PEMERINTAH KABUPATEN BANYUMAS

DINAS KESEHATAN
PUSKESMAS KALIBAGOR
Jl. Suwarjono No. 48 Telp.(0281) 6438207
Kalibagor 53191

LAPORAN STOK OPNAME OBAT UPKF PER 31 DESEMBER 2021

SALDO AWAL TH 2020 PEMBERIAN OBAT/ALKES MUTASI

NO NAMA OBAT/ALKES SATUAN JUMLAH SISA SALDO
HARGA HARGA
JUMLAH JUMLAH NILAI RUPIAH JUMLAH NILAI
SATUAN SATUAN
1 AMOKSILIN SYRUP KERING BOTOL 100 2050 205,000 100 205,000 0 -
2 AMOKSILLIN KAP 500 MG TAB 5000 232 1,160,000 5000 1,160,000 0 -
3 KLORAMFENIKOL 500 MG CAPS 1000 1090 1,090,000 1000 1,090,000 0 -
4 KOTRIMOKSAZOL 480 MG TAB 1000 151 151,000 1000 151,000 0 -
5 KETOKONAZOL 200 MG TAB 2000 270 540,000 2000 540,000 0 -
6 KETOKONAZOL CREAM 2% TUB 50 2518 125,900 50 125,900 0 -
7 ACICLOVIR 400 MG TAB 1900 380 722,000 1900 722,000 0 -
8 BETAMETASON CREAM TUBE 50 1340 67,000 50 67,000 0 -
9 HIDROKORTISON KRIM 1% TUB 50 2787 139,350 50 139,350 0 -
10 HIDROKORTISON KRIM 2,5% TUB 40 2475 99,000 40 99,000 0 -
11 PARACETAMOL SYR BTL 100 1107 110,700 100 110,700 0 -
12 ANTASIDA DOEN 500 MG TAB 1900 58 110,200 1900 110,200 0 -
13 ANTASIDA DOEN SUSPENSI BTL 50 1995 99,750 50 99,750 0 -
14 SALBUTAMOL 2 MG TAB 1000 67 67,000 1000 67,000 0 -
15 SALBUTAMOL 4MG TAB 700 70 49,000 700 49,000 0 -
16 GLIMEPIRID 2 MG TAB 200 207 41,400 200 41,400 0 -
17 GLIMEPIRIDE 1 MG TAB 100 174 17,400 100 17,400 0 -
18 METFORMIN HCL TABLET TAB 1000 96 96,000 1000 96,000 0 -
19 SIMVASTATIN TAB 10 MG TAB 1500 117 175,500 1500 175,500 0 -
20 AMLODIPIN 10 MG TAB 6100 99 603,900 6100 603,900 0 -
21 AMLODIPIN 5 MG TAB 900 70 63,000 900 63,000 0 -
22 DIGOKSIN TAB 100 104 10,400 100 10,400 0 -
23 CETIRIZINE TABLET 10 MG TAB 1900 90 171,000 1900 171,000 0 -
24 KLORFENIRAMIN (CTM) 4 MG TAB 1000 23 23,000 1000 23,000 0 -
25 LANZOPRAZOL 30 MG CAPS 1000 323 323,000 1000 323,000 0 -
26 VITAMIN B12 TAB TAB 2000 46 92,000 2000 92,000 0 -
27 BETAHISTIN MESILAT 6 MG TAB 200 110 22,000 200 22,000 0 -
28 KALSIUM LAKTAT 500 MG TAB 7000 59 413,000 7000 413,000 0 -
29 DISPOSIBLE 3 CC BUAH 50 920 46,000 50 46,000 0 -
30 HYPAFIK PASANG 20 42800 856,000 20 856,000 0 -
31 INFUSET ANAK SET 100 3800 380,000 100 380,000 0 -
32 INFUSET DEWASA SET 30 8140 244,200 30 244,200 0 -
33 IV CATHETER NO. 20 SET 50 5500 275,000 50 275,000 0 -
34 KASA HIDROFIL UK 36MX80CM ROL 7 136500 955,500 7 955,500 0 -
35 PLESTERIN ROLL 5CMX5M BH ROL 8 23760 190,080 8 190,080 0 -
36 NEW ANTIDES TAB 500 136 68,000 500 68,000 0 -
37 AMOKSILIN SYRUP KERING BOTOL 1700 2,050 3,485,000 1600 3,280,000 100 205,000
38 AMOKSILLIN KAP 500 MG TAB 65,000 249 16,185,000 61500 15,313,500 3500 871,500
39 CIPROFLOAXIN500 TAB 5,700 248 1,413,600 5400 1,339,200 300 74,400
40 KLINDAMYCIN 300 MG CAPS 200 522 104,400 200 104,400 0 -
41 KLORAMFENIKOL 500 MG CAPS 0 1,163 - 0 - 0 -

42 KOTRIMOKSAZOL SUSPENSI 60 ML BTL 200 2,190 438,000 200 438,000 0 -

43 KOTRIMOKSAZOL 480 MG TAB 1800 133 239,400 800 106,400 1000 133,000
44 SEFADROXIL SIR 125 MG/5ML BTL 150 4185 627,750 150 627,750 0 -
45 SEFOTAKSIM INJEKSI 1GR/VIAL PCS 0 551 - 0 - 0 -
46 SEFTRIAKSON SERB INJ 1G/VIAL PCS 0 4,496 - 0 - 0 -

47 STERPTOMYCIN S 1GR/56 VIAL 1GR PCS 0 210 - 0 - 0 -

48 THYAMPHENICOL 500 MG/DEXYCOL CAPS 0 270 - 0 - 0 -

49 ANTIFUNGI DOEN TUBE 96 4,496 431,616 96 431,616 0 -

50 GRISEOVULFIN 125 MG TAB 2000 224 448,000 2000 448,000 0 -
51 KETOKONAZOL 200 MG TAB 14500 270 3,915,000 10700 2,889,000 3800 1,026,000
52 KETOKONAZOL CREAM 2% TUB 400 2518 1,007,200 370 931,660 30 75,540
53 MICONAZOL CREAM TUB 0 0 - 0 - 0 -
54 MICONAZOL CREAM TUB 288 3414 983,232 288 983,232 0 -
55 ACICLOVIR 400 MG TAB 8000 380 3,040,000 6100 2,318,000 1900 722,000
56 ACICLOVIR CREAM TUB 0 3,035 - 0 - 0 -

