TABEL REKAPITULASI LAPORAN SEMESTERAN DAN TAHUNAN

LAPORAN MUTASI BARANG

DARI TANGGAL 01 JANUARI 2020 SAMPAI DENGAN 31 DESEMBER 2020

INSTANSI : MAELANG
KABUPATEN : BOLAANG MONGONDOW

MASUK NILAI NILAI

SALDO HARGA BELI NILAI SALDO SALDO
NO JENIS/BARANG PERSEDIAAN SATUAN (VOLUME KELUAR SISA MASUK KELUAR
AWAL TERAKHIR (Rp) AWAL AKHIR (Rp)
) (Rp) (Rp)
1 2 3 4 5 6 7=(4+5)-6 8 9=4*8 10=5*8 11=6*8 12=7*8
1 Antasida Tablet 5,000 0 5,000 0 0 100 500,000 - 500,000 -
2 Antasid Doen 11,700 0 9,500 2200 2000 110 1,287,000 - 1,045,000 242,000
3 Allopurinol 5,200 0 4,000 1200 1200 225 1,170,000 - 900,000 270,000
4 Amoxcilin Syrup 50 0 50 0 0 5,700 285,000 - 285,000 -
5 Alkohol 1 Liter 5 0 5 0 0 97,000 485,000 - 485,000 -
6 Alkohol 1/2 Liter 6 0 5 1 1 62,000 372,000 - 310,000 62,000
7 Alkohol 70% (1 Liter ) 5 0 5 0 0 55,000 275,000 - 275,000 -
8 Asam Mefenamat Tablet 7,500 0 6,000 1500 1500 280 2,100,000 - 1,680,000 420,000
9 Asam Taneksamat Inj 500 mg 2ml 25 0 25 0 0 6,000 150,000 - 150,000 -
10 Amblodipin 10 mg 750 0 750 0 0 350 262,500 - 262,500 -
11 Amlodipin 10mg 1,800 0 1,800 0 0 150 270,000 - 270,000 -
12 Amblodipin 10 mg 2,250 0 2,250 0 0 300 675,000 - 675,000 -
13 Amblodipin 10 mg 3,500 0 2,500 1000 1000 250 875,000 - 625,000 250,000
14 Amblodipin 5 mg 4,200 0 4,200 0 0 250 1,050,000 - 1,050,000 -
15 Amblodipin 5 mg 1,500 0 700 800 800 160 240,000 - 112,000 128,000
16 Aspilets Chewable 0 750
200 200 0 0 150,000 - 150,000 -
17 Ambroxol Tab 30 mg 5,200 0 4,500 700 700 150 780,000 - 675,000 105,000
18 Autocheck strip cholestrol 13 0 8 5 5 215,000 2,795,000 - 1,720,000 1,075,000
19 Autocheck strip asam urat 8 0 6 2 2 130,000 1,040,000 - 780,000 260,000
20 Autocheck strip gula 8 0 6 2 2 115,000 920,000 - 690,000 230,000
21 Aquadest 25ml 12 0 12 0 0 10,000 120,000 - 120,000 -
22 Abocath 22 24 0 24 0 0 9,000 216,000 - 216,000 -
23 Abocath 24 24 0 24 0 0 9,000 216,000 - 216,000 -
24 Antasid Syrup 60ml 110 0 80 30 30 3,800 418,000 - 304,000 114,000
25 Acyclovir Krim 5% 5gr 30 0 30 0 0 4,275 128,250 - 128,250 -
26 Baby Cough Syrup 50 0 50 0 0 5,700 285,000 - 285,000 -
27 Bethadin 1 Liter 3 0 2 1 1 80,000 240,000 - 160,000 80,000
28 Blivit B6 1,000 0 1,000 0 0 60 60,000 - 60,000 -
29 CTM 5,000 0 5,000 0 0 48 240,000 - 240,000 -
30 CTM 5,000 0 5,000 0 0 50 250,000 - 250,000 -
31 Cairan RL 250 0 250 0 0 10,000 2,500,000 - 2,500,000 -
32 Ciprofloacin 500 mg 1,000 0 1,000 0 0 400 400,000 - 400,000 -
33 Ciprofloxacin 700 0 700 0 0 380 266,000 - 266,000 -
34 Cefixime 100 mg 4,900 0 4,900 0 0 500 2,450,000 - 2,450,000 -
35 Cefixime 100 mg 1,200 0 700 500 500 470 564,000 - 329,000 235,000
36 Curbion Syrup 20 0 20 0 0 8,075 161,500 - 161,500 -
 LAPORAN PEMAKAIAN DAN LEMBARAN ( KAPITASI )
PERMINTAAN OBAT ( LPLPO )

KODE PUSKESMAS :18051501

PUSKESMAS : MAELANG
KECAMATAN : SANG TOMBOLANG
KABUPATEN : BOLAANG MONGONDOW
PROPINSI : SULAWESI UTARA
BULAN : JANUARI
TAHUN : 2021

