DAFTAR PENGELUARAN OBAT / ALKES

RSUD WALUYO JATI KRAKSAAN

BULAN: Pebruari TAHUN: 2021
UNIT: Gudang Farmasi

PENGELUARAN BULAN INI

STOK TERIMA RETU STOK
NO NAMA OBAT JML JML HARGA TOTAL
AWAL BLN INI R AKHIR
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 26 27 28 29 30 31
1 ACARBOSE 100mg tablet 500 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 500 0 779 0
0
2 ALOVELL 70mg tablet 20 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 90.585 0

3 ARKINE 2 MG TABLET 500 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 500 0 553 0

0
4 ASAM VALPROAT SYRUP 195 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 99 15.789 1.563.111

5 Acarbose 50mg tablet 800 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 300 500 600 300.000

0
6 Acetylsistein tab 8.400 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3.200 5.200 1.500 7.800.000
00
7 Actrapid inj 100 iu/ml 10 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 144.763 0

8 Acyclovir 400 mg tab 300 600 0 600 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 900 935 841.500

9 Adalat oros 20mgtab 300 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 300 0 3.350 0

0
10 Adalat oros 30 mg 11.640 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1.890 9.750 3.948 38.493.000
90
11 Albumin/Albuman 20 % 100 cc 31 20 0 20 0 0 0 0 5 0 0 5 0 10 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 26 880.000 22.880.000

12 Albumin/albuman 20 % 50 cc 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 3 425.568 1.276.704

13 Allopurinol tab 100mg 900 5.000 0 5.000 50 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 1.400 4.500 297 1.336.500
0 0 0
14 Alpentin 100mg kapsul 3.000 0 0 0 0 50 0 0 0 0 0 10 90 50 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 3.000 0 950 0
0 0 0 0 0 0
15 Alprazolam 0,5 mg tab 800 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 800 0 671 0
0
16 Ambroxol syr 125 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 10 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 30 95 7.920 752.400

17 Ambroxol tab 0 1.300 0 1.300 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 500 800 248 198.400

0
18 Aminofluid 500 I.V/ BFLUID 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 20 76.300 1.526.008

19 Aminofusin paed i.v 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 57.000 0

20 Amlodipin 10 mg 21.900 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 15 0 0 0 0 15 0 0 0 0 0 0 0 0 0 4.500 17.400 99 1.722.600

00 00 00
21 Amlodipin 5 mg 36.000 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 3.000 33.000 75 2.475.000
00 00
22 Amoxicillin 500 mg tab 3.000 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1.000 2.000 300 600.000
0 0
23 Amoxicillin syr 10 20 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 10 20 7.150 143.000

24 Analsik tab 1.000 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 10 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 800 200 1.678 335.500

0 0 0
25 Angintriz mr tablet (UNTUK 300 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 300 0 3.117 0
0 0
26 Antasida Doen syr 62 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 52 9.804 509.824

27 Antrain inj 450 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 450 0 3.850 0

0 0
Halaman 1 / 11
 PENGELUARAN BULAN INI
STOK TERIMA RETU STOK
NO NAMA OBAT JML JML HARGA TOT
AWAL BLN INI R AKHIR
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 26 27 28 29 30 31
28 Aqua steril 1 ltr 60 242 0 242 0 20 0 0 20 10 0 20 0 0 40 0 0 0 20 0 0 0 0 0 0 0 10 0 20 0 10 0 0 0 0 170 132 27.616 3.6

29 Aquabidest 25 ml 1.440 960 0 960 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 480 1.920 2.860 5.4

0
30 Ardium tab 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 60 0 8.126

31 Asam Folat 1 mg 3.500 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2.500 1.000 157 1

00 00
32 Asam Mefenamat tab 7.000 0 0 0 0 0 80 0 0 0 0 0 10 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2.800 4.200 288 1.2
0 00 00
33 Asam tranexamat inj 1.680 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 320 1.360 2.860 3.8
0
34 Asering 300 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 60 240 9.646 2.3

35 Asvex tab 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 945

0
36 Atorvastatin 20mg tab 9.570 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 75 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 3.900 5.670 425 2.4
60 0 90
37 Atropin sulfat inj 300 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 200 1.639 3
0
38 BECOM C tablet 7.800 0 0 0 0 0 0 10 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1.500 6.300 1.625 10.2
00 0
39 BLEDSTOP INJEKSI 300 0 0 0 0 0 0 0 0 0 0 0 0 60 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 140 160 5.262 8

