DATA OBAT JKN

UPTD KECAMATAN KATINGAN KUALA PUSKESMAS PEGATAN II

BULAN JANUARI 2022
Saldo Awal Bertambah Berkurang Saldo Akhir Expired
No. Nama Obat No. Batch Expired Date Kemasan Satuan Harga Satuan Keterangan
Jumlah Saldo Jumlah Saldo Jumlah Saldo Jumlah Saldo Jumlah Saldo
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
1 Ambroxol sirup 15 mg H10536902 Agt 21 Botol Botol 7,700 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
2 Amoxicilin sirup 125 mg F10516907 Jun-22 Botol Botol 7,150 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
3 Amoxicilin Tab 500 mg D10686912 Apr-24 Box/100 Tab Tablet 825 300 Rp 247,500.00 0 Rp - 100 Rp 82,500.00 200 Rp 165,000.00 0 Rp -
4 Asam mefenamat tab 500 mg CA94915 Agt 21 Box/100 Tab Tablet 302.50 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
5 Ambroxol 30 mg Tablet TPK57647 Sep-22 Box/100 Tab Tablet 330.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
6 Amoxicilin DS 125/ml TDAMXA95088 Okt-21 Botol/50 Botol Botol 5,500.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
7 Cetrizine 10 mg HTCTRB96245 Nop-21 Box/50 Tab Tablet 313.50 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
8 E Care surgi glove 7.0 203045457SPIA Aug-22 Box/50 Pcs Pcs 8,800.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
9 Ibu profen 400 mg T191018A Nop-22 Box/100 Tab Tablet 340.79 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
10 Masker Earloop Hijau 0 2012086 Mar-25 Box Pcs 4,400.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
11 Paracetamol 500 mg Tablet IPM09448 Nop-21 Box/100 Tab Tablet 165.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
12 Ranitidine Hcl Tablet HTRNTB96264 Des-22 Box/100 Tab Tablet 220.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
13 Cefadroxil 500 mg/ loocap KCFDC01141 Mar-24 Box/100 Kaps Kapsul 840.00 1300 Rp 1,092,005.20 0 Rp - 0 Rp - 1,300 Rp 1,092,005.20 0 Rp -
14 CEFIXIMECAP 100 mg KCFMB00925 Apr-22 B0x/100 Kaps Kapsul 715.00 700 Rp 500,500.00 0 Rp - 0 Rp - 700 Rp 500,500.00 0 Rp -
15 KITAVIT SYRUP 100 ml KLKTVA01067 Feb-22 Ktk/50 Botol Botol 14,300.00 70 Rp 1,001,000.00 0 Rp - 70 Rp 1,001,000.00 0 Rp - 0 Rp -
16 ONDANSETRON INJEKSI 4 mg/2 ml KI0DSA02234 Apr-22 Ktk/5 Ampul Ampul 5,500.00 5 Rp 27,500.00 0 Rp - 0 Rp - 5 Rp 27,500.00 0 Rp -
17 OVISKIN N 5 Mg KCDSKC02158 Mar-22 Tube Tube 7,700.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
18 Paracetamol 120 mg/ 5 ml SYR SCG21949 Jun-22 Botol Botol 5,500.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
19 RANITIDINE INJEKSI 10 Ampul TIRNIB02318 Apr-22 Ktk/10 Ampul Ampul 2,570.04 120 Rp 308,404.80 0 Rp - 20 Rp 51,400.80 100 Rp 257,004.00 0 Rp -
20 FAVIPIRAVIR 200 mg Ktk/100 Tab Tablet 16,500.00 100 Rp 1,650,000.00 0 Rp - 0 Rp - 100 Rp 1,650,000.00 0 Rp -
21 METRONIDAZOLE 500 MG TABLET H10796B Jul-26 Ktk/100 Tab Tablet 328.13 3300 Rp 1,082,829.00 0 Rp - 0 Rp - 3,300 Rp 1,082,829.00 0 Rp -
22 PIROXICAM 10 MG TABLET D10495B Mar-26 Ktk/100 Tab Tablet 159.68 2100 Rp 335,328.00 0 Rp - 0 Rp - 2,100 Rp 335,328.00 0 Rp -
23 METAMIZOLE SODIUM 500 MG TABLET H91340T Aug-24 Ktk/100 Tab Tablet 265.00 2100 Rp 556,500.00 0 Rp - 0 Rp - 2,100 Rp 556,500.00 0 Rp -
24 CENDO GENTAMYCIN EO 3,5 GR 120622 Jun-26 Tube Tube 36,375.00 3 Rp 109,125.00 0 Rp - 0 Rp - 3 Rp 109,125.00 0 Rp -
25 AXIMED N.W. FIXATION 10X10 20191101 Oct-24 Ktk/1 Roll Roll 58,800.00 21 Rp 1,234,800.00 0 Rp - 0 Rp - 21 Rp 1,234,800.00 0 Rp -
26 AXIMED IV-CATH NP PEN TYPE 20 20210610 May-26 Pcs Pcs 6,300.00 100 Rp 630,000.00 0 Rp - 0 Rp - 100 Rp 630,000.00 0 Rp -
27 Cefadroxil Sirup 125 mg LCFDA10484 Jan-24 Ktk/50 Botol Botol 7,455.00 30 Rp 223,650.00 0 Rp - 2 Rp 14,910.00 28 Rp 208,740.00 0 Rp -
28 Ketorolac 30 mg injeksi IKTRB10419-1 Jul-23 Ampul Ampul 27,273.00 25 Rp 681,825.00 0 Rp - 0 Rp - 25 Rp 681,825.00 0 Rp -
29 Meloxicam 15 mg Tablet THLXB10486 Aug-23 Ktk/50 Tablet Tablet 700.00 1000 Rp 700,000.00 0 Rp - 0 Rp - 1,000 Rp 700,000.00 0 Rp -
30 Metformin Hcl/200 Tablet HTMFNB14960 Aug-23 Ktk/200 Tablet Tablet 175.00 8200 Rp 1,435,000.00 0 Rp - 0 Rp - 8,200 Rp 1,435,000.00 0 Rp -
31 Ranitidine Hcl Tablet 150 mg HTRNIB14793 Aug-23 Ktk/100 Tab Tablet 200.00 2100 Rp 420,000.00 0 Rp - 200 Rp 40,000.00 1,900 Rp 380,000.00 0 Rp -
32 Bioplacenton Jelly KCBPCA13838 Jun-23 Tube Tube 22,000.00 30 Rp 660,000.00 0 Rp - 0 Rp - 30 Rp 660,000.00 0 Rp -
33 Hexalgin * HCHXGA12162 Apr-23 Ktk/100 Tab Tablet 600.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
34 Hexalgin ** HCHXGA13166 May-23 Ktk/100 Tab Tablet 600.00 300 Rp 180,000.00 0 Rp - 0 Rp - 300 Rp 180,000.00 0 Rp -
35 Hexalgin *** HCHXGA14173 Aug-23 Ktk/100 Tab Tablet 600.00 400 Rp 240,000.00 0 Rp - 0 Rp - 400 Rp 240,000.00 0 Rp -
36 Stik GDS "Easy Touch" Ktk Ktk 215,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
37 Stik GDS "NESCO" Ktk Ktk 215,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
38 Stik As. Urat 'Easy Touch" Ktk Ktk 215,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
39 Stik As. Urat 'NESCO" Ktk Ktk 215,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
40 Stik Kolesterol "Easy Touch" Ktk Ktk 350,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
41 Stik Kolesterol "Nesco" Ktk Ktk 350,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
42 Stik HbsAg "Righstin" Ktk Pcs 225,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
43 Alkohol Swab Ktk/100 Pcs Pcs 17,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
44 Thermometer Trermal Infrared Pcs Pcs 781,224.89 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
Jumlah Rp 13,315,967.00 Rp - Rp 1,189,810.80 Rp 12,126,156.20 Rp -

Mengetahui
Kepala UPTD Kecamatan Katingan Kuala Pengelola Obat
Puskesmas Pegatan II

RUSLI, A.Md. Kep ELINA SUSANTY, A.Md.Farm

NIP. 19711217 199403 1 004 NIP. 19900322 201903 2 015
 Saldo Awal Bertambah Berkurang Saldo Akhir Expired
No. Nama Obat No. Batch Expired Date Kemasan Satuan Harga Satuan Keterangan
Jumlah Saldo Jumlah Saldo Jumlah Saldo Jumlah Saldo Jumlah Saldo
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

Mengetahui
Kepala UPTD Kecamatan Tewang s. Garing
Puskesmas Pendahara

SIABABILON, SKM
NIP. 197303061992021001
 Januari

Expired 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

0
0
100
0
0
0
0
0
0
0
0
0
0
0
70
0
0
0
20
0
0
0
0
0
0
0
2
0
0
0
200
0
0
0
0
0
0
0
0
0
0
0
0
0
 DATA OBAT JKN
UPTD KECAMATAN KATINGAN KUALA PUSKESMAS PEGATAN II
BULAN FEBRUARI 2022
Saldo Awal Bertambah Berkurang Saldo Akhir Expired
No. Nama Obat No. Batch Expired Date Kemasan Satuan Harga Satuan Keterangan
Jumlah Saldo Jumlah Saldo Jumlah Saldo Jumlah Saldo Jumlah Saldo
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
1 Ambroxol sirup 15 mg H10536902 Agt 21 Botol Botol 7,700 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
2 Amoxicilin sirup 125 mg F10516907 Jun-22 Botol Botol 7,150 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
3 Amoxicilin Tab 500 mg D10686912 Apr-24 Box/100 Tab Tablet 825 200 Rp 165,000.00 0 Rp - 0 Rp - 200 Rp 165,000.00 0 Rp -
4 Asam mefenamat tab 500 mg CA94915 Agt 21 Box/100 Tab Tablet 302.50 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
5 Ambroxol 30 mg Tablet TPK57647 Sep-22 Box/100 Tab Tablet 330.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
6 Amoxicilin DS 125/ml TDAMXA95088 Okt-21 Botol/50 Botol Botol 5,500.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
7 Cetrizine 10 mg HTCTRB96245 Nop-21 Box/50 Tab Tablet 313.50 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
8 E Care surgi glove 7.0 203045457SPIA Aug-22 Box/50 Pcs Pcs 8,800.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
9 Ibu profen 400 mg T191018A Nop-22 Box/100 Tab Tablet 340.79 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
10 Masker Earloop Hijau 0 2012086 Mar-25 Box Pcs 4,400.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
11 Paracetamol 500 mg Tablet IPM09448 Nop-21 Box/100 Tab Tablet 165.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
12 Ranitidine Hcl Tablet HTRNTB96264 Des-22 Box/100 Tab Tablet 220.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
13 Cefadroxil 500 mg/ loocap KCFDC01141 Mar-24 Box/100 Kaps Kapsul 840.00 1300 Rp 1,092,005.20 0 Rp - 100 Rp 84,000.40 1,200 Rp 1,008,004.80 0 Rp -
14 CEFIXIMECAP 100 mg KCFMB00925 Apr-22 B0x/100 Kaps Kapsul 715.00 700 Rp 500,500.00 0 Rp - 0 Rp - 700 Rp 500,500.00 0 Rp -
15 KITAVIT SYRUP 100 ml KLKTVA01067 Feb-22 Ktk/50 Botol Botol 14,300.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
16 ONDANSETRON INJEKSI 4 mg/2 ml KI0DSA02234 Apr-22 Ktk/5 Ampul Ampul 5,500.00 5 Rp 27,500.00 0 Rp - 5 Rp 27,500.00 0 Rp - 0 Rp -
17 OVISKIN N 5 Mg KCDSKC02158 Mar-22 Tube Tube 7,700.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
18 Paracetamol 120 mg/ 5 ml SYR SCG21949 Jun-22 Botol Botol 5,500.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
19 RANITIDINE INJEKSI 10 Ampul TIRNIB02318 Apr-22 Ktk/10 Ampul Ampul 2,570.04 100 Rp 257,004.00 0 Rp - 0 Rp - 100 Rp 257,004.00 0 Rp -
20 FAVIPIRAVIR 200 mg Ktk/100 Tab Tablet 16,500.00 100 Rp 1,650,000.00 0 Rp - 0 Rp - 100 Rp 1,650,000.00 0 Rp -
21 METRONIDAZOLE 500 MG TABLET H10796B Jul-26 Ktk/100 Tab Tablet 328.13 3300 Rp 1,082,829.00 0 Rp - 0 Rp - 3,300 Rp 1,082,829.00 0 Rp -
22 PIROXICAM 10 MG TABLET D10495B Mar-26 Ktk/100 Tab Tablet 159.68 2100 Rp 335,328.00 0 Rp - 0 Rp - 2,100 Rp 335,328.00 0 Rp -
23 METAMIZOLE SODIUM 500 MG TABLET H91340T Aug-24 Ktk/100 Tab Tablet 265.00 2100 Rp 556,500.00 0 Rp - 0 Rp - 2,100 Rp 556,500.00 0 Rp -
24 CENDO GENTAMYCIN EO 3,5 GR 120622 Jun-26 Tube Tube 36,375.00 3 Rp 109,125.00 0 Rp - 0 Rp - 3 Rp 109,125.00 0 Rp -
25 AXIMED N.W. FIXATION 10X10 20191101 Oct-24 Ktk/1 Roll Roll 58,800.00 21 Rp 1,234,800.00 0 Rp - 0 Rp - 21 Rp 1,234,800.00 0 Rp -
26 AXIMED IV-CATH NP PEN TYPE 20 20210610 May-26 Pcs Pcs 6,300.00 100 Rp 630,000.00 0 Rp - 0 Rp - 100 Rp 630,000.00 0 Rp -
27 Cefadroxil Sirup 125 mg LCFDA10484 Jan-24 Ktk/50 Botol Botol 7,455.00 28 Rp 208,740.00 0 Rp - 0 Rp - 28 Rp 208,740.00 0 Rp -
28 Ketorolac 30 mg injeksi IKTRB10419-1 Jul-23 Ampul Ampul 27,273.00 25 Rp 681,825.00 0 Rp - 0 Rp - 25 Rp 681,825.00 0 Rp -
29 Meloxicam 15 mg Tablet THLXB10486 Aug-23 Ktk/50 Tablet Tablet 700.00 1000 Rp 700,000.00 0 Rp - 100 Rp 70,000.00 900 Rp 630,000.00 0 Rp -
30 Metformin Hcl/200 Tablet HTMFNB14960 Aug-23 Ktk/200 Tablet Tablet 175.00 8200 Rp 1,435,000.00 0 Rp - 200 Rp 35,000.00 8,000 Rp 1,400,000.00 0 Rp -
31 Ranitidine Hcl Tablet 150 mg HTRNIB14793 Aug-23 Ktk/100 Tab Tablet 200.00 1900 Rp 380,000.00 0 Rp - 100 Rp 20,000.00 1,800 Rp 360,000.00 0 Rp -
32 Bioplacenton Jelly KCBPCA13838 Jun-23 Tube Tube 22,000.00 30 Rp 660,000.00 0 Rp - 0 Rp - 30 Rp 660,000.00 0 Rp -
33 Hexalgin * HCHXGA12162 Apr-23 Ktk/100 Tab Tablet 600.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
34 Hexalgin ** HCHXGA13166 May-23 Ktk/100 Tab Tablet 600.00 300 Rp 180,000.00 0 Rp - 0 Rp - 300 Rp 180,000.00 0 Rp -
35 Hexalgin *** HCHXGA14173 Aug-23 Ktk/100 Tab Tablet 600.00 400 Rp 240,000.00 0 Rp - 0 Rp - 400 Rp 240,000.00 0 Rp -
36 Stik GDS "Easy Touch" Ktk Ktk 215,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
37 Stik GDS "NESCO" Ktk Ktk 215,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
38 Stik As. Urat 'Easy Touch" Ktk Ktk 215,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
39 Stik As. Urat 'NESCO" Ktk Ktk 215,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
40 Stik Kolesterol "Easy Touch" Ktk Ktk 350,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
41 Stik Kolesterol "Nesco" Ktk Ktk 350,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
42 Stik HbsAg "Righstin" Ktk Pcs 225,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
43 Alkohol Swab Ktk/100 Pcs Pcs 17,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
44 Thermometer Trermal Infrared Pcs Pcs 781,224.89 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
Jumlah Rp 12,126,156.20 Rp - Rp 236,500.40 Rp 11,889,655.80 Rp -

