STOK OP SEPTEMBER 2022 REK Ipf

LAPORAN STOK OPNAME OBAT DAN PERBEKALAN FARMASI
UPTD PUSKESMAS BRINGIN

PER 30 SEPTEMBER 2022
NO. REK : 15.01.5.2.2.01.10
Nama Obat / Perbekalan Farmasi Katalog Kemasan Harga satuan (Rp) Jumlah Jumlah harga (Rp)
2 3 4 5 6 7
Alat Suntik Pakai 3 ml pcs 1,137.99 7 7,965.93

Alat Suntik Sekali Pakai 1 ml Tuberculin pcs 1,429.98 30 42,899.40
Alat Suntik Pakai 5 ml pcs 1,599.98 41 65,599.18
Alat Suntik Pakai 10 ml pcs 925.00 212 196,100.00
Bisturi pak ( isi 100) 279,000.00 3 837,000.00
Catgut chromic 3/0 75 cm 37 mm box 345,000.00 1 345,000.00
cover glass box 14,460.50 1 14,460.50
Foley catheter 16 pcs 10,340.00 6 62,040.00
Foley catheter 18 pcs 10,890.00 1 10,890.00
Lancet pcs 120.00 400 48,000.00
Needle 23G x 11/2 safety Flashback box 204,166.60 4 816,666.40
Needle 23 G X 32 MM pcs 310.99 83 25,812.17
Needle 18 G X 38 mm pcs 310.98 14 4,353.72
objek glass box isi 72 17,604.00 12 211,248.00
plester (Hansaplast) roll 35,000.00 2 70,000.00
IV catheter 18 pcs 8,750.00 17 148,750.00
IV catheter 20 pcs 8,750.00 17 148,750.00
IV catheter 22 pcs 8,750.00 233 2,038,750.00
IV catheter 24 pcs 8,750.00 509 4,453,750.00
Kasa pembalut hidrofil 4x15 roll 2,361.00 28 66,108.00
Kapas Pembalut Hastamed 250 gr roll 14,996.99 7 104,978.93
Masker N95 PCS 13,200.00 20 264,000.00
Masker Nebul Anak pcs 16,000.00 2 32,000.00
Masker Oksigen Anak pcs 23,650.00 27 638,550.00
Infuset anak pcs 8,399.60 200 1,679,920.00
Infus set dewasa pcs 8,399.60 75 629,970.00
Transfusi set pcs 5,519.99 10 55,199.90
Urin Bag pcs 5,500.00 15 82,500.00
JUMLAH 13,101,262.13
Mengetahui Bringin , 30 September 2022

Kepala Puskesmas Bringin Pengelola Obat UPTD Puskesmas Bringin
dr. Bagus Panuntun Sukma Adi Karina Parahita. S.Farm.Apt

NIP. 19830822 201001 1 021 NIP. 19920211 201902 2 002
NO. REK : 15.01.5.2.2.02.04
2 3 4 5 6 7
Antiinfluenza/nichofed Tablet 699.99 5,029 3,520,249.71

Anti diare tablet / Molagit Tablet 299.99 2,736 820,772.64
Aqua pro injeksi (otsu) ampul 2,860.00 173 494,780.00
Asiklovir 200 mg Tablet 236.00 67 15,812.00
Asiklovir 400 mg tablet 404.99 2510 1,016,524.90
Atropin injeksi ampul 1,639.00 5 8,195.00
Betadine Kumur botol 25,542.00 3 76,626.00
Dimenhidrinat 50 mg tablet 111.99 136 15,230.64
Dimenhidrinat 50 mg Tablet 105.00 27 2,835.00
Diazepam injeksi ( Stesolid ) ampul 1,735.03 13 22,555.39
Diazepam rectal ( Stesolid ) 5 mg tube 12,573.00 13 163,449.00
fenobarbital tab tablet 170.99 100 17,099.00
fenobarbital tab tablet 170.99 550 94,044.50
Fenobarbital inj ampul 1,982.02 15 29,730.30
Gentamicin salep mata tube 2,675.00 1 2,675.00
Gentamicin tetes mata botol 4,232.00 22 93,104.00
Hiosina N Butil Bromida injeksi/spashi ampul 9,900.00 22 217,800.00
Hiosina N Butil Bromida tablet tablet 1,552.32 199 308,911.68
Hiosina N Butil Bromida tablet tablet 1,870.00 23 43,010.00
Kalsium laktat/ Kalk Tablet 63.00 60 3,780.00
ketoconazole cream tube 2,518.00 37 93,166.00
Kloramfenikol 1% salep mata tube 2,007.00 2 4,014.00
Kloramfenikol tetes telinga RECO botol 7,370.00 14 103,180.00
Kotrimoksazole suspensi botol 2,190.00 1 2,190.00
Lidocain + epinefrin ampul 1,228.99 153 188,035.47
Loratadine tablet 123.00 263 32,349.00
LOratadine Tablet 123.00 700 86,100.00
Meloksikam 7,5 mg tablet 266.42 20 5,328.40
Metil ergometrin inj ampul 2,959.00 11 32,549.00
Mikonazol cream tube 3,413.30 18 61,439.40
Multivitamin tab caviplex tablet 605.00 10 6,050.00
MgSO4 20% ampul 3,327.50 3 9,982.50
Natrium klorida infus botol 6,410.00 24 153,840.00
nistatin tablet salut 500.000 Tablet 843.00 100 84,300.00
oksitosin injeksi ampul 1,199.00 89 106,711.00
Propanolol tablet 58.00 100 5,800.00
PCT infus flash 12,389.00 45 557,505.00
RL infus MJB botol 7,629.60 10 76,296.00
RL (SANBE) softbag 7,630.00 42 320,460.00
RL botol 7,629.99 123 938,488.77
Ranitidin tab tablet 214.51 1,194 256,124.94
Salbutamol 2 mg tablet 66.99 160 10,718.40
Salbutamol 2 mg tablet 67.00 1,373 91,991.00
Sediaan Mengandung Ekstrak Gratophyll kapsul 1,397.15 140 195,601.00
Sediaan Mengandung Ekstrak apii herba kapsul 2,126.66 5 10,633.30
2 3 4 5 6 7
vitamin B1 / Thiamin Tablet 165.00 100 16,500.00
vitamin B1 / Thiamin tablet 171.43 40 6,857.20
OBAT JIWA
Haloperidol 5 mg Tablet 60.00 45 2,700.00
Trihexyphenidil 2 mg Tablet 91.00 50 4,550.00
BAHAN MEDIS HABIS PAKAI

cairan cuci tangan tanpa bilas botol 78,750.10 2 157,500.20
Catgut chromic 3/0 75c 37 mm box 345,000.00 4 1,380,000.00
Infuset anak pcs 4,000.00 64 256,000.00
iv catheter (Otsucath) no 18 pcs 8,250.00 44 363,000.00
Kapas pembalut OM 250 gr roll 20,599.99 1 20,599.99
Masker nebul anak pcs 16,000.00 1 16,000.00
Masker N95 Respirator pcs 9,350.00 115 1,075,250.00
Nurse Cap pcs 462.00 100 46,200.00
Plester(Leukoplast) roll 37,371.00 2 74,742.00
Yodium Povidon Lart botol 25,215.00 1 25,215.00
Selang Oksigen (Stardec) Anak pcs 11,200.00 29 324,800.00
Shoe cover pasang 1,687.40 100 168,740.00
Sarung tangan Obsgyn M pasang 14,520.00 20 290,400.00
Sarung tangan Obsgyn S pasang 14,520.00 25 363,000.00
Sarung tangan Obsgyn L pasang 14,542.00 21 305,382.00
Silkam black 3/0 75cm pcs 25,600.00 1 25,600.00
Urine bag 2 Lt ( T Valve ) buah 3,000.00 3 9,000.00
Urine bag 2 Lt (nousmed) buah 5,877.00 4 23,508.00
JUMLAH 15,355,582.33
Mengetahui Bringin ,30 September 2022


NIP. 19830822 201001 1 021 NIP. 19920211 201902 2 002
SUMBER ANGGARAN : PROGRAM
2 3 4 5 6 7
Albendazole Tablet 380.00 10500 3,990,000.00

Ampisillin injeksi botol 8,237.00 7 57,659.00
ads 0,05 ml pcs 1,460.00 200 292,000.00
Diazepam injeksi ampul 1,545.00 90 139,050.00
Garam oralit sachet 274.00 3 822.00
Garam oralit sachet 274.00 398 109,052.00
Gentamisin injeksi ampul 3,355.00 90 301,950.00
MDT MB blister 40,128.00 23 922,944.00
Masker N95 DreamCan pcs 19,900.00 40 796,000.00
OAT KATEGORI 1 paket 416,696.00 1 416,696.00
Pot Dahak Steril pcs 2,728.00 140 381,920.00
pcs 300 2,428,200.00

Rapid 1 HIV (ViroCheck) 8,094
pcs 25 287,500.00
Rapid 2 HIV (Diagnostar) 11,500
HbSAg test 9,850 425 4,186,250.00
Tablet Tambah Darah Tablet 226.00 1771 400,246.00
Tablet Tambah Darah Tablet 226.00 11120 2,513,120.00
Tablet Tambah Darah Tablet 226.00 34500 7,797,000.00
Zink Tablet Tablet 524.00 80 41,920.00
Zink tablet Tablet 216.00 400 86,400.00
JUMLAH 25,148,729.00
Mengetahui Bringin ,30 September 2022

dr. Bagus Panuntun Sukma Adi Karina Parahita S.Farm.,Apt

NIP. 19830822 201001 1 021 NIP. 19920211 201902 2 002
SUMBER ANGGARAN : APBD1 / BUFER PROV
2 3 4 5 6 7
Antihemoroid supp supp 3,167.00 7 22169
Atropin ampul 1,639.00 12 19668
Baju Coverall (AE Ataka) pcs 190,000.00 18 3420000
Baju Coverall (Protect U) pcs 110,600.00 50 5530000
Cairan Cuci Tangan Bilas (Aiken) galon 4L 45,000.00 1 45000
Cairan Cuci Tangan tanpa Bilas (Anvir) galon 5L 106,000.00 1 106000
Ergotamin Caffeine tablet 185.00 104 19240
Favipiravir tablet 4,333.00 200 866600
Kapas Pembalut pcs 7,205.00 2 14410
Masker KN95 pcs 45,000.00 100 4500000
Masker KN95 jizhen pcs 40,000.00 60 2400000
Masker N95 (DreamCan pcs 76,000.00 100 7600000
Masker Telinga EVO pcs 3,000.00 250 750000
Oksitetrasiklin salep mata tube 3,500.00 30 105000
Parasetamol tablet 131.00 46 6026
Parasetamol sirup botol 1,181.00 120 141720
JUMLAH 25,545,833.00
Mengetahui Bringin, 30 September 2022


NIP. 19830822 201001 1 021 NIP. 19920211 201902 2 002
NO. REK : APBN 2020
No Nama Obat / Perbekalan Farmasi Kemasan Harga satuan (Rp) Jumlah Jumlah harga (Rp)
2 4 5 6 7
1 Albendazole tab 282.62 15,702 4,437,699.24
JUMLAH 4,437,699.24


NIP. 19830822 201001 1 021 NIP. 19920211 201902 2 002
K OPNAME OBAT DAN PERBEKALAN FARMASI
UPTD Puskesmas Bringin
Pemerintah Kabupaten Semarang
LAPORAN STOK OPNAME PER-REKENING
Kecamatan Bringin
Nomor Rekening: 1.02.02.2.01.17

