REKAPAN PENGELUARAN OBAT DAK

TAHUN 2022

AMPRA

Harga Saldo SISA

No. Nama Obat Kemasan Penerimaan total PROGRAM POSKESDES UNIT ED/RSK keluar STOK
Kemasan Awal
KESL BT MATT
USILA VAKSIN KESKER PTM MB ALLP MRN SORG UGD KIA PERWT LAB P.UMUM GIGI APOTEK
ING MRN DEG

1 Asam Mefenamat 500 mg Kotak/100 11,700 78 170 248

6 5 1 6 12 2 12 3 168 33
dus,10 strip @ 80 89
2 Amoksisilin tablet 500 mg 26,600 9
10kaptab 5 5 79 0
Dus, 20 strip @ 105 111
3 Amoxicillin 500 mg tab 46,200 6
10 tablet 1 4 7 2 3 2 2 85 5
Box, 5 strips @ 0 18
4 Amlodipine tab 10 mg 3,700 18
10 tablets 18 0
5 Amlodipin tablet 10 mg kotak/100 7,400 10 80 90 7 8 7 3 3 46 16
Antasida DOEN I tablet
kunyah,kombinasi:
Dus 10 Strip @ 0 146
6 Alumunium Hidroksida 200 6,000 146 37
10 tablet
mg Magnesium Hidroksida
200 mg 10 3 7 3 9 8 1 68 0
7 Antasida Syrup Botol 1,756 40 170 210 5 5 5 5 5 140 45 0
Antihemoroid, kombinasi:
bismut subgalat 150 mg
Dus, 10 Supp @ 5 14
8 heksaklorofen 2,5 mg 32,600 9
2 Gram
lidokain 10 mg seng oksida
120 mg 9 5
Amoksisilin Kering 250 mg / 0 305
9 Botol/60 mL 3,846 305 210
5L 10 85 0
10 Allopurinol 100 mg Kotak/100 8,900 3 40 43 2 3 4 6 5 23 0
11 Asiklovir Tab. 400 mg Kotak/100 42,900 8 5 13 2 11 0
12 Asam Folat 400 mcg Kotak/100 4,500 44 20 64 7 2 7 3 27 18
13 Atropin Sulfas Inj 0,25 mg Kotak/100 171,800 1 0 1 1

Biolysin Syrup (VIT A, VIT

B1 3 MG, VIT B2 2 MG, VIT
B6 1 MG, VIT B12 5 MCG,
14 VIT C 50 MG, VIT D3 100 BOTOL/60 ML 18,700 12 12 24
IU, D PANTHENOL 3 MG,
LYSIN HCL 300 MG,
NIACINAMIDE 20 MG)
24 0
15 Betahistin tab 6 mg Kotak/100 11,900 24 0 24 5 19 0
16 Betametason Krim Tube/10 gram 1,540 75 150 225 10 10 5 170 30 0
17 Bisacodil supp 5 mg kotak/6 30,510 4 0 4 4 0
18 Captopril 12,5 mg Kotak/100 6,800 8 0 8 8 0
19 Captopril 12.5 mg kotak/100 6,800 60 0 60 6 2 1 8 3 6 34
20 Captopril 25 mg Kotak/100 7,500 10 20 30 8 2 8 12
21 Cetirizine Tab. 10 mg Kotak/100 5,200 14 180 194 7 4 6 4 7 166 0
22 Cetirizine Syr Botol 3,061 100 0 100 100 0
Cyanocobalamin (vitamin Kotak/100 0 11
23 116,000 11
B12) Injeksi (ampul) 1 1 9
 AMPRA

Harga Saldo SISA

No. Nama Obat Kemasan Penerimaan total PROGRAM POSKESDES UNIT ED/RSK keluar STOK
Kemasan Awal
KESL BT MATT
USILA VAKSIN KESKER PTM MB ALLP MRN SORG UGD KIA PERWT LAB P.UMUM GIGI APOTEK
ING MRN DEG
Cyanocobalamin (vitamin
Dus, 10 Strip @ 0 96
24 B12) tablet/kapsul/kaplet 50 4,800 96
10 tablet
mcg 2 1 1 2 4 9 77
cyprofloxacin 500 Dus, 10blister @ 20 45
25 26,000 25 21
mg(sebagai HCl) 10 tab
24
26 Dexamethasone 0.5 mg Tablet 121 200 300 500 500 0
Domperidon suspensi/sirup 0 123
27 Botol @ 60 ml 2,862 123 66
5 mg/5 ml 5 52 0
28 Domperidone tab 10 mg kotak/100 9,600 3 0 3 3 0
29 Domperidon Tab. 10 mg Kotak /100 7,500 20 80 100 4 39 57
Epinefrin (Adrenaline) Dus @ 100 0 1
30 174,000 1
injeksi i.v/s.k/i.m 1 mg/ml Ampul 1 0
Dus, 20 strip @ 0 1
31 Furosemid Tab. 40 mg 17,600 1 1
10 tablet 0
32 Glibenklamid Tab. 5 mg Kotak/100 13,700 22 0 22 6 3 13
dus, 10 blister @ 0 4
33 Griseofulvin tablet 125 mg 23,800 4
10 tablet 1 1 2
Dus, 10 strip @ 0 18
34 Hidroklorotiazid tab 25 mg 17,800 18
10 tablet 18
35 Hidrocortison Krim 2,5 % Tube 5 gram 2,325 24 350 374 30 10 10 15 10 227 72
Dus, 10blister @ 5 7
36 Hyoscine Butylbromide 105,000 2
10 tab 7 0

37 ibuprofen suspensi 100 mg botol/60 2,339 49 30 79 13

15 1 10 10 30 0
38 Ibuprofen tab 200 mg box/100 29,700 24 0 24 24 0
39 Ketokonazole Salep Kulit Tube 2,694 100 0 100 15 15 15 55 0
40 Ketorolac Injeksi 3% Kotak/10 ampul 9,230 3 7 10 4 2 4
Kloramphenikol salep mata 0 168
41 tube 5 gr 2,148 168 114
1% 10 44 0
Kloramphenikol kaps 500 Kotak, 10 Strip 0 8
42 117,400 8
mg @10 kaps 8 0
43 Kloramphenkol Tetes Mata Botol 16,940 21 0 21
21 0
44 Kloramphenikol tetes telinga Botol 10,043 22 10 32
4 28 0
Klorfeniramin Maleat (CTM) Kotak, 20 60 64
45 4,800 4
tablet/kapsul/kaplet 4 mg strip@10 tablet
4 2 4 5 5 6 4 2 1 31 0
Kotrimoksazol DOEN 1
(dewasa) kombinasi : Dus, 10 20 28
46 12,600 8
Sulfametoksazol 400 mg Strip@10 Tablet
Trimetoprin 80 mg 1 2 3 6 1 1 2 12

Kotrimoksazole Suspensi
Komb : sulametoksazole Dus, botol @ 60 100 120
47 2,100 20
200 mg + Trimetoprin 40 ml
mg/5 ml

5 7 54 54
Kalsium Laktat (Kalk) Dus,10 Strip @ 220 221
48 6,000 1
tablet/kapsul/kaplet 500 mg 10 tablet
5 6 6 2 38 164
49 Loperamide tab Kotak/100 8,100 3 26 29 1 2 21 5
50 Lidokain inj 2%(HCl)-2ml dus,100 ampul 140,500 1 0 1 1 0
Lidokain Comp. (Anastesi 15 22
51 Kotak/30 25,410 7
Lokal Gigi) 1 9 12
52 Loratadine Tab. 10 mg Kotak/50 6,800 18 0 18 16 2
Metformin HCL tablet 500 Kotak, 20 blister 15 19
53 15,400 4
mg @ 10 tablet
3 2 13 1
 AMPRA