40 Becom C tab DANA COVID 0 9.000 0 9.000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9.000 1.625 14.6

41 Betadine 1 ltr 19 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 16 88.000 1.4

42 Betahistine tab 2.000 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1.000 1.000 110 1

00
43 Bioplacenton cream 82 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 10 0 0 0 0 0 0 0 0 0 0 0 0 0 40 42 22.000 9

44 Biothicol syr 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 22.645

45 Braxidin tab 1.100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 500 600 1.221 7

0
46 CANDESARTAN 16mg tablet 5.760 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1.440 4.320 943 4.0
40
47 CARMED 10% CREAM 40g 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 10 50 26.318 1.3

48 CARMED 20% 40g 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 10 15 33.850 5

49 CHANNA CAPSUL 900 0 0 0 0 0 0 0 30 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 900 0 6.655

0 0 0
50 CLOZAPINE 100mg tablet 300 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 300 0 5.000
0
51 CODIKAF 10mg tablet 2.000 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1.500 500 866 4
00
52 CONCOR 2,5 mg tablet 6.000 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2.000 4.000 626 2.5
00 00
53 CTM 4 mg tab 500 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 500 0 155
0
54 Ca Gluconas inj 144 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 96 10.351 9

55 Calsium Laktat (Kalk) 3.000 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1.000 2.000 170 3

00
56 Candesartan 8 mg tab 3.600 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1.440 2.160 2.970 6.4
40
57 Captopril 25 mg 300 1.000 0 1.000 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 300 1.000 215 2
0
58 Cartylo 80 mg tab 6.000 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 10 0 0 0 0 10 0 0 0 0 0 0 0 0 0 3.000 3.000 616 1.8
00 00 00
59 Catapres inj 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 10 20 32.600 6

Halaman 2 /
TOTAL

3.645.246

5.491.200

157.080

1.210.440

3.889.600

2.315.016

2.407.142

327.800

10.239.075

841.920

14.627.250

1.408.000

110.000

924.000

732.600

4.073.760

1.315.900

507.746

433.125

2.503.600

993.696

340.780

6.415.200

214.640

1.848.000

652.000

11
 PENGELUARAN BULAN INI
STOK TERIMA RETU STOK
NO NAMA OBAT JML JML HARGA TOT
AWAL BLN INI R AKHIR
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 26 27 28 29 30 31
60 Cefadroxil 500 mg 4.000 0 0 0 0 10 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 1.800 2.200 641 1.4
00 0 0
61 Cefepime inj 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 20 30 48.062 1.4

62 Cefixim 100 mg 700 2.500 0 2.500 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1.000 2.200 1.500 3.3

0 0
63 Cefixim syr 0 70 0 70 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 10 60 27.225 1.6

64 Cefoperazone injeksi 500 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 440 36.300 15.9

65 Cefoperazone sulbactam inj 0 30 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 100.100 3.0

66 Ceftizoxime inj 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 10 0 0 0 0 0 0 0 0 0 20 20 110.000 2.2

67 Ceftriaxone inj 1 gr 712 2.000 0 2.000 0 0 0 10 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 600 2.112 4.280 9.0

0 0
68 Cendo Cenfresh monodose 280 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 260 23.529 6.1

69 Cendo Conver TM 0 5 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 13.585

70 Cendo Tobroson t.m/MDS 60 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 20 30.305 6

71 Cendo Tropin 0,5 % tm 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 11.509

72 Cendo Xitrol slp mata 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 37.489

73 Cetadop inj 0 23 0 23 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 23 0 56.250

74 Cetrizin 10 mg tab 4.000 0 0 0 0 0 50 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 2.500 1.500 403 6

0 00 00
75 Chloramp caps 250 mg 200 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 200 0 495
0
76 Cilostazol tab 1.000 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1.000 0 8.360
00
77 Cimetidine tab 0 200 0 200 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 200 0 176
0
78 Ciprofloxacin tab 1.500 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 500 1.000 462 4
0
79 Claneksi forte syr 250 ml 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 74.436

80 Claneksi syr 125 ml 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 6 0 57.426

81 Clindamycin 300 mg 500 1.000 0 1.000 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 500 1.000 1.502 1.5

0
82 Clobazam tab 10 mg 2.000 3.000 0 3.000 0 0 50 0 0 0 0 50 0 0 50 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2.000 3.000 776 2.3
0 0 0 0
83 Clozapin 25mg tab 500 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 500 0 1.121
0 0
84 Co amoxiclav tab 0 900 0 900 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 450 450 5.663 2.5
0
85 Combivent neb 500 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 200 300 4.550 1.3
0 0
86 Concor 1,25 mg tab 1.500 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1.000 500 1.905 9
00
87 Cotrimoxasol 480 mg 1.500 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 1.000 500 326 1
0 0
88 Curcuma plus syr 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 35 65 11.234 7