Periode: September 2022
No Kode Nm Barang Satuan Harga Qty Total

22 2936 Dressing Penutup Luka (Ultrafix) Roll 30,000.00 3 90,000.00
62 3000 Kasa Pembalut Hidrofil 4x15cm (Hastamed) Roll 2,048.00 45 92,160.00
64 3002 Kasa Hidrofil 2m x 80 cm Pcs 7,930.00 48 380,640.00
108 3113 Masker Telinga (Earloop) Altamed Pcs 340.00 850 289,000.00
109 3114 Masker Hijab (Headloop) Altamed Pcs 340.00 1,200 408,000.00
110 3115 Handscoon L (Altamed) Pcs 1,070.00 300 321,000.00
121 3154 Folly Catteter No.16 Pcs 8,635.00 10 86,350.00
122 3155 Folly Catteter No.18 Pcs 8,987.00 35 314,545.00
123 3156 Masker Oksigen Dewasa (Forsch) Pcs 11,500.00 11 126,500.00
124 3157 Urin Bag (Forsch) Pcs 5,300.00 30 159,000.00
125 3158 Masker Nebul Anak Pcs 16,200.00 20 324,000.00
126 3159 Masker Nebul Dewasa (Forsch) Pcs 16,200.00 12 194,400.00
127 3160 Selang Oksigen (Nasal Cannula) L - Dewasa Pcs 6,400.00 8 51,200.00
130 3185 Infuset Dewasa (Otsu Y) Pcs 8,596.00 200 1,719,200.00
131 3191 Apron Long Sleeve Pcs 4,168.00 200 833,600.00
134 3194 Catgut Chromic 3/0 70c 19mm Box 248,669.00 2 497,338.00
135 3197 Catgut Chromic 2/0 90cm 36mm Box 807,840.00 6 4,847,040.00
136 3198 Alat suntik 1ml (Terumo) Pcs 1,361.00 148 201,428.00
137 3199 Alat Suntik 3ml (Terumo) Pcs 1,121.00 23 25,783.00
138 3200 Alat Suntik 5ml (Terumo) Pcs 1,467.92 400 587,168.00
139 3203 Dressing Penutup Luka (Pharmafix) Roll 61,050.00 1 61,050.00
140 3204 Silk 2/0 75CC 30M C (Silkam) Pcs 27,284.00 48 1,309,632.00
141 3205 Silk 3/0 75CC 30M C (Silkam) Pcs 27,284.00 49 1,336,916.00
143 3229 Alkohol 70% 5L Galon 112,350.00 1 112,350.00
147 3245 Rapid Tes HIV (SD Bioline) Pcs 11,322.00 60 679,320.00
148 3246 Reagen Syphilis (SD Bioline) Pcs 10,666.00 240 2,559,840.00
154 3258 Cairan Cuci Tangan Bilas (Pori Klin) 5L Galon 61,250.00 2 122,500.00
156 3261 Kasa Pembalut Hidrofil 4M X 15 Cm Roll 3,967.00 50 198,350.00
158 3269 Sarung Tangan Panjang (InTouch) No. 6,5 Pasang 7,186.36 80 574,908.80
159 3270 Sarung Tangan Panjang (InTouch) No. 7 Pasang 7,186.36 600 4,311,816.00
160 3271 Sarung Tangan Panjang (InTouch) No. 7,5 Pasang 7,186.36 150 1,077,954.00
163 3278 Nurse Cap Pcs 304.54 300 91,362.00
165 3299 Plester (Onemed) Roll 41,360.00 30 1,240,800.00
168 3302 Tabung Vacumtainer Plain 3 ml (Onemed) Pcs 800.00 200 160,000.00
169 3303 Alat Tes Kehamilan (Ultra One) Strip 1,900.00 9 17,100.00
170 3304 HB Hemoglobin Test (Mission) Strip 8,033.64 200 1,606,728.00
171 3312 Alkohol Swab (Altamed) Pcs 95.00 4,700 446,500.00
172 3313 Lancet (Onemed) Pcs 92.00 5,000 460,000.00
173 3314 Strip Gula (Gluco Dr) STRIP 1,736.16 150 260,424.00
176 3320 Golongan Darah Anti A Botol 115,500.00 4 462,000.00
178 3322 Golongan Darah Anti B Botol 115,500.00 3 346,500.00
179 3323 Golongan Darah Anti D Botol 205,000.00 1 205,000.00
184 3328 Rapid Tes HIV (Oncoprobe) Pcs 15,748.00 50 787,400.00
187 3339 Rapid Tes HIV (Intec) Pcs 14,740.00 100 1,474,000.00
189 3358 Alkohol Swab (Altamed) Pcs 95.00 591 56,145.00
190 3359 Framycetin Sulfate (Daryant Tulle) Lembar 25,000.00 51 1,275,000.00
192 3366 Handscoon M (Altamed) Pcs 1,050.00 100 105,000.00
193 3373 Selang Oksigen (Nasal Cannula) L - Dewasa Pcs 6,400.00 1 6,400.00
195 3381 Alkohol Swab (Altamed) Pcs 76.00 34,200 2,599,200.00
200 3386 Apron Pendek Pcs 1,849.10 150 277,365.00
201 3387 Plesterin Bulat Soft Pcs 389.34 3,860 1,502,852.40
202 3388 Alat Tes Kehamilan (Ultra One) Pcs 1,900.00 581 1,103,900.00
205 3392 Sarung Tangan Obgyn Steril (Onemed) Pasang 19,000.00 100 1,900,000.00
217 3433 Handscoon M (Super Gard) pcs 525.00 600 315,000.00
218 3434 Cairan Cuci Tangan Tanpa Bilas (Pori Klin) 5L Galon 143,000.00 13 1,859,000.00
219 3435 Cairan Cuci Tangan Bilas (Pori Klin) 5L Galon 5 L 67,375.00 2 134,750.00
221 3443 Masker Telinga (Earloop) MAS Pcs 360.00 1,300 468,000.00
225 3463 Masker Telinga (Headloop) Jilbab BAYMED pcs 360.00 5,500 1,980,000.00
237 3482 Masker Telinga (Headloop) Jilbab SAFELOCK Pcs 340.00 1,500 510,000.00
241 3574 Nurse Cap Pcs 335.00 200 67,000.00
242 3575 Apron Long Sleeve Pcs 4,585.00 50 229,250.00
245 3588 Kasa Pembalut Hidrofil 4M X 15 Cm Roll 2,408.00 100 240,800.00
246 3589 Alat suntik 1ml (Terumo) Pcs 1,434.87 300 430,461.00
247 3590 Alat Suntik 3 ml (Terumo) Pcs 1,267.00 490 620,830.00
249 3592 Kasa Hidrofil 2Mx80Cm Roll 10,358.00 210 2,175,180.00
250 3593 Alkohol 70% Botol (1 22,500.00 18 405,000.00
Liter)
251 3594 Alkohol 70% 5L Galon 5 L 117,700.00 6 706,200.00
252 3595 Iv. Catteter (Otsucath) No.18 Pcs 5,300.00 200 1,060,000.00
319 3681 Kapas 250gram Roll 15,296.00 5 76,480.00
322 3684 Selang Oksigen (Nasal Cannula) L - Adult Pcs 7,500.00 10 75,000.00
323 3701 Tabung K3EDTA 3ml (Vacusera) Pcs 1,413.00 100 141,300.00
324 3754 Alkohol Swab (Nushi) Box 18,500.00 368 6,808,000.00
325 3760 Rapid Tes HIV 1/2 (SD Bioline) Strip 11,425.00 270 3,084,750.00
326 3761 Rapid Tes Syphilis 3.0 (SD Bioline) Test 10,763.00 270 2,906,010.00
327 3762 Strip Gula ( Benecheck ) Box 160,000.00 247 39,520,000.00
328 3763 Lancet (ABN) Box 13,000.00 368 4,784,000.00
329 3764 Strip Gula ( On Call ) Box 150,000.00 88 13,200,000.00
330 3765 Strip Gula ( Gluco Dr ) Box 87,500.00 200 17,500,000.00
331 3766 Strip Gula ( Humasens ) Box 160,000.00 200 32,000,000.00
337 3804 Gown Pcs 185,000.00 17 3,145,000.00
341 3809 Golongan Darah Anti A Botol 116,550.00 4 466,200.00
342 3810 Golongan Darah Anti B Botol 116,550.00 4 466,200.00
343 3811 Golongan Darah Anti AB Botol 165,491.00 4 661,964.00
344 3812 Golongan Darah Anti D Botol 206,864.00 3 620,592.00
345 3813 Etil Klorid Semprot Botol 182,262.00 15 2,733,930.00
346 3814 Cairan Cuci Tangan Bilas (E-Care) Botol 70,000.00 5 350,000.00
500ml
348 3816 Alkohol Swab Box 8,380.00 10 83,800.00
349 3817 Handscoon M (Sriex) Box 53,000.00 20 1,060,000.00
350 3818 Dressing Penutup Luka (Pharmafix) Roll 61,605.00 16 985,680.00
351 3819 Cairan Cuci Tangan Tanpa Bilas (Nam Botol 24,500.00 15 367,500.00
Medical) 500ml
352 3820 Masker Hijab (Headloop) NOUSMED Pcs 360.00 2,000 720,000.00
356 3824 Sarung Tangan Panjang (TG Medical) No.8 Pasang 7,900.00 100 790,000.00
357 3825 Sarung Tangan Panjang (TG Medical) No. 6 Pasang 7,900.00 50 395,000.00
358 3826 Stik Hb Misiion Box 400,000.00 10 4,000,000.00
359 3827 Urin 10 parameter (Verify) Box 133,200.00 3 399,600.00
361 3829 Masker Hijab (Headloop) NAM MEDICAL Pcs 400.00 2,000 800,000.00
362 3830 Strip Asam Urat (Accugence) Box (isi 25) 92,500.00 24 2,220,000.00
363 3831 Strip Cholesterol (Mission) Box (isi 25) 500,000.00 2 1,000,000.00
364 3833 Alat Tes Kehamilan (Hcg Strip) 50strip/box 1,887.00 150 283,050.00
367 3889 Strip Cholesterol (Family Dr) Strip 18,671.32 350 6,534,962.00
368 3890 Strip Cholesterol (Mission) Strip 20,000.00 2,150 43,000,000.00
369 3891 Strip Asam Urat (Family Dr) Strip 5,235.88 1,350 7,068,438.00
375 3897 Catgut Chromic 2/0 90cm 37mm Box 251,106.00 4 1,004,424.00
377 3899 Silk 2/0 (T-Silk) Pcs (isi 12) 40,737.00 24 977,688.00
380 3902 Strip Asam Urat ( Benecheck ) Box (isi 25) 150,000.00 10 1,500,000.00
382 3904 Tabung Vacumtainer EDTA (Vacusera) Box (isi 1,413.00 100 141,300.00
100)
388 3910 Rapid Tes HIV/Syphilis Duo (SD Bioline) Test 17,723.00 325 5,759,975.00
391 3914 Tabung Vacumtainer EDTA (ARKAN) Pcs 1,445.00 200 289,000.00
395 3918 Pot Dahak Steril (Ekomed) Pcs 2,500.00 80 200,000.00
398 3930 Masker Oksigen Dewasa Pcs 13,000.00 5 65,000.00
405 3937 Plester (Leukoplast) 7,5 cm x 4,5 m Roll 43,300.00 10 433,000.00
406 3938 Kasa kompres 40x40 DRC Pcs 1,459.65 100 145,965.00
418 3961 Framycetin Sulfate (Daryant Tulle) Lembar 28,083.00 30 842,490.00
262,420,089.20
Kepala Puskesmas, Koordinator Apotik,
dr. Bagus Panuntun Sukma Adi Karina Parahita S.Farm.Apt

NIP. 19830822 201001 1 021 NIP. 19920211 201902 2 002
Kecamatan Bringin
Nomor Rekening: 1.02.02.2.01.16

