Form STOCK OPNAME PROGRAM Seksi Farmasi DINKES-KB KAB.TEBO T.

A 2020

JENIS : BUFFER STOCK

PENAMBAHAN / PENERIMAAN PENGELUARAN /

STOCK AWAL ( 1 JANUARI 2020 ) PEMAKAIAN ( 1 JAN S/D SISA STOCK ( 31 DES 2020 )
( SELAMA T.A 2020 ) 31 DES 2020 )
NO NAMA SEDIAAN SATUAN
HARGA HARGA HARGA
JUMLAH HARGA SATUAN TOTAL JUMLAH SATUAN TOTAL JUMLAH SATUAN TOTAL JUMLAH SATUAN TOTAL

12 = ( 10
1 2 3 4 5 6=(4x5) 7 8 9=(7X8) 10 11 13 = ( 4 + 7 - 10 ) 14 15 = ( 13 X 14 )
X 11 )
1 Acidum Ascorbicum 50 mg (Vit. C ) Tablet Rp - 0 0 0 0
2 Acyklovir krim 5% Tube 0 Rp 3,280 Rp - 50 0 3 0 47 0
3 Alloprinol tab 100 mg Tablet Rp - 0 0 0 0
4 Amoksisilin 125 mg/ML SYR botol Rp 10,000 Rp - 0 0 0 0
5 Amoksisilin 500 mg Tablet Rp 245 Rp - 0 0 0 0
6 Antasida DOEN Suspensi Botol Rp - 0 0 0 0
7 Antasida DOEN Tab Kunyah Tablet Rp 211 Rp - 0 0 0 0
8 Asam mefenamat 500mg tab Tablet Rp 56 Rp - 0 0 0 0
9 Captopril 25 mg Tablet Rp - 0 0 0 0
10 Cefotaxime inj vial Rp 10,285 Rp - 0 0 0 0
11 Cetirizine 10 mg tab Tablet Rp 94 Rp - 2000 0 2000 0 0 0
12 Ciprofloxaxin 500 mg Tablet Rp 247 Rp - 2000 0 2000 0 0 0
13 Clindamicin Kapsul 300 mg Tablet Rp - 0 0 0 0
14 Clorfeniramine maleat 4mg Tablet Rp 43 Rp - 200 0 200 0 0 0
15 Cotrimoxazole 240mg syr botol Rp 2,364 Rp - 0 0 0 0
16 Cotrimoxazole 480mg Tablet Rp 158 Rp - 0 0 0 0
17 Deksametasone 0,5mg Tab Tablet Rp 33 Rp - 2000 0 2000 0 0 0
18 ERGOTAMINE 1mg + kafein 50mg Tablet Rp 167 Rp - 0 0 0 0
19 Erytromicin 500mg Tablet Rp 751 Rp - 0 0 0 0
20 Erytromicin syr 200mg/5ml botol Rp 6,303 Rp - 0 0 0 0
21 Etanol 100ml 70% btl 100ml Rp - 0 0 0 0
22 Etil Klorida Spray Botol Rp 136,725 Rp - 0 0 0 0
23 Fitomenadion (Vit. K1) Injeksi 2 mg/mAmpul Rp - 0 0 0 0
24 Fludexin tab Tablet Rp 800 Rp - 0 0 0 0
25 Glibenklamid 5mg Tablet Rp 125 Rp - 0 0 0 0
26 Hand scoen non steril ( S-M-L) pcs Rp 627 Rp - 0 0 0 0
27 Hidrocortison krim Tube Rp 2,640 Rp - 0 0 0 0
28 Ibupropen syr 100mg/5ml botol Rp - 0 0 0 0
29 Ibupropen tab400 mg Tablet Rp - 0 0 0 0
30 Infusion set anak Pcs Rp 3,498 Rp - 0 0 0 0
31 Infusion set dewasa Pcs Rp 3,190 Rp - 0 0 0 0
32 IV Catheter 20 G Pcs Rp - 0 0 0 0
33 IV Catheter 22 G Pcs Rp - 0 0 0 0
34 IV Catheter 24 G Pcs Rp - 0 0 0 0
35 Kasa Pembalut 2 x 80 cm bks Rp - 0 0 0 0
36 Kloramfenicol salep mata 1 % Tube Rp 1,881 Rp - 0 0 0 0
37 Kloramfenikol tetes Telinga Botol Rp 8,275 Rp - 10 0 0 0 10 0
38 Lansoprazole 30mg kaps Rp 303 Rp - 0 0 0 0
39 Lidocain.inj 2 % Ampul Rp 1,169 Rp - 0 0 0 0
40 Masker ktk@50pcs Rp 25,863 Rp - 11 0 11 0 0 0
41 Methyl Ergometrin inj 0.2mg/ml Ampul Rp 2,838 Rp - 0 0 0 0
42 Methyl prednisolone 4mg Tablet Rp - 0 0 0 0
43 Metronidazole 250mg Tablet Rp 91 Rp - 0 0 0 0
44 Miconazole 2% Krim 10gr Tube Rp - 0 0 0 0
45 Onemed Catgut plain 2/0 + jarum 1/ ktk 24 Pcs Rp - 0 0 0 0
46 Onemed Catgut plain 3/0 + jarum 1/ ktk 24 Pcs Rp - 0 0 0 0
47 Paracetamol 500mg Tablet Rp 200 Rp - 0 0 0 0
48 Plester 2 Inchi Roll Rp - 0 0 0 0
49 Povidone iodine 10% 300ml btl 300ml Rp - 0 0 0 0
50 Prednisone 5mg tab Tablet Rp 75 Rp - 0 0 0 0
51 Pyridoksin ( B6 ) tablet Tablet Rp - 0 0 0 0
52 Ranitidin 150mg Tablet Rp 100 Rp - 0 0 0 0
53 Ranitidin inj50mg/2ml Ampul Rp - 0 0 0 0
54 Rivanol lar btl 100ml Rp - 0 0 0 0
55 Salbutamol 2 mg Tablet Rp - 0 0 0 0
56 Salep 2-4, kombinasi:asam salisilat Pot Rp - 0 0 0 0
57 Sianokobalamin(Vit B12) Injeksi 500 Ampul Rp - 0 0 0 0
58 Sianokobalamin(Vit B12) Injeksi 500 Ampul Rp - 0 0 0 0
59 Silk (Benang Bedah Sutera) no 3/0 Kotak Rp 251,400 Rp - 0 0 0 0
60 Simvastatin 10 mg Tablet Rp - 0 0 0 0
61 Solvitral tablet Tablet Rp - 0 0 0 0
62 Vectrine dry syr botol Rp - 0 0 0 0
63 Vit.b compleks Tablet Rp 123 Rp - 2800 0 2800 0 0 0
64 Zink syr botol Rp - 0 0 0 0
65 Amlodipine 5 mg Tablet Rp 80 Rp - 0 0 0 0
66 Betametasone krim 0,1% Tube 0 Rp 1,340 Rp - 50 0 0 50 0
67 Kalsium Lactat Tablet Rp 63 Rp - 0 0 0 0
68 Herbakof syr botol Rp 13,420 Rp - 10 0 2 0 8 0
69 Ibuprofen 200mg tablet Tablet Rp 477 Rp - 0 0 0 0
70 Ketokonazole krim Tube Rp 2,518 Rp - 0 0 0 0
71 Silk (Benang Bedah Sutera) no 2/0 Kotak Rp 239,000 Rp - 0 0 0 0

Mengetahui Pulau Ttk.Jambu Desember 2020

Kepala PKM TK,Jambu Pj Farmasi

Husnaini, SKM Linuria, S.Farm

NIP. NIP.
 0

JENIS : BIDANG P3PL

STOCK AWAL ( 1 JANUARI PENAMBAHAN / PENGELUARAN / PEMAKAIAN (

PENERIMAAN ( SELAMA T.A SISA STOCK ( 31 DES 2020 )
2020 ) 2020 ) 1 JAN S/D 31 DES 2020 )
NO NAMA SEDIAAN SATUAN
HARGA HARGA HARGA HARGA
JUMLAH SATUAN TOTAL JUMLAH SATUAN TOTAL JUMLAH SATUAN TOTAL JUMLAH SATUAN TOTAL

