Januari 2021

STOCK PER 31 DESEMBER 2019 PELAYANAN
UPT PUSKESMAS BLOOTO
JANUARI-DESEMBER 2019
SUMBER
ANGGARAN JUMLAH HARGA STOCK PENERIMAA JUMLAH HARGA PENGELUA JUMLAH HARGA STOCK
HARGA
JUMLAH HARGA
AWAL AWAL N PENERIMAAN RAN PENGELUARAN AKHIR AKHIR
NAMA OBAT
PKD
1 Acyclovir cream 62,370.00 18 145 502,425.00 147 509,355.00 16 3,465.00 55,440.00
2 Acyclovir tablet 400 mg 190,000.00 500 3500 1,330,000.00 3881 1,474,780.00 119 380.00 45,220.00
3 Alopurinol tablet 100 mg 264,907.00 2731 2000 194,000.00 3759 364,623.00 972 97.00 94,284.00
4 Alprazolam1mg 32,175.00 225 0 - 225 32,175.00 0 143.00 -
5 Aminofilin inj. 86,970.00 26 0 - 26 86,970.00 0 3,345.00 -
6 Amitriptilin HCl tablet salut 25 21,952.00 196 0 - 196 21,952.00 0 112.00 -
7 Amlodipin 10 mg 317,223.00 3411 0 - 2592 241,056.00 819 93.00 76,167.00
8 Amlodipin 5 mg 430,500.00 6150 36000 2,520,000.00 39522 2,766,540.00 2628 70.00 183,960.00
9 Amoksisilin kaplet 500 mg 1,571,818.00 6746 11200 2,609,600.00 16621 3,872,693.00 1325 233.00 308,725.00
10 Amoksisilin syr 250mg/5ml 268,600.00 79 0 - 79 268,600.00 0 3,400.00 -
11 Antapulgit 455,872.00 3352 1300 176,800.00 4652 632,672.00 0 136.00 -
12 Antasida sirup 81,795.00 41 0 - 41 81,795.00 0 1,995.00 -
13 Anti Hemoroid DOEN Kombinas 139,348.00 44 0 - 44 139,348.00 0 3,167.00 -
14 Asam Askorbat (Vit C) tablet 50 959,175.00 9135 0 - 9135 959,175.00 0 105.00 -
15 Asam mefenamat 500mg 417,871.00 4057 1300 133,900.00 5357 551,771.00 0 103.00 -
16 Betahistin mesilat 6mg 133,100.00 1210 0 - 1210 133,100.00 0 110.00 -
17 Betametason krim 0.1% 100,500.00 75 145 194,300.00 220 294,800.00 0 1,340.00 -
18 Captopril 25mg 112,850.00 1525 0 - 752 55,648.00 773 74.00 57,202.00
19 Cefadroxil 500 1,413,446.00 2957 0 - 2957 1,413,446.00 0 478.00 -
20 Cetirizin 10 mg 243,720.00 2708 1920 172,800.00 4628 416,520.00 0 90.00 -
21 Cetrizin Syr 267,900.00 94 0 - 94 267,900.00 0 2,850.00 -
22 Clobazam 10mg 216,000.00 240 0 - 240 216,000.00 0 900.00 -
23 Codein 10mg 693,000.00 1260 0 - 1236 679,800.00 24 550.00 13,200.00
24 Cyprofloksasin tab 500 mg 405,715.00 1531 0 - 1531 405,715.00 0 265.00 -
25 Deksametason injeksi 5 mg/ml - 122,958.00 81 0 - 81 122,958.00 0 1,518.00 -
26 Deksametason tablet 0,5 mg 94,240.00 2945 24500 784,000.00 27445 878,240.00 0 32.00 -
27 Diazepam Rectal Tube 5mg 103,725.00 9 0 - 9 103,725.00 0 11,525.00 -
28 Diazepam tablet 2 mg 38,184.00 444 800 68,800.00 1244 106,984.00 0 86.00 -
29 Difenhidramin HCl inj 10 mg/ml 36,135.00 33 0 - 3 3,285.00 30 1,095.00 32,850.00
30 Domperidon 10 mg 72,760.00 856 1500 127,500.00 2356 200,260.00 0 85.00 -
31 Domperidon syr. 336,000.00 112 555 1,665,000.00 667 2,001,000.00 0 3,000.00 -
32 Ephinefrin inj. 135,168.00 96 0 - 28 39,424.00 68 1,408.00 95,744.00
33 Eritromicin 500mg 798,750.00 1065 0 - 791 593,250.00 274 750.00 205,500.00
34 Fitomenadion (Vit.K1) 132,552.00 36 110 405,020.00 146 537,572.00 0 3,682.00 -
35 Fitomenadion (Vit.K1) 239,777.00 347 0 - 0 - 347 691.00 239,777.00
36 Furosemid injeksi 33,325.00 25 0 - 5 6,665.00 20 1,333.00 26,660.00
37 Gemfibrozil 300 339,864.00 1176 0 - 1176 339,864.00 0 289.00 -
38 Gentamicin Tetes Mata 507,840.00 120 0 - 120 507,840.00 0 4,232.00 -
39 Gentamicin TM 0,3 mg 128,000.00 32 0 - 32 128,000.00 0 4,000.00 -
40 GGL (gliseril guaiakolat 100 mg) 440,000.00 4000 0 - 4000 440,000.00 0 110.00 -
41 Glibenklamid tablet 5 mg 181,832.00 1528 2600 309,400.00 3828 455,532.00 300 119.00 35,700.00
42 Glimepirid 4 mg 93,690.00 347 0 - 347 93,690.00 0 270.00 -
43 Haloperidol 5mg 16,608.00 173 0 - 173 16,608.00 0 96.00 -
44 Haloperidol 5mg 60,000.00 800 0 - 800 60,000.00 0 75.00 -
45 Hidrokortison krim 2,5 % 136,125.00 55 48 118,800.00 103 254,925.00 0 2,475.00 -
46 Kalsium Laktat 500mg 245,440.00 4160 16000 944,000.00 20160 1,189,440.00 0 59.00 -
47 Karbamazepin tablet 200 mg 291,550.00 1190 500 122,500.00 1690 414,050.00 0 245.00 -
48 Kotrimoksasol tablet 151,248.00 1096 0 - 1096 151,248.00 0 138.00 -
49 Kotrimoksazol suspensi 74,900.00 35 51 109,140.00 64 136,960.00 22 2,140.00 47,080.00
50 Lidocain murni 68,800.00 80 340 292,400.00 393 337,980.00 27 860.00 23,220.00
51 Loratadin 76,998.00 626 1000 123,000.00 1626 199,998.00 0 123.00 -
52 Metamizole injeksi 500mg 73,500.00 21 650 2,275,000.00 671 2,348,500.00 0 3,500.00 -
53 Metformin HCL 500mg 191,712.00 1997 21800 2,092,800.00 23797 2,284,512.00 0 96.00 -
54 Metilergometrin Maleat inj 1,583,560.00 590 0 - 537 1,441,308.00 53 2,684.00 142,252.00
55 Natrium diklofenak 50mg 336,605.00 2927 4400 506,000.00 7327 842,605.00 0 115.00 -
56 Nistatin tablet vaginal 100.000 I 32,160.00 67 0 - 10 4,800.00 57 480.00 27,360.00
57 Oksimetazolin Tetes Hidung 0,0 450,000.00 15 0 - 15 450,000.00 0 30,000.00 -
58 PARACETAMOL DROP 139,629.00 21 56 372,344.00 67 445,483.00 10 6,649.00 66,490.00
59 Parasetamol sirup 120 mg/5 ml 241,390.00 239 380 383,800.00 619 625,190.00 0 1,010.00 -
60 Parasetamol tablet 500 mg 238,500.00 4500 57000 3,021,000.00 60474 3,205,122.00 1026 53.00 54,378.00
61 Piridoksin HCl (Vit.B6) tablet 1 340,784.00 2888 2000 236,000.00 4294 506,692.00 594 118.00 70,092.00
62 Ranitidin 536,107.00 2119 4500 1,138,500.00 6619 1,674,607.00 0 253.00 -
63 Ranitidin inj 25mg/2ml 151,510.00 109 100 139,000.00 209 290,510.00 0 1,390.00 -
64 Salbutamol 4mg 57,602.00 694 0 - 363 30,129.00 331 83.00 27,473.00
65 Salisil Bedak 2 % 49,200.00 48 20 20,500.00 68 69,700.00 0 1,025.00 -
66 Sianokobalamin (Vit.B12) 50mg 46,000.00 1000 0 - 1000 46,000.00 0 46.00 -
67 Sianokobalamin (Vit.B12) 50mg 2,565.00 45 0 - 45 2,565.00 0 57.00 -
68 Sufadiazin perak krim 62,100.00 3 0 - 3 62,100.00 0 20,700.00 -
69 Triflorperazin 5mg ( Stelazin Tab. 24,300.00 60 0 - 60 24,300.00 0 405.00 -
70 Vitamin B Kompleks tablet 1,494.00 18 22000 1,826,000.00 22018 1,827,494.00 0 83.00 -
71 zink tablet 483,652.00 923 400 209,600.00 1323 693,252.00 0 524.00 -
72 klopidogrel 600,000.00 300 0 - 300 600,000.00 0 2,000.00 -
73 Klozapin 25mg 549,290.00 490 300 336,300.00 790 885,590.00 0 1,121.00 -
74 ISOSOrbid Dinitrat tablet subli - 0 300 26,700.00 300 26,700.00 0 89.00 -
75 omeprazol 20mg - 0 2340 304,200.00 2340 304,200.00 0 130.00 -
76 Ranitidin Inj 25mg/2ml - 0 100 254,100.00 100 254,100.00 0 2,541.00 -
77 Prednison Tablet 5 Mg(2018) - 0 500 34,000.00 500 34,000.00 0 68.00 -
78 Klorfeniramine Maleat tab 4 mg - 0 14000 308,000.00 11988 263,736.00 2012 22.00 44,264.00
79 Siprofloxacin tab 500 mg (2018) - 0 2400 636,000.00 2400 636,000.00 0 265.00 -
80 KAEN 3B/lar.mengandung nacl 1 - 0 60 641,760.00 60 641,760.00 0 10,696.00 -
81 d51/4 lar mengandung (glukose - 0 100 972,400.00 100 972,400.00 0 9,724.00 -
82 glukosa lar.infus 10%steril (2018 - 0 40 300,000.00 40 300,000.00 0 7,500.00 -
83 nifedipin tab10mg (2018) - 0 100 23,100.00 100 23,100.00 0 231.00 -
84 sefotaksim serbuk injeksi 1g (201 - 0 280 1,176,000.00 280 1,176,000.00 0 4,200.00 -
85 antasida doen tab kunyah komb( - 0 31600 1,706,400.00 31600 1,706,400.00 0 54.00 -
86 HALDOL DECANOAS-Haloperido - 0 10 975,000.00 10 975,000.00 0 97,500.00 -
87 asam folat 1mg(2018) - 0 2900 203,000.00 2900 203,000.00 0 70.00 -
88 simvastatin scored 10mg - 0 4620 508,200.00 4079 448,690.00 541 110.00 59,510.00
89 paracetamol sirup 120mg/5ml(20 - 0 400 442,800.00 400 442,800.00 0 1,107.00 -
90 Setrizin 10 mg (2018) - 0 4200 600,600.00 3013 430,859.00 1187 143.00 169,741.00
91 bedak salicil serbuk 2%(2018) - 0 85 226,270.00 85 226,270.00 0 2,662.00 -
92 clobazam 10mg(2018) - 0 1300 960,700.00 388 286,732.00 912 739.00 673,968.00
93 difenhidraminiji.v/im 10mg/ml (h - 0 50 54,750.00 50 54,750.00 0 1,095.00 -
94 metilprednisolon 4mg - 0 6000 804,000.00 5802 777,468.00 198 134.00 26,532.00
95 Ketoralac Inj - 0 36 46,440.00 36 46,440.00 0 1,290.00 -
96 piridoksin(vit.B6)tab 10mg(hcl)( - 0 4100 504,300.00 4100 504,300.00 0 123.00 -
97 anastetik lokal gigi doen injeksi( - 0 60 68,700.00 0 - 60 1,145.00 68,700.00
98 Fitomenadion Inj - 0 120 426,000.00 120 426,000.00 0 3,550.00 -
99 Haloperidol tab 0,5mg (2018) - 0 300 16,500.00 155 8,525.00 145 55.00 7,975.00
100 karbamazepin tablet 200 mg(201 - 0 500 115,000.00 500 115,000.00 0 230.00 -
101 Permetrin krim 5% (2018) - 0 20 236,500.00 20 236,500.00 0 11,825.00 -
102 Dexametason - 0 3800 121,600.00 3800 121,600.00 0 32.00 -
103 Miconazol krim - 0 72 245,808.00 72 245,808.00 0 3,414.00 -
104 D51/2 NS(2018) - 0 100 977,600.00 100 977,600.00 0 9,776.00 -
105 COMBIVENT/komb.ipratropium in - 0 40 182,000.00 40 182,000.00 0 4,550.00 -
106 gentamisin salep mata 0,3%(2018 - 0 24 64,200.00 24 64,200.00 0 2,675.00 -
107 ketokonazole krim 2% (2018) - 0 65 163,670.00 65 163,670.00 0 2,518.00 -
108 fitomenadion/vitk1 tab salut gul - 0 500 355,000.00 500 355,000.00 0 710.00 -
109 salep 2-4 komb(2018) - 0 5 13,100.00 3 7,860.00 2 2,620.00 5,240.00
110 ketorolac inj 30mg (2018) - 0 190 198,550.00 115 120,175.00 75 1,045.00 78,375.00
111 klorpromazin tab salut 100mg - 0 400 58,800.00 400 58,800.00 0 147.00 -
112 metilergometrin maleat(metilerg - 0 500 105,000.00 0 - 500 210.00 105,000.00
113 sulfasetamida natrium tetes mata - 0 20 292,000.00 1 14,600.00 19 14,600.00 277,400.00
114 karbamazepin tablet 200 mg(201 - 0 1000 230,000.00 340 78,200.00 660 230.00 151,800.00
115 Amitriptilin HCl tablet salut 25 m - 0 1000 167,000.00 553 92,351.00 447 167.00 74,649.00
116 Metronidazole supp 500 mg (ovula - 0 120 492,000.00 120 492,000.00 0 4,100.00 -
117 Permetrin krim 5% (2018) - 0 20 236,500.00 20 236,500.00 0 11,825.00 -
118 furosemid tab 40mg (2018) - 0 400 30,800.00 166 12,782.00 234 77.00 18,018.00
119 Glukosa larutan infus 5 % steril ( - 0 40 208,000.00 34 176,800.00 6 5,200.00 31,200.00
120 Betamethason krim 0,1% (2018) - 0 100 335,000.00 100 335,000.00 0 3,350.00 -
121 setrizin Sirup 5 mg /5ml - 0 90 256,500.00 90 256,500.00 0 2,850.00 -
122 Betamethason valerat krim 0,1 ( - 0 25 33,500.00 15 20,100.00 10 1,340.00 13,400.00
JUMLAH 20,034,936.00 42,798,277.00 59,098,667.00 3,734,546.00
1 Alinamin F 13,860.00 14 0 - 14 13,860.00 0 990.00 -
2 Alinamin F 809,600.00 800 0 - 800 809,600.00 0 1,012.00 -
3 Bevalex 52,140.00 4 0 - 4 52,140.00 0 13,035.00 -
4 Baby Cough 233,948.00 52 60 269,940.00 112 503,888.00 0 4,499.00 -
5 Bioplacenton 80,025.00 5 13 208,065.00 18 288,090.00 0 16,005.00 -
6 Caladin Lotion 100,100.00 7 0 - 7 100,100.00 0 14,300.00 -
7 Cendo Asthenof 5 ml 482,790.00 19 0 - 19 482,790.00 0 25,410.00 -
8 Cendo Catarlens Tetes Mata 503,910.00 18 0 - 18 503,910.00 0 27,995.00 -
9 Cendo Vitrolenta 618,750.00 15 10 412,500.00 25 1,031,250.00 0 41,250.00 -
10 Dionicol dry Sirup 402,600.00 61 50 330,000.00 74 488,400.00 37 6,600.00 244,200.00
11 Genoint salep Kulit 214,500.00 39 169 929,500.00 208 1,144,000.00 0 5,500.00 -
12 Litrol Tetes Mata 72,800.00 4 0 - 4 72,800.00 0 18,200.00 -
13 Glaucon Tab 748,880.00 148 0 - 0 - 148 5,060.00 748,880.00
14 Lacto B 161,000.00 23 760 5,320,000.00 783 5,481,000.00 0 7,000.00 -
15 peditok 27,200.00 4 4 27,200.00 3 20,400.00 5 6,800.00 34,000.00
16 OBH Itrasal 396,880.00 88 0 - 88 396,880.00 0 4,510.00 -
17 Reco tetes mata 220,000.00 25 0 - 25 220,000.00 0 8,800.00 -
18 Sabun hijau 95,000.00 19 34 170,000.00 43 215,000.00 10 5,000.00 50,000.00
19 gom 79,125.00 25 48 151,920.00 73 231,045.00 0 3,165.00 -
20 Cendo Augentonic 456,060.00 15 0 - 15 456,060.00 0 30,404.00 -
21 Thiamfilex dry syrup - 0 180 1,439,460.00 180 1,439,460.00 0 7,997.00 -
22 Bevalex - 0 53 690,855.00 53 690,855.00 0 13,035.00 -
23 Thiamex 500mg - 0 3900 3,088,800.00 2977 2,357,784.00 923 792.00 731,016.00
24 spasminal - 0 300 188,100.00 0 - 300 627.00 188,100.00
25 QOM - 0 16 50,640.00 3 9,495.00 13 3,165.00 41,145.00
26 Caladin Lotion - 0 12 171,600.00 12 171,600.00 0 14,300.00 -
27 genoint salep kulit 1% - 0 75 412,500.00 75 412,500.00 0 5,500.00 -
28 Fasidol - 0 5600 862,400.00 5600 862,400.00 0 154.00 -
29 Cendo Asthenof 5 ml - 0 10 254,200.00 10 254,200.00 0 25,420.00 -
30 Cendo Catarlent - 0 10 284,900.00 4 113,960.00 6 28,490.00 170,940.00
JUMLAH 5,769,168.00 15,262,580.00 18,823,467.00 2,208,281.00
SARPRAS Promactil
1 176,000.00 400 2000 880,000.00 2400 1,056,000.00 0 440.00 -
JUMLAH 176,000.00 880,000.00 1,056,000.00 -
BSP Garam Oralit untuk 200 ml air
1 58,608.00 222 700 184,800.00 922 243,408.00 0 264.00 -
2 Tablet Tambah Darah 1,713,360.00 4840 24600 8,708,400.00 28640 10,138,560.00 800 354.00 283,200.00
3 retinol 200.000 iu - 0 400 207,680.00 350 181,720.00 50 519.20 25,960.00
4 OAT Kategori 1 (harga 2018) - 0 49 19,077,856.00 49 19,077,856.00 0 389,344.00 -
5 triheksifenidil hcl tab 2mg - 0 2200 187,000.00 2200 187,000.00 0 85.00 -
6 haloperidol tab 5mg - 0 1900 106,400.00 1900 106,400.00 0 56.00 -
7 zink dispersible 20mg - 0 3000 1,572,000.00 2527 1,324,148.00 473 524.00 247,852.00
8 OAT Kategori 2 (harga 6 mei 2019 - 0 3 3,893,667.00 3 3,893,667.00 0 1,297,889.00 -
9 OAT Kategori Anak (harga 2018 ) - 0 5 1,162,590.00 5 1,162,590.00 0 232,518.00 -
10 triheksifenidil hcl tab 2mg - 0 300 25,500.00 300 25,500.00 0 85.00 -
11 oat kat.anak (harga 9 oktober 20 - 0 5 1,240,600.00 5 1,240,600.00 0 248,120.00 -
12 triheksifenidil hcl tab 2mg(harga - 0 1000 91,000.00 788 71,708.00 212 91.00 19,292.00
JUMLAH 1,771,968.00 36,457,493.00 37,653,157.00 576,304.00
BMHP Acyclovir 400mg
1 87,250.00 250 0 - 250 87,250.00 0 349.00 -
2 asering 231,875.00 25 700 6,492,500.00 725 6,724,375.00 0 9,275.00 -
BMHP
3 Cefotaxime inj 1gr 142,042.00 29 0 - 29 142,042.00 0 4,898.00 -