Mengetahui
Kepala UPTD Kecamatan Katingan Kuala Pengelola Obat
Puskesmas Pegatan II

RUSLI, A.Md. Kep ELINA SUSANTY, A.Md.Farm

NIP. 19711217 199403 1 004 NIP. 19900322 201903 2 015
 Saldo Awal Bertambah Berkurang Saldo Akhir Expired
No. Nama Obat No. Batch Expired Date Kemasan Satuan Harga Satuan Keterangan
Jumlah Saldo Jumlah Saldo Jumlah Saldo Jumlah Saldo Jumlah Saldo
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

Mengetahui
Kepala UPTD Kecamatan Tewang s. Garing
Puskesmas Pendahara

SIABABILON, SKM
NIP. 197303061992021001
 Januari

Expired 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

0
0
0
0
0
0
0
0
0
0
0
0
100
0
0
5
0
0
0
0
0
0
0
0
0
0
0
0
100
200
100
0
0
0
0
0
0
0
0
0
0
0
0
0
 DATA OBAT JKN
UPTD KECAMATAN KATINGAN KUALA PUSKESMAS PEGATAN II
BULAN MARET 2022
Saldo Awal Bertambah Berkurang Saldo Akhir Expired
No. Nama Obat No. Batch Expired Date Kemasan Satuan Harga Satuan Keterangan
Jumlah Saldo Jumlah Saldo Jumlah Saldo Jumlah Saldo Jumlah Saldo
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
1 Ambroxol sirup 15 mg H10536902 Agt 21 Botol Botol 7,700 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
2 Amoxicilin sirup 125 mg F10516907 Jun-22 Botol Botol 7,150 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
3 Amoxicilin Tab 500 mg D10686912 Apr-24 Box/100 Tab Tablet 825 200 Rp 165,000.00 0 Rp - 200 Rp 165,000.00 0 Rp - 0 Rp -
4 Asam mefenamat tab 500 mg CA94915 Agt 21 Box/100 Tab Tablet 302.50 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
5 Ambroxol 30 mg Tablet TPK57647 Sep-22 Box/100 Tab Tablet 330.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
6 Amoxicilin DS 125/ml TDAMXA95088 Okt-21 Botol/50 Botol Botol 5,500.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
7 Cetrizine 10 mg HTCTRB96245 Nop-21 Box/50 Tab Tablet 313.50 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
8 E Care surgi glove 7.0 203045457SPIA Aug-22 Box/50 Pcs Pcs 8,800.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
9 Ibu profen 400 mg T191018A Nop-22 Box/100 Tab Tablet 340.79 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
10 Masker Earloop Hijau 0 2012086 Mar-25 Box Pcs 4,400.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
11 Paracetamol 500 mg Tablet IPM09448 Nop-21 Box/100 Tab Tablet 165.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
12 Ranitidine Hcl Tablet HTRNTB96264 Des-22 Box/100 Tab Tablet 220.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
13 Cefadroxil 500 mg/ loocap KCFDC01141 Mar-24 Box/100 Kaps Kapsul 840.00 1200 Rp 1,008,004.80 0 Rp - 100 Rp 84,000.40 1,100 Rp 924,004.40 0 Rp -
14 CEFIXIMECAP 100 mg KCFMB00925 Apr-22 B0x/100 Kaps Kapsul 715.00 700 Rp 500,500.00 0 Rp - 700 Rp 500,500.00 0 Rp - 0 Rp -
15 KITAVIT SYRUP 100 ml KLKTVA01067 Feb-22 Ktk/50 Botol Botol 14,300.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
16 ONDANSETRON INJEKSI 4 mg/2 ml KI0DSA02234 Apr-22 Ktk/5 Ampul Ampul 5,500.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
17 OVISKIN N 5 Mg KCDSKC02158 Mar-22 Tube Tube 7,700.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
18 Paracetamol 120 mg/ 5 ml SYR SCG21949 Jun-22 Botol Botol 5,500.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
19 RANITIDINE INJEKSI 10 Ampul TIRNIB02318 Apr-22 Ktk/10 Ampul Ampul 2,570.04 100 Rp 257,004.00 0 Rp - 100 Rp 257,004.00 0 Rp - 0 Rp -
20 FAVIPIRAVIR 200 mg Ktk/100 Tab Tablet 16,500.00 100 Rp 1,650,000.00 0 Rp - 0 Rp - 100 Rp 1,650,000.00 0 Rp -
21 METRONIDAZOLE 500 MG TABLET H10796B Jul-26 Ktk/100 Tab Tablet 328.13 3300 Rp 1,082,829.00 0 Rp - 0 Rp - 3,300 Rp 1,082,829.00 0 Rp -
22 PIROXICAM 10 MG TABLET D10495B Mar-26 Ktk/100 Tab Tablet 159.68 2100 Rp 335,328.00 0 Rp - 0 Rp - 2,100 Rp 335,328.00 0 Rp -
23 METAMIZOLE SODIUM 500 MG TABLET H91340T Aug-24 Ktk/100 Tab Tablet 265.00 2100 Rp 556,500.00 0 Rp - 0 Rp - 2,100 Rp 556,500.00 0 Rp -
24 CENDO GENTAMYCIN EO 3,5 GR 120622 Jun-26 Tube Tube 36,375.00 3 Rp 109,125.00 0 Rp - 2 Rp 72,750.00 1 Rp 36,375.00 0 Rp -
25 AXIMED N.W. FIXATION 10X10 20191101 Oct-24 Ktk/1 Roll Roll 58,800.00 21 Rp 1,234,800.00 0 Rp - 1 Rp 58,800.00 20 Rp 1,176,000.00 0 Rp -
26 AXIMED IV-CATH NP PEN TYPE 20 20210610 May-26 Pcs Pcs 6,300.00 100 Rp 630,000.00 0 Rp - 0 Rp - 100 Rp 630,000.00 0 Rp -
27 Cefadroxil Sirup 125 mg LCFDA10484 Jan-24 Ktk/50 Botol Botol 7,455.00 28 Rp 208,740.00 0 Rp - 0 Rp - 28 Rp 208,740.00 0 Rp -
28 Ketorolac 30 mg injeksi IKTRB10419-1 Jul-23 Ampul Ampul 27,273.00 25 Rp 681,825.00 0 Rp - 0 Rp - 25 Rp 681,825.00 0 Rp -
29 Meloxicam 15 mg Tablet THLXB10486 Aug-23 Ktk/50 Tablet Tablet 700.00 900 Rp 630,000.00 0 Rp - 100 Rp 70,000.00 800 Rp 560,000.00 0 Rp -
30 Metformin Hcl/200 Tablet HTMFNB14960 Aug-23 Ktk/200 Tablet Tablet 175.00 8000 Rp 1,400,000.00 0 Rp - 200 Rp 35,000.00 7,800 Rp 1,365,000.00 0 Rp -
31 Ranitidine Hcl Tablet 150 mg HTRNIB14793 Aug-23 Ktk/100 Tab Tablet 200.00 1800 Rp 360,000.00 0 Rp - 200 Rp 40,000.00 1,600 Rp 320,000.00 0 Rp -
32 Bioplacenton Jelly KCBPCA13838 Jun-23 Tube Tube 22,000.00 30 Rp 660,000.00 0 Rp - 3 Rp 66,000.00 27 Rp 594,000.00 0 Rp -
33 Hexalgin * HCHXGA12162 Apr-23 Ktk/100 Tab Tablet 600.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
34 Hexalgin ** HCHXGA13166 May-23 Ktk/100 Tab Tablet 600.00 300 Rp 180,000.00 0 Rp - 0 Rp - 300 Rp 180,000.00 0 Rp -
35 Hexalgin *** HCHXGA14173 Aug-23 Ktk/100 Tab Tablet 600.00 400 Rp 240,000.00 0 Rp - 0 Rp - 400 Rp 240,000.00 0 Rp -
36 Stik GDS "Easy Touch" Ktk Ktk 215,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
37 Stik GDS "NESCO" Ktk Ktk 215,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
38 Stik As. Urat 'Easy Touch" Ktk Ktk 215,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
39 Stik As. Urat 'NESCO" Ktk Ktk 215,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
40 Stik Kolesterol "Easy Touch" Ktk Ktk 350,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
41 Stik Kolesterol "Nesco" Ktk Ktk 350,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
42 Stik HbsAg "Righstin" Ktk Pcs 225,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
43 Alkohol Swab Ktk/100 Pcs Pcs 17,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
44 Thermometer Trermal Infrared Pcs Pcs 781,224.89 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
Jumlah Rp 11,889,655.80 Rp - Rp 1,349,054.40 Rp 10,540,601.40 Rp -

Mengetahui
Kepala UPTD Kecamatan Katingan Kuala Pengelola Obat
Puskesmas Pegatan II

