nama Obat Kemasan Satuan Harga Satuan
Barang Masuk Keluar Sisa
maan/
1 Pengel
2 3 4 5 6 7 8.00
172 Grisiovulfin 125 mg 100 tab /box tablet 1814 0 0 1814 230.00
173 H2O2 3% botol 800 ml botol 0 0 0 0 18,600.00
174 Haloperidol 1,5 mg 100 tablet / box tablet 1350 0 0 1350 72.00
175 Handscoend Examination Glove S 100 pcs / box pcs 0 0 0 0 390.00
176 Handscoend No. 7 pasang pasang 0 0 0 0 7,100.00
177 Handscoend No. 7 pasang pasang 0 0 0 0 6,325.00
178 Handscoend No. 7,5 pasang pasang 0 0 0 0 7,100.00
179 Handscoend No. 7,5 pasang pasang 0 0 0 0 6,461.29
180 Hemafort multivitamin 100 tablet / box tablet 0 0 0 0 792.00
181 Hidroklorotiazid ( hct ) tablet 25 mg1000 tablet / botol tablet 0 0 0 0 38.12
182 Hidrokortison krim 2,5 % tube 5 gr tube 0 0 0 0 2,798.00
183 Hyorex 50 tablet / box tablet 0 0 0 0 399.00
184 Ibuprofen tablet 200 mg 100 tablet /botol tablet 861 0 0 861 116.00
185 Ibuprofen tablet 400 mg 100 tablet / box tablet 1803 0 56 1747 153.00
186 Infusion set anak pcs pcs 0 0 0 0 8,500.00
187 Infusion set dewasa pcs pcs 0 0 0 0 5,900.00
188 Isoplast 1,25 cm x 4,5 m roll roll 0 0 0 0 7,700.00
189 Isosorbid dinitrat tablet sublingual 100 tablet / box tablet 50 0 0 50 93.00
190 Jarum Jahit Kulit G 1113 No. 9 - 14 12 pcs / bks pcs 108 0 0 108 458.33
191 Jarum Jahit Kulit GT No. 9 - 14 12 pcs / bks lusin 0 0 0 0 19,000.00
192 Kalsium laktat ( kalk ) tablet 500 mg1000 tablet / botol tablet 3500 0 361 3139 52.00
193 Kalsium laktat ( kalk ) tablet 500 mg1000 tablet / botol tablet 0 0 0 0 73.00
194 Kapas pembalut / absorben 250 mg bungkus bungkus 3 0 0 3 7,500.00
195 Kapas pembalut / absorben 250 mg bungkus bungkus 0 0 0 0 26,400.00
196 Kasa hidrofil 40 cm x 80m roll roll 0 0 0 0 215,000.00
197 Kasa hidrofil 36 cm x 80m roll roll 2 0 0 2 133,993.33
198 Kasa Kompres 40 x40 bks bks 0 0 0 0
199 Kasa steril 16 x 16 16 lbr / box box 0 0 0 0 7,000.00
200 Kasa steril 16 x 16 box box 0 0 0 0 6,960.00
201 Kertas Perkarmen 1000 lbr / pack1000 lbr / pack 0 0 0 0 25.00
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Saldo Awal
Tanggal Peneri NO Nama Obat Kemasan Satuan Harga Satuan
Barang Masuk Keluar Sisa
maan/
1 Pengel
2 3 4 5 6 7 8.00
202 Kertas Perkarmen 1000 lbr / pack1000 lbr / pack 0 0 0 0 23.00
203 Ketokonazol cream tube tube 18 0 2 16 4,930.00
204 Ketokonazol tab 50 tablet / box tablet 446 0 0 446 267.00
205 Ketokonazol tab 50 tablet / box tablet 0 0 0 0 310.00
206 Ketoprofen tablet 100 mg 100 tablet /box tablet 0 0 0 0 1,550.00
207 Ketoprofen tablet 100 mg 100 tablet /box tablet 260 0 156 104 1,380.00
208 Ketorolak injeksi 10 mg /ml ampul ampul 0 0 0 0 2,539.00
