PUSKESMAS TAOPA Laporan Pemakaian dan Lembar Permintaan Obat (LPLPO) Bulan Agustus 2020

Pemerintah Kabupaten Parigi Moutong
PUSKESMAS TAOPA
Jl. Paninggo No.2, Desa Taopa Kec. Taopa Kab. Parigi Moutong
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
(LPLPO)
NAMA PUSKESMAS : PUSKESMAS TAOPA BULAN : AGUSTUS
KECAMATAN : TAOPA TAHUN : 2020
KABUPATEN : PARIGI MOUTONG
PROVINSI : SULAWESI TENGAH
PERSEDIAAN AWAL OBAT PENGADAAN PER 01 AGUSTUS 2020 PENERIMAAN PEMAKAIAN STOK AKHIR 31 AGUSTUS 2020
NO URAIAN Satuan Harga Satuan
PUSTU / RUANG PUSTU / RUANG STOK UNIT JUMLAH HARGA PUSTU / RUANG STOK UNIT JUMLAH PUSTU / RUANG STOK UNIT JUMLAH HARGA
APOTEK STOK UNIT LAIN JUMLAH JUMLAH HARGA (Rp) APOTEK JUMLAH APOTEK ED JUMLAH APOTEK JUMLAH
POSKESDES TINDAKAN POSKESDES TINDAKAN LAIN (Rp) POSKESDES TINDAKAN LAIN HARGA (Rp) POSKESDES TINDAKAN LAIN (Rp)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
OBAT DAK 2019
1 Air untuk injeksi / water for injection 25 ml ampul 2,860 - - - - - - - - - - - - - - - - - - -
2 Air untuk irigasi inf 1000 ml botol 12,100 - - - - - - - - - - - -
3 Akarbose tablet 50 mg tablet 690 - - - - - - - - - - - -
4 Albendazol tablet 400 mg tablet 494 - - - - - - - - - - - -
5 Alopurinol tablet 100 mg tablet 105 - - - - - - - - - - - - - - -
6 Alprazolam 0,5 mg tablet 94 - - - - - - - - - - - -
7 Aminofilin inj 24 mg/ml ampul 3,071 - - - - - - - - - - - -
8 Aminofilin tablet 200 mg tablet 101 - - - - - - - - - - - -
9 Amitriptilin tablet 25 mg tablet 168 - - - - - - - - - - - -
10 Amlodipin Besilate tablet 10 mg tablet 94 - - - - - - - - - - - -
11 Amlodipin Besilate tablet 5 mg tablet 82 - - - - - - - - - - - -
Anastetik Lokal Gigi Kombinasi : Lidokain injeksi 2%
12 Ampul 1,405
+ Epinefrin 1: 80.000 - inj 2 mL - - - - - - - - - - - -
Antifungi Salep, Kombinasi: Asam Benzoat 6% +
13 pot 5,517
Asam Salisilat 3% - - - - - - - - - - - -
Antihemoroid, kombinasi sup : bismut subgalat
14 suppo 3,642
heksaklorofen - - - - - - - - - - - -
Antimalaria kombinasi (DHP): dihidroartemisin 40 mg
15 tablet 2,134
+ Piperakuin 320 mg tab sal selaput - - - - - - - - - - - -
Antimigrain kombinasi: ergotamin 1 mg + kafein 50
16 tablet 212
mg (tablet) - - - - - - - - - - - -
17 Asam folat tablet 1 mg tablet 86 - - - - - - - - - - - -
18 Asiklovir tablet 400 mg tablet 454 - - - - - - - - - - - -
19 Asam traneksamat injeksi 100 mg/ml ampul 2,366 - - - - - - - - - - - -
20 Asam traneksamat tablet 500 mg tablet 1,784 - - - - - - - - - - - -
21 Atropin inj 0,25 mg/ml (i.m./i.v./s.k ) ampul 1,859 - - - - - - - - - - - -
22 Betametason Valerate krim 0,1% tube 1,515 - - - - - - - - - - - -
23 Bisakodil suppositoria 10 mg suppo 5,900 - - - - - - - - - - - -
24 Bisoprolol Fumarate tablet 5 mg tablet 264 - - - - - - - - - - - -
25 Calcium gluconate inj 10% (G) ampul 10,351 - - - - - - - - - - - -
26 Deksametason injeksi 5 mg/ml (i.v./i.m.) ampul 1,210 - - - - - - - - - - - -
27 Difenhidramin injeksi 10 mg/ml ( i.v./i.m.) ampul 1,262 - - - - - - - - - - - -
28 Dimenhidrinat tablet/kapsul/kaplet 50 mg tablet 129 - - - - - - - - - - - -
29 Digoksin tablet 0,25 mg tablet 104 - - - - - - - - - - - -
30 Doksisiklin kapsul 100 mg kapsul 280 - - - - - - - - - - - -
31 Domperidon tablet 10 mg tablet 96 - - - - - - - - - - - -
32 Domperidon suspensi 5 mg/5 ml botol 2,862 - - - - - - - - - - - -
33 Epinephrine (Adrenalin) injeksi 0,1% (i.v/s.k./i.m) ampul 1,518 - - - - - - - - - - - -
34 Fitomenadion (vitamin K 1) inj 2 mg/ml (i.m) ampul 4,236 - - - - - - - - - - - -
35 Fitomenadion (vitamin K1) tablet 10 mg tablet 873 - - - - - - - - - - - -
36 Furosemid tablet 40 mg tablet 88 - - - - - - - - - - - -
37 Flufenazin injeksi 25 mg/mL (i.m ) ampul 63,813 - - - - - - - - - - - -
38 Gentamisin sulfate tetes mata 0,3% botol 4,885 - - - - - - - - - - - -
39 Glibenklamid tablet 5 mg tablet 137 - - - - - - - - - - - -
40 Glimepiride tablet/kapsul/kaplet 1 mg tablet 174 - - - - - - - - - - - -
41 Glukosa Larutan Infus 5% steril 500 ml botol 7,363 - - - - - - - - - - - -
42 Griseofulfin tablet 125 mg tablet 238 - - - - - - - - - - - -
43 Hidroklorotiazid tab 25 mg tablet 178 - - - - - - - - - - - -
44 Hidrokortison krim 2,5% tube 2,648 - - - - - - - - - - - -
45 Ibuprofen susp 100 mg/5 ml botol 2,858 - - - - - - - - - - - -
46 Kandesartan kaplet 8 mg tablet 661 - - - - - - - - - - - -
47 Kalsium Laktat tablet 500 mg tablet 63 - - - - - - - - - - - -
48 Karbamazepin tablet 200 mg tablet 250 - - - - - - - - - - - -
49 Ketokonazol tablet 200 mg tablet 305 - - - - - - - - - - - -
Ketokonazol krim 2%
50 2,694
tube - - - - - - - - - - - -
51 Kloramfenikol suspensi 125 mg/ 5 ml botol 5,319 - - - - - - - - - - - -
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
52 Kloramfenikol salep mata 1 % tube 2,148 - - - - - - - - - - - -
53 Kloramfenikol kapsul 500 mg kapsul 1,338 - - - - - - - - - - - -
54 Klorfeniramin tablet 4 mg tablet 26 - - - - - - - - - - - -
55 Klorpromazin tablet 100 mg tablet 181 - - - - - - - - - - - -
56 Klopidogrel tab 75 mg tablet 1,568 - - - - - - - - - - - -
57 Kolkisin 0,5 mg tablet 2,644 - - - - - - - - - - - -
Kotrimoksazol (dewasa) kombinasi: sulfametoksazol
58 tablet 133
400 mg + trimetoprim 80 mg (tab/kaptab 480 mg)
- - - - - - - - - - - -
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
59 Metamizole Sodium Monohidrat 1000 mg/ 2 ml (G) ampul 4,025 - - - - - - - - - - - -
60 Metformin tablet 500 mg tablet 109 - - - - - - - - - - - -
61 Metilergometrin tablet salut 0,125 mg tablet 259 - - - - - - - - - - - -
62 Metilergometrin injeksi 0,2 mg/ml ampul 3,399 - - - - - - - - - - - -
63 Metilprednisolon tablet 4 mg tablet 148 - - - - - - - - - - - -
64 Methyldopa tablet 250 mg tablet 1,088 - - - - - - - - - - - -
65 Metoklopramid tablet 10 mg tablet 93 - - - - - - - - - - - -
66 Metronidazol ovula 500 mg tablet 3,590 - - - - - - - - - - - -
67 Mikonazol krim 2 % tube 3,926 - - - - - - - - - - - -
68 Magnesium sulfat injeksi 40%v (i.v.) ampul 3,796 - - - - - - - - - - - -
69 Nacl 0,9% 500 mL botol 6,840 - - - - - - - - - - - -
70 N-asetil sistein tablet/kaplet/kapsul 200 mg tablet 440 - - - - - - - - - - - -
71 Natrium diklofenak tablet 50 mg tablet 145 - - - - - - - - - - - -
72 Nistatin tablet/kaplet salut gula 500.000 IU tablet 971 - - - - - - - - - - - -
73 Oksitetrasiklin 1% salep mata tube 2,774 - - - - - - - - - - - -
74 Oksitosin inj 10 IU/ml ampul 1,232 - - - - - - - - - - - -
75 Omeprazole serb injeksi 40 mg Vial 11,868 - - - - - - - - - - - -
76 Omeprazole serb injeksi 40 mg + Pelarut Vial 79,200 - - - - - - - - - - - -
77 Omeprazol kapsul 20 mg kapsul 147 - - - - - - - - - - - -
78 Parasetamol drops 100 mg/ml btl @15ml botol 7,646 - - - - - - - - - - - -
79 Perak sulfadiazin krim 1% (tube 35 g) tube 20,700 - - - - - - - - - - - -
80 Permetrin Krim 5% tube 11,825 - - - - - - - - - - - -
81 Pirantel pamoat tablet 125 mg tablet 353 - - - - - - - - - - - -
82 Pirantel pamoat susp 125 mg/5 ml botol 11,791 - - - - - - - - - - - -
83 Piridoksin (Vitamin B6) tablet 10 mg (HCl) tablet 150 - - - - - - - - - - - -
84 Prednison tablet 5 mg tablet 79 - - - - - - - - - - - -
85 Propranolol hydrochloride (HCl) tablet 10 mg tablet 63 - - - - - - - - - - - -
86 Ringer Laktat 500 mL botol 7,630 - - - - - - - - - - - -
87 Risperidon tablet 2 mg tablet 287 - - - - - - - - - - - -
Salep 2-4 kombinasi : asam salisilat 2 % + balerang
88 pot 3,213
endap 4% - - - - - - - - - - - -
89 Setirizine hydrochloride(HCl) tablet 10 mg tablet 104 - - - - - - - - - - - -
90 Setirizin sirup 5 mg/5 ml botol 3,061 - - - - - - - - - - - -
91 Sianokobalamin (vitamin B12) tablet 50 mcg tablet 51 - - - - - - - - - - - -
92 Simvastatin tablet salut selaput 10 mg tablet 117 - - - - - - - - - - - -
93 Tetrasiklin kapsul 500 mg kapsul 346 - - - - - - - - - - - -
94 Tiamin (Vitamin B1) tablet 50 mg tablet 96 - - - - - - - - - - - -
95 Valsartan tablet 160 mg tablet 1,122 - - - - - - - - - - - -
96 Zinc sulfate sir 20 mg/5 ml botol 3,285 - - - - - - - - - - - -
- - - -
97 Amoksisilin sirup kering 125 mg/5 ml botol 60 ml 6,094.00 - - - - - - - - - - - -
98 Antalgin tablet 500 mg Ktk 10 strip @ 10 tab 31,499.60 - - - - - - - - - - - -
Anti Bakteri salep kombinasi: Basitrasin 500 IU/g +
99 tube 5 gram 4,174.50
Polimiksin 10.000 IU/g - - - - - - - - - - - -
Enbatic salep kombinasi: Basitrasin 500 IU/g +
100 tube 10 gram 7,578.00
Polimiksin 10.000 IU/g - - - - - - - - - - - -
Antispasmodiktab kombinasi : Hyocine n-butilbromida
101 Ktk 10 strip @ 10 tab 228,999.10
tablet 10 mg + parasetamol 500 mg
- - - - - - - - - - - -
102 Asiklovir krim 5% tube 5 gram 5,800.30 - - - - - - - - - - - -
103 Bedak Salicil serbuk 2% botol 8,939.70 - - - - - - - - - - - -
104 Domperidon suspensi 5 mg/5 ml botol 60 ml 16,399.90 - - - - - - - - - - - -
105 Erythromycin stearate 500 mg Ktk 10 strip @ 10 kaps 131,679.90 - - - - - - - - - - - -
106 Eritromisin sir kering 200 mg/5 ml botol 60 ml 18,920.00 - - - - - - - - - - - -
107 Etil Klorida Spray botol 100 ml 222,724.70 - - - - - - - - - - - -
108 Etil Klorida Spray botol 200 ml 352,000.00 - - - - - - - - - - - -
109 Gentamisin salep kulit 1% tube 4,580.40 - - - - - - - - - - - -
110 Ibuprofen tablet 400 mg Ktk 10 strip @ 10 tab 33,200.20 - - - - - - - - - - - -
111 Isosorbit Dinitrat tablet 5 mg Ktk 10 strip @ 10 tab 23,940.40 - - - - - - - - - - - -
112 Kaptopril tablet 25 mg Ktk 10 strip @ 10 tab 23,899.70 - - - - - - - - - - - -
113 Kloramfenikol tetes telinga 1 % botol 10 ml 13,539.90 - - - - - - - - - - - -
114 Kloramfenikol tetes mata 0,5 % botol 10 ml 19,369.90 - - - - - - - - - - - -
115 Kloramfenikol kapsul 250 mg Ktk 10 strip @ 10 kaps 81,999.50 - - - - - - - - - - - -
116 Kloramfenikol suspensi 125 mg/ 5 ml botol 60 ml 11,189.20 - - - - - - - - - - - -
117 Cepezet tablet 100 mg Ktk 10 strip @ 10 tab 32,364.00 - - - - - - - - - - - -
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
Kombinasi Multivitamin Tablet : Adenosine
triphosphate ATP 20 mg, thiamin disulfide 100 mg,
