Professional Documents
Culture Documents
(LPLPO)
Page 1
SATU HARGA STOK PENERI PERSE PEMAKAIAN RUSAK / E.D/REALOKASI
KODE NAMA OBAT
AN PER SATUAN AWAL MAAN DIAAN JUMLAH Rp JUMLAH
1 2 3 4 5 6 7=(5+6) 8 9 10
Gentamisin Tetes mata botol Rp 4,885.00 33 24 57 12 58,620
Glukosa larutan infus 10 % steril botol Rp 8,003.00 0 0 - 0 -
Glukosa larutan infus 40 % steril botol Rp 10,789.90 0 0 - 0 -
Glukosa larutan infus 5 % steril botol Rp 7,363.00 0 20 20 0 -
HEXADOL (Larutan Hexetidine) botol Rp 14,300.00 0 0 - 0 -
Ibuprofen syr 100 mg/5ml botol Rp 4,522.10 20 50 70 39 176,362
Iliadin spray botol Rp 39,468.00 0 0 - 0 -
Kalsium Gluconas inj ampul Rp 10,351.00 0 0 - 0 -
Kandistatin drops (nistatin 100.000IU) botol Rp 11,750.00 17 0 17 2 23,500
Kloramfenikol sirup botol Rp 5,319.00 0 0 - 0 -
Kloramfenikol tetes telinga 3 % (reco) botol Rp 8,250.00 43 0 43 8 66,000
Klorpromazin Hcl inj 5 mg / ml - 2 ml ampul Rp 376.00 0 0 - 0 -
Kompolax emulsi botol Rp 5,550.00 8 5 13 2 11,100
Kotrimoksazol suspensi botol Rp 2,190.00 4 20 24 5 10,950
Laxadine emulsi @ 30 ml botol Rp 27,456.00 0 0 - 0 -
Lexapram sirup botol Rp 2,900.00 0 0 - 0 -
Lidocain injeksi 2 % ampul Rp 1,408.00 155 0 155 28 39,424
Lidokain kompositum injeksi ampul Rp 847.00 25 0 25 10 8,470
Lisol botol Rp 45,100.00 0 0 - 0 -
Magnesium sulfat inj ( 1V ) 20 % - 25 ml vial Rp 4,120.00 16 0 16 0 -
Magnesium sulfat inj ( 1V ) 40 % - 25 ml vial Rp 3,796.00 0 0 - 0 -
Metilergometrin maleat inj 0,200 mg - 1 ml ampul Rp 3,399.00 5 0 5 0 -
Metoklorpropamid sirup / norvom syr botol Rp 6,877.20 0 0 - 0 -
Metronidazol infus 500 mg/100 ml botol Rp 8,250.00 0 0 - 0 -
Metronidazol sirup botol Rp 3,950.00 0 0 - 0 -
Metronidazol suspension 125 mg/ml (Fragsol syr) botol Rp 7,150.00 11 0 11 0 -
Mycamine/micafungin 50 mg inj ampul Rp 320,610.00 0 0 - 0 -
Natrium klorida larutan infus 0,9 % steril botol Rp 6,840.00 37 0 37 5 34,200
Novastan sirup botol Rp 8,800.00 0 0 - 0 -
Obat Batuk Hitam ( OBH ) cairan botol Rp 4,733.30 67 0 67 23 108,866
Obat Gigi : Achatit/Fuji II kotak Rp 459,910.00 0 0 - 0 -
Obat Gigi : Air raksa dental use botol Rp 437,500.00 0 0 - 0 -
Obat Gigi : Bond strenght kotak Rp 319,000.00 0 0 - 0 -
Obat Gigi : Cresofen / endoseptone / endoseal pack Rp 440,000.00 0 0 - 0 -
Obat Gigi : Cresotin liquid box Rp 1,025,915.00 0 0 - 0 -
Obat gigi : Dentin conditioning kotak Rp 366,465.00 0 0 - 0 -
Obat Gigi : Eugenol cairan botol Rp 136,400.00 0 0 - 0 -
Obat Gigi : Flour sediaan topical ampul Rp 165,000.00 0 0 - 0 -
Obat Gigi : Formokresol botol Rp 239,580.00 0 0 - 0 -
Obat Gigi : G aenial bond kotak Rp 875,578.00 0 0 - 0 -
Obat Gigi : Glass Ionomer cemen ( GC IX ) kotak Rp 957,000.00 0 0 - 0 -
Obat Gigi : Glass Ionomer Light cured Universal restorative kotak Rp 440,000.00 0 0 - 0 -
Obat Gigi : Marbalet/neocones botol Rp 750,000.00 0 0 - 0 -
Obat Gigi : Minyak handpiece 500 ml botol Rp 561,000.00 0 0 - 0 -
Obat Gigi : Monoklorkamfer mentol cairan (CHKM) kotak Rp 77,000.00 0 0 - 0 -
Obat Gigi : Mummifying pasta kotak Rp 385,000.00 0 0 - 0 -
Obat Gigi : Oco Tooth Clensing botol Rp 221,000.00 0 0 - 0 -
Obat Gigi : Orablock carpule Rp 15,400.00 0 0 - 0 -
Obat Gigi : Rockless kotak Rp 1,135,200.00 0 0 - 0 -
Obat Gigi : Scandonest kotak Rp 881,100.00 0 0 - 0 -
Obat Gigi : Semen seng fosfat serbuk dan cairan kotak Rp 220,000.00 0 0 - 0 -
-
Obat Gigi : Silver amalgam serbuk 65 - 75 % kotak Rp 937,500.00 0 0 0 -
Obat Gigi : Temporary stopping fletcher serbuk dan cairan set Rp 62,150.00 0 0 - 0 -
Obat Gigi :Trikesol Formalin ( TKF ) cairan botol Rp 99,000.00 0 0 - 0 -
Oksimetazolin tts hidung 0,025% (Iliadin drops) botol Rp 60,229.00 0 0 - 0 -
Oksitosin injeksi 10 iu / ml ampul Rp 1,232.00 170 0 170 40 49,280
Omeprazol inj 40 mg/10 ml ampul Rp 5,346.00 10 0 10 0 -
Ondansetron inj 4 mg/2ml ampul Rp 963.00 8 0 8 0 -
Pantocain 0,5 % TM botol Rp 17,500.00 0 4 4 0 -
Parasetamol Drop 100 mg/ml botol Rp 5,204.00 0 0 - 0 -
Page 2
SATU HARGA STOK PENERI PERSE PEMAKAIAN RUSAK / E.D/REALOKASI
KODE NAMA OBAT
AN PER SATUAN AWAL MAAN DIAAN JUMLAH Rp JUMLAH
1 2 3 4 5 6 7=(5+6) 8 9 10
Parasetamol sirup 120 mg / 5 ml botol Rp 3,817.00 0 0 - 0 -
Pedialyte botol Rp 34,100.00 16 0 16 4 136,400
Pehacain injeksi ampul Rp 3,381.40 0 0 - 0 -
Pim-Tra-Kol sirup botol Rp 9,975.00 0 0 - 0 -
Pirantel suspensi 5 mg/ml botol Rp 9,100.00 0 0 - 0 -
Povidon Iodida larutan 10 % 30 ml botol Rp 5,500.00 0 0 - 0 -
Povidon Iodida larutan 10 % 300 ml botol Rp 14,350.00 0 0 - 0 -
Povidon Iodida Larutan 1000 ml botol Rp 42,000.00 0 0 - 0 -
Povidon Iodida Larutan 60 ml botol Rp 6,281.00 3 0 3 1 6,281
Prokain benzil penisilin 3 juta iu / vial injeksi vial Rp 7,910.00 0 0 - 0 -
Pulmicort respules ampul Rp 9,725.00 0 0 - 0 -
Ranitidin inj 25mg/2ml ampul Rp 858.00 0 0 - 0 -
Ringer laktat larutan infus steril botol Rp 7,703.00 65 20 85 45 346,635
Sangobion kids drop botol Rp 35,000.00 0 0 - 0 -
Sangobion Kids Sirup botol Rp 29,645.00 0 0 - 0 -
Sefadroxil syp kering 125 ml / 5 ml botol Rp 4,360.00 44 50 94 47 204,920
Sefiksim syr kering 100mg/5ml botol Rp 32,576.50 0 0 - 0 -
Serum anti bisa ular polivalen inj 5 ml ( ABU I ) vial Rp 512,204.00 0 0 - 0 -
Serum anti defteri inj 1000 mg / vial vial Rp 2,200,000.00 0 0 - 0 -
Serum anti tetanus inj 20.000 IU / ampul ( ATS ) ampul Rp 604,670.00 0 0 - 0 -
Setirizin sirup 5 mg/ml botol Rp 3,061.00 0 150 150 75 229,575
Sianokobalamin ( Vit.B.12 ) inj 500 mcg / ml ampul Rp 1,067.00 0 0 - 0 -
Stimuno Sirup botol Rp 25,548.00 0 0 - 0 -
Sucralfate 500 mg/5 ml suspensi botol Rp 6,130.00 153 0 153 14 85,820
Sulfasetamid natrium tetes mata 15 % botol Rp 8,500.00 0 0 - 0 -
Tetagam ampul Rp 188,663.00 0 0 - 0 -
Thiamin Hcl ( Vit B1 ) inj.100 mg / ml - 1 ml ampul Rp 730.00 0 0 - 0 -
Timolol tetes mata 0,5% botol Rp 10,286.00 0 0 - 0 -
Tramadol inj 50 mg/ml ampul Rp 1,882.00 0 0 - 0 -
Truvit drops botol Rp 35,200.00 0 0 - 0 -
Truvit sirup botol Rp 15,400.00 0 0 - 0 -
Tuberkulin Injeksi vial Rp 625,900.00 0 0 - 0 -
Urea krim (Soft U derm) botol Rp 7,040.00 0 0 - 0 -
Vaksin BCG vial Rp 88,891.00 28 0 28 9 800,019
Vaksin CAMPAK 10 Dosis vial Rp 28,204.00 0 0 - 0 -
Vaksin HBIG ampul Rp 1,325,000.00 0 0 - 0 -
Vaksin HEPATITIS B 0,5 ml ADS vial Rp 23,490.00 38 30 68 41 963,090
Vaksin IPV (Poliomyelitis Vaccine inj (ShanIPV) vial Rp 158,994.00 11 0 11 3 476,982
Vaksin Jerap D T vial Rp 17,450.00 9 20 29 0 -
Vaksin Meningitis ampul Rp 135,000.00 0 0 - 0 -
Vaksin MR vial Rp 152,600.00 27 30 57 17 2,594,200
Vaksin Pentabio DTP-HB-HIB inj vial Rp 77,366.00 38 0 38 24 1,856,784
Vaksin POLIO 10 Dosis vial Rp 19,540.00 24 0 24 10 195,400
Vaksin Td vial Rp 18,128.00 17 50 67 4 72,512
VAR ( Verorab) vial Rp 165,000.00 0 0 - 0 -
Ventolin Nebulizer ampul Rp 11,190.85 11 0 11 3 33,573
Zincpro drops botol Rp 29,700.00 0 0 - 0 -
Zincum Kid sirup botol Rp 2,489.00 2 0 2 0 -
Zoloral SS (ketokonazol scalp sol 2 %) botol Rp 60,225.00 10 0 10 0 -
Serum anti tetanus inj 1.500 IU / ampul ( ATS ) ampul Rp 130,999.00 0 0 - 0 -
Fitomenadion ( vit k 1 ) inj 2 mg / ml - 1 ml ampul Rp 4,236.00 0 0 - 0 -
Metoklorpropamid drops (Gavistal) relok RS SS botol Rp 3,995.00 0 0 - 0 -
9,867,328.95
Page 3
SATU HARGA STOK PENERI PERSE PEMAKAIAN RUSAK / E.D/REALOKASI
KODE NAMA OBAT
AN PER SATUAN AWAL MAAN DIAAN JUMLAH Rp JUMLAH
1 2 3 4 5 6 7=(5+6) 8 9 10
Page 4
OBAT
BULAN 0 9 LB2
TAHUN 2 0 2 2
11 12=(7-8-10) 13 14 15 16 17 18
- - - - POPM
- - - -
- - - - 200
- - - -
- - - - 60
- 64 234,572.80 126 200
- 3 24,711.00 (3)
- 177 310,812.00 (155)
- - - -
- - - -
- - - -
- 11 31,460.00 3 10
- - - -
- - - -
- - - -
- - - - 100
- - - -
- - - -
- 13 1,781,279.50 (13)
- - - -
- - - - 10
- - - -
- - - - 30
- - - -
- - - - 2
- - - -
- - - -
- - - - 100
- - - -
- - - -
- - - - 10
- 88 2,453,088.00 (57)
- 18 17,424.00 (18)
- - - -
- 1 12,752.00 (1)
- - - -
- 14 174,312.60 39 30
- 3 4,635.00 (3)
- - - -
- - - 110 100
- - - -
- - - - 3 ed terbaru
- - - - 3
- - - -
- - - -
- 79 218,356.00 (69) ed terbaru
- - - 62 90
- - - - 10
- - - -
- - - -
- - - -
Page 5
RUSAK / E.D/REALOKASI SISA STOK STOK PERMIN PEMBERIAN
11 12=(7-8-10) 13 14 15 16 17 18
- 45 219,825.00 (16) 24
- - - -
- - - -
- 20 147,260.00 (20)
- - - - 10
- 31 140,185.10 63 150
- - - -
- - - - 15
- 15 176,250.00 (10) 5
- - - - 5
- 35 288,750.00 (16) 25
- - - -
- 11 61,050.00 (6) 25
- 19 41,610.00 (7)
- - - - 5
- - - -
- 127 178,816.00 (60)
- 15 12,705.00 9 90
- - - -
- 16 65,920.00 (16) 10
- - - - 15
- 5 16,995.00 (5)
- - - - 20
- - - -
- - - -
- 11 78,650.00 (11)
- - - -
- 32 218,880.00 (20)
- - - - 2
- 44 208,265.20 11
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - - 2
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
-
- - -
- - - -
- - - -
- - - -
- 130 160,160.00 (34)
- 10 53,460.00 (10)
- 8 7,704.00 (8)
- 4 70,000.00 (4)
- - - - 150
Page 6
RUSAK / E.D/REALOKASI SISA STOK STOK PERMIN PEMBERIAN
11 12=(7-8-10) 13 14 15 16 17 18
- - - - 200 ed terbaru
- 12 409,200.00 (2)
- - - -
- - - - 100
- - - -
- - - -
- - - -
- - - -
- 2 12,562.00 0 5
- - - -
- - - -
- - - -
- 40 308,120.00 68 80
- - - - 10
- - - - 15
- 47 204,920.00 66 100 ed terbaru
- - - - 30
- - - -
- - - -
- - - - 2
- 75 229,575.00 105 150 ed terbaru
- - - -
- - - - 36
- 139 852,070.00 (105) 50
- - - -
- - - - 2
- - - -
- - - -
- - - -
- - - - 100
- - - - 100
- - - - 1
- - - - 2
- 19 1,688,929.00 3
- - - -
- - - -
- 27 634,230.00 71
- 8 1,271,952.00 (1)
- 29 506,050.00 (29)
- - - -
- 40 6,104,000.00 1
- 14 1,083,124.00 44
- 14 273,560.00 10
- 63 1,142,064.00 (53)
- - - -
- 8 89,526.80 (1) 10
- - - - 20
- 2 4,978.00 (2) 100
- 10 602,250.00 (10)