STOK PENERI PEMAK STOK

NO NAMA OBAT SATUAN
AWAL MAAN AIAN AKHIR
KET

1 Antasida Tablet 0 0 0 0
2 Antasid Doen 2000 0 0 2000
3 Allopurinol 1200 0 0 1200
4 Amoxcilin Syrup 0 0 0 0
5 Alkohol 1 Liter 0 0 0 0
6 Alkohol 1/2 Liter 1 0 0 1
7 Alkohol 70% (1 Liter ) 0 0 0 0
8 Asam Mefenamat Tablet 1500 0 0 1500
9 Asam Taneksamat Inj 500 mg 2ml 0 0 0 0
10 Amblodipin 10 mg 0 0 0 0
11 Amlodipin 10mg 0 0 0 0
12 Amblodipin 10 mg 0 0 0 0
13 Amblodipin 10 mg 1000 0 0 1000
14 Amblodipin 5 mg 0 0 0 0
15 Amblodipin 5 mg 800 0 0 800
16 Aspilets Chewable 0 0 0 0
17 Ambroxol Tab 30 mg 700 0 0 700
18 Autocheck strip cholestrol 5 0 0 5
19 Autocheck strip asam urat 2 0 0 2
20 Autocheck strip gula 2 0 0 2
21 Aquadest 25ml 0 0 0 0
22 Abocath 22 0 0 0 0
23 Abocath 24 0 0 0 0
24 Antasid Syrup 60ml 30 0 0 30
25 Acyclovir Krim 5% 5gr 0 0 0 0
26 Baby Cough Syrup 0 0 0 0
27 Bethadin 1 Liter 1 0 0 1
28 Blivit B6 0 0 0 0
29 CTM 0 0 0 0
30 CTM 0 0 0 0
31 Cairan RL 0 0 0 0
32 Ciprofloacin 500 mg 0 0 0 0
33 Ciprofloxacin 0 0 0 0
34 Cefixime 100 mg 0 0 0 0
35 Cefixime 100 mg 500 0 0 500
36 Curbion Syrup 0 0 0 0
37 Curbion Kids Emulsion 0 0 0 0
38 Cubion Syrup 60 ml 30 0 0 30
39 Cairan dextrose 10% (glucosa) 0 0 0 0
40 Cairan dextrose 5% (glucosa) 0 0 0 0
41 Ceftriaxone injeksi 0 0 0 0
42 Catcut Chromic 3/0 10 0 0 10
43 Catopril 25 mg 1000 0 0 1000
44 Chlorampenicol Salep Mata 24 0 0 24
45 Cefadroxil 50 mg 700 0 0 700
46 Dexametason Tablet 0,5 Mg 500 0 0 500
47 Dulcolax (Bisacodyl Tab) 0 0 0 0
48 Dulcolax 5 mg 500 0 0 500
49 Dumin 250 mg supp (=Pamol Supp) 0 0 0 0
50 Dopamat 0 0 0 0
51 Dexa injeksi 1ml 0 0 0 0
52 Disposible 3 cc 100 0 0 100
53 Etamoxul 500 0 0 500
54 Gliseril Guaiakolat 400 0 0 400
55 Giving Set Dewasa 0 0 0 0
56 Histigo 0 0 0 0
57 Histigo 400 0 0 400
58 Handscoon Non Steril 0 0 0 0
59 Hufadon 10 mg 300 0 0 300
60 Hufaditin ( Ranitidin) 300 0 0 300
61 Hufaflox 500 mg 400 0 0 400
62 Hufadon 5mg Syrup 60ml 0 0 0 0
63 Isosorbit Dimitrate 5 mg 400 0 0 400
64 Ibuprofen 400 mg 400 0 0 400
65 Ketorolak Injeksi 0 0 0 0
66 Ketorolac injeksi 30mg 0 0 0 0
67 Ketorolak Injeksi 300 mg 40 0 0 40
68 Kemtov 480 mg ( Cotri 480 mg ) 300 0 0 300
69 Kasa Steril Hexa Husada 100 0 0 100
70 Leukoplast (1625) 7,5 cm x 5 cm 0 0 0 0
71 Lecozino 20 mg 1000 0 0 1000
72 Micolax Sirupp 0 0 0 0
73 Metmormin 500 mg 250 0 0 250
74 Metronodazole 500 mg 750 0 0 750
75 Miratrim Syrup 60 Ml 0 0 0 0
76 Methylergometrin Injeksi 20 0 0 20
77 Natrium Diklopenat 0 0 0 0
78 Natrium Diklofenak 50mg 0 0 0 0
79 Natrium Diklofenak 50 mg (100 Tab ) 1500 0 0 1500
80 Natrium Diklopenat 50 mg ( 5 Strip ) 1000 0 0 1000
81 Natrium Diclofenak 5 mg 2500 0 0 2500
82 Neurotropic Inj (=B Comp Inj ) 0 0 0 0
83 Neurosanbe Inj (=Neurobion Drips) 0 0 0 0
84 Neo K Injeksi 30 0 0 30
85 Neurotropic injeksi 9 ml 0 0 0 0
86 Neuroboran Injeksi 9 ml 0 0 0 0
87 Ondansentrum injeksi 2mg 0 0 0 0
88 Ondansetron Injeksi 2 mg 0 0 0 0
89 Ondansentron Injeksi 4 mg/2 ml 40 0 0 40
90 Oxytoksin Injeksi 20 0 0 20
91 Parasetamol Tablet 0 0 0 0
92 Parasetamol Syrup 10 0 0 10
93 Paracetamol sirup 60ml 55 0 0 55
94 Prednison Tablet 0 0 0 0
95 Prednison 5 mg Blitser 1500 0 0 1500
96 Pacdin cough 60ml 0 0 0 0
97 Piroxicam 20 mg 100 0 0 100
98 Ranitidin Injeksi 260 0 0 260
99 Ranitidin 15 mg 1200 0 0 1200
100 Salbutamol Tab 4 Mg 200 0 0 200
101 Selkom C 0 0 0 0
102 Solpenox Syrup 20 0 0 20
103 Sak Obat Ukuran 5 x 8 cm 21 0 0 21
104 Sak Obat Ukuran 8 x 13 cm 48 0 0 48
105 Umbilical Cord (Klem Tali Pusar) 29 0 0 29
106 Vitamin B6 10 MMg Trifa (250) 30 0 0 30
107 Ventolin Nebules 0 0 0 0
108 Vitamin B comp (100) 1000 0 0 1000
109 Vitamin C 50 MG ( 100 ) 1500 0 0 1500
110 Vemplon No 18 45 0 0 45
111 Vemplon No 20 17 0 0 17
112 Xilocaine Gel 2 0 0 2

UMUM BPJS JAM

PKH KADER JUMLAH
JUMLAH KUNJUNGAN RESEP BAYAR KIS KESDA
0 0 0 0 0 0

Yang Menerima / Melapor

Kepala UPTD Puskesmas Maelang
Kecamatan Sang Tombolang

JUNAIDI MAMONTO, SKM .-

NIP. 19690405 199103 1 010 .-
 LAPORAN PEMAKAIAN DAN LEMBARAN ( KAPITASI )
PERMINTAAN OBAT ( LPLPO )

KODE PUSKESMAS :18051501

PUSKESMAS : MAELANG
KECAMATAN : SANG TOMBOLANG
KABUPATEN : BOLAANG MONGONDOW
PROPINSI : SULAWESI UTARA
BULAN : FEBRUARI
TAHUN : 2021

STOK PENERI PEMAK

NO NAMA OBAT SATUAN
AWAL MAAN AIAN
1 Antasida Tablet 0 0 0
2 Antasid Doen 2000 0 0
3 Allopurinol 1200 0 0
4 Amoxcilin Syrup 0 0 0
5 Alkohol 1 Liter 0 0 0
6 Alkohol 1/2 Liter 1 0 0
7 Alkohol 70% (1 Liter ) 0 0 0
8 Asam Mefenamat Tablet 1500 0 0
9 Asam Taneksamat Inj 500 mg 2ml 0 0 0
10 Amblodipin 10 mg 0 0 0
11 Amlodipin 10mg 0 0 0
12 Amblodipin 10 mg 0 0 0
13 Amblodipin 10 mg 1000 0 0
14 Amblodipin 5 mg 0 0 0
15 Amblodipin 5 mg 800 0 0
16 Aspilets Chewable 0 0 0
17 Ambroxol Tab 30 mg 700 0 0
18 Autocheck strip cholestrol 5 0 0
19 Autocheck strip asam urat 2 0 0
20 Autocheck strip gula 2 0 0
21 Aquadest 25ml 0 0 0
22 Abocath 22 0 0 0
23 Abocath 24 0 0 0
24 Antasid Syrup 60ml 30 0 0
25 Acyclovir Krim 5% 5gr 0 0 0
26 Baby Cough Syrup 0 0 0
27 Bethadin 1 Liter 1 0 0
28 Blivit B6 0 0 0
29 CTM 0 0 0
30 CTM 0 0 0
31 Cairan RL 0 0 0
32 Ciprofloacin 500 mg 0 0 0
33 Ciprofloxacin 0 0 0
34 Cefixime 100 mg 0 0 0
35 Cefixime 100 mg 500 0 0
36 Curbion Syrup 0 0 0
37 Curbion Kids Emulsion 0 0 0
38 Cubion Syrup 60 ml 30 0 0
39 Cairan dextrose 10% (glucosa) 0 0 0
40 Cairan dextrose 5% (glucosa) 0 0 0
41 Ceftriaxone injeksi 0 0 0
42 Catcut Chromic 3/0 10 0 0
43 Catopril 25 mg 1000 0 0
44 Chlorampenicol Salep Mata 24 0 0
45 Cefadroxil 50 mg 700 0 0
46 Dexametason Tablet 0,5 Mg 500 0 0
47 Dulcolax (Bisacodyl Tab) 0 0 0
48 Dulcolax 5 mg 500 0 0
49 Dumin 250 mg supp (=Pamol Supp) 0 0 0
50 Dopamat 0 0 0
51 Dexa injeksi 1ml 0 0 0
52 Disposible 3 cc 100 0 0
53 Etamoxul 500 0 0
54 Gliseril Guaiakolat 400 0 0
55 Giving Set Dewasa 0 0 0
56 Histigo 0 0 0
57 Histigo 400 0 0
58 Handscoon Non Steril 0 0 0
59 Hufadon 10 mg 300 0 0
60 Hufaditin ( Ranitidin) 300 0 0
61 Hufaflox 500 mg 400 0 0
62 Hufadon 5mg Syrup 60ml 0 0 0
63 Isosorbit Dimitrate 5 mg 400 0 0
64 Ibuprofen 400 mg 400 0 0
65 Ketorolak Injeksi 0 0 0
66 Ketorolac injeksi 30mg 0 0 0
67 Ketorolak Injeksi 300 mg 40 0 0
68 Kemtov 480 mg ( Cotri 480 mg ) 300 0 0
69 Kasa Steril Hexa Husada 100 0 0
70 Leukoplast (1625) 7,5 cm x 5 cm 0 0 0
71 Lecozino 20 mg 1000 0 0
72 Micolax Sirupp 0 0 0
73 Metmormin 500 mg 250 0 0
 74 Metronodazole 500 mg 750 0 0
75 Miratrim Syrup 60 Ml 0 0 0
76 Methylergometrin Injeksi 20 0 0
77 Natrium Diklopenat 0 0 0
78 Natrium Diklofenak 50mg 0 0 0
79 Natrium Diklofenak 50 mg (100 Tab ) 1500 0 0
80 Natrium Diklopenat 50 mg ( 5 Strip ) 1000 0 0
81 Natrium Diclofenak 5 mg 2500 0 0
82 Neurotropic Inj (=B Comp Inj ) 0 0 0
83 Neurosanbe Inj (=Neurobion Drips) 0 0 0
84 Neo K Injeksi 30 0 0
85 Neurotropic injeksi 9 ml 0 0 0
86 Neuroboran Injeksi 9 ml 0 0 0
87 Ondansentrum injeksi 2mg 0 0 0
88 Ondansetron Injeksi 2 mg 0 0 0
89 Ondansentron Injeksi 4 mg/2 ml 40 0 0
90 Oxytoksin Injeksi 20 0 0
91 Parasetamol Tablet 0 0 0
92 Parasetamol Syrup 10 0 0
93 Paracetamol sirup 60ml 55 0 0
94 Prednison Tablet 0 0 0
95 Prednison 5 mg Blitser 1500 0 0
96 Pacdin cough 60ml 0 0 0
97 Piroxicam 20 mg 100 0 0
98 Ranitidin Injeksi 260 0 0
99 Ranitidin 15 mg 1200 0 0
100 Salbutamol Tab 4 Mg 200 0 0
101 Selkom C 0 0 0
102 Solpenox Syrup 20 0 0
103 Sak Obat Ukuran 5 x 8 cm 21 0 0
104 Sak Obat Ukuran 8 x 13 cm 48 0 0
105 Umbilical Cord (Klem Tali Pusar) 29 0 0
106 Vitamin B6 10 MMg Trifa (250) 30 0 0
107 Ventolin Nebules 0 0 0
108 Vitamin B comp (100) 1000 0 0
109 Vitamin C 50 MG ( 100 ) 1500 0 0
110 Vemplon No 18 45 0 0
111 Vemplon No 20 17 0 0
112 Xilocaine Gel 2 0 0