118 Ktk 10 strip @ 10 tab 333,949.00
pyridoxin HCL 200 mg, cyanocobalamin 200 mg,
tocopherol 30 mg - - - - - - - - - - - -
119 Kombinasi :Kaolin 986 mg + pektin 40 mg syrup 5,799.20
botol 60 ml - - - - - - - - - - - -
Kombinasi Multivitamin tambah darah kapsul : Besi
(II) fumarat 300 mg, mangan sulfat 0,4 mg, tembaga
120 Ktk 10 strip @ 10 tab 118,000.30
sulfat 0,4 mg, vitamin c 100 mg, asam folat 2 mg,
vitamin B12 mcg, faktor intrinsik 25 mg
- - - - - - - - - - - -
121 Loperamid tablet 2 mg Ktk 10 strip @ 10 tab 14,999.60 - - - - - - - - - - - -
122 Meloksikam tablet 7,5 mg Ktk 5 strip @ 10 tab 46,669.70 - - - - - - - - - - - -
123 Metronidazol tablet 500 mg Ktk 10 strip @ 10 tab 31,530.40 - - - - - - - - - - - -
Multivitamin sirup anak : L-Lisin HCL 200 mg,
Betakaroten 1000IU, vitamin B1 3 mg,vitamin B2 2
124 mg, vitamin B6 1 mg, vitamin B12 10 mcg, vitamin C botol 60 ml 19,149.90
50 mg, nikotinamid 20 mg, d-pantotenol 3 mg,
kurkuminoid 2 mg
- - - - - - - - - - - -
125 Methysoprinol tablet 500 mg Ktk 5 strip @ 10 tab 225,700.20 - - - - - - - - - - - -
126 Methysoprinol syrup 250 mg/5 ml botol 60 ml 116,958.60 - - - - - - - - - - - -
127 Nifedipin kaps 10 mg Ktk 10 strip @ 10 tab 24,134.00 - - - - - - - - - - - -
128 Obat batuk Hitam (O.B.H) botol 100 ml 3,602.50 - - - - - - - - - - - -
129 Oksitetrasiklin HCL salep kulit 3% tube 5 gram 3,270.30 - - - - - - - - - - - -
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
130 Papaverin tablet 40 mg Ktk 10 strip @ 10 tab 25,498.00 - - - - - - - - - - - -
131 Parasetamol tablet 500 mg Ktk 10 strip @ 10 tab 26,398.90 - - - - - - - - - - - -
132 Parasetamol tablet 500 mg Ktk 10 strip @ 10 tab 16,500.00 - - - - - - - - - - - -
133 Parasetamol sirup 120 mg/5 ml botol 60 ml 6,875.00 - - - - - - - - - - - -
134 Piroksikam tablet 20 mg Ktk 10 strip @ 10 tab 20,498.50 - - - - - - - - - - - -
135 Prednisolon tablet 5 mg Ktk 3 strip @ 10 tab 119,594.20 - - - - - - - - - - - -
136 Primakuin tablet 15 mg Ktk 10 strip @ 10 tab 38,640.00 - - - - - - - - - - - -
137 Propiltiourasil tablet 100 mg Ktk 10 strip @ 10 tab 68,898.50 - - - - - - - - - - - -
138 Sianokobalamin (vitamin B12) injeksi 500 mcg/mL ktk 100 ampul 1 ml 256,395.70 - - - - - - - - - - - -
139 Tiamin (Vitamin B1) injeksi 100 mg/ml ktk 100 ampul 261,800.00 - - - - - - - - - - - -
JUMLAH - JUMLAH JUMLAH - - Jumlah -
OBAT DAK 2018 - - - - - - - -
1 Air untuk injeksi amp 25 ml Ampul 2,860 100 100 286,000 - - - - - - 100 - 100 286,000
2 Alopurinol tab 100 mg Box/100 Tablet 27,500 - - - - - - - - - - - -
Antasida, kombinasi : aluminium hidroksida 200 mg +
3 Tablet 56
magnesium hidroksida 200 mg - - - - - - - - - - - -
4 Asam Asetilsalisilat (asetosal) tablet/kaplet/kapsul 80 mg Tablet 99
- - - - - - - - - - - -
5 Asam mefenamat kaps 500 mg Tablet 103 - - - - - - - - - - - -
6 Glukosa Larutan Infus 5% steril Botol 6,900 - - - - - - - - - - - -
7 Kalsium laktat (kalk) tab 500 mg Tablet 59 - - - - - - - - - - - -
8 Karbamazepin tab 200 mg Tablet 234 - - - - - - - - - - - -
9 Klorpromazin tab sal 100 mg Box/100 Tablet 26,428 - - - - - - - - - - - -
Kotrimoksazol (dewasa) kombinasi : sulfametoksazol 400
10 Tablet 125
mg+ trimetoprim 80 mg - - - - - - - - - - - -
Kotrimoksazol kombinasi tiap 5 ml suspensi :
11 Botol 2,052
sulfametoksazol 200 mg + trimetoprim 40 mg - - - - - - - - - - - -
12 Ringer Laktat Larutan Botol 7,150 - - - - - - - - - - - -
13 Alprazolam 0,5mg Box/100 Tablet 58,500 - - - - - - - - - - - -
14 Betahistin tablet/kapsul/kaplet 6 mg Tablet 119 - - - - - - - - - - - -
15 Glimepirid tab 1 mg Tablet 174 - - - - - - - - - - - -
16 Valsartan tablet 80 mg Tablet 795 - - - - - - - - - - - -
17 Kloramfenikol kaps 500 mg Kapsul 1,254 - - - - - - - - - - - -
Antibakteri, kombinasi : basitrasin 500 UI/g+
18 Tube 3,490
Polimiskin B 10.000 UI/g - - - - - - - - - - - -
19 Glibenklamid tab 5 mg Tablet 137 - - - - - - - - - - - -
20 Griseofulvin (micronized) tab 125 mg Tablet 223 - - - - - - - - - - - -
21 Ketokonazol Tab Tablet 286 - - - - - - - - - - - -
22 Kloramfenikol kaps 250 mg Kapsul 329 - - - - - - - - - - - -
23 Klorfeniramina Maleat tab 4 mg Tablet 24 - - - - - - - - - - - -
24 Omeprazol kaps 20 mg Box/30 Kapsul 12,250 - - - - - - - - - - - -
25 Parasetamol sir 120 mg/5 ml Botol 5,500 - - - - - - - - - - - -
26 Parasetamol tab 500 mg Tablet 60 - - - - - - - - - - - -
27 Parasetamol drops 100 mg/ml Botol 7,646 - - - - - - - - - - - -
28 Salbutamol 4 mg tablet Tablet 77 - - - - - - - - - - - -
29 Sefadroksil Sirup Kering 250 mg/5ml Botol 5,460 - - - - - - - - - - - -
30 Setirizin sirup 5 mg/5 ml Botol 2,993 - - - - - - - - - - - -
31 Setirizin tab 10 mg Tablet 97 - - - - - - - - - - - -
32 Sianokobalamin (vitamin B12) inj 500 mcg/ml Ampul 1,087 - - - - - - - - - - - -
33 Sianokobalamin (vitamin B12) tab 50 mcg Tablet 48 - - - - - - - - - - - -
34 Simvastatin tab salut 10 mg Tablet 110 - - - - - - - - - - - -
35 Siprofloksasin tab scored 500 mg Tablet 281 - - - - - - - - - - - -
36 Tiamin (vitamin B1) tab 50 mg Tablet 90 - - - - - - - - - - - -
37 Amitriptilin tablet salut 25 mg (HCl) Tablet 168 - - - - - - - - - - - -
38 Amlodipin tab 10 mg Tablet 95 - - - - - - - - - - - -
39 Atropin inj 0,25 mg / ml Ampul 1,815 - - - - - - - - - - - -
40 Diazepam tab 2 mg Tablet 86 - - - - - - - - - - - -
41 Diazepam larutan rektal 5 mg/2,5 ml Tube 14,459 - - - - - - - - - - - -
42 Dimenhidrinat tablet/kapsul/kaplet 50 mg Tablet 121 - - - - - - - - - - - -
43 Doksisiklin kaps 100 mg Kapsul 264 - - - - - - - - - - - -
44 Domperidon suspensi/sirup 5 mg/5 ml Botol 2,862 - - - - - - - - - - - -
45 Domperidon tab 10 mg Tablet 90 - - - - - - - - - - - -
46 Epinefrin (adrenalin) inj 0,1% (i.v./s.k./i.m.) Ampul 1,518 - - - - - - - - - - - -
47 Digoksin tab 0,25 mg Tablet 104 - - - - - - - - - - - -
48 Haloperidol tab 1,5 mg Tablet 59 - - - - - - - - - - - -
49 Metilergometrin inj 0,2 mg/ml Ampul 3,399 - - - - - - - - - - - -
50 Ranitidin inj 25 mg/ml Ampul 1,155 - - - - - - - - - - - -
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
51 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet 89 - - - - - - - - - - - -
52 Amlodipin tab 5 mg Tablet 77 - - - - - - - - - - - -
53 Bisakodil suppositoria 10 mg Suppo 5,900 - - - - - - - - - - - -
54 Bisakodil tablet 5 mg Tablet 316 - - - - - - - - - - - -
55 Ibuprofen sir 100 mg/5 ml Botol 2,678 - - - - - - - - - - - -
56 Amoksisilin sir kering 125 mg/5 ml Botol 5,060 - - - - - - - - - - - -
heksaklorofen 2,5 mg + lidokain lidokain 10 mg+ seng
oksida 120 mg + sup ad 2 g
57 Suppo 3,642
- - - - - - - - - - - -
58 Antimigrain : Ergotamin tab 1 mg + Kafein 50 mg Tablet 199 - - - - - - - - - - - -
59 Asam askorbat (vitamin C) tab 50 mg Tablet 120 - - - - - - - - - - - -
60 Betametason krim 0,1% Tube 1,420 - - - - - - - - - - - -
61 Diltiazem 30 mg kapsul Tablet 142
- - - - - - - - - - - -
62 Fenobarbital tab 30 mg Tablet 197 - - - - - - - - - - - -
63 Furosemid tab 40 mg Tablet 82 - - - - - - - - - - - -
Garam oralit kombinasi : natrium klorida 0,52 g + kalium
64 klorida 0,30 g + trinatrium sitrat 0,58 g + glukosa anhidrat Sachet 275
2,7 g - - - - - - - - - - - -
Kombinasi: Ipratropium bromida inhalasi 0,5 mg +
65 Vial 4,550
Salbutamol 2,5 mg - - - - - - - - - - - -
66 Hidroklorotiazid tab 25 mg Tablet 178 - - - - - - - - - - - -
67 Ibuprofen tab 400 mg Box/100 Tablet 44,000 - - - - - - - - - - - -
68 Ketokonazol Cream Tube 2,694 - - - - - - - - - - - -
69 Kloramfenikol salep mata 1% Tube 2,013 - - - - - - - - - - - -
70 Kodein tab 10 mg Tablet 657 - - - - - - - - - - - -
71 Mikonazol krim 2% Tube 3,926 - - - - - - - - - - - -
72 Metoklopramid tab 10 mg Tablet 87 - - - - - - - - - - - -
73 Pirantel pamoat tab scored 125 mg Tablet 331 - - - - - - - - - - - -
74 Piridoksin (vitamin B6) tab 10 mg Tablet 141 - - - - - - - - - - - -
75 Prednison tab 5 mg Tablet 74 - - - - - - - - - - - -
76 Tetrasiklin kaps 500 mg Kapsul 324 - - - - - - - - - - - -
Anestetik lokal gigi kombinasi : lidokain HCl 2% +
77 epinefrin 1 : 80.000 inj 2 ml Ampul 1,317
- - - - - - - - - - - -
78 Difenhidramin inj 10 mg/ml (i.v./i.m.) Ampul 1,262 - - - - - - - - - - - -
79 Fenobarbital inj 50 mg Ampul 2,135 - - - - - - - - - - - -
80 Fitomenadion (vitamin K 1) tab sal 10 mg Tablet 818 - - - - - - - - - - - -
81 NaCl 0,9% Larutan Botol 6,410 - - - - - - - - - - - -
82 Zinc tab disp 20 mg Tablet 604 - - - - - - - - - - - -
83 Zinc sirup 20 mg/5 ml Botol 3,285 - - - - - - - - - - - -
Antasida Suspensi, kombinasi : aluminium hidroksida 200
84 Botol 2,098
mg + magnesium hidroksida 200 mg
- - - - - - - - - - - -
85 Bisoprolol tab 5 mg Tablet 248 - - - - - - - - - - - -
86 Candesartan 8 mg Tab Tablet 629 - - - - - - - - - - - -
87 Deksametason tab 0,5 mg Tablet 34 - - - - - - - - - - - -
88 Deksametason inj 5 mg/ml (i.v./i.m.) Ampul 1,210 - - - - - - - - - - - -
89 Diazepam inj 5 mg/ml (i.v./i.m.) Ampul 1,913 - - - - - - - - - - - -
90 Metilergometrin tab salut 0,125 mg Tablet 243 - - - - - - - - - - - -
91 Metronidazol tab 500 mg Box/100 Tablet 34,100 - - - - - - - - - - - -
Antifungi DOEN Salep, Kombinasi: Asam Benzoat 6%
92 Pot 5,170
Asam Salisilat 3% - - - - - - - - - - - -
93 Attapulgit tab 650 mg Tablet 237 - - - - - - - - - - - -
94 Gentamisin tts mata 0,3% Botol 4,885 - - - - - - - - - - - -
95 Pirantel pamoat susp 125 mg/5 ml Botol 11,050 - - - - - - - - - - - -
Salep 2-4, kombinasi : asam salisilat 2 %+ belerang
96 Tube 3,011
endap 4 % - - - - - - - - - - - -
97 Sefadroksil Sirup Kering 125 mg/5ml Botol 4,086 - - - - - - - - - - - -
98 Vitamin B kompleks Tablet 135 - - - - - - - - - - - -
99 Kolkisin 500 mcg tablet Tablet 2,644 - - - - - - - - - - - -
100 Omeperazole 40 mg/10 ml Injeksi Vial 11,868 - - - - - - - - - - - -
101 Perak Sulfadiazin cr Tube 20,700 - - - - - - - - - - - -
102 Metilprednisolon tab 4 mg Tablet 139 - - - - - - - - - - - -
103 Kaptopril tablet 25 mg Tablet 80 - - - - - - - - - - - -
Tablet tambah darah Kombinasi: ferro fumarat 60 mg + as.