RUSLI, A.Md. Kep ELINA SUSANTY, A.Md.Farm

NIP. 19711217 199403 1 004 NIP. 19900322 201903 2 015
 Saldo Awal Bertambah Berkurang Saldo Akhir Expired
No. Nama Obat No. Batch Expired Date Kemasan Satuan Harga Satuan Keterangan
Jumlah Saldo Jumlah Saldo Jumlah Saldo Jumlah Saldo Jumlah Saldo
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

Mengetahui
Kepala UPTD Kecamatan Tewang s. Garing
Puskesmas Pendahara

SIABABILON, SKM
NIP. 197303061992021001
 Januari

Expired 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

0
0
200
0
0
0
0
0
0
0
0
0
100
700
0
0
0
0
100
0
0
0
0
2
1
0
0
0
100
200
200
3
0
0
0
0
0
0
0
0
0
0
0
0
 DATA OBAT JKN
UPTD KECAMATAN KATINGAN KUALA PUSKESMAS PEGATAN II
BULAN APRIL 2022
Saldo Awal Bertambah Berkurang Saldo Akhir Expired
No. Nama Obat No. Batch Expired Date Kemasan Satuan Harga Satuan Keterangan
Jumlah Saldo Jumlah Saldo Jumlah Saldo Jumlah Saldo Jumlah Saldo
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
1 Ambroxol sirup 15 mg H10536902 Agt 21 Botol Botol 7,700 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
2 Amoxicilin sirup 125 mg F10516907 Jun-22 Botol Botol 7,150 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
3 Amoxicilin Tab 500 mg D10686912 Apr-24 Box/100 Tab Tablet 825 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
4 Asam mefenamat tab 500 mg CA94915 Agt 21 Box/100 Tab Tablet 302.50 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
5 Ambroxol 30 mg Tablet TPK57647 Sep-22 Box/100 Tab Tablet 330.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
6 Amoxicilin DS 125/ml TDAMXA95088 Okt-21 Botol/50 Botol Botol 5,500.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
7 Cetrizine 10 mg HTCTRB96245 Nop-21 Box/50 Tab Tablet 313.50 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
8 E Care surgi glove 7.0 203045457SPIA Aug-22 Box/50 Pcs Pcs 8,800.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
9 Ibu profen 400 mg T191018A Nop-22 Box/100 Tab Tablet 340.79 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
10 Masker Earloop Hijau 0 2012086 Mar-25 Box Pcs 4,400.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
11 Paracetamol 500 mg Tablet IPM09448 Nop-21 Box/100 Tab Tablet 165.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
12 Ranitidine Hcl Tablet HTRNTB96264 Des-22 Box/100 Tab Tablet 220.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
13 Cefadroxil 500 mg/ loocap KCFDC01141 Mar-24 Box/100 Kaps Kapsul 840.00 1100 Rp 924,004.40 0 Rp - 0 Rp - 1,100 Rp 924,004.40 0 Rp -
14 CEFIXIMECAP 100 mg KCFMB00925 Apr-22 B0x/100 Kaps Kapsul 715.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
15 KITAVIT SYRUP 100 ml KLKTVA01067 Feb-22 Ktk/50 Botol Botol 14,300.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
16 ONDANSETRON INJEKSI 4 mg/2 ml KI0DSA02234 Apr-22 Ktk/5 Ampul Ampul 5,500.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
17 OVISKIN N 5 Mg KCDSKC02158 Mar-22 Tube Tube 7,700.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
18 Paracetamol 120 mg/ 5 ml SYR SCG21949 Jun-22 Botol Botol 5,500.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
19 RANITIDINE INJEKSI 10 Ampul TIRNIB02318 Apr-22 Ktk/10 Ampul Ampul 2,570.04 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
20 FAVIPIRAVIR 200 mg Ktk/100 Tab Tablet 16,500.00 100 Rp 1,650,000.00 0 Rp - 0 Rp - 100 Rp 1,650,000.00 0 Rp -
21 METRONIDAZOLE 500 MG TABLET H10796B Jul-26 Ktk/100 Tab Tablet 328.13 3300 Rp 1,082,829.00 0 Rp - 0 Rp - 3,300 Rp 1,082,829.00 0 Rp -
22 PIROXICAM 10 MG TABLET D10495B Mar-26 Ktk/100 Tab Tablet 159.68 2100 Rp 335,328.00 0 Rp - 200 Rp 31,936.00 1,900 Rp 303,392.00 0 Rp -
23 METAMIZOLE SODIUM 500 MG TABLET H91340T Aug-24 Ktk/100 Tab Tablet 265.00 2100 Rp 556,500.00 0 Rp - 0 Rp - 2,100 Rp 556,500.00 0 Rp -
24 CENDO GENTAMYCIN EO 3,5 GR 120622 Jun-26 Tube Tube 36,375.00 1 Rp 36,375.00 0 Rp - 0 Rp - 1 Rp 36,375.00 0 Rp -
25 AXIMED N.W. FIXATION 10X10 20191101 Oct-24 Ktk/1 Roll Roll 58,800.00 20 Rp 1,176,000.00 0 Rp - 0 Rp - 20 Rp 1,176,000.00 0 Rp -
26 AXIMED IV-CATH NP PEN TYPE 20 20210610 May-26 Pcs Pcs 6,300.00 100 Rp 630,000.00 0 Rp - 15 Rp 94,500.00 85 Rp 535,500.00 0 Rp -
27 Cefadroxil Sirup 125 mg LCFDA10484 Jan-24 Ktk/50 Botol Botol 7,455.00 28 Rp 208,740.00 0 Rp - 5 Rp 37,275.00 23 Rp 171,465.00 0 Rp -
28 Ketorolac 30 mg injeksi IKTRB10419-1 Jul-23 Ampul Ampul 27,273.00 25 Rp 681,825.00 0 Rp - 0 Rp - 25 Rp 681,825.00 0 Rp -
29 Meloxicam 15 mg Tablet THLXB10486 Aug-23 Ktk/50 Tablet Tablet 700.00 800 Rp 560,000.00 0 Rp - 200 Rp 140,000.00 600 Rp 420,000.00 0 Rp -
30 Metformin Hcl/200 Tablet HTMFNB14960 Aug-23 Ktk/200 Tablet Tablet 175.00 7800 Rp 1,365,000.00 0 Rp - 0 Rp - 7,800 Rp 1,365,000.00 0 Rp -
31 Ranitidine Hcl Tablet 150 mg HTRNIB14793 Aug-23 Ktk/100 Tab Tablet 200.00 1600 Rp 320,000.00 0 Rp - 300 Rp 60,000.00 1,300 Rp 260,000.00 0 Rp -
32 Bioplacenton Jelly KCBPCA13838 Jun-23 Tube Tube 22,000.00 27 Rp 594,000.00 0 Rp - 0 Rp - 27 Rp 594,000.00 0 Rp -
33 Hexalgin * HCHXGA12162 Apr-23 Ktk/100 Tab Tablet 600.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
34 Hexalgin ** HCHXGA13166 May-23 Ktk/100 Tab Tablet 600.00 300 Rp 180,000.00 0 Rp - 0 Rp - 300 Rp 180,000.00 0 Rp -
35 Hexalgin *** HCHXGA14173 Aug-23 Ktk/100 Tab Tablet 600.00 400 Rp 240,000.00 0 Rp - 100 Rp 60,000.00 300 Rp 180,000.00 0 Rp -
36 Stik GDS "Easy Touch" Ktk Ktk 215,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
37 Stik GDS "NESCO" Ktk Ktk 215,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
38 Stik As. Urat 'Easy Touch" Ktk Ktk 215,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
39 Stik As. Urat 'NESCO" Ktk Ktk 215,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
40 Stik Kolesterol "Easy Touch" Ktk Ktk 350,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
41 Stik Kolesterol "Nesco" Ktk Ktk 350,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
42 Stik HbsAg "Righstin" Ktk Pcs 225,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
43 Alkohol Swab Ktk/100 Pcs Pcs 17,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
44 Thermometer Trermal Infrared Pcs Pcs 781,224.89 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
Jumlah Rp 10,540,601.40 Rp - Rp 423,711.00 Rp 10,116,890.40 Rp -

Mengetahui
Kepala UPTD Kecamatan Katingan Kuala Pengelola Obat
Puskesmas Pegatan II

RUSLI, A.Md. Kep ELINA SUSANTY, A.Md.Farm

NIP. 19711217 199403 1 004 NIP. 19900322 201903 2 015
 Saldo Awal Bertambah Berkurang Saldo Akhir Expired
No. Nama Obat No. Batch Expired Date Kemasan Satuan Harga Satuan Keterangan
Jumlah Saldo Jumlah Saldo Jumlah Saldo Jumlah Saldo Jumlah Saldo
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

Mengetahui
Kepala UPTD Kecamatan Tewang s. Garing
Puskesmas Pendahara

SIABABILON, SKM
NIP. 197303061992021001
 Januari

Expired 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
200
0
0
0
15
5
0
200
0
300
0
0
0
100
0
0
0
0
0
0
0
0
0
 DATA OBAT JKN
UPTD KECAMATAN KATINGAN KUALA PUSKESMAS PEGATAN II
BULAN MEI 2022
Saldo Awal Bertambah Berkurang Saldo Akhir Expired
No. Nama Obat No. Batch Expired Date Kemasan Satuan Harga Satuan Keterangan
Jumlah Saldo Jumlah Saldo Jumlah Saldo Jumlah Saldo Jumlah Saldo
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
1 Ambroxol sirup 15 mg H10536902 Agt 21 Botol Botol 7,700 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
2 Amoxicilin sirup 125 mg F10516907 Jun-22 Botol Botol 7,150 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
3 Amoxicilin Tab 500 mg D10686912 Apr-24 Box/100 Tab Tablet 825 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
4 Asam mefenamat tab 500 mg CA94915 Agt 21 Box/100 Tab Tablet 302.50 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
5 Ambroxol 30 mg Tablet TPK57647 Sep-22 Box/100 Tab Tablet 330.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
6 Amoxicilin DS 125/ml TDAMXA95088 Okt-21 Botol/50 Botol Botol 5,500.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
7 Cetrizine 10 mg HTCTRB96245 Nop-21 Box/50 Tab Tablet 313.50 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
8 E Care surgi glove 7.0 203045457SPIA Aug-22 Box/50 Pcs Pcs 8,800.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
9 Ibu profen 400 mg T191018A Nop-22 Box/100 Tab Tablet 340.79 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
10 Masker Earloop Hijau 0 2012086 Mar-25 Box Pcs 4,400.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
11 Paracetamol 500 mg Tablet IPM09448 Nop-21 Box/100 Tab Tablet 165.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
12 Ranitidine Hcl Tablet HTRNTB96264 Des-22 Box/100 Tab Tablet 220.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
13 Cefadroxil 500 mg/ loocap KCFDC01141 Mar-24 Box/100 Kaps Kapsul 840.00 1100 Rp 924,004.40 0 Rp - 0 Rp - 1,100 Rp 924,004.40 0 Rp -
14 CEFIXIMECAP 100 mg KCFMB00925 Apr-22 B0x/100 Kaps Kapsul 715.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
15 KITAVIT SYRUP 100 ml KLKTVA01067 Feb-22 Ktk/50 Botol Botol 14,300.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
16 ONDANSETRON INJEKSI 4 mg/2 ml KI0DSA02234 Apr-22 Ktk/5 Ampul Ampul 5,500.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
17 OVISKIN N 5 Mg KCDSKC02158 Mar-22 Tube Tube 7,700.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
18 Paracetamol 120 mg/ 5 ml SYR SCG21949 Jun-22 Botol Botol 5,500.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
19 RANITIDINE INJEKSI 10 Ampul TIRNIB02318 Apr-22 Ktk/10 Ampul Ampul 2,570.04 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
20 FAVIPIRAVIR 200 mg Ktk/100 Tab Tablet 16,500.00 100 Rp 1,650,000.00 0 Rp - 0 Rp - 100 Rp 1,650,000.00 0 Rp -
21 METRONIDAZOLE 500 MG TABLET H10796B Jul-26 Ktk/100 Tab Tablet 328.13 3300 Rp 1,082,829.00 0 Rp - 0 Rp - 3,300 Rp 1,082,829.00 0 Rp -
22 PIROXICAM 10 MG TABLET D10495B Mar-26 Ktk/100 Tab Tablet 159.68 1900 Rp 303,392.00 0 Rp - 100 Rp 15,968.00 1,800 Rp 287,424.00 0 Rp -
23 METAMIZOLE SODIUM 500 MG TABLET H91340T Aug-24 Ktk/100 Tab Tablet 265.00 2100 Rp 556,500.00 0 Rp - 0 Rp - 2,100 Rp 556,500.00 0 Rp -
24 CENDO GENTAMYCIN EO 3,5 GR 120622 Jun-26 Tube Tube 36,375.00 1 Rp 36,375.00 0 Rp - 1 Rp 36,375.00 0 Rp - 0 Rp -
25 AXIMED N.W. FIXATION 10X10 20191101 Oct-24 Ktk/1 Roll Roll 58,800.00 20 Rp 1,176,000.00 0 Rp - 0 Rp - 20 Rp 1,176,000.00 0 Rp -
26 AXIMED IV-CATH NP PEN TYPE 20 20210610 May-26 Pcs Pcs 6,300.00 85 Rp 535,500.00 0 Rp - 15 Rp 94,500.00 70 Rp 441,000.00 0 Rp -
27 Cefadroxil Sirup 125 mg LCFDA10484 Jan-24 Ktk/50 Botol Botol 7,455.00 23 Rp 171,465.00 0 Rp - 0 Rp - 23 Rp 171,465.00 0 Rp -
28 Ketorolac 30 mg injeksi IKTRB10419-1 Jul-23 Ampul Ampul 27,273.00 25 Rp 681,825.00 0 Rp - 0 Rp - 25 Rp 681,825.00 0 Rp -
29 Meloxicam 15 mg Tablet THLXB10486 Aug-23 Ktk/50 Tablet Tablet 700.00 600 Rp 420,000.00 0 Rp - 300 Rp 210,000.00 300 Rp 210,000.00 0 Rp -
30 Metformin Hcl/200 Tablet HTMFNB14960 Aug-23 Ktk/200 Tablet Tablet 175.00 7800 Rp 1,365,000.00 0 Rp - 0 Rp - 7,800 Rp 1,365,000.00 0 Rp -
31 Ranitidine Hcl Tablet 150 mg HTRNIB14793 Aug-23 Ktk/100 Tab Tablet 200.00 1300 Rp 260,000.00 0 Rp - 0 Rp - 1,300 Rp 260,000.00 0 Rp -
32 Bioplacenton Jelly KCBPCA13838 Jun-23 Tube Tube 22,000.00 27 Rp 594,000.00 0 Rp - 0 Rp - 27 Rp 594,000.00 0 Rp -
33 Hexalgin * HCHXGA12162 Apr-23 Ktk/100 Tab Tablet 600.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
34 Hexalgin ** HCHXGA13166 May-23 Ktk/100 Tab Tablet 600.00 300 Rp 180,000.00 0 Rp - 0 Rp - 300 Rp 180,000.00 0 Rp -
35 Hexalgin *** HCHXGA14173 Aug-23 Ktk/100 Tab Tablet 600.00 300 Rp 180,000.00 0 Rp - 0 Rp - 300 Rp 180,000.00 0 Rp -
36 Stik GDS "Easy Touch" Ktk Ktk 215,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
37 Stik GDS "NESCO" Ktk Ktk 215,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
38 Stik As. Urat 'Easy Touch" Ktk Ktk 215,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
39 Stik As. Urat 'NESCO" Ktk Ktk 215,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
40 Stik Kolesterol "Easy Touch" Ktk Ktk 350,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
41 Stik Kolesterol "Nesco" Ktk Ktk 350,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
42 Stik HbsAg "Righstin" Ktk Pcs 225,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
43 Alkohol Swab Ktk/100 Pcs Pcs 17,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
44 Thermometer Trermal Infrared Pcs Pcs 781,224.89 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
Jumlah Rp 10,116,890.40 Rp - Rp 356,843.00 Rp 9,760,047.40 Rp -