Harga Saldo SISA

No. Nama Obat Kemasan Penerimaan total PROGRAM POSKESDES UNIT ED/RSK keluar STOK
Kemasan Awal
KESL BT MATT
USILA VAKSIN KESKER PTM MB ALLP MRN SORG UGD KIA PERWT LAB P.UMUM GIGI APOTEK
ING MRN DEG
Methylergometrin Maleat
dus, 10 blister @ 10 12
54 Tablet Salut Selaput 0,125 24,500 2
10 tabet
mg 1 1 3 7
 AMPRA

Harga Saldo SISA

No. Nama Obat Kemasan Penerimaan total PROGRAM POSKESDES UNIT ED/RSK keluar STOK
Kemasan Awal
KESL BT MATT
USILA VAKSIN KESKER PTM MB ALLP MRN SORG UGD KIA PERWT LAB P.UMUM GIGI APOTEK
ING MRN DEG
Methylergometrin Maleat kotak/25 0 1
55 26,725 1
injeksi 0.200 mg/1ml ampul@1ml 1
56 Metronidazol Tab. 500 mg 10 strip @ 10 tab 29,700 7 5 12
1 1 10 0
Metoklorperamid injeksi 21 22
57 kotak/10 ampul 18,830 1
5mg/5 ml 8 4 10
58 Metoklopramid Tablet 5 mg Kotak/100 13,860 9 0 9
2 1 1 5 0
Metoklopramid Sirup 0 35
59 Botol 5,225 35
5mg/5ml 35 0
Mikonazol krim/salep 2 % 250 274
60 Tube 10 gram 1,900 24
(Nitrat) 12 5 5 20 161 71
61 Methylprednisolon 4 mg Kotak/100 10,200 17 130 147 4 3 2 1 76 61
N-Asetil sistein kapsul 200 93 107
62 Kotak/100 19,020 14
mg 107 0
63 Nistatin Vaginal 100.000 tab Kotak/100 55,000 2 0 2
1 1

64 Oksitetrasiklin Salep kulit Tube @5 gr 3,080 50 50 100

10 15 75 0
65 Oralit kotak/100 27,500 2.7 0 2.7 2.7 0
Piridoksin (Vitamin
Dus, 20 strip @ 0 3
66 B6)tablet/ 10 mg 51,200 3
10 tablet
kapsul/kaplet 3 0
Dus, 10 Strip @ 0 13
67 Parasetamol 500 mg tab 23,320 13
10 tablet 13 0
68 Parasetamol Syrup Botol/60 mL 1,160 60 1020 1080 5 5 5 5 18 20 595 427

Paracetamol Drops 100

69 mg/ml btl @15 ml (60 Dus, 15 botol 5,204 17 180 197
mg/0,6 ml)
12 112 66 7
70 Permethrine Krim 50 mg tube @ 15 g 11,466 5 20 25 25 0
Prednison Dus, 10 strip @ 55 62
71 7,300 7
tablet/kapsul/kaplet 5 mg 10 tablet 4 2 1 4 23 28
Phenol Gliseron tetes 50 60
72 Botol 3,300 10 10
telinga 50 0
73 Piroxicam 20 mg kotak/100 22,000 9 0 9
7 1 1 0
74 Povidone Iodione Botol/300 mL 21,000 1 0 1 1 0
dus, 10 strip @ 0 2
75 propiltiouracyl tab 44,000 2
10 kaptab 1 1
76 Ranitidin tablet 150 mg kotak/100 8,500 20 120 140 9 7 1 2 1 1 2 61 56
77 Ranitiin injeksi 25 mg/ml Kotak/25 ampul 2,339 7 0 7 6 1 0
78 Ringer Laktat larutan infus botol 500 ml 7,703 160 1000 1160
420 380 285 75
79 Salicy bedak 2% kotak 4,400 30 13 43
2 41 0
Salep 2-4 , Kombinasi :
80 Asam Salisilat 2% + Pot @ 30 gram 3,219 42 0 42
Belerang endap 4% 5 1 36
Sefadroksil kapsul/kaplet Dus 10 strip @ 45 53
81 38,800 8
500 mg 10 Kapsul 1 2 43 7
Dus, 5 Strip @
Simvastatin scored tablet 40 56
82 10 Kaplet salut 7,500 16
20 mg
selaput 10 9 6 9 22 0
83 Thiamin HCl tab 50 mg kotak/100 23,800 20 13 33 12 2 1 2 1 2 2 2 9 0
84 Vitamin C 50 mg tab Kotak/100 4,600 58 340 398 6 9 6 6 7 9 3 6 1 272 73
Dus, 10 strip x 558 643
85 Vitamin B compleks 6,000 85
10 tab 13 12 3 6 11 10 3 1 348 236
Dus, 10 Strip @ 155 155
86 Parasetamol 500 mg tab 26,400
10 tablet 9 9 10 10 15 8 12 4 78 0
 AMPRA

Harga Saldo SISA

No. Nama Obat Kemasan Penerimaan total PROGRAM POSKESDES UNIT ED/RSK keluar STOK
Kemasan Awal
KESL BT MATT
USILA VAKSIN KESKER PTM MB ALLP MRN SORG UGD KIA PERWT LAB P.UMUM GIGI APOTEK
ING MRN DEG
TAMBAHAN 0 0 0
87 Asering botol 500 ml 9,592 0 200 200 40 20 140
Diazepam Enema 5mg/2.5 5 5
88 1 tube @2.5 ml 14,459 0
ml (stesolid) 5 0
dus, 25 blister 1 1
89 pirantel pamoat 125 mg 34,100 0
@4 tablet 1
90 Meloxicam Tab 7,5 mg Tablet 264 0 250 250 250 0
91 New Diatabs Tab (Akita) Kotak /100 77,275 7 7 1 6 0
92 Mycorine Bedak Dus@ 50 gram 25,000 20 20
5 5 10 0
Zinc Sulfat Syrup 20 mg/5 250 250
93 dus, botol 6 ml 2,489
ml 5 6 3 10 13 145 68
94 Domperidon syrup Btl @ 60 ml 6,270 40 40 40
Natrium Diklofenak Tablet 70 70
95 5,750
50 mg Dus @5 x 10 's 70
Natrium Diklofenak Tab 25 105 105
96 5,750
mg Dus @5 x 10 's 3 2 3 67 30
Povidon Iodione Lar.100
97 mg/ml Botol 4,699 40 40
1 1 11 5 2 20
98 Ceterizine Sirup Botol 2,215 50 50 5 45 0
Chloramphenicol 500 mg
99 (Chloramex) Kotak/100 117,400 11 11
3 8

Domperidon suspensi/sirup
100 5 mg/5 ml Botol/60 ml 2,401 120 120
5 112 3 0
101 Difenhidramin Inj. Kotak/30 82,500 5 5 1 4
Dus,20 strip
102 Furosemid Tab. 40 mg 17,600 3 3
@10 tablet 1 2
103 Fetomenadion Tab Kotak/100 78,100 5 5 2 3

104 Glukosa Larutan Infus 5% botol 500 ml 6,627 40 40

10 10 20

105 Ketokonazole Tab 200 mg Kotak/100 26,000 7 7

1 5 1
106 Natrium Klorida 500 ml botol 500 ml 6,900 80 80 30 20 20 1 9
Anti Bakteri Salep
107 (Bacitracin-Polimixyn B) Kotak/25 Tube 86,925 4 4
4
Air untuk injeksi 25
108 ml/Aqua Pro Injeksi Kotak/100 2,650 60 60
20 40
109 Betahistin tab 6 mg Kotak/30 148,350 5 5 5