UMUM BPJS JAM

PKH
JUMLAH KUNJUNGAN RESEP BAYAR KIS KESDA
0 0 0 0
 Yang Menerima / Melapor
Kepala UPTD Puskesmas Maelang
Kecamatan Sang Tombolang

JUNAIDI MAMONTO, SKM .-

NIP. 19690405 199103 1 010 .-
STOK
AKHIR
KET

0
2000
1200
0
0
1
0
1500
0
0
0
0
1000
0
800
0
700
5
2
2
0
0
0
30
0
0
1
0
0
0
 0
0
0
0
500
0
0
30
0
0
0
10
1000
24
700
500
0
500
0
0
0
100
500
400
0
0
400
0
300
300
400
0
400
400
0
0
40
300
100
0
1000
0
250
 750
0
20
0
0
1500
1000
2500
0
0
30
0
0
0
0
40
20
0
10
55
0
1500
0
100
260
1200
200
0
20
21
48
29
30
0
1000
1500
45
17
2

KADER JUMLAH

0 0
 LAPORAN PEMAKAIAN DAN LEMBARAN ( KAPITASI )
PERMINTAAN OBAT ( LPLPO )

KODE PUSKESMAS :18051501

PUSKESMAS : MAELANG
KECAMATAN : SANG TOMBOLANG
KABUPATEN : BOLAANG MONGONDOW
PROPINSI : SULAWESI UTARA
BULAN : MARET
TAHUN : 2021

STOK PENERI PEMAK

NO NAMA OBAT SATUAN
AWAL MAAN AIAN
1 Antasida Tablet 0 0 0
2 Antasid Doen 2000 0 0
3 Allopurinol 1200 0 0
4 Amoxcilin Syrup 0 0 0
5 Alkohol 1 Liter 0 0 0
6 Alkohol 1/2 Liter 1 0 0
7 Alkohol 70% (1 Liter ) 0 0 0
8 Asam Mefenamat Tablet 1500 0 0
9 Asam Taneksamat Inj 500 mg 2ml 0 0 0
10 Amblodipin 10 mg 0 0 0
11 Amlodipin 10mg 0 0 0
12 Amblodipin 10 mg 0 0 0
13 Amblodipin 10 mg 1000 0 0
14 Amblodipin 5 mg 0 0 0
15 Amblodipin 5 mg 800 0 0
16 Aspilets Chewable 0 0 0
17 Ambroxol Tab 30 mg 700 0 0
18 Autocheck strip cholestrol 5 0 0
19 Autocheck strip asam urat 2 0 0
20 Autocheck strip gula 2 0 0
21 Aquadest 25ml 0 0 0
22 Abocath 22 0 0 0
23 Abocath 24 0 0 0
24 Antasid Syrup 60ml 30 0 0
25 Acyclovir Krim 5% 5gr 0 0 0
26 Baby Cough Syrup 0 0 0
27 Bethadin 1 Liter 1 0 0
28 Blivit B6 0 0 0
29 CTM 0 0 0
30 CTM 0 0 0
31 Cairan RL 0 0 0
32 Ciprofloacin 500 mg 0 0 0
33 Ciprofloxacin 0 0 0
34 Cefixime 100 mg 0 0 0
35 Cefixime 100 mg 500 0 0
36 Curbion Syrup 0 0 0
37 Curbion Kids Emulsion 0 0 0
38 Cubion Syrup 60 ml 30 0 0
39 Cairan dextrose 10% (glucosa) 0 0 0
40 Cairan dextrose 5% (glucosa) 0 0 0
41 Ceftriaxone injeksi 0 0 0
42 Catcut Chromic 3/0 10 0 0
43 Catopril 25 mg 1000 0 0
44 Chlorampenicol Salep Mata 24 0 0
45 Cefadroxil 50 mg 700 0 0
46 Dexametason Tablet 0,5 Mg 500 0 0
47 Dulcolax (Bisacodyl Tab) 0 0 0
48 Dulcolax 5 mg 500 0 0
49 Dumin 250 mg supp (=Pamol Supp) 0 0 0
50 Dopamat 0 0 0
51 Dexa injeksi 1ml 0 0 0
52 Disposible 3 cc 100 0 0
53 Etamoxul 500 0 0
54 Gliseril Guaiakolat 400 0 0
55 Giving Set Dewasa 0 0 0
56 Histigo 0 0 0
57 Histigo 400 0 0
58 Handscoon Non Steril 0 0 0
59 Hufadon 10 mg 300 0 0
60 Hufaditin ( Ranitidin) 300 0 0
61 Hufaflox 500 mg 400 0 0
62 Hufadon 5mg Syrup 60ml 0 0 0
63 Isosorbit Dimitrate 5 mg 400 0 0
64 Ibuprofen 400 mg 400 0 0
65 Ketorolak Injeksi 0 0 0
66 Ketorolac injeksi 30mg 0 0 0
67 Ketorolak Injeksi 300 mg 40 0 0
68 Kemtov 480 mg ( Cotri 480 mg ) 300 0 0
69 Kasa Steril Hexa Husada 100 0 0
70 Leukoplast (1625) 7,5 cm x 5 cm 0 0 0
71 Lecozino 20 mg 1000 0 0
72 Micolax Sirupp 0 0 0
73 Metmormin 500 mg 250 0 0
 74 Metronodazole 500 mg 750 0 0
75 Miratrim Syrup 60 Ml 0 0 0
76 Methylergometrin Injeksi 20 0 0
77 Natrium Diklopenat 0 0 0
78 Natrium Diklofenak 50mg 0 0 0
79 Natrium Diklofenak 50 mg (100 Tab ) 1500 0 0
80 Natrium Diklopenat 50 mg ( 5 Strip ) 1000 0 0
81 Natrium Diclofenak 5 mg 2500 0 0
82 Neurotropic Inj (=B Comp Inj ) 0 0 0
83 Neurosanbe Inj (=Neurobion Drips) 0 0 0
84 Neo K Injeksi 30 0 0
85 Neurotropic injeksi 9 ml 0 0 0
86 Neuroboran Injeksi 9 ml 0 0 0
87 Ondansentrum injeksi 2mg 0 0 0
88 Ondansetron Injeksi 2 mg 0 0 0
89 Ondansentron Injeksi 4 mg/2 ml 40 0 0
90 Oxytoksin Injeksi 20 0 0
91 Parasetamol Tablet 0 0 0
92 Parasetamol Syrup 10 0 0
93 Paracetamol sirup 60ml 55 0 0
94 Prednison Tablet 0 0 0
95 Prednison 5 mg Blitser 1500 0 0
96 Pacdin cough 60ml 0 0 0
97 Piroxicam 20 mg 100 0 0
98 Ranitidin Injeksi 260 0 0
99 Ranitidin 15 mg 1200 0 0
100 Salbutamol Tab 4 Mg 200 0 0
101 Selkom C 0 0 0
102 Solpenox Syrup 20 0 0
103 Sak Obat Ukuran 5 x 8 cm 21 0 0
104 Sak Obat Ukuran 8 x 13 cm 48 0 0
105 Umbilical Cord (Klem Tali Pusar) 29 0 0
106 Vitamin B6 10 MMg Trifa (250) 30 0 0
107 Ventolin Nebules 0 0 0
108 Vitamin B comp (100) 1000 0 0
109 Vitamin C 50 MG ( 100 ) 1500 0 0
110 Vemplon No 18 45 0 0
111 Vemplon No 20 17 0 0
112 Xilocaine Gel 2 0 0

