LAPORAN MUTASI OBAT DAN PERBEKALAN KESEHATAN NON JKN

PERIODE 2 JANUARI 2017- 31 DESEMBER 2017

PUSKESMAS : Kedai Durian

SALDO HARGA
HARGA SATUAN/ SALDO PER 31
STOK AWAL PENERIMAAN PENERIMAAN PERSEDIAAN PENGELUARAN PENGELUARAN PEROLEHAN
SATUAN/ KEMASAN DESEMBER 2017
NO NAMA BARANG TERAKHIR
KEMASAN
2016 2017 JLH Rp Jan Peb Mar Apr Mei Jun Jul Agt Sep Okt Nop Des Total Rp JLH RP Jan Peb Mar Apr Mei Jun Jul Agt Sep Okt Nop Des Total Rp JLH Rp RP

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
1 Atropin Sulfat 0,5 mg tabletablet 77.00 77.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
2 Haloperidol tablet 1,5 mg tablet 94.00 94.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00

Mengetahui , Medan, 31 Desember 2017

KEPALA PUSKESMAS Petugas Pengelola Obat Puskesmas

dr. Anni Mariani Pita Maya Sari,Amf

Nip.19650624 200212 2001 Nip.19840913 201101 2 008
 LAPORAN MUTASI OBAT DAN PERBEKALAN KESEHATAN NON JKN

PERIODE 2 JANUARI 2017- 31 DESEMBER 2017

PUSKESMAS : Kedai Durian

SALDO HARGA
HARGA SATUAN/ KEMASAN STOK AWAL PENERIMAAN PENERIMAAN PERSEDIAAN PENGELUARAN PENGELUARAN SALDO PER 31 DESEMBER 2017 PEROLEHAN
SATUAN/ TERAKHIR
NO NAMA BARANG
KEMASAN
2016 2017 JLH Rp Jan Peb Mar Apr Mei Jun Jul Agt Sep Okt Nop Des Total Rp JLH RP Jan Peb Mar Apr Mei Jun Jul Agt Sep Okt Nop Des Total Rp JLH Rp RP

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
1 Alfrazolam 0,5 mg tablet tablet 135.00 135.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
2 Alopurinol 100 mg tablet tablet 93.00 108.00 0.00 300.00 300.00 27,900.00 300.00 27,900.00 300.00 300.00 27,900.00 0.00 0.00 0.00
3 Amoksisilin 250 tablet tablet 201.00 185.00 2842.00 571,242.00 1000.00 1000.00 201,000.00 3842.00 772,242.00 0.00 0.00 3842.00 772,242.00 710,770.00
4 Amoksisilin 500 tablet tablet 233.00 190.00 20000.00 4,660,000.00 0.00 0.00 20000.00 4,660,000.00 0.00 0.00 20000.00 4,660,000.00 3,800,000.00
5 Amoksisilin sirup kering forte 250 mg/ 5 btl 60 ml 3,949.00 3,642.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
6 Antasida DOEN I tablet kunyah, kombinastablet 63.00 59.00 3190.00 200,970.00 1000.00 1000.00 63,000.00 4190.00 263,970.00 110.00 130.00 100.00 220.00 100.00 100.00 100.00 200.00 110.00 100.00 120.00 130.00 1520.00 95,760.00 2670.00 168,210.00 157,530.00
7 Asam Askorbat (Vitamin C) tablet 50 mg tablet 109.00 109.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
8 Asam Mefenamat 500 mg kaplet kaplet 112.00 102.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
9 Asiklovir tablet 200 mg tablet 261.00 245.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10 Aximed Examination Gloves, size L box 58,212.00 58,212.00 0.00 10.00 10.00 20.00 1,164,240.00 20.00 1,164,240.00 2.00 2.00 2.00 2.00 2.00 2.00 12.00 698,544.00 8.00 465,696.00 465,696.00
11 Bedak salisil serbuk 2% dus 50 g 1,046.00 1,040.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
12 Eugenol cairan btl 10 ml 19,005.00 19,005.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
13 Fesco Surgical Mask Tie On 3 Ply box 25,400.00 25,400.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
14 Furosemid tab 40 mg tab 81.00 80.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
15 Gemfibrozil 300 mg kaplet 398.00 389.00 300.00 119,400.00 0.00 0.00 300.00 119,400.00 60.00 70.00 50.00 50.00 50.00 20.00 300.00 119,400.00 0.00 0.00 0.00
16 Gentamisin salep mata 0,3%/ Genoint S tube 2,830.00 3,110.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
17 Glimepiride 2 mg tab 290.00 231.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
18 Ibuprofen 400 mg tab 130.00 112.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
19 Kandesartan 8 mg tab 3,490.00 3,490.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
20 Kaptopril 12,5 mg tab 63.00 62.00 1000.00 63,000.00 500.00 500.00 31,500.00 1500.00 94,500.00 140.00 60.00 70.00 50.00 100.00 100.00 80.00 100.00 100.00 100.00 100.00 1000.00 63,000.00 500.00 31,500.00 31,000.00
21 Metformin 500 tab 108.00 98.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22 Metoklopramid/ Lexapram sirup btl 2,650.00 2,650.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
23 Metronidazol 250 mg tab 96.00 92.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
24 Mikonazol krim/salep 2 % (Nitrat) tube 10 g 3,410.00 3,410.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
25 Natrium Diklofenak 25 mg tab 157.00 157.00 1140.00 178,980.00 0.00 0.00 1140.00 178,980.00 140.00 100.00 90.00 120.00 100.00 100.00 100.00 120.00 100.00 170.00 1140.00 178,980.00 0.00 0.00 0.00
26 Nifedipin 30 mg tab oros, Adalat 30 mg tab 3,830.00 3,645.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
27 Omeprazole tab tab 164.00 144.00 2912.00 477,568.00 300.00 300.00 49,200.00 3212.00 526,768.00 50.00 60.00 50.00 40.00 60.00 40.00 60.00 60.00 40.00 60.00 50.00 50.00 620.00 101,680.00 2592.00 425,088.00 373,248.00
28 Onemed Alkohol 70 % 1 liter botol 27,500.00 27,500.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
29 Onemed Kasa Hidrofil Steril 16 x 16 box 8,800.00 8,800.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
30 Onemed Rivanol 300 cc botol 3,300.00 3,000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
31 Povidon Iodida 10% - 60 ml btl 6,550.00 6,550.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
32 Ranitidin 150 mg tab 115.00 100.00 3000.00 345,000.00 0.00 0.00 3000.00 345,000.00 50.00 50.00 60.00 30.00 30.00 40.00 50.00 30.00 50.00 40.00 20.00 40.00 490.00 56,350.00 2510.00 288,650.00 251,000.00
33 Retinol (Vitamin A) 100.000 IU kapsul 298.00 298.00 600.00 178,800.00 0.00 0.00 600.00 178,800.00 600.00 600.00 178,800.00 0.00 0.00 0.00
34 Risperidon tablet 1 mg tab 439.00 308.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
35 Risperidon tablet 2 mg tab 495.00 495.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
36 Setirizin tablet 10 mg tab 145.00 145.00 1800.00 261,000.00 0.00 0.00 1800.00 261,000.00 200.00 200.00 200.00 150.00 150.00 100.00 100.00 150.00 150.00 150.00 100.00 130.00 1780.00 258,100.00 20.00 2,900.00 2,900.00
37 Sianokabalamin (Vit B12) injeksi 500 mc amp 1,168.00 1,157.00 0.00 100.00 100.00 116,800.00 100.00 116,800.00 0.00 0.00 100.00 116,800.00 115,700.00
38 Siprofloksasin 500 mg tab 289.00 247.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
39 Tetrasiklin 250 mg kap 168.00 174.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
7,055,960.00 1,653,640.00 8,709,600.00 1,778,514.00 6,931,086.00 5,907,844.00

Mengetahui , Medan,31 Desember 2017

KEPALA PUSKESMAS Petugas Pengelola Obat Puskesmas

dr. Anni Mariani Pita Maya Sari,Amf

Nip.19650624 200212 2001 Nip. 19840913 201101 2008
 LAPORAN MUTASI OBAT DAN PERBEKALAN KESEHATAN NON JKN
PERIODE 2 JANUARI 2017 - 31 DESEMBER 2017

PUSKESMAS : Kedai Durian

SALDO HARGA
HARGA STOK AWAL PENERIMAAN PENERIMAAN PERSEDIAAN PENGELUARAN PENGELUARAN SISA STOK
SATUAN/ PEROLEHAN TERAKHIR
NO NAMA BARANG KEMASAN SATUAN/
KEMASAN Rp
JLH Rp Jan Peb Mar Apr Mei Jun Jul Agt Sep Okt Nop Des Total Rp JLH RP Jan Peb Mar Apr Mei Jun Jul Agt Sep Okt Nop Des Total Rp JLH Rp

