LAPORAN PENERIMAAN DAN PEMAKAIAN OBAT PROGRAM

JANUARI S/DESEMBER 2021

TAHUN 2021
OBAT PROGRAM : JIWA
PUSKESMAS : BANTEN GIRANG

JANUARI

SATUAN
STOK AWAL HARGA OBAT PENERIMAAN PEMAKAIAN STOK AKHIR
NO. NAMA OBAT TAHUN

OBAT Rp OBAT Rp OBAT Rp OBAT Rp

-
1 Clorpromazine HCL 100 mg Tablet 2021 0.00 0.00 - - 0 0.00 0 0.00
-
2 Risperidone 2 mg Tablet 2021 0.00 0.00 - - 0.0 0.00 0 0.00

Risperidone 2 mg Tablet -
2021 0.00 0.00 - - 0.0 0.00 0 0.00

Haloperidol 1,5 mg Tablet -

3 2021 0.00 0.00 - - 0 0.00 0 0.00
-
4 Triheksipenidil Tablet 2021 0.00 91.00 - - 0 0.00 0 0.00

Carbamazepine Tablet -
5 2021 0.00 0.00 - - 0 0.00 0 0.00

Amitriptylin Tablet 1,400

6 2020 233,800.00 167.00 - - 0 0.00 1,400 233,800.00

Amitriptylin Tablet -
2021 0.00 167.00 - - 0 0.00 0 0.00

-
7 Clozapine 25 mg Tablet 2021 0.00 0.00 - - 0 0.00 0 0.00

Clozapine 25 mg Tablet -
2021 0.00 0.00 - - 0 0.00 0 0.00

30
8 Diazepam inj Ampul 2020 52,050.00 1,735.00 - - 0 0.00 30 52,050.00

1,500
9 Clobazam Tablet 2019 1,455,000.00 970.00 - - 0 0.00 1,500 1,455,000.00

300
Clobazam Tablet 2020 232,800.00 776.00 - - 0 0.00 300 232,800.00

-
Clobazam Tablet 2021 0.00 776.00 - - 0 0.00 0 0.00

Haloperidol 5mg Tablet -

10 2021 0.00 0.00 - - 0 0.00 0 0.00

Skizonoat inj Ampul 150

11 2020 222,603.00 1,484.02 - - 0 0.00 150 222,603.00
2,196,253.00 0.00 0.00 2,196,253.00

Ket :
Mengetahui
Kepala UPT Puskesmas Banten Girang Pengelola Program Kesehatan Jiwa
 (Hj. Yuheni, S.ST, M.Kes) (Yusanti syamsi amd,keb.)
Nip. 19670928 198902 2 003 Nip. 19730707 200604 2 014

Catatan :
Penerimaan barang disesuaikan dengan SBBK yang diterima dari Dinas Kesehatan maupun pihak selain Dinas Kesehatan baik jumlah, satuan dan harga satuan obat
Jika ada perubahan harga dari penerimaan sebelumnya, buatkan baris baru dibawahnya untuk membuktikan ada perubahan harga, beri tanda dengan menggunakan warna
 FEBRUARI MARET

HARGA
PENERIMAAN PEMAKAIAN STOK AKHIR HARGA OBAT PENERIMAAN PEMAKAIAN STOK AKHIR
OBAT

OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp

157.00 300 47,100.00 200 31,400.00 100 15,700.00 157.00 0 0.00 100 15,700.00 0 0.00

287.00 600 172,200.00 200 57,400.00 400 114,800.00 287.00 0 0.00 100 28,700.00 300 86,100.00

0.00 0 0.00 0 0.00 0 0.00 0.00 0 0.00 0 0.00 0 0.00

59.00 300 17,700.00 200 11,800.00 100 5,900.00 59.00 0 0.00 100 5,900.00 0 0.00

91.00 600 54,600.00 200 18,200.00 400 36,400.00 91.00 0 0.00 300 27,300.00 100 9,100.00

245.00 100 24,500.00 0 0.00 100 24,500.00 245.00 0 0.00 0 0.00 100 24,500.00

167.00 0 0.00 0 0.00 1,400 233,800.00 167.00 0 0.00 0 0.00 1,400 233,800.00

167.00 300 50,100.00 0 0.00 300 50,100.00 167.00 0 0.00 0 0.00 300 50,100.00

565.00 100 56,500.00 0 0.00 100 56,500.00 565.00 0 0.00 50 28,250.00 50 28,250.00