Mengetahui
Kepala UPTD Kecamatan Katingan Kuala Pengelola Obat
Puskesmas Pegatan II

RUSLI, A.Md. Kep ELINA SUSANTY, A.Md.Farm

NIP. 19711217 199403 1 004 NIP. 19900322 201903 2 015
 Saldo Awal Bertambah Berkurang Saldo Akhir Expired
No. Nama Obat No. Batch Expired Date Kemasan Satuan Harga Satuan Keterangan
Jumlah Saldo Jumlah Saldo Jumlah Saldo Jumlah Saldo Jumlah Saldo
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

Mengetahui
Kepala UPTD Kecamatan Tewang s. Garing
Puskesmas Pendahara

SIABABILON, SKM
NIP. 197303061992021001
 Januari

Expired 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
100
0
1
0
15
0
0
300
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
 DATA OBAT JKN
UPTD KECAMATAN KATINGAN KUALA PUSKESMAS PEGATAN II
BULAN JUNI 2022
Saldo Awal Bertambah Berkurang Saldo Akhir Expired
No. Nama Obat No. Batch Expired Date Kemasan Satuan Harga Satuan Keterangan
Jumlah Saldo Jumlah Saldo Jumlah Saldo Jumlah Saldo Jumlah Saldo
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
1 Ambroxol sirup 15 mg H10536902 Agt 21 Botol Botol 7,700 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
2 Amoxicilin sirup 125 mg F10516907 Jun-22 Botol Botol 7,150 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
3 Amoxicilin Tab 500 mg D10686912 Apr-24 Box/100 Tab Tablet 825 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
4 Asam mefenamat tab 500 mg CA94915 Agt 21 Box/100 Tab Tablet 302.50 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
5 Ambroxol 30 mg Tablet TPK57647 Sep-22 Box/100 Tab Tablet 330.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
6 Amoxicilin DS 125/ml TDAMXA95088 Okt-21 Botol/50 Botol Botol 5,500.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
7 Cetrizine 10 mg HTCTRB96245 Nop-21 Box/50 Tab Tablet 313.50 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
8 E Care surgi glove 7.0 203045457SPIA Aug-22 Box/50 Pcs Pcs 8,800.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
9 Ibu profen 400 mg T191018A Nop-22 Box/100 Tab Tablet 340.79 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
10 Masker Earloop Hijau 0 2012086 Mar-25 Box Pcs 4,400.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
11 Paracetamol 500 mg Tablet IPM09448 Nop-21 Box/100 Tab Tablet 165.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
12 Ranitidine Hcl Tablet HTRNTB96264 Des-22 Box/100 Tab Tablet 220.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
13 Cefadroxil 500 mg/ loocap KCFDC01141 Mar-24 Box/100 Kaps Kapsul 840.00 1100 Rp 924,004.40 0 Rp - 600 Rp 504,002.40 500 Rp 420,002.00 0 Rp -
14 CEFIXIMECAP 100 mg KCFMB00925 Apr-22 B0x/100 Kaps Kapsul 715.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
15 KITAVIT SYRUP 100 ml KLKTVA01067 Feb-22 Ktk/50 Botol Botol 14,300.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
16 ONDANSETRON INJEKSI 4 mg/2 ml KI0DSA02234 Apr-22 Ktk/5 Ampul Ampul 5,500.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
17 OVISKIN N 5 Mg KCDSKC02158 Mar-22 Tube Tube 7,700.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
18 Paracetamol 120 mg/ 5 ml SYR SCG21949 Jun-22 Botol Botol 5,500.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
19 RANITIDINE INJEKSI 10 Ampul TIRNIB02318 Apr-22 Ktk/10 Ampul Ampul 2,570.04 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
20 FAVIPIRAVIR 200 mg Ktk/100 Tab Tablet 16,500.00 100 Rp 1,650,000.00 0 Rp - 0 Rp - 100 Rp 1,650,000.00 0 Rp -
21 METRONIDAZOLE 500 MG TABLET H10796B Jul-26 Ktk/100 Tab Tablet 328.13 3300 Rp 1,082,829.00 0 Rp - 0 Rp - 3,300 Rp 1,082,829.00 0 Rp -
22 PIROXICAM 10 MG TABLET D10495B Mar-26 Ktk/100 Tab Tablet 159.68 1800 Rp 287,424.00 0 Rp - 900 Rp 143,712.00 900 Rp 143,712.00 0 Rp -
23 METAMIZOLE SODIUM 500 MG TABLET H91340T Aug-24 Ktk/100 Tab Tablet 265.00 2100 Rp 556,500.00 0 Rp - 0 Rp - 2,100 Rp 556,500.00 0 Rp -
24 CENDO GENTAMYCIN EO 3,5 GR 120622 Jun-26 Tube Tube 36,375.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
25 AXIMED N.W. FIXATION 10X10 20191101 Oct-24 Ktk/1 Roll Roll 58,800.00 20 Rp 1,176,000.00 0 Rp - 2 Rp 117,600.00 18 Rp 1,058,400.00 0 Rp -
26 AXIMED IV-CATH NP PEN TYPE 20 20210610 May-26 Pcs Pcs 6,300.00 70 Rp 441,000.00 0 Rp - 0 Rp - 70 Rp 441,000.00 0 Rp -
27 Cefadroxil Sirup 125 mg LCFDA10484 Jan-24 Ktk/50 Botol Botol 7,455.00 23 Rp 171,465.00 0 Rp - 0 Rp - 23 Rp 171,465.00 0 Rp -
28 Ketorolac 30 mg injeksi IKTRB10419-1 Jul-23 Ampul Ampul 27,273.00 25 Rp 681,825.00 0 Rp - 0 Rp - 25 Rp 681,825.00 0 Rp -
29 Meloxicam 15 mg Tablet THLXB10486 Aug-23 Ktk/50 Tablet Tablet 700.00 300 Rp 210,000.00 0 Rp - 0 Rp - 300 Rp 210,000.00 0 Rp -
30 Metformin Hcl/200 Tablet HTMFNB14960 Aug-23 Ktk/200 Tablet Tablet 175.00 7800 Rp 1,365,000.00 0 Rp - 1,800 Rp 315,000.00 6,000 Rp 1,050,000.00 0 Rp -
31 Ranitidine Hcl Tablet 150 mg HTRNIB14793 Aug-23 Ktk/100 Tab Tablet 200.00 1300 Rp 260,000.00 0 Rp - 300 Rp 60,000.00 1,000 Rp 200,000.00 0 Rp -
32 Bioplacenton Jelly KCBPCA13838 Jun-23 Tube Tube 22,000.00 27 Rp 594,000.00 0 Rp - 0 Rp - 27 Rp 594,000.00 0 Rp -
33 Hexalgin * HCHXGA12162 Apr-23 Ktk/100 Tab Tablet 600.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
34 Hexalgin ** HCHXGA13166 May-23 Ktk/100 Tab Tablet 600.00 300 Rp 180,000.00 0 Rp - 0 Rp - 300 Rp 180,000.00 0 Rp -
35 Hexalgin *** HCHXGA14173 Aug-23 Ktk/100 Tab Tablet 600.00 300 Rp 180,000.00 0 Rp - 0 Rp - 300 Rp 180,000.00 0 Rp -
36 Stik GDS "Easy Touch" Ktk Ktk 215,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
37 Stik GDS "NESCO" Ktk Ktk 215,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
38 Stik As. Urat 'Easy Touch" Ktk Ktk 215,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
39 Stik As. Urat 'NESCO" Ktk Ktk 215,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
40 Stik Kolesterol "Easy Touch" Ktk Ktk 350,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
41 Stik Kolesterol "Nesco" Ktk Ktk 350,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
42 Stik HbsAg "Righstin" Ktk Pcs 225,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
43 Alkohol Swab Ktk/100 Pcs Pcs 17,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
44 Thermometer Trermal Infrared Pcs Pcs 781,224.89 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
Jumlah Rp 9,760,047.40 Rp - Rp 1,140,314.40 Rp 8,619,733.00 Rp -

Mengetahui
Kepala UPTD Kecamatan Katingan Kuala Pengelola Obat
Puskesmas Pegatan II

RUSLI, A.Md. Kep ELINA SUSANTY, A.Md.Farm

NIP. 19711217 199403 1 004 NIP. 19900322 201903 2 015
 Saldo Awal Bertambah Berkurang Saldo Akhir Expired
No. Nama Obat No. Batch Expired Date Kemasan Satuan Harga Satuan Keterangan
Jumlah Saldo Jumlah Saldo Jumlah Saldo Jumlah Saldo Jumlah Saldo
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

