DAFTAR PERSEDIAAN

KEADAAN PER 30 JUNI 2016

PUSKESMAS KOTO BARU
JENIS PERSEDIAAN : OBAT
SISA PERSEDIAAN PENGADAAN JUMLAH HARGA JUMLAH NILAI AKHIR
NO NAMA BARANG JUMLAH KET
TERPAKAI (Rp) SISA BARANG (Rp)
1 2 3 4 5 6 7 8 9 10
ACT ( Artesunate 50 mg + Amodiaquin 200 mg) Tablet 0 0 0 0 0 0.00
ACT (Artesunate) Injeksi Vial 60 mL 0 0 0 0 0 0.00
Acyclovir Cream 5% 0 0 0 0 0 0.00
Acyclovir Salep Mata 3% 38 0 38 0 38 0.00
Acyclovir Tablet 200 mg 400 0 400 400 0 0.00
Acyclovir Tablet 400 mg 1297 0 1297 767 530 0.00
Adrenalin (Epinefrin) 0,1% Injeksi (1 mL) 26 0 26 0 26 0.00
Air Raksa Dental Use 1 0 1 0 1 0.00
Albendazol Tablet 400 mg 0 1000 1000 1000 0 0.00
Alopurinol Tablet 100 mg 320 0 320 320 0 0.00
Ambroxol Syrup 15 mg/mL 0 0 0 0 0 0.00
Ambroxol Tablet 30 mg 0 0 0 0 0 0.00
Aminophilin Injeksi 24 mg/mL-10 mL 180 0 180 180 0 0.00
Aminophilin Tablet 200 mg 225 900 1125 825 82.00 300 24,600.00
Amitriptilin HCl Tablet Salut 25 mg 0 2760 2760 2760 0 0.00
Amlodipin Tabet 5 mg 300 0 300 120 192.00 180 34,560.00
Amoxicillin Kapsul 250 mg 0 19200 19200 19200 0 0.00
Amoxicillin Kaplet 500 mg 6900 19200 7440 13900 12200 0.00
Amoxicillin Syrup 125 mg/5 mL 151 0 151 16 135 0.00
Ampicillin Dry Syrup 125 mg/5 mL 2 0 2 1 1 0.00
Ampicillin Injeksi i.m/i.v 1.000 mg/mL 10 0 10 10 0 0.00
Ampicillin tablet 500 mg 2020 0 2020 0 2020 0.00
Antalgin (Metampiron) Injeksi 250 mg/mL-2 mL 0 0 0 0 0 0.00
Antalgin (Metampiron) Tablet 500 mg 0 9200 9200 9200 0 0.00
Antasida DOEN Kombinasi Tablet 900 5800 6700 5600 74.00 1100 81,400.00
Antasida DOEN Syrup 83 152 235 132 103 0.00
Anti Bakteri DOEN Salep 80 48 128 123 5 0.00
Anti Fungi DOEN Salep 102 0 102 22 80 0.00
Anti Haemorrhoid Suppositoria (Bisakodil) 54 0 54 22 32 0.00
Anti Migrain tablet (Ergotamin Tartrat 1 mg + Coffein 50 mg) 90 180 270 180 90 0.00
Aqua Pro Injeksi Steril 30 179 209 111 5,500.00 98 539,000.00
Artemeter Injeksi 0 0 0 0 0 0.00
Asam Ascorbat (Vit.C) Tablet 50 mg 7600 0 7600 5500 2100 0.00
Asam Ascorbat (Vit.C) Tablet 250 mg 0 200 200 200 0 0.00
Asam Folat Tablet 1 mg 100 3600 3700 3500 200 0.00
Asam Mefenamat Tablet 500 mg 200 2630 2830 1730 232.32 1100 255,552.00
Asetosal (Asam Asetilsalisilat) Tablet 500 mg 200 0 200 200 0 0.00