6=(4x 9=(7X8 12 = ( 10 X 13 = ( 4 + 7 -
1 2 3 4 5 7 8 10 11 14 15 = ( 13 X 14 )
5) ) 11 ) 10 )
1 Albendazole tablet 0 2000 0 1800 0 200 0
2 Hexagon syphilis pcs 0 225 0 178 0 47 0
3 HBsAg WB (multi) pcs 0 200 0 87 0 113 0
4 HIV-1/2 3 0(multi) pcs 0 300 0 177 0 0 0
5 OAT KAT 1 paket 0 0 0 0 0
6 OAT ANAK paket 0 0 0 0 0
7 RDT malaria ktk@25ta 25 0 25 0 1 0 49 0
8 ISONIAZID tablet 0 0 0 0 0
9 SLIDE ktk@72pc 0 0 0 0 0
10 VAR paket 0 0 0 0 0
11 PRIMAQUIN tablet 1000 0 0 160 0 840 0
12 DHP-Primal ktk@9tab 0 0 0 0 0
13 VAKSIN hepatitis B (HBIG) ktk/siring 0 0 0 0 0
14 Hand Scoen Non Steril ktk 0 0 0 0 0
15 Kusta MDT Combi Dewasa blister 0 0 0 0 0
16 Spuit 0,5 ml (A DS) pcs 0 1600 0 1000 0 600 0
17 Spuit 0,05 ml (A DS) pcs 0 400 0 400 0 0 0
18 Spuit 5 ml pcs 0 0 0 0 0
19 Safety BOX pcs 0 28 0 20 0 8 0
20 Masker N95 pcs 0 0 0 0 0
21 POT Sputum pot 0 400 0 0 400 0
22 Ziel Niehlsen SET (1:3:1) paket 0 0 0 0 0
23 BOX Slide ktk 0 0 0 0 0
24 Vaksin Hbig bayi ampul 0 0 0 0 0
25 Garam Oralit pcs 0 100 0 60 0 40 0
26 Zinc Tablet 20Mg tablet 0 1000 0 0 1000 0
27 Masker ktk@50 Pcs 55 55 0 0 0
Mengetahui Pulau tk.Jambu , Desember 2020
Kepala PKM TK.Jambu Pj Farmasi

Husnaini, SKM Linuria, S.Farm

NIP. NIP.
 Form STOCK OPNAME PROGRAM Seksi Farmasi DINKES-KB KAB.TEBO T.A 2020

JENIS : BIDANG GIZI - KIA

STOCK AWAL ( 1 JANUARI PENAMBAHAN / PENGELUARAN / PEMAKAIAN

PENERIMAAN ( SELAMA SISA STOCK ( 31 DES 2020 )
SATUA 2020 ) T.A 2020 ) ( 1 JAN S/D 31 DES 2020 )
NO NAMA SEDIAAN
N
JUMLAH HARGA TOTAL JUMLAH HARGA TOTAL JUMLAH HARGA TOTAL JUMLAH HARGA TOTAL
SATUAN SATUAN SATUAN SATUAN

1 2 3 4 5 6=(4x 7 8 9=(7X8 10 11 12 = ( 10 X 13 = ( 4 + 7 - 10 ) 14 15 = ( 13 X 14 )
5) ) 11 )
1 MgSO4 40% vial 0 0 0 0 0
2 Metronidazole 500mg/ml botol 0 0 0 0 0
3 Gentamicin injk 40 mg/ml ampul 0 0 0 0 0
4 Ampicilin inj 1000mg ampul 0 0 0 0 0
5 Casi GLUKONAS 10% inj ampul 0 0 0 0 0
6 EUTHYROK 50M G tablet 0 0 0 0 0
7 Oksitetrasicilin 1% SM tube 0 100 0 33 0 67 0
8 Fitomenadion inj ampul 0 0 0 0 0
9 Fenobarbital inj ampul 0 0 0 0 0
10 Tablet tambah darah tablet 0 0 0 0 0
11 VIT.A 10000 IU kapsul 0 150 0 0 150 0
12 VIT.A 20000 IU kapsul 0 1250 0 0 1250 0

Mengetahui tk.Jambu , Desember 2020

Kepala PKM TK.Jambu Pj Farmasi

Husniani, SKM Linuria, S.Farm

NIP. NIP.
 Form STOCK OPNAME PROGRAM Seksi Farmasi DINKES-KB KAB.TEBO T.A 2020

JENIS : PELAYANAN KESEHATAN DASAR ( PKD )

