Laporan Stok Opname Malinjak 2020 Baru

LAPORAN STOK OPNAME PUSKESMAS MALINJAK 2020
NO NAMA ITEM OBAT JUMLAH satuan HARGA SATUAN JUMLAH PENERIMAAN HARGA SATUAN JUMLAH PERSEDIAAN HARGA SATUAN JUMLAH PENGELUARAN HARGA SATUAN JUMLAH SISA HARGA JUMLAH PENERIMAAN HARGA JUMLAH PERSEDIAAN
STOK OBAT JANUARI JANUARI JANUARI JANUARI SATUAN FEBRUARI SATUAN FEBRUARI
Desember
2019
1 2 3 4 5 6 7 8 9 10 11 12 13
1 Albendasol 860 tablet Rp 527 Rp 453,220 - 860 527 453,220 - - - 860 - - - 860
2 Allopurinol 100 mg 1000 tablet Rp 127 Rp 127,000 1,000 127 127,000 2,000 127 254,000 900 127 114,300 1,100 127 139,700 1,000 127 127,000 2,100
3 Ambroksol sirup 100 botol Rp 4,000 Rp 400,000 - 100 4,000 400,000 - - 100 4,000 400,000 100
4 Ambroksol tablet 1600 tablet Rp 150 Rp 240,000 3,000 205 615,000 4,600 205 943,000 2,600 205 533,000 2,000 205 410,000 3,000 205 615,000 5,000
5 Aminophilin injeksi 24 mg / ml 0 ampul Rp 3,349 Rp - - - 3,349 - - - - - - -
6 Aminophilin tablet 200 mg 100 tablet Rp 180 Rp 18,000 - 100 180 18,000 - - 100 180 18,000 100
7 Amitripilin tablet 25 mg 500 tablet Rp 220 Rp 110,000 - 500 220 110,000 - - 500 220 110,000 500
8 Amlodipin 10 mg 2200 tablet Rp 110 Rp 242,000 - - 2,200 110 242,000 200 - - 2,000 110 220,000 2,000
9 Amoksisilin 500 mg 2800 tablet Rp 245 Rp 686,000 4,000 792 3,168,000 6,800 792 5,385,600 4,800 792 3,801,600 2,000 792 1,584,000 4,000 792 3,168,000 6,000
10 Amoksisilin sirup kering 125 mg/5 ml 15 botol Rp 4,183 Rp 62,745 120 4,172 500,640 135 4,172 563,220 75 4,172 312,900 60 4,172 250,320 60 4,172 250,320 120
11 Ampicillin Injeksi ampul Rp 17,830 Rp - 10 10 17,830 178,300 - - 10 17,830 178,300 - 10
12 Antalgin Injeksi 0 ampul Rp - Rp - - - - - - - - - - -
13 Antalgin Tablet 1500 tablet Rp 145 Rp 217,500 2,000 145 290,000 3,500 145 507,500 400 145 58,000 3,100 145 449,500 - 3,100
14 Antasida DOEN I tablet 2400 tablet Rp 74 Rp 177,600 3,000 74 222,000 5,400 74 399,600 2,900 74 214,600 2,500 74 185,000 3,000 74 222,000 5,500
15 Antasida DOEN II suspensi 200 botol Rp 2,408 Rp 481,600 200 2,408 481,600 400 2,408 963,200 30 2,408 72,240 370 2,408 890,960 200 2,408 481,600 570
16 Antihemoroid 65 suppo Rp 3,806 Rp 247,390 - 65 3,806 247,390 - - 65 3,806 247,390 - 65
17 Artropin Injeksi 0 ampul Rp 1,958 Rp - 100 1,958 195,800 100 1,958 195,800 1,958 - 100 1,958 195,800 - 100
18 Asam Ascorbat 50 mg 2300 tablet Rp 130 Rp 299,000 6,000 130 780,000 8,300 130 1,079,000 5,400 130 702,000 2,900 130 377,000 5,000 131 655,000 7,900
19 Asam Ascorbat 250 mg 0 tablet Rp 139 Rp - - - - - - - - - - -
20 Asam Folat 1 mg 1500 tablet Rp 57 Rp 85,500 - 1,500 57 85,500 - - 1,500 57 85,500 - 1,500
21 Asam Mefenamat 500 mg 2200 tablet Rp 139 Rp 305,800 4,000 374 1,496,000 6,200 374 2,318,800 4,000 374 1,496,000 2,200 374 822,800 5,000 374 1,870,000 7,200
22 Asam Traneksamat Injeksi 0 ampul Rp - Rp - - - - - - - - - - -
23 Asiklovir Salep 48 tube Rp 5,000 Rp 240,000 - 48 5,000 240,000 48 - - - - - 48 5,000 240,000 48
24 Asiklovir 200 mg 1100 tablet Rp 287 Rp 315,700 - 1,100 287 315,700 - - 1,100 287 315,700 - 1,100
25 Atapulgit (Akita) 0 tablet Rp 120 Rp - 2,000 189 378,000 2,000 189 378,000 189 - 2,000 189 378,000 - 2,000
26 Aqua Pro injeksi 5 vial Rp 2,400 Rp 12,000 - 5 2,400 12,000 - - 5 2,400 12,000 - 5
27 Answer Dengue Ag 0 Rp 20,375 Rp - 100 20,375 2,037,500 100 20,375 2,037,500 20,375 - 100 20,375 2,037,500 - 100
28 Answer Dengue Ig 0 Rp 18,275 Rp - 100 18,275 1,827,500 100 18,275 1,827,500 18,275 - 100 18,275 1,827,500 - 100
29 Bedak salicyl serbuk 2 % 57 pot Rp 1,450 Rp 82,650 - 57 1,450 82,650 - - 57 1,450 82,650 - 57
30 Betametason krim 100 tube Rp 3,500 Rp 350,000 - 100 3,500 350,000 100 - - - - - 100 1,550 155,000 100
31 Besi (II) sukfat 200 mg + asam folat tablet Rp 49 Rp - - - - - - - - - - -
0
32 Captopril 25 mg 1900 tablet Rp 457 Rp 868,300 - 1,900 457 868,300 200 457 91,400 1,700 457 776,900 - 1,700
33 Clor Etil 1 botol Rp 12,000 Rp 12,000 - 1 12,000 12,000 - - 1 12,000 12,000 - 1
34 Deksametason injeksi 0 ampul Rp 1,378 Rp - 100 1,378 137,800 100 1,378 137,800 30 1,378 41,340 70 1,378 96,460 - 70
35 Deksametason tablet 0,5 mg 2300 tablet Rp 75 Rp 172,500 5,000 48 240,000 7,300 48 350,400 5,400 48 259,200 1,900 48 91,200 5,000 48 240,000 6,900
36 Diazepam injeksi 5 mg / ml 0 ampul Rp 3,038 Rp - - - - - - - - - - -
37 Diazepam tablet 5 mg 35 tablet Rp 121 Rp 4,235 - 35 121 4,235 - - 35 - - - 35
38 Difenhidramin injeksi 10 mg/ml 0 ampul Rp 1,260 Rp - 30 1,321 39,630 30 1,321 39,630 10 1,321 13,210 20 1,321 26,420 - 20
39 Domperidon suspensi 5 mg / 5 ml 0 botol Rp 16,400 Rp - 50 3,105 155,250 50 3,105 155,250 10 3,105 31,050 40 3,105 124,200 - 40
40 Domperidon tablet 10 mg 100 tablet Rp 190 Rp 19,000 1,000 122 122,000 1,100 122 134,200 300 122 36,600 800 122 97,600 - 800
41 Epinefrin (adrenalin) injeksi 30 ampul Rp 5,387 Rp 161,610 - 30 5,387 161,610 - - 30 5,387 161,610 - 30
42 Eritromicin 500 mg 1000 tablet Rp 128 Rp 128,000 - 1,000 128 128,000 500 128 64,000 500 128 64,000 1,000 1,116 1,116,000 1,500
43 Fenitoin Na kapsul 10 mg kapsul Rp 545 Rp - - - - - - - - - - - -
44 Fenobarbital 30 mg 550 tablet Rp 170 Rp 93,500 - 550 170 93,500 - - 550 170 93,500 - 550
45 Ferro fumarat kapsul lunak 250 mg kapsul Rp - Rp - - - - - - - - - - -
46 Ferro Glukonat 250 mg (Etabion) tablet Rp - Rp - - - - - - - - - - -
Desember
2019
47 Fitomenadion injeksi 2 ml/mg ampul Rp 4,100 Rp - 30 4,595 137,850 30 4,595 137,850 40 4,595 183,800 (10) 4,595 -
48 Fitomenadion tablet 10 mg tablet Rp 866 Rp - 500 950 475,000 500 950 475,000 950 - 500 950 475,000 - 500
49 Furosemid tablet 40 mg 100 tablet Rp 102 Rp 10,200 - 100 102 10,200 - - 100 102 10,200 - 100
50 Flouride tablet Rp 1,375 Rp - 600 1,375 825,000 600 1,375 825,000 1,375 - 600 1,375 825,000 - 600
51 Gentamicin injeksi 40 mg / ml ampul Rp 3,854 Rp - - - - - - - - - - -
52 Gentamicin salep kulit 70 tube Rp 2,976 Rp 208,320 - 70 2,976 208,320 - - 70 2,976 208,320 - 70
53 Gentamicin tetes mata 0,3% botol Rp 3,832 Rp - 48 5,315 255,120 48 5,315 255,120 24 5,315 127,560 24 5,315 127,560 48 5,315 255,120 72
54 Glibenklamid 5 mg 400 tablet Rp 93 Rp 37,200 - 400 93 37,200 - - 400 93 37,200 - 400
55 Gliseril Guaiakolat (GG) 4700 tablet Rp 450 Rp 2,115,000 2,000 450 900,000 6,700 450 3,015,000 4,700 450 2,115,000 2,000 450 900,000 5,000 450 2,250,000 7,000
56 Griseovulvin 125 mg 300 tablet Rp 374 Rp 112,200 - 300 374 112,200 - - 300 374 112,200 - 300
57 H2O2 1 vial Rp 55,000 Rp 55,000 2 9,240 18,480 3 9,240 27,720 1 9,240 9,240 2 9,240 18,480 - 2
58 Haloperdiol 0,5 mg tablet Rp - Rp - - - - - - - - - - -
59 Hidrokortison krim tube Rp 3,047 Rp - 96 3,600 345,600 96 3,600 345,600 3,600 - 96 3,600 345,600 - 96
Hyocin Butyl Bromide 10mg (scompa) tablet
60 Ibuproven 200 mg tablet Rp 117 Rp - - - - - - - - - - -
61 Ibuproven 400 mg 3300 tablet Rp 143 Rp 471,900 5,000 118 590,000 8,300 118 979,400 3,800 118 448,400 4,500 118 531,000 3,000 118 354,000 7,500
62 Kalsium Laktat 500 mg 1200 tablet Rp 83 Rp 99,600 - 1,200 83 99,600 300 83 24,900 900 83 74,700 - 900
63 Karbamazepin 200 mg 500 tablet Rp - Rp - - 500 - - - 500 - - - 500
64 Ketokenasol 200 mg tablet Rp 205 Rp - 1,000 205 205,000 1,000 205 205,000 205 - 1,000 205 205,000 - 1,000
65 Ketokenasol krim 25 tube Rp 2,893 Rp 72,325 - 25 2,893 72,325 25 - - - - - 100 2,893 289,300 100
66 Ketorolac Injeksi 12 ampul Rp 1,450 Rp 17,400 - 12 1,450 17,400 12 - - - - - - -
67 Klindamisin 300 mg tablet Rp 678 Rp - - - - - - - - - - -
68 Kloramfenikol kapsul 250 mg kapsul Rp 715 Rp - - - - - - - - - - -
69 Kloramfenikol salep kulit 64 tube Rp 7,433 Rp 475,712 100 7,433 743,300 164 7,433 1,219,012 58 7,433 431,114 106 7,433 787,898 - 106
70 Kloramfenikol tetes mata botol Rp - Rp - - - - - - - - - - -
71 Kloramfenikol tetes telinga 3% botol Rp 10,780 Rp - 50 10,780 539,000 50 10,780 539,000 10,780 - 50 10,780 539,000 - 50
72 Kloramfeniramina Maleat 4 mg (CTM) 6600 tablet Rp 43 Rp 283,800 5,000 43 215,000 11,600 43 498,800 4,200 43 180,600 7,400 43 318,200 3,000 43 129,000 10,400
73 Kotrimoksasol tablet 480 mg 900 tablet Rp 273 Rp 245,700 2,000 273 546,000 2,900 273 791,700 900 273 245,700 2,000 273 546,000 3,000 273 819,000 5,000
74 Kotrimoksasol suspensi 240 mg botol Rp 5,500 Rp - 50 8,558 427,900 50 8,558 427,900 50 8,558 427,900 - 8,558 - - -
75 Larutan Glukosa 5% 40 botol Rp 6,900 Rp 276,000 - 40 6,900 276,000 40 - - - - - 120 6,900 828,000 120
76 Larutan Glukosa Infus 40% botol Rp - Rp - - - - - - - - - - -
77 Larutan NaCL 75 botol Rp 7,000 Rp 525,000 - 75 7,000 525,000 40 - - 35 - - 60 6,840 410,400 95
78 Larutan Ringer Laktat 154 botol Rp 7,000 Rp 1,078,000 60 7,630 457,800 214 7,630 1,632,820 40 7,630 305,200 174 7,630 1,327,620 - 174
79 Lidokain Injeksi ampul Rp 1,026 Rp - 100 1,529 152,900 100 1,529 152,900 1,529 - 100 1,529 152,900 - 100
80 Loperamid 2 mg tablet Rp 95 Rp - 1,000 286 286,000 1,000 286 286,000 286 - 1,000 286 286,000 - 1,000
81 Loratadin 10 mg 350 tablet Rp 550 Rp 192,500 - 350 550 192,500 200 - - 150 - - - 150
82 Magnesium Sulfat 20% (MgSO 20%) vial Rp 7,920 Rp - - - - - - - - - - -
83 Magnesium Sulfat 40% (MgSO 40%) 6 vial Rp - Rp - 30 - 36 - - - 36 - - - 36
84 Metilergometrin Injeksi 100 ampul Rp 4,895 Rp 489,500 - 100 4,895 489,500 - - 100 - - - 100
85 Metilergometrin Tablet tablet Rp 352 Rp - - - - - - - - - - -
86 Metilprednisolon 4 mg tablet Rp 153 Rp - 2,000 153 306,000 2,000 153 306,000 1,000 153 153,000 1,000 153 153,000 2,000 153 306,000 3,000
87 Metformin HCL 500 mg 700 tablet Rp 113 Rp 79,100 - 700 113 79,100 - - 700 - - - 700
88 Metoklopramide 10 mg 600 tablet Rp - Rp - - 600 - - - 600 - - - 600
89 Metronidasol 250 mg tablet Rp - Rp - - - - - - - - - - -
90 Metronidasol 500 mg 1400 tablet Rp 151 Rp 211,400 - 1,400 151 211,400 500 - - 900 - - 2,000 440 880,000 2,900
91 Metro infus botol Rp - Rp - 8 - 8 - - - 8 - - - 8
92 Mikonasol krim 24 tube Rp 4,060 Rp 97,440 - 24 4,060 97,440 24 - - - - - 48 4,646 223,008 48
93 N. Asetil Sistain kapsul Rp 479 Rp - 1,800 479 862,200 1,800 479 862,200 479 - 1,800 479 862,200 - 1,800
94 Natrium diklofenak 50 mg 1000 tablet Rp 494 Rp 494,000 500 494 246,950 1,500 494 741,000 500 494 247,000 1,000 494 494,000 1,000 494 494,000 2,000
95 Nifedipin 10 mg 200 tablet Rp 200 Rp 40,000 - 200 200 40,000 - - 200 - - - 200
96 Nistatin tablet 100.000 IU/g tablet Rp 444 Rp - - - - - - - - - - -
97 Nistatin tablet 500.000 IU/g tablet Rp 720 Rp - - - - - - - - - - -
Desember
2019
98 OBH 64 botol Rp 2,500 Rp 160,000 - 64 2,500 160,000 - - 64 - - - 64

99 Oksitetrasiklin HCL injeksi ampul Rp - Rp - - - - - - - - - - -
100 Oksitetrasiklin Salep Mata tube Rp 4,659 Rp - 50 4,659 232,950 50 4,659 232,950 25 4,659 116,475 25 4,659 116,475 - 25
101 Oksitocyn injeksi 77 ampul Rp 1,900 Rp 146,300 - 77 1,900 146,300 - - 77 - - - 77
102 Omeprasol 20 mg 930 kapsul Rp 631 Rp 586,830 2,100 631 1,325,100 3,030 631 1,911,930 150 631 94,650 2,880 631 1,817,280 - 2,880
103 Ondansetron Injeksi ampul Rp - Rp - - - - - - - - - - -
104 Ondansetron Tablet tablet Rp 590 Rp - - - - - - - - - - -
105 Oralit 300 sac Rp 460 Rp 138,000 - 300 460 138,000 220 - - 80 - - 500 495 247,500 580
106 OTSU KCL injeksi botol Rp 7,920 Rp - - - - - - - - - - -
107 Parasetamol drop botol Rp 479 Rp - 112 479 53,648 112 479 53,648 479 - 112 479 53,648 - 112
108 Parasetamol sirup 120 mg botol Rp 3,520 Rp - 60 4,500 270,000 60 4,500 270,000 60 4,500 270,000 - 4,500 - 60 4,500 270,000 60
109 Parasetamol tablet 100 mg tablet Rp 96 Rp - - - - - - - - - - -
110 Parasetamol tablet 500 mg 6000 tablet Rp 135 Rp 810,000 4,000 145 580,000 10,000 145 1,450,000 2,700 145 391,500 7,300 145 1,058,500 3,000 145 435,000 10,300
111 Perak Sulfadiazin tube Rp 20,700 Rp - 25 20,700 517,500 25 20,700 517,500 20,700 - 25 20,700 517,500 - 25
112 Phenitoin 100 mg 100 tablet Rp 545 Rp 54,500 300 865 259,500 400 865 346,000 865 - 400 865 346,000 - 400
113 Pirantel Pamoat 125 mg 400 tablet Rp 655 Rp 262,000 - 400 655 262,000 - - 400 - - - 400
114 Piroxicam 1500 tablet Rp 183 Rp 274,500 - 1,500 183 274,500 800 - - 700 - - 1,000 183 183,000 1,700
115 Piridoksin 10 mg (Vitamin B6) 300 tablet Rp 67 Rp 20,100 2,000 148 296,000 2,300 148 340,400 1,100 148 162,800 1,200 148 177,600 - 1,200
116 Povidon Iodida 30 ml botol Rp - Rp - - - - - - - - - - -
117 Povidon Iodida 60 ml botol Rp 7,532 Rp - - - - - - - - - - -
118 Povidon Iodida 300 ml botol Rp 22,600 Rp - 10 23,400 234,000 10 23,400 234,000 2 23,400 46,800 8 23,400 187,200 - 8
119 Propanolol 10 mg 500 tablet Rp 130 Rp 65,000 - 500 130 65,000 - - 500 - - - 500
120 Propiltiaurasil 100 mg tablet Rp 675 Rp - 1,000 627 627,000 1,000 627 627,000 500 627 313,500 500 627 313,500 - 500
121 Ranitidin Injeksi ampul Rp 1,573 Rp - 100 1,573 157,300 100 1,573 157,300 30 1,573 47,190 70 1,573 110,110 - 70
122 Ranitidin 150 mg 2000 tablet Rp 343 Rp 686,000 1,000 343 343,000 3,000 343 1,029,000 1000 343 343,000 2,000 343 686,000 - 2,000
123 Retinol 100.000 (Vitamin A Biru) 50 kapsul Rp 355 Rp 17,750 250 419 104,775 300 419 125,700 419 - 300 419 125,700 - 300
124 Retinol 200.000 (Vitamin A Merah) kapsul Rp 636 Rp - 1,100 636 699,600 1,100 636 699,600 636 - 1,100 636 699,600 - 1,100
125 Risperidon tablet Rp 240 Rp - 500 240 120,000 500 240 120,000 240 - 500 240 120,000 - 500
126 Salbutamol tablet 2 mg tablet Rp - Rp - - - - - - - - - - -
127 Salbutamol tablet 4 mg 2000 tablet Rp 108 Rp 216,000 2,000 95 190,000 4,000 95 380,000 1300 95 123,500 2,700 95 256,500 - 2,700
128 Salbutamol injeksi ampul Rp 10,560 Rp - 50 10,560 528,000 50 10,560 528,000 5 10,560 52,800 45 10,560 475,200 100 10,560 1,056,000 145
129 Salep 24 24 pot Rp 3,040 Rp 72,960 - 24 3,040 72,960 - - 24 - - - 24
130 Sefadroksil 900 tablet Rp 616 Rp 554,400 1,000 616 616,000 1,900 616 1,170,400 1000 616 616,000 900 616 554,400 1,000 616 616,000 1,900
131 Seftriakson injeksi ampul Rp 5,688 Rp - - - - - - - - - - -
132 Sianokobalamin tablet (Vitamin B12) 5500 tablet Rp 69 Rp 379,500 3,000 60 180,000 8,500 60 510,000 2200 60 132,000 6,300 60 378,000 - 6,300
133 Sianokobalamin injeksi (Vitamin B12) ampul Rp 1,425 Rp - 100 1,425 142,500 100 1,425 142,500 15 1,425 21,375 85 1,425 121,125 - 85
134 Simetidin tablet Rp 220 Rp - - - - - - - - - - -
135 Simvastatin 20 mg 450 tablet Rp 250 Rp 112,500 - 450 250 112,500 300 - - 150 - - 1,000 466 466,000 1,150
136 Siprofloksasin tablet score 500 mg 1800 tablet Rp 276 Rp 496,800 1,000 276 276,000 2,800 276 772,800 700 276 193,200 2,100 276 579,600 - 2,100
137 Tiamin injeksi ampul Rp 1,595 Rp - 30 1,595 47,850 30 1,595 47,850 1,595 - 30 1,595 47,850 - 30
138 Tiamin tablet 50 mg (Vitamin B1) 300 tablet Rp 40 Rp 12,000 2,000 400 800,000 2,300 400 920,000 200 400 80,000 2,100 400 840,000 - 2,100
139 Vitamin B Kompleks 2200 botol Rp 54 Rp 118,800 6,000 144 864,000 8,200 144 1,180,800 2800 144 403,200 5,400 144 777,600 - 5,400
140 Zink sirup 20 mg / 5 ml tablet Rp 3,925 Rp - 72 3,925 282,600 72 3,925 282,600 10 3,925 39,250 62 3,925 243,350 - 62
141 Zink tablet 20 mg 1500 tablet Rp 644 Rp 966,000 1,000 644 644,000 2,500 644 1,610,000 1,800 644 1,159,200 700 644 450,800 - 700
142 Ventolin ampul Rp 15,000 Rp - - - - - - - - - - -
143 Lodecon Forte tablet Rp 1,265 Rp - 1,000 1,265 1,265,000 1,000 1,265 1,265,000 1,265 - 1,000 1,265 1,265,000 1,000 1,265 1,265,000 2,000
144 Samcobion 1500 tablet Rp 350 Rp 525,000 1,500 350 525,000 2,000 - - (500) - - - (500)
145 Truvit sirup 120 tablet Rp 14,245 Rp 1,709,400 60 14,245 854,700 180 14,245 2,564,100 14,245 - 180 14,245 2,564,100 - 180
146 Cetrizine 10 mg tablet Rp 438 Rp - - - - - - - - - - -
147 Thiampenicol Sirup botol Rp - Rp - - - - - - - - - - -
148 Thiampenicol tablet Rp - Rp - - - - - - - - - - -
149 Anti Bisa Ular vial Rp - - - - - - - - - - -
Desember
2019
150 Larutan Dextrose 10% botol Rp - - - - - - - - - - -

Rp - - - - - - - - - - -
OBAT PROGRAM, VAKSIN DAN Rp - - - - - - - - - - -
PERBEKALAN KESEHATAN
1 Air Sound Timer buah Rp 48,840 Rp - - - - - - - - - - -
2 Azithromycin tablet Rp - Rp - - - - - - - - - - -
3 Batrai Air Sound Timer buah Rp - Rp - - - - - - - - - - -
4 Calcii Glukonas 5 vial Rp 900 Rp 4,500 - 5 900 4,500 - - 5 - - - 5
5 Dietil Karbamezapin 7109 tablet Rp 280 Rp 1,990,520 - 7,109 280 1,990,520 - - 7,109 - - - 7,109
6 Gimza 1 botol Rp 1,451,000 Rp 1,451,000 - 1 1,451,000 1,451,000 - - 1 - - - 1
7 Lancet 5800 pcs Rp 176 Rp 1,020,800 - 5,800 176 1,020,800 - - 5,800 - - - 5,800
8 Lysol 100 % botol Rp 53,300 Rp - 5 53,300 266,500 5 53,300 266,500 2 53,300 106,600 3 53,300 159,900 - 3
9 Malaria HRP2 (RDT) 36 kotak Rp 276,500 Rp 9,954,000 - 36 276,500 9,954,000 - - 36 - - - 36
10 Obat Anti Malaria 828 tablet Rp 20,900 Rp 17,305,200 - 828 20,900 17,305,200 - - 828 - - - 828
11 Paket Kategori I 2 paket Rp 409,075 Rp 818,150 4 519,339 2,077,356 6 519,339 3,116,034 2 519,339 1,038,678 4 519,339 2,077,356 - 4
12 Paket Kategori II paket Rp - Rp - - - - - - - - - - -
13 Paket Stop TB OAT Anak paket Rp - Rp - - - - - - - - - - -
14 Pot Dahak 400 pot Rp 5,000 Rp 2,000,000 - 400 5,000 2,000,000 - - 400 - - - 400
15 Primaquin 150 tablet Rp 235 Rp 35,250 - 150 235 35,250 - - 150 - - - 150
16 Rapit Test paket Rp - Rp - - - - - - - - - - -
17 Reagen Golongan Darah paket Rp - Rp - - - - - - - - - - -
18 Smart Diagnostic (Reagen HIV) paket Rp - Rp - - - - - - - - - - -
19 Ziehl Neelsen 2 paket Rp - Rp - - 2 - - - 2 - - - 2
20 HB o 50 Bungkus Rp 20,900 Rp 1,045,000 - 50 20,900 1,045,000 21 - - 29 - - 100 20,900 2,090,000 129
21 BCG 1 ml/pelarut 30 Vial Rp 5,450 Rp 163,500 20 5,450 109,000 50 5,450 272,500 14 5,450 76,300 36 5,450 196,200 - 36
25 Polio 26 Vial Rp 19,954 Rp 518,804 30 19,954 598,620 56 - 25 19,954 498,850 31 19,954 618,574 10 19,954 199,540 41
27 DPT/Pentabion 36 Vial Rp 70,232 Rp 2,528,352 30 70,232 2,106,960 66 70,232 4,635,312 22 70,232 1,545,104 44 70,232 3,090,208 - 44
28 Campak/pelarut/MR 35 Vial Rp 141,648 Rp 4,957,680 - 35 141,648 4,957,680 14 - - 21 - - 20 141,648 2,832,960 41
30 Dt 5 Vial Rp 15,550 Rp 77,750 - 5 15,550 77,750 - - 5 - - - 5
31 Td/Tt 42 Vial Rp 15,000 Rp 630,000 - 42 15,000 630,000 - - 42 - - - 42
32 IPV 26 Vial Rp 137,610 Rp 3,577,860 - 26 137,610 3,577,860 - - 26 - - - 26
33 Spuit 0,05 150 Dos Rp 1,995 Rp 299,250 - 150 1,995 299,250 25 - - 125 - - - 125
34 Supit 0,5 200 Dos Rp 1,448 Rp 289,600 300 1,448 434,400 500 1,448 724,000 100 1,448 144,800 400 1,448 579,200 - 400
35 Saftey Box 22 pak Rp 1,448 Rp 31,856 - 22 1,448 31,856 2 - - 20 - - - 20
36 Hexagon syphilis 1 Rp 26,889 Rp 26,889 - 1 26,889 26,889 - - 1 - - - 1
37 Spirtus 1 Rp 68,000 Rp 68,000 - 1 68,000 68,000 - - 1 - - - 1
38 susu Rp 135,000 Rp - - - - - - - - - - -
39 Slide 3744 Rp - Rp - - 3,744 - - - 3,744 - - - 3,744
40 Box Slide Rp - Rp - - - - - - - - - - -
41 Oil Emersian Rp - Rp - - - - - - - - - - -
42 Tamblet Tambah Darah Program (Ferro 20920 Rp 444 Rp 9,288,480 - 20,920 444 9,288,480 3,150 - - 17,770 - - - 17,770
43 Alat Deteksi Resiko kehamilan 0 Paket Rp 422,980 Rp - - - - - - - - - - -
44 Anti HIV 1/2 Cassette Pcs Rp 1,448 Rp - - - - - - - - - 29,100 - -
45 RDT Hepatitis Pcs Rp - Rp - - - - - - - - - - -
46 Klonazepam Tablet Rp - Rp - - - - - - - - - - -
47 Resperidon Tablet Rp 240 Rp - - - - - - - - - - -
48 Clorpromazine(CPZ) Tablet Rp 197 Rp - 500 197 98,500 500 - 197 - 500 197 98,500 - 500
49 Fluoxentin Tablet Rp - Rp - - - - - - - - - - -
50 Isosorbid Dinitrit 500 Tablet Rp 975 Rp 487,500 - 500 975 487,500 - - 500 - - - 500
52 MDT COMBI KUSTA Rp 43,000 Rp - - - - - - - - - 12 31,570 378,840 12
Rp - - - - - - - - - - -
Rp - - - - - - - - - - -
Desember
2019
PERBEKALAN KESEHATAN Rp - - - - - - - - - - -
1 Alat suntik sekali pakai 0,5 ml pcs 1,448 Rp - - - - - - - - - - -
2 Alat suntik sekali pakai 0,05 ml pcs Rp 1,995 Rp - - - - - - - - - - -
3 Alat suntik sekali pakai 1 ml pcs Rp 1,000 Rp - 200 1,114 222,800 200 1,114 222,800 1,114 - 200 1,114 222,800 - 200
4 Alat suntik sekali pakai 2,5 ml 200 pcs Rp - Rp - - 200 - - - 200 - - - 200
5 Alat suntik sekali pakai 3 ml pcs Rp 900 Rp - 300 900 270,000 300 900 270,000 5 900 4,500 295 900 265,500 - 295
6 Alat suntik sekali pakai 5 ml 300 pcs Rp 2,049 Rp 614,700 200 1,373 274,600 500 1,373 686,500 100 1,373 137,300 400 1,373 549,200 - 400
7 Alat test kehamilan 200 pcs 1,320 Rp 264,000 100 1,320 132,000 300 1,320 396,000 1,320 - 300 1,320 396,000 - 300
8 Alkohol 70% 2 botol 32,500 Rp 65,000 5 32,500 162,500 7 32,500 227,500 3 32,500 97,500 4 32,500 130,000 - 4
9 Aseptan botol 44,850 Rp - 5 44,850 224,250 5 44,850 224,250 44,850 - 5 44,850 224,250 - 5
10 Benang kulit pcs 13,860 Rp - - - - - - - - - - -
11 Benang otot 10 pcs 13,860 Rp 138,600 - 10 13,860 138,600 - - 10 - - - 10
12 Bisturi No. 10 G 100 pcs 1,450 Rp 145,000 100 1,450 145,000 200 1,450 290,000 100 1,450 145,000 100 1,450 145,000 100 1,450 145,000 200
13 IV Chateter No. 20 Gx11/4 pcs 4,750 Rp - - - - - - - - - 100 4,750 475,000 100
14 IV Chateter No. 22 Gx11/4 50 pcs 4,750 Rp 237,500 100 4,761 476,100 150 4,761 714,150 10 4,761 47,610 140 4,761 666,540 100 4,761 476,100 240
15 IV Chateter No. 24 Gx11/4 150 pcs 4,750 Rp 712,500 50 9,345 467,250 200 9,345 1,869,000 10 9,345 93,450 190 9,345 1,775,550 - 190
16 IV Channula, without wings No. 22 pcs - Rp - - - - - - - - - - -
17 IV Channula, without wings No. 24 pcs - Rp - - - - - - - - - - -
18 Cutgut plan 2/0 plus jarum 1/2 DT 35 pcs 167,500 Rp - - - - - - - - - - -
mm
19 Cutgut plan 3/0 plus jarum 1/2 DT 35 pcs 167,500 Rp 4,020,000 - 24 167,500 4,020,000 - - 24 - - - 24
mm 24
20 Cutgut cromic 2/0 plus jarum 1/2 DT pcs 167,500 Rp 4,020,000 - 24 167,500 4,020,000 - - 24 - - - 24
35 mm 24
21 Cutgut cromic 3/0 plus jarum 1/2 DT pcs 167,500 Rp 4,020,000 - 24 167,500 4,020,000 - - 24 - - - 24
35 mm 24
22 Etakridin botol - Rp - - - - - - - - - - -
23 Folley Chateter 2 way No 14 16 pcs 10,560 Rp 168,960 - 16 10,560 168,960 - - 16 - - - 16
27 Handscoon panjang steril pcs - Rp - - - - - - - - - - -
28 Infuset Anak 100 pcs 6,622 Rp 662,200 100 2,913 291,300 200 2,913 582,600 5 2,913 14,565 195 2,913 568,035 - 195
29 Infuset Dewasa 50 pcs 6,622 Rp 331,100 150 6,622 993,300 200 6,622 1,324,400 5 6,622 33,110 195 6,622 1,291,290 - 195
30 Jarum jahit kulit 60 pcs 1,881 Rp 112,860 - 60 1,881 112,860 - - 60 - - - 60
31 Jarum jahit otot 84 pcs 1,881 Rp 158,004 - 84 1,881 158,004 - - 84 - - - 84
32 Kapas pembalut absorben 250 mg 7 roll 15,000 Rp 105,000 5 15,000 75,000 12 15,000 180,000 2 15,000 30,000 10 15,000 150,000 - 10
33 Kassa pembalut hidrofil 4x10 cm roll 2,520 Rp - 100 2,520 252,000 100 2,520 252,000 2,520 - 100 2,520 252,000 - 100
34 Kassa pembalut hidrofil 4x5 cm 90 roll 1,120 Rp 100,800 100 1,120 112,000 190 1,120 212,800 95 1,120 106,400 95 1,120 106,400 - 95
35 Kassa hidrofil 40x80 cm roll 131,250 Rp - 5 131,250 656,250 5 131,250 656,250 3 131,250 393,750 2 131,250 262,500 - 2
36 Masker N95 162,800 Rp - 1 162,800 162,800 1 162,800 162,800 162,800 - 1 162,800 162,800 - 1
37 Masker pcs 27,500 Rp - 5 27,500 137,500 5 27,500 137,500 1 27,500 27,500 4 27,500 110,000 - 4
38 Maxter exam glove no powder L pcs 44,525 Rp 2,226,250 10 44,525 445,250 60 44,525 2,671,500 50 44,525 2,226,250 10 44,525 445,250 5 44,525 222,625 15
(Handscoon non steril) 50
39 My Jelly 3 tube Rp 50,380 Rp 151,140 - 3 50,380 151,140 - - 3 - - - 3
40 One met sunction chateter No. 14 20 pcs 3,200 Rp 64,000 - 20 3,200 64,000 - - 20 - - - 20
43 Plester 33 roll Rp 20,000 Rp 660,000 - 33 20,000 660,000 - - 33 - - - 33
44 Rivanol 17 botol Rp 5,225 Rp 88,825 - 17 5,225 88,825 - - 17 - - - 17
45 Safeglove surgical steril (Handscoon 250 pcs 902 Rp 225,500 500 8,360 4,180,000 750 902 676,500 100 8,360 836,000 650 8,360 5,434,000 500 8,360 4,180,000 1,150
steril)
46 Silk 2/0 plus jarum 1/2 DT 35 mm pcs - Rp - - - - - - - - - 36 4,556 164,016 36
47 Silk 3/0 plus jarum 1/2 DT 35 mm pcs - Rp - - - - - - - - - 36 4,556 164,016 36
Desember
2019
48 Stik Asam Urat pcs 4,620 Rp - 200 4,620 924,000 200 4,620 924,000 4,620 - 200 4,620 924,000 - 200
49 Stik Gula Darah pcs 3,740 Rp - 100 4,070 407,000 100 4,070 407,000 4,070 - 100 4,070 407,000 - 100
50 Stik Kolesterol pcs 18,260 Rp - 200 17,930 3,586,000 200 17,930 3,586,000 17,930 - 200 17,930 3,586,000 - 200
51 Urine bag 7 pcs 23,540 Rp 164,780 - 7 23,540 164,780 7 - - - - - - -
52 HCL botol - Rp - - - - - - - - - - -
53 Sefter Thicker pcs - Rp - - - - - - - - - - -
54 Lab Kit Paket - Rp - - - - - - - - - - -
56 Masker Oksigen Dewasa Pcs 16,940 Rp - - - - - - - - - 5 16,940 84,700 5
57 Masker Oksigen Anak Pcs 16,940 Rp - - - - - - - - - 5 16,940 84,700 5
58 Nasal Oksigen Bayi Pcs 6,875 Rp - - - - - - - - - 5 6,875 34,375 5
59 SoftPad 60 x 90cm bag (10pcs) 52,030 Rp - - - - - - - - - 1 52,030 52,030 1
60 Kassa 16x16cm Box (16pcs) 10,000 Rp - - - - - - - - - 10 10,000 100,000 10
61 HIV Tes(Rapid Tes SD Bioline) Paket 100 29,100 2,910,000 100