209 Ketorolak injeksi 10 mg /ml ampul ampul 0 0 0 0 10,325.00
210 Klindamisin 150 mg 50 kapsul /box tablet 185 0 75 110 401.00
211 Kloramfenikol kapsul 250 mg 100 kap / box tablet 0 0 0 0 262.00
212 Kloramfenikol salaf mata 1 % tube tube 72 0 3 69 1,450.00
213 Kloramfenikol salaf mata 1 % tube tube 0 0 0 0 1,600.00
214 Kloramfenikol syrup botol 60 ml botol 0 0 0 0 3,900.00
215 Kloramfenikol tetes telinga 3 % botol 5 ml botol 0 0 0 0 1,679.00
216 Klorfeniramin maleat ( CTM ) tablet 100 tablet / box tablet 0 0 0 0 99.00
217 Klorfeniramin maleat / Pehaclor ( 1500 Tab / Botol tablet 0 0 0 0 99.00
218 Kotrimoksazol dewasa tablet 100 tablet /box tablet 432 0 0 432 135.00
219 Kotrimoksazol dewasa tablet Trimet 100 tablet /box tablet 0 0 0 0 145.00
220 Kotrimoksazol suspensi botol 60 ml botol 21 0 10 11 2,222.00
221 Lansoprazole 30mg 20 tablet / box tablet 0 0 0 0 473.00
222 Larutan giemsa stain botol 100 ml botol 0 0 0 0 190,000.00
223 Lens tissue 50 pcs / box pcs 0 0 0 0 680.00
224 Leucoplast 1,25 cm x 4,5 m roll roll 0 0 0 0 7,000.00
225 Lexatrans 500 50 kaplet / box tablet 0 0 0 0 2,000.00
226 Lidokain comp inj ampul ampul 0 0 0 0 1,360.00
227 Lidokain inj ampul ampul 170 0 0 170 879.00
228 Lisol 50 % botol 1000 ml botol 0 0 0 0 38,500.00
229 Livron B-Plex 100 tablet / box tablet 0 0 0 0 250.00
230 Livron B-Plex 100 tablet / box tablet 0 0 0 0 200.00
231 Loperamid tablet 100 tablet / box tablet 464 0 116 348 92.00
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Saldo Awal
Tanggal Peneri NO Nama Obat Kemasan Satuan Harga Satuan
Barang Masuk Keluar Sisa
maan/
1 Pengel
2 3 4 5 6 7 8.00
232 Loratadin tablet 50 tablet / box tablet 150 0 83 67 160.00
233 Loratadin tablet 50 tablet / box tablet 0 0 0 0 162.00
234 Masker Tie On 3 Fly 50 pcs / box pcs 200 0 0 200 900.00
235 Masker Tie On 3 Fly 50 pcs / box pcs 0 0 0 0 396.00
236 Masker N95 20 pcs / box pcs 0 0 0 0 10,750.00
237 Mata Bor Gigi High Speed pcs pcs 0 0 0 0 49,000.00
238 Meloxicam 15 mg 50 tablet / box tablet 0 0 0 0 498.00
239 Meloxicam 7,5 mg 50 tablet / box tablet 0 0 0 0 234.00
240 Metanol 100 ml botol 100 ml botol 0 0 0 0 36,000.00
241 Meterinal 100 tab /box tablet 0 0 0 0 375.00
242 Metformin tablet 100 tablet /box tablet 0 0 0 0 105.00
243 Metilergometrin maleat inj 0,200 mg ampul ampul 0 0 0 0 2,750.00
244 Metilergometrin maleat tablet 100 tablet / box tablet 0 0 0 0 162.00
245 Metil prednisolon tab 4mg 100 tablet /box tablet 0 0 0 0 306.00
246 Metoklopramid tablet 10 mg 100 tablet /box tablet 0 0 0 0 105.00
247 Metronidazol tablet 250 mg 100 tablet / box tablet 0 0 0 0 135.00
