LAPORAN PEMAKAIAN DAN LE

PEMBERIAN DARI U
PUSKESMAS : PUSKESMAS MARTAPURA 2
KECAMATAN : MARTAPURA
KABUPATEN/KOTA : KABUPATEN BANJAR
PROVINSI : KALIMANTAN SELATAN

NO. NAMA OBAT SATUAN KEMASAN HARGA SATUAN

GENERIK (144)

1 ALBENDAZOLE SUSPENSI 200 MG/5 ML 1 Kotak 4600

2 ALOPURINOL TABLET 100 MG 1 Tablet 99

3 ALOPURINOL TABLET 300 MG 1 Tablet 216

4 AMITRIPTILIN HCL TABLET SALUT 25 MG 1 Tablet 123

5 AMLODIPIN 10 MG TABLET 1 Tablet 95

6 AMLODIPIN 5 MG TABLET 1 Tablet 76

7 AMOKSISILIN KAPLET 500 MG 1 Tablet 233

8 AMOKSISILIN SIRUP KERING 125 MG/5 ML- 6O ML 1 Botol 2200

9 ANTASIDA DOEN SUSPENSI 1 Botol 2098

10 ANTASIDA DOEN TABLET KUNYAH 1 Tablet 56

11 ANTI HEMAROID SUPOSITORIA 1 Supp 3642

12 ASAM ASETILSALISILAT 100 MG (ASETOSAL) 1 Tablet 153

13 ASAM ASKORBAT (VIT C) TABLET 50 MG (2018) 1 Tablet 120

14 ASAM MEFENAMAT TABLET 500 MG 1 Tablet 103

15 ASIKLOVIR 200 MG TABLET 1 Tablet 236

16 ASIKLOVIR 400 MG TABLET 1 Tablet 425

17 ATAPULGIT TABLET 600 MG (NEW DIATES) 1 Tablet 149

18 ANTI BAKTERI DOEN SALEP KOMBINASI (BASITRAC 1 Tube 3490

19 ANTI FUNGI DOEN SALEP KOMBINASI 1 Tube 5170

20 AQUA PRO INJEKSI 1 Vial 2860

21 BETAHISTINE TABLET 1 Tablet 119

22 BETAMETASON KRIM 0.1 %- 5 MG 1 Tube 1373

23 BISAKODIL TABLET 5 MG 1 Tablet 316

24 BISOPROLOL 5 MG TABLET 1 Tablet 248

25 CETRIZINE SIRUP 5 MG/5 ML 1 Botol 3061

26 CETRIZINE TABLET 10 MG 1 Tablet 97

27 CLOZAPINE 25 MG 1 Tablet 1121

28 DEKSAMETASON INJ 5 MG/ML-1ML 1 Ampul 1210

29 DIAZEPAM INJEKSI 5 MG / ML 1 Ampul 4598

30 DIAZEPAM LARUTAN REKTAL 5 MG/2,5 ML (STESOL 1 Tube 14459

31 DIFENHIDRAMIN HCL INJEKSI 10 MG/ML - 1 ML 1 Ampul 1262

32 DIGOKSIN TABLET 0,25 MG 1 Tablet 103

33 DIMENHIDRINAT TABLET 50 MG 1 Tablet 121

34 DOMPERIDONE SUSPENSI 5 MG/5 ML 1 Botol 3490

35 DOMPERIDONE TABLET 10 MG 1 Tablet 90

36 DULCOLAX SUPP INFANT (BISAKODIL SUPP 5MG) 1 Supp 6000

37 EPINEPRIN HCL/BITARTRAT(ADRENALINA)INJ 0,1% 1 Ampul 1518

38 ERYTHROMICIN 500MG TABLET 1 Tablet 781

39 ERYTHROMICIN SIRUP 200 MG / 5 ML 1 Botol 6390

40 FENOBARBITAL INJEKSI 50 MG/ML-2ML 1 Ampul 1980

41 FENOBARBITAL TABLET 30 MG 1 Tablet 197

42 FITOMENADION (VIT.K1) INJEKSI 2 MG/-1ML 1 Ampul 4236

43 FITOMENADION (VIT.K1) TABLET SALUT 10 MG 1 Tablet 818

44 FUROSEMIDE 40 MG TABLET 1 Tablet 79

45 GARAM ORALIT UTK 200 ML AIR 1 Sachet 263

46 GENTAMISIN TETES MATA 0,3% 1 Botol 4885

47 GLIBENKLAMIDA TABLET 5 MG 1 Tablet 137