UMUM BPJS JAM

PKH
JUMLAH KUNJUNGAN RESEP BAYAR KIS KESDA
0 0 0 0
 Yang Menerima / Melapor
Kepala UPTD Puskesmas Maelang
Kecamatan Sang Tombolang

JUNAIDI MAMONTO, SKM .-

NIP. 19690405 199103 1 010 .-
STOK
AKHIR
KET

0
2000
1200
0
0
1
0
1500
0
0
0
0
1000
0
800
0
700
5
2
2
0
0
0
30
0
0
1
0
0
0
 0
0
0
0
500
0
0
30
0
0
0
10
1000
24
700
500
0
500
0
0
0
100
500
400
0
0
400
0
300
300
400
0
400
400
0
0
40
300
100
0
1000
0
250
 750
0
20
0
0
1500
1000
2500
0
0
30
0
0
0
0
40
20
0
10
55
0
1500
0
100
260
1200
200
0
20
21
48
29
30
0
1000
1500
45
17
2

KADER JUMLAH

0 0
 LAPORAN PEMAKAIAN DAN LEMBARAN ( KAPITASI )
PERMINTAAN OBAT ( LPLPO )

KODE PUSKESMAS :18051501

PUSKESMAS : MAELANG
KECAMATAN : SANG TOMBOLANG
KABUPATEN : BOLAANG MONGONDOW
PROPINSI : SULAWESI UTARA
BULAN : APRIL
TAHUN : 2021

STOK PENERI PEMAK

NO NAMA OBAT SATUAN
AWAL MAAN AIAN
1 Antasida Tablet 0 0 0
2 Antasid Doen 2000 0 0
3 Allopurinol 1200 0 0
4 Amoxcilin Syrup 0 0 0
5 Alkohol 1 Liter 0 0 0
6 Alkohol 1/2 Liter 1 0 0
7 Alkohol 70% (1 Liter ) 0 0 0
8 Asam Mefenamat Tablet 1500 0 0
9 Asam Taneksamat Inj 500 mg 2ml 0 0 0
10 Amblodipin 10 mg 0 0 0
11 Amlodipin 10mg 0 0 0
12 Amblodipin 10 mg 0 0 0
13 Amblodipin 10 mg 1000 0 0
14 Amblodipin 5 mg 0 0 0
15 Amblodipin 5 mg 800 0 0
16 Aspilets Chewable 0 0 0
17 Ambroxol Tab 30 mg 700 0 0
18 Autocheck strip cholestrol 5 0 0
19 Autocheck strip asam urat 2 0 0
20 Autocheck strip gula 2 0 0
21 Aquadest 25ml 0 0 0
22 Abocath 22 0 0 0
23 Abocath 24 0 0 0
24 Antasid Syrup 60ml 30 0 0
25 Acyclovir Krim 5% 5gr 0 0 0
26 Baby Cough Syrup 0 0 0
27 Bethadin 1 Liter 1 0 0
28 Blivit B6 0 0 0
29 CTM 0 0 0
30 CTM 0 0 0
31 Cairan RL 0 0 0
32 Ciprofloacin 500 mg 0 0 0
33 Ciprofloxacin 0 0 0
34 Cefixime 100 mg 0 0 0
35 Cefixime 100 mg 500 0 0
36 Curbion Syrup 0 0 0
37 Curbion Kids Emulsion 0 0 0
38 Cubion Syrup 60 ml 30 0 0
39 Cairan dextrose 10% (glucosa) 0 0 0
40 Cairan dextrose 5% (glucosa) 0 0 0
41 Ceftriaxone injeksi 0 0 0
42 Catcut Chromic 3/0 10 0 0
43 Catopril 25 mg 1000 0 0
44 Chlorampenicol Salep Mata 24 0 0
45 Cefadroxil 50 mg 700 0 0
46 Dexametason Tablet 0,5 Mg 500 0 0
47 Dulcolax (Bisacodyl Tab) 0 0 0
48 Dulcolax 5 mg 500 0 0
49 Dumin 250 mg supp (=Pamol Supp) 0 0 0
50 Dopamat 0 0 0
51 Dexa injeksi 1ml 0 0 0
52 Disposible 3 cc 100 0 0
53 Etamoxul 500 0 0
54 Gliseril Guaiakolat 400 0 0
55 Giving Set Dewasa 0 0 0
56 Histigo 0 0 0
57 Histigo 400 0 0
58 Handscoon Non Steril 0 0 0
59 Hufadon 10 mg 300 0 0
60 Hufaditin ( Ranitidin) 300 0 0
61 Hufaflox 500 mg 400 0 0
62 Hufadon 5mg Syrup 60ml 0 0 0
63 Isosorbit Dimitrate 5 mg 400 0 0
64 Ibuprofen 400 mg 400 0 0
65 Ketorolak Injeksi 0 0 0
66 Ketorolac injeksi 30mg 0 0 0
67 Ketorolak Injeksi 300 mg 40 0 0
68 Kemtov 480 mg ( Cotri 480 mg ) 300 0 0
69 Kasa Steril Hexa Husada 100 0 0
70 Leukoplast (1625) 7,5 cm x 5 cm 0 0 0
71 Lecozino 20 mg 1000 0 0
72 Micolax Sirupp 0 0 0
73 Metmormin 500 mg 250 0 0
 74 Metronodazole 500 mg 750 0 0
75 Miratrim Syrup 60 Ml 0 0 0
76 Methylergometrin Injeksi 20 0 0
77 Natrium Diklopenat 0 0 0
78 Natrium Diklofenak 50mg 0 0 0
79 Natrium Diklofenak 50 mg (100 Tab ) 1500 0 0
80 Natrium Diklopenat 50 mg ( 5 Strip ) 1000 0 0
81 Natrium Diclofenak 5 mg 2500 0 0
82 Neurotropic Inj (=B Comp Inj ) 0 0 0
83 Neurosanbe Inj (=Neurobion Drips) 0 0 0
84 Neo K Injeksi 30 0 0
85 Neurotropic injeksi 9 ml 0 0 0
86 Neuroboran Injeksi 9 ml 0 0 0
87 Ondansentrum injeksi 2mg 0 0 0
88 Ondansetron Injeksi 2 mg 0 0 0
89 Ondansentron Injeksi 4 mg/2 ml 40 0 0
90 Oxytoksin Injeksi 20 0 0
91 Parasetamol Tablet 0 0 0
92 Parasetamol Syrup 10 0 0
93 Paracetamol sirup 60ml 55 0 0
94 Prednison Tablet 0 0 0
95 Prednison 5 mg Blitser 1500 0 0
96 Pacdin cough 60ml 0 0 0
97 Piroxicam 20 mg 100 0 0
98 Ranitidin Injeksi 260 0 0
99 Ranitidin 15 mg 1200 0 0
100 Salbutamol Tab 4 Mg 200 0 0
101 Selkom C 0 0 0
102 Solpenox Syrup 20 0 0
103 Sak Obat Ukuran 5 x 8 cm 21 0 0
104 Sak Obat Ukuran 8 x 13 cm 48 0 0
105 Umbilical Cord (Klem Tali Pusar) 29 0 0
106 Vitamin B6 10 MMg Trifa (250) 30 0 0
107 Ventolin Nebules 0 0 0
108 Vitamin B comp (100) 1000 0 0
109 Vitamin C 50 MG ( 100 ) 1500 0 0
110 Vemplon No 18 45 0 0
111 Vemplon No 20 17 0 0
112 Xilocaine Gel 2 0 0