Atropin Sulfat Injeksi 0,25 mg/mL-1 mL 0 0 0 0 0 0.00
Atropin Sulfat Tablet 0,5 mg 2400 0 2400 2400 0 0.00
Atropin Sulfat Tetes Mata 0 0 0 0 0 0.00
Benzatin Benzil Penicilin Injeksi 1,2 juta IU 0 0 0 0 0 0.00
Benzatin Benzil Penicilin Injeksi 2,4 juta IU 0 0 0 0 0 0.00
Betametason Cream 0,1 % 25 175 200 108 1,520.00 92 0.00
Bromhexin HCl tab 8 mg 0 0 0 0 0 0.00
Bromhexin Syrup 0 0 0 0 0 0.00
Calcium Gluconas 10% IU Injeksi (10 mL) 24 0 24 24 0 0.00
Captopril Tablet 12,5 mg 0 0 0 0 0 0.00
Captopril Tablet 25 mg 800 1400 2200 900 199.98 1300 259,974.00
Cefadroxil Kapsul 500 mg 0 0 0 0 0 0.00
Cefadroxil Syrup Kering 125 mg/5 mL 0 0 0 0 0 0.00
Cefixime + Azythromycin Tablet 0 0 0 0 0 0.00
Cefotaxim Injeksi 1 gram 0 0 0 0 0 0.00
Ceftriaxon Serbuk Injeksi 1 gram 0 0 0 0 0 0.00
Cetirizine Tablet 10 mg 0 3800 3800 3000 186.00 800 148,800.00
Chloroquine Fosfat Tablet 150 mg 0 0 0 0 0 0.00
Chloroquine Fosfat Tablet 250 mg 0 0 0 0 0 0.00
Cimetidin Tablet 200 mg 0 0 0 0 0 0.00
Ciprofloxacin Kaplet 500 mg 0 0 0 0 0 0.00
Codein HCl Tablet 10 mg 0 100 100 26 525.00 74 38,850.00
Dexamethasone Injeksi 5 mg /mL-1 mL 200 0 200 200 0 0.00
Dexamethasone Tablet 0,5 mg 400 3800 4200 3000 64.00 1200 0.00
Dextromethorphan HBr Syrup 10 mg/5 mL 0 0 0 0 0 0.00
Dextromethorphan HBr Tablet 15 mg 0 0 0 0 0 0.00
Diazepam Injeksi 5 mg/mL-1mL 0 0 0 0 0 0.00
Diazepam Injeksi 5 mg/ml-2 ml 0 0 0 0 0 0.00
Diazepam Tablet 2 mg 72 172 244 194 50 0.00
Diazepam Tablet 5 mg 0 0 0 0 0 0.00
Difenhidramin HCl Injeksi 10 mg/mL-1 mL 60 0 60 0 60 0.00
Digoxin Tablet 0,25 mg 0 0 0 0 0 0.00
Doxicycline Kapsul 100 mg 0 0 0 0 0 0.00
Efedrin HCl Tablet 25 mg 1648 0 1648 348 1300 0.00
Ekstrak Belladona 10 mg 0 0 0 0 0 0.00
Erithromicin Kapsul 250 mg 0 0 0 0 0 0.00
Etakridin Laktat Larutan (Rivanol) 0,1% 0 0 0 0 0 0.00
Ethambutol HCl Tablet 250 mg 0 0 0 0 0 0.00
Etanol 70 % 104 0 104 49 55 0.00
Etil Klorida Semprot 0 0 0 0 0 0.00
Eugenol Cairan 0 0 0 0 0 0.00
Fenitoin Natrium Tablet 30 mg 0 0 0 0 0 0.00
Fenitoin Natrium Tablet 100 mg 0 0 0 0 0 0.00
Fenobarbital Injeksi i.m/i.v 50 mg/mL - 2 mL 27 0 27 9 18 0.00
Fenobarbital Tablet 30 mg 0 0 0 0 0 0.00
Fenobarbital Tablet 100 mg 0 0 0 0 0 0.00
Fenol Gliserol Tetes Telinga 10% 0 0 0 0 0 0.00
