PEMERINTAH KABUPATEN GIANYAR

DINAS KESEHATAN
UPT KESMAS PAYANGAN
Jl. Giri Kesuma Melinggih, Payangan, Gianyar, Kode Pos : 80572
Telp. 0361- 978214, email : puskesmaspayanganoke@gmail.com

DAFTAR OBAT KADALUARSA

APOTEK UPT KESMAS PAYANGAN
Harga
per obat Harga Total Tanggal
No Nama Obat Kadaluarsa Nomor Batch Jumlah (Rp) (Rp) Kadaluarsa
1 Deksametason injeksi 75337004-1 140 1,567 219,380 Mar-17
2 Vitamin B12 injeksi 1201001 81 1,037 83,997 Mar-17
3 Ketokonasole tab 2440589 1,566 280 438,480 Apr-17
4 Zinc tab DE08589 2,309 473 1,092,157 Apr-17
5 Glukosa infus 5% 220507 20 5,060 101,200 Apr-17
6 Stesolid 5 mg/2.5 mL supp R23681704 20 11,525 230,500 Apr-17
7 Kloramfenikol SM 05418310 16 1,563 25,008 May-17
8 Combivent nebul 5984007 658 5,990 3,941,420 May-17
9 Diazepam supp 10 mg R23691705 6 44,550 267,300 May-17
10 Furosemide tablet A0404EQ 1,320 80 105,600 May-17
11 Needle 24 120613B 190 450 85,500 May-17
12 Vit. K injeksi 85478014 123 4,167 512,541 May-17
13 Antalgin 500 mg tab 1204030 9,092 149 1,354,708 Jun-17
14 Griseofulvin tab 1203003 1,556 240 373,440 Jun-17
15 Metilprednisolon inj 17 19,200 326,400 Jul-17
16 Kloramfenikol TT 158 2,625 414,687 Jul-17
17 Acyclovir Cream 5% 87 4,290 373,230 Jul-17
18 Erytromicin syr YE92038 100 7,700 770,000 Aug-17
19 Betametasone cream 1405477 109 1,520 165,680 Aug-17
20 Ephinephrine inj 75344015-1 32 1,749 55,968 Aug-17
21 Salycil Powder A80HDU1070 232 1,430 331,760 Aug-17
22 Salbutamol tab 25 89 2,225 Sep-17
23 MgSO4 40% 13 3,500 45,500 Sep-17
24 Thiamfenicol 500 mg tab 1,710 616 1,053,360 Oct-17
25 Antifungi 12056070 25 1,375 34,375 Dec-17
26 Betametasone N40924T 56 1,520 85,120 Dec-17
27 Dexocort 125 9,818 1,227,250 Dec-17
28 Captopril 12.5 mg 2,705 62 167,710 Apr-18
29 Atropin sulfat 14B0142 8 1,100 8,800 Feb-18
30 Nifedipin 4505493 1,370 129 176,730 May-18
31 Masker 500 416 207,900 May-18
32 Miconazole krim 2% 06402810 233 3,000 699,000 Jun-18
33 Betametason cream 650676T 167 1,520 253,840 Jun-18
34 Cotrimoxazol syr C60021 123 2,167 266,541 Jul-18
35 Tetrasiklin 535053 460 257 118,220 Jul-18
36 Albendazole 1606161 150 407 61,050 Jun-18
37 Vitamin B kompleks H50842T 668 107 71,476 Jul-18
38 Diazepam 5 mg/mL inj 1307005 9 2,368 21,312 Jul-18
39 Lysol concentrate 03091588 8 62,000 496,000 Aug-18
40 Asam folat 15TH007 3,013 48 144,624 Aug-18
41 Burnazine 165715 8 23,000 184,000 Aug-18
42 Ringer Laktat 460904 170 7,150 1,215,500 Aug-18
43 Ketoconazole cream BNI40471T 497 2,569 1,276,793 Aug-18
44 Calcium Lacta 160876 270 52 14,040 Aug-18
45 Erytromyc syr KC2192J 106 7,700 816,200 Sep-18
46 Umbilical cord klem 01101388 500 500 250,000 Sep-18
47 Dexocort cream 2769J 107 9,818 1,050,526 Sep-18
48 Asam folat 15TS011 200 48 9,600 Sep-18
49 Calcium Lacta 161388 340 52 17,680 Oct-18
50 Rivanol 09111588 98 3,300 323,400 Oct-18
51 H2O2 09111588 55 20,900 1,149,500 Oct-18
52 Phenobarbital inj 658030042 30 1,980 59,400 Nov-17
53 Asam Mefenamat 161325 150 112 16,800 Oct-18
54 Acyclovir tab 400 mg DK2261 4,060 240 974,400 Nov-18
55 Phytomenadione inj 95478049 82 4,167 341,694 Nov-18
56 Gastrul (Misoprostol) TK0181 26 14,000 364,000 Nov-18
57 Stesolid Diazepam 5 mg T23681724 1 11,525 11,525 Nov-18
58 Otsu D40% 97E46A 2 9,818 19,636 May-18
59 Aquabidest 96K45A 1 4,180 4,180 Nov-18
60 CHKM 3 55,000 165,000
61 Band Matrix 1 87,500 87,500
62 Umbilkal Clem 1101388 12 500 6,000 Sep-18
TOTAL 24,767,363

Mengetahui Payangan, 31 Desember 2018

Kepala UPT Kesmas Payangan Yang Melaporkan

(dr I Gusti Ngurah Gede Putra,S.Ked.M.Si) (I Gusti Oka Dharmadi,S.Si.,Apt )

NIP. 19801031 200903 1 003 NIP. 19730824 200803 1 001