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38
1 Albendazol 400 mg tablet tab 411.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
2 Alfrazolam 1 mg tablet tab 146.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
3 Allupurinol 100 mg tab 108.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
4 Aminophillin 200 mg tab 92.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
5 Amlodipine 10 mg tab 106.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
6 Amlodipine 5 mg tab 88.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
7 Amoksisilin 250 mg tab 185.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
8 Amoksisilin 500 mg tab 190.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
9 Amoksisilin sirup kering 125 mg/ 5 ml botol 1,920.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
10 Amoksisilin sirup kering forte 250 mg/ 5 ml botol 3,642.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
11 Antasida tablet tab 59.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
12 Asam Asetil Salisilat (Asetosal)/ Miniaspi 80 mg tab 94.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
13 Asam askorbat (Vit C) 250 mg tab 114.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
14 Asam askorbat (Vit C) 50 mg tab 109.00 0.00 4000.00 4000.00 436,000.00 4000.00 436,000.00 427.00 856.00 518.00 1064.00 135.00 3000.00 327,000.00 1000.00 109,000.00 109000
15 Asam Folat/ Profolat tablet 0,4 mg tab 60.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
16 Asam Mefenamat 500 mg tab 102.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
17 Asiklovir 200 mg tab 245.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
18 Attapuligit /Neo Diagon 600 mg tab 210.00 0.00 2000.00 2000.00 420,000.00 2000.00 420,000.00 0.00 0.00 2000.00 420,000.00 420000
19 Bedak salisil serbuk 2% dus 50 g 1,040.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
20 Betametason cream/Skizon cream tube 3,388.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
21 Bisakodil 5 mg tab 306.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
22 Deksametason injeksi amp 1,647.00 0.00 100.00 100.00 164,700.00 100.00 164,700.00 0.00 0.00 100.00 164,700.00 164700
23 Deksametason tablet 0,5 mg tab 43.00 0.00 10000.00 10000.00 430,000.00 10000.00 430,000.00 500.00 1000.00 1000.00 500.00 500.00 3500.00 150,500.00 6500.00 279,500.00 279500
24 Diazepam enema 5 mg/ 2,5 ml (Stesolid Rec.Tec Tube 5 tube 12,696.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
25 Domperidon suspensi 5 mg/5 ml btl 60 ml 3,105.00 0.00 60.00 60.00 186,300.00 60.00 186,300.00 10.00 10.00 8.00 5.00 5.00 38.00 117,990.00 22.00 68,310.00 68310
26 Efineprin/ adrenalin injeksi amp 1,749.00 0.00 30.00 30.00 52,470.00 30.00 52,470.00 0.00 0.00 30.00 52,470.00 52470
27 Eritromisin sirup kering 200 mg/ 5 ml btl 60 ml 6,303.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
28 Eritromisin 250 mg tab 587.00 0.00 1000.00 1000.00 587,000.00 1000.00 587,000.00 0.00 0.00 1000.00 587,000.00 587000
29 Eritromisin tablet 500 mg tab 751.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
30 Fenobarbital 30 mg tab 165.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
31 Fenoksimetil penisilin (penisilin V) 500 mg tab 635.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
32 Fitomenadion (Vitamin K1) injeksi i.m. 2 mg/ml amp 3,728.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
33 Furosemid 40 mg tab 80.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
34 Garam Oralit I serbuk, kombinasi : Natrium klorida 0,52 gsak 265.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
35 Gemfibrozil 300 mg tab 389.00 0.00 600.00 600.00 233,400.00 600.00 233,400.00 50.00 50.00 50.00 50.00 200.00 77,800.00 400.00 155,600.00 155600
36 Gentamicin /Genoint salep mata 0,3% tube 3,110.00 0.00 96.00 96.00 298,560.00 96.00 298,560.00 5.00 5.00 5.00 3.00 18.00 55,980.00 78.00 242,580.00 242580
37 Gentamicin tetes mata 0,3% botol 4,380.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
38 Glimepiride 2 mg tab 231.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
39 Glucosa 5% lart infus btl 5,460.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
40 Griseofulvin 125 mg tab 245.00 0.00 500.00 500.00 122,500.00 500.00 122,500.00 0.00 0.00 500.00 122,500.00 122500
41 Haloperidol / Lodomer 2 mg tab 94.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
42 Haloperidol 5 mg tab 74.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
43 Haloperidol/Lodomer injeksi i.m 5 mg/ml amp 4,000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
44 Haloperidol /Lodomer drops 2 mg/ml btl 18,100.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
45 Hidrokortison 1 % cream tube 3,184.00 0.00 120.00 120.00 382,080.00 120.00 382,080.00 3.00 5.00 4.00 5.00 17.00 54,128.00 103.00 327,952.00 327952
46 Hidrokortison 2,5 % cream tube 2,646.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
47 Ibuprofen 200 mg tab 105.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
48 Ibuprofen 400 mg tab 112.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
49 Isoniazid tablet 100 mg tab 78.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
50 Isoniazid tablet 300 mg tab 170.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
51 Kalsium Laktat 500 mg tab 57.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
52 Ketokonazol 2 % cream tube 2,596.00 0.00 50.00 50.00 129,800.00 50.00 129,800.00 3.00 3.00 5.00 4.00 5.00 20.00 51,920.00 30.00 77,880.00 77880
53 Ketokonazol 200 mg tab 288.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
54 Klindamisin 300 mg tab 589.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
55 Kloramfenikol salep mata 1% tube 1,810.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
56 Kloramfenikol / Bufacetin salep kulit 2% tube 3,107.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
57 Kloramfenikol suspensi 125 mg/5ml botol 4,841.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
58 Kloramfenikol/Decacetin tetes mata 0,5% botol 3,500.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
59 Klorfeniramina Maleat (CTM) 4 mg tab 37.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
60 Klorpromazin 100 mg tab 148.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
61 Kotrimoksazol 480 mg tab 131.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
62 Kotrimoksazol suspensi botol 2,364.00 0.00 200.00 200.00 472,800.00 200.00 472,800.00 10.00 25.00 10.00 15.00 10.00 70.00 165,480.00 130.00 307,320.00 307320
63 Lansoprazol 30 mg tab 331.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
64 Lidokain 2 % amp 1,169.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
65 Lidokain komb epinefrin injeksi amp 2,037.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
66 Lorazepam/Merlopam 0,5 mg tab 405.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
 67 Lorazepam /Ativan 1 mg tab 850.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
68 Metformin 500 tab 98.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
69 Metronidazol 250 mg tab 92.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
70 Metronidazol 500 mg tab 114.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
71 Mikonazol/ Mycorine powder 2% botol 26,950.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
72 Natrium Klorida lart infus 0,9% botol 4,935.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
73 Nifedipin /Adalat oros 30 mg tab 3,645.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
74 Nistatin 500.000 IU/g tab 803.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
75 Oksitosin injeksi 10 IU/ml injeksi amp 1,900.00 0.00 8.00 8.00 15,200.00 8.00 15,200.00 0.00 0.00 8.00 15,200.00 15200
76 Parasetamol 500 mg tab 51.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
77 Parasetamol sirup 120 mg/ 5 ml botol 1,013.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
78 Prednison 5 mg tab 82.00 0.00 2000.00 2000.00 164,000.00 2000.00 164,000.00 20.00 30.00 30.00 25.00 20.00 125.00 10,250.00 1875.00 153,750.00 153750
79 Ranitidin 150 mg tab 100.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
80 Ringer laktat infus botol 5,460.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
81 Risperidon 1 mg tab 308.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
82 Risperidon 3 mg tab 539.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
83 Sabutamol 4 mg tab tab 80.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
84 Salbutamol (Dipsamol) aerosol/ inhalasi 100 mcg/dosis ktk 41,250.00 0.00 10.00 10.00 412,500.00 10.00 412,500.00 0.00 0.00 10.00 412,500.00 412500
85 Setirizin sirup botol 3,200.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
86 Sianokabalamin (Vit B12) injeksi 500 mcg amp 1,157.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
87 Simvastatin 10 mg tab 113.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
88 Siprofloxacin 500 tab 247.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
89 Tetrasiklin 250 mg kap 174.00 0.00 5000.00 5000.00 870,000.00 5000.00 870,000.00 150.00 150.00 150.00 150.00 600.00 104,400.00 4400.00 765,600.00 765600
90 Tetrasiklin 500 mg tab 319.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
91 Tiamin HCl (Vit B1) 50 mg tab 84.00 0.00 5000.00 5000.00 420,000.00 5000.00 420,000.00 200.00 70.00 50.00 60.00 380.00 31,920.00 4620.00 388,080.00 388080
92 Vitamin B komplek tab 121.00 0.00 9400.00 9400.00 1,137,400.00 9400.00 1,137,400.00 100.00 150.00 70.00 80.00 100.00 500.00 60,500.00 8900.00 1,076,900.00 1076900
93 Zink 20 mg tab 539.00 0.00 2000.00 2000.00 1,078,000.00 2000.00 1,078,000.00 0.00 0.00 2000.00 1,078,000.00 1078000
94 Remedi Disposible Syringe + Needle 3 cc pcs 920.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
95 Top Point Disposible syringe 3 cc pcs 685.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
96 COSMOMED Surgical Gloves Steril 7.5 psg 4,551.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
97 COSMOMED Surgical Gloves Non Steril 7,5 box 55,389.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
98 Terumo Disp. Syringe with Needle 3 cc pcs 1,138.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
99 Ahmadaris Kasa Steril DRC 16 cm x 16 cm (16 pads) ktk 8,077.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
100 JAYAMAS Onemed-Kasa pembalut hydrohil 4 m x 5 cm rol 750.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
101 JAYAMAS Onemed -Kasa pembalut hydrohil 4 m x 10 cm rol 1,500.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
102 ASSUT-SWITZERLAND-Silk 3/0 HR-27,75 cm pcs 36,830.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
103 ASSUT-SWITZERLAND-Plain 3/0 HR-27,75 cm pcs 39,063.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
104 Aximed Face Mask Ear Loop box 24,750.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
105 Aximed Face Mask Ties On box 30,000.00 0.00 10.00 10.00 300,000.00 10.00 300,000.00 1.00 1.00 1.00 1.00 1.00 5.00 150,000.00 5.00 150,000.00 150000
106 Leukoplast-Hospital 7,5 cm x 4,5 m-Beiersdorf Indonesiarol 35,532.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
107 Fixomull strecth 5 cm x 5 cm-Beiersdorf Indonesia rol 37,440.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
108 Cuticell Classic 10 cm x 10 cm-Beiersdorf Indonesia sac 5,198.00 0.00 100.00 100.00 519,800.00 100.00 519,800.00 0.00 0.00 100.00 519,800.00 519800
109 JAYAMAS Onemed Aseptan 500 cc + pump botol 34,500.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
110 JAYAMAS Onemed-Rivanol 300 cc botol 3,000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
111 JAYAMAS Onemed Lysol 1 liter botol 41,000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
0.00 8,832,510.00 8,832,510.00 1,357,868.00 7,474,642.00 7,474,642.00