0.00 0 0.00 0 0.00 0 0.00 0.00 0 0.00 0 0.00 0 0.00

1,735.00 0 0.00 10 17,350.00 20 34,700.00 1,735.00 0 0.00 10 17,350.00 10 17,350.00

970.00 0 0.00 700 679,000.00 800 776,000.00 970.00 0 0.00 500 485,000.00 300 291,000.00

776.00 0 0.00 0 0.00 300 232,800.00 776.00 0 0.00 0 0.00 300 232,800.00

776.00 200 155,200.00 0 0.00 200 155,200.00 776.00 0 0.00 0 0.00 200 155,200.00

60.00 300 18,000.00 0 0.00 300 18,000.00 60.00 0 0.00 200 12,000.00 100 6,000.00

1,484.02 0 0.00 0 0.00 150 222,603.00 1,484.02 0 0.00 5 7,420.10 145 215,182.90
422,700.00 0.00 1,977,003.00 0.00 627,620.10 1,349,382.90
 APRIL MEI

HARGA OBAT PENERIMAAN PEMAKAIAN STOK AKHIR HARGA OBAT PENERIMAAN PEMAKAIAN STOK AKHIR

OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp

157.00 0 0.00 0 0.00 0 0.00 157.00 0 0.00 0 0.00 0 0.00

287.00 0 0.00 100 28,700.00 200 57,400.00 287.00 0 0.00 200 57,400.00 0 0.00

0.00 0 0.00 0 0.00 0 0.00 0.00 0 0.00 0 0.00 0 0.00

59.00 0 0.00 0 0.00 0 0.00 59.00 0 0.00 0 0.00 0 0.00

91.00 0 0.00 100 9,100.00 0 0.00 91.00 0 0.00 0 0.00 0 0.00

245.00 0 0.00 0 0.00 100 24,500.00 245.00 0 0.00 100 24,500.00 0 0.00

167.00 0 0.00 0 0.00 1,400 233,800.00 167.00 0 0.00 300 50,100.00 1,100 183,700.00

167.00 0 0.00 0 0.00 300 50,100.00 167.00 0 0.00 0 0.00 300 50,100.00

565.00 0 0.00 0 0.00 50 28,250.00 565.00 0 0.00 0 0.00 50 28,250.00

0.00 0 0.00 0 0.00 0 0.00 0.00 0 0.00 0 0.00 0 0.00

1,735.00 0 0.00 0 0.00 10 17,350.00 1,735.00 0 0.00 1 1,735.00 9 15,615.00

970.00 0 0.00 200 194,000.00 100 97,000.00 970.00 0 0.00 100 97,000.00 0 0.00

776.00 0 0.00 0 0.00 300 232,800.00 776.00 0 0.00 100 77,600.00 200 155,200.00

776.00 0 0.00 0 0.00 200 155,200.00 776.00 0 0.00 0 0.00 200 155,200.00

60.00 0 0.00 100 6,000.00 0 0.00 60.00 0 0.00 0 0.00 0 0.00

1,484.02 0 0.00 5 7,420.10 140 207,762.80 1,484.02 0 0.00 0 0.00 140 207,762.80
0.00 245,220.10 1,104,162.80 0.00 133,735.00 795,827.80
 JUNI JULI