48 GLIMEPIRIDE 2MG TABLET (2017) 1 Tablet 296

49 GLIMEPIRIDE 4MG TABLET 1 Tablet 273

50 GLUKOSA LARUTAN INFUS 5 % STERIL 500 ML 1 Botol 6900

51 GRISEOFULVIN TABLET 125 MG,MICRONIZED 1 Tablet 223

52 HALOPERIDOL TABLET 1,5 MG 1 Tablet 76

53 HALOPERIDOL TABLET 5 MG 1 Tablet 105

54 HIDROKLOROTIAZID 25 MG (HCT) TABLET (2017) 1 Tablet 171

55 HIDROKORTISON KRIM 2,5% 1 Tube 2533

56 IBUPROFEN SIRUP 100MG/5ML 1 Botol 2560

57 IBUPROFEN TABLET 200 MG 1 Tablet 112

58 ISOSORBID DINITRAT TABLET SUBLINGUAL 5 MG 1 Tablet 98

59 KALSIUM LAKTAT (KALK) TABLET 500 MG 1 Tablet 59

60 KAPTOPRIL 12,5 MG TABLET 1 Tablet 65

61 KAPTOPRIL 25 MG TABLET 1 Tablet 80

62 KARBAMAZEPIN TABLET 200 MG 1 Tablet 234

63 KARBOGLISERIN TETES TELINGA 10% (FENOL TT) 1 Tube 2590

64 KETOKONAZOLE 200 MG TABLET 1 Tablet 286

65 KETOKONAZOLE CREAM 2% 1 Tube 2577

66 KLINDAMISIN KAPSUL 150 MG 1 Kapsul 754

67 KLINDAMISIN KAPSUL 300 MG 1 Kapsul 660

68 KLORAMFENIKOL KAPSUL 500 MG 1 Kapsul 1254

69 KLORAMFENIKOL SALEP MATA 1 % 1 Tube 1925

70 KLORAMFENIKOL TETES MATA 0,5% 1 Tube 3850

71 KLORAMFENIKOL SUSPENSI 125 MG / 5 ML 1 Botol 5319

72 KLORFENIRAMIN MALEAT (CTM) TABLET 4 MG 1 Tablet 45

73 KLORPROMAZIN HCL TABLET SALUT 100 MG (2018) 1 Tablet 170

74 KLORPROMAZINE HCL TABLET SALUT 25 MG (2017 1 Tablet 170

75 KOTRIMOKSAZOL SIRUP 240 MG/5 ML 1 Botol 2052

76 KOTRIMOKSAZOL TABLET KOMBINASI 480 MG 1 Tablet 125

77 LANZOPRAZOLE 30 MG 1 Kapsul 330

78 LIDOKAIN INJEKSI 2% (HCL) + EPINEPRIN 2 ML (201 1 Ampul 2122

79 LORATADINE TABLET 1 Tablet 127

80 METFORMINE HCL TABLET 500 MG 1 Tablet 102

81 METFORMINE HCL TABLET 850 MG 1 Tablet 167

82 METILPREDNISOLON 4 MG TABLET 1 Tablet 139

83 METILERGOMETRIN MALEAT TABLET SALUT 0,125M 1 Tablet Salut 243

84 METOCLOPRAMIDE SIRUP 5MG/ML (LEXAPRAM) 1 Botol 2750

85 METOKLOPRAMIDE TABLET 10 MG 1 Tablet 83

86 METRONIDAZOL 125 MG/ 5 ML SYRUP 1 Botol 3950

87 METRONIDAZOL TABLET 250 MG 1 Tablet 116

88 METRONIDAZOL TABLET 500 MG 1 Tablet 140

89 MICONAZOLE KRIM /SALEP 2 % ( NITRAT ) 1 Tube 3926

90 N-ASETIL SISTEIN 200 MG TABLET 1 Kapsul 412

91 NATRIUM DIKLOFENAK TABLET 50 MG 1 Tablet 136

92 NATRIUM KLORIDA LARUTAN INFUS 0,9 STERIL 500 1 Botol 6410

93 NIFEDIPIN TABLET 10 MG 1 Tablet 123

94 NISTATIN TABLET SALUT 500.000 IU 1 Tablet Salut 910

95 NISTATIN TABLET VAGINAL 100.000 IU/G 1 Tablet Vaginal 645

96 PARASETAMOL DROPS 1 Botol 7646