248 Metronidazol tablet 500 mg 100 tablet /box tablet 300 0 20 280 164.00
249 Meylon Injeksi i.v 4,8 % ampul 25 ml ampul 0 0 0 0 6,510.00
250 Mineral Mix 40 sach /box tablet 0 0 0 0 2,599.00
251 Molagit tablet 150 tablet / box tablet 0 0 0 0 303.03
252 Molaneuron 50 tablet / box tablet 0 0 0 0 1,030.00
253 Molaneuron 50 tablet / box tablet 0 0 0 0 1,100.00
254 Myconazol krim 2% tube tube 233 0 4 229 3,150.00
255 Myomergin inj ampul ampul 0 0 0 0 4,400.00
256 Nald inj 23 / Needle 23G x 11/4" 100 pcs / box pcs 0 0 0 0 900.00
257 Nald inj 23 / Needle 23G x 11/4" 100 pcs / box pcs 0 0 0 0 1,100.00
258 Nasal oxigen adult pcs pcs 0 0 0 0 8,000.00
259 Nasal oxigen adult pcs pcs 0 0 0 0 12,600.00
260 Nasal oxigen child pcs pcs 0 0 0 0 12,600.00
261 Natrium bikarbonat tablet 500 mg 1000 tablet / botol tablet 1770 0 0 1770 1,502.00
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Dasar Barang - Barang
Saldo Awal
Tanggal Peneri NO Nama Obat Kemasan Satuan Harga Satuan
Barang Masuk Keluar Sisa
maan/
1 Pengel
2 3 4 5 6 7 8.00
262 Natrium diklofenak 50 mg 50 tablet / box tablet 270 0 132 138 185.00
263 Natrium klorida larutan infus 0,9 %botol
s plastik 500 ml botol 0 0 0 0 4,935.00
264 Natrium klorida larutan infus 0,9 %botol
s plastik 500 ml botol 0 0 0 0 5,150.00
265 Nifedipine 10 mg 100 tablet /box tablet 0 0 0 0 110.00
266 Nifudiar Suspensi botol 60 ml botol 0 0 0 0 40,100.00
267 Noza 100 tablet /box tablet 0 0 0 0 400.00
268 Obat Antituberkolosis Anak box box 0 0 0 0 225,740.00
269 Obat Antituberkolosis FDC Anak Fas ct ct 0 0 0 0 2,750.00
270 Obat Antituberkolosis FDC Anak Fas ct ct 0 0 0 0 2,275.00
271 Obat Antituberkolosis Kategori 1 box box 0 0 0 0 377,990.00
272 Obat Antituberkolosis Kategori 2 box box 0 0 0 0 1,259,990.00
273 Obat Antituberkolosis Kombipak box box 0 0 0 0 302,610.00
274 Obat Antituberkolosis sisipan box box 0 0 0 0 167,160.00
275 OBH Indoplus botol 100 ml botol 0 0 0 0 11,200.00
276 Objek glass box box 0 0 0 0 25,000.00
277 Ofloxacin tablet 200mg 50 tablet / box tablet 0 0 0 0 420.00
278 Oksitetrasiklin Hcl salap kulit 3% tube 5 gr tube 0 0 0 0 1,751.00
279 Oksitetrasiklin Hcl salap kulit 3% tube 5 gr tube 0 0 0 0 1,720.00
280 Oksitetrasiklin Hcl salap mata 1% tube 5 gr tube 0 0 0 0 1,600.00
281 Oksitocyn injeksi ampul ampul 0 0 0 0 1,820.00
282 Omeprazole 30 tablet /box tablet 0 0 0 0 265.00
283 Omeprazole 30 tablet /box tablet 370 0 130 240 216.00
284 Ondansetron Injeksi 4 mg/2ml ampul ampul 0 0 0 0 2,400.00
285 Ondarin inj ampul ampul 0 0 0 0 28,400.00
286 Oxican botol botol 0 0 0 0 65,000.00
287 Oxyvit Tablet 100 tab / box tablet 0 0 0 0 2,360.00