HARGA
HARGA OBAT PENERIMAAN PEMAKAIAN STOK AKHIR PENERIMAAN PEMAKAIAN STOK AKHIR
OBAT

OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp

157.00 0 0.00 0 0.00 0 0.00 157.00 0 0.00 0 0.00 0 0.00

287.00 0 0.00 0 0.00 0 0.00 287.00 0 0.00 0 0.00 0 0.00

0.00 0 0.00 0 0.00 0 0.00 0.00 0 0.00 0 0.00 0 0.00

59.00 0 0.00 0 0.00 0 0.00 59.00 0 0.00 0 0.00 0 0.00

91.00 0 0.00 0 0.00 0 0.00 91.00 0 0.00 0 0.00 0 0.00

245.00 0 0.00 0 0.00 0 0.00 245.00 0 0.00 0 0.00 0 0.00

167.00 0 0.00 0 0.00 1,100 183,700.00 167.00 0 0.00 300 50,100.00 800 133,600.00

167.00 0 0.00 0 0.00 300 50,100.00 167.00 0 0.00 0 0.00 300 50,100.00

565.00 0 0.00 0 0.00 50 28,250.00 565.00 0 0.00 0 0.00 50 28,250.00

0.00 0 0.00 0 0.00 0 0.00 0.00 0 0.00 0 0.00 0 0.00

1,735.00 0 0.00 0 0.00 9 15,615.00 1,735.00 0 0.00 0 0.00 9 15,615.00

970.00 0 0.00 0 0.00 0 0.00 970.00 0 0.00 0 0.00 0 0.00

776.00 0 0.00 200 155,200.00 0 0.00 776.00 0 0.00 0 0.00 0 0.00

776.00 0 0.00 0 0.00 200 155,200.00 776.00 0 0.00 200 155,200.00 0 0.00

60.00 0 0.00 0 0.00 0 0.00 60.00 0 0.00 0 0.00 0 0.00

1,484.02 0 0.00 0 0.00 140 207,762.80 1,484.02 0 0.00 0 0.00 140 207,762.80
0.00 155,200.00 640,627.80 0.00 0.00 227,565.00
 AGUSTUS SEPTEMBER

HARGA OBAT PENERIMAAN PEMAKAIAN STOK AKHIR HARGA OBAT PENERIMAAN PEMAKAIAN STOK AKHIR

OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp

157.00 0 0.00 0 0.00 0 0.00 157.00 0 0.00 0 0.00 0 0.00

287.00 0 0.00 0 0.00 0 0.00 287.00 0 0.00 0 0.00 0 0.00

0.00 0 0.00 0 0.00 0 0.00 287.00 900 258,300.00 200 57,400.00 700 200,900.00

59.00 0 0.00 0 0.00 0 0.00 59.00 100 5,900.00 100 5,900.00 0 0.00

91.00 0 0.00 0 0.00 0 0.00 91.00 1,200 109,200.00 300 27,300.00 900 81,900.00

245.00 0 0.00 0 0.00 0 0.00 245.00 0 0.00 0 0.00 0 0.00

167.00 0 0.00 300 50,100.00 500 83,500.00 167.00 0 0.00 500 83,500.00 0 0.00

167.00 0 0.00 0 0.00 300 50,100.00 167.00 300 50,100.00 0 0.00 600 100,200.00

565.00 0 0.00 50 28,250.00 0 0.00 565.00 0 0.00 0 0.00 0 0.00

0.00 0 0.00 0 0.00 0 0.00 565.00 100 56,500.00 60 33,900.00 40 22,600.00

1,735.00 0 0.00 0 0.00 9 15,615.00 1,735.00 0 0.00 0 0.00 9 15,615.00

970.00 0 0.00 0 0.00 0 0.00 970.00 0 0.00 0 0.00 0 0.00

776.00 0 0.00 0 0.00 0 0.00 776.00 0 0.00 0 0.00 0 0.00

776.00 0 0.00 0 0.00 0 0.00 776.00 200 155,200.00 100 77,600.00 100 77,600.00

60.00 0 0.00 0 0.00 0 0.00 60.00 100 6,000.00 30 1,800.00 70 4,200.00

1,484.02 0 0.00 35 51,940.70 105 155,822.10 1,484.02 0 0.00 10 14,840.20 95 140,981.90

0.00 130,290.70 305,037.10 641,200.00 302,240.20 643,996.90
 OKTOBER NOVEMBER

HARGA OBAT PENERIMAAN PEMAKAIAN STOK AKHIR HARGA OBAT PENERIMAAN PEMAKAIAN STOK AKHIR

OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp

157.00 0 0.00 0 0.00 0 0.00 157.00 0 0.00 0 0.00 0 0.00

287.00 0 0.00 0 0.00 0 0.00 287.00 0 0.00 0 0.00 0 0.00

287.00 0 0.00 300 86,100.00 400 114,800.00 287.00 0 0.00 200 57,400.00 200 57,400.00