97 PARASETAMOL SIRUP 120 MG/5 ML 1 Botol 1160

98 PARASETAMOL TABLET 500 MG 1 Tablet 60

99 PERMETRIN KRIM 5% (SCABIMITE CREAM 10 G) 1 Tube 11825

100 PIRANTEL TABLET SCORE (BASE) 125 MG 1 Tablet 318

101 PIRIDOKSIN (VITAMIN B6) TABLET 1 Tablet 141

102 PREDNISON TABLET 5 MG 1 Tablet 74

103 RANITIDIN INJEKSI 25 MG/ 2 ML 1 Ampul 1155

104 RANITIDIN TABLET l50 MG 1 Tablet 122

105 RINGER LAKTAT LARUTAN INFUS STERIL- 500 ML 1 Botol 7150

106 SALBUTAMOL CAIRAN IH 0,1% (NEBULIZER) 1 Botol 4550

107 SALBUTAMOL TABLET 2 MG 1 Tablet 64

108 SALBUTAMOL TABLET 4 MG 1 Tablet 77

109 SALEP 2 - 4 KOMBINASI 1 Pot 3017

110 SALISIL BEDAK 2 %- 50 G 1 Pcs 1066

111 SEFADROKSIL KAPSUL 500 MG 1 Kapsul 492

112 SEFADROKSIL SYRUP 125 MG / 5 ML 1 Botol 4360

113 SIANOKOBALAMIN (VIT B12) INJEKSI 500 MCG 1 Ampul 1226

114 SIANOKOBALAMIN (VIT B12) TABLET 50 MCG 1 Tablet 63

115 SIMVASTATIN 10 MG TABLET 1 Tablet 110

116 SIPROFLAKSASIN TABLET 500 MG 1 Tablet 281

117 THIAMIN HCL MONONITRAT (VIT.B1) TABLET 50 MG 1 Tablet 88

118 TRIHEKSIFENIDIL HIDROKLORIDA TABLET 2 MG 1 Tablet 95

119 TRIFLUOPERAZINE DIHYDROCHLORIDE TABLET 5 1 Tablet 309

120 VITAMIN B KOMPLEKS TABLET 1 Tablet 135

121 ZINC DISPERSIBLE 20 MG TABLET 1 Tablet 604

122 ZINC D SIRUP 20MG/ML (ZIRCUM KID) 1 Botol 6500

123 DEKSAMETASON TABLET 0,5 MG (2018) 1 Tablet 34

124 GLIMEPIRIDE 2MG TABLET (2018) 1 Tablet 207

125 BETAMETASON KRIM 0.1 %- 5 MG (2019) 1 Tube 1373

126 SIANOKOBALAMIN (VIT B12) TABLET 50 MCG (2019) 1 Tablet 49

127 ASAM ASKORBAT (VIT C) TABLET 50 MG (2019) 1 Tablet 120

128 VITAMIN B KOMPLEKS TABLET (2019) 1 Tablet 135

129 OKSITETRASIKLIN SALEP MATA 1% 3,5 ML (2019) 1 Tube 2600

130 AMOKSISILIN KAPLET 500 MG (2019) 1 Tablet 248

131 KOTRIMOKSAZOL SIRUP 240 MG/5 ML (2019) 1 Botol 2052

132 DOMPERIDONE TABLET 10 MG (2019) 1 Tablet 90

133 FITOMENADION (VIT.K1) TABLET SALUT 10 MG (201 1 Tablet 818

134 HALOPERIDOL 1,5 MG (2019) 1 Tablet 59

135 ASAM TRANEKSAMAT 500MG 1 Tablet 1784

136 KAPTOPRIL 12,5MG (2019) 1 Tablet 65

137 ANTASIDA DOEN TABLET KUNYAH(2019) 1 Tablet 56

138 CETIRIZINE TABLET (2019) 1 Tablet 104

139 KALK TABLET (2019) 1 Tablet 59

140 PREDNISONE 5 MG TABLET (2019) 1 Tablet 79

141 AMOKSISILIN SIRUP KERING 250MG/5ML 1 Botol 3846

142 SEFADROKSIL 500MG KAPSUL (2019) 1 Kapsul 920

143 IBUPROFEN 200MG TABLET (2019) 1 Tablet 185

144 ASAM MEFENAMAT TABLET 500 MG (2019) 1 Tablet 300

OBAT PENUNJANG (29)