Fitomenadion (Vit.K1) Injeksi 10 mg/mL-1 mL 118 0 118 27 91 0.00
Fitomenadion (Vit.K1) Tablet Salut Gula 10 mg 0 500 500 28 472 0.00
Fluoconazole Tablet 150 mg 0 0 0 0 0 0.00
Furosemida Tablet 40 mg 200 0 200 200 0 0.00
Garam Oralit 200 mL air 360 500 860 440 303.00 420 127,260.00
Gentamicin Injeksi 40 mg/mL 40 0 40 7 33 0.00
Gentamicin Salep Kulit 0,1% 0 0 0 0 0 0.00
Gentamicin Sulfat Tetes Mata 0,3% 12 60 72 68 4 0.00
Gentian Violet Larutan 1 % - 10 mL 12 48 60 40 20 0.00
Glass Ionomer Cement (GC IX) 0 0 0 0 0 0.00
Glibenklamid Tablet 5 mg 8100 0 8100 8100 0 0.00
Gliseril Guaiacolat Tablet 100 mg 0 6000 6000 0 29.29 6000 175,740.00
Gliserin 38 0 38 0 38 0.00
Glukosa 5% Larutan Infus 36 0 36 0 36 0.00
Glukosa 10% Larutan Infus 0 0 0 0 0 0.00
Griseofulvin Tablet 125 mg micronized 500 0 500 250 250 0.00
Haloperidol Tablet 0,5 mg 0 0 0 0 0 0.00
Haloperidol Tablet 1,5 mg 0 100 100 10 90 0.00
Haloperidol Tablet 5 mg 0 364 364 364 0 0.00
Hidrocortisone Cream 2,5 % 0 165 165 96 2,798.00 69 193,062.00
Hidroklorotiazid (HCT) Tablet 25 mg 804 0 804 316 488 0.00
Hioscine-N-Butilbromida Tablet 10 mg 450 1000 1450 650 399.00 800 319,200.00
Ibuprofen Tablet 200 mg 0 4000 4000 4000 0 0.00
Ibuprofen Tablet 400 mg 100 0 100 0 153.00 100 0.00
Isosorbid Dinitrat Tablet Sublingual 5 mg 0 0 0 0 0 0.00
Kalsium Laktat (Kalk) Tablet 500 mg 2600 75 2675 14475 1200 0.00
Ketokonazole Cream 2% 22 71 93 64 2,569.00 29 0.00
Ketokonazole Tablet 200 mg 700 0 700 250 450 0.00
Kloramfenikol Kapsul 250 mg 0 0 0 0 0 0.00
Kloramfenikol Salep Mata 1% 0 0 0 0 0 0.00
Kloramfenikol Tetes Mata 0,5% 0 0 0 0 0 0.00
Kloramfenikol Tetes Telinga 3 % 0 0 0 0 0 0.00
Klorfeniramin Maleat ( CTM ) Tablet 4 mg 3300 8000 11300 9800 13.07 1500 19,605.00
Klorpromazin HCl Injeksi 5 mg/mL - 2 mL 0 0 0 0 0 0.00
Klorpromazin HCl Injeksi 25 mg/mL - 1 mL 0 0 0 0 0 0.00
Klorpromazin HCl Tablet Salut 25 mg 873 0 873 0 873 0.00
Klorpromazin HCl Tablet Salut 100 mg 100 0 100 20 80 0.00
Kombinasi Sulfadoxin 500 mg dan Pirimetamin 25 mg 0 0 0 0 0 0.00
Kontrasepsi Injeksi Depo Progestin Suntikan KB I 1-3 bulan 0 0 0 0 0 0.00
Kotrimoksazol Suspensi 113 0 113 48 65 0.00
Kotrimoksazol Tablet 120 mg (Pediatrik) 8900 0 8900 8900 0 0.00