59.00 0 0.00 0 0.00 0 0.00 59.00 0 0.00 0 0.00 0 0.00

91.00 0 0.00 300 27,300.00 600 54,600.00 91.00 0 0.00 300 27,300.00 300 27,300.00

245.00 0 0.00 0 0.00 0 0.00 245.00 0 0.00 0 0.00 0 0.00

167.00 0 0.00 0 0.00 0 0.00 167.00 0 0.00 0 0.00 0 0.00

167.00 0 0.00 200 33,400.00 400 66,800.00 167.00 0 0.00 300 50,100.00 100 16,700.00

565.00 0 0.00 0 0.00 0 0.00 565.00 0 0.00 0 0.00 0 0.00

565.00 0 0.00 40 22,600.00 0 0.00 565.00 0 0.00 0 0.00 0 0.00

1,735.00 0 0.00 0 0.00 9 15,615.00 1,735.00 0 0.00 0 0.00 9 15,615.00

970.00 0 0.00 0 0.00 0 0.00 970.00 0 0.00 0 0.00 0 0.00

776.00 0 0.00 0 0.00 0 0.00 776.00 0 0.00 0 0.00 0 0.00

776.00 0 0.00 0 0.00 100 77,600.00 776.00 0 0.00 100 77,600.00 0 0.00

60.00 0 0.00 50 3,000.00 20 1,200.00 60.00 0 0.00 20 1,200.00 0 0.00

1,484.02 0 0.00 10 14,840.20 85 126,141.70 1,484.02 0 0.00 10 14,840.20 75 111,301.50

0.00 187,240.20 456,756.70 0.00 228,440.20 228,316.50
 DESEMBER JANUARI S/D DESEMBER

HARGA
HARGA OBAT PENERIMAAN PEMAKAIAN STOK AKHIR PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR
OBAT

OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp OBAT Rp

157.00 0 0.00 0 0.00 0 0.00 157.00 300 47,100.00 300 47,100.00 300 47,100.00 0 0.00

287.00 0 0.00 0 0.00 0 0.00 287.00 600 172,200.00 600 172,200.00 600 172,200.00 0 0.00

287.00 0 0.00 200 57,400.00 0 0.00 287.00 900 258,300.00 900 258,300.00 900 258,300.00 0 0.00

59.00 0 0.00 0 0.00 0 0.00 59.00 400 23,600.00 400 23,600.00 400 23,600.00 0 0.00

91.00 0 0.00 300 27,300.00 0 0.00 91.00 1,800 163,800.00 1,800 163,800.00 1,800 163,800.00 0 0.00

245.00 0 0.00 0 0.00 0 0.00 245.00 100 24,500.00 100 24,500.00 100 24,500.00 0 0.00

167.00 0 0.00 0 0.00 0 0.00 167.00 0 0.00 1,400 233,800.00 1,400 233,800.00 0 0.00

167.00 0 0.00 100 16,700.00 0 0.00 167.00 600 100,200.00 600 100,200.00 600 100,200.00 0 0.00

565.00 0 0.00 0 0.00 0 0.00 565.00 100 56,500.00 100 56,500.00 100 56,500.00 0 0.00

565.00 0 0.00 0 0.00 0 0.00 565.00 100 56,500.00 100 56,500.00 100 56,500.00 0 0.00

1,735.00 0 0.00 0 0.00 9 15,615.00 1,735.00 0 0.00 30 52,050.00 21 36,435.00 9 15,615.00

970.00 0 0.00 0 0.00 0 0.00 970.00 0 0.00 1,500 1,455,000.00 1,500 1,455,000.00 0 0.00

776.00 0 0.00 0 0.00 0 0.00 776.00 0 0.00 300 232,800.00 300 232,800.00 0 0.00

776.00 0 0.00 0 0.00 0 0.00 776.00 400 310,400.00 400 310,400.00 400 310,400.00 0 0.00

60.00 0 0.00 0 0.00 0 0.00 60.00 400 24,000.00 400 24,000.00 400 24,000.00 0 0.00

1,484.02 0 0.00 5 7,420.10 70 103,881.40 1,484.02 0 0.00 150 222,603.00 80 118,721.60 70 103,881.40
0.00 108,820.10 0.00 119,496.40 1,237,100.00 3,433,353.00 3,313,856.60 119,496.40

3,433,353.00 3,313,856.60
119,496.40