Mengetahui , Medan, 31 Desember 2017

KEPALA PUSKESMAS Petugas Pengelola Obat Puskesmas

dr. Anni Mariani Pita Maya Sari,Amf

Nip.19650624 200212 2001 Nip. 19840913 201101 2008
 LAPORAN MUTASI OBAT DAN PERBEKALAN KESEHATAN NON JKN
PERIODE 2 JANUARI 2017- 31 DESEMBER 2017

PUSKESMAS : Kedai Durian

SALDO HARGA
HARGA SATUAN/ KEMASAN STOK AWAL PENERIMAAN PENERIMAAN PERSEDIAAN PENGELUARAN PENGELUARAN SALDO PER 31 DESEMBER 2017 PEROLEHAN
SATUAN/ TERAKHIR
NO NAMA BARANG
KEMASAN

2016 2017 JLH Rp Jan Peb Mar Apr Mei Jun Jul Agt Sep Okt Nop Des Total Rp JLH RP Jan Peb Mar Apr Mei Jun Jul Agt Sep Okt Nop Des Total Rp JLH Rp RP

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
1 Amlodipin 10 mg tablet 150.00 106.00 2680.00 402,000.00 0.00 0.00 2680.00 402,000.00 300.00 200.00 250.00 300.00 300.00 280.00 150.00 150.00 200.00 150.00 200.00 200.00 2680.00 402,000.00 0.00 0.00 0.00
2 Amoksisilin 500 tablet tablet 233.00 190.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
3 Amoksisilin sirup kering 125 mg/ 5 ml btl 60 ml 2,152.00 1,920.00 0.00 500.00 96.00 596.00 1,282,592.00 596.00 1,282,592.00 70.00 50.00 50.00 40.00 50.00 50.00 30.00 40.00 50.00 50.00 50.00 66.00 596.00 1,282,592.00 0.00 0.00 0.00
4 Amitriptilin 25 mg tab 150.00 150.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
5 Antasida DOEN I tablet kunyah, kombina tablet 63.00 59.00 0.00 2000.00 2000.00 126,000.00 2000.00 126,000.00 50.00 70.00 50.00 60.00 230.00 14,490.00 1770.00 111,510.00 104,430.00
6 Asam Asetil Salisilat (asetosal) 100 mg tablet 130.00 130.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
7 Asam Askorbat (Vitamin C) tablet 50 m tablet 109.00 109.00 0.00 1000.00 1000.00 109,000.00 1000.00 109,000.00 567.00 433.00 1000.00 109,000.00 0.00 0.00 0.00
8 Asam Folat tablet 0,4 mg (Avolat) tablet 66.00 60.00 2000.00 132,000.00 0.00 0.00 2000.00 132,000.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 1100.00 72,600.00 900.00 59,400.00 54,000.00
9 Asam Mefenamat 500 mg kaplet kaplet 112.00 102.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10 Asiklovir tablet 400 mg tablet 359.00 359.00 100.00 35,900.00 0.00 0.00 100.00 35,900.00 100.00 100.00 35,900.00 0.00 0.00 0.00
11 Atapulgit tablet 600 mg/ New Antides ttablet 164.00 210.00 2000.00 328,000.00 0.00 0.00 2000.00 328,000.00 120.00 120.00 120.00 190.00 200.00 300.00 150.00 150.00 150.00 200.00 200.00 100.00 2000.00 328,000.00 0.00 0.00 0.00
12 Bedak salisil serbuk 2% dus 50 g 1,046.00 1,040.00 0.00 100.00 100.00 104,600.00 100.00 104,600.00 10.00 10.00 10.00 10.00 20.00 10.00 10.00 5.00 85.00 88,910.00 15.00 15,690.00 15,600.00
13 Betametason krim 0,1% (sebagai Valeratube 5 g 1,407.00 1,407.00 0.00 100.00 48.00 148.00 208,236.00 148.00 208,236.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 10.00 80.00 112,560.00 68.00 95,676.00 95,676.00
14 Bisoprolol tablet 2,5 mg/ Concor 2,5 mgtablet 650.00 650.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
15 Diazepam tablet 5 mg tablet 122.00 122.00 1000.00 122,000.00 0.00 0.00 1000.00 122,000.00 0.00 0.00 1000.00 122,000.00 122,000.00
16 Difenhidramin injeksi ampul 1,234.00 1,234.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
17 Doksisiklin tablet/kapsul/kaplet 100 mgtablet 282.00 273.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
18 Domperidon tablet 10 mg tablet 118.00 118.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
19 Eritromisin tablet 250 mg tablet 594.00 587.00 5000.00 2,970,000.00 0.00 0.00 5000.00 2,970,000.00 200.00 200.00 200.00 200.00 100.00 200.00 150.00 100.00 150.00 100.00 200.00 200.00 2000.00 1,188,000.00 3000.00 1,782,000.00 1,761,000.00
20 Fitomenadion (Vit.K1) tablet salut gula tablet 726.00 726.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
21 Furosemid tablet 40 mg tablet 81.00 80.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22 Gentamisin salep mata 0,3%/ Genoint tube 2,830.00 3,110.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
23 Gentamisin tetes mata 0,3% botol 4,200.00 4,380.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
24 Glukosa lrt infus 5% btl 6,900.00 5,460.00 20.00 138,000.00 0.00 0.00 20.00 138,000.00 0.00 0.00 20.00 138,000.00 109,200.00
25 Haloperidol tablet 2 mg/ Lodomer 2 tablet 112.00 94.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
26 Haloperidol tablet 5 mg tablet 94.00 74.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
27 Hidrocortison 2,5% cream tube 5 g 2,650.00 2,646.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
28 Ibuprofen 100 mg/ 5 ml sirup btl 2,550.00 2,550.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
29 Ibuprofen 200 mg tab 108.00 105.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
30 Isoniazid tablet 300 mg tablet 173.00 170.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
31 Kalsium Laktat 500 mg tab 66.00 57.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
32 Kandesartan 8 mg tab 3,490.00 3,490.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
33 Kaptopril 25 mg tab 71.00 81.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
34 Karbamazepin tablet 200 mg tab 280.00 280.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
35 Ketokonazol krim 2% tube 10 2,545.00 2,596.00 125.00 318,125.00 0.00 0.00 125.00 318,125.00 10.00 10.00 10.00 10.00 10.00 10.00 5.00 5.00 5.00 3.00 2.00 3.00 83.00 211,235.00 42.00 106,890.00 109,032.00
36 Klindamisin 300 mg tab 630.00 589.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
37 Kloramfenikol salep kulit 2%/ Bufacetintube 15 3,190.00 3,107.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
38 Klorfeniramina Maleat (CTM) tablet 4 tab 43.00 37.00 20000.00 860,000.00 ### 1000.00 43,000.00 21000.00 903,000.00 3000.00 2000.00 1500.00 2000.00 2000.00 2000.00 2000.00 2000.00 1000.00 1000.00 1000.00 1500.00 21000.00 903,000.00 0.00 0.00 0.00
39 Klorpromazin 100 mg tab 171.00 148.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
40 Kotrimoksazol DOEN I (dewasa) tab 154.00 131.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
41 Lidokain komb epinefrin injeksi amp 1,937.00 2,037.00 0.00 120.00 120.00 232,440.00 120.00 232,440.00 0.00 0.00 120.00 232,440.00 244,440.00
42 Loratadin 10 mg tab 139.00 125.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
43 Metformin 500 tab 108.00 98.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
44 Metoklopramid 10 mg tab 95.00 87.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
45 Metronidazol 500 mg tab 133.00 114.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
46 Natrium Diklofenak 50 mg tab 160.00 160.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
47 Nifedipin 30 mg, oros/ Adalat 30 tab 3,830.00 3,645.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
48 Nistatin 500.000 IU/g tab 782.00 803.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
49 Oksitosin injeksi 10 IU/ml injeksi amp 1,900.00 1,900.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
50 Parasetamol sirup 120 mg/ 5 ml btl 1,119.00 1,013.00 100.00 111,900.00 200.00 200.00 223,800.00 300.00 335,700.00 0.00 0.00 300.00 335,700.00 303,900.00
51 Ranitidin 150 mg tab 115.00 100.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
52 Ringer laktat lart infus btl 7,150.00 5,460.00 20.00 143,000.00 0.00 0.00 20.00 143,000.00 2.00 2.00 14,300.00 18.00 128,700.00 98,280.00
53 Salbutamol 4 mg tab 83.00 80.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
54 Setirizin tablet 10 mg tab 145.00 145.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
55 Sianokabalamin (Vit B12) injeksi 500 m amp 1,168.00 1,157.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
56 Sianokobalamin 50 mcg tab 57.00 57.00 1840.00 104,880.00 0.00 0.00 1840.00 104,880.00 100.00 100.00 100.00 100.00 100.00 200.00 200.00 200.00 200.00 200.00 150.00 190.00 1840.00 104,880.00 0.00 0.00 0.00
57 Tetrasiklin 500 mg kap 319.00 319.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
58 Vitamin B komplek tab 45.00 121.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
59 Zinc 20 mg tab 540.00 539.00 1000.00 540,000.00 0.00 0.00 1000.00 540,000.00 0.00 0.00 1000.00 540,000.00 539,000.00
60 Assut-Switzerland Plain 3/0 TS-24,75 c pcs 42,039.39 39,063.15 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
61 Assut-Switzerland Silk 3/0 TS-27,75 cm pcs 39,637.01 36,830.85 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
62 Aximed Syringe 3 cc box 1,039.50 1,039.50 0.00 500.00 1000.00 1500.00 1,559,250.00 1500.00 1,559,250.00 100.00 100.00 100.00 100.00 200.00 100.00 700.00 727,650.00 800.00 831,600.00 831,600.00
63 Aximed Examination Gloves , size M box 58,212.00 58,212.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
64 Fesco Surgical Mask Tie On 3 Ply box 25,400.00 25,400.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
65 Fixomull stretch 5 cm x 5 m roll 37,440.00 37,440.00 0.00 11.00 11.00 411,840.00 11.00 411,840.00 1.00 1.00 37,440.00 10.00 374,400.00 374,400.00
66 Jayamas Onemed Kasa pembalut hydrohi roll 1,575.00 1,500.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
67 Jayamas Onemed Kasa pembalut hydrohi roll 788.00 750.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
68 Leukoplast 2,5 cm x 4,5 m roll 12,076.00 12,076.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
69 Onemed Rivanol 300 cc botol 3,300.00 3,000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
6,205,805.00 4,300,758.00 10,506,563.00 5,632,557.00 4,874,006.00 4,762,558.00