4 Diazepam Inj 25,080.00 6 30 125,400.00 32 133,760.00 4 4,180.00 16,720.00
5 Aqua pro Injeksi steril, bebas pir 40,000.00 20 320 640,000.00 309 618,000.00 31 2,000.00 62,000.00
6 Hidroklortiazide 25 mg 59,600.00 400 500 74,500.00 641 95,509.00 259 149.00 38,591.00
7 Isoniazid 100 Mg 6,500.00 100 0 - 100 6,500.00 0 65.00 -
8 Metampiron 500mg tab 364,960.20 2742 0 - 2742 364,960.20 0 133.10 -
9 Ondancetron Injeksi 4mg 37,950.00 23 200 330,000.00 223 367,950.00 0 1,650.00 -
10 Permetrine 5% Krim/Scabimite 388,960.00 32 30 364,650.00 61 741,455.00 1 12,155.00 12,155.00
11 Ringer Laktat larutan infus steril 364,650.00 51 0 - 51 364,650.00 0 7,150.00 -
12 Siprofloxacin 430,211.00 1531 0 - 1531 430,211.00 0 281.00 -
13 Thiamex 773,195.50 1057 3000 2,194,500.00 4057 2,967,695.50 0 731.50 -
14 Wida RD 119,700.00 14 40 342,000.00 34 290,700.00 20 8,550.00 171,000.00
15 Wida D5 1/2 NS 629,800.00 67 360 3,384,000.00 384 3,609,600.00 43 9,400.00 404,200.00
16 Wida D5 1/4 NS 663,850.00 71 40 374,000.00 111 1,037,850.00 0 9,350.00 -
17 Tiamin HCl / Mononitrat (Vit.B1) 167,270.00 1945 200 17,200.00 1820 156,520.00 325 86.00 27,950.00
JUMLAH 4,532,893.70 14,338,750.00 18,139,027.70 732,616.00
BLUD
1 Molexflu 1,147,527.00 2511 2850 1,302,450.00 5361 2,449,977.00 0 457.00 -
2 Dexmolex syrup 370,032.00 39 10 94,880.00 49 464,912.00 0 9,488.00 -
3 Mediamer 605,058.00 186 300 975,900.00 236 767,708.00 250 3,253.00 813,250.00
4 Crofed 11,085,972.00 7012 8000 12,648,000.00 14582 23,054,142.00 430 1,581.00 679,830.00
5 Erlamicetin TT 26,000.00 4 7 45,500.00 11 71,500.00 0 6,500.00 -
6 Oksitosin inj 83,599.56 44 0 - 44 83,599.56 0 1,899.99 -
7 Dextral 1,507,380.00 2590 9750 5,674,500.00 12340 7,181,880.00 0 582.00 -
8 Reco tetes mata 26,550.00 3 0 - 3 26,550.00 0 8,850.00 -
9 Megatic cream 122,958.00 9 0 - 9 122,958.00 0 13,662.00 -
10 Mantino 82,160.00 130 0 - 130 82,160.00 0 632.00 -
11 ketokenazole 200mg 224,004.00 800 100 28,000.50 641 179,483.21 259 280.01 72,521.30
12 Khloramphenicol salep mata 57,904.00 32 35 63,332.50 44 79,618.00 23 1,809.50 41,618.50
13 Griseovulvin 125mg 83,402.00 340 0 - 9 2,207.70 331 245.30 81,194.30
14 Dulcolax 5 mg suppo 98,600.00 17 24 139,200.00 41 237,800.00 0 5,800.00 -
15 vagizol ovula 500mg 230,782.00 58 0 - 38 151,202.00 20 3,979.00 79,580.00
16 Spasminal 807,400.00 1100 1700 1,247,800.00 2800 2,055,200.00 0 734.00 -
17 Curcuma 487,060.00 490 0 - 490 487,060.00 0 994.00 -
18 Simvastatin 10mg 86,580.00 780 0 - 780 86,580.00 0 111.00 -
19 Dexametason 94,240.00 2945 0 - 2945 94,240.00 0 32.00 -
20 Profolat 125,996.00 2423 1500 78,000.00 3209 166,868.00 714 52.00 37,128.00
21 Roverton 3,807,420.00 8188 12200 5,673,000.00 20388 9,480,420.00 0 465.00 -
22 Miniaspi 80mg tablet 67,337.00 680 800 79,220.00 1389 137,545.73 91 99.03 9,011.28
23 CTM 77,000.00 3500 0 - 3500 77,000.00 0 22.00 -
24 Captopril 12,5 mg 171,021.00 1569 1300 141,700.00 2579 281,111.00 290 109.00 31,610.00
25 Constantia drop 1,419,364.00 34 30 1,252,380.00 64 2,671,744.00 0 41,746.00 -
26 Daryantulle 1,004,157.00 49 0 - 49 1,004,157.00 0 20,493.00 -
27 vitalex 2,795,650.00 5525 6800 3,440,800.00 12325 6,236,450.00 0 506.00 -
28 Caviplex Syr 1,652,820.00 195 0 - 195 1,652,820.00 0 8,476.00 -
29 Antasida DOEN tab 378,780.00 6420 3300 194,700.00 9720 573,480.00 0 59.00 -
30 Cendo Literrs 15 ml 1,423,150.00 50 92 2,618,596.00 110 3,130,930.00 32 28,463.00 910,816.00
31 Molazol 493,920.00 1260 0 - 0 - 1260 392.00 493,920.00
32 Lexaprofen 400mg 470,074.00 929 1000 506,000.00 1929 976,074.00 0 506.00 -
33 Dimenhidrinat 50 mg 52,497.50 500 2300 241,488.50 2800 293,986.00 0 105.00 -
34 Asam Askorbat (Vit C) tablet 50 957,019.14 9135 0 - 9135 957,019.14 0 104.76 -
35 Cefotaxime inj 1gr 121,800.00 29 150 630,000.00 179 751,800.00 0 4,200.00 -
36 NaCl 0,9% 500ml 403,811.10 63 180 1,153,746.00 243 1,557,557.10 0 6,409.70 -
37 Resperidon 2mg 264,810.00 970 200 54,600.00 1170 319,410.00 0 273.00 -
38 Methilprednisolon 16mg 206,400.00 400 0 - 400 206,400.00 0 516.00 -
39 Glimepiride 2mg 468,648.00 2264 3500 724,500.00 5764 1,193,148.00 0 207.00 -
40 Hidrokortison krim 2,5 % 118,800.00 48 147 363,825.00 195 482,625.00 0 2,475.00 -
41 Salbutamol 2mg 107,793.00 1711 1900 119,700.00 2799 176,337.00 812 63.00 51,156.00
42 Furosemid tab 40mg 25,410.00 330 400 30,800.00 730 56,210.00 0 77.00 -
43 Methil ergometrin 0,125 mg 21,000.00 100 200 42,000.00 300 63,000.00 0 210.00 -
44 Ketokenazol krim 125,900.00 50 25 62,950.00 75 188,850.00 0 2,518.00 -
45 zink syr 136,712.00 46 134 398,248.00 180 534,960.00 0 2,972.00 -
46 kaditic 50mg tablet 499,500.00 1500 2000 666,000.00 3500 1,165,500.00 0 333.00 -
47 Mersibion 1,327,500.00 1500 1710 1,513,350.00 3210 2,840,850.00 0 885.00 -
48 Erlamicetin TT 81,590.00 10 0 - 10 81,590.00 0 8,159.00 -
49 CALUSOL 241,040.00 8 10 301,300.00 18 542,340.00 0 30,130.00 -
50 Duvadilan tab. 1,265,000.00 200 0 - 100 632,500.00 100 6,325.00 632,500.00
51 Sefadroksil Kapsul 500mg 2,282,804.00 2957 1700 1,312,400.00 4657 3,595,204.00 0 772.00 -
52 Ondansentron Tab 8mg 872,700.00 300 0 - 300 872,700.00 0 2,909.00 -
53 Cefixim 100mg 1,376,500.00 500 0 - 111 305,583.00 389 2,753.00 1,070,917.00
54 Combivent 354,900.00 78 0 - 78 354,900.00 0 4,550.00 -
55 Triheksifenidil Hidroklorida tabl 38,420.00 452 0 - 452 38,420.00 0 85.00 -
56 Clindamicin 300mg 582,417.00 999 1000 583,000.00 1600 932,800.00 399 583.00 232,617.00
57 Clindamicin 300mg 577.00 1 0 - 1 577.00 0 577.00 -
58 Triflorperazin 5mg 134,500.00 500 300 80,700.00 800 215,200.00 0 269.00 -
59 Miconazol krim 157,044.00 46 47 160,458.00 72 245,808.00 21 3,414.00 71,694.00
60 Ringer Lactat /Ringer Lactate 50 - 0 600 4,290,000.00 600 4,290,000.00 0 7,150.00 -
61 Methilprednisolon 16 mg - 0 1000 516,000.00 1000 516,000.00 0 516.00 -
62 Amlodipin 10 mg - 0 6600 613,800.00 6600 613,800.00 0 93.00 -
63 Etil Kloride - 0 5 993,750.00 4 795,000.00 1 198,750.00 198,750.00
64 Gentamicin Injeksi - 0 10 42,460.00 10 42,460.00 0 4,246.00 -
65 Trihexyphenidyl Hydrocholride - 0 500 42,500.00 500 42,500.00 0 85.00 -
66 Pharolit - 0 2600 3,411,200.00 2457 3,223,584.00 143 1,312.00 187,616.00
67 Betahistine 6 mg - 0 1000 110,000.00 1000 110,000.00 0 110.00 -
68 Anti haemoroid Supp - 0 80 253,360.80 47 148,849.47 33 3,167.01 104,511.33
69 Solvitron Syr - 0 260 4,440,020.00 245 4,183,865.00 15 17,077.00 256,155.00
70 Erlamycetin Tetes Telinga - 0 45 367,155.00 45 367,155.00 0 8,159.00 -
71 Molexflu - 0 10650 5,069,400.00 10650 5,069,400.00 0 476.00 -
72 Caviplex Syr 60 ml - 0 144 1,220,400.00 144 1,220,400.00 0 8,475.00 -
73 Altran - 0 11200 2,587,200.00 11200 2,587,200.00 0 231.00 -
74 Caviplex Tablet - 0 4700 2,500,400.00 4700 2,500,400.00 0 532.00 -
75 Cefixim 100 mg - 0 1670 4,597,510.00 1670 4,597,510.00 0 2,753.00 -
76 Combivent UDV - 0 40 182,000.00 40 182,000.00 0 4,550.00 -
77 Antasida Tablet Kunyah - 0 2900 156,600.00 2900 156,600.00 0 54.00 -
78 trifluoperazine hydrocloride 5 m - 0 1300 349,700.00 1300 349,700.00 0 269.00 -
79 Forumen Tetes Telinga - 0 15 484,140.00 15 484,140.00 0 32,276.00 -
80 Asam Askorbat (Vitamin C ) tab - 0 7000 733,320.00 7000 733,320.00 0 104.76 -
81 Metformin 500 mg - 0 16397 1,574,112.00 16397 1,574,112.00 0 96.00 -
82 Trihexyphenidyl Hydrocholride - 0 200 17,000.00 200 17,000.00 0 85.00 -
83 Caviplex Syr - 0 130 1,101,750.00 130 1,101,750.00 0 8,475.00 -
84 Trombopob Gel 10 g - 0 15 654,645.00 12 523,716.00 3 43,643.00 130,929.00
85 NaCl 0,9 %/Sodium Chloride 0,9 - 0 200 1,282,000.00 200 1,282,000.00 0 6,410.00 -
86 Dextral - 0 10500 6,415,500.00 10500 6,415,500.00 0 611.00 -
87 Daryatulle - 0 5 1,024,650.00 5 1,024,650.00 0 204,930.00 -
88 Minyak Kayu Putih 60 ml - 0 10 208,730.00 9 187,857.00 1 20,873.00 20,873.00
89 Ampicilin 1gr - 0 10 96,910.00 6 58,146.00 4 9,691.00 38,764.00
90 asering - 0 0 - 0 - 0 8,769.00 -
91 d5% - 0 0 - 0 - 0 6,272.00 -
92 kaen 3b - 0 0 - 0 - 0 9,723.00 -
93 RL ( ringer laktat) - 0 0 - 0 - 0 6,500.00 -
94 atropin sulfat inj 0,25mg/ml - 0 100 159,500.00 20 31,900.00 80 1,595.00 127,600.00
95 mefenamic acid - 0 0 - 0 - 0 93.63 -
96 glimepirid 2mg - 0 0 - 0 - 0 191.42 -
97 glimepirid 2mg - 0 0 - 0 - 0 188.18 -
98 Betahistine 6 mg - 0 0 - 0 - 0 100.00 -
99 oxytocin injeksi 10iU/ml - 0 100 119,900.00 100 119,900.00 0 1,199.00 -
100 ranitidin injeksi 25mg/ml - 0 400 462,000.00 400 462,000.00 0 1,155.00 -
101 Combivent UDV - 0 20 91,000.00 20 91,000.00 0 4,550.00 -
102 Diklofenak Sodium 25mg - 0 2500 320,000.00 2500 320,000.00 0 128.00 -
103 ciprofloxacin 500mg - 0 1000 420,000.00 1000 420,000.00 0 420.00 -
104 Lactobe - 0 1000 7,645,000.00 1000 7,645,000.00 0 7,645.00 -
105 cazetin drop - 0 65 1,391,000.00 65 1,391,000.00 0 21,400.00 -
106 reco tetes mata - 0 25 211,200.00 25 211,200.00 0 8,448.00 -
107 Vastrral - 0 3800 1,881,000.00 3800 1,881,000.00 0 495.00 -
108 Roverton - 0 5000 880,000.00 5000 880,000.00 0 176.00 -
109 Nextira - 0 300 422,400.00 100 140,800.00 200 1,408.00 281,600.00
110 Caviplex sirup - 0 96 921,888.00 96 921,888.00 0 9,603.00 -
111 ranitidin 150mg - 0 3000 462,000.00 3000 462,000.00 0 154.00 -
112 ibuprofen 400mg - 0 3900 1,244,100.00 3169 1,010,911.00 731 319.00 233,189.00
113 Cefixim 100 mg - 0 500 649,000.00 500 649,000.00 0 1,298.00 -
114 Demacoiln - 0 100 44,500.00 100 44,500.00 0 445.00 -
115 Amoksilin syr 125mg - 0 330 1,089,000.00 330 1,089,000.00 0 3,300.00 -
116 Domperidon 10mg - 0 1000 187,000.00 1000 187,000.00 0 187.00 -
117 Mytaderm salep kulit - 0 90 712,800.00 90 712,800.00 0 7,920.00 -
118 Caviplex Tablet - 0 1000 484,000.00 1000 484,000.00 0 484.00 -
119 Amoksilin 500mg - 0 4199 978,367.00 4199 978,367.00 0 233.00 -
120 Amoksilin 500mg - 0 0 - 0 - 0 233.42 -
121 Infalgin - 0 500 193,000.00 500 193,000.00 0 386.00 -
122 Sefadroxil Kapsul 500 mg - 0 2000 1,544,000.00 2000 1,544,000.00 0 772.00 -
123 Clidamycin 300 mg - 0 1000 583,000.00 1000 583,000.00 0 583.00 -
124 trifluoperazine hydrocloride 5 m - 0 500 134,500.00 500 134,500.00 0 269.00 -
125 NaCl 0,9 %/Sodium Chloride 0,9 - 0 100 641,000.00 100 641,000.00 0 6,410.00 -
126 asering - 0 0 - 0 - 0 8,769.00 -
127 kaen 3b - 0 0 - 0 - 0 9,723.00 -
128 mefenamic acid - 0 0 - 0 - 0 9,363.00 -
129 glimepirid 2mg - 0 0 - 0 - 0 188.18 -
130 Betahistine 6 mg - 0 0 - 0 - 0 100.00 -
131 oxytocin injeksi 10iU/ml - 0 100 119,900.00 81 97,119.00 19 1,199.00 22,781.00
132 ranitidin injeksi 25mg/ml - 0 200 231,000.00 200 231,000.00 0 1,155.00 -
133 Diklofenak Sodium 25mg - 0 0 - 0 - 0 6,400.00 -
134 ciprofloxacin 500mg - 0 1900 798,000.00 1900 798,000.00 0 420.00 -
135 Lactobe - 0 240 1,834,800.00 188 1,437,260.00 52 7,645.00 397,540.00
136 cazetin drop - 0 25 535,000.00 21 449,400.00 4 21,400.00 85,600.00
137 Kaditic (Erphaflam) - 0 3600 1,247,400.00 3600 1,247,400.00 0 346.50 -
138 bioplacenton - 0 21 377,685.00 19 341,715.00 2 17,985.00 35,970.00
139 Vastral - 0 1600 792,000.00 898 444,510.00 702 495.00 347,490.00
140 Roverton - 0 1500 264,000.00 1034 181,984.00 466 176.00 82,016.00
141 Caviplex sirup - 0 134 1,286,802.00 134 1,286,802.00 0 9,603.00 -
142 ranitidin 150mg - 0 1500 231,000.00 1500 231,000.00 0 154.00 -
143 Cefixim 100 mg - 0 1200 1,557,600.00 1200 1,557,600.00 0 1,298.00 -
144 Demacoiln - 0 5100 2,269,500.00 5100 2,269,500.00 0 445.00 -
145 Domperidon 10mg - 0 3600 673,200.00 2638 493,306.00 962 187.00 179,894.00
146 ketokonazole 200mg - 0 1700 374,000.00 1700 374,000.00 0 220.00 -
147 Mytaderm salep kulit - 0 30 237,600.00 13 102,960.00 17 7,920.00 134,640.00
148 Caviplex Tablet - 0 2900 1,403,600.00 2900 1,403,600.00 0 484.00 -
149 Antasida Doen - 0 299 16,143.01 299 16,143.01 0 53.99 -
150 Antasida Doen - 0 1 51.70 1 51.70 0 51.70 -
151 Metformin - 0 1 119.89 1 119.89 0 119.89 -
152 Metformin - 0 1 119.89 1 119.89 0 119.89 -
153 asering - 0 600 5,787,600.50 582 5,613,972.49 18 9,646.00 173,628.02
154 d5% - 0 20 137,999.97 20 137,999.97 0 6,900.00 -
155 kaen 3b - 0 200 2,139,200.14 200 2,139,200.14 0 10,696.00 -
156 RL ( ringer laktat) - 0 300 2,145,000.00 300 2,145,000.00 0 7,150.00 -
157 mefenamic acid - 0 6800 700,400.00 6800 700,400.00 0 103.00 -
158 Betahistine 6 mg - 0 4100 451,000.00 3402 374,220.00 698 110.00 76,780.00
159 glimepirid 2mg - 0 6296 1,303,272.00 6296 1,303,272.00 0 207.00 -
160 glimepirid 2mg - 0 1 206.89 1 206.89 0 206.89 -
161 glimepirid 2mg - 0 1 206.80 1 206.80 0 206.80 -
162 Metformin 500 mg - 0 1 95.60 1 95.60 0 95.60 -
163 Amoksilin 500mg - 0 1 233.50 1 233.50 0 233.50 -
164 glimepirid 2mg - 0 1 206.79 1 206.79 0 206.79 -
165 RL ( ringer laktat)infus 500ml - 0 520 3,967,600.00 479 3,654,770.00 41 7,630.00 312,830.00
166 Diklofenak Sodium 25mg - 0 200 25,600.00 0 - 200 128.00 25,600.00
167 Alinamin F - 0 500 527,500.00 165 174,075.00 335 1,055.00 353,425.00
168 Gentamicin Sulfate Salep mata 0 - 0 14 37,450.00 8 21,400.00 6 2,675.00 16,050.00
169 zink syrup - 0 140 425,413.33 140 425,413.33 0 3,038.67 -
170 reco tetes mata - 0 85 718,080.00 52 439,296.00 33 8,448.00 278,784.00
171 Infalgin - 0 1800 495,000.00 1800 495,000.00 0 275.00 -
172 diionicol syr - 0 85 704,055.00 85 704,055.00 0 8,283.00 -
173 dextral - 0 7050 4,441,500.00 7050 4,441,500.00 0 630.00 -
174 glimepirid 2mg - 0 1 206.83 1 206.83 0 206.83 -
175 Clozapine 25 mg - 0 1300 1,457,300.00 1300 1,457,300.00 0 1,121.00 -
176 Omeprazole 20mg - 0 3120 1,029,600.00 3048 1,005,840.00 72 330.00 23,760.00
177 new antides - 0 3800 516,800.00 3800 516,800.00 0 136.00 -
178 Erytromycin 500 mg - 0 600 450,000.00 600 450,000.00 0 750.00 -
179 Gentamicin Sulfate tetes mata 0, - 0 62 262,384.00 34 143,888.00 28 4,232.00 118,496.00
180 asam folat tablet - 0 3000 165,000.00 3000 165,000.00 0 55.00 -
181 paracetamol sirup 120mg/5ml - 0 695 820,795.00 695 820,795.00 0 1,181.00 -
182 vitamin b komplex - 0 6499 578,411.00 6499 578,411.00 0 89.00 -
183 vitamin b komplex - 0 1 95.50 1 95.50 0 95.50 -
184 antasida sirup - 0 300 598,620.00 275 548,735.00 25 1,995.40 49,885.00
185 vitamin C 50mg - 0 4899 514,395.00 4899 514,395.00 0 105.00 -
186 vitamin C 50mg - 0 1 80.50 1 80.50 0 80.50 -
187 CPZ (Chlorpromazine HCL 100mg - 0 1000 157,000.00 153 24,021.00 847 157.00 132,979.00
JUMLAH 43,338,990.30 158,658,222.14 192,259,713.73 9,737,498.72
PKD DAK amlodipin tab 10mg(2019)
2019 1 - 0 7500 742,500.00 7500 742,500.00 0 99.00 -
2 DULCOLAX Bisacodil supp 10m - 0 15 88,500.00 15 88,500.00 0 5,900.00 -
3 gemfibrozil kap 300mg(2019) - 0 240 89,280.00 240 89,280.00 0 372.00 -
4 gemfibrozil kap 300mg(2019) - 0 360 133,920.00 360 133,920.00 0 372.00 -
5 glimepiride tab 4mg(2019) - 0 1200 324,000.00 800 216,000.00 400 270.00 108,000.00
6 d51/4ns - 0 100 972,400.00 83 807,092.00 17 9,724.00 165,308.00
7 amoksisilin kap 500mg - 0 14000 3,486,000.00 14000 3,486,000.00 0 249.00 -
8 setirizin tab 10mg (2019) - 0 3100 279,000.00 3100 279,000.00 0 90.00 -
9 deksametason tab0,5mg - 0 8800 572,000.00 7985 519,025.00 815 65.00 52,975.00
10 natrium diklofenak tab 50mg - 0 14000 1,722,000.00 13679 1,682,517.00 321 123.00 39,483.00
11 sefadroksil kap 500mg - 0 2800 1,946,000.00 2253 1,565,835.00 547 695.00 380,165.00
12 KA-EN 3B Larutan mengandung ele - 0 100 1,069,600.00 100 1,069,600.00 0 10,696.00 -
13 ranitidin tab 150mg - 0 2000 308,000.00 2000 308,000.00 0 154.00 -
14 glimepiride tab 4mg(2019) - 0 0 - 0 - 0 270.00 -
15 simvastatin 10mg (2019) - 0 1800 210,600.00 1800 210,600.00 0 117.00 -
16 diazepam tab 2mg - 0 100 8,600.00 52 4,472.00 48 86.00 4,128.00
17 metamizole/antalgin inj 500mg/ - 0 100 350,000.00 82 287,000.00 18 3,500.00 63,000.00
18 Natrium klorida larutan 0,9% - 0 120 820,800.00 120 820,800.00 0 6,840.00 -
19 kalsium lactat - 0 12800 806,400.00 11765 741,195.00 1035 63.00 65,205.00
20 new antides 600mg - 0 1000 145,000.00 572 82,940.00 428 145.00 62,060.00
21 cefotaxim sodium injeksi 1000mg - 0 200 896,400.00 188 842,616.00 12 4,482.00 53,784.00
22 kotrimoksazol dws komb:sulfame - 0 1000 133,000.00 500 66,500.00 500 133.00 66,500.00
23 sefadroksil sirup kering 125mg/5 - 0 70 292,950.00 57 238,545.00 13 4,185.00 54,405.00
24 vitamin b compleks - 0 23500 2,091,500.00 23500 2,091,500.00 0 89.00 -
25 pamol drops - 0 10 66,490.00 10 66,490.00 0 6,649.00 -
26 fitomenadion(vit.K1)injeksi 2mg/ - 0 30 110,460.00 30 110,460.00 0 3,682.00 -
27 metformin hcl tab 500mg - 0 3000 306,000.00 2160 220,320.00 840 102.00 85,680.00
28 aciklovir tab 400mg - 0 1000 405,000.00 1000 405,000.00 0 405.00 -
29 Asam Mefenamat kap 500mg - 0 6500 2,184,000.00 6409 2,153,424.00 91 336.00 30,576.00
30 bedak salisil serbuk 2% - 0 100 260,000.00 100 260,000.00 0 2,600.00 -
31 Gliseril Guaiakolat tab 100 mg - 0 15100 1,434,500.00 14551 1,382,345.00 549 95.00 52,155.00
32 Isoniazid tab 100 mg - 0 200 29,000.00 200 29,000.00 0 145.00 -
33 Isoniazid tab 100 mg - 0 100 14,500.00 0 - 100 145.00 14,500.00
34 oksitetrasiklin SK 3% - 0 75 191,250.00 41 104,550.00 34 2,550.00 86,700.00
35 asam askorbat (VIT.C)tab 50mg - 0 9000 945,000.00 9000 945,000.00 0 105.00 -
36 asm askorbat (VIT.C)tab 50mg - 0 4900 514,500.00 4900 514,500.00 0 105.00 -
37 glimepirid tab 2mg - 0 8600 1,780,200.00 7461 1,544,427.00 1139 207.00 235,773.00
38 hidrokortison krim 2,5% - 0 96 237,600.00 64 158,400.00 32 2,475.00 79,200.00
39 KODEIN tab 10mg - 0 100 57,100.00 100 57,100.00 0 571.00 -
40 paracetamol sirup 120mg/5ml - 0 200 236,200.00 93 109,833.00 107 1,181.00 126,367.00
41 prednison tab 5mg - 0 1000 73,000.00 0 - 1000 73.00 73,000.00
42 priridoksin (Vit B6)tab.10mg HCL - 0 4900 641,900.00 4022 526,882.00 878 131.00 115,018.00
43 salbutamol tab 2mg - 0 2500 167,500.00 2500 167,500.00 0 67.00 -
44 TFP (Trifluoperazin) tab 5mg - 0 1600 459,200.00 1271 364,777.00 329 287.00 94,423.00
45 cetirizin HCL sirup - 0 150 437,250.00 150 437,250.00 0 2,915.00 -
46 domperidon suspensi 5mg/5ml - 0 230 621,000.00 230 621,000.00 0 2,700.00 -
JUMLAH - 28,660,100.00 26,551,695.00 2,108,405.00
ASET PELAYANAN 2019
JUMLAH JUMLAH HARGA JUMLAH HARGA STOCK JUMLAH