89 Curcuma tab 3.240 0 0 0 0 12 0 0 0 0 0 0 0 12 0 0 0 0 0 0 84 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3.240 0 876

00 00 0
90 DORNER Tab 150 150 0 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 150 150 4.873 7
0
91 DUROGESIC PATCH 25 5 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 237.050

Halaman 3 /
TOTAL

1.410.860

1.441.869

3.300.000

1.633.500

15.972.000

3.003.000

2.200.000

9.040.205

6.117.540

67.925

606.100

605.010

462.000

1.501.500

2.328.000

2.548.323

1.365.000

952.500

162.800

730.210

730.950

11
 PENGELUARAN BULAN INI
STOK TERIMA RETU STOK
NO NAMA OBAT JML JML HARGA TOT
AWAL BLN INI R AKHIR
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 26 27 28 29 30 31
92 Depakote 250 tab 0 2.000 0 2.000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2.000 1.200 2.4

93 Domperidon syr 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 10 9.365

94 Dopamet tab 1.000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 1.000 0 946

00
95 E-SOME / esomeprazole 100 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 39.760
0
96 Ethambutol 500 mg 1.000 1.300 0 1.300 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2.300 550 1.2

97 Exjade 250mg tablet 560 0 0 0 0 0 0 0 14 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 420 140 77.459 10.8

0 0
98 FENOFIBRATE 300mg Tab 1.050 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 600 450 2.420 1.0
0 0
99 FIBRION INJEKSI1.500.000 13 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 2.777.500
IU
100 Fargoxin inj 0 10 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 44.000 4

101 Fargoxin tab 2.000 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 500 1.500 303 4

0
102 Farmadral 10mg tablet 1.500 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 500 1.000 218 2
0
103 Farmavon inj 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 38.943

104 Favipiravir 200mg tablet 1.000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 1.000 0 0

00
105 Fenofibrate 100 mg tab 1.050 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 30 0 0 0 0 0 750 300 430 1
0 0 0
106 Fluconazole kapsul 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 22.000
0
107 Flunarizine tablet 1.000 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 300 700 2.200 1.5
0
108 Fluorescein 2% eye drop 3 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 13.299

109 Folavit 400 mg tab 500 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 500 0 970

0
110 Forumen ear drop 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 10 27.683 2

111 Furamin inj 300 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 100 200 11.495 2.2

0
112 Furosemide inj 3.100 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 60 0 0 0 0 0 0 0 0 0 1.300 1.800 1.333 2.3
0 0 0
113 Furosemide tab 1.500 16.800 0 16.800 0 50 0 10 0 0 0 0 0 60 10 0 0 0 76 0 10 0 0 0 0 10 0 0 0 0 0 0 0 0 0 12.700 5.600 145 8
0 00 0 00 00 00 00
114 Futrolit 190 120 0 120 0 24 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 72 238 39.262 9.3

115 GABAPENTIN 300mg 0 3.000 0 3.000 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 60 0 0 0 0 12 0 0 0 0 0 0 0 2.400 600 2.475 1.4

0 0 00
116 GLAUSETA 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 100 0 3.156
0
117 GLIMEPIRIDE 3mg tablet 1.000 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1.000 0 654
0 0
118 GLINOV 75MG (px UMUM) 0 60 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 6.864 4

119 Gemfibrozil 300 mg 2.700 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 500 2.200 546 1.2

0
120 Gentamicin 0,3 % tetes mata 5 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 29.652

121 Gentamicin inj 350 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 50 300 4.680 1.4

122 Gitas plus tablet 400 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 200 200 4.362 8

0
123 Glimepiride 1 mg tab 2.100 0 0 0 0 0 0 0 50 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1.000 1.100 337 3
0 0
Halaman 4 /
TOTAL

2.400.000

93.647

1.265.000

10.844.260

1.089.000

440.000

454.785

218.300

129.000

1.540.000

276.830

2.299.000

2.399.400

810.824

9.344.356

1.485.000

411.840

1.201.750

1.404.150

872.300

370.260

11
 PENGELUARAN BULAN INI
STOK TERIMA RETU STOK
NO NAMA OBAT JML JML HARGA TOT
AWAL BLN INI R AKHIR
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 26 27 28 29 30 31
124 Glimepiride 2 mg tab 10.100 0 0 0 0 0 0 10 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 3.000 7.100 561 3.9
00 00 00
125 Gliquidone tab 300 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 300 0 1.075
0
126 HARNAL D 0,2mg tablet 280 140 0 140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 140 280 7.788 2.1
0
127 HIDROMAL 312 120 0 120 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 408 48.803 19.9