62 Pamsmeartkit S Pcs
63 Pamsmeartkit M Pcs
64 Pamsmeartkit L Pcs
110,792 - 5,290,449 101,102,827 54,148,079 153,207,230 61,875,279 35,510,150
Mengetahui 35,509,650
Kepala Puskesmas 139,511,655
(500)
Herlina L Dapa Talu,A.Md Keb

NIP:19730928 199312 2 002
BULAN JANUARI s/d MARET 2020
HARGA JUMLAH PENGELURAN HARGA JUMLAH SISA HARGA JUMLAH PENERIMAAN HARGA JUMLAH PERSEDIAAN PENGELUAR SISA SISA PPERSEDIAAN
SATUAN FEBRUARI SATUAN FEBRUARI SATUAN MARET SATUAN AN MARET MARET BULAN MARET
14 15 16 17 18 19 20 21
- - - - 860 - 453,220 990 568 562,320 1,850 1,850 Rp 974,950
127 266,700 700 127 88,900 1,400 127 177,800 1,000 127 127,000 2,400 1,000 1,400 Rp 177,800
- - - - 100 - 400,000 - 100 100 - Rp -
205 1,025,000 2,800 205 574,000 2,200 205 330,000 5,000 205 1,025,000 7,200 4,000 3,200 Rp 480,000
- - - - - - - - - - Rp -
- - - - 100 - 18,000 - 100 100 Rp 18,000
- - - - 500 - 110,000 - 500 500 Rp 110,000
110 220,000 1,050 110 115,500 950 110 104,500 3,000 83 249,000 3,950 1,000 2,950 Rp 324,500
792 4,752,000 5,300 792 4,197,600 700 792 171,500 5,000 792 3,960,000 5,700 5,700 - Rp -
4,172 500,640 70 4,172 292,040 50 4,172 209,150 120 4,172 500,640 170 170 - Rp -
17,830 178,300 17,830 - 10 17,830 178,300 - 10 10 Rp 178,300
- - - - - - - - - 1 Rp -
145 449,500 2,300 145 333,500 800 145 116,000 3,000 145 435,000 3,800 2,100 1,700 Rp 246,500
74 407,000 3,300 74 244,200 2,200 74 162,800 3,000 74 222,000 5,200 2,700 2,500 Rp 185,000
2,408 1,372,560 50 2,408 120,400 520 2,408 1,252,160 100 2,408 240,800 620 80 540 Rp 1,300,320
3,806 247,390 3,806 - 65 3,806 247,390 - 65 65 Rp 247,390
1,958 195,800 5 1,958 9,790 95 1,958 186,010 - 95 95 Rp 186,010
131 1,034,900 4,400 131 576,400 3,500 131 455,000 5,000 131 655,000 8,500 8,500 - Rp -
- - - - - - - - - - Rp -
57 85,500 57 - 1,500 57 85,500 - 1,500 100 1,400 Rp 79,800
374 2,692,800 3,900 374 1,458,600 3,300 374 458,700 4,000 374 1,496,000 7,300 4,400 2,900 Rp 403,100
- - - - - - - - - - Rp -
5,000 240,000 48 5,000 240,000 - 5,000 - 96 5,000 480,000 96 96 Rp 480,000
287 315,700 287 - 1,100 287 315,700 - 1,100 1,100 Rp 315,700
189 378,000 189 - 2,000 189 240,000 - 2,000 200 1,800 Rp 216,000
2,400 12,000 2,400 - 5 2,400 12,000 - 5 5 Rp 12,000
20,375 2,037,500 20,375 - 100 20,375 2,037,500 - 100 100 Rp 2,037,500
18,275 1,827,500 18,275 - 100 18,275 1,827,500 - 100 100 Rp 1,827,500
1,450 82,650 5 1,450 7,250 52 1,450 75,400 - 52 11 41 Rp 59,450
1,550 155,000 65 1,550 100,750 35 1,550 122,500 100 1,550 155,000 135 50 85 Rp 297,500
- - - - - - - - - - Rp -
457 776,900 1,200 457 548,400 500 457 228,500 3,000 457 1,371,000 3,500 1,000 2,500 Rp 1,142,500
12,000 12,000 1 12,000 12,000 - 12,000 - 5 454,960 2,274,800 5 5 Rp 60,000
1,378 96,460 15 1,378 20,670 55 1,378 75,790 - 55 25 30 Rp 41,340
48 331,200 6,700 48 321,600 200 48 15,000 5,000 48 240,000 5,200 5,200 - Rp -
- - - - - - - - - - Rp -
- - - - 35 - 4,235 - 35 35 Rp 4,235
1,321 26,420 1,321 - 20 1,321 25,200 - 20 20 - Rp -
3,105 124,200 3,105 - 40 3,105 656,000 - 40 20 20 Rp 328,000
122 97,600 600 122 73,200 200 122 38,000 - 200 200 Rp 38,000
5,387 161,610 5 5,387 26,935 25 5,387 134,675 - 25 25 Rp 134,675
1,116 1,674,000 500 1,116 558,000 1,000 1,116 128,000 - 1,000 1,000 Rp 128,000
- - - - - - - - - - Rp -
170 93,500 170 - 550 170 93,500 - 550 550 Rp 93,500
- - - - - - - - - - Rp -
- - - - - - - - - - Rp -
4,595 - 4,595 - (10) 4,595 - (10) (10) -Rp 41,000

950 475,000 950 - 500 950 433,000 - 500 500 Rp 433,000
102 10,200 100 102 10,200 - 102 - 1,000 102 102,000 1,000 1,000 Rp 102,000
1,375 825,000 1,375 - 600 1,375 825,000 - 600 600 Rp 825,000
- - - - - - - - - - Rp -
2,976 208,320 2,976 - 50 2,976 148,800 - 50 30 20 Rp 59,520
5,315 382,680 48 5,315 255,120 24 5,315 91,968 48 5,315 255,120 72 72 Rp 275,904
- - - - 400 - 37,200 - 400 400 Rp 37,200
450 3,150,000 5,800 450 2,610,000 1,200 450 540,000 5,000 167 835,000 6,200 4,400 1,800 Rp 810,000
374 112,200 374 - 300 374 112,200 - 300 300 - Rp -
9,240 18,480 1 9,240 9,240 1 9,240 55,000 2 9,240 18,480 3 3 Rp 165,000
- - - - - - - - - - Rp -
3,047 292,512 53 3,047 161,491 43 3,047 131,021 - 43 43 - Rp -
1,000 1,925 1,925,000 1,000 - 1,000
- - - - - - - 117 - - - Rp -
118 885,000 4,900 118 578,200 2,600 118 371,800 5,000 118 590,000 7,600 7,600 - Rp -
83 74,700 - 83 - 900 83 74,700 - 900 300 600 Rp 49,800
- - - - 500 - - - 500 500 Rp -
205 205,000 - 205 - 1,000 205 205,000 - 1,000 1,000 Rp 205,000
2,893 289,300 15 2,893 43,395 85 2,893 245,905 - 85 85 Rp 245,905
- - 1,450 - - 1,450 - - - - Rp -
- - - - - - - - - - Rp -
- - - - - - - - - - Rp -
7,433 787,898 75 7,433 557,475 31 7,433 230,423 100 7,433 743,300 131 95 36 Rp 267,588
- - - - - - - - - - Rp -
- - - - 50 - 539,000 - 50 20 30 Rp 323,400
43 447,200 5,200 43 223,600 5,200 43 223,600 5,000 43 215,000 10,200 5,800 4,400 Rp 189,200
273 1,365,000 1,800 273 491,400 3,200 273 873,600 - 3,200 900 2,300 Rp 627,900
- - - - - - - 150 8,558 1,283,700 150 55 95 Rp 522,500
6,900 828,000 43 6,900 296,700 77 6,900 531,300 - 77 77 Rp 531,300
- - - - - - - - - - Rp -
6,840 649,800 23 6,840 157,320 72 6,840 504,000 - 72 72 Rp 504,000
- - 83 - - 91 - 637,000 - 91 111 (20) -Rp 140,000
- - 10 - - 90 - 92,340 - 90 90 Rp 92,340
- - 500 - - 500 - 47,500 - 500 500 Rp 47,500
- - 550 - 150 550 82,500 1,000 550 550,000 1,150 1,150 Rp 632,500
- - - - - - - - - - Rp -
- - - 36 - - - 36 36 Rp -
- - - - 100 - 489,500 - 100 100 Rp 489,500
- - - - - - - - - - Rp -
153 459,000 153 - 3,000 153 459,000 - 3,000 3,000 Rp 459,000
- - - - 700 - 79,100 - 700 700 Rp 79,100
- - - - 600 - - - 600 600 Rp -
- - - - - - - 2,000 99 198,000 2,000 2,000 Rp -
440 1,276,000 100 440 44,000 2,800 440 422,800 - 2,800 200 2,600 Rp 392,600
- - - - 8 - - - Rp -
4,646 223,008 24 4,646 111,504 24 4,646 97,440 48 4,646 223,008 72 72 Rp 292,320
- - - - 1,800 - 862,200 - 1,800 600 1,200 Rp 574,800
494 988,000 1,000 494 494,000 1,000 494 494,000 2,000 174 348,000 3,000 3,000 Rp 1,482,000
- - - - 200 - 40,000 - 200 200 Rp 40,000
- - - - - - - - - - Rp -
- - - - - - - - - - Rp -
- - 64 - - - - - 32 3,000 96,000 32 5 27 Rp 67,500

- - - - - - - - - - Rp -
- - 75 - - (50) - - (50) 50 (100) -Rp 465,900
- - - - 77 - 146,300 - 77 77 Rp 146,300
- - 300 - - 2,580 - 1,627,980 - 2,580 300 2,280 Rp 1,438,680
- - - - - - - - - - Rp -
- - - - - - - - - - Rp -
495 287,100 40 495 19,800 540 495 248,400 - 540 70 470 Rp 216,200
- - - - - - - - - - Rp -
- - 112 - - - - - 224 479 107,296 224 112 112 Rp 53,648
4,500 270,000 60 4,500 270,000 - 4,500 - - - - Rp -
- - - - - - - - - - Rp -
145 1,493,500 4,400 145 638,000 5,900 145 796,500 - 5,900 3,600 2,300 Rp 310,500
- - - - 25 - 517,500 - 25 25 Rp 517,500
- - 200 - - 200 - 109,000 200 865 173,000 400 400 Rp 218,000
- - - - 400 - 262,000 - 400 400 Rp 262,000
183 311,100 1,000 183 183,000 700 183 128,100 2,000 183 366,000 2,700 900 1,800 Rp 329,400
- - 800 - - 400 - 26,800 2,000 148 296,000 2,400 1,700 700 Rp 46,900
- - - - - - - - - - Rp -
- - - - - - - - - - Rp -
- - 4 - - 4 - 90,400 5 23,400 117,000 9 9 Rp 203,400
- - 200 - - 300 - 39,000 500 148 74,000 800 800 Rp 104,000
- - - - 500 - 337,500 - 500 500 Rp 337,500
- - 25 - - 45 - 70,785 100 1,573 157,300 145 145 Rp 228,085
- - 900 - - 1,100 - 377,300 2,000 924 1,848,000 3,100 500 2,600 Rp 891,800
- - 300 - - - - - - - - Rp -
- - 1100 - - - - - - - - Rp -
- - - - 500 - 120,000 - 500 80 420 Rp 100,800
- - - - - - - - - - Rp -
- - 1200 - - 1,500 - 162,000 3,000 95 285,000 4,500 900 3,600 Rp 388,800
10,560 1,531,200 30 10,560 316,800 115 10,560 1,214,400 - 115 20 95 Rp 1,003,200
- - 10 - - 14 - 42,560 - 14 14 - Rp -
616 1,170,400 1000 616 616,000 900 616 554,400 1,000 616 616,000 1,900 1,900 Rp 1,170,400
- - - - - - - - - - Rp -
- - 5400 - - 900 - 62,100 5,000 60 300,000 5,900 4850 1,050 Rp 72,450
- - 40 - - 45 - 64,125 100 1,425 142,500 145 20 125 Rp 178,125
- - - - - - - - - - Rp -
466 535,900 466 - 1,150 466 287,500 - 1,150 200 950 Rp 237,500
- - - - 2,100 - 579,600 - 2,100 2,100 Rp 579,600
- - - - 30 - 47,850 - 30 30 Rp 47,850
- - 1600 - - 500 - 20,000 1,000 253 253,000 1,500 1,500 Rp 60,000
- - 5400 - - - - - 5,000 147 735,000 5,000 5000 - Rp -
- - 11 - - 51 - 200,175 - 51 12 39 Rp 153,075
- - 700 - - - - - 3,000 644 1,932,000 3,000 400 2,600 Rp 1,674,400
- - - - - - - - - - Rp -
1,265 2,530,000 1,000 1,265 1,265,000 1,000 1,265 1,265,000 1,000 1,265 1,265,000 2,000 600 1,400 Rp 1,771,000
- - - - (500) - 7,000 350 2,450,000 6,500 2,100 4,400 Rp 1,540,000
- - 120 - - 60 - 854,700 120 14,245 1,709,400 180 60 120 Rp 1,709,400
- - - - - - - - - - Rp -
- - - - - - - - - - Rp -
- - - - - - - - - - Rp -
- - - - - - - 3 512,204 1,536,612 3 3 Rp -
- - - - - - - 20 8,003 160,060 20 5 15 Rp -
- - - - - - - - - - Rp -
- - - - - - - - - - Rp -
- - - - - - - - - - Rp -
- - - - - - - - - - Rp -
- - - - - - - - - - Rp -
- - - - 5 - 4,500 24 900 21,600 29 29 Rp 26,100
- - - - 7,109 - 1,990,520 - 7,109 7,109 Rp 1,990,520
- - - - 1 - 1,451,000 - 1 1 Rp 1,451,000
- - - - 5,800 - 1,020,800 - 5,800 5,800 Rp 1,020,800
- - - - 3 - 159,900 - 3 4 (1) -Rp 53,300
- - - - 36 - 9,954,000 - 36 36 Rp 9,954,000
- - - - 828 - 17,305,200 - 828 225 603 Rp 12,602,700
- - 2 - - 2 - 818,150 - 2 5 (3) -Rp 1,227,225
- - - - - - - - - - Rp -
- - - - - - - - - - Rp -
- - - - 400 - 2,000,000 - 400 400 Rp 2,000,000
- - - - 150 - 35,250 500 253 126,500 650 150 500 Rp 117,500
- - - - - - - - - - Rp -
- - - - - - - - - - Rp -
- - - - - - - - - - Rp -
- - - - 2 - - - 2 2 Rp -
20,900 2,696,100 27 20,900 564,300 102 20,900 2,131,800 - 102 35 67 Rp 1,400,300
- - 14 - - 22 - 119,900 10 5,450 54,500 32 8 24 Rp 130,800
19,954 818,114 31 19,954 618,574 10 19,954 199,540 30 19,954 598,620 40 23 17 Rp 339,218
- - 21 - - 23 - 1,615,336 20 70,232 1,404,640 43 14 29 Rp 2,036,728
141,648 5,807,568 18 141,648 2,549,664 23 141,648 3,257,904 20 141,648 2,832,960 43 23 20 Rp 2,832,960
- - - - 5 - 77,750 - 5 5 Rp 77,750
- - 7 - - 35 - 525,000 - 35 2 33 Rp 495,000
- - 7 - - 19 - 2,614,590 - 19 19 Rp 2,614,590
- - 25 - - 100 - 199,500 - 100 25 75 Rp 149,625
- - 100 - - 300 - 434,400 - 300 100 200 Rp 289,600
- - 3 - - 17 - 24,616 - 17 17 Rp 24,616
- - - - 1 - 26,889 - 1 1 Rp 26,889
- - - - 1 - 68,000 - 1 1 Rp 68,000
- - - - - - - - - - Rp -
- - - - 3,744 - - - 3,744 3,744 Rp -
- - - - - - - - - - Rp -
- - - - - - - - - - Rp -
- - 1,530 - - 16,240 - 7,210,560 - 16,240 12,420 3,820 Rp 1,696,080
- - - - - - - 1 422,980 422,980 1 1 Rp 422,980
29,100 - 100 29,100 2,910,000 (100) 29,100 100 50,875 5,087,500 - - Rp -
- - - - - - - - - - Rp -
- - - - - - - - - - Rp -
- - - - - - - - - - Rp -
- - - - 500 - 98,500 - 500 500 Rp 98,500
- - - - - - - - - - Rp -
- - - - 500 - 487,500 - 500 500 Rp 487,500
31,570 378,840 31,570 - 12 31,570 516,000 - 12 12 Rp 516,000
- - - - - - - - - - Rp -
- - - - - - - - - - Rp -
- - - - - - - - - - Rp -
- - - - - - - - - - Rp -
- - - - - - - - - - Rp -
- - - - 200 - 200,000 100 1,000 100,000 300 300 Rp 300,000
- - 200 - - - - - - - - Rp -
- - 200 - - 95 - 85,500 500 900 450,000 595 200 395 Rp 355,500
- - 200 - - 200 - 409,800 - 200 200 Rp 409,800
- - - - 300 - 396,000 - 300 300 Rp 396,000
- - 4 - - - - - 5 32,500 162,500 5 4 1 Rp 32,500
- - 3 - - 2 - 89,700 5 44,850 224,250 7 7 - Rp -
- - - - - - - 4 13,860 55,440 4 4 Rp 55,440
- - - - 10 - 138,600 4 13,860 55,440 14 14 Rp 194,040
1,450 290,000 1,450 - 200 1,450 290,000 - 200 200 Rp 290,000
4,750 475,000 55 4,750 261,250 45 4,750 213,750 - 45 45 Rp 213,750
4,761 1,142,640 55 4,761 261,855 185 4,761 878,750 - 185 185 Rp 878,750
- - 50 - - 140 - 665,000 - 140 140 Rp 665,000
- - - - - - - - - - Rp -
- - - - - - - - - - Rp -
- - - - - - - - - - Rp -
- - - - 24 - 4,020,000 - 24 24 Rp 4,020,000
- - - - 24 - 4,020,000 - 24 24 Rp 4,020,000
- - - - 24 - 4,020,000 - 24 24 Rp 4,020,000
- - - - - - - - - - Rp -
- - - - 16 - 168,960 - 16 16 Rp 168,960
- - - - 8 - 84,480 - 8 8 Rp 84,480
- - - - 10 - 105,600 - 10 10 Rp 105,600
- - - - 10 - 105,600 - 10 10 Rp 105,600
- - - - - - - - - - Rp -
- - 50 - - 145 - 960,190 - 145 145 Rp 960,190
- - 55 - - 140 - 927,080 - 140 140 Rp 927,080
- - - - 60 - 112,860 240 1,042 250,080 300 300 Rp 564,300
- - - - 84 - 158,004 240 1,042 250,080 324 324 Rp 609,444
- - 2 - - 8 - 120,000 - 8 2 6 Rp 90,000
- - 50 - - 50 - 126,000 100 2,520 252,000 150 50 100 Rp 252,000
- - 95 - - - - - 100 1,120 112,000 100 60 40 Rp 44,800
- - 2 - - - - - 5 131,250 656,250 5 3 2 Rp 262,500
- - 162,800 - 1 162,800 162,800 - 1 1 - Rp -
- - 200 - - (196) - 5 27,500 137,500 (191) 300 (491) -Rp 13,502,500
44,525 667,875 44,525 - 15 44,525 667,875 10 44,525 445,250 25 6 19 Rp 845,975
- - - - 3 - 151,140 - 3 3 - Rp -
- - - - 20 - 64,000 - 20 20 Rp 64,000
- - - - 20 - 64,000 - 20 20 Rp 64,000
- - - - 10 - 32,000 - 10 10 Rp 32,000
- - 7 - - 26 - 520,000 - 26 26 Rp 520,000
- - - - 17 - 88,825 - 17 9 8 Rp 41,800
8,360 9,614,000 200 8,360 1,672,000 950 8,360 856,900 - 950 105 845 Rp 762,190
4,556 164,016 36 4,556 164,016 - 4,556 - - - - Rp -

4,556 164,016 4,556 - 36 4,556 - - 36 36 Rp -
- - - - 200 - 924,000 - 200 200 Rp 924,000

- - - - 100 - 374,000 - 100 100 Rp 374,000
- - - - 200 - 3,652,000 - 200 200 Rp 3,652,000
- - - - - - - - - - Rp -
- - - - - - - - - - Rp -
- - - - - - - - - - Rp -
- - - - - - - - - - Rp -
16,940 84,700 16,940 - 5 16,940 84,700 - 5 1 4 Rp 67,760
16,940 84,700 16,940 - 5 16,940 84,700 - 5 1 4 Rp 67,760
6,875 34,375 6,875 - 5 6,875 34,375 - 5 5 Rp 34,375
52,030 52,030 52,030 - 1 52,030 52,030 - 1 1 Rp 52,030
10,000 100,000 10,000 - 10 10,000 100,000 - 10 2 8 Rp 80,000
29,100 2,910,000 29,100 - 29,100 - -

5 24200 121,000 5
5 24200 121,000 5
5 2400 12,000 5
-
-
66,525,802 28,273,639 - 111,930,726 49,853,426 Rp 93,988,915
Malinjak, 30 Maret 2020
Pengelola Obat Puskesmas
Dewi Zuliatik,A.Md Farm