- - - - 2
- - - - 60
- - - -
Page 7
RUSAK / E.D/REALOKASI SISA STOK STOK PERMIN PEMBERIAN
11 12=(7-8-10) 13 14 15 16 17 18
Page 8
PEMAKAIAN S
PUSKESM
PEMAKAIAN
PERSEDIAAN
NO NAMA OBAT SATUAN POSYA P.LANSIA/
GUDANG PP LAB
NDU PUSLING
I. OBAT
A OBAT CAIR
Air untuk irigasi lar infus 1000 ml covid botol -
Albendazol suspensi 200mg/5 ml botol -
Ambroxol sirup botol -
Aminofilin injeksi 24 mg/ml-10 ml ampul -
Amoksisilin 250mg syrup botol -
Amoksisilin Sirup kering 125 mg/5 ml botol 143
Ampisilin serbuk injeksi i.m.i.v 1000 mg/ml vial 3
Antasida sirup botol 186
Antrain inj ampul -
Apialis Drops botol -
Apialys sirup botol -
Aqua proinjeksi steril,bebas pirogen vial 17
Asam Traneksamat injeksi 5 % 250 mg/ 5 ml ampul -
Asetilsistein infus vial -
Atropin Sulfat injeksi 0,25 mg/ml-1 ml ampul -
Baby Cough sirup botol -
Benzatin Benzil Penisilin inj 1,2 juta iu/vial vial -
Benzatin Benzil Penisilin inj 1,4 juta iu/vial vial -
Betadine cold defence nasal spray botol 13
Betadine kumur 100 ml botol -
Betadine kumur 190 ml botol -
Cendo Augentonic tetes mata botol -
Cendo Catarlent tetes mata botol -
Cendo Edta tetes mata botol -
Cendo Floxa tetes mata botol -
Cendo fungicide tetes mata botol -
Cendo Homatrol tetes mata botol -
0
0
0
0
0
79 4 10 50 79
3 0
9 10 5 162 9
0
0
0
6 11 6
0
0
0
0
0
0
13 0
0
0
0
0
0
0
0
0
0
0
0
0
13 3 1 1 83 13
18 0
0
1 0
PEMAKAIAN STOK AKHIR
DALUARS
STOK OF KUMULATIF
POSKES A/ POSY P.LANSIA/ POSKES PEMAKAIAN
PONED APOTEK PP LAB PONED APOTEK NAME
DES RELOKAS ANDU PUSLING DES
GUDANG
I
0
22 5 9 22
3 0
0
44 46
0
0
0
0
0
4 2 3 74 4
26 26
0
0
0
0
10 5 3 4 33 12
0
0
20 0
0
39 14 17 39
0
0
2 1 14 2
0
8 2 1 32 8
0
2 11 2
5 1 18 5
0
0
28 127 28
5 5 15 10
0
16 0
0
5 0
0
0
0
11 0
PEMAKAIAN STOK AKHIR
DALUARS
STOK OF KUMULATIF
POSKES A/ POSY P.LANSIA/ POSKES PEMAKAIAN
PONED APOTEK PP LAB PONED APOTEK NAME
DES RELOKAS ANDU PUSLING DES
GUDANG
I
0
5 32 5
0
23 8 5 6 25 23
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
40 40 90 40
10 0
8 0
4 0
0
0
4 12 4
0
0
0
0
0
0
PEMAKAIAN STOK AKHIR
DALUARS
STOK OF KUMULATIF
POSKES A/ POSY P.LANSIA/ POSKES PEMAKAIAN
PONED APOTEK PP LAB PONED APOTEK NAME
DES RELOKAS ANDU PUSLING DES
GUDANG
I
1 2 1
0
0
0
45 40 45
0
0
47 8 39 47
0
0
0
0
75 3 72 75
0
0
14 4 135 14
0
0
0
0
0
0
0
0
0
9 19 9
0
0
41 27 41
3 8 3
29 0
0
17 40 17
24 14 24
10 14 10
4 63 4
0
3 8 3
0
2 0
10 0
0
PEMAKAIAN STOK AKHIR
DALUARS
STOK OF KUMULATIF
POSKES A/ POSY P.LANSIA/ POSKES PEMAKAIAN
PONED APOTEK PP LAB PONED APOTEK NAME
DES RELOKAS ANDU PUSLING DES
GUDANG
I
0
0
0 9
2 0 2 2
STOK AKHIR
STOK AKHIR SELISIH
REGISTER KET
FISIK (SF) (SR - SF)
(SR)
- 0 - Program POPM
- 0 -
- 0 -
- 0 -
- 0 -
64 64 -
3 3 -
177 177 -
- 0 -
- 0 -
- 0 -
11 11 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
13 13 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
88 88 -
18 18 -
- 0 -
1 1 -
STOK AKHIR
STOK AKHIR SELISIH
REGISTER KET
FISIK (SF) (SR - SF)
(SR)
- 0 -
14 14 -
3 3 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
79 79 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
45 45 -
- 0 -
- 0 -
20 20 -
- 0 -
31 31 -
- 0 -
- 0 -
15 15 -
- 0 -
35 35 -
- 0 -
11 11 -
19 19 -
- 0 -
- 0 -
127 127 -
15 15 -
- 0 -
16 16 -
- 0 -
5 5 -
- 0 -
- 0 -
- 0 -
11 11 -
STOK AKHIR
STOK AKHIR SELISIH
REGISTER KET
FISIK (SF) (SR - SF)
(SR)
- 0 -
32 32 -
- 0 -
44 44 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
130 130 -
10 10 -
8 8 -
4 4 -
- 0 -
- 0 -
12 12 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
STOK AKHIR
STOK AKHIR SELISIH
REGISTER KET
FISIK (SF) (SR - SF)
(SR)
2 2 -
- 0 -
- 0 -
- 0 -
40 40 -
- 0 -
- 0 -
47 47 -
- 0 -
- 0 -
- 0 -
- 0 -
75 75 -
- 0 -
- 0 -
139 139 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
19 19 -
- 0 -
- 0 -
27 27 -
8 8 -
29 29 -
- 0 -
40 40 -
14 14 -
14 14 -
63 63 -
- 0 -
8 8 -
- 0 -
2 2 -
10 10 -
- 0 -
STOK AKHIR
STOK AKHIR SELISIH
REGISTER KET
FISIK (SF) (SR - SF)
(SR)
- 0 -
- 0 -
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
(LPLPO)
Page 24
SATU HARGA STOK PENERI PERSE PEMAKAIAN RUSAK / E.D/REALOK
KODE NAMA OBAT
AN PER SATUAN AWAL MAAN DIAAN JUMLAH Rp JUMLAH
1 2 3 4 5 6 7=(5+6) 8 9 10
Dulcolax 5 mg tablet tablet Rp 1,660.80 0 0 - 0 -
Efaviren 200 mg tablet Rp 3,202.24 0 0 - 0 -
Efaviren 600 mg tablet Rp 9,625.00 0 0 - 0 -
Efedrin Hcl tablet 25 mg tablet Rp 198.00 0 0 - 0 -
Enfavit tablet tablet Rp 2,420.00 0 0 - 0 -
Erytromisin 250 mg kapsul kapsul Rp 636.00 0 0 - 0 -
Erytromisin 500 mg kaplet tablet Rp 730.00 0 0 - 0 -
Etambutol 500 mg tablet tablet Rp 4,661.00 0 0 - 0 -
Etambutol Hcl tablet 250 mg tablet Rp 186.00 0 0 - 0 -
Famotidin 40 mg tablet tablet Rp 192.00 0 0 - 0 -
Favipiravir 200 mg tablet tablet Rp 10,399.40 0 0 - 0 -
Fenitoin natrium kapsul 100 mg kapsul Rp 158.00 0 0 - 0 -
Fenobarbital tablet 100 mg tablet Rp 127.00 0 0 - 0 -
Fenobarbital tablet 30 mg tablet Rp 197.00 164 0 164 0 -
Fenofibrat kaps 100 mg tablet Rp 473.00 0 0 - 0 -
Ferro folat tab sal selaput 200 mg + 0,4 mg (Tablet tambah darah komb.) tablet Rp 409.00 6370 2000 8,370 2465 1,008,185
Fitomenadion ( vit k 1 ) tablet salut 10 mg tablet Rp 781.00 170 0 170 6 4,686
Furosemid tablet 40 mg tablet Rp 84.00 0 0 - 0 -
Gemfibrozil 300 mg tablet tablet Rp 484.00 210 0 210 96 46,464
Glibenklamid tablet 5 mg tablet Rp 87.00 300 0 300 40 3,480
Glimepirid tab 1 mg tablet Rp 174.00 650 500 1,150 60 10,440
Glimepirid tab 2 mg tablet Rp 207.00 635 500 1,135 410 84,870
Gliseril guayakolat tablet 100 mg tablet Rp 166.54 0 0 - 0 -
Glukosamin 250 mg tablet (osmin) tablet Rp 948.64 0 0 - 0 -
Gradilex tablet Rp 157.30 200 0 200 30 4,719
Griseofulvin tablet 125 mg micronized tablet Rp 210.00 0 0 - 0 -
Haloperidol tablet 0,5 mg tablet Rp 55.00 0 0 - 0 -
Haloperidol tablet 1,5 mg tablet Rp 59.00 25 0 25 0 -
Haloperidol tablet 5 mg tablet Rp 54.00 103 100 203 0 -
Hemafort tablet tablet Rp 854.70 0 0 - 0 -
Hepatin tablet tablet Rp 4,125.00 0 0 - 0 -
Hidroklortiazid ( Hct ) tablet 25 mg tablet Rp 148.00 200 0 200 0 -
Hydroxychloroquine sulfate 200 mg tablet tablet Rp 9,133.00 0 0 - 0 -
Hyorex 10 mg tablet tablet Rp 405.00 0 0 - 0 -
Hyoscine N Butilbromida 10 mg tablet tablet Rp 1,626.00 0 0 - 0 -
Ibuprofen tablet 200 mg tablet Rp 237.16 410 1000 1,410 700 166,012
Ibuprofen tablet 400 mg tablet Rp 344.96 0 0 - 0 -
Interhistin tablet tablet Rp 990.00 208 100 308 130 128,700
Isoniazid tablet 100 mg tablet Rp 142.56 175 0 175 0 -
Isoniazid tablet 300 mg tablet Rp 164.00 0 0 - 0 -
Isosorbit dinitrat tablet sublingual 5 mg tablet Rp 99.00 422 0 422 10 990
Kalsium laktat ( Kalk ) tablet 500 mg tablet Rp 60.00 3000 0 3,000 1174 70,440
Kandesartan 16 mg tablet tablet Rp 319.00 0 0 - 0 -
Kandesartan 8 mg tablet tablet Rp 212.00 0 0 - 0 -
Kaptopril 12,5 mg tablet tablet Rp 124.99 1745 0 1,745 155 19,374
Kaptopril 25 mg tablet tablet Rp 92.62 2005 0 2,005 0 -
Karbamazepin tablet 200 mg tablet Rp 250.00 1937 0 1,937 90 22,500
Ketokenazol 200 mg tablet tablet Rp 260.00 0 0 - 0 -
Ketoprofen 100 mg tablet tablet Rp 1,366.00 0 0 - 0 -
Klindamisin 150 mg tablet tablet Rp 803.00 0 0 - 0 -
Klobazam 10 mg tablet tablet Rp 916.00 0 200 200 0 -
Klonidin 0,15 mg tablet tablet Rp 224.00 0 0 - 0 -
Kloramfenikol kapsul 250 mg kapsul Rp 711.48 80 0 80 15 10,672
Klorfeniramin maleat ( CTM ) tablet 4 mg tablet Rp 24.00 2380 0 2,380 2380 57,120
Klorokuin 150 mg tablet tablet Rp 1,505.74 60 0 60 0 -
Klorpromazin Hcl tablet salut 100 mg tablet Rp 181.00 0 0 - 0 -
Klorpromazin Hcl tablet salut 25 mg tablet Rp 252.27 10 0 10 0 -
Klozapin 25 mg tablet tablet Rp 473.00 0 0 - 0 -
Kodein tablet 10 mg tablet Rp 605.00 228 0 228 84 50,820
Kotrimoksazol DOEN I (dewasa) tablet tablet Rp 133.00 0 0 - 0 -
kuinina (kina) 222 mg tablet Rp 801.00 0 0 - 0 -
Page 25
SATU HARGA STOK PENERI PERSE PEMAKAIAN RUSAK / E.D/REALOK
KODE NAMA OBAT
AN PER SATUAN AWAL MAAN DIAAN JUMLAH Rp JUMLAH
1 2 3 4 5 6 7=(5+6) 8 9 10
Kuinine tablet salut selaput 200 mg tablet Rp 311.00 0 0 - 0 -
Lanzoprazol tablet Rp 278.00 585 600 1,185 250 69,500
Levofloksasin tab 500 mg tablet tablet Rp 373.00 0 0 - 0 -
levofloxacin 750 mg tablet tablet Rp 3,267.00 0 0 - 0 -
Lincomisin 500 mg tablet tablet Rp 1,600.83 0 0 - 0 -
Lisinopril 10 mg tablet tablet Rp 341.00 0 0 - 0 -
Lisinopril 5 mg tablet tablet Rp 250.00 0 0 - 0 -
Longatin 25 mg tablet Rp 3,320.24 92 100 192 101 335,344
Loperamida tablet tablet Rp 85.00 0 0 - 0 -
Loratadin tablet tablet Rp 136.00 773 500 1,273 45 6,120
Lorazepam (Merlopam) 2 mg tablet tablet Rp 995.00 0 0 - 0 -
Lorazepam 1 mg tablet tablet Rp 715.00 0 0 - 0 -
L-Vit D 1000 IU tablet tablet Rp 2,750.00 0 0 - 0 -
Mebendazol tablet 100 mg (vermox) tablet Rp 9,150.00 0 0 - 0 -
Mecovit tablet tablet Rp 819.50 0 0 - 0 -
Megazing tablet tablet Rp 1,090.94 0 0 - 0 -
Meloxikam 15 mg tablet tablet Rp 1,067.00 560 500 1,060 260 277,420
Meloxikam 7,5 mg tablet tablet Rp 682.00 765 0 765 125 85,250
Metformin tab 500 mg tablet Rp 77.00 150 5000 5,150 985 75,845
Metformin tab 850 mg tablet Rp 159.00 0 0 - 0 -
Metilergometrin maleat tablet salut 0,125 mg tablet Rp 270.60 0 0 - 0 -
Metilprednisolon 4 mg tablet tablet Rp 148.00 1600 0 1,600 502 74,296
Metoklorpropamid tablet tablet Rp 66.00 240 0 240 0 -
Metronidazol tablet 250 mg tablet Rp 94.00 0 0 - 0 -
Metronidazol tablet 500 mg tablet Rp 379.50 189 0 189 80 30,360
Miniaspi 80 mg tablet Rp 89.00 0 0 - 0 -
Misoprostol 200 mg (gastrul) tablet Rp 13,043.80 0 0 - 0 -
Multivitamin Sivit Zinc tablet Rp 585.00 213 0 213 213 124,605
Natrium Diklofenak tablet 25 mg tablet Rp 115.00 407 0 407 350 40,250
Natrium Diklofenak tablet 50 mg tablet Rp 145.00 435 0 435 395 57,275