128 Hepa-Q 150 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 150 0 3.908

0
129 Herbesser CD 100 tab 1.000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 500 500 4.460 2.2
0
130 Herbesser cd 200mg kapsul 2.000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 500 1.500 4.835 7.2
0
131 Herbesser inj (askes/ 50 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 154.400

132 Hidrocortison cream 1% 5g 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 6 13 4.400

133 Hydrocortison 2,5 % cream 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 0 0 0 0 0 0 0 0 0 6 0 5.500

134 INFUSAN D5 1/2 NS 288 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 0 0 0 0 48 0 0 0 0 0 0 144 144 11.344 1.6

135 ISONIAZIDA / INH 300 mg tab 4.300 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 600 3.700 262 9

0 0
136 Ibuprofen 400 mg 0 500 0 500 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 500 366 1

137 Ibuprofen syr 100mg/cth 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 10 7.150

138 Infusan Ring As 96 0 0 0 0 48 0 0 48 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 0 10.290

139 Invitec tab 120 60 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 180 0 11.843

0
140 Iphadryl inj/ dipenhidramin 210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 150 2.570 3

141 Irbesartan 150mg tablet 1.700 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 500 1.200 1.571 1.8

0
142 Isosorbid dinitrate 5 mg 0 12.000 0 12.000 0 0 0 0 0 0 0 0 0 0 20 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7.000 5.000 192 9
00 00
143 KN-2 500ml 0 50 0 50 0 0 0 0 10 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 20 11.011 2

144 KSR tab 1.200 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1.000 200 1.842 3

0 0
145 KY Jelly / MY Jelly 74 0 0 0 0 0 0 0 1 0 0 3 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 7 67 33.000 2.2

146 Kalium diclofenac 50mg 1.000 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 500 500 708 3

0
147 Kapsul Kosong 00 4.000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 0 0 0 0 0 0 0 4.000 0 116
00
148 Ketamin inj/ Anesject inj 325 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 60 265 12.000 3.1

149 Ketoconazole cream 2% 10g 0 30 0 30 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 18 4.432

150 Ketokonazole 200 mg 0 600 0 600 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 600 340 2

151 Ketomed scalp sol 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 36.390

152 Ketorolac 30 % inj 456 1.500 0 1.500 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 45 0 0 0 0 0 0 0 0 0 0 0 0 456 1.500 2.728 4.0
6
153 L vit D3 1000 IU 0 1.350 0 1.350 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1.350 0 2.470
50
154 L-CISIN Tablet 150 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 150 0 4.180
0
155 L-CORE sachet 0 50 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 22.990 1.1

Halaman 5 /
TOTAL

3.983.100

2.180.640

19.911.624

2.230.005

7.252.500

57.200

1.633.500

970.547

182.875

71.500

385.440

1.884.960

962.500

220.220

368.400

2.211.000

354.015

3.180.000

79.776

204.180

4.092.750

1.149.500

11
 PENGELUARAN BULAN INI
STOK TERIMA RETU STOK
NO NAMA OBAT JML JML HARGA TOT
AWAL BLN INI R AKHIR
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 26 27 28 29 30 31
156 L-VIT D3 1000 IU (DANA TT 0 1.350 0 1.350 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 600 750 2.470 1.8
0
157 LISINOPRIL 10mg tablet 2.000 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 1.000 1.000 575 5
0 0
158 Lacto B 600 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 80 0 0 0 0 0 0 0 0 0 160 440 7.139 3.1

159 Lanzoprazole 30 mg 3.000 7.000 0 7.000 0 0 0 16 0 0 0 0 0 13 0 0 0 0 0 16 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 6.360 3.640 676 2.4

80 20 80 80
160 Levopar tablet 1.000 0 0 0 0 0 0 50 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1.000 0 1.030
0 0
161 Lidocain inj 2 % 2.000 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 300 1.700 1.496 2.5
0
162 Lipomed 20% 100ml 0 21 0 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 21 0 72.047