NIP:19831107 200904 2 006
BULAN April s/d Juni 2020
NO NAMA ITEM OBAT JUMLAH SATUAN HARGA SATUAN JUMLAH PENERIMAA HARGA JUMLAH PERSEDIAAN HARGA JUMLAH PENGELU HARGA JUMLAH SISA HARGA SATUAN JUMLAH PENERIMAA
STOK OBAT N APRIL SATUAN APRIL SATUAN ARAN SATUAN APRIL N MEI
Maret APRIL
2020
1 2 3 4 5 6 7 8 9 10 11
1 Albendasol 1850 tablet Rp 527 Rp 974,950 - 1,850 527 974,950 - 527 - 1,850 527 974,950
2 Allopurinol 100 mg 1400 tablet Rp 127 Rp 177,800 - 1,400 127 177,800 1,000 127 127,000 400 127 50,800 2,000
3 Ambroksol sirup 0 botol Rp 4,000 Rp - 100 5,800 580,000 100 5,800 580,000 100 5,800 580,000 - 5,800 - 200
4 Ambroksol tablet 2900 tablet Rp 150 Rp 435,000 3,000 205 615,000 5,900 205 1,209,500 4,700 205 963,500 1,200 205 180,000 4,000
5 Aminophilin injeksi 24 mg / ml 0 ampul Rp 3,349 Rp - - - - - - - - - - -
6 Aminophilin tablet 200 mg 100 tablet Rp 180 Rp 18,000 - 100 180 18,000 - 180 - 100 180 18,000
7 Amitripilin tablet 25 mg 500 tablet Rp 220 Rp 110,000 - 500 220 110,000 - 220 - 500 220 110,000
8 Amlodipin 10 mg 2950 tablet Rp 110 Rp 324,500 - 2,950 110 324,500 1,050 110 115,500 1,900 110 209,000 1,000
9 Amoksisilin 500 mg 0 tablet Rp 245 Rp - 5,000 792 3,960,000 5,000 792 3,960,000 5,000 792 3,960,000 - 792 - 9,000
10 Amoksisilin sirup kering 125 mg/5 ml 0 botol Rp 4,183 Rp - 120 4,172 500,640 120 4,172 500,640 90 4,172 375,480 30 4,172 125,490 120
11 Anti Bisa Ular -
12 Ampicillin Injeksi 10 ampul Rp - Rp - - 10 - - - - - 10 - -
13 Antalgin Injeksi 2 ampul Rp - Rp - - 2 - - - - 2 - -
14 Antalgin Tablet 1700 tablet Rp 145 Rp 246,500 10,000 145 1,450,000 11,700 145 1,696,500 4,700 145 681,500 7,000 145 1,015,000
15 Antasida DOEN I tablet 2500 tablet Rp 74 Rp 185,000 74 - 2,500 74 185,000 2,500 74 185,000 - 74 - 3,000
16 Antasida DOEN II suspensi 340 botol Rp 2,408 Rp 818,720 2,408 - 340 2,408 818,720 340 2,408 818,720 - 2,408 - 250
17 Antihemoroid 65 suppo Rp 3,806 Rp 247,390 - 65 3,806 247,390 10 3,806 38,060 55 3,806 209,330 20
18 Artropin Injeksi 100 ampul Rp 1,958 Rp 195,800 - 100 1,958 195,800 10 1,958 19,580 90 1,958 176,220
19 Asam Ascorbat 50 mg 0 tablet Rp 130 Rp - 7,000 131 917,000 7,000 131 917,000 7,000 131 917,000 - 131 - 14,000
20 Asam Ascorbat 250 mg 0 tablet Rp 139 Rp - - - - - - - - - - -
21 Asam Folat 1 mg 1400 tablet Rp 57 Rp 79,800 - 1,400 57 79,800 700 57 39,900 700 57 39,900 1,000
22 Asam Mefenamat 500 mg 2900 tablet Rp 139 Rp 403,100 5,000 418 2,090,000 7,900 418 3,302,200 6,800 418 2,842,400 1,100 418 152,900 3,000
23 Asam Traneksamat Injeksi 0 ampul Rp - Rp - - - - - - - - - - -
24 Asiklovir Salep 96 tube Rp 5,000 Rp 480,000 - 96 5,000 480,000 - 5,000 - 96 5,000 480,000
25 Asiklovir 200 mg 1100 tablet Rp 287 Rp 315,700 - 1,100 287 315,700 1,100 287 315,700 - 287 - 2,000
26 Atapulgit (Akita) 0 tablet Rp 120 Rp - 500 189 94,500 500 189 94,500 - 189 - 500 189 60,000
27 Aqua Pro injeksi 5 vial Rp 2,400 Rp 12,000 20 4,407 88,140 25 4,407 110,175 - 4,407 - 25 4,407 60,000
28 Answer Dengue Ag 100 Rp 20,375 Rp 2,037,500 - 100 20,375 2,037,500 - 20,375 - 100 20,375 2,037,500
29 Answer Dengue Ig 100 Rp 18,275 Rp 1,827,500 - 100 18,275 1,827,500 20 18,275 365,500 80 18,275 1,462,000
30 Bedak salicyl serbuk 2 % 34 pot Rp 1,450 Rp 49,300 48 1,450 69,600 82 1,450 118,900 - 1,450 - 82 1,450 118,900
31 Betametason krim 85 tube Rp 3,500 Rp 297,500 - 85 3,500 297,500 70 3,500 245,000 15 3,500 52,500 100
32 Besi (II) sukfat 200 mg + asam folat 0 tablet Rp 49 Rp - - - - - - - - - - -
33 Captopril 25 mg 2500 tablet Rp 457 Rp 1,142,500 - 2,500 457 1,142,500 700 457 319,900 1,800 457 822,600
34 Clor Etil 5 botol Rp 12,000 Rp 60,000 - 5 12,000 60,000 2 12,000 24,000 3 12,000 36,000
35 Deksametason injeksi 30 ampul Rp 1,378 Rp 41,340 - 30 1,378 41,340 15 1,378 20,670 15 1,378 20,670 100
36 Deksametason tablet 0,5 mg 0 tablet Rp 75 Rp - 5,000 48 240,000 5,000 48 240,000 5,000 48 240,000 - 48 - 7,000
39 Diazepam injeksi 5 mg / ml 10 ampul Rp 3,038 Rp 30,380 - 10 3,038 30,380 - 3,038 - 10 3,038 30,380
40 Diazepam tablet 5 mg 35 tablet Rp 3,038 Rp 106,330 - 35 3,038 106,330 - 3,038 - 35 3,038 106,330
41 Difenhidramin injeksi 10 mg/ml 0 ampul Rp 1,260 Rp - 30 1,321 39,630 30 1,321 39,630 30 1,321 39,630 - 1,321 -
42 Domperidon suspensi 5 mg / 5 ml 10 botol Rp 16,400 Rp 164,000 - 10 16,400 164,000 10 16,400 164,000 - 16,400 - 50
43 Domperidon tablet 10 mg 0 tablet Rp 190 Rp - - - - - - - - - - -
44 Epinefrin (adrenalin) injeksi 25 ampul Rp 5,387 Rp 134,675 - 25 5,387 134,675 - 5,387 - 25 5,387 134,675 100
45 Eritromicin 500 mg 1000 tablet Rp 128 Rp 128,000 - 1,000 128 128,000 500 128 64,000 500 128 64,000
46 Fenitoin Na kapsul 10 mg 300 kapsul Rp 545 Rp 163,500 - 300 545 163,500 - 545 - 300 545 163,500
39 Fenobarbital 30 mg 550 tablet Rp 170 Rp 93,500 - 550 170 93,500 100 170 17,000 450 170 76,500
39 Ferro fumarat kapsul lunak 250 mg 0 kapsul Rp - Rp - - - - - - - - - - -
39 Ferro Glukonat 250 mg (Etabion) 0 tablet Rp - Rp - - - - - - - - - - -
39 Fitomenadion injeksi 2 ml/mg 160 ampul Rp 4,100 Rp 656,000 - 160 4,100 656,000 15 4,100 61,500 145 4,100 594,500 30
10 Fitomenadion tablet 10 mg 500 tablet Rp 866 Rp 433,000 - 500 866 433,000 - 866 - 500 866 433,000
10 Furosemid tablet 40 mg 1000 tablet Rp 102 Rp 102,000 - 1,000 102 102,000 200 102 20,400 800 102 81,600
Maret APRIL
2020
1 2 3 4 5 6 7 8 9 10 11
10 Flouride 600 tablet Rp 1,375 Rp 825,000 - 600 1,375 825,000 - 1,375 - 600 1,375 825,000
10 Gentamicin injeksi 40 mg / ml 0 ampul Rp 3,854 Rp - - - 3,854 - - 3,854 - - 3,854 -
10 Gentamicin salep kulit 20 tube Rp 2,976 Rp 59,520 - 20 2,976 59,520 20 2,976 59,520 - 2,976 - 100
10 Gentamicin tetes mata 0,3% 72 botol Rp 3,832 Rp 275,904 - 72 3,832 275,904 48 3,832 183,936 24 3,832 91,968 24
10 Glibenklamid 5 mg 400 tablet Rp 93 Rp 37,200 - 400 93 37,200 - 93 - 400 93 37,200
10 Gliseril Guaiakolat (GG) 1800 tablet Rp 450 Rp 810,000 5,000 167 835,000 6,800 167 1,135,600 4,800 167 801,600 2,000 167 900,000 6,000
10 Griseovulvin 125 mg 0 tablet Rp 374 Rp - - - - - - - - - -
10 H2O2 3 vial Rp 55,000 Rp 165,000 - 3 55,000 165,000 3 55,000 165,000 - 55,000 - 5
10 Haloperdiol 0,5 mg 0 tablet Rp - Rp - - - - - - - - - -
10 Hidrokortison krim 0 tube Rp 3,047 Rp - 96 3,600 345,600 96 3,600 345,600 34 3,600 122,400 62 3,600 188,914
10 Ibuproven 200 mg 1000 tablet Rp 117 Rp 117,000 - 1,000 - - - - - 1,000 - 117,000
10 Ibuproven 400 mg 0 tablet Rp 143 Rp - 5,000 118 590,000 5,000 118 590,000 5,000 118 590,000 - 118 - 13,200
10 Kalsium Laktat 500 mg 600 tablet Rp 83 Rp 49,800 - 600 83 49,800 600 83 49,800 - 83 - 2,000
10 Karbamazepin 200 mg 500 tablet Rp - Rp - - 500 - - - - - 500 - -
10 Ketokenasol 200 mg 1000 tablet Rp 205 Rp 205,000 - 1,000 205 205,000 1,000 205 205,000 - 205 - 2,000
10 Ketokenasol krim 85 tube Rp 2,893 Rp 245,905 - 85 2,893 245,905 - 2,893 - 85 2,893 245,905
10 Ketorolac Injeksi 0 ampul Rp 1,450 Rp - - - - - - - - - -
10 Klindamisin 300 mg 0 tablet Rp 678 Rp - - - - - - - - - - - 1,000
10 Kloramfenikol kapsul 250 mg 0 kapsul Rp 715 Rp - - - - - - - - - - -
10 Kloramfenikol salep kulit 36 tube Rp 7,433 Rp 267,588 50 7,433 371,650 86 7,433 639,238 34 7,433 252,722 52 7,433 386,516 50
10 Kloramfenikol tetes mata 0 botol Rp - Rp - - - - - - - - - -
10 Kloramfenikol tetes telinga 3% 30 botol Rp 10,780 Rp 323,400 - 30 10,780 323,400 - 10,780 - 30 10,780 323,400 25
10 Kloramfeniramina Maleat 4 mg (CTM) 0 tablet Rp 43 Rp - 5,000 43 215,000 5,000 43 215,000 6,000 43 258,000 (1,000) 43 (43,000) 8,000
10 Kotrimoksasol tablet 480 mg 2300 tablet Rp 273 Rp 627,900 - 2,300 273 627,900 1,100 273 300,300 1,200 273 327,600 2,000
10 Kotrimoksasol suspensi 240 mg 95 botol Rp 5,500 Rp 522,500 - 95 5,500 522,500 - 5,500 - 95 5,500 522,500
10 Larutan Glukosa 5% 77 botol Rp 6,900 Rp 531,300 40 6,900 276,000 117 6,900 807,300 60 6,900 414,000 57 6,900 393,300 40
10 Larutan Glukosa Infus 40% 15 botol Rp - Rp - - 15 - - - - 15 - -
10 Larutan NaCL 72 botol Rp 7,000 Rp 504,000 40 6,840 273,600 112 6,840 766,080 62 6,840 424,080 50 6,840 350,000 100
10 Larutan Ringer Laktat 20 botol Rp 7,000 Rp 140,000 100 7,630 763,000 120 7,630 915,600 70 7,630 534,100 50 7,630 350,000 100
10 Lidokain Injeksi 90 ampul Rp 1,026 Rp 92,340 - 90 1,026 92,340 10 1,026 10,260 80 1,026 82,080
10 Loperamid 2 mg 500 tablet Rp 95 Rp 47,500 - 500 95 47,500 - 95 - 500 95 47,500
10 Loratadin 10 mg 150 tablet Rp 550 Rp 82,500 - 150 550 82,500 150 550 82,500 - 550 - 2,000
10 Magnesium Sulfat 20% (MgSO 20%) 0 vial Rp 7,920 Rp - - - 7,920 - 7,920 - - 7,920 -
10 Magnesium Sulfat 40% (MgSO 40%) 36 vial Rp - Rp - - 36 - - 12 - - 24 - -
10 Metilergometrin Injeksi 100 ampul Rp 4,895 Rp 489,500 - 100 4,895 489,500 - 4,895 - 100 4,895 489,500 100
10 Metilergometrin Tablet 0 tablet Rp 352 Rp - - - 352 - - 352 - - 352 -
10 Metilprednisolon 4 mg 3000 tablet Rp 153 Rp 459,000 - 3,000 153 459,000 300 153 45,900 2,700 153 413,100 2,000
10 Metformin HCL 500 mg 700 tablet Rp 113 Rp 79,100 - 700 113 79,100 200 113 22,600 500 113 56,500
10 Metoklopramide 10 mg 600 tablet Rp - Rp - - 600 - - 200 - - 400 - -
10 Metronidasol 250 mg 0 tablet Rp - Rp - - - - - - - - - - -
10 Metronidasol 500 mg 4600 tablet Rp 151 Rp 694,600 - 4,600 151 694,600 600 151 90,600 4,000 151 604,000
10 Metro infus 8 botol Rp - Rp - - 8 - - - - - 8 - -
10 Mikonasol krim 24 tube Rp 4,060 Rp 97,440 - 24 4,060 97,440 - 4,060 - 24 4,060 97,440
10 N. Asetil Sistain 1200 kapsul Rp 479 Rp 574,800 - 1,200 479 574,800 - 479 - 1,200 479 574,800
10 Natrium diklofenak 50 mg 3000 tablet Rp 494 Rp 1,482,000 - 3,000 494 1,482,000 - 494 - 3,000 494 1,482,000
10 Nifedipin 10 mg 200 tablet Rp 200 Rp 40,000 - 200 200 40,000 - 200 - 200 200 40,000
10 Nistatin tablet 100.000 IU/g 0 tablet Rp 444 Rp - - - 444 - - 444 - - 444 -
10 Nistatin tablet 500.000 IU/g 0 tablet Rp 720 Rp - - - 720 - - 720 - - 720 -
10 OBH 27 botol Rp 2,500 Rp 67,500 - 27 2,500 67,500 27 2,500 67,500 - 2,500 -
10 Oksitetrasiklin HCL injeksi 0 ampul Rp - Rp - - - - - - - - - - -
10 Oksitetrasiklin Salep Mata 150 tube Rp 4,659 Rp 698,850 - 150 4,659 698,850 35 4,659 163,065 115 4,659 535,785
10 Oksitocyn injeksi 77 ampul Rp 1,900 Rp 146,300 1,900 - 77 1,900 146,300 85 1,900 161,500 (8) 1,900 (15,200)
10 Omeprasol 20 mg 2280 kapsul Rp 631 Rp 1,438,680 - 2,280 631 1,438,680 750 631 473,250 1,530 631 965,430
Maret APRIL
2020
1 2 3 4 5 6 7 8 9 10 11
10 Ondansetron Injeksi 0 ampul Rp - Rp - - - - - - - - - -
10 Ondansetron Tablet 0 tablet Rp 590 Rp - - - 590 - 590 - - 590 -
10 Oralit 470 sac Rp 460 Rp 216,200 - 470 460 216,200 170 460 78,200 300 460 138,000
10 OTSU KCL injeksi 0 botol Rp 7,920 Rp - - - 7,920 - - 7,920 - - 7,920 -
10 Parasetamol drop 112 botol Rp 479 Rp 53,648 - 112 479 53,648 84 479 40,236 28 479 13,412 112
10 Parasetamol sirup 120 mg 0 botol Rp 3,520 Rp - - - 3,520 - - 3,520 - - 3,520 -
10 Parasetamol tablet 100 mg 0 tablet Rp 96 Rp - - - 96 - - 96 - - 96 -
10 Parasetamol tablet 500 mg 2300 tablet Rp 135 Rp 310,500 5,000 145 725,000 7,300 145 1,058,500 7,300 145 1,058,500 - 145 - 8,000
10 Perak Sulfadiazin 25 tube Rp 20,700 Rp 517,500 - 25 20,700 517,500 5 20,700 103,500 20 20,700 414,000
10 Phenitoin 100 mg 400 tablet Rp 545 Rp 218,000 - 400 545 218,000 - 545 - 400 545 218,000
10 Pirantel Pamoat 125 mg 400 tablet Rp 655 Rp 262,000 400 655 262,000 - 655 - 400 655 262,000
Predison 1,000 86 86,000
10 Piroxicam 1800 tablet Rp 183 Rp 329,400 - 1,800 183 329,400 1,000 183 183,000 800 183 146,400 2,000
10 Piridoksin 10 mg (Vitamin B6) 700 tablet Rp 67 Rp 46,900 1,000 154 154,000 1,700 154 261,800 1,400 154 215,600 300 154 20,100 2,000
10 Povidon Iodida 30 ml 0 botol Rp - Rp - - - - - - - - - -
10 Povidon Iodida 60 ml 0 botol Rp 7,532 Rp - - - - - - - - - -
10 Povidon Iodida 300 ml 4 botol Rp 22,600 Rp 90,400 5 23,400 117,000 9 23,400 210,600 5 23,400 117,000 4 23,400 90,400 10
10 Propanolol 10 mg 800 tablet Rp 130 Rp 104,000 - 800 130 104,000 - 130 - 800 130 104,000
10 Propiltiaurasil 100 mg 500 tablet Rp 675 Rp 337,500 - 500 675 337,500 - 675 - 500 675 337,500
10 Ranitidin Injeksi 45 ampul Rp 1,573 Rp 70,785 - 45 1,573 70,785 - 1,573 - 45 1,573 70,785 100
10 Ranitidin 150 mg 2600 tablet Rp 343 Rp 891,800 - 2,600 343 891,800 2,200 343 754,600 400 343 137,200 2,000
10 Retinol 100.000 (Vitamin A Biru) 0 kapsul Rp 355 Rp - - - 355 - - 355 - - 355 - -
10 Retinol 200.000 (Vitamin A Merah) 0 kapsul Rp 636 Rp - - - 636 - 636 - - 636 -
10 Risperidon 420 tablet Rp 240 Rp 100,800 - 420 240 100,800 240 - 420 240 100,800
10 Salbutamol tablet 2 mg 0 tablet Rp - Rp - - - - - - - - - - -
10 Salbutamol tablet 4 mg 3600 tablet Rp 108 Rp 388,800 - 3,600 108 388,800 1,300 108 140,400 2,300 108 248,400 1,000
10 Salbutamol injeksi 125 ampul Rp 10,560 Rp 1,320,000 - 125 10,560 1,320,000 65 10,560 686,400 60 10,560 633,600 40
10 Salep 24 0 pot Rp 3,040 Rp - - - 3,040 - - 3,040 - - 3,040 -
10 Sefadroksil 1900 tablet Rp 616 Rp 1,170,400 - 1,900 616 1,170,400 1,400 616 862,400 500 616 308,000 2,000
10 Seftriakson injeksi 0 ampul Rp 5,688 Rp - - - 5,688 - - 5,688 - - 5,688 -
10 Sianokobalamin tablet (Vitamin B12) 1050 tablet Rp 69 Rp 72,450 5,000 60 300,000 6,050 60 363,000 3,050 60 183,000 3,000 60 207,000 4,000
10 Sianokobalamin injeksi (Vitamin B12) 25 ampul Rp 1,425 Rp 35,625 100 1,425 142,500 125 1,425 178,125 75 1,425 106,875 50 1,425 71,250 100
10 Simetidin 0 tablet Rp 220 Rp - - - - - - - - - -
10 Simvastatin 20 mg 950 tablet Rp 250 Rp 237,500 - 950 250 237,500 250 250 62,500 700 250 175,000
10 Siprofloksasin tablet score 500 mg 2100 tablet Rp 276 Rp 579,600 - 2,100 276 579,600 276 - 2,100 276 579,600 1,000
10 Tiamin injeksi 30 ampul Rp 1,595 Rp 47,850 - 30 1,595 47,850 - 1,595 - 30 1,595 47,850
10 Tiamin tablet 50 mg (Vitamin B1) 1500 tablet Rp 40 Rp 60,000 - 1,500 40 60,000 500 40 20,000 1,000 40 40,000 1,000
10 Vitamin B Kompleks 0 botol Rp 54 Rp - 5,000 147 735,000 5,000 147 735,000 5,000 147 735,000 - 147 - 8,000
10 Zink sirup 20 mg / 5 ml 39 tablet Rp 3,925 Rp 153,075 - 39 - - - - 39 - 153,075
10 Zink tablet 20 mg 2600 tablet Rp 644 Rp 1,674,400 - 2,600 - - 300 - - 2,300 - 1,481,200
10 Ventolin 0 ampul Rp 15,000 Rp - - - - - - - - - -
10 Lodecon Forte 900 tablet Rp 1,265 Rp 1,138,500 1,000 1,265 1,265,000 1,900 1,265 2,403,500 1,900 1,265 2,403,500 - 1,265 - 500
10 Samcobion 4900 tablet Rp 350 Rp 1,715,000 - 4,900 - - 3,200 - - 1,700 - 595,000 10,000
10 Truvit sirup 60 tablet Rp 14,245 Rp 854,700 120 14,245 1,709,400 180 14,245 2,564,100 120 14,245 1,709,400 60 14,245 854,700 120
10 Cetrizine 10 mg 0 botol Rp 438 Rp - 500 438 219,000 500 438 219,000 500 438 219,000 - 438 - 2,000
10 Thiampenicol Sirup 0 tablet Rp - Rp - - - - - - - - - -
10 Thiampenicol 0 Rp - Rp - - - - - - - - - - -
Rp - - - - - - - - - -
OBAT PROGRAM, VAKSIN DAN Rp - - - - - - -
PERBEKALAN KESEHATAN - - -
1 Air Sound Timer 0 buah Rp 48,840 Rp - - - - - - - - - -
2 Azithromycin 0 tablet Rp - Rp - - - - - - - - - -
3 Batrai Air Sound Timer 0 buah Rp - Rp - - - - - - - - - -
Maret APRIL
2020
1 2 3 4 5 6 7 8 9 10 11
4 Calcii Glukonas 29 vial Rp 900 Rp 26,100 - 29 - - - - - 29 - 26,100
5 Dietil Karbamezapin 7109 tablet Rp 280 Rp 1,990,520 - 7,109 - - - - 7,109 - 1,990,520
6 Gimza 1 botol Rp 1,451,000 Rp 1,451,000 - 1 - - - - 1 - 1,451,000
7 Lancet 5800 pcs Rp 176 Rp 1,020,800 - 5,800 - - - - 5,800 - 1,020,800
8 Lysol 100 % 4 botol Rp 53,300 Rp 213,200 - 4 - - - - 4 - 213,200 5
9 Malaria HRP2 (RDT) 36 kotak Rp 276,500 Rp 9,954,000 - 36 - - 36 - - - - - 100
10 Obat Anti Malaria 0 tablet Rp 20,900 Rp - - - - - - - - - - -
11 Paket Kategori I 0 paket Rp 409,075 Rp - - - - - - - - - - 2
12 Paket Kategori II 0 paket Rp - Rp - - - - - - - - - -
13 Paket Stop TB OAT Anak 0 paket Rp - Rp - - - - - - - - - -
14 Pot Dahak 400 pot Rp 5,000 Rp 2,000,000 - 400 5,000 2,000,000 400 5,000 2,000,000 - 5,000 -
15 Primaquin 500 tablet Rp 235 Rp 117,500 - 500 235 117,500 - 235 - 500 235 117,500
16 Rapit Test 5 paket Rp - Rp - - 5 - - - - - 5 - -
17 Reagen Golongan Darah 5 paket Rp - Rp - - 5 - - - - - 5 - -
18 Smart Diagnostic (Reagen HIV) 5 paket Rp - Rp - - 5 - - - - - 5 - -
19 Ziehl Neelsen 2 paket Rp - Rp - - 2 - - 1 - - 1 - -
20 HB o 67 Bungkus Rp 20,900 Rp 1,400,300 20,900 - 67 20,900 1,400,300 34 20,900 710,600 33 20,900 689,700 30
21 BCG 1 ml/pelarut 24 Vial Rp 5,450 Rp 130,800 20 5,450 109,000 44 5,450 239,800 12 5,450 65,400 32 5,450 174,400
25 Polio 20 Vial Rp 19,954 Rp 399,080 20 19,954 399,080 40 19,954 798,160 24 19,954 478,896 16 19,954 319,264 20
27 DPT/Pentabion 29 Vial Rp 70,232 Rp 2,036,728 20 70,232 1,404,640 49 70,232 3,441,368 19 70,232 1,334,408 30 70,232 2,106,960 10
28 Campak/pelarut/MR 20 Vial Rp 141,648 Rp 2,832,960 20 141,648 2,832,960 40 141,648 5,665,920 18 141,648 2,549,664 22 141,648 3,116,256 20
30 Dt 5 Vial Rp 15,550 Rp 77,750 - 5 15,550 77,750 - 15,550 - 5 15,550 77,750
31 Td/Tt 29 Vial Rp 15,000 Rp 435,000 - 29 15,000 435,000 2 15,000 30,000 27 15,000 405,000
32 IPV 4 Vial Rp 137,610 Rp 550,440 20 137,610 2,752,200 24 137,610 3,302,640 4 137,610 275,220 20 137,610 2,752,200
33 Spuit 0,05 75 Dos Rp 1,995 Rp 149,625 - 75 1,995 149,625 25 1,995 7,980 50 1,995 99,750
34 Supit 0,5 100 Dos Rp 1,448 Rp 144,800 300 750 225,000 400 1,448 579,200 100 1,448 36,200 300 1,448 434,400 200
35 Saftey Box 17 pak Rp 1,448 Rp 24,616 - 17 1,448 24,616 1,448 144,800 17 1,448 24,616
36 Hexagon syphilis 1 pcs Rp 26,889 Rp 26,889 - 1 26,889 26,889 1 26,889 26,889 - 26,889 -
37 Spirtus 1 Rp 68,000 Rp 68,000 - 1 68,000 68,000 - 68,000 68,000 1 68,000 68,000
38 susu 0 Rp 135,000 Rp - - - 135,000 - - 135,000 - - 135,000 - 2
39 Slide 3744 Rp - Rp - - 3,744 - - - - - 3,744 - -
40 Box Slide 0 Rp - Rp - - - - - - - - - - -
41 Oil Emersian 0 Rp - Rp - - - - - - - - - -
42 Tamblet Tambah Darah Program (Ferro Fumar 3820 Rp 444 Rp 1,696,080 - 3,820 444 1,696,080 3,820 444 - - 444 -
43 Alat Deteksi Resiko kehamilan 1 Paket Rp 422,980 Rp 422,980 - 1 422,980 422,980 - 1 422,980 422,980
44 Anti HIV 1/2 Cassette 100 Pcs Rp 1,448 Rp 144,800 - 100 1,448 144,800 1,448 - 100 1,448 144,800
45 RDT Hepatitis 0 Pcs Rp - Rp - - - - - - - - - -
46 Klonazepam 0 Tablet Rp - Rp - - - - - - - - - -
47 Resperidon 0 Tablet Rp 240 Rp - - - 240 - - 240 - - 240 -
48 Clorpromazine(CPZ) 500 Tablet Rp 197 Rp 98,500 - 500 197 98,500 197 - 500 197 98,500
49 Fluoxentin 0 Tablet Rp - Rp - - - - - - - - - -
50 Isosorbid Dinitrit 500 Tablet Rp 975 Rp 487,500 - 500 975 487,500 300 975 - 200 975 195,000
52 MDT COMBI KUSTA 12 tablet Rp 43,000 Rp 516,000 - 12 43,000 516,000 - 43,000 12 43,000 516,000
53 Vaksin HBIg 0 vial Rp 1,325,000 Rp - 1,325,000 - - 1,325,000 - 1,325,000 - - 1,325,000 -
53 HBS Ag RV.B10 pcs Rp 8,200 Rp - - - - - - - - - -
Rp - - - - - - - - - -
Maret APRIL
2020
1 2 3 4 5 6 7 8 9 10 11
PERBEKALAN KESEHATAN Rp - - - - - - - - - -
1 Alat suntik sekali pakai 0,5 ml 0 pcs Rp 1,448 Rp - - - - - - - - - -
2 Alat suntik sekali pakai 0,05 ml 0 pcs Rp 1,995 Rp - - - - - - - - - -
3 Alat suntik sekali pakai 1 ml 300 pcs Rp 1,000 Rp 300,000 - 300 1,000 300,000 200 1,000 - 100 1,000 100,000 100
4 Alat suntik sekali pakai 2,5 ml 0 pcs Rp - Rp - - - - - - - - - -
5 Alat suntik sekali pakai 3 ml 395 pcs Rp 900 Rp 355,500 - 395 900 355,500 195 900 - 200 900 180,000 300
6 Alat suntik sekali pakai 5 ml 200 pcs Rp 2,049 Rp 409,800 - 200 2,049 409,800 200 2,049 399,555 - 2,049 - 300
7 Alat test kehamilan 300 pcs Rp 1,320 Rp 396,000 - 300 1,320 396,000 1,320 264,000 300 1,320 396,000
8 Alkohol 70% 6 botol Rp 32,500 Rp 195,000 3 32,500 97,500 9 32,500 292,500 8 32,500 - 1 32,500 32,500 4
9 Aseptan 5 botol Rp 44,850 Rp 224,250 5 44,850 224,250 10 44,850 448,500 5 44,850 358,800 5 44,850 224,250
10 Benang kulit 4 pcs Rp 13,860 Rp 55,440 - 4 13,860 55,440 - 13,860 69,300 4 13,860 55,440
11 Benang otot 4 pcs Rp 13,860 Rp 55,440 - 4 - - - - 4 - 55,440
12 Bisturi No. 10 G 200 pcs Rp 1,450 Rp 290,000 - 200 - - 100 - - 100 - 145,000 100
13 IV Chateter No. 20 Gx11/4 45 pcs Rp 4,750 Rp 213,750 - 45 - - - - - 45 - 213,750
14 IV Chateter No. 22 Gx11/4 185 pcs Rp 4,750 Rp 878,750 - 185 - - - - 185 - 878,750
15 IV Chateter No. 24 Gx11/4 140 pcs Rp 4,750 Rp 665,000 - 140 - - 40 - - 100 - 475,000
16 IV Channula, without wings No. 22 0 pcs Rp - Rp - - - - - - - - - - -
17 IV Channula, without wings No. 24 0 pcs Rp - Rp - - - - - - - - - - -
18 Cutgut plan 2/0 plus jarum 1/2 DT 35 mm pcs Rp 167,500 Rp - - - - - - - 1
0 - - -
19 Cutgut plan 3/0 plus jarum 1/2 DT 35 mm pcs Rp 167,500 Rp 4,020,000 - 24 - - 24 - - 1
24 - - -
20 Cutgut cromic 2/0 plus jarum 1/2 DT 35 mm pcs Rp 167,500 Rp 4,020,000 - 24 - - 24 - -
24 - - -
21 Cutgut cromic 3/0 plus jarum 1/2 DT 35 mm pcs Rp 167,500 Rp 4,020,000 - 24 - - 24 - -
24 - - -
22 Etakridin 0 botol Rp - Rp - - - - - - - - - -
23 Folley Chateter 2 way No 14 16 pcs Rp 10,560 Rp 168,960 10 10,560 105,600 26 10,560 274,560 10,560 - 26 10,560 274,560
27 Handscoon panjang steril 50 pcs Rp - Rp - 10 178,500 1,785,000 60 178,500 10,710,000 4 178,500 - 56 178,500 9,996,000
28 Infuset Anak 145 pcs Rp 6,622 Rp 960,190 - 145 6,622 960,190 6,622 26,488 145 6,622 960,190
29 Infuset Dewasa 140 pcs Rp 6,622 Rp 927,080 - 140 6,622 927,080 100 6,622 - 40 6,622 264,880 100
30 Jarum jahit kulit 300 pcs Rp 1,881 Rp 564,300 - 300 1,881 564,300 12 1,881 188,100 288 1,881 541,728
31 Jarum jahit otot 324 pcs Rp 1,881 Rp 609,444 - 324 1,881 609,444 1,881 22,572 324 1,881 609,444
32 Kapas pembalut absorben 250 mg 6 roll Rp 15,000 Rp 90,000 - 6 15,000 90,000 1 15,000 15,000 5 15,000 75,000
33 Kassa pembalut hidrofil 4x10 cm 100 roll Rp 2,520 Rp 252,000 - 100 2,520 252,000 - 2,520 2,520 100 2,520 252,000
34 Kassa pembalut hidrofil 4x5 cm 40 roll Rp 1,120 Rp 44,800 - 40 1,120 44,800 1,120 - 40 1,120 44,800 100
35 Kassa hidrofil 40x80 cm 2 roll Rp 131,250 Rp 262,500 5 131,250 656,250 7 131,250 918,750 3 131,250 393,750 4 131,250 525,000 2
36 Masker N95 0 Rp 162,800 Rp - - - - - - - - - -
Masker 2
37 Masker 2 box Rp 27,500 Rp 55,000 4 27,500 110,000 6 27,500 165,000 6 27,500 - - 27,500 - 5
38 Maxter exam glove no powder L (Handscoon box Rp 44,525 Rp 623,350 44,525 - 14 44,525 623,350 14 44,525 267,150 13
non steril) 14 - 44,525 -
39 My Jelly 0 tube Rp 50,380 Rp - 5 50,380 251,900 5 50,380 251,900 1 50,380 705,320 4 50,380 201,520
40 One met sunction chateter No. 14 20 pcs Rp 3,200 Rp 64,000 - 20 3,200 64,000 - 3,200 3,200 20 3,200 64,000
41 One met sunction chateter No. 16 20 pcs Rp 3,200 Rp 64,000 - 20 3,200 64,000 - 3,200 - 20 3,200 64,000
Maret APRIL
2020
1 2 3 4 5 6 7 8 9 10 11
42 One met sunction chateter No. 18 10 pcs Rp 3,200 Rp 32,000 - 10 3,200 32,000 3,200 - 10 3,200 32,000
43 Plester 26 roll Rp 20,000 Rp 520,000 - 26 20,000 520,000 10 20,000 - 16 20,000 320,000
44 Rivanol 8 botol Rp 5,225 Rp 41,800 - 8 5,225 41,800 - 8 - 41,800
45 Safeglove surgical steril (Handscoon steril) pcs Rp 902 Rp 762,190 - 845 902 762,190 845 902 - 100
845 - 902 -
46 Silk 2/0 plus jarum 1/2 DT 35 mm 0 pcs Rp - Rp - - - - - - - - - -
47 Silk 3/0 plus jarum 1/2 DT 35 mm 36 pcs Rp - Rp - - 36 - - 36 - - - - -
48 Stik Asam Urat 200 pcs Rp 4,620 Rp 924,000 - 200 4,620 924,000 - 4,620 166,320 200 4,620 924,000
49 Stik Gula Darah 100 pcs Rp 3,740 Rp 374,000 - 100 3,740 374,000 3,740 - 100 3,740 374,000
50 Stik Kolesterol 200 pcs Rp 18,260 Rp 3,652,000 - 200 18,260 3,652,000 5 18,260 - 195 18,260 3,560,700
51 Urine bag 0 pcs Rp 23,540 Rp - 20 5,577 111,540 20 5,577 111,540 12 5,577 27,885 8 5,577 188,320 10
52 HCL 0 botol Rp - Rp - - - - - - - - - -
53 Sefter Thicker 0 pcs Rp - Rp - - - - - - - - - -
54 Lab Kit 0 Paket Rp - Rp - - - - - - - - -
55 Safeglove Examination Gloves M Box Rp 44,525 Rp 178,100 - 4 - - 4 44,525 -
( Handscoon Non Steril ) 4 (100pcs) - 44,525 -
56 Masker Oksigen Dewasa 4 Pcs Rp 16,940 Rp 67,760 - 4 16,940 67,760 4 16,940 67,760 - 16,940 - 5
57 Masker Oksigen Anak 5 Pcs Rp 16,940 Rp 84,700 - 4 16,940 67,760 16,940 67,760 4 16,940 67,760 5
Nasal Oksigen dewasa Rp 6,875 Rp - - 5 6,875 34,375 1 6,875 - 4 6,875 27,500 5
58 Nasal Oksigen Bayi 1 Pcs Rp 6,875 Rp 6,875 - 1 6,875 6,875 - 6,875 6,875 1 6,875 6,875 5
59 SoftPad 60 x 90cm bag Rp 52,030 Rp - 2 - 2 52,030 104,060 52,030 - 2
(10pcs) 2 52,030 104,060
60 Kassa 16x16cm 8 Box Rp 10,000 Rp 80,000 - 8 10,000 80,000 10,000 -
(16pcs) 8 10,000 80,000
61 Plester hipafix 15x5 roll Rp 216,189 Rp - - - - - - - - - -
62 Masker - - -
63 Susu Pengobatan Penderita TB 135,000 - - 135,000 - 135,000 - 135,000 -
64 New Test 2019-nCov +Lancet - - - 100
65 Metanol 250ml 1 49,140 49,140 1 49,140 49,140 1 49,140 49,140
Infrared Thermometer 3 2,300,000 6,900,000 3 2,300,000 6,900,000 2 2,300,000 4,600,000 1 2,300,000 2,300,000 -
JUMLAH Rp 93,905,372 38,309,320 102,327,277 39,498,096 67,577,398
155,367,776
Mengetahui
Kepala Puskesmas

