LPLPO UGD (1) Fix

LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
(LPLPO)
SUB UNIT : UGD LAPORAN LPLPO : MARET
PUSKESMAS : BULANGAN HAJI PERMINTAAN OBAT : APRIL
KECAMATAN : PEGANTENAN TAHUN : 2023
KAB/KOTA : PAMEKASAN
STOK PENERIM PERSEDI PEMAKAI SISA PERMINT PEMBERI

NO. NAMA OBAT harga / pcs RUPIAH KET
AWAL AAN AAN AN STOK AAN AN
Obat PKD
1 ACETYLSISTEINE 200 MG Rp 3,230 0 0 Rp -
2 ADALAT OROS/NIFEDIPIN 20 MG Rp 1,187 0 0 Rp -
3 ALBENDAZOLE 400 MG Rp 344 0 0 Rp -
4 ALBENDAZOLE SYIRUP Rp 3,849 0 0 Rp -
5 ALLOPURINOL 100 MG Rp 87 0 0 Rp -
7 AMBROXOL 30 MG Rp 139 0 0 Rp -
8 AMBROXOL DROP Rp 29,370 0 0 Rp -
9 AMBROXOL SYIRUP Rp 5,866 0 0 Rp -
10 AMINOFLUID CAIRAN Rp 67,500 0 0 Rp -
11 AMINOPHILLIN 200 mg Rp 205 0 0 Rp -
12 AMLODIPIN 5 Rp 53 0 0 Rp -
13 AMLODIPIN 10 MG Rp 99 0 0 Rp -
14 AMOXICILIN 1 GR INJEKSI Rp 9,000 0 0 Rp -
15 AMOXICILIN 125 mg SYIRUP Rp 2,600 0 0 Rp -
16 AMOXICILIN 250 mg Rp 196 0 0 Rp -
20 AMPICILIN 500 mg Rp 398 0 0 Rp -
21 AMPICILIN 1 GR INJEKSI Rp 8,600 0 0 Rp -
22 AMPICILIN SYIRUP Rp 4,900 0 0 Rp -
23 ANTALGIN 500 mg Rp 323 0 0 Rp -
0 0 Rp -
24 ANTALGIN / METAMIZOL INJEKSI Rp 3,500 0 0 Rp -
25 ANTASIDA DOEN TABLET Rp 54 0 0 Rp -
26 ANTASIDA DOEN SYIRUP Rp 1,694 0 0 Rp -
27 ANTI BACTERI DOEN SK Rp 2,924 0 0 Rp -
28 ANTI FUNGI SALEP Rp 3,509 0 0 Rp -
29 ANTI HAEMOROID SUPPOSITORIA Rp 3,250 0 0 Rp -
30 ANTI HAEMOROID SUPPOSITORIA Rp 3,280 0 0 Rp -
31 ASAM ASCORBAT 250 MG Rp 119 0 0 Rp -
34 ASAM MEFENAMAT 250 MG Rp 300 0 0 Rp -
36 ASAM TRANEXAMAT 500 MG Rp 1,584 0 0 Rp -
37 ASAM TRANEXAMAT INJEKSI Rp 1,748 0 0 0 Rp -
38 ASAM ASETIL SALISILAT 80 MG Rp 89 0 0 Rp -
39 ASETOSAL 500 mg Rp 200 0 0 Rp -
40 ASETOSAL 100 MG Rp 164 0 0 Rp -
41 ASIKLOVIR 200 mg Rp 240 0 0 Rp -
42 ASIKLOVIR 400 mg Rp 405 0 0 Rp -
43 ASIKLOVIR SK Rp 2,997 0 0 Rp -
44 ASIKLOVIR SALEP MATA 3%(temiral) Rp 1,013 0 0 Rp -
45 ATROPIN SULFAS INJ Rp 1,718 1 1 0 1 Rp 1,718
46 BETAHISTIN MESILAT 6 mg Rp 110 0 0 Rp -
47 BETAMETHASONE CREAM Rp 1,450 0 0 Rp -
49 BRICASMA NEB Rp 7,602 0 0 Rp -
50 CALSIUM GLUCONAS INJEKSI Rp 10,351 0 0 Rp -
51 CALSIUM GLUCONAS INJEKSI Rp 5,775 0 0 Rp -
52 CAPTOPRIL 12,5 MG Rp 62 0 0 Rp -
53 CAPTOPRIL 25 MG Rp 75 0 0 Rp -
55 CEFOTAXIM 1 GR INJ Rp 4,482 0 0 Rp -
56 CETERIZINE 10 MG Rp 90 0 0 Rp -
57 CETERIZINE SYR Rp 2,090 0 0 Rp -
58 CIPROFLOXACIN 500 mg Rp 250 0 0 Rp -
59 COMBIVENT NEBULASER Rp 5,700 0 0 Rp -
0 0 Rp -
60 DEXAMETHASONE 0,5 TAB Rp 160 0 0 Rp -
61 DEXAMETHASONE INJEKSI Rp 924 20 20 2 18 Rp 16,632
62 DIETILKARBAMAZIN SITRAT 100 MG 0 0 Rp -
63 DIFENHIDRAMIN HCL INJ Rp 781 2 2 1 1 Rp 781
64 DIGOXIN 0,25 Rp 164 0 0 Rp -
65 DIMENHIDRINAT 50 MG Rp 108 0 0 Rp -
66 DOMPERIDONE 10 MG Rp 71 0 0 Rp -
67 DOMPERIDONE SUSPENSI Rp 2,700 0 0 Rp -
68 DOMPERIDONE SUSPENSI Rp 2,317 0 0 Rp -
69 DOXICILIN 100 MG Rp 270 0 0 Rp -
70 DULCOLAX SUPP DEWASA Rp 4,325 0 0 Rp -
71 DULCOLAX SUPP ANAK Rp 5,085 0 0 Rp -
72 EPHEDRIN 25 mg Rp 500 0 0 Rp -
73 EPHINEPRINE INJ Rp 1,515 4 4 0 4 Rp 6,060
74 ERITROMICYN 250 MG Rp 583 0 0 Rp -
75 ERITROMICYN 500 MG Rp 1,000 0 0 Rp -
76 ERITROMICYN SYIRUP Rp 6,462 0 0 Rp -
77 FENOL GLISEROL TT 10% Rp 2,590 0 0 Rp -
78 FENOXIPENICILIN 250 MG Rp 290 0 0 Rp -
79 FENOXIPENICILIN 500 MG Rp 510 0 0 Rp -
80 FITOMENADION 10 mg TAB Rp 748 0 0 Rp -
81 FITOMENADION INJEKSI Rp 3,450 0 0 Rp -
82 FUROSEMIDE 40 mg Rp 82 0 0 Rp -
83 FUROSEMIDE INJEKSI Rp 923 12 12 0 12 Rp 11,076
84 GARAM ORALIT 200 Rp 274 0 0 Rp -
85 GEMFIBROZIL 300 MG Rp 372 0 0 Rp -
86 GENTAMICYN 80 MG INJ. Rp 3,399 0 0 Rp -
87 GENTAMICYN SK Rp 2,126 0 0 Rp -
88 GENTAMICYN TM Rp 4,520 0 0 Rp -
89 GENTIAN VIOLET 1 % Rp 818 0 0 Rp -
90 GLIBENCLAMIDE 5mg Rp 82 0 0 Rp -
91 GLIMEPIRIDE 1 MG Rp 93 0 0 Rp -
0 0 Rp -
95 GLISERIL GUAIACOLAT 100 mg Rp 260 0 0 Rp -
96 GLISERIN Rp 3,780 0 0 Rp -
97 GLUCOSE 5 % INFUS Rp 6,627 11 11 0 11 Rp 72,897
98 GLUCOSE 10 % INFUS Rp 7,200 0 0 Rp -
99 GLUCOSE 40 % INFUS Rp 7,064 0 0 Rp -
100 GRISEOFULVIN 125 mg Rp 210 0 0 Rp -
101 GRISEOFULVIN 500 mg Rp 906 0 0 Rp -
102 HIDROCORTISONE 2,5% Rp 2,325 0 0 Rp -
103 HIDROKLORTIAZID (HCT) 25 mg Rp 148 0 0 Rp -
104 IBU PROFEN 200 MG Rp 102 0 0 Rp -
105 IBU PROFEN 400 Mg Rp 355 0 0 Rp -
106 IBU PROFEN SYR 100 MG Rp 2,236 0 0 Rp -
107 INFUS ASERING Rp 8,800 20 20 0 20 Rp 176,000
108 INFUS KA-EN 3 B Rp 11,500 3 10 13 13 0 Rp -
109 IODIOL CAP.LUNAK Rp 1,256 0 0 Rp -
110 ISOSORBID 5 MG Rp 87 0 0 Rp -
111 KALSIUM LACTAT 500 mg Rp 60 0 0 Rp -
112 KARBAMAZEPIN 200 mg Rp 228 0 0 Rp -
113 KETOKONAZOLE KRIM 2 % Rp 2,518 0 0 Rp -
114 KETOKONAZOLE 200 mg Rp 252 0 0 Rp -
115 KETOPROFEN 100 MG Rp 553 0 0 Rp -
116 KETOPROFEN INJ 100 MG Rp 8,000 0 0 Rp -
117 KETOROLAC INJEKSI Rp 1,045 0 0 Rp -
118 Rp 815 0 0 Rp -
119 KLORAMFENIKOL / CLORAMEX 500 Mg Rp 1,163 0 0 Rp -
120 KLORAMFENIKOL 250 mg Rp 310 0 0 Rp -
121 KLORAMPHENICOL SYIRUP Rp 5,015 0 0 Rp -
123 KLORAMPHENICOL INJ/CLORAMIDINE Rp 15,000 0 0 Rp -
124 KLORAMPHENICOL SK/ BUFACETIN Rp 3,296 0 0 Rp -
125 KLORAMPHENICOL SM Rp 2,007 0 0 Rp -
126 KLORAMPHENICOL TM 0,5 % Rp 9,600 0 0 Rp -
127 KLORAMPHENICOL TT 3% Rp 8,600 0 0 Rp -
128 KLORFENIRAMIN/ CTM 4 mg Rp 179 0 0 Rp -
129 KOTRIMOXAZOL 120 mg Rp 72 0 0 Rp -
0 0 Rp -
130 KOTRIMOXAZOL 480 mg Rp 126 0 0 Rp -
131 KOTRIMOXAZOLE SYIRUP Rp 2,100 0 0 Rp -
132 LIDOCAIN INJ /COMB 2 % Rp 847 0 0 Rp -
133 LODOMER INJ Rp 6,250 0 0 Rp -
134 LOPERAMID 2 MG/LEXADIUM Rp 77 0 0 Rp -
135 LORATADIN 10 MG Rp 109 0 0 Rp -
136 MAGNESIUM SULFAS SERBUK. Rp 1,027 0 0 Rp -
137 MAGNESIUM SULFAS INJ.20% Rp 3,580 0 0 Rp -
138 MAGNESIUM SULFAS INJ.40% Rp 4,090 0 0 Rp -
139 MEBENDAZOLE 100 MG Rp 57 0 0 Rp -
140 MEBENDAZOLE SIRUP Rp 2,700 0 0 Rp -
141 MECOBALAMIN 500 MG 0 0 Rp -
142 METFORMIN 500 mg Rp 77 0 0 Rp -
143 METFORMIN 850 mg Rp 153 0 0 Rp -
144 METHIL ERGOMETRIN 0,125 TAB Rp 214 0 0 Rp -
145 METIL ERGOMETRIN INJEKSI 1,023 0 0 Rp -
146 METILPREDNISOLON 4 MG Rp 102 0 0 Rp -
147 METOKLORPAMIDE 10 MG Rp 66 0 0 Rp -
148 METOKLORPAMIDE 5 MG Rp 117 0 0 Rp -
149 METOKLORPAMIDE DROP Rp 3,900 0 0 Rp -
150 METOKLORPAMIDE INJEKSI Rp 1,683 20 20 3 17 Rp 28,611
151 METOKLORPAMIDE/LEXAPRAM SYIRUP Rp 2,530 0 0 Rp -
152 METRONIDAZOLE SYIRUP Rp 3,765 0 0 Rp -
153 METRONIDAZOLE 500 mg Rp 248 0 0 Rp -
154 METRONIDAZOLE INFUS Rp 8,110 0 0 Rp -
155 Na Cl INFUS Rp 6,800 8 21 29 2 27 Rp 183,600
156 NA. BIC 500 MG Rp 500 0 0 Rp -
157 NA.DIKLOFENAC 25 mg Rp 511 0 0 Rp -
158 NIFEDIPIN 10 Mg Rp 175 0 0 Rp -
159 NISTATIN VAG. 100.000 IU Rp 550 0 0 Rp -
0 0 Rp -
160 NISTATIN/ KANDISTATIN DROP Rp 54,500 0 0 Rp -
161 OBAT BATUK HITAM SYIRUP Rp 5,566 0 0 Rp -
162 OCUGARD Rp 5,927 0 0 Rp -
163 OFLOXACIN 200 mg Rp 348 0 0 Rp -
164 OFLOXACIN 400 MG Rp 553 0 0 Rp -
165 OMEPRAZOLE 20 mg Rp 139 0 0 Rp -
166 OMEPRAZOLE INJ Rp 5,093 0 0 Rp -
167 OXITETRA INJEKSI Rp 6,160 0 0 Rp -
168 OXITETRA SK Rp 1,529 0 0 Rp -
169 OXITETRA SM Rp 3,500 0 0 Rp -
170 OXITOCIN INJ Rp 1,126 0 0 Rp -
171 PAPAVERIN INJEKSI Rp 10,000 0 0 Rp -
172 PARASETAMOL 100 MG Rp 290 0 0 Rp -
173 PARASETAMOL 500 mg Rp 245 0 0 Rp -
174 PARASETAMOL DROP Rp 6,649 0 0 Rp -
175 PARASETAMOL SIRUP Rp 1,161 0 0 Rp -
176 PARASETAMOL/PROPYRETIC SUPP Rp 8,000 0 0 Rp -
177 PENILBUTAZON 200 MG Rp 100 0 0 Rp -
178 PIRACETAM 400 MG Rp 1,140 0 0 Rp -
180 PIRACETAM INJEKSI Rp 6,600 0 0 Rp -
181 PIRANTEL 125 MG Rp 304 0 0 Rp -
182 PIRANTEL SIRUP Rp 9,510 0 0 Rp -
183 PIRIDOXIN HCl 10 mg TAB Rp 67 0 0 Rp -
186 PIROKSIKAM 10 MG Rp 300 0 0 Rp -
188 PPC INJEKSI Rp 7,190 0 0 Rp -
189 PREDNISON TAB Rp 68 0 0 Rp -
190 PROPANOLOL HCL 10 MG Rp 74 0 0 Rp -
191 PROPANOLOL HCl 40 mg Rp 81 0 0 Rp -
192 PTU 100 mg Rp 389 0 0 Rp -
193 PULMICORT 0,5 MG NEBULESER Rp 14,267 20 20 1 19 Rp 271,073
0 0 Rp -
194 RANITIDIN 150 mg Rp 85 0 0 Rp -
195 RANITIDIN INJEKSI Rp 1,188 0 0 Rp -
196 RETINOL 100.000 IU Rp 307 0 0 Rp -
197 RETINOL 200.000 IU Rp 414 0 0 Rp -
198 RIFAMPICIN 450 mg Rp 790 0 0 Rp -
199 RINGER LACTAT INFUS Rp 7,630 50 50 33 17 Rp 129,710
200 SABU I Rp 517,132 0 0 Rp -
201 SALBUTAMOL 2 mg Rp 48 0 0 Rp -
203 SALBUTAMOL/ VENTOLIN NEBULASER Rp 9,000 0 0 Rp -
204 SALEP 2-4 Rp 2,333 0 0 Rp -
205 SALICYL BEDAK 2% Rp 1,250 0 0 Rp -
207 SCABIMITE CREAM Rp 11,250 0 0 Rp -
208 SEFADROXIL 500 CAPSUL Rp 450 0 0 Rp -
209 SEFADROXIL SYIRUP KERING Rp 4,185 0 0 Rp -
210 SERUM ANTI TETANUS 1500 UI Rp 140,188 0 0 Rp -
211 SERUM ANTI TETANUS 20,000 UI Rp - 0 0 Rp -
212 SIANOKOBALAMIN HCL/B12 INJ. Rp 968 65 65 0 65 Rp 62,920
213 SIANOKOBALAMIN HCL/B12 TAB Rp 43 0 0 Rp -
214 SIMVASTATIN 10 Mg Rp 68 0 0 Rp -
215 SIMVASTATIN 20 Mg Rp 151 0 0 Rp -
216 SPIROLACTONE 100 MG TAB 0 0 Rp -
217 SULFASETAMID Na TM 0,5 % Rp 2,933 0 0 Rp -
218 TAB.TAMBAH DARAH Rp 226 0 0 Rp -
219 TETRACAIN TTS MATA Rp 11,500 0 0 Rp -
220 TETRACYCLIN HCL 250 mg Rp 149 0 0 Rp -
221 TETRACYCLIN HCL 500 mg Rp 792 0 0 Rp -
222 THIAMIN HCL ( B1 ) 50 MG Rp 212 0 0 Rp -
223 THIAMIN HCL ( B1 ) INJEKSI Rp 1,139 0 0 Rp -
224 THIAMPHENICOL 500 MG Rp 2,110 0 0 Rp -
225 THIAMPHENICOL SIRUP Rp 12,980 0 0 Rp -