Natrium Tiroksin (Levotiroksin) tablet 100 mg (Euthyrox) tablet Rp 1,072.00 0 0 - 0 -
Neo Diaform tablet Rp 272.73 700 0 700 0 -
Neurodex tablet tablet Rp 495.00 0 0 - 0 -
New Diatabs tablet Rp 557.15 0 0 - 0 -
Nipedipin 10 mg tablet tablet Rp 193.49 280 0 280 0 -
Nistatin 100.000 iu /g tablet vagina tablet Rp 688.00 126 0 126 15 10,320
Nistatin 500.000 iu /g tablet salut tablet Rp 910.00 0 0 - 0 -
Nopres 20 mg tablet / Fluoxetine 20 mg tablet Rp 387.00 0 0 - 0 -
novadium tablet Rp 200.00 0 0 - 0 -
Noza tablet tablet Rp 797.50 732 0 732 592 472,120
Obat anti TBC FDC Kategori harian paket Rp 467,656.00 0 0 - 0 -
Obat antituberkolusis katagori 1 (KOMBIPAK) paket Rp 317,018.00 0 0 - 0 -
Obat antituberkolusis katagori 2 paket Rp 1,379,984.00 0 0 - 0 -
Obat antituberkulosis anak paket Rp 287,387.00 1 0 1 0 -
Obat FDC Kategori 1 paket Rp 477,791.00 3 0 3 1 477,791
obat FDC KATEGORI 2 paket Rp 1,592,276.00 0 0 - 0 -
Ofloksasin tab 400 mg tablet Rp 700.00 0 0 - 0 -
Omeprazole 20 mg capsul kapsul Rp 129.00 1532 0 1,532 130 16,770
Ondansetron tab 4 mg tablet Rp 275.00 454 0 454 15 4,125
Oseltamivir 75 mg tablet Rp 14,300.00 270 0 270 0 -
OSTEOTIN tablet Rp 3,283.00 0 0 - 0 -
Paket fase awal 2 RHZE (RIPE) tablet Rp 449.00 0 0 - 0 -
Paket fase intensif 2 RHZE (RIPE) tablet Rp 449.00 0 0 - 0 -
Paket fase lanjutan 4 RHZ (RI) tablet Rp 899.00 0 0 - 0 -
Papaverin 40 mg tablet tablet Rp 528.00 0 0 - 0 -
Parasetamol tablet 500 mg tablet Rp 145.45 5336 5200 10,536 2811 408,860
Pirantel pamoat 125 mg tablet tablet Rp 353.00 100 0 100 0 -
Piridoksin Hcl tablet 10 mg tablet Rp 150.00 0 2000 2,000 311 46,650
Piridoksin Hcl tablet 25 mg tablet Rp 222.00 0 0 - 0 -
Piroksikam 10 mg tablet tablet Rp 244.39 255 0 255 20 4,888
Piroksikam 20 mg tablet tablet Rp 316.29 290 0 290 40 12,652
Page 26
SATU HARGA STOK PENERI PERSE PEMAKAIAN RUSAK / E.D/REALOK
KODE NAMA OBAT
AN PER SATUAN AWAL MAAN DIAAN JUMLAH Rp JUMLAH
1 2 3 4 5 6 7=(5+6) 8 9 10
PP Isoniazide 100 mg tablet Rp 282.00 0 0 - 0 -
Prednison tablet 5 mg tablet Rp 73.00 287 0 287 78 5,694
Prenatin DF tablet tablet Rp 3,300.00 0 0 - 0 -
Primakuin tablet 15 mg tablet Rp 242.00 0 0 - 0 -
Primolut N tablet tablet Rp 2,618.00 0 0 - 0 -
Primunox tablet tablet Rp 2,501.00 10 0 10 0 -
Propanolol Hcl tablet 40 mg tablet Rp 88.00 100 0 100 0 -
Propiltiourasil tablet 100 mg tablet Rp 440.00 100 0 100 0 -
Prove D3 1000 tablet Rp 2,750.00 0 0 - 0 -
Provital tablet tablet Rp 3,459.50 0 0 - 0 -
Pularex tablet tablet Rp 187.00 434 0 434 45 8,415
Purvit D3 tablet tablet Rp 2,420.00 0 0 - 0 -
Ramvit C 500 mg tablet tablet Rp 0.01 0 0 - 0 -
Ranitidin tablet tablet Rp 228.85 0 700 700 365 83,530
Retinol ( Vit A ) 100.000 IU kapsul kapsul Rp 356.00 46 100 146 6 2,136
Retinol ( Vit A ) 200.000 IU kapsul kapsul Rp 637.00 329 100 429 108 68,796
Rifampisin kaplet 600 mg tablet Rp 1,209.00 0 0 - 0 -
Rifampisin kapsul 300 mg tablet Rp 670.00 0 0 - 0 -
Rifampisin kapsul 450 mg tablet Rp 868.00 0 0 - 0 -
Risperidon 2 mg tab tablet Rp 287.00 0 0 - 0 -
Salbutamol tablet 2 mg tablet Rp 122.11 211 300 511 176 21,492
Salbutamol tablet 4 mg tablet Rp 127.99 342 0 342 179 22,909
Sanbe-C 500 mg tablet tablet Rp 660.00 0 0 - 0 -
Sandepril 50 mg tablet tablet Rp 8,250.00 0 0 - 0 -
Scopma tablet tablet Rp 880.72 235 0 235 130 114,494
Sefadroxil kapsul 500 mg tablet Rp 808.50 790 1000 1,790 580 468,930
Sefiksim kapsul 100 mg kapsul Rp 2,465.18 0 0 - 0 -
Selevit Plus tablet tablet Rp 2,915.00 0 0 - 0 -
Seretide Inhaler 50 mcg kotak Rp 58,000.00 0 0 - 0 -
Setirizine tablet 10 mg tablet Rp 104.00 1844 0 1,844 696 72,384
Simetidin tablet (Tidifar) tablet Rp 330.11 450 0 450 450 148,550
Simpastatin 10 mg tablet tablet Rp 663.60 1193 0 1,193 1193 791,675
Simpastatin 20 mg tablet tablet Rp 150.00 0 600 600 0 -
Siprofloksasin 500 mg tablet tablet Rp 305.83 615 0 615 80 24,467
Sohobion tablet tablet Rp 1,760.00 0 0 - 0 -
Spironolakton tab 25 mg tablet Rp 220.00 260 0 260 60 13,200
Stimuno Forte tablet tablet Rp 1,763.00 530 0 530 145 255,635
Tanapress 5 mg (imidapril ) tablet Rp 2,530.00 35 0 35 0 -
Tenofovir 300 mg/lamivudin 300 mg/dolutegravir 50 mg tablet Rp 1.00 0 0 - 0 -
Tenofovir 300 mg/lamivudin 300 mg/efaviren 600 mg tablet Rp 6,935.00 0 0 - 0 -
Tensigard tablet tablet Rp 2,292.55 0 0 - 0 -
Terra Flu tablet tablet Rp 505.31 0 0 - 0 -
Thiamfenicol 500 mg kapsul kapsul Rp 2,600.00 0 0 - 0 -
Thiamin Hcl monohidrat ( Vit B1 ) 50 mg tablet Rp 88.00 60 3000 3,060 40 3,520
Tramadol 50 mg kapsul kapsul Rp 580.00 0 0 - 0 -
Triflouperazin 5mg tablet tablet Rp 330.00 0 0 - 0 -
Triheksilfenidil hidroklorida tablet 2 mg tablet Rp 63.00 58 200 258 0 -
Urotractin (asam pipemidat) 400 mg tablet Rp 3,865.69 0 0 - 0 -
valisanbe 2 mg tablet tablet Rp 236.00 0 0 - 0 -
Vitamin B 12 tablet tablet Rp 52.00 2012 3000 5,012 1869 97,188
Vitamin B komplek tablet tablet Rp 135.00 0 0 - 0 -
Vitamin C 500 mg tablet Rp 660.00 0 0 - 0 -
Zeviton tablet tablet Rp 2,849.00 0 0 - 0 -
Zink 20 mg tablet (generik) tablet Rp 253.00 300 200 500 272 68,816
Asam Traneksamat 500 mg tablet Rp 1,559.00 100 0 100 30 46,770
Tanapress 5 mg (imidapril ) relokasi RS SS tablet Rp 2,333.00 100 0 100 0 -
Vitamin C 500 mg mersi tablet Rp 198.00 0 0 - 0 -
Lactasin relokasi RS SS kapsul Rp 3,850.00 0 0 - 0 -
SKA-VIT C 500 MG kapsul Rp 825.00 0 0 - 0 -
Caviplex D3 tablet Rp 1,195.00 0 0 - 0 -
Favimol 200 mg tablet Rp 4,333.00 640 0 640 0 -
Page 27
SATU HARGA STOK PENERI PERSE PEMAKAIAN RUSAK / E.D/REALOK
KODE NAMA OBAT
AN PER SATUAN AWAL MAAN DIAAN JUMLAH Rp JUMLAH
1 2 3 4 5 6 7=(5+6) 8 9 10
Camivit D3 kapsul Rp 634.00 50 0 50 10 6,340
Rifapentin 300 mg+INH 300 mg paket (isi 36) 0 4 4 4 -
Guaiafenesin 100 mg tablet 505 3000 3505 1778 -
8,443,470.24 -
Page 28
SATU HARGA STOK PENERI PERSE PEMAKAIAN RUSAK / E.D/REALOK
KODE NAMA OBAT
AN PER SATUAN AWAL MAAN DIAAN JUMLAH Rp JUMLAH
1 2 3 4 5 6 7=(5+6) 8 9 10
Page 29
SATU HARGA STOK PENERI PERSE PEMAKAIAN RUSAK / E.D/REALOK
KODE NAMA OBAT
AN PER SATUAN AWAL MAAN DIAAN JUMLAH Rp JUMLAH
1 2 3 4 5 6 7=(5+6) 8 9 10
8,390,360.24
UMUM
JUMLAH
JUMLAH KUNJUNGAN RESEP BAYAR TDK BYR JKN
251 384 446 1081
Page 30
SATU HARGA STOK PENERI PERSE PEMAKAIAN RUSAK / E.D/REALOK
KODE NAMA OBAT
AN PER SATUAN AWAL MAAN DIAAN JUMLAH Rp JUMLAH
1 2 3 4 5 6 7=(5+6) 8 9 10
Dr. Machli Riyadi, S.H., M.H Yohana Rusnayuda,S.Si.,Apt. dr. Hj. Santi Indri Yani Achmadiyah
NIP.19701124 199101 1 004 NIP. 19790311 200501 2 015 NIP. 19821117 201101 2 005
Page 31
AT
BULAN 0 9 LB2
TAHUN 2 0 2 2
11 12=(7-8-10) 13 14 15 16 17 18
Page 32
RUSAK / E.D/REALOKASI SISA STOK STOK PERMIN PEMBERIAN
11 12=(7-8-10) 13 14 15 16 17 18
- - - - 90
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 164 32,308.00 (164)
- - - -
- 5,905 2,415,145.00 11 8000 untuk program
- 164 128,084.00 (150)
- - - -
- 114 55,176.00 116 120 ed terbaru
- 260 22,620.00 (164)
- 1,090 189,660.00 (946) 500
- 725 150,075.00 259 500
- - - - 2000
- - - - 500
- 170 26,741.00 (98)
- - - - 200
- - - -
- 25 1,475.00 (25) 100
- 203 10,962.00 (203)
- - - -
- - - -
- 200 29,600.00 (200)
- - - -
- - - -
- - - -
- 710 168,383.60 970 1000
- - - - 1000
- 178 176,220.00 134 100
- 175 24,948.00 (175)
- - - -
- 412 40,788.00 (388)
- 1,826 109,560.00 992 3000
- - - - 1200
- - - - 1200
- 1,590 198,738.87 (1,218)
- 2,005 185,703.10 (2,005)
- 1,847 461,750.00 (1,631)
- - - - 500
- - - -
- - - - 100
- 200 183,200.00 (200)
- - - -
- 65 46,246.20 (29)
- - - 5,712 2000
- 60 90,344.40 (60)
- - - - 200
- 10 2,522.74 (10) 200
- - - -
- 144 87,120.00 58 200
- - - - 200
- - - -
Page 33
RUSAK / E.D/REALOKASI SISA STOK STOK PERMIN PEMBERIAN
11 12=(7-8-10) 13 14 15 16 17 18
- - - -
- 935 259,930.00 (335)
- - - -
- - - -
- - - -
- - - - 30
- - - - 100
- 91 302,141.84 151 100
- - - -
- 1,228 167,008.00 (1,120) 500
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 800 853,600.00 (176)
- 640 436,480.00 (340)
- 4,165 320,705.00 (1,801) 5000
- - - - 500
- - - - 200
- 1,098 162,504.00 107 300
- 240 15,840.00 (240)
- - - -
- 109 41,365.50 83 200
- - - - 300
- - - - 200
- - - 511
- 57 6,555.00 783 1000
- 40 5,800.00 908 1000
- - - -
- 700 190,913.80 (700)
- - - - 2000
- - - - 200
- 280 54,177.20 (280)
- 111 76,368.00 (75)
- - - -
- - - -
- - - -
- 140 111,650.00 1,281 1300
- - - - 1
- - - -
- - - -
- 1 287,387.00 (1)
- 2 955,582.00 0 1
- - - -
- - - -
- 1,402 180,858.00 (1,090)
- 439 120,725.00 (403)
- 270 3,861,000.00 (270)
- - - - 500
- - - -
- - - -
- - - -
- - - -
- 7,725 1,123,601.25 (979) 3000
- 100 35,300.00 (100)
- 1,689 253,350.00 (943) 2000
- - - -
- 235 57,430.95 (187)
- 250 79,073.50 (154)
Page 34
RUSAK / E.D/REALOKASI SISA STOK STOK PERMIN PEMBERIAN
11 12=(7-8-10) 13 14 15 16 17 18
- - - -
- 209 15,257.00 (22) 100
- - - -
- - - -
- - - -
- 10 25,010.00 (10)
- 100 8,800.00 (100)
- 100 44,000.00 (100)
- - - -
- - - -
- 389 72,743.00 (281)
- - - -
- - - - 300
- 335 76,664.75 541 300 ed terbaru
- 140 49,840.00 (126)
- 321 204,477.00 (62) 100
- - - - 100
- - - -
- - - -
- - - - 100
- 335 40,907.19 87 300
- 163 20,861.56 267 300
- - - -
- - - -
- 105 92,475.60 207 200
- 1,210 978,285.00 182 500
- - - - 400
- - - -
- - - -
- 1,148 119,392.00 522 1000
- - - 1,080
- - - 2,863 2000 ed terbaru
Page 35
RUSAK / E.D/REALOKASI SISA STOK STOK PERMIN PEMBERIAN
11 12=(7-8-10) 13 14 15 16 17 18
- 40 25,360.00 (40)
- - - - 5
- 1,727 - (1,727) 3000
Page 36
RUSAK / E.D/REALOKASI SISA STOK STOK PERMIN PEMBERIAN
11 12=(7-8-10) 13 14 15 16 17 18
Page 37
RUSAK / E.D/REALOKASI SISA STOK STOK PERMIN PEMBERIAN
11 12=(7-8-10) 13 14 15 16 17 18
REAGEN #REF!