57 ANTIBAKTERI DOEN (BACITHRACIN) TUBE 0 1,800 - 0 - 0 -

58 GENTAMISIN SALEP KULIT TUB 0 1,529 - 0 - 0 -

59 BETAMETASON CREAM TUBE 100 3,350 335,000 100 335,000 0 -
60 HIDROKORTISON KRIM 1% TUB 245 2,900 710,500 146 423,400 99 287,100
61 HIDROKORTISON KRIM 1% TUB 91 2,787 253,617 91 253,617 0 -
62 HIDROKORTISON KRIM 2,5% TUB 696 2,475 1,722,600 696 1,722,600 0 -
63 ANTALGIN 500 MG TAB 0 140 - 0 - 0 -
64 PARACETAMOL 500 MG TAB 0 53 - 0 - 0 -
65 PARACETAMOL SYR BTL 1500 1,181 1,771,500 1400 1,653,400 100 118,100
66 PARASETAMOL DROP BOTOL 0 6,649 - 0 - 0 -
67 ANTASIDA DOEN 500 MG TAB 34000 58 1,972,000 31000 1,798,000 3000 174,000
68 ANTASIDA DOEN SUSPENSI BTL 200 2,129 425,800 100 212,900 100 212,900
69 AMBROXOL 30 MG TAB 0 118 - 0 - 0 -
70 AMBROXOL SYRUP 15 MG/ML BOTOL 0 3,421 - 0 - 0 -
71 SALBUTAMOL 2 MG TAB 12000 67 804,000 11200 750,400 800 53,600
72 SALBUTAMOL 4MG TAB 1000 63 63,000 1000 63,000 0 -
73 GLIMEPIRID 2 MG TAB 3200 207 662,400 3200 662,400 0 -
74 GLIMEPIRIDE 1 MG TAB 1500 174 261,000 1500 261,000 0 -
75 METFORMIN HCL TABLET TAB 12000 102 1,224,000 9350 953,700 2650 270,300
76 SIMVASTATIN 20 MG TAB 0 252 - 0 - 0 -
77 LOPERAMID TABLET TAB 0 85 - 0 - 0 -
78 SIMVASTATIN TAB 10 MG TAB 4980 117 582,660 4980 582,660 0 -
79 ZINC TABLET 20 MG TAB 0 524 - 0 - 0 -
80 AMLODIPIN 10 MG TAB 5100 99 504,900 5100 504,900 0 -
81 AMLODIPIN 5 MG TAB 14400 75 1,080,000 14400 1,080,000 0 -
82 CAPTOPRIL 25 mg TAB 4000 75 300,000 2000 150,000 2000 150,000
83 ISOSORBID DINITRAT TAB 0 112 - 0 - 0 -
84 FUROSEMID 40 MG TAB 5000 82 410,000 4700 385,400 300 24,600
85 NIFEDIPIN 10 MG TAB 2500 112 280,000 2500 280,000 0 -
86 DEXAMETASON 0,5 MG TAB 0 32 - 0 - 0 -
87 DEXAMETASON INJ AMP 0 1,097 - 0 - 0 -
88 METILPREDNISOLON 4 MG TAB 10000 102 1,020,000 7000 714,000 3000 306,000
89 CETIRIZINE SYRUP 5MG/5ML BOTOL 300 2,915 874,500 300 874,500 0 -
90 CETIRIZINE TABLET 10 MG TAB 0 90 - 0 - 0 -
91 KLORFENIRAMIN (CTM) 4 MG TAB 38000 23 874,000 37800 869,400 200 4,600
92 LORATADINE 10 MG TAB 6000 131 786,000 6000 786,000 0 -
93 GLISERIL GUAYAKOLAT 100 MG TAB 0 66 - 0 - 0 -
94 OBAT BATUK HITAM (OBH) BTL 0 5,203 - 0 - 0 -
95 DIMENHYDRINAT TAB 300 112 33,600 300 33,600 0 -
96 DOMPERIDON SUSP 5MG/5ML BOTOL 300 2,700 810,000 300 810,000 0 -
97 DOMPERIDON TABLET TAB 3300 71 234,300 2850 202,350 450 31,950
98 LANZOPRAZOL 30 MG CAPS 5500 323 1,776,500 5500 1,776,500 0 -
99 OMEPRAZOL 20 MG CAPS 10000 129 1,290,000 10000 1,290,000 0 -
100 RANITIDIN TAB 150 MG TAB 12000 85 1,020,000 11250 956,250 750 63,750
101 ALLOPURINOL TAB TAB 4500 89 400,500 3500 311,500 1000 89,000
102 ALLOPURINOL TAB TAB 1500 87 130,500 1500 130,500 0 -
103 LIDOKAIN COMP. INJ KOMB AMPUL 210 1152 241,920 210 241,920 0 -
104 LIDOKAIN INJEKSI 2% AMPUL 200 1221 244,200 200 244,200 0 -
105 LIDOKAIN INJEKSI 2% AMPUL 100 847 84,700 100 84,700 0 -
106 ASAM MEFENAMAT 500 MG TAB 2100 111 233,100 2100 233,100 0 -
107 IBUPROFEN 200 MG SUSP TAB 295 4665 1,376,175 295 1,376,175 0 -
108 IBUPROFEN 400 MG TAB 0 790 - 0 - 0 -
109 MELOKSIKAM 15 MG TAB 0 123 - 0 - 0 -
110 NATRIUM DIKLOFENAK 50 MG TAB 35000 123 4,305,000 30500 3,751,500 4500 553,500
111 PIROKSIKAM 10 MG TAB 0 102 - 0 - 0 -
112 PIROKSIKAM 20 MG TAB 0 56 - 0 - 0 -
113 DIAZEPAM 5 mg TAB 0 1,735 - 0 - 0 -
114 DIAZEPAM INJ 5MG/ML AMPUL 0 42 - 0 - 0 -
115 ASAM ASCORBAT 50 MG TAB 13000 42 546,000 13000 546,000 0 -
116 PIRIDOKSIN (VIT B6) TAB 200 67 13,400 200 13,400 0 -
117 VITAMIN B KOMPLEKS TAB 45000 89 4,005,000 42750 3,804,750 2250 200,250
118 VITAMIN B1 TAB 50 MG TAB 0 49 - 0 - 0 -
119 VITAMIN B12 TAB TAB 18000 49 882,000 18000 882,000 0 -
120 VITAMIN K 10 MG TAB 3000 748 2,244,000 2000 1,496,000 1000 748,000
121 VITAMIN K INJ AMPUL 480 1,386 665,280 400 554,400 80 110,880
122 GENTAMICIN SULFAT TM 0,3% TUB 192 4,520 867,840 192 867,840 0 -

123 KLORAMFENIKOL SALEP MATA 1 % TUB 384 2,007 770,688 384 770,688 0 -

KLORAMFENIKOL TETES MATA 5

124 BOTOL 0 2,500 - 0 - 0 -
MG
125 OKSITETRASIKLIN SM 1% BOTOL 125 2,500 312,500 125 312,500 0 - aslinya nol
126 FENOL GLISEROL TT 10% BTL 0 7,000 - 0 - 0 -
127 KLORAMFENIKOL TT BTL 0 110 - 0 - 0 -
128 BETAHISTIN MESILAT 6 MG TAB 2000 110 220,000 2000 220,000 0 -
129 ANTI HEMOROID SUPP PCS 90 3,250 292,500 90 292,500 0 -
130 GLUCOSE UNICAP/OGB WB 10% BTL 40 7,200 288,000 40 288,000 0 -
131 NATRIUM KLORIDA 0,9% INFUS BTL 100 6,410 641,000 100 641,000 0 - 2,229,000
132 RINGER LAKTAT BTL 400 7,630 3,052,000 100 763,000 300 2,289,000 60,000 2,289,000 300
133 KALSIUM PERMANGANAT SERBUK BTL 0 1,025 - 0 - 0 -

134 SALISIL TALK SAK 0 2,959 - 0 - 0 -

135 METIL ERGOMETRIN INJ AMP 0 211 - 0 - 0 -
136 METIL ERGOMETRIN TAB TAB 1100 211 232,100 1100 232,100 0 -
137 OKSITOKSIN INJ AMP 0 2,212 - 0 - 0 -
138 RIVANOL / ETAKRIDIN BTL 0 14,500 - 0 - 0 -
139 YODIUM POVIDON 300 ML BTL 0 450 - 0 - 0 -
140 GARAM ORALIT 200 ML AIR SAK 400 280 112,000 400 112,000 0 -
141 EPINEPRIN INJ AMP 0 1,408 - 0 - 0 -
142 KALSIUM LAKTAT 500 MG TAB 10000 63 630,000 10000 630,000 0 -
143 MGSO4 40% INJEKSI AMP 0 2,629 - 0 - 0 -
144 DISPOSIBLE 3 CC BUAH 4100 920 3,772,000 4100 3,772,000 0 -
145 DISPOSIBLE SPUIT 2,5 CC BH 0 920 - 0 - 0 -
146 DISPOSIBLE SPIUT 1CC BH 500 1087 543,500 500 543,500 0 -
147 FOLEY CATH TWO WAY 16 BUAH 0 1,038 - 0 - 0 -
148 FOLEY CATH TWO WAY 18 PCS 0 9,200 - 0 - 0 -
149 FOLEY CATH TWO WAY 20 PCS 0 9,200 - 0 - 0 -
150 HANDSCHOEN UK S PCS 800 1,400 1,120,000 800 1,120,000 0 -
151 HANDSCOEN NO. 7,5 PCS 0 1,400 - 0 - 0 -