No Kode Nm Barang Satuan Harga Qty Total

23 3037 Parasetamol Sirup 120Mg/5Ml Botol 1,160.00 2 2,320.00
29 3046 Ondansetron Inj. 4 Mg Ampul 873.00 2 1,746.00
30 3047 Hiosin N Butilbromide Inj 20 mg/ml Ampul 5,678.00 20 113,560.00
32 3049 Asam Mefenamat Kaplet 500 Mg Tablet 111.00 313 34,743.00
34 3051 Lansoprazole 30 mg Kapsul 278.00 1,716 477,048.00
36 3053 Amoksisilin Kaplet 500 Mg Kaplet 201.00 6,378 1,281,978.00
37 3054 Omeprazole 20mg Kapsul 129.00 2,405 310,245.00
38 3055 Ranitidin 150 Mg Tablet 85.00 1,856 157,760.00
39 3057 Vitamin B6 Tablet 10 Mg Tablet 67.00 1,000 67,000.00
40 3058 Hidrokortison Salep Kulit 2.5 % Tube 2,325.00 6 13,950.00
44 3063 Nistatin Drop 100.000 IU Botol 11,500.00 9 103,500.00
45 3064 Fenol Gliserol Tetes Telinga 10% Botol 3,300.00 31 102,300.00
46 3065 Domperidone Maleate Tab. 10 Mg Tablet 71.00 2,338 165,998.00
50 3069 Antasida Doen Tablet Kunyah Tablet 54.00 634 34,236.00
51 3070 Kalsium Laktat (Kalk) Tab.500Mg Tablet 60.00 100 6,000.00
53 3072 Natrium Klorida Lar. Infus 0,9% Botol 6,800.00 40 272,000.00
54 3073 Kaptopril Tablet 25 Mg Tablet 75.00 2,612 195,900.00
56 3076 Diazepam 2 Mg Tablet 70.00 3 210.00
59 3109 Haloperidol Tab 5 Mg Tablet 54.00 100 5,400.00
60 3110 Vitamin B.Complek Tablet 57.00 121 6,897.00
64 3133 Lidokain 2% Ampul 847.00 115 97,405.00
65 3134 Difenhidramin Hcl Inj. 10 Mg/ Ampul 781.00 14 10,934.00
66 3135 Dexametason Inj. 5Mg/1Ml Ampul 924.00 33 30,492.00
67 3136 Fitomenadion Tab 10mg Tablet 748.00 40 29,920.00
68 3137 Fitomenadion Inj. 2mg/ml Ampul 1,386.00 25 34,650.00
69 3149 Oseltamivir Kapsul 75 mg Tablet 13,000.00 140 1,820,000.00
73 3163 Betahistin Mesilat 6 Mg Tablet 397.39 102 40,533.78
75 3165 Sefadroksil 500 Mg Kapsul 720.50 1,670 1,203,235.00
76 3166 Azitromisin 500 Mg Tablet 3,235.00 1,268 4,101,980.00
78 3169 Ibuprofen Tablet 200mg Tablet 194.04 102 19,792.08
79 3170 Amoksisilin Sirup Kering 125mg/5ml Botol 3,294.50 2 6,589.00
81 3172 Asiklovir Krim 5% Tube 3,047.00 29 88,363.00
82 3173 Zink Tablet Dispersible 20mg Tablet 440.00 20 8,800.00
86 3177 Ibuprofen Tablet 400mg Tablet 235.40 45 10,593.00
89 3180 Oksitetrasiklin Salep Klulit 3% Tube 4,554.00 41 186,714.00
92 3183 Antiinfluenza (Noza) Kaplet 797.50 2,000 1,595,000.00
93 3186 Triamsinolon Asetonida 1mg (Genalog) Tube 18,480.00 23 425,040.00
95 3188 Ekstra plasenta + Neomisin Sulfat (Neocenta Tube 16,808.00 4 67,232.00
Gel)
96 3189 Heparin Sodium (Hico) Gel Tube 20,163.00 4 80,652.00
97 3190 Meloksikam Tablet 7.5 mg Tablet 323.40 60 19,404.00
98 3195 Multivitamin (Recovit) Sirup Botol 7,920.00 3 23,760.00
99 3196 Prednison tablet 5 mg Tablet 68.00 374 25,432.00
101 3207 OT Ekstrak Meniran Hijau (Stimuno Forte) Kapsul 1,763.00 90 158,670.00
Kapsul
104 3211 Vitamin B12 Tablet 50 Mg Tablet 43.00 10,487 450,941.00
106 3215 Azitromisin 500 Mg Tablet 1,136.35 1,500 1,704,525.00
109 3218 Obat Kumur Sariawan (Enkasari Herbal) Botol 18,754.00 11 206,294.00
112 3221 Bedak Salisil 2% Pcs 6,426.00 21 134,946.00
113 3222 Minyak Kayu Putih (Fitocare) Botol 13,289.00 23 305,647.00
116 3225 Furosemida Tab 40Mg Tablet 161.00 168 27,048.00
117 3227 Favipiravir Tablet 200mg Tablet 15,000.00 220 3,300,000.00
119 3231 Simetidin Tab. 200 Mg (Lexamet) Tablet 319.00 1,757 560,483.00
120 3232 Metronidazol 500Mg (Molazol) Tablet 396.00 3,034 1,201,464.00
123 3235 Bacitracin Polymyxin Salep Kulit Tube 6,116.00 144 880,704.00
125 3237 Asam Askorbat (Vit. C) Tab 500 mg (Halowell) Kaplet 953.00 29 27,637.00
126 3238 Mikonazole Krim 2% Tube 4,950.00 144 712,800.00
127 3239 Guaifenesin Tab 100mg Tablet 219.00 100 21,900.00
128 3240 Asam Traneksamat 500mg (Nexitra) Kaplet 1,984.00 121 240,064.00
132 3281 Domperidon Suspensi 5mg/ 5ml Botol 2,296.00 4 9,184.00
134 3284 Natrium Klorida Lar. Infus 0,9% Botol 6,799.10 360 2,447,676.00
135 3285 Betadine Obat Kumur Botol 27,000.00 15 405,000.00
136 3286 Yodium Povidon Lart. 10 % 60 Ml (Betadine) Botol 25,016.40 18 450,295.20
138 3288 Kloramfenikol Tetes Telinga 1% (Erlamycetine) Botol 9,460.00 81 766,260.00
139 3289 Obh Molex Sirup Botol 5,142.50 2 10,285.00
140 3290 Antiinfluenza Syr (Molexflu) Botol 6,273.85 3 18,821.55
141 3291 Etil Klorid Semprot Botol 175,000.00 1 175,000.00
142 3292 Aqua Pro Injeksi (Otsu) Ampul 2,385.90 150 357,885.00
144 3294 Asam Asetyl Salisilat (Miniaspi) 80mg Tablet 89.00 190 16,910.00
146 3296 Multivitamin Tablet (Arkavit C+DEZ) Kapsul 895.00 413 369,635.00
147 3297 Multivitamin & Mineral Tablet (Recovit Plus) Tablet 605.00 1,221 738,705.00
149 3306 Parasetamol Sirup 120Mg/5Ml Botol 1,160.00 19 22,040.00
152 3317 Guaifenesin Tab 100mg Tablet 212.00 2,400 508,800.00
153 3318 Ambroxol Tablet 30mg Tablet 140.50 7,088 995,864.00
155 3329 Piridoksin (B6) Tab. 10Mg Tablet 105.15 3,471 364,975.65
156 3330 Vitamin B1 (Thiamin) Tab 100mg Tablet 300.00 623 186,900.00
157 3340 Dexamethasone 0.5Mg Tablet 47.58 7,346 349,522.68
161 3362 Vitamin D3 1000 IU (Solvita D) Kaplet 1,430.00 640 915,200.00
162 3363 Metronidazol 500Mg Tablet 320.00 960 307,200.00
165 3367 Ketokonazole 200Mg Tablet 658.02 143 94,096.86
167 3369 Epinephrine Inj 1mg Ampul 13,300.10 8 106,400.80
170 3372 Minyak Kayu Putih (Fitocare) Botol 13,289.00 80 1,063,120.00
175 3391 Ketokonazole Krim 2% Tube 2,349.00 110 258,390.00
176 3394 Multivitamin & Mineral Tablet (Caviplex) Kaplet 540.91 2,529 1,367,961.39
177 3396 Kloramfenikol Tetes Telinga 1% (RECO) Botol 8,250.00 64 528,000.00
178 3397 Flunarisin Tablet 5mg Tablet 1,100.00 536 589,600.00
179 3398 Seftriakson injeksi 1 gr/vial vial 6,003.36 29 174,097.44
180 3399 Parasetamol 500Mg Tablet 105.00 48,000 5,040,000.00
182 3401 Amlodipin 10mG Tablet 132.99 68 9,043.32
183 3402 Kaptopril Tablet 12,5 Mg Tablet 90.00 1,757 158,130.00
184 3403 Simvastatin Tab.10 Mg Tablet 107.87 584 62,996.08
186 3405 Piroksikam Tab.10Mg Tablet 99.00 132 13,068.00
187 3406 Kotrimoksazol Suspensi 240mg (Trimeta Botol 3,575.00 112 400,400.00
Syrup)
188 3417 Antasida Doen Suspensi Botol 3,450.00 7 24,150.00
189 3421 Batugin Elixir Botol 43,913.10 32 1,405,219.20
191 3423 Multivitamin & Mineral Tablet (Caviplex) Tablet 540.89 5,900 3,191,251.00
194 3438 Antasida Doen Tablet Kunyah Tablet 88.00 6,829 600,952.00
196 3445 Allopurinol Tablet 100mg Tablet 155.35 504 78,296.40
199 3448 Cetirizine 10mg Tablet 77.00 3,853 296,681.00
201 3452 Piroksikam Tab.20Mg Tablet 121.00 500 60,500.00
202 3453 Sefiksim 100mg Tablet 1,010.00 1,249 1,261,490.00
206 3457 Natrium Diklofenak 25Mg Tablet 187.00 47 8,789.00
207 3458 Diazepam Injeksi 5mg/ml Ampul 8,591.00 10 85,910.00
210 3462 Amoksisilin Kaplet 500 Mg (SOLPENOX) Kaplet 395.00 3,200 1,264,000.00
213 3501 Serum Anti Bisa Ular I (Biosave) 5mL Vial 517,132.00 4 2,068,528.00
215 3513 Obat batuk mengandung DMP (Dextrofen) Botol 11,550.00 3 34,650.00
sirup
218 3518 Multivitamin Syrup (Seltifort Kids) Botol 7,200.00 8 57,600.00
219 3519 Ambroxol Syrup 15mg/5ml Botol 3,600.00 63 226,800.00
220 3520 Betahistin 6mg (LEXIGO) Tablet 660.00 3,000 1,980,000.00
221 3521 Fenolgliserol TT Botol 4,200.00 5 21,000.00
222 3522 Neurotropik (Selesbion) Tablet 530.00 3,501 1,855,530.00
223 3523 OBH Molex Sirup Botol 5,500.00 129 709,500.00
224 3524 Gentamicin 0.1% Salep Kulit Tube 3,600.00 62 223,200.00
225 3525 Furosemide 40Mg Tablet 195.00 400 78,000.00
226 3526 Hiosina N Butil Bromida 10 Mg (Scopma) Tablet 1,080.00 500 540,000.00
227 3527 Nifedipin 10 Mg Tablet 225.00 283 63,675.00
228 3532 Obat Batuk Kombinasi Mengandung Tablet 580.00 1,513 877,540.00
Dekstrometorfan (Calortusin) Tablet
229 3533 Meloksikam 7.5 mg Tablet 145.00 638 92,510.00
230 3534 Tiamfenikol Kapsul 500Mg (THIAMEX) Kapsul 1,347.00 100 134,700.00
231 3535 Triamsinolon Asetonida (Genalog) Tube 16,900.00 30 507,000.00
233 3537 Antidiare (Omegdiar) Tablet Tablet 260.00 1,400 364,000.00
234 3538 Salbutamol Nebulizer 2,5mg Nebules 16,000.00 23 368,000.00
237 3541 Kloramfenikol Tetes Mata (Reco) Botol 9,340.00 13 121,420.00
240 3554 Alprazolam 0.5 Mg Tablet 78.00 82 6,396.00
242 3556 Trifluoperazine 5 Mg Tablet 220.00 200 44,000.00
243 3557 Triheksipenidil 2mg Tablet 63.00 100 6,300.00
244 3558 Amoksisilin Sirup Kering 125mg/5ml Botol 2,050.00 4 8,200.00
247 3561 Asam Askorbat (Vit. C) Tab 50Mg Tablet 42.00 21,130 887,460.00
248 3562 Hiosina N Butil Bromida 10 Mg Tablet 1,050.00 200 210,000.00
249 3563 Glimepirid 2 Mg Tablet 123.00 500 61,500.00
250 3564 Sefotaksim Inj vial 2,850.00 72 205,200.00
251 3565 Metformin 500mg Tablet 77.00 3,771 290,367.00
254 3568 Prednison 5 mg Tablet 68.00 500 34,000.00
255 3569 Digoksin 0.25 mg Tablet 124.00 100 12,400.00
256 3570 Hiosin Injeksi 20mg/ml Ampul 5,677.90 20 113,558.00
257 3571 Acetylcysteine 200mg Kapsul 301.00 3,118 938,518.00
258 3572 Antiinfluenza Syr (Molexflu) Botol 7,947.50 100 794,750.00
259 3573 Klorpromazine 100 mg Tablet 250.00 99 24,750.00
261 3577 Parasetamol 500Mg Tablet 138.00 761 105,018.00
264 3580 Difenhidramin Hcl Inj. 10 Mg/1Ml Ampul 781.00 90 70,290.00
266 3582 Nistatin 500.000 Iu Tablet 825.00 74 61,050.00
269 3585 Flunarizin 5mg Tablet 1,210.00 400 484,000.00
271 3598 Hidrokortison Salep Kulit 2.5 % Tube 2,325.00 74 172,050.00
272 3600 Multivitamin Tablet (Arkavit C+DEZ) Kapsul 858.00 3,000 2,574,000.00
273 3601 Chlorpheniramine Maleat (Ctm) 4mg Tablet 52.00 12,800 665,600.00
274 3602 Ondansentro 4 Mg Tablet 693.00 2 1,386.00
275 3603 Oksitetrasiklin Salep Kulit 3% Tube 2,420.00 47 113,740.00
276 3605 Parasetamol 500Mg Tablet 138.00 3,667 506,046.00
277 3685 Domperidon Suspensi 5mg/ 5ml Botol 2,316.87 16 37,069.92
278 3686 Ibuprofen suspensi 100mg/5ml Botol 2,256.31 134 302,345.54
279 3687 Salep 2-4 Pot 2,333.00 202 471,266.00
280 3689 Ibuprofen 400mg Tablet 190.00 552 104,880.00
281 3690 Ondansetron inj 4 mg/2 mL Ampul 5,141.00 10 51,410.00
282 3691 Risperidon 2 mg Tablet 414.00 500 207,000.00
285 3694 Permethrin Krim Tube 6,324.78 30 189,743.40
288 3697 Kalsium Laktat 500mg Tablet 60.55 10,537 638,015.35
290 3699 Fitominadion 10mg Tablet 754.80 250 188,700.00
291 3700 Lidokain 2% Ampul 854.70 160 136,752.00
293 3703 OT Ekstrak Meniran Hijau (Stimuno) Sirup Botol 28,374.00 136 3,858,864.00
294 3704 OT Ekstrak Meniran Hijau (Stimuno Forte) Kapsul 1,958.00 150 293,700.00
Kapsul
295 3705 Obat Batuk Herbal (Herbakof) Sirup Botol 14,402.00 3 43,206.00
298 3713 Metoklopramid 10 Mg Tablet 66.00 2 132.00
299 3714 Methilergometrin Maleat 0,125mg Tablet 214.00 200 42,800.00
300 3715 MgSO4 20% Botol 3,580.00 45 161,100.00
304 3721 Isosorbid Dinitrat Tab 5Mg Tablet 86.78 97 8,417.66
306 3723 Vitamin B.Complek Tablet 57.00 5,005 285,285.00
309 3726 Metil Prednisolon 4mg Tablet 102.00 3,510 358,020.00
310 3727 Ranitidin 150 Mg Tablet 85.00 1,500 127,500.00
311 3728 Antihemoroid supp Suppositori 3,250.00 80 260,000.00
a
312 3729 Sediaan mengandung chondroitin, glucosamin Tablet 3,247.10 313 1,016,342.30
Hcl (Osteotin)
313 3730 OT Ekstrak Sonchi Folium dan Strobilanthi Botol 43,613.00 20 872,260.00
folium (Batugin Elixir)
314 3731 OT Ekstrak Graptophylli Folium dan Citrus Kapsul 1,535.20 360 552,672.00
Bioflavonoid (HEMOROGARD)
316 3733 OT Fitofarmaka Ekstak Apii Herba dan Tablet 2,103.10 1,620 3,407,022.00
Orthosipon Folium (TENSIGARD)
317 3734 Amoksisilin Kaplet 500 Mg Tablet 201.00 500 100,500.00
318 3735 Asam Mefenamat Kaplet 500 Mg Tablet 111.00 8,962 994,782.00
319 3736 Sediaan mengandung ekstrak Curcuma Tablet 681.45 74 50,427.30
(Curcuma Force)
320 3737 Kotrimoksazol 480 Mg Tablet 127.15 1,566 199,116.90
321 3738 Klindamisin 300 Mg Tablet 526.74 122 64,262.28
322 3739 Nistatin Drop 100.000 IU/ml Botol 11,604.55 14 162,463.70
326 3743 Sefiksim 200mg Tablet 756.00 300 226,800.00
331 3748 Epinephrine Inj 1mg Ampul 1,514.99 10 15,149.90
333 3752 Asam Asetilsalisilat (Miniaspi) Tablet 89.81 400 35,924.00
334 3753 Parasetamol Drop 60mg/0,6ml Botol 5,021.24 270 1,355,734.80
335 3755 Clopidogrel 75mg Tablet 575.00 100 57,500.00
338 3758 Spironolactone 25 Mg Tablet 192.00 500 96,000.00
340 3779 Ambroxol Tablet 30mg Tablet 116.55 5,000 582,750.00
342 3781 Betametason Krim 0,1% Tube 2,997.00 158 473,526.00
343 3782 Domperidon 10mg Tablet 177.60 200 35,520.00
344 3783 Ektra plasenta + Neomisin Sulfat Tube 24,975.00 60 1,498,500.00
(Bioplacenton)
345 3784 Antidiare Suspensi (Guanistrep) Botol 5,550.00 109 604,950.00
347 3786 Tetrasiklin 500 mg Kapsul 638.25 100 63,825.00
348 3787 Zink Sirup Botol 3,885.00 25 97,125.00
350 3798 Kloramfenikol Salep Mata 1% (Reco) Tube 7,437.00 25 185,925.00
351 3799 Bedak Salisil 2% Botol 6,199.35 30 185,980.50
361 3839 Kloramfenikol 0,5% tetes mata (Reco) Botol 9,324.00 161 1,501,164.00
367 3845 Heparin Sodium (Hico Gel) Tube 18,200.00 50 910,000.00
369 3847 Kalium Diklofenak 50mg Tablet 350.00 344 120,400.00
370 3848 Sucralfate Suspensi Botol 16,800.00 88 1,478,400.00
371 3849 Gliseril Guaiakolat Tab 100mg (Guaifenesin) Tablet 130.00 2,000 260,000.00
374 3852 Vitamin B1 (Thiamin) Tab 50mg Tablet 200.00 600 120,000.00
375 3853 Doksisiklin 100 Mg Tablet 540.00 300 162,000.00
377 3855 Enzim pencernaan dewasa (New Enzyplex) Tablet 2,332.00 100 233,200.00
391 3869 Obat Batuk Anak Herbal (OBM Kid) Botol 10,200.90 40 408,036.00
392 3870 Dexamethasone 0.5Mg Tablet 77.70 2,500 194,250.00
393 3871 Enzim pencernaan anak (L Bio) Sachet 8,602.50 30 258,075.00
394 3872 OT Ekstrak Ophiocephalus Striatus Kapsul ( Isi 6,290.00 120 754,800.00
(VIPALBUMIN) 30)
396 3874 Multivitamin & Mineral Tablet& Fe (Hemafort) Tablet 854.70 9,000 7,692,300.00
397 3875 Amlodipin 5mg Tablet 122.10 2,000 244,200.00
401 3879 OT Ekstrak Piper Betle Folium (ENKASARI) Botol 23,310.00 35 815,850.00
402 3881 Aminopilin Inj 24 Mg/Ml Ampul 2,604.00 15 39,060.00
407 3924 Isosorbid Dinitrat Tab 10Mg Tablet 246.18 100 24,618.00
408 3925 Lidokain + Ephinefrin (Pehacain) Ampul 3,141.00 100 314,100.00
418 3949 Serum Anti Tetanus (Biosat 1.500 IU) Vial 140,188.00 5 700,940.00
107,041,988.98

NIP. 19830822 201001 1 021 NIP. 19920211 201902 2 002
Kecamatan Bringin
Nomor Rekening: BANTUAN

No Nm Barang Satuan Harga Qty Total

1 Rapid Test Antigen (GenBody) Strip 55,000.00 77 4,235,000.00
4,235,000.00

NIP. 19830822 201001 1 021 NIP. 19920211 201902 2 002
LAPORAN STOK OPNAME OBAT DAN PERBEKALAN FARMASI IPF
PER 30 September 2022
NO Nama Obat / Perbekalan Farmasi Kemasan Harga satuan (Rp) Jumlah Jumlah harga (Rp)
2 3 4 5 6
1 Alat Suntik Pakai 3 ml pcs 1,137.99 7 7,965.93
2 Alat Suntik Sekali Pakai 1 ml Tuberculin pcs 1,429.98 30 42,899.40
4 Alat Suntik Pakai 10 ml pcs 925.00 212 196,100.00
Bisturi pak ( isi 100) 279,000.00 3 837,000.00