UMUM BPJS JAM

PKH
JUMLAH KUNJUNGAN RESEP BAYAR KIS KESDA
0 0 0 0
 Yang Menerima / Melapor
Kepala UPTD Puskesmas Maelang
Kecamatan Sang Tombolang

JUNAIDI MAMONTO, SKM .-

NIP. 19690405 199103 1 010 .-
STOK
AKHIR
KET

0
2000
1200
0
0
1
0
1500
0
0
0
0
1000
0
800
0
700
5
2
2
0
0
0
30
0
0
1
0
0
0
 0
0
0
0
500
0
0
30
0
0
0
10
1000
24
700
500
0
500
0
0
0
100
500
400
0
0
400
0
300
300
400
0
400
400
0
0
40
300
100
0
1000
0
250
 750
0
20
0
0
1500
1000
2500
0
0
30
0
0
0
0
40
20
0
10
55
0
1500
0
100
260
1200
200
0
20
21
48
29
30
0
1000
1500
45
17
2

KADER JUMLAH

0 0
 LAPORAN PEMAKAIAN DAN LEMBARAN ( KAPITASI )
PERMINTAAN OBAT ( LPLPO )

KODE PUSKESMAS :18051501

PUSKESMAS : MAELANG
KECAMATAN : SANG TOMBOLANG
KABUPATEN : BOLAANG MONGONDOW
PROPINSI : SULAWESI UTARA
BULAN : MEI
TAHUN : 2021

STOK PENERI PEMAK

NO NAMA OBAT SATUAN
AWAL MAAN AIAN
1 Antasida Tablet 0 0 0
2 Antasid Doen 2000 0 0
3 Allopurinol 1200 0 0
4 Amoxcilin Syrup 0 0 0
5 Alkohol 1 Liter 0 0 0
6 Alkohol 1/2 Liter 1 0 0
7 Alkohol 70% (1 Liter ) 0 0 0
8 Asam Mefenamat Tablet 1500 0 0
9 Asam Taneksamat Inj 500 mg 2ml 0 0 0
10 Amblodipin 10 mg 0 0 0
11 Amlodipin 10mg 0 0 0
12 Amblodipin 10 mg 0 0 0
13 Amblodipin 10 mg 1000 0 0
14 Amblodipin 5 mg 0 0 0
15 Amblodipin 5 mg 800 0 0
16 Aspilets Chewable 0 0 0
17 Ambroxol Tab 30 mg 700 0 0
18 Autocheck strip cholestrol 5 0 0
19 Autocheck strip asam urat 2 0 0
20 Autocheck strip gula 2 0 0
21 Aquadest 25ml 0 0 0
22 Abocath 22 0 0 0
23 Abocath 24 0 0 0
24 Antasid Syrup 60ml 30 0 0
25 Acyclovir Krim 5% 5gr 0 0 0
26 Baby Cough Syrup 0 0 0
27 Bethadin 1 Liter 1 0 0
28 Blivit B6 0 0 0
29 CTM 0 0 0
30 CTM 0 0 0
31 Cairan RL 0 0 0
32 Ciprofloacin 500 mg 0 0 0
33 Ciprofloxacin 0 0 0
34 Cefixime 100 mg 0 0 0
35 Cefixime 100 mg 500 0 0
36 Curbion Syrup 0 0 0
37 Curbion Kids Emulsion 0 0 0
38 Cubion Syrup 60 ml 30 0 0
39 Cairan dextrose 10% (glucosa) 0 0 0
40 Cairan dextrose 5% (glucosa) 0 0 0
41 Ceftriaxone injeksi 0 0 0
42 Catcut Chromic 3/0 10 0 0
43 Catopril 25 mg 1000 0 0
44 Chlorampenicol Salep Mata 24 0 0
45 Cefadroxil 50 mg 700 0 0
46 Dexametason Tablet 0,5 Mg 500 0 0
47 Dulcolax (Bisacodyl Tab) 0 0 0
48 Dulcolax 5 mg 500 0 0
49 Dumin 250 mg supp (=Pamol Supp) 0 0 0
50 Dopamat 0 0 0
51 Dexa injeksi 1ml 0 0 0
52 Disposible 3 cc 100 0 0
53 Etamoxul 500 0 0
54 Gliseril Guaiakolat 400 0 0
55 Giving Set Dewasa 0 0 0
56 Histigo 0 0 0
57 Histigo 400 0 0
58 Handscoon Non Steril 0 0 0
59 Hufadon 10 mg 300 0 0
60 Hufaditin ( Ranitidin) 300 0 0
61 Hufaflox 500 mg 400 0 0
62 Hufadon 5mg Syrup 60ml 0 0 0
63 Isosorbit Dimitrate 5 mg 400 0 0
64 Ibuprofen 400 mg 400 0 0
65 Ketorolak Injeksi 0 0 0
66 Ketorolac injeksi 30mg 0 0 0
67 Ketorolak Injeksi 300 mg 40 0 0
68 Kemtov 480 mg ( Cotri 480 mg ) 300 0 0
69 Kasa Steril Hexa Husada 100 0 0
70 Leukoplast (1625) 7,5 cm x 5 cm 0 0 0
71 Lecozino 20 mg 1000 0 0
72 Micolax Sirupp 0 0 0
73 Metmormin 500 mg 250 0 0
 74 Metronodazole 500 mg 750 0 0
75 Miratrim Syrup 60 Ml 0 0 0
76 Methylergometrin Injeksi 20 0 0
77 Natrium Diklopenat 0 0 0
78 Natrium Diklofenak 50mg 0 0 0
79 Natrium Diklofenak 50 mg (100 Tab ) 1500 0 0
80 Natrium Diklopenat 50 mg ( 5 Strip ) 1000 0 0
81 Natrium Diclofenak 5 mg 2500 0 0
82 Neurotropic Inj (=B Comp Inj ) 0 0 0
83 Neurosanbe Inj (=Neurobion Drips) 0 0 0
84 Neo K Injeksi 30 0 0
85 Neurotropic injeksi 9 ml 0 0 0
86 Neuroboran Injeksi 9 ml 0 0 0
87 Ondansentrum injeksi 2mg 0 0 0
88 Ondansetron Injeksi 2 mg 0 0 0
89 Ondansentron Injeksi 4 mg/2 ml 40 0 0
90 Oxytoksin Injeksi 20 0 0
91 Parasetamol Tablet 0 0 0
92 Parasetamol Syrup 10 0 0
93 Paracetamol sirup 60ml 55 0 0
94 Prednison Tablet 0 0 0
95 Prednison 5 mg Blitser 1500 0 0
96 Pacdin cough 60ml 0 0 0
97 Piroxicam 20 mg 100 0 0
98 Ranitidin Injeksi 260 0 0
99 Ranitidin 15 mg 1200 0 0
100 Salbutamol Tab 4 Mg 200 0 0
101 Selkom C 0 0 0
102 Solpenox Syrup 20 0 0
103 Sak Obat Ukuran 5 x 8 cm 21 0 0
104 Sak Obat Ukuran 8 x 13 cm 48 0 0
105 Umbilical Cord (Klem Tali Pusar) 29 0 0
106 Vitamin B6 10 MMg Trifa (250) 30 0 0
107 Ventolin Nebules 0 0 0
108 Vitamin B comp (100) 1000 0 0
109 Vitamin C 50 MG ( 100 ) 1500 0 0
110 Vemplon No 18 45 0 0
111 Vemplon No 20 17 0 0
112 Xilocaine Gel 2 0 0