NIP:19730928 199312 2 002
Maret APRIL
2020
1 2 3 4 5 6 7 8 9 10 11
-
BULAN April s/d Juni 2020
HARGA JUMLAH PERSEDIAAN HARGA SATUAN JUMLAH PENGELU HARGA JUMLAH SISA MEI HARGA JUMLAH PENERIMAAN HARGA JUMLAH PERSEDIAAN HARGA JUMLAH PENGELUAR HARGA JUMLAH SISA JUNI HARGA
SATUAN MEI ARAN MEI SATUAN SATUAN JUNI SATUAN JUNI SATUAN AN JUNI SATUAN SATUAN
12 13 14 15 16 17 18
527 - 1,850 527 974,950 - 527 - 1,850 527 974,950 1,500 568 852,000 3,350 568 1,902,800 2,473 568 1,404,664 877 568
295 590,000 2,400 295 708,000 1,000 295 295,000 1,400 295 413,000 295 - 1,400 295 413,000 1,200 295 354,000 200 295
5,800 1,160,000 200 5,800 1,160,000 100 5,800 580,000 100 5,800 580,000 5,800 - 100 5,800 580,000 100 5,800 580,000 - 5,800
205 820,000 5,200 205 1,066,000 2,800 205 574,000 2,400 205 492,000 2,000 205 410,000 4,400 205 902,000 3,100 205 635,500 1,300 205
- - - - - - - - - - - - - - - - - - - -
180 - 100 180 18,000 - 180 - 100 180 18,000 180 - 100 180 18,000 - 180 - 100 180
220 - 500 220 110,000 - 220 - 500 220 110,000 220 - 500 220 110,000 - 220 - 500 220
83 83,000 2,900 83 240,700 950 83 78,850 1,950 83 161,850 1,000 83 83,000 2,950 83 244,850 500 83 41,500 2,450 83
792 7,128,000 9,000 792 7,128,000 7,000 792 5,544,000 2,000 792 1,584,000 6,000 792 4,752,000 8,000 792 6,336,000 5,700 792 4,514,400 2,300 792
4,172 500,640 150 4,172 625,800 60 4,172 250,320 90 4,172 375,480 60 4,172 250,320 150 4,172 625,800 90 4,172 375,480 60 4,172
-
- - 10 - - 10 - - - - - 10 10,296 102,960 10 10,296 102,960 - 10,296 - 10 10,296
- - 2 - - - - 2 - - - - 2 - - 1 - - 1 -
145 - 7,000 145 1,015,000 4,600 145 667,000 2,400 145 348,000 145 - 2,400 145 348,000 1,400 145 203,000 1,000 145
74 222,000 3,000 74 222,000 3,000 74 222,000 - 74 - 5,000 74 370,000 5,000 74 370,000 3,000 74 222,000 2,000 74
2,408 602,000 250 2,408 602,000 100 2,408 240,800 150 2,408 361,200 2,408 - 150 2,408 361,200 50 2,408 120,400 100 2,408
3,805 76,100 75 3,805 285,375 10 3,805 38,050 65 3,805 247,325 30 3,805 114,150 95 3,805 361,475 - 3,805 - 95 3,805
1,958 - 90 1,958 176,220 1,958 - 90 1,958 176,220 1,958 - 90 1,958 176,220 1,958 - 90 1,958
131 1,834,000 14,000 131 1,834,000 5,400 131 707,400 8,600 131 1,126,600 131 - 8,600 131 1,126,600 6,700 131 877,700 1,900 131
- - - - - - - - - - - - - - - - - - -
81 81,000 1,700 81 137,700 200 81 16,200 1,500 81 121,500 81 - 1,500 81 121,500 - 81 - 1,500 81
418 1,254,000 4,100 418 1,713,800 4,100 418 1,713,800 - 418 - 3,000 418 1,254,000 3,000 418 1,254,000 3,000 418 1,254,000 - 418
- - - - - - - - - - - - - - - - - - -
5,000 - 96 5,000 480,000 5,000 - 96 5,000 480,000 5,000 - 96 5,000 480,000 - 5,000 - 96 5,000
539 1,078,000 2,000 539 1,078,000 539 - 2,000 539 1,078,000 539 - 2,000 539 1,078,000 - 539 - 2,000 539
189 - 500 189 94,500 189 - 500 189 94,500 189 - 500 189 94,500 - 189 - 500 189
4,407 - 25 4,407 110,175 4,407 - 25 4,407 110,175 4,407 - 25 4,407 110,175 - 4,407 - 25 4,407
20,375 - 100 20,375 2,037,500 20,375 - 100 20,375 2,037,500 20,375 - 100 20,375 2,037,500 20,375 - 100 20,375
18,275 - 80 18,275 1,462,000 18,275 - 80 18,275 1,462,000 18,275 - 80 18,275 1,462,000 18,275 - 80 18,275
1,450 - 82 1,450 118,900 11 1,450 15,950 71 1,450 102,950 1,450 - 71 1,450 102,950 3 1,450 4,350 68 1,450
1,550 155,000 115 1,550 178,250 70 1,550 108,500 45 1,550 69,750 100 1,550 155,000 145 1,550 224,750 70 1,550 108,500 75 1,550
- - - - - - - - - - - - - - - - - - -
457 - 1,800 457 822,600 1,800 457 822,600 - 457 - 2,500 193 482,500 2,500 193 482,500 1,700 193 328,100 800 193
12,000 - 3 12,000 36,000 12,000 - 3 12,000 36,000 12,000 - 3 12,000 36,000 1 12,000 12,000 2 12,000
1,378 137,800 115 1,378 158,470 25 1,378 34,450 90 1,378 124,020 1,378 - 90 1,378 124,020 20 1,378 27,560 70 1,378
200 1,400,000 7,000 200 1,400,000 5,300 200 1,060,000 1,700 200 340,000 6,000 200 1,200,000 7,700 200 1,540,000 4,800 200 960,000 2,900 200
3,038 - 10 3,038 30,380 3,038 - 10 3,038 30,380 3,038 - 10 3,038 30,380 - 3,038 - 10 3,038
3,038 - 35 3,038 106,330 3,038 - 35 3,038 106,330 300 121 36,300 335 121 40,535 35 121 4,235 300 121
1,321 - - 1,321 - 1,321 - - 1,321 - 1,321 - - 1,321 - 1,321 - - 1,321
3,105 155,250 50 3,105 155,250 50 3,105 155,250 - 3,105 - 50 3,105 155,250 50 3,105 155,250 - 3,105 - 50 3,105
- - - - - - - - - - - - - - - - - - -
2,486 248,600 125 2,486 310,750 2,486 - 125 2,486 310,750 2,486 - 125 2,486 310,750 - 2,486 - 125 2,486
128 - 500 128 64,000 128 - 500 128 64,000 128 - 500 128 64,000 128 - 500 128
545 - 300 545 163,500 545 - 300 545 163,500 545 - 300 545 163,500 545 - 300 545
170 - 450 170 76,500 170 - 450 170 76,500 170 - 450 170 76,500 - 170 - 450 170
- - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - -
4,595 137,850 175 4,595 804,125 30 4,595 137,850 145 4,595 666,275 4,595 - 145 4,595 666,275 - 4,595 - 145 4,595
866 - 500 866 433,000 866 - 500 866 433,000 866 - 500 866 433,000 100 866 86,600 400 866
102 - 800 102 81,600 102 - 800 102 81,600 102 - 800 102 81,600 200 102 20,400 600 102
12 13 14 15 16 17 18
1,375 - 600 1,375 825,000 1,375 - 600 1,375 825,000 1,375 - 600 1,375 825,000 1,375 - 600 1,375
3,854 - - 3,854 - 3,854 - - 3,854 - 3,854 - - 3,854 - 3,854 - - 3,854
2,976 297,600 100 2,976 297,600 60 2,976 178,560 40 2,976 119,040 50 2,976 148,800 90 2,976 267,840 40 2,976 119,040 50 2,976
5,315 127,560 48 5,315 255,120 - 5,315 - 48 5,315 255,120 5,315 - 48 5,315 255,120 - 5,315 - 48 5,315
93 - 400 93 37,200 - 93 - 400 93 37,200 93 - 400 93 37,200 93 - 400 93
167 1,002,000 8,000 167 1,336,000 4,600 167 768,200 3,400 167 567,800 5,000 167 835,000 8,400 167 1,402,800 4,700 167 784,900 3,700 167
- - - - - - - - - - - - - - - - - - - -
9,240 46,200 5 9,240 46,200 - 9,240 - 5 9,240 46,200 9,240 - 5 9,240 46,200 - 9,240 - 5 9,240
- - - - - - - - - - - - - - - - - - - -
3,600 - 62 3,600 223,200 45 3,600 162,000 17 3,600 61,200 96 3,600 345,600 113 3,600 406,800 65 3,600 234,000 48 3,600
- - 1,000 - - - - - 1,000 - - - - 1,000 - - - - - 1,000 -
118 1,557,600 13,200 118 1,557,600 6,200 118 731,600 7,000 118 826,000 3,000 118 354,000 10,000 118 1,180,000 5,500 118 649,000 4,500 118
176 352,000 2,000 176 352,000 300 176 52,800 1,700 176 299,200 176 - 1,700 176 299,200 200 176 35,200 1,500 176
- - 500 - - - - - 500 - - - - 500 - - - - - 500 -
205 410,000 2,000 205 410,000 200 205 41,000 1,800 205 369,000 205 - 1,800 205 369,000 400 205 82,000 1,400 205
2,893 - 85 2,893 245,905 50 2,893 144,650 35 2,893 101,255 2,893 - 35 2,893 101,255 35 2,893 101,255 - 2,893
- - - - - - - - - - - - - - - - - - - -
1,991 1,991,000 1,000 1,991 1,991,000 - 1,991 - 1,000 1,991 1,991,000 1,991 - 1,000 1,991 1,991,000 - 1,991 - 1,000 1,991
- - - - - - - - - - - - - - - - - - - -
7,433 371,650 102 7,433 758,166 39 7,433 289,887 63 7,433 468,279 7,433 - 63 7,433 468,279 29 7,433 215,557 34 7,433
- - - - - - - - - - - - - - - - - - - -
10,780 269,500 55 10,780 592,900 35 10,780 377,300 20 10,780 215,600 50 10,780 539,000 70 10,780 754,600 - 10,780 - 70 10,780
43 344,000 7,000 43 301,000 6,000 43 258,000 1,000 43 43,000 8,000 43 344,000 9,000 43 387,000 6,400 43 275,200 2,600 43
273 546,000 3,200 273 873,600 1,200 273 327,600 2,000 273 546,000 273 - 2,000 273 546,000 1,200 273 327,600 800 273
5,500 - 95 5,500 522,500 5 5,500 27,500 90 5,500 495,000 5,500 - 90 5,500 495,000 40 5,500 220,000 50 5,500
6,900 276,000 97 6,900 669,300 20 6,900 138,000 77 6,900 531,300 6,900 - 77 6,900 531,300 - 6,900 - 77 6,900
- - 15 - - - - - 15 - - - - 15 - - - - - 15 -
6,840 684,000 150 6,840 1,026,000 20 6,840 136,800 130 6,840 889,200 6,840 - 130 6,840 889,200 20 6,840 136,800 110 6,840
7,630 763,000 150 7,630 1,144,500 90 7,630 686,700 60 7,630 457,800 100 7,630 763,000 160 7,630 1,220,800 60 7,630 457,800 100 7,630
1,026 - 80 1,026 82,080 30 1,026 30,780 50 1,026 51,300 100 1,529 152,900 150 1,529 229,350 70 1,529 107,030 80 1,529
95 - 500 95 47,500 - 95 - 500 95 47,500 95 - 500 95 47,500 - 95 - 500 95
550 1,100,000 2,000 550 1,100,000 700 550 385,000 1,300 550 715,000 550 - 1,300 550 715,000 - 550 - 1,300 550
7,920 - - 7,920 - - 7,920 - - 7,920 - 7,920 - - 7,920 - 7,920 - - 7,920
- - 24 - - - - - 24 - - - - 24 - - - - - 24 -
3,693 369,300 200 3,693 738,600 - 3,693 - 200 3,693 738,600 3,693 - 200 3,693 738,600 3,693 - 200 3,693
352 - - 352 - - 352 - - 352 - 352 - - 352 - 352 - - 352
153 306,000 4,700 153 719,100 500 153 76,500 4,200 153 642,600 153 - 4,200 153 642,600 - 153 - 4,200 153
113 - 500 113 56,500 - 113 - 500 113 56,500 113 - 500 113 56,500 113 - 500 113
- - 400 - - - - - 400 - - - - 400 - - - - 400 -
- - - - - - - - - - - - - - - - - - - - -
151 - 4,000 151 604,000 900 151 135,900 3,100 151 468,100 151 - 3,100 151 468,100 300 151 45,300 2,800 151
- - 8 - - - - - 8 - - - - 8 - - - - - 8 -
4,060 - 24 4,060 97,440 - 4,060 - 24 4,060 97,440 4,060 - 24 4,060 97,440 24 4,060 97,440 - 4,060
479 - 1,200 479 574,800 - 479 - 1,200 479 574,800 479 - 1,200 479 574,800 - 479 - 1,200 479
494 - 3,000 494 1,482,000 - 494 - 3,000 494 1,482,000 494 - 3,000 494 1,482,000 1,000 494 494,000 2,000 494
200 - 200 200 40,000 - 200 - 200 200 40,000 200 - 200 200 40,000 200 - 200 200
444 - - 444 - - 444 - - 444 - 444 - - 444 - - 444 - - 444
720 - - 720 - - 720 - - 720 - 720 - - 720 - 720 - - 720
2,500 - - 2,500 - - 2,500 - - 2,500 - 2,500 - - 2,500 - 2,500 - - 2,500
- - - - - - - - - - - - - - - - - - - -
4,659 - 115 4,659 535,785 5 4,659 23,295 110 4,659 512,490 4,659 - 110 4,659 512,490 4,659 - 110 4,659
1,900 - (8) 1,900 (15,200) 32 1,900 60,800 (40) 1,900 (76,000) 1,900 - (40) 1,900 (76,000) 5 1,900 9,500 (45) 1,900
631 - 1,530 631 965,430 - 631 - 1,530 631 965,430 631 - 1,530 631 965,430 600 631 378,600 930 631
12 13 14 15 16 17 18
- - - - - - - - - - - - - - - - - - - - -
590 - - 590 - - 590 - - 590 - 590 - - 590 - 590 - - 590
460 - 300 460 138,000 200 460 92,000 100 460 46,000 460 - 100 460 46,000 460 - 100 460
7,920 - - 7,920 - - 7,920 - - 7,920 - 7,920 - - 7,920 - - 7,920 - - 7,920
479 53,648 140 479 67,060 84 479 40,236 56 479 26,824 56 479 26,824 112 479 53,648 479 - 112 479
3,520 - - 3,520 - - 3,520 - - 3,520 - 3,520 - - 3,520 - - 3,520 - - 3,520
96 - - 96 - - 96 - - 96 - 96 - - 96 - 96 - - 96
145 1,160,000 8,000 145 1,160,000 5,100 145 739,500 2,900 145 420,500 8,000 145 1,160,000 10,900 145 1,580,500 145 - 10,900 145
20,700 - 20 20,700 414,000 5 20,700 103,500 15 20,700 310,500 20,700 - 15 20,700 310,500 - 20,700 - 15 20,700
545 - 400 545 218,000 545 - 400 545 218,000 545 - 400 545 218,000 10 545 5,450 390 545
655 - 400 655 262,000 - 655 - 400 655 262,000 655 - 400 655 262,000 655 - 400 655
183 366,000 2,800 183 512,400 900 183 164,700 1,900 183 347,700 1,000 183 183,000 2,900 183 530,700 1,100 183 201,300 1,800 183
154 308,000 2,300 154 354,200 1,300 154 200,200 1,000 154 154,000 1,000 154 154,000 2,000 154 308,000 1,400 154 215,600 600 154
- - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - -
23,400 234,000 14 23,400 327,600 2 23,400 46,800 12 23,400 280,800 23,400 - 12 23,400 280,800 23,400 - 12 23,400
130 - 800 130 104,000 - 130 - 800 130 104,000 130 - 800 130 104,000 2 130 260 798 130
675 - 500 675 337,500 - 675 - 500 675 337,500 675 - 500 675 337,500 - 675 - 500 675
1,573 157,300 145 1,573 228,085 91 1,573 143,143 54 1,573 84,942 100 1,573 157,300 154 1,573 242,242 54 1,573 84,942 100 1,573
343 686,000 2,400 343 823,200 900 343 308,700 1,500 343 514,500 1,000 343 343,000 2,500 343 857,500 500 343 171,500 2,000 343
355 - - 355 - - 355 - - 355 - 355 - - 355 - 355 - - 355
636 - - 636 - - 636 - - 636 - 636 - - 636 - 636 - - 636
240 - 420 240 100,800 - 240 - 420 240 100,800 240 - 420 240 100,800 240 - 420 240
- - - - - - - - - - - - - - - - - - - -
95 95,000 3,300 95 313,500 2,500 95 237,500 800 95 76,000 3,000 95 285,000 3,800 95 361,000 1,600 95 152,000 2,200 95
10,560 422,400 100 10,560 1,056,000 30 10,560 316,800 70 10,560 739,200 20 10,560 211,200 90 10,560 950,400 50 10,560 528,000 40 10,560
3,040 - - 3,040 - 3,040 - - 3,040 - 3,040 - - 3,040 - 3,040 - - 3,040
1,210 2,420,000 2,500 1,210 3,025,000 700 1,210 847,000 1,800 1,210 2,178,000 1,210 - 1,800 1,210 2,178,000 600 1,210 726,000 1,200 1,210
5,688 - - 5,688 - 5,688 - - 5,688 - 5,688 - - 5,688 - - 5,688 - - 5,688
60 240,000 7,000 60 420,000 1,750 60 105,000 5,250 60 315,000 60 - 5,250 60 315,000 2,500 60 150,000 2,750 60
1,425 142,500 150 1,425 213,750 50 1,425 71,250 100 1,425 142,500 1,425 - 100 1,425 142,500 70 1,425 99,750 30 1,425
- - - - - - - - - - - - - - - - - - -
250 - 700 250 175,000 400 250 100,000 300 250 75,000 250 - 300 250 75,000 70 250 17,500 230 250
276 276,000 3,100 276 855,600 276 - 3,100 276 855,600 276 - 3,100 276 855,600 700 276 193,200 2,400 276
1,595 - 30 1,595 47,850 10 1,595 15,950 20 1,595 31,900 1,595 - 20 1,595 31,900 1,595 - 20 1,595
253 253,000 2,000 253 506,000 2,000 253 506,000 - 253 - 3,000 253 759,000 3,000 253 759,000 1,000 253 253,000 2,000 253
147 1,176,000 8,000 147 1,176,000 2,800 147 411,600 5,200 147 764,400 5,000 147 735,000 10,200 147 1,499,400 4,600 147 676,200 5,600 147
- - 39 - - - - 39 - - - - 39 - - - - 39 -
- - 2,300 - - 700 - - 1,600 - - - - 1,600 - - - - 1,600 -
- - - - - - - - - - - - - - - - - - - -
1,265 632,500 500 1,265 632,500 500 1,265 632,500 - 1,265 - 1,265 - - 1,265 - - 1,265 - - 1,265
350 3,500,000 11,700 350 4,095,000 11,200 350 3,920,000 500 350 175,000 10,000 350 3,500,000 10,500 350 3,675,000 7,800 350 2,730,000 2,700 350
14,245 1,709,400 180 14,245 2,564,100 60 14,245 854,700 120 14,245 1,709,400 14,245 - 120 14,245 1,709,400 60 14,245 854,700 60 14,245
438 876,000 2,000 438 876,000 500 438 219,000 1,500 438 657,000 438 - 1,500 438 657,000 500 438 219,000 1,000 438
438 - - 438 - 438 - - 438 - 438 - - 438 - 438 - - 438
- - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - -
- - - - -
- - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - -
12 13 14 15 16 17 18
- - 29 - - - - - 29 - - - - 29 - - - - 29 -
- - 7,109 - - - - - 7,109 - - - - 7,109 - - - - 7,109 -
- - 1 - - - - - 1 - - - - 1 - - - - 1 -
- - 5,800 - - - - - 5,800 - - - - 5,800 - - - - 5,800 -
53,300 266,500 9 53,300 479,700 1 53,300 53,300 8 53,300 426,400 53,300 - 8 53,300 426,400 4 53,300 213,200 4 53,300
6,476 647,600 100 6,476 647,600 - 6,476 - 100 6,476 647,600 6,476 - 100 6,476 647,600 40 6,476 259,040 60 6,476
- - - - - - - - - - - - - - - - - - - - -
519,339 1,038,678 2 519,339 1,038,678 2 519,339 1,038,678 - 519,339 - 7 519,339 3,635,373 7 519,339 3,635,373 6 519,339 3,116,034 1 519,339
- - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - -
5,000 - - 5,000 - - 5,000 - - 5,000 - 5,000 - - 5,000 - 5,000 - - 5,000
235 - 500 235 117,500 - 235 - 500 235 117,500 235 - 500 235 117,500 235 - 500 235
- - 5 - - - - - 5 - - - - 5 - - - - 5 -
- - 5 - - - - - 5 - - - - 5 - - - - 5 -
- - 5 - - - - - 5 - - - - 5 - - - - 5 -
- - 1 - - - - - 1 - - - - 1 - - - - - 1 -
20,900 627,000 63 20,900 1,316,700 28 20,900 585,200 35 20,900 731,500 30 20,900 627,000 65 20,900 1,358,500 43 20,900 898,700 22 20,900
5,450 - 32 5,450 174,400 18 5,450 98,100 14 5,450 76,300 20 5,450 109,000 34 5,450 185,300 14 5,450 76,300 20 5,450
19,954 399,080 36 19,954 718,344 26 19,954 518,804 10 19,954 199,540 20 19,954 399,080 30 19,954 598,620 23 19,954 458,942 7 19,954
70,232 702,320 40 70,232 2,809,280 21 70,232 1,474,872 19 70,232 1,334,408 20 70,232 1,404,640 39 70,232 2,739,048 21 70,232 1,474,872 18 70,232
141,648 2,832,960 42 141,648 5,949,216 16 141,648 2,266,368 26 141,648 3,682,848 141,648 - 26 141,648 3,682,848 19 141,648 2,691,312 7 141,648
15,550 - 5 15,550 77,750 15,550 - 5 15,550 77,750 15,550 - 5 15,550 77,750 - 15,550 - 5 15,550
15,000 - 27 15,000 405,000 1 15,000 15,000 26 15,000 390,000 15,000 - 26 15,000 390,000 3 15,000 45,000 23 15,000
137,610 - 20 137,610 2,752,200 5 137,610 688,050 15 137,610 2,064,150 137,610 - 15 137,610 2,064,150 6 137,610 825,660 9 137,610
1,995 - 50 1,995 99,750 20 1,995 39,900 30 1,995 59,850 1,995 - 30 1,995 59,850 1,995 - 30 1,995
1,448 289,600 500 1,448 724,000 100 1,448 144,800 400 1,448 579,200 200 1,448 289,600 600 1,448 868,800 1,448 - 600 1,448
1,448 - 17 1,448 24,616 1,448 - 17 1,448 24,616 1,448 - 17 1,448 24,616 1,448 - 17 1,448
26,889 - - 26,889 - 26,889 - - 26,889 - 26,889 - - 26,889 - 26,889 - - 26,889
68,000 - 1 68,000 68,000 - 68,000 - 1 68,000 68,000 68,000 - 1 68,000 68,000 68,000 - 1 68,000
135,000 270,000 2 135,000 270,000 2 135,000 270,000 - 135,000 - 7 135,000 945,000 7 135,000 945,000 135,000 - 7 135,000
- - 3,744 - - - - - 3,744 - - - - 3,744 - - - - 3,744 -
- - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - -
444 - - 444 - - 444 - - 444 - 444 - - 444 - 444 - - 444
422,980 - 1 422,980 422,980 - 422,980 - 1 422,980 422,980 422,980 - 1 422,980 422,980 422,980 - 1 422,980
1,448 - 100 1,448 144,800 100 1,448 144,800 - 1,448 - 10 50,875 508,750 10 50,875 508,750 10 50,875 508,750 - 50,875
- - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - -
240 - - 240 - - 240 - - 240 - 240 - - 240 - 240 - - 240
197 - 500 197 98,500 - 197 - 500 197 98,500 197 - 500 197 98,500 - 197 - 500 197
- - - - - - - - - - - - - - - - - - - -
975 - 200 975 195,000 - 975 - 200 975 195,000 975 - 200 975 195,000 975 - 200 975
43,000 - 12 43,000 516,000 - 43,000 - 12 43,000 516,000 43,000 - 12 43,000 516,000 43,000 - 12 43,000
1,325,000 - - 1,325,000 - 1,325,000 - - 1,325,000 - 1,325,000 - - 1,325,000 - 1,325,000 - - 1,325,000
- - - - - - - - - - 100 8,200 820,000 100 8,200 820,000 8,200 - 100 8,200
- - - - - - - - - - - - - - - - - - -
12 13 14 15 16 17 18
- - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - -
1,000 100,000 200 1,000 200,000 - 1,000 - 200 1,000 200,000 1,000 - 200 1,000 200,000 - 1,000 - 200 1,000
- - - - - - - - - - - - - - - - - - -
900 270,000 500 900 450,000 300 900 270,000 200 900 180,000 200 900 180,000 400 900 360,000 200 900 180,000 200 900
1,373 411,900 300 1,373 411,900 200 1,373 274,600 100 1,373 137,300 200 1,373 274,600 300 1,373 411,900 100 1,373 137,300 200 1,373
1,320 - 300 1,320 396,000 50 1,320 66,000 250 1,320 330,000 1,320 - 250 1,320 330,000 50 1,320 66,000 200 1,320
32,500 130,000 5 32,500 162,500 1 32,500 32,500 4 32,500 130,000 5 32,500 162,500 9 32,500 292,500 4 32,500 130,000 5 32,500
44,850 - 5 44,850 224,250 5 44,850 224,250 - 44,850 - 5 44,850 224,250 5 44,850 224,250 6 44,850 269,100 (1) 44,850
13,860 - 4 13,860 55,440 1 13,860 13,860 3 13,860 41,580 13,860 - 3 13,860 41,580 2 13,860 27,720 1 13,860
- - 4 - - 1 - - 3 - - - - 3 - - - - - 3 -
1,450 145,000 200 1,450 290,000 - 1,450 - 200 1,450 290,000 1,450 - 200 1,450 290,000 - 1,450 - 200 1,450
- - 45 - - 45 - - - - - 100 4,750 475,000 100 4,750 475,000 100 4,750 475,000 - 4,750
- - 185 - - 185 - - - - - 100 4,761 476,100 100 4,761 476,100 100 4,761 476,100 - 4,761
- - 100 - - 50 - - 50 - - 50 9,345 467,250 100 9,345 934,500 - 9,345 - 100 9,345
- - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - -
167,500 167,500 1 167,500 167,500 - 167,500 - 167,500 - 1 167,500 167,500 - 167,500 -
1 167,500 167,500 1 167,500
167,500 167,500 1 167,500 167,500 - 167,500 - 167,500 - 1 167,500 167,500 - 167,500 -
1 167,500 167,500 1 167,500
- - - - - - - - - - - - - - -
- - - - -
- - - - - - - - - - - - - - -
- - - - -
- - - - - - - - - - - - - - - - - - -
10,560 - 26 10,560 274,560 10,560 - 26 10,560 274,560 10,560 - 26 10,560 274,560 10,560 - 26 10,560
10,560 - 18 10,560 190,080 10,560 - 18 10,560 190,080 10,560 - 18 10,560 190,080 10,560 - 18 10,560
10,560 - 30 10,560 316,800 20 10,560 211,200 10 10,560 105,600 10,560 - 10 10,560 105,600 10,560 - 10 10,560
10,560 - 30 10,560 316,800 - 10,560 - 30 10,560 316,800 10,560 - 30 10,560 316,800 10,560 - 30 10,560
178,500 - 56 178,500 9,996,000 - 178,500 - 56 178,500 9,996,000 178,500 - 56 178,500 9,996,000 - 178,500 - 56 178,500
6,622 - 145 6,622 960,190 - 6,622 - 145 6,622 960,190 6,622 - 145 6,622 960,190 6,622 - 145 6,622
6,622 662,200 140 6,622 927,080 - 6,622 - 140 6,622 927,080 6,622 - 140 6,622 927,080 6,622 - 140 6,622
1,881 - 288 1,881 541,728 - 1,881 - 288 1,881 541,728 1,881 - 288 1,881 541,728 24 1,881 45,144 264 1,881
1,881 - 324 1,881 609,444 - 1,881 - 324 1,881 609,444 1,881 - 324 1,881 609,444 - 1,881 - 324 1,881
15,000 - 5 15,000 75,000 3 15,000 45,000 2 15,000 30,000 5 15,000 75,000 7 15,000 105,000 2 15,000 30,000 5 15,000
2,520 - 100 2,520 252,000 - 2,520 - 100 2,520 252,000 2,520 - 100 2,520 252,000 55 2,520 138,600 45 2,520
1,120 112,000 140 1,120 156,800 - 1,120 - 140 1,120 156,800 1,120 - 140 1,120 156,800 140 1,120 156,800 - 1,120
131,250 262,500 6 131,250 787,500 3 131,250 393,750 3 131,250 393,750 5 131,250 656,250 8 131,250 1,050,000 4 131,250 525,000 4 131,250
- - - - - - - - - - - - - - - - - - - -
200,000 400,000
27,500 137,500 5 27,500 137,500 5 27,500 137,500 - 27,500 - 5 27,500 137,500 5 27,500 137,500 4 27,500 110,000 1 27,500
44,525 578,825 13 44,525 578,825 10 44,525 445,250 10 44,525 445,250 13 44,525 578,825 10 44,525 445,250
3 44,525 133,575 3 44,525
50,380 - 4 50,380 201,520 1 50,380 50,380 3 50,380 151,140 50,380 - 3 50,380 151,140 - 50,380 - 3 50,380
3,200 - 20 3,200 64,000 - 3,200 - 20 3,200 64,000 3,200 - 20 3,200 64,000 3,200 - 20 3,200
3,200 - 20 3,200 64,000 - 3,200 - 20 3,200 64,000 3,200 - 20 3,200 64,000 3,200 - 20 3,200
12 13 14 15 16 17 18
3,200 - 10 3,200 32,000 10 3,200 32,000 - 3,200 - 3,200 - - 3,200 - 3,200 - - 3,200
20,000 - 16 20,000 320,000 14 20,000 280,000 2 20,000 40,000 20,000 - 2 20,000 40,000 2 20,000 40,000 - 20,000
- - 8 - - - - - 8 - - - - 8 - - - - 8 -
5,225 522,500 100 5,225 522,500 5,225 - 200 5,225 1,045,000 300 5,225 1,567,500 150 5,225 783,750
100 5,225 522,500 150 5,225
- - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - -
4,620 - 200 4,620 924,000 - 4,620 - 200 4,620 924,000 4,620 - 200 4,620 924,000 4,620 - 200 4,620
3,740 - 100 3,740 374,000 - 3,740 - 100 3,740 374,000 3,740 - 100 3,740 374,000 3,740 - 100 3,740
18,260 - 195 18,260 3,560,700 - 18,260 - 195 18,260 3,560,700 18,260 - 195 18,260 3,560,700 18,260 - 195 18,260
5,577 55,770 18 5,577 100,386 - 5,577 - 18 5,577 100,386 5,577 - 18 5,577 100,386 18 5,577 100,386 - 5,577
- - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - - - -
44,525 - - 44,525 - - 44,525 - 44,525 - - 44,525 - - 44,525 -
- 44,525 - - 44,525
16,940 84,700 5 16,940 84,700 - 16,940 - 5 16,940 84,700 10 16,940 169,400 15 16,940 254,100 3 16,940 50,820 12 16,940
16,940 84,700 9 16,940 152,460 - 16,940 - 9 16,940 152,460 16,940 - 9 16,940 152,460 16,940 - 9 16,940
6,875 34,375 9 6,875 61,875 - 6,875 - 9 6,875 61,875 6,875 - 9 6,875 61,875 3 6,875 20,625 6 6,875
6,875 34,375 6 6,875 41,250 - 6,875 - 6 6,875 41,250 6,875 - 6 6,875 41,250 6,875 - 6 6,875
52,030 104,060 4 52,030 208,120 1 52,030 52,030 52,030 - 3 52,030 156,090 1 52,030 52,030
3 52,030 156,090 2 52,030
10,000 - 8 10,000 80,000 - 10,000 - 10,000 - 8 10,000 80,000 10,000 -
8 10,000 80,000 8 10,000
- - - - - - - - - - 12 216,189 2,594,268 12 216,189 2,594,268 1 216,189 216,189 11 216,189
200,000 - - 200,000 - 200,000 - - 200,000 - 200,000 - - 200,000 - 200,000 - - 200,000
135,000 - - 135,000 - 135,000 - - 135,000 - 135,000 - - 135,000 - 135,000 - - 135,000
250,000 25,000,000 100 250,000 25,000,000 250,000 - 100 250,000 25,000,000 250,000 - 100 250,000 25,000,000 100 250,000 25,000,000 - 250,000
1 2,300,000 2,300,000 0 1 2,300,000 2,300,000 - 1 2,300,000 2,300,000 - 1 2,300,000