STOCK AWAL PENERIMAAN PENGELUARAN HARGA
HARGA AWAL PENERIMAAN PENGELUARAN AKHIR HARGA AKHIR
SUMBER ANGGARAN NAMA OBAT

JAYAMAS ONEMED ALKOHOL SWAB - 0 74 740,000.00 66 660,000.00 8 10,000.00 80,000.00
REAGEN DAU JUMLAH - 740,000.00 660,000.00 80,000.00
Tissue Ginac - 0 33 1,039,500.00 33 1,039,500.00 0 31,500.00 -
kertas puyer - 0 40000 2,400,000.00 40000 2,400,000.00 0 60.00 -
REAGEN BLUD JUMLAH - 3,439,500.00 3,439,500.00 -
JANUARI - DESEMBER 2019
JUMLAH HARGA STOCK PENERIMAA JUMLAH HARGA PENGELUA JUMLAH HARGA STOCK JUMLAH HARGA
HARGA
AWAL AWAL N PENERIMAAN RAN PENGELUARAN AKHIR AKHIR
SUMBER
ANGGARAN NAMA OBAT
PKD-AHP 1 Alkohol 70 - 0 0 - 0 - 0 27,445.00 -
2 stera INFUSED DEWASA 717,750.00 225 0 - 225 717,750.00 0 3,190.00 -
3 BSN LEUCOPLAST 7,5 CM x 4,5M 106,596.00 3 0 - 3 106,596.00 0 35,532.00 -
4 WIN FLON 24G 1,111,550.00 200 0 - 200 1,111,550.00 0 5,557.75 -
5 Blood Transfusion Set 179,850.00 50 0 - 50 179,850.00 0 3,597.00 -
6 Hand scoen non steril M 35,618.00 1 0 - 1 35,618.00 0 35,618.00 -
7 Intravena Catheter No. 20 266,000.00 70 0 - 70 266,000.00 0 3,800.00 -
8 Kasa Kompres 16/16 steril 279,650.00 47 0 - 47 279,650.00 0 5,950.00 -
9 Kertas Puyer Seal 532,500.00 3 0 - 3 532,500.00 0 177,500.00 -
10 Masker oksigen bayi 304,920.00 21 0 - 21 304,920.00 0 14,520.00 -
11 Onemed catgut plain 2/0 94,916.67 17 0 - 17 94,916.67 0 5,583.33 -
12 Safe Glove Examination Glove M 961,686.00 27 17 605,506.00 44 1,567,192.00 0 35,618.00 -
13 Safe Glove Examination Glove S 284,944.00 8 0 - 8 284,944.00 0 35,618.00 -
14 Safe Glove Examination steril 232,491.60 54 0 - 54 232,491.60 0 4,305.40 -
15 spuit 3 cc JMI 561,330.00 729 2400 1,848,000.00 3019 2,324,630.00 110 770.00 84,700.00
16 spuit 5 cc terumo 502,804.00 373 200 269,600.00 540 727,920.00 33 1,348.00 44,484.00
17 Besmed Maxiflow Dewasa (Masker Oksigen - 0 15 203,280.00 15 203,280.00 0 13,552.00 -
18 Bieserdorf ind Fixomule strech 10 cm x 5 m - 0 9 638,127.00 9 638,127.00 0 70,903.00 -
19 Jayamas Onemed Aseptic Gel 500 CC + dis - 0 20 440,000.00 20 440,000.00 0 22,000.00 -
20 Jayamas One scrub 500 cc + dispenser - 0 12 750,000.00 12 750,000.00 0 62,500.00 -
21 kertas puyer seal (SCI) - 0 2 356,400.00 2 356,400.00 0 178,200.00 -
22 Stera infuset Dewasa - 0 350 1,116,500.00 350 1,116,500.00 0 3,190.00 -
23 Hansaplas Jumbo - 0 25 375,000.00 22 330,000.00 3 15,000.00 45,000.00
24 Kertas Puyer Seal - 0 21 3,727,500.00 21 3,727,500.00 0 177,500.00 -
25 Stera infuset Dewasa - 0 200 638,000.00 191 609,290.00 9 3,190.00 28,710.00
26 Onemed Surgical Masl Plus 3ply Plus Earlo - 0 164 3,608,000.00 164 3,608,000.00 0 22,000.00 -
27 Ginac Tissue - 0 14 462,000.00 14 462,000.00 0 33,000.00 -
28 One Med Alkohol 70% - 0 7 174,944.00 7 174,944.00 0 24,992.00 -
29 Handscoen non steril S /safeglove examinat - 0 3 99,000.00 3 99,000.00 0 33,000.00 -
30 Jayamas Onemed Povidon Iodine 300 ML - 0 5 90,000.00 5 90,000.00 0 18,000.00 -
31 One Med Catgut Plain 3/0 + jarum 1/2 GT 35mm - 0 2 267,982.00 2 267,982.00 0 133,991.00 -
32 Onemed Mucus Extractor - 0 50 352,000.00 32 225,280.00 18 7,040.00 126,720.00
33 Onemed silk 2/0+jarum1/2GT35mm - 0 1 110,000.00 1 110,000.00 0 110,000.00 -
34 Operasi Mess No 11 - 0 1 306,000.00 1 306,000.00 0 306,000.00 -
35 Jsyamas Stera Blood Lancet Transf Set - 0 61 219,600.00 3 10,800.00 58 3,600.00 208,800.00
36 Surgical mask plus 3 play earloop/masker hijab - 0 31 613,800.00 25 495,000.00 6 19,800.00 118,800.00
37 Jayamas Stera infusion set Anak - 0 157 549,500.00 157 549,500.00 0 3,500.00 -
JUMLAH 6,172,606.27 17,820,739.00 23,336,131.27 657,214.00
BMHP-ALKES 1 FIXOMUL 5X5 37,440.00 1 5 187,200.00 6 224,640.00 0 37,440.00 -
2 FIXOMUL 10X5 354,515.00 5 0 - 5 354,515.00 0 70,903.00 -
3 Inj PLUG 83,194.10 53 0 - 53 83,194.10 0 1,569.70 -
4 povidon iodine 55,100.00 19 0 - 19 55,100.00 0 2,900.00 -
5 Kasa Hydrofil steril 16x16 29,000.00 5 0 - 5 29,000.00 0 5,800.00 -
6 IV CATHETER 18 G 311,600.00 82 100 380,000.00 182 691,600.00 0 3,800.00 -
7 IV CATHETER 26 G 610,900.00 149 0 - 149 610,900.00 0 4,100.00 -
8 Safe Glove PF NO 6 - 0 130 908,050.00 130 908,050.00 0 6,985.00 -
9 Safe Glove PF NO 6,5 - 0 315 2,200,275.00 315 2,200,275.00 0 6,985.00 -
10 Safe Glove PF NO 7 - 0 210 1,466,850.00 210 1,466,850.00 0 6,985.00 -
11 IV CATHETER 18 G - 0 50 190,000.00 50 190,000.00 0 3,800.00 -
12 Catgut PLAIN 2/0 - 0 72 402,000.00 72 402,000.00 0 5,583.33 -
13 Jarum Suntik 23 - 0 100 70,950.00 100 70,950.00 0 709.50 -
14 spuit 1cc terumo - 0 500 770,000.00 500 770,000.00 0 1,540.00 -
15 spuit 5 cc - 0 200 269,600.00 200 269,600.00 0 1,348.00 -
16 Safe Glove PF NO 7,5 - 0 30 209,550.00 30 209,550.00 0 6,985.00 -
JUMLAH 1,481,749.10 7,054,475.00 8,536,224.10 -
BLUD-ALKES 1 Nebuliser with mask adult 707,500.00 25 0 - 25 707,500.00 0 28,300.00 -
2 Surgical mask earloop on stardec 369,600.00 12 0 - 12 369,600.00 0 30,800.00 -
3 Nebuliser with mask Pediatric 537,700.00 19 20 566,000.00 39 1,103,700.00 0 28,300.00 -
4 infused anak Stera 616,000.00 176 0 - 176 616,000.00 0 3,500.00 -
5 Spuit 10cc 62,900.00 68 0 - 68 62,900.00 0 925.00 -
6 Nasal oxygen canula adult stardec 150,000.00 15 0 - 15 150,000.00 0 10,000.00 -
7 MMP polysafety IV cannula 24G 3,897,300.00 300 150 1,948,650.00 450 5,845,950.00 0 12,991.00 -
8 Jayamas UPAD steril 496,770.40 56 12 106,450.80 68 603,221.20 0 8,870.90 -
9 MMP polysafety IV cannula 22G 3,287,449.00 269 0 - 269 3,287,449.00 0 12,221.00 -
10 MMP MAS LATEX ex glove 326,634.00 7 0 - 7 326,634.00 0 46,662.00 -
11 Needle Terumo 25G 435,000.00 3 0 - 3 435,000.00 0 145,000.00 -
12 N95 Medical Respirator 253,496.10 13 0 - 13 253,496.10 0 19,499.70 -
13 Jayamas kasa hydrofil uk 16x16 376,000.00 47 0 - 47 376,000.00 0 8,000.00 -
14 Kertas ECG Ukuran - 0 2 352,000.00 2 352,000.00 0 176,000.00 -
15 leucoplas 7,5x4,5 - 0 37 1,294,999.26 37 1,294,999.26 0 34,999.98 -
16 Nasal Oxygen Canula adult Merk Stardec - 0 50 500,000.00 50 500,000.00 0 10,000.00 -
17 Surgical Maks Earloop stardec - 0 45 1,386,000.00 45 1,386,000.00 0 30,800.00 -
18 MMP POLYSAFETY Safety Cabula 20G - 0 200 2,444,200.00 166 2,028,686.00 34 12,221.00 415,514.00
20 STARDEC Nebulizer with mask ( Adult Standart) - 0 105 2,971,500.00 105 2,971,500.00 0 28,300.00 -
21 spalk anak dengan perekat uk 5x20 cm - 0 20 260,000.00 20 260,000.00 0 13,000.00 -
22 spalk anak tanpa perekat uk 5x10 cm - 0 20 140,000.00 20 140,000.00 0 7,000.00 -
23 1860 n95 Medical Respirator - 0 0 - 0 - 0 19,499.70 -
24 ABN Digital Thermometer - 0 5 243,120.00 5 243,120.00 0 48,624.00 -
25 BSN Medical GMBH Leucomed IV film 6 CM X 8 CM - 0 255 627,585.60 255 627,585.60 0 2,461.12 -
26 Nebulizer With Mask pediatrik Merk Stardec - 0 175 4,952,500.00 175 4,952,500.00 0 28,300.00 -
27 Jayamas Onemed Apron One Plastik - 0 10 252,560.00 10 252,560.00 0 25,256.00 -
28 Jayamas Onemed Pot Sputum - 0 10 27,280.00 10 27,280.00 0 2,728.00 -
29 MMP POLYSAFETY safety iv CANNULA 22 G - 0 350 4,277,350.00 325 3,971,825.00 25 12,221.00 305,525.00
30 Jayamas Onemed Kasa Hydrofil Steril uk 16x16 - 0 98 862,400.00 98 862,400.00 0 8,800.00 -
31 Hemolizer 3 diluent - 0 1 2,525,050.00 1 2,525,050.00 0 2,525,050.00 -
32 needle terumo 25 G - 0 500 725,000.00 400 580,000.00 100 1,450.00 145,000.00
33 spalk anak dengan perekat uk 5x20 cm - 0 30 390,000.00 30 390,000.00 0 13,000.00 -
34 jayamas onemed spalk kayu - 0 1 61,600.00 1 61,600.00 0 61,600.00 -