288 Pantocain tetes mata 0,5 % botol 5 ml botol 0 0 0 0 11,500.00
289 Papaverin 40 mg tablet 1000 tablet / box tablet 2027 0 0 2027 100.00
290 Papaverin 40 mg tablet 1000 tablet / box tablet 0 0 0 0 160.00
291 Parasetamol Drops botol 15 ml botol 0 0 0 0 5,460.00
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Dasar Barang - Barang
Saldo Awal
Tanggal Peneri NO Nama Obat Kemasan Satuan Harga Satuan
Barang Masuk Keluar Sisa
maan/
1 Pengel
2 3 4 5 6 7 8.00
292 Parasetamol kaplet 500 mg 100 tablet /box tablet 1356 0 1062 294 80.00
293 Parasetamol kaplet 500 mg 1000 tablet / botol tablet 0 0 0 0 84.00
294 Parasetamol syrup 120 mg/5ml botol 60 ml botol 18 0 18 0 1,496.00
295 Pedimin Drop botol 15 ml botol 0 0 0 0 24,500.00
296 Pehacain inj 20 ampul / box ampul 0 0 0 0 3,200.00
297 Pehavral Tablet 100 tablet /box tablet 0 0 0 0 720.00
298 Persidal 20 tablet / box tablet 0 0 0 0 1,400.00
299 Piracetam 800 mg 50 tablet / box tablet 450 0 0 450 920.00
300 Piracetam inj ampul ampul 0 0 0 0 6,330.00
301 Piracetam inj ampul ampul 0 0 0 0 6,900.00
302 Plester Drasing dispenser ( MICR roll roll 10 0 0 10 14,500.00
303 Plester Drasing non dispenser ( roll roll 41 0 0 41 10,855.00
304 Pyrantel tablet 125 mg 30 tablet / box tablet 0 0 0 0 308.00
305 Pyrantel tablet 125 mg 100 tablet / box tablet 63 0 4 59 308.00
306 Piridoksin HCl tablet 10 mg 1000 tablet / botol tablet 4853 0 56 4797 18.27
307 Piridoksin HCl tablet 10 mg 1000 tablet / botol tablet 0 0 0 0 31.00
308 Piroxicam 20 mg 100 tablet / box tablet 0 0 0 0 100.00
309 Piroxicam 20 mg 100 tablet / box tablet 0 0 0 0 185.00
310 Pot sputum pcs pcs 0 0 0 0 2,000.00
311 Prednisone tablet 5 mg 1000 tablet / botol tablet 0 0 0 0 65.30
312 Prednisone tablet 5 mg 100 tablet / box tablet 0 0 0 0 55.00
313 Prednisone tablet 5 mg 100 tablet / box tablet 0 0 0 0 119.00
314 Probiokid suplemen makan 10 sachet / box tablet 2 0 0 2 12,960.00
315 Propanolol HCl tablet 40 mg 100 tablet /botol tablet 310 0 220 90 110.00
316 Propitiurasil 100 mg 100 tablet / botol tablet 600 0 0 600 340.00
317 Protein Urine Test strip strip 0 0 0 0 1,900.00
318 Pyrantin tab 200 tablet / box tablet 0 0 0 0 609.30
319 Ranitidin 150 mg 100 tablet /box tablet 0 0 0 0 126.00
320 Ranitidin inj 25mg/ml - 2 ml ampul ampul 0 0 0 0 2,698.52
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Dasar Barang - Barang
Saldo Awal
Tanggal Peneri NO Nama Obat Kemasan Satuan Harga Satuan
Barang Masuk Keluar Sisa
maan/
1 Pengel
2 3 4 5 6 7 8.00
321 Rapid diagnostik test (RDT) malaria box box 0 0 0 0 1,500,000.00
322 Reagent hematology MS4-s-e paket paket 0 0 0 0 11,240,000.00