226 TRAMADOL 150 mg Rp 172 0 0 Rp -
227 TRAMADOL INJEKSI Rp 1,764 0 0 Rp -
228 VIT.B.COMPLEX INJEKSI Rp 6,600 0 0 Rp -
0 0 Rp -
0 0 Rp -
229 VIT.B.COMPLEX TAB Rp 57 0 0 Rp -
230 ZINK 20 MG TAB Rp 524 0 0 Rp -
231 ZINKID SIRUP Rp 2,489 0 0 Rp -
232 ZINKID DROP Rp 5,097 0 0 Rp -
233 KOTRIMOXAZOLE 96 MG Rp 325 0 0 Rp -
234 SELCOM C Rp 2,091 0 0 Rp -
235 STIMUNO KAPSUL @30 Rp 1,763 0 0 Rp -
0 0 Rp -
NARKOTIK / PSOKOTROPIKA / OOT 0 0 Rp -
236 ALPRAZOLAM 0,25 MG Rp 336 0 0 Rp -
237 ALPRAZOLAM 0,5 MG Rp 500 0 0 Rp -
238 AMITRIPTILIN 25 MG Rp 167 0 0 Rp -
239 CLOBAZAM 10 MG Rp 900 0 0 Rp -
240 CODEIN 10 MG Rp 600 0 0 Rp -
241 DIAZEPAM /STESOLID RECTAL Rp 12,573 0 0 Rp -
242 DIAZEPAM 2 mg Rp 70 0 0 Rp -
243 DIAZEPAM 5 mg Rp 108 0 0 Rp -
244 DIAZEPAM INJEKSI Rp 1,735 0 0 Rp -
245 FENITOIN INJ. Rp 4,956 0 0 Rp -
246 FENITOIN 30 MG Rp 496 0 0 Rp -
247 FENOBARBITAL INJ. Rp 1,716 0 0 Rp -
248 FENOBARBITAL 100 MG 0 0 Rp -
249 FENOBARBITAL 30 MG Rp 182 0 0 Rp -
250 HALOPERIDOL INJEKSI Rp 1,190 0 0 Rp -
251 HALOPERIDOL 1,5 mg Rp 51 0 0 Rp -
252 HALOPERIDOL 2 mg / LODOMER Rp 90 0 0 Rp -
253 HALOPERIDOL 5 mg Rp 1,190 0 0 Rp -
254 KLORPROMAZIN 100mg Rp 518 0 0 Rp -
255 KLORPROMAZIN 25mg Rp 181 0 0 Rp -
256 KLORPROMAZIN INJ. Rp 1,326 0 0 Rp -
257 SIKZONOATE INJ. Rp 63,986 0 0 Rp -
258 TRIFLUOPERAZIN 5 MG Rp 405 0 0 Rp -
259 TRIHEXYPENIDIL 2 mg Rp 63 0 0 Rp -
0 0 Rp -
BMHP 0 0 Rp -
1 ALAT SUNTIK 0,05 ML Rp 1,850 0 0 Rp -
3 ALAT SUNTIK 1 ML Rp 650 0 0 Rp -
4 ALAT SUNTIK 2,5 ML Rp 650 0 0 Rp -
5 ALAT SUNTIK 3 ML Rp 924 60 200 260 243 17 Rp 15,708
8 ALKOHOL SWAB Rp 120 150 300 450 300 150 Rp 18,000
9 AQUA PRO INJEKSI Rp 2,650 35 35 1 34 Rp 90,100
10 AQUADEST (Water One) 1 ltr Rp 14,080 0 0 Rp -
11 CAT GUT CROMIC + PLAIN Rp 58,275 24 24 1 23 ###
12 CAT GUT PLAIN Rp 60,051 0 0 Rp -
13 CYBOW Rp 133,488 0 0 Rp -
14 DERMAFIX 5X7 CM Rp 1,629 0 0 Rp -
15 ETAKRIDIN LAR (RIVANOL) 0,1% Rp 5,772 0 0 Rp -
16 ETANOL 70% 1 LTR Rp 27,500 1 1 0 1 Rp 27,500
17 ETANOL 70% 100 ML Rp 3,000 0 0 Rp -
18 ETHIL KLORIDA Rp 192,500 0 0 Rp -
19 FOLLEY CATETER NO 16 Rp 10,857 0 0 Rp -
HANDSCOEN 7-7,5 Rp 4,426 50 50 5 45 Rp 199,170
23 HAND SCOEN NON STERIL S/M/L Rp 1,394 50 50 50 0 Rp -
24 HAND SCRUB / SABUN Rp 88,000 0 0 Rp -
25 INFUS SET ANAK Rp 3,500 0 0 Rp -
INFUS SET DEWASA Rp 7,192 9 20 15
26 IV. CATHETER NO. 18 Rp 5,995 0 0 Rp -
27 IV. CATHETER NO. 20 Rp 8,800 5 5 5 0 Rp -
28 IV. CATHETER NO. 22 Rp 5,995 5 5 5 Rp -
30 KAPAS BERLEMAK 500 GR Rp 16,500 0 0 Rp -
31 KAPAS PEMBALUT 250 GR Rp 14,520 1 1 0 1 Rp 14,520
0 0 Rp -
32 KASA 2MX 80CM Rp 9,400 0 0 Rp -
33 KASA BESAR ( 80X40 ) Rp 113,916 0 0 Rp -
34 KASA 4 X 15 CM Rp 2,100 10 10 2 8 Rp 16,800
35 KASA 4 X 3 CM Rp 590 0 0 Rp -
36 KASA KOMPRES 40X40 Rp 1,600 30 30 3 27 Rp 43,200
37 KASA STERIL 16X16 CM Rp 8,000 7 7 1 6 Rp 48,000
38 LISOL 50 % Rp 40,700 0 0 Rp -
39 MASKER 3 PLY Rp 760 100 200 300 150 150 Rp 114,000
40 MASKER SUEGICAL 3 PLY Rp 344 0 0 Rp -
41 MASKER KAIN Rp 7,000 0 0 Rp -
42 PLESTER 2,5 CM X 4 M Rp 14,810 0 0 Rp -
43 PLESTER HIPAVIX Rp 32,190 2 2 0 2 Rp 64,380
44 PLESTER 5 YARD Rp 35,532 0 0 Rp -
45 PLESTER 7,5 CM X 4 M Rp 35,532 0 0 Rp -
46 POVIDON YODIDA 1 LITER Rp 104,000 0 0 Rp -
47 POVIDON YODIDA 1 LITER Rp 100,000 0 0 Rp -
48 POVIDON YODIDA 30 ML Rp 3,885 3 3 1 2 Rp 7,770
49 POVIDON YODIDA 300 ML Rp 25,530 0 0 Rp -
50 POVIDON YODIDA 60 mL Rp 3,700 0 0 Rp -
51 SILK BLACK 2/0-3/0 DS 24-26 MM Rp 46,620 12 12 24 3 21 Rp 979,020
52 STIK ASAM URAT BENECHECK Rp 6,043 0 0 Rp -
53 STIK GDA BENECHECK Rp 5,027 0 0 Rp -
54 STIK KOLESTEROL BENECHECK Rp 25,133 0 0 Rp -
55 UNDER PAD Rp 33,000 0 0 Rp -
56 URINE BAG Rp 6,540 8 8 1 7 Rp 45,780
57 ZEIL NELSON Rp 136,500 0 0 Rp -
58 MASKER OKSIGEN DWS Rp 9,850 0 0 Rp -
59 MASKER OKSIGEN DWS Rp 13,500 0 0 Rp -
60 PLESTER ISOFIX Rp 14,280 0 0 Rp -
61 PLESTER E CARE Rp 15,333 0 0 Rp -
62 SARUNG TANGAN SESIKU Rp 71,500 0 0 Rp -
63 ETANOL 70% 300 ML Rp 18,500 0 0 Rp -
64 PLESTER FIXOMUL 10 CM X 5 M Rp 90,000 0 0 Rp -
65 MASKER N95 Rp 74,250 0 0 Rp -
66 TEST KEHAMILAN 0 0 Rp -
67 NASAL CANULA DWS Rp 5,500 0 0 Rp -
68 RAPID TEST ANTIGEN Rp 38,525 0 0 Rp -
0 0 Rp -
VAKSIN 0 0 Rp -
1 CAMPAK (BIAS) Rp 155,000 0 0 Rp -
2 CAMPAK MR Rp 152,600 0 0 Rp -
3 VAKSIN BCG Rp 97,780 0 0 Rp -
4 VAKSIN DPT-HB-Hib Rp 85,102 0 0 Rp -
5 VAKSIN DT BIAS Rp 19,195 0 0 Rp -
6 VAKSIN HB UNIJEECT Rp 23,490 0 0 Rp -
7 VAKSIN IPV Rp 169,653 0 0 Rp -
8 VAKSIN POLIO Rp 19,540 0 0 Rp -
9 VAKSIN Td BIAS Rp 16,995 0 0 Rp -
10 VAKSIN TT Rp 150,000 0 0 Rp -
11 VAKSIN COVID 19 0 0 Rp -
13 VTM SWABB Rp 53,000 0 0 Rp -
14 RAPID TEST ANTIBODY Rp 62,727 0 0 Rp -
15 HPV 0 0 Rp -
16 PCV 0 0 Rp -
0 0 Rp -
PROGRAM : TB / HIV / PARU DLL
0 0 Rp -
1 ALKOHOL SWAB Rp 120 0 0 Rp -
2 EUTHYROX Rp 2,563 0 0 Rp -
3 HB S Ag ( VIRO CHECK ) Rp 3,245 0 0 Rp -
4 LATEX M SUPERCARE Rp 660 0 0 Rp -
5 MALATION GALLON 5LITER Rp 130,000 0 0 Rp -
6 MASKER 3 PLY ( PROGRAM TB ) Rp 706 0 0 Rp -
7 MDT DEWASA Rp 41,784 0 0 Rp -
8 MINERAL MIX Rp 2,981 0 0 Rp -
9 OBAT KATEGORI ANAK Rp 248,120 0 0 Rp -
10 OBAT KATEGORI I Rp - 0 0 Rp -
11 OBAT KATEGORI I DOSIS HARIAN Rp 402,688 0 0 Rp -
12 OBAT KATEGORI II Rp 1,384,983 0 0 Rp -
13 OBAT SISIPAN 0 0 Rp -
14 PLESTERIN BULAT Rp 35,000 0 0 Rp -
15 POT DAHAK / SAMPLE CONTAINER Rp 2,141 0 0 Rp -
16 R2 ( KHB) Rp 12,500 0 0 Rp -
17 R3 (DIAGNOSTAR HIV 1/2) Rp 13,353 0 0 Rp -
18 RAPIDAN Rp 54,040 0 0 Rp -
REAGEN HIV R 1 8,391 0 0 Rp -
0 0 Rp -
19 REAGEN HB S Ag/VIRO CHECK Rp 7,866 0 0 Rp -
20 REAGEN ZEIL NELSON Rp 176,760 0 0 Rp -
21 SD HIV Rp 90,000 0 0 Rp -
22 SD SYPHILIS Rp 8,092 Rp -
SYPHILIS COMBO Rp 17,498 Rp -
23 SAFETY BOX Rp 22,433 Rp -
24 TABUNG EDTA 0 0 Rp -
25 BD VACUNTAINER 0 0 Rp -
26 VIT C 500 MG 0 0 Rp -
27 APRON LENGAN PANJANG 0 0 Rp -
0 0 Rp -
OBAT KAPITASI 0 0 Rp -
3 AMBROXOL 30 MG Rp 139 0 0 Rp -
4 AMBROXOL DROP Rp 29,370 0 0 Rp -
5 AMBROXOL SYR Rp 4,200 0 0 Rp -
8 ANTALGIN INJEKSI Rp 2,789 76 50 126 15 111 Rp 309,579
9 ANTALGIN / METAMIZOL 500 MG Rp 323 0 0 Rp -
11 ASAM TRANEXAMAT INJEKSI Rp 2,076 3 3 0 3 Rp 6,228
12 ASIKLOVIR 200 Mg Rp 240 0 0 Rp -
13 ASIKLOVIR 400 Mg Rp 108 0 0 Rp -
14 ASIKLOVIR CREAM Rp 5,206 0 0 Rp -
15 BETAHISTIN MESILAT 6 MG Rp 89 0 0 Rp -
17 BRICASMA NEB Rp 7,602 0 0 Rp -
18 CAPTOPRIL 12,5 Mg Rp 62 0 0 Rp -
19 CAPTOPRIL 25 Mg Rp 158 0 0 Rp -
21 CALORTUSIN Rp 522 0 0 Rp -
22 CEFOTAKSIM 1 G INJEKSI 10 10 0 10 Rp -
24 CETERIZINE SIRUP Rp 2,915 0 0 Rp -
25 CITICOLIN INJK Rp 19,551 0 0 Rp -
26 CITICOLIN TAB Rp 7,000 0 0 Rp -
27 COMBIVEN NEBULAZER Rp 29,940 0 0 Rp -
28 CYSTONE/ UROLITAS Rp 4,137 0 0 Rp -
29 DEMACOLIN / ANTI INFLUENZA TABLET Rp 1,146 0 0 Rp -
30 DEXAMETHASONE 0,5 TAB Rp 123 0 0 Rp -
31 GENTIAN VIOLET Rp 5,092 0 0 Rp -
32 GLIBENCLAMIDE 5Mg Rp 119 0 0 Rp -
33 GLICERYL GUAIACOLAT Rp 373 0 0 Rp -
0 0 Rp -
0 0 Rp -
34 GLUKOSA 40% INFUS Rp 20,162 0 0 Rp -
35 GUAIFENICIN TAB Rp 152 0 0 Rp -
36 HEPAGARD ( NATURAL HEPATOPROTEKTORp 5,751 0 0 Rp -
37 HIDROCORTISONE CREAM 2,5% Rp 2,640 0 0 Rp -
38 IBU PROFEN 200 MG Rp 431 0 0 Rp -
39 IBU PROFEN 200 MG / FARSIVEN Rp 261 0 0 Rp -
40 IBU PROFEN 400 Mg Rp 364 0 0 Rp -
41 KLINDAMISIN KAPS 300 MG Rp 1,277 0 0 Rp -
42 KLINDAMISIN KAPS I50 MG Rp 715 0 0 Rp -
43 KLORAMPHENICOL 250 MG KAPSUL Rp 310 0 0 Rp -
44 KLORAMPHENICOL 500 MG KAPSUL Rp 1,163 0 0 Rp -
45 KLORAMPHENICOL INJEKSI Rp 22,157 0 0 Rp -
46 KLORAMPHENICOL SK/ BUFACETIN TUBE Rp 3,242 0 0 Rp -
48 KLORAMPHENICOL TM 0,5 % (RECO) Rp 13,658 0 0 Rp -
49 KLORAMPHENICOL TT 3% Rp 13,658 0 0 Rp -
50 KLORPHENIRAMIN MALEAT 4 MG Rp 23 0 0 Rp -
51 LACTO B Rp 22,330 0 0 Rp -
52 LOPERAMID 2 MG/LEXADIUM Rp 225 0 0 Rp -
53 METILPREDNISOLON 4 MG Rp 102 0 0 Rp -
54 METILPREDNISOLON INJ Rp 12,090 0 0 Rp -
55 METOCLOPRAMEDE/ SOTATIK INJEKSI Rp 1,110 0 0 Rp -
56 METOKLOPRAMIDE/GAVISTAL DROP Rp 39,000 0 0 Rp -
57 METRONIDAZOLE 500 Mg Rp 829 0 0 Rp -
58 NEW ANTIDES (ATTAPULGITE) Rp 250 0 0 Rp -
59 NIFEDIPIN TAB Rp 213 0 0 Rp -
60 NORAGES / ANTRAIN/ PROGESOL INJEKSI Rp 3,509 0 0 Rp -
61 OMEPRAZOLE 20 MG 0 0 Rp -
62 ONDANCETRON INJ Rp 3,000 8 15 23 5 18 Rp 54,000
63 ONDANCETRON INJ Rp 881 0 0 Rp -
64 PARASETAMOL 500 mg Rp 337 0 0 Rp -
65 PARASETAMOL SUPP (PROPYRETIC) Rp 667 0 0 Rp -
66 PHENZACOL TAB Rp 605 0 0 Rp -
67 PIRACETAM 400 MG Rp 849 0 0 Rp -
0 0 Rp -
69 PIRACETAM INJEKSI Rp 10,436 0 0 Rp -
70 PIRIDOXIN 10 MG Rp 131 0 0 Rp -
73 PULMICORT Rp 14,131 0 0 Rp -
74 PROVINAS 400 mg Rp 364 0 0 Rp -
76 RANITIDIN 150 mg Rp 85 0 0 Rp -
77 RANITIDIN INJEKSI Rp 814 0 0 Rp -
80 SALBUTAMOL/VENTOLIN NEBULESER Rp 6,600 0 0 Rp -
81 SALEP 2-4 Rp 2,796 0 0 Rp -
84 SEDIAAN ANTI INFLUENZA Rp 869 0 0 Rp -
87 SEFADROXIL SYIRUP KERING Rp 4,185 0 0 Rp -
88 SERUM ANTI TETANUS 1500 UITETAGAM I Rp 130,999 0 0 Rp -
89 SIANOKOBALAMIN HCL/B12 INJ. Rp 1,098 0 0 Rp -
90 SIKSONOAT INJ Rp 63,986 0 0 Rp -
91 SIMVASTATIN 10 Mg Rp 3,510 0 0 Rp -
92 VENTOLIN NEB Rp 17,161 0 0 Rp -
0 0 Rp -
BHP KAPITASI 0 0 Rp -
4 ALKOHOL 70 % 1 LITER Rp 25,004 0 0 Rp -