35 id band pink ( adult ) - 0 100 107,800.00 25 26,950.00 75 1,078.00 80,850.00
36 id band yellow (adult) - 0 100 107,800.00 30 32,340.00 70 1,078.00 75,460.00
37 id band yellow ( child ) - 0 100 107,800.00 15 16,170.00 85 1,078.00 91,630.00
38 id band red (adult ) - 0 100 107,800.00 10 10,780.00 90 1,078.00 97,020.00
39 id band red ( child ) - 0 100 107,800.00 100 107,800.00 0 1,078.00 -
40 id band blue ( adult ) - 0 100 107,800.00 25 26,950.00 75 1,078.00 80,850.00
41 id band blue (child ) - 0 100 107,800.00 100 107,800.00 0 1,078.00 -
42 Nasal Oxygen Canula adult Merk Stardec - 0 20 200,000.00 20 200,000.00 0 10,000.00 -
43 Urine Bag Merk Stardec - 0 20 100,100.00 20 100,100.00 0 5,005.00 -
44 Jayamas Onemed Aseptic Gel 500 CC + dispenser - 0 4 88,000.00 4 88,000.00 0 22,000.00 -
45 polysavety iv canula 24 G - 0 100 1,287,000.00 23 296,010.00 77 12,870.00 990,990.00
46 kassa steril 16x16 onemed box - 0 100 800,000.00 100 800,000.00 0 8,000.00 -
47 jayamas onemed U-pad - 0 460 3,507,960.00 460 3,507,960.00 0 7,626.00 -
48 kassa steril 16x16 onemed box - 0 100 800,000.00 100 800,000.00 0 8,000.00 -
49 povidone 10% 60 ml OM BH - 0 6 22,200.00 4 14,800.00 2 3,700.00 7,400.00
50 KISMED infusion set pediatrik 60 drop/MI with Y Tyepe Air - 0 50 322,850.00 23 148,511.00 27 6,457.00 174,339.00
51 infusion set merk STARDEC - 0 50 234,300.00 23 107,778.00 27 4,686.00 126,522.00
52 jayamas onemed onescrub 500cc+dispenser - 0 1 65,500.00 1 65,500.00 0 65,500.00 -
53 DIAPRO Underpad popok alas - 0 60 231,360.00 32 123,392.00 28 3,856.00 107,968.00
54 kasa steril 16x16cm - 0 68 501,160.00 23 169,510.00 45 7,370.00 331,650.00
JUMLAH 11,516,349.50 37,217,475.66 45,342,175.16 3,391,650.00
BSP APBD 1 safety box APBN 5L - 0 20 482,440.00 20 482,440.00 0 24,122.00 -
JUMLAH - 482,440.00 482,440.00 -
OBAT NAMA OBAT AWAL AWAL N PENERIMAAN RAN PENGELUARAN AKHIR
HARGA
AKHIR
PKD
1 Acyclovir cream 62,370.00 18 145 502,425.00 147 509,355.00 16 3,465.00 55,440.00
2 Acyclovir tablet 400 mg 190,000.00 500 3500 1,330,000.00 3881 1,474,780.00 119 380.00 45,220.00
3 Alopurinol tablet 100 mg 264,907.00 2731 2000 194,000.00 3759 364,623.00 972 97.00 94,284.00
4 Amlodipin 10 mg 317,223.00 3411 0 - 2592 241,056.00 819 93.00 76,167.00
5 Amlodipin 5 mg 430,500.00 6150 36000 2,520,000.00 39522 2,766,540.00 2628 70.00 183,960.00
6 Amoksisilin kaplet 500 mg 1,571,818.00 6746 11200 2,609,600.00 16621 3,872,693.00 1325 233.00 308,725.00
7 Captopril 25mg 112,850.00 1525 0 - 752 55,648.00 773 74.00 57,202.00
8 Codein 10mg 693,000.00 1260 0 - 1236 679,800.00 24 550.00 13,200.00
9 Difenhidramin HCl inj 10 mg/ml 36,135.00 33 0 - 3 3,285.00 30 1,095.00 32,850.00
10 Ephinefrin inj. 135,168.00 96 0 - 28 39,424.00 68 1,408.00 95,744.00
11 Eritromicin 500mg 798,750.00 1065 0 - 791 593,250.00 274 750.00 205,500.00
12 Fitomenadion (Vit.K1) 239,777.00 347 0 - 0 - 347 691.00 239,777.00
13 Furosemid injeksi 33,325.00 25 0 - 5 6,665.00 20 1,333.00 26,660.00
14 Glibenklamid tablet 5 mg 181,832.00 1528 2600 309,400.00 3828 455,532.00 300 119.00 35,700.00
15 Kotrimoksazol suspensi 74,900.00 35 51 109,140.00 64 136,960.00 22 2,140.00 47,080.00
16 Lidocain murni 68,800.00 80 340 292,400.00 393 337,980.00 27 860.00 23,220.00
17 Metilergometrin Maleat inj 1,583,560.00 590 0 - 537 1,441,308.00 53 2,684.00 142,252.00
18 Nistatin tablet vaginal 100.000 I 32,160.00 67 0 - 10 4,800.00 57 480.00 27,360.00
19 PARACETAMOL DROP 139,629.00 21 56 372,344.00 67 445,483.00 10 6,649.00 66,490.00
20 Parasetamol tablet 500 mg 238,500.00 4500 57000 3,021,000.00 60474 3,205,122.00 1026 53.00 54,378.00
21 Piridoksin HCl (Vit.B6) tablet 1 340,784.00 2888 2000 236,000.00 4294 506,692.00 594 118.00 70,092.00
22 Salbutamol 4mg 57,602.00 694 0 - 363 30,129.00 331 83.00 27,473.00
23 Klorfeniramine Maleat tab 4 mg - 0 14000 308,000.00 11988 263,736.00 2012 22.00 44,264.00
24 simvastatin scored 10mg - 0 4620 508,200.00 4079 448,690.00 541 110.00 59,510.00
25 Setrizin 10 mg (2018) - 0 4200 600,600.00 3013 430,859.00 1187 143.00 169,741.00
26 clobazam 10mg(2018) - 0 1300 960,700.00 388 286,732.00 912 739.00 673,968.00
27 metilprednisolon 4mg - 0 6000 804,000.00 5802 777,468.00 198 134.00 26,532.00
28 anastetik lokal gigi doen injeksi( - 0 60 68,700.00 0 - 60 1,145.00 68,700.00
29 Haloperidol tab 0,5mg (2018) - 0 300 16,500.00 155 8,525.00 145 55.00 7,975.00
30 salep 2-4 komb(2018) - 0 5 13,100.00 3 7,860.00 2 2,620.00 5,240.00
31 ketorolac inj 30mg (2018) - 0 190 198,550.00 115 120,175.00 75 1,045.00 78,375.00
32 metilergometrin maleat(metilerg - 0 500 105,000.00 0 - 500 210.00 105,000.00
33 sulfasetamida natrium tetes mata - 0 20 292,000.00 1 14,600.00 19 14,600.00 277,400.00
34 karbamazepin tablet 200 mg(201 - 0 1000 230,000.00 340 78,200.00 660 230.00 151,800.00
35 Amitriptilin HCl tablet salut 25 m - 0 1000 167,000.00 553 92,351.00 447 167.00 74,649.00
36 furosemid tab 40mg (2018) - 0 400 30,800.00 166 12,782.00 234 77.00 18,018.00
37 Glukosa larutan infus 5 % steril ( - 0 40 208,000.00 34 176,800.00 6 5,200.00 31,200.00
38 Betamethason valerat krim 0,1 ( - 0 25 33,500.00 15 20,100.00 10 1,340.00 13,400.00
JUMLAH 3,734,546.00 3,734,546.00 -
PKDN Dionicol dry Sirup
1 402,600.00 61 50 330,000.00 74 488,400.00 37 6,600.00 244,200.00
2 Glaucon Tab 748,880.00 148 0 - 0 - 148 5,060.00 748,880.00
3 peditok 27,200.00 4 4 27,200.00 3 20,400.00 5 6,800.00 34,000.00
4 Sabun hijau 95,000.00 19 34 170,000.00 43 215,000.00 10 5,000.00 50,000.00
5 Thiamex 500mg - 0 3900 3,088,800.00 2977 2,357,784.00 923 792.00 731,016.00
6 spasminal - 0 300 188,100.00 0 - 300 627.00 188,100.00
7 QOM - 0 16 50,640.00 3 9,495.00 13 3,165.00 41,145.00
8 Cendo Catarlent - 0 10 284,900.00 4 113,960.00 6 28,490.00 170,940.00
JUMLAH 2,208,281.00 2,208,281.00 -
BSP Tablet Tambah Darah
1 1,713,360.00 4840 24600 8,708,400.00 28640 10,138,560.00 800 354.00 283,200.00
2 retinol 200.000 iu - 0 400 207,680.00 350 181,720.00 50 519.20 25,960.00
3 zink dispersible 20mg - 0 3000 1,572,000.00 2527 1,324,148.00 473 524.00 247,852.00
4 triheksifenidil hcl tab 2mg(harga - 0 1000 91,000.00 788 71,708.00 212 91.00 19,292.00
JUMLAH 576,304.00 576,304.00 -
BMHP Diazepam Inj
1 25,080.00 6 30 125,400.00 32 133,760.00 4 4,180.00 16,720.00
2 Aqua pro Injeksi steril, bebas pir 40,000.00 20 320 640,000.00 309 618,000.00 31 2,000.00 62,000.00
3 Hidroklortiazide 25 mg 59,600.00 400 500 74,500.00 641 95,509.00 259 149.00 38,591.00
4 Permetrine 5% Krim/Scabimite 388,960.00 32 30 364,650.00 61 741,455.00 1 12,155.00 12,155.00
5 Wida RD 119,700.00 14 40 342,000.00 34 290,700.00 20 8,550.00 171,000.00
6 Wida D5 1/2 NS 629,800.00 67 360 3,384,000.00 384 3,609,600.00 43 9,400.00 404,200.00
7 Tiamin HCl / Mononitrat (Vit.B1) 167,270.00 1945 200 17,200.00 1820 156,520.00 325 86.00 27,950.00
JUMLAH 732,616.00 732,616.00 -
BLUD Mediamer
1 605,058.00 186 300 975,900.00 236 767,708.00 250 3,253.00 813,250.00
2 Crofed 11,085,972.00 7012 8000 12,648,000.00 14582 23,054,142.00 430 1,581.00 679,830.00
3 ketokenazole 200mg 224,004.00 800 100 28,000.50 641 179,483.21 259 280.01 72,521.30
BLUD
4 Khloramphenicol salep mata 57,904.00 32 35 63,332.50 44 79,618.00 23 1,809.50 41,618.50

5 Griseovulvin 125mg 83,402.00 340 0 - 9 2,207.70 331 245.30 81,194.30
6 vagizol ovula 500mg 230,782.00 58 0 - 38 151,202.00 20 3,979.00 79,580.00
7 Profolat 125,996.00 2423 1500 78,000.00 3209 166,868.00 714 52.00 37,128.00
8 Miniaspi 80mg tablet 67,337.00 680 800 79,220.00 1389 137,545.73 91 99.03 9,011.28
9 Captopril 12,5 mg 171,021.00 1569 1300 141,700.00 2579 281,111.00 290 109.00 31,610.00
10 Cendo Literrs 15 ml 1,423,150.00 50 92 2,618,596.00 110 3,130,930.00 32 28,463.00 910,816.00
11 Molazol 493,920.00 1260 0 - 0 - 1260 392.00 493,920.00
12 Salbutamol 2mg 107,793.00 1711 1900 119,700.00 2799 176,337.00 812 63.00 51,156.00
13 Duvadilan tab. 1,265,000.00 200 0 - 100 632,500.00 100 6,325.00 632,500.00
14 Cefixim 100mg 1,376,500.00 500 0 - 111 305,583.00 389 2,753.00 1,070,917.00
15 Clindamicin 300mg 582,417.00 999 1000 583,000.00 1600 932,800.00 399 583.00 232,617.00
16 Miconazol krim 157,044.00 46 47 160,458.00 72 245,808.00 21 3,414.00 71,694.00
17 Etil Kloride - 0 5 993,750.00 4 795,000.00 1 198,750.00 198,750.00
18 Pharolit - 0 2600 3,411,200.00 2457 3,223,584.00 143 1,312.00 187,616.00
19 Anti haemoroid Supp - 0 80 253,360.80 47 148,849.47 33 3,167.01 104,511.33
20 Solvitron Syr - 0 260 4,440,020.00 245 4,183,865.00 15 17,077.00 256,155.00
21 Trombopob Gel 10 g - 0 15 654,645.00 12 523,716.00 3 43,643.00 130,929.00
22 Minyak Kayu Putih 60 ml - 0 10 208,730.00 9 187,857.00 1 20,873.00 20,873.00
23 Ampicilin 1gr - 0 10 96,910.00 6 58,146.00 4 9,691.00 38,764.00
24 atropin sulfat inj 0,25mg/ml - 0 100 159,500.00 20 31,900.00 80 1,595.00 127,600.00
25 Nextira - 0 300 422,400.00 100 140,800.00 200 1,408.00 281,600.00
26 ibuprofen 400mg - 0 3900 1,244,100.00 3169 1,010,911.00 731 319.00 233,189.00
27 oxytocin injeksi 10iU/ml - 0 100 119,900.00 81 97,119.00 19 1,199.00 22,781.00
28 Lactobe - 0 240 1,834,800.00 188 1,437,260.00 52 7,645.00 397,540.00
29 cazetin drop - 0 25 535,000.00 21 449,400.00 4 21,400.00 85,600.00
30 bioplacenton - 0 21 377,685.00 19 341,715.00 2 17,985.00 35,970.00
31 Vastral - 0 1600 792,000.00 898 444,510.00 702 495.00 347,490.00
32 Roverton - 0 1500 264,000.00 1034 181,984.00 466 176.00 82,016.00
33 Domperidon 10mg - 0 3600 673,200.00 2638 493,306.00 962 187.00 179,894.00
34 Mytaderm salep kulit - 0 30 237,600.00 13 102,960.00 17 7,920.00 134,640.00
35 asering - 0 600 5,787,600.50 582 5,613,972.49 18 9,646.00 173,628.02
36 Betahistine 6 mg - 0 4100 451,000.00 3402 374,220.00 698 110.00 76,780.00
37 RL ( ringer laktat)infus 500ml - 0 520 3,967,600.00 479 3,654,770.00 41 7,630.00 312,830.00
38 Diklofenak Sodium 25mg - 0 200 25,600.00 0 - 200 128.00 25,600.00
39 Alinamin F - 0 500 527,500.00 165 174,075.00 335 1,055.00 353,425.00
40 Gentamicin Sulfate Salep mata 0 - 0 14 37,450.00 8 21,400.00 6 2,675.00 16,050.00
41 reco tetes mata - 0 85 718,080.00 52 439,296.00 33 8,448.00 278,784.00
42 Omeprazole 20mg - 0 3120 1,029,600.00 3048 1,005,840.00 72 330.00 23,760.00
43 Gentamicin Sulfate tetes mata 0, - 0 62 262,384.00 34 143,888.00 28 4,232.00 118,496.00
44 antasida sirup - 0 300 598,620.00 275 548,735.00 25 1,995.40 49,885.00
45 CPZ (Chlorpromazine HCL 100mg - 0 1000 157,000.00 153 24,021.00 847 157.00 132,979.00
JUMLAH 9,737,498.72 9,737,498.72 -
1 glimepiride tab 4mg(2019) - 0 1200 324,000.00 800 216,000.00 400 270.00 108,000.00
2 d51/4ns - 0 100 972,400.00 83 807,092.00 17 9,724.00 165,308.00
3 deksametason tab0,5mg - 0 8800 572,000.00 7985 519,025.00 815 65.00 52,975.00
4 natrium diklofenak tab 50mg - 0 14000 1,722,000.00 13679 1,682,517.00 321 123.00 39,483.00
5 sefadroksil kap 500mg - 0 2800 1,946,000.00 2253 1,565,835.00 547 695.00 380,165.00
6 diazepam tab 2mg - 0 100 8,600.00 52 4,472.00 48 86.00 4,128.00
7 metamizole/antalgin inj 500mg/ - 0 100 350,000.00 82 287,000.00 18 3,500.00 63,000.00
8 kalsium lactat - 0 12800 806,400.00 11765 741,195.00 1035 63.00 65,205.00
9 new antides 600mg - 0 1000 145,000.00 572 82,940.00 428 145.00 62,060.00
10 cefotaxim sodium injeksi 1000mg - 0 200 896,400.00 188 842,616.00 12 4,482.00 53,784.00
11 kotrimoksazol dws komb:sulfame - 0 1000 133,000.00 500 66,500.00 500 133.00 66,500.00
12 sefadroksil sirup kering 125mg/5 - 0 70 292,950.00 57 238,545.00 13 4,185.00 54,405.00
13 metformin hcl tab 500mg - 0 3000 306,000.00 2160 220,320.00 840 102.00 85,680.00
14 Asam Mefenamat kap 500mg - 0 6500 2,184,000.00 6409 2,153,424.00 91 336.00 30,576.00
15 Gliseril Guaiakolat tab 100 mg - 0 15100 1,434,500.00 14551 1,382,345.00 549 95.00 52,155.00
16 Isoniazid tab 100 mg - 0 100 14,500.00 0 - 100 145.00 14,500.00
17 oksitetrasiklin SK 3% - 0 75 191,250.00 41 104,550.00 34 2,550.00 86,700.00
18 glimepirid tab 2mg - 0 8600 1,780,200.00 7461 1,544,427.00 1139 207.00 235,773.00
19 hidrokortison krim 2,5% - 0 96 237,600.00 64 158,400.00 32 2,475.00 79,200.00
20 paracetamol sirup 120mg/5ml - 0 200 236,200.00 93 109,833.00 107 1,181.00 126,367.00
21 prednison tab 5mg - 0 1000 73,000.00 0 - 1000 73.00 73,000.00
22 priridoksin (Vit B6)tab.10mg HCL - 0 4900 641,900.00 4022 526,882.00 878 131.00 115,018.00
23 TFP (Trifluoperazin) tab 5mg - 0 1600 459,200.00 1271 364,777.00 329 287.00 94,423.00
JUMLAH 2,108,405.00 2,108,405.00 -
ALKES NAMA ALKES AWAL AWAL N PENERIMAAN RAN PENGELUARAN AKHIR
HARGA
AKHIR
PKD 1 spuit 3 cc JMI 561,330.00 729 2400 1,848,000.00 3019 2,324,630.00 110 770.00 84,700.00
PKD
2 spuit 5 cc terumo 502,804.00 373 200 269,600.00 540 727,920.00 33 1,348.00 44,484.00
3 Hansaplas Jumbo - 0 25 375,000.00 22 330,000.00 3 15,000.00 45,000.00
4 Stera infuset Dewasa - 0 200 638,000.00 191 609,290.00 9 3,190.00 28,710.00
5 Onemed Mucus Extractor - 0 50 352,000.00 32 225,280.00 18 7,040.00 126,720.00
6 Jsyamas Stera Blood Lancet Transf Set - 0 61 219,600.00 3 10,800.00 58 3,600.00 208,800.00
7 Surgical mask plus 3 play earloop/masker hijab - 0 31 613,800.00 25 495,000.00 6 19,800.00 118,800.00
JUMLAH 657,214.00 657,214.00 -
3 MMP POLYSAFETY safety iv CANNULA 22 G - 0 350 4,277,350.00 325 3,971,825.00 25 12,221.00 305,525.00
4 needle terumo 25 G - 0 500 725,000.00 400 580,000.00 100 1,450.00 145,000.00
5 id band pink ( adult ) - 0 100 107,800.00 25 26,950.00 75 1,078.00 80,850.00
6 id band yellow (adult) - 0 100 107,800.00 30 32,340.00 70 1,078.00 75,460.00
7 id band yellow ( child ) - 0 100 107,800.00 15 16,170.00 85 1,078.00 91,630.00
8 id band red (adult ) - 0 100 107,800.00 10 10,780.00 90 1,078.00 97,020.00
9 id band blue ( adult ) - 0 100 107,800.00 25 26,950.00 75 1,078.00 80,850.00
10 polysavety iv canula 24 G - 0 100 1,287,000.00 23 296,010.00 77 12,870.00 990,990.00
11 povidone 10% 60 ml OM BH - 0 6 22,200.00 4 14,800.00 2 3,700.00 7,400.00
12 KISMED infusion set pediatrik 60 drop/MI with Y Tye - 0 50 322,850.00 23 148,511.00 27 6,457.00 174,339.00
13 infusion set merk STARDEC - 0 50 234,300.00 23 107,778.00 27 4,686.00 126,522.00
14 DIAPRO Underpad popok alas - 0 60 231,360.00 32 123,392.00 28 3,856.00 107,968.00
15 kasa steril 16x16cm - 0 68 501,160.00 23 169,510.00 45 7,370.00 331,650.00
JUMLAH 3,391,650.00 3,391,650.00 -
REAGEN NAMA REAGEN AWAL AWAL N PENERIMAAN RAN PENGELUARAN AKHIR
HARGA
AKHIR
JAYAMAS ONEMED ALKOHOL S - 0 74 740,000.00 66 660,000.00 8 10,000.00 80,000.00

