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PUSKESMAS PAAL X KOTA JAMBI

KODE. 5070101
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )

Bulan : Januari
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAK PEMBERIAN
AIAN PERMINT KET.
NO. NAMA BARANG SATUAN RATA2/ AAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH BLN PKD PROG JUMLAH

1 Acyclovir cream 5 % tube 324 0 0 324 50 0 0 50 374 0 0 374 9 0 0 9 365 0 0 365


2 Acyclovir tablet 200 mg Tab 1090 0 0 1090 300 0 0 300 1390 0 0 1390 0 0 0 0 1390 0 0 1390
3 Acyclovir tablet 400 mg Tab 1018 0 0 1018 400 0 0 400 1418 0 0 1418 38 0 0 38 1380 0 0 1380
4 Air Raksa Dental Use Btl 1 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0 1 0 0 1
5 Albendazole 400 mg Tab 0 0 0 0 100 0 0 100 100 0 0 100 0 0 0 0 100 0 0 100
6 Allopurinol 100 mg Tab 6790 0 0 6790 0 0 0 0 6790 0 0 6790 40 0 0 40 6750 0 0 6750
7 Allopurinol 300 mg Tab 450 2290 0 2740 0 0 0 0 450 2290 0 2740 0 25 0 25 450 2265 0 2715
8 Ambroxol syrup Btl 0 378 0 378 0 0 0 0 0 378 0 378 0 36 0 36 0 342 0 342
9 Ambroxol tab 30 mg Tab 0 7620 0 7620 2500 0 0 2500 2500 7620 0 10120 1000 5955 0 6955 1500 1665 0 3165
10 Aminofilin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Aminofilin tablet Tab 1500 0 0 1500 0 0 0 0 1500 0 0 1500 0 0 0 0 1500 0 0 1500
12 Amitriptilin tablet 25 mg Tab 2137 0 0 2137 0 0 0 0 2137 0 0 2137 40 0 0 40 2097 0 0 2097
13 Amlodipin 5 mg Tab 4500 3000 0 7500 0 0 0 0 4500 3000 0 7500 1010 0 0 1010 3490 3000 0 6490
14 Amoksisilin kap 250 mg Kap 0 10205 0 10205 0 0 0 0 0 10205 0 10205 0 265 0 265 0 9940 0 9940
15 Amoksisilin kap 500 mg Kap 22400 0 0 22400 7600 0 0 7600 30000 0 0 30000 3770 0 0 3770 26230 0 0 26230
16 Amoksisilin sirup kering 125 mg/5 ml Btl 63 0 0 63 120 0 0 120 183 0 0 183 33 0 0 33 150 0 0 150
17 Amoksisilin Sirup Forte 250 mg/5 ml Btl 360 0 0 360 240 0 0 240 600 0 0 600 60 0 0 60 540 0 0 540
18 Amlodipin 10 mg Tab 3085 0 0 3085 1020 0 0 1020 4105 0 0 4105 674 0 0 674 3431 0 0 3431
19 Amoksisilin injeksi Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Ampisilin Kaplet 500 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Ampisilin sirup kering 125 mg/5 ml Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Antalgin tablet 500 mg Tab 3850 0 0 3850 1000 0 0 1000 4850 0 0 4850 140 0 0 140 4710 0 0 4710
23 Antalgin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Antasida doen tablet Tab 19000 20000 0 39000 150 0 0 150 19150 20000 0 39150 4480 0 0 4480 14670 20000 0 34670
25 Antasida sirup Btl 93 100 0 193 0 0 0 0 93 100 0 193 86 10 0 96 7 90 0 97
26 Anti Bakteri salep / Bacitracin salep Tube 11 0 0 11 0 0 0 0 11 0 0 11 9 0 0 9 2 0 0 2
27 Anti Fungi kombinasi Pot 119 0 0 119 0 0 0 0 119 0 0 119 0 0 0 0 119 0 0 119
28 Anti Hemoroid supp 210 0 0 210 100 0 0 100 310 0 0 310 30 0 0 30 280 0 0 280
29 Anti Migrain tablet Tab 0 0 0 0 1000 0 0 1000 1000 0 0 1000 0 0 0 0 1000 0 0 1000
30 Asam Askorbat (VIT C) 50 mg Tab 21300 6500 0 27800 0 0 0 0 21300 6500 0 27800 1050 0 0 1050 20250 6500 0 26750
31 Asam Folat Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 Asering Infus Kolf 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 Asam Mefenamat 500 mg Tab 0 1440 0 1440 4000 0 0 4000 4000 1440 0 5440 0 1250 0 1250 4000 190 0 4190
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAK PEMBERIAN
AIAN PERMINT KET.
NO. NAMA BARANG SATUAN
RATA2/ AAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH BLN PKD PROG JUMLAH

34 Asam Tranexamat injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


35 Asam Asetilsalisilat(Asetosal) 80 mg Tab 0 0 0 0 100 0 0 100 100 0 0 100 0 0 0 0 100 0 0 100
36 Asetosal tablet 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
37 Azitromycin 500 mg Tab 200 0 0 200 0 0 0 0 200 0 0 200 4 0 0 4 196 0 0 196
38 Bisoprolol tablet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 Benzatin benzil penicilin inj 2,4 jt iu Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
40 Betadin salep Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
41 Betametason kream 0,1 % Tube 250 0 0 250 100 0 0 100 350 0 0 350 5 0 0 5 345 0 0 345
42 Bisacodyl 10 mg Supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
43 Bethahistin maselat Tablet 0 394 0 394 2000 0 0 2000 2000 394 0 2394 0 394 0 394 2000 0 0 2000
44 Captopril 12,5 mg Tab 400 0 0 400 1000 0 0 1000 1400 0 0 1400 0 0 0 0 1400 0 0 1400
45 Captopril 25 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100
46 Captopril 50 mg Tab 0 0 0 0 100 0 0 100 100 0 0 100 0 0 0 0 100 0 0 100
47 Caviton Btl 1 1 0 2 1 0 0 1 2 1 0 3 0 0 0 0 2 1 0 3
48 Cefadroxil 500 mg kap 1980 0 0 1980 0 0 0 0 1980 0 0 1980 160 0 0 160 1820 0 0 1820
49 Cefotaxime injeksi 1 g Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
50 Cefriaxon injeksi Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
51 Cetrizin tablet 10 mg Kap 910 0 0 910 0 0 0 0 910 0 0 910 522 0 0 522 388 0 0 388
52 Ciprofloxacin 500 mg Tab 2700 0 0 2700 2500 0 0 2500 5200 0 0 5200 322 0 0 322 4878 0 0 4878
53 Clindamicin 150 mg Kap 0 0 0 0 300 0 0 300 300 0 0 300 0 0 0 0 300 0 0 300
54 Clindamicin 300 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
55 Devitalisasi pasta Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 Dexamethason tablet Tab 19680 0 0 19680 5000 0 0 5000 24680 0 0 24680 3250 0 0 3250 21430 0 0 21430
57 n Ampul 250 0 0 250 0 0 0 0 250 0 0 250 0 0 0 0 250 0 0 250
58 Diazepam tablet 2 mg Tab 1500 1366 0 2866 0 0 0 0 1500 1366 0 2866 0 59 0 59 1500 1307 0 2807
59 Diazepam tablet 5 mg Tab 1100 0 100 1200 0 0 0 0 1100 0 100 1200 0 0 0 0 1100 0 100 1200
60 Diazepam injeksi Ampul 30 0 0 30 0 0 0 0 30 0 0 30 0 0 0 0 30 0 0 30
61 Difenhidramin injeksi Ampul 120 0 0 120 0 0 0 0 120 0 0 120 0 0 0 0 120 0 0 120
62 Digoksin tablet Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100
63 Doxicillin Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
64 Dulcolax tablet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
65 Dulculax supp 10 mg ( Dewasa ) Supp 32 0 0 32 20 0 0 20 52 0 0 52 0 0 0 0 52 0 0 52
66 Dulculax supp 5 mg ( Anak ) Supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
67 Efedrin Hcl 25 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
68 Ekstrak belladona tablet 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
69 Ephinefrin hcl injeksi Ampul 0 0 0 0 100 0 0 100 100 0 0 100 0 0 0 0 100 0 0 100
70 Erytromycin kapsul 250 mg Kap 2800 0 0 2800 1200 0 0 1200 4000 0 0 4000 150 0 0 150 3850 0 0 3850
71 Erytromycin kapsul 500 mg Kap 270 0 0 270 4000 0 0 4000 4270 0 0 4270 230 0 0 230 4040 0 0 4040
72 Erytromycin syrup Btl 0 47 0 47 0 0 0 0 0 47 0 47 0 4 0 4 0 43 0 43
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAK PEMBERIAN
AIAN PERMINT KET.
NO. NAMA BARANG SATUAN
RATA2/ AAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH BLN PKD PROG JUMLAH

73 Etakridin / Rivanol Btl 31 0 0 31 0 0 0 0 31 0 0 31 0 0 0 0 31 0 0 31


74 Ethambutol hcl tab 250 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
75 Ethambutol hcl tab 500 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
76 Etil klorida semprot Btl 1 0 0 1 5 0 0 5 6 0 0 6 0 0 0 0 6 0 0 6
77 Eugenol cairan Btl 3 0 0 3 0 0 0 0 3 0 0 3 0 0 0 0 3 0 0 3
78 Fenitoin natrium 30 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
79 Fenitoin natrium 100 mg Kap 100 0 0 100 300 0 0 300 400 0 0 400 150 0 0 150 250 0 0 250
80 Fenobarbital injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
81 Fenobarbital tab 100 mg Tab 300 0 0 300 0 0 0 0 300 0 0 300 0 0 0 0 300 0 0 300
82 Fenobarbital tablet 30 mg Tab 199 0 0 199 300 0 0 300 499 0 0 499 0 0 0 0 499 0 0 499
83 Fenoksimetil fenisilin tab 250 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
84 Fenoksimetil fenisilin tab 500 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
85 Fenol Gliserol tetes telinga Btl 80 0 0 80 48 0 0 48 128 0 0 128 12 0 0 12 116 0 0 116
86 Fitomenadion (Vit K) tab 10 mg Tab 2800 0 0 2800 200 0 0 200 3000 0 0 3000 90 0 0 90 2910 0 0 2910
87 Fitomenadion (Vit K) injeksi Ampul 0 0 0 0 30 0 0 30 30 0 0 30 0 0 0 0 30 0 0 30
88 Fluconazol 150 mg Tab 26 0 0 26 0 0 0 0 26 0 0 26 2 0 0 2 24 0 0 24
89 Furosemide tablet 40 mg Tab 0 923 0 923 0 0 0 0 0 923 0 923 0 0 0 0 0 923 0 923
90 Fluor gel Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
91 Garam oralit untuk 200 ml air Set 0 0 0 0 5400 0 0 5400 5400 0 0 5400 0 0 0 0 5400 0 0 5400
92 Gentamycin salep kulit 0,1 % Tube 26 0 0 26 120 0 0 120 146 0 0 146 50 0 0 50 96 0 0 96
93 Gentamycin salep mata Tube 72 0 0 72 48 0 0 48 120 0 0 120 0 0 0 0 120 0 0 120
94 Gentamycin tetes mata Btl 102 0 0 102 48 0 0 48 150 0 0 150 6 0 0 6 144 0 0 144
95 Gentamycin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
96 Gentian violet Btl 35 48 0 83 48 0 0 48 83 48 0 131 2 0 0 2 81 48 0 129
97 Glass Ionomer (ART FUJI IX) Btl 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 1 0 0 1
98 Glibenklamida tablet 5 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100
99 Glimepiride 1 mg Tab 3740 0 0 3740 0 0 0 0 3740 0 0 3740 0 0 0 0 3740 0 0 3740
100 Glimepiride 2 mg Tab 1550 1000 0 2550 0 0 0 0 1550 1000 0 2550 40 0 0 40 1510 1000 0 2510
101 Gliseril guaiakolat tablet 100 mg Tab 0 56230 0 56230 0 0 0 0 0 56230 0 56230 0 3880 0 3880 0 52350 0 52350
102 Glukosa larutan infus 5 % steril Btl 22 0 0 22 6 0 0 6 28 0 0 28 0 0 0 0 28 0 0 28
103 Griseofulvin tablet 125 mg Tab 900 0 0 900 1000 0 0 1000 1900 0 0 1900 0 0 0 0 1900 0 0 1900
104 Griseofulvin tablet 500 mg Tab 400 0 0 400 0 0 0 0 400 0 0 400 0 0 0 0 400 0 0 400
105 Halloperidol tab 0,5 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100
106 Halloperidol tab 1,5 mg Tab 600 0 0 600 0 0 0 0 600 0 0 600 0 0 0 0 600 0 0 600
107 Halloperidol tab 5 mg Tab 200 0 500 700 0 0 0 0 200 0 500 700 0 0 0 0 200 0 500 700
108 Hidroklortiazide (HCT) tablet 25 mg Tab 1597 0 0 1597 0 0 0 0 1597 0 0 1597 57 0 0 57 1540 0 0 1540
109 Hidrocortison krim 2,5 % Tube 52 0 0 52 120 0 0 120 172 0 0 172 37 0 0 37 135 0 0 135
110 Ibuprofen tablet 200 mg Tab 4355 0 0 4355 1000 0 0 1000 5355 0 0 5355 1353 0 0 1353 4002 0 0 4002
111 Ibuprofen tablet 400 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAK PEMBERIAN
AIAN PERMINT KET.
NO. NAMA BARANG SATUAN
RATA2/ AAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH BLN PKD PROG JUMLAH

112 Ibuprofen syrup Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


113 Insulin Human Rapid injeksi 100 IU vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
114 Isoniazida ( INH ) tab 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
115 Isoniazida ( INH ) tab 300 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
116 Isosorbit dinitrat sublingual 5 mg Tab 140 0 0 140 100 0 0 100 240 0 0 240 6 0 0 6 234 0 0 234
117 Komb. Primetamin 25mg+suldox 500mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
118 Klorfenol kamfermenthol ( CHKM ) Tab 5 0 0 5 0 0 0 0 5 0 0 5 0 0 0 0 5 0 0 5
119 Kalsium Laktat tablet Tab 11480 10500 0 21980 5500 0 0 5500 16980 10500 0 27480 3230 0 0 3230 13750 10500 0 24250
120 Kandesartan cilexetil 8 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
121 Karbamazepin tablet 200 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
122 Ketorolac injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
123 Kloramfenikol salep kulit Tube 92 0 0 92 0 0 0 0 92 0 0 92 1 0 0 1 91 0 0 91
124 Kloramfenikol salep mata 1 % Tube 79 0 0 79 96 0 0 96 175 0 0 175 11 0 0 11 164 0 0 164
125 Kloramfenicol tetes telinga 3 % Btl 81 0 0 81 25 0 0 25 106 0 0 106 0 0 0 0 106 0 0 106
126 Kloramfenicol 250 mg kapsul Kap 1055 0 0 1055 0 0 0 0 1055 0 0 1055 465 0 0 465 590 0 0 590
127 Klorfeniramin maleat 4 mg (CTM ) Tab 23650 0 0 23650 19800 0 0 19800 43450 0 0 43450 4460 0 0 4460 38990 0 0 38990
128 Kloramfenicol tetes mata ( Reco ) Btl 0 73 0 73 0 0 0 0 0 73 0 73 0 1 0 1 0 72 0 72
129 Kalsium Hidroksida Pasta ( Calcidor ) Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
130 Klorpromazin hcl injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
131 Klorpromazine tab salut 25 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
132 Klorpromazine tab salut 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
133 Kodein tablet 10 mg Tab 654 0 0 654 300 0 0 300 954 0 0 954 254 0 0 254 700 0 0 700
134 Kotrimoksazol suspensi Btl 320 0 0 320 100 0 0 100 420 0 0 420 6 0 0 6 414 0 0 414
135 Kotrimoksazol pediatrik Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
136 Kotrimoksazol tablet 480 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
137 Klorokuin Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
138 Kuinin sulfat tab 222 mg (7H2O) Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
139 Lidocain kompositum inj (Pehacain) Ampul 600 0 0 600 150 0 0 150 750 0 0 750 0 0 0 0 750 0 0 750
140 Lidocain injeksi Ampul 600 0 0 600 100 0 0 100 700 0 0 700 60 0 0 60 640 0 0 640
141 Lisinopril 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
142 Loperamide tab 2 mg / Novadium Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
143 Loratadin 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
144 Magnesium sulfat injeksi 20% vial 0 0 0 0 5 0 0 5 5 0 0 5 0 0 0 0 5 0 0 5
145 Magnesium sulfat injeksi 40% vial 0 0 0 0 5 0 0 5 5 0 0 5 0 0 0 0 5 0 0 5
146 Mecobalamin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
147 Meloxicam 7,5 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
148 Metformin hcl tablet 500 mg Tab 5500 0 0 5500 0 0 0 0 5500 0 0 5500 85 0 0 85 5415 0 0 5415
149 Methyl prednisolon tablet 4 mg Tab 3190 4400 0 7590 4000 0 0 4000 7190 4400 0 11590 390 0 0 390 6800 4400 0 11200
150 Metilergometrin tablet salut Tab 100 0 0 100 100 0 0 100 200 0 0 200 0 0 0 0 200 0 0 200
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAK PEMBERIAN
AIAN PERMINT KET.
NO. NAMA BARANG SATUAN
RATA2/ AAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH BLN PKD PROG JUMLAH

151 Metilergometrin injeksi Ampul 0 0 75 75 0 0 0 0 0 0 75 75 0 0 0 0 0 0 75 75


152 Metoklorpropamide hcl 10 mg Tab 2000 0 0 2000 1000 0 0 1000 3000 0 0 3000 500 0 0 500 2500 0 0 2500
153 Metronidazole tablet 250 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
154 Metronidazole tablet 500 mg Tab 1554 0 0 1554 200 0 0 200 1754 0 0 1754 144 0 0 144 1610 0 0 1610
155 Metronidazole syrup Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
156 Metronidazole infus Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
157 Miconazol cream tube 137 0 0 137 120 0 0 120 257 0 0 257 19 0 0 19 238 0 0 238
158 Microlax rectal tube tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
159 Mummifying pasta Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
160 Natrium bikarbonat tablet Tab 800 0 0 800 500 0 0 500 1300 0 0 1300 0 0 0 0 1300 0 0 1300
161 Natrium Diklofenak 25 mg Tab 1220 0 0 1220 2800 0 0 2800 4020 0 0 4020 640 0 0 640 3380 0 0 3380
162 Natrium Diklofenak 50 mg Tab 2000 1540 0 3540 1500 0 0 1500 3500 1540 0 5040 750 255 0 1005 2750 1285 0 4035
163 Natrium klorida larutan infus Btl 104 0 0 104 30 0 0 30 134 0 0 134 4 0 0 4 130 0 0 130
164 Neurobion 5000 injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
165 Nifedipin tablet Tab 60 0 0 60 200 0 0 200 260 0 0 260 0 0 0 0 260 0 0 260
166 Nistatin tablet salut 500.000 iu/g Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
167 Nistatin tablet vaginal 100.000 iu/g Tab 300 0 0 300 200 0 0 200 500 0 0 500 7 0 0 7 493 0 0 493
168 O B H Btl 0 304 0 304 100 0 0 100 100 304 0 404 24 54 0 78 76 250 0 326
169 Obat Anti TBC Kategori 1 paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
170 Obat Anti TBC Kategori 1 -Stop TB KIT paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
171 Obat Anti TBC Kategori II paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
172 Obat Anti TBC Kategori Anak paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
173 Obat Anti TBC Kategori III paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
174 Ofloxacin 200 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
175 Oksitetrasiklin hcl salep mata 1 % tube 26 0 0 26 25 0 0 25 51 0 0 51 0 0 0 0 51 0 0 51
176 Oksitetrasiklin hcl salep kulit 3 % Tube 25 0 0 25 200 0 0 200 225 0 0 225 0 0 0 0 225 0 0 225
177 Oksitetrasiklin hcl injeksi vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
178 Oksitosin injeksi / Pitogin Ampul 80 0 0 80 100 0 0 100 180 0 0 180 0 0 0 0 180 0 0 180
179 Omeprazole capsul 20 mg Kap 0 0 0 0 2910 0 0 2910 2910 0 0 2910 0 0 0 0 2910 0 0 2910
180 Ondansentron injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
181 Papaverin tablet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
182 Paracetamol tablet 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10180
183 Paracetamol tablet 500 mg Tab 3350 23200 0 26550 33000 0 0 33000 36350 23200 0 59550 6350 1120 0 7470 30000 22080 0 52080 11900
184 Paracetamol Drop Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
185 Parasetamol sirup Btl 280 500 0 780 0 0 0 0 280 500 0 780 257 0 0 257 23 500 0 523
186 Perfenazine tablet 4 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
187 Piracetam 3 g injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
188 Pirantel pamoat tablet 125 mg Tab 300 0 0 300 0 0 0 0 300 0 0 300 0 0 0 0 300 0 0 300
189 Pirantel pamoat sirup Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAK PEMBERIAN
AIAN PERMINT KET.
NO. NAMA BARANG SATUAN
RATA2/ AAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH BLN PKD PROG JUMLAH

190 Pyrazinamide tablet 500 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


191 Piridoxin hcl tablet 10 mg Tab 11160 0 0 11160 14000 0 0 14000 25160 0 0 25160 1410 0 0 1410 23750 0 0 23750
192 Piroxicam 10 mg Tab 0 2000 0 2000 500 0 0 500 500 2000 0 2500 0 0 0 0 500 2000 0 2500
193 Piroxicam 20 mg Tab 0 1520 0 1520 0 0 0 0 0 1520 0 1520 0 120 0 120 0 1400 0 1400
194 Polikresulen / Albothil Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
195 Prednison tablet Tab 8581 0 0 8581 10000 0 0 10000 18581 0 0 18581 1181 0 0 1181 17400 0 0 17400
196 Primakuin tablet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
197 Prokain benzil penisilin inj vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
198 Pronalges suppositoria Supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
199 Propanolol tab 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
200 Propanolol tab 40 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
201 Propiltiourasil tablet 100 mg Tab 0 600 0 600 200 0 0 200 200 600 0 800 0 20 0 20 200 580 0 780
202 Proris suppositoria Supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
203 Perak sulfadiazine cream 3 % tube 39 0 0 39 0 0 0 0 39 0 0 39 0 0 0 0 39 0 0 39
204 Ranitidin tablet 150 mg Tab 3000 0 0 3000 0 0 0 0 3000 0 0 3000 580 0 0 580 2420 0 0 2420
205 Ranitidin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
206 Reserpin tablet 0,1 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
207 Reserpin tablet 0,25 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
208 Retinol kapsul 100.000 IU Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
209 Retinol kapsul 200.000 IU Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
210 Rifampisin kapsul 300 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
211 Rifampisin kapsul 450 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
212 Rifampisin kapsul 600 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
213 Ringer laktat infus steril Btl 26 0 0 26 20 0 0 20 46 0 0 46 3 0 0 3 43 0 0 43
214 Salbutamol tablet 2 mg Tab 0 0 0 0 600 0 0 600 600 0 0 600 0 0 0 0 600 0 0 600
215 Salbuatmol tablet 4 mg Tab 590 0 0 590 1000 0 0 1000 1590 0 0 1590 150 0 0 150 1440 0 0 1440
216 salep 2-4 Pot 29 0 0 29 0 0 0 0 29 0 0 29 0 0 0 0 29 0 0 29
217 Salisil bedak 2 % Pot 12 0 0 12 120 0 0 120 132 0 0 132 50 0 0 50 82 0 0 82
218 Semen seng fosfat serbuk & cairan Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
219 Serum Anti Bisa Ular injeksi Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
220 Serum Anti tetanus injeksi 1500 IU Ampul 20 0 0 20 10 0 0 10 30 0 0 30 5 0 0 5 25 0 0 25
221 Tatagam vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
222 Sianokobalamin inj 500 mcg/ml Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
223 Silver Amalgam serbuk Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
224 Simvastatin 10 mg Tab 2585 950 0 3535 1680 0 0 1680 4265 950 0 5215 1045 0 0 1045 3220 950 0 4170
225 Simvastatin 20 mg supp 0 3000 0 3000 0 0 0 0 0 3000 0 3000 0 0 0 0 0 3000 0 3000
226 Stesolid rectal supp 5 mg Supp 5 0 0 5 0 0 0 0 5 0 0 5 5 0 0 5 0 0 0 0
227 Stesolid rectal supp 10 mg Btl 5 0 0 5 10 0 0 10 15 0 0 15 0 0 0 0 15 0 0 15
228 Sulfasetamid tetes mata 15 % Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAK PEMBERIAN
AIAN PERMINT KET.
NO. NAMA BARANG SATUAN
RATA2/ AAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH BLN PKD PROG JUMLAH

229 Tablet tambah darah (SF) Tab 12600 2000 0 14600 11200 0 0 11200 23800 2000 0 25800 2410 0 0 2410 21390 2000 0 23390
230 Temporary / Fletcher Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
231 Tetrasiklin kapsul 250 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
232 Tetrasiklin kapsul 500 mg Tab 1300 0 0 1300 0 0 0 0 1300 0 0 1300 200 0 0 200 1100 0 0 1100
233 Thrombo Aspilet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
234 Thiamin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
235 Thiamin tablet 50 mg Tab 16760 0 0 16760 5200 0 0 5200 21960 0 0 21960 770 0 0 770 21190 0 0 21190
236 Triheksipenidil hcl tablet 2 mg Tab 810 0 0 810 0 0 0 0 810 0 0 810 85 0 0 85 725 0 0 725
237 Trikresol formalin cairan ( TKF ) Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
238 Vaksin rabies vero Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
239 Valsartan 80 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
240 Ventolin nebulizer Nebules 0 40 0 40 10 0 0 10 10 40 0 50 0 20 0 20 10 20 0 30
241 Vitamin B komplek tablet Tab 0 5500 0 5500 18800 0 0 18800 18800 5500 0 24300 0 4160 0 4160 18800 1340 0 20140
242 Yodium povidon lart 10 % - 30 ml Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
243 Yodium povidon lart 10 % - 300 ml Btl 24 16 0 40 10 0 0 10 34 16 0 50 2 0 0 2 32 16 0 48
244 Xylocain jelly Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
245 Lidocain Pasta Pot 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
246 Zinc tablet 20 mg Tab 3254 0 0 3254 0 0 0 0 3254 0 0 3254 99 0 0 99 3155 0 0 3155
247 Zinc sirup Btl 54 0 0 54 50 0 0 50 104 0 0 104 7 0 0 7 97 0 0 97
248 Alat suntik 1 ml Pcs 100 0 0 100 1000 0 0 1000 1100 0 0 1100 100 0 0 100 1000 0 0 1000
249 Alat suntik 2,5 ml Pcs 2400 0 0 2400 0 0 0 0 2400 0 0 2400 200 0 0 200 2200 0 0 2200
250 Alat suntik 3 ml Pcs 2400 400 0 2800 400 0 0 400 2800 400 0 3200 0 0 0 0 2800 400 0 3200
251 Alat suntik 5 ml Pcs 900 500 500 1900 500 0 0 500 1400 500 500 2400 0 0 0 0 1400 500 500 2400
252 Alkohol 70 % ( 1 L ) Btl 27 0 0 27 3 0 0 3 30 0 0 30 1 0 0 1 29 0 0 29
253 Alkohol 70 % ( 60 Ml ) Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
254 Aqua destilata steril 500 ml Btl 3 0 0 3 2 0 0 2 5 0 0 5 0 0 0 0 5 0 0 5
255 Aqua pro injeksi Vial 14 30 0 44 50 0 0 50 64 30 0 94 0 0 0 0 64 30 0 94
256 Bisturi no 10 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
257 Bisturi no 11 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
258 Bisturi no 20 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
259 Bisturi no 22 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
260 Blood Lancet Pcs 1500 2800 0 4300 500 0 0 500 2000 2800 0 4800 0 0 0 0 2000 2800 0 4800
261 Catgut/benang bedah Pcs 101 0 0 101 0 0 0 0 101 0 0 101 0 0 0 0 101 0 0 101
262 ETT no.6 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
263 ETT no.6,5 Set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
264 ETT no.7 Set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
265 ETT no.7,5 Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
266 Hand scrub Pcs 44 0 0 44 6 0 0 6 50 0 0 50 1 0 0 1 49 0 0 49
267 Handscoon uk.S Pcs 100 0 0 100 0 0 0 0 100 0 0 100 100 0 0 100 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAK PEMBERIAN
AIAN PERMINT KET.
NO. NAMA BARANG SATUAN
RATA2/ AAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH BLN PKD PROG JUMLAH

268 Handscoon uk. M Pcs 0 4700 0 4700 0 0 300 300 0 4700 300 5000 0 500 300 800 0 4200 0 4200
269 Handscoon uk. L Pcs 0 1900 0 1900 0 0 0 0 0 1900 0 1900 0 200 0 200 0 1700 0 1700
270 Infusion set anak set 0 50 0 50 0 0 0 0 0 50 0 50 0 0 0 0 0 50 0 50
271 Infusion set dewasa set 0 50 0 50 0 0 0 0 0 50 0 50 0 0 0 0 0 50 0 50
272 Wing neadle no. 23G Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
273 IV Catheter (Abocath) NO.20 Pcs 0 0 0 0 5 0 0 5 5 0 0 5 0 0 0 0 5 0 0 5
274 IV Catheter (Abocath) NO.22 Pcs 0 0 0 0 5 0 0 5 5 0 0 5 0 0 0 0 5 0 0 5
275 IV Catheter (Abocath) NO.24 pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
276 Jarum Jahit (Nald Heating ) no. 10 pcs 38 0 0 38 0 0 0 0 38 0 0 38 0 0 0 0 38 0 0 38
277 Jarum Jahit (Nald Heating ) no. 11 pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
278 Jarum Jahit (Nald Heating ) no. 12 pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
279 Jarum Jahit (Nald Heating ) no. 13 pcs 10 0 0 10 0 0 0 0 10 0 0 10 0 0 0 0 10 0 0 10
280 Jarum Jahit (Nald Heating ) no. 14 Pcs 29 0 0 29 0 0 0 0 29 0 0 29 0 0 0 0 29 0 0 29
281 Kapas pembalut/Absorben 250 gr Roll 31 0 0 31 20 0 0 20 51 0 0 51 2 0 0 2 49 0 0 49
282 Kasa kompres 40/40 steril Roll 180 0 0 180 0 0 0 0 180 0 0 180 0 0 0 0 180 0 0 180
283 Kasa pembalut hidrofil 4m x 15 cm Roll 480 0 0 480 0 0 0 0 480 0 0 480 0 0 0 0 480 0 0 480
284 Kasa pembalut hidrofil 4 m x 3 cm Roll 403 0 0 403 0 0 0 0 403 0 0 403 0 0 0 0 403 0 0 403
285 Kassa 36x80 cm Roll 14 0 0 14 6 0 0 6 20 0 0 20 1 0 0 1 19 0 0 19
286 Kertas Saring Whatman Buku 0 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 1
287 Masker Pcs 0 5400 100 5500 1000 0 0 1000 1000 5400 100 6500 0 250 0 250 1000 5150 100 6250
288 Objec Glass Box/72 4 0 5 9 0 0 12 12 4 0 17 21 0 0 12 12 4 0 5 9
289 Pipet Tetes Panjang Pcs 20 0 0 20 0 0 0 0 20 0 0 20 0 0 0 0 20 0 0 20
290 Plastik Obat Klip 10 x 7 Pcs 0 14000 0 14000 0 0 0 0 0 14000 0 14000 0 3000 0 3000 0 11000 0 11000
291 Plastik Obat Klip 13 x 8,7 0 24000 0 24000 0 0 0 0 0 24000 0 24000 0 1000 0 1000 0 23000 0 23000
292 Plester 5 yard x 2 inch Roll 11 0 8 19 11 0 0 11 22 0 8 30 1 0 0 1 21 0 8 29
293 Poly catheter no.8 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
294 Poly catheter no.12 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
295 Poly catheter no.16 Pcs/set 15 0 0 15 0 0 0 0 15 0 0 15 0 0 0 0 15 0 0 15
296 Silk ( benang bedah sutera) 03/0 Sak 1 0 36 37 12 0 0 12 13 0 36 49 0 0 0 0 13 0 36 49
297 Spons gelatin cublices bks 7 0 0 7 0 0 0 0 7 0 0 7 0 0 0 0 7 0 0 7
298 Stick Gluco DR Btl/50 0 19 0 19 0 0 0 0 0 19 0 19 0 0 0 0 0 19 0 19
299 Tabung Reaksi Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
300 Tes Kehamilan HCG Pcs 1 2 0 3 1 0 0 1 2 2 0 4 0 0 0 0 2 2 0 4
301 Transfution set/Transfusion blood ADM set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
302 Urinalysis 10 parameter Btl 5 2 0 7 3 0 0 3 8 2 0 10 0 0 0 0 8 2 0 10
303 Stick asam Urat Btl/25 0 13 0 13 0 0 0 0 0 13 0 13 0 0 0 0 0 13 0 13
304 Stick Colestrol Btl/10 0 20 0 20 0 0 0 0 0 20 0 20 0 2 0 2 0 18 0 18
305 Cell Clean ( CL-50) Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
306 Cell Pack ( PK-30L) Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAK PEMBERIAN
AIAN PERMINT KET.
NO. NAMA BARANG SATUAN
RATA2/ AAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH BLN PKD PROG JUMLAH

307 Control eight check 3 x 1,5 ml Btl/set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


308 Eightcheck-3WP (Normal) 1,5 ml Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
309 Eightcheck-3WP (Low) 1,5 ml Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
310 Eightcheck-3WP (High) 1,5 ml Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
311 Stomalyzer WH(SWH-2004) btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
312 Tabung K2 EDTA 2 ml Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
313 Printer Paper Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
314 Deck Glass Btl 5 0 0 5 0 0 0 0 5 0 0 5 0 0 0 0 5 0 0 5
315 Tes Gol Darah (A,B,AB ) Set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
316 Tisu lensa Buku 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
317 Kertas perkamen Lembar 19 0 0 19 0 0 0 0 19 0 0 19 0 0 0 0 19 0 0 19
318 Podofilin Tinctur 25 % Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
319 Larutan Fauchet Btl 2 0 0 2 1 0 0 1 3 0 0 3 0 0 0 0 3 0 0 3
320 Larutan Lisol Btl 31 0 0 31 5 0 0 5 36 0 0 36 2 0 0 2 34 0 0 34
321 Larutan asam klorida 0,1 N Btl 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 1 0 0 1
322 Larutan asam sulfosalisilat 20% Btl 1 0 0 1 1 0 0 1 2 0 0 2 0 0 0 0 2 0 0 2
323 Larutan barium klorida Btl 1 0 0 1 1 0 0 1 2 0 0 2 0 0 0 0 2 0 0 2
324 Larutan Benedict Btl 2 0 0 2 1 0 0 1 3 0 0 3 0 0 0 0 3 0 0 3
325 Larutan Bupper PH 7,2 Btl 1 0 0 1 3 0 0 3 4 0 0 4 3 0 0 3 1 0 0 1
326 Larutan EDTA Cair 10 % Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
327 Larutan Eosin 2 % Btl 0 1 0 1 1 0 0 1 1 1 0 2 0 0 0 0 1 1 0 2
328 Larutan Etanol Asam Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
329 Larutan Giemsa Stalin Btl 1 0 0 1 3 0 0 3 4 0 0 4 3 0 0 3 1 0 0 1
330 Larutan H2O2 Btl 2 0 0 2 8 0 0 8 10 0 0 10 0 0 0 0 10 0 0 10
331 Larutan Imersen oil HB Btl 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 1 0 0 1
332 Larutan karbol fuksin Btl 0 2 0 2 0 0 0 0 0 2 0 2 0 0 0 0 0 2 0 2
333 Larutan Metanol Btl 0 0 0 0 3 0 0 3 3 0 0 3 3 0 0 3 0 0 0 0
334 Larutan Metilen Biru Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
335 Larutan Natrium Sitrat 38 % Btl 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 1 0 0 1
336 Larutan Rees echer Btl 1 0 0 1 1 0 0 1 2 0 0 2 0 0 0 0 2 0 0 2
337 Larutan spiritus 100 ml Btl 0 0 0 0 0 0 6 6 0 0 6 6 0 0 6 6 0 0 0 0
338 Larutan turk Btl 2 2 0 4 1 0 0 1 3 2 0 5 0 0 0 0 3 2 0 5
339 Betamin drage ( Vit. B1 ) Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
340 Domperidon Btl 377 0 0 377 2500 0 0 2500 2877 0 0 2877 377 0 0 377 2500 0 0 2500
341 Clozapin 25 mg Tab 0 0 150 150 0 0 0 0 0 0 150 150 0 0 0 0 0 0 150 150
342 Clobazam 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
343 Trifluoperazin HCl 5 mg ( Stelosi ) Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
344 Vitamin B 12 Tab 2800 0 0 2800 0 0 0 0 2800 0 0 2800 300 0 0 300 2500 0 0 2500
345 Ketokonazol Crem Tube 58 0 0 58 0 0 0 0 58 0 0 58 5 0 0 5 53 0 0 53
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAK PEMBERIAN
AIAN PERMINT KET.
NO. NAMA BARANG SATUAN
RATA2/ AAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH BLN PKD PROG JUMLAH

346 Rapid Test HIV I Standar (Stik SD HIV ) Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


347 Flufenazin Decanoat Inj 25 mg Ampul 0 0 10 10 0 0 0 0 0 0 10 10 0 0 0 0 0 0 10 10
348 Haloperidol Inj 5 mg ( Ladomer ) Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
349 Haloperidol Decanoat Inj 50 mg Ampul 0 0 15 15 0 0 0 0 0 0 15 15 0 0 0 0 0 0 15 15
350 Resperidon tab 2 mg Tab 0 0 1000 1000 0 0 0 0 0 0 1000 1000 0 0 0 0 0 0 1000 1000
351 Curviplex Sirup Btl 0 20 0 20 0 0 0 0 0 20 0 20 0 16 0 16 0 4 0 4
352 Andalan Inj 3 Bulan Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
353 Andalan Inj 1 Bulan Vial 0 100 0 100 0 0 0 0 0 100 0 100 0 0 0 0 0 100 0 100
354 Cyclopen Inj. 1 Bulan Vial 0 208 0 208 0 0 0 0 0 208 0 208 0 0 0 0 0 208 0 208
355 Kasa Steril 16 X 16 Kotak 0 175 0 175 0 0 0 0 0 175 0 175 0 0 0 0 0 175 0 175
356 Alat Nesco Tri in one Kotak 0 1 0 1 0 0 0 0 0 1 0 1 0 1 0 1 0 0 0 0
357 Alkohol Swab One swab Kotak 0 10 0 10 0 0 0 0 0 10 0 10 0 0 0 0 0 10 0 10
358 Bahan tambalan Komposid (solare) Tube 0 4 0 4 0 0 0 0 0 4 0 4 0 0 0 0 0 4 0 4
359 OCO Btl/15ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
360 Paper Pad Buku 0 6 0 6 0 0 0 0 0 6 0 6 0 0 0 0 0 6 0 6
361 Ether Alkohol Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
362 Buffer Ph 6,4 Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
363 Ichtyol Salaf Kulit Pot 0 21 0 21 0 0 0 0 0 21 0 21 0 5 0 5 0 16 0 16
364 Levertran Salep Kulit Pot 0 42 0 42 0 0 0 0 0 42 0 42 0 0 0 0 0 42 0 42
365 KOH 10 % Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
366 Pot sputum Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
367 Reagen TB Paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
368 Sefty box 2,5 L Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
369 Human Hexagon Syphilis Test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
370 HBO Paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
371 BCG Ampul 0 0 3 3 0 0 0 0 0 0 3 3 0 0 0 0 0 0 3 3
372 POLIO Vial 0 0 7 7 0 0 0 0 0 0 7 7 0 0 0 0 0 0 7 7
373 PENTABIO Vial 0 0 3 3 0 0 0 0 0 0 3 3 0 0 0 0 0 0 3 3
374 CAMPAK Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
375 Td/TT Vial 0 0 4 4 0 0 0 0 0 0 4 4 0 0 0 0 0 0 4 4
376 IPV Vial 0 0 4 4 0 0 0 0 0 0 4 4 0 0 0 0 0 0 4 4
377 Box Slide Ktk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
378 Fokus test Ktk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
379 Pentocain 0,5 % TT Mata Btl 0 25 0 25 0 0 0 0 0 25 0 25 0 0 0 0 0 25 0 25
380 Alat suntik 0,5 ml Box 0 0 4859 4859 0 0 0 0 0 0 4859 4859 0 0 0 0 0 0 4859 4859
381 Sefty box 5 L Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
382 Vaksin MR Vial 0 0 383 383 0 0 0 0 0 0 383 383 0 0 0 0 0 0 383 383
383 Pelarut MR Vial 0 0 383 383 0 0 0 0 0 0 383 383 0 0 0 0 0 0 383 383
384 Ketokonazole Tablet Tab 0 943 0 943 0 0 0 0 0 943 0 943 0 0 0 0 0 943 0 943
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAK PEMBERIAN
AIAN PERMINT KET.
NO. NAMA BARANG SATUAN
RATA2/ AAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH BLN PKD PROG JUMLAH

385 Masker Nebulizer Anak Psc 5 0 0 5 5 0 0 5 10 0 0 10 0 0 0 0 10 0 0 10


386 Masker Nebulizer Dewasa Psc 4 0 0 4 5 0 0 5 9 0 0 9 0 0 0 0 9 0 0 9
387 Nasal Oksigen Kanula Anak Psc 3 0 0 3 10 0 0 10 13 0 0 13 1 0 0 1 12 0 0 12
388 Nasal Oksigen Kanula Dewasa Psc 4 0 0 4 10 0 0 10 14 0 0 14 1 0 0 1 13 0 0 13
389 Non Rebreating Mask Psc 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
390 Pritamox sirup 125 mg btl 0 191 0 191 0 0 0 0 0 191 0 191 0 0 0 0 0 191 0 191
391 ID Dewasa Pink Box 0 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 1
392 ID Dewasa Blue Box 0 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 1
393 ID Bayi Pink Box 0 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 1
394 ID Bayi Biru Box 0 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 1
395 Umbilical Keniko Box 0 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 1
396 Folley Catheter 16 Rusch Pcs 0 10 0 10 0 0 0 0 0 10 0 10 0 0 0 0 0 10 0 10
397 Urine Bag Fresco Pcs 0 10 0 10 0 0 0 0 0 10 0 10 0 0 0 0 0 10 0 10
398 Disp Sryringe 10 ml Onemed Box 0 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 1
399 Suction Catheter 8 Remedi Pcs 0 3 0 3 0 0 0 0 0 3 0 3 0 0 0 0 0 3 0 3
400 Suction Catheter 16 Remedi Psc 0 3 0 3 0 0 0 0 0 3 0 3 0 0 0 0 0 3 0 3
401 Domperidon syrup btl 16 0 0 16 0 0 0 0 16 0 0 16 8 0 0 8 8 0 0 8
402 Kloramfenikol syrup btl 15 0 0 15 0 0 0 0 15 0 0 15 0 0 0 0 15 0 0 15
403 cetirizin syrup btl 27 0 0 27 0 0 0 0 27 0 0 27 3 0 0 3 24 0 0 24
404 Jelly 250ml Ultra soundgel btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
405 Plaster Hypafix Psc 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
406 Albendazole syrup btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
407 Moxalaskap/cotri480mg tab 0 2960 0 2960 0 0 0 0 0 2960 0 2960 0 0 0 0 0 2960 0 2960
408 Moxalas syr/cotry syr btl 0 100 0 100 0 0 0 0 0 100 0 100 0 0 0 0 0 100 0 100
409 Lorihis tab/loratadin tab tab 0 900 0 900 0 0 0 0 0 900 0 900 0 0 0 0 0 900 0 900
410 Flagsol syr/metro syr btl 0 46 0 46 0 0 0 0 0 46 0 46 0 0 0 0 0 46 0 46
411 Selfolic 1000mg/Asam folat tab 0 5183 0 5183 0 0 0 0 0 5183 0 5183 0 603 0 603 0 4580 0 4580
412 Trifadium2mg/Loperamid tab tab 0 2399 0 2399 0 0 0 0 0 2399 0 2399 0 462 0 462 0 1937 0 1937
413 Omeprazole Injeksi Ampul 0 0 0 0 20 0 0 20 20 0 0 20 0 0 0 0 20 0 0 20

270966 234943 8145 514054 186357 0 318 186675 457323 234943 8463 700729 45688 23667 318 69673 411635 211276 8145 631056

0 411,635 216,477 8145 636,257

270,966 234,943 8,145 514,054

- -
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAK PEMBERIAN
AIAN PERMINT KET.
NO. NAMA BARANG SATUAN
RATA2/ AAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH BLN PKD PROG JUMLAH

JENIS PELAYANAN PUSKESMAS PAAL X PUSTU POSKESDES JUMLAH


R/ UMUM 509 250 14 773
R/ BPJS 1199 33 26 1258
R/ JAMKESDA 0 168 0 168
Jlh. Recipe 4530 1267 155 5952
Jlh R/ Generik 4505 1267 155 5927
R/ Antibiotik 276 169 20 465

Mengetahui Jambi, Februari 2020


Kepala UPTD Puskesmas Paal X Kota Jambi Pengelola Obat Puskesmas Paal X

dr.Hj.SRI ROSIANTI SRI HARTATY, AMF


NIP. 19720704 200701 2 017 NIP. 19820825 200502 2 001
PUSKESMAS PAAL X KOTA JAMBI
KODE. 5070101

JUMLAH STOK AWAL


NO. NAMA BARANG SATUAN
JUMLAH PKD BLUD PROG
1 Acyclovir cream 5 % tube 324 324 0 0
2 Acyclovir tablet 200 mg Tab 1090 1090 0 0
3 Acyclovir tablet 400 mg Tab 1018 1018 0 0
4 Air Raksa Dental Use Btl 1 1 0 0
5 Albendazole 400 mg Tab 0 0 0 0
6 Allopurinol 100 mg Tab 6790 6790 0 0
7 Allopurinol 300 mg Tab 2740 450 2290 0
8 Ambroxol syrup Btl 378 0 378 0
9 Ambroxol tab 30 mg Tab 7620 0 7620 0
10 Aminofilin injeksi Ampul 0 0 0 0
11 Aminofilin tablet Tab 1500 1500 0 0
12 Amitriptilin tablet 25 mg Tab 2137 2137 0 0
13 Amlodipin 5 mg Tab 7500 4500 3000 0
14 Amoksisilin kap 250 mg Kap 10205 0 10205 0
15 Amoksisilin kap 500 mg Kap 22400 22400 0 0
16 Amoksisilin sirup kering 125 mg/5 ml Btl 63 63 0 0
17 Amoksisilin Sirup Forte 250 mg/5 ml Btl 360 360 0 0
18 Amlodipin 10 mg Tab 3085 3085 0 0
19 Amoksisilin injeksi Vial 0 0 0 0
20 Ampisilin Kaplet 500 mg Kap 0 0 0 0
21 Ampisilin sirup kering 125 mg/5 ml Btl 0 0 0 0
22 Antalgin tablet 500 mg Tab 3850 3850 0 0
23 Antalgin injeksi Ampul 0 0 0 0
24 Antasida doen tablet Tab 39000 19000 20000 0
25 Antasida sirup Btl 193 93 100 0
26 Anti Bakteri salep / Bacitracin salep Tube 11 11 0 0
27 Anti Fungi kombinasi Pot 119 119 0 0
28 Anti Hemoroid supp 210 210 0 0
29 Anti Migrain tablet Tab 0 0 0 0
30 Asam Askorbat (VIT C) 50 mg Tab 27800 21300 6500 0
31 Asam Folat Tab 0 0 0 0
32 Asering Infus Kolf 0 0 0 0
33 Asam Mefenamat 500 mg Tab 1440 0 1440 0
34 Asam Tranexamat injeksi Ampul 0 0 0 0
35 Asam Asetilsalisilat(Asetosal) 80 mg Tab 0 0 0 0
36 Asetosal tablet 100 mg Tab 0 0 0 0
37 Azitromycin 500 mg Tab 200 200 0 0
38 Bisoprolol tablet Tab 0 0 0 0
39 Benzatin benzil penicilin inj 2,4 jt iu Vial 0 0 0 0
40 Betadin salep Tube 0 0 0 0
41 Betametason kream 0,1 % Tube 250 250 0 0
42 Bisacodyl 10 mg Supp 0 0 0 0
43 Bethahistin maselat Tablet 394 0 394 0
44 Captopril 12,5 mg Tab 400 400 0 0
45 Captopril 25 mg Tab 100 100 0 0
46 Captopril 50 mg Tab 0 0 0 0
47 Caviton Btl 2 1 1 0
48 Cefadroxil 500 mg kap 1980 1980 0 0
49 Cefotaxime injeksi 1 g Vial 0 0 0 0
50 Cefriaxon injeksi Vial 0 0 0 0
51 Cetrizin tablet 10 mg Kap 910 910 0 0
52 Ciprofloxacin 500 mg Tab 2700 2700 0 0
53 Clindamicin 150 mg Kap 0 0 0 0
54 Clindamicin 300 mg Kap 0 0 0 0
55 Devitalisasi pasta Btl 0 0 0 0
56 Dexamethason tablet Tab 19680 19680 0 0
57 n Ampul 250 250 0 0
58 Diazepam tablet 2 mg Tab 2866 1500 1366 0
59 Diazepam tablet 5 mg Tab 1200 1100 0 100
60 Diazepam injeksi Ampul 30 30 0 0
61 Difenhidramin injeksi Ampul 120 120 0 0
62 Digoksin tablet Tab 100 100 0 0
63 Doxicillin Tab 0 0 0 0
64 Dulcolax tablet Tab 0 0 0 0
65 Dulculax supp 10 mg ( Dewasa ) Supp 32 32 0 0
66 Dulculax supp 5 mg ( Anak ) Supp 0 0 0 0
67 Efedrin Hcl 25 mg Tab 0 0 0 0
68 Ekstrak belladona tablet 10 mg Tab 0 0 0 0
69 Ephinefrin hcl injeksi Ampul 0 0 0 0
70 Erytromycin kapsul 250 mg Kap 2800 2800 0 0
71 Erytromycin kapsul 500 mg Kap 270 270 0 0
72 Erytromycin syrup Btl 47 0 47 0
73 Etakridin / Rivanol Btl 31 31 0 0
74 Ethambutol hcl tab 250 mg Tab 0 0 0 0
75 Ethambutol hcl tab 500 mg Tab 0 0 0 0
76 Etil klorida semprot Btl 1 1 0 0
77 Eugenol cairan Btl 3 3 0 0
78 Fenitoin natrium 30 mg Kap 0 0 0 0
79 Fenitoin natrium 100 mg Kap 100 100 0 0
80 Fenobarbital injeksi Ampul 0 0 0 0
81 Fenobarbital tab 100 mg Tab 300 300 0 0
82 Fenobarbital tablet 30 mg Tab 199 199 0 0
83 Fenoksimetil fenisilin tab 250 mg Tab 0 0 0 0
84 Fenoksimetil fenisilin tab 500 mg Tab 0 0 0 0
85 Fenol Gliserol tetes telinga Btl 80 80 0 0
86 Fitomenadion (Vit K) tab 10 mg Tab 2800 2800 0 0
87 Fitomenadion (Vit K) injeksi Ampul 0 0 0 0
88 Fluconazol 150 mg Tab 26 26 0 0
89 Furosemide tablet 40 mg Tab 923 0 923 0
90 Fluor gel Btl 0 0 0 0
91 Garam oralit untuk 200 ml air Set 0 0 0 0
92 Gentamycin salep kulit 0,1 % Tube 26 26 0 0
93 Gentamycin salep mata Tube 72 72 0 0
94 Gentamycin tetes mata Btl 102 102 0 0
95 Gentamycin injeksi Ampul 0 0 0 0
96 Gentian violet Btl 83 35 48 0
97 Glass Ionomer (ART FUJI IX) Btl 0 0 0 0
98 Glibenklamida tablet 5 mg Tab 100 100 0 0
99 Glimepiride 1 mg Tab 3740 3740 0 0
100 Glimepiride 2 mg Tab 2550 1550 1000 0
101 Gliseril guaiakolat tablet 100 mg Tab 56230 0 56230 0
102 Glukosa larutan infus 5 % steril Btl 22 22 0 0
103 Griseofulvin tablet 125 mg Tab 900 900 0 0
104 Griseofulvin tablet 500 mg Tab 400 400 0 0
105 Halloperidol tab 0,5 mg Tab 100 100 0 0
106 Halloperidol tab 1,5 mg Tab 600 600 0 0
107 Halloperidol tab 5 mg Tab 700 200 0 500
108 Hidroklortiazide (HCT) tablet 25 mg Tab 1597 1597 0 0
109 Hidrocortison krim 2,5 % Tube 52 52 0 0
110 Ibuprofen tablet 200 mg Tab 4355 4355 0 0
111 Ibuprofen tablet 400 mg Tab 0 0 0 0
112 Ibuprofen syrup Btl 0 0 0 0
113 Insulin Human Rapid injeksi 100 IU vial 0 0 0 0
114 Isoniazida ( INH ) tab 100 mg Tab 0 0 0 0
115 Isoniazida ( INH ) tab 300 mg Tab 0 0 0 0
116 Isosorbit dinitrat sublingual 5 mg Tab 140 140 0 0
117 Komb. Primetamin 25mg+suldox 500mg Tab 0 0 0 0
118 Klorfenol kamfermenthol ( CHKM ) Tab 5 5 0 0
119 Kalsium Laktat tablet Tab 21980 11480 10500 0
120 Kandesartan cilexetil 8 mg Tab 0 0 0 0
121 Karbamazepin tablet 200 mg Tab 0 0 0 0
122 Ketorolac injeksi Ampul 0 0 0 0
123 Kloramfenikol salep kulit Tube 92 92 0 0
124 Kloramfenikol salep mata 1 % Tube 79 79 0 0
125 Kloramfenicol tetes telinga 3 % Btl 81 81 0 0
126 Kloramfenicol 250 mg kapsul Kap 1055 1055 0 0
127 Klorfeniramin maleat 4 mg (CTM ) Tab 23650 23650 0 0
128 Kloramfenicol tetes mata ( Reco ) Btl 73 0 73 0
129 Kalsium Hidroksida Pasta ( Calcidor ) Tube 0 0 0 0
130 Klorpromazin hcl injeksi Ampul 0 0 0 0
131 Klorpromazine tab salut 25 mg Tab 0 0 0 0
132 Klorpromazine tab salut 100 mg Tab 0 0 0 0
133 Kodein tablet 10 mg Tab 654 654 0 0
134 Kotrimoksazol suspensi Btl 320 320 0 0
135 Kotrimoksazol pediatrik Tab 0 0 0 0
136 Kotrimoksazol tablet 480 mg Tab 0 0 0 0
137 Klorokuin Tab 0 0 0 0
138 Kuinin sulfat tab 222 mg (7H2O) Tab 0 0 0 0
139 Lidocain kompositum inj (Pehacain) Ampul 600 600 0 0
140 Lidocain injeksi Ampul 600 600 0 0
141 Lisinopril 10 mg Tab 0 0 0 0
142 Loperamide tab 2 mg / Novadium Tab 0 0 0 0
143 Loratadin 10 mg Tab 0 0 0 0
144 Magnesium sulfat injeksi 20% vial 0 0 0 0
145 Magnesium sulfat injeksi 40% vial 0 0 0 0
146 Mecobalamin injeksi Ampul 0 0 0 0
147 Meloxicam 7,5 mg Tab 0 0 0 0
148 Metformin hcl tablet 500 mg Tab 5500 5500 0 0
149 Methyl prednisolon tablet 4 mg Tab 7590 3190 4400 0
150 Metilergometrin tablet salut Tab 100 100 0 0
151 Metilergometrin injeksi Ampul 75 0 0 75
152 Metoklorpropamide hcl 10 mg Tab 2000 2000 0 0
153 Metronidazole tablet 250 mg Tab 0 0 0 0
154 Metronidazole tablet 500 mg Tab 1554 1554 0 0
155 Metronidazole syrup Btl 0 0 0 0
156 Metronidazole infus Btl 0 0 0 0
157 Miconazol cream tube 137 137 0 0
158 Microlax rectal tube tube 0 0 0 0
159 Mummifying pasta Btl 0 0 0 0
160 Natrium bikarbonat tablet Tab 800 800 0 0
161 Natrium Diklofenak 25 mg Tab 1220 1220 0 0
162 Natrium Diklofenak 50 mg Tab 3540 2000 1540 0
163 Natrium klorida larutan infus Btl 104 104 0 0
164 Neurobion 5000 injeksi Ampul 0 0 0 0
165 Nifedipin tablet Tab 60 60 0 0
166 Nistatin tablet salut 500.000 iu/g Tab 0 0 0 0
167 Nistatin tablet vaginal 100.000 iu/g Tab 300 300 0 0
168 OBH Btl 304 0 304 0
169 Obat Anti TBC Kategori 1 paket 0 0 0 0
170 Obat Anti TBC Kategori 1 -Stop TB KIT paket 0 0 0 0
171 Obat Anti TBC Kategori II paket 0 0 0 0
172 Obat Anti TBC Kategori Anak paket 0 0 0 0
173 Obat Anti TBC Kategori III paket 0 0 0 0
174 Ofloxacin 200 mg Tab 0 0 0 0
175 Oksitetrasiklin hcl salep mata 1 % tube 26 26 0 0
176 Oksitetrasiklin hcl salep kulit 3 % Tube 25 25 0 0
177 Oksitetrasiklin hcl injeksi vial 0 0 0 0
178 Oksitosin injeksi / Pitogin Ampul 80 80 0 0
179 Omeprazole capsul 20 mg Kap 0 0 0 0
180 Ondansentron injeksi Ampul 0 0 0 0
181 Papaverin tablet Tab 0 0 0 0
182 Paracetamol tablet 100 mg Tab 0 0 0 0
183 Paracetamol tablet 500 mg Tab 26550 3350 23200 0
184 Paracetamol Drop Btl 0 0 0 0
185 Parasetamol sirup Btl 780 280 500 0
186 Perfenazine tablet 4 mg Tab 0 0 0 0
187 Piracetam 3 g injeksi Ampul 0 0 0 0
188 Pirantel pamoat tablet 125 mg Tab 300 300 0 0
189 Pirantel pamoat sirup Btl 0 0 0 0
190 Pyrazinamide tablet 500 mg Tab 0 0 0 0
191 Piridoxin hcl tablet 10 mg Tab 11160 11160 0 0
192 Piroxicam 10 mg Tab 2000 0 2000 0
193 Piroxicam 20 mg Tab 1520 0 1520 0
194 Polikresulen / Albothil Btl 0 0 0 0
195 Prednison tablet Tab 8581 8581 0 0
196 Primakuin tablet Tab 0 0 0 0
197 Prokain benzil penisilin inj vial 0 0 0 0
198 Pronalges suppositoria Supp 0 0 0 0
199 Propanolol tab 10 mg Tab 0 0 0 0
200 Propanolol tab 40 mg Tab 0 0 0 0
201 Propiltiourasil tablet 100 mg Tab 600 0 600 0
202 Proris suppositoria Supp 0 0 0 0
203 Perak sulfadiazine cream 3 % tube 39 39 0 0
204 Ranitidin tablet 150 mg Tab 3000 3000 0 0
205 Ranitidin injeksi Ampul 0 0 0 0
206 Reserpin tablet 0,1 mg Tab 0 0 0 0
207 Reserpin tablet 0,25 mg Tab 0 0 0 0
208 Retinol kapsul 100.000 IU Kapsul 0 0 0 0
209 Retinol kapsul 200.000 IU Kapsul 0 0 0 0
210 Rifampisin kapsul 300 mg Kap 0 0 0 0
211 Rifampisin kapsul 450 mg Kap 0 0 0 0
212 Rifampisin kapsul 600 mg Kap 0 0 0 0
213 Ringer laktat infus steril Btl 26 26 0 0
214 Salbutamol tablet 2 mg Tab 0 0 0 0
215 Salbuatmol tablet 4 mg Tab 590 590 0 0
216 salep 2-4 Pot 29 29 0 0
217 Salisil bedak 2 % Pot 12 12 0 0
218 Semen seng fosfat serbuk & cairan Btl 0 0 0 0
219 Serum Anti Bisa Ular injeksi Vial 0 0 0 0
220 Serum Anti tetanus injeksi 1500 IU Ampul 20 20 0 0
221 Tatagam vial 0 0 0 0
222 Sianokobalamin inj 500 mcg/ml Btl 0 0 0 0
223 Silver Amalgam serbuk Tab 0 0 0 0
224 Simvastatin 10 mg Tab 3535 2585 950 0
225 Simvastatin 20 mg supp 3000 0 3000 0
226 Stesolid rectal supp 5 mg Supp 5 5 0 0
227 Stesolid rectal supp 10 mg Btl 5 5 0 0
228 Sulfasetamid tetes mata 15 % Tab 0 0 0 0
229 Tablet tambah darah (SF) Tab 14600 12600 2000 0
230 Temporary / Fletcher Kap 0 0 0 0
231 Tetrasiklin kapsul 250 mg Kap 0 0 0 0
232 Tetrasiklin kapsul 500 mg Tab 1300 1300 0 0
233 Thrombo Aspilet Tab 0 0 0 0
234 Thiamin injeksi Ampul 0 0 0 0
235 Thiamin tablet 50 mg Tab 16760 16760 0 0
236 Triheksipenidil hcl tablet 2 mg Tab 810 810 0 0
237 Trikresol formalin cairan ( TKF ) Ampul 0 0 0 0
238 Vaksin rabies vero Tab 0 0 0 0
239 Valsartan 80 mg Tab 0 0 0 0
240 Ventolin nebulizer Nebules 40 0 40 0
241 Vitamin B komplek tablet Tab 5500 0 5500 0
242 Yodium povidon lart 10 % - 30 ml Btl 0 0 0 0
243 Yodium povidon lart 10 % - 300 ml Btl 40 24 16 0
244 Xylocain jelly Tube 0 0 0 0
245 Lidocain Pasta Pot 0 0 0 0
246 Zinc tablet 20 mg Tab 3254 3254 0 0
247 Zinc sirup Btl 54 54 0 0
248 Alat suntik 1 ml Pcs 100 100 0 0
249 Alat suntik 2,5 ml Pcs 2400 2400 0 0
250 Alat suntik 3 ml Pcs 2800 2400 400 0
251 Alat suntik 5 ml Pcs 1900 900 500 500
252 Alkohol 70 % ( 1 L ) Btl 27 27 0 0
253 Alkohol 70 % ( 60 Ml ) Btl 0 0 0 0
254 Aqua destilata steril 500 ml Btl 3 3 0 0
255 Aqua pro injeksi Vial 44 14 30 0
256 Bisturi no 10 Pcs 0 0 0 0
257 Bisturi no 11 Pcs 0 0 0 0
258 Bisturi no 20 Pcs 0 0 0 0
259 Bisturi no 22 Pcs 0 0 0 0
260 Blood Lancet Pcs 4300 1500 2800 0
261 Catgut/benang bedah Pcs 101 101 0 0
262 ETT no.6 Pcs 0 0 0 0
263 ETT no.6,5 Set 0 0 0 0
264 ETT no.7 Set 0 0 0 0
265 ETT no.7,5 Btl 0 0 0 0
266 Hand scrub Pcs 44 44 0 0
267 Handscoon uk.S Pcs 100 100 0 0
268 Handscoon uk. M Pcs 4700 0 4700 0
269 Handscoon uk. L Pcs 1900 0 1900 0
270 Infusion set anak set 50 0 50 0
271 Infusion set dewasa set 50 0 50 0
272 Wing neadle no. 23G Pcs 0 0 0 0
273 IV Catheter (Abocath) NO.20 Pcs 0 0 0 0
274 IV Catheter (Abocath) NO.22 Pcs 0 0 0 0
275 IV Catheter (Abocath) NO.24 pcs 0 0 0 0
276 Jarum Jahit (Nald Heating ) no. 10 pcs 38 38 0 0
277 Jarum Jahit (Nald Heating ) no. 11 pcs 0 0 0 0
278 Jarum Jahit (Nald Heating ) no. 12 pcs 0 0 0 0
279 Jarum Jahit (Nald Heating ) no. 13 pcs 10 10 0 0
280 Jarum Jahit (Nald Heating ) no. 14 Pcs 29 29 0 0
281 Kapas pembalut/Absorben 250 gr Roll 31 31 0 0
282 Kasa kompres 40/40 steril Roll 180 180 0 0
283 Kasa pembalut hidrofil 4m x 15 cm Roll 480 480 0 0
284 Kasa pembalut hidrofil 4 m x 3 cm Roll 403 403 0 0
285 Kassa 36x80 cm Roll 14 14 0 0
286 Kertas Saring Whatman Buku 1 0 1 0
287 Masker Pcs 5500 0 5400 100
288 Objec Glass Box/72 9 4 0 5
289 Pipet Tetes Panjang Pcs 20 20 0 0
290 Plastik Obat Klip 10 x 7 Pcs 14000 0 14000 0
291 Plastik Obat Klip 13 x 8,7 0 24000 0 24000 0
292 Plester 5 yard x 2 inch Roll 19 11 0 8
293 Poly catheter no.8 Pcs 0 0 0 0
294 Poly catheter no.12 Pcs 0 0 0 0
295 Poly catheter no.16 Pcs/set 15 15 0 0
296 Silk ( benang bedah sutera) 03/0 Sak 37 1 0 36
297 Spons gelatin cublices bks 7 7 0 0
298 Stick Gluco DR Btl/50 19 0 19 0
299 Tabung Reaksi Pcs 0 0 0 0
300 Tes Kehamilan HCG Pcs 3 1 2 0
301 Transfution set/Transfusion blood ADM set 0 0 0 0
302 Urinalysis 10 parameter Btl 7 5 2 0
303 Stick asam Urat Btl/25 13 0 13 0
304 Stick Colestrol Btl/10 20 0 20 0
305 Cell Clean ( CL-50) Btl 0 0 0 0
306 Cell Pack ( PK-30L) Btl 0 0 0 0
307 Control eight check 3 x 1,5 ml Btl/set 0 0 0 0
308 Eightcheck-3WP (Normal) 1,5 ml Vial 0 0 0 0
309 Eightcheck-3WP (Low) 1,5 ml Vial 0 0 0 0
310 Eightcheck-3WP (High) 1,5 ml Vial 0 0 0 0
311 Stomalyzer WH(SWH-2004) btl 0 0 0 0
312 Tabung K2 EDTA 2 ml Btl 0 0 0 0
313 Printer Paper Pcs 0 0 0 0
314 Deck Glass Btl 5 5 0 0
315 Tes Gol Darah (A,B,AB ) Set 0 0 0 0
316 Tisu lensa Buku 0 0 0 0
317 Kertas perkamen Lembar 19 19 0 0
318 Podofilin Tinctur 25 % Btl 0 0 0 0
319 Larutan Fauchet Btl 2 2 0 0
320 Larutan Lisol Btl 31 31 0 0
321 Larutan asam klorida 0,1 N Btl 0 0 0 0
322 Larutan asam sulfosalisilat 20% Btl 1 1 0 0
323 Larutan barium klorida Btl 1 1 0 0
324 Larutan Benedict Btl 2 2 0 0
325 Larutan Bupper PH 7,2 Btl 1 1 0 0
326 Larutan EDTA Cair 10 % Btl 0 0 0 0
327 Larutan Eosin 2 % Btl 1 0 1 0
328 Larutan Etanol Asam Btl 0 0 0 0
329 Larutan Giemsa Stalin Btl 1 1 0 0
330 Larutan H2O2 Btl 2 2 0 0
331 Larutan Imersen oil HB Btl 0 0 0 0
332 Larutan karbol fuksin Btl 2 0 2 0
333 Larutan Metanol Btl 0 0 0 0
334 Larutan Metilen Biru Btl 0 0 0 0
335 Larutan Natrium Sitrat 38 % Btl 0 0 0 0
336 Larutan Rees echer Btl 1 1 0 0
337 Larutan spiritus 100 ml Btl 0 0 0 0
338 Larutan turk Btl 4 2 2 0
339 Betamin drage ( Vit. B1 ) Tab 0 0 0 0
340 Domperidon Btl 377 377 0 0
341 Clozapin 25 mg Tab 150 0 0 150
342 Clobazam 10 mg Tab 0 0 0 0
343 Trifluoperazin HCl 5 mg ( Stelosi ) Tab 0 0 0 0
344 Vitamin B 12 Tab 2800 2800 0 0
345 Ketokonazol Crem Tube 58 58 0 0
346 Rapid Test HIV I Standar (Stik SD HIV ) Pcs 0 0 0 0
347 Flufenazin Decanoat Inj 25 mg Ampul 10 0 0 10
348 Haloperidol Inj 5 mg ( Ladomer ) Ampul 0 0 0 0
349 Haloperidol Decanoat Inj 50 mg Ampul 15 0 0 15
350 Resperidon tab 2 mg Tab 1000 0 0 1000
351 Curviplex Sirup Btl 20 0 20 0
352 Andalan Inj 3 Bulan Vial 0 0 0 0
353 Andalan Inj 1 Bulan Vial 100 0 100 0
354 Cyclopen Inj. 1 Bulan Vial 208 0 208 0
355 Kasa Steril 16 X 16 Kotak 175 0 175 0
356 Alat Nesco Tri in one Kotak 1 0 1 0
357 Alkohol Swab One swab Kotak 10 0 10 0
358 Bahan tambalan Komposid (solare) Tube 4 0 4 0
359 OCO Btl/15ml 0 0 0 0
360 Paper Pad Buku 6 0 6 0
361 Ether Alkohol Botol 0 0 0 0
362 Buffer Ph 6,4 Botol 0 0 0 0
363 Ichtyol Salaf Kulit Pot 21 0 21 0
364 Levertran Salep Kulit Pot 42 0 42 0
365 KOH 10 % Btl 0 0 0 0
366 Pot sputum Pcs 0 0 0 0
367 Reagen TB Paket 0 0 0 0
368 Sefty box 2,5 L Box 0 0 0 0
369 Human Hexagon Syphilis Test 0 0 0 0
370 HBO Paket 0 0 0 0
371 BCG Ampul 3 0 0 3
372 POLIO Vial 7 0 0 7
373 PENTABIO Vial 3 0 0 3
374 CAMPAK Vial 0 0 0 0
375 Td/TT Vial 4 0 0 4
376 IPV Vial 4 0 0 4
377 Box Slide Ktk 0 0 0 0
378 Fokus test Ktk 0 0 0 0
379 Pentocain 0,5 % TT Mata Btl 25 0 25 0
380 Alat suntik 0,5 ml Box 4859 0 0 4859
381 Sefty box 5 L Box 0 0 0 0
382 Vaksin MR Vial 383 0 0 383
383 Pelarut MR Vial 383 0 0 383
384 Ketokonazole Tablet Tab 943 0 943 0
385 Masker Nebulizer Anak Psc 5 5 0 0
386 Masker Nebulizer Dewasa Psc 4 4 0 0
387 Nasal Oksigen Kanula Anak Psc 3 3 0 0
388 Nasal Oksigen Kanula Dewasa Psc 4 4 0 0
389 Non Rebreating Mask Psc 0 0 0 0
390 Pritamox sirup 125 mg btl 191 0 191 0
391 ID Dewasa Pink Box 1 0 1 0
392 ID Dewasa Blue Box 1 0 1 0
393 ID Bayi Pink Box 1 0 1 0
394 ID Bayi Biru Box 1 0 1 0
395 Umbilical Keniko Box 1 0 1 0
396 Folley Catheter 16 Rusch Pcs 10 0 10 0
397 Urine Bag Fresco Pcs 10 0 10 0
398 Disp Sryringe 10 ml Onemed Box 1 0 1 0
399 Suction Catheter 8 Remedi Pcs 3 0 3 0
400 Suction Catheter 16 Remedi Psc 3 0 3 0
401 Domperidon syrup btl 16 16 0 0
402 Kloramfenikol syrup btl 15 15 0 0
403 cetirizin syrup btl 27 27 0 0
404 Jelly 250ml Ultra soundgel btl 1 0 1 0
405 Plaster Hypafix Psc 0 0 0 0
406 Albendazole syrup btl 0 0 0 0
407 Moxalaskap/cotri480mg tab 2960 0 2960 0
408 Moxalas syr/cotry syr btl 100 0 100 0
409 Lorihis tab/loratadin tab tab 900 0 900 0
410 Flagsol syr/metro syr btl 46 0 46 0
411 Selfolic 1000mg/Asam folat tab 5183 0 5183 0
412 Trifadium2mg/Loperamid tab tab 2399 0 2399 0
413 Omeprazole Injeksi Ampul 0 0 0 0
414 0 0 0 0
415 0 0 0 0
416 0 0 0 0
0 0 0 0
514,055 270,966 234,944 8,145
511055 270966 231944 8145
LAPORAN PEMAKAIAN DA

STOK AWAL GUDANG STOK AWAL APOTIK PENERIMAAN


PKD BLUD PROG PKD BLUD PROG PKD BLUD PROG JUMLAH
228 0 0 96 0 0 50 0 0 50
600 0 0 490 0 0 300 0 0 300
650 0 0 368 0 0 400 0 0 400
1 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 100 0 0 100
6000 0 0 790 0 0 0 0 0 0
450 1600 0 0 690 0 0 0 0 0
0 336 0 0 42 0 0 0 0 0
0 7200 0 0 420 0 2500 0 0 2500
0 0 0 0 0 0 0 0 0 0
1300 0 0 200 0 0 0 0 0 0
2000 0 0 137 0 0 0 0 0 0
4500 3000 0 0 0 0 0 0 0 0
0 10000 0 0 205 0 0 0 0 0
21900 0 0 500 0 0 7600 0 0 7600
0 0 0 63 0 0 120 0 0 120
360 0 0 0 0 0 240 0 0 240
2790 0 0 295 0 0 1020 0 0 1020
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
3300 0 0 550 0 0 1000 0 0 1000
0 0 0 0 0 0 0 0 0 0
18700 20000 0 300 0 0 150 0 0 150
65 100 0 28 0 0 0 0 0 0
0 0 0 11 0 0 0 0 0 0
108 0 0 11 0 0 0 0 0 0
110 0 0 100 0 0 100 0 0 100
0 0 0 0 0 0 1000 0 0 1000
19500 6500 0 1800 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 1300 0 0 140 0 4000 0 0 4000
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 100 0 0 100
0 0 0 0 0 0 0 0 0 0
180 0 0 20 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
225 0 0 25 0 0 100 0 0 100
0 0 0 0 0 0 0 0 0 0
0 0 0 0 394 0 2000 0 0 2000
400 0 0 0 0 0 1000 0 0 1000
100 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 100 0 0 100
1 1 0 0 0 0 1 0 0 1
1500 0 0 480 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
790 0 0 120 0 0 0 0 0 0
2000 0 0 700 0 0 2500 0 0 2500
0 0 0 0 0 0 300 0 0 300
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
18900 0 0 780 0 0 5000 0 0 5000
250 0 0 0 0 0 0 0 0 0
1500 1300 0 0 66 0 0 0 0 0
1100 0 100 0 0 0 0 0 0 0
30 0 0 0 0 0 0 0 0 0
120 0 0 0 0 0 0 0 0 0
100 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
32 0 0 0 0 0 20 0 0 20
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 0 100 0 0 100
2600 0 0 200 0 0 1200 0 0 1200
0 0 0 270 0 0 4000 0 0 4000
0 25 0 0 22 0 0 0 0 0
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
1 0 0 0 0 0 5 0 0 5
3 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
100 0 0 0 0 0 300 0 0 300
0 0 0 0 0 0 0 0 0 0
300 0 0 0 0 0 0 0 0 0
100 0 0 99 0 0 300 0 0 300
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
24 0 0 56 0 0 48 0 0 48
1900 0 0 900 0 0 200 0 0 200
0 0 0 0 0 0 30 0 0 30
0 0 0 26 0 0 0 0 0 0
0 500 0 0 423 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 5400 0 0 5400
0 0 0 26 0 0 120 0 0 120
72 0 0 0 0 0 48 0 0 48
96 0 0 6 0 0 48 0 0 48
0 0 0 0 0 0 0 0 0 0
14 48 0 21 0 0 48 0 0 48
0 0 0 0 0 0 1 0 0 1
100 0 0 0 0 0 0 0 0 0
3300 0 0 440 0 0 0 0 0 0
1100 1000 0 450 0 0 0 0 0 0
0 55600 0 0 630 0 0 0 0 0
22 0 0 0 0 0 6 0 0 6
700 0 0 200 0 0 1000 0 0 1000
300 0 0 100 0 0 0 0 0 0
100 0 0 0 0 0 0 0 0 0
600 0 0 0 0 0 0 0 0 0
200 0 500 0 0 0 0 0 0 0
1000 0 0 597 0 0 0 0 0 0
24 0 0 28 0 0 120 0 0 120
4000 0 0 355 0 0 1000 0 0 1000
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 0 0 0
100 0 0 40 0 0 100 0 0 100
0 0 0 0 0 0 0 0 0 0
5 0 0 0 0 0 0 0 0 0
11400 10500 0 80 0 0 5500 0 0 5500
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
60 0 0 32 0 0 0 0 0 0
72 0 0 7 0 0 96 0 0 96
75 0 0 6 0 0 25 0 0 25
200 0 0 855 0 0 0 0 0 0
22000 0 0 1650 0 0 19800 0 0 19800
0 48 0 0 25 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
400 0 0 254 0 0 300 0 0 300
230 0 0 90 0 0 100 0 0 100
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
600 0 0 0 0 0 150 0 0 150
600 0 0 0 0 0 100 0 0 100
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 5 0 0 5
0 0 0 0 0 0 5 0 0 5
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
5200 0 0 300 0 0 0 0 0 0
2000 4400 0 1190 0 0 4000 0 0 4000
100 0 0 0 0 0 100 0 0 100
0 0 75 0 0 0 0 0 0 0
2000 0 0 0 0 0 1000 0 0 1000
0 0 0 0 0 0 0 0 0 0
1300 0 0 254 0 0 200 0 0 200
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
120 0 0 17 0 0 120 0 0 120
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
700 0 0 100 0 0 500 0 0 500
550 0 0 670 0 0 2800 0 0 2800
2000 1100 0 0 440 0 1500 0 0 1500
104 0 0 0 0 0 30 0 0 30
0 0 0 0 0 0 0 0 0 0
0 0 0 60 0 0 200 0 0 200
0 0 0 0 0 0 0 0 0 0
270 0 0 30 0 0 200 0 0 200
0 290 0 0 14 0 100 0 0 100
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 0 0 0
0 0 0 0 0 0 0 0 0 0
26 0 0 0 0 0 25 0 0 25
25 0 0 0 0 0 200 0 0 200
0 0 0 0 0 0 0 0 0 0
80 0 0 0 0 0 100 0 0 100
0 0 0 0 0 0 2910 0 0 2910
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
3000 23200 0 350 0 0 33000 0 0 33000
0 0 0 0 0 0 0 0 0 0
275 500 0 5 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
200 0 0 100 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
9600 0 0 1560 0 0 14000 0 0 14000
0 2000 0 0 0 0 500 0 0 500
0 800 0 0 720 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
6800 0 0 1781 0 0 10000 0 0 10000
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 0 0 0
0 600 0 0 0 0 200 0 0 200
0 0 0 0 0 0 0 0 0 0
39 0 0 0 0 0 0 0 0 0
3000 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 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
26 0 0 0 0 0 20 0 0 20
0 0 0 0 0 0 600 0 0 600
0 0 0 590 0 0 1000 0 0 1000
24 0 0 5 0 0 0 0 0 0
0 0 0 12 0 0 120 0 0 120
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
20 0 0 0 0 0 10 0 0 10
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
2370 950 0 215 0 0 1680 0 0 1680
0 3000 0 0 0 0 0 0 0 0
5 0 0 0 0 0 0 0 0 0
5 0 0 0 0 0 10 0 0 10
0 0 0 0 0 0 0 0 0 0
12100 2000 0 500 0 0 11200 0 0 11200
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1100 0 0 200 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
15600 0 0 1160 0 0 5200 0 0 5200
700 0 0 110 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 40 0 0 0 0 10 0 0 10
0 4500 0 0 1000 0 18800 0 0 18800
0 0 0 0 0 0 0 0 0 0
24 16 0 0 0 0 10 0 0 10
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
2700 0 0 554 0 0 0 0 0 0
36 0 0 18 0 0 50 0 0 50
100 0 0 0 0 0 1000 0 0 1000
2400 0 0 0 0 0 0 0 0 0
2400 400 0 0 0 0 400 0 0 400
900 500 500 0 0 0 500 0 0 500
27 0 0 0 0 0 3 0 0 3
0 0 0 0 0 0 0 0 0 0
3 0 0 0 0 0 2 0 0 2
14 30 0 0 0 0 50 0 0 50
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
1500 2800 0 0 0 0 500 0 0 500
101 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 0 0
44 0 0 0 0 0 6 0 0 6
100 0 0 0 0 0 0 0 0 0
0 4700 0 0 0 0 0 0 300 300
0 1900 0 0 0 0 0 0 0 0
0 50 0 0 0 0 0 0 0 0
0 50 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 5 0 0 5
0 0 0 0 0 0 5 0 0 5
0 0 0 0 0 0 0 0 0 0
38 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
10 0 0 0 0 0 0 0 0 0
29 0 0 0 0 0 0 0 0 0
31 0 0 0 0 0 20 0 0 20
180 0 0 0 0 0 0 0 0 0
480 0 0 0 0 0 0 0 0 0
403 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 6 0 0 6
0 1 0 0 0 0 0 0 0 0
0 5400 100 0 0 0 1000 0 0 1000
4 0 5 0 0 0 0 0 12 12
20 0 0 0 0 0 0 0 0 0
0 14000 0 0 0 0 0 0 0 0
0 24000 0 0 0 0 0 0 0 0
11 0 8 0 0 0 11 0 0 11
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0
1 0 36 0 0 0 12 0 0 12
7 0 0 0 0 0 0 0 0 0
0 19 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1 2 0 0 0 0 1 0 0 1
0 0 0 0 0 0 0 0 0 0
5 2 0 0 0 0 3 0 0 3
0 13 0 0 0 0 0 0 0 0
0 20 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 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 0 0 0 0
5 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
19 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 1 0 0 1
31 0 0 0 0 0 5 0 0 5
0 0 0 0 0 0 1 0 0 1
1 0 0 0 0 0 1 0 0 1
1 0 0 0 0 0 1 0 0 1
2 0 0 0 0 0 1 0 0 1
1 0 0 0 0 0 3 0 0 3
0 0 0 0 0 0 0 0 0 0
0 1 0 0 0 0 1 0 0 1
0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 3 0 0 3
2 0 0 0 0 0 8 0 0 8
0 0 0 0 0 0 1 0 0 1
0 2 0 0 0 0 0 0 0 0
0 0 0 0 0 0 3 0 0 3
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 1 0 0 1
1 0 0 0 0 0 1 0 0 1
0 0 0 0 0 0 0 0 6 6
2 2 0 0 0 0 1 0 0 1
0 0 0 0 0 0 0 0 0 0
0 0 0 377 0 0 2500 0 0 2500
0 0 150 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
1800 0 0 1000 0 0 0 0 0 0
50 0 0 8 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 10 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 15 0 0 0 0 0 0 0
0 0 1000 0 0 0 0 0 0 0
0 20 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 100 0 0 0 0 0 0 0 0
0 208 0 0 0 0 0 0 0 0
0 175 0 0 0 0 0 0 0 0
0 1 0 0 0 0 0 0 0 0
0 10 0 0 0 0 0 0 0 0
0 4 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 6 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 21 0 0 0 0 0
0 24 0 0 18 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 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 3 0 0 0 0 0 0 0
0 0 7 0 0 0 0 0 0 0
0 0 3 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 4 0 0 0 0 0 0 0
0 0 4 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 25 0 0 0 0 0 0 0 0
0 0 4859 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 383 0 0 0 0 0 0 0
0 0 383 0 0 0 0 0 0 0
0 800 0 0 143 0 0 0 0 0
5 0 0 0 0 0 5 0 0 5
4 0 0 0 0 0 5 0 0 5
3 0 0 0 0 0 10 0 0 10
4 0 0 0 0 0 10 0 0 10
0 0 0 0 0 0 0 0 0 0
0 180 0 0 11 0 0 0 0 0
0 1 0 0 0 0 0 0 0 0
0 1 0 0 0 0 0 0 0 0
0 1 0 0 0 0 0 0 0 0
0 1 0 0 0 0 0 0 0 0
0 1 0 0 0 0 0 0 0 0
0 10 0 0 0 0 0 0 0 0
0 10 0 0 0 0 0 0 0 0
0 1 0 0 0 0 0 0 0 0
0 3 0 0 0 0 0 0 0 0
0 3 0 0 0 0 0 0 0 0
0 0 0 16 0 0 0 0 0 0
0 0 0 15 0 0 0 0 0 0
0 0 0 27 0 0 0 0 0 0
0 1 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 2000 0 0 960 0 0 0 0 0
0 100 0 0 0 0 0 0 0 0
0 700 0 0 200 0 0 0 0 0
0 40 0 0 6 0 0 0 0 0
0 5000 0 0 183 0 0 0 0 0
0 800 0 0 1599 0 0 0 0 0
0 0 0 0 0 0 20 0 0 20
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
245,090 226,572 8,145 25,876 8,372 - 186,357 - 318 186,675
245,090 223,772 8,049 25876 8372 0 186,357 - 318
ORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )

PERSEDIA PEMAKAIAN GUDANG (LAIN-LAIN) PEMAKAIAN APOTIK


PEMAKAIAN
AN PKD BLUD PROG PKD BLUD PROG
374 9 0 0 0 9 0 0
1390 0 0 0 0 0 0 0
1418 38 0 0 0 38 0 0
1 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0
6790 5640 5600 0 0 40 0 0
2740 25 0 0 0 0 25 0
378 36 0 0 0 0 36 0
10120 6955 1000 5200 0 0 755 0
0 0 0 0 0 0 0 0
1500 0 0 0 0 0 0 0
2137 40 0 0 0 40 0 0
7500 1010 600 0 0 410 0 0
10205 265 0 0 0 0 265 0
30000 3770 2000 0 0 1770 0 0
183 33 0 0 0 33 0 0
600 60 60 0 0 0 0 0
4105 674 450 0 0 224 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
4850 140 0 0 0 140 0 0
0 0 0 0 0 0 0 0
39150 4480 1800 0 0 2680 0 0
193 96 5 10 0 81 0 0
11 9 0 0 0 9 0 0
119 0 0 0 0 0 0 0
310 30 0 0 0 30 0 0
1000 0 0 0 0 0 0 0
27800 1050 300 0 0 750 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
5440 1250 0 0 0 0 1250 0
0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
200 4 0 0 0 4 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
350 5 0 0 0 5 0 0
0 0 0 0 0 0 0 0
2394 394 0 0 0 0 394 0
1400 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0
3 0 0 0 0 0 0 0
1980 160 0 0 0 160 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
910 522 0 0 0 522 0 0
5200 322 200 0 0 122 0 0
300 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
24680 3250 1800 0 0 1450 0 0
250 0 0 0 0 0 0 0
2866 59 0 0 0 0 59 0
1200 0 0 0 0 0 0 0
30 0 0 0 0 0 0 0
120 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
52 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
100 0 0 0 0 0 0 0
4000 150 0 0 0 150 0 0
4270 230 0 0 0 230 0 0
47 4 0 0 0 0 4 0
31 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
6 0 0 0 0 0 0 0
3 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
400 150 0 0 0 150 0 0
0 0 0 0 0 0 0 0
300 300 300 0 0 0 0 0
499 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
128 12 0 0 0 12 0 0
3000 90 0 0 0 90 0 0
30 0 0 0 0 0 0 0
26 2 0 0 0 2 0 0
923 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
5400 0 0 0 0 0 0 0
146 50 0 0 0 50 0 0
120 0 0 0 0 0 0 0
150 6 0 0 0 6 0 0
0 0 0 0 0 0 0 0
131 2 0 0 0 2 0 0
1 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0
3740 0 0 0 0 0 0 0
2550 40 0 0 0 40 0 0
56230 3880 0 2500 0 0 1380 0
28 0 0 0 0 0 0 0
1900 0 0 0 0 0 0 0
400 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0
600 0 0 0 0 0 0 0
700 0 0 0 0 0 0 0
1597 57 0 0 0 57 0 0
172 37 0 0 0 37 0 0
5355 1353 1000 0 0 353 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
240 6 0 0 0 6 0 0
0 0 0 0 0 0 0 0
5 0 0 0 0 0 0 0
27480 3230 2000 0 0 1230 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
92 1 0 0 0 1 0 0
175 11 0 0 0 11 0 0
106 0 0 0 0 0 0 0
1055 465 0 0 0 465 0 0
43450 4460 2300 0 0 2160 0 0
73 1 0 0 0 0 1 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
954 254 0 0 0 254 0 0
420 6 0 0 0 6 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
750 0 0 0 0 0 0 0
700 60 60 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
5 0 0 0 0 0 0 0
5 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
5500 85 0 0 0 85 0 0
11590 390 0 0 0 390 0 0
200 0 0 0 0 0 0 0
75 0 0 0 0 0 0 0
3000 500 500 0 0 0 0 0
0 0 0 0 0 0 0 0
1754 144 0 0 0 144 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
257 19 0 0 0 19 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
1300 0 0 0 0 0 0 0
4020 640 0 0 0 640 0 0
5040 1005 750 0 0 0 255 0
134 4 4 0 0 0 0 0
0 0 0 0 0 0 0 0
260 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
500 7 0 0 0 7 0 0
404 78 0 40 0 24 14 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 0 0
51 0 0 0 0 0 0 0
225 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
180 0 0 0 0 0 0 0
2910 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
59550 7470 2800 0 0 3550 1120 0
0 0 0 0 0 0 0 0
780 257 200 0 0 57 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
300 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
25160 1410 0 0 0 1410 0 0
2500 0 0 0 0 0 0 0
1520 120 0 0 0 0 120 0
0 0 0 0 0 0 0 0
18581 1181 1000 0 0 181 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
800 20 0 0 0 0 20 0
0 0 0 0 0 0 0 0
39 0 0 0 0 0 0 0
3000 580 400 0 0 180 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 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
46 3 3 0 0 0 0 0
600 0 0 0 0 0 0 0
1590 150 0 0 0 150 0 0
29 0 0 0 0 0 0 0
132 50 6 0 0 44 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
30 5 5 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
5215 1045 300 0 0 745 0 0
3000 0 0 0 0 0 0 0
5 5 5 0 0 0 0 0
15 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
25800 2410 1000 0 0 1410 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
1300 200 0 0 0 200 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
21960 770 300 0 0 470 0 0
810 85 0 0 0 85 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
50 20 0 20 0 0 0 0
24300 4160 0 300 0 0 3860 0
0 0 0 0 0 0 0 0
50 2 2 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
3254 99 0 0 0 99 0 0
104 7 0 0 0 7 0 0
1100 100 100 0 0 0 0 0
2400 200 200 0 0 0 0 0
3200 0 0 0 0 0 0 0
2400 0 0 0 0 0 0 0
30 1 1 0 0 0 0 0
0 0 0 0 0 0 0 0
5 0 0 0 0 0 0 0
94 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
4800 0 0 0 0 0 0 0
101 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
50 1 1 0 0 0 0 0
100 100 100 0 0 0 0 0
5000 800 0 500 300 0 0 0
1900 200 0 200 0 0 0 0
50 0 0 0 0 0 0 0
50 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
5 0 0 0 0 0 0 0
5 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
38 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0
29 0 0 0 0 0 0 0
51 2 2 0 0 0 0 0
180 0 0 0 0 0 0 0
480 0 0 0 0 0 0 0
403 0 0 0 0 0 0 0
20 1 1 0 0 0 0 0
1 0 0 0 0 0 0 0
6500 250 0 250 0 0 0 0
21 12 0 0 12 0 0 0
20 0 0 0 0 0 0 0
14000 3000 0 1000 0 0 2000 0
24000 1000 0 1000 0 0 0 0
30 1 1 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0
49 0 0 0 0 0 0 0
7 0 0 0 0 0 0 0
19 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
4 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0
20 2 0 2 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 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
5 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
19 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
3 0 0 0 0 0 0 0
36 2 2 0 0 0 0 0
1 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0
3 0 0 0 0 0 0 0
4 3 3 0 0 0 0 0
0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
4 3 3 0 0 0 0 0
10 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0
3 3 3 0 0 0 0 0
0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0
6 6 0 0 6 0 0 0
5 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
2877 377 0 0 0 377 0 0
150 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
2800 300 300 0 0 0 0 0
58 5 0 0 0 5 0 0
0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0
1000 0 0 0 0 0 0 0
20 16 0 0 0 0 16 0
0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0
208 0 0 0 0 0 0 0
175 0 0 0 0 0 0 0
1 1 0 1 0 0 0 0
10 0 0 0 0 0 0 0
4 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
6 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
21 5 0 0 0 0 5 0
42 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
0 0 0 0 0 0 0 0
3 0 0 0 0 0 0 0
7 0 0 0 0 0 0 0
3 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
4 0 0 0 0 0 0 0
4 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
25 0 0 0 0 0 0 0
4859 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
383 0 0 0 0 0 0 0
383 0 0 0 0 0 0 0
943 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0
9 0 0 0 0 0 0 0
13 1 1 0 0 0 0 0
14 1 1 0 0 0 0 0
0 0 0 0 0 0 0 0
191 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0
3 0 0 0 0 0 0 0
3 0 0 0 0 0 0 0
16 8 0 0 0 8 0 0
15 0 0 0 0 0 0 0
27 3 0 0 0 3 0 0
1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
2960 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0
900 0 0 0 0 0 0 0
46 0 0 0 0 0 0 0
5183 603 0 0 0 0 603 0
2399 462 0 0 0 0 462 0
20 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
700,730 75,573 27,469 11,023 318 24,119 12,644 -
21569 5823 318 24119 12644 -
697,730
STOK AKHIR PEMAKAIAN PERMINTAA PEMBERIAN
STOK AKHIR
PKD BLUD PROG RATA2/BLN N PKD BLUD
365 365 0 0
1390 1390 0 0
1380 1380 0 0
1 1 0 0
100 100 0 0
1150 1150 0 0
2715 450 2265 0
342 0 342 0
3165 1500 1665 0
0 0 0 0
1500 1500 0 0
2097 2097 0 0
6490 3490 3000 0
9940 0 9940 0
26230 26230 0 0
150 150 0 0
540 540 0 0
3431 3431 0 0
0 0 0 0
0 0 0 0
0 0 0 0
4710 4710 0 0
0 0 0 0
34670 14670 20000 0
97 7 90 0
2 2 0 0
119 119 0 0
280 280 0 0
1000 1000 0 0
26750 20250 6500 0
0 0 0 0
0 0 0 0
4190 4000 190 0
0 0 0 0
100 100 0 0
0 0 0 0
196 196 0 0
0 0 0 0
0 0 0 0
0 0 0 0
345 345 0 0
0 0 0 0
2000 2000 0 0
1400 1400 0 0
100 100 0 0
100 100 0 0
3 2 1 0
1820 1820 0 0
0 0 0 0
0 0 0 0
388 388 0 0
4878 4878 0 0
300 300 0 0
0 0 0 0
0 0 0 0
21430 21430 0 0
250 250 0 0
2807 1500 1307 0
1200 1100 0 100
30 30 0 0
120 120 0 0
100 100 0 0
0 0 0 0
0 0 0 0
52 52 0 0
0 0 0 0
0 0 0 0
0 0 0 0
100 100 0 0
3850 3850 0 0
4040 4040 0 0
43 0 43 0
31 31 0 0
0 0 0 0
0 0 0 0
6 6 0 0
3 3 0 0
0 0 0 0
250 250 0 0
0 0 0 0
0 0 0 0
499 499 0 0
0 0 0 0
0 0 0 0
116 116 0 0
2910 2910 0 0
30 30 0 0
24 24 0 0
923 0 923 0
0 0 0 0
5400 5400 0 0
96 96 0 0
120 120 0 0
144 144 0 0
0 0 0 0
129 81 48 0
1 1 0 0
100 100 0 0
3740 3740 0 0
2510 1510 1000 0
52350 0 52350 0
28 28 0 0
1900 1900 0 0
400 400 0 0
100 100 0 0
600 600 0 0
700 200 0 500
1540 1540 0 0
135 135 0 0
4002 4002 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
234 234 0 0
0 0 0 0
5 5 0 0
24250 13750 10500 0
0 0 0 0
0 0 0 0
0 0 0 0
91 91 0 0
164 164 0 0
106 106 0 0
590 590 0 0
38990 38990 0 0
72 0 72 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
700 700 0 0
414 414 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
750 750 0 0
640 640 0 0
0 0 0 0
0 0 0 0
0 0 0 0
5 5 0 0
5 5 0 0
0 0 0 0
0 0 0 0
5415 5415 0 0
11200 6800 4400 0
200 200 0 0
75 0 0 75
2500 2500 0 0
0 0 0 0
1610 1610 0 0
0 0 0 0
0 0 0 0
238 238 0 0
0 0 0 0
0 0 0 0
1300 1300 0 0
3380 3380 0 0
4035 2750 1285 0
130 130 0 0
0 0 0 0
260 260 0 0
0 0 0 0
493 493 0 0
326 76 250 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
51 51 0 0
225 225 0 0
0 0 0 0
180 180 0 0
2910 2910 0 0
0 0 0 0
0 0 0 0
0 0 0 0
52080 30000 22080 0
0 0 0 0
523 23 500 0
0 0 0 0
0 0 0 0
300 300 0 0
0 0 0 0
0 0 0 0
23750 23750 0 0
2500 500 2000 0
1400 0 1400 0
0 0 0 0
17400 17400 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
780 200 580 0
0 0 0 0
39 39 0 0
2420 2420 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
43 43 0 0
600 600 0 0
1440 1440 0 0
29 29 0 0
82 82 0 0
0 0 0 0
0 0 0 0
25 25 0 0
0 0 0 0
0 0 0 0
0 0 0 0
4170 3220 950 0
3000 0 3000 0
0 0 0 0
15 15 0 0
0 0 0 0
23390 21390 2000 0
0 0 0 0
0 0 0 0
1100 1100 0 0
0 0 0 0
0 0 0 0
21190 21190 0 0
725 725 0 0
0 0 0 0
0 0 0 0
0 0 0 0
30 10 20 0
20140 18800 1340 0
0 0 0 0
48 32 16 0
0 0 0 0
0 0 0 0
3155 3155 0 0
97 97 0 0
1000 1000 0 0
2200 2200 0 0
3200 2800 400 0
2400 1400 500 500
29 29 0 0
0 0 0 0
5 5 0 0
94 64 30 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
4800 2000 2800 0
101 101 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
49 49 0 0
0 0 0 0
4200 0 4200 0
1700 0 1700 0
50 0 50 0
50 0 50 0
0 0 0 0
5 5 0 0
5 5 0 0
0 0 0 0
38 38 0 0
0 0 0 0
0 0 0 0
10 10 0 0
29 29 0 0
49 49 0 0
180 180 0 0
480 480 0 0
403 403 0 0
19 19 0 0
1 0 1 0
6250 1000 5150 100
9 4 0 5
20 20 0 0
11000 0 11000 0
23000 0 23000 0
29 21 0 8
0 0 0 0
0 0 0 0
15 15 0 0
49 13 0 36
7 7 0 0
19 0 19 0
0 0 0 0
4 2 2 0
0 0 0 0
10 8 2 0
13 0 13 0
18 0 18 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
5 5 0 0
0 0 0 0
0 0 0 0
19 19 0 0
0 0 0 0
3 3 0 0
34 34 0 0
1 1 0 0
2 2 0 0
2 2 0 0
3 3 0 0
1 1 0 0
0 0 0 0
2 1 1 0
0 0 0 0
1 1 0 0
10 10 0 0
1 1 0 0
2 0 2 0
0 0 0 0
0 0 0 0
1 1 0 0
2 2 0 0
0 0 0 0
5 3 2 0
0 0 0 0
2500 2500 0 0
150 0 0 150
0 0 0 0
0 0 0 0
2500 2500 0 0
53 53 0 0
0 0 0 0
10 0 0 10
0 0 0 0
15 0 0 15
1000 0 0 1000
4 0 4 0
0 0 0 0
100 0 100 0
208 0 208 0
175 0 175 0
0 0 0 0
10 0 10 0
4 0 4 0
0 0 0 0
6 0 6 0
0 0 0 0
0 0 0 0
16 0 16 0
42 0 42 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
3 0 0 3
7 0 0 7
3 0 0 3
0 0 0 0
4 0 0 4
4 0 0 4
0 0 0 0
0 0 0 0
25 0 25 0
4859 0 0 4859
0 0 0 0
383 0 0 383
383 0 0 383
943 0 943 0
10 10 0 0
9 9 0 0
12 12 0 0
13 13 0 0
0 0 0 0
191 0 191 0
1 0 1 0
1 0 1 0
1 0 1 0
1 0 1 0
1 0 1 0
10 0 10 0
10 0 10 0
1 0 1 0
3 0 3 0
3 0 3 0
8 8 0 0
15 15 0 0
24 24 0 0
1 0 1 0
0 0 0 0
0 0 0 0
2960 0 2960 0
100 0 100 0
900 0 900 0
46 0 46 0
4580 0 4580 0
1937 0 1937 0
20 20 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 625,157
625,157 405,735 211,277 8,145 625,157
stok awal
gudang 479,807
apotik 34,248