PENAMBAHAN / PENERIMAAN ( SELAMA PENGELUARAN / PEMAKAIAN ( 1 JAN

STOCK AWAL ( 1 JANUARI 2020 ) SISA STOCK ( 31 DES 2020 )
T.A 2020 ) S/D 31 DES 2020 )
NO NAMA SEDIAAN SATUAN

JUMLAH HARGA SATUAN TOTAL JUMLAH HARGA SATUAN TOTAL JUMLAH HARGA SATUAN TOTAL JUMLAH HARGA SATUAN

12 = ( 10 X 13 = ( 4 + 7 -
1 2 3 4 5 6=(4x5) 7 8 9=(7X8) 10 11 11 ) 10 ) 14
1 Acetyl systein 200mg Kapsul Rp 376 Rp - Rp 376 0 Rp 376 0 0 Rp 376
2 Acyclovir 200 mg Tablet Rp 261 Rp - Rp 261 0 Rp 261 0 0 Rp 261
3 Acyclovir 400 mg Tablet 300 Rp 399 Rp 119,700 500 Rp 399 199500 300 Rp 399 119700 500 Rp 399
4 Aetonolol 100 mg Tablet 60 Rp 770 Rp 46,200 0 Rp 770 0 0 Rp 770 0 60 Rp 770
5 Air untuk injeksi ( Aqua pro inj ) 25ml Vial Rp 2,860 Rp - Rp 2,860 0 Rp 2,860 0 0 Rp 2,860
6 Alat Suntik Sekali Pakai 0,05 ml ( ADS ) set 0 Rp 1,422 Rp - Rp 1,422 0 Rp 1,422 0 0 Rp 1,422
7 Alat Suntik Sekali Pakai 0,5 ml ( ADS ) set 0 Rp 1,325 Rp - 100 Rp 1,325 132500 100 Rp 1,325 132500 0 Rp 1,325
8 Alat Suntik Sekali Pakai 1 ml set 0 Rp 951 Rp - 200 Rp 951 190200 100 Rp 951 95100 100 Rp 951
9 Alat Suntik Sekali Pakai 10 ml box Rp 143,220 Rp - Rp 143,220 0 Rp 143,220 0 0 Rp 143,220
10 Alat Suntik Sekali Pakai 3 ml set 300 Rp 947 Rp 284,100 800 Rp 947 757600 642 Rp 947 607974 458 Rp 947
11 Alat sutik Sekali Pakai 5 ml set 400 Rp 1,065 Rp 426,000 Rp 1,065 0 0 Rp 1,065 0 400 Rp 1,065
12 Albendazole 400mg tablet Tablet Rp 413 Rp - Rp 413 0 Rp 413 0 0 Rp 413
13 Albendazole syrp Botol Rp 4,200 Rp - Rp 4,200 0 Rp 4,200 0 0 Rp 4,200
14 ALKACIDE 1 L botol Rp 2,972,700 Rp - Rp 2,972,700 0 Rp 2,972,700 0 0 Rp 2,972,700
15 ALKAZYME 25MG bks @25 sch Rp 881,000 Rp - Rp 881,000 0 Rp 881,000 0 0 Rp 881,000
16 Alkohol 70% 100ml btl 100ml 0 Rp 5,600 Rp - 24 Rp 5,600 134400 Rp 5,600 0 24 Rp 5,600
17 Allupurinol tab 300 mg Tablet Rp 234 Rp - Rp 234 0 Rp 234 0 0 Rp 234
18 Alopurinol tab 100 mg Tablet 1300 Rp 99 Rp 128,700 4500 Rp 99 445500 4700 Rp 99 465300 1100 Rp 99
19 Alprazolam 0, 5 mg Tablet Rp 135 Rp - Rp 135 0 Rp 135 0 0 Rp 135
20 Ambroxol 30 mg tab Tablet Rp 237 Rp - Rp 237 0 Rp 237 0 0 Rp 237
21 Ambroxol Syr 15 mg/5ml Botol Rp 4,030 Rp - Rp 4,030 0 Rp 4,030 0 0 Rp 4,030
22 Aminofilina inj 24 mg/ml Ampul Rp 4,013 Rp - Rp 4,013 0 Rp 4,013 0 0 Rp 4,013
23 Aminofilina tablet 200 mg Tablet 300 Rp 82 Rp 24,600 Rp 82 0 300 Rp 82 24600 0 Rp 82
24 Amitriptilina HCl 25 mg Tablet 0 Rp 107 Rp - 200 Rp 107 21400 10 Rp 107 1070 190 Rp 107
25 Amlodipine 10 mg Tablet 400 Rp 95 Rp 38,000 1700 Rp 95 161500 1600 Rp 95 152000 500 Rp 95
26 Amlodipine 5mg Tablet Rp 88 Rp - Rp 88 0 Rp 88 0 0 Rp 88
27 Amoksisilin kap 500 mg Kapsul 1100 Rp 245 Rp 269,500 10000 Rp 245 2450000 10300 Rp 245 2523500 800 Rp 245
28 Amoxillin 1gr. Inj Vial Rp 10,661 Rp - Rp 10,661 0 Rp 10,661 0 0 Rp 10,661
29 Amoxillin 250 mg Tablet 500 Rp 190 Rp 95,000 4000 Rp 190 760000 3300 Rp 190 627000 1200 Rp 190
30 Amoxillin syrp 125 mg/ml Tablet 60 Rp 1,919 Rp 115,140 180 Rp 1,919 345420 187 Rp 1,919 358853 53 Rp 1,919
31 Ampicillin inj 1gr Vial Rp 8,649 Rp - Rp 8,649 0 Rp 8,649 0 0 Rp 8,649
32 Antalgin Inj 250 mg Ampul Rp 1,873 Rp - Rp 1,873 0 Rp 1,873 0 0 Rp 1,873
33 Antasida DOEN Syrp botol 80 Rp 2,051 Rp 164,080 250 Rp 2,051 512750 215 Rp 2,051 440965 115 Rp 2,051
34 Antasida DOEN Tablet Tablet 800 Rp 56 Rp 44,800 5000 Rp 56 280000 5300 Rp 56 296800 500 Rp 56
35 Anti bakteri Komb salep ( Bacytracin 500 Iug + Tube Rp 3,187 Rp - Rp 3,187 0 Rp 3,187 0 0 Rp 3,187
36 Anti fungi Salep komb Tube Rp 4,721 Rp - 24 Rp 4,721 113304 Rp 4,721 0 24 Rp 4,721
37 Anti hemmoroid suppositoria supp Rp 3,197 Rp - Rp 3,197 0 Rp 3,197 0 0 Rp 3,197
38 Antimigrain DOEN Kombinasi Tablet Rp 142 Rp - Rp 142 0 Rp 142 0 0 Rp 142
39 Arsenic test (0,0005-05mg/l kit(100 test) Rp 7,650,000 Rp - Rp 7,650,000 0 Rp 7,650,000 0 0 Rp 7,650,000
40 Articulating paper strip Rp 333,000 Rp - Rp 333,000 0 Rp 333,000 0 0 Rp 333,000
41 Asam Ascorbat (Vit.C) tab. 50 mg Tablet 1900 Rp 110 Rp 209,000 5000 Rp 110 550000 5700 Rp 110 627000 1200 Rp 110
42 Asam Asetat 6% botol 100ml Rp 30,000 Rp - Rp 30,000 0 Rp 30,000 0 0 Rp 30,000
43 Asam Asetil salisilat ( asetosal ) Tablet Rp 99 Rp - Rp 99 0 Rp 99 0 0 Rp 99
44 Asam mefenamat 500 mg Tablet 2200 Rp 103 Rp 226,600 3000 Rp 103 309000 4400 Rp 103 453200 800 Rp 103
45 Asam traneksamat 100mg/ml Ampul Rp 12,445 Rp - Rp 12,445 0 Rp 12,445 0 0 Rp 12,445
46 Atropin injeksi.0.25mg/ml ampul Rp 1,291 Rp - Rp 1,291 0 Rp 1,291 0 0 Rp 1,291
47 BaCl 10% 100ml botol 100ml Rp 34,200 Rp - Rp 34,200 0 Rp 34,200 0 0 Rp 34,200
48 Bahan tumpatan sementara lar & serbuk/tempo botol Rp 327,375 Rp - Rp 327,375 0 Rp 327,375 0 0 Rp 327,375
49 Bedak salicyl 2% kotak Rp 4,180 Rp - Rp 4,180 0 Rp 4,180 0 0 Rp 4,180
50 Benecheck Plus cholesterol test strip box@10 Rp 234,540 Rp - 2 Rp 234,540 469080 Rp 234,540 0 2 Rp 234,540
51 Benecheck Plus glucose test strip box@50 Rp 156,892 Rp - 2 Rp 156,892 313784 Rp 156,892 0 2 Rp 156,892
52 Benecheck Plus Uric test strip box@25 Rp 129,850 Rp - 2 Rp 129,850 259700 Rp 129,850 0 2 Rp 129,850
53 Betadine salep kulit 10gr Tube Rp 11,433 Rp - Rp 11,433 0 Rp 11,433 0 0 Rp 11,433
54 Betahistine meylate 6mg Tablet 200 Rp 151 Rp 30,200 Rp 151 0 200 Rp 151 30200 0 Rp 151
55 Betametason krim Tube Rp 3,350 Rp - 25 Rp 3,350 83750 25 Rp 3,350 83750 0 Rp 3,350
56 Bisacodil 5 mg/ supp supp Rp 5,670 Rp - Rp 5,670 Rp 5,670 0 0 Rp 5,670
57 Bisakodil 5mg tablet Tablet Rp 306 Rp - Rp 306 0 Rp 306 0 0 Rp 306
58 Bisturi ( 12 ) / GEA box 100pcs Rp 108,810 Rp - Rp 108,810 0 Rp 108,810 0 0 Rp 108,810
59 Bisturi ( 20 ) / GEA box 100pcs Rp 108,810 Rp - Rp 108,810 0 Rp 108,810 0 0 Rp 108,810
60 Bisturi NO.10 ktk 100 pcs Rp 108,810 Rp - Rp 108,810 0 Rp 108,810 0 0 Rp 108,810
61 Bisturi NO.11 ktk 100 pcs Rp 72,630 Rp - Rp 72,630 0 Rp 72,630 0 0 Rp 72,630
62 Bisturi NO.15 ktk 100 pcs Rp 108,810 Rp - Rp 108,810 0 Rp 108,810 0 0 Rp 108,810