Mengetahui , Medan, 31 Desember 2017

KEPALA PUSKESMAS Petugas Pengelola Obat Puskesmas

dr. Anni Mariani Pita Maya Sari,Amf

Nip.19650624 200212 2 001 Nip. 19840913 201101 2 008
 LAPORAN MUTASI OBAT DAN PERBEKALAN KESEHATAN NON JKN
PERIODE 2 JANUARI 2017- 31 DESEMBER 2017

PUSKESMAS : Kedai Durian

SALDO HARGA
SALDO PER 31
HARGA SATUAN/ KEMASAN STOK AWAL PENERIMAAN PENERIMAAN PERSEDIAAN PENGELUARAN PENGELUARAN PEROLEHAN
SATUAN/ DESEMBER 2017
NO NAMA BARANG TERAKHIR
KEMASAN
2016 2017 JLH Rp Jan Peb Mar Apr Mei Jun Jul Agt Sep Okt Nop Des Total Rp JLH RP Jan Peb Mar Apr Mei Jun Jul Agt Sep Okt Nop Des Total Rp JLH Rp RP

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
1 Attalpulgit tablet 600 mg tablet 164.00 210.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
2 Atropin Sulfat 0,5 mg tablet tablet 77.00 77.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
3 Captopril tablet 12,5 mg tablet 62.00 62.00 292.00 18,104.00 0.00 0.00 292.00 18,104.00 100.00 100.00 92.00 292.00 18,104.00 0.00 0.00 0.00
4 Glukosa larutan infus 5% btl 5,460.00 5,460.00 19.00 103,740.00 0.00 0.00 19.00 103,740.00 2.00 2.00 10,920.00 17.00 92,820.00 92,820.00
5 Haloperidol tablet 5 mg tablet 100.00 74.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
6 Parasetamol Drops botol 5,460.00 5,460.00 35.00 191,100.00 0.00 0.00 35.00 191,100.00 35.00 35.00 191,100.00 0.00 0.00 0.00
7 Povidon Iodida 10 % 300 ml botol 14,771.00 14,771.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
312,944.00 0.00 312,944.00 220,124.00 92,820.00 92,820.00

Mengetahui , Medan, 31 Desember 2017

KEPALA PUSKESMAS Petugas Pengelola Obat Puskesmas

dr.Anni Mariani Pita Maya Sari,Amf

Nip. 19650624 200212 2 001 Nip.19840913 201101 2 008
 LAPORAN MUTASI OBAT DAN PERBEKALAN KESEHATAN NON JKN
PERIODE 2 JANUARI 2017- 31 DESEMBER 2017

PUSKESMAS : Kedai Durian

SALDO HARGA
HARGA SATUAN/ SALDO PER 31
STOK AWAL PENERIMAAN PENERIMAAN PERSEDIAAN PENGELUARAN PENGELUARAN PEROLEHAN
SATUAN/ KEMASAN DESEMBER 2017 TERAKHIR
NO NAMA BARANG
KEMASAN
2016 2017 JLH Rp Jan Peb Mar Apr Mei Jun Jul Agt Sep Okt Nop Des Total Rp JLH RP Jan Peb Mar Apr Mei Jun Jul Agt Sep Okt Nop Des Total Rp JLH Rp RP

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
1 Antifungi DOEN/ Whitefield pot 4,366.00 4,366.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Salep 2-4 , Kombinasi:

2 Asam Salisilat 2% + Belerang pot 2,100.00 2,554.00 204.00 428,400.00 0.00 0.00 204.00 428,400.00 20.00 25.00 20.00 15.00 9.00 20.00 10.00 10.00 10.00 5.00 10.00 10.00 164.00 344,400.00 40.00 84,000.00 102,160.00
Endap 4%
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
428,400.00 0.00 428,400.00 344,400.00 84,000.00 102,160.00

Mengetahui , Medan, 31 Desember 2017

KEPALA PUSKESMAS Petugas Pengelola Obat Puskesmas

dr. Anni Mariani Pita Maya Sari,Amf

Nip.19650624 200212 2001 Nip.19840913 201101 2 008
 LAPORAN MUTASI OBAT DAN PERBEKALAN KESEHATAN NON JKN
PERIODE 2 JANUARI 2017- 31 DESEMBER 2017

PUSKESMAS : Kedai Durian

SALDO
SALDO PER 31 HARGA
HARGA SATUAN/ KEMASAN STOK AWAL PENERIMAAN PENERIMAAN PERSEDIAAN PENGELUARAN PENGELUARAN DESEMBER 2017 PEROLEHAN
SATUAN/
NO NAMA BARANG TERAKHIR
KEMASAN

2016 2017 JLH Rp Jan Peb Mar Apr Mei Jun Jul Agt Sep Okt Nop Des Total Rp JLH RP Jan Peb Mar Apr Mei Jun Jul Agt Sep Okt Nop Des Total Rp JLH Rp RP

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
1 Kapas Pembalut Adsorben 250 g Bungkus 7,875.00 13,400.00 8.00 63,000.00 10.00 10.00 78,750.00 18.00 141,750.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 2.00 1.00 2.00 5.00 1.00 18.00 141,750.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
63,000.00 78,750.00 141,750.00 141,750.00 0.00 0.00