Kotrimoksazol Tablet 480 mg 1100 0 1100 556 544 0.00
Kotrimoksazol Tablet 960 mg 0 0 0 0 0 0.00
Kuinin Dihidroklorida Injeksi 25% - 2 mL 0 0 0 0 0 0.00
Kuinin Sulfat Tablet 222 mg 0 0 0 0 0 0.00
Lansoprazol Kapsul 30 mg 80 500 580 360 1,320.00 220 290,400.00
Lidokain Compositum Injeksi 5 220 270 150 4,109.23 120 493,107.60
Loratadine Tablet 10 mg 200 2500 2700 2300 162.00 400 0.00
Magnesium Sulfat Injeksi (i.v) 20% - 25 mL 60 0 60 0 60 0.00
Magnesium Sulfat Injeksi (i.v) 40% - 25 mL 60 0 60 0 60 0.00
Meloxicam Tablet 7,5 mg 0 0 0 0 0 0.00
Meloxicam Tablet 15 mg 0 0 0 0 0 0.00
Metil Ergometrin Maleat Injeksi 0,2 mg - 1 mL 25 0 25 25 0 0.00
Metil Ergometrin Maleat Tablet Salut 0,125 mg 520 0 520 0 520 0.00
Metil Prednisolon Tablet 4 mg 400 3800 4200 3700 638.00 500 319,000.00
Metoklorpamide Injeksi 5 mg/mL 0 0 0 0 0 0.00
Metoklorpamid Syrup 5 mg/mL 146 0 146 59 87 0.00
Metoklorpamide Tablet 10 mg 0 900 900 600 105.00 300 0.00
Metronidazol Larutan Infus 500 mg/100 mL 0 0 0 0 0 0.00
Metronidazol Tablet 250 mg 0 0 0 0 0 0.00
Metronidazol Tablet 500 mg 330 200 530 530 171.00 0 0.00
Mineral Mix 0 0 0 0 0 0.00
MP-ASI Biskuit 0 0 0 0 0 0.00
Multivitamin Syrup (Lysmin) 0 0 0 0 0 0.00
Multivitamin Tablet (Vicanatal Plus) 0 0 0 0 0 0.00
Natrium Bicarbonat Tablet 500 mg 0 0 0 0 0 0.00
Natrium Diclofenac Tablet 25 mg 150 0 150 150 0 0.00
Natrium Diclofenac Tablet 50 mg 0 850 850 850 185.00 0 0.00
Natrium Klorida 0,9% Larutan Infus 0 100 100 60 5,145.00 40 205,800.00
Natrium Tiroksin Tablet 100 mcg 50 0 50 0 50 0.00
Neurodex Tablet 200 800 1000 850 521.40 150 78,210.00
Nifedipin Tablet 10 mg 270 0 270 0 270 0.00
NystatinTablet Vaginal 100.000 IU/g 0 0 0 0 0 0.00
OAT FDC Kategori I & III 0 0 0 0 0 0.00
OAT FDC Kategori II 0 0 0 0 0 0.00
OAT FDC Kategori Sisipan 0 0 0 0 0 0.00
OAT Kategori Anak 0 0 0 0 0 0.00
Obat Batuk Hitam (OBH) Cairan 0 36 36 36 2,922.00 0 0.00
Oxytetracycline HCl Injeksi i.m 50 mg/mL - 10 mL 0 0 0 0 0 0.00
Oxytetracycline Salep Kulit 3 % 45 50 95 59 36 0.00
Oxytetracycline Salep Mata 1 % 0 0 0 0 0 0.00
Oxytocin Injeksi 10 IU/mL-1 mL 0 0 0 0 0 0.00
Parasetamol Drop mg/ml 61 224 285 187 5,460.00 98 535,080.00
Parasetamol Syrup 120 mg/5 mL 173 758 931 659 1,496.00 272 406,912.00