79,723,541 38,237,163 37,334,915 138,766,175 39,226,637
Malinjak, 29 Juni 2020

NIP:19831107 200904 2 006
12 13 14 15 16 17 18
- -
SISA JUNI DALAM (Rp)
19
Rp 498,136
Rp 59,000
Rp -
Rp 266,500
Rp -
Rp 18,000
Rp 110,000
Rp 203,350
Rp 1,821,600
Rp 250,320
Rp -
Rp 102,960
Rp -
Rp 145,000
Rp 148,000
Rp 240,800
Rp 361,475
Rp 176,220
Rp 248,900
Rp -
Rp 121,500
Rp -
Rp -
Rp 480,000
Rp 1,078,000
Rp 94,500
Rp 110,175
Rp 2,037,500
Rp 1,462,000
Rp 98,600
Rp 116,250
Rp -
Rp 154,400
Rp 24,000
Rp 96,460
Rp 580,000
Rp 30,380
Rp 36,300
Rp -
Rp 155,250
Rp -
Rp 310,750
Rp 64,000
Rp 163,500
Rp 76,500
Rp -
Rp -
Rp 666,275
Rp 346,400
Rp 61,200
19
Rp 825,000
Rp -
Rp 148,800
Rp 255,120
Rp 37,200
Rp 617,900
Rp -
Rp 46,200
Rp -
Rp 172,800
Rp -
Rp 531,000
Rp 264,000
Rp -
Rp 287,000
Rp -
Rp -
Rp 1,991,000
Rp -
Rp 252,722
Rp -
Rp 754,600
Rp 111,800
Rp 218,400
Rp 275,000
Rp 531,300
Rp -
Rp 752,400
Rp 763,000
Rp 122,320
Rp 47,500
Rp 715,000
Rp -
Rp -
Rp 738,600
Rp -
Rp 642,600
Rp 56,500
Rp -
Rp -
Rp 422,800
Rp -
Rp -
Rp 574,800
Rp 988,000
Rp 40,000
Rp -
Rp -
Rp -
Rp -
Rp 512,490
-Rp 85,500
Rp 586,830
19
Rp -
Rp -
Rp 46,000
Rp -
Rp 53,648
Rp -
Rp -
Rp 1,580,500
Rp 310,500
Rp 212,550
Rp 262,000
Rp 329,400
Rp 92,400
Rp -
Rp -
Rp 280,800
Rp 103,740
Rp 337,500
Rp 157,300
Rp 686,000
Rp -
Rp -
Rp 100,800
Rp -
Rp 209,000
Rp 422,400
Rp -
Rp 1,452,000
Rp -
Rp 165,000
Rp 42,750
Rp -
Rp 57,500
Rp 662,400
Rp 31,900
Rp 506,000
Rp 823,200
Rp -
Rp -
Rp -
Rp -
Rp 945,000
Rp 854,700
Rp 438,000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
19
Rp -
Rp -
Rp -
Rp -
Rp 213,200
Rp 388,560
Rp -
Rp 519,339
Rp -
Rp -
Rp -
Rp 117,500
Rp -
Rp -
Rp -
Rp -
Rp 459,800
Rp 109,000
Rp 139,678
Rp 1,264,176
Rp 991,536
Rp 77,750
Rp 345,000
Rp 1,238,490
Rp 59,850
Rp 868,800
Rp 24,616
Rp -
Rp 68,000
Rp 945,000
Rp -
Rp -
Rp -
Rp -
Rp 422,980
Rp -
Rp -
Rp -
Rp -
Rp 98,500
Rp -
Rp 195,000
Rp 516,000
Rp -
Rp 820,000
Rp -
19
Rp -
Rp -
Rp -
Rp 200,000
Rp -
Rp 180,000
Rp 274,600
Rp 264,000
Rp 162,500
-Rp 44,850
Rp 13,860
Rp -
Rp 290,000
Rp -
Rp -
Rp 934,500
Rp -
Rp -
Rp 167,500
Rp 167,500
Rp -
Rp -
Rp -
Rp 274,560
Rp 190,080
Rp 105,600
Rp 316,800
Rp 9,996,000
Rp 960,190
Rp 927,080
Rp 496,584
Rp 609,444
Rp 75,000
Rp 113,400
Rp -
Rp 525,000
Rp -
Rp 27,500
Rp 133,575
Rp 151,140
Rp 64,000
Rp 64,000
19
Rp -
Rp -
Rp -
Rp 783,750
Rp -
Rp -
Rp 924,000
Rp 374,000
Rp 3,560,700
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 203,280
Rp 152,460
Rp 41,250
Rp 41,250
Rp 104,060
Rp 80,000
Rp 2,378,079
Rp -
Rp -
Rp -
Rp 2,300,000
76,839,538
Obat Puskesmas
107 200904 2 006

BULAN Juli s/d September 2020
NO NAMA ITEM OBAT JUMLAH SATUAN HARGA SATUAN JUMLAH PENERIMAA HARGA JUMLAH PERSEDIAN PENGELUAR SISA JULI HARGA JUMLAH PENERIMA HARGA JUMLAH PERSEDIAAN PENGELUAR SISA HARGA
STOK JUNI OBAT N JULI SATUAN AN JULI SATUAN AN SATUAN AN AGUSTUS AGUSTUS SATUAN
2020 AGUSTUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 Albendasol 877 tablet Rp 527 Rp 462,179 - - 877 425 452 527 238,204 - 452 - 452 527
2 Allopurinol 100 mg 200 tablet Rp 127 Rp 25,400 2,000 295 590,000 2,200 1,000 1,200 295 354,000 1,000 295 295,000 2,200 1,000 1,200 295
3 Ambroksol sirup 0 botol Rp 4,000 Rp - 120 7,150 858,000 120 120 - 7,150 - 120 7,150 858,000 120 60 60 7,150
4 Ambroksol tablet 1300 tablet Rp 150 Rp 195,000 2,000 286 572,000 3,300 3300 - 286 - - - -
5 Aminophilin injeksi 24 mg / ml 0 ampul Rp 3,349 Rp - - - - - - - -
6 Aminophilin tablet 200 mg 0 tablet Rp 180 Rp - - - - - - - -
7 Amitripilin tablet 25 mg 500 tablet Rp 220 Rp 110,000 - 500 500 220 110,000 - 500 500 220
8 Amlodipin 10 mg 2450 tablet Rp 110 Rp 269,500 - 2,450 1550 900 110 99,000 2,000 83 166,000 2,900 1230 1,670 83
9 Amoksisilin 500 mg 2300 tablet Rp 245 Rp 563,500 5,000 792 3,960,000 7,300 5,700 1,600 792 1,267,200 5,000 792 3,960,000 6,600 5,400 1,200 792
10 Amoksisilin sirup kering 125 mg/5 ml 60 botol Rp 4,183 Rp 250,980 120 4,172 500,640 180 60 120 4,172 500,640 - 120 60 60 4,172
11 Ampicillin Injeksi 10 ampul Rp - Rp - - 10 - 10 17,830 178,300 - 10 - 10 17,830
12 Anti Bisa Ular 1 tablet Rp - Rp - 3 512,204 1,536,612 4 4 512,204 2,048,816 - 4 - 4 512,204
13 Antalgin Tablet 0 tablet Rp 145 Rp - - - - - - - - -
14 Antasida DOEN I tablet 2000 botol Rp 74 Rp 148,000 2,000 350 700,000 4,000 1,800 2,200 350 770,000 4,000 350 1,400,000 6,200 3,300 2,900 350
15 Antasida DOEN II suspensi 150 suppo Rp 2,408 Rp 361,200 - 150 150 - 2,408 - 250 2,408 602,000 250 100 150 2,408
16 Antihemoroid 40 tablet Rp 3,806 Rp 152,240 - 40 - 40 3,806 152,240 - 40 10 30 3,806
17 Artropin Injeksi 90 tablet Rp 1,958 Rp 176,220 - 90 - 90 1,958 176,220 - 90 90 1,958
18 Asam Ascorbat 50 mg 1900 tablet Rp 130 Rp 247,000 5,000 131 655,000 6,900 5,600 1,300 131 170,300 5,000 131 655,000 6,300 6,300 - 131
19 Asam Ascorbat 250 mg 0 tablet Rp 139 Rp - - - - - - - - -
20 Asam Folat 1 mg 1500 ampul Rp 57 Rp 85,500 - 1,500 - 1,500 57 85,500 - 1,500 100 1,400 57
21 Asam Mefenamat 500 mg 0 tube Rp 139 Rp - 2,000 418 836,000 2,000 2,000 - 418 - 2,000 418 836,000 2,000 2,000 - 418
Asam asetil salisilat asetosal 500 110 55,000
22 Asam Traneksamat Injeksi 0 tablet Rp - Rp - - - - - - - -
23 Asiklovir Salep 96 tablet Rp 5,000 Rp 480,000 - 96 - 96 5,000 480,000 - 96 96 5,000
24 Asiklovir 200 mg 2000 vial Rp 287 Rp 574,000 - 2,000 - 2,000 287 574,000 - 2,000 2,000 287
25 Atapulgit (Akita) 500 pot Rp 120 Rp 60,000 - 500 - 500 120 60,000 - 500 200 300 120
26 Aqua Pro injeksi 25 tube Rp 2,400 Rp 60,000 - 25 10 15 2,400 36,000 - 15 13 2 2,400
27 Answer Dengue Ag 100 tablet Rp 20,375 Rp 2,037,500 - 100 - 100 20,375 2,037,500 - 100 100 20,375
28 Answer Dengue Ig 80 tablet Rp 18,275 Rp 1,462,000 - 80 - 80 18,275 1,462,000 - 80 80 18,275
29 Bedak salicyl serbuk 2 % 34 botol Rp 1,450 Rp 49,300 - 34 5 29 1,450 42,050 - 29 29 1,450
30 Betametason krim 75 ampul Rp 3,500 Rp 262,500 50 1,550 77,500 125 50 75 1,550 116,250 25 1,550 38,750 100 100 - 1,550
31 Besi (II) sukfat 200 mg + asam folat tablet Rp 49 Rp - - - - - -
0 - - -
32 Captopril 25 mg 800 tablet Rp 457 Rp 365,600 2,000 193 386,000 2,800 1,000 1,800 193 347,400 - 1,800 900 900 193
33 Clor Etil 0 tablet Rp 12,000 Rp - - - - - - - - -
34 Deksametason injeksi 70 ampul Rp 1,378 Rp 96,460 - 70 20 50 1,378 68,900 - 50 30 20 1,378
35 Deksametason tablet 0,5 mg 2900 botol Rp 75 Rp 217,500 3,000 200 600,000 5,900 5,900 - 200 - 6,000 200 1,200,000 6,000 4,600 1,400 200
36 Diazepam injeksi 5 mg / ml 10 tablet Rp 3,038 Rp 30,380 - 10 - 10 3,038 30,380 - 10 10 3,038
37 Diazepam tablet 5 mg 300 ampul Rp 121 Rp 36,300 121 - 300 - 300 121 36,300 - 300 300 121
38 Difenhidramin injeksi 10 mg/ml 0 tablet Rp 1,260 Rp - 30 1,321 39,630 30 - 30 1,321 39,630 - 30 - 30 1,321
39 Domperidon suspensi 5 mg / 5 ml 50 kapsul Rp 16,400 Rp 820,000 - 50 50 - 16,400 - 50 3,105 155,250 50 - 50 3,105
2020 AGUSTUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
40 Domperidon tablet 10 mg 0 tablet Rp 190 Rp - - - - - - - - -
41 Epinefrin (adrenalin) injeksi 100 kapsul Rp 5,387 Rp 538,700 - 100 - 100 5,387 538,700 - 100 - 100 5,387
42 Eritromicin 500 mg 0 tablet Rp 128 Rp - - - - - - - - -
43 Fenitoin Na kapsul 10 mg 0 ampul Rp 545 Rp - - - - - - - -
44 Fenobarbital 30 mg 450 tablet Rp 170 Rp 76,500 - 450 100 350 170 59,500 - 350 250 100 170
45 Ferro fumarat kapsul lunak 250 mg 0 tablet Rp - Rp - - - - - - - -
46 Ferro Glukonat 250 mg (Etabion) 0 ampul Rp - Rp - - - - - - - -
47 Fitomenadion injeksi 2 ml/mg 60 tube Rp 4,100 Rp 246,000 - 60 - 60 4,100 246,000 - 60 30 30 4,100
48 Fitomenadion tablet 10 mg 400 botol Rp 866 Rp 346,400 - 400 - 400 866 346,400 - 400 - 400 866
49 Furosemid tablet 40 mg 600 tablet Rp 102 Rp 61,200 - 600 - 600 102 61,200 - 600 - 600 102
50 Flouride 0 tablet Rp 1,375 Rp - - - - - - - -
51 Gentamicin injeksi 40 mg / ml 0 tablet Rp 3,854 Rp - - - - - - - -
52 Gentamicin salep kulit 50 tube Rp 2,976 Rp 148,800 - 50 - 50 2,976 148,800 - 50 50 - 2,976
53 Gentamicin tetes mata 0,3% 48 tablet Rp 3,832 Rp 183,936 - 48 24 24 3,832 91,968 - 24 - 24 3,832
54 Glibenklamid 5 mg 400 tube Rp 93 Rp 37,200 - 400 - 400 93 37,200 - 400 - 400 93
55 Gliseril Guaiakolat (GG) 3700 tablet Rp 450 Rp 1,665,000 2,000 182 364,000 5,700 5,100 600 182 109,200 8,000 182 1,456,000 8,600 4,700 3,900 182
56 Griseovulvin 125 mg 0 tablet Rp 374 Rp - - - - - - - -
57 H2O2 5 tablet Rp 55,000 Rp 275,000 - 5 - 5 55,000 275,000 - 5 2 3 55,000
58 Haloperdiol 0,5 mg 0 tablet Rp - Rp - - - - - - - -
59 Hidrokortison krim 48 tablet Rp 3,047 Rp 146,256 - 48 5 43 3,047 131,021 - 43 28 15 3,047
60 Hyocin Butyl Bromide 10mg (Scopma ) 1000 tablet Rp 117 Rp 117,000 - 1,000 - 1,000 117 117,000 - 1,000 - 1,000 117
61 Ibuproven 400 mg 4500 ampul Rp 143 Rp 643,500 5,000 118 590,000 9,500 6,500 3,000 118 354,000 5,000 118 590,000 8,000 8,000 - 118
62 Kalsium Laktat 500 mg 1500 tablet Rp 83 Rp 124,500 - 1,500 600 900 83 74,700 1,000 176 176,000 1,900 600 1,300 176
63 Karbamazepin 200 mg 500 kapsul Rp - Rp - - 500 - 500 - - 500 - 500
64 Ketokenasol 200 mg 1400 tube Rp 205 Rp 287,000 - 1,400 500 900 2,893 2,603,700 - 900 300 600 2,893
65 Ketokenasol krim 0 botol Rp 2,893 Rp - - - - - - - -
66 Ketorolac Injeksi 0 botol Rp 1,450 Rp - - - - - - - -
67 Klindamisin 300 mg 1000 tablet Rp 678 Rp 678,000 - 1,000 - 1,000 678 678,000 - 1,000 - 1,000 678
68 Kloramfenikol kapsul 250 mg 0 tablet Rp 715 Rp - - - - - - - -
69 Kloramfenikol salep kulit 34 botol Rp 7,433 Rp 252,722 - 34 15 19 7,433 141,227 - 19 19 7,433
70 Kloramfenikol tetes mata 0 botol Rp - Rp - - - - - - - -
71 Kloramfenikol tetes telinga 3% 70 botol Rp 10,780 Rp 754,600 - 70 - 70 10,780 754,600 - 70 6 64 10,780
72 Kloramfeniramina Maleat 4 mg (CTM) 3600 botol Rp 43 Rp 154,800 5,000 43 215,000 8,600 6,000 2,600 43 111,800 6,000 43 258,000 8,600 6,200 2,400 43
73 Kotrimoksasol tablet 480 mg 800 botol Rp 273 Rp 218,400 1,000 273 273,000 1,800 800 1,000 273 273,000 2,000 273 546,000 3,000 500 2,500 273
74 Kotrimoksasol suspensi 240 mg ampul Rp 5,500 Rp 275,000 - 50 - - 50 50
50 50 5,500 275,000 - 5,500

75 Larutan Glukosa 5% 77 botol Rp 6,900 Rp 531,300 - 77 - 77 6,900 531,300 - - 77 77 - 6,900
76 Larutan Dextrose 10% 15 tablet Rp - Rp - - 15 - 15 - - 15 - 15
77 Larutan NaCL 110 vial Rp 7,000 Rp 770,000 - 110 - 110 7,000 770,000 - 110 30 80 7,000
78 Larutan Ringer Laktat 100 vial Rp 7,000 Rp 700,000 40 7,630 305,200 140 140 - 7,630 - 160 7,630 1,220,800 160 80 80 7,630
79 Lidokain Injeksi 80 ampul Rp 1,026 Rp 82,080 - 80 - 80 1,026 82,080 - 80 10 70 1,026
80 Loperamid 2 mg 500 tablet Rp 95 Rp 47,500 - 500 - 500 95 47,500 - 500 - 500 95
81 Loratadin 10 mg 1300 tablet Rp 550 Rp 715,000 - 1,300 200 1,100 550 605,000 - 1,100 - 1,100 550
82 Magnesium Sulfat 20% (MgSO 20%) 0 tablet Rp 7,920 Rp - - - - - - - -
83 Magnesium Sulfat 40% (MgSO 40%) 24 tablet Rp - Rp - - 24 - 24 - - 24 4 20
84 Metilergometrin Injeksi 100 tablet Rp 4,895 Rp 489,500 - 100 100 4,895 489,500 - 100 - 100 4,895
85 Metilergometrin Tablet 0 tablet Rp 352 Rp - - - - - - - -
86 Metilprednisolon 4 mg 1500 tube Rp 153 Rp 229,500 - 1,500 1,500 - 153 - 2,000 153 306,000 2,000 500 1,500 153
87 Metformin HCL 500 mg 500 tablet Rp 113 Rp 56,500 2,000 113 226,000 2,500 500 2,000 113 226,000 - 2,000 500 1,500 113
2020 AGUSTUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
88 Metoklopramide 10 mg 400 tablet Rp - Rp - - 400 - 400 120 48,000 - 400 400 - 120
89 Metronidasol 250 mg 2000 tablet Rp - Rp - - 2,000 - 2,000 - - 2,000 600 1,400
90 Metronidasol 500 mg 800 tablet Rp 151 Rp 120,800 1,000 440 440,000 1,800 500 1,300 440 572,000 - 1,300 500 800 440
91 Metro infus 8 botol Rp - Rp - - 8 - 8 - - 8 - 8
92 Mikonasol krim 24 ampul Rp 4,060 Rp 97,440 24 4,646 111,504 48 48 - 4,646 - 48 4,646 223,008 48 24 24 4,646
93 N. Asetil Sistain 1200 tube Rp 479 Rp 574,800 - 1,200 - 1,200 479 574,800 500 110 55,000 1,700 - 1,700 110
94 Natrium diklofenak 50 mg 2000 ampul Rp 494 Rp 988,000 - 2,000 700 1,300 494 642,200 - 1,300 950 350 494
2020 AGUSTUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Nistatin drop 0 kapsul Rp 200 Rp - 10 32,450 324,500 10 - 10 32,450 324,500 10 32,450 324,500 20 10 10 32,450
95 Nifedipin 10 mg 200 ampul Rp 444 Rp 88,800 - 200 - 200 444 88,800 - 200 - 200 444
96 Nistatin tablet 100.000 IU/g 0 tablet Rp 720 Rp - 500 1,056 528,000 500 200 300 1,056 316,800 - 300 - 300 1,056
97 Nistatin tablet 500.000 IU/g 0 sac Rp 2,500 Rp - - - - - - - -
98 OBH 0 botol Rp - Rp - - - - - - - -
99 Oksitetrasiklin HCL injeksi 0 botol Rp 4,659 Rp - - - - - - - -
100 Oksitetrasiklin Salep Mata 105 botol Rp 1,900 Rp 199,500 - 105 25 80 4,659 372,720 - 80 80 - 1,900
101 Oksitocyn injeksi 60 tablet Rp 1,900 Rp 114,000 - 60 20 40 1,900 76,000 1,900 - 40 12 28 1,900
102 Omeprasol 20 mg 930 tablet Rp - Rp - - 930 930 161 149,730 1,050 160 168,000 1,980 1,500 480 160
103 Ondansetron Injeksi 0 tablet Rp 590 Rp - - - - - - - -
104 Ondansetron Tablet 0 tablet Rp 460 Rp - - - - - - - -
105 Oralit 100 tablet Rp 460 Rp 46,000 - 100 30 70 460 32,200 - 70 70 - 460
106 OTSU KCL injeksi 0 tablet Rp 479 Rp - - - - - - - -
Parasetamol suppo 125mg suppo
107 Parasetamol drop 56 botol Rp 3,520 Rp 197,120 56 479 26,824 112 112 - 479 - 112 479 53,648 112 56 56 479
108 Parasetamol sirup 120 mg 0 botol Rp 96 Rp - - - - - - - -
109 Parasetamol tablet 100 mg 0 botol Rp 135 Rp - - - - - - - -
110 Parasetamol tablet 500 mg 6600 tablet Rp 20,700 Rp 136,620,000 2,000 145 290,000 8,600 4,200 4,400 145 638,000 3,000 145 435,000 7,400 5,500 1,900 145
111 Perak Sulfadiazin 5 tablet Rp 545 Rp 2,725 5 20,700 103,500 10 10 - 20,700 - - - -
112 Phenitoin 100 mg 0 ampul Rp 655 Rp - - - - - - - -
113 Pirantel Pamoat 125 mg 400 tablet Rp 183 Rp 73,200 - 400 - 400 655 262,000 - 400 - 400 183
114 Piroxicam 1800 kapsul Rp 67 Rp 120,600 - 1,800 700 1,100 183 201,300 - 1,100 1,100 - 67
115 Piridoksin 10 mg (Vitamin B6) 600 kapsul Rp - Rp - 1,000 154 154,000 1,600 1,200 400 154 61,600 1,000 154 154,000 1,400 800 600 154
116 Povidon Iodida 30 ml 0 tablet Rp 7,532 Rp - - - - - - - -
117 Povidon Iodida 60 ml 0 tablet Rp 22,600 Rp - - - - - - - -
118 Povidon Iodida 300 ml 10 pot Rp 130 Rp 1,300 - 10 6 4 22,600 90,400 5 23,400 117,000 9 4 5 23,400
119 Propanolol 10 mg 800 tablet Rp 675 Rp 540,000 - 800 200 600 130 78,000 - 600 100 500 675
Prednison 1000 ampul Rp 1,573 Rp 1,573,000 - 1,000 - 1,000 86 86,000 500 86 43,000 1,500 - 1,500 86
120 Propiltiaurasil 100 mg 500 tablet Rp 343 Rp 171,500 - 500 200 300 675 202,500 - 300 - 300 343
121 Ranitidin Injeksi 100 ampul Rp 355 Rp 35,500 - 100 100 3,099 309,900 - 100 20 80 355
122 Ranitidin 150 mg 2000 tablet Rp 636 Rp 1,272,000 - 2,000 2,000 636 1,272,000 - 2,000 2,000 - 636
123 Retinol 100.000 (Vitamin A Biru) 0 tablet Rp 240 Rp - 250 419 104,750 250 150 100 419 41,900 500 361 180,500 600 600 - 361
124 Retinol 200.000 (Vitamin A Merah) 0 tablet Rp - Rp - 1,150 693 796,950 1,150 650 500 693 346,500 200 693 138,600 700 600 100 693
125 Risperidon 420 tablet Rp 108 Rp 45,360 - 420 - 420 240 100,800 - 420 120 300 108
126 Salbutamol tablet 2 mg 0 tablet Rp 10,560 Rp - - - - - - - - -
127 Salbutamol tablet 4 mg 200 botol Rp 3,040 Rp 608,000 3,000 95 285,000 3,200 1,300 1,900 95 180,500 - 1,900 100 1,800 95
128 Ferbulin (Salbutamol sulfate for Inhalati 40 tablet Rp 616 Rp 24,640 - 40 40 - 10,560 - - - -
129 Salep 24 0 tablet Rp 5,688 Rp - 24 170 4,080 24 5 19 5,688 108,072 - 19 5 14 170
130 Sefadroksil 700 ampul Rp 69 Rp 48,300 1,000 1,210 1,210,000 1,700 1,300 400 1,210 484,000 1,000 1,210 1,210,000 1,400 500 900 1,210
131 Seftriakson injeksi 0 tablet Rp 1,425 Rp - - - - - - - - -
132 Sianokobalamin tablet (Vitamin B12) 2750 tablet Rp 220 Rp 605,000 - 2,750 1,250 1,500 114 171,000 2,000 114 228,000 3,500 250 3,250 114
133 Sianokobalamin injeksi (Vitamin B12) 30 tablet Rp 250 Rp 7,500 100 1,425 142,500 130 130 - 1,425 - - - -
134 Simetidin 0 botol Rp 276 Rp - - - - - - - -
135 Simvastatin 20 mg 300 tablet Rp 1,595 Rp 478,500 - 300 - 300 1,595 478,500 - 300 300 1,595
Solvitron Rp 40 Rp - 2,500 715 1,787,500 2,500 1,700 800 715 572,000 3,000 715 2,145,000 3,800 3,800 - 715
136 Siprofloksasin tablet score 500 mg 2400 Rp 54 Rp 129,600 - 2,400 500 1,900 276 524,400 - 1,900 - 1,900 54
137 Tiamin injeksi 20 buah Rp 3,925 Rp 78,500 - 20 - 20 3,925 78,500 - 20 - 20 3,925
138 Tiamin tablet 50 mg (Vitamin B1) 2000 tablet Rp 644 Rp 1,288,000 - 2,000 500 1,500 644 966,000 - 1,500 - 1,500 644
139 Vitamin B Kompleks 5600 buah Rp 15,000 Rp 84,000,000 5,000 147 735,000 10,600 6,600 4,000 147 588,000 2,000 147 294,000 6,000 3,000 3,000 147
2020 AGUSTUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
140 Zink sirup 20 mg / 5 ml 39 vial Rp 1,265 Rp 49,335 - 39 39 - 3,925 - 72 3,925 282,600 72 36 36 3,925
141 Zink tablet 20 mg 1600 tablet Rp 350 Rp 560,000 - 1,600 - 1,600 644 1,030,400 2,000 935 1,870,000 3,600 1,200 2,400 935
142 Ventolin 0 botol Rp 14,245 Rp - - - - - 60 15,000 900,000 60 50 10 15,000
143 Lodecon Forte 0 pcs Rp 438 Rp - 500 1,265 632,500 500 500 - 1,265 - - - -
144 Samcobion 2700 botol Rp - Rp - 3,000 445 1,335,000 5,700 4,200 1,500 445 667,500 11,000 445 4,895,000 12,500 12,500 - 445
145 Truvit sirup 60 kotak Rp - Rp - 120 14,245 1,709,400 180 60 120 14,245 1,709,400 - 120 60 60 14,245
146 Cetrizine 10 mg 1000 tablet Rp - Rp - - 1,000 - 1,000 438 438,000 - 1,000 - 1,000 438
147 Thiampenicol Sirup 0 paket Rp - Rp - - - - - - - -
148 Thiampenicol 0 paket Rp - Rp - - - - - - - -
Xyocaine 2% paket Rp 203,259 Rp - 10 110,000 1,100,000 10 - 10 203,259 2,032,590 - 10
10 203,259
Abate sachet
Ichtyol botol
Soddium Valproate sirup 250mg/5ml botol
OBAT PROGRAM, VAKSIN DAN Rp - - - - -