479,806
34248

36354
Bulan : Januari 2020
PEMBERIAN KET. PEMAKAIAN TOTAL(GUDANG + APOTIK)
PROG LAIN-LAIN JUMLAH PKD BLUD PROG
9 0 0
0 0 0
38 0 0
0 0 0
0 0 0
5640 0 0
0 25 0
0 36 0
1000 5955 0
0 0 0
0 0 0
40 0 0
1010 0 0
0 265 0
3770 0 0
33 0 0
60 0 0
674 0 0
0 0 0
0 0 0
0 0 0
140 0 0
0 0 0
4480 0 0
86 10 0
9 0 0
0 0 0
30 0 0
0 0 0
1050 0 0
0 0 0
0 0 0
0 1250 0
0 0 0
0 0 0
0 0 0
4 0 0
0 0 0
0 0 0
0 0 0
5 0 0
0 0 0
0 394 0
0 0 0
0 0 0
0 0 0
0 0 0
160 0 0
0 0 0
0 0 0
522 0 0
322 0 0
0 0 0
0 0 0
0 0 0
3250 0 0
0 0 0
0 59 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
150 0 0
230 0 0
0 4 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
150 0 0
0 0 0
300 0 0
0 0 0
0 0 0
0 0 0
12 0 0
90 0 0
0 0 0
2 0 0
0 0 0
0 0 0
0 0 0
50 0 0
0 0 0
6 0 0
0 0 0
2 0 0
0 0 0
0 0 0
0 0 0
40 0 0
0 3880 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
57 0 0
37 0 0
1353 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
6 0 0
0 0 0
0 0 0
3230 0 0
0 0 0
0 0 0
0 0 0
1 0 0
11 0 0
0 0 0
465 0 0
4460 0 0
0 1 0
0 0 0
0 0 0
0 0 0
0 0 0
254 0 0
6 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
60 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
85 0 0
390 0 0
0 0 0
0 0 0
500 0 0
0 0 0
144 0 0
0 0 0
0 0 0
19 0 0
0 0 0
0 0 0
0 0 0
640 0 0
750 255 0
4 0 0
0 0 0
0 0 0
0 0 0
7 0 0
24 54 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
6350 1120 0
0 0 0
257 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1410 0 0
0 0 0
0 120 0
0 0 0
1181 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 20 0
0 0 0
0 0 0
580 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
3 0 0
0 0 0
150 0 0
0 0 0
50 0 0
0 0 0
0 0 0
5 0 0
0 0 0
0 0 0
0 0 0
1045 0 0
0 0 0
5 0 0
0 0 0
0 0 0
2410 0 0
0 0 0
0 0 0
200 0 0
0 0 0
0 0 0
770 0 0
85 0 0
0 0 0
0 0 0
0 0 0
0 20 0
0 4160 0
0 0 0
2 0 0
0 0 0
0 0 0
99 0 0
7 0 0
100 0 0
200 0 0
0 0 0
0 0 0
1 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
1 0 0
100 0 0
0 500 300
0 200 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
2 0 0
0 0 0
0 0 0
0 0 0
1 0 0
0 0 0
0 250 0
0 0 12
0 0 0
0 3000 0
0 1000 0
1 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 2 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
2 0 0
0 0 0
0 0 0
0 0 0
0 0 0
3 0 0
0 0 0
0 0 0
0 0 0
3 0 0
0 0 0
0 0 0
0 0 0
3 0 0
0 0 0
0 0 0
0 0 0
0 0 6
0 0 0
0 0 0
377 0 0
0 0 0
0 0 0
0 0 0
300 0 0
5 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 16 0
0 0 0
0 0 0
0 0 0
0 0 0
0 1 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 5 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 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1 0 0
1 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
8 0 0
0 0 0
3 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 603 0
0 462 0
0 0 0
0 0 0
0 0 0
0 0 0

51,588 23,667 318 75,573


penerimaanpemakaian sisa cek
186,675 38,810 627,672 #REF!
0 36,763 - 2,515 75,573
625,157

186,675 77,679 588,802 588,802


38869 36763 36,354
625,156 1
77,679
PUSKESMAS PAAL X KOTA JAMBI
KODE. 5070101
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )

Unit : Rawat Inap Bulan :


STOK AWAL PENERIMAAN PERSEDIA PEMAKAIAN STOK AKHIR PEMAKAIAN PERMINT PEMBERIAN
NO. NAMA BARANG SATUAN KET.
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH AN PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/BLN AAN PKD BLUD PROG
1 2 3 4 5 6 7=(4+5+6) 8 9 10 11=(8+9+10) 12=(7+11) 13 14 15 16=(13+14+15) 17 18 19 20=(17+18+19) 21 22 23 24 25 26
1 Acyclovir cream 5 % tube
2 Acyclovir tablet 200 mg Tab
3 Acyclovir tablet 400 mg Tab
4 Allopurinol 100 mg Tab
5 Allopurinol 300 mg Tab
6 Ambroxol syrup Btl
7 Ambroxol tab 30 mg Tab
8 Aminofilin injeksi Ampul
9 Aminofilin tablet Tab
10 Amlodipin 5 mg Tab
11 Amoksisilin kap 250 mg Kap
12 Amoksisilin kap 500 mg Kap
13 Amoksisilin sirup kering 125 mg/5 ml Btl
14 Amoksisilin Sirup Forte 250 mg/5 ml Btl
15 Amlodipin 10 mg Tab
16 Amoksisilin injeksi Vial
17 Ampisilin Kaplet 500 mg Kap
18 Ampisilin sirup kering 125 mg/5 ml Btl
19 Antalgin tablet 500 mg Tab
20 Antalgin injeksi Ampul
21 Antasida doen tablet Tab
22 Antasida sirup Btl
23 Anti Bakteri salep / Bacitracin salep Tube
24 Anti Fungi kombinasi Pot
25 Anti Hemoroid supp
26 Anti Migrain tablet Tab
27 Asam Askorbat (VIT C) 50 mg Tab
28 Asam Folat Tab
29 Asering Infus Kolf
30 Asam Mefenamat 500 mg Tab
31 Asam Tranexamat injeksi Ampul
32 Asam Asetilsalisilat(Asetosal) 80 mg Tab
33 Asetosal tablet 100 mg Tab
34 Bisoprolol tablet Tab
35 Benzatin benzil penicilin inj 2,4 jt iu Vial
36 Betadin salep Tube
37 Betametason kream 0,1 % Tube
38 Bisacodyl 10 mg Supp
39 Bethahistin maselat Tablet
40 Captopril 12,5 mg Tab
41 Captopril 25 mg Tab
42 Captopril 50 mg Tab
43 Cefadroxil 500 mg kap
44 Cefotaxime injeksi 1 g Vial
45 Cefriaxon injeksi Vial
46 Cetrizin tablet 10 mg Kap
47 Ciprofloxacin 500 mg Tab
48 Clindamicin 150 mg Kap
49 Clindamicin 300 mg Kap
50 Devitalisasi pasta Btl
51 Dexamethason tablet Tab
52 Dexamethason injeksi Ampul
53 Diazepam injeksi Ampul
54 Difenhidramin injeksi Ampul
55 Digoksin tablet Tab
56 Dulcolax tablet Tab
57 Dulculax supp 10 mg ( Dewasa ) Supp
58 Dulculax supp 5 mg ( Anak ) Supp
59 Ekstrak belladona tablet 10 mg Tab
60 Ephinefrin hcl injeksi Ampul
61 Erytromycin kapsul 250 mg Kap
62 Erytromycin kapsul 500 mg Kap
63 Erytromycin syrup Btl
64 Etakridin / Rivanol Btl
65 Etil klorida semprot Btl
66 Fenol Gliserol tetes telinga Btl
67 Fitomenadion (Vit K) tab 10 mg Tab
68 Fitomenadion (Vit K) injeksi Ampul
69 Furosemide tablet 40 mg Tab
70 Garam oralit untuk 200 ml air Set
71 Gentamycin salep kulit 0,1 % Tube
72 Gentamycin salep mata Tube
73 Gentamycin tetes mata Btl
74 Gentamycin injeksi Ampul
75 Gentian violet Btl
76 Glibenklamida tablet 5 mg Tab
77 Glimepiride 1 mg Tab
78 Glimepiride 2 mg Tab
79 Gliseril guaiakolat tablet 100 mg Tab
80 Glukosa larutan infus 5 % steril Btl
81 Griseofulvin tablet 125 mg Tab
82 Griseofulvin tablet 500 mg Tab
83 Hidroklortiazide (HCT) tablet 25 mg Tab
84 Hidrocortison krim 2,5 % Tube
85 Ibuprofen tablet 200 mg Tab
86 Ibuprofen tablet 400 mg Tab
87 Ibuprofen syrup Btl
88 Isosorbit dinitrat sublingual 5 mg Tab
89 Kalsium Laktat tablet Tab
90 Kandesartan cilexetil 8 mg Tab
91 Ketorolac injeksi Ampul
92 Kloramfenikol salep kulit Tube
93 Kloramfenikol salep mata 1 % Tube
94 Kloramfenicol tetes telinga 3 % Btl
95 Kloramfenicol 250 mg kapsul Kap
96 Klorfeniramin maleat 4 mg (CTM ) Tab
97 Kloramfenicol tetes mata ( Reco ) Btl
98 Kotrimoksazol suspensi Btl
99 Kotrimoksazol pediatrik Tab
100 Kotrimoksazol tablet 480 mg Tab
101 Kuinin sulfat tab 222 mg (7H2O) Tab
102 Lidocain kompositum inj (Pehacain) Ampul
103 Lidocain injeksi Ampul
104 Lisinopril 10 mg Tab
105 Loperamide tab 2 mg / Novadium Tab
106 Loratadin 10 mg Tab
107 Magnesium sulfat injeksi 20% vial
108 Magnesium sulfat injeksi 40% vial
109 Meloxicam 7,5 mg Tab
110 Metformin hcl tablet 500 mg Tab
111 Methyl prednisolon tablet 4 mg Tab
112 Metilergometrin tablet salut Tab
113 Metilergometrin injeksi Ampul
114 Metoklorpropamide hcl 10 mg Tab
115 Metronidazole tablet 250 mg Tab
116 Metronidazole tablet 500 mg Tab
117 Metronidazole syrup Btl
118 Metronidazole infus Btl
119 Miconazol cream tube
120 Microlax rectal tube tube
121 Natrium bikarbonat tablet Tab
122 Natrium Diklofenak 25 mg Tab
123 Natrium Diklofenak 50 mg Tab
124 Natrium klorida larutan infus Btl
125 Neurobion 5000 injeksi Ampul
126 Nifedipin tablet Tab
127 Nistatin tablet salut 500.000 iu/g Tab
128 Nistatin tablet vaginal 100.000 iu/g Tab
129 O B H Btl
130 Oksitetrasiklin hcl salep mata 1 % tube
131 Oksitetrasiklin hcl salep kulit 3 % Tube
132 Oksitetrasiklin hcl injeksi vial
133 Oksitosin injeksi / Pitogin Ampul
134 Omeprazole capsul 20 mg Kap
135 Ondansentron injeksi Ampul
136 Papaverin tablet Tab
137 Paracetamol tablet 100 mg Tab
138 Paracetamol tablet 500 mg Tab
139 Paracetamol Drop Btl
140 Parasetamol sirup Btl
141 Piracetam 3 g injeksi Ampul
142 Pirantel pamoat tablet 125 mg Tab
143 Pirantel pamoat sirup Btl
144 Piridoxin hcl tablet 10 mg Tab
145 Piroxicam 10 mg Tab
146 Piroxicam 20 mg Tab
147 Prednison tablet Tab
148 Primakuin tablet Tab
149 Prokain benzil penisilin inj vial
150 Pronalges suppositoria Supp
151 Propanolol tab 10 mg Tab
152 Propanolol tab 40 mg Tab
153 Propiltiourasil tablet 100 mg Tab
154 Proris suppositoria Supp
155 Perak sulfadiazine cream 3 % tube
156 Ranitidin tablet 150 mg Tab
157 Ranitidin injeksi Ampul
158 Salbutamol tablet 2 mg Tab
159 Salbuatmol tablet 4 mg Tab
160 salep 2-4 Pot
161 Salisil bedak 2 % Pot
162 Serum Anti Bisa Ular injeksi Vial
163 Serum Anti tetanus injeksi 1500 IU Ampul
164 Sianokobalamin inj 500 mcg/ml Btl
165 Simvastatin 10 mg Tab
166 Simvastatin 20 mg supp
167 Stesolid rectal supp 5 mg Supp
168 Stesolid rectal supp 10 mg Btl
169 Sulfasetamid tetes mata 15 % Tab
170 Tablet tambah darah (SF) Tab
171 Tetrasiklin kapsul 250 mg Kap
172 Tetrasiklin kapsul 500 mg Tab
173 Thiamin injeksi Ampul
174 Thiamin tablet 50 mg Tab
175 Ventolin nebulizer Nebules
176 Vitamin B komplek tablet Tab
177 Yodium povidon lart 10 % - 30 ml Btl
178 Yodium povidon lart 10 % - 300 ml Btl
179 Xylocain jelly Tube
180 Lidocain Pasta Pot
181 Zinc tablet 20 mg Tab
182 Zinc sirup Btl
183 Alat suntik 1 ml Pcs
184 Alat suntik 2,5 ml Pcs
185 Alat suntik 3 ml Pcs
186 Alat suntik 5 ml Pcs
187 Alkohol 70 % ( 1 L ) Btl
188 Alkohol 70 % ( 60 Ml ) Btl
189 Aqua destilata steril 500 ml Btl
190 Aqua pro injeksi Vial
191 Bisturi no 10 Pcs
192 Bisturi no 11 Pcs
193 Bisturi no 20 Pcs
194 Bisturi no 22 Pcs
195 Blood Lancet Pcs
196 Catgut/benang bedah Pcs
197 ETT no.6 Pcs
198 ETT no.6,5 Set
199 ETT no.7 Set
200 ETT no.7,5 Btl
201 Hand scrub Pcs
202 Handscoon uk.S Pcs
203 Handscoon uk. M Pcs
204 Handscoon uk. L Pcs
205 Infusion set anak set
206 Infusion set dewasa set
207 Wing neadle no. 23G Pcs
208 IV Catheter (Abocath) NO.20 Pcs
209 IV Catheter (Abocath) NO.22 Pcs
210 IV Catheter (Abocath) NO.24 pcs
211 Jarum Jahit (Nald Heating ) no. 10 pcs
212 Jarum Jahit (Nald Heating ) no. 11 pcs
213 Jarum Jahit (Nald Heating ) no. 12 pcs
214 Jarum Jahit (Nald Heating ) no. 13 pcs
215 Jarum Jahit (Nald Heating ) no. 14 Pcs
216 Kapas pembalut/Absorben 250 gr Roll
217 Kasa kompres 40/40 steril Roll
218 Kasa pembalut hidrofil 4m x 15 cm Roll
219 Kasa pembalut hidrofil 4 m x 3 cm Roll
220 Kassa 36x80 cm Roll
221 Kertas Saring Whatman Buku
222 Masker Pcs
223 Plastik Obat Klip 10 x 7 Pcs
224 Plester 5 yard x 2 inch Roll
225 Poly catheter no.8 Pcs
226 Poly catheter no.12 Pcs
227 Poly catheter no.16 Pcs/set
228 Silk ( benang bedah sutera) 03/0 Sak
229 Plastik Obat Klip 13 x 8,7 Pcs
230 Transfution set/Transfusion blood ADM set
231 Urinalysis 10 parameter Btl
232 Spuet 10 cc Pcs
233 Larutan Lisol Btl
234 Betamin drage ( Vit. B1 ) Tab
235 Domperidon Btl
236 Uni Baby chock sirup Btl
237 Foundazen Tab
238 Vitamin B 12 Tab
239 Ketokonazol Crem Tube
240 Flunadin Tab
241 Colortusin Tab
242 Curviplex Sirup Btl
243 Celkom C Kap
244 Kasa Steril 16 X 16 Kotak
245 Alkohol Swab One swab Kotak
246 Ichtyol Salaf Kulit Pot
247 Levertran Salep Kulit Pot
248 Ketokonazole Tablet Tab
249 Handscoon Steril No.7 Psc
250 Handscoon Steril No.7,7 Psc
251 Handscoon Steril No.6,5 Psc
252 Antiseptic Gel 500 ml Btl
253 Hanger Antiseptic Psc
254 Oxygen Mask Non Rebreating Anak Psc
255 Partial Rebreating Mask Anak Psc
256 Partial Rebreating Mask Dewasa Psc
257 Masker Nebulizer Anak Psc
258 Masker Nebulizer Dewasa Psc
259 Nasal Oksigen Kanula Anak Psc
260 Nasal Oksigen Kanula Dewasa Psc
261 Non Rebreating Mask Psc
262 Pritamox sirup 125 mg btl
263 ID Dewasa Pink Box
264 ID Dewasa Blue Box
265 ID Bayi Pink Box
266 ID Bayi Biru Box
267 Umbilical Keniko Box
268 Folley Catheter 16 Rusch Pcs
269 Urine Bag Fresco Pcs
270 Disp Sryringe 10 ml Onemed Box
271 Suction Catheter 8 Remedi Pcs
272 Suction Catheter 16 Remedi Psc

JENIS PELAYANAN RAWAT INAP


R/ UMUM
R/ BPJS
R/ JAMKESDA
Jlh. Recipe
Jlh R/ Generik
R/ Antibiotik

Mengetahui Jambi, 2019


Kepala Ruangan Rawat Inap Pengelola Obat Rawat Inap
(………………………………………….) (……………………………………….)
NIP. NIP.
PUSKESMAS PAAL X KOTA JAMBI
KODE. 5070101
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )

Bulan : Januari
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAK PEMBERIAN
AIAN PERMINT KET.
NO. NAMA BARANG SATUAN RATA2/ AAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH BLN PKD PROG JUMLAH

OBAT
1 Acyclovir cream 5 % tube 324 0 0 324 50 0 0 50 374 0 0 374 9 0 0 9 365 0 0 365
2 Acyclovir tablet 200 mg Tab 1090 0 0 1090 300 0 0 300 1390 0 0 1390 0 0 0 0 1390 0 0 1390
3 Acyclovir tablet 400 mg Tab 1018 0 0 1018 400 0 0 400 1418 0 0 1418 38 0 0 38 1380 0 0 1380
4 Air Raksa Dental Use Btl 1 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0 1 0 0 1
5 Albendazole 400 mg Tab 0 0 0 0 100 0 5300 5400 100 0 5300 5400 0 0 5300 5300 100 0 0 100
6 Allopurinol 100 mg Tab 6790 0 0 6790 0 0 0 0 6790 0 0 6790 5640 0 0 5640 1150 0 0 1150
7 Allopurinol 300 mg Tab 450 2290 0 2740 0 0 0 0 450 2290 0 2740 0 25 0 25 450 2265 0 2715
8 Ambroxol syrup Btl 0 378 0 378 0 0 0 0 0 378 0 378 0 36 0 36 0 342 0 342
9 Ambroxol tab 30 mg Tab 0 7620 0 7620 2500 0 0 2500 2500 7620 0 10120 1000 5955 0 6955 1500 1665 0 3165
10 Aminofilin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Aminofilin tablet Tab 1500 0 0 1500 0 0 0 0 1500 0 0 1500 0 0 0 0 1500 0 0 1500
12 Amitriptilin tablet 25 mg Tab 2137 0 0 2137 0 0 0 0 2137 0 0 2137 40 0 0 40 2097 0 0 2097
13 Amlodipin 5 mg Tab 4500 3000 0 7500 0 0 0 0 4500 3000 0 7500 1010 0 0 1010 3490 3000 0 6490
14 Amoksisilin kap 250 mg Kap 0 10205 0 10205 0 0 0 0 0 10205 0 10205 0 265 0 265 0 9940 0 9940
15 Amoksisilin kap 500 mg Kap 22400 0 0 22400 7600 0 0 7600 30000 0 0 30000 3770 0 0 3770 26230 0 0 26230
16 Amoksisilin sirup kering 125 mg/5 ml Btl 63 0 0 63 120 0 0 120 183 0 0 183 33 0 0 33 150 0 0 150
17 Amoksisilin Sirup Forte 250 mg/5 ml Btl 360 0 0 360 240 0 0 240 600 0 0 600 60 0 0 60 540 0 0 540
18 Amlodipin 10 mg Tab 3085 0 0 3085 1020 0 0 1020 4105 0 0 4105 674 0 0 674 3431 0 0 3431
19 Amoksisilin injeksi Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Ampisilin Kaplet 500 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Ampisilin sirup kering 125 mg/5 ml Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Antalgin tablet 500 mg Tab 3850 0 0 3850 1000 0 0 1000 4850 0 0 4850 140 0 0 140 4710 0 0 4710
23 Antalgin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Antasida doen tablet Tab 19000 20000 0 39000 150 0 0 150 19150 20000 0 39150 4480 0 0 4480 14670 20000 0 34670
25 Antasida sirup Btl 93 100 0 193 0 0 0 0 93 100 0 193 86 10 0 96 7 90 0 97
26 Anti Bakteri salep / Bacitracin salep Tube 11 0 0 11 0 0 0 0 11 0 0 11 9 0 0 9 2 0 0 2
27 Anti Fungi kombinasi Pot 119 0 0 119 0 0 0 0 119 0 0 119 0 0 0 0 119 0 0 119
28 Anti Hemoroid supp 210 0 0 210 100 0 0 100 310 0 0 310 30 0 0 30 280 0 0 280
29 Anti Migrain tablet Tab 0 0 0 0 1000 0 0 1000 1000 0 0 1000 0 0 0 0 1000 0 0 1000
30 Asam Askorbat (VIT C) 50 mg Tab 21300 6500 0 27800 0 0 0 0 21300 6500 0 27800 1050 0 0 1050 20250 6500 0 26750
31 Asam Folat Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 Asering Infus Kolf 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 Asam Mefenamat 500 mg Tab 0 1440 0 1440 4000 0 0 4000 4000 1440 0 5440 0 1250 0 1250 4000 190 0 4190
34 Asam Tranexamat injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
35 Asam Asetilsalisilat(Asetosal) 80 mg Tab 0 0 0 0 100 0 0 100 100 0 0 100 0 0 0 0 100 0 0 100
36 Asetosal tablet 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
37 Azitromycin 500 mg Tab 200 0 0 200 0 0 0 0 200 0 0 200 4 0 0 4 196 0 0 196
38 Bisoprolol tablet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 Benzatin benzil penicilin inj 2,4 jt iu Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
40 Betadin salep Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
41 Betametason kream 0,1 % Tube 250 0 0 250 100 0 0 100 350 0 0 350 5 0 0 5 345 0 0 345
42 Bisacodyl 10 mg Supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
43 Bethahistin maselat Tablet 0 394 0 394 2000 0 0 2000 2000 394 0 2394 0 394 0 394 2000 0 0 2000
44 Captopril 12,5 mg Tab 400 0 0 400 1000 0 0 1000 1400 0 0 1400 0 0 0 0 1400 0 0 1400
45 Captopril 25 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100
46 Captopril 50 mg Tab 0 0 0 0 100 0 0 100 100 0 0 100 0 0 0 0 100 0 0 100
47 Caviton Btl 1 1 0 2 1 0 0 1 2 1 0 3 0 0 0 0 2 1 0 3
48 Cefadroxil 500 mg kap 1980 0 0 1980 0 0 0 0 1980 0 0 1980 160 0 0 160 1820 0 0 1820
49 Cefotaxime injeksi 1 g Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
50 Cefriaxon injeksi Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
51 Cetrizin tablet 10 mg Kap 910 0 0 910 0 0 0 0 910 0 0 910 522 0 0 522 388 0 0 388
52 Ciprofloxacin 500 mg Tab 2700 0 0 2700 2500 0 0 2500 5200 0 0 5200 322 0 0 322 4878 0 0 4878
53 Clindamicin 150 mg Kap 0 0 0 0 300 0 0 300 300 0 0 300 0 0 0 0 300 0 0 300
54 Clindamicin 300 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
55 Devitalisasi pasta Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 Dexamethason tablet Tab 19680 0 0 19680 5000 0 0 5000 24680 0 0 24680 3250 0 0 3250 21430 0 0 21430
57 Dexamethason injeksi Ampul 250 0 0 250 0 0 0 0 250 0 0 250 0 0 0 0 250 0 0 250
58 Diazepam tablet 2 mg Tab 1500 1366 0 2866 0 0 0 0 1500 1366 0 2866 0 59 0 59 1500 1307 0 2807
59 Diazepam tablet 5 mg Tab 1100 0 100 1200 0 0 0 0 1100 0 100 1200 0 0 0 0 1100 0 100 1200
60 Diazepam injeksi Ampul 30 0 0 30 0 0 0 0 30 0 0 30 0 0 0 0 30 0 0 30
61 Difenhidramin injeksi Ampul 120 0 0 120 0 0 0 0 120 0 0 120 0 0 0 0 120 0 0 120
62 Digoksin tablet Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100
63 Doxicillin Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
64 Dulcolax tablet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
65 Dulculax supp 10 mg ( Dewasa ) Supp 32 0 0 32 20 0 0 20 52 0 0 52 0 0 0 0 52 0 0 52
66 Dulculax supp 5 mg ( Anak ) Supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
67 Efedrin Hcl 25 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
68 Ekstrak belladona tablet 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
69 Ephinefrin hcl injeksi Ampul 0 0 0 0 100 0 0 100 100 0 0 100 0 0 0 0 100 0 0 100
70 Erytromycin kapsul 250 mg Kap 2800 0 0 2800 1200 0 0 1200 4000 0 0 4000 150 0 0 150 3850 0 0 3850
71 Erytromycin kapsul 500 mg Kap 270 0 0 270 4000 0 0 4000 4270 0 0 4270 230 0 0 230 4040 0 0 4040
72 Erytromycin syrup Btl 0 47 0 47 0 0 0 0 0 47 0 47 0 4 0 4 0 43 0 43
73 Etakridin / Rivanol Btl 31 0 0 31 0 0 0 0 31 0 0 31 0 0 0 0 31 0 0 31
74 Ethambutol hcl tab 250 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
75 Ethambutol hcl tab 500 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
76 Etil klorida semprot Btl 1 0 0 1 5 0 0 5 6 0 0 6 0 0 0 0 6 0 0 6
77 Eugenol cairan Btl 3 0 0 3 0 0 0 0 3 0 0 3 0 0 0 0 3 0 0 3
78 Fenitoin natrium 30 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
79 Fenitoin natrium 100 mg Kap 100 0 0 100 300 0 0 300 400 0 0 400 150 0 0 150 250 0 0 250
80 Fenobarbital injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
81 Fenobarbital tab 100 mg Tab 300 0 0 300 0 0 0 0 300 0 0 300 300 0 0 300 0 0 0 0
82 Fenobarbital tablet 30 mg Tab 199 0 0 199 300 0 0 300 499 0 0 499 0 0 0 0 499 0 0 499
83 Fenoksimetil fenisilin tab 250 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
84 Fenoksimetil fenisilin tab 500 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
85 Fenol Gliserol tetes telinga Btl 80 0 0 80 48 0 0 48 128 0 0 128 12 0 0 12 116 0 0 116
86 Fitomenadion (Vit K) tab 10 mg Tab 2800 0 0 2800 200 0 0 200 3000 0 0 3000 90 0 0 90 2910 0 0 2910
87 Fitomenadion (Vit K) injeksi Ampul 0 0 0 0 30 0 0 30 30 0 0 30 0 0 0 0 30 0 0 30
88 Fluconazol 150 mg Tab 26 0 0 26 0 0 0 0 26 0 0 26 2 0 0 2 24 0 0 24
89 Furosemide tablet 40 mg Tab 0 923 0 923 0 0 0 0 0 923 0 923 0 0 0 0 0 923 0 923
90 Fluor gel Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
91 Garam oralit untuk 200 ml air Set 0 0 0 0 5400 0 0 5400 5400 0 0 5400 0 0 0 0 5400 0 0 5400
92 Gentamycin salep kulit 0,1 % Tube 26 0 0 26 120 0 0 120 146 0 0 146 50 0 0 50 96 0 0 96
93 Gentamycin salep mata Tube 72 0 0 72 48 0 0 48 120 0 0 120 0 0 0 0 120 0 0 120
94 Gentamycin tetes mata Btl 102 0 0 102 48 0 0 48 150 0 0 150 6 0 0 6 144 0 0 144
95 Gentamycin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
96 Gentian violet Btl 35 48 0 83 48 0 0 48 83 48 0 131 2 0 0 2 81 48 0 129
97 Glass Ionomer (ART FUJI IX) Btl 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 1 0 0 1
98 Glibenklamida tablet 5 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100
99 Glimepiride 1 mg Tab 3740 0 0 3740 0 0 0 0 3740 0 0 3740 0 0 0 0 3740 0 0 3740
100 Glimepiride 2 mg Tab 1550 1000 0 2550 0 0 0 0 1550 1000 0 2550 40 0 0 40 1510 1000 0 2510
101 Gliseril guaiakolat tablet 100 mg Tab 0 56230 0 56230 0 0 0 0 0 56230 0 56230 0 3880 0 3880 0 52350 0 52350
102 Glukosa larutan infus 5 % steril Btl 22 0 0 22 6 0 0 6 28 0 0 28 0 0 0 0 28 0 0 28
103 Griseofulvin tablet 125 mg Tab 900 0 0 900 1000 0 0 1000 1900 0 0 1900 0 0 0 0 1900 0 0 1900
104 Griseofulvin tablet 500 mg Tab 400 0 0 400 0 0 0 0 400 0 0 400 0 0 0 0 400 0 0 400
105 Halloperidol tab 0,5 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100
106 Halloperidol tab 1,5 mg Tab 600 0 0 600 0 0 0 0 600 0 0 600 0 0 0 0 600 0 0 600
107 Halloperidol tab 5 mg Tab 200 0 500 700 0 0 0 0 200 0 500 700 0 0 0 0 200 0 500 700
108 Hidroklortiazide (HCT) tablet 25 mg Tab 1597 0 0 1597 0 0 0 0 1597 0 0 1597 57 0 0 57 1540 0 0 1540
109 Hidrocortison krim 2,5 % Tube 52 0 0 52 120 0 0 120 172 0 0 172 37 0 0 37 135 0 0 135
110 Ibuprofen tablet 200 mg Tab 4355 0 0 4355 1000 0 0 1000 5355 0 0 5355 1353 0 0 1353 4002 0 0 4002
111 Ibuprofen tablet 400 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
112 Ibuprofen syrup Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
113 Insulin Human Rapid injeksi 100 IU vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
114 Isoniazida ( INH ) tab 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
115 Isoniazida ( INH ) tab 300 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
116 Isosorbit dinitrat sublingual 5 mg Tab 140 0 0 140 100 0 0 100 240 0 0 240 6 0 0 6 234 0 0 234
117 Komb. Primetamin 25mg+suldox 500mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
118 Klorfenol kamfermenthol ( CHKM ) Tab 5 0 0 5 0 0 0 0 5 0 0 5 0 0 0 0 5 0 0 5
119 Kalsium Laktat tablet Tab 11480 10500 0 21980 5500 0 0 5500 16980 10500 0 27480 3230 0 0 3230 13750 10500 0 24250
120 Kandesartan cilexetil 8 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
121 Karbamazepin tablet 200 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
122 Ketorolac injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
123 Kloramfenikol salep kulit Tube 92 0 0 92 0 0 0 0 92 0 0 92 1 0 0 1 91 0 0 91
124 Kloramfenikol salep mata 1 % Tube 79 0 0 79 96 0 0 96 175 0 0 175 11 0 0 11 164 0 0 164
125 Kloramfenicol tetes telinga 3 % Btl 81 0 0 81 25 0 0 25 106 0 0 106 0 0 0 0 106 0 0 106
126 Kloramfenicol 250 mg kapsul Kap 1055 0 0 1055 0 0 0 0 1055 0 0 1055 465 0 0 465 590 0 0 590
127 Klorfeniramin maleat 4 mg (CTM ) Tab 23650 0 0 23650 19800 0 0 19800 43450 0 0 43450 4460 0 0 4460 38990 0 0 38990
128 Kloramfenicol tetes mata ( Reco ) Btl 0 73 0 73 0 0 0 0 0 73 0 73 0 1 0 1 0 72 0 72
129 Kalsium Hidroksida Pasta ( Calcidor ) Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
130 Klorpromazin hcl injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
131 Klorpromazine tab salut 25 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
132 Klorpromazine tab salut 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
133 Kodein tablet 10 mg Tab 654 0 0 654 300 0 0 300 954 0 0 954 254 0 0 254 700 0 0 700
134 Kotrimoksazol suspensi Btl 320 0 0 320 100 0 0 100 420 0 0 420 6 0 0 6 414 0 0 414
135 Kotrimoksazol pediatrik Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
136 Kotrimoksazol tablet 480 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
137 Klorokuin Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
138 Kuinin sulfat tab 222 mg (7H2O) Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
139 Lidocain kompositum inj (Pehacain) Ampul 600 0 0 600 150 0 0 150 750 0 0 750 0 0 0 0 750 0 0 750
140 Lidocain injeksi Ampul 600 0 0 600 100 0 0 100 700 0 0 700 60 0 0 60 640 0 0 640
141 Lisinopril 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
142 Loperamide tab 2 mg / Novadium Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
143 Loratadin 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
144 Magnesium sulfat injeksi 20% vial 0 0 0 0 5 0 0 5 5 0 0 5 0 0 0 0 5 0 0 5
145 Magnesium sulfat injeksi 40% vial 0 0 0 0 5 0 0 5 5 0 0 5 0 0 0 0 5 0 0 5
146 Mecobalamin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
147 Meloxicam 7,5 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
148 Metformin hcl tablet 500 mg Tab 5500 0 0 5500 0 0 0 0 5500 0 0 5500 85 0 0 85 5415 0 0 5415
149 Methyl prednisolon tablet 4 mg Tab 3190 4400 0 7590 4000 0 0 4000 7190 4400 0 11590 390 0 0 390 6800 4400 0 11200
150 Metilergometrin tablet salut Tab 100 0 0 100 100 0 0 100 200 0 0 200 0 0 0 0 200 0 0 200
151 Metilergometrin injeksi Ampul 0 0 75 75 0 0 0 0 0 0 75 75 0 0 0 0 0 0 75 75
152 Metoklorpropamide hcl 10 mg Tab 2000 0 0 2000 1000 0 0 1000 3000 0 0 3000 500 0 0 500 2500 0 0 2500
153 Metronidazole tablet 250 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
154 Metronidazole tablet 500 mg Tab 1554 0 0 1554 200 0 0 200 1754 0 0 1754 144 0 0 144 1610 0 0 1610
155 Metronidazole syrup Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
156 Metronidazole infus Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
157 Miconazol cream tube 137 0 0 137 120 0 0 120 257 0 0 257 19 0 0 19 238 0 0 238
158 Microlax rectal tube tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
159 Mummifying pasta Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
160 Natrium bikarbonat tablet Tab 800 0 0 800 500 0 0 500 1300 0 0 1300 0 0 0 0 1300 0 0 1300
161 Natrium Diklofenak 25 mg Tab 1220 0 0 1220 2800 0 0 2800 4020 0 0 4020 640 0 0 640 3380 0 0 3380
162 Natrium Diklofenak 50 mg Tab 2000 1540 0 3540 1500 0 0 1500 3500 1540 0 5040 750 255 0 1005 2750 1285 0 4035
163 Natrium klorida larutan infus Btl 104 0 0 104 30 0 0 30 134 0 0 134 4 0 0 4 130 0 0 130
164 Neurobion 5000 injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
165 Nifedipin tablet Tab 60 0 0 60 200 0 0 200 260 0 0 260 0 0 0 0 260 0 0 260
166 Nistatin tablet salut 500.000 iu/g Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
167 Nistatin tablet vaginal 100.000 iu/g Tab 300 0 0 300 200 0 0 200 500 0 0 500 7 0 0 7 493 0 0 493
168 O B H Btl 0 304 0 304 100 0 0 100 100 304 0 404 24 54 0 78 76 250 0 326
169 Obat Anti TBC Kategori 1 paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
170 Obat Anti TBC Kategori 1 -Stop TB KIT paket 0 0 0 0 0 0 2 2 0 0 2 2 0 0 2 2 0 0 0 0
171 Obat Anti TBC Kategori II paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
172 Obat Anti TBC Kategori Anak paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
173 Kombipak Kategori I paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
174 Ofloxacin 200 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
175 Oksitetrasiklin hcl salep mata 1 % tube 26 0 0 26 25 0 0 25 51 0 0 51 0 0 0 0 51 0 0 51
176 Oksitetrasiklin hcl salep kulit 3 % Tube 25 0 0 25 200 0 0 200 225 0 0 225 0 0 0 0 225 0 0 225
177 Oksitetrasiklin hcl injeksi vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
178 Oksitosin injeksi / Pitogin Ampul 80 0 0 80 100 0 0 100 180 0 0 180 0 0 0 0 180 0 0 180
179 Omeprazole capsul 20 mg Kap 0 0 0 0 2910 0 0 2910 2910 0 0 2910 0 0 0 0 2910 0 0 2910
180 Ondansentron injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
181 Papaverin tablet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
182 Paracetamol tablet 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10180
183 Paracetamol tablet 500 mg Tab 3350 23200 0 26550 33000 0 0 33000 36350 23200 0 59550 6350 1120 0 7470 30000 22080 0 52080 11900
184 Paracetamol Drop Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
185 Parasetamol sirup Btl 280 500 0 780 0 0 0 0 280 500 0 780 257 0 0 257 23 500 0 523
186 Perfenazine tablet 4 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
187 Piracetam 3 g injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
188 Pirantel pamoat tablet 125 mg Tab 300 0 0 300 0 0 0 0 300 0 0 300 0 0 0 0 300 0 0 300
189 Pirantel pamoat sirup Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
190 Pyrazinamide tablet 500 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
191 Piridoxin hcl tablet 10 mg Tab 11160 0 0 11160 14000 0 0 14000 25160 0 0 25160 1410 0 0 1410 23750 0 0 23750
192 Piroxicam 10 mg Tab 0 2000 0 2000 500 0 0 500 500 2000 0 2500 0 0 0 0 500 2000 0 2500
193 Piroxicam 20 mg Tab 0 1520 0 1520 0 0 0 0 0 1520 0 1520 0 120 0 120 0 1400 0 1400
194 Polikresulen / Albothil Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
195 Prednison tablet Tab 8581 0 0 8581 10000 0 0 10000 18581 0 0 18581 1181 0 0 1181 17400 0 0 17400
196 Primakuin tablet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
197 Prokain benzil penisilin inj vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
198 Pronalges suppositoria Supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
199 Propanolol tab 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
200 Propanolol tab 40 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
201 Propiltiourasil tablet 100 mg Tab 0 600 0 600 200 0 0 200 200 600 0 800 0 20 0 20 200 580 0 780
202 Proris suppositoria Supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
203 Perak sulfadiazine cream 3 % tube 39 0 0 39 0 0 0 0 39 0 0 39 0 0 0 0 39 0 0 39
204 Ranitidin tablet 150 mg Tab 3000 0 0 3000 0 0 0 0 3000 0 0 3000 580 0 0 580 2420 0 0 2420
205 Ranitidin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
206 Reserpin tablet 0,1 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
207 Reserpin tablet 0,25 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
208 Retinol kapsul 100.000 IU Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
209 Retinol kapsul 200.000 IU Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
210 Rifampisin kapsul 300 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
211 Rifampisin kapsul 450 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
212 Rifampisin kapsul 600 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
213 Ringer laktat infus steril Btl 26 0 0 26 20 0 0 20 46 0 0 46 3 0 0 3 43 0 0 43
214 Salbutamol tablet 2 mg Tab 0 0 0 0 600 0 0 600 600 0 0 600 0 0 0 0 600 0 0 600
215 Salbuatmol tablet 4 mg Tab 590 0 0 590 1000 0 0 1000 1590 0 0 1590 150 0 0 150 1440 0 0 1440
216 salep 2-4 Pot 29 0 0 29 0 0 0 0 29 0 0 29 0 0 0 0 29 0 0 29
217 Salisil bedak 2 % Pot 12 0 0 12 120 0 0 120 132 0 0 132 50 0 0 50 82 0 0 82
218 Semen seng fosfat serbuk & cairan Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
219 Serum Anti Bisa Ular injeksi Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
220 Serum Anti tetanus injeksi 1500 IU Ampul 20 0 0 20 10 0 0 10 30 0 0 30 5 0 0 5 25 0 0 25
221 Tatagam vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
222 Sianokobalamin inj 500 mcg/ml Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
223 Silver Amalgam serbuk Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
224 Simvastatin 10 mg Tab 2585 950 0 3535 1680 0 0 1680 4265 950 0 5215 1045 0 0 1045 3220 950 0 4170
225 Simvastatin 20 mg supp 0 3000 0 3000 0 0 0 0 0 3000 0 3000 0 0 0 0 0 3000 0 3000
226 Stesolid rectal supp 5 mg Supp 5 0 0 5 0 0 0 0 5 0 0 5 5 0 0 5 0 0 0 0
227 Stesolid rectal supp 10 mg Btl 5 0 0 5 10 0 0 10 15 0 0 15 0 0 0 0 15 0 0 15
228 Sulfasetamid tetes mata 15 % Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
229 Tablet tambah darah (SF) Tab 12600 2000 0 14600 11200 0 23000 34200 23800 2000 23000 48800 2410 0 23000 25410 21390 2000 0 23390
230 Temporary / Fletcher Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
231 Tetrasiklin kapsul 250 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
232 Tetrasiklin kapsul 500 mg Tab 1300 0 0 1300 0 0 0 0 1300 0 0 1300 200 0 0 200 1100 0 0 1100
233 Thrombo Aspilet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
234 Thiamin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
235 Thiamin tablet 50 mg Tab 16760 0 0 16760 5200 0 0 5200 21960 0 0 21960 770 0 0 770 21190 0 0 21190
236 Triheksipenidil hcl tablet 2 mg Tab 810 0 0 810 0 0 0 0 810 0 0 810 85 0 0 85 725 0 0 725
237 Trikresol formalin cairan ( TKF ) Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
238 Vaksin rabies vero Tab 0 0 0 0 0 0 4 4 0 0 4 4 0 0 4 4 0 0 0 0
239 Valsartan 80 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
240 Ventolin nebulizer Nebules 0 40 0 40 10 0 0 10 10 40 0 50 0 20 0 20 10 20 0 30
241 Vitamin B komplek tablet Tab 0 5500 0 5500 18800 0 0 18800 18800 5500 0 24300 0 4160 0 4160 18800 1340 0 20140
242 Yodium povidon lart 10 % - 30 ml Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
243 Yodium povidon lart 10 % - 300 ml Btl 24 16 0 40 10 0 0 10 34 16 0 50 2 0 0 2 32 16 0 48
244 Xylocain jelly Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
245 Lidocain Pasta Pot 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
246 Zinc tablet 20 mg Tab 3254 0 0 3254 0 0 0 0 3254 0 0 3254 99 0 0 99 3155 0 0 3155
247 Zinc sirup Btl 54 0 0 54 50 0 0 50 104 0 0 104 7 0 0 7 97 0 0 97
248 Betamin drage ( Vit. B1 ) Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
249 Domperidon Btl 377 0 0 377 2500 0 0 2500 2877 0 0 2877 377 0 0 377 2500 0 0 2500
250 Clozapin 25 mg Tab 0 0 150 150 0 0 0 0 0 0 150 150 0 0 0 0 0 0 150 150
251 Clobazam 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
252 Trifluoperazin HCl 5 mg ( Stelosi ) Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
253 Vitamin B 12 Tab 2800 0 0 2800 0 0 0 0 2800 0 0 2800 300 0 0 300 2500 0 0 2500
254 Ketokonazol Crem Tube 58 0 0 58 0 0 0 0 58 0 0 58 5 0 0 5 53 0 0 53
255 Ketokonazole Tablet Tab 0 943 0 943 0 0 0 0 0 943 0 943 0 0 0 0 0 943 0 943
256 Flufenazin Decanoat Inj 25 mg Ampul 0 0 10 10 0 0 0 0 0 0 10 10 0 0 0 0 0 0 10 10
257 Haloperidol Inj 5 mg ( Ladomer ) Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
258 Haloperidol Decanoat Inj 50 mg Ampul 0 0 15 15 0 0 0 0 0 0 15 15 0 0 0 0 0 0 15 15
259 Resperidon tab 2 mg Tab 0 0 1000 1000 0 0 0 0 0 0 1000 1000 0 0 0 0 0 0 1000 1000
260 Curviplex Sirup Btl 0 20 0 20 0 0 0 0 0 20 0 20 0 16 0 16 0 4 0 4
261 Andalan Inj 3 Bulan Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
262 Andalan Inj 1 Bulan Vial 0 100 0 100 0 0 0 0 0 100 0 100 0 0 0 0 0 100 0 100
263 Cyclopen Inj. 1 Bulan Vial 0 208 0 208 0 0 0 0 0 208 0 208 0 0 0 0 0 208 0 208
264 Ichtyol Salaf Kulit Pot 0 21 0 21 0 0 0 0 0 21 0 21 0 5 0 5 0 16 0 16
265 Levertran Salep Kulit Pot 0 42 0 42 0 0 0 0 0 42 0 42 0 0 0 0 0 42 0 42
266 HEPATITIS B Paket 0 0 0 0 0 0 10 10 0 0 10 10 0 0 10 10 0 0 0 0
267 BCG Ampul 0 0 3 3 0 0 6 6 0 0 9 9 0 0 6 6 0 0 3 3
268 POLIO Vial 0 0 7 7 0 0 20 20 0 0 27 27 0 0 22 22 0 0 5 5
269 PENTABIO/DPTHBHib Vial 0 0 3 3 0 0 25 25 0 0 28 28 0 0 25 25 0 0 3 3
270 CAMPAK Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
271 Td / TT Vial 0 0 4 4 0 0 10 10 0 0 14 14 0 0 10 10 0 0 4 4
272 IPV Vial 0 0 4 4 0 0 10 10 0 0 14 14 0 0 14 14 0 0 0 0
273 Vaksin MR Vial 0 0 383 383 0 0 0 0 0 0 383 383 0 0 383 383 0 0 0 0
274 Pelarut MR Vial 0 0 383 383 0 0 0 0 0 0 383 383 0 0 383 383 0 0 0 0
275 Pentocain 0,5 % TT Mata Btl 0 25 0 25 0 0 0 0 0 25 0 25 0 0 0 0 0 25 0 25
276 Domperidon syrup btl 16 0 0 16 0 0 0 0 16 0 0 16 8 0 0 8 8 0 0 8
277 Kloramfenikol syrup btl 15 0 0 15 0 0 0 0 15 0 0 15 0 0 0 0 15 0 0 15
278 cetirizin syrup btl 27 0 0 27 0 0 0 0 27 0 0 27 3 0 0 3 24 0 0 24
279 Pritamox sirup 125 mg btl 0 191 0 191 0 0 0 0 0 191 0 191 0 0 0 0 0 191 0 191
280 Albendazole syrup btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
281 Moxalaskap/cotri480mg tab 0 2960 0 2960 0 0 0 0 0 2960 0 2960 0 0 0 0 0 2960 0 2960
282 Moxalas syr/cotry syr btl 0 100 0 100 0 0 0 0 0 100 0 100 0 0 0 0 0 100 0 100
283 Lorihis tab/loratadin tab tab 0 900 0 900 0 0 0 0 0 900 0 900 0 0 0 0 0 900 0 900
284 Flagsol syr/metro syr btl 0 46 0 46 0 0 0 0 0 46 0 46 0 0 0 0 0 46 0 46
285 Selfolic 1000mg/Asam folat tab 0 5183 0 5183 0 0 0 0 0 5183 0 5183 0 603 0 603 0 4580 0 4580
286 Trifadium2mg/Loperamid tab tab 0 2399 0 2399 0 0 0 0 0 2399 0 2399 0 462 0 462 0 1937 0 1937
287 Omeprazole Injeksi Ampul 0 0 0 0 20 0 0 20 20 0 0 20 0 0 0 0 20 0 0 20
288 Gluconas Kalsikus injeksi amp 0 0 0 0 0 0 5 5 0 0 5 5 0 0 5 5 0 0 0 0

BMHP

289 Alat suntik 1 ml Pcs 100 0 0 100 1000 0 0 1000 1100 0 0 1100 100 0 0 100 1000 0 0 1000
290 Alat suntik 2,5 ml Pcs 2400 0 0 2400 0 0 0 0 2400 0 0 2400 200 0 0 200 2200 0 0 2200
291 Alat suntik 3 ml Pcs 2400 400 0 2800 400 0 0 400 2800 400 0 3200 0 0 0 0 2800 400 0 3200
292 Alat suntik 5 ml Pcs 900 500 500 1900 500 0 0 500 1400 500 500 2400 0 0 0 0 1400 500 500 2400
293 Alkohol 70 % ( 1 L ) Btl 27 0 0 27 3 0 0 3 30 0 0 30 1 0 0 1 29 0 0 29
294 Alkohol 70 % ( 60 Ml ) Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
295 Aqua destilata steril 500 ml Btl 3 0 0 3 2 0 0 2 5 0 0 5 0 0 0 0 5 0 0 5
296 Aqua pro injeksi Vial 14 30 0 44 50 0 0 50 64 30 0 94 0 0 0 0 64 30 0 94
297 Bisturi no 10 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
298 Bisturi no 11 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
299 Bisturi no 20 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
300 Bisturi no 22 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
301 Blood Lancet Pcs 1500 2800 0 4300 500 0 0 500 2000 2800 0 4800 0 0 0 0 2000 2800 0 4800
302 Catgut/benang bedah Pcs 101 0 0 101 0 0 0 0 101 0 0 101 0 0 0 0 101 0 0 101
303 ETT no.6 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
304 ETT no.6,5 Set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
305 ETT no.7 Set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
306 ETT no.7,5 Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
307 Hand scrub Pcs 44 0 0 44 6 0 0 6 50 0 0 50 1 0 0 1 49 0 0 49
308 Handscoon uk.S Pcs 100 0 0 100 0 0 0 0 100 0 0 100 100 0 0 100 0 0 0 0
309 Handscoon uk. M Pcs 0 4700 0 4700 0 0 500 500 0 4700 500 5200 0 500 500 1000 0 4200 0 4200
310 Handscoon uk. L Pcs 0 1900 0 1900 0 0 0 0 0 1900 0 1900 0 200 0 200 0 1700 0 1700
311 Infusion set anak set 0 50 0 50 0 0 0 0 0 50 0 50 0 0 0 0 0 50 0 50
312 Infusion set dewasa set 0 50 0 50 0 0 0 0 0 50 0 50 0 0 0 0 0 50 0 50
313 Wing neadle no. 23G Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
314 IV Catheter (Abocath) NO.20 Pcs 0 0 0 0 5 0 0 5 5 0 0 5 0 0 0 0 5 0 0 5
315 IV Catheter (Abocath) NO.22 Pcs 0 0 0 0 5 0 0 5 5 0 0 5 0 0 0 0 5 0 0 5
316 IV Catheter (Abocath) NO.24 pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
317 Jarum Jahit (Nald Heating ) no. 10 pcs 38 0 0 38 0 0 0 0 38 0 0 38 0 0 0 0 38 0 0 38
318 Jarum Jahit (Nald Heating ) no. 11 pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
319 Jarum Jahit (Nald Heating ) no. 12 pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
320 Jarum Jahit (Nald Heating ) no. 13 pcs 10 0 0 10 0 0 0 0 10 0 0 10 0 0 0 0 10 0 0 10
321 Jarum Jahit (Nald Heating ) no. 14 Pcs 29 0 0 29 0 0 0 0 29 0 0 29 0 0 0 0 29 0 0 29
322 Kapas pembalut/Absorben 250 gr Roll 31 0 0 31 20 0 0 20 51 0 0 51 2 0 0 2 49 0 0 49
323 Kasa kompres 40/40 steril Roll 180 0 0 180 0 0 0 0 180 0 0 180 0 0 0 0 180 0 0 180
324 Kasa pembalut hidrofil 4m x 15 cm Roll 480 0 0 480 0 0 0 0 480 0 0 480 0 0 0 0 480 0 0 480
325 Kasa pembalut hidrofil 4 m x 3 cm Roll 403 0 0 403 0 0 0 0 403 0 0 403 0 0 0 0 403 0 0 403
326 Kassa 36x80 cm Roll 14 0 0 14 6 0 0 6 20 0 0 20 1 0 0 1 19 0 0 19
327 Kertas Saring Whatman Buku 0 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 1
328 Masker Pcs 0 5400 100 5500 1000 0 0 1000 1000 5400 100 6500 0 250 0 250 1000 5150 100 6250
329 Objec Glass Box/72 4 0 5 9 0 0 12 12 4 0 17 21 0 0 12 12 4 0 5 9
330 Pipet Tetes Panjang Pcs 20 0 0 20 0 0 0 0 20 0 0 20 0 0 0 0 20 0 0 20
331 Plastik Obat Klip 10 x 7 Pcs 0 14000 0 14000 0 0 0 0 0 14000 0 14000 0 3000 0 3000 0 11000 0 11000
332 Plastik Obat Klip 13 x 8,7 0 24000 0 24000 0 0 0 0 0 24000 0 24000 0 1000 0 1000 0 23000 0 23000
333 Plester 5 yard x 2 inch Roll 11 0 8 19 11 0 0 11 22 0 8 30 1 0 0 1 21 0 8 29
334 Poly catheter no.8 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
335 Poly catheter no.12 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
336 Poly catheter no.16 Pcs/set 15 0 0 15 0 0 0 0 15 0 0 15 0 0 0 0 15 0 0 15
337 Silk ( benang bedah sutera) 03/0 Sak 1 0 36 37 12 0 0 12 13 0 36 49 0 0 0 0 13 0 36 49
338 Spons gelatin cublices bks 7 0 0 7 0 0 0 0 7 0 0 7 0 0 0 0 7 0 0 7
339 Stick Gluco DR Btl/50 0 19 0 19 0 0 0 0 0 19 0 19 0 0 0 0 0 19 0 19
340 Tabung Reaksi Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
341 Tes Kehamilan HCG Pcs 1 2 0 3 1 0 0 1 2 2 0 4 0 0 0 0 2 2 0 4
342 Transfution set/Transfusion blood ADM set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
343 Urinalysis 10 parameter Btl 5 2 0 7 3 0 0 3 8 2 0 10 0 0 0 0 8 2 0 10
344 Stick asam Urat Btl/25 0 13 0 13 0 0 0 0 0 13 0 13 0 0 0 0 0 13 0 13
345 Stick Colestrol Btl/10 0 20 0 20 0 0 0 0 0 20 0 20 0 2 0 2 0 18 0 18
346 Jelly 250ml Ultra soundgel btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
347 Pot sputum Pcs 0 0 0 0 0 0 100 100 0 0 100 100 0 0 100 100 0 0 0 0
348 Reagen TB Paket 0 0 0 0 0 0 2 2 0 0 2 2 0 0 2 2 0 0 0 0
349 Sefty box 2,5 L Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
350 Reagen sifilis(SD,Bio StanQ) Test 0 0 0 0 0 0 150 150 0 0 150 150 0 0 150 150 0 0 0 0
351 Box Slide Ktk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
352 Fokus test Ktk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
353 Alat suntik 0,5 ml Box 0 0 4859 4859 0 0 0 0 0 0 4859 4859 0 0 0 0 0 0 4859 4859
354 Sefty box 5 L Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
355 Masker Nebulizer Anak Psc 5 0 0 5 5 0 0 5 10 0 0 10 0 0 0 0 10 0 0 10
356 Masker Nebulizer Dewasa Psc 4 0 0 4 5 0 0 5 9 0 0 9 0 0 0 0 9 0 0 9
357 Nasal Oksigen Kanula Anak Psc 3 0 0 3 10 0 0 10 13 0 0 13 1 0 0 1 12 0 0 12
358 Nasal Oksigen Kanula Dewasa Psc 4 0 0 4 10 0 0 10 14 0 0 14 1 0 0 1 13 0 0 13
359 Non Rebreating Mask Psc 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
360 ID Dewasa Pink Box 0 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 1
361 ID Dewasa Blue Box 0 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 1
362 ID Bayi Pink Box 0 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 1
363 ID Bayi Biru Box 0 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 1
364 Umbilical Keniko Box 0 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 1
365 Folley Catheter 16 Rusch Pcs 0 10 0 10 0 0 0 0 0 10 0 10 0 0 0 0 0 10 0 10
366 Urine Bag Fresco Pcs 0 10 0 10 0 0 0 0 0 10 0 10 0 0 0 0 0 10 0 10
367 Disp Sryringe 10 ml Onemed Box 0 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 1
368 Suction Catheter 8 Remedi Pcs 0 3 0 3 0 0 0 0 0 3 0 3 0 0 0 0 0 3 0 3
369 Suction Catheter 16 Remedi Psc 0 3 0 3 0 0 0 0 0 3 0 3 0 0 0 0 0 3 0 3
370 Plaster Hypafix Psc 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
371 Rapid Test HIV I Standar (Stik SD HIV ) Pcs 0 0 0 0 0 0 75 75 0 0 75 75 0 0 75 75 0 0 0 0
372 Kasa Steril 16 X 16 Kotak 0 175 0 175 0 0 0 0 0 175 0 175 0 0 0 0 0 175 0 175
373 Alat Nesco Tri in one Kotak 0 1 0 1 0 0 0 0 0 1 0 1 0 1 0 1 0 0 0 0
374 Alkohol Swab One swab Kotak 0 10 0 10 0 0 0 0 0 10 0 10 0 0 0 0 0 10 0 10
375 Bahan tambalan Komposid (solare) Tube 0 4 0 4 0 0 0 0 0 4 0 4 0 0 0 0 0 4 0 4
376 OCO Btl/15ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
377 Paper Pad Buku 0 6 0 6 0 0 0 0 0 6 0 6 0 0 0 0 0 6 0 6

REAGENSIA

378 Cell Clean ( CL-50) Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


379 Cell Pack ( PK-30L) Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
380 Control eight check 3 x 1,5 ml Btl/set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
381 Eightcheck-3WP (Normal) 1,5 ml Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
382 Eightcheck-3WP (Low) 1,5 ml Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
383 Eightcheck-3WP (High) 1,5 ml Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
384 Stomalyzer WH(SWH-2004) btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
385 Tabung K2 EDTA 2 ml Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
386 Printer Paper Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
387 Deck Glass Btl 5 0 0 5 0 0 0 0 5 0 0 5 0 0 0 0 5 0 0 5
388 Tes Gol Darah (A,B,AB ) Set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
389 Tisu lensa Buku 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
390 Kertas perkamen Lembar 19 0 0 19 0 0 0 0 19 0 0 19 0 0 0 0 19 0 0 19
391 Podofilin Tinctur 25 % Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
392 Larutan Fauchet Btl 2 0 0 2 1 0 0 1 3 0 0 3 0 0 0 0 3 0 0 3
393 Larutan Lisol Btl 31 0 0 31 5 0 0 5 36 0 0 36 2 0 0 2 34 0 0 34
394 Larutan asam klorida 0,1 N Btl 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 1 0 0 1
395 Larutan asam sulfosalisilat 20% Btl 1 0 0 1 1 0 0 1 2 0 0 2 0 0 0 0 2 0 0 2
396 Larutan barium klorida Btl 1 0 0 1 1 0 0 1 2 0 0 2 0 0 0 0 2 0 0 2
397 Larutan Benedict Btl 2 0 0 2 1 0 0 1 3 0 0 3 0 0 0 0 3 0 0 3
398 Larutan Bupper PH 7,2 Btl 1 0 0 1 3 0 0 3 4 0 0 4 3 0 0 3 1 0 0 1
399 Larutan EDTA Cair 10 % Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
400 Larutan Eosin 2 % Btl 0 1 0 1 1 0 0 1 1 1 0 2 0 0 0 0 1 1 0 2
401 Larutan Etanol Asam Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
402 Larutan Giemsa Stalin Btl 1 0 0 1 3 0 0 3 4 0 0 4 3 0 0 3 1 0 0 1
403 Larutan H2O2 Btl 2 0 0 2 8 0 0 8 10 0 0 10 0 0 0 0 10 0 0 10
404 Larutan Imersen oil HB Btl 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 1 0 0 1
405 Larutan karbol fuksin Btl 0 2 0 2 0 0 0 0 0 2 0 2 0 0 0 0 0 2 0 2
406 Larutan Metanol Btl 0 0 0 0 3 0 0 3 3 0 0 3 3 0 0 3 0 0 0 0
407 Larutan Metilen Biru Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
408 Larutan Natrium Sitrat 38 % Btl 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 1 0 0 1
409 Larutan Rees echer Btl 1 0 0 1 1 0 0 1 2 0 0 2 0 0 0 0 2 0 0 2
410 Larutan spiritus 100 ml Btl 0 0 0 0 0 0 6 6 0 0 6 6 0 0 6 6 0 0 0 0
411 Larutan turk Btl 2 2 0 4 1 0 0 1 3 2 0 5 0 0 0 0 3 2 0 5
412 Ether Alkohol Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
413 Buffer Ph 6,4 Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
414 KOH 10 % Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

270966 234943 8145 514054 186357 0 29237 215594 457323 234943 37382 729648 51588 23667 30009 105264 405735 211276 7373 624384

0 411,635 216,477 8145 636,257

270,966 234,943 8,145 514,054

JENIS PELAYANAN PUSKESMAS PAAL X PUSTU POSKESDES JUMLAH


R/ UMUM 509 250 14 773
R/ BPJS 1199 33 26 1258
R/ JAMKESDA 0 168 0 168
Jlh. Recipe 4530 1267 155 5952
Jlh R/ Generik 4505 1267 155 5927
R/ Antibiotik 276 169 20 465

Mengetahui Jambi, Februari 2020


Kepala UPTD Puskesmas Paal X Kota Jambi Pengelola Obat Puskesmas Paal X

dr.Hj.SRI ROSIANTI SRI HARTATY, AMF


NIP. 19720704 200701 2 017 NIP. 19820825 200502 2 001
PUSKESMAS PAAL X KOTA JAMBI
KODE. 5070101
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )

Bulan : Februari
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAK PEMBERIAN
AIAN PERMINT KET.
NO. NAMA BARANG SATUAN
RATA2/ AAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH BLN PKD PROG JUMLAH

OBAT
1 Acyclovir cream 5 % tube 365 0 0 365 0 0 0 0 365 0 0 365 9 0 0 9 356 0 0 356 45 0
2 Acyclovir tablet 200 mg Tab 1390 0 0 1390 0 0 0 0 1390 0 0 1390 87 0 0 87 1303 0 0 1303 200 0
3 Acyclovir tablet 400 mg Tab 1380 0 0 1380 0 0 0 0 1380 0 0 1380 40 0 0 40 1340 0 0 1340 300 200
4 Air Raksa Dental Use Btl 1 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0
5 Albendazole 400 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100 0 0
6 Allopurinol 100 mg Tab 1150 0 0 1150 0 0 0 0 1150 0 0 1150 106 0 0 106 1044 0 0 1044 300 500
7 Allopurinol 300 mg Tab 450 2265 0 2715 0 0 0 0 450 2265 0 2715 0 80 0 80 450 2185 0 2635 100 0
8 Ambroxol syrup Btl 0 342 0 342 0 0 0 0 0 342 0 342 0 150 0 150 0 192 0 192 85 250
9 Ambroxol tab 30 mg Tab 1500 1665 0 3165 0 0 0 0 1500 1665 0 3165 0 1435 0 1435 1500 230 0 1730 1100 3500
10 Aminofilin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Aminofilin tablet Tab 1500 0 0 1500 0 0 0 0 1500 0 0 1500 0 0 0 0 1500 0 0 1500 35 0
12 Amitriptilin tablet 25 mg Tab 2097 0 0 2097 0 0 0 0 2097 0 0 2097 55 0 0 55 2042 0 0 2042 10 0
13 Amlodipin 5 mg Tab 3490 3000 0 6490 0 0 0 0 3490 3000 0 6490 380 0 0 380 3110 3000 0 6110 985 0
14 Amoksisilin kap 250 mg Kap 0 9940 0 9940 0 0 0 0 0 9940 0 9940 0 250 0 250 0 9690 0 9690 300 0
15 Amoksisilin kap 500 mg Kap 26230 0 0 26230 0 0 0 0 26230 0 0 26230 2160 0 0 2160 24070 0 0 24070 5000 1000
16 Amoksisilin sirup kering 125 mg/5 ml Btl 150 0 0 150 0 0 0 0 150 0 0 150 40 0 0 40 110 0 0 110 84 350
17 Amoksisilin Sirup Forte 250 mg/5 ml Btl 540 0 0 540 0 0 0 0 540 0 0 540 8 0 0 8 532 0 0 532 86 0
18 Amlodipin 10 mg Tab 3431 0 0 3431 0 0 0 0 3431 0 0 3431 61 0 0 61 3370 0 0 3370 585 0
19 Amoksisilin injeksi Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30
20 Ampisilin Kaplet 500 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 500
21 Ampisilin sirup kering 125 mg/5 ml Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 150
22 Antalgin tablet 500 mg Tab 4710 0 0 4710 0 0 0 0 4710 0 0 4710 225 0 0 225 4485 0 0 4485 478 0
23 Antalgin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Antasida doen tablet Tab 14670 20000 0 34670 0 0 0 0 14670 20000 0 34670 1700 0 0 1700 12970 20000 0 32970 3000 0
25 Antasida sirup Btl 7 90 0 97 0 0 0 0 7 90 0 97 7 16 0 23 0 74 0 74 50 176
26 Anti Bakteri salep / Bacitracin salep Tube 2 0 0 2 0 0 0 0 2 0 0 2 2 0 0 2 0 0 0 0 35 175
27 Anti Fungi kombinasi Pot 119 0 0 119 0 0 0 0 119 0 0 119 61 0 0 61 58 0 0 58 27 72
28 Anti Hemoroid supp 280 0 0 280 0 0 0 0 280 0 0 280 101 0 0 101 179 0 0 179 50 100
29 Anti Migrain tablet Tab 1000 0 0 1000 0 0 0 0 1000 0 0 1000 0 0 0 0 1000 0 0 1000 360 0
30 Asam Askorbat (VIT C) 50 mg Tab 20250 6500 0 26750 0 0 0 0 20250 6500 0 26750 3120 0 0 3120 17130 6500 0 23630 6000 10000
31 Asam Folat Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 600 5000
32 Asering Infus Kolf 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 Asam Mefenamat 500 mg Tab 4000 190 0 4190 0 0 0 0 4000 190 0 4190 1930 190 0 2120 2070 0 0 2070 1000 3000
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAK PEMBERIAN
AIAN PERMINT KET.
NO. NAMA BARANG SATUAN
RATA2/ AAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH BLN PKD PROG JUMLAH

34 Asam Tranexamat injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30


35 Asam Asetilsalisilat(Asetosal) 80 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100 0 0
36 Asetosal tablet 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
37 Azitromycin 500 mg Tab 196 0 0 196 0 0 0 0 196 0 0 196 1 0 0 1 195 0 0 195 0 0
38 Bisoprolol tablet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 Benzatin benzil penicilin inj 2,4 jt iu Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
40 Betadin salep Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
41 Betametason kream 0,1 % Tube 345 0 0 345 0 0 0 0 345 0 0 345 52 0 0 52 293 0 0 293 50 50
42 Bisacodyl 10 mg Supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
43 Bethahistin maselat Tablet 2000 0 0 2000 0 0 0 0 2000 0 0 2000 302 0 0 302 1698 0 0 1698 1000 3500
44 Captopril 12,5 mg Tab 1400 0 0 1400 0 0 0 0 1400 0 0 1400 300 0 0 300 1100 0 0 1100 20 500
45 Captopril 25 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100 50 500
46 Captopril 50 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100 0 0
47 Caviton Btl 2 1 0 3 0 0 0 0 2 1 0 3 0 1 0 1 2 0 0 2 1 0
48 Cefadroxil 500 mg kap 1820 0 0 1820 0 0 0 0 1820 0 0 1820 240 0 0 240 1580 0 0 1580 482 1000
49 Cefotaxime injeksi 1 g Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
50 Cefriaxon injeksi Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
51 Cetrizin tablet 10 mg Kap 388 0 0 388 0 0 0 0 388 0 0 388 165 0 0 165 223 0 0 223 1000 6000
52 Ciprofloxacin 500 mg Tab 4878 0 0 4878 0 0 0 0 4878 0 0 4878 240 0 0 240 4638 0 0 4638 884 0
53 Clindamicin 150 mg Kap 300 0 0 300 0 0 0 0 300 0 0 300 0 0 0 0 300 0 0 300 0 0
54 Clindamicin 300 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
55 Devitalisasi pasta Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 Dexamethason tablet Tab 21430 0 0 21430 0 0 0 0 21430 0 0 21430 2244 0 0 2244 19186 0 0 19186 4000 1000
57 Dexamethason injeksi Ampul 250 0 0 250 0 0 0 0 250 0 0 250 60 0 0 60 190 0 0 190 0 0
58 Diazepam tablet 2 mg Tab 1500 1307 0 2807 0 0 0 0 1500 1307 0 2807 62 507 0 569 1438 800 0 2238 50 0
59 Diazepam tablet 5 mg Tab 1100 0 100 1200 0 0 0 0 1100 0 100 1200 0 0 0 0 1100 0 100 1200 0 0
60 Diazepam injeksi Ampul 30 0 0 30 0 0 0 0 30 0 0 30 0 0 0 0 30 0 0 30 10 30
61 Difenhidramin injeksi Ampul 120 0 0 120 0 0 0 0 120 0 0 120 0 0 0 0 120 0 0 120 0 0
62 Digoksin tablet Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100 0 0
63 Doxicillin Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
64 Dulcolax tablet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 150
65 Dulculax supp 10 mg ( Dewasa ) Supp 52 0 0 52 0 0 0 0 52 0 0 52 11 0 0 11 41 0 0 41 4 0
66 Dulculax supp 5 mg ( Anak ) Supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 20
67 Efedrin Hcl 25 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
68 Ekstrak belladona tablet 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
69 Ephinefrin hcl injeksi Ampul 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100 18 0
70 Erytromycin kapsul 250 mg Kap 3850 0 0 3850 0 0 0 0 3850 0 0 3850 494 0 0 494 3356 0 0 3356 600 0
71 Erytromycin kapsul 500 mg Kap 4040 0 0 4040 0 0 0 0 4040 0 0 4040 0 0 0 0 4040 0 0 4040 694 0
72 Erytromycin syrup Btl 0 43 0 43 0 0 0 0 0 43 0 43 0 14 0 14 0 29 0 29 24 100
73 Etakridin / Rivanol Btl 31 0 0 31 0 0 0 0 31 0 0 31 0 0 0 0 31 0 0 31 7 6
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAK PEMBERIAN
AIAN PERMINT KET.
NO. NAMA BARANG SATUAN
RATA2/ AAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH BLN PKD PROG JUMLAH

74 Ethambutol hcl tab 250 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


75 Ethambutol hcl tab 500 mg Tab 0 0 0 0 0 0 252 252 0 0 252 252 0 0 252 252 0 0 0 0 0 0
76 Etil klorida semprot Btl 6 0 0 6 0 0 0 0 6 0 0 6 1 0 0 1 5 0 0 5 2 6
77 Eugenol cairan Btl 3 0 0 3 0 0 0 0 3 0 0 3 3 0 0 3 0 0 0 0 0 0
78 Fenitoin natrium 30 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
79 Fenitoin natrium 100 mg Kap 250 0 0 250 0 0 0 0 250 0 0 250 210 0 0 210 40 0 0 40 60 500
80 Fenobarbital injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
81 Fenobarbital tab 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
82 Fenobarbital tablet 30 mg Tab 499 0 0 499 0 0 0 0 499 0 0 499 0 0 0 0 499 0 0 499 90 200
83 Fenoksimetil fenisilin tab 250 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
84 Fenoksimetil fenisilin tab 500 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
85 Fenol Gliserol tetes telinga Btl 116 0 0 116 0 0 0 0 116 0 0 116 6 0 0 6 110 0 0 110 25 0
86 Fitomenadion (Vit K) tab 10 mg Tab 2910 0 0 2910 0 0 0 0 2910 0 0 2910 324 0 0 324 2586 0 0 2586 369 0
87 Fitomenadion (Vit K) injeksi Ampul 30 0 0 30 0 0 0 0 30 0 0 30 0 0 0 0 30 0 0 30 8 30
88 Fluconazol 150 mg Tab 24 0 0 24 0 0 0 0 24 0 0 24 4 0 0 4 20 0 0 20 0 0
89 Furosemide tablet 40 mg Tab 0 923 0 923 0 0 0 0 0 923 0 923 0 300 0 300 0 623 0 623 0 0
90 Fluor gel Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
91 Garam oralit untuk 200 ml air Set 5400 0 0 5400 0 0 0 0 5400 0 0 5400 178 0 0 178 5222 0 0 5222 520 0
92 Gentamycin salep kulit 0,1 % Tube 96 0 0 96 0 0 0 0 96 0 0 96 6 0 0 6 90 0 0 90 25 35
93 Gentamycin salep mata Tube 120 0 0 120 0 0 0 0 120 0 0 120 3 0 0 3 117 0 0 117 5 0
94 Gentamycin tetes mata Btl 144 0 0 144 0 0 0 0 144 0 0 144 0 0 0 0 144 0 0 144 9 0
95 Gentamycin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
96 Gentian violet Btl 81 48 0 129 0 0 0 0 81 48 0 129 20 0 0 20 61 48 0 109 11 0
97 Glass Ionomer (ART FUJI IX) Btl 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 1 1
98 Glibenklamida tablet 5 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100 0 0
99 Glimepiride 1 mg Tab 3740 0 0 3740 0 0 0 0 3740 0 0 3740 840 0 0 840 2900 0 0 2900 432 0
100 Glimepiride 2 mg Tab 1510 1000 0 2510 0 0 0 0 1510 1000 0 2510 20 500 0 520 1490 500 0 1990 0 0
101 Gliseril guaiakolat tablet 100 mg Tab 0 52350 0 52350 0 0 0 0 0 52350 0 52350 0 2945 0 2945 0 49405 0 49405 3000 0
102 Glukosa larutan infus 5 % steril Btl 28 0 0 28 0 0 0 0 28 0 0 28 0 0 0 0 28 0 0 28 0 0
103 Griseofulvin tablet 125 mg Tab 1900 0 0 1900 0 0 0 0 1900 0 0 1900 900 0 0 900 1000 0 0 1000 298 500
104 Griseofulvin tablet 500 mg Tab 400 0 0 400 0 0 0 0 400 0 0 400 0 0 0 0 400 0 0 400 70 300
105 Halloperidol tab 0,5 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 30 0 0 30 70 0 0 70 40 200
106 Halloperidol tab 1,5 mg Tab 600 0 0 600 0 0 0 0 600 0 0 600 0 0 0 0 600 0 0 600 60 0
107 Halloperidol tab 5 mg Tab 200 0 500 700 0 0 0 0 200 0 500 700 200 0 0 200 0 0 500 500 60 0
108 Hidroklortiazide (HCT) tablet 25 mg Tab 1540 0 0 1540 0 0 0 0 1540 0 0 1540 230 0 0 230 1310 0 0 1310 0 0
109 Hidrocortison krim 2,5 % Tube 135 0 0 135 0 0 0 0 135 0 0 135 30 0 0 30 105 0 0 105 35 72
110 Ibuprofen tablet 200 mg Tab 4002 0 0 4002 0 0 0 0 4002 0 0 4002 416 0 0 416 3586 0 0 3586 442 0
111 Ibuprofen tablet 400 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 200 1000
112 Ibuprofen syrup Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100
113 Insulin Human Rapid injeksi 100 IU vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAK PEMBERIAN
AIAN PERMINT KET.
NO. NAMA BARANG SATUAN
RATA2/ AAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH BLN PKD PROG JUMLAH

114 Isoniazida ( INH ) tab 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100


115 Isoniazida ( INH ) tab 300 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
116 Isosorbit dinitrat sublingual 5 mg Tab 234 0 0 234 0 0 0 0 234 0 0 234 100 0 0 100 134 0 0 134 0 0
117 Komb. Primetamin 25mg+suldox 500mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
118 Klorfenol kamfermenthol ( CHKM ) Tab 5 0 0 5 0 0 0 0 5 0 0 5 5 0 0 5 0 0 0 0 1 0
119 Kalsium Laktat tablet Tab 13750 10500 0 24250 0 0 0 0 13750 10500 0 24250 1590 0 0 1590 12160 10500 0 22660 3500 3000
120 Kandesartan cilexetil 8 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
121 Karbamazepin tablet 200 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 500
122 Ketorolac injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
123 Kloramfenikol salep kulit Tube 91 0 0 91 0 0 0 0 91 0 0 91 1 0 0 1 90 0 0 90 0 0
124 Kloramfenikol salep mata 1 % Tube 164 0 0 164 0 0 0 0 164 0 0 164 16 0 0 16 148 0 0 148 29 0
125 Kloramfenicol tetes telinga 3 % Btl 106 0 0 106 0 0 0 0 106 0 0 106 4 0 0 4 102 0 0 102 12 0
126 Kloramfenicol 250 mg kapsul Kap 590 0 0 590 0 0 0 0 590 0 0 590 580 0 0 580 10 0 0 10 1000 5000
127 Klorfeniramin maleat 4 mg (CTM ) Tab 38990 0 0 38990 0 0 0 0 38990 0 0 38990 3295 0 0 3295 35695 0 0 35695 5000 0
128 Kloramfenicol tetes mata ( Reco ) Btl 0 72 0 72 0 0 0 0 0 72 0 72 0 0 0 0 0 72 0 72 5 48
129 Kalsium Hidroksida Pasta ( Calcidor ) Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0
130 Klorpromazin hcl injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
131 Klorpromazine tab salut 25 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
132 Klorpromazine tab salut 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 500
133 Kodein tablet 10 mg Tab 700 0 0 700 0 0 0 0 700 0 0 700 19 0 0 19 681 0 0 681 60 400
134 Kotrimoksazol suspensi Btl 414 0 0 414 0 0 0 0 414 0 0 414 224 0 0 224 190 0 0 190 45 150
135 Kotrimoksazol pediatrik Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
136 Kotrimoksazol tablet 480 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 400 2000
137 Klorokuin Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
138 Kuinin sulfat tab 222 mg (7H2O) Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
139 Lidocain kompositum inj (Pehacain) Ampul 750 0 0 750 0 0 0 0 750 0 0 750 150 0 0 150 600 0 0 600 66 0
140 Lidocain injeksi Ampul 640 0 0 640 0 0 0 0 640 0 0 640 40 0 0 40 600 0 0 600 60 0
141 Lisinopril 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
142 Loperamide tab 2 mg / Novadium Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 500
143 Loratadin 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
144 Magnesium sulfat injeksi 20% vial 5 0 0 5 0 0 0 0 5 0 0 5 0 0 0 0 5 0 0 5 0 0
145 Magnesium sulfat injeksi 40% vial 5 0 0 5 0 0 0 0 5 0 0 5 0 0 0 0 5 0 0 5 0 0
146 Mecobalamin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
147 Meloxicam 7,5 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 200 1000
148 Metformin hcl tablet 500 mg Tab 5415 0 0 5415 0 0 0 0 5415 0 0 5415 115 0 0 115 5300 0 0 5300 580 0
149 Methyl prednisolon tablet 4 mg Tab 6800 4400 0 11200 0 0 0 0 6800 4400 0 11200 580 200 0 780 6220 4200 0 10420 1246 0
150 Metilergometrin tablet salut Tab 200 0 0 200 0 0 0 0 200 0 0 200 0 0 0 0 200 0 0 200 15 0
151 Metilergometrin injeksi Ampul 0 0 75 75 0 0 0 0 0 0 75 75 0 0 0 0 0 0 75 75 0 0
152 Metoklorpropamide hcl 10 mg Tab 2500 0 0 2500 0 0 0 0 2500 0 0 2500 0 0 0 0 2500 0 0 2500 200 0
153 Metronidazole tablet 250 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 300 1000
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAK PEMBERIAN
AIAN PERMINT KET.
NO. NAMA BARANG SATUAN
RATA2/ AAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH BLN PKD PROG JUMLAH

154 Metronidazole tablet 500 mg Tab 1610 0 0 1610 0 0 0 0 1610 0 0 1610 300 0 0 300 1310 0 0 1310 500 1000
155 Metronidazole syrup Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
156 Metronidazole infus Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
157 Miconazol cream tube 238 0 0 238 0 0 0 0 238 0 0 238 41 0 0 41 197 0 0 197 34 72
158 Microlax rectal tube tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5
159 Mummifying pasta Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
160 Natrium bikarbonat tablet Tab 1300 0 0 1300 0 0 0 0 1300 0 0 1300 100 0 0 100 1200 0 0 1200 200 0
161 Natrium Diklofenak 25 mg Tab 3380 0 0 3380 0 0 0 0 3380 0 0 3380 566 0 0 566 2814 0 0 2814 700 1000
162 Natrium Diklofenak 50 mg Tab 2750 1285 0 4035 0 0 0 0 2750 1285 0 4035 0 75 0 75 2750 1210 0 3960 213 0
163 Natrium klorida larutan infus Btl 130 0 0 130 0 0 0 0 130 0 0 130 10 0 0 10 120 0 0 120 8 0
164 Neurobion 5000 injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30
165 Nifedipin tablet Tab 260 0 0 260 0 0 0 0 260 0 0 260 0 0 0 0 260 0 0 260 20 0
166 Nistatin tablet salut 500.000 iu/g Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
167 Nistatin tablet vaginal 100.000 iu/g Tab 493 0 0 493 0 0 0 0 493 0 0 493 33 0 0 33 460 0 0 460 58 0
168 O B H Btl 76 250 0 326 0 0 0 0 76 250 0 326 54 10 0 64 22 240 0 262 70 100
169 Obat Anti TBC Kategori 1 paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
170 Obat Anti TBC Kategori 1 -Stop TB KIT paket 0 0 0 0 0 0 4 4 0 0 4 4 0 0 4 4 0 0 0 0 0 0
171 Obat Anti TBC Kategori II paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
172 Obat Anti TBC Kategori Anak paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
173 Kombipak Kategori I paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
174 Ofloxacin 200 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
175 Oksitetrasiklin hcl salep mata 1 % tube 51 0 0 51 0 0 0 0 51 0 0 51 1 0 0 1 50 0 0 50 5 0
176 Oksitetrasiklin hcl salep kulit 3 % Tube 225 0 0 225 0 0 0 0 225 0 0 225 30 0 0 30 195 0 0 195 35 0
177 Oksitetrasiklin hcl injeksi vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
178 Oksitosin injeksi / Pitogin Ampul 180 0 0 180 0 0 0 0 180 0 0 180 80 0 0 80 100 0 0 100 0 0
179 Omeprazole capsul 20 mg Kap 2910 0 0 2910 0 0 0 0 2910 0 0 2910 284 0 0 284 2626 0 0 2626 700 800
180 Ondansentron injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
181 Papaverin tablet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 400 2000
182 Paracetamol tablet 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
183 Paracetamol tablet 500 mg Tab 30000 22080 0 52080 0 0 0 0 30000 22080 0 52080 8770 1880 0 10650 21230 20200 0 41430 9000 5000
184 Paracetamol Drop Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
185 Parasetamol sirup Btl 23 500 0 523 0 0 0 0 23 500 0 523 23 61 0 84 0 439 0 439 95 100
186 Perfenazine tablet 4 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
187 Piracetam 3 g injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
188 Pirantel pamoat tablet 125 mg Tab 300 0 0 300 0 0 0 0 300 0 0 300 16 0 0 16 284 0 0 284 20 0
189 Pirantel pamoat sirup Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
190 Pyrazinamide tablet 500 mg Tab 0 0 0 0 0 0 336 336 0 0 336 336 0 0 336 336 0 0 0 0 0 0
191 Piridoxin hcl tablet 10 mg Tab 23750 0 0 23750 0 0 420 420 23750 0 420 24170 626 0 420 1046 23124 0 0 23124 3000 0
192 Piroxicam 10 mg Tab 500 2000 0 2500 0 0 0 0 500 2000 0 2500 0 0 0 0 500 2000 0 2500 500 1000
193 Piroxicam 20 mg Tab 0 1400 0 1400 0 0 0 0 0 1400 0 1400 0 80 0 80 0 1320 0 1320 500 1000
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAK PEMBERIAN
AIAN PERMINT KET.
NO. NAMA BARANG SATUAN
RATA2/ AAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH BLN PKD PROG JUMLAH

194 Polikresulen / Albothil Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


195 Prednison tablet Tab 17400 0 0 17400 0 0 0 0 17400 0 0 17400 536 0 0 536 16864 0 0 16864 3500 3000
196 Primakuin tablet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
197 Prokain benzil penisilin inj vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
198 Pronalges suppositoria Supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 10
199 Propanolol tab 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
200 Propanolol tab 40 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100
201 Propiltiourasil tablet 100 mg Tab 200 580 0 780 0 0 0 0 200 580 0 780 0 0 0 0 200 580 0 780 40 0
202 Proris suppositoria Supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 25
203 Perak sulfadiazine cream 3 % tube 39 0 0 39 0 0 0 0 39 0 0 39 0 0 0 0 39 0 0 39 1 0
204 Ranitidin tablet 150 mg Tab 2420 0 0 2420 0 0 0 0 2420 0 0 2420 1740 0 0 1740 680 0 0 680 1350 6000
205 Ranitidin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 30
206 Reserpin tablet 0,1 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
207 Reserpin tablet 0,25 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
208 Retinol kapsul 100.000 IU Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
209 Retinol kapsul 200.000 IU Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
210 Rifampisin kapsul 300 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
211 Rifampisin kapsul 450 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
212 Rifampisin kapsul 600 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
213 Ringer laktat infus steril Btl 43 0 0 43 0 0 0 0 43 0 0 43 15 0 0 15 28 0 0 28 7 20
214 Salbutamol tablet 2 mg Tab 600 0 0 600 0 0 0 0 600 0 0 600 177 0 0 177 423 0 0 423 400 1500
215 Salbuatmol tablet 4 mg Tab 1440 0 0 1440 0 0 0 0 1440 0 0 1440 50 0 0 50 1390 0 0 1390 250 500
216 salep 2-4 Pot 29 0 0 29 0 0 0 0 29 0 0 29 24 0 0 24 5 0 0 5 15 72
217 Salisil bedak 2 % Pot 82 0 0 82 0 0 0 0 82 0 0 82 0 0 0 0 82 0 0 82 35 100
218 Semen seng fosfat serbuk & cairan Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0
219 Serum Anti Bisa Ular injeksi Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
220 Serum Anti tetanus injeksi 1500 IU Ampul 25 0 0 25 0 0 0 0 25 0 0 25 15 0 0 15 10 0 0 10 10 60
221 Tatagam vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
222 Sianokobalamin inj 500 mcg/ml Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
223 Silver Amalgam serbuk Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
224 Simvastatin 10 mg Tab 3220 950 0 4170 0 0 0 0 3220 950 0 4170 600 0 0 600 2620 950 0 3570 800 500
225 Simvastatin 20 mg supp 0 3000 0 3000 0 0 0 0 0 3000 0 3000 0 0 0 0 0 3000 0 3000 300 -1500
226 Stesolid rectal supp 5 mg Supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 15
227 Stesolid rectal supp 10 mg Btl 15 0 0 15 0 0 0 0 15 0 0 15 2 0 0 2 13 0 0 13 4 10
228 Sulfasetamid tetes mata 15 % Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
229 Tablet tambah darah (SF) Tab 21390 2000 0 23390 0 0 0 0 21390 2000 0 23390 2150 0 0 2150 19240 2000 0 21240 4000 0
230 Temporary / Fletcher Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
231 Tetrasiklin kapsul 250 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
232 Tetrasiklin kapsul 500 mg Tab 1100 0 0 1100 0 0 0 0 1100 0 0 1100 0 0 0 0 1100 0 0 1100 220 0
233 Thrombo Aspilet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAK PEMBERIAN
AIAN PERMINT KET.
NO. NAMA BARANG SATUAN
RATA2/ AAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH BLN PKD PROG JUMLAH

234 Thiamin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


235 Thiamin tablet 50 mg Tab 21190 0 0 21190 0 0 0 0 21190 0 0 21190 432 0 0 432 20758 0 0 20758 3000 0
236 Triheksipenidil hcl tablet 2 mg Tab 725 0 0 725 0 0 0 0 725 0 0 725 68 0 0 68 657 0 0 657 30 0
237 Trikresol formalin cairan ( TKF ) Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
238 Vaksin rabies vero Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
239 Valsartan 80 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
240 Ventolin nebulizer Nebules 10 20 0 30 0 0 0 0 10 20 0 30 0 20 0 20 10 0 0 10 32 150
241 Vitamin B komplek tablet Tab 18800 1340 0 20140 0 0 0 0 18800 1340 0 20140 3000 1340 0 4340 15800 0 0 15800 3500 5000
242 Yodium povidon lart 10 % - 30 ml Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 25
243 Yodium povidon lart 10 % - 300 ml Btl 32 16 0 48 0 0 0 0 32 16 0 48 2 1 0 3 30 15 0 45 7 0
244 Xylocain jelly Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
245 Lidocain Pasta Pot 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
246 Zinc tablet 20 mg Tab 3155 0 0 3155 0 0 0 0 3155 0 0 3155 710 0 0 710 2445 0 0 2445 200 0
247 Zinc sirup Btl 97 0 0 97 0 0 0 0 97 0 0 97 16 0 0 16 81 0 0 81 25 50
248 Betamin drage ( Vit. B1 ) Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
249 Domperidon Btl 2500 0 0 2500 0 0 0 0 2500 0 0 2500 300 0 0 300 2200 0 0 2200 500 500
250 Clozapin 25 mg Tab 0 0 150 150 0 0 0 0 0 0 150 150 0 0 0 0 0 0 150 150 0 0
251 Clobazam 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
252 Trifluoperazin HCl 5 mg ( Stelosi ) Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
253 Vitamin B 12 Tab 2500 0 0 2500 0 0 0 0 2500 0 0 2500 300 0 0 300 2200 0 0 2200 0 0
254 Ketokonazol Crem Tube 53 0 0 53 0 0 0 0 53 0 0 53 29 0 0 29 24 0 0 24 4 24
255 Ketokonazole Tablet Tab 0 943 0 943 0 0 0 0 0 943 0 943 0 0 0 0 0 943 0 943 200 300
256 Flufenazin Decanoat Inj 25 mg Ampul 0 0 10 10 0 0 0 0 0 0 10 10 0 0 0 0 0 0 10 10 0 0
257 Haloperidol Inj 5 mg ( Ladomer ) Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
258 Haloperidol Decanoat Inj 50 mg Ampul 0 0 15 15 0 0 0 0 0 0 15 15 0 0 15 15 0 0 0 0 0 0
259 Resperidon tab 2 mg Tab 0 0 1000 1000 0 0 0 0 0 0 1000 1000 0 0 0 0 0 0 1000 1000 0 0
260 Curviplex Sirup Btl 0 4 0 4 0 0 0 0 0 4 0 4 0 4 0 4 0 0 0 0 0 0
261 Andalan Inj 3 Bulan Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 30
262 Andalan Inj 1 Bulan Vial 0 100 0 100 0 0 0 0 0 100 0 100 0 60 0 60 0 40 0 40 5 30
263 Cyclopen Inj. 1 Bulan Vial 0 208 0 208 0 0 0 0 0 208 0 208 0 18 0 18 0 190 0 190 0 0
264 Ichtyol Salaf Kulit Pot 0 16 0 16 0 0 0 0 0 16 0 16 0 3 0 3 0 13 0 13 12 48
265 Levertran Salep Kulit Pot 0 42 0 42 0 0 0 0 0 42 0 42 0 0 0 0 0 42 0 42 9 24
266 HEPATITIS B Paket 0 0 0 0 0 0 20 20 0 0 20 20 0 0 10 10 0 0 10 10 0 -10
267 BCG Ampul 0 0 3 3 0 0 6 6 0 0 9 9 0 0 6 6 0 0 3 3 0 0
268 POLIO Vial 0 0 5 5 0 0 0 0 0 0 5 5 0 0 5 5 0 0 0 0 0 0
269 PENTABIO/DPTHBHib Vial 0 0 3 3 0 0 0 0 0 0 3 3 0 0 3 3 0 0 0 0 0 0
270 CAMPAK Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
271 Td / TT Vial 0 0 4 4 0 0 10 10 0 0 14 14 0 0 4 4 0 0 10 10 0 0
272 IPV Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
273 Vaksin MR Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAK PEMBERIAN
AIAN PERMINT KET.
NO. NAMA BARANG SATUAN
RATA2/ AAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH BLN PKD PROG JUMLAH