Mengetahui , Medan, 31 Desember 2017

KEPALA PUSKESMAS Petugas Pengelola Obat Puskesmas

dr. Anni Mariani Pita Maya Sari,Amf

Nip.19650624 200212 2001 Nip.19840913 201101 2 008
 LAPORAN MUTASI OBAT DAN PERBEKALAN KESEHATAN NON JKN
PERIODE 2 JANUARI 2017- 31 DESEMBER 2017

PUSKESMAS : Kedai Durian

SALDO HARGA
HARGA SATUAN/ KEMASAN STOK AWAL PENERIMAAN PENERIMAAN PERSEDIAAN PENGELUARAN PENGELUARAN SALDO PER 31 DESEMBER 2017 PEROLEHAN
NO NAMA BARANG SATUAN/ TERAKHIR
KEMASAN
2016 2017 JLH Rp Jan Peb Mar Apr Mei Jun Jul Agt Sep Okt Nop Des Total Rp JLH RP Jan Peb Mar Apr Mei Jun Jul Agt Sep Okt Nop Des Total Rp JLH Rp RP

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
1 Stera-Alat Suntik 2,5/3 ml box/100 82,550.00 103,950.00 1.40 115,570.00 0.00 0.00 1.40 115,570.00 1.40 1.40 115,570.00 0.00 0.00 0.00
2 Alkohol 70 % (1000 ml) btl 27,305.00 27,500.00 2.00 54,610.00 0.00 0.00 2.00 54,610.00 2.00 2.00 54,610.00 0.00 0.00 0.00
3 Amoksisilin 250 mg tablet tab 210.00 185.00 229.00 48,090.00 0.00 0.00 229.00 48,090.00 229.00 229.00 48,090.00 0.00 0.00 0.00
4 Amoksisilin 500 mg tablet tab 270.00 190.00 1112.00 300,240.00 0.00 0.00 1112.00 300,240.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 12.00 1112.00 300,240.00 0.00 0.00 0.00
5 Amoksisilin sirup kering 125 m btl 2,500.00 1,920.00 292.00 730,000.00 0.00 0.00 292.00 730,000.00 292.00 292.00 730,000.00 0.00 0.00 0.00
6 Antasida DOEN I tablet kombinatab 74.00 59.00 14434.00 1,068,116.00 0.00 0.00 14434.00 1,068,116.00 730.00 730.00 730.00 500.00 300.00 250.00 300.00 500.00 700.00 500.00 400.00 400.00 6040.00 446,960.00 8394.00 621,156.00 495,246.00
7 Anti Bakteri Doen tube 2,641.00 2,641.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
8 Asam Askorbat 50 mg tablet tab 109.00 109.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
9 Betametason cream 0,5% tube 1,520.00 1,407.00 150.00 228,000.00 0.00 0.00 150.00 228,000.00 20.00 20.00 30.00 10.00 10.00 90.00 136,800.00 60.00 91,200.00 84,420.00
10 Cat Gut Plain 3/0 box/24 170,180.00 42,039.00 8.00 1,361,440.00 0.00 0.00 8.00 1,361,440.00 1.00 1.00 1.00 3.00 510,540.00 5.00 850,900.00 210,195.00
11 Deksametason 0.5 mg tab 46.00 43.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
12 Difenhidramin injeksi amp 1,100.00 1,234.00 420.00 462,000.00 0.00 0.00 420.00 462,000.00 420.00 420.00 462,000.00 0.00 0.00 0.00
13 Doksisiklin 100 mg tab 282.00 273.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
14 Eugenol cairan (10 ml) btl 19,005.00 19,005.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
15 Handscoen/ Onemed Maxter Exbox/100 61,215.00 58,212.00 5.00 306,075.00 0.00 0.00 5.00 306,075.00 5.00 5.00 306,075.00 0.00 0.00 0.00
16 Handscoen Steril/ Onemed Safeg psg 7,334.00 7,334.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
17 Hidrokortison 2,5 % cream tube 2,798.00 2,646.00 300.00 839,400.00 0.00 0.00 300.00 839,400.00 20.00 20.00 20.00 20.00 20.00 20.00 20.00 16.00 15.00 15.00 12.00 12.00 210.00 587,580.00 90.00 251,820.00 238,140.00
18 Ibuprofen 200 mg tablet tab 108.00 105.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
19 Stera-Infuset Dewasa pcs 4,064.00 4,064.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
20 Stera-Infuset Pedriatric pcs 4,445.00 4,445.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
21 Kalsium Laktat tablet tab 73.00 57.00 1077.00 78,621.00 0.00 0.00 1077.00 78,621.00 100.00 100.00 100.00 100.00 100.00 100.00 300.00 177.00 1077.00 78,621.00 0.00 0.00 0.00
22 Kasa Hidrophil 16 x 16/ Onemedbox/16 7,366.00 7,366.00 10.00 73,660.00 0.00 0.00 10.00 73,660.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 10.00 73,660.00 0.00 0.00 0.00
23 Loratadin 10 mg tablet tab 164.00 125.00 825.00 135,300.00 0.00 0.00 825.00 135,300.00 100.00 100.00 100.00 50.00 100.00 100.00 100.00 50.00 50.00 75.00 825.00 135,300.00 0.00 0.00 0.00
24 Masker (surgical mask) box/50 25,400.00 25,400.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
25 Nifedipin 30 mg, oros (Adalat) tab 3,830.00 3,645.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
26 Parasetamol 500 mg tab 84.00 51.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
27 Rivanol 300 cc/ Onemed Rivanolbtl 3,300.00 3,000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
28 Sianakobalamin (Vit B12) injeksamp 1,168.00 1,157.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
29 Tetrasiklin 500 mg tab 312.00 319.00 1477.00 460,824.00 0.00 0.00 1477.00 460,824.00 100.00 100.00 100.00 100.00 160.00 100.00 167.00 150.00 100.00 100.00 200.00 100.00 1477.00 460,824.00 0.00 0.00 0.00
30 Vitamin B komplek tab 45.00 121.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
6,261,946.00 0.00 6,261,946.00 4,446,870.00 1,815,076.00 1,028,001.00

Mengetahui , Medan, 31 Desember 2017

KEPALA PUSKESMAS Petugas Pengelola Obat Puskesmas

dr. Anni Mariani Pita Maya Sari,Amf

Nip.19650624 200212 2001 Nip.19840913 201101 2 008
 LAPORAN MUTASI OBAT DAN PERBEKALAN KESEHATAN NON JKN
PERIODE 2 JANUARI 2017- 31 DESEMBER 2017

PUSKESMAS : Kedai Durian

SALDO
HARGA SATUAN/ KEMASAN STOK AWAL PENERIMAAN PENERIMAAN PERSEDIAAN PENGELUARAN PENGELUARAN SALDO PER 31 HARGA
SATUAN/ DESEMBER 2017 PEROLEHAN
NO NAMA BARANG TERAKHIR
KEMASAN

2016 2017 JLH Rp Jan Peb Mar Apr Mei Jun Jul Agt Sep Okt Nop Des Total Rp JLH RP Jan Peb Mar Apr Mei Jun Jul Agt Sep Okt Nop Des Total Rp JLH Rp RP

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
1 Box Slide/ Box Object Glass box/100's 101,090.00 101,090.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
2 Object Glass box/72's 28,600.00 30,000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
3 Pot Sputum pcs 4,455.00 2,950.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
4 Spuit 1 cc Tuberculin pcs 712.00 712.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
5 Reagensia TB Paru box 341,000.00 341,000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00

Mengetahui , Medan, 31 Desember 2017

KEPALA PUSKESMAS Petugas Pengelola Obat Puskesmas

dr. Anni Mariani Pita Maya Sari,Amf

Nip.19650624 200212 2001 Nip.19840913 201101 2 008
 LAPORAN MUTASI OBAT DAN PERBEKALAN KESEHATAN NON JKN
PERIODE 2 JANUARI 2017- 31 DESEMBER 2017

PUSKESMAS : Kedai Durian

SALDO
SALDO PER 31 HARGA
HARGA SATUAN/ KEMASAN STOK AWAL PENERIMAAN PENERIMAAN PERSEDIAAN PENGELUARAN PENGELUARAN
SATUAN/ DESEMBER 2017 PEROLEHAN
NO NAMA BARANG TERAKHIR
KEMASAN

2016 2017 JLH Rp Jan Peb Mar Apr Mei Jun Jul Agt Sep Okt Nop Des Total Rp JLH RP Jan Peb Mar Apr Mei Jun Jul Agt Sep Okt Nop Des Total Rp JLH Rp RP