323 Reagen Zeihl Neelsen Kit Kit 0 0 0 0 335,000.00
324 Retinol A 100 000 IU kapsul lunak (V 50 cap /botol botol 0 0 0 0 273.00
325 Retinol A 200 000 IU kapsul lunak ( 50 cap /botol botol 0 0 0 0 482.00
326 Renabetic ( glibenclamide ) 5 mg 100 tablet /box tablet 0 0 0 0 180.00
327 Ringer laktat larutan infus steril botol plastik 500 ml botol 0 0 0 0 5,460.00
328 Risperidone tablet 1 mg 50 tablet / box tablet 270 0 0 270 1,400.00
329 Salbutamol tablet 2 mg 100 tabet /box tablet 1712 0 48 1664 62.00
330 Salbutamol tablet 4 mg 100 tabet /box tablet 768 0 0 768 99.00
331 Salbutamol tablet 4 mg 100 tabet /box tablet 0 0 0 0 100.00
332 Salisil bedak 2 % kotak kotak 0 0 0 0 1,155.00
333 Sanadryl syrup botol 60 ml botol 0 0 0 0 9,000.00
334 Santocyn Injeksi ampul ampul 0 0 0 0 7,000.00
335 Scabisid cream tube 10 gr tube 0 0 0 0 21,000.00
336 Scaple Blade No. 11 100 pcs / box pcs 100 0 0 100 2,750.00
337 Scaple Blade No. 11 100 pcs / box pcs 0 0 0 0 3,425.00
338 Scopamin inj ampul ampul 0 0 0 0 13,200.00
339 Serum Anti Bisa Ular (ABU) Polivale vial 5 ml vial 0 0 0 0 615,000.00
340 Serum Anti Bisa Ular (ABU) Polivale vial 5 ml vial 0 0 0 0 591,080.00
341 Serum Anti Tetanus 1,500 IU ampul ampul 0 0 0 0 158,000.00
342 Sianokobalamin (Vit B12) inj 500 mc ampul ampul 100 0 0 100 1,131.00
343 Sianokobalamin (Vit B12) tab 1000 tablet / botol tablet 0 0 0 0 19.90
344 Sianokobalamin (Vit B12) tab 100 tabet /box tablet 1500 0 172 1328 60.00
345 Silk ( benang bedah sutera ) no. 3/ 12 pcs /box pcs 14 0 0 14 29,000.00
346 Silk ( benang bedah sutera ) no. 2/ 36 pcs /box pcs 0 0 0 0 3,666.66
347 Simvastatin 10 mg 30 tab /box tablet 0 0 0 0 180.00
348 Soft cholt drassing IV (3M) box box 0 0 0 0 1,960.00
349 Spalk set set set 0 0 0 0 98,500.00
350 Spalk set set set 0 0 0 0 109,000.00
 Surat
Dasar Barang - Barang
Saldo Awal
Tanggal Peneri NO Nama Obat Kemasan Satuan Harga Satuan
Barang Masuk Keluar Sisa
maan/
1 Pengel
2 3 4 5 6 7 8.00
351 Spironolacton tablet 25 mg 100 tablet / box tablet 0 0 0 0 320.00
352 Stesolid 5 mg/ 2,5 ml Rectal supp supp 0 0 0 0 24,000.00
353 Stesolid injeksi 5 ampul / box ampul 0 0 0 0 10,435.80
354 Stesolid injeksi 5 ampul / box ampul 0 0 0 0 11,950.00
355 Stesolid tab 5 mg 100 tablet / box tablet 0 0 0 0 1,400.00
356 Stomach tube no 16 pcs pcs 0 0 0 0 16,500.00
357 Stomach tube no 18 pcs pcs 0 0 0 0 16,500.00
358 Synarcus krim 0,025% tube 5 gr tube 0 0 0 0 2,500.00
359 Tablet tambah darah 30 tablet / sacet tablet 0 0 0 0 62.00
360 tetrakain HCL tetes mata 0,5 % botol 5 ml botol 0 0 0 0 11,500.00
361 Tetrasiklin 500 mg 100 tablet / box tablet 0 0 0 0 280.00