145 AMBROXOL SIRUP 15 MG/ML 1 Botol 3003

146 AMBROXOL TABLET 30 MG 1 Tablet 99

147 ANTI MIGRAIN (ERGOTAMINE TARTRAT) TABLET 1 Tablet 134

148 ASAM TRANEKSAMAT 500 MG (NEXITRA) 1 Tablet 1540

149 ASIKLOVIR KRIM 5% 1 Tube 3498

150 ALBOTYL CONCENTRAT (POLIKRESOLEN 360 MG/G)) 1 Botol 34000

151 DIAZEPAM 2 MG TABLET (2017) 1 Tablet 50

152 GENTAMISIN SALEP KULIT 0,1% 1 Tube 2354

153 GENTIAN VIOLET 1% 10 ML 1 Botol 3850

154 GLICERYL GUAIKOLAT TABLET 100 MG / GUAIFENI 1 Tablet 80

155 HYOSCINE-N- BUTILBROMIDE 10 mg TABLET 1 Tablet 1953

156 KLORAMFENIKOL 250 MG KAPSUL 1 Kapsul 1200

157 KLORAMFENIKOL TETES MATA 0,5% (RECO) (2016) 1 Botol 7600

158 LOPERAMIDE TABLET 2 MG (NOVADIUM) 1 Tablet 120

159 MELOXICAM 15 MG TABLET 1 Tablet 704

160 MULTIVITAMIN SIRUP ANAK (TRUVIT) 1 Botol 14003

161 MULTIVITAMIN TABLET (LIVRON B PLEX) 1 Tablet 275

162 OBAT TAMBAH DARAH KOMBINASI (FONDAZEN/NO 1 Tablet 185

163 OBH SIRUP 1 Botol 3091

164 OKSITETRASIKLIN SALEP KULIT 1 Tube 2255

165 PAPAVERIN TABLET 1 Tablet 330

166 PEHACAIN INJEKSI 1 Ampul 3424

167 PERAK SULFADIAZIN KRIM 1% (BURNAZIN CREAM) 1 Tube 48950

168 SIRUP FLU ANAK KOMBINASI 1 Botol 8195

169 SIRUP TAMBAH DARAH ANAK (SUPRABION) 1 Botol 7750

170 TABLET FLU (MASFLU) 1 Tablet 297

171 THIAMFENIKOL 500 MG KAPSUL 1 Tablet 800

172 VITAMIN NEUROTROPIK TABLET 1 Tablet 385

173 ASIKLOVIR KRIM 5% (2019) 1 Tube 3520

BAKHP (36)

