PEMERINTAH KABUPATEN KOLAKA DAFTAR PERSEDIAAN (STOK OPNAME) APOTEK RAWAT INAP

BLUD RS. BENYAMIN GULUH KAB. KOLAKA PERIODE 31 DESEMBER 2020

OBAT UMUM

Jumlah Unit (Satuan) Jumlah ( Rupiah )

NO JENIS PERSEDIAAN Saldo Awal Mutasi TA 2020 Saldo akhir HARGA Saldo Awal Mutasi TA 2020 Saldo akhir Kondisi
30-11-2020 Penambahan Pengurangan 31-12-2020 (Rp) 30-11-2020 Penambahan Pengurangan 31-12-2020
1 2 3 4 5 6=3+4 - 5 H.Satuan 7 8 9 10=7+ 8 - 9 11
1 Alloris (loratadine) Tab @ 100 (BSP) - 4,323.00 - - - -
2 AMOXSAN FORTE Dry Sirup - 30,921.00 - - - -
3 AMOXSAN FORTE Dry Sirup - 31,705.00 - - - -
4 Amosan (Amoxicillin) 500 mg Kaps (BSP) - 3,322.00 - - - -
5 Amosan (Amoxicillin) 500 mg Kaps - 3,301.00 - - - -
6 Amosan (Amoxicillin) 500 mg Kaps - 3,109.00 - - - -
7 Anadium (Diosmin & Hesperidin) Kapl @ 30 (KF) - 7,260.00 - - - -
8 Anadium (Diosmin & Hesperidin) Kapl @ 30 (PV) - 6,940.00 - - - -
9 Anadium (Diosmin & Hesperidin) Kapl @ 30 (PV) - 7,480.00 - - - -
10 Analsik (Metampiron & Diazepam)Kapl@100 - 1,111.00 - - - -
11 Analsik (Metampiron & Diazepam)Kapl@100 - 1,243.00 - - - -
12 Analsik (Metampiron & Diazepam)Kapl@100 - 1,595.00 - - - -
13 Analsik (Metampiron & Diazepam)Kapl@100 703 155 548 1,677.50 1,179,282.50 - 260,012.50 919,270.00
14 Cefat (Cefadroxil) 500 mg Kaps @ 100 - 10,615.00 - - - -
15 Cefat (Cefadroxil) 500 mg Kaps @ 100 - 10,347.00 - - - -
16 Cefat 125 mg Dry Syr 60 ml (MTKR) - 43,670.00 - - - -
17 Cefat Forte Dry Syr 60 ml (MTKR) - 71,500.00 - - - -
18 Cefat Forte Dry Syr 60 ml (MTKR) - 72,073.00 - - - -
19 Cefat Forte Dry Syr 60 ml (BSP) - 74,714.00 - - - -
Cition (Citicoline Sodium)250mg/2ml Inj Amp@5 (TSJ) 32 - 32 22,000.00 - 704,000.00
20 704,000.00 -
21 Cition 500 mg (Citicoline) @ 30 (TSJ) - 9,817.50 - - - -
22 Cition 500 mg (Citicoline) @ 30 (TSJ) - 9,240.00 - - - -
23 Cition 1000 mg (Citicoline) @ 30 - 16,500.00 - - - -
24 Cition 1000 mg (Citicoline) @ 30 - 14,025.00 - - - -
25 Cition 1000 mg (Citicoline) @ 30 20 - 20 13,200.00 264,000.00 - - 264,000.00
26 Comvit-C Kapsul @100 (NOVA/BIS) 89 3,000 2,498 591 1,210.00 107,690.00 3,630,000.00 3,022,580.00 715,110.00
27 Cupanol (Paracetamol) Syr @ Btl 60 ml - 19,800.00 - - - -
28 Curcuma 200 mg Tab @ 100 - 952.00 - - - -
29 Curcuma 200 mg Tab @ 100 - 797.00 - - - -
30 Curviplex Syrup @ 60 ml (Graha/IGM) - 6,419.60 - - - -
31 Curvit Syrup - 24,200.00 - - - -
32 Crome (Carbazochrome) Inj 10 ml @ 10 Amp - 22,000.00 - - - -
33 Danalgin Tab - 1,155.00 - - - -
34 Daryantulle @ 10 - 16,500.00 - - - -
35 Depakene Syrup - 164,535.00 - - - -
36 Depakote 250 mg Tab - 6,711.00 - - - -
37 Dextamine Tablet @ 300 - 1,606.00 - - - -
38 Dextamine Tablet @ 300 - 1,740.00 - - - -
39 Dextamine Syrup - 30,204.00 - - - -
40 Dextamine Syrup - 27,183.00 - - - -
41 Desolex Lotion - 23,292.00 - - - -
42 Desolex Lotion - 23,832.00 - - - -
43 Detrovel 10 mg Tab - 1,760.00 - - - -
44 Detrovel 10 mg Tab - 1,964.00 - - - -
45 Dhavit Syrup @ BTL 60 ml (PV) - 30,250.00 - - - -
46 Dhavit Syrup @ BTL 60 ml(KF) - 27,500.00 - - - -
47 Digest (Lansoprazole) - 4,400.00 - - - -
48 Disolf 490 mg @ 30 - 6,792.00 - - - -
49 Disolf 490 mg @ 30 - 7,700.00 - - - -
50 Epexol (Ambroxol) 30mg Tab @100 (BSP) 400 - 400 821.70 328,680.00 - - 328,680.00
51 Folamil kapl @ 100 - 1,045.00 - - - -
52 Folamil kapl @ 100 100 - 100 1,485.00 148,500.00 - - 148,500.00
53 Folamil Genio Soft Cap @ 30 - 3,658.00 - - - -
54 FOLDA Kaplet @ 30 - 3,850.00 - - - -
55 Forbetes 850 (Metformin HCl) Tab @ 100 - 1,001.00 - - - -
56 Forbetes 850 (Metformin HCl) Tab @ 100 - 1,072.00 - - - -
57 Forbetes 500 (Metformin HCl) Tab @ 100 - 1,018.00 - - - -
58 Forbetes 500 (Metformin HCl) Tab @ 100 - 1,017.50 - - - -
59 Gradilex 2 mg (Loperamid) - 170.676 - - - -
60 Grafacef 500 mg (Cefadroxil) - 1,084.05 - - - -
61 Grahabion 10 mg - 684.717 - - - -
62 Grafed Tab @ 30 - 1,375.00 - - - -
63 Gralysin Syrup @ 60 ml (Graha/IGD) - 11,028.59 - - - -
64 Gralixa 40 mg (Furosemid) - 206.261 - - - -
65 Grameta 10 mg (Domperidon) 172 - 172 240.196 41,313.71 - - 41,313.71
66 Grameta 5 mg (Domperidon) Syrup 7 1 6 4,140.00 28,980.00 - 4,140.00 24,840.00
67 Graseric 150 mg 637 337 300 316.99 201,922.63 - 106,825.63 95,097.00
68 Graseric 150 mg - 317.00 - - - -
69 GRATAMIN Tab @ 50 - 1,210.00 - - - -
70 Gratheos 50 mg (Natrium Diklofenak) - 310.926 - - - -
71 Gratheos 50 mg (Natrium Diklofenak) 170 - 170 200.991 34,168.47 - - 34,168.47
72 Gratigo 5 mg @ 50 - 3,960.00 - - - -
73 Gravask 5 mg (Amlodipine) - 333.995 - - - -
74 Gravask 5 mg (Amlodipine) 187 - 187 549.449 102,746.96 - - 102,746.96
75 Gravask 10 mg (Amlodipine) 247 - 247 600.013 148,203.21 - - 148,203.21
76 Lipro-Q @ 30 - 7,040.00 - - - -
77 Megabal 500 mg @ 100 - 1,694.00 - - - -
78 Melogra 7.5 mg (Graha) 91 91 - 540.00 49,140.00 - 49,140.00 - EXP DESEMBER

79 Melogra 7.5 mg (Graha) 59 59 - 539.990 31,859.41 - 31,859.41 - EXP DESEMBER

80 Melogra 15 mg (Graha) - 634.00 - - - -

81 Melogra 15 mg (Graha) 381 - 381 633.60 241,401.60 - - 241,401.60
82 Neurosanbe Tablet @ 100 (BSP) - 1,074.15 - - - -
83 Neurosanbe Tablet @ 100 (BSP) - 895.12 - - - -
84 Neurosanbe Plus Tablet @ 100 - 1,072.50 - - - -
85 Neurosanbe Plus Tablet @ 100 - 1,023.00 - - - -
86 Nicarfion 10 mg/10ml Injh Amp @ 5 (TSJ) - 165,000.00 - - - -
87 Nicarfion 10 mg/10ml Injh Amp @ 5 (TSJ) - 123,750.00 - - - -
88 NOBOR (Allylestrenol 5 mg) Tab @ 30 - 3,630.00 - - - -
89 NOBOR (Allylestrenol 5 mg) Tab @ 30 - 3,850.00 - - - -
90 Norages (Metamizole) 500 mg Inj Amp @ 5 - 8,470.00 - - - -
91 Norelut 5 mg @ 50 - 3,960.00 - - - -
92 Norelut 5 mg @ 50 - 4,257.00 - - - -
93 Norfion 4mg/4ml Inj Am,p IV @ 5 (Infion/TSJ) - 88,000.00 - - - -
94 NORSEC 20 mg Cap @ 14 - 12,100.00 - - - -
95 Norpid 10 mg (Simvastatin)(Graha) 180 - 180 331.504 59,670.66 - - 59,670.66
96 Norpid 20 mg (Simvastatin)(Graha) - 661.00 - - - -
97 Norpid 20 mg (Simvastatin)(Graha) 260 10 250 660.95 171,847.00 - 6,609.50 165,237.50
98 Novo Twist 32 G 5 mm @ 100 - 2,310.00 - - - -
99 Orinox 120 (Etoricobix) Tab @ 30 - 10,450.00 - - - -
100 Orinox 120 (Etoricobix) Tab @ 30 - 9,900.00 - - - -
101 Orinox 120 (Etoricobix) Tab @ 30 - - 10,395 - - - -
102 Orinox 90 (Etoricobix) Tab @ 30 19 - 19 7,920 150,480.00 - - 150,480.00
103 Puricemia 300 mg Tab @ 100 125 - 125 2,876.00 359,500.00 - - 359,500.00
104 Qipro-400 Tab @ 30 - 14,300.00 - - - -
105 Rifantibi 450 mg @ 100 (BSP) - 4,400.00 - - - -
106 Rifan-H 150 kapl @ 30 - 2,310.00 - - - -
107 Rifastar 4 FCD Tab @ 30 (IGM) - 5,115.00 - - - -
108 Rhodium Tab @ 30 - 6,050.00 - - - -
109 Ronazole (Metronidazole) Suspensi @ BTL - 39,160.00 - - - -
110 Ronazole (Metronidazole) Suspensi @ BTL - 41,250.00 - - - -
111 Rotaver Tab - 2,420.00 - - - -
112 Rydian 10 mg Tab @ 30 - 4,400.00 - - - -
113 Sanazet 500 mg @ 100 (BSP) - 1,298.00 - - - -
114 Santibi Plus @ 100 (BSP) 58 - 58 676.50 39,237.00 - - 39,237.00
115 Sanfuliq @ 30 Tab - 4,961.00 - - - -
116 Sangotonik Kapsul Emesis @ 30 - 579.20 - - - -
117 SANMAG SUSPENSI 120 ml - 23,650.00 - - - -
118 SANMAG SUSPENSI 120 ml - 24,244.00 - - - -
119 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 62,260.00 - - - -
120 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 59,230.00 - - - -
121 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 24,198.16 - - - -
122 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - - 60,489.00 - - - -
123 Sanmol (Paracetamol) Drops (MTKR) - 15,193.00 - - - -
124 Sanmol (Paracetamol) Drops (BSP) - 15,895.00 - - - -
125 Sanmol (Paracetamol) Drops (BSP) - 15,510.00 - - - -
126 Sanmol (Paracetamol) Drops (BSP) - 12,622.50 - - - -
127 Sanmol (Paracetamol) Drop(MTKR) - 15,895.00 - - - -
128 Sanmol (Paracetamol) Drops (BSP) 18 5 13 15,543.00 279,774.00 - 77,715.00 202,059.00
129 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 11,495.00 - - - -
130 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 11,825.00 - - - -
131 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 9,405.00 - - - -
132 Sanmol (Paracetamol) Syrup @ 60 ml(MTKR) - 11,825.00 - - - -
133 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 11,286.00 - - - -
134 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) 26 8 18 11,583.00 301,158.00 - 92,664.00 208,494.00
135 Sanmol(Paracetamol)500mg Tab @ 100 (BSP) - 275.00 - - - -
136 Sanmol(Paracetamol)500mg Tab @ 100 - 286.00 - - - -
137 Sanmol(Paracetamol)500mg Tab @ 100 (MTKR) - 286.00 - - - -
138 Sanmol(Paracetamol)500mg Tab @ 100 (BSP) - 231.00 - - - -
139 Sanmol(Paracetamol)500mg Tab @ 100 - 277.20 - - - -
140 Sanmol(Paracetamol)500mg Tab @ 100 (BSP) - - 287.10 - - - -
141 Sanmol Forte (Paracetamol) 650 mg @ 100 (BSP) - 341.00 - - - -
142 Sporetik (Cefixime)Dry Syr@BTL 30ml - 80,863.00 - - - -
143 Sporetik (Cefixime)Dry Syr@BTL 30ml (BSP) 5 - 5 82,615.50 413,077.50 - - 413,077.50
144 Sporetik (Cefixime) 100 mg @ 30 - 2,185.00 - - - -
145 Stator 20 mg Tab @ 30 - 15,840.00 - - - -
146 Stilesco 100 mg Tab 30 (PV) - 35,200.00 - - - -
147 Stenirol 4 mg Tab @ 50 - 2,921.00 - - - -
148 Stenirol 4 mg Tab @ 50 - 2,728.00 - - - -
149 Stenirol 8 mg Tab @ 50 - 4,400.00
150 Stenirol 16 mg Tab - 6,270.00
151 Stenirol 125 mg Inj - 77,367.00
152 Stesolid Rectal 10 mg Tube @ 5 - 39,204.00
153 Stesolid Rectal 5 mg Tube @ 5 - 26,136.00
154 Strovit 500 mg Kapsul @50 (IFI) 150 - 150 7,700.00 1,155,000.00
155 TENSINOP 5 (Lisinopril) Tab @ 30 - 2,385.00
156 Termofen 100mg/5ml Suspensi 60ml (Infion/TSJ) 3 - 3 20,625.00
157 Teranol (Ketorolac) 30 mg/ml @ 6(KF) - 35,750.00
158 Teranol (Ketorolac) 30 mg/ml @ 6(PV) - 38,500.00
159 TERANOL 10 mg Tab @ 30 - 5,500.00
160 TERANOL 10 mg Tab @ 30 - 5,072.00
161 Terfacef (Ceftriaxone) 1 g Inj Vial - 215,380.00
162 Terfacef (Ceftriaxone) 1 g Inj Vial - 211,032.00
163 Terfacef (Ceftriaxone) 1 g Inj Vial - 202,988.00
164 Terfacef (Ceftriaxone) 1 g Inj Vial (BSP) 4 - 4 169,785.00
165 Vaclo Tab @ 30 - - 12,375.00
166 Valisanbe 2 mg Tab - 143.00
167 Valisanbe 5 mg Tab - 220.00
168 Vomiper 5mg/5ml Suspensi @60ml (Infion/TSJ) - 24,750.00
169 Vomistop (Domperidone) Syr @ BTL 60 ml - 41,250.00
170 X-CAM 7,5 (Meloxicam) Tab @ 30 - 4,840.00
171 XEPAGEL Cream 75 g - 110,110.00
172 DESolex Lotion - 7,590.00
173 ZIBRAMAX-500 Kapl @ 6 - 31,900.00
174 ZIBRAMAX Sirup - 93,500.00
175 Zincpro - 27,720.00
176 Zibac 1 g - 96,800.00
177 Zidifec (Ceftazidime) 1 g Inj Vial(MTKR) - 247,005.00
178 Zidifec Injeksi Vial - 102,300.60
179 Zircum Kid (Zinc) Syrup @ BTL 60 ml - 26,400.00
Total 7,282,647.66
Bendahara Aset
RS. Benyamin Guluh Kab.Kolaka
FAJAR AHMAD
- - - -
- - - -
- - - -
- - - -
- - - -
- - 1,155,000.00
- - - -
61,875.00 - - 61,875.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
679,140.00 - - 679,140.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
3,630,000.00 3,651,546.04 7,261,101.62
Kolaka,31 Desember 2020
Kepala Instalasi Farmasi
RS. Benyamin Guluh kab. Kolaka
MEGARISMANITA, S.Farm. M.Farm. Apt
Nip. 19810418 200701 1 009 Nip. 19750112 199803 2 002
Mengetahui
Direktur BLUD RS. Benyamin Guluh Kab.Kolaka

dr. H. MUHAMMAD RAFI

Nip. 19670201 200112 1 002
7,261,101.62
A
PEMERINTAH KABUPATEN KOLAKA DAFTAR PERSEDIAAN (STOK OPNAME) APOTEK RAWAT INAP
BLUD RS. BENYAMIN GULUH KAB. KOLAKA PERIODE 31 JANUARI 2021
OBAT UMUM

Jumlah Unit (Satuan) Jumlah ( Rupiah )

NO JENIS PERSEDIAAN Saldo Awal Mutasi TA 2021 Saldo akhir HARGA Saldo Awal Mutasi TA 2021 Saldo akhir Kondisi
31-12-2020 Penambahan Pengurangan 31-01-2021 (Rp) 31-12-2020 Penambahan Pengurangan 31-01-2021
1 2 3 4 5 6=3+4 - 5 H.Satuan 7 8 9 10=7+ 8 - 9 11
1 Alloris (loratadine) Tab @ 100 (BSP) - 4,323.00 - - - -
2 AMOXSAN FORTE Dry Sirup - 30,921.00 - - - -
3 AMOXSAN FORTE Dry Sirup - 31,705.00 - - - -
4 Amosan (Amoxicillin) 500 mg Kaps (BSP) - 3,322.00 - - - -
5 Amosan (Amoxicillin) 500 mg Kaps - 3,301.00 - - - -
6 Amosan (Amoxicillin) 500 mg Kaps - 3,109.00 - - - -
7 Anadium (Diosmin & Hesperidin) Kapl @ 30 (KF) - 7,260.00 - - - -
8 Anadium (Diosmin & Hesperidin) Kapl @ 30 (PV) - 6,940.00 - - - -
9 Anadium (Diosmin & Hesperidin) Kapl @ 30 (PV) - 7,480.00 - - - -
10 Analsik (Metampiron & Diazepam)Kapl@100 - 1,111.00 - - - -
11 Analsik (Metampiron & Diazepam)Kapl@100 - 1,243.00 - - - -
12 Analsik (Metampiron & Diazepam)Kapl@100 - 1,595.00 - - - -
13 Analsik (Metampiron & Diazepam)Kapl@100 548 103 445 1,677.50 919,270.00 - 172,782.50 746,487.50
14 Cefat (Cefadroxil) 500 mg Kaps @ 100 - 10,615.00 - - - -
15 Cefat (Cefadroxil) 500 mg Kaps @ 100 - 10,347.00 - - - -
16 Cefat 125 mg Dry Syr 60 ml (MTKR) - 43,670.00 - - - -
17 Cefat Forte Dry Syr 60 ml (MTKR) - 71,500.00 - - - -
18 Cefat Forte Dry Syr 60 ml (MTKR) - 72,073.00 - - - -
19 Cefat Forte Dry Syr 60 ml (BSP) - 74,714.00 - - - -
Cition (Citicoline Sodium)250mg/2ml Inj Amp@5 (TSJ) 32 - 32 22,000.00 - 704,000.00
20 704,000.00 -
21 Cition 500 mg (Citicoline) @ 30 (TSJ) - 9,817.50 - - - -
22 Cition 500 mg (Citicoline) @ 30 (TSJ) - 9,240.00 - - - -
23 Cition 1000 mg (Citicoline) @ 30 - 16,500.00 - - - -
24 Cition 1000 mg (Citicoline) @ 30 - 14,025.00 - - - -
25 Cition 1000 mg (Citicoline) @ 30 20 - 20 13,200.00 264,000.00 - - 264,000.00
26 Comvit-C Kapsul @100 (NOVA/BIS) 591 500 1,091 1,210.00 715,110.00 605,000.00 1,320,110.00 -
27 Cupanol (Paracetamol) Syr @ Btl 60 ml - 19,800.00 - - - -
28 Curcuma 200 mg Tab @ 100 - 952.00 - - - -
29 Curcuma 200 mg Tab @ 100 - 797.00 - - - -
30 Curviplex Syrup @ 60 ml (Graha/IGM) - 6,419.60 - - - -
31 Curvit Syrup - 24,200.00 - - - -
32 Crome (Carbazochrome) Inj 10 ml @ 10 Amp - 22,000.00 - - - -
33 Danalgin Tab - 1,155.00 - - - -
34 Daryantulle @ 10 - 16,500.00 - - - -
35 Depakene Syrup - 164,535.00 - - - -
36 Depakote 250 mg Tab - 6,711.00 - - - -
37 Dextamine Tablet @ 300 - 1,606.00 - - - -
38 Dextamine Tablet @ 300 - 1,740.00 - - - -
39 Dextamine Syrup - 30,204.00 - - - -
40 Dextamine Syrup - 27,183.00 - - - -
41 Desolex Lotion - 23,292.00 - - - -
42 Desolex Lotion - 23,832.00 - - - -
43 Detrovel 10 mg Tab - 1,760.00 - - - -
44 Detrovel 10 mg Tab - 1,964.00 - - - -
45 Dhavit Syrup @ BTL 60 ml (PV) - 30,250.00 - - - -
46 Dhavit Syrup @ BTL 60 ml(KF) - 27,500.00 - - - -
47 Digest (Lansoprazole) - 4,400.00 - - - -
48 Disolf 490 mg @ 30 - 6,792.00 - - - -
49 Disolf 490 mg @ 30 - 7,700.00 - - - -
50 Epexol (Ambroxol) 30mg Tab @100 (BSP) 400 - 400 821.70 328,680.00 - - 328,680.00
51 Folamil kapl @ 100 - 1,045.00 - - - -
52 Folamil kapl @ 100 100 - 100 1,485.00 148,500.00 - - 148,500.00
53 Folamil Genio Soft Cap @ 30 - 3,658.00 - - - -
54 FOLDA Kaplet @ 30 - 3,850.00 - - - -
55 Forbetes 850 (Metformin HCl) Tab @ 100 - 1,001.00 - - - -
56 Forbetes 850 (Metformin HCl) Tab @ 100 - 1,072.00 - - - -
57 Forbetes 500 (Metformin HCl) Tab @ 100 - 1,018.00 - - - -
58 Forbetes 500 (Metformin HCl) Tab @ 100 - 1,017.50 - - - -
59 Gradilex 2 mg (Loperamid) - 170.676 - - - -
60 Grafacef 500 mg (Cefadroxil) - 1,084.05 - - - -
61 Grahabion 10 mg - 684.717 - - - -
62 Grafed Tab @ 30 - 1,375.00 - - - -
63 Gralysin Syrup @ 60 ml (Graha/IGD) - 11,028.59 - - - -
64 Gralixa 40 mg (Furosemid) - 206.261 - - - -
65 Grameta 10 mg (Domperidon) 172 - 172 240.196 41,313.71 - - 41,313.71
66 Grameta 5 mg (Domperidon) Syrup 6 1 5 4,140.00 24,840.00 - 4,140.00 20,700.00
67 Graseric 150 mg 300 138 162 316.99 95,097.00 - 43,744.62 51,352.38
68 Graseric 150 mg - 317.00 - - - -
69 GRATAMIN Tab @ 50 - 1,210.00 - - - -
70 Gratheos 50 mg (Natrium Diklofenak) - 310.926 - - - -
71 Gratheos 50 mg (Natrium Diklofenak) 170 - 170 200.991 34,168.47 - - 34,168.47
72 Gratigo 5 mg @ 50 - 3,960.00 - - - -
73 Gravask 5 mg (Amlodipine) - 333.995 - - - -
74 Gravask 5 mg (Amlodipine) 187 - 187 549.449 102,746.96 - - 102,746.96
75 Gravask 10 mg (Amlodipine) 247 - 247 600.013 148,203.21 - - 148,203.21
76 Lipro-Q @ 30 - 7,040.00 - - - -
77 Megabal 500 mg @ 100 - 1,694.00 - - - -
78 Melogra 7.5 mg (Graha) - - 540.00 - - - -
79 Melogra 7.5 mg (Graha) - - 539.990 - - - -
80 Melogra 15 mg (Graha) - 634.00 - - - -
81 Melogra 15 mg (Graha) 381 - 381 633.60 241,401.60 - - 241,401.60
82 Neurosanbe Tablet @ 100 (BSP) - 1,074.15 - - - -
83 Neurosanbe Tablet @ 100 (BSP) - 895.12 - - - -
84 Neurosanbe Plus Tablet @ 100 - 1,072.50 - - - -
85 Neurosanbe Plus Tablet @ 100 - 1,023.00 - - - -
86 Nicarfion 10 mg/10ml Injh Amp @ 5 (TSJ) - 165,000.00 - - - -
87 Nicarfion 10 mg/10ml Injh Amp @ 5 (TSJ) - 123,750.00 - - - -
88 NOBOR (Allylestrenol 5 mg) Tab @ 30 - 3,630.00 - - - -
89 NOBOR (Allylestrenol 5 mg) Tab @ 30 - 3,850.00 - - - -
90 Norages (Metamizole) 500 mg Inj Amp @ 5 - 8,470.00 - - - -
91 Norelut 5 mg @ 50 - 3,960.00 - - - -
92 Norelut 5 mg @ 50 - 4,257.00 - - - -
93 Norfion 4mg/4ml Inj Am,p IV @ 5 (Infion/TSJ) - 88,000.00 - - - -
94 NORSEC 20 mg Cap @ 14 - 12,100.00 - - - -
95 Norpid 10 mg (Simvastatin)(Graha) 180 - 180 331.504 59,670.66 - - 59,670.66
96 Norpid 20 mg (Simvastatin)(Graha) - 661.00 - - - -
97 Norpid 20 mg (Simvastatin)(Graha) 250 - 250 660.95 165,237.50 - - 165,237.50
98 Novo Twist 32 G 5 mm @ 100 - 2,310.00 - - - -
99 Orinox 120 (Etoricobix) Tab @ 30 - 10,450.00 - - - -
100 Orinox 120 (Etoricobix) Tab @ 30 - 9,900.00 - - - -
101 Orinox 120 (Etoricobix) Tab @ 30 - 10,395 - - - -
102 Orinox 90 (Etoricobix) Tab @ 30 19 - 19 7,920 150,480.00 - - 150,480.00
103 Puricemia 300 mg Tab @ 100 125 125 - 2,876.00 359,500.00 - 359,500.00 - exp januari
104 Qipro-400 Tab @ 30 - 14,300.00 - - - -
105 Rifantibi 450 mg @ 100 (BSP) - 4,400.00 - - - -
106 Rifan-H 150 kapl @ 30 - 2,310.00 - - - -
107 Rifastar 4 FCD Tab @ 30 (IGM) - 5,115.00 - - - -
108 Rhodium Tab @ 30 - 6,050.00 - - - -
109 Ronazole (Metronidazole) Suspensi @ BTL - 39,160.00 - - - -
110 Ronazole (Metronidazole) Suspensi @ BTL - 41,250.00 - - - -
111 Rotaver Tab - 2,420.00 - - - -
112 Rydian 10 mg Tab @ 30 - 4,400.00 - - - -
113 Sanazet 500 mg @ 100 (BSP) - 1,298.00 - - - -
114 Santibi Plus @ 100 (BSP) 58 - 58 676.50 39,237.00 - - 39,237.00
115 Sanfuliq @ 30 Tab - 4,961.00 - - - -
116 Sangotonik Kapsul Emesis @ 30 - 579.20 - - - -
117 SANMAG SUSPENSI 120 ml - 23,650.00 - - - -
118 SANMAG SUSPENSI 120 ml - 24,244.00 - - - -
119 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 62,260.00 - - - -
120 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 59,230.00 - - - -
121 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 24,198.16 - - - -
122 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 60,489.00 - - - -
123 Sanmol (Paracetamol) Drops (MTKR) - 15,193.00 - - - -
124 Sanmol (Paracetamol) Drops (BSP) - 15,895.00 - - - -
125 Sanmol (Paracetamol) Drops (BSP) - 15,510.00 - - - -
126 Sanmol (Paracetamol) Drops (BSP) - 12,622.50 - - - -
127 Sanmol (Paracetamol) Drop(MTKR) - 15,895.00 - - - -
128 Sanmol (Paracetamol) Drops (BSP) 13 5 8 15,543.00 202,059.00 - 77,715.00 124,344.00
129 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 11,495.00 - - - -
130 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 11,825.00 - - - -
131 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 9,405.00 - - - -
132 Sanmol (Paracetamol) Syrup @ 60 ml(MTKR) - 11,825.00 - - - -
133 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 11,286.00 - - - -
134 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) 18 7 11 11,583.00 208,494.00 - 81,081.00 127,413.00
135 Sanmol(Paracetamol)500mg Tab @ 100 (BSP) - 275.00 - - - -
136 Sanmol(Paracetamol)500mg Tab @ 100 - 286.00 - - - -
137 Sanmol(Paracetamol)500mg Tab @ 100 (MTKR) - 286.00 - - - -
138 Sanmol(Paracetamol)500mg Tab @ 100 (BSP) - 231.00 - - - -
139 Sanmol(Paracetamol)500mg Tab @ 100 - 277.20 - - - -
140 Sanmol(Paracetamol)500mg Tab @ 100 (BSP) - 287.10 - - - -
141 Sanmol Forte (Paracetamol) 650 mg @ 100 (BSP) - 341.00 - - - -
142 Sporetik (Cefixime)Dry Syr@BTL 30ml - 80,863.00 - - - -
143 Sporetik (Cefixime)Dry Syr@BTL 30ml (BSP) 5 5 - 82,615.50 413,077.50 - 413,077.50 -
144 Sporetik (Cefixime) 100 mg @ 30 - 2,185.00 - - - -
145 Stator 20 mg Tab @ 30 - 15,840.00 - - - -
146 Stilesco 100 mg Tab 30 (PV) - 35,200.00 - - - -
147 Stenirol 4 mg Tab @ 50 - 2,921.00 - - - -
148 Stenirol 4 mg Tab @ 50 - 2,728.00 - - - -
149 Stenirol 8 mg Tab @ 50 - 4,400.00 - - - -
150 Stenirol 16 mg Tab - 6,270.00 - - - -
151 Stenirol 125 mg Inj - 77,367.00 - - - -
152 Stesolid Rectal 10 mg Tube @ 5 - 39,204.00 - - - -
153 Stesolid Rectal 5 mg Tube @ 5 - 26,136.00 - - - -
154 Strovit 500 mg Kapsul @50 (IFI) 150 - 150 7,700.00 1,155,000.00 - - 1,155,000.00
155 TENSINOP 5 (Lisinopril) Tab @ 30 - 2,385.00 - - - -
156 Termofen 100mg/5ml Suspensi 60ml (Infion/TSJ) 3 1 2 20,625.00 61,875.00 - 20,625.00 41,250.00
157 Teranol (Ketorolac) 30 mg/ml @ 6(KF) - 35,750.00 - - - -
158 Teranol (Ketorolac) 30 mg/ml @ 6(PV) - 38,500.00 - - - -
159 TERANOL 10 mg Tab @ 30 - 5,500.00 - - - -
160 TERANOL 10 mg Tab @ 30 - 5,072.00 - - - -
161 Terfacef (Ceftriaxone) 1 g Inj Vial - 215,380.00 - - - -
162 Terfacef (Ceftriaxone) 1 g Inj Vial - 211,032.00 - - - -
163 Terfacef (Ceftriaxone) 1 g Inj Vial - 202,988.00 - - - -
164 Terfacef (Ceftriaxone) 1 g Inj Vial (BSP) 4 - 4 169,785.00 679,140.00 - - 679,140.00
165 Vaclo Tab @ 30 - 12,375.00 - - - -
166 Valisanbe 2 mg Tab - 143.00 - - - -
167 Valisanbe 5 mg Tab - 220.00 - - - -
168 Vomiper 5mg/5ml Suspensi @60ml (Infion/TSJ) - 24,750.00 - - - -
169 Vomistop (Domperidone) Syr @ BTL 60 ml - 41,250.00 - - - -
170 X-CAM 7,5 (Meloxicam) Tab @ 30 - 4,840.00 - - - -
171 XEPAGEL Cream 75 g - 110,110.00 - - - -
172 DESolex Lotion - 7,590.00 - - - -
173 ZIBRAMAX-500 Kapl @ 6 - 31,900.00 - - - -
174 ZIBRAMAX Sirup - 93,500.00 - - - -
175 Zincpro - 27,720.00 - - - -
176 Zibac 1 g - 96,800.00 - - - -
177 Zidifec (Ceftazidime) 1 g Inj Vial(MTKR) - 247,005.00 - - - -
178 Zidifec Injeksi Vial - 102,300.60 - - - -
179 Zircum Kid (Zinc) Syrup @ BTL 60 ml - 26,400.00 - - - -
Total 7,261,101.62 605,000.00 2,492,775.62 5,373,326.00