5
6 Catgut chromic 3/0 75 cm 37 mm box 345,000.00 1 345,000.00
7 cover glass box 14,460.50 1 14,460.50
8 Foley catheter 16 pcs 10,340.00 6 62,040.00
10 Lancet pcs 120.00 400 48,000.00
11 Needle 23G x 11/2 safety Flashback box 204,166.60 4 816,666.40
12 Needle 23 G X 32 MM pcs 310.99 83 25,812.17
13 Needle 18 G X 38 mm pcs 310.98 14 4,353.72
14 objek glass box isi 72 17,604.00 12 211,248.00
15 plester (Hansaplast) roll 35,000.00 2 70,000.00
16 IV catheter 18 pcs 8,750.00 17 148,750.00
17 IV catheter 20 pcs 8,750.00 17 148,750.00
18 IV catheter 22 pcs 8,750.00 233 2,038,750.00
19 IV catheter 24 pcs 8,750.00 509 4,453,750.00
20 Kasa pembalut hidrofil 4x15 roll 2,361.00 29 68,469.00
21 Kapas Pembalut Hastamed 250 gr roll 14,996.99 6 89,981.94
22 Masker N95 PCS 13,200.00 20 264,000.00
23 Masker Nebul Anak pcs 16,000.00 2 32,000.00
24 Masker Oksigen Anak pcs 23,650.00 27 638,550.00
25 Infuset anak pcs 8,399.60 200 1,679,920.00
26 Infus set dewasa pcs 8,399.60 73 613,170.80
27 Transfusi set pcs 5,519.99 10 55,199.90
28 Urin Bag pcs 5,500.00 15 82,500.00
29 Antiinfluenza/nichofed Tablet 699.99 5,029 3,520,249.71
30 Anti diare tablet / Molagit Tablet 299.99 2,736 820,772.64
31 Aqua pro injeksi (otsu) ampul 2,860.00 173 494,780.00
32 Asiklovir 200 mg Tablet 236.00 67 15,812.00
33 Asiklovir 400 mg tablet 404.99 2510 1,016,524.90
34 Atropin injeksi ampul 1,639.00 5 8,195.00
35 Betadine Kumur botol 25,542.00 3 76,626.00
36 Dimenhidrinat 50 mg tablet 111.99 136 15,230.64
37 Dimenhidrinat 50 mg Tablet 105.00 27 2,835.00
38 Diazepam injeksi ( Stesolid ) ampul 1,735.03 13 22,555.39
39 Diazepam rectal ( Stesolid ) 5 mg tube 12,573.00 13 163,449.00
40 fenobarbital tab tablet 170.99 100 17,099.00
42 Fenobarbital inj ampul 1,982.02 15 29,730.30
43 Gentamicin salep mata tube 2,675.00 1 2,675.00
44 Gentamicin tetes mata botol 4,232.00 22 93,104.00
45 Hiosina N Butil Bromida injeksi/spashi ampul 9,900.00 22 217,800.00
46 Hiosina N Butil Bromida tablet tablet 1,552.32 199 308,911.68
48 Kalsium laktat/ Kalk Tablet 63.00 60 3,780.00
49 ketoconazole cream tube 2,518.00 37 93,166.00
50 Kloramfenikol 1% salep mata tube 2,007.00 2 4,014.00
51 Kloramfenikol tetes telinga RECO botol 7,370.00 14 103,180.00
52 Kotrimoksazole suspensi botol 2,190.00 1 2,190.00
53 Lidocain + epinefrin ampul 1,228.99 153 188,035.47
54 Loratadine tablet 123.00 263 32,349.00
55 LOratadine Tablet 123.00 700 86,100.00
56 Meloksikam 7,5 mg tablet 266.42 20 5,328.40
57 Metil ergometrin inj ampul 2,959.00 11 32,549.00
58 Mikonazol cream tube 3,413.30 18 61,439.40
59 Multivitamin tab caviplex tablet 605.00 10 6,050.00
60 MgSO4 20% ampul 3,327.50 3 9,982.50
61 Natrium klorida infus botol 6,410.00 24 153,840.00
62 nistatin tablet salut 500.000 Tablet 843.00 100 84,300.00
63 oksitosin injeksi ampul 1,199.00 89 106,711.00
64 Propanolol tablet 58.00 100 5,800.00
65 PCT infus flash 12,389.00 45 557,505.00
66 RL infus MJB botol 7,629.60 10 76,296.00
67 RL (SANBE) softbag 7,630.00 42 320,460.00
68 RL botol 7,629.99 123 938,488.77
69 Ranitidin tab tablet 214.51 1,194 256,124.94
70 Salbutamol 2 mg tablet 66.99 160 10,718.40
71 Salbutamol 2 mg tablet 67.00 1,373 91,991.00
72 Sediaan Mengandung Ekstrak Gratophyll kapsul 1,397.15 140 195,601.00
73 Sediaan Mengandung Ekstrak apii herba kapsul 2,126.66 5 10,633.30
74 vitamin B1 / Thiamin Tablet 165.00 100 16,500.00
75 vitamin B1 / Thiamin tablet 171.43 40 6,857.20
76 Haloperidol 5 mg Tablet 60.00 45 2,700.00
77 Trihexyphenidil 2 mg Tablet 91.00 50 4,550.00
78 cairan cuci tangan tanpa bilas botol 78,750.10 2 157,500.20
79 Catgut chromic 3/0 75c 37 mm box 345,000.00 4 1,380,000.00
80 Infuset anak pcs 4,000.00 64 256,000.00
81 iv catheter (Otsucath) no 18 pcs 8,250.00 44 363,000.00
82 Kapas pembalut OM 250 gr roll 20,599.99 1 20,599.99
83 Masker nebul anak pcs 16,000.00 1 16,000.00
84 Masker N95 Respirator pcs 9,350.00 115 1,075,250.00
85 Nurse Cap pcs 462.00 100 46,200.00
86 Plester(Leukoplast) roll 37,371.00 2 74,742.00
87 Yodium Povidon Lart botol 25,215.00 1 25,215.00
88 Selang Oksigen (Stardec) Anak pcs 11,200.00 29 324,800.00
89 Shoe cover pasang 1,687.40 100 168,740.00
90 Sarung tangan Obsgyn M pasang 14,520.00 20 290,400.00
91 Sarung tangan Obsgyn S pasang 14,520.00 25 363,000.00
92 Sarung tangan Obsgyn L pasang 14,542.00 21 305,382.00
93 Silkam black 3/0 75cm pcs 25,600.00 1 25,600.00
94 Urine bag 2 Lt ( T Valve ) buah 3,000.00 3 9,000.00
95 Urine bag 2 Lt (nousmed) buah 5,877.00 4 23,508.00
96 Albendazole Tablet 380.00 10500 3,990,000.00
97 Ampisillin injeksi botol 8,237.00 7 57,659.00
98 ads 0,05 ml pcs 1,460.00 200 292,000.00
99 Diazepam injeksi ampul 1,545.00 90 139,050.00
100 Garam oralit sachet 274.00 3 822.00
101 Garam oralit sachet 274.00 398 109,052.00
102 Gentamisin injeksi ampul 3,355.00 90 301,950.00
103 MDT MB blister 40,128.00 23 922,944.00
104 Masker N95 DreamCan pcs 19,900.00 40 796,000.00
105 OAT KATEGORI 1 paket 416,696.00 1 416,696.00
106 Pot Dahak Steril pcs 2,728.00 140 381,920.00
107 Rapid 1 HIV (ViroCheck) pcs 8,094.00 300 2,428,200.00
108 Rapid 2 HIV (Diagnostar) pcs 11,500.00 25 287,500.00
109 HbSAg test 9,850.00 425 4,186,250.00
110 Tablet Tambah Darah Tablet 226.00 1771 400,246.00
111 Tablet Tambah Darah Tablet 226.00 11120 2,513,120.00
113 Zink Tablet Tablet 524.00 80 41,920.00
114 Zink tablet Tablet 216.00 400 86,400.00
115 Antihemoroid supp supp 3,167.00 7 22,169.00
116 Atropin ampul 1,639.00 12 19,668.00
117 Baju Coverall (AE Ataka) pcs 190,000.00 18 3,420,000.00
118 Baju Coverall (Protect U) pcs 110,600.00 50 5,530,000.00
119 Cairan Cuci Tangan Bilas (Aiken) galon 4L 45,000.00 1 45,000.00
120 Cairan Cuci Tangan tanpa Bilas (Anvir) galon 5L 106,000.00 1 106,000.00
121 Ergotamin Caffeine tablet 185.00 104 19,240.00
122 Favipiravir tablet 4,333.00 200 866,600.00
123 Kapas Pembalut pcs 7,205.00 2 14,410.00
124 Masker KN95 pcs 45,000.00 100 4,500,000.00
125 Masker KN95 jizhen pcs 40,000.00 60 2,400,000.00
126 Masker N95 (DreamCan pcs 76,000.00 100 7,600,000.00
127 Masker Telinga EVO pcs 3,000.00 250 750,000.00
128 Oksitetrasiklin salep mata tube 3,500.00 30 105,000.00
129 Parasetamol tablet 131.00 46 6,026.00
130 Parasetamol sirup botol 1,181.00 120 141,720.00
131 Albendazole tab 282.62 15702 4,437,699.24
132 Dressing Penutup Luka (Ultrafix) Roll 30,000.00 3 90,000.00
133 Kasa Pembalut Hidrofil 4x15cm (Hastamed) Roll 2,048.00 45 92,160.00
134 Kasa Hidrofil 2m x 80 cm Pcs 7,930.00 48 380,640.00
135 Masker Telinga (Earloop) Altamed Pcs 340.00 850 289,000.00
136 Masker Hijab (Headloop) Altamed Pcs 340.00 1200 408,000.00
137 Handscoon L (Altamed) Pcs 1,070.00 300 321,000.00
138 Folly Catteter No.16 Pcs 8,635.00 10 86,350.00
140 Masker Oksigen Dewasa (Forsch) Pcs 11,500.00 11 126,500.00
141 Urin Bag (Forsch) Pcs 5,300.00 30 159,000.00
142 Masker Nebul Anak Pcs 16,200.00 20 324,000.00
143 Masker Nebul Dewasa (Forsch) Pcs 16,200.00 12 194,400.00
144 Selang Oksigen (Nasal Cannula) L - Dewasa Pcs 6,400.00 8 51,200.00
145 Infuset Dewasa (Otsu Y) Pcs 8,596.00 200 1,719,200.00
146 Apron Long Sleeve Pcs 4,168.00 200 833,600.00
147 Catgut Chromic 3/0 70c 19mm Box 248,669.00 2 497,338.00
148 Catgut Chromic 2/0 90cm 36mm Box 807,840.00 6 4,847,040.00
149 Alat suntik 1ml (Terumo) Pcs 1,361.00 148 201,428.00
150 Alat Suntik 3ml (Terumo) Pcs 1,121.00 23 25,783.00
152 Dressing Penutup Luka (Pharmafix) Roll 61,050.00 1 61,050.00
153 Silk 2/0 75CC 30M C (Silkam) Pcs 27,284.00 48 1,309,632.00
155 Alkohol 70% 5L Galon 112,350.00 1 112,350.00
156 Rapid Tes HIV (SD Bioline) Pcs 11,322.00 60 679,320.00
157 Reagen Syphilis (SD Bioline) Pcs 10,666.00 240 2,559,840.00
158 Cairan Cuci Tangan Bilas (Pori Klin) 5L Galon 61,250.00 2 122,500.00
159 Kasa Pembalut Hidrofil 4M X 15 Cm Roll 3,967.00 50 198,350.00
160 Sarung Tangan Panjang (InTouch) No. 6,5 Pasang 7,186.36 80 574,908.80
161 Sarung Tangan Panjang (InTouch) No. 7 Pasang 7,186.36 600 4,311,816.00
162 Sarung Tangan Panjang (InTouch) No. 7,5 Pasang 7,186.36 150 1,077,954.00
163 Nurse Cap Pcs 304.54 300 91,362.00
164 Plester (Onemed) Roll 41,360.00 30 1,240,800.00
165 Tabung Vacumtainer Plain 3 ml (Onemed) Pcs 800.00 200 160,000.00
166 Alat Tes Kehamilan (Ultra One) Strip 1,900.00 9 17,100.00
167 HB Hemoglobin Test (Mission) Strip 8,033.64 200 1,606,728.00
168 Alkohol Swab (Altamed) Pcs 95.00 4700 446,500.00
169 Lancet (Onemed) Pcs 92.00 5000 460,000.00
170 Strip Gula (Gluco Dr) STRIP 1,736.16 150 260,424.00
171 Golongan Darah Anti A Botol 115,500.00 4 462,000.00
172 Golongan Darah Anti B Botol 115,500.00 3 346,500.00
173 Golongan Darah Anti D Botol 205,000.00 1 205,000.00
174 Rapid Tes HIV (Oncoprobe) Pcs 15,748.00 50 787,400.00
175 Rapid Tes HIV (Intec) Pcs 14,740.00 100 1,474,000.00
177 Framycetin Sulfate (Daryant Tulle) Lembar 25,000.00 51 1,275,000.00
178 Handscoon M (Altamed) Pcs 1,050.00 100 105,000.00
180 Alkohol Swab (Altamed) Pcs 76.00 34200 2,599,200.00
181 Apron Pendek Pcs 1,849.10 150 277,365.00
182 Plesterin Bulat Soft Pcs 389.34 3860 1,502,852.40
183 Alat Tes Kehamilan (Ultra One) Pcs 1,900.00 581 1,103,900.00
184 Sarung Tangan Obgyn Steril (Onemed) Pasang 19,000.00 100 1,900,000.00
185 Handscoon M (Super Gard) pcs 525.00 600 315,000.00
186 Cairan Cuci Tangan Tanpa Bilas (Pori Klin) 5L Galon 143,000.00 13 1,859,000.00
187 Cairan Cuci Tangan Bilas (Pori Klin) 5L Galon 5 L 67,375.00 2 134,750.00
188 Masker Telinga (Earloop) MAS Pcs 360.00 1300 468,000.00
189 Masker Telinga (Headloop) Jilbab BAYMED pcs 360.00 5500 1,980,000.00
190 Masker Telinga (Headloop) Jilbab SAFELOCK Pcs 340.00 1500 510,000.00
191 Nurse Cap Pcs 335.00 200 67,000.00
195 Alat Suntik 3 ml (Terumo) Pcs 1,267.00 490 620,830.00
197 Kasa Hidrofil 2Mx80Cm Roll 10,358.00 210 2,175,180.00
Botol (1
Alkohol 70% 22,500.00 18 405,000.00
198 Liter)
199 Alkohol 70% 5L Galon 5 L 117,700.00 6 706,200.00
200 Iv. Catteter (Otsucath) No.18 Pcs 5,300.00 200 1,060,000.00
201 Kapas 250gram Roll 15,296.00 5 76,480.00
202 Selang Oksigen (Nasal Cannula) L - Adult Pcs 7,500.00 10 75,000.00
203 Tabung K3EDTA 3ml (Vacusera) Pcs 1,413.00 100 141,300.00
204 Alkohol Swab (Nushi) Box 18,500.00 368 6,808,000.00
205 Rapid Tes HIV 1/2 (SD Bioline) Strip 11,425.00 270 3,084,750.00
206 Rapid Tes Syphilis 3.0 (SD Bioline) Test 10,763.00 270 2,906,010.00
207 Strip Gula ( Benecheck ) Box 160,000.00 247 39,520,000.00
208 Lancet (ABN) Box 13,000.00 368 4,784,000.00
209 Strip Gula ( On Call ) Box 150,000.00 88 13,200,000.00
210 Strip Gula ( Gluco Dr ) Box 87,500.00 200 17,500,000.00
211 Strip Gula ( Humasens ) Box 160,000.00 200 32,000,000.00
212 Gown Pcs 185,000.00 17 3,145,000.00
215 Golongan Darah Anti AB Botol 165,491.00 4 661,964.00
217 Etil Klorid Semprot Botol 182,262.00 15 2,733,930.00
Cairan Cuci Tangan Bilas (E-Care) Botol 500ml 70,000.00 5 350,000.00