174 ALAT SUNTIK SEKALI PAKAI 1 ML 1 Pcs 683

175 ALAT SUNTIK SEKALI PAKAI 2,5 ML + 3 ML 1 Pcs 683

176 ALAT SUNTIK SEKALI PAKAI 5 ML 1 Pcs 788

177 ALAT SUNTIK 10 ML (2018) 1 Pcs 971

178 ALKOHOL 70% 1 Botol 26250

179 ASEPTAN LIQUID + DISPENSER 1 Botol 36225

180 ASEPTIC GEL + DISPENSER 1 Botol 23100

181 CATGUT BEDAH NO. 3/0 + JARUM 1/2 GT 35 MM 24 ( 1 Kotak 5863

182 HANDSCOON (PF SEFAGLOVE NO. 7,5/7/6) STERIL 1 Pcs 4389

183 HANDSCOON (SEFAGLOVE) NON STERIL UK.S & M 1 Pcs 374

184 INFUSET ANAK 1 Set 3675

185 INFUSET DEWASA 1 Set 3360

186 IV CATHETER NO. 22 G 1 Pcs 3990

187 IV CATHETER NO. 24 G 1 Pcs 3990

188 KAPAS PEMBALUT / ABSORBEN 250 GRAM 1 Pcs 13125

189 KASA HYDROPIL STERIL 16 X 16 1 Kotak 8400

190 KASA PEMBALUT HIDROFIL 4 M X 10 CM (2011) 1 Roll 668

191 KASA PEMBALUT HIDROFIL 4 M X 5 CM 1 Roll 863

192 MASKER 1 Pcs 347

193 MASKER HIJAB (U/LAB) 1 Pcs 462

194 PHARMAFIX 5 X 500 CM 1 Roll 24948

195 POLLY CATETER 2 WAY N0. 16 1 Pcs 9200

196 POLLY CATETER 2 WAY N0. 18 1 Pcs 8400

197 POVIDON IODIDA LARUTAN 10 % 30 ML 1 Botol 3045

198 POVIDON IODIDA LARUTAN 10 % 60 ML 1 Botol 6700

199 POVIDON IODIDA LARUTAN 10 % 300 ML 1 Botol 18900

200 RIVANOL (2018) 1 Botol 3150

201 SILK (Benang Bedah Sutera No. 2/0 + Jarum) (2017) 1 Pcs 3514

202 UNDERPAD STERIL 60 X 90 CM 1 Pcs 8007

203 NEEDLE TERUMO 22 G 1 Pcs 330

204 NEEDLE TERUMO 25 G 1 Pcs 330

205 KASA HYDROPIL STERIL 40 x 80 CM 1 Roll 110250

206 KASA PEMBALUT HIDROFIL 4 M X 10 CM (2012) 1 Roll 667

207 HANDSCOON (SEFAGLOVE) NON STERIL UK.S,M,L ( 1 Pcs 374

208 ASEPTIC GEL + DISPENSER (2019) 1 Botol 23100

209 POLLY CATETER 2 WAY NO.18 (2019) 1 Pcs 9200

GENERIK BUFFER (6)

210 AMLODIPIN 5 MG 1 Tablet 76

211 FLUOXETIN TABLET 20MG (ELIZAC) 1 Tablet 668

212 RISPERIDON TABLET 2 MG 1 Tablet 347

213 ERYTROMICIN 500 MG 1 Tablet 781

214 PIRANTEL 125MG (2019) 1 Tablet 353

215 PARASETAMOL TABLET 500 MG 1 Tablet 184

BAKHP BUFFER (3)

216 BISTURI (Pisau Bedah) 1 Pcs 700

217 KAPAS PEMBALUT 250 GR (2018) 1 Pcs 28500

218 NEEDLE 25G 1 Pcs 203

OBAT GIGI (8)

219 ETIL KLORIDA SPRAY 100 ML 1 Vial 350000

220 EUGENOL CAIRAN 10 ML 1 Botol 148500

221 GLASS IONOMER CEMENT (FUJI GC IX) 1 Kotak 828850

222 SEMEN SENG FOSFAT SERBUK DAN CAIRAN- 30 G 1 Botol 245025

223 TAMBALAN SEMENTARA, premix (CAVIT-W) 1 Cup 128895

224 TAMBALAN SEMENTARA, premix (CAVITON) 1 Cup 230175

225 GLASS IONOMER CEMENT (FUJI GC IX) (2019) 1 Botol 574200

226 TAMBALAN SEMENTARA, premix (CAVITON) (2019) 1 Cup 207900

REAGEN (19)

227 BLOOD LANCETS 1 Pcs 168

228 DENGUE NS1 1 Pcs 61000

229 LARUTAN H2O2 1 Botol 18800

230 ONE CLEAN 1 Botol 17424

231 ONE SCRUB 500CC 1 Botol 75000

232 REAGEN GOLONGAN DARAH ANTI A 1 Set 62000

233 REAGEN GOLONGAN DARAH ANTI B 1 Set 62000

234 REAGEN DIRUI DILLUENT 1 Botol 1815000

235 REAGEN DIRUI LYSE 1 Botol 2750000

236 REAGEN DIRUI CLEANSER 1 Botol 2420000

237 STIK PEMERIKSAAN ASAM URAT 1 Pcs 5168

238 STIK PEMERIKSAAN KOLESTEROL 1 Pcs 23433

239 STIK PEMERIKSAAN TRIGLISERIDA (TG) 1 Pcs 37600

240 TABUNG VACUTAINER UNGU 1 Tabung 1730

241 ALKOHOL SWABB (2019) 1 Pcs 110

242 STIK KOLESTEROL (2019) 1 Pcs 25300

243 STIK ASAM URAT (2019) 1 Pcs 6120

244 BLOOD LANCED/AXIMED LANCED (2019) 1 Pcs 101

245 TABUNG VACUTAINER UNGU (2019) 1 Tube 1691

P2 (1)