Kolaka,31 Januari 2021

Bendahara Aset Kepala Instalasi Farmasi
RS. Benyamin Guluh Kab.Kolaka RS. Benyamin Guluh kab. Kolaka

FAJAR AHMAD MEGARISMANITA, S.Farm. M.Farm. Apt

Nip. 19810418 200701 1 009 Nip. 19750112 199803 2 002
Mengetahui
Direktur BLUD RS. Benyamin Guluh Kab.Kolaka

dr. H. MUHAMMAD RAFI

Nip. 19670201 200112 1 002
5,373,326.00
A
PEMERINTAH KABUPATEN KOLAKA DAFTAR PERSEDIAAN (STOK OPNAME) APOTEK RAWAT INAP
BLUD RS. BENYAMIN GULUH KAB. KOLAKA PERIODE 28 FEBRUARI 2021
OBAT UMUM

Jumlah Unit (Satuan) Jumlah ( Rupiah )

NO JENIS PERSEDIAAN Saldo Awal Mutasi TA 2021 Saldo akhir HARGA Saldo Awal Mutasi TA 2021 Saldo akhir Kondisi
31-01-2021 Penambahan Pengurangan 28-Feb-21 (Rp) 31-01-2021 Penambahan Pengurangan 28-Feb-21
1 2 3 4 5 6=3+4 - 5 H.Satuan 7 8 9 10=7+ 8 - 9 11
1 Alloris (loratadine) Tab @ 100 (BSP) - 4,323.00 - - - -
2 AMOXSAN FORTE Dry Sirup - 30,921.00 - - - -
3 AMOXSAN FORTE Dry Sirup - 31,705.00 - - - -
4 Amosan (Amoxicillin) 500 mg Kaps (BSP) - 3,322.00 - - - -
5 Amosan (Amoxicillin) 500 mg Kaps - 3,301.00 - - - -
6 Amosan (Amoxicillin) 500 mg Kaps - 3,109.00 - - - -
7 Anadium (Diosmin & Hesperidin) Kapl @ 30 (KF) - 7,260.00 - - - -
8 Anadium (Diosmin & Hesperidin) Kapl @ 30 (PV) - 6,940.00 - - - -
9 Anadium (Diosmin & Hesperidin) Kapl @ 30 (PV) - 7,480.00 - - - -
10 Analsik (Metampiron & Diazepam)Kapl@100 - 1,111.00 - - - -
11 Analsik (Metampiron & Diazepam)Kapl@100 - 1,243.00 - - - -
12 Analsik (Metampiron & Diazepam)Kapl@100 - 1,595.00 - - - -
13 Analsik (Metampiron & Diazepam)Kapl@100 445 124 321 1,677.50 746,487.50 - 208,010.00 538,477.50
14 Cefat (Cefadroxil) 500 mg Kaps @ 100 - 10,615.00 - - - -
15 Cefat (Cefadroxil) 500 mg Kaps @ 100 - 10,347.00 - - - -
16 Cefat 125 mg Dry Syr 60 ml (MTKR) - 43,670.00 - - - -
17 Cefat Forte Dry Syr 60 ml (MTKR) - 71,500.00 - - - -
18 Cefat Forte Dry Syr 60 ml (MTKR) - 72,073.00 - - - -
19 Cefat Forte Dry Syr 60 ml (BSP) - 74,714.00 - - - -
Cition (Citicoline Sodium)250mg/2ml Inj Amp@5 (TSJ) 32 100 71 61 22,000.00 1,562,000.00 1,342,000.00
20 704,000.00 2,200,000.00
21 Cition 500 mg (Citicoline) @ 30 (TSJ) - 9,817.50 - - - -
22 Cition 500 mg (Citicoline) @ 30 (TSJ) - 9,240.00 - - - -
23 Cition 1000 mg (Citicoline) @ 30 - 16,500.00 - - - -
24 Cition 1000 mg (Citicoline) @ 30 - 14,025.00 - - - -
25 Cition 1000 mg (Citicoline) @ 30 20 - 20 13,200.00 264,000.00 - - 264,000.00
26 Comvit-C Kapsul @100 (NOVA/BIS) - 1,210.00 - - - -
27 Cupanol (Paracetamol) Syr @ Btl 60 ml - 19,800.00 - - - -
28 Curcuma 200 mg Tab @ 100 - 952.00 - - - -
29 Curcuma 200 mg Tab @ 100 - 797.00 - - - -
30 Curviplex Syrup @ 60 ml (Graha/IGM) - 6,419.60 - - - -
31 Curvit Syrup - 24,200.00 - - - -
32 Crome (Carbazochrome) Inj 10 ml @ 10 Amp - 22,000.00 - - - -
33 Danalgin Tab - 1,155.00 - - - -
34 Daryantulle @ 10 - 16,500.00 - - - -
35 Depakene Syrup - 164,535.00 - - - -
36 Depakote 250 mg Tab - 6,711.00 - - - -
37 Dextamine Tablet @ 300 - 1,606.00 - - - -
38 Dextamine Tablet @ 300 - 1,740.00 - - - -
39 Dextamine Syrup - 30,204.00 - - - -
40 Dextamine Syrup - 27,183.00 - - - -
41 Desolex Lotion - 23,292.00 - - - -
42 Desolex Lotion - 23,832.00 - - - -
43 Detrovel 10 mg Tab - 1,760.00 - - - -
44 Detrovel 10 mg Tab - 1,964.00 - - - -
45 Dhavit Syrup @ BTL 60 ml (PV) - 30,250.00 - - - -
46 Dhavit Syrup @ BTL 60 ml(KF) - 27,500.00 - - - -
47 Digest (Lansoprazole) - 4,400.00 - - - -
48 Disolf 490 mg @ 30 - 6,792.00 - - - -
49 Disolf 490 mg @ 30 - 7,700.00 - - - -
50 Epexol (Ambroxol) 30mg Tab @100 (BSP) 400 10 390 821.70 328,680.00 - 8,217.00 320,463.00
51 Folamil kapl @ 100 - 1,045.00 - - - -
52 Folamil kapl @ 100 100 - 100 1,485.00 148,500.00 - - 148,500.00
53 Folamil Genio Soft Cap @ 30 - 3,658.00 - - - -
54 FOLDA Kaplet @ 30 - 3,850.00 - - - -
55 Forbetes 850 (Metformin HCl) Tab @ 100 - 1,001.00 - - - -
56 Forbetes 850 (Metformin HCl) Tab @ 100 - 1,072.00 - - - -
57 Forbetes 500 (Metformin HCl) Tab @ 100 - 1,018.00 - - - -
58 Forbetes 500 (Metformin HCl) Tab @ 100 - 1,017.50 - - - -
59 Gradilex 2 mg (Loperamid) - 170.676 - - - -
60 Grafacef 500 mg (Cefadroxil) - 1,084.05 - - - -
61 Grahabion 10 mg - 684.717 - - - -
62 Grafed Tab @ 30 - 1,375.00 - - - -
63 Gralysin Syrup @ 60 ml (Graha/IGD) - 11,028.59 - - - -
64 Gralixa 40 mg (Furosemid) - 206.261 - - - -
65 Grameta 10 mg (Domperidon) 172 - 172 240.196 41,313.71 - - 41,313.71
66 Grameta 5 mg (Domperidon) Syrup 5 - 5 4,140.00 20,700.00 - - 20,700.00
67 Graseric 150 mg 162 162 - 316.99 51,352.38 - 51,352.38 -
68 Graseric 150 mg - 317.00 - - - -
69 GRATAMIN Tab @ 50 - 1,210.00 - - - -
70 Gratheos 50 mg (Natrium Diklofenak) - 310.926 - - - -
71 Gratheos 50 mg (Natrium Diklofenak) 170 10 160 200.991 34,168.47 - 2,009.91 32,158.56
72 Gratigo 5 mg @ 50 - 3,960.00 - - - -
73 Gravask 5 mg (Amlodipine) - 333.995 - - - -
74 Gravask 5 mg (Amlodipine) 187 - 187 549.449 102,746.96 - - 102,746.96
75 Gravask 10 mg (Amlodipine) 247 - 247 600.013 148,203.21 - - 148,203.21
76 Lipro-Q @ 30 - 7,040.00 - - - -
77 Megabal 500 mg @ 100 - 1,694.00 - - - -
78 Melogra 7.5 mg (Graha) - 540.00 - - - -
79 Melogra 7.5 mg (Graha) - 539.990 - - - -
80 Melogra 15 mg (Graha) - 634.00 - - - -
81 Melogra 15 mg (Graha) 381 360 21 633.60 241,401.60 - 228,096.00 13,305.60 360 tab ke rajal

82 Neurosanbe Tablet @ 100 (BSP) - 1,074.15 - - - -

83 Neurosanbe Tablet @ 100 (BSP) - 895.12 - - - -
84 Neurosanbe Plus Tablet @ 100 - 1,072.50 - - - -
85 Neurosanbe Plus Tablet @ 100 - 1,023.00 - - - -
86 Nicarfion 10 mg/10ml Injh Amp @ 5 (TSJ) - 165,000.00 - - - -
87 Nicarfion 10 mg/10ml Injh Amp @ 5 (TSJ) - 123,750.00 - - - -
88 NOBOR (Allylestrenol 5 mg) Tab @ 30 - 3,630.00 - - - -
89 NOBOR (Allylestrenol 5 mg) Tab @ 30 - 3,850.00 - - - -
90 Norages (Metamizole) 500 mg Inj Amp @ 5 - 8,470.00 - - - -
91 Norelut 5 mg @ 50 - 3,960.00 - - - -
92 Norelut 5 mg @ 50 - 4,257.00 - - - -
93 Norfion 4mg/4ml Inj Am,p IV @ 5 (Infion/TSJ) - 88,000.00 - - - -
94 NORSEC 20 mg Cap @ 14 - 12,100.00 - - - -
95 Norpid 10 mg (Simvastatin)(Graha) 180 - 180 331.504 59,670.66 - - 59,670.66
96 Norpid 20 mg (Simvastatin)(Graha) - 661.00 - - - -
97 Norpid 20 mg (Simvastatin)(Graha) 250 120 130 660.95 165,237.50 - 79,314.00 85,923.50 120 tab ke rajal

98 Novo Twist 32 G 5 mm @ 100 - 2,310.00 - - - -

99 Orinox 120 (Etoricobix) Tab @ 30 - 10,450.00 - - - -
100 Orinox 120 (Etoricobix) Tab @ 30 - 9,900.00 - - - -
101 Orinox 120 (Etoricobix) Tab @ 30 - 10,395 - - - -
102 Orinox 90 (Etoricobix) Tab @ 30 19 - 19 7,920 150,480.00 - - 150,480.00
103 Puricemia 300 mg Tab @ 100 - - - 2,876.00 - - - -
104 Qipro-400 Tab @ 30 - 14,300.00 - - - -
105 Rifantibi 450 mg @ 100 (BSP) - 4,400.00 - - - -
106 Rifan-H 150 kapl @ 30 - 2,310.00 - - - -
107 Rifastar 4 FCD Tab @ 30 (IGM) - 5,115.00 - - - -
108 Rhodium Tab @ 30 - 6,050.00 - - - -
109 Ronazole (Metronidazole) Suspensi @ BTL - 39,160.00 - - - -
110 Ronazole (Metronidazole) Suspensi @ BTL - 41,250.00 - - - -
111 Rotaver Tab - 2,420.00 - - - -
112 Rydian 10 mg Tab @ 30 - 4,400.00 - - - -
113 Sanazet 500 mg @ 100 (BSP) - 1,298.00 - - - -
114 Santibi Plus @ 100 (BSP) 58 - 58 676.50 39,237.00 - - 39,237.00
115 Sanfuliq @ 30 Tab - 4,961.00 - - - -
116 Sangotonik Kapsul Emesis @ 30 - 579.20 - - - -
117 SANMAG SUSPENSI 120 ml - 23,650.00 - - - -
118 SANMAG SUSPENSI 120 ml - 24,244.00 - - - -
119 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 62,260.00 - - - -
120 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 59,230.00 - - - -
121 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 24,198.16 - - - -
122 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 60,489.00 - - - -
123 Sanmol (Paracetamol) Drops (MTKR) - 15,193.00 - - - -
124 Sanmol (Paracetamol) Drops (BSP) - 15,895.00 - - - -
125 Sanmol (Paracetamol) Drops (BSP) - 15,510.00 - - - -
126 Sanmol (Paracetamol) Drops (BSP) - 12,622.50 - - - -
127 Sanmol (Paracetamol) Drop(MTKR) - 15,895.00 - - - -
128 Sanmol (Paracetamol) Drops (BSP) 8 3 5 15,543.00 124,344.00 - 46,629.00 77,715.00
129 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 11,495.00 - - - -
130 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 11,825.00 - - - -
131 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 9,405.00 - - - -
132 Sanmol (Paracetamol) Syrup @ 60 ml(MTKR) - 11,825.00 - - - -
133 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 11,286.00 - - - -
134 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) 11 8 3 11,583.00 127,413.00 - 92,664.00 34,749.00
135 Sanmol(Paracetamol)500mg Tab @ 100 (BSP) - 275.00 - - - -
136 Sanmol(Paracetamol)500mg Tab @ 100 - 286.00 - - - -
137 Sanmol(Paracetamol)500mg Tab @ 100 (MTKR) - 286.00 - - - -
138 Sanmol(Paracetamol)500mg Tab @ 100 (BSP) - 231.00 - - - -
139 Sanmol(Paracetamol)500mg Tab @ 100 - 277.20 - - - -
140 Sanmol(Paracetamol)500mg Tab @ 100 (BSP) - 287.10 - - - -
141 Sanmol Forte (Paracetamol) 650 mg @ 100 (BSP) - 341.00 - - - -
142 Sporetik (Cefixime)Dry Syr@BTL 30ml - 80,863.00 - - - -
143 Sporetik (Cefixime)Dry Syr@BTL 30ml (BSP) - - - 82,615.50 - - - -
144 Sporetik (Cefixime) 100 mg @ 30 - 2,185.00 - - - -
145 Stator 20 mg Tab @ 30 - 15,840.00 - - - -
146 Stilesco 100 mg Tab 30 (PV) - 35,200.00 - - - -
147 Stenirol 4 mg Tab @ 50 - 2,921.00 - - - -
148 Stenirol 4 mg Tab @ 50 - 2,728.00 - - - -
149 Stenirol 8 mg Tab @ 50 - 4,400.00 - - - -
150 Stenirol 16 mg Tab - 6,270.00 - - - -
151 Stenirol 125 mg Inj - 77,367.00 - - - -
152 Stesolid Rectal 10 mg Tube @ 5 - 39,204.00 - - - -
153 Stesolid Rectal 5 mg Tube @ 5 - 26,136.00 - - - -
154 Strovit 500 mg Kapsul @50 (IFI) 150 - 150 7,700.00 1,155,000.00 - - 1,155,000.00
155 TENSINOP 5 (Lisinopril) Tab @ 30 - 2,385.00 - - - -
156 Termofen 100mg/5ml Suspensi 60ml (Infion/TSJ) 2 1 1 20,625.00 41,250.00 - 20,625.00 20,625.00
157 Teranol (Ketorolac) 30 mg/ml @ 6(KF) - 35,750.00 - - - -
158 Teranol (Ketorolac) 30 mg/ml @ 6(PV) - 38,500.00 - - - -
159 TERANOL 10 mg Tab @ 30 - 5,500.00 - - - -
160 TERANOL 10 mg Tab @ 30 - 5,072.00 - - - -
161 Terfacef (Ceftriaxone) 1 g Inj Vial - 215,380.00 - - - -
162 Terfacef (Ceftriaxone) 1 g Inj Vial - 211,032.00 - - - -
163 Terfacef (Ceftriaxone) 1 g Inj Vial - 202,988.00 - - - -
164 Terfacef (Ceftriaxone) 1 g Inj Vial (BSP) 4 4 - 169,785.00 679,140.00 - 679,140.00 - retur

165 Vaclo Tab @ 30 - 12,375.00 - - - -

166 Valisanbe 2 mg Tab - 143.00 - - - -
167 Valisanbe 5 mg Tab - 220.00 - - - -
168 Vomiper 5mg/5ml Suspensi @60ml (Infion/TSJ) - 24,750.00 - - - -
169 Vomistop (Domperidone) Syr @ BTL 60 ml - 41,250.00 - - - -
170 X-CAM 7,5 (Meloxicam) Tab @ 30 - 4,840.00 - - - -
171 XEPAGEL Cream 75 g - 110,110.00 - - - -
172 DESolex Lotion - 7,590.00 - - - -
173 ZIBRAMAX-500 Kapl @ 6 - 31,900.00 - - - -
174 ZIBRAMAX Sirup - 93,500.00 - - - -
175 Zincpro - 27,720.00 - - - -
176 Zibac 1 g - 96,800.00 - - - -
177 Zidifec (Ceftazidime) 1 g Inj Vial(MTKR) - 247,005.00 - - - -
178 Zidifec Injeksi Vial - 102,300.60 - - - -
179 Zircum Kid (Zinc) Syrup @ BTL 60 ml - 26,400.00 - - - -
Total 5,373,326.00 2,200,000.00 2,978,057.29 4,595,268.71

Kolaka,28 Februari 2021

Bendahara Aset Kepala Instalasi Farmasi
RS. Benyamin Guluh Kab.Kolaka RS. Benyamin Guluh kab. Kolaka

FAJAR AHMAD MEGARISMANITA, S.Farm. M.Farm. Apt

Nip. 19810418 200701 1 009 Nip. 19750112 199803 2 002
Mengetahui
Direktur BLUD RS. Benyamin Guluh Kab.Kolaka

dr. H. MUHAMMAD RAFI

Nip. 19670201 200112 1 002
4,595,268.71
A
PEMERINTAH KABUPATEN KOLAKA DAFTAR PERSEDIAAN (STOK OPNAME) APOTEK RAWAT INAP
BLUD RS. BENYAMIN GULUH KAB. KOLAKA PERIODE 31 MARET 2021
OBAT UMUM

Jumlah Unit (Satuan) Jumlah ( Rupiah )