- #REF!
Yang Menerima
Petugas Puskesmas
Page 38
RUSAK / E.D/REALOKASI SISA STOK STOK PERMIN PEMBERIAN
11 12=(7-8-10) 13 14 15 16 17 18
Page 39
PEMAKAIAN SU
PUSKESM
PEMAKAIAN
PERSEDIAAN
NO NAMA OBAT SATUAN POSYA P.LANSIA/
GUDANG PP LAB
NDU PUSLING
I. OBAT
B OBAT PADAT
Akarbose tablet 100 mg tablet 180
Albendazol tablet 400 mg tablet 118
Allopurinol tablet 100 mg tablet 899
Alprazolam 0,5 mg tablet -
Alprazolam 1 mg tablet -
Ambroxol tablet tablet -
Aminofilin tablet 200 mg tablet -
Amitriptilin Hcl tablet salut 25 mg tablet 100
Amlodipin 10 mg tablet 3,480 295
180 0
82 36 82
367 70 162 300 367
0
0
0
0
100 0
230 520 100 335 2000 295
510 120 100 350 1500 930
0
200 377 120 100 50 632
905 130 110 280 100 365 1100 1105
0
0
100 1211 50 100 100 100 289 700 1661
0
0
824 219 400 824
30 0
70 250 75 100 100
0
100 850 100 100 30 1600 950
4 300 4
0
380 380
0
0
12 73 12
91 80 79 600 91
65 30 270 65
0
0
0
200 0
PEMAKAIAN STOK AKHIR
DALUARS
STOK OF KUMULATIF
POSKES A/ POSY P.LANSIA/ POSKES PEMAKAIAN
PONED APOTEK PP LAB PONED APOTEK NAME
DES RELOKAS ANDU PUSLING DES
GUDANG
I
227 60 53 420 227
232 128 600 232
0
0
0
35 4 70 35
0
8 37 8
0
0
0
0
22 100 58 200 22
100 0
70 100 900 70
100 0
0
0
0
0
0
0
0
0
0
0
0
0
0
164 0
0
100 1925 200 100 200 50 255 5100 2465
6 70 94 6
0
96 114 96
40 100 160 40
60 190 900 60
410 125 600 410
0
0
30 70 100 30
0
PEMAKAIAN STOK AKHIR
DALUARS
STOK OF KUMULATIF
POSKES A/ POSY P.LANSIA/ POSKES PEMAKAIAN
PONED APOTEK PP LAB PONED APOTEK NAME
DES RELOKAS ANDU PUSLING DES
GUDANG
I
0
25 0
203 0
0
0
200 0
0
0
0
700 210 500 700
0
130 78 100 130
175 0
0
10 4 408 10
1174 200 100 100 226 1200 1174
0
0
95 170 250 70 1100 155
160 365 80 1400 0
90 1847 90
0
0
0
200 0
0
15 65 15
2050 2380
60 0
0
10 0
0
84 144 84
0
0
0
250 35 900 250
0
0
0
0
0
PEMAKAIAN STOK AKHIR
DALUARS
STOK OF KUMULATIF
POSKES A/ POSY P.LANSIA/ POSKES PEMAKAIAN
PONED APOTEK PP LAB PONED APOTEK NAME
DES RELOKAS ANDU PUSLING DES
GUDANG
I
101 91 101
0
45 54 50 174 950 45
0
0
0
0
0
0
210 100 45 55 600 260
125 130 210 50 250 125
985 100 50 215 3800 985
0
0
502 198 900 502
40 200 0
0
80 80 29 80
0
0
213 213
215 50 7 350
235 40 395
0
60 20 620 0
0
0
80 200 0
15 111 15
0
0
0
548 100 40 592
0
0
0
1 0
1 2 1
0
0
130 140 62 1200 130
15 30 49 360 15
PEMAKAIAN STOK AKHIR
DALUARS
STOK OF KUMULATIF
POSKES A/ POSY P.LANSIA/ POSKES PEMAKAIAN
PONED APOTEK PP LAB PONED APOTEK NAME
DES RELOKAS ANDU PUSLING DES
GUDANG
I
270 0
0
0
0
0
0
230 2146 100 261 270 300 100 294 6400 2811
100 0
311 89 1600 311
0
20 235 20
40 250 40
0
78 109 100 78
0
0
0
10 0
100 0
100 0
0
0
45 30 50 39 270 45
0
0
365 135 200 365
6 40 100 6
100 8 71 250 108
0
0
0
0
176 35 300 176
179 100 63 179
0
0
130 5 100 130
580 200 110 900 580
0
0
0
686 90 100 58 900 696
PEMAKAIAN STOK AKHIR
DALUARS
STOK OF KUMULATIF
POSKES A/ POSY P.LANSIA/ POSKES PEMAKAIAN
PONED APOTEK PP LAB PONED APOTEK NAME
DES RELOKAS ANDU PUSLING DES
GUDANG
I
450 450
1193 1193
200 400 0
80 35 500 80
0
60 100 100 60
145 145 240 145
35 0
0
0
0
0
0
320 2700 40
0
0
258 0
0
0
100 1769 5 100 138 2900 1869
0
0
0
272 128 100 272
30 70 30
100 0
0
0
0
0
640 0
10 40 10
4 4
1708 50 30 147 1500 1778
0 9
2 0 2 2
STOK AKHIR
STOK AKHIR SELISIH
REGISTER KET
FISIK (SF) (SR - SF)
(SR)
533 533 -
728 728 -
- 0 -
- 0 -
- 0 -
74 74 -
- 0 -
37 37 -
- 0 -
- 0 -
- 0 -
- 0 -
358 358 -
100 100 -
1,000 1000 -
100 100 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
164 164 -
- 0 -
5,905 5905 -
164 164 -
- 0 -
114 114 -
260 260 -
1,090 1090 -
725 725 -
- 0 -
- 0 -
170 170 -
- 0 -
STOK AKHIR
STOK AKHIR SELISIH
REGISTER KET
FISIK (SF) (SR - SF)
(SR)
- 0 -
25 25 -
203 203 -
- 0 -
- 0 -
200 200 -
- 0 -
- 0 -
- 0 -
710 710 -
- 0 -
178 178 -
175 175 -
- 0 -
412 412 -
1,826 1826 -
- 0 -
- 0 -
1,590 1590 -
2,005 2005 -
1,847 1847 -
- 0 -
- 0 -
- 0 -
200 200 -
- 0 -
65 65 -
- 0 -
60 60 -
- 0 -
10 10 -
- 0 -
144 144 -
- 0 -
- 0 -
- 0 -
935 935 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
STOK AKHIR
STOK AKHIR SELISIH
REGISTER KET
FISIK (SF) (SR - SF)
(SR)
91 91 -
- 0 -
1,228 1228 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
800 800 -
640 640 -
4,165 4165 -
- 0 -
- 0 -
1,098 1098 -
240 240 -
- 0 -
109 109 -
- 0 -
- 0 -
- 0 -
57 57 -
40 40 -
- 0 -
700 700 -
- 0 -
- 0 -
280 280 -
111 111 -
- 0 -
- 0 -
- 0 -
140 140 -
- 0 -
- 0 -
- 0 -
1 1 -
2 2 -
- 0 -
- 0 -
1,402 1402 -
439 439 -
STOK AKHIR
STOK AKHIR SELISIH
REGISTER KET
FISIK (SF) (SR - SF)
(SR)
270 270 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
7,725 7725 -
100 100 -
1,689 1689 -
- 0 -
235 235 -
250 250 -
- 0 -
209 209 -
- 0 -
- 0 -
- 0 -
10 10 -
100 100 -
100 100 -
- 0 -
- 0 -
389 389 -
- 0 -
- 0 -
335 335 -
140 140 -
321 321 -
- 0 -
- 0 -
- 0 -
- 0 -
335 335 -
163 163 -
- 0 -
- 0 -
105 105 -
1,210 1210 -
- 0 -
- 0 -
- 0 -
1,148 1148 -
STOK AKHIR
STOK AKHIR SELISIH
REGISTER KET
FISIK (SF) (SR - SF)
(SR)
- 0 -
- 0 -
600 600 -
535 535 -
- 0 -
200 200 -
385 385 -
35 35 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
3,020 3020 -
- 0 -
- 0 -
258 258 -
- 0 -
- 0 -
3,143 3143 -
- 0 -
- 0 -
- 0 -
228 228 -
70 70 -
100 100 -
- 0 -
- 0 -
- 0 -
- 0 -
640 640 -
40 40 -
- 0 -
1,727 1727 -
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
(LPLPO)
Page 58
SATU HARGA STOK PENERI PERSE PEMAKAIAN RUSAK / E.D/REALOKASI
KODE NAMA OBAT
AN PER SATUAN AWAL MAAN DIAAN JUMLAH Rp JUMLAH
1 2 3 4 5 6 7=(5+6) 8 9 10
Page 59
SATU HARGA STOK PENERI PERSE PEMAKAIAN RUSAK / E.D/REALOKASI
KODE NAMA OBAT
AN PER SATUAN AWAL MAAN DIAAN JUMLAH Rp JUMLAH
1 2 3 4 5 6 7=(5+6) 8 9 10
1,144,904.00
UMUM
JUMLAH
JUMLAH KUNJUNGAN RESEP BAYAR TDK BYR JKN
251 384 446 1081
Dr. Machli Riyadi, S.H., M.H Yohana Rusnayuda,S.Si.,Apt. dr. Hj. Santi Indri Yani Achmadiyah
NIP.19701124 199101 1 004 NIP. 19790311 200501 2 015 NIP. 19821117 201101 2 005
Page 60
AN OBAT
BULAN 0 9 LB2
TAHUN 2 0 2 2
11 12=(7-8-10) 13 14 15 16 17 18
- - - -
- - - -
- 1 192,500.00 4 4
- - - -
- - - -
- 15 499,410.00 (15)
Page 61
RUSAK / E.D/REALOKASI SISA STOK STOK PERMIN PEMBERIAN
11 12=(7-8-10) 13 14 15 16 17 18
Page 62
RUSAK / E.D/REALOKASI SISA STOK STOK PERMIN PEMBERIAN
11 12=(7-8-10) 13 14 15 16 17 18
REAGEN
#REF!
- #REF!
Yang Menerima
Petugas Puskesmas
Page 63
PEMAKAIAN SU
PUSKESM
PEMAKAIAN
PERSEDIAAN
NO NAMA OBAT SATUAN POSYA P.LANSIA/
GUDANG PP LAB
NDU PUSLING
I. OBAT
C OBAT GAS
Atrovent HFA kotak -
Berotec 0,1 mg MDI kotak -
Obat Gigi : Ethyl klorida semprot botol 3
Ventolin inhaler kotak -
Xylocain spray kotak -
Salbulin inhaler relokasi RS SS kotak 15
0
0
2 1 2
0
0
15 0
STOK AKHIR
STOK AKHIR SELISIH
REGISTER KET
FISIK (SF) (SR - SF)
(SR)
- 0 -
- 0 -
1 1 -
- 0 -
- 0 -
15 15 -
155 155 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
58 58 -
- 0 -
- 0 -
- 0 -
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
(LPLPO)
Page 67
SATU HARGA STOK PENERI PERSE PEMAKAIAN RUSAK / E.D/REALOKASI
KODE NAMA OBAT
AN PER SATUAN AWAL MAAN DIAAN JUMLAH Rp JUMLAH
1 2 3 4 5 6 7=(5+6) 8 9 10
Scabimite cream 10 gram tube Rp 50,396.50 0 0 - 0 -
Stesolid rectal 5 mg supp Rp 14,459.00 3 0 3 1 14,459
Synarcus krim tube Rp 2,534.00 0 0 - 0 -
Thrombophob gel tube Rp 54,450.00 5 0 5 2 108,900
Vagizol ovula (metronidazol ovula) ovula Rp 3,820.00 0 5 5 0 -
Page 68
SATU HARGA STOK PENERI PERSE PEMAKAIAN RUSAK / E.D/REALOKASI
KODE NAMA OBAT
AN PER SATUAN AWAL MAAN DIAAN JUMLAH Rp JUMLAH
1 2 3 4 5 6 7=(5+6) 8 9 10
Page 69
SATU HARGA STOK PENERI PERSE PEMAKAIAN RUSAK / E.D/REALOKASI
KODE NAMA OBAT
AN PER SATUAN AWAL MAAN DIAAN JUMLAH Rp JUMLAH
1 2 3 4 5 6 7=(5+6) 8 9 10
2,617,486.16
UMUM
JUMLAH
JUMLAH KUNJUNGAN RESEP BAYAR TDK BYR JKN
251 384 446 1081
Dr. Machli Riyadi, S.H., M.H Yohana Rusnayuda,S.Si.,Apt. dr. Hj. Santi Indri Yani Achmadiyah
NIP.19701124 199101 1 004 NIP. 19790311 200501 2 015 NIP. 19821117 201101 2 005
Page 70
AN OBAT
BULAN 0 9 LB2
TAHUN 2 0 2 2
11 12=(7-8-10) 13 14 15 16 17 18
- - - - POPM
- 14 76,365.52 24 75
- - - - 25
- 29 105,618.00 (7) 10 ed terbaru
- 41 154,693.00 (15) 50
- 59 86,435.00 (30)
- 22 479,160.00 (22)
- - - -
- 3 26,994.00 (3) 5
- 25 147,500.00 (20)
- - - -
- 3 14,667.00 (3) 10
- - - -
- - - - 150
- - - 22 50
- 18 49,500.00 23 24
- 52 557,642.80 63 48 ed terbaru
- 9 20,925.00 25 48
- 9 50,877.00 (9)
- 4 130,000.00 (4) 5
- - - - 48
- - - -
- 16 163,152.00 (6) 10
- - - - 36
- - - -
- - - - 5
- - - -
- 14 26,600.00 10 72
- 55 331,375.00 (29)
- - - -
- - - -
- - - -
- 1 202,125.00 (1)
- 1 797,500.00 (1)
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - - 48
- - - - 48
- - - - 6
- 47 340,186.00 (4) 30
- 24 67,128.00 (7) 30
- - - -
Page 71
RUSAK / E.D/REALOKASI SISA STOK STOK PERMIN PEMBERIAN
11 12=(7-8-10) 13 14 15 16 17 18
- - - -
- 2 28,918.00 0
- - - -
- 3 163,350.00 2 2
- 5 19,100.00 (5) 5
- - - -
- - - -
- 3 26,400.00 23 40
- - - - 200
- 20 221,248.60 (20)
- - - -
BKKBN 247,648.60
Page 72
RUSAK / E.D/REALOKASI SISA STOK STOK PERMIN PEMBERIAN
11 12=(7-8-10) 13 14 15 16 17 18
Page 73
RUSAK / E.D/REALOKASI SISA STOK STOK PERMIN PEMBERIAN
11 12=(7-8-10) 13 14 15 16 17 18
REAGEN #REF!
- #REF!