104 Tablet 409
Folat 0,4 mg tablet salut gula - - - - - - - - - - - -
105 Diazepam tab 5 mg Tablet 109 - - - - - - - - - - - -
106 Haloperidol tab 2 mg Box/100 Tablet 108,900 - - - - - - - - - - - -
107 Hidrokortison krim 2,5% Tube 2,648 - - - - - - - - - - - -
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
108 Klopidogrel tab 75 mg Tablet 1,469 - - - - - - - - - - - -
109 Obat Anti Tuberculosis FDC Kategori I Paket 447,747 - - - - - - - - - - - -
110 Obat Anti Tuberculosis Anak Paket 267,400 - - - - - - - - - - - -
111 Fenitoin Sodium Injeksi 50 mg/ml (100 mg/ 2 mL) Ampul 4,121
- - - - - - - - - - - -
Kombinasi : benserazid 25 mg + levodopa 100 mg
112 Tablet 1,035
tablet - - - - - - - - - - - -
113 Risperidon tablet/kapsul/kaplet 2 mg Tablet 273 - - - - - - - - - - - -
114 Oksitosin inj 10 UI/ml Ampul 1,232 - - - - - - - - - - - -
115 Methyldopa 250mg Tablet 1,088 - - - - - - - - - - - -
116 Flufenazin injeksi 25 mg/mL (i.m ) Ampul 59,800 - - - - - - - - - - - -
117 N-asetil sistein kapsul 200 mg Kapsul 412 - - - - - - - - - - - -
118 Metronidazol ovula 500 mg Suppo 3,590 - - - - - - - - - - - -
119 Ampisilin serbuk injeksi 1000 mg (i.v) Vial 9,473 - - - - - - - - - - - -
120 Fitomenadion (Vitamin K1) injeksi 2 mg/ml (i.m.) Ampul 4,236 - - - - - - - - - - - -
121 Nistatin tablet salut gula 500.000 IU Tablet 910 - - - - - - - - - - - -
122 Atapulgit tablet 650 mg Tablet 237 - - - - - - - - - - - -
123 Lidokain injeksi 2% Ampul 1,319 - - - - - - - - - - - -
124 Kloramfenikol suspensi 125 mg/ 5 ml Botol 8,949 - - - - - - - - - - - -
Novachlor suspensi 125 mg/ 5 ml Botol 10,500 - - - - - - - - - - - -
125 Loratadin tablet 10 mg Tablet 127 - - - - - - - - - - - -
126 Metformin tablet 500 mg Tablet 102 - - - - - - - - - - - -
127 Amoksisilin tablet 500 mg Tablet 248 - - - - - - - - - - - -
128 Asiklovir tablet 400 mg Tablet 425 - - - - - - - - - - - -
129 Klindamisin kapsul 300 mg Kapsul 583 - - - - - - - - - - - -
130 Propranolol tablet 10 mg Tablet 59 - - - - - - - - - - - -
131 Ambroxol tablet 30 mg Ktk, 10 Strip @ 10 tablet 16,500 - - - - - - - - - - - -
132 Aminofillin tablet 200 mg Botol @ 100 tablet 16,700 - - - - - - - - - - - -
133 Asam Traneksamat tablet 500 mg Ktk, 10 Strip @ 10 tablet 220,000 - - - - - - - - - - - -
134 Asiklovir krim 5 % Tube 5 gram 5,150 - - - - - - - - - - - -
Antidekongestan tablet kombinasi : Triprolidine HCI
135 2,5 mg +Pseudoephedrin HCI 30 mg + Parasetamol Ktk, 25 Strip @ 4 tablet 99,750
500 mg - - - - - - - - - - - -
Multivitamin tablet Kombinasi : Adenosine
136 Ktk, 10 Strip @ 10 tablet 318,000
pyridoxin HCI 200 mg, cyanocobalamin 200 mg,
tocopherol 30 mg - - - - - - - - - - - -
137 Bedak Salisil Serbuk 2 % Kotak 8,400 - - - - - - - - - - - -
Tetes Mata kombinasi : Dexamethasone sodium
138 phosphate 1 mg+neomycin sulphate 3,5 Botol 5 ml 15,500
mg+polymixin sulphate 6000 IU - - - - - - - - - - - -
139 Fluoksetin kapsul 20 mg Ktk, 3 strip @ 10 kapsul 233,700 - - - - - - - - - - - -
140 Gentamicyn salep kulit 1 % Tube 5 gram 2,800 - - - - - - - - - - - -
141 Gentian Violet Larutan 1 % Botol 10 ml 3,000 - - - - - - - - - - - -
142 Imunodulator (ekstrak Phyllanthus niruri 25 mg) Sirup Botol 60 ml 29,400
- - - - - - - - - - - -
143 Kloramfenikol tetes mata 0,5% Botol 5 ml 12,900 - - - - - - - - - - - -
144 Kloramfenikol tetes telinga 1% Botol 5 ml 7,400 - - - - - - - - - - - -
Kombinasi Multivitamin & Analgetik tablet :
145 Metampiron 500 mg + Vitamin B1 50 mg + Vitamin Ktk, 10 Strip @ 10 tablet 55,700
B6 100 mg + Vitamin B12 100 mcg - - - - - - - - - - - -
Antidiare sirup kombinasi : Koalin 986 mg + Pektin 40
146 Botol 60 ml 5,400
mg - - - - - - - - - - - -
Antispasmodik tablet kombinasi : Hyocine n-
147 Ktk, 10 Strip @ 100 tablet 221,000
butilbromida tab 10 mg + Parasetamol 500 mg - - - - - - - - - - - -
Anestetik Lokal Gigi kombinasi : Lidokaina HCI 20 mg
148 Ktk, 20 Ampul @ 2 ml 77,500
+ Adrenalin 0,0125 mg - - - - - - - - - - - -
149 Loperamid tablet 2 mg Ktk, 10 Strip @ 10 tablet 13,050 - - - - - - - - - - - -
150 Meloksikam tablet 7,5 mg Ktk, 5 Strip @ 10 tablet 44,450 - - - - - - - - - - - -
151 Metampiron tablet 500 mg Ktk, 10 Strip @ 10 tablet 22,200 - - - - - - - - - - - -
Multivitamin Tambah Darah kapsul kombinasi : Besi
(II) Fumarat 300 mg, Mangan Sulfat 0,4 mg,
152 Tembaga Sulfat 0,4 mg, Vitamin C 100 mg, Asam Ktk, 10 Strip @ 10 kapsul 107,000
Folat 2 mg, Vitamin B12 15 mcg, Faktor Intrinsik 25
mg. - - - - - - - - - - - -
153 Nifedipin kapsul 10 mg Ktk, 10 Strip @ 10 kapsul 17,800 - - - - - - - - - - - -
Obat Batuk Sirup Anak kombinasi : Parasetamol 130
154 mg, Dexchlorpheniramine maleate 1 mg, Thiocol 20 Botol 60 ml 19,850
mg, Sorbitol syrup with chocolate, flavour q.c
- - - - - - - - - - - -
155 Obat Batuk Hitam ( O.B.H. ) Botol 100 ml 2,900 - - - - - - - - - - - -
156 Oksitetrasiklin HCI Salep Kulit 3 % Tube 5 gram 2,850 - - - - - - - - - - - -
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
157 Permetrin Krim 5 % Tube 10 gram 53,600 - - - - - - - - - - - -
158 Piroksikam tablet 10 mg Ktk, 10 Strip @ 10 tablet 13,500 - - - - - - - - - - - -
159 Propiltiourasil tablet 100 mg Ktk, 10 Strip @ 10 tablet 64,090 - - - - - - - - - - - -
160 Ranitidin tablet 150 mg Ktk, 10 Strip @ 10 tablet 22,000 - - - - - - - - - - - -
161 Retinol (vitamin A) Kapsul lunak 100.000 UI Botol @ 50 kapsul 21,550 - - - - - - - - - - - -
162 Retinol (vitamin A) Kapsul lunak 200.000 UI Botol @ 50 kapsul 34,660 - - - - - - - - - - - -
163 Sefiksim kapsul 100 mg Ktk, 5 Strip @ 10 kapsul 154,500 - - - - - - - - - - - -
164 Tiamin (vitamin B1) injeksi 100 mg/ml Ktk, 100 Ampul @ 1 ml 250,000 - - - - - - - - - - - -
Jumlah 286,000 Jumlah - Jumlah - Jumlah 286,000
PUSKESMAS TAOPA
(LPLPO)
NAMA PUSKEMAS Satuan : PUSKESMAS TAOPA BULAN : AGUSTUS
KECAMATAN : TAOPA TAHUN : 2020
PUSTU / RUANG JUMLAH HARGA PUSTU / RUANG STOK UNIT JUMLAH HARGA PUSTU / RUANG STOK UNIT JUMLAH PUSTU / RUANG STOK UNIT JUMLAH HARGA
APOTEK STOK UNIT LAIN JUMLAH APOTEK JUMLAH APOTEK ED JUMLAH APOTEK JUMLAH
POSKESDES TINDAKAN (Rp) POSKESDES TINDAKAN LAIN (Rp) POSKESDES TINDAKAN LAIN HARGA (Rp) POSKESDES TINDAKAN LAIN (Rp)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
OBAT DAK 2019
1 ADS 0,5 ML AutoDestruct Syringe With Needle pcs 1,458.00
- - - - - - - - - - - - - - - - - -
2 ADS 0,05 ML Autodestruct Syringe With Needle pcs 1,617.00
- - - - - - - - - - - - - - -
3 CATGUT CHROMIC 2/0 HR 20 MM pcs 28,148.00 - 5 14 - 19 534,812 - - - - - - - 5 14 - 19 534,812
4 CATGUT CHROMIC 3/0 HR 30 MM pcs 34,843.00 - - - - - - - - - - - -
5 CATGUT PLAIN 2/0 DS 19 MM pcs 41,045.00 - - - - - - - - - - - -
6 CATGUT PLAIN 3/0 DS 19 MM pcs 41,045.00 - - - - - - - - - - - -
7 SILK BLACK 2/0 HR 30 MM pcs 22,062.00 10 10 220,620 - - - - - 10 - - 10 220,620
8 SILK BLACK 3/0 HR 30 MM pcs 21,491.00 14 14 300,874 - - - - - - - - 14 - 14 300,874
9 Disposable Syringe 1 cc pcs 747.50 10 10 7,475 - - - - - - - - 10 - 10 7,475
10 Disposable Syringe 3 cc pcs 747.50 40 40 29,900 - - - - - - - - 40 - 40 29,900
11 Maxter Exam Non Powder M box/100 pcs 67,045.00 - - - - - - - - - - - -
12 Maxter Exam Non Powder L box/100 pcs 67,045.00 - - - - - - - - - - - -
13 Folley Catheter 2 Way no. 18 ktk/10 pcs 92,000.00 - - - - - - - - - - - -
17 HUMASENS plus Glucose Test Strips dus 25 strip 259,300.00 - - - - - - - - - - - -
18 HUMASENS plus Total Cholesterol Test Strips dus 20 strip 551,400.00 - - - - - - - - - - - -