REAGEN DAU JUMLAH 80,000.00
STOCK
OBAT NAMA OBAT OPNAME
SELISIH
koreksi stock
PKD
1 Acyclovir cream 0 0
2 Acyclovir tablet 400 mg 0 0
3 Alopurinol tablet 100 mg 0 0
4 Amitriptilin HCl tablet salut 25 mg 0 0
5 Amlodipin 10 mg 0 0
6 Amlodipin 5 mg 0 0
7 Amoksisilin kaplet 500 mg 0 0
8 anastetik lokal gigi doen injeksi(lidokain hcl+ 0 0
9 Betamethason valerat krim 0,1 (2018) 0 0
10 Captopril 25mg 0 0 296.00
11 clobazam 10mg(2018) 0 0
12 Codein 10mg 0 0
13 Difenhidramin HCl inj 10 mg/ml-1 ml 0 0
14 Ephinefrin inj. 0 0
15 Eritromicin 500mg 110 0
16 Fitomenadion (Vit.K1) 0 0
17 Furosemid injeksi 0 0
18 furosemid tab 40mg (2018) 0 0
19 Glibenklamid tablet 5 mg 0 0
20 Glukosa larutan infus 5 % steril (Produk lokal) 0 0
21 Haloperidol tab 0,5mg (2018) 234 0
22 karbamazepin tablet 200 mg(2018) 0 0
23 ketorolac inj 30mg (2018) 0 0
24 Klorfeniramine Maleat tab 4 mg (2018) 1265 0
25 Kotrimoksazol suspensi 0 0
26 Lidocain murni 0 0
27 Metilergometrin Maleat inj 0 0
28 metilergometrin maleat(metilergometrin)tab 0 0 527.00
29 metilprednisolon 4mg 105 0
30 Nistatin tablet vaginal 100.000 IU/g 0 0
31 PARACETAMOL DROP 2 0
32 Parasetamol tablet 500 mg 0 0
33 Piridoksin HCl (Vit.B6) tablet 10 mg 0 0
34 Salbutamol 4mg 113 0
35 salep 2-4 komb(2018) 12 0
36 Setrizin 10 mg (2018) 0 0
37 simvastatin scored 10mg 0 0
38 sulfasetamida natrium tetes mata 15% (2018) 10 0
39 asam asetilsalisilat tab 100mg(asetosal)(2018) 0 0
40 ketokonazole tab 200mg(2018) 700 0 27.00
41 Metronidazole supp 500 mg (ovula) /vagizol ovula 0 0
42 Mikonazole krim/salep 2%(nitrat)(2018) 8 0
43 nifedipin tab10mg (2018) 0 0
44 Permetrin krim 5% (2018) 0 0
45 gentamisin salep mata 0,3%(2018) 9 0
46 ketokonazole krim 2% (2018) 0 0
47 metronidazol ovula 500mg(2018) 0 0
JUMLAH
PKDN
1 Cendo Catarlent 0 0
2 Dionicol dry Sirup 8 0 1.00
3 Glaucon Tab 148 0
4 peditok 0 0
5 QOM 0 0
6 Sabun hijau 0 0
7 spasminal 0 0
8 Thiamex 500mg 0 0
JUMLAH
BSP
1 retinol 200.000 iu 0 0
2 Tablet Tambah Darah 0 0
3 triheksifenidil hcl tab 2mg(harga 9 okt 2019 1380 0
4 zink dispersible 20mg 0 0
BSP
STOCK
SELISIH
koreksi stock
5 oat kat.anak (harga 9 oktober 2019 ) 0 0
6 Retinol (vit A)100.000iu (harga 1 feb 2019) 0 0 100.00
7 retinol 200.000 iu 0 0
8 Amitriptilin tab 25 mg 443 0
9 OAT Kategori 1 (harga 2018) 0 0
10 OAT Kategori 2 (Harga 26 Agustus 2019) 0 0
11 Isoniazid 100 Mg 0 0
12 glibenclamid 1000 0 274.00
13 OAT FDC katerogi 2 (12 maret 2020) 0 0
14 isoniazid 100mg (bsp 2020) 42 0
15 OAT FDC katerogi 1 (2020) 0 0
16 GARAM ORALIT (2019) 200 0 48.00
JUMLAH -
BMHP
1 Diazepam Inj 0 0
2 Aqua pro Injeksi steril, bebas pirogen 20 0
3 Hidroklortiazide 25 mg 200 0
4 Permetrine 5% Krim/Scabimite Cream 0 0
5 Wida RD 20 0
6 Wida D5 1/2 NS 0 0
7 Tiamin HCl / Mononitrat (Vit.B1) tablet 50 m 0 0
8 Isoniazid 100 Mg 0 0
9 Thiamex 500mg 190 0
10 Thiamex 500mg 500 0
11 WIDA RD lar.mengandung karbohidrat + elektrolit (RD) 20 0
JUMLAH
BLUD 1 Alinamin F 0 0
2 Ampicilin 1gr 0 0
3 antasida sirup 0 0
4 Anti haemoroid Supp 0 0
5 asering 0 0
6 atropin sulfat inj 0,25mg/ml 0 0
7 Betahistine 6 mg 0 0
8 bioplacenton 0 0
9 Captopril 12,5 mg 0 0
10 cazetin drop 4 0
11 Cefixim 100mg 0 0
12 Cendo Literrs 15 ml 0 0
13 Clindamicin 300mg 0 0
14 CPZ (Chlorpromazine HCL 100mg) 0 0
15 Crofed 0 0
16 Diklofenak Sodium 25mg 0 0
17 Domperidon 10mg 0 0
18 Duvadilan tab. 100 0
19 Etil Kloride 0 0
20 Gentamicin Sulfate Salep mata 0,3 %(3mg/d) 0 0
21 Gentamicin Sulfate tetes mata 0,3 % 0 0
22 Griseovulvin 125mg 200 0 111.00
23 ibuprofen 400mg 0 0
24 ketokenazole 200mg 0 0
25 Khloramphenicol salep mata 0 0
26 Lactobe 0 0
27 Mediamer 0 0
28 Miconazol krim 0 0
29 Miniaspi 80mg tablet 0 0
30 Minyak Kayu Putih 60 ml 0 0
31 Molazol 677 0
32 Mytaderm salep kulit 15 0
33 Nextira 222 0 32.00
34 Omeprazole 20mg 0 0
35 oxytocin injeksi 10iU/ml 0 0
36 Pharolit 0 0
37 Profolat 0 0
38 reco tetes mata 0 0
39 RL ( ringer laktat)infus 500ml 0 0
40 Roverton 0 0
41 Salbutamol 2mg 0 0
42 Solvitron Syr 0 0
STOCK
SELISIH
koreksi stock
43 Trombopob Gel 10 g 6 0
44 vagizol ovula 500mg 20 0 7.00
45 Vastral 53 0
46 ambroxol 30mg 0 0
47 diphenhydramin 10mg injeksi 0 0 6.00
48 Elflin (pseudoepedrin+tripolidin) 1500 0 898.00
50 LACTO B 6 0
51 Mefenamic Acid 500mg 0 0
52 Minyak Kayu Putih 60 ml 5 0
53 mirakloven (kalium diklofenak 50mg) 0 0
54 Reco 3% Tetes Telinga 0 0
55 RL ( ringer laktat)infus 500ml 0 0
56 sabun hijau 80mg 0 0
57 solvitron sirup 0 0
58 asam folat tablet 0 0
59 Cendo Lyters 15ml 32 0
60 Erytromycin 500 mg 0 0
61 ranitidin injeksi 25mg/ml 0 0
62 Spasminal 251 0
63 zink sulfate 20mg 0 0
64 dexametason inj 21 0
65 aminopilin inj 0 0
66 caviplex sirup 0 0
67 Daryatulle 0 0
68 diionicol syr 0 0
69 gom 11 0
71 lidokain hcl 2% injeksi 24 0
72 Novaron 500mg(antalgin) 480 0
73 peditok 0 0
74 Ciprofloxacin 500mg 205 0
75 bedak salicil 1 0
76 amoksilin syr 46 0
77 omeprazole 20mg 664 0
78 cefadroxil 500mg 545 0
79 sabun hijau 0 0
81 dulcolax tab 65 0
82 Mediamer b6 70 0
83 plastik klip 0 0
84 Calusol 0 0
85 CPZ (Chlorpromazine HCL 100mg) 576 0
86 kaditic 506 0
87 Cendo Lyters 15ml 0 0
88 cetirizine hcl sirup 60ml 0 0 4.00
89 Zinc Sulfate syr 60ml/36s 30 0
90 antasida sirup 12 0
91 Dimenhidrinat 50mg 404 0
92 Dimenhidrinat 50mg 0 0
93 d5% 11 0
94 lacto b 240 0
95 Methil ergometrine 0,125 mg 527 0
96 Methilprednisolon 16 mg 400 0 91.00
98 solvitron sirup 1 0
101 bioplacenton 6 0
102 aminophyline 10ml inj24"(ethica) 24 0
103 furosemid 10mg/ml inj25"s(inf) 8 12
104 Ephineprine 0,1%100"s 12 0
105 Atropin sulfat inj100"s 12 0
106 Metamizole injksi (phapros) 30 0
107 Ranitidin injeksi (hexpharm) 47 0
108 Furosemid 40mg 193 0
109 Cefotaxime injeksi 17 0
110 Alinamin F. tab 700 0 145.00
111 OBH sirup 38 0
112 Methyl Ergometrin Injeksi 94 0
STOCK
SELISIH
koreksi stock
JUMLAH
PKD DAK Asam Mefenamat kap 500mg

2019 1 0 0
2 cefotaxim sodium injeksi 1000mg 0 0
3 d51/4ns 30 0
4 deksametason tab0,5mg 0 0
5 diazepam tab 2mg 0 0
6 glimepirid tab 2mg 0 0
7 glimepiride tab 4mg(2019) 0 0
8 Gliseril Guaiakolat tab 100 mg 0 0
9 hidrokortison krim 2,5% 0 0
10 Isoniazid tab 100 mg 0 0
11 kalsium lactat 0 0
12 kotrimoksazol dws komb:sulfametoksazol 400 800 0
13 metamizole/antalgin inj 500mg/ml 0 0
14 metformin hcl tab 500mg 0 0
15 natrium diklofenak tab 50mg 0 0
16 new antides 600mg 0 0
17 oksitetrasiklin SK 3% 0 0
18 paracetamol sirup 120mg/5ml 0 0
19 prednison tab 5mg 0 0
20 priridoksin (Vit B6)tab.10mg HCL 0 0
21 sefadroksil kap 500mg 0 0
22 sefadroksil sirup kering 125mg/5ml 0 0
23 TFP (Trifluoperazin) tab 5mg 0 0
24 aciklovir tab 400mg 1180 0
25 amlodipin tab 10mg(2019) 0 0
26 Amlodipintab tab 5mg 6174 0
27 amoksisilin kap 500mg 793 0
28 antasida doen tab komb. 1005 0
29 asam asetilsalisilat(asetosal)tab 80mg/miniaspi 337 0
30 asam askorbat (VIT.C)tab 50mg 883 0
31 asering 0 0
32 domperidon tab 10mg 834 0
33 domperidon suspensi 5mg/5ml 36 0
34 Gliseril Guaiakolat tab 100 mg 0 0
35 KA-EN 3B Larutan mengandung elektrolit 7 0
37 klindamisin kap 150mg 500 0 4.00
38 KODEIN tab 10mg 0 0
39 loratadine tab 10mg 600 0 316.00
40 metamizole/antalgin inj 500mg/ml 0 0
43 Natrium klorida larutan 0,9% 0 0
45 pamol drops 0 0
47 salbutamol tab 2mg 360 0
48 sefixim kap 100mg 0 0
49 setirizin tab 10mg (2019) 804 0
50 simvastatin 10mg (2019) 0 0
52 vitamin b compleks 0 0
53 Resperidon 0 0
54 Magnesium Sulfat injeksi 40% (iv) 0 0
55 cetirizin HCL sirup 0 0
56 d51/4ns 0 0
57 RINGER LAKTAT lar.infus 13 0
58 sefixim kap salut selaput 200mg 0 0
59 allopurinol tab 100mg 1182 0
60 Captopril 12,5mg (2018) 325 0
62 zinc syrup 0 0
64 CEFOTAXIM SODIUM SERBUK INJEKSI 1000MG 0 0
65 Diphenhidramin injeksi 10mg/ml 0 0
STOCK
SELISIH
koreksi stock
66 Haloperidol tab 5mg 1000 0
67 fitomenadion(vit.K)injeksi 2mg/ml (im) 25 0 9.00
68 gentamicin SALEP MATA 0,3 % 0 0
69 paracetamol tab 500mg 0 0
70 PIRIDOKSIN (vit.B6)tab 10mg HCL 0 0
71 tiamin(B1)tab 50mg 0 0
72 klozapin tab 10mg 0 0
73 ketokonazol krim 2% 8 0
74 zinc syrup 0 0
76 gemfibrozil kap 300mg(2019) 360 0 142.00
77 oksitosin injeksi 10iu/ml 31 0
78 ranitidin hcl inj 25mg/ml 0 0
81 Fenobarbital tab 30mg 200 -200
83 betahistin 6mg 0 0
84 kotrimoksazol susp.komb:sulfa.200mg+trimet 51 0
85 clobazam tab 10mg 770 0
86 d51/4ns 0 0
87 domperidon suspensi 5mg/5ml 0 0
88 Eritromisin sirup 200mg/5ml (TROVILON) 8 0
89 fitomenadion(vit.K)injeksi 2mg/ml (im) 0 0
90 glimepirid tab 2mg 1382 0
91 hidrokortison krim 2,5% 12 0
92 KA-EN 3B Larutan mengandung elektrolit 7 0
94 KAPTROPIL TABscored 25mg 0 0
96 metilergometrin injeksi 0,2mg/ml 87 0 7.00
98 Natrium klorida larutan 0,9% 0 0
100 Nifedipin tab 10mg 211 0
101 oksitetrasiklin SK 3% 29 0
102 pamol drops 0 0
104 paracetamol tab 500mg 2604 0
105 PIRIDOKSIN (vit.B6)tab 10mg HCL 253 0
106 RINGER LAKTAT lar.infus 0 0
109 simvastatin 10mg (2019) 563 0
111 tiamin(B1)tab 50mg 514 0
112 vitamin b compleks 917 0
113 ketokonazol krim 2% 0 0
114 Resperidon 172 0
115 betahistin 6mg 309 0
116 CEFOTAXIM SODIUM SERBUK INJEKSI 1000MG 16 0
117 Diphenhidramin injeksi 10mg/ml 0 0 6.00
118 Haloperidol tab 5mg 185 0
120 karbamazepin tab 200mg 580 0
121 klozapin tab 25mg 0 0
122 Nistatin Vaginal tab 100000 iu 85 0
123 Ferro sulfat 60mg+asam folat 0,4mg(TABLET TAMBAH DARAH) 5600 0

124 Anti Hemoroid kob sup:bismut subgalat heksaklorofen 84 0
JUMLAH
PKD NON 1 CALADIN LOTION 0 0

GENERIK
(NON DAU-
DBHPR) 2019
2 OBH SURYA 0 0
3 GENOINT SALEP KULIT 1% 4 0
4 ROVERTON TAB 30MG 1384 0
5 NOVASTAN 616 0
6 Acifar Krim 5% 9 0
STOCK
SELISIH
koreksi stock
7 Kalmethason tab 0,5mg 692 0
8 Thiamex 500mg 0 0
JUMLAH
DAK
STUNTING
2019 1 tablet tambah darah komb.ferro fumarat 60mg+asam folat 0,4mg 46 0
2 retinol (vitA)200.000iu 150 0
JUMLAH - 0
ALKES NAMA ALKES
PKD AHP 1 Hansaplas Jumbo 0 0

2 Jsyamas Stera Blood Lancet Transf Set 0 0
3 Onemed Mucus Extractor 0 0 27.00
4 spuit 3 cc JMI 8 0
5 spuit 5 cc terumo 0 0 61.00
6 Stera infuset Dewasa 0 0
7 Surgical mask plus 3 play earloop/masker hijab 0 0
8 One Med Alkohol 70% 0 0
9 Onemed Umbilical cord klem sterilNylon 0 0
10 Handscoen non steril L /safeglove examination glove L/exam L 0 0
11 hand scoon ginac steril 0 0
12 One Med Catgut Plain 2/0 + jarum 1/2 GT 35mm 0 0
13 Onemed Kapas pembalut hidrofil4x15cm 0 0
14 Onemed Umbilical cord klem sterilNylon 0 0
15 One Med Catgut Plain 2/0 + jarum 1/2 GT 35mm 0 0
JUMLAH
BLUD 1 DIAPRO Underpad popok alas 0 0

2 id band yellow (adult) 70 0
3 id band blue ( adult ) 75 0
4 id band pink ( adult ) 0 0
5 id band red (adult ) 90 0
6 id band yellow ( child ) 85 0
7 infusion set merk STARDEC 0 0
8 kasa steril 16x16cm 0 0
9 KISMED infusion set pediatrik 60 drop/MI with Y Tyepe Airvent,Leuer L 0 0 143.00
10 MMP POLYSAFETY Safety Cabula 20G 19 0
11 MMP POLYSAFETY Safety Cabula 26G 0 0 52.00
12 MMP POLYSAFETY safety iv CANNULA 22 G 0 0
13 needle terumo 25 G 99 0
14 polysavety iv canula 24 G 0 0
15 povidone 10% 60 ml OM BH 0 0
16 Spuit 10 cc 0 0 78.00
17 MMP MAS LATEX Examination Glove Lightly Powdered L 0 0
18 ABN Digital Thermometer 0 0
19 jayamas One med Surgical Gown Non Woven 0 0
20 polysavety IV cannula 22 G 0 0
21 blood tranfuset new stera BH 0 0 30.00
22 KISMED infusion set adult 20 drop/MI with Y Tyepe Airvent,Leuer Lock 99 0
23 GLOVES S pre powdered latex examination 0 0
24 polysavety IV cannula 22 G 42 0
25 kasa steril 16x16cm 5 0
26 Sharmrock Powder Free Blue Glove S 0 0
27 Sharmrock Powder Free Blue Glove M 0 0
28 Surgical Face Mask 3 Play Head Loop 0 0
29 plastik klip + perlak 0 0
30 polysavety iv canula 24 G 50 0 11.00
31 Cosmomed disp.UNDERPAD 16 0
32 spuit 1cc OM 131 0
33 Jayamas Onemed Aseptic Gel 500 CC + dispenser 0 0
34 Cosmomed disp.UNDERPAD 0 0
JUMLAH
BMHP ALKES 1 Catgut PLAIN 2/0 0 0