Yang Menerima
Petugas Puskesmas
Page 74
PEMAKAIAN
PUSKESM
PEMAKAIAN
PERSEDIAAN
NO NAMA OBAT SATUAN POSYA P.LANSIA/
GUDANG PP LAB
NDU PUSLING
I. OBAT
E OBAT GEL / SALEP
Acdat salep tube -
Anti bakteri doen salep kombinasi tube 30 10
Pil KB I tablet -
Pil KB II / Laktasi tablet 20
Susuk KB II set -
PEMAKAIAN SUB UNIT & APOTEK GEL SALEP
PUSKESMAS BERUNTUNG RAYA 2022
APBD BULAN
TAHUN
0
6 3 11 16
0
9 29 9
11 2 14 25 11
12 2 7 50 12
22 0
0
2 1 0
2 25 2
0
3 0
0
0
5 4 9
17 3 1 14 17
43 3 3 2 44 48
14 8 1 14
9 0
4 0
0
0
4 1 15 4
0
0
0
0
10 14 10
11 6 1 7 41 11
0
0
0
1 0
1 0
0
PEMAKAIAN STOK AKHIR
DALUARS
STOK OF KUMULATIF
POSKES A/ POSY P.LANSIA/ POSKES PEMAKAIAN
PONED APOTEK PP LAB PONED APOTEK NAME
DES RELOKAS ANDU PUSLING DES
GUDANG
I
0
0
0
0
0
0
0
0
0
0
0
18 2 45 18
7 1 3 20 7
0
0
1 2 1
0
2 3 2
5 0
0
0
6 3 11
0
20 0
0
0 9
2 0 2 2
STOK AKHIR
STOK AKHIR SELISIH
REGISTER KET
FISIK (SF) (SR - SF)
(SR)
- 0 - Program POPM
14 14 -
- 0 -
29 29 -
41 41 -
59 59 -
22 22 -
- 0 -
3 3 -
25 25 -
- 0 -
3 3 -
- 0 -
- 0 -
- 0 -
18 18 -
52 52 -
9 9 -
9 9 -
4 4 -
- 0 -
- 0 -
16 16 -
- 0 -
- 0 -
- 0 -
- 0 -
14 14 -
55 55 -
- 0 -
- 0 -
- 0 -
1 1 -
1 1 -
- 0 -
STOK AKHIR
STOK AKHIR SELISIH
REGISTER KET
FISIK (SF) (SR - SF)
(SR)
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
47 47 -
24 24 -
- 0 -
- 0 -
2 2 -
- 0 -
3 3 -
5 5 -
- 0 -
- 0 -
3 3 -
- 0 -
20 20 -
- 0 -
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
(LPLPO)
Page 81
SATU HARGA STOK PENERI PERSE PEMAKAIAN RUSAK / E.D/REALOKASI
KODE NAMA OBAT
AN PER SATUAN AWAL MAAN DIAAN JUMLAH Rp JUMLAH
1 2 3 4 5 6 7=(5+6) 8 9 10
Hazmat (program ISPA) pcs Rp 150,000.00 0 0 - 0 -
Holder tube vacutainer pcs Rp 6,940.00 0 0 - 0 -
Hypafix uk. Kecil 5 cm x 5 m pcs Rp 98,900.00 0 0 - 0 -
Infusiun set anak pcs Rp 2,970.00 32 0 32 0 -
Infusiun set dewasa pcs Rp 10,378.00 89 0 89 10 103,780
IV Catheter no 18 G pcs Rp 3,990.00 49 0 49 0 -
IV Catheter no 20 G pcs Rp 3,990.00 52 0 52 0 -
IV Catheter no 22 G (polywin) pcs Rp 10,710.00 30 0 30 0 -
IV Catheter no 24 G pcs Rp 3,990.00 0 0 - 0 -
Jarum (Needle) no 23 pcs Rp 254.00 0 0 - 0 -
Jarum (Needle) no 25 pcs Rp 825.00 0 0 - 0 -
Jarum Jahit kulit no 10 GT pack Rp 38,000.00 0 0 - 0 -
Jarum Jahit Kulit No 11 GT pack Rp 32,500.00 0 0 - 0 -
Jarum Jahit kulit no 12 GT pack Rp 38,000.00 0 0 - 0 -
Jarum Jahit Kulit No 13 GT pack Rp 32,500.00 0 0 - 0 -
Jarum Jahit Kulit No 14 GT pack Rp 38,000.00 0 0 - 0 -
jarum K-File no 15-40 kotak Rp 173,176.50 0 0 - 0 -
jarum K-File no 45-80 kotak Rp 173,250.00 0 0 - 0 -
jarum K-File no 90-140 kotak Rp 174,000.00 0 0 - 0 -
Kacamata Google pcs Rp 65,000.00 0 0 - 0 -
Kantong Kertas pak @100 lmbr Rp 16,500.00 0 0 - 0 -
Kantong plastik biohard pak Rp 99,000.00 0 0 - 0 -
kantongan plastik pack @ 100lbr Rp 3,100.00 0 0 - 0 -
Kapas berlemak 500 mg roll Rp 21,532.50 0 0 - 0 -
Kapas pembalut / absorben 250 mg roll Rp 13,000.00 3 0 3 0 -
Kasa kompres 40 / 40 steril pcs Rp 1,650.00 0 0 - 0 -
Kasa pembalut 2 m x80 cm pcs Rp 10,915.00 38 0 38 12 130,980
Kasa pembalut hidrofil 4m x 15 cm pcs Rp 2,767.00 35 0 35 5 13,835
Kasa pembalut hidrofil 4m x 3 cm pcs Rp 619.50 0 0 - 0 -
Kasa steril 16 cm x 16 cm box Rp 6,300.00 75 0 75 19 119,700
kelambu insektisida bungkus Rp 39,245.00 0 0 - 0 -
Kertas EKG (uk 80 x 90 x 280) lembar Rp 106,250.00 0 0 - 0 -
Kertas Puyer lembar Rp 90.00 17400 0 17,400 200 18,000
Kertas thermal mindray 50mm roll Rp 76,500.00 0 0 - 0 -
Kertas thermal mindray 50mm x 57 mm roll Rp 18,200.00 0 0 - 0 -
Kertas thermal mindray 80 x 50 roll Rp 24,250.00 0 0 - 0 -
Kertas thermal mindray 80 x 80 roll Rp 27,550.00 0 0 - 0 -
Kondom pcs Rp 860.48 0 0 - 0 -
kondom sutra pcs Rp 358.00 0 0 - 0 -
Lidi Kapas/cotton swab pcs Rp 1,090.00 100 0 100 0 -
lubrikan sutra pcs Rp 486.00 0 0 - 0 -
Markerpen pcs Rp 1.00 0 0 - 0 -
Masker 3 ply earloop/ karet/ (Altamed) pcs Rp 2,800.00 0 0 - 0 -
Masker 3 ply earloop/ karet/ (solida) pcs Rp 1,400.00 0 0 - 0 -
Masker 3 ply earloop/ karet/ (supamed) pcs Rp 2,890.00 0 0 - 0 -
masker anak program pcs Rp 0.02 0 0 - 0 -
Masker Headloop Altamed pcs Rp 599.50 0 0 - 0 -
Masker kain pcs Rp 1.00 0 0 - 0 -
Masker KN 95 Merk SPC pcs Rp 27,500.00 0 0 - 0 -
Masker KN95 9501V pcs Rp 134,999.70 0 0 - 0 -
Masker N 95 3M 1860 pcs Rp 27,500.00 0 0 - 0 -
Masker N 95 3M 1860S pcs Rp 19,500.00 0 0 - 0 -
Masker N 95 3M 1870 pcs Rp 23,000.00 58 0 58 4 92,000
-
Masker N 95 8210 pcs Rp 165,000.00 0 0 0 -
Masker n 95 BTL / respirator masker n95 FFP2 pcs Rp 66,000.00 0 0 - 0 -
Masker N 95 garuda safe type 1945 pcs Rp 26,000.00 80 0 80 0 -
Masker n 95 onemed pcs Rp 65,000.00 0 0 - 0 -
masker N 95 Vfex 9105 pcs Rp 121,000.00 0 0 - 0 -
Page 82
SATU HARGA STOK PENERI PERSE PEMAKAIAN RUSAK / E.D/REALOKASI
KODE NAMA OBAT
AN PER SATUAN AWAL MAAN DIAAN JUMLAH Rp JUMLAH
1 2 3 4 5 6 7=(5+6) 8 9 10
masker nebule dewasa (besmed) pcs Rp 20,428.58 0 0 - 0 -
masker oksigen anak pcs Rp 19,800.00 0 0 - 0 -
masker oksigen dewasa pcs Rp 19,800.00 0 0 - 0 -
Mata Bor high speed pack Rp 154,000.00 0 0 - 0 -
Microtube 1,5 cc pack Rp 245,000.00 0 0 - 0 -
Needle flashback (vacutainer needle BD 22G x 1 pcs Rp 2,783.00 0 0 - 0 -
nitril examination glove uk S pcs Rp 1,350.00 0 0 - 0 -
nitril examination glove uk M Pcs Rp 1,350.00 0 0 - 0 -
Nurse cap (MAS) pcs Rp 242.00 0 50 50 0 -
Obat Gigi : Aplicator kotak Rp 95,000.00 0 0 - 0 -
Obat Gigi : Articulating paper kotak Rp 263,538.00 1 0 1 0 -
Obat Gigi : Cotton pelet pack Rp 38,500.00 2 0 2 0 -
Obat Gigi : Cotton roll pack Rp 82,500.00 5 0 5 0 -
Obat Gigi : Gutta perchha point 15-40 mm kotak Rp 51,700.00 0 0 - 0 -
Obat Gigi : Gutta perchha point 45-80 mm kotak Rp 50,000.00 1 0 1 0 -
Obat Gigi : Jarum Dental cytoject pcs Rp 2,640.00 0 0 - 0 -
Obat Gigi : Paper point 15-40 mm kotak Rp 47,300.00 0 0 - 0 -
Obat Gigi : Paper point 45-80 mm kotak Rp 47,300.00 0 0 - 0 -
Obat Gigi : selang saliva eyector pack Rp 157,300.00 0 0 - 0 -
Obat Gigi : Tampon pack Rp 300,000.00 2 0 2 1 300,000
Obat Gigi :Dental floss kotak Rp 82,500.00 1 0 1 0 -
Obyek glass* biasa pack Rp 15,000.00 0 0 - 0 -
Open akses bur pcs Rp 135,300.00 0 0 - 0 -
parafilm (Laboratorium film parafilm) kotak Rp 1,000,000.00 0 0 - 0 -
parafilm size 410 x 125 ft roll Rp 880,000.00 0 0 - 0 -
Penjepit tali pusat pcs Rp 1,840.00 85 0 85 20 36,800
Pharmafix pcs Rp 27,000.00 0 0 - 0 -
pipet ESR citotes pcs Rp 6,600.00 0 0 - 0 -
Plastik Klip bks @ 100 Lmbr) Rp 9,350.00 0 0 - 0 -
Plastik klip sedang pack/100s Rp 5,000.00 0 0 - 0 -
Plastik Obat kecil (uk. 8 cm x 5 cm) pack Rp 17,000.00 0 0 - 0 -
Plastik Obat pembungkus puyer (uk. Besar) pack/100s Rp 7,100.00 0 0 - 0 -
plester (hansaplast 2,5 cm x 4,5 m) roll Rp 12,700.00 0 0 - 0 -
Plester (hansaplast 5 cm x 4,5 m) pcs Rp 12,000.00 0 0 - 0 -
Plesterin pcs Rp 183.75 0 0 - 0 -
Pot Sputum pcs Rp 23,790.00 0 500 500 300 7,137,000
Pulse oximeter unit Rp 517,000.00 0 0 - 0 -
safety box* (baymed) pcs Rp 12,049.40 0 0 - 0 -
Sepatu boot pasang Rp 100,000.00 0 0 - 0 -
Serum gel tes tube 5 ml / tabung gel & cloat activator pcs Rp 2,150.00 0 0 - 0 -
silk no 2/0 pcs Rp 3,208.33 21 0 21 0 -
Silk no 3/0 pcs Rp 2,750.00 24 0 24 2 5,500
Simedik Gown Set set Rp 194,700.00 0 0 - 0 -
sound timer unit Rp 650,000.00 0 0 - 0 -
Spuit 0,05 ml pcs Rp 1,650.00 200 0 200 0 -
Spuit 0,5 ml (BD syringe soloshot) pcs Rp 2,246.75 0 0 - 0 -
stardex nitril examination glove uk L pcs Rp 627.00 0 0 - 0 -
stardex nitril examination glove uk M pcs Rp 627.00 0 0 - 0 -
stardex nitril examination glove uk S pcs Rp 627.00 0 0 - 0 -
Steril Pouch 9 x 26 cm kotak Rp 87,000.00 100 0 100 0 -
Surflo No 18 pcs Rp 6,100.00 64 0 64 0 -
Surflo No 20 pcs Rp 6,100.00 109 0 109 14 85,400
Surflo No 22 pcs Rp 6,100.00 0 0 - 0 -
Surflo No 24 pcs Rp 6,100.00 37 0 37 0 -
surgical cap pcs Rp 11,000.00 0 0 - 0 -
Surgical Glove No 6,5 (MAS) pasang Rp 6,160.00 64 0 64 0 -
Surgical Glove No 8 pcs Rp 6,449.00 0 0 - 0 -
Surgical glove non steril uk M merek amicare pcs Rp 1,257.30 0 0 - 0 -
Page 83
SATU HARGA STOK PENERI PERSE PEMAKAIAN RUSAK / E.D/REALOKASI
KODE NAMA OBAT
AN PER SATUAN AWAL MAAN DIAAN JUMLAH Rp JUMLAH
1 2 3 4 5 6 7=(5+6) 8 9 10
Surgical glove non steril uk S merek amicare pcs Rp 1,257.30 0 0 - 0 -
Surgical Glove obsgyn / gynecolog No 6,5 / 56 cm pasang Rp 19,500.00 0 0 - 0 -