19 HUMASENS plus Uric Acid Test Strips dus 25 strip 557,800.00 - - - - - - - - - - - -
20 Stera Infusion Set Y Dewasa pcs 7,230.28 6 6 43,382 - - - - - 6 - - 6 43,382
Stera Infusion Set Y Dewasa pcs 7,230.00 - - - - - - - - - - - -
21 Stera Infusion Set Y Anak pcs 7,128.85 4 4 28,515 - - - - - 4 - - 4 28,515
22 Smiths Medical JELCO 18G pcs 9,060.00 - - - - - - - - - - - - -
23 Smiths Medical JELCO 20G pcs 9,060.00 - - - - - - - - - - - -
26 Kasa Pembalut Hydrophil 4m x 5cm roll 862.50 - - - - - - - - - - - -
27 Kasa Pembalut Hydrophil 4m x 15cm roll 2,415.00 5 5 10 24,150 30 15 45 108,675 10 - 11 21 50,715 - (5) 35 4 34 82,110
28 Kasa Hydrophil Steril Uk. 16 x 16 box 9,200.00 17 3 20 184,000 - - - - - - - - - - - 17 3 - 20 184,000
29 Kasa Hydrophil 40 x 80 cm roll 120,750.00 - - - - - - - - - - - -
30 LEUKOPLAST 7.5cm x 4.5m roll 38,321.00 - - - - - - - - - - - - - -
31 Onemed Masker N95 box/20 pcs 149,776.00 - - - - - - - - - - - - - -
32 Besmed Oxyflow Nasal Oxygen Bayi pcs 6,325.00 - - - 2 2 12,650 1 1 6,325 - (1) 2 - 1 6,325
33 Besmed Oxyflow Nasal Oxygen Anak pcs 6,325.00 - - - 3 3 18,975 - - - - 3 - 3 18,975
34 Besmed Oxyflow Nasal Oxygen Dewasa pcs 6,325.00 - - - - - - - - - - - -
35 Onemed Aseptic Gel 500 cc + dispenser botol 26,400.00 1 1 26,400 - - - - - - - 1 - 1 26,400
36 Ozyme 1 L botol 272,059.20 - - - - - - - - - - - -
37 Povidone Iodine 60 ml botol 4,440.00 - - - - - - - - - - - - -
38 Povidone Iodine 300 ml botol 21,600.00 - - - - - - - - - - - -
39 Rapid tes HBsAg Strip pcs 11,127.00 - - - - - - - - - - - -
40 Rapid tes Malaria Pan/Pf Cassette pcs 24,780.00 - - - - - - - - - - - -
41 Rapid tes Syphilis Cassette pcs 14,480.00 - - - - - - - - - - - -
Rapid tes Multi Drug 6 in 1 (AMP/ BZO/ COC/ MAMP/ OPI/
42 pcs 37,926.67
THC) - - - - - - - - - - - -
43 Sarung Tangan Obgyn Steril ( Obgyn glove ) Pasang 22,264.00 - - - - - - - - - - - -
44 Sterile Latex Surgical Glove Ukuran 6.5 Pasang 5,150.00 - - - - - - - - - - - -
45 Sterile Latex Surgical Glove Ukuran 7 Pasang 5,150.00 1 10 29 40 206,000 10 - - 10 51,500 3 - - 3 15,450 - 8 10 29 47 242,050
46 Sterile Latex Surgical Glove Ukuran 7.5 Pasang 5,150.00 1 80 81 417,150 - - - - - - - - 1 80 - 81 417,150
47 Urine Bag Sterile pcs 3,450.00 9 5 14 48,300 - - - - - - 9 5 - 14 48,300
48 Ultra One Test Hamil pcs 2,229.85 26 26 57,976 8 - 8 17,839 25 25 55,746 - 9 - - 9 20,069
49 Umbilical Cord Klem Steril Nylon box/50 pcs 74,750.00 1 1 2 149,500 - - - - - - 1 1 - 2 149,500
50 VACUSERA Z Serum Gel and Clot Activator box/100 btl 351,900
- - - - - - - - - - - -
JUMLAH 2,279,054 JUMLAH 209,639 JUMLAH 128,236 JUMLAH 2,360,457
PUSTU / RUANG JUMLAH HARGA PUSTU / RUANG STOK UNIT JUMLAH HARGA PUSTU / RUANG STOK UNIT JUMLAH PUSTU / RUANG STOK UNIT JUMLAH HARGA
APOTEK STOK UNIT LAIN JUMLAH APOTEK JUMLAH APOTEK ED JUMLAH APOTEK JUMLAH
POSKESDES TINDAKAN (Rp) POSKESDES TINDAKAN LAIN (Rp) POSKESDES TINDAKAN LAIN HARGA (Rp) POSKESDES TINDAKAN LAIN (Rp)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
BMHP DAK 2018 -
1 Catgut Chromic 2/0 + jarum HR 30 MM Pcs 35,475 13 5 12 30 1,064,250 - - 12 12 425,700 - 20 20 709,500 - 13 5 4 22 780,450
2 Catgut Chromic 3/0 + jarum HR 30 MM Pcs 35,475 12 12 24 851,400 - - 12 12 425,700 - 24 24 851,400 - 12 12 (12) 12 425,700
3 Catgut plain 2/0 + jarum HR 20 MM Pcs 37,045 - - - 24 24 889,080 24 24 889,080 - - - - - -
4 Catgut plain 3/0 + jarum HR 20 MM Pcs 37,045 - - - - - - - - - - - -
5 Folley Catheter two way No. 10 Pcs 21,990 - - - - - - - - - - - -
8 Folley Catheter two way No. 18 Pcs 21,060 - - 5 5 105,300 3 3 63,180 - - 2 - 2 42,120
9 Folley Catheter two way No. 20 Pcs 21,060 3 2 5 105,300 - - - - - - - 3 2 - 5 105,300
10 Infus Set Dewasa (Tipe Y) Pcs 11,680 9 20 29 338,720 3 30 33 385,440 1 20 21 245,280 - 11 30 - 41 478,880
11 I.V Catheter no. 18 G Pcs 9,060 20 130 150 1,359,000 - - - - - - - - 20 130 - 150 1,359,000
12 I.V Catheter no. 20 G Pcs 9,060 - 13 45 45 - - - - - - - - - - 13 45 45 103 933,180
13 I.V Catheter no. 22 G Pcs 9,060 17 - 50 67 607,020 - - - - - 17 - 50 67 607,020
14 I.V Catheter no. 24 G Pcs 9,060 12 - 92 104 942,240 - - - - - 12 - 92 104 942,240
15 Silk 2/0 + jarum DS 30 MM Pcs 25,565 3 7 12 22 562,430 - 12 12 306,780 - 5 5 127,825 - 3 7 19 29 741,385
16 Silk 3/0 + jarum DS 30 MM Pcs 24,785 12 - - - - - - - 12 - - 12 297,420
17 Gloves surgical Sterile Gynaecolog Pasang 22,264 4 6 - - - - - - - - - - - 4 6 - 10 222,640
18 Aximed Syringe 1 cc Pcs 1,038 34 - 160 - - - 150 150 155,625 - 50 - 50 51,875 - 34 100 160 294 305,025
19 Aximed Syringe 3 cc Pcs 1,031 169 21 147 - - 20 150 30 200 206,250 10 65 35 110 113,438 - 179 106 142 427 440,344
20 Aximed Syringe 5 cc Pcs 1,160 39 - 1 40 46,400 - - - - - - - - 39 - 1 40 46,400
21 Aximed Syringe 10 cc Pcs 1,628 11 - 132 143 232,733 2 - - 1 1 1,628 - 12 - 132 144 234,360
22 Aximed Examination Gloves Size L Box/100 Pcs 57,750 - - - - - - - - - - - - - -
23 Aximed Examination Gloves Size M Box/100 Pcs 57,750 1 1 57,750 - - - - - 1 - - 1 57,750
24 Aximed Examination Gloves Size S Box/100 Pcs 57,750 1 1 57,750 - - - - - - - - - - 1 - - 1 57,750
25 HM HUSADA Kasa Hydrophil 40 yar x 80 cm Roll 140,625 - - - - - - - - - - - - - -
26 HM HUSADA 3 yard x 10cm pack 79,375 - - - - - - - - - - - -
27 Aximed Nasal O2 Canula Size M Pcs 8,250 - - - - - - - - - - - -
28 Aximed Nasal O2 Canula Size S Pcs 8,250 - - - - - - - - - - - -
29 Aximed Nasal O2 Canula Size L Pcs 8,250 - - - - - - - - - - - -
30 Aximed Face Mask Ear Loop Box/50 Pcs 24,750 3 1 1 5 123,750 - - - - - - - - - 3 1 1 - 5 123,750
31 Aximed Chirurgic Gloves size 7.0 Pasang 9,500 25 25 237,500 - - - - - - - - - 25 - - 25 237,500
32 Aximed Chirurgic Gloves size 7.5 Pasang 9,500 7 7 66,500 - - - 2 - 2 19,000 - 5 - - 5 47,500
33 Aximed Chirurgic Gloves size 6,5 Pasang 9,500 - - - - - - - - - - - - - - -
34 alkohol swab 2 ply Box/100 Pcs 13,750 6 4 3 13 178,750 1 1 4 6 82,500 1 3 4 55,000 - 7 4 4 15 206,250
35 Blood lancet Box/100 Pcs 16,023 1 1 2 32,046 2 2 32,046 - - - - 1 - 3 4 64,092
36 paper tape 2,5cmx9,14m Roll 10,188 1 1 10,188 - - - - - 1 - - 1 10,188
37 paper tape 7,5cmx9,14m Roll 27,313 3 3 81,938 - - - - - 3 - - 3 81,938
38 Aximed Urine Drainange Bag, T-valve with hanger Pcs 6,875 - - - - - - - - - - - - - -
39 Surgical Mask 3 ply tie on Box/50 Pcs 20,764 - 9 4 2 - - 20 7 10 5 42 872,088 10 1 2 3 16 332,224 - 15 12 4 31 643,684
40 alkohol 100ml Botol 5,280 1 1 5,280 - 8 3 - - - 8 1 9 47,520 - 1 - 2 3 15,840
41 alkohol 300ml Botol 14,520 4 2 - 6 87,120 - - 4 - - - - 2 2 29,040 - 4 2 2 8 116,160
42 povidon iodine 30ml Botol 3,480 100 100 348,000 - - - - - 100 - - 100 348,000
43 povidone 300ml Botol 21,600 3 - 3 6 129,600 5 5 108,000 4 4 86,400 - 3 1 3 7 151,200
44 kapas pembalut 250gr Roll 14,375 - 1 1 14,375 - 1 1 - - - 1 1 2 28,750 - - 1 - 1 14,375
45 Plesterin Non Woven 5cm x 5m Roll 27,324 1 1 2 54,648 - - - - - - - 1 - 1 2 54,648
46 Bioplacenton tulle 10x10 Box/10 sachet 109,500 1 1 109,500 - - - - - - 1 - - 1 109,500
47 Fokus Malaria Pan/pf casette Pcs 47,477 - - - - - - - - - - - -
48 Fokus Anti HIV 1/2 Casette Pcs 15,457 - - - - - - - - - - - -
49 stik Narkoba (amphetamine) Pcs 7,862 - - - - - - - - - - - -
50 Stik Narkoba (Benzodiasepine) Pcs 7,862 - - - - - - - - - - - -
51 SARAYA alsoft pure 500ml Botol 82,520 1 1 82,520 3 1 - - 3 4 7 577,640 - (2) - - (2) (165,040)
52 leukoplast 2,5cmx4,5m Roll 12,076 1 1 12,076 - - - - - 1 - - 1 12,076
53 leukoplast 7,5cm x 4,5m Roll 35,532 - - 1 1 35,532 2 2 71,064 - - (1) - (1) (35,532)