163 Lisol 1 ltr 0 12 0 12 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 6 6 41.000 2

164 Lodia tab 120 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 120 0 1.084

0
165 METIL ERGOMETRIN 1.000 0 0 0 10 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 600 400 274 1
TABLET 0 0
166 MICARDIS 40mg tablet 700 0 0 0 0 10 0 0 0 0 0 0 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 700 0 3.045
0 0 0
167 MOMETASONE CREAM 10g 20 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 10 22.275 2

168 MST 10 mg tab 180 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 120 15.620 1.8

169 Maltover syrup 150ml 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 68.750

170 Manitol 20 i.v 500ml 80 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 60 43.500 2.6

171 Mecobalamin inj 1.148 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 36 0 0 0 0 0 0 0 0 0 0 0 410 738 7.040 5.1

0
172 Mecobalamin tab 6.800 0 0 0 0 0 0 24 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0 0 0 0 0 0 0 6.800 0 578
00 00 00
173 Mefinal 500 mg tab 100 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 1.446
0
174 Meloxicam 15 mg 8.000 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 1.000 7.000 654 4.5
0 0
175 Meloxicam 7,5 mg 1.000 0 0 0 0 0 0 0 0 0 0 0 20 30 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1.000 0 415
0 0 0
176 Meropenem 0,5 gr inj 0 60 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 20 40 29.185 1.1

177 Meropenem 1gr inj 150 0 0 0 0 0 0 50 0 0 0 0 0 0 50 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 120 30 48.400 1.4

178 Metformin 500 mg 10.000 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 20 0 0 0 0 20 0 0 0 50 0 0 0 0 0 10.000 0 192

00 00 00 00
179 Metil Prednisolon 4 mg tab 12.500 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 2.000 10.500 159 1.6
00 00
180 Metil prednisolon 8 mg tab 1.000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 1.000 0 446
00
181 Metronidazole i.v 306 0 0 0 0 50 0 0 0 0 0 0 0 0 50 0 0 0 0 50 50 0 0 0 0 0 0 0 50 0 0 0 0 0 0 250 56 7.376 4

182 Micardis 80mg tablet 1.200 0 0 0 0 10 0 0 20 0 0 0 20 0 70 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1.200 0 5.409

0 0 0 0
183 Microlax Enema 5 ml 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 20 21.140 4

184 Miloz inj 220 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 120 100 22.000 2.2

0
185 Moxifloxacin infus 34 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 4 187.000 7

186 NOREPINEPHRINE Injeksi 135 30 0 30 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 145 15.246 2.2

187 NOSORBID INJEKSI 0 180 0 180 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 130 35.200 4.5

Halaman 6 /
TOTAL

1.852.500

574.750

3.141.160

2.459.475

2.543.200

246.000

109.752

222.750

1.874.400

2.609.970

5.195.520

4.578.070

1.167.408

1.452.000

1.669.500

413.056

422.800

2.200.000

748.000

2.210.670

4.576.000

11
 PENGELUARAN BULAN INI
STOK TERIMA RETU STOK
NO NAMA OBAT JML JML HARGA TOT
AWAL BLN INI R AKHIR
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 26 27 28 29 30 31
188 NS Infusan 100 ml 360 310 0 310 0 12 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 60 0 70 0 0 0 0 0 0 0 0 0 0 0 310 360 18.700 6.7
0
189 NUPOVEL injeksi 50 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 25 62.645 1.5

190 Nebacetin powder 20 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 20 0 22.550

191 Neuralgin tab 0 500 0 500 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 300 200 825 1

0 0
192 Nifedipin 10 mg tab 1.000 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 500 500 220 1
0
193 Notisil 2 mg tab 0 3.000 0 3.000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 500 2.500 1.265 3.1
0
194 Novelmicin 2g injeksi 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 10 20 135.036 2.7

195 Novelmycin 1 gr inj 80 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 60 89.760 5.3

196 Nystatin drop 70 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 30 21.054 6

197 OBH 100ml syr 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 20 30 5.009 1

198 OSFLEX prefillid syringe 50 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 30 233.750 7.0

199 Omeprazol inj 2.449 0 0 0 10 0 0 0 0 10 0 0 48 0 0 48 48 0 10 0 32 0 48 0 0 0 0 0 0 0 0 96 0 0 0 620 1.829 10.392 19.0

0 0 0
200 Omeprazole caps 6.690 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 600 6.090 610 3.7
0
201 Ondancentron 4 mg inj 6.180 0 0 0 0 0 0 0 0 0 0 0 28 0 0 0 0 0 0 0 29 0 0 24 0 0 0 0 0 0 0 0 0 0 0 810 5.370 4.200 22.5
0 0 0
202 Ondancentron 4 mg tab 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 150 0 1.400
0
203 Ostovell capsul 300 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 150 150 6.435 9
0
204 Otsu D10 % 0,18 NS 0 40 0 40 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 20 15.939 3