UMUM BPJS JAM

PKH
JUMLAH KUNJUNGAN RESEP BAYAR KIS KESDA
0 0 0 0
 Yang Menerima / Melapor
Kepala UPTD Puskesmas Maelang
Kecamatan Sang Tombolang

JUNAIDI MAMONTO, SKM .-

NIP. 19690405 199103 1 010 .-
STOK
AKHIR
KET

0
2000
1200
0
0
1
0
1500
0
0
0
0
1000
0
800
0
700
5
2
2
0
0
0
30
0
0
1
0
0
0
 0
0
0
0
500
0
0
30
0
0
0
10
1000
24
700
500
0
500
0
0
0
100
500
400
0
0
400
0
300
300
400
0
400
400
0
0
40
300
100
0
1000
0
250
 750
0
20
0
0
1500
1000
2500
0
0
30
0
0
0
0
40
20
0
10
55
0
1500
0
100
260
1200
200
0
20
21
48
29
30
0
1000
1500
45
17
2

KADER JUMLAH

0 0
 LAPORAN PEMAKAIAN DAN LEMBARAN ( KAPITASI )
PERMINTAAN OBAT ( LPLPO )

KODE PUSKESMAS :18051501

PUSKESMAS : MAELANG
KECAMATAN : SANG TOMBOLANG
KABUPATEN : BOLAANG MONGONDOW
PROPINSI : SULAWESI UTARA
BULAN : JUNI
TAHUN : 2021

STOK PENERI PEMAK

NO NAMA OBAT SATUAN
AWAL MAAN AIAN
1 Antasida Tablet 0 0 0
2 Antasid Doen 2000 0 0
3 Allopurinol 1200 0 0
4 Amoxcilin Syrup 0 0 0
5 Alkohol 1 Liter 0 0 0
6 Alkohol 1/2 Liter 1 0 0
7 Alkohol 70% (1 Liter ) 0 0 0
8 Asam Mefenamat Tablet 1500 0 0
9 Asam Taneksamat Inj 500 mg 2ml 0 0 0
10 Amblodipin 10 mg 0 0 0
11 Amlodipin 10mg 0 0 0
12 Amblodipin 10 mg 0 0 0
13 Amblodipin 10 mg 1000 0 0
14 Amblodipin 5 mg 0 0 0
15 Amblodipin 5 mg 800 0 0
16 Aspilets Chewable 0 0 0
17 Ambroxol Tab 30 mg 700 0 0
18 Autocheck strip cholestrol 5 0 0
19 Autocheck strip asam urat 2 0 0
20 Autocheck strip gula 2 0 0
21 Aquadest 25ml 0 0 0
22 Abocath 22 0 0 0
23 Abocath 24 0 0 0
24 Antasid Syrup 60ml 30 0 0
25 Acyclovir Krim 5% 5gr 0 0 0
26 Baby Cough Syrup 0 0 0
27 Bethadin 1 Liter 1 0 0
28 Blivit B6 0 0 0
29 CTM 0 0 0
30 CTM 0 0 0
31 Cairan RL 0 0 0
32 Ciprofloacin 500 mg 0 0 0
33 Ciprofloxacin 0 0 0
34 Cefixime 100 mg 0 0 0
35 Cefixime 100 mg 500 0 0
36 Curbion Syrup 0 0 0
37 Curbion Kids Emulsion 0 0 0
38 Cubion Syrup 60 ml 30 0 0
39 Cairan dextrose 10% (glucosa) 0 0 0
40 Cairan dextrose 5% (glucosa) 0 0 0
41 Ceftriaxone injeksi 0 0 0
42 Catcut Chromic 3/0 10 0 0
43 Catopril 25 mg 1000 0 0
44 Chlorampenicol Salep Mata 24 0 0
45 Cefadroxil 50 mg 700 0 0
46 Dexametason Tablet 0,5 Mg 500 0 0
47 Dulcolax (Bisacodyl Tab) 0 0 0
48 Dulcolax 5 mg 500 0 0
49 Dumin 250 mg supp (=Pamol Supp) 0 0 0
50 Dopamat 0 0 0
51 Dexa injeksi 1ml 0 0 0
52 Disposible 3 cc 100 0 0
53 Etamoxul 500 0 0
54 Gliseril Guaiakolat 400 0 0
55 Giving Set Dewasa 0 0 0
56 Histigo 0 0 0
57 Histigo 400 0 0
58 Handscoon Non Steril 0 0 0
59 Hufadon 10 mg 300 0 0
60 Hufaditin ( Ranitidin) 300 0 0
61 Hufaflox 500 mg 400 0 0
62 Hufadon 5mg Syrup 60ml 0 0 0
63 Isosorbit Dimitrate 5 mg 400 0 0
64 Ibuprofen 400 mg 400 0 0
65 Ketorolak Injeksi 0 0 0
66 Ketorolac injeksi 30mg 0 0 0
67 Ketorolak Injeksi 300 mg 40 0 0
68 Kemtov 480 mg ( Cotri 480 mg ) 300 0 0
69 Kasa Steril Hexa Husada 100 0 0
70 Leukoplast (1625) 7,5 cm x 5 cm 0 0 0
71 Lecozino 20 mg 1000 0 0
72 Micolax Sirupp 0 0 0
73 Metmormin 500 mg 250 0 0
 74 Metronodazole 500 mg 750 0 0
75 Miratrim Syrup 60 Ml 0 0 0
76 Methylergometrin Injeksi 20 0 0
77 Natrium Diklopenat 0 0 0
78 Natrium Diklofenak 50mg 0 0 0
79 Natrium Diklofenak 50 mg (100 Tab ) 1500 0 0
80 Natrium Diklopenat 50 mg ( 5 Strip ) 1000 0 0
81 Natrium Diclofenak 5 mg 2500 0 0
82 Neurotropic Inj (=B Comp Inj ) 0 0 0
83 Neurosanbe Inj (=Neurobion Drips) 0 0 0
84 Neo K Injeksi 30 0 0
85 Neurotropic injeksi 9 ml 0 0 0
86 Neuroboran Injeksi 9 ml 0 0 0
87 Ondansentrum injeksi 2mg 0 0 0
88 Ondansetron Injeksi 2 mg 0 0 0
89 Ondansentron Injeksi 4 mg/2 ml 40 0 0
90 Oxytoksin Injeksi 20 0 0
91 Parasetamol Tablet 0 0 0
92 Parasetamol Syrup 10 0 0
93 Paracetamol sirup 60ml 55 0 0
94 Prednison Tablet 0 0 0
95 Prednison 5 mg Blitser 1500 0 0
96 Pacdin cough 60ml 0 0 0
97 Piroxicam 20 mg 100 0 0
98 Ranitidin Injeksi 260 0 0
99 Ranitidin 15 mg 1200 0 0
100 Salbutamol Tab 4 Mg 200 0 0
101 Selkom C 0 0 0
102 Solpenox Syrup 20 0 0
103 Sak Obat Ukuran 5 x 8 cm 21 0 0
104 Sak Obat Ukuran 8 x 13 cm 48 0 0
105 Umbilical Cord (Klem Tali Pusar) 29 0 0
106 Vitamin B6 10 MMg Trifa (250) 30 0 0
107 Ventolin Nebules 0 0 0
108 Vitamin B comp (100) 1000 0 0
109 Vitamin C 50 MG ( 100 ) 1500 0 0
110 Vemplon No 18 45 0 0
111 Vemplon No 20 17 0 0
112 Xilocaine Gel 2 0 0