Surgical Glove obsgyn / gynecolog No 7 pcs Rp 20,010.00 0 0 - 0 -
Surgical Gloves non steril uk L pcs Rp 924.00 0 0 - 0 -
Surgical Gloves non steril uk L (golden gloves) pcs Rp 1,320.00 0 0 - 0 -
Surgical Gloves non steril uk L (MAXTER) pcs Rp 1,372.00 0 0 - 0 -
Surgical Gloves non steril uk L (Protos) pcs Rp 1,305.00 0 0 - 0 -
Surgical Gloves non steril uk L (serenity) pcs Rp 1,870.00 0 0 - 0 -
Surgical Gloves non steril uk M (MAS) pcs Rp 1,320.00 0 0 - 0 -
Surgical Gloves non steril uk M (protos) pcs Rp 1,305.00 3400 0 3,400 400 522,000
Surgical Gloves non steril uk M (safe glove) pcs Rp 1,870.00 0 0 - 0 -
Surgical Gloves non steril uk M (serenity) pcs Rp 1,870.00 0 0 - 0 -
Surgical Gloves non steril uk S (golden G) pcs Rp 880.00 0 0 - 0 -
Surgical Gloves non steril uk S (MAS LATEX) pcs Rp 759.00 0 0 - 0 -
Surgical Gloves non steril uk S (Mas) pcs Rp 1,320.00 0 0 - 0 -
Surgical Gloves non steril uk S (protos) pcs Rp 1,305.00 1300 0 1,300 100 130,500
Surgical Gloves non steril uk S (safe glove) pcs Rp 1,870.00 0 0 - 0 -
Surgical gown PCS Rp 143,000.00 0 0 - 0 -
Surgical mask 3 ply tie on pcs Rp 550.64 0 0 - 0 -
Surgical mask-plus 3 ply plus earloop (altamed) pcs Rp 2,897.96 0 0 - 0 -
Surgical mask-plus 3 ply plus earloop (ecogreen) pcs Rp 5,060.00 0 0 - 0 -
Surgical mask-plus 3 ply plus earloop (EVOMED) pcs Rp 6,050.00 0 0 - 0 -
Surgical mask-plus 3 ply plus earloop (Genio) pcs Rp 1,540.00 0 0 - 0 -
Surgical mask-plus 3 ply plus earloop (Gidcare) pcs Rp 5,000.00 0 0 - 0 -
Surgical mask-plus 3 ply plus earloop (Gidcare) pcs Rp 4,070.00 0 0 - 0 -
Surgical mask-plus 3 ply plus earloop (Imaske) pcs Rp 1,680.00 0 0 - 0 -
Surgical mask-plus 3 ply plus earloop (Jilbab) pcs Rp 462.00 0 0 - 0 -
Surgical mask-plus 3 ply plus earloop (MAS) pcs Rp 1,210.00 0 0 - 0 -
Surgical mask-plus 3 ply plus earloop (Neo) pcs Rp 6,160.00 0 0 - 0 -
Surgical mask-plus 3 ply plus earloop (ONEMED) pcs Rp 6,600.00 0 0 - 0 -
Surgical mask-plus 3 ply plus earloop (TP surgical mask) pcs Rp 330.00 50 0 50 0 -
Surgical mask-plus 3 ply plus earloop (Zulhan) pcs Rp 4,400.00 0 0 - 0 -
Surgikal Gloves No 7 pcs Rp 6,449.00 110 0 110 14 90,286
Surgikal Gloves No 7.5 pcs Rp 6,449.00 54 0 54 0 -
Tabung EDTA K-3 pcs Rp 682.00 0 0 - 0 -
Tabung EdtA K-3 micro 0,5 cc pcs Rp 1,085.00 0 0 - 0 -
Tabung hematokrit pack Rp 180,500.00 0 0 - 0 -
Tabung reaksi / Test tube 75 x 100 dia 1 cm pcs Rp 5,500.00 0 0 - 0 -
tabung reaksi kaca uk 15 x 105 mm botol Rp 10,560.00 0 0 - 0 -
Tabung reaksi kaca uk.12 x 75 mm pcs Rp 8,745.00 0 0 - 0 -
Thermometer Gun pcs Rp 2,000,000.00 0 0 - 0 -
Tip ukuran 60 pack Rp 179,200.00 0 0 - 0 -
Tip ukuran 61 pack Rp 230,600.00 0 0 - 0 -
Tranport Swab pcs Rp 1.00 0 0 - 0 -
Underpad pcs Rp 4,640.00 90 0 90 45 208,800
Urine bag pcs Rp 3,150.00 14 0 14 14 44,100
USG paper 110 HG (110 mm x 18m_SONY) roll Rp 268,500.00 1 0 1 0 -
Virus Transfor media + transfer media (program) pcs Rp 85,000.00 0 0 - 0 -
Wing needle no 21 pcs Rp 2,450.00 0 0 - 0 -
Wing needle no 23 pcs Rp 1,470.00 50 0 50 0 -
Wing needle no 25 pcs Rp 1,470.00 50 0 50 0 -
Wing needle no 27 pcs Rp 1,470.00 0 0 - 0 -
Yellow Tip pack Rp 36,110.00 0 0 - 0 -
Masker N95 Aero Pro (kotak/30 pcs) pcs Rp 20,000.00 150 0 150 0 -
APD Hazmat Hijau pcs Rp 55,000.00 0 0 - 0 -
Nurse Cap Biru pcs Rp 11,000.00 0 0 - 0 -
BD Venflon 18 GA relok RS SS pcs Rp 5,601.00 27 0 27 0 -
BD Venflon 20 GA relok RS SS pcs Rp 5,304.00 113 0 113 0 -
Page 84
SATU HARGA STOK PENERI PERSE PEMAKAIAN RUSAK / E.D/REALOKASI
KODE NAMA OBAT
AN PER SATUAN AWAL MAAN DIAAN JUMLAH Rp JUMLAH
1 2 3 4 5 6 7=(5+6) 8 9 10
BD Venflon 22 GA relok RS SS pcs Rp 5,210.00 85 0 85 0 -
Spuit 0,5 mL oneject pcs Rp 1,185.00 400 300 700 200 237,000
Nebulizer Mask Dewasa relok RS SS pcs Rp 10,000.00 24 0 24 0 -
Nebulizer Mask Anak relok RS SS pcs Rp 10,000.00 19 0 19 0 -
Nasal Canula Neonate relok RS SS pcs Rp 6,608.00 20 0 20 0 -
Nasal Canula Adult relok RS SS pcs Rp 8,350.00 9 0 9 0 -
Nasal Canula Pediatric relok RS SS pcs Rp 6,721.00 10 0 10 0 -
Oksigen Mask Adult relok RS SS pcs Rp 20,175.00 10 0 10 0 -
Oxygen mask pediatric relok RS SS pcs Rp 20,175.00 19 0 19 0 -
Universal Surgical Kit relok RS SS pcs Rp 300,300.00 10 0 10 0 -
Spuit 0,5 mL BIAN pcs Rp 1,518.00 0 0 - 0 -
Safety box* BIAN pcs Rp 14,000.00 0 0 - 0 -
Surgical gloves General Care S pcs 600 0 600 0 -
Surgical gloves General Care M pcs 1100 0 1,100 100 -
Surgical gloves Meddis S pcs Rp 743.70 500 2000 2,500 500 371,850
Surgical gloves Meddis M pcs Rp 743.70 500 2000 2,500 300 223,110
Surgical gloves Meddis L pcs Rp 743.70 0 200 200 0 -
Surgical mask earloop top mask pcs 0 1000 1000 150 -
Surgical mask hijab M.I pcs Rp 432.00 0 2000 2000 0 -
10,454,545.40 -
Page 85
SATU HARGA STOK PENERI PERSE PEMAKAIAN RUSAK / E.D/REALOKASI
KODE NAMA OBAT
AN PER SATUAN AWAL MAAN DIAAN JUMLAH Rp JUMLAH
1 2 3 4 5 6 7=(5+6) 8 9 10
Page 86
SATU HARGA STOK PENERI PERSE PEMAKAIAN RUSAK / E.D/REALOKASI
KODE NAMA OBAT
AN PER SATUAN AWAL MAAN DIAAN JUMLAH Rp JUMLAH
1 2 3 4 5 6 7=(5+6) 8 9 10
9,622,585.40
UMUM
JUMLAH
JUMLAH KUNJUNGAN RESEP BAYAR TDK BYR JKN
251 384 446 1081
Dr. Machli Riyadi, S.H., M.H Yohana Rusnayuda,S.Si.,Apt. dr. Hj. Santi Indri Yani Achmadiyah
NIP.19701124 199101 1 004 NIP. 19790311 200501 2 015 NIP. 19821117 201101 2 005
Page 87
N OBAT
BULAN 0 9 LB2
TAHUN 2 0 2 2
11 12=(7-8-10) 13 14 15 16 17 18
Page 88
RUSAK / E.D/REALOKASI SISA STOK STOK PERMIN PEMBERIAN
11 12=(7-8-10) 13 14 15 16 17 18
- - - -
- - - -
- - - - 10
- 32 95,040.00 (32)
- 79 819,862.00 (55)
- 49 195,510.00 (49)
- 52 207,480.00 (52)
- 30 321,300.00 (30)
- - - -
- - - -
- - - - 200
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - - 20
- - - -
- - - - 20
- - - -
- 3 39,000.00 (3)
- - - -
- 26 283,790.00 3
- 30 83,010.00 (18)
- - - -
- 56 352,800.00 (10)
- - - -
- - - -
- 17,200 1,548,000.00 (16,720)
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 100 109,000.00 (100)
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 54 1,242,000.00 (44)
-
- - -
- - - -
- 80 2,080,000.00 (80)
- - - -
- - - -
Page 89
RUSAK / E.D/REALOKASI SISA STOK STOK PERMIN PEMBERIAN
11 12=(7-8-10) 13 14 15 16 17 18
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 50 12,100.00 (50)
- - - -
- 1 263,538.00 (1)
- 2 77,000.00 (2)
- 5 412,500.00 (5)
- - - -
- 1 50,000.00 (1)
- - - -
- - - -
- - - -
- - - -
- 1 300,000.00 1 2
- 1 82,500.00 (1)
- - - -
- - - -
- - - - 1
- - - -
- 65 119,600.00 (17)
- - - -
- - - -
- - - - 20
- - - - 20
- - - -
- - - - 20
- - - -
- - - - 2
- - - - 100
- 200 4,758,000.00 520 100
- - - -
- - - - 10
- - - -
- - - -
- 21 67,374.93 (21)
- 22 60,500.00 (17)
- - - -
- - - -
- 200 330,000.00 (200)
- - - -
- - - -
- - - -
- - - -
- 100 8,700,000.00 (100)
- 64 390,400.00 (64)
- 95 579,500.00 (61)
- - - - 100
- 37 225,700.00 (37)
- - - -
- 64 394,240.00 (64)
- - - -
- - - -
Page 90
RUSAK / E.D/REALOKASI SISA STOK STOK PERMIN PEMBERIAN
11 12=(7-8-10) 13 14 15 16 17 18
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 3,000 3,915,000.00 (2,040)
- - - -
- - - -
- - - -
- - - -
- - - -
- 1,200 1,566,000.00 (960)
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 50 16,500.00 (50)
- - - -
- 96 619,104.00 (62)
- 54 348,246.00 (54)
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 45 208,800.00 63 100
- - - 34 30
- 1 268,500.00 (1)
- - - -
- - - -
- 50 73,500.00 (50)
- 50 73,500.00 (50)
- - - -
- - - -
- 150 3,000,000.00 (150)
- - - -
- - - -
- 27 151,227.00 (27)
- 113 599,352.00 (113)
Page 91
RUSAK / E.D/REALOKASI SISA STOK STOK PERMIN PEMBERIAN
11 12=(7-8-10) 13 14 15 16 17 18
- 85 442,850.00 (85)
- 500 592,500.00 (500)
- 24 240,000.00 (24)
- 19 190,000.00 (19)
- 20 132,160.00 (20)
- 9 75,150.00 (9)
- 10 67,210.00 (10)
- 10 201,750.00 (10)
- 19 383,325.00 (19)
- 10 3,003,000.00 (10)
- - - -
- - - -
- 600 - (600)
- 1,000 - (1,000)
- 2,000 1,487,400.00 (2,000) 1000
- 2,200 1,636,140.00 (2,200) 1000
- 200 148,740.00 (200)
- 850 - (850)
- 2000 864,000.00 (2,000)
- LAINNYA 48,336,964.53
Page 92
RUSAK / E.D/REALOKASI SISA STOK STOK PERMIN PEMBERIAN
11 12=(7-8-10) 13 14 15 16 17 18
Page 93
RUSAK / E.D/REALOKASI SISA STOK STOK PERMIN PEMBERIAN
11 12=(7-8-10) 13 14 15 16 17 18
REAGEN
#REF!
- #REF!