205 Otsu D40 120 120 0 120 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 120 120 9.009 1.0
0
206 Otsu Kaen 3A 0 14 0 14 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 0 10.696

207 Otsu Kaen 4B 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 21.780

208 Oxoferin sol 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 5 0 84.700

209 POT MIKA 100ml 50 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 3.300

210 PROSTAM SR 150 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 150 0 8.566

0
211 PROTB 4 560 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 0 0 0 0 0 0 0 420 140 5.427 7
0
212 PTU 100 mg 1.500 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 500 1.000 496 4
0
213 Pantoprazole inj 0 1.000 0 1.000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 500 500 19.404 9.7
0
214 Paracetamol drop 40 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 30 7.631 2

215 Paracetamol syr 129 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 79 4.125 3

216 Paracetamol tab 11.600 0 0 0 0 12 0 0 0 0 0 0 20 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 10 0 0 0 0 0 5.200 6.400 254 1.6

00 00 00 00
217 Peinlos 800 mg inj utk 5 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 73.150

218 Permethrin Cream 15 g tube 0 15 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 15 0 30.000

219 Piracetam 1 gr 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 20 30 6.600 1

Halaman 7 /
TOTAL

6.732.000

1.566.125

165.000

110.090

3.162.500

2.700.720

5.385.600

631.620

150.282

7.012.500

19.006.968

3.717.153

22.554.054

965.250

318.780

1.081.080

759.732

496.390

9.702.000

228.938

325.875

1.624.960

198.000

11
 PENGELUARAN BULAN INI
STOK TERIMA RETU STOK
NO NAMA OBAT JML JML HARGA TOT
AWAL BLN INI R AKHIR
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 26 27 28 29 30 31
220 Piracetam 3 gr 40 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 40 0 20.900

221 Piracetam 800 mg 200 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 200 0 964

0
222 Pirotop 5 gr cream 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 10 20 34.304 6

223 Placta 75 mg tab 6.360 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 0 0 3.600 2.760 1.188 3.2

00 00
224 Postovit tab 1.500 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 500 1.000 2.851 2.8
0
225 Pronalges supp 540 0 0 0 0 0 0 0 0 0 0 0 10 10 0 0 0 0 0 0 0 0 0 0 0 14 0 0 0 0 0 0 0 0 0 340 200 9.240 1.8
0 0 0
226 Prorenal tab 300 800 0 800 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 200 900 6.336 5.7
0
227 Proterine injeksi 50 100 0 100 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 50 100 30.250 3.0

228 Pumpitor inj( px umum dan 20 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 10 162.525 1.6

229 Pyrazinamid 500 mg 100 3.200 0 3.200 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 600 2.700 376 1.0
0 0
230 QTEN 100 (UNTUK PX 420 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 420 0 10.560
UMUM) 0 0
231 RIFAMPICIN 300 mg tablet 6.000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 1.000 5.000 1.367 6.8
00
232 Ranitidine 150 mg 9.000 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 600 8.400 154 1.2
0 0
233 Ranitidine inj 1.200 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 200 1.000 2.048 2.0
0
234 Regivell inj 250 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 50 200 73.920 14.7

235 Remdesivir injeksi / JUBI-R 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 20 20 1.299.918 25.9

236 Rifampicin 450 mg 500 4.000 0 4.000 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 500 4.000 1.816 7.2
0
237 Risperidone tablet 2mg 0 500 0 500 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 500 950 4

238 SABU inj 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 10 0 948.750

239 SANBE TEARS EYE DROP 0 50 0 50 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 16.794

240 SIFROL 0,375 tablet 3.300 0 0 0 0 0 0 0 30 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 1.500 1.800 8.300 14.9

0 0 0
241 SM 40 % 25 ml 0 120 0 120 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 120 3.796 4

242 Sagestam cream 10 20 0 20 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 10 0 0 0 0 0 30 0 13.328

243 Salbulin inhaler 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 10 0 31.373

244 Salbutamol 2 mg tab 2.000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 500 1.500 113 1

0
245 Sanbe Hest 0 60 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 69.880 4.1

246 Sangobion baby 30 ml 15 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 5 0 0 0 0 0 0 15 0 59.103

247 Sankorbin 200 mg/ 5 ml 850 300 0 300 0 0 0 0 0 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 85 0 0 0 0 0 0 255 895 32.115 28.7
0
248 Sanmol drop 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 5 0 17.011