5 ALKOHOL 70 % 1 LITER Rp 27,500 0 0 Rp -
6 ALKOHOL SWAB Rp 12,000 0 0 Rp -
7 ALKOHOL SWAB Rp 9,000 0 0 Rp -
8 AQUA PRO INJEKSI Rp 2,860 0 0 Rp -
9 BLOOD LANCET Rp 14,000 0 0 Rp -
10 BLOOD TRANFUSION SET Rp 4,200 0 0 Rp -
11 BLUE TIPS Rp 236,600 0 0 Rp -
CATGUT CHROMIC 2/0- 3/0 HR 24-26
12 Rp 6,985
MM 0 0 Rp -
CATGUT CHROMIC 2/0- 3/0 DS 24-26
13 Rp 6,985
MM 0 0 Rp -
14 COVER GLASS Rp 7,920 0 0 Rp -
15 CYBOW (URINE TEST) Rp 139,948 0 0 Rp -
16 ETHYL KLORIDA Rp 230,810 0 0 Rp -
17 FIXOMUL Rp 90,000 0 0 Rp -
20 GEL ULTRASONIC Rp 16,000 0 0 Rp -
21 GELANG PASIEN/ID BAND BLUE/PINK Rp 11,302 0 0 Rp -
22 GLUCO PROTEIN URINE TEST Rp 1,045 0 0 Rp -
23 HAND RUB 5 L Rp 969,980 0 0 Rp -
24 HAND RUB 5 L Rp 395,000 0 0 Rp -
25 HAND RUB 500 ML Rp 67,500 0 0 Rp -
26 HAND SCRUB 500 ML Rp 45,000 0 0 Rp -
27 HAND SCOEN (PP) Rp 4,180 0 0 Rp -
28 HAND SCOEN Non Steril S,M, L free pwdr Rp 1,350
100 100 0 100 Rp 135,000
0 0 Rp -
29 HYPAFIX / ULTRAVIX 2,5X5 0 0 Rp -
30 INFUS SET ANAK Rp 9,000 0 0 Rp -
31 INFUS SET DEWASA Rp 7,128 0 0 Rp -
32 IV. CATHETER NO 24 Rp 10,395 0 0 Rp -
33 JARUM NOVODISK/INSULIN Rp 2,083 0 0 Rp -
34 JELLY /CATHEJELL LIDOCAIN Rp 41,600 0 0 Rp -
35 KASA KOMPRES 40X40 Rp 1,600 0 0 Rp -
36 KASA STERIL 16 X 16 Rp 6,764 0 0 Rp -
37 LEVEMIR FLEXPEN Rp 83,950 0 0 Rp -
38 LISOL Rp 1,939 0 0 Rp -
39 MASKER 3 PLY / BEDAH Rp 1,500 0 0 Rp -
40 MASKER N95 Rp 74,250 0 0 Rp -
41 MASKER NEBUL DEWASA Rp 16,000 5 3 8 2 6 Rp 96,000
42 MASKER NEBUL ANAK Rp 19,470 5 5 0 5 Rp 97,350
43 MESS SCALPEL 11/15 Rp 1,320 10 10 1 9 Rp 11,880
44 MIKRO PIPET MTSP Rp 32,000 0 0 Rp -
45 MIKROPIPET MT 11 Rp 32,000 0 0 Rp -
46 NOVO MIX FLEXPEN 100 UI/ML INJ 3 ML Rp 106,000 0 0 Rp -
47 NOVO RAPID FLEXPEN Rp 87,000 0 0 Rp -
48 OBJEK GLASS FROSTED Rp 2,225 0 0 Rp -
49 PERHIDROL /H2O2 3 % Rp 19,800 0 0 Rp -
50 SELANG OXYGEN / NEBULIZER ANAK Rp 5,500 1 1 0 1 Rp 5,500
51 SELANG OXYGEN MASKER DWS Rp 13,500 5 5 3 2 Rp 27,000
52 SELANG OXYGEN / NEBULIZER DEWASA Rp 5,500 7 7 1 6 Rp 33,000
53 SELANG OXYGEN MASKER ANAK Rp 13,500 2 2 4 0 4 Rp 54,000
54 SILK BLACK 2/0- 3/0 HR 26-30 MM Rp 19,700 0 0 Rp -
55 SILK BLACK 2/0- 3/0 HR 26-30 MM Rp 13,720 0 0 Rp -
56 SILK BLACK 2/0-3/0 DS 24-26 MM Rp 19,700 0 0 Rp -
57 STIK ASAM URAT BENECHECK Rp 150,000 0 0 Rp -
58 STIK GDA ON CALL Rp 4,650 0 0 Rp -
59 STIK GULA DARAH BENECHECK Rp 160,000 0 0 Rp -
60 STIK KOLESTEROL BENECHECK Rp 2,750,000 0 0 Rp -
61 TABUNG EDTA / VACCUM TUBE Rp 100,500 0 0 Rp -
62 TALI PUSAT STERIL-umbilical cord Rp 9,631 0 0 Rp -
0 0 Rp -
63 TEST KEHAMILAN Rp 2,331 0 0 Rp -
TEST TRIP CHOLESTEROL (EASY
64 Rp 338,910
TOUCH) 0 0 Rp -
65 TEST TRIP GLUKOSA (EASY TOUCH) Rp 176,660 0 0 Rp -
66 TEST TRIP URID ASID (EASY TOUCH) Rp 176,770 0 0 Rp -
67 TEST TRIP HB (EASY TOUCH) Rp 266,200 0 0 Rp -
68 UNDERPAD Rp 3,885 0 0 Rp -
69 URINE BAG Rp 5,850 0 0 Rp -
70 WHITE TIPS Rp 973 0 0 Rp -
71 YELLOW TIPS Rp 185,200 0 0 Rp -
72 LAURA URIN DEKHA Rp 865,800 0 0 Rp -
0 0 Rp -
REAGEN KAPITASI 0 0 Rp -
1 REAGEN DIASTRO CLEANER ABACUS 3 Rp 375,870 0 0 Rp -
2 REAGEN DILUENT ABACUS 3 Rp 1,978,350 0 0 Rp -
3 REAGEN FOTOMETER Rp 1,498,640 0 0 Rp -
4 REAGEN HEMATOLOGI Rp 501,160 0 0 Rp -
5 REAGEN LYSE ABACUS 3 Rp 1,912,350 0 0 Rp -
6 REAGEN SERUM KONTROL HEMATOLOGI Rp 418,000 0 0 Rp -
7 CBC 0 0 Rp -
0 0 Rp -
OBAT KAPITASI GIGI 0 0 Rp -
1 ALGINAT Rp 126,500 0 0 Rp -
2 CAVITON Rp 174,900 0 0 Rp -
3 COTTON ROLL Rp 62,700 0 0 Rp -
4 elite cement Rp 199,100 0 0 Rp -
5 EMAIL PREPARATOR BLUE Rp 120,228 0 0 Rp -
6 ETCHANT GEL VIAL 9 ML Rp 120,237 0 0 Rp -
7 EUGENOL Rp 120,000 0 0 Rp -
8 fg diamond mata bur high speed Rp 245,000 0 0 Rp -
9 GIC POSTERIOR Rp 908,600 0 0 Rp -
10 GUTTA PERCAPA NO 15-40 Rp 53,500 0 0 Rp -
11 GUTTA PERCAPA NO 45-80 Rp 53,500 0 0 Rp -
12 HYDCAL PASTE, BASE AND CATALIST Rp 135,000 0 0 Rp -
13 SALIVA EJECTOR Rp 67,000 0 0 Rp -
14 Z 350 XT A3B Rp 584,100 0 0 Rp -
15 Z 350 XT A2B Rp 584,100 0 0 Rp -
0 0 Rp -
GOLONGAN DARAH 0 0 Rp -
1 GOLONGAN DARAH A 0 0 Rp -
2 GOLONGAN DARAH B 0 0 Rp -
3 GOLONGAN DARAH AB 0 0 Rp -
4 GOLONGAN DARAH O 0 0 Rp -
5 FEBRILE ANTIGEN H - TYPH Rp 42,760 0 0 Rp -
6 FEBRILE ANTIGEN O - A TYPH Rp 42,760 0 0 Rp -
7 FEBRILE ANTIGEN O - B TYPH Rp 42,760 0 0 Rp -
8 FEBRILE ANTIGEN O - D TYPH Rp 42,760 0 0 Rp -
0 0 Rp -
BOK 0 0 Rp -
1 MASKER 3 PLY OM Rp 502 0 0 Rp -
2 MASKER 3 PLY SPMED 0 0 Rp -
3 HANDSCOEN 6,5 SPMED 0 0 Rp -
0 0 Rp -
0 0 Rp -
HIBAH BMHP 0 0 Rp -
1 APD LENGKAP SATU SET Rp 98,450 0 0 Rp -
2 APD SET Rp 841,000 0 0 Rp -
3 ALKOHOL SWABS 0 0 Rp -
4 BAJU OK Rp 520,000 0 0 Rp -
5 CLODINE 5 L 0 0 Rp -
6 DESINFEKTAN @ 20 LITER 0 0 Rp -
7 FACE SHIELD Rp 85,000 0 0 Rp -
8 HAND SANITIZER 0 0 Rp -
9 HAZMAT PUTIH Rp 55,000 0 0 Rp -
10 HAZMAT 0 0 Rp -
11 HELM SAFETY Rp 100,000 0 0 Rp -
12 KACAMATA GOOGLE Rp 31,500 0 0 Rp -
13 KRESEK LIMBAH 0 0 Rp -
14 MASKER ANTIDEBU/N95 Rp 74,250 0 0 Rp -
15 MASKER KAIN GERMAS/HEADLOOP/EARLOOP 0 0 Rp -
16 MASKER KAIN BERLOGO Rp 7,000 0 0 Rp -
17 MASKER BEDAH / 3 PLY Rp 3,500 0 0 Rp -
18 RAPID TEST 0 0 Rp -
19 SANOSIL 5 LITER 0 0 Rp -
20 SARUNG TANGAN DISPOSIBLE 0 0 Rp -
21 SARUNG TANGAN SESIKU 0 0 Rp -
22 SEPATU BOOTH 0 0 Rp -
23 SEPATU BOOTH Rp 175,000 0 0 Rp -
24 SPANDUK 0 0 Rp -
25 TERMOMETER GUN Rp 2,399,997 0 0 Rp -
26 VISOR(PELINDUNG WAJAH) 0 0 Rp -
27 POMPA DESINFEKTAN 0 0 Rp -
28 MASKER KN95 0 0 Rp -
29 NURSE CUP (PELINDUNG RAMBUT PINK) Rp 25,000 0 0 Rp -
30 SAFETY BOX Rp 14,500 0 0 Rp -
0 0 Rp -
31 SHOE COVER NON WOVEN 0 0 Rp -
32 TEMPAT SAMPAH INJAK 0 0 Rp -
33 MASKER FFP2 0 0 Rp -
34 LAP. MICROFIBER Rp 132,975 0 0 Rp -
35 HAND SCOEND NITRITE M Rp 1,188 0 0 Rp -
36 MASKE BEDAH ANAK SEKOLAH 0 0 Rp -
37 MASKER BEDAH COVID 0 0 Rp -
38 ALAT SUNTIK 0,5 ML COVID Rp 1,050 0 0 Rp -
39 ALKOHOL SWAB COVID Rp 79 0 0 Rp -
40 HAND SANITIZER PROTECT Rp 60,000 0 0 Rp -
41 KASA STERIL 16 X 16 Rp 8,000 0 0 Rp -
43 SENSI SABUN POMPA Rp 35,000 0 0 Rp -
44 SPREI LINEN Rp 227,273 0 0 Rp -
0 0 Rp -
HIBAH OBAT 0 0 Rp -
1 ALLOPURINOL 100 MG 0 0 Rp -
2 CITICOLIN INJ 0 0 Rp -
3 GLYCERIL GUAICOLAT 100 MG 0 0 Rp -
4 XEPAVIT KAPLET Rp 2,337 0 0 Rp -
5 NA. DICLOFENAC 25 MG 0 0 Rp -
0 0 Rp -
PROGRAM KB 0 0 Rp -
1 IUD 0 0 Rp -
2 Kondom Rp 90 0 0 Rp -
3 PIL KB Rp 210 0 0 Rp -
4 SPUIT 3CC KB Rp 990 0 0 Rp -
5 SUSUK 0 0 Rp -
6 SUNTIK KB Rp 4,800 0 0 Rp -
7 ONE CLEAN Rp 1,100 0 0 Rp -
0 0 Rp -
PROGRAM KB 0 0 Rp -
1 IUD KOPER T Rp 12,500 0 0 Rp -
2 SUSUK KB Rp 175,181 0 0 Rp -
3 ALKOHOL 1 L Rp - 0 0 Rp -
4 SARUNG TANGAN 7,5 Rp - 0 0 Rp -
5 LIDOCAIN INJ Rp - 0 0 Rp -
6 KASA STERIL 5 X 5 CM Rp - 0 0 Rp -
7 SPUIT 3 CC KB Rp - 0 0 Rp -
8 DOEX STERIL 25 X 30 CM Rp - 0 0 Rp -
0 0 Rp -
BF PROP/ PROGRAM TB 0 0 Rp -
1 SAFETY BOX (PCS) Rp 12,400 0 0 Rp -
2 KACA SLIDE (BOX) Rp 20,747 0 0 Rp -
3 POT DAHAK (PCS) Rp 2,141 0 0 Rp -
4 ZEIL NELSON (KIT) Rp 176,760 0 0 Rp -
5 KANTONG LIMBAH UK. L Rp 2,600 0 0 Rp -
6 KANTONG LIMBAH UK. M Rp 1,620 0 0 Rp -
0 0 Rp -
BF PROP/ PROGRAM KIA 0 0 Rp -
1 FITOMINADION INJ (AMP) Rp 1,386 0 0 Rp -
2 MgSO4 20% Rp 3,580 0 0 Rp -
3 MgSO4 40% Rp 4,090 0 0 Rp -
4 OKSITOCIN INJ (AMP) Rp 1,126 0 0 Rp -
5 AMPICILIN INJ (VIAL) Rp 8,237 0 0 Rp -
6 CA GLUCONAS 10% INJ (AMP) Rp 10,351 0 0 Rp -
0 0 Rp -
BF PROP OBAT 0 0 Rp -
1 ALBENDAZOLE TAB Rp 367 0 0 Rp -
2 ALBENDAZOLE 400 MG Rp 367 0 0 Rp -
3 PIRIDOXIN 25 MG Rp 222 0 0 Rp -
4 TAB. TAMBAH DARAH Rp 226 0 0 Rp -
5 VIT. A 200.000 IU MERAH Rp 11 0 0 Rp -
6 VIT. A 100.000 IU BIRU Rp 6 0 0 Rp -
7 ALBENDAZOLE SYR Rp 4,300 0 0 Rp -
8 AMLODIPIN 5 MG Rp 53 0 0 Rp -
10 METFORMIN 500 MG Rp 77 0 0 Rp -
11 LIDOCAIN INJ Rp 803 15 10 25 16 9 Rp 7,227
12 MgSO4 20% Rp 3,580 0 0 Rp -
13 MgSO4 40% Rp 4,090 0 0 Rp -
14 SIMVASTATIN 10 MG Rp 68 0 0 Rp -
15 VIT. B COMPLEX Rp 57 0 0 Rp -
16 ANTALGIN INJ 0 0 Rp -
17 LOPERAMID 2 MG/LEXADIUM 0 0 Rp -
18 CTM 4 MG Rp 24 0 0 Rp -
20 FITOMINADION INJ (AMP) Rp 3,450 0 0 Rp -
21 GARAM ORALIT Rp 280 0 0 Rp -
22 ZINK TABLET Rp 208 0 0 Rp -
24 LORATADIN10 MG Rp 109 0 0 Rp -
25 DIAZEPAM INJEKSI Rp 1,545 0 0 Rp -
26 ABATE 1 KG Rp 78,650 0 0 Rp -
27 RDT DBD COMBO Rp 453,550 0 0 Rp -
28 AMPICILLIN INJ Rp 8,617 0 0 Rp -
29 GENTAMICYN INJ Rp 16,928 0 0 Rp -
30 OKSITETRASIKLIN 1% SM Rp 3,532 0 0 Rp -
31 FENOBARBITAL INJ Rp 1,700 0 0 Rp -
32 PULMICORT NEB Rp 14,267 5 5 0 5 Rp 71,335
0 0 Rp -
0 0 Rp -
0 0 Rp -
0 0 Rp -
BF PROP BMHP 0 0 Rp -
2 KANTONG LIMBAH M Rp 1,620 0 0 Rp -
3 MASKER KN95 0 0 Rp -
4 MASKER N95 Rp 19,950 0 0 Rp -
5 MASKER N95 Rp 19,950 0 0 Rp -
6 APD BABUN Rp 98,450 0 0 Rp -
7 SAFETY BOX Rp 5,382 0 0 Rp -
8 SAFETY BOX Rp 14,129 2 2 4 2 2 Rp 28,258
9 HAND SANITIZER 1 L Rp 273,735 0 0 Rp -
10 DESINFECTANT 1 L Rp 195,300 0 0 Rp -
11 MASKER MEDIS Rp 1,980 0 0 Rp -
12 FORM SO TB RO Rp 2,600 0 0 Rp -
15 PLESTER ISOFIX 0 0 Rp -
16 PEHIDROL (H2O2) 3% 0 0 Rp -
18 IV. CATHETER NO. 18 0 0 Rp -
20 HBs Ag Test Trip Rp 7,120
21 HAZMAT Rp - 0 0 Rp -
22 LAP MIKROFIBER Rp 130,000 0 0 Rp -
JUMLAH Rp. ###
YANG MENYERAHKAN YANG MENERIMA/MEMINTA