63 Blood lancet ( serenity twist ) box@100pcs Rp 19,200 Rp - Rp 19,200 0 Rp 19,200 0 0 Rp 19,200
64 Buffer ph 7,2 botol 500ml Rp 405,450 Rp - Rp 405,450 0 Rp 405,450 0 0 Rp 405,450
65 Buffer ph 7,2 botol 100ml Rp 67,100 Rp - Rp 67,100 0 Rp 67,100 0 0 Rp 67,100
66 Captopril 12,5 mg Tablet Rp 62 Rp - Rp 62 0 Rp 62 0 0 Rp 62
67 Captopril 50 mg Tablet 1000 Rp 130 Rp 130,000 Rp 130 0 1000 Rp 130 130000 0 Rp 130
68 Captropil 25 mg Tablet 0 Rp 71 Rp - 3000 Rp 71 213000 1500 Rp 71 106500 1500 Rp 71
69 Carbamazepine 200mg tablet Tablet Rp 230 Rp - Rp 230 0 Rp 230 0 0 Rp 230
70 Cat gut 2 /0 chromic + jarum ktk@12 pcs 1 Rp 421,500 Rp 421,500 Rp 421,500 0 1 Rp 421,500 421500 0 Rp 421,500
 71 Cat gut 2 /0 plain ktk@12 pcs Rp 421,500 Rp - Rp 421,500 0 Rp 421,500 0 0 Rp 421,500
72 Cat gut 3 /0 plain ktk@12 pcs 1 Rp 421,548 Rp 421,548 10 Rp 421,548 4215480 8 Rp 421,548 3372384 3 Rp 421,548
73 Caviton 30g/tambal sementara kotak Rp 327,325 Rp - Rp 327,325 0 Rp 327,325 0 0 Rp 327,325
74 Cefadroksil 500 mg tab Tablet Rp 451 Rp - Rp 451 0 Rp 451 0 0 Rp 451
75 Cefadroksil syr 125mg/5ml botol Rp 4,100 Rp - Rp 4,100 0 Rp 4,100 0 0 Rp 4,100
76 Cefotaxime Inj 1 gr Vial Rp 5,500 Rp - Rp 5,500 0 Rp 5,500 0 0 Rp 5,500
77 Cetirizine tab 10 mg Tablet Rp 96 Rp - Rp 96 0 Rp 96 0 0 Rp 96
78 CHKM/Paramono clorofenol/Klorfenol kamfer botol Rp 126,563 Rp - Rp 126,563 0 Rp 126,563 0 0 Rp 126,563
79 Chloramex/Kloramfenikol 500mg tablet Tablet Rp 1,100 Rp - Rp 1,100 0 Rp 1,100 0 0 Rp 1,100
80 chlorphenol chaper menthol kotak Rp 79,950 Rp - Rp 79,950 0 Rp 79,950 0 0 Rp 79,950
81 Ciprofloxacin 500 mg Tablet 1100 Rp 743 Rp 817,300 2000 Rp 743 1486000 2100 Rp 743 1560300 1000 Rp 743
82 Clobazam 10mg Tablet Rp 776 Rp - Rp 776 0 Rp 776 0 0 Rp 776
83 Clorfeniramine maleat 4mg tablet Tablet 2900 Rp 23 Rp 66,700 6000 Rp 23 138000 7900 Rp 23 181700 1000 Rp 23
84 Clozapine 25mg tablet Tablet Rp 1,121 Rp - Rp 1,121 0 Rp 1,121 0 0 Rp 1,121
85 Codein 10 mg tablet Tablet Rp 575 Rp - Rp 575 0 Rp 575 0 0 Rp 575
86 Codein 20 mg tablet Tablet Rp 1,270 Rp - Rp 1,270 0 Rp 1,270 0 0 Rp 1,270
87 Coliforms testkit/30 test(0-1,8x10 cfu/ml kotak Rp 11,140,000 Rp - Rp 11,140,000 0 Rp 11,140,000 0 0 Rp 11,140,000
88 Composit resin / Solarex kotak Rp 426,300 Rp - Rp 426,300 0 Rp 426,300 0 0 Rp 426,300
89 Cyanida test ( 100 test ) kotak Rp 6,640,000 Rp - Rp 6,640,000 0 Rp 6,640,000 0 0 Rp 6,640,000
90 Deksametason tablet 0,5 mg Tablet 400 Rp 33 Rp 13,200 5000 Rp 33 165000 3500 Rp 33 115500 1900 Rp 33
91 Deksametasone Inj Ampul 5 Rp 1,152 Rp 5,760 150 Rp 1,152 172800 110 Rp 1,152 126720 45 Rp 1,152
92 Dentin conditioner box Rp 328,000 Rp - Rp 328,000 0 Rp 328,000 0 0 Rp 328,000
93 Devitalisasi pasta kotak Rp 688,100 Rp - Rp 688,100 0 Rp 688,100 0 0 Rp 688,100
94 Diazepam 5mg tablet Tablet Rp 114 Rp - Rp 114 0 Rp 114 0 0 Rp 114
95 Diazepam inj 5 mg / ml-2 ml Ampul 5 Rp 1,822 Rp 9,110 50 Rp 1,822 91100 5 Rp 1,822 9110 50 Rp 1,822
96 Diazepam tab 2 mg Tablet Rp 37 Rp - 200 Rp 37 7400 Rp 37 0 200 Rp 37
97 Diazepan Rectal 10 mg Tube Rp 17,600 Rp - Rp 17,600 0 Rp 17,600 0 0 Rp 17,600
98 Diazepan Rectal 5 mg Tube Rp 12,155 Rp - Rp 12,155 0 Rp 12,155 0 0 Rp 12,155
99 Difenyhdramine Inj 10 mg/ml Ampul 15 Rp 1,114 Rp 16,710 180 Rp 1,114 200520 138 Rp 1,114 153732 57 Rp 1,114
100 Digoksin tab 0.25 mg Tablet Rp 107 Rp - Rp 107 0 Rp 107 0 0 Rp 107
101 Diltiazem 30 mg Tablet 200 Rp 128 Rp 25,600 Rp 128 0 200 Rp 128 25600 0 Rp 128
102 Domperidone 10mg tablet Tablet 400 Rp 86 Rp 34,400 1500 Rp 86 129000 1400 Rp 86 120400 500 Rp 86
103 Domperindone syrp 5mg/ml Botol Rp 2,781 Rp - Rp 2,781 0 Rp 2,781 0 0 Rp 2,781
104 Doxycycline 100 mg kaps Tablet Rp 282 Rp - Rp 282 0 Rp 282 0 0 Rp 282
105 Eching bonding / single bond universal box Rp 1,688,625 Rp - Rp 1,688,625 0 Rp 1,688,625 0 0 Rp 1,688,625
106 E-coli test packing kit/30 test (0-9,9x10cfu/ml kotak Rp 11,140,000 Rp - Rp 11,140,000 0 Rp 11,140,000 0 0 Rp 11,140,000
107 EDTA 10% ( 100 ml ) Botol Rp 74,100 Rp - Rp 74,100 0 Rp 74,100 0 0 Rp 74,100
108 Efineprin HCL Injk 0,1 % /1 ml Ampul Rp 1,749 Rp - 5 Rp 1,749 8745 Rp 1,749 0 5 Rp 1,749
109 Elite cement 100/semen seng posphat kotak Rp 262,803 Rp - Rp 262,803 0 Rp 262,803 0 0 Rp 262,803
110 Ephedrine HCL Injk 10 mg/ml Ampul Rp 10,989 Rp - Rp 10,989 0 Rp 10,989 0 0 Rp 10,989
111 Eritromisin sirup 200 mg/5 ml Botol Rp 6,303 Rp - Rp 6,303 0 Rp 6,303 0 0 Rp 6,303
112 Eritromycin 500mg tablet Tablet Rp 751 Rp - Rp 751 0 Rp 751 0 0 Rp 751
113 Etanol 70 % 1 liter btl 1000 ml Rp 28,750 Rp - 32 Rp 28,750 920000 24 Rp 28,750 690000 8 Rp 28,750
114 Ethylclorida spray Botol Rp 151,490 Rp - Rp 151,490 0 Rp 151,490 0 0 Rp 151,490
115 Eugenol cairan botol Rp 321,650 Rp - Rp 321,650 0 Rp 321,650 0 0 Rp 321,650
116 fenitoin Kaps 100 mg Tablet Rp 154 Rp - Rp 154 0 Rp 154 0 0 Rp 154
117 Fenobarbital 30mg tablet Tablet Rp 180 Rp - Rp 180 0 Rp 180 0 0 Rp 180
118 Fitomenadion 10mg tablet Tablet 500 Rp 747 Rp 373,500 Rp 747 0 200 Rp 747 149400 300 Rp 747
119 Fitomenadion2mg.inj Ampul 29 Rp 3,867 Rp 112,143 60 Rp 3,867 232020 79 Rp 3,867 305493 10 Rp 3,867
120 Flouride test ( 100 test ) kotak Rp 5,950,000 Rp - Rp 5,950,000 0 Rp 5,950,000 0 0 Rp 5,950,000
121 Folleycath 14 pcs Rp 12,100 Rp - Rp 12,100 0 Rp 12,100 0 0 Rp 12,100
122 Folleycath 16 pcs Rp 12,100 Rp - Rp 12,100 0 Rp 12,100 0 0 Rp 12,100
123 Folleycath 18 pcs Rp 12,100 Rp - Rp 12,100 0 Rp 12,100 0 0 Rp 12,100
124 Fouchet 100ml botol Rp 175,750 Rp - Rp 175,750 0 Rp 175,750 0 0 Rp 175,750
125 Fuji I kotak Rp 1,002,375 Rp - Rp 1,002,375 0 Rp 1,002,375 0 0 Rp 1,002,375
126 fuji II box Rp 3,543,750 Rp - Rp 3,543,750 0 Rp 3,543,750 0 0 Rp 3,543,750
127 Furosemida inj 10 mg/ml Ampul 0 Rp 1,920 Rp - 25 Rp 1,920 48000 0 Rp 1,920 0 25 Rp 1,920
128 Furosemida tablet 40 mg Tablet 700 Rp 77 Rp 53,900 400 Rp 77 30800 1100 Rp 77 84700 0 Rp 77