218
219 Alkohol Swab Box 8,380.00 10 83,800.00
220 Handscoon M (Sriex) Box 53,000.00 20 1,060,000.00
Cairan Cuci Tangan Tanpa Bilas (Nam Medical) Botol 500ml 24,500.00 15 367,500.00
222
223 Masker Hijab (Headloop) NOUSMED Pcs 360.00 2000 720,000.00
224 Sarung Tangan Panjang (TG Medical) No.8 Pasang 7,900.00 100 790,000.00
225 Sarung Tangan Panjang (TG Medical) No. 6 Pasang 7,900.00 50 395,000.00
226 Stik Hb Misiion Box 400,000.00 10 4,000,000.00
227 Urin 10 parameter (Verify) Box 133,200.00 3 399,600.00
228 Masker Hijab (Headloop) NAM MEDICAL Pcs 400.00 2000 800,000.00
229 Strip Asam Urat (Accugence) Box (isi 25) 92,500.00 24 2,220,000.00
230 Strip Cholesterol (Mission) Box (isi 25) 500,000.00 2 1,000,000.00
231 Alat Tes Kehamilan (Hcg Strip) 50strip/box 1,887.00 150 283,050.00
232 Strip Cholesterol (Family Dr) Strip 18,671.32 350 6,534,962.00
233 Strip Cholesterol (Mission) Strip 20,000.00 2150 43,000,000.00
234 Strip Asam Urat (Family Dr) Strip 5,235.88 1350 7,068,438.00
236 Silk 2/0 (T-Silk) Pcs (isi 12) 40,737.00 24 977,688.00
237 Strip Asam Urat ( Benecheck ) Box (isi 25) 150,000.00 10 1,500,000.00
Tabung Vacumtainer EDTA (Vacusera) Box (isi 100) 1,413.00 100 141,300.00
238
239 Rapid Tes HIV/Syphilis Duo (SD Bioline) Test 17,723.00 325 5,759,975.00
240 Tabung Vacumtainer EDTA (ARKAN) Pcs 1,445.00 200 289,000.00
241 Pot Dahak Steril (Ekomed) Pcs 2,500.00 80 200,000.00
242 Masker Oksigen Dewasa Pcs 13,000.00 5 65,000.00
244 Plester (Leukoplast) 7,5 cm x 4,5 m Roll 43,300.00 10 433,000.00
245 Kasa kompres 40x40 DRC Pcs 1,459.65 100 145,965.00
246 Framycetin Sulfate (Daryant Tulle) Lembar 28,083.00 30 842,490.00
247 Parasetamol Sirup 120Mg/5Ml Botol 1,160.00 2 2,320.00
248 Ondansetron Inj. 4 Mg Ampul 873.00 2 1,746.00
249 Hiosin N Butilbromide Inj 20 mg/ml Ampul 5,678.00 20 113,560.00
250 Asam Mefenamat Kaplet 500 Mg Tablet 111.00 313 34,743.00
251 Lansoprazole 30 mg Kapsul 278.00 1716 477,048.00
252 Amoksisilin Kaplet 500 Mg Kaplet 201.00 6378 1,281,978.00
253 Omeprazole 20mg Kapsul 129.00 2405 310,245.00
254 Ranitidin 150 Mg Tablet 85.00 1856 157,760.00
255 Vitamin B6 Tablet 10 Mg Tablet 67.00 1000 67,000.00
256 Hidrokortison Salep Kulit 2.5 % Tube 2,325.00 6 13,950.00
257 Nistatin Drop 100.000 IU Botol 11,500.00 9 103,500.00
258 Fenol Gliserol Tetes Telinga 10% Botol 3,300.00 31 102,300.00
259 Domperidone Maleate Tab. 10 Mg Tablet 71.00 2338 165,998.00
260 Antasida Doen Tablet Kunyah Tablet 54.00 634 34,236.00
261 Kalsium Laktat (Kalk) Tab.500Mg Tablet 60.00 100 6,000.00
262 Natrium Klorida Lar. Infus 0,9% Botol 6,800.00 40 272,000.00
263 Kaptopril Tablet 25 Mg Tablet 75.00 2612 195,900.00
264 Diazepam 2 Mg Tablet 70.00 3 210.00
265 Haloperidol Tab 5 Mg Tablet 54.00 100 5,400.00
266 Vitamin B.Complek Tablet 57.00 121 6,897.00
267 Lidokain 2% Ampul 847.00 115 97,405.00
268 Difenhidramin Hcl Inj. 10 Mg/ Ampul 781.00 14 10,934.00
269 Dexametason Inj. 5Mg/1Ml Ampul 924.00 33 30,492.00
270 Fitomenadion Tab 10mg Tablet 748.00 40 29,920.00
271 Fitomenadion Inj. 2mg/ml Ampul 1,386.00 25 34,650.00
272 Oseltamivir Kapsul 75 mg Tablet 13,000.00 140 1,820,000.00
273 Betahistin Mesilat 6 Mg Tablet 397.39 102 40,533.78
274 Sefadroksil 500 Mg Kapsul 720.50 1670 1,203,235.00
275 Azitromisin 500 Mg Tablet 3,235.00 1268 4,101,980.00
276 Ibuprofen Tablet 200mg Tablet 194.04 102 19,792.08
277 Amoksisilin Sirup Kering 125mg/5ml Botol 3,294.50 2 6,589.00
278 Asiklovir Krim 5% Tube 3,047.00 29 88,363.00
279 Zink Tablet Dispersible 20mg Tablet 440.00 20 8,800.00
281 Oksitetrasiklin Salep Klulit 3% Tube 4,554.00 41 186,714.00
282 Antiinfluenza (Noza) Kaplet 797.50 2000 1,595,000.00
283 Triamsinolon Asetonida 1mg (Genalog) Tube 18,480.00 23 425,040.00
Ekstra plasenta + Neomisin Sulfat (Neocenta Gel) Tube 16,808.00 67,232.00

284 4
285 Heparin Sodium (Hico) Gel Tube 20,163.00 4 80,652.00
286 Meloksikam Tablet 7.5 mg Tablet 323.40 60 19,404.00
287 Multivitamin (Recovit) Sirup Botol 7,920.00 3 23,760.00
288 Prednison tablet 5 mg Tablet 68.00 374 25,432.00
289 OT Ekstrak Meniran Hijau (Stimuno Forte) Kapsul Kapsul 1,763.00 90 158,670.00
292 Obat Kumur Sariawan (Enkasari Herbal) Botol 18,754.00 11 206,294.00
293 Bedak Salisil 2% Pcs 6,426.00 21 134,946.00
294 Minyak Kayu Putih (Fitocare) Botol 13,289.00 23 305,647.00
295 Furosemida Tab 40Mg Tablet 161.00 168 27,048.00
296 Favipiravir Tablet 200mg Tablet 15,000.00 220 3,300,000.00
297 Simetidin Tab. 200 Mg (Lexamet) Tablet 319.00 1757 560,483.00
298 Metronidazol 500Mg (Molazol) Tablet 396.00 3034 1,201,464.00
299 Bacitracin Polymyxin Salep Kulit Tube 6,116.00 144 880,704.00
300 Asam Askorbat (Vit. C) Tab 500 mg (Halowell) Kaplet 953.00 29 27,637.00
301 Mikonazole Krim 2% Tube 4,950.00 144 712,800.00
302 Guaifenesin Tab 100mg Tablet 219.00 100 21,900.00
303 Asam Traneksamat 500mg (Nexitra) Kaplet 1,984.00 121 240,064.00
304 Domperidon Suspensi 5mg/ 5ml Botol 2,296.00 4 9,184.00
305 Natrium Klorida Lar. Infus 0,9% Botol 6,799.10 360 2,447,676.00
306 Betadine Obat Kumur Botol 27,000.00 15 405,000.00
307 Yodium Povidon Lart. 10 % 60 Ml (Betadine) Botol 25,016.40 18 450,295.20
308 Kloramfenikol Tetes Telinga 1% (Erlamycetine) Botol 9,460.00 81 766,260.00
309 Obh Molex Sirup Botol 5,142.50 2 10,285.00
310 Antiinfluenza Syr (Molexflu) Botol 6,273.85 3 18,821.55
311 Etil Klorid Semprot Botol 175,000.00 1 175,000.00
312 Aqua Pro Injeksi (Otsu) Ampul 2,385.90 150 357,885.00
313 Asam Asetyl Salisilat (Miniaspi) 80mg Tablet 89.00 190 16,910.00
314 Multivitamin Tablet (Arkavit C+DEZ) Kapsul 895.00 413 369,635.00
315 Multivitamin & Mineral Tablet (Recovit Plus) Tablet 605.00 1221 738,705.00
318 Ambroxol Tablet 30mg Tablet 140.50 7088 995,864.00
319 Piridoksin (B6) Tab. 10Mg Tablet 105.15 3471 364,975.65
320 Vitamin B1 (Thiamin) Tab 100mg Tablet 300.00 623 186,900.00
321 Dexamethasone 0.5Mg Tablet 47.58 7346 349,522.68
323 Vitamin D3 1000 IU (Solvita D) Kaplet 1,430.00 640 915,200.00
324 Metronidazol 500Mg Tablet 320.00 960 307,200.00
325 Ketokonazole 200Mg Tablet 658.02 143 94,096.86
326 Epinephrine Inj 1mg Ampul 13,300.10 8 106,400.80
327 Minyak Kayu Putih (Fitocare) Botol 13,289.00 80 1,063,120.00
328 Ketokonazole Krim 2% Tube 2,349.00 110 258,390.00
329 Multivitamin & Mineral Tablet (Caviplex) Kaplet 540.91 2529 1,367,961.39
330 Kloramfenikol Tetes Telinga 1% (RECO) Botol 8,250.00 64 528,000.00
331 Flunarisin Tablet 5mg Tablet 1,100.00 536 589,600.00
332 Seftriakson injeksi 1 gr/vial vial 6,003.36 29 174,097.44
333 Parasetamol 500Mg Tablet 105.00 48000 5,040,000.00
334 Amlodipin 10mG Tablet 132.99 68 9,043.32
335 Kaptopril Tablet 12,5 Mg Tablet 90.00 1757 158,130.00
336 Simvastatin Tab.10 Mg Tablet 107.87 584 62,996.08
337 Piroksikam Tab.10Mg Tablet 99.00 132 13,068.00
338 Kotrimoksazol Suspensi 240mg (Trimeta Syrup) Botol 3,575.00 112 400,400.00
339 Antasida Doen Suspensi Botol 3,450.00 7 24,150.00
340 Batugin Elixir Botol 43,913.10 32 1,405,219.20
342 Multivitamin & Mineral Tablet (Caviplex) Tablet 540.89 5900 3,191,251.00
344 Allopurinol Tablet 100mg Tablet 155.35 504 78,296.40
345 Cetirizine 10mg Tablet 77.00 3853 296,681.00
347 Sefiksim 100mg Tablet 1,010.00 1249 1,261,490.00
348 Natrium Diklofenak 25Mg Tablet 187.00 47 8,789.00
349 Diazepam Injeksi 5mg/ml Ampul 8,591.00 10 85,910.00
350 Amoksisilin Kaplet 500 Mg (SOLPENOX) Kaplet 395.00 3200 1,264,000.00
352 Serum Anti Bisa Ular I (Biosave) 5mL Vial 517,132.00 4 2,068,528.00
353 Obat batuk mengandung DMP (Dextrofen) sirup Botol 11,550.00 3 34,650.00
354 Multivitamin Syrup (Seltifort Kids) Botol 7,200.00 8 57,600.00
355 Ambroxol Syrup 15mg/5ml Botol 3,600.00 63 226,800.00
356 Betahistin 6mg (LEXIGO) Tablet 660.00 3000 1,980,000.00
357 Fenolgliserol TT Botol 4,200.00 5 21,000.00
358 Neurotropik (Selesbion) Tablet 530.00 3501 1,855,530.00
359 OBH Molex Sirup Botol 5,500.00 129 709,500.00
360 Gentamicin 0.1% Salep Kulit Tube 3,600.00 62 223,200.00
361 Furosemide 40Mg Tablet 195.00 400 78,000.00
362 Hiosina N Butil Bromida 10 Mg (Scopma) Tablet 1,080.00 500 540,000.00
363 Nifedipin 10 Mg Tablet 225.00 283 63,675.00
364 Obat Batuk Kombinasi Mengandung Dekstrometorfan
Tablet
( 580.00 1513 877,540.00
365 Meloksikam 7.5 mg Tablet 145.00 638 92,510.00
366 Tiamfenikol Kapsul 500Mg (THIAMEX) Kapsul 1,347.00 100 134,700.00
367 Triamsinolon Asetonida (Genalog) Tube 16,900.00 30 507,000.00
368 Antidiare (Omegdiar) Tablet Tablet 260.00 1400 364,000.00
369 Salbutamol Nebulizer 2,5mg Nebules 16,000.00 23 368,000.00
370 Kloramfenikol Tetes Mata (Reco) Botol 9,340.00 13 121,420.00
371 Alprazolam 0.5 Mg Tablet 78.00 82 6,396.00
372 Trifluoperazine 5 Mg Tablet 220.00 200 44,000.00
373 Triheksipenidil 2mg Tablet 63.00 100 6,300.00
375 Asam Askorbat (Vit. C) Tab 50Mg Tablet 42.00 21130 887,460.00
376 Hiosina N Butil Bromida 10 Mg Tablet 1,050.00 200 210,000.00
377 Glimepirid 2 Mg Tablet 123.00 500 61,500.00
378 Sefotaksim Inj vial 2,850.00 72 205,200.00
379 Metformin 500mg Tablet 77.00 3771 290,367.00
380 Prednison 5 mg Tablet 68.00 500 34,000.00
381 Digoksin 0.25 mg Tablet 124.00 100 12,400.00
382 Hiosin Injeksi 20mg/ml Ampul 5,677.90 20 113,558.00
383 Acetylcysteine 200mg Kapsul 301.00 3118 938,518.00
385 Klorpromazine 100 mg Tablet 250.00 99 24,750.00
386 Parasetamol 500Mg Tablet 138.00 761 105,018.00
387 Difenhidramin Hcl Inj. 10 Mg/1Ml Ampul 781.00 90 70,290.00
388 Nistatin 500.000 Iu Tablet 825.00 74 61,050.00
389 Flunarizin 5mg Tablet 1,210.00 400 484,000.00
391 Multivitamin Tablet (Arkavit C+DEZ) Kapsul 858.00 3000 2,574,000.00
392 Chlorpheniramine Maleat (Ctm) 4mg Tablet 52.00 12800 665,600.00
393 Ondansentro 4 Mg Tablet 693.00 2 1,386.00
394 Oksitetrasiklin Salep Kulit 3% Tube 2,420.00 47 113,740.00
397 Ibuprofen suspensi 100mg/5ml Botol 2,256.31 134 302,345.54
398 Salep 2-4 Pot 2,333.00 202 471,266.00
399 Ibuprofen 400mg Tablet 190.00 552 104,880.00
400 Ondansetron inj 4 mg/2 mL Ampul 5,141.00 10 51,410.00
401 Risperidon 2 mg Tablet 414.00 500 207,000.00
402 Permethrin Krim Tube 6,324.78 30 189,743.40
403 Kalsium Laktat 500mg Tablet 60.55 10537 638,015.35
404 Fitominadion 10mg Tablet 754.80 250 188,700.00
405 Lidokain 2% Ampul 854.70 160 136,752.00
406 OT Ekstrak Meniran Hijau (Stimuno) Sirup Botol 28,374.00 136 3,858,864.00
408 Obat Batuk Herbal (Herbakof) Sirup Botol 14,402.00 3 43,206.00
409 Metoklopramid 10 Mg Tablet 66.00 2 132.00
410 Methilergometrin Maleat 0,125mg Tablet 214.00 200 42,800.00
411 MgSO4 20% Botol 3,580.00 45 161,100.00
412 Isosorbid Dinitrat Tab 5Mg Tablet 86.78 97 8,417.66
414 Metil Prednisolon 4mg Tablet 102.00 3510 358,020.00
416 Antihemoroid supp Suppositoria 3,250.00 80 260,000.00
417 Sediaan mengandung chondroitin, glucosamin Hcl (OsTablet 3,247.10 313 1,016,342.30
418 OT Ekstrak Sonchi Folium dan Strobilanthi folium (Batu Botol 43,613.00 20 872,260.00
419 OT Ekstrak Graptophylli Folium dan Citrus Bioflav Kapsul 1,535.20 360 552,672.00
420 OT Fitofarmaka Ekstak Apii Herba dan Orthosipon Fo Tablet 2,103.10 1620 3,407,022.00
421 Amoksisilin Kaplet 500 Mg Tablet 201.00 500 100,500.00
423 Sediaan mengandung ekstrak Curcuma (Curcuma ForTablet 681.45 74 50,427.30
424 Kotrimoksazol 480 Mg Tablet 127.15 1566 199,116.90
425 Klindamisin 300 Mg Tablet 526.74 122 64,262.28
426 Nistatin Drop 100.000 IU/ml Botol 11,604.55 14 162,463.70
427 Sefiksim 200mg Tablet 756.00 300 226,800.00
429 Asam Asetilsalisilat (Miniaspi) Tablet 89.81 400 35,924.00
430 Parasetamol Drop 60mg/0,6ml Botol 5,021.24 270 1,355,734.80
431 Clopidogrel 75mg Tablet 575.00 100 57,500.00
432 Spironolactone 25 Mg Tablet 192.00 500 96,000.00
434 Betametason Krim 0,1% Tube 2,997.00 158 473,526.00
435 Domperidon 10mg Tablet 177.60 200 35,520.00
436 Ektra plasenta + Neomisin Sulfat (Bioplacenton) Tube 24,975.00 60 1,498,500.00
437 Antidiare Suspensi (Guanistrep) Botol 5,550.00 109 604,950.00
438 Tetrasiklin 500 mg Kapsul 638.25 100 63,825.00
439 Zink Sirup Botol 3,885.00 25 97,125.00
440 Kloramfenikol Salep Mata 1% (Reco) Tube 7,437.00 25 185,925.00
441 Bedak Salisil 2% Botol 6,199.35 30 185,980.50
442 Kloramfenikol 0,5% tetes mata (Reco) Botol 9,324.00 161 1,501,164.00
443 Heparin Sodium (Hico Gel) Tube 18,200.00 50 910,000.00
444 Kalium Diklofenak 50mg Tablet 350.00 344 120,400.00
445 Sucralfate Suspensi Botol 16,800.00 88 1,478,400.00
446 Gliseril Guaiakolat Tab 100mg (Guaifenesin) Tablet 130.00 2000 260,000.00
448 Doksisiklin 100 Mg Tablet 540.00 300 162,000.00
449 Enzim pencernaan dewasa (New Enzyplex) Tablet 2,332.00 100 233,200.00
450 Obat Batuk Anak Herbal (OBM Kid) Botol 10,200.90 40 408,036.00
452 Enzim pencernaan anak (L Bio) Sachet 8,602.50 30 258,075.00
Kapsul ( Isi
453 OT Ekstrak Ophiocephalus Striatus (VIPALBUMIN) 30)
6,290.00 120 754,800.00
454 Multivitamin & Mineral Tablet& Fe (Hemafort) Tablet 854.70 9000 7,692,300.00
455 Amlodipin 5mg Tablet 122.10 2000 244,200.00
456 OT Ekstrak Piper Betle Folium (ENKASARI) Botol 23,310.00 35 815,850.00
457 Aminopilin Inj 24 Mg/Ml Ampul 2,604.00 15 39,060.00
460 Lidokain + Ephinefrin (Pehacain) Ampul 3,141.00 100 314,100.00
461 Serum Anti Tetanus (Biosat 1.500 IU) Vial 140,188.00 5 700,940.00
462 Rapid Test Antigen (GenBody) strip 55000 77 4,235,000.00
JUMLAH 453,024,948.65
Kepala UPTD Puskesmas Bringin Pengelola Obat