Parasetamol Tablet 100 mg 0 0 0 0 0 0.00
Parasetamol Tablet 500 mg 20100 15000 35100 24300 84.00 10800 907,200.00
Pedialit 21 12 33 8 25 0.00
Piracetam Tablet 400 mg 0 0 0 0 0 0.00
Piracetam Tablet 800 mg 3200 0 3200 3200 0 0.00
Piroxicam Kapsul 20 mg 0 0 0 0 0 0.00
Povidon Iodine 10% - 30 mL 3 20 23 23 0 0.00
Povidon Iodine 10% - 300 mL 5 17 22 17 5 0.00
Prednison Tablet 5 mg 100 2000 2100 2100 119.00 0 0.00
Primakuin Injeksi 0 0 0 0 0 0.00
Primakuin Tablet 15 mg 0 0 0 0 0 0.00
Prokain Penicillin Injeksi 3 juta IU 30 0 30 30 0 0.00
Propanolol HCl Tablet 40 mg 200 0 200 0 200 0.00
Propil Thio Urasil (PTU) Tablet 100 mg 0 0 0 0 0 0.00
Pyrantel Pamoat Tablet 125 mg 48 100 148 60 88 0.00
Pyridoxin HCl (Vit.B6) Tablet 10 mg 1000 3000 4000 1000 40.08 3000 120,240.00
Ranitidin Injeksi 25 mg/2 mL 0 330 330 270 3,729.00 60 223,740.00
Ranitidin Tablet 150 mg 0 6500 6500 5300 290.00 1200 348,000.00
Reserpin Tablet 0,1 mg 0 0 0 0 0 0.00
Retinol (Vit.A) Kapsul Lunak 100.000 UI 0 0 0 0 0 0.00
Retinol (Vit.A) Kapsul Lunak 200.000 UI 0 0 0 0 0 0.00
Ringer Laktat Larutan Infus Steril 20 780 800 700 5,460.00 100 546,000.00
Salbutamol Tablet 2 mg 0 0 0 0 0 0.00
Salep 2-4 Kombinasi 0 0 0 0 0 0.00
Salisil Bedak 2% 21 48 69 50 49 0.00
Semen Seng fosfat Cairan Dan Serbuk 0 0 0 0 0 0.00
Serum Anti Bisa Ular Polivalen Injeksi 5 mL (ABU I) 0 0 0 0 0 0.00
Serum Anti Diphteri Injeksi 20.000 IU (A.D.S) 0 0 0 0 0 0.00
Serum Anti Tetanus 1.500 UI (A.T.S) 0 0 0 0 0 0.00
Serum Anti Tetanus 20.000 UI (A.T.S) 0 0 0 0 0 0.00
Sianokobalamin (Vit.B12) Injeksi 500 mcg-1 Ml 100 0 100 0 100 0.00
Sianokobalamin (Vit.B12) Tablet 50 mcg 200 2500 2700 2700 60.00 0 0.00
Silver Amalgam Serbuk 65-75% 0 0 0 0 0 0.00
Simvastatin Tablet 10 mg 60 900 960 450 510 0.00
Sulfadiazine Tablet 500 mg 0 0 0 0 0 0.00
Tablet Tambah Darah 370 2000 2370 1345 2,100.00 1025 2,152,500.00
Taburia Multivitamin Anak 0 0 0 0 0 0.00
Tetracycline HCl Kapsul 250 mg 0 0 0 0 0 0.00
Tetracycline HCl Tablet 500 mg 0 0 0 0 0 0.00
Thiamin HCl (Vit.B1) Injeksi 100 mg /mL - 1 mL 0 0 0 0 0 0.00
Thiamin HCl/Mononitrat (Vit.B1) Tablet 50 mg 1000 1000 2000 0 77.75 2000 155,500.00
Tramadol Injeksi 50 mg/mL 30 10 40 20 20 0.00
Tramadol Tablet 50 mg 0 0 0 0 0 0.00