2 spuit 1cc terumo 0 0
3 spuit 5 cc 0 0
4 Safe Glove PF NO 6,5 0 0
5 Safe Glove PF NO 7 0 0
6 spuit 1cc terumo 0 0
JUMLAH
1 Masker earloop hijab - 100
Alkes Habis
Pakai dan
Alat Lab :
Dana Bagi 1 Poly safety iv Canulla 18G,Manufacture ;Polymed 11 0
Hasil Pajak 2 ANTISEPTIC Hand Rub FB-104/500ml,Manufacture:Fresco 0 0
Rokok
STOCK
SELISIH
koreksi stock
3 DIAPRO Underpad popok alas 0 0
4 ANTISEPTIC Hand Rub FB-104/500ml,Manufacture:Fresco 0 0
5 Diapro Disposible Surgical Mask earloop Hijab 0 0
6 Pre-Powered Latex Examination Gloves S,Manufactured :MAS 0 0
REAGEN NAMA REAGEN
REAGEN DAU JAYAMAS ONEMED ALKOHOL SWAB 3 0

JUMLAH
REAGEN BLUD kertas puyer 0 0

GINAC TISSUE 0 0
Alkohol 70% 1liter 0 0
JUMLAH
JUMLAH HARGA STOCK JUMLAH HARGA

OBAT NAMA OBAT AWAL AWAL
PENERIMAAN
PENERIMAAN
PENGELUARAN
PKD
1 Acyclovir cream 55,440.00 16 30 103,950.00 46
15 Eritromicin 500mg 205,500.00 274 0 - 164
21 Haloperidol tab 0,5mg (2018) 7,975.00 145 500 27,500.00 411
24 Klorfeniramine Maleat tab 4 mg (2018) 44,264.00 2012 11600 255,200.00 12347
29 metilprednisolon 4mg 26,532.00 198 8000 1,072,000.00 8093
31 PARACETAMOL DROP 66,490.00 10 0 - 8
34 Salbutamol 4mg 27,473.00 331 300 24,900.00 518
35 salep 2-4 komb(2018) 5,240.00 2 32 83,840.00 22
38 sulfasetamida natrium tetes mata 15% (2018) 277,400.00 19 0 - 9
40 ketokonazole tab 200mg(2018) - 0 2000 540,000.00 1300
42 Mikonazole krim/salep 2%(nitrat)(2018) - 0 104 355,056.00 96
45 gentamisin salep mata 0,3%(2018) - 0 43 115,025.00 34
JUMLAH 716,314.00 2,577,471.00
PKDN
1 Cendo Catarlent 170,940.00 6 0 - 6
2 Dionicol dry Sirup 244,200.00 37 0 - 29
3 Glaucon Tab 748,880.00 148 0 - 0
JUMLAH 1,164,020.00 -
BSP
1 retinol 200.000 iu 25,960.00 50 0 - 50
2 Tablet Tambah Darah 283,200.00 800 3000 1,062,000.00 3800
3 triheksifenidil hcl tab 2mg(harga 9 okt 2019 19,292.00 212 6800 618,800.00 5632
8 Amitriptilin tab 25 mg - 0 1000 167,000.00 557
12 glibenclamid - 0 1000 119,000.00 0
14 isoniazid 100mg (bsp 2020) - 0 200 56,400.00 158
16 GARAM ORALIT (2019) - 0 200 51,400.00 0
JUMLAH 328,452.00 2,074,600.00
BMHP
1 Diazepam Inj 16,720.00 4 0 - 4
2 Aqua pro Injeksi steril, bebas pirogen 62,000.00 31 80 160,000.00 91
3 Hidroklortiazide 25 mg 38,591.00 259 600 89,400.00 659
5 Wida RD 171,000.00 20 40 342,000.00 40
9 Thiamex 500mg - 0 1600 1,170,400.00 1410
10 Thiamex 500mg - 0 500 440,000.00 0
11 WIDA RD lar.mengandung karbohidrat + elektrolit (RD) - 0 20 171,000.00 0
JUMLAH 288,311.00 2,372,800.00
BLUD 1 Alinamin F 353,425.00 335 400 422,000.00 735

10 cazetin drop 85,600.00 4 30 642,000.00 30
18 Duvadilan tab. 632,500.00 100 0 - 0
22 Griseovulvin 125mg 81,194.30 331 0 - 131
31 Molazol 493,920.00 1260 0 - 583
32 Mytaderm salep kulit 134,640.00 17 235 1,861,200.00 237
33 Nextira 281,600.00 200 500 704,000.00 478
43 Trombopob Gel 10 g 130,929.00 3 9 392,787.00 6
44 vagizol ovula 500mg 79,580.00 20 0 - 0
45 Vastral 347,490.00 702 5000 2,475,000.00 5649
48 Elflin (pseudoepedrin+tripolidin) - 0 8500 13,430,000.00 7000
50 LACTO B - 0 1360 10,383,600.00 1354
52 Minyak Kayu Putih 60 ml - 0 23 524,400.00 18
59 Cendo Lyters 15ml - 0 100 2,846,200.00 68
62 Spasminal - 0 1400 1,026,200.00 1149
64 dexametason inj - 0 50 100,000.00 29
69 gom - 0 60 213,000.00 49
71 lidokain hcl 2% injeksi - 0 100 114,900.50 76
72 Novaron 500mg(antalgin) - 0 1500 675,000.00 1020
74 Ciprofloxacin 500mg - 0 2000 840,000.00 1795
75 bedak salicil - 0 84 443,520.00 83
76 amoksilin syr - 0 190 627,000.00 144
77 omeprazole 20mg - 0 4200 1,709,400.00 3536
78 cefadroxil 500mg - 0 3500 2,733,500.00 2955
81 dulcolax tab - 0 200 352,000.00 135
82 Mediamer b6 - 0 400 1,496,000.00 330
85 CPZ (Chlorpromazine HCL 100mg) - 0 2000 314,000.00 1424
86 kaditic - 0 4800 1,663,200.00 4294
PENERIMAAN
PENERIMAAN
PENGELUARAN
89 Zinc Sulfate syr 60ml/36s - 0 68 215,628.00 38

90 antasida sirup - 0 150 319,275.00 138
91 Dimenhidrinat 50mg - 0 1099 123,088.00 695
93 d5% - 0 20 137,999.97 9
94 lacto b - 0 360 2,748,600.00 120
95 Methil ergometrine 0,125 mg - 0 600 126,000.00 73
96 Methilprednisolon 16 mg - 0 500 258,000.00 100
98 solvitron sirup - 0 10 148,500.00 9
99 ibuprofen 400mg - 0 1000 330,000.00 515
100 asam folat tablet - 0 3000 225,000.00 2989
101 bioplacenton - 0 9 161,865.00 3
102 aminophyline 10ml inj24"(ethica) - 0 27 221,400.00 3
103 furosemid 10mg/ml inj25"s(inf) - 0 20 80,000.00 0
104 Ephineprine 0,1%100"s - 0 20 220,000.00 8
105 Atropin sulfat inj100"s - 0 20 62,000.00 8
106 Metamizole injksi (phapros) - 0 30 66,000.00 0
107 Ranitidin injeksi (hexpharm) - 0 50 188,000.00 3
108 Furosemid 40mg - 0 200 55,000.00 7
109 Cefotaxime injeksi - 0 20 136,400.00 3
110 Alinamin F. tab - 0 700 1,260,000.00 0
111 OBH sirup - 0 44 230,384.00 6
112 Methyl Ergometrin Injeksi - 0 100 451,000.00 6
JUMLAH 2,620,878.30 53,753,047.47
PKD DAK Asam Mefenamat kap 500mg

2019 1 30,576.00 91 0 - 91
3 d51/4ns 165,308.00 17 40 388,960.00 27
12 kotrimoksazol dws komb:sulfametoksazol 400 66,500.00 500 2000 266,000.00 1700
24 aciklovir tab 400mg - 0 3000 1,215,000.00 1820
26 Amlodipintab tab 5mg - 0 48900 3,667,500.00 42726
27 amoksisilin kap 500mg - 0 19200 4,780,800.00 18407
28 antasida doen tab komb. - 0 19600 1,136,800.00 18595
29 asam asetilsalisilat(asetosal)tab 80mg/miniaspi - 0 2000 210,000.00 1663
30 asam askorbat (VIT.C)tab 50mg - 0 24400 2,562,000.00 23517
32 domperidon tab 10mg - 0 6600 600,600.00 5766
33 domperidon suspensi 5mg/5ml - 0 170 459,000.00 134
35 KA-EN 3B Larutan mengandung elektrolit - 0 260 2,780,960.00 253
37 klindamisin kap 150mg - 0 2300 1,745,700.00 1800
39 loratadine tab 10mg - 0 2400 314,400.00 1800
47 salbutamol tab 2mg - 0 1500 100,500.00 1140
49 setirizin tab 10mg (2019) - 0 10000 900,000.00 9196
51 TFP (Trifluoperazin) tab 5mg - 0 3200 918,400.00 2429
57 RINGER LAKTAT lar.infus - 0 360 2,746,800.00 347
59 allopurinol tab 100mg - 0 2700 280,800.00 1518
60 Captopril 12,5mg (2018) - 0 1000 66,000.00 675
66 Haloperidol tab 5mg - 0 3000 180,000.00 2000
67 fitomenadion(vit.K)injeksi 2mg/ml (im) - 0 90 331,380.00 65
73 ketokonazol krim 2% - 0 75 188,850.00 67
76 gemfibrozil kap 300mg(2019) - 0 480 178,560.00 120
77 oksitosin injeksi 10iu/ml - 0 200 239,800.00 169
80 Permetrin krim 5% (2018) - 0 40 473,000.00 34
84 kotrimoksazol susp.komb:sulfa.200mg+trimet - 0 67 146,730.00 16
85 clobazam tab 10mg - 0 1500 1,164,000.00 730
88 Eritromisin sirup 200mg/5ml (TROVILON) - 0 10 59,500.00 2
90 glimepirid tab 2mg - 0 7000 1,449,000.00 5618
91 hidrokortison krim 2,5% - 0 48 118,800.00 36
92 KA-EN 3B Larutan mengandung elektrolit - 0 60 641,760.00 53
93 kalsium lactat - 0 5000 315,000.00 2259
95 metformin hcl tab 500mg - 0 14500 1,479,000.00 11937
96 metilergometrin injeksi 0,2mg/ml - 0 100 295,900.00 13
99 new antides 600mg - 0 900 130,500.00 399
100 Nifedipin tab 10mg - 0 300 66,000.00 89
101 oksitetrasiklin SK 3% - 0 30 76,500.00 1
103 paracetamol sirup 120mg/5ml - 0 130 153,530.00 96
104 paracetamol tab 500mg - 0 5000 650,000.00 2396
105 PIRIDOKSIN (vit.B6)tab 10mg HCL - 0 3600 471,600.00 3347
107 sefadroksil sirup kering 125mg/5ml - 0 20 83,700.00 14
108 sefixim kap salut selaput 200mg - 0 900 2,133,000.00 36
109 simvastatin 10mg (2019) - 0 1680 196,560.00 1117
111 tiamin(B1)tab 50mg - 0 1000 91,000.00 486
112 vitamin b compleks - 0 11000 979,000.00 10083
114 Resperidon - 0 2000 574,000.00 1828
115 betahistin 6mg - 0 1000 110,000.00 691
116 CEFOTAXIM SODIUM SERBUK INJEKSI 1000MG - 0 20 89,640.00 4
PENERIMAAN
PENERIMAAN
PENGELUARAN
118 Haloperidol tab 5mg - 0 1000 60,000.00 815

119 zink dispersible 20mg - 0 500 262,000.00 150
120 karbamazepin tab 200mg - 0 2300 563,500.00 1720
122 Nistatin Vaginal tab 100000 iu - 0 100 59,800.00 15
123 Ferro sulfat 60mg+asam folat 0,4mg(TABLET TAMBAH DARAH) - 0 5600 1,982,400.00 0
124 Anti Hemoroid kob sup:bismut subgalat heksaklorofen - 0 100 316,700.00 16
JUMLAH 262,384.00 41,450,930.00
PKD NON 1 CALADIN LOTION - 0 12 162,003.60 12

GENERIK
(NON DAU-
DBHPR) 2019
2 OBH SURYA - 0 185 968,456.50 185
3 GENOINT SALEP KULIT 1% - 0 109 610,291.00 105
4 ROVERTON TAB 30MG - 0 12000 2,442,000.00 10616
5 NOVASTAN - 0 10000 3,377,000.00 9384
6 Acifar Krim 5% - 0 60 375,672.00 51
7 Kalmethason tab 0,5mg - 0 5000 665,500.00 4308

JUMLAH - - 8,600,923.10
DAK
STUNTING
2019 1 tablet tambah darah komb.ferro fumarat 60mg+asam folat 0,4mg - 0 15200 5,380,800.00 15154
2 retinol (vitA)200.000iu - 0 300 165,600.00 150
JUMLAH - 5,546,400.00

ALKES NAMA ALKES AWAL AWAL PENERIMAAN
PKD AHP 1 Hansaplas Jumbo 45,000.00 3 0 - 3

4 spuit 3 cc JMI 84,700.00 110 500 385,000.00 602
JUMLAH 129,700.00 385,000.00
BLUD 1 DIAPRO Underpad popok alas 107,968.00 28 90 347,040.00 118

2 id band yellow (adult) 75,460.00 70 0 - 0
3 id band blue ( adult ) 80,850.00 75 0 - 0
5 id band red (adult ) 97,020.00 90 0 - 0
6 id band yellow ( child ) 91,630.00 85 0 - 0
10 MMP POLYSAFETY Safety Cabula 20G 415,514.00 34 0 - 15
13 needle terumo 25 G 145,000.00 100 0 - 1
22 KISMED infusion set adult 20 drop/MI with Y Tyepe Airvent,Leuer Lock - 0 150 900,900.00 51
24 polysavety IV cannula 22 G - 0 100 1,210,000.00 58
25 kasa steril 16x16cm - 0 40 264,000.00 35
30 polysavety iv canula 24 G - 0 50 650,100.00 0
31 Cosmomed disp.UNDERPAD - 0 30 248,250.00 14
32 spuit 1cc OM - 0 200 160,000.00 69
JUMLAH 1,013,442.00 3,780,290.00
1 Masker earloop hijab - - 500 170,140.00 400

- 170,140.00
Alkes Habis
Pakai dan
Alat Lab :
Dana Bagi 1 Poly safety iv Canulla 18G,Manufacture ;Polymed - 0 90 1,089,000.00 79
Hasil Pajak - 1,089,000.00
Rokok

REAGEN NAMA REAGEN AWAL AWAL PENERIMAAN
REAGEN DAU JAYAMAS ONEMED ALKOHOL SWAB 80,000.00 8 0 - 5

JUMLAH 80,000.00 -
RI-DESEMBER 2020
JUMLAH HARGA STOCK JUMLAH HARGA STOCK

HARGA SELISIH
PENGELUARAN AKHIR AKHIR OPNAME
koreksi stock
159,390.00 0 3,465.00 - 0 0
123,000.00 110 750.00 82,500.00 110 0
22,605.00 234 55.00 12,870.00 234 0
271,634.00 1265 22.00 27,830.00 1265 0
1,084,462.00 105 134.00 14,070.00 105 0
53,192.00 2 6,649.00 13,298.00 2 0
42,994.00 113 83.00 9,379.00 113 0
57,640.00 12 2,620.00 31,440.00 12 0
131,400.00 10 14,600.00 146,000.00 10 0
351,000.00 700 270.00 189,000.00 700 0 27.00
327,744.00 8 3,414.00 27,312.00 8 0
90,950.00 9 2,675.00 24,075.00 9 0
2,716,011.00 - 577,774.00 577,774.00
170,940.00 0 28,490.00 - 0 0
191,400.00 8 6,600.00 52,800.00 8 0 1.00
- 148 5,060.00 748,880.00 148 0
362,340.00 - 801,680.00 801,680.00
25,960.00 0 519.20 - 0 0
1,345,200.00 0 354.00 - 0 0
512,512.00 1380 91.00 125,580.00 1380 0
93,019.00 443 167.00 73,981.00 443 0
- 1000 119.00 119,000.00 1000 0 274.00
44,556.00 42 282.00 11,844.00 42 0
- 200 257.00 51,400.00 200 0 48.00
2,021,247.00 - 381,805.00 381,805.00 -
16,720.00 0 4,180.00 - 0 0
182,000.00 20 2,000.00 40,000.00 20 0
98,191.00 200 149.00 29,800.00 200 0
342,000.00 20 8,550.00 171,000.00 20 0
1,031,415.00 190 731.50 138,985.00 190 0
- 500 880.00 440,000.00 500 0
- 20 8,550.00 171,000.00 20 0
1,670,326.00 - 990,785.00 990,785.00
775,425.00 0 1,055.00 - 0 0
642,000.00 4 21,400.00 85,600.00 4 0
- 100 6,325.00 632,500.00 100 0
32,134.30 200 245.30 49,060.00 200 0 111.00
228,536.00 677 392.00 265,384.00 677 0
1,877,040.00 15 7,920.00 118,800.00 15 0
673,024.00 222 1,408.00 312,576.00 222 0 32.00
261,858.00 6 43,643.00 261,858.00 6 0
- 20 3,979.00 79,580.00 20 0 7.00
2,796,255.00 53 495.00 26,235.00 53 0
11,060,000.00 1500 1,580.00 2,370,000.00 1500 0 898.00
10,337,790.00 6 7,635.00 45,810.00 6 0
410,400.00 5 22,800.00 114,000.00 5 0
1,935,416.00 32 28,462.00 910,784.00 32 0
842,217.00 251 733.00 183,983.00 251 0
58,000.00 21 2,000.00 42,000.00 21 0
173,950.00 11 3,550.00 39,050.00 11 0
87,324.38 24 1,149.01 27,576.12 24 0
459,000.00 480 450.00 216,000.00 480 0
753,900.00 205 420.00 86,100.00 205 0
438,240.00 1 5,280.00 5,280.00 1 0
475,200.00 46 3,300.00 151,800.00 46 0
1,439,152.00 664 407.00 270,248.00 664 0
2,307,855.00 545 781.00 425,645.00 545 0
237,600.00 65 1,760.00 114,400.00 65 0
1,234,200.00 70 3,740.00 261,800.00 70 0
223,568.00 576 157.00 90,432.00 576 0
1,487,871.00 506 346.50 175,329.00 506 0
HARGA SELISIH
koreksi stock
120,498.00 30 3,171.00 95,130.00 30 0
293,733.00 12 2,128.50 25,542.00 12 0
77,840.00 404 112.00 45,248.00 404 0
62,099.99 11 6,900.00 75,899.98 11 0
916,200.00 240 7,635.00 1,832,400.00 240 0
15,330.00 527 210.00 110,670.00 527 0
51,600.00 400 516.00 206,400.00 400 0 91.00
133,650.00 1 14,850.00 14,850.00 1 0
169,950.00 485 330.00 160,050.00 485 0
224,175.00 11 75.00 825.00 11 0
53,955.00 6 17,985.00 107,910.00 6 0
24,600.00 24 8,200.00 196,800.00 24 0
- 20 4,000.00 80,000.00 8 12
88,000.00 12 11,000.00 132,000.00 12 0
24,800.00 12 3,100.00 37,200.00 12 0
- 30 2,200.00 66,000.00 30 0
11,280.00 47 3,760.00 176,720.00 47 0
1,925.00 193 275.00 53,075.00 193 0
20,460.00 17 6,820.00 115,940.00 17 0
- 700 1,800.00 1,260,000.00 700 0 145.00
31,416.00 38 5,236.00 198,968.00 38 0
27,060.00 94 4,510.00 423,940.00 94 0
43,596,527.67 - 12,777,398.10 12,777,398.10
30,576.00 0 336.00 - 0 0
262,548.00 30 9,724.00 291,720.00 30 0
226,100.00 800 133.00 106,400.00 800 0
737,100.00 1180 405.00 477,900.00 1180 0
3,204,450.00 6174 75.00 463,050.00 6174 0
4,583,343.00 793 249.00 197,457.00 793 0
1,078,510.00 1005 58.00 58,290.00 1005 0
174,615.00 337 105.00 35,385.00 337 0
2,469,285.00 883 105.00 92,715.00 883 0
524,706.00 834 91.00 75,894.00 834 0
361,800.00 36 2,700.00 97,200.00 36 0
2,706,088.00 7 10,696.00 74,872.00 7 0
1,366,200.00 500 759.00 379,500.00 500 0 4.00
235,800.00 600 131.00 78,600.00 600 0 316.00
76,380.00 360 67.00 24,120.00 360 0
827,640.00 804 90.00 72,360.00 804 0
697,123.00 771 287.00 221,277.00 771 0
2,647,610.00 13 7,630.00 99,190.00 13 0
157,872.00 1182 104.00 122,928.00 1182 0
44,550.00 325 66.00 21,450.00 325 0
120,000.00 1000 60.00 60,000.00 1000 0
239,330.00 25 3,682.00 92,050.00 25 0 9.00
168,706.00 8 2,518.00 20,144.00 8 0
44,640.00 360 372.00 133,920.00 360 0 142.00
202,631.00 31 1,199.00 37,169.00 31 0
402,050.00 6 11,825.00 70,950.00 6 0
35,040.00 51 2,190.00 111,690.00 51 0
566,480.00 770 776.00 597,520.00 770 0
11,900.00 8 5,950.00 47,600.00 8 0
1,162,926.00 1382 207.00 286,074.00 1382 0
89,100.00 12 2,475.00 29,700.00 12 0
566,888.00 7 10,696.00 74,872.00 7 0
142,317.00 2741 63.00 172,683.00 2741 0
1,217,574.00 2563 102.00 261,426.00 2563 0
38,467.00 87 2,959.00 257,433.00 87 0 7.00
57,855.00 501 145.00 72,645.00 501 0
19,580.00 211 220.00 46,420.00 211 0
2,550.00 29 2,550.00 73,950.00 29 0
113,376.00 34 1,181.00 40,154.00 34 0
311,480.00 2604 130.00 338,520.00 2604 0
438,457.00 253 131.00 33,143.00 253 0
58,590.00 6 4,185.00 25,110.00 6 0
85,320.00 864 2,370.00 2,047,680.00 864 0
130,689.00 563 117.00 65,871.00 563 0
44,226.00 514 91.00 46,774.00 514 0
897,387.00 917 89.00 81,613.00 917 0
524,636.00 172 287.00 49,364.00 172 0
76,010.00 309 110.00 33,990.00 309 0
17,928.00 16 4,482.00 71,712.00 16 0
HARGA SELISIH
koreksi stock
48,900.00 185 60.00 11,100.00 185 0
78,600.00 350 524.00 183,400.00 350 0
421,400.00 580 245.00 142,100.00 580 0
8,970.00 85 598.00 50,830.00 85 0
- 5600 354.00 1,982,400.00 5600 0