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
1 Kloramfenikol salep mata 1 % - 5 g tube 1,600.00 1,810.00 44 70400 0 0 44 70400 44 44 70400 0.00 0 0
3 captopril tablet 25 mg tab 89 947 84283 0 0 947 84283 947 947 84283 0.00 0 0
4 Glibenklamid tab 58 2310 133980 0 0 2310 133980 2310 2310 133980 0.00 0 0
5 Fenoksimetil Penisilin tab 535 590 315650 0 0 590 315650 590 590 315650 0.00 0 0
6 Furosemid 40 mg tab 94 50 4700 0 0 50 4700 50 50 4700 0.00 0 0
8 Gentamisin tetes mata 0.3 % tube 3353 52 174356 0 0 52 174356 52 52 174356 0.00 0 0
9 Gentamisin salep mata 0.3 % tube 2660 139 369740 0 0 139 369740 139 139 369740 0.00 0 0
10 Ibufropen 100 mg/ 5 ml sirup btl 3674 89 326986 0 0 89 326986 89 89 326986 0.00 0 0
11 Metformin 500 / Gludepatic tab 114.50 6 687 0 0 6 687 6 6 687 0.00 0 0
12 Metronidazol tab 250 mg tab 113 530 59890 0 0 530 59890 530 530 59890 0.00 0 0
13 Natrium Diklofenak tablet 25 mg tab 140.00 164 22960 0 0 164 22960 164 164 22960 0.00 0 0
14 Parasetamol sirup btl 1496 251 375496 0 0 251 375496 251 251 375496 0.00 0 0
15 Pirantel sirup btl 8728 27 235656 0 0 27 235656 27 27 235656 0.00 0 0
16 Pirantel tab 125 mg tab 308 295 90860 0 0 295 90860 295 295 90860 0.00 0 0
17 Ringer laktat fls 5460 15 81900 0 0 15 81900 15 15 81900 0.00 0 0
18 Siprofloksasin tab 260 664 172640 0 0 664 172640 664 664 172640 0.00 0 0
19 Masker win pcs 1181 5550 6554550 0 0 5550 6554550 5550 5550 6554550 0.00 0 0
20 Natrium Diklofenak tablet 25 mg tab 140.00 26 3640 0 0 26 3640 26 26 3640 0.00 0 0
21 Allopurinol tab 100 mg tab 88 603 53064 0 0 603 53064 603 603 53064 0.00 0 0
22 Amlodipin 10 mg tab tab 341 80 27280 0 0 80 27280 80 80 27280 0.00 0 0
23 Dektrometorfam sirup tab 1423 1 1423 0 0 1 1423 1 1 1423 0.00 0 0
24 Ibufropen 400 mg tab 153 230 35190 0 0 230 35190 230 230 35190 0.00 0 0
25 Piridoksin(Vit.B6) tablet 10 mg (HCl) tab 115 109 12535 0 0 109 12535 109 109 12535 0.00 0 0
26 Sianokobalamin (Vit.B12) tablet 50 mcg tab 60 95 5700 0 0 95 5700 95 95 5700 0.00 0 0
27 Acylovir tablet 400 mg tab 345.00 232 80040 0 0 232 80040 232 232 80040 0.00 0 0
28 Bisoprolol 5 mg tab 669.00 531 355239 0 0 531 355239 531 531 355239 0.00 0 0
29 Bacitracin zalf tube 2,641.00 38 100358 0 0 38 100358 38 38 100358 0.00 0 0
30 Cat gut/ Benang bedah No. 3/0 pcs 170,180.00 52 8849360 0 0 52 8849360 52 52 8849360 0.00 0 0
31 Erytromicin sirup btl 7,893.00 4 31572 0 0 4 31572 4 4 31572 0.00 0 0
32 Etakridin ( Rivanol ) Larutan 0.1 % btl 6,150.00 34 209100 0 0 34 209100 34 34 209100 0.00 0 0
33 Furosemid tablet 40 mg / yekasic tab 94.00 5 470 0 0 5 470 5 5 470 0.00 0 0
34 Grazeo 10mg tab 18,406.00 9 165654 0 0 9 165654 9 9 165654 0.00 0 0
35 Kasa Pembalut Hidrofil 4 M x 5 CM tube 953.00 64 60992 0 0 64 60992 64 64 60992 0.00 0 0
36 Ketoconazol cream tube 2,993.00 3 8979 0 0 3 8979 3 3 8979 0.00 0 0
37 Kloramfenikol tetes telinga 3 % tube 1,600.00 125 200000 0 0 125 200000 125 125 200000 0.00 0 0
38 Loperamid tablet 2 mg tab 92.00 1003 92276 0 0 1003 92276 1003 1003 92276 0.00 0 0
39 Gludepatic box 50,600.00 82 4149200 0 0 82 4149200 82 82 4149200 0.00 0 0
40 Graxine tab 39.00 1955 76245 0 0 1955 76245 1955 1955 76245 0.00 0 0
41 Gliseril Guaiakolat box 50,000.00 21 1050000 0 0 21 1050000 21 21 1050000 0.00 0 0
42 Nutrivita syrup btl 20,800.00 56 1164800 0 0 56 1164800 56 56 1164800 0.00 0 0
43 Yodium Povidon larutan 10 % 50 ml btl 11,800.00 4 47200 0 0 4 47200 4 4 47200 0.00 0 0
44 Etanol 70 % - 100 ml btl 2,575.00 7 18025 0 0 7 18025 7 7 18025 0.00 0 0
45 Antifungi DOEN/ Whitefield tube 2,001.00 160 320160 0 0 160 320160 160 160 320160 0.00 0 0
46 Kasa Hidrophil 16 x 16 rol 8,925.00 8 71400 0 0 8 71400 8 8 71400 0.00 0 0
47 Natrium klorida larutan infus 0,9 % steril fls 4935 7 34545 0 0 7 34545 7 7 34545 0.00 0 0
48 Plester rol 24806 5 124030 0 0 5 124030 5 5 124030 0.00 0 0
49 Prodiabet tab 825.00 16 13200 0 0 16 13200 16 16 13200 0.00 0 0
50 Lansoprazole tab 473 133 62909 0 0 133 62909 133 133 62909 0.00 0 0
26499320 0 26499320 26499320 0 0

Mengetahui , Medan, 31 Desember 2017

KEPALA PUSKESMAS Petugas Pengelola Obat Puskesmas

dr. Anni Mariani Pita Maya Sari,Amf

Nip.19650624 200212 2001 Nip.19840913 201101 2 008
 LAPORAN MUTASI OBAT DAN PERBEKALAN KESEHATAN NON JKN
PERIODE 2 JANUARI 2017- 31 DESEMBER 2017

PUSKESMAS : Kedai Durian

SALDO
HARGA SATUAN/ SALDO PER 31 HARGA
STOK AWAL PENERIMAAN PENERIMAAN PERSEDIAAN PENGELUARAN PENGELUARAN
SATUAN/ KEMASAN DESEMBER 2017 PEROLEHAN
NO NAMA BARANG TERAKHIR
KEMASAN

2016 2017 JLH Rp Jan Peb Mar Apr Mei Jun Jul Agt Sep Okt Nop Des Total Rp JLH RP Jan Peb Mar Apr Mei Jun Jul Agt Sep Okt Nop Des Total Rp JLH Rp RP

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
1 Stik Gula Darah box/50 248,500.00 248,500.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
2 Box Slide box 101,090.00 101,090.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
3 Pot Sputum pcs 4,455.00 2,950.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
4 Objeck Glass box/72 28,600.00 30,000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
5 Reagensia 6 X 65 ml box 276,000.00 276,000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00

Mengetahui , Medan, 31 Desember 2017

KEPALA PUSKESMAS Petugas Pengelola Obat Puskesmas

dr. Anni Mariani Pita Maya Sari,Amf

Nip.19650624 200212 2001 Nip.19840913 201101 2 008
 LAPORAN MUTASI OBAT DAN PERBEKALAN KESEHATAN NON JKN
PERIODE 2 JANUARI 2017- 31 DESEMBER 2017

PUSKESMAS : Kedai Durian

SALDO PER 31 SALDO HARGA

HARGA SATUAN/ KEMASAN STOK AWAL PENERIMAAN PENERIMAAN PERSEDIAAN PENGELUARAN PENGELUARAN
SATUAN/ DESEMBER 2017 PEROLEHAN TERAKHIR
NO NAMA BARANG KEMASAN
2016 2017 JLH Rp Jan Peb Mar Apr Mei Jun Jul Agt Sep Okt Nop Des Total Rp JLH RP Jan Peb Mar Apr Mei Jun Jul Agt Sep Okt Nop Des Total Rp JLH Rp RP