362 Tiamfenikol 500 mg 100 tablet / box tablet 0 0 0 0 433.00
363 Tiamin HCl mononitrat (vit B1) inj ampul ampul 0 0 0 0 1,040.00
364 Tiamin HCl mononitrat ( vit B1) tab 1000 tablet / botol tablet 4270 0 30 4240 39.00
365 Tiamin HCl mononitrat ( vit B1) tab 1000 tablet / botol tablet 0 0 0 0 100.00
366 Tramadol injeksi ampul ampul 0 0 0 0 2,520.00
367 Tramadol tablet 50 mg 50 tablet / box tablet 0 0 0 0 336.00
368 Trihexyphenidyl HCl tab 2 mg 100 tablet / box tablet 580 0 40 540 47.00
369 Tuzalos cap 100 cap / box tablet 184 0 0 184 700.00
370 Truvit Syrup botol 60 ml botol 0 0 0 0 12,600.00
371 Umbilical cord clamb pcs pcs 0 0 0 0 3,000.00
372 Underpad pcs pcs 0 0 0 0 4,800.00
373 Urine Bag pcs pcs 0 0 0 0 7,500.00
374 Urine Bag pcs pcs 0 0 0 0 7,450.00
375 Vasovix no. 18 50 pcs / box pcs 0 0 0 0 9,187.50
376 Vasovix no. 20 50 pcs / box pcs 0 0 0 0 9,187.50
377 Vasovix no. 22 50 pcs / box pcs 0 0 0 0 9,187.50
378 Vasovix no. 24 50 pcs / box 0 0 0 0 0 9,187.50
379 Verorab injeksi ampul / kotak ampul 0 0 0 0 145,000.00
380 Verorab injeksi ( RABIPUR ) ampul / kotak ampul 0 0 0 0 78,500.00
 Surat
Dasar Barang - Barang
Saldo Awal
Tanggal Peneri NO Nama Obat Kemasan Satuan Harga Satuan
Barang Masuk Keluar Sisa
maan/
1 Pengel
2 3 4 5 6 7 8.00
381 Vitamin B Kompleks tablet 100 tablet / box tablet 1356 0 463 893 110.00
382 Vitka infant inj ampul ampul 60 0 0 60 8,500.00
383 Vitka infant inj ampul ampul 0 0 0 0 8,629.00
384 Wing Needle No. 23 G pcs pcs 0 0 0 0 5,772.38
385 Xephalium Tablet 50 tablet / box tablet 0 0 0 0 5,000.00
386 Xilol 100 ml botol 100 ml botol 0 0 0 0 19,000.00
387 Yodium povidon larutan 10% - 30 m botol 30 ml botol 6 0 0 6 2,250.00
388 Yodium povidon larutan 10% - 60 m botol 60 ml botol 0 0 0 0 3,500.00
389 Yodium povidon larutan 10% - 60 m botol 60 ml botol 0 0 0 0 6,298.00
390 Yodium povidon larutan 10% - 300 botol 300 ml botol 4 0 0 4 14,771.00
391 Yodium povidon larutan 10% -1000 botol 1000 ml botol 4 0 0 4 38,594.00
392 Zink Tablet 20 mg 100 tablet / box tablet 163 0 60 103 497.00

Mengetahui :
PLT. UPTD Kesehatan teluk kuantan
Kabupaten Kuantan Singingi

Hj.SURYATI,SST
NIP.19681101 198811 2 001
 Jumlah Harga Barang yg Diterima /Yang
Saldo Awal Dikeluarkan / Sisa Ket.
Harga
Bertambah Berkurang Sisa
9.00 10 11 12 13

- - - -
775,000.00 - - 775,000.00
775,000.00 - - 775,000.00
- - - -
83,700.00 - 18,600.00 65,100.00
- - - -
- - - -
147,660.00 - - 147,660.00
- - - -
- - - -
- - - -
- - - -
478,500.00 - - 478,500.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
 Jumlah Harga Barang yg Diterima /Yang
Saldo Awal Dikeluarkan / Sisa Ket.