PJ KEFARMASIAN
apt. YULIANIE ERITANIA S, S.Farm NUR LAILA HADIYANTI, A.Md.Kes

NIP. 19930701 202203 2 003 NIP. 19970702 202203 2 005
MENGETAHUI / MENYETUJUI
KEPALA PUSKESMAS
HERLIN HERAWATI, S. ST, M.Mkes

NIP. 19690125 198903 2 004
(LPLPO)
SUB UNIT : UGD LAPORAN LPLPO : APRIL
PUSKESMAS : BULANGAN HAJI PERMINTAAN OBAT : MEI
STOK PENERIMA PERSEDIA PEMAKAI SISA PERMINT PEMBERI

NO. NAMA OBAT harga / pcs RUPIAH
AWAL AN AN AN STOK AAN AN
Obat PKD
1 ACETYLSISTEINE 200 MG Rp 3,230 0 0 0 Rp -
2 ADALAT OROS/NIFEDIPIN 20 MG Rp 1,187 0 0 0 Rp -
3 ALBENDAZOLE 400 MG Rp 344 0 0 0 Rp -
4 ALBENDAZOLE SYIRUP Rp 3,849 0 0 0 Rp -
5 ALLOPURINOL 100 MG Rp 87 0 0 0 Rp -
7 AMBROXOL 30 MG Rp 139 0 0 0 Rp -
8 AMBROXOL DROP Rp 29,370 0 0 0 Rp -
9 AMBROXOL SYIRUP Rp 5,866 0 0 0 Rp -
10 AMINOFLUID CAIRAN Rp 67,500 0 0 0 Rp -
11 AMINOPHILLIN 200 mg Rp 205 0 0 0 Rp -
12 AMLODIPIN 5 Rp 53 0 0 0 Rp -
13 AMLODIPIN 10 MG Rp 99 0 0 0 Rp -
14 AMOXICILIN 1 GR INJEKSI Rp 9,000 0 0 0 Rp -
15 AMOXICILIN 125 mg SYIRUP Rp 2,600 0 0 0 Rp -
16 AMOXICILIN 250 mg Rp 196 0 0 0 Rp -
20 AMPICILIN 500 mg Rp 398 0 0 0 Rp -
21 AMPICILIN 1 GR INJEKSI Rp 8,600 0 0 0 Rp -
22 AMPICILIN SYIRUP Rp 4,900 0 0 0 Rp -
23 ANTALGIN 500 mg Rp 323 0 0 0 Rp -
0 0 0 Rp -
24 ANTALGIN / METAMIZOL INJEKSI Rp 3,500 0 0 0 Rp -
25 ANTASIDA DOEN TABLET Rp 54 0 0 0 Rp -
26 ANTASIDA DOEN SYIRUP Rp 1,694 0 0 0 Rp -
27 ANTI BACTERI DOEN SK Rp 2,924 0 0 0 Rp -
28 ANTI FUNGI SALEP Rp 3,509 0 0 0 Rp -
29 ANTI HAEMOROID SUPPOSITORIA Rp 3,250 0 0 0 Rp -
31 ASAM ASCORBAT 250 MG Rp 119 0 0 0 Rp -
34 ASAM MEFENAMAT 250 MG Rp 300 0 0 0 Rp -
36 ASAM TRANEXAMAT 500 MG Rp 1,584 0 0 0 Rp -
38 ASAM ASETIL SALISILAT 80 MG Rp 89 0 0 0 Rp -
39 ASETOSAL 500 mg Rp 200 0 0 0 Rp -
40 ASETOSAL 100 MG Rp 164 0 0 0 Rp -
41 ASIKLOVIR 200 mg Rp 240 0 0 0 Rp -
43 ASIKLOVIR SK Rp 2,997 0 0 0 Rp -
44 ASIKLOVIR SALEP MATA 3%(temiral) Rp 1,013 0 0 0 Rp -
46 BETAHISTIN MESILAT 6 mg Rp 110 0 0 0 Rp -
47 BETAMETHASONE CREAM Rp 1,450 0 0 0 Rp -
49 BRICASMA NEB Rp 7,602 0 0 0 Rp -
50 CALSIUM GLUCONAS INJEKSI Rp 10,351 0 0 0 Rp -
52 CAPTOPRIL 12,5 MG Rp 62 0 0 0 Rp -
53 CAPTOPRIL 25 MG Rp 75 0 0 0 Rp -
55 CEFOTAXIM 1 GR INJ Rp 4,482 0 0 0 Rp -
56 CETERIZINE 10 MG Rp 90 0 0 0 Rp -
57 CETERIZINE SYR Rp 2,090 0 0 0 Rp -
58 CIPROFLOXACIN 500 mg Rp 250 0 0 0 Rp -
59 COMBIVENT NEBULASER Rp 5,700 0 0 0 Rp -
0 0 0 Rp -
60 DEXAMETHASONE 0,5 TAB Rp 160 0 0 0 Rp -
62 DIETILKARBAMAZIN SITRAT 100 MG 0 0 0 Rp -
63 DIFENHIDRAMIN HCL INJ Rp 781 1 60 61 2 59 Rp 46,079
64 DIGOXIN 0,25 Rp 164 0 0 0 Rp -
65 DIMENHIDRINAT 50 MG Rp 108 0 0 0 Rp -
66 DOMPERIDONE 10 MG Rp 71 0 0 0 Rp -
67 DOMPERIDONE SUSPENSI Rp 2,700 0 0 0 Rp -
69 DOXICILIN 100 MG Rp 270 0 0 0 Rp -
70 DULCOLAX SUPP DEWASA Rp 4,325 0 0 0 Rp -
71 DULCOLAX SUPP ANAK Rp 5,085 0 0 0 Rp -
72 EPHEDRIN 25 mg Rp 500 0 0 0 Rp -
74 ERITROMICYN 250 MG Rp 583 0 0 0 Rp -
75 ERITROMICYN 500 MG Rp 1,000 0 0 0 Rp -
76 ERITROMICYN SYIRUP Rp 6,462 0 0 0 Rp -
77 FENOL GLISEROL TT 10% Rp 2,590 0 0 0 Rp -
78 FENOXIPENICILIN 250 MG Rp 290 0 0 0 Rp -
80 FITOMENADION 10 mg TAB Rp 748 0 0 0 Rp -
81 FITOMENADION INJEKSI Rp 3,450 0 0 0 Rp -
82 FUROSEMIDE 40 mg Rp 82 0 0 0 Rp -
83 FUROSEMIDE INJEKSI Rp 923 12 12 12 0 Rp -
84 GARAM ORALIT 200 Rp 274 0 0 0 Rp -
85 GEMFIBROZIL 300 MG Rp 372 0 0 0 Rp -
86 GENTAMICYN 80 MG INJ. Rp 3,399 0 0 0 Rp -
87 GENTAMICYN SK Rp 2,126 0 0 0 Rp -
88 GENTAMICYN TM Rp 4,520 0 0 0 Rp -
89 GENTIAN VIOLET 1 % Rp 818 0 0 0 Rp -
90 GLIBENCLAMIDE 5mg Rp 82 0 0 0 Rp -
91 GLIMEPIRIDE 1 MG Rp 93 0 0 0 Rp -
0 0 0 Rp -
95 GLISERIL GUAIACOLAT 100 mg Rp 260 0 0 0 Rp -
96 GLISERIN Rp 3,780 0 0 0 Rp -
98 GLUCOSE 10 % INFUS Rp 7,200 0 0 0 Rp -
100 GRISEOFULVIN 125 mg Rp 210 0 0 0 Rp -
102 HIDROCORTISONE 2,5% Rp 2,325 0 0 0 Rp -
103 HIDROKLORTIAZID (HCT) 25 mg Rp 148 0 0 0 Rp -
104 IBU PROFEN 200 MG Rp 102 0 0 0 Rp -
105 IBU PROFEN 400 Mg Rp 355 0 0 0 Rp -
106 IBU PROFEN SYR 100 MG Rp 2,236 0 0 0 Rp -
108 INFUS KA-EN 3 B Rp 11,500 0 0 0 Rp -
109 IODIOL CAP.LUNAK Rp 1,256 0 0 0 Rp -
110 ISOSORBID 5 MG Rp 87 0 0 0 Rp -
111 KALSIUM LACTAT 500 mg Rp 60 0 0 0 Rp -
112 KARBAMAZEPIN 200 mg Rp 228 0 0 0 Rp -
113 KETOKONAZOLE KRIM 2 % Rp 2,518 0 0 0 Rp -
114 KETOKONAZOLE 200 mg Rp 252 0 0 0 Rp -
115 KETOPROFEN 100 MG Rp 553 0 0 0 Rp -
116 KETOPROFEN INJ 100 MG Rp 8,000 0 0 0 Rp -
117 KETOROLAC INJEKSI Rp 1,045 0 0 0 Rp -
118 Rp 815 0 0 0 Rp -
119 KLORAMFENIKOL / CLORAMEX 500 Mg Rp 1,163 0 0 0 Rp -
120 KLORAMFENIKOL 250 mg Rp 310 0 0 0 Rp -
121 KLORAMPHENICOL SYIRUP Rp 5,015 0 0 0 Rp -
123 KLORAMPHENICOL INJ/CLORAMIDINE Rp 15,000 0 0 0 Rp -
124 KLORAMPHENICOL SK/ BUFACETIN Rp 3,296 0 0 0 Rp -
125 KLORAMPHENICOL SM Rp 2,007 0 0 0 Rp -
126 KLORAMPHENICOL TM 0,5 % Rp 9,600 0 0 0 Rp -
127 KLORAMPHENICOL TT 3% Rp 8,600 0 0 0 Rp -
128 KLORFENIRAMIN/ CTM 4 mg Rp 179 0 0 0 Rp -
129 KOTRIMOXAZOL 120 mg Rp 72 0 0 0 Rp -
0 0 0 Rp -
131 KOTRIMOXAZOLE SYIRUP Rp 2,100 0 0 0 Rp -
132 LIDOCAIN INJ /COMB 2 % Rp 847 0 0 0 Rp -
133 LODOMER INJ Rp 6,250 0 0 0 Rp -
134 LOPERAMID 2 MG/LEXADIUM Rp 77 0 0 0 Rp -
135 LORATADIN 10 MG Rp 109 0 0 0 Rp -
136 MAGNESIUM SULFAS SERBUK. Rp 1,027 0 0 0 Rp -
137 MAGNESIUM SULFAS INJ.20% Rp 3,580 0 0 0 Rp -
139 MEBENDAZOLE 100 MG Rp 57 0 0 0 Rp -
140 MEBENDAZOLE SIRUP Rp 2,700 0 0 0 Rp -
141 MECOBALAMIN 500 MG 0 0 0 Rp -
142 METFORMIN 500 mg Rp 77 0 0 0 Rp -
144 METHIL ERGOMETRIN 0,125 TAB Rp 214 0 0 0 Rp -
145 METIL ERGOMETRIN INJEKSI 1,023 0 0 0 Rp -
146 METILPREDNISOLON 4 MG Rp 102 0 0 0 Rp -
147 METOKLORPAMIDE 10 MG Rp 66 0 0 0 Rp -
149 METOKLORPAMIDE DROP Rp 3,900 0 0 0 Rp -
151 METOKLORPAMIDE/LEXAPRAM SYIRUP Rp 2,530 0 0 0 Rp -
152 METRONIDAZOLE SYIRUP Rp 3,765 0 0 0 Rp -
153 METRONIDAZOLE 500 mg Rp 248 0 0 0 Rp -
154 METRONIDAZOLE INFUS Rp 8,110 0 0 0 Rp -
155 Na Cl INFUS Rp 6,800 27 27 2 25 Rp 170,000
156 NA. BIC 500 MG Rp 500 0 0 0 Rp -
157 NA.DIKLOFENAC 25 mg Rp 511 0 0 0 Rp -
158 NIFEDIPIN 10 Mg Rp 175 0 0 0 Rp -
159 NISTATIN VAG. 100.000 IU Rp 550 0 0 0 Rp -
0 0 0 Rp -
160 NISTATIN/ KANDISTATIN DROP Rp 54,500 0 0 0 Rp -
161 OBAT BATUK HITAM SYIRUP Rp 5,566 0 0 0 Rp -
162 OCUGARD Rp 5,927 0 0 0 Rp -
163 OFLOXACIN 200 mg Rp 348 0 0 0 Rp -
164 OFLOXACIN 400 MG Rp 553 0 0 0 Rp -
165 OMEPRAZOLE 20 mg Rp 139 0 0 0 Rp -
166 OMEPRAZOLE INJ Rp 5,093 0 0 0 Rp -
167 OXITETRA INJEKSI Rp 6,160 0 0 0 Rp -
168 OXITETRA SK Rp 1,529 0 0 0 Rp -
169 OXITETRA SM Rp 3,500 0 0 0 Rp -
170 OXITOCIN INJ Rp 1,126 0 0 0 Rp -
171 PAPAVERIN INJEKSI Rp 10,000 0 0 0 Rp -
172 PARASETAMOL 100 MG Rp 290 0 0 0 Rp -
173 PARASETAMOL 500 mg Rp 245 0 0 0 Rp -
174 PARASETAMOL DROP Rp 6,649 0 0 0 Rp -
175 PARASETAMOL SIRUP Rp 1,161 0 0 0 Rp -
176 PARASETAMOL/PROPYRETIC SUPP Rp 8,000 0 0 0 Rp -
177 PENILBUTAZON 200 MG Rp 100 0 0 0 Rp -
178 PIRACETAM 400 MG Rp 1,140 0 0 0 Rp -
180 PIRACETAM INJEKSI Rp 6,600 0 0 0 Rp -
181 PIRANTEL 125 MG Rp 304 0 0 0 Rp -
182 PIRANTEL SIRUP Rp 9,510 0 0 0 Rp -
183 PIRIDOXIN HCl 10 mg TAB Rp 67 0 0 0 Rp -
186 PIROKSIKAM 10 MG Rp 300 0 0 0 Rp -
188 PPC INJEKSI Rp 7,190 0 0 0 Rp -
189 PREDNISON TAB Rp 68 0 0 0 Rp -
190 PROPANOLOL HCL 10 MG Rp 74 0 0 0 Rp -
191 PROPANOLOL HCl 40 mg Rp 81 0 0 0 Rp -
192 PTU 100 mg Rp 389 0 0 0 Rp -
193 PULMICORT 0,5 MG NEBULESER Rp 14,267 19 40 59 7 52 Rp 741,884
0 0 0 Rp -
194 RANITIDIN 150 mg Rp 85 0 0 0 Rp -
195 RANITIDIN INJEKSI Rp 1,188 0 0 0 Rp -
196 RETINOL 100.000 IU Rp 307 0 0 0 Rp -
197 RETINOL 200.000 IU Rp 414 0 0 0 Rp -
198 RIFAMPICIN 450 mg Rp 790 0 0 0 Rp -
199 RINGER LACTAT INFUS Rp 7,630 17 60 77 21 56 Rp 427,280
200 SABU I Rp 517,132 0 0 0 Rp -
201 SALBUTAMOL 2 mg Rp 48 0 0 0 Rp -
203 SALBUTAMOL/ VENTOLIN NEBULASER Rp 9,000 0 0 0 Rp -
204 SALEP 2-4 Rp 2,333 0 0 0 Rp -
205 SALICYL BEDAK 2% Rp 1,250 0 0 0 Rp -
207 SCABIMITE CREAM Rp 11,250 0 0 0 Rp -
208 SEFADROXIL 500 CAPSUL Rp 450 0 0 0 Rp -
209 SEFADROXIL SYIRUP KERING Rp 4,185 0 0 0 Rp -
210 SERUM ANTI TETANUS 1500 UI Rp 140,188 0 0 0 Rp -
211 SERUM ANTI TETANUS 20,000 UI Rp - 0 0 0 Rp -
213 SIANOKOBALAMIN HCL/B12 TAB Rp 43 0 0 0 Rp -
214 SIMVASTATIN 10 Mg Rp 68 0 0 0 Rp -
216 SPIROLACTONE 100 MG TAB 0 0 0 Rp -
217 SULFASETAMID Na TM 0,5 % Rp 2,933 0 0 0 Rp -
218 TAB.TAMBAH DARAH Rp 226 0 0 0 Rp -
219 TETRACAIN TTS MATA Rp 11,500 0 0 0 Rp -
220 TETRACYCLIN HCL 250 mg Rp 149 0 0 0 Rp -
222 THIAMIN HCL ( B1 ) 50 MG Rp 212 0 0 0 Rp -
223 THIAMIN HCL ( B1 ) INJEKSI Rp 1,139 0 0 0 Rp -
224 THIAMPHENICOL 500 MG Rp 2,110 0 0 0 Rp -
225 THIAMPHENICOL SIRUP Rp 12,980 0 0 0 Rp -
226 TRAMADOL 150 mg Rp 172 0 0 0 Rp -
227 TRAMADOL INJEKSI Rp 1,764 0 0 0 Rp -
228 VIT.B.COMPLEX INJEKSI Rp 6,600 0 0 0 Rp -
0 0 0 Rp -
0 0 0 Rp -
229 VIT.B.COMPLEX TAB Rp 57 0 0 0 Rp -
230 ZINK 20 MG TAB Rp 524 0 0 0 Rp -
231 ZINKID SIRUP Rp 2,489 0 0 0 Rp -
232 ZINKID DROP Rp 5,097 0 0 0 Rp -
233 KOTRIMOXAZOLE 96 MG Rp 325 0 0 0 Rp -
234 SELCOM C Rp 2,091 0 0 0 Rp -
235 STIMUNO KAPSUL @30 Rp 1,763 0 0 0 Rp -
0 0 0 Rp -
NARKOTIK / PSOKOTROPIKA / OOT 0 0 0 Rp -
236 ALPRAZOLAM 0,25 MG Rp 336 0 0 0 Rp -
238 AMITRIPTILIN 25 MG Rp 167 0 0 0 Rp -
239 CLOBAZAM 10 MG Rp 900 0 0 0 Rp -
240 CODEIN 10 MG Rp 600 0 0 0 Rp -
241 DIAZEPAM /STESOLID RECTAL Rp 12,573 0 0 0 Rp -
242 DIAZEPAM 2 mg Rp 70 0 0 0 Rp -
244 DIAZEPAM INJEKSI Rp 1,735 0 0 0 Rp -
245 FENITOIN INJ. Rp 4,956 0 0 0 Rp -
246 FENITOIN 30 MG Rp 496 0 0 0 Rp -
247 FENOBARBITAL INJ. Rp 1,716 0 0 0 Rp -
248 FENOBARBITAL 100 MG 0 0 0 Rp -
249 FENOBARBITAL 30 MG Rp 182 0 0 0 Rp -
250 HALOPERIDOL INJEKSI Rp 1,190 0 0 0 Rp -
251 HALOPERIDOL 1,5 mg Rp 51 0 0 0 Rp -
252 HALOPERIDOL 2 mg / LODOMER Rp 90 0 0 0 Rp -
253 HALOPERIDOL 5 mg Rp 1,190 0 0 0 Rp -
254 KLORPROMAZIN 100mg Rp 518 0 0 0 Rp -
256 KLORPROMAZIN INJ. Rp 1,326 0 0 0 Rp -
257 SIKZONOATE INJ. Rp 63,986 0 0 0 Rp -
258 TRIFLUOPERAZIN 5 MG Rp 405 0 0 0 Rp -
259 TRIHEXYPENIDIL 2 mg Rp 63 0 0 0 Rp -
0 0 0 Rp -
BMHP 0 0 0 Rp -
1 ALAT SUNTIK 0,05 ML Rp 1,850 0 0 0 Rp -
3 ALAT SUNTIK 1 ML Rp 650 0 0 0 Rp -
4 ALAT SUNTIK 2,5 ML Rp 650 0 0 0 Rp -
5 ALAT SUNTIK 3 ML Rp 924 17 17 7 10 Rp 9,240
8 ALKOHOL SWAB Rp 120 150 150 100 50 Rp 6,000
9 AQUA PRO INJEKSI Rp 2,650 34 34 34 Rp -
10 AQUADEST (Water One) 1 ltr Rp 14,080 0 0 0 Rp -
12 CAT GUT PLAIN Rp 60,051 0 0 0 Rp -
13 CYBOW Rp 133,488 0 0 0 Rp -
14 DERMAFIX 5X7 CM Rp 1,629 0 0 0 Rp -
15 ETAKRIDIN LAR (RIVANOL) 0,1% Rp 5,772 0 0 0 Rp -
16 ETANOL 70% 1 LTR Rp 27,500 1 1 0 1 Rp 27,500
17 ETANOL 70% 100 ML Rp 3,000 0 0 0 Rp -
18 ETHIL KLORIDA Rp 192,500 0 1 1 0 1 Rp 192,500
19 FOLLEY CATETER NO 16 Rp 10,857 0 0 0 Rp -
HANDSCOEN 7-7,5 Rp 4,426 45 50 95 79 16 Rp 70,816
HAND SCOEN MEDI EXAM GLOVE
1,394
STERIL M STERIL 0 100 100 96 4
23 HAND SCOEN NON STERIL S/M/L Rp 1,394 0 0 0 Rp -
24 HAND SCRUB / SABUN Rp 88,000 0 0 0 Rp -
25 INFUS SET ANAK Rp 3,500 0 0 0 Rp -
INFUS SET DEWASA Rp 7,192 15 15 15 0
28 IV. CATHETER NO. 22 Rp 5,995 0 47 47 10 37 Rp 221,815
30 KAPAS BERLEMAK 500 GR Rp 16,500 0 0 0 Rp -
0 0 0 Rp -
32 KASA 2MX 80CM Rp 9,400 0 0 0 Rp -
33 KASA BESAR ( 80X40 ) Rp 113,916 0 0 0 Rp -
34 KASA 4 X 15 CM Rp 2,100 8 8 4 4 Rp 8,400
35 KASA 4 X 3 CM Rp 590 0 0 0 Rp -
37 KASA STERIL 16X16 CM Rp 8,000 6 10 16 6 10 Rp 80,000
38 LISOL 50 % Rp 40,700 0 0 0 Rp -
39 MASKER 3 PLY Rp 760 150 100 250 150 100 Rp 76,000
40 MASKER SUEGICAL 3 PLY Rp 344 0 0 0 Rp -
41 MASKER KAIN Rp 7,000 0 0 0 Rp -
42 PLESTER 2,5 CM X 4 M Rp 14,810 0 0 0 Rp -
43 PLESTER HIPAVIX Rp 32,190 2 2 2 0 Rp -
44 PLESTER 5 YARD Rp 35,532 0 0 0 Rp -
46 POVIDON YODIDA 1 LITER Rp 104,000 0 0 0 Rp -
49 POVIDON YODIDA 300 ML Rp 25,530 0 0 0 Rp -
50 POVIDON YODIDA 60 mL Rp 3,700 0 0 0 Rp -
51 SILK BLACK 2/0-3/0 DS 24-26 MM Rp 46,620 21 21 3 18 Rp 839,160
52 STIK ASAM URAT BENECHECK Rp 6,043 0 0 0 Rp -
53 STIK GDA BENECHECK Rp 5,027 0 0 0 Rp -
54 STIK KOLESTEROL BENECHECK Rp 25,133 0 0 0 Rp -
55 UNDER PAD Rp 33,000 0 15 15 5 10 Rp 330,000
56 URINE BAG Rp 6,540 7 7 0 7 Rp 45,780
57 ZEIL NELSON Rp 136,500 0 0 0 Rp -
58 MASKER OKSIGEN DWS Rp 9,850 0 0 0 Rp -
60 PLESTER ISOFIX Rp 14,280 0 0 0 Rp -
61 PLESTER E CARE Rp 15,333 0 0 0 Rp -
62 SARUNG TANGAN SESIKU Rp 71,500 0 0 0 Rp -
63 ETANOL 70% 300 ML Rp 18,500 0 0 0 Rp -
64 PLESTER FIXOMUL 10 CM X 5 M Rp 90,000 0 0 0 Rp -
65 MASKER N95 Rp 74,250 0 0 0 Rp -
66 TEST KEHAMILAN 0 0 0 Rp -
67 NASAL CANULA DWS Rp 5,500 0 0 0 Rp -
68 RAPID TEST ANTIGEN Rp 38,525 0 0 0 Rp -
0 0 0 Rp -
VAKSIN 0 0 0 Rp -
1 CAMPAK (BIAS) Rp 155,000 0 0 0 Rp -
2 CAMPAK MR Rp 152,600 0 0 0 Rp -
3 VAKSIN BCG Rp 97,780 0 0 0 Rp -
4 VAKSIN DPT-HB-Hib Rp 85,102 0 0 0 Rp -
5 VAKSIN DT BIAS Rp 19,195 0 0 0 Rp -
6 VAKSIN HB UNIJEECT Rp 23,490 0 0 0 Rp -
7 VAKSIN IPV Rp 169,653 0 0 0 Rp -
8 VAKSIN POLIO Rp 19,540 0 0 0 Rp -
9 VAKSIN Td BIAS Rp 16,995 0 0 0 Rp -
10 VAKSIN TT Rp 150,000 0 0 0 Rp -
11 VAKSIN COVID 19 0 0 0 Rp -
13 VTM SWABB Rp 53,000 0 0 0 Rp -
14 RAPID TEST ANTIBODY Rp 62,727 0 0 0 Rp -
15 HPV 0 0 0 Rp -
16 PCV 0 0 0 Rp -
0 0 0 Rp -
0 0 0 Rp -
1 ALKOHOL SWAB Rp 120 0 0 0 Rp -
2 EUTHYROX Rp 2,563 0 0 0 Rp -
3 HB S Ag ( VIRO CHECK ) Rp 3,245 0 0 0 Rp -
4 LATEX M SUPERCARE Rp 660 0 0 0 Rp -
5 MALATION GALLON 5LITER Rp 130,000 0 0 0 Rp -
6 MASKER 3 PLY ( PROGRAM TB ) Rp 706 0 0 0 Rp -
7 MDT DEWASA Rp 41,784 0 0 0 Rp -
8 MINERAL MIX Rp 2,981 0 0 0 Rp -
9 OBAT KATEGORI ANAK Rp 248,120 0 0 0 Rp -
10 OBAT KATEGORI I Rp - 0 0 0 Rp -
11 OBAT KATEGORI I DOSIS HARIAN Rp 402,688 0 0 0 Rp -
12 OBAT KATEGORI II Rp 1,384,983 0 0 0 Rp -
13 OBAT SISIPAN 0 0 0 Rp -
14 PLESTERIN BULAT Rp 35,000 0 0 0 Rp -
15 POT DAHAK / SAMPLE CONTAINER Rp 2,141 0 0 0 Rp -
16 R2 ( KHB) Rp 12,500 0 0 0 Rp -
17 R3 (DIAGNOSTAR HIV 1/2) Rp 13,353 0 0 0 Rp -
18 RAPIDAN Rp 54,040 0 0 0 Rp -
REAGEN HIV R 1 8,391 0 0 0 Rp -
0 0 0 Rp -
19 REAGEN HB S Ag/VIRO CHECK Rp 7,866 0 0 0 Rp -
20 REAGEN ZEIL NELSON Rp 176,760 0 0 0 Rp -
21 SD HIV Rp 90,000 0 0 0 Rp -
22 SD SYPHILIS Rp 8,092 0 0 0 Rp -
SYPHILIS COMBO Rp 17,498 0 0 0 Rp -
23 SAFETY BOX Rp 22,433 0 0 0 Rp -
24 TABUNG EDTA 0 0 0 Rp -
25 BD VACUNTAINER 0 0 0 Rp -
26 VIT C 500 MG 0 0 0 Rp -
27 APRON LENGAN PANJANG 0 0 0 Rp -
0 0 0 Rp -
OBAT KAPITASI 0 0 0 Rp -
5 AMBROXOL SYR Rp 4,200 0 0 0 Rp -
8 ANTALGIN INJEKSI Rp 2,789 111 100 211 17 194 Rp 541,065
9 ANTALGIN / METAMIZOL 500 MG Rp 323 0 0 0 Rp -
12 ASIKLOVIR 200 Mg Rp 240 0 0 0 Rp -
14 ASIKLOVIR CREAM Rp 5,206 0 0 0 Rp -
15 BETAHISTIN MESILAT 6 MG Rp 89 0 0 0 Rp -
18 CAPTOPRIL 12,5 Mg Rp 62 0 0 0 Rp -
19 CAPTOPRIL 25 Mg Rp 158 0 0 0 Rp -
21 CALORTUSIN Rp 522 0 0 0 Rp -
24 CETERIZINE SIRUP Rp 2,915 0 0 0 Rp -
25 CITICOLIN INJK Rp 19,551 0 0 0 Rp -
26 CITICOLIN TAB Rp 7,000 0 0 0 Rp -
27 COMBIVEN NEBULAZER Rp 29,940 0 0 0 Rp -
28 CYSTONE/ UROLITAS Rp 4,137 0 0 0 Rp -
29 DEMACOLIN / ANTI INFLUENZA TABLET Rp 1,146 0 0 0 Rp -
31 GENTIAN VIOLET Rp 5,092 0 0 0 Rp -
32 GLIBENCLAMIDE 5Mg Rp 119 0 0 0 Rp -
33 GLICERYL GUAIACOLAT Rp 373 0 0 0 Rp -
0 0 0 Rp -
0 0 0 Rp -
34 GLUKOSA 40% INFUS Rp 20,162 0 0 0 Rp -
35 GUAIFENICIN TAB Rp 152 0 0 0 Rp -
36 HEPAGARD ( NATURAL HEPATOPROTEKTORp 5,751 0 0 0 Rp -
37 HIDROCORTISONE CREAM 2,5% Rp 2,640 0 0 0 Rp -
39 IBU PROFEN 200 MG / FARSIVEN Rp 261 0 0 0 Rp -
41 KLINDAMISIN KAPS 300 MG Rp 1,277 0 0 0 Rp -
42 KLINDAMISIN KAPS I50 MG Rp 715 0 0 0 Rp -
43 KLORAMPHENICOL 250 MG KAPSUL Rp 310 0 0 0 Rp -
44 KLORAMPHENICOL 500 MG KAPSUL Rp 1,163 0 0 0 Rp -
45 KLORAMPHENICOL INJEKSI Rp 22,157 0 10 10 10 0 Rp -
46 KLORAMPHENICOL SK/ BUFACETIN TUBE Rp 3,242 0 0 0 Rp -
48 KLORAMPHENICOL TM 0,5 % (RECO) Rp 13,658 0 0 0 Rp -
50 KLORPHENIRAMIN MALEAT 4 MG Rp 23 0 0 0 Rp -
51 LACTO B Rp 22,330 0 0 0 Rp -
54 METILPREDNISOLON INJ Rp 12,090 0 0 0 Rp -
55 METOCLOPRAMEDE/ SOTATIK INJEKSI Rp 1,110 0 0 0 Rp -
56 METOKLOPRAMIDE/GAVISTAL DROP Rp 39,000 0 0 0 Rp -
57 METRONIDAZOLE 500 Mg Rp 829 0 0 0 Rp -
58 NEW ANTIDES (ATTAPULGITE) Rp 250 0 0 0 Rp -
59 NIFEDIPIN TAB Rp 213 0 0 0 Rp -
60 NORAGES / ANTRAIN/ PROGESOL INJEKSI Rp 3,509 0 0 0 Rp -
61 OMEPRAZOLE 20 MG 0 0 0 Rp -
62 ONDANCETRON INJ Rp 3,000 18 18 3 15 Rp 45,000
63 ONDANCETRON INJ Rp 881 0 0 0 Rp -
65 PARASETAMOL SUPP (PROPYRETIC) Rp 667 0 0 0 Rp -
66 PHENZACOL TAB Rp 605 0 0 0 Rp -
67 PIRACETAM 400 MG Rp 849 0 0 0 Rp -
0 0 0 Rp -
70 PIRIDOXIN 10 MG Rp 131 0 0 0 Rp -
73 PULMICORT Rp 14,131 0 0 0 Rp -
74 PROVINAS 400 mg Rp 364 0 0 0 Rp -
77 RANITIDIN INJEKSI Rp 814 0 0 0 Rp -
80 SALBUTAMOL/VENTOLIN NEBULESER Rp 6,600 0 0 0 Rp -
81 SALEP 2-4 Rp 2,796 0 0 0 Rp -
84 SEDIAAN ANTI INFLUENZA Rp 869 0 0 0 Rp -
88 SERUM ANTI TETANUS 1500 UITETAGAM I Rp 130,999 0 0 0 Rp -
89 SIANOKOBALAMIN HCL/B12 INJ. Rp 1,098 0 0 0 Rp -
90 SIKSONOAT INJ Rp 63,986 0 0 0 Rp -
91 SIMVASTATIN 10 Mg Rp 3,510 0 0 0 Rp -
92 VENTOLIN NEB Rp 17,161 0 0 0 Rp -
0 0 0 Rp -
BHP KAPITASI 0 0 0 Rp -
4 ALKOHOL 70 % 1 LITER Rp 25,004 0 0 0 Rp -
6 ALKOHOL SWAB Rp 12,000 0 0 0 Rp -
9 BLOOD LANCET Rp 14,000 0 0 0 Rp -
10 BLOOD TRANFUSION SET Rp 4,200 0 0 0 Rp -
11 BLUE TIPS Rp 236,600 0 0 0 Rp -
12 Rp 6,985
MM 0 0 0 Rp -
13 Rp 6,985
MM 0 12 12 2 10 Rp 69,850
14 COVER GLASS Rp 7,920 0 0 0 Rp -
15 CYBOW (URINE TEST) Rp 139,948 0 0 0 Rp -
16 ETHYL KLORIDA Rp 230,810 0 0 0 Rp -
17 FIXOMUL Rp 90,000 0 0 0 Rp -
20 GEL ULTRASONIC Rp 16,000 0 0 0 Rp -
21 GELANG PASIEN/ID BAND BLUE/PINK Rp 11,302 0 0 0 Rp -
22 GLUCO PROTEIN URINE TEST Rp 1,045 0 0 0 Rp -
23 HAND RUB 5 L Rp 969,980 0 0 0 Rp -
24 HAND RUB 5 L Rp 395,000 0 0 0 Rp -
25 HAND RUB 500 ML Rp 67,500 0 0 0 Rp -
26 HAND SCRUB 500 ML Rp 45,000 0 0 0 Rp -
27 HAND SCOEN (PP) Rp 4,180 0 0 0 Rp -
100 100 200 0 200 Rp 270,000
0 0 0 Rp -
29 HYPAFIX / ULTRAVIX 2,5X5 0 0 0 Rp -
31 INFUS SET DEWASA Rp 7,128 0 13 13 13 0 Rp -
32 IV. CATHETER NO 24 Rp 10,395 0 0 0 Rp -
33 JARUM NOVODISK/INSULIN Rp 2,083 0 0 0 Rp -
34 JELLY /CATHEJELL LIDOCAIN Rp 41,600 0 0 0 Rp -
35 KASA KOMPRES 40X40 Rp 1,600 0 0 0 Rp -
36 KASA STERIL 16 X 16 Rp 6,764 0 0 0 Rp -
37 LEVEMIR FLEXPEN Rp 83,950 0 0 0 Rp -
38 LISOL Rp 1,939 0 0 0 Rp -
LEUKOPLAST 1X5 16338 0 4 4 4 0
39 MASKER 3 PLY / BEDAH Rp 1,500 0 0 0 Rp -
40 MASKER N95 Rp 74,250 0 0 0 Rp -
41 MASKER NEBUL DEWASA Rp 16,000 6 6 5 1 Rp 16,000
42 MASKER NEBUL ANAK Rp 19,470 5 5 10 2 8 Rp 155,760
44 MIKRO PIPET MTSP Rp 32,000 0 0 0 Rp -
45 MIKROPIPET MT 11 Rp 32,000 0 0 0 Rp -
46 NOVO MIX FLEXPEN 100 UI/ML INJ 3 ML Rp 106,000 0 0 0 Rp -
47 NOVO RAPID FLEXPEN Rp 87,000 0 0 0 Rp -
48 OBJEK GLASS FROSTED Rp 2,225 0 0 0 Rp -
49 PERHIDROL /H2O2 3 % Rp 19,800 0 0 0 Rp -
50 SELANG OXYGEN / NEBULIZER ANAK Rp 5,500 1 1 1 0 Rp -
51 SELANG OXYGEN MASKER DWS Rp 13,500 2 2 2 0 Rp -
52 SELANG OXYGEN / NEBULIZER DEWASA Rp 5,500 6 6 1 5 Rp 27,500
53 SELANG OXYGEN MASKER ANAK Rp 13,500 4 4 1 3 Rp 40,500
54 SILK BLACK 2/0- 3/0 HR 26-30 MM Rp 19,700 0 0 0 Rp -
56 SILK BLACK 2/0-3/0 DS 24-26 MM Rp 19,700 0 0 0 Rp -
58 STIK GDA ON CALL Rp 4,650 0 0 0 Rp -
59 STIK GULA DARAH BENECHECK Rp 160,000 0 0 0 Rp -
60 STIK KOLESTEROL BENECHECK Rp 2,750,000 0 0 0 Rp -
61 TABUNG EDTA / VACCUM TUBE Rp 100,500 0 0 0 Rp -
62 TALI PUSAT STERIL-umbilical cord Rp 9,631 0 0 0 Rp -
0 0 0 Rp -
63 TEST KEHAMILAN Rp 2,331 0 0 0 Rp -
64 Rp 338,910
TOUCH) 0 0 0 Rp -
65 TEST TRIP GLUKOSA (EASY TOUCH) Rp 176,660 0 0 0 Rp -
66 TEST TRIP URID ASID (EASY TOUCH) Rp 176,770 0 0 0 Rp -
67 TEST TRIP HB (EASY TOUCH) Rp 266,200 0 0 0 Rp -
68 UNDERPAD Rp 3,885 0 0 0 Rp -
69 URINE BAG Rp 5,850 0 0 0 Rp -
70 WHITE TIPS Rp 973 0 0 0 Rp -
71 YELLOW TIPS Rp 185,200 0 0 0 Rp -
72 LAURA URIN DEKHA Rp 865,800 0 0 0 Rp -
0 0 0 Rp -
REAGEN KAPITASI 0 0 0 Rp -
1 REAGEN DIASTRO CLEANER ABACUS 3 Rp 375,870 0 0 0 Rp -
2 REAGEN DILUENT ABACUS 3 Rp 1,978,350 0 0 0 Rp -
3 REAGEN FOTOMETER Rp 1,498,640 0 0 0 Rp -
4 REAGEN HEMATOLOGI Rp 501,160 0 0 0 Rp -
5 REAGEN LYSE ABACUS 3 Rp 1,912,350 0 0 0 Rp -
6 REAGEN SERUM KONTROL HEMATOLOGI Rp 418,000 0 0 0 Rp -
7 CBC 0 0 0 Rp -
0 0 0 Rp -
OBAT KAPITASI GIGI 0 0 0 Rp -
1 ALGINAT Rp 126,500 0 0 0 Rp -
2 CAVITON Rp 174,900 0 0 0 Rp -
3 COTTON ROLL Rp 62,700 0 0 0 Rp -
4 elite cement Rp 199,100 0 0 0 Rp -
5 EMAIL PREPARATOR BLUE Rp 120,228 0 0 0 Rp -
6 ETCHANT GEL VIAL 9 ML Rp 120,237 0 0 0 Rp -
7 EUGENOL Rp 120,000 0 0 0 Rp -
8 fg diamond mata bur high speed Rp 245,000 0 0 0 Rp -
9 GIC POSTERIOR Rp 908,600 0 0 0 Rp -
10 GUTTA PERCAPA NO 15-40 Rp 53,500 0 0 0 Rp -
12 HYDCAL PASTE, BASE AND CATALIST Rp 135,000 0 0 0 Rp -
13 SALIVA EJECTOR Rp 67,000 0 0 0 Rp -
14 Z 350 XT A3B Rp 584,100 0 0 0 Rp -
15 Z 350 XT A2B Rp 584,100 0 0 0 Rp -
0 0 0 Rp -
GOLONGAN DARAH 0 0 0 Rp -
1 GOLONGAN DARAH A 0 0 0 Rp -
2 GOLONGAN DARAH B 0 0 0 Rp -
3 GOLONGAN DARAH AB 0 0 0 Rp -
4 GOLONGAN DARAH O 0 0 0 Rp -
5 FEBRILE ANTIGEN H - TYPH Rp 42,760 0 0 0 Rp -
6 FEBRILE ANTIGEN O - A TYPH Rp 42,760 0 0 0 Rp -
7 FEBRILE ANTIGEN O - B TYPH Rp 42,760 0 0 0 Rp -
8 FEBRILE ANTIGEN O - D TYPH Rp 42,760 0 0 0 Rp -
0 0 0 Rp -
BOK 0 0 0 Rp -
1 MASKER 3 PLY OM Rp 502 0 0 0 Rp -
2 MASKER 3 PLY SPMED 0 0 0 Rp -
3 HANDSCOEN 6,5 SPMED 0 0 0 Rp -
0 0 0 Rp -
0 0 0 Rp -
HIBAH BMHP 0 0 0 Rp -
1 APD LENGKAP SATU SET Rp 98,450 0 0 0 Rp -
2 APD SET Rp 841,000 0 0 0 Rp -
3 ALKOHOL SWABS 0 0 0 Rp -
4 BAJU OK Rp 520,000 0 0 0 Rp -
5 CLODINE 5 L 0 0 0 Rp -
6 DESINFEKTAN @ 20 LITER 0 0 0 Rp -
7 FACE SHIELD Rp 85,000 0 0 0 Rp -
8 HAND SANITIZER 0 0 0 Rp -
9 HAZMAT PUTIH Rp 55,000 0 0 0 Rp -
10 HAZMAT 0 0 0 Rp -
11 HELM SAFETY Rp 100,000 0 0 0 Rp -
12 KACAMATA GOOGLE Rp 31,500 0 0 0 Rp -
13 KRESEK LIMBAH 0 0 0 Rp -
14 MASKER ANTIDEBU/N95 Rp 74,250 0 0 0 Rp -
15 MASKER KAIN GERMAS/HEADLOOP/EARLOOP 0 0 0 Rp -
16 MASKER KAIN BERLOGO Rp 7,000 0 0 0 Rp -
17 MASKER BEDAH / 3 PLY Rp 3,500 0 0 0 Rp -
18 RAPID TEST 0 0 0 Rp -
19 SANOSIL 5 LITER 0 0 0 Rp -
20 SARUNG TANGAN DISPOSIBLE 0 0 0 Rp -
21 SARUNG TANGAN SESIKU 0 0 0 Rp -
22 SEPATU BOOTH 0 0 0 Rp -
23 SEPATU BOOTH Rp 175,000 0 0 0 Rp -
24 SPANDUK 0 0 0 Rp -
25 TERMOMETER GUN Rp 2,399,997 0 0 0 Rp -
26 VISOR(PELINDUNG WAJAH) 0 0 0 Rp -
27 POMPA DESINFEKTAN 0 0 0 Rp -
28 MASKER KN95 0 0 0 Rp -
29 NURSE CUP (PELINDUNG RAMBUT PINK) Rp 25,000 0 0 0 Rp -
30 SAFETY BOX Rp 14,500 0 0 0 Rp -
0 0 0 Rp -
31 SHOE COVER NON WOVEN 0 0 0 Rp -
32 TEMPAT SAMPAH INJAK 0 0 0 Rp -
33 MASKER FFP2 0 0 0 Rp -
34 LAP. MICROFIBER Rp 132,975 0 0 0 Rp -
35 HAND SCOEND NITRITE M Rp 1,188 0 0 0 Rp -
36 MASKE BEDAH ANAK SEKOLAH 0 0 0 Rp -
37 MASKER BEDAH COVID 0 0 0 Rp -
38 ALAT SUNTIK 0,5 ML COVID Rp 1,050 0 0 0 Rp -
39 ALKOHOL SWAB COVID Rp 79 0 0 0 Rp -
40 HAND SANITIZER PROTECT Rp 60,000 0 0 0 Rp -
43 SENSI SABUN POMPA Rp 35,000 0 0 0 Rp -
44 SPREI LINEN Rp 227,273 0 0 0 Rp -
0 0 0 Rp -
HIBAH OBAT 0 0 0 Rp -
1 ALLOPURINOL 100 MG 0 0 0 Rp -
2 CITICOLIN INJ 0 0 0 Rp -
3 GLYCERIL GUAICOLAT 100 MG 0 0 0 Rp -
4 XEPAVIT KAPLET Rp 2,337 0 0 0 Rp -
5 NA. DICLOFENAC 25 MG 0 0 0 Rp -
0 0 0 Rp -
PROGRAM KB 0 0 0 Rp -
1 IUD 0 0 0 Rp -
2 Kondom Rp 90 0 0 0 Rp -
3 PIL KB Rp 210 0 0 0 Rp -
4 SPUIT 3CC KB Rp 990 0 0 0 Rp -
5 SUSUK 0 0 0 Rp -
6 SUNTIK KB Rp 4,800 0 0 0 Rp -
7 ONE CLEAN Rp 1,100 0 0 0 Rp -
0 0 0 Rp -
1 IUD KOPER T Rp 12,500 0 0 0 Rp -
2 SUSUK KB Rp 175,181 0 0 0 Rp -
3 ALKOHOL 1 L Rp - 0 0 0 Rp -
4 SARUNG TANGAN 7,5 Rp - 0 0 0 Rp -
5 LIDOCAIN INJ Rp - 0 0 0 Rp -
6 KASA STERIL 5 X 5 CM Rp - 0 0 0 Rp -
7 SPUIT 3 CC KB Rp - 0 0 0 Rp -
8 DOEX STERIL 25 X 30 CM Rp - 0 0 0 Rp -
0 0 0 Rp -
BF PROP/ PROGRAM TB 0 0 0 Rp -
1 SAFETY BOX (PCS) Rp 12,400 0 0 0 Rp -
2 KACA SLIDE (BOX) Rp 20,747 0 0 0 Rp -
3 POT DAHAK (PCS) Rp 2,141 0 0 0 Rp -
4 ZEIL NELSON (KIT) Rp 176,760 0 0 0 Rp -
5 KANTONG LIMBAH UK. L Rp 2,600 0 0 0 Rp -
6 KANTONG LIMBAH UK. M Rp 1,620 0 0 0 Rp -
0 0 0 Rp -
BF PROP/ PROGRAM KIA 0 0 0 Rp -
1 FITOMINADION INJ (AMP) Rp 1,386 0 0 0 Rp -
2 MgSO4 20% Rp 3,580 0 0 0 Rp -
3 MgSO4 40% Rp 4,090 0 0 0 Rp -
4 OKSITOCIN INJ (AMP) Rp 1,126 0 0 0 Rp -
5 AMPICILIN INJ (VIAL) Rp 8,237 0 0 0 Rp -
6 CA GLUCONAS 10% INJ (AMP) Rp 10,351 0 0 0 Rp -
0 0 0 Rp -
BF PROP OBAT 0 0 0 Rp -
1 ALBENDAZOLE TAB Rp 367 0 0 0 Rp -
4 TAB. TAMBAH DARAH Rp 226 0 0 0 Rp -
5 VIT. A 200.000 IU MERAH Rp 11 0 0 0 Rp -
6 VIT. A 100.000 IU BIRU Rp 6 0 0 0 Rp -
7 ALBENDAZOLE SYR Rp 4,300 0 0 0 Rp -
10 METFORMIN 500 MG Rp 77 0 0 0 Rp -
11 LIDOCAIN INJ Rp 803 9 9 9 0 Rp -
12 MgSO4 20% Rp 3,580 0 0 0 Rp -
13 MgSO4 40% Rp 4,090 0 0 0 Rp -
14 SIMVASTATIN 10 MG Rp 68 0 0 0 Rp -
15 VIT. B COMPLEX Rp 57 0 0 0 Rp -
16 ANTALGIN INJ 0 0 0 Rp -
17 LOPERAMID 2 MG/LEXADIUM 0 0 0 Rp -
18 CTM 4 MG Rp 24 0 0 0 Rp -
21 GARAM ORALIT Rp 280 0 0 0 Rp -
22 ZINK TABLET Rp 208 0 0 0 Rp -
24 LORATADIN10 MG Rp 109 0 0 0 Rp -
25 DIAZEPAM INJEKSI Rp 1,545 0 2 2 0 2 Rp 3,090
26 ABATE 1 KG Rp 78,650 0 0 0 Rp -
27 RDT DBD COMBO Rp 453,550 0 0 0 Rp -
28 AMPICILLIN INJ Rp 8,617 0 0 0 Rp -
29 GENTAMICYN INJ Rp 16,928 0 0 0 Rp -
30 OKSITETRASIKLIN 1% SM Rp 3,532 0 0 0 Rp -
31 FENOBARBITAL INJ Rp 1,700 0 0 0 Rp -
0 0 0 Rp -
0 0 0 Rp -
0 0 0 Rp -
0 0 0 Rp -
BF PROP BMHP 0 0 0 Rp -
2 KANTONG LIMBAH M Rp 1,620 0 0 0 Rp -
4 MASKER N95 Rp 19,950 0 0 0 Rp -
5 MASKER N95 Rp 19,950 0 0 0 Rp -
6 APD BABUN Rp 98,450 0 0 0 Rp -
7 SAFETY BOX Rp 5,382 0 0 0 Rp -
8 SAFETY BOX Rp 14,129 2 2 1 1 Rp 14,129
9 HAND SANITIZER 1 L Rp 273,735 0 0 0 Rp -
10 DESINFECTANT 1 L Rp 195,300 0 0 0 Rp -
11 MASKER MEDIS Rp 1,980 0 0 0 Rp -
12 FORM SO TB RO Rp 2,600 0 0 0 Rp -
15 PLESTER ISOFIX 0 0 0 Rp -
16 PEHIDROL (H2O2) 3% 0 0 0 Rp -
18 IV. CATHETER NO. 18 0 0 0 Rp -
20 HBs Ag Test Trip Rp 7,120 0 0 0
21 HAZMAT Rp - 0 0 0 Rp -
22 LAP MIKROFIBER Rp 130,000 0 0 0 Rp -
JUMLAH Rp. ###

PJ KEFARMASIAN

NIP. 19930701 202203 2 003 NIP. 19970702 202203 2 005
KEPALA PUSKESMAS

NIP. 19690125 198903 2 004
KET
MA/MEMINTA
ANTI, A.Md.Kes
202203 2 005
(LPLPO)
SUB UNIT : UGD LAPORAN LPLPO : MEI
PUSKESMAS : BULANGAN HAJI PERMINTAAN OBAT : JUNI

Obat PKD
23 ANTALGIN 500 mg Rp 323 0 0 0 Rp -
0 0 0 Rp -
39 ASETOSAL 500 mg Rp 200 0 0 0 Rp -
40 ASETOSAL 100 MG Rp 164 0 0 0 Rp -
0 0 0 Rp -
63 DIFENHIDRAMIN HCL INJ Rp 781 59 30 89 0 89 Rp 69,509
64 DIGOXIN 0,25 Rp 164 0 0 0 Rp -
83 FUROSEMIDE INJEKSI Rp 923 0 0 0 Rp -
0 0 0 Rp -
96 GLISERIN Rp 3,780 0 0 0 Rp -
108 INFUS KA-EN 3 B Rp 11,500 0 0 0 Rp -
118 Rp 815 0 0 0 Rp -
0 0 0 Rp -
155 Na Cl INFUS Rp 6,800 25 25 0 25 Rp 170,000
156 NA. BIC 500 MG Rp 500 0 0 0 Rp -
0 0 0 Rp -
162 OCUGARD Rp 5,927 0 0 0 Rp -
181 PIRANTEL 125 MG Rp 304 0 0 0 Rp -
192 PTU 100 mg Rp 389 0 0 0 Rp -
0 0 0 Rp -
196 RETINOL 100.000 IU Rp 307 0 0 0 Rp -
197 RETINOL 200.000 IU Rp 414 0 0 0 Rp -
199 RINGER LACTAT INFUS Rp 7,630 56 56 19 37 Rp 282,310
200 SABU I Rp 517,132 0 0 0 Rp -
204 SALEP 2-4 Rp 2,333 0 0 0 Rp -
226 TRAMADOL 150 mg Rp 172 0 0 0 Rp -
0 0 0 Rp -
0 0 0 Rp -
230 ZINK 20 MG TAB Rp 524 0 0 0 Rp -
234 SELCOM C Rp 2,091 0 0 0 Rp -
0 0 0 Rp -
239 CLOBAZAM 10 MG Rp 900 0 0 0 Rp -
240 CODEIN 10 MG Rp 600 0 0 0 Rp -
246 FENITOIN 30 MG Rp 496 0 0 0 Rp -
0 0 0 Rp -
BMHP 0 0 0 Rp -
5 ALAT SUNTIK 3 ML Rp 924 10 10 10 0 Rp -
13 CYBOW Rp 133,488 0 0 0 Rp -
16 ETANOL 70% 1 LTR Rp 27,500 1 2 3 0 3 Rp 82,500
17 ETANOL 70% 100 ML Rp 3,000 0 0 0 Rp -
18 ETHIL KLORIDA Rp 192,500 1 1 2 0 2 Rp 385,000
HANDSCOEN 7-7,5 Rp 4,426 16 16 0 16 Rp 70,816
1,394
STERIL M STERIL 4 50 54 0 54
23 HAND SCOEN NON STERIL S/M/L Rp 1,394 0 0 0 Rp -
0 0 0 Rp -
32 KASA 2MX 80CM Rp 9,400 0 0 0 Rp -
33 KASA BESAR ( 80X40 ) Rp 113,916 0 0 0 Rp -
34 KASA 4 X 15 CM Rp 2,100 4 50 54 0 54 Rp 113,400
35 KASA 4 X 3 CM Rp 590 0 0 0 Rp -
36 KASA KOMPRES 40X40 Rp 1,600 4 30 34 0 34 Rp 54,400
37 KASA STERIL 16X16 CM Rp 8,000 10 10 0 10 Rp 80,000
38 LISOL 50 % Rp 40,700 0 0 0 Rp -
39 MASKER 3 PLY Rp 760 100 100 0 100 Rp 76,000
43 PLESTER HIPAVIX Rp 32,190 0 0 0 Rp -
49 POVIDON YODIDA 300 ML Rp 25,530 0 1 1 0 1 Rp 25,530
55 UNDER PAD Rp 33,000 10 10 0 10 Rp 330,000
56 URINE BAG Rp 6,540 7 10 17 1 16 Rp 104,640
57 ZEIL NELSON Rp 136,500 0 0 0 Rp -
63 ETANOL 70% 300 ML Rp 18,500 0 0 0 Rp -
65 MASKER N95 Rp 74,250 0 0 0 Rp -
0 0 0 Rp -
VAKSIN 0 0 0 Rp -
1 CAMPAK (BIAS) Rp 155,000 0 0 0 Rp -
2 CAMPAK MR Rp 152,600 0 0 0 Rp -
3 VAKSIN BCG Rp 97,780 0 0 0 Rp -
7 VAKSIN IPV Rp 169,653 0 0 0 Rp -
10 VAKSIN TT Rp 150,000 0 0 0 Rp -
13 VTM SWABB Rp 53,000 0 0 0 Rp -
15 HPV 0 0 0 Rp -
16 PCV 0 0 0 Rp -
0 0 0 Rp -
0 0 0 Rp -
7 MDT DEWASA Rp 41,784 0 0 0 Rp -
16 R2 ( KHB) Rp 12,500 0 0 0 Rp -
18 RAPIDAN Rp 54,040 0 0 0 Rp -
REAGEN HIV R 1 8,391 0 0 0 Rp -
0 0 0 Rp -
21 SD HIV Rp 90,000 0 0 0 Rp -
23 SAFETY BOX Rp 22,433 0 0 0 Rp -
26 VIT C 500 MG 0 0 0 Rp -
0 0 0 Rp -
8 ANTALGIN INJEKSI Rp 2,789 194 194 28 166 Rp 462,974
0 0 0 Rp -
0 0 0 Rp -
45 KLORAMPHENICOL INJEKSI Rp 22,157 0 0 0 Rp -
51 LACTO B Rp 22,330 0 0 0 Rp -
0 0 0 Rp -
73 PULMICORT Rp 14,131 0 0 0 Rp -
74 PROVINAS 400 mg Rp 364 0 0 0 Rp -
81 SALEP 2-4 Rp 2,796 0 0 0 Rp -
0 0 0 Rp -
1 ALAT SUNTIK 1 ML Rp 988 0 20 20 20 0 Rp -
11 BLUE TIPS Rp 236,600 0 0 0 Rp -
12 Rp 6,985
MM 0 0 0 Rp -
13 Rp 6,985
MM 10 10 4 6 Rp 41,910
17 FIXOMUL Rp 90,000 0 0 0 Rp -
23 HAND RUB 5 L Rp 969,980 0 0 0 Rp -
24 HAND RUB 5 L Rp 395,000 0 0 0 Rp -
25 HAND RUB 500 ML Rp 67,500 0 0 0 Rp -
200 100 300 0 300 Rp 405,000
0 0 0 Rp -
30 INFUS SET ANAK Rp 9,000 0 10 10 1 9 Rp 81,000
31 INFUS SET DEWASA Rp 7,128 0 30 30 13 17 Rp 121,176
32 IV. CATHETER NO 24 Rp 10,395 0 0 0 Rp -
36 KASA STERIL 16 X 16 Rp 6,764 0 10 10 0 10 Rp 67,640
38 LISOL Rp 1,939 0 0 0 Rp -
LEUKOPLAST 1X5 16338 0 2 2 0 2
40 MASKER N95 Rp 74,250 0 0 0 Rp -
41 MASKER NEBUL DEWASA Rp 16,000 1 1 1 0 Rp -
47 NOVO RAPID FLEXPEN Rp 87,000 0 1 1 1 0 Rp -
50 SELANG OXYGEN / NEBULIZER ANAK Rp 5,500 0 10 10 1 9 Rp 49,500
51 SELANG OXYGEN MASKER DWS Rp 13,500 0 0 0 Rp -
52 SELANG OXYGEN / NEBULIZER DEWASA Rp 5,500 5 20 25 4 21 Rp 115,500
55 SILK BLACK 2/0- 3/0 HR 26-30 MM Rp 13,720 0 24 24 2 22 Rp 301,836
0 0 0 Rp -
64 Rp 338,910
TOUCH) 0 0 0 Rp -
68 UNDERPAD Rp 3,885 0 0 0 Rp -
69 URINE BAG Rp 5,850 0 0 0 Rp -
71 YELLOW TIPS Rp 185,200 0 0 0 Rp -
0 0 0 Rp -
7 CBC 0 0 0 Rp -
0 0 0 Rp -
1 ALGINAT Rp 126,500 0 0 0 Rp -
2 CAVITON Rp 174,900 0 0 0 Rp -
7 EUGENOL Rp 120,000 0 0 0 Rp -
14 Z 350 XT A3B Rp 584,100 0 0 0 Rp -
15 Z 350 XT A2B Rp 584,100 0 0 0 Rp -
0 0 0 Rp -
0 0 0 Rp -
BOK 0 0 0 Rp -
0 0 0 Rp -
0 0 0 Rp -
2 APD SET Rp 841,000 0 0 0 Rp -
4 BAJU OK Rp 520,000 0 0 0 Rp -
11 HELM SAFETY Rp 100,000 0 0 0 Rp -
30 SAFETY BOX Rp 14,500 0 0 0 Rp -
0 0 0 Rp -
44 SPREI LINEN Rp 227,273 0 0 0 Rp -
KASA 2 X 80 CM 9400 0 10 10 0 10
0 0 0 Rp -
0 0 0 Rp -
1 IUD 0 0 0 Rp -
3 PIL KB Rp 210 0 0 0 Rp -
5 SUSUK 0 0 0 Rp -
6 SUNTIK KB Rp 4,800 0 0 0 Rp -
7 ONE CLEAN Rp 1,100 0 0 0 Rp -
0 0 0 Rp -
1 IUD KOPER T Rp 12,500 0 0 0 Rp -
2 SUSUK KB Rp 175,181 0 0 0 Rp -
0 0 0 Rp -
0 0 0 Rp -
2 MgSO4 20% Rp 3,580 0 0 0 Rp -
3 MgSO4 40% Rp 4,090 0 0 0 Rp -
0 0 0 Rp -
6 VIT. A 100.000 IU BIRU Rp 6 0 0 0 Rp -
11 LIDOCAIN INJ Rp 803 0 0 0 Rp -
12 MgSO4 20% Rp 3,580 0 0 0 Rp -
13 MgSO4 40% Rp 4,090 0 0 0 Rp -
18 CTM 4 MG Rp 24 0 0 0 Rp -
25 DIAZEPAM INJEKSI Rp 1,545 2 2 0 2 Rp 3,090
26 ABATE 1 KG Rp 78,650 0 0 0 Rp -
0 0 0 Rp -
0 0 0 Rp -
0 0 0 Rp -
0 0 0 Rp -
4 MASKER N95 Rp 19,950 0 0 0 Rp -
5 MASKER N95 Rp 19,950 0 0 0 Rp -
6 APD BABUN Rp 98,450 0 0 0 Rp -
8 SAFETY BOX Rp 14,129 1 1 0 1 Rp 14,129
12 FORM SO TB RO Rp 2,600 0 0 0 Rp -
16 PEHIDROL (H2O2) 3% 0 0 0 Rp -
JUMLAH Rp. ###

PJ KEFARMASIAN

NIP. 19930701 202203 2 003 NIP. 19970702 202203 2 005
KEPALA PUSKESMAS

NIP. 19690125 198903 2 004
KET
MA/MEMINTA
ANTI, A.Md.Kes
202203 2 005
(LPLPO)
SUB UNIT : UGD LAPORAN LPLPO : JUNI
PUSKESMAS : BULANGAN HAJI PERMINTAAN OBAT : JULI

Obat PKD
23 ANTALGIN 500 mg Rp 323 0 0 0 Rp -
0 0 0 Rp -
39 ASETOSAL 500 mg Rp 200 0 0 0 Rp -
40 ASETOSAL 100 MG Rp 164 0 0 0 Rp -
0 0 0 Rp -
63 DIFENHIDRAMIN HCL INJ Rp 781 89 89 0 89 Rp 69,509
64 DIGOXIN 0,25 Rp 164 0 0 0 Rp -
73 EPHINEPRINE INJ Rp 1,515 4 4 4 0 Rp -
83 FUROSEMIDE INJEKSI Rp 923 0 15 15 13 2 Rp 1,846
0 0 0 Rp -
96 GLISERIN Rp 3,780 0 0 0 Rp -
108 INFUS KA-EN 3 B Rp 11,500 0 0 0 Rp -
118 Rp 815 0 0 0 Rp -
0 0 0 Rp -
150 METOKLORPAMIDE INJEKSI Rp 1,683 4 30 34 29 5 Rp 8,415
155 Na Cl INFUS Rp 6,800 25 25 5 20 Rp 136,000
156 NA. BIC 500 MG Rp 500 0 0 0 Rp -
0 0 0 Rp -
162 OCUGARD Rp 5,927 0 0 0 Rp -
181 PIRANTEL 125 MG Rp 304 0 0 0 Rp -
192 PTU 100 mg Rp 389 0 0 0 Rp -
0 0 0 Rp -
196 RETINOL 100.000 IU Rp 307 0 0 0 Rp -
197 RETINOL 200.000 IU Rp 414 0 0 0 Rp -
199 RINGER LACTAT INFUS Rp 7,630 37 60 97 72 25 Rp 190,750
200 SABU I Rp 517,132 0 0 0 Rp -
204 SALEP 2-4 Rp 2,333 0 0 0 Rp -
226 TRAMADOL 150 mg Rp 172 0 0 0 Rp -
0 0 0 Rp -
0 0 0 Rp -
230 ZINK 20 MG TAB Rp 524 0 0 0 Rp -
234 SELCOM C Rp 2,091 0 0 0 Rp -
0 0 0 Rp -
239 CLOBAZAM 10 MG Rp 900 0 0 0 Rp -
240 CODEIN 10 MG Rp 600 0 0 0 Rp -
246 FENITOIN 30 MG Rp 496 0 0 0 Rp -
0 0 0 Rp -
BMHP 0 0 0 Rp -
7 ALAT SUNTIK 10 ML Rp 925 29 29 19 10 Rp 9,250
13 CYBOW Rp 133,488 0 0 0 Rp -
16 ETANOL 70% 1 LTR Rp 27,500 3 3 2 1 Rp 27,500
17 ETANOL 70% 100 ML Rp 3,000 0 0 0 Rp -
18 ETHIL KLORIDA Rp 192,500 2 2 1 1 Rp 192,500
HANDSCOEN 7-7,5 Rp 4,426 16 16 16 0 Rp -
1,394 54 54 44 10
STERIL M STERIL
23 HAND SCOEN NON STERIL S/M/L Rp 1,394 0 150 150 100 50 Rp 69,700
28 IV. CATHETER NO. 22 Rp 5,995 33 33 33 0 Rp -
0 0 0 Rp -
32 KASA 2MX 80CM Rp 9,400 0 0 0 Rp -
33 KASA BESAR ( 80X40 ) Rp 113,916 0 0 0 Rp -
34 KASA 4 X 15 CM Rp 2,100 54 54 44 10 Rp 21,000
35 KASA 4 X 3 CM Rp 590 0 0 0 Rp -
37 KASA STERIL 16X16 CM Rp 8,000 10 10 20 10 10 Rp 80,000
38 LISOL 50 % Rp 40,700 0 0 0 Rp -
39 MASKER 3 PLY Rp 760 100 200 300 250 50 Rp 38,000
43 PLESTER HIPAVIX Rp 32,190 0 0 0 Rp -
55 UNDER PAD Rp 33,000 10 10 0 10 Rp 330,000
56 URINE BAG Rp 6,540 16 16 11 5 Rp 32,700
57 ZEIL NELSON Rp 136,500 0 0 0 Rp -
63 ETANOL 70% 300 ML Rp 18,500 0 0 0 Rp -
65 MASKER N95 Rp 74,250 0 0 0 Rp -
0 0 0 Rp -
VAKSIN 0 0 0 Rp -
1 CAMPAK (BIAS) Rp 155,000 0 0 0 Rp -
2 CAMPAK MR Rp 152,600 0 0 0 Rp -
3 VAKSIN BCG Rp 97,780 0 0 0 Rp -
7 VAKSIN IPV Rp 169,653 0 0 0 Rp -
10 VAKSIN TT Rp 150,000 0 0 0 Rp -
13 VTM SWABB Rp 53,000 0 0 0 Rp -
15 HPV 0 0 0 Rp -
16 PCV 0 0 0 Rp -
0 0 0 Rp -
0 0 0 Rp -
7 MDT DEWASA Rp 41,784 0 0 0 Rp -
16 R2 ( KHB) Rp 12,500 0 0 0 Rp -
18 RAPIDAN Rp 54,040 0 0 0 Rp -
REAGEN HIV R 1 8,391 0 0 0 Rp -
0 0 0 Rp -
21 SD HIV Rp 90,000 0 0 0 Rp -
23 SAFETY BOX Rp 22,433 0 0 0 Rp -
26 VIT C 500 MG 0 0 0 Rp -
0 0 0 Rp -
8 ANTALGIN INJEKSI Rp 2,789 166 166 116 50 Rp 139,450
11 ASAM TRANEXAMAT INJEKSI Rp 2,076 3 3 3 0 Rp -
0 0 0 Rp -
0 0 0 Rp -
45 KLORAMPHENICOL INJEKSI Rp 22,157 0 0 0 Rp -
51 LACTO B Rp 22,330 0 0 0 Rp -
0 0 0 Rp -
73 PULMICORT Rp 14,131 0 0 0 Rp -
74 PROVINAS 400 mg Rp 364 0 0 0 Rp -
81 SALEP 2-4 Rp 2,796 0 0 0 Rp -
0 0 0 Rp -
7 ALKOHOL SWAB Rp 9,000 0 2 2 2 0 Rp -
11 BLUE TIPS Rp 236,600 0 0 0 Rp -
12 Rp 6,985
MM 0 0 0 Rp -
13 Rp 6,985 6 6 1 5 Rp 34,925
MM
17 FIXOMUL Rp 90,000 0 0 0 Rp -
23 HAND RUB 5 L Rp 969,980 0 0 0 Rp -
24 HAND RUB 5 L Rp 395,000 0 0 0 Rp -
25 HAND RUB 500 ML Rp 67,500 0 0 0 Rp -
28 HAND SCOEN Non Steril S,M, L free pwdr Rp 1,350 300 200 500 500 0 Rp -
0 0 0 Rp -
30 INFUS SET ANAK Rp 9,000 9 9 4 5 Rp 45,000
31 INFUS SET DEWASA Rp 7,128 17 20 37 27 10 Rp 71,280
32 IV. CATHETER NO 24 Rp 10,395 0 50 50 10 40 Rp 415,800
36 KASA STERIL 16 X 16 Rp 6,764 10 10 5 5 Rp 33,820
38 LISOL Rp 1,939 0 0 0 Rp -
LEUKOPLAST 1X5 16338 2 5 7 6 1
40 MASKER N95 Rp 74,250 0 0 0 Rp -
41 MASKER NEBUL DEWASA Rp 16,000 0 0 0 Rp -
47 NOVO RAPID FLEXPEN Rp 87,000 0 0 0 Rp -
50 SELANG OXYGEN / NEBULIZER ANAK Rp 5,500 9 9 4 5 Rp 27,500
51 SELANG OXYGEN MASKER DWS Rp 13,500 0 0 0 Rp -
52 SELANG OXYGEN / NEBULIZER DEWASA Rp 5,500 21 10 31 31 0 Rp -
55 SILK BLACK 2/0- 3/0 HR 26-30 MM Rp 13,720 22 22 0 22 Rp 301,836
0 0 0 Rp -
64 Rp 338,910
TOUCH) 0 0 0 Rp -
68 UNDERPAD Rp 3,885 0 10 10 10 0 Rp -
69 URINE BAG Rp 5,850 0 0 0 Rp -
71 YELLOW TIPS Rp 185,200 0 0 0 Rp -
0 0 0 Rp -
7 CBC 0 0 0 Rp -
0 0 0 Rp -
1 ALGINAT Rp 126,500 0 0 0 Rp -
2 CAVITON Rp 174,900 0 0 0 Rp -
7 EUGENOL Rp 120,000 0 0 0 Rp -
14 Z 350 XT A3B Rp 584,100 0 0 0 Rp -
15 Z 350 XT A2B Rp 584,100 0 0 0 Rp -
0 0 0 Rp -
0 0 0 Rp -
BOK 0 0 0 Rp -
0 0 0 Rp -
0 0 0 Rp -
2 APD SET Rp 841,000 0 0 0 Rp -
4 BAJU OK Rp 520,000 0 0 0 Rp -
11 HELM SAFETY Rp 100,000 0 0 0 Rp -
30 SAFETY BOX Rp 14,500 0 0 0 Rp -
0 0 0 Rp -
44 SPREI LINEN Rp 227,273 0 0 0 Rp -
KASA 2 X 80 CM 9400 10 10 10 0
URINE BAG Rp 6,540 0 5 5 0 5 Rp 32,700
0 0 0 Rp -
1 IUD 0 0 0 Rp -
3 PIL KB Rp 210 0 0 0 Rp -
5 SUSUK 0 0 0 Rp -
6 SUNTIK KB Rp 4,800 0 0 0 Rp -
7 ONE CLEAN Rp 1,100 0 0 0 Rp -
0 0 0 Rp -
1 IUD KOPER T Rp 12,500 0 0 0 Rp -
2 SUSUK KB Rp 175,181 0 0 0 Rp -
0 0 0 Rp -
0 0 0 Rp -
2 MgSO4 20% Rp 3,580 0 0 0 Rp -
3 MgSO4 40% Rp 4,090 0 0 0 Rp -
0 0 0 Rp -
6 VIT. A 100.000 IU BIRU Rp 6 0 0 0 Rp -
11 LIDOCAIN INJ Rp 803 0 0 0 Rp -
12 MgSO4 20% Rp 3,580 0 0 0 Rp -
13 MgSO4 40% Rp 4,090 0 0 0 Rp -
18 CTM 4 MG Rp 24 0 0 0 Rp -
25 DIAZEPAM INJEKSI Rp 1,545 2 2 0 2 Rp 3,090
26 ABATE 1 KG Rp 78,650 0 0 0 Rp -
32 PULMICORT NEB Rp 14,267 2 2 2 0 Rp -
0 0 0 Rp -
0 0 0 Rp -
0 0 0 Rp -
0 0 0 Rp -
4 MASKER N95 Rp 19,950 0 0 0 Rp -
5 MASKER N95 Rp 19,950 0 0 0 Rp -
6 APD BABUN Rp 98,450 0 0 0 Rp -
8 SAFETY BOX Rp 14,129 1 4 5 1 4 Rp 56,516
12 FORM SO TB RO Rp 2,600 0 0 0 Rp -
16 PEHIDROL (H2O2) 3% 0 0 0 Rp -
JUMLAH Rp. ###

KOORDINATOR PELAYANAN KEFARMASIAN

NIP. 19930701 202203 2 003 NIP. 19970702 202203 2 005
KEPALA PUSKESMAS

NIP. 19690125 198903 2 004
KET
MA/MEMINTA
ANTI, A.Md.Kes
202203 2 005

LPLPO UGD (1) Fix

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LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT

STOK PENERIM PERSEDI PEMAKAI SISA PERMINT PEMBERI

JUMLAH Rp. ###

YANG MENYERAHKAN YANG MENERIMA/MEMINTA

apt. YULIANIE ERITANIA S, S.Farm NUR LAILA HADIYANTI, A.Md.Kes

HERLIN HERAWATI, S. ST, M.Mkes

STOK PENERIMA PERSEDIA PEMAKAI SISA PERMINT PEMBERI

JUMLAH Rp. ###

YANG MENYERAHKAN YANG MENERIMA/MEMINTA

apt. YULIANIE ERITANIA S, S.Farm NUR LAILA HADIYANTI, A.Md.Kes

HERLIN HERAWATI, S. ST, M.Mkes

STOK PENERIMA PERSEDIA PEMAKAI SISA PERMINT PEMBERI

JUMLAH Rp. ###

YANG MENYERAHKAN YANG MENERIMA/MEMINTA

apt. YULIANIE ERITANIA S, S.Farm NUR LAILA HADIYANTI, A.Md.Kes

HERLIN HERAWATI, S. ST, M.Mkes

STOK PENERIMA PERSEDIA PEMAKAI SISA PERMINT PEMBERI

JUMLAH Rp. ###

YANG MENYERAHKAN YANG MENERIMA/MEMINTA

apt. YULIANIE ERITANIA S, S.Farm NUR LAILA HADIYANTI, A.Md.Kes

HERLIN HERAWATI, S. ST, M.Mkes

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