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
OBAT CACING 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Albendazole 400 mg tab 350.00 411.00 100.00 35,000.00 0.00 0.00 100.00 35,000.00 100.00 100.00 35,000.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
OBAT HIV/AIDS/IMS/INF. OPORTUNISTIK 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Ketokonazole 200 mg tab 310.00 288.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Doksisiklin 100 mg tab 282.00 273.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Metronidazole 500 mg tab 96.00 114.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Flukonazole 150 mg tab 23,100.00 23,100.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Safeglove Surgical Steril psg 7,334.00 7,334.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Surgical Mask box/50 25,400.00 25,400.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Alat Suntik 1 ml box/100 712.00 712.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Alat Suntik 3 ml box/100 1,039.50 1,039.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Alat Suntik 5 ml box/100 95,250.00 95,250.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Alat Suntik 10 ml box/100 117,475.00 117,475.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Alkohol 70 % (1000 ml) btl 27,500.00 27,500.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Alkohol Swab box 12,700.00 12,700.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
BAHAN IVA/KANKER LEHER RAHIM 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Kapas Lidi kotak 216,000.00 216,000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Handscoen box/100 58,212.00 58,212.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Chlorin 1 liter btl 266,800.00 266,800.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Asam Asetat 2 % btl 14,500.00 14,500.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
HIV/AIDS/IMS/INFEKSI OPORTUNISTIK 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Kotrimoksazole Doen Pedriatik box/100 12,500.00 12,500.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Cetrizin box/100 16,460.00 16,460.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Nystatin Sub vaginal tube 40,000.00 40,000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Tabung Vacutainer box/100 407,000.00 407,000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Needle Vacutainer box/100 214,000.00 214,000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Yellow tips tips 1,000.00 1,000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Imersiil Oil btl 325,000.00 325,000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Kapas Lidi box/100 216,000.00 216,000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Kalium Hidroksi (KOH) btl 500 ml 50,000.00 50,000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Methylen Blue btl 120 ml 97,500.00 97,500.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Tricloro Asetat (TCA) 50 % btl 120 ml 400,000.00 400,000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Vaselin Albumin pot 120 120,000.00 120,000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Aquabidest btl 50,000.00 50,000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Object Glass box/72 25,500.00 25,500.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Dect Glass box/100 58,500.00 58,500.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Tissue rol 6,000.00 6,000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Lancet box/100 20,000.00 20,000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Jelly tube 65,000.00 65,000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
35,000.00 0.00 35,000.00 35,000.00 0.00 0.00

Mengetahui , Medan, 31 Desember 2017

KEPALA PUSKESMAS Petugas Pengelola Obat Puskesmas

dr. Anni Mariani Pita Maya Sari,Amf

Nip.19650624 200212 2001 Nip.19840913 201101 2 008
 LAPORAN MUTASI OBAT DAN PERBEKALAN KESEHATAN NON JKN
PERIODE 2 JANUARI 2017- 31 DESEMBER 2017

PUSKESMAS : Kedai Durian

SALDO PER 31 saldo harga perolehan harga

STOK AWAL PENERIMAAN PENERIMAAN PERSEDIAAN PENGELUARAN PENGELUARAN
SATUAN/ HARGA SATUAN/ DESEMBER 2017 terakhir
NO NAMA BARANG
KEMASAN KEMASAN
JLH Rp Jan Peb Mar Apr Mei Jun Jul Agt Sep Okt Nop Des Total Rp JLH RP Jan Peb Mar Apr Mei Jun Jul Agt Sep Okt Nop Des Total Rp JLH Rp
Rp
1 2 3 4 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
1 Phenobarbital injeksi 50 mg/ml ampul 1,890.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
2 Fitomenadion injeksi 2 mg/ml ampul 3,582.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
3 Tablet Tambah Darah tablet 367.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
4 OAT Kategori I paket 359,986.00 0.00 48.00 48.00 96.00 34,558,656.00 96.00 34,558,656.00 48.00 48.00 96.00 34,558,656.00 0.00 0.00 0
5 OAT Kategori I paket 302,605.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
6 OAT Kategori Anak paket 225,740.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
7 OAT Kategori 2 paket 1,259,990.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
8 Object Glass/ Kaca Slide kotak 30,000.00 0.00 5.00 5.00 150,000.00 5.00 150,000.00 5.00 5.00 150,000.00 0.00 0.00 0
9 Pot Sputum buah 2,500.00 0.00 400.00 400.00 800.00 2,000,000.00 800.00 2,000,000.00 400.00 400.00 800.00 2,000,000.00 0.00 0.00 0
10 Pot Sputum buah 2,950.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
11 Gentamicin Injeksi 40mg/ml (Prog. Kes ampul 3,244.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
12 Gentamicin Injeksi 40mg/ml (Prog. Kes ampul 3,244.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
13 Levotiroksin 100 mg tablet 944.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
14 Metyl Ergometrin injeksi ampul 2,684.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
15 Ca Glukonas injeksi vial 9,955.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
16 Magnesium Sulfat 40% flas 3,650.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
17 Vitamin A 200.000 IU/ Merah (Nifas) kap 531.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
18 Vitamin A 200.000 IU/ Merah kap 531.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
19 Vitamin A 100.000 IU kap 298.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0
0.00 36,708,656.00 36,708,656.00 36,708,656.00 0.00 0

Mengetahui , Medan, 31 Desember 2017

KEPALA PUSKESMAS Petugas Pengelola Obat Puskesmas

dr. Anni Mariani Pita Maya Sari,Amf

Nip.19650624 200212 2001 Nip.19840913 201101 2 008
 LAPORAN MUTASI OBAT DAN PERBEKALAN KESEHATAN NON JKN
PERIODE 2 JANUARI 2017- 31 DESEMBER 2017

PUSKESMAS : Kedai Durian

SALDO HARGA
SALDO PER 31 DESEMBER
HARGA SATUAN/ KEMASAN STOK AWAL PENERIMAAN PENERIMAAN PERSEDIAAN PENGELUARAN PENGELUARAN PEROLEHAN
SATUAN/ 2017
NO NAMA BARANG TERAKHIR
KEMASAN

2016 2017 JLH Rp Jan Peb Mar Apr Mei Jun Jul Agt Sep Okt Nop Des Total Rp JLH RP Jan Peb Mar Apr Mei Jun Jul Agt Sep Okt Nop Des Total Rp JLH Rp RP

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
1 ALBENDAZOL 400 MG TABLTAB 313.00 411.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
2 AZITROMICIN 500 MG TAB 1,900.00 1,900.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
3 DACIN DAN SARUNG TIMB BUAH 349,700.00 349,700.00 0.00 3.00 3.00 1,049,100.00 3.00 1,049,100.00 3.00 3.00 1,049,100.00 0.00 0.00 0.00
4 DYHIDROARTEMICIN TAB 3,567.00 3,567.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
5 GENTAMICIN INJEKSI 40M AMP 3,244.00 3,244.00 0.00 159.00 159.00 515,796.00 159.00 515,796.00 159.00 159.00 515,796.00 0.00 0.00 0.00
6 GLUCONAS CALCICUS BTL 9,955.00 9,955.00 0.00 67.00 67.00 666,985.00 67.00 666,985.00 67.00 67.00 666,985.00 0.00 0.00 0.00
7 KACA SLIDE BOX 30,000.00 30,000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
8 KINA TABLET TAB 704.00 704.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
9 MDT MB DEWASA BLISTER 30,595.00 30,595.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10 MDT MB ANAK BLISTER 21,750.00 21,750.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
11 METIL ERGOMETRIN INJ AMP 2,684.00 2,684.00 0.00 302.00 302.00 810,568.00 302.00 810,568.00 302.00 302.00 810,568.00 0.00 0.00 0.00
12 MgSO4 40%INJEKSI VIAL 3,650.00 3,650.00 0.00 84.00 84.00 306,600.00 84.00 306,600.00 84.00 84.00 306,600.00 0.00 0.00 0.00
13 MINERAL MIX 40 SAK/ KTK 2,695.00 2,695.00 0.00 32.00 32.00 86,240.00 32.00 86,240.00 32.00 32.00 86,240.00 0.00 0.00 0.00
14 OAT KATEGORI 1 PAKET 302,605.00 302,605.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
15 OAT KATEGORI 2 PAKET 1,259,980.00 1,259,990.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
16 OKSITOSIN INJEKSI AMP 1,900.00 1,900.00 0.00 156.00 156.00 296,400.00 156.00 296,400.00 156.00 156.00 296,400.00 0.00 0.00 0.00
17 PRIMAQUIN 15 MG TAB 235.00 235.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
18 RAPID TES MALARIA TEST 19,760.00 19,760.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
19 RETINOL (VIT A) 200.000 IUKAPS 519.20 531.00 0.00 5150.00 5150.00 2,673,880.00 5150.00 2,673,880.00 5150.00 5150.00 2,673,880.00 0.00 0.00 0.00
20 REAGENSIA TB PARU SET/BTL 276,500.00 276,500.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
21 RETINOL (VIT A) 100.000 IU50 KAPS/BT 298.00 298.00 0.00 500.00 500.00 149,000.00 500.00 149,000.00 500.00 500.00 149,000.00 0.00 0.00 0.00
22 TABLE TOP CENTRIFUGE UNIT 8,370,000.00 8,370,000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 6,554,569.00 6,554,569.00 6,554,569.00 0.00 0.00