246 FENOBARBITAL INJEKSI 1 Ampul 2265

JUMLAH

UMUM
BAYAR PKD-G
JUMLAH KUNJUNGAN RESEP

Mengetahui/Menyetujui Yang Menyerahkan :

Kabid Yankes Dinkes Kab Banjar Kepala UPT Instalasi Farmasi Kesehatan

Dedi Kurniadi, SKM, MM Arief Rachman, S.Si, Apt, M.MKes

NIP. 196609091990031013 NIP. 198105012005011012
MAKAIAN DAN LEMBAR PERMINTAAN OBAT (LPLPO)
MBERIAN DARI UPT INSTALASI FARMASI
BULAN
TAHUN

PEMBERIAN PERENCANAAN
PERMINTAAN
JUMLAH TOTAL HARGA SISA STOK PERENCANAAN TOTAL 1 TAHUN

0 0 0 20 20

1200 1200 118800 8100 9300

500 0 0 -20 -20

200 0 0 600 600

500 900 85500 5900 6800

1000 0 0 15100 15100

1000 0 0 18000 18000

50 0 0 900 900

0 0 0 800 800

1500 0 0 31000 31000

30 30 109260 -30

100 0 0 300 300

0 0 0 20400 20400

800 0 0 18200 18200

0 0 0 0

500 800 340000 200 1000

300 300 44700 1900 2200

48 0 0 125 125

0 0 0 192 192
 10 10 28600 70 80

200 200 23800 1200 1400

48 0 0 300 300

40 0 0 0

0 0 0 100 100

0 0 0 370 370

800 0 0 7900 7900

300 300 336300 4700 5000

0 0 0 30 30

0 0 0 1 1

0 0 0 5 5

0 0 0 5 5

0 0 0 100 100

0 0 0 1500 1500

0 0 0 380 380

100 0 0 2500 2500

30 30 180000 -18 12

0 0 0 5 5

100 0 0 300 300

0 0 0 10 10

0 2 3960 -2

400 200 39400 3600 3800

0 0 0 90 90

300 0 0 1300 1300

100 0 0 0

0 0 0 4700 4700

24 24 117240 216 240

 0 0 0 100 100

0 800 236800 -800

200 200 54600 -100 100

0 0 0 0

0 0 0 3000 3000

500 0 0 3700 3700

500 0 0 3000 3000

0 0 0 400 400

0 0 0 400 400

10 0 0 40 40

800 0 0 1500 1500

0 0 0 100 100

1000 0 0 17300 17300

1000 0 0 7400 7400

1000 0 0 7400 7400

0 0 0 400 400

0 0 0 336 336

0 0 0 200 200

0 0 0 150 150

300 0 0 0

300 0 0 1500 1500

0 0 0 200 200

0 0 0 0

24 0 0 150 150

0 0 0 160 160

0 0 0 38500 38500

0 0 0 4300 4300
 100 0 0 200 200

20 0 0 160 160

0 0 0 2900 2900

0 0 0 4600 4600

0 0 0 140 140

0 0 0 4500 4500

800 800 81600 9100 9900

0 0 0 1600 1600

0 0 0 8500 8500

100 100 24300 200 300

0 0 0 0

300 300 24900 900 1200

2 2 7900 28 30

200 0 0 900 900

500 0 0 1400 1400

48 48 188448 432 480

900 900 370800 8800 9700

1000 1000 136000 15400 16400

0 0 0 35 35

0 0 0 -100 -100

0 0 0 0

0 0 0 0

112 112 856352 1008 1120

100 100 116000 1200 1300

2500 0 0 76000 76000

30 0 0 80 80

40 0 0 70 70
1000 1000 141000 16000 17000

300 0 0 1300 1300

0 0 0 2 2

0 0 0 15700 15700

0 0 0 130 130

0 0 0 0

0 0 0 4200 4200

0 0 0 0

0 0 0 408 408

0 0 0 -40 -40

500 0 0 7700 7700

0 0 0 180 180

0 0 0 0

500 0 0 17000 17000

1500 1500 165000 9200 10700

300 0 0 1000 1000

1500 1500 132000 17600 19100