110 Diazepam injeksi 5 mg/ml Kotak/10 ampul 15,450 4 4

4
111 Ibuprofen tab 200 mg Kotak/100 15,500 60 60 2 4 3 39 12
112 Ibuprofen tab 400 mg Kotak/100 21,500 53 53 2 3 48 0
113 Lactulosa Syrup Botol 60 ml 12,788 25 25 10 15
114 Oxitocyn Inj Kotak/100 134,800 1 1 1 0
Amoksisilin Kering 125 mg / 310 310
115 5 ml Botol 2,050
5 5 15 10 115 160

116 Amoksisilin Kering 250 mg Botol 3,510 135 135

35 100
117 Amlodipine 5 mg Kotak/50 2,750 190 190 14 12 2 6 2 60 94
Allopurinol
118 tablet/kapsul/kaplet 100 Kotak /100 tablet 25,091 80 80
mg 4 5 4 3 10 54
119 Betametason Krim tube 5 gram 4,045 100 100 100 0
 AMPRA

Harga Saldo SISA

No. Nama Obat Kemasan Penerimaan total PROGRAM POSKESDES UNIT ED/RSK keluar STOK
Kemasan Awal
KESL BT MATT
USILA VAKSIN KESKER PTM MB ALLP MRN SORG UGD KIA PERWT LAB P.UMUM GIGI APOTEK
ING MRN DEG

Biolysin Syrup (VIT A, VIT

B1 3 MG, VIT B2 2 MG, VIT
B6 1 MG, VIT B12 5 MCG,
120 VIT C 50 MG, VIT D3 100 IU, Botol/60 ml 16,320 450 450
D PANTHENOL 3 MG, LYSIN
HCL 300 MG, NIACINAMIDE
20 MG)
10 5 5 6 5 5 224 190

121 Dexamethasone Tab 0.5 mg Kotak/100 12,546 190 190

4 1 4 4 8 6 62 101
122 Diazepam Tablet Botol/100 7,000 2 2 2
Etil klorida semprot 100 ml
123 ( Water Ritter) Botol 100 ml 215,000 5 5
2 3 0
124 Guafenesin tab 100 mg Kotak /100 tablet 22,080 70 70
2 9 1 9 7 28 14

125 Gentamicin 0,1% Salep Kulit Kotak/10 tube 46,000 31 31

1 1 16 13
Lanzoprazol kapsul/kaplet
126 30 mg Kotak /50 tablet 55,000 10 10
10 0

127 Ibuprofen suspensi 100 mg Botol 60 ml 5,130 40 40

27 13 0
128 Meloxicam Tab 7,5 mg Kotak /100 tablet 22,000 85 85
2 2 1 1 5 1 34 39
Metoklopramid Sirup
129 5mg/5ml (Tivomit) Botol 60 ml 8,288 90 90
5 39 46
130 Omeprazole 20 mg Kotak /30 tablet 16,560 55 55 1 3 51 0

131 Ambroxol syrup 15 mg/5ml Botol 60 ml 6,072 200 200

2 10 85 103 0
132 Mycorine Bedak Botol 25 gram 48,000 40 40 5 35
Piridoksin (Vitamin
133 B6)tablet/ 10 mg Kotak /100 tablet 19,000 80 80
kapsul/kaplet 2 3 2 3 4 1 2 20 43
134 Parasetamol Tab 500 mg Kotak /100 tablet 26,000 280 280
1 6 10 4 9 5 8 4 152 81
135 Permethrine Krim 50 mg tube @ 15 g 11,250 20 20 20
136 Ambroxol 30 mg Tablet Kotak /100 tablet 23,767 65 65
2 1 7 55 0
137 Betahistin tab 6 mg Kotak /100 9,200 37 37 2 3 23 9
138 Eugenol Cairan Botol 20,175 5 5 2 3
Gentamisin Tetes Mata
139 0,3% (GENOINT Tetes 50 50
Mata) Botol5 ml 8,594 50 0
140 Hustab P tab : Bromhexin 8 Kotak /300 tablet 79,000 35 35 1 1 1 16 16
141 Ichtiol Tube 7,104 25 25 12 13
142 Nifedipin 10 mg Kotak /100 tablet 24,288 20 20 1 2 17
143 Oksitetrasiklin 3 % Salep KuliTube 2,910 100 100 25 75
Retinol 100.000 IU Kapsul
144 Lunak (Ibu Nifas) 10 10
Botol 17,600 10

Antasida DOEN I tablet

kunyah,kombinasi:
Alumunium Hidroksida 200
145 mg Magnesium Hidroksida 50 50
200 mg

Dus 10 Strip @
10 tablet 5,400 6 2 20 22
 AMPRA

Harga Saldo SISA

No. Nama Obat Kemasan Penerimaan total PROGRAM POSKESDES UNIT ED/RSK keluar STOK
Kemasan Awal
KESL BT MATT
USILA VAKSIN KESKER PTM MB ALLP MRN SORG UGD KIA PERWT LAB P.UMUM GIGI APOTEK
ING MRN DEG

146 Atrovastatin Calcium20 mg 30 30

Kotak/30 tab 14,010 5 5 20 0
Asam
147 Asetilsalisilat(Asetosal)/Min 30 30
iaspi Kotak/100 8,900 30
Bisacodil supp 10 mg
148 (Dulcolax) 1 1
Kotak/50 suppo 43,250 1
Kombinasi :kaolin 550mg +
149 pektin 20 mg (NEO 10 10
DIAFORM) Kotak /50 tablet 27,750 10

150 Lidokain inj 2%(HCl) Dus @ 100 1 1

Ampul 89,100 1 0
Magnesium Sulfat/MgSO
151 20% 5 5
Botol 4,120 5
Magnesium Sulfat/MgSO
152 40% 5 5
Botol 4,120 5
153 NaCl Botol 8,000 40 40 40

154 New Diatabs Tab Kotak /100 5 5

tablet 74,000 4 1
Orabloc injeksi : articain 3 3
155 4%,Epinefrin 1:100000
Kotak /50 Ampul 999,000 1 2
Ranitiin Hydrochlorida (HCl)
156 inj 30 30
Kotak/25 85,800 5 2 23

157 Thiamin Tab Kotak /100 10 10

tablet 23,842 2 2 1 1 4 0
Codeine Phosphate 1 1
158 Hemihydrate
Kotak /100 60,500 1
Chlorpheniramini Maleat
159 Tab. (CTM) 200 200
Kotak /100 8,600 2 2 2 5 14 175
160 Gentian violet Botol 2,058 10 10 10

161 Fitomenadion injeksi 2 Kotak/30 Ampul 5 5

mg/ml 43,560 5

162 Metformin HCL tablet 500 20 20

mg Kotak/100 19,320 20

163 Povidon Iodione Lar.100 10 10

mg/ml Botol 4,746 10
 REKAPAN OBAT/ BMHP COVOD JANUARI 2022

AMPRA

Harga Saldo Penerima Total PROGRAM POSKESDES UNIT ED/RSK

No. Nama Obat Kemasan
Kemasan Awal an
KESK ALL MATT PER P.UM APOT
USILA VAKSIN TB MB MRN SORG BT MRN UGD KIA LAB GIGI
ER P DEG WT UM EK
ALAT & BMHP