152 HANDSHOON NON STERIL LARGE PAS 0 4,600 - 0 - 0 -

153 HANNSCOEN NO. 6,5 PCS 0 1,400 - 0 - 0 -

154 HANSCOEN MEDIUM PAS 900 1,400 1,260,000 900 1,260,000 0 -
155 HANSCOEN NO.7 PASANG 0 1,400 - 0 - 0 -
156 HYPAFIK PASANG 0 4,600 - 0 - 0 -
157 HYPAVIK 10 CM X 5 M ROL 0 42,800 - 0 - 0 -
158 INFUSET ANAK ROL 400 3,800 1,520,000 400 1,520,000 0 -
159 INFUSET DEWASA SET 100 5,885 588,500 100 588,500 0 -
160 IV CATHETER NO. 18 SET 0 8,140 - 0 - 0 -
161 IV CATHETER NO. 20 SET 0 5,500 - 0 - 0 -
162 IV CATHETER NO. 22 set 0 3,158 - 0 - 0 -
163 IV CATHETER NO. 24 SET 0 5,500 - 0 - 0 -
164 JARUM SUNTIK 23 G SET 0 3,469 - 0 - 0 -
165 Kapas 2 M x 80 cm BJ 0 396 - 0 - 0 -
166 Kapas 2 M x 80 cm BJ 10 10,358 103,580 10 103,580 0 -
167 KAPAS 250 GRAM rol 20 26,036 520,720 20 520,720 0 -
168 KASA HIDR STERIL 16X16 BKS 0 26,036 - 0 - 0 -
169 KASA HIDROFIL UK 36MX80CM KOTAK 5 146,000 730,000 5 730,000 0 -
170 KASA HYDROFIL 4 X 15 ROL 20 3,967 79,340 20 79,340 0 -
171 LANCET ROL 0 3,967 - 0 - 0 -
172 MASKER 3 PLY BOX 17 41,382 703,494 17 703,494 0 -
173 PLESTER 5 YARDX 1 INCHI PCS 40 14,810 592,400 40 592,400 0 -
174 PLESTER 5 YARDX 2 INCH ROL 40 30,800 1,232,000 40 1,232,000 0 -
175 PLESTERIN ROLL 5CMX5M BH ROL 20 23,760 475,200 20 475,200 0 -
SARUNG TANGAN PANJANG/ST
176 PASANG 0 23,760 - 0 - 0 -
GYNAECOLOG
177 SAVETY BOX PASANG 100 21,000 2,100,000 100 2,100,000 0 -
178 SILK 2/0 BUAH 0 21,000 - 0 - 0 -
179 SILK 3/0 BUAH 0 5,221 - 0 - 0 -
180 SPUTUM POT BUAH 0 6,984 - 0 - 0 -
181 URINE BAG BUAH 0 2,376 - 0 - 0 -
182 WING NEEDLE NO 25G PCS 0 4,000 - 0 - 0 -
183 SPUIT IMUNISASI 0,5 ml 23G PCS 1000 1,210 1,210,000 1000 1,210,000 0 -
184 WING NEEDLE NO. 23 SET 0 5,770 - 0 - 0 -
185 DUMIN REKTAL TUBE 125 MG SET 0 5,770 - 0 - 0 -
186 LAXANA 5 MG TAB 0 10,558 - 0 - 0 -
187 MOLEX FLU TAB 0 539 - 0 - 0 -
188 MOLEXDRYL SIRUP BOTOL 0 392 - 0 - 0 -
189 MOLEXFLU SIRUP BOTOL 0 5,859 - 0 - 0 -
190 NEOCENTA GEL BOTOL 0 6,500 - 0 - 0 -
191 NEOKAOMINAL SIRUP BOTOL 0 9,900 - 0 - 0 -
192 NEW ANTIDES TAB 11500 136 1,564,000 8500 1,156,000 3000 408,000
193 SCABIMITE TUB 0 136 - 0 - 0 -
TOTAL 38,705 9,802,280 446,234 732,617 95,305,212 448,730 95,904,522 36,209 9,202,970 6,973,970 2,229,000
2,289,000

Mengetahui, Kalibagor, 31 Desember 2021

Kepala Puskesmas Kalibagor Pengelola

Tri Byar Wijayanti, SKM Dwi Ratna K, S.Farm,Apt

NIP. 19670911 199002 2 001 NIP. -
 PEMERINTAH KABUPATEN BANYUMAS
DINAS KESEHATAN
PUSKESMAS KALIBAGOR
Jl. Suwarjono No. 48 Telp.(0281) 6438207
Kalibagor 53191