Yang Menerima
Petugas Puskesmas
Page 94
PEMAKAIAN
PUSKESM
PEMAKAIAN
PERSEDIAAN
NO NAMA OBAT SATUAN POSYA P.LANSIA/
GUDANG PP LAB
NDU PUSLING
I. OBAT
G OBAT LAINNYA
Alat suntik sekali pakai 1 ml pcs 200
Alat suntik sekali pakai 10 ml pcs 67
Alat suntik sekali pakai 2,5 ml pcs -
Alat suntik sekali pakai 3 ml pcs 550
Alat suntik sekali pakai 5 ml pcs 369
Alkohol Swab lembar 1,900
APD COVERALL pcs -
APD Full Set set -
APD LENGKAP paket -
APD SET DISPOSIBLE set -
Baju APD Merek sablonku (warna merah dan putih) pcs -
Baju hazmat coverall (KIMCARE MICROPORUS) pcs 8
Baju plastik / jas hujan pcs -
Balmed 3 ply earloop face mask pcs -
Bioplacenton tulle pcs -
Bistruri/scalpel balde No 10 pcs 45
Bistruri/scalpel balde No 11 pcs 37
Bisturi/scalpel balde No 15 pcs 57
Blood Lancet no 26 om pcs -
Blood transfusion set pcs 18
Blue Tip pack -
botol spray sorax 100 ml botol -
Box Obyek glass* biasa (one lab) pack 3
Catgut/benang bedah no 2/0 chronic pcs 21
Catgut/benang bedah no 2/0 plain pcs 59
Catgut/benang bedah no 3/0 chronic pcs 14
Catgut/benang bedah no 3/0 plain pcs 43
cover shoes pcs 250
Coverplast transparan 100 (24 mm) pcs -
Deck gelas / objek glass 24 x 24 mm pack -
Deck glass / objek glass 20 x 20 mm pack -
Deck glass / objek glass 22 x 22 mm pack -
Disposibel vagina speculum pcs -
disposible swab nasal pcs -
ECG 112 mm x 30 mm x 16 mm roll -
PEMAKAIAN
PERSEDIAAN
NO NAMA OBAT SATUAN POSYA P.LANSIA/
GUDANG PP LAB
NDU PUSLING
ECG 58 mm x 25 mm x 16 mm roll -
Face Shield pcs -
Film Rontgen 24 x 30 cm lembar -
Film Rontgen 30 x 40 cm lembar -
Film Rontgen 35 x 35 cm lembar -
Fixomull pcs -
Foley cateter no 16 / Ballon catheter 2 way Fr 16 pcs 26
Foley cateter no 18 / Ballon catheter 2 way Fr 18 pcs 26
Fukuda M.E.ECG Paper pcs -
Gene Xpert MTB/RIF buah -
Glove non steril nitrile (Pupick Med) Uk. L pcs -
Glove non steril nitrile (pupick Med) Uk. M pcs -
Glove non steril nitrile (pupick Med) Uk. S pcs -
handiplast pcs -
Hazmat (program ISPA) pcs -
Holder tube vacutainer pcs -
Hypafix uk. Kecil 5 cm x 5 m pcs -
Infusiun set anak pcs 32
Infusiun set dewasa pcs 89
IV Catheter no 18 G pcs 49
IV Catheter no 20 G pcs 52
IV Catheter no 22 G (polywin) pcs 30
IV Catheter no 24 G pcs -
Jarum (Needle) no 23 pcs -
Jarum (Needle) no 25 pcs -
Jarum Jahit kulit no 10 GT pack -
Jarum Jahit Kulit No 11 GT pack -
Jarum Jahit kulit no 12 GT pack -
Jarum Jahit Kulit No 13 GT pack -
Jarum Jahit Kulit No 14 GT pack -
jarum K-File no 15-40 kotak -
jarum K-File no 45-80 kotak -
jarum K-File no 90-140 kotak -
Kacamata Google pcs -
Kantong Kertas pak @100 lmbr -
Kantong plastik biohard pak -
kantongan plastik pack @ 100lbr -
Kapas berlemak 500 mg roll -
Kapas pembalut / absorben 250 mg roll 3
Kasa kompres 40 / 40 steril pcs -
Kasa pembalut 2 m x80 cm pcs 38
Kasa pembalut hidrofil 4m x 15 cm pcs 35
PEMAKAIAN
PERSEDIAAN
NO NAMA OBAT SATUAN POSYA P.LANSIA/
GUDANG PP LAB
NDU PUSLING
200 0
5 20 42 5
0
10 185 5 350 195
4 50 15 300 54
100 300 100 1400 400
0
0
0
0
0
8 0
0
0
0
10 35 10
1 36 1
57 0
0
18 0
0
0
3 0
21 21
10 10 39 10
14 14
3 40 3
250 0
0
0
0
0
0
0
0
PEMAKAIAN STOK AKHIR
DALUARS
STOK OF KUMULATIF
POSKES A/ POSY P.LANSIA/ POSKES PEMAKAIAN
PONED APOTEK PP LAB PONED APOTEK NAME
DES RELOKAS ANDU PUSLING DES
GUDANG
I
0
0
0
0
0
0
26 0
6 20 6
0
0
0
0
0
0
0
0
0
32 0
10 79 10
49 0
52 0
30 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
3 0
0
7 5 3 23 12
5 30 5
PEMAKAIAN STOK AKHIR
DALUARS
STOK OF KUMULATIF
POSKES A/ POSY P.LANSIA/ POSKES PEMAKAIAN
PONED APOTEK PP LAB PONED APOTEK NAME
DES RELOKAS ANDU PUSLING DES
GUDANG
I
0
19 56 19
0
0
200 17200 200
0
0
0
0
0
0
100 0
0
0
0
0
0
0
0
0
0
0
0
0
4 54 4
0
0
80 0
0
0
0
0
0
0
0
0
0
0
50 0
0
1 0
2 0
PEMAKAIAN STOK AKHIR
DALUARS
STOK OF KUMULATIF
POSKES A/ POSY P.LANSIA/ POSKES PEMAKAIAN
PONED APOTEK PP LAB PONED APOTEK NAME
DES RELOKAS ANDU PUSLING DES
GUDANG
I
5 0
0
1 0
0
0
0
0
1 1 1
1 0
0
0
0
0
20 15 50 20
0
0
0
0
0
0
0
0
0
200 300
0
0
0
0
21 0
2 22 2
0
0
200 0
0
0
0
0
100 0
64 0
14 95 14
0
37 0
PEMAKAIAN STOK AKHIR
DALUARS
STOK OF KUMULATIF
POSKES A/ POSY P.LANSIA/ POSKES PEMAKAIAN
PONED APOTEK PP LAB PONED APOTEK NAME
DES RELOKAS ANDU PUSLING DES
GUDANG
I
0
64 0
0
0
0
0
0
0
0
0
0
0
0
400 3000 400
0
0
0
0
0
100 1200 100
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
14 96 14
54 0
0
0
0
0
PEMAKAIAN STOK AKHIR
DALUARS
STOK OF KUMULATIF
POSKES A/ POSY P.LANSIA/ POSKES PEMAKAIAN
PONED APOTEK PP LAB PONED APOTEK NAME
DES RELOKAS ANDU PUSLING DES
GUDANG
I
0
0
0
0
0
0
45 30 15 45
10 4 14
1 0
0
0
50 0
50 0
0
0
150 0
0
0
27 0
113 0
85 0
200 500 200
24 0
19 0
20 0
9 0
10 0
10 0
19 0
10 0
0
0
600 0
100 1000 100
500 2000 500
300 2200 300
200 0
150 850 150
2000 0
0 8
2 0 2 2
STOK AKHIR
STOK AKHIR SELISIH
REGISTER KET
FISIK (SF) (SR - SF)
(SR)
200 200 -
62 62 -
- 0 -
355 355 -
315 315 -
1,500 1500 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
8 8 -
- 0 -
- 0 -
- 0 -
35 35 -
36 36 -
57 57 -
- 0 -
18 18 -
- 0 -
- 0 -
3 3 -
- 0 -
49 49 -
- 0 -
40 40 -
250 250 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
STOK AKHIR
STOK AKHIR SELISIH
REGISTER KET
FISIK (SF) (SR - SF)
(SR)
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
26 26 -
20 20 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
32 32 -
79 79 -
49 49 -
52 52 -
30 30 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
3 3 -
- 0 -
26 26 -
30 30 -
STOK AKHIR
STOK AKHIR SELISIH
REGISTER KET
FISIK (SF) (SR - SF)
(SR)
- 0 -
56 56 -
- 0 -
- 0 -
17,200 17200 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
100 100 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
54 54 -
- 0 -
- 0 -
80 80 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
50 50 -
- 0 -
1 1 -
2 2 -
STOK AKHIR
STOK AKHIR SELISIH
REGISTER KET
FISIK (SF) (SR - SF)
(SR)
5 5 -
- 0 -
1 1 -
- 0 -
- 0 -
- 0 -
- 0 -
1 1 -
1 1 -
- 0 -
- 0 -
- 0 -
- 0 -
65 65 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
200 200 -
- 0 -
- 0 -
- 0 -
- 0 -
21 21 -
22 22 -
- 0 -
- 0 -
200 200 -
- 0 -
- 0 -
- 0 -
- 0 -
100 100 -
64 64 -
95 95 -
- 0 -
37 37 -
STOK AKHIR
STOK AKHIR SELISIH
REGISTER KET
FISIK (SF) (SR - SF)
(SR)
- 0 -
64 64 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
3,000 3000 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
1,200 1200 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
96 96 -
54 54 -
- 0 -
- 0 -
- 0 -
- 0 -
STOK AKHIR
STOK AKHIR SELISIH
REGISTER KET
FISIK (SF) (SR - SF)
(SR)
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
45 45 -
- 0 -
1 1 -
- 0 -
- 0 -
50 50 -
50 50 -
- 0 -
- 0 -
150 150 -
- 0 -
- 0 -
27 27 -
113 113 -
85 85 -
500 500 -
24 24 -
19 19 -
20 20 -
9 9 -
10 10 -
10 10 -
19 19 -
10 10 -
- 0 -
- 0 -
600 600 -
1,000 1000 -
2,000 2000 -
2,200 2200 -
200 200 -
850 850 -
2,000 2000 -
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
(LPLPO)
Page 113
SATU HARGA STOK PENERI PERSE PEMAKAIAN RUSAK / E.D/REALOKASI
KODE NAMA OBAT
AN PER SATUAN AWAL MAAN DIAAN JUMLAH Rp JUMLAH
1 2 3 4 5 6 7=(5+6) 8 9 10
Stik urinalisa 10 parameter (Dirui) stik Rp 3,599.75 0 0 - 0 -
Stik urinalisa 10 parameter (Lab U 11) stik Rp 2,079.33 0 0 - 0 -
stik urinalisa 10 prm glory pcs Rp 3,595.00 0 0 - 0 -
Stik urinalisa 3 parameter stik Rp 5,720.00 0 0 - 0 -
VTM Mantacc pcs Rp 19,712.00 19 0 19 0 -
Indec HIV 1/2 & SYPHILIS COMBO stik Rp 17,100.00 0 200 200 16 273,600
3,671,563.67 -
Page 114
SATU HARGA STOK PENERI PERSE PEMAKAIAN RUSAK / E.D/REALOKASI
KODE NAMA OBAT
AN PER SATUAN AWAL MAAN DIAAN JUMLAH Rp JUMLAH
1 2 3 4 5 6 7=(5+6) 8 9 10
Page 115
SATU HARGA STOK PENERI PERSE PEMAKAIAN RUSAK / E.D/REALOKASI
KODE NAMA OBAT
AN PER SATUAN AWAL MAAN DIAAN JUMLAH Rp JUMLAH
1 2 3 4 5 6 7=(5+6) 8 9 10
3,397,963.67
UMUM
JUMLAH
JUMLAH KUNJUNGAN RESEP BAYAR TDK BYR JKN
Page 116
SATU HARGA STOK PENERI PERSE PEMAKAIAN RUSAK / E.D/REALOKASI
KODE NAMA OBAT
AN PER SATUAN AWAL MAAN DIAAN JUMLAH Rp JUMLAH
1 2 3 4 5 6 7=(5+6) 8 9 10
251 384 446 1081
Dr. Machli Riyadi, S.H., M.H Yohana Rusnayuda,S.Si.,Apt. dr. Hj. Santi Indri Yani Achmadiyah
NIP.19701124 199101 1 004 NIP. 19790311 200501 2 015 NIP. 19821117 201101 2 005
Page 117
N OBAT
BULAN 0 9 LB2
TAHUN 2 0 2 2
11 12=(7-8-10) 13 14 15 16 17 18
- - - - POPM
- - - -
- 50 2,490,400.00 70
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 100 1,501,700.00 (100)
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 10 25
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - - 200
- - - - 200
- - - - 200
- - - - 300
- - - -
- 6,150 11,098,645.47 (5,790)
- - - -
- - - -
- - - - 300
- - - -
- 150 1,215,000.00 (119)
- - - -
- - - -
- 62 523,590.00 (21)
- - - - 100
- - - -
- - - -
Page 118
RUSAK / E.D/REALOKASI SISA STOK STOK PERMIN PEMBERIAN
11 12=(7-8-10) 13 14 15 16 17 18
- - - - 300
- - - - 300
- - - -
- - - -
- 19 374,528.00 (19)
- 184 3,146,400.00 (184)
Page 119
RUSAK / E.D/REALOKASI SISA STOK STOK PERMIN PEMBERIAN
11 12=(7-8-10) 13 14 15 16 17 18
Page 120
RUSAK / E.D/REALOKASI SISA STOK STOK PERMIN PEMBERIAN
11 12=(7-8-10) 13 14 15 16 17 18
REAGEN
#REF!
- #REF!
Page 121
RUSAK / E.D/REALOKASI SISA STOK STOK PERMIN PEMBERIAN
11 12=(7-8-10) 13 14 15 16 17 18
Yang Menerima
Petugas Puskesmas
Page 122
PEMAKAIAN SU
PUSKESMA
PEMAKAIAN
PERSEDIAAN
NO NAMA OBAT SATUAN POSYA P.LANSIA/
GUDANG PP LAB
NDU PUSLING
I. OBAT
A BAHAN KIMIA PADAT
Abate/temephos botol -
BIO VTM pcs -
Dengue IgG / IgM test Device pcs 100 50
0
0
50 50
0
0
0
0
0
0
0
0
0
0
0
0
0
0
100 0
0
0
0
0
0
0
4 4
0
0
0
0
0
0
0
0
0
0
PEMAKAIAN STOK AKHIR
DALUARS
STOK OF KUMULATIF
POSKES A/ POSY P.LANSIA/ POSKES PEMAKAIAN
PONED APOTEK PP LAB PONED APOTEK NAME
DES RELOKAS ANDU PUSLING DES
GUDANG
I
0
6150 150
0
0
0
0
75 75 13
0
0
12 50 17
0
0
0
0
0
0
0
19 0
9 175 16
0 9
2 0 2 2
STOK AKHIR
STOK AKHIR SELISIH
REGISTER KET
FISIK (SF) (SR - SF)
(SR)
- 0 - Program POPM
- 0 -
50 50 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
100 100 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
STOK AKHIR
STOK AKHIR SELISIH
REGISTER KET
FISIK (SF) (SR - SF)
(SR)
- 0 -
6,150 6150 -
- 0 -
- 0 -
- 0 -
- 0 -
150 150 -
- 0 -
- 0 -
62 62 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
19 19 -
184 184 -
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
(LPLPO)
Page 129
SATU HARGA STOK PENERI PERSE PEMAKAIAN RUSAK / E.D/REALOKAS
KODE NAMA OBAT
AN PER SATUAN AWAL MAAN DIAAN JUMLAH Rp JUMLAH
1 2 3 4 5 6 7=(5+6) 8 9 10
Larutan Fixer botol Rp 801,900.00 0 0 - 0 -
Larutan Foucet botol Rp 253,000.00 0 0 - 0 -
Larutan Giemsa Sain botol Rp 378,125.00 0 0 - 0 -
Larutan hayem botol Rp 137,500.00 1 0 1 0 -
Larutan Hidrogen Peroksida botol Rp 66,000.00 0 0 - 0 -
Larutan Iodium 1 % botol Rp 27,500.00 2 0 2 0 -
Larutan Karbol Fuksin botol Rp 165,000.00 0 0 - 0 -
Larutan KOH 10 % botol Rp 36,300.00 0 0 - 0 -
Larutan KOH 20 % botol Rp 40,700.00 0 0 - 0 -
Larutan Lugol 1 % botol Rp 193,600.00 0 0 - 0 -
Larutan Metilen Biru botol Rp 93,170.00 1 0 1 0 -
Larutan Natrium Citrat 3,8 % botol Rp 71,500.00 0 0 - 0 -
larutan safranin botol Rp 68,200.00 0 0 - 0 -
Larutan sodium hipoklorid 1 L botol Rp 132,000.00 0 0 - 0 -
Larutan sodium hipoklorid 100 ML botol Rp 18,634.00 0 0 - 0 -
Larutan Turk botol Rp 44,000.00 0 0 - 0 -
Larutan Xylol botol Rp 100,100.00 0 0 - 0 -
M Notrol 16 Twin-2M Merek Horiba pack Rp 1,683,000.00 0 0 - 0 -
M-30 CFL LYSE 500 ML Mindray botol Rp 2,332,000.00 0 0 - 0 -
M-30 DILUENT Mindray botol Rp 2,200,000.00 0 0 - 0 -
M-30 E-Z Cleanser Mindray botol Rp 1,650,000.00 0 0 - 0 -
M-30 PROBE CLEANSER Mindray botol Rp 165,000.00 0 0 - 0 -
M-30 RINSE Mindray botol Rp 2,200,000.00 0 0 - 0 -
Medicare 0,5% TPCL antiseptik botol 500 ml Rp 41,306.60 0 0 - 0 -