1 Alkohol 70% Botol/1000 ml 11 0 11

55,000 2 2 3
2 Alkohol Swab 4 Ply Kotak 23,209 6 0 6 2 1 1 2
3 Apron Kotak/50 209,000 1.28 6 7.28
4 Baju OK pcs 423,500 2 0 2 2
5 Chlodin 0,5% B/V Handrub Galon/5 Liter 1 1 2
395,000 1 1
Chlodin Sabun Cuci
6 Botol/500 mL 3 5 8
Tangan 88,000 2 1 1 1 1 1
Desinfektan 500
7 Pcs 9 0 9
mL(Stericide) 87,120 1 1 2 1 1 2 1
Desinfektan Galon
8 Galon/5 L 2 0 2
(Stericide) 752,400 1
9 Face Mask 3 Ply Kotak/50 88,000 20 40 60 5 2 5 1 1 16 1 3 13 9 1 3
10 Face Shield Pcs 49,500 4 0 4 1 1 1
11 Gown Abramed Polyster Pcs 120,000 8 56 64 15 37 9 3
Handsanitizer 500 mL
12 Pcs 4 10 14
(Softanol) 55,000 3 1 2 1 5 1 1
13 Handscoon Non Steril L Kotak/50 192,500 2 0 2 1 1
14 Handscoon Non Steril M box/50 192,500 2 0 2 1 1
15 Handscoon Steril No.7 Pcs 13,200 50 100 150 50 50
16 Handscoon Steril No.7.5 pcs 13,200 50 0 50
17 Masker Bedah Ear Loop Kotak 66,000 33 20 53 1 1 2 5 1 1 1 1 1 1 7 5 5 3 4 9 5
18 Masker KF94 Kotak/10 55,000 3 0 3 3
19 Masker KN95 Kotak/10 55,000 4 10 14 2 3 2 3
20 Masker N95 Kotak/25 pcs 0.76 20 20.76
660,000 2 0.76
21 Masker sensi duckbill Kotak/50 132,000 5 10 15 3 3 4 5
22 M-I Gown (Kit Steril) pcs 73,435 11 0 11 5 5 1
23 Rapid antigen "Healgen" Kotak/20 1,980,000 5 4 9 9
24 Handsanitizer Baymed botol 500 ml 66,000 2 10 12 2 2 1 2 2 3
25 Surgical Hat Mop Cup Kotak/50 36,992 10 10 1 3
26 Viorex botol 500 ml 65,000 2 0 2 1 1
27 Handscoon Steril No.6.5 Kotak/50 Pasang 10 10
272,624 1 2 2 1
Thermo Gun (Digital
28 Pcs 1 1
Thermometer) 1,850,900 1
 AMPRA

Harga Saldo Penerima Total PROGRAM POSKESDES UNIT ED/RSK

No. Nama Obat Kemasan
Kemasan Awal an
KESK ALL MATT PER P.UM APOT
USILA VAKSIN TB MB MRN SORG BT MRN UGD KIA LAB GIGI
ER P DEG WT UM EK
Chlodine 0,5% b/v Hand
29 Botol/500 mL 45 45
Rub 75,000
Gown SP75 Non Woven
30 pcs 30 30
Disposable 33,000 10
31 Henclin Handrub 0,5% 5L Botol 5 liter 495,000 10 10

32 Henclin Handrub 4 % Botol/500 mL 45 45

99,000
Masker Hijab/ Head Loop
33 Kotak/50 150 150
Surgical Face Mask 42,900 1 2 5 7 1 1 1 1 1 8 6 8 3 15 7 6
Masker KF95 Origami
34 Kotak/10 23 23
Jasmine 35,000 6 3 5 3
Octadin Cairan Antiseptik
35 Botol 50 ml 50 50
Spray 0,1% 50,000 2 19 1
Ear Loop Surgical Face
36 Kotak/50 90 90
Mask 39,600 7 1 4 6
Golden Gloves Powder
37 Kotak/100 20 20
Free Size S 175,000
Jasmine Apron Luxury 30
38 Kotak/100 Pcs 20 20
Micron 250,000 3 1 1

39 Masker Duckbill Jasmine Kotak/50 35 35

50,000 2 10
Golden Gloves Powder
Kotak/100 40 40
Free Size M 175,000
Golden gloves powder free
Kotak/100 20
size L 175,000 20
Chlodine 2% b/v 500 ml
500ml/botol 50
(sabun) 70,000 50
OBAT & BMHP 0 0
1 BD Gard Kotak/30 247,500 3 0 3 3
2 Becefort Tab Kotak/100 154,843 25 70 95 9 7 3 5 1 3 2 65
3 Dextrofen Syrup Botol/60 mL 11,550 45 30 75 75
4 Geriavita Botol/30 Tab 65,227 43 0 43 43
5 Goldtrion Kotak/30 280,500 10 0 10 10
6 Hustab Tablet Kotak 77,000 6.5 0 6.5 1 5.5
7 Kloroquin Tablet Kotak/100 150,574 0 0 0
Multivitamin Antioksidan
8 Kotak/30 2 7
Rafa Khomsah 165,000 5 3 4
9 OBH Surya Botol/100 mL 123 123
10,500 0 5 46
10 Pehavral Kotak/50 98,450 92 0 92 6 2 5 5 3 71
11 Salbutamol 4 mg Kotak/100 11,873 21 0 21 1 13
 AMPRA

Harga Saldo Penerima Total PROGRAM POSKESDES UNIT ED/RSK

No. Nama Obat Kemasan
Kemasan Awal an
KESK ALL MATT PER P.UM APOT
USILA VAKSIN TB MB MRN SORG BT MRN UGD KIA LAB GIGI
ER P DEG WT UM EK
12 Fibumin 500 mg Kotak/30 kapsul 189,810 50 50 2 2 3

Fitofarmaka
13 Imunomodulator Stimuni 20
Forte Botol/30 Kapsul 58,740 20 4
14 Oxyvit D3 1000 IU botol/60 kapsul 122,100 20 20 2 1
15 Oxyvit C+ Botol/30 Kapsul 61,050 130 130 9 2 44
16 Onoiwa MX for kids Kotak/10 scahet 149,850 20 20
17 Ambroxol HCl 30 mg Kotak/100 tab 11,100 30 30

300
18 Paracetamol 500 ml Kaplet Kotak/100 tab 23,200 300
 SISA
keluar STOK NILAI SISA
(Rp.)

4 Rp 220,000
0 Rp -
7.28 Rp 1,521,520
0 Rp -

0 Rp -

1 Rp 88,000

0 Rp -

1 Rp 752,400
0 Rp -
1 Rp 49,500
0 Rp -

0 Rp -
0 Rp -
0 Rp -
50 Rp 660,000
50 Rp 660,000
0 Rp -
0 Rp -
4 Rp 220,000

18 Rp 11,880,000
0 Rp -
0 Rp -
0 Rp -
0 Rp -
6 Rp 221,952
0 Rp -

4 Rp 1,090,496

0 Rp -
 SISA
keluar STOK NILAI SISA
(Rp.)

45 Rp 3,375,000

20 Rp 660,000
10 Rp 4,950,000

45 Rp 4,455,000

77 Rp 3,303,300

6 Rp 210,000

28 Rp 1,400,000

72 Rp 2,851,200

20 Rp 3,500,000

15 Rp 3,750,000

23 Rp 1,150,000

40 Rp 7,000,000

20 Rp 3,500,000

50 Rp 3,500,000
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -

0 Rp -

72 Rp 756,000
0 Rp -
7 Rp 83,111
 SISA
keluar STOK NILAI SISA
(Rp.)

43 Rp 8,161,830

16 Rp 939,840
17 Rp 2,075,700
75 Rp 4,578,750
20 Rp 2,997,000
30 Rp 333,000

300 Rp 6,960,000
 PENGELUARAN BMHP

AMPRA
PROGRAM POSKESDES UNIT
Harga Saldo Penerimaa
No. Nama Obat Kemasan
Kemasan Awal n
KESLIN ALL BT MATT PERW
NO TOTAL USILA PTM KESKER MB MRN SORG UGD KIA LAB P.UMUM GIGI APOTEK
G P MRN DEG T

Convatec Duoderm 0 20
1 1 pcs 27,115 20
Extra Thin 4 x 4 Inch

Dermafix Nonwofen 0 9
2 2 Kotak/10 36,860 9
10 x 10
1 7
3 3 Dermafix T 10 x 25 Kotak 15,147 2 0 2
2