Mengetahui , Medan, 31 Desember 2017

KEPALA PUSKESMAS Petugas Pengelola Obat Puskesmas

dr. Anni Mariani Pita Maya Sari,Amf

Nip.19650624 200212 2001 Nip.19840913 201101 2 008
 LAPORAN MUTASI OBAT DAN PERBEKALAN KESEHATAN NON JKN
PERIODE 2 JANUARI 2017- 31 DESEMBER 2017

PUSKESMAS : Kedai Durian

SALDO PER 20 SALDO HARGA PEROLEHAN

SATUAN/ HARGA SATUAN/ KEMASAN STOK AWAL PENERIMAAN PENERIMAAN PERSEDIAAN PENGELUARAN PENGELUARAN
DESEMBER 2017 TERAKHIR
NO NAMA BARANG KEMASA
N 2016 2017 JLH Rp Jan Peb Mar Apr Mei Jun Jul Agt Sep Okt Nop Des Total Rp JLH RP Jan Peb Mar Apr Mei Jun Jul Agt Sep Okt Nop Des Total Rp JLH Rp RP

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
1 ALBENDAZOL 400 MG TABLET TAB 313.00 411.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
2 BAJU PELINDUNG PCS 75,000.00 75,000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
3 BESI II SULFAT TABLET 43.00 43.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
4 DIETILCARBAMAZIN SITRAT 100 MG TAB 143.00 143.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
5 DIHIDRO ARTEMISIN TABLET 3,567.00 3,567.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
6 EUTHYROX/ NATRIUM TIROKSIN 100 M TAB 850.00 850.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
7 FENOBARBITAL 50 MG/ML INJEKSI AMP 1,890.00 1,890.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
8 GARAM ORALIT UNTUK 200 ML SAK 303.00 265.00 508.00 153,924.00 0.00 0.00 508.00 153,924.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 8.00 508.00 153,924.00 0.00 0.00 0.00
9 GENTAMICIN INJEKSI AMP 3,090.00 3,244.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
10 GLUKONAS CALCICUS BTL 9,955.00 9,955.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
11 IODINE TEST SET 34,837.00 34,837.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
12 ISONIAZID TABLET kotak 13,700.00 17,000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
13 MASKER BIASA PCS 1,000.00 1,000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
14 MASKER PARTICUBLE RESPIRATOR PCS 150,000.00 150,000.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
15 MINERAL MIX SAK 2,695.00 2,695.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
16 MP ASI BISKUIT kotak/5 44,772.00 44,772.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
17 OKSITETRASIKLIN SALEP MATA tube 2,016.00 2,016.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
18 PMT BUMIL kotak/3 53,700.00 53,700.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
19 POT SPUTUM PCS 3,000.00 2,950.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
20 REAGENSIA TB PARU SET/BTL 276,500.00 276,500.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
21 RETINOL (VIT A) 100.000 IU KAPS 298.00 298.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
22 RETINOL (VIT A) 200.000 IU KAPS 519.20 531.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
23 SARUNG TANGAN PCS 500.00 500.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
24 ZINC TABLET TAB 497.00 539.00 400.00 198,800.00 0.00 0.00 400.00 198,800.00 30.00 50.00 40.00 40.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 30.00 400.00 198,800.00 0.00 0.00 0.00
352,724.00 0.00 352,724.00 352,724.00 0.00 0.00

Mengetahui , Medan, 31 Desember 2017

KEPALA PUSKESMAS Petugas Pengelola Obat Puskesmas

dr. Anni Mariani Pita Maya Sari,Amf

Nip.19650624 200212 2001 Nip.19840913 201101 2 008
 LAPORAN MUTASI OBAT NON JKN
PERIODE 2 JAN 2017 - 31 DES 2017
Puskesmas Kedai Durian

No Sumber Anggaran Saldo Awal Penerimaan Persediaan Pengeluaran Saldo Akhir Saldo Perolehan Harga Terakhir
DAK 2017 8,832,510.00 8,832,510.00 1,357,868.00 7,474,642.00 7,474,642.00
DAK 2016 6,205,805.00 4,300,758.00 10,506,563.00 5,632,557.00 4,874,006.00 4,762,558.00
DAK 2014 312,944.00 0.00 312,944.00 220,124.00 92,820.00 92,820.00
1 DAK Kota Medan
DAK 2012 822,000.00 0.00 822,000.00 822,000.00 0.00 0.00
DAK 2011 428,400.00 0.00 428,400.00 344,400.00 84,000.00 102,160.00
DAK 2010 63,000.00 78,750.00 141,750.00 141,750.00 0.00 0.00
APBD 2016 7,055,960.00 1,653,640.00 8,709,600.00 1,778,514.00 6,931,086.00 5,907,844.00
APBD 2015 6,261,946.00 0.00 6,261,946.00 4,446,870.00 1,815,076.00 1,028,001.00
APBD 2014 (1) 26,499,320.00 0.00 26,499,320.00 26,499,320.00 0.00 0.00
2 APBD Kota Medan
P-APBD 2015 0.00 0.00 0.00 0.00 0.00 0.00
APBD 2016-Program 0.00 0.00 0.00 0.00 0.00 0.00
APBD 2015-Program 35,000.00 0.00 35,000.00 35,000.00 0.00 0.00
Program Prov-Pusat 2017 0.00 36,708,656.00 36,708,656.00 36,708,656.00 0.00
3 APBN-Prog-Prov-Pusat Program Prov-Pusat 2016 0.00 6,554,569.00 6,554,569.00 6,554,569.00 0.00 0.00
Program Prov-Pusat 2015 352,724.00 0.00 352,724.00 352,724.00 0.00 0.00
Total 48,037,099.00 58,128,883.00 106,165,982.00 84,894,352.00 21,271,630.00 19,368,025.00

Mengetahui , Medan, 31 Desember 2017

KEPALA PUSKESMAS Petugas Pengelola Obat Puskesmas

dr. Anni mariani Pita Maya Sari,Amf

Nip. 19650624 200212 2 001 Nip. 19840913 201101 2 008
 LAPORAN MUTASI OBAT DAN PERBEKALAN KESEHATAN NON JKN
PERIODE 2 JANUARI 2017- 20 DESEMBER 2017

PUSKESMAS : Kedai Durian

SALDO
HARGA
SALDO PER 31
HARGA SATUAN/ KEMASAN STOK AWAL PENERIMAAN PENERIMAAN PERSEDIAAN PENGELUARAN PENGELUARAN PEROLEH
SATUAN/ DESEMBER 2017
NO NAMA BARANG AN
KEMASAN TERAKHIR

2016 2017 JLH Rp Jan Peb Mar Apr Mei Jun Jul Agt Sep Okt Nop Des Total Rp JLH RP Jan Peb Mar Apr Mei Jun Jul Agt Sep Okt Nop Des Total Rp JLH Rp RP

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
1 Digoksin tablet 0,25 mg tab 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
2 Fitomenadion (Vit.K1) injeksi 10 mg/ml amp 1,644.00 500.00 822,000.00 0.00 0.00 500.00 822,000.00 500.00 500.00 822,000.00 0.00 0.00 0.00
Kotrimoksazol DOEN II pediatrik, kombinasi:
3 Sulfametoksazol 100 mg + Trimetoprim 20 mg tab 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
822,000.00 0.00 822,000.00 822,000.00 0.00 0.00

Mengetahui , Medan, 31 Desember 2017

KEPALA PUSKESMAS Petugas Pengelola Obat Puskesmas

dr. Anni Mariani Pita Maya Sari,Amf

Nip.19650624 200212 2001 Nip.19840913 201101 2 008
 LAPORAN MUTASI OBAT DAN PERBEKALAN KESEHATAN NON JKN
PERIODE 2 JANUARI 2017- 31 DESEMBER 2017

PUSKESMAS : Kedai Durian

SALDO
HARGA SATUAN/ KEMASAN STOK AWAL PENERIMAAN PENERIMAAN PERSEDIAAN PENGELUARAN PENGELUARAN SALDO PER 31 DESEMBER 2017 HARGA
PEROLEHAN
NO NAMA BARANG TERAKHIR

2016 2017 JLH Rp Jan Peb Mar Apr Mei Jun Jul Agt Sep Okt Nop Des Total Rp JLH RP Jan Peb Mar Apr Mei Jun Jul Agt Sep Okt Nop Des Total Rp JLH Rp RP

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40
1 Plester 5 cm x 4.5 m(isoplast) rol 24,806.00 24,806.00 0.00 20.00 20.00 496,120.00 20.00 496,120.00 1.00 1.00 1.00 5.00 5.00 5.00 2.00 20.00 496,120.00 0.00 0.00 0.00
2 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
3 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
0.00 496,120.00 496,120.00 496,120.00 0.00 0.00

Mengetahui , Medan, 31 Desember 2017

KEPALA PUSKESMAS Petugas Pengelola Obat Puskesmas

dr. Anni Mariani Pita Maya Sari,Amf

Nip.19650624 200212 2001 Nip.19840913 201101 2 008