NIP. 19830822 201001 1 021 NIP. 199202112019022002
LAPORAN STOK OPNAME OBAT DAN PERBEKALAN FARMASI TOTAL
NO Nama Obat / Perbekalan Farmasi Kemasan Harga satuan (Rp) Jumlah Jumlah harga (Rp)
2 3 4 5 6
2 Alat Suntik Sekali Pakai 1 ml Tuberculin pcs 1,429.98 30 42,899.40
4 Alat Suntik Pakai 10 ml pcs 925.00 212 196,100.00
Bisturi pak ( isi 100) 279,000.00 3 837,000.00

5
6 Catgut chromic 3/0 75 cm 37 mm box 345,000.00 1 345,000.00
7 cover glass box 14,460.50 1 14,460.50
10 Lancet pcs 120.00 400 48,000.00
11 Needle 23G x 11/2 safety Flashback box 204,166.60 4 816,666.40
12 Needle 23 G X 32 MM pcs 310.99 83 25,812.17
13 Needle 18 G X 38 mm pcs 310.98 14 4,353.72
14 objek glass box isi 72 17,604.00 12 211,248.00
15 plester (Hansaplast) roll 35,000.00 2 70,000.00
16 IV catheter 18 pcs 8,750.00 17 148,750.00
17 IV catheter 20 pcs 8,750.00 17 148,750.00
18 IV catheter 22 pcs 8,750.00 233 2,038,750.00
19 IV catheter 24 pcs 8,750.00 509 4,453,750.00
20 Kasa pembalut hidrofil 4x15 roll 2,361.00 29 68,469.00
21 Kapas Pembalut Hastamed 250 gr roll 14,996.99 6 89,981.94
22 Masker N95 PCS 13,200.00 20 264,000.00
23 Masker Nebul Anak pcs 16,000.00 2 32,000.00
24 Masker Oksigen Anak pcs 23,650.00 27 638,550.00
25 Infuset anak pcs 8,399.60 200 1,679,920.00
26 Infus set dewasa pcs 8,399.60 73 613,170.80
27 Transfusi set pcs 5,519.99 10 55,199.90
28 Urin Bag pcs 5,500.00 15 82,500.00
29 Antiinfluenza/nichofed Tablet 699.99 5029 3,520,249.71
30 Anti diare tablet / Molagit Tablet 299.99 2726 817,772.74
31 Aqua pro injeksi (otsu) ampul 2,860.00 173 494,780.00
32 Asiklovir 200 mg Tablet 236.00 67 15,812.00
33 Asiklovir 400 mg tablet 404.99 2510 1,016,524.90
34 Atropin injeksi ampul 1,639.00 5 8,195.00
35 Betadine Kumur botol 25,542.00 3 76,626.00
36 Dimenhidrinat 50 mg tablet 111.99 136 15,230.64
37 Dimenhidrinat 50 mg Tablet 105.00 27 2,835.00
38 Diazepam injeksi ( Stesolid ) ampul 1,735.03 13 22,555.39
39 Diazepam rectal ( Stesolid ) 5 mg tube 12,573.00 13 163,449.00
42 Fenobarbital inj ampul 1,982.02 15 29,730.30
43 Gentamicin salep mata tube 2,675.00 1 2,675.00
44 Gentamicin tetes mata botol 4,232.00 22 93,104.00
45 Hiosina N Butil Bromida injeksi/spashi ampul 9,900.00 22 217,800.00
48 Kalsium laktat/ Kalk Tablet 63.00 60 3,780.00
49 ketoconazole cream tube 2,518.00 37 93,166.00
50 Kloramfenikol 1% salep mata tube 2,007.00 2 4,014.00
51 Kloramfenikol tetes telinga RECO botol 7,370.00 14 103,180.00
52 Kotrimoksazole suspensi botol 2,190.00 1 2,190.00
53 Lidocain + epinefrin ampul 1,228.99 147 180,661.53
54 Loratadine tablet 123.00 263 32,349.00
55 LOratadine Tablet 123.00 700 86,100.00
56 Meloksikam 7,5 mg tablet 266.42 20 5,328.40
57 Metil ergometrin inj ampul 2,959.00 11 32,549.00
58 Mikonazol cream tube 3,413.30 22 75,092.60
59 Multivitamin tab caviplex tablet 605.00 10 6,050.00
60 MgSO4 20% ampul 3,327.50 3 9,982.50
61 Natrium klorida infus botol 6,410.00 24 153,840.00
62 nistatin tablet salut 500.000 Tablet 843.00 100 84,300.00
63 oksitosin injeksi ampul 1,199.00 86 103,114.00
64 Propanolol tablet 58.00 100 5,800.00
65 PCT infus flash 12,389.00 45 557,505.00
66 RL infus MJB botol 7,629.60 10 76,296.00
67 RL (SANBE) softbag 7,630.00 43 328,090.00
68 RL botol 7,629.99 123 938,488.77
69 Ranitidin tab tablet 214.51 1194 256,124.94
72 Sediaan Mengandung Ekstrak Gratophyll kapsul 1,397.15 140 195,601.00
73 Sediaan Mengandung Ekstrak apii herba kapsul 2,126.66 5 10,633.30
74 vitamin B1 / Thiamin Tablet 165.00 100 16,500.00
75 vitamin B1 / Thiamin tablet 171.43 40 6,857.20
76 Haloperidol 5 mg Tablet 60.00 45 2,700.00
77 Trihexyphenidil 2 mg Tablet 91.00 50 4,550.00
78 cairan cuci tangan tanpa bilas botol 78,750.10 2 157,500.20
79 Catgut chromic 3/0 75c 37 mm box 345,000.00 4 1,380,000.00
80 Infuset anak pcs 4,000.00 64 256,000.00
81 iv catheter (Otsucath) no 18 pcs 8,250.00 45 371,250.00
82 Kapas pembalut OM 250 gr roll 20,599.99 1 20,599.99
83 Masker nebul anak pcs 16,000.00 1 16,000.00
84 Masker N95 Respirator pcs 9,350.00 115 1,075,250.00
85 Nurse Cap pcs 462.00 100 46,200.00
86 Plester(Leukoplast) roll 37,371.00 2 74,742.00
87 Yodium Povidon Lart botol 25,215.00 1 25,215.00
88 Selang Oksigen (Stardec) Anak pcs 11,200.00 29 324,800.00
89 Shoe cover pasang 1,687.40 100 168,740.00
90 Sarung tangan Obsgyn M pasang 14,520.00 20 290,400.00
91 Sarung tangan Obsgyn S pasang 14,520.00 25 363,000.00
92 Sarung tangan Obsgyn L pasang 14,542.00 21 305,382.00
93 Silkam black 3/0 75cm pcs 25,600.00 1 25,600.00
94 Urine bag 2 Lt ( T Valve ) buah 3,000.00 3 9,000.00
95 Urine bag 2 Lt (nousmed) buah 5,877.00 4 23,508.00
96 Albendazole Tablet 380.00 10500 3,990,000.00
97 Ampisillin injeksi botol 8,237.00 7 57,659.00
98 ads 0,05 ml pcs 1,460.00 200 292,000.00
99 Diazepam injeksi ampul 1,545.00 90 139,050.00
100 Garam oralit sachet 274.00 3 822.00
101 Garam oralit sachet 274.00 406 111,244.00
102 Gentamisin injeksi ampul 3,355.00 90 301,950.00
103 MDT MB blister 40,128.00 23 922,944.00
104 Masker N95 DreamCan pcs 19,900.00 40 796,000.00
105 OAT KATEGORI 1 paket 416,696.00 1 416,696.00
106 Pot Dahak Steril pcs 2,728.00 140 381,920.00
107 Rapid 1 HIV (ViroCheck) pcs 8,094.00 300 2,428,200.00
108 Rapid 2 HIV (Diagnostar) pcs 11,500.00 25 287,500.00
109 HbSAg test 9,850.00 425 4,186,250.00
110 Tablet Tambah Darah Tablet 226.00 1881 425,106.00
113 Zink Tablet Tablet 524.00 80 41,920.00
114 Zink tablet Tablet 216.00 400 86,400.00
115 Antihemoroid supp supp 3,167.00 7 22,169.00
116 Atropin ampul 1,639.00 12 19,668.00
117 Baju Coverall (AE Ataka) pcs 190,000.00 18 3,420,000.00
118 Baju Coverall (Protect U) pcs 110,600.00 50 5,530,000.00
119 Cairan Cuci Tangan Bilas (Aiken) galon 4L 45,000.00 1 45,000.00
120 Cairan Cuci Tangan tanpa Bilas (Anvir) galon 5L 106,000.00 1 106,000.00
121 Ergotamin Caffeine tablet 185.00 104 19,240.00
122 Favipiravir tablet 4,333.00 200 866,600.00
123 Kapas Pembalut pcs 7,205.00 2 14,410.00
124 Masker KN95 pcs 45,000.00 100 4,500,000.00
125 Masker KN95 jizhen pcs 40,000.00 60 2,400,000.00
126 Masker N95 (DreamCan pcs 76,000.00 100 7,600,000.00
127 Masker Telinga EVO pcs 3,000.00 250 750,000.00
128 Oksitetrasiklin salep mata tube 3,500.00 30 105,000.00
129 Parasetamol tablet 131.00 46 6,026.00
130 Parasetamol sirup botol 1,181.00 120 141,720.00
131 Albendazole tab 282.62 15702 4,437,699.24
132 Dressing Penutup Luka (Ultrafix) Roll 30,000.00 3 90,000.00
133 Kasa Pembalut Hidrofil 4x15cm (Hastamed) Roll 2,048.00 45 92,160.00
134 Kasa Hidrofil 2m x 80 cm Pcs 7,930.00 48 380,640.00
135 Masker Telinga (Earloop) Altamed Pcs 340.00 850 289,000.00
136 Masker Hijab (Headloop) Altamed Pcs 340.00 1200 408,000.00
137 Handscoon L (Altamed) Pcs 1,070.00 300 321,000.00
140 Masker Oksigen Dewasa (Forsch) Pcs 11,500.00 11 126,500.00
141 Urin Bag (Forsch) Pcs 5,300.00 30 159,000.00
142 Masker Nebul Anak Pcs 16,200.00 20 324,000.00
143 Masker Nebul Dewasa (Forsch) Pcs 16,200.00 12 194,400.00
145 Infuset Dewasa (Otsu Y) Pcs 8,596.00 200 1,719,200.00
147 Catgut Chromic 3/0 70c 19mm Box 248,669.00 2 497,338.00
155 Alkohol 70% 5L Galon 112,350.00 1 112,350.00
156 Rapid Tes HIV (SD Bioline) Pcs 11,322.00 60 679,320.00
157 Reagen Syphilis (SD Bioline) Pcs 10,666.00 240 2,559,840.00
158 Cairan Cuci Tangan Bilas (Pori Klin) 5L Galon 61,250.00 2 122,500.00
160 Sarung Tangan Panjang (InTouch) No. 6,5 Pasang 7,186.36 80 574,908.80
161 Sarung Tangan Panjang (InTouch) No. 7 Pasang 7,186.36 600 4,311,816.00
162 Sarung Tangan Panjang (InTouch) No. 7,5 Pasang 7,186.36 150 1,077,954.00
163 Nurse Cap Pcs 304.54 300 91,362.00
164 Plester (Onemed) Roll 41,360.00 30 1,240,800.00
165 Tabung Vacumtainer Plain 3 ml (Onemed) Pcs 800.00 200 160,000.00
166 Alat Tes Kehamilan (Ultra One) Strip 1,900.00 9 17,100.00
167 HB Hemoglobin Test (Mission) Strip 8,033.64 200 1,606,728.00
169 Lancet (Onemed) Pcs 92.00 5000 460,000.00
170 Strip Gula (Gluco Dr) STRIP 1,736.16 150 260,424.00
174 Rapid Tes HIV (Oncoprobe) Pcs 15,748.00 50 787,400.00
175 Rapid Tes HIV (Intec) Pcs 14,740.00 100 1,474,000.00
177 Framycetin Sulfate (Daryant Tulle) Lembar 25,000.00 48 1,200,000.00
178 Alkohol Swab (Altamed) Pcs 76.00 34200 2,599,200.00
179 Apron Pendek Pcs 1,849.10 150 277,365.00
180 Plesterin Bulat Soft Pcs 389.34 3860 1,502,852.40
181 Alat Tes Kehamilan (Ultra One) Pcs 1,900.00 581 1,103,900.00
182 Sarung Tangan Obgyn Steril (Onemed) Pasang 19,000.00 100 1,900,000.00
183 Handscoon M (Super Gard) pcs 525.00 600 315,000.00
184 Cairan Cuci Tangan Tanpa Bilas (Pori Klin) 5L Galon 143,000.00 13 1,859,000.00
185 Cairan Cuci Tangan Bilas (Pori Klin) 5L Galon 5 L 67,375.00 2 134,750.00
186 Masker Telinga (Earloop) MAS Pcs 360.00 1300 468,000.00
187 Masker Telinga (Headloop) Jilbab BAYMED pcs 360.00 5500 1,980,000.00
Masker Telinga (Headloop) Jilbab SAFELOCK Pcs 340.00 1500 510,000.00