274 Pelarut MR Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


275 Pentocain 0,5 % TT Mata Btl 0 25 0 25 0 0 0 0 0 25 0 25 0 0 0 0 0 25 0 25 0 0
276 Domperidon syrup btl 8 0 0 8 0 0 0 0 8 0 0 8 1 0 0 1 7 0 0 7 10 50
277 Kloramfenikol syrup btl 15 0 0 15 0 0 0 0 15 0 0 15 8 0 0 8 7 0 0 7 10 50
278 cetirizin syrup btl 24 0 0 24 0 0 0 0 24 0 0 24 3 0 0 3 21 0 0 21 10 50
279 Pritamox sirup 125 mg btl 0 191 0 191 0 0 0 0 0 191 0 191 0 0 0 0 0 191 0 191 0 0
280 Albendazole syrup btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
281 Moxalaskap/cotri480mg tab 0 2960 0 2960 0 0 0 0 0 2960 0 2960 0 120 0 120 0 2840 0 2840 300 0
282 Moxalas syr/cotry syr btl 0 100 0 100 0 0 0 0 0 100 0 100 0 0 0 0 0 100 0 100 0 0
283 Lorihis tab/loratadin tab tab 0 900 0 900 0 0 0 0 0 900 0 900 0 40 0 40 0 860 0 860 0 0
284 Flagsol syr/metro syr btl 0 46 0 46 0 0 0 0 0 46 0 46 0 0 0 0 0 46 0 46 0 0
285 Selfolic 1000mg/Asam folat tab 0 4580 0 4580 0 0 0 0 0 4580 0 4580 0 890 0 890 0 3690 0 3690 300 0
286 Trifadium2mg/Loperamid tab tab 0 1937 0 1937 0 0 0 0 0 1937 0 1937 0 708 0 708 0 1229 0 1229 300 271
287 Omeprazole Injeksi Ampul 20 0 0 20 0 0 0 0 20 0 0 20 5 0 0 5 15 0 0 15 0 0
288 Gluconas Kalsikus injeksi amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
289 Tricloflem Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 100
290 Cycloserin 250mg tab 0 0 0 0 0 0 252 252 0 0 252 252 0 0 252 252 0 0 0 0 0 0
291 Ethionmid 250mg tab 0 0 0 0 0 0 252 252 0 0 252 252 0 0 252 252 0 0 0 0 0 0
292 Levofloxacin 750mg tab 0 0 0 0 0 0 252 252 0 0 252 252 0 0 252 252 0 0 0 0 0 0
293 Bedaquilin 100mg tab 0 0 0 0 0 0 116 116 0 0 116 116 0 0 116 116 0 0 0 0 0 0
0 0 0 0
0 0 0 0
BMHP 0 0 0 0
294 Alat suntik 1 ml Pcs 1000 0 0 1000 0 0 0 0 1000 0 0 1000 200 0 0 200 800 0 0 800 200 200
295 Alat suntik 2,5 ml Pcs 2200 0 0 2200 0 0 0 0 2200 0 0 2200 300 0 0 300 1900 0 0 1900 300 0
296 Alat suntik 3 ml Pcs 2800 400 0 3200 0 0 0 0 2800 400 0 3200 100 0 0 100 2700 400 0 3100 300 0
297 Alat suntik 5 ml Pcs 1400 500 500 2400 0 0 0 0 1400 500 500 2400 0 0 0 0 1400 500 500 2400 0 0
298 Alkohol 70 % ( 1 L ) Btl 29 0 0 29 0 0 0 0 29 0 0 29 4 0 0 4 25 0 0 25 7 10
299 Alkohol 70 % ( 60 Ml ) Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
300 Aqua destilata steril 500 ml Btl 5 0 0 5 0 0 0 0 5 0 0 5 3 0 0 3 2 0 0 2 0 0
301 Aqua pro injeksi Vial 64 30 0 94 0 0 0 0 64 30 0 94 10 5 0 15 54 25 0 79 30 70
302 Bisturi no 10 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10
303 Bisturi no 11 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10
304 Bisturi no 20 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10
305 Bisturi no 22 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10
306 Blood Lancet Pcs 2000 2800 0 4800 0 0 0 0 2000 2800 0 4800 0 0 0 0 2000 2800 0 4800 1000 500
307 Catgut/benang bedah Pcs 101 0 0 101 0 0 0 0 101 0 0 101 0 0 0 0 101 0 0 101 5 5
308 ETT no.6 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
309 ETT no.6,5 Set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
310 ETT no.7 Set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAK PEMBERIAN
AIAN PERMINT KET.
NO. NAMA BARANG SATUAN
RATA2/ AAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH BLN PKD PROG JUMLAH

311 ETT no.7,5 Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


312 Hand scrub Pcs 49 0 0 49 0 0 0 0 49 0 0 49 21 0 0 21 28 0 0 28 15 47
313 Handscoon uk.S Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 300 1500
314 Handscoon uk. M Pcs 0 4200 0 4200 0 0 300 300 0 4200 300 4500 0 700 200 900 0 3500 100 3600 800 500
315 Handscoon uk. L Pcs 0 1700 0 1700 0 0 0 0 0 1700 0 1700 0 100 0 100 0 1600 0 1600 300 200
316 Infusion set anak set 0 50 0 50 0 0 0 0 0 50 0 50 0 0 0 0 0 50 0 50 0 0
317 Infusion set dewasa set 0 50 0 50 0 0 0 0 0 50 0 50 0 0 0 0 0 50 0 50 0 0
318 Wing neadle no. 23G Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
319 IV Catheter (Abocath) NO.20 Pcs 5 0 0 5 0 0 0 0 5 0 0 5 0 0 0 0 5 0 0 5 2 5
320 IV Catheter (Abocath) NO.22 Pcs 5 0 0 5 0 0 0 0 5 0 0 5 0 0 0 0 5 0 0 5 2 5
321 IV Catheter (Abocath) NO.24 pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 5
322 Jarum Jahit (Nald Heating ) no. 10 pcs 38 0 0 38 0 0 0 0 38 0 0 38 0 0 0 0 38 0 0 38 5 10
323 Jarum Jahit (Nald Heating ) no. 11 pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 25
324 Jarum Jahit (Nald Heating ) no. 12 pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 25
325 Jarum Jahit (Nald Heating ) no. 13 pcs 10 0 0 10 0 0 0 0 10 0 0 10 10 0 0 10 0 0 0 0 5 25
326 Jarum Jahit (Nald Heating ) no. 14 Pcs 29 0 0 29 0 0 0 0 29 0 0 29 9 0 0 9 20 0 0 20 5 5
327 Kapas pembalut/Absorben 250 gr Roll 49 0 0 49 0 0 0 0 49 0 0 49 1 0 0 1 48 0 0 48 6 0
328 Kasa kompres 40/40 steril Roll 180 0 0 180 0 0 0 0 180 0 0 180 22 0 0 22 158 0 0 158 0 0
329 Kasa pembalut hidrofil 4m x 15 cm Roll 480 0 0 480 0 0 0 0 480 0 0 480 50 0 0 50 430 0 0 430 0 0
330 Kasa pembalut hidrofil 4 m x 3 cm Roll 403 0 0 403 0 0 0 0 403 0 0 403 83 0 0 83 320 0 0 320 0 0
331 Kassa 36x80 cm Roll 19 0 0 19 0 0 0 0 19 0 0 19 1 0 0 1 18 0 0 18 2 2
332 Kertas Saring Whatman Buku 0 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 1 0 0
333 Masker Pcs 1000 5150 100 6250 0 0 100 100 1000 5150 200 6350 0 400 200 600 1000 4750 0 5750 1500 2500
334 Objec Glass Box/72 4 0 5 9 0 0 12 12 4 0 17 21 0 0 0 0 4 0 17 21 0 0
335 Pipet Tetes Panjang Pcs 20 0 0 20 0 0 0 0 20 0 0 20 5 0 0 5 15 0 0 15 0 0
336 Plastik Obat Klip 10 x 7 Pcs 0 11000 0 11000 0 0 0 0 0 11000 0 11000 0 0 0 0 0 11000 0 11000 3000 0
337 Plastik Obat Klip 13 x 8,7 0 23000 0 23000 0 0 0 0 0 23000 0 23000 0 11000 0 11000 0 12000 0 12000 3000 0
338 Plester 5 yard x 2 inch Roll 21 0 8 29 0 0 0 0 21 0 8 29 0 0 4 4 21 0 4 25 4 6
339 Poly catheter no.8 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3
340 Poly catheter no.12 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3
341 Poly catheter no.16 Pcs/set 15 0 0 15 0 0 0 0 15 0 0 15 5 0 0 5 10 0 0 10 5 6
342 Silk ( benang bedah sutera) 03/0 Sak 13 0 36 49 0 0 0 0 13 0 36 49 0 0 0 0 13 0 36 49 3 36
343 Spons gelatin cublices bks 7 0 0 7 0 0 0 0 7 0 0 7 0 0 0 0 7 0 0 7 0 0
344 Stick Gluco DR Btl/50 0 19 0 19 0 0 0 0 0 19 0 19 0 2 0 2 0 17 0 17 0 0
345 Tabung Reaksi Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
346 Tes Kehamilan HCG Pcs 2 2 0 4 0 0 0 0 2 2 0 4 0 0 0 0 2 2 0 4 0 0
347 Transfution set/Transfusion blood ADM set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3
348 Urinalysis 10 parameter Btl 8 2 0 10 0 0 0 0 8 2 0 10 1 0 0 1 7 2 0 9 0 0
349 Stick asam Urat Btl/25 0 13 0 13 0 0 0 0 0 13 0 13 0 3 0 3 0 10 0 10 3 5
350 Stick Colestrol Btl/10 0 18 0 18 0 0 0 0 0 18 0 18 0 5 0 5 0 13 0 13 3 2
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAK PEMBERIAN
AIAN PERMINT KET.
NO. NAMA BARANG SATUAN
RATA2/ AAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH BLN PKD PROG JUMLAH

351 Jelly 250ml Ultra soundgel btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 10


352 Pot sputum Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 25
353 Reagen TB Paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
354 Sefty box 2,5 L Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 15
355 Reagen sifilis(SD,Bio StanQ) Test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
356 Box Slide Ktk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
357 Fokus test Ktk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
358 Alat suntik 0,5 ml Box 0 0 4859 4859 0 0 0 0 0 0 4859 4859 0 0 0 0 0 0 4859 4859 0 0
359 Sefty box 5 L Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 15
360 Masker Nebulizer Anak Psc 10 0 0 10 0 0 0 0 10 0 0 10 10 0 0 10 0 0 0 0 2 10
361 Masker Nebulizer Dewasa Psc 9 0 0 9 0 0 0 0 9 0 0 9 9 0 0 9 0 0 0 0 2 10
362 Nasal Oksigen Kanula Anak Psc 12 0 0 12 0 0 0 0 12 0 0 12 12 0 0 12 0 0 0 0 2 10
363 Nasal Oksigen Kanula Dewasa Psc 13 0 0 13 0 0 0 0 13 0 0 13 13 0 0 13 0 0 0 0 2 10
364 Non Rebreating Mask Psc 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
365 ID Dewasa Pink Box 0 1 0 1 0 0 0 0 0 1 0 1 0 1 0 1 0 0 0 0 0 0
366 ID Dewasa Blue Box 0 1 0 1 0 0 0 0 0 1 0 1 0 1 0 1 0 0 0 0 0 0
367 ID Bayi Pink Box 0 1 0 1 0 0 0 0 0 1 0 1 0 1 0 1 0 0 0 0 0 0
368 ID Bayi Biru Box 0 1 0 1 0 0 0 0 0 1 0 1 0 1 0 1 0 0 0 0 0 0
369 Umbilical Keniko Box 0 1 0 1 0 0 0 0 0 1 0 1 0 1 0 1 0 0 0 0 0 0
370 Folley Catheter 16 Rusch Pcs 0 10 0 10 0 0 0 0 0 10 0 10 0 10 0 10 0 0 0 0 0 0
371 Urine Bag Fresco Pcs 0 10 0 10 0 0 0 0 0 10 0 10 0 10 0 10 0 0 0 0 2 10
372 Disp Sryringe 10 ml Onemed Box 0 1 0 1 0 0 0 0 0 1 0 1 0 1 0 1 0 0 0 0 0 0
373 Suction Catheter 8 Remedi Pcs 0 3 0 3 0 0 0 0 0 3 0 3 0 3 0 3 0 0 0 0 0 0
374 Suction Catheter 16 Remedi Psc 0 3 0 3 0 0 0 0 0 3 0 3 0 3 0 3 0 0 0 0 0 0
375 Plaster Hypafix Psc 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 15
376 Rapid Test HIV I Standar (Stik SD HIV ) Pcs 0 0 0 0 0 0 125 125 0 0 125 125 0 0 125 125 0 0 0 0 0 0
377 Kasa Steril 16 X 16 Kotak 0 175 0 175 0 0 0 0 0 175 0 175 0 2 0 2 0 173 0 173 0 0
378 Alat Nesco Tri in one Kotak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
379 Alkohol Swab One swab Kotak 0 10 0 10 0 0 0 0 0 10 0 10 0 0 0 0 0 10 0 10 0 0
380 Bahan tambalan Komposid (solare) Tube 0 4 0 4 0 0 0 0 0 4 0 4 0 0 0 0 0 4 0 4 0 0
381 OCO Btl/15ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
382 Paper Pad Buku 0 6 0 6 0 0 0 0 0 6 0 6 0 0 0 0 0 6 0 6 0 0
383 Masker 1860 S/N95 pcs 0 0 0 0 0 0 20 20 0 0 20 20 0 0 20 20 0 0 0 0 0 0
384 Rapid Test HIV II : Vikia (HIV ke 1) Test 0 0 0 0 0 0 10 10 0 0 10 10 0 0 10 10 0 0 0 0 0 0
385 Rapid Test Hiv, 3 : Intec/China (HIV KE 2) Test 0 0 0 0 0 0 25 25 0 0 25 25 0 0 25 25 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
REAGENSIA 0 0 0 0
386 Cell Clean ( CL-50) Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
387 Cell Pack ( PK-30L) Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
388 Control eight check 3 x 1,5 ml Btl/set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAK PEMBERIAN
AIAN PERMINT KET.
NO. NAMA BARANG SATUAN
RATA2/ AAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH BLN PKD PROG JUMLAH

389 Eightcheck-3WP (Normal) 1,5 ml Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


390 Eightcheck-3WP (Low) 1,5 ml Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
391 Eightcheck-3WP (High) 1,5 ml Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
392 Stomalyzer WH(SWH-2004) btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
393 Tabung K2 EDTA 2 ml Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
394 Printer Paper Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
395 Deck Glass Btl 5 0 0 5 0 0 0 0 5 0 0 5 0 0 0 0 5 0 0 5 0 0
396 Tes Gol Darah (A,B,AB ) Set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
397 Tisu lensa Buku 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
398 Kertas perkamen Lembar 19 0 0 19 0 0 0 0 19 0 0 19 0 0 0 0 19 0 0 19 0 0
399 Podofilin Tinctur 25 % Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
400 Larutan Fauchet Btl 3 0 0 3 0 0 0 0 3 0 0 3 3 0 0 3 0 0 0 0 0 0
401 Larutan Lisol Btl 34 0 0 34 0 0 0 0 34 0 0 34 0 0 0 0 34 0 0 34 12 25
402 Larutan asam klorida 0,1 N Btl 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0
403 Larutan asam sulfosalisilat 20% Btl 2 0 0 2 0 0 0 0 2 0 0 2 2 0 0 2 0 0 0 0 0 0
404 Larutan barium klorida Btl 2 0 0 2 0 0 0 0 2 0 0 2 2 0 0 2 0 0 0 0 0 0
405 Larutan Benedict Btl 3 0 0 3 0 0 0 0 3 0 0 3 3 0 0 3 0 0 0 0 0 0
406 Larutan Bupper PH 7,2 Btl 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0
407 Larutan EDTA Cair 10 % Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
408 Larutan Eosin 2 % Btl 1 1 0 2 0 0 0 0 1 1 0 2 1 1 0 2 0 0 0 0 0 0
409 Larutan Etanol Asam Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
410 Larutan Giemsa Stalin Btl 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0
411 Larutan H2O2 Btl 10 0 0 10 0 0 0 0 10 0 0 10 3 0 0 3 7 0 0 7 2 3
412 Larutan Imersen oil HB Btl 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0
413 Larutan karbol fuksin Btl 0 2 0 2 0 0 0 0 0 2 0 2 0 2 0 2 0 0 0 0 0 0
414 Larutan Metanol Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
415 Larutan Metilen Biru Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
416 Larutan Natrium Sitrat 38 % Btl 1 0 0 1 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0
417 Larutan Rees echer Btl 2 0 0 2 0 0 0 0 2 0 0 2 2 0 0 2 0 0 0 0 0 0
418 Larutan spiritus 100 ml Btl 0 0 0 0 0 0 6 6 0 0 6 6 0 0 6 6 0 0 0 0 1 5
419 Larutan turk Btl 3 2 0 5 0 0 0 0 3 2 0 5 3 2 0 5 0 0 0 0 0 0
420 Ether Alkohol Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
421 Buffer Ph 6,4 Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
422 KOH 10 % Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

405735 211276 7373 624384 0 0 2518 2518 405735 211276 9891 626902 46414 24152 2517 73083 359321 187124 7374 553819

359,321 187,124 7374 553,819


STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAK PEMBERIAN
AIAN PERMINT KET.
NO. NAMA BARANG SATUAN
RATA2/ AAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH BLN PKD PROG JUMLAH

405,735 211,276 7,373 624,384 - - -

JENIS PELAYANAN PUSKESMAS PAAL X PUSTU POSKESDES JUMLAH


R/ UMUM 550 245 14 809
R/ BPJS 1199 30 15 1244
R/ JAMKESDA 0 160 0 160
Jlh. Recipe 5073 1265 150 6488
Jlh R/ Generik 5072 1265 150 6487
R/ Antibiotik 334 160 15 509

Mengetahui Jambi, Maret 2020


Kepala UPTD Puskesmas Paal X Kota Jambi Pengelola Obat Puskesmas Paal X

dr.Hj.SRI ROSIANTI SRI HARTATY, AMF


NIP. 19720704 200701 2 017 NIP. 19820825 200502 2 001
PUSKESMAS PAAL X KOTA JAMBI
KODE. 5070101

JUMLAH STOK AWAL


NO. NAMA BARANG SATUAN
JUMLAH PKD BLUD PROG
OBAT
1 Acyclovir cream 5 % tube 365 365 0 0
2 Acyclovir tablet 200 mg Tab 1390 1390 0 0
3 Acyclovir tablet 400 mg Tab 1380 1380 0 0
4 Air Raksa Dental Use Btl 1 1 0 0
5 Albendazole 400 mg Tab 100 100 0 0
6 Allopurinol 100 mg Tab 1150 1150 0 0
7 Allopurinol 300 mg Tab 2715 450 2265 0
8 Ambroxol syrup Btl 342 0 342 0
9 Ambroxol tab 30 mg Tab 3165 1500 1665 0
10 Aminofilin injeksi Ampul 0 0 0 0
11 Aminofilin tablet Tab 1500 1500 0 0
12 Amitriptilin tablet 25 mg Tab 2097 2097 0 0
13 Amlodipin 5 mg Tab 6490 3490 3000 0
14 Amoksisilin kap 250 mg Kap 9940 0 9940 0
15 Amoksisilin kap 500 mg Kap 26230 26230 0 0
16 Amoksisilin sirup kering 125 mg/5 ml Btl 150 150 0 0
17 Amoksisilin Sirup Forte 250 mg/5 ml Btl 540 540 0 0
18 Amlodipin 10 mg Tab 3431 3431 0 0
19 Amoksisilin injeksi Vial 0 0 0 0
20 Ampisilin Kaplet 500 mg Kap 0 0 0 0
21 Ampisilin sirup kering 125 mg/5 ml Btl 0 0 0 0
22 Antalgin tablet 500 mg Tab 4710 4710 0 0
23 Antalgin injeksi Ampul 0 0 0 0
24 Antasida doen tablet Tab 34670 14670 20000 0
25 Antasida sirup Btl 97 7 90 0
26 Anti Bakteri salep / Bacitracin salep Tube 2 2 0 0
27 Anti Fungi kombinasi Pot 119 119 0 0
28 Anti Hemoroid supp 280 280 0 0
29 Anti Migrain tablet Tab 1000 1000 0 0
30 Asam Askorbat (VIT C) 50 mg Tab 26750 20250 6500 0
31 Asam Folat Tab 0 0 0 0
32 Asering Infus Kolf 0 0 0 0
33 Asam Mefenamat 500 mg Tab 4190 4000 190 0
34 Asam Tranexamat injeksi Ampul 0 0 0 0
35 Asam Asetilsalisilat(Asetosal) 80 mg Tab 100 100 0 0
36 Asetosal tablet 100 mg Tab 0 0 0 0
37 Azitromycin 500 mg Tab 196 196 0 0
38 Bisoprolol tablet Tab 0 0 0 0
39 Benzatin benzil penicilin inj 2,4 jt iu Vial 0 0 0 0
40 Betadin salep Tube 0 0 0 0
41 Betametason kream 0,1 % Tube 345 345 0 0
42 Bisacodyl 10 mg Supp 0 0 0 0
43 Bethahistin maselat Tablet 2000 2000 0 0
44 Captopril 12,5 mg Tab 1400 1400 0 0
45 Captopril 25 mg Tab 100 100 0 0
46 Captopril 50 mg Tab 100 100 0 0
47 Caviton Btl 3 2 1 0
48 Cefadroxil 500 mg kap 1820 1820 0 0
49 Cefotaxime injeksi 1 g Vial 0 0 0 0
50 Cefriaxon injeksi Vial 0 0 0 0
51 Cetrizin tablet 10 mg Kap 388 388 0 0
52 Ciprofloxacin 500 mg Tab 4878 4878 0 0
53 Clindamicin 150 mg Kap 300 300 0 0
54 Clindamicin 300 mg Kap 0 0 0 0
55 Devitalisasi pasta Btl 0 0 0 0
56 Dexamethason tablet Tab 21430 21430 0 0
57 Dexamethason injeksi Ampul 250 250 0 0
58 Diazepam tablet 2 mg Tab 2807 1500 1307 0
59 Diazepam tablet 5 mg Tab 1200 1100 0 100
60 Diazepam injeksi Ampul 30 30 0 0
61 Difenhidramin injeksi Ampul 120 120 0 0
62 Digoksin tablet Tab 100 100 0 0
63 Doxicillin Tab 0 0 0 0
64 Dulcolax tablet Tab 0 0 0 0
65 Dulculax supp 10 mg ( Dewasa ) Supp 52 52 0 0
66 Dulculax supp 5 mg ( Anak ) Supp 0 0 0 0
67 Efedrin Hcl 25 mg Tab 0 0 0 0
68 Ekstrak belladona tablet 10 mg Tab 0 0 0 0
69 Ephinefrin hcl injeksi Ampul 100 100 0 0
70 Erytromycin kapsul 250 mg Kap 3850 3850 0 0
71 Erytromycin kapsul 500 mg Kap 4040 4040 0 0
72 Erytromycin syrup Btl 43 0 43 0
73 Etakridin / Rivanol Btl 31 31 0 0
74 Ethambutol hcl tab 250 mg Tab 0 0 0 0
75 Ethambutol hcl tab 500 mg Tab 0 0 0 0
76 Etil klorida semprot Btl 6 6 0 0
77 Eugenol cairan Btl 3 3 0 0
78 Fenitoin natrium 30 mg Kap 0 0 0 0
79 Fenitoin natrium 100 mg Kap 250 250 0 0
80 Fenobarbital injeksi Ampul 0 0 0 0
81 Fenobarbital tab 100 mg Tab 0 0 0 0
82 Fenobarbital tablet 30 mg Tab 499 499 0 0
83 Fenoksimetil fenisilin tab 250 mg Tab 0 0 0 0
84 Fenoksimetil fenisilin tab 500 mg Tab 0 0 0 0
85 Fenol Gliserol tetes telinga Btl 116 116 0 0
86 Fitomenadion (Vit K) tab 10 mg Tab 2910 2910 0 0
87 Fitomenadion (Vit K) injeksi Ampul 30 30 0 0
88 Fluconazol 150 mg Tab 24 24 0 0
89 Furosemide tablet 40 mg Tab 923 0 923 0
90 Fluor gel Btl 0 0 0 0
91 Garam oralit untuk 200 ml air Set 5400 5400 0 0
92 Gentamycin salep kulit 0,1 % Tube 96 96 0 0
93 Gentamycin salep mata Tube 120 120 0 0
94 Gentamycin tetes mata Btl 144 144 0 0
95 Gentamycin injeksi Ampul 0 0 0 0
96 Gentian violet Btl 129 81 48 0
97 Glass Ionomer (ART FUJI IX) Btl 1 1 0 0
98 Glibenklamida tablet 5 mg Tab 100 100 0 0
99 Glimepiride 1 mg Tab 3740 3740 0 0
100 Glimepiride 2 mg Tab 2510 1510 1000 0
101 Gliseril guaiakolat tablet 100 mg Tab 52350 0 52350 0
102 Glukosa larutan infus 5 % steril Btl 28 28 0 0
103 Griseofulvin tablet 125 mg Tab 1900 1900 0 0
104 Griseofulvin tablet 500 mg Tab 400 400 0 0
105 Halloperidol tab 0,5 mg Tab 100 100 0 0
106 Halloperidol tab 1,5 mg Tab 600 600 0 0
107 Halloperidol tab 5 mg Tab 700 200 0 500
108 Hidroklortiazide (HCT) tablet 25 mg Tab 1540 1540 0 0
109 Hidrocortison krim 2,5 % Tube 135 135 0 0
110 Ibuprofen tablet 200 mg Tab 4002 4002 0 0
111 Ibuprofen tablet 400 mg Tab 0 0 0 0
112 Ibuprofen syrup Btl 0 0 0 0
113 Insulin Human Rapid injeksi 100 IU vial 0 0 0 0
114 Isoniazida ( INH ) tab 100 mg Tab 0 0 0 0
115 Isoniazida ( INH ) tab 300 mg Tab 0 0 0 0
116 Isosorbit dinitrat sublingual 5 mg Tab 234 234 0 0
117 Komb. Primetamin 25mg+suldox 500mg Tab 0 0 0 0
118 Klorfenol kamfermenthol ( CHKM ) Tab 5 5 0 0
119 Kalsium Laktat tablet Tab 24250 13750 10500 0
120 Kandesartan cilexetil 8 mg Tab 0 0 0 0
121 Karbamazepin tablet 200 mg Tab 0 0 0 0
122 Ketorolac injeksi Ampul 0 0 0 0
123 Kloramfenikol salep kulit Tube 91 91 0 0
124 Kloramfenikol salep mata 1 % Tube 164 164 0 0
125 Kloramfenicol tetes telinga 3 % Btl 106 106 0 0
126 Kloramfenicol 250 mg kapsul Kap 590 590 0 0
127 Klorfeniramin maleat 4 mg (CTM ) Tab 38990 38990 0 0
128 Kloramfenicol tetes mata ( Reco ) Btl 72 0 72 0
129 Kalsium Hidroksida Pasta ( Calcidor ) Tube 0 0 0 0
130 Klorpromazin hcl injeksi Ampul 0 0 0 0
131 Klorpromazine tab salut 25 mg Tab 0 0 0 0
132 Klorpromazine tab salut 100 mg Tab 0 0 0 0
133 Kodein tablet 10 mg Tab 700 700 0 0
134 Kotrimoksazol suspensi Btl 414 414 0 0
135 Kotrimoksazol pediatrik Tab 0 0 0 0
136 Kotrimoksazol tablet 480 mg Tab 0 0 0 0
137 Klorokuin Tab 0 0 0 0
138 Kuinin sulfat tab 222 mg (7H2O) Tab 0 0 0 0
139 Lidocain kompositum inj (Pehacain) Ampul 750 750 0 0
140 Lidocain injeksi Ampul 640 640 0 0
141 Lisinopril 10 mg Tab 0 0 0 0
142 Loperamide tab 2 mg / Novadium Tab 0 0 0 0
143 Loratadin 10 mg Tab 0 0 0 0
144 Magnesium sulfat injeksi 20% vial 5 5 0 0
145 Magnesium sulfat injeksi 40% vial 5 5 0 0
146 Mecobalamin injeksi Ampul 0 0 0 0
147 Meloxicam 7,5 mg Tab 0 0 0 0
148 Metformin hcl tablet 500 mg Tab 5415 5415 0 0
149 Methyl prednisolon tablet 4 mg Tab 11200 6800 4400 0
150 Metilergometrin tablet salut Tab 200 200 0 0
151 Metilergometrin injeksi Ampul 75 0 0 75
152 Metoklorpropamide hcl 10 mg Tab 2500 2500 0 0
153 Metronidazole tablet 250 mg Tab 0 0 0 0
154 Metronidazole tablet 500 mg Tab 1610 1610 0 0
155 Metronidazole syrup Btl 0 0 0 0
156 Metronidazole infus Btl 0 0 0 0
157 Miconazol cream tube 238 238 0 0
158 Microlax rectal tube tube 0 0 0 0
159 Mummifying pasta Btl 0 0 0 0
160 Natrium bikarbonat tablet Tab 1300 1300 0 0
161 Natrium Diklofenak 25 mg Tab 3380 3380 0 0
162 Natrium Diklofenak 50 mg Tab 4035 2750 1285 0
163 Natrium klorida larutan infus Btl 130 130 0 0
164 Neurobion 5000 injeksi Ampul 0 0 0 0
165 Nifedipin tablet Tab 260 260 0 0
166 Nistatin tablet salut 500.000 iu/g Tab 0 0 0 0
167 Nistatin tablet vaginal 100.000 iu/g Tab 493 493 0 0
168 OBH Btl 326 76 250 0
169 Obat Anti TBC Kategori 1 paket 0 0 0 0
170 Obat Anti TBC Kategori 1 -Stop TB KIT paket 0 0 0 0
171 Obat Anti TBC Kategori II paket 0 0 0 0
172 Obat Anti TBC Kategori Anak paket 0 0 0 0
173 Kombipak Kategori I paket 0 0 0 0
174 Ofloxacin 200 mg Tab 0 0 0 0
175 Oksitetrasiklin hcl salep mata 1 % tube 51 51 0 0
176 Oksitetrasiklin hcl salep kulit 3 % Tube 225 225 0 0
177 Oksitetrasiklin hcl injeksi vial 0 0 0 0
178 Oksitosin injeksi / Pitogin Ampul 180 180 0 0
179 Omeprazole capsul 20 mg Kap 2910 2910 0 0
180 Ondansentron injeksi Ampul 0 0 0 0
181 Papaverin tablet Tab 0 0 0 0
182 Paracetamol tablet 100 mg Tab 0 0 0 0
183 Paracetamol tablet 500 mg Tab 52080 30000 22080 0
184 Paracetamol Drop Btl 0 0 0 0
185 Parasetamol sirup Btl 523 23 500 0
186 Perfenazine tablet 4 mg Tab 0 0 0 0
187 Piracetam 3 g injeksi Ampul 0 0 0 0
188 Pirantel pamoat tablet 125 mg Tab 300 300 0 0
189 Pirantel pamoat sirup Btl 0 0 0 0
190 Pyrazinamide tablet 500 mg Tab 0 0 0 0
191 Piridoxin hcl tablet 10 mg Tab 23750 23750 0 0
192 Piroxicam 10 mg Tab 2500 500 2000 0
193 Piroxicam 20 mg Tab 1400 0 1400 0
194 Polikresulen / Albothil Btl 0 0 0 0
195 Prednison tablet Tab 17400 17400 0 0
196 Primakuin tablet Tab 0 0 0 0
197 Prokain benzil penisilin inj vial 0 0 0 0
198 Pronalges suppositoria Supp 0 0 0 0
199 Propanolol tab 10 mg Tab 0 0 0 0
200 Propanolol tab 40 mg Tab 0 0 0 0
201 Propiltiourasil tablet 100 mg Tab 780 200 580 0
202 Proris suppositoria Supp 0 0 0 0
203 Perak sulfadiazine cream 3 % tube 39 39 0 0
204 Ranitidin tablet 150 mg Tab 2420 2420 0 0
205 Ranitidin injeksi Ampul 0 0 0 0
206 Reserpin tablet 0,1 mg Tab 0 0 0 0
207 Reserpin tablet 0,25 mg Tab 0 0 0 0
208 Retinol kapsul 100.000 IU Kapsul 0 0 0 0
209 Retinol kapsul 200.000 IU Kapsul 0 0 0 0
210 Rifampisin kapsul 300 mg Kap 0 0 0 0
211 Rifampisin kapsul 450 mg Kap 0 0 0 0
212 Rifampisin kapsul 600 mg Kap 0 0 0 0
213 Ringer laktat infus steril Btl 43 43 0 0
214 Salbutamol tablet 2 mg Tab 600 600 0 0
215 Salbuatmol tablet 4 mg Tab 1440 1440 0 0
216 salep 2-4 Pot 29 29 0 0
217 Salisil bedak 2 % Pot 82 82 0 0
218 Semen seng fosfat serbuk & cairan Btl 0 0 0 0
219 Serum Anti Bisa Ular injeksi Vial 0 0 0 0
220 Serum Anti tetanus injeksi 1500 IU Ampul 25 25 0 0
221 Tatagam vial 0 0 0 0
222 Sianokobalamin inj 500 mcg/ml Btl 0 0 0 0
223 Silver Amalgam serbuk Tab 0 0 0 0
224 Simvastatin 10 mg Tab 4170 3220 950 0
225 Simvastatin 20 mg supp 3000 0 3000 0
226 Stesolid rectal supp 5 mg Supp 0 0 0 0
227 Stesolid rectal supp 10 mg Btl 15 15 0 0
228 Sulfasetamid tetes mata 15 % Tab 0 0 0 0
229 Tablet tambah darah (SF) Tab 23390 21390 2000 0
230 Temporary / Fletcher Kap 0 0 0 0
231 Tetrasiklin kapsul 250 mg Kap 0 0 0 0
232 Tetrasiklin kapsul 500 mg Tab 1100 1100 0 0
233 Thrombo Aspilet Tab 0 0 0 0
234 Thiamin injeksi Ampul 0 0 0 0
235 Thiamin tablet 50 mg Tab 21190 21190 0 0
236 Triheksipenidil hcl tablet 2 mg Tab 725 725 0 0
237 Trikresol formalin cairan ( TKF ) Ampul 0 0 0 0
238 Vaksin rabies vero Tab 0 0 0 0
239 Valsartan 80 mg Tab 0 0 0 0
240 Ventolin nebulizer Nebules 30 10 20 0
241 Vitamin B komplek tablet Tab 20140 18800 1340 0
242 Yodium povidon lart 10 % - 30 ml Btl 0 0 0 0
243 Yodium povidon lart 10 % - 300 ml Btl 48 32 16 0
244 Xylocain jelly Tube 0 0 0 0
245 Lidocain Pasta Pot 0 0 0 0
246 Zinc tablet 20 mg Tab 3155 3155 0 0
247 Zinc sirup Btl 97 97 0 0
248 Betamin drage ( Vit. B1 ) Tab 0 0 0 0
249 Domperidon Btl 2500 2500 0 0
250 Clozapin 25 mg Tab 150 0 0 150
251 Clobazam 10 mg Tab 0 0 0 0
252 Trifluoperazin HCl 5 mg ( Stelosi ) Tab 0 0 0 0
253 Vitamin B 12 Tab 2500 2500 0 0
254 Ketokonazol Crem Tube 53 53 0 0
255 Ketokonazole Tablet Tab 943 0 943 0
256 Flufenazin Decanoat Inj 25 mg Ampul 10 0 0 10
257 Haloperidol Inj 5 mg ( Ladomer ) Ampul 0 0 0 0
258 Haloperidol Decanoat Inj 50 mg Ampul 15 0 0 15
259 Resperidon tab 2 mg Tab 1000 0 0 1000
260 Curviplex Sirup Btl 4 0 4 0
261 Andalan Inj 3 Bulan Vial 0 0 0 0
262 Andalan Inj 1 Bulan Vial 100 0 100 0
263 Cyclopen Inj. 1 Bulan Vial 208 0 208 0
264 Ichtyol Salaf Kulit Pot 16 0 16 0
265 Levertran Salep Kulit Pot 42 0 42 0
266 HEPATITIS B Paket 0 0 0 0
267 BCG Ampul 3 0 0 3
268 POLIO Vial 5 0 0 5
269 PENTABIO/DPTHBHib Vial 3 0 0 3
270 CAMPAK Vial 0 0 0 0
271 Td / TT Vial 4 0 0 4
272 IPV Vial 0 0 0 0
273 Vaksin MR Vial 0 0 0 0
274 Pelarut MR Vial 0 0 0 0
275 Pentocain 0,5 % TT Mata Btl 25 0 25 0
276 Domperidon syrup btl 8 8 0 0
277 Kloramfenikol syrup btl 15 15 0 0
278 cetirizin syrup btl 24 24 0 0
279 Pritamox sirup 125 mg btl 191 0 191 0
280 Albendazole syrup btl 0 0 0 0
281 Moxalaskap/cotri480mg tab 2960 0 2960 0
282 Moxalas syr/cotry syr btl 100 0 100 0
283 Lorihis tab/loratadin tab tab 900 0 900 0
284 Flagsol syr/metro syr btl 46 0 46 0
285 Selfolic 1000mg/Asam folat tab 4580 0 4580 0
286 Trifadium2mg/Loperamid tab tab 1937 0 1937 0
287 Omeprazole Injeksi Ampul 20 20 0 0
288 Gluconas Kalsikus injeksi amp 0 0 0 0
289 Tricloflem Vial 0 0 0 0
290 Cycloserin 250mg tab 0 0 0 0
291 Ethionmid 250mg tab 0 0 0 0
292 Levofloxacin 750mg tab 0 0 0 0
293 Bedaquilin 100mg tab 0 0 0 0
0 0 0 0
0 0 0 0
BMHP 0 0 0 0
294 Alat suntik 1 ml Pcs 1000 1000 0 0
295 Alat suntik 2,5 ml Pcs 2200 2200 0 0
296 Alat suntik 3 ml Pcs 3200 2800 400 0
297 Alat suntik 5 ml Pcs 2400 1400 500 500
298 Alkohol 70 % ( 1 L ) Btl 29 29 0 0
299 Alkohol 70 % ( 60 Ml ) Btl 0 0 0 0
300 Aqua destilata steril 500 ml Btl 5 5 0 0
301 Aqua pro injeksi Vial 94 64 30 0
302 Bisturi no 10 Pcs 0 0 0 0
303 Bisturi no 11 Pcs 0 0 0 0
304 Bisturi no 20 Pcs 0 0 0 0
305 Bisturi no 22 Pcs 0 0 0 0
306 Blood Lancet Pcs 4800 2000 2800 0
307 Catgut/benang bedah Pcs 101 101 0 0
308 ETT no.6 Pcs 0 0 0 0
309 ETT no.6,5 Set 0 0 0 0
310 ETT no.7 Set 0 0 0 0
311 ETT no.7,5 Btl 0 0 0 0
312 Hand scrub Pcs 49 49 0 0
313 Handscoon uk.S Pcs 0 0 0 0
314 Handscoon uk. M Pcs 4200 0 4200 0
315 Handscoon uk. L Pcs 1700 0 1700 0
316 Infusion set anak set 50 0 50 0
317 Infusion set dewasa set 50 0 50 0
318 Wing neadle no. 23G Pcs 0 0 0 0
319 IV Catheter (Abocath) NO.20 Pcs 5 5 0 0
320 IV Catheter (Abocath) NO.22 Pcs 5 5 0 0
321 IV Catheter (Abocath) NO.24 pcs 0 0 0 0
322 Jarum Jahit (Nald Heating ) no. 10 pcs 38 38 0 0
323 Jarum Jahit (Nald Heating ) no. 11 pcs 0 0 0 0
324 Jarum Jahit (Nald Heating ) no. 12 pcs 0 0 0 0
325 Jarum Jahit (Nald Heating ) no. 13 pcs 10 10 0 0
326 Jarum Jahit (Nald Heating ) no. 14 Pcs 29 29 0 0
327 Kapas pembalut/Absorben 250 gr Roll 49 49 0 0
328 Kasa kompres 40/40 steril Roll 180 180 0 0
329 Kasa pembalut hidrofil 4m x 15 cm Roll 480 480 0 0
330 Kasa pembalut hidrofil 4 m x 3 cm Roll 403 403 0 0
331 Kassa 36x80 cm Roll 19 19 0 0
332 Kertas Saring Whatman Buku 1 0 1 0
333 Masker Pcs 6250 1000 5150 100
334 Objec Glass Box/72 9 4 0 5
335 Pipet Tetes Panjang Pcs 20 20 0 0
336 Plastik Obat Klip 10 x 7 Pcs 11000 0 11000 0
337 Plastik Obat Klip 13 x 8,7 23000 0 23000 0
338 Plester 5 yard x 2 inch Roll 29 21 0 8
339 Poly catheter no.8 Pcs 0 0 0 0
340 Poly catheter no.12 Pcs 0 0 0 0
341 Poly catheter no.16 Pcs/set 15 15 0 0
342 Silk ( benang bedah sutera) 03/0 Sak 49 13 0 36
343 Spons gelatin cublices bks 7 7 0 0
344 Stick Gluco DR Btl/50 19 0 19 0
345 Tabung Reaksi Pcs 0 0 0 0
346 Tes Kehamilan HCG Pcs 4 2 2 0
347 Transfution set/Transfusion blood ADM set 0 0 0 0
348 Urinalysis 10 parameter Btl 10 8 2 0
349 Stick asam Urat Btl/25 13 0 13 0
350 Stick Colestrol Btl/10 18 0 18 0
351 Jelly 250ml Ultra soundgel btl 0 0 0 0
352 Pot sputum Pcs 0 0 0 0
353 Reagen TB Paket 0 0 0 0
354 Sefty box 2,5 L Box 0 0 0 0
355 Reagen sifilis(SD,Bio StanQ) Test 0 0 0 0
356 Box Slide Ktk 0 0 0 0
357 Fokus test Ktk 0 0 0 0
358 Alat suntik 0,5 ml Box 4859 0 0 4859
359 Sefty box 5 L Box 0 0 0 0
360 Masker Nebulizer Anak Psc 10 10 0 0
361 Masker Nebulizer Dewasa Psc 9 9 0 0
362 Nasal Oksigen Kanula Anak Psc 12 12 0 0
363 Nasal Oksigen Kanula Dewasa Psc 13 13 0 0
364 Non Rebreating Mask Psc 0 0 0 0
365 ID Dewasa Pink Box 1 0 1 0
366 ID Dewasa Blue Box 1 0 1 0
367 ID Bayi Pink Box 1 0 1 0
368 ID Bayi Biru Box 1 0 1 0
369 Umbilical Keniko Box 1 0 1 0
370 Folley Catheter 16 Rusch Pcs 10 0 10 0
371 Urine Bag Fresco Pcs 10 0 10 0
372 Disp Sryringe 10 ml Onemed Box 1 0 1 0
373 Suction Catheter 8 Remedi Pcs 3 0 3 0
374 Suction Catheter 16 Remedi Psc 3 0 3 0
375 Plaster Hypafix Psc 0 0 0 0
376 Rapid Test HIV I Standar (Stik SD HIV ) Pcs 0 0 0 0
377 Kasa Steril 16 X 16 Kotak 175 0 175 0
378 Alat Nesco Tri in one Kotak 0 0 0 0
379 Alkohol Swab One swab Kotak 10 0 10 0
380 Bahan tambalan Komposid (solare) Tube 4 0 4 0
381 OCO Btl/15ml 0 0 0 0
382 Paper Pad Buku 6 0 6 0
383 Masker 1860 S/N95 pcs 0 0 0 0
384 Rapid Test HIV II : Vikia (HIV ke 1) Test 0 0 0 0
385 Rapid Test Hiv, 3 : Intec/China (HIV KE 2) Test 0 0 0 0
0 0 0 0
REAGENSIA 0 0 0 0
386 Cell Clean ( CL-50) Btl 0 0 0 0
387 Cell Pack ( PK-30L) Btl 0 0 0 0
388 Control eight check 3 x 1,5 ml Btl/set 0 0 0 0
389 Eightcheck-3WP (Normal) 1,5 ml Vial 0 0 0 0
390 Eightcheck-3WP (Low) 1,5 ml Vial 0 0 0 0
391 Eightcheck-3WP (High) 1,5 ml Vial 0 0 0 0
392 Stomalyzer WH(SWH-2004) btl 0 0 0 0
393 Tabung K2 EDTA 2 ml Btl 0 0 0 0
394 Printer Paper Pcs 0 0 0 0
395 Deck Glass Btl 5 5 0 0
396 Tes Gol Darah (A,B,AB ) Set 0 0 0 0
397 Tisu lensa Buku 0 0 0 0
398 Kertas perkamen Lembar 19 19 0 0
399 Podofilin Tinctur 25 % Btl 0 0 0 0
400 Larutan Fauchet Btl 3 3 0 0
401 Larutan Lisol Btl 34 34 0 0
402 Larutan asam klorida 0,1 N Btl 1 1 0 0
403 Larutan asam sulfosalisilat 20% Btl 2 2 0 0
404 Larutan barium klorida Btl 2 2 0 0
405 Larutan Benedict Btl 3 3 0 0
406 Larutan Bupper PH 7,2 Btl 1 1 0 0
407 Larutan EDTA Cair 10 % Btl 0 0 0 0
408 Larutan Eosin 2 % Btl 2 1 1 0
409 Larutan Etanol Asam Btl 0 0 0 0
410 Larutan Giemsa Stalin Btl 1 1 0 0
411 Larutan H2O2 Btl 10 10 0 0
412 Larutan Imersen oil HB Btl 1 1 0 0
413 Larutan karbol fuksin Btl 2 0 2 0
414 Larutan Metanol Btl 0 0 0 0
415 Larutan Metilen Biru Btl 0 0 0 0
416 Larutan Natrium Sitrat 38 % Btl 1 1 0 0
417 Larutan Rees echer Btl 2 2 0 0
418 Larutan spiritus 100 ml Btl 0 0 0 0
419 Larutan turk Btl 5 3 2 0
420 Ether Alkohol Botol 0 0 0 0
421 Buffer Ph 6,4 Botol 0 0 0 0
422 KOH 10 % Btl 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
624,384 405,735 211,276 7,373
624384 405735 211276 7373

-
LAPORAN PEMAKAIAN DAN L

STOK AWAL GUDANG STOK AWAL APOTIK PENERIMAAN


PKD BLUD PROG PKD BLUD PROG PKD BLUD PROG

278 0 0 87 0 0 0 0 0
900 0 0 490 0 0 0 0 0
1050 0 0 330 0 0 0 0 0
1 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 0
400 0 0 750 0 0 0 0 0
450 1600 0 0 665 0 0 0 0
0 288 0 0 54 0 0 0 0
1500 0 0 0 1665 0 0 0 0
0 0 0 0 0 0 0 0 0
1300 0 0 200 0 0 0 0 0
2000 0 0 97 0 0 0 0 0
3000 3000 0 490 0 0 0 0 0
0 9500 0 0 440 0 0 0 0
25500 0 0 730 0 0 0 0 0
60 0 0 90 0 0 0 0 0
540 0 0 0 0 0 0 0 0
3360 0 0 71 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
4300 0 0 410 0 0 0 0 0
0 0 0 0 0 0 0 0 0
13550 20000 0 1120 0 0 0 0 0
0 50 0 7 40 0 0 0 0
0 0 0 2 0 0 0 0 0
108 0 0 11 0 0 0 0 0
210 0 0 70 0 0 0 0 0
1000 0 0 0 0 0 0 0 0
17200 6500 0 3050 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
4000 0 0 0 190 0 0 0 0
0 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
180 0 0 16 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
275 0 0 70 0 0 0 0 0
0 0 0 0 0 0 0 0 0
2000 0 0 0 0 0 0 0 0
1400 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 0
2 1 0 0 0 0 0 0 0
1500 0 0 320 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
90 0 0 298 0 0 0 0 0
4300 0 0 578 0 0 0 0 0
300 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
20100 0 0 1330 0 0 0 0 0
250 0 0 0 0 0 0 0 0
1500 1300 0 0 7 0 0 0 0
1100 0 100 0 0 0 0 0 0
30 0 0 0 0 0 0 0 0
120 0 0 0 0 0 0 0 0
100 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
52 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
100 0 0 0 0 0 0 0 0
3800 0 0 50 0 0 0 0 0
4000 0 0 40 0 0 0 0 0
0 25 0 0 18 0 0 0 0
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 0 252
6 0 0 0 0 0 0 0 0
3 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
200 0 0 50 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
400 0 0 99 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
72 0 0 44 0 0 0 0 0
2100 0 0 810 0 0 0 0 0
30 0 0 0 0 0 0 0 0
0 0 0 24 0 0 0 0 0
0 500 0 0 423 0 0 0 0
0 0 0 0 0 0 0 0 0
5300 0 0 100 0 0 0 0 0
96 0 0 0 0 0 0 0 0
120 0 0 0 0 0 0 0 0
96 0 0 48 0 0 0 0 0
0 0 0 0 0 0 0 0 0
62 48 0 19 0 0 0 0 0
1 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 0
3300 0 0 440 0 0 0 0 0
1100 1000 0 410 0 0 0 0 0
0 51900 0 0 450 0 0 0 0
28 0 0 0 0 0 0 0 0
1700 0 0 200 0 0 0 0 0
300 0 0 100 0 0 0 0 0
100 0 0 0 0 0 0 0 0
600 0 0 0 0 0 0 0 0
200 0 500 0 0 0 0 0 0
1000 0 0 540 0 0 0 0 0
96 0 0 39 0 0 0 0 0
3000 0 0 1002 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 0 0 0
200 0 0 34 0 0 0 0 0
0 0 0 0 0 0 0 0 0
5 0 0 0 0 0 0 0 0
12900 10500 0 850 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
60 0 0 31 0 0 0 0 0
120 0 0 44 0 0 0 0 0
100 0 0 6 0 0 0 0 0
200 0 0 390 0 0 0 0 0
38500 0 0 490 0 0 0 0 0
0 48 0 0 24 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
700 0 0 0 0 0 0 0 0
330 0 0 84 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
750 0 0 0 0 0 0 0 0
640 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
5 0 0 0 0 0 0 0 0
5 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
5200 0 0 215 0 0 0 0 0
6000 4400 0 800 0 0 0 0 0
200 0 0 0 0 0 0 0 0
0 0 75 0 0 0 0 0 0
2500 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
1500 0 0 110 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
192 0 0 46 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
1200 0 0 100 0 0 0 0 0
2800 0 0 580 0 0 0 0 0
2750 1100 0 0 185 0 0 0 0
130 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
200 0 0 60 0 0 0 0 0
0 0 0 0 0 0 0 0 0
470 0 0 23 0 0 0 0 0
40 250 0 36 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 4
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
51 0 0 0 0 0 0 0 0
225 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
180 0 0 0 0 0 0 0 0
2910 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
30000 21200 0 0 880 0 0 0 0
0 0 0 0 0 0 0 0 0
5 500 0 18 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
200 0 0 100 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 336
22600 0 0 1150 0 0 0 0 420
500 2000 0 0 0 0 0 0 0
0 800 0 0 600 0 0 0 0
0 0 0 0 0 0 0 0 0
15800 0 0 1600 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 0 0 0
200 400 0 0 180 0 0 0 0
0 0 0 0 0 0 0 0 0
39 0 0 0 0 0 0 0 0
1600 0 0 820 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 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
43 0 0 0 0 0 0 0 0
600 0 0 0 0 0 0 0 0
1000 0 0 440 0 0 0 0 0
24 0 0 5 0 0 0 0 0
80 0 0 2 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
25 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
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379,617 201,040 7,373 26,118 10,236 - - - 2,518
379,617 201,040 7,373 26118 10236 0 - - 2,518
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )

IMAAN PERSEDIA PEMAKAIAN PEMAKAIAN GUDANG (LAIN-LAIN) PEMAKAIAN APOTIK


JUMLAH AN PKD BLUD PROG PKD BLUD PROG

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2,518 626,902 73,083 16,031 7,962 2,517 30,383 16,190 -
16031 7962 2517 30383 16190 -
626,902
STOK AKHIR PEMAKAIAN PERMINTAA PEMBERIAN
STOK AKHIR
PKD BLUD PROG RATA2/BLN N PKD

356 356 0 0
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2635 450 2185 0
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10 10 0 0
35695 35695 0 0
72 0 72 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
681 681 0 0
190 190 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
600 600 0 0
600 600 0 0
0 0 0 0
0 0 0 0
0 0 0 0
5 5 0 0
5 5 0 0
0 0 0 0
0 0 0 0
5300 5300 0 0
10420 6220 4200 0
200 200 0 0
75 0 0 75
2500 2500 0 0
0 0 0 0
1310 1310 0 0
0 0 0 0
0 0 0 0
197 197 0 0
0 0 0 0
0 0 0 0
1200 1200 0 0
2814 2814 0 0
3960 2750 1210 0
120 120 0 0
0 0 0 0
260 260 0 0
0 0 0 0
460 460 0 0
262 22 240 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
50 50 0 0
195 195 0 0
0 0 0 0
100 100 0 0
2626 2626 0 0
0 0 0 0
0 0 0 0
0 0 0 0
41430 21230 20200 0
0 0 0 0
439 0 439 0
0 0 0 0
0 0 0 0
284 284 0 0
0 0 0 0
0 0 0 0
23124 23124 0 0
2500 500 2000 0
1320 0 1320 0
0 0 0 0
16864 16864 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
780 200 580 0
0 0 0 0
39 39 0 0
680 680 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
28 28 0 0
423 423 0 0
1390 1390 0 0
5 5 0 0
82 82 0 0
0 0 0 0
0 0 0 0
10 10 0 0
0 0 0 0
0 0 0 0
0 0 0 0
3570 2620 950 0
3000 0 3000 0
0 0 0 0
13 13 0 0
0 0 0 0
21240 19240 2000 0
0 0 0 0
0 0 0 0
1100 1100 0 0
0 0 0 0
0 0 0 0
20758 20758 0 0
657 657 0 0
0 0 0 0
0 0 0 0
0 0 0 0
10 10 0 0
15800 15800 0 0
0 0 0 0
45 30 15 0
0 0 0 0
0 0 0 0
2445 2445 0 0
81 81 0 0
0 0 0 0
2200 2200 0 0
150 0 0 150
0 0 0 0
0 0 0 0
2200 2200 0 0
24 24 0 0
943 0 943 0
10 0 0 10
0 0 0 0
0 0 0 0
1000 0 0 1000
0 0 0 0
0 0 0 0
40 0 40 0
190 0 190 0
13 0 13 0
42 0 42 0
10 0 0 10
3 0 0 3
0 0 0 0
0 0 0 0
0 0 0 0
10 0 0 10
0 0 0 0
0 0 0 0
0 0 0 0
25 0 25 0
7 7 0 0
7 7 0 0
21 21 0 0
191 0 191 0
0 0 0 0
2840 0 2840 0
100 0 100 0
860 0 860 0
46 0 46 0
3690 0 3690 0
1229 0 1229 0
15 15 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
800 800 0 0
1900 1900 0 0
3100 2700 400 0
2400 1400 500 500
25 25 0 0
0 0 0 0
2 2 0 0
79 54 25 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
4800 2000 2800 0
101 101 0 0
0 0 0 0
0 0 0 0
0 0 0 0
-2 -2 0 0
30 30 0 0
0 0 0 0
3600 0 3500 100
1600 0 1600 0
50 0 50 0
50 0 50 0
0 0 0 0
5 5 0 0
5 5 0 0
0 0 0 0
38 38 0 0
0 0 0 0
0 0 0 0
0 0 0 0
20 20 0 0
48 48 0 0
158 158 0 0
430 430 0 0
320 320 0 0
18 18 0 0
1 0 1 0
5750 1000 4750 0
21 4 0 17
15 15 0 0
5000 0 5000 0
18000 0 18000 0
25 21 0 4
0 0 0 0
0 0 0 0
10 10 0 0
49 13 0 36
7 7 0 0
17 0 17 0
0 0 0 0
4 2 2 0
0 0 0 0
9 7 2 0
10 0 10 0
13 0 13 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
4859 0 0 4859
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 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
173 0 173 0
0 0 0 0
10 0 10 0
4 0 4 0
0 0 0 0
6 0 6 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 0 0
0 0 0 0
0 0 0 0
5 5 0 0
0 0 0 0
0 0 0 0
19 19 0 0
0 0 0 0
0 0 0 0
34 34 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
7 7 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 0 0 0
0 0 0 0
0 0 0 0 553,819
553,819 359,321 187,124 7,374 553,819

gudang
apotik
Bulan : Februari 2020
PEMBERIAN KET. PEMAKAIAN TOTAL(GUDANG + APOTIK)
BLUD PROG LAIN-LAIN JUMLAH PKD BLUD PROG

9 0 0
87 0 0
40 0 0
0 0 0
0 0 0
106 0 0
0 80 0
0 150 0
0 1435 0
0 0 0
0 0 0
55 0 0
380 0 0
0 250 0
2160 0 0
40 0 0
8 0 0
61 0 0
0 0 0
0 0 0
0 0 0
225 0 0
0 0 0
1700 0 0
7 16 0
2 0 0
61 0 0
101 0 0
0 0 0
3120 0 0
0 0 0
0 0 0
1930 190 0
0 0 0
0 0 0
0 0 0
1 0 0
0 0 0
0 0 0
0 0 0
52 0 0
0 0 0
302 0 0
300 0 0
0 0 0
0 0 0
0 1 0
240 0 0
0 0 0
0 0 0
165 0 0
240 0 0
0 0 0
0 0 0
0 0 0
2244 0 0
60 0 0
62 507 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
11 0 0
0 0 0
0 0 0
0 0 0
0 0 0
494 0 0
0 0 0
0 14 0
0 0 0
0 0 0
0 0 252
1 0 0
3 0 0
0 0 0
210 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
6 0 0
324 0 0
0 0 0
4 0 0
0 300 0
0 0 0
178 0 0
6 0 0
3 0 0
0 0 0
0 0 0
20 0 0
1 0 0
0 0 0
840 0 0
20 500 0
0 2945 0
0 0 0
900 0 0
0 0 0
30 0 0
0 0 0
200 0 0
230 0 0
30 0 0
416 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
100 0 0
0 0 0
5 0 0
1590 0 0
0 0 0
0 0 0
0 0 0
1 0 0
16 0 0
4 0 0
580 0 0
3295 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
19 0 0
224 0 0
0 0 0
0 0 0
0 0 0
0 0 0
150 0 0
40 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
115 0 0
580 200 0
0 0 0
0 0 0
0 0 0
0 0 0
300 0 0
0 0 0
0 0 0
41 0 0
0 0 0
0 0 0
100 0 0
566 0 0
0 75 0
10 0 0
0 0 0
0 0 0
0 0 0
33 0 0
54 10 0
0 0 0
0 0 4
0 0 0
0 0 0
0 0 0
0 0 0
1 0 0
30 0 0
0 0 0
80 0 0
284 0 0
0 0 0
0 0 0
0 0 0
8770 1880 0
0 0 0
23 61 0
0 0 0
0 0 0
16 0 0
0 0 0
0 0 336
626 0 420
0 0 0
0 80 0
0 0 0
536 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
1740 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
15 0 0
177 0 0
50 0 0
24 0 0
0 0 0
0 0 0
0 0 0
15 0 0
0 0 0
0 0 0
0 0 0
600 0 0
0 0 0
0 0 0
2 0 0
0 0 0
2150 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
432 0 0
68 0 0
0 0 0
0 0 0
0 0 0
0 20 0
3000 1340 0
0 0 0
2 1 0
0 0 0
0 0 0
710 0 0
16 0 0
0 0 0
300 0 0
0 0 0
0 0 0
0 0 0
300 0 0
29 0 0
0 0 0
0 0 0
0 0 0
0 0 15
0 0 0
0 4 0
0 0 0
0 60 0
0 18 0
0 3 0
0 0 0
0 0 10
0 0 6
0 0 5
0 0 3
0 0 0
0 0 4
0 0 0
0 0 0
0 0 0
0 0 0
1 0 0
8 0 0
3 0 0
0 0 0
0 0 0
0 120 0
0 0 0
0 40 0
0 0 0
0 890 0
0 708 0
5 0 0
0 0 0
0 0 0
0 0 252
0 0 252
0 0 252
0 0 116
0 0 0
0 0 0
0 0 0
200 0 0
300 0 0
100 0 0
0 0 0
4 0 0
0 0 0
3 0 0
10 5 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
2 0 0
19 0 0
0 0 0
0 700 200
0 100 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
10 0 0
9 0 0
1 0 0
22 0 0
50 0 0
83 0 0
1 0 0
0 0 0
0 400 200
0 0 0
5 0 0
0 6000 0
0 5000 0
0 0 4
0 0 0
0 0 0
5 0 0
0 0 0
0 0 0
0 2 0
0 0 0
0 0 0
0 0 0
1 0 0
0 3 0
0 5 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
10 0 0
9 0 0
12 0 0
13 0 0
0 0 0
0 1 0
0 1 0
0 1 0
0 1 0
0 1 0
0 10 0
0 10 0
0 1 0
0 3 0
0 3 0
0 0 0
0 0 125
0 2 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 20
0 0 10
0 0 25
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 0
3 0 0
0 0 0
1 0 0
2 0 0
2 0 0
3 0 0
1 0 0
0 0 0
1 1 0
0 0 0
1 0 0
3 0 0
1 0 0
0 2 0
0 0 0
0 0 0
1 0 0
2 0 0
0 0 6
3 2 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0

46,278 24,152 2,517


stok awalpenerimaanpemakaian sisa cek
588,030 2,518 26,510 564,038 #REF!
36,354 0 46,573 - 10,219 73,083
553,819

588,030 2,518 73,660 516,888 516,888


36354 47150 46573 36,931 36931
553,819 -
73,660

36931
72,947
PUSKESMAS PAAL X KOTA JAMBI
KODE. 5070101
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )

Bulan : Maret 20
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAK PEMBERIAN
AIAN PERMINT KET.
NO. NAMA BARANG SATUAN
RATA2/ AAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH BLN PKD PROG JUMLAH

OBAT
1 Acyclovir cream 5 % tube 356 0 0 356 0 0 0 0 356 0 0 356 6 0 0 6 350 0 0 350
2 Acyclovir tablet 200 mg Tab 1303 0 0 1303 0 0 0 0 1303 0 0 1303 0 0 0 0 1303 0 0 1303
3 Acyclovir tablet 400 mg Tab 1340 0 0 1340 0 0 0 0 1340 0 0 1340 150 0 0 150 1190 0 0 1190
4 Air Raksa Dental Use Btl 1 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0 1 0 0 1
5 Albendazole 400 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100
6 Allopurinol 100 mg Tab 1044 0 0 1044 0 0 0 0 1044 0 0 1044 164 0 0 164 880 0 0 880
7 Allopurinol 300 mg Tab 450 2185 0 2635 0 0 0 0 450 2185 0 2635 0 140 0 140 450 2045 0 2495
8 Ambroxol syrup Btl 0 192 0 192 0 0 0 0 0 192 0 192 0 14 0 14 0 178 0 178
9 Ambroxol tab 30 mg Tab 1500 230 0 1730 0 0 0 0 1500 230 0 1730 170 230 0 400 1330 0 0 1330
10 Aminofilin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Aminofilin tablet Tab 1500 0 0 1500 0 0 0 0 1500 0 0 1500 0 0 0 0 1500 0 0 1500
12 Amitriptilin tablet 25 mg Tab 2042 0 0 2042 0 0 0 0 2042 0 0 2042 29 0 0 29 2013 0 0 2013
13 Amlodipin 5 mg Tab 3110 3000 0 6110 0 0 0 0 3110 3000 0 6110 350 0 0 350 2760 3000 0 5760
14 Amoksisilin kap 250 mg Kap 0 9690 0 9690 0 0 0 0 0 9690 0 9690 0 170 0 170 0 9520 0 9520
15 Amoksisilin kap 500 mg Kap 24070 0 0 24070 0 0 0 0 24070 0 0 24070 1820 0 0 1820 22250 0 0 22250
16 Amoksisilin sirup kering 125 mg/5 ml Btl 110 0 0 110 0 0 0 0 110 0 0 110 36 0 0 36 74 0 0 74
17 Amoksisilin Sirup Forte 250 mg/5 ml Btl 532 0 0 532 0 0 0 0 532 0 0 532 60 0 0 60 472 0 0 472
18 Amlodipin 10 mg Tab 3370 0 0 3370 0 0 0 0 3370 0 0 3370 170 0 0 170 3200 0 0 3200
19 Amoksisilin injeksi Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Ampisilin Kaplet 500 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Ampisilin sirup kering 125 mg/5 ml Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Antalgin tablet 500 mg Tab 4485 0 0 4485 0 0 0 0 4485 0 0 4485 75 0 0 75 4410 0 0 4410
23 Antalgin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Antasida doen tablet Tab 12970 20000 0 32970 0 0 0 0 12970 20000 0 32970 9200 0 0 9200 3770 20000 0 23770
25 Antasida sirup Btl 0 74 0 74 0 0 0 0 0 74 0 74 0 38 0 38 0 36 0 36
26 Anti Bakteri salep / Bacitracin salep Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Anti Fungi kombinasi Pot 58 0 0 58 0 0 0 0 58 0 0 58 1 0 0 1 57 0 0 57
28 Anti Hemoroid supp 179 0 0 179 0 0 0 0 179 0 0 179 52 0 0 52 127 0 0 127
29 Anti Migrain tablet Tab 1000 0 0 1000 0 0 0 0 1000 0 0 1000 0 0 0 0 1000 0 0 1000
30 Asam Askorbat (VIT C) 50 mg Tab 17130 6500 0 23630 0 0 0 0 17130 6500 0 23630 2030 680 0 2710 15100 5820 0 20920
31 Asam Folat Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
32 Asering Infus Kolf 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 Asam Mefenamat 500 mg Tab 2070 0 0 2070 0 0 0 0 2070 0 0 2070 1850 0 0 1850 220 0 0 220
34 Asam Tranexamat injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAK PEMBERIAN
AIAN PERMINT KET.
NO. NAMA BARANG SATUAN
RATA2/ AAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH BLN PKD PROG JUMLAH

35 Asam Asetilsalisilat(Asetosal) 80 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100


36 Asetosal tablet 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
37 Azitromycin 500 mg Tab 195 0 0 195 0 0 0 0 195 0 0 195 0 0 0 0 195 0 0 195
38 Bisoprolol tablet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 Benzatin benzil penicilin inj 2,4 jt iu Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
40 Betadin salep Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
41 Betametason kream 0,1 % Tube 293 0 0 293 0 0 0 0 293 0 0 293 6 0 0 6 287 0 0 287
42 Bisacodyl 10 mg Supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
43 Bethahistin maselat Tablet 1698 0 0 1698 0 0 0 0 1698 0 0 1698 160 0 0 160 1538 0 0 1538
44 Captopril 12,5 mg Tab 1100 0 0 1100 0 0 0 0 1100 0 0 1100 500 0 0 500 600 0 0 600
45 Captopril 25 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100
46 Captopril 50 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100
47 Caviton Btl 2 0 0 2 0 0 0 0 2 0 0 2 0 0 0 0 2 0 0 2
48 Cefadroxil 500 mg kap 1580 0 0 1580 0 0 0 0 1580 0 0 1580 110 0 0 110 1470 0 0 1470
49 Cefotaxime injeksi 1 g Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
50 Cefriaxon injeksi Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
51 Cetrizin tablet 10 mg Kap 223 0 0 223 0 0 0 0 223 0 0 223 133 0 0 133 90 0 0 90
52 Ciprofloxacin 500 mg Tab 4638 0 0 4638 0 0 0 0 4638 0 0 4638 658 0 0 658 3980 0 0 3980
53 Clindamicin 150 mg Kap 300 0 0 300 0 0 0 0 300 0 0 300 0 0 0 0 300 0 0 300
54 Clindamicin 300 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
55 Devitalisasi pasta Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 Dexamethason tablet Tab 19186 0 0 19186 0 0 0 0 19186 0 0 19186 1666 0 0 1666 17520 0 0 17520
57 Dexamethason injeksi Ampul 190 0 0 190 0 0 0 0 190 0 0 190 30 0 0 30 160 0 0 160
58 Diazepam tablet 2 mg Tab 1438 800 0 2238 0 0 0 0 1438 800 0 2238 28 0 0 28 1410 800 0 2210
59 Diazepam tablet 5 mg Tab 1100 0 100 1200 0 0 0 0 1100 0 100 1200 0 0 0 0 1100 0 100 1200
60 Diazepam injeksi Ampul 30 0 0 30 0 0 0 0 30 0 0 30 30 0 0 30 0 0 0 0
61 Difenhidramin injeksi Ampul 120 0 0 120 0 0 0 0 120 0 0 120 0 0 0 0 120 0 0 120
62 Digoksin tablet Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100
63 Doxicillin Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
64 Dulcolax tablet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
65 Dulculax supp 10 mg ( Dewasa ) Supp 41 0 0 41 0 0 0 0 41 0 0 41 0 0 0 0 41 0 0 41
66 Dulculax supp 5 mg ( Anak ) Supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
67 Efedrin Hcl 25 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
68 Ekstrak belladona tablet 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
69 Ephinefrin hcl injeksi Ampul 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100
70 Erytromycin kapsul 250 mg Kap 3356 0 0 3356 0 0 0 0 3356 0 0 3356 40 0 0 40 3316 0 0 3316
71 Erytromycin kapsul 500 mg Kap 4040 0 0 4040 0 0 0 0 4040 0 0 4040 40 0 0 40 4000 0 0 4000
72 Erytromycin syrup Btl 0 29 0 29 0 0 0 0 0 29 0 29 0 4 0 4 0 25 0 25
73 Etakridin / Rivanol Btl 31 0 0 31 0 0 0 0 31 0 0 31 3 0 0 3 28 0 0 28
74 Ethambutol hcl tab 250 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
75 Ethambutol hcl tab 500 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAK PEMBERIAN
AIAN PERMINT KET.
NO. NAMA BARANG SATUAN
RATA2/ AAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH BLN PKD PROG JUMLAH

76 Etil klorida semprot Btl 5 0 0 5 0 0 0 0 5 0 0 5 4 0 0 4 1 0 0 1


77 Eugenol cairan Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
78 Fenitoin natrium 30 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
79 Fenitoin natrium 100 mg Kap 40 0 0 40 0 0 0 0 40 0 0 40 40 0 0 40 0 0 0 0
80 Fenobarbital injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
81 Fenobarbital tab 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
82 Fenobarbital tablet 30 mg Tab 499 0 0 499 0 0 0 0 499 0 0 499 2 0 0 2 497 0 0 497
83 Fenoksimetil fenisilin tab 250 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
84 Fenoksimetil fenisilin tab 500 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
85 Fenol Gliserol tetes telinga Btl 110 0 0 110 0 0 0 0 110 0 0 110 10 0 0 10 100 0 0 100
86 Fitomenadion (Vit K) tab 10 mg Tab 2586 0 0 2586 0 0 0 0 2586 0 0 2586 86 0 0 86 2500 0 0 2500
87 Fitomenadion (Vit K) injeksi Ampul 30 0 0 30 0 0 0 0 30 0 0 30 0 0 0 0 30 0 0 30
88 Fluconazol 150 mg Tab 20 0 0 20 0 0 0 0 20 0 0 20 18 0 0 18 2 0 0 2
89 Furosemide tablet 40 mg Tab 0 623 0 623 0 0 0 0 0 623 0 623 0 18 0 18 0 605 0 605
90 Fluor gel Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
91 Garam oralit untuk 200 ml air Set 5222 0 0 5222 0 0 0 0 5222 0 0 5222 298 0 0 298 4924 0 0 4924
92 Gentamycin salep kulit 0,1 % Tube 90 0 0 90 0 0 0 0 90 0 0 90 5 0 0 5 85 0 0 85
93 Gentamycin salep mata Tube 117 0 0 117 0 0 0 0 117 0 0 117 10 0 0 10 107 0 0 107
94 Gentamycin tetes mata Btl 144 0 0 144 0 0 0 0 144 0 0 144 0 0 0 0 144 0 0 144
95 Gentamycin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
96 Gentian violet Btl 61 48 0 109 0 0 0 0 61 48 0 109 9 0 0 9 52 48 0 100
97 Glass Ionomer (ART FUJI IX) Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
98 Glibenklamida tablet 5 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100
99 Glimepiride 1 mg Tab 2900 0 0 2900 0 0 0 0 2900 0 0 2900 550 0 0 550 2350 0 0 2350
100 Glimepiride 2 mg Tab 1490 500 0 1990 0 0 0 0 1490 500 0 1990 70 0 0 70 1420 500 0 1920
101 Gliseril guaiakolat tablet 100 mg Tab 0 49405 0 49405 0 0 0 0 0 49405 0 49405 0 2085 0 2085 0 47320 0 47320
102 Glukosa larutan infus 5 % steril Btl 28 0 0 28 0 0 0 0 28 0 0 28 1 0 0 1 27 0 0 27
103 Griseofulvin tablet 125 mg Tab 1000 0 0 1000 0 0 0 0 1000 0 0 1000 0 0 0 0 1000 0 0 1000
104 Griseofulvin tablet 500 mg Tab 400 0 0 400 0 0 0 0 400 0 0 400 0 0 0 0 400 0 0 400
105 Halloperidol tab 0,5 mg Tab 70 0 0 70 0 0 0 0 70 0 0 70 0 0 0 0 70 0 0 70
106 Halloperidol tab 1,5 mg Tab 600 0 0 600 0 0 0 0 600 0 0 600 0 0 0 0 600 0 0 600
107 Halloperidol tab 5 mg Tab 0 0 500 500 0 0 0 0 0 0 500 500 0 0 0 0 0 0 500 500
108 Hidroklortiazide (HCT) tablet 25 mg Tab 1310 0 0 1310 0 0 0 0 1310 0 0 1310 0 0 0 0 1310 0 0 1310
109 Hidrocortison krim 2,5 % Tube 105 0 0 105 0 0 0 0 105 0 0 105 15 0 0 15 90 0 0 90
110 Ibuprofen tablet 200 mg Tab 3586 0 0 3586 0 0 0 0 3586 0 0 3586 786 0 0 786 2800 0 0 2800
111 Ibuprofen tablet 400 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
112 Ibuprofen syrup Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
113 Insulin Human Rapid injeksi 100 IU vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
114 Isoniazida ( INH ) tab 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
115 Isoniazida ( INH ) tab 300 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
116 Isosorbit dinitrat sublingual 5 mg Tab 134 0 0 134 0 0 0 0 134 0 0 134 4 0 0 4 130 0 0 130
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAK PEMBERIAN
AIAN PERMINT KET.
NO. NAMA BARANG SATUAN
RATA2/ AAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH BLN PKD PROG JUMLAH

117 Komb. Primetamin 25mg+suldox 500mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


118 Klorfenol kamfermenthol ( CHKM ) Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
119 Kalsium Laktat tablet Tab 12160 10500 0 22660 0 0 0 0 12160 10500 0 22660 1500 0 0 1500 10660 10500 0 21160
120 Kandesartan cilexetil 8 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
121 Karbamazepin tablet 200 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
122 Ketorolac injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
123 Kloramfenikol salep kulit Tube 90 0 0 90 0 0 0 0 90 0 0 90 0 0 0 0 90 0 0 90
124 Kloramfenikol salep mata 1 % Tube 148 0 0 148 0 0 0 0 148 0 0 148 0 0 0 0 148 0 0 148
125 Kloramfenicol tetes telinga 3 % Btl 102 0 0 102 0 0 0 0 102 0 0 102 2 0 0 2 100 0 0 100
126 Kloramfenicol 250 mg kapsul Kap 10 0 0 10 0 0 0 0 10 0 0 10 10 0 0 10 0 0 0 0
127 Klorfeniramin maleat 4 mg (CTM ) Tab 35695 0 0 35695 0 0 0 0 35695 0 0 35695 6285 0 0 6285 29410 0 0 29410
128 Kloramfenicol tetes mata ( Reco ) Btl 0 72 0 72 0 0 0 0 0 72 0 72 0 24 0 24 0 48 0 48
129 Kalsium Hidroksida Pasta ( Calcidor ) Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
130 Klorpromazin hcl injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
131 Klorpromazine tab salut 25 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
132 Klorpromazine tab salut 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
133 Kodein tablet 10 mg Tab 681 0 0 681 0 0 0 0 681 0 0 681 20 0 0 20 661 0 0 661
134 Kotrimoksazol suspensi Btl 190 0 0 190 0 0 0 0 190 0 0 190 21 0 0 21 169 0 0 169
135 Kotrimoksazol pediatrik Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
136 Kotrimoksazol tablet 480 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
137 Klorokuin Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
138 Kuinin sulfat tab 222 mg (7H2O) Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
139 Lidocain kompositum inj (Pehacain) Ampul 600 0 0 600 0 0 0 0 600 0 0 600 60 0 0 60 540 0 0 540
140 Lidocain injeksi Ampul 600 0 0 600 0 0 0 0 600 0 0 600 200 0 0 200 400 0 0 400
141 Lisinopril 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
142 Loperamide tab 2 mg / Novadium Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
143 Loratadin 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
144 Magnesium sulfat injeksi 20% vial 5 0 0 5 0 0 0 0 5 0 0 5 0 0 0 0 5 0 0 5
145 Magnesium sulfat injeksi 40% vial 5 0 0 5 0 0 0 0 5 0 0 5 0 0 0 0 5 0 0 5
146 Mecobalamin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
147 Meloxicam 7,5 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
148 Metformin hcl tablet 500 mg Tab 5300 0 0 5300 0 0 0 0 5300 0 0 5300 110 0 0 110 5190 0 0 5190
149 Methyl prednisolon tablet 4 mg Tab 6220 4200 0 10420 0 0 0 0 6220 4200 0 10420 220 330 0 550 6000 3870 0 9870
150 Metilergometrin tablet salut Tab 200 0 0 200 0 0 0 0 200 0 0 200 0 0 0 0 200 0 0 200
151 Metilergometrin injeksi Ampul 0 0 75 75 0 0 0 0 0 0 75 75 0 0 0 0 0 0 75 75
152 Metoklorpropamide hcl 10 mg Tab 2500 0 0 2500 0 0 0 0 2500 0 0 2500 0 0 0 0 2500 0 0 2500
153 Metronidazole tablet 250 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
154 Metronidazole tablet 500 mg Tab 1310 0 0 1310 0 0 0 0 1310 0 0 1310 420 0 0 420 890 0 0 890
155 Metronidazole syrup Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
156 Metronidazole infus Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
157 Miconazol cream tube 197 0 0 197 0 0 0 0 197 0 0 197 24 0 0 24 173 0 0 173
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAK PEMBERIAN
AIAN PERMINT KET.
NO. NAMA BARANG SATUAN
RATA2/ AAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH BLN PKD PROG JUMLAH

158 Microlax rectal tube tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


159 Mummifying pasta Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
160 Natrium bikarbonat tablet Tab 1200 0 0 1200 0 0 0 0 1200 0 0 1200 15 0 0 15 1185 0 0 1185
161 Natrium Diklofenak 25 mg Tab 2814 0 0 2814 0 0 0 0 2814 0 0 2814 604 0 0 604 2210 0 0 2210
162 Natrium Diklofenak 50 mg Tab 2750 1210 0 3960 0 0 0 0 2750 1210 0 3960 600 70 0 670 2150 1140 0 3290
163 Natrium klorida larutan infus Btl 120 0 0 120 0 0 0 0 120 0 0 120 12 0 0 12 108 0 0 108
164 Neurobion 5000 injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
165 Nifedipin tablet Tab 260 0 0 260 0 0 0 0 260 0 0 260 0 0 0 0 260 0 0 260
166 Nistatin tablet salut 500.000 iu/g Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
167 Nistatin tablet vaginal 100.000 iu/g Tab 460 0 0 460 0 0 0 0 460 0 0 460 8 0 0 8 452 0 0 452
168 O B H Btl 22 240 0 262 0 0 0 0 22 240 0 262 17 141 0 158 5 99 0 104
169 Obat Anti TBC Kategori 1 paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
170 Obat Anti TBC Kategori 1 -Stop TB KIT paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
171 Obat Anti TBC Kategori II paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
172 Obat Anti TBC Kategori Anak paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
173 Kombipak Kategori I paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
174 Ofloxacin 200 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
175 Oksitetrasiklin hcl salep mata 1 % tube 50 0 0 50 0 0 0 0 50 0 0 50 25 0 0 25 25 0 0 25
176 Oksitetrasiklin hcl salep kulit 3 % Tube 195 0 0 195 0 0 0 0 195 0 0 195 39 0 0 39 156 0 0 156
177 Oksitetrasiklin hcl injeksi vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
178 Oksitosin injeksi / Pitogin Ampul 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100
179 Omeprazole capsul 20 mg Kap 2626 0 0 2626 0 0 0 0 2626 0 0 2626 746 0 0 746 1880 0 0 1880
180 Ondansentron injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
181 Papaverin tablet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
182 Paracetamol tablet 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
183 Paracetamol tablet 500 mg Tab 21230 20200 0 41430 0 0 0 0 21230 20200 0 41430 7620 0 0 7620 13610 20200 0 33810
184 Paracetamol Drop Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
185 Parasetamol sirup Btl 0 439 0 439 0 0 0 0 0 439 0 439 0 41 0 41 0 398 0 398
186 Perfenazine tablet 4 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
187 Piracetam 3 g injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
188 Pirantel pamoat tablet 125 mg Tab 284 0 0 284 0 0 0 0 284 0 0 284 4 0 0 4 280 0 0 280
189 Pirantel pamoat sirup Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
190 Pyrazinamide tablet 500 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
191 Piridoxin hcl tablet 10 mg Tab 23124 0 0 23124 0 0 0 0 23124 0 0 23124 524 0 0 524 22600 0 0 22600
192 Piroxicam 10 mg Tab 500 2000 0 2500 0 0 0 0 500 2000 0 2500 100 0 0 100 400 2000 0 2400
193 Piroxicam 20 mg Tab 0 1320 0 1320 0 0 0 0 0 1320 0 1320 0 280 0 280 0 1040 0 1040
194 Polikresulen / Albothil Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
195 Prednison tablet Tab 16864 0 0 16864 0 0 0 0 16864 0 0 16864 844 0 0 844 16020 0 0 16020
196 Primakuin tablet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
197 Prokain benzil penisilin inj vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
198 Pronalges suppositoria Supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAK PEMBERIAN
AIAN PERMINT KET.
NO. NAMA BARANG SATUAN
RATA2/ AAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH BLN PKD PROG JUMLAH

199 Propanolol tab 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


200 Propanolol tab 40 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
201 Propiltiourasil tablet 100 mg Tab 200 580 0 780 0 0 0 0 200 580 0 780 0 0 0 0 200 580 0 780
202 Proris suppositoria Supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
203 Perak sulfadiazine cream 3 % tube 39 0 0 39 0 0 0 0 39 0 0 39 0 0 0 0 39 0 0 39
204 Ranitidin tablet 150 mg Tab 680 0 0 680 0 0 0 0 680 0 0 680 470 0 0 470 210 0 0 210
205 Ranitidin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
206 Reserpin tablet 0,1 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
207 Reserpin tablet 0,25 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
208 Retinol kapsul 100.000 IU Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
209 Retinol kapsul 200.000 IU Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
210 Rifampisin kapsul 300 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
211 Rifampisin kapsul 450 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
212 Rifampisin kapsul 600 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
213 Ringer laktat infus steril Btl 28 0 0 28 0 0 0 0 28 0 0 28 18 0 0 18 10 0 0 10
214 Salbutamol tablet 2 mg Tab 423 0 0 423 0 0 0 0 423 0 0 423 133 0 0 133 290 0 0 290
215 Salbuatmol tablet 4 mg Tab 1390 0 0 1390 0 0 0 0 1390 0 0 1390 170 0 0 170 1220 0 0 1220
216 salep 2-4 Pot 5 0 0 5 0 0 0 0 5 0 0 5 0 0 0 0 5 0 0 5
217 Salisil bedak 2 % Pot 82 0 0 82 0 0 0 0 82 0 0 82 17 0 0 17 65 0 0 65
218 Semen seng fosfat serbuk & cairan Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
219 Serum Anti Bisa Ular injeksi Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
220 Serum Anti tetanus injeksi 1500 IU Ampul 10 0 0 10 0 0 0 0 10 0 0 10 10 0 0 10 0 0 0 0
221 Tatagam vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
222 Sianokobalamin inj 500 mcg/ml Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
223 Silver Amalgam serbuk Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
224 Simvastatin 10 mg Tab 2620 950 0 3570 0 0 0 0 2620 950 0 3570 770 0 0 770 1850 950 0 2800
225 Simvastatin 20 mg supp 0 3000 0 3000 0 0 0 0 0 3000 0 3000 0 40 0 40 0 2960 0 2960
226 Stesolid rectal supp 5 mg Supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
227 Stesolid rectal supp 10 mg Btl 13 0 0 13 0 0 0 0 13 0 0 13 0 0 0 0 13 0 0 13
228 Sulfasetamid tetes mata 15 % Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
229 Tablet tambah darah (SF) Tab 19240 2000 0 21240 0 0 0 0 19240 2000 0 21240 2080 0 0 2080 17160 2000 0 19160
230 Temporary / Fletcher Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
231 Tetrasiklin kapsul 250 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
232 Tetrasiklin kapsul 500 mg Tab 1100 0 0 1100 0 0 0 0 1100 0 0 1100 10 0 0 10 1090 0 0 1090
233 Thrombo Aspilet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
234 Thiamin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
235 Thiamin tablet 50 mg Tab 20758 0 0 20758 0 0 0 0 20758 0 0 20758 528 0 0 528 20230 0 0 20230
236 Triheksipenidil hcl tablet 2 mg Tab 657 0 0 657 0 0 0 0 657 0 0 657 20 0 0 20 637 0 0 637
237 Trikresol formalin cairan ( TKF ) Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
238 Vaksin rabies vero Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
239 Valsartan 80 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAK PEMBERIAN
AIAN PERMINT KET.
NO. NAMA BARANG SATUAN
RATA2/ AAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH BLN PKD PROG JUMLAH

240 Ventolin nebulizer Nebules 10 0 0 10 0 0 0 0 10 0 0 10 0 0 0 0 10 0 0 10


241 Vitamin B komplek tablet Tab 15800 0 0 15800 0 0 0 0 15800 0 0 15800 3050 0 0 3050 12750 0 0 12750
242 Yodium povidon lart 10 % - 30 ml Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
243 Yodium povidon lart 10 % - 300 ml Btl 30 15 0 45 0 0 0 0 30 15 0 45 5 0 0 5 25 15 0 40
244 Xylocain jelly Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
245 Lidocain Pasta Pot 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
246 Zinc tablet 20 mg Tab 2445 0 0 2445 0 0 0 0 2445 0 0 2445 20 0 0 20 2425 0 0 2425
247 Zinc sirup Btl 81 0 0 81 0 0 0 0 81 0 0 81 7 0 0 7 74 0 0 74
248 Betamin drage ( Vit. B1 ) Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
249 Domperidon Btl 2200 0 0 2200 0 0 0 0 2200 0 0 2200 230 0 0 230 1970 0 0 1970
250 Clozapin 25 mg Tab 0 0 150 150 0 0 0 0 0 0 150 150 0 0 0 0 0 0 150 150
251 Clobazam 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
252 Trifluoperazin HCl 5 mg ( Stelosi ) Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
253 Vitamin B 12 Tab 2200 0 0 2200 0 0 0 0 2200 0 0 2200 0 0 0 0 2200 0 0 2200
254 Ketokonazol Crem Tube 24 0 0 24 0 0 0 0 24 0 0 24 5 0 0 5 19 0 0 19
255 Ketokonazole Tablet Tab 0 943 0 943 0 0 0 0 0 943 0 943 0 0 0 0 0 943 0 943
256 Flufenazin Decanoat Inj 25 mg Ampul 0 0 10 10 0 0 0 0 0 0 10 10 0 0 0 0 0 0 10 10
257 Haloperidol Inj 5 mg ( Ladomer ) Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
258 Haloperidol Decanoat Inj 50 mg Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
259 Resperidon tab 2 mg Tab 0 0 1000 1000 0 0 0 0 0 0 1000 1000 0 0 20 20 0 0 980 980
260 Curviplex Sirup Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
261 Andalan Inj 3 Bulan Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
262 Andalan Inj 1 Bulan Vial 0 40 0 40 0 0 0 0 0 40 0 40 0 0 0 0 0 40 0 40
263 Cyclopen Inj. 1 Bulan Vial 0 190 0 190 0 0 0 0 0 190 0 190 0 0 0 0 0 190 0 190
264 Ichtyol Salaf Kulit Pot 0 13 0 13 0 0 0 0 0 13 0 13 0 4 0 4 0 9 0 9
265 Levertran Salep Kulit Pot 0 42 0 42 0 0 0 0 0 42 0 42 0 0 0 0 0 42 0 42
266 HEPATITIS B Paket 0 0 10 10 0 0 10 10 0 0 20 20 0 0 8 8 0 0 12 12
267 BCG Ampul 0 0 3 3 0 0 6 6 0 0 9 9 0 0 6 6 0 0 3 3
268 POLIO Vial 0 0 0 0 0 0 15 15 0 0 15 15 0 0 15 15 0 0 0 0
269 PENTABIO/DPTHBHib Vial 0 0 0 0 0 0 35 35 0 0 35 35 0 0 32 32 0 0 3 3
270 CAMPAK Vial 0 0 0 0 0 0 15 15 0 0 15 15 0 0 3 3 0 0 12 12
271 Td / TT Vial 0 0 10 10 0 0 30 30 0 0 40 40 0 0 1 1 0 0 39 39
272 IPV Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
273 Vaksin MR Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
274 Pelarut MR Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
275 Pentocain 0,5 % TT Mata Btl 0 25 0 25 0 0 0 0 0 25 0 25 0 0 0 0 0 25 0 25
276 Domperidon syrup btl 7 0 0 7 0 0 0 0 7 0 0 7 1 0 0 1 6 0 0 6
277 Kloramfenikol syrup btl 7 0 0 7 0 0 0 0 7 0 0 7 2 0 0 2 5 0 0 5
278 cetirizin syrup btl 21 0 0 21 0 0 0 0 21 0 0 21 0 0 0 0 21 0 0 21
279 Pritamox sirup 125 mg btl 0 191 0 191 0 0 0 0 0 191 0 191 0 0 0 0 0 191 0 191
280 Albendazole syrup btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAK PEMBERIAN
AIAN PERMINT KET.
NO. NAMA BARANG SATUAN
RATA2/ AAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH BLN PKD PROG JUMLAH

281 Moxalaskap/cotri480mg tab 0 2840 0 2840 0 0 0 0 0 2840 0 2840 0 100 0 100 0 2740 0 2740
282 Moxalas syr/cotry syr btl 0 100 0 100 0 0 0 0 0 100 0 100 0 0 0 0 0 100 0 100
283 Lorihis tab/loratadin tab tab 0 860 0 860 0 0 0 0 0 860 0 860 0 0 0 0 0 860 0 860
284 Flagsol syr/metro syr btl 0 46 0 46 0 0 0 0 0 46 0 46 0 0 0 0 0 46 0 46
285 Selfolic 1000mg/Asam folat tab 0 3690 0 3690 0 0 0 0 0 3690 0 3690 0 780 0 780 0 2910 0 2910
286 Trifadium2mg/Loperamid tab tab 0 1229 0 1229 0 0 0 0 0 1229 0 1229 0 179 0 179 0 1050 0 1050
287 Omeprazole Injeksi Ampul 15 0 0 15 0 0 0 0 15 0 0 15 0 0 0 0 15 0 0 15
288 Gluconas Kalsikus injeksi amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
289 Tricloflem Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
290 Cycloserin 250mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
291 Ethionmid 250mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
292 Levofloxacin 750mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
293 Bedaquilin 100mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
294 Hbig Bayi vial 0 0 0 0 0 0 1 1 0 0 1 1 0 0 1 1 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BMHP 0 0 0 0 0 0
295 Alat suntik 1 ml Pcs 800 0 0 800 0 0 0 0 800 0 0 800 300 0 0 300 500 0 0 500
296 Alat suntik 2,5 ml Pcs 1900 0 0 1900 0 0 0 0 1900 0 0 1900 200 0 0 200 1700 0 0 1700
297 Alat suntik 3 ml Pcs 2700 400 0 3100 0 0 30 30 2700 400 30 3130 0 0 0 0 2700 400 30 3130
298 Alat suntik 5 ml Pcs 1400 500 500 2400 0 0 0 0 1400 500 500 2400 100 0 0 100 1300 500 500 2300
299 Alkohol 70 % ( 1 L ) Btl 25 0 0 25 0 0 0 0 25 0 0 25 12 0 0 12 13 0 0 13
300 Alkohol 70 % ( 60 Ml ) Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
301 Aqua destilata steril 500 ml Btl 2 0 0 2 0 0 0 0 2 0 0 2 0 0 0 0 2 0 0 2
302 Aqua pro injeksi Vial 54 25 0 79 0 0 0 0 54 25 0 79 0 0 0 0 54 25 0 79
303 Bisturi no 10 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
304 Bisturi no 11 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
305 Bisturi no 20 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
306 Bisturi no 22 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
307 Blood Lancet Pcs 2000 2800 0 4800 0 0 0 0 2000 2800 0 4800 0 0 0 0 2000 2800 0 4800
308 Catgut/benang bedah Pcs 101 0 0 101 0 0 0 0 101 0 0 101 29 0 0 29 72 0 0 72
309 ETT no.6 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
310 ETT no.6,5 Set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
311 ETT no.7 Set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
312 ETT no.7,5 Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
313 Hand scrub Pcs 28 0 0 28 2 0 0 2 30 0 0 30 15 0 0 15 15 0 0 15
314 Handscoon uk.S Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
315 Handscoon uk. M Pcs 0 3500 100 3600 0 0 0 0 0 3500 100 3600 0 800 0 800 0 2700 100 2800
316 Handscoon uk. L Pcs 0 1600 0 1600 0 0 0 0 0 1600 0 1600 0 300 0 300 0 1300 0 1300
317 Infusion set anak set 0 50 0 50 0 0 0 0 0 50 0 50 0 0 0 0 0 50 0 50
318 Infusion set dewasa set 0 50 0 50 0 0 0 0 0 50 0 50 0 5 0 5 0 45 0 45
319 Wing neadle no. 23G Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAK PEMBERIAN
AIAN PERMINT KET.
NO. NAMA BARANG SATUAN
RATA2/ AAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH BLN PKD PROG JUMLAH