NO JENIS PERSEDIAAN Saldo Awal Mutasi TA 2021 Saldo akhir HARGA Saldo Awal Mutasi TA 2021 Saldo akhir Kondisi
28-Feb-21 Penambahan Pengurangan 31-Mar-21 (Rp) 28-Feb-21 Penambahan Pengurangan 31-Mar-21
1 2 3 4 5 6=3+4 - 5 H.Satuan 7 8 9 10=7+ 8 - 9 11
1 Alloris (loratadine) Tab @ 100 (BSP) - 4,323.00 - - - -
2 AMOXSAN FORTE Dry Sirup - 30,921.00 - - - -
3 AMOXSAN FORTE Dry Sirup - 31,705.00 - - - -
4 Amosan (Amoxicillin) 500 mg Kaps (BSP) - 3,322.00 - - - -
5 Amosan (Amoxicillin) 500 mg Kaps - 3,301.00 - - - -
6 Amosan (Amoxicillin) 500 mg Kaps - 3,109.00 - - - -
7 Anadium (Diosmin & Hesperidin) Kapl @ 30 (KF) - 7,260.00 - - - -
8 Anadium (Diosmin & Hesperidin) Kapl @ 30 (PV) - 6,940.00 - - - -
9 Anadium (Diosmin & Hesperidin) Kapl @ 30 (PV) - 7,480.00 - - - -
10 Analsik (Metampiron & Diazepam)Kapl@100 - 1,111.00 - - - -
11 Analsik (Metampiron & Diazepam)Kapl@100 - 1,243.00 - - - -
12 Analsik (Metampiron & Diazepam)Kapl@100 - 1,595.00 - - - -
13 Analsik (Metampiron & Diazepam)Kapl@100 321 138 183 1,677.50 538,477.50 - 231,495.00 306,982.50
14 Cefat (Cefadroxil) 500 mg Kaps @ 100 - 10,615.00 - - - -
15 Cefat (Cefadroxil) 500 mg Kaps @ 100 - 10,347.00 - - - -
16 Cefat 125 mg Dry Syr 60 ml (MTKR) - 43,670.00 - - - -
17 Cefat Forte Dry Syr 60 ml (MTKR) - 71,500.00 - - - -
18 Cefat Forte Dry Syr 60 ml (MTKR) - 72,073.00 - - - -
19 Cefat Forte Dry Syr 60 ml (BSP) - 74,714.00 - - - -
Cition (Citicoline Sodium)250mg/2ml Inj Amp@5 (TSJ) 61 61 - 22,000.00 1,342,000.00 -
20 1,342,000.00 -
21 Cition 500 mg (Citicoline) @ 30 (TSJ) - 9,817.50 - - - -
22 Cition 500 mg (Citicoline) @ 30 (TSJ) - 9,240.00 - - - -
23 Cition 1000 mg (Citicoline) @ 30 - 16,500.00 - - - -
24 Cition 1000 mg (Citicoline) @ 30 - 14,025.00 - - - -
25 Cition 1000 mg (Citicoline) @ 30 20 - 20 13,200.00 264,000.00 - - 264,000.00
26 Comvit-C Kapsul @100 (NOVA/BIS) - 1,210.00 - - - -
27 Cupanol (Paracetamol) Syr @ Btl 60 ml - 19,800.00 - - - -
28 Curcuma 200 mg Tab @ 100 - 952.00 - - - -
29 Curcuma 200 mg Tab @ 100 - 797.00 - - - -
30 Curviplex Syrup @ 60 ml (Graha/IGM) - 6,419.60 - - - -
31 Curvit Syrup - 24,200.00 - - - -
32 Crome (Carbazochrome) Inj 10 ml @ 10 Amp - 22,000.00 - - - -
33 Danalgin Tab - 1,155.00 - - - -
34 Daryantulle @ 10 - 16,500.00 - - - -
35 Depakene Syrup - 164,535.00 - - - -
36 Depakote 250 mg Tab - 6,711.00 - - - -
37 Dextamine Tablet @ 300 - 1,606.00 - - - -
38 Dextamine Tablet @ 300 - 1,740.00 - - - -
39 Dextamine Syrup - 30,204.00 - - - -
40 Dextamine Syrup - 27,183.00 - - - -
41 Desolex Lotion - 23,292.00 - - - -
42 Desolex Lotion - 23,832.00 - - - -
43 Detrovel 10 mg Tab - 1,760.00 - - - -
44 Detrovel 10 mg Tab - 1,964.00 - - - -
45 Dhavit Syrup @ BTL 60 ml (PV) - 30,250.00 - - - -
46 Dhavit Syrup @ BTL 60 ml(KF) - 27,500.00 - - - -
47 Digest (Lansoprazole) - 4,400.00 - - - -
48 Disolf 490 mg @ 30 - 6,792.00 - - - -
49 Disolf 490 mg @ 30 - 7,700.00 - - - -
50 Epexol (Ambroxol) 30mg Tab @100 (BSP) 390 - 390 821.70 320,463.00 - - 320,463.00
51 Folamil kapl @ 100 - 1,045.00 - - - -
52 Folamil kapl @ 100 100 - 100 1,485.00 148,500.00 - - 148,500.00
53 Folamil Genio Soft Cap @ 30 - 3,658.00 - - - -
54 FOLDA Kaplet @ 30 - 3,850.00 - - - -
55 Forbetes 850 (Metformin HCl) Tab @ 100 - 1,001.00 - - - -
56 Forbetes 850 (Metformin HCl) Tab @ 100 - 1,072.00 - - - -
57 Forbetes 500 (Metformin HCl) Tab @ 100 - 1,018.00 - - - -
58 Forbetes 500 (Metformin HCl) Tab @ 100 - 1,017.50 - - - -
59 Gradilex 2 mg (Loperamid) - 170.676 - - - -
60 Grafacef 500 mg (Cefadroxil) - 1,084.05 - - - -
61 Grahabion 10 mg - 684.717 - - - -
62 Grafed Tab @ 30 - 1,375.00 - - - -
63 Gralysin Syrup @ 60 ml (Graha/IGD) - 11,028.59 - - - -
64 Gralixa 40 mg (Furosemid) - 206.261 - - - -
65 Grameta 10 mg (Domperidon) 172 - 172 240.196 41,313.71 - - 41,313.71
66 Grameta 5 mg (Domperidon) Syrup 5 2 3 4,140.00 20,700.00 - 8,280.00 12,420.00
67 Graseric 150 mg - - 316.99 - - - -
68 Graseric 150 mg - 317.00 - - - -
69 GRATAMIN Tab @ 50 - 1,210.00 - - - -
70 Gratheos 50 mg (Natrium Diklofenak) - 310.926 - - - -
71 Gratheos 50 mg (Natrium Diklofenak) 160 10 150 200.991 32,158.56 - 2,009.91 30,148.65
72 Gratigo 5 mg @ 50 - 3,960.00 - - - -
73 Gravask 5 mg (Amlodipine) - 333.995 - - - -
74 Gravask 5 mg (Amlodipine) 187 - 187 549.449 102,746.96 - - 102,746.96
75 Gravask 10 mg (Amlodipine) 247 - 247 600.013 148,203.21 - - 148,203.21
76 Lipro-Q @ 30 - 7,040.00 - - - -
77 Megabal 500 mg @ 100 - 1,694.00 - - - -
78 Melogra 7.5 mg (Graha) - 540.00 - - - -
79 Melogra 7.5 mg (Graha) - 539.990 - - - -
80 Melogra 15 mg (Graha) - 634.00 - - - -
81 Melogra 15 mg (Graha) 21 - 21 633.60 13,305.60 - - 13,305.60
82 Neurosanbe Tablet @ 100 (BSP) - 1,074.15 - - - -
83 Neurosanbe Tablet @ 100 (BSP) - 895.12 - - - -
84 Neurosanbe Plus Tablet @ 100 - 1,072.50 - - - -
85 Neurosanbe Plus Tablet @ 100 - 1,023.00 - - - -
86 Nicarfion 10 mg/10ml Injh Amp @ 5 (TSJ) - 165,000.00 - - - -
87 Nicarfion 10 mg/10ml Injh Amp @ 5 (TSJ) - 123,750.00 - - - -
88 NOBOR (Allylestrenol 5 mg) Tab @ 30 - 3,630.00 - - - -
89 NOBOR (Allylestrenol 5 mg) Tab @ 30 - 3,850.00 - - - -
90 Norages (Metamizole) 500 mg Inj Amp @ 5 - 8,470.00 - - - -
91 Norelut 5 mg @ 50 - 3,960.00 - - - -
92 Norelut 5 mg @ 50 - 4,257.00 - - - -
93 Norfion 4mg/4ml Inj Am,p IV @ 5 (Infion/TSJ) - 88,000.00 - - - -
94 NORSEC 20 mg Cap @ 14 - 12,100.00 - - - -
95 Norpid 10 mg (Simvastatin)(Graha) 180 - 180 331.504 59,670.66 - - 59,670.66
96 Norpid 20 mg (Simvastatin)(Graha) - 661.00 - - - -
97 Norpid 20 mg (Simvastatin)(Graha) 130 - 130 660.95 85,923.50 - - 85,923.50
98 Novo Twist 32 G 5 mm @ 100 - 2,310.00 - - - -
99 Orinox 120 (Etoricobix) Tab @ 30 - 10,450.00 - - - -
100 Orinox 120 (Etoricobix) Tab @ 30 - 9,900.00 - - - -
101 Orinox 120 (Etoricobix) Tab @ 30 - 10,395 - - - -
102 Orinox 90 (Etoricobix) Tab @ 30 19 - 19 7,920 150,480.00 - - 150,480.00
103 Puricemia 300 mg Tab @ 100 - - 2,876.00 - - - -
104 Qipro-400 Tab @ 30 - 14,300.00 - - - -
105 Rifantibi 450 mg @ 100 (BSP) - 4,400.00 - - - -
106 Rifan-H 150 kapl @ 30 - 2,310.00 - - - -
107 Rifastar 4 FCD Tab @ 30 (IGM) - 5,115.00 - - - -
108 Rhodium Tab @ 30 - 6,050.00 - - - -
109 Ronazole (Metronidazole) Suspensi @ BTL - 39,160.00 - - - -
110 Ronazole (Metronidazole) Suspensi @ BTL - 41,250.00 - - - -
111 Rotaver Tab - 2,420.00 - - - -
112 Rydian 10 mg Tab @ 30 - 4,400.00 - - - -
113 Sanazet 500 mg @ 100 (BSP) - 1,298.00 - - - -
114 Santibi Plus @ 100 (BSP) 58 - 58 676.50 39,237.00 - - 39,237.00
115 Sanfuliq @ 30 Tab - 4,961.00 - - - -
116 Sangotonik Kapsul Emesis @ 30 - 579.20 - - - -
117 SANMAG SUSPENSI 120 ml - 23,650.00 - - - -
118 SANMAG SUSPENSI 120 ml - 24,244.00 - - - -
119 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 62,260.00 - - - -
120 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 59,230.00 - - - -
121 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 24,198.16 - - - -
122 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 60,489.00 - - - -
123 Sanmol (Paracetamol) Drops (MTKR) - 15,193.00 - - - -
124 Sanmol (Paracetamol) Drops (BSP) - 15,895.00 - - - -
125 Sanmol (Paracetamol) Drops (BSP) - 15,510.00 - - - -
126 Sanmol (Paracetamol) Drops (BSP) - 12,622.50 - - - -
127 Sanmol (Paracetamol) Drop(MTKR) - 15,895.00 - - - -
128 Sanmol (Paracetamol) Drops (BSP) 5 10 4 11 15,543.00 77,715.00 155,430.00 62,172.00 170,973.00
129 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 11,495.00 - - - -
130 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 11,825.00 - - - -
131 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 9,405.00 - - - -
132 Sanmol (Paracetamol) Syrup @ 60 ml(MTKR) - 11,825.00 - - - -
133 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 11,286.00 - - - -
134 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) 3 10 5 8 11,583.00 34,749.00 115,830.00 57,915.00 92,664.00
135 Sanmol(Paracetamol)500mg Tab @ 100 (BSP) - 275.00 - - - -
136 Sanmol(Paracetamol)500mg Tab @ 100 - 286.00 - - - -
137 Sanmol(Paracetamol)500mg Tab @ 100 (MTKR) - 286.00 - - - -
138 Sanmol(Paracetamol)500mg Tab @ 100 (BSP) - 231.00 - - - -
139 Sanmol(Paracetamol)500mg Tab @ 100 - 277.20 - - - -
140 Sanmol(Paracetamol)500mg Tab @ 100 (BSP) - 287.10 - - - -
141 Sanmol Forte (Paracetamol) 650 mg @ 100 (BSP) - 341.00 - - - -
142 Sporetik (Cefixime)Dry Syr@BTL 30ml - 80,863.00 - - - -
143 Sporetik (Cefixime)Dry Syr@BTL 30ml (BSP) - - - 82,615.50 - - - -
144 Sporetik (Cefixime) 100 mg @ 30 - 2,185.00 - - - -
145 Stator 20 mg Tab @ 30 - 15,840.00 - - - -
146 Stilesco 100 mg Tab 30 (PV) - 35,200.00 - - - -
147 Stenirol 4 mg Tab @ 50 - 2,921.00 - - - -
148 Stenirol 4 mg Tab @ 50 - 2,728.00 - - - -
149 Stenirol 8 mg Tab @ 50 - 4,400.00 - - - -
150 Stenirol 16 mg Tab - 6,270.00 - - - -
151 Stenirol 125 mg Inj - 77,367.00 - - - -
152 Stesolid Rectal 10 mg Tube @ 5 - 39,204.00 - - - -
153 Stesolid Rectal 5 mg Tube @ 5 - 26,136.00 - - - -
154 Strovit 500 mg Kapsul @50 (IFI) 150 - 150 7,700.00 1,155,000.00 - - 1,155,000.00
155 TENSINOP 5 (Lisinopril) Tab @ 30 - 2,385.00 - - - -
156 Termofen 100mg/5ml Suspensi 60ml (Infion/TSJ) 1 1 - 20,625.00 20,625.00 - 20,625.00 -
157 Teranol (Ketorolac) 30 mg/ml @ 6(KF) - 35,750.00 - - - -
158 Teranol (Ketorolac) 30 mg/ml @ 6(PV) - 38,500.00 - - - -
159 TERANOL 10 mg Tab @ 30 - 5,500.00 - - - -
160 TERANOL 10 mg Tab @ 30 - 5,072.00 - - - -
161 Terfacef (Ceftriaxone) 1 g Inj Vial - 215,380.00 - - - -
162 Terfacef (Ceftriaxone) 1 g Inj Vial - 211,032.00 - - - -
163 Terfacef (Ceftriaxone) 1 g Inj Vial - 202,988.00 - - - -
164 Terfacef (Ceftriaxone) 1 g Inj Vial (BSP) - - - 169,785.00 - - - -
165 Vaclo Tab @ 30 - 12,375.00 - - - -
166 Valisanbe 2 mg Tab - 143.00 - - - -
167 Valisanbe 5 mg Tab - 220.00 - - - -
168 Vomiper 5mg/5ml Suspensi @60ml (Infion/TSJ) - 24,750.00 - - - -
169 Vomistop (Domperidone) Syr @ BTL 60 ml - 41,250.00 - - - -
170 X-CAM 7,5 (Meloxicam) Tab @ 30 - 4,840.00 - - - -
171 XEPAGEL Cream 75 g - 110,110.00 - - - -
172 DESolex Lotion - 7,590.00 - - - -
173 ZIBRAMAX-500 Kapl @ 6 - 31,900.00 - - - -
174 ZIBRAMAX Sirup - 93,500.00 - - - -
175 Zincpro - 27,720.00 - - - -
176 Zibac 1 g - 96,800.00 - - - -
177 Zidifec (Ceftazidime) 1 g Inj Vial(MTKR) - 247,005.00 - - - -
178 Zidifec Injeksi Vial - 102,300.60 - - - -
179 Zircum Kid (Zinc) Syrup @ BTL 60 ml - 26,400.00 - - - -
Total 4,595,268.71 271,260.00 1,724,496.91 3,142,031.80

Kolaka,31 Maret 2021

Bendahara Aset Kepala Instalasi Farmasi
RS. Benyamin Guluh Kab.Kolaka RS. Benyamin Guluh kab. Kolaka

FAJAR AHMAD MEGARISMANITA, S.Farm. M.Farm. Apt

Nip. 19810418 200701 1 009 Nip. 19750112 199803 2 002
Mengetahui
Direktur BLUD RS. Benyamin Guluh Kab.Kolaka

dr. H. MUHAMMAD RAFI

Nip. 19670201 200112 1 001
3,142,031.80
A
PEMERINTAH KABUPATEN KOLAKA DAFTAR PERSEDIAAN (STOK OPNAME) APOTEK RAWAT INAP
BLUD RS. BENYAMIN GULUH KAB. KOLAKA PERIODE 30 APRIL 2021
OBAT UMUM

Jumlah Unit (Satuan) Jumlah ( Rupiah )

NO JENIS PERSEDIAAN Saldo Awal Mutasi TA 2021 Saldo akhir HARGA Saldo Awal Mutasi TA 2021 Saldo akhir Kondisi
31-Mar-21 Penambahan Pengurangan 30-Apr-21 (Rp) 31-Mar-21 Penambahan Pengurangan 30-Apr-21
1 2 3 4 5 6=3+4 - 5 H.Satuan 7 8 9 10=7+ 8 - 9 11
1 Alloris (loratadine) Tab @ 100 (BSP) - 4,323.00 - - - -
2 AMOXSAN FORTE Dry Sirup - 30,921.00 - - - -
3 AMOXSAN FORTE Dry Sirup - 31,705.00 - - - -
4 Amosan (Amoxicillin) 500 mg Kaps (BSP) - 3,322.00 - - - -
5 Amosan (Amoxicillin) 500 mg Kaps - 3,301.00 - - - -
6 Amosan (Amoxicillin) 500 mg Kaps - 3,109.00 - - - -
7 Anadium (Diosmin & Hesperidin) Kapl @ 30 (KF) - 7,260.00 - - - -
8 Anadium (Diosmin & Hesperidin) Kapl @ 30 (PV) - 6,940.00 - - - -
9 Anadium (Diosmin & Hesperidin) Kapl @ 30 (PV) - 7,480.00 - - - -
10 Analsik (Metampiron & Diazepam)Kapl@100 - 1,111.00 - - - -
11 Analsik (Metampiron & Diazepam)Kapl@100 - 1,243.00 - - - -
12 Analsik (Metampiron & Diazepam)Kapl@100 - 1,595.00 - - - -
13 Analsik (Metampiron & Diazepam)Kapl@100 183 107 76 1,677.50 306,982.50 - 179,492.50 127,490.00
14 Cefat (Cefadroxil) 500 mg Kaps @ 100 - 10,615.00 - - - -
15 Cefat (Cefadroxil) 500 mg Kaps @ 100 - 10,347.00 - - - -
16 Cefat 125 mg Dry Syr 60 ml (MTKR) - 43,670.00 - - - -
17 Cefat Forte Dry Syr 60 ml (MTKR) - 71,500.00 - - - -
18 Cefat Forte Dry Syr 60 ml (MTKR) - 72,073.00 - - - -
19 Cefat Forte Dry Syr 60 ml (BSP) - 74,714.00 - - - -
Cition (Citicoline Sodium)250mg/2ml Inj Amp@5 (TSJ) - - 22,000.00 - -
20 - -
21 Cition 500 mg (Citicoline) @ 30 (TSJ) - 9,817.50 - - - -
22 Cition 500 mg (Citicoline) @ 30 (TSJ) - 9,240.00 - - - -
23 Cition 1000 mg (Citicoline) @ 30 - 16,500.00 - - - -
24 Cition 1000 mg (Citicoline) @ 30 - 14,025.00 - - - -
25 Cition 1000 mg (Citicoline) @ 30 20 - 20 13,200.00 264,000.00 - - 264,000.00
26 Comvit-C Kapsul @100 (NOVA/BIS) - 1,210.00 - - - -
27 Cupanol (Paracetamol) Syr @ Btl 60 ml - 19,800.00 - - - -
28 Curcuma 200 mg Tab @ 100 - 952.00 - - - -
29 Curcuma 200 mg Tab @ 100 - 797.00 - - - -
30 Curviplex Syrup @ 60 ml (Graha/IGM) - 6,419.60 - - - -
31 Curvit Syrup - 24,200.00 - - - -
32 Crome (Carbazochrome) Inj 10 ml @ 10 Amp - 22,000.00 - - - -
33 Danalgin Tab - 1,155.00 - - - -
34 Daryantulle @ 10 - 16,500.00 - - - -
35 Depakene Syrup - 164,535.00 - - - -
36 Depakote 250 mg Tab - 6,711.00 - - - -
37 Dextamine Tablet @ 300 - 1,606.00 - - - -
38 Dextamine Tablet @ 300 - 1,740.00 - - - -
39 Dextamine Syrup - 30,204.00 - - - -
40 Dextamine Syrup - 27,183.00 - - - -
41 Desolex Lotion - 23,292.00 - - - -
42 Desolex Lotion - 23,832.00 - - - -
43 Detrovel 10 mg Tab - 1,760.00 - - - -
44 Detrovel 10 mg Tab - 1,964.00 - - - -
45 Dhavit Syrup @ BTL 60 ml (PV) - 30,250.00 - - - -
46 Dhavit Syrup @ BTL 60 ml(KF) - 27,500.00 - - - -
47 Digest (Lansoprazole) - 4,400.00 - - - -
48 Disolf 490 mg @ 30 - 6,792.00 - - - -
49 Disolf 490 mg @ 30 - 7,700.00 - - - -
50 Epexol (Ambroxol) 30mg Tab @100 (BSP) 390 10 380 821.70 320,463.00 - 8,217.00 312,246.00
51 Folamil kapl @ 100 - 1,045.00 - - - -
52 Folamil kapl @ 100 100 - 100 1,485.00 148,500.00 - - 148,500.00
53 Folamil Genio Soft Cap @ 30 - 3,658.00 - - - -
54 FOLDA Kaplet @ 30 - 3,850.00 - - - -
55 Forbetes 850 (Metformin HCl) Tab @ 100 - 1,001.00 - - - -
56 Forbetes 850 (Metformin HCl) Tab @ 100 - 1,072.00 - - - -
57 Forbetes 500 (Metformin HCl) Tab @ 100 - 1,018.00 - - - -
58 Forbetes 500 (Metformin HCl) Tab @ 100 - 1,017.50 - - - -
59 Gradilex 2 mg (Loperamid) - 170.676 - - - -
60 Grafacef 500 mg (Cefadroxil) - 1,084.05 - - - -
61 Grahabion 10 mg - 684.717 - - - -
62 Grafed Tab @ 30 - 1,375.00 - - - -
63 Gralysin Syrup @ 60 ml (Graha/IGD) - 11,028.59 - - - -
64 Gralixa 40 mg (Furosemid) - 206.261 - - - -
65 Grameta 10 mg (Domperidon) 172 - 172 240.196 41,313.71 - - 41,313.71
66 Grameta 5 mg (Domperidon) Syrup 3 - 3 4,140.00 12,420.00 - - 12,420.00
67 Graseric 150 mg - 316.99 - - - -
68 Graseric 150 mg - 317.00 - - - -
69 GRATAMIN Tab @ 50 - 1,210.00 - - - -
70 Gratheos 50 mg (Natrium Diklofenak) - 310.926 - - - -
71 Gratheos 50 mg (Natrium Diklofenak) 150 - 150 200.991 30,148.65 - - 30,148.65
72 Gratigo 5 mg @ 50 - 3,960.00 - - - -
73 Gravask 5 mg (Amlodipine) - 333.995 - - - -
74 Gravask 5 mg (Amlodipine) 187 - 187 549.449 102,746.96 - - 102,746.96
75 Gravask 10 mg (Amlodipine) 247 - 247 600.013 148,203.21 - - 148,203.21
76 Lipro-Q @ 30 - 7,040.00 - - - -
77 Megabal 500 mg @ 100 - 1,694.00 - - - -
78 Melogra 7.5 mg (Graha) - 540.00 - - - -
79 Melogra 7.5 mg (Graha) - 539.990 - - - -
80 Melogra 15 mg (Graha) - 634.00 - - - -
81 Melogra 15 mg (Graha) 21 - 21 633.60 13,305.60 - - 13,305.60
82 Neurosanbe Tablet @ 100 (BSP) - 1,074.15 - - - -
83 Neurosanbe Tablet @ 100 (BSP) - 895.12 - - - -
84 Neurosanbe Plus Tablet @ 100 - 1,072.50 - - - -
85 Neurosanbe Plus Tablet @ 100 - 1,023.00 - - - -
86 Nicarfion 10 mg/10ml Injh Amp @ 5 (TSJ) - 165,000.00 - - - -
87 Nicarfion 10 mg/10ml Injh Amp @ 5 (TSJ) - 123,750.00 - - - -
88 NOBOR (Allylestrenol 5 mg) Tab @ 30 - 3,630.00 - - - -
89 NOBOR (Allylestrenol 5 mg) Tab @ 30 - 3,850.00 - - - -
90 Norages (Metamizole) 500 mg Inj Amp @ 5 - 8,470.00 - - - -
91 Norelut 5 mg @ 50 - 3,960.00 - - - -
92 Norelut 5 mg @ 50 - 4,257.00 - - - -
93 Norfion 4mg/4ml Inj Am,p IV @ 5 (Infion/TSJ) - 88,000.00 - - - -
94 NORSEC 20 mg Cap @ 14 - 12,100.00 - - - -
95 Norpid 10 mg (Simvastatin)(Graha) 180 - 180 331.504 59,670.66 - - 59,670.66
96 Norpid 20 mg (Simvastatin)(Graha) - 661.00 - - - -
97 Norpid 20 mg (Simvastatin)(Graha) 130 10 120 660.95 85,923.50 - 6,609.50 79,314.00
98 Novo Twist 32 G 5 mm @ 100 - 2,310.00 - - - -
99 Orinox 120 (Etoricobix) Tab @ 30 - 10,450.00 - - - -
100 Orinox 120 (Etoricobix) Tab @ 30 - 9,900.00 - - - -
101 Orinox 120 (Etoricobix) Tab @ 30 - 10,395 - - - -
102 Orinox 90 (Etoricobix) Tab @ 30 19 10 9 7,920 150,480.00 - 79,200.00 71,280.00
103 Puricemia 300 mg Tab @ 100 - 2,876.00 - - - -
104 Qipro-400 Tab @ 30 - 14,300.00 - - - -
105 Rifantibi 450 mg @ 100 (BSP) - 4,400.00 - - - -
106 Rifan-H 150 kapl @ 30 - 2,310.00 - - - -
107 Rifastar 4 FCD Tab @ 30 (IGM) - 5,115.00 - - - -
108 Rhodium Tab @ 30 - 6,050.00 - - - -
109 Ronazole (Metronidazole) Suspensi @ BTL - 39,160.00 - - - -
110 Ronazole (Metronidazole) Suspensi @ BTL - 41,250.00 - - - -
111 Rotaver Tab - 2,420.00 - - - -
112 Rydian 10 mg Tab @ 30 - 4,400.00 - - - -
113 Sanazet 500 mg @ 100 (BSP) - 1,298.00 - - - -
114 Santibi Plus @ 100 (BSP) 58 - 58 676.50 39,237.00 - - 39,237.00
115 Sanfuliq @ 30 Tab - 4,961.00 - - - -
116 Sangotonik Kapsul Emesis @ 30 - 579.20 - - - -
117 SANMAG SUSPENSI 120 ml - 23,650.00 - - - -
118 SANMAG SUSPENSI 120 ml - 24,244.00 - - - -
119 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 62,260.00 - - - -
120 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 59,230.00 - - - -
121 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 24,198.16 - - - -
122 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 60,489.00 - - - -
123 Sanmol (Paracetamol) Drops (MTKR) - 15,193.00 - - - -
124 Sanmol (Paracetamol) Drops (BSP) - 15,895.00 - - - -
125 Sanmol (Paracetamol) Drops (BSP) - 15,510.00 - - - -
126 Sanmol (Paracetamol) Drops (BSP) - 12,622.50 - - - -
127 Sanmol (Paracetamol) Drop(MTKR) - 15,895.00 - - - -
128 Sanmol (Paracetamol) Drops (BSP) 11 6 5 15,543.00 170,973.00 - 93,258.00 77,715.00
129 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 11,495.00 - - - -
130 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 11,825.00 - - - -
131 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 9,405.00 - - - -
132 Sanmol (Paracetamol) Syrup @ 60 ml(MTKR) - 11,825.00 - - - -
133 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 11,286.00 - - - -
134 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) 8 15 8 15 11,583.00 92,664.00 173,745.00 92,664.00 173,745.00
135 Sanmol(Paracetamol)500mg Tab @ 100 (BSP) - 275.00 - - - -
136 Sanmol(Paracetamol)500mg Tab @ 100 - 286.00 - - - -
137 Sanmol(Paracetamol)500mg Tab @ 100 (MTKR) - 286.00 - - - -
138 Sanmol(Paracetamol)500mg Tab @ 100 (BSP) - 231.00 - - - -
139 Sanmol(Paracetamol)500mg Tab @ 100 - 277.20 - - - -
140 Sanmol(Paracetamol)500mg Tab @ 100 (BSP) - 287.10 - - - -
141 Sanmol Forte (Paracetamol) 650 mg @ 100 (BSP) - 341.00 - - - -
142 Sporetik (Cefixime)Dry Syr@BTL 30ml - 80,863.00 - - - -
143 Sporetik (Cefixime)Dry Syr@BTL 30ml (BSP) - - - 82,615.50 - - - -
144 Sporetik (Cefixime) 100 mg @ 30 - 2,185.00 - - - -
145 Stator 20 mg Tab @ 30 - 15,840.00 - - - -
146 Stilesco 100 mg Tab 30 (PV) - 35,200.00 - - - -
147 Stenirol 4 mg Tab @ 50 - 2,921.00 - - - -
148 Stenirol 4 mg Tab @ 50 - 2,728.00 - - - -
149 Stenirol 8 mg Tab @ 50 - 4,400.00 - - - -
150 Stenirol 16 mg Tab - 6,270.00 - - - -
151 Stenirol 125 mg Inj - 77,367.00 - - - -
152 Stesolid Rectal 10 mg Tube @ 5 - 39,204.00 - - - -
153 Stesolid Rectal 5 mg Tube @ 5 - 26,136.00 - - - -
154 Strovit 500 mg Kapsul @50 (IFI) 150 - 150 7,700.00 1,155,000.00 - - 1,155,000.00
155 TENSINOP 5 (Lisinopril) Tab @ 30 - 2,385.00 - - - -
156 Termofen 100mg/5ml Suspensi 60ml (Infion/TSJ) - - - 20,625.00 - - - -
157 Teranol (Ketorolac) 30 mg/ml @ 6(KF) - 35,750.00 - - - -
158 Teranol (Ketorolac) 30 mg/ml @ 6(PV) - 38,500.00 - - - -
159 TERANOL 10 mg Tab @ 30 - 5,500.00 - - - -
160 TERANOL 10 mg Tab @ 30 - 5,072.00 - - - -
161 Terfacef (Ceftriaxone) 1 g Inj Vial - 215,380.00 - - - -
162 Terfacef (Ceftriaxone) 1 g Inj Vial - 211,032.00 - - - -
163 Terfacef (Ceftriaxone) 1 g Inj Vial - 202,988.00 - - - -
164 Terfacef (Ceftriaxone) 1 g Inj Vial (BSP) - - - 169,785.00 - - - -
165 Vaclo Tab @ 30 - 12,375.00 - - - -
166 Valisanbe 2 mg Tab - 143.00 - - - -
167 Valisanbe 5 mg Tab - 220.00 - - - -
168 Vomiper 5mg/5ml Suspensi @60ml (Infion/TSJ) - 24,750.00 - - - -
169 Vomistop (Domperidone) Syr @ BTL 60 ml - 41,250.00 - - - -
170 X-CAM 7,5 (Meloxicam) Tab @ 30 - 4,840.00 - - - -
171 XEPAGEL Cream 75 g - 110,110.00 - - - -
172 DESolex Lotion - 7,590.00 - - - -
173 ZIBRAMAX-500 Kapl @ 6 - 31,900.00 - - - -
174 ZIBRAMAX Sirup - 93,500.00 - - - -
175 Zincpro - 27,720.00 - - - -
176 Zibac 1 g - 96,800.00 - - - -
177 Zidifec (Ceftazidime) 1 g Inj Vial(MTKR) - 247,005.00 - - - -
178 Zidifec Injeksi Vial - 102,300.60 - - - -
179 Zircum Kid (Zinc) Syrup @ BTL 60 ml - 26,400.00 - - - -
Total 3,142,031.80 173,745.00 459,441.00 2,856,335.80