Disp. Syiringe with

4 4 needle 1 ml luer slip pcs 957 300 500 800
Tuberculin 26G x 1/2
200 300 300

Disp. Syiringe with

5 5 needle 3 ml luer slip box/100 88,000 1 0 1
Tuberculin 24G x 1/3
1

Disp. Syringe with

6 6 needle 5 ml luer slip Box/100 pcs 96,800 5 0 5
Tuberculin 22 Gx1/2

Humasense strip 1 4
7 7 Botol 349,074 3
asam urat 4
humasense strip 0 3
8 8 Set/4 244,326 3
glukosa 3
9 9 Infus Set Anak Pcs 8,400 40 50 90 65 10
Kasa Hydrofil Steril 2 0 1
10 10 Pcs 10,358 1
m x 80 cm
1
Kasa Hyrofil 4 Y x 15 0 4
11 11 Roll 2,240 4
cm 1 1
Kapas
12 12 pembalut/absorben Roll 13,400 1 0 1
250 gram 1
Kapas
13 13 pembalut/absorben roll 26,036 3 0 3
250 gram 2 1
 Masker Nebulizer 0 3
14 14 Set 22,391 3
Dewasa 2 1
Masker Nebulizer 0 4
15 15 Set 22,391 4
Anak 2 2
16 16 Nipro Infussion Set-IS-001A-Inj
Buah 7,128 100 100 200
100
Nipro IV cateter No. 300 350
17 17 buah 4,818 50
20 G x 11/4 mm
240 110
Nipro IV cateter No. 50 100
18 18 buah 4,818 50
22 G x 1 mm 100
19 19 Polifix 10x5 cm Kotak 77,600 1 0 1 1
20 20 Polifix 5x5 cm Kotak 41,100 3 0 3 3
Rivanol (Etakridin 0 24
21 21 Botol/300 mL 3,600 24
larutan 0,1%) 1
Otsu IV Catheter 150 150
22 22 Buah 8,250
No.18 G 50 50
23 23 Kasa Steril 16x16 Roll 7,050 50 50 5 5 40
Alat Gula Darah Kotaak/100 10 10
24 24 390,100
Optium Neo H Pcs 2 2 1 1
Disposible Umbilical 100 100
25 25 Pcs 900 1
Cord

Kasa Hidrophile 40 y 20 20
26 26 Roll 143,290
x 8 cm
2 4
Nipro Disp. Syringe 100 100
27 27 Pcs 1,463
With Needle 10 cc 91
Catheter Non 100 100
28 28 pcs 5,995
Injection Port 18 G 51
Catheter Non 100 100
29 29 pcs 5,995
Injection Port 20 G 50
Catheter Non 350
30 30 pcs 5,995
Injection Port 22 G 350 50 50 50
Catheter Non 250
31 31 pcs 5,995
Injection Port 24 G 250 100 50 10
Kapas pembalut 5
32 32 Roll 29,040
Putih 500 g 5
Kasa Hidrophile 16 100
33 33 Kotak 4,600
cm x 16 cm 100 50 32
Non Wofen Fixation 25
34 34 pcs 39,294
5 cm x 10 cm
25 1 7 1
Paper Tape 5 cm x 5
35 35 Kotak/Roll 20,757
9,14 m 5
36 36 Polifix 5 cm x 5 cm pcs 41,470 20 20 4
Plasterin Bulat Non 20
37 37 pcs 35,000
Wofen 20 1 3 3
38 38 Alkohol 95% botol 27,373 5 5
 Humasense 2.0 Plus 40
39 39 Botol 546,826
Total Cholesterol
40 35
Humasense 2.0 Plus 10
40 40 Botol 352,247
Uric Acid Test 10 10
Kasa Vagina Bulat Kemasan/10 20
41 41 64,580
36 cm x 36 cm buah 20 4
Nasal Oxygen
42 42 Canula Adult Pcs 3,650 5
(Dewasa) 5
Silk Non Absorbable 4
43 43 Kotak/20 302,031
Suture (Biosilk)
4
44 44 Urine Bag T-Valve pcs 6,600 15 15 5 10
Urine Container 60 200
45 45 Pcs 990
ml Non Steril 200 50
46 46 Larutan Giemsa Botol 233,184 1 1
47 47 Mucus Extractor Pcs 7,040 20 20
Plain Catgut 3-0 10
48 48 pcs 201,818
75cm Round 10 1 2
Kasa SNA Steril 16 50
49 49 Pcs 16,250
cm x 16cm 50
Nousmed Infusion 100
50 50 Pcs 7,700
Set Pediatrik Type Y
100
BMHP GIGI 0 0
Surgispon
51 51 Absorbable Gelatin Psg 48,000 5 15
Sponge 10 7
52 52 Denpo Cal C Pcs/Tube 178,700 2 0 2 2
53 53 Technoden Cresotin Botol 186,000 1 4
3 2
Buur Carbide High 4
54 54 Set/4 205,000 2
Speed Round 2 4
Denpo Mincron
55 55 Superior / Glass Botol 270,000 1 1
Ionomer 0 1
56 56 Micro Brush Pcs/Tube 180,000 1 0 1 1
57 57 Cavitimi Pack 132,900 3 3 2
58 58 Nova Glass F A2 Pack 419,000 7 7 2
59 59 Nova Compo B Plus Pack 666,161 7
7 2
60 60 Nova Compo C A2 Pack 239,595 7 7 2
61 61 Panaro 200 Psg 102,295 1 1
ED/RSK keluar SISA STOK
NILAI SISA
(Rp.)

20
Rp 542,300

1
Rp 36,860
0
Rp -

Rp -

Rp -

Rp 484,000
0
Rp -
0
Rp -
15 Rp 126,000

0
Rp -
2
Rp 4,480

0
Rp -

0
Rp -
 0
Rp -
0
Rp -
100
Rp 712,800

0
Rp -
0
Rp -
0 Rp -
0 Rp -
0
23 Rp -
0
50 Rp -
0 Rp -
4
Rp 1,560,400
99
Rp 89,100

14
Rp 2,006,060
9
Rp 13,167
49
Rp 293,755
50
Rp 299,750
200
Rp 1,199,000
90
Rp 539,550
5
Rp 145,200
18
Rp 82,800

16
Rp 628,704
5
Rp 103,785
16 Rp 663,520
13
Rp 455,000
5 Rp 136,865
 5
Rp 2,734,130
0
Rp -
16
Rp 1,033,280

5
Rp 18,250

4
Rp 1,208,124
0 Rp -
150
Rp 148,500
1 Rp 233,184
20 Rp 140,800
7
Rp 1,412,726
50
Rp 812,500

100
Rp 770,000
0 Rp -

8
Rp 384,000
0 Rp -
2
Rp 372,000
0
Rp -

0
Rp -
0 Rp -
1 Rp 132,900
5 Rp 2,095,000
5
Rp 3,330,805
5 Rp 1,197,975
1 Rp 102,295
 REKAPAN BMHP DAU JANUARI 2022

TOTAL PROGRAM
Harga Saldo Penerima
No. Nama Obat Kemasan
Kemasan Awal an
USILA

1 Catgut 3.0 box/12 66,263 2 4 6

2 Silkpro box/20 44,279 2 6 8
Ciringe Syringes With
box/100 905 300 1800 2100
3 Needle 3 ml
Sarung Tangan Golden
Golves Powder Free Box/50 pasang 135,000 20 200 220
4 Textured Sise M 5
Sarung Tangan Golden
Golves Powder Free Box/50 pasang 135,000 0 45 45
5 Textured Sise S
Nousmed face mask head
box/50 41,349 10 79 89
6 loop 2
Ciringe Syringes With 1900
Pcs 1,002 1900
7 Needle 1 ml
Fresco Plus Antiseptic Hand
Btl/500 ml 68,200 40
8 Rub 500 ml 40
Golden Gloves Latex Sterile
Surgical Gloves Powder Pasang 5,600 100
9 Free No. 6,5 100
Nasal Oxygen Cannula Size
Set 7,700 10
10 M (Anak) 10
Nousmed Infusion Set Type
Pcs 4,840 300
Y Non Air Vent Luer Slip
11 300
Nebulizer Mask Size M 10
12 ( Anak) Pcs 20,000 10
Nebulizer Mask Size L 10
13 ( Dewasa) Pcs 20,000 10
Humasens 2.0 Plus Uric Acid 40
14 Test Strip Botol/25 Strip 352,247 40
 AMPRA
PROGRAM POSKESDES