320 IV Catheter (Abocath) NO.20 Pcs 5 0 0 5 0 0 0 0 5 0 0 5 0 0 0 0 5 0 0 5


321 IV Catheter (Abocath) NO.22 Pcs 5 0 0 5 0 0 0 0 5 0 0 5 0 0 0 0 5 0 0 5
322 IV Catheter (Abocath) NO.24 pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
323 Jarum Jahit (Nald Heating ) no. 10 pcs 38 0 0 38 0 0 0 0 38 0 0 38 0 0 0 0 38 0 0 38
324 Jarum Jahit (Nald Heating ) no. 11 pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
325 Jarum Jahit (Nald Heating ) no. 12 pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
326 Jarum Jahit (Nald Heating ) no. 13 pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
327 Jarum Jahit (Nald Heating ) no. 14 Pcs 20 0 0 20 0 0 0 0 20 0 0 20 0 0 0 0 20 0 0 20
328 Kapas pembalut/Absorben 250 gr Roll 48 0 0 48 0 0 0 0 48 0 0 48 3 0 0 3 45 0 0 45
329 Kasa kompres 40/40 steril Roll 158 0 0 158 0 0 0 0 158 0 0 158 0 0 0 0 158 0 0 158
330 Kasa pembalut hidrofil 4m x 15 cm Roll 430 0 0 430 0 0 0 0 430 0 0 430 10 0 0 10 420 0 0 420
331 Kasa pembalut hidrofil 4 m x 3 cm Roll 320 0 0 320 0 0 0 0 320 0 0 320 20 0 0 20 300 0 0 300
332 Kassa 36x80 cm Roll 18 0 0 18 0 0 0 0 18 0 0 18 1 0 0 1 17 0 0 17
333 Kertas Saring Whatman Buku 0 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 1
334 Masker Pcs 1000 4750 0 5750 3500 0 0 3500 4500 4750 0 9250 400 650 0 1050 4100 4100 0 8200
335 Objec Glass Box/72 4 0 17 21 0 0 0 0 4 0 17 21 0 0 0 0 4 0 17 21
336 Pipet Tetes Panjang Pcs 15 0 0 15 0 0 0 0 15 0 0 15 0 0 0 0 15 0 0 15
337 Plastik Obat Klip 10 x 7 Pcs 0 11000 0 11000 0 0 0 0 0 11000 0 11000 0 500 0 500 0 10500 0 10500
338 Plastik Obat Klip 13 x 8,7 0 12000 0 12000 0 0 0 0 0 12000 0 12000 0 7000 0 7000 0 5000 0 5000
339 Plester 5 yard x 2 inch Roll 21 0 4 25 0 0 0 0 21 0 4 25 1 0 0 1 20 0 4 24
340 Poly catheter no.8 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
341 Poly catheter no.12 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
342 Poly catheter no.16 Pcs/set 10 0 0 10 0 0 0 0 10 0 0 10 0 0 0 0 10 0 0 10
343 Silk ( benang bedah sutera) 03/0 Sak 13 0 36 49 0 0 0 0 13 0 36 49 0 0 0 0 13 0 36 49
344 Spons gelatin cublices bks 7 0 0 7 0 0 0 0 7 0 0 7 0 0 0 0 7 0 0 7
345 Stick Gluco DR Btl/50 0 17 0 17 0 0 0 0 0 17 0 17 0 1 0 1 0 16 0 16
346 Tabung Reaksi Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
347 Tes Kehamilan HCG Pcs 2 2 0 4 0 0 0 0 2 2 0 4 0 0 0 0 2 2 0 4
348 Transfution set/Transfusion blood ADM set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
349 Urinalysis 10 parameter Btl 7 2 0 9 0 0 0 0 7 2 0 9 0 0 0 0 7 2 0 9
350 Stick asam Urat Btl/25 0 10 0 10 0 0 0 0 0 10 0 10 0 2 0 2 0 8 0 8
351 Stick Colestrol Btl/10 0 13 0 13 0 0 0 0 0 13 0 13 0 5 0 5 0 8 0 8
352 Jelly 250ml Ultra soundgel btl 0 0 0 0 0 2 0 2 0 2 0 2 0 0 0 0 0 2 0 2
353 Pot sputum Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
354 Reagen TB Paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
355 Sefty box 2,5 L Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
356 Reagen sifilis(SD,Bio StanQ) Test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
357 Box Slide Ktk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
358 Fokus test Ktk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
359 Alat suntik 0,5 ml Box 0 0 4859 4859 0 0 0 0 0 0 4859 4859 0 0 0 0 0 0 4859 4859
360 Sefty box 5 L Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAK PEMBERIAN
AIAN PERMINT KET.
NO. NAMA BARANG SATUAN
RATA2/ AAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH BLN PKD PROG JUMLAH

361 Masker Nebulizer Anak Psc 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


362 Masker Nebulizer Dewasa Psc 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
363 Nasal Oksigen Kanula Anak Psc 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
364 Nasal Oksigen Kanula Dewasa Psc 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
365 Non Rebreating Mask Psc 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
366 ID Dewasa Pink Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
367 ID Dewasa Blue Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
368 ID Bayi Pink Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
369 ID Bayi Biru Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
370 Umbilical Keniko Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
371 Folley Catheter 16 Rusch Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
372 Urine Bag Fresco Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
373 Disp Sryringe 10 ml Onemed Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
374 Suction Catheter 8 Remedi Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
375 Suction Catheter 16 Remedi Psc 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
376 Plaster Hypafix Psc 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
377 Rapid Test HIV I Standar (Stik SD HIV ) Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
378 Kasa Steril 16 X 16 Kotak 0 173 0 173 0 0 0 0 0 173 0 173 0 6 0 6 0 167 0 167
379 Alat Nesco Tri in one Kotak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
380 Alkohol Swab One swab Kotak 0 10 0 10 0 0 0 0 0 10 0 10 0 0 0 0 0 10 0 10
381 Bahan tambalan Komposid (solare) Tube 0 4 0 4 0 0 0 0 0 4 0 4 0 0 0 0 0 4 0 4
382 OCO Btl/15ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
383 Paper Pad Buku 0 6 0 6 0 0 0 0 0 6 0 6 0 0 0 0 0 6 0 6
384 Masker 1860 S/N95 pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
385 Rapid Test HIV II : Vikia (HIV ke 1) Test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
386 Rapid Test Hiv, 3 : Intec/China (HIV KE 2) Test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
387 RDT(Virotec+Diluent)DBD Test 0 0 0 0 0 0 10 10 0 0 10 10 0 0 10 10 0 0 0 0
0 0 0 0 0 0
REAGENSIA 0 0 0 0 0 0
388 Cell Clean ( CL-50) Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
389 Cell Pack ( PK-30L) Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
390 Control eight check 3 x 1,5 ml Btl/set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
391 Eightcheck-3WP (Normal) 1,5 ml Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
392 Eightcheck-3WP (Low) 1,5 ml Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
393 Eightcheck-3WP (High) 1,5 ml Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
394 Stomalyzer WH(SWH-2004) btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
395 Tabung K2 EDTA 2 ml Btl 0 0 0 0 0 8 0 8 0 8 0 8 0 1 0 1 0 7 0 7
396 Printer Paper Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
397 Deck Glass Btl 5 0 0 5 0 0 0 0 5 0 0 5 0 0 0 0 5 0 0 5
398 Tes Gol Darah (A,B,AB ) Set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
399 Tisu lensa Buku 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAK PEMBERIAN
AIAN PERMINT KET.
NO. NAMA BARANG SATUAN
RATA2/ AAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH BLN PKD PROG JUMLAH

400 Kertas perkamen Lembar 19 0 0 19 0 0 0 0 19 0 0 19 0 0 0 0 19 0 0 19


401 Podofilin Tinctur 25 % Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
402 Larutan Fauchet Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
403 Larutan Lisol Btl 34 0 0 34 0 0 0 0 34 0 0 34 2 0 0 2 32 0 0 32
404 Larutan asam klorida 0,1 N Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
405 Larutan asam sulfosalisilat 20% Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
406 Larutan barium klorida Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
407 Larutan Benedict Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
408 Larutan Bupper PH 7,2 Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
409 Larutan EDTA Cair 10 % Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
410 Larutan Eosin 2 % Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
411 Larutan Etanol Asam Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
412 Larutan Giemsa Stalin Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
413 Larutan H2O2 Btl 7 0 0 7 0 0 0 0 7 0 0 7 3 0 0 3 4 0 0 4
414 Larutan Imersen oil HB Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
415 Larutan karbol fuksin Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
416 Larutan Metanol Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
417 Larutan Metilen Biru Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
418 Larutan Natrium Sitrat 38 % Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
419 Larutan Rees echer Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
420 Larutan spiritus 100 ml Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
421 Larutan turk Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
422 Ether Alkohol Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
423 Buffer Ph 6,4 Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
424 KOH 10 % Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

359321 187124 7374 553819 3502 10 152 3664 362823 187134 7526 557483 50147 14638 96 64881 312676 172496 7430 492602

- - -

359,321 187,165 8,138 554,624 3,502 10 190 50148 14637 136 312,676 172,496 7430 492,602

JENIS PELAYANAN PUSKESMAS PAAL X PUSTU POSKESDES JUMLAH


R/ UMUM 508 115 11 634
R/ BPJS 1194 35 12 1241
R/ JAMKESDA 0 123 0 123
Jlh. Recipe 4380 1072 90 5542
Jlh R/ Generik 4380 1072 90 5542
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAK PEMBERIAN
AIAN PERMINT KET.
NO. NAMA BARANG SATUAN
RATA2/ AAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH BLN PKD PROG JUMLAH

R/ Antibiotik 259 98 15 372

Mengetahui Jambi, April 2020


Kepala UPTD Puskesmas Paal X Kota Jambi Pengelola Obat Puskesmas Paal X

dr.Hj.SRI ROSIANTI SRI HARTATY, AMF


NIP. 19720704 200701 2 017 NIP. 19820825 200502 2 001
PUSKESMAS PAAL X KOTA JAMBI
KODE. 5070101

JUMLAH STOK AWAL


NO. NAMA BARANG SATUAN
JUMLAH PKD BLUD PROG
OBAT
1 Acyclovir cream 5 % tube 356 356 0 0
2 Acyclovir tablet 200 mg Tab 1303 1303 0 0
3 Acyclovir tablet 400 mg Tab 1340 1340 0 0
4 Air Raksa Dental Use Btl 1 1 0 0
5 Albendazole 400 mg Tab 100 100 0 0
6 Allopurinol 100 mg Tab 1044 1044 0 0
7 Allopurinol 300 mg Tab 2635 450 2185 0
8 Ambroxol syrup Btl 192 0 192 0
9 Ambroxol tab 30 mg Tab 1730 1500 230 0
10 Aminofilin injeksi Ampul 0 0 0 0
11 Aminofilin tablet Tab 1500 1500 0 0
12 Amitriptilin tablet 25 mg Tab 2042 2042 0 0
13 Amlodipin 5 mg Tab 6110 3110 3000 0
14 Amoksisilin kap 250 mg Kap 9690 0 9690 0
15 Amoksisilin kap 500 mg Kap 24070 24070 0 0
16 Amoksisilin sirup kering 125 mg/5 ml Btl 110 110 0 0
17 Amoksisilin Sirup Forte 250 mg/5 ml Btl 532 532 0 0
18 Amlodipin 10 mg Tab 3370 3370 0 0
19 Amoksisilin injeksi Vial 0 0 0 0
20 Ampisilin Kaplet 500 mg Kap 0 0 0 0
21 Ampisilin sirup kering 125 mg/5 ml Btl 0 0 0 0
22 Antalgin tablet 500 mg Tab 4485 4485 0 0
23 Antalgin injeksi Ampul 0 0 0 0
24 Antasida doen tablet Tab 32970 12970 20000 0
25 Antasida sirup Btl 74 0 74 0
26 Anti Bakteri salep / Bacitracin salep Tube 0 0 0 0
27 Anti Fungi kombinasi Pot 58 58 0 0
28 Anti Hemoroid supp 179 179 0 0
29 Anti Migrain tablet Tab 1000 1000 0 0
30 Asam Askorbat (VIT C) 50 mg Tab 23630 17130 6500 0
31 Asam Folat Tab 0 0 0 0
32 Asering Infus Kolf 0 0 0 0
33 Asam Mefenamat 500 mg Tab 2070 2070 0 0
34 Asam Tranexamat injeksi Ampul 0 0 0 0
35 Asam Asetilsalisilat(Asetosal) 80 mg Tab 100 100 0 0
36 Asetosal tablet 100 mg Tab 0 0 0 0
37 Azitromycin 500 mg Tab 195 195 0 0
38 Bisoprolol tablet Tab 0 0 0 0
39 Benzatin benzil penicilin inj 2,4 jt iu Vial 0 0 0 0
40 Betadin salep Tube 0 0 0 0
41 Betametason kream 0,1 % Tube 293 293 0 0
42 Bisacodyl 10 mg Supp 0 0 0 0
43 Bethahistin maselat Tablet 1698 1698 0 0
44 Captopril 12,5 mg Tab 1100 1100 0 0
45 Captopril 25 mg Tab 100 100 0 0
46 Captopril 50 mg Tab 100 100 0 0
47 Caviton Btl 2 2 0 0
48 Cefadroxil 500 mg kap 1580 1580 0 0
49 Cefotaxime injeksi 1 g Vial 0 0 0 0
50 Cefriaxon injeksi Vial 0 0 0 0
51 Cetrizin tablet 10 mg Kap 223 223 0 0
52 Ciprofloxacin 500 mg Tab 4638 4638 0 0
53 Clindamicin 150 mg Kap 300 300 0 0
54 Clindamicin 300 mg Kap 0 0 0 0
55 Devitalisasi pasta Btl 0 0 0 0
56 Dexamethason tablet Tab 19186 19186 0 0
57 Dexamethason injeksi Ampul 190 190 0 0
58 Diazepam tablet 2 mg Tab 2238 1438 800 0
59 Diazepam tablet 5 mg Tab 1200 1100 0 100
60 Diazepam injeksi Ampul 30 30 0 0
61 Difenhidramin injeksi Ampul 120 120 0 0
62 Digoksin tablet Tab 100 100 0 0
63 Doxicillin Tab 0 0 0 0
64 Dulcolax tablet Tab 0 0 0 0
65 Dulculax supp 10 mg ( Dewasa ) Supp 41 41 0 0
66 Dulculax supp 5 mg ( Anak ) Supp 0 0 0 0
67 Efedrin Hcl 25 mg Tab 0 0 0 0
68 Ekstrak belladona tablet 10 mg Tab 0 0 0 0
69 Ephinefrin hcl injeksi Ampul 100 100 0 0
70 Erytromycin kapsul 250 mg Kap 3356 3356 0 0
71 Erytromycin kapsul 500 mg Kap 4040 4040 0 0
72 Erytromycin syrup Btl 29 0 29 0
73 Etakridin / Rivanol Btl 31 31 0 0
74 Ethambutol hcl tab 250 mg Tab 0 0 0 0
75 Ethambutol hcl tab 500 mg Tab 0 0 0 0
76 Etil klorida semprot Btl 5 5 0 0
77 Eugenol cairan Btl 0 0 0 0
78 Fenitoin natrium 30 mg Kap 0 0 0 0
79 Fenitoin natrium 100 mg Kap 40 40 0 0
80 Fenobarbital injeksi Ampul 0 0 0 0
81 Fenobarbital tab 100 mg Tab 0 0 0 0
82 Fenobarbital tablet 30 mg Tab 499 499 0 0
83 Fenoksimetil fenisilin tab 250 mg Tab 0 0 0 0
84 Fenoksimetil fenisilin tab 500 mg Tab 0 0 0 0
85 Fenol Gliserol tetes telinga Btl 110 110 0 0
86 Fitomenadion (Vit K) tab 10 mg Tab 2586 2586 0 0
87 Fitomenadion (Vit K) injeksi Ampul 30 30 0 0
88 Fluconazol 150 mg Tab 20 20 0 0
89 Furosemide tablet 40 mg Tab 623 0 623 0
90 Fluor gel Btl 0 0 0 0
91 Garam oralit untuk 200 ml air Set 5222 5222 0 0
92 Gentamycin salep kulit 0,1 % Tube 90 90 0 0
93 Gentamycin salep mata Tube 117 117 0 0
94 Gentamycin tetes mata Btl 144 144 0 0
95 Gentamycin injeksi Ampul 0 0 0 0
96 Gentian violet Btl 109 61 48 0
97 Glass Ionomer (ART FUJI IX) Btl 0 0 0 0
98 Glibenklamida tablet 5 mg Tab 100 100 0 0
99 Glimepiride 1 mg Tab 2900 2900 0 0
100 Glimepiride 2 mg Tab 1990 1490 500 0
101 Gliseril guaiakolat tablet 100 mg Tab 49405 0 49405 0
102 Glukosa larutan infus 5 % steril Btl 28 28 0 0
103 Griseofulvin tablet 125 mg Tab 1000 1000 0 0
104 Griseofulvin tablet 500 mg Tab 400 400 0 0
105 Halloperidol tab 0,5 mg Tab 70 70 0 0
106 Halloperidol tab 1,5 mg Tab 600 600 0 0
107 Halloperidol tab 5 mg Tab 500 0 0 500
108 Hidroklortiazide (HCT) tablet 25 mg Tab 1310 1310 0 0
109 Hidrocortison krim 2,5 % Tube 105 105 0 0
110 Ibuprofen tablet 200 mg Tab 3586 3586 0 0
111 Ibuprofen tablet 400 mg Tab 0 0 0 0
112 Ibuprofen syrup Btl 0 0 0 0
113 Insulin Human Rapid injeksi 100 IU vial 0 0 0 0
114 Isoniazida ( INH ) tab 100 mg Tab 0 0 0 0
115 Isoniazida ( INH ) tab 300 mg Tab 0 0 0 0
116 Isosorbit dinitrat sublingual 5 mg Tab 134 134 0 0
117 Komb. Primetamin 25mg+suldox 500mg Tab 0 0 0 0
118 Klorfenol kamfermenthol ( CHKM ) Tab 0 0 0 0
119 Kalsium Laktat tablet Tab 22660 12160 10500 0
120 Kandesartan cilexetil 8 mg Tab 0 0 0 0
121 Karbamazepin tablet 200 mg Tab 0 0 0 0
122 Ketorolac injeksi Ampul 0 0 0 0
123 Kloramfenikol salep kulit Tube 90 90 0 0
124 Kloramfenikol salep mata 1 % Tube 148 148 0 0
125 Kloramfenicol tetes telinga 3 % Btl 102 102 0 0
126 Kloramfenicol 250 mg kapsul Kap 10 10 0 0
127 Klorfeniramin maleat 4 mg (CTM ) Tab 35695 35695 0 0
128 Kloramfenicol tetes mata ( Reco ) Btl 72 0 72 0
129 Kalsium Hidroksida Pasta ( Calcidor ) Tube 0 0 0 0
130 Klorpromazin hcl injeksi Ampul 0 0 0 0
131 Klorpromazine tab salut 25 mg Tab 0 0 0 0
132 Klorpromazine tab salut 100 mg Tab 0 0 0 0
133 Kodein tablet 10 mg Tab 681 681 0 0
134 Kotrimoksazol suspensi Btl 190 190 0 0
135 Kotrimoksazol pediatrik Tab 0 0 0 0
136 Kotrimoksazol tablet 480 mg Tab 0 0 0 0
137 Klorokuin Tab 0 0 0 0
138 Kuinin sulfat tab 222 mg (7H2O) Tab 0 0 0 0
139 Lidocain kompositum inj (Pehacain) Ampul 600 600 0 0
140 Lidocain injeksi Ampul 600 600 0 0
141 Lisinopril 10 mg Tab 0 0 0 0
142 Loperamide tab 2 mg / Novadium Tab 0 0 0 0
143 Loratadin 10 mg Tab 0 0 0 0
144 Magnesium sulfat injeksi 20% vial 5 5 0 0
145 Magnesium sulfat injeksi 40% vial 5 5 0 0
146 Mecobalamin injeksi Ampul 0 0 0 0
147 Meloxicam 7,5 mg Tab 0 0 0 0
148 Metformin hcl tablet 500 mg Tab 5300 5300 0 0
149 Methyl prednisolon tablet 4 mg Tab 10420 6220 4200 0
150 Metilergometrin tablet salut Tab 200 200 0 0
151 Metilergometrin injeksi Ampul 75 0 0 75
152 Metoklorpropamide hcl 10 mg Tab 2500 2500 0 0
153 Metronidazole tablet 250 mg Tab 0 0 0 0
154 Metronidazole tablet 500 mg Tab 1310 1310 0 0
155 Metronidazole syrup Btl 0 0 0 0
156 Metronidazole infus Btl 0 0 0 0
157 Miconazol cream tube 197 197 0 0
158 Microlax rectal tube tube 0 0 0 0
159 Mummifying pasta Btl 0 0 0 0
160 Natrium bikarbonat tablet Tab 1200 1200 0 0
161 Natrium Diklofenak 25 mg Tab 2814 2814 0 0
162 Natrium Diklofenak 50 mg Tab 3960 2750 1210 0
163 Natrium klorida larutan infus Btl 120 120 0 0
164 Neurobion 5000 injeksi Ampul 0 0 0 0
165 Nifedipin tablet Tab 260 260 0 0
166 Nistatin tablet salut 500.000 iu/g Tab 0 0 0 0
167 Nistatin tablet vaginal 100.000 iu/g Tab 460 460 0 0
168 OBH Btl 262 22 240 0
169 Obat Anti TBC Kategori 1 paket 0 0 0 0
170 Obat Anti TBC Kategori 1 -Stop TB KIT paket 0 0 0 0
171 Obat Anti TBC Kategori II paket 0 0 0 0
172 Obat Anti TBC Kategori Anak paket 0 0 0 0
173 Kombipak Kategori I paket 0 0 0 0
174 Ofloxacin 200 mg Tab 0 0 0 0
175 Oksitetrasiklin hcl salep mata 1 % tube 50 50 0 0
176 Oksitetrasiklin hcl salep kulit 3 % Tube 195 195 0 0
177 Oksitetrasiklin hcl injeksi vial 0 0 0 0
178 Oksitosin injeksi / Pitogin Ampul 100 100 0 0
179 Omeprazole capsul 20 mg Kap 2626 2626 0 0
180 Ondansentron injeksi Ampul 0 0 0 0
181 Papaverin tablet Tab 0 0 0 0
182 Paracetamol tablet 100 mg Tab 0 0 0 0
183 Paracetamol tablet 500 mg Tab 41430 21230 20200 0
184 Paracetamol Drop Btl 0 0 0 0
185 Parasetamol sirup Btl 439 0 439 0
186 Perfenazine tablet 4 mg Tab 0 0 0 0
187 Piracetam 3 g injeksi Ampul 0 0 0 0
188 Pirantel pamoat tablet 125 mg Tab 284 284 0 0
189 Pirantel pamoat sirup Btl 0 0 0 0
190 Pyrazinamide tablet 500 mg Tab 0 0 0 0
191 Piridoxin hcl tablet 10 mg Tab 23124 23124 0 0
192 Piroxicam 10 mg Tab 2500 500 2000 0
193 Piroxicam 20 mg Tab 1320 0 1320 0
194 Polikresulen / Albothil Btl 0 0 0 0
195 Prednison tablet Tab 16864 16864 0 0
196 Primakuin tablet Tab 0 0 0 0
197 Prokain benzil penisilin inj vial 0 0 0 0
198 Pronalges suppositoria Supp 0 0 0 0
199 Propanolol tab 10 mg Tab 0 0 0 0
200 Propanolol tab 40 mg Tab 0 0 0 0
201 Propiltiourasil tablet 100 mg Tab 780 200 580 0
202 Proris suppositoria Supp 0 0 0 0
203 Perak sulfadiazine cream 3 % tube 39 39 0 0
204 Ranitidin tablet 150 mg Tab 680 680 0 0
205 Ranitidin injeksi Ampul 0 0 0 0
206 Reserpin tablet 0,1 mg Tab 0 0 0 0
207 Reserpin tablet 0,25 mg Tab 0 0 0 0
208 Retinol kapsul 100.000 IU Kapsul 0 0 0 0
209 Retinol kapsul 200.000 IU Kapsul 0 0 0 0
210 Rifampisin kapsul 300 mg Kap 0 0 0 0
211 Rifampisin kapsul 450 mg Kap 0 0 0 0
212 Rifampisin kapsul 600 mg Kap 0 0 0 0
213 Ringer laktat infus steril Btl 28 28 0 0
214 Salbutamol tablet 2 mg Tab 423 423 0 0
215 Salbuatmol tablet 4 mg Tab 1390 1390 0 0
216 salep 2-4 Pot 5 5 0 0
217 Salisil bedak 2 % Pot 82 82 0 0
218 Semen seng fosfat serbuk & cairan Btl 0 0 0 0
219 Serum Anti Bisa Ular injeksi Vial 0 0 0 0
220 Serum Anti tetanus injeksi 1500 IU Ampul 10 10 0 0
221 Tatagam vial 0 0 0 0
222 Sianokobalamin inj 500 mcg/ml Btl 0 0 0 0
223 Silver Amalgam serbuk Tab 0 0 0 0
224 Simvastatin 10 mg Tab 3570 2620 950 0
225 Simvastatin 20 mg supp 3000 0 3000 0
226 Stesolid rectal supp 5 mg Supp 0 0 0 0
227 Stesolid rectal supp 10 mg Btl 13 13 0 0
228 Sulfasetamid tetes mata 15 % Tab 0 0 0 0
229 Tablet tambah darah (SF) Tab 21240 19240 2000 0
230 Temporary / Fletcher Kap 0 0 0 0
231 Tetrasiklin kapsul 250 mg Kap 0 0 0 0
232 Tetrasiklin kapsul 500 mg Tab 1100 1100 0 0
233 Thrombo Aspilet Tab 0 0 0 0
234 Thiamin injeksi Ampul 0 0 0 0
235 Thiamin tablet 50 mg Tab 20758 20758 0 0
236 Triheksipenidil hcl tablet 2 mg Tab 657 657 0 0
237 Trikresol formalin cairan ( TKF ) Ampul 0 0 0 0
238 Vaksin rabies vero Tab 0 0 0 0
239 Valsartan 80 mg Tab 0 0 0 0
240 Ventolin nebulizer Nebules 10 10 0 0
241 Vitamin B komplek tablet Tab 15800 15800 0 0
242 Yodium povidon lart 10 % - 30 ml Btl 0 0 0 0
243 Yodium povidon lart 10 % - 300 ml Btl 45 30 15 0
244 Xylocain jelly Tube 0 0 0 0
245 Lidocain Pasta Pot 0 0 0 0
246 Zinc tablet 20 mg Tab 2445 2445 0 0
247 Zinc sirup Btl 81 81 0 0
248 Betamin drage ( Vit. B1 ) Tab 0 0 0 0
249 Domperidon Btl 2200 2200 0 0
250 Clozapin 25 mg Tab 150 0 0 150
251 Clobazam 10 mg Tab 0 0 0 0
252 Trifluoperazin HCl 5 mg ( Stelosi ) Tab 0 0 0 0
253 Vitamin B 12 Tab 2200 2200 0 0
254 Ketokonazol Crem Tube 24 24 0 0
255 Ketokonazole Tablet Tab 943 0 943 0
256 Flufenazin Decanoat Inj 25 mg Ampul 10 0 0 10
257 Haloperidol Inj 5 mg ( Ladomer ) Ampul 0 0 0 0
258 Haloperidol Decanoat Inj 50 mg Ampul 0 0 0 0
259 Resperidon tab 2 mg Tab 1000 0 0 1000
260 Curviplex Sirup Btl 0 0 0 0
261 Andalan Inj 3 Bulan Vial 0 0 0 0
262 Andalan Inj 1 Bulan Vial 40 0 40 0
263 Cyclopen Inj. 1 Bulan Vial 190 0 190 0
264 Ichtyol Salaf Kulit Pot 13 0 13 0
265 Levertran Salep Kulit Pot 42 0 42 0
266 HEPATITIS B Paket 10 0 0 10
267 BCG Ampul 3 0 0 3
268 POLIO Vial 0 0 0 0
269 PENTABIO/DPTHBHib Vial 0 0 0 0
270 CAMPAK Vial 0 0 0 0
271 Td / TT Vial 10 0 0 10
272 IPV Vial 0 0 0 0
273 Vaksin MR Vial 0 0 0 0
274 Pelarut MR Vial 0 0 0 0
275 Pentocain 0,5 % TT Mata Btl 25 0 25 0
276 Domperidon syrup btl 7 7 0 0
277 Kloramfenikol syrup btl 7 7 0 0
278 cetirizin syrup btl 21 21 0 0
279 Pritamox sirup 125 mg btl 191 0 191 0
280 Albendazole syrup btl 0 0 0 0
281 Moxalaskap/cotri480mg tab 2840 0 2840 0
282 Moxalas syr/cotry syr btl 100 0 100 0
283 Lorihis tab/loratadin tab tab 860 0 860 0
284 Flagsol syr/metro syr btl 46 0 46 0
285 Selfolic 1000mg/Asam folat tab 3690 0 3690 0
286 Trifadium2mg/Loperamid tab tab 1229 0 1229 0
287 Omeprazole Injeksi Ampul 15 15 0 0
288 Gluconas Kalsikus injeksi amp 0 0 0 0
289 Tricloflem Vial 0 0 0 0
290 Cycloserin 250mg tab 0 0 0 0
291 Ethionmid 250mg tab 0 0 0 0
292 Levofloxacin 750mg tab 0 0 0 0
293 Bedaquilin 100mg tab 0 0 0 0
294 Hbig Bayi vial 0 0 0 0
0 0 0 0
BMHP 0 0 0 0
295 Alat suntik 1 ml Pcs 800 800 0 0
296 Alat suntik 2,5 ml Pcs 1900 1900 0 0
297 Alat suntik 3 ml Pcs 3100 2700 400 0
298 Alat suntik 5 ml Pcs 2400 1400 500 500
299 Alkohol 70 % ( 1 L ) Btl 25 25 0 0
300 Alkohol 70 % ( 60 Ml ) Btl 0 0 0 0
301 Aqua destilata steril 500 ml Btl 2 2 0 0
302 Aqua pro injeksi Vial 79 54 25 0
303 Bisturi no 10 Pcs 0 0 0 0
304 Bisturi no 11 Pcs 0 0 0 0
305 Bisturi no 20 Pcs 0 0 0 0
306 Bisturi no 22 Pcs 0 0 0 0
307 Blood Lancet Pcs 4800 2000 2800 0
308 Catgut/benang bedah Pcs 101 101 0 0
309 ETT no.6 Pcs 0 0 0 0
310 ETT no.6,5 Set 0 0 0 0
311 ETT no.7 Set 0 0 0 0
312 ETT no.7,5 Btl 0 0 0 0
313 Hand scrub Pcs 28 28 0 0
314 Handscoon uk.S Pcs 0 0 0 0
315 Handscoon uk. M Pcs 3600 0 3500 100
316 Handscoon uk. L Pcs 1600 0 1600 0
317 Infusion set anak set 50 0 50 0
318 Infusion set dewasa set 50 0 50 0
319 Wing neadle no. 23G Pcs 0 0 0 0
320 IV Catheter (Abocath) NO.20 Pcs 5 5 0 0
321 IV Catheter (Abocath) NO.22 Pcs 5 5 0 0
322 IV Catheter (Abocath) NO.24 pcs 0 0 0 0
323 Jarum Jahit (Nald Heating ) no. 10 pcs 38 38 0 0
324 Jarum Jahit (Nald Heating ) no. 11 pcs 0 0 0 0
325 Jarum Jahit (Nald Heating ) no. 12 pcs 0 0 0 0
326 Jarum Jahit (Nald Heating ) no. 13 pcs 0 0 0 0
327 Jarum Jahit (Nald Heating ) no. 14 Pcs 20 20 0 0
328 Kapas pembalut/Absorben 250 gr Roll 48 48 0 0
329 Kasa kompres 40/40 steril Roll 158 158 0 0
330 Kasa pembalut hidrofil 4m x 15 cm Roll 430 430 0 0
331 Kasa pembalut hidrofil 4 m x 3 cm Roll 320 320 0 0
332 Kassa 36x80 cm Roll 18 18 0 0
333 Kertas Saring Whatman Buku 1 0 1 0
334 Masker Pcs 5750 1000 4750 0
335 Objec Glass Box/72 21 4 0 17
336 Pipet Tetes Panjang Pcs 15 15 0 0
337 Plastik Obat Klip 10 x 7 Pcs 11000 0 11000 0
338 Plastik Obat Klip 13 x 8,7 12000 0 12000 0
339 Plester 5 yard x 2 inch Roll 25 21 0 4
340 Poly catheter no.8 Pcs 0 0 0 0
341 Poly catheter no.12 Pcs 0 0 0 0
342 Poly catheter no.16 Pcs/set 10 10 0 0
343 Silk ( benang bedah sutera) 03/0 Sak 49 13 0 36
344 Spons gelatin cublices bks 7 7 0 0
345 Stick Gluco DR Btl/50 17 0 17 0
346 Tabung Reaksi Pcs 0 0 0 0
347 Tes Kehamilan HCG Pcs 4 2 2 0
348 Transfution set/Transfusion blood ADM set 0 0 0 0
349 Urinalysis 10 parameter Btl 9 7 2 0
350 Stick asam Urat Btl/25 10 0 10 0
351 Stick Colestrol Btl/10 13 0 13 0
352 Jelly 250ml Ultra soundgel btl 0 0 0 0
353 Pot sputum Pcs 0 0 0 0
354 Reagen TB Paket 0 0 0 0
355 Sefty box 2,5 L Box 0 0 0 0
356 Reagen sifilis(SD,Bio StanQ) Test 0 0 0 0
357 Box Slide Ktk 0 0 0 0
358 Fokus test Ktk 0 0 0 0
359 Alat suntik 0,5 ml Box 4859 0 0 4859
360 Sefty box 5 L Box 0 0 0 0
361 Masker Nebulizer Anak Psc 0 0 0 0
362 Masker Nebulizer Dewasa Psc 0 0 0 0
363 Nasal Oksigen Kanula Anak Psc 0 0 0 0
364 Nasal Oksigen Kanula Dewasa Psc 0 0 0 0
365 Non Rebreating Mask Psc 0 0 0 0
366 ID Dewasa Pink Box 0 0 0 0
367 ID Dewasa Blue Box 0 0 0 0
368 ID Bayi Pink Box 0 0 0 0
369 ID Bayi Biru Box 0 0 0 0
370 Umbilical Keniko Box 0 0 0 0
371 Folley Catheter 16 Rusch Pcs 0 0 0 0
372 Urine Bag Fresco Pcs 0 0 0 0
373 Disp Sryringe 10 ml Onemed Box 0 0 0 0
374 Suction Catheter 8 Remedi Pcs 0 0 0 0
375 Suction Catheter 16 Remedi Psc 0 0 0 0
376 Plaster Hypafix Psc 0 0 0 0
377 Rapid Test HIV I Standar (Stik SD HIV ) Pcs 0 0 0 0
378 Kasa Steril 16 X 16 Kotak 173 0 173 0
379 Alat Nesco Tri in one Kotak 0 0 0 0
380 Alkohol Swab One swab Kotak 10 0 10 0
381 Bahan tambalan Komposid (solare) Tube 4 0 4 0
382 OCO Btl/15ml 0 0 0 0
383 Paper Pad Buku 6 0 6 0
384 Masker 1860 S/N95 pcs 0 0 0 0
385 Rapid Test HIV II : Vikia (HIV ke 1) Test 0 0 0 0
386 Rapid Test Hiv, 3 : Intec/China (HIV KE 2) Test 0 0 0 0
387 RDT(Virotec+Diluent)DBD Test 0 0 0 0

REAGENSIA 0 0 0 0
388 Cell Clean ( CL-50) Btl 0 0 0 0
389 Cell Pack ( PK-30L) Btl 0 0 0 0
390 Control eight check 3 x 1,5 ml Btl/set 0 0 0 0
391 Eightcheck-3WP (Normal) 1,5 ml Vial 0 0 0 0
392 Eightcheck-3WP (Low) 1,5 ml Vial 0 0 0 0
393 Eightcheck-3WP (High) 1,5 ml Vial 0 0 0 0
394 Stomalyzer WH(SWH-2004) btl 0 0 0 0
395 Tabung K2 EDTA 2 ml Btl 0 0 0 0
396 Printer Paper Pcs 0 0 0 0
397 Deck Glass Btl 5 5 0 0
398 Tes Gol Darah (A,B,AB ) Set 0 0 0 0
399 Tisu lensa Buku 0 0 0 0
400 Kertas perkamen Lembar 19 19 0 0
401 Podofilin Tinctur 25 % Btl 0 0 0 0
402 Larutan Fauchet Btl 0 0 0 0
403 Larutan Lisol Btl 34 34 0 0
404 Larutan asam klorida 0,1 N Btl 0 0 0 0
405 Larutan asam sulfosalisilat 20% Btl 0 0 0 0
406 Larutan barium klorida Btl 0 0 0 0
407 Larutan Benedict Btl 0 0 0 0
408 Larutan Bupper PH 7,2 Btl 0 0 0 0
409 Larutan EDTA Cair 10 % Btl 0 0 0 0
410 Larutan Eosin 2 % Btl 0 0 0 0
411 Larutan Etanol Asam Btl 0 0 0 0
412 Larutan Giemsa Stalin Btl 0 0 0 0
413 Larutan H2O2 Btl 7 7 0 0
414 Larutan Imersen oil HB Btl 0 0 0 0
415 Larutan karbol fuksin Btl 0 0 0 0
416 Larutan Metanol Btl 0 0 0 0
417 Larutan Metilen Biru Btl 0 0 0 0
418 Larutan Natrium Sitrat 38 % Btl 0 0 0 0
419 Larutan Rees echer Btl 0 0 0 0
420 Larutan spiritus 100 ml Btl 0 0 0 0
421 Larutan turk Btl 0 0 0 0
422 Ether Alkohol Botol 0 0 0 0
423 Buffer Ph 6,4 Botol 0 0 0 0
424 KOH 10 % Btl 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
553,819 359,321 187,124 7,374
553819 359321 187124 7374

-
LAPORAN PEMAKAIAN DAN LEMBAR PERM

STOK AWAL GUDANG STOK AWAL APOTIK PENERIMAAN


PKD BLUD PROG PKD BLUD PROG PKD BLUD PROG JUMLAH

278 0 0 78 0 0 0 0 0 0
900 0 0 403 0 0 0 0 0 0
1050 0 0 290 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 0 0
400 0 0 644 0 0 0 0 0 0
450 1600 0 0 585 0 0 0 0 0
0 182 0 0 10 0 0 0 0 0
700 0 0 800 230 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1300 0 0 200 0 0 0 0 0 0
2000 0 0 42 0 0 0 0 0 0
2100 3000 0 1010 0 0 0 0 0 0
0 9000 0 0 690 0 0 0 0 0
23300 0 0 770 0 0 0 0 0 0
50 0 0 60 0 0 0 0 0 0
480 0 0 52 0 0 0 0 0 0
2820 0 0 550 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
4300 0 0 185 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
11100 20000 0 1870 0 0 0 0 0 0
0 50 0 0 24 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
48 0 0 10 0 0 0 0 0 0
160 0 0 19 0 0 0 0 0 0
1000 0 0 0 0 0 0 0 0 0
15800 6500 0 1330 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
1400 0 0 670 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
180 0 0 15 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
225 0 0 68 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1000 0 0 698 0 0 0 0 0 0
1100 0 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0 0 0
1000 0 0 580 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
90 0 0 133 0 0 0 0 0 0
4000 0 0 638 0 0 0 0 0 0
300 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
18100 0 0 1086 0 0 0 0 0 0
190 0 0 0 0 0 0 0 0 0
1300 800 0 138 0 0 0 0 0 0
1100 0 100 0 0 0 0 0 0 0
30 0 0 0 0 0 0 0 0 0
120 0 0 0 0 0 0 0 0 0
100 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
41 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
100 0 0 0 0 0 0 0 0 0
2800 0 0 556 0 0 0 0 0 0
4000 0 0 40 0 0 0 0 0 0
0 25 0 0 4 0 0 0 0 0
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
5 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 40 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
400 0 0 99 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
72 0 0 38 0 0 0 0 0 0
1900 0 0 686 0 0 0 0 0 0
30 0 0 0 0 0 0 0 0 0
0 0 0 20 0 0 0 0 0 0
0 200 0 0 423 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
5100 0 0 122 0 0 0 0 0 0
70 0 0 20 0 0 0 0 0 0
72 0 0 45 0 0 0 0 0 0
96 0 0 48 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
24 48 0 37 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 0 0
2600 0 0 300 0 0 0 0 0 0
1100 500 0 390 0 0 0 0 0 0
0 48900 0 0 505 0 0 0 0 0
28 0 0 0 0 0 0 0 0 0
800 0 0 200 0 0 0 0 0 0
300 0 0 100 0 0 0 0 0 0
0 0 0 70 0 0 0 0 0 0
600 0 0 0 0 0 0 0 0 0
0 0 500 0 0 0 0 0 0 0
900 0 0 410 0 0 0 0 0 0
57 0 0 48 0 0 0 0 0 0
2700 0 0 886 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 0 0 0 0 0 0 0 0 0
100 0 0 34 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
11300 10500 0 860 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
60 0 0 30 0 0 0 0 0 0
120 0 0 28 0 0 0 0 0 0
75 0 0 27 0 0 0 0 0 0
0 0 0 10 0 0 0 0 0 0
35300 0 0 395 0 0 0 0 0 0
0 48 0 0 24 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
600 0 0 81 0 0 0 0 0 0
100 0 0 90 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
600 0 0 0 0 0 0 0 0 0
600 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
5 0 0 0 0 0 0 0 0 0
5 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
4700 0 0 600 0 0 0 0 0 0
6000 3200 0 220 1000 0 0 0 0 0
200 0 0 0 0 0 0 0 0 0
0 0 75 0 0 0 0 0 0 0
2500 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1000 0 0 310 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
168 0 0 29 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
1100 0 0 100 0 0 0 0 0 0
1800 0 0 1014 0 0 0 0 0 0
2750 1100 0 0 110 0 0 0 0 0
120 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
200 0 0 60 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
400 0 0 60 0 0 0 0 0 0
5 240 0 17 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 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
50 0 0 0 0 0 0 0 0 0
125 0 0 70 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 0 0
1830 0 0 796 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
20900 20200 0 330 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 360 0 0 79 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
100 0 0 184 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
22400 0 0 724 0 0 0 0 0 0
500 2000 0 0 0 0 0 0 0 0
0 800 0 0 520 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
15700 0 0 1164 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 0 0 0 0 0 0 0 0 0
200 400 0 0 180 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
39 0 0 0 0 0 0 0 0 0
0 0 0 680 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 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
28 0 0 0 0 0 0 0 0 0
0 0 0 423 0 0 0 0 0 0
1000 0 0 390 0 0 0 0 0 0
0 0 0 5 0 0 0 0 0 0
80 0 0 2 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
10 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
1800 950 0 820 0 0 0 0 0 0
0 3000 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
18600 2000 0 640 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
1100 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
20500 0 0 258 0 0 0 0 0 0
500 0 0 157 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
10 0 0 0 0 0 0 0 0 0
15400 0 0 400 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
30 15 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
2100 0 0 345 0 0 0 0 0 0
50 0 0 31 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1400 0 0 800 0 0 0 0 0 0
0 0 150 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
1200 0 0 1000 0 0 0 0 0 0
0 0 0 24 0 0 0 0 0 0
0 800 0 0 143 0 0 0 0 0
0 0 10 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 1000 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 40 0 0 0 0 0 0 0 0
0 190 0 0 0 0 0 0 0 0
0 0 0 0 13 0 0 0 0 0
0 24 0 0 18 0 0 0 0 0
0 0 10 0 0 0 0 0 10 10
0 0 3 0 0 0 0 0 6 6
0 0 0 0 0 0 0 0 15 15
0 0 0 0 0 0 0 0 35 35
0 0 0 0 0 0 0 0 15 15
0 0 10 0 0 0 0 0 30 30
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 25 0 0 0 0 0 0 0 0
0 0 0 7 0 0 0 0 0 0
0 0 0 7 0 0 0 0 0 0
0 0 0 21 0 0 0 0 0 0
0 180 0 0 11 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 2000 0 0 840 0 0 0 0 0
0 100 0 0 0 0 0 0 0 0
0 700 0 0 160 0 0 0 0 0
0 40 0 0 6 0 0 0 0 0
0 2500 0 0 1190 0 0 0 0 0
0 800 0 0 429 0 0 0 0 0
15 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 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 1
0
0 0 0 0 0 0 0 0 0 0
800 0 0 0 0 0 0 0 0 0
1900 0 0 0 0 0 0 0 0 0
2700 400 0 0 0 0 0 0 30 30
1400 500 500 0 0 0 0 0 0 0
25 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0 0 0
54 25 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 0
2000 2800 0 0 0 0 0 0 0 0
101 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 0 0
28 0 0 0 0 0 2 0 0 2
0 0 0 0 0 0 0 0 0 0
0 3500 100 0 0 0 0 0 0 0
0 1600 0 0 0 0 0 0 0 0
0 50 0 0 0 0 0 0 0 0
0 50 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
5 0 0 0 0 0 0 0 0 0
5 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
38 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
20 0 0 0 0 0 0 0 0 0
48 0 0 0 0 0 0 0 0 0
158 0 0 0 0 0 0 0 0 0
430 0 0 0 0 0 0 0 0 0
320 0 0 0 0 0 0 0 0 0
18 0 0 0 0 0 0 0 0 0
0 1 0 0 0 0 0 0 0 0
1000 4750 0 0 0 0 3500 0 0 3500
4 0 17 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0
0 11000 0 0 0 0 0 0 0 0
0 12000 0 0 0 0 0 0 0 0
21 0 4 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
10 0 0 0 0 0 0 0 0 0
13 0 36 0 0 0 0 0 0 0
7 0 0 0 0 0 0 0 0 0
0 17 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
2 2 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
7 2 0 0 0 0 0 0 0 0
0 10 0 0 0 0 0 0 0 0
0 13 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 2 0 2
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 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 4859 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
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 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 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
0 173 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 10 0 0 0 0 0 0 0 0
0 4 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 6 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 10 10
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 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 8 0 8
0 0 0 0 0 0 0 0 0 0
5 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
19 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
34 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 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 0 0 0 0 0
7 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 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 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 0 0 0 0 0 0 0 0
329,584 179,930 7,374 29,737 7,194 - 3,502 10 152 3,664
329,584 179,930 7,374 29737 7194 0 3,502 10 152
AN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )

PERSEDIA PEMAKAIAN PEMAKAIAN GUDANG (LAIN-LAIN) PEMAKAIAN APOTIK STOK AKHIR


STOK AKHIR
AN PKD BLUD PROG PKD BLUD PROG PKD

356 6 0 0 0 6 0 0 350 350


1303 0 0 0 0 0 0 0 1303 1303
1340 150 0 0 0 150 0 0 1190 1190
1 0 0 0 0 0 0 0 1 1
100 0 0 0 0 0 0 0 100 100
1044 164 100 0 0 64 0 0 880 880
2635 140 0 0 0 0 140 0 2495 450
192 14 0 0 0 0 14 0 178 0
1730 400 0 0 0 170 230 0 1330 1330
0 0 0 0 0 0 0 0 0 0
1500 0 0 0 0 0 0 0 1500 1500
2042 29 0 0 0 29 0 0 2013 2013
6110 350 0 0 0 350 0 0 5760 2760
9690 170 0 0 0 0 170 0 9520 0
24070 1820 100 0 0 1720 0 0 22250 22250
110 36 0 0 0 36 0 0 74 74
532 60 60 0 0 0 0 0 472 472
3370 170 60 0 0 110 0 0 3200 3200
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
4485 75 0 0 0 75 0 0 4410 4410
0 0 0 0 0 0 0 0 0 0
32970 9200 8300 0 0 900 0 0 23770 3770
74 38 0 7 0 0 31 0 36 0
0 0 0 0 0 0 0 0 0 0
58 1 0 0 0 1 0 0 57 57
179 52 10 0 0 42 0 0 127 127
1000 0 0 0 0 0 0 0 1000 1000
23630 2710 700 0 0 1330 680 0 20920 15100
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
2070 1850 100 0 0 1750 0 0 220 220
0 0 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 100 100
0 0 0 0 0 0 0 0 0 0
195 0 0 0 0 0 0 0 195 195
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
293 6 0 0 0 6 0 0 287 287
0 0 0 0 0 0 0 0 0 0
1698 160 0 0 0 160 0 0 1538 1538
1100 500 500 0 0 0 0 0 600 600
100 0 0 0 0 0 0 0 100 100
100 0 0 0 0 0 0 0 100 100
2 0 0 0 0 0 0 0 2 2
1580 110 0 0 0 110 0 0 1470 1470
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
223 133 0 0 0 133 0 0 90 90
4638 658 200 0 0 458 0 0 3980 3980
300 0 0 0 0 0 0 0 300 300
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
19186 1666 500 0 0 1166 0 0 17520 17520
190 30 30 0 0 0 0 0 160 160
2238 28 0 0 0 28 0 0 2210 1410
1200 0 0 0 0 0 0 0 1200 1100
30 30 30 0 0 0 0 0 0 0
120 0 0 0 0 0 0 0 120 120
100 0 0 0 0 0 0 0 100 100
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
41 0 0 0 0 0 0 0 41 41
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
100 0 0 0 0 0 0 0 100 100
3356 40 0 0 0 40 0 0 3316 3316
4040 40 0 0 0 40 0 0 4000 4000
29 4 0 0 0 0 4 0 25 0
31 3 3 0 0 0 0 0 28 28
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
5 4 4 0 0 0 0 0 1 1
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
40 40 0 0 0 40 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
499 2 0 0 0 2 0 0 497 497
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
110 10 0 0 0 10 0 0 100 100
2586 86 0 0 0 86 0 0 2500 2500
30 0 0 0 0 0 0 0 30 30
20 18 0 0 0 18 0 0 2 2
623 18 0 0 0 0 18 0 605 0
0 0 0 0 0 0 0 0 0 0
5222 298 200 0 0 98 0 0 4924 4924
90 5 0 0 0 5 0 0 85 85
117 10 0 0 0 10 0 0 107 107
144 0 0 0 0 0 0 0 144 144
0 0 0 0 0 0 0 0 0 0
109 9 0 0 0 9 0 0 100 52
0 0 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 100 100
2900 550 200 0 0 350 0 0 2350 2350
1990 70 0 0 0 70 0 0 1920 1420
49405 2085 0 0 0 0 2085 0 47320 0
28 1 1 0 0 0 0 0 27 27
1000 0 0 0 0 0 0 0 1000 1000
400 0 0 0 0 0 0 0 400 400
70 0 0 0 0 0 0 0 70 70
600 0 0 0 0 0 0 0 600 600
500 0 0 0 0 0 0 0 500 0
1310 0 0 0 0 0 0 0 1310 1310
105 15 0 0 0 15 0 0 90 90
3586 786 600 0 0 186 0 0 2800 2800
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 0 0 0
134 4 0 0 0 4 0 0 130 130
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
22660 1500 0 0 0 1500 0 0 21160 10660
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
90 0 0 0 0 0 0 0 90 90
148 0 0 0 0 0 0 0 148 148
102 2 0 0 0 2 0 0 100 100
10 10 0 0 0 10 0 0 0 0
35695 6285 2500 0 0 3785 0 0 29410 29410
72 24 0 0 0 0 24 0 48 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
681 20 0 0 0 20 0 0 661 661
190 21 0 0 0 21 0 0 169 169
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
600 60 60 0 0 0 0 0 540 540
600 200 200 0 0 0 0 0 400 400
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
5 0 0 0 0 0 0 0 5 5
5 0 0 0 0 0 0 0 5 5
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
5300 110 100 0 0 10 0 0 5190 5190
10420 550 0 0 0 220 330 0 9870 6000
200 0 0 0 0 0 0 0 200 200
75 0 0 0 0 0 0 0 75 0
2500 0 0 0 0 0 0 0 2500 2500
0 0 0 0 0 0 0 0 0 0
1310 420 300 0 0 120 0 0 890 890
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
197 24 0 0 0 24 0 0 173 173
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1200 15 0 0 0 15 0 0 1185 1185
2814 604 0 0 0 604 0 0 2210 2210
3960 670 600 0 0 0 70 0 3290 2150
120 12 12 0 0 0 0 0 108 108
0 0 0 0 0 0 0 0 0 0
260 0 0 0 0 0 0 0 260 260
0 0 0 0 0 0 0 0 0 0
460 8 0 0 0 8 0 0 452 452
262 158 0 0 0 17 141 0 104 5
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 0 0 0
0 0 0 0 0 0 0 0 0 0
50 25 25 0 0 0 0 0 25 25
195 39 25 0 0 14 0 0 156 156
0 0 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 100 100
2626 746 390 0 0 356 0 0 1880 1880
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
41430 7620 2200 0 0 5420 0 0 33810 13610
0 0 0 0 0 0 0 0 0 0
439 41 0 0 0 0 41 0 398 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
284 4 0 0 0 4 0 0 280 280
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
23124 524 0 0 0 524 0 0 22600 22600
2500 100 100 0 0 0 0 0 2400 400
1320 280 0 0 0 0 280 0 1040 0
0 0 0 0 0 0 0 0 0 0
16864 844 0 0 0 844 0 0 16020 16020
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 0 0 0
780 0 0 0 0 0 0 0 780 200
0 0 0 0 0 0 0 0 0 0
39 0 0 0 0 0 0 0 39 39
680 470 0 0 0 470 0 0 210 210
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 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
28 18 18 0 0 0 0 0 10 10
423 133 0 0 0 133 0 0 290 290
1390 170 100 0 0 70 0 0 1220 1220
5 0 0 0 0 0 0 0 5 5
82 17 0 0 0 17 0 0 65 65
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
10 10 10 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
3570 770 60 0 0 710 0 0 2800 1850
3000 40 0 0 0 0 40 0 2960 0
0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 13 13
0 0 0 0 0 0 0 0 0 0
21240 2080 0 0 0 2080 0 0 19160 17160
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1100 10 0 0 0 10 0 0 1090 1090
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
20758 528 0 0 0 528 0 0 20230 20230
657 20 0 0 0 20 0 0 637 637
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
10 0 0 0 0 0 0 0 10 10
15800 3050 0 0 0 3050 0 0 12750 12750
0 0 0 0 0 0 0 0 0 0
45 5 5 0 0 0 0 0 40 25
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
2445 20 0 0 0 20 0 0 2425 2425
81 7 0 0 0 7 0 0 74 74
0 0 0 0 0 0 0 0 0 0
2200 230 0 0 0 230 0 0 1970 1970
150 0 0 0 0 0 0 0 150 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
2200 0 0 0 0 0 0 0 2200 2200
24 5 0 0 0 5 0 0 19 19
943 0 0 0 0 0 0 0 943 0
10 0 0 0 0 0 0 0 10 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1000 20 0 0 0 0 0 20 980 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
40 0 0 0 0 0 0 0 40 0
190 0 0 0 0 0 0 0 190 0
13 4 0 0 0 0 4 0 9 0
42 0 0 0 0 0 0 0 42 0
20 8 0 0 8 0 0 0 12 0
9 6 0 0 6 0 0 0 3 0
15 15 0 0 15 0 0 0 0 0
35 32 0 0 32 0 0 0 3 0
15 3 0 0 3 0 0 0 12 0
40 1 0 0 1 0 0 0 39 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
25 0 0 0 0 0 0 0 25 0
7 1 0 0 0 1 0 0 6 6
7 2 0 0 0 2 0 0 5 5
21 0 0 0 0 0 0 0 21 21
191 0 0 0 0 0 0 0 191 0
0 0 0 0 0 0 0 0 0 0
2840 100 0 0 0 0 100 0 2740 0
100 0 0 0 0 0 0 0 100 0
860 0 0 0 0 0 0 0 860 0
46 0 0 0 0 0 0 0 46 0
3690 780 0 0 0 0 780 0 2910 0
1229 179 0 100 0 0 79 0 1050 0
15 0 0 0 0 0 0 0 15 15
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
0 0 0 0 0 0 0 0 0 0
1 1 0 0 1 0 0
0 0 0 0
0 0 0 0 0 0 0 0 0 0
800 300 300 0 0 0 0 0 500 500
1900 200 200 0 0 0 0 0 1700 1700
3130 0 0 0 0 0 0 0 3130 2700
2400 100 100 0 0 0 0 0 2300 1300
25 12 12 0 0 0 0 0 13 13
0 0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0 2 2
79 0 0 0 0 0 0 0 79 54
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
4800 0 0 0 0 0 0 0 4800 2000
101 29 29 0 0 0 0 0 72 72
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
30 15 14 0 0 1 0 0 15 15
0 0 0 0 0 0 0 0 0 0
3600 800 0 800 0 0 0 0 2800 0
1600 300 0 300 0 0 0 0 1300 0
50 0 0 0 0 0 0 0 50 0
50 5 0 5 0 0 0 0 45 0
0 0 0 0 0 0 0 0 0 0
5 0 0 0 0 0 0 0 5 5
5 0 0 0 0 0 0 0 5 5
0 0 0 0 0 0 0 0 0 0
38 0 0 0 0 0 0 0 38 38
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
20 0 0 0 0 0 0 0 20 20
48 3 3 0 0 0 0 0 45 45
158 0 0 0 0 0 0 0 158 158
430 10 10 0 0 0 0 0 420 420
320 20 20 0 0 0 0 0 300 300
18 1 1 0 0 0 0 0 17 17
1 0 0 0 0 0 0 0 1 0
9250 1050 400 650 0 0 0 0 8200 4100
21 0 0 0 0 0 0 0 21 4
15 0 0 0 0 0 0 0 15 15
11000 500 0 500 0 0 0 0 10500 0
12000 7000 0 5000 0 0 2000 0 5000 0
25 1 1 0 0 0 0 0 24 20
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 10 10
49 0 0 0 0 0 0 0 49 13
7 0 0 0 0 0 0 0 7 7
17 1 0 1 0 0 0 0 16 0
0 0 0 0 0 0 0 0 0 0
4 0 0 0 0 0 0 0 4 2
0 0 0 0 0 0 0 0 0 0
9 0 0 0 0 0 0 0 9 7
10 2 0 2 0 0 0 0 8 0
13 5 0 5 0 0 0 0 8 0
2 0 0 0 0 0 0 0 2 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 0 0 0 0
0 0 0 0 0 0 0 0 0 0
4859 0 0 0 0 0 0 0 4859 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 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 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
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
173 6 0 6 0 0 0 0 167 0
0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 10 0
4 0 0 0 0 0 0 0 4 0
0 0 0 0 0 0 0 0 0 0
6 0 0 0 0 0 0 0 6 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0
10 10 0 0 10 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 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
8 1 0 1 0 0 0 0 7 0
0 0 0 0 0 0 0 0 0 0
5 0 0 0 0 0 0 0 5 5
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
19 0 0 0 0 0 0 0 19 19
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
34 2 2 0 0 0 0 0 32 32
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 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
7 3 3 0 0 0 0 0 4 4
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 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 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
557,483 64,881 19,498 7,377 76 30,649 7,261 20 492,602 312,676
19498 7377 76 30649 7261 20 312,676
557,483 -
Bulan : Maret 2020
STOK AKHIR PEMAKAIAN PERMINTAA PEMBERIAN KET.
BLUD PROG RATA2/BLN N PKD BLUD PROG LAIN-LAIN JUMLAH

0 0
0 0
0 0
0 0
0 0
0 0
2045 0
178 0
0 0
0 0
0 0
0 0
3000 0
9520 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
20000 0
36 0
0 0
0 0
0 0
0 0
5820 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
0 0
0 0
0 0
0 0
800 0
0 100
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
25 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
605 0
0 0
0 0
0 0
0 0
0 0
0 0
48 0
0 0
0 0
0 0
500 0
47320 0
0 0
0 0
0 0
0 0
0 0
0 500
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
10500 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
48 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
3870 0
0 0
0 75
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1140 0
0 0
0 0
0 0
0 0
0 0
99 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
20200 0
0 0
398 0
0 0
0 0
0 0
0 0
0 0
0 0
2000 0
1040 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
580 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
950 0
2960 0
0 0
0 0
0 0
2000 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
15 0
0 0
0 0
0 0
0 0
0 0
0 0
0 150
0 0
0 0
0 0
0 0
943 0
0 10
0 0
0 0
0 980
0 0
0 0
40 0
190 0
9 0
42 0
0 12
0 3
0 0
0 3
0 12
0 39
0 0
0 0
0 0
25 0
0 0
0 0
0 0
191 0
0 0
2740 0
100 0
860 0
46 0
2910 0
1050 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
400 30
500 500
0 0
0 0
0 0
25 0
0 0
0 0
0 0
0 0
2800 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2700 100
1300 0
50 0
45 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
1 0
4100 0
0 17
0 0
10500 0
5000 0
0 4
0 0
0 0
0 0
0 36
0 0
16 0
0 0
2 0
0 0
2 0
8 0
8 0
2 0
0 0
0 0
0 0
0 0
0 0
0 0
0 4859
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
167 0
0 0
10 0
4 0
0 0
6 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
7 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
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
172,496 7,430 492,602
stok awalpenerimaanpemakaian sisa cek
gudang 516,888 3,664 26,951 493,601
apotik 36,931 0 37,930 - 999
492,602

516,888 3,664 62,910 457,642 457,642


36931 35959 37930 34,960 34960
492,602 -
62,910
34960 457,642
-
PEMAKAIAN TOTAL(GUDANG + APOTIK)
PKD BLUD PROG

6 0 0
0 0 0
150 0 0
0 0 0
0 0 0
164 0 0
0 140 0
0 14 0
170 230 0
0 0 0
0 0 0
29 0 0
350 0 0
0 170 0
1820 0 0
36 0 0
60 0 0
170 0 0
0 0 0
0 0 0
0 0 0
75 0 0
0 0 0
9200 0 0
0 38 0
0 0 0
1 0 0
52 0 0
0 0 0
2030 680 0
0 0 0
0 0 0
1850 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
6 0 0
0 0 0
160 0 0
500 0 0
0 0 0
0 0 0
0 0 0
110 0 0
0 0 0
0 0 0
133 0 0
658 0 0
0 0 0
0 0 0
0 0 0
1666 0 0
30 0 0
28 0 0
0 0 0
30 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
40 0 0
40 0 0
0 4 0
3 0 0
0 0 0
0 0 0
4 0 0
0 0 0
0 0 0
40 0 0
0 0 0
0 0 0
2 0 0
0 0 0
0 0 0
10 0 0
86 0 0
0 0 0
18 0 0
0 18 0
0 0 0
298 0 0
5 0 0
10 0 0
0 0 0
0 0 0
9 0 0
0 0 0
0 0 0
550 0 0
70 0 0
0 2085 0
1 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
15 0 0
786 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
4 0 0
0 0 0
0 0 0
1500 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
2 0 0
10 0 0
6285 0 0
0 24 0
0 0 0
0 0 0
0 0 0
0 0 0
20 0 0
21 0 0
0 0 0
0 0 0
0 0 0
0 0 0
60 0 0
200 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
110 0 0
220 330 0
0 0 0
0 0 0
0 0 0
0 0 0
420 0 0
0 0 0
0 0 0
24 0 0
0 0 0
0 0 0
15 0 0
604 0 0
600 70 0
12 0 0
0 0 0
0 0 0
0 0 0
8 0 0
17 141 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
25 0 0
39 0 0
0 0 0
0 0 0
746 0 0
0 0 0
0 0 0
0 0 0
7620 0 0
0 0 0
0 41 0
0 0 0
0 0 0
4 0 0
0 0 0
0 0 0
524 0 0
100 0 0
0 280 0
0 0 0
844 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
470 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
18 0 0
133 0 0
170 0 0
0 0 0
17 0 0
0 0 0
0 0 0
10 0 0
0 0 0
0 0 0
0 0 0
770 0 0
0 40 0
0 0 0
0 0 0
0 0 0
2080 0 0
0 0 0
0 0 0
10 0 0
0 0 0
0 0 0
528 0 0
20 0 0
0 0 0
0 0 0
0 0 0
0 0 0
3050 0 0
0 0 0
5 0 0
0 0 0
0 0 0
20 0 0
7 0 0
0 0 0
230 0 0
0 0 0
0 0 0
0 0 0
0 0 0
5 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 20
0 0 0
0 0 0
0 0 0
0 0 0
0 4 0
0 0 0
0 0 8
0 0 6
0 0 15
0 0 32
0 0 3
0 0 1
0 0 0
0 0 0
0 0 0
0 0 0
1 0 0
2 0 0
0 0 0
0 0 0
0 0 0
0 100 0
0 0 0
0 0 0
0 0 0
0 780 0
0 179 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 1
0 0 0
0 0 0
300 0 0
200 0 0
0 0 0
100 0 0
12 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
29 0 0
0 0 0
0 0 0
0 0 0
0 0 0
15 0 0
0 0 0
0 800 0
0 300 0
0 0 0
0 5 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
3 0 0
0 0 0
10 0 0
20 0 0
1 0 0
0 0 0
400 650 0
0 0 0
0 0 0
0 500 0
0 7000 0
1 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 1 0
0 0 0
0 0 0
0 0 0
0 0 0
0 2 0
0 5 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 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 6 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 10

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 1 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
2 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
3 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

50,147 14,638 96 64,881

#REF!
64,881
PUSKESMAS PAAL X KOTA JAMBI
KODE. 5070101
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )

Bulan : April 202


STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAK PEMBERIAN
AIAN PERMINT KET.
NO. NAMA BARANG SATUAN
RATA2/ AAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH BLN PKD PROG JUMLAH

OBAT
1 Acyclovir cream 5 % tube 350 0 0 350 0 0 0 0 350 0 0 350 5 0 0 5 345 0 0 345
2 Acyclovir tablet 200 mg Tab 1303 0 0 1303 0 0 0 0 1303 0 0 1303 23 0 0 23 1280 0 0 1280
3 Acyclovir tablet 400 mg Tab 1190 0 0 1190 200 0 0 200 1390 0 0 1390 42 0 0 42 1348 0 0 1348
4 Air Raksa Dental Use Btl 1 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0 1 0 0 1
5 Albendazole 400 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100
6 Allopurinol 100 mg Tab 880 0 0 880 500 0 0 500 1380 0 0 1380 20 0 0 20 1360 0 0 1360
7 Allopurinol 300 mg Tab 450 2045 0 2495 0 0 0 0 450 2045 0 2495 0 85 0 85 450 1960 0 2410
8 Ambroxol syrup Btl 0 178 0 178 0 0 0 0 0 178 0 178 0 4 0 4 0 174 0 174
9 Ambroxol tab 30 mg Tab 1330 0 0 1330 1000 0 0 1000 2330 0 0 2330 150 0 0 150 2180 0 0 2180
10 Aminofilin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Aminofilin tablet Tab 1500 0 0 1500 0 0 0 0 1500 0 0 1500 0 0 0 0 1500 0 0 1500
12 Amitriptilin tablet 25 mg Tab 2013 0 0 2013 0 0 0 0 2013 0 0 2013 12 0 0 12 2001 0 0 2001
13 Amlodipin 5 mg Tab 2760 3000 0 5760 0 0 0 0 2760 3000 0 5760 370 0 0 370 2390 3000 0 5390
14 Amoksisilin kap 250 mg Kap 0 9520 0 9520 0 0 0 0 0 9520 0 9520 0 70 0 70 0 9450 0 9450
15 Amoksisilin kap 500 mg Kap 22250 0 0 22250 1000 0 0 1000 23250 0 0 23250 630 0 0 630 22620 0 0 22620
16 Amoksisilin sirup kering 125 mg/5 ml Btl 74 0 0 74 60 0 0 60 134 0 0 134 16 0 0 16 118 0 0 118
17 Amoksisilin Sirup Forte 250 mg/5 ml Btl 472 0 0 472 0 0 0 0 472 0 0 472 0 0 0 0 472 0 0 472
18 Amlodipin 10 mg Tab 3200 0 0 3200 0 0 0 0 3200 0 0 3200 133 0 0 133 3067 0 0 3067
19 Amoksisilin injeksi Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Ampisilin Kaplet 500 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Ampisilin sirup kering 125 mg/5 ml Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Antalgin tablet 500 mg Tab 4410 0 0 4410 0 0 0 0 4410 0 0 4410 220 0 0 220 4190 0 0 4190
23 Antalgin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Antasida doen tablet Tab 3770 20000 0 23770 16800 0 0 16800 20570 20000 0 40570 2120 10000 0 12120 18450 10000 0 28450
25 Antasida sirup Btl 0 36 0 36 200 0 0 200 200 36 0 236 17 0 0 17 183 36 0 219
26 Anti Bakteri salep / Bacitracin salep Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Anti Fungi kombinasi Pot 57 0 0 57 72 0 0 72 129 0 0 129 0 0 0 0 129 0 0 129
28 Anti Hemoroid supp 127 0 0 127 100 0 0 100 227 0 0 227 27 0 0 27 200 0 0 200
29 Anti Migrain tablet Tab 1000 0 0 1000 0 0 0 0 1000 0 0 1000 0 0 0 0 1000 0 0 1000
30 Asam Askorbat (VIT C) 50 mg Tab 15100 5820 0 20920 14000 0 0 14000 29100 5820 0 34920 762 320 0 1082 28338 5500 0 33838
31 Asam Folat Tab 0 0 0 0 2000 0 0 2000 2000 0 0 2000 0 0 0 0 2000 0 0 2000
32 Asering Infus Kolf 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 Asam Mefenamat 500 mg Tab 220 0 0 220 3000 0 0 3000 3220 0 0 3220 690 0 0 690 2530 0 0 2530
34 Asam Tranexamat injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAK PEMBERIAN
AIAN PERMINT KET.
NO. NAMA BARANG SATUAN
RATA2/ AAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH BLN PKD PROG JUMLAH

35 Asam Asetilsalisilat(Asetosal) 80 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100


36 Asetosal tablet 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
37 Azitromycin 500 mg Tab 195 0 0 195 0 0 0 0 195 0 0 195 0 0 0 0 195 0 0 195
38 Bisoprolol tablet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 Benzatin benzil penicilin inj 2,4 jt iu Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
40 Betadin salep Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
41 Betametason kream 0,1 % Tube 287 0 0 287 0 0 0 0 287 0 0 287 181 0 0 181 106 0 0 106
42 Bisacodyl 10 mg Supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
43 Bethahistin maselat Tablet 1538 0 0 1538 500 0 0 500 2038 0 0 2038 253 0 0 253 1785 0 0 1785
44 Captopril 12,5 mg Tab 600 0 0 600 500 0 0 500 1100 0 0 1100 0 0 0 0 1100 0 0 1100
45 Captopril 25 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100
46 Captopril 50 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100
47 Caviton Btl 2 0 0 2 0 0 0 0 2 0 0 2 0 0 0 0 2 0 0 2
48 Cefadroxil 500 mg kap 1470 0 0 1470 0 0 0 0 1470 0 0 1470 100 0 0 100 1370 0 0 1370
49 Cefotaxime injeksi 1 g Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
50 Cefriaxon injeksi Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
51 Cetrizin tablet 10 mg Kap 90 0 0 90 0 0 0 0 90 0 0 90 90 0 0 90 0 0 0 0
52 Ciprofloxacin 500 mg Tab 3980 0 0 3980 0 0 0 0 3980 0 0 3980 10 0 0 10 3970 0 0 3970
53 Clindamicin 150 mg Kap 300 0 0 300 0 0 0 0 300 0 0 300 0 0 0 0 300 0 0 300
54 Clindamicin 300 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
55 Devitalisasi pasta Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 Dexamethason tablet Tab 17520 0 0 17520 1000 0 0 1000 18520 0 0 18520 530 0 0 530 17990 0 0 17990
57 Dexamethason injeksi Ampul 160 0 0 160 0 0 0 0 160 0 0 160 0 0 0 0 160 0 0 160
58 Diazepam tablet 2 mg Tab 1410 800 0 2210 0 0 0 0 1410 800 0 2210 22 0 0 22 1388 800 0 2188
59 Diazepam tablet 5 mg Tab 1100 0 100 1200 0 0 0 0 1100 0 100 1200 3 0 0 3 1097 0 100 1197
60 Diazepam injeksi Ampul 0 0 0 0 30 0 0 30 30 0 0 30 0 0 0 0 30 0 0 30
61 Difenhidramin injeksi Ampul 120 0 0 120 0 0 0 0 120 0 0 120 0 0 0 0 120 0 0 120
62 Digoksin tablet Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100
63 Doxicillin Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
64 Dulcolax tablet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
65 Dulculax supp 10 mg ( Dewasa ) Supp 41 0 0 41 0 0 0 0 41 0 0 41 0 0 0 0 41 0 0 41
66 Dulculax supp 5 mg ( Anak ) Supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
67 Efedrin Hcl 25 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
68 Ekstrak belladona tablet 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
69 Ephinefrin hcl injeksi Ampul 100 0 0 100 20 0 0 20 120 0 0 120 0 0 0 0 120 0 0 120
70 Erytromycin kapsul 250 mg Kap 3316 0 0 3316 0 0 0 0 3316 0 0 3316 30 0 0 30 3286 0 0 3286
71 Erytromycin kapsul 500 mg Kap 4000 0 0 4000 0 0 0 0 4000 0 0 4000 0 0 0 0 4000 0 0 4000
72 Erytromycin syrup Btl 0 25 0 25 0 0 0 0 0 25 0 25 0 4 0 4 0 21 0 21
73 Etakridin / Rivanol Btl 28 0 0 28 6 0 0 6 34 0 0 34 0 0 0 0 34 0 0 34
74 Ethambutol hcl tab 250 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
75 Ethambutol hcl tab 500 mg Tab 0 0 0 0 0 0 252 252 0 0 252 252 0 0 252 252 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAK PEMBERIAN
AIAN PERMINT KET.
NO. NAMA BARANG SATUAN
RATA2/ AAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH BLN PKD PROG JUMLAH

76 Etil klorida semprot Btl 1 0 0 1 3 0 0 3 4 0 0 4 0 0 0 0 4 0 0 4


77 Eugenol cairan Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
78 Fenitoin natrium 30 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
79 Fenitoin natrium 100 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
80 Fenobarbital injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
81 Fenobarbital tab 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
82 Fenobarbital tablet 30 mg Tab 497 0 0 497 200 0 0 200 697 0 0 697 0 0 0 0 697 0 0 697
83 Fenoksimetil fenisilin tab 250 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
84 Fenoksimetil fenisilin tab 500 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
85 Fenol Gliserol tetes telinga Btl 100 0 0 100 0 0 0 0 100 0 0 100 2 0 0 2 98 0 0 98
86 Fitomenadion (Vit K) tab 10 mg Tab 2500 0 0 2500 0 0 0 0 2500 0 0 2500 30 0 0 30 2470 0 0 2470
87 Fitomenadion (Vit K) injeksi Ampul 30 0 0 30 30 0 0 30 60 0 0 60 0 0 0 0 60 0 0 60
88 Fluconazol 150 mg Tab 2 0 0 2 0 0 0 0 2 0 0 2 2 0 0 2 0 0 0 0
89 Furosemide tablet 40 mg Tab 0 605 0 605 0 0 0 0 0 605 0 605 0 10 0 10 0 595 0 595
90 Fluor gel Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
91 Garam oralit untuk 200 ml air Set 4924 0 0 4924 0 0 0 0 4924 0 0 4924 50 0 0 50 4874 0 0 4874
92 Gentamycin salep kulit 0,1 % Tube 85 0 0 85 30 0 0 30 115 0 0 115 9 0 0 9 106 0 0 106
93 Gentamycin salep mata Tube 107 0 0 107 0 0 0 0 107 0 0 107 1 0 0 1 106 0 0 106
94 Gentamycin tetes mata Btl 144 0 0 144 0 0 0 0 144 0 0 144 0 0 0 0 144 0 0 144
95 Gentamycin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
96 Gentian violet Btl 52 48 0 100 0 0 0 0 52 48 0 100 9 0 0 9 43 48 0 91
97 Glass Ionomer (ART FUJI IX) Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
98 Glibenklamida tablet 5 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100
99 Glimepiride 1 mg Tab 2350 0 0 2350 0 0 0 0 2350 0 0 2350 0 0 0 0 2350 0 0 2350
100 Glimepiride 2 mg Tab 1420 500 0 1920 0 0 0 0 1420 500 0 1920 0 0 0 0 1420 500 0 1920
101 Gliseril guaiakolat tablet 100 mg Tab 0 47320 0 47320 0 0 0 0 0 47320 0 47320 0 735 0 735 0 46585 0 46585
102 Glukosa larutan infus 5 % steril Btl 27 0 0 27 0 0 0 0 27 0 0 27 27 0 0 27 0 0 0 0
103 Griseofulvin tablet 125 mg Tab 1000 0 0 1000 500 0 0 500 1500 0 0 1500 0 0 0 0 1500 0 0 1500
104 Griseofulvin tablet 500 mg Tab 400 0 0 400 0 0 0 0 400 0 0 400 0 0 0 0 400 0 0 400
105 Halloperidol tab 0,5 mg Tab 70 0 0 70 0 0 0 0 70 0 0 70 0 0 0 0 70 0 0 70
106 Halloperidol tab 1,5 mg Tab 600 0 0 600 0 0 0 0 600 0 0 600 0 0 0 0 600 0 0 600
107 Halloperidol tab 5 mg Tab 0 0 500 500 0 0 0 0 0 0 500 500 0 0 0 0 0 0 500 500
108 Hidroklortiazide (HCT) tablet 25 mg Tab 1310 0 0 1310 0 0 0 0 1310 0 0 1310 0 0 0 0 1310 0 0 1310
109 Hidrocortison krim 2,5 % Tube 90 0 0 90 72 0 0 72 162 0 0 162 22 0 0 22 140 0 0 140
110 Ibuprofen tablet 200 mg Tab 2800 0 0 2800 0 0 0 0 2800 0 0 2800 50 0 0 50 2750 0 0 2750
111 Ibuprofen tablet 400 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
112 Ibuprofen syrup Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
113 Insulin Human Rapid injeksi 100 IU vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
114 Isoniazida ( INH ) tab 100 mg Tab 0 0 0 0 0 0 200 200 0 0 200 200 0 0 200 200 0 0 0 0
115 Isoniazida ( INH ) tab 300 mg Tab 0 0 0 0 0 0 100 100 0 0 100 100 0 0 100 100 0 0 0 0
116 Isosorbit dinitrat sublingual 5 mg Tab 130 0 0 130 0 0 0 0 130 0 0 130 0 0 0 0 130 0 0 130
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAK PEMBERIAN
AIAN PERMINT KET.
NO. NAMA BARANG SATUAN
RATA2/ AAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH BLN PKD PROG JUMLAH

117 Komb. Primetamin 25mg+suldox 500mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


118 Klorfenol kamfermenthol ( CHKM ) Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
119 Kalsium Laktat tablet Tab 10660 10500 0 21160 3000 0 0 3000 13660 10500 0 24160 300 0 0 300 13360 10500 0 23860
120 Kandesartan cilexetil 8 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
121 Karbamazepin tablet 200 mg Tab 0 0 0 0 500 0 0 500 500 0 0 500 0 0 0 0 500 0 0 500
122 Ketorolac injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
123 Kloramfenikol salep kulit Tube 90 0 0 90 0 0 0 0 90 0 0 90 0 0 0 0 90 0 0 90
124 Kloramfenikol salep mata 1 % Tube 148 0 0 148 0 0 0 0 148 0 0 148 11 0 0 11 137 0 0 137
125 Kloramfenicol tetes telinga 3 % Btl 100 0 0 100 0 0 0 0 100 0 0 100 3 0 0 3 97 0 0 97
126 Kloramfenicol 250 mg kapsul Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
127 Klorfeniramin maleat 4 mg (CTM ) Tab 29410 0 0 29410 0 0 0 0 29410 0 0 29410 2068 0 0 2068 27342 0 0 27342
128 Kloramfenicol tetes mata ( Reco ) Btl 0 48 0 48 0 0 0 0 0 48 0 48 0 0 0 0 0 48 0 48
129 Kalsium Hidroksida Pasta ( Calcidor ) Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
130 Klorpromazin hcl injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
131 Klorpromazine tab salut 25 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
132 Klorpromazine tab salut 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
133 Kodein tablet 10 mg Tab 661 0 0 661 200 0 0 200 861 0 0 861 61 0 0 61 800 0 0 800
134 Kotrimoksazol suspensi Btl 169 0 0 169 200 0 0 200 369 0 0 369 0 0 0 0 369 0 0 369
135 Kotrimoksazol pediatrik Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
136 Kotrimoksazol tablet 480 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
137 Klorokuin Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
138 Kuinin sulfat tab 222 mg (7H2O) Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
139 Lidocain kompositum inj (Pehacain) Ampul 540 0 0 540 0 0 0 0 540 0 0 540 0 0 0 0 540 0 0 540
140 Lidocain injeksi Ampul 400 0 0 400 0 0 0 0 400 0 0 400 0 0 0 0 400 0 0 400
141 Lisinopril 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
142 Loperamide tab 2 mg / Novadium Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
143 Loratadin 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
144 Magnesium sulfat injeksi 20% vial 5 0 0 5 0 0 0 0 5 0 0 5 0 0 0 0 5 0 0 5
145 Magnesium sulfat injeksi 40% vial 5 0 0 5 0 0 0 0 5 0 0 5 0 0 0 0 5 0 0 5
146 Mecobalamin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
147 Meloxicam 7,5 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
148 Metformin hcl tablet 500 mg Tab 5190 0 0 5190 0 0 0 0 5190 0 0 5190 40 0 0 40 5150 0 0 5150
149 Methyl prednisolon tablet 4 mg Tab 6000 3870 0 9870 0 0 0 0 6000 3870 0 9870 0 448 0 448 6000 3422 0 9422
150 Metilergometrin tablet salut Tab 200 0 0 200 0 0 0 0 200 0 0 200 0 0 0 0 200 0 0 200
151 Metilergometrin injeksi Ampul 0 0 75 75 0 0 0 0 0 0 75 75 0 0 0 0 0 0 75 75
152 Metoklorpropamide hcl 10 mg Tab 2500 0 0 2500 0 0 0 0 2500 0 0 2500 0 0 0 0 2500 0 0 2500
153 Metronidazole tablet 250 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
154 Metronidazole tablet 500 mg Tab 890 0 0 890 0 0 0 0 890 0 0 890 120 0 0 120 770 0 0 770
155 Metronidazole syrup Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
156 Metronidazole infus Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
157 Miconazol cream tube 173 0 0 173 72 0 0 72 245 0 0 245 41 0 0 41 204 0 0 204
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAK PEMBERIAN
AIAN PERMINT KET.
NO. NAMA BARANG SATUAN
RATA2/ AAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH BLN PKD PROG JUMLAH

158 Microlax rectal tube tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


159 Mummifying pasta Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
160 Natrium bikarbonat tablet Tab 1185 0 0 1185 0 0 0 0 1185 0 0 1185 0 0 0 0 1185 0 0 1185
161 Natrium Diklofenak 25 mg Tab 2210 0 0 2210 1000 0 0 1000 3210 0 0 3210 492 0 0 492 2718 0 0 2718
162 Natrium Diklofenak 50 mg Tab 2150 1140 0 3290 0 0 0 0 2150 1140 0 3290 0 31 0 31 2150 1109 0 3259
163 Natrium klorida larutan infus Btl 108 0 0 108 0 0 0 0 108 0 0 108 0 0 0 0 108 0 0 108
164 Neurobion 5000 injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
165 Nifedipin tablet Tab 260 0 0 260 0 0 0 0 260 0 0 260 0 0 0 0 260 0 0 260
166 Nistatin tablet salut 500.000 iu/g Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
167 Nistatin tablet vaginal 100.000 iu/g Tab 452 0 0 452 0 0 0 0 452 0 0 452 0 0 0 0 452 0 0 452
168 O B H Btl 5 99 0 104 100 0 0 100 105 99 0 204 49 0 0 49 56 99 0 155
169 Obat Anti TBC Kategori 1 paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
170 Obat Anti TBC Kategori 1 -Stop TB KIT paket 0 0 0 0 0 0 10 10 0 0 10 10 0 0 10 10 0 0 0 0
171 Obat Anti TBC Kategori II paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
172 Obat Anti TBC Kategori Anak paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
173 Kombipak Kategori I paket 0 0 0 0 0 0 1 1 0 0 1 1 0 0 1 1 0 0 0 0
174 Ofloxacin 200 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
175 Oksitetrasiklin hcl salep mata 1 % tube 25 0 0 25 0 0 0 0 25 0 0 25 0 0 0 0 25 0 0 25
176 Oksitetrasiklin hcl salep kulit 3 % Tube 156 0 0 156 0 0 0 0 156 0 0 156 11 0 0 11 145 0 0 145
177 Oksitetrasiklin hcl injeksi vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
178 Oksitosin injeksi / Pitogin Ampul 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100
179 Omeprazole capsul 20 mg Kap 1880 0 0 1880 810 0 0 810 2690 0 0 2690 590 0 0 590 2100 0 0 2100
180 Ondansentron injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
181 Papaverin tablet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
182 Paracetamol tablet 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
183 Paracetamol tablet 500 mg Tab 13610 20200 0 33810 33000 0 0 33000 46610 20200 0 66810 2710 0 0 2710 43900 20200 0 64100
184 Paracetamol Drop Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
185 Parasetamol sirup Btl 0 398 0 398 100 0 0 100 100 398 0 498 0 34 0 34 100 364 0 464
186 Perfenazine tablet 4 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
187 Piracetam 3 g injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
188 Pirantel pamoat tablet 125 mg Tab 280 0 0 280 0 0 0 0 280 0 0 280 80 0 0 80 200 0 0 200
189 Pirantel pamoat sirup Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
190 Pyrazinamide tablet 500 mg Tab 0 0 0 0 0 0 336 336 0 0 336 336 0 0 336 336 0 0 0 0
191 Piridoxin hcl tablet 10 mg Tab 22600 0 0 22600 0 0 420 420 22600 0 420 23020 470 0 420 890 22130 0 0 22130
192 Piroxicam 10 mg Tab 400 2000 0 2400 0 0 0 0 400 2000 0 2400 185 0 0 185 215 2000 0 2215
193 Piroxicam 20 mg Tab 0 1040 0 1040 0 0 0 0 0 1040 0 1040 0 140 0 140 0 900 0 900
194 Polikresulen / Albothil Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
195 Prednison tablet Tab 16020 0 0 16020 3000 0 0 3000 19020 0 0 19020 220 0 0 220 18800 0 0 18800
196 Primakuin tablet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
197 Prokain benzil penisilin inj vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
198 Pronalges suppositoria Supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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199 Propanolol tab 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


200 Propanolol tab 40 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
201 Propiltiourasil tablet 100 mg Tab 200 580 0 780 0 0 0 0 200 580 0 780 0 0 0 0 200 580 0 780
202 Proris suppositoria Supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
203 Perak sulfadiazine cream 3 % tube 39 0 0 39 0 0 0 0 39 0 0 39 1 0 0 1 38 0 0 38
204 Ranitidin tablet 150 mg Tab 210 0 0 210 500 0 0 500 710 0 0 710 496 0 0 496 214 0 0 214
205 Ranitidin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
206 Reserpin tablet 0,1 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
207 Reserpin tablet 0,25 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
208 Retinol kapsul 100.000 IU Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
209 Retinol kapsul 200.000 IU Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
210 Rifampisin kapsul 300 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
211 Rifampisin kapsul 450 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
212 Rifampisin kapsul 600 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
213 Ringer laktat infus steril Btl 10 0 0 10 20 0 0 20 30 0 0 30 0 0 0 0 30 0 0 30
214 Salbutamol tablet 2 mg Tab 290 0 0 290 0 0 0 0 290 0 0 290 45 0 0 45 245 0 0 245
215 Salbuatmol tablet 4 mg Tab 1220 0 0 1220 0 0 0 0 1220 0 0 1220 30 0 0 30 1190 0 0 1190
216 salep 2-4 Pot 5 0 0 5 0 0 0 0 5 0 0 5 1 0 0 1 4 0 0 4
217 Salisil bedak 2 % Pot 65 0 0 65 120 0 0 120 185 0 0 185 13 0 0 13 172 0 0 172
218 Semen seng fosfat serbuk & cairan Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
219 Serum Anti Bisa Ular injeksi Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
220 Serum Anti tetanus injeksi 1500 IU Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
221 Tatagam vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
222 Sianokobalamin inj 500 mcg/ml Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
223 Silver Amalgam serbuk Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
224 Simvastatin 10 mg Tab 1850 950 0 2800 510 0 0 510 2360 950 0 3310 110 350 0 460 2250 600 0 2850
225 Simvastatin 20 mg supp 0 2960 0 2960 0 0 0 0 0 2960 0 2960 0 120 0 120 0 2840 0 2840
226 Stesolid rectal supp 5 mg Supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
227 Stesolid rectal supp 10 mg Btl 13 0 0 13 0 0 0 0 13 0 0 13 0 0 0 0 13 0 0 13
228 Sulfasetamid tetes mata 15 % Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
229 Tablet tambah darah (SF) Tab 17160 2000 0 19160 0 0 0 0 17160 2000 0 19160 0 0 0 0 17160 2000 0 19160
230 Temporary / Fletcher Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
231 Tetrasiklin kapsul 250 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
232 Tetrasiklin kapsul 500 mg Tab 1090 0 0 1090 0 0 0 0 1090 0 0 1090 10 0 0 10 1080 0 0 1080
233 Thrombo Aspilet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
234 Thiamin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
235 Thiamin tablet 50 mg Tab 20230 0 0 20230 0 0 0 0 20230 0 0 20230 190 0 0 190 20040 0 0 20040
236 Triheksipenidil hcl tablet 2 mg Tab 637 0 0 637 0 0 0 0 637 0 0 637 0 0 0 0 637 0 0 637
237 Trikresol formalin cairan ( TKF ) Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
238 Vaksin rabies vero Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
239 Valsartan 80 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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240 Ventolin nebulizer Nebules 10 0 0 10 0 0 0 0 10 0 0 10 0 0 0 0 10 0 0 10


241 Vitamin B komplek tablet Tab 12750 0 0 12750 5000 0 0 5000 17750 0 0 17750 1390 0 0 1390 16360 0 0 16360
242 Yodium povidon lart 10 % - 30 ml Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
243 Yodium povidon lart 10 % - 300 ml Btl 25 15 0 40 0 0 0 0 25 15 0 40 0 0 0 0 25 15 0 40
244 Xylocain jelly Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
245 Lidocain Pasta Pot 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
246 Zinc tablet 20 mg Tab 2425 0 0 2425 0 0 0 0 2425 0 0 2425 0 0 0 0 2425 0 0 2425
247 Zinc sirup Btl 74 0 0 74 50 0 0 50 124 0 0 124 5 0 0 5 119 0 0 119
248 Betamin drage ( Vit. B1 ) Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
249 Domperidon Btl 1970 0 0 1970 500 0 0 500 2470 0 0 2470 330 0 0 330 2140 0 0 2140
250 Clozapin 25 mg Tab 0 0 150 150 0 0 0 0 0 0 150 150 0 0 0 0 0 0 150 150
251 Clobazam 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
252 Trifluoperazin HCl 5 mg ( Stelosi ) Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
253 Vitamin B 12 Tab 2200 0 0 2200 0 0 0 0 2200 0 0 2200 0 0 0 0 2200 0 0 2200
254 Ketokonazol Crem Tube 19 0 0 19 25 0 0 25 44 0 0 44 0 0 0 0 44 0 0 44
255 Ketokonazole Tablet Tab 0 943 0 943 300 0 0 300 300 943 0 1243 0 0 0 0 300 943 0 1243
256 Flufenazin Decanoat Inj 25 mg Ampul 0 0 10 10 0 0 0 0 0 0 10 10 0 0 0 0 0 0 10 10
257 Haloperidol Inj 5 mg ( Ladomer ) Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
258 Haloperidol Decanoat Inj 50 mg Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
259 Resperidon tab 2 mg Tab 0 0 980 980 0 0 0 0 0 0 980 980 0 0 0 0 0 0 980 980
260 Curviplex Sirup Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
261 Andalan Inj 3 Bulan Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
262 Andalan Inj 1 Bulan Vial 0 40 0 40 0 0 0 0 0 40 0 40 0 0 0 0 0 40 0 40
263 Cyclopen Inj. 1 Bulan Vial 0 190 0 190 0 0 0 0 0 190 0 190 0 0 0 0 0 190 0 190
264 Ichtyol Salaf Kulit Pot 0 9 0 9 0 0 0 0 0 9 0 9 0 1 0 1 0 8 0 8
265 Levertran Salep Kulit Pot 0 42 0 42 0 0 0 0 0 42 0 42 0 0 0 0 0 42 0 42
266 HEPATITIS B Paket 0 0 12 12 0 0 0 0 0 0 12 12 0 0 12 12 0 0 0 0
267 BCG Ampul 0 0 3 3 0 0 10 10 0 0 13 13 0 0 6 6 0 0 7 7
268 POLIO Vial 0 0 0 0 0 0 20 20 0 0 20 20 0 0 16 16 0 0 4 4
269 PENTABIO/DPTHBHib Vial 0 0 3 3 0 0 40 40 0 0 43 43 0 0 26 26 0 0 17 17
270 CAMPAK Vial 0 0 12 12 0 0 0 0 0 0 12 12 0 0 6 6 0 0 6 6
271 Td / TT Vial 0 0 39 39 0 0 0 0 0 0 39 39 0 0 3 3 0 0 36 36
272 IPV Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
273 Vaksin MR Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
274 Pelarut MR Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
275 Pentocain 0,5 % TT Mata Btl 0 25 0 25 0 0 0 0 0 25 0 25 0 0 0 0 0 25 0 25
276 Domperidon syrup btl 6 0 0 6 50 0 0 50 56 0 0 56 0 0 0 0 56 0 0 56
277 Kloramfenikol syrup btl 5 0 0 5 100 0 0 100 105 0 0 105 0 0 0 0 105 0 0 105
278 cetirizin syrup btl 21 0 0 21 0 0 0 0 21 0 0 21 1 0 0 1 20 0 0 20
279 Pritamox sirup 125 mg btl 0 191 0 191 0 0 0 0 0 191 0 191 0 11 0 11 0 180 0 180
280 Albendazole syrup btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
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281 Moxalaskap/cotri480mg tab 0 2740 0 2740 0 0 0 0 0 2740 0 2740 0 44 0 44 0 2696 0 2696


282 Moxalas syr/cotry syr btl 0 100 0 100 0 0 0 0 0 100 0 100 0 0 0 0 0 100 0 100
283 Lorihis tab/loratadin tab tab 0 860 0 860 0 0 0 0 0 860 0 860 0 0 0 0 0 860 0 860
284 Flagsol syr/metro syr btl 0 46 0 46 0 0 0 0 0 46 0 46 0 0 0 0 0 46 0 46
285 Selfolic 1000mg/Asam folat tab 0 2910 0 2910 0 0 0 0 0 2910 0 2910 0 60 0 60 0 2850 0 2850
286 Trifadium2mg/Loperamid tab tab 0 1050 0 1050 0 0 0 0 0 1050 0 1050 0 60 0 60 0 990 0 990
287 Omeprazole Injeksi Ampul 15 0 0 15 0 0 0 0 15 0 0 15 0 0 0 0 15 0 0 15
288 Gluconas Kalsikus injeksi amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
289 Tricloflem Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
290 Cycloserin 250mg tab 0 0 0 0 0 0 252 252 0 0 252 252 0 0 252 252 0 0 0 0
291 Ethionmid 250mg tab 0 0 0 0 0 0 252 252 0 0 252 252 0 0 252 252 0 0 0 0
292 Levofloxacin 750mg tab 0 0 0 0 0 0 252 252 0 0 252 252 0 0 252 252 0 0 0 0
293 Bedaquilin 100mg tab 0 0 0 0 0 0 72 72 0 0 72 72 0 0 72 72 0 0 0 0
294 Hbig Bayi vial 0 0 0 0 0 0 1 1 0 0 1 1 0 0 1 1 0 0 0 0
295 Amoxcillin drop btl 0 0 0 0 50 0 0 50 50 0 0 50 0 0 0 0 50 0 0 50

BMHP
296 Alat suntik 1 ml Pcs 500 0 0 500 200 0 0 200 700 0 0 700 0 0 0 0 700 0 0 700
297 Alat suntik 2,5 ml Pcs 1700 0 0 1700 0 0 0 0 1700 0 0 1700 0 0 0 0 1700 0 0 1700
298 Alat suntik 3 ml Pcs 2700 400 30 3130 0 0 0 0 2700 400 30 3130 0 0 0 0 2700 400 30 3130
299 Alat suntik 5 ml Pcs 1300 500 500 2300 0 0 0 0 1300 500 500 2300 0 0 0 0 1300 500 500 2300
300 Alkohol 70 % ( 1 L ) Btl 13 0 0 13 15 0 0 15 28 0 0 28 9 0 0 9 19 0 0 19
301 Alkohol 70 % ( 60 Ml ) Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
302 Aqua destilata steril 500 ml Btl 2 0 0 2 0 0 0 0 2 0 0 2 0 0 0 0 2 0 0 2
303 Aqua pro injeksi Vial 54 25 0 79 20 0 0 20 74 25 0 99 0 0 0 0 74 25 0 99
304 Bisturi no 10 Pcs 0 0 0 0 10 0 0 10 10 0 0 10 0 0 0 0 10 0 0 10
305 Bisturi no 11 Pcs 0 0 0 0 10 0 0 10 10 0 0 10 0 0 0 0 10 0 0 10
306 Bisturi no 20 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
307 Bisturi no 22 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
308 Blood Lancet Pcs 2000 2800 0 4800 0 0 0 0 2000 2800 0 4800 0 0 0 0 2000 2800 0 4800
309 Catgut/benang bedah Pcs 72 0 0 72 24 0 0 24 96 0 0 96 0 0 0 0 96 0 0 96
310 ETT no.6 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
311 ETT no.6,5 Set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
312 ETT no.7 Set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
313 ETT no.7,5 Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
314 Hand scrub Pcs 15 0 0 15 0 0 0 0 15 0 0 15 0 0 0 0 15 0 0 15
315 Handscoon uk.S Pcs 0 0 0 0 1000 0 0 1000 1000 0 0 1000 0 200 0 200 1000 -200 0 800
316 Handscoon uk. M Pcs 0 2700 100 2800 1000 0 0 1000 1000 2700 100 3800 0 200 100 300 1000 2500 0 3500
317 Handscoon uk. L Pcs 0 1300 0 1300 0 0 100 100 0 1300 100 1400 0 700 100 800 0 600 0 600
318 Infusion set anak set 0 50 0 50 0 0 0 0 0 50 0 50 0 0 0 0 0 50 0 50
319 Infusion set dewasa set 0 45 0 45 0 0 0 0 0 45 0 45 0 0 0 0 0 45 0 45
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320 Wing neadle no. 23G Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