PERBEKALAN KESEHATAN
-
1 Air Sound Timer 0 Rp 48,840 Rp - - - - - - - -
2 Azithromycin 0 Rp - Rp - - - - - - - -
3 Batrai Air Sound Timer 0 Rp - Rp - - - - - - - -
4 Calcii Glukonas 29 pot Rp 900 Rp 26,100 - 29 4 25 7,967 199,175 7,967 - 25 25 7,967
5 Dietil Karbamezapin 7109 tablet Rp 280 Rp 1,990,520 - 7,109 7,109 280 1,990,520 - 7,109 7,109 119
6 Gimza 1 paket Rp 1,451,000 Rp 1,451,000 1 1,400,000 1,400,000 2 - 2 1,400,000 2,800,000 - 2 - 2 1,400,000
7 Lancet 5800 paket Rp 176 Rp 1,020,800 - 5,800 - 5,800 176 1,020,800 - 5,800 5,800 176
8 Lysol 100 % 4 paket Rp 53,300 Rp 213,200 - 4 2 2 53,300 106,600 - 2 2 53,300
9 Malaria HRP2 (RDT) 60 paket Rp 276,500 Rp 16,590,000 - 60 - 60 5,271 316,260 - 60 20 40 5,271
10 Obat Anti Malaria 495 Bungkus Rp 20,900 Rp 10,345,500 - 495 90 405 864 349,920 - 405 90 315 5,271
11 Paket Kategori I 1 Vial Rp 409,075 Rp 409,075 4 519,339 2,077,356 5 3 2 409,075 818,150 6 519,339 3,116,034 8 4 4 519,339
SUSU BOX 4 135,000 540,000 4 135,000 - - -
12 Paket Kategori II 0 Vial Rp - Rp - - - - - - - -
13 Paket Stop TB OAT Anak 0 Vial Rp - Rp - - - - - - - -
14 Pot Dahak 200 Vial Rp 5,000 Rp 1,000,000 - 200 200 5,000 1,000,000 - 200 200 5,000
15 Primaquin 500 Vial Rp 235 Rp 117,500 - 500 200 300 280 84,000 - 300 300 235
16 Papsmear kiT S 5 Vial Rp - Rp - - 5 5 24,200 121,000 - 5 5 24,200
17 Papsmear kiT M 5 Vial Rp - Rp - - 5 5 24,200 121,000 - 5 5 24,200
18 Papsmear kiT L 5 Dos Rp - Rp - - 5 5 24,200 121,000 - 5 5 24,200
19 Ziehl Neelsen 1 Dos Rp - Rp - - 1 1 276,500 276,500 - 1 1 276,500
20 HB o 19 pak Rp 20,900 Rp 397,100 - 19 19 20,900 397,100 60 20,900 1,254,000 79 42 37 20,900
21 BCG 1 ml/pelarut 20 Rp 5,450 Rp 109,000 20 5,450 109,000 40 14 26 5,450 141,700 10 5,450 54,500 36 11 25 5,450
25 Polio 7 Rp 19,954 Rp 139,678 30 19,954 598,620 37 25 12 19,954 239,448 30 19,954 598,620 42 25 17 19,954
27 DPT/Pentabion 18 Rp 70,232 Rp 1,264,176 20 70,232 1,404,640 38 27 11 70,232 772,552 30 70,232 2,106,960 41 24 17 70,232
28 Campak/pelarut/MR 7 Rp 141,648 Rp 991,536 20 141,648 2,832,960 27 21 6 141,648 849,888 50 141,648 7,082,400 56 49 7 141,648
30 Dt 5 Rp 15,550 Rp 77,750 - 5 - 5 15,550 77,750 - 5 - 5 15,550
31 Td/Tt 23 Rp 15,000 Rp 345,000 - 23 7 16 15,000 240,000 - 16 6 10 15,000
32 IPV 9 Rp 137,610 Rp 1,238,490 9 7 2 137,610 275,220 - 2 2 - 137,610
33 Spuit 0,05 30 Paket Rp 1,995 Rp 59,850 - 30 30 1,995 59,850 - 30 30 - 1,995
34 Supit 0,5 600 Pcs Rp 1,448 Rp 868,800 300 1,448 434,400 900 300 600 1,448 868,800 500 1,448 724,000 1,100 400 700 1,448
35 Saftey Box 17 Pcs Rp 1,448 Rp 24,616 - 17 5 12 16,383 196,596 25 16,383 409,575 37 5 32 16,383
36 Hexagon syphilis 0 Tablet Rp 26,889 Rp - - - - - - - - -
2020 AGUSTUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
37 Spirtus 1 Tablet Rp 68,000 Rp 68,000 - 1 - 1 68,000 68,000 - 1 1 68,000
38 Pot Feses 0 Tablet Rp 135,000 Rp - - - - - - - - -
39 Slide 3744 Tablet Rp - Rp - - 3,744 - 3,744 1,111 4,159,584 - 3,744 3,744 1,111
40 Box Slide 0 Tablet Rp - Rp - - - - - - - - -
41 Methanol 1 Rp - Rp - - 1 - 1 - - 1 1
Infrared Thermometer 1 Rp 2,300,000 - 1 1 2,300,000 - 1 - 1 2,300,000
42 Tamblet Tambah Darah Program (Ferro 0 Rp 444 Rp - - - - - - - - - 444
43 Alat Deteksi Resiko kehamilan 1 Rp 422,980 Rp 422,980 1 422,980 422,980 2 - 2 422,980 845,960 - 2 2 422,980
2020 AGUSTUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
44 HIV Test (Rapid Test SD Bioline ) 0 pcs Rp 1,448 Rp - 50 11,975 598,750 50 - 50 11,975 598,750 - 50 - 50 11,975
45 RDT Hepatitis 0 pcs Rp - Rp - - - - - - - - -
46 Klonazepam 0 pcs Rp - Rp - - - - - - - - -
47 Resperidon 420 pcs Rp 240 Rp 100,800 - 420 - 420 240 100,800 - 420 - 420 240
48 Clorpromazine(CPZ) 500 pcs Rp 197 Rp 98,500 - 500 - 500 197 98,500 - 500 500 197
49 Fluoxentin 0 pcs Rp - Rp - - - - - - - - -
50 Isosorbid Dinitrit 200 pcs Rp 975 Rp 195,000 - 200 - 200 975 195,000 - 200 200 975
51 MDT COMBI KUSTA 0 tablet Rp 43,000 Rp - - - - - - - - - -
52 Vaksin HBIg 3 pcs Rp 1,325,000 Rp 3,975,000 - 3 2 1 1,325,000 1,325,000 - 1 - 1 1,325,000
53 HBS Ag RV.B10 100 pcs Rp 8,200 Rp 820,000 100 8,200 820,000 200 200 8,200 1,640,000 - 200 200 8,200
48 Glass Ionomor ART serbuk Rp 499,400 Rp - - - - - -
49 Artculacting Paper Rp 60,500 Rp - - - - - -
50 Eugenol Rp 60,500 Rp - - - - - -
51 Asam citrat Rp 151,515 Rp - - - - - -
52 Lampu spritus Rp 20,000 Rp - - - - - -
53 Alkohol swab Rp 104 Rp - - - - - -
54 Cover glass Rp 137,500 Rp - - - - - -
55 Eosin Rp 234,423 Rp - - - - - - - -
Answer syphilis AB Rapidtest Rp 591,965 Rp -
PERBEKALAN KESEHATAN Rp - - - - - - - -
1 Alat suntik sekali pakai 0,5 ml 0 Rp 1,448 Rp - - - - - - - -
2 Alat suntik sekali pakai 0,05 ml 0 Rp 1,995 Rp - - - - - - - -
3 Alat suntik sekali pakai 1 ml 200 Rp 1,000 Rp 200,000 - 200 - 200 1,000 200,000 - 200 100 100 1,000
4 Alat suntik sekali pakai 2,5 ml 0 Rp - Rp - - - - - - - -
5 Alat suntik sekali pakai 3 ml 200 Rp 900 Rp 180,000 200 900 180,000 400 300 100 900 90,000 300 900 270,000 400 100 300 900
6 Alat suntik sekali pakai 5 ml 200 Rp 2,049 Rp 409,800 100 1,373 137,300 300 100 200 1,373 274,600 100 1,373 137,300 300 300 1,373
7 Alat test kehamilan 200 Rp 1,320 Rp 264,000 - 200 - 200 1,320 264,000 - 200 100 100
8 Alkohol 70% 3 Rp 32,500 Rp 97,500 5 32,500 162,500 8 5 3 32,500 97,500 5 32,500 162,500 8 2 6 32,500
9 Aseptan 2 Rp 44,850 Rp 89,700 5 44,850 224,250 7 3 4 44,850 179,400 6 44,850 269,100 10 2 8 44,850
10 Benang kulit 1 Rp 13,860 Rp 13,860 - 1 - 1 13,860 13,860 - 1 1 13,860
11 Benang otot 3 Rp 13,860 Rp 41,580 - 3 1 2 13,860 27,720 - 2 2 13,860
12 Bisturi No. 10 G 200 Rp 1,450 Rp 290,000 - 200 - 200 1,450 290,000 - 200 200 1,450
13 IV Chateter No. 20 Gx11/4 0 Rp 4,750 Rp - - - - - - 200 4,750 950,000 200 200 4,750
14 IV Chateter No. 22 Gx11/4 0 Rp 4,750 Rp - 100 4,761 476,100 100 - 100 4,761 476,100 - 100 - 100 4,761
15 IV Chateter No. 24 Gx11/4 100 Rp 4,750 Rp 475,000 50 9,345 467,250 150 - 150 9,345 1,401,750 - 150 - 150 9,345
16 IV Channula, without wings No. 22 0 Rp - Rp - - - - - - - -
17 IV Channula, without wings No. 24 0 Rp - Rp - - - - - - - -
18 Cutgut plan 2/0 plus jarum 1/2 DT 35 Rp 167,500 Rp 4,020,000 - 24 24 167,500 4,020,000 48
mm
24 24 167,500 4,020,000 48 167,500
19 Cutgut plan 3/0 plus jarum 1/2 DT 35 Rp 167,500 Rp 4,020,000 - 24 24 167,500 4,020,000 48
mm
24 24 167,500 4,020,000 48 167,500
20 Cutgut cromic 2/0 plus jarum 1/2 DT Rp 167,500 Rp - - - - -
35 mm
0 - - -
21 Cutgut cromic 3/0 plus jarum 1/2 DT Rp 167,500 Rp - - - - -
35 mm
0 - - -
22 Etakridin 0 Rp - Rp - - - - - - - -
23 Folley Chateter 2 way No 14 26 Rp 10,560 Rp 274,560 - 26 26 10,560 274,560 - 26 26 10,560
24 Folley Chateter 2 way No 16 18 Rp 10,560 Rp 190,080 - 18 18 - 10,560 - 10 10,560 105,600 10 10 10,560
25 Folley Chateter 2 way No 18 30 Rp 10,560 Rp 316,800 - 30 30 - 10,560 - - - -
2020 AGUSTUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
26 Folley Chateter 2 way No 20 30 Rp 10,560 Rp 316,800 - 30 30 10,560 316,800 - 30 30 10,560
27 Handscoon panjang steril 46 Rp - Rp - - 46 - 46 - - 46 46
28 Infuset Anak 145 Rp 6,622 Rp 960,190 - 145 - 145 6,622 960,190 50 6,622 331,100 195 - 195 6,622
29 Infuset Dewasa 140 Rp 6,622 Rp 927,080 - 140 80 60 6,622 397,320 100 6,622 662,200 160 60 100 6,622
30 Jarum jahit kulit 264 Rp 1,881 Rp 496,584 - 264 - 264 1,881 496,584 - 264 264 1,881
31 Jarum jahit otot 324 Rp 1,881 Rp 609,444 - 324 - 324 1,881 609,444 120 1,042 125,040 444 444 1,042
32 Kapas pembalut absorben 250 mg 5 Rp 15,000 Rp 75,000 5 15,000 75,000 10 2 8 15,000 120,000 - 8 1 7 15,000
Kassa pembalut hidrofil 4x10 cm 100 2,520 252,000 100 2,520 - - -
Kassa pembalut hidrofil 4x5 cm 100 1,120 112,000 100 1,120 - - -
Kassa hidrofil 40x80 cm 2 131,250 262,500 2 131,250 - 3 131,250 393,750 3
36 Masker N95 0 Rp 162,800 Rp - - - - - - - -
37 Masker 0 Rp 27,500 Rp - 5 27,500 137,500 5 - 5 27,500 137,500 5 27,500 137,500 10 5 5 27,500
38 Maxter exam glove no powder L Rp 44,525 Rp 44,525 10 44,525 445,250 11 11 15 44,525 667,875 15 9
(Handscoon non steril)
1 - 44,525 - 6 44,525
39 My Jelly 3 Rp 50,380 Rp 151,140 - 3 1 2 50,380 100,760 - 2 2 50,380
40 One met sunction chateter No. 14 20 Rp 3,200 Rp 64,000 - 20 20 3,200 64,000 - 20 20 3,200
41 One met sunction chateter No. 16 20 Rp 3,200 Rp 64,000 - 20 20 - 3,200 - 40 3,200 128,000 40 40 3,200
42 One met sunction chateter No. 18 0 Rp 3,200 Rp - - - - - 40 3,200 128,000 40 40 3,200
43 Plester 0 Rp 20,000 Rp - 48 20,000 960,000 48 4 44 20,000 880,000 - 44 - 44 20,000
44 Rivanol 8 Rp 5,225 Rp 41,800 - 8 8 5,225 41,800 - 8 8 5,225
45 Safeglove surgical steril (Handscoon Rp 902 Rp 90,200 500 5,225 2,612,500 600 100 - 500 -
steril)
100 500 5,225 2,612,500 500 5,225
46 Silk 2/0 plus jarum 1/2 DT 35 mm 0 Rp - Rp - - - - - - - -
47 Silk 3/0 plus jarum 1/2 DT 35 mm 0 Rp - Rp - - - - - - - -
48 Stik Asam Urat 200 Rp 4,620 Rp 924,000 - 200 200 4,620 924,000 - 200 200 4,620
49 Stik Gula Darah 100 Rp 3,740 Rp 374,000 - 100 100 3,740 374,000 - 100 100 3,740
50 Stik Kolesterol 195 Rp 18,260 Rp 3,560,700 - 195 195 18,260 3,560,700 - 195 195 18,260
51 Urine bag 0 Rp 23,540 Rp - 20 5577 111,540 20 10 10 - - 10 10 23,540
52 HCL 0 Rp - Rp - - - - - - - -
53 Sefter Thicker 0 Rp - Rp - - - - - - - -
54 Lab Kit 0 Rp - Rp - - - - - - - -
55 Oxyflow Nasal Dewasa 2
Rp 44,525 Rp 89,050 5 6875 34,375 7 7 - 6,875 -
10 6,875 68,750 10
10 6,875
2020 AGUSTUS
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
56 Masker Oksigen Dewasa 7 Rp 16,940 Rp 118,580 - 7 7 - 16,940 - 10 16,940 169,400 10 10 16,940
57 Masker Oksigen Anak 5 Rp 16,940 Rp 84,700 - 5 4 1 16,940 16,940 5 16,940 84,700 6 6 16,940
58 Nasal Oksigen Bayi 5 Rp 6,875 Rp 34,375 - 5 4 1 6,875 6,875 10 6,875 68,750 11 11 6,875
59 Nasal Oksigen Anak 5 Rp 6,875 Rp 34,375 - 5 4 1 6,875 6,875 10 6,875 68,750 11 11 6,875
60 SoftPad 60 x 90cm 0 Rp 52,030 Rp - 2 Rp 52,030 104,060 2 2 52,030 104,060 2 52,030 104,060 4 4 52,030
61 Kassa 16x16cm 8 Rp 10,000 Rp 80,000 10 Rp 10,000 100,000 18 8 10 10,000 100,000 10 10,000 100,000 20 20 10,000
62 Plester hipafix 15x5 11 Rp 216,189 Rp 2,378,079 12 Rp 216,189 2,594,268 23 - 23 216,189 4,972,347 - - 23 5 18 216,189
64 Jarum jahit otot No.8 Pcs Rp 1,881 Rp - - - - 60 1,881 112,860 60 2 58 1,881
65 Jarum jahit otot No.10 Pcs Rp 1,881 Rp - - - - 70 1,881 131,670 70 70 1,881
66 Jarum jahit otot No.11 Pcs Rp 1,881 Rp - - - - 70 Rp 1,881 131,670 70 70 1,881
67 Jarum jahit otot .No.12 Pcs Rp 1,881 Rp - - - - 70 Rp 1,881 131,670 70 70 1,881
68 Jarum jahit otot No. 13 Pcs Rp 1,881 Rp - - - - 70 Rp 1,881 131,670 70 70 1,881
70 Jarum jahit otot No. 14 Pcs Rp 1,881 Rp - - - - 70 Rp 1,881 131,670 70 70 1,881
72 Jarum jahit kulit No. 8 Pcs Rp 1,881 Rp - - - - 60 Rp 1,881 112,860 60 60 1,881
79 Reagen Gram Set botol Rp 408,100 Rp - - - - 1 Rp 408,100 408,100 1 1 408,100
Kaca sedian darah kotak Rp - - - - - -
Tisu lensa pak
JUMLAH Rp - 45,792,689 - - - -
1 ORALIT(JKN) Rp 7,920 Rp - - - - - -
89,485,346 59,241,790
Rp 131,845,304
Mengetahui
Kepala Puskesmas

NIP:19730928 199312 2 002
JUMLAH PENERIMA HARGA JUMLAH PERSEDIAAN PENGELUA SISA HARGA SISA SEPT DALAM
AN SATUAN RAN SEPTEMBE SATUAN (Rp)
SEPTEMBER SEPTEMBER R
16 17 18 19 20 21
238,204 Rp - 452 - 452 527 Rp 238,204
354,000 2,000 295 Rp 590,000 3200 2,700 500 295 Rp 147,500
429,000 180 7,150 Rp 1,287,000 240 190 50 7,150 Rp 357,500
- Rp - 0 0 - Rp -
- Rp - 0 - - Rp -
- Rp - 0 - - Rp -
110,000 Rp - 500 200 300 220 Rp 66,000
138,610 2,000 83 Rp 166,000 3670 720 2,950 83 Rp 244,850
950,400 8,000 792 Rp 6,336,000 9200 6,600 2,600 792 Rp 2,059,200
250,320 120 4,172 Rp 500,640 180 120 60 4,172 Rp 250,320
178,300 Rp - 10 - 10 17,830 Rp 178,300
2,048,816 Rp - 4 - 4 512,204 Rp 2,048,816
- Rp - 0 - - Rp -
1,015,000 4,000 74 Rp 296,000 6900 3,100 3,800 74 Rp 281,200
361,200 150 2,408 Rp 361,200 300 150 150 2,408 Rp 361,200
114,180 Rp - 30 20 10 3,806 Rp 38,060
176,220 Rp - 90 - 90 1,958 Rp 176,220
- 10,000 131 Rp 1,310,000 10000 6,800 3,200 131 Rp 419,200
- Rp - 0 - - Rp -
79,800 Rp - 1400 100 1,300 57 Rp 74,100
- 1,000 418 Rp 418,000 1000 1,000 - 418 Rp -
- Rp - 0 - - Rp -
480,000 Rp - 96 - 96 5,000 Rp 480,000
574,000 Rp - 2000 - 2,000 287 Rp 574,000
36,000 Rp - 300 200 100 120 Rp 12,000
4,800 30 2,890 Rp 86,700 32 - 32 2,890 Rp 92,480
2,037,500 Rp - 100 - 100 20,375 Rp 2,037,500
1,462,000 Rp - 80 - 80 18,275 Rp 1,462,000
42,050 Rp - 29 - 29 1,450 Rp 42,050
- 100 1,550 Rp 155,000 100 60 40 1,550 Rp 62,000
Rp - 0 Rp -
- -
173,700 2,000 193 Rp 386,000 2900 2,300 600 193 Rp 115,800
- Rp - 0 - - Rp -
27,560 50 1,378 Rp 68,900 70 40 30 1,378 Rp 41,340
280,000 6,000 200 Rp 1,200,000 7400 5,300 2,100 200 Rp 420,000
30,380 Rp - 10 - 10 3,038 Rp 30,380
36,300 Rp - 300 100 200 121 Rp 24,200
39,630 Rp - 30 30 - 1,321 Rp -
155,250 Rp - 50 50 - 3,105 Rp -
16 17 18 19 20 21
- Rp - 0 - - Rp -
538,700 Rp - 100 - 100 5,387 Rp 538,700
- Rp - 0 - - Rp -
- Rp - 0 - - Rp -
17,000 500 170 Rp 85,000 600 300 300 170 Rp 51,000
- Rp - 0 - - Rp -
- Rp - 0 - - Rp -
123,000 Rp - 30 - 30 4,100 Rp 123,000
346,400 Rp - 400 - 400 866 Rp 346,400
61,200 Rp - 600 - 600 102 Rp 61,200
- Rp - 0 - Rp -
- Rp - 0 - Rp -
- 50 2,976 Rp 148,800 50 - 50 2,976 Rp 148,800
91,968 Rp - 24 24 - 3,832 Rp -
37,200 Rp - 400 - 400 93 Rp 37,200
709,800 6,000 182 Rp 1,092,000 9900 5,800 4,100 182 Rp 746,200
- Rp - 0 - - Rp -
165,000 Rp - 3 3 - 55,000 Rp -
- Rp - 0 - Rp -
45,705 296 2,846 Rp 842,416 311 15 296 2,846 Rp 842,416
117,000 Rp - 1000 - 1,000 117 Rp 117,000
- 10,000 118 Rp 1,180,000 10000 6,700 3,300 118 Rp 389,400
228,800 1,000 176 Rp 176,000 2300 700 1,600 176 Rp 281,600
- Rp - 500 100 400 Rp -
1,735,800 Rp - 600 - 600 2,893 Rp 1,735,800
- Rp - 0 - Rp -
- Rp - 0 - Rp -
678,000 Rp - 1000 500 500 678 Rp 339,000
- Rp - 0 - Rp -
141,227 Rp - 19 19 7,433 Rp 141,227
- Rp - 0 - Rp -
689,920 Rp - 64 25 39 10,780 Rp 420,420
103,200 8,000 43 Rp 344,000 10400 6,600 3,800 43 Rp 163,400
682,500 Rp - 2500 2,100 400 273 Rp 109,200
100 2,300 Rp 230,000 100 - Rp 230,000
- 100 2,300
- 40 7,363 Rp 294,520 40 - 40 7,363 Rp 294,520
- Rp - 15 - 15 Rp -
560,000 Rp - 80 20 60 7,000 Rp 420,000
610,400 100 7,630 Rp 763,000 180 80 100 7,630 Rp 763,000
71,820 Rp - 70 10 60 1,026 Rp 61,560
47,500 1,000 286 Rp 286,000 1500 1,000 500 286 Rp 143,000
605,000 1,000 160 Rp 160,000 2100 1,100 1,000 160 Rp 160,000
- Rp - 0 - Rp -
- Rp - 20 - 20 7,920 Rp 158,400
489,500 Rp - 100 100 4,895 Rp 489,500
- Rp - 0 - Rp -
229,500 1,000 153 Rp 153,000 2500 - 2,500 153 Rp 382,500
169,500 Rp - 1500 - 1,500 113 Rp 169,500
16 17 18 19 20 21
- 1,000 120 Rp 120,000 1000 500 500 120 Rp 60,000
- Rp - 1400 600 800 Rp -
352,000 1,000 440 Rp 440,000 1800 1,100 700 440 Rp 308,000
- Rp - 8 - 8 Rp -
111,504 48 4,646 Rp 223,008 72 48 24 4,646 Rp 111,504
187,000 Rp - 1700 360 1,340 110 Rp 147,400
172,900 2,000 494 Rp 988,000 2350 600 1,750 494 Rp 864,500
16 17 18 19 20 21
324,500 Rp - 10 - 10 32,450 Rp 324,500
88,800 Rp - 200 100 100 444 Rp 44,400
316,800 200 1,056 Rp 211,200 500 200 300 1,056 Rp 316,800
- Rp - 0 - - Rp -
- Rp - 0 - - Rp -
- Rp - 0 - - Rp -
- 50 2,774 Rp 138,700 50 - 50 2,774 Rp 138,700
53,200 Rp - 28 8 20 1,900 Rp 38,000
76,800 1,980 160 Rp 316,800 2460 1,080 1,380 160 Rp 220,800
- Rp - 0 - Rp -
- Rp - 0 - Rp -
- Rp - 0 - - Rp -
- - Rp - 0 - Rp -
12 17,930 Rp 215,160
26,824 112 479 Rp 53,648 168 112 56 479 Rp 26,824

- 100 4,000 Rp 400,000 100 100 - 4,000 Rp -
- Rp - 0 - - Rp -
275,500 8,000 145 Rp 1,160,000 9900 5,600 4,300 145 Rp 623,500
- 20 20,700 Rp 414,000 20 - 20 20,700 Rp 414,000
- Rp - 0 - - Rp -
73,200 Rp - 400 - 400 183 Rp 73,200
- Rp - 0 - Rp -
92,400 1,000 154 Rp 154,000 1600 1,500 100 154 Rp 15,400
- Rp - 0 - Rp -
- Rp - 0 - Rp -
117,000 5 23,400 Rp 117,000 10 4 6 23,400 Rp 140,400
337,500 Rp - 500 200 300 675 Rp 202,500
129,000 Rp - 1500 - 1,500 86 Rp 129,000
102,900 Rp - 300 200 100 343 Rp 34,300
28,400 Rp - 80 - 80 355 Rp 28,400
- 3,000 297 Rp 891,000 3000 1,100 1,900 636 Rp 1,208,400
- Rp - 0 - - Rp -
69,300 100 693 Rp 69,300 200 - 200 693 Rp 138,600
32,400 200 240 Rp 48,000 500 380 120 240 Rp 28,800
- Rp - 0 - - Rp -
171,000 Rp - 1800 1,800 - 95 Rp -
- Rp - 0 - - Rp -
2,380 Rp - 14 - 14 170 Rp 2,380
1,089,000 500 1,210 Rp 605,000 1400 500 900 1,210 Rp 1,089,000
- Rp - 0 - - Rp -
370,500 Rp - 3250 3,250 - 114 Rp -
- Rp - 0 - Rp -
- Rp - 0 - Rp -
478,500 Rp - 300 300 1,595 Rp 478,500
- 2,000 715 Rp 1,430,000 2000 2,000 - 715 Rp -
102,600 2,000 715 Rp 1,430,000 3900 700 3,200 715 Rp 2,288,000
78,500 Rp - 20 - 20 3,925 Rp 78,500
966,000 2,000 400 Rp 800,000 3500 1,300 2,200 400 Rp 880,000
441,000 4,000 147 Rp 588,000 7000 4,800 2,200 147 Rp 323,400
16 17 18 19 20 21
141,300 36 3,925 Rp 141,300 72 36 36 3,925 Rp 141,300
2,244,000 2,000 935 Rp 1,870,000 4400 1,200 3,200 935 Rp 2,992,000
150,000 60 15,000 Rp 900,000 70 40 30 15,000 Rp 450,000
- Rp - 0 - Rp -
- 3,000 445 Rp 1,335,000 3000 3,000 445 Rp 1,335,000
854,700 120 14,245 Rp 1,709,400 180 120 60 14,245 Rp 854,700
438,000 Rp - 1000 1,000 438 Rp 438,000
- Rp - 0 - Rp -
- Rp - 0 - Rp -
2,032,590 Rp - 10 4
6 203,259 Rp 1,219,554
2,000 2,860 Rp 5,720,000
12 13,640 Rp 163,680
10 21,054 Rp 210,540
Rp - 0 Rp -
-
- 1 Rp 48,840
Rp 48,840 1 - 1 48,840 Rp 48,840
- Rp - 0 - Rp -
- Rp - 0 - Rp -
199,175 Rp - 25 - 25 7,967 Rp 199,175
845,971 Rp - 7109 - 7,109 119 Rp 845,971
2,800,000 1 1,400,000 Rp 1,400,000 3 3 1,400,000 Rp 4,200,000
1,020,800 8,000 176 Rp 1,408,000 13800 13,800 176 Rp 2,428,800
106,600 3 53,300 Rp 159,900 5 4 1 53,300 Rp 53,300
210,840 Rp - 40 40 5,271 Rp 210,840
1,660,365 Rp - 315 - 315 5,271 Rp 1,660,365
2,077,356 3 519,339 Rp 1,558,017 7 2 5 519,339 Rp 2,596,695
- 3 135,000 Rp 405,000 3 135,000 Rp -
- Rp - 0 - Rp -
- Rp - 0 - Rp -
1,000,000 Rp - 200 - 200 5,000 Rp 1,000,000
70,500 Rp - 300 - 300 235 Rp 70,500
121,000 Rp - 5 - 5 24,200 Rp 121,000
121,000 Rp - 5 - 5 24,200 Rp 121,000
121,000 Rp - 5 - 5 24,200 Rp 121,000
276,500 Rp - 1 - 1 276,500 Rp 276,500
773,300 40 20,900 Rp 836,000 77 77 20,900 Rp 1,609,300
136,250 30 5,450 Rp 163,500 55 12 43 5,450 Rp 234,350
339,218 30 19,954 Rp 598,620 47 25 22 19,954 Rp 438,988
1,193,944 30 70,232 Rp 2,106,960 47 22 25 70,232 Rp 1,755,800
991,536 10 141,648 Rp 1,416,480 17 11 6 141,648 Rp 849,888
77,750 Rp - 5 - 5 15,550 Rp 77,750
150,000 Rp - 10 2 8 15,000 Rp 120,000
- Rp - 0 - Rp -
- Rp - 0 - Rp -
1,013,600 300 1,448 Rp 434,400 1000 700 300 1,448 Rp 434,400
524,256 Rp - 32 32 16,383 Rp 524,256
- Rp - 0 - Rp -
16 17 18 19 20 21
68,000 Rp - 1 1 68,000 Rp 68,000
- Rp - 0 - Rp -
4,159,584 Rp - 3744 3,744 1,111 Rp 4,159,584
- Rp - 0 - Rp -
- Rp - 1 1 Rp -
2,300,000 - 1 - 1 2,300,000 Rp 2,300,000
- Rp - 0 - 444 Rp -
845,960 Rp - 2 1 1 422,980 Rp 422,980
16 17 18 19 20 21
598,750 Rp - 50 50 11,975 Rp 598,750
- Rp - 0 - Rp -
- Rp - 0 - Rp -
100,800 Rp - 420 420 240 Rp 100,800
98,500 Rp - 500 500 197 Rp 98,500
- Rp - 0 - Rp -
195,000 Rp - 200 200 975 Rp 195,000
- 2 Rp - 2 2 43,000 Rp 86,000
1,325,000 2 1,325,000 Rp 2,650,000 3 3 1,325,000 Rp 3,975,000
1,640,000 50 8,200 Rp 410,000 250 250 8,200 Rp 2,050,000
- 2 499,400 Rp 998,800 2 1 1 499,400 Rp 499,400
- 60 60,500 Rp 3,630,000 60 60 - 60,500 Rp -
- 10 60,500 Rp 605,000 10 - 10 60,500 Rp 605,000
- 2 151,515 Rp 303,030 2 2 151,515 Rp 303,030
- 1 20,000 Rp 20,000 1 1 20,000 Rp 20,000
- 1 104 Rp 104 1 1 104 Rp 104
- 2 137,500 Rp 275,000 2 2 137,500 Rp 275,000
- 1 234,423 Rp 234,423 1 1 234,423 Rp 234,423
4 591,965 Rp 2,367,860 4 591,965 Rp -
- Rp - 0 - Rp -
- Rp - 0 - Rp -
- Rp - 0 - Rp -
100,000 Rp - 100 100 - 1,000 Rp -
- Rp - 0 - Rp -
270,000 300 900 Rp 270,000 600 300 300 900 Rp 270,000
411,900 Rp - 300 100 200 1,373 Rp 274,600
- Rp - 100 - 100 1,320 Rp 132,000
195,000 2 32,500 Rp 65,000 8 5 3 32,500 Rp 97,500
358,800 5 44,850 Rp 224,250 13 5 8 44,850 Rp 358,800
13,860 Rp - 1 - 1 13,860 Rp 13,860
27,720 Rp - 2 1 1 13,860 Rp 13,860
290,000 Rp - 200 200 - 1,450 Rp -
950,000 Rp - 200 50 150 4,750 Rp 712,500
476,100 Rp - 100 50 50 4,761 Rp 238,050
1,401,750 Rp - 150 100 50 9,345 Rp 467,250
- Rp - 0 - Rp -
- Rp - 0 - Rp -
Rp - 48 24 Rp 4,020,000
8,040,000 24 167,500
Rp - 48 24 Rp 4,020,000
8,040,000 24 167,500
Rp - 0 Rp -
- -
Rp - 0 Rp -
- -
- Rp - 0 - Rp -
274,560 Rp - 26 - 26 10,560 Rp 274,560
105,600 Rp - 10 10 - 10,560 Rp -
- Rp - 0 - Rp -
16 17 18 19 20 21
316,800 Rp - 30 30 10,560 Rp 316,800
- 200 833 Rp 166,600 246 5 241 6,622 Rp 1,595,902
1,291,290 Rp - 195 50 145 6,622 Rp 960,190
662,200 Rp - 100 50 50 6,622 Rp 331,100
496,584 Rp - 264 264 1,881 Rp 496,584
462,648 Rp - 444 444 1,042 Rp 462,648
105,000 Rp - 7 4 3 15,000 Rp 45,000
- Rp - 0 Rp -
- Rp - 0 Rp -
- 2 131,250 Rp 262,500 2 Rp -
- Rp - 0 - Rp -
137,500 5 27,500 Rp 137,500 10 5 5 27,500 Rp 137,500
10 44,525 Rp 445,250 16 14 Rp 89,050
267,150 2 44,525
100,760 12 16,359 Rp 196,308 14 - 14 16,359 Rp 229,026
64,000 Rp - 20 20 3,200 Rp 64,000
128,000 Rp - 40 20 20 3,200 Rp 64,000
128,000 Rp - 40 40 - 3,200 Rp -
880,000 Rp - 44 7 37 20,000 Rp 740,000
41,800 Rp - 8 8 5,225 Rp 41,800
Rp - 500 Rp 2,612,500
2,612,500 500 5,225
- Rp - 0 - Rp -
- Rp - 0 - Rp -
924,000 Rp - 200 50 150 4,620 Rp 693,000
374,000 Rp - 100 50 50 3,740 Rp 187,000
3,560,700 Rp - 195 50 145 18,260 Rp 2,647,700
235,400 Rp - 10 10 - 23,540 Rp -
- Rp - 0 - Rp -
- Rp - 0 - Rp -
- Rp - 0 - Rp -
68,750
Rp - 10 3 7 6,875 Rp 48,125
16 17 18 19 20 21
169,400 Rp - 10 3 7 16,940 Rp 118,580
101,640 Rp - 6 3 3 16,940 Rp 50,820
75,625 Rp - 11 5 6 6,875 Rp 41,250
75,625 Rp - 11 11 - 6,875 Rp -
208,120 2 52,030 Rp 104,060 6 4 2 52,030 Rp 104,060
200,000 Rp - 20 2 18 10,000 Rp 180,000
3,891,402 Rp - 18 - 18 216,189 Rp 3,891,402
109,098 Rp - 58 4 54 1,881 Rp 101,574
131,670 Rp - 70 10 60 1,881 Rp 112,860
131,670 Rp - 70 10 60 1,881 Rp 112,860
131,670 Rp - 70 10 60 1,881 Rp 112,860
131,670 Rp - 70 70 1,881 Rp 131,670
131,670 Rp - 70 70 1,881 Rp 131,670
131,670 Rp - 70 70 1,881 Rp 131,670
131,670 Rp - 70 70 1,881 Rp 131,670
112,860 Rp - 60 60 1,881 Rp 112,860
112,860 Rp - 60 60 1,881 Rp 112,860
112,860 Rp - 60 60 1,881 Rp 112,860
112,860 Rp - 60 60 1,881 Rp 112,860
112,860 Rp - 60 60 1,881 Rp 112,860
112,860 Rp - 60 60 1,881 Rp 112,860
112,860 Rp - 60 60 1,881 Rp 112,860
408,100 Rp - 1 1 - 408,100 Rp -
- 170 40,000 Rp 6,800,000 170 Rp -
5 24,640 Rp 123,200
- Rp - 0 Rp -
- 400 Rp - 400 400 Rp 7,920 Rp 3,168,000
101,572,505 72,603,514 Rp 108,362,785
Malinjak, 30 September