Kolaka,30 April 2021

Bendahara Aset Kepala Instalasi Farmasi
RS. Benyamin Guluh Kab.Kolaka RS. Benyamin Guluh kab. Kolaka

FAJAR AHMAD MEGARISMANITA, S.Farm. M.Farm. Apt

Nip. 19810418 200701 1 009 Nip. 19750112 199803 2 002
Mengetahui
Direktur BLUD RS. Benyamin Guluh Kab.Kolaka

dr. H. MUHAMMAD RAFI

Nip. 19670201 200112 1 001
2,856,335.80
A
PEMERINTAH KABUPATEN KOLAKA DAFTAR PERSEDIAAN (STOK OPNAME) APOTEK RAWAT INAP
BLUD RS. BENYAMIN GULUH KAB. KOLAKA PERIODE 31 MEI 2021
OBAT UMUM

Jumlah Unit (Satuan) Jumlah ( Rupiah )

NO JENIS PERSEDIAAN Saldo Awal Mutasi TA 2021 Saldo akhir HARGA Saldo Awal Mutasi TA 2021 Saldo akhir Kondisi
30-Apr-21 Penambahan Pengurangan 31-May-21 (Rp) 30-Apr-21 Penambahan Pengurangan 31-May-21
1 2 3 4 5 6=3+4 - 5 H.Satuan 7 8 9 10=7+ 8 - 9 11
1 Alloris (loratadine) Tab @ 100 (BSP) - 4,323.00 - - - -
2 AMOXSAN FORTE Dry Sirup - 30,921.00 - - - -
3 AMOXSAN FORTE Dry Sirup - 31,705.00 - - - -
4 Amosan (Amoxicillin) 500 mg Kaps (BSP) - 3,322.00 - - - -
5 Amosan (Amoxicillin) 500 mg Kaps - 3,301.00 - - - -
6 Amosan (Amoxicillin) 500 mg Kaps - 3,109.00 - - - -
7 Anadium (Diosmin & Hesperidin) Kapl @ 30 (KF) - 7,260.00 - - - -
8 Anadium (Diosmin & Hesperidin) Kapl @ 30 (PV) - 6,940.00 - - - -
9 Anadium (Diosmin & Hesperidin) Kapl @ 30 (PV) - 7,480.00 - - - -
10 Analsik (Metampiron & Diazepam)Kapl@100 - 1,111.00 - - - -
11 Analsik (Metampiron & Diazepam)Kapl@100 - 1,243.00 - - - -
12 Analsik (Metampiron & Diazepam)Kapl@100 - 1,595.00 - - - -
13 Analsik (Metampiron & Diazepam)Kapl@100 76 75 1 1,677.50 127,490.00 - 125,812.50 1,677.50
14 Cefat (Cefadroxil) 500 mg Kaps @ 100 - 10,615.00 - - - -
15 Cefat (Cefadroxil) 500 mg Kaps @ 100 - 10,347.00 - - - -
16 Cefat 125 mg Dry Syr 60 ml (MTKR) - 43,670.00 - - - -
17 Cefat Forte Dry Syr 60 ml (MTKR) - 71,500.00 - - - -
18 Cefat Forte Dry Syr 60 ml (MTKR) - 72,073.00 - - - -
19 Cefat Forte Dry Syr 60 ml (BSP) - 74,714.00 - - - -
Cition (Citicoline Sodium)250mg/2ml Inj Amp@5 (TSJ) - 22,000.00 - -
20 - -
21 Cition 500 mg (Citicoline) @ 30 (TSJ) - 9,817.50 - - - -
22 Cition 500 mg (Citicoline) @ 30 (TSJ) - 9,240.00 - - - -
23 Cition 1000 mg (Citicoline) @ 30 - 16,500.00 - - - -
24 Cition 1000 mg (Citicoline) @ 30 - 14,025.00 - - - -
25 Cition 1000 mg (Citicoline) @ 30 20 - 20 13,200.00 264,000.00 - - 264,000.00
26 Comvit-C Kapsul @100 (NOVA/BIS) - 1,210.00 - - - -
27 Cupanol (Paracetamol) Syr @ Btl 60 ml - 19,800.00 - - - -
28 Curcuma 200 mg Tab @ 100 - 952.00 - - - -
29 Curcuma 200 mg Tab @ 100 - 797.00 - - - -
30 Curviplex Syrup @ 60 ml (Graha/IGM) - 6,419.60 - - - -
31 Curvit Syrup - 24,200.00 - - - -
32 Crome (Carbazochrome) Inj 10 ml @ 10 Amp - 22,000.00 - - - -
33 Danalgin Tab - 1,155.00 - - - -
34 Daryantulle @ 10 - 16,500.00 - - - -
35 Depakene Syrup - 164,535.00 - - - -
36 Depakote 250 mg Tab - 6,711.00 - - - -
37 Dextamine Tablet @ 300 - 1,606.00 - - - -
38 Dextamine Tablet @ 300 - 1,740.00 - - - -
39 Dextamine Syrup - 30,204.00 - - - -
40 Dextamine Syrup - 27,183.00 - - - -
41 Desolex Lotion - 23,292.00 - - - -
42 Desolex Lotion - 23,832.00 - - - -
43 Detrovel 10 mg Tab - 1,760.00 - - - -
44 Detrovel 10 mg Tab - 1,964.00 - - - -
45 Dhavit Syrup @ BTL 60 ml (PV) - 30,250.00 - - - -
46 Dhavit Syrup @ BTL 60 ml(KF) - 27,500.00 - - - -
47 Digest (Lansoprazole) - 4,400.00 - - - -
48 Disolf 490 mg @ 30 - 6,792.00 - - - -
49 Disolf 490 mg @ 30 - 7,700.00 - - - -
50 Epexol (Ambroxol) 30mg Tab @100 (BSP) 380 - 380 821.70 312,246.00 - - 312,246.00
51 Folamil kapl @ 100 - 1,045.00 - - - -
52 Folamil kapl @ 100 100 - 100 1,485.00 148,500.00 - - 148,500.00
53 Folamil Genio Soft Cap @ 30 - 3,658.00 - - - -
54 FOLDA Kaplet @ 30 - 3,850.00 - - - -
55 Forbetes 850 (Metformin HCl) Tab @ 100 - 1,001.00 - - - -
56 Forbetes 850 (Metformin HCl) Tab @ 100 - 1,072.00 - - - -
57 Forbetes 500 (Metformin HCl) Tab @ 100 - 1,018.00 - - - -
58 Forbetes 500 (Metformin HCl) Tab @ 100 - 1,017.50 - - - -
59 Gradilex 2 mg (Loperamid) - 170.676 - - - -
60 Grafacef 500 mg (Cefadroxil) - 1,084.05 - - - -
61 Grahabion 10 mg - 684.717 - - - -
62 Grafed Tab @ 30 - 1,375.00 - - - -
63 Gralysin Syrup @ 60 ml (Graha/IGD) - 11,028.59 - - - -
64 Gralixa 40 mg (Furosemid) - 206.261 - - - -
65 Grameta 10 mg (Domperidon) 172 - 172 240.196 41,313.71 - - 41,313.71
66 Grameta 5 mg (Domperidon) Syrup 3 3 - 4,140.00 12,420.00 - 12,420.00 - exp

67 Graseric 150 mg - - 316.99 - - - -

68 Graseric 150 mg - 317.00 - - - -
69 GRATAMIN Tab @ 50 - 1,210.00 - - - -
70 Gratheos 50 mg (Natrium Diklofenak) - 310.926 - - - -
71 Gratheos 50 mg (Natrium Diklofenak) 150 141 9 200.991 30,148.65 - 28,339.73 1,808.92
72 Gratigo 5 mg @ 50 - 3,960.00 - - - -
73 Gravask 5 mg (Amlodipine) - 333.995 - - - -
74 Gravask 5 mg (Amlodipine) 187 20 167 549.449 102,746.96 - 10,988.98 91,757.98
75 Gravask 10 mg (Amlodipine) 247 76 171 600.013 148,203.21 - 45,600.99 102,602.22
76 Lipro-Q @ 30 - 7,040.00 - - - -
77 Megabal 500 mg @ 100 - 1,694.00 - - - -
78 Melogra 7.5 mg (Graha) - 540.00 - - - -
79 Melogra 7.5 mg (Graha) - 539.990 - - - -
80 Melogra 15 mg (Graha) - 634.00 - - - -
81 Melogra 15 mg (Graha) 21 21 - 633.60 13,305.60 - 13,305.60 -
82 Neurosanbe Tablet @ 100 (BSP) - 1,074.15 - - - -
83 Neurosanbe Tablet @ 100 (BSP) - 895.12 - - - -
84 Neurosanbe Plus Tablet @ 100 - 1,072.50 - - - -
85 Neurosanbe Plus Tablet @ 100 - 1,023.00 - - - -
86 Nicarfion 10 mg/10ml Injh Amp @ 5 (TSJ) - 165,000.00 - - - -
87 Nicarfion 10 mg/10ml Injh Amp @ 5 (TSJ) - 123,750.00 - - - -
88 NOBOR (Allylestrenol 5 mg) Tab @ 30 - 3,630.00 - - - -
89 NOBOR (Allylestrenol 5 mg) Tab @ 30 - 3,850.00 - - - -
90 Norages (Metamizole) 500 mg Inj Amp @ 5 - 8,470.00 - - - -
91 Norelut 5 mg @ 50 - 3,960.00 - - - -
92 Norelut 5 mg @ 50 - 4,257.00 - - - -
93 Norfion 4mg/4ml Inj Am,p IV @ 5 (Infion/TSJ) - 88,000.00 - - - -
94 NORSEC 20 mg Cap @ 14 - 12,100.00 - - - -
95 Norpid 10 mg (Simvastatin)(Graha) 180 - 180 331.504 59,670.66 - - 59,670.66
96 Norpid 20 mg (Simvastatin)(Graha) - 661.00 - - - -
97 Norpid 20 mg (Simvastatin)(Graha) 120 120 - 660.95 79,314.00 - 79,314.00 -
98 Novo Twist 32 G 5 mm @ 100 - 2,310.00 - - - -
99 Orinox 120 (Etoricobix) Tab @ 30 - 10,450.00 - - - -
100 Orinox 120 (Etoricobix) Tab @ 30 - 9,900.00 - - - -
101 Orinox 120 (Etoricobix) Tab @ 30 - 10,395 - - - -
102 Orinox 90 (Etoricobix) Tab @ 30 9 9 - 7,920 71,280.00 - 71,280.00 -
103 Puricemia 300 mg Tab @ 100 - 2,876.00 - - - -
104 Qipro-400 Tab @ 30 - 14,300.00 - - - -
105 Rifantibi 450 mg @ 100 (BSP) - 4,400.00 - - - -
106 Rifan-H 150 kapl @ 30 - 2,310.00 - - - -
107 Rifastar 4 FCD Tab @ 30 (IGM) - 5,115.00 - - - -
108 Rhodium Tab @ 30 - 6,050.00 - - - -
109 Ronazole (Metronidazole) Suspensi @ BTL - 39,160.00 - - - -
110 Ronazole (Metronidazole) Suspensi @ BTL - 41,250.00 - - - -
111 Rotaver Tab - 2,420.00 - - - -
112 Rydian 10 mg Tab @ 30 - 4,400.00 - - - -
113 Sanazet 500 mg @ 100 (BSP) - 1,298.00 - - - -
114 Santibi Plus @ 100 (BSP) 58 11 47 676.50 39,237.00 - 7,441.50 31,795.50
115 Sanfuliq @ 30 Tab - 4,961.00 - - - -
116 Sangotonik Kapsul Emesis @ 30 - 579.20 - - - -
117 SANMAG SUSPENSI 120 ml - 23,650.00 - - - -
118 SANMAG SUSPENSI 120 ml - 24,244.00 - - - -
119 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 62,260.00 - - - -
120 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 59,230.00 - - - -
121 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 24,198.16 - - - -
122 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 60,489.00 - - - -
123 Sanmol (Paracetamol) Drops (MTKR) - 15,193.00 - - - -
124 Sanmol (Paracetamol) Drops (BSP) - 15,895.00 - - - -
125 Sanmol (Paracetamol) Drops (BSP) - 15,510.00 - - - -
126 Sanmol (Paracetamol) Drops (BSP) - 12,622.50 - - - -
127 Sanmol (Paracetamol) Drop(MTKR) - 15,895.00 - - - -
128 Sanmol (Paracetamol) Drops (BSP) 5 20 9 16 15,543.00 77,715.00 310,860.00 139,887.00 248,688.00
129 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 11,495.00 - - - -
130 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 11,825.00 - - - -
131 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 9,405.00 - - - -
132 Sanmol (Paracetamol) Syrup @ 60 ml(MTKR) - 11,825.00 - - - -
133 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 11,286.00 - - - -
134 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) 15 35 29 21 11,583.00 173,745.00 405,405.00 335,907.00 243,243.00
135 Sanmol(Paracetamol)500mg Tab @ 100 (BSP) - 275.00 - - - -
136 Sanmol(Paracetamol)500mg Tab @ 100 - 286.00 - - - -
137 Sanmol(Paracetamol)500mg Tab @ 100 (MTKR) - 286.00 - - - -
138 Sanmol(Paracetamol)500mg Tab @ 100 (BSP) - 231.00 - - - -
139 Sanmol(Paracetamol)500mg Tab @ 100 - 277.20 - - - -
140 Sanmol(Paracetamol)500mg Tab @ 100 (BSP) 100 - 100 287.10 - 28,710.00 - 28,710.00
141 Sanmol Forte (Paracetamol) 650 mg @ 100 (BSP) - 341.00 - - - -
142 Sporetik (Cefixime)Dry Syr@BTL 30ml - 80,863.00 - - - -
143 Sporetik (Cefixime)Dry Syr@BTL 30ml (BSP) - - 82,615.50 - - - -
144 Sporetik (Cefixime) 100 mg @ 30 - 2,185.00 - - - -
145 Stator 20 mg Tab @ 30 - 15,840.00 - - - -
146 Stilesco 100 mg Tab 30 (PV) - 35,200.00 - - - -
147 Stenirol 4 mg Tab @ 50 - 2,921.00 - - - -
148 Stenirol 4 mg Tab @ 50 - 2,728.00 - - - -
149 Stenirol 8 mg Tab @ 50 - 4,400.00 - - - -
150 Stenirol 16 mg Tab - 6,270.00 - - - -
151 Stenirol 125 mg Inj - 77,367.00 - - - -
152 Stesolid Rectal 10 mg Tube @ 5 - 39,204.00 - - - -
153 Stesolid Rectal 5 mg Tube @ 5 - 26,136.00 - - - -
154 Strovit 500 mg Kapsul @50 (IFI) 150 - 150 7,700.00 1,155,000.00 - - 1,155,000.00
155 TENSINOP 5 (Lisinopril) Tab @ 30 - 2,385.00 - - - -
156 Termofen 100mg/5ml Suspensi 60ml (Infion/TSJ) - - - 20,625.00 - - - -
157 Teranol (Ketorolac) 30 mg/ml @ 6(KF) - 35,750.00 - - - -
158 Teranol (Ketorolac) 30 mg/ml @ 6(PV) - 38,500.00 - - - -
159 TERANOL 10 mg Tab @ 30 - 5,500.00 - - - -
160 TERANOL 10 mg Tab @ 30 - 5,072.00 - - - -
161 Terfacef (Ceftriaxone) 1 g Inj Vial - 215,380.00 - - - -
162 Terfacef (Ceftriaxone) 1 g Inj Vial - 211,032.00 - - - -
163 Terfacef (Ceftriaxone) 1 g Inj Vial - 202,988.00 - - - -
164 Terfacef (Ceftriaxone) 1 g Inj Vial (BSP) - - 169,785.00 - - - -
165 Vaclo Tab @ 30 - 12,375.00 - - - -
166 Valisanbe 2 mg Tab - 143.00 - - - -
167 Valisanbe 5 mg Tab - 220.00 - - - -
168 Vomiper 5mg/5ml Suspensi @60ml (Infion/TSJ) - 24,750.00 - - - -
169 Vomistop (Domperidone) Syr @ BTL 60 ml - 41,250.00 - - - -
170 X-CAM 7,5 (Meloxicam) Tab @ 30 - 4,840.00 - - - -
171 XEPAGEL Cream 75 g - 110,110.00 - - - -
172 DESolex Lotion - 7,590.00 - - - -
173 ZIBRAMAX-500 Kapl @ 6 - 31,900.00 - - - -
174 ZIBRAMAX Sirup - 93,500.00 - - - -
175 Zincpro - 27,720.00 - - - -
176 Zibac 1 g - 96,800.00 - - - -
177 Zidifec (Ceftazidime) 1 g Inj Vial(MTKR) - 247,005.00 - - - -
178 Zidifec Injeksi Vial - 102,300.60 - - - -
179 Zircum Kid (Zinc) Syrup @ BTL 60 ml - 26,400.00 - - - -
Total 2,856,335.80 744,975.00 870,297.30 2,731,013.50

Kolaka,31 Mei 2021

Bendahara Aset Kepala Instalasi Farmasi
RS. Benyamin Guluh Kab.Kolaka RS. Benyamin Guluh kab. Kolaka

FAJAR AHMAD MEGARISMANITA, S.Farm. M.Farm. Apt

Nip. 19810418 200701 1 009 Nip. 19750112 199803 2 002
Mengetahui
Direktur BLUD RS. Benyamin Guluh Kab.Kolaka

dr. H. MUHAMMAD RAFI

Nip. 19670201 200112 1 001
2,731,013.50
A
PEMERINTAH KABUPATEN KOLAKA DAFTAR PERSEDIAAN (STOK OPNAME) APOTEK RAWAT INAP
BLUD RS. BENYAMIN GULUH KAB. KOLAKA PERIODE 30 JUNI 2021
OBAT UMUM

Jumlah Unit (Satuan) Jumlah ( Rupiah )