321 IV Catheter (Abocath) NO.20 Pcs 5 0 0 5 5 0 0 5 10 0 0 10 0 0 0 0 10 0 0 10
322 IV Catheter (Abocath) NO.22 Pcs 5 0 0 5 5 0 0 5 10 0 0 10 0 0 0 0 10 0 0 10
323 IV Catheter (Abocath) NO.24 pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
324 Jarum Jahit (Nald Heating ) no. 10 pcs 38 0 0 38 1 0 0 1 39 0 0 39 0 0 0 0 39 0 0 39
325 Jarum Jahit (Nald Heating ) no. 11 pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
326 Jarum Jahit (Nald Heating ) no. 12 pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
327 Jarum Jahit (Nald Heating ) no. 13 pcs 0 0 0 0 25 0 0 25 25 0 0 25 0 0 0 0 25 0 0 25
328 Jarum Jahit (Nald Heating ) no. 14 Pcs 20 0 0 20 5 0 0 5 25 0 0 25 0 0 0 0 25 0 0 25
329 Kapas pembalut/Absorben 250 gr Roll 45 0 0 45 0 0 0 0 45 0 0 45 0 0 0 0 45 0 0 45
330 Kasa kompres 40/40 steril Roll 158 0 0 158 0 0 0 0 158 0 0 158 0 0 0 0 158 0 0 158
331 Kasa pembalut hidrofil 4m x 15 cm Roll 420 0 0 420 0 0 0 0 420 0 0 420 0 0 0 0 420 0 0 420
332 Kasa pembalut hidrofil 4 m x 3 cm Roll 300 0 0 300 0 0 0 0 300 0 0 300 0 0 0 0 300 0 0 300
333 Kassa 36x80 cm Roll 17 0 0 17 2 0 0 2 19 0 0 19 0 0 0 0 19 0 0 19
334 Kertas Saring Whatman Buku 0 1 0 1 0 0 0 0 0 1 0 1 50 50 0 100 -50 -49 0 -99
335 Masker Pcs 4100 4100 0 8200 0 0 100 100 4100 4100 100 8300 750 600 100 1450 3350 3500 0 6850
336 Objec Glass Box/72 4 0 17 21 0 0 0 0 4 0 17 21 0 0 0 0 4 0 17 21
337 Pipet Tetes Panjang Pcs 15 0 0 15 0 0 0 0 15 0 0 15 0 0 0 0 15 0 0 15
338 Plastik Obat Klip 10 x 7 Pcs 0 10500 0 10500 0 0 0 0 0 10500 0 10500 0 0 0 0 0 10500 0 10500
339 Plastik Obat Klip 13 x 8,7 0 5000 0 5000 0 0 0 0 0 5000 0 5000 0 0 0 0 0 5000 0 5000
340 Plester 5 yard x 2 inch Roll 20 0 4 24 0 0 0 0 20 0 4 24 0 0 0 0 20 0 4 24
341 Poly catheter no.8 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
342 Poly catheter no.12 Pcs 0 0 0 0 3 0 0 3 3 0 0 3 0 0 0 0 3 0 0 3
343 Poly catheter no.16 Pcs/set 10 0 0 10 6 0 0 6 16 0 0 16 0 0 0 0 16 0 0 16
344 Silk ( benang bedah sutera) 03/0 Sak 13 0 36 49 36 0 0 36 49 0 36 85 0 0 0 0 49 0 36 85
345 Spons gelatin cublices bks 7 0 0 7 0 0 0 0 7 0 0 7 0 0 0 0 7 0 0 7
346 Stick Gluco DR Btl/50 0 16 0 16 0 0 0 0 0 16 0 16 0 0 0 0 0 16 0 16
347 Tabung Reaksi Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
348 Tes Kehamilan HCG Pcs 2 2 0 4 0 0 0 0 2 2 0 4 0 0 0 0 2 2 0 4
349 Transfution set/Transfusion blood ADM set 0 0 0 0 3 0 0 3 3 0 0 3 0 0 0 0 3 0 0 3
350 Urinalysis 10 parameter Btl 7 2 0 9 0 0 0 0 7 2 0 9 0 0 0 0 7 2 0 9
351 Stick asam Urat Btl/25 0 8 0 8 0 0 0 0 0 8 0 8 0 0 0 0 0 8 0 8
352 Stick Colestrol Btl/10 0 8 0 8 0 0 0 0 0 8 0 8 0 0 0 0 0 8 0 8
353 Jelly 250ml Ultra soundgel btl 0 2 0 2 0 0 0 0 0 2 0 2 0 0 0 0 0 2 0 2
354 Pot sputum Pcs 0 0 0 0 200 0 0 200 200 0 0 200 0 0 0 0 200 0 0 200
355 Reagen TB Paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
356 Sefty box 2,5 L Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
357 Reagen sifilis(SD,Bio StanQ) Test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
358 Box Slide Ktk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
359 Fokus test Ktk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
360 Alat suntik 0,5 ml Box 0 0 4859 4859 0 0 0 0 0 0 4859 4859 0 0 0 0 0 0 4859 4859
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AIAN PERMINT KET.
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RATA2/ AAN
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361 Sefty box 5 L Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


362 Masker Nebulizer Anak Psc 0 0 0 0 5 0 0 5 5 0 0 5 0 0 0 0 5 0 0 5
363 Masker Nebulizer Dewasa Psc 0 0 0 0 10 0 0 10 10 0 0 10 0 0 0 0 10 0 0 10
364 Nasal Oksigen Kanula Anak Psc 0 0 0 0 5 0 0 5 5 0 0 5 0 0 0 0 5 0 0 5
365 Nasal Oksigen Kanula Dewasa Psc 0 0 0 0 10 0 0 10 10 0 0 10 0 0 0 0 10 0 0 10
366 Non Rebreating Mask Psc 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
367 ID Dewasa Pink Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
368 ID Dewasa Blue Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
369 ID Bayi Pink Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
370 ID Bayi Biru Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
371 Umbilical Keniko Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
372 Folley Catheter 16 Rusch Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
373 Urine Bag Fresco Pcs 0 0 0 0 10 0 0 10 10 0 0 10 0 0 0 0 10 0 0 10
374 Disp Sryringe 10 ml Onemed Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
375 Suction Catheter 8 Remedi Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
376 Suction Catheter 16 Remedi Psc 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
377 Plaster Hypafix Psc 0 0 0 0 15 0 0 15 15 0 0 15 0 0 0 0 15 0 0 15
378 Rapid Test HIV I Standar (Stik SD HIV ) Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
379 Kasa Steril 16 X 16 Kotak 0 167 0 167 0 0 0 0 0 167 0 167 0 0 0 0 0 167 0 167
380 Alat Nesco Tri in one Kotak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
381 Alkohol Swab One swab Kotak 0 10 0 10 0 0 0 0 0 10 0 10 0 0 0 0 0 10 0 10
382 Bahan tambalan Komposid (solare) Tube 0 4 0 4 0 0 0 0 0 4 0 4 0 0 0 0 0 4 0 4
383 OCO Btl/15ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
384 Paper Pad Buku 0 6 0 6 0 0 0 0 0 6 0 6 0 0 0 0 0 6 0 6
385 Masker 1860 S/N95 pcs 0 0 0 0 0 0 20 20 0 0 20 20 0 0 20 20 0 0 0 0
386 Rapid Test HIV II : Vikia (HIV ke 1) Test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
387 Rapid Test Hiv, 3 : Intec/China (HIV KE 2) Test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
388 RDT(Virotec+Diluent)DBD Test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

REAGENSIA
389 Cell Clean ( CL-50) Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
390 Cell Pack ( PK-30L) Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
391 Control eight check 3 x 1,5 ml Btl/set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
392 Eightcheck-3WP (Normal) 1,5 ml Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
393 Eightcheck-3WP (Low) 1,5 ml Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
394 Eightcheck-3WP (High) 1,5 ml Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
395 Stomalyzer WH(SWH-2004) btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
396 Tabung K2 EDTA 2 ml Btl 0 7 0 7 0 0 0 0 0 7 0 7 0 0 0 0 0 7 0 7
397 Printer Paper Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
398 Deck Glass Btl 5 0 0 5 0 0 0 0 5 0 0 5 0 0 0 0 5 0 0 5
399 Tes Gol Darah (A,B,AB ) Set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAK PEMBERIAN
AIAN PERMINT KET.
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RATA2/ AAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH BLN PKD PROG JUMLAH

400 Tisu lensa Buku 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


401 Kertas perkamen Lembar 19 0 0 19 0 0 0 0 19 0 0 19 0 0 0 0 19 0 0 19
402 Podofilin Tinctur 25 % Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
403 Larutan Fauchet Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
404 Larutan Lisol Btl 32 0 0 32 2 0 0 2 34 0 0 34 2 0 0 2 32 0 0 32
405 Larutan asam klorida 0,1 N Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
406 Larutan asam sulfosalisilat 20% Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
407 Larutan barium klorida Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
408 Larutan Benedict Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
409 Larutan Bupper PH 7,2 Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
410 Larutan EDTA Cair 10 % Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
411 Larutan Eosin 2 % Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
412 Larutan Etanol Asam Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
413 Larutan Giemsa Stalin Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
414 Larutan H2O2 Btl 4 0 0 4 3 0 0 3 7 0 0 7 0 0 0 0 7 0 0 7
415 Larutan Imersen oil HB Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
416 Larutan karbol fuksin Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
417 Larutan Metanol Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
418 Larutan Metilen Biru Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
419 Larutan Natrium Sitrat 38 % Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
420 Larutan Rees echer Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
421 Larutan spiritus 100 ml Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
422 Larutan turk Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
423 Ether Alkohol Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
424 Buffer Ph 6,4 Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425 KOH 10 % Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

312676 172496 7430 492602 93660 0 2438 96098 406336 172496 9868 588700 17542 14277 2537 34356 388794 158219 7331 554344

312,676 172,496 7,430 492,602 93,660 - 2,069 95,729 18146 14363 1954 388,794 158,219 7331 554,344

JENIS PELAYANAN PUSKESMAS PAAL X PUSTU POSKESDES JUMLAH


R/ UMUM 191 119 10 320
R/ BPJS 512 28 13 553
R/ JAMKESDA 0 126 0 126
Jlh. Recipe 1902 1085 90 3077
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAK PEMBERIAN
AIAN PERMINT KET.
NO. NAMA BARANG SATUAN
RATA2/ AAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH BLN PKD PROG JUMLAH

Jlh R/ Generik 1902 1085 90 3077


R/ Antibiotik 96 78 12 186

Mengetahui Jambi, Mei 2020


Kepala UPTD Puskesmas Paal X Kota Jambi

dr.Hj.SRI ROSIANTI SRI HARTATY, AMF


NIP. 19720704 200701 2 017 NIP. 19820825 200502 2 001
PUSKESMAS PAAL X KOTA JAMBI
KODE. 5070101

JUMLAH STOK AWAL


NO. NAMA BARANG SATUAN
JUMLAH PKD BLUD
OBAT
1 Acyclovir cream 5 % tube 350 350 350 0
2 Acyclovir tablet 200 mg Tab 1303 1303 1303 0
3 Acyclovir tablet 400 mg Tab 1190 1190 1190 0
4 Air Raksa Dental Use Btl 1 1 1 0
5 Albendazole 400 mg Tab 100 100 100 0
6 Allopurinol 100 mg Tab 880 880 880 0
7 Allopurinol 300 mg Tab 450 2495 450 2045
8 Ambroxol syrup Btl 0 178 0 178
9 Ambroxol tab 30 mg Tab 1330 1330 1330 0
10 Aminofilin injeksi Ampul 0 0 0 0
11 Aminofilin tablet Tab 1500 1500 1500 0
12 Amitriptilin tablet 25 mg Tab 2013 2013 2013 0
13 Amlodipin 5 mg Tab 2760 5760 2760 3000
14 Amoksisilin kap 250 mg Kap 0 9520 0 9520
15 Amoksisilin kap 500 mg Kap 22250 22250 22250 0
16 Amoksisilin sirup kering 125 mg/5 ml Btl 74 74 74 0
17 Amoksisilin Sirup Forte 250 mg/5 ml Btl 472 472 472 0
18 Amlodipin 10 mg Tab 3200 3200 3200 0
19 Amoksisilin injeksi Vial 0 0 0 0
20 Ampisilin Kaplet 500 mg Kap 0 0 0 0
21 Ampisilin sirup kering 125 mg/5 ml Btl 0 0 0 0
22 Antalgin tablet 500 mg Tab 4410 4410 4410 0
23 Antalgin injeksi Ampul 0 0 0 0
24 Antasida doen tablet Tab 3770 23770 3770 20000
25 Antasida sirup Btl 0 36 0 36
26 Anti Bakteri salep / Bacitracin salep Tube 0 0 0 0
27 Anti Fungi kombinasi Pot 57 57 57 0
28 Anti Hemoroid supp 127 127 127 0
29 Anti Migrain tablet Tab 1000 1000 1000 0
30 Asam Askorbat (VIT C) 50 mg Tab 15100 20920 15100 5820
31 Asam Folat Tab 0 0 0 0
32 Asering Infus Kolf 0 0 0 0
33 Asam Mefenamat 500 mg Tab 220 220 220 0
34 Asam Tranexamat injeksi Ampul 0 0 0 0
35 Asam Asetilsalisilat(Asetosal) 80 mg Tab 100 100 100 0
36 Asetosal tablet 100 mg Tab 0 0 0 0
37 Azitromycin 500 mg Tab 195 195 195 0
38 Bisoprolol tablet Tab 0 0 0 0
39 Benzatin benzil penicilin inj 2,4 jt iu Vial 0 0 0 0
40 Betadin salep Tube 0 0 0 0
41 Betametason kream 0,1 % Tube 287 287 287 0
42 Bisacodyl 10 mg Supp 0 0 0 0
43 Bethahistin maselat Tablet 1538 1538 1538 0
44 Captopril 12,5 mg Tab 600 600 600 0
45 Captopril 25 mg Tab 100 100 100 0
46 Captopril 50 mg Tab 100 100 100 0
47 Caviton Btl 2 2 2 0
48 Cefadroxil 500 mg kap 1470 1470 1470 0
49 Cefotaxime injeksi 1 g Vial 0 0 0 0
50 Cefriaxon injeksi Vial 0 0 0 0
51 Cetrizin tablet 10 mg Kap 90 90 90 0
52 Ciprofloxacin 500 mg Tab 3980 3980 3980 0
53 Clindamicin 150 mg Kap 300 300 300 0
54 Clindamicin 300 mg Kap 0 0 0 0
55 Devitalisasi pasta Btl 0 0 0 0
56 Dexamethason tablet Tab 17520 17520 17520 0
57 Dexamethason injeksi Ampul 160 160 160 0
58 Diazepam tablet 2 mg Tab 1410 2210 1410 800
59 Diazepam tablet 5 mg Tab 1100 1200 1100 0
60 Diazepam injeksi Ampul 0 0 0 0
61 Difenhidramin injeksi Ampul 120 120 120 0
62 Digoksin tablet Tab 100 100 100 0
63 Doxicillin Tab 0 0 0 0
64 Dulcolax tablet Tab 0 0 0 0
65 Dulculax supp 10 mg ( Dewasa ) Supp 41 41 41 0
66 Dulculax supp 5 mg ( Anak ) Supp 0 0 0 0
67 Efedrin Hcl 25 mg Tab 0 0 0 0
68 Ekstrak belladona tablet 10 mg Tab 0 0 0 0
69 Ephinefrin hcl injeksi Ampul 100 100 100 0
70 Erytromycin kapsul 250 mg Kap 3316 3316 3316 0
71 Erytromycin kapsul 500 mg Kap 4000 4000 4000 0
72 Erytromycin syrup Btl 0 25 0 25
73 Etakridin / Rivanol Btl 28 28 28 0
74 Ethambutol hcl tab 250 mg Tab 0 0 0 0
75 Ethambutol hcl tab 500 mg Tab 0 0 0 0
76 Etil klorida semprot Btl 1 1 1 0
77 Eugenol cairan Btl 0 0 0 0
78 Fenitoin natrium 30 mg Kap 0 0 0 0
79 Fenitoin natrium 100 mg Kap 0 0 0 0
80 Fenobarbital injeksi Ampul 0 0 0 0
81 Fenobarbital tab 100 mg Tab 0 0 0 0
82 Fenobarbital tablet 30 mg Tab 497 497 497 0
83 Fenoksimetil fenisilin tab 250 mg Tab 0 0 0 0
84 Fenoksimetil fenisilin tab 500 mg Tab 0 0 0 0
85 Fenol Gliserol tetes telinga Btl 100 100 100 0
86 Fitomenadion (Vit K) tab 10 mg Tab 2500 2500 2500 0
87 Fitomenadion (Vit K) injeksi Ampul 30 30 30 0
88 Fluconazol 150 mg Tab 2 2 2 0
89 Furosemide tablet 40 mg Tab 0 605 0 605
90 Fluor gel Btl 0 0 0 0
91 Garam oralit untuk 200 ml air Set 4924 4924 4924 0
92 Gentamycin salep kulit 0,1 % Tube 85 85 85 0
93 Gentamycin salep mata Tube 107 107 107 0
94 Gentamycin tetes mata Btl 144 144 144 0
95 Gentamycin injeksi Ampul 0 0 0 0
96 Gentian violet Btl 52 100 52 48
97 Glass Ionomer (ART FUJI IX) Btl 0 0 0 0
98 Glibenklamida tablet 5 mg Tab 100 100 100 0
99 Glimepiride 1 mg Tab 2350 2350 2350 0
100 Glimepiride 2 mg Tab 1420 1920 1420 500
101 Gliseril guaiakolat tablet 100 mg Tab 0 47320 0 47320
102 Glukosa larutan infus 5 % steril Btl 27 27 27 0
103 Griseofulvin tablet 125 mg Tab 1000 1000 1000 0
104 Griseofulvin tablet 500 mg Tab 400 400 400 0
105 Halloperidol tab 0,5 mg Tab 70 70 70 0
106 Halloperidol tab 1,5 mg Tab 600 600 600 0
107 Halloperidol tab 5 mg Tab 0 500 0 0
108 Hidroklortiazide (HCT) tablet 25 mg Tab 1310 1310 1310 0
109 Hidrocortison krim 2,5 % Tube 90 90 90 0
110 Ibuprofen tablet 200 mg Tab 2800 2800 2800 0
111 Ibuprofen tablet 400 mg Tab 0 0 0 0
112 Ibuprofen syrup Btl 0 0 0 0
113 Insulin Human Rapid injeksi 100 IU vial 0 0 0 0
114 Isoniazida ( INH ) tab 100 mg Tab 0 0 0 0
115 Isoniazida ( INH ) tab 300 mg Tab 0 0 0 0
116 Isosorbit dinitrat sublingual 5 mg Tab 130 130 130 0
117 Komb. Primetamin 25mg+suldox 500mg Tab 0 0 0 0
118 Klorfenol kamfermenthol ( CHKM ) Tab 0 0 0 0
119 Kalsium Laktat tablet Tab 10660 21160 10660 10500
120 Kandesartan cilexetil 8 mg Tab 0 0 0 0
121 Karbamazepin tablet 200 mg Tab 0 0 0 0
122 Ketorolac injeksi Ampul 0 0 0 0
123 Kloramfenikol salep kulit Tube 90 90 90 0
124 Kloramfenikol salep mata 1 % Tube 148 148 148 0
125 Kloramfenicol tetes telinga 3 % Btl 100 100 100 0
126 Kloramfenicol 250 mg kapsul Kap 0 0 0 0
127 Klorfeniramin maleat 4 mg (CTM ) Tab 29410 29410 29410 0
128 Kloramfenicol tetes mata ( Reco ) Btl 0 48 0 48
129 Kalsium Hidroksida Pasta ( Calcidor ) Tube 0 0 0 0
130 Klorpromazin hcl injeksi Ampul 0 0 0 0
131 Klorpromazine tab salut 25 mg Tab 0 0 0 0
132 Klorpromazine tab salut 100 mg Tab 0 0 0 0
133 Kodein tablet 10 mg Tab 661 661 661 0
134 Kotrimoksazol suspensi Btl 169 169 169 0
135 Kotrimoksazol pediatrik Tab 0 0 0 0
136 Kotrimoksazol tablet 480 mg Tab 0 0 0 0
137 Klorokuin Tab 0 0 0 0
138 Kuinin sulfat tab 222 mg (7H2O) Tab 0 0 0 0
139 Lidocain kompositum inj (Pehacain) Ampul 540 540 540 0
140 Lidocain injeksi Ampul 400 400 400 0
141 Lisinopril 10 mg Tab 0 0 0 0
142 Loperamide tab 2 mg / Novadium Tab 0 0 0 0
143 Loratadin 10 mg Tab 0 0 0 0
144 Magnesium sulfat injeksi 20% vial 5 5 5 0
145 Magnesium sulfat injeksi 40% vial 5 5 5 0
146 Mecobalamin injeksi Ampul 0 0 0 0
147 Meloxicam 7,5 mg Tab 0 0 0 0
148 Metformin hcl tablet 500 mg Tab 5190 5190 5190 0
149 Methyl prednisolon tablet 4 mg Tab 6000 9870 6000 3870
150 Metilergometrin tablet salut Tab 200 200 200 0
151 Metilergometrin injeksi Ampul 0 75 0 0
152 Metoklorpropamide hcl 10 mg Tab 2500 2500 2500 0
153 Metronidazole tablet 250 mg Tab 0 0 0 0
154 Metronidazole tablet 500 mg Tab 890 890 890 0
155 Metronidazole syrup Btl 0 0 0 0
156 Metronidazole infus Btl 0 0 0 0
157 Miconazol cream tube 173 173 173 0
158 Microlax rectal tube tube 0 0 0 0
159 Mummifying pasta Btl 0 0 0 0
160 Natrium bikarbonat tablet Tab 1185 1185 1185 0
161 Natrium Diklofenak 25 mg Tab 2210 2210 2210 0
162 Natrium Diklofenak 50 mg Tab 2150 3290 2150 1140
163 Natrium klorida larutan infus Btl 108 108 108 0
164 Neurobion 5000 injeksi Ampul 0 0 0 0
165 Nifedipin tablet Tab 260 260 260 0
166 Nistatin tablet salut 500.000 iu/g Tab 0 0 0 0
167 Nistatin tablet vaginal 100.000 iu/g Tab 452 452 452 0
168 OBH Btl 5 104 5 99
169 Obat Anti TBC Kategori 1 paket 0 0 0 0
170 Obat Anti TBC Kategori 1 -Stop TB KIT paket 0 0 0 0
171 Obat Anti TBC Kategori II paket 0 0 0 0
172 Obat Anti TBC Kategori Anak paket 0 0 0 0
173 Kombipak Kategori I paket 0 0 0 0
174 Ofloxacin 200 mg Tab 0 0 0 0
175 Oksitetrasiklin hcl salep mata 1 % tube 25 25 25 0
176 Oksitetrasiklin hcl salep kulit 3 % Tube 156 156 156 0
177 Oksitetrasiklin hcl injeksi vial 0 0 0 0
178 Oksitosin injeksi / Pitogin Ampul 100 100 100 0
179 Omeprazole capsul 20 mg Kap 1880 1880 1880 0
180 Ondansentron injeksi Ampul 0 0 0 0
181 Papaverin tablet Tab 0 0 0 0
182 Paracetamol tablet 100 mg Tab 0 0 0 0
183 Paracetamol tablet 500 mg Tab 13610 33810 13610 20200
184 Paracetamol Drop Btl 0 0 0 0
185 Parasetamol sirup Btl 0 398 0 398
186 Perfenazine tablet 4 mg Tab 0 0 0 0
187 Piracetam 3 g injeksi Ampul 0 0 0 0
188 Pirantel pamoat tablet 125 mg Tab 280 280 280 0
189 Pirantel pamoat sirup Btl 0 0 0 0
190 Pyrazinamide tablet 500 mg Tab 0 0 0 0
191 Piridoxin hcl tablet 10 mg Tab 22600 22600 22600 0
192 Piroxicam 10 mg Tab 400 2400 400 2000
193 Piroxicam 20 mg Tab 0 1040 0 1040
194 Polikresulen / Albothil Btl 0 0 0 0
195 Prednison tablet Tab 16020 16020 16020 0
196 Primakuin tablet Tab 0 0 0 0
197 Prokain benzil penisilin inj vial 0 0 0 0
198 Pronalges suppositoria Supp 0 0 0 0
199 Propanolol tab 10 mg Tab 0 0 0 0
200 Propanolol tab 40 mg Tab 0 0 0 0
201 Propiltiourasil tablet 100 mg Tab 200 780 200 580
202 Proris suppositoria Supp 0 0 0 0
203 Perak sulfadiazine cream 3 % tube 39 39 39 0
204 Ranitidin tablet 150 mg Tab 210 210 210 0
205 Ranitidin injeksi Ampul 0 0 0 0
206 Reserpin tablet 0,1 mg Tab 0 0 0 0
207 Reserpin tablet 0,25 mg Tab 0 0 0 0
208 Retinol kapsul 100.000 IU Kapsul 0 0 0 0
209 Retinol kapsul 200.000 IU Kapsul 0 0 0 0
210 Rifampisin kapsul 300 mg Kap 0 0 0 0
211 Rifampisin kapsul 450 mg Kap 0 0 0 0
212 Rifampisin kapsul 600 mg Kap 0 0 0 0
213 Ringer laktat infus steril Btl 10 10 10 0
214 Salbutamol tablet 2 mg Tab 290 290 290 0
215 Salbuatmol tablet 4 mg Tab 1220 1220 1220 0
216 salep 2-4 Pot 5 5 5 0
217 Salisil bedak 2 % Pot 65 65 65 0
218 Semen seng fosfat serbuk & cairan Btl 0 0 0 0
219 Serum Anti Bisa Ular injeksi Vial 0 0 0 0
220 Serum Anti tetanus injeksi 1500 IU Ampul 0 0 0 0
221 Tatagam vial 0 0 0 0
222 Sianokobalamin inj 500 mcg/ml Btl 0 0 0 0
223 Silver Amalgam serbuk Tab 0 0 0 0
224 Simvastatin 10 mg Tab 1850 2800 1850 950
225 Simvastatin 20 mg supp 0 2960 0 2960
226 Stesolid rectal supp 5 mg Supp 0 0 0 0
227 Stesolid rectal supp 10 mg Btl 13 13 13 0
228 Sulfasetamid tetes mata 15 % Tab 0 0 0 0
229 Tablet tambah darah (SF) Tab 17160 19160 17160 2000
230 Temporary / Fletcher Kap 0 0 0 0
231 Tetrasiklin kapsul 250 mg Kap 0 0 0 0
232 Tetrasiklin kapsul 500 mg Tab 1090 1090 1090 0
233 Thrombo Aspilet Tab 0 0 0 0
234 Thiamin injeksi Ampul 0 0 0 0
235 Thiamin tablet 50 mg Tab 20230 20230 20230 0
236 Triheksipenidil hcl tablet 2 mg Tab 637 637 637 0
237 Trikresol formalin cairan ( TKF ) Ampul 0 0 0 0
238 Vaksin rabies vero Tab 0 0 0 0
239 Valsartan 80 mg Tab 0 0 0 0
240 Ventolin nebulizer Nebules 10 10 10 0
241 Vitamin B komplek tablet Tab 12750 12750 12750 0
242 Yodium povidon lart 10 % - 30 ml Btl 0 0 0 0
243 Yodium povidon lart 10 % - 300 ml Btl 25 40 25 15
244 Xylocain jelly Tube 0 0 0 0
245 Lidocain Pasta Pot 0 0 0 0
246 Zinc tablet 20 mg Tab 2425 2425 2425 0
247 Zinc sirup Btl 74 74 74 0
248 Betamin drage ( Vit. B1 ) Tab 0 0 0 0
249 Domperidon Btl 1970 1970 1970 0
250 Clozapin 25 mg Tab 0 150 0 0
251 Clobazam 10 mg Tab 0 0 0 0
252 Trifluoperazin HCl 5 mg ( Stelosi ) Tab 0 0 0 0
253 Vitamin B 12 Tab 2200 2200 2200 0
254 Ketokonazol Crem Tube 19 19 19 0
255 Ketokonazole Tablet Tab 0 943 0 943
256 Flufenazin Decanoat Inj 25 mg Ampul 0 10 0 0
257 Haloperidol Inj 5 mg ( Ladomer ) Ampul 0 0 0 0
258 Haloperidol Decanoat Inj 50 mg Ampul 0 0 0 0
259 Resperidon tab 2 mg Tab 0 980 0 0
260 Curviplex Sirup Btl 0 0 0 0
261 Andalan Inj 3 Bulan Vial 0 0 0 0
262 Andalan Inj 1 Bulan Vial 0 40 0 40
263 Cyclopen Inj. 1 Bulan Vial 0 190 0 190
264 Ichtyol Salaf Kulit Pot 0 9 0 9
265 Levertran Salep Kulit Pot 0 42 0 42
266 HEPATITIS B Paket 0 12 0 0
267 BCG Ampul 0 3 0 0
268 POLIO Vial 0 0 0 0
269 PENTABIO/DPTHBHib Vial 0 3 0 0
270 CAMPAK Vial 0 12 0 0
271 Td / TT Vial 0 39 0 0
272 IPV Vial 0 0 0 0
273 Vaksin MR Vial 0 0 0 0
274 Pelarut MR Vial 0 0 0 0
275 Pentocain 0,5 % TT Mata Btl 0 25 0 25
276 Domperidon syrup btl 6 6 6 0
277 Kloramfenikol syrup btl 5 5 5 0
278 cetirizin syrup btl 21 21 21 0
279 Pritamox sirup 125 mg btl 0 191 0 191
280 Albendazole syrup btl 0 0 0 0
281 Moxalaskap/cotri480mg tab 0 2740 0 2740
282 Moxalas syr/cotry syr btl 0 100 0 100
283 Lorihis tab/loratadin tab tab 0 860 0 860
284 Flagsol syr/metro syr btl 0 46 0 46
285 Selfolic 1000mg/Asam folat tab 0 2910 0 2910
286 Trifadium2mg/Loperamid tab tab 0 1050 0 1050
287 Omeprazole Injeksi Ampul 15 15 15 0
288 Gluconas Kalsikus injeksi amp 0 0 0 0
289 Tricloflem Vial 0 0 0 0
290 Cycloserin 250mg tab 0 0 0 0
291 Ethionmid 250mg tab 0 0 0 0
292 Levofloxacin 750mg tab 0 0 0 0
293 Bedaquilin 100mg tab 0 0 0 0
294 Hbig Bayi vial 0 0 0 0
295 Amoxcillin drop btl 0 0 0 0
0 0 0 0
BMHP 500 0 0 0
296 Alat suntik 1 ml Pcs 1700 500 500 0
297 Alat suntik 2,5 ml Pcs 2700 1700 1700 0
298 Alat suntik 3 ml Pcs 1300 3130 2700 400
299 Alat suntik 5 ml Pcs 13 2300 1300 500
300 Alkohol 70 % ( 1 L ) Btl 0 13 13 0
301 Alkohol 70 % ( 60 Ml ) Btl 2 0 0 0
302 Aqua destilata steril 500 ml Btl 54 2 2 0
303 Aqua pro injeksi Vial 0 79 54 25
304 Bisturi no 10 Pcs 0 0 0 0
305 Bisturi no 11 Pcs 0 0 0 0
306 Bisturi no 20 Pcs 0 0 0 0
307 Bisturi no 22 Pcs 2000 0 0 0
308 Blood Lancet Pcs 72 4800 2000 2800
309 Catgut/benang bedah Pcs 0 72 72 0
310 ETT no.6 Pcs 0 0 0 0
311 ETT no.6,5 Set 0 0 0 0
312 ETT no.7 Set 0 0 0 0
313 ETT no.7,5 Btl 15 0 0 0
314 Hand scrub Pcs 0 15 15 0
315 Handscoon uk.S Pcs 0 0 0 0
316 Handscoon uk. M Pcs 0 2800 0 2700
317 Handscoon uk. L Pcs 0 1300 0 1300
318 Infusion set anak set 0 50 0 50
319 Infusion set dewasa set 0 45 0 45
320 Wing neadle no. 23G Pcs 5 0 0 0
321 IV Catheter (Abocath) NO.20 Pcs 5 5 5 0
322 IV Catheter (Abocath) NO.22 Pcs 0 5 5 0
323 IV Catheter (Abocath) NO.24 pcs 38 0 0 0
324 Jarum Jahit (Nald Heating ) no. 10 pcs 0 38 38 0
325 Jarum Jahit (Nald Heating ) no. 11 pcs 0 0 0 0
326 Jarum Jahit (Nald Heating ) no. 12 pcs 0 0 0 0
327 Jarum Jahit (Nald Heating ) no. 13 pcs 20 0 0 0
328 Jarum Jahit (Nald Heating ) no. 14 Pcs 45 20 20 0
329 Kapas pembalut/Absorben 250 gr Roll 158 45 45 0
330 Kasa kompres 40/40 steril Roll 420 158 158 0
331 Kasa pembalut hidrofil 4m x 15 cm Roll 300 420 420 0
332 Kasa pembalut hidrofil 4 m x 3 cm Roll 17 300 300 0
333 Kassa 36x80 cm Roll 0 17 17 0
334 Kertas Saring Whatman Buku 4100 1 0 1
335 Masker Pcs 4 8200 4100 4100
336 Objec Glass Box/72 15 21 4 0
337 Pipet Tetes Panjang Pcs 0 15 15 0
338 Plastik Obat Klip 10 x 7 Pcs 0 10500 0 10500
339 Plastik Obat Klip 13 x 8,7 20 5000 0 5000
340 Plester 5 yard x 2 inch Roll 0 24 20 0
341 Poly catheter no.8 Pcs 0 0 0 0
342 Poly catheter no.12 Pcs 10 0 0 0
343 Poly catheter no.16 Pcs/set 13 10 10 0
344 Silk ( benang bedah sutera) 03/0 Sak 7 49 13 0
345 Spons gelatin cublices bks 0 7 7 0
346 Stick Gluco DR Btl/50 0 16 0 16
347 Tabung Reaksi Pcs 2 0 0 0
348 Tes Kehamilan HCG Pcs 0 4 2 2
349 Transfution set/Transfusion blood ADM set 7 0 0 0
350 Urinalysis 10 parameter Btl 0 9 7 2
351 Stick asam Urat Btl/25 0 8 0 8
352 Stick Colestrol Btl/10 0 8 0 8
353 Jelly 250ml Ultra soundgel btl 0 2 0 2
354 Pot sputum Pcs 0 0 0 0
355 Reagen TB Paket 0 0 0 0
356 Sefty box 2,5 L Box 0 0 0 0
357 Reagen sifilis(SD,Bio StanQ) Test 0 0 0 0
358 Box Slide Ktk 0 0 0 0
359 Fokus test Ktk 0 0 0 0
360 Alat suntik 0,5 ml Box 0 4859 0 0
361 Sefty box 5 L Box 0 0 0 0
362 Masker Nebulizer Anak Psc 0 0 0 0
363 Masker Nebulizer Dewasa Psc 0 0 0 0
364 Nasal Oksigen Kanula Anak Psc 0 0 0 0
365 Nasal Oksigen Kanula Dewasa Psc 0 0 0 0
366 Non Rebreating Mask Psc 0 0 0 0
367 ID Dewasa Pink Box 0 0 0 0
368 ID Dewasa Blue Box 0 0 0 0
369 ID Bayi Pink Box 0 0 0 0
370 ID Bayi Biru Box 0 0 0 0
371 Umbilical Keniko Box 0 0 0 0
372 Folley Catheter 16 Rusch Pcs 0 0 0 0
373 Urine Bag Fresco Pcs 0 0 0 0
374 Disp Sryringe 10 ml Onemed Box 0 0 0 0
375 Suction Catheter 8 Remedi Pcs 0 0 0 0
376 Suction Catheter 16 Remedi Psc 0 0 0 0
377 Plaster Hypafix Psc 0 0 0 0
378 Rapid Test HIV I Standar (Stik SD HIV ) Pcs 0 0 0 0
379 Kasa Steril 16 X 16 Kotak 0 167 0 167
380 Alat Nesco Tri in one Kotak 0 0 0 0
381 Alkohol Swab One swab Kotak 0 10 0 10
382 Bahan tambalan Komposid (solare) Tube 0 4 0 4
383 OCO Btl/15ml 0 0 0 0
384 Paper Pad Buku 0 6 0 6
385 Masker 1860 S/N95 pcs 0 0 0 0
386 Rapid Test HIV II : Vikia (HIV ke 1) Test 0 0 0 0
387 Rapid Test Hiv, 3 : Intec/China (HIV KE 2) Test 0 0 0 0
388 RDT(Virotec+Diluent)DBD Test 0 0 0
0 0 0 0
REAGENSIA 0 0 0 0
389 Cell Clean ( CL-50) Btl 0 0 0 0
390 Cell Pack ( PK-30L) Btl 0 0 0 0
391 Control eight check 3 x 1,5 ml Btl/set 0 0 0 0
392 Eightcheck-3WP (Normal) 1,5 ml Vial 0 0 0 0
393 Eightcheck-3WP (Low) 1,5 ml Vial 0 0 0 0
394 Eightcheck-3WP (High) 1,5 ml Vial 0 0 0 0
395 Stomalyzer WH(SWH-2004) btl 0 0 0 0
396 Tabung K2 EDTA 2 ml Btl 0 7 0 7
397 Printer Paper Pcs 5 0 0 0
398 Deck Glass Btl 0 5 5 0
399 Tes Gol Darah (A,B,AB ) Set 0 0 0 0
400 Tisu lensa Buku 19 0 0 0
401 Kertas perkamen Lembar 0 19 19 0
402 Podofilin Tinctur 25 % Btl 0 0 0 0
403 Larutan Fauchet Btl 32 0 0 0
404 Larutan Lisol Btl 0 32 32 0
405 Larutan asam klorida 0,1 N Btl 0 0 0 0
406 Larutan asam sulfosalisilat 20% Btl 0 0 0 0
407 Larutan barium klorida Btl 0 0 0 0
408 Larutan Benedict Btl 0 0 0 0
409 Larutan Bupper PH 7,2 Btl 0 0 0 0
410 Larutan EDTA Cair 10 % Btl 0 0 0 0
411 Larutan Eosin 2 % Btl 0 0 0 0
412 Larutan Etanol Asam Btl 0 0 0 0
413 Larutan Giemsa Stalin Btl 4 0 0 0
414 Larutan H2O2 Btl 0 4 4 0
415 Larutan Imersen oil HB Btl 0 0 0 0
416 Larutan karbol fuksin Btl 0 0 0 0
417 Larutan Metanol Btl 0 0 0 0
418 Larutan Metilen Biru Btl 0 0 0 0
419 Larutan Natrium Sitrat 38 % Btl 0 0 0 0
420 Larutan Rees echer Btl 0 0 0 0
421 Larutan spiritus 100 ml Btl 0 0 0 0
422 Larutan turk Btl 0 0 0 0
423 Ether Alkohol Botol 0 0 0 0
424 Buffer Ph 6,4 Botol 0 0 0 0
425 KOH 10 % Btl 0 0 0
0 0 0
0 0 0
0 0 0
312,676 492,602 312,676 172,496
492602 312676 172496

-
312676 172496
LAPORAN PEMAKAIAN D

OK AWAL STOK AWAL GUDANG STOK AWAL APOTIK PENERIMAAN


PROG PKD BLUD PROG PKD BLUD PROG PKD BLUD

0 278 0 0 72 0 0 0 0
0 900 0 0 403 0 0 0 0
0 1050 0 0 140 0 0 200 0
0 1 0 0 0 0 0 0 0
0 100 0 0 0 0 0 0 0
0 300 0 0 580 0 0 500 0
0 450 1600 0 0 445 0 0 0
0 0 144 0 0 34 0 0 0
0 200 0 0 1130 0 0 1000 0
0 0 0 0 0 0 0 0 0
0 1300 0 0 200 0 0 0 0
0 2000 0 0 13 0 0 0 0
0 2100 3000 0 660 0 0 0 0
0 0 9000 0 0 520 0 0 0
0 21200 0 0 1050 0 0 1000 0
0 50 0 0 24 0 0 60 0
0 420 0 0 52 0 0 0 0
0 2760 0 0 440 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 4300 0 0 110 0 0 0 0
0 0 0 0 0 0 0 0 0
0 2300 20000 0 1470 0 0 16800 0
0 0 0 0 0 36 0 200 0
0 0 0 0 0 0 0 0 0
0 48 0 0 9 0 0 72 0
0 100 0 0 27 0 0 100 0
0 1000 0 0 0 0 0 0 0
0 14600 5500 0 500 320 0 14000 0
0 0 0 0 0 0 0 2000 0
0 0 0 0 0 0 0 0 0
0 0 0 0 220 0 0 3000 0
0 0 0 0 0 0 0 0 0
0 100 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 180 0 0 15 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
0 225 0 0 62 0 0 0 0
0 0 0 0 0 0 0 0 0
0 1000 0 0 538 0 0 500 0
0 600 0 0 0 0 0 500 0
0 100 0 0 0 0 0 0 0
0 100 0 0 0 0 0 0 0
0 2 0 0 0 0 0 0 0
0 1000 0 0 470 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 90 0 0 0 0 0 0 0
0 3300 0 0 680 0 0 0 0
0 300 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 16600 0 0 920 0 0 1000 0
0 160 0 0 0 0 0 0 0
0 1300 800 0 110 0 0 0 0
100 1100 0 100 0 0 0 0 0
0 0 0 0 0 0 0 30 0
0 120 0 0 0 0 0 0 0
0 100 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 41 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
0 100 0 0 0 0 0 20 0
0 2800 0 0 516 0 0 0 0
0 4000 0 0 0 0 0 0 0
0 0 25 0 0 0 0 0 0
0 28 0 0 0 0 0 6 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 1 0 0 0 0 0 3 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
0 400 0 0 97 0 0 200 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 72 0 0 28 0 0 0 0
0 1900 0 0 600 0 0 0 0
0 30 0 0 0 0 0 30 0
0 0 0 0 2 0 0 0 0
0 0 200 0 0 405 0 0 0
0 0 0 0 0 0 0 0 0
0 4700 0 0 224 0 0 0 0
0 20 0 0 65 0 0 30 0
0 72 0 0 35 0 0 0 0
0 96 0 0 48 0 0 0 0
0 0 0 0 0 0 0 0 0
0 24 48 0 28 0 0 0 0
0 0 0 0 0 0 0 0 0
0 100 0 0 0 0 0 0 0
0 1900 0 0 450 0 0 0 0
0 1100 500 0 320 0 0 0 0
0 0 46600 0 0 720 0 0 0
0 27 0 0 0 0 0 0 0
0 800 0 0 200 0 0 500 0
0 300 0 0 100 0 0 0 0
0 0 0 0 70 0 0 0 0
0 600 0 0 0 0 0 0 0
500 0 0 500 0 0 0 0 0
0 900 0 0 410 0 0 0 0
0 57 0 0 33 0 0 72 0
0 2100 0 0 700 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 0 0
0 100 0 0 30 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 9300 10500 0 1360 0 0 3000 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 500 0
0 0 0 0 0 0 0 0 0
0 60 0 0 30 0 0 0 0
0 120 0 0 28 0 0 0 0
0 75 0 0 25 0 0 0 0
0 0 0 0 0 0 0 0 0
0 28300 0 0 1110 0 0 0 0
0 0 48 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
0 600 0 0 61 0 0 200 0
0 100 0 0 69 0 0 200 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
0 540 0 0 0 0 0 0 0
0 400 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 5 0 0 0 0 0 0 0
0 5 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 4600 0 0 590 0 0 0 0
0 6000 3200 0 0 670 0 0 0
0 200 0 0 0 0 0 0 0
75 0 0 75 0 0 0 0 0
0 2500 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 700 0 0 190 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 168 0 0 5 0 0 72 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 1100 0 0 85 0 0 0 0
0 1800 0 0 410 0 0 1000 0
0 2150 1100 0 0 40 0 0 0
0 108 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 200 0 0 60 0 0 0 0
0 0 0 0 0 0 0 0 0
0 400 0 0 52 0 0 0 0
0 5 95 0 0 4 0 100 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 0 0 0 0 0 0 0 0
0 25 0 0 0 0 0 0 0
0 100 0 0 56 0 0 0 0
0 0 0 0 0 0 0 0 0
0 100 0 0 0 0 0 0 0
0 1440 0 0 440 0 0 810 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 12200 20200 0 1410 0 0 33000 0
0 0 0 0 0 0 0 0 0
0 0 360 0 0 38 0 100 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 100 0 0 180 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 21400 0 0 1200 0 0 0 0
0 400 2000 0 0 0 0 0 0
0 0 800 0 0 240 0 0 0
0 0 0 0 0 0 0 0 0
0 15700 0 0 320 0 0 3000 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
0 200 400 0 0 180 0 0 0
0 0 0 0 0 0 0 0 0
0 39 0 0 0 0 0 0 0
0 0 0 0 210 0 0 500 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 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 10 0 0 0 0 0 20 0
0 0 0 0 290 0 0 0 0
0 900 0 0 320 0 0 0 0
0 0 0 0 5 0 0 0 0
0 48 0 0 17 0 0 120 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 0 0 0 0 0 0 0 0
0 1740 450 0 110 500 0 510 0
0 0 2000 0 0 960 0 0 0
0 0 0 0 0 0 0 0 0
0 13 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 16600 2000 0 560 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 900 0 0 190 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 19500 0 0 730 0 0 0 0
0 500 0 0 137 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 10 0 0 0 0 0 0 0
0 10900 0 0 1850 0 0 5000 0
0 0 0 0 0 0 0 0 0
0 25 15 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 2100 0 0 325 0 0 0 0
0 50 0 0 24 0 0 50 0
0 0 0 0 0 0 0 0 0
0 1400 0 0 570 0 0 500 0
150 0 0 150 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 1200 0 0 1000 0 0 0 0
0 0 0 0 19 0 0 25 0
0 0 800 0 0 143 0 300 0
10 0 0 10 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
980 0 0 900 0 0 80 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 40 0 0 0 0 0 0
0 0 190 0 0 0 0 0 0
0 0 0 0 0 9 0 0 0
0 0 24 0 0 18 0 0 0
12 0 0 12 0 0 0 0 0
3 0 0 3 0 0 0 0 0
0 0 0 0 0 0 0 0 0
3 0 0 3 0 0 0 0 0
12 0 0 12 0 0 0 0 0
39 0 0 39 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 25 0 0 0 0 0 0
0 0 0 0 6 0 0 50 0
0 0 0 0 5 0 0 100 0
0 0 0 0 21 0 0 0 0
0 0 180 0 0 11 0 0 0
0 0 0 0 0 0 0 0 0
0 0 2000 0 0 740 0 0 0
0 0 100 0 0 0 0 0 0
0 0 700 0 0 160 0 0 0
0 0 40 0 0 6 0 0 0
0 0 2500 0 0 410 0 0 0
0 0 700 0 0 350 0 0 0
0 15 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 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 50 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 500 0 0 0 0 0 200 0
0 1700 0 0 0 0 0 0 0
30 2700 400 30 0 0 0 0 0
500 1300 500 500 0 0 0 0 0
0 13 0 0 0 0 0 15 0
0 0 0 0 0 0 0 0 0
0 2 0 0 0 0 0 0 0
0 54 25 0 0 0 0 20 0
0 0 0 0 0 0 0 10 0
0 0 0 0 0 0 0 10 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 2000 2800 0 0 0 0 0 0
0 72 0 0 0 0 0 24 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 15 0 0 0 0 0 0 0
0 0 0 0 0 0 0 1000 0
100 0 2700 100 0 0 0 1000 0
0 0 1300 0 0 0 0 0 0
0 0 50 0 0 0 0 0 0
0 0 45 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 5 0 0 0 0 0 5 0
0 5 0 0 0 0 0 5 0
0 0 0 0 0 0 0 0 0
0 38 0 0 0 0 0 1 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 25 0
0 20 0 0 0 0 0 5 0
0 45 0 0 0 0 0 0 0
0 158 0 0 0 0 0 0 0
0 420 0 0 0 0 0 0 0
0 300 0 0 0 0 0 0 0
0 17 0 0 0 0 0 2 0
0 0 1 0 0 0 0 0 0
0 4100 4100 0 0 0 0 0 0
17 4 0 17 0 0 0 0 0
0 15 0 0 0 0 0 0 0
0 0 10500 0 0 0 0 0 0
0 0 5000 0 0 0 0 0 0
4 20 0 4 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 3 0
0 10 0 0 0 0 0 6 0
36 13 0 36 0 0 0 36 0
0 7 0 0 0 0 0 0 0
0 0 16 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 2 2 0 0 0 0 0 0
0 0 0 0 0 0 0 3 0
0 7 2 0 0 0 0 0 0
0 0 8 0 0 0 0 0 0
0 0 8 0 0 0 0 0 0
0 0 2 0 0 0 0 0 0
0 0 0 0 0 0 0 200 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
4859 0 0 4859 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 5 0
0 0 0 0 0 0 0 10 0
0 0 0 0 0 0 0 5 0
0 0 0 0 0 0 0 10 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 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 10 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 15 0
0 0 0 0 0 0 0 0 0
0 0 167 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 10 0 0 0 0 0 0
0 0 4 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 6 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 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 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 7 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 5 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 19 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 32 0 0 0 0 0 2 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 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 4 0 0 0 0 0 3 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 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 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
7,430 284,755 165,537 7,350 27,921 6,959 80 93,660 -
7430 284755 165,537 7,350 27921 6959 80 93,660 -

-
7430
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )

PENERIMAAN PERSEDIA PEMAKAIAN PEMAKAIAN GUDANG (LAIN-LAIN) PEMAKAIAN APOTIK


PROG JUMLAH AN PKD BLUD PROG PKD BLUD

0 0 350 5 0 0 0 5 0
0 0 1303 23 0 0 0 23 0
0 200 1390 42 0 0 0 42 0
0 0 1 0 0 0 0 0 0
0 0 100 0 0 0 0 0 0
0 500 1380 20 0 0 0 20 0
0 0 2495 85 0 0 0 0 85
0 0 178 4 0 0 0 0 4
0 1000 2330 150 0 0 0 150 0
0 0 0 0 0 0 0 0 0
0 0 1500 0 0 0 0 0 0
0 0 2013 12 0 0 0 12 0
0 0 5760 370 0 0 0 370 0
0 0 9520 70 0 0 0 0 70
0 1000 23250 630 0 0 0 630 0
0 60 134 16 0 0 0 16 0
0 0 472 0 0 0 0 0 0
0 0 3200 133 0 0 0 133 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 4410 220 0 0 0 220 0
0 0 0 0 0 0 0 0 0
0 16800 40570 12120 0 10000 0 2120 0
0 200 236 17 0 0 0 17 0
0 0 0 0 0 0 0 0 0
0 72 129 0 0 0 0 0 0
0 100 227 27 0 0 0 27 0
0 0 1000 0 0 0 0 0 0
0 14000 34920 1082 0 0 0 762 320
0 2000 2000 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 3000 3220 690 0 0 0 690 0
0 0 0 0 0 0 0 0 0
0 0 100 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 195 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 0 287 181 150 0 0 31 0
0 0 0 0 0 0 0 0 0
0 500 2038 253 0 0 0 253 0
0 500 1100 0 0 0 0 0 0
0 0 100 0 0 0 0 0 0
0 0 100 0 0 0 0 0 0
0 0 2 0 0 0 0 0 0
0 0 1470 100 0 0 0 100 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 90 90 0 0 0 90 0
0 0 3980 10 0 0 0 10 0
0 0 300 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 1000 18520 530 0 0 0 530 0
0 0 160 0 0 0 0 0 0
0 0 2210 22 0 0 0 22 0
0 0 1200 3 0 0 0 3 0
0 30 30 0 0 0 0 0 0
0 0 120 0 0 0 0 0 0
0 0 100 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 41 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 20 120 0 0 0 0 0 0
0 0 3316 30 0 0 0 30 0
0 0 4000 0 0 0 0 0 0
0 0 25 4 0 0 0 0 4
0 6 34 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
252 252 252 252 0 0 252 0 0
0 3 4 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 0 0 0 0
0 200 697 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 0 100 2 0 0 0 2 0
0 0 2500 30 0 0 0 30 0
0 30 60 0 0 0 0 0 0
0 0 2 2 0 0 0 2 0
0 0 605 10 0 0 0 0 10
0 0 0 0 0 0 0 0 0
0 0 4924 50 0 0 0 50 0
0 30 115 9 0 0 0 9 0
0 0 107 1 0 0 0 1 0
0 0 144 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 100 9 0 0 0 9 0
0 0 0 0 0 0 0 0 0
0 0 100 0 0 0 0 0 0
0 0 2350 0 0 0 0 0 0
0 0 1920 0 0 0 0 0 0
0 0 47320 735 0 0 0 0 735
0 0 27 27 27 0 0 0 0
0 500 1500 0 0 0 0 0 0
0 0 400 0 0 0 0 0 0
0 0 70 0 0 0 0 0 0
0 0 600 0 0 0 0 0 0
0 0 500 0 0 0 0 0 0
0 0 1310 0 0 0 0 0 0
0 72 162 22 0 0 0 22 0
0 0 2800 50 0 0 0 50 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
200 200 200 200 0 0 200 0 0
100 100 100 100 0 0 100 0 0
0 0 130 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 3000 24160 300 0 0 0 300 0
0 0 0 0 0 0 0 0 0
0 500 500 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 90 0 0 0 0 0 0
0 0 148 11 0 0 0 11 0
0 0 100 3 0 0 0 3 0
0 0 0 0 0 0 0 0 0
0 0 29410 2068 0 0 0 2068 0
0 0 48 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
0 200 861 61 0 0 0 61 0
0 200 369 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 0 540 0 0 0 0 0 0
0 0 400 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 5 0 0 0 0 0 0
0 0 5 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 5190 40 0 0 0 40 0
0 0 9870 448 0 0 0 0 448
0 0 200 0 0 0 0 0 0
0 0 75 0 0 0 0 0 0
0 0 2500 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 890 120 0 0 0 120 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 72 245 41 24 0 0 17 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 1185 0 0 0 0 0 0
0 1000 3210 492 0 0 0 492 0
0 0 3290 31 0 0 0 0 31
0 0 108 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 260 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 452 0 0 0 0 0 0
0 100 204 49 0 0 0 49 0
0 0 0 0 0 0 0 0 0
10 10 10 10 0 0 10 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
1 1 1 1 0 0 1 0 0
0 0 0 0 0 0 0 0 0
0 0 25 0 0 0 0 0 0
0 0 156 11 0 0 0 11 0
0 0 0 0 0 0 0 0 0
0 0 100 0 0 0 0 0 0
0 810 2690 590 0 0 0 590 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 33000 66810 2710 0 0 0 2710 0
0 0 0 0 0 0 0 0 0
0 100 498 34 0 0 0 0 34
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 280 80 0 0 0 80 0
0 0 0 0 0 0 0 0 0
336 336 336 336 0 0 336 0 0
420 420 23020 890 0 0 420 470 0
0 0 2400 185 0 0 0 185 0
0 0 1040 140 0 0 0 0 140
0 0 0 0 0 0 0 0 0
0 3000 19020 220 0 0 0 220 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 0 780 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 39 1 0 0 0 1 0
0 500 710 496 0 0 0 496 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 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 20 30 0 0 0 0 0 0
0 0 290 45 0 0 0 45 0
0 0 1220 30 0 0 0 30 0
0 0 5 1 0 0 0 1 0
0 120 185 13 0 0 0 13 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 0 0 0 0 0 0 0 0
0 510 3310 460 0 0 0 110 350
0 0 2960 120 0 0 0 0 120
0 0 0 0 0 0 0 0 0
0 0 13 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 19160 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 1090 10 0 0 0 10 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 20230 190 0 0 0 190 0
0 0 637 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 10 0 0 0 0 0 0
0 5000 17750 1390 0 0 0 1390 0
0 0 0 0 0 0 0 0 0
0 0 40 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 2425 0 0 0 0 0 0
0 50 124 5 0 0 0 5 0
0 0 0 0 0 0 0 0 0
0 500 2470 330 0 0 0 330 0
0 0 150 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 2200 0 0 0 0 0 0
0 25 44 0 0 0 0 0 0
0 300 1243 0 0 0 0 0 0
0 0 10 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 0 980 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 40 0 0 0 0 0 0
0 0 190 0 0 0 0 0 0
0 0 9 1 0 0 0 0 1
0 0 42 0 0 0 0 0 0
0 0 12 12 0 0 12 0 0
10 10 13 6 0 0 6 0 0
20 20 20 16 0 0 16 0 0
40 40 43 26 0 0 26 0 0
0 0 12 6 0 0 6 0 0
0 0 39 3 0 0 3 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 25 0 0 0 0 0 0
0 50 56 0 0 0 0 0 0
0 100 105 0 0 0 0 0 0
0 0 21 1 0 0 0 1 0
0 0 191 11 0 0 0 0 11
0 0 0 0 0 0 0 0 0
0 0 2740 44 0 0 0 0 44
0 0 100 0 0 0 0 0 0
0 0 860 0 0 0 0 0 0
0 0 46 0 0 0 0 0 0
0 0 2910 60 0 0 0 0 60
0 0 1050 60 0 0 0 0 60
0 0 15 0 0 0 0 0 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
252 252 252 252 0 0 252 0 0
252 252 252 252 0 0 252 0 0
252 252 252 252 0 0 252 0 0
72 72 72 72 0 0 72 0 0
1 1 1 1 0 0 1 0 0
0 50 50 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 200 700 0 0 0 0 0 0
0 0 1700 0 0 0 0 0 0
0 0 3130 0 0 0 0 0 0
0 0 2300 0 0 0 0 0 0
0 15 28 9 9 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 2 0 0 0 0 0 0
0 20 99 0 0 0 0 0 0
0 10 10 0 0 0 0 0 0
0 10 10 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 4800 0 0 0 0 0 0
0 24 96 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 15 0 0 0 0 0 0
0 1000 1000 200 0 0 0 0 200
0 1000 3800 300 0 100 100 0 100
100 100 1400 800 0 700 100 0 0
0 0 50 0 0 0 0 0 0
0 0 45 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 5 10 0 0 0 0 0 0
0 5 10 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 1 39 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 25 25 0 0 0 0 0 0
0 5 25 0 0 0 0 0 0
0 0 45 0 0 0 0 0 0
0 0 158 0 0 0 0 0 0
0 0 420 0 0 0 0 0 0
0 0 300 0 0 0 0 0 0
0 2 19 0 0 0 0 0 0
0 0 1 100 0 0 0 50 50
100 100 8300 1450 750 600 100 0 0
0 0 21 0 0 0 0 0 0
0 0 15 0 0 0 0 0 0
0 0 10500 0 0 0 0 0 0
0 0 5000 0 0 0 0 0 0
0 0 24 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 3 3 0 0 0 0 0 0
0 6 16 0 0 0 0 0 0
0 36 85 0 0 0 0 0 0
0 0 7 0 0 0 0 0 0
0 0 16 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 4 0 0 0 0 0 0
0 3 3 0 0 0 0 0 0
0 0 9 0 0 0 0 0 0
0 0 8 0 0 0 0 0 0
0 0 8 0 0 0 0 0 0
0 0 2 0 0 0 0 0 0
0 200 200 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 0 0 0 0
0 0 4859 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 5 5 0 0 0 0 0 0
0 10 10 0 0 0 0 0 0
0 5 5 0 0 0 0 0 0
0 10 10 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 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 10 10 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 15 15 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 167 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 10 0 0 0 0 0 0
0 0 4 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 6 0 0 0 0
20 20 20 20 0 0 20
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 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 0 0 0 0 0 0 0 0
0 0 7 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 5 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 19 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 2 34 2 2 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 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 3 7 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 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 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
2,438 96,098 588,700 34,356 962 11,400 2,537 16,580 2,877
2,438 96,098 962 11400 2537 16580 2877
588,700
MAKAIAN APOTIK STOK AKHIR PEMAKAIAN PERMINTAA
STOK AKHIR
PROG PKD BLUD PROG RATA2/BLN N

0 345 345 0 0
0 1280 1280 0 0
0 1348 1348 0 0
0 1 1 0 0
0 100 100 0 0
0 1360 1360 0 0
0 2410 450 1960 0
0 174 0 174 0
0 2180 2180 0 0
0 0 0 0 0
0 1500 1500 0 0
0 2001 2001 0 0
0 5390 2390 3000 0
0 9450 0 9450 0
0 22620 22620 0 0
0 118 118 0 0
0 472 472 0 0
0 3067 3067 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 4190 4190 0 0
0 0 0 0 0
0 28450 18450 10000 0
0 219 183 36 0
0 0 0 0 0
0 129 129 0 0
0 200 200 0 0
0 1000 1000 0 0
0 33838 28338 5500 0
0 2000 2000 0 0
0 0 0 0 0
0 2530 2530 0 0
0 0 0 0 0
0 100 100 0 0
0 0 0 0 0
0 195 195 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 106 106 0 0
0 0 0 0 0
0 1785 1785 0 0
0 1100 1100 0 0
0 100 100 0 0
0 100 100 0 0
0 2 2 0 0
0 1370 1370 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 3970 3970 0 0
0 300 300 0 0
0 0 0 0 0
0 0 0 0 0
0 17990 17990 0 0
0 160 160 0 0
0 2188 1388 800 0
0 1197 1097 0 100
0 30 30 0 0
0 120 120 0 0
0 100 100 0 0
0 0 0 0 0
0 0 0 0 0
0 41 41 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 120 120 0 0
0 3286 3286 0 0
0 4000 4000 0 0
0 21 0 21 0
0 34 34 0 0
0 0 0 0 0
0 0 0 0 0
0 4 4 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
0 697 697 0 0
0 0 0 0 0
0 0 0 0 0
0 98 98 0 0
0 2470 2470 0 0
0 60 60 0 0
0 0 0 0 0
0 595 0 595 0
0 0 0 0 0
0 4874 4874 0 0
0 106 106 0 0
0 106 106 0 0
0 144 144 0 0
0 0 0 0 0
0 91 43 48 0
0 0 0 0 0
0 100 100 0 0
0 2350 2350 0 0
0 1920 1420 500 0
0 46585 0 46585 0
0 0 0 0 0
0 1500 1500 0 0
0 400 400 0 0
0 70 70 0 0
0 600 600 0 0
0 500 0 0 500
0 1310 1310 0 0
0 140 140 0 0
0 2750 2750 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
0 130 130 0 0
0 0 0 0 0
0 0 0 0 0
0 23860 13360 10500 0
0 0 0 0 0
0 500 500 0 0
0 0 0 0 0
0 90 90 0 0
0 137 137 0 0
0 97 97 0 0
0 0 0 0 0
0 27342 27342 0 0
0 48 0 48 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 800 800 0 0
0 369 369 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 540 540 0 0
0 400 400 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 5 5 0 0
0 5 5 0 0
0 0 0 0 0
0 0 0 0 0
0 5150 5150 0 0
0 9422 6000 3422 0
0 200 200 0 0
0 75 0 0 75
0 2500 2500 0 0
0 0 0 0 0
0 770 770 0 0
0 0 0 0 0
0 0 0 0 0
0 204 204 0 0
0 0 0 0 0
0 0 0 0 0
0 1185 1185 0 0
0 2718 2718 0 0
0 3259 2150 1109 0
0 108 108 0 0
0 0 0 0 0
0 260 260 0 0
0 0 0 0 0
0 452 452 0 0
0 155 56 99 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 25 25 0 0
0 145 145 0 0
0 0 0 0 0
0 100 100 0 0
0 2100 2100 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 64100 43900 20200 0
0 0 0 0 0
0 464 100 364 0
0 0 0 0 0
0 0 0 0 0
0 200 200 0 0
0 0 0 0 0
0 0 0 0 0
0 22130 22130 0 0
0 2215 215 2000 0
0 900 0 900 0
0 0 0 0 0
0 18800 18800 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
0 780 200 580 0
0 0 0 0 0
0 38 38 0 0
0 214 214 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 30 30 0 0
0 245 245 0 0
0 1190 1190 0 0
0 4 4 0 0
0 172 172 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 2850 2250 600 0
0 2840 0 2840 0
0 0 0 0 0
0 13 13 0 0
0 0 0 0 0
0 19160 17160 2000 0
0 0 0 0 0
0 0 0 0 0
0 1080 1080 0 0
0 0 0 0 0
0 0 0 0 0
0 20040 20040 0 0
0 637 637 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 10 10 0 0
0 16360 16360 0 0
0 0 0 0 0
0 40 25 15 0
0 0 0 0 0
0 0 0 0 0
0 2425 2425 0 0
0 119 119 0 0
0 0 0 0 0
0 2140 2140 0 0
0 150 0 0 150
0 0 0 0 0
0 0 0 0 0
0 2200 2200 0 0
0 44 44 0 0
0 1243 300 943 0
0 10 0 0 10
0 0 0 0 0
0 0 0 0 0
0 980 0 0 980
0 0 0 0 0
0 0 0 0 0
0 40 0 40 0
0 190 0 190 0
0 8 0 8 0
0 42 0 42 0
0 0 0 0 0
0 7 0 0 7
0 4 0 0 4
0 17 0 0 17
0 6 0 0 6
0 36 0 0 36
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 25 0 25 0
0 56 56 0 0
0 105 105 0 0
0 20 20 0 0
0 180 0 180 0
0 0 0 0 0
0 2696 0 2696 0
0 100 0 100 0
0 860 0 860 0
0 46 0 46 0
0 2850 0 2850 0
0 990 0 990 0
0 15 15 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 50 50 0 0
0 0 0 0 0
0 0 0 0 0
0 700 700 0 0
0 1700 1700 0 0
0 3130 2700 400 30
0 2300 1300 500 500
0 19 19 0 0
0 0 0 0 0
0 2 2 0 0
0 99 74 25 0
0 10 10 0 0
0 10 10 0 0
0 0 0 0 0
0 0 0 0 0
0 4800 2000 2800 0
0 96 96 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 15 15 0 0
0 800 1000 -200 0
0 3500 1000 2500 0
0 600 0 600 0
0 50 0 50 0
0 45 0 45 0
0 0 0 0 0
0 10 10 0 0
0 10 10 0 0
0 0 0 0 0
0 39 39 0 0
0 0 0 0 0
0 0 0 0 0
0 25 25 0 0
0 25 25 0 0
0 45 45 0 0
0 158 158 0 0
0 420 420 0 0
0 300 300 0 0
0 19 19 0 0
0 -99 -50 -49 0
0 6850 3350 3500 0
0 21 4 0 17
0 15 15 0 0
0 10500 0 10500 0
0 5000 0 5000 0
0 24 20 0 4
0 0 0 0 0
0 3 3 0 0
0 16 16 0 0
0 85 49 0 36
0 7 7 0 0
0 16 0 16 0
0 0 0 0 0
0 4 2 2 0
0 3 3 0 0
0 9 7 2 0
0 8 0 8 0
0 8 0 8 0
0 2 0 2 0
0 200 200 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 4859 0 0 4859
0 0 0 0 0
0 5 5 0 0
0 10 10 0 0
0 5 5 0 0
0 10 10 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 10 10 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 15 15 0 0
0 0 0 0 0
0 167 0 167 0
0 0 0 0 0
0 10 0 10 0
0 4 0 4 0
0 0 0 0 0
6 0 6 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
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 7 0 7 0
0 0 0 0 0
0 5 5 0 0
0 0 0 0 0
0 0 0 0 0
0 19 19 0 0
0 0 0 0 0
0 0 0 0 0
0 32 32 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
0 7 7 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
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0 554,344
- 554,344 388,794 158,219 7,331 554,344
- 554,344
554,647
Bulan : April 2020
PEMBERIAN KET. PEMAKAIAN TOTAL(GUDANG + APOTIK)
PKD BLUD PROG LAIN-LAIN JUMLAH PKD BLUD

5 0
23 0
42 0
0 0
0 0
20 0
0 85
0 4
150 0
0 0
0 0
12 0
370 0
0 70
630 0
16 0
0 0
133 0
0 0
0 0
0 0
220 0
0 0
2120 10000
17 0
0 0
0 0
27 0
0 0
762 320
0 0
0 0
690 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
181 0
0 0
253 0
0 0
0 0
0 0
0 0
100 0
0 0
0 0
90 0
10 0
0 0
0 0
0 0
530 0
0 0
22 0
3 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
30 0
0 0
0 4
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2 0
30 0
0 0
2 0
0 10
0 0
50 0
9 0
1 0
0 0
0 0
9 0
0 0
0 0
0 0
0 0
0 735
27 0
0 0
0 0
0 0
0 0
0 0
0 0
22 0
50 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
300 0
0 0
0 0
0 0
0 0
11 0
3 0
0 0
2068 0
0 0
0 0
0 0
0 0
0 0
61 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
40 0
0 448
0 0
0 0
0 0
0 0
120 0
0 0
0 0
41 0
0 0
0 0
0 0
492 0
0 31
0 0
0 0
0 0
0 0
0 0
49 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
11 0
0 0
0 0
590 0
0 0
0 0
0 0
2710 0
0 0
0 34
0 0
0 0
80 0
0 0
0 0
470 0
185 0
0 140
0 0
220 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1 0
496 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
45 0
30 0
1 0
13 0
0 0
0 0
0 0
0 0
0 0
0 0
110 350
0 120
0 0
0 0
0 0
0 0
0 0
0 0
10 0
0 0
0 0
190 0
0 0
0 0
0 0
0 0
0 0
1390 0
0 0
0 0
0 0
0 0
0 0
5 0
0 0
330 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 1
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
1 0
0 11
0 0
0 44
0 0
0 0
0 0
0 60
0 60
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
9 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
0 200
0 200
0 700
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
50 50
750 600
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 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
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
2 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

17,542 14,277
stok awalpenerimaanpemakaian sisa cek
gudang 457,642 96,098 14,899 538,841
apotik 34,960 0 19,457 15,503
457,642 554,344

457,642 96,098 30,227 523,513 523,513


34960 15368 19457 30,831 30871
554,344 -
30,267

30871 523,513
-
TOTAL(GUDANG + APOTIK)
PROG

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
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
252
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
200
100
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
0
0
0
0
0
0
0
10
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
336
420
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
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
12
6
16
26
6
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
252
252
252
72
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
100
100
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
100
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
0
0
20
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

2,537 34,356

#REF!
34,356
PUSKESMAS PAAL X KOTA JAMBI
KODE. 5070101
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )

Bulan : Mei 20
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAIA PERMINTAA PEMBERIAN
KET.
NO. NAMA BARANG SATUAN N
N
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/BLN PKD PROG JUMLAH

OBAT
1 Acyclovir cream 5 % tube 345 0 0 345 0 0 0 0 345 0 0 345 11 0 0 11 334 0 0 334 8 0
2 Acyclovir tablet 200 mg Tab 1280 0 0 1280 0 0 0 0 1280 0 0 1280 10 0 0 10 1270 0 0 1270 24 0
3 Acyclovir tablet 400 mg Tab 1348 0 0 1348 0 0 0 0 1348 0 0 1348 0 0 0 0 1348 0 0 1348 75 0
4 Air Raksa Dental Use Btl 1 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0
5 Albendazole 400 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100 1060 0
6 Allopurinol 100 mg Tab 1360 0 0 1360 0 0 0 0 1360 0 0 1360 860 0 0 860 500 0 0 500 500 2500
7 Allopurinol 300 mg Tab 450 1960 0 2410 0 0 0 0 450 1960 0 2410 450 70 0 520 0 1890 0 1890 170 0
8 Ambroxol syrup Btl 0 174 0 174 0 0 0 0 0 174 0 174 0 3 0 3 0 171 0 171 53 150
9 Ambroxol tab 30 mg Tab 2180 0 0 2180 0 0 0 0 2180 0 0 2180 50 0 0 50 2130 0 0 2130 1200 5000
10 Aminofilin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Aminofilin tablet Tab 1500 0 0 1500 0 0 0 0 1500 0 0 1500 0 0 0 0 1500 0 0 1500 0 0
12 Amitriptilin tablet 25 mg Tab 2001 0 0 2001 0 0 0 0 2001 0 0 2001 4 0 0 4 1997 0 0 1997 28 0
13 Amlodipin 5 mg Tab 2390 3000 0 5390 0 0 0 0 2390 3000 0 5390 710 0 0 710 1680 3000 0 4680 564 0
14 Amoksisilin kap 250 mg Kap 0 9450 0 9450 0 0 0 0 0 9450 0 9450 0 50 0 50 0 9400 0 9400 161 0
15 Amoksisilin kap 500 mg Kap 22620 0 0 22620 0 0 0 0 22620 0 0 22620 570 0 0 570 22050 0 0 22050 1790 0
16 Amoksisilin sirup kering 125 mg/5 ml Btl 118 0 0 118 0 0 0 0 118 0 0 118 18 0 0 18 100 0 0 100 50 250
17 Amoksisilin Sirup Forte 250 mg/5 ml Btl 472 0 0 472 0 0 0 0 472 0 0 472 0 0 0 0 472 0 0 472 26 0
18 Amlodipin 10 mg Tab 3067 0 0 3067 0 0 0 0 3067 0 0 3067 397 0 0 397 2670 0 0 2670 287 0
19 Amoksisilin injeksi Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Ampisilin Kaplet 500 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Ampisilin sirup kering 125 mg/5 ml Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Antalgin tablet 500 mg Tab 4190 0 0 4190 0 0 0 0 4190 0 0 4190 110 0 0 110 4080 0 0 4080 154 0
23 Antalgin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Antasida doen tablet Tab 18450 10000 0 28450 0 0 0 0 18450 10000 0 28450 2180 0 0 2180 16270 10000 0 26270 6000 0
25 Antasida sirup Btl 183 36 0 219 0 0 0 0 183 36 0 219 17 0 0 17 166 36 0 202 52 200
26 Anti Bakteri salep / Bacitracin salep Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 100
27 Anti Fungi kombinasi Pot 129 0 0 129 0 0 0 0 129 0 0 129 0 0 0 0 129 0 0 129 25 0
28 Anti Hemoroid supp 200 0 0 200 0 0 0 0 200 0 0 200 0 0 0 0 200 0 0 200 42 50
29 Anti Migrain tablet Tab 1000 0 0 1000 0 0 0 0 1000 0 0 1000 0 0 0 0 1000 0 0 1000 0 0
30 Asam Askorbat (VIT C) 50 mg Tab 28338 5500 0 33838 0 0 0 0 28338 5500 0 33838 1398 0 0 1398 26940 5500 0 32440 1872 0
31 Asam Folat Tab 2000 0 0 2000 0 0 0 0 2000 0 0 2000 0 0 0 0 2000 0 0 2000 1000 4000
32 Asering Infus Kolf 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 Asam Mefenamat 500 mg Tab 2530 0 0 2530 0 0 0 0 2530 0 0 2530 760 0 0 760 1770 0 0 1770 1334 6000
34 Asam Tranexamat injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAIA PERMINTAA PEMBERIAN
KET.
NO. NAMA BARANG SATUAN N
N
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/BLN PKD PROG JUMLAH

35 Asam Asetilsalisilat(Asetosal) 80 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100 0 0


36 Asetosal tablet 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
37 Azitromycin 500 mg Tab 195 0 0 195 0 0 0 0 195 0 0 195 0 0 0 0 195 0 0 195 1 0
38 Bisoprolol tablet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 Benzatin benzil penicilin inj 2,4 jt iu Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
40 Betadin salep Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
41 Betametason kream 0,1 % Tube 106 0 0 106 0 0 0 0 106 0 0 106 20 0 0 20 86 0 0 86 50 200
42 Bisacodyl 10 mg Supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
43 Bethahistin maselat Tablet 1785 0 0 1785 0 0 0 0 1785 0 0 1785 0 0 0 0 1785 0 0 1785 500 1200
44 Captopril 12,5 mg Tab 1100 0 0 1100 0 0 0 0 1100 0 0 1100 300 0 0 300 800 0 0 800 220 0
45 Captopril 25 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100 0 0
46 Captopril 50 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100 0 0
47 Caviton Btl 2 0 0 2 0 0 0 0 2 0 0 2 0 0 0 0 2 0 0 2 0 0
48 Cefadroxil 500 mg kap 1370 0 0 1370 0 0 0 0 1370 0 0 1370 170 0 0 170 1200 0 0 1200 156 0
49 Cefotaxime injeksi 1 g Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
50 Cefriaxon injeksi Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
51 Cetrizin tablet 10 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 350 2000
52 Ciprofloxacin 500 mg Tab 3970 0 0 3970 0 0 0 0 3970 0 0 3970 30 0 0 30 3940 0 0 3940 252 0
53 Clindamicin 150 mg Kap 300 0 0 300 0 0 0 0 300 0 0 300 0 0 0 0 300 0 0 300 0 0
54 Clindamicin 300 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
55 Devitalisasi pasta Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 Dexamethason tablet Tab 17990 0 0 17990 0 0 0 0 17990 0 0 17990 950 0 0 950 17040 0 0 17040 1728 0
57 Dexamethason injeksi Ampul 160 0 0 160 0 0 0 0 160 0 0 160 0 0 0 0 160 0 0 160 18 0
58 Diazepam tablet 2 mg Tab 1388 800 0 2188 0 0 0 0 1388 800 0 2188 1194 0 0 1194 194 800 0 994 150 0
59 Diazepam tablet 5 mg Tab 1097 0 100 1197 0 0 0 0 1097 0 100 1197 0 0 0 0 1097 0 100 1197 0 0
60 Diazepam injeksi Ampul 30 0 0 30 0 0 0 0 30 0 0 30 0 0 0 0 30 0 0 30 6 0
61 Difenhidramin injeksi Ampul 120 0 0 120 0 0 0 0 120 0 0 120 0 0 0 0 120 0 0 120 0 0
62 Digoksin tablet Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100 0 0
63 Doxicillin Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
64 Dulcolax tablet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100
65 Dulculax supp 10 mg ( Dewasa ) Supp 41 0 0 41 0 0 0 0 41 0 0 41 0 0 0 0 41 0 0 41 0 0
66 Dulculax supp 5 mg ( Anak ) Supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
67 Efedrin Hcl 25 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
68 Ekstrak belladona tablet 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
69 Ephinefrin hcl injeksi Ampul 120 0 0 120 0 0 0 0 120 0 0 120 0 0 0 0 120 0 0 120 0 0
70 Erytromycin kapsul 250 mg Kap 3286 0 0 3286 0 0 0 0 3286 0 0 3286 16 0 0 16 3270 0 0 3270 146 0
71 Erytromycin kapsul 500 mg Kap 4000 0 0 4000 0 0 0 0 4000 0 0 4000 0 0 0 0 4000 0 0 4000 54 0
72 Erytromycin syrup Btl 0 21 0 21 0 0 0 0 0 21 0 21 0 0 0 0 0 21 0 21 20 100
73 Etakridin / Rivanol Btl 34 0 0 34 0 0 0 0 34 0 0 34 0 0 0 0 34 0 0 34 3 6
74 Ethambutol hcl tab 250 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
75 Ethambutol hcl tab 500 mg Tab 0 0 0 0 0 0 252 252 0 0 252 252 0 0 252 252 0 0 0 0 151 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAIA PERMINTAA PEMBERIAN
KET.
NO. NAMA BARANG SATUAN N
N
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/BLN PKD PROG JUMLAH

76 Etil klorida semprot Btl 4 0 0 4 0 0 0 0 4 0 0 4 0 0 0 0 4 0 0 4 2 8


77 Eugenol cairan Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
78 Fenitoin natrium 30 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
79 Fenitoin natrium 100 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80 500
80 Fenobarbital injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
81 Fenobarbital tab 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0
82 Fenobarbital tablet 30 mg Tab 697 0 0 697 0 0 0 0 697 0 0 697 0 0 0 0 697 0 0 697 0 0
83 Fenoksimetil fenisilin tab 250 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
84 Fenoksimetil fenisilin tab 500 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
85 Fenol Gliserol tetes telinga Btl 98 0 0 98 0 0 0 0 98 0 0 98 7 0 0 7 91 0 0 91 9 0
86 Fitomenadion (Vit K) tab 10 mg Tab 2470 0 0 2470 0 0 0 0 2470 0 0 2470 48 0 0 48 2422 0 0 2422 115 0
87 Fitomenadion (Vit K) injeksi Ampul 60 0 0 60 0 0 0 0 60 0 0 60 0 0 0 0 60 0 0 60 0 0
88 Fluconazol 150 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 50
89 Furosemide tablet 40 mg Tab 0 595 0 595 0 0 0 0 0 595 0 595 0 0 0 0 0 595 0 595 65 0
90 Fluor gel Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
91 Garam oralit untuk 200 ml air Set 4874 0 0 4874 0 0 0 0 4874 0 0 4874 60 0 0 60 4814 0 0 4814 200 0
92 Gentamycin salep kulit 0,1 % Tube 106 0 0 106 0 0 0 0 106 0 0 106 17 0 0 17 89 0 0 89 20 25
93 Gentamycin salep mata Tube 106 0 0 106 0 0 0 0 106 0 0 106 3 0 0 3 103 0 0 103 5 0
94 Gentamycin tetes mata Btl 144 0 0 144 0 0 0 0 144 0 0 144 0 0 0 0 144 0 0 144 0 0
95 Gentamycin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
96 Gentian violet Btl 43 48 0 91 0 0 0 0 43 48 0 91 4 0 0 4 39 48 0 87 9 0
97 Glass Ionomer (ART FUJI IX) Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0
98 Glibenklamida tablet 5 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100 0 0
99 Glimepiride 1 mg Tab 2350 0 0 2350 0 0 0 0 2350 0 0 2350 0 0 0 0 2350 0 0 2350 278 0
100 Glimepiride 2 mg Tab 1420 500 0 1920 0 0 0 0 1420 500 0 1920 95 0 0 95 1325 500 0 1825 145 0
101 Gliseril guaiakolat tablet 100 mg Tab 0 46585 0 46585 0 0 0 0 0 46585 0 46585 0 191 0 191 0 46394 0 46394 1967 0
102 Glukosa larutan infus 5 % steril Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
103 Griseofulvin tablet 125 mg Tab 1500 0 0 1500 0 0 0 0 1500 0 0 1500 800 0 0 800 700 0 0 700 340 1300
104 Griseofulvin tablet 500 mg Tab 400 0 0 400 0 0 0 0 400 0 0 400 0 0 0 0 400 0 0 400 0 0
105 Halloperidol tab 0,5 mg Tab 70 0 0 70 0 0 0 0 70 0 0 70 0 0 0 0 70 0 0 70 6 0
106 Halloperidol tab 1,5 mg Tab 600 0 0 600 0 0 0 0 600 0 0 600 0 0 0 0 600 0 0 600 0 0
107 Halloperidol tab 5 mg Tab 0 0 500 500 0 0 0 0 0 0 500 500 0 0 500 500 0 0 0 0 140 100
108 Hidroklortiazide (HCT) tablet 25 mg Tab 1310 0 0 1310 0 0 0 0 1310 0 0 1310 0 0 0 0 1310 0 0 1310 58 0
109 Hidrocortison krim 2,5 % Tube 140 0 0 140 0 0 0 0 140 0 0 140 6 0 0 6 134 0 0 134 30 48
110 Ibuprofen tablet 200 mg Tab 2750 0 0 2750 0 0 0 0 2750 0 0 2750 236 0 0 236 2514 0 0 2514 600 1000
111 Ibuprofen tablet 400 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1000
112 Ibuprofen syrup Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
113 Insulin Human Rapid injeksi 100 IU vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
114 Isoniazida ( INH ) tab 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40 240
115 Isoniazida ( INH ) tab 300 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 120
116 Isosorbit dinitrat sublingual 5 mg Tab 130 0 0 130 0 0 0 0 130 0 0 130 15 0 0 15 115 0 0 115 25 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAIA PERMINTAA PEMBERIAN
KET.
NO. NAMA BARANG SATUAN N
N
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/BLN PKD PROG JUMLAH

117 Komb. Primetamin 25mg+suldox 500mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


118 Klorfenol kamfermenthol ( CHKM ) Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0
119 Kalsium Laktat tablet Tab 13360 10500 0 23860 0 0 0 0 13360 10500 0 23860 230 0 0 230 13130 10500 0 23630 1370 0
120 Kandesartan cilexetil 8 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
121 Karbamazepin tablet 200 mg Tab 500 0 0 500 0 0 0 0 500 0 0 500 0 0 0 0 500 0 0 500 0 0
122 Ketorolac injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
123 Kloramfenikol salep kulit Tube 90 0 0 90 0 0 0 0 90 0 0 90 0 0 0 0 90 0 0 90 1 0
124 Kloramfenikol salep mata 1 % Tube 137 0 0 137 0 0 0 0 137 0 0 137 2 0 0 2 135 0 0 135 8 0
125 Kloramfenicol tetes telinga 3 % Btl 97 0 0 97 0 0 0 0 97 0 0 97 10 0 0 10 87 0 0 87 2 0
126 Kloramfenicol 250 mg kapsul Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 500 3000
127 Klorfeniramin maleat 4 mg (CTM ) Tab 27342 0 0 27342 0 0 0 0 27342 0 0 27342 1032 0 0 1032 26310 0 0 26310 3428 0
128 Kloramfenicol tetes mata ( Reco ) Btl 0 48 0 48 0 0 0 0 0 48 0 48 0 0 0 0 0 48 0 48 5 0
129 Kalsium Hidroksida Pasta ( Calcidor ) Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
130 Klorpromazin hcl injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
131 Klorpromazine tab salut 25 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
132 Klorpromazine tab salut 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100
133 Kodein tablet 10 mg Tab 800 0 0 800 0 0 0 0 800 0 0 800 20 0 0 20 780 0 0 780 75 0
134 Kotrimoksazol suspensi Btl 369 0 0 369 0 0 0 0 369 0 0 369 69 0 0 69 300 0 0 300 64 0
135 Kotrimoksazol pediatrik Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
136 Kotrimoksazol tablet 480 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
137 Klorokuin Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
138 Kuinin sulfat tab 222 mg (7H2O) Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
139 Lidocain kompositum inj (Pehacain) Ampul 540 0 0 540 0 0 0 0 540 0 0 540 0 0 0 0 540 0 0 540 42 0
140 Lidocain injeksi Ampul 400 0 0 400 0 0 0 0 400 0 0 400 0 0 0 0 400 0 0 400 60 0
141 Lisinopril 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
142 Loperamide tab 2 mg / Novadium Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
143 Loratadin 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
144 Magnesium sulfat injeksi 20% vial 5 0 0 5 0 0 0 0 5 0 0 5 0 0 0 0 5 0 0 5 0 0
145 Magnesium sulfat injeksi 40% vial 5 0 0 5 0 0 0 0 5 0 0 5 0 0 0 0 5 0 0 5 0 0
146 Mecobalamin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
147 Meloxicam 7,5 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
148 Metformin hcl tablet 500 mg Tab 5150 0 0 5150 0 0 0 0 5150 0 0 5150 1102 0 0 1102 4048 0 0 4048 300 0
149 Methyl prednisolon tablet 4 mg Tab 6000 3422 0 9422 0 0 0 0 6000 3422 0 9422 0 154 0 154 6000 3268 0 9268 700 0
150 Metilergometrin tablet salut Tab 200 0 0 200 0 0 0 0 200 0 0 200 0 0 0 0 200 0 0 200 0 0
151 Metilergometrin injeksi Ampul 0 0 75 75 0 0 0 0 0 0 75 75 0 0 0 0 0 0 75 75 0 0
152 Metoklorpropamide hcl 10 mg Tab 2500 0 0 2500 0 0 0 0 2500 0 0 2500 0 0 0 0 2500 0 0 2500 100 0
153 Metronidazole tablet 250 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 500
154 Metronidazole tablet 500 mg Tab 770 0 0 770 0 0 0 0 770 0 0 770 210 0 0 210 560 0 0 560 350 1000
155 Metronidazole syrup Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
156 Metronidazole infus Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
157 Miconazol cream tube 204 0 0 204 0 0 0 0 204 0 0 204 6 0 0 6 198 0 0 198 30 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAIA PERMINTAA PEMBERIAN
KET.
NO. NAMA BARANG SATUAN N
N
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/BLN PKD PROG JUMLAH

158 Microlax rectal tube tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10


159 Mummifying pasta Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
160 Natrium bikarbonat tablet Tab 1185 0 0 1185 0 0 0 0 1185 0 0 1185 0 0 0 0 1185 0 0 1185 23 0
161 Natrium Diklofenak 25 mg Tab 2718 0 0 2718 0 0 0 0 2718 0 0 2718 274 0 0 274 2444 0 0 2444 600 1000
162 Natrium Diklofenak 50 mg Tab 2150 1109 0 3259 0 0 0 0 2150 1109 0 3259 0 0 0 0 2150 1109 0 3259 400 0
163 Natrium klorida larutan infus Btl 108 0 0 108 0 0 0 0 108 0 0 108 0 0 0 0 108 0 0 108 6 0
164 Neurobion 5000 injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
165 Nifedipin tablet Tab 260 0 0 260 0 0 0 0 260 0 0 260 0 0 0 0 260 0 0 260 0 0
166 Nistatin tablet salut 500.000 iu/g Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
167 Nistatin tablet vaginal 100.000 iu/g Tab 452 0 0 452 0 0 0 0 452 0 0 452 0 0 0 0 452 0 0 452 10 0
168 O B H Btl 56 99 0 155 0 0 0 0 56 99 0 155 15 0 0 15 41 99 0 140 75 300
169 Obat Anti TBC Kategori 1 paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
170 Obat Anti TBC Kategori 1 -Stop TB KIT paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3.2 19.2
171 Obat Anti TBC Kategori II paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
172 Obat Anti TBC Kategori Anak paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
173 Kombipak Kategori I paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.2 1.2
174 Ofloxacin 200 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
175 Oksitetrasiklin hcl salep mata 1 % tube 25 0 0 25 0 0 0 0 25 0 0 25 0 0 0 0 25 0 0 25 7 25
176 Oksitetrasiklin hcl salep kulit 3 % Tube 145 0 0 145 0 0 0 0 145 0 0 145 29 0 0 29 116 0 0 116 25 48
177 Oksitetrasiklin hcl injeksi vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
178 Oksitosin injeksi / Pitogin Ampul 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100 16 0
179 Omeprazole capsul 20 mg Kap 2100 0 0 2100 0 0 0 0 2100 0 0 2100 297 0 0 297 1803 0 0 1803 400 500
180 Ondansentron injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
181 Papaverin tablet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
182 Paracetamol tablet 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
183 Paracetamol tablet 500 mg Tab 43900 20200 0 64100 0 0 0 0 43900 20200 0 64100 2960 0 0 2960 40940 20200 0 61140 6282 0
184 Paracetamol Drop Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
185 Parasetamol sirup Btl 100 364 0 464 0 0 0 0 100 364 0 464 50 17 0 67 50 347 0 397 100 0
186 Perfenazine tablet 4 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
187 Piracetam 3 g injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
188 Pirantel pamoat tablet 125 mg Tab 200 0 0 200 0 0 0 0 200 0 0 200 0 0 0 0 200 0 0 200 20 0
189 Pirantel pamoat sirup Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
190 Pyrazinamide tablet 500 mg Tab 0 0 0 0 0 0 336 336 0 0 336 336 0 0 336 336 0 0 0 0 200 0
191 Piridoxin hcl tablet 10 mg Tab 22130 0 0 22130 0 0 420 420 22130 0 420 22550 460 0 420 880 21670 0 0 21670 950 0
192 Piroxicam 10 mg Tab 215 2000 0 2215 0 0 0 0 215 2000 0 2215 215 0 0 215 0 2000 0 2000 200 2000
193 Piroxicam 20 mg Tab 0 900 0 900 0 0 0 0 0 900 0 900 0 300 0 300 0 600 0 600 184 1000
194 Polikresulen / Albothil Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
195 Prednison tablet Tab 18800 0 0 18800 0 0 0 0 18800 0 0 18800 500 0 0 500 18300 0 0 18300 656 0
196 Primakuin tablet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
197 Prokain benzil penisilin inj vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
198 Pronalges suppositoria Supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAIA PERMINTAA PEMBERIAN
KET.
NO. NAMA BARANG SATUAN N
N
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/BLN PKD PROG JUMLAH

199 Propanolol tab 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


200 Propanolol tab 40 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
201 Propiltiourasil tablet 100 mg Tab 200 580 0 780 0 0 0 0 200 580 0 780 0 0 0 0 200 580 0 780 4 0
202 Proris suppositoria Supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10
203 Perak sulfadiazine cream 3 % tube 38 0 0 38 0 0 0 0 38 0 0 38 4 0 0 4 34 0 0 34 1 0
204 Ranitidin tablet 150 mg Tab 214 0 0 214 0 0 0 0 214 0 0 214 214 0 0 214 0 0 0 0 800 5000
205 Ranitidin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
206 Reserpin tablet 0,1 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
207 Reserpin tablet 0,25 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
208 Retinol kapsul 100.000 IU Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
209 Retinol kapsul 200.000 IU Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
210 Rifampisin kapsul 300 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
211 Rifampisin kapsul 450 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
212 Rifampisin kapsul 600 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
213 Ringer laktat infus steril Btl 30 0 0 30 0 0 0 0 30 0 0 30 5 0 0 5 25 0 0 25 10 20
214 Salbutamol tablet 2 mg Tab 245 0 0 245 0 0 0 0 245 0 0 245 245 0 0 245 0 0 0 0 120 1000
215 Salbuatmol tablet 4 mg Tab 1190 0 0 1190 0 0 0 0 1190 0 0 1190 10 0 0 10 1180 0 0 1180 82 0
216 salep 2-4 Pot 4 0 0 4 0 0 0 0 4 0 0 4 4 0 0 4 0 0 0 0 6 48
217 Salisil bedak 2 % Pot 172 0 0 172 0 0 0 0 172 0 0 172 10 0 0 10 162 0 0 162 30 50
218 Semen seng fosfat serbuk & cairan Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
219 Serum Anti Bisa Ular injeksi Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
220 Serum Anti tetanus injeksi 1500 IU Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 30
221 Tatagam vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
222 Sianokobalamin inj 500 mcg/ml Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
223 Silver Amalgam serbuk Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
224 Simvastatin 10 mg Tab 2250 600 0 2850 0 0 0 0 2250 600 0 2850 120 90 0 210 2130 510 0 2640 617 1000
225 Simvastatin 20 mg supp 0 2840 0 2840 0 0 0 0 0 2840 0 2840 0 50 0 50 0 2790 0 2790 42 0
226 Stesolid rectal supp 5 mg Supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5
227 Stesolid rectal supp 10 mg Btl 13 0 0 13 0 0 0 0 13 0 0 13 0 0 0 0 13 0 0 13 1 0
228 Sulfasetamid tetes mata 15 % Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
229 Tablet tambah darah (SF) Tab 17160 2000 0 19160 0 0 0 0 17160 2000 0 19160 130 0 0 130 17030 2000 0 19030 2000 0
230 Temporary / Fletcher Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
231 Tetrasiklin kapsul 250 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
232 Tetrasiklin kapsul 500 mg Tab 1080 0 0 1080 0 0 0 0 1080 0 0 1080 0 0 0 0 1080 0 0 1080 44 0
233 Thrombo Aspilet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
234 Thiamin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
235 Thiamin tablet 50 mg Tab 20040 0 0 20040 0 0 0 0 20040 0 0 20040 108 0 0 108 19932 0 0 19932 500 0
236 Triheksipenidil hcl tablet 2 mg Tab 637 0 0 637 0 0 0 0 637 0 0 637 0 0 0 0 637 0 0 637 35 0
237 Trikresol formalin cairan ( TKF ) Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
238 Vaksin rabies vero Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.8 4.8
239 Valsartan 80 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAIA PERMINTAA PEMBERIAN
KET.
NO. NAMA BARANG SATUAN N
N
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/BLN PKD PROG JUMLAH