54 uniflex 7,5 cm x 4,5m Roll 17,515 2 3 5 87,575 - - - - - - - 2 3 - 5 87,575
55 uniflex 10 cm x 4,5m Roll 21,406 1 1 21,406 - - - - - 1 - - 1 21,406
56 cutimed sorbact swap 7x9 cm Pcs 30,503 - - - - - - - - - - - -
57 Leukomed I.V.Film Box/50 Pcs 123,056 - - - - - - - - - - - - -
58 Strip Haemoglobin Btl/25 strip 398,800 2 - 2 797,600 - - - - - 2 - - 2 797,600
59 Vacutainer Needle Ktk/100 pcs 205,000 - - - - - - - - - - - -
60 Tabung EDTA Ktk/100 pcs 200,000 - - - - s - - - - #VALUE! - #VALUE! #VALUE!
61 strip gula darah Nesco Btl/25 strip 170,000 - - - - - - - - - - - -
62 strip asam urat Nesco Btl/25 strip 175,000 - - - - - - - - - - - -
63 strip kolestrol Nesco Btl/10 strip 287,500 - - - - - - - - - - - -
JUMLAH 4,986,694 JUMLAH 1,798,821 JUMLAH 1,541,403 JUMLAH #VALUE!
PUSKESMAS TAOPA
(LPLPO)
NAMA PUSKESMAS : PUSKESMAS TAOPA
KECAMATAN : TAOPA
PERSEDIAAN AWAL OBAT
PENGADAAN PER 01 AGUSTUS PENERIMAAN AGUSTUS PEMAKAIAN AGUSTUS STOK AKHIR 31 AGUSTUS 2020
2020
PUSTU / JUMLAH HARGA PUSTU / PUSTU / JUMLAH PUSTU / JUMLAH HARGA
JUMLAH HARGA (Rp) ED
POSKESDES (Rp) POSKESDES POSKESDES HARGA (Rp) POSKESDES (Rp)
1 2 3 4 6 9 11 14 16 19 20 22 25
OBAT DAK 2019
1 Air untuk injeksi / water for injection 25 ml ampul 2,860 - - - - -
2 Air untuk irigasi inf 1000 ml botol 12,100 - - - - -
3 Akarbose tablet 50 mg tablet 690 - - - - -
4 Albendazol tablet 400 mg tablet 494 - - - - - -
5 Alopurinol tablet 100 mg tablet 105 - - - - -
6 Alprazolam 0,5 mg tablet 94 - - - - -
7 Aminofilin inj 24 mg/ml ampul 3,071 - - - - -
8 Aminofilin tablet 200 mg tablet 101 - - - - -
9 Amitriptilin tablet 25 mg tablet 168 - - - - -
10 Amlodipin Besilate tablet 10 mg tablet 94 30 2,820 200 18,800 200 18,800 30 2,820
11 Amlodipin Besilate tablet 5 mg tablet 82 120 9,840 500 41,000 290 23,780 330 27,060
Anastetik Lokal Gigi Kombinasi : Lidokain injeksi 2%
12 Ampul 1,405
+ Epinefrin 1: 80.000 - inj 2 mL - - - - -
Antifungi Salep, Kombinasi: Asam Benzoat 6% +
13 pot 5,517
Asam Salisilat 3% - - - -
Antihemoroid, kombinasi sup : bismut subgalat
14 suppo 3,642
heksaklorofen - - - - -
Antimalaria kombinasi (DHP): dihidroartemisin 40 mg
15 tablet 2,134
+ Piperakuin 320 mg tab sal selaput - - - - -
Antimigrain kombinasi: ergotamin 1 mg + kafein 50
16 tablet 212
mg (tablet) - - - - -
17 Asam folat tablet 1 mg tablet 86 - - - - - - -
18 Asiklovir tablet 400 mg tablet 454 40 18,160 - 30 13,620 10 4,540
19 Asam traneksamat injeksi 100 mg/ml ampul 2,366 - - - - -
20 Asam traneksamat tablet 500 mg tablet 1,784 - - - - -
21 Atropin inj 0,25 mg/ml (i.m./i.v./s.k ) ampul 1,859 - - - - -
22 Betametason Valerate krim 0,1% tube 1,515 13 19,695 50 75,750 20 30,300 43 65,145
23 Bisakodil suppositoria 10 mg suppo 5,900 - - - - -
24 Bisoprolol Fumarate tablet 5 mg tablet 264 - - - - -
25 Calcium gluconate inj 10% (G) ampul 10,351 - - - - -
2020
1 2 3 4 6 9 11 14 16 19 20 22 25
26 Deksametason injeksi 5 mg/ml (i.v./i.m.) ampul 1,210 - - - - -
27 Difenhidramin injeksi 10 mg/ml ( i.v./i.m.) ampul 1,262 - - - - -
28 Dimenhidrinat tablet/kapsul/kaplet 50 mg tablet 129 - - - - -
29 Digoksin tablet 0,25 mg tablet 104 - - - - -
30 Doksisiklin kapsul 100 mg kapsul 280 - - - - -
31 Domperidon tablet 10 mg tablet 96 180 17,280 - 50 4,800 130 12,480
32 Domperidon suspensi 5 mg/5 ml botol 2,862 10 28,620 50 143,100 15 42,930 45 128,790
33 Epinephrine (Adrenalin) injeksi 0,1% (i.v/s.k./i.m) ampul 1,518 - - - - -
34 Fitomenadion (vitamin K 1) inj 2 mg/ml (i.m) ampul 4,236 - - - - -
35 Fitomenadion (vitamin K1) tablet 10 mg tablet 873 - - - - -
36 Furosemid tablet 40 mg tablet 88 90 7,920 - - 90 7,920
37 Flufenazin injeksi 25 mg/mL (i.m ) ampul 63,813 - - - - -
38 Gentamisin sulfate tetes mata 0,3% botol 4,885 - - - - -
39 Glibenklamid tablet 5 mg tablet 137 140 19,180 300 41,100 130 17,810 310 42,470
40 Glimepiride tablet/kapsul/kaplet 1 mg tablet 174 - - - - -
41 Glukosa Larutan Infus 5% steril 500 ml botol 7,363 - - - - -
42 Griseofulfin tablet 125 mg tablet 238 - - - - -
43 Hidroklorotiazid tab 25 mg tablet 178 - - - - -
44 Hidrokortison krim 2,5% tube 2,648 - - - - -
45 Ibuprofen susp 100 mg/5 ml botol 2,858 - - - - -
46 Kandesartan kaplet 8 mg tablet 661 - - - - -
47 Kalsium Laktat tablet 500 mg tablet 63 - - - - -
48 Karbamazepin tablet 200 mg tablet 250 - - - - -
49 Ketokonazol tablet 200 mg tablet 305 - - - - -
Ketokonazol krim 2%
50 2,694
tube - - - - -
51 Kloramfenikol suspensi 125 mg/ 5 ml botol 5,319 - - - - -
52 Kloramfenikol salep mata 1 % tube 2,148 - - - - -
53 Kloramfenikol kapsul 500 mg kapsul 1,338 60 80,280 - 10 13,380 50 66,900
54 Klorfeniramin tablet 4 mg tablet 26 - - - - -
55 Klorpromazin tablet 100 mg tablet 181 - - - - -
56 Klopidogrel tab 75 mg tablet 1,568 - - - - -
57 Kolkisin 0,5 mg tablet 2,644 - - - - -
Kotrimoksazol (dewasa) kombinasi: sulfametoksazol
58 tablet 133
400 mg + trimetoprim 80 mg (tab/kaptab 480 mg)
- - - - -
2020
1 2 3 4 6 9 11 14 16 19 20 22 25
59 Metamizole Sodium Monohidrat 1000 mg/ 2 ml (G) ampul 4,025 - - - - -
60 Metformin tablet 500 mg tablet 109 170 18,530 1,000 109,000 690 75,210 480 52,320
61 Metilergometrin tablet salut 0,125 mg tablet 259 - - - - -
62 Metilergometrin injeksi 0,2 mg/ml ampul 3,399 - - - - -
63 Metilprednisolon tablet 4 mg tablet 148 - - - - -
64 Methyldopa tablet 250 mg tablet 1,088 - - - - -
65 Metoklopramid tablet 10 mg tablet 93 - - - - -
66 Metronidazol ovula 500 mg tablet 3,590 22 78,980 50 179,500 50 179,500 22 78,980
67 Mikonazol krim 2 % tube 3,926 - - - - -
68 Magnesium sulfat injeksi 40%v (i.v.) ampul 3,796 - - - - -
69 Nacl 0,9% 500 mL botol 6,840 - - - - -
70 N-asetil sistein tablet/kaplet/kapsul 200 mg tablet 440 - - - - -
71 Natrium diklofenak tablet 50 mg tablet 145 330 47,850 500 72,500 650 94,250 180 26,100
72 Nistatin tablet/kaplet salut gula 500.000 IU tablet 971 - - - - -
73 Oksitetrasiklin 1% salep mata tube 2,774 - - - - -
74 Oksitosin inj 10 IU/ml ampul 1,232 - - - - -
75 Omeprazole serb injeksi 40 mg Vial 11,868 - - - - -
76 Omeprazole serb injeksi 40 mg + Pelarut Vial 79,200 - - - - -
77 Omeprazol kapsul 20 mg kapsul 147 40 5,880 - - 40 5,880
78 Parasetamol drops 100 mg/ml btl @15ml botol 7,646 17 129,982 10 76,460 5 38,230 22 168,212
79 Perak sulfadiazin krim 1% (tube 35 g) tube 20,700 - - - - -
80 Permetrin Krim 5% tube 11,825 - - - - -
81 Pirantel pamoat tablet 125 mg tablet 353 - - - - -
82 Pirantel pamoat susp 125 mg/5 ml botol 11,791 - - - - -
83 Piridoksin (Vitamin B6) tablet 10 mg (HCl) tablet 150 100 15,000 - - 100 15,000
84 Prednison tablet 5 mg tablet 79 20 1,580 - - - 20 1,580
85 Propranolol hydrochloride (HCl) tablet 10 mg tablet 63 - - - - -
86 Ringer Laktat 500 mL botol 7,630 - - - - -
87 Risperidon tablet 2 mg tablet 287 - - - - -
Salep 2-4 kombinasi : asam salisilat 2 % + balerang
88 pot 3,213
endap 4% 8 25,704 - - 8 25,704
89 Setirizine hydrochloride(HCl) tablet 10 mg tablet 104 - - - - -
90 Setirizin sirup 5 mg/5 ml botol 3,061 - - - - -
91 Sianokobalamin (vitamin B12) tablet 50 mcg tablet 51 - - - - -
92 Simvastatin tablet salut selaput 10 mg tablet 117 180 21,060 700 81,900 510 59,670 370 43,290
93 Tetrasiklin kapsul 500 mg kapsul 346 - - - - -
94 Tiamin (Vitamin B1) tablet 50 mg tablet 96 - - - - - - -
95 Valsartan tablet 160 mg tablet 1,122 - - - - -
2020
1 2 3 4 6 9 11 14 16 19 20 22 25
96 Zinc sulfate sir 20 mg/5 ml botol 3,285 77 252,945 100 328,500 15 49,275 162 532,170
97 Amoksisilin sirup kering 125 mg/5 ml botol 60 ml 6,094.00 175 1,066,450 - - 175 1,066,450
98 Antalgin tablet 500 mg Ktk 10 strip @ 10 tab 31,499.60 96 3,023,962 - 1 31,500 95 2,992,462
Anti Bakteri salep kombinasi: Basitrasin 500 IU/g +
99 tube 5 gram 4,174.50
Polimiksin 10.000 IU/g 3 12,524 - - 3 12,524
Enbatic salep kombinasi: Basitrasin 500 IU/g +
100 tube 10 gram 7,578.00
Polimiksin 10.000 IU/g - - - - -
Antispasmodiktab kombinasi : Hyocine n-butilbromida
101 Ktk 10 strip @ 10 tab 228,999.10
tablet 10 mg + parasetamol 500 mg
- - - - -
102 Asiklovir krim 5% tube 5 gram 5,800.30 1 5,800 25 145,008 25 145,008 1 5,800
103 Bedak Salicil serbuk 2% botol 8,939.70 3 26,819 8 71,518 5 44,699 6 53,638