NO JENIS PERSEDIAAN Saldo Awal Mutasi TA 2021 Saldo akhir HARGA Saldo Awal Mutasi TA 2021 Saldo akhir Kondisi
31-May-21 Penambahan Pengurangan 30-Jun-21 (Rp) 31-May-21 Penambahan Pengurangan 30-Jun-21
1 2 3 4 5 6=3+4 - 5 H.Satuan 7 8 9 10=7+ 8 - 9 11
1 Alloris (loratadine) Tab @ 100 (BSP) - 4,323.00 - - - -
2 AMOXSAN FORTE Dry Sirup - 30,921.00 - - - -
3 AMOXSAN FORTE Dry Sirup - 31,705.00 - - - -
4 Amosan (Amoxicillin) 500 mg Kaps (BSP) - 3,322.00 - - - -
5 Amosan (Amoxicillin) 500 mg Kaps - 3,301.00 - - - -
6 Amosan (Amoxicillin) 500 mg Kaps - 3,109.00 - - - -
7 Anadium (Diosmin & Hesperidin) Kapl @ 30 (KF) - 7,260.00 - - - -
8 Anadium (Diosmin & Hesperidin) Kapl @ 30 (PV) - 6,940.00 - - - -
9 Anadium (Diosmin & Hesperidin) Kapl @ 30 (PV) - 7,480.00 - - - -
10 Analsik (Metampiron & Diazepam)Kapl@100 - 1,111.00 - - - -
11 Analsik (Metampiron & Diazepam)Kapl@100 - 1,243.00 - - - -
12 Analsik (Metampiron & Diazepam)Kapl@100 - 1,595.00 - - - -
13 Analsik (Metampiron & Diazepam)Kapl@100 1 - 1 1,677.50 1,677.50 - - 1,677.50
14 Cefat (Cefadroxil) 500 mg Kaps @ 100 - 10,615.00 - - - -
15 Cefat (Cefadroxil) 500 mg Kaps @ 100 - 10,347.00 - - - -
16 Cefat 125 mg Dry Syr 60 ml (MTKR) - 43,670.00 - - - -
17 Cefat Forte Dry Syr 60 ml (MTKR) - 71,500.00 - - - -
18 Cefat Forte Dry Syr 60 ml (MTKR) - 72,073.00 - - - -
19 Cefat Forte Dry Syr 60 ml (BSP) - 74,714.00 - - - -
Cition (Citicoline Sodium)250mg/2ml Inj Amp@5 (TSJ) - 22,000.00 - -
20 - -
21 Cition 500 mg (Citicoline) @ 30 (TSJ) - 9,817.50 - - - -
22 Cition 500 mg (Citicoline) @ 30 (TSJ) - 9,240.00 - - - -
23 Cition 1000 mg (Citicoline) @ 30 - 16,500.00 - - - -
24 Cition 1000 mg (Citicoline) @ 30 - 14,025.00 - - - -
25 Cition 1000 mg (Citicoline) @ 30 20 20 - 13,200.00 264,000.00 - 264,000.00 -
26 Comvit-C Kapsul @100 (NOVA/BIS) - 1,210.00 - - - -
27 Cupanol (Paracetamol) Syr @ Btl 60 ml - 19,800.00 - - - -
28 Curcuma 200 mg Tab @ 100 - 952.00 - - - -
29 Curcuma 200 mg Tab @ 100 - 797.00 - - - -
30 Curviplex Syrup @ 60 ml (Graha/IGM) - 6,419.60 - - - -
31 Curvit Syrup - 24,200.00 - - - -
32 Crome (Carbazochrome) Inj 10 ml @ 10 Amp - 22,000.00 - - - -
33 Danalgin Tab - 1,155.00 - - - -
34 Daryantulle @ 10 - 16,500.00 - - - -
35 Depakene Syrup - 164,535.00 - - - -
36 Depakote 250 mg Tab - 6,711.00 - - - -
37 Dextamine Tablet @ 300 - 1,606.00 - - - -
38 Dextamine Tablet @ 300 - 1,740.00 - - - -
39 Dextamine Syrup - 30,204.00 - - - -
40 Dextamine Syrup - 27,183.00 - - - -
41 Desolex Lotion - 23,292.00 - - - -
42 Desolex Lotion - 23,832.00 - - - -
43 Detrovel 10 mg Tab - 1,760.00 - - - -
44 Detrovel 10 mg Tab - 1,964.00 - - - -
45 Dhavit Syrup @ BTL 60 ml (PV) - 30,250.00 - - - -
46 Dhavit Syrup @ BTL 60 ml(KF) - 27,500.00 - - - -
47 Digest (Lansoprazole) - 4,400.00 - - - -
48 Disolf 490 mg @ 30 - 6,792.00 - - - -
49 Disolf 490 mg @ 30 - 7,700.00 - - - -
50 Epexol (Ambroxol) 30mg Tab @100 (BSP) 380 290 90 821.70 312,246.00 - 238,293.00 73,953.00
51 Folamil kapl @ 100 - 1,045.00 - - - -
52 Folamil kapl @ 100 100 - 100 1,485.00 148,500.00 - - 148,500.00
53 Folamil Genio Soft Cap @ 30 - 3,658.00 - - - -
54 FOLDA Kaplet @ 30 - 3,850.00 - - - -
55 Forbetes 850 (Metformin HCl) Tab @ 100 - 1,001.00 - - - -
56 Forbetes 850 (Metformin HCl) Tab @ 100 - 1,072.00 - - - -
57 Forbetes 500 (Metformin HCl) Tab @ 100 - 1,018.00 - - - -
58 Forbetes 500 (Metformin HCl) Tab @ 100 - 1,017.50 - - - -
59 Gradilex 2 mg (Loperamid) - 170.676 - - - -
60 Grafacef 500 mg (Cefadroxil) - 1,084.05 - - - -
61 Grahabion 10 mg - 684.717 - - - -
62 Grafed Tab @ 30 - 1,375.00 - - - -
63 Gralysin Syrup @ 60 ml (Graha/IGD) - 11,028.59 - - - -
64 Gralixa 40 mg (Furosemid) - 206.261 - - - -
65 Grameta 10 mg (Domperidon) 172 10 162 240.196 41,313.71 - 2,401.96 38,911.75
66 Grameta 5 mg (Domperidon) Syrup - - - 4,140.00 - - - -
67 Graseric 150 mg - - 316.99 - - - -
68 Graseric 150 mg - 317.00 - - - -
69 GRATAMIN Tab @ 50 - 1,210.00 - - - -
70 Gratheos 50 mg (Natrium Diklofenak) - 310.926 - - - -
71 Gratheos 50 mg (Natrium Diklofenak) 9 9 - 200.991 1,808.92 - 1,808.92 -
72 Gratigo 5 mg @ 50 - 3,960.00 - - - -
73 Gravask 5 mg (Amlodipine) - 333.995 - - - -
74 Gravask 5 mg (Amlodipine) 167 157 10 549.449 91,757.98 - 86,263.49 5,494.49
75 Gravask 10 mg (Amlodipine) 171 - 171 600.013 102,602.22 - - 102,602.22
76 Lipro-Q @ 30 - 7,040.00 - - - -
77 Megabal 500 mg @ 100 - 1,694.00 - - - -
78 Melogra 7.5 mg (Graha) - 540.00 - - - -
79 Melogra 7.5 mg (Graha) - 539.990 - - - -
80 Melogra 15 mg (Graha) - 634.00 - - - -
81 Melogra 15 mg (Graha) - - - 633.60 - - - -
82 Neurosanbe Tablet @ 100 (BSP) - 1,074.15 - - - -
83 Neurosanbe Tablet @ 100 (BSP) - 895.12 - - - -
84 Neurosanbe Plus Tablet @ 100 - 1,072.50 - - - -
85 Neurosanbe Plus Tablet @ 100 - 1,023.00 - - - -
86 Nicarfion 10 mg/10ml Injh Amp @ 5 (TSJ) - 165,000.00 - - - -
87 Nicarfion 10 mg/10ml Injh Amp @ 5 (TSJ) - 123,750.00 - - - -
88 NOBOR (Allylestrenol 5 mg) Tab @ 30 - 3,630.00 - - - -
89 NOBOR (Allylestrenol 5 mg) Tab @ 30 - 3,850.00 - - - -
90 Norages (Metamizole) 500 mg Inj Amp @ 5 - 8,470.00 - - - -
91 Norelut 5 mg @ 50 - 3,960.00 - - - -
92 Norelut 5 mg @ 50 - 4,257.00 - - - -
93 Norfion 4mg/4ml Inj Am,p IV @ 5 (Infion/TSJ) - 88,000.00 - - - -
94 NORSEC 20 mg Cap @ 14 - 12,100.00 - - - -
95 Norpid 10 mg (Simvastatin)(Graha) 180 - 180 331.504 59,670.66 - - 59,670.66
96 Norpid 20 mg (Simvastatin)(Graha) - 661.00 - - - -
97 Norpid 20 mg (Simvastatin)(Graha) - - - 660.95 - - - -
98 Novo Twist 32 G 5 mm @ 100 - 2,310.00 - - - -
99 Orinox 120 (Etoricobix) Tab @ 30 - 10,450.00 - - - -
100 Orinox 120 (Etoricobix) Tab @ 30 - 9,900.00 - - - -
101 Orinox 120 (Etoricobix) Tab @ 30 - 10,395 - - - -
102 Orinox 90 (Etoricobix) Tab @ 30 - - - 7,920 - - - -
103 Puricemia 300 mg Tab @ 100 - 2,876.00 - - - -
104 Qipro-400 Tab @ 30 - 14,300.00 - - - -
105 Rifantibi 450 mg @ 100 (BSP) - 4,400.00 - - - -
106 Rifan-H 150 kapl @ 30 - 2,310.00 - - - -
107 Rifastar 4 FCD Tab @ 30 (IGM) - 5,115.00 - - - -
108 Rhodium Tab @ 30 - 6,050.00 - - - -
109 Ronazole (Metronidazole) Suspensi @ BTL - 39,160.00 - - - -
110 Ronazole (Metronidazole) Suspensi @ BTL - 41,250.00 - - - -
111 Rotaver Tab - 2,420.00 - - - -
112 Rydian 10 mg Tab @ 30 - 4,400.00 - - - -
113 Sanazet 500 mg @ 100 (BSP) - 1,298.00 - - - -
114 Santibi Plus @ 100 (BSP) 47 - 47 676.50 31,795.50 - - 31,795.50
115 Sanfuliq @ 30 Tab - 4,961.00 - - - -
116 Sangotonik Kapsul Emesis @ 30 - 579.20 - - - -
117 SANMAG SUSPENSI 120 ml - 23,650.00 - - - -
118 SANMAG SUSPENSI 120 ml - 24,244.00 - - - -
119 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 62,260.00 - - - -
120 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 59,230.00 - - - -
121 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 24,198.16 - - - -
122 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 60,489.00 - - - -
123 Sanmol (Paracetamol) Drops (MTKR) - 15,193.00 - - - -
124 Sanmol (Paracetamol) Drops (BSP) - 15,895.00 - - - -
125 Sanmol (Paracetamol) Drops (BSP) - 15,510.00 - - - -
126 Sanmol (Paracetamol) Drops (BSP) - 12,622.50 - - - -
127 Sanmol (Paracetamol) Drop(MTKR) - 15,895.00 - - - -
128 Sanmol (Paracetamol) Drops (BSP) 16 11 5 15,543.00 248,688.00 - 170,973.00 77,715.00
129 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 11,495.00 - - - -
130 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 11,825.00 - - - -
131 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 9,405.00 - - - -
132 Sanmol (Paracetamol) Syrup @ 60 ml(MTKR) - 11,825.00 - - - -
133 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 11,286.00 - - - -
134 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) 21 30 25 26 11,583.00 243,243.00 347,490.00 289,575.00 301,158.00
135 Sanmol(Paracetamol)500mg Tab @ 100 (BSP) 275.00 - - - -
136 Sanmol(Paracetamol)500mg Tab @ 100 - 286.00 - - - -
137 Sanmol(Paracetamol)500mg Tab @ 100 (MTKR) - 286.00 - - - -
138 Sanmol(Paracetamol)500mg Tab @ 100 (BSP) - 231.00 - - - -
139 Sanmol(Paracetamol)500mg Tab @ 100 - 277.20 - - - -
140 Sanmol(Paracetamol)500mg Tab @ 100 (BSP) 100 62 38 287.10 28,710.00 - 17,800.20 10,909.80
141 Sanmol Forte (Paracetamol) 650 mg @ 100 (BSP) - 341.00 - - - -
142 Sporetik (Cefixime)Dry Syr@BTL 30ml - 80,863.00 - - - -
143 Sporetik (Cefixime)Dry Syr@BTL 30ml (BSP) - 82,615.50 - - - -
144 Sporetik (Cefixime) 100 mg @ 30 - 2,185.00 - - - -
145 Stator 20 mg Tab @ 30 - 15,840.00 - - - -
146 Stilesco 100 mg Tab 30 (PV) - 35,200.00 - - - -
147 Stenirol 4 mg Tab @ 50 - 2,921.00 - - - -
148 Stenirol 4 mg Tab @ 50 - 2,728.00 - - - -
149 Stenirol 8 mg Tab @ 50 - 4,400.00 - - - -
150 Stenirol 16 mg Tab - 6,270.00 - - - -
151 Stenirol 125 mg Inj - 77,367.00 - - - -
152 Stesolid Rectal 10 mg Tube @ 5 - 39,204.00 - - - -
153 Stesolid Rectal 5 mg Tube @ 5 - 26,136.00 - - - -
154 Strovit 500 mg Kapsul @50 (IFI) 150 - 150 7,700.00 1,155,000.00 - - 1,155,000.00
155 TENSINOP 5 (Lisinopril) Tab @ 30 - 2,385.00 - - - -
156 Termofen 100mg/5ml Suspensi 60ml (Infion/TSJ) - - 20,625.00 - - - -
157 Teranol (Ketorolac) 30 mg/ml @ 6(KF) - 35,750.00 - - - -
158 Teranol (Ketorolac) 30 mg/ml @ 6(PV) - 38,500.00 - - - -
159 TERANOL 10 mg Tab @ 30 - 5,500.00 - - - -
160 TERANOL 10 mg Tab @ 30 - 5,072.00 - - - -
161 Terfacef (Ceftriaxone) 1 g Inj Vial - 215,380.00 - - - -
162 Terfacef (Ceftriaxone) 1 g Inj Vial - 211,032.00 - - - -
163 Terfacef (Ceftriaxone) 1 g Inj Vial - 202,988.00 - - - -
164 Terfacef (Ceftriaxone) 1 g Inj Vial (BSP) - 169,785.00 - - - -
165 Vaclo Tab @ 30 - 12,375.00 - - - -
166 Valisanbe 2 mg Tab - 143.00 - - - -
167 Valisanbe 5 mg Tab - 220.00 - - - -
168 Vomiper 5mg/5ml Suspensi @60ml (Infion/TSJ) - 24,750.00 - - - -
169 Vomistop (Domperidone) Syr @ BTL 60 ml - 41,250.00 - - - -
170 X-CAM 7,5 (Meloxicam) Tab @ 30 - 4,840.00 - - - -
171 XEPAGEL Cream 75 g - 110,110.00 - - - -
172 DESolex Lotion - 7,590.00 - - - -
173 ZIBRAMAX-500 Kapl @ 6 - 31,900.00 - - - -
174 ZIBRAMAX Sirup - 93,500.00 - - - -
175 Zincpro - 27,720.00 - - - -
176 Zibac 1 g - 96,800.00 - - - -
177 Zidifec (Ceftazidime) 1 g Inj Vial(MTKR) - 247,005.00 - - - -
178 Zidifec Injeksi Vial - 102,300.60 - - - -
179 Zircum Kid (Zinc) Syrup @ BTL 60 ml - 26,400.00 - - - -
Total 2,731,013.50 347,490.00 1,071,115.57 2,007,387.93

Kolaka,30 Juni 2021

Bendahara Aset Kepala Instalasi Farmasi
RS. Benyamin Guluh Kab.Kolaka RS. Benyamin Guluh kab. Kolaka

FAJAR AHMAD MEGARISMANITA, S.Farm. M.Farm. Apt

Nip. 19810418 200701 1 009 Nip. 19750112 199803 2 002
Mengetahui
Direktur BLUD RS. Benyamin Guluh Kab.Kolaka

dr. H. MUHAMMAD RAFI

Nip. 19670201 200112 1 001
2,007,387.93
A
PEMERINTAH KABUPATEN KOLAKA DAFTAR PERSEDIAAN (STOK OPNAME) APOTEK RAWAT INAP
BLUD RS. BENYAMIN GULUH KAB. KOLAKA PERIODE 31 JULI 2021
OBAT UMUM

Jumlah Unit (Satuan) Jumlah ( Rupiah )

NO JENIS PERSEDIAAN Saldo Awal Mutasi TA 2021 Saldo akhir HARGA Saldo Awal Mutasi TA 2021 Saldo akhir Kondisi
30-Jun-21 Penambahan Pengurangan 31-Jul-21 (Rp) 30-Jun-21 Penambahan Pengurangan 31-Jul-21
1 2 3 4 5 6=3+4 - 5 H.Satuan 7 8 9 10=7+ 8 - 9 11
1 Alloris (loratadine) Tab @ 100 (BSP) - 4,323.00 - - - -
2 AMOXSAN FORTE Dry Sirup - 30,921.00 - - - -
3 AMOXSAN FORTE Dry Sirup - 31,705.00 - - - -
4 Amosan (Amoxicillin) 500 mg Kaps (BSP) - 3,322.00 - - - -
5 Amosan (Amoxicillin) 500 mg Kaps - 3,301.00 - - - -
6 Amosan (Amoxicillin) 500 mg Kaps - 3,109.00 - - - -
7 Anadium (Diosmin & Hesperidin) Kapl @ 30 (KF) - 7,260.00 - - - -
8 Anadium (Diosmin & Hesperidin) Kapl @ 30 (PV) - 6,940.00 - - - -
9 Anadium (Diosmin & Hesperidin) Kapl @ 30 (PV) - 7,480.00 - - - -
10 Analsik (Metampiron & Diazepam)Kapl@100 - 1,111.00 - - - -
11 Analsik (Metampiron & Diazepam)Kapl@100 - 1,243.00 - - - -
12 Analsik (Metampiron & Diazepam)Kapl@100 - 1,595.00 - - - -
13 Analsik (Metampiron & Diazepam)Kapl@100 1 - 1 1,677.50 1,677.50 - - 1,677.50
14 Cefat (Cefadroxil) 500 mg Kaps @ 100 - 10,615.00 - - - -
15 Cefat (Cefadroxil) 500 mg Kaps @ 100 - 10,347.00 - - - -
16 Cefat 125 mg Dry Syr 60 ml (MTKR) - 43,670.00 - - - -
17 Cefat Forte Dry Syr 60 ml (MTKR) - 71,500.00 - - - -
18 Cefat Forte Dry Syr 60 ml (MTKR) - 72,073.00 - - - -
19 Cefat Forte Dry Syr 60 ml (BSP) - 74,714.00 - - - -
Cition (Citicoline Sodium)250mg/2ml Inj Amp@5 (TSJ) - 22,000.00 - -
20 - -
21 Cition 500 mg (Citicoline) @ 30 (TSJ) - 9,817.50 - - - -
22 Cition 500 mg (Citicoline) @ 30 (TSJ) - 9,240.00 - - - -
23 Cition 1000 mg (Citicoline) @ 30 - 16,500.00 - - - -
24 Cition 1000 mg (Citicoline) @ 30 - 14,025.00 - - - -
25 Cition 1000 mg (Citicoline) @ 30 - - - 13,200.00 - - - -
26 Comvit-C Kapsul @100 (NOVA/BIS) - 1,210.00 - - - -
27 Cupanol (Paracetamol) Syr @ Btl 60 ml - 19,800.00 - - - -
28 Curcuma 200 mg Tab @ 100 - 952.00 - - - -
29 Curcuma 200 mg Tab @ 100 - 797.00 - - - -
30 Curviplex Syrup @ 60 ml (Graha/IGM) - 6,419.60 - - - -
31 Curvit Syrup - 24,200.00 - - - -
32 Crome (Carbazochrome) Inj 10 ml @ 10 Amp - 22,000.00 - - - -
33 Danalgin Tab - 1,155.00 - - - -
34 Daryantulle @ 10 - 16,500.00 - - - -
35 Depakene Syrup - 164,535.00 - - - -
36 Depakote 250 mg Tab - 6,711.00 - - - -
37 Dextamine Tablet @ 300 - 1,606.00 - - - -
38 Dextamine Tablet @ 300 - 1,740.00 - - - -
39 Dextamine Syrup - 30,204.00 - - - -
40 Dextamine Syrup - 27,183.00 - - - -
41 Desolex Lotion - 23,292.00 - - - -
42 Desolex Lotion - 23,832.00 - - - -
43 Detrovel 10 mg Tab - 1,760.00 - - - -
44 Detrovel 10 mg Tab - 1,964.00 - - - -
45 Dhavit Syrup @ BTL 60 ml (PV) - 30,250.00 - - - -
46 Dhavit Syrup @ BTL 60 ml(KF) - 27,500.00 - - - -
47 Digest (Lansoprazole) - 4,400.00 - - - -
48 Disolf 490 mg @ 30 - 6,792.00 - - - -
49 Disolf 490 mg @ 30 - 7,700.00 - - - -
50 Epexol (Ambroxol) 30mg Tab @100 (BSP) 90 90 - 821.70 73,953.00 - 73,953.00 -
51 Folamil kapl @ 100 - 1,045.00 - - - -
52 Folamil kapl @ 100 100 - 100 1,485.00 148,500.00 - - 148,500.00
53 Folamil Genio Soft Cap @ 30 - 3,658.00 - - - -
54 FOLDA Kaplet @ 30 - 3,850.00 - - - -
55 Forbetes 850 (Metformin HCl) Tab @ 100 - 1,001.00 - - - -
56 Forbetes 850 (Metformin HCl) Tab @ 100 - 1,072.00 - - - -
57 Forbetes 500 (Metformin HCl) Tab @ 100 - 1,018.00 - - - -
58 Forbetes 500 (Metformin HCl) Tab @ 100 - 1,017.50 - - - -
59 Gradilex 2 mg (Loperamid) - 170.676 - - - -
60 Grafacef 500 mg (Cefadroxil) - 1,084.05 - - - -
61 Grahabion 10 mg - 684.717 - - - -
62 Grafed Tab @ 30 - 1,375.00 - - - -
63 Gralysin Syrup @ 60 ml (Graha/IGD) - 11,028.59 - - - -
64 Gralixa 40 mg (Furosemid) - 206.261 - - - -
65 Grameta 10 mg (Domperidon) 162 - 162 240.196 38,911.75 - - 38,911.75
66 Grameta 5 mg (Domperidon) Syrup - - - 4,140.00 - - - -
67 Graseric 150 mg - 316.99 - - - -
68 Graseric 150 mg - 317.00 - - - -
69 GRATAMIN Tab @ 50 - 1,210.00 - - - -
70 Gratheos 50 mg (Natrium Diklofenak) 500 192 308 310.926 - 155,463.00 59,697.79 95,765.21
71 Gratheos 50 mg (Natrium Diklofenak) - - 200.991 - - - -
72 Gratigo 5 mg @ 50 - 3,960.00 - - - -
73 Gravask 5 mg (Amlodipine) - 333.995 - - - -
74 Gravask 5 mg (Amlodipine) 10 7 3 549.449 5,494.49 - 3,846.14 1,648.35
75 Gravask 10 mg (Amlodipine) 171 - 171 600.013 102,602.22 - - 102,602.22
76 Lipro-Q @ 30 - 7,040.00 - - - -
77 Megabal 500 mg @ 100 - 1,694.00 - - - -
78 Melogra 7.5 mg (Graha) - 540.00 - - - -
79 Melogra 7.5 mg (Graha) - 539.990 - - - -
80 Melogra 15 mg (Graha) - 634.00 - - - -
81 Melogra 15 mg (Graha) - - - 633.60 - - - -
82 Neurosanbe Tablet @ 100 (BSP) - 1,074.15 - - - -
83 Neurosanbe Tablet @ 100 (BSP) - 895.12 - - - -
84 Neurosanbe Plus Tablet @ 100 - 1,072.50 - - - -
85 Neurosanbe Plus Tablet @ 100 - 1,023.00 - - - -
86 Nicarfion 10 mg/10ml Injh Amp @ 5 (TSJ) - 165,000.00 - - - -
87 Nicarfion 10 mg/10ml Injh Amp @ 5 (TSJ) - 123,750.00 - - - -
88 NOBOR (Allylestrenol 5 mg) Tab @ 30 - 3,630.00 - - - -
89 NOBOR (Allylestrenol 5 mg) Tab @ 30 - 3,850.00 - - - -
90 Norages (Metamizole) 500 mg Inj Amp @ 5 - 8,470.00 - - - -
91 Norelut 5 mg @ 50 - 3,960.00 - - - -
92 Norelut 5 mg @ 50 - 4,257.00 - - - -
93 Norfion 4mg/4ml Inj Am,p IV @ 5 (Infion/TSJ) - 88,000.00 - - - -
94 NORSEC 20 mg Cap @ 14 - 12,100.00 - - - -
95 Norpid 10 mg (Simvastatin)(Graha) 180 - 180 331.504 59,670.66 - - 59,670.66
96 Norpid 20 mg (Simvastatin)(Graha) - 661.00 - - - -
97 Norpid 20 mg (Simvastatin)(Graha) - - - 660.95 - - - -
98 Novo Twist 32 G 5 mm @ 100 - 2,310.00 - - - -
99 Orinox 120 (Etoricobix) Tab @ 30 - 10,450.00 - - - -
100 Orinox 120 (Etoricobix) Tab @ 30 - 9,900.00 - - - -
101 Orinox 120 (Etoricobix) Tab @ 30 - 10,395 - - - -
102 Orinox 90 (Etoricobix) Tab @ 30 - - - 7,920 - - - -
103 Puricemia 300 mg Tab @ 100 - 2,876.00 - - - -
104 Qipro-400 Tab @ 30 - 14,300.00 - - - -
105 Rifantibi 450 mg @ 100 (BSP) - 4,400.00 - - - -
106 Rifan-H 150 kapl @ 30 - 2,310.00 - - - -
107 Rifastar 4 FCD Tab @ 30 (IGM) - 5,115.00 - - - -
108 Rhodium Tab @ 30 - 6,050.00 - - - -
109 Ronazole (Metronidazole) Suspensi @ BTL - 39,160.00 - - - -
110 Ronazole (Metronidazole) Suspensi @ BTL - 41,250.00 - - - -
111 Rotaver Tab - 2,420.00 - - - -
112 Rydian 10 mg Tab @ 30 - 4,400.00 - - - -
113 Sanazet 500 mg @ 100 (BSP) - 1,298.00 - - - -
114 Santibi Plus @ 100 (BSP) 47 - 47 676.50 31,795.50 - - 31,795.50
115 Sanfuliq @ 30 Tab - 4,961.00 - - - -
116 Sangotonik Kapsul Emesis @ 30 - 579.20 - - - -
117 SANMAG SUSPENSI 120 ml - 23,650.00 - - - -
118 SANMAG SUSPENSI 120 ml - 24,244.00 - - - -
119 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 62,260.00 - - - -
120 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 59,230.00 - - - -
121 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 24,198.16 - - - -
122 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 60,489.00 - - - -
123 Sanmol (Paracetamol) Drops (MTKR) - 15,193.00 - - - -
124 Sanmol (Paracetamol) Drops (BSP) - 15,895.00 - - - -
125 Sanmol (Paracetamol) Drops (BSP) - 15,510.00 - - - -
126 Sanmol (Paracetamol) Drops (BSP) - 12,622.50 - - - -
127 Sanmol (Paracetamol) Drop(MTKR) - 15,895.00 - - - -
128 Sanmol (Paracetamol) Drops (BSP) 5 25 4 26 15,543.00 77,715.00 388,575.00 62,172.00 404,118.00
129 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 11,495.00 - - - -
130 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 11,825.00 - - - -
131 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 9,405.00 - - - -
132 Sanmol (Paracetamol) Syrup @ 60 ml(MTKR) - 11,825.00 - - - -
133 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 11,286.00 - - - -
134 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) 26 25 13 38 11,583.00 301,158.00 289,575.00 150,579.00 440,154.00
135 Sanmol(Paracetamol)500mg Tab @ 100 (BSP) 275.00 - - - -
136 Sanmol(Paracetamol)500mg Tab @ 100 - 286.00 - - - -
137 Sanmol(Paracetamol)500mg Tab @ 100 (MTKR) - 286.00 - - - -
138 Sanmol(Paracetamol)500mg Tab @ 100 (BSP) - 231.00 - - - -
139 Sanmol(Paracetamol)500mg Tab @ 100 - 277.20 - - - -
140 Sanmol(Paracetamol)500mg Tab @ 100 (BSP) 38 100 38 100 287.10 10,909.80 28,710.00 10,909.80 28,710.00
141 Sanmol Forte (Paracetamol) 650 mg @ 100 (BSP) - 341.00 - - - -
142 Sporetik (Cefixime)Dry Syr@BTL 30ml - 80,863.00 - - - -
143 Sporetik (Cefixime)Dry Syr@BTL 30ml (BSP) - 82,615.50 - - - -
144 Sporetik (Cefixime) 100 mg @ 30 - 2,185.00 - - - -
145 Stator 20 mg Tab @ 30 - 15,840.00 - - - -
146 Stilesco 100 mg Tab 30 (PV) - 35,200.00 - - - -
147 Stenirol 4 mg Tab @ 50 - 2,921.00 - - - -
148 Stenirol 4 mg Tab @ 50 - 2,728.00 - - - -
149 Stenirol 8 mg Tab @ 50 - 4,400.00 - - - -
150 Stenirol 16 mg Tab - 6,270.00 - - - -
151 Stenirol 125 mg Inj - 77,367.00 - - - -
152 Stesolid Rectal 10 mg Tube @ 5 - 39,204.00 - - - -
153 Stesolid Rectal 5 mg Tube @ 5 - 26,136.00 - - - -
154 Strovit 500 mg Kapsul @50 (IFI) 150 - 150 7,700.00 1,155,000.00 - - 1,155,000.00
155 TENSINOP 5 (Lisinopril) Tab @ 30 - 2,385.00 - - - -
156 Termofen 100mg/5ml Suspensi 60ml (Infion/TSJ) - 20,625.00 - - - -
157 Teranol (Ketorolac) 30 mg/ml @ 6(KF) - 35,750.00 - - - -
158 Teranol (Ketorolac) 30 mg/ml @ 6(PV) - 38,500.00 - - - -
159 TERANOL 10 mg Tab @ 30 - 5,500.00 - - - -
160 TERANOL 10 mg Tab @ 30 - 5,072.00 - - - -
161 Terfacef (Ceftriaxone) 1 g Inj Vial - 215,380.00 - - - -
162 Terfacef (Ceftriaxone) 1 g Inj Vial - 211,032.00 - - - -
163 Terfacef (Ceftriaxone) 1 g Inj Vial - 202,988.00 - - - -
164 Terfacef (Ceftriaxone) 1 g Inj Vial (BSP) - 169,785.00 - - - -
165 Vaclo Tab @ 30 - 12,375.00 - - - -
166 Valisanbe 2 mg Tab - 143.00 - - - -
167 Valisanbe 5 mg Tab - 220.00 - - - -
168 Vomiper 5mg/5ml Suspensi @60ml (Infion/TSJ) - 24,750.00 - - - -
169 Vomistop (Domperidone) Syr @ BTL 60 ml - 41,250.00 - - - -
170 X-CAM 7,5 (Meloxicam) Tab @ 30 - 4,840.00 - - - -
171 XEPAGEL Cream 75 g - 110,110.00 - - - -
172 DESolex Lotion - 7,590.00 - - - -
173 ZIBRAMAX-500 Kapl @ 6 - 31,900.00 - - - -
174 ZIBRAMAX Sirup - 93,500.00 - - - -
175 Zincpro - 27,720.00 - - - -
176 Zibac 1 g - 96,800.00 - - - -
177 Zidifec (Ceftazidime) 1 g Inj Vial(MTKR) - 247,005.00 - - - -
178 Zidifec Injeksi Vial - 102,300.60 - - - -
179 Zircum Kid (Zinc) Syrup @ BTL 60 ml - 26,400.00 - - - -
Total 2,007,387.93 862,323.00 361,157.74 2,508,553.19

Kolaka,31 Juli 2021

Bendahara Aset Kepala Instalasi Farmasi
RS. Benyamin Guluh Kab.Kolaka RS. Benyamin Guluh kab. Kolaka

FAJAR AHMAD MEGARISMANITA, S.Farm. M.Farm. Apt

Nip. 19810418 200701 1 009 Nip. 19750112 199803 2 002
Mengetahui
Direktur BLUD RS. Benyamin Guluh Kab.Kolaka

dr. H. MUHAMMAD RAFI

Nip. 19670201 200112 1 002
2,508,553.19
A
PEMERINTAH KABUPATEN KOLAKA DAFTAR PERSEDIAAN (STOK OPNAME) APOTEK RAWAT INAP
BLUD RS. BENYAMIN GULUH KAB. KOLAKA PERIODE 31 AGUSTUS 2021
OBAT UMUM

Jumlah Unit (Satuan) Jumlah ( Rupiah )