129 Garam Oralit 200 ml air Bungkus 200 Rp 527 Rp 105,400 1200 Rp 527 632400 1300 Rp 527 685100 100 Rp 527
130 GC fuji VII/glass ionomer kotak Rp 547,200 Rp - Rp 547,200 0 Rp 547,200 0 0 Rp 547,200
131 Gentamycin Inj 40mg/ml Ampul 60 Rp 3,237 Rp 194,220 Rp 3,237 0 60 Rp 3,237 194220 0 Rp 3,237
132 Gentamycin Sulfat Tetes Mata 0,3% Tube Rp 4,200 Rp - Rp 4,200 0 Rp 4,200 0 0 Rp 4,200
133 GentamycinnSulfat salepmata 0,3 % Tube Rp 2,830 Rp - Rp 2,830 0 Rp 2,830 0 0 Rp 2,830
134 Gentian Violet 1% Botol Rp 4,125 Rp - Rp 4,125 0 Rp 4,125 0 0 Rp 4,125
135 Glass ionomer ART serbuk/lar /cocoa butter 5gr paket Rp 1,237,557 Rp - Rp 1,237,557 0 Rp 1,237,557 0 0 Rp 1,237,557
136 Glass ionomer cement A2 pcs Rp 278,000 Rp - Rp 278,000 0 Rp 278,000 0 0 Rp 278,000
137 Glibenclamide 5mg Tablet 500 Rp 125 Rp 62,500 1500 Rp 125 187500 1600 Rp 125 200000 400 Rp 125
138 Gliclazide 60 mg/ Diamicron MR 60mg Tablet Rp 2,992 Rp - Rp 2,992 0 Rp 2,992 0 0 Rp 2,992
139 Gliklazid 80 mg ( Gored 80mg ) Tablet Rp 214 Rp - 100 Rp 214 21400 Rp 214 0 100 Rp 214
140 Glimepiride 1 mg Tablet Rp 220 Rp - Rp 220 0 Rp 220 0 0 Rp 220
141 Glimepiride 2 mg Tablet Rp 290 Rp - 100 Rp 290 29000 100 Rp 290 29000 0 Rp 290
142 Glimepiride 3 mg Tablet Rp 319 Rp - Rp 319 0 Rp 319 0 0 Rp 319
143 Glimepiride 4 mg Tablet Rp 330 Rp - Rp 330 0 Rp 330 0 0 Rp 330
144 Glukosa lar Infus 5 % Steril botol 20 Rp 6,900 Rp 138,000 20 Rp 6,900 138000 40 Rp 6,900 276000 0 Rp 6,900
145 Griseofulvin tab 125 mg Tablet 600 Rp 245 Rp 147,000 2000 Rp 245 490000 1000 Rp 245 245000 1600 Rp 245
146 Gutta percha points 15mm - 40 mm kotak Rp 169,875 Rp - Rp 169,875 0 Rp 169,875 0 0 Rp 169,875
147 Gutta percha points 45mm - 80 mm kotak Rp 169,875 Rp - Rp 169,875 0 Rp 169,875 0 0 Rp 169,875
148 Haloperidol tablet 5 mg Tablet Rp 100 Rp - 200 Rp 100 20000 Rp 100 0 200 Rp 100
149 Hand rub ( policlean ) 500ml botol Rp 74,494 Rp - 2 Rp 74,494 148988 Rp 74,494 0 2 Rp 74,494
150 Hand Scoen non Steril L pcs 300 Rp 531 Rp 159,300 1600 Rp 531 849600 1700 Rp 531 902700 200 Rp 531
151 Hand Scoen non Steril M pcs 200 Rp 530 Rp 106,000 700 Rp 530 371000 700 Rp 530 371000 200 Rp 530
152 Hand Scoen non Steril S/M/L pcs Rp 508 Rp - Rp 508 0 Rp 508 0 0 Rp 508
153 Hand scoen steril psg Rp 6,595 Rp - Rp 6,595 0 Rp 6,595 0 0 Rp 6,595
154 Hand scoen steril 7 psg Rp 8,724 Rp - 50 Rp 8,724 436200 Rp 8,724 0 50 Rp 8,724
155 Hand scoen steril 7.5 psg 50 Rp 8,724 Rp 436,200 200 Rp 8,724 1744800 200 Rp 8,724 1744800 50 Rp 8,724
156 Hand scoen steril panjang/obgyn psg Rp 20,812 Rp - 50 Rp 20,812 1040600 25 Rp 20,812 520300 25 Rp 20,812
157 Hand wash ( Poliwash ) 500 ml botol Rp 55,569 Rp - Rp 55,569 0 Rp 55,569 0 0 Rp 55,569
158 HCL 0,1N (100 ml) botol Rp 34,050 Rp - Rp 34,050 0 Rp 34,050 0 0 Rp 34,050
159 HCl 0,1N (500ml) botol Rp 51,508 Rp - Rp 51,508 0 Rp 51,508 0 0 Rp 51,508
160 Hidrokortison Krim 2.5 % Tube Rp 2,475 Rp - Rp 2,475 0 Rp 2,475 0 0 Rp 2,475
161 Hydrochlortiazid ( HCT ) 25 mg Tablet 100 Rp 163 Rp 16,300 Rp 163 0 100 Rp 163 16300 0 Rp 163
162 Ibuprofen 200 mg Tablet Rp 108 Rp - Rp 108 0 Rp 108 0 0 Rp 108
163 Ibuprofen 200mg/5ml syr botol Rp 4,750 Rp - 56 Rp 4,750 266000 Rp 4,750 0 56 Rp 4,750
164 Ibuprofen 400mg Tablet 2400 Rp 130 Rp 312,000 2000 Rp 130 260000 3500 Rp 130 455000 900 Rp 130
165 Imersion oil ( 100 ml ) Botol Rp 370,932 Rp - Rp 370,932 0 Rp 370,932 0 0 Rp 370,932
166 Imersion oil ( 50 ml ) Botol Rp 199,500 Rp - Rp 199,500 0 Rp 199,500 0 0 Rp 199,500
167 Infuset anak/pediatric pcs Rp 5,610 Rp - Rp 5,610 0 Rp 5,610 0 0 Rp 5,610
168 Infuset dewasa pcs 70 Rp 5,623 Rp 393,610 200 Rp 5,623 1124600 206 Rp 5,623 1158338 64 Rp 5,623
169 Isosorbid dinitrat tablet Sublingual 5 mg Tablet Rp 93 Rp - Rp 93 0 Rp 93 0 0 Rp 93
170 IV. Chatheter No 20 G pcs Rp 7,964 Rp - Rp 7,964 0 Rp 7,964 0 0 Rp 7,964
171 IV. Chatther No. 18 G pcs 18 Rp 7,954 Rp 143,172 Rp 7,954 0 Rp 7,954 0 18 Rp 7,954
172 IV. Chatther No. 22 G pcs 20 Rp 7,952 Rp 159,040 100 Rp 7,952 795200 9 Rp 7,952 71568 111 Rp 7,952
173 IV. Chatther No. 24 G pcs 30 Rp 6,600 Rp 198,000 Rp 6,600 0 Rp 6,600 0 30 Rp 6,600
174 Kalsium hidroksida pasta / Hydcal botol Rp 321,750 Rp - Rp 321,750 0 Rp 321,750 0 0 Rp 321,750
175 Kalsium Laktat tablet 500 mg Tablet Rp 57 Rp - 1000 Rp 57 57000 700 Rp 57 39900 300 Rp 57
176 Kapas Pembalut 250 gram Roll Rp 28,530 Rp - Rp 28,530 0 Rp 28,530 0 0 Rp 28,530
177 Kapas Pembalut 500 mg Roll Rp 54,697 Rp - 23 Rp 54,697 1258031 16 Rp 54,697 875152 7 Rp 54,697
178 Karbo gliserin tetes telinga 10% ( Phenol Gliser botol 0 Rp 2,500 Rp - 24 Rp 2,500 60000 Rp 2,500 0 24 Rp 2,500
179 Kasa 40 X 80 cm Roll 3 Rp 149,158 Rp 447,474 2 Rp 149,158 298316 5 Rp 149,158 745790 0 Rp 149,158
180 Kasa kompres 40/40 steril Bungkus 80 Rp 1,760 Rp 140,800 100 Rp 1,760 176000 129 Rp 1,760 227040 51 Rp 1,760
181 Kasa pembalut hidropil 4 mx 3 cm Rol Rp 590 Rp - 100 Rp 590 59000 Rp 590 0 100 Rp 590
182 Kasa pembalut hidropil 3,6/4 m x 15 cm Rol Rp 2,309 Rp - Rp 2,309 0 Rp 2,309 0 0 Rp 2,309
183 Kertas puyer kajangan Rp 10,000 Rp - 50 Rp 10,000 500000 Rp 10,000 0 50 Rp 10,000
184 Ketokonazole krim 2% Tube 80 Rp 2,596 Rp 207,680 50 Rp 2,596 129800 130 Rp 2,596 337480 0 Rp 2,596
185 Ketokonazole tablet 200mg Tablet 1000 Rp 288 Rp 288,000 2500 Rp 288 720000 3000 Rp 288 864000 500 Rp 288
186 Klidamicine 300 mg Tablet Rp 630 Rp - 100 Rp 630 63000 Rp 630 0 100 Rp 630
187 kloram fenicol Syrp Botol Rp 4,843 Rp - Rp 4,843 0 Rp 4,843 0 0 Rp 4,843
188 Kloramphenicol 2% Salep kulit/Bufacetin Tube 10 Rp 3,171 Rp 31,710 48 Rp 3,171 152208 10 Rp 3,171 31710 48 Rp 3,171
189 Kloramphenicol 250mg Tablet Rp 320 Rp - Rp 320 0 Rp 320 0 0 Rp 320
190 Kloramphenicol salep mata 1% Tube Rp 1,881 Rp - 48 Rp 1,881 90288 Rp 1,881 0 48 Rp 1,881
191 Kloramphenicol tetes mata 0,5%/decacetin/Er botol 20 Rp 31,900 Rp 638,000 Rp 31,900 0 20 Rp 31,900 638000 0 Rp 31,900