104 Domperidon suspensi 5 mg/5 ml botol 60 ml 16,399.90 6 98,399 - - 6 98,399
105 Erythromycin stearate 500 mg Ktk 10 strip @ 10 kaps 131,679.90 - - - - -
106 Eritromisin sir kering 200 mg/5 ml botol 60 ml 18,920.00 - - - - -
107 Etil Klorida Spray botol 100 ml 222,724.70 - - - - -
108 Etil Klorida Spray botol 200 ml 352,000.00 - - - - -
109 Gentamisin salep kulit 1% tube 4,580.40 - - - - -
110 Ibuprofen tablet 400 mg Ktk 10 strip @ 10 tab 33,200.20 4 132,801 20 664,004 15 498,003 9 298,802
111 Isosorbit Dinitrat tablet 5 mg Ktk 10 strip @ 10 tab 23,940.40 - - - - -
112 Kaptopril tablet 25 mg Ktk 10 strip @ 10 tab 23,899.70 1 23,900 200 4,779,940 21 501,894 180 4,301,946
113 Kloramfenikol tetes telinga 1 % botol 10 ml 13,539.90 1 13,540 - 1 13,540 - -
114 Kloramfenikol tetes mata 0,5 % botol 10 ml 19,369.90 3 58,110 - - 3 58,110
115 Kloramfenikol kapsul 250 mg Ktk 10 strip @ 10 kaps 819.99 150 122,999 - - - - 150 122,999
116 Kloramfenikol suspensi 125 mg/ 5 ml botol 60 ml 11,189.20 - - - - -
117 Cepezet tablet 100 mg Ktk 10 strip @ 10 tab 32,364.00 - - - - -
Kombinasi Multivitamin Tablet : Adenosine
118 Ktk 10 strip @ 10 tab 333,949.00
pyridoxin HCL 200 mg, cyanocobalamin 200 mg,
tocopherol 30 mg - - - - -
119 Kombinasi :Kaolin 986 mg + pektin 40 mg syrup 5,799.20
botol 60 ml 21 121,783 - - - 21 121,783
Kombinasi Multivitamin tambah darah kapsul : Besi
(II) fumarat 300 mg, mangan sulfat 0,4 mg, tembaga
120 Ktk 10 strip @ 10 tab 118,000.30
sulfat 0,4 mg, vitamin c 100 mg, asam folat 2 mg,
vitamin B12 mcg, faktor intrinsik 25 mg
2 236,001 3 354,001 1 118,000 4 472,001
121 Loperamid tablet 2 mg Ktk 10 strip @ 10 tab 14,999.60 - - - - -
122 Meloksikam tablet 7,5 mg Ktk 5 strip @ 10 tab 46,669.70 9 420,027 10 466,697 11 513,367 8 373,358
123 Metronidazol tablet 500 mg Ktk 10 strip @ 10 tab 31,530.40 1 31,530 - - 1 31,530
2020
1 2 3 4 6 9 11 14 16 19 20 22 25
Multivitamin sirup anak : L-Lisin HCL 200 mg,
Betakaroten 1000IU, vitamin B1 3 mg,vitamin B2 2
124 mg, vitamin B6 1 mg, vitamin B12 10 mcg, vitamin C botol 60 ml 19,149.90
50 mg, nikotinamid 20 mg, d-pantotenol 3 mg,
kurkuminoid 2 mg
- - - - -
125 Methysoprinol tablet 500 mg Ktk 5 strip @ 10 tab 225,700.20 - - - - -
126 Methysoprinol syrup 250 mg/5 ml botol 60 ml 116,958.60 - - - - -
127 Nifedipin kaps 10 mg Ktk 10 strip @ 10 tab 24,134.00 100 2,413,400 - - 100 2,413,400
128 Obat batuk Hitam (O.B.H) botol 100 ml 3,602.50 - - - - -
129 Oksitetrasiklin HCL salep kulit 3% tube 5 gram 3,270.30 - - - - -
2020
1 2 3 4 6 9 11 14 16 19 20 22 25
130 Papaverin tablet 40 mg Ktk 10 strip @ 10 tab 25,498.00 - - - - -
131 Parasetamol tablet 500 mg Ktk 10 strip @ 10 tab 26,398.90 2 52,798 - - 2 52,798
132 Parasetamol tablet 500 mg Ktk 10 strip @ 10 tab 16,500.00 6 99,000 8 132,000 9 148,500 5 82,500
133 Parasetamol sirup 120 mg/5 ml botol 60 ml 6,875.00 22 151,250 - - 22 151,250
134 Piroksikam tablet 20 mg Ktk 10 strip @ 10 tab 20,498.50 - - - - -
135 Prednisolon tablet 5 mg Ktk 3 strip @ 10 tab 119,594.20 1 119,594 - - 1 119,594
136 Primakuin tablet 15 mg Ktk 10 strip @ 10 tab 38,640.00 70 2,704,800 - - 70 2,704,800
137 Propiltiourasil tablet 100 mg Ktk 10 strip @ 10 tab 68,898.50 - - - - -
138 Sianokobalamin (vitamin B12) injeksi 500 mcg/mL ktk 100 ampul 1 ml 256,395.70 - - - - -
139 Tiamin (Vitamin B1) injeksi 100 mg/ml ktk 100 ampul 261,800.00 20 5,236,000 - - 20 5,236,000
OBAT DAK 2018 - - - - - -
1 Air untuk injeksi amp 25 ml Ampul 2,860 - - - - -
2 Alopurinol tab 100 mg Box/100 Tablet 275 810 222,750 500 137,500 450 123,750 860 236,500
Antasida, kombinasi : aluminium hidroksida 200 mg +
3 Tablet 120
magnesium hidroksida 200 mg 100 12,000 - - - - 100 12,000
4 Asam Asetilsalisilat (asetosal) tablet/kaplet/kapsul 80 mg Tablet 99
50 4,950 - - 50 4,950
5 Asam mefenamat kaps 500 mg Tablet 103 - - - - - - - -
6 Glukosa Larutan Infus 5% steril Botol 6,900 11 75,900 - - 11 75,900
7 Kalsium laktat (kalk) tab 500 mg Tablet 59 860 50,740 - - 230 13,570 630 37,170
8 Karbamazepin tab 200 mg Tablet 234 - - - - -
9 Klorpromazin tab sal 100 mg Box/100 Tablet 26,428 - - - - -
Kotrimoksazol (dewasa) kombinasi : sulfametoksazol 400
10 Tablet 125
mg+ trimetoprim 80 mg 460 57,500 - - - - 460 57,500
Kotrimoksazol kombinasi tiap 5 ml suspensi :
11 Botol 2,052
sulfametoksazol 200 mg + trimetoprim 40 mg 35 71,820 - - 35 71,820 - -
12 Ringer Laktat Larutan Botol 7,150 37 264,550 - - - - 37 264,550
13 Alprazolam 0,5mg Box/100 Tablet 58,500 - - - - -
14 Betahistin tablet/kapsul/kaplet 6 mg Tablet 119 120 14,280 - - - 120 14,280
15 Glimepirid tab 1 mg Tablet 174 100 17,400 - - - - 100 17,400
16 Valsartan tablet 80 mg Tablet 795 - - - - - -
17 Kloramfenikol kaps 500 mg Kapsul 1,254 390 489,060 - - - 390 489,060
Antibakteri, kombinasi : basitrasin 500 UI/g+
18 Tube 3,490
Polimiskin B 10.000 UI/g 28 97,720 - - - 28 97,720
19 Glibenklamid tab 5 mg Tablet 137 200 27,400 - - 200 27,400 - -
20 Griseofulvin (micronized) tab 125 mg Tablet 223 410 91,430 - - - - 410 91,430
21 Ketokonazol Tab Tablet 286 40 11,440 200 57,200 200 57,200 40 11,440
22 Kloramfenikol kaps 250 mg Kapsul 329 - - - - - - -
23 Klorfeniramina Maleat tab 4 mg Tablet 24 10 240 - - - - 10 240
24 Omeprazol kaps 20 mg Box/30 Kapsul 408 170 69,360 - - 20 8,160 150 61,200
2020
1 2 3 4 6 9 11 14 16 19 20 22 25
25 Parasetamol sir 120 mg/5 ml Botol 5,500 23 126,500 - - - - 23 126,500
26 Parasetamol tab 500 mg Tablet 60 150 9,000 - - - - 150 9,000
27 Parasetamol drops 100 mg/ml Botol 7,646 3 22,938 - - - - 3 22,938
28 Salbutamol 4 mg tablet Tablet 77 630 48,510 - - - - 630 48,510
29 Sefadroksil Sirup Kering 250 mg/5ml Botol 5,460 11 60,060 - - - 11 60,060
30 Setirizin sirup 5 mg/5 ml Botol 2,993 1 2,993 - - - - 1 2,993
31 Setirizin tab 10 mg Tablet 97 300 29,100 - - - - 300 29,100
32 Sianokobalamin (vitamin B12) inj 500 mcg/ml Ampul 1,087 21 22,827 - - - 21 22,827
33 Sianokobalamin (vitamin B12) tab 50 mcg Tablet 48 620 29,760 - - - - 620 29,760
34 Simvastatin tab salut 10 mg Tablet 110 20 2,200 - - - - 20 2,200
35 Siprofloksasin tab scored 500 mg Tablet 281 350 98,350 - - - - 350 98,350
36 Tiamin (vitamin B1) tab 50 mg Tablet 90 280 25,200 500 45,000 750 67,500 30 2,700
37 Amitriptilin tablet salut 25 mg (HCl) Tablet 168 - - - - - -
38 Amlodipin tab 10 mg Tablet 95 360 34,200 - - - - 360 34,200
39 Atropin inj 0,25 mg / ml Ampul 1,815 - - - - -
40 Diazepam tab 2 mg Tablet 86 - - - - -
41 Diazepam larutan rektal 5 mg/2,5 ml Tube 14,459 - - - - -
42 Dimenhidrinat tablet/kapsul/kaplet 50 mg Tablet 121 50 6,050 - - 50 6,050
43 Doksisiklin kaps 100 mg Kapsul 264 220 58,080 - - 220 58,080
44 Domperidon suspensi/sirup 5 mg/5 ml Botol 2,862 2,449 7,009,038 - - 5 14,310 2,444 6,994,728
45 Domperidon tab 10 mg Tablet 90 310 27,900 - - - 310 27,900
46 Epinefrin (adrenalin) inj 0,1% (i.v./s.k./i.m.) Ampul 1,518 - - - - - -
47 Digoksin tab 0,25 mg Tablet 104 100 10,400 - - 100 10,400
48 Haloperidol tab 1,5 mg Tablet 59 - - - - -
49 Metilergometrin inj 0,2 mg/ml Ampul 3,399 109 370,491 - - 109 370,491
50 Ranitidin inj 25 mg/ml Ampul 1,155 44 50,820 - 20 23,100 24 27,720
51 Isosorbid Dinitrat Tablet Sublingual 5 mg Tablet 89 70 6,230 - - 70 6,230
52 Amlodipin tab 5 mg Tablet 77 - - - - -
53 Bisakodil suppositoria 10 mg Suppo 5,900 60 354,000 - - 60 354,000
54 Bisakodil tablet 5 mg Tablet 316 - - - - -
55 Ibuprofen sir 100 mg/5 ml Botol 2,678 37 99,086 - - 3 8,034 34 91,052
56 Amoksisilin sir kering 125 mg/5 ml Botol 5,060 11 55,660 - - 4 20,240 7 35,420
heksaklorofen 2,5 mg + lidokain lidokain 10 mg+ seng
oksida 120 mg + sup ad 2 g
57 Suppo 3,642
- - - - -
58 Antimigrain : Ergotamin tab 1 mg + Kafein 50 mg Tablet 199 200 39,800 - - 200 39,800
59 Asam askorbat (vitamin C) tab 50 mg Tablet 120 765 91,800 1,000 120,000 920 110,400 845 101,400
60 Betametason krim 0,1% Tube 1,420 40 56,800 - - - - 40 56,800
2020
1 2 3 4 6 9 11 14 16 19 20 22 25
61 Diltiazem 30 mg kapsul Tablet 142
- - - - -
62 Fenobarbital tab 30 mg Tablet 197 - - - - -
63 Furosemid tab 40 mg Tablet 82 220 18,040 - - 220 18,040
Garam oralit kombinasi : natrium klorida 0,52 g + kalium
64 klorida 0,30 g + trinatrium sitrat 0,58 g + glukosa anhidrat Sachet 275