Mengetahui
Kepala UPTD Kecamatan Tewang s. Garing
Puskesmas Pendahara

SIABABILON, SKM
NIP. 197303061992021001
 Januari

Expired 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

0
0
0
0
0
0
0
0
0
0
0
0
600
0
0
0
0
0
0
0
0
900
0
0
2
0
0
0
0
###
300
0
0
0
0
0
0
0
0
0
0
0
0
0
 DATA OBAT JKN
UPTD KECAMATAN KATINGAN KUALA PUSKESMAS PEGATAN II
BULAN JANUARI-JUNI 2022
Saldo Awal Bertambah Berkurang Saldo Akhir Expired
No. Nama Obat No. Batch Expired Date Kemasan Satuan Harga Satuan Keterangan
Jumlah Saldo Jumlah Saldo Jumlah Saldo Jumlah Saldo Jumlah Saldo
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
1 Ambroxol sirup 15 mg H10536902 Agt 21 Botol Botol 7,700 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
2 Amoxicilin sirup 125 mg F10516907 Jun-22 Botol Botol 7,150 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
3 Amoxicilin Tab 500 mg D10686912 Apr-24 Box/100 Tab Tablet 825 300 Rp 247,500.00 0 Rp - 300 Rp 247,500.00 0 Rp - 0 Rp -
4 Asam mefenamat tab 500 mg CA94915 Agt 21 Box/100 Tab Tablet 302.50 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
5 Ambroxol 30 mg Tablet TPK57647 Sep-22 Box/100 Tab Tablet 330.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
6 Amoxicilin DS 125/ml TDAMXA95088 Okt-21 Botol/50 Botol Botol 5,500.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
7 Cetrizine 10 mg HTCTRB96245 Nop-21 Box/50 Tab Tablet 313.50 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
8 E Care surgi glove 7.0 203045457SPIA Aug-22 Box/50 Pcs Pcs 8,800.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
9 Ibu profen 400 mg T191018A Nop-22 Box/100 Tab Tablet 340.79 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
10 Masker Earloop Hijau 0 2012086 Mar-25 Box Pcs 4,400.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
11 Paracetamol 500 mg Tablet IPM09448 Nop-21 Box/100 Tab Tablet 165.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
12 Ranitidine Hcl Tablet HTRNTB96264 Des-22 Box/100 Tab Tablet 220.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
13 Cefadroxil 500 mg/ loocap KCFDC01141 Mar-24 Box/100 Kaps Kapsul 840.00 1300 Rp 1,092,005.20 0 Rp - 800 Rp 672,003.20 500 Rp 420,002.00 0 Rp -
14 CEFIXIMECAP 100 mg KCFMB00925 Apr-22 B0x/100 Kaps Kapsul 715.00 700 Rp 500,500.00 0 Rp - 700 Rp 500,500.00 0 Rp - 0 Rp -
15 KITAVIT SYRUP 100 ml KLKTVA01067 Feb-22 Ktk/50 Botol Botol 14,300.00 70 Rp 1,001,000.00 0 Rp - 70 Rp 1,001,000.00 0 Rp - 0 Rp -
16 ONDANSETRON INJEKSI 4 mg/2 ml KI0DSA02234 Apr-22 Ktk/5 Ampul Ampul 5,500.00 5 Rp 27,500.00 0 Rp - 5 Rp 27,500.00 0 Rp - 0 Rp -
17 OVISKIN N 5 Mg KCDSKC02158 Mar-22 Tube Tube 7,700.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
18 Paracetamol 120 mg/ 5 ml SYR SCG21949 Jun-22 Botol Botol 5,500.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
19 RANITIDINE INJEKSI 10 Ampul TIRNIB02318 Apr-22 Ktk/10 Ampul Ampul 2,570.04 120 Rp 308,404.80 0 Rp - 120 Rp 308,404.80 0 Rp - 0 Rp -
20 FAVIPIRAVIR 200 mg Ktk/100 Tab Tablet 16,500.00 100 Rp 1,650,000.00 0 Rp - 0 Rp - 100 Rp 1,650,000.00 0 Rp -
21 METRONIDAZOLE 500 MG TABLET H10796B Jul-26 Ktk/100 Tab Tablet 328.13 3300 Rp 1,082,829.00 0 Rp - 0 Rp - 3,300 Rp 1,082,829.00 0 Rp -
22 PIROXICAM 10 MG TABLET D10495B Mar-26 Ktk/100 Tab Tablet 159.68 2100 Rp 335,328.00 0 Rp - 1,200 Rp 191,616.00 900 Rp 143,712.00 0 Rp -
23 METAMIZOLE SODIUM 500 MG TABLET H91340T Aug-24 Ktk/100 Tab Tablet 265.00 2100 Rp 556,500.00 0 Rp - 0 Rp - 2,100 Rp 556,500.00 0 Rp -
24 CENDO GENTAMYCIN EO 3,5 GR 120622 Jun-26 Tube Tube 36,375.00 3 Rp 109,125.00 0 Rp - 3 Rp 109,125.00 0 Rp - 0 Rp -
25 AXIMED N.W. FIXATION 10X10 20191101 Oct-24 Ktk/1 Roll Roll 58,800.00 21 Rp 1,234,800.00 0 Rp - 3 Rp 176,400.00 18 Rp 1,058,400.00 0 Rp -
26 AXIMED IV-CATH NP PEN TYPE 20 20210610 May-26 Pcs Pcs 6,300.00 100 Rp 630,000.00 0 Rp - 30 Rp 189,000.00 70 Rp 441,000.00 0 Rp -
27 Cefadroxil Sirup 125 mg LCFDA10484 Jan-24 Ktk/50 Botol Botol 7,455.00 30 Rp 223,650.00 0 Rp - 7 Rp 52,185.00 23 Rp 171,465.00 0 Rp -
28 Ketorolac 30 mg injeksi IKTRB10419-1 Jul-23 Ampul Ampul 27,273.00 25 Rp 681,825.00 0 Rp - 0 Rp - 25 Rp 681,825.00 0 Rp -
29 Meloxicam 15 mg Tablet THLXB10486 Aug-23 Ktk/50 Tablet Tablet 700.00 1000 Rp 700,000.00 0 Rp - 700 Rp 490,000.00 300 Rp 210,000.00 0 Rp -
30 Metformin Hcl/200 Tablet HTMFNB14960 Aug-23 Ktk/200 Tablet Tablet 175.00 8200 Rp 1,435,000.00 0 Rp - 2,200 Rp 385,000.00 6,000 Rp 1,050,000.00 0 Rp -
31 Ranitidine Hcl Tablet 150 mg HTRNIB14793 Aug-23 Ktk/100 Tab Tablet 200.00 2100 Rp 420,000.00 0 Rp - 1,100 Rp 220,000.00 1,000 Rp 200,000.00 0 Rp -
32 Bioplacenton Jelly KCBPCA13838 Jun-23 Tube Tube 22,000.00 30 Rp 660,000.00 0 Rp - 3 Rp 66,000.00 27 Rp 594,000.00 0 Rp -
33 Hexalgin * HCHXGA12162 Apr-23 Ktk/100 Tab Tablet 600.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
34 Hexalgin ** HCHXGA13166 May-23 Ktk/100 Tab Tablet 600.00 300 Rp 180,000.00 0 Rp - 0 Rp - 300 Rp 180,000.00 0 Rp -
35 Hexalgin *** HCHXGA14173 Aug-23 Ktk/100 Tab Tablet 600.00 400 Rp 240,000.00 0 Rp - 100 Rp 60,000.00 300 Rp 180,000.00 0 Rp -
36 Stik GDS "Easy Touch" Ktk Ktk 215,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
37 Stik GDS "NESCO" Ktk Ktk 215,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
38 Stik As. Urat 'Easy Touch" Ktk Ktk 215,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
39 Stik As. Urat 'NESCO" Ktk Ktk 215,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
40 Stik Kolesterol "Easy Touch" Ktk Ktk 350,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
41 Stik Kolesterol "Nesco" Ktk Ktk 350,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
42 Stik HbsAg "Righstin" Ktk Pcs 225,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
43 Alkohol Swab Ktk/100 Pcs Pcs 17,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
44 Thermometer Trermal Infrared Pcs Pcs 781,224.89 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
Jumlah Rp 13,315,967.00 Rp - Rp 4,696,234.00 Rp 8,619,733.00 Rp -

Mengetahui
Kepala UPTD Kecamatan Katingan Kuala Pengelola Obat
Puskesmas Pegatan II

RUSLI, A.Md. Kep ELINA SUSANTY, A.Md.Farm

NIP. 19711217 199403 1 004 NIP. 19900322 201903 2 015
 Saldo Awal Bertambah Berkurang Saldo Akhir Expired
No. Nama Obat No. Batch Expired Date Kemasan Satuan Harga Satuan Keterangan
Jumlah Saldo Jumlah Saldo Jumlah Saldo Jumlah Saldo Jumlah Saldo
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

Mengetahui
Kepala UPTD Kecamatan Tewang s. Garing
Puskesmas Pendahara

SIABABILON, SKM
NIP. 197303061992021001
 Januari

Expired 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
 DATA OBAT JKN
UPTD KECAMATAN KATINGAN KUALA PUSKESMAS PEGATAN II
BULAN JULI 2022
Saldo Awal Bertambah Berkurang Saldo Akhir Expired
No. Nama Obat No. Batch Expired Date Kemasan Satuan Harga Satuan Keterangan
Jumlah Saldo Jumlah Saldo Jumlah Saldo Jumlah Saldo Jumlah Saldo
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
1 Ambroxol sirup 15 mg H10536902 Agt 21 Botol Botol 7,700 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
2 Amoxicilin sirup 125 mg F10516907 Jun-22 Botol Botol 7,150 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
3 Amoxicilin Tab 500 mg D10686912 Apr-24 Box/100 Tab Tablet 825 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
4 Asam mefenamat tab 500 mg CA94915 Agt 21 Box/100 Tab Tablet 302.50 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
5 Ambroxol 30 mg Tablet TPK57647 Sep-22 Box/100 Tab Tablet 330.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
6 Amoxicilin DS 125/ml TDAMXA95088 Okt-21 Botol/50 Botol Botol 5,500.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
7 Cetrizine 10 mg HTCTRB96245 Nop-21 Box/50 Tab Tablet 313.50 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
8 E Care surgi glove 7.0 203045457SPIA Aug-22 Box/50 Pcs Pcs 8,800.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
9 Ibu profen 400 mg T191018A Nop-22 Box/100 Tab Tablet 340.79 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
10 Masker Earloop Hijau 0 2012086 Mar-25 Box Pcs 4,400.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
11 Paracetamol 500 mg Tablet IPM09448 Nop-21 Box/100 Tab Tablet 165.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
12 Ranitidine Hcl Tablet HTRNTB96264 Des-22 Box/100 Tab Tablet 220.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
13 Cefadroxil 500 mg/ loocap KCFDC01141 Mar-24 Box/100 Kaps Kapsul 840.00 500 Rp 420,002.00 0 Rp - 0 Rp - 500 Rp 420,002.00 0 Rp -
14 CEFIXIMECAP 100 mg KCFMB00925 Apr-22 B0x/100 Kaps Kapsul 715.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
15 KITAVIT SYRUP 100 ml KLKTVA01067 Feb-22 Ktk/50 Botol Botol 14,300.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
16 ONDANSETRON INJEKSI 4 mg/2 ml KI0DSA02234 Apr-22 Ktk/5 Ampul Ampul 5,500.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
17 OVISKIN N 5 Mg KCDSKC02158 Mar-22 Tube Tube 7,700.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
18 Paracetamol 120 mg/ 5 ml SYR SCG21949 Jun-22 Botol Botol 5,500.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
19 RANITIDINE INJEKSI 10 Ampul TIRNIB02318 Apr-22 Ktk/10 Ampul Ampul 2,570.04 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
20 FAVIPIRAVIR 200 mg Ktk/100 Tab Tablet 16,500.00 100 Rp 1,650,000.00 0 Rp - 0 Rp - 100 Rp 1,650,000.00 0 Rp -
21 METRONIDAZOLE 500 MG TABLET H10796B Jul-26 Ktk/100 Tab Tablet 328.13 3300 Rp 1,082,829.00 0 Rp - 0 Rp - 3,300 Rp 1,082,829.00 0 Rp -
22 PIROXICAM 10 MG TABLET D10495B Mar-26 Ktk/100 Tab Tablet 159.68 900 Rp 143,712.00 0 Rp - 0 Rp - 900 Rp 143,712.00 0 Rp -
23 METAMIZOLE SODIUM 500 MG TABLET H91340T Aug-24 Ktk/100 Tab Tablet 265.00 2100 Rp 556,500.00 0 Rp - 0 Rp - 2,100 Rp 556,500.00 0 Rp -
24 CENDO GENTAMYCIN EO 3,5 GR 120622 Jun-26 Tube Tube 36,375.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
25 AXIMED N.W. FIXATION 10X10 20191101 Oct-24 Ktk/1 Roll Roll 58,800.00 18 Rp 1,058,400.00 0 Rp - 0 Rp - 18 Rp 1,058,400.00 0 Rp -
26 AXIMED IV-CATH NP PEN TYPE 20 20210610 May-26 Pcs Pcs 6,300.00 70 Rp 441,000.00 0 Rp - 7 Rp 44,100.00 63 Rp 396,900.00 0 Rp -
27 Cefadroxil Sirup 125 mg LCFDA10484 Jan-24 Ktk/50 Botol Botol 7,455.00 23 Rp 171,465.00 0 Rp - 2 Rp 14,910.00 21 Rp 156,555.00 0 Rp -
28 Ketorolac 30 mg injeksi IKTRB10419-1 Jul-23 Ampul Ampul 27,273.00 25 Rp 681,825.00 0 Rp - 0 Rp - 25 Rp 681,825.00 0 Rp -
29 Meloxicam 15 mg Tablet THLXB10486 Aug-23 Ktk/50 Tablet Tablet 700.00 300 Rp 210,000.00 0 Rp - 0 Rp - 300 Rp 210,000.00 0 Rp -
30 Metformin Hcl/200 Tablet HTMFNB14960 Aug-23 Ktk/200 Tablet Tablet 175.00 6000 Rp 1,050,000.00 0 Rp - 0 Rp - 6,000 Rp 1,050,000.00 0 Rp -
31 Ranitidine Hcl Tablet 150 mg HTRNIB14793 Aug-23 Ktk/100 Tab Tablet 200.00 1000 Rp 200,000.00 0 Rp - 200 Rp 40,000.00 800 Rp 160,000.00 0 Rp -
32 Bioplacenton Jelly KCBPCA13838 Jun-23 Tube Tube 22,000.00 27 Rp 594,000.00 0 Rp - 0 Rp - 27 Rp 594,000.00 0 Rp -
33 Hexalgin * HCHXGA12162 Apr-23 Ktk/100 Tab Tablet 600.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
34 Hexalgin ** HCHXGA13166 May-23 Ktk/100 Tab Tablet 600.00 300 Rp 180,000.00 0 Rp - 0 Rp - 300 Rp 180,000.00 0 Rp -
35 Hexalgin *** HCHXGA14173 Aug-23 Ktk/100 Tab Tablet 600.00 300 Rp 180,000.00 0 Rp - 0 Rp - 300 Rp 180,000.00 0 Rp -
36 Stik GDS "Easy Touch" Ktk Ktk 215,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
37 Stik GDS "NESCO" Ktk Ktk 215,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
38 Stik As. Urat 'Easy Touch" Ktk Ktk 215,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
39 Stik As. Urat 'NESCO" Ktk Ktk 215,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
40 Stik Kolesterol "Easy Touch" Ktk Ktk 350,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
41 Stik Kolesterol "Nesco" Ktk Ktk 350,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
42 Stik HbsAg "Righstin" Ktk Pcs 225,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
43 Alkohol Swab Ktk/100 Pcs Pcs 17,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
44 Thermometer Trermal Infrared Pcs Pcs 781,224.89 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
45 Oxyflow Dewasa Onemed 29112188 pcs pcs 5,499.93 0 Rp - 50 Rp 274,996.50 0 Rp - 50 Rp 274,996.50 0 Rp -
46 Mucus Extractor Onemed tutup kuning 27052188 pcs pcs 7,039.95 0 Rp - 30 Rp 211,198.59 0 Rp - 30 Rp 211,198.59 0 Rp -
47 Silk + Jarum Onemed 3/0 2103030 box pcs 100,000.90 0 Rp - 2 Rp 200,001.80 0 Rp - 2 Rp 200,001.80 0 Rp -