Harga
Bertambah Berkurang Sisa
9.00 10 11 12 13
- - - -
- - - -
- - - -
- - - -
- - - -
139,815.00 - - 139,815.00
- - - -
- - - -
- - - -
- - - -
402,500.00 - 52,500.00 350,000.00
- - - -
- - - -
- - - -
- - - -
- - - -
6,480.00 - - 6,480.00
- - - -
48,070.00 - - 48,070.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
5,282.00 - 5,282.00 -
- - - -
- - - -
- - - -
- - - -
 Jumlah Harga Barang yg Diterima /Yang
Saldo Awal Dikeluarkan / Sisa Ket.
Harga
Bertambah Berkurang Sisa
9.00 10 11 12 13
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
51,600.00 - - 51,600.00
- - - -
- - - -
114,000.00 - 18,240.00 95,760.00
- - - -
- - - -
90,700.00 - - 90,700.00
- - - -
- - - -
- - - -
200,000.00 - - 200,000.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
23,920.00 - 14,444.00 9,476.00
- - - -
696,000.00 - - 696,000.00
- - - -
 Jumlah Harga Barang yg Diterima /Yang
Saldo Awal Dikeluarkan / Sisa Ket.
Harga
Bertambah Berkurang Sisa
9.00 10 11 12 13
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
212,790.00 - - 212,790.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
294,060.00 - 71,760.00 222,300.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
 Jumlah Harga Barang yg Diterima /Yang
Saldo Awal Dikeluarkan / Sisa Ket.
Harga
Bertambah Berkurang Sisa
9.00 10 11 12 13
- - - -
- - - -
- - - -
- - - -
- - - -
232,470.00 - - 232,470.00
- - - -
- - - -
51,150.00 - 10,230.00 40,920.00
136,000.00 - 13,600.00 122,400.00
- - - -
- - - -
- - - -
765,450.00 - - 765,450.00
- - - -
- - - -
417,360.00 - 8,880.00 408,480.00
- - - -
- - - -
- - - -
- - - -
- - - -
9,180.00 - - 9,180.00
171,815.00 - - 171,815.00
- - - -
- - - -
220,000.00 - - 220,000.00
- - - -
- - - -
- - - -
 Jumlah Harga Barang yg Diterima /Yang
Saldo Awal Dikeluarkan / Sisa Ket.
Harga
Bertambah Berkurang Sisa
9.00 10 11 12 13
- - - -
- - - -
- - - -
- - - -
102,912.00 - 15,008.00 87,904.00
- - - -
402,264.00 - 19,980.00 382,284.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
130,660.00 - 17,484.00 113,176.00
173,316.00 - 5,757.00 167,559.00
- - - -
- - - -
- - - -
- - - -
36,588.00 - - 36,588.00
- - - -
72,210.00 - 4,408.00 67,802.00
- - - -
41,668.40 - 13,169.20 28,499.20
- - - -
- - - -
- - - -
109,200.00 - - 109,200.00
 Jumlah Harga Barang yg Diterima /Yang
Saldo Awal Dikeluarkan / Sisa Ket.
Harga
Bertambah Berkurang Sisa
9.00 10 11 12 13
417,220.00 - - 417,220.00
- - - -
97,200.00 - - 97,200.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
99,876.00 - - 99,876.00
275,859.00 - 8,568.00 267,291.00
- - - -
- - - -
- - - -
4,650.00 - - 4,650.00
49,499.64 - - 49,499.64
- - - -
182,000.00 - 18,772.00 163,228.00
- - - -
22,500.00 - - 22,500.00
- - - -
- - - -
267,986.66 - - 267,986.66
- - - -
- - - -
- - - -
- - - -
 Jumlah Harga Barang yg Diterima /Yang
Saldo Awal Dikeluarkan / Sisa Ket.