NO JENIS PERSEDIAAN Saldo Awal Mutasi TA 2021 Saldo akhir HARGA Saldo Awal Mutasi TA 2021 Saldo akhir Kondisi
31-Jul-21 Penambahan Pengurangan 31-Aug-21 (Rp) 31-Jul-21 Penambahan Pengurangan 31-Aug-21
1 2 3 4 5 6=3+4 - 5 H.Satuan 7 8 9 10=7+ 8 - 9 11
1 Alloris (loratadine) Tab @ 100 (BSP) - 4,323.00 - - - -
2 AMOXSAN FORTE Dry Sirup - 30,921.00 - - - -
3 AMOXSAN FORTE Dry Sirup - 31,705.00 - - - -
4 Amosan (Amoxicillin) 500 mg Kaps (BSP) - 3,322.00 - - - -
5 Amosan (Amoxicillin) 500 mg Kaps - 3,301.00 - - - -
6 Amosan (Amoxicillin) 500 mg Kaps - 3,109.00 - - - -
7 Anadium (Diosmin & Hesperidin) Kapl @ 30 (KF) - 7,260.00 - - - -
8 Anadium (Diosmin & Hesperidin) Kapl @ 30 (PV) - 6,940.00 - - - -
9 Anadium (Diosmin & Hesperidin) Kapl @ 30 (PV) - 7,480.00 - - - -
10 Analsik (Metampiron & Diazepam)Kapl@100 - 1,111.00 - - - -
11 Analsik (Metampiron & Diazepam)Kapl@100 - 1,243.00 - - - -
12 Analsik (Metampiron & Diazepam)Kapl@100 - 1,595.00 - - - -
13 Analsik (Metampiron & Diazepam)Kapl@100 1 - 1 1,677.50 1,677.50 - - 1,677.50
14 Cefat (Cefadroxil) 500 mg Kaps @ 100 - 10,615.00 - - - -
15 Cefat (Cefadroxil) 500 mg Kaps @ 100 - 10,347.00 - - - -
16 Cefat 125 mg Dry Syr 60 ml (MTKR) - 43,670.00 - - - -
17 Cefat Forte Dry Syr 60 ml (MTKR) - 71,500.00 - - - -
18 Cefat Forte Dry Syr 60 ml (MTKR) - 72,073.00 - - - -
19 Cefat Forte Dry Syr 60 ml (BSP) - 74,714.00 - - - -
Cition (Citicoline Sodium)250mg/2ml Inj Amp@5 (TSJ) - 22,000.00 - -
20 - -
21 Cition 500 mg (Citicoline) @ 30 (TSJ) - 9,817.50 - - - -
22 Cition 500 mg (Citicoline) @ 30 (TSJ) - 9,240.00 - - - -
23 Cition 1000 mg (Citicoline) @ 30 - 16,500.00 - - - -
24 Cition 1000 mg (Citicoline) @ 30 - 14,025.00 - - - -
25 Cition 1000 mg (Citicoline) @ 30 - - 13,200.00 - - - -
26 Comvit-C Kapsul @100 (NOVA/BIS) - 1,210.00 - - - -
27 Cupanol (Paracetamol) Syr @ Btl 60 ml - 19,800.00 - - - -
28 Curcuma 200 mg Tab @ 100 - 952.00 - - - -
29 Curcuma 200 mg Tab @ 100 - 797.00 - - - -
30 Curviplex Syrup @ 60 ml (Graha/IGM) - 6,419.60 - - - -
31 Curvit Syrup - 24,200.00 - - - -
32 Crome (Carbazochrome) Inj 10 ml @ 10 Amp - 22,000.00 - - - -
33 Danalgin Tab - 1,155.00 - - - -
34 Daryantulle @ 10 - 16,500.00 - - - -
35 Depakene Syrup - 164,535.00 - - - -
36 Depakote 250 mg Tab - 6,711.00 - - - -
37 Dextamine Tablet @ 300 - 1,606.00 - - - -
38 Dextamine Tablet @ 300 - 1,740.00 - - - -
39 Dextamine Syrup - 30,204.00 - - - -
40 Dextamine Syrup - 27,183.00 - - - -
41 Desolex Lotion - 23,292.00 - - - -
42 Desolex Lotion - 23,832.00 - - - -
43 Detrovel 10 mg Tab - 1,760.00 - - - -
44 Detrovel 10 mg Tab - 1,964.00 - - - -
45 Dhavit Syrup @ BTL 60 ml (PV) - 30,250.00 - - - -
46 Dhavit Syrup @ BTL 60 ml(KF) - 27,500.00 - - - -
47 Digest (Lansoprazole) - 4,400.00 - - - -
48 Disolf 490 mg @ 30 - 6,792.00 - - - -
49 Disolf 490 mg @ 30 - 7,700.00 - - - -
50 Epexol (Ambroxol) 30mg Tab @100 (BSP) - - 821.70 - - - -
51 Folamil kapl @ 100 - 1,045.00 - - - -
52 Folamil kapl @ 100 100 - 100 1,485.00 148,500.00 - - 148,500.00
53 Folamil Genio Soft Cap @ 30 - 3,658.00 - - - -
54 FOLDA Kaplet @ 30 - 3,850.00 - - - -
55 Forbetes 850 (Metformin HCl) Tab @ 100 - 1,001.00 - - - -
56 Forbetes 850 (Metformin HCl) Tab @ 100 - 1,072.00 - - - -
57 Forbetes 500 (Metformin HCl) Tab @ 100 - 1,018.00 - - - -
58 Forbetes 500 (Metformin HCl) Tab @ 100 - 1,017.50 - - - -
59 Gradilex 2 mg (Loperamid) - 170.676 - - - -
60 Grafacef 500 mg (Cefadroxil) - 1,084.05 - - - -
61 Grahabion 10 mg - 684.717 - - - -
62 Grafed Tab @ 30 - 1,375.00 - - - -
63 Gralysin Syrup @ 60 ml (Graha/IGD) - 11,028.59 - - - -
64 Gralixa 40 mg (Furosemid) - 206.261 - - - -
65 Grameta 10 mg (Domperidon) 162 - 162 240.196 38,911.75 - - 38,911.75
66 Grameta 5 mg (Domperidon) Syrup - - - 4,140.00 - - - -
67 Graseric 150 mg - 316.99 - - - -
68 Graseric 150 mg - 317.00 - - - -
69 GRATAMIN Tab @ 50 - 1,210.00 - - - -
70 Gratheos 50 mg (Natrium Diklofenak) 308 258 50 310.926 95,765.21 - 80,218.91 15,546.30
71 Gratheos 50 mg (Natrium Diklofenak) - 200.991 - - - -
72 Gratigo 5 mg @ 50 - 3,960.00 - - - -
73 Gravask 5 mg (Amlodipine) - 333.995 - - - -
74 Gravask 5 mg (Amlodipine) 3 - 3 549.449 1,648.35 - - 1,648.35
75 Gravask 10 mg (Amlodipine) 171 - 171 600.013 102,602.22 - - 102,602.22
76 Lipro-Q @ 30 - 7,040.00 - - - -
77 Megabal 500 mg @ 100 - 1,694.00 - - - -
78 Melogra 7.5 mg (Graha) - 540.00 - - - -
79 Melogra 7.5 mg (Graha) - 539.990 - - - -
80 Melogra 15 mg (Graha) - 634.00 - - - -
81 Melogra 15 mg (Graha) - - - 633.60 - - - -
82 Neurosanbe Tablet @ 100 (BSP) - 1,074.15 - - - -
83 Neurosanbe Tablet @ 100 (BSP) - 895.12 - - - -
84 Neurosanbe Plus Tablet @ 100 - 1,072.50 - - - -
85 Neurosanbe Plus Tablet @ 100 - 1,023.00 - - - -
86 Nicarfion 10 mg/10ml Injh Amp @ 5 (TSJ) - 165,000.00 - - - -
87 Nicarfion 10 mg/10ml Injh Amp @ 5 (TSJ) - 123,750.00 - - - -
88 NOBOR (Allylestrenol 5 mg) Tab @ 30 - 3,630.00 - - - -
89 NOBOR (Allylestrenol 5 mg) Tab @ 30 - 3,850.00 - - - -
90 Norages (Metamizole) 500 mg Inj Amp @ 5 - 8,470.00 - - - -
91 Norelut 5 mg @ 50 - 3,960.00 - - - -
92 Norelut 5 mg @ 50 - 4,257.00 - - - -
93 Norfion 4mg/4ml Inj Am,p IV @ 5 (Infion/TSJ) - 88,000.00 - - - -
94 NORSEC 20 mg Cap @ 14 - 12,100.00 - - - -
95 Norpid 10 mg (Simvastatin)(Graha) 180 180 - 331.504 59,670.66 - 59,670.66 - EXPIRED

96 Norpid 20 mg (Simvastatin)(Graha) - 661.00 - - - -

97 Norpid 20 mg (Simvastatin)(Graha) - - 660.95 - - - -
98 Novo Twist 32 G 5 mm @ 100 - 2,310.00 - - - -
99 Orinox 120 (Etoricobix) Tab @ 30 - 10,450.00 - - - -
100 Orinox 120 (Etoricobix) Tab @ 30 - 9,900.00 - - - -
101 Orinox 120 (Etoricobix) Tab @ 30 - 10,395 - - - -
102 Orinox 90 (Etoricobix) Tab @ 30 - - 7,920 - - - -
103 Puricemia 300 mg Tab @ 100 - 2,876.00 - - - -
104 Qipro-400 Tab @ 30 - 14,300.00 - - - -
105 Rifantibi 450 mg @ 100 (BSP) - 4,400.00 - - - -
106 Rifan-H 150 kapl @ 30 - 2,310.00 - - - -
107 Rifastar 4 FCD Tab @ 30 (IGM) - 5,115.00 - - - -
108 Rhodium Tab @ 30 - 6,050.00 - - - -
109 Ronazole (Metronidazole) Suspensi @ BTL - 39,160.00 - - - -
110 Ronazole (Metronidazole) Suspensi @ BTL - 41,250.00 - - - -
111 Rotaver Tab - 2,420.00 - - - -
112 Rydian 10 mg Tab @ 30 - 4,400.00 - - - -
113 Sanazet 500 mg @ 100 (BSP) - 1,298.00 - - - -
114 Santibi Plus @ 100 (BSP) 47 - 47 676.50 31,795.50 - - 31,795.50
115 Sanfuliq @ 30 Tab - 4,961.00 - - - -
116 Sangotonik Kapsul Emesis @ 30 - 579.20 - - - -
117 SANMAG SUSPENSI 120 ml - 23,650.00 - - - -
118 SANMAG SUSPENSI 120 ml - 24,244.00 - - - -
119 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 62,260.00 - - - -
120 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 59,230.00 - - - -
121 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 24,198.16 - - - -
122 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 60,489.00 - - - -
123 Sanmol (Paracetamol) Drops (MTKR) - 15,193.00 - - - -
124 Sanmol (Paracetamol) Drops (BSP) - 15,895.00 - - - -
125 Sanmol (Paracetamol) Drops (BSP) - 15,510.00 - - - -
126 Sanmol (Paracetamol) Drops (BSP) - 12,622.50 - - - -
127 Sanmol (Paracetamol) Drop(MTKR) - 15,895.00 - - - -
128 Sanmol (Paracetamol) Drops (BSP) 26 20 4 42 15,543.00 404,118.00 310,860.00 62,172.00 652,806.00
129 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 11,495.00 - - - -
130 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 11,825.00 - - - -
131 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 9,405.00 - - - -
132 Sanmol (Paracetamol) Syrup @ 60 ml(MTKR) - 11,825.00 - - - -
133 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 11,286.00 - - - -
134 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) 38 30 16 52 11,583.00 440,154.00 347,490.00 185,328.00 602,316.00
135 Sanmol(Paracetamol)500mg Tab @ 100 (BSP) 275.00 - - - -
136 Sanmol(Paracetamol)500mg Tab @ 100 - 286.00 - - - -
137 Sanmol(Paracetamol)500mg Tab @ 100 (MTKR) - 286.00 - - - -
138 Sanmol(Paracetamol)500mg Tab @ 100 (BSP) - 231.00 - - - -
139 Sanmol(Paracetamol)500mg Tab @ 100 - 277.20 - - - -
140 Sanmol(Paracetamol)500mg Tab @ 100 (BSP) 100 20 80 287.10 28,710.00 - 5,742.00 22,968.00
141 Sanmol Forte (Paracetamol) 650 mg @ 100 (BSP) - 341.00 - - - -
142 Sporetik (Cefixime)Dry Syr@BTL 30ml - 80,863.00 - - - -
143 Sporetik (Cefixime)Dry Syr@BTL 30ml (BSP) - 82,615.50 - - - -
144 Sporetik (Cefixime) 100 mg @ 30 - 2,185.00 - - - -
145 Stator 20 mg Tab @ 30 - 15,840.00 - - - -
146 Stilesco 100 mg Tab 30 (PV) - 35,200.00 - - - -
147 Stenirol 4 mg Tab @ 50 - 2,921.00 - - - -
148 Stenirol 4 mg Tab @ 50 - 2,728.00 - - - -
149 Stenirol 8 mg Tab @ 50 - 4,400.00 - - - -
150 Stenirol 16 mg Tab - 6,270.00 - - - -
151 Stenirol 125 mg Inj - 77,367.00 - - - -
152 Stesolid Rectal 10 mg Tube @ 5 - 39,204.00 - - - -
153 Stesolid Rectal 5 mg Tube @ 5 - 26,136.00 - - - -
154 Strovit 500 mg Kapsul @50 (IFI) 150 150 - 7,700.00 1,155,000.00 - 1,155,000.00 - EXPIRED

155 TENSINOP 5 (Lisinopril) Tab @ 30 - 2,385.00 - - - -

156 Termofen 100mg/5ml Suspensi 60ml (Infion/TSJ) - 20,625.00 - - - -
157 Teranol (Ketorolac) 30 mg/ml @ 6(KF) - 35,750.00 - - - -
158 Teranol (Ketorolac) 30 mg/ml @ 6(PV) - 38,500.00 - - - -
159 TERANOL 10 mg Tab @ 30 - 5,500.00 - - - -
160 TERANOL 10 mg Tab @ 30 - 5,072.00 - - - -
161 Terfacef (Ceftriaxone) 1 g Inj Vial - 215,380.00 - - - -
162 Terfacef (Ceftriaxone) 1 g Inj Vial - 211,032.00 - - - -
163 Terfacef (Ceftriaxone) 1 g Inj Vial - 202,988.00 - - - -
164 Terfacef (Ceftriaxone) 1 g Inj Vial (BSP) - 169,785.00 - - - -
165 Vaclo Tab @ 30 - 12,375.00 - - - -
166 Valisanbe 2 mg Tab - 143.00 - - - -
167 Valisanbe 5 mg Tab - 220.00 - - - -
168 Vomiper 5mg/5ml Suspensi @60ml (Infion/TSJ) - 24,750.00 - - - -
169 Vomistop (Domperidone) Syr @ BTL 60 ml - 41,250.00 - - - -
170 X-CAM 7,5 (Meloxicam) Tab @ 30 - 4,840.00 - - - -
171 XEPAGEL Cream 75 g - 110,110.00 - - - -
172 DESolex Lotion - 7,590.00 - - - -
173 ZIBRAMAX-500 Kapl @ 6 - 31,900.00 - - - -
174 ZIBRAMAX Sirup - 93,500.00 - - - -
175 Zincpro - 27,720.00 - - - -
176 Zibac 1 g - 96,800.00 - - - -
177 Zidifec (Ceftazidime) 1 g Inj Vial(MTKR) - 247,005.00 - - - -
178 Zidifec Injeksi Vial - 102,300.60 - - - -
179 Zircum Kid (Zinc) Syrup @ BTL 60 ml - 26,400.00 - - - -
Total 2,508,553.19 658,350.00 1,548,131.57 1,618,771.62 1,618,771.62

Kolaka,31 Agustus 2021

Bendahara Aset Kepala Instalasi Farmasi
RS. Benyamin Guluh Kab.Kolaka RS. Benyamin Guluh kab. Kolaka

FAJAR AHMAD MEGARISMANITA, S.Farm. M.Farm. Apt

Nip. 19810418 200701 1 009 Nip. 19750112 199803 2 002
Mengetahui
Direktur BLUD RS. Benyamin Guluh Kab.Kolaka

dr. H. MUHAMMAD RAFI

Nip. 19670201 200112 1 002
A
PEMERINTAH KABUPATEN KOLAKA DAFTAR PERSEDIAAN (STOK OPNAME) APOTEK RAWAT INAP
BLUD RS. BENYAMIN GULUH KAB. KOLAKA PERIODE 30 SEPTEMBER 2021
OBAT UMUM

Jumlah Unit (Satuan) Jumlah ( Rupiah )

NO JENIS PERSEDIAAN Saldo Awal Mutasi TA 2021 Saldo akhir HARGA Saldo Awal Mutasi TA 2021 Saldo akhir Kondisi
31-Aug-21 Penambahan Pengurangan 30-Sep-21 (Rp) 31-Aug-21 Penambahan Pengurangan 30-Sep-21
1 2 3 4 5 6=3+4 - 5 H.Satuan 7 8 9 10=7+ 8 - 9 11
1 Alloris (loratadine) Tab @ 100 (BSP) - 4,323.00 - - - -
2 AMOXSAN FORTE Dry Sirup - 30,921.00 - - - -
3 AMOXSAN FORTE Dry Sirup - 31,705.00 - - - -
4 Amosan (Amoxicillin) 500 mg Kaps (BSP) - 3,322.00 - - - -
5 Amosan (Amoxicillin) 500 mg Kaps - 3,301.00 - - - -
6 Amosan (Amoxicillin) 500 mg Kaps - 3,109.00 - - - -
7 Anadium (Diosmin & Hesperidin) Kapl @ 30 (KF) - 7,260.00 - - - -
8 Anadium (Diosmin & Hesperidin) Kapl @ 30 (PV) - 6,940.00 - - - -
9 Anadium (Diosmin & Hesperidin) Kapl @ 30 (PV) - 7,480.00 - - - -
10 Analsik (Metampiron & Diazepam)Kapl@100 - 1,111.00 - - - -
11 Analsik (Metampiron & Diazepam)Kapl@100 - 1,243.00 - - - -
12 Analsik (Metampiron & Diazepam)Kapl@100 - 1,595.00 - - - -
13 Analsik (Metampiron & Diazepam)Kapl@100 1 1 - 1,677.50 1,677.50 - 1,677.50 -
14 Cefat (Cefadroxil) 500 mg Kaps @ 100 - 10,615.00 - - - -
15 Cefat (Cefadroxil) 500 mg Kaps @ 100 - 10,347.00 - - - -
16 Cefat 125 mg Dry Syr 60 ml (MTKR) - 43,670.00 - - - -
17 Cefat Forte Dry Syr 60 ml (MTKR) - 71,500.00 - - - -
18 Cefat Forte Dry Syr 60 ml (MTKR) - 72,073.00 - - - -
19 Cefat Forte Dry Syr 60 ml (BSP) - 74,714.00 - - - -
Cition (Citicoline Sodium)250mg/2ml Inj Amp@5 - 22,000.00 - -
20 (TSJ) - -
21 Cition 500 mg (Citicoline) @ 30 (TSJ) - 9,817.50 - - - -
22 Cition 500 mg (Citicoline) @ 30 (TSJ) - 9,240.00 - - - -
23 Cition 1000 mg (Citicoline) @ 30 - 16,500.00 - - - -
24 Cition 1000 mg (Citicoline) @ 30 - 14,025.00 - - - -
25 Cition 1000 mg (Citicoline) @ 30 - 13,200.00 - - - -
26 Comvit-C Kapsul @100 (NOVA/BIS) - 1,210.00 - - - -
27 Cupanol (Paracetamol) Syr @ Btl 60 ml - 19,800.00 - - - -
28 Curcuma 200 mg Tab @ 100 - 952.00 - - - -
29 Curcuma 200 mg Tab @ 100 - 797.00 - - - -
30 Curviplex Syrup @ 60 ml (Graha/IGM) - 6,419.60 - - - -
31 Curvit Syrup - 24,200.00 - - - -
32 Crome (Carbazochrome) Inj 10 ml @ 10 Amp - 22,000.00 - - - -
33 Danalgin Tab - 1,155.00 - - - -
34 Daryantulle @ 10 - 16,500.00 - - - -
35 Depakene Syrup - 164,535.00 - - - -
36 Depakote 250 mg Tab - 6,711.00 - - - -
37 Dextamine Tablet @ 300 - 1,606.00 - - - -
38 Dextamine Tablet @ 300 - 1,740.00 - - - -
39 Dextamine Syrup - 30,204.00 - - - -
40 Dextamine Syrup - 27,183.00 - - - -
41 Desolex Lotion - 23,292.00 - - - -
42 Desolex Lotion - 23,832.00 - - - -
43 Detrovel 10 mg Tab - 1,760.00 - - - -
44 Detrovel 10 mg Tab - 1,964.00 - - - -
45 Dhavit Syrup @ BTL 60 ml (PV) - 30,250.00 - - - -
46 Dhavit Syrup @ BTL 60 ml(KF) - 27,500.00 - - - -
47 Digest (Lansoprazole) - 4,400.00 - - - -
48 Disolf 490 mg @ 30 - 6,792.00 - - - -
49 Disolf 490 mg @ 30 - 7,700.00 - - - -
50 Epexol (Ambroxol) 30mg Tab @100 (BSP) - 821.70 - - - -
51 Folamil kapl @ 100 - 1,045.00 - - - -
52 Folamil kapl @ 100 100 - 100 1,485.00 148,500.00 - - 148,500.00
53 Folamil Genio Soft Cap @ 30 - 3,658.00 - - - -
54 FOLDA Kaplet @ 30 - 3,850.00 - - - -
55 Forbetes 850 (Metformin HCl) Tab @ 100 - 1,001.00 - - - -
56 Forbetes 850 (Metformin HCl) Tab @ 100 - 1,072.00 - - - -
57 Forbetes 500 (Metformin HCl) Tab @ 100 - 1,018.00 - - - -
58 Forbetes 500 (Metformin HCl) Tab @ 100 - 1,017.50 - - - -
59 Gradilex 2 mg (Loperamid) - 170.676 - - - -
60 Grafacef 500 mg (Cefadroxil) - 1,084.05 - - - -
61 Grahabion 10 mg - 684.717 - - - -
62 Grafed Tab @ 30 - 1,375.00 - - - -
63 Gralysin Syrup @ 60 ml (Graha/IGD) - 11,028.59 - - - -
64 Gralixa 40 mg (Furosemid) - 206.261 - - - -
65 Grameta 10 mg (Domperidon) 162 - 162 240.196 38,911.75 - - 38,911.75
66 Grameta 5 mg (Domperidon) Syrup - - 4,140.00 - - - -
67 Graseric 150 mg - 316.99 - - - -
68 Graseric 150 mg - 317.00 - - - -
69 GRATAMIN Tab @ 50 - 1,210.00 - - - -
70 Gratheos 50 mg (Natrium Diklofenak) 50 - 50 310.926 15,546.30 - - 15,546.30
71 Gratheos 50 mg (Natrium Diklofenak) - 200.991 - - - -
72 Gratigo 5 mg @ 50 - 3,960.00 - - - -
73 Gravask 5 mg (Amlodipine) - 333.995 - - - -
74 Gravask 5 mg (Amlodipine) 3 - 3 549.449 1,648.35 - - 1,648.35
75 Gravask 10 mg (Amlodipine) 171 - 171 600.013 102,602.22 - - 102,602.22
76 Lipro-Q @ 30 - 7,040.00 - - - -
77 Megabal 500 mg @ 100 - 1,694.00 - - - -
78 Melogra 7.5 mg (Graha) - 540.00 - - - -
79 Melogra 7.5 mg (Graha) - 539.990 - - - -
80 Melogra 15 mg (Graha) - 634.00 - - - -
81 Melogra 15 mg (Graha) - - 633.60 - - - -
82 Neurosanbe Tablet @ 100 (BSP) - 1,074.15 - - - -
83 Neurosanbe Tablet @ 100 (BSP) - 895.12 - - - -
84 Neurosanbe Plus Tablet @ 100 - 1,072.50 - - - -
85 Neurosanbe Plus Tablet @ 100 - 1,023.00 - - - -
86 Nicarfion 10 mg/10ml Injh Amp @ 5 (TSJ) - 165,000.00 - - - -
87 Nicarfion 10 mg/10ml Injh Amp @ 5 (TSJ) - 123,750.00 - - - -
88 NOBOR (Allylestrenol 5 mg) Tab @ 30 - 3,630.00 - - - -
89 NOBOR (Allylestrenol 5 mg) Tab @ 30 - 3,850.00 - - - -
90 Norages (Metamizole) 500 mg Inj Amp @ 5 - 8,470.00 - - - -
91 Norelut 5 mg @ 50 - 3,960.00 - - - -
92 Norelut 5 mg @ 50 - 4,257.00 - - - -
93 Norfion 4mg/4ml Inj Am,p IV @ 5 (Infion/TSJ) - 88,000.00 - - - -
94 NORSEC 20 mg Cap @ 14 - 12,100.00 - - - -
95 Norpid 10 mg (Simvastatin)(Graha) - - 331.504 - - - -
96 Norpid 20 mg (Simvastatin)(Graha) - 661.00 - - - -
97 Norpid 20 mg (Simvastatin)(Graha) - 660.95 - - - -
98 Novo Twist 32 G 5 mm @ 100 - 2,310.00 - - - -
99 Orinox 120 (Etoricobix) Tab @ 30 - 10,450.00 - - - -
100 Orinox 120 (Etoricobix) Tab @ 30 - 9,900.00 - - - -
101 Orinox 120 (Etoricobix) Tab @ 30 - 10,395 - - - -
102 Orinox 90 (Etoricobix) Tab @ 30 - 7,920 - - - -
103 Puricemia 300 mg Tab @ 100 - 2,876.00 - - - -
104 Qipro-400 Tab @ 30 - 14,300.00 - - - -
105 Rifantibi 450 mg @ 100 (BSP) - 4,400.00 - - - -
106 Rifan-H 150 kapl @ 30 - 2,310.00 - - - -
107 Rifastar 4 FCD Tab @ 30 (IGM) - 5,115.00 - - - -
108 Rhodium Tab @ 30 - 6,050.00 - - - -
109 Ronazole (Metronidazole) Suspensi @ BTL - 39,160.00 - - - -
110 Ronazole (Metronidazole) Suspensi @ BTL - 41,250.00 - - - -
111 Rotaver Tab - 2,420.00 - - - -
112 Rydian 10 mg Tab @ 30 - 4,400.00 - - - -
113 Sanazet 500 mg @ 100 (BSP) - 1,298.00 - - - -
114 Santibi Plus @ 100 (BSP) 47 - 47 676.50 31,795.50 - - 31,795.50
115 Sanfuliq @ 30 Tab - 4,961.00 - - - -
116 Sangotonik Kapsul Emesis @ 30 - 579.20 - - - -
117 SANMAG SUSPENSI 120 ml - 23,650.00 - - - -
118 SANMAG SUSPENSI 120 ml - 24,244.00 - - - -
119 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 62,260.00 - - - -
120 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 59,230.00 - - - -
121 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 24,198.16 - - - -
122 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 60,489.00 - - - -
123 Sanmol (Paracetamol) Drops (MTKR) - 15,193.00 - - - -
124 Sanmol (Paracetamol) Drops (BSP) - 15,895.00 - - - -
125 Sanmol (Paracetamol) Drops (BSP) - 15,510.00 - - - -
126 Sanmol (Paracetamol) Drops (BSP) - 12,622.50 - - - -
127 Sanmol (Paracetamol) Drop(MTKR) - 15,895.00 - - - -
128 Sanmol (Paracetamol) Drops (BSP) 42 6 36 15,543.00 652,806.00 - 93,258.00 559,548.00
129 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 11,495.00 - - - -
130 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 11,825.00 - - - -
131 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 9,405.00 - - - -
132 Sanmol (Paracetamol) Syrup @ 60 ml(MTKR) - 11,825.00 - - - -
133 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 11,286.00 - - - -
134 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) 52 6 46 11,583.00 602,316.00 - 69,498.00 532,818.00
135 Sanmol(Paracetamol)500mg Tab @ 100 (BSP) 275.00 - - - -
136 Sanmol(Paracetamol)500mg Tab @ 100 - 286.00 - - - -
137 Sanmol(Paracetamol)500mg Tab @ 100 (MTKR) - 286.00 - - - -
138 Sanmol(Paracetamol)500mg Tab @ 100 (BSP) - 231.00 - - - -
139 Sanmol(Paracetamol)500mg Tab @ 100 - 277.20 - - - -
140 Sanmol(Paracetamol)500mg Tab @ 100 (BSP) 80 20 60 287.10 22,968.00 - 5,742.00 17,226.00
141 Sanmol Forte (Paracetamol) 650 mg @ 100 (BSP) - 341.00 - - - -
142 Sporetik (Cefixime)Dry Syr@BTL 30ml - 80,863.00 - - - -
143 Sporetik (Cefixime)Dry Syr@BTL 30ml (BSP) - 82,615.50 - - - -
144 Sporetik (Cefixime) 100 mg @ 30 - 2,185.00 - - - -
145 Stator 20 mg Tab @ 30 - 15,840.00 - - - -
146 Stilesco 100 mg Tab 30 (PV) - 35,200.00 - - - -
147 Stenirol 4 mg Tab @ 50 - 2,921.00 - - - -
148 Stenirol 4 mg Tab @ 50 - 2,728.00 - - - -
149 Stenirol 8 mg Tab @ 50 - 4,400.00 - - - -
150 Stenirol 16 mg Tab - 6,270.00 - - - -
151 Stenirol 125 mg Inj - 77,367.00 - - - -
152 Stesolid Rectal 10 mg Tube @ 5 - 39,204.00 - - - -
153 Stesolid Rectal 5 mg Tube @ 5 - 26,136.00 - - - -
154 Strovit 500 mg Kapsul @50 (IFI) - - 7,700.00 - - - -
155 TENSINOP 5 (Lisinopril) Tab @ 30 - 2,385.00 - - - -
156 Termofen 100mg/5ml Suspensi 60ml (Infion/TSJ) - 20,625.00 - - - -
157 Teranol (Ketorolac) 30 mg/ml @ 6(KF) - 35,750.00 - - - -
158 Teranol (Ketorolac) 30 mg/ml @ 6(PV) - 38,500.00 - - - -
159 TERANOL 10 mg Tab @ 30 - 5,500.00 - - - -
160 TERANOL 10 mg Tab @ 30 - 5,072.00 - - - -
161 Terfacef (Ceftriaxone) 1 g Inj Vial - 215,380.00 - - - -
162 Terfacef (Ceftriaxone) 1 g Inj Vial - 211,032.00 - - - -
163 Terfacef (Ceftriaxone) 1 g Inj Vial - 202,988.00 - - - -
164 Terfacef (Ceftriaxone) 1 g Inj Vial (BSP) - 169,785.00 - - - -
165 Vaclo Tab @ 30 - 12,375.00 - - - -
166 Valisanbe 2 mg Tab - 143.00 - - - -
167 Valisanbe 5 mg Tab - 220.00 - - - -
168 Vomiper 5mg/5ml Suspensi @60ml (Infion/TSJ) - 24,750.00 - - - -
169 Vomistop (Domperidone) Syr @ BTL 60 ml - 41,250.00 - - - -
170 X-CAM 7,5 (Meloxicam) Tab @ 30 - 4,840.00 - - - -
171 XEPAGEL Cream 75 g - 110,110.00 - - - -
172 DESolex Lotion - 7,590.00 - - - -
173 ZIBRAMAX-500 Kapl @ 6 - 31,900.00 - - - -
174 ZIBRAMAX Sirup - 93,500.00 - - - -
175 Zincpro - 27,720.00 - - - -
176 Zibac 1 g - 96,800.00 - - - -
177 Zidifec (Ceftazidime) 1 g Inj Vial(MTKR) - 247,005.00 - - - -
178 Zidifec Injeksi Vial - 102,300.60 - - - -
179 Zircum Kid (Zinc) Syrup @ BTL 60 ml - 26,400.00 - - - -
Total 1,618,771.62 - 170,175.50 1,448,596.12 1,448,596.12