2,7 g 209 57,475 100 27,500 300 82,500 9 2,475
Kombinasi: Ipratropium bromida inhalasi 0,5 mg +
65 Vial 4,550
Salbutamol 2,5 mg 80 364,000 - - 80 364,000
66 Hidroklorotiazid tab 25 mg Tablet 178 340 60,520 - - 340 60,520
67 Ibuprofen tab 400 mg Box/100 Tablet 440 156 68,640 1,000 440,000 970 426,800 186 81,840
68 Ketokonazol Cream Tube 2,694 33 88,902 - - - - 33 88,902
69 Kloramfenikol salep mata 1% Tube 2,013 - - - - - - - -
70 Kodein tab 10 mg Tablet 657 11 7,227 - - 11 7,227
71 Mikonazol krim 2% Tube 3,926 50 196,300 - - 50 196,300
72 Metoklopramid tab 10 mg Tablet 87 176 15,312 - - 176 15,312
73 Pirantel pamoat tab scored 125 mg Tablet 331 280 92,680 - - - 280 92,680
74 Piridoksin (vitamin B6) tab 10 mg Tablet 141 1,900 267,900 - - - 1,900 267,900
75 Prednison tab 5 mg Tablet 74 40 2,960 - - - - 40 2,960
76 Tetrasiklin kaps 500 mg Kapsul 324 10 3,240 - - 10 3,240
Anestetik lokal gigi kombinasi : lidokain HCl 2% +
77 epinefrin 1 : 80.000 inj 2 ml Ampul 1,317
4 5,268 - - 4 5,268
78 Difenhidramin inj 10 mg/ml (i.v./i.m.) Ampul 1,262 - - - - - -
79 Fenobarbital inj 50 mg Ampul 2,135 100 213,500 - - 100 213,500
80 Fitomenadion (vitamin K 1) tab sal 10 mg Tablet 818 36 29,448 - - 36 29,448
81 NaCl 0,9% Larutan Botol 6,410 76 487,160 - - - - 76 487,160
82 Zinc tab disp 20 mg Tablet 604 233 140,732 - - - - 233 140,732
83 Zinc sirup 20 mg/5 ml Botol 3,285 30 98,550 - - - - 30 98,550
Antasida Suspensi, kombinasi : aluminium hidroksida 200
84 Botol 2,098
mg + magnesium hidroksida 200 mg
- - - - - - - -
85 Bisoprolol tab 5 mg Tablet 248 - - - - - -
86 Candesartan 8 mg Tab Tablet 629 460 289,340 - - 460 289,340
87 Deksametason tab 0,5 mg Tablet 34 20 680 - - - - 20 680
88 Deksametason inj 5 mg/ml (i.v./i.m.) Ampul 1,210 - - - - - - - -
89 Diazepam inj 5 mg/ml (i.v./i.m.) Ampul 1,913 60 114,780 - - 60 114,780
90 Metilergometrin tab salut 0,125 mg Tablet 243 560 136,080 - - 560 136,080
91 Metronidazol tab 500 mg Box/100 Tablet 341 5 1,705 - - - 5 1,705
Antifungi DOEN Salep, Kombinasi: Asam Benzoat 6%
92 Pot 5,170
Asam Salisilat 3% 153 791,010 - - 153 791,010
2020
1 2 3 4 6 9 11 14 16 19 20 22 25
93 Attapulgit tab 650 mg Tablet 237 - - - - - - - -
94 Gentamisin tts mata 0,3% Botol 4,885 - - - - - - -
95 Pirantel pamoat susp 125 mg/5 ml Tablet 11,050 14 154,700 30 331,500 20 221,000 24 265,200
Salep 2-4, kombinasi : asam salisilat 2 %+ belerang
96 Tube 3,011
endap 4 % - - - - - - -
97 Sefadroksil Sirup Kering 125 mg/5ml Botol 4,086 410 1,675,260 50 204,300 20 81,720 440 1,797,840
98 Vitamin B kompleks Tablet 135 260 35,100 - - - - 260 35,100
99 Kolkisin 500 mcg tablet Tablet 2,644 - - - - - -
100 Omeperazole 40 mg/10 ml Injeksi Vial 11,868 - - - - - -
101 Perak Sulfadiazin cr Tube 20,700 102 2,111,400 - - 102 2,111,400
102 Metilprednisolon tab 4 mg Tablet 139 350 48,650 500 69,500 360 50,040 490 68,110
103 Kaptopril tablet 25 mg Tablet 80 770 61,600 - 10 800 760 60,800
Tablet tambah darah Kombinasi: ferro fumarat 60 mg + as.
104 Tablet 409
Folat 0,4 mg tablet salut gula 4,710 1,926,390 - - 100 40,900 4,610 1,885,490
105 Diazepam tab 5 mg Tablet 109 - - - - - -
106 Haloperidol tab 2 mg Box/100 Tablet 108,900 - - - - - -
107 Hidrokortison krim 2,5% Tube 2,648 28 74,144 48 127,104 48 127,104 28 74,144
108 Klopidogrel tab 75 mg Tablet 1,469 - - - - - -
109 Obat Anti Tuberculosis FDC Kategori I Paket 447,747 - - - - -
110 Obat Anti Tuberculosis Anak Paket 267,400 - - - - -
111 Fenitoin Sodium Injeksi 50 mg/ml (100 mg/ 2 mL) Ampul 4,121
- - - - -
Kombinasi : benserazid 25 mg + levodopa 100 mg
112 Tablet 1,035
tablet - - - - -
113 Risperidon tablet/kapsul/kaplet 2 mg Tablet 273 - - - - -
114 Oksitosin inj 10 UI/ml Ampul 1,232 129 158,928 - 30 36,960 99 121,968
115 Methyldopa 250mg Tablet 1,088 - - - - - - -
116 Flufenazin injeksi 25 mg/mL (i.m ) Ampul 59,800 - - - - - -
117 N-asetil sistein kapsul 200 mg Kapsul 412 430 177,160 - - 430 177,160
118 Metronidazol ovula 500 mg Suppo 3,590 130 466,700 - - - 130 466,700
119 Ampisilin serbuk injeksi 1000 mg (i.v) Vial 9,473 - - - - - -
120 Fitomenadion (Vitamin K1) injeksi 2 mg/ml (i.m.) Ampul 4,236 22 93,192 - - 22 93,192
121 Nistatin tablet salut gula 500.000 IU Tablet 910 - - - - - -
122 Atapulgit tablet 650 mg Tablet 237 - - - - - -
123 Lidokain injeksi 2% Ampul 1,319 5 6,595 - - 5 6,595
124 Kloramfenikol suspensi 125 mg/ 5 ml Botol 8,949 14 125,286 - - - 14 125,286
Novachlor suspensi 125 mg/ 5 ml Botol 10,500 6 63,000 - - 6 63,000
125 Loratadin tablet 10 mg Tablet 127 470 59,690 120 15,240 60 7,620 530 67,310
126 Metformin tablet 500 mg Tablet 102 170 17,340 - - - - 170 17,340
127 Amoksisilin tablet 500 mg Tablet 248 966 239,568 1,000 248,000 670 166,160 1,296 321,408
2020
1 2 3 4 6 9 11 14 16 19 20 22 25
128 Asiklovir tablet 400 mg Tablet 425 630 267,750 - - - - 630 267,750
129 Klindamisin kapsul 300 mg Kapsul 583 - - - - - -
130 Propranolol tablet 10 mg Tablet 59 60 3,540 - - 60 3,540
131 Ambroxol tablet 30 mg Ktk, 10 Strip @ 10 tablet 165 674 111,210 - - - - - 674 111,210
132 Aminofillin tablet 200 mg Botol @ 100 tablet 16,700 - - - - - -
133 Asam Traneksamat tablet 500 mg Ktk, 10 Strip @ 10 tablet 220,000 - - - - - -
134 Asiklovir krim 5 % Tube 5 gram 5,150 29 149,350 20 103,000 17 87,550 32 164,800
Antidekongestan tablet kombinasi : Triprolidine HCI
135 2,5 mg +Pseudoephedrin HCI 30 mg + Parasetamol Ktk, 25 Strip @ 4 tablet 99,750
500 mg - - - - - -
Multivitamin tablet Kombinasi : Adenosine
136 Ktk, 10 Strip @ 10 tablet 318,000
pyridoxin HCI 200 mg, cyanocobalamin 200 mg,
tocopherol 30 mg - - - - - -
137 Bedak Salisil Serbuk 2 % Kotak 8,400 13 109,200 - - - - 13 109,200
Tetes Mata kombinasi : Dexamethasone sodium
138 phosphate 1 mg+neomycin sulphate 3,5 Botol 5 ml 15,500
mg+polymixin sulphate 6000 IU - - - - - -
139 Fluoksetin kapsul 20 mg Ktk, 3 strip @ 10 kapsul 233,700 - - - - - -
140 Gentamicyn salep kulit 1 % Tube 5 gram 2,800 - - - - - -
141 Gentian Violet Larutan 1 % Botol 10 ml 3,000 15 45,000 - 1 3,000 14 42,000
142 Imunodulator (ekstrak Phyllanthus niruri 25 mg) Sirup Botol 60 ml 29,400
45 1,323,000 - - - - 45 1,323,000
143 Kloramfenikol tetes mata 0,5% Botol 5 ml 12,900 6 77,400 7 90,300 5 64,500 8 103,200
144 Kloramfenikol tetes telinga 1% Botol 5 ml 7,400 21 155,400 - - 21 155,400
Kombinasi Multivitamin & Analgetik tablet :
145 Metampiron 500 mg + Vitamin B1 50 mg + Vitamin Ktk, 10 Strip @ 10 tablet 557
B6 100 mg + Vitamin B12 100 mcg 375 208,875 - - - - 375 208,875
Antidiare sirup kombinasi : Koalin 986 mg + Pektin 40
146 Botol 60 ml 5,400
mg 2 10,800 - - 2 10,800
Antispasmodik tablet kombinasi : Hyocine n-
147 Ktk, 10 Strip @ 100 tablet 221,000
butilbromida tab 10 mg + Parasetamol 500 mg - - - - - -
Anestetik Lokal Gigi kombinasi : Lidokaina HCI 20 mg
148 Ktk, 20 Ampul @ 2 ml 77,500
+ Adrenalin 0,0125 mg 2 155,000 - - - 2 155,000
149 Loperamid tablet 2 mg Ktk, 10 Strip @ 10 tablet 13,050 6 78,300 - - 6 78,300
150 Meloksikam tablet 7,5 mg Ktk, 5 Strip @ 10 tablet 44,450 1 44,450 - - 1 44,450
151 Metampiron tablet 500 mg Ktk, 10 Strip @ 10 tablet 222 130 28,860 - - 130 28,860
Multivitamin Tambah Darah kapsul kombinasi : Besi
(II) Fumarat 300 mg, Mangan Sulfat 0,4 mg,
152 Tembaga Sulfat 0,4 mg, Vitamin C 100 mg, Asam Ktk, 10 Strip @ 10 kapsul 107,000
Folat 2 mg, Vitamin B12 15 mcg, Faktor Intrinsik 25
mg. 250 26,750,000 - - - - 250 26,750,000
153 Nifedipin kapsul 10 mg Ktk, 10 Strip @ 10 kapsul 178 240 42,720 - - 240 42,720
2020
1 2 3 4 6 9 11 14 16 19 20 22 25
Obat Batuk Sirup Anak kombinasi : Parasetamol 130
154 mg, Dexchlorpheniramine maleate 1 mg, Thiocol 20 Botol 60 ml 19,850
mg, Sorbitol syrup with chocolate, flavour q.c
15 297,750 - - 15 297,750
155 Obat Batuk Hitam ( O.B.H. ) Botol 100 ml 2,900 7 20,300 - 1 2,900 6 17,400
156 Oksitetrasiklin HCI Salep Kulit 3 % Tube 5 gram 2,850 4 11,400 - - - - 4 11,400
157 Permetrin Krim 5 % Tube 10 gram 53,600 410 21,976,000 - - 410 21,976,000
158 Piroksikam tablet 10 mg Ktk, 10 Strip @ 10 tablet 135 310 41,850 1,000 135,000 820 - 490 66,150
159 Propiltiourasil tablet 100 mg Ktk, 10 Strip @ 10 tablet 64,090 140 8,972,600 - - 140 8,972,600