Jumlah Rp 8,619,733.00 Rp 686,196.89 Rp 99,010.00 Rp 9,206,919.89 Rp -

Rp 9,206,919.89

Mengetahui Jaya makmur 31 Juli 2022

Kepala UPTD Kecamatan Katingan Kuala Pengelola Obat
Puskesmas Pegatan II
 Saldo Awal Bertambah Berkurang Saldo Akhir Expired
No. Nama Obat No. Batch Expired Date Kemasan Satuan Harga Satuan Keterangan
Jumlah Saldo Jumlah Saldo Jumlah Saldo Jumlah Saldo Jumlah Saldo
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

RUSLI, A.Md. Kep apt.Novia Putriasi.S.Farm

NIP. 19711217 199403 1 004 NIP. 199412072022032013
 Saldo Awal Bertambah Berkurang Saldo Akhir Expired
No. Nama Obat No. Batch Expired Date Kemasan Satuan Harga Satuan Keterangan
Jumlah Saldo Jumlah Saldo Jumlah Saldo Jumlah Saldo Jumlah Saldo
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

Mengetahui
Kepala UPTD Kecamatan Tewang s. Garing
Puskesmas Pendahara

SIABABILON, SKM
NIP. 197303061992021001
 Januari

Expired 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
 DATA OBAT JKN
UPTD PUSKESMAS PEGATAN 2 KECAMATAN KATINGAN KUALA
BULAN AGUSTUS 2022
Saldo Awal Bertambah Berkurang Saldo Akhir Expired
No. Nama Obat No. Batch Expired Date Kemasan Satuan Harga Satuan Keterangan
Jumlah Saldo Jumlah Saldo Jumlah Saldo Jumlah Saldo Jumlah Saldo
1 2 3 4 5 6 7 14 9 10 11 12 13 14 15 16 17 18
1 Ambroxol sirup 15 mg H10536902 Agt 21 Botol Botol 7,700 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
2 Amoxicilin sirup 125 mg F10516907 Jun-22 Botol Botol 7,150 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
3 Amoxicilin Tab 500 mg D10686912 Apr-24 Box/100 Tab Tablet 825 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
4 Asam mefenamat tab 500 mg CA94915 Agt 21 Box/100 Tab Tablet 302.50 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
5 Ambroxol 30 mg Tablet TPK57647 Sep-22 Box/100 Tab Tablet 330.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
6 Amoxicilin DS 125/ml TDAMXA95088 Okt-21 Botol/50 Botol Botol 5,500.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
7 Cetrizine 10 mg HTCTRB96245 Nop-21 Box/50 Tab Tablet 313.50 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
8 E Care surgi glove 7.0 203045457SPIA Aug-22 Box/50 Pcs Pcs 8,800.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
9 Ibu profen 400 mg T191018A Nop-22 Box/100 Tab Tablet 340.79 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
10 Masker Earloop Hijau 0 2012086 Mar-25 Box Pcs 4,400.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
11 Paracetamol 500 mg Tablet IPM09448 Nop-21 Box/100 Tab Tablet 165.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
12 Ranitidine Hcl Tablet HTRNTB96264 Des-22 Box/100 Tab Tablet 220.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
13 Cefadroxil 500 mg/ loocap KCFDC01141 Mar-24 Box/100 Kaps Kapsul 840.00 500 Rp 420,002.00 0 Rp - 0 Rp - 500 Rp 420,002.00 0 Rp -
14 CEFIXIMECAP 100 mg KCFMB00925 Apr-22 B0x/100 Kaps Kapsul 715.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
15 KITAVIT SYRUP 100 ml KLKTVA01067 Feb-22 Ktk/50 Botol Botol 14,300.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
16 ONDANSETRON INJEKSI 4 mg/2 ml KI0DSA02234 Apr-22 Ktk/5 Ampul Ampul 5,500.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
17 OVISKIN N 5 Mg KCDSKC02158 Mar-22 Tube Tube 7,700.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
18 Paracetamol 120 mg/ 5 ml SYR SCG21949 Jun-22 Botol Botol 5,500.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
19 RANITIDINE INJEKSI 10 Ampul TIRNIB02318 Apr-22 Ktk/10 Ampul Ampul 2,570.04 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
20 FAVIPIRAVIR 200 mg Ktk/100 Tab Tablet 16,500.00 100 Rp 1,650,000.00 0 Rp - 0 Rp - 100 Rp 1,650,000.00 0 Rp -
21 METRONIDAZOLE 500 MG TABLET H10796B Jul-26 Ktk/100 Tab Tablet 328.13 3300 Rp 1,082,829.00 0 Rp - 0 Rp - 3,300 Rp 1,082,829.00 0 Rp -
22 PIROXICAM 10 MG TABLET D10495B Mar-26 Ktk/100 Tab Tablet 159.68 900 Rp 143,712.00 0 Rp - 100 Rp 15,968.00 800 Rp 127,744.00 0 Rp -
23 METAMIZOLE SODIUM 500 MG TABLET H91340T Aug-24 Ktk/100 Tab Tablet 265.00 2100 Rp 556,500.00 0 Rp - 0 Rp - 2,100 Rp 556,500.00 0 Rp -
24 CENDO GENTAMYCIN EO 3,5 GR 120622 Jun-26 Tube Tube 36,375.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
25 AXIMED N.W. FIXATION 10X10 20191101 Oct-24 Ktk/1 Roll Roll 58,800.00 18 Rp 1,058,400.00 0 Rp - 0 Rp - 18 Rp 1,058,400.00 0 Rp -
26 AXIMED IV-CATH NP PEN TYPE 20 20210610 May-26 Pcs Pcs 6,300.00 63 Rp 396,900.00 0 Rp - 3 Rp 18,900.00 60 Rp 378,000.00 0 Rp -
27 Cefadroxil Sirup 125 mg LCFDA10484 Jan-24 Ktk/50 Botol Botol 7,455.00 21 Rp 156,555.00 0 Rp - 0 Rp - 21 Rp 156,555.00 0 Rp -
28 Ketorolac 30 mg injeksi IKTRB10419-1 Jul-23 Ampul Ampul 27,273.00 25 Rp 681,825.00 0 Rp - 2 Rp 54,546.00 23 Rp 627,279.00 0 Rp -
29 Meloxicam 15 mg Tablet THLXB10486 Aug-23 Ktk/50 Tablet Tablet 700.00 300 Rp 210,000.00 0 Rp - 50 Rp 35,000.00 250 Rp 175,000.00 0 Rp -
30 Metformin Hcl/200 Tablet HTMFNB14960 Aug-23 Ktk/200 Tablet Tablet 175.00 6000 Rp 1,050,000.00 0 Rp - 0 Rp - 6,000 Rp 1,050,000.00 0 Rp -
31 Ranitidine Hcl Tablet 150 mg HTRNIB14793 Aug-23 Ktk/100 Tab Tablet 200.00 800 Rp 160,000.00 0 Rp - 300 Rp 60,000.00 500 Rp 100,000.00 0 Rp -
32 Bioplacenton Jelly KCBPCA13838 Jun-23 Tube Tube 22,000.00 27 Rp 594,000.00 0 Rp - 0 Rp - 27 Rp 594,000.00 0 Rp -
33 Hexalgin * HCHXGA12162 Apr-23 Ktk/100 Tab Tablet 600.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
34 Hexalgin ** HCHXGA13166 May-23 Ktk/100 Tab Tablet 600.00 300 Rp 180,000.00 0 Rp - 0 Rp - 300 Rp 180,000.00 0 Rp -
35 Hexalgin *** HCHXGA14173 Aug-23 Ktk/100 Tab Tablet 600.00 300 Rp 180,000.00 0 Rp - 0 Rp - 300 Rp 180,000.00 0 Rp -
36 Stik GDS "Easy Touch" Ktk Ktk 215,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
37 Stik GDS "NESCO" Ktk Ktk 215,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
38 Stik As. Urat 'Easy Touch" Ktk Ktk 215,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
39 Stik As. Urat 'NESCO" Ktk Ktk 215,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
40 Stik Kolesterol "Easy Touch" Ktk Ktk 350,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
41 Stik Kolesterol "Nesco" Ktk Ktk 350,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
42 Stik HbsAg "Righstin" Ktk Pcs 225,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
43 Alkohol Swab Ktk/100 Pcs Pcs 17,000.00 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
44 Thermometer Trermal Infrared Pcs Pcs 781,224.89 0 Rp - 0 Rp - 0 Rp - 0 Rp - 0 Rp -
45 Oxyflow Dewasa Onemed 29112188 pcs pcs 5,499.93 50 Rp 274,996.50 0 Rp - 0 Rp - 50 Rp 274,996.50 0 Rp -
46 Mucus Extractor Onemed tutup kuning 27052188 pcs pcs 7,039.95 30 Rp 211,198.59 0 Rp - 0 Rp - 30 Rp 211,198.59 0 Rp -
47 Silk + Jarum Onemed 3/0 2103030 box pcs 100,000.90 2 Rp 200,001.80 0 Rp - 1 Rp 100,000.90 1 Rp 100,000.90 0 Rp -

Jumlah Rp 9,206,919.89 Rp - Rp 284,414.90 Rp 8,922,504.99 Rp -

Rp 8,922,504.99

Mengetahui Jaya makmur 31 Agustus 2022

Kepala UPTD Kecamatan Katingan Kuala Pengelola Obat
Puskesmas Pegatan II
 Saldo Awal Bertambah Berkurang Saldo Akhir Expired
No. Nama Obat No. Batch Expired Date Kemasan Satuan Harga Satuan Keterangan
Jumlah Saldo Jumlah Saldo Jumlah Saldo Jumlah Saldo Jumlah Saldo
1 2 3 4 5 6 7 14 9 10 11 12 13 14 15 16 17 18