188
189 Nurse Cap Pcs 335.00 200 67,000.00
195 Kasa Hidrofil 2Mx80Cm Roll 10,358.00 200 2,071,600.00
Botol (1
Alkohol 70% 22,500.00 18 405,000.00
196 Liter)
197 Alkohol 70% 5L Galon 5 L 117,700.00 6 706,200.00
198 Iv. Catteter (Otsucath) No.18 Pcs 5,300.00 200 1,060,000.00
199 Kapas 250gram Roll 15,296.00 5 76,480.00
200 Selang Oksigen (Nasal Cannula) L - Adult Pcs 7,500.00 10 75,000.00
201 Tabung K3EDTA 3ml (Vacusera) Pcs 1,413.00 100 141,300.00
202 Alkohol Swab (Nushi) Box 18,500.00 368 6,808,000.00
203 Rapid Tes HIV 1/2 (SD Bioline) Strip 11,425.00 270 3,084,750.00
204 Rapid Tes Syphilis 3.0 (SD Bioline) Test 10,763.00 270 2,906,010.00
205 Strip Gula ( Benecheck ) Box 160,000.00 247 39,520,000.00
206 Lancet (ABN) Box 13,000.00 368 4,784,000.00
207 Strip Gula ( On Call ) Box 150,000.00 88 13,200,000.00
208 Strip Gula ( Gluco Dr ) Box 87,500.00 200 17,500,000.00
209 Strip Gula ( Humasens ) Box 160,000.00 200 32,000,000.00
210 Gown Pcs 185,000.00 17 3,145,000.00
213 Golongan Darah Anti AB Botol 165,491.00 4 661,964.00
215 Etil Klorid Semprot Botol 182,262.00 15 2,733,930.00
Cairan Cuci Tangan Bilas (E-Care) Botol 500ml 70,000.00 5 350,000.00

216
217 Alkohol Swab Box 8,380.00 10 83,800.00
218 Handscoon M (Sriex) Box 53,000.00 20 1,060,000.00
Cairan Cuci Tangan Tanpa Bilas (Nam Medical) Botol 500ml 24,500.00 15 367,500.00
220
221 Masker Hijab (Headloop) NOUSMED Pcs 360.00 2000 720,000.00
222 Sarung Tangan Panjang (TG Medical) No.8 Pasang 7,900.00 100 790,000.00
223 Sarung Tangan Panjang (TG Medical) No. 6 Pasang 7,900.00 50 395,000.00
224 Stik Hb Misiion Box 400,000.00 10 4,000,000.00
225 Urin 10 parameter (Verify) Box 133,200.00 3 399,600.00
226 Masker Hijab (Headloop) NAM MEDICAL Pcs 400.00 2000 800,000.00
227 Strip Asam Urat (Accugence) Box (isi 25) 92,500.00 24 2,220,000.00
228 Strip Cholesterol (Mission) Box (isi 25) 500,000.00 2 1,000,000.00
229 Alat Tes Kehamilan (Hcg Strip) 50strip/box 1,887.00 150 283,050.00
230 Strip Cholesterol (Family Dr) Strip 18,671.32 350 6,534,962.00
231 Strip Cholesterol (Mission) Strip 20,000.00 2150 43,000,000.00
232 Strip Asam Urat (Family Dr) Strip 5,235.88 1350 7,068,438.00
234 Silk 2/0 (T-Silk) Pcs (isi 12) 40,737.00 24 977,688.00
235 Strip Asam Urat ( Benecheck ) Box (isi 25) 150,000.00 10 1,500,000.00
Tabung Vacumtainer EDTA (Vacusera) Box (isi 100) 1,413.00 100 141,300.00
236
237 Rapid Tes HIV/Syphilis Duo (SD Bioline) Test 17,723.00 325 5,759,975.00
238 Tabung Vacumtainer EDTA (ARKAN) Pcs 1,445.00 200 289,000.00
239 Pot Dahak Steril (Ekomed) Pcs 2,500.00 80 200,000.00
240 Masker Oksigen Dewasa Pcs 13,000.00 5 65,000.00
242 Plester (Leukoplast) 7,5 cm x 4,5 m Roll 43,300.00 10 433,000.00
243 Kasa kompres 40x40 DRC Pcs 1,459.65 100 145,965.00
244 Framycetin Sulfate (Daryant Tulle) Lembar 28,083.00 30 842,490.00
246 Ondansetron Inj. 4 Mg Ampul 873.00 2 1,746.00
247 Hiosin N Butilbromide Inj 20 mg/ml Ampul 5,678.00 20 113,560.00
249 Lansoprazole 30 mg Kapsul 278.00 1716 477,048.00
250 Amoksisilin Kaplet 500 Mg Kaplet 201.00 6338 1,273,938.00
251 Omeprazole 20mg Kapsul 129.00 2405 310,245.00
255 Nistatin Drop 100.000 IU Botol 11,500.00 9 103,500.00
256 Fenol Gliserol Tetes Telinga 10% Botol 3,300.00 29 95,700.00
257 Domperidone Maleate Tab. 10 Mg Tablet 71.00 2338 165,998.00
259 Kalsium Laktat (Kalk) Tab.500Mg Tablet 60.00 100 6,000.00
260 Natrium Klorida Lar. Infus 0,9% Botol 6,800.00 40 272,000.00
261 Kaptopril Tablet 25 Mg Tablet 75.00 2612 195,900.00
262 Diazepam 2 Mg Tablet 70.00 3 210.00
263 Haloperidol Tab 5 Mg Tablet 54.00 100 5,400.00
265 Lidokain 2% Ampul 847.00 115 97,405.00
266 Difenhidramin Hcl Inj. 10 Mg/ Ampul 781.00 14 10,934.00
267 Dexametason Inj. 5Mg/1Ml Ampul 924.00 32 29,568.00
268 Fitomenadion Tab 10mg Tablet 748.00 40 29,920.00
269 Fitomenadion Inj. 2mg/ml Ampul 1,386.00 22 30,492.00
270 Oseltamivir Kapsul 75 mg Tablet 13,000.00 140 1,820,000.00
271 Betahistin Mesilat 6 Mg Tablet 397.39 102 40,533.78
272 Sefadroksil 500 Mg Kapsul 720.50 1670 1,203,235.00
276 Asiklovir Krim 5% Tube 3,047.00 27 82,269.00
279 Oksitetrasiklin Salep Klulit 3% Tube 4,554.00 41 186,714.00
280 Antiinfluenza (Noza) Kaplet 797.50 2000 1,595,000.00
281 Triamsinolon Asetonida 1mg (Genalog) Tube 18,480.00 23 425,040.00
Ekstra plasenta + Neomisin Sulfat (Neocenta Gel) Tube 16,808.00 67,232.00

282 4
283 Heparin Sodium (Hico) Gel Tube 20,163.00 4 80,652.00
284 Meloksikam Tablet 7.5 mg Tablet 323.40 60 19,404.00
285 Multivitamin (Recovit) Sirup Botol 7,920.00 3 23,760.00
286 Prednison tablet 5 mg Tablet 68.00 334 22,712.00
OT Ekstrak Meniran Hijau (Stimuno Forte) Kapsul Kapsul 1,763.00 158,670.00

287 90
290 Obat Kumur Sariawan (Enkasari Herbal) Botol 18,754.00 11 206,294.00
291 Bedak Salisil 2% Pcs 6,426.00 21 134,946.00
292 Minyak Kayu Putih (Fitocare) Botol 13,289.00 23 305,647.00
293 Furosemida Tab 40Mg Tablet 161.00 168 27,048.00
294 Favipiravir Tablet 200mg Tablet 15,000.00 220 3,300,000.00
295 Simetidin Tab. 200 Mg (Lexamet) Tablet 319.00 1757 560,483.00
296 Metronidazol 500Mg (Molazol) Tablet 396.00 2964 1,173,744.00
297 Bacitracin Polymyxin Salep Kulit Tube 6,116.00 144 880,704.00
Asam Askorbat (Vit. C) Tab 500 mg (Halowell) Kaplet 953.00 27,637.00

298 29
299 Mikonazole Krim 2% Tube 4,950.00 144 712,800.00
301 Asam Traneksamat 500mg (Nexitra) Kaplet 1,984.00 121 240,064.00
303 Natrium Klorida Lar. Infus 0,9% Botol 6,799.10 360 2,447,676.00
304 Betadine Obat Kumur Botol 27,000.00 15 405,000.00
305 Yodium Povidon Lart. 10 % 60 Ml (Betadine) Botol 25,016.40 17 425,278.80
Kloramfenikol Tetes Telinga 1% (Erlamycetine) Botol 9,460.00 766,260.00

306 81
307 Obh Molex Sirup Botol 5,142.50 2 10,285.00
309 Etil Klorid Semprot Botol 175,000.00 1 175,000.00
310 Aqua Pro Injeksi (Otsu) Ampul 2,385.90 150 357,885.00
311 Asam Asetyl Salisilat (Miniaspi) 80mg Tablet 89.00 190 16,910.00
312 Multivitamin Tablet (Arkavit C+DEZ) Kapsul 895.00 413 369,635.00
Multivitamin & Mineral Tablet (Recovit Plus) Tablet 605.00

313 1221 738,705.00
316 Ambroxol Tablet 30mg Tablet 140.50 7128 1,001,484.00
317 Piridoksin (B6) Tab. 10Mg Tablet 105.15 3371 354,460.65
321 Vitamin D3 1000 IU (Solvita D) Kaplet 1,430.00 640 915,200.00
322 Metronidazol 500Mg Tablet 320.00 960 307,200.00
323 Ketokonazole 200Mg Tablet 658.02 143 94,096.86
325 Minyak Kayu Putih (Fitocare) Botol 13,289.00 80 1,063,120.00
326 Ketokonazole Krim 2% Tube 2,349.00 110 258,390.00
327 Multivitamin & Mineral Tablet (Caviplex) Kaplet 540.91 2529 1,367,961.39
328 Kloramfenikol Tetes Telinga 1% (RECO) Botol 8,250.00 64 528,000.00
329 Flunarisin Tablet 5mg Tablet 1,100.00 536 589,600.00
330 Seftriakson injeksi 1 gr/vial vial 6,003.36 29 174,097.44
331 Parasetamol 500Mg Tablet 105.00 48000 5,040,000.00
333 Kaptopril Tablet 12,5 Mg Tablet 90.00 1757 158,130.00
334 Simvastatin Tab.10 Mg Tablet 107.87 584 62,996.08
Kotrimoksazol Suspensi 240mg (Trimeta Syrup) Botol 3,575.00 403,975.00