50,672.00 84 3,167.00 266,028.00 84 0
30,806,971.00 - 10,906,343.00 10,906,343.00
162,003.60 0 13,500.30 - 0 0
968,456.50 0 5,234.90 - 0 0
587,895.00 4 5,599.00 22,396.00 4 0
2,160,356.00 1384 203.50 281,644.00 1384 0
3,168,976.80 616 337.70 208,023.20 616 0
319,321.20 9 6,261.20 56,350.80 9 0
573,394.80 692 133.10 92,105.20 692 0

7,940,403.90 - 660,519.20 660,519.20
5,364,516.00 46 354.00 16,284.00 46 0

82,800.00 150 552.00 82,800.00 150 0
5,447,316.00 - 99,084.00 99,084.00 - 0

HARGA
PENGELUARAN AKHIR AKHIR
45,000.00 0 15,000.00 - 0 0
463,540.00 8 770.00 6,160.00 8 0
508,540.00 - 6,160.00 6,160.00
455,008.00 0 3,856.00 - 0 0
- 70 1,078.00 75,460.00 70 0
- 75 1,078.00 80,850.00 75 0
- 90 1,078.00 97,020.00 90 0
- 85 1,078.00 91,630.00 85 0
183,315.00 19 12,221.00 232,199.00 19 0
1,450.00 99 1,450.00 143,550.00 99 0
306,306.00 99 6,006.00 594,594.00 99 0
701,800.00 42 12,100.00 508,200.00 42 0
231,000.00 5 6,600.00 33,000.00 5 0
- 50 13,002.00 650,100.00 50 0 11.00
115,850.00 16 8,275.00 132,400.00 16 0
55,200.00 131 800.00 104,800.00 131 0
2,049,929.00 - 2,743,803.00 2,743,803.00
136,112.00 100.00 340.28 34,028.00 - 100

136,112.00 - 34,028.00 34,028.00
955,900.00 11.00 12,100.00 133,100.00 11 0

955,900.00 - 133,100.00 133,100.00

HARGA
PENGELUARAN AKHIR AKHIR
50,000.00 3 10,000.00 30,000.00 3 0

50,000.00 - 30,000.00 30,000.00
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
UNIT PELAYANAN FARMASI PKM BLOOTO
PUSKESMAS : BLOOTO PELAPORAN BULAN/PERIODE : JANUARI 2020 PELAPORAN BULAN/PERIODE :

KECAMATAN : PRAJURIT KULON PERINTAAN BULAN /PERIODE : FEBRUARI 2020 PERINTAAN BULAN /PERIODE :
J
U
KAB/KOTA : KOTA MOJOKERTO M
L
Permintaan pemberian A
JANUARI 2021 H
H
HARGA
AKHIR
A
R
S
G
O
PKD Eritromicin 500mg
1 82,500.00 110 - 107 80,250.00 3 750.00 2,250.00 ### A
2 Haloperidol tab 0,5mg (2018) 12,870.00 234 - 40 2,200.00 194 55.00 10,670.00 ### A
W
3 Klorfeniramine Maleat tab 4 mg (2018) 27,830.00 1265 - 476 10,472.00 789 22.00 17,358.00 ### A
L
4 metilprednisolon 4mg 14,070.00 105 - 35 4,690.00 70 134.00 9,380.00 ###
5 PARACETAMOL DROP 13,298.00 2 - 0 - 2 6,649.00 13,298.00 ###
6 Salbutamol 4mg 9,379.00 113 - 0 - 113 83.00 9,379.00 ###
7 salep 2-4 komb(2018) 31,440.00 12 - 1 2,620.00 11 2,620.00 28,820.00 ###
8 sulfasetamida natrium tetes mata 15% (2018) 146,000.00 10 - 0 - 10 14,600.00 146,000.00 ###
9 ketokonazole tab 200mg(2018) 189,000.00 700 - 65 17,550.00 635 270.00 171,450.00 ###
10 Mikonazole krim/salep 2%(nitrat)(2018) 27,312.00 8 24 81,936.00 13 44,382.00 19 3,414.00 64,866.00 ###
11 gentamisin salep mata 0,3%(2018) 24,075.00 9 - 2 5,350.00 7 2,675.00 18,725.00 ###
JUMLAH 577,774.00 0 81,936.00 167,514.00 0 492,196.00 ###
PKDN
1 Dionicol dry Sirup 52,800.00 8 - 3 19,800.00 5 6,600.00 33,000.00 ###
2 Glaucon Tab 748,880.00 148 - 0 - 148 5,060.00 748,880.00 ###
JUMLAH 801,680.00 0 - 19,800.00 0 781,880.00 ###
BSP triheksifenidil hcl tab 2mg(harga 9 okt 2019
1 125,580.00 1380 - 335 30,485.00 1045 91.00 95,095.00 ###
2 Amitriptilin tab 25 mg 73,981.00 443 - 55 9,185.00 388 167.00 64,796.00 ###
3 glibenclamid 119,000.00 1000 - 87 10,353.00 913 119.00 108,647.00 ###
4 isoniazid 100mg (bsp 2020) 11,844.00 42 - 12 3,384.00 30 282.00 8,460.00 ###
5 GARAM ORALIT (2019) 51,400.00 200 - 11 2,827.00 189 257.00 48,573.00 ###
J
U
BSP M
L
A
H
H
HARGA
AKHIR
A
R
S
G
6 vitamin C 500mg - 0 500 99,000.00 0 - 500 198.00 99,000.00 ### O
A
7 oat kat.anak (harga 9 oktober 2019 ) ### A
8 OAT FDC katerogi 1 (2020) ### W
A
JUMLAH 381,805.00 0 99,000.00 56,234.00 0 424,571.00 ### L
BMHP Aqua pro Injeksi steril, bebas pirogen
1 40,000.00 20 - 0 - 20 2,000.00 40,000.00 ###
2 Hidroklortiazide 25 mg 29,800.00 200 - 10 1,490.00 190 149.00 28,310.00 ###
3 Wida RD 171,000.00 20 - 0 - 20 8,550.00 171,000.00 ###
4 Thiamex 500mg 138,985.00 190 - 135 98,752.50 55 731.50 40,232.50 ###
5 Thiamex 500mg 440,000.00 500 - 55 48,400.00 445 880.00 391,600.00 ###
6 WIDA RD lar.mengandung karbohidrat + elektrolit (RD) 171,000.00 20 - 0 - 20 8,550.00 171,000.00 ###
JUMLAH 990,785.00 0 - 148,642.50 0 842,142.50 ###
BLUD cazetin drop
1 85,600.00 4 - 1 21,400.00 3 21,400.00 64,200.00 ###
2 Duvadilan tab. 632,500.00 100 - 6 37,950.00 94 6,325.00 594,550.00 ###
3 Griseovulvin 125mg 49,060.00 200 - 0 - 200 245.30 49,060.00 ###
4 Molazol 265,384.00 677 - 20 7,840.00 657 392.00 257,544.00 ###
5 Mytaderm salep kulit 118,800.00 15 - 9 71,280.00 6 7,920.00 47,520.00 ###
6 Nextira 312,576.00 222 - 10 14,080.00 212 1,408.00 298,496.00 ###
7 Trombopob Gel 10 g 261,858.00 6 - 1 43,643.00 5 43,643.00 218,215.00 ###
8 vagizol ovula 500mg 79,580.00 20 - 20 79,580.00 0 3,979.00 - ###
9 Vastral 26,235.00 53 900 445,500.00 273 135,135.00 680 495.00 336,600.00 ###
10 Elflin (pseudoepedrin+tripolidin) 2,370,000.00 1500 - 200 316,000.00 1300 1,580.00 2,054,000.00 ###
11 LACTO B 45,810.00 6 - 6 45,810.00 0 7,635.00 - ###
12 Minyak Kayu Putih 60 ml 114,000.00 5 - 2 45,600.00 3 22,800.00 68,400.00 ###
13 Cendo Lyters 15ml 910,784.00 32 - 8 227,696.00 24 28,462.00 683,088.00 ###
14 Spasminal 183,983.00 251 - 40 29,320.00 211 733.00 154,663.00 ###
15 dexametason inj 42,000.00 21 - 2 4,000.00 19 2,000.00 38,000.00 ###
16 gom 39,050.00 11 - 8 28,400.00 3 3,550.00 10,650.00 ###
17 lidokain hcl 2% injeksi 27,576.12 24 - 7 8,043.04 17 1,149.01 19,533.09 ###
18 Novaron 500mg(antalgin) 216,000.00 480 - 30 13,500.00 450 450.00 202,500.00 ###
J
U
M
L
A
H
H
HARGA
AKHIR
A
R
S
G
O
19 Ciprofloxacin 500mg 86,100.00 205 - 120 50,400.00 85 420.00 35,700.00 ### A
20 bedak salicil 5,280.00 1 12 63,360.00 10 52,800.00 3 5,280.00 15,840.00 ### A
W
21 amoksilin syr 151,800.00 46 - 3 9,900.00 43 3,300.00 141,900.00 ### A
L
22 omeprazole 20mg 270,248.00 664 600 244,200.00 1094 445,258.00 170 407.00 69,190.00 ###
23 cefadroxil 500mg 425,645.00 545 500 390,500.00 505 394,405.00 540 781.00 421,740.00 ###
24 dulcolax tab 114,400.00 65 - 28 49,280.00 37 1,760.00 65,120.00 ###
25 Mediamer b6 261,800.00 70 - 40 149,600.00 30 3,740.00 112,200.00 ###
26 CPZ (Chlorpromazine HCL 100mg) 90,432.00 576 - 260 40,820.00 316 157.00 49,612.00 ###
27 kaditic 175,329.00 506 2000 693,000.00 1223 423,769.50 1283 346.50 444,559.50 ###
28 Zinc Sulfate syr 60ml/36s 95,130.00 30 - 18 57,078.00 12 3,171.00 38,052.00 ###
29 antasida sirup 25,542.00 12 - 12 25,542.00 0 2,128.50 - ###
30 Dimenhidrinat 50mg 45,248.00 404 - 26 2,912.00 378 112.00 42,336.00 ###
31 d5% 75,899.98 11 - 0 - 11 6,900.00 75,899.98 ###
32 lacto b 1,832,400.00 240 - 63 481,005.00 177 7,635.00 1,351,395.00 ###
33 Methil ergometrine 0,125 mg 110,670.00 527 - 16 3,360.00 511 210.00 107,310.00 ###
34 Methilprednisolon 16 mg 206,400.00 400 - 0 - 400 516.00 206,400.00 ###
35 solvitron sirup 14,850.00 1 90 1,336,500.00 37 549,450.00 54 14,850.00 801,900.00 ###
36 ibuprofen 400mg 160,050.00 485 - 315 103,950.00 170 330.00 56,100.00 ###
37 asam folat tablet 825.00 11 - 11 825.00 0 75.00 - ###
38 bioplacenton 107,910.00 6 - 0 - 6 17,985.00 107,910.00 ###
39 aminophyline 10ml inj24"(ethica) 196,800.00 24 - 0 - 24 8,200.00 196,800.00 ###
40 furosemid 10mg/ml inj25"s(inf) 80,000.00 20 - 12 48,000.00 8 4,000.00 32,000.00 ###
41 Ephineprine 0,1%100"s 132,000.00 12 - 0 - 12 11,000.00 132,000.00 ###
42 Atropin sulfat inj100"s 37,200.00 12 - 0 - 12 3,100.00 37,200.00 ###
43 Metamizole injksi (phapros) 66,000.00 30 60 132,000.00 30 66,000.00 60 2,200.00 132,000.00 ###
44 Ranitidin injeksi (hexpharm) 176,720.00 47 50 188,000.00 70 263,200.00 27 3,760.00 101,520.00 ###
45 Furosemid 40mg 53,075.00 193 - 18 4,950.00 175 275.00 48,125.00 ###
46 Cefotaxime injeksi 115,940.00 17 - 0 - 17 6,820.00 115,940.00 ###
47 Alinamin F. tab 1,260,000.00 700 - 50 90,000.00 650 1,800.00 1,170,000.00 ###
J
U
M
L
A
H
H
HARGA
AKHIR
A
R
S
G
48 OBH sirup 198,968.00 38 - 5 26,180.00 33 5,236.00 172,788.00 ### O
A
49 Methyl Ergometrin Injeksi 423,940.00 94 - 2 9,020.00 92 4,510.00 414,920.00 ### A
50 Reco 3% Tetes Telinga - 0 30 284,640.00 12 113,856.00 18 9,488.00 170,784.00 ### W
A
51 sabun hijau - 0 22 121,000.00 8 44,000.00 14 5,500.00 77,000.00 ### L
52 Reco 3% Tetes mata - 0 25 211,200.00 6 50,688.00 19 8,448.00 160,512.00 ###
53 cetirizine hcl sirup 60ml - 0 30 87,450.00 0 - 30 2,915.00 87,450.00 ###
54 antasida sirup - 0 50 106,425.00 3 6,385.50 47 2,128.50 100,039.50 ###
55 Becomzet - 0 200 577,400.00 200 577,400.00 0 2,887.00 - ###
56 Callusol - 0 5 192,500.00 2 77,000.00 3 38,500.00 115,500.00 ###
57 Oxytocin inj 10iu generik ###
58 Zinc Sulfate syr 60ml/36s ###
59 Mytaderm Cream ###
60 omeprazole 20mg ###
61 ambroxol 30mg ###
62 Kaditic ###
63 Ascardia 80mg ###
64 Litrol Tetes Mata ###
JUMLAH 12,777,398.10 0 5,073,675.00 4,476,981.54 0 11,793,476.57 ###
PKD DAK
2019 d51/4ns
1 291,720.00 30 - 6 58,344.00 24 9,724.00 233,376.00 ###
2 kotrimoksazol dws komb:sulfametoksazol 400 106,400.00 800 - 74 9,842.00 726 133.00 96,558.00 ###
3 aciklovir tab 400mg 477,900.00 1180 - 10 4,050.00 1170 405.00 473,850.00 ###
4 Amlodipintab tab 5mg 463,050.00 6174 3600 270,000.00 8869 665,175.00 905 75.00 67,875.00 ###
5 amoksisilin kap 500mg 197,457.00 793 - 288 71,712.00 505 249.00 125,745.00 ###
6 antasida doen tab komb. 58,290.00 1005 - 951 55,158.00 54 58.00 3,132.00 ###
7 asam asetilsalisilat(asetosal)tab 80mg/miniasp 35,385.00 337 - 337 35,385.00 0 105.00 - ###
8 asam askorbat (VIT.C)tab 50mg 92,715.00 883 2000 210,000.00 1824 191,520.00 1059 105.00 111,195.00 ###
9 domperidon tab 10mg 75,894.00 834 - 288 26,208.00 546 91.00 49,686.00 ###
10 domperidon suspensi 5mg/5ml 97,200.00 36 - 12 32,400.00 24 2,700.00 64,800.00 ###
11 KA-EN 3B Larutan mengandung elektrolit 74,872.00 7 - 7 74,872.00 0 10,696.00 - ###
12 klindamisin kap 150mg 379,500.00 500 - 40 30,360.00 460 759.00 349,140.00 ###
J
U
M
L
A
H
H
HARGA
AKHIR
A
R
S
G
13 loratadine tab 10mg 78,600.00 600 - 0 - 600 131.00 78,600.00 ### O
A
14 salbutamol tab 2mg 24,120.00 360 - 120 8,040.00 240 67.00 16,080.00 ### A
W
15 setirizin tab 10mg (2019) 72,360.00 804 - 478 43,020.00 326 90.00 29,340.00 ### A
L
16 TFP (Trifluoperazin) tab 5mg 221,277.00 771 - 315 90,405.00 456 287.00 130,872.00 ###
17 RINGER LAKTAT lar.infus 99,190.00 13 40 305,200.00 23 175,490.00 30 7,630.00 228,900.00 ###
18 allopurinol tab 100mg 122,928.00 1182 - 180 18,720.00 1002 104.00 104,208.00 ###
19 Captopril 12,5mg (2018) 21,450.00 325 - 89 5,874.00 236 66.00 15,576.00 ###
20 Haloperidol tab 5mg 60,000.00 1000 - 10 600.00 990 60.00 59,400.00 ###
21 fitomenadion(vit.K)injeksi 2mg/ml (im) 92,050.00 25 30 110,460.00 38 139,916.00 17 3,682.00 62,594.00 ###
22 ketokonazol krim 2% 20,144.00 8 - 5 12,590.00 3 2,518.00 7,554.00 ###
23 gemfibrozil kap 300mg(2019) 133,920.00 360 - 0 - 360 372.00 133,920.00 ###
24 oksitosin injeksi 10iu/ml 37,169.00 31 - 8 9,592.00 23 1,199.00 27,577.00 ###
25 Permetrin krim 5% (2018) 70,950.00 6 - 6 70,950.00 0 11,825.00 - ###
26 kotrimoksazol susp.komb:sulfa.200mg+trimet 111,690.00 51 - 6 13,140.00 45 2,190.00 98,550.00 ###
27 clobazam tab 10mg 597,520.00 770 - 135 104,760.00 635 776.00 492,760.00 ###
28 Eritromisin sirup 200mg/5ml (TROVILON) 47,600.00 8 - 0 - 8 5,950.00 47,600.00 ###
29 glimepirid tab 2mg 286,074.00 1382 1000 207,000.00 1882 389,574.00 500 207.00 103,500.00 ###
30 hidrokortison krim 2,5% 29,700.00 12 - 10 24,750.00 2 2,475.00 4,950.00 ###
31 KA-EN 3B Larutan mengandung elektrolit 74,872.00 7 - 6 64,176.00 1 10,696.00 10,696.00 ###
32 kalsium lactat 172,683.00 2741 - 1969 124,047.00 772 63.00 48,636.00 ###
33 metformin hcl tab 500mg 261,426.00 2563 5000 510,000.00 2732 278,664.00 4831 102.00 492,762.00 ###
34 metilergometrin injeksi 0,2mg/ml 257,433.00 87 - 0 - 87 2,959.00 257,433.00 ###
35 new antides 600mg 72,645.00 501 - 284 41,180.00 217 145.00 31,465.00 ###
36 Nifedipin tab 10mg 46,420.00 211 - 10 2,200.00 201 220.00 44,220.00 ###
37 oksitetrasiklin SK 3% 73,950.00 29 - 0 - 29 2,550.00 73,950.00 ###
38 paracetamol sirup 120mg/5ml 40,154.00 34 - 19 22,439.00 15 1,181.00 17,715.00 ###
39 paracetamol tab 500mg 338,520.00 2604 - 1753 227,890.00 851 130.00 110,630.00 ###
40 PIRIDOKSIN (vit.B6)tab 10mg HCL 33,143.00 253 - 251 32,881.00 2 131.00 262.00 ###
41 sefadroksil sirup kering 125mg/5ml 25,110.00 6 - 1 4,185.00 5 4,185.00 20,925.00 ###
42 sefixim kap salut selaput 200mg 2,047,680.00 864 - 30 71,100.00 834 2,370.00 1,976,580.00 ###
J
U
M
L
A
H
H
HARGA
AKHIR
A
R
S
G
O
43 simvastatin 10mg (2019) 65,871.00 563 - 436 51,012.00 127 117.00 14,859.00 ### A
44 tiamin(B1)tab 50mg 46,774.00 514 - 90 8,190.00 424 91.00 38,584.00 ### A
45 vitamin b compleks 81,613.00 917 2000 178,000.00 2670 237,630.00 247 89.00 21,983.00 ### W
A
46 Resperidon 49,364.00 172 - 135 38,745.00 37 287.00 10,619.00 ### L
47 betahistin 6mg 33,990.00 309 - 284 31,240.00 25 110.00 2,750.00 ###
48 CEFOTAXIM SODIUM SERBUK INJEKSI 1000MG 71,712.00 16 - 0 - 16 4,482.00 71,712.00 ###
49 Haloperidol tab 5mg 11,100.00 185 - 185 11,100.00 0 60.00 - ###
50 zink dispersible 20mg 183,400.00 350 - 150 78,600.00 200 524.00 104,800.00 ###
51 karbamazepin tab 200mg 142,100.00 580 - 210 51,450.00 370 245.00 90,650.00 ###
52 Nistatin Vaginal tab 100000 iu 50,830.00 85 - 0 - 85 598.00 50,830.00 ###
53 Ferro sulfat 60mg+asam folat 0,4mg(TABLET TAMBAH DARAH) 1,982,400.00 5600 - 1998 707,292.00 3602 354.00 1,275,108.00 ###
54 Anti Hemoroid kob sup:bismut subgalat heksaklorofen 266,028.00 84 - 18 57,006.00 66 3,167.00 209,022.00 ###
55 kloramfenikol salep mata 1% - 0 24 48,168.00 2 4,014.00 22 2,007.00 44,154.00 ###
56 Permetrin krim 5% (2018) - 0 15 177,375.00 4 47,300.00 11 11,825.00 130,075.00 ###
57 asering - 40 385,840.00 27 260,442.00 13 9,646.00 125,398.00 ###
JUMLAH 10,906,343.00 0 2,402,043.00 4,503,474.00 0 8,193,529.00 ###
PKD NON
GENERIK
(NON DAU- 1 GENOINT SALEP KULIT 1% 22,396.00 4 24 134,376.00 28 156,772.00 0 5,599.00 - ###
DBHPR) 2019
2 ROVERTON TAB 30MG 281,644.00 1384 - 953 193,935.50 431 203.50 87,708.50 ###
3 NOVASTAN 208,023.20 616 - 616 208,023.20 0 337.70 - ###
4 Acifar Krim 5% 56,350.80 9 - 2 12,522.40 7 6,261.20 43,828.40 ###
5 Kalmethason tab 0,5mg 92,105.20 692 - 682 90,774.20 10 133.10 1,331.00 ###
6 Fasidol tab 500mg ###