RUSLI, A.Md. Kep apt.Novia Putriasi.S.Farm

NIP. 19711217 199403 1 004 NIP. 199412072022032013
 Saldo Awal Bertambah Berkurang Saldo Akhir Expired
No. Nama Obat No. Batch Expired Date Kemasan Satuan Harga Satuan Keterangan
Jumlah Saldo Jumlah Saldo Jumlah Saldo Jumlah Saldo Jumlah Saldo
1 2 3 4 5 6 7 14 9 10 11 12 13 14 15 16 17 18

Mengetahui
Kepala UPTD Kecamatan Tewang s. Garing
Puskesmas Pendahara

SIABABILON, SKM
NIP. 197303061992021001
 Januari

Expired 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
 DATA OBAT JKN
UPTD PUSKESMAS PEGATAN 2 KECAMATAN KATINGAN KUALA
BULAN SEPTEMBER 2022
Saldo Awal Bertambah Berkurang Saldo Akhir Expired
No. Nama Obat No. Batch Expired Date Kemasan Satuan Harga Satuan Keterangan
Saldo Jumlah Saldo Jumlah Saldo Saldo Jumlah Saldo
1 2 3 4 5 6 7 14 9 10 11 12 13 14 15 16 17 18
1 Ambroxol sirup 15 mg H10536902 Agt 21 Botol Botol 7,700 0 Rp - Rp - Rp - 0 Rp - 0 Rp -
2 Amoxicilin sirup 125 mg F10516907 Jun-22 Botol Botol 7,150 0 Rp - Rp - Rp - 0 Rp - 0 Rp -
3 Amoxicilin Tab 500 mg D10686912 Apr-24 Box/100 Tab Tablet 825 0 Rp - Rp - Rp - 0 Rp - 0 Rp -
4 Asam mefenamat tab 500 mg CA94915 Agt 21 Box/100 Tab Tablet 302.50 0 Rp - Rp - Rp - 0 Rp - 0 Rp -
5 Ambroxol 30 mg Tablet TPK57647 Sep-22 Box/100 Tab Tablet 330.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp -
6 Amoxicilin DS 125/ml TDAMXA95088 Okt-21 Botol/50 Botol Botol 5,500.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp -
7 Cetrizine 10 mg HTCTRB96245 Nop-21 Box/50 Tab Tablet 313.50 0 Rp - Rp - Rp - 0 Rp - 0 Rp -
8 E Care surgi glove 7.0 203045457SPIA Aug-22 Box/50 Pcs Pcs 8,800.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp -
9 Ibu profen 400 mg T191018A Nop-22 Box/100 Tab Tablet 340.79 0 Rp - Rp - Rp - 0 Rp - 0 Rp -
10 Masker Earloop Hijau 0 2012086 Mar-25 Box Pcs 4,400.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp -
11 Paracetamol 500 mg Tablet IPM09448 Nop-21 Box/100 Tab Tablet 165.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp -
12 Ranitidine Hcl Tablet HTRNTB96264 Des-22 Box/100 Tab Tablet 220.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp -
13 Cefadroxil 500 mg/ loocap KCFDC01141 Mar-24 Box/100 Kaps Kapsul 840.00 500 Rp 420,002.00 Rp - 200 Rp 168,000.80 300 Rp 252,001.20 0 Rp -
14 CEFIXIMECAP 100 mg KCFMB00925 Apr-22 B0x/100 Kaps Kapsul 715.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp -
15 KITAVIT SYRUP 100 ml KLKTVA01067 Feb-22 Ktk/50 Botol Botol 14,300.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp -
16 ONDANSETRON INJEKSI 4 mg/2 ml KI0DSA02234 Apr-22 Ktk/5 Ampul Ampul 5,500.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp -
17 OVISKIN N 5 Mg KCDSKC02158 Mar-22 Tube Tube 7,700.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp -
18 Paracetamol 120 mg/ 5 ml SYR SCG21949 Jun-22 Botol Botol 5,500.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp -
19 RANITIDINE INJEKSI 10 Ampul TIRNIB02318 Apr-22 Ktk/10 Ampul Ampul 2,570.04 0 Rp - Rp - Rp - 0 Rp - 0 Rp -
20 FAVIPIRAVIR 200 mg Ktk/100 Tab Tablet 16,500.00 100 Rp 1,650,000.00 Rp - Rp - 100 Rp 1,650,000.00 0 Rp -
21 METRONIDAZOLE 500 MG TABLET H10796B Jul-26 Ktk/100 Tab Tablet 328.13 3300 Rp 1,082,829.00 Rp - 100 Rp 32,813.00 3,200 Rp 1,050,016.00 0 Rp -
22 PIROXICAM 10 MG TABLET D10495B Mar-26 Ktk/100 Tab Tablet 159.68 800 Rp 127,744.00 Rp - 100 Rp 15,968.00 700 Rp 111,776.00 0 Rp -
23 METAMIZOLE SODIUM 500 MG TABLET H91340T Aug-24 Ktk/100 Tab Tablet 265.00 2100 Rp 556,500.00 Rp - Rp - 2,100 Rp 556,500.00 0 Rp -
24 CENDO GENTAMYCIN EO 3,5 GR 120622 Jun-26 Tube Tube 36,375.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp -
25 AXIMED N.W. FIXATION 10X10 20191101 Oct-24 Ktk/1 Roll Roll 58,800.00 18 Rp 1,058,400.00 Rp - 2 Rp 117,600.00 16 Rp 940,800.00 0 Rp -
26 AXIMED IV-CATH NP PEN TYPE 20 20210610 May-26 Pcs Pcs 6,300.00 60 Rp 378,000.00 Rp - 6 Rp 37,800.00 54 Rp 340,200.00 0 Rp -
27 Cefadroxil Sirup 125 mg LCFDA10484 Jan-24 Ktk/50 Botol Botol 7,455.00 21 Rp 156,555.00 Rp - 2 Rp 14,910.00 19 Rp 141,645.00 0 Rp -
28 Ketorolac 30 mg injeksi IKTRB10419-1 Jul-23 Ampul Ampul 27,273.00 23 Rp 627,279.00 Rp - 1 Rp 27,273.00 22 Rp 600,006.00 0 Rp -
29 Meloxicam 15 mg Tablet THLXB10486 Aug-23 Ktk/50 Tablet Tablet 700.00 250 Rp 175,000.00 Rp - Rp - 250 Rp 175,000.00 0 Rp -
30 Metformin Hcl/200 Tablet HTMFNB14960 Aug-23 Ktk/200 Tablet Tablet 175.00 6000 Rp 1,050,000.00 Rp - 800 Rp 140,000.00 5,200 Rp 910,000.00 0 Rp -
31 Ranitidine Hcl Tablet 150 mg HTRNIB14793 Aug-23 Ktk/100 Tab Tablet 200.00 500 Rp 100,000.00 Rp - 300 Rp 60,000.00 200 Rp 40,000.00 0 Rp -
32 Bioplacenton Jelly KCBPCA13838 Jun-23 Tube Tube 22,000.00 27 Rp 594,000.00 Rp - Rp - 27 Rp 594,000.00 0 Rp -
33 Hexalgin * HCHXGA12162 Apr-23 Ktk/100 Tab Tablet 600.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp -
34 Hexalgin ** HCHXGA13166 May-23 Ktk/100 Tab Tablet 600.00 300 Rp 180,000.00 Rp - Rp - 300 Rp 180,000.00 0 Rp -
35 Hexalgin *** HCHXGA14173 Aug-23 Ktk/100 Tab Tablet 600.00 300 Rp 180,000.00 Rp - Rp - 300 Rp 180,000.00 0 Rp -
36 Stik GDS "Easy Touch" Ktk Ktk 215,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp -
37 Stik GDS "NESCO" Ktk Ktk 215,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp -
38 Stik As. Urat 'Easy Touch" Ktk Ktk 215,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp -
39 Stik As. Urat 'NESCO" Ktk Ktk 215,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp -
40 Stik Kolesterol "Easy Touch" Ktk Ktk 350,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp -
41 Stik Kolesterol "Nesco" Ktk Ktk 350,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp -
42 Stik HbsAg "Righstin" Ktk Pcs 225,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp -
43 Alkohol Swab Ktk/100 Pcs Pcs 17,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp -
44 Thermometer Trermal Infrared Pcs Pcs 781,224.89 0 Rp - Rp - Rp - 0 Rp - 0 Rp -
45 Oxyflow Dewasa Onemed 29112188 pcs pcs 5,499.93 50 Rp 274,996.50 Rp - Rp - 50 Rp 274,996.50 0 Rp -
46 Mucus Extractor Onemed tutup kuning 27052188 pcs pcs 7,039.95 30 Rp 211,198.59 Rp - Rp - 30 Rp 211,198.59 0 Rp -
47 Silk + Jarum Onemed 3/0 2103030 box pcs 100,000.90 1 Rp 100,000.90 Rp - Rp - 1 Rp 100,000.90 0 Rp -
 Saldo Awal Bertambah Berkurang Saldo Akhir Expired
No. Nama Obat No. Batch Expired Date Kemasan Satuan Harga Satuan Keterangan
Saldo Jumlah Saldo Jumlah Saldo Saldo Jumlah Saldo
1 2 3 4 5 6 7 14 9 10 11 12 13 14 15 16 17 18
48 NACL 0,9 % Infus K11826J Nov-24 Ktk/20 Flabot Flabot 6,962.23 Rp - 200 Rp 1,392,446.00 Rp - 200 Rp 1,392,446.00 0 Rp -
49 OBH COMBI BATUK FLU ANAK 21F178 Jun-24 Ktk/50 Btl Botol 13,486.50 Rp - 100 Rp 1,348,650.00 Rp - 100 Rp 1,348,650.00 0 Rp -
50 Ambroxol 30 mg Tablet C200064N Apr-24 Ktk/100 Tab ktk 23,896.08 Rp - 50 Rp 1,194,804.00 Rp - 50 Rp 1,194,804.00 0 Rp -
51 ASIFIT KAPLET BLISTER D20209B Apr-24 ktk/30 Kaplet ktk 65,161.44 Rp - 10 Rp 651,614.40 Rp - 10 Rp 651,614.40 0 Rp -
52 BETAMETASON 0,1% C21795W Jul-24 Ktk/25 Tube Tube 2,460.87 Rp - 100 Rp 246,087.00 Rp - 100 Rp 246,087.00 0 Rp -
53 ONDANSETRON INJEKSI 4 mg/2 ml 24E317 Jun-26 Ktk/5 Ampul ktk 38,850.00 Rp - 50 Rp 1,942,500.00 Rp - 50 Rp 1,942,500.00 0 Rp -
54 VALSARTAN 80 mg G10076N Jul-23 Ktk/20 Tab ktk 57,720.00 Rp - 10 Rp 577,200.00 Rp - 10 Rp 577,200.00 0 Rp -
Rp - Rp - Rp - 0 Rp - 0 Rp -
Rp - Rp - Rp - 0 Rp - 0 Rp -
Rp - Rp - Rp - 0 Rp - 0 Rp -
Jumlah Rp 8,922,504.99 Rp 7,353,301.40 Rp 614,364.80 Rp 15,661,441.59 Rp -
Rp 15,661,441.59

Mengetahui
Kepala UPTD Kecamatan Katingan Kuala Pengelola Obat
Puskesmas Pegatan II

RUSLI, A.Md. Kep apt.Novia Putriasi.S.Farm

NIP. 19711217 199403 1 004 NIP. 199412072022032013
 Saldo Awal Bertambah Berkurang Saldo Akhir Expired
No. Nama Obat No. Batch Expired Date Kemasan Satuan Harga Satuan Keterangan
Saldo Jumlah Saldo Jumlah Saldo Saldo Jumlah Saldo
1 2 3 4 5 6 7 14 9 10 11 12 13 14 15 16 17 18

Mengetahui
Kepala UPTD Kecamatan Tewang s. Garing
Puskesmas Pendahara

SIABABILON, SKM
NIP. 197303061992021001
 Saldo Awal Bertambah Berkurang Saldo Akhir Expired
No. Nama Obat No. Batch Expired Date Kemasan Satuan Harga Satuan Keterangan
Saldo Jumlah Saldo Jumlah Saldo Saldo Jumlah Saldo
1 2 3 4 5 6 7 14 9 10 11 12 13 14 15 16 17 18
 Januari