UMUM BPJS JAM

PKH
JUMLAH KUNJUNGAN RESEP BAYAR KIS KESDA
0 0 0 0
 Yang Menerima / Melapor
Kepala UPTD Puskesmas Maelang
Kecamatan Sang Tombolang

JUNAIDI MAMONTO, SKM .-

NIP. 19690405 199103 1 010 .-
STOK
AKHIR
KET

0
2000
1200
0
0
1
0
1500
0
0
0
0
1000
0
800
0
700
5
2
2
0
0
0
30
0
0
1
0
0
0
 0
0
0
0
500
0
0
30
0
0
0
10
1000
24
700
500
0
500
0
0
0
100
500
400
0
0
400
0
300
300
400
0
400
400
0
0
40
300
100
0
1000
0
250
 750
0
20
0
0
1500
1000
2500
0
0
30
0
0
0
0
40
20
0
10
55
0
1500
0
100
260
1200
200
0
20
21
48
29
30
0
1000
1500
45
17
2

KADER JUMLAH

0 0
 TABEL REKAPITULASI LAPORAN SEMESTERAN DAN TAHUNAN
LAPORAN MUTASI BARANG
DARI TANGGAL 01 JANUARI 2020 SAMPAI DENGAN 31 DESEMBER 2020

INSTANSI : MAELANG
KABUPATEN : BOLAANG MONGONDOW

MASUK NILAI NILAI

SALDO HARGA BELI NILAI SALDO SALDO
NO JENIS/BARANG PERSEDIAAN SATUAN (VOLUME KELUAR SISA MASUK KELUAR
AWAL TERAKHIR (Rp) AWAL AKHIR (Rp)
) (Rp) (Rp)
1 2 3 4 5 6 7=(4+5)-6 8 9=4*8 10=5*8 11=6*8 12=7*8
1 Antasida Tablet 5,000 0 5,000 0 0 100 500,000 - 500,000 -
2 Antasid Doen 11,700 0 9,500 2200 2000 110 1,287,000 - 1,045,000 242,000
3 Allopurinol 5,200 0 4,000 1200 1200 225 1,170,000 - 900,000 270,000
4 Amoxcilin Syrup 50 0 50 0 0 5,700 285,000 - 285,000 -
5 Alkohol 1 Liter 5 0 5 0 0 97,000 485,000 - 485,000 -
6 Alkohol 1/2 Liter 6 0 5 1 1 62,000 372,000 - 310,000 62,000
7 Alkohol 70% (1 Liter ) 5 0 5 0 0 55,000 275,000 - 275,000 -
8 Asam Mefenamat Tablet 7,500 0 6,000 1500 1500 280 2,100,000 - 1,680,000 420,000
9 Asam Taneksamat Inj 500 mg 2ml 25 0 25 0 0 6,000 150,000 - 150,000 -
10 Amblodipin 10 mg 750 0 750 0 0 350 262,500 - 262,500 -
11 Amlodipin 10mg 1,800 0 1,800 0 0 150 270,000 - 270,000 -
12 Amblodipin 10 mg 2,250 0 2,250 0 0 300 675,000 - 675,000 -
13 Amblodipin 10 mg 3,500 0 2,500 1000 1000 250 875,000 - 625,000 250,000
14 Amblodipin 5 mg 4,200 0 4,200 0 0 250 1,050,000 - 1,050,000 -
15 Amblodipin 5 mg 1,500 0 700 800 800 160 240,000 - 112,000 128,000
16 Aspilets Chewable 0 750
200 200 0 0 150,000 - 150,000 -
17 Ambroxol Tab 30 mg 5,200 0 4,500 700 700 150 780,000 - 675,000 105,000
18 Autocheck strip cholestrol 13 0 8 5 5 215,000 2,795,000 - 1,720,000 1,075,000
19 Autocheck strip asam urat 8 0 6 2 2 130,000 1,040,000 - 780,000 260,000
20 Autocheck strip gula 8 0 6 2 2 115,000 920,000 - 690,000 230,000
21 Aquadest 25ml 12 0 12 0 0 10,000 120,000 - 120,000 -
22 Abocath 22 24 0 24 0 0 9,000 216,000 - 216,000 -
23 Abocath 24 24 0 24 0 0 9,000 216,000 - 216,000 -
24 Antasid Syrup 60ml 110 0 80 30 30 3,800 418,000 - 304,000 114,000
25 Acyclovir Krim 5% 5gr 30 0 30 0 0 4,275 128,250 - 128,250 -
26 Baby Cough Syrup 50 0 50 0 0 5,700 285,000 - 285,000 -
27 Bethadin 1 Liter 3 0 2 1 1 80,000 240,000 - 160,000 80,000
28 Blivit B6 1,000 0 1,000 0 0 60 60,000 - 60,000 -
29 CTM 5,000 0 5,000 0 0 48 240,000 - 240,000 -
30 CTM 5,000 0 5,000 0 0 50 250,000 - 250,000 -
31 Cairan RL 250 0 250 0 0 10,000 2,500,000 - 2,500,000 -
32 Ciprofloacin 500 mg 1,000 0 1,000 0 0 400 400,000 - 400,000 -
33 Ciprofloxacin 700 0 700 0 0 380 266,000 - 266,000 -
34 Cefixime 100 mg 4,900 0 4,900 0 0 500 2,450,000 - 2,450,000 -
35 Cefixime 100 mg 1,200 0 700 500 500 470 564,000 - 329,000 235,000
36 Curbion Syrup 20 0 20 0 0 8,075 161,500 - 161,500 -
37 Curbion Kids Emulsion 72 0 72 0 0 13,300 957,600 - 957,600 -
38 Cubion Syrup 60 ml 110 0 80 30 30 9,025 992,750 - 722,000 270,750
39 Cairan dextrose 10% (glucosa) 0
22 22 0 0 12,000 264,000 - 264,000 -
40 Cairan dextrose 5% (glucosa) 0
22 22 0 0 10,000 220,000 - 220,000 -
41 Ceftriaxone injeksi 15 0 15 0 0 13,500 202,500 - 202,500 -
42 Catcut Chromic 3/0 39 0 29 10 10 9,000 351,000 - 261,000 90,000
43 Catopril 25 mg 3,000 0 2,000 1000 1000 120 360,000 - 240,000 120,000
44 Chlorampenicol Salep Mata 48 0 24 24 24 5,700 273,600 - 136,800 136,800
45 Cefadroxil 50 mg 1,200 0 500 700 700 690 828,000 - 345,000 483,000
46 Dexametason Tablet 0,5 Mg 4,000 0 3,500 500 500 250 1,000,000 - 875,000 125,000
47 Dulcolax (Bisacodyl Tab) 0 190
1,000 1,000 0 0 190,000 - 190,000 -
48 Dulcolax 5 mg 1,200 0 700 500 500 190 228,000 - 133,000 95,000
49 Dumin 250 mg supp (=Pamol Supp) 5 0 5 0 0 30,000 150,000 - 150,000 -
50 Dopamat 100 0 100 0 0 2,500 250,000 - 250,000 -
51 Dexa injeksi 1ml 40 0 40 0 0 3,000 120,000 - 120,000 -
52 Disposible 3 cc 400 0 300 100 100 750 300,000 - 225,000 75,000