NIP:19831107 200904 2 006
BULAN Oktober s/d Desember 2020
NO NAMA ITEM OBAT JUMLAH SATUAN HARGA SATUAN JUMLAH PENERIMAAN HARGA JUMLAH PERSEDIAAN PENGELU SISA HARAGA JUMLAH PENERIMA HARGA JUMLAH PERSEDIAN PENGELU SISA HARGA JUMLAH PENERIMAA
STOK OBAT Oktober SATUAN ARAN oktober SATUAN AN SATUAN ARAN nofember SATUAN N desember
Septemb oktober nofember nofember
er 2020
1 2 3 4 5 6 7 8 9 10 11 12 14 15 16
1 Albendasol 452 tablet Rp 527 Rp 238,204 - 452 - 452 527 238,204 2,000 568 1,136,000 2,452 2,452 568 1,392,736
1 Allopurinol 100 mg 300 tablet Rp 127 Rp 38,100 2,000 295 590,000 2,300 1,700 600 295 177,000 - 600 600 - 295 -
2 Ambroksol sirup 50 botol Rp 4,000 Rp 200,000 - 50 50 4,000 200,000 - 50 50 - 4,000 -
3 Ambroksol tablet tablet Rp 150 Rp - - - - - - - 0 - -
4 Aminophilin injeksi 24 mg / ml ampul Rp 3,349 Rp - - - - - - - - - -
5 Aminophilin tablet 200 mg tablet Rp 180 Rp - - - - - - - - - -
6 Amitripilin tablet 25 mg 300 tablet Rp 220 Rp 66,000 200 220 44,000 500 500 220 110,000 - 500 - 500 220 110,000
7 Amlodipin 10 mg 2450 tablet Rp 110 Rp 269,500 1,000 83 83,000 3,450 1500 1,950 83 161,850 1,000 83 83,000 2,950 1750 1,200 83 99,600 2,000
8 Amoksisilin 500 mg 2600 tablet Rp 245 Rp 637,000 8,000 792 6,336,000 10,600 8,000 2,600 792 2,059,200 8,000 792 6,336,000 10,600 6,300 4,300 792 3,405,600 10,000
9 Amoksisilin sirup kering 125 mg/5 ml 60 botol Rp 4,183 Rp 250,980 180 4,172 750,960 240 100 140 4,172 584,080 60 4,172 250,320 200 120 80 4,172 333,760 180
10 Ampicillin Injeksi 10 ampul Rp - Rp - - 10 10 17,830 178,300 - 10 - 10 17,830 178,300
11 Anti Bisa Ular 4 tablet Rp - Rp - - 4 4 512,204 2,048,816 - 4 - 4 512,204 2,048,816
12 Antalgin Tablet tablet Rp 145 Rp - - - - - - - - - -
13 Antasida DOEN I tablet 3800 botol Rp 74 Rp 281,200 3,000 74 222,000 6,800 3,000 3,800 74 281,200 3,000 74 222,000 6,800 3,100 3,700 74 273,800 3,000
14 Antasida DOEN II suspensi 150 suppo Rp 2,408 Rp 361,200 150 2,408 361,200 300 200 100 2,408 240,800 300 2,408 722,400 400 255 145 2,408 349,160 300
15 Antihemoroid 10 tablet Rp 3,806 Rp 38,060 50 3,805 190,250 60 20 40 3,805 152,200 - 40 - 40 3,805 152,200
16 Artropin Injeksi tablet Rp 1,958 Rp - - - - - - - - - -
17 Asam Ascorbat 50 mg 3200 tablet Rp 130 Rp 416,000 7,000 131 917,000 10,200 8,500 1,700 131 222,700 10,000 131 1,310,000 11,700 6,700 5,000 131 655,000
18 Asam Ascorbat 250 mg tablet Rp 139 Rp - - - - - - - - - -
19 Asam Folat 1 mg 1300 ampul Rp 57 Rp 74,100 - 1,300 700 600 57 34,200 1,000 225 225,000 1,600 300 1,300 225 292,500
20 Asam Mefenamat 500 mg tube Rp 139 Rp - - - - - - - - - -
21 Asam Traneksamat Injeksi tablet Rp - Rp - - - - - - - - - -
22 Asiklovir Salep 96 tablet Rp 5,000 Rp 480,000 - 96 - 96 5,000 480,000 - 96 6 90 5,000 450,000
23 Asiklovir 200 mg 2000 vial Rp 287 Rp 574,000 - 2,000 - 2,000 287 574,000 - 2,000 - 2,000 287 574,000
24 Atapulgit (Akita) 2100 pot Rp 120 Rp 252,000 - 2,100 - 2,100 120 252,000 - 2,100 - 2,100 120 252,000
25 Aqua Pro injeksi 32 tube Rp 2,400 Rp 76,800 - 32 32 2,400 76,800 - 32 10 22 2,400 52,800
26 Answer Dengue Ag 100 tablet Rp 20,375 Rp 2,037,500 - 100 100 20,375 2,037,500 - 100 - 100 20,375 2,037,500
27 Answer Dengue Ig 80 tablet Rp 18,275 Rp 1,462,000 - 80 80 18,275 1,462,000 - 80 - 80 18,275 1,462,000
28 Bedak salicyl serbuk 2 % botol Rp 1,450 Rp - - - - - - - - - -
29 Betametason krim 40 tube Rp 3,500 Rp 140,000 100 1,550 155,000 140 50 90 1,550 139,500 50 1,550 77,500 140 110 30 1,550 46,500
30 Besi (II) sukfat 200 mg + asam folat tablet Rp 49 Rp - - - - - - - - - - -
31 Captopril 25 mg 600 ampul Rp 457 Rp 274,200 3,000 193 579,000 3,600 1,600 2,000 193 386,000 3,000 193 579,000 5,000 600 4,400 193 849,200
32 Clor Etil tablet Rp 12,000 Rp - - - - - - - - - -
33 Deksametason injeksi 30 ampul Rp 1,378 Rp 41,340 100 1,378 137,800 130 20 110 1,378 151,580 30 1,378 41,340 140 20 120 1,378 165,360
34 Deksametason tablet 0,5 mg 2100 botol Rp 75 Rp 157,500 8,000 200 1,600,000 10,100 6,000 4,100 200 820,000 6,000 200 1,200,000 10,100 4,600 5,500 200 1,100,000 1,500
35 Diazepam injeksi 5 mg / ml 10 tablet Rp 3,038 Rp 30,380 - 10 10 3,038 30,380 - 10 - 10 3,038 30,380
36 Diazepam tablet 5 mg 200 ampul Rp 3,038 Rp 607,600 - 200 200 3,038 607,600 - 200 - 200 3,038 607,600
37 Difenhidramin injeksi 10 mg/ml tablet Rp 1,260 Rp - 30 1,321 39,630 30 30 1,260 37,800 30 1,321 39,630 60 - 60 1,260 75,600
38 Domperidon suspensi 5 mg / 5 ml kapsul Rp 16,400 Rp - - - - - - - - - -
39 Domperidon tablet 10 mg tablet Rp 190 Rp - - - - - - - - - -
40 Epinefrin (adrenalin) injeksi 100 kapsul Rp 5,387 Rp 538,700 - 100 100 5,387 538,700 - 100 - 100 5,387 538,700
41 Eritromicin 500 mg tablet Rp 128 Rp - - - - - - - - -
42 Fenitoin Na kapsul 10 mg ampul Rp 545 Rp - - - - - - - - -
er 2020
1 2 3 4 5 6 7 8 9 10 11 12 14 15 16
43 Fenobarbital 30 mg 300 tablet Rp 170 Rp 51,000 - 300 200 100 170 17,000 500 102 51,000 600 - 600 102 61,200
44 Ferro fumarat kapsul lunak 250 mg tablet Rp - Rp - - - - - - - - -
45 Ferro Glukonat 250 mg (Etabion) ampul Rp - Rp - - - - - - - - -
46 Fitomenadion injeksi 2 ml/mg 30 tube Rp 4,100 Rp 123,000 - 30 30 4,100 123,000 - 30 30 - 4,100 -
47 Fitomenadion tablet 10 mg 400 botol Rp 866 Rp 346,400 - 400 100 300 866 259,800 - 300 200 100 866 86,600 500
48 Furosemid tablet 40 mg 600 tablet Rp 102 Rp 61,200 - 600 - 600 102 61,200 500 170 85,000 1,100 1,100 170 187,000
49 Flouride tablet Rp 1,375 Rp - - - - - - - - -
50 Gentamicin injeksi 40 mg / ml tablet Rp 3,854 Rp - - - - - - - - -
51 Gentamicin salep kulit 20 vial Rp 2,976 Rp 59,520 50 2,976 148,800 70 70 - 2,976 - 20 2,976 59,520 20 20 - 2,976 -
52 Gentamicin tetes mata 0,3% tablet Rp 3,832 Rp - - - - - - - - -
53 Glibenklamid 5 mg 400 tube Rp 93 Rp 37,200 - 400 400 93 37,200 - 400 400 93 37,200
54 Gliseril Guaiakolat (GG) 4100 tablet Rp 450 Rp 1,845,000 10,000 182 1,820,000 14,100 8,100 6,000 182 1,092,000 5,000 182 910,000 11,000 7,600 3,400 182 618,800 10,000
55 Griseovulvin 125 mg tablet Rp 374 Rp - - - - - - - - - -
56 H2O2 tablet Rp 55,000 Rp - 5 9,240 46,200 5 1 4 9,240 36,960 - 4 2 2 9,240 18,480
57 Haloperdiol 0,5 mg tablet Rp - Rp - - - - - - - - -
58 Hidrokortison krim 96 tablet Rp 3,047 Rp 292,512 - 96 56 40 3,047 121,880 48 2,846 136,608 88 24 64 2,846 182,144 48
59 Hyocin Butyl Bromide 10mg (Scopma ) 1000 tube Rp 117 Rp 117,000 - 1,000 1,000 117 117,000 - 1,000 - 1,000 117 117,000
60 Ibuproven 400 mg 3300 ampul Rp 143 Rp 471,900 6,000 118 708,000 9,300 9,300 - 118 - 5,000 418 2,090,000 5,000 5,000 - 418 - 1,000
61 Kalsium Laktat 500 mg 700 tablet Rp 83 Rp 58,100 2,000 176 352,000 2,700 600 2,100 176 369,600 - 2,100 200 1,900 176 334,400
62 Karbamazepin 200 mg 400 kapsul Rp - Rp - - 400 400 1,936 774,400 - 400 - 400 1,936 774,400
63 Ketokenasol 200 mg 600 tube Rp 205 Rp 123,000 1,000 322 322,000 1,600 400 1,200 322 386,400 - 1,200 700 500 322 161,000 1,000
64 Ketokenasol krim botol Rp 2,893 Rp - - - - - - - - -
65 Ketorolac Injeksi botol Rp 1,450 Rp - - - - - - - - -
66 Klindamisin 300 mg 500 tablet Rp 678 Rp 339,000 - 500 - 500 678 339,000 - 500 - 500 678 339,000
67 Kloramfenikol kapsul 250 mg tablet Rp 715 Rp - - - - - - - - -
68 Kloramfenikol salep kulit botol Rp 7,433 Rp - - - - - - - - -
69 Kloramfenikol tetes mata botol Rp - Rp - - - - - - - - -
70 Kloramfenikol tetes telinga 3% 39 botol Rp 10,780 Rp 420,420 50 10,780 539,000 89 2 87 10,780 937,860 - 87 30 57 10,780 614,460
71 Kloramfeniramina Maleat 4 mg (CTM) 3800 botol Rp 43 Rp 163,400 10,000 43 430,000 13,800 8,400 5,400 43 232,200 5,000 43 215,000 10,400 7,200 3,200 43 137,600 10,800
72 Kotrimoksasol tablet 480 mg 400 botol Rp 273 Rp 109,200 3,000 141 423,000 3,400 3,400 - 141 - 4,000 273 1,092,000 4,000 1,300 2,700 273 737,100 2,000
73 Kotrimoksasol suspensi 240 mg 95 ampul Rp 5,500 Rp 522,500 - 95 95 - 5,500 - 100 2,300 230,000 100 100 - 2,300 -
74 Larutan Glukosa 5% 40 tablet Rp 6,900 Rp 276,000 - 40 40 6,900 276,000 - 40 - 40 6,900 276,000 60
75 Larutan Dextrose 10% 15 tablet Rp - Rp - - 15 15 - - 15 - 15 -
76 Larutan NaCL 60 vial Rp 7,000 Rp 420,000 40 6,840 273,600 100 100 6,840 684,000 - 100 40 60 6,840 410,400
77 Larutan Ringer Laktat 100 vial Rp 7,000 Rp 700,000 60 7,630 457,800 160 20 140 7,630 1,068,200 40 7,630 305,200 180 50 130 7,630 991,900 40
78 Lidokain Injeksi 60 ampul Rp 1,026 Rp 61,560 - 60 40 20 1,026 20,520 100 1,529 152,900 120 40 80 1,529 122,320 100
79 Loperamid 2 mg 500 tablet Rp 95 Rp 47,500 1,000 286 286,000 1,500 - 1,500 286 429,000 - 1,500 - 1,500 286 429,000
80 Loratadin 10 mg 500 tablet Rp 550 Rp 275,000 1,000 160 160,000 1,500 500 1,000 160 160,000 - 1,000 500 500 160 80,000 1,000
81 Magnesium Sulfat 20% (MgSO 20%) tablet Rp 7,920 Rp - - - - - - - - -
82 Magnesium Sulfat 40% (MgSO 40%) 20 tablet Rp - Rp - - 20 20 4,895 97,900 - 20 20 4,895 97,900 10
83 Metilergometrin Injeksi tablet Rp 4,895 Rp - - - - - - - - -
84 Metilergometrin Tablet tablet Rp 352 Rp - - - - - - - - -
85 Metilprednisolon 4 mg 2500 tube Rp 153 Rp 382,500 - 2,500 2,000 500 153 76,500 1,000 153 153,000 1,500 1,500 - 153 - 1,000
86 Metformin HCL 500 mg 1500 tablet Rp 113 Rp 169,500 - 1,500 - 1,500 113 169,500 - 1,500 1,500 113 169,500
87 Metoklopramide 10 mg 500 tablet Rp - Rp - 1,000 120 120,000 1,500 500 1,000 120 120,000 - 1,000 1,000 120 120,000
88 Metronidasol 250 mg 800 tablet Rp - Rp - - 800 200 600 - - 600 - 600 -
89 Metronidasol 500 mg 700 tablet Rp 151 Rp 105,700 2,000 440 880,000 2,700 1,400 1,300 440 572,000 1,000 440 440,000 2,300 200 2,100 440 924,000
90 Metro infus botol Rp - Rp - - - - - - - - -
91 Mikonasol krim 24 ampul Rp 4,060 Rp 97,440 24 4,646 111,504 48 - 48 4,646 223,008 24 4,268 102,432 72 49 23 4,268 98,164 48
92 N. Asetil Sistain 840 tube Rp 479 Rp 402,360 - 840 840 479 402,360 - 840 - 840 479 402,360 300
93 Natrium diklofenak 50 mg 1750 ampul Rp 494 Rp 864,500 1,000 494 494,000 2,750 1,050 1,700 494 839,800 - 1,700 1,000 700 494 345,800 2,000
94 Nistatin drop 10 kapsul Rp 200 Rp 2,000 - 10 10 200 2,000 - 10 - 10 200 2,000
95 Nifedipin 10 mg 100 ampul Rp 444 Rp 44,400 - 100 100 - 444 - 500 198 99,000 500 - 500 198 99,000
96 Nistatin tablet 100.000 IU/g 300 tablet Rp 720 Rp 216,000 - 300 300 720 216,000 100 1,056 105,600 400 - 400 1,056 422,400
97 Nistatin tablet 500.000 IU/g sac Rp 2,500 Rp - - - - - - - - -
98 OBH botol Rp - Rp - - - - - - - - -
99 Oksitetrasiklin HCL injeksi botol Rp 4,659 Rp - - - - - - - - -
100 Oksitetrasiklin Salep Mata 50 botol Rp 4,659 Rp 232,950 - 50 5 45 4,659 209,655 - 45 45 - 4,659 - 50
101 Oksitocyn injeksi 80 ampul Rp 1,900 Rp 152,000 - 80 80 1,900 152,000 - 80 80 - 1,900 - -
102 Omeprasol 20 mg 1380 tablet Rp - Rp - 1,980 160 316,800 3,360 3,360 160 537,600 - 3,360 1,570 1,790 160 286,400
103 Ondansetron Injeksi tablet Rp 590 Rp - - - - - - - - -
104 Ondansetron Tablet tablet Rp 460 Rp - - - - - - - - -
er 2020
1 2 3 4 5 6 7 8 9 10 11 12 14 15 16
105 Oralit tablet Rp 460 Rp - 400 - 400 200 200 400 80,000 - 200 200 400 80,000
er 2020
1 2 3 4 5 6 7 8 9 10 11 12 14 15 16
106 OTSU KCL injeksi tablet Rp 479 Rp - - - - - - - - -
107 Parasetamol drop 56 botol Rp 3,520 Rp 197,120 112 8,311 930,832 168 112 56 8,311 465,416 112 8,311 930,832 168 112 56 8,311 465,416 168
108 Parasetamol sirup 120 mg botol Rp 96 Rp - 100 4,000 400,000 100 100 4,000 400,000 100 4,000 400,000 200 100 100 4,000 400,000 100
109 Parasetamol Suppo 125 mg 12 botol Rp 135 Rp 1,620 - 12 12 135 1,620 - 12 - 12 135 1,620
110 Parasetamol tablet 500 mg 4300 tablet Rp 145 Rp 623,500 10,000 173 1,730,000 14,300 6,600 7,700 173 1,332,100 5,000 145 725,000 12,700 8,200 4,500 145 652,500 10,000
111 Perak Sulfadiazin 20 tablet Rp 545 Rp 10,900 - 20 20 20,700 414,000 - 20 5 15 20,700 310,500
112 Phenitoin 100 mg ampul Rp 655 Rp - - - - - - - - -
113 Pirantel Pamoat 125 mg 400 tablet Rp 183 Rp 73,200 - 400 400 183 73,200 - 400 400 183 73,200
114 Piroxicam kapsul Rp 67 Rp - 3,000 183 549,000 3,000 2,200 800 183 146,400 2,000 183 366,000 2,800 900 1,900 183 347,700 2,000
115 Piridoksin 10 mg (Vitamin B6) 100 kapsul Rp - Rp - 2,000 154 308,000 2,100 1,500 600 154 92,400 1,500 154 231,000 2,100 1,500 600 154 92,400 2,000
116 Povidon Iodida 30 ml tablet Rp 7,532 Rp - - - - - - - - -
117 Povidon Iodida 60 ml tablet Rp 22,600 Rp - - - - - - - - -
118 Povidon Iodida 300 ml 6 pot Rp 130 Rp 780 5 23,400 117,000 11 5 6 23,400 140,400 5 23,400 117,000 11 3 8 23,400 187,200 10
119 Propanolol 10 mg 300 tablet Rp 675 Rp 202,500 500 148 74,000 800 100 700 148 103,600 - 700 700 148 103,600
120 Prednison 1500 ampul Rp 1,573 Rp 2,359,500 - 1,500 1,500 1,573 2,359,500 - 1,500 - 1,500 1,573 2,359,500
121 Propiltiaurasil 100 mg 100 tablet Rp 343 Rp 34,300 500 627 313,500 600 300 300 627 188,100 - 300 - 300 627 188,100
122 Ranitidin Injeksi 80 ampul Rp 355 Rp 28,400 - 80 80 3,099 247,920 - 80 80 3,099 247,920
123 Ranitidin 150 mg 1900 tablet Rp 636 Rp 1,208,400 - 1,900 200 1,700 636 1,081,200 - 1,700 900 800 636 508,800 3,000
124 Retinol 100.000 (Vitamin A Biru) tablet Rp 240 Rp - - - - - - - - -
125 Retinol 200.000 (Vitamin A Merah) 200 tablet Rp - Rp - - 200 200 636 127,200 - 200 100 100 636 63,600
126 Risperidon 120 ampul Rp 108 Rp 12,960 1,000 240 240,000 1,120 220 900 240 216,000 - 900 200 700 240 168,000 500
127 Salbutamol tablet 2 mg tablet Rp 10,560 Rp - - - - - - - - -
128 Salbutamol tablet 4 mg 1800 botol Rp 3,040 Rp 5,472,000 2,000 95 190,000 3,800 2,900 900 95 85,500 3,000 95 285,000 3,900 800 3,100 95 294,500 2,000
129 Ferbulin (Salbutamol sulfate for Inhalation) 20 tablet Rp 616 Rp 12,320 - 20 20 - - - - - -
130 Salep 24 14 tablet Rp 5,688 Rp 79,632 - 14 14 5,688 79,632 24 170 4,080 38 14 24 170 4,080 24
131 Sefadroksil 900 ampul Rp 69 Rp 62,100 - 900 500 400 1,210 484,000 500 1,210 605,000 900 700 200 1,210 242,000 1,000
132 Seftriakson injeksi tablet
Rp 1,425 Rp - - - - - - - - - -
133 Sianokobalamin tablet (Vitamin B12) tablet
Rp 220 Rp - 5,000 114 570,000 5,000 2,500 2,500 114 285,000 5,000 114 570,000 7,500 2,750 4,750 114 541,500 5,000
134 Sianokobalamin injeksi (Vitamin B12) tablet
Rp 250 Rp - - - - - - - - - - -
135 Simetidin botol
Rp 276 Rp - - - - - - - - -
136 Simvastatin 20 mg tablet
Rp 1,595 Rp - - - - - - - - -
137 Solvitron Rp 40 Rp - - - - - - - - -
138 Siprofloksasin tablet score 500 mg 1300 Rp 54 Rp 70,200 1,000 715 715,000 2,300 700 1,600 715 1,144,000 1,000 715 715,000 2,600 - 2,600 715 1,859,000
139 Tiamin injeksi 20 buah Rp 3,925 Rp 78,500 - 20 20 - 3,925 - 30 1,595 47,850 30 30 - 1,595 - 30
140 Tiamin tablet 50 mg (Vitamin B1) 700 tablet Rp 644 Rp 450,800 2,000 400 800,000 2,700 100 2,600 400 1,040,000 - 2,600 1,300 1,300 400 520,000 1,000
141 Vitamin B Kompleks 2200 buah Rp 15,000 Rp 33,000,000 10,200 147 1,499,400 12,400 8,400 4,000 147 588,000 5,000 147 735,000 9,000 6,900 2,100 147 308,700 10,000
142 Zink sirup 20 mg / 5 ml 36 vial Rp 1,265 Rp 45,540 72 3,925 282,600 108 108 - 3,925 - 108 3,925 423,900 108 72 36 3,925 141,300 108
143 Zink tablet 20 mg 1600 tablet Rp 350 Rp 560,000 2,000 935 1,870,000 3,600 2,700 900 935 841,500 2,000 935 1,870,000 2,900 500 2,400 935 2,244,000 1,000
144 Ventolin botol Rp 14,245 Rp - 100 15,000 1,500,000 100 30 70 15,000 1,050,000 40 15,000 600,000 110 70 40 15,000 600,000 100
145 Lodecon Forte pcs Rp 438 Rp - - - - - - - - -
146 Samcobion botol Rp - Rp - - - - - - - - -
147 Truvit sirup 60 kotak Rp - Rp - 120 14,245 1,709,400 180 180 - 14,245 - 120 14,245 1,709,400 120 60 60 14,245 854,700 120
148 Cetrizine 10 mg tablet Rp - Rp - - - - - - - - -
149 Thiampenicol Sirup paket Rp - Rp - - - - - - - - -
150 Thiampenicol paket Rp - Rp - - - - - - - - -
151 Xyocaine 2% 6 paket Rp 203,259 Rp 1,219,554 - 6 2 4 203,259 813,036 - 4 - 4 203,259 813,036
152 Abate 2000 pot Rp - - 2,000 2,000 - - - - - -
153 Sodium Valproate Sirui 250mg/5ml 10 tablet Rp - - 10 10 - - 10 - 10 -
154 Ichtyol Salep paket Rp - - - - - - - - - 12
Rp - - - - - - - - -
OBAT PROGRAM, VAKSIN DAN PERBEKALAN Rp - - - - -
KESEHATAN - - - -
er 2020
1 2 3 4 5 6 7 8 9 10 11 12 14 15 16
1 Air Sound Timer 1 Rp 48,840 Rp 48,840 - 1 1 - 48,840 - - - - -
2 Azithromycin Rp - Rp - - - - - - - - -
3 Batrai Air Sound Timer Rp - Rp - - - - - - - - -
4 Calcii Glukonas 25 Rp 900 Rp 22,500 - 25 25 7,967 199,175 - 25 - 25 7,967 199,175 1
5 Dietil Karbamezapin 7109 Rp 280 Rp 1,990,520 - 7,109 7,109 280 1,990,520 - 7,109 7,109 280 1,990,520
6 Gimza Rp 1,451,000 Rp - - - - - - - - -
7 Lancet 5800 Rp 176 Rp 1,020,800 - 5,800 5,800 176 1,020,800 - 5,800 5,800 176 1,020,800 50
8 Lysol 100 % 1 Rp 53,300 Rp 53,300 5 53,300 266,500 6 2 4 53,300 213,200 - 4 2 2 53,300 106,600 5
9 Malaria HRP2 (RDT) 40 Rp 276,500 Rp 11,060,000 - 40 40 5,271 210,840 - 40 40 5,271 210,840
10 Obat Anti Malaria 315 Rp 20,900 Rp 6,583,500 - 315 90 225 864 194,400 - 225 - 225 864 194,400
11 Paket Kategori I 5 Rp 409,075 Rp 2,045,375 3 519,339 1,558,017 8 1 7 519,339 3,635,373 - 7 6 1 519,339 519,339 5
12 Paket Kategori II Rp - Rp - - - - - - - - -
13 Paket Stop TB OAT Anak Rp - Rp - - - - - - - - -
14 Susu Pengobatan Penderita TB 3 135,000 405,000
14 Pot Dahak 200 Rp 5,000 Rp 1,000,000 - 200 200 5,000 1,000,000 - 200 - 200 5,000 1,000,000
15 Primaquin 300 Rp 235 Rp 70,500 - 300 300 280 84,000 - 300 - 300 280 84,000
16 Papsmear kiT S 5 Rp - Rp - - 5 5 24,200 121,000 - 5 5 24,200 121,000
17 Papsmear kiT M 5 Rp - Rp - - 5 5 24,200 121,000 - 5 5 24,200 121,000
18 Papsmear kiT L 5 Rp - Rp - - 5 5 24,200 121,000 - 5 5 24,200 121,000
19 Ziehl Neelsen 1 Rp - Rp - - 1 1 276,500 276,500 - 1 1 276,500 276,500 2
20 HB o 77 Rp 20,900 Rp 1,609,300 - 77 77 20,900 1,609,300 - 77 10 67 20,900 1,400,300
21 BCG 1 ml/pelarut 42 Rp 5,450 Rp 228,900 20 5,450 109,000 62 11 51 5,450 277,950 - 51 13 38 5,450 207,100 20
22 Polio 22 Rp 19,954 Rp 438,988 20 19,954 399,080 42 23 19 19,954 379,126 20 19,954 399,080 39 23 16 19,954 319,264 20
23 DPT/Pentabion 25 Rp 70,232 Rp 1,755,800 20 70,232 1,404,640 45 21 24 70,232 1,685,568 20 70,232 1,404,640 44 20 24 70,232 1,685,568
24 Campak/pelarut/MR 6 Rp 141,648 Rp 849,888 50 141,648 7,082,400 56 6 50 141,648 7,082,400 - 50 20 30 141,648 4,249,440 10
25 Dt 5 Rp 15,550 Rp 77,750 20 15,550 311,000 25 25 15,550 388,750 10 15,550 155,500 35 28 7 15,550 108,850 20
26 Td/Tt 8 Rp 15,000 Rp 120,000 20 15,000 300,000 28 3 25 15,000 375,000 50 15,000 750,000 75 52 23 15,000 345,000
27 IPV Rp 137,610 Rp - 20 137,610 2,752,200 20 20 137,610 2,752,200 - 20 16 4 137,610 550,440 20
28 Spuit 0,05 Rp 1,995 Rp - - - - - 100 4,500 450,000 100 100 - - 500
29 Supit 0,5 300 Rp 1,448 Rp 434,400 200 1,448 289,600 500 200 300 1,448 434,400 1,000 1,448 1,448,000 1,300 800 500 1,448 724,000
30 Saftey Box 25 Rp 1,448 Rp 36,200 - 25 25 16,383 409,575 - 25 4 21 16,383 344,043
31 Hexagon syphilis Rp 26,889 Rp - - - - - - - - -
32 Spirtus 1 Rp 68,000 Rp 68,000 - 1 1 68,000 68,000 - 1 1 68,000 68,000 3
33 Pot Feses Rp 135,000 Rp - - - - - - - - -
34 Slide 3744 Rp - Rp - - 3,744 3,744 1,111 4,159,584 - 3,744 3,744 1,111 4,159,584 160
35 Box Slide Rp - Rp - - - - - - - - -
36 Methanol Rp - Rp - - - - - - - - -
Infrared Thermometer 1 Rp 2,300,000 Rp 2,300,000 - 1 - 1 2,300,000 2,300,000 1 1 2,300,000 2,300,000
37 Tamblet Tambah Darah Program (Ferro Fumarat) 8100 Rp 444 Rp 3,596,400 - 8,100 5,000 3,100 444 1,376,400 2,500 445 1,112,500 5,600 2,300 3,300 445 1,468,500
38 Alat Deteksi Resiko kehamilan 1 Rp 422,980 Rp 422,980 - 1 1 - 422,980 - - - - -
39 HIV Test (Rapid Test SD Bioline ) 30 Rp 1,448 Rp 43,440 300 11,975 3,592,500 330 100 230 11,975 2,754,250 - 230 50 180 11,975 2,155,500
40 RDT Hepatitis Rp - Rp - - - - - - - - -
41 Klonazepam Rp - Rp - - - - - - - - -
42 Clorpromazine(CPZ) 500 Rp 240 Rp 120,000 - 500 500 240 120,000 - 500 500 240 120,000
43 Fluoxentin Rp 197 Rp - - - - - - - - -
44 Isosorbid Dinitrit 200 Rp - Rp - - 200 200 172 34,400 - 200 200 172 34,400
45 MDT COMBI KUSTA Rp 975 Rp - - - - - - - - - 3
46 Vaksin HBIg 2 Rp 43,000 Rp 86,000 - 2 2 1,325,000 2,650,000 - 2 2 1,325,000 2,650,000
47 HBS Ag RV.B10 250 Rp 1,325,000 Rp 331,250,000 150 8,200 1,230,000 400 100 300 8,200 2,460,000 - 300 50 250 8,200 2,050,000 50
er 2020
1 2 3 4 5 6 7 8 9 10 11 12 14 15 16
48 Glass Ionomor ART serbuk 1 Rp 8,200 Rp 8,200 - 1 1 - 499,400 - - - - -
49 Artculacting Paper Rp - Rp - - - - - - - - -
50 Eugenol 10 Rp - Rp - - 10 10 60,500 605,000 - 10 10 60,500 605,000
51 Asam citrat 2 Rp - Rp - - 2 2 151,515 303,030 - 2 2 151,515 303,030 2
52 Lampu spritus 1 Rp - Rp - - 1 1 20,000 20,000 - 1 1 20,000 20,000
53 Alkohol swab 1 Rp - Rp - - 1 1 104 104 - 1 - 1 104 104
54 Cover glass 2 Rp - Rp - - 2 2 137,500 275,000 - 2 2 137,500 275,000 1
55 Eosin 2 Rp - Rp - - 2 2 234,423 468,846 - 2 2 234,423 468,846 1
Rp - Rp - - - - - - - - -
PERBEKALAN KESEHATAN Rp - - - - - - - - -
1 Alat suntik sekali pakai 0,5 ml Rp 1,448 Rp - - - - - - - - -
2 Alat suntik sekali pakai 0,05 ml Rp 1,995 Rp - - - - - - - - -
3 Alat suntik sekali pakai 1 ml Rp 1,000 Rp - 300 1,000 300,000 300 100 200 1,000 200,000 - 200 - 200 1,000 200,000
4 Alat suntik sekali pakai 2,5 ml Rp - Rp - - - - - - - - -
5 Alat suntik sekali pakai 3 ml 300 Rp 900 Rp 270,000 300 900 270,000 600 600 900 540,000 - 600 300 300 900 270,000
6 Alat suntik sekali pakai 5 ml 200 Rp 2,049 Rp 409,800 200 1,375 275,000 400 400 1,373 549,200 - 400 - 400 1,373 549,200
7 Alat test kehamilan 100 Rp 1,320 Rp 132,000 - 100 100 1,320 132,000 200 1,320 264,000 300 100 200 1,320 264,000 100
8 Alkohol 70% 3 Rp 32,500 Rp 97,500 5 32,500 162,500 8 6 2 32,500 65,000 5 32,500 162,500 7 2 5 32,500 162,500 7
9 Aseptan 8 Rp 44,850 Rp 358,800 5 44,850 224,250 13 3 10 44,850 448,500 5 44,850 224,250 15 3 12 44,850 538,200 4
10 Benang kulit 1 Rp 13,860 Rp 13,860 - 1 1 13,860 13,860 - 1 1 13,860 13,860
11 Benang otot 1 Rp 13,860 Rp 13,860 - 1 1 13,860 13,860 - 1 1 13,860 13,860
12 Bisturi No. 10 G Rp 1,450 Rp - - - - - 300 1,450 435,000 300 300 1,450 435,000
13 IV Chateter No. 20 Gx11/4 150 Rp 4,750 Rp 712,500 - 150 50 100 4,750 475,000 100 4,750 475,000 200 - 200 4,750 950,000
14 IV Chateter No. 22 Gx11/4 Rp 4,750 Rp - - - - - 100 4,750 475,000 100 - 100 4,750 475,000
15 IV Chateter No. 24 Gx11/4 50 Rp 4,750 Rp 237,500 - 50 - 50 4,750 237,500 50 5,100 255,000 100 - 100 5,100 510,000
16 IV Channula, without wings No. 22 Rp - Rp - - - - - - - - -
17 IV Channula, without wings No. 24 Rp - Rp - - - - - - - - -
18 Cutgut plan 2/0 plus jarum 1/2 DT 35 mm 24 Rp 167,500 Rp 4,020,000 - 24 24 167,500 4,020,000 - 24 24 167,500 4,020,000
19 Cutgut plan 3/0 plus jarum 1/2 DT 35 mm 24 Rp 167,500 Rp 4,020,000 - 24 24 167,500 4,020,000 - 24 24 167,500 4,020,000
20 Cutgut cromic 2/0 plus jarum 1/2 DT 35 mm Rp 167,500 Rp - - - - - - - - -
21 Cutgut cromic 3/0 plus jarum 1/2 DT 35 mm Rp 167,500 Rp - - - - - - - - -
22 Etakridin Rp - Rp - - - - - - - - -
23 Folley Chateter 2 way No 14 26 Rp 10,560 Rp 274,560 - 26 26 10,560 274,560 - 26 26 10,560 274,560
24 Folley Chateter 2 way No 16 Rp 10,560 Rp - - - - - - - - -
25 Folley Chateter 2 way No 18 Rp 10,560 Rp - - - - - - - - -
26 Folley Chateter 2 way No 20 30 Rp 10,560 Rp 316,800 - 30 30 10,560 316,800 - 30 30 10,560 316,800
27 Handscoon panjang steril 41 Rp - Rp - - 41 41 - - 41 41 -
28 Infuset Anak 145 Rp 6,622 Rp 960,190 - 145 - 145 6,622 960,190 - 145 - 145 6,622 960,190
29 Infuset Dewasa 50 Rp 6,622 Rp 331,100 100 6,622 662,200 150 50 100 6,622 662,200 50 4,000 200,000 150 - 150 4,000 600,000
30 Jarum jahit kulit 264 Rp 1,881 Rp 496,584 - 264 264 1,881 496,584 - 264 264 1,881 496,584
31 Jarum jahit otot 444 Rp 1,881 Rp 835,164 - 444 444 1,881 835,164 - 444 444 1,881 835,164
32 Kapas pembalut absorben 250 mg 3 Rp 15,000 Rp 45,000 3 15,000 45,000 6 6 15,000 90,000 - 6 2 4 15,000 60,000 7
33 Kassa pembalut hidrofil 4x10 cm 100 Rp 2,520 Rp 252,000 200 2,520 504,000 300 110 190 2,520 478,800 - 190 50 140 2,520 352,800 100
34 Kassa pembalut hidrofil 4x5 cm Rp 1,120 Rp - 200 1,120 224,000 200 100 100 1,120 112,000 - 100 50 50 1,120 56,000 100
35 Kassa hidrofil 40x80 cm 2 Rp 131,250 Rp 262,500 4 131,250 525,000 6 4 2 131,250 262,500 4 131,250 525,000 6 3 3 131,250 393,750 4
36 Masker N95 Rp 162,800 Rp - - - - - - - - -
37 Masker Rp 27,500 Rp - 5 27,500 137,500 5 5 27,500 137,500 5 27,500 137,500 10 5 5 27,500 137,500 6
38 Maxter exam glove no powder L (Handscoon non Rp 44,525 Rp 8,905,000 10 44,525 445,250 210 12 5 44,525 222,625 203 5
steril) 200 198 44,525 8,815,950 44,525 - 7
39 My Jelly 14 Rp 50,380 Rp 705,320 - 14 14 50,380 705,320 - 14 - 14 50,380 705,320
40 One met sunction chateter No. 14 20 Rp 3,200 Rp 64,000 - 20 20 3,200 64,000 - 20 20 3,200 64,000
41 One met sunction chateter No. 16 20 Rp 3,200 Rp 64,000 - 20 20 3,200 64,000 - 20 20 3,200 64,000
42 One met sunction chateter No. 18 Rp 3,200 Rp - - - - - 20 3,200 64,000 20 20 3,200 64,000
43 Plester 37 Rp 20,000 Rp 740,000 - 37 3 34 20,000 680,000 - 34 2 32 20,000 640,000
44 Rivanol Rp 5,225 Rp - - - - - - - - -
45 Safeglove surgical steril (Handscoon steril) 250 Rp 902 Rp 225,500 - 250 50 200 5,225 1,045,000 - 200 100 100 5,225 522,500 200
46 Silk 2/0 plus jarum 1/2 DT 35 mm Rp - Rp - - - - - - - - -
47 Silk 3/0 plus jarum 1/2 DT 35 mm Rp - Rp - - - - - - - - -
48 Stik Asam Urat 150 Rp 4,620 Rp 693,000 100 4,620 462,000 250 250 4,620 1,155,000 300 4,620 1,386,000 550 150 400 4,620 1,848,000
49 Stik Gula Darah 50 Rp 3,740 Rp 187,000 100 4,070 407,000 150 150 4,070 610,500 175 4,070 712,250 325 150 175 4,070 712,250
50 Stik Kolesterol 145 Rp 18,260 Rp 2,647,700 200 17,930 3,586,000 345 345 17,930 6,185,850 500 17,930 8,965,000 845 315 530 17,930 9,502,900
51 Urine bag Rp 23,540 Rp - 20 5,577 111,540 20 20 5,577 111,540 - 20 - 20 5,577 111,540
er 2020
1 2 3 4 5 6 7 8 9 10 11 12 14 15 16
52 HCL Rp - Rp - - - - - - - - -
53 Sefter Thicker Rp - Rp - - - - - - - - -
er 2020
1 2 3 4 5 6 7 8 9 10 11 12 14 15 16
54 Lab Kit Rp - Rp - - - - - - - - -
55 Oxyflow Nasal Dewasa 7 Rp 44,525 Rp 311,675 - 7 7 44,525 311,675 - 7 7 44,525 311,675
56 Masker Oksigen Dewasa 7 Rp 16,940 Rp 118,580 - 7 7 16,940 118,580 - 7 7 16,940 118,580
57 Masker Oksigen Anak 3 Rp 16,940 Rp 50,820 - 3 3 16,940 50,820 - 3 3 16,940 50,820
58 Nasal Oksigen Bayi 6 Rp 6,875 Rp 41,250 - 6 6 6,875 41,250 - 6 6 6,875 41,250
59 Nasal Oksigen Bayi Rp 6,875 Rp - - - - - - - - -
60 Nasal Oksigen Anak Rp 52,030 Rp - - - - - - - - -
61 SoftPad 60 x 90cm 2 Rp 10,000 Rp 20,000 2 52,030 104,060 4 4 10,000 40,000 - 4 2 2 10,000 20,000 2
62 Kassa 16x16cm 15 Rp 216,189 Rp 3,242,835 20 10,000 200,000 35 35 10,000 350,000 - 35 35 10,000 350,000
63 Plester hipafix 15x5 17 Rp 1,042 Rp 17,714 - 17 17 216189 3,675,213 - 17 2 15 216,189 3,242,835
64 Jarum jahit otot No.8 50 Rp 1,881 Rp 94,050 - 50 50 1,881 94,050 - 50 50 1,881 94,050
67 Jarum jahit otot .No.12 70 Rp 1,881 Rp 131,670 - 70 70 1,881 131,670 - 70 70 1,881 131,670
68 Jarum jahit otot No. 13 70 Rp 1,881 Rp 131,670 - 70 70 1,881 131,670 - 70 70 1,881 131,670
70 Jarum jahit otot No. 14 70 Rp 1,881 Rp 131,670 - 70 70 1,881 131,670 - 70 70 1,881 131,670
72 Jarum jahit kulit No. 8 60 Rp 1,881 Rp 112,860 - 60 60 1,881 112,860 - 60 60 1,881 112,860
79 Reagen Gram Set Rp - - - - - - - - -
JUMLAH Rp - - - - - -
1 Oksitosin Inj(JKN) 0 Rp 7,000 Rp - - - - - 100
2 Oralit(JKN) 0 Rp 460 Rp - 1,000 460,000 - - 500
3 Eugenol(JKN) 0 Rp 95,000 Rp - 1 95,000 1 - - -
4 Cholophenol Kamfer Menthol(JKN) 0 Rp 135,000 Rp - 1 135,000 1 - - -
5 cresophene (JKN) 0 Rp 260,000 Rp - 1 260,000 1 - - -
62,988,513 122,634,424 49,007,357 111,509,433
Mengetahui 161,735,736 950,000