JUMLAH 660,519.20 0 134,376.00 662,027.30 0 132,867.90 ###
PENGADAAN Asam Folat/folic acid tablet/kapsul/kapler 1mg ###
OBAT (DANA
NON DAU -
DAK FISIK
KEFARMASIA
N)TH 2020
J
U
M
L
A
H
H
HARGA
AKHIR
A
PENGADAAN R
S
OBAT (DANA G
NON DAU - Asam Mefenamat 500mg ### O
A
DAK FISIK Simvastatin tab 10mg ### A

KEFARMASIA Clozapine/klozapin tablet 25mg ### W
N)TH 2020 A
JUMLAH ### L
DAK
STUNTING
2019 1 tablet tambah darah komb.ferro fumarat 60mg+asam folat 0,4mg 16,284.00 46 - 46 16,284.00 0 354.00 - ###
2 retinol (vitA)200.000iu 82,800.00 150 - 6 3,312.00 144 552.00 79,488.00 ###
JUMLAH 99,084.00 0 - 19,596.00 0 79,488.00 ###
###
ALKES NAMA ALKES ###
###
PKD AHP 1 Hansaplas Jumbo - 0 - 0 - 0 15,000.00 - ###
2 spuit 3 cc JMI 6,160.00 8 100 77,000.00 21 16,170.00 87 770.00 66,990.00 ###
3 Onemed Kapas pembalut hidrofil 4x15cm - 0 50 105,000.00 5 10,500.00 45 2,100.00 94,500.00 ###
4 Jayamas JMI Syringe 5 ml with Needle - 0 100 96,800.00 0 - 100 968.00 96,800.00 ###
5 One Med Catgut Plain 2/0 + jarum 1/2 GT 35mm ###
JUMLAH 6,160.00 0 278,800.00 26,670.00 0 258,290.00 ###
0 0 ###
BLUD 1 id band yellow (adult) 75,460.00 70 - 0 - 70 1,078.00 75,460.00 ###
2 id band blue ( adult ) 80,850.00 75 - 0 - 75 1,078.00 80,850.00 ###
3 id band red (adult ) 97,020.00 90 - 0 - 90 1,078.00 97,020.00 ###
4 id band yellow ( child ) 91,630.00 85 - 0 - 85 1,078.00 91,630.00 ###
5 MMP POLYSAFETY Safety Cabula 20G 232,199.00 19 - 0 - 19 12,221.00 232,199.00 ###
6 needle terumo 25 G 143,550.00 99 - 0 - 99 1,450.00 143,550.00 ###
7 KISMED infusion set adult 20 drop/MI with Y Tyepe Airvent,Leuer Lock 594,594.00 99 - 1 6,006.00 98 6,006.00 588,588.00 ###
8 polysavety IV cannula 22 G 508,200.00 42 - 0 - 42 12,100.00 508,200.00 ###
9 kasa steril 16x16cm 33,000.00 5 - 5 33,000.00 0 6,600.00 - ###
10 polysavety iv canula 24 G 650,100.00 50 - 1 13,002.00 49 13,002.00 637,098.00 ###
11 Cosmomed disp.UNDERPAD 132,400.00 16 - 16 132,400.00 0 8,275.00 - ###
12 spuit 1cc OM 104,800.00 131 - 19 15,200.00 112 800.00 89,600.00 ###
13 aseptic gel - 0 2 100,000.00 2 100,000.00 0 50,000.00 - ###
14 kasa steril 16x16cm 0 33 217,800.00 13 85,800.00 20 6,600.00 132,000.00 ###
15 Spmed Surgical Glove Steril Powdes Free No.7 ###
J
U
M
L
A
H
H
HARGA
AKHIR
A
R
S
G
16 Sarung Tangan Obgyn (STORAGE) ### O
A
JUMLAH 2,743,803.00 0 317,800.00 199,608.00 0 2,676,195.00 ### A
BSP 1 Masker earloop hijab 34,028.00 100 350 119,098.00 327 111,271.56 123 340.28 41,854.44 ### W
A
34,028.00 0 119,098.00 111,271.56 0 41,854.44 ### L
Alkes Habis
Pakai dan
Alat Lab : 1 Poly safety iv Canulla 18G,Manufacture ;Polymed 133,100.00 11 - - 11 12,100.00 133,100.00 ###
Dana Bagi 133,100.00 0 - - 0 133,100.00 ###
Hasil
BOKPajak 1 sensi latex exam glove pre powdered non steril size S - 0 5 425,000.00 3 255,000.00 2 85,000.00 170,000.00 ###
Rokok
- 0 425,000.00 255,000.00 0 170,000.00 ###
0 0 ###
REAGEN NAMA REAGEN 0 0 ###
0 0 ###
REAGEN DAU 1 JAYAMAS ONEMED ALKOHOL SWAB 30,000.00 3 - 3 10,000.00 30,000.00 ###
JUMLAH 30,000.00 0 - - 0 30,000.00 ###
BLUD 1 Alkohol 70% 1liter - 0 1 48,000.00 - 1 48,000.00 48,000.00 ###
2 GINAC TISSUE ###
JUMLAH - 0 48,000.00 - 0 48,000.00 ###
Koordinator Unit Pelayanan Farmasi
Hadi Ismanto
Endah Dwi Susanti S,Si Apt Hadi Ismanto NIP.
NIP. NIP.
0
OBAT
PKD
AWAL PENERIMAAN PENGELUARAN
JANUARI 3,734,546.00 2,522,036.00 3,411,996.00
FEBRUARI 2,844,586.00 938,251.00 1,799,672.00
MARET
APRIL
MEI
JUNI
JULI
AGUSTUS
SEPTEMBER
OKTOBER
NOVEMBER
DESEMBER
3,460,287.00 5,211,668.00
OBAT BLUD
JANUARI
FEBRUARI
MARET
APRIL
MEI
JUNI
JULI
AGUSTUS
SEPTEMBER
OKTOBER
NOVEMBER
DESEMBER
ALKES
PKD-AHP
JANUARI 657,214.00 49,984.00 292,574.00
FEBRUARI 414,624.00 198,000.00 181,910.00
MARET
APRIL
MEI
JUNI
JULI
AGUSTUS
SEPTEMBER
OKTOBER
NOVEMBER
DESEMBER
247,984.00 474,484.00
ALKES BLUD
JANUARI
FEBRUARI
MARET
APRIL
MEI
JUNI
JULI
AGUSTUS
SEPTEMBER
OKTOBER
NOVEMBER
DESEMBER
REAGEN DAU
JANUARI
FEBRUARI
MARET
APRIL
MEI
JUNI
JULI
AGUSTUS
SEPTEMBER
OKTOBER
NOVEMBER
DESEMBER
REAGEN BLUD
JANUARI
FEBRUARI
MARET
APRIL
MEI
JUNI
JULI
AGUSTUS
SEPTEMBER
OKTOBER
NOVEMBER
DESEMBER
PKDN
AKHIR AWAL PENERIMAAN PENGELUARAN AKHIR
2,844,586.00 2,208,281.00 - 515,278.00 1,693,003.00
1,983,165.00 1,693,003.00 - 177,720.00 1,515,283.00
1,983,165.00 - 692,998.00 1,515,283.00
- -
BMHP-ALKES
414,624.00 - - - -
430,714.00 - 402,000.00 - 402,000.00
430,714.00 402,000.00 - 402,000.00
- -

SARPRAS BSP
AWAL PENERIMAAN PENGELUARAN AKHIR AWAL
576,304.00
542,923.00
- - -
BSP
- - -

BSP BMHP
PENERIMAAN PENGELUARAN AKHIR AWAL PENERIMAAN
1,911,440.00 1,944,821.00 542,923.00 732,616.00 -
2,465,064.00 2,422,754.00 585,233.00 565,386.00 376,000.00
4,376,504.00 4,367,575.00 585,233.00 376,000.00

BLUD
3,391,650.00 92,500.00
2,999,482.00 77,120.00
169,620.00
DAU
80,000.00 -
80,000.00 -
BLUD
- 364,000.00
- 244,000.00
608,000.00
BMHP PKD DAK
PENGELUARAN AKHIR AWAL PENERIMAAN PENGELUARAN
167,230.00 565,386.00 2,035,405.00 9,731,590.00 9,947,965.00
397,880.00 543,506.00 1,819,030.00 12,881,659.00 7,578,577.00
565,110.00 543,506.00 22,613,249.00 17,526,542.00
-
BLUD
PENGELUARAN AKHIR AWAL PENERIMAAN PENGELUARAN
9,737,498.72 16,027,066.00 13,942,376.96
11,822,187.76 13,549,454.50 11,603,926.23
29,576,520.50 25,546,303.19
PENGELUARAN AKHIR
BLUD
PENGELUARAN AKHIR
484,668.00 2,999,482.00
809,900.00 2,266,702.00
1,294,568.00 2,266,702.00
-
DAU
PENGELUARAN AKHIR
- 80,000.00
20,000.00 60,000.00
20,000.00 60,000.00
-
BLUD
PENGELUARAN AKHIR
364,000.00 -
244,000.00 -
608,000.00 -
-
JANUARI - DESEMBER
AKHIR AWAL PENERIMAAN
1,819,030.00 9,287,152.00 14,165,066.00
7,122,112.00 7,464,928.00 16,660,974.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
7,122,112.00 30,826,040.00
-
JANUARI - DESEMBER
AKHIR AWAL PENERIMAAN
11,822,187.76 9,737,498.72 16,027,066.00
13,767,716.03 11,822,187.76 13,549,454.50
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
13,767,716.03 29,576,520.50
-
JANUARI - DESEMBER
AWAL PENERIMAAN
657,214.00 49,984.00
414,624.00 600,000.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
649,984.00
JANUARI - DESEMBER
AWAL PENERIMAAN
3,391,650.00 92,500.00
2,999,482.00 77,120.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
169,620.00
JANUARI - DESEMBER
AWAL PENERIMAAN
80,000.00 -
80,000.00 -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
-
JANUARI - DESEMBER
AWAL PENERIMAAN
- 364,000.00
- 244,000.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
608,000.00
NUARI - DESEMBER
PENGELUARAN AKHIR
15,987,290.00 7,464,928.00 7,464,928.00 -
12,376,603.00 11,749,299.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
28,363,893.00 11,749,299.00
-
NUARI - DESEMBER
PENGELUARAN AKHIR
13,942,376.96 11,822,187.76 11,822,187.76 -
11,603,926.23 13,767,716.03
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
25,546,303.19 13,767,716.03
-
NUARI - DESEMBER
PENGELUARAN AKHIR
292,574.00 414,624.00 414,624.00 -
181,910.00 832,714.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
474,484.00 832,714.00
-
NUARI - DESEMBER
PENGELUARAN AKHIR
484,668.00 2,999,482.00 2,999,482.00 -
809,900.00 2,266,702.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
1,294,568.00 2,266,702.00
-
NUARI - DESEMBER
PENGELUARAN AKHIR
- 80,000.00 80,000.00 -
20,000.00 60,000.00
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
20,000.00 60,000.00
-
NUARI - DESEMBER
PENGELUARAN AKHIR
364,000.00 - - -
244,000.00 -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
608,000.00 -
-

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STOCK PER 31 DESEMBER 2019 PELAYANAN

UPT PUSKESMAS BLOOTO

3 Cefotaxime inj 1gr 142,042.00 29 0 - 29 142,042.00 0 4,898.00 -

JUMLAH JUMLAH HARGA JUMLAH HARGA STOCK JUMLAH

SUMBER ANGGARAN NAMA OBAT

JANUARI - DESEMBER 2019

34 jayamas onemed spalk kayu - 0 1 61,600.00 1 61,600.00 0 61,600.00 -

4 Khloramphenicol salep mata 57,904.00 32 35 63,332.50 44 79,618.00 23 1,809.50 41,618.50

JAYAMAS ONEMED ALKOHOL S - 0 74 740,000.00 66 660,000.00 8 10,000.00 80,000.00

PKD DAK Asam Mefenamat kap 500mg

123 Ferro sulfat 60mg+asam folat 0,4mg(TABLET TAMBAH DARAH) 5600 0

PKD NON 1 CALADIN LOTION 0 0

3 GENOINT SALEP KULIT 1% 4 0

4 ROVERTON TAB 30MG 1384 0

7 Kalmethason tab 0,5mg 692 0

ALKES NAMA ALKES

PKD AHP 1 Hansaplas Jumbo 0 0

BLUD 1 DIAPRO Underpad popok alas 0 0

BMHP ALKES 1 Catgut PLAIN 2/0 0 0

1 Masker earloop hijab - 100

REAGEN NAMA REAGEN

REAGEN DAU JAYAMAS ONEMED ALKOHOL SWAB 3 0

REAGEN BLUD kertas puyer 0 0

JUMLAH HARGA STOCK JUMLAH HARGA

BLUD 1 Alinamin F 353,425.00 335 400 422,000.00 735

89 Zinc Sulfate syr 60ml/36s - 0 68 215,628.00 38

PKD DAK Asam Mefenamat kap 500mg

118 Haloperidol tab 5mg - 0 1000 60,000.00 815

PKD NON 1 CALADIN LOTION - 0 12 162,003.60 12

2 OBH SURYA - 0 185 968,456.50 185

3 GENOINT SALEP KULIT 1% - 0 109 610,291.00 105

4 ROVERTON TAB 30MG - 0 12000 2,442,000.00 10616

5 NOVASTAN - 0 10000 3,377,000.00 9384

6 Acifar Krim 5% - 0 60 375,672.00 51

7 Kalmethason tab 0,5mg - 0 5000 665,500.00 4308

JUMLAH HARGA STOCK JUMLAH HARGA

PKD AHP 1 Hansaplas Jumbo 45,000.00 3 0 - 3

BLUD 1 DIAPRO Underpad popok alas 107,968.00 28 90 347,040.00 118

1 Masker earloop hijab - - 500 170,140.00 400

JUMLAH HARGA STOCK JUMLAH HARGA

REAGEN DAU JAYAMAS ONEMED ALKOHOL SWAB 80,000.00 8 0 - 5

JUMLAH HARGA STOCK JUMLAH HARGA STOCK

- 5600 354.00 1,982,400.00 5600 0

587,895.00 4 5,599.00 22,396.00 4 0

2,160,356.00 1384 203.50 281,644.00 1384 0

3,168,976.80 616 337.70 208,023.20 616 0

319,321.20 9 6,261.20 56,350.80 9 0

573,394.80 692 133.10 92,105.20 692 0

5,364,516.00 46 354.00 16,284.00 46 0

JUMLAH HARGA STOCK JUMLAH HARGA

136,112.00 100.00 340.28 34,028.00 - 100

955,900.00 11.00 12,100.00 133,100.00 11 0

JUMLAH HARGA STOCK JUMLAH HARGA

50,000.00 3 10,000.00 30,000.00 3 0

PUSKESMAS : BLOOTO PELAPORAN BULAN/PERIODE : JANUARI 2020 PELAPORAN BULAN/PERIODE :

3 NOVASTAN 208,023.20 616 - 616 208,023.20 0 337.70 - ###

4 Acifar Krim 5% 56,350.80 9 - 2 12,522.40 7 6,261.20 43,828.40 ###

6 Fasidol tab 500mg ###

DAK FISIK Simvastatin tab 10mg ### A

Koordinator Unit Pelayanan Farmasi

1,983,165.00 - 692,998.00 1,515,283.00

AKHIR AWAL PENERIMAAN PENGELUARAN AKHIR