240 Ventolin nebulizer Nebules 10 0 0 10 0 0 0 0 10 0 0 10 0 0 0 0 10 0 0 10 10 50


241 Vitamin B komplek tablet Tab 16360 0 0 16360 0 0 200 200 16360 0 200 16560 1346 0 0 1346 15014 0 200 15214 3500 3000
242 Yodium povidon lart 10 % - 30 ml Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12
243 Yodium povidon lart 10 % - 300 ml Btl 25 15 0 40 0 0 0 0 25 15 0 40 0 0 0 0 25 15 0 40 2 0
244 Xylocain jelly Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
245 Lidocain Pasta Pot 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
246 Zinc tablet 20 mg Tab 2425 0 0 2425 0 0 0 0 2425 0 0 2425 0 0 0 0 2425 0 0 2425 200 0
247 Zinc sirup Btl 119 0 0 119 0 0 0 0 119 0 0 119 2 0 0 2 117 0 0 117 10 0
248 Betamin drage ( Vit. B1 ) Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
249 Domperidon Btl 2140 0 0 2140 0 0 0 0 2140 0 0 2140 410 0 0 410 1730 0 0 1730 500 1200
250 Clozapin 25 mg Tab 0 0 150 150 0 0 0 0 0 0 150 150 0 0 0 0 0 0 150 150 0 0
251 Clobazam 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
252 Trifluoperazin HCl 5 mg ( Stelosi ) Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
253 Vitamin B 12 Tab 2200 0 0 2200 0 0 0 0 2200 0 0 2200 0 0 0 0 2200 0 0 2200 120 0
254 Ketokonazol Crem Tube 44 0 0 44 0 0 0 0 44 0 0 44 3 0 0 3 41 0 0 41 9 0
255 Ketokonazole Tablet Tab 300 943 0 1243 0 0 0 0 300 943 0 1243 0 0 0 0 300 943 0 1243 0 0
256 Flufenazin Decanoat Inj 25 mg Ampul 0 0 10 10 0 0 0 0 0 0 10 10 0 0 10 10 0 0 0 0 2 0
257 Haloperidol Inj 5 mg ( Ladomer ) Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
258 Haloperidol Decanoat Inj 50 mg Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0
259 Resperidon tab 2 mg Tab 0 0 980 980 0 0 0 0 0 0 980 980 0 0 0 0 0 0 980 980 4 0
260 Curviplex Sirup Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
261 Andalan Inj 3 Bulan Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
262 Andalan Inj 1 Bulan Vial 0 40 0 40 0 0 0 0 0 40 0 40 0 0 0 0 0 40 0 40 12 32
263 Cyclopen Inj. 1 Bulan Vial 0 190 0 190 0 0 0 0 0 190 0 190 0 20 0 20 0 170 0 170 6 0
264 Ichtyol Salaf Kulit Pot 0 8 0 8 0 0 0 0 0 8 0 8 0 0 0 0 0 8 0 8 4 24
265 Levertran Salep Kulit Pot 0 42 0 42 0 0 0 0 0 42 0 42 0 0 0 0 0 42 0 42 0 0
266 HEPATITIS B Paket 0 0 0 0 0 0 20 20 0 0 20 20 0 0 9 9 0 0 11 11 9.8 47.8
267 BCG Ampul 0 0 7 7 0 0 10 10 0 0 17 17 0 0 7 7 0 0 10 10 6.2 0
268 POLIO Vial 0 0 4 4 0 0 23 23 0 0 27 27 0 0 0 0 0 0 27 27 11.6 0
269 PENTABIO/DPTHBHib Vial 0 0 17 17 0 0 40 40 0 0 57 57 0 0 19 19 0 0 38 38 21 0
270 CAMPAK Vial 0 0 6 6 0 0 15 15 0 0 21 21 0 0 8 8 0 0 13 13 3.4 7.4
271 Td / TT Vial 0 0 36 36 0 0 0 0 0 0 36 36 0 0 3 3 0 0 33 33 4.2 0
272 IPV Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2.8 0
273 Vaksin MR Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 76.6 0
274 Pelarut MR Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 76.6 0
275 Pentocain 0,5 % TT Mata Btl 0 25 0 25 0 0 0 0 0 25 0 25 0 0 0 0 0 25 0 25 0 0
276 Domperidon syrup btl 56 0 0 56 0 0 0 0 56 0 0 56 1 0 0 1 55 0 0 55 5 0
277 Kloramfenikol syrup btl 105 0 0 105 0 0 0 0 105 0 0 105 0 0 0 0 105 0 0 105 2 0
278 cetirizin syrup btl 20 0 0 20 0 0 0 0 20 0 0 20 1 0 0 1 19 0 0 19 6 50
279 Pritamox sirup 125 mg btl 0 180 0 180 0 0 0 0 0 180 0 180 0 0 0 0 0 180 0 180 5 0
280 Albendazole syrup btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAIA PERMINTAA PEMBERIAN
KET.
NO. NAMA BARANG SATUAN N
N
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/BLN PKD PROG JUMLAH

281 Moxalaskap/cotri480mg tab 0 2696 0 2696 0 0 0 0 0 2696 0 2696 0 220 0 220 0 2476 0 2476 120 0
282 Moxalas syr/cotry syr btl 0 100 0 100 0 0 0 0 0 100 0 100 0 0 0 0 0 100 0 100 0 0
283 Lorihis tab/loratadin tab tab 0 860 0 860 0 0 0 0 0 860 0 860 0 0 0 0 0 860 0 860 100 0
284 Flagsol syr/metro syr btl 0 46 0 46 0 0 0 0 0 46 0 46 0 0 0 0 0 46 0 46 0 0
285 Selfolic 1000mg/Asam folat tab 0 2850 0 2850 0 0 0 0 0 2850 0 2850 0 530 0 530 0 2320 0 2320 600 1200
286 Trifadium2mg/Loperamid tab tab 0 990 0 990 0 0 0 0 0 990 0 990 0 130 0 130 0 860 0 860 300 1000
287 Omeprazole Injeksi Ampul 15 0 0 15 0 0 0 0 15 0 0 15 0 0 0 0 15 0 0 15 1 0
288 Gluconas Kalsikus injeksi amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
289 Tricloflem Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2
290 Cycloserin 250mg tab 0 0 0 0 0 0 252 252 0 0 252 252 0 0 252 252 0 0 0 0 151.2 3
291 Ethionmid 250mg tab 0 0 0 0 0 0 252 252 0 0 252 252 0 0 252 252 0 0 0 0 171.2 4
292 Levofloxacin 750mg tab 0 0 0 0 0 0 252 252 0 0 252 252 0 0 252 252 0 0 0 0 191.2 5
293 Bedaquilin 100mg tab 0 0 0 0 0 0 72 72 0 0 72 72 1 0 72 73 -1 0 0 -1 52.2 6
294 Hbig Bayi vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40.4 10
295 Amoxcillin drop btl 50 0 0 50 0 0 0 0 50 0 0 50 0 0 0 0 50 0 0 50 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BMHP
296 Alat suntik 1 ml Pcs 700 0 0 700 0 0 0 0 700 0 0 700 100 0 0 100 600 0 0 600 60 0
297 Alat suntik 2,5 ml Pcs 1700 0 0 1700 0 0 0 0 1700 0 0 1700 100 0 0 100 1600 0 0 1600 100 0
298 Alat suntik 3 ml Pcs 2700 400 30 3130 0 0 0 0 2700 400 30 3130 0 0 0 0 2700 400 30 3130 100 0
299 Alat suntik 5 ml Pcs 1300 500 500 2300 0 0 0 0 1300 500 500 2300 0 0 0 0 1300 500 500 2300 100 0
300 Alkohol 70 % ( 1 L ) Btl 19 0 0 19 0 0 0 0 19 0 0 19 2 0 0 2 17 0 0 17 5 13
301 Alkohol 70 % ( 60 Ml ) Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
302 Aqua destilata steril 500 ml Btl 2 0 0 2 0 0 0 0 2 0 0 2 0 0 0 0 2 0 0 2 2 10
303 Aqua pro injeksi Vial 74 25 0 99 0 0 0 0 74 25 0 99 0 0 0 0 74 25 0 99 3 0
304 Bisturi no 10 Pcs 10 0 0 10 0 0 0 0 10 0 0 10 0 0 0 0 10 0 0 10 0 0
305 Bisturi no 11 Pcs 10 0 0 10 0 0 0 0 10 0 0 10 0 0 0 0 10 0 0 10 0 0
306 Bisturi no 20 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
307 Bisturi no 22 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
308 Blood Lancet Pcs 2000 2800 0 4800 0 0 0 0 2000 2800 0 4800 0 0 0 0 2000 2800 0 4800 0 0
309 Catgut/benang bedah Pcs 96 0 0 96 0 0 0 0 96 0 0 96 0 0 0 0 96 0 0 96 0 0
310 ETT no.6 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
311 ETT no.6,5 Set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
312 ETT no.7 Set 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 -1 0 0 -1 0.2 2.2
313 ETT no.7,5 Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
314 Hand scrub Pcs 15 0 0 15 0 0 0 0 15 0 0 15 9 0 0 9 6 0 0 6 10 54
315 Handscoon uk.S Pcs 1000 -200 0 800 0 0 0 0 1000 -200 0 800 300 0 0 300 700 -200 0 500 300 1300
316 Handscoon uk. M Pcs 1000 2500 0 3500 0 0 0 0 1000 2500 0 3500 800 0 0 800 200 2500 0 2700 650 1000
317 Handscoon uk. L Pcs 0 600 0 600 0 0 0 0 0 600 0 600 0 200 0 200 0 400 0 400 250 1000
318 Infusion set anak set 0 50 0 50 0 0 0 0 0 50 0 50 0 0 0 0 0 50 0 50 1 0
319 Infusion set dewasa set 0 45 0 45 0 0 0 0 0 45 0 45 0 0 0 0 0 45 0 45 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAIA PERMINTAA PEMBERIAN
KET.
NO. NAMA BARANG SATUAN N
N
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/BLN PKD PROG JUMLAH

320 Wing neadle no. 23G Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


321 IV Catheter (Abocath) NO.20 Pcs 10 0 0 10 0 0 0 0 10 0 0 10 0 0 0 0 10 0 0 10 0 0
322 IV Catheter (Abocath) NO.22 Pcs 10 0 0 10 0 0 0 0 10 0 0 10 0 0 0 0 10 0 0 10 0 0
323 IV Catheter (Abocath) NO.24 pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
324 Jarum Jahit (Nald Heating ) no. 10 pcs 39 0 0 39 0 0 0 0 39 0 0 39 0 0 0 0 39 0 0 39 0 0
325 Jarum Jahit (Nald Heating ) no. 11 pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
326 Jarum Jahit (Nald Heating ) no. 12 pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
327 Jarum Jahit (Nald Heating ) no. 13 pcs 25 0 0 25 0 0 0 0 25 0 0 25 0 0 0 0 25 0 0 25 0 0
328 Jarum Jahit (Nald Heating ) no. 14 Pcs 25 0 0 25 0 0 0 0 25 0 0 25 0 0 0 0 25 0 0 25 0 0
329 Kapas pembalut/Absorben 250 gr Roll 45 0 0 45 0 0 0 0 45 0 0 45 0 0 0 0 45 0 0 45 0 0
330 Kasa kompres 40/40 steril Roll 158 0 0 158 0 0 0 0 158 0 0 158 0 0 0 0 158 0 0 158 0 0
331 Kasa pembalut hidrofil 4m x 15 cm Roll 420 0 0 420 0 0 0 0 420 0 0 420 0 0 0 0 420 0 0 420 0 0
332 Kasa pembalut hidrofil 4 m x 3 cm Roll 300 0 0 300 0 0 0 0 300 0 0 300 0 0 0 0 300 0 0 300 0 0
333 Kassa 36x80 cm Roll 19 0 0 19 0 0 0 0 19 0 0 19 51 0 0 51 -32 0 0 -32 0 0
334 Kertas Saring Whatman Buku -50 -49 0 -99 0 0 0 0 -50 -49 0 -99 0 0 0 0 -50 -49 0 -99 0 0
335 Masker Pcs 3350 3500 0 6850 0 0 50 50 3350 3500 50 6900 600 50 50 700 2750 3450 0 6200 1100 1000
336 Objec Glass Box/72 4 0 17 21 0 0 0 0 4 0 17 21 0 3000 0 3000 4 -3000 17 -2979 0 0
337 Pipet Tetes Panjang Pcs 15 0 0 15 0 0 0 0 15 0 0 15 0 1000 0 1000 15 -1000 0 -985 0 0
338 Plastik Obat Klip 10 x 7 Pcs 0 10500 0 10500 0 0 0 0 0 10500 0 10500 0 500 0 500 0 10000 0 10000 1500 -1000
339 Plastik Obat Klip 13 x 8,7 0 5000 0 5000 0 0 0 0 0 5000 0 5000 0 0 0 0 0 5000 0 5000 3000 13000
340 Plester 5 yard x 2 inch Roll 20 0 4 24 0 0 0 0 20 0 4 24 1 0 0 1 19 0 4 23 5 7
341 Poly catheter no.8 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
342 Poly catheter no.12 Pcs 3 0 0 3 0 0 0 0 3 0 0 3 0 0 0 0 3 0 0 3 0 0
343 Poly catheter no.16 Pcs/set 16 0 0 16 0 0 0 0 16 0 0 16 0 0 0 0 16 0 0 16 0 0
344 Silk ( benang bedah sutera) 03/0 Sak 49 0 36 85 0 0 0 0 49 0 36 85 0 0 0 0 49 0 36 85 0 0
345 Spons gelatin cublices bks 7 0 0 7 0 0 0 0 7 0 0 7 0 0 0 0 7 0 0 7 0 0
346 Stick Gluco DR Btl/50 0 16 0 16 0 0 0 0 0 16 0 16 0 2 0 2 0 14 0 14 2 4
347 Tabung Reaksi Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
348 Tes Kehamilan HCG Pcs 2 2 0 4 0 0 0 0 2 2 0 4 1 2 0 3 1 0 0 1 1 1
349 Transfution set/Transfusion blood ADM set 3 0 0 3 0 0 0 0 3 0 0 3 0 0 0 0 3 0 0 3 0 0
350 Urinalysis 10 parameter Btl 7 2 0 9 0 0 0 0 7 2 0 9 7 2 0 9 0 0 0 0 0 0
351 Stick asam Urat Btl/25 0 8 0 8 0 0 0 0 0 8 0 8 0 0 0 0 0 8 0 8 2 4
352 Stick Colestrol Btl/10 0 8 0 8 0 0 0 0 0 8 0 8 0 2 0 2 0 6 0 6 2 6
353 Jelly 250ml Ultra soundgel btl 0 2 0 2 0 0 0 0 0 2 0 2 0 0 0 0 0 2 0 2 1 4
354 Pot sputum Pcs 200 0 0 200 0 0 0 0 200 0 0 200 200 0 0 200 0 0 0 0 100 600
355 Reagen TB Paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
356 Sefty box 2,5 L Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 12
357 Reagen sifilis(SD,Bio StanQ) Test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
358 Box Slide Ktk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
359 Fokus test Ktk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
360 Alat suntik 0,5 ml Box 0 0 4859 4859 0 0 0 0 0 0 4859 4859 0 0 0 0 0 0 4859 4859 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAIA PERMINTAA PEMBERIAN
KET.
NO. NAMA BARANG SATUAN N
N
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/BLN PKD PROG JUMLAH

361 Sefty box 5 L Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 12


362 Masker Nebulizer Anak Psc 5 0 0 5 0 0 0 0 5 0 0 5 0 0 0 0 5 0 0 5 0 0
363 Masker Nebulizer Dewasa Psc 10 0 0 10 0 0 0 0 10 0 0 10 0 0 0 0 10 0 0 10 0 0
364 Nasal Oksigen Kanula Anak Psc 5 0 0 5 0 0 0 0 5 0 0 5 0 0 0 0 5 0 0 5 0 0
365 Nasal Oksigen Kanula Dewasa Psc 10 0 0 10 0 0 0 0 10 0 0 10 0 0 0 0 10 0 0 10 0 0
366 Non Rebreating Mask Psc 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
367 ID Dewasa Pink Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
368 ID Dewasa Blue Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
369 ID Bayi Pink Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
370 ID Bayi Biru Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
371 Umbilical Keniko Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
372 Folley Catheter 16 Rusch Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
373 Urine Bag Fresco Pcs 10 0 0 10 0 0 0 0 10 0 0 10 0 0 0 0 10 0 0 10 0 0
374 Disp Sryringe 10 ml Onemed Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
375 Suction Catheter 8 Remedi Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 150
376 Suction Catheter 16 Remedi Psc 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
377 Plaster Hypafix Psc 15 0 0 15 0 0 0 0 15 0 0 15 0 0 0 0 15 0 0 15 0 0
378 Rapid Test HIV I Standar (Stik SD HIV ) Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
379 Kasa Steril 16 X 16 Kotak 0 167 0 167 0 0 0 0 0 167 0 167 0 0 0 0 0 167 0 167 0 0
380 Alat Nesco Tri in one Kotak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
381 Alkohol Swab One swab Kotak 0 10 0 10 0 0 0 0 0 10 0 10 0 0 0 0 0 10 0 10 0 0
382 Bahan tambalan Komposid (solare) Tube 0 4 0 4 0 0 0 0 0 4 0 4 0 0 0 0 0 4 0 4 4 0
383 OCO Btl/15ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 12
384 Paper Pad Buku 0 6 0 6 0 0 0 0 0 6 0 6 0 0 0 0 0 6 0 6 5 0
385 Masker 1860 S/N95 pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 1
386 Rapid Test HIV II : Vikia (HIV ke 1) Test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2
387 Rapid Test Hiv, 3 : Intec/China (HIV KE 2) Test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 3
388 RDT(Virotec+Diluent)DBD Test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
389 Rapid HBsAg(Virochek HbsAg) Test 0 0 0 0 0 0 200 200 0 0 200 200 0 0 200 200 0 0 0 0 0 0

REAGENSIA
390 Cell Clean ( CL-50) Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
391 Cell Pack ( PK-30L) Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
392 Control eight check 3 x 1,5 ml Btl/set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
393 Eightcheck-3WP (Normal) 1,5 ml Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
394 Eightcheck-3WP (Low) 1,5 ml Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
395 Eightcheck-3WP (High) 1,5 ml Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
396 Stomalyzer WH(SWH-2004) btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
397 Tabung K2 EDTA 2 ml Btl 0 7 0 7 0 0 0 0 0 7 0 7 0 6 0 6 0 1 0 1 0 0
398 Printer Paper Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
399 Deck Glass Btl 5 0 0 5 0 0 0 0 5 0 0 5 0 0 0 0 5 0 0 5 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAIA PERMINTAA PEMBERIAN
KET.
NO. NAMA BARANG SATUAN N
N
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/BLN PKD PROG JUMLAH

400 Tes Gol Darah (A,B,AB ) Set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1


401 Tisu lensa Buku 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
402 Kertas perkamen Lembar 19 0 0 19 0 0 0 0 19 0 0 19 0 0 0 0 19 0 0 19 0 0
403 Podofilin Tinctur 25 % Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
404 Larutan Fauchet Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
405 Larutan Lisol Btl 32 0 0 32 0 0 0 0 32 0 0 32 8 0 0 8 24 0 0 24 5 0
406 Larutan asam klorida 0,1 N Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
407 Larutan asam sulfosalisilat 20% Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
408 Larutan barium klorida Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
409 Larutan Benedict Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
410 Larutan Bupper PH 7,2 Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
411 Larutan EDTA Cair 10 % Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
412 Larutan Eosin 2 % Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
413 Larutan Etanol Asam Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
414 Larutan Giemsa Stalin Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
415 Larutan H2O2 Btl 7 0 0 7 0 0 0 0 7 0 0 7 0 0 0 0 7 0 0 7 0 0
416 Larutan Imersen oil HB Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
417 Larutan karbol fuksin Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
418 Larutan Metanol Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
419 Larutan Metilen Biru Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
420 Larutan Natrium Sitrat 38 % Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
421 Larutan Rees echer Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
422 Larutan spiritus 100 ml Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
423 Larutan turk Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
424 Ether Alkohol Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425 Buffer Ph 6,4 Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
426 KOH 10 % Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

388794 158219 7331 554344 0 0 2394 2394 388794 158219 9725 556738 23791 6589 2642 33022 365003 151630 7083 523716

388,794 158,219 7,331 554,344 - - 2,126 23779 7419 2438 33636 365,003 151,630 7083 523,716

JENIS PELAYANAN PUSKESMAS PAAL X PUSTU POSKESDES JUMLAH


R/ UMUM 104 45 9 158
R/ BPJS 289 25 9 323
R/ JAMKESDA 0 35 0 35
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAIA PERMINTAA PEMBERIAN
KET.
NO. NAMA BARANG SATUAN N
N
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/BLN PKD PROG JUMLAH

Jlh. Recipe 1078 410 70 1558


Jlh R/ Generik 1078 410 70 1558
R/ Antibiotik 61 35 12 108

Mengetahui Jambi, Juni 2020


Kepala UPTD Puskesmas Paal X Kota Jambi

dr.Hj.SRI ROSIANTI SRI HARTATY, AMF


NIP. 19720704 200701 2 017 NIP. 19820825 200502 2 001
PUSKESMAS PAAL X KOTA JAMBI
KODE. 5070101

JUMLAH STOK AWAL


NO. NAMA BARANG SATUAN
JUMLAH PKD BLUD PROG
OBAT
1 Acyclovir cream 5 % tube 345 345 0 0
2 Acyclovir tablet 200 mg Tab 1280 1280 0 0
3 Acyclovir tablet 400 mg Tab 1348 1348 0 0
4 Air Raksa Dental Use Btl 1 1 0 0
5 Albendazole 400 mg Tab 100 100 0 0
6 Allopurinol 100 mg Tab 1360 1360 0 0
7 Allopurinol 300 mg Tab 2410 450 1960 0
8 Ambroxol syrup Btl 174 0 174 0
9 Ambroxol tab 30 mg Tab 2180 2180 0 0
10 Aminofilin injeksi Ampul 0 0 0 0
11 Aminofilin tablet Tab 1500 1500 0 0
12 Amitriptilin tablet 25 mg Tab 2001 2001 0 0
13 Amlodipin 5 mg Tab 5390 2390 3000 0
14 Amoksisilin kap 250 mg Kap 9450 0 9450 0
15 Amoksisilin kap 500 mg Kap 22620 22620 0 0
16 Amoksisilin sirup kering 125 mg/5 ml Btl 118 118 0 0
17 Amoksisilin Sirup Forte 250 mg/5 ml Btl 472 472 0 0
18 Amlodipin 10 mg Tab 3067 3067 0 0
19 Amoksisilin injeksi Vial 0 0 0 0
20 Ampisilin Kaplet 500 mg Kap 0 0 0 0
21 Ampisilin sirup kering 125 mg/5 ml Btl 0 0 0 0
22 Antalgin tablet 500 mg Tab 4190 4190 0 0
23 Antalgin injeksi Ampul 0 0 0 0
24 Antasida doen tablet Tab 28450 18450 10000 0
25 Antasida sirup Btl 219 183 36 0
26 Anti Bakteri salep / Bacitracin salep Tube 0 0 0 0
27 Anti Fungi kombinasi Pot 129 129 0 0
28 Anti Hemoroid supp 200 200 0 0
29 Anti Migrain tablet Tab 1000 1000 0 0
30 Asam Askorbat (VIT C) 50 mg Tab 33838 28338 5500 0
31 Asam Folat Tab 2000 2000 0 0
32 Asering Infus Kolf 0 0 0 0
33 Asam Mefenamat 500 mg Tab 2530 2530 0 0
34 Asam Tranexamat injeksi Ampul 0 0 0 0
35 Asam Asetilsalisilat(Asetosal) 80 mg Tab 100 100 0 0
36 Asetosal tablet 100 mg Tab 0 0 0 0
37 Azitromycin 500 mg Tab 195 195 0 0
38 Bisoprolol tablet Tab 0 0 0 0
39 Benzatin benzil penicilin inj 2,4 jt iu Vial 0 0 0 0
40 Betadin salep Tube 0 0 0 0
41 Betametason kream 0,1 % Tube 106 106 0 0
42 Bisacodyl 10 mg Supp 0 0 0 0
43 Bethahistin maselat Tablet 1785 1785 0 0
44 Captopril 12,5 mg Tab 1100 1100 0 0
45 Captopril 25 mg Tab 100 100 0 0
46 Captopril 50 mg Tab 100 100 0 0
47 Caviton Btl 2 2 0 0
48 Cefadroxil 500 mg kap 1370 1370 0 0
49 Cefotaxime injeksi 1 g Vial 0 0 0 0
50 Cefriaxon injeksi Vial 0 0 0 0
51 Cetrizin tablet 10 mg Kap 0 0 0 0
52 Ciprofloxacin 500 mg Tab 3970 3970 0 0
53 Clindamicin 150 mg Kap 300 300 0 0
54 Clindamicin 300 mg Kap 0 0 0 0
55 Devitalisasi pasta Btl 0 0 0 0
56 Dexamethason tablet Tab 17990 17990 0 0
57 Dexamethason injeksi Ampul 160 160 0 0
58 Diazepam tablet 2 mg Tab 2188 1388 800 0
59 Diazepam tablet 5 mg Tab 1197 1097 0 100
60 Diazepam injeksi Ampul 30 30 0 0
61 Difenhidramin injeksi Ampul 120 120 0 0
62 Digoksin tablet Tab 100 100 0 0
63 Doxicillin Tab 0 0 0 0
64 Dulcolax tablet Tab 0 0 0 0
65 Dulculax supp 10 mg ( Dewasa ) Supp 41 41 0 0
66 Dulculax supp 5 mg ( Anak ) Supp 0 0 0 0
67 Efedrin Hcl 25 mg Tab 0 0 0 0
68 Ekstrak belladona tablet 10 mg Tab 0 0 0 0
69 Ephinefrin hcl injeksi Ampul 120 120 0 0
70 Erytromycin kapsul 250 mg Kap 3286 3286 0 0
71 Erytromycin kapsul 500 mg Kap 4000 4000 0 0
72 Erytromycin syrup Btl 21 0 21 0
73 Etakridin / Rivanol Btl 34 34 0 0
74 Ethambutol hcl tab 250 mg Tab 0 0 0 0
75 Ethambutol hcl tab 500 mg Tab 0 0 0 0
76 Etil klorida semprot Btl 4 4 0 0
77 Eugenol cairan Btl 0 0 0 0
78 Fenitoin natrium 30 mg Kap 0 0 0 0
79 Fenitoin natrium 100 mg Kap 0 0 0 0
80 Fenobarbital injeksi Ampul 0 0 0 0
81 Fenobarbital tab 100 mg Tab 0 0 0 0
82 Fenobarbital tablet 30 mg Tab 697 697 0 0
83 Fenoksimetil fenisilin tab 250 mg Tab 0 0 0 0
84 Fenoksimetil fenisilin tab 500 mg Tab 0 0 0 0
85 Fenol Gliserol tetes telinga Btl 98 98 0 0
86 Fitomenadion (Vit K) tab 10 mg Tab 2470 2470 0 0
87 Fitomenadion (Vit K) injeksi Ampul 60 60 0 0
88 Fluconazol 150 mg Tab 0 0 0 0
89 Furosemide tablet 40 mg Tab 595 0 595 0
90 Fluor gel Btl 0 0 0 0
91 Garam oralit untuk 200 ml air Set 4874 4874 0 0
92 Gentamycin salep kulit 0,1 % Tube 106 106 0 0
93 Gentamycin salep mata Tube 106 106 0 0
94 Gentamycin tetes mata Btl 144 144 0 0
95 Gentamycin injeksi Ampul 0 0 0 0
96 Gentian violet Btl 91 43 48 0
97 Glass Ionomer (ART FUJI IX) Btl 0 0 0 0
98 Glibenklamida tablet 5 mg Tab 100 100 0 0
99 Glimepiride 1 mg Tab 2350 2350 0 0
100 Glimepiride 2 mg Tab 1920 1420 500 0
101 Gliseril guaiakolat tablet 100 mg Tab 46585 0 46585 0
102 Glukosa larutan infus 5 % steril Btl 0 0 0 0
103 Griseofulvin tablet 125 mg Tab 1500 1500 0 0
104 Griseofulvin tablet 500 mg Tab 400 400 0 0
105 Halloperidol tab 0,5 mg Tab 70 70 0 0
106 Halloperidol tab 1,5 mg Tab 600 600 0 0
107 Halloperidol tab 5 mg Tab 500 0 0 500
108 Hidroklortiazide (HCT) tablet 25 mg Tab 1310 1310 0 0
109 Hidrocortison krim 2,5 % Tube 140 140 0 0
110 Ibuprofen tablet 200 mg Tab 2750 2750 0 0
111 Ibuprofen tablet 400 mg Tab 0 0 0 0
112 Ibuprofen syrup Btl 0 0 0 0
113 Insulin Human Rapid injeksi 100 IU vial 0 0 0 0
114 Isoniazida ( INH ) tab 100 mg Tab 0 0 0 0
115 Isoniazida ( INH ) tab 300 mg Tab 0 0 0 0
116 Isosorbit dinitrat sublingual 5 mg Tab 130 130 0 0
117 Komb. Primetamin 25mg+suldox 500mg Tab 0 0 0 0
118 Klorfenol kamfermenthol ( CHKM ) Tab 0 0 0 0
119 Kalsium Laktat tablet Tab 23860 13360 10500 0
120 Kandesartan cilexetil 8 mg Tab 0 0 0 0
121 Karbamazepin tablet 200 mg Tab 500 500 0 0
122 Ketorolac injeksi Ampul 0 0 0 0
123 Kloramfenikol salep kulit Tube 90 90 0 0
124 Kloramfenikol salep mata 1 % Tube 137 137 0 0
125 Kloramfenicol tetes telinga 3 % Btl 97 97 0 0
126 Kloramfenicol 250 mg kapsul Kap 0 0 0 0
127 Klorfeniramin maleat 4 mg (CTM ) Tab 27342 27342 0 0
128 Kloramfenicol tetes mata ( Reco ) Btl 48 0 48 0
129 Kalsium Hidroksida Pasta ( Calcidor ) Tube 0 0 0 0
130 Klorpromazin hcl injeksi Ampul 0 0 0 0
131 Klorpromazine tab salut 25 mg Tab 0 0 0 0
132 Klorpromazine tab salut 100 mg Tab 0 0 0 0
133 Kodein tablet 10 mg Tab 800 800 0 0
134 Kotrimoksazol suspensi Btl 369 369 0 0
135 Kotrimoksazol pediatrik Tab 0 0 0 0
136 Kotrimoksazol tablet 480 mg Tab 0 0 0 0
137 Klorokuin Tab 0 0 0 0
138 Kuinin sulfat tab 222 mg (7H2O) Tab 0 0 0 0
139 Lidocain kompositum inj (Pehacain) Ampul 540 540 0 0
140 Lidocain injeksi Ampul 400 400 0 0
141 Lisinopril 10 mg Tab 0 0 0 0
142 Loperamide tab 2 mg / Novadium Tab 0 0 0 0
143 Loratadin 10 mg Tab 0 0 0 0
144 Magnesium sulfat injeksi 20% vial 5 5 0 0
145 Magnesium sulfat injeksi 40% vial 5 5 0 0
146 Mecobalamin injeksi Ampul 0 0 0 0
147 Meloxicam 7,5 mg Tab 0 0 0 0
148 Metformin hcl tablet 500 mg Tab 5150 5150 0 0
149 Methyl prednisolon tablet 4 mg Tab 9422 6000 3422 0
150 Metilergometrin tablet salut Tab 200 200 0 0
151 Metilergometrin injeksi Ampul 75 0 0 75
152 Metoklorpropamide hcl 10 mg Tab 2500 2500 0 0
153 Metronidazole tablet 250 mg Tab 0 0 0 0
154 Metronidazole tablet 500 mg Tab 770 770 0 0
155 Metronidazole syrup Btl 0 0 0 0
156 Metronidazole infus Btl 0 0 0 0
157 Miconazol cream tube 204 204 0 0
158 Microlax rectal tube tube 0 0 0 0
159 Mummifying pasta Btl 0 0 0 0
160 Natrium bikarbonat tablet Tab 1185 1185 0 0
161 Natrium Diklofenak 25 mg Tab 2718 2718 0 0
162 Natrium Diklofenak 50 mg Tab 3259 2150 1109 0
163 Natrium klorida larutan infus Btl 108 108 0 0
164 Neurobion 5000 injeksi Ampul 0 0 0 0
165 Nifedipin tablet Tab 260 260 0 0
166 Nistatin tablet salut 500.000 iu/g Tab 0 0 0 0
167 Nistatin tablet vaginal 100.000 iu/g Tab 452 452 0 0
168 OBH Btl 155 56 99 0
169 Obat Anti TBC Kategori 1 paket 0 0 0 0
170 Obat Anti TBC Kategori 1 -Stop TB KIT paket 0 0 0 0
171 Obat Anti TBC Kategori II paket 0 0 0 0
172 Obat Anti TBC Kategori Anak paket 0 0 0 0
173 Kombipak Kategori I paket 0 0 0 0
174 Ofloxacin 200 mg Tab 0 0 0 0
175 Oksitetrasiklin hcl salep mata 1 % tube 25 25 0 0
176 Oksitetrasiklin hcl salep kulit 3 % Tube 145 145 0 0
177 Oksitetrasiklin hcl injeksi vial 0 0 0 0
178 Oksitosin injeksi / Pitogin Ampul 100 100 0 0
179 Omeprazole capsul 20 mg Kap 2100 2100 0 0
180 Ondansentron injeksi Ampul 0 0 0 0
181 Papaverin tablet Tab 0 0 0 0
182 Paracetamol tablet 100 mg Tab 0 0 0 0
183 Paracetamol tablet 500 mg Tab 64100 43900 20200 0
184 Paracetamol Drop Btl 0 0 0 0
185 Parasetamol sirup Btl 464 100 364 0
186 Perfenazine tablet 4 mg Tab 0 0 0 0
187 Piracetam 3 g injeksi Ampul 0 0 0 0
188 Pirantel pamoat tablet 125 mg Tab 200 200 0 0
189 Pirantel pamoat sirup Btl 0 0 0 0
190 Pyrazinamide tablet 500 mg Tab 0 0 0 0
191 Piridoxin hcl tablet 10 mg Tab 22130 22130 0 0
192 Piroxicam 10 mg Tab 2215 215 2000 0
193 Piroxicam 20 mg Tab 900 0 900 0
194 Polikresulen / Albothil Btl 0 0 0 0
195 Prednison tablet Tab 18800 18800 0 0
196 Primakuin tablet Tab 0 0 0 0
197 Prokain benzil penisilin inj vial 0 0 0 0
198 Pronalges suppositoria Supp 0 0 0 0
199 Propanolol tab 10 mg Tab 0 0 0 0
200 Propanolol tab 40 mg Tab 0 0 0 0
201 Propiltiourasil tablet 100 mg Tab 780 200 580 0
202 Proris suppositoria Supp 0 0 0 0
203 Perak sulfadiazine cream 3 % tube 38 38 0 0
204 Ranitidin tablet 150 mg Tab 214 214 0 0
205 Ranitidin injeksi Ampul 0 0 0 0
206 Reserpin tablet 0,1 mg Tab 0 0 0 0
207 Reserpin tablet 0,25 mg Tab 0 0 0 0
208 Retinol kapsul 100.000 IU Kapsul 0 0 0 0
209 Retinol kapsul 200.000 IU Kapsul 0 0 0 0
210 Rifampisin kapsul 300 mg Kap 0 0 0 0
211 Rifampisin kapsul 450 mg Kap 0 0 0 0
212 Rifampisin kapsul 600 mg Kap 0 0 0 0
213 Ringer laktat infus steril Btl 30 30 0 0
214 Salbutamol tablet 2 mg Tab 245 245 0 0
215 Salbuatmol tablet 4 mg Tab 1190 1190 0 0
216 salep 2-4 Pot 4 4 0 0
217 Salisil bedak 2 % Pot 172 172 0 0
218 Semen seng fosfat serbuk & cairan Btl 0 0 0 0
219 Serum Anti Bisa Ular injeksi Vial 0 0 0 0
220 Serum Anti tetanus injeksi 1500 IU Ampul 0 0 0 0
221 Tatagam vial 0 0 0 0
222 Sianokobalamin inj 500 mcg/ml Btl 0 0 0 0
223 Silver Amalgam serbuk Tab 0 0 0 0
224 Simvastatin 10 mg Tab 2850 2250 600 0
225 Simvastatin 20 mg supp 2840 0 2840 0
226 Stesolid rectal supp 5 mg Supp 0 0 0 0
227 Stesolid rectal supp 10 mg Btl 13 13 0 0
228 Sulfasetamid tetes mata 15 % Tab 0 0 0 0
229 Tablet tambah darah (SF) Tab 19160 17160 2000 0
230 Temporary / Fletcher Kap 0 0 0 0
231 Tetrasiklin kapsul 250 mg Kap 0 0 0 0
232 Tetrasiklin kapsul 500 mg Tab 1080 1080 0 0
233 Thrombo Aspilet Tab 0 0 0 0
234 Thiamin injeksi Ampul 0 0 0 0
235 Thiamin tablet 50 mg Tab 20040 20040 0 0
236 Triheksipenidil hcl tablet 2 mg Tab 637 637 0 0
237 Trikresol formalin cairan ( TKF ) Ampul 0 0 0 0
238 Vaksin rabies vero Tab 0 0 0 0
239 Valsartan 80 mg Tab 0 0 0 0
240 Ventolin nebulizer Nebules 10 10 0 0
241 Vitamin B komplek tablet Tab 16360 16360 0 0
242 Yodium povidon lart 10 % - 30 ml Btl 0 0 0 0
243 Yodium povidon lart 10 % - 300 ml Btl 40 25 15 0
244 Xylocain jelly Tube 0 0 0 0
245 Lidocain Pasta Pot 0 0 0 0
246 Zinc tablet 20 mg Tab 2425 2425 0 0
247 Zinc sirup Btl 119 119 0 0
248 Betamin drage ( Vit. B1 ) Tab 0 0 0 0
249 Domperidon Btl 2140 2140 0 0
250 Clozapin 25 mg Tab 150 0 0 150
251 Clobazam 10 mg Tab 0 0 0 0
252 Trifluoperazin HCl 5 mg ( Stelosi ) Tab 0 0 0 0
253 Vitamin B 12 Tab 2200 2200 0 0
254 Ketokonazol Crem Tube 44 44 0 0
255 Ketokonazole Tablet Tab 1243 300 943 0
256 Flufenazin Decanoat Inj 25 mg Ampul 10 0 0 10
257 Haloperidol Inj 5 mg ( Ladomer ) Ampul 0 0 0 0
258 Haloperidol Decanoat Inj 50 mg Ampul 0 0 0 0
259 Resperidon tab 2 mg Tab 980 0 0 980
260 Curviplex Sirup Btl 0 0 0 0
261 Andalan Inj 3 Bulan Vial 0 0 0 0
262 Andalan Inj 1 Bulan Vial 40 0 40 0
263 Cyclopen Inj. 1 Bulan Vial 190 0 190 0
264 Ichtyol Salaf Kulit Pot 8 0 8 0
265 Levertran Salep Kulit Pot 42 0 42 0
266 HEPATITIS B Paket 0 0 0 0
267 BCG Ampul 7 0 0 7
268 POLIO Vial 4 0 0 4
269 PENTABIO/DPTHBHib Vial 17 0 0 17
270 CAMPAK Vial 6 0 0 6
271 Td / TT Vial 36 0 0 36
272 IPV Vial 0 0 0 0
273 Vaksin MR Vial 0 0 0 0
274 Pelarut MR Vial 0 0 0 0
275 Pentocain 0,5 % TT Mata Btl 25 0 25 0
276 Domperidon syrup btl 56 56 0 0
277 Kloramfenikol syrup btl 105 105 0 0
278 cetirizin syrup btl 20 20 0 0
279 Pritamox sirup 125 mg btl 180 0 180 0
280 Albendazole syrup btl 0 0 0 0
281 Moxalaskap/cotri480mg tab 2696 0 2696 0
282 Moxalas syr/cotry syr btl 100 0 100 0
283 Lorihis tab/loratadin tab tab 860 0 860 0
284 Flagsol syr/metro syr btl 46 0 46 0
285 Selfolic 1000mg/Asam folat tab 2850 0 2850 0
286 Trifadium2mg/Loperamid tab tab 990 0 990 0
287 Omeprazole Injeksi Ampul 15 15 0 0
288 Gluconas Kalsikus injeksi amp 0 0 0 0
289 Tricloflem Vial 0 0 0 0
290 Cycloserin 250mg tab 0 0 0 0
291 Ethionmid 250mg tab 0 0 0 0
292 Levofloxacin 750mg tab 0 0 0 0
293 Bedaquilin 100mg tab 0 0 0 0
294 Hbig Bayi vial 0 0 0 0
295 Amoxcillin drop btl 50 50 0 0
0 0 0 0
BMHP 0 0 0 0
296 Alat suntik 1 ml Pcs 700 700 0 0
297 Alat suntik 2,5 ml Pcs 1700 1700 0 0
298 Alat suntik 3 ml Pcs 3130 2700 400 30
299 Alat suntik 5 ml Pcs 2300 1300 500 500
300 Alkohol 70 % ( 1 L ) Btl 19 19 0 0
301 Alkohol 70 % ( 60 Ml ) Btl 0 0 0 0
302 Aqua destilata steril 500 ml Btl 2 2 0 0
303 Aqua pro injeksi Vial 99 74 25 0
304 Bisturi no 10 Pcs 10 10 0 0
305 Bisturi no 11 Pcs 10 10 0 0
306 Bisturi no 20 Pcs 0 0 0 0
307 Bisturi no 22 Pcs 0 0 0 0
308 Blood Lancet Pcs 4800 2000 2800 0
309 Catgut/benang bedah Pcs 96 96 0 0
310 ETT no.6 Pcs 0 0 0 0
311 ETT no.6,5 Set 0 0 0 0
312 ETT no.7 Set 0 0 0 0
313 ETT no.7,5 Btl 0 0 0 0
314 Hand scrub Pcs 15 15 0 0
315 Handscoon uk.S Pcs 1000 1000 0 0
316 Handscoon uk. M Pcs 3400 1000 2400 0
317 Handscoon uk. L Pcs 500 0 500 0
318 Infusion set anak set 50 0 50 0
319 Infusion set dewasa set 45 0 45 0
320 Wing neadle no. 23G Pcs 0 0 0 0
321 IV Catheter (Abocath) NO.20 Pcs 10 10 0 0
322 IV Catheter (Abocath) NO.22 Pcs 10 10 0 0
323 IV Catheter (Abocath) NO.24 pcs 0 0 0 0
324 Jarum Jahit (Nald Heating ) no. 10 pcs 39 39 0 0
325 Jarum Jahit (Nald Heating ) no. 11 pcs 0 0 0 0
326 Jarum Jahit (Nald Heating ) no. 12 pcs 0 0 0 0
327 Jarum Jahit (Nald Heating ) no. 13 pcs 25 25 0 0
328 Jarum Jahit (Nald Heating ) no. 14 Pcs 25 25 0 0
329 Kapas pembalut/Absorben 250 gr Roll 45 45 0 0
330 Kasa kompres 40/40 steril Roll 158 158 0 0
331 Kasa pembalut hidrofil 4m x 15 cm Roll 420 420 0 0
332 Kasa pembalut hidrofil 4 m x 3 cm Roll 300 300 0 0
333 Kassa 36x80 cm Roll 19 19 0 0
334 Kertas Saring Whatman Buku 1 0 1 0
335 Masker Pcs 6750 3300 3450 0
336 Objec Glass Box/72 21 4 0 17
337 Pipet Tetes Panjang Pcs 15 15 0 0
338 Plastik Obat Klip 10 x 7 Pcs 10500 0 10500 0
339 Plastik Obat Klip 13 x 8,7 5000 0 5000 0
340 Plester 5 yard x 2 inch Roll 24 20 0 4
341 Poly catheter no.8 Pcs 0 0 0 0
342 Poly catheter no.12 Pcs 3 3 0 0
343 Poly catheter no.16 Pcs/set 16 16 0 0
344 Silk ( benang bedah sutera) 03/0 Sak 85 49 0 36
345 Spons gelatin cublices bks 7 7 0 0
346 Stick Gluco DR Btl/50 16 0 16 0
347 Tabung Reaksi Pcs 0 0 0 0
348 Tes Kehamilan HCG Pcs 4 2 2 0
349 Transfution set/Transfusion blood ADM set 3 3 0 0
350 Urinalysis 10 parameter Btl 9 7 2 0
351 Stick asam Urat Btl/25 8 0 8 0
352 Stick Colestrol Btl/10 8 0 8 0
353 Jelly 250ml Ultra soundgel btl 2 0 2 0
354 Pot sputum Pcs 200 200 0 0
355 Reagen TB Paket 0 0 0 0
356 Sefty box 2,5 L Box 0 0 0 0
357 Reagen sifilis(SD,Bio StanQ) Test 0 0 0 0
358 Box Slide Ktk 0 0 0 0
359 Fokus test Ktk 0 0 0 0
360 Alat suntik 0,5 ml Box 4859 0 0 4859
361 Sefty box 5 L Box 0 0 0 0
362 Masker Nebulizer Anak Psc 5 5 0 0
363 Masker Nebulizer Dewasa Psc 10 10 0 0
364 Nasal Oksigen Kanula Anak Psc 5 5 0 0
365 Nasal Oksigen Kanula Dewasa Psc 10 10 0 0
366 Non Rebreating Mask Psc 0 0 0 0
367 ID Dewasa Pink Box 0 0 0 0
368 ID Dewasa Blue Box 0 0 0 0
369 ID Bayi Pink Box 0 0 0 0
370 ID Bayi Biru Box 0 0 0 0
371 Umbilical Keniko Box 0 0 0 0
372 Folley Catheter 16 Rusch Pcs 0 0 0 0
373 Urine Bag Fresco Pcs 10 10 0 0
374 Disp Sryringe 10 ml Onemed Box 0 0 0 0
375 Suction Catheter 8 Remedi Pcs 0 0 0 0
376 Suction Catheter 16 Remedi Psc 0 0 0 0
377 Plaster Hypafix Psc 15 15 0 0
378 Rapid Test HIV I Standar (Stik SD HIV ) Pcs 0 0 0 0
379 Kasa Steril 16 X 16 Kotak 167 0 167 0
380 Alat Nesco Tri in one Kotak 0 0 0 0
381 Alkohol Swab One swab Kotak 10 0 10 0
382 Bahan tambalan Komposid (solare) Tube 4 0 4 0
383 OCO Btl/15ml 0 0 0 0
384 Paper Pad Buku 6 0 6 0
385 Masker 1860 S/N95 pcs 0 0 0 0
386 Rapid Test HIV II : Vikia (HIV ke 1) Test 0 0 0 0
387 Rapid Test Hiv, 3 : Intec/China (HIV KE 2) Test 0 0 0 0
388 RDT(Virotec+Diluent)DBD Test 0 0 0 0
389 Rapid HBsAg(Virochek HbsAg) Test 0 0 0 0

REAGENSIA 0 0 0 0
390 Cell Clean ( CL-50) Btl 0 0 0 0
391 Cell Pack ( PK-30L) Btl 0 0 0 0
392 Control eight check 3 x 1,5 ml Btl/set 0 0 0 0
393 Eightcheck-3WP (Normal) 1,5 ml Vial 0 0 0 0
394 Eightcheck-3WP (Low) 1,5 ml Vial 0 0 0 0
395 Eightcheck-3WP (High) 1,5 ml Vial 0 0 0 0
396 Stomalyzer WH(SWH-2004) btl 0 0 0 0
397 Tabung K2 EDTA 2 ml Btl 7 0 7 0
398 Printer Paper Pcs 0 0 0 0
399 Deck Glass Btl 5 5 0 0
400 Tes Gol Darah (A,B,AB ) Set 0 0 0 0
401 Tisu lensa Buku 0 0 0 0
402 Kertas perkamen Lembar 19 19 0 0
403 Podofilin Tinctur 25 % Btl 0 0 0 0
404 Larutan Fauchet Btl 0 0 0 0
405 Larutan Lisol Btl 32 32 0 0
406 Larutan asam klorida 0,1 N Btl 0 0 0 0
407 Larutan asam sulfosalisilat 20% Btl 0 0 0 0
408 Larutan barium klorida Btl 0 0 0 0
409 Larutan Benedict Btl 0 0 0 0
410 Larutan Bupper PH 7,2 Btl 0 0 0 0
411 Larutan EDTA Cair 10 % Btl 0 0 0 0
412 Larutan Eosin 2 % Btl 0 0 0 0
413 Larutan Etanol Asam Btl 0 0 0 0
414 Larutan Giemsa Stalin Btl 0 0 0 0
415 Larutan H2O2 Btl 7 7 0 0
416 Larutan Imersen oil HB Btl 0 0 0 0
417 Larutan karbol fuksin Btl 0 0 0 0
418 Larutan Metanol Btl 0 0 0 0
419 Larutan Metilen Biru Btl 0 0 0 0
420 Larutan Natrium Sitrat 38 % Btl 0 0 0 0
421 Larutan Rees echer Btl 0 0 0 0
422 Larutan spiritus 100 ml Btl 0 0 0 0
423 Larutan turk Btl 0 0 0 0
424 Ether Alkohol Botol 0 0 0 0
425 Buffer Ph 6,4 Botol 0 0 0 0
426 KOH 10 % Btl 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
554,344 388,794 158,219 7,331
554344 388794 158219 7331

- -
LAPORAN PEMAKAIAN DAN L

STOK AWAL GUDANG STOK AWAL APOTIK PENERIMAAN


PKD BLUD PROG PKD BLUD PROG PKD BLUD PROG

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363,600 152,662 7,251 25194 5557 80 - - 2,394
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )

IMAAN PERSEDIA PEMAKAIAN PEMAKAIAN GUDANG (LAIN-LAIN) PEMAKAIAN APOTIK


JUMLAH AN PKD BLUD PROG PKD BLUD PROG

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0 46 0 0 0 0 0 0 0
0 2850 530 0 500 0 0 30 0
0 990 130 0 0 0 0 130 0
0 15 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
252 252 252 0 0 252 0 0 0
252 252 252 0 0 252 0 0 0
252 252 252 0 0 252 0 0 0
72 72 73 0 0 72 1 0 0
0 0 0 0 0 0 0 0 0
0 50 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
0 700 100 100 0 0 0 0 0
0 1700 100 100 0 0 0 0 0
0 3130 0 0 0 0 0 0 0
0 2300 0 0 0 0 0 0 0
0 19 2 2 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 2 0 0 0 0 0 0 0
0 99 0 0 0 0 0 0 0
0 10 0 0 0 0 0 0 0
0 10 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 4800 0 0 0 0 0 0 0
0 96 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 1 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0
0 15 9 9 0 0 0 0 0
0 1000 300 300 0 0 0 0 0
0 3400 800 800 0 0 0 0 0
0 500 200 0 200 0 0 0 0
0 50 0 0 0 0 0 0 0
0 45 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 10 0 0 0 0 0 0 0
0 10 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 39 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 25 0 0 0 0 0 0 0
0 25 0 0 0 0 0 0 0
0 45 0 0 0 0 0 0 0
0 158 0 0 0 0 0 0 0
0 420 0 0 0 0 0 0 0
0 300 0 0 0 0 0 0 0
0 19 51 1 0 0 50 0 0
0 1 0 0 0 0 0 0 0
50 6800 700 600 50 50 0 0 0
0 21 3000 0 0 0 0 3000 0
0 15 1000 0 0 0 0 1000 0
0 10500 500 0 500 0 0 0 0
0 5000 0 0 0 0 0 0 0
0 24 1 1 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 3 0 0 0 0 0 0 0
0 16 0 0 0 0 0 0 0
0 85 0 0 0 0 0 0 0
0 7 0 0 0 0 0 0 0
0 16 2 0 2 0 0 0 0
0 0 0 0 0 0 0 0 0
0 4 3 1 2 0 0 0 0
0 3 0 0 0 0 0 0 0
0 9 9 7 2 0 0 0 0
0 8 0 0 0 0 0 0 0
0 8 2 0 2 0 0 0 0
0 2 0 0 0 0 0 0 0
0 200 200 200 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 0 0 0
0 4859 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 5 0 0 0 0 0 0 0
0 10 0 0 0 0 0 0 0
0 5 0 0 0 0 0 0 0
0 10 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 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 10 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 15 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 167 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 10 0 0 0 0 0 0 0
0 4 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 6 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
200 200 200 0 0 200 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 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 7 6 0 6 0 0 0 0
0 0 0 0 0 0 0 0 0
0 5 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 19 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 32 8 8 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 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 7 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 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
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
2,394 556,738 33,022 13,408 1,584 2,642 10,383 5,005 -
2,394 13289 2414 2438 10490 5005 -
556,738
STOK AKHIR PEMAKAIAN PERMINTAA PEMBERIAN
STOK AKHIR
PKD BLUD PROG RATA2/BLN N PKD

334 334 0 0
1270 1270 0 0
1348 1348 0 0
1 1 0 0
100 100 0 0
500 500 0 0
1890 0 1890 0
171 0 171 0
2130 2130 0 0
0 0 0 0
1500 1500 0 0
1997 1997 0 0
4680 1680 3000 0
9400 0 9400 0
22050 22050 0 0
100 100 0 0
472 472 0 0
2670 2670 0 0
0 0 0 0
0 0 0 0
0 0 0 0
4080 4080 0 0
0 0 0 0
26270 16270 10000 0
202 166 36 0
0 0 0 0
129 129 0 0
200 200 0 0
1000 1000 0 0
32440 26940 5500 0
2000 2000 0 0
0 0 0 0
1770 1770 0 0
0 0 0 0
100 100 0 0
0 0 0 0
195 195 0 0
0 0 0 0
0 0 0 0
0 0 0 0
86 86 0 0
0 0 0 0
1785 1785 0 0
800 800 0 0
100 100 0 0
100 100 0 0
2 2 0 0
1200 1200 0 0
0 0 0 0
0 0 0 0
0 0 0 0
3940 3940 0 0
300 300 0 0
0 0 0 0
0 0 0 0
17040 17040 0 0
160 160 0 0
994 194 800 0
1197 1097 0 100
30 30 0 0
120 120 0 0
100 100 0 0
0 0 0 0
0 0 0 0
41 41 0 0
0 0 0 0
0 0 0 0
0 0 0 0
120 120 0 0
3270 3270 0 0
4000 4000 0 0
21 0 21 0
34 34 0 0
0 0 0 0
0 0 0 0
4 4 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
697 697 0 0
0 0 0 0
0 0 0 0
91 91 0 0
2422 2422 0 0
60 60 0 0
0 0 0 0
595 0 595 0
0 0 0 0
4814 4814 0 0
89 89 0 0
103 103 0 0
144 144 0 0
0 0 0 0
87 39 48 0
0 0 0 0
100 100 0 0
2350 2350 0 0
1825 1325 500 0
46394 0 46394 0
0 0 0 0
700 700 0 0
400 400 0 0
70 70 0 0
600 600 0 0
0 0 0 0
1310 1310 0 0
134 134 0 0
2514 2514 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
115 115 0 0
0 0 0 0
0 0 0 0
23630 13130 10500 0
0 0 0 0
500 500 0 0
0 0 0 0
90 90 0 0
135 135 0 0
87 87 0 0
0 0 0 0
26310 26310 0 0
48 0 48 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
780 780 0 0
300 300 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
540 540 0 0
400 400 0 0
0 0 0 0
0 0 0 0
0 0 0 0
5 5 0 0
5 5 0 0
0 0 0 0
0 0 0 0
4048 4048 0 0
9268 6000 3268 0
200 200 0 0
75 0 0 75
2500 2500 0 0
0 0 0 0
560 560 0 0
0 0 0 0
0 0 0 0
198 198 0 0
0 0 0 0
0 0 0 0
1185 1185 0 0
2444 2444 0 0
3259 2150 1109 0
108 108 0 0
0 0 0 0
260 260 0 0
0 0 0 0
452 452 0 0
140 41 99 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
25 25 0 0
116 116 0 0
0 0 0 0
100 100 0 0
1803 1803 0 0
0 0 0 0
0 0 0 0
0 0 0 0
61140 40940 20200 0
0 0 0 0
397 50 347 0
0 0 0 0
0 0 0 0
200 200 0 0
0 0 0 0
0 0 0 0
21670 21670 0 0
2000 0 2000 0
600 0 600 0
0 0 0 0
18300 18300 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
780 200 580 0
0 0 0 0
34 34 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
25 25 0 0
0 0 0 0
1180 1180 0 0
0 0 0 0
162 162 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
2640 2130 510 0
2790 0 2790 0
0 0 0 0
13 13 0 0
0 0 0 0
19030 17030 2000 0
0 0 0 0
0 0 0 0
1080 1080 0 0
0 0 0 0
0 0 0 0
19932 19932 0 0
637 637 0 0
0 0 0 0
0 0 0 0
0 0 0 0
10 10 0 0
15214 15014 0 200
0 0 0 0
40 25 15 0
0 0 0 0
0 0 0 0
2425 2425 0 0
117 117 0 0
0 0 0 0
1730 1730 0 0
150 0 0 150
0 0 0 0
0 0 0 0
2200 2200 0 0
41 41 0 0
1243 300 943 0
0 0 0 0
0 0 0 0
0 0 0 0
980 0 0 980
0 0 0 0
0 0 0 0
40 0 40 0
170 0 170 0
8 0 8 0
42 0 42 0
11 0 0 11
10 0 0 10
27 0 0 27
38 0 0 38
13 0 0 13
33 0 0 33
0 0 0 0
0 0 0 0
0 0 0 0
25 0 25 0
55 55 0 0
105 105 0 0
19 19 0 0
180 0 180 0
0 0 0 0
2476 0 2476 0
100 0 100 0
860 0 860 0
46 0 46 0
2320 0 2320 0
860 0 860 0
15 15 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
-1 -1 0 0
0 0 0 0
50 50 0 0
0 0 0 0
0 0 0 0
600 600 0 0
1600 1600 0 0
3130 2700 400 30
2300 1300 500 500
17 17 0 0
0 0 0 0
2 2 0 0
99 74 25 0
10 10 0 0
10 10 0 0
0 0 0 0
0 0 0 0
4800 2000 2800 0
96 96 0 0
0 0 0 0
0 0 0 0
-1 -1 0 0
0 0 0 0
6 6 0 0
700 700 0 0
2600 200 2400 0
300 0 300 0
50 0 50 0
45 0 45 0
0 0 0 0
10 10 0 0
10 10 0 0
0 0 0 0
39 39 0 0
0 0 0 0
0 0 0 0
25 25 0 0
25 25 0 0
45 45 0 0
158 158 0 0
420 420 0 0
300 300 0 0
-32 -32 0 0
1 0 1 0
6100 2700 3400 0
-2979 4 -3000 17
-985 15 -1000 0
10000 0 10000 0
5000 0 5000 0
23 19 0 4
0 0 0 0
3 3 0 0
16 16 0 0
85 49 0 36
7 7 0 0
14 0 14 0
0 0 0 0
1 1 0 0
3 3 0 0
0 0 0 0
8 0 8 0
6 0 6 0
2 0 2 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
4859 0 0 4859
0 0 0 0
5 5 0 0
10 10 0 0
5 5 0 0
10 10 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
10 10 0 0
0 0 0 0
0 0 0 0
0 0 0 0
15 15 0 0
0 0 0 0
167 0 167 0
0 0 0 0
10 0 10 0
4 0 4 0
0 0 0 0
6 0 6 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 0 0
0 0 0 0
1 0 1 0
0 0 0 0
5 5 0 0
0 0 0 0
0 0 0 0
19 19 0 0
0 0 0 0
0 0 0 0
24 24 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
7 7 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 0 0 0
0 0 0 0
0 0 0 0 523,716
523,716 365,003 151,630 7,083 523,716
523,716
554,647 gudang
apotik
Bulan : Mei 2020
PEMBERIAN KET. PEMAKAIAN TOTAL(GUDANG + APOTIK)
BLUD PROG LAIN-LAIN JUMLAH PKD BLUD PROG

11 0 0
10 0 0
0 0 0
0 0 0
0 0 0
860 0 0
450 70 0
0 3 0
50 0 0
0 0 0
0 0 0
4 0 0
710 0 0
0 50 0
570 0 0
18 0 0
0 0 0
397 0 0
0 0 0
0 0 0
0 0 0
110 0 0
0 0 0
2180 0 0
17 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1398 0 0
0 0 0
0 0 0
760 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
20 0 0
0 0 0
0 0 0
300 0 0
0 0 0
0 0 0
0 0 0
170 0 0
0 0 0
0 0 0
0 0 0
30 0 0
0 0 0
0 0 0
0 0 0
950 0 0
0 0 0
1194 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
16 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 252
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
7 0 0
48 0 0
0 0 0
0 0 0
0 0 0
0 0 0
60 0 0
17 0 0
3 0 0
0 0 0
0 0 0
4 0 0
0 0 0
0 0 0
0 0 0
95 0 0
0 191 0
0 0 0
800 0 0
0 0 0
0 0 0
0 0 0
0 0 500
0 0 0
6 0 0
236 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
15 0 0
0 0 0
0 0 0
230 0 0
0 0 0
0 0 0
0 0 0
0 0 0
2 0 0
10 0 0
0 0 0
1032 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
20 0 0
69 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
1102 0 0
0 154 0
0 0 0
0 0 0
0 0 0
0 0 0
210 0 0
0 0 0
0 0 0
6 0 0
0 0 0
0 0 0
0 0 0
274 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
15 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
29 0 0
0 0 0
0 0 0
297 0 0
0 0 0
0 0 0
0 0 0
2960 0 0
0 0 0
50 17 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 336
460 0 420
215 0 0
0 300 0
0 0 0
500 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
4 0 0
214 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
5 0 0
245 0 0
10 0 0
4 0 0
10 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
120 90 0
0 50 0
0 0 0
0 0 0
0 0 0
130 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
108 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1346 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
2 0 0
0 0 0
410 0 0
0 0 0
0 0 0
0 0 0
0 0 0
3 0 0
0 0 0
0 0 10
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 20 0
0 0 0
0 0 0
0 0 9
0 0 7
0 0 0
0 0 19
0 0 8
0 0 3
0 0 0
0 0 0
0 0 0
0 0 0
1 0 0
0 0 0
1 0 0
0 0 0
0 0 0
0 220 0
0 0 0
0 0 0
0 0 0
0 530 0
0 130 0
0 0 0
0 0 0
0 0 0
0 0 252
0 0 252
0 0 252
1 0 72
0 0 0
0 0 0
0 0 0
0 0 0
100 0 0
100 0 0
0 0 0
0 0 0
2 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
1 0 0
0 0 0
9 0 0
300 0 0
800 0 0
0 200 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
51 0 0
0 0 0
600 50 50
0 3000 0
0 1000 0
0 500 0
0 0 0
1 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 2 0
0 0 0
1 2 0
0 0 0
7 2 0
0 0 0
0 2 0
0 0 0
200 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
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 0
0 0 0
0 0 0
0 0 0
0 0 200

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 6 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
8 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
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0

23,791 6,589 2,642


stok awalpenerimaanpemakaian sisa cek
523,513 2,394 17,634 508,273 #REF!
30,831 0 15,388 15,443 33,022
523,513 523,716

523,513 2,394 34,823 491,084 491,084


30831 17189 15388 32,632 32632
523,716 -
34,823

32632 491,084
-
33,022
PUSKESMAS PAAL X KOTA JAMBI
KODE. 5070101
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )

Bulan : Juni 20
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAIA PERMINTAA PEMBERIAN
KET.
NO. NAMA BARANG SATUAN N
N
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/BLN PKD PROG JUMLAH

OBAT
1 Acyclovir cream 5 % tube 334 0 0 334 0 0 0 0 334 0 0 334 4 0 0 4 330 0 0 330
2 Acyclovir tablet 200 mg Tab 1270 0 0 1270 0 0 0 0 1270 0 0 1270 95 0 0 95 1175 0 0 1175
3 Acyclovir tablet 400 mg Tab 1348 0 0 1348 0 0 0 0 1348 0 0 1348 148 0 0 148 1200 0 0 1200
4 Air Raksa Dental Use Btl 1 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0 1 0 0 1
5 Albendazole 400 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100
6 Allopurinol 100 mg Tab 500 0 0 500 0 0 0 0 500 0 0 500 120 0 0 120 380 0 0 380
7 Allopurinol 300 mg Tab 0 1890 0 1890 0 0 0 0 0 1890 0 1890 0 95 0 95 0 1795 0 1795
8 Ambroxol syrup Btl 0 171 0 171 0 0 0 0 0 171 0 171 0 4 0 4 0 167 0 167
9 Ambroxol tab 30 mg Tab 2130 0 0 2130 0 0 0 0 2130 0 0 2130 270 0 0 270 1860 0 0 1860
10 Aminofilin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Aminofilin tablet Tab 1500 0 0 1500 0 0 0 0 1500 0 0 1500 0 0 0 0 1500 0 0 1500
12 Amitriptilin tablet 25 mg Tab 1997 0 0 1997 0 0 0 0 1997 0 0 1997 6 0 0 6 1991 0 0 1991
13 Amlodipin 5 mg Tab 1680 3000 0 4680 0 0 0 0 1680 3000 0 4680 370 0 0 370 1310 3000 0 4310
14 Amoksisilin kap 250 mg Kap 0 9400 0 9400 0 0 0 0 0 9400 0 9400 0 106 0 106 0 9294 0 9294
15 Amoksisilin kap 500 mg Kap 22050 0 0 22050 0 0 0 0 22050 0 0 22050 870 0 0 870 21180 0 0 21180
16 Amoksisilin sirup kering 125 mg/5 ml Btl 100 0 0 100 0 0 0 0 100 0 0 100 6 0 0 6 94 0 0 94
17 Amoksisilin Sirup Forte 250 mg/5 ml Btl 472 0 0 472 0 0 0 0 472 0 0 472 3 0 0 3 469 0 0 469
18 Amlodipin 10 mg Tab 2670 0 0 2670 0 0 0 0 2670 0 0 2670 100 0 0 100 2570 0 0 2570
19 Amoksisilin injeksi Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Ampisilin Kaplet 500 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Ampisilin sirup kering 125 mg/5 ml Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Antalgin tablet 500 mg Tab 4080 0 0 4080 0 0 0 0 4080 0 0 4080 180 0 0 180 3900 0 0 3900
23 Antalgin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Antasida doen tablet Tab 16270 10000 0 26270 0 0 0 0 16270 10000 0 26270 2760 0 0 2760 13510 10000 0 23510
25 Antasida sirup Btl 166 36 0 202 0 0 0 0 166 36 0 202 166 0 0 166 0 36 0 36
26 Anti Bakteri salep / Bacitracin salep Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Anti Fungi kombinasi Pot 129 0 0 129 0 0 0 0 129 0 0 129 0 0 0 0 129 0 0 129
28 Anti Hemoroid supp 200 0 0 200 0 0 0 0 200 0 0 200 40 0 0 40 160 0 0 160
29 Anti Migrain tablet Tab 1000 0 0 1000 0 0 0 0 1000 0 0 1000 0 0 0 0 1000 0 0 1000
30 Asam Askorbat (VIT C) 50 mg Tab 26940 5500 0 32440 0 0 0 0 26940 5500 0 32440 940 0 0 940 26000 5500 0 31500
31 Asam Folat Tab 2000 0 0 2000 0 0 0 0 2000 0 0 2000 500 0 0 500 1500 0 0 1500
32 Asering Infus Kolf 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 Asam Mefenamat 500 mg Tab 1770 0 0 1770 0 0 0 0 1770 0 0 1770 940 0 0 940 830 0 0 830
34 Asam Tranexamat injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAIA PERMINTAA PEMBERIAN
KET.
NO. NAMA BARANG SATUAN N
N
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/BLN PKD PROG JUMLAH

35 Asam Asetilsalisilat(Asetosal) 80 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100


36 Asetosal tablet 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
37 Azitromycin 500 mg Tab 195 0 0 195 0 0 0 0 195 0 0 195 0 0 0 0 195 0 0 195
38 Bisoprolol tablet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 Benzatin benzil penicilin inj 2,4 jt iu Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
40 Betadin salep Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
41 Betametason kream 0,1 % Tube 86 0 0 86 0 0 0 0 86 0 0 86 0 0 0 0 86 0 0 86
42 Bisacodyl 10 mg Supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
43 Bethahistin maselat Tablet 1785 0 0 1785 0 0 0 0 1785 0 0 1785 20 0 0 20 1765 0 0 1765
44 Captopril 12,5 mg Tab 800 0 0 800 0 0 0 0 800 0 0 800 0 0 0 0 800 0 0 800
45 Captopril 25 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100
46 Captopril 50 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 100 0 0 100 0 0 0 0
47 Caviton Btl 2 0 0 2 0 0 0 0 2 0 0 2 0 0 0 0 2 0 0 2
48 Cefadroxil 500 mg kap 1200 0 0 1200 0 0 0 0 1200 0 0 1200 30 0 0 30 1170 0 0 1170
49 Cefotaxime injeksi 1 g Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
50 Cefriaxon injeksi Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
51 Cetrizin tablet 10 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
52 Ciprofloxacin 500 mg Tab 3940 0 0 3940 0 0 0 0 3940 0 0 3940 150 0 0 150 3790 0 0 3790
53 Clindamicin 150 mg Kap 300 0 0 300 0 0 0 0 300 0 0 300 0 0 0 0 300 0 0 300
54 Clindamicin 300 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
55 Devitalisasi pasta Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 Dexamethason tablet Tab 17040 0 0 17040 0 0 0 0 17040 0 0 17040 2140 0 0 2140 14900 0 0 14900
57 Dexamethason injeksi Ampul 160 0 0 160 0 0 0 0 160 0 0 160 0 0 0 0 160 0 0 160
58 Diazepam tablet 2 mg Tab 194 800 0 994 0 0 0 0 194 800 0 994 25 0 0 25 169 800 0 969
59 Diazepam tablet 5 mg Tab 1097 0 100 1197 0 0 0 0 1097 0 100 1197 0 0 0 0 1097 0 100 1197
60 Diazepam injeksi Ampul 30 0 0 30 0 0 0 0 30 0 0 30 0 0 0 0 30 0 0 30
61 Difenhidramin injeksi Ampul 120 0 0 120 0 0 0 0 120 0 0 120 0 0 0 0 120 0 0 120
62 Digoksin tablet Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100
63 Doxicillin Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
64 Dulcolax tablet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
65 Dulculax supp 10 mg ( Dewasa ) Supp 41 0 0 41 0 0 0 0 41 0 0 41 0 0 0 0 41 0 0 41
66 Dulculax supp 5 mg ( Anak ) Supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
67 Efedrin Hcl 25 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
68 Ekstrak belladona tablet 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
69 Ephinefrin hcl injeksi Ampul 120 0 0 120 0 0 0 0 120 0 0 120 0 0 0 0 120 0 0 120
70 Erytromycin kapsul 250 mg Kap 3270 0 0 3270 0 0 0 0 3270 0 0 3270 0 0 0 0 3270 0 0 3270
71 Erytromycin kapsul 500 mg Kap 4000 0 0 4000 0 0 0 0 4000 0 0 4000 0 0 0 0 4000 0 0 4000
72 Erytromycin syrup Btl 0 21 0 21 0 0 0 0 0 21 0 21 0 2 0 2 0 19 0 19
73 Etakridin / Rivanol Btl 34 0 0 34 0 0 0 0 34 0 0 34 28 0 0 28 6 0 0 6
74 Ethambutol hcl tab 250 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
75 Ethambutol hcl tab 500 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAIA PERMINTAA PEMBERIAN
KET.
NO. NAMA BARANG SATUAN N
N
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/BLN PKD PROG JUMLAH

76 Etil klorida semprot Btl 4 0 0 4 0 0 0 0 4 0 0 4 0 0 0 0 4 0 0 4


77 Eugenol cairan Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
78 Fenitoin natrium 30 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
79 Fenitoin natrium 100 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
80 Fenobarbital injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
81 Fenobarbital tab 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
82 Fenobarbital tablet 30 mg Tab 697 0 0 697 0 0 0 0 697 0 0 697 0 0 0 0 697 0 0 697
83 Fenoksimetil fenisilin tab 250 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
84 Fenoksimetil fenisilin tab 500 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
85 Fenol Gliserol tetes telinga Btl 91 0 0 91 0 0 0 0 91 0 0 91 2 0 0 2 89 0 0 89
86 Fitomenadion (Vit K) tab 10 mg Tab 2422 0 0 2422 0 0 0 0 2422 0 0 2422 72 0 0 72 2350 0 0 2350
87 Fitomenadion (Vit K) injeksi Ampul 60 0 0 60 0 0 0 0 60 0 0 60 0 0 0 0 60 0 0 60
88 Fluconazol 150 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
89 Furosemide tablet 40 mg Tab 0 595 0 595 0 0 0 0 0 595 0 595 0 0 0 0 0 595 0 595
90 Fluor gel Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
91 Garam oralit untuk 200 ml air Set 4814 0 0 4814 0 0 0 0 4814 0 0 4814 105 0 0 105 4709 0 0 4709
92 Gentamycin salep kulit 0,1 % Tube 89 0 0 89 0 0 0 0 89 0 0 89 14 0 0 14 75 0 0 75
93 Gentamycin salep mata Tube 103 0 0 103 0 0 0 0 103 0 0 103 0 0 0 0 103 0 0 103
94 Gentamycin tetes mata Btl 144 0 0 144 0 0 0 0 144 0 0 144 2 0 0 2 142 0 0 142
95 Gentamycin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
96 Gentian violet Btl 39 48 0 87 0 0 0 0 39 48 0 87 2 0 0 2 37 48 0 85
97 Glass Ionomer (ART FUJI IX) Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
98 Glibenklamida tablet 5 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100
99 Glimepiride 1 mg Tab 2350 0 0 2350 0 0 0 0 2350 0 0 2350 10 0 0 10 2340 0 0 2340
100 Glimepiride 2 mg Tab 1325 500 0 1825 0 0 0 0 1325 500 0 1825 0 0 0 0 1325 500 0 1825
101 Gliseril guaiakolat tablet 100 mg Tab 0 46394 0 46394 0 0 0 0 0 46394 0 46394 0 1464 0 1464 0 44930 0 44930
102 Glukosa larutan infus 5 % steril Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
103 Griseofulvin tablet 125 mg Tab 700 0 0 700 0 0 0 0 700 0 0 700 200 0 0 200 500 0 0 500
104 Griseofulvin tablet 500 mg Tab 400 0 0 400 0 0 0 0 400 0 0 400 0 0 0 0 400 0 0 400
105 Halloperidol tab 0,5 mg Tab 70 0 0 70 0 0 0 0 70 0 0 70 0 0 0 0 70 0 0 70
106 Halloperidol tab 1,5 mg Tab 600 0 0 600 0 0 0 0 600 0 0 600 0 0 0 0 600 0 0 600
107 Halloperidol tab 5 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
108 Hidroklortiazide (HCT) tablet 25 mg Tab 1310 0 0 1310 0 0 0 0 1310 0 0 1310 10 0 0 10 1300 0 0 1300
109 Hidrocortison krim 2,5 % Tube 134 0 0 134 0 0 0 0 134 0 0 134 58 0 0 58 76 0 0 76
110 Ibuprofen tablet 200 mg Tab 2514 0 0 2514 0 0 0 0 2514 0 0 2514 274 0 0 274 2240 0 0 2240
111 Ibuprofen tablet 400 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
112 Ibuprofen syrup Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
113 Insulin Human Rapid injeksi 100 IU vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
114 Isoniazida ( INH ) tab 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
115 Isoniazida ( INH ) tab 300 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
116 Isosorbit dinitrat sublingual 5 mg Tab 115 0 0 115 0 0 0 0 115 0 0 115 0 0 0 0 115 0 0 115
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAIA PERMINTAA PEMBERIAN
KET.
NO. NAMA BARANG SATUAN N
N
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/BLN PKD PROG JUMLAH

117 Komb. Primetamin 25mg+suldox 500mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


118 Klorfenol kamfermenthol ( CHKM ) Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
119 Kalsium Laktat tablet Tab 13130 10500 0 23630 0 0 0 0 13130 10500 0 23630 1080 0 0 1080 12050 10500 0 22550
120 Kandesartan cilexetil 8 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
121 Karbamazepin tablet 200 mg Tab 500 0 0 500 0 0 0 0 500 0 0 500 0 0 0 0 500 0 0 500
122 Ketorolac injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
123 Kloramfenikol salep kulit Tube 90 0 0 90 0 0 0 0 90 0 0 90 6 0 0 6 84 0 0 84
124 Kloramfenikol salep mata 1 % Tube 135 0 0 135 0 0 0 0 135 0 0 135 2 0 0 2 133 0 0 133
125 Kloramfenicol tetes telinga 3 % Btl 87 0 0 87 0 0 0 0 87 0 0 87 1 0 0 1 86 0 0 86
126 Kloramfenicol 250 mg kapsul Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
127 Klorfeniramin maleat 4 mg (CTM ) Tab 26310 0 0 26310 0 0 0 0 26310 0 0 26310 1830 0 0 1830 24480 0 0 24480
128 Kloramfenicol tetes mata ( Reco ) Btl 0 48 0 48 0 0 0 0 0 48 0 48 0 0 0 0 0 48 0 48
129 Kalsium Hidroksida Pasta ( Calcidor ) Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
130 Klorpromazin hcl injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
131 Klorpromazine tab salut 25 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
132 Klorpromazine tab salut 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
133 Kodein tablet 10 mg Tab 780 0 0 780 0 0 0 0 780 0 0 780 62 0 0 62 718 0 0 718
134 Kotrimoksazol suspensi Btl 300 0 0 300 0 0 0 0 300 0 0 300 0 0 0 0 300 0 0 300
135 Kotrimoksazol pediatrik Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
136 Kotrimoksazol tablet 480 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
137 Klorokuin Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
138 Kuinin sulfat tab 222 mg (7H2O) Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
139 Lidocain kompositum inj (Pehacain) Ampul 540 0 0 540 0 0 0 0 540 0 0 540 60 0 0 60 480 0 0 480
140 Lidocain injeksi Ampul 400 0 0 400 0 0 0 0 400 0 0 400 0 0 0 0 400 0 0 400
141 Lisinopril 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
142 Loperamide tab 2 mg / Novadium Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
143 Loratadin 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
144 Magnesium sulfat injeksi 20% vial 5 0 0 5 0 0 0 0 5 0 0 5 0 0 0 0 5 0 0 5
145 Magnesium sulfat injeksi 40% vial 5 0 0 5 0 0 0 0 5 0 0 5 0 0 0 0 5 0 0 5
146 Mecobalamin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
147 Meloxicam 7,5 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
148 Metformin hcl tablet 500 mg Tab 4048 0 0 4048 0 0 0 0 4048 0 0 4048 20 0 0 20 4028 0 0 4028
149 Methyl prednisolon tablet 4 mg Tab 6000 3268 0 9268 0 0 0 0 6000 3268 0 9268 270 68 0 338 5730 3200 0 8930
150 Metilergometrin tablet salut Tab 200 0 0 200 0 0 0 0 200 0 0 200 0 0 0 0 200 0 0 200
151 Metilergometrin injeksi Ampul 0 0 75 75 0 0 0 0 0 0 75 75 0 0 0 0 0 0 75 75
152 Metoklorpropamide hcl 10 mg Tab 2500 0 0 2500 0 0 0 0 2500 0 0 2500 0 0 0 0 2500 0 0 2500
153 Metronidazole tablet 250 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
154 Metronidazole tablet 500 mg Tab 560 0 0 560 0 0 0 0 560 0 0 560 45 0 0 45 515 0 0 515
155 Metronidazole syrup Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
156 Metronidazole infus Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
157 Miconazol cream tube 198 0 0 198 0 0 0 0 198 0 0 198 4 0 0 4 194 0 0 194
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAIA PERMINTAA PEMBERIAN
KET.
NO. NAMA BARANG SATUAN N
N
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/BLN PKD PROG JUMLAH

158 Microlax rectal tube tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


159 Mummifying pasta Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
160 Natrium bikarbonat tablet Tab 1185 0 0 1185 0 0 0 0 1185 0 0 1185 0 0 0 0 1185 0 0 1185
161 Natrium Diklofenak 25 mg Tab 2444 0 0 2444 0 0 0 0 2444 0 0 2444 404 0 0 404 2040 0 0 2040
162 Natrium Diklofenak 50 mg Tab 2150 1109 0 3259 0 0 0 0 2150 1109 0 3259 30 9 0 39 2120 1100 0 3220
163 Natrium klorida larutan infus Btl 108 0 0 108 0 0 0 0 108 0 0 108 0 0 0 0 108 0 0 108
164 Neurobion 5000 injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
165 Nifedipin tablet Tab 260 0 0 260 0 0 0 0 260 0 0 260 0 0 0 0 260 0 0 260
166 Nistatin tablet salut 500.000 iu/g Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
167 Nistatin tablet vaginal 100.000 iu/g Tab 452 0 0 452 0 0 0 0 452 0 0 452 100 0 0 100 352 0 0 352
168 O B H Btl 41 99 0 140 0 0 0 0 41 99 0 140 36 1 0 37 5 98 0 103
169 Obat Anti TBC Kategori 1 paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
170 Obat Anti TBC Kategori 1 -Stop TB KIT paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
171 Obat Anti TBC Kategori II paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
172 Obat Anti TBC Kategori Anak paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
173 Kombipak Kategori I paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
174 Ofloxacin 200 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
175 Oksitetrasiklin hcl salep mata 1 % tube 25 0 0 25 0 0 0 0 25 0 0 25 0 0 0 0 25 0 0 25
176 Oksitetrasiklin hcl salep kulit 3 % Tube 116 0 0 116 0 0 0 0 116 0 0 116 50 0 0 50 66 0 0 66
177 Oksitetrasiklin hcl injeksi vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
178 Oksitosin injeksi / Pitogin Ampul 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100
179 Omeprazole capsul 20 mg Kap 1803 0 0 1803 0 0 0 0 1803 0 0 1803 535 0 0 535 1268 0 0 1268
180 Ondansentron injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
181 Papaverin tablet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
182 Paracetamol tablet 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
183 Paracetamol tablet 500 mg Tab 40940 20200 0 61140 0 0 0 0 40940 20200 0 61140 2090 0 0 2090 38850 20200 0 59050
184 Paracetamol Drop Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
185 Parasetamol sirup Btl 50 347 0 397 0 0 0 0 50 347 0 397 10 13 0 23 40 334 0 374
186 Perfenazine tablet 4 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
187 Piracetam 3 g injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
188 Pirantel pamoat tablet 125 mg Tab 200 0 0 200 0 0 0 0 200 0 0 200 0 0 0 0 200 0 0 200
189 Pirantel pamoat sirup Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
190 Pyrazinamide tablet 500 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
191 Piridoxin hcl tablet 10 mg Tab 21670 0 0 21670 0 0 0 0 21670 0 0 21670 170 0 0 170 21500 0 0 21500
192 Piroxicam 10 mg Tab 0 2000 0 2000 0 0 0 0 0 2000 0 2000 0 0 0 0 0 2000 0 2000
193 Piroxicam 20 mg Tab 0 600 0 600 0 0 0 0 0 600 0 600 0 0 0 0 0 600 0 600
194 Polikresulen / Albothil Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
195 Prednison tablet Tab 18300 0 0 18300 0 0 0 0 18300 0 0 18300 200 0 0 200 18100 0 0 18100
196 Primakuin tablet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
197 Prokain benzil penisilin inj vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
198 Pronalges suppositoria Supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAIA PERMINTAA PEMBERIAN
KET.
NO. NAMA BARANG SATUAN N
N
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/BLN PKD PROG JUMLAH

199 Propanolol tab 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


200 Propanolol tab 40 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
201 Propiltiourasil tablet 100 mg Tab 200 580 0 780 0 0 0 0 200 580 0 780 0 0 0 0 200 580 0 780
202 Proris suppositoria Supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
203 Perak sulfadiazine cream 3 % tube 34 0 0 34 0 0 0 0 34 0 0 34 3 0 0 3 31 0 0 31
204 Ranitidin tablet 150 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
205 Ranitidin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
206 Reserpin tablet 0,1 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
207 Reserpin tablet 0,25 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
208 Retinol kapsul 100.000 IU Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
209 Retinol kapsul 200.000 IU Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
210 Rifampisin kapsul 300 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
211 Rifampisin kapsul 450 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
212 Rifampisin kapsul 600 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
213 Ringer laktat infus steril Btl 25 0 0 25 0 0 0 0 25 0 0 25 0 0 0 0 25 0 0 25
214 Salbutamol tablet 2 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
215 Salbuatmol tablet 4 mg Tab 1180 0 0 1180 0 0 0 0 1180 0 0 1180 40 0 0 40 1140 0 0 1140
216 salep 2-4 Pot 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
217 Salisil bedak 2 % Pot 162 0 0 162 0 0 0 0 162 0 0 162 21 0 0 21 141 0 0 141
218 Semen seng fosfat serbuk & cairan Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
219 Serum Anti Bisa Ular injeksi Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
220 Serum Anti tetanus injeksi 1500 IU Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
221 Tatagam vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
222 Sianokobalamin inj 500 mcg/ml Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
223 Silver Amalgam serbuk Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
224 Simvastatin 10 mg Tab 2130 510 0 2640 0 0 0 0 2130 510 0 2640 270 60 0 330 1860 450 0 2310
225 Simvastatin 20 mg supp 0 2790 0 2790 0 0 0 0 0 2790 0 2790 0 125 0 125 0 2665 0 2665
226 Stesolid rectal supp 5 mg Supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
227 Stesolid rectal supp 10 mg Btl 13 0 0 13 0 0 0 0 13 0 0 13 5 0 0 5 8 0 0 8
228 Sulfasetamid tetes mata 15 % Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
229 Tablet tambah darah (SF) Tab 17030 2000 0 19030 0 0 0 0 17030 2000 0 19030 2930 0 0 2930 14100 2000 0 16100
230 Temporary / Fletcher Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
231 Tetrasiklin kapsul 250 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
232 Tetrasiklin kapsul 500 mg Tab 1080 0 0 1080 0 0 0 0 1080 0 0 1080 80 0 0 80 1000 0 0 1000
233 Thrombo Aspilet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
234 Thiamin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
235 Thiamin tablet 50 mg Tab 19932 0 0 19932 0 0 0 0 19932 0 0 19932 1412 0 0 1412 18520 0 0 18520
236 Triheksipenidil hcl tablet 2 mg Tab 637 0 0 637 0 0 0 0 637 0 0 637 0 0 0 0 637 0 0 637
237 Trikresol formalin cairan ( TKF ) Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
238 Vaksin rabies vero Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
239 Valsartan 80 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAIA PERMINTAA PEMBERIAN
KET.
NO. NAMA BARANG SATUAN N
N
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/BLN PKD PROG JUMLAH

240 Ventolin nebulizer Nebules 10 0 0 10 0 0 0 0 10 0 0 10 0 0 0 0 10 0 0 10


241 Vitamin B komplek tablet Tab 15014 0 200 15214 0 0 0 0 15014 0 200 15214 1690 0 0 1690 13324 0 200 13524
242 Yodium povidon lart 10 % - 30 ml Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
243 Yodium povidon lart 10 % - 300 ml Btl 25 15 0 40 0 0 0 0 25 15 0 40 0 0 0 0 25 15 0 40
244 Xylocain jelly Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
245 Lidocain Pasta Pot 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
246 Zinc tablet 20 mg Tab 2425 0 0 2425 0 0 0 0 2425 0 0 2425 30 0 0 30 2395 0 0 2395
247 Zinc sirup Btl 117 0 0 117 0 0 0 0 117 0 0 117 5 0 0 5 112 0 0 112
248 Betamin drage ( Vit. B1 ) Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
249 Domperidon Btl 1730 0 0 1730 0 0 0 0 1730 0 0 1730 0 0 0 0 1730 0 0 1730
250 Clozapin 25 mg Tab 0 0 150 150 0 0 0 0 0 0 150 150 0 0 0 0 0 0 150 150
251 Clobazam 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
252 Trifluoperazin HCl 5 mg ( Stelosi ) Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
253 Vitamin B 12 Tab 2200 0 0 2200 0 0 0 0 2200 0 0 2200 0 0 0 0 2200 0 0 2200
254 Ketokonazol Crem Tube 41 0 0 41 0 0 0 0 41 0 0 41 0 0 0 0 41 0 0 41
255 Ketokonazole Tablet Tab 300 943 0 1243 0 0 0 0 300 943 0 1243 0 43 0 43 300 900 0 1200
256 Flufenazin Decanoat Inj 25 mg Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
257 Haloperidol Inj 5 mg ( Ladomer ) Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
258 Haloperidol Decanoat Inj 50 mg Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
259 Resperidon tab 2 mg Tab 0 0 980 980 0 0 0 0 0 0 980 980 0 0 0 0 0 0 980 980
260 Curviplex Sirup Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
261 Andalan Inj 3 Bulan Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
262 Andalan Inj 1 Bulan Vial 0 40 0 40 0 0 0 0 0 40 0 40 0 0 0 0 0 40 0 40
263 Cyclopen Inj. 1 Bulan Vial 0 170 0 170 0 0 0 0 0 170 0 170 0 0 0 0 0 170 0 170
264 Ichtyol Salaf Kulit Pot 0 8 0 8 0 0 0 0 0 8 0 8 0 0 0 0 0 8 0 8
265 Levertran Salep Kulit Pot 0 42 0 42 0 0 0 0 0 42 0 42 0 0 0 0 0 42 0 42
266 HEPATITIS B Paket 0 0 11 11 0 0 30 30 0 0 41 41 0 0 30 30 0 0 11 11
267 BCG Ampul 0 0 10 10 0 0 10 10 0 0 20 20 0 0 14 14 0 0 6 6
268 POLIO Vial 0 0 27 27 0 0 30 30 0 0 57 57 0 0 49 49 0 0 8 8
269 PENTABIO/DPTHBHib Vial 0 0 38 38 0 0 30 30 0 0 68 68 0 0 43 43 0 0 25 25
270 CAMPAK Vial 0 0 13 13 0 0 0 0 0 0 13 13 0 0 9 9 0 0 4 4
271 Td / TT Vial 0 0 33 33 0 0 0 0 0 0 33 33 0 0 13 13 0 0 20 20
272 IPV Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
273 Vaksin MR Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
274 Pelarut MR Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
275 Pentocain 0,5 % TT Mata Btl 0 25 0 25 0 0 0 0 0 25 0 25 0 0 0 0 0 25 0 25
276 Domperidon syrup btl 55 0 0 55 0 0 0 0 55 0 0 55 6 0 0 6 49 0 0 49
277 Kloramfenikol syrup btl 105 0 0 105 0 0 0 0 105 0 0 105 0 0 0 0 105 0 0 105
278 cetirizin syrup btl 19 0 0 19 0 0 0 0 19 0 0 19 19 0 0 19 0 0 0 0
279 Pritamox sirup 125 mg btl 0 180 0 180 0 0 0 0 0 180 0 180 0 0 0 0 0 180 0 180
280 Albendazole syrup btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAIA PERMINTAA PEMBERIAN
KET.
NO. NAMA BARANG SATUAN N
N
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/BLN PKD PROG JUMLAH

281 Moxalaskap/cotri480mg tab 0 2476 0 2476 0 0 0 0 0 2476 0 2476 0 12 0 12 0 2464 0 2464


282 Moxalas syr/cotry syr btl 0 100 0 100 0 0 0 0 0 100 0 100 0 0 0 0 0 100 0 100
283 Lorihis tab/loratadin tab tab 0 860 0 860 0 0 0 0 0 860 0 860 0 0 0 0 0 860 0 860
284 Flagsol syr/metro syr btl 0 46 0 46 0 0 0 0 0 46 0 46 0 0 0 0 0 46 0 46
285 Selfolic 1000mg/Asam folat tab 0 2320 0 2320 0 0 0 0 0 2320 0 2320 0 20 0 20 0 2300 0 2300
286 Trifadium2mg/Loperamid tab tab 0 860 0 860 0 0 0 0 0 860 0 860 0 160 0 160 0 700 0 700
287 Omeprazole Injeksi Ampul 15 0 0 15 0 0 0 0 15 0 0 15 0 0 0 0 15 0 0 15
288 Gluconas Kalsikus injeksi amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
289 Tricloflem Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
290 Cycloserin 250mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
291 Ethionmid 250mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
292 Levofloxacin 750mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
293 Bedaquilin 100mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
294 Hbig Bayi vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
295 Amoxcillin drop btl 49 0 0 49 0 0 0 0 49 0 0 49 0 0 0 0 49 0 0 49
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BMHP 0 0 0

296 Alat suntik 1 ml Pcs 600 0 0 600 0 0 0 0 600 0 0 600 0 0 0 0 600 0 0 600
297 Alat suntik 2,5 ml Pcs 1600 0 0 1600 0 0 0 0 1600 0 0 1600 0 0 0 0 1600 0 0 1600
298 Alat suntik 3 ml Pcs 2700 400 30 3130 0 0 0 0 2700 400 30 3130 0 0 0 0 2700 400 30 3130
299 Alat suntik 5 ml Pcs 1300 500 500 2300 0 0 0 0 1300 500 500 2300 0 0 0 0 1300 500 500 2300
300 Alkohol 70 % ( 1 L ) Btl 17 0 0 17 0 0 0 0 17 0 0 17 0 0 0 0 17 0 0 17
301 Alkohol 70 % ( 60 Ml ) Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
302 Aqua destilata steril 500 ml Btl 2 0 0 2 0 0 0 0 2 0 0 2 0 0 0 0 2 0 0 2
303 Aqua pro injeksi Vial 74 25 0 99 0 0 0 0 74 25 0 99 0 0 0 0 74 25 0 99
304 Bisturi no 10 Pcs 10 0 0 10 0 0 0 0 10 0 0 10 0 0 0 0 10 0 0 10
305 Bisturi no 11 Pcs 10 0 0 10 0 0 0 0 10 0 0 10 0 0 0 0 10 0 0 10
306 Bisturi no 20 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
307 Bisturi no 22 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
308 Blood Lancet Pcs 2000 2800 0 4800 0 0 0 0 2000 2800 0 4800 0 0 0 0 2000 2800 0 4800
309 Catgut/benang bedah Pcs 96 0 0 96 0 0 0 0 96 0 0 96 0 0 0 0 96 0 0 96
310 ETT no.6 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
311 ETT no.6,5 Set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
312 ETT no.7 Set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
313 ETT no.7,5 Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
314 Hand scrub Pcs 5 0 0 5 0 0 0 0 5 0 0 5 0 0 0 0 5 0 0 5
315 Handscoon uk.S Pcs 700 0 0 700 0 0 0 0 700 0 0 700 500 0 0 500 200 0 0 200
316 Handscoon uk. M Pcs 200 2400 0 2600 0 0 0 0 200 2400 0 2600 200 0 0 200 0 2400 0 2400
317 Handscoon uk. L Pcs 0 300 0 300 0 0 0 0 0 300 0 300 0 100 0 100 0 200 0 200
318 Infusion set anak set 0 50 0 50 0 0 0 0 0 50 0 50 0 0 0 0 0 50 0 50
319 Infusion set dewasa set 0 45 0 45 0 0 0 0 0 45 0 45 0 0 0 0 0 45 0 45
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAIA PERMINTAA PEMBERIAN
KET.
NO. NAMA BARANG SATUAN N
N
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/BLN PKD PROG JUMLAH

320 Wing neadle no. 23G Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


321 IV Catheter (Abocath) NO.20 Pcs 10 0 0 10 0 0 0 0 10 0 0 10 0 0 0 0 10 0 0 10
322 IV Catheter (Abocath) NO.22 Pcs 10 0 0 10 0 0 0 0 10 0 0 10 0 0 0 0 10 0 0 10
323 IV Catheter (Abocath) NO.24 pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
324 Jarum Jahit (Nald Heating ) no. 10 pcs 39 0 0 39 0 0 0 0 39 0 0 39 0 0 0 0 39 0 0 39
325 Jarum Jahit (Nald Heating ) no. 11 pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
326 Jarum Jahit (Nald Heating ) no. 12 pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
327 Jarum Jahit (Nald Heating ) no. 13 pcs 25 0 0 25 0 0 0 0 25 0 0 25 0 0 0 0 25 0 0 25
328 Jarum Jahit (Nald Heating ) no. 14 Pcs 25 0 0 25 0 0 0 0 25 0 0 25 0 0 0 0 25 0 0 25
329 Kapas pembalut/Absorben 250 gr Roll 45 0 0 45 0 0 0 0 45 0 0 45 0 0 0 0 45 0 0 45
330 Kasa kompres 40/40 steril Roll 158 0 0 158 0 0 0 0 158 0 0 158 0 0 0 0 158 0 0 158
331 Kasa pembalut hidrofil 4m x 15 cm Roll 420 0 0 420 0 0 0 0 420 0 0 420 0 0 0 0 420 0 0 420
332 Kasa pembalut hidrofil 4 m x 3 cm Roll 300 0 0 300 0 0 0 0 300 0 0 300 0 0 0 0 300 0 0 300
333 Kassa 36x80 cm Roll 18 0 0 18 0 0 0 0 18 0 0 18 0 0 0 0 18 0 0 18
334 Kertas Saring Whatman Buku 0 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 1
335 Masker Pcs 2650 3400 0 6050 0 0 0 0 2650 3400 0 6050 800 0 0 800 1850 3400 0 5250
336 Objec Glass Box/72 4 0 17 21 0 0 0 0 4 0 17 21 0 0 0 0 4 0 17 21
337 Pipet Tetes Panjang Pcs 15 0 0 15 0 0 0 0 15 0 0 15 0 0 0 0 15 0 0 15
338 Plastik Obat Klip 10 x 7 Pcs 0 7000 0 7000 0 10000 0 10000 0 17000 0 17000 0 1000 0 1000 0 16000 0 16000
339 Plastik Obat Klip 13 x 8,7 0 4000 0 4000 0 10000 0 10000 0 14000 0 14000 0 1000 0 1000 0 13000 0 13000
340 Plester 5 yard x 2 inch Roll 19 0 4 23 0 0 0 0 19 0 4 23 0 0 0 0 19 0 4 23
341 Poly catheter no.8 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
342 Poly catheter no.12 Pcs 3 0 0 3 0 0 0 0 3 0 0 3 0 0 0 0 3 0 0 3
343 Poly catheter no.16 Pcs/set 16 0 0 16 0 0 0 0 16 0 0 16 0 0 0 0 16 0 0 16
344 Silk ( benang bedah sutera) 03/0 Sak 49 0 36 85 0 0 0 0 49 0 36 85 0 0 0 0 49 0 36 85
345 Spons gelatin cublices bks 7 0 0 7 0 0 0 0 7 0 0 7 0 0 0 0 7 0 0 7
346 Stick Gluco DR Btl/50 0 14 0 14 0 0 0 0 0 14 0 14 0 0 0 0 0 14 0 14
347 Tabung Reaksi Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
348 Tes Kehamilan HCG Pcs 1 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0 1 0 0 1
349 Transfution set/Transfusion blood ADM set 3 0 0 3 0 0 0 0 3 0 0 3 0 0 0 0 3 0 0 3
350 Urinalysis 10 parameter Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
351 Stick asam Urat Btl/25 0 8 0 8 0 0 0 0 0 8 0 8 0 0 0 0 0 8 0 8
352 Stick Colestrol Btl/10 0 6 0 6 0 0 0 0 0 6 0 6 0 0 0 0 0 6 0 6
353 Jelly 250ml Ultra soundgel btl 0 2 0 2 0 0 0 0 0 2 0 2 0 0 0 0 0 2 0 2
354 Pot sputum Pcs 0 0 0 0 200 0 0 200 200 0 0 200 200 0 0 200 0 0 0 0
355 Reagen TB Paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
356 Sefty box 2,5 L Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
357 Reagen sifilis(SD,Bio StanQ) Test 0 0 0 0 5 0 125 130 5 0 125 130 5 0 125 130 0 0 0 0
358 Box Slide Ktk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
359 Fokus test Ktk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
360 Alat suntik 0,5 ml Box 0 0 4859 4859 0 0 0 0 0 0 4859 4859 0 0 0 0 0 0 4859 4859
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAIA PERMINTAA PEMBERIAN
KET.
NO. NAMA BARANG SATUAN N
N
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/BLN PKD PROG JUMLAH