Kepala Puskesmas

NIP:19730928 199312 2 002
- -
HARGA JUMLAH PERSEDIAAN PENGELU SISA HARGA SISA desember DALAM
SATUAN ARAN desembe SATUAN (Rp)
desember r
17 18 19 20
Rp - Rp 2,452 - 2,452 568 Rp 1,392,736
Rp - 0 - 0 Rp -
Rp - 0 0 0 Rp -
Rp - 0 0 0 Rp -
Rp - 0 - 0 Rp -
Rp - 0 - 0 Rp -
Rp - 500 - 500 220 Rp 110,000
83 Rp 166,000 3200 0 3,200 83 Rp 265,600
792 Rp 7,920,000 14300 1,000 13,300 792 Rp 10,533,600
4,172 Rp 750,960 260 - 260 4,172 Rp 1,084,720
Rp - 10 - 10 17,830 Rp 178,300
Rp - 4 - 4 512,204 Rp 2,048,816
Rp - 0 - 0 Rp -
74 Rp 222,000 6700 - 6,700 74 Rp 495,800
2,408 Rp 722,400 445 - 445 2,408 Rp 1,071,560
Rp - 40 40 3,805 Rp 152,200
Rp - 0 - 0 Rp -
Rp - 5000 2,000 3,000 131 Rp 393,000
Rp - 0 0 Rp -
Rp - 1300 - 1,300 225 Rp 292,500
Rp - 0 - 0 Rp -
Rp - 0 0 Rp -
Rp - 90 - 90 5,000 Rp 450,000
Rp - 2000 - 2,000 287 Rp 574,000
Rp - 2100 2,100 120 Rp 252,000
Rp - 22 - 22 2,400 Rp 52,800
Rp - 100 - 100 20,375 Rp 2,037,500
Rp - 80 - 80 18,275 Rp 1,462,000
Rp - 0 - 0 Rp -
Rp - 30 - 30 1,550 Rp 46,500
Rp - 0 - 0 Rp -
Rp - 4400 - 4,400 193 Rp 849,200
Rp - 0 - 0 Rp -
Rp - 120 - 120 1,378 Rp 165,360
200 Rp 300,000 7000 1,000 6,000 200 Rp 1,200,000
Rp - 10 10 3,038 Rp 30,380
Rp - 200 200 3,038 Rp 607,600
Rp - 60 60 1,260 Rp 75,600
Rp - 0 0 Rp -
Rp - 0 0 Rp -
Rp - 100 100 5,387 Rp 538,700
Rp - 0 0 Rp -
Rp - 0 0 Rp -
desember r
17 18 19 20
Rp - 600 600 102 Rp 61,200
Rp - 0 0 Rp -
Rp - 0 0 Rp -
Rp - 0 0 Rp -
950 Rp 475,000 600 600 950 Rp 570,000
Rp - 1100 1,100 170 Rp 187,000
Rp - 0 0 Rp -
Rp - 0 0 Rp -
Rp - 0 0 Rp -
Rp - 0 0 Rp -
Rp - 400 400 93 Rp 37,200
450 Rp 4,500,000 13400 1,000 12,400 450 Rp 5,580,000
Rp - 0 0 Rp -
Rp - 2 2 9,240 Rp 18,480
Rp - 0 0 Rp -
2,846 Rp 136,608 112 112 2,846 Rp 318,752
Rp - 1000 300 700 Rp -
418 Rp 418,000 1000 - 1,000 418 Rp 418,000
Rp - 1900 - 1,900 176 Rp 334,400
Rp - 400 - 400 1,936 Rp 774,400
322 Rp 322,000 1500 - 1,500 322 Rp 483,000
Rp - 0 0 Rp -
Rp - 0 0 Rp -
Rp - 500 500 678 Rp 339,000
Rp - 0 0 Rp -
Rp - 0 0 Rp -
Rp - 0 0 Rp -
Rp - 57 57 10,780 Rp 614,460
43 Rp 464,400 14000 1,000 13,000 43 Rp 559,000
273 Rp 546,000 4700 - 4,700 273 Rp 1,283,100
Rp - 0 - 0 Rp -
7,363 Rp 441,780 100 - 100 7,363 Rp 736,300
Rp - 15 - 15 Rp -
Rp - 60 - 60 6,840 Rp 410,400
7,630 Rp 305,200 170 - 170 7,630 Rp 1,297,100
1,529 Rp 152,900 180 - 180 1,529 Rp 275,220
Rp - 1500 - 1,500 286 Rp 429,000
160 Rp 160,000 1500 - 1,500 160 Rp 240,000
Rp - 0 - 0 Rp -
3,796 Rp 37,960 30 - 30 3,796 Rp 113,880
Rp - 0 - 0 Rp -
Rp - 0 - 0 Rp -
153 Rp 153,000 1000 - 1,000 153 Rp 153,000
Rp - 1500 - 1,500 113 Rp 169,500
Rp - 1000 - 1,000 120 Rp 120,000
Rp - 600 - 600 Rp -
Rp - 2100 - 2,100 440 Rp 924,000
Rp - 0 0 Rp -
4,268 Rp 204,864 71 - 71 4,268 Rp 303,028
479 Rp 143,700 1140 1,140 479 Rp 546,060
494 Rp 988,000 2700 - 2,700 494 Rp 1,333,800
Rp - 10 - 10 200 Rp 2,000
Rp - 500 - 500 198 Rp 99,000
Rp - 400 - 400 1,056 Rp 422,400
Rp - 0 - 0 Rp -
Rp - 0 - 0 Rp -
Rp - 0 - 0 Rp -
2,774 Rp 138,700 50 - 50 4,659 Rp 232,950
Rp - 0 30 70 Rp -
Rp - 1790 - 1,790 160 Rp 286,400
Rp - 0 - 0 Rp -
Rp - 0 - 0 Rp -
desember r
17 18 19 20
Rp - 200 - 200 400 Rp 80,000
desember r
17 18 19 20
Rp - 0 - 0 Rp -
8,311 Rp 1,396,248 224 - 224 8,311 Rp 1,861,664
4,000 Rp 400,000 200 - 200 4,000 Rp 800,000
Rp - 12 - 12 135 Rp 1,620
145 Rp 1,450,000 14500 1,500 13,000 145 Rp 1,885,000
Rp - 15 - 15 20,700 Rp 310,500
Rp - 0 - 0 Rp -
Rp - 400 - 400 183 Rp 73,200
183 Rp 366,000 3900 - 3,900 183 Rp 713,700
154 Rp 308,000 2600 - 2,600 154 Rp 400,400
Rp - 0 - 0 Rp -
Rp - 0 - 0 Rp -
23,400 Rp 234,000 18 - 18 23,400 Rp 421,200
Rp - 700 - 700 148 Rp 103,600
Rp - 1500 - 1,500 1,573 Rp 2,359,500
Rp - 300 - 300 627 Rp 188,100
Rp - 80 - 80 3,099 Rp 247,920
297 Rp 891,000 3800 - 3,800 297 Rp 1,128,600
Rp - 0 - 0 Rp -
Rp - 100 - 100 636 Rp 63,600
240 Rp 120,000 1200 300 900 240 Rp 216,000
Rp - 0 0 Rp -
95 Rp 190,000 5100 5,100 95 Rp 484,500
Rp - 0 - 0 Rp -
170 Rp 4,080 48 - 48 170 Rp 8,160
1,210 Rp 1,210,000 1200 - 1,200 1,210 Rp 1,452,000
Rp - 0 - 0 Rp -
114 Rp 570,000 9750 1,000 8,750 114 Rp 997,500
Rp - 0 0 Rp -
Rp - 0 0 Rp -
Rp - 0 - 0 Rp -
Rp - 0 - 0 Rp -
Rp - 2600 - 2,600 715 Rp 1,859,000
1,595 Rp 47,850 30 - 30 1,595 Rp 47,850
400 Rp 400,000 2300 - 2,300 400 Rp 920,000
147 Rp 1,470,000 12100 1,000 11,100 147 Rp 1,631,700
3,925 Rp 423,900 144 - 144 3,925 Rp 565,200
935 Rp 935,000 3400 - 3,400 935 Rp 3,179,000
15,000 Rp 1,500,000 140 - 140 15,000 Rp 2,100,000
Rp - 0 - 0 Rp -
Rp - 0 - 0 Rp -
14,245 Rp 1,709,400 180 - 180 14,245 Rp 2,564,100
Rp - 0 - 0 Rp -
Rp - 0 - 0 Rp -
Rp - 0 - 0 Rp -
Rp - 4 - 4 203,259 Rp 813,036
Rp - 0 - 0 Rp -
Rp - 10 - 10 Rp -
13,640 Rp 163,680 12 - 12 13,640 Rp 163,680
Rp - 0 0 Rp -
Rp -
Rp - 0 0
desember r
17 18 19 20
Rp - 0 - 0 Rp -
Rp - 0 - 0 Rp -
Rp - 0 - 0 Rp -
551,936 Rp 551,936 26 - 26 551,936 Rp 14,350,336
Rp - 7109 - 7,109 280 Rp 1,990,520
Rp - 0 - 0 Rp -
Rp - 5850 - 5,850 176 Rp 1,029,600
53,300 Rp 266,500 7 - 7 53,300 Rp 373,100
Rp - 40 - 40 5,271 Rp 210,840
Rp - 225 - 225 864 Rp 194,400
519,339 Rp 2,596,695 6 - 6 519,339 Rp 3,116,034
Rp - 0 - 0 Rp -
Rp - 0 - 0 Rp -
Rp - 200 - 200 5,000 Rp 1,000,000

Rp - 300 - 300 280 Rp 84,000
Rp - 5 - 5 24,200 Rp 121,000
Rp - 5 - 5 24,200 Rp 121,000
Rp - 5 - 5 24,200 Rp 121,000
Rp - 3 - 3 276,500 Rp 829,500
Rp - 67 67 20,900 Rp 1,400,300
5,450 Rp 109,000 58 - 58 5,450 Rp 316,100
19,954 Rp 399,080 36 - 36 19,954 Rp 718,344
Rp - 24 - 24 70,232 Rp 1,685,568
141,648 Rp 1,416,480 40 - 40 141,648 Rp 5,665,920
15,550 Rp 311,000 27 - 27 15,550 Rp 419,850
Rp - 23 - 23 15,000 Rp 345,000
137,610 Rp 2,752,200 24 - 24 137,610 Rp 3,302,640
4,500 Rp 2,250,000 500 - 500 4,500 Rp 2,250,000
Rp - 500 - 500 Rp -
Rp - 21 - 21 16,383 Rp 344,043
Rp - 0 - 0 Rp -
Rp - 4 - 4 68,000 Rp 272,000
Rp - 0 - 0 Rp -
Rp - 3904 - 3,904 1,111 Rp 4,337,344
Rp - 0 - 0 Rp -
Rp - 0 - 0 Rp -
1 - 1 2,300,000 Rp 2,300,000
Rp - 3300 - 3,300 445 Rp 1,468,500
Rp - 0 - 0 Rp -
Rp - 180 - 180 11,975 Rp 2,155,500
Rp - 0 - 0 Rp -
Rp - 0 - 0 Rp -
Rp - 500 - 500 240 Rp 120,000
Rp - 0 - 0 Rp -
Rp - 200 - 200 172 Rp 34,400
31,570 Rp 94,710 3 - 3 31,570 Rp 94,710
Rp - 2 - 2 1,325,000 Rp 2,650,000
8,200 Rp 410,000 300 300 8,200 Rp 2,460,000
desember r
17 18 19 20
Rp - 0 - 0 Rp -
Rp - 0 - 0 Rp -
Rp - 10 - 10 60,500 Rp 605,000
Rp - 4 - 4 151,515 Rp 606,060
Rp - 1 - 1 20,000 Rp 20,000
Rp - 1 - 1 104 Rp 104
Rp - 3 - 3 137,500 Rp 412,500
Rp - 3 - 3 234,423 Rp 703,269
Rp - 0 0 Rp -
Rp - 0 0 Rp -
Rp - 0 - 0 Rp -
Rp - 0 - 0 Rp -
Rp - 200 - 200 1,000 Rp 200,000
Rp - 0 - 0 Rp -
Rp - 300 - 300 900 Rp 270,000
Rp - 400 - 400 1,373 Rp 549,200
1,320 Rp 132,000 300 - 300 1,320 Rp 396,000
32,500 Rp 227,500 12 - 12 32,500 Rp 390,000
44,850 Rp 179,400 16 - 16 44,850 Rp 717,600
Rp - 1 - 1 13,860 Rp 13,860
Rp - 1 - 1 13,860 Rp 13,860
Rp - 300 - 300 1,450 Rp 435,000
Rp - 200 - 200 4,750 Rp 950,000
Rp - 100 - 100 4,750 Rp 475,000
Rp - 100 - 100 5,100 Rp 510,000
Rp - 0 - 0 Rp -
Rp - 0 - 0 Rp -
Rp - 24 - 24 167,500 Rp 4,020,000
Rp - 24 - 24 167,500 Rp 4,020,000
Rp - 0 - 0 Rp -
Rp - 0 - 0 Rp -
Rp - 0 - 0 Rp -
Rp - 26 - 26 10,560 Rp 274,560
Rp - 0 - 0 Rp -
Rp - 0 - 0 Rp -
Rp - 30 - 30 10,560 Rp 316,800
Rp - 41 - 41 Rp -
Rp - 145 - 145 6,622 Rp 960,190
Rp - 150 - 150 4,000 Rp 600,000
Rp - 264 - 264 1,881 Rp 496,584
Rp - 444 - 444 1,881 Rp 835,164
15,000 Rp 105,000 11 - 11 15,000 Rp 165,000
2,520 Rp 252,000 240 - 240 2,520 Rp 604,800
1,120 Rp 112,000 150 - 150 1,120 Rp 168,000
131,250 Rp 525,000 7 - 7 131,250 Rp 918,750
Rp - 0 - 0 Rp -
200,000 Rp 1,200,000 11 - 11 200,000 Rp 2,200,000
- Rp 311,675
44,525 Rp 311,675 7 7 44,525
Rp - 14 - 14 50,380 Rp 705,320
Rp - 20 - 20 3,200 Rp 64,000
Rp - 20 - 20 3,200 Rp 64,000
Rp - 20 - 20 3,200 Rp 64,000
Rp - 32 - 32 20,000 Rp 640,000
Rp - 0 - 0 Rp -
5,225 Rp 1,045,000 300 - 300 5,225 Rp 1,567,500
Rp - 0 - 0 Rp -
Rp - 0 - 0 Rp -
Rp - 400 - 400 4,620 Rp 1,848,000
Rp - 175 - 175 4,070 Rp 712,250
Rp - 530 - 530 17,930 Rp 9,502,900
Rp - 20 - 20 5,577 Rp 111,540
desember r
17 18 19 20
Rp - 0 - 0 Rp -
Rp - 0 - 0 Rp -
desember r
17 18 19 20
Rp - 0 - 0 Rp -
Rp - 7 - 7 44,525 Rp 311,675
Rp - 7 - 7 16,940 Rp 118,580
Rp - 3 - 3 16,940 Rp 50,820
Rp - 6 - 6 6,875 Rp 41,250
Rp - 0 - 0 Rp -
Rp - 0 - 0 Rp -
52,030 Rp 104,060 4 - 4 52,030 Rp 208,120
Rp - 35 - 35 10,000 Rp 350,000
Rp - 15 - 15 216,189 Rp 3,242,835
Rp - 50 - 50 1,881 Rp 94,050
Rp - 60 - 60 1,881 Rp 112,860
Rp - 60 - 60 1,881 Rp 112,860
Rp - 70 - 70 1,881 Rp 131,670
Rp - 70 - 70 1,881 Rp 131,670
Rp - 70 - 70 1,881 Rp 131,670
Rp - 70 - 70 1,881 Rp 131,670
Rp - 70 - 70 1,881 Rp 131,670
Rp - 60 - 60 1,881 Rp 112,860
Rp - 60 - 60 1,881 Rp 112,860
Rp - 60 - 60 1,881 Rp 112,860
Rp - 60 - 60 1,881 Rp 112,860
Rp - 60 - 60 1,881 Rp 112,860
Rp - 60 - 60 1,881 Rp 112,860
Rp - 60 60 1,881 Rp 112,860
Rp - 0 - 0 Rp -
Rp - 0 Rp 174,084,287
Rp 700,000 100 0
Rp 230,000 1,500 Rp 690,000
0
Rp - 0
Rp - 0
Rp 49,739,866 Rp 174,084,287
Malinjak, 31 Desember 2020

NIP:19831107 200904 2 006

Laporan Stok Opname Malinjak 2020 Baru

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Laporan Stok Opname Malinjak 2020 Baru

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LAPORAN STOK OPNAME PUSKESMAS MALINJAK 2020

98 OBH 64 botol Rp 2,500 Rp 160,000 - 64 2,500 160,000 - - 64 - - - 64

150 Larutan Dextrose 10% botol Rp - - - - - - - - - - -

60 Kassa 16x16cm Box (16pcs) 10,000 Rp - - - - - - - - - 10 10,000 100,000 10

61 HIV Tes(Rapid Tes SD Bioline) Paket 100 29,100 2,910,000 100

110,792 - 5,290,449 101,102,827 54,148,079 153,207,230 61,875,279 35,510,150

Herlina L Dapa Talu,A.Md Keb

4,595 - 4,595 - (10) 4,595 - (10) (10) -Rp 41,000

- - 64 - - - - - 32 3,000 96,000 32 5 27 Rp 67,500

4,556 164,016 36 4,556 164,016 - 4,556 - - - - Rp -

- - - - 200 - 924,000 - 200 200 Rp 924,000

10,000 100,000 10,000 - 10 10,000 100,000 - 10 2 8 Rp 80,000

29,100 2,910,000 29,100 - 29,100 - -

Malinjak, 30 Maret 2020

Pengelola Obat Puskesmas

Dewi Zuliatik,A.Md Farm

Herlina L Dapa Talu,A.Md Keb

1 2,300,000 2,300,000 0 1 2,300,000 2,300,000 - 1 2,300,000 2,300,000 - 1 2,300,000

Malinjak, 29 Juni 2020

Pengelola Obat Puskesmas

Dewi Zuliatik,A.Md Farm

107 200904 2 006

50 50 5,500 275,000 - 5,500

OBAT PROGRAM, VAKSIN DAN Rp - - - - -

Herlina L Dapa Talu,A.Md Keb

26,824 112 479 Rp 53,648 168 112 56 479 Rp 26,824

Pengelola Obat Puskesmas

Dewi Zuliatik,A.Md Farm

Mengetahui 161,735,736 950,000

Herlina L Dapa Talu,A.Md Keb

Rp - 200 - 200 5,000 Rp 1,000,000

Pengelola Obat Puskesmas

Dewi Zuliatik,A.Md Farm

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