192 Kloramphenicol tetes telinga 1% Botol Rp 5,500 Rp - Rp 5,500 0 Rp 5,500 0 0 Rp 5,500
193 Klorpromazine tab salut 25 mg tablet Rp 25 Rp - Rp 25 0 Rp 25 0 0 Rp 25
194 KOH 10% botol 100ml Rp 36,000 Rp - Rp 36,000 0 Rp 36,000 0 0 Rp 36,000
195 KOH 10% 500ml botol Rp 82,650 Rp - Rp 82,650 0 Rp 82,650 0 0 Rp 82,650
196 Komposit resin / universal restorative A3 sachet Rp 627,750 Rp - Rp 627,750 0 Rp 627,750 0 0 Rp 627,750
197 Kotrimoksazol syr . 240 mg/ml botol 70 Rp 2,052 Rp 143,640 100 Rp 2,052 205200 123 Rp 2,052 252396 47 Rp 2,052
198 Kotrimoksazol tab Komb. 480 mg Tablet 1000 Rp 131 Rp 131,000 500 Rp 131 65500 1100 Rp 131 144100 400 Rp 131
199 Leukoplast ( 2.5cm x 4.5m ) roll 3 Rp 12,076 Rp 36,228 Rp 12,076 0 3 Rp 12,076 36228 0 Rp 12,076
200 Lidocain inj + Efineprin Ampul 80 Rp 1,205 Rp 96,400 270 Rp 1,205 325350 260 Rp 1,205 313300 90 Rp 1,205
201 Lisol Botol 7 Rp 47,150 Rp 330,050 15 Rp 47,150 707250 16 Rp 47,150 754400 6 Rp 47,150
202 Loperamid 2mg Tablet Rp 82 Rp - Rp 82 0 Rp 82 0 0 Rp 82
203 loratadine 10 mg Tablet 100 Rp 125 Rp 12,500 2000 Rp 125 250000 1600 Rp 125 200000 500 Rp 125
204 Masker ktk@50pcs Rp 30,081 Rp - 2 Rp 30,081 60162 2 Rp 30,081 60162 0 Rp 30,081
205 Mebendazole 500mg/Vermox Tablet Rp 8,800 Rp - Rp 8,800 0 Rp 8,800 0 0 Rp 8,800
206 Metanol 100ml botol Rp 169,400 Rp - Rp 169,400 0 Rp 169,400 0 0 Rp 169,400
207 Metformin 500 mg Tablet 300 Rp 99 Rp 29,700 500 Rp 99 49500 300 Rp 99 29700 500 Rp 99
208 Metformin 850 mg Tablet Rp 170 Rp - Rp 170 0 Rp 170 0 0 Rp 170
209 Methoklorpamida 10mg Tablet 100 Rp 87 Rp 8,700 Rp 87 0 100 Rp 87 8700 0 Rp 87
210 Methylprednisone 4 mg Tablet Rp 160 Rp - 500 Rp 160 80000 Rp 160 0 500 Rp 160
211 Metil Ergometrin Inj 0,2 %/ ml-1ml Ampul 50 Rp 2,684 Rp 134,200 100 Rp 2,684 268400 80 Rp 2,684 214720 70 Rp 2,684
212 Metoclopramida injeksi10mg/2ml Ampul Rp 3,565 Rp - 20 Rp 3,565 71300 Rp 3,565 0 20 Rp 3,565
213 Metoklopramida syrp 5 mg/ml Botol Rp 2,650 Rp - Rp 2,650 0 Rp 2,650 0 0 Rp 2,650
214 Metronidazole 500 mg Tablet 1400 Rp 133 Rp 186,200 500 Rp 133 66500 1400 Rp 133 186200 500 Rp 133
215 Metronidazolesyrp 125 mg/ml Botol Rp 3,950 Rp - Rp 3,950 0 Rp 3,950 0 0 Rp 3,950
216 meylon 0,4 % Vial Rp 6,200 Rp - Rp 6,200 0 Rp 6,200 0 0 Rp 6,200
217 MGSO4 20 % Vial Rp 3,328 Rp - Rp 3,328 0 Rp 3,328 0 0 Rp 3,328
218 MgSO4 40% Vial Rp 3,796 Rp - 20 Rp 3,796 75920 Rp 3,796 0 20 Rp 3,796
219 Mikonazole krim 2 % Tube 90 Rp 3,585 Rp 322,650 96 Rp 3,585 344160 114 Rp 3,585 408690 72 Rp 3,585
220 Mineral Mix ktk 40 sch Rp 124,640 Rp - Rp 124,640 0 Rp 124,640 0 0 Rp 124,640
221 Multivitamin Syr ( Becefort) Botol Rp 21,197 Rp - Rp 21,197 0 Rp 21,197 0 0 Rp 21,197
222 Multivitamin Syr ( lytacur) Botol Rp 13,292 Rp - Rp 13,292 0 Rp 13,292 0 0 Rp 13,292
223 mummying pasta kotak Rp 655,450 Rp - Rp 655,450 0 Rp 655,450 0 0 Rp 655,450
224 Na. Bicarbonas tab Tablet Rp 40 Rp - Rp 40 0 Rp 40 0 0 Rp 40
225 Natrium diklofenak 25 mg Tablet Rp 157 Rp - Rp 157 0 Rp 157 0 0 Rp 157
226 Natrium diklofenak 50 mg Tablet Rp 127 Rp - 3800 Rp 127 482600 3100 Rp 127 393700 700 Rp 127
227 Natrium Klorida lar Infus 0,9 % steril Botol 13 Rp 6,410 Rp 83,330 40 Rp 6,410 256400 53 Rp 6,410 339730 0 Rp 6,410
228 Nipedipene 10 mg Tablet 0 Rp 154 Rp - 1100 Rp 154 169400 400 Rp 154 61600 700 Rp 154
229 Nistatin 100.000 IU /G Tab Vagina Supp Rp 427 Rp - Rp 427 0 Rp 427 0 0 Rp 427
230 Nitrate test ( 100 test ) kotak Rp 9,000,000 Rp - Rp 9,000,000 0 Rp 9,000,000 0 0 Rp 9,000,000
231 Nitrite test (16-1313ug/l kit(335 test) Rp 5,950,000 Rp - Rp 5,950,000 0 Rp 5,950,000 0 0 Rp 5,950,000
232 Norepinephrine bitartrate inj Ampul Rp 25,839 Rp - Rp 25,839 0 Rp 25,839 0 0 Rp 25,839
233 Obat batuk fitofarmaka/Herbal syr ( laserin ) botol 220 Rp 10,500 Rp 2,310,000 216 Rp 10,500 2268000 292 Rp 10,500 3066000 144 Rp 10,500
234 OCO cair botol Rp 354,375 Rp - Rp 354,375 0 Rp 354,375 0 0 Rp 354,375
235 Ofloxacin 200 mg Tablet Rp 365 Rp - Rp 365 0 Rp 365 0 0 Rp 365
236 Ofloxacin 400 mg Tablet 100 Rp 580 Rp 58,000 Rp 580 0 100 Rp 580 58000 0 Rp 580
237 Oksitosin Inj 10 IU/ml Ampul 60 Rp 1,199 Rp 71,940 120 Rp 1,199 143880 180 Rp 1,199 215820 0 Rp 1,199
238 Omeprazole 20mg Tablet Rp 144 Rp - Rp 144 0 Rp 144 0 0 Rp 144
239 Omeprazole inj 40mg Vial Rp 10,670 Rp - 5 Rp 10,670 53350 3 Rp 10,670 32010 2 Rp 10,670
240 Papaverin 40mg tablet Tablet Rp 122 Rp - Rp 122 0 Rp 122 0 0 Rp 122
241 paper point box Rp 404,000 Rp - Rp 404,000 0 Rp 404,000 0 0 Rp 404,000
242 Paracetamol 500mg tablet Tablet 900 Rp 56 Rp 50,400 11000 Rp 56 616000 10000 Rp 56 560000 1900 Rp 56
243 Paracetamol Drop 100mg/ml Botol 50 Rp 6,981 Rp 349,050 5 Rp 6,981 34905 20 Rp 6,981 139620 35 Rp 6,981
244 Paracetamol Drop 60mg/ml Botol Rp 5,460 Rp - Rp 5,460 0 Rp 5,460 0 0 Rp 5,460
245 Parasetamol 120 mg/ml Botol 130 Rp 1,110 Rp 144,300 300 Rp 1,110 333000 399 Rp 1,110 442890 31 Rp 1,110
246 Pehavral tablet/ Multivitamin mineral Tablet Rp 1,144 Rp - 2000 Rp 1,144 2288000 900 Rp 1,144 1029600 1100 Rp 1,144
247 Perak sulfadiazin krim 1% Tube Rp 20,700 Rp - Rp 20,700 0 Rp 20,700 0 0 Rp 20,700
248 Permetrin krim 5%/ scabimite Tube Rp 12,155 Rp - 60 Rp 12,155 729300 56 Rp 12,155 680680 4 Rp 12,155
249 Pewarna GIEMSA ( 100ml ) botol Rp 359,532 Rp - Rp 359,532 0 Rp 359,532 0 0 Rp 359,532
250 Piridoksin 10 mg ( B6 ) Tablet Rp 129 Rp - Rp 129 0 Rp 129 0 0 Rp 129
251 plaster / pharmafix ( 10 cm X 500 cm ) roll Rp 56,435 Rp - 40 Rp 56,435 2257400 31 Rp 56,435 1749485 9 Rp 56,435
252 Plaster / polifix ( 5 cm X 5 m ) Roll Rp 39,217 Rp - Rp 39,217 0 Rp 39,217 0 0 Rp 39,217
253 Plaster / polifix / hypafix Roll Rp 39,217 Rp - Rp 39,217 0 Rp 39,217 0 0 Rp 39,217
254 Plastik Klip obat KECIL pak 100 pcs Rp 14,450 Rp - Rp 14,450 0 Rp 14,450 0 0 Rp 14,450
255 Plastik Klip obat sedang pak 100 pcs Rp 15,570 Rp - Rp 15,570 0 Rp 15,570 0 0 Rp 15,570