160 Ranitidin tablet 150 mg Ktk, 10 Strip @ 10 tablet 220 770 169,400 1,000 220,000 830 182,600 940 206,800
161 Retinol (vitamin A) Kapsul lunak 100.000 UI Botol @ 50 kapsul 21,550 2 43,100 - - - 2 43,100
162 Retinol (vitamin A) Kapsul lunak 200.000 UI Botol @ 50 kapsul 34,660 - - - - - - -
163 Sefiksim kapsul 100 mg Ktk, 5 Strip @ 10 kapsul 154,500 - - - - - -
164 Tiamin (vitamin B1) injeksi 100 mg/ml Ktk, 100 Ampul @ 1 ml 250,000 1 250,000 - 1 250,000 - -
Jumlah 18,166 72,371,367 4,875 10,151,921 4,263 - 1,832,154 18,778 72,439,957
KEPALA PUSKESMAS TAOPA PENGELOLA OBAT
Nurlian Paudi,SKM Nina Fitriyah,S.Farm.,Apt

NIP. 19690525 198811 2 001
PUSKESMAS TAOPA
Jl. Paninggo No.2 Kec. Taopa Kab. Parigi Moutong
(LPLPO)
NAMA PUSKESMAS : PUSKESMAS TAOPA
KECAMATAN : TAOPA
PENGADAAN PER 01 AGUSTUS PENERIMAAN PEMAKAIAN STOK AKHIR 31 AGUSTUS 2020
2020
PUSTU / PUSTU / PUSTU / JUMLAH PUSTU / JUMLAH HARGA
JUMLAH HARGA (Rp) JUMLAH HARGA (Rp) ED
POSKESDES POSKESDES POSKESDES HARGA (Rp) POSKESDES (Rp)
1 2 3 4 6 9 11 14 16 19 20 22 25
JKN 2018
Antasida Suspensi, kombinasi : aluminium hidroksida 200 mg + magnesium
1
hidroksida 200 mg botol 2,860 - - - - - - -
2 Zinc 20 mg/5 ml Syr botol 3,285 - - - - -
Total -
1 Dermafix T 5x7 cm pcs 1,873 - - - - -
2 Dermafix S IV Pcs 2,360 - - - - -
3 Alkohol 70 % 1 liter botol 28,750 - - 1 28,750 1 - 28,750 - -
4 Test Hamil Ultra One Med pcs 2,230 - 1 2,230 - 1 2,230
Total 2,230
JKN 2019 - - - - -
1 Amoxillin 500 mg tablet 770 - - - - -
2 Alopurinol 100 mg tablet 105 - - - - -
Kotrimoxazole tab(dewasa)kombinasi:sulfametoksazole 400 mg+trimetoprim 80
3
mg tablet 133 - - - - -
Kotrimoxazole (anak)kombinasi tiap 5 ml suspensi sulfametoksazol 200
4
mg+trimetoprim 40 mg botol 2,190 - - - - -
5 Parasetamol tablet 500 mg tablet 165 - - - - - - -
6 Parasetamol Syrup 120 mg/5 ml botol 5,500 - - - - - -
7 Kombinasi tablet:Ferro fumarat 60 mg+Asam Folat 0,4 mg tablet salut gula tablet 409
- - - - -
8 Metronidazol suspensi 125 mg/5 ml botol 3,950 - - - - -
9 Pirantel pamoat tablet 125 mg tablet 353 - - - - -
10 Pirantel Pamoat tablet 500 mg tablet 1,222 - - - - -
11 Tetrasiklin kapsul 500 mg kapsul 346 - - - - -
12 Zinc tab 20 mg tablet 604 - - - - -
13 Zink Syr 20 mg/5 ml botol 3,285 - - - - -
14 Pritamox Syr 125 mg/5 ml botol 5,060 - - - - -
15 Molazole tablet 500 mg tablet 341 - - - - -
16 Alphamol Drops 60 mg/0,6 ml botol 14,300 - - - - -
17 Salbutamol 2 mg tablet 142 - - - - -
18 Piroxicam tablet 10 mg ampul 135 - - - - -
19 Tetrasiklin kapsul 250 mg box,10 strip 10 kaps 57,950 - - - - -
20 Salbutamol tablet 4 mg box,10 strip 10 kaps 12,420 - - - - -
21 Epinephrine (Adrenalin) injeksi 0,1% (i.v/s.k./i.m) ampul 1,518 - - - - -
Total -
BHP JKN 2019 - - - - -
1 Alkohol Swab box/100 lbr 11,500 - - 5 57,500 5 57,500 - -
2 Alcohol 70% 1 liter botol 1000 ml 30,000 - 8 240,000 5 150,000 3 90,000
3 Kasa Hydrophil steril uk 16x16 box/16 lbr 9,200 - 53 487,600 35 322,000 18 165,600
4 Aseptic gel botol 500 ml 31,800 - 6 190,800 4 127,200 2 63,600
5 Aseptan botol 500 ml 41,400 - 1 41,400 1 41,400 - -
6 Povidon Iodine botol 300 ml 25,200 - - - - -
7 RDT HbSAg box/50 pcs 232,800 - - - - -
8 Under pad 60x90 box/10 pcs 87,710 - 30 2,631,300 30 2,631,300 - -
9 Umbilical clodklem box/50 pcs 74,750 - - - - -
10 Alat Pemeriksaan darah Nesco unit 344,300 - - - - - - -
11 Kertas Puyer pak 136,400 - - - - -
12 Plastik klip uk 6x10 pak 18,500 - - - - -
13 Plastik klip uk 5x8 pak 14,500 - - - - -
14 Reagen Pemeriksaan Golongan Darah paket 365,000 - - - - - -
15 Strip Gula darah Nesco botol/25 strip 170,000 - - 3 510,000 3 510,000 - -
16 Strip Kolesterol Nesco botol/10 strip 287,500 - 4 1,150,000 4 1,150,000 - -
17 Strip asam Urat Nesco botol/25 strip 175,000 - - 3 525,000 3 525,000 - -
18 Disposable Syringe 1 cc box/100 pcs 84,370 - - - - -
19 Disposable Syringe 3 cc box/100 pcs 85,140 - 5 425,700 1 85,140 4 340,560
20 Disposable Syringe 5 cc box/100 pcs 101,310 - - - - -
21 Examination Powder Free Glove (s) box/100 pcs 62,040 - 2 124,080 1 62,040 1 62,040
22 Examination Powder Free Glove (m) box/100 pcs 62,040 - 1 62,040 1 62,040 - -
23 Examination Powder Free Glove (L) box/100 pcs 62,040 - 2 124,080 1 62,040 1 62,040
24 Powder Free Latex Sterile Surgical Gloves (Size:7) pasang 5,060 - 50 253,000 50 253,000 - -
25 Surgical Face Mask Earloop box/50 pcs 30,571 - - - - -
26 Surgical Face Mask Earloop Plus box/50 pcs 30,250 - - - - -
Total 29
BHP DAK 2014 - - - - -
1 Pipet tetes panjang pcs 6,800 - - - - -
2 Glass lonomer Cement ART set/botol 434,500 - - - - -
Total -
BHP DAK 2015 - - - - -
1 Pembalut gips 4 inc roll 43,834 - - - - -
Total -
DAK 2016 - - - - -
1 Amintriptillin 25 mg tablet 165 - - - - -
2 Antifungi DOEN Salep, Kombinasi: Asam Benzoat 6% Asam Salisilat 3% pot 4,782 - - - - -
3 Klorpromazin tablet 170 - - - - -
4 Metilergometrin inj 0,2 mg/ml Ampul 2,684 - - - - -
5 Permetrin krim 5 % tube 12,155 - - - - -
6 Glibenclamid 5 mg tablet 155 - - - - -
7 Metampiron tablet 500 mg tablet 220 - - - - -
8 Metilergometrin 0,125 mg tablet 174 - - - - -
9 Perak sulfadiazin krim 1% (tube 35 g) tube 61,000 - - - - -
10 Dexametason Inj ampul 1,745 - - - - -
11 Diazepam inj 5 mg/ml (i.v./i.m.) ampul 15,000 - - - - -
Total -
BHP DAK 2016 - - - - -
1 Silk sutra 3-0,76 cm round bodied 1/2 circle 25 mm pcs 3,506 - - - - - -
2 Cathy iv cannula 24 g pcs 11,954 - - - - -
3 Rivanol 0,1 % botol 300 ml 3,060 - - - - -
4 Leukoplast 7,5 cmx4,5 m roll 35,532 - - - - -
5 Sarung tangan obgyn steril psg 22,264 3 66,792 3 66,792 3 - 66,792 3 66,792
6 Iodum Test botol 10 ml 7,600 - - - - -
Total 66,792
BHP JKN 2016 - - - - -
1 Nasal oksigen Bayi pcs 6,325 - - - - -
2 Nasal oksigen Anak pcs 6,325 - - - - -
3 Pengikat Tali Pusat pcs 1,495 - 100 149,500 20 29,900 80 119,600
Total 119,600
JKN 2017 - - - - -
1 Kloramfenikol kapsul 250 mg kapsul 545 - - - - -
Anastesi lokal gigi kombinasi:lidocain HCL 2 %+epinefrin 1:80000 inj 2 ml
2 Ampul 2,227
- - - - -
3 Air untuk injeksi amp 25 ml Ampul 2,750 - - - - -
4 Deksametason tab 400 mg tablet 45 - - - - -
5 Antalgin tablet 500 mg tablet 220 - - - - -
Total -
BHP JKN 2017 tablet 117 - - - - -
1 Umbilcal Cord klem sterl nylon box 74,750 - 1 74,750 - 1 74,750
Total 74,750
BHP DAU 2017 - - - - -
1 Plesterin non wopen roll 5 cmx5 m roll 27,324 - - - - -
Total -
SILVA DAK 2017 - - - - -
1 Klorfeniramin tab 4 mg tablet 39 - - - - -
2 Albendazol tab ktk/30 tab 8,340.00 - - - - -
3 CTM tablet 7,800.00 - - - - - - -
DROPING PROVINSI - - - - -
1 Hexagon Syphilis ktk - - - - -
Total - - - - -
SILVA DAK 2018 - - - - -
1 Propiltiurasil 100 mg tablet botol/100 tab 59,500.00 - - - - -
DAK 2017 - - - - -
1 Antihemoroid,kombinasi: supp 4,124.00 - - - - -
2 Eritromisin kapsul 500 mg tablet 766.00 - - - - -
3 Nystatin tab 500.000 IU/g tablet 881.00 - - - - -
4 Attapulgit 650 mg tablet 230.00 - - - - -
5 Sianokobalamin(Vit b12) Inj 500 mcg/ml vial 1,117.00 - - - - -
6 Glibenclamid 5 mg tablet 183.00 - - - - -
7 Metampiron tablet 500 mg tablet 222.00 - - - - -
8 Perak sulfadiazin krim 1% (tube 35 g) Tube 35 gram 65,500.00 - - - - -
Total - - - - -
BHP DAK 2017 - - - - -
1 Catgut Chromic 2-0,75 cm round bodied,1/2 circle,25 mm ktk/12 pcs 154,088.00 - - - - -
2 Disposable Syringe 5 cc ktk/100 pcs 86,130.00 - - - - -
3 Disposable Syringe 10 cc ktk/100 pcs 1,062.60 - - - - -
4 Kapas Pembalut/Absorben 250 gram bks 14,366.00 - 2 28,732 2 28,732 - -
5 Blood Lancet Box/100 pcs 16,742.00 - - - - -
6 Objeck Glass Frosted/Slide ktk/72 pcs 23,848.00 - - - -
Total -
KEPALA PUSKESMAS TAOPA Penanggung Jawab
Pengelola Obat PKM Taopa
Nurlian Paudi Nina Fitriyah,S.Farm.,Apt

19690525 198811 2 001

PUSKESMAS TAOPA Laporan Pemakaian dan Lembar Permintaan Obat (LPLPO) Bulan Agustus 2020

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PUSKESMAS TAOPA Laporan Pemakaian dan Lembar Permintaan Obat (LPLPO) Bulan Agustus 2020

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Pemerintah Kabupaten Parigi Moutong

KEPALA PUSKESMAS TAOPA PENGELOLA OBAT

Nurlian Paudi,SKM Nina Fitriyah,S.Farm.,Apt

Nurlian Paudi Nina Fitriyah,S.Farm.,Apt

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