VAKSIN/
KESLIN MATT
imunisas MB ALLP MRN SORG BT MRN UGD KIA
G DEG
i
3 3
8

10 70 60 840 300

20 1 1 1 1 1 1 38 43

2 3 5

3 13 20

300 200

1
 SISA
UNIT ED/RSK keluar STOK
NILAI SISA
(Rp.)
PERWT LAB P.UMUM GIGI APOTEK

0 Rp -
0 Rp -
250
220 300 50 Rp 226,250

3
25 50 10 20 Rp 405,000

13
3 18 1 Rp 1,755,000
0
5 14 4 13 15 Rp -
300
900 200 Rp 300,600
13
15 11 Rp 886,600

100
Rp 560,000
10
Rp 77,000

300
Rp 1,452,000
10
Rp 200,000
10
Rp 200,000
40
Rp 14,089,880
0 Rp -
 REKAPAN OBT JKN JANUARI -DESEMBER 2022

Harga Saldo Penerima TOTAL

No. Nama Obat Kemasan
Kemasan Awal an

1 Allopurinol 300 mg Kotak/ 100 Rp - 10 0 10

2 Ambroxol Syr Botol 60 ml Rp 5,500 10 0 10
3 Amlodipin 5 mg Kotak/100 Rp 57,530 9 0 9
4 Betamethasone krim Tube Rp 2,650 50 0 50
5 Becefort Tablet Kotak/ 100 Rp 154,843 3 0 3
6 Becefort Syr Botol Rp 17,713 30 0 30
7 Calsium Lactat Kotak/ 100 Rp 23,879 22 60 82
8 Dexamethasone Kotak/ 100 Rp 27,500 2 45 47
9 Dexamethasone inj box @ 100 Amp Rp 96,800 2 0 2
10 Gentmicin S.K Tube Rp 3,651 10 50 60
11 Histigo (Betahistin) box/100 Rp 14,875 5 25 30
12 Lidocain inj 2% Kotak/ 100 Rp 130,000 5 0 5
13 Lansoprazole Kotak/ 20 Rp 32,432 9 0 9
14 Methylprednisolone 4 mg Kotak/100 Rp 48,412 4 0 4
15 Meloxicam 7.5 Box/ 100 Rp 18,700 6 20 26
16 Natrium Diklofenan Box/50 Rp 23,206 30 25 55
17 Novaclor syr botol Rp - 4 0 4
18 Novaclor tab Kotak/100 Rp - 3 0 3
19 Omeprazole Kotak/30 Rp 23,244 5 0 5
20 Piroxicam 10 mg Kotak/ 100 Rp 19,322 4 0 4
21 Prednison Kotak/100 Rp - 1 0 1
22 Ranitidin box/100 Rp 22,000 8 0 8
23 Salbutamol 4 mg box/100 Rp 12,413 15 0 15
24 Vitamin B1 box/100 Rp 22,187 3 0 3
25 Zink Tab box/100 Rp 54,623 14 0 14
26 Zink Syr botol Rp 7,150 39 0 39
0 0
TAMBAHAN JANUARI 0 0
27 Ambroxol 30 mg tab Box/100 Rp 22,694 0 50 50
28 Ambroxol syr botol 60 ml Rp 9,900 120 120
29 Amlodipin 5 mg box/50 Rp 27,500 50 50
30 Becefort Syr Botol Rp 19,921 395 395
31 Omeprazole 20 mg box/100 Rp 40,700 23 23
32 Paracetamol Sirup Botol/50 ml Rp 4,015 220 220
33 Vitamin B6 20 mg Box/100 Rp 15,532 20 20
34 Bromhexin HCl (Bronex) Box/100 Rp 20,350 75 75
35 dextrose 5 % infus botol 500 ml Rp 8,468 40 40
36 Omeprazole 20 mg Kotak/ 20 Rp 25,444 35 35
37 Phytomenadion / vit K injeksi Kotak/ 30 Ampul Rp 55,000 8 8
38 Methylprednisolone 4 mg Box/ 100 Rp 23,933 20 20
39 Ibuprofen Tab 400 mg Kotak/100 Rp 35,000 30 30
40 Amoxicillin syrup kering 125mg/60 ml Botol Rp 6,600 30 30
41 Ceterizine Sirup 60 ml Botol 60 ml Rp 5,225 20 20
42 Paracetamol tab 500 mg Box/ 100 Rp 22,000 123 123
Etagemycetin /chloramohenicol 125
Rp 6,600 25
43 mg/5mlsirup kering Botol 60 ml 25
Etagemycetin /chloramohenicol 250 Rp 73,315 20
44 mg Box/100 20
45 Acyclovir Krim 5 g Tube Rp 4,343 20 20
46 Sodium Clorida 0,9% 500 ml botol 500 ml Rp 6,900 40 40
47 Reager Laktat 500 ml botol 500 ml Rp 7,634 100 100
48 Novamox Forte Sirup 60 ml Botol 60 ml Rp 8,250 150 150
49 Paracetamol Sirup Botol 60 ml Rp 3,889 50 50
50 Diklofenak Sodium 25 mg Box/50 Rp 18,791 30 30
51 Acetylcysteine 200 mg Box/100 Rp 110,000 25 25
52 Dexamethasone 0,5 mg Box/100 Rp 25,250 13 13
53 Calsium Lactat 500 mg B0x/100 Rp 33,000 50 50
54 Novachlor sirup Botol 60 ml Rp 10,450 25 25
55 Gentamicyn Sulfat 0,1% Tube Rp 3,650 50 50
56 Paracetamol sirup Botol 60 ml Rp 4,235 250 250
57 Meloxicam 7.5 (Triman) Box/100 Rp 18,700 20 20

Chlorpheniramin Maleat 4 mg (CTM) Rp 7,499 10

58 Box/ 100 10
Chlorpheniramin Maleat 4 mg (CTM) Rp 17,837 10
59 B0x/100 10
60 Dexamethasone 0,5 mg B0x/100 Rp 27,500 10 10
61 Dexamethasone 0,5 mg B0x/100 Rp 19,819 10 10
62 Amlodipin 5 mg Box/30 Rp 16,500 5 5
63 Tranexamic acid 500 mg box/100 Rp 198,000 2 2
64 Ranitidin inj. 25 mg/ml Dos/100 Rp 305,223 3 3

Chlorpheniramin Maleat 4 mg (CTM) Box/ 100 Rp 14,960 20

65 20
66 Vit K infant injek @10 Ampul Box/10 Ampul Rp 108,547 6 6

Box/20 amp Rp 342,575 5

67 Ventolin Nebulaizer 2,5 mg/20 amp 5
68 Metronidazole 500 mg Box\100 tab Rp 35,358 3 3

Rp 27,500 50
69 Paracetamol 20 mg/ml infus 100 ml Botol/100 ml 50
 AMPRA
PROGRAM POSKESDES

MATT
USILA VAKSIN KESKER MB ALLP MRN SORG BT MRN UGD
DEG

4 1 4
10 10 10

7 9 6 5 2
2 4 5 3

2
2

6 2 2 2
4 3 3

1
2 1

2 1

7 3 4 2
11 20 5

15 10
1 3 2 1
5 2 1 4 6 3
20
1
 1

1 3 2 2

100
5 5

1 3 3 3

0.25

15
 SISA
UNIT ED/RSK keluar STOK

KIA PERWT LAB P.UMUM GIGI APOTEK

10 0
10 10 0
9 0
20 0
3 0
30 0
53 0
33 0
2
60 0
30 0
2 1 0
7 0
4 0
14 0
45 0
4 0
3 0
5 0
4 0
1 0
7 0
12 0
3 0
14 0
39 0
0
0
47 0
120 0
34 0
359 0
23 0
195 0
13 0
54 0
13 7
34 0
8 0
 20 0
29 0
30 0
20 0
115 0

0
25
0
20
20 0
40 0
0
131 9
50 0
30 0
25 0
13 0
45 0
16 9
50 0
250 0
20 0

0
10
0

10 0
10 0
5 0
2 0
0

0
18
6 0

4.75

3 0

33
2
 NILAI SISA
(Rp.)