400 400 38000 4000 4400

0 0 0 0

1000 0 0 38000 38000

0 0 0 2000 2000

0 0 0 378 378

2500 0 0 0

800 0 0 0

0 50 68650 -50

0 500 24500 -500

0 0 0 0
 0 1000 135000 -1000

0 0 0 0

0 2200 545600 -2200

0 20 41040 -20

0 100 9000 -100

0 300 245400 -300

0 500 29500 -500

0 100 178400 -100

0 1000 65000 -1000

0 3000 168000 -3000

0 600 62400 -600

0 1000 59000 -1000

0 300 23700 -300

50 60 230760 -60

0 0 0 0

0 1000 185000 -1000

0 1800 540000 -1800

100 100 300300 350 450

1000 1000 99000 11400 12400

200 0 0 800 800

100 0 0 1600 1600

25 0 0 225 225

0 0 0 30 30

100 100 5000 -100

50 0 0 635 635

0 0 0 120 120
1500 1500 120000 18000 19500

200 0 0 2000 2000

100 0 0 600 600

24 0 0 168 168

300 0 0 2100 2100

500 0 0 2900 2900

60 0 0 280 280

1000 0 0 5000 5000

800 1000 185000 7500 8500

50 0 0 440 440

50 0 0 50 50

0 0 0 0

20 20 68480 260 280

5 0 0 11 11

50 48 393360 402 450

10 0 0 15 15

0 0 0 3300 3300

500 0 0 2900 2900

600 600 231000 9400 10000

0 24 84480 -24

0 0 0 500 500

300 300 204900 2300 2600

0 0 0 100 100

0 0 0 0

4 0 0 66 66

0 0 0 15 15
 3 0 0 32 32

0 0 0 96 96

0 0 0 100 100

500 0 0 8100 8100

0 0 0 7 7

20 20 67200 65 85

10 10 39900 90 100

0 0 0 40 40

3 0 0 40 40

30 30 252000 190 220

0 0 0 0

0 0 0 80 80

0 0 0 7550 7550

900 0 0 3000 3000

5 5 124740 40 45

0 0 0 8 8

1 0 0 9 9

5 5 15225 2 7

2 0 0 46 46

0 0 0 8 8

0 0 0 12 12

0 0 0 0

0 0 0 90 90

100 100 33000 -300 -200

100 0 0 1400 1400

0 0 0 11 11

0 0 0 80 80
0 500 187000 -500

0 3 69300 -3

0 1 9200 -1

0 2400 182400 -2400

0 0 0 0

0 0 0 0

0 100 78100 -100

0 100 35300 -100

0 5000 920000 -5000

0 0 0 0

0 3 85500 -3

0 100 20300 -100

5 2 700000 40 42

2 0 0 5 5

2 0 0 23 23

0 5 1225125 1 6

2 0 0 0

2 0 0 24 24

0 2 1148400 -2

0 2 415800 -2

3 0 0 7100 7100

0 0 0 375 375

2 0 0 0
 0 0 0 27 27

0 0 0 6 6

0 2 124000 -1 1

2 2 124000 -1 1

2 2 3630000 4 6

0 0 0 6 6

0 2 4840000 4 6

15 0 0 9000 9000

15 0 0 12050 12050

10 0 0 0

3 0 0 1500 1500

4 400 44000 -400

0 300 7590000 -300

0 1250 7650000 -1250

0 300 30300 -300

0 300 507300 -300

2 0 0 0
38451820

ASKES JUMLAH
PKD-G

Banjarbaru, 17 Desember 2019

nyerahkan : Yang Menerima / Melapor : Yang Menerima :
asi Farmasi Kesehatan Kepala Puskesmas Martapura 2 Petugas Puskesmas Martapura 2

S.Si, Apt, M.MKes Marzuki,SKM Dinna Fitria K, S.Far, Apt

5012005011012 NIP. 19761103 199603 1 002 NIP. 19850213 200904 2 004
: DESEMBER
: 2019

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200904 2 004