Kolaka, 30 September 2021

Bendahara Aset Kepala Instalasi Farmasi
RS. Benyamin Guluh Kab.Kolaka RS. Benyamin Guluh kab. Kolaka

FAJAR AHMAD MEGARISMANITA, S.Farm. M.Farm. Apt

Nip. 19810418 200701 1 009 Nip. 19750112 199803 2 002
Mengetahui
Direktur BLUD RS. Benyamin Guluh Kab.Kolaka

dr. H. MUHAMMAD RAFI

Nip. 19670201 200112 1 002
A
PEMERINTAH KABUPATEN KOLAKA DAFTAR PERSEDIAAN (STOK OPNAME) APOTEK RAWAT INAP
BLUD RS. BENYAMIN GULUH KAB. KOLAKA PERIODE 31 OKTOBER 2021
OBAT UMUM

Jumlah Unit (Satuan) Jumlah ( Rupiah )

NO JENIS PERSEDIAAN Saldo Awal Mutasi TA 2021 Saldo akhir HARGA Saldo Awal Mutasi TA 2021 Saldo akhir Kondisi
30-Sep-21 Penambahan Pengurangan 31-Oct-21 (Rp) 30-Sep-21 Penambahan Pengurangan 31-Oct-21
1 2 3 4 5 6=3+4 - 5 H.Satuan 7 8 9 10=7+ 8 - 9 11
1 Alloris (loratadine) Tab @ 100 (BSP) - 4,323.00 - - - -
2 AMOXSAN FORTE Dry Sirup - 30,921.00 - - - -
3 AMOXSAN FORTE Dry Sirup - 31,705.00 - - - -
4 Amosan (Amoxicillin) 500 mg Kaps (BSP) - 3,322.00 - - - -
5 Amosan (Amoxicillin) 500 mg Kaps - 3,301.00 - - - -
6 Amosan (Amoxicillin) 500 mg Kaps - 3,109.00 - - - -
7 Anadium (Diosmin & Hesperidin) Kapl @ 30 (KF) - 7,260.00 - - - -
8 Anadium (Diosmin & Hesperidin) Kapl @ 30 (PV) - 6,940.00 - - - -
9 Anadium (Diosmin & Hesperidin) Kapl @ 30 (PV) - 7,480.00 - - - -
10 Analsik (Metampiron & Diazepam)Kapl@100 - 1,111.00 - - - -
11 Analsik (Metampiron & Diazepam)Kapl@100 - 1,243.00 - - - -
12 Analsik (Metampiron & Diazepam)Kapl@100 - 1,595.00 - - - -
13 Analsik (Metampiron & Diazepam)Kapl@100 - - 1,677.50 - - - -
14 Cefat (Cefadroxil) 500 mg Kaps @ 100 - 10,615.00 - - - -
15 Cefat (Cefadroxil) 500 mg Kaps @ 100 - 10,347.00 - - - -
16 Cefat 125 mg Dry Syr 60 ml (MTKR) - 43,670.00 - - - -
17 Cefat Forte Dry Syr 60 ml (MTKR) - 71,500.00 - - - -
18 Cefat Forte Dry Syr 60 ml (MTKR) - 72,073.00 - - - -
19 Cefat Forte Dry Syr 60 ml (BSP) - 74,714.00 - - - -
Cition (Citicoline Sodium)250mg/2ml Inj Amp@5 - 22,000.00 - -
20 (TSJ) - -
21 Cition 500 mg (Citicoline) @ 30 (TSJ) - 9,817.50 - - - -
22 Cition 500 mg (Citicoline) @ 30 (TSJ) - 9,240.00 - - - -
23 Cition 1000 mg (Citicoline) @ 30 - 16,500.00 - - - -
24 Cition 1000 mg (Citicoline) @ 30 - 14,025.00 - - - -
25 Cition 1000 mg (Citicoline) @ 30 - 13,200.00 - - - -
26 Comvit-C Kapsul @100 (NOVA/BIS) - 1,210.00 - - - -
27 Cupanol (Paracetamol) Syr @ Btl 60 ml - 19,800.00 - - - -
28 Curcuma 200 mg Tab @ 100 - 952.00 - - - -
29 Curcuma 200 mg Tab @ 100 - 797.00 - - - -
30 Curviplex Syrup @ 60 ml (Graha/IGM) - 6,419.60 - - - -
31 Curvit Syrup - 24,200.00 - - - -
32 Crome (Carbazochrome) Inj 10 ml @ 10 Amp - 22,000.00 - - - -
33 Danalgin Tab - 1,155.00 - - - -
34 Daryantulle @ 10 - 16,500.00 - - - -
35 Depakene Syrup - 164,535.00 - - - -
36 Depakote 250 mg Tab - 6,711.00 - - - -
37 Dextamine Tablet @ 300 - 1,606.00 - - - -
38 Dextamine Tablet @ 300 - 1,740.00 - - - -
39 Dextamine Syrup - 30,204.00 - - - -
40 Dextamine Syrup - 27,183.00 - - - -
41 Desolex Lotion - 23,292.00 - - - -
42 Desolex Lotion - 23,832.00 - - - -
43 Detrovel 10 mg Tab - 1,760.00 - - - -
44 Detrovel 10 mg Tab - 1,964.00 - - - -
45 Dhavit Syrup @ BTL 60 ml (PV) - 30,250.00 - - - -
46 Dhavit Syrup @ BTL 60 ml(KF) - 27,500.00 - - - -
47 Digest (Lansoprazole) - 4,400.00 - - - -
48 Disolf 490 mg @ 30 - 6,792.00 - - - -
49 Disolf 490 mg @ 30 - 7,700.00 - - - -
50 Epexol (Ambroxol) 30mg Tab @100 (BSP) - 821.70 - - - -
51 Folamil kapl @ 100 - 1,045.00 - - - -
52 Folamil kapl @ 100 100 - 100 1,485.00 148,500.00 - - 148,500.00
53 Folamil Genio Soft Cap @ 30 - 3,658.00 - - - -
54 FOLDA Kaplet @ 30 - 3,850.00 - - - -
55 Forbetes 850 (Metformin HCl) Tab @ 100 - 1,001.00 - - - -
56 Forbetes 850 (Metformin HCl) Tab @ 100 - 1,072.00 - - - -
57 Forbetes 500 (Metformin HCl) Tab @ 100 - 1,018.00 - - - -
58 Forbetes 500 (Metformin HCl) Tab @ 100 - 1,017.50 - - - -
59 Gradilex 2 mg (Loperamid) - 170.676 - - - -
60 Grafacef 500 mg (Cefadroxil) - 1,084.05 - - - -
61 Grahabion 10 mg - 684.717 - - - -
62 Grafed Tab @ 30 - 1,375.00 - - - -
63 Gralysin Syrup @ 60 ml (Graha/IGD) - 11,028.59 - - - -
64 Gralixa 40 mg (Furosemid) - 206.261 - - - -
65 Grameta 10 mg (Domperidon) 162 10 152 240.196 38,911.75 - 2,401.96 36,509.79
66 Grameta 5 mg (Domperidon) Syrup - 4,140.00 - - - -
67 Graseric 150 mg - 316.99 - - - -
68 Graseric 150 mg - 317.00 - - - -
69 GRATAMIN Tab @ 50 - 1,210.00 - - - -
70 Gratheos 50 mg (Natrium Diklofenak) 50 - 50 310.926 15,546.30 - - 15,546.30
71 Gratheos 50 mg (Natrium Diklofenak) - 200.991 - - - -
72 Gratigo 5 mg @ 50 - 3,960.00 - - - -
73 Gravask 5 mg (Amlodipine) - 333.995 - - - -
74 Gravask 5 mg (Amlodipine) 3 - 3 549.449 1,648.35 - - 1,648.35
75 Gravask 10 mg (Amlodipine) 171 - 171 600.013 102,602.22 - - 102,602.22
76 Lipro-Q @ 30 - 7,040.00 - - - -
77 Megabal 500 mg @ 100 - 1,694.00 - - - -
78 Melogra 7.5 mg (Graha) - 540.00 - - - -
79 Melogra 7.5 mg (Graha) - 539.990 - - - -
80 Melogra 15 mg (Graha) - 634.00 - - - -
81 Melogra 15 mg (Graha) - 633.60 - - - -
82 Neurosanbe Tablet @ 100 (BSP) - 1,074.15 - - - -
83 Neurosanbe Tablet @ 100 (BSP) - 895.12 - - - -
84 Neurosanbe Plus Tablet @ 100 - 1,072.50 - - - -
85 Neurosanbe Plus Tablet @ 100 - 1,023.00 - - - -
86 Nicarfion 10 mg/10ml Injh Amp @ 5 (TSJ) - 165,000.00 - - - -
87 Nicarfion 10 mg/10ml Injh Amp @ 5 (TSJ) - 123,750.00 - - - -
88 NOBOR (Allylestrenol 5 mg) Tab @ 30 - 3,630.00 - - - -
89 NOBOR (Allylestrenol 5 mg) Tab @ 30 - 3,850.00 - - - -
90 Norages (Metamizole) 500 mg Inj Amp @ 5 - 8,470.00 - - - -
91 Norelut 5 mg @ 50 - 3,960.00 - - - -
92 Norelut 5 mg @ 50 - 4,257.00 - - - -
93 Norfion 4mg/4ml Inj Am,p IV @ 5 (Infion/TSJ) - 88,000.00 - - - -
94 NORSEC 20 mg Cap @ 14 - 12,100.00 - - - -
95 Norpid 10 mg (Simvastatin)(Graha) - 331.504 - - - -
96 Norpid 20 mg (Simvastatin)(Graha) - 661.00 - - - -
97 Norpid 20 mg (Simvastatin)(Graha) - 660.95 - - - -
98 Novo Twist 32 G 5 mm @ 100 - 2,310.00 - - - -
99 Orinox 120 (Etoricobix) Tab @ 30 - 10,450.00 - - - -
100 Orinox 120 (Etoricobix) Tab @ 30 - 9,900.00 - - - -
101 Orinox 120 (Etoricobix) Tab @ 30 - 10,395 - - - -
102 Orinox 90 (Etoricobix) Tab @ 30 - 7,920 - - - -
103 Puricemia 300 mg Tab @ 100 - 2,876.00 - - - -
104 Qipro-400 Tab @ 30 - 14,300.00 - - - -
105 Rifantibi 450 mg @ 100 (BSP) - 4,400.00 - - - -
106 Rifan-H 150 kapl @ 30 - 2,310.00 - - - -
107 Rifastar 4 FCD Tab @ 30 (IGM) - 5,115.00 - - - -
108 Rhodium Tab @ 30 - 6,050.00 - - - -
109 Ronazole (Metronidazole) Suspensi @ BTL - 39,160.00 - - - -
110 Ronazole (Metronidazole) Suspensi @ BTL - 41,250.00 - - - -
111 Rotaver Tab - 2,420.00 - - - -
112 Rydian 10 mg Tab @ 30 - 4,400.00 - - - -
113 Sanazet 500 mg @ 100 (BSP) - 1,298.00 - - - -
114 Santibi Plus @ 100 (BSP) 47 - 47 676.50 31,795.50 - - 31,795.50
115 Sanfuliq @ 30 Tab - 4,961.00 - - - -
116 Sangotonik Kapsul Emesis @ 30 - 579.20 - - - -
117 SANMAG SUSPENSI 120 ml - 23,650.00 - - - -
118 SANMAG SUSPENSI 120 ml - 24,244.00 - - - -
119 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 62,260.00 - - - -
120 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 59,230.00 - - - -
121 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 24,198.16 - - - -
122 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 60,489.00 - - - -
123 Sanmol (Paracetamol) Drops (MTKR) - 15,193.00 - - - -
124 Sanmol (Paracetamol) Drops (BSP) - 15,895.00 - - - -
125 Sanmol (Paracetamol) Drops (BSP) - 15,510.00 - - - -
126 Sanmol (Paracetamol) Drops (BSP) - 12,622.50 - - - -
127 Sanmol (Paracetamol) Drop(MTKR) - 15,895.00 - - - -
128 Sanmol (Paracetamol) Drops (BSP) 36 6 30 15,543.00 559,548.00 - 93,258.00 466,290.00
129 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 11,495.00 - - - -
130 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 11,825.00 - - - -
131 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 9,405.00 - - - -
132 Sanmol (Paracetamol) Syrup @ 60 ml(MTKR) - 11,825.00 - - - -
133 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 11,286.00 - - - -
134 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) 46 12 34 11,583.00 532,818.00 - 138,996.00 393,822.00
135 Sanmol(Paracetamol)500mg Tab @ 100 (BSP) 275.00 - - - -
136 Sanmol(Paracetamol)500mg Tab @ 100 - 286.00 - - - -
137 Sanmol(Paracetamol)500mg Tab @ 100 (MTKR) - 286.00 - - - -
138 Sanmol(Paracetamol)500mg Tab @ 100 (BSP) - 231.00 - - - -
139 Sanmol(Paracetamol)500mg Tab @ 100 - 277.20 - - - -
140 Sanmol(Paracetamol)500mg Tab @ 100 (BSP) 60 60 - 287.10 17,226.00 - 17,226.00 -
141 Sanmol Forte (Paracetamol) 650 mg @ 100 (BSP) - 341.00 - - - -
142 Sporetik (Cefixime)Dry Syr@BTL 30ml - 80,863.00 - - - -
143 Sporetik (Cefixime)Dry Syr@BTL 30ml (BSP) - 82,615.50 - - - -
144 Sporetik (Cefixime) 100 mg @ 30 - 2,185.00 - - - -
145 Stator 20 mg Tab @ 30 - 15,840.00 - - - -
146 Stilesco 100 mg Tab 30 (PV) - 35,200.00 - - - -
147 Stenirol 4 mg Tab @ 50 - 2,921.00 - - - -
148 Stenirol 4 mg Tab @ 50 - 2,728.00 - - - -
149 Stenirol 8 mg Tab @ 50 - 4,400.00 - - - -
150 Stenirol 16 mg Tab - 6,270.00 - - - -
151 Stenirol 125 mg Inj - 77,367.00 - - - -
152 Stesolid Rectal 10 mg Tube @ 5 - 39,204.00 - - - -
153 Stesolid Rectal 5 mg Tube @ 5 - 26,136.00 - - - -
154 Strovit 500 mg Kapsul @50 (IFI) - 7,700.00 - - - -
155 TENSINOP 5 (Lisinopril) Tab @ 30 - 2,385.00 - - - -
156 Termofen 100mg/5ml Suspensi 60ml (Infion/TSJ) - 20,625.00 - - - -
157 Teranol (Ketorolac) 30 mg/ml @ 6(KF) - 35,750.00 - - - -
158 Teranol (Ketorolac) 30 mg/ml @ 6(PV) - 38,500.00 - - - -
159 TERANOL 10 mg Tab @ 30 - 5,500.00 - - - -
160 TERANOL 10 mg Tab @ 30 - 5,072.00 - - - -
161 Terfacef (Ceftriaxone) 1 g Inj Vial - 215,380.00 - - - -
162 Terfacef (Ceftriaxone) 1 g Inj Vial - 211,032.00 - - - -
163 Terfacef (Ceftriaxone) 1 g Inj Vial - 202,988.00 - - - -
164 Terfacef (Ceftriaxone) 1 g Inj Vial (BSP) - 169,785.00 - - - -
165 Vaclo Tab @ 30 - 12,375.00 - - - -
166 Valisanbe 2 mg Tab - 143.00 - - - -
167 Valisanbe 5 mg Tab - 220.00 - - - -
168 Vomiper 5mg/5ml Suspensi @60ml (Infion/TSJ) - 24,750.00 - - - -
169 Vomistop (Domperidone) Syr @ BTL 60 ml - 41,250.00 - - - -
170 X-CAM 7,5 (Meloxicam) Tab @ 30 - 4,840.00 - - - -
171 XEPAGEL Cream 75 g - 110,110.00 - - - -
172 DESolex Lotion - 7,590.00 - - - -
173 ZIBRAMAX-500 Kapl @ 6 - 31,900.00 - - - -
174 ZIBRAMAX Sirup - 93,500.00 - - - -
175 Zincpro - 27,720.00 - - - -
176 Zibac 1 g - 96,800.00 - - - -
177 Zidifec (Ceftazidime) 1 g Inj Vial(MTKR) - 247,005.00 - - - -
178 Zidifec Injeksi Vial - 102,300.60 - - - -
179 Zircum Kid (Zinc) Syrup @ BTL 60 ml - 26,400.00 - - - -
Total 1,448,596.12 - 251,881.96 1,196,714.16 1,196,714.16

Kolaka, 31 Oktober 2021

Bendahara Aset Kepala Instalasi Farmasi
RS. Benyamin Guluh Kab.Kolaka RS. Benyamin Guluh kab. Kolaka

FAJAR AHMAD MEGARISMANITA, S.Farm. M.Farm. Apt

Nip. 19810418 200701 1 009 Nip. 19750112 199803 2 002
Mengetahui
Direktur BLUD RS. Benyamin Guluh Kab.Kolaka

dr. H. MUHAMMAD RAFI

Nip. 19670201 200112 1 002
A
PEMERINTAH KABUPATEN KOLAKA DAFTAR PERSEDIAAN (STOK OPNAME) APOTEK RAWAT INAP
BLUD RS. BENYAMIN GULUH KAB. KOLAKA PERIODE 30 NOVEMBER 2021
OBAT UMUM

Jumlah Unit (Satuan) Jumlah ( Rupiah )