Triheksifenidil Hidroklorida Tablet 2 mg 0 0 0 0 0 0.00
Vaksin Rabies Vero (VAR) 0 0 0 0 0 0.00
Vitamin B Complex Tablet 800 6700 7500 6500 110.00 1000 110,000.00
Zinc tablet 20 mg 400 1100 1500 600 497.00 900 447,300.00
Alat Kesehatan/Reagen
Abbocath No.18 0 0 0 0 0 0.00
Abbocath No.22 120 250 370 250 8,176.00 120 981,120.00
Abbocath No.24 65 200 265 125 140 0.00
Alat Suntik Sekali Pakai 0,5 mL 0 0 0 0 0 0.00
Alat Suntik Sekali Pakai 1 mL 2550 300 2850 0 2850 0.00
Alat Suntik Sekali Pakai 2,5 mL 0 1400 1400 990 1,038.00 410 425,580.00
Alat Suntik Sekali Pakai 5 mL 0 0 0 0 0 0.00
Alat Suntik Sekali Pakai 10 mL 0 0 0 0 0 0.00
Bidan Kit 0 0 0 0 0 0.00
Cat Gut 3/0 0 0 0 0 0 0.00
Face Masker 150 500 650 350 701.80 300 210,540.00
Folley Catheter No.14 0 0 0 0 0 0.00
Folley Catheter No.18 10 0 10 0 10 0.00
Infus Set Anak 0 125 125 125 4,000.00 0 0.00
Infus Set Dewasa 0 0 0 0 0 0.00
Jarum Jahit Bedah No.12 8 20 28 7 39,930.00 21 838,530.00
Kantong Darah 0 0 0 0 0 0.00
Kantong Urin Dewasa (Urine Bag) 0 0 0 0 0 0.00
Kassa Pembalut Elastis 4 inchi 0 0 0 0 0 0.00
Kapas Pembalut / Absorben 250 mg 7 10 17 10 7 0.00
Kassa Pembalut Hidrofil 4 m x 3 cm 0 0 0 0 0 0.00
Kassa Pembalut Hidrofil 4 m x 15 cm 300 900 1200 700 1,452.00 500 726,000.00
Kontrasepsi Implant, Susuk KB II / Levonegestrel 75 mg 0 0 0 0 0 0.00
Lisol/Protektor 10 12 22 12 10 0.00
Object Glass (Kaca Slide) 0 0 0 0 0 0.00
Plester 2 yard x 2 inchi 0 0 0 0 0 0.00
Plester 5 yard x 2 inchi 11 54 65 33 23,625.00 32 756,000.00
Pot Sputum 0 0 0 0 0 0.00
Rak Pewarnaan 0 0 0 0 0 0.00
Rapid Test Untuk HIV 0 0 0 0 0 0.00
Rapid Test Untuk Siphilis 0 0 0 0 0 0.00
Reagensia & Bahan Alat Laboratorium Malaria 0 0 0 0 0 0.00
Reagensia TB Indo 0 0 0 0 0 0.00
Safety Box 0 0 0 0 0 0.00
Sarung Tangan Steril No.7 50 450 500 200 4,900.00 300 1,470,000.00
Sarung Tangan Steril No.7,5 200 200 400 50 350 0.00
Silk (Benang Bedah Sutera) 0 10 10 2 8 0.00
Sound Timer + Baterai + CD 0 0 0 0 0 0.00
Transfusion Set 0 0 0 0 0 0.00
Urin Strip Untuk Pemeriksaan Protein & Gula 0 0 0 0 0 0.00
JUMLAH 14,964,362.60

Koto Baru, Agustus 2016

Kepala Puskesmas Koto Baru Pengurus Barang

GUSNAIDI, SE RAHMAT HIDAYAT,Am.Kep

NIP 196508281988031003 NIP 198701212013011001