249 Sanmol syr 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 12.677

250 Sansulin Log G 0 50 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 25 0 0 0 0 0 0 0 35 15 89.000 1.3

251 Santocyn injeksi 860 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 0 500 360 8.215 2.9

0 0
Halaman 8 /
TOTAL

686.080

3.278.880

2.851.200

1.848.000

5.702.400

3.025.000

1.625.250

1.015.902

6.837.200

1.293.600

2.047.860

14.784.000

25.998.350

7.262.120

475.000

14.939.982

455.532

169.920

4.192.811

28.742.871

1.335.000

2.957.526

11
 PENGELUARAN BULAN INI
STOK TERIMA RETU STOK
NO NAMA OBAT JML JML HARGA TOT
AWAL BLN INI R AKHIR
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 26 27 28 29 30 31
252 Savlon/Odex/Gludex 500 ml 5 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 134.200

253 Seretide diskus 250 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 122.521

254 Simvastatin 20mg tablet 11.500 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 1.500 10.000 300 3.0

00 0
255 Soluvit N inf 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 10 61.490 6

256 Spironolactone 100 mg 1.300 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 300 1.000 575 5

0
257 Spironolactone 25 mg 7.400 0 0 0 0 0 0 28 0 0 0 0 0 0 0 0 0 0 0 0 80 0 0 0 0 0 0 0 24 0 0 0 0 0 0 6.000 1.400 208 2
00 0 00
258 Sucralfat suspensi 100ml 675 0 0 0 0 0 50 0 0 50 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 250 425 6.790 2.8
0
259 Sulfadiazine silver 10mg 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 20.700

260 Symbicort turbuhaler 160 0 30 0 30 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 10 149.264 1.4

261 Tamofen 10mg tab 6.000 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 2.400 3.600 3.630 13.0

00 00
262 Tantum verde oral rinse 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 5 5 23.100 1

263 Tarivid otic t.t 20 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 10 88.825 8

264 Tetagam 250 iu inj (askes/ 95 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 10 85 188.663 16.0

265 Theobron kapsul 500 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 200 300 2.493 7

0
266 Thyrozol tab 500 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 500 0 1.286
0
267 Tiavel tablet 100mcg 500 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 500 0 1.416
0
268 Tim ophtal 0,5% eye drop 14 20 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 24 32.453 7

269 Tremenza tab 500 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 300 200 1.576 3

0
270 Trilac injeksi IA/ID 30 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 20 96.250 1.9

271 URSODEOXYCHOLIC ACID 4.350 0 0 0 0 30 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 600 3.750 2.268 8.5

250mg 0 0
272 Urinter Tab 400 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 100 300 1.400 4
0
273 VALISANBE 2MG TAB 1.700 0 0 0 0 0 0 0 0 70 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 700 1.000 258 2
0
274 Valisanbe 5mg tablet 300 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 200 100 429
0
275 Vbloc 6,25 mg tab 600 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 0 0 0 0 0 0 0 0 0 150 450 2.787 1.2
0
276 Vectrine syrup 0 7 0 7 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 44.000

277 Ventolin neb 0 3.000 0 3.000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 1.000 2.000 4.000 8.0

00
278 Viccilin- SX 1500 injeksi 110 500 0 500 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 50 0 0 0 0 0 0 0 0 0 110 500 18.040 9.0

279 Vit B Complex tab 9.100 0 0 0 0 70 0 0 0 0 0 80 0 10 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3.500 5.600 128 7

0 0 00 00
280 Vit K inj/ phytomenadion 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 5.200

281 Wida D10 % 120 0 0 0 0 20 0 0 0 20 0 0 0 0 20 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 100 20 10.120 2

282 Wida D5 % 200 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 100 100 10.460 1.0

0
283 Wida NaCl 0,9 % / PZ 880 1.000 0 1.000 0 0 0 0 10 0 0 10 0 0 10 0 10 0 0 20 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 700 1.180 6.840 8.0
0 0 0 0 0 0
Halaman 9 /
TOTAL

3.000.000

614.900

575.010

291.200

2.885.750

1.492.645

13.068.000

115.500

888.250

16.036.355

747.864

778.865

315.300

1.925.000

8.505.000

420.000

258.500

42.900

1.253.997

8.000.000

9.020.000

716.184

202.400

1.045.990

8.070.964

11
 PENGELUARAN BULAN INI
STOK TERIMA RETU STOK
NO NAMA OBAT JML JML HARGA TOT
AWAL BLN INI R AKHIR
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 26 27 28 29 30 31
284 Wida RD 40 100 0 100 0 0 0 0 0 0 0 20 0 0 0 20 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 60 80 10.296 8