Expired 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
 Januari

Expired 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
 DATA OBAT JKN
UPTD PUSKESMAS PEGATAN 2 KECAMATAN KATINGAN KUALA
BULAN OKTOBER 2022
Saldo Awal Bertambah Berkurang Saldo Akhir Expired
No. Nama Obat No. Batch Expired Date Kemasan Satuan Harga Satuan Keterangan
Saldo Jumlah Saldo Jumlah Saldo Saldo Jumlah Saldo
1 2 3 4 5 6 7 14 9 10 11 12 13 14 15 16 17 18
1 Ambroxol sirup 15 mg H10536902 Agt 21 Botol Botol 7,700 0 Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
2 Amoxicilin sirup 125 mg F10516907 Jun-22 Botol Botol 7,150 0 Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
3 Amoxicilin Tab 500 mg D10686912 Apr-24 Box/100 Tab Tablet 825 0 Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
4 Asam mefenamat tab 500 mg CA94915 Agt 21 Box/100 Tab Tablet 302.50 0 Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
5 Ambroxol 30 mg Tablet TPK57647 Sep-22 Box/100 Tab Tablet 330.00 0 Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
6 Amoxicilin DS 125/ml TDAMXA95088 Okt-21 Botol/50 Botol Botol 5,500.00 0 Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
7 Cetrizine 10 mg HTCTRB96245 Nop-21 Box/50 Tab Tablet 313.50 0 Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
8 E Care surgi glove 7.0 203045457SPIA Aug-22 Box/50 Pcs Pcs 8,800.00 0 Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
9 Ibu profen 400 mg T191018A Nop-22 Box/100 Tab Tablet 340.79 0 Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
10 Masker Earloop Hijau 0 2012086 Mar-25 Box Pcs 4,400.00 0 Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
11 Paracetamol 500 mg Tablet IPM09448 Nop-21 Box/100 Tab Tablet 165.00 0 Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
12 Ranitidine Hcl Tablet HTRNTB96264 Des-22 Box/100 Tab Tablet 220.00 0 Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
13 Cefadroxil 500 mg/ loocap KCFDC01141 Mar-24 Box/100 Kaps Kapsul 840.00 300 Rp 252,001.20 Rp - 100 Rp 84,000.40 200 Rp 168,000.80 0 Rp -
14 CEFIXIMECAP 100 mg KCFMB00925 Apr-22 B0x/100 Kaps Kapsul 715.00 0 Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
15 KITAVIT SYRUP 100 ml KLKTVA01067 Feb-22 Ktk/50 Botol Botol 14,300.00 0 Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
16 ONDANSETRON INJEKSI 4 mg/2 ml KI0DSA02234 Apr-22 Ktk/5 Ampul Ampul 5,500.00 0 Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
17 OVISKIN N 5 Mg KCDSKC02158 Mar-22 Tube Tube 7,700.00 0 Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
18 Paracetamol 120 mg/ 5 ml SYR SCG21949 Jun-22 Botol Botol 5,500.00 0 Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
19 RANITIDINE INJEKSI 10 Ampul TIRNIB02318 Apr-22 Ktk/10 Ampul Ampul 2,570.04 0 Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
20 FAVIPIRAVIR 200 mg Ktk/100 Tab Tablet 16,500.00 100 Rp 1,650,000.00 Rp - 0 Rp - 100 Rp 1,650,000.00 0 Rp -
21 METRONIDAZOLE 500 MG TABLET H10796B Jul-26 Ktk/100 Tab Tablet 328.13 3200 Rp 1,050,016.00 Rp - 100 Rp 32,813.00 3,100 Rp 1,017,203.00 0 Rp -
22 PIROXICAM 10 MG TABLET D10495B Mar-26 Ktk/100 Tab Tablet 159.68 700 Rp 111,776.00 Rp - 0 Rp - 700 Rp 111,776.00 0 Rp -
23 METAMIZOLE SODIUM 500 MG TABLET H91340T Aug-24 Ktk/100 Tab Tablet 265.00 2100 Rp 556,500.00 Rp - 0 Rp - 2,100 Rp 556,500.00 0 Rp -
24 CENDO GENTAMYCIN EO 3,5 GR 120622 Jun-26 Tube Tube 36,375.00 0 Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
25 AXIMED N.W. FIXATION 10X10 20191101 Oct-24 Ktk/1 Roll Roll 58,800.00 16 Rp 940,800.00 Rp - 1 Rp 58,800.00 15 Rp 882,000.00 0 Rp -
26 AXIMED IV-CATH NP PEN TYPE 20 20210610 May-26 Pcs Pcs 6,300.00 54 Rp 340,200.00 Rp - 3 Rp 18,900.00 51 Rp 321,300.00 0 Rp -
27 Cefadroxil Sirup 125 mg LCFDA10484 Jan-24 Ktk/50 Botol Botol 7,455.00 19 Rp 141,645.00 Rp - 0 Rp - 19 Rp 141,645.00 0 Rp -
28 Ketorolac 30 mg injeksi IKTRB10419-1 Jul-23 Ampul Ampul 27,273.00 22 Rp 600,006.00 Rp - 0 Rp - 22 Rp 600,006.00 0 Rp -
29 Meloxicam 15 mg Tablet THLXB10486 Aug-23 Ktk/50 Tablet Tablet 700.00 250 Rp 175,000.00 Rp - 0 Rp - 250 Rp 175,000.00 0 Rp -
30 Metformin Hcl/200 Tablet HTMFNB14960 Aug-23 Ktk/200 Tablet Tablet 175.00 5200 Rp 910,000.00 Rp - 0 Rp - 5,200 Rp 910,000.00 0 Rp -
31 Ranitidine Hcl Tablet 150 mg HTRNIB14793 Aug-23 Ktk/100 Tab Tablet 200.00 200 Rp 40,000.00 Rp - 200 Rp 40,000.00 0 Rp - 0 Rp -
32 Bioplacenton Jelly KCBPCA13838 Jun-23 Tube Tube 22,000.00 27 Rp 594,000.00 Rp - 0 Rp - 27 Rp 594,000.00 0 Rp -
33 Hexalgin * HCHXGA12162 Apr-23 Ktk/100 Tab Tablet 600.00 0 Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
34 Hexalgin ** HCHXGA13166 May-23 Ktk/100 Tab Tablet 600.00 300 Rp 180,000.00 Rp - 0 Rp - 300 Rp 180,000.00 0 Rp -
35 Hexalgin *** HCHXGA14173 Aug-23 Ktk/100 Tab Tablet 600.00 300 Rp 180,000.00 Rp - 100 Rp 60,000.00 200 Rp 120,000.00 0 Rp -
36 Stik GDS "Easy Touch" Ktk Ktk 215,000.00 0 Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
37 Stik GDS "NESCO" Ktk Ktk 215,000.00 0 Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
38 Stik As. Urat 'Easy Touch" Ktk Ktk 215,000.00 0 Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
39 Stik As. Urat 'NESCO" Ktk Ktk 215,000.00 0 Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
40 Stik Kolesterol "Easy Touch" Ktk Ktk 350,000.00 0 Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
41 Stik Kolesterol "Nesco" Ktk Ktk 350,000.00 0 Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
42 Stik HbsAg "Righstin" Ktk Pcs 225,000.00 0 Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
43 Alkohol Swab Ktk/100 Pcs Pcs 17,000.00 0 Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
44 Thermometer Trermal Infrared Pcs Pcs 781,224.89 0 Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
45 Oxyflow Dewasa Onemed 29112188 pcs pcs 5,499.93 50 Rp 274,996.50 Rp - 0 Rp - 50 Rp 274,996.50 0 Rp -
46 Mucus Extractor Onemed tutup kuning 27052188 pcs pcs 7,039.95 30 Rp 211,198.59 Rp - 5 Rp 35,199.77 25 Rp 175,998.83 0 Rp -
47 Silk + Jarum Onemed 3/0 2103030 box pcs 100,000.90 1 Rp 100,000.90 Rp - 0 Rp - 1 Rp 100,000.90 0 Rp -
 Saldo Awal Bertambah Berkurang Saldo Akhir Expired
No. Nama Obat No. Batch Expired Date Kemasan Satuan Harga Satuan Keterangan
Saldo Jumlah Saldo Jumlah Saldo Saldo Jumlah Saldo
1 2 3 4 5 6 7 14 9 10 11 12 13 14 15 16 17 18
48 NACL 0,9 % Infus K11826J Nov-24 Ktk/20 Flabot Flabot 6,962.23 200 Rp 1,392,446.00 Rp - 20 Rp 139,244.60 180 Rp 1,253,201.40 0 Rp -
49 OBH COMBI BATUK FLU ANAK 21F178 Jun-24 Ktk/50 Btl Botol 13,486.50 100 Rp 1,348,650.00 Rp - 4 Rp 53,946.00 96 Rp 1,294,704.00 0 Rp -
50 Ambroxol 30 mg Tablet C200064N Apr-24 Ktk/100 Tab ktk 23,896.08 50 Rp 1,194,804.00 Rp - 6 Rp 143,376.48 44 Rp 1,051,427.52 0 Rp -
51 ASIFIT KAPLET BLISTER D20209B Apr-24 ktk/30 Kaplet ktk 65,161.44 10 Rp 651,614.40 Rp - 0 Rp - 10 Rp 651,614.40 0 Rp -
52 BETAMETASON 0,1% C21795W Jul-24 Ktk/25 Tube Tube 2,460.87 100 Rp 246,087.00 Rp - 8 Rp 19,686.96 92 Rp 226,400.04 0 Rp -
53 ONDANSETRON INJEKSI 4 mg/2 ml 24E317 Jun-26 Ktk/5 Ampul ktk 38,850.00 50 Rp 1,942,500.00 Rp - 0 Rp - 50 Rp 1,942,500.00 0 Rp -
54 VALSARTAN 80 mg G10076N Jul-23 Ktk/20 Tab ktk 57,720.00 10 Rp 577,200.00 Rp - 0 Rp - 10 Rp 577,200.00 0 Rp -
55 TRANSMUCO SYRUP KLTUCA24052 Jul-24 BOTOL BOTOL 13,320.00 86 Rp 1,145,520.00 0 Rp - 86 Rp 1,145,520.00 0 Rp -
56 TRANSMUCO SYRUP KLTUCA24051 Apr-24 BOTOL BOTOL 13,320.00 114 Rp 1,518,480.00 4 Rp 53,280.00 110 Rp 1,465,200.00 0 Rp -
57 SURGICAL BLADE ONEMED 11 300819 Aug-24 Kotak pcs 614.679 400 Rp 245,871.60 100 Rp 61,467.90 300 Rp 184,403.70 0 Rp -
58 INFUSET ONEMED DWS 19072288 Jun-27 PCS PCS 4,176.597 200 Rp 835,319.40 25 Rp 104,414.93 175 Rp 730,904.48 0 Rp -
59 TES KEHAMILAN ONEMED 24012288 Dec-24 BOX/50 pcs pcs 1,499.99 100 Rp 149,999.00 3 Rp 4,499.97 97 Rp 145,499.03 0 Rp -
60 Clopidogrel Bisulfate 75 mg HTCPL824069 Jul-24 Ktk/50 Tablet Tablet 5,583.30 50 Rp 279,165.00 0 Rp - 50 Rp 279,165.00 0 Rp -
61 Pregabalin kapsul 75 mg KPGLA20041 May-24 Tablet Tablet 4,757.14 42 Rp 199,799.88 0 Rp - 42 Rp 199,799.88 0 Rp -
62 Ranitidine HCL HTRNIB21996 Jan-24 Ktk/100 Tab tablet 255.30 3000 Rp 765,900.00 400 Rp 102,120.00 2,600 Rp 663,780.00 0 Rp -

Jumlah Rp 15,661,441.59 Rp 5,140,054.88 Rp 1,011,750.00 Rp 19,789,746.47 Rp -

Rp 19,789,746.47

Mengetahui
Kepala UPTD Kecamatan Katingan Kuala Pengelola Obat
Puskesmas Pegatan II

RUSLI, A.Md. Kep apt.Novia Putriasi.S.Farm

NIP. 19711217 199403 1 004 NIP. 199412072022032013
 Saldo Awal Bertambah Berkurang Saldo Akhir Expired
No. Nama Obat No. Batch Expired Date Kemasan Satuan Harga Satuan Keterangan
Saldo Jumlah Saldo Jumlah Saldo Saldo Jumlah Saldo
1 2 3 4 5 6 7 14 9 10 11 12 13 14 15 16 17 18

Mengetahui
Kepala UPTD Kecamatan Tewang s. Garing
Puskesmas Pendahara

SIABABILON, SKM
NIP. 197303061992021001
 Januari

Expired 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

0
0
0
0
0
0
0
0
0
0
0
0
100
0
0
0
0
0
0
0
100
0
0
0
1
3
0
0
0
0
200
0
0
0
100
0
0
0
0
0
0
0
0
0
0
5
0
 Januari

Expired 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

20
4
6
0
8
0
0
0
4
100
25
3
0
0
400