LAPORAN STOK OPNAME OBAT PROGRAM PER 31 DESEMBER 2021

SALDO AWAL TH
DROPPING 2021 MUTASI
2020
NO NAMA BARANG SATUAN JUMLAH SISA SALDO
HARGA JUMLAH JUMLAH HARGA
JUMLAH NILAI RUPIAH JUMLAH NILAI
SATUAN MINTA BERI SATUAN
1 PRENAGEN MOMMY 200 MG RASA BOK 17 17 39,975 679,575 17 679,575 0 -
2 ZINKKID SIRUP 10MG/5ML BOTOL 150 150 27,500 4,125,000 150 4,125,000 0 -
3 PRENAGEN MOMMY 200 MG RASA BOK 32 32 39,975 1,279,200 32 1,279,200 0 -
PRENAGEN MOMMY 200 MG RASA
4 MOCA
BOK 20 20 39,975 799,500 20 799,500 0 -
5 MASKER EARLOOP HIJAB BOK 30 30 15,700 471,000 30 471,000 0 -
6 PRENAGEN MOMMY 200 MG RASA BOK 21 21 39,975 839,475 21 839,475 0 -
7 SPUIT 0.05 ML PCS 500 500 1,550 775,000 500 775,000 0 -
8 SPUIT 1 ML PCS 6 6 950 5,700 6 5,700 0 -
9 EPINEPRIN INJ VIAL 6 6 1,408 8,448 6 8,448 0 -
10 NACL 0,9% BOK 6 6 6,410 38,460 6 38,460 0 -
11 VITAMIN A 100000 UI (BIRU) BOTOL 4 4 14,350 57,400 4 57,400 0 -
12 ALKOHOL 70% LITER 5 5 45,000 225,000 5 225,000 0 -
13 VITAMIN SIVIT-ZINC BOTOL 100 100 17,550 1,755,000 100 1,755,000 0 -
14 TABLET TAMBAH DARAH TABLET 3780 3780 354 1,338,120 2580 913,320 1200 424,800
15 VITAMIN C 500 MG BOK 20 20 19,800 396,000 20 396,000 0 -
16 ABATE 1 GR KILO 5 5 149,000 745,000 5 745,000 0 -
17 ALBENDASOL tablet 100 100 402 40,200 100 40,200 0 -
18 ALOPURINOL 100 MG TABLET 5000 5000 105 525,000 5000 525,000 0 -
19 GARAM ORALIT SACHE 2000 2000 257 514,000 2000 514,000 0 -
20 RAPID TES HBSAG TEST 200 200 9,850 1,970,000 200 1,970,000 0 -
21 RAPID SIFILIS SD TEST 200 200 9,609 1,921,800 200 1,921,800 0 -
22 RAPID 1 HIV SD TEST 210 210 26,060 5,472,600 210 5,472,600 0 -
23 TABLET TAMBAH DARAH TABLET 3780 3780 354 1,338,120 2580 913,320 1200 424,800
24 RAPID TEST ANTI HCV TEST 30 30 13,252 397,560 30 397,560 0 -
25 TRIHEKSIFENIDIL TABLET 2 MG TABLET 300 300 91 27,300 300 27,300 0 -
26 CLOZAPIN 25 MG TABLET 500 500 1,121 560,500 500 560,500 0 -
27 RDT COVID ANTIGEN (Ag Test) TEST 100 100 97,000 9,700,000 100 9,700,000 0 -
28 RDT COVID ANTIGEN (TAISHAN) TEST 200 200 82,500 16,500,000 200 16,500,000 0 -
29 REAGEN ZEHL NELSEEN KIT 4 4 233,234 932,936 4 932,936 0 -
30 MASKER EARLOOP HIJAB TB BOX 1 1 21,736 21,736 1 21,736 0 -
31 MASKER 3M 1860 S N95 bok 2 2 470,200 940,400 2 940,400 0 -
32 OAT KAT ANAK PAKET 1 1 248,120 248,120 1 248,120 0 -
33 FDC/OAT KAT I PAKET 5 5 415,467 2,077,335 5 2,077,335 0 -
34 MASKER 3M 1860 S N95 bok 2 2 470,200 940,400 2 940,400 0 -
35 VTM CITO SWAB SET 100 100 53,000 5,300,000 100 5,300,000 0 -
36 VTM CITO SWAB SET 100 100 53,000 5,300,000 100 5,300,000 0 -
37 VTM CITO SWAB SET 100 100 53,000 5,300,000 100 5,300,000 0 -
38 RAPID SIFILIS SD TEST 275 275 9,609 2,642,475 275 2,642,475 0 -
39 VTM CITO SWAB SET 50 50 53,000 2,650,000 50 2,650,000 0 -
40 VITAMIN C 500 MG BOK 20 20 19,800 396,000 20 396,000 0 -
41 VITAMIN SIVIT-ZINC BOTOL 70 70 17,550 1,228,500 70 1,228,500 0 -
42 FITOMENADION ( VIT K INJ ) VIAL 210 210 3,682 773,220 210 773,220 0 -
43 RAPID TES HBSAG TEST 200 200 9,850 1,970,000 200 1,970,000 0 -
44 VTM ARKAN MEDICAL SET 200 200 40,000 8,000,000 200 8,000,000 0 -
45 RDT COVID ANTIGEN (SARS COV) TEST 200 200 80,000 16,000,000 200 16,000,000 0 -
46 TABLET TAMBAH DARAH TABLET 670 670 226 151,420 670 151,420 0 -
47 ZINK KID SIRUP BOTOL 5 5 3,171 15,855 5 15,855 0 -
48 ZINK KID SYRUP BOTOL 12 12 30,250 363,000 12 363,000 0 -
49 TABURIA SERBUK BOK 35 35 30,000 1,050,000 35 1,050,000 0 -
50 AZITROMYCIN 500 MG TABLET 80 80 1,250 100,000 80 100,000 0 -
51 VITAMIN SIVIT-ZINC BOTOL 20 20 17,550 351,000 20 351,000 0 -
52 HERBAPAIN TABLET 60 60 1,194 71,640 60 71,640 0 -
53 MASKER N95 PCS 80 80 89,500 7,160,000 80 7,160,000 0 -
54 VITAMIN C 500 MG BOK 10 10 19,800 198,000 10 198,000 0 -
55 PARACETAMOL TAB 500 MG TABLET 300 300 131 39,300 300 39,300 0 -
56 OSELTAMIVIRE 75 MG CAPSUL 200 200 7,000 1,400,000 200 1,400,000 0 -
57 SAFETY BOX PCS 25 25 14,000 350,000 25 350,000 0 -
58 INA-VTM TEST 200 200 35,000 7,000,000 200 7,000,000 0 -
59 APD+SHOE COVER PAKET 10 10 174,000 1,740,000 10 1,740,000 0 -
60 MASKER BEDAH BOK 20 20 75,000 1,500,000 20 1,500,000 0 -
61 HANDSCOON NS BOK 1 1 2,200,000 2,200,000 1 2,200,000 0 -
62 RAPID 1 HIV SD (100) TEST 200 200 10,722 2,144,400 200 2,144,400 0 -
63 ANTIGEN VIVA DIAG SARS COV 2AG TEST 150 150 54,000 8,100,000 150 8,100,000 0 -
64 VITAMIN A 200000 IU BOTOL 75 75 27,600 2,070,000 68 1,876,800 7 193,200
65 VITAMIN A 100000 UI (BIRU) BOTOL 8 8 15,300 122,400 3 45,900 5 76,500
66 ANTIGEN PANBIO COVID-19 TEST 200 200 82,500 16,500,000 200 16,500,000 0 -
67 ANTIGEN SD BIOSENSOR STANDARD TEST 200 200 97,000 19,400,000 200 19,400,000 0 -
68 BENECHEK PLUS STIK GLUCOSA BOK 186 186 160,000 29,760,000 186 29,760,000 0 -
69 ALKOHOL SWAB ONEMED 100 LBR BOK 90 90 12,000 1,080,000 90 1,080,000 0 -
70 BLOOD LANCET 28G ONEMED 100S BOX 90 90 9,230 830,700 90 830,700 0 -
71 ANTIGEN PANBIO COVID-19 TEST 200 200 89,500 17,900,000 200 17,900,000 0 -
72 MASKER BEDAH ERLOPSTOPMEED BOK 10 10 114,500 1,145,000 10 1,145,000 0 -
73 ANTIGEN PANBIO COVID-19 TEST 200 200 89,500 17,900,000 200 17,900,000 0 -
74 VTM TORAX SET 200 200 35,000 7,000,000 200 7,000,000 0 -
75 RAPID 1 HIV SD (100) TEST 200 200 10,722 2,144,400 110 1,179,420 90 964,980
76 VTM TORAX SET 200 200 35,000 7,000,000 0 - 200 7,000,000
77 RAPID SIFILIS 3.0 06FK 10 TEST 300 300 14,090 4,227,000 30 422,700 270 3,804,300
78 ANTIGEN SD BIOSENSOR STANDARD TEST 300 300 97,000 29,100,000 300 29,100,000 0 -
79 BIONICOM ZINK BOK 5 5 59,400 297,000 5 297,000 0 -
80 KACAMATA GOOGLES PCS 30 30 60,000 1,800,000 30 1,800,000 0 -
81 HANDSCOON NS BOK 10 10 115,500 1,155,000 10 1,155,000 0 -
82 SABUN BATANG LIFEBUOY PCS 50 50 3,000 150,000 50 150,000 0 -
83 APD+SHOE COVER PCS 40 40 175,000 7,000,000 40 7,000,000 0 -
84 APD+SHOE COVER PAKET 60 60 174,000 10,440,000 60 10,440,000 0 -
85 KAPAS PEMBALUT 100 GRAM BUNGK 10 10 7,205 72,050 10 72,050 0 -
86 MASKER HEADLOOP NOUSMED BOK 10 10 41,348 413,480 10 413,480 0 -
87 MASKER BEDAH BOK 10 10 75,000 750,000 10 750,000 0 -
88 FACE SHIELD ANAK PCS 15 15 5,000 75,000 15 75,000 0 -
89 CAVIPLEX D 1000 IU TABLET 100 100 1,195 119,500 100 119,500 0 -
90 HERBAPAIN TABLET 50 50 1,194 59,700 50 59,700 0 -
91 PARACETAMOL TAB 500 MG TABLET 3000 3000 131 393,000 3000 393,000 0 -
92 VITAMIN C 500 MG BOK 50 50 19,800 990,000 50 990,000 0 -
93 SPUIT 0,5 ML (ONEJECT) PCS 500 500 1,190 595,000 500 595,000 0 -
94 ANTIGEN SD BIOSENSOR STANDARD TEST 200 200 97,000 19,400,000 200 19,400,000 0 -
95 ACTI LANCE LITE SAFETY LANCET BOX 6 6 162,500 975,000 6 975,000 0 -
96 ALIAMED ALKOHOL SWAB BOK 24 24 11,500 276,000 24 276,000 0 -
97 SPUIT 0,05 ML (ONEJECT) PCS 500 500 1,460 730,000 500 730,000 0 -
98 SPUIT 0,5 ML (ONEJECT) PCS 500 500 1,190 595,000 500 595,000 0 -
99 SAFETY BOX DOCARE PCS 12 12 20,000 240,000 12 240,000 0 -
100 ANTIGEN SD BIOSENSOR STANDARD TEST 200 200 97,000 19,400,000 200 19,400,000 0 -
101 INA-VTM TEST 200 200 35,000 7,000,000 77 2,695,000 123 4,305,000
102 ALBENDASOL tablet 300 300 402 120,600 300 120,600 0 -
103 RAPID TES HBSAG TEST 200 200 9,850 1,970,000 150 1,477,500 50 492,500
104 SPUIT 0,5 ML (ONEJECT) PCS 1 1 1,190 1,190,000 1 1,190 0 -
105 SPUIT 5 ML PCS 100 100 1,583 158,300 100 158,300 0 -
106 FDC/OAT KAT I PAKET 20 20 415,467 8,309,340 20 8,309,340 0 -
107 SAFETY BOX PCS 25 25 13,600 340,000 25 340,000 0 -
108 SPUIT 0,5 ML (ONEJECT) PCS 200 200 1,185 237,000 200 237,000 0 -
109 SPUIT 0,3 ML PCS 2.4 2.4 1,255 3,012,000 2.4 3,012 0 -
110 SPUIT 0,5 ML (ONEJECT) PCS 1.6 1.6 1,185 1,896,000 1.6 1,896 0 -
111 MASKER N95 PCS 60 60 76,000 4,560,000 60 4,560,000 0 -
112 SET APD PAKET 3 3 98,450 295,350 3 295,350 0 -
113 KACAMATA GOOGLES PCS 6 6 60,000 360,000 6 360,000 0 -
114 APD+SHOE COVER PCS 150 150 175,000 26,250,000 150 26,250,000 0 -
115 HANDSCOON NS BOK 70 70 115,500 8,085,000 70 8,085,000 0 -
116 SURGICAL GOWN PCS 2 2 50,000 100,000 2 100,000 0 -
117 MASKER KN95 PCS 320 320 8,000 2,560,000 100 800,000 220 1,760,000
118 MEDIKA ALKOHOL 95% 1 L BOTOL 9 9 24,885 223,965 9 223,965 0 -
119 BAYMED CHLORHEXIDIN 2% 500 ML BOTOL 9 9 37,833 340,497 9 340,497 0 -
120 BAYMED CHLORHEXIDIN 2% 5 L JRIGEN 9 9 374,541 3,370,869 9 3,370,869 0 -
121 MASKER KAIN (3000) PCS 100 100 3,000 300,000 100 300,000 0 -
122 MASKER HEADLOOP NOUSMED BOK 100 100 41,348 4,134,800 100 4,134,800 0 -
123 SPUIT 0,5 ML (ONEJECT) PCS 1.1 1.1 1,185 1,303,500 1.1 1,304 0 -
124 RDT ANTIGEN NOVEL TEST 200 200 54,000 10,800,000 0 - 200 10,800,000
125 SPUIT 0,5 ML (ONEJECT) PCS 500 500 1,185 592,500 500 592,500 0 -
126 SPUIT 0,3 ML PCS 1200 1200 1,255 1,506,000 1200 1,506,000 0 -
127 SPUIT 0,5 ML (ONEJECT) PCS 3200 3200 1,190 3,808,000 3200 3,808,000 0 -
128 SAFETY BOX pcs 50 50 5,382 269,100 50 269,100 0 -
129 SPUIT 0,5 ML (ONEJECT) PCS 100 100 1,165 116,500 100 116,500 0 -
130 ALKOHOL SWAB BOX 1 1 7,900 7,900 1 7,900 0 -
131 SPUIT 0,5 ML (ONEJECT) PCS 2000 2000 1,165 2,330,000 2000 2,330,000 0 -
132 SPUIT 0,3 ML PCS 300 300 1,255 376,500 300 376,500 0 -
133 ALKOHOL SWAB BOX 22 22 7,900 173,800 22 173,800 0 -
134 ALKOHOL SWAB BOX 34 34 7,900 268,600 34 268,600 0 -
135 SPUIT 0,5 ML (ONEJECT) PCS 3400 3400 1,165 3,961,000 3400 3,961,000 0 -
136 VITAMIN A 100.000 IU BOTOL 1 14,200 14,200 1 14,200 0 -
137 VITAMIN A 200.000 IU BOTOL 21 27,600 579,600 21 579,600 0 -
138 OBJEG GLASS BOK 10 17,604 176,040 10 176,040 0 -
139 RDT BIOLINE DENGUE DUO TEST 50 6,380 319,000 50 319,000 0 -
140 SPUTUM POT BUAH 3000 2,728 8,184,000 3000 8,184,000 0 -
141 NESTLE BATITA 1+ VANILLA BOK 24 38,238 917,712 24 917,712 0 -
142 RAPID SIFILIS 3.0 06FK 10 TEST 50 14,090 704,500 50 704,500 0 -
143 PLESTERIN BULAT NON WOVEN BOK 5 35,000 175,000 5 175,000 0 -
144 BLUE TIPE PAK 0.5 43,512 21,756 0.5 21,756 0 -
145 RAPID TES HBSAG TEST 40 8,210 328,400 40 328,400 0 -
146 RAPID 1 HIV SD TEST 50 26,060 1,303,000 50 1,303,000 0 -
-
TOTAL 3,252 12,723,208 41677.1 41677.1 9,370,791 463,593,046 38,112 425,967,068 3,565 30,246,080

Mengetahui, Kalibagor, 31 Desember 2021

Kepala Puskesmas Kalibagor Pengelola

Tri Byar Wijayanti, SKM Dwi Ratna K, S.Farm,Apt

NIP. 19670911 199002 2 001 NIP. -
 DINAS
PUSKESM
KESEHATA
Jl.
AS
N
Suwarjono
KALIBAG
No. 148
OR
Telp.(0281)
6438207
Kalibagor
53191
STOK OPNAME UNIT PERBEKALAN ALAT KESEHATAN DAN FARMASI

Pemberian Obat-Alkes
HARGA TOTAL
Nama Obat / Alkes SISA
No Satuan Jumlah Hrg Satuan Nilai Rupiah RUPIAH

1 AMOKSILIN SYRUP KERING BOTOL 1700 2,050 3,485,000 100 Rp 205,000

2 AMOKSILLIN KAP 500 MG TAB 65,000 249 16,185,000 3500 Rp 871,500

3 CIPROFLOAXIN500 TAB 5,700 248 1,413,600 300 Rp 74,400
4 KLINDAMYCIN 300 MG CAPS 200 522 104,400 0 Rp -
5 KLORAMFENIKOL 500 MG CAPS 0 1,163 0 0 Rp -
6 KOTRIMOKSAZOL SUSPENSI 200 0
BTL 2,190 438,000
60 ML Rp -
7 KOTRIMOKSAZOL 480 MG TAB 1800 133 239,400 1000 Rp 133,000

8 SEFADROXIL SIR 125 150 0

BTL 4185
MG/5ML Rp -
SEFOTAKSIM INJEKSI
9 PCS 0 551 0 0
1GR/VIAL Rp -
10 SEFTRIAKSON SERB INJ PCS 0 4,496 0 0
1G/VIAL Rp -
STERPTOMYCIN S 1GR/56
11 PCS 0 210 0 0
VIAL 1GR Rp -
THYAMPHENICOL 500
12 CAPS 0 270 0 0
MG/DEXYCOL Rp -
13 ANTIFUNGI DOEN TUBE 96 4,496 431,616 0 Rp -
14 GRISEOVULFIN 125 MG TAB 2000 224 448,000 0 Rp -
15 KETOKONAZOL 200 MG TAB 14500 270 3,915,000 3800 Rp 1,026,000
16 KETOKONAZOL CREAM 2% TUB 400 2518 1,007,200 30
Rp 75,540
17 MICONAZOL CREAM TUB 240 96 23,040 0 Rp -
18 MICONAZOL CREAM TUB 48 3414 163,872 0 Rp -
19 ACICLOVIR 400 MG TAB 8000 380 3,040,000 1900 Rp 722,000
20 ACICLOVIR CREAM TUB 0 3,035 0 0 Rp -
21 ANTIBAKTERI DOEN TUBE 0 1,800 0 0
(BACITHRACIN) Rp -
22 GENTAMISIN SALEP KULIT TUB 0 1,529 0 0 Rp -
23 BETAMETASON CREAM TUBE 100 3,350 335,000 0 Rp -
24 HIDROKORTISON KRIM 1% TUB 245 2,900 710,500 99
Rp 287,100
25 HIDROKORTISON KRIM 1% TUB 91 2,787 253,617 0
Rp -
HIDROKORTISON KRIM
26 TUB 696 2,475 1,722,600 0
2,5% Rp -
27 ANTALGIN 500 MG TAB 0 140 0 0 Rp -
28 PARACETAMOL 500 MG TAB 0 53 0 0 Rp -
29 PARACETAMOL SYR BTL 2100 1,181 2,480,100 100 Rp 118,100
30 PARASETAMOL DROP BOTOL 0 6,649 0 0 Rp -
31 ANTASIDA DOEN 500 MG TAB 34000 58 1,972,000 3000 Rp 174,000
32 ANTASIDA DOEN SUSPENSI BTL 200 2,129 425,800 100
Rp 212,900
33 AMBROXOL 30 MG TAB 0 118 0 0 Rp -
34 AMBROXOL SYRUP 15 BOTOL 0 3,421 0 0
MG/ML Rp -
35 SALBUTAMOL 2 MG TAB 12000 67 804,000 800 Rp 53,600
36 SALBUTAMOL 4MG TAB 1000 63 63,000 0 Rp -
37 GLIMEPIRID 2 MG TAB 3200 207 662,400 0 Rp -
38 GLIMEPIRIDE 1 MG TAB 1500 174 261,000 0 Rp -
39 METFORMIN HCL TABLET TAB 12000 102 1,224,000 2650 Rp 270,300
40 SIMVASTATIN 20 MG TAB 0 252 0 0 Rp -
41 LOPERAMID TABLET TAB 0 85 0 0 Rp -
42 SIMVASTATIN TAB 10 MG TAB 4980 117 582,660 0 Rp -
43 ZINC TABLET 20 MG TAB 0 524 0 0 Rp -
44 AMLODIPIN 10 MG TAB 5100 99 504,900 0 Rp -
45 AMLODIPIN 5 MG TAB 14400 75 1,080,000 0 Rp -
46 CAPTOPRIL 25 mg TAB 4000 75 300,000 2000 Rp 150,000
47 ISOSORBID DINITRAT TAB 0 112 0 0 Rp -
48 FUROSEMID 40 MG TAB 5000 82 410,000 300 Rp 24,600
49 NIFEDIPIN 10 MG TAB 500 112 56,000 0 Rp -
50 DEXAMETASON 0,5 MG TAB 0 32 0 0 Rp -
51 DEXAMETASON INJ AMP 0 1,097 0 0 Rp -
52 METILPREDNISOLON 4 MG TAB 10000 102 1,020,000 3000
Rp 306,000
53 CETIRIZINE SYRUP BOTOL 300 2,915 874,500 0
5MG/5ML Rp -
54 CETIRIZINE TABLET 10 MG TAB 0 90 0 0 Rp -
55 KLORFENIRAMIN (CTM) 4 38000 200 Rp 4,600
TAB 23 874,000
MG
56 LORATADINE 10 MG TAB 6000 131 786,000 0 Rp -
57 GLISERIL GUAYAKOLAT 100 TAB 0 66 0 0
MG Rp -
58 OBAT BATUK HITAM (OBH) BTL 0 5,203 0 0
Rp -
59 DIMENHYDRINAT TAB 300 112 33,600 0 Rp -
DOMPERIDON SUSP
60 BOTOL 300 2,700 810,000 0
5MG/5ML Rp -
61 DOMPERIDON TABLET TAB 3300 71 234,300 450 Rp 31,950
62 LANZOPRAZOL 30 MG CAPS 5500 323 1,776,500 0 Rp -
63 OMEPRAZOL 20 MG CAPS 10000 129 1,290,000 0 Rp -
64 RANITIDIN TAB 150 MG TAB 12000 85 1,020,000 750 Rp 63,750
65 ALLOPURINOL TAB TAB 4500 89 400,500 1000 Rp 89,000
66 ALLOPURINOL TAB TAB 1500 87 130,500 0 Rp -
67 LIDOKAIN COMP. INJ KOMB AMPUL 210 1152 241,920 0
Rp -
68 LIDOKAIN INJEKSI 2% AMPUL 200 1221 244,200 0 Rp -
69 LIDOKAIN INJEKSI 2% AMPUL 100 847 84,700 0 Rp -
ASAM MEFENAMAT 500
70 TAB 2100 111 233,100 0
MG Rp -
71 IBUPROFEN 200 MG SUSP TAB 295 4665 1,376,175 0 Rp -
72 IBUPROFEN 400 MG TAB 0 790 0 0 Rp -
73 MELOKSIKAM 15 MG TAB 0 123 0 0 Rp -
NATRIUM DIKLOFENAK 50
74 TAB 35000 123 4,305,000 4500
MG Rp 553,500
75 PIROKSIKAM 10 MG TAB 0 102 0 0 Rp -
76 PIROKSIKAM 20 MG TAB 0 56 0 0 Rp -
77 DIAZEPAM 5 mg TAB 0 1,735 0 0 Rp -
78 DIAZEPAM INJ 5MG/ML AMPUL 0 42 0 0 Rp -
79 ASAM ASCORBAT 50 MG TAB 13000 42 546,000 0 Rp -
80 PIRIDOKSIN (VIT B6) TAB 200 67 13,400 0 Rp -
81 VITAMIN B KOMPLEKS TAB 45000 89 4,005,000 2250 Rp 200,250
82 VITAMIN B1 TAB 50 MG TAB 0 49 0 0 Rp -
83 VITAMIN B12 TAB TAB 18000 49 882,000 0 Rp -
84 VITAMIN K 10 MG TAB 3000 748 2,244,000 1000 Rp 748,000
85 VITAMIN K INJ AMPUL 480 1,386 665,280 80 Rp 110,880
GENTAMICIN SULFAT TM
86 TUB 192 4,520 867,840 0
0,3% Rp -
KLORAMFENIKOL SALEP
87 TUB 384 2,007 770,688 0
MATA 1 % Rp -
88 KLORAMFENIKOL TETES BOTOL 0 2,500 0 0
MATA 5 MG Rp -
89 OKSITETRASIKLIN SM 1% BOTOL 125 2,500 312,500 0 Rp -
90 FENOL GLISEROL TT 10% BTL 0 7,000 0 0 Rp -
91 KLORAMFENIKOL TT BTL 0 110 0 0 Rp -
92 BETAHISTIN MESILAT 6 MG TAB 2000 110 220,000 0 Rp -
93 ANTI HEMOROID SUPP PCS 90 3,250 292,500 0 Rp -
GLUCOSE UNICAP/OGB WB
94 BTL 40 7,200 288,000 0
10% Rp -
NATRIUM KLORIDA 0,9%
95 BTL 100 6,410 641,000
INFUS Rp -
96 RINGER LAKTAT BTL 400 200 80,000 300 Rp 60,000
KALSIUM PERMANGANAT
97 BTL 0 1,025 0 0
SERBUK Rp -
98 SALISIL TALK SAK 0 2,959 0 0 Rp -
99 METIL ERGOMETRIN INJ AMP 0 211 0 0 Rp -
100 METIL ERGOMETRIN TAB TAB 1100 211 232,100 0 Rp -
101 OKSITOKSIN INJ AMP 0 2,212 0 0 Rp -
102 RIVANOL / ETAKRIDIN BTL 0 14,500 0 0 Rp -
103 YODIUM POVIDON 300 ML BTL 0 450 0 0
Rp -
104 GARAM ORALIT 200 ML AIR SAK 400 280 112,000 0 Rp -
105 EPINEPRIN INJ AMP 0 1,408 0 0 Rp -
 106 KALSIUM LAKTAT 500 MG TAB 10000 63 630,000 0 Rp -
107 MGSO4 40% INJEKSI AMP 0 2,629 0 0 Rp -
108 DISPOSIBLE 3 CC BUAH 4120 920 3,790,400 0 Rp -
109 DISPOSIBLE SPUIT 2,5 CC BH 0 920 0 0 Rp -
110 DISPOSIBLE SPIUT 1CC BH 200 1087 217,400 0 Rp -
111 FOLEY CATH TWO WAY 16 BUAH 0 1,038 0 0 Rp -
112 FOLEY CATH TWO WAY 18 PCS 0 9,200 0 0 Rp -
113 FOLEY CATH TWO WAY 20 PCS 0 9,200 0 0 Rp -
114 HANDSCHOEN UK S PCS 800 1,400 1,120,000 0 Rp -
115 HANDSCOEN NO. 7,5 PCS 0 1,400 0 Rp -
HANDSHOON NON STERIL
116 PAS 0 4,600 0 0
LARGE Rp -
117 HANNSCOEN NO. 6,5 PCS 0 1,400 0 0 Rp -
118 HANSCOEN MEDIUM PAS 900 1,400 1,260,000 0 Rp -
119 HANSCOEN NO.7 PASANG 0 1,400 0 0 Rp -
120 HYPAFIK PASANG 0 4,600 0 0 Rp -
121 HYPAVIK 10 CM X 5 M ROL 0 42,800 0 0 Rp -
122 INFUSET ANAK ROL 400 3,800 1,520,000 0 Rp -
123 INFUSET DEWASA SET 100 5,885 588,500 0 Rp -
124 IV CATHETER NO. 18 SET 0 8,140 0 0 Rp -
125 IV CATHETER NO. 20 SET 0 5,500 0 0 Rp -
126 IV CATHETER NO. 22 set 0 3,158 0 0 Rp -
127 IV CATHETER NO. 24 SET 0 5,500 0 0 Rp -
128 JARUM SUNTIK 23 G SET 0 3,469 0 0 Rp -
129 Kapas 2 M x 80 cm BJ 0 396 0 0 Rp -
130 Kapas 2 M x 80 cm BJ 10 10358 103,580 0 Rp -
131 KAPAS 250 GRAM rol 20 26,036 520,720 0 Rp -
132 KASA HIDR STERIL 16X16 BKS 0 26,036 0 0 Rp -
KASA HIDROFIL UK
133 KOTAK 5 146,000 730,000 0
36MX80CM Rp -
134 KASA HYDROFIL 4 X 15 ROL 20 146,000 2,920,000 0 Rp -
135 LANCET ROL 0 3,967 0 0 Rp -
136 MASKER 3 PLY BOX 17 41,382 703,494 0 Rp -
137 PLESTER 5 YARDX 1 INCHI PCS 40 14,810 592,400 0 Rp -
138 PLESTER 5 YARDX 2 INCH ROL 40 30,800 1,232,000 0 Rp -
139 PLESTERIN ROLL 5CMX5M ROL 20 23,760 475,200 0
BH Rp -

SARUNG TANGAN
140 PASANG 0 23,760 0 0
PANJANG/ST GYNAECOLOG
Rp -
141 SAVETY BOX PASANG 100 21,000 2,100,000 0 Rp -
142 SILK 2/0 BUAH 0 21,000 0 0 Rp -
143 SILK 3/0 BUAH 0 5,221 0 0 Rp -
144 SPUTUM POT BUAH 0 6,984 0 0 Rp -
145 URINE BAG BUAH 0 2,376 0 0 Rp -
146 WING NEEDLE NO 25G PCS 0 4,000 0 0 Rp -
SPUIT IMUNISASI 0,5 ml
147 PCS 0
23G Rp -
148 WING NEEDLE NO. 23 SET 0 5,770 0 0 Rp -
DUMIN REKTAL TUBE 125
149 SET 0 5,770 0 0
MG Rp -
150 LAXANA 5 MG TAB 0 10,558 0 0 Rp -
151 MOLEX FLU TAB 0 539 0 0 Rp -
152 MOLEXDRYL SIRUP BOTOL 0 392 0 0 Rp -
153 MOLEXFLU SIRUP BOTOL 0 5,859 0 0 Rp -
154 NEOCENTA GEL BOTOL 0 6,500 0 0 Rp -
155 NEOKAOMINAL SIRUP BOTOL 0 9,900 0 0 Rp -
156 NEW ANTIDES TAB 11500 136 1,564,000 3000 Rp 408,000
157 SCABIMITE TUB 0 136 0 0 Rp -
TOTAL 443554 866,106 92,716,702 36209 Rp 6,973,970
Sub Total

95,305,212

2,588,510
 PEMERINTAH KABUPATEN BANYUMAS
DINAS KESEHATAN
UNIT PERBEKALAN ALAT KESEHATAN DAN FARMASI
Jl. Letjend Supardjo Rustam, Sokaraja - Purwokerto

STOK OPNAME LAPORAN OBAT PROGRAM UPKF 2021

No Nama Barang Satuan Jml Minta Jml Beri Harga Nilai SISA HARGA
102
PRENAGEN MOMMY 200 MG
1 BOK 17 17 39.975 679.575 0
RASA
2 ZINKKID SIRUP 10MG/5ML BOTOL 150 150 27.5 4,125,000 0
PRENAGEN MOMMY 200 MG
3 BOK 32 32 39.975 1,279,200 0
RASA
PRENAGEN MOMMY 200 MG
4 BOK 20 20 39.975 799.5 0
RASA MOCA
5 MASKER EARLOOP HIJAB BOK 30 30 15.7 471 0
PRENAGEN MOMMY 200 MG
6 BOK 21 21 39.975 839.475 0
RASA
7 SPUIT 0.05 ML PCS 500 500 1.55 775 0
8 SPUIT 1 ML PCS 6 6 950 5.7 0
9 EPINEPRIN INJ VIAL 6 6 1.408 8.448 0
10 NACL 0,9% BOK 6 6 6.41 38.46 0
11 VITAMIN A 100000 UI (BIRU) BOTOL 4 4 14.35 57.4 0
12 ALKOHOL 70% LITER 5 5 45 225 0
13 VITAMIN SIVIT-ZINC BOTOL 100 100 17.55 1,755,000 0
14 TABLET TAMBAH DARAH TABLET 3.78 3.78 354 1,338,120 1.2 424,800 1,338,120
15 VITAMIN C 500 MG BOK 20 20 19.8 396 5
16 ABATE 1 GR KILO 5 5 149 745 0
17 ALBENDASOL tablet 100 100 402 40.2 0
18 ALOPURINOL 100 MG TABLET 5 5 105 525 2
19 GARAM ORALIT SACHE 2 2 257 514 0
20 RAPID TES HBSAG TEST 200 200 9.85 1,970,000 0
21 RAPID SIFILIS SD TEST 200 200 9.609 1,921,800 0
22 RAPID 1 HIV SD TEST 210 210 26.06 5,472,600 0
23 TABLET TAMBAH DARAH TABLET 3.78 3.78 354 1,338,120 1.2 424,800
24 RAPID TEST ANTI HCV TEST 30 30 13.252 397.56
TRIHEKSIFENIDIL TABLET 2
25 TABLET 300 300 91 27.3
MG
26 CLOZAPIN 25 MG TABLET 500 500 1.121 560.5
RDT COVID ANTIGEN (Ag
27 TEST 100 100 97 9,700,000
Test)
RDT COVID ANTIGEN
28 TEST 200 200 82.5 16,500,000
(TAISHAN)
29 REAGEN ZEHL NELSEEN KIT 4 4 233.234 932.936

30 MASKER EARLOOP HIJAB TB BOX 1 1 21.736 21.736

31 MASKER 3M 1860 S N95 bok 2 2 470.2 940.4

32 OAT KAT ANAK PAKET 1 1 248.12 248.12
33 FDC/OAT KAT I PAKET 5 5 415.467 2,077,335
34 MASKER 3M 1860 S N95 bok 2 2 470.2 940.4
35 VTM CITO SWAB SET 100 100 53 5,300,000
36 VTM CITO SWAB SET 100 100 53 5,300,000
37 VTM CITO SWAB SET 100 100 53 5,300,000
38 RAPID SIFILIS SD TEST 275 275 9.609 2,642,475
39 VTM CITO SWAB SET 50 50 53 2,650,000
40 VITAMIN C 500 MG BOK 20 20 19.8 396
41 VITAMIN SIVIT-ZINC BOTOL 70 70 17.55 1,228,500
42 FITOMENADION ( VIT K INJ ) VIAL 210 210 3.682 773.22

No Nama Barang Satuan Jml Minta Jml Beri Harga Nilai Keterangan HARGA
43 RAPID TES HBSAG TEST 200 200 9.85 1,970,000 0
44 VTM ARKAN MEDICAL SET 200 200 40 8,000,000
RDT COVID ANTIGEN (SARS
45 TEST 200 200 80 16,000,000
COV)
46 TABLET TAMBAH DARAH TABLET 670 670 226 151.42
47 ZINK KID SIRUP BOTOL 5 5 3.171 15.855
48 ZINK KID SYRUP BOTOL 12 12 30.25 363
49 TABURIA SERBUK BOK 35 35 30 1,050,000
50 AZITROMYCIN 500 MG TABLET 80 80 1.25 100
51 VITAMIN SIVIT-ZINC BOTOL 20 20 17.55 351
52 HERBAPAIN TABLET 60 60 1.194 71.64
53 MASKER N95 PCS 80 80 89.5 7,160,000
54 VITAMIN C 500 MG BOK 10 10 19.8 198
55 PARACETAMOL TAB 500 MG TABLET 300 300 131 39.3

56 OSELTAMIVIRE 75 MG CAPSUL 200 200 7 1,400,000

57 SAFETY BOX PCS 25 25 14 350

58 INA-VTM TEST 200 200 35 7,000,000
59 APD+SHOE COVER PAKET 10 10 174 1,740,000
60 MASKER BEDAH BOK 20 20 75 1,500,000
61 HANDSCOON NS BOK 1 1 2,200,000 2,200,000
62 RAPID 1 HIV SD (100) TEST 200 200 10.722 2,144,400
ANTIGEN VIVA DIAG SARS
63 TEST 150 150 54 8,100,000
COV 2AG
64 VITAMIN A 200000 IU BOTOL 75 75 27.6 2,070,000 7 193,200 2,070,000
65 VITAMIN A 100000 UI (BIRU) BOTOL 8 8 15.3 122.4 5 76,500
66 ANTIGEN PANBIO COVID-19 TEST 200 200 82.5 16,500,000
ANTIGEN SD BIOSENSOR
67 TEST 200 200 97 19,400,000
STANDARD
BENECHEK PLUS STIK
68 BOK 186 186 160 29,760,000
GLUCOSA
ALKOHOL SWAB ONEMED
69 BOK 90 90 12 1,080,000
100 LBR
BLOOD LANCET 28G
70 BOX 90 90 9.23 830.7
ONEMED 100S
71 ANTIGEN PANBIO COVID-19 TEST 200 200 89.5 17,900,000
MASKER BEDAH
72 BOK 10 10 114.5 1,145,000
ERLOPSTOPMEED
73 ANTIGEN PANBIO COVID-19 TEST 200 200 89.5 17,900,000
74 VTM TORAX SET 200 200 35 7,000,000
75 RAPID 1 HIV SD (100) TEST 200 200 10.722 2,144,400 90 964,980 964980 2,144,400
76 VTM TORAX SET 200 200 35 7,000,000 200 7,000,000
77 RAPID SIFILIS 3.0 06FK 10 TEST 300 300 14.09 4,227,000 270 3,804,300
ANTIGEN SD BIOSENSOR
78 TEST 300 300 97 29,100,000
STANDARD
79 BIONICOM ZINK BOK 5 5 59.4 297
80 KACAMATA GOOGLES PCS 30 30 60 1,800,000
81 HANDSCOON NS BOK 10 10 115.5 1,155,000
 82 SABUN BATANG LIFEBUOY PCS 50 50 3 150
83 APD+SHOE COVER PCS 40 40 175 7,000,000
84 APD+SHOE COVER PAKET 60 60 174 10,440,000

85 KAPAS PEMBALUT 100 GRAM BUNGK 10 10 7.205 72.05

MASKER HEADLOOP
86 BOK 10 10 41.348 413.48
NOUSMED
87 MASKER BEDAH BOK 10 10 75 750
88 FACE SHIELD ANAK PCS 15 15 5 75
89 CAVIPLEX D 1000 IU TABLET 100 100 1.195 119.5
90 HERBAPAIN TABLET 50 50 1.194 59.7
91 PARACETAMOL TAB 500 MG TABLET 3 3 131 393
92 VITAMIN C 500 MG BOK 50 50 19.8 990

No Nama Barang Satuan Jml Minta Jml Beri Harga Nilai Keterangan HARGA
93 SPUIT 0,5 ML (ONEJECT) PCS 500 500 1.19 595 0
ANTIGEN SD BIOSENSOR
94 TEST 200 200 97 19,400,000
STANDARD
ACTI LANCE LITE SAFETY
95 BOX 6 6 162.5 975
LANCET
96 ALIAMED ALKOHOL SWAB BOK 24 24 11.5 276
97 SPUIT 0,05 ML (ONEJECT) PCS 500 500 1.46 730
98 SPUIT 0,5 ML (ONEJECT) PCS 500 500 1.19 595
99 SAFETY BOX DOCARE PCS 12 12 20 240
ANTIGEN SD BIOSENSOR
100 TEST 200 200 97 19,400,000
STANDARD
101 INA-VTM TEST 200 200 35 7,000,000 123 4,305,000 7000000
102 ALBENDASOL tablet 300 300 402 120.6
103 RAPID TES HBSAG TEST 200 200 9.85 1,970,000 50 492,500
104 SPUIT 0,5 ML (ONEJECT) PCS 1 1 1.19 1,190,000
105 SPUIT 5 ML PCS 100 100 1.583 158.3
106 FDC/OAT KAT I PAKET 20 20 415.467 8,309,340
107 SAFETY BOX PCS 25 25 13.6 340
108 SPUIT 0,5 ML (ONEJECT) PCS 200 200 1.185 237
109 SPUIT 0,3 ML PCS 2.4 2.4 1.255 3,012,000
110 SPUIT 0,5 ML (ONEJECT) PCS 1.6 1.6 1.185 1,896,000
111 MASKER N95 PCS 60 60 76 4,560,000
112 SET APD PAKET 3 3 98.45 295.35
113 KACAMATA GOOGLES PCS 6 6 60 360
114 APD+SHOE COVER PCS 150 150 175 26,250,000
115 HANDSCOON NS BOK 70 70 115.5 8,085,000
116 SURGICAL GOWN PCS 2 2 50 100
117 MASKER KN95 PCS 320 320 8 2,560,000 220 1,760,000
118 MEDIKA ALKOHOL 95% 1 L BOTOL 9 9 24.885 223.965
BAYMED CHLORHEXIDIN 2%
119 BOTOL 9 9 37.833 340.497
500 ML
BAYMED CHLORHEXIDIN 2%
120 JRIGEN 9 9 374.541 3,370,869
5L
121 MASKER KAIN (3000) PCS 100 100 3 300
MASKER HEADLOOP
122 BOK 100 100 41.348 4,134,800
NOUSMED
123 SPUIT 0,5 ML (ONEJECT) PCS 1.1 1.1 1.185 1,303,500
124 RDT ANTIGEN NOVEL TEST 200 200 54 10,800,000 200 10,800,000 313
125 SPUIT 0,5 ML (ONEJECT) PCS 500 500 1.185 592.5
126 SPUIT 0,3 ML PCS 1.2 1.2 1.255 1,506,000
127 SPUIT 0,5 ML (ONEJECT) PCS 3.2 3.2 1.19 3,808,000
128 SAFETY BOX pcs 50 50 5.382 269.1
129 SPUIT 0,5 ML (ONEJECT) PCS 100 100 1.165 116.5
130 ALKOHOL SWAB BOX 1 1 7.9 7.9
131 SPUIT 0,5 ML (ONEJECT) PCS 2 2 1.165 2,330,000
132 SPUIT 0,3 ML PCS 300 300 1.255 376.5
133 ALKOHOL SWAB BOX 22 22 7.9 173.8
134 ALKOHOL SWAB BOX 34 34 7.9 268.6
135 SPUIT 0,5 ML (ONEJECT) PCS 3.4 3.4 1.165 3,961,000
SUB TOTAL 463,593,046 30,246,080
GRAND TOTAL 463,593,046