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 193,600
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 59,276
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp 74,250
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 94,050
Rp -
Rp -
Rp -

Rp -

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Rp -
Rp -

Rp 1,627,231
Rp -

Rp 907,500
 REKAPAN BMHP PENGELUARAN JKN JANUARI-DESEMBER 2022

NO NO Saldo Penerima
No. Nama Obat Kemasan Harga Kemasan
Awal an

1 1 1 Asam urat Nesco Strip Botol/25 4 0

2 2 2 Benang Silk Box/24 Rp 240,000 1 0
3 3 3 Catgut plain 3/0 boc/24 Rp 262,000 1 0
4 4 4 Catgut Chromic 3.0 Box/24 Rp 262,000 2 0
5 5 5 Cevitron box Rp 127,000 2 0
6 6 6 Diluent botol/20 L Rp 1,119,525 5 0
7 7 7 daryan tule pcs Rp 198,000 1 0
8 8 8 Elastic perband pcs Rp 26,400 1 0
9 9 9 Ear Syringe rubber 60 ml pcs Rp 27,200 30 0
10 10 10 Ethylclorida botol Rp 180,000 3 0
GC Fuji IX (Tambalan gigi
11 11 11 botol 1
sebentara)
12 12 12 Goldar ABO Screen Tulip box Rp 379,500 2 0

13 13 13 Hematology Analyzer Detergen box 2

0
14 14 14 Hb Strip box Rp 330,000 2 0
15 15 15 Jarum Hecting otot n. 11 bungkus/12 Rp 33,000 2 0
16 16 16 Kasa Steril Onemed Pcs Rp 13,200 41 0
17 17 17 Kasa steril 16x 16 Pcs Rp 2,240 20 0
18 18 18 Kasa kecil Pcs Rp 387 350 0
19 19 19 Kapas pembalut nasaco Pcs Rp 13,400 2 0
20 20 20 lysol botol 2 0
21 21 21 Nasal oxygen dewasa pcs Rp 13,200 8 0
22 22 22 Nasal O2 Child Pcs Rp 13,200 14 0
23 23 23 Nasal O2 Pediatrik Pcs Rp 8,800 15 0
24 24 24 Nasa oxygen canulla adult Pcs Rp 13,200 20 0
25 25 25 Nasal O2 Adult Pcs Rp 8,800 15 0
26 26 26 pembalut siku segitiga pcs Rp 19,800 1 0
27 27 27 Plasterin onemed box/100 Rp 48,000 1 0
28 28 28 Plaster Handsaplast 7.5 x 4.5 Pcs Rp 60,000 6 10
29 29 29 Penjepit tali pusat box/50 Rp 145,000 2 0
30 30 30 reagen lytic urit box Rp 1,064,800 1 0
31 31 31 Sugical blood steril box/100 3 0
32 32 32 Sarung tangan obgyn pcs Rp 52,470 34 0
33 33 33 Test kehamilan strip box/50 Rp 120,000 1 2
34 34 34 Tabung voculab edta 3 ml PAK Rp 152,900 3 2
35 35 35 ultrasound jelly botol Rp 45,980 3 0
36 36 36 Strip Kolesterol Autocheck botol/10 Rp 251,900 2 15
37 37 37 Strip Asam Urat Autocheck botol/20 Rp 152,900 11 0
38 38 38 Strip Glukosa Autocheck botol/25 Rp 118,800 5 10
39 39 39 Strip Hb merk easytouch tube Rp 176,000 3 15
40 40 40 underpad j pcs Rp 46,200 10 10
41 41 41 urinalysis strip verify 3 p box Rp 132,000 2 6
0
Tambahan Januari 0
42 42 Kasa Panjang 80 x 40 Y roll Rp 193,000 5
43 43 Povidone Iodine bootol/ 300 ml Rp 42,000 5
44 44 Reagen lytic urit botol/ 1L Rp 1,320,000 3
45 45 Abocat GEA 24 G BOX/24 Rp 250,000 2
46 46 Abocat GEA 26 G Box/24 Rp 250,000 2
47 47 Test kehamilan strip box/50 Rp 150,000 10
48 48 Umbilical Klem box Rp 165,000 10
49 49 ultrasound jelly USG BOTOL Rp 30,000 15
50 50 Strip Asam Urat Autocheck botol/20 Rp 130,000 10
51 51 Strip Kolesterol Autocheck botol/10 Rp 229,000 35
52 52 Strip Glukosa Autocheck Botol/25 Rp 110,000 10
53 53 Strip Hb merk easytouch Botol/25 Rp 160,000 15
54 54 daryan tule Pcs Rp 33,000 50
55 55 Plasterin onemed 200' box Rp 48,000 5
56 56 Reagent Widal Set Rp 605,000 4
57 57 Reagent Gol Darah Anti A btl 10 ml Rp 121,000 2
58 58 Reagent Gol Darah Anti B btl 10 ml Rp 121,000 2
59 59 Reagent
Reagent Gol
Gol Darah
Darah Anti
Anti AB
D btl 10 ml Rp 121,000 2
60 60 (Rhesus) btl 10 ml Rp 231,000 2
61 61 Kartu Gol Darah Pack Rp 55,000 2
62 62 RDT HbsAg box Rp 550,000 1
63 63 Spritus botol Rp 55,000 2
64 64 Dili Penghisap Lendir (merah) pcs Rp 16,500 16
65 65 Dili Penghisap Lendir (biru) pcs Rp 19,800 38
66 66 Tabung voculab edta K3 3 ml box/100pcs Rp 165,000 3
67 67 Vakuab Tabung Pain 3 ml pcs Rp 139,000 2
68 68 Hypafix 10 cm x 5 m Roll Rp 163,000 10
69 69 Kertas EKG 80x30 m innomed Roll Rp 82,500 5
70 70 No Pain Spray Skin Refrigant Botol Rp 187,000 4
71 71 Kertas Puyer
Sche Ject Sachet Dental
Disposable Pack Rp 79,200 25
72 72 Needles Box/10 pc Rp 125,000 2
73 73 ID. Band Gelang Bayi Box/100 Rp 240,000 4
74 74 Foley Catheter 18 FR Pcs Rp 18,000 20
75 75 Foley Catheter 16 FR Pcs Rp 18,000 10
76 76 Selang Oksigen Dewasa pcs Rp 11,000 20
77 77 Alat ukur suhu ruangan buah Rp 165,000 1
78 78 Alat ukur suhu Kulkas buah Rp 165,000 1
79 79 Kartu Golongan Darah Pack Rp 77,000 2
80 Reagent Narkoba Dos Rp 1,800,000 1
81 Pot salep 20 mg pcs Rp 2,000 50
82 Kertas 6Puyer
Napza Sachet
Parameter Pack Rp 100,000 7
83 (AMP,THC,MOP,MET,BZO,COC) Box Rp 1,667,000 1
84 iv catheter GEA 24G pcs Rp 7,000 50
85 IV catheter GEA 26G pcs Rp 8,000 50
86 Kapas 1000 gr roll Rp 120,000 5
 87 Palaster Leukoplast 7,5 cm x 4, roll Rp 72,000 6
88 Strip Autocheck Glukosa botol Rp 108,000 10
89 strip Autocheck Uric Acid botol Rp 139,000 10
90 Strip Easyouch Hemoglobin botol Rp 187,000 9
91 Urit Lytic 3 diff 1 Lt botol Rp 610,451 2
92 Detergen Urit Jergen Rp 250,000 2
93 Plastik obat ukuran 10x15 pak Rp 100,000 2
94 plastik obat ukuran 20x30 cm bks Rp 60,000 1
95 Suction Ball 30 ml pcs Rp 10,000 14
96 Strip Urine 3 P tube Rp 120,000 3
97 Geinza 50 ml botol Rp 150,000 1
98 Composite gigi merk voco set Rp 2,000,000 1
99 daryan tule box Rp 300,000 2
100 ID. Band om biru box Rp 125,000 1
101 id band om pink box Rp 125,000 1
102 kertas puyer press pack Rp 100,000 4
103 section ball 60 ml buah Rp 12,500 20
104 Strip Autochac cholesterol Botol 10' Rp 229,000 15
105 Strip Autochac Glukosa Botol 25' Rp 108,000 5
106 Kasa hydrofil 40 x 80 cm Roll Rp 130,000 10
107 Widal set tydal tulip set Rp 600,000 1
108 Dental Needle 30Gx16mm box100's Rp 170,000 1
109 Dental Needle 30Gx12mm box100's Rp 170,000 1
110 Catgut Chromic 3/0 + jarum box24's Rp 240,000 2
111 Rivanol 300 ml Btl Rp 10,000 24
112 Urit Lytic 3 diff 1 Lt btl Rp 654,054 2
113 No Pain Spray Skin Refrigant Botol Rp 170,000 8
114 Jelly USG 250 ml Botol Rp 30,000 10
115 Underpads Pak 10' Rp 42,000 15
116 Test kehamilan strip OM Box 50's Rp 145,000 5
117 Foley cateter box Rp 120,000 1
118 Tabung vaculab EDTA Ungu Pack Rp 150,000 3
119 Tabung vaculab EDTA Plain mer Pack Rp 150,000 2
120 Strip Urine 3 P box Rp 120,000 3
121 strip urine 10 P box Rp 180,000 2
122 Tes kehamilan box Rp 150,000 5
123 daryan tule pcs Rp 30,000 20
 AMPRA
TOTAL PROGRAM POSKESDES UNIT
BT MATT
USILA VAKSIN KESKER MB ALLP MRN SORG UGD KIA PERWT
MRN DEG
4 1
1 1
1 1
2 1 1
2
5
1 1
1
30 30
3
1
2