Harga
Bertambah Berkurang Sisa
9.00 10 11 12 13
- - - -
88,740.00 - 9,860.00 78,880.00
119,082.00 - - 119,082.00
- - - -
- - - -
358,800.00 - 215,280.00 143,520.00
- - - -
- - - -
74,185.00 - 30,075.00 44,110.00
- - - -
104,400.00 - 4,350.00 100,050.00
- - - -
- - - -
- - - -
- - - -
- - - -
58,320.00 - - 58,320.00
- - - -
46,662.00 - 22,220.00 24,442.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
149,430.00 - - 149,430.00
- - - -
- - - -
- - - -
42,688.00 - 10,672.00 32,016.00
 Jumlah Harga Barang yg Diterima /Yang
Saldo Awal Dikeluarkan / Sisa Ket.
Harga
Bertambah Berkurang Sisa
9.00 10 11 12 13
24,000.00 - 13,280.00 10,720.00
- - - -
180,000.00 - - 180,000.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
49,200.00 - 3,280.00 45,920.00
- - - -
- - - -
- - - -
- - - -
- - - -
733,950.00 - 12,600.00 721,350.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
2,658,540.00 - - 2,658,540.00
 Jumlah Harga Barang yg Diterima /Yang
Saldo Awal Dikeluarkan / Sisa Ket.
Harga
Bertambah Berkurang Sisa
9.00 10 11 12 13
49,950.00 - 24,420.00 25,530.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
79,920.00 - 28,080.00 51,840.00
- - - -
- - - -
- - - -
- - - -
- - - -
202,700.00 - - 202,700.00
- - - -
- - - -
 Jumlah Harga Barang yg Diterima /Yang
Saldo Awal Dikeluarkan / Sisa Ket.
Harga
Bertambah Berkurang Sisa
9.00 10 11 12 13
108,480.00 - 84,960.00 23,520.00
- - - -
26,928.00 - 26,928.00 -
- - - -
- - - -
- - - -
- - - -
414,000.00 - - 414,000.00
- - - -
- - - -
145,000.00 - - 145,000.00
445,055.00 - - 445,055.00
- - - -
19,404.00 - 1,232.00 18,172.00
88,664.31 - 1,023.12 87,641.19
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
25,920.00 - - 25,920.00
34,100.00 - 24,200.00 9,900.00
204,000.00 - - 204,000.00
- - - -
- - - -
- - - -
- - - -
 Jumlah Harga Barang yg Diterima /Yang
Saldo Awal Dikeluarkan / Sisa Ket.
Harga
Bertambah Berkurang Sisa
9.00 10 11 12 13
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
378,000.00 - - 378,000.00
106,144.00 - 2,976.00 103,168.00
76,032.00 - - 76,032.00
- - - -
- - - -
- - - -
- - - -
- - - -
275,000.00 - - 275,000.00
- - - -
- - - -
- - - -
- - - -
- - - -
113,100.00 - - 113,100.00
- - - -
90,000.00 - 10,320.00 79,680.00
406,000.00 - - 406,000.00
- - - -
- - - -
- - - -
- - - -
- - - -
 Jumlah Harga Barang yg Diterima /Yang
Saldo Awal Dikeluarkan / Sisa Ket.
Harga
Bertambah Berkurang Sisa
9.00 10 11 12 13
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
166,530.00 - 1,170.00 165,360.00
- - - -
- - - -
- - - -
27,260.00 - 1,880.00 25,380.00
128,800.00 - - 128,800.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
 Jumlah Harga Barang yg Diterima /Yang
Saldo Awal Dikeluarkan / Sisa Ket.
Harga
Bertambah Berkurang Sisa
9.00 10 11 12 13
149,160.00 - 50,930.00 98,230.00
510,000.00 - - 510,000.00
- - - -
- - - -
- - - -
- - - -
13,500.00 - - 13,500.00
- - - -
- - - -
59,084.00 - - 59,084.00
154,376.00 - - 154,376.00
81,011.00 - 29,820.00 51,191.00
18,300,227.01 - 926,238.32 17,373,988.69
18,300,227.01 18,300,227.01

Yang Mengeluarkan :
Pengelola Obat UPTD kes.Teluk Kuantan
Kabupaten Kuantan Singingi

YENI AFRIDA NINGSIH

NIP.19671225 199203 2 008