256 Polyban Nat ( Verban orthopedic ) 10 cm X 2, roll Rp 16,912 Rp - Rp 16,912 0 Rp 16,912 0 0 Rp 16,912
257 Polygip ( Verban Gyp ) 10 cm X 2,7 m Roll Rp 21,080 Rp - Rp 21,080 0 Rp 21,080 0 0 Rp 21,080
258 Povidone Iodida 10 % 30 ml Botol Rp 2,250 Rp - Rp 2,250 0 Rp 2,250 0 0 Rp 2,250
259 Povidone Iodida 10 % 300 ml Botol 10 Rp 20,700 Rp 207,000 24 Rp 20,700 496800 29 Rp 20,700 600300 5 Rp 20,700
260 Povidone Iodida 10 % 60 ml Botol Rp 6,298 Rp - Rp 6,298 0 Rp 6,298 0 0 Rp 6,298
261 Prednisone 5mg Tablet 1300 Rp 72 Rp 93,600 2000 Rp 72 144000 2800 Rp 72 201600 500 Rp 72
262 Pro creepe 10 cm X 4,55 m Roll Rp 33,000 Rp - Rp 33,000 0 Rp 33,000 0 0 Rp 33,000
263 Propil Thio Urasil 100 mg tablet Tablet Rp 277 Rp - Rp 277 0 Rp 277 0 0 Rp 277
264 Pularex/attapulgite 630mg Tablet Rp 160 Rp - 500 Rp 160 80000 Rp 160 0 500 Rp 160
265 Pyrantel 125 mg Tablet 300 Rp 302 Rp 90,600 Rp 302 0 232 Rp 302 70064 68 Rp 302
266 Quinin 200mg tablet Tablet Rp 732 Rp - Rp 732 0 Rp 732 0 0 Rp 732
267 Ranitidin inj 25mg/ml Ampul Rp 3,465 Rp - Rp 3,465 0 Rp 3,465 0 0 Rp 3,465
268 Ranitidine 150 mg Tablet Rp 111 Rp - 1000 Rp 111 111000 Rp 111 0 1000 Rp 111
269 Rapid Diagnostik test malaria set Rp 52,760 Rp - Rp 52,760 0 Rp 52,760 0 0 Rp 52,760
270 Rees Ecker ( 100ml ) botol Rp 49,825 Rp - Rp 49,825 0 Rp 49,825 0 0 Rp 49,825
271 Retinol Kapsul Lunak 100.000 IU Kapsul Rp 302 Rp - 250 Rp 302 75500 250 Rp 302 75500 0 Rp 302
272 Retinol Kapsul Lunak 200.000 IU Kapsul Rp 543 Rp - 1500 Rp 543 814500 1500 Rp 543 814500 0 Rp 543
273 Ringer Laktat steril 500ml lar infus Botol 55 Rp 7,150 Rp 393,250 300 Rp 7,150 2145000 313 Rp 7,150 2237950 42 Rp 7,150
274 Risperidone 1mg tablet Tablet Rp 240 Rp - Rp 240 0 Rp 240 0 0 Rp 240
275 Risperidone 2 mg tablet Tablet Rp 287 Rp - 200 Rp 287 57400 Rp 287 0 200 Rp 287
276 Rivanol 300 cc Botol Rp 3,450 Rp - Rp 3,450 0 Rp 3,450 0 0 Rp 3,450
277 Salbutamol 2mg Tablet Rp 67 Rp - Rp 67 0 Rp 67 0 0 Rp 67
278 Salbutamol tab 4 mg Tablet 500 Rp 74 Rp 37,000 Rp 74 0 200 Rp 74 14800 300 Rp 74
279 Salep 2 -4 Tube Rp 2,750 Rp - Rp 2,750 0 Rp 2,750 0 0 Rp 2,750
280 Selang oxigen child M pcs Rp 7,590 Rp - Rp 7,590 0 Rp 7,590 0 0 Rp 7,590
281 Selang oxigen infant S pcs Rp 7,590 Rp - Rp 7,590 0 Rp 7,590 0 0 Rp 7,590
282 Selang Oxygen Nasal dewasa pcs Rp 6,050 Rp - 10 Rp 6,050 60500 2 Rp 6,050 12100 8 Rp 6,050
283 Semen seng pospat serbuk & cairan / elite ce set Rp 280,665 Rp - Rp 280,665 0 Rp 280,665 0 0 Rp 280,665
284 Serum Anti Bisa Ular Polipalen inj 5 ml ( ABU) Ampul Rp 462,000 Rp - 3 Rp 462,000 1386000 1 Rp 462,000 462000 2 Rp 462,000
285 Serum Antitetanus inj 1500 IU/ampul (ATS) Ampul Rp 130,999 Rp - 5 Rp 130,999 654995 2 Rp 130,999 261998 3 Rp 130,999
286 Sianokobalamine 50mcg tablet Tablet 200 Rp 47 Rp 9,400 1000 Rp 47 47000 1000 Rp 47 47000 200 Rp 47
287 Silk 2/0 pcs Rp 43,427 Rp - Rp 43,427 0 Rp 43,427 0 0 Rp 43,427
288 Silk 3/0 pcs Rp 45,497 Rp - 144 Rp 45,497 6551568 144 Rp 45,497 6551568 0 Rp 45,497
289 Silk Black 1 HR 37 MM ktk Rp 258,300 Rp - Rp 258,300 0 Rp 258,300 0 0 Rp 258,300
290 Simvastatin 20 mg Tablet Rp 214 Rp - 1000 Rp 214 214000 1000 Rp 214 214000 0 Rp 214
291 Spironolctone 100 mg Tablet Rp 878 Rp - Rp 878 0 Rp 878 0 0 Rp 878
292 Spironolctone 25 mg Tablet Rp 208 Rp - Rp 208 0 Rp 208 0 0 Rp 208
293 Stick cholesterol / nesco box 10 test Rp 210,600 Rp - Rp 210,600 0 Rp 210,600 0 0 Rp 210,600
294 Stick glucose / nesco box 25 test Rp 111,150 Rp - Rp 111,150 0 Rp 111,150 0 0 Rp 111,150
295 Stick uric acid / nesco box 25 test Rp 119,925 Rp - Rp 119,925 0 Rp 119,925 0 0 Rp 119,925
296 Tablet tambah darah ( Fe ) Tablet Rp 370 Rp - 27000 Rp 370 9990000 26100 Rp 370 9657000 900 Rp 370
297 Test Kit Boraks ktk 40-50 test Rp 1,500,000 Rp - Rp 1,500,000 0 Rp 1,500,000 0 0 Rp 1,500,000
298 Test Kit formaldehyde ktk 50 test Rp 1,609,000 Rp - Rp 1,609,000 0 Rp 1,609,000 0 0 Rp 1,609,000
299 Test kit Methanil Yellow ktk 75-100 test Rp 1,559,000 Rp - Rp 1,559,000 0 Rp 1,559,000 0 0 Rp 1,559,000
300 test Kit Rhodamine B ktk 40-50 test Rp 1,700,000 Rp - Rp 1,700,000 0 Rp 1,700,000 0 0 Rp 1,700,000
301 Tetrcycline 500 mg Tablet Rp 319 Rp - Rp 319 0 Rp 319 0 0 Rp 319
302 Thiamin HCL 50 mg Tablet 200 Rp 86 Rp 17,200 2000 Rp 86 172000 1300 Rp 86 111800 900 Rp 86
303 TKF / Tricresol formalin box Rp 253,125 Rp - Rp 253,125 0 Rp 253,125 0 0 Rp 253,125
304 Transfusi set ( blood transfusi serenity ) pcs Rp 6,600 Rp - Rp 6,600 0 Rp 6,600 0 0 Rp 6,600
305 Triheksifenidil 2 mg Tablet Rp 80 Rp - Rp 80 0 Rp 80 0 0 Rp 80
306 Turk 100ml botol Rp 23,750 Rp - Rp 23,750 0 Rp 23,750 0 0 Rp 23,750
307 Umbilical cord nylon/penjepit tali pusar ktk 50pcs Rp 71,500 Rp - 150 Rp 71,500 10725000 10 Rp 71,500 715000 140 Rp 71,500
308 Underpad cosmomed pcs 5 Rp 8,658 Rp 43,290 Rp 8,658 0 5 Rp 8,658 43290 0 Rp 8,658
309 Urine bag pcs Rp 6,050 Rp - Rp 6,050 0 Rp 6,050 0 0 Rp 6,050
310 USG Gel 250ml botol Rp 14,465 Rp - Rp 14,465 0 Rp 14,465 0 0 Rp 14,465
311 Vaksin anti rabies Vial Rp 165,000 Rp - Rp 165,000 0 Rp 165,000 0 0 Rp 165,000
312 Vaksin Hepatitis B (dewasa) Ampul Rp 55,539 Rp - Rp 55,539 0 Rp 55,539 0 0 Rp 55,539
313 Verapamil 80 mg Tablet Rp 290 Rp - Rp 290 0 Rp 290 0 0 Rp 290
314 Vitamin B Kompleks Tablet 1000 Rp 123 Rp 123,000 2000 Rp 123 246000 2100 Rp 123 258300 900 Rp 123
315 Xylocaine 2% gel ( Lidocain gel ) pcs Rp 41,600 Rp - Rp 41,600 0 Rp 41,600 0 0 Rp 41,600
316 zinc syrp 20mg/5ml Botol Rp 3,122 Rp - Rp 3,122 0 Rp 3,122 0 0 Rp 3,122
317 Zinc Tablet 20 mg Tablet 300 Rp 551 Rp 165,300 500 Rp 551 275500 600 Rp 551 330600 200 Rp 551
Safety BOX ( 5 L ) pcs Rp - 0 0 0
Reagen Ziehl Neelsen paket Rp - 0 0 0
Alkohol swabs pcs Rp - 0 0 0
Pipet micro 0-100 pcs Rp - 0 0 0
Pipet micro 100-1000 pcs Rp - 0 0 0
Vacum tube pcs Rp - 0 0 0
Plastic K3 EDTA pcs Rp - 0 0 0
RDT Syphilis pcs Rp - 0 0 0
RDT HIV 1/2 3 Line pcs Rp - 0 0 0
Cebex Multivitamin Tablet Rp - 0 0 0