2
2
2 2
41 21 10
20 10 5 5
350 100 50
2 2
2
8 8
14 4
15 5
20 10
15
1
1 1
16 10 3 3
2 2
1
3 1
34
3
5
3 3
17
11
15
18 1 1 1
20 18
8
0
0
5 3 2
5 4 1
3
2 2
2 2
10
10 6
15 14
10
35
10
15
50 50
5 3
4
2
2
2
2
2
1
2
16 16
38 38
3
2
10 6 3 1
5 2
4
25
2
4 4
20 4 10
10 2 5
20 5
1
1 1
2
1
50
7
1
50 50
50
5 1 1 1
6 6
10
10
9
2
2
2
1
14 14
3
1
1
2 2
1
1
4
20
15
5
10 4 5 1
1
1
1
2 2
24 1
2 2
8
10
15
5
1 1
3
2
3
2
5
20 10
 SISA
UNIT ED/RSK keluar NILAI SISA
STOK
(Rp.)
LAB P.UMUM GIGI APOTEK

3 4 0 Rp -
1 0 Rp -
1 0 Rp -
2 0 Rp -
2 2 0 Rp -
4 4 1 Rp 1,119,525
1 0 Rp -
0 1 Rp 26,400
30 0 Rp -
3 3 0 Rp -
1 1 0 Rp -
2 2 0 Rp -

2 0
2 Rp -
2 2 0 Rp -
2 0 Rp -
10 41 0 Rp -
20 0 Rp -
50 200 150 Rp 58,050
2 0 Rp -
2 2 0 Rp -
8 0 Rp -
4 10 Rp 132,000
5 10 Rp 88,000
10 10 Rp 132,000
0 15 Rp 132,000
0 1 Rp 19,800
1 0 Rp -
16 0 Rp -
2 0 Rp -
1 1 0 Rp -
1 2 Rp -
0 34 Rp 1,783,980
3 3 0 Rp -
5 5 0 Rp -
3 0 Rp -
17 17 0 Rp -
11 11 0 Rp -
15 15 0 Rp -
15 18 0 Rp -
18 2 Rp 92,400
 8 8 0 Rp -
0 0 Rp -
0 0 Rp -
5 0 Rp -
5 0 Rp -
3 3 0 Rp -
2 0 Rp -
2 0 Rp -
10 10 0 Rp -
6 4 Rp 660,000
14 1 Rp 30,000
10 10 0 Rp -
35 35 0 Rp -
10 10 0 Rp -
15 15 0 Rp -
50 0 Rp -
2 5 0 Rp -
4 4 0 Rp -
2 2 0 Rp -
2 2 0 Rp -
2 2 0 Rp -
2 2 0 Rp -
2 2 0 Rp -
1 1 0 Rp -
2 2 0 Rp -
16 0 Rp -
38 0 Rp -
3 3 0 Rp -
2 2 0 Rp -
10 0 Rp -
2 3 Rp 247,500
4 4 0 Rp -
11 11 14 Rp 1,108,800
2 2 0 Rp -
4 0 Rp -
14 6 Rp 108,000
7 3 Rp 54,000
5 15 Rp 165,000
1 1 0 Rp -
1 0 Rp -
2 2 0 Rp -
1 1 0 Rp -
50 50 0 Rp -
7 7 0 Rp -
1 1 0 Rp -
50 0 Rp -
0 50 Rp 400,000
1 4 1 Rp 120,000
 6 0 Rp -
10 10 0 Rp -
10 10 0 Rp -
3 3 6 Rp 1,122,000
2 2 0 Rp -
2 2 0 Rp -
2 2 0 Rp -
1 1 0 Rp -
14 0 Rp -
3 3 0 Rp -
1 1 0 Rp -
1 1 0 Rp -
1 1 Rp 300,000
0 1 Rp 125,000
0 1 Rp 125,000
4 4 0 Rp -
0 20 Rp 250,000
15 15 0 Rp -
5 5 0 Rp -
10 0 Rp -
1 1 0 Rp -
1 1 0 Rp -
1 1 0 Rp -
2 0 Rp -
1 23 Rp 230,000
2 0 Rp -
2 2 6 Rp 1,020,000
0 10 Rp 300,000
0 15 Rp 630,000
1 1 4 Rp 580,000
1 0 Rp -
1 1 2 Rp 300,000
2 2 0 Rp -
1 1 2 Rp 240,000
1 1 1 Rp 180,000
1 1 4 Rp 600,000
10 10 Rp 300,000
S
Chlodin
Sabun Botol/500
Cuci mL
Tangan 88,000
Desinfekt
an 500
Pcs
mL(Sterici
de) 87,120
Desinfekt
an Galon Galon/5 L
(Stericide)
752,400
Face
Mask 3 Kotak/50
Ply 88,000
Face
Pcs
Shield 49,500
Gown
Abramed Pcs
Polyster 120,000
Handsanit
izer 500
Pcs
mL
(Softanol) 55,000