53 Etamoxul 2,500 0 2,000 500 500 270 675,000 - 540,000 135,000
54 Gliseril Guaiakolat 4,000 0 3,600 400 400 120 480,000 - 432,000 48,000
55 Giving Set Dewasa 100 0 100 0 0 9,000 900,000 - 900,000 -
56 Histigo 3,000 0 3,000 0 0 360 1,080,000 - 1,080,000 -
57 Histigo 1,300 0 900 400 400 400 520,000 - 360,000 160,000
58 Handscoon Non Steril 5 0 5 0 0 100,000 500,000 - 500,000 -
59 Hufadon 10 mg 2,200 0 1,900 300 300 250 550,000 - 475,000 75,000
60 Hufaditin ( Ranitidin) 2,000 0 1,700 300 300 375 750,000 - 637,500 112,500
61 Hufaflox 500 mg 1,200 0 800 400 400 600 720,000 - 480,000 240,000
62 Hufadon 5mg Syrup 60ml 60 0 60 0 0 5,700 342,000 - 342,000 -
63 Isosorbit Dimitrate 5 mg 1,200 0 800 400 400 150 180,000 - 120,000 60,000
64 Ibuprofen 400 mg 1,200 0 800 400 400 350 420,000 - 280,000 140,000
65 Ketorolak Injeksi 50 0 50 0 0 6,500 325,000 - 325,000 -
66 Ketorolac injeksi 30mg 126 0 126 0 0 7,500 945,000 - 945,000 -
67 Ketorolak Injeksi 300 mg 60 0 20 40 40 6,000 360,000 - 120,000 240,000
68 Kemtov 480 mg ( Cotri 480 mg ) 1,000 0 700 300 300 250 250,000 - 175,000 75,000
69 Kasa Steril Hexa Husada 234 0 134 100 100 4,000 936,000 - 536,000 400,000
70 Leukoplast (1625) 7,5 cm x 5 cm 8 0 8 0 0 50,000 400,000 - 400,000 -
71 Lecozino 20 mg 1,800 0 800 1000 1000 360 648,000 - 288,000 360,000
72 Micolax Sirupp 10 0 10 0 0 23,500 235,000 - 235,000 -
73 Metmormin 500 mg 2,100 0 1,850 250 250 185 388,500 - 342,250 46,250
74 Metronodazole 500 mg 1,500 0 750 750 750 270 405,000 - 202,500 202,500
75 Miratrim Syrup 60 Ml 50 0 50 0 0 6,500 325,000 - 325,000 -
76 Methylergometrin Injeksi 25 0 5 20 20 6,500 162,500 - 32,500 130,000
77 Natrium Diklopenat 3,000 0 3,000 0 0 270 810,000 - 810,000 -
78 Natrium Diklofenak 50mg 1,600 0 1,600 0 0 240 384,000 - 384,000 -
79 Natrium Diklofenak 50 mg (100 Tab ) 2,500 0 1,000 1500 1500 120 300,000 - 120,000 180,000
80 Natrium Diklopenat 50 mg ( 5 Strip ) 2,250 0 1,250 1000 1000 360 810,000 - 450,000 360,000
81 Natrium Diclofenak 5 mg 3,500 0 1,000 2500 2500 150 525,000 - 150,000 375,000
82 Neurotropic Inj (=B Comp Inj ) 10 0 10 0 0 9,900 99,000 - 99,000 -
83 Neurosanbe Inj (=Neurobion Drips) 10 0 10 0 0 7,700 77,000 - 77,000 -
84 Neo K Injeksi 80 0 50 30 30 17,500 1,400,000 - 875,000 525,000
85 Neurotropic injeksi 9 ml 10 0 10 0 0 11,000 110,000 - 110,000 -
86 Neuroboran Injeksi 9 ml 10 0 10 0 0 16,000 160,000 - 160,000 -
87 Ondansentrum injeksi 2mg 35 0 35 0 0 7,500 262,500 - 262,500 -
88 Ondansetron Injeksi 2 mg 25 0 25 0 0 6,300 157,500 - 157,500 -
89 Ondansentron Injeksi 4 mg/2 ml 50 0 10 40 40 10,000 500,000 - 100,000 400,000
90 Oxytoksin Injeksi 25 0 5 20 20 4,000 100,000 - 20,000 80,000
91 Parasetamol Tablet 8,500 0 8,500 0 0 190 1,615,000 - 1,615,000 -
92 Parasetamol Syrup 50 0 40 10 10 5,225 261,250 - 209,000 52,250
93 Paracetamol sirup 60ml 155 0 100 55 55 3,325 515,375 - 332,500 182,875
94 Prednison Tablet 2,000 0 2,000 0 0 200 400,000 - 400,000 -
95 Prednison 5 mg Blitser 2,000 0 500 1500 1500 150 300,000 - 75,000 225,000
96 Pacdin cough 60ml 50 0 50 0 0 6,175 308,750 - 308,750 -
97 Piroxicam 20 mg 1,600 0 500 1100 100 260 416,000 - 130,000 286,000
98 Ranitidin Injeksi 475 0 215 260 260 2,500 1,187,500 - 537,500 650,000
99 Ranitidin 15 mg 6,300 0 5,100 1200 1200 170 1,071,000 - 867,000 204,000
100 Salbutamol Tab 4 Mg 2,000 0 1,800 200 200 150 300,000 - 270,000 30,000
101 Selkom C 500 0 500 0 0 1,050 525,000 - 525,000 -
102 Solpenox Syrup 50 0 30 20 20 4,750 237,500 - 142,500 95,000
103 Sak Obat Ukuran 5 x 8 cm 29 0 8 21 21 10,000 290,000 - 80,000 210,000
104 Sak Obat Ukuran 8 x 13 cm 60 0 12 48 48 14000 840,000 - 168,000 672,000
105 Umbilical Cord (Klem Tali Pusar) 50 0 21 29 29 2,400 120,000 - 50,400 69,600
106 Vitamin B6 10 MMg Trifa (250) 5,000 0 4,500 500 30 44 220,000 - 198,000 22,000
107 Ventolin Nebules 10 0 10 0 0 13,000 130,000 - 130,000 -
108 Vitamin B comp (100) 4,800 0 3,800 1000 1000 90 432,000 - 342,000 90,000
109 Vitamin C 50 MG ( 100 ) 20,000 0 5,000 15000 1500 15 300,000 - 75,000 225,000
110 Vemplon No 18 50 0 5 45 45 8,000 400,000 - 40,000 360,000
111 Vemplon No 20 20 0 3 17 17 8,000 160,000 - 24,000 136,000
112 Xilocaine Gel 4 0 2 2 2 81,000 324,000 - 162,000 162,000
172,052 - 129,590 42,462 1,421,622 59,429,075 - 46,546,550 12,882,525