NO JENIS PERSEDIAAN Saldo Awal Mutasi TA 2021 Saldo akhir HARGA Saldo Awal Mutasi TA 2021 Saldo akhir Kondisi
31-Oct-21 Penambahan Pengurangan 30-Nov-21 (Rp) 31-Oct-21 Penambahan Pengurangan 30-Nov-21
1 2 3 4 5 6=3+4 - 5 H.Satuan 7 8 9 10=7+ 8 - 9 11
1 Alloris (loratadine) Tab @ 100 (BSP) - 4,323.00 - - - -
2 AMOXSAN FORTE Dry Sirup - 30,921.00 - - - -
3 AMOXSAN FORTE Dry Sirup - 31,705.00 - - - -
4 Amosan (Amoxicillin) 500 mg Kaps (BSP) - 3,322.00 - - - -
5 Amosan (Amoxicillin) 500 mg Kaps - 3,301.00 - - - -
6 Amosan (Amoxicillin) 500 mg Kaps - 3,109.00 - - - -
7 Anadium (Diosmin & Hesperidin) Kapl @ 30 (KF) - 7,260.00 - - - -
8 Anadium (Diosmin & Hesperidin) Kapl @ 30 (PV) - 6,940.00 - - - -
9 Anadium (Diosmin & Hesperidin) Kapl @ 30 (PV) - 7,480.00 - - - -
10 Analsik (Metampiron & Diazepam)Kapl@100 - 1,111.00 - - - -
11 Analsik (Metampiron & Diazepam)Kapl@100 - 1,243.00 - - - -
12 Analsik (Metampiron & Diazepam)Kapl@100 - 1,595.00 - - - -
13 Analsik (Metampiron & Diazepam)Kapl@100 - 1,677.50 - - - -
14 Cefat (Cefadroxil) 500 mg Kaps @ 100 - 10,615.00 - - - -
15 Cefat (Cefadroxil) 500 mg Kaps @ 100 - 10,347.00 - - - -
16 Cefat 125 mg Dry Syr 60 ml (MTKR) - 43,670.00 - - - -
17 Cefat Forte Dry Syr 60 ml (MTKR) - 71,500.00 - - - -
18 Cefat Forte Dry Syr 60 ml (MTKR) - 72,073.00 - - - -
19 Cefat Forte Dry Syr 60 ml (BSP) - 74,714.00 - - - -
Cition (Citicoline Sodium)250mg/2ml Inj Amp@5 - 22,000.00 - -
20 (TSJ) - -
21 Cition 500 mg (Citicoline) @ 30 (TSJ) - 9,817.50 - - - -
22 Cition 500 mg (Citicoline) @ 30 (TSJ) - 9,240.00 - - - -
23 Cition 1000 mg (Citicoline) @ 30 - 16,500.00 - - - -
24 Cition 1000 mg (Citicoline) @ 30 - 14,025.00 - - - -
25 Cition 1000 mg (Citicoline) @ 30 - 13,200.00 - - - -
26 Comvit-C Kapsul @100 (NOVA/BIS) - 1,210.00 - - - -
27 Cupanol (Paracetamol) Syr @ Btl 60 ml - 19,800.00 - - - -
28 Curcuma 200 mg Tab @ 100 - 952.00 - - - -
29 Curcuma 200 mg Tab @ 100 - 797.00 - - - -
30 Curviplex Syrup @ 60 ml (Graha/IGM) - 6,419.60 - - - -
31 Curvit Syrup - 24,200.00 - - - -
32 Crome (Carbazochrome) Inj 10 ml @ 10 Amp - 22,000.00 - - - -
33 Danalgin Tab - 1,155.00 - - - -
34 Daryantulle @ 10 - 16,500.00 - - - -
35 Depakene Syrup - 164,535.00 - - - -
36 Depakote 250 mg Tab - 6,711.00 - - - -
37 Dextamine Tablet @ 300 - 1,606.00 - - - -
38 Dextamine Tablet @ 300 - 1,740.00 - - - -
39 Dextamine Syrup - 30,204.00 - - - -
40 Dextamine Syrup - 27,183.00 - - - -
41 Desolex Lotion - 23,292.00 - - - -
42 Desolex Lotion - 23,832.00 - - - -
43 Detrovel 10 mg Tab - 1,760.00 - - - -
44 Detrovel 10 mg Tab - 1,964.00 - - - -
45 Dhavit Syrup @ BTL 60 ml (PV) - 30,250.00 - - - -
46 Dhavit Syrup @ BTL 60 ml(KF) - 27,500.00 - - - -
47 Digest (Lansoprazole) - 4,400.00 - - - -
48 Disolf 490 mg @ 30 - 6,792.00 - - - -
49 Disolf 490 mg @ 30 - 7,700.00 - - - -
50 Epexol (Ambroxol) 30mg Tab @100 (BSP) - 821.70 - - - -
51 Folamil kapl @ 100 - 1,045.00 - - - -
52 Folamil kapl @ 100 100 - 100 1,485.00 148,500.00 - - 148,500.00
53 Folamil Genio Soft Cap @ 30 - 3,658.00 - - - -
54 FOLDA Kaplet @ 30 - 3,850.00 - - - -
55 Forbetes 850 (Metformin HCl) Tab @ 100 - 1,001.00 - - - -
56 Forbetes 850 (Metformin HCl) Tab @ 100 - 1,072.00 - - - -
57 Forbetes 500 (Metformin HCl) Tab @ 100 - 1,018.00 - - - -
58 Forbetes 500 (Metformin HCl) Tab @ 100 - 1,017.50 - - - -
59 Gradilex 2 mg (Loperamid) - 170.676 - - - -
60 Grafacef 500 mg (Cefadroxil) - 1,084.05 - - - -
61 Grahabion 10 mg - 684.717 - - - -
62 Grafed Tab @ 30 - 1,375.00 - - - -
63 Gralysin Syrup @ 60 ml (Graha/IGD) - 11,028.59 - - - -
64 Gralixa 40 mg (Furosemid) - 206.261 - - - -
65 Grameta 10 mg (Domperidon) 152 - 152 240.196 36,509.79 - - 36,509.79
66 Grameta 5 mg (Domperidon) Syrup - 4,140.00 - - - -
67 Graseric 150 mg - 316.99 - - - -
68 Graseric 150 mg - 317.00 - - - -
69 GRATAMIN Tab @ 50 - 1,210.00 - - - -
70 Gratheos 50 mg (Natrium Diklofenak) 50 - 50 310.926 15,546.30 - - 15,546.30
71 Gratheos 50 mg (Natrium Diklofenak) - 200.991 - - - -
72 Gratigo 5 mg @ 50 - 3,960.00 - - - -
73 Gravask 5 mg (Amlodipine) - 333.995 - - - -
74 Gravask 5 mg (Amlodipine) 3 - 3 549.449 1,648.35 - - 1,648.35
75 Gravask 10 mg (Amlodipine) 171 - 171 600.013 102,602.22 - - 102,602.22
76 Lipro-Q @ 30 - 7,040.00 - - - -
77 Megabal 500 mg @ 100 - 1,694.00 - - - -
78 Melogra 7.5 mg (Graha) - 540.00 - - - -
79 Melogra 7.5 mg (Graha) - 539.990 - - - -
80 Melogra 15 mg (Graha) - 634.00 - - - -
81 Melogra 15 mg (Graha) - 633.60 - - - -
82 Neurosanbe Tablet @ 100 (BSP) - 1,074.15 - - - -
83 Neurosanbe Tablet @ 100 (BSP) - 895.12 - - - -
84 Neurosanbe Plus Tablet @ 100 - 1,072.50 - - - -
85 Neurosanbe Plus Tablet @ 100 - 1,023.00 - - - -
86 Nicarfion 10 mg/10ml Injh Amp @ 5 (TSJ) - 165,000.00 - - - -
87 Nicarfion 10 mg/10ml Injh Amp @ 5 (TSJ) - 123,750.00 - - - -
88 NOBOR (Allylestrenol 5 mg) Tab @ 30 - 3,630.00 - - - -
89 NOBOR (Allylestrenol 5 mg) Tab @ 30 - 3,850.00 - - - -
90 Norages (Metamizole) 500 mg Inj Amp @ 5 - 8,470.00 - - - -
91 Norelut 5 mg @ 50 - 3,960.00 - - - -
92 Norelut 5 mg @ 50 - 4,257.00 - - - -
93 Norfion 4mg/4ml Inj Am,p IV @ 5 (Infion/TSJ) - 88,000.00 - - - -
94 NORSEC 20 mg Cap @ 14 - 12,100.00 - - - -
95 Norpid 10 mg (Simvastatin)(Graha) - 331.504 - - - -
96 Norpid 20 mg (Simvastatin)(Graha) - 661.00 - - - -
97 Norpid 20 mg (Simvastatin)(Graha) - 660.95 - - - -
98 Novo Twist 32 G 5 mm @ 100 - 2,310.00 - - - -
99 Orinox 120 (Etoricobix) Tab @ 30 - 10,450.00 - - - -
100 Orinox 120 (Etoricobix) Tab @ 30 - 9,900.00 - - - -
101 Orinox 120 (Etoricobix) Tab @ 30 - 10,395 - - - -
102 Orinox 90 (Etoricobix) Tab @ 30 - 7,920 - - - -
103 Puricemia 300 mg Tab @ 100 - 2,876.00 - - - -
104 Qipro-400 Tab @ 30 - 14,300.00 - - - -
105 Rifantibi 450 mg @ 100 (BSP) - 4,400.00 - - - -
106 Rifan-H 150 kapl @ 30 - 2,310.00 - - - -
107 Rifastar 4 FCD Tab @ 30 (IGM) - 5,115.00 - - - -
108 Rhodium Tab @ 30 - 6,050.00 - - - -
109 Ronazole (Metronidazole) Suspensi @ BTL - 39,160.00 - - - -
110 Ronazole (Metronidazole) Suspensi @ BTL - 41,250.00 - - - -
111 Rotaver Tab - 2,420.00 - - - -
112 Rydian 10 mg Tab @ 30 - 4,400.00 - - - -
113 Sanazet 500 mg @ 100 (BSP) - 1,298.00 - - - -
114 Santibi Plus @ 100 (BSP) 47 - 47 676.50 31,795.50 - - 31,795.50
115 Sanfuliq @ 30 Tab - 4,961.00 - - - -
116 Sangotonik Kapsul Emesis @ 30 - 579.20 - - - -
117 SANMAG SUSPENSI 120 ml - 23,650.00 - - - -
118 SANMAG SUSPENSI 120 ml - 24,244.00 - - - -
119 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 62,260.00 - - - -
120 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 59,230.00 - - - -
121 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 24,198.16 - - - -
122 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 60,489.00 - - - -
123 Sanmol (Paracetamol) Drops (MTKR) - 15,193.00 - - - -
124 Sanmol (Paracetamol) Drops (BSP) - 15,895.00 - - - -
125 Sanmol (Paracetamol) Drops (BSP) - 15,510.00 - - - -
126 Sanmol (Paracetamol) Drops (BSP) - 12,622.50 - - - -
127 Sanmol (Paracetamol) Drop(MTKR) - 15,895.00 - - - -
128 Sanmol (Paracetamol) Drops (BSP) 30 11 19 15,543.00 466,290.00 - 170,973.00 295,317.00
129 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 11,495.00 - - - -
130 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 11,825.00 - - - -
131 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 9,405.00 - - - -
132 Sanmol (Paracetamol) Syrup @ 60 ml(MTKR) - 11,825.00 - - - -
133 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 11,286.00 - - - -
134 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) 34 23 11 11,583.00 393,822.00 - 266,409.00 127,413.00 9 BTL EXPIRED

135 Sanmol(Paracetamol)500mg Tab @ 100 (BSP) 275.00 - - - -

136 Sanmol(Paracetamol)500mg Tab @ 100 - 286.00 - - - -
137 Sanmol(Paracetamol)500mg Tab @ 100 (MTKR) - 286.00 - - - -
138 Sanmol(Paracetamol)500mg Tab @ 100 (BSP) - 231.00 - - - -
139 Sanmol(Paracetamol)500mg Tab @ 100 - 277.20 - - - -
140 Sanmol(Paracetamol)500mg Tab @ 100 (BSP) - - 287.10 - - - -
141 Sanmol Forte (Paracetamol) 650 mg @ 100 (BSP) - 341.00 - - - -
142 Sporetik (Cefixime)Dry Syr@BTL 30ml - 80,863.00 - - - -
143 Sporetik (Cefixime)Dry Syr@BTL 30ml (BSP) - 82,615.50 - - - -
144 Sporetik (Cefixime) 100 mg @ 30 - 2,185.00 - - - -
145 Stator 20 mg Tab @ 30 - 15,840.00 - - - -
146 Stilesco 100 mg Tab 30 (PV) - 35,200.00 - - - -
147 Stenirol 4 mg Tab @ 50 - 2,921.00 - - - -
148 Stenirol 4 mg Tab @ 50 - 2,728.00 - - - -
149 Stenirol 8 mg Tab @ 50 - 4,400.00 - - - -
150 Stenirol 16 mg Tab - 6,270.00 - - - -
151 Stenirol 125 mg Inj - 77,367.00 - - - -
152 Stesolid Rectal 10 mg Tube @ 5 - 39,204.00 - - - -
153 Stesolid Rectal 5 mg Tube @ 5 - 26,136.00 - - - -
154 Strovit 500 mg Kapsul @50 (IFI) - 7,700.00 - - - -
155 TENSINOP 5 (Lisinopril) Tab @ 30 - 2,385.00 - - - -
156 Termofen 100mg/5ml Suspensi 60ml (Infion/TSJ) - 20,625.00 - - - -
157 Teranol (Ketorolac) 30 mg/ml @ 6(KF) - 35,750.00 - - - -
158 Teranol (Ketorolac) 30 mg/ml @ 6(PV) - 38,500.00 - - - -
159 TERANOL 10 mg Tab @ 30 - 5,500.00 - - - -
160 TERANOL 10 mg Tab @ 30 - 5,072.00 - - - -
161 Terfacef (Ceftriaxone) 1 g Inj Vial - 215,380.00 - - - -
162 Terfacef (Ceftriaxone) 1 g Inj Vial - 211,032.00 - - - -
163 Terfacef (Ceftriaxone) 1 g Inj Vial - 202,988.00 - - - -
164 Terfacef (Ceftriaxone) 1 g Inj Vial (BSP) - 169,785.00 - - - -
165 Vaclo Tab @ 30 - 12,375.00 - - - -
166 Valisanbe 2 mg Tab - 143.00 - - - -
167 Valisanbe 5 mg Tab - 220.00 - - - -
168 Vomiper 5mg/5ml Suspensi @60ml (Infion/TSJ) - 24,750.00 - - - -
169 Vomistop (Domperidone) Syr @ BTL 60 ml - 41,250.00 - - - -
170 X-CAM 7,5 (Meloxicam) Tab @ 30 - 4,840.00 - - - -
171 XEPAGEL Cream 75 g - 110,110.00 - - - -
172 DESolex Lotion - 7,590.00 - - - -
173 ZIBRAMAX-500 Kapl @ 6 - 31,900.00 - - - -
174 ZIBRAMAX Sirup - 93,500.00 - - - -
175 Zincpro - 27,720.00 - - - -
176 Zibac 1 g - 96,800.00 - - - -
177 Zidifec (Ceftazidime) 1 g Inj Vial(MTKR) - 247,005.00 - - - -
178 Zidifec Injeksi Vial - 102,300.60 - - - -
179 Zircum Kid (Zinc) Syrup @ BTL 60 ml - 26,400.00 - - - -
Total 1,196,714.16 - 437,382.00 759,332.16 759,332.16

Kolaka, 30 November 2021

Bendahara Aset Kepala Instalasi Farmasi
RS. Benyamin Guluh Kab.Kolaka RS. Benyamin Guluh kab. Kolaka

FAJAR AHMAD MEGARISMANITA, S.Farm. M.Farm. Apt

Nip. 19810418 200701 1 009 Nip. 19750112 199803 2 002
Mengetahui
Direktur BLUD RS. Benyamin Guluh Kab.Kolaka

dr. H. MUHAMMAD RAFI

Nip. 19670201 200112 1 002
A
PEMERINTAH KABUPATEN KOLAKA DAFTAR PERSEDIAAN (STOK OPNAME) APOTEK RAWAT INAP
BLUD RS. BENYAMIN GULUH KAB. KOLAKA PERIODE 31 DESEMBER 2021
OBAT UMUM

Jumlah Unit (Satuan) Jumlah ( Rupiah )

NO JENIS PERSEDIAAN Saldo Awal Mutasi TA 2021 Saldo akhir HARGA Saldo Awal Mutasi TA 2021 Saldo akhir Kondisi
30-Nov-21 Penambahan Pengurangan 31-Dec-21 (Rp) 30-Nov-21 Penambahan Pengurangan 31-Dec-21
1 2 3 4 5 6=3+4 - 5 H.Satuan 7 8 9 10=7+ 8 - 9 11
1 Alloris (loratadine) Tab @ 100 (BSP) - 4,323.00 - - - -
2 AMOXSAN FORTE Dry Sirup - 30,921.00 - - - -
3 AMOXSAN FORTE Dry Sirup - 31,705.00 - - - -
4 Amosan (Amoxicillin) 500 mg Kaps (BSP) - 3,322.00 - - - -
5 Amosan (Amoxicillin) 500 mg Kaps - 3,301.00 - - - -
6 Amosan (Amoxicillin) 500 mg Kaps - 3,109.00 - - - -
7 Anadium (Diosmin & Hesperidin) Kapl @ 30 (KF) - 7,260.00 - - - -
8 Anadium (Diosmin & Hesperidin) Kapl @ 30 (PV) - 6,940.00 - - - -
9 Anadium (Diosmin & Hesperidin) Kapl @ 30 (PV) - 7,480.00 - - - -
10 Analsik (Metampiron & Diazepam)Kapl@100 - 1,111.00 - - - -
11 Analsik (Metampiron & Diazepam)Kapl@100 - 1,243.00 - - - -
12 Analsik (Metampiron & Diazepam)Kapl@100 - 1,595.00 - - - -
13 Analsik (Metampiron & Diazepam)Kapl@100 300 - 300 1,677.50 - 503,250.00 - 503,250.00
14 Cefat (Cefadroxil) 500 mg Kaps @ 100 - 10,615.00 - - - -
15 Cefat (Cefadroxil) 500 mg Kaps @ 100 - 10,347.00 - - - -
16 Cefat 125 mg Dry Syr 60 ml (MTKR) - 43,670.00 - - - -
17 Cefat Forte Dry Syr 60 ml (MTKR) - 71,500.00 - - - -
18 Cefat Forte Dry Syr 60 ml (MTKR) - 72,073.00 - - - -
19 Cefat Forte Dry Syr 60 ml (BSP) - 74,714.00 - - - -
Cition (Citicoline Sodium)250mg/2ml Inj Amp@5
20 - 22,000.00 - -
(TSJ) - -
21 Cition 500 mg (Citicoline) @ 30 (TSJ) - 9,817.50 - - - -
22 Cition 500 mg (Citicoline) @ 30 (TSJ) - 9,240.00 - - - -
23 Cition 1000 mg (Citicoline) @ 30 - 16,500.00 - - - -
24 Cition 1000 mg (Citicoline) @ 30 - 14,025.00 - - - -
25 Cition 1000 mg (Citicoline) @ 30 - 13,200.00 - - - -
26 Comvit-C Kapsul @100 (NOVA/BIS) - 1,210.00 - - - -
27 Cupanol (Paracetamol) Syr @ Btl 60 ml - 19,800.00 - - - -
28 Curcuma 200 mg Tab @ 100 - 952.00 - - - -
29 Curcuma 200 mg Tab @ 100 - 797.00 - - - -
30 Curviplex Syrup @ 60 ml (Graha/IGM) - 6,419.60 - - - -
31 Curvit Syrup - 24,200.00 - - - -
32 Crome (Carbazochrome) Inj 10 ml @ 10 Amp - 22,000.00 - - - -
33 Danalgin Tab - 1,155.00 - - - -
34 Daryantulle @ 10 - 16,500.00 - - - -
35 Depakene Syrup - 164,535.00 - - - -
36 Depakote 250 mg Tab - 6,711.00 - - - -
37 Dextamine Tablet @ 300 - 1,606.00 - - - -
38 Dextamine Tablet @ 300 - 1,740.00 - - - -
39 Dextamine Syrup - 30,204.00 - - - -
40 Dextamine Syrup - 27,183.00 - - - -
41 Desolex Lotion - 23,292.00 - - - -
42 Desolex Lotion - 23,832.00 - - - -
43 Detrovel 10 mg Tab - 1,760.00 - - - -
44 Detrovel 10 mg Tab - 1,964.00 - - - -
45 Dhavit Syrup @ BTL 60 ml (PV) - 30,250.00 - - - -
46 Dhavit Syrup @ BTL 60 ml(KF) - 27,500.00 - - - -
47 Digest (Lansoprazole) - 4,400.00 - - - -
48 Disolf 490 mg @ 30 - 6,792.00 - - - -
49 Disolf 490 mg @ 30 - 7,700.00 - - - -
50 Epexol (Ambroxol) 30mg Tab @100 (BSP) - 821.70 - - - -
51 Folamil kapl @ 100 - 1,045.00 - - - -
52 Folamil kapl @ 100 100 - 100 1,485.00 148,500.00 - - 148,500.00
53 Folamil Genio Soft Cap @ 30 - 3,658.00 - - - -
54 FOLDA Kaplet @ 30 - 3,850.00 - - - -
55 Forbetes 850 (Metformin HCl) Tab @ 100 - 1,001.00 - - - -
56 Forbetes 850 (Metformin HCl) Tab @ 100 - 1,072.00 - - - -
57 Forbetes 500 (Metformin HCl) Tab @ 100 - 1,018.00 - - - -
58 Forbetes 500 (Metformin HCl) Tab @ 100 - 1,017.50 - - - -
59 Gradilex 2 mg (Loperamid) - 170.676 - - - -
60 Grafacef 500 mg (Cefadroxil) - 1,084.05 - - - -
61 Grahabion 10 mg - 684.717 - - - -
62 Grafed Tab @ 30 - 1,375.00 - - - -
63 Gralysin Syrup @ 60 ml (Graha/IGD) - 11,028.59 - - - -
64 Gralixa 40 mg (Furosemid) - 206.261 - - - -
65 Grameta 10 mg (Domperidon) 152 60 92 240.196 36,509.79 - 14,411.76 22,098.03
66 Grameta 5 mg (Domperidon) Syrup - 4,140.00 - - - -
67 Graseric 150 mg - 316.99 - - - -
68 Graseric 150 mg - 317.00 - - - -
69 GRATAMIN Tab @ 50 - 1,210.00 - - - -
70 Gratheos 50 mg (Natrium Diklofenak) 50 - 50 310.926 15,546.30 - - 15,546.30
71 Gratheos 50 mg (Natrium Diklofenak) - 200.991 - - - -
72 Gratigo 5 mg @ 50 - 3,960.00 - - - -
73 Gravask 5 mg (Amlodipine) - 333.995 - - - -
74 Gravask 5 mg (Amlodipine) 3 - 3 549.449 1,648.35 - - 1,648.35
75 Gravask 10 mg (Amlodipine) 171 10 161 600.013 102,602.22 - 6,000.13 96,602.09
76 Lipro-Q @ 30 - 7,040.00 - - - -
77 Megabal 500 mg @ 100 - 1,694.00 - - - -
78 Melogra 7.5 mg (Graha) - 540.00 - - - -
79 Melogra 7.5 mg (Graha) - 539.990 - - - -
80 Melogra 15 mg (Graha) - 634.00 - - - -
81 Melogra 15 mg (Graha) - 633.60 - - - -
82 Neurosanbe Tablet @ 100 (BSP) - 1,074.15 - - - -
83 Neurosanbe Tablet @ 100 (BSP) - 895.12 - - - -
84 Neurosanbe Plus Tablet @ 100 - 1,072.50 - - - -
85 Neurosanbe Plus Tablet @ 100 - 1,023.00 - - - -
86 Nicarfion 10 mg/10ml Injh Amp @ 5 (TSJ) - 165,000.00 - - - -
87 Nicarfion 10 mg/10ml Injh Amp @ 5 (TSJ) - 123,750.00 - - - -
88 NOBOR (Allylestrenol 5 mg) Tab @ 30 - 3,630.00 - - - -
89 NOBOR (Allylestrenol 5 mg) Tab @ 30 - 3,850.00 - - - -
90 Norages (Metamizole) 500 mg Inj Amp @ 5 - 8,470.00 - - - -
91 Norelut 5 mg @ 50 - 3,960.00 - - - -
92 Norelut 5 mg @ 50 - 4,257.00 - - - -
93 Norfion 4mg/4ml Inj Am,p IV @ 5 (Infion/TSJ) - 88,000.00 - - - -
94 NORSEC 20 mg Cap @ 14 - 12,100.00 - - - -
95 Norpid 10 mg (Simvastatin)(Graha) - 331.504 - - - -
96 Norpid 20 mg (Simvastatin)(Graha) - 661.00 - - - -
97 Norpid 20 mg (Simvastatin)(Graha) - 660.95 - - - -
98 Novo Twist 32 G 5 mm @ 100 - 2,310.00 - - - -
99 Orinox 120 (Etoricobix) Tab @ 30 - 10,450.00 - - - -
100 Orinox 120 (Etoricobix) Tab @ 30 - 9,900.00 - - - -
101 Orinox 120 (Etoricobix) Tab @ 30 - 10,395 - - - -
102 Orinox 90 (Etoricobix) Tab @ 30 - 7,920 - - - -
103 Puricemia 300 mg Tab @ 100 - 2,876.00 - - - -
104 Qipro-400 Tab @ 30 - 14,300.00 - - - -
105 Rifantibi 450 mg @ 100 (BSP) - 4,400.00 - - - -
106 Rifan-H 150 kapl @ 30 - 2,310.00 - - - -
107 Rifastar 4 FCD Tab @ 30 (IGM) - 5,115.00 - - - -
108 Rhodium Tab @ 30 - 6,050.00 - - - -
109 Ronazole (Metronidazole) Suspensi @ BTL - 39,160.00 - - - -
110 Ronazole (Metronidazole) Suspensi @ BTL - 41,250.00 - - - -
111 Rotaver Tab - 2,420.00 - - - -
112 Rydian 10 mg Tab @ 30 - 4,400.00 - - - -
113 Sanazet 500 mg @ 100 (BSP) - 1,298.00 - - - -
114 Santibi Plus @ 100 (BSP) 47 - 47 676.50 31,795.50 - - 31,795.50
115 Sanfuliq @ 30 Tab - 4,961.00 - - - -
116 Sangotonik Kapsul Emesis @ 30 - 579.20 - - - -
117 SANMAG SUSPENSI 120 ml - 23,650.00 - - - -
118 SANMAG SUSPENSI 120 ml - 24,244.00 - - - -
119 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 62,260.00 - - - -
120 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 59,230.00 - - - -
121 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 24,198.16 - - - -
122 Sanmol (Paracetamol) 500 mg BTL Inf(BSP) - 60,489.00 - - - -
123 Sanmol (Paracetamol) Drops (MTKR) - 15,193.00 - - - -
124 Sanmol (Paracetamol) Drops (BSP) - 15,895.00 - - - -
125 Sanmol (Paracetamol) Drops (BSP) - 15,510.00 - - - -
126 Sanmol (Paracetamol) Drops (BSP) - 12,622.50 - - - -
127 Sanmol (Paracetamol) Drop(MTKR) - 15,895.00 - - - -
128 Sanmol (Paracetamol) Drops (BSP) 19 20 19 20 15,543.00 295,317.00 310,860.00 295,317.00 310,860.00
129 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 11,495.00 - - - -
130 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 11,825.00 - - - -
131 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 9,405.00 - - - -
132 Sanmol (Paracetamol) Syrup @ 60 ml(MTKR) - 11,825.00 - - - -
133 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) - 11,286.00 - - - -
134 Sanmol (Paracetamol) Syrup @ 60 ml(BSP) 11 25 14 22 11,583.00 127,413.00 289,575.00 162,162.00 254,826.00
135 Sanmol(Paracetamol)500mg Tab @ 100 (BSP) 275.00 - - - -
136 Sanmol(Paracetamol)500mg Tab @ 100 - 286.00 - - - -
137 Sanmol(Paracetamol)500mg Tab @ 100 (MTKR) - 286.00 - - - -
138 Sanmol(Paracetamol)500mg Tab @ 100 (BSP) - 231.00 - - - -
139 Sanmol(Paracetamol)500mg Tab @ 100 - 277.20 - - - -
140 Sanmol(Paracetamol)500mg Tab @ 100 (BSP) - 287.10 - - - -
141 Sanmol Forte (Paracetamol) 650 mg @ 100 (BSP) - 341.00 - - - -
142 Sporetik (Cefixime)Dry Syr@BTL 30ml - 80,863.00 - - - -
143 Sporetik (Cefixime)Dry Syr@BTL 30ml (BSP) - 82,615.50 - - - -
144 Sporetik (Cefixime) 100 mg @ 30 - 2,185.00 - - - -
145 Stator 20 mg Tab @ 30 - 15,840.00 - - - -
146 Stilesco 100 mg Tab 30 (PV) - 35,200.00 - - - -
147 Stenirol 4 mg Tab @ 50 - 2,921.00 - - - -
148 Stenirol 4 mg Tab @ 50 - 2,728.00 - - - -
149 Stenirol 8 mg Tab @ 50 - 4,400.00 - - - -
150 Stenirol 16 mg Tab - 6,270.00 - - - -
151 Stenirol 125 mg Inj - 77,367.00 - - - -
152 Stesolid Rectal 10 mg Tube @ 5 - 39,204.00 - - - -
153 Stesolid Rectal 5 mg Tube @ 5 - 26,136.00 - - - -
154 Strovit 500 mg Kapsul @50 (IFI) - 7,700.00 - - - -
155 TENSINOP 5 (Lisinopril) Tab @ 30 - 2,385.00 - - - -
20,625.00
156 Termofen 100mg/5ml Suspensi 60ml (Infion/TSJ) - - - - -
157 Teranol (Ketorolac) 30 mg/ml @ 6(KF) - 35,750.00 - - - -
158 Teranol (Ketorolac) 30 mg/ml @ 6(PV) - 38,500.00 - - - -
159 TERANOL 10 mg Tab @ 30 - 5,500.00 - - - -
160 TERANOL 10 mg Tab @ 30 - 5,072.00 - - - -
161 Terfacef (Ceftriaxone) 1 g Inj Vial - 215,380.00 - - - -
162 Terfacef (Ceftriaxone) 1 g Inj Vial - 211,032.00 - - - -
163 Terfacef (Ceftriaxone) 1 g Inj Vial - 202,988.00 - - - -
164 Terfacef (Ceftriaxone) 1 g Inj Vial (BSP) - 169,785.00 - - - -
165 Vaclo Tab @ 30 - 12,375.00 - - - -
166 Valisanbe 2 mg Tab - 143.00 - - - -
167 Valisanbe 5 mg Tab - 220.00 - - - -
168 Vomiper 5mg/5ml Suspensi @60ml (Infion/TSJ) - 24,750.00 - - - -
169 Vomistop (Domperidone) Syr @ BTL 60 ml - 41,250.00 - - - -
170 X-CAM 7,5 (Meloxicam) Tab @ 30 - 4,840.00 - - - -
171 XEPAGEL Cream 75 g - 110,110.00 - - - -
172 DESolex Lotion - 7,590.00 - - - -
173 ZIBRAMAX-500 Kapl @ 6 - 31,900.00 - - - -
174 ZIBRAMAX Sirup - 93,500.00 - - - -
175 Zincpro - 27,720.00 - - - -
176 Zibac 1 g - 96,800.00 - - - -
177 Zidifec (Ceftazidime) 1 g Inj Vial(MTKR) - 247,005.00 - - - -
178 Zidifec Injeksi Vial - 102,300.60 - - - -
179 Zircum Kid (Zinc) Syrup @ BTL 60 ml - 26,400.00 - - - -
Total 759,332.16 1,103,685.00 477,890.89 1,385,126.27 1,385,126.27

Kolaka, 31 Desember 2021

Bendahara Aset Kepala Instalasi Farmasi
RS. Benyamin Guluh Kab.Kolaka RS. Benyamin Guluh kab. Kolaka

FAJAR AHMAD MEGARISMANITA, S.Farm. M.Farm. Apt

Nip. 19810418 200701 1 009 Nip. 19750112 199803 2 002
Mengetahui
Direktur BLUD RS. Benyamin Guluh Kab.Kolaka

dr. H. MUHAMMAD RAFI

Nip. 19670201 200112 1 002
A