336 113
337 Antasida Doen Suspensi Botol 3,450.00 7 24,150.00
338 Batugin Elixir Botol 43,913.10 32 1,405,219.20
340 Multivitamin & Mineral Tablet (Caviplex) Tablet 540.89 5900 3,191,251.00
342 Allopurinol Tablet 100mg Tablet 155.35 504 78,296.40
343 Cetirizine 10mg Tablet 77.00 3853 296,681.00
345 Sefiksim 100mg Tablet 1,010.00 1249 1,261,490.00
346 Natrium Diklofenak 25Mg Tablet 187.00 47 8,789.00
347 Diazepam Injeksi 5mg/ml Ampul 8,591.00 10 85,910.00
348 Amoksisilin Kaplet 500 Mg (SOLPENOX) Kaplet 395.00 3200 1,264,000.00
350 Serum Anti Bisa Ular I (Biosave) 5mL Vial 517,132.00 4 2,068,528.00
Obat batuk mengandung DMP (Dextrofen) sirup Botol 11,550.00
351 3 34,650.00
352 Multivitamin Syrup (Seltifort Kids) Botol 7,200.00 8 57,600.00
353 Ambroxol Syrup 15mg/5ml Botol 3,600.00 65 234,000.00
354 Betahistin 6mg (LEXIGO) Tablet 660.00 3000 1,980,000.00
355 Fenolgliserol TT Botol 4,200.00 5 21,000.00
356 Neurotropik (Selesbion) Tablet 530.00 3501 1,855,530.00
357 OBH Molex Sirup Botol 5,500.00 132 726,000.00
358 Gentamicin 0.1% Salep Kulit Tube 3,600.00 62 223,200.00
359 Furosemide 40Mg Tablet 195.00 400 78,000.00
360 Hiosina N Butil Bromida 10 Mg (Scopma) Tablet 1,080.00 500 540,000.00
361 Nifedipin 10 Mg Tablet 225.00 283 63,675.00
Obat Batuk Kombinasi Mengandung
Tablet 580.00 1513 877,540.00
362 Dekstrometorfan (Calortusin) Tablet
363 Meloksikam 7.5 mg Tablet 145.00 638 92,510.00
364 Tiamfenikol Kapsul 500Mg (THIAMEX) Kapsul 1,347.00 100 134,700.00
365 Triamsinolon Asetonida (Genalog) Tube 16,900.00 30 507,000.00
366 Antidiare (Omegdiar) Tablet Tablet 260.00 1400 364,000.00
367 Salbutamol Nebulizer 2,5mg Nebules 16,000.00 18 288,000.00
368 Kloramfenikol Tetes Mata (Reco) Botol 9,340.00 13 121,420.00
369 Alprazolam 0.5 Mg Tablet 78.00 82 6,396.00
370 Trifluoperazine 5 Mg Tablet 220.00 200 44,000.00
371 Triheksipenidil 2mg Tablet 63.00 100 6,300.00
373 Asam Askorbat (Vit. C) Tab 50Mg Tablet 42.00 21130 887,460.00
374 Hiosina N Butil Bromida 10 Mg Tablet 1,050.00 200 210,000.00
375 Glimepirid 2 Mg Tablet 123.00 500 61,500.00
376 Sefotaksim Inj vial 2,850.00 72 205,200.00
377 Metformin 500mg Tablet 77.00 3771 290,367.00
378 Prednison 5 mg Tablet 68.00 500 34,000.00
379 Digoksin 0.25 mg Tablet 124.00 100 12,400.00
380 Hiosin Injeksi 20mg/ml Ampul 5,677.90 20 113,558.00
381 Acetylcysteine 200mg Kapsul 301.00 3118 938,518.00
383 Klorpromazine 100 mg Tablet 250.00 99 24,750.00
385 Difenhidramin Hcl Inj. 10 Mg/1Ml Ampul 781.00 90 70,290.00
386 Nistatin 500.000 Iu Tablet 825.00 74 61,050.00
387 Flunarizin 5mg Tablet 1,210.00 400 484,000.00
389 Multivitamin Tablet (Arkavit C+DEZ) Kapsul 858.00 3000 2,574,000.00
390 Chlorpheniramine Maleat (Ctm) 4mg Tablet 52.00 12860 668,720.00
391 Ondansentro 4 Mg Tablet 693.00 2 1,386.00
392 Oksitetrasiklin Salep Kulit 3% Tube 2,420.00 47 113,740.00
395 Ibuprofen suspensi 100mg/5ml Botol 2,256.31 136 306,858.16
396 Salep 2-4 Pot 2,333.00 203 473,599.00
397 Ibuprofen 400mg Tablet 190.00 492 93,480.00
398 Ondansetron inj 4 mg/2 mL Ampul 5,141.00 10 51,410.00
399 Risperidon 2 mg Tablet 414.00 500 207,000.00
400 Permethrin Krim Tube 6,324.78 30 189,743.40
401 Kalsium Laktat 500mg Tablet 60.55 10547 638,620.85
402 Fitominadion 10mg Tablet 754.80 250 188,700.00
403 Lidokain 2% Ampul 854.70 160 136,752.00
404 OT Ekstrak Meniran Hijau (Stimuno) Sirup Botol 28,374.00 136 3,858,864.00
406 Obat Batuk Herbal (Herbakof) Sirup Botol 14,402.00 3 43,206.00
407 Metoklopramid 10 Mg Tablet 66.00 2 132.00
408 Methilergometrin Maleat 0,125mg Tablet 214.00 200 42,800.00
409 MgSO4 20% Botol 3,580.00 43 153,940.00
412 Metil Prednisolon 4mg Tablet 102.00 3510 358,020.00
Antihemoroid supp Suppositoria 3,250.00 80 260,000.00

414
415 Sediaan mengandung chondroitin, glucosamin Hcl Tablet 3,247.10 313 1,016,342.30
416 OT Ekstrak Sonchi Folium dan Strobilanthi folium (B
Botol 43,613.00 20 872,260.00
417 OT Ekstrak Graptophylli Folium dan Citrus Biofl Kapsul 1,535.20 360 552,672.00
418 OT Fitofarmaka Ekstak Apii Herba dan Orthosipon Tablet 2,103.10 1620 3,407,022.00
419 Amoksisilin Kaplet 500 Mg Tablet 201.00 500 100,500.00
420 Asam Mefenamat Kaplet 500 Mg Tablet 111.00 9062 1,005,882.00
421 Sediaan mengandung ekstrak Curcuma (Curcuma FTablet 681.45 74 50,427.30
422 Kotrimoksazol 480 Mg Tablet 127.15 1566 199,116.90
423 Klindamisin 300 Mg Tablet 526.74 122 64,262.28
424 Nistatin Drop 100.000 IU/ml Botol 11,604.55 14 162,463.70
425 Sefiksim 200mg Tablet 756.00 300 226,800.00
427 Asam Asetilsalisilat (Miniaspi) Tablet 89.81 400 35,924.00
428 Parasetamol Drop 60mg/0,6ml Botol 5,021.24 270 1,355,734.80
429 Clopidogrel 75mg Tablet 575.00 100 57,500.00
430 Spironolactone 25 Mg Tablet 192.00 500 96,000.00
432 Betametason Krim 0,1% Tube 2,997.00 161 482,517.00
433 Domperidon 10mg Tablet 177.60 200 35,520.00
434 Ektra plasenta + Neomisin Sulfat (Bioplacenton) Tube 24,975.00 60 1,498,500.00
435 Antidiare Suspensi (Guanistrep) Botol 5,550.00 109 604,950.00
436 Tetrasiklin 500 mg Kapsul 638.25 100 63,825.00
437 Zink Sirup Botol 3,885.00 25 97,125.00
438 Kloramfenikol Salep Mata 1% (Reco) Tube 7,437.00 25 185,925.00
439 Bedak Salisil 2% Botol 6,199.35 30 185,980.50
440 Kloramfenikol 0,5% tetes mata (Reco) Botol 9,324.00 161 1,501,164.00
441 Heparin Sodium (Hico Gel) Tube 18,200.00 50 910,000.00
442 Kalium Diklofenak 50mg Tablet 350.00 344 120,400.00
443 Sucralfate Suspensi Botol 16,800.00 88 1,478,400.00
Gliseril Guaiakolat Tab 100mg (Guaifenesin) Tablet 130.00 2000 260,000.00

444
446 Doksisiklin 100 Mg Tablet 540.00 300 162,000.00
447 Enzim pencernaan dewasa (New Enzyplex) Tablet 2,332.00 100 233,200.00
448 Obat Batuk Anak Herbal (OBM Kid) Botol 10,200.90 40 408,036.00
450 Enzim pencernaan anak (L Bio) Sachet 8,602.50 30 258,075.00
OT Ekstrak Ophiocephalus Striatus Kapsul ( Isi 6,290.00 120 754,800.00
451 (VIPALBUMIN) 30)
Multivitamin & Mineral Tablet& Fe (Hemafort) Tablet 854.70 9000 7,692,300.00

452
453 Amlodipin 5mg Tablet 122.10 2000 244,200.00
454 OT Ekstrak Piper Betle Folium (ENKASARI) Botol 23,310.00 35 815,850.00
455 Aminopilin Inj 24 Mg/Ml Ampul 2,604.00 15 39,060.00
458 Lidokain + Ephinefrin (Pehacain) Ampul 3,141.00 100 314,100.00
459 Serum Anti Tetanus (Biosat 1.500 IU) Vial 140,188.00 5 700,940.00
460 Rapid Test Antigen (GenBody) Strip 55,000.00 77 4,235,000.00
461 Guaifenesin tab tablet 66.00 58 3,828.00
462 Siprofloxacin Tab 500Mg tablet 408.60 1836 750,189.60
463 New Antides tablet 200.00 266 53,200.00
464 ACYCLOVIR CREAM tube 3,036.00 11 33,396.00
465 Bedak Salycil kotak 2,200.00 1 2,200.00
466 Nisagon Cream tube 6,000.00 88 528,000.00
467 Ketorolac injeksi ampul 2,997.00 89 266,733.00
468 strip Asam Urat (Nesco) box 105,450.00 1 105,450.00
469 Strip Hb Easy Touch box 159,285.00 14 2,229,990.00
470 CLEANER botol 2,818,678.50 2 5,637,357.00
471 Caviton Pink pcs 183,150.00 1 183,150.00
472 Celluloid strip pcs 194,250.00 1 194,250.00
473 Rapid Test Antigen pcs 16,000.00 3 48,000.00
474 Handscoon S Altamed box 40,000.00 57 2,280,000.00
475 IUD pcs 12,500.00 14 175,000.00
476 Povidone 10% 30 ml Botol 2,750.00 12 33,000.00
477 KONDOM gross 96,500.00 5 482,500.00
478 Safety Box pcs 25,613.00 10 256,130.00
479 Kain Penutup Operasi Steril(doek steril) pcs 6,863.00 536 3,678,568.00
480 Syringe 3 ml (Implant) pcs 1,358.00 3 4,074.00
481 Kasa Steril pcs 500.00 110 55,000.00
482 PIL KB tablet 1,153.00 310 357,430.00
483 Syringe 3 ml (depo Kb) pcs 1,138.00 372 423,336.00
484 Asam Mefenamat 500 mg strip 1,782.00 46 81,972.00
485 Lidokain 2% pcs 1,221.00 19 23,199.00
486 Masker Face Mask pcs 2,500.00 215 537,500.00
487 Safety Box Buah 26,589.00 10 265,890.00
488 IMPLANT Set 150,015.00 116 17,401,740.00
489 Suntikan Depo Gestin Vial 4,800.00 724 3,475,200.00
490 KONDOM gross 124,800.00 4 499,200.00
491 Sarung Tangan Steril pasang 4,600.00 174 800,400.00
492 Povidone 10% 30 ml buah 3,200.00 20 64,000.00
493 Alkohol Swab 2 ply buah 127.00 146 18,542.00
494 Lidokain 2% injeksi ampul 847.00 100 84,700.00
495 Plester Steril buah 4,212.00 18 75,816.00
496 Masker Face Mask Buah 458.00 100 45,800.00
497 Kasa Steril Buah 468.00 100 46,800.00
498 Syringe 3 ml (Implant) Buah 699.00 100 69,900.00
499 Syringe 3 ml (depo Kb) Buah 699.00 500 349,500.00
500 Asam Mefenamat 500 mg strip 1,980.00 100 198,000.00
JUMLAH 498,593,222.83
Kepala UPTD Puskesmas Bringin Pengelola Obat

NIP. 19830822 201001 1 021 NIP. 199202112019022002

STOK OP SEPTEMBER 2022 REK Ipf

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

STOK OP SEPTEMBER 2022 REK Ipf

Uploaded by

Copyright:

Available Formats

LAPORAN STOK OPNAME OBAT DAN PERBEKALAN FARMASI

UPTD PUSKESMAS BRINGIN

NO. REK : 15.01.5.2.2.01.10

Alat Suntik Pakai 3 ml pcs 1,137.99 7 7,965.93

Mengetahui Bringin , 30 September 2022

dr. Bagus Panuntun Sukma Adi Karina Parahita. S.Farm.Apt

NO. REK : 15.01.5.2.2.02.04

Antiinfluenza/nichofed Tablet 699.99 5,029 3,520,249.71

BAHAN MEDIS HABIS PAKAI

Mengetahui Bringin ,30 September 2022

dr. Bagus Panuntun Sukma Adi Karina Parahita. S.Farm.Apt

SUMBER ANGGARAN : PROGRAM

Albendazole Tablet 380.00 10500 3,990,000.00

pcs 300 2,428,200.00

Mengetahui Bringin ,30 September 2022

dr. Bagus Panuntun Sukma Adi Karina Parahita S.Farm.,Apt

SUMBER ANGGARAN : APBD1 / BUFER PROV

Mengetahui Bringin, 30 September 2022

dr. Bagus Panuntun Sukma Adi Karina Parahita. S.Farm.Apt

NO. REK : APBN 2020

Mengetahui Bringin , 30 September 2022

dr. Bagus Panuntun Sukma Adi Karina Parahita. S.Farm.Apt

LAPORAN STOK OPNAME PER-REKENING

Nomor Rekening: 1.02.02.2.01.17

No Kode Nm Barang Satuan Harga Qty Total

Kepala Puskesmas, Koordinator Apotik,

dr. Bagus Panuntun Sukma Adi Karina Parahita S.Farm.Apt

LAPORAN STOK OPNAME PER-REKENING

Nomor Rekening: 1.02.02.2.01.16

No Kode Nm Barang Satuan Harga Qty Total

Kepala Puskesmas, Koordinator Apotik,

dr. Bagus Panuntun Sukma Adi Karina Parahita S.Farm.Apt

LAPORAN STOK OPNAME PER-REKENING

Nomor Rekening: BANTUAN

No Nm Barang Satuan Harga Qty Total

Kepala Puskesmas, Koordinator Apotik,

dr. Bagus Panuntun Sukma Adi Karina Parahita S.Farm.Apt

Bisturi pak ( isi 100) 279,000.00 3 837,000.00

Cairan Cuci Tangan Bilas (E-Care) Botol 500ml 70,000.00 5 350,000.00

Ekstra plasenta + Neomisin Sulfat (Neocenta Gel) Tube 16,808.00 67,232.00

dr. Bagus Panuntun Sukma Adi Karina Parahita S.Farm.Apt

Bisturi pak ( isi 100) 279,000.00 3 837,000.00

Masker Telinga (Headloop) Jilbab SAFELOCK Pcs 340.00 1500 510,000.00

Cairan Cuci Tangan Bilas (E-Care) Botol 500ml 70,000.00 5 350,000.00

Ekstra plasenta + Neomisin Sulfat (Neocenta Gel) Tube 16,808.00 67,232.00

OT Ekstrak Meniran Hijau (Stimuno Forte) Kapsul Kapsul 1,763.00 158,670.00

Asam Askorbat (Vit. C) Tab 500 mg (Halowell) Kaplet 953.00 27,637.00

Kloramfenikol Tetes Telinga 1% (Erlamycetine) Botol 9,460.00 766,260.00

Multivitamin & Mineral Tablet (Recovit Plus) Tablet 605.00

Kotrimoksazol Suspensi 240mg (Trimeta Syrup) Botol 3,575.00 403,975.00

Antihemoroid supp Suppositoria 3,250.00 80 260,000.00

Gliseril Guaiakolat Tab 100mg (Guaifenesin) Tablet 130.00 2000 260,000.00

Multivitamin & Mineral Tablet& Fe (Hemafort) Tablet 854.70 9000 7,692,300.00

dr. Bagus Panuntun Sukma Adi Karina Parahita S.Farm.Apt

You might also like