285 Wida bes 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 40 10.293 4

286 XALATAN eye drop 0 20 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 10 10 120.695 1.2

287 Zinc tab 5.200 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 500 4.700 674 3.1

0
288 Zinkid syr (Untuk PX UMUM) 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 5 0 30.250

289 acetilsistein injeksi 600 0 0 0 0 0 0 0 0 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 584 167.160 97.6

290 aminosteril infant 10 % 70 0 0 0 0 0 0 10 10 0 0 0 0 0 0 0 10 0 10 0 0 0 10 20 0 0 0 0 0 0 0 0 0 0 0 70 0 40.091

291 bisacodil tablet 5mg 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 60 0 337

292 carbazochrome injeksi 40 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 20 13.112 2

293 colme ear/ telinga drop 0 2 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 37.393

294 curcuma tablet dana tt 0 13.500 0 13.500 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 0 0 3.500 10.000 867 8.6
00
295 domperidon tab 1.000 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 1.000 0 273
0 0
296 enkasari herbal 120ml 0 200 0 200 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 200 22.693 4.5

297 eperisone tablet 1.700 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1.000 700 1.400 9

0 0
298 infusan D5 1/4 ns 120 181 0 181 0 24 0 0 0 48 0 0 0 0 48 0 0 0 48 0 0 0 0 48 0 0 0 0 0 0 0 0 0 0 0 216 85 10.405 8

299 kapsul kosong 0 4.000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 1.000 3.000 73 2

00
300 kloderma cream 10g 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 10 40 28.700 1.1

301 lantus solostar pen 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 20 83.950 1.6

302 levemir flexpen 100 50 0 50 0 25 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 75 75 80.909 6.0

303 levofloxacin 750mg infus 1.165 0 0 0 0 0 90 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 90 0 0 0 0 210 955 165.021 157.5

304 metoklopramide 10 mg inj 150 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 50 100 6.160 6

305 neostigmin (askes/reguler) 20 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 7.755

306 novorapid flexpen 150 100 0 100 0 25 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 0 0 0 0 100 150 81.364 12.2

307 ocuflam eye drop 0 10 0 10 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 70.319

308 otsu Kcl / Potasium 25 ml- 120 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 0 0 0 120 0 3.223

0
309 paracetamol infus 580 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 560 11.187 6.2

310 pioglitazone 30mg tablet 2.100 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 30 0 0 0 0 30 0 0 0 0 0 0 0 0 0 900 1.200 3.575 4.2

0 0 0
311 plasminex 500mg tablet 1.500 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 500 1.000 2.936 2.9
0
312 santagesic injeksi 0 50 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 50 0 10.087

313 sibital injeksi 100 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 70 9.900 6

314 tridex 27 B 48 0 0 0 0 24 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 24 11.615 2

315 vaksin hepatitis B/ HB 100 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0 0

0
Halaman 10 /
TOTAL

823.680

411.720

1.206.950

3.169.962

97.621.440

262.240

74.786

8.668.000

4.538.600

980.000

884.443

217.800

1.147.988

1.679.000

6.068.182

157.594.960

616.000

12.204.600

6.264.720

4.290.000

2.936.290

693.000

278.760

11
 PENGELUARAN BULAN INI
STOK TERIMA RETU STOK
NO NAMA OBAT JML JML HARGA TOT
AWAL BLN INI R AKHIR
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 26 27 28 29 30 31
316 vasola injeksi 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 40 237.500 9.5

317 vit K1 2mg/ml 0 151 0 151 0 50 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 41 0 0 0 0 0 151 0 3.705

318 vit c 50mg tablet hibah 7.000 0 0 0 0 0 0 50 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 500 6.500 0

0
319 vitrolenta eye drop 5ml 0 10 0 10 0 0 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 39.628

320 wida RL 1.640 1.000 0 1.000 0 50 0 0 0 0 0 0 0 0 10 0 10 0 0 20 0 0 0 0 0 0 0 0 0 20 10 0 0 0 0 1.200 1.440 8.393 12.0

0 0 0 0 0 0
321 zinc 20mg tablet DANA TT 0 4.500 0 4.500 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4.500 607 2.7

Halaman 11 /
TOTAL

9.500.000

12.085.920

2.731.590

11