Medonic Diluent 20 L botol Rp 6,116,000.00 0 0 - 0 -
Medonic Lyse 5 L botol Rp 8,305,000.00 0 0 - 0 -
Metanol botol Rp 24,645.00 1 0 1 0 -
NaOcl 2,5 % untuk sal irigasi botol Rp 123,200.00 0 0 - 0 -
Norma cleaner / solution 3 diff botol Rp 2,398,000.00 0 0 - 0 -
Norma diluent diff / norma dil-3-diff botol Rp 2,235,200.00 0 0 - 0 -
Norma lyse diff / norma lyse-3-diff botol Rp 2,992,000.00 0 0 - 0 -
Oil Imersi botol Rp 991,100.00 0 0 - 0 -
One clean 1 Liter OM botol Rp 12,100.00 0 0 - 0 -
Pewarnaan Gram 1 % botol Rp 518,100.00 0 0 - 0 -
Reagen albumin agappe / mindray kit Rp 1,400,000.00 0 0 - 0 -
Reagen Albumin biosystem kit Rp 800,000.00 0 0 - 0 -
Reagen Albumin BT Diagnostik / Albumin Bromcresol Green, kit Rp 770,000.00 0 0 - 0 -
Reagen Albumin randox kit Rp 962,500.00 0 0 - 0 -
Reagen Asam Urat agappe / mindray kit Rp 1,386,000.00 0 0 - 0 -
Reagen Asam Urat biolabo kit Rp 1,363,000.00 0 0 - 0 -
Reagen Asam Urat biosystem kit (1X50ml) Rp 1,100,000.00 0 0 - 0 -
Reagen asam urat BT Diagnostik kit Rp 2,200,000.00 0 0 - 0 -
Reagen Asam Urat randox kit Rp 1,699,500.00 0 0 - 0 -
Reagen Bilirubin Direct agappe / mindray kit Rp 877,800.00 0 0 - 0 -
Reagen Bilirubin Direct biosystem kit Rp 2,090,000.00 0 0 - 0 -
Reagen Bilirubin Direct randox kit Rp 970,000.00 0 0 - 0 -
Reagen Bilirubin Total agappe / mindray kit Rp 877,800.00 0 0 - 0 -
Reagen Bilirubin Total biosystem kit Rp 2,090,000.00 0 0 - 0 -
Reagen Bilirubin Total randox kit Rp 897,000.00 0 0 - 0 -
Reagen Cholesterol agappe / mindray kit Rp 2,189,000.00 1 0 1 0 -
Reagen Cholesterol Biolabo kit Rp 1,132,000.00 0 0 - 0 -
Reagen Cholesterol biosystem kit Rp 935,000.00 0 0 - 0 -
Reagen Cholesterol BT Diagnostik kit Rp 1,760,000.00 0 0 - 0 -
Reagen Cholesterol HDL agappe / mindray kit Rp 8,690,000.00 0 0 - 0 -
Reagen Cholesterol HDL Biolabo kit Rp 5,549,628.00 0 0 - 0 -
Reagen Cholesterol HDL biosystem kit Rp 2,475,000.00 0 0 - 0 -
Page 130
SATU HARGA STOK PENERI PERSE PEMAKAIAN RUSAK / E.D/REALOKAS
KODE NAMA OBAT
AN PER SATUAN AWAL MAAN DIAAN JUMLAH Rp JUMLAH
1 2 3 4 5 6 7=(5+6) 8 9 10
Reagen Cholesterol HDL BT Diagnostik kit Rp 8,250,000.00 0 0 - 0 -
Reagen Cholesterol HDL randox kit Rp 1,991,000.00 0 0 - 0 -
Reagen Cholesterol randox kit Rp 2,227,500.00 0 0 - 0 -
Reagen Creatinin agappe / mindray kit Rp 930,600.00 0 0 - 0 -
Reagen Creatinin biosystem kit Rp 1,210,000.00 0 0 - 0 -
Reagen Creatinin BT Diagnostik kit Rp 1,100,000.00 0 0 - 0 -
Reagen Creatinin randox kit Rp 937,750.00 0 0 - 0 -
Reagen Creatinine biolabo kit Rp 899,619.00 0 0 - 0 -
Reagen Elitrol 1 Normal 1 x 5 ml (elitech) kit Rp 5,940,000.00 0 0 - 0 -
Reagen Glucose agappe / mindray kit Rp 1,331,000.00 0 0 - 0 -
Reagen Glucose biosystem kit Rp 605,000.00 0 0 - 0 -
Reagen Glucose PAP randox kit Rp 529,290.00 0 0 - 0 -
Reagen Glukosa biolabo kit Rp 866,000.00 0 0 - 0 -
Reagen Glukosa BT Diagnostik kit Rp 660,000.00 0 0 - 0 -
Reagen golongan darah set-2 Rp 128,000.00 0 0 - 0 -
Reagen golongan darah set-4 Rp 142,650.00 0 0 - 0 -
Reagen HB Cyanida botol Rp 275,000.00 0 0 - 0 -
Reagen HB konsentrat biosystem kit Rp 308,000.00 0 0 - 0 -
Reagen HB konsentrat randox kit Rp 533,660.00 0 0 - 0 -
Reagen Protein Total agappe / mindray kit Rp 770,000.00 0 0 - 0 -
Reagen Protein Total biosystem kit Rp 545,000.00 0 0 - 0 -
Reagen Protein Total randox kit Rp 880,000.00 0 0 - 0 -
Reagen SGOT / AST Biolabo kit Rp 1,824,887.00 0 0 - 0 -
Reagen SGOT / AST biosystem kit Rp 825,000.00 0 0 - 0 -
Reagen SGOT / AST Mindray kit Rp 1,265,000.00 0 0 - 0 -
Reagen SGOT / AST randox kit Rp 514,110.00 0 0 - 0 -
Reagen SGOT BT Diagnostik kit Rp 1,650,000.00 0 0 - 0 -
Reagen SGPT / ALT biolabo kit Rp 1,824,887.00 0 0 - 0 -
Reagen SGPT / ALT biosystem kit Rp 825,000.00 0 0 - 0 -
Reagen SGPT / ALT mindray kit Rp 1,265,000.00 0 0 - 0 -
Reagen SGPT / ALT randox kit Rp 509,946.00 0 0 - 0 -
Reagen SGPT BT Diagnostik Kit Rp 1,650,000.00 0 0 - 0 -
Reagen Trigliseride biolabo kit Rp 1,097,000.00 0 0 - 0 -
Reagen Trigliseride biosystem kit Rp 1,430,000.00 0 0 - 0 -
Reagen Trigliseride BT Diagnostik kit Rp 2,750,000.00 0 0 - 0 -
Reagen Trigliseride mindray kit Rp 1,804,000.00 0 0 - 0 -
Reagen Trigliseride randox kit Rp 2,629,000.00 0 0 - 0 -
Reagen Urea Mindray kit Rp 1,072,500.00 0 0 - 0 -
Reagen Ureum Biolabo kit Rp 1,905,773.00 0 0 - 0 -
Reagen Ureum biosystem kit Rp 1,870,000.00 0 0 - 0 -
Reagen Ureum BT Diagnostik kit Rp 2,200,000.00 0 0 - 0 -
Reagen Ureum randox kit Rp 1,430,000.00 0 0 - 0 -
Reagen Wright Stain botol Rp 308,000.00 0 0 - 0 -
reagent cholesterol pap sl (microlab/elitech) kit Rp 3,088,800.00 0 0 - 0 -
reagent cholesterol pap sl (microlab/elitech) + std kit Rp 3,300,000.00 0 0 - 0 -
reagent cholesterol standar 200 mg/dl (microlab/elitech) kit Rp 633,600.00 0 0 - 0 -
reagent glucose pap sl (microlab/elitech) +std kit Rp 1,795,000.00 0 0 - 0 -
reagent glucose standar 100 mg/dl (microlab/elitech) kit Rp 448,800.00 0 0 - 0 -
reagent trigliserid mono sl (microlab/elitech) kit Rp 4,752,000.00 0 0 - 0 -
reagent trigliserid mono sl (microlab/elitech) + std kit Rp 5,000,000.00 0 0 - 0 -
reagent trigliserid standar 200 mg/dl (microlab/elitech) kit Rp 475,200.00 0 0 - 0 -
reagent uric acid mono sl (microlab/elitech) kit Rp 3,350,000.00 0 0 - 0 -
reagent uric acid standar (microlab/elitech) kit Rp 580,800.00 0 0 - 0 -
Res eker botol Rp 154,000.00 0 0 - 0 -
RPR syfilis Fokus Diagnostik kotak Rp 427,000.00 0 0 - 0 -
RPR syfilis randox botol Rp 1,555,920.00 0 0 - 0 -
Page 131
SATU HARGA STOK PENERI PERSE PEMAKAIAN RUSAK / E.D/REALOKAS
KODE NAMA OBAT
AN PER SATUAN AWAL MAAN DIAAN JUMLAH Rp JUMLAH
1 2 3 4 5 6 7=(5+6) 8 9 10
Serum kontrol mindray (Qualichek normal mindray) botol Rp 968,000.00 0 0 - 0 -
Spiritus 1 L botol Rp 170,500.00 0 0 - 0 -
Swelab alfa diluent 20 L botol Rp 6,573,600.00 0 0 - 0 -
Swelab alfa lyse 5 L botol Rp 8,550,000.00 0 0 - 0 -
Viorex liquid 4 % 5 L galon Rp 682,489.50 0 0 - 0 -
Widal tes 6 set 6 set Rp 279,140.00 0 0 - 0 -
Widal tes 4 set (AO,BO,O,H) 4 set Rp 256,000.00 0 0 - 0 -
Ziehl Nielseen Stain paket Rp 203,046.00 1 0 1 0 -
215,600
UMUM
JUMLAH
JUMLAH KUNJUNGAN RESEP BAYAR TDK BYR JKN
442 98 644 1184
Page 132
SATU HARGA STOK PENERI PERSE PEMAKAIAN RUSAK / E.D/REALOKAS
KODE NAMA OBAT
AN PER SATUAN AWAL MAAN DIAAN JUMLAH Rp JUMLAH
1 2 3 4 5 6 7=(5+6) 8 9 10
Page 133
SATU HARGA STOK PENERI PERSE PEMAKAIAN RUSAK / E.D/REALOKAS
KODE NAMA OBAT
AN PER SATUAN AWAL MAAN DIAAN JUMLAH Rp JUMLAH
1 2 3 4 5 6 7=(5+6) 8 9 10
215,600.00
UMUM
JUMLAH
JUMLAH KUNJUNGAN RESEP BAYAR TDK BYR JKN
251 384 446 1081
Dr. Machli Riyadi, S.H., M.H Yohana Rusnayuda,S.Si.,Apt. dr. Hj. Santi Indri Yani Achmadiyah
NIP.19701124 199101 1 004 NIP. 19790311 200501 2 015 NIP. 19821117 201101 2 005
Page 134
N OBAT
BULAN 0 9 LB2
TAHUN 2 0 2 2
11 12=(7-8-10) 13 14 15 16 17 18
- - - - POPM
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 5 5
- - - - 10
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - - 5
- - - -
- 1 154,000.00 (1)
- 1 531,000.00 (1)
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
Page 135
RUSAK / E.D/REALOKASI SISA STOK STOK PERMIN PEMBERIAN
11 12=(7-8-10) 13 14 15 16 17 18
- - - -
- - - -
- - - -
- 1 137,500.00 (1)
- - - -
- 2 55,000.00 (2)
- - - -
- - - -
- - - -
- - - -
- 1 93,170.00 (1)
- - - -
- - - -
- - - - 8
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - - 10
- - - -
- - - -
- 1 24,645.00 (1)
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 1 2,189,000.00 (1)
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
Page 136
RUSAK / E.D/REALOKASI SISA STOK STOK PERMIN PEMBERIAN
11 12=(7-8-10) 13 14 15 16 17 18
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - - 2
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
Page 137
RUSAK / E.D/REALOKASI SISA STOK STOK PERMIN PEMBERIAN
11 12=(7-8-10) 13 14 15 16 17 18
- - - -
- - - - 1
- - - -
- - - -
- - - -
- - - -
- - - -
- 1 203,046.00 (1)
REAGEN CAIR 3,387,361.00
Yang Menerima
Petugas Puskesmas
Page 138
RUSAK / E.D/REALOKASI SISA STOK STOK PERMIN PEMBERIAN
11 12=(7-8-10) 13 14 15 16 17 18
Page 139
RUSAK / E.D/REALOKASI SISA STOK STOK PERMIN PEMBERIAN
11 12=(7-8-10) 13 14 15 16 17 18
REAGEN
#REF!
- #REF!
Yang Menerima
Petugas Puskesmas
Page 140
PEMAKAIAN SUB
PUSKESMAS
PEMAKAIAN
PERSEDIA
NO NAMA OBAT SATUAN AN POSYA P.LANSIA/
GUDANG NDU PP LAB PONED
PUSLING
I. OBAT
A BAHAN KIMIA CAIR
ABX M Noclair Horiba botol -
ABX Mni Clean Horiba botol -
ABX Mni Lyse LMG Horiba botol -
ABX Mni Oil LMG Horiba botol -
ACS level I (control serum) botol -
Aquadest steril botol 500 ml -
B30 Control Hematology Analyzer Mindray botol -
Biolarvasida untuk pengendalian jentik nyamuk botol 30 ml -
Blood Analisir Clianac Detergen (Nihon kohden) botol -
Blood Analisir Clianac Detergen (norma clean NK) botol -
Blood Analisir Hemolinac 3N Lysing (nihon kohden) botol -
Blood Analisir Hemolinac 3N Lysing (norma lyse NK) botol -
Blood Analisir Isotonac 3 Diluent (nihon kohden) botol -
Blood Analisir Isotonac 3 Diluent (norma diluent NK) botol -
Carbol gentian violet botol -
Cetride 5 Liter galon -
Chlodine 0,5 % handrub btl 5 L -
Clorheksidin 2,5 % botol -
Control hematologi (norma) set -
Cynoff 25 UL galon -
Etanol 70 % 1 Liter botol 2
Etanol 70 % 100 ml botol -
Gliserol 98% jerigen/5 L -
Klorin botol -
Kontrol darah agappe botol -
kontrol norma high botol -
Kontrol norma low botol -
Kontrol norma normal botol -
Larutan Alkohol 95 % botol -
Larutan Alkohol 96 % jerigen/20 L -
Larutan Alkohol 96 % botol -
Larutan alkohol aseton botol -
Larutan amonium oksalat botol -
Larutan Anisol botol -
Larutan antiseptik (Aseptan) botol -
PEMAKAIAN
PERSEDIA
NO NAMA OBAT SATUAN AN POSYA P.LANSIA/
GUDANG NDU PP LAB PONED
PUSLING
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
2 2 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
PEMAKAIAN STOK AKHIR
DALUARS STOK AKHIR
STOK OF KUMULATIF REGISTER
POSKES A/ POSY P.LANSIA/ POSKES PEMAKAIAN
APOTEK PP LAB PONED APOTEK NAME (SR)
DES RELOKAS ANDU PUSLING DES
GUDANG
I
0 -
1 0 1
1 0 1
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
1 0 1
0 -
2 0 2
0 -
0 -
0 -
0 -
1 0 1
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
1 0 1
0 -
0 -
0 -
0 -
PEMAKAIAN STOK AKHIR
DALUARS STOK AKHIR
STOK OF KUMULATIF REGISTER
POSKES A/ POSY P.LANSIA/ POSKES PEMAKAIAN
APOTEK PP LAB PONED APOTEK NAME (SR)
DES RELOKAS ANDU PUSLING DES
GUDANG
I
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
1 0 1
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
PEMAKAIAN STOK AKHIR
DALUARS STOK AKHIR
STOK OF KUMULATIF REGISTER
POSKES A/ POSY P.LANSIA/ POSKES PEMAKAIAN
APOTEK PP LAB PONED APOTEK NAME (SR)
DES RELOKAS ANDU PUSLING DES
GUDANG
I
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
PEMAKAIAN STOK AKHIR
DALUARS STOK AKHIR
STOK OF KUMULATIF REGISTER
POSKES A/ POSY P.LANSIA/ POSKES PEMAKAIAN
APOTEK PP LAB PONED APOTEK NAME (SR)
DES RELOKAS ANDU PUSLING DES
GUDANG
I
0 -
0 -
0 -
0 -
1 0 1
8
0 2 2
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
STOK AKHIR SELISIH
KET
FISIK (SF) (SR - SF)
0 -
1 -
1 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
1 -
0 -
2 -
0 -
0 -
0 -
0 -
1 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
1 -
0 -
0 -
0 -
0 -
STOK AKHIR SELISIH
KET
FISIK (SF) (SR - SF)
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
1 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
STOK AKHIR SELISIH
KET
FISIK (SF) (SR - SF)
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
STOK AKHIR SELISIH
KET
FISIK (SF) (SR - SF)
0 -
0 -
0 -
0 -
1 -