Mengetahui TK. Jambu, Desember 2020

Kepala PKM TK. Jambu Pj Farmasi

Husnaini, SKM Linuria, S.Farm

NIP. 1976 NIP.
TOCK ( 31 DES 2020 )

TOTAL

15 = ( 13 X 14 )
Rp -
Rp -
Rp 199,500
Rp 46,200
Rp -
Rp -
Rp -
Rp 95,100
Rp -
Rp 433,726
Rp 426,000
Rp -
Rp -
Rp -
Rp -
Rp 134,400
Rp -
Rp 108,900
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 20,330
Rp 47,500
Rp -
Rp 196,000
Rp -
Rp 228,000
Rp 101,707
Rp -
Rp -
Rp 235,865
Rp 28,000
Rp -
Rp 113,304
Rp -
Rp -
Rp -
Rp -
Rp 132,000
Rp -
Rp -
Rp 82,400
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 469,080
Rp 313,784
Rp 259,700
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 106,500
Rp -
Rp -
Rp -
Rp 1,264,644
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 743,000
Rp -
Rp 23,000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 62,700
Rp 51,840
Rp -
Rp -
Rp -
Rp 91,100
Rp 7,400
Rp -
Rp -
Rp 63,498
Rp -
Rp -
Rp 43,000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 8,745
Rp -
Rp -
Rp -
Rp -
Rp 230,000
Rp -
Rp -
Rp -
Rp -
Rp 224,100
Rp 38,670
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 48,000
Rp -
Rp 52,700
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 50,000
Rp -
Rp 21,400
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 392,000
Rp -
Rp -
Rp 20,000
Rp 148,988
Rp 106,200
Rp 106,000
Rp -
Rp -
Rp 436,200
Rp 436,200
Rp 520,300
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 266,000
Rp 117,000
Rp -
Rp -
Rp -
Rp 359,872
Rp -
Rp -
Rp 143,172
Rp 882,672
Rp 198,000
Rp -
Rp 17,100
Rp -
Rp 382,879
Rp 60,000
Rp -
Rp 89,760
Rp 59,000
Rp -
Rp 500,000
Rp -
Rp 144,000
Rp 63,000
Rp -
Rp 152,208
Rp -
Rp 90,288
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 96,444
Rp 52,400
Rp -
Rp 108,450
Rp 282,900
Rp -
Rp 62,500
Rp -
Rp -
Rp -
Rp 49,500
Rp -
Rp -
Rp 80,000
Rp 187,880
Rp 71,300
Rp -
Rp 66,500
Rp -
Rp -
Rp -
Rp 75,920
Rp 258,120
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 88,900
Rp -
Rp 107,800
Rp -
Rp -
Rp -
Rp -
Rp 1,512,000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 21,340
Rp -
Rp -
Rp 106,400
Rp 244,335
Rp -
Rp 34,410
Rp 1,258,400
Rp -
Rp 48,620
Rp -
Rp -
Rp 507,915
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 103,500
Rp -
Rp 36,000
Rp -
Rp -
Rp 80,000
Rp 20,536
Rp -
Rp -
Rp 111,000
Rp -
Rp -
Rp -
Rp -
Rp 300,300
Rp -
Rp 57,400
Rp -
Rp -
Rp 22,200
Rp -
Rp -
Rp -
Rp 48,400
Rp -
Rp 924,000
Rp 392,997
Rp 9,400
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 333,000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 77,400
Rp -
Rp -
Rp -
Rp -
Rp 10,010,000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 110,700
Rp -
Rp -
Rp 110,200
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -