BUKU PENERIMAAN PERSEDIAAN

UPTD PUSKESMAS RAWAT INAP CURUGBITUNG

SEMESTER II TAHUN 2022

Dokumen Spesifikasi Barang

Kode Satuan Harga
No Nama Barang Spesifikasi Jumlah Nilai Total Ket.
Tanggal Nomor Nama Barang NUSP Barang Satuan (Rp)
Barang

1 21-Jul 959 /IFK-DINKES/VII/2022 - - Allopurinol 100 Mg - - 500 TABLET 105 52,500 Penerimaan APBD
2 21-Jul /IFK-DINKES/VII/2022 - - Amlodipine 10 Mg - - 900 TABLET 70 63,000 Penerimaan APBD
3 21-Jul /IFK-DINKES/VII/2022 - - Amoxicillin 500 Mg - - 2000 TABLET 201 402,000 Penerimaan APBD
4 21-Jul /IFK-DINKES/VII/2022 - - Antasida Doen tablet - - 2000 TABLET 54 108,000 Penerimaan APBD
5 21-Jul /IFK-DINKES/VII/2022 - - Asamefenamat 500 Mg - - 500 TABLET 111 55,500 Penerimaan APBD
6 21-Jul /IFK-DINKES/VII/2022 - - Pularex - - 500 TABLET 162 81,000 Penerimaan APBD
7 21-Jul /IFK-DINKES/VII/2022 - - Cetirizine Capsul 10 Mg - - 200 TABLET 49 9,800 Penerimaan APBD
9 21-Jul /IFK-DINKES/VII/2022 - - Glibenclamide 5 Mg - - 300 TABLET 82 24,600 Penerimaan APBD
10 21-Jul /IFK-DINKES/VII/2022 - - Guaifenesin tablet - - 2000 TABLET 202 404,000 Penerimaan APBD
11 21-Jul /IFK-DINKES/VII/2022 - - Kalium Diclofenak 50 Mg - - 300 TABLET 706 211,800 Penerimaan APBD
12 21-Jul /IFK-DINKES/VII/2022 - - Metformin 500 Mg - - 200 TABLET 77 15,400 Penerimaan APBD
13 21-Jul /IFK-DINKES/VII/2022 - - Paracetamol 500 Mg - - 2000 TABLET 150 300,000 Penerimaan APBD
14 21-Jul /IFK-DINKES/VII/2022 - - Ranitidine 150 Mg - - 500 TABLET 85 42,500 Penerimaan APBD
15 21-Jul /IFK-DINKES/VII/2022 - - Simvastatin 10 Mg - - 200 TABLET 68 13,600 Penerimaan APBD
16 21-Jul /IFK-DINKES/VII/2022 - - Antoxid tablet - - 200 TABLET 850 170,000 Penerimaan APBD
17 21-Jul /IFK-DINKES/VII/2022 - - Pritagesik Cabtab - - 500 TABLET 568 284,000 Penerimaan APBD
18 21-Jul /IFK-DINKES/VII/2022 - - Pritavit - - 1000 TABLET 1,098 1,098,000 Penerimaan APBD
19 21-Jul /IFK-DINKES/VII/2022 - - Lexacrol tablet - - 600 TABLET 528 316,800 Penerimaan APBD
22-Jul /IFK-DINKES/VII/2023 Amoxicillin 125mg/5Ml - - 100 BOTOL 2,050 205,000 Penerimaan APBD
20 21-Jul /IFK-DINKES/VII/2022 - - Neokaominal Sirup - - 60 BOTOL 7,920 475,200 Penerimaan APBD
21 21-Jul /IFK-DINKES/VII/2022 - - Dextral Sirup - - 60 BOTOL 7,920 475,200 Penerimaan APBD
22 21-Jul /IFK-DINKES/VII/2022 - - Cotrimoxazole Sirup - - 100 BOTOL 2,100 210,000 Penerimaan APBD
23 21-Jul /IFK-DINKES/VII/2022 - - Herbacof Sirup - - 96 BOTOL 14,273 1,370,208 Penerimaan APBD
24 21-Jul /IFK-DINKES/VII/2022 - - Molexflu Sirup - - 60 BOTOL 6,510 390,600 Penerimaan APBD
25 21-Jul /IFK-DINKES/VII/2022 - - Paracetamol sirup 120 MG/5 ML - - 100 BOTOL 1,160 116,000 Penerimaan APBD
26 21-Jul /IFK-DINKES/VII/2022 - - Cairan Infus RL - - 60 BOTOL 6,936 416,160 Penerimaan APBD
27 21-Jul /IFK-DINKES/VII/2022 - - Stimuno Sirup - - 96 BOTOL 28,118 2,699,328 Penerimaan APBD
28 21-Jul /IFK-DINKES/VII/2022 - - Gentalex Cream - - 48 Tube 3,520 168,960 Penerimaan APBD
29 21-Jul /IFK-DINKES/VII/2022 - - Klorfeson Cream - - 48 Tube 8,300 398,400 Penerimaan APBD
 Dokumen Spesifikasi Barang
Kode Satuan Harga
No Nama Barang Spesifikasi Jumlah Nilai Total Ket.
Tanggal Nomor Nama Barang NUSP Barang Satuan (Rp)
Barang
30 21-Jul /IFK-DINKES/VII/2022 - - Chloramphenicol tetes mata 0.5% - - 20 BOTOL 16,940 338,800 Penerimaan APBD
31 21-Jul /IFK-DINKES/VII/2022 - - Alkohol Swab Aximed - - 10 BOX 32,100 321,000 Penerimaan APBD
32 21-Jul /IFK-DINKES/VII/2022 - - Disposible 3 ML - - 1000 PCS 888 888,000 Penerimaan APBD
33 21-Jul /IFK-DINKES/VII/2022 - - Disposible 5 ML - - 100 Pcs 839 83,900 Penerimaan APBD
Triton C67 T-catgut chromic 3-
34 21-Jul /IFK-DINKES/VII/2022 - - - - 24 Pcs 839 20,136 Penerimaan APBD
0,90cm
35 21-Jul - - - triton P87 T-catgut 3-0,76cm - - 24 Pcs 54,400 1,305,600 Penerimaan APBD
36 21-Jul - - - Tro-Gynosurge S - - 12 Pcs 43,010 516,120 Penerimaan APBD
37 21-Jul - - - tro-Gynosurge L - - 12 Pcs 43,010 516,120 Penerimaan APBD
38 21-Jul - - - Kasa 4 X 10 - - 15 ROLL 1,560 23,400 Penerimaan APBD
39 21-Jul - - - kasa 4 X 5 - - 10 ROLL 690 6,900 Penerimaan APBD
40 21-Jul - - - Kasa 4 X 15 - - 10 ROLL 1,560 15,600 Penerimaan APBD
41 21-Jul - - - IV Chateter No.20 - - 25 Pcs 9,385 234,625 Penerimaan APBD
42 21-Jul - - - iv chateter No.24 - - 25 Pcs 9,586 239,650 Penerimaan APBD
43 21-Jul - - - Accu Check Performa Test - - 124 Box 320,000 39,680,000 Penerimaan APBD
44 21-Jul - - - Accu Check Safe-T Pro Uno - - 35 Box 128,000 4,480,000 Penerimaan APBD
45 21-Jul - - - Alkohol Swab GP Care - - 62 Box 29,000 1,798,000 Penerimaan APBD
46 29-Jul - - - OPV - - 8 VIAL 19,540 156,320 Penerimaan APBD
47 29-Jul - - - DPT-HB-HIB ( PENTABIO ) - - 50 VIAL 77,366 3,868,300 Penerimaan APBD
48 29-Jul - - - VAKSIN POLIO Injeksi ( IPV ) - - 8 VIAL 19,540 156,320 Penerimaan APBD
VAKSIN MEASLES RUBELLA
49 29-Jul 443.11 / ISKK/VII/2022 - - - - 199 VIAL 152,600 30,367,400 Penerimaan APBD
( MR )
50 29-Jul 443.11 / ISKK/VII/2023 - - AUTO DISABLE ( ADS ) 0,5 ML - - 1964 pcs 1,190 2,337,160 Penerimaan APBD
51 29-Jul - - - AUTO DISABLE ( ADS ) 5 ML - - 199 pcs 1,190 236,810 Penerimaan APBD
Pil KB - - 500 PCS 1,153 576,500 Penerimaan APBD
Kondom - 1 GROSS 124,223 124,223 Penerimaan APBD
Suntikan 1 cc 400 VIAL 4,800 1,920,000 Penerimaan APBD
Syringe 3 ml 400 PCS 730 292,000 Penerimaan APBD
52 22-Aug /IFK-DINKES/VIII/2022 - - Allopurinol 100 Mg - - 500 TABLET 105 52,500 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Amlodipine 10 Mg - - 900 TABLET 70 63,000 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Amoxicillin 500 Mg - - 2000 TABLET 201 402,000 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Antasida Doen tablet - - 2000 TABLET 54 108,000 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Asamefenamat 500 Mg - - 500 TABLET 111 55,500 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Molagit - - 300 TABLET 474 142,200 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Cetirizine Capsul 10 Mg - - 200 TABLET 49 9,800 Penerimaan APBD
 Dokumen Spesifikasi Barang
Kode Satuan Harga
No Nama Barang Spesifikasi Jumlah Nilai Total Ket.
Tanggal Nomor Nama Barang NUSP Barang Satuan (Rp)
Barang
22-Aug /IFK-DINKES/VIII/2022 - Glibenclamide 5 Mg - - 300 TABLET 82 24,600 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Guaifenesin tablet - - 2000 TABLET 202 404,000 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Kalium Diclofenak 50 Mg - - 300 TABLET 706 211,800 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Metformin 500 Mg - - 200 TABLET 77 15,400 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 Methylprednisolone 4 mg - - 1000 TABLET 102 102,000 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 Molexflu Captab - - 600 TABLET 426 255,600 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Paracetamol 500 Mg - - 2000 TABLET 150 300,000 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Ranitidine 150 Mg - - 500 TABLET 85 42,500 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Simvastatin 10 Mg - - 200 TABLET 68 13,600 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Antoxid tablet - - 200 TABLET 850 170,000 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 Dextral Kaplet - - 600 TABLET 556 333,600 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Pritagesik Cabtab - - 500 TABLET 568 284,000 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Greavita - - 1800 TABLET 2,696 4,852,800 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 Hemafort - - 800 TABLET 846 676,800 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Lexacrol tablet - - 600 TABLET 528 316,800 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 Amoxicillin sirup 125mg/5Ml - - 100 BOTOL 2,050 205,000 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Neokaominal Sirup - - 60 BOTOL 7,920 475,200 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Dextral Sirup - - 60 BOTOL 7,920 475,200 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Herbacof Sirup - - 96 BOTOL 14,273 1,370,208 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 Procurma - - 100 BOTOL 11,385 1,138,500 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Molexflu Sirup - - 60 BOTOL 6,510 390,600 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Paracetamol sirup 120 MG/5 ML - - 100 BOTOL 1,160 116,000 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Cairan Infus RL - - 60 BOTOL 7,630 457,800 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Stimuno Sirup - - 96 BOTOL 28,118 2,699,328 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 Bevalex cream - - 48 Tube 10,054 482,592 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Gentalex Cream - - 48 Tube 3,520 168,960 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Klorfeson Cream - - 48 Tube 8,300 398,400 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Chloramphenicol tetes mata 0.5% - - 20 BOTOL 16,940 338,800 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 Chloramphenicol tetes telinga - - 25 BOTOL 9,640 241,000 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Alkohol Swab Aximed - - 10 BOX 32,100 321,000 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Disposible 3 ML - - 1000 PCS 888 888,000 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Disposible 5 ML - - 100 Pcs 839 83,900 Penerimaan APBD
Triton C67 T-catgut chromic 3-
22-Aug /IFK-DINKES/VIII/2022 - - - 24 Pcs 839 20,136 Penerimaan APBD
0,90cm
22-Aug /IFK-DINKES/VIII/2022 - triton P87 T-catgut 3-0,76cm - - 24 Pcs 54,400 1,305,600 Penerimaan APBD
 Dokumen Spesifikasi Barang
Kode Satuan Harga
No Nama Barang Spesifikasi Jumlah Nilai Total Ket.
Tanggal Nomor Nama Barang NUSP Barang Satuan (Rp)
Barang
22-Aug /IFK-DINKES/VIII/2022 - Kasa 4 X 10 - - 15 ROLL 1,560 23,400 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - kasa 4 X 5 - - 10 ROLL 690 6,900 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Kasa 4 X 15 - - 10 ROLL 1,560 15,600 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - IV Chateter No.20 - - 25 Pcs 9,385 234,625 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - iv chateter No.24 - - 25 Pcs 9,586 239,650 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Masker Hijab - - 500 Box 466 233,000 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Accu Check Safe-T Pro Uno - - 35 Box 128,000 4,480,000 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Alkohol Swab GP Care - - 62 Box 29,000 1,798,000 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - OPV - - 8 VIAL 19,540 156,320 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - DPT-HB-HIB ( PENTABIO ) - - 50 VIAL 77,366 3,868,300 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - VAKSIN POLIO Injeksi ( IPV ) - - 8 VIAL 19,540 156,320 Penerimaan APBD
VAKSIN MEASLES RUBELLA
22-Aug /IFK-DINKES/VIII/2022 - - - 199 VIAL 152,600 30,367,400 Penerimaan APBD
( MR )
22-Aug /IFK-DINKES/VIII/2022 - AUTO DISABLE ( ADS ) 0,5 ML - - 1964 pcs 1,190 2,337,160 Penerimaan APBD
22-Aug - AUTO DISABLE ( ADS ) 5 ML - - 199 pcs 1,190 236,810 Penerimaan APBD
Pil KB 500 PCS 1,153 576,500 Penerimaan APBD
Kondom 1 GROSS 124,223 124,223 Penerimaan APBD
Suntikan 1 cc 400 VIAL 4,800 1,920,000 Penerimaan APBD
Syringe 3 ml 400 PCS 730 292,000 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - - Allopurinol 100 Mg - - 300 TABLET 105 31,500 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Amlodipine 10 Mg - - 900 TABLET 70 63,000 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Amoxicillin 500 Mg - - 2000 TABLET 201 402,000 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Antasida Doen tablet - - 2000 TABLET 54 108,000 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Asamefenamat 500 Mg - - 500 TABLET 111 55,500 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Molagit - - 300 TABLET 474 142,200 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Cetirizine Capsul 10 Mg - - 200 TABLET 49 9,800 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Glibenclamide 5 Mg - - 300 TABLET 82 24,600 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Guaifenesin tablet - - 2000 TABLET 202 404,000 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Kalium Diclofenak 50 Mg - - 300 TABLET 706 211,800 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Metformin 500 Mg - - 200 TABLET 77 46,000 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 Methylprednisolone 4 mg - - 1000 TABLET 102 102,000 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 Molexflu Captab - - 600 TABLET 426 255,600 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Paracetamol 500 Mg - - 2000 TABLET 150 300,000 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Ranitidine 150 Mg - - 500 TABLET 85 42,500 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Simvastatin 10 Mg - - 200 TABLET 68 13,600 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 Dextral Kaplet - - 150 TABLET 556 83,400 Penerimaan APBD
 Dokumen Spesifikasi Barang
Kode Satuan Harga
No Nama Barang Spesifikasi Jumlah Nilai Total Ket.
Tanggal Nomor Nama Barang NUSP Barang Satuan (Rp)
Barang
15-Sep /IFK-DINKES/ XI /2022 - Pritagesik Cabtab - - 500 TABLET 568 284,000 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Livron B-Plex - - 500 TABLET 281 140,000 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 Hemafort - - 500 TABLET 846 423,000 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Probiokid - - 50 SACHET 14,850 742,500 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 Amoxicillin sirup 125mg/5Ml - - 100 BOTOL 2,050 205,000 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Holidril Sirup - - 50 BOTOL 6,262 313,100 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Dextral Sirup - - 120 BOTOL 9,570 1,148,400 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Herbacof Sirup - - 48 BOTOL 14,273 685,104 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 Procurma - - 50 BOTOL 11,385 569,250 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Molexflu Sirup - - 120 BOTOL 6,510 781,200 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Paracetamol sirup 120 MG/5 ML - - 100 BOTOL 1,160 116,000 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Cairan Infus RL - - 60 BOTOL 7,630 457,800 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 Bevalex cream - - 24 Tube 10,054 241,296 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Gentalex Cream - - 24 Tube 3,520 84,400 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Klorfeson Cream - - 24 Tube 8,300 199,200 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Chloramphenicol tetes mata 0.5% - - 20 BOTOL 16,940 338,800 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 Chloramphenicol tetes telinga - - 25 BOTOL 9,640 241,000 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Alkohol Swab Aximed - - 10 BOX 32,100 321,000 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Disposible 5 ML - - 100 Pcs 839 83,900 Penerimaan APBD
Triton C67 T-catgut chromic 3-
15-Sep /IFK-DINKES/ XI /2022 - - - 24 Pcs 839 20,136 Penerimaan APBD
0,90cm
15-Sep /IFK-DINKES/ XI /2022 - triton P87 T-catgut 3-0,76cm - - 24 Pcs 54,400 1,305,600 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - kasa 4 X 5 - - 10 ROLL 690 6,900 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Kasa 4 X 15 - - 10 ROLL 1,560 15,600 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - IV Chateter No.20 - - 25 Pcs 9,385 234,625 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - iv chateter No.24 - - 25 Pcs 9,586 239,650 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Vit.K injek - - 245 AMPUL 6,915 1,694,175 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2023 Oxytocin injek - - 750 AMPUL 1,126 844,500 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - OPV - - 62 Box 29,000 1,798,000 Penerimaan APBD
/IFK-DINKES/ XI /2022 - OPV - - 8 VIAL 19,540 156,320 Penerimaan APBD
/IFK-DINKES/ XI /2022 - DPT-HB-HIB ( PENTABIO ) - - 50 VIAL 77,366 3,868,300 Penerimaan APBD
/IFK-DINKES/ XI /2022 - VAKSIN POLIO Injeksi ( IPV ) - - 8 VIAL 19,540 156,320 Penerimaan APBD
VAKSIN MEASLES RUBELLA
/IFK-DINKES/ XI /2022 - - - 199 VIAL 152,600 30,367,400 Penerimaan APBD
( MR )
 Dokumen Spesifikasi Barang
Kode Satuan Harga
No Nama Barang Spesifikasi Jumlah Nilai Total Ket.
Tanggal Nomor Nama Barang NUSP Barang Satuan (Rp)
Barang
/IFK-DINKES/ XI /2022 - AUTO DISABLE ( ADS ) 0,5 ML - - 1964 pcs 1,190 2,337,160 Penerimaan APBD
/IFK-DINKES/ XI /2022 - AUTO DISABLE ( ADS ) 5 ML - - 199 pcs 1,190 236,810 Penerimaan APBD
26-Sep 440/ -P3M/IX/2022 - Albendazole - - 4200 TABLET 431 1,810,200 Penerimaan APBD
- Pil KB 500 PCS 1,153 576,500 Penerimaan APBD
- Kondom 1 GROSS 124,223 124,223 Penerimaan APBD
- Suntikan 1 cc 400 VIAL 4,800 1,920,000 Penerimaan APBD
- Syringe 3 ml 400 PCS 730 292,000 Penerimaan APBD
14-Oct 1343 /IFK-DINKES/ X/2022 - - Allopurinol 100 Mg - - 500 TABLET 105 52,500 Penerimaan APBD
/IFK-DINKES/ X /2022 - Amlodipine 10 Mg - - 900 TABLET 70 63,000 Penerimaan APBD
/IFK-DINKES/ X /2022 - Amoxicillin 500 Mg - - 2000 TABLET 201 402,000 Penerimaan APBD
/IFK-DINKES/ X /2022 - Antasida Doen tablet - - 2000 TABLET 54 108,000 Penerimaan APBD
/IFK-DINKES/ X /2022 - Asamefenamat 500 Mg - - 500 TABLET 111 55,500 Penerimaan APBD
/IFK-DINKES/ X /2022 - Molagit - - 300 TABLET 474 142,200 Penerimaan APBD
/IFK-DINKES/ X /2022 - Cetirizine Capsul 10 Mg - - 200 TABLET 49 9,800 Penerimaan APBD
/IFK-DINKES/ X /2022 cotrimoxazole - - 1000 TABLET 133 133,000 Penerimaan APBD
/IFK-DINKES/ X /2022 - Glibenclamide 5 Mg - - 300 TABLET 82 24,600 Penerimaan APBD
/IFK-DINKES/ X /2022 - Guaifenesin tablet - - 2000 TABLET 202 404,000 Penerimaan APBD
/IFK-DINKES/ X /2022 - Metformin 500 Mg - - 600 TABLET 77 46,200 Penerimaan APBD
/IFK-DINKES/ X /2022 Methylprednisolone 4 mg - - 1000 TABLET 102 102,000 Penerimaan APBD
/IFK-DINKES/ X /2022 Molexflu Captab - - 600 TABLET 426 255,600 Penerimaan APBD
/IFK-DINKES/ X /2022 Lymacil - - 1000 TABLET 699 699,000 Penerimaan APBD
/IFK-DINKES/ X /2022 - Paracetamol 500 Mg - - 2000 TABLET 150 300,000 Penerimaan APBD
/IFK-DINKES/ X /2022 - Ranitidine 150 Mg - - 500 TABLET 85 42,500 Penerimaan APBD
/IFK-DINKES/ X /2022 - Simvastatin 10 Mg - - 500 TABLET 85 34,000 Penerimaan APBD
/IFK-DINKES/ X /2022 Antoxid tablet - - 300 TABLET 850 255,000 Penerimaan APBD
/IFK-DINKES/ X /2022 Dextral Kaplet - - 600 TABLET 556 333,600 Penerimaan APBD
/IFK-DINKES/ X /2022 - Pritagesik Cabtab - - 500 TABLET 568 284,000 Penerimaan APBD
/IFK-DINKES/ X /2022 - Livron B-Plex - - 1000 TABLET 281 281,000 Penerimaan APBD
/IFK-DINKES/ X /2022 Hemafort - - 1000 TABLET 846 846,000 Penerimaan APBD
/IFK-DINKES/ X /2022 - Probiokid - - 50 SACHET 14,850 742,500 Penerimaan APBD
/IFK-DINKES/ X /2022 Amoxicillin sirup 125mg/5Ml - - 1000 BOTOL 2,050 205,000 Penerimaan APBD
/IFK-DINKES/ X /2022 - Holidril Sirup - - 50 BOTOL 6,262 313,100 Penerimaan APBD
/IFK-DINKES/ X /2022 - Dextral Sirup - - 60 BOTOL 9,570 574,200 Penerimaan APBD
/IFK-DINKES/ X /2022 - Herbacof Sirup - - 48 BOTOL 14,273 685,104 Penerimaan APBD
/IFK-DINKES/ X /2022 Procurma - - 50 BOTOL 11,385 569,250 Penerimaan APBD
/IFK-DINKES/ X /2022 - Protexinal sirup - - 50 BOTOL 6,262 313,100 Penerimaan APBD
 Dokumen Spesifikasi Barang
Kode Satuan Harga
No Nama Barang Spesifikasi Jumlah Nilai Total Ket.
Tanggal Nomor Nama Barang NUSP Barang Satuan (Rp)
Barang
/IFK-DINKES/ X /2022 - Paracetamol sirup 120 MG/5 ML - - 100 BOTOL 1,160 116,000 Penerimaan APBD
/IFK-DINKES/ X /2022 - Cairan Infus RL - - 60 BOTOL 7,630 457,800 Penerimaan APBD
/IFK-DINKES/ X /2022 Bevalex cream - - 24 Tube 10,054 241,296 Penerimaan APBD
/IFK-DINKES/ X /2022 - Gentalex Cream - - 24 Tube 3,520 84,480 Penerimaan APBD
/IFK-DINKES/ X /2022 - Klorfeson Cream - - 24 Tube 8,300 199,200 Penerimaan APBD
/IFK-DINKES/ X /2022 - Salep 2-4 Kombinasi - - 24 POT 1,410 33,840 Penerimaan APBD
salep Antifungidoen - - 20 POT 3,477 69,540 Penerimaan APBD
/IFK-DINKES/ X /2022 Cairan Infus D5 - - 60 BOTOL 6,627 397,620 Penerimaan APBD
/IFK-DINKES/ X /2022 - Alkohol Swab Aximed - - 10 BOX 32,100 321,000 Penerimaan APBD
Disposible 3 ML - - 500 pcs 888 444,000 Penerimaan APBD
/IFK-DINKES/ X /2022 - Disposible 5 ML - - 100 pcs 839 83,900 Penerimaan APBD
Triton C67 T-catgut chromic 3-
/IFK-DINKES/ X /2022 - - - 24 pcs 839 20,136 Penerimaan APBD
0,90cm
/IFK-DINKES/ X /2022 - triton P87 T-catgut 3-0,76cm - - 24 pcs 54,400 1,305,600 Penerimaan APBD
/IFK-DINKES/ X /2022 - kasa 4 X 5 - - 10 ROLL 690 69,000 Penerimaan APBD
/IFK-DINKES/ X /2022 - Kasa 4 X 15 - - 10 ROLL 1,560 15,600 Penerimaan APBD
/IFK-DINKES/ X /2022 - IV Chateter No.20 - - 25 pcs 9,385 234,625 Penerimaan APBD
/IFK-DINKES/ X /2022 IV Chateter No.22 - - 25 PCS 9,385 234,625
/IFK-DINKES/ X /2022 - iv chateter No.24 - - 25 PCS 9,586 239,650 Penerimaan APBD
/IFK-DINKES/ X /2022 - Pehacain ijneksi - - 100 AMPUL 3,080 308,000 Penerimaan APBD
- Pil KB 500 PCS 1,153 576,500 Penerimaan APBD
- Kondom 1 GROSS 124,223 124,223 Penerimaan APBD
- Suntikan 1 cc 400 VIAL 4,800 1,920,000 Penerimaan APBD
- Syringe 3 ml 400 PCS 730 292,000 Penerimaan APBD
440/ -P3M/X/2022 - Pot Dahak - - 1200 pcs 2,200 2,640,000 Penerimaan APBD
Loratadine HCL 10 mg - - 1000 TABLET 140 139,920 penerimaan BLUD
- Ranitidin tab 150 mg - - 2000 TABLET 247 494,000 penerimaan BLUD
- Simvastatin 10 mg - - 1000 TABLET 130 130,000 penerimaan BLUD
- Cetirizine hydrochloride Hcl 10 mg - - 1000 TABLET 90 90,000 penerimaan BLUD
- Cefadroxil 500 mg 1000 TABLET 627 627,060 penerimaan BLUD
- Cefixime 100 mg 1000 TABLET 591 590,910 penerimaan BLUD
- Methylprednisolone 4mg 1000 TABLET 167 167,280 penerimaan BLUD
- Domperidon tablet 500 TABLET 167 83,600 penerimaan BLUD
- Domperidon sirup 20 AMPUL 3,632 72,640 penerimaan BLUD
- Betahistine 6 mg 1000 TABLET 1,500 1,500,000 penerimaan BLUD
 Dokumen Spesifikasi Barang
Kode Satuan Harga
No Nama Barang Spesifikasi Jumlah Nilai Total Ket.
Tanggal Nomor Nama Barang NUSP Barang Satuan (Rp)
Barang
- Diclofenac Sodium 50Mg 1000 TABLET 158 158,340 penerimaan BLUD
- Pacetik 500 mg 6000 TABLET 195 1,167,300 penerimaan BLUD
- Piroxicam 20 mg 1000 TABLET 123 123,410 penerimaan BLUD
- Domperidon sirup - - 20 BOTOL 9,500 190,000 penerimaan BLUD
- Prednison tablet - - 1000 TABLET 130 130,000 penerimaan BLUD
- Asamefenamat 500 mg - - 1000 TABLET 170 170,450 penerimaan BLUD
- Ondansentron tab - - 150 TABLET 448 67,265 penerimaan BLUD
- Acyvar 400 Mg/Acyclovir 400 Mg - - 500 TABLET 939 469,550 penerimaan BLUD
- Captopril 25 Mg - - 1000 TABLET 117 117,430 penerimaan BLUD
- CTM 4 Mg - - 1000 TABLET 75 75,000 penerimaan BLUD
- Dexamethasone Injek - - 50 AMPUL 2,100 105,000 penerimaan BLUD
- Eryra Forte/Erytromicin 500 Mg - - 300 TABLET 9,168 2,750,400 penerimaan BLUD
Flacoid/Dexamethasone tab 0,5
- - - 1000 TABLET 84 83,870 penerimaan BLUD
Mg
- Ketoconazole 200 Mg - - 500 TABLET 441 220,680 penerimaan BLUD
- Ibuprofen 400 Mg - - 500 TABLET 240 120,000 penerimaan BLUD
- Ketoconazole salep - - 20 Tube 5,397 107,940 penerimaan BLUD
- Livron B-Flex - - 1000 TABLET 242 241,750 penerimaan BLUD
- Novakal 500 Mg/ Calcium Laktate - - 1000 TABLET 125 125,270 penerimaan BLUD
- Ranitidin Injek - - 50 AMPUL 1,901 95,045 penerimaan BLUD
- Vit. C 50 Mg - - 1000 TABLET 129 128,690 penerimaan BLUD
Yefamox 500 Mg/Amoxicillin 500
- - - 2000 TABLET 434 867,500 penerimaan BLUD
Mg
- Alpara tab - - 1500 TABLET 536 804,150 penerimaan BLUD
- Grafazole - - 500 TABLET 329 164,565 penerimaan BLUD
- ondansentron injek - - 50 AMPUL 2,685 67,265 penerimaan BLUD
- Iodin 60 ML - - 10 BOTOL 6,378 63,780 penerimaan BLUD
- Klip Jumbo 15 X 10 - - 30 BALL 10,705 321,150 penerimaan BLUD
- Klip Sedang 10 X 7 - - 30 BALL 5,340 160,200 penerimaan BLUD
- Yekadine SOL 1 Liter - - 5 BOTOL 69,682 348,410 penerimaan BLUD
17-Nov /IFK-DINKES/XI/2022 - Allopurinol 100 Mg - - 500 TABLET 105 52,500 Penerimaan APBD
- Holicos ( Ambroxol tablet ) - - 500 TABLET 384 192,000 Penerimaan APBD
- Amlodipine 10 Mg - - 900 TABLET 70 63,000 Penerimaan APBD
- Amoxicillin 500 Mg - - 2000 TABLET 201 402,000 Penerimaan APBD
- Antasida Doen tablet - - 2000 TABLET 54 108,000 Penerimaan APBD
 Dokumen Spesifikasi Barang
Kode Satuan Harga
No Nama Barang Spesifikasi Jumlah Nilai Total Ket.
Tanggal Nomor Nama Barang NUSP Barang Satuan (Rp)
Barang
- Asamefenamat 500 mg - - 500 TABLET 111 55,500 Penerimaan APBD
- Molagit - - 300 TABLET 474 142,200 Penerimaan APBD
- Cetirizine Capsul 10 Mg - - 500 TABLET 49 24,500 Penerimaan APBD
- cotrimoxazole - - 1000 TABLET 133 133,000 Penerimaan APBD
- Glibenclamide 5 Mg - - 300 TABLET 82 24,600 Penerimaan APBD
- Metformin 500 Mg - - 600 TABLET 77 46,200 Penerimaan APBD
- Methylprednisolone 4 mg - - 1000 TABLET 102 102,000 Penerimaan APBD
- Molexflu Captab - - 600 TABLET 426 255,600 Penerimaan APBD
- Lymacil - - 1000 TABLET 699 699,000 Penerimaan APBD
- Paracetamol 500 Mg - - 2000 TABLET 150 300,000 Penerimaan APBD
- Ranitidine 150 Mg - - 500 TABLET 85 42,500 Penerimaan APBD
- Simvastatin 10 Mg - - 200 TABLET 85 13,600 Penerimaan APBD
- Antoxid tablet - - 300 TABLET 850 255,000 Penerimaan APBD
- Dextral Kaplet - - 600 TABLET 556 333,600 Penerimaan APBD
- Pritagesik Cabtab - - 500 TABLET 568 284,000 Penerimaan APBD
- Livron B-Plex - - 1000 TABLET 281 281,000 Penerimaan APBD
- Greavita - - 1800 TABLET 2,696 4,852,800 Penerimaan APBD
- Hemafort - - 1000 TABLET 846 84,600 Penerimaan APBD
- Amoxicillin sirup 125mg/5Ml - - 100 BOTOL 2,050 205,000 Penerimaan APBD
- Dextral Sirup - - 60 BOTOL 9,570 574,200 Penerimaan APBD
- Cairan Infus D5 - - 60 BOTOL 6,627 265,080 Penerimaan APBD
- Herbacof Sirup - - 48 BOTOL 14,273 685,104 Penerimaan APBD
- Holidril Sirup - - 50 BOTOL 6,262 313,100 Penerimaan APBD
- Procurma - - 50 BOTOL 11,385 569,250 Penerimaan APBD
- Protexinal sirup - - 50 BOTOL 6,262 313,100 Penerimaan APBD
- Paracetamol sirup 120 MG/5 ML - - 100 BOTOL 1,160 116,000 Penerimaan APBD
- Cairan Infus RL - - 60 BOTOL 7,630 457,800 Penerimaan APBD
- Bevalex cream - - 24 Tube 10,054 241,296 Penerimaan APBD
- Gentalex Cream - - 24 Tube 3,520 84,480 Penerimaan APBD
- Klorfeson Cream - - 24 Tube 8,300 199,200 Penerimaan APBD
- Chloramphenicol tetes mata 0.5% - - 20 BOTOL 16,940 338,800 Penerimaan APBD
- Alkohol Swab Aximed - - 10 BOX 32,100 321,000 Penerimaan APBD
- Disposible 3 ML - - 1000 pcs 888 888,000 Penerimaan APBD
- Disposible 5 ML - - 100 pcs 839 83,900 Penerimaan APBD
- Triton C67 T-catgut chromic 3-0,9 - - 24 pcs 839 20,136 Penerimaan APBD
 Dokumen Spesifikasi Barang
Kode Satuan Harga
No Nama Barang Spesifikasi Jumlah Nilai Total Ket.
Tanggal Nomor Nama Barang NUSP Barang Satuan (Rp)
Barang
- triton P87 T-catgut 3-0,76cm - - 24 pcs 54,400 1,305,600 Penerimaan APBD
- Kasa 3 X 5 - - 10 ROLL 690 6,900 Penerimaan APBD
- IV Chateter No.20 - - 25 pcs 9,385 234,625 Penerimaan APBD
- IV Chateter No.22 - - 25 PCS 9,385 234,625 Penerimaan APBD
- iv chateter No.24 - - 25 PCS 9,586 239,650 Penerimaan APBD
- Pehacain ijneksi - - 60 AMPUL 3,080 184,800 Penerimaan APBD
- Pil KB - - 500 PCS 1,153 576,500 Penerimaan APBD
- Kondom - - 1 GROSS 124,223 124,223 Penerimaan APBD
- Suntikan 1 cc - - 400 VIAL 4,800 1,920,000 Penerimaan APBD
- Syringe 3 ml - - 400 PCS 730 292,000 Penerimaan APBD
3-Dec 1402/IFK-DINKES/XII/2022 - Allopurinol 100 Mg - - 500 TABLET 105 52,500 Penerimaan APBD
1402/IFK-DINKES/XII/2022 - Holicos ( Ambroxol tablet ) - - 500 TABLET 384 192,000 Penerimaan APBD
1402/IFK-DINKES/XII/2022 - Amlodipine 10 Mg - - 900 TABLET 70 63,000 Penerimaan APBD
1402/IFK-DINKES/XII/2022 - Amoxicillin 500 Mg - - 2000 TABLET 201 402,000 Penerimaan APBD
1402/IFK-DINKES/XII/2022 - Antasida Doen tablet - - 2000 TABLET 54 108,000 Penerimaan APBD
1402/IFK-DINKES/XII/2022 - Asamefenamat 500 mg - - 500 TABLET 111 55,500 Penerimaan APBD
1402/IFK-DINKES/XII/2022 - Molagit - - 300 TABLET 474 142,200 Penerimaan APBD
1402/IFK-DINKES/XII/2022 - Cetirizine Capsul 10 Mg - - 500 TABLET 49 24,500 Penerimaan APBD
1402/IFK-DINKES/XII/2022 - cotrimoxazole - - 1000 TABLET 133 133,000 Penerimaan APBD
1402/IFK-DINKES/XII/2022 - Glibenclamide 5 Mg - - 300 TABLET 82 24,600 Penerimaan APBD
1402/IFK-DINKES/XII/2022 - Metformin 500 Mg - - 600 TABLET 77 46,200 Penerimaan APBD
1402/IFK-DINKES/XII/2022 - Methylprednisolone 4 mg - - 1000 TABLET 102 102,000 Penerimaan APBD
1402/IFK-DINKES/XII/2022 - Molexflu Captab - - 600 TABLET 426 255,600 Penerimaan APBD
1402/IFK-DINKES/XII/2022 - Paracetamol 500 Mg - - 2000 TABLET 150 300,000 Penerimaan APBD
1402/IFK-DINKES/XII/2022 - Antoxid tablet - - 300 TABLET 850 255,000 Penerimaan APBD
1402/IFK-DINKES/XII/2022 - Dextral Kaplet - - 900 TABLET 556 500,400 Penerimaan APBD
1402/IFK-DINKES/XII/2022 - Pritagesik Cabtab - - 500 TABLET 568 284,000 Penerimaan APBD
1402/IFK-DINKES/XII/2022 - Livron B-Plex - - 2800 TABLET 281 786,800 Penerimaan APBD
1402/IFK-DINKES/XII/2022 - Greavita - - 1800 TABLET 2,696 4,852,800 Penerimaan APBD
1402/IFK-DINKES/XII/2022 - Hemafort - - 5000 TABLET 846 4,230,000 Penerimaan APBD
1402/IFK-DINKES/XII/2022 - Neokaominal Sirup - - 60 BOTOL 7,920 475,200 Penerimaan APBD
1402/IFK-DINKES/XII/2022 Zink - - 1800 TABLET 208 3,744,000 Penerimaan APBD
1402/IFK-DINKES/XII/2022 Oralit - - 7000 SACHET 280 1,960,000 Penerimaan APBD
1402/IFK-DINKES/XII/2022 - Dextral Sirup - - 60 BOTOL 9,570 574,200 Penerimaan APBD
1402/IFK-DINKES/XII/2022 - Cairan Infus D5 - - 60 BOTOL 6,627 265,080 Penerimaan APBD
1402/IFK-DINKES/XII/2022 - Holidril Sirup - - 50 BOTOL 6,262 313,100 Penerimaan APBD
1402/IFK-DINKES/XII/2022 - Procurma - - 50 BOTOL 11,385 569,250 Penerimaan APBD
 Dokumen Spesifikasi Barang
Kode Satuan Harga
No Nama Barang Spesifikasi Jumlah Nilai Total Ket.
Tanggal Nomor Nama Barang NUSP Barang Satuan (Rp)
Barang
1402/IFK-DINKES/XII/2022 - Protexinal sirup - - 50 BOTOL 6,262 313,100 Penerimaan APBD
1402/IFK-DINKES/XII/2022 - Paracetamol sirup 120 MG/5 ML - - 100 BOTOL 1,160 116,000 Penerimaan APBD
1402/IFK-DINKES/XII/2022 - Cairan Infus RL - - 60 BOTOL 7,630 457,800 Penerimaan APBD
1402/IFK-DINKES/XII/2022 - Bevalex cream - - 24 Tube 10,054 241,296 Penerimaan APBD
1402/IFK-DINKES/XII/2022 - Gentalex Cream - - 24 Tube 3,520 84,480 Penerimaan APBD
1402/IFK-DINKES/XII/2022 - Klorfeson Cream - - 24 Tube 8,300 199,200 Penerimaan APBD
1402/IFK-DINKES/XII/2022 - Chloramphenicol tetes mata 0.5% - - 20 BOTOL 16,940 338,800 Penerimaan APBD
1402/IFK-DINKES/XII/2022 - Alkohol Swab Aximed - - 10 BOX 32,100 321,000 Penerimaan APBD
1402/IFK-DINKES/XII/2022 - Disposible 3 ML - - 1000 pcs 888 888,000 Penerimaan APBD
1402/IFK-DINKES/XII/2022 - Disposible 5 ML - - 100 pcs 839 83,900 Penerimaan APBD
Triton C67 T-catgut chromic 3-
1402/IFK-DINKES/XII/2022 - - - 24 pcs 839 20,136 Penerimaan APBD
0,90cm
1402/IFK-DINKES/XII/2022 - triton P87 T-catgut 3-0,76cm - - 24 pcs 54,400 1,305,600 Penerimaan APBD
1402/IFK-DINKES/XII/2022 - Kasa 3 X 5 - - 10 ROLL 690 6,900 Penerimaan APBD
1402/IFK-DINKES/XII/2022 - IV Chateter No.20 - - 25 pcs 9,385 234,625 Penerimaan APBD
1402/IFK-DINKES/XII/2022 - IV Chateter No.22 - - 25 PCS 9,385 234,625 Penerimaan APBD
1402/IFK-DINKES/XII/2022 - iv chateter No.24 - - 25 PCS 9,586 239,650 Penerimaan APBD
1402/IFK-DINKES/XII/2022 - Oralbloc carpul - - 50 AMPUL 15,400 770,000 Penerimaan APBD
- Pil KB - - 500 PCS 1,153 576,500 Penerimaan APBD
- Kondom - - 1 GROSS 124,223 124,223 Penerimaan APBD
- Suntikan 1 cc - - 400 VIAL 4,800 1,920,000 Penerimaan APBD
- Syringe 3 ml - - 400 PCS 730 292,000 Penerimaan APBD
9-Dec - Rapid HIV 1 - - 100 PCS 11,975 1,197,500 Penerimaan APBD
9-Dec - Rapid Shypilis - - 100 PCS 4,125 412,500 Penerimaan APBD
- Amitripiline 25 Mg - - 200 TABLET 167 Penerimaan APBD
- Risperidon 2Mg - - 500 TABLET 123 Penerimaan APBD
- Haloperidol 5Mg Injeksi - - 1000 TABLET 1,190 Penerimaan APBD
- Diazepam Injeksi - - 20 AMPUL Penerimaan APBD
- Clozapine 25Mg - - 2000 TABLET 5,605 Penerimaan APBD
- Trihexpenidryl - - 1000 TABLET Penerimaan APBD
28-Dec 440/-P3M/XII/2022 - Abate - - 3 BOTOL 69,095 207,285 Penerimaan APBD
1-Dec 440/-P3M/XII/2022 - Reagen ZN - - 6 BOX 176,083 1,056,498 Penerimaan APBD
1-Dec 440/-P3M/XII/2022 - Kaca Sedian one lab 7105 - - 14 BoX 28,800 Penerimaan APBD
1-Dec 440/-P3M/XII/2022 - Slide One Lab 7105 - - 5 17,640 Penerimaan APBD
1-Dec 440/-P3M/XII/2022 - Slide One Lab 7105 - - 11 15,640 Penerimaan APBD
 Dokumen Spesifikasi Barang
Kode Satuan Harga
No Nama Barang Spesifikasi Jumlah Nilai Total Ket.
Tanggal Nomor Nama Barang NUSP Barang Satuan (Rp)
Barang
20-Dec440/1807-SBBK/Kesmas/XII/2022 - Strip HB Meter - - 350 STRIP 5,795 Penerimaan APBD
1-Dec 440/-P3M/XII/2022 Zink - - 1800 TABLET 208 3,744,000 Penerimaan APBD
1-Dec 440/-P3M/XII/2022 Oralit - - 7000 SACHET 280 1,960,000 Penerimaan APBD
- Handcond Non Steril/Maxter - - 50 BOX 62,800 3,140,000 Penerimaan APBD
- Caviplex - - 1000 TABLET 1,150 1,150,000 Penerimaan APBD
- Sarung tangan troge - - 94 pcs 12,727 1,196,338 Penerimaan APBD
28-Dec 1545/IFK-DINKES/XII/2022 - Hand soap 500ml - - 5 BOTOL 27,000 135,000 Penerimaan APBD
28-Dec 1545/IFK-DINKES/XII/2022 - Handscond Obgyn - - 85 PAIR 60,000 5,100,000 Penerimaan APBD
8-Dec 440/691-SBBK/Kesmas/XII/2022 - Tablet tambah darah - - 50628 TABLET 228 Penerimaan APBD
26-Dec 1576/IFK-DINKES/XII/2022 - Rapid Antigen - - 86 TEA 86,000 6,880,000 Penerimaan APBD
- Yetrizin 10 mg - - 5000 TABLET 109 543,550 penerimaan BLUD
- Cefadroxil 500 mg - - 2000 TABLET 1,470
- Cefixime 100 mg - - 2000 TABLET 602
- Domperidon tablet - - 5000 TABLET 485
- Diclofenac Sodium 50Mg - - 5000 TABLET 174
- Pacetik 500 mg - - 15000 TABLET 183
- Prednison tablet - - 5000 TABLET 122
Flacoid/Dexamethasone tab 0,5
- - - 5000 TABLET 84
Mg
- Orphen - - 10000 TABLET 143
- Atrovastatin 20mg - - 200 TABLET 458
Yefamox 500 Mg/Amoxicillin 500
- - - 6000 TABLET 434
Mg
- Alpara tab - - 2250 TABLET 536
- Ambroxol tab - - 5000 TABLET 932
- Aspilet - - 200 TABLET 585
- Bevalex cream - - 40 Tube 8,447 337,880
- Ciprofloxacin Hj 500 mg - - 2000 TABLET 375
- Bronex tab - - 1000 TABLET 154
- Epinephrine injek - - AMPUL
- ISDN - - 200 TABLET 108
- Ketorolac Injeksi - - 20 AMPUL
- ketorolac tab - - 100 TABLET 2,050
- Lansoprazole Nulab - - 1000 TABLET 667
- Nephrolite - - 200 TABLET 975
Ventolin Nebulez - - 20 AMPUL 11,045 220,897
Salbutamol 4mg - - 2000 TABLET 139 277,760
 Dokumen Spesifikasi Barang
Kode Satuan Harga
No Nama Barang Spesifikasi Jumlah Nilai Total Ket.
Tanggal Nomor Nama Barang NUSP Barang Satuan (Rp)
Barang
- Erla tetes Mata - - 30 BOTOL 7,791 233,730
- Cateter No.18 - - 20 PCS
- Cateter No.16 - - 20 PCS
- Umbilikal Klem steril isi 100 - - 500 PCS
- Pot Urine - - 200 PCS
- Kartu goldar - - 3 PAK
- Tabung EDTA - - 3 250,908
- Test Pack one med - - 200
- Protein urine 3 parameter verify - - 3
- Stik HB Mission - - 16 BOX
- Vaselin swab - - 2
- Kertas Puyer - - 10
- Infuset Adult GEA - - 100
- Plester Leukoplas 7,5x4Ml - - 2
- Kasa Gulung 40x80 - - 3
- Bisturi GEA - - 2
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Tanggal Nomor Nama Barang NUSP Barang Satuan (Rp)
Barang
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Kode Satuan Harga
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Tanggal Nomor Nama Barang NUSP Barang Satuan (Rp)
Barang
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Kode Satuan Harga
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Tanggal Nomor Nama Barang NUSP Barang Satuan (Rp)
Barang
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Kode Satuan Harga
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Tanggal Nomor Nama Barang NUSP Barang Satuan (Rp)
Barang
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 Dokumen Spesifikasi Barang
Kode Satuan Harga
No Nama Barang Spesifikasi Jumlah Nilai Total Ket.
Tanggal Nomor Nama Barang NUSP Barang Satuan (Rp)
Barang
Mengetahui Pengguna Barang Curugbitung, 31 Desember 2022
Kepala UPTD Puskesmas Pengurus Barang Pengguna

H. Ribun, SKM, M.Kes Ryan Ristiyandi, Amd.Farm

NIP. 19720507 199303 1 008 NIP. 19901112 201903 1 002
 BUKU PENERIMAAN PERSEDIAAN
UPTD PUSKESMAS CILELES
SEMESTER II TAHUN 2022

Dokumen Spesifikasi Barang

Kode Satuan Harga
No Nama Barang Spesifikasi Jumlah Nilai Total Ket.
Tanggal Nomor Nama Barang NUSP Barang Satuan (Rp)
Barang

1 21-Jul 959 /IFK-DINKES/VII/2022 - - Allopurinol 100 Mg - - 500 TABLET 105 52,500 Penerimaan APBD
2 21-Jul /IFK-DINKES/VII/2022 - - Amlodipine 10 Mg - - 900 TABLET 70 63,000 Penerimaan APBD
3 21-Jul /IFK-DINKES/VII/2022 - - Amoxicillin 500 Mg - - 2000 TABLET 201 402,000 Penerimaan APBD
4 21-Jul /IFK-DINKES/VII/2022 - - Antasida Doen tablet - - 2000 TABLET 54 108,000 Penerimaan APBD
5 21-Jul /IFK-DINKES/VII/2022 - - Asamefenamat 500 Mg - - 500 TABLET 111 55,500 Penerimaan APBD
6 21-Jul /IFK-DINKES/VII/2022 - - Pularex - - 500 TABLET 162 81,000 Penerimaan APBD
7 21-Jul /IFK-DINKES/VII/2022 - - Cetirizine Capsul 10 Mg - - 200 TABLET 49 9,800 Penerimaan APBD
9 21-Jul /IFK-DINKES/VII/2022 - - Glibenclamide 5 Mg - - 300 TABLET 82 24,600 Penerimaan APBD
10 21-Jul /IFK-DINKES/VII/2022 - - Guaifenesin tablet - - 2000 TABLET 202 404,000 Penerimaan APBD
11 21-Jul /IFK-DINKES/VII/2022 - - Kalium Diclofenak 50 Mg - - 300 TABLET 706 211,800 Penerimaan APBD
12 21-Jul /IFK-DINKES/VII/2022 - - Metformin 500 Mg - - 200 TABLET 77 15,400 Penerimaan APBD
13 21-Jul /IFK-DINKES/VII/2022 - - Paracetamol 500 Mg - - 2000 TABLET 150 300,000 Penerimaan APBD
14 21-Jul /IFK-DINKES/VII/2022 - - Ranitidine 150 Mg - - 500 TABLET 85 42,500 Penerimaan APBD
15 21-Jul /IFK-DINKES/VII/2022 - - Simvastatin 10 Mg - - 200 TABLET 68 13,600 Penerimaan APBD
16 21-Jul /IFK-DINKES/VII/2022 - - Antoxid tablet - - 200 TABLET 850 170,000 Penerimaan APBD
17 21-Jul /IFK-DINKES/VII/2022 - - Pritagesik Cabtab - - 500 TABLET 568 284,000 Penerimaan APBD
18 21-Jul /IFK-DINKES/VII/2022 - - Pritavit - - 1000 TABLET 1,098 1,098,000 Penerimaan APBD
19 21-Jul /IFK-DINKES/VII/2022 - - Lexacrol tablet - - 600 TABLET 528 316,800 Penerimaan APBD
22-Jul /IFK-DINKES/VII/2023 Amoxicillin 125mg/5Ml - - 100 BOTOL 2,050 205,000 Penerimaan APBD
20 21-Jul /IFK-DINKES/VII/2022 - - Neokaominal Sirup - - 60 BOTOL 7,920 475,200 Penerimaan APBD
21 21-Jul /IFK-DINKES/VII/2022 - - Dextral Sirup - - 60 BOTOL 7,920 475,200 Penerimaan APBD
22 21-Jul /IFK-DINKES/VII/2022 - - Cotrimoxazole Sirup - - 100 BOTOL 2,100 210,000 Penerimaan APBD
23 21-Jul /IFK-DINKES/VII/2022 - - Herbacof Sirup - - 96 BOTOL 14,273 1,370,208 Penerimaan APBD
24 21-Jul /IFK-DINKES/VII/2022 - - Molexflu Sirup - - 60 BOTOL 6,510 390,600 Penerimaan APBD
25 21-Jul /IFK-DINKES/VII/2022 - - Paracetamol sirup 120 MG/5 ML - - 100 BOTOL 1,160 116,000 Penerimaan APBD
26 21-Jul /IFK-DINKES/VII/2022 - - Cairan Infus RL - - 60 BOTOL 6,936 416,160 Penerimaan APBD
27 21-Jul /IFK-DINKES/VII/2022 - - Stimuno Sirup - - 96 BOTOL 28,118 2,699,328 Penerimaan APBD
28 21-Jul /IFK-DINKES/VII/2022 - - Gentalex Cream - - 48 Tube 3,520 168,960 Penerimaan APBD
29 21-Jul /IFK-DINKES/VII/2022 - - Klorfeson Cream - - 48 Tube 8,300 398,400 Penerimaan APBD
 Dokumen Spesifikasi Barang
Kode Satuan Harga
No Nama Barang Spesifikasi Jumlah Nilai Total Ket.
Tanggal Nomor Nama Barang NUSP Barang Satuan (Rp)
Barang
30 21-Jul /IFK-DINKES/VII/2022 - - Chloramphenicol tetes mata 0.5% - - 20 BOTOL 16,940 338,800 Penerimaan APBD
31 21-Jul /IFK-DINKES/VII/2022 - - Alkohol Swab Aximed - - 10 BOX 32,100 321,000 Penerimaan APBD
32 21-Jul /IFK-DINKES/VII/2022 - - Disposible 3 ML - - 1000 PCS 888 888,000 Penerimaan APBD
33 21-Jul /IFK-DINKES/VII/2022 - - Disposible 5 ML - - 100 Pcs 839 83,900 Penerimaan APBD
Triton C67 T-catgut chromic 3-
34 21-Jul /IFK-DINKES/VII/2022 - - - - 24 Pcs 839 20,136 Penerimaan APBD
0,90cm
35 21-Jul - - - triton P87 T-catgut 3-0,76cm - - 24 Pcs 54,400 1,305,600 Penerimaan APBD
36 21-Jul - - - Tro-Gynosurge S - - 12 Pcs 43,010 516,120 Penerimaan APBD
37 21-Jul - - - tro-Gynosurge L - - 12 Pcs 43,010 516,120 Penerimaan APBD
38 21-Jul - - - Kasa 4 X 10 - - 15 ROLL 1,560 23,400 Penerimaan APBD
39 21-Jul - - - kasa 4 X 5 - - 10 ROLL 690 6,900 Penerimaan APBD
40 21-Jul - - - Kasa 4 X 15 - - 10 ROLL 1,560 15,600 Penerimaan APBD
41 21-Jul - - - IV Chateter No.20 - - 25 Pcs 9,385 234,625 Penerimaan APBD
42 21-Jul - - - iv chateter No.24 - - 25 Pcs 9,586 239,650 Penerimaan APBD
43 21-Jul - - - Accu Check Performa Test - - 124 Box 320,000 39,680,000 Penerimaan APBD
44 21-Jul - - - Accu Check Safe-T Pro Uno - - 35 Box 128,000 4,480,000 Penerimaan APBD
45 21-Jul - - - Alkohol Swab GP Care - - 62 Box 29,000 1,798,000 Penerimaan APBD
46 29-Jul - - - OPV - - 8 VIAL 19,540 156,320 Penerimaan APBD
47 29-Jul - - - DPT-HB-HIB ( PENTABIO ) - - 50 VIAL 77,366 3,868,300 Penerimaan APBD
48 29-Jul - - - VAKSIN POLIO Injeksi ( IPV ) - - 8 VIAL 19,540 156,320 Penerimaan APBD
VAKSIN MEASLES RUBELLA
49 29-Jul 443.11 / ISKK/VII/2022 - - - - 199 VIAL 152,600 30,367,400 Penerimaan APBD
( MR )
50 29-Jul 443.11 / ISKK/VII/2023 - - AUTO DISABLE ( ADS ) 0,5 ML - - 1964 pcs 1,190 2,337,160 Penerimaan APBD
51 29-Jul - - - AUTO DISABLE ( ADS ) 5 ML - - 199 pcs 1,190 236,810 Penerimaan APBD
Pil KB - - 500 PCS 1,153 576,500 Penerimaan APBD
Kondom - 1 GROSS 124,223 124,223 Penerimaan APBD
Suntikan 1 cc 400 VIAL 4,800 1,920,000 Penerimaan APBD
Syringe 3 ml 400 PCS 730 292,000 Penerimaan APBD
52 22-Aug /IFK-DINKES/VIII/2022 - - Allopurinol 100 Mg - - 500 TABLET 105 52,500 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Amlodipine 10 Mg - - 900 TABLET 70 63,000 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Amoxicillin 500 Mg - - 2000 TABLET 201 402,000 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Antasida Doen tablet - - 2000 TABLET 54 108,000 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Asamefenamat 500 Mg - - 500 TABLET 111 55,500 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Molagit - - 300 TABLET 474 142,200 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Cetirizine Capsul 10 Mg - - 200 TABLET 49 9,800 Penerimaan APBD
 Dokumen Spesifikasi Barang
Kode Satuan Harga
No Nama Barang Spesifikasi Jumlah Nilai Total Ket.
Tanggal Nomor Nama Barang NUSP Barang Satuan (Rp)
Barang
22-Aug /IFK-DINKES/VIII/2022 - Glibenclamide 5 Mg - - 300 TABLET 82 24,600 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Guaifenesin tablet - - 2000 TABLET 202 404,000 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Kalium Diclofenak 50 Mg - - 300 TABLET 706 211,800 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Metformin 500 Mg - - 200 TABLET 77 15,400 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 Methylprednisolone 4 mg - - 1000 TABLET 102 102,000 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 Molexflu Captab - - 600 TABLET 426 255,600 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Paracetamol 500 Mg - - 2000 TABLET 150 300,000 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Ranitidine 150 Mg - - 500 TABLET 85 42,500 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Simvastatin 10 Mg - - 200 TABLET 68 13,600 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Antoxid tablet - - 200 TABLET 850 170,000 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 Dextral Kaplet - - 600 TABLET 556 333,600 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Pritagesik Cabtab - - 500 TABLET 568 284,000 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Greavita - - 1800 TABLET 2,696 4,852,800 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 Hemafort - - 800 TABLET 846 676,800 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Lexacrol tablet - - 600 TABLET 528 316,800 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 Amoxicillin sirup 125mg/5Ml - - 100 BOTOL 2,050 205,000 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Neokaominal Sirup - - 60 BOTOL 7,920 475,200 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Dextral Sirup - - 60 BOTOL 7,920 475,200 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Herbacof Sirup - - 96 BOTOL 14,273 1,370,208 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 Procurma - - 100 BOTOL 11,385 1,138,500 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Molexflu Sirup - - 60 BOTOL 6,510 390,600 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Paracetamol sirup 120 MG/5 ML - - 100 BOTOL 1,160 116,000 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Cairan Infus RL - - 60 BOTOL 7,630 457,800 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Stimuno Sirup - - 96 BOTOL 28,118 2,699,328 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 Bevalex cream - - 48 Tube 10,054 482,592 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Gentalex Cream - - 48 Tube 3,520 168,960 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Klorfeson Cream - - 48 Tube 8,300 398,400 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Chloramphenicol tetes mata 0.5% - - 20 BOTOL 16,940 338,800 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 Chloramphenicol tetes telinga - - 25 BOTOL 9,640 241,000 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Alkohol Swab Aximed - - 10 BOX 32,100 321,000 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Disposible 3 ML - - 1000 PCS 888 888,000 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Disposible 5 ML - - 100 Pcs 839 83,900 Penerimaan APBD
Triton C67 T-catgut chromic 3-
22-Aug /IFK-DINKES/VIII/2022 - - - 24 Pcs 839 20,136 Penerimaan APBD
0,90cm
22-Aug /IFK-DINKES/VIII/2022 - triton P87 T-catgut 3-0,76cm - - 24 Pcs 54,400 1,305,600 Penerimaan APBD
 Dokumen Spesifikasi Barang
Kode Satuan Harga
No Nama Barang Spesifikasi Jumlah Nilai Total Ket.
Tanggal Nomor Nama Barang NUSP Barang Satuan (Rp)
Barang
22-Aug /IFK-DINKES/VIII/2022 - Kasa 4 X 10 - - 15 ROLL 1,560 23,400 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - kasa 4 X 5 - - 10 ROLL 690 6,900 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Kasa 4 X 15 - - 10 ROLL 1,560 15,600 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - IV Chateter No.20 - - 25 Pcs 9,385 234,625 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - iv chateter No.24 - - 25 Pcs 9,586 239,650 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Masker Hijab - - 500 Box 466 233,000 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Accu Check Safe-T Pro Uno - - 35 Box 128,000 4,480,000 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - Alkohol Swab GP Care - - 62 Box 29,000 1,798,000 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - OPV - - 8 VIAL 19,540 156,320 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - DPT-HB-HIB ( PENTABIO ) - - 50 VIAL 77,366 3,868,300 Penerimaan APBD
22-Aug /IFK-DINKES/VIII/2022 - VAKSIN POLIO Injeksi ( IPV ) - - 8 VIAL 19,540 156,320 Penerimaan APBD
VAKSIN MEASLES RUBELLA
22-Aug /IFK-DINKES/VIII/2022 - - - 199 VIAL 152,600 30,367,400 Penerimaan APBD
( MR )
22-Aug /IFK-DINKES/VIII/2022 - AUTO DISABLE ( ADS ) 0,5 ML - - 1964 pcs 1,190 2,337,160 Penerimaan APBD
22-Aug - AUTO DISABLE ( ADS ) 5 ML - - 199 pcs 1,190 236,810 Penerimaan APBD
Pil KB 500 PCS 1,153 576,500 Penerimaan APBD
Kondom 1 GROSS 124,223 124,223 Penerimaan APBD
Suntikan 1 cc 400 VIAL 4,800 1,920,000 Penerimaan APBD
Syringe 3 ml 400 PCS 730 292,000 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - - Allopurinol 100 Mg - - 300 TABLET 105 31,500 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Amlodipine 10 Mg - - 900 TABLET 70 63,000 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Amoxicillin 500 Mg - - 2000 TABLET 201 402,000 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Antasida Doen tablet - - 2000 TABLET 54 108,000 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Asamefenamat 500 Mg - - 500 TABLET 111 55,500 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Molagit - - 300 TABLET 474 142,200 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Cetirizine Capsul 10 Mg - - 200 TABLET 49 9,800 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Glibenclamide 5 Mg - - 300 TABLET 82 24,600 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Guaifenesin tablet - - 2000 TABLET 202 404,000 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Kalium Diclofenak 50 Mg - - 300 TABLET 706 211,800 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Metformin 500 Mg - - 200 TABLET 77 46,000 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 Methylprednisolone 4 mg - - 1000 TABLET 102 102,000 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 Molexflu Captab - - 600 TABLET 426 255,600 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Paracetamol 500 Mg - - 2000 TABLET 150 300,000 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Ranitidine 150 Mg - - 500 TABLET 85 42,500 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Simvastatin 10 Mg - - 200 TABLET 68 13,600 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 Dextral Kaplet - - 150 TABLET 556 83,400 Penerimaan APBD
 Dokumen Spesifikasi Barang
Kode Satuan Harga
No Nama Barang Spesifikasi Jumlah Nilai Total Ket.
Tanggal Nomor Nama Barang NUSP Barang Satuan (Rp)
Barang
15-Sep /IFK-DINKES/ XI /2022 - Pritagesik Cabtab - - 500 TABLET 568 284,000 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Livron B-Plex - - 500 TABLET 281 140,000 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 Hemafort - - 500 TABLET 846 423,000 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Probiokid - - 50 SACHET 14,850 742,500 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 Amoxicillin sirup 125mg/5Ml - - 100 BOTOL 2,050 205,000 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Holidril Sirup - - 50 BOTOL 6,262 313,100 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Dextral Sirup - - 120 BOTOL 9,570 1,148,400 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Herbacof Sirup - - 48 BOTOL 14,273 685,104 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 Procurma - - 50 BOTOL 11,385 569,250 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Molexflu Sirup - - 120 BOTOL 6,510 781,200 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Paracetamol sirup 120 MG/5 ML - - 100 BOTOL 1,160 116,000 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Cairan Infus RL - - 60 BOTOL 7,630 457,800 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 Bevalex cream - - 24 Tube 10,054 241,296 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Gentalex Cream - - 24 Tube 3,520 84,400 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Klorfeson Cream - - 24 Tube 8,300 199,200 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Chloramphenicol tetes mata 0.5% - - 20 BOTOL 16,940 338,800 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 Chloramphenicol tetes telinga - - 25 BOTOL 9,640 241,000 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Alkohol Swab Aximed - - 10 BOX 32,100 321,000 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Disposible 5 ML - - 100 Pcs 839 83,900 Penerimaan APBD
Triton C67 T-catgut chromic 3-
15-Sep /IFK-DINKES/ XI /2022 - - - 24 Pcs 839 20,136 Penerimaan APBD
0,90cm
15-Sep /IFK-DINKES/ XI /2022 - triton P87 T-catgut 3-0,76cm - - 24 Pcs 54,400 1,305,600 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - kasa 4 X 5 - - 10 ROLL 690 6,900 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Kasa 4 X 15 - - 10 ROLL 1,560 15,600 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - IV Chateter No.20 - - 25 Pcs 9,385 234,625 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - iv chateter No.24 - - 25 Pcs 9,586 239,650 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - Vit.K injek - - 245 AMPUL 6,915 1,694,175 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2023 Oxytocin injek - - 750 AMPUL 1,126 844,500 Penerimaan APBD
15-Sep /IFK-DINKES/ XI /2022 - OPV - - 62 Box 29,000 1,798,000 Penerimaan APBD
/IFK-DINKES/ XI /2022 - OPV - - 8 VIAL 19,540 156,320 Penerimaan APBD
/IFK-DINKES/ XI /2022 - DPT-HB-HIB ( PENTABIO ) - - 50 VIAL 77,366 3,868,300 Penerimaan APBD
/IFK-DINKES/ XI /2022 - VAKSIN POLIO Injeksi ( IPV ) - - 8 VIAL 19,540 156,320 Penerimaan APBD
VAKSIN MEASLES RUBELLA
/IFK-DINKES/ XI /2022 - - - 199 VIAL 152,600 30,367,400 Penerimaan APBD
( MR )
 Dokumen Spesifikasi Barang
Kode Satuan Harga
No Nama Barang Spesifikasi Jumlah Nilai Total Ket.
Tanggal Nomor Nama Barang NUSP Barang Satuan (Rp)
Barang
/IFK-DINKES/ XI /2022 - AUTO DISABLE ( ADS ) 0,5 ML - - 1964 pcs 1,190 2,337,160 Penerimaan APBD
/IFK-DINKES/ XI /2022 - AUTO DISABLE ( ADS ) 5 ML - - 199 pcs 1,190 236,810 Penerimaan APBD
26-Sep 440/ -P3M/IX/2022 - Albendazole - - 4200 TABLET 431 1,810,200 Penerimaan APBD
- Pil KB 500 PCS 1,153 576,500 Penerimaan APBD
- Kondom 1 GROSS 124,223 124,223 Penerimaan APBD
- Suntikan 1 cc 400 VIAL 4,800 1,920,000 Penerimaan APBD
- Syringe 3 ml 400 PCS 730 292,000 Penerimaan APBD
14-Oct 1343 /IFK-DINKES/ X/2022 - - Allopurinol 100 Mg - - 500 TABLET 105 52,500 Penerimaan APBD
14-Oct /IFK-DINKES/ X /2022 - Amlodipine 10 Mg - - 900 TABLET 70 63,000 Penerimaan APBD
14-Oct /IFK-DINKES/ X /2022 - Amoxicillin 500 Mg - - 2000 TABLET 201 402,000 Penerimaan APBD
14-Oct /IFK-DINKES/ X /2022 - Antasida Doen tablet - - 2000 TABLET 54 108,000 Penerimaan APBD
14-Oct /IFK-DINKES/ X /2022 - Asamefenamat 500 Mg - - 500 TABLET 111 55,500 Penerimaan APBD
14-Oct /IFK-DINKES/ X /2022 - Molagit - - 300 TABLET 474 142,200 Penerimaan APBD
14-Oct /IFK-DINKES/ X /2022 - Cetirizine Capsul 10 Mg - - 200 TABLET 49 9,800 Penerimaan APBD
14-Oct /IFK-DINKES/ X /2022 cotrimoxazole - - 1000 TABLET 133 133,000 Penerimaan APBD
14-Oct /IFK-DINKES/ X /2022 - Glibenclamide 5 Mg - - 300 TABLET 82 24,600 Penerimaan APBD
14-Oct /IFK-DINKES/ X /2022 - Guaifenesin tablet - - 2000 TABLET 202 404,000 Penerimaan APBD
14-Oct /IFK-DINKES/ X /2022 - Metformin 500 Mg - - 600 TABLET 77 46,200 Penerimaan APBD
14-Oct /IFK-DINKES/ X /2022 Methylprednisolone 4 mg - - 1000 TABLET 102 102,000 Penerimaan APBD
14-Oct /IFK-DINKES/ X /2022 Molexflu Captab - - 600 TABLET 426 255,600 Penerimaan APBD
14-Oct /IFK-DINKES/ X /2022 Lymacil - - 1000 TABLET 699 699,000 Penerimaan APBD
14-Oct /IFK-DINKES/ X /2022 - Paracetamol 500 Mg - - 2000 TABLET 150 300,000 Penerimaan APBD
14-Oct /IFK-DINKES/ X /2022 - Ranitidine 150 Mg - - 500 TABLET 85 42,500 Penerimaan APBD
14-Oct /IFK-DINKES/ X /2022 - Simvastatin 10 Mg - - 500 TABLET 85 34,000 Penerimaan APBD
14-Oct /IFK-DINKES/ X /2022 Antoxid tablet - - 300 TABLET 850 255,000 Penerimaan APBD
14-Oct /IFK-DINKES/ X /2022 Dextral Kaplet - - 600 TABLET 556 333,600 Penerimaan APBD
14-Oct /IFK-DINKES/ X /2022 - Pritagesik Cabtab - - 500 TABLET 568 284,000 Penerimaan APBD
14-Oct /IFK-DINKES/ X /2022 - Livron B-Plex - - 1000 TABLET 281 281,000 Penerimaan APBD
14-Oct /IFK-DINKES/ X /2022 Hemafort - - 1000 TABLET 846 846,000 Penerimaan APBD
14-Oct /IFK-DINKES/ X /2022 - Probiokid - - 50 SACHET 14,850 742,500 Penerimaan APBD
14-Oct /IFK-DINKES/ X /2022 Amoxicillin sirup 125mg/5Ml - - 1000 BOTOL 2,050 205,000 Penerimaan APBD
14-Oct /IFK-DINKES/ X /2022 - Holidril Sirup - - 50 BOTOL 6,262 313,100 Penerimaan APBD
14-Oct /IFK-DINKES/ X /2022 - Dextral Sirup - - 60 BOTOL 9,570 574,200 Penerimaan APBD
14-Oct /IFK-DINKES/ X /2022 - Herbacof Sirup - - 48 BOTOL 14,273 685,104 Penerimaan APBD
14-Oct /IFK-DINKES/ X /2022 Procurma - - 50 BOTOL 11,385 569,250 Penerimaan APBD
14-Oct /IFK-DINKES/ X /2022 - Protexinal sirup - - 50 BOTOL 6,262 313,100 Penerimaan APBD
 Dokumen Spesifikasi Barang
Kode Satuan Harga
No Nama Barang Spesifikasi Jumlah Nilai Total Ket.
Tanggal Nomor Nama Barang NUSP Barang Satuan (Rp)
Barang
14-Oct /IFK-DINKES/ X /2022 - Paracetamol sirup 120 MG/5 ML - - 100 BOTOL 1,160 116,000 Penerimaan APBD
14-Oct /IFK-DINKES/ X /2022 - Cairan Infus RL - - 60 BOTOL 7,630 457,800 Penerimaan APBD
14-Oct /IFK-DINKES/ X /2022 Bevalex cream - - 24 Tube 10,054 241,296 Penerimaan APBD
14-Oct /IFK-DINKES/ X /2022 - Gentalex Cream - - 24 Tube 3,520 84,480 Penerimaan APBD
14-Oct /IFK-DINKES/ X /2022 - Klorfeson Cream - - 24 Tube 8,300 199,200 Penerimaan APBD
14-Oct /IFK-DINKES/ X /2022 - Salep 2-4 Kombinasi - - 24 POT 1,410 33,840 Penerimaan APBD
14-Oct salep Antifungidoen - - 20 POT 3,477 69,540 Penerimaan APBD
14-Oct /IFK-DINKES/ X /2022 Cairan Infus D5 - - 60 BOTOL 6,627 397,620 Penerimaan APBD
14-Oct /IFK-DINKES/ X /2022 - Alkohol Swab Aximed - - 10 BOX 32,100 321,000 Penerimaan APBD
14-Oct Disposible 3 ML - - 500 pcs 888 444,000 Penerimaan APBD
14-Oct /IFK-DINKES/ X /2022 - Disposible 5 ML - - 100 pcs 839 83,900 Penerimaan APBD
Triton C67 T-catgut chromic 3-
14-Oct /IFK-DINKES/ X /2022 - - - 24 pcs 839 20,136 Penerimaan APBD
0,90cm
14-Oct /IFK-DINKES/ X /2022 - triton P87 T-catgut 3-0,76cm - - 24 pcs 54,400 1,305,600 Penerimaan APBD
14-Oct /IFK-DINKES/ X /2022 - kasa 4 X 5 - - 10 ROLL 690 69,000 Penerimaan APBD
14-Oct /IFK-DINKES/ X /2022 - Kasa 4 X 15 - - 10 ROLL 1,560 15,600 Penerimaan APBD
14-Oct /IFK-DINKES/ X /2022 - IV Chateter No.20 - - 25 pcs 9,385 234,625 Penerimaan APBD
14-Oct /IFK-DINKES/ X /2022 IV Chateter No.22 - - 25 PCS 9,385 234,625 Penerimaan APBD
14-Oct /IFK-DINKES/ X /2022 - iv chateter No.24 - - 25 PCS 9,586 239,650 Penerimaan APBD
14-Oct /IFK-DINKES/ X /2022 - Pehacain ijneksi - - 100 AMPUL 3,080 308,000 Penerimaan APBD
- Pil KB 500 PCS 1,153 576,500 Penerimaan APBD
- Kondom 1 GROSS 124,223 124,223 Penerimaan APBD
- Suntikan 1 cc 400 VIAL 4,800 1,920,000 Penerimaan APBD
- Syringe 3 ml 400 PCS 730 292,000 Penerimaan APBD
440/ -P3M/X/2022 - Pot Dahak - - 1200 pcs 2,200 2,640,000 Penerimaan APBD
Loratadine HCL 10 mg - - 1000 TABLET 140 139,920 penerimaan BLUD
- Ranitidin tab 150 mg - - 2000 TABLET 247 494,000 penerimaan BLUD
- Simvastatin 10 mg - - 1000 TABLET 130 130,000 penerimaan BLUD
- Cetirizine hydrochloride Hcl 10 mg - - 1000 TABLET 90 90,000 penerimaan BLUD
- Cefadroxil 500 mg 1000 TABLET 627 627,060 penerimaan BLUD
- Cefixime 100 mg 1000 TABLET 591 590,910 penerimaan BLUD
- Methylprednisolone 4mg 1000 TABLET 167 167,280 penerimaan BLUD
- Domperidon tablet 500 TABLET 167 83,600 penerimaan BLUD
- Domperidon sirup 20 AMPUL 3,632 72,640 penerimaan BLUD
- Betahistine 6 mg 1000 TABLET 1,500 1,500,000 penerimaan BLUD
 Dokumen Spesifikasi Barang
Kode Satuan Harga
No Nama Barang Spesifikasi Jumlah Nilai Total Ket.
Tanggal Nomor Nama Barang NUSP Barang Satuan (Rp)
Barang
- Diclofenac Sodium 50Mg 1000 TABLET 158 158,340 penerimaan BLUD
- Pacetik 500 mg 6000 TABLET 195 1,167,300 penerimaan BLUD
- Piroxicam 20 mg 1000 TABLET 123 123,410 penerimaan BLUD
- Domperidon sirup - - 20 BOTOL 9,500 190,000 penerimaan BLUD
- Prednison tablet - - 1000 TABLET 130 130,000 penerimaan BLUD
- Asamefenamat 500 mg - - 1000 TABLET 170 170,450 penerimaan BLUD
- Ondansentron tab - - 150 TABLET 448 67,265 penerimaan BLUD
- Acyvar 400 Mg/Acyclovir 400 Mg - - 500 TABLET 939 469,550 penerimaan BLUD
- Captopril 25 Mg - - 1000 TABLET 117 117,430 penerimaan BLUD
- CTM 4 Mg - - 1000 TABLET 75 75,000 penerimaan BLUD
- Dexamethasone Injek - - 50 AMPUL 2,100 105,000 penerimaan BLUD
- Eryra Forte/Erytromicin 500 Mg - - 300 TABLET 9,168 2,750,400 penerimaan BLUD
Flacoid/Dexamethasone tab 0,5
- - - 1000 TABLET 84 83,870 penerimaan BLUD
Mg
- Ketoconazole 200 Mg - - 500 TABLET 441 220,680 penerimaan BLUD
- Ibuprofen 400 Mg - - 500 TABLET 240 120,000 penerimaan BLUD
- Ketoconazole salep - - 20 Tube 5,397 107,940 penerimaan BLUD
- Livron B-Flex - - 1000 TABLET 242 241,750 penerimaan BLUD
- Novakal 500 Mg/ Calcium Laktate - - 1000 TABLET 125 125,270 penerimaan BLUD
- Ranitidin Injek - - 50 AMPUL 1,901 95,045 penerimaan BLUD
- Vit. C 50 Mg - - 1000 TABLET 129 128,690 penerimaan BLUD
Yefamox 500 Mg/Amoxicillin 500
- - - 2000 TABLET 434 867,500 penerimaan BLUD
Mg
- Alpara tab - - 1500 TABLET 536 804,150 penerimaan BLUD
- Grafazole - - 500 TABLET 329 164,565 penerimaan BLUD
- ondansentron injek - - 50 AMPUL 2,685 67,265 penerimaan BLUD
- Iodin 60 ML - - 10 BOTOL 6,378 63,780 penerimaan BLUD
- Klip Jumbo 15 X 10 - - 30 BALL 10,705 321,150 penerimaan BLUD
- Klip Sedang 10 X 7 - - 30 BALL 5,340 160,200 penerimaan BLUD
- Yekadine SOL 1 Liter - - 5 BOTOL 69,682 348,410 penerimaan BLUD
17-Nov /IFK-DINKES/XI/2022 - Allopurinol 100 Mg - - 500 TABLET 105 52,500 Penerimaan APBD
17-Nov - Holicos ( Ambroxol tablet ) - - 500 TABLET 384 192,000 Penerimaan APBD
17-Nov - Amlodipine 10 Mg - - 900 TABLET 70 63,000 Penerimaan APBD
17-Nov - Amoxicillin 500 Mg - - 2000 TABLET 201 402,000 Penerimaan APBD
17-Nov - Antasida Doen tablet - - 2000 TABLET 54 108,000 Penerimaan APBD
 Dokumen Spesifikasi Barang
Kode Satuan Harga
No Nama Barang Spesifikasi Jumlah Nilai Total Ket.
Tanggal Nomor Nama Barang NUSP Barang Satuan (Rp)
Barang
17-Nov - Asamefenamat 500 mg - - 500 TABLET 111 55,500 Penerimaan APBD
17-Nov - Molagit - - 300 TABLET 474 142,200 Penerimaan APBD
17-Nov - Cetirizine Capsul 10 Mg - - 500 TABLET 49 24,500 Penerimaan APBD
17-Nov - cotrimoxazole - - 1000 TABLET 133 133,000 Penerimaan APBD
17-Nov - Glibenclamide 5 Mg - - 300 TABLET 82 24,600 Penerimaan APBD
17-Nov - Metformin 500 Mg - - 600 TABLET 77 46,200 Penerimaan APBD
17-Nov - Methylprednisolone 4 mg - - 1000 TABLET 102 102,000 Penerimaan APBD
17-Nov - Molexflu Captab - - 600 TABLET 426 255,600 Penerimaan APBD
17-Nov - Lymacil - - 1000 TABLET 699 699,000 Penerimaan APBD
17-Nov - Paracetamol 500 Mg - - 2000 TABLET 150 300,000 Penerimaan APBD
17-Nov - Ranitidine 150 Mg - - 500 TABLET 85 42,500 Penerimaan APBD
17-Nov - Simvastatin 10 Mg - - 200 TABLET 85 13,600 Penerimaan APBD
17-Nov - Antoxid tablet - - 300 TABLET 850 255,000 Penerimaan APBD
17-Nov - Dextral Kaplet - - 600 TABLET 556 333,600 Penerimaan APBD
17-Nov - Pritagesik Cabtab - - 500 TABLET 568 284,000 Penerimaan APBD
17-Nov - Livron B-Plex - - 1000 TABLET 281 281,000 Penerimaan APBD
17-Nov - Greavita - - 1800 TABLET 2,696 4,852,800 Penerimaan APBD
17-Nov - Hemafort - - 1000 TABLET 846 84,600 Penerimaan APBD
17-Nov - Amoxicillin sirup 125mg/5Ml - - 100 BOTOL 2,050 205,000 Penerimaan APBD
17-Nov - Dextral Sirup - - 60 BOTOL 9,570 574,200 Penerimaan APBD
17-Nov - Cairan Infus D5 - - 60 BOTOL 6,627 265,080 Penerimaan APBD
17-Nov - Herbacof Sirup - - 48 BOTOL 14,273 685,104 Penerimaan APBD
17-Nov - Holidril Sirup - - 50 BOTOL 6,262 313,100 Penerimaan APBD
17-Nov - Procurma - - 50 BOTOL 11,385 569,250 Penerimaan APBD
17-Nov - Protexinal sirup - - 50 BOTOL 6,262 313,100 Penerimaan APBD
17-Nov - Paracetamol sirup 120 MG/5 ML - - 100 BOTOL 1,160 116,000 Penerimaan APBD
17-Nov - Cairan Infus RL - - 60 BOTOL 7,630 457,800 Penerimaan APBD
17-Nov - Bevalex cream - - 24 Tube 10,054 241,296 Penerimaan APBD
17-Nov - Gentalex Cream - - 24 Tube 3,520 84,480 Penerimaan APBD
17-Nov - Klorfeson Cream - - 24 Tube 8,300 199,200 Penerimaan APBD
17-Nov - Chloramphenicol tetes mata 0.5% - - 20 BOTOL 16,940 338,800 Penerimaan APBD
17-Nov - Alkohol Swab Aximed - - 10 BOX 32,100 321,000 Penerimaan APBD
17-Nov - Disposible 3 ML - - 1000 pcs 888 888,000 Penerimaan APBD
17-Nov - Disposible 5 ML - - 100 pcs 839 83,900 Penerimaan APBD
17-Nov - Triton C67 T-catgut chromic 3-0,9 - - 24 pcs 839 20,136 Penerimaan APBD
 Dokumen Spesifikasi Barang
Kode Satuan Harga
No Nama Barang Spesifikasi Jumlah Nilai Total Ket.
Tanggal Nomor Nama Barang NUSP Barang Satuan (Rp)
Barang
17-Nov - triton P87 T-catgut 3-0,76cm - - 24 pcs 54,400 1,305,600 Penerimaan APBD
17-Nov - Kasa 3 X 5 - - 10 ROLL 690 6,900 Penerimaan APBD
17-Nov - IV Chateter No.20 - - 25 pcs 9,385 234,625 Penerimaan APBD
17-Nov - IV Chateter No.22 - - 25 PCS 9,385 234,625 Penerimaan APBD
17-Nov - iv chateter No.24 - - 25 PCS 9,586 239,650 Penerimaan APBD
17-Nov - Pehacain ijneksi - - 60 AMPUL 3,080 184,800 Penerimaan APBD
- Pil KB - - 500 PCS 1,153 576,500 Penerimaan APBD
- Kondom - - 1 GROSS 124,223 124,223 Penerimaan APBD
- Suntikan 1 cc - - 400 VIAL 4,800 1,920,000 Penerimaan APBD
- Syringe 3 ml - - 400 PCS 730 292,000 Penerimaan APBD
3-Dec 1402/IFK-DINKES/XII/2022 - Allopurinol 100 Mg - - 500 TABLET 105 52,500 Penerimaan APBD
3-Dec 1402/IFK-DINKES/XII/2022 - Holicos ( Ambroxol tablet ) - - 500 TABLET 384 192,000 Penerimaan APBD
3-Dec 1402/IFK-DINKES/XII/2022 - Amlodipine 10 Mg - - 900 TABLET 70 63,000 Penerimaan APBD
3-Dec 1402/IFK-DINKES/XII/2022 - Amoxicillin 500 Mg - - 2000 TABLET 201 402,000 Penerimaan APBD
3-Dec 1402/IFK-DINKES/XII/2022 - Antasida Doen tablet - - 2000 TABLET 54 108,000 Penerimaan APBD
3-Dec 1402/IFK-DINKES/XII/2022 - Asamefenamat 500 mg - - 500 TABLET 111 55,500 Penerimaan APBD
3-Dec 1402/IFK-DINKES/XII/2022 - Molagit - - 300 TABLET 474 142,200 Penerimaan APBD
3-Dec 1402/IFK-DINKES/XII/2022 - Cetirizine Capsul 10 Mg - - 500 TABLET 49 24,500 Penerimaan APBD
3-Dec 1402/IFK-DINKES/XII/2022 - cotrimoxazole - - 1000 TABLET 133 133,000 Penerimaan APBD
3-Dec 1402/IFK-DINKES/XII/2022 - Glibenclamide 5 Mg - - 300 TABLET 82 24,600 Penerimaan APBD
3-Dec 1402/IFK-DINKES/XII/2022 - Metformin 500 Mg - - 600 TABLET 77 46,200 Penerimaan APBD
3-Dec 1402/IFK-DINKES/XII/2022 - Methylprednisolone 4 mg - - 1000 TABLET 102 102,000 Penerimaan APBD
3-Dec 1402/IFK-DINKES/XII/2022 - Molexflu Captab - - 600 TABLET 426 255,600 Penerimaan APBD
3-Dec 1402/IFK-DINKES/XII/2022 - Paracetamol 500 Mg - - 2000 TABLET 150 300,000 Penerimaan APBD
3-Dec 1402/IFK-DINKES/XII/2022 - Antoxid tablet - - 300 TABLET 850 255,000 Penerimaan APBD
3-Dec 1402/IFK-DINKES/XII/2022 - Dextral Kaplet - - 900 TABLET 556 500,400 Penerimaan APBD
3-Dec 1402/IFK-DINKES/XII/2022 - Pritagesik Cabtab - - 500 TABLET 568 284,000 Penerimaan APBD
3-Dec 1402/IFK-DINKES/XII/2022 - Livron B-Plex - - 2800 TABLET 281 786,800 Penerimaan APBD
3-Dec 1402/IFK-DINKES/XII/2022 - Greavita - - 1800 TABLET 2,696 4,852,800 Penerimaan APBD
3-Dec 1402/IFK-DINKES/XII/2022 - Hemafort - - 5000 TABLET 846 4,230,000 Penerimaan APBD
3-Dec 1402/IFK-DINKES/XII/2022 - Neokaominal Sirup - - 60 BOTOL 7,920 475,200 Penerimaan APBD
3-Dec 1402/IFK-DINKES/XII/2022 Zink - - 1800 TABLET 208 3,744,000 Penerimaan APBD
3-Dec 1402/IFK-DINKES/XII/2022 Oralit - - 7000 SACHET 280 1,960,000 Penerimaan APBD
3-Dec 1402/IFK-DINKES/XII/2022 - Dextral Sirup - - 60 BOTOL 9,570 574,200 Penerimaan APBD
3-Dec 1402/IFK-DINKES/XII/2022 - Cairan Infus D5 - - 60 BOTOL 6,627 265,080 Penerimaan APBD
3-Dec 1402/IFK-DINKES/XII/2022 - Holidril Sirup - - 50 BOTOL 6,262 313,100 Penerimaan APBD
3-Dec 1402/IFK-DINKES/XII/2022 - Procurma - - 50 BOTOL 11,385 569,250 Penerimaan APBD
 Dokumen Spesifikasi Barang
Kode Satuan Harga
No Nama Barang Spesifikasi Jumlah Nilai Total Ket.
Tanggal Nomor Nama Barang NUSP Barang Satuan (Rp)
Barang
3-Dec 1402/IFK-DINKES/XII/2022 - Protexinal sirup - - 50 BOTOL 6,262 313,100 Penerimaan APBD
3-Dec 1402/IFK-DINKES/XII/2022 - Paracetamol sirup 120 MG/5 ML - - 100 BOTOL 1,160 116,000 Penerimaan APBD
3-Dec 1402/IFK-DINKES/XII/2022 - Cairan Infus RL - - 60 BOTOL 7,630 457,800 Penerimaan APBD
3-Dec 1402/IFK-DINKES/XII/2022 - Bevalex cream - - 24 Tube 10,054 241,296 Penerimaan APBD
3-Dec 1402/IFK-DINKES/XII/2022 - Gentalex Cream - - 24 Tube 3,520 84,480 Penerimaan APBD
3-Dec 1402/IFK-DINKES/XII/2022 - Klorfeson Cream - - 24 Tube 8,300 199,200 Penerimaan APBD
3-Dec 1402/IFK-DINKES/XII/2022 - Chloramphenicol tetes mata 0.5% - - 20 BOTOL 16,940 338,800 Penerimaan APBD
3-Dec 1402/IFK-DINKES/XII/2022 - Alkohol Swab Aximed - - 10 BOX 32,100 321,000 Penerimaan APBD
3-Dec 1402/IFK-DINKES/XII/2022 - Disposible 3 ML - - 1000 pcs 888 888,000 Penerimaan APBD
3-Dec 1402/IFK-DINKES/XII/2022 - Disposible 5 ML - - 100 pcs 839 83,900 Penerimaan APBD
Triton C67 T-catgut chromic 3-
3-Dec 1402/IFK-DINKES/XII/2022 - - - 24 pcs 839 20,136 Penerimaan APBD
0,90cm
3-Dec 1402/IFK-DINKES/XII/2022 - triton P87 T-catgut 3-0,76cm - - 24 pcs 54,400 1,305,600 Penerimaan APBD
3-Dec 1402/IFK-DINKES/XII/2022 - Kasa 3 X 5 - - 10 ROLL 690 6,900 Penerimaan APBD
3-Dec 1402/IFK-DINKES/XII/2022 - IV Chateter No.20 - - 25 pcs 9,385 234,625 Penerimaan APBD
3-Dec 1402/IFK-DINKES/XII/2022 - IV Chateter No.22 - - 25 PCS 9,385 234,625 Penerimaan APBD
3-Dec 1402/IFK-DINKES/XII/2022 - iv chateter No.24 - - 25 PCS 9,586 239,650 Penerimaan APBD
3-Dec 1402/IFK-DINKES/XII/2022 - Oralbloc carpul - - 50 AMPUL 15,400 770,000 Penerimaan APBD
- Pil KB - - 500 PCS 1,153 576,500 Penerimaan APBD
- Kondom - - 1 GROSS 124,223 124,223 Penerimaan APBD
- Suntikan 1 cc - - 400 VIAL 4,800 1,920,000 Penerimaan APBD
- Syringe 3 ml - - 400 PCS 730 292,000 Penerimaan APBD
9-Dec - Rapid HIV 1 - - 100 PCS 11,975 1,197,500 Penerimaan APBD
9-Dec - Rapid Shypilis - - 100 PCS 4,125 412,500 Penerimaan APBD
- Amitripiline 25 Mg - - 200 TABLET 167 Penerimaan APBD
- Risperidon 2Mg - - 500 TABLET 123 Penerimaan APBD
- Haloperidol 5Mg Injeksi - - 1000 TABLET 1,190 Penerimaan APBD
- Diazepam Injeksi - - 20 AMPUL Penerimaan APBD
- Clozapine 25Mg - - 2000 TABLET 5,605 Penerimaan APBD
- Trihexpenidryl - - 1000 TABLET Penerimaan APBD
28-Dec 440/-P3M/XII/2022 - Abate - - 3 BOTOL 69,095 207,285 Penerimaan APBD
1-Dec 440/-P3M/XII/2022 - Reagen ZN - - 6 BOX 176,083 1,056,498 Penerimaan APBD
1-Dec 440/-P3M/XII/2022 - Kaca Sedian one lab 7105 - - 14 BoX 28,800 Penerimaan APBD
1-Dec 440/-P3M/XII/2022 - Slide One Lab 7105 - - 5 17,640 Penerimaan APBD
1-Dec 440/-P3M/XII/2022 - Slide One Lab 7105 - - 11 15,640 Penerimaan APBD
 Dokumen Spesifikasi Barang
Kode Satuan Harga
No Nama Barang Spesifikasi Jumlah Nilai Total Ket.
Tanggal Nomor Nama Barang NUSP Barang Satuan (Rp)
Barang
20-Dec440/1807-SBBK/Kesmas/XII/2022 - Strip HB Meter - - 350 STRIP 5,795 Penerimaan APBD
1-Dec 440/-P3M/XII/2022 Zink - - 1800 TABLET 208 3,744,000 Penerimaan APBD
1-Dec 440/-P3M/XII/2022 Oralit - - 7000 SACHET 280 1,960,000 Penerimaan APBD
- Handcond Non Steril/Maxter - - 50 BOX 62,800 3,140,000 Penerimaan APBD
- Caviplex - - 1000 TABLET 1,150 1,150,000 Penerimaan APBD
- Sarung tangan troge - - 94 pcs 12,727 1,196,338 Penerimaan APBD
28-Dec 1545/IFK-DINKES/XII/2022 - Hand soap 500ml - - 5 BOTOL 27,000 135,000 Penerimaan APBD
28-Dec 1545/IFK-DINKES/XII/2022 - Handscond Obgyn - - 85 PAIR 60,000 5,100,000 Penerimaan APBD
8-Dec 440/691-SBBK/Kesmas/XII/2022 - Tablet tambah darah - - 50628 TABLET 228 Penerimaan APBD
26-Dec 1576/IFK-DINKES/XII/2022 - Rapid Antigen - - 86 TEA 86,000 6,880,000 Penerimaan APBD
- Yetrizin 10 mg - - 5000 TABLET 109 543,550 penerimaan BLUD
- Cefadroxil 500 mg - - 2000 TABLET 1,470
- Cefixime 100 mg - - 2000 TABLET 602
- Domperidon tablet - - 5000 TABLET 485
- Diclofenac Sodium 50Mg - - 5000 TABLET 174
- Pacetik 500 mg - - 15000 TABLET 183
- Prednison tablet - - 5000 TABLET 122
Flacoid/Dexamethasone tab 0,5
- - - 5000 TABLET 84
Mg
- Orphen - - 10000 TABLET 143
- Atrovastatin 20mg - - 200 TABLET 458
Yefamox 500 Mg/Amoxicillin 500
- - - 6000 TABLET 434
Mg
- Alpara tab - - 2250 TABLET 536
- Ambroxol tab - - 5000 TABLET 932
- Aspilet - - 200 TABLET 585
- Bevalex cream - - 40 Tube 8,447 337,880
- Ciprofloxacin Hj 500 mg - - 2000 TABLET 375
- Bronex tab - - 1000 TABLET 154
- Epinephrine injek - - AMPUL
- ISDN - - 200 TABLET 108
- Ketorolac Injeksi - - 20 AMPUL
- ketorolac tab - - 100 TABLET 2,050
- Lansoprazole Nulab - - 1000 TABLET 667
- Nephrolite - - 200 TABLET 975
Ventolin Nebulez - - 20 AMPUL 11,045 220,897
Salbutamol 4mg - - 2000 TABLET 139 277,760
 Dokumen Spesifikasi Barang
Kode Satuan Harga
No Nama Barang Spesifikasi Jumlah Nilai Total Ket.
Tanggal Nomor Nama Barang NUSP Barang Satuan (Rp)
Barang
- Erla tetes Mata - - 30 BOTOL 7,791 233,730
- Cateter No.18 - - 20 PCS
- Cateter No.16 - - 20 PCS
- Umbilikal Klem steril isi 100 - - 500 PCS
- Pot Urine - - 200 PCS
- Kartu goldar - - 3 PAK
- Tabung EDTA - - 3 250,908
- Test Pack one med - - 200
- Protein urine 3 parameter verify - - 3
- Stik HB Mission - - 16 BOX
- Vaselin swab - - 2
- Kertas Puyer - - 10
- Infuset Adult GEA - - 100
- Plester Leukoplas 7,5x4Ml - - 2
- Kasa Gulung 40x80 - - 3
- Bisturi GEA - - 2
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 Dokumen Spesifikasi Barang
Kode Satuan Harga
No Nama Barang Spesifikasi Jumlah Nilai Total Ket.
Tanggal Nomor Nama Barang NUSP Barang Satuan (Rp)
Barang
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 Dokumen Spesifikasi Barang
Kode Satuan Harga
No Nama Barang Spesifikasi Jumlah Nilai Total Ket.
Tanggal Nomor Nama Barang NUSP Barang Satuan (Rp)
Barang
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- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
 Dokumen Spesifikasi Barang
Kode Satuan Harga
No Nama Barang Spesifikasi Jumlah Nilai Total Ket.
Tanggal Nomor Nama Barang NUSP Barang Satuan (Rp)
Barang
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
 Dokumen Spesifikasi Barang
Kode Satuan Harga
No Nama Barang Spesifikasi Jumlah Nilai Total Ket.
Tanggal Nomor Nama Barang NUSP Barang Satuan (Rp)
Barang
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
 Dokumen Spesifikasi Barang
Kode Satuan Harga
No Nama Barang Spesifikasi Jumlah Nilai Total Ket.
Tanggal Nomor Nama Barang NUSP Barang Satuan (Rp)
Barang
Mengetahui Pengguna Barang Curugbitung, 31 Desember 2022
Kepala UPTD Puskesmas Pengurus Barang Pengguna

H. Ribun, SKM, M.Kes Ryan Ristiyandi, Amd.Farm

NIP. 19720507 199303 1 008 NIP. 19901112 201903 1 002