361 Sefty box 5 L Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


362 Masker Nebulizer Anak Psc 5 0 0 5 0 0 0 0 5 0 0 5 0 0 0 0 5 0 0 5
363 Masker Nebulizer Dewasa Psc 10 0 0 10 0 0 0 0 10 0 0 10 0 0 0 0 10 0 0 10
364 Nasal Oksigen Kanula Anak Psc 5 0 0 5 0 0 0 0 5 0 0 5 0 0 0 0 5 0 0 5
365 Nasal Oksigen Kanula Dewasa Psc 10 0 0 10 0 0 0 0 10 0 0 10 0 0 0 0 10 0 0 10
366 Non Rebreating Mask Psc 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
367 ID Dewasa Pink Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
368 ID Dewasa Blue Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
369 ID Bayi Pink Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
370 ID Bayi Biru Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
371 Umbilical Keniko Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
372 Folley Catheter 16 Rusch Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
373 Urine Bag Fresco Pcs 10 0 0 10 0 0 0 0 10 0 0 10 0 0 0 0 10 0 0 10
374 Disp Sryringe 10 ml Onemed Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
375 Suction Catheter 8 Remedi Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
376 Suction Catheter 16 Remedi Psc 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
377 Plaster Hypafix Psc 15 0 0 15 0 0 0 0 15 0 0 15 0 0 0 0 15 0 0 15
378 Rapid Test HIV I Standar (Stik SD HIV ) Pcs 0 0 0 0 5 0 0 5 5 0 0 5 5 0 0 5 0 0 0 0
379 Kasa Steril 16 X 16 Kotak 0 167 0 167 0 0 0 0 0 167 0 167 0 0 0 0 0 167 0 167
380 Alat Nesco Tri in one Kotak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
381 Alkohol Swab One swab Kotak 0 10 0 10 0 0 0 0 0 10 0 10 0 0 0 0 0 10 0 10
382 Bahan tambalan Komposid (solare) Tube 0 4 0 4 0 0 0 0 0 4 0 4 0 0 0 0 0 4 0 4
383 OCO Btl/15ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
384 Paper Pad Buku 0 6 0 6 0 0 0 0 0 6 0 6 0 0 0 0 0 6 0 6
385 Masker 1860 S/N95 pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
386 Rapid Test HIV II : Vikia (HIV ke 1) Test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
387 Rapid Test Hiv, 3 : Intec/China (HIV KE 2) Test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
388 RDT(Virotec+Diluent)DBD Test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
389 Rapid HBsAg(Virochek HbsAg) Test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
390 Baju Hazmat APD Pcs 0 0 0 0 0 20 0 20 0 20 0 20 0 0 0 0 0 20 0 20

REAGENSIA
390 Cell Clean ( CL-50) Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
391 Cell Pack ( PK-30L) Btl 0 0 0 0 0 2 0 2 0 2 0 2 0 1 0 1 0 1 0 1
392 Control eight check 3 x 1,5 ml Btl/set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
393 Eightcheck-3WP (Normal) 1,5 ml Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
394 Eightcheck-3WP (Low) 1,5 ml Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
395 Eightcheck-3WP (High) 1,5 ml Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
396 Stomalyzer WH(SWH-2004) btl 0 0 0 0 0 3 0 3 0 3 0 3 0 2 0 2 0 1 0 1
397 Tabung K2 EDTA 2 ml Btl 0 1 0 1 0 4 0 4 0 5 0 5 0 3 0 3 0 2 0 2
398 Printer Paper Pcs 0 0 0 0 0 4 0 4 0 4 0 4 0 2 0 2 0 2 0 2
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAIA PERMINTAA PEMBERIAN
KET.
NO. NAMA BARANG SATUAN N
N
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/BLN PKD PROG JUMLAH

399 Deck Glass Btl 5 0 0 5 0 0 0 0 5 0 0 5 0 0 0 0 5 0 0 5


400 Tes Gol Darah (A,B,AB ) Set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
401 Tisu lensa Buku 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
402 Kertas perkamen Lembar 19 0 0 19 0 0 0 0 19 0 0 19 0 0 0 0 19 0 0 19
403 Podofilin Tinctur 25 % Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
404 Larutan Fauchet Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
405 Larutan Lisol Btl 24 0 0 24 0 0 0 0 24 0 0 24 0 0 0 0 24 0 0 24
406 Larutan asam klorida 0,1 N Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
407 Larutan asam sulfosalisilat 20% Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
408 Larutan barium klorida Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
409 Larutan Benedict Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
410 Larutan Bupper PH 7,2 Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
411 Larutan EDTA Cair 10 % Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
412 Larutan Eosin 2 % Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
413 Larutan Etanol Asam Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
414 Larutan Giemsa Stalin Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
415 Larutan H2O2 Btl 7 0 0 7 0 0 0 0 7 0 0 7 0 0 0 0 7 0 0 7
416 Larutan Imersen oil HB Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
417 Larutan karbol fuksin Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
418 Larutan Metanol Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
419 Larutan Metilen Biru Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
420 Larutan Natrium Sitrat 38 % Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
421 Larutan Rees echer Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
422 Larutan spiritus 100 ml Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
423 Larutan turk Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
424 Ether Alkohol Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425 Buffer Ph 6,4 Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
426 KOH 10 % Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

365003 151630 7083 523716 210 20033 225 20468 365213 171663 7308 544184 25986 4290 283 30559 339227 167373 7025 513625

365007 151667 8039 524713 210 20,000 - 20,210 544,955 25987 4281 1 30269 339,227 167,348 7025 513,600

25

JENIS PELAYANAN PUSKESMAS PAAL X PUSTU POSKESDES JUMLAH


STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAIA PERMINTAA PEMBERIAN
KET.
NO. NAMA BARANG SATUAN N
N
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/BLN PKD PROG JUMLAH

R/ UMUM 209 48 10 267


R/ BPJS 562 25 9 596
R/ JAMKESDA 0 30 0 30
Jlh. Recipe 2184 412 72 2668
Jlh R/ Generik 2184 412 72 2668
R/ Antibiotik 107 40 23 170

Mengetahui Jambi, Juli 2020


Kepala UPTD Puskesmas Paal X Kota Jambi

dr.Hj.SRI ROSIANTI SRI HARTATY, AMF


NIP. 19720704 200701 2 017 NIP. 19820825 200502 2 001
PUSKESMAS PAAL X KOTA JAMBI
KODE. 5070101

JUMLAH STOK AWAL


NO. NAMA BARANG SATUAN
JUMLAH PKD BLUD PROG
OBAT
1 Acyclovir cream 5 % tube 334 334 0 0
2 Acyclovir tablet 200 mg Tab 1270 1270 0 0
3 Acyclovir tablet 400 mg Tab 1348 1348 0 0
4 Air Raksa Dental Use Btl 1 1 0 0
5 Albendazole 400 mg Tab 100 100 0 0
6 Allopurinol 100 mg Tab 500 500 0 0
7 Allopurinol 300 mg Tab 1890 0 1890 0
8 Ambroxol syrup Btl 171 0 171 0
9 Ambroxol tab 30 mg Tab 2130 2130 0 0
10 Aminofilin injeksi Ampul 0 0 0 0
11 Aminofilin tablet Tab 1500 1500 0 0
12 Amitriptilin tablet 25 mg Tab 1997 1997 0 0
13 Amlodipin 5 mg Tab 4680 1680 3000 0
14 Amoksisilin kap 250 mg Kap 9400 0 9400 0
15 Amoksisilin kap 500 mg Kap 22050 22050 0 0
16 Amoksisilin sirup kering 125 mg/5 ml Btl 100 100 0 0
17 Amoksisilin Sirup Forte 250 mg/5 ml Btl 472 472 0 0
18 Amlodipin 10 mg Tab 2670 2670 0 0
19 Amoksisilin injeksi Vial 0 0 0 0
20 Ampisilin Kaplet 500 mg Kap 0 0 0 0
21 Ampisilin sirup kering 125 mg/5 ml Btl 0 0 0 0
22 Antalgin tablet 500 mg Tab 4080 4080 0 0
23 Antalgin injeksi Ampul 0 0 0 0
24 Antasida doen tablet Tab 26270 16270 10000 0
25 Antasida sirup Btl 202 166 36 0
26 Anti Bakteri salep / Bacitracin salep Tube 0 0 0 0
27 Anti Fungi kombinasi Pot 129 129 0 0
28 Anti Hemoroid supp 200 200 0 0
29 Anti Migrain tablet Tab 1000 1000 0 0
30 Asam Askorbat (VIT C) 50 mg Tab 32440 26940 5500 0
31 Asam Folat Tab 2000 2000 0 0
32 Asering Infus Kolf 0 0 0 0
33 Asam Mefenamat 500 mg Tab 1770 1770 0 0
34 Asam Tranexamat injeksi Ampul 0 0 0 0
35 Asam Asetilsalisilat(Asetosal) 80 mg Tab 100 100 0 0
36 Asetosal tablet 100 mg Tab 0 0 0 0
37 Azitromycin 500 mg Tab 195 195 0 0
38 Bisoprolol tablet Tab 0 0 0 0
39 Benzatin benzil penicilin inj 2,4 jt iu Vial 0 0 0 0
40 Betadin salep Tube 0 0 0 0
41 Betametason kream 0,1 % Tube 86 86 0 0
42 Bisacodyl 10 mg Supp 0 0 0 0
43 Bethahistin maselat Tablet 1785 1785 0 0
44 Captopril 12,5 mg Tab 800 800 0 0
45 Captopril 25 mg Tab 100 100 0 0
46 Captopril 50 mg Tab 100 100 0 0
47 Caviton Btl 2 2 0 0
48 Cefadroxil 500 mg kap 1200 1200 0 0
49 Cefotaxime injeksi 1 g Vial 0 0 0 0
50 Cefriaxon injeksi Vial 0 0 0 0
51 Cetrizin tablet 10 mg Kap 0 0 0 0
52 Ciprofloxacin 500 mg Tab 3940 3940 0 0
53 Clindamicin 150 mg Kap 300 300 0 0
54 Clindamicin 300 mg Kap 0 0 0 0
55 Devitalisasi pasta Btl 0 0 0 0
56 Dexamethason tablet Tab 17040 17040 0 0
57 Dexamethason injeksi Ampul 160 160 0 0
58 Diazepam tablet 2 mg Tab 994 194 800 0
59 Diazepam tablet 5 mg Tab 1197 1097 0 100
60 Diazepam injeksi Ampul 30 30 0 0
61 Difenhidramin injeksi Ampul 120 120 0 0
62 Digoksin tablet Tab 100 100 0 0
63 Doxicillin Tab 0 0 0 0
64 Dulcolax tablet Tab 0 0 0 0
65 Dulculax supp 10 mg ( Dewasa ) Supp 41 41 0 0
66 Dulculax supp 5 mg ( Anak ) Supp 0 0 0 0
67 Efedrin Hcl 25 mg Tab 0 0 0 0
68 Ekstrak belladona tablet 10 mg Tab 0 0 0 0
69 Ephinefrin hcl injeksi Ampul 120 120 0 0
70 Erytromycin kapsul 250 mg Kap 3270 3270 0 0
71 Erytromycin kapsul 500 mg Kap 4000 4000 0 0
72 Erytromycin syrup Btl 21 0 21 0
73 Etakridin / Rivanol Btl 34 34 0 0
74 Ethambutol hcl tab 250 mg Tab 0 0 0 0
75 Ethambutol hcl tab 500 mg Tab 0 0 0 0
76 Etil klorida semprot Btl 4 4 0 0
77 Eugenol cairan Btl 0 0 0 0
78 Fenitoin natrium 30 mg Kap 0 0 0 0
79 Fenitoin natrium 100 mg Kap 0 0 0 0
80 Fenobarbital injeksi Ampul 0 0 0 0
81 Fenobarbital tab 100 mg Tab 0 0 0 0
82 Fenobarbital tablet 30 mg Tab 697 697 0 0
83 Fenoksimetil fenisilin tab 250 mg Tab 0 0 0 0
84 Fenoksimetil fenisilin tab 500 mg Tab 0 0 0 0
85 Fenol Gliserol tetes telinga Btl 91 91 0 0
86 Fitomenadion (Vit K) tab 10 mg Tab 2422 2422 0 0
87 Fitomenadion (Vit K) injeksi Ampul 60 60 0 0
88 Fluconazol 150 mg Tab 0 0 0 0
89 Furosemide tablet 40 mg Tab 595 0 595 0
90 Fluor gel Btl 0 0 0 0
91 Garam oralit untuk 200 ml air Set 4814 4814 0 0
92 Gentamycin salep kulit 0,1 % Tube 89 89 0 0
93 Gentamycin salep mata Tube 103 103 0 0
94 Gentamycin tetes mata Btl 144 144 0 0
95 Gentamycin injeksi Ampul 0 0 0 0
96 Gentian violet Btl 87 39 48 0
97 Glass Ionomer (ART FUJI IX) Btl 0 0 0 0
98 Glibenklamida tablet 5 mg Tab 100 100 0 0
99 Glimepiride 1 mg Tab 2350 2350 0 0
100 Glimepiride 2 mg Tab 1825 1325 500 0
101 Gliseril guaiakolat tablet 100 mg Tab 46394 0 46394 0
102 Glukosa larutan infus 5 % steril Btl 0 0 0 0
103 Griseofulvin tablet 125 mg Tab 700 700 0 0
104 Griseofulvin tablet 500 mg Tab 400 400 0 0
105 Halloperidol tab 0,5 mg Tab 70 70 0 0
106 Halloperidol tab 1,5 mg Tab 600 600 0 0
107 Halloperidol tab 5 mg Tab 0 0 0 0
108 Hidroklortiazide (HCT) tablet 25 mg Tab 1310 1310 0 0
109 Hidrocortison krim 2,5 % Tube 134 134 0 0
110 Ibuprofen tablet 200 mg Tab 2514 2514 0 0
111 Ibuprofen tablet 400 mg Tab 0 0 0 0
112 Ibuprofen syrup Btl 0 0 0 0
113 Insulin Human Rapid injeksi 100 IU vial 0 0 0 0
114 Isoniazida ( INH ) tab 100 mg Tab 0 0 0 0
115 Isoniazida ( INH ) tab 300 mg Tab 0 0 0 0
116 Isosorbit dinitrat sublingual 5 mg Tab 115 115 0 0
117 Komb. Primetamin 25mg+suldox 500mg Tab 0 0 0 0
118 Klorfenol kamfermenthol ( CHKM ) Tab 0 0 0 0
119 Kalsium Laktat tablet Tab 23630 13130 10500 0
120 Kandesartan cilexetil 8 mg Tab 0 0 0 0
121 Karbamazepin tablet 200 mg Tab 500 500 0 0
122 Ketorolac injeksi Ampul 0 0 0 0
123 Kloramfenikol salep kulit Tube 90 90 0 0
124 Kloramfenikol salep mata 1 % Tube 135 135 0 0
125 Kloramfenicol tetes telinga 3 % Btl 87 87 0 0
126 Kloramfenicol 250 mg kapsul Kap 0 0 0 0
127 Klorfeniramin maleat 4 mg (CTM ) Tab 26310 26310 0 0
128 Kloramfenicol tetes mata ( Reco ) Btl 48 0 48 0
129 Kalsium Hidroksida Pasta ( Calcidor ) Tube 0 0 0 0
130 Klorpromazin hcl injeksi Ampul 0 0 0 0
131 Klorpromazine tab salut 25 mg Tab 0 0 0 0
132 Klorpromazine tab salut 100 mg Tab 0 0 0 0
133 Kodein tablet 10 mg Tab 780 780 0 0
134 Kotrimoksazol suspensi Btl 300 300 0 0
135 Kotrimoksazol pediatrik Tab 0 0 0 0
136 Kotrimoksazol tablet 480 mg Tab 0 0 0 0
137 Klorokuin Tab 0 0 0 0
138 Kuinin sulfat tab 222 mg (7H2O) Tab 0 0 0 0
139 Lidocain kompositum inj (Pehacain) Ampul 540 540 0 0
140 Lidocain injeksi Ampul 400 400 0 0
141 Lisinopril 10 mg Tab 0 0 0 0
142 Loperamide tab 2 mg / Novadium Tab 0 0 0 0
143 Loratadin 10 mg Tab 0 0 0 0
144 Magnesium sulfat injeksi 20% vial 5 5 0 0
145 Magnesium sulfat injeksi 40% vial 5 5 0 0
146 Mecobalamin injeksi Ampul 0 0 0 0
147 Meloxicam 7,5 mg Tab 0 0 0 0
148 Metformin hcl tablet 500 mg Tab 4048 4048 0 0
149 Methyl prednisolon tablet 4 mg Tab 9268 6000 3268 0
150 Metilergometrin tablet salut Tab 200 200 0 0
151 Metilergometrin injeksi Ampul 75 0 0 75
152 Metoklorpropamide hcl 10 mg Tab 2500 2500 0 0
153 Metronidazole tablet 250 mg Tab 0 0 0 0
154 Metronidazole tablet 500 mg Tab 560 560 0 0
155 Metronidazole syrup Btl 0 0 0 0
156 Metronidazole infus Btl 0 0 0 0
157 Miconazol cream tube 198 198 0 0
158 Microlax rectal tube tube 0 0 0 0
159 Mummifying pasta Btl 0 0 0 0
160 Natrium bikarbonat tablet Tab 1185 1185 0 0
161 Natrium Diklofenak 25 mg Tab 2444 2444 0 0
162 Natrium Diklofenak 50 mg Tab 3259 2150 1109 0
163 Natrium klorida larutan infus Btl 108 108 0 0
164 Neurobion 5000 injeksi Ampul 0 0 0 0
165 Nifedipin tablet Tab 260 260 0 0
166 Nistatin tablet salut 500.000 iu/g Tab 0 0 0 0
167 Nistatin tablet vaginal 100.000 iu/g Tab 452 452 0 0
168 OBH Btl 140 41 99 0
169 Obat Anti TBC Kategori 1 paket 0 0 0 0
170 Obat Anti TBC Kategori 1 -Stop TB KIT paket 0 0 0 0
171 Obat Anti TBC Kategori II paket 0 0 0 0
172 Obat Anti TBC Kategori Anak paket 0 0 0 0
173 Kombipak Kategori I paket 0 0 0 0
174 Ofloxacin 200 mg Tab 0 0 0 0
175 Oksitetrasiklin hcl salep mata 1 % tube 25 25 0 0
176 Oksitetrasiklin hcl salep kulit 3 % Tube 116 116 0 0
177 Oksitetrasiklin hcl injeksi vial 0 0 0 0
178 Oksitosin injeksi / Pitogin Ampul 100 100 0 0
179 Omeprazole capsul 20 mg Kap 1803 1803 0 0
180 Ondansentron injeksi Ampul 0 0 0 0
181 Papaverin tablet Tab 0 0 0 0
182 Paracetamol tablet 100 mg Tab 0 0 0 0
183 Paracetamol tablet 500 mg Tab 61140 40940 20200 0
184 Paracetamol Drop Btl 0 0 0 0
185 Parasetamol sirup Btl 397 50 347 0
186 Perfenazine tablet 4 mg Tab 0 0 0 0
187 Piracetam 3 g injeksi Ampul 0 0 0 0
188 Pirantel pamoat tablet 125 mg Tab 200 200 0 0
189 Pirantel pamoat sirup Btl 0 0 0 0
190 Pyrazinamide tablet 500 mg Tab 0 0 0 0
191 Piridoxin hcl tablet 10 mg Tab 21670 21670 0 0
192 Piroxicam 10 mg Tab 2000 0 2000 0
193 Piroxicam 20 mg Tab 600 0 600 0
194 Polikresulen / Albothil Btl 0 0 0 0
195 Prednison tablet Tab 18300 18300 0 0
196 Primakuin tablet Tab 0 0 0 0
197 Prokain benzil penisilin inj vial 0 0 0 0
198 Pronalges suppositoria Supp 0 0 0 0
199 Propanolol tab 10 mg Tab 0 0 0 0
200 Propanolol tab 40 mg Tab 0 0 0 0
201 Propiltiourasil tablet 100 mg Tab 780 200 580 0
202 Proris suppositoria Supp 0 0 0 0
203 Perak sulfadiazine cream 3 % tube 34 34 0 0
204 Ranitidin tablet 150 mg Tab 0 0 0 0
205 Ranitidin injeksi Ampul 0 0 0 0
206 Reserpin tablet 0,1 mg Tab 0 0 0 0
207 Reserpin tablet 0,25 mg Tab 0 0 0 0
208 Retinol kapsul 100.000 IU Kapsul 0 0 0 0
209 Retinol kapsul 200.000 IU Kapsul 0 0 0 0
210 Rifampisin kapsul 300 mg Kap 0 0 0 0
211 Rifampisin kapsul 450 mg Kap 0 0 0 0
212 Rifampisin kapsul 600 mg Kap 0 0 0 0
213 Ringer laktat infus steril Btl 25 25 0 0
214 Salbutamol tablet 2 mg Tab 0 0 0 0
215 Salbuatmol tablet 4 mg Tab 1180 1180 0 0
216 salep 2-4 Pot 0 0 0 0
217 Salisil bedak 2 % Pot 162 162 0 0
218 Semen seng fosfat serbuk & cairan Btl 0 0 0 0
219 Serum Anti Bisa Ular injeksi Vial 0 0 0 0
220 Serum Anti tetanus injeksi 1500 IU Ampul 0 0 0 0
221 Tatagam vial 0 0 0 0
222 Sianokobalamin inj 500 mcg/ml Btl 0 0 0 0
223 Silver Amalgam serbuk Tab 0 0 0 0
224 Simvastatin 10 mg Tab 2640 2130 510 0
225 Simvastatin 20 mg supp 2790 0 2790 0
226 Stesolid rectal supp 5 mg Supp 0 0 0 0
227 Stesolid rectal supp 10 mg Btl 13 13 0 0
228 Sulfasetamid tetes mata 15 % Tab 0 0 0 0
229 Tablet tambah darah (SF) Tab 19030 17030 2000 0
230 Temporary / Fletcher Kap 0 0 0 0
231 Tetrasiklin kapsul 250 mg Kap 0 0 0 0
232 Tetrasiklin kapsul 500 mg Tab 1080 1080 0 0
233 Thrombo Aspilet Tab 0 0 0 0
234 Thiamin injeksi Ampul 0 0 0 0
235 Thiamin tablet 50 mg Tab 19932 19932 0 0
236 Triheksipenidil hcl tablet 2 mg Tab 637 637 0 0
237 Trikresol formalin cairan ( TKF ) Ampul 0 0 0 0
238 Vaksin rabies vero Tab 0 0 0 0
239 Valsartan 80 mg Tab 0 0 0 0
240 Ventolin nebulizer Nebules 10 10 0 0
241 Vitamin B komplek tablet Tab 15214 15014 0 200
242 Yodium povidon lart 10 % - 30 ml Btl 0 0 0 0
243 Yodium povidon lart 10 % - 300 ml Btl 40 25 15 0
244 Xylocain jelly Tube 0 0 0 0
245 Lidocain Pasta Pot 0 0 0 0
246 Zinc tablet 20 mg Tab 2425 2425 0 0
247 Zinc sirup Btl 117 117 0 0
248 Betamin drage ( Vit. B1 ) Tab 0 0 0 0
249 Domperidon Btl 1730 1730 0 0
250 Clozapin 25 mg Tab 150 0 0 150
251 Clobazam 10 mg Tab 0 0 0 0
252 Trifluoperazin HCl 5 mg ( Stelosi ) Tab 0 0 0 0
253 Vitamin B 12 Tab 2200 2200 0 0
254 Ketokonazol Crem Tube 41 41 0 0
255 Ketokonazole Tablet Tab 1243 300 943 0
256 Flufenazin Decanoat Inj 25 mg Ampul 0 0 0 0
257 Haloperidol Inj 5 mg ( Ladomer ) Ampul 0 0 0 0
258 Haloperidol Decanoat Inj 50 mg Ampul 0 0 0 0
259 Resperidon tab 2 mg Tab 980 0 0 980
260 Curviplex Sirup Btl 0 0 0 0
261 Andalan Inj 3 Bulan Vial 0 0 0 0
262 Andalan Inj 1 Bulan Vial 40 0 40 0
263 Cyclopen Inj. 1 Bulan Vial 170 0 170 0
264 Ichtyol Salaf Kulit Pot 8 0 8 0
265 Levertran Salep Kulit Pot 42 0 42 0
266 HEPATITIS B Paket 11 0 0 11
267 BCG Ampul 10 0 0 10
268 POLIO Vial 27 0 0 27
269 PENTABIO/DPTHBHib Vial 38 0 0 38
270 CAMPAK Vial 13 0 0 13
271 Td / TT Vial 33 0 0 33
272 IPV Vial 0 0 0 0
273 Vaksin MR Vial 0 0 0 0
274 Pelarut MR Vial 0 0 0 0
275 Pentocain 0,5 % TT Mata Btl 25 0 25 0
276 Domperidon syrup btl 55 55 0 0
277 Kloramfenikol syrup btl 105 105 0 0
278 cetirizin syrup btl 19 19 0 0
279 Pritamox sirup 125 mg btl 180 0 180 0
280 Albendazole syrup btl 0 0 0 0
281 Moxalaskap/cotri480mg tab 2476 0 2476 0
282 Moxalas syr/cotry syr btl 100 0 100 0
283 Lorihis tab/loratadin tab tab 860 0 860 0
284 Flagsol syr/metro syr btl 46 0 46 0
285 Selfolic 1000mg/Asam folat tab 2320 0 2320 0
286 Trifadium2mg/Loperamid tab tab 860 0 860 0
287 Omeprazole Injeksi Ampul 15 15 0 0
288 Gluconas Kalsikus injeksi amp 0 0 0 0
289 Tricloflem Vial 0 0 0 0
290 Cycloserin 250mg tab 0 0 0 0
291 Ethionmid 250mg tab 0 0 0 0
292 Levofloxacin 750mg tab 0 0 0 0
293 Bedaquilin 100mg tab 0 0 0 0
294 Hbig Bayi vial 0 0 0 0
295 Amoxcillin drop btl 49 49 0 0
0 0 0 0
BMHP 0 0 0 0
296 Alat suntik 1 ml Pcs 600 600 0 0
297 Alat suntik 2,5 ml Pcs 1600 1600 0 0
298 Alat suntik 3 ml Pcs 3130 2700 400 30
299 Alat suntik 5 ml Pcs 2300 1300 500 500
300 Alkohol 70 % ( 1 L ) Btl 17 17 0 0
301 Alkohol 70 % ( 60 Ml ) Btl 0 0 0 0
302 Aqua destilata steril 500 ml Btl 2 2 0 0
303 Aqua pro injeksi Vial 99 74 25 0
304 Bisturi no 10 Pcs 10 10 0 0
305 Bisturi no 11 Pcs 10 10 0 0
306 Bisturi no 20 Pcs 0 0 0 0
307 Bisturi no 22 Pcs 0 0 0 0
308 Blood Lancet Pcs 4800 2000 2800 0
309 Catgut/benang bedah Pcs 96 96 0 0
310 ETT no.6 Pcs 0 0 0 0
311 ETT no.6,5 Set 0 0 0 0
312 ETT no.7 Set 0 0 0 0
313 ETT no.7,5 Btl 0 0 0 0
314 Hand scrub Pcs 5 5 0 0
315 Handscoon uk.S Pcs 700 700 0 0
316 Handscoon uk. M Pcs 2600 200 2400 0
317 Handscoon uk. L Pcs 300 0 300 0
318 Infusion set anak set 50 0 50 0
319 Infusion set dewasa set 45 0 45 0
320 Wing neadle no. 23G Pcs 0 0 0 0
321 IV Catheter (Abocath) NO.20 Pcs 10 10 0 0
322 IV Catheter (Abocath) NO.22 Pcs 10 10 0 0
323 IV Catheter (Abocath) NO.24 pcs 0 0 0 0
324 Jarum Jahit (Nald Heating ) no. 10 pcs 39 39 0 0
325 Jarum Jahit (Nald Heating ) no. 11 pcs 0 0 0 0
326 Jarum Jahit (Nald Heating ) no. 12 pcs 0 0 0 0
327 Jarum Jahit (Nald Heating ) no. 13 pcs 25 25 0 0
328 Jarum Jahit (Nald Heating ) no. 14 Pcs 25 25 0 0
329 Kapas pembalut/Absorben 250 gr Roll 45 45 0 0
330 Kasa kompres 40/40 steril Roll 158 158 0 0
331 Kasa pembalut hidrofil 4m x 15 cm Roll 420 420 0 0
332 Kasa pembalut hidrofil 4 m x 3 cm Roll 300 300 0 0
333 Kassa 36x80 cm Roll 18 18 0 0
334 Kertas Saring Whatman Buku 1 0 1 0
335 Masker Pcs 6050 2650 3400 0
336 Objec Glass Box/72 21 4 0 17
337 Pipet Tetes Panjang Pcs 15 15 0 0
338 Plastik Obat Klip 10 x 7 Pcs 7000 0 7000 0
339 Plastik Obat Klip 13 x 8,7 4000 0 4000 0
340 Plester 5 yard x 2 inch Roll 23 19 0 4
341 Poly catheter no.8 Pcs 0 0 0 0
342 Poly catheter no.12 Pcs 3 3 0 0
343 Poly catheter no.16 Pcs/set 16 16 0 0
344 Silk ( benang bedah sutera) 03/0 Sak 85 49 0 36
345 Spons gelatin cublices bks 7 7 0 0
346 Stick Gluco DR Btl/50 14 0 14 0
347 Tabung Reaksi Pcs 0 0 0 0
348 Tes Kehamilan HCG Pcs 1 1 0 0
349 Transfution set/Transfusion blood ADM set 3 3 0 0
350 Urinalysis 10 parameter Btl 0 0 0 0
351 Stick asam Urat Btl/25 8 0 8 0
352 Stick Colestrol Btl/10 6 0 6 0
353 Jelly 250ml Ultra soundgel btl 2 0 2 0
354 Pot sputum Pcs 0 0 0 0
355 Reagen TB Paket 0 0 0 0
356 Sefty box 2,5 L Box 0 0 0 0
357 Reagen sifilis(SD,Bio StanQ) Test 0 0 0 0
358 Box Slide Ktk 0 0 0 0
359 Fokus test Ktk 0 0 0 0
360 Alat suntik 0,5 ml Box 4859 0 0 4859
361 Sefty box 5 L Box 0 0 0 0
362 Masker Nebulizer Anak Psc 5 5 0 0
363 Masker Nebulizer Dewasa Psc 10 10 0 0
364 Nasal Oksigen Kanula Anak Psc 5 5 0 0
365 Nasal Oksigen Kanula Dewasa Psc 10 10 0 0
366 Non Rebreating Mask Psc 0 0 0 0
367 ID Dewasa Pink Box 0 0 0 0
368 ID Dewasa Blue Box 0 0 0 0
369 ID Bayi Pink Box 0 0 0 0
370 ID Bayi Biru Box 0 0 0 0
371 Umbilical Keniko Box 0 0 0 0
372 Folley Catheter 16 Rusch Pcs 0 0 0 0
373 Urine Bag Fresco Pcs 10 10 0 0
374 Disp Sryringe 10 ml Onemed Box 0 0 0 0
375 Suction Catheter 8 Remedi Pcs 0 0 0 0
376 Suction Catheter 16 Remedi Psc 0 0 0 0
377 Plaster Hypafix Psc 15 15 0 0
378 Rapid Test HIV I Standar (Stik SD HIV ) Pcs 0 0 0 0
379 Kasa Steril 16 X 16 Kotak 167 0 167 0
380 Alat Nesco Tri in one Kotak 0 0 0 0
381 Alkohol Swab One swab Kotak 10 0 10 0
382 Bahan tambalan Komposid (solare) Tube 4 0 4 0
383 OCO Btl/15ml 0 0 0 0
384 Paper Pad Buku 6 0 6 0
385 Masker 1860 S/N95 pcs 0 0 0 0
386 Rapid Test HIV II : Vikia (HIV ke 1) Test 0 0 0 0
387 Rapid Test Hiv, 3 : Intec/China (HIV KE 2) Test 0 0 0 0
388 RDT(Virotec+Diluent)DBD Test 0 0 0 0
389 Rapid HBsAg(Virochek HbsAg) Test 0 0 0 0
390 Baju Hazmat APD Pcs 0 0 0 0

REAGENSIA 0 0 0 0
391 Cell Clean ( CL-50) Btl 0 0 0 0
392 Cell Pack ( PK-30L) Btl 0 0 0 0
393 Control eight check 3 x 1,5 ml Btl/set 0 0 0 0
394 Eightcheck-3WP (Normal) 1,5 ml Vial 0 0 0 0
395 Eightcheck-3WP (Low) 1,5 ml Vial 0 0 0 0
396 Eightcheck-3WP (High) 1,5 ml Vial 0 0 0 0
397 Stomalyzer WH(SWH-2004) btl 0 0 0 0
398 Tabung K2 EDTA 2 ml Btl 1 0 1 0
399 Printer Paper Pcs 0 0 0 0
400 Deck Glass Btl 5 5 0 0
401 Tes Gol Darah (A,B,AB ) Set 0 0 0 0
402 Tisu lensa Buku 0 0 0 0
403 Kertas perkamen Lembar 19 19 0 0
404 Podofilin Tinctur 25 % Btl 0 0 0 0
405 Larutan Fauchet Btl 0 0 0 0
406 Larutan Lisol Btl 24 24 0 0
407 Larutan asam klorida 0,1 N Btl 0 0 0 0
408 Larutan asam sulfosalisilat 20% Btl 0 0 0 0
409 Larutan barium klorida Btl 0 0 0 0
410 Larutan Benedict Btl 0 0 0 0
411 Larutan Bupper PH 7,2 Btl 0 0 0 0
412 Larutan EDTA Cair 10 % Btl 0 0 0 0
413 Larutan Eosin 2 % Btl 0 0 0 0
414 Larutan Etanol Asam Btl 0 0 0 0
415 Larutan Giemsa Stalin Btl 0 0 0 0
416 Larutan H2O2 Btl 7 7 0 0
417 Larutan Imersen oil HB Btl 0 0 0 0
418 Larutan karbol fuksin Btl 0 0 0 0
419 Larutan Metanol Btl 0 0 0 0
420 Larutan Metilen Biru Btl 0 0 0 0
421 Larutan Natrium Sitrat 38 % Btl 0 0 0 0
422 Larutan Rees echer Btl 0 0 0 0
423 Larutan spiritus 100 ml Btl 0 0 0 0
424 Larutan turk Btl 0 0 0 0
425 Ether Alkohol Botol 0 0 0 0
426 Buffer Ph 6,4 Botol 0 0 0 0
427 KOH 10 % Btl 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
523,716 365,003 151,630 7,083
523716 365003 151630 7083

- -
LAPORAN PEMAKAIAN DAN LEM

STOK AWAL GUDANG STOK AWAL APOTIK PENERIMAAN


PKD BLUD PROG PKD BLUD PROG PKD BLUD PROG JUMLAH

278 0 0 56 0 0 0 0 0 0
900 0 0 370 0 0 0 0 0 0
1250 0 0 98 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 0 0
500 0 0 0 0 0 0 0 0 0
0 1600 0 0 290 0 0 0 0 0
0 144 0 0 27 0 0 0 0 0
1000 0 0 1130 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1300 0 0 200 0 0 0 0 0 0
1800 0 0 197 0 0 0 0 0 0
1200 3000 0 480 0 0 0 0 0 0
0 9000 0 0 400 0 0 0 0 0
21000 0 0 1050 0 0 0 0 0 0
60 0 0 40 0 0 0 0 0 0
420 0 0 52 0 0 0 0 0 0
2460 0 0 210 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
3800 0 0 280 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
14700 10000 0 1570 0 0 0 0 0 0
140 0 0 26 36 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
120 0 0 9 0 0 0 0 0 0
200 0 0 0 0 0 0 0 0 0
1000 0 0 0 0 0 0 0 0 0
25500 5500 0 1440 0 0 0 0 0 0
2000 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1700 0 0 70 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
180 0 0 15 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
75 0 0 11 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1500 0 0 285 0 0 0 0 0 0
800 0 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0 0 0
1000 0 0 200 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
3300 0 0 640 0 0 0 0 0 0
300 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
15800 0 0 1240 0 0 0 0 0 0
160 0 0 0 0 0 0 0 0 0
100 800 0 94 0 0 0 0 0 0
1000 0 100 97 0 0 0 0 0 0
30 0 0 0 0 0 0 0 0 0
120 0 0 0 0 0 0 0 0 0
100 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
41 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
120 0 0 0 0 0 0 0 0 0
2800 0 0 470 0 0 0 0 0 0
4000 0 0 0 0 0 0 0 0 0
0 0 0 0 21 0 0 0 0 0
34 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
4 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 0 0
0 0 0 0 0 0 0 0 0 0
600 0 0 97 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
72 0 0 19 0 0 0 0 0 0
1900 0 0 522 0 0 0 0 0 0
60 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 200 0 0 395 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
4700 0 0 114 0 0 0 0 0 0
50 0 0 39 0 0 0 0 0 0
72 0 0 31 0 0 0 0 0 0
96 0 0 48 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
24 48 0 15 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 0 0
1900 0 0 450 0 0 0 0 0 0
1100 500 0 225 0 0 0 0 0 0
0 45600 0 0 794 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
500 0 0 200 0 0 0 0 0 0
300 0 0 100 0 0 0 0 0 0
0 0 0 70 0 0 0 0 0 0
600 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
900 0 0 410 0 0 0 0 0 0
105 0 0 29 0 0 0 0 0 0
1900 0 0 614 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 0 0 0 0 0 0 0 0 0
100 0 0 15 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
12200 10500 0 930 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
500 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
60 0 0 30 0 0 0 0 0 0
120 0 0 15 0 0 0 0 0 0
65 0 0 22 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
25000 0 0 1310 0 0 0 0 0 0
0 48 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 0
600 0 0 180 0 0 0 0 0 0
300 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 0 0
540 0 0 0 0 0 0 0 0 0
400 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
5 0 0 0 0 0 0 0 0 0
5 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
3500 0 0 548 0 0 0 0 0 0
5000 3200 0 1000 68 0 0 0 0 0
200 0 0 0 0 0 0 0 0 0
0 0 75 0 0 0 0 0 0 0
2500 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
500 0 0 60 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
192 0 0 6 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
1100 0 0 85 0 0 0 0 0 0
1800 0 0 644 0 0 0 0 0 0
1650 1100 0 500 9 0 0 0 0 0
108 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
200 0 0 60 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
400 0 0 52 0 0 0 0 0 0
5 95 0 36 4 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 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 25 0 0 0 0 0 0
100 0 0 16 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 0 0
1740 0 0 63 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
38800 20200 0 2140 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
50 260 0 0 87 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
100 0 0 100 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
20800 0 0 870 0 0 0 0 0 0
0 2000 0 0 0 0 0 0 0 0
0 500 0 0 100 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
17200 0 0 1100 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 0 0 0 0 0 0 0 0 0
200 400 0 0 180 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
31 0 0 3 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 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 0 0
25 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
900 0 0 280 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
144 0 0 18 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 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
2130 450 0 0 60 0 0 0 0 0
0 2000 0 0 790 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
16600 2000 0 430 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
900 0 0 180 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
19500 0 0 432 0 0 0 0 0 0
500 0 0 137 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
10 0 0 0 0 0 0 0 0 0
13400 0 200 1614 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
25 15 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
2100 0 0 325 0 0 0 0 0 0
100 0 0 17 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1600 0 0 130 0 0 0 0 0 0
0 0 150 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
1200 0 0 1000 0 0 0 0 0 0
25 0 0 16 0 0 0 0 0 0
300 800 0 0 143 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 0 900 0 0 80 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 40 0 0 0 0 0 0 0 0
0 170 0 0 0 0 0 0 0 0
0 0 0 0 8 0 0 0 0 0
0 24 0 0 18 0 0 0 0 0
0 0 11 0 0 0 0 0 30 30
0 0 10 0 0 0 0 0 10 10
0 0 27 0 0 0 0 0 30 30
0 0 38 0 0 0 0 0 30 30
0 0 13 0 0 0 0 0 0 0
0 0 33 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 25 0 0 0 0 0 0 0 0
0 0 0 55 0 0 0 0 0 0
100 0 0 5 0 0 0 0 0 0
0 0 0 19 0 0 0 0 0 0
0 180 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 1800 0 0 676 0 0 0 0 0
0 100 0 0 0 0 0 0 0 0
0 700 0 0 160 0 0 0 0 0
0 40 0 0 6 0 0 0 0 0
0 2000 0 0 320 0 0 0 0 0
0 700 0 0 160 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
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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 0 0 0
30 0 0 19 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
600 0 0 0 0 0 0 0 0 0
1600 0 0 0 0 0 0 0 0 0
2700 400 30 0 0 0 0 0 0 0
1300 500 500 0 0 0 0 0 0 0
17 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0 0 0
74 25 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0
10 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
2000 2800 0 0 0 0 0 0 0 0
96 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 0 0
5 0 0 0 0 0 0 0 0 0
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200 2400 0 0 0 0 0 0 0 0
0 300 0 0 0 0 0 0 0 0
0 50 0 0 0 0 0 0 0 0
0 45 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
39 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
25 0 0 0 0 0 0 0 0 0
25 0 0 0 0 0 0 0 0 0
45 0 0 0 0 0 0 0 0 0
158 0 0 0 0 0 0 0 0 0
420 0 0 0 0 0 0 0 0 0
300 0 0 0 0 0 0 0 0 0
18 0 0 0 0 0 0 0 0 0
0 1 0 0 0 0 0 0 0 0
2650 3400 0 0 0 0 0 0 0 0
4 0 17 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0
0 7000 0 0 0 0 0 10000 0 10000
0 4000 0 0 0 0 0 10000 0 10000
19 0 4 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
3 0 0 0 0 0 0 0 0 0
16 0 0 0 0 0 0 0 0 0
49 0 36 0 0 0 0 0 0 0
7 0 0 0 0 0 0 0 0 0
0 14 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0
3 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 8 0 0 0 0 0 0 0 0
0 6 0 0 0 0 0 0 0 0
0 2 0 0 0 0 0 0 0 0
0 0 0 0 0 0 200 0 0 200
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 5 0 125 130
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 4859 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
5 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0
5 0 0 0 0 0 0 0 0 0
10 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 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
10 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
15 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 5 0 0 5
0 167 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 10 0 0 0 0 0 0 0 0
0 4 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 6 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 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 20 0 20

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 2 0 2
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 3 0 3
0 1 0 0 0 0 0 4 0 4
0 0 0 0 0 0 0 4 0 4
5 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
19 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
24 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 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 0 0 0 0 0
7 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 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 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 0 0 0 0 0 0 0 0
337,203 146,878 7,003 27,800 4,752 80 210 20,033 225 20,468
337,203 146,878 7,003 27800 4752 80 210 20,033 225 20,468
PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )

PERSEDIA PEMAKAIAN PEMAKAIAN GUDANG (LAIN-LAIN) PEMAKAIAN APOTIK STOK AKHIR


STOK AKHIR
AN PKD BLUD PROG PKD BLUD PROG PKD

334 4 0 0 0 4 0 0 330 330


1270 95 0 0 0 95 0 0 1175 1175
1348 148 0 0 0 148 0 0 1200 1200
1 0 0 0 0 0 0 0 1 1
100 0 0 0 0 0 0 0 100 100
500 120 0 0 0 120 0 0 380 380
1890 95 0 0 0 0 95 0 1795 0
171 4 0 0 0 0 4 0 167 0
2130 270 200 0 0 70 0 0 1860 1860
0 0 0 0 0 0 0 0 0 0
1500 0 0 0 0 0 0 0 1500 1500
1997 6 0 0 0 6 0 0 1991 1991
4680 370 0 0 0 370 0 0 4310 1310
9400 106 0 0 0 0 106 0 9294 0
22050 870 0 0 0 870 0 0 21180 21180
100 6 0 0 0 6 0 0 94 94
472 3 0 0 0 3 0 0 469 469
2670 100 0 0 0 100 0 0 2570 2570
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
4080 180 0 0 0 180 0 0 3900 3900
0 0 0 0 0 0 0 0 0 0
26270 2760 1500 0 0 1260 0 0 23510 13510
202 166 40 0 0 126 0 0 36 0
0 0 0 0 0 0 0 0 0 0
129 0 0 0 0 0 0 0 129 129
200 40 20 0 0 20 0 0 160 160
1000 0 0 0 0 0 0 0 1000 1000
32440 940 0 0 0 940 0 0 31500 26000
2000 500 0 0 0 500 0 0 1500 1500
0 0 0 0 0 0 0 0 0 0
1770 940 300 0 0 640 0 0 830 830
0 0 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 100 100
0 0 0 0 0 0 0 0 0 0
195 0 0 0 0 0 0 0 195 195
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
86 0 0 0 0 0 0 0 86 86
0 0 0 0 0 0 0 0 0 0
1785 20 0 0 0 20 0 0 1765 1765
800 0 0 0 0 0 0 0 800 800
100 0 0 0 0 0 0 0 100 100
100 100 100 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0 2 2
1200 30 0 0 0 30 0 0 1170 1170
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
3940 150 0 0 0 150 0 0 3790 3790
300 0 0 0 0 0 0 0 300 300
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
17040 2140 1000 0 0 1140 0 0 14900 14900
160 0 0 0 0 0 0 0 160 160
994 25 0 0 0 25 0 0 969 169
1197 0 0 0 0 0 0 0 1197 1097
30 0 0 0 0 0 0 0 30 30
120 0 0 0 0 0 0 0 120 120
100 0 0 0 0 0 0 0 100 100
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
41 0 0 0 0 0 0 0 41 41
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
120 0 0 0 0 0 0 0 120 120
3270 0 0 0 0 0 0 0 3270 3270
4000 0 0 0 0 0 0 0 4000 4000
21 2 0 0 0 0 2 0 19 0
34 28 28 0 0 0 0 0 6 6
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
4 0 0 0 0 0 0 0 4 4
0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0
697 0 0 0 0 0 0 0 697 697
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
91 2 0 0 0 2 0 0 89 89
2422 72 0 0 0 72 0 0 2350 2350
60 0 0 0 0 0 0 0 60 60
0 0 0 0 0 0 0 0 0 0
595 0 0 0 0 0 0 0 595 0
0 0 0 0 0 0 0 0 0 0
4814 105 0 0 0 105 0 0 4709 4709
89 14 0 0 0 14 0 0 75 75
103 0 0 0 0 0 0 0 103 103
144 2 0 0 0 2 0 0 142 142
0 0 0 0 0 0 0 0 0 0
87 2 0 0 0 2 0 0 85 37
0 0 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 100 100
2350 10 0 0 0 10 0 0 2340 2340
1825 0 0 0 0 0 0 0 1825 1325
46394 1464 0 500 0 0 964 0 44930 0
0 0 0 0 0 0 0 0 0 0
700 200 200 0 0 0 0 0 500 500
400 0 0 0 0 0 0 0 400 400
70 0 0 0 0 0 0 0 70 70
600 0 0 0 0 0 0 0 600 600
0 0 0 0 0 0 0 0 0 0
1310 10 0 0 0 10 0 0 1300 1300
134 58 0 0 0 58 0 0 76 76
2514 274 200 0 0 74 0 0 2240 2240
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
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0 0 0 0 0 0 0 0 0 0
115 0 0 0 0 0 0 0 115 115
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
23630 1080 0 0 0 1080 0 0 22550 12050
0 0 0 0 0 0 0 0 0 0
500 0 0 0 0 0 0 0 500 500
0 0 0 0 0 0 0 0 0 0
90 6 0 0 0 6 0 0 84 84
135 2 0 0 0 2 0 0 133 133
87 1 0 0 0 1 0 0 86 86
0 0 0 0 0 0 0 0 0 0
26310 1830 0 0 0 1830 0 0 24480 24480
48 0 0 0 0 0 0 0 48 0
0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
780 62 0 0 0 62 0 0 718 718
300 0 0 0 0 0 0 0 300 300
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0
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5 0 0 0 0 0 0 0 5 5
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4048 20 0 0 0 20 0 0 4028 4028
9268 338 0 0 0 270 68 0 8930 5730
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75 0 0 0 0 0 0 0 75 0
2500 0 0 0 0 0 0 0 2500 2500
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1185 0 0 0 0 0 0 0 1185 1185
2444 404 0 0 0 404 0 0 2040 2040
3259 39 0 0 0 30 9 0 3220 2120
108 0 0 0 0 0 0 0 108 108
0 0 0 0 0 0 0 0 0 0
260 0 0 0 0 0 0 0 260 260
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140 37 0 0 0 36 1 0 103 5
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116 50 50 0 0 0 0 0 66 66
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1803 535 180 0 0 355 0 0 1268 1268
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200 0 0 0 0 0 0 0 200 200
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21670 170 0 0 0 170 0 0 21500 21500
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0 0 0 0 0 0 0 0 0 0
18300 200 0 0 0 200 0 0 18100 18100
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34 3 0 0 0 3 0 0 31 31
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25 0 0 0 0 0 0 0 25 25
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1180 40 0 0 0 40 0 0 1140 1140
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2640 330 0 0 0 270 60 0 2310 1860
2790 125 0 0 0 0 125 0 2665 0
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13 5 5 0 0 0 0 0 8 8
0 0 0 0 0 0 0 0 0 0
19030 2930 100 0 0 2830 0 0 16100 14100
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1080 80 0 0 0 80 0 0 1000 1000
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
19932 1412 1200 0 0 212 0 0 18520 18520
637 0 0 0 0 0 0 0 637 637
0 0 0 0 0 0 0 0 0 0
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10 0 0 0 0 0 0 0 10 10
15214 1690 100 0 0 1590 0 0 13524 13324
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40 0 0 0 0 0 0 0 40 25
0 0 0 0 0 0 0 0 0 0
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2425 30 0 0 0 30 0 0 2395 2395
117 5 0 0 0 5 0 0 112 112
0 0 0 0 0 0 0 0 0 0
1730 0 0 0 0 0 0 0 1730 1730
150 0 0 0 0 0 0 0 150 0
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2200 0 0 0 0 0 0 0 2200 2200
41 0 0 0 0 0 0 0 41 41
1243 43 0 0 0 0 43 0 1200 300
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8 0 0 0 0 0 0 0 8 0
42 0 0 0 0 0 0 0 42 0
41 30 0 0 30 0 0 0 11 0
20 14 0 0 14 0 0 0 6 0
57 49 0 0 49 0 0 0 8 0
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13 9 0 0 9 0 0 0 4 0
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25 0 0 0 0 0 0 0 25 0
55 6 0 0 0 6 0 0 49 49
105 0 0 0 0 0 0 0 105 105
19 19 0 0 0 19 0 0 0 0
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46 0 0 0 0 0 0 0 46 0
2320 20 0 0 0 0 20 0 2300 0
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15 0 0 0 0 0 0 0 15 15
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49 0 0 0 0 0 0 0 49 49
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
600 0 0 0 0 0 0 0 600 600
1600 0 0 0 0 0 0 0 1600 1600
3130 0 0 0 0 0 0 0 3130 2700
2300 0 0 0 0 0 0 0 2300 1300
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0 0 0 0 0 0 0 0 0 0
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99 0 0 0 0 0 0 0 99 74
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4800 0 0 0 0 0 0 0 4800 2000
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5 0 0 0 0 0 0 0 5 5
700 500 400 0 0 100 0 0 200 200
2600 200 200 0 0 0 0 0 2400 0
300 100 0 100 0 0 0 0 200 0
50 0 0 0 0 0 0 0 50 0
45 0 0 0 0 0 0 0 45 0
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39 0 0 0 0 0 0 0 39 39
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18 0 0 0 0 0 0 0 18 18
1 0 0 0 0 0 0 0 1 0
6050 800 750 0 0 50 0 0 5250 1850
21 0 0 0 0 0 0 0 21 4
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17000 1000 0 0 0 0 1000 0 16000 0
14000 1000 0 0 0 0 1000 0 13000 0
23 0 0 0 0 0 0 0 23 19
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0 0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
7 0 0 0 0 0 0 0 7 7
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 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 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
544,184 30,559 7,453 608 283 18,533 3,682 - 513,625 339,227
7453 600 283 18533 3682 - 513,625
544,184 554,647
Bulan : Juni 2020
STOK AKHIR PEMAKAIAN PERMINTAA PEMBERIAN
BLUD PROG RATA2/BLN N PKD BLUD PROG LAIN-LAIN

0 0
0 0
0 0
0 0
0 0
0 0
1795 0
167 0
0 0
0 0
0 0
0 0
3000 0
9294 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
10000 0
36 0
0 0
0 0
0 0
0 0
5500 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
0 0
0 0
0 0
0 0
800 0
0 100
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
19 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
595 0
0 0
0 0
0 0
0 0
0 0
0 0
48 0
0 0
0 0
0 0
500 0
44930 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
10500 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
48 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
3200 0
0 0
0 75
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
1100 0
0 0
0 0
0 0
0 0
0 0
98 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
20200 0
0 0
334 0
0 0
0 0
0 0
0 0
0 0
0 0
2000 0
600 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
580 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
450 0
2665 0
0 0
0 0
0 0
2000 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 200
0 0
15 0
0 0
0 0
0 0
0 0
0 0
0 0
0 150
0 0
0 0
0 0
0 0
900 0
0 0
0 0
0 0
0 980
0 0
0 0
40 0
170 0
8 0
42 0
0 11
0 6
0 8
0 25
0 4
0 20
0 0
0 0
0 0
25 0
0 0
0 0
0 0
180 0
0 0
2464 0
100 0
860 0
46 0
2300 0
700 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
400 30
500 500
0 0
0 0
0 0
25 0
0 0
0 0
0 0
0 0
2800 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
2400 0
200 0
50 0
45 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
1 0
3400 0
0 17
0 0
16000 0
13000 0
0 4
0 0
0 0
0 0
0 36
0 0
14 0
0 0
0 0
0 0
0 0
8 0
6 0
2 0
0 0
0 0
0 0
0 0
0 0
0 0
0 4859
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
167 0
0 0
10 0
4 0
0 0
6 0
0 0
0 0
0 0
0 0
0 0
20 0

0 0
0 0
1 0
0 0
0 0
0 0
0 0
1 0
2 0
2 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
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0 513,625
167,373 7,025 513,625
stok awalpenerimaanpemakaian
gudang 491,084 20,468 8,344
apotik 32,632 0 22,215
491,084

491,084 20,468 29,319


32632 20975 22215

29,319

31392
N KET. PEMAKAIAN TOTAL(GUDANG + APOTIK)
JUMLAH PKD BLUD PROG

4 0 0
95 0 0
148 0 0
0 0 0
0 0 0
120 0 0
0 95 0
0 4 0
270 0 0
0 0 0
0 0 0
6 0 0
370 0 0
0 106 0
870 0 0
6 0 0
3 0 0
100 0 0
0 0 0
0 0 0
0 0 0
180 0 0
0 0 0
2760 0 0
166 0 0
0 0 0
0 0 0
40 0 0
0 0 0
940 0 0
500 0 0
0 0 0
940 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
20 0 0
0 0 0
0 0 0
100 0 0
0 0 0
30 0 0
0 0 0
0 0 0
0 0 0
150 0 0
0 0 0
0 0 0
0 0 0
2140 0 0
0 0 0
25 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 2 0
28 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
2 0 0
72 0 0
0 0 0
0 0 0
0 0 0
0 0 0
105 0 0
14 0 0
0 0 0
2 0 0
0 0 0
2 0 0
0 0 0
0 0 0
10 0 0
0 0 0
0 1464 0
0 0 0
200 0 0
0 0 0
0 0 0
0 0 0
0 0 0
10 0 0
58 0 0
274 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
1080 0 0
0 0 0
0 0 0
0 0 0
6 0 0
2 0 0
1 0 0
0 0 0
1830 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
62 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
60 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
20 0 0
270 68 0
0 0 0
0 0 0
0 0 0
0 0 0
45 0 0
0 0 0
0 0 0
4 0 0
0 0 0
0 0 0
0 0 0
404 0 0
30 9 0
0 0 0
0 0 0
0 0 0
0 0 0
100 0 0
36 1 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
50 0 0
0 0 0
0 0 0
535 0 0
0 0 0
0 0 0
0 0 0
2090 0 0
0 0 0
10 13 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
170 0 0
0 0 0
0 0 0
0 0 0
200 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
3 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
40 0 0
0 0 0
21 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
270 60 0
0 125 0
0 0 0
5 0 0
0 0 0
2930 0 0
0 0 0
0 0 0
80 0 0
0 0 0
0 0 0
1412 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1690 0 0
0 0 0
0 0 0
0 0 0
0 0 0
30 0 0
5 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 43 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 30
0 0 14
0 0 49
0 0 43
0 0 9
0 0 13
0 0 0
0 0 0
0 0 0
0 0 0
6 0 0
0 0 0
19 0 0
0 0 0
0 0 0
0 12 0
0 0 0
0 0 0
0 0 0
0 20 0
0 160 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 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
500 0 0
200 0 0
0 100 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 0 0
0 0 0
800 0 0
0 0 0
0 0 0
0 1000 0
0 1000 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
200 0 0
0 0 0
0 0 0
5 0 125
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 0
0 0 0
0 0 0
0 0 0
0 0 0
5 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 1 0
0 0 0
0 0 0
0 0 0
0 0 0
0 2 0
0 3 0
0 2 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 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

25,986 4,290 283 30,559


sisa cek
503,208 #REF!
10,417 30,559
513,625

482,233 482,233
31,392 31392
513,625 -

482,233
-
PUSKESMAS PAAL X KOTA JAMBI
KODE. 5070101
LAPORAN PEMAKAIAN

STOK AWAL PENERIMAAN


NO. NAMA BARANG SATUAN
PKD BLUD PROG JUMLAH PKD BLUD

OBAT
1 Acyclovir cream 5 % tube 330 0 0 330 0 0
2 Acyclovir tablet 200 mg Tab 1175 0 0 1175 0 0
3 Acyclovir tablet 400 mg Tab 1200 0 0 1200 0 0
4 Air Raksa Dental Use Btl 1 0 0 1 0 0
5 Albendazole 400 mg Tab 100 0 0 100 0 0
6 Allopurinol 100 mg Tab 380 0 0 380 2500 0
7 Allopurinol 300 mg Tab 0 1795 0 1795 0 0
8 Ambroxol syrup Btl 0 167 0 167 60 0
9 Ambroxol tab 30 mg Tab 1860 0 0 1860 1000 0
10 Aminofilin injeksi Ampul 0 0 0 0 0 0
11 Aminofilin tablet Tab 1500 0 0 1500 0 0
12 Amitriptilin tablet 25 mg Tab 1991 0 0 1991 0 0
13 Amlodipin 5 mg Tab 1310 3000 0 4310 0 0
14 Amoksisilin kap 250 mg Kap 0 9294 0 9294 0 0
15 Amoksisilin kap 500 mg Kap 21180 0 0 21180 0 0
16 Amoksisilin sirup kering 125 mg/5 ml Btl 94 0 0 94 60 0
17 Amoksisilin Sirup Forte 250 mg/5 ml Btl 469 0 0 469 0 0
18 Amlodipin 10 mg Tab 2570 0 0 2570 0 0
19 Amoksisilin injeksi Vial 0 0 0 0 0 0
20 Ampisilin Kaplet 500 mg Kap 0 0 0 0 0 0
21 Ampisilin sirup kering 125 mg/5 ml Btl 0 0 0 0 0 0
22 Antalgin tablet 500 mg Tab 3900 0 0 3900 0 0
23 Antalgin injeksi Ampul 0 0 0 0 0 0
24 Antasida doen tablet Tab 13510 10000 0 23510 0 0
25 Antasida sirup Btl 0 36 0 36 200 0
26 Anti Bakteri salep / Bacitracin salep Tube 0 0 0 0 0 0
27 Anti Fungi kombinasi Pot 129 0 0 129 0 0
28 Anti Hemoroid supp 160 0 0 160 50 0
29 Anti Migrain tablet Tab 1000 0 0 1000 0 0
30 Asam Askorbat (VIT C) 50 mg Tab 26000 5500 0 31500 0 0
31 Asam Folat Tab 1500 0 0 1500 4000 0
32 Asering Infus Kolf 0 0 0 0 0 0
33 Asam Mefenamat 500 mg Tab 830 0 0 830 6000 0
34 Asam Tranexamat injeksi Ampul 0 0 0 0 0 0
35 Asam Asetilsalisilat(Asetosal) 80 mg Tab 100 0 0 100 0 0
36 Asetosal tablet 100 mg Tab 0 0 0 0 0 0
37 Azitromycin 500 mg Tab 195 0 0 195 0 0
38 Bisoprolol tablet Tab 0 0 0 0 0 0
39 Benzatin benzil penicilin inj 2,4 jt iu Vial 0 0 0 0 0 0
40 Betadin salep Tube 0 0 0 0 0 0
41 Betametason kream 0,1 % Tube 86 0 0 86 200 0
42 Bisacodyl 10 mg Supp 0 0 0 0 0 0
43 Bethahistin maselat Tablet 1765 0 0 1765 1200 0
44 Captopril 12,5 mg Tab 800 0 0 800 0 0
45 Captopril 25 mg Tab 100 0 0 100 0 0
46 Captopril 50 mg Tab 0 0 0 0 0 0
47 Caviton Btl 2 0 0 2 0 0
48 Cefadroxil 500 mg kap 1170 0 0 1170 0 0
49 Cefotaxime injeksi 1 g Vial 0 0 0 0 0 0
50 Cefriaxon injeksi Vial 0 0 0 0 0 0
51 Cetrizin tablet 10 mg Kap 0 0 0 0 0 0
52 Ciprofloxacin 500 mg Tab 3790 0 0 3790 0 0
53 Clindamicin 150 mg Kap 300 0 0 300 0 0
54 Clindamicin 300 mg Kap 0 0 0 0 0 0
55 Devitalisasi pasta Btl 0 0 0 0 0 0
56 Dexamethason tablet Tab 14900 0 0 14900 0 0
57 Dexamethason injeksi Ampul 160 0 0 160 0 0
58 Diazepam tablet 2 mg Tab 169 800 0 969 0 0
59 Diazepam tablet 5 mg Tab 1097 0 100 1197 0 0
60 Diazepam injeksi Ampul 30 0 0 30 0 0
61 Difenhidramin injeksi Ampul 120 0 0 120 0 0
62 Digoksin tablet Tab 100 0 0 100 0 0
63 Doxicillin Tab 0 0 0 0 0 0
64 Dulcolax tablet Tab 0 0 0 0 0 0
65 Dulculax supp 10 mg ( Dewasa ) Supp 41 0 0 41 30 0
66 Dulculax supp 5 mg ( Anak ) Supp 0 0 0 0 30 0
67 Efedrin Hcl 25 mg Tab 0 0 0 0 0 0
68 Ekstrak belladona tablet 10 mg Tab 0 0 0 0 0 0
69 Ephinefrin hcl injeksi Ampul 120 0 0 120 0 0
70 Erytromycin kapsul 250 mg Kap 3270 0 0 3270 0 0
71 Erytromycin kapsul 500 mg Kap 4000 0 0 4000 0 0
72 Erytromycin syrup Btl 0 19 0 19 0 0
73 Etakridin / Rivanol Btl 6 0 0 6 6 0
74 Ethambutol hcl tab 250 mg Tab 0 0 0 0 0 0
75 Ethambutol hcl tab 500 mg Tab 0 0 0 0 0 0
76 Etil klorida semprot Btl 4 0 0 4 2 0
77 Eugenol cairan Btl 0 0 0 0 0 0
78 Fenitoin natrium 30 mg Kap 0 0 0 0 0 0
79 Fenitoin natrium 100 mg Kap 0 0 0 0 0 0
80 Fenobarbital injeksi Ampul 0 0 0 0 0 0
81 Fenobarbital tab 100 mg Tab 0 0 0 0 0 0
82 Fenobarbital tablet 30 mg Tab 697 0 0 697 0 0
83 Fenoksimetil fenisilin tab 250 mg Tab 0 0 0 0 0 0
84 Fenoksimetil fenisilin tab 500 mg Tab 0 0 0 0 0 0
85 Fenol Gliserol tetes telinga Btl 89 0 0 89 24 0
86 Fitomenadion (Vit K) tab 10 mg Tab 2350 0 0 2350 0 0
87 Fitomenadion (Vit K) injeksi Ampul 60 0 0 60 0 0
88 Fluconazol 150 mg Tab 0 0 0 0 0 0
89 Furosemide tablet 40 mg Tab 0 595 0 595 0 0
90 Fluor gel Btl 0 0 0 0 0 0
91 Garam oralit untuk 200 ml air Set 4709 0 0 4709 0 0
92 Gentamycin salep kulit 0,1 % Tube 75 0 0 75 30 0
93 Gentamycin salep mata Tube 103 0 0 103 0 0
94 Gentamycin tetes mata Btl 142 0 0 142 0 0
95 Gentamycin injeksi Ampul 0 0 0 0 0 0
96 Gentian violet Btl 37 48 0 85 0 0
97 Glass Ionomer (ART FUJI IX) Btl 0 0 0 0 0 0
98 Glibenklamida tablet 5 mg Tab 100 0 0 100 0 0
99 Glimepiride 1 mg Tab 2340 0 0 2340 0 0
100 Glimepiride 2 mg Tab 1325 500 0 1825 0 0
101 Gliseril guaiakolat tablet 100 mg Tab 0 44930 0 44930 0 0
102 Glukosa larutan infus 5 % steril Btl 0 0 0 0 0 0
103 Griseofulvin tablet 125 mg Tab 500 0 0 500 1300 0
104 Griseofulvin tablet 500 mg Tab 400 0 0 400 0 0
105 Halloperidol tab 0,5 mg Tab 70 0 0 70 0 0
106 Halloperidol tab 1,5 mg Tab 600 0 0 600 0 0
107 Halloperidol tab 5 mg Tab 0 0 0 0 100 0
108 Hidroklortiazide (HCT) tablet 25 mg Tab 1300 0 0 1300 0 0
109 Hidrocortison krim 2,5 % Tube 76 0 0 76 96 0
110 Ibuprofen tablet 200 mg Tab 2240 0 0 2240 0 0
111 Ibuprofen tablet 400 mg Tab 0 0 0 0 1000 0
112 Ibuprofen syrup Btl 0 0 0 0 0 0
113 Insulin Human Rapid injeksi 100 IU vial 0 0 0 0 0 0
114 Isoniazida ( INH ) tab 100 mg Tab 0 0 0 0 0 0
115 Isoniazida ( INH ) tab 300 mg Tab 0 0 0 0 0 0
116 Isosorbit dinitrat sublingual 5 mg Tab 115 0 0 115 0 0
117 Komb. Primetamin 25mg+suldox 500mg Tab 0 0 0 0 0 0
118 Klorfenol kamfermenthol ( CHKM ) Tab 0 0 0 0 0 0
119 Kalsium Laktat tablet Tab 12050 10500 0 22550 0 0
120 Kandesartan cilexetil 8 mg Tab 0 0 0 0 0 0
121 Karbamazepin tablet 200 mg Tab 500 0 0 500 0 0
122 Ketorolac injeksi Ampul 0 0 0 0 0 0
123 Kloramfenikol salep kulit Tube 84 0 0 84 48 0
124 Kloramfenikol salep mata 1 % Tube 133 0 0 133 0 0
125 Kloramfenicol tetes telinga 3 % Btl 86 0 0 86 0 0
126 Kloramfenicol 250 mg kapsul Kap 0 0 0 0 0 0
127 Klorfeniramin maleat 4 mg (CTM ) Tab 24480 0 0 24480 0 0
128 Kloramfenicol tetes mata ( Reco ) Btl 0 48 0 48 0 0
129 Kalsium Hidroksida Pasta ( Calcidor ) Tube 0 0 0 0 0 0
130 Klorpromazin hcl injeksi Ampul 0 0 0 0 0 0
131 Klorpromazine tab salut 25 mg Tab 0 0 0 0 0 0
132 Klorpromazine tab salut 100 mg Tab 0 0 0 0 100 0
133 Kodein tablet 10 mg Tab 718 0 0 718 0 0
134 Kotrimoksazol suspensi Btl 300 0 0 300 0 0
135 Kotrimoksazol pediatrik Tab 0 0 0 0 0 0
136 Kotrimoksazol tablet 480 mg Tab 0 0 0 0 2000 0
137 Klorokuin Tab 0 0 0 0 0 0
138 Kuinin sulfat tab 222 mg (7H2O) Tab 0 0 0 0 0 0
139 Lidocain kompositum inj (Pehacain) Ampul 480 0 0 480 0 0
140 Lidocain injeksi Ampul 400 0 0 400 0 0
141 Lisinopril 10 mg Tab 0 0 0 0 0 0
142 Loperamide tab 2 mg / Novadium Tab 0 0 0 0 0 0
143 Loratadin 10 mg Tab 0 0 0 0 0 0
144 Magnesium sulfat injeksi 20% vial 5 0 0 5 0 0
145 Magnesium sulfat injeksi 40% vial 5 0 0 5 0 0
146 Mecobalamin injeksi Ampul 0 0 0 0 0 0
147 Meloxicam 7,5 mg Tab 0 0 0 0 0 0
148 Metformin hcl tablet 500 mg Tab 4028 0 0 4028 0 0
149 Methyl prednisolon tablet 4 mg Tab 5730 3200 0 8930 0 0
150 Metilergometrin tablet salut Tab 200 0 0 200 0 0
151 Metilergometrin injeksi Ampul 0 0 75 75 0 0
152 Metoklorpropamide hcl 10 mg Tab 2500 0 0 2500 0 0
153 Metronidazole tablet 250 mg Tab 0 0 0 0 0 0
154 Metronidazole tablet 500 mg Tab 515 0 0 515 1000 0
155 Metronidazole syrup Btl 0 0 0 0 0 0
156 Metronidazole infus Btl 0 0 0 0 0 0
157 Miconazol cream tube 194 0 0 194 0 0
158 Microlax rectal tube tube 0 0 0 0 0 0
159 Mummifying pasta Btl 0 0 0 0 0 0
160 Natrium bikarbonat tablet Tab 1185 0 0 1185 0 0
161 Natrium Diklofenak 25 mg Tab 2040 0 0 2040 1000 0
162 Natrium Diklofenak 50 mg Tab 2120 1100 0 3220 0 0
163 Natrium klorida larutan infus Btl 108 0 0 108 0 0
164 Neurobion 5000 injeksi Ampul 0 0 0 0 0 0
165 Nifedipin tablet Tab 260 0 0 260 0 0
166 Nistatin tablet salut 500.000 iu/g Tab 0 0 0 0 0 0
167 Nistatin tablet vaginal 100.000 iu/g Tab 352 0 0 352 0 0
168 OBH Btl 5 98 0 103 200 0
169 Obat Anti TBC Kategori 1 paket 0 0 0 0 0 0
170 Obat Anti TBC Kategori 1 -Stop TB KIT paket 0 0 0 0 0 0
171 Obat Anti TBC Kategori II paket 0 0 0 0 0 0
172 Obat Anti TBC Kategori Anak paket 0 0 0 0 0 0
173 Kombipak Kategori I paket 0 0 0 0 0 0
174 Ofloxacin 200 mg Tab 0 0 0 0 0 0
175 Oksitetrasiklin hcl salep mata 1 % tube 25 0 0 25 25 0
176 Oksitetrasiklin hcl salep kulit 3 % Tube 66 0 0 66 50 0
177 Oksitetrasiklin hcl injeksi vial 0 0 0 0 0 0
178 Oksitosin injeksi / Pitogin Ampul 100 0 0 100 0 0
179 Omeprazole capsul 20 mg Kap 1268 0 0 1268 150 0
180 Ondansentron injeksi Ampul 0 0 0 0 0 0
181 Papaverin tablet Tab 0 0 0 0 0 0
182 Paracetamol tablet 100 mg Tab 0 0 0 0 0 0
183 Paracetamol tablet 500 mg Tab 38850 20200 0 59050 0 0
184 Paracetamol Drop Btl 0 0 0 0 0 0
185 Parasetamol sirup Btl 40 334 0 374 0 0
186 Perfenazine tablet 4 mg Tab 0 0 0 0 0 0
187 Piracetam 3 g injeksi Ampul 0 0 0 0 0 0
188 Pirantel pamoat tablet 125 mg Tab 200 0 0 200 0 0
189 Pirantel pamoat sirup Btl 0 0 0 0 50 0
190 Pyrazinamide tablet 500 mg Tab 0 0 0 0 0 0
191 Piridoxin hcl tablet 10 mg Tab 21500 0 0 21500 0 0
192 Piroxicam 10 mg Tab 0 2000 0 2000 500 0
193 Piroxicam 20 mg Tab 0 600 0 600 0 0
194 Polikresulen / Albothil Btl 0 0 0 0 0 0
195 Prednison tablet Tab 18100 0 0 18100 0 0
196 Primakuin tablet Tab 0 0 0 0 0 0
197 Prokain benzil penisilin inj vial 0 0 0 0 0 0
198 Pronalges suppositoria Supp 0 0 0 0 0 0
199 Propanolol tab 10 mg Tab 0 0 0 0 0 0
200 Propanolol tab 40 mg Tab 0 0 0 0 0 0
201 Propiltiourasil tablet 100 mg Tab 200 580 0 780 0 0
202 Proris suppositoria Supp 0 0 0 0 0 0
203 Perak sulfadiazine cream 3 % tube 31 0 0 31 0 0
204 Ranitidin tablet 150 mg Tab 0 0 0 0 2500 0
205 Ranitidin injeksi Ampul 0 0 0 0 0 0
206 Reserpin tablet 0,1 mg Tab 0 0 0 0 0 0
207 Reserpin tablet 0,25 mg Tab 0 0 0 0 0 0
208 Retinol kapsul 100.000 IU Kapsul 0 0 0 0 300 0
209 Retinol kapsul 200.000 IU Kapsul 0 0 0 0 2550 0
210 Rifampisin kapsul 300 mg Kap 0 0 0 0 0 0
211 Rifampisin kapsul 450 mg Kap 0 0 0 0 0 0
212 Rifampisin kapsul 600 mg Kap 0 0 0 0 0 0
213 Ringer laktat infus steril Btl 25 0 0 25 40 0
214 Salbutamol tablet 2 mg Tab 0 0 0 0 1000 0
215 Salbuatmol tablet 4 mg Tab 1140 0 0 1140 0 0
216 salep 2-4 Pot 0 0 0 0 0 0
217 Salisil bedak 2 % Pot 141 0 0 141 120 0
218 Semen seng fosfat serbuk & cairan Btl 0 0 0 0 0 0
219 Serum Anti Bisa Ular injeksi Vial 0 0 0 0 1 0
220 Serum Anti tetanus injeksi 1500 IU Ampul 0 0 0 0 15 0
221 Tatagam vial 0 0 0 0 0 0
222 Sianokobalamin inj 500 mcg/ml Btl 0 0 0 0 0 0
223 Silver Amalgam serbuk Tab 0 0 0 0 0 0
224 Simvastatin 10 mg Tab 1860 450 0 2310 1680 0
225 Simvastatin 20 mg supp 0 2665 0 2665 0 0
226 Stesolid rectal supp 5 mg Supp 0 0 0 0 5 0
227 Stesolid rectal supp 10 mg Btl 8 0 0 8 0 0
228 Sulfasetamid tetes mata 15 % Tab 0 0 0 0 0 0
229 Tablet tambah darah (SF) Tab 14100 2000 0 16100 0 0
230 Temporary / Fletcher Kap 0 0 0 0 0 0
231 Tetrasiklin kapsul 250 mg Kap 0 0 0 0 0 0
232 Tetrasiklin kapsul 500 mg Tab 1000 0 0 1000 0 0
233 Thrombo Aspilet Tab 0 0 0 0 0 0
234 Thiamin injeksi Ampul 0 0 0 0 0 0
235 Thiamin tablet 50 mg Tab 18520 0 0 18520 0 0
236 Triheksipenidil hcl tablet 2 mg Tab 637 0 0 637 0 0
237 Trikresol formalin cairan ( TKF ) Ampul 0 0 0 0 0 0
238 Vaksin rabies vero Tab 0 0 0 0 0 0
239 Valsartan 80 mg Tab 0 0 0 0 0 0
240 Ventolin nebulizer Nebules 10 0 0 10 20 0
241 Vitamin B komplek tablet Tab 13324 0 200 13524 3000 0
242 Yodium povidon lart 10 % - 30 ml Btl 0 0 0 0 0 0
243 Yodium povidon lart 10 % - 300 ml Btl 25 15 0 40 0 0
244 Xylocain jelly Tube 0 0 0 0 0 0
245 Lidocain Pasta Pot 0 0 0 0 0 0
246 Zinc tablet 20 mg Tab 2395 0 0 2395 0 0
247 Zinc sirup Btl 112 0 0 112 0 0
248 Betamin drage ( Vit. B1 ) Tab 0 0 0 0 0 0
249 Domperidon Btl 1730 0 0 1730 1200 0
250 Clozapin 25 mg Tab 0 0 150 150 0 0
251 Clobazam 10 mg Tab 0 0 0 0 0 0
252 Trifluoperazin HCl 5 mg ( Stelosi ) Tab 0 0 0 0 0 0
253 Vitamin B 12 Tab 2200 0 0 2200 0 0
254 Ketokonazol Crem Tube 41 0 0 41 0 0
255 Ketokonazole Tablet Tab 300 900 0 1200 0 0
256 Flufenazin Decanoat Inj 25 mg Ampul 0 0 0 0 0 0
257 Haloperidol Inj 5 mg ( Ladomer ) Ampul 0 0 0 0 0 0
258 Haloperidol Decanoat Inj 50 mg Ampul 0 0 0 0 0 0
259 Resperidon tab 2 mg Tab 0 0 980 980 0 0
260 Curviplex Sirup Btl 0 0 0 0 0 0
261 Andalan Inj 3 Bulan Vial 0 0 0 0 0 0
262 Andalan Inj 1 Bulan Vial 0 40 0 40 0 0
263 Cyclopen Inj. 1 Bulan Vial 0 170 0 170 0 0
264 Ichtyol Salaf Kulit Pot 0 8 0 8 0 0
265 Levertran Salep Kulit Pot 0 42 0 42 0 0
266 HEPATITIS B Paket 0 0 11 11 0 0
267 BCG Ampul 0 0 6 6 0 0
268 POLIO Vial 0 0 8 8 0 0
269 PENTABIO/DPTHBHib Vial 0 0 25 25 0 0
270 CAMPAK Vial 0 0 4 4 0 0
271 Td / TT Vial 0 0 20 20 0 0
272 IPV Vial 0 0 0 0 0 0
273 Vaksin MR Vial 0 0 0 0 0 0
274 Pelarut MR Vial 0 0 0 0 0 0
275 Pentocain 0,5 % TT Mata Btl 0 25 0 25 0 0
276 Domperidon syrup btl 49 0 0 49 50 0
277 Kloramfenikol syrup btl 105 0 0 105 0 0
278 cetirizin syrup btl 0 0 0 0 0 0
279 Pritamox sirup 125 mg btl 0 180 0 180 0 0
280 Albendazole syrup btl 0 0 0 0 0 0
281 Moxalaskap/cotri480mg tab 0 2464 0 2464 0 0
282 Moxalas syr/cotry syr btl 0 100 0 100 0 0
283 Lorihis tab/loratadin tab tab 0 860 0 860 0 0
284 Flagsol syr/metro syr btl 0 46 0 46 0 0
285 Selfolic 1000mg/Asam folat tab 0 2300 0 2300 0 0
286 Trifadium2mg/Loperamid tab tab 0 700 0 700 0 0
287 Omeprazole Injeksi Ampul 15 0 0 15 0 0
288 Gluconas Kalsikus injeksi amp 0 0 0 0 0 0
289 Tricloflem Vial 0 0 0 0 0 0
290 Cycloserin 250mg tab 0 0 0 0 0 0
291 Ethionmid 250mg tab 0 0 0 0 0 0
292 Levofloxacin 750mg tab 0 0 0 0 0 0
293 Bedaquilin 100mg tab 0 0 0 0 0 0
294 Hbig Bayi vial 0 0 0 0 0 0
295 Amoxcillin drop btl 49 0 0 49 0 0
296 scabimid salep tube 0 0 0 0 60 0
297 Selcom C Tab 0 0 0 0 0 0
298 Cyanocobalamin Inj Ampul 0 0 0 0 100 0
299 Kloramfenicol 500 mg Kap 0 0 0 0 500 0

BMHP 0 0 0 0 0
300 Alat suntik 1 ml Pcs 600 0 0 600 0 0
301 Alat suntik 2,5 ml Pcs 1600 0 0 1600 0 0
302 Alat suntik 3 ml Pcs 2700 400 30 3130 0 0
303 Alat suntik 5 ml Pcs 1300 500 500 2300 0 0
304 Alkohol 70 % ( 1 L ) Btl 17 0 0 17 13 0
305 Alkohol 70 % ( 60 Ml ) Btl 0 0 0 0 0 0
306 Aqua destilata steril 500 ml Btl 2 0 0 2 10 0
307 Aqua pro injeksi Vial 74 25 0 99 0 0
308 Bisturi no 10 Pcs 10 0 0 10 0 0
309 Bisturi no 11 Pcs 10 0 0 10 0 0
310 Bisturi no 20 Pcs 0 0 0 0 0 0
311 Bisturi no 22 Pcs 0 0 0 0 0 0
312 Blood Lancet Pcs 2000 2800 0 4800 0 0
313 Catgut/benang bedah Pcs 96 0 0 96 0 0
314 ETT no.6 Pcs 0 0 0 0 0 0
315 ETT no.6,5 Set 0 0 0 0 0 0
316 ETT no.7 Set 0 0 0 0 0 0
317 ETT no.7,5 Btl 0 0 0 0 0 0
318 Hand scrub Pcs 5 0 0 5 20 0
319 Handscoon uk.S Pcs 200 0 0 200 500 0
320 Handscoon uk. M Pcs 0 2400 0 2400 500 0
321 Handscoon uk. L Pcs 0 200 0 200 300 0
322 Infusion set anak set 0 50 0 50 0 0
323 Infusion set dewasa set 0 45 0 45 0 0
324 Wing neadle no. 23G Pcs 0 0 0 0 0 0
325 IV Catheter (Abocath) NO.20 Pcs 10 0 0 10 0 0
326 IV Catheter (Abocath) NO.22 Pcs 10 0 0 10 0 0
327 IV Catheter (Abocath) NO.24 pcs 0 0 0 0 0 0
328 Jarum Jahit (Nald Heating ) no. 10 pcs 39 0 0 39 0 0
329 Jarum Jahit (Nald Heating ) no. 11 pcs 0 0 0 0 0 0
330 Jarum Jahit (Nald Heating ) no. 12 pcs 0 0 0 0 0 0
331 Jarum Jahit (Nald Heating ) no. 13 pcs 25 0 0 25 0 0
332 Jarum Jahit (Nald Heating ) no. 14 Pcs 25 0 0 25 0 0
333 Kapas pembalut/Absorben 250 gr Roll 45 0 0 45 0 0
334 Kasa kompres 40/40 steril Roll 158 0 0 158 0 0
335 Kasa pembalut hidrofil 4m x 15 cm Roll 420 0 0 420 0 0
336 Kasa pembalut hidrofil 4 m x 3 cm Roll 300 0 0 300 0 0
337 Kassa 36x80 cm Roll 18 0 0 18 0 0
338 Kertas Saring Whatman Buku 0 1 0 1 0 0
339 Masker Pcs 1850 3400 0 5250 400 0
340 Objec Glass Box/72 4 0 17 21 0 0
341 Pipet Tetes Panjang Pcs 15 0 0 15 0 0
342 Plastik Obat Klip 10 x 7 Pcs 0 16000 0 16000 0 0
343 Plastik Obat Klip 13 x 8,7 0 13000 0 13000 0 0
344 Plester 5 yard x 2 inch Roll 19 0 4 23 0 0
345 Poly catheter no.8 Pcs 0 0 0 0 0 0
346 Poly catheter no.12 Pcs 3 0 0 3 0 0
347 Poly catheter no.16 Pcs/set 16 0 0 16 0 0
348 Silk ( benang bedah sutera) 03/0 Sak 49 0 36 85 0 0
349 Spons gelatin cublices bks 7 0 0 7 0 0
350 Stick Gluco DR Btl/50 0 14 0 14 1 0
351 Tabung Reaksi Pcs 0 0 0 0 0 0
352 Tes Kehamilan HCG Pcs 1 0 0 1 1 0
353 Transfution set/Transfusion blood ADM set 3 0 0 3 0 0
354 Urinalysis 10 parameter Btl 0 0 0 0 0 0
355 Stick asam Urat Btl/25 0 8 0 8 1 0
356 Stick Colestrol Btl/10 0 6 0 6 1 0
357 Jelly 250ml Ultra soundgel btl 0 2 0 2 0 0
358 Pot sputum Pcs 0 0 0 0 600 0
359 Reagen TB Paket 0 0 0 0 0 0
360 Sefty box 2,5 L Box 0 0 0 0 0 0
361 Reagen sifilis(SD,Bio StanQ) Test 0 0 0 0 0 0
362 Box Slide Ktk 0 0 0 0 0 0
363 Fokus test Ktk 0 0 0 0 0 0
364 Alat suntik 0,5 ml Box 0 0 4859 4859 0 0
365 Sefty box 5 L Box 0 0 0 0 0 0
366 Masker Nebulizer Anak Psc 5 0 0 5 0 0
367 Masker Nebulizer Dewasa Psc 10 0 0 10 0 0
368 Nasal Oksigen Kanula Anak Psc 5 0 0 5 0 0
369 Nasal Oksigen Kanula Dewasa Psc 10 0 0 10 0 0
370 Non Rebreating Mask Psc 0 0 0 0 0 0
371 ID Dewasa Pink Box 0 0 0 0 0 0
372 ID Dewasa Blue Box 0 0 0 0 0 0
373 ID Bayi Pink Box 0 0 0 0 0 0
374 ID Bayi Biru Box 0 0 0 0 0 0
375 Umbilical Keniko Box 0 0 0 0 0 0
376 Folley Catheter 16 Rusch Pcs 0 0 0 0 0 0
377 Urine Bag Fresco Pcs 10 0 0 10 0 0
378 Disp Sryringe 10 ml Onemed Box 0 0 0 0 0 0
379 Suction Catheter 8 Remedi Pcs 0 0 0 0 0 0
380 Suction Catheter 16 Remedi Psc 0 0 0 0 0 0
381 Plaster Hypafix Psc 15 0 0 15 0 0
382 Rapid Test HIV I Standar (Stik SD HIV ) Pcs 0 0 0 0 0 0
383 Kasa Steril 16 X 16 Kotak 0 167 0 167 0 0
384 Alat Nesco Tri in one Kotak 0 0 0 0 0 0
385 Alkohol Swab One swab Kotak 0 10 0 10 0 0
386 Bahan tambalan Komposid (solare) Tube 0 4 0 4 0 0
387 OCO Btl/15ml 0 0 0 0 0 0
388 Paper Pad Buku 0 6 0 6 0 0
389 Masker 1860 S/N95 pcs 0 0 0 0 0 0
390 Rapid Test HIV II : Vikia (HIV ke 1) Test 0 0 0 0 0 0
391 Rapid Test Hiv, 3 : Intec/China (HIV KE 2) Test 0 0 0 0 0 0
392 RDT(Virotec+Diluent)DBD Test 0 0 0 0 0 0
393 Rapid HBsAg(Virochek HbsAg) Test 0 0 0 0 0 0
394 Baju Hazmat APD Pcs 0 20 0 20 0 0

REAGENSIA 0 0 0 0 0
395 Cell Clean ( CL-50) Btl 0 0 0 0 0 0
396 Cell Pack ( PK-30L) Btl 0 1 0 1 0 0
397 Control eight check 3 x 1,5 ml Btl/set 0 0 0 0 0 0
398 Eightcheck-3WP (Normal) 1,5 ml Vial 0 0 0 0 0 0
399 Eightcheck-3WP (Low) 1,5 ml Vial 0 0 0 0 0 0
400 Eightcheck-3WP (High) 1,5 ml Vial 0 0 0 0 0 0
401 Stomalyzer WH(SWH-2004) btl 0 1 0 1 0 0
402 Tabung K2 EDTA 2 ml Btl 0 2 0 2 0 0
403 Printer Paper Pcs 0 2 0 2 0 0
404 Deck Glass Btl 5 0 0 5 0 0
405 Tes Gol Darah (A,B,AB ) Set 0 0 0 0 0 0
406 Tisu lensa Buku 0 0 0 0 0 0
407 Kertas perkamen Lembar 19 0 0 19 0 0
408 Podofilin Tinctur 25 % Btl 0 0 0 0 0 0
409 Larutan Fauchet Btl 0 0 0 0 0 0
410 Larutan Lisol Btl 24 0 0 24 0 0
411 Larutan asam klorida 0,1 N Btl 0 0 0 0 0 0
412 Larutan asam sulfosalisilat 20% Btl 0 0 0 0 0 0
413 Larutan barium klorida Btl 0 0 0 0 0 0
414 Larutan Benedict Btl 0 0 0 0 0 0
415 Larutan Bupper PH 7,2 Btl 0 0 0 0 0 0
416 Larutan EDTA Cair 10 % Btl 0 0 0 0 0 0
417 Larutan Eosin 2 % Btl 0 0 0 0 0 0
418 Larutan Etanol Asam Btl 0 0 0 0 0 0
419 Larutan Giemsa Stalin Btl 0 0 0 0 0 0
420 Larutan H2O2 Btl 7 0 0 7 0 0
421 Larutan Imersen oil HB Btl 0 0 0 0 0 0
422 Larutan karbol fuksin Btl 0 0 0 0 0 0
423 Larutan Metanol Btl 0 0 0 0 0 0
424 Larutan Metilen Biru Btl 0 0 0 0 0 0
425 Larutan Natrium Sitrat 38 % Btl 0 0 0 0 0 0
426 Larutan Rees echer Btl 0 0 0 0 0 0
427 Larutan spiritus 100 ml Btl 0 0 0 0 0 0
428 Larutan turk Btl 0 0 0 0 0 0
429 Ether Alkohol Botol 0 0 0 0 0 0
430 Buffer Ph 6,4 Botol 0 0 0 0 0 0
431 KOH 10 % Btl 0 0 0 0 0 0

339227 167373 7025 513625 38499 0

339,230 167,385 7,326 513941 35,649 -

Mengetahui
Kepala UPTD Puskesmas Paal X Kota Jambi

dr.Hj.SRI ROSIANTI
NIP. 19720704 200701 2 017
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )

PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR

PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG

0 0 330 0 0 330 5 0 0 5 325 0 0


0 0 1175 0 0 1175 20 0 0 20 1155 0 0
0 0 1200 0 0 1200 50 0 0 50 1150 0 0
0 0 1 0 0 1 0 0 0 0 1 0 0
0 0 100 0 0 100 0 0 0 0 100 0 0
0 2500 2880 0 0 2880 180 0 0 180 2700 0 0
0 0 0 1795 0 1795 0 1795 0 1795 0 0 0
0 60 60 167 0 227 0 0 0 0 60 167 0
0 1000 2860 0 0 2860 310 0 0 310 2550 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 1500 0 0 1500 0 0 0 0 1500 0 0
0 0 1991 0 0 1991 6 0 0 6 1985 0 0
0 0 1310 3000 0 4310 410 0 0 410 900 3000 0
0 0 0 9294 0 9294 0 294 0 294 0 9000 0
0 0 21180 0 0 21180 980 0 0 980 20200 0 0
0 60 154 0 0 154 0 0 0 0 154 0 0
0 0 469 0 0 469 11 0 0 11 458 0 0
0 0 2570 0 0 2570 125 0 0 125 2445 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 3900 0 0 3900 90 0 0 90 3810 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 13510 10000 0 23510 650 0 0 650 12860 10000 0
0 200 200 36 0 236 10 19 0 29 190 17 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 129 0 0 129 1 0 0 1 128 0 0
0 50 210 0 0 210 3 0 0 3 207 0 0
0 0 1000 0 0 1000 20 0 0 20 980 0 0
0 0 26000 5500 0 31500 1880 0 0 1880 24120 5500 0
0 4000 5500 0 0 5500 730 0 0 730 4770 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 6000 6830 0 0 6830 1175 0 0 1175 5655 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 100 0 0 100 0 0 0 0 100 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 195 0 0 195 0 0 0 0 195 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
0 200 286 0 0 286 80 0 0 80 206 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 1200 2965 0 0 2965 167 0 0 167 2798 0 0
0 0 800 0 0 800 0 0 0 0 800 0 0
0 0 100 0 0 100 0 0 0 0 100 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 2 0 0 2 0 0 0 0 2 0 0
0 0 1170 0 0 1170 296 0 0 296 874 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 3790 0 0 3790 400 0 0 400 3390 0 0
0 0 300 0 0 300 0 0 0 0 300 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 14900 0 0 14900 2300 0 0 2300 12600 0 0
0 0 160 0 0 160 0 0 0 0 160 0 0
0 0 169 800 0 969 28 0 0 28 141 800 0
0 0 1097 0 100 1197 3 0 0 3 1094 0 100
0 0 30 0 0 30 0 0 0 0 30 0 0
0 0 120 0 0 120 0 0 0 0 120 0 0
0 0 100 0 0 100 0 0 0 0 100 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 30 71 0 0 71 0 0 0 0 71 0 0
0 30 30 0 0 30 5 0 0 5 25 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 0 120 0 0 120 0 0 0 0 120 0 0
0 0 3270 0 0 3270 14 0 0 14 3256 0 0
0 0 4000 0 0 4000 0 0 0 0 4000 0 0
0 0 0 19 0 19 0 1 0 1 0 18 0
0 6 12 0 0 12 0 0 0 0 12 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 2 6 0 0 6 0 0 0 0 6 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 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 697 0 0 697 0 0 0 0 697 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 24 113 0 0 113 8 0 0 8 105 0 0
0 0 2350 0 0 2350 200 0 0 200 2150 0 0
0 0 60 0 0 60 0 0 0 0 60 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 595 0 595 0 0 0 0 0 595 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 4709 0 0 4709 179 0 0 179 4530 0 0
0 30 105 0 0 105 7 0 0 7 98 0 0
0 0 103 0 0 103 3 0 0 3 100 0 0
0 0 142 0 0 142 7 0 0 7 135 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 37 48 0 85 4 0 0 4 33 48 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 100 0 0 100 0 0 0 0 100 0 0
0 0 2340 0 0 2340 0 0 0 0 2340 0 0
0 0 1325 500 0 1825 100 0 0 100 1225 500 0
0 0 0 44930 0 44930 0 644 0 644 0 44286 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 1300 1800 0 0 1800 200 0 0 200 1600 0 0
0 0 400 0 0 400 0 0 0 0 400 0 0
0 0 70 0 0 70 0 0 0 0 70 0 0
0 0 600 0 0 600 0 0 0 0 600 0 0
0 100 100 0 0 100 0 0 0 0 100 0 0
0 0 1300 0 0 1300 0 0 0 0 1300 0 0
0 96 172 0 0 172 44 0 0 44 128 0 0
0 0 2240 0 0 2240 612 0 0 612 1628 0 0
0 1000 1000 0 0 1000 0 0 0 0 1000 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
100 100 0 0 100 100 0 0 0 0 0 0 100
0 0 115 0 0 115 0 0 0 0 115 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 12050 10500 0 22550 1245 0 0 1245 10805 10500 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 500 0 0 500 0 0 0 0 500 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 48 132 0 0 132 0 0 0 0 132 0 0
0 0 133 0 0 133 3 0 0 3 130 0 0
0 0 86 0 0 86 21 0 0 21 65 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 24480 0 0 24480 2240 0 0 2240 22240 0 0
0 0 0 48 0 48 0 0 0 0 0 48 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
0 100 100 0 0 100 10 0 0 10 90 0 0
0 0 718 0 0 718 30 0 0 30 688 0 0
0 0 300 0 0 300 0 0 0 0 300 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 2000 2000 0 0 2000 0 0 0 0 2000 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 0 480 0 0 480 0 0 0 0 480 0 0
0 0 400 0 0 400 0 0 0 0 400 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 5 0 0 5 0 0 0 0 5 0 0
0 0 5 0 0 5 0 0 0 0 5 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 4028 0 0 4028 358 0 0 358 3670 0 0
0 0 5730 3200 0 8930 730 616 0 1346 5000 2584 0
0 0 200 0 0 200 0 0 0 0 200 0 0
0 0 0 0 75 75 0 0 50 50 0 0 25
0 0 2500 0 0 2500 0 0 0 0 2500 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 1000 1515 0 0 1515 40 0 0 40 1475 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 0 194 0 0 194 10 0 0 10 184 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 1185 0 0 1185 20 0 0 20 1165 0 0
0 1000 3040 0 0 3040 420 0 0 420 2620 0 0
0 0 2120 1100 0 3220 570 0 0 570 1550 1100 0
0 0 108 0 0 108 5 0 0 5 103 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 260 0 0 260 0 0 0 0 260 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 352 0 0 352 22 0 0 22 330 0 0
0 200 205 98 0 303 3 14 0 17 202 84 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 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 25 50 0 0 50 5 0 0 5 45 0 0
0 50 116 0 0 116 5 0 0 5 111 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 100 0 0 100 20 0 0 20 80 0 0
0 150 1418 0 0 1418 697 0 0 697 721 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 38850 20200 0 59050 3000 0 0 3000 35850 20200 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 40 334 0 374 0 43 0 43 40 291 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 0 200 0 0 200 0 0 0 0 200 0 0
0 50 50 0 0 50 0 0 0 0 50 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 21500 0 0 21500 595 0 0 595 20905 0 0
0 500 500 2000 0 2500 0 0 0 0 500 2000 0
0 0 0 600 0 600 0 226 0 226 0 374 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 18100 0 0 18100 170 0 0 170 17930 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 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 200 580 0 780 0 10 0 10 200 570 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 31 0 0 31 31 0 0 31 0 0 0
0 2500 2500 0 0 2500 74 0 0 74 2426 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
0 300 300 0 0 300 300 0 0 300 0 0 0
0 2550 2550 0 0 2550 2550 0 0 2550 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 40 65 0 0 65 0 0 0 0 65 0 0
0 1000 1000 0 0 1000 200 0 0 200 800 0 0
0 0 1140 0 0 1140 260 0 0 260 880 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 120 261 0 0 261 13 0 0 13 248 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 0 0 1 0 0 0 0 1 0 0
0 15 15 0 0 15 5 0 0 5 10 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 1680 3540 450 0 3990 800 450 0 1250 2740 0 0
0 0 0 2665 0 2665 0 140 0 140 0 2525 0
0 5 5 0 0 5 0 0 0 0 5 0 0
0 0 8 0 0 8 0 0 0 0 8 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 14100 2000 0 16100 5220 2000 0 7220 8880 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 1000 0 0 1000 0 0 0 0 1000 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 18520 0 0 18520 575 0 0 575 17945 0 0
0 0 637 0 0 637 0 0 0 0 637 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 20 30 0 0 30 0 0 0 0 30 0 0
0 3000 16324 0 200 16524 2354 0 0 2354 13970 0 200
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 25 15 0 40 8 1 0 9 17 14 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 2395 0 0 2395 40 0 0 40 2355 0 0
0 0 112 0 0 112 6 0 0 6 106 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 1200 2930 0 0 2930 330 0 0 330 2600 0 0
0 0 0 0 150 150 0 0 0 0 0 0 150
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 2200 0 0 2200 100 0 0 100 2100 0 0
0 0 41 0 0 41 1 0 0 1 40 0 0
0 0 300 900 0 1200 105 900 0 1005 195 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 0 980 980 0 0 0 0 0 0 980
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 40 0 40 0 40 0 40 0 0 0
0 0 0 170 0 170 0 0 0 0 0 170 0
0 0 0 8 0 8 0 0 0 0 0 8 0
0 0 0 42 0 42 0 0 0 0 0 42 0
0 0 0 0 11 11 0 0 0 0 0 0 11
0 0 0 0 6 6 0 0 0 0 0 0 6
0 0 0 0 8 8 0 0 0 0 0 0 8
0 0 0 0 25 25 0 0 0 0 0 0 25
0 0 0 0 4 4 0 0 0 0 0 0 4
0 0 0 0 20 20 0 0 0 0 0 0 20
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 25 0 25 0 0 0 0 0 25 0
0 50 99 0 0 99 0 0 0 0 99 0 0
0 0 105 0 0 105 5 0 0 5 100 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 180 0 180 0 0 0 0 0 180 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 2464 0 2464 0 14 0 14 0 2450 0
0 0 0 100 0 100 0 0 0 0 0 100 0
0 0 0 860 0 860 0 0 0 0 0 860 0
0 0 0 46 0 46 0 0 0 0 0 46 0
0 0 0 2300 0 2300 0 300 0 300 0 2000 0
0 0 0 700 0 700 0 130 0 130 0 570 0
0 0 15 0 0 15 0 0 0 0 15 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 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
2 2 0 0 2 2 0 0 2 2 0 0 0
0 0 49 0 0 49 0 0 0 0 49 0 0
0 60 60 0 0 60 4 0 0 4 56 0 0
500 500 0 0 500 500 0 0 0 0 0 0 500
0 100 100 0 0 100 0 0 0 0 100 0 0
0 500 500 0 0 500 90 0 0 90 410 0 0

0 0 0 0 0
0 0 600 0 0 600 0 0 0 0 600 0 0
0 0 1600 0 0 1600 1200 0 0 1200 400 0 0
0 0 2700 400 30 3130 0 0 0 0 2700 400 30
0 0 1300 500 500 2300 0 0 200 200 1300 500 300
0 13 30 0 0 30 8 0 0 8 22 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 10 12 0 0 12 0 0 0 0 12 0 0
0 0 74 25 0 99 0 0 0 0 74 25 0
0 0 10 0 0 10 0 0 0 0 10 0 0
0 0 10 0 0 10 0 0 0 0 10 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 2000 2800 0 4800 0 0 0 0 2000 2800 0
0 0 96 0 0 96 0 0 0 0 96 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 0 0 0 0 0 0 0
0 20 25 0 0 25 2 0 0 2 23 0 0
0 500 700 0 0 700 200 0 0 200 500 0 0
0 500 500 2400 0 2900 200 1000 0 1200 300 1400 0
0 300 300 200 0 500 0 100 0 100 300 100 0
0 0 0 50 0 50 0 0 0 0 0 50 0
0 0 0 45 0 45 0 0 0 0 0 45 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 10 0 0 10 0 0 0 0 10 0 0
0 0 10 0 0 10 0 0 0 0 10 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 39 0 0 39 0 0 0 0 39 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 25 0 0 25 0 0 0 0 25 0 0
0 0 25 0 0 25 0 0 0 0 25 0 0
0 0 45 0 0 45 1 0 0 1 44 0 0
0 0 158 0 0 158 0 0 0 0 158 0 0
0 0 420 0 0 420 0 0 0 0 420 0 0
0 0 300 0 0 300 0 0 0 0 300 0 0
0 0 18 0 0 18 2 0 0 2 16 0 0
0 0 0 1 0 1 0 0 0 0 0 1 0
0 400 2250 3400 0 5650 1300 200 0 1500 950 3200 0
0 0 4 0 17 21 0 0 0 0 4 0 17
0 0 15 0 0 15 0 0 0 0 15 0 0
0 0 0 16000 0 16000 0 1000 0 1000 0 15000 0
0 0 0 13000 0 13000 0 1000 0 1000 0 12000 0
0 0 19 0 4 23 0 0 0 0 19 0 4
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 3 0 0 3 0 0 0 0 3 0 0
0 0 16 0 0 16 0 0 0 0 16 0 0
0 0 49 0 36 85 0 0 0 0 49 0 36
0 0 7 0 0 7 0 0 0 0 7 0 0
0 1 1 14 0 15 0 3 0 3 1 11 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 2 0 0 2 0 0 0 0 2 0 0
0 0 3 0 0 3 0 0 0 0 3 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 1 1 8 0 9 0 0 0 0 1 8 0
0 1 1 6 0 7 1 6 0 7 0 0 0
0 0 0 2 0 2 0 0 0 0 0 2 0
0 600 600 0 0 600 600 0 0 600 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 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 4859 4859 0 0 0 0 0 0 4859
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 5 0 0 5 0 0 0 0 5 0 0
0 0 10 0 0 10 0 0 0 0 10 0 0
0 0 5 0 0 5 0 0 0 0 5 0 0
0 0 10 0 0 10 0 0 0 0 10 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 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 0 10 0 0 10 0 0 0 0 10 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 15 0 0 15 1 0 0 1 14 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 167 0 167 0 3 0 3 0 164 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 10 0 10 0 0 0 0 0 10 0
0 0 0 4 0 4 0 0 0 0 0 4 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 6 0 6 0 0 0 0 0 6 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 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 20 0 20 0 0 0 0 0 20 0

0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 0 1 0 1 0 1 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 0 0 0 0 0 0 0 0
0 0 0 1 0 1 0 1 0 1 0 0 0
0 0 0 2 0 2 0 2 0 2 0 0 0
0 0 0 2 0 2 0 2 0 2 0 0 0
0 0 5 0 0 5 0 0 0 0 5 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 19 0 0 19 0 0 0 0 19 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 24 0 0 24 2 0 0 2 22 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 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 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 7 0 0 7 0 0 0 0 7 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 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 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 0 0 0 0

602 39101 377726 167373 7627 552726 38120 10955 252 49327 339606 156418 7375

602 36,251 552,726 34875 10944 387 46206 339,606 156,418 7375

JENIS PELAYANAN PUSKESMAS PAAL X


R/ UMUM 209
R/ BPJS 562
R/ JAMKESDA 0
Jlh. Recipe 2184
Jlh R/ Generik 2184
R/ Antibiotik 107

Jambi

SRI H
NIP. 1982
Bulan : Juli 202
TOK AKHIR PEMAKAIA PERMINTAA PEMBERIAN
KET.
N
N
JUMLAH RATA2/BLN PKD PROG JUMLAH

325
1155
1150
1
100
2700
0
227
2550
0
1500
1985
3900
9000
20200
154
458
2445
0
0
0
3810
0
22860
207
0
128
207
980
29620
4770
0
5655
0
100
0
195
0
0
0
206
0
2798
800
100
0
2
874
0
0
0
3390
300
0
0
12600
160
941
1194
30
120
100
0
0
71
25
0
0
120
3256
4000
18
12
0
0
6
0
0
0
0
0
697
0
0
105
2150
60
0
595
0
4530
98
100
135
0
81
0
100
2340
1725
44286
0
1600
400
70
600
100
1300
128
1628
1000
0
0
0
100
115
0
0
21305
0
500
0
132
130
65
0
22240
48
0
0
0
90
688
300
0
2000
0
0
480
400
0
0
0
5
5
0
0
3670
7584
200
25
2500
0
1475
0
0
184
0
0
1165
2620
2650
103
0
260
0
330
286
0
0
0
0
0
0
45
111
0
80
721
0
0
0
56050
0
331
0
0
200
50
0
20905
2500
374
0
17930
0
0
0
0
0
770
0
0
2426
0
0
0
0
0
0
0
0
65
800
880
0
248
0
1
10
0
0
0
2740
2525
5
8
0
8880
0
0
1000
0
0
17945
637
0
0
0
30
14170
0
31
0
0
2355
106
0
2600
150
0
0
2100
40
195
0
0
0
980
0
0
0
170
8
42
11
6
8
25
4
20
0
0
0
25
99
100
0
180
0
2450
100
860
46
2000
570
15
0
0
0
0
0
0
0
49
56
500
100
410

600
400
3130
2100
22
0
12
99
10
10
0
0
4800
96
0
0
0
0
23
500
1700
400
50
45
0
10
10
0
39
0
0
25
25
44
158
420
300
16
1
4150
21
15
15000
12000
23
0
3
16
85
7
12
0
2
3
0
9
0
2
0
0
0
0
0
0
4859
0
5
10
5
10
0
0
0
0
0
0
0
10
0
0
0
14
0
164
0
10
4
0
6
0
0
0
0
0
20

0
0
0
0
0
0
0
0
0
5
0
0
19
0
0
22
0
0
0
0
0
0
0
0
0
7
0
0
0
0
0
0
0
0
0
0

503399

503,399

PUSTU POSKESDES JUMLAH


48 10 267
25 9 596
30 0 30
412 72 2668
412 72 2668
40 23 170

Jambi, Agustus 2020

SRI HARTATY, AMF


NIP. 19820825 200502 2 001
PUSKESMAS PAAL X KOTA JAMBI
KODE. 5070101

JUMLAH STOK AWAL


NO. NAMA BARANG SATUAN
JUMLAH PKD BLUD PROG
OBAT
1 Acyclovir cream 5 % tube 330 330 0 0
2 Acyclovir tablet 200 mg Tab 1175 1175 0 0
3 Acyclovir tablet 400 mg Tab 1200 1200 0 0
4 Air Raksa Dental Use Btl 1 1 0 0
5 Albendazole 400 mg Tab 100 100 0 0
6 Allopurinol 100 mg Tab 380 380 0 0
7 Allopurinol 300 mg Tab 1795 0 1795 0
8 Ambroxol syrup Btl 167 0 167 0
9 Ambroxol tab 30 mg Tab 1860 1860 0 0
10 Aminofilin injeksi Ampul 0 0 0 0
11 Aminofilin tablet Tab 1500 1500 0 0
12 Amitriptilin tablet 25 mg Tab 1991 1991 0 0
13 Amlodipin 5 mg Tab 4310 1310 3000 0
14 Amoksisilin kap 250 mg Kap 9294 0 9294 0
15 Amoksisilin kap 500 mg Kap 21180 21180 0 0
16 Amoksisilin sirup kering 125 mg/5 ml Btl 94 94 0 0
17 Amoksisilin Sirup Forte 250 mg/5 ml Btl 469 469 0 0
18 Amlodipin 10 mg Tab 2570 2570 0 0
19 Amoksisilin injeksi Vial 0 0 0 0
20 Ampisilin Kaplet 500 mg Kap 0 0 0 0
21 Ampisilin sirup kering 125 mg/5 ml Btl 0 0 0 0
22 Antalgin tablet 500 mg Tab 3900 3900 0 0
23 Antalgin injeksi Ampul 0 0 0 0
24 Antasida doen tablet Tab 23510 13510 10000 0
25 Antasida sirup Btl 36 0 36 0
26 Anti Bakteri salep / Bacitracin salep Tube 0 0 0 0
27 Anti Fungi kombinasi Pot 129 129 0 0
28 Anti Hemoroid supp 160 160 0 0
29 Anti Migrain tablet Tab 1000 1000 0 0
30 Asam Askorbat (VIT C) 50 mg Tab 31500 26000 5500 0
31 Asam Folat Tab 1500 1500 0 0
32 Asering Infus Kolf 0 0 0 0
33 Asam Mefenamat 500 mg Tab 830 830 0 0
34 Asam Tranexamat injeksi Ampul 0 0 0 0
35 Asam Asetilsalisilat(Asetosal) 80 mg Tab 100 100 0 0
36 Asetosal tablet 100 mg Tab 0 0 0 0
37 Azitromycin 500 mg Tab 195 195 0 0
38 Bisoprolol tablet Tab 0 0 0 0
39 Benzatin benzil penicilin inj 2,4 jt iu Vial 0 0 0 0
40 Betadin salep Tube 0 0 0 0
41 Betametason kream 0,1 % Tube 86 86 0 0
42 Bisacodyl 10 mg Supp 0 0 0 0
43 Bethahistin maselat Tablet 1765 1765 0 0
44 Captopril 12,5 mg Tab 800 800 0 0
45 Captopril 25 mg Tab 100 100 0 0
46 Captopril 50 mg Tab 0 0 0 0
47 Caviton Btl 2 2 0 0
48 Cefadroxil 500 mg kap 1170 1170 0 0
49 Cefotaxime injeksi 1 g Vial 0 0 0 0
50 Cefriaxon injeksi Vial 0 0 0 0
51 Cetrizin tablet 10 mg Kap 0 0 0 0
52 Ciprofloxacin 500 mg Tab 3790 3790 0 0
53 Clindamicin 150 mg Kap 300 300 0 0
54 Clindamicin 300 mg Kap 0 0 0 0
55 Devitalisasi pasta Btl 0 0 0 0
56 Dexamethason tablet Tab 14900 14900 0 0
57 Dexamethason injeksi Ampul 160 160 0 0
58 Diazepam tablet 2 mg Tab 969 169 800 0
59 Diazepam tablet 5 mg Tab 1197 1097 0 100
60 Diazepam injeksi Ampul 30 30 0 0
61 Difenhidramin injeksi Ampul 120 120 0 0
62 Digoksin tablet Tab 100 100 0 0
63 Doxicillin Tab 0 0 0 0
64 Dulcolax tablet Tab 0 0 0 0
65 Dulculax supp 10 mg ( Dewasa ) Supp 41 41 0 0
66 Dulculax supp 5 mg ( Anak ) Supp 0 0 0 0
67 Efedrin Hcl 25 mg Tab 0 0 0 0
68 Ekstrak belladona tablet 10 mg Tab 0 0 0 0
69 Ephinefrin hcl injeksi Ampul 120 120 0 0
70 Erytromycin kapsul 250 mg Kap 3270 3270 0 0
71 Erytromycin kapsul 500 mg Kap 4000 4000 0 0
72 Erytromycin syrup Btl 19 0 19 0
73 Etakridin / Rivanol Btl 6 6 0 0
74 Ethambutol hcl tab 250 mg Tab 0 0 0 0
75 Ethambutol hcl tab 500 mg Tab 0 0 0 0
76 Etil klorida semprot Btl 4 4 0 0
77 Eugenol cairan Btl 0 0 0 0
78 Fenitoin natrium 30 mg Kap 0 0 0 0
79 Fenitoin natrium 100 mg Kap 0 0 0 0
80 Fenobarbital injeksi Ampul 0 0 0 0
81 Fenobarbital tab 100 mg Tab 0 0 0 0
82 Fenobarbital tablet 30 mg Tab 697 697 0 0
83 Fenoksimetil fenisilin tab 250 mg Tab 0 0 0 0
84 Fenoksimetil fenisilin tab 500 mg Tab 0 0 0 0
85 Fenol Gliserol tetes telinga Btl 89 89 0 0
86 Fitomenadion (Vit K) tab 10 mg Tab 2350 2350 0 0
87 Fitomenadion (Vit K) injeksi Ampul 60 60 0 0
88 Fluconazol 150 mg Tab 0 0 0 0
89 Furosemide tablet 40 mg Tab 595 0 595 0
90 Fluor gel Btl 0 0 0 0
91 Garam oralit untuk 200 ml air Set 4709 4709 0 0
92 Gentamycin salep kulit 0,1 % Tube 75 75 0 0
93 Gentamycin salep mata Tube 103 103 0 0
94 Gentamycin tetes mata Btl 142 142 0 0
95 Gentamycin injeksi Ampul 0 0 0 0
96 Gentian violet Btl 85 37 48 0
97 Glass Ionomer (ART FUJI IX) Btl 0 0 0 0
98 Glibenklamida tablet 5 mg Tab 100 100 0 0
99 Glimepiride 1 mg Tab 2340 2340 0 0
100 Glimepiride 2 mg Tab 1825 1325 500 0
101 Gliseril guaiakolat tablet 100 mg Tab 44930 0 44930 0
102 Glukosa larutan infus 5 % steril Btl 0 0 0 0
103 Griseofulvin tablet 125 mg Tab 500 500 0 0
104 Griseofulvin tablet 500 mg Tab 400 400 0 0
105 Halloperidol tab 0,5 mg Tab 70 70 0 0
106 Halloperidol tab 1,5 mg Tab 600 600 0 0
107 Halloperidol tab 5 mg Tab 0 0 0 0
108 Hidroklortiazide (HCT) tablet 25 mg Tab 1300 1300 0 0
109 Hidrocortison krim 2,5 % Tube 76 76 0 0
110 Ibuprofen tablet 200 mg Tab 2240 2240 0 0
111 Ibuprofen tablet 400 mg Tab 0 0 0 0
112 Ibuprofen syrup Btl 0 0 0 0
113 Insulin Human Rapid injeksi 100 IU vial 0 0 0 0
114 Isoniazida ( INH ) tab 100 mg Tab 0 0 0 0
115 Isoniazida ( INH ) tab 300 mg Tab 0 0 0 0
116 Isosorbit dinitrat sublingual 5 mg Tab 115 115 0 0
117 Komb. Primetamin 25mg+suldox 500mg Tab 0 0 0 0
118 Klorfenol kamfermenthol ( CHKM ) Tab 0 0 0 0
119 Kalsium Laktat tablet Tab 22550 12050 10500 0
120 Kandesartan cilexetil 8 mg Tab 0 0 0 0
121 Karbamazepin tablet 200 mg Tab 500 500 0 0
122 Ketorolac injeksi Ampul 0 0 0 0
123 Kloramfenikol salep kulit Tube 84 84 0 0
124 Kloramfenikol salep mata 1 % Tube 133 133 0 0
125 Kloramfenicol tetes telinga 3 % Btl 86 86 0 0
126 Kloramfenicol 250 mg kapsul Kap 0 0 0 0
127 Klorfeniramin maleat 4 mg (CTM ) Tab 24480 24480 0 0
128 Kloramfenicol tetes mata ( Reco ) Btl 48 0 48 0
129 Kalsium Hidroksida Pasta ( Calcidor ) Tube 0 0 0 0
130 Klorpromazin hcl injeksi Ampul 0 0 0 0
131 Klorpromazine tab salut 25 mg Tab 0 0 0 0
132 Klorpromazine tab salut 100 mg Tab 0 0 0 0
133 Kodein tablet 10 mg Tab 718 718 0 0
134 Kotrimoksazol suspensi Btl 300 300 0 0
135 Kotrimoksazol pediatrik Tab 0 0 0 0
136 Kotrimoksazol tablet 480 mg Tab 0 0 0 0
137 Klorokuin Tab 0 0 0 0
138 Kuinin sulfat tab 222 mg (7H2O) Tab 0 0 0 0
139 Lidocain kompositum inj (Pehacain) Ampul 480 480 0 0
140 Lidocain injeksi Ampul 400 400 0 0
141 Lisinopril 10 mg Tab 0 0 0 0
142 Loperamide tab 2 mg / Novadium Tab 0 0 0 0
143 Loratadin 10 mg Tab 0 0 0 0
144 Magnesium sulfat injeksi 20% vial 5 5 0 0
145 Magnesium sulfat injeksi 40% vial 5 5 0 0
146 Mecobalamin injeksi Ampul 0 0 0 0
147 Meloxicam 7,5 mg Tab 0 0 0 0
148 Metformin hcl tablet 500 mg Tab 4028 4028 0 0
149 Methyl prednisolon tablet 4 mg Tab 8930 5730 3200 0
150 Metilergometrin tablet salut Tab 200 200 0 0
151 Metilergometrin injeksi Ampul 75 0 0 75
152 Metoklorpropamide hcl 10 mg Tab 2500 2500 0 0
153 Metronidazole tablet 250 mg Tab 0 0 0 0
154 Metronidazole tablet 500 mg Tab 515 515 0 0
155 Metronidazole syrup Btl 0 0 0 0
156 Metronidazole infus Btl 0 0 0 0
157 Miconazol cream tube 194 194 0 0
158 Microlax rectal tube tube 0 0 0 0
159 Mummifying pasta Btl 0 0 0 0
160 Natrium bikarbonat tablet Tab 1185 1185 0 0
161 Natrium Diklofenak 25 mg Tab 2040 2040 0 0
162 Natrium Diklofenak 50 mg Tab 3220 2120 1100 0
163 Natrium klorida larutan infus Btl 108 108 0 0
164 Neurobion 5000 injeksi Ampul 0 0 0 0
165 Nifedipin tablet Tab 260 260 0 0
166 Nistatin tablet salut 500.000 iu/g Tab 0 0 0 0
167 Nistatin tablet vaginal 100.000 iu/g Tab 352 352 0 0
168 OBH Btl 103 5 98 0
169 Obat Anti TBC Kategori 1 paket 0 0 0 0
170 Obat Anti TBC Kategori 1 -Stop TB KIT paket 0 0 0 0
171 Obat Anti TBC Kategori II paket 0 0 0 0
172 Obat Anti TBC Kategori Anak paket 0 0 0 0
173 Kombipak Kategori I paket 0 0 0 0
174 Ofloxacin 200 mg Tab 0 0 0 0
175 Oksitetrasiklin hcl salep mata 1 % tube 25 25 0 0
176 Oksitetrasiklin hcl salep kulit 3 % Tube 66 66 0 0
177 Oksitetrasiklin hcl injeksi vial 0 0 0 0
178 Oksitosin injeksi / Pitogin Ampul 100 100 0 0
179 Omeprazole capsul 20 mg Kap 1268 1268 0 0
180 Ondansentron injeksi Ampul 0 0 0 0
181 Papaverin tablet Tab 0 0 0 0
182 Paracetamol tablet 100 mg Tab 0 0 0 0
183 Paracetamol tablet 500 mg Tab 59050 38850 20200 0
184 Paracetamol Drop Btl 0 0 0 0
185 Parasetamol sirup Btl 374 40 334 0
186 Perfenazine tablet 4 mg Tab 0 0 0 0
187 Piracetam 3 g injeksi Ampul 0 0 0 0
188 Pirantel pamoat tablet 125 mg Tab 200 200 0 0
189 Pirantel pamoat sirup Btl 0 0 0 0
190 Pyrazinamide tablet 500 mg Tab 0 0 0 0
191 Piridoxin hcl tablet 10 mg Tab 21500 21500 0 0
192 Piroxicam 10 mg Tab 2000 0 2000 0
193 Piroxicam 20 mg Tab 600 0 600 0
194 Polikresulen / Albothil Btl 0 0 0 0
195 Prednison tablet Tab 18100 18100 0 0
196 Primakuin tablet Tab 0 0 0 0
197 Prokain benzil penisilin inj vial 0 0 0 0
198 Pronalges suppositoria Supp 0 0 0 0
199 Propanolol tab 10 mg Tab 0 0 0 0
200 Propanolol tab 40 mg Tab 0 0 0 0
201 Propiltiourasil tablet 100 mg Tab 780 200 580 0
202 Proris suppositoria Supp 0 0 0 0
203 Perak sulfadiazine cream 3 % tube 31 31 0 0
204 Ranitidin tablet 150 mg Tab 0 0 0 0
205 Ranitidin injeksi Ampul 0 0 0 0
206 Reserpin tablet 0,1 mg Tab 0 0 0 0
207 Reserpin tablet 0,25 mg Tab 0 0 0 0
208 Retinol kapsul 100.000 IU Kapsul 0 0 0 0
209 Retinol kapsul 200.000 IU Kapsul 0 0 0 0
210 Rifampisin kapsul 300 mg Kap 0 0 0 0
211 Rifampisin kapsul 450 mg Kap 0 0 0 0
212 Rifampisin kapsul 600 mg Kap 0 0 0 0
213 Ringer laktat infus steril Btl 25 25 0 0
214 Salbutamol tablet 2 mg Tab 0 0 0 0
215 Salbuatmol tablet 4 mg Tab 1140 1140 0 0
216 salep 2-4 Pot 0 0 0 0
217 Salisil bedak 2 % Pot 141 141 0 0
218 Semen seng fosfat serbuk & cairan Btl 0 0 0 0
219 Serum Anti Bisa Ular injeksi Vial 0 0 0 0
220 Serum Anti tetanus injeksi 1500 IU Ampul 0 0 0 0
221 Tatagam vial 0 0 0 0
222 Sianokobalamin inj 500 mcg/ml Btl 0 0 0 0
223 Silver Amalgam serbuk Tab 0 0 0 0
224 Simvastatin 10 mg Tab 2310 1860 450 0
225 Simvastatin 20 mg supp 2665 0 2665 0
226 Stesolid rectal supp 5 mg Supp 0 0 0 0
227 Stesolid rectal supp 10 mg Btl 8 8 0 0
228 Sulfasetamid tetes mata 15 % Tab 0 0 0 0
229 Tablet tambah darah (SF) Tab 16100 14100 2000 0
230 Temporary / Fletcher Kap 0 0 0 0
231 Tetrasiklin kapsul 250 mg Kap 0 0 0 0
232 Tetrasiklin kapsul 500 mg Tab 1000 1000 0 0
233 Thrombo Aspilet Tab 0 0 0 0
234 Thiamin injeksi Ampul 0 0 0 0
235 Thiamin tablet 50 mg Tab 18520 18520 0 0
236 Triheksipenidil hcl tablet 2 mg Tab 637 637 0 0
237 Trikresol formalin cairan ( TKF ) Ampul 0 0 0 0
238 Vaksin rabies vero Tab 0 0 0 0
239 Valsartan 80 mg Tab 0 0 0 0
240 Ventolin nebulizer Nebules 10 10 0 0
241 Vitamin B komplek tablet Tab 13524 13324 0 200
242 Yodium povidon lart 10 % - 30 ml Btl 0 0 0 0
243 Yodium povidon lart 10 % - 300 ml Btl 40 25 15 0
244 Xylocain jelly Tube 0 0 0 0
245 Lidocain Pasta Pot 0 0 0 0
246 Zinc tablet 20 mg Tab 2395 2395 0 0
247 Zinc sirup Btl 112 112 0 0
248 Betamin drage ( Vit. B1 ) Tab 0 0 0 0
249 Domperidon Btl 1730 1730 0 0
250 Clozapin 25 mg Tab 150 0 0 150
251 Clobazam 10 mg Tab 0 0 0 0
252 Trifluoperazin HCl 5 mg ( Stelosi ) Tab 0 0 0 0
253 Vitamin B 12 Tab 2200 2200 0 0
254 Ketokonazol Crem Tube 41 41 0 0
255 Ketokonazole Tablet Tab 1200 300 900 0
256 Flufenazin Decanoat Inj 25 mg Ampul 0 0 0 0
257 Haloperidol Inj 5 mg ( Ladomer ) Ampul 0 0 0 0
258 Haloperidol Decanoat Inj 50 mg Ampul 0 0 0 0
259 Resperidon tab 2 mg Tab 980 0 0 980
260 Curviplex Sirup Btl 0 0 0 0
261 Andalan Inj 3 Bulan Vial 0 0 0 0
262 Andalan Inj 1 Bulan Vial 40 0 40 0
263 Cyclopen Inj. 1 Bulan Vial 170 0 170 0
264 Ichtyol Salaf Kulit Pot 8 0 8 0
265 Levertran Salep Kulit Pot 42 0 42 0
266 HEPATITIS B Paket 11 0 0 11
267 BCG Ampul 6 0 0 6
268 POLIO Vial 8 0 0 8
269 PENTABIO/DPTHBHib Vial 25 0 0 25
270 CAMPAK Vial 4 0 0 4
271 Td / TT Vial 20 0 0 20
272 IPV Vial 0 0 0 0
273 Vaksin MR Vial 0 0 0 0
274 Pelarut MR Vial 0 0 0 0
275 Pentocain 0,5 % TT Mata Btl 25 0 25 0
276 Domperidon syrup btl 49 49 0 0
277 Kloramfenikol syrup btl 105 105 0 0
278 cetirizin syrup btl 0 0 0 0
279 Pritamox sirup 125 mg btl 180 0 180 0
280 Albendazole syrup btl 0 0 0 0
281 Moxalaskap/cotri480mg tab 2464 0 2464 0
282 Moxalas syr/cotry syr btl 100 0 100 0
283 Lorihis tab/loratadin tab tab 860 0 860 0
284 Flagsol syr/metro syr btl 46 0 46 0
285 Selfolic 1000mg/Asam folat tab 2300 0 2300 0
286 Trifadium2mg/Loperamid tab tab 700 0 700 0
287 Omeprazole Injeksi Ampul 15 15 0 0
288 Gluconas Kalsikus injeksi amp 0 0 0 0
289 Tricloflem Vial 0 0 0 0
290 Cycloserin 250mg tab 0 0 0 0
291 Ethionmid 250mg tab 0 0 0 0
292 Levofloxacin 750mg tab 0 0 0 0
293 Bedaquilin 100mg tab 0 0 0 0
294 Hbig Bayi vial 0 0 0 0
295 Amoxcillin drop btl 49 49 0 0
296 scabimid salep tube 0 0 0 0
297 Selcom C Tab 0 0 0 0
298 Cyanocobalamin Inj Ampul 0 0 0 0
299 Kloramfenicol 500 mg Kap 0 0 0 0

BMHP 0 0 0 0
300 Alat suntik 1 ml Pcs 600 600 0 0
301 Alat suntik 2,5 ml Pcs 1600 1600 0 0
302 Alat suntik 3 ml Pcs 3130 2700 400 30
303 Alat suntik 5 ml Pcs 2300 1300 500 500
304 Alkohol 70 % ( 1 L ) Btl 17 17 0 0
305 Alkohol 70 % ( 60 Ml ) Btl 0 0 0 0
306 Aqua destilata steril 500 ml Btl 2 2 0 0
307 Aqua pro injeksi Vial 99 74 25 0
308 Bisturi no 10 Pcs 10 10 0 0
309 Bisturi no 11 Pcs 10 10 0 0
310 Bisturi no 20 Pcs 0 0 0 0
311 Bisturi no 22 Pcs 0 0 0 0
312 Blood Lancet Pcs 4800 2000 2800 0
313 Catgut/benang bedah Pcs 96 96 0 0
314 ETT no.6 Pcs 0 0 0 0
315 ETT no.6,5 Set 0 0 0 0
316 ETT no.7 Set 0 0 0 0
317 ETT no.7,5 Btl 0 0 0 0
318 Hand scrub Pcs 5 5 0 0
319 Handscoon uk.S Pcs 200 200 0 0
320 Handscoon uk. M Pcs 2400 0 2400 0
321 Handscoon uk. L Pcs 200 0 200 0
322 Infusion set anak set 50 0 50 0
323 Infusion set dewasa set 45 0 45 0
324 Wing neadle no. 23G Pcs 0 0 0 0
325 IV Catheter (Abocath) NO.20 Pcs 10 10 0 0
326 IV Catheter (Abocath) NO.22 Pcs 10 10 0 0
327 IV Catheter (Abocath) NO.24 pcs 0 0 0 0
328 Jarum Jahit (Nald Heating ) no. 10 pcs 39 39 0 0
329 Jarum Jahit (Nald Heating ) no. 11 pcs 0 0 0 0
330 Jarum Jahit (Nald Heating ) no. 12 pcs 0 0 0 0
331 Jarum Jahit (Nald Heating ) no. 13 pcs 25 25 0 0
332 Jarum Jahit (Nald Heating ) no. 14 Pcs 25 25 0 0
333 Kapas pembalut/Absorben 250 gr Roll 45 45 0 0
334 Kasa kompres 40/40 steril Roll 158 158 0 0
335 Kasa pembalut hidrofil 4m x 15 cm Roll 420 420 0 0
336 Kasa pembalut hidrofil 4 m x 3 cm Roll 300 300 0 0
337 Kassa 36x80 cm Roll 18 18 0 0
338 Kertas Saring Whatman Buku 1 0 1 0
339 Masker Pcs 5250 1850 3400 0
340 Objec Glass Box/72 21 4 0 17
341 Pipet Tetes Panjang Pcs 15 15 0 0
342 Plastik Obat Klip 10 x 7 Pcs 16000 0 16000 0
343 Plastik Obat Klip 13 x 8,7 13000 0 13000 0
344 Plester 5 yard x 2 inch Roll 23 19 0 4
345 Poly catheter no.8 Pcs 0 0 0 0
346 Poly catheter no.12 Pcs 3 3 0 0
347 Poly catheter no.16 Pcs/set 16 16 0 0
348 Silk ( benang bedah sutera) 03/0 Sak 85 49 0 36
349 Spons gelatin cublices bks 7 7 0 0
350 Stick Gluco DR Btl/50 14 0 14 0
351 Tabung Reaksi Pcs 0 0 0 0
352 Tes Kehamilan HCG Pcs 1 1 0 0
353 Transfution set/Transfusion blood ADM set 3 3 0 0
354 Urinalysis 10 parameter Btl 0 0 0 0
355 Stick asam Urat Btl/25 8 0 8 0
356 Stick Colestrol Btl/10 6 0 6 0
357 Jelly 250ml Ultra soundgel btl 2 0 2 0
358 Pot sputum Pcs 0 0 0 0
359 Reagen TB Paket 0 0 0 0
360 Sefty box 2,5 L Box 0 0 0 0
361 Reagen sifilis(SD,Bio StanQ) Test 0 0 0 0
362 Box Slide Ktk 0 0 0 0
363 Fokus test Ktk 0 0 0 0
364 Alat suntik 0,5 ml Box 4859 0 0 4859
365 Sefty box 5 L Box 0 0 0 0
366 Masker Nebulizer Anak Psc 5 5 0 0
367 Masker Nebulizer Dewasa Psc 10 10 0 0
368 Nasal Oksigen Kanula Anak Psc 5 5 0 0
369 Nasal Oksigen Kanula Dewasa Psc 10 10 0 0
370 Non Rebreating Mask Psc 0 0 0 0
371 ID Dewasa Pink Box 0 0 0 0
372 ID Dewasa Blue Box 0 0 0 0
373 ID Bayi Pink Box 0 0 0 0
374 ID Bayi Biru Box 0 0 0 0
375 Umbilical Keniko Box 0 0 0 0
376 Folley Catheter 16 Rusch Pcs 0 0 0 0
377 Urine Bag Fresco Pcs 10 10 0 0
378 Disp Sryringe 10 ml Onemed Box 0 0 0 0
379 Suction Catheter 8 Remedi Pcs 0 0 0 0
380 Suction Catheter 16 Remedi Psc 0 0 0 0
381 Plaster Hypafix Psc 15 15 0 0
382 Rapid Test HIV I Standar (Stik SD HIV ) Pcs 0 0 0 0
383 Kasa Steril 16 X 16 Kotak 167 0 167 0
384 Alat Nesco Tri in one Kotak 0 0 0 0
385 Alkohol Swab One swab Kotak 10 0 10 0
386 Bahan tambalan Komposid (solare) Tube 4 0 4 0
387 OCO Btl/15ml 0 0 0 0
388 Paper Pad Buku 6 0 6 0
389 Masker 1860 S/N95 pcs 0 0 0 0
390 Rapid Test HIV II : Vikia (HIV ke 1) Test 0 0 0 0
391 Rapid Test Hiv, 3 : Intec/China (HIV KE 2) Test 0 0 0 0
392 RDT(Virotec+Diluent)DBD Test 0 0 0 0
393 Rapid HBsAg(Virochek HbsAg) Test 0 0 0 0
394 Baju Hazmat APD Pcs 20 0 20 0
REAGENSIA 0 0 0 0
395 Cell Clean ( CL-50) Btl 0 0 0 0
396 Cell Pack ( PK-30L) Btl 1 0 1 0
397 Control eight check 3 x 1,5 ml Btl/set 0 0 0 0
398 Eightcheck-3WP (Normal) 1,5 ml Vial 0 0 0 0
399 Eightcheck-3WP (Low) 1,5 ml Vial 0 0 0 0
400 Eightcheck-3WP (High) 1,5 ml Vial 0 0 0 0
401 Stomalyzer WH(SWH-2004) btl 1 0 1 0
402 Tabung K2 EDTA 2 ml Btl 2 0 2 0
403 Printer Paper Pcs 2 0 2 0
404 Deck Glass Btl 5 5 0 0
405 Tes Gol Darah (A,B,AB ) Set 0 0 0 0
406 Tisu lensa Buku 0 0 0 0
407 Kertas perkamen Lembar 19 19 0 0
408 Podofilin Tinctur 25 % Btl 0 0 0 0
409 Larutan Fauchet Btl 0 0 0 0
410 Larutan Lisol Btl 24 24 0 0
411 Larutan asam klorida 0,1 N Btl 0 0 0 0
412 Larutan asam sulfosalisilat 20% Btl 0 0 0 0
413 Larutan barium klorida Btl 0 0 0 0
414 Larutan Benedict Btl 0 0 0 0
415 Larutan Bupper PH 7,2 Btl 0 0 0 0
416 Larutan EDTA Cair 10 % Btl 0 0 0 0
417 Larutan Eosin 2 % Btl 0 0 0 0
418 Larutan Etanol Asam Btl 0 0 0 0
419 Larutan Giemsa Stalin Btl 0 0 0 0
420 Larutan H2O2 Btl 7 7 0 0
421 Larutan Imersen oil HB Btl 0 0 0 0
422 Larutan karbol fuksin Btl 0 0 0 0
423 Larutan Metanol Btl 0 0 0 0
424 Larutan Metilen Biru Btl 0 0 0 0
425 Larutan Natrium Sitrat 38 % Btl 0 0 0 0
426 Larutan Rees echer Btl 0 0 0 0
427 Larutan spiritus 100 ml Btl 0 0 0 0
428 Larutan turk Btl 0 0 0 0
429 Ether Alkohol Botol 0 0 0 0
430 Buffer Ph 6,4 Botol 0 0 0 0
431 KOH 10 % Btl 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
513,625 339,227 167,373 7,025
513625 339227 167373 7025
- -
LAPORAN PEMAKAIAN DAN LEMBAR PER

STOK AWAL GUDANG STOK AWAL APOTIK PENERIMAAN


PKD BLUD PROG PKD BLUD PROG PKD BLUD PROG JUMLAH

278 0 0 52 0 0 0 0 0 0
900 0 0 275 0 0 0 0 0 0
750 0 0 450 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 0 0
0 0 0 380 0 0 2500 0 0 2500
0 1600 0 0 195 0 0 0 0 0
0 144 0 0 23 0 60 0 0 60
800 0 0 1060 0 0 1000 0 0 1000
0 0 0 0 0 0 0 0 0 0
1300 0 0 200 0 0 0 0 0 0
1800 0 0 191 0 0 0 0 0 0
900 3000 0 410 0 0 0 0 0 0
0 9000 0 0 294 0 0 0 0 0
20500 0 0 680 0 0 0 0 0 0
60 0 0 34 0 0 60 0 0 60
420 0 0 49 0 0 0 0 0 0
2460 0 0 110 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
3500 0 0 400 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
12700 10000 0 810 0 0 0 0 0 0
0 0 0 0 36 0 200 0 0 200
0 0 0 0 0 0 0 0 0 0
120 0 0 9 0 0 0 0 0 0
150 0 0 10 0 0 50 0 0 50
1000 0 0 0 0 0 0 0 0 0
25000 5500 0 1000 0 0 0 0 0 0
1000 0 0 500 0 0 4000 0 0 4000
0 0 0 0 0 0 0 0 0 0
400 0 0 430 0 0 6000 0 0 6000
0 0 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
180 0 0 15 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
75 0 0 11 0 0 200 0 0 200
0 0 0 0 0 0 0 0 0 0
1000 0 0 765 0 0 1200 0 0 1200
800 0 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0 0 0
1000 0 0 170 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
3000 0 0 790 0 0 0 0 0 0
300 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
14300 0 0 600 0 0 0 0 0 0
160 0 0 0 0 0 0 0 0 0
100 800 0 69 0 0 0 0 0 0
1000 0 100 97 0 0 0 0 0 0
30 0 0 0 0 0 0 0 0 0
120 0 0 0 0 0 0 0 0 0
100 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
41 0 0 0 0 0 30 0 0 30
0 0 0 0 0 0 30 0 0 30
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
120 0 0 0 0 0 0 0 0 0
2800 0 0 470 0 0 0 0 0 0
4000 0 0 0 0 0 0 0 0 0
0 0 0 0 19 0 0 0 0 0
6 0 0 0 0 0 6 0 0 6
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
4 0 0 0 0 0 2 0 0 2
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 0 0 0
600 0 0 97 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
72 0 0 17 0 0 24 0 0 24
1900 0 0 450 0 0 0 0 0 0
60 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 200 0 0 395 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
4600 0 0 109 0 0 0 0 0 0
50 0 0 25 0 0 30 0 0 30
72 0 0 31 0 0 0 0 0 0
96 0 0 46 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
24 48 0 13 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 0 0
1900 0 0 440 0 0 0 0 0 0
1100 500 0 225 0 0 0 0 0 0
0 44100 0 0 830 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
300 0 0 200 0 0 1300 0 0 1300
300 0 0 100 0 0 0 0 0 0
0 0 0 70 0 0 0 0 0 0
600 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 100 0 0 100
900 0 0 400 0 0 0 0 0 0
48 0 0 28 0 0 96 0 0 96
1700 0 0 540 0 0 0 0 0 0
0 0 0 0 0 0 1000 0 0 1000
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 0 100 100
100 0 0 15 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
11200 10500 0 850 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
500 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
60 0 0 24 0 0 48 0 0 48
120 0 0 13 0 0 0 0 0 0
65 0 0 21 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
23000 0 0 1480 0 0 0 0 0 0
0 48 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 0 100 0 0 100
600 0 0 118 0 0 0 0 0 0
300 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 2000 0 0 2000
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
480 0 0 0 0 0 0 0 0 0
400 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
5 0 0 0 0 0 0 0 0 0
5 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
3500 0 0 528 0 0 0 0 0 0
5000 3200 0 730 0 0 0 0 0 0
200 0 0 0 0 0 0 0 0 0
0 0 75 0 0 0 0 0 0 0
2500 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
500 0 0 15 0 0 1000 0 0 1000
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
168 0 0 26 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
1100 0 0 85 0 0 0 0 0 0
1300 0 0 740 0 0 1000 0 0 1000
1650 1100 0 470 0 0 0 0 0 0
108 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
200 0 0 60 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
300 0 0 52 0 0 0 0 0 0
5 95 0 0 3 0 200 0 0 200
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 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 25 0 0 25 0 0 25
50 0 0 16 0 0 50 0 0 50
0 0 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 0 0
960 0 0 308 0 0 150 0 0 150
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
37300 20200 0 1550 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
40 260 0 0 74 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
100 0 0 100 0 0 0 0 0 0
0 0 0 0 0 0 50 0 0 50
0 0 0 0 0 0 0 0 0 0
20400 0 0 1100 0 0 0 0 0 0
0 2000 0 0 0 0 500 0 0 500
0 500 0 0 100 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
17200 0 0 900 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 0 0 0 0 0 0 0 0 0
200 400 0 0 180 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
31 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 2500 0 0 2500
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 0 300 0 0 300
0 0 0 0 0 0 2550 0 0 2550
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
25 0 0 0 0 0 40 0 0 40
0 0 0 0 0 0 1000 0 0 1000
900 0 0 240 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
120 0 0 21 0 0 120 0 0 120
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 1 0 0 1
0 0 0 0 0 0 15 0 0 15
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
1590 450 0 270 0 0 1680 0 0 1680
0 2000 0 0 665 0 0 0 0 0
0 0 0 0 0 0 5 0 0 5
8 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
13500 2000 0 600 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
900 0 0 100 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
17800 0 0 720 0 0 0 0 0 0
500 0 0 137 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
10 0 0 0 0 0 20 0 0 20
11800 0 200 1524 0 0 3000 0 0 3000
0 0 0 0 0 0 0 0 0 0
25 15 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
2100 0 0 295 0 0 0 0 0 0
100 0 0 12 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1600 0 0 130 0 0 1200 0 0 1200
0 0 150 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
1200 0 0 1000 0 0 0 0 0 0
25 0 0 16 0 0 0 0 0 0
300 800 0 0 100 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 0 900 0 0 80 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 40 0 0 0 0 0 0 0 0
0 170 0 0 0 0 0 0 0 0
0 0 0 0 8 0 0 0 0 0
0 24 0 0 18 0 0 0 0 0
0 0 11 0 0 0 0 0 0 0
0 0 6 0 0 0 0 0 0 0
0 0 8 0 0 0 0 0 0 0
0 0 25 0 0 0 0 0 0 0
0 0 4 0 0 0 0 0 0 0
0 0 20 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 25 0 0 0 0 0 0 0 0
0 0 0 49 0 0 50 0 0 50
50 0 0 55 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 180 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 1800 0 0 664 0 0 0 0 0
0 100 0 0 0 0 0 0 0 0
0 700 0 0 160 0 0 0 0 0
0 40 0 0 6 0 0 0 0 0
0 2000 0 0 300 0 0 0 0 0
0 700 0 0 0 0 0 0 0 0
15 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 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 2 2
30 0 0 19 0 0 0 0 0 0
0 0 0 0 0 0 60 0 0 60
0 0 0 0 0 0 0 0 500 500
0 0 0 0 0 0 100 0 0 100
0 0 0 0 0 0 500 0 0 500

0 0 0 0 0 0 0 0 0 0
600 0 0 0 0 0 0 0 0 0
1600 0 0 0 0 0 0 0 0 0
2700 400 30 0 0 0 0 0 0 0
1300 500 500 0 0 0 0 0 0 0
17 0 0 0 0 0 13 0 0 13
0 0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 10 0 0 10
74 25 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0
10 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
2000 2800 0 0 0 0 0 0 0 0
96 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 0 0
5 0 0 0 0 0 20 0 0 20
200 0 0 0 0 0 500 0 0 500
0 2400 0 0 0 0 500 0 0 500
0 200 0 0 0 0 300 0 0 300
0 50 0 0 0 0 0 0 0 0
0 45 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
39 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
25 0 0 0 0 0 0 0 0 0
25 0 0 0 0 0 0 0 0 0
45 0 0 0 0 0 0 0 0 0
158 0 0 0 0 0 0 0 0 0
420 0 0 0 0 0 0 0 0 0
300 0 0 0 0 0 0 0 0 0
18 0 0 0 0 0 0 0 0 0
0 1 0 0 0 0 0 0 0 0
1850 3400 0 0 0 0 400 0 0 400
4 0 17 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0
0 16000 0 0 0 0 0 0 0 0
0 13000 0 0 0 0 0 0 0 0
19 0 4 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
3 0 0 0 0 0 0 0 0 0
16 0 0 0 0 0 0 0 0 0
49 0 36 0 0 0 0 0 0 0
7 0 0 0 0 0 0 0 0 0
0 14 0 0 0 0 1 0 0 1
0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 1 0 0 1
3 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 8 0 0 0 0 1 0 0 1
0 6 0 0 0 0 1 0 0 1
0 2 0 0 0 0 0 0 0 0
0 0 0 0 0 0 600 0 0 600
0 0 0 0 0 0 0 0 0 0
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311,985 163,303 6,945 27,242 4,070 80 38,499 - 602 39,101
311,985 163,278 6,945 27242 4070 80 35,649 - 602 36,251
AIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )

PERSEDIA PEMAKAIAN PEMAKAIAN GUDANG (LAIN-LAIN) PEMAKAIAN APOTIK STOK AKHIR


STOK AKHIR
AN PKD BLUD PROG PKD BLUD PROG PKD

330 5 0 0 0 5 0 0 325 325


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600 0 0 0 0 0 0 0 600 600
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15 1 1 0 0 0 0 0 14 14
0 0 0 0 0 0 0 0 0 0
167 3 0 3 0 0 0 0 164 0
0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 10 0
4 0 0 0 0 0 0 0 4 0
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1 1 0 1 0 0 0 0 0 0
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1 1 0 1 0 0 0 0 0 0
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19 0 0 0 0 0 0 0 19 19
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24 2 2 0 0 0 0 0 22 22
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552,726 49,327 14,720 6,409 252 23,400 4,546 - 503,399 339,606
11870 6409 252 23400 4546 - 503,399
552,726 503399 339,606
Bulan : Juli 2020
STOK AKHIR PEMAKAIAN PERMINTAA PEMBERIAN
BLUD PROG RATA2/BLN N PKD BLUD PROG LAIN-LAIN JUMLAH

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0 0 400
400 30 3130
500 300 2100
0 0 22
0 0 0
0 0 12
25 0 99
0 0 10
0 0 10
0 0 0
0 0 0
2800 0 4800
0 0 96
0 0 0
0 0 0
0 0 0
0 0 0
0 0 23
0 0 500
1400 0 1700
100 0 400
50 0 50
45 0 45
0 0 0
0 0 10
0 0 10
0 0 0
0 0 39
0 0 0
0 0 0
0 0 25
0 0 25
0 0 44
0 0 158
0 0 420
0 0 300
0 0 16
1 0 1
3200 0 4150
0 17 21
0 0 15
15000 0 15000
12000 0 12000
0 4 23
0 0 0
0 0 3
0 0 16
0 36 85
0 0 7
11 0 12
0 0 0
0 0 2
0 0 3
0 0 0
8 0 9
0 0 0
2 0 2
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 4859 4859
0 0 0
0 0 5
0 0 10
0 0 5
0 0 10
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 10
0 0 0
0 0 0
0 0 0
0 0 14
0 0 0
164 0 164
0 0 0
10 0 10
4 0 4
0 0 0
6 0 6
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
20 0 20
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 5
0 0 0
0 0 0
0 0 19
0 0 0
0 0 0
0 0 22
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 7
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 503399
0 0 503,399
156,418 7,375 503,399
stok awal penerimaanpemakaian sisa
156418 7375 gudang 482,233 39,101 21,381 499,953
apotik 31,392 0 27,946 3,446
482,233 503,399

482,233 39,101 45,352 475,982


31,392 23971 27946 27,417
503,399
45,352

27417 475,982
-
KET. PEMAKAIAN TOTAL(GUDANG + APOTIK)
PKD BLUD PROG

5 0 0
20 0 0
50 0 0
0 0 0
0 0 0
180 0 0
0 1795 0
0 0 0
310 0 0
0 0 0
0 0 0
6 0 0
410 0 0
0 294 0
980 0 0
0 0 0
11 0 0
125 0 0
0 0 0
0 0 0
0 0 0
90 0 0
0 0 0
650 0 0
10 19 0
0 0 0
1 0 0
3 0 0
20 0 0
1880 0 0
730 0 0
0 0 0
1175 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
80 0 0
0 0 0
167 0 0
0 0 0
0 0 0
0 0 0
0 0 0
296 0 0
0 0 0
0 0 0
0 0 0
400 0 0
0 0 0
0 0 0
0 0 0
2300 0 0
0 0 0
28 0 0
3 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
5 0 0
0 0 0
0 0 0
0 0 0
14 0 0
0 0 0
0 1 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
8 0 0
200 0 0
0 0 0
0 0 0
0 0 0
0 0 0
179 0 0
7 0 0
3 0 0
7 0 0
0 0 0
4 0 0
0 0 0
0 0 0
0 0 0
100 0 0
0 644 0
0 0 0
200 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
44 0 0
612 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
1245 0 0
0 0 0
0 0 0
0 0 0
0 0 0
3 0 0
21 0 0
0 0 0
2240 0 0
0 0 0
0 0 0
0 0 0
0 0 0
10 0 0
30 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
358 0 0
730 616 0
0 0 0
0 0 50
0 0 0
0 0 0
40 0 0
0 0 0
0 0 0
10 0 0
0 0 0
0 0 0
20 0 0
420 0 0
570 0 0
5 0 0
0 0 0
0 0 0
0 0 0
22 0 0
3 14 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
5 0 0
5 0 0
0 0 0
20 0 0
697 0 0
0 0 0
0 0 0
0 0 0
3000 0 0
0 0 0
0 43 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
595 0 0
0 0 0
0 226 0
0 0 0
170 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 10 0
0 0 0
31 0 0
74 0 0
0 0 0
0 0 0
0 0 0
300 0 0
2550 0 0
0 0 0
0 0 0
0 0 0
0 0 0
200 0 0
260 0 0
0 0 0
13 0 0
0 0 0
0 0 0
5 0 0
0 0 0
0 0 0
0 0 0
800 450 0
0 140 0
0 0 0
0 0 0
0 0 0
5220 2000 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
575 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
2354 0 0
0 0 0
8 1 0
0 0 0
0 0 0
40 0 0
6 0 0
0 0 0
330 0 0
0 0 0
0 0 0
0 0 0
100 0 0
1 0 0
105 900 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 40 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
5 0 0
0 0 0
0 0 0
0 0 0
0 14 0
0 0 0
0 0 0
0 0 0
0 300 0
0 130 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 2
0 0 0
4 0 0
0 0 0
0 0 0
90 0 0

0 0 0
0 0 0
1200 0 0
0 0 0
0 0 200
8 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
2 0 0
200 0 0
200 1000 0
0 100 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
1 0 0
0 0 0
0 0 0
0 0 0
2 0 0
0 0 0
1300 200 0
0 0 0
0 0 0
0 1000 0
0 1000 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 3 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1 6 0
0 0 0
600 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
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1 0 0
0 0 0
0 3 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 1 0
0 0 0
0 0 0
0 0 0
0 0 0
0 1 0
0 2 0
0 2 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
2 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
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0

38,120 10,955 252 49,327


cek
#REF!
49,327

475,982
27,417
-
PUSKESMAS PAAL X KOTA JAMBI
KODE. 5070101
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )

Bulan : Agustus 2
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAIA PERMINTAA PEMBERIAN
KET.
NO. NAMA BARANG SATUAN N
N
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/BLN PKD PROG JUMLAH

OBAT
1 Acyclovir cream 5 % tube 325 0 0 325 0 0 0 0 325 0 0 325 1 0 0 1 324 0 0 324 7 50
2 Acyclovir tablet 200 mg Tab 1155 0 0 1155 0 0 0 0 1155 0 0 1155 0 0 0 0 1155 0 0 1155 100 500
3 Acyclovir tablet 400 mg Tab 1150 0 0 1150 0 0 0 0 1150 0 0 1150 70 0 0 70 1080 0 0 1080 100 500
4 Air Raksa Dental Use Btl 1 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0
5 Albendazole 400 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100 25 0
6 Allopurinol 100 mg Tab 2700 0 0 2700 0 0 0 0 2700 0 0 2700 270 0 0 270 2430 0 0 2430 200 0
7 Allopurinol 300 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 50 1000
8 Ambroxol syrup Btl 60 167 0 227 0 0 0 0 60 167 0 227 0 57 0 57 60 110 0 170 50 300
9 Ambroxol tab 30 mg Tab 2550 0 0 2550 0 0 0 0 2550 0 0 2550 540 0 0 540 2010 0 0 2010 1300 7000
10 Aminofilin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Aminofilin tablet Tab 1500 0 0 1500 0 0 0 0 1500 0 0 1500 0 0 0 0 1500 0 0 1500 0 0
12 Amitriptilin tablet 25 mg Tab 1985 0 0 1985 0 0 0 0 1985 0 0 1985 24 0 0 24 1961 0 0 1961 25 0
13 Amlodipin 5 mg Tab 900 3000 0 3900 0 0 0 0 900 3000 0 3900 260 0 0 260 640 3000 0 3640 500 900
14 Amoksisilin kap 250 mg Kap 0 9000 0 9000 0 0 0 0 0 9000 0 9000 0 9000 0 9000 0 0 0 0 300 2000
15 Amoksisilin kap 500 mg Kap 20200 0 0 20200 0 0 0 0 20200 0 0 20200 1055 0 0 1055 19145 0 0 19145 1500 5000
16 Amoksisilin sirup kering 125 mg/5 ml Btl 154 0 0 154 0 0 0 0 154 0 0 154 1 0 0 1 153 0 0 153 70 350
17 Amoksisilin Sirup Forte 250 mg/5 ml Btl 458 0 0 458 0 0 0 0 458 0 0 458 64 0 0 64 394 0 0 394 30 0
18 Amlodipin 10 mg Tab 2445 0 0 2445 0 0 0 0 2445 0 0 2445 180 0 0 180 2265 0 0 2265 500 1500
19 Amoksisilin injeksi Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Ampisilin Kaplet 500 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Ampisilin sirup kering 125 mg/5 ml Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Antalgin tablet 500 mg Tab 3810 0 0 3810 0 0 0 0 3810 0 0 3810 76 0 0 76 3734 0 0 3734 200 1000
23 Antalgin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Antasida doen tablet Tab 12860 10000 0 22860 0 0 0 0 12860 10000 0 22860 633 0 0 633 12227 10000 0 22227 5000 15000
25 Antasida sirup Btl 190 17 0 207 0 0 0 0 190 17 0 207 0 14 0 14 190 3 0 193 63 250
26 Anti Bakteri salep / Bacitracin salep Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 125
27 Anti Fungi kombinasi Pot 128 0 0 128 0 0 0 0 128 0 0 128 0 0 0 0 128 0 0 128 10 48
28 Anti Hemoroid supp 207 0 0 207 0 0 0 0 207 0 0 207 37 0 0 37 170 0 0 170 45 150
29 Anti Migrain tablet Tab 980 0 0 980 0 0 0 0 980 0 0 980 80 0 0 80 900 0 0 900 40 500
30 Asam Askorbat (VIT C) 50 mg Tab 24120 5500 0 29620 0 0 0 0 24120 5500 0 29620 871 0 0 871 23249 5500 0 28749 3500 5000
31 Asam Folat Tab 4770 0 0 4770 0 0 0 0 4770 0 0 4770 380 0 0 380 4390 0 0 4390 800 1500
32 Asering Infus Kolf 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 Asam Mefenamat 500 mg Tab 5655 0 0 5655 0 0 0 0 5655 0 0 5655 750 0 0 750 4905 0 0 4905 1400 5000
34 Asam Tranexamat injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAIA PERMINTAA PEMBERIAN
KET.
NO. NAMA BARANG SATUAN N
N
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/BLN PKD PROG JUMLAH

35 Asam Asetilsalisilat(Asetosal) 80 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100 0 0


36 Asetosal tablet 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
37 Azitromycin 500 mg Tab 195 0 0 195 0 0 0 0 195 0 0 195 95 0 0 95 100 0 0 100 10 100
38 Bisoprolol tablet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 Benzatin benzil penicilin inj 2,4 jt iu Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
40 Betadin salep Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
41 Betametason kream 0,1 % Tube 206 0 0 206 0 0 0 0 206 0 0 206 6 0 0 6 200 0 0 200 50 150
42 Bisacodyl 10 mg Supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
43 Bethahistin maselat Tablet 2798 0 0 2798 0 0 0 0 2798 0 0 2798 716 0 0 716 2082 0 0 2082 250 500
44 Captopril 12,5 mg Tab 800 0 0 800 0 0 0 0 800 0 0 800 210 0 0 210 590 0 0 590 150 0
45 Captopril 25 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100 0 0
46 Captopril 50 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
47 Caviton Btl 2 0 0 2 0 0 0 0 2 0 0 2 0 0 0 0 2 0 0 2 0 0
48 Cefadroxil 500 mg kap 874 0 0 874 0 0 0 0 874 0 0 874 234 0 0 234 640 0 0 640 200 1000
49 Cefotaxime injeksi 1 g Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
50 Cefriaxon injeksi Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
51 Cetrizin tablet 10 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 350 2500
52 Ciprofloxacin 500 mg Tab 3390 0 0 3390 0 0 0 0 3390 0 0 3390 776 0 0 776 2614 0 0 2614 300 0
53 Clindamicin 150 mg Kap 300 0 0 300 0 0 0 0 300 0 0 300 0 0 0 0 300 0 0 300 0 0
54 Clindamicin 300 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
55 Devitalisasi pasta Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 Dexamethason tablet Tab 12600 0 0 12600 0 0 0 0 12600 0 0 12600 12600 0 0 12600 0 0 0 0 2500 17500
57 Dexamethason injeksi Ampul 160 0 0 160 0 0 0 0 160 0 0 160 0 0 0 0 160 0 0 160 15 0
58 Diazepam tablet 2 mg Tab 141 800 0 941 0 0 0 0 141 800 0 941 65 0 0 65 76 800 0 876 275 1000
59 Diazepam tablet 5 mg Tab 1094 0 100 1194 0 0 0 0 1094 0 100 1194 0 0 0 0 1094 0 100 1194 40 0
60 Diazepam injeksi Ampul 30 0 0 30 0 0 0 0 30 0 0 30 0 0 0 0 30 0 0 30 0 0
61 Difenhidramin injeksi Ampul 120 0 0 120 0 0 0 0 120 0 0 120 0 0 0 0 120 0 0 120 0 0
62 Digoksin tablet Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100 0 0
63 Doxicillin Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
64 Dulcolax tablet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
65 Dulculax supp 10 mg ( Dewasa ) Supp 71 0 0 71 0 0 0 0 71 0 0 71 15 0 0 15 56 0 0 56 5 0
66 Dulculax supp 5 mg ( Anak ) Supp 25 0 0 25 0 0 0 0 25 0 0 25 1 0 0 1 24 0 0 24 5 10
67 Efedrin Hcl 25 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
68 Ekstrak belladona tablet 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
69 Ephinefrin hcl injeksi Ampul 120 0 0 120 0 0 0 0 120 0 0 120 0 0 0 0 120 0 0 120 0 0
70 Erytromycin kapsul 250 mg Kap 3256 0 0 3256 0 0 0 0 3256 0 0 3256 16 0 0 16 3240 0 0 3240 150 0
71 Erytromycin kapsul 500 mg Kap 4000 0 0 4000 0 0 0 0 4000 0 0 4000 0 0 0 0 4000 0 0 4000 100 0
72 Erytromycin syrup Btl 0 18 0 18 0 0 0 0 0 18 0 18 0 4 0 4 0 14 0 14 17 100
73 Etakridin / Rivanol Btl 12 0 0 12 0 0 0 0 12 0 0 12 0 0 0 0 12 0 0 12 3 6
74 Ethambutol hcl tab 250 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
75 Ethambutol hcl tab 500 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAIA PERMINTAA PEMBERIAN
KET.
NO. NAMA BARANG SATUAN N
N
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/BLN PKD PROG JUMLAH

76 Etil klorida semprot Btl 6 0 0 6 0 0 0 0 6 0 0 6 0 0 0 0 6 0 0 6 2 8


77 Eugenol cairan Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
78 Fenitoin natrium 30 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
79 Fenitoin natrium 100 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 57 400
80 Fenobarbital injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
81 Fenobarbital tab 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
82 Fenobarbital tablet 30 mg Tab 697 0 0 697 0 0 0 0 697 0 0 697 0 0 0 0 697 0 0 697 0 0
83 Fenoksimetil fenisilin tab 250 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
84 Fenoksimetil fenisilin tab 500 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
85 Fenol Gliserol tetes telinga Btl 105 0 0 105 0 0 0 0 105 0 0 105 7 0 0 7 98 0 0 98 0 0
86 Fitomenadion (Vit K) tab 10 mg Tab 2150 0 0 2150 0 0 0 0 2150 0 0 2150 44 0 0 44 2106 0 0 2106 200 0
87 Fitomenadion (Vit K) injeksi Ampul 60 0 0 60 0 0 0 0 60 0 0 60 0 0 0 0 60 0 0 60 0 0
88 Fluconazol 150 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 35
89 Furosemide tablet 40 mg Tab 0 595 0 595 0 0 0 0 0 595 0 595 0 0 0 0 0 595 0 595 50 0
90 Fluor gel Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
91 Garam oralit untuk 200 ml air Set 4530 0 0 4530 0 0 0 0 4530 0 0 4530 65 0 0 65 4465 0 0 4465 300 500
92 Gentamycin salep kulit 0,1 % Tube 98 0 0 98 0 0 0 0 98 0 0 98 15 0 0 15 83 0 0 83 15 25
93 Gentamycin salep mata Tube 100 0 0 100 0 0 0 0 100 0 0 100 4 0 0 4 96 0 0 96 5 0
94 Gentamycin tetes mata Btl 135 0 0 135 0 0 0 0 135 0 0 135 85 0 0 85 50 0 0 50 10 20
95 Gentamycin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
96 Gentian violet Btl 33 48 0 81 0 0 0 0 33 48 0 81 1 24 0 25 32 24 0 56 10 12
97 Glass Ionomer (ART FUJI IX) Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
98 Glibenklamida tablet 5 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100 0 0
99 Glimepiride 1 mg Tab 2340 0 0 2340 0 0 0 0 2340 0 0 2340 0 0 0 0 2340 0 0 2340 200 0
100 Glimepiride 2 mg Tab 1225 500 0 1725 0 0 0 0 1225 500 0 1725 0 0 0 0 1225 500 0 1725 120 0
101 Gliseril guaiakolat tablet 100 mg Tab 0 44286 0 44286 0 0 0 0 0 44286 0 44286 0 280 0 280 0 44006 0 44006 2000 0
102 Glukosa larutan infus 5 % steril Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 28
103 Griseofulvin tablet 125 mg Tab 1600 0 0 1600 0 0 0 0 1600 0 0 1600 0 0 0 0 1600 0 0 1600 300 500
104 Griseofulvin tablet 500 mg Tab 400 0 0 400 0 0 0 0 400 0 0 400 0 0 0 0 400 0 0 400 25 100
105 Halloperidol tab 0,5 mg Tab 70 0 0 70 0 0 0 0 70 0 0 70 50 0 0 50 20 0 0 20 50 300
106 Halloperidol tab 1,5 mg Tab 600 0 0 600 0 0 0 0 600 0 0 600 0 0 0 0 600 0 0 600 0 0
107 Halloperidol tab 5 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100 100 300
108 Hidroklortiazide (HCT) tablet 25 mg Tab 1300 0 0 1300 0 0 0 0 1300 0 0 1300 900 0 0 900 400 0 0 400 0 0
109 Hidrocortison krim 2,5 % Tube 128 0 0 128 0 0 0 0 128 0 0 128 32 0 0 32 96 0 0 96 30 120
110 Ibuprofen tablet 200 mg Tab 1628 0 0 1628 0 0 0 0 1628 0 0 1628 60 0 0 60 1568 0 0 1568 500 2000
111 Ibuprofen tablet 400 mg Tab 1000 0 0 1000 0 0 0 0 1000 0 0 1000 0 0 0 0 1000 0 0 1000 200 500
112 Ibuprofen syrup Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
113 Insulin Human Rapid injeksi 100 IU vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
114 Isoniazida ( INH ) tab 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 210
115 Isoniazida ( INH ) tab 300 mg Tab 0 0 100 100 400 0 0 400 400 0 100 500 0 0 100 100 400 0 0 400 14.285714 -300
116 Isosorbit dinitrat sublingual 5 mg Tab 115 0 0 115 0 0 0 0 115 0 0 115 0 0 0 0 115 0 0 115 17.857143 10
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAIA PERMINTAA PEMBERIAN
KET.
NO. NAMA BARANG SATUAN N
N
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/BLN PKD PROG JUMLAH

117 Komb. Primetamin 25mg+suldox 500mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


118 Klorfenol kamfermenthol ( CHKM ) Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
119 Kalsium Laktat tablet Tab 10805 10500 0 21305 0 0 0 0 10805 10500 0 21305 725 0 0 725 10080 10500 0 20580 4000 7000
120 Kandesartan cilexetil 8 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
121 Karbamazepin tablet 200 mg Tab 500 0 0 500 0 0 0 0 500 0 0 500 0 0 0 0 500 0 0 500 0 0
122 Ketorolac injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
123 Kloramfenikol salep kulit Tube 132 0 0 132 0 0 0 0 132 0 0 132 91 0 0 91 41 0 0 41 3 0
124 Kloramfenikol salep mata 1 % Tube 130 0 0 130 0 0 0 0 130 0 0 130 4 0 0 4 126 0 0 126 5 0
125 Kloramfenicol tetes telinga 3 % Btl 65 0 0 65 0 0 0 0 65 0 0 65 0 0 0 0 65 0 0 65 6 0
126 Kloramfenicol 250 mg kapsul Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 300 3000
127 Klorfeniramin maleat 4 mg (CTM ) Tab 22240 0 0 22240 0 0 0 0 22240 0 0 22240 2066 0 0 2066 20174 0 0 20174 3500 4500
128 Kloramfenicol tetes mata ( Reco ) Btl 0 48 0 48 0 0 0 0 0 48 0 48 0 0 0 0 0 48 0 48 5 0
129 Kalsium Hidroksida Pasta ( Calcidor ) Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
130 Klorpromazin hcl injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
131 Klorpromazine tab salut 25 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
132 Klorpromazine tab salut 100 mg Tab 90 0 0 90 0 0 0 0 90 0 0 90 0 0 0 0 90 0 0 90 50 300
133 Kodein tablet 10 mg Tab 688 0 0 688 0 0 0 0 688 0 0 688 65 0 0 65 623 0 0 623 70 0
134 Kotrimoksazol suspensi Btl 300 0 0 300 0 0 0 0 300 0 0 300 20 0 0 20 280 0 0 280 60 150
135 Kotrimoksazol pediatrik Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
136 Kotrimoksazol tablet 480 mg Tab 2000 0 0 2000 0 0 0 0 2000 0 0 2000 300 0 0 300 1700 0 0 1700 350 700
137 Klorokuin Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
138 Kuinin sulfat tab 222 mg (7H2O) Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
139 Lidocain kompositum inj (Pehacain) Ampul 480 0 0 480 0 0 0 0 480 0 0 480 30 0 0 30 450 0 0 450 50 0
140 Lidocain injeksi Ampul 400 0 0 400 0 0 0 0 400 0 0 400 0 0 0 0 400 0 0 400 50 0
141 Lisinopril 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
142 Loperamide tab 2 mg / Novadium Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
143 Loratadin 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
144 Magnesium sulfat injeksi 20% vial 5 0 0 5 0 0 0 0 5 0 0 5 0 0 0 0 5 0 0 5 0 0
145 Magnesium sulfat injeksi 40% vial 5 0 0 5 0 0 0 0 5 0 0 5 0 0 0 0 5 0 0 5 0 0
146 Mecobalamin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
147 Meloxicam 7,5 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
148 Metformin hcl tablet 500 mg Tab 3670 0 0 3670 0 0 0 0 3670 0 0 3670 10 0 0 10 3660 0 0 3660 300 0
149 Methyl prednisolon tablet 4 mg Tab 5000 2584 0 7584 0 0 0 0 5000 2584 0 7584 0 374 0 374 5000 2210 0 7210 700 0
150 Metilergometrin tablet salut Tab 200 0 0 200 0 0 0 0 200 0 0 200 0 0 0 0 200 0 0 200 0 0
151 Metilergometrin injeksi Ampul 0 0 25 25 0 0 0 0 0 0 25 25 0 0 25 25 0 0 0 0 7 0
152 Metoklorpropamide hcl 10 mg Tab 2500 0 0 2500 0 0 0 0 2500 0 0 2500 0 0 0 0 2500 0 0 2500 100 0
153 Metronidazole tablet 250 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1000
154 Metronidazole tablet 500 mg Tab 1475 0 0 1475 0 0 0 0 1475 0 0 1475 145 0 0 145 1330 0 0 1330 300 1000
155 Metronidazole syrup Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
156 Metronidazole infus Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
157 Miconazol cream tube 184 0 0 184 0 0 0 0 184 0 0 184 16 0 0 16 168 0 0 168 30 48
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAIA PERMINTAA PEMBERIAN
KET.
NO. NAMA BARANG SATUAN N
N
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/BLN PKD PROG JUMLAH

158 Microlax rectal tube tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5


159 Mummifying pasta Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
160 Natrium bikarbonat tablet Tab 1165 0 0 1165 0 0 0 0 1165 0 0 1165 65 0 0 65 1100 0 0 1100 50 0
161 Natrium Diklofenak 25 mg Tab 2620 0 0 2620 0 0 0 0 2620 0 0 2620 206 0 0 206 2414 0 0 2414 500 1000
162 Natrium Diklofenak 50 mg Tab 1550 1100 0 2650 0 0 0 0 1550 1100 0 2650 360 0 0 360 1190 1100 0 2290 400 500
163 Natrium klorida larutan infus Btl 103 0 0 103 0 0 0 0 103 0 0 103 0 0 0 0 103 0 0 103 5 0
164 Neurobion 5000 injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
165 Nifedipin tablet Tab 260 0 0 260 0 0 0 0 260 0 0 260 0 0 0 0 260 0 0 260 0 0
166 Nistatin tablet salut 500.000 iu/g Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
167 Nistatin tablet vaginal 100.000 iu/g Tab 330 0 0 330 0 0 0 0 330 0 0 330 50 0 0 50 280 0 0 280 25 0
168 O B H Btl 202 84 0 286 0 0 0 0 202 84 0 286 22 19 0 41 180 65 0 245 70 250
169 Obat Anti TBC Kategori 1 paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
170 Obat Anti TBC Kategori 1 -Stop TB KIT paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
171 Obat Anti TBC Kategori II paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
172 Obat Anti TBC Kategori Anak paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
173 Kombipak Kategori I paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
174 Ofloxacin 200 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
175 Oksitetrasiklin hcl salep mata 1 % tube 45 0 0 45 0 0 0 0 45 0 0 45 20 0 0 20 25 0 0 25 7 25
176 Oksitetrasiklin hcl salep kulit 3 % Tube 111 0 0 111 0 0 0 0 111 0 0 111 11 0 0 11 100 0 0 100 25 75
177 Oksitetrasiklin hcl injeksi vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
178 Oksitosin injeksi / Pitogin Ampul 80 0 0 80 0 0 0 0 80 0 0 80 0 0 0 0 80 0 0 80 15 0
179 Omeprazole capsul 20 mg Kap 721 0 0 721 0 0 0 0 721 0 0 721 271 0 0 271 450 0 0 450 500 3000
180 Ondansentron injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
181 Papaverin tablet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
182 Paracetamol tablet 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
183 Paracetamol tablet 500 mg Tab 35850 20200 0 56050 0 0 0 0 35850 20200 0 56050 14470 0 0 14470 21380 20200 0 41580 6200 2000
184 Paracetamol Drop Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
185 Parasetamol sirup Btl 40 291 0 331 0 0 0 0 40 291 0 331 25 21 0 46 15 270 0 285 80 300
186 Perfenazine tablet 4 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
187 Piracetam 3 g injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
188 Pirantel pamoat tablet 125 mg Tab 200 0 0 200 0 0 0 0 200 0 0 200 0 0 0 0 200 0 0 200 20 0
189 Pirantel pamoat sirup Btl 50 0 0 50 0 0 0 0 50 0 0 50 0 0 0 0 50 0 0 50 0 0
190 Pyrazinamide tablet 500 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
191 Piridoxin hcl tablet 10 mg Tab 20905 0 0 20905 0 0 0 0 20905 0 0 20905 525 0 0 525 20380 0 0 20380 1500 0
192 Piroxicam 10 mg Tab 500 2000 0 2500 0 0 0 0 500 2000 0 2500 200 0 0 200 300 2000 0 2300 100 0
193 Piroxicam 20 mg Tab 0 374 0 374 0 0 0 0 0 374 0 374 0 135 0 135 0 239 0 239 200 1000
194 Polikresulen / Albothil Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
195 Prednison tablet Tab 17930 0 0 17930 0 0 0 0 17930 0 0 17930 1498 0 0 1498 16432 0 0 16432 1000 3000
196 Primakuin tablet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
197 Prokain benzil penisilin inj vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
198 Pronalges suppositoria Supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAIA PERMINTAA PEMBERIAN
KET.
NO. NAMA BARANG SATUAN N
N
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/BLN PKD PROG JUMLAH

199 Propanolol tab 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


200 Propanolol tab 40 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
201 Propiltiourasil tablet 100 mg Tab 200 570 0 770 0 0 0 0 200 570 0 770 0 0 0 0 200 570 0 770 20 0
202 Proris suppositoria Supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
203 Perak sulfadiazine cream 3 % tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
204 Ranitidin tablet 150 mg Tab 2426 0 0 2426 0 0 0 0 2426 0 0 2426 426 0 0 426 2000 0 0 2000 550 2000
205 Ranitidin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
206 Reserpin tablet 0,1 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
207 Reserpin tablet 0,25 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
208 Retinol kapsul 100.000 IU Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
209 Retinol kapsul 200.000 IU Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
210 Rifampisin kapsul 300 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
211 Rifampisin kapsul 450 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
212 Rifampisin kapsul 600 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
213 Ringer laktat infus steril Btl 65 0 0 65 0 0 0 0 65 0 0 65 0 0 0 0 65 0 0 65 5 0
214 Salbutamol tablet 2 mg Tab 800 0 0 800 0 0 0 0 800 0 0 800 210 0 0 210 590 0 0 590 200 1000
215 Salbuatmol tablet 4 mg Tab 880 0 0 880 0 0 0 0 880 0 0 880 10 0 0 10 870 0 0 870 100 0
216 salep 2-4 Pot 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 48
217 Salisil bedak 2 % Pot 248 0 0 248 0 0 0 0 248 0 0 248 10 0 0 10 238 0 0 238 20 30
218 Semen seng fosfat serbuk & cairan Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
219 Serum Anti Bisa Ular injeksi Vial 1 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0
220 Serum Anti tetanus injeksi 1500 IU Ampul 10 0 0 10 0 0 0 0 10 0 0 10 0 0 0 0 10 0 0 10 6 30
221 Tatagam vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
222 Sianokobalamin inj 500 mcg/ml Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
223 Silver Amalgam serbuk Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
224 Simvastatin 10 mg Tab 2740 0 0 2740 0 0 0 0 2740 0 0 2740 970 0 0 970 1770 0 0 1770 700 3000
225 Simvastatin 20 mg supp 0 2525 0 2525 0 0 0 0 0 2525 0 2525 0 140 0 140 0 2385 0 2385 100 0
226 Stesolid rectal supp 5 mg Supp 5 0 0 5 0 0 0 0 5 0 0 5 0 0 0 0 5 0 0 5 2 5
227 Stesolid rectal supp 10 mg Btl 8 0 0 8 0 0 0 0 8 0 0 8 0 0 0 0 8 0 0 8 0 0
228 Sulfasetamid tetes mata 15 % Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
229 Tablet tambah darah (SF) Tab 8880 0 0 8880 0 0 0 0 8880 0 0 8880 2070 0 0 2070 6810 0 0 6810 4000 21000
230 Temporary / Fletcher Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
231 Tetrasiklin kapsul 250 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
232 Tetrasiklin kapsul 500 mg Tab 1000 0 0 1000 0 0 0 0 1000 0 0 1000 0 0 0 0 1000 0 0 1000 50 0
233 Thrombo Aspilet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
234 Thiamin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
235 Thiamin tablet 50 mg Tab 17945 0 0 17945 0 0 0 0 17945 0 0 17945 1017 0 0 1017 16928 0 0 16928 1000 0
236 Triheksipenidil hcl tablet 2 mg Tab 637 0 0 637 0 0 0 0 637 0 0 637 78 0 0 78 559 0 0 559 25 0
237 Trikresol formalin cairan ( TKF ) Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
238 Vaksin rabies vero Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
239 Valsartan 80 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAIA PERMINTAA PEMBERIAN
KET.
NO. NAMA BARANG SATUAN N
N
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/BLN PKD PROG JUMLAH

240 Ventolin nebulizer Nebules 30 0 0 30 0 0 0 0 30 0 0 30 10 0 0 10 20 0 0 20 10 50


241 Vitamin B komplek tablet Tab 13970 0 200 14170 0 0 0 0 13970 0 200 14170 1566 0 0 1566 12404 0 200 12604 3000 10000
242 Yodium povidon lart 10 % - 30 ml Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 7
243 Yodium povidon lart 10 % - 300 ml Btl 17 14 0 31 0 0 0 0 17 14 0 31 3 3 0 6 14 11 0 25 4 3
244 Xylocain jelly Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
245 Lidocain Pasta Pot 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
246 Zinc tablet 20 mg Tab 2355 0 0 2355 0 0 0 0 2355 0 0 2355 30 0 0 30 2325 0 0 2325 200 0
247 Zinc sirup Btl 106 0 0 106 0 0 0 0 106 0 0 106 5 0 0 5 101 0 0 101 10 0
248 Betamin drage ( Vit. B1 ) Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
249 Domperidon Btl 2600 0 0 2600 0 0 0 0 2600 0 0 2600 116 0 0 116 2484 0 0 2484 400 0
250 Clozapin 25 mg Tab 0 0 150 150 0 0 0 0 0 0 150 150 0 0 30 30 0 0 120 120 0 0
251 Clobazam 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
252 Trifluoperazin HCl 5 mg ( Stelosi ) Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
253 Vitamin B 12 Tab 2100 0 0 2100 0 0 0 0 2100 0 0 2100 54 0 0 54 2046 0 0 2046 100 0
254 Ketokonazol Crem Tube 40 0 0 40 0 0 0 0 40 0 0 40 8 0 0 8 32 0 0 32 7 20
255 Ketokonazole Tablet Tab 195 0 0 195 0 0 0 0 195 0 0 195 40 0 0 40 155 0 0 155 150 500
256 Flufenazin Decanoat Inj 25 mg Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
257 Haloperidol Inj 5 mg ( Ladomer ) Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
258 Haloperidol Decanoat Inj 50 mg Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
259 Resperidon tab 2 mg Tab 0 0 980 980 0 0 0 0 0 0 980 980 0 0 80 80 0 0 900 900 5 0
260 Curviplex Sirup Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 70
261 Andalan Inj 3 Bulan Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
262 Andalan Inj 1 Bulan Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 70
263 Cyclopen Inj. 1 Bulan Vial 0 170 0 170 0 0 0 0 0 170 0 170 0 10 0 10 0 160 0 160 5 0
264 Ichtyol Salaf Kulit Pot 0 8 0 8 0 0 0 0 0 8 0 8 0 0 0 0 0 8 0 8 6 30
265 Levertran Salep Kulit Pot 0 42 0 42 0 0 0 0 0 42 0 42 0 0 0 0 0 42 0 42 5 0
266 HEPATITIS B Paket 0 0 11 11 0 0 30 30 0 0 41 41 0 0 16 16 0 0 25 25 0 0
267 BCG Ampul 0 0 6 6 0 0 20 20 0 0 26 26 0 0 9 9 0 0 17 17 0 0
268 POLIO Vial 0 0 8 8 0 0 10 10 0 0 18 18 0 0 18 18 0 0 0 0 0 0
269 PENTABIO/DPTHBHib Vial 0 0 25 25 0 0 30 30 0 0 55 55 0 0 40 40 0 0 15 15 0 0
270 CAMPAK Vial 0 0 4 4 0 0 15 15 0 0 19 19 0 0 12 12 0 0 7 7 0 0
271 Td / TT Vial 0 0 20 20 0 0 0 0 0 0 20 20 0 0 5 5 0 0 15 15 0 0
272 IPV Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
273 Vaksin MR Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
274 Pelarut MR Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
275 Pentocain 0,5 % TT Mata Btl 0 25 0 25 0 0 0 0 0 25 0 25 0 13 0 13 0 12 0 12 0 0
276 Domperidon syrup btl 99 0 0 99 0 0 0 0 99 0 0 99 19 0 0 19 80 0 0 80 5 0
277 Kloramfenikol syrup btl 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100 5 0
278 cetirizin syrup btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0
279 Pritamox sirup 125 mg btl 0 180 0 180 0 0 0 0 0 180 0 180 0 0 0 0 0 180 0 180 5 0
280 Albendazole syrup btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAIA PERMINTAA PEMBERIAN
KET.
NO. NAMA BARANG SATUAN N
N
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/BLN PKD PROG JUMLAH

281 Moxalaskap/cotri480mg tab 0 2450 0 2450 0 0 0 0 0 2450 0 2450 0 16 0 16 0 2434 0 2434 100 0
282 Moxalas syr/cotry syr btl 0 100 0 100 0 0 0 0 0 100 0 100 0 0 0 0 0 100 0 100 0 0
283 Lorihis tab/loratadin tab tab 0 860 0 860 0 0 0 0 0 860 0 860 0 0 0 0 0 860 0 860 20 0
284 Flagsol syr/metro syr btl 0 46 0 46 0 0 0 0 0 46 0 46 0 0 0 0 0 46 0 46 0 0
285 Selfolic 1000mg/Asam folat tab 0 2000 0 2000 0 0 0 0 0 2000 0 2000 0 0 0 0 0 2000 0 2000 500 0
286 Trifadium2mg/Loperamid tab tab 0 570 0 570 0 0 0 0 0 570 0 570 0 70 0 70 0 500 0 500 250 1200
287 Omeprazole Injeksi Ampul 15 0 0 15 0 0 0 0 15 0 0 15 0 0 0 0 15 0 0 15 0 0
288 Gluconas Kalsikus injeksi amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
289 Tricloflem Vial 0 0 0 0 0 60 0 60 0 60 0 60 0 40 0 40 0 20 0 20 0 0
290 Cycloserin 250mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
291 Ethionmid 250mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
292 Levofloxacin 750mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
293 Bedaquilin 100mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
294 Hbig Bayi vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
295 Amoxcillin drop btl 49 0 0 49 0 0 0 0 49 0 0 49 0 0 0 0 49 0 0 49 0 0
296 scabimid salep tube 56 0 0 56 0 0 0 0 56 0 0 56 7 0 0 7 49 0 0 49 0 0
297 Selcom C Tab 0 0 500 500 0 0 0 0 0 0 500 500 0 0 100 100 0 0 400 400 0 0
298 Cyanocobalamin Inj Ampul 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100 0 0
299 Kloramfenicol 500 mg Kap 410 0 0 410 0 0 0 0 410 0 0 410 0 0 0 0 410 0 0 410 100 1000
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
BMHP
300 Alat suntik 1 ml Pcs 600 0 0 600 0 0 0 0 600 0 0 600 100 0 0 100 500 0 0 500 100 500
301 Alat suntik 2,5 ml Pcs 400 0 0 400 0 0 0 0 400 0 0 400 100 0 0 100 300 0 0 300 300 1800
302 Alat suntik 3 ml Pcs 2700 400 30 3130 0 0 0 0 2700 400 30 3130 0 0 0 0 2700 400 30 3130 200 0
303 Alat suntik 5 ml Pcs 1300 500 300 2100 0 0 0 0 1300 500 300 2100 0 0 0 0 1300 500 300 2100 100 0
304 Alkohol 70 % ( 1 L ) Btl 22 0 0 22 0 0 0 0 22 0 0 22 3 0 0 3 19 0 0 19 5 12
305 Alkohol 70 % ( 60 Ml ) Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
306 Aqua destilata steril 500 ml Btl 12 0 0 12 0 0 0 0 12 0 0 12 0 0 0 0 12 0 0 12 2 2
307 Aqua pro injeksi Vial 74 25 0 99 0 0 0 0 74 25 0 99 0 0 0 0 74 25 0 99 5 0
308 Bisturi no 10 Pcs 10 0 0 10 0 0 0 0 10 0 0 10 0 0 0 0 10 0 0 10 0 0
309 Bisturi no 11 Pcs 10 0 0 10 0 0 0 0 10 0 0 10 0 0 0 0 10 0 0 10 0 0
310 Bisturi no 20 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
311 Bisturi no 22 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
312 Blood Lancet Pcs 2000 2800 0 4800 0 0 0 0 2000 2800 0 4800 0 0 0 0 2000 2800 0 4800 0 0
313 Catgut/benang bedah Pcs 96 0 0 96 0 0 0 0 96 0 0 96 0 0 0 0 96 0 0 96 5 0
314 ETT no.6 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
315 ETT no.6,5 Set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
316 ETT no.7 Set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
317 ETT no.7,5 Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
318 Hand scrub Pcs 23 0 0 23 0 0 0 0 23 0 0 23 2 0 0 2 21 0 0 21 8 35
319 Handscoon uk.S Pcs 500 0 0 500 0 0 0 0 500 0 0 500 200 0 0 200 300 0 0 300 400 2500
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAIA PERMINTAA PEMBERIAN
KET.
NO. NAMA BARANG SATUAN N
N
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/BLN PKD PROG JUMLAH

320 Handscoon uk. M Pcs 300 1400 0 1700 0 0 0 0 300 1400 0 1700 300 0 0 300 0 1400 0 1400 800 4200
321 Handscoon uk. L Pcs 300 100 0 400 0 0 0 0 300 100 0 400 300 100 0 400 0 0 0 0 500 3500
322 Infusion set anak set 0 50 0 50 0 0 0 0 0 50 0 50 0 0 0 0 0 50 0 50 0 0
323 Infusion set dewasa set 0 45 0 45 0 0 0 0 0 45 0 45 0 0 0 0 0 45 0 45 0 0
324 Wing neadle no. 23G Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
325 IV Catheter (Abocath) NO.20 Pcs 10 0 0 10 0 0 0 0 10 0 0 10 0 0 0 0 10 0 0 10 0 0
326 IV Catheter (Abocath) NO.22 Pcs 10 0 0 10 0 0 0 0 10 0 0 10 0 0 0 0 10 0 0 10 0 0
327 IV Catheter (Abocath) NO.24 pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
328 Jarum Jahit (Nald Heating ) no. 10 pcs 39 0 0 39 0 0 0 0 39 0 0 39 0 0 0 0 39 0 0 39 0 0
329 Jarum Jahit (Nald Heating ) no. 11 pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
330 Jarum Jahit (Nald Heating ) no. 12 pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
331 Jarum Jahit (Nald Heating ) no. 13 pcs 25 0 0 25 0 0 0 0 25 0 0 25 0 0 0 0 25 0 0 25 0 0
332 Jarum Jahit (Nald Heating ) no. 14 Pcs 25 0 0 25 0 0 0 0 25 0 0 25 0 0 0 0 25 0 0 25 0 0
333 Kapas pembalut/Absorben 250 gr Roll 44 0 0 44 0 0 0 0 44 0 0 44 0 0 0 0 44 0 0 44 0 0
334 Kasa kompres 40/40 steril Roll 158 0 0 158 0 0 0 0 158 0 0 158 0 0 0 0 158 0 0 158 0 0
335 Kasa pembalut hidrofil 4m x 15 cm Roll 420 0 0 420 0 0 0 0 420 0 0 420 0 0 0 0 420 0 0 420 0 0
336 Kasa pembalut hidrofil 4 m x 3 cm Roll 300 0 0 300 0 0 0 0 300 0 0 300 0 0 0 0 300 0 0 300 0 0
337 Kassa 36x80 cm Roll 16 0 0 16 0 0 0 0 16 0 0 16 0 0 0 0 16 0 0 16 3 5
338 Kertas Saring Whatman Buku 0 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 1 0 0
339 Masker Pcs 950 3200 0 4150 0 750 0 750 950 3950 0 4900 500 500 0 1000 450 3450 0 3900 1100 3800
340 Objec Glass Box/72 4 0 17 21 0 0 0 0 4 0 17 21 0 0 0 0 4 0 17 21 0 0
341 Pipet Tetes Panjang Pcs 15 0 0 15 0 0 0 0 15 0 0 15 0 0 0 0 15 0 0 15 0 0
342 Plastik Obat Klip 10 x 7 Pcs 0 15000 0 15000 0 0 0 0 0 15000 0 15000 0 1000 0 1000 0 14000 0 14000 3000 7000
343 Plastik Obat Klip 13 x 8,7 0 12000 0 12000 0 0 0 0 0 12000 0 12000 0 1000 0 1000 0 11000 0 11000 3000 10000
344 Plester 5 yard x 2 inch Roll 19 0 4 23 0 0 0 0 19 0 4 23 0 0 0 0 19 0 4 23 2 6
345 Poly catheter no.8 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
346 Poly catheter no.12 Pcs 3 0 0 3 0 0 0 0 3 0 0 3 0 0 0 0 3 0 0 3 0 0
347 Poly catheter no.16 Pcs/set 16 0 0 16 0 0 0 0 16 0 0 16 0 0 0 0 16 0 0 16 0 -16
348 Silk ( benang bedah sutera) 03/0 Sak 49 0 36 85 0 0 0 0 49 0 36 85 0 0 0 0 49 0 36 85 5 0
349 Spons gelatin cublices bks 7 0 0 7 0 0 0 0 7 0 0 7 0 0 0 0 7 0 0 7 0 0
350 Stick Gluco DR Btl/50 1 11 0 12 0 0 0 0 1 11 0 12 1 1 0 2 0 10 0 10 2 4
351 Tabung Reaksi Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
352 Tes Kehamilan HCG Pcs 2 0 0 2 0 0 0 0 2 0 0 2 0 0 0 0 2 0 0 2 0 0
353 Transfution set/Transfusion blood ADM set 3 0 0 3 0 0 0 0 3 0 0 3 0 0 0 0 3 0 0 3 0 0
354 Urinalysis 10 parameter Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0
355 Stick asam Urat Btl/25 1 8 0 9 0 5 0 5 1 13 0 14 1 0 0 1 0 13 0 13 1 0
356 Stick Colestrol Btl/10 0 0 0 0 0 25 0 25 0 25 0 25 0 2 0 2 0 23 0 23 2 0
357 Jelly 250ml Ultra soundgel btl 0 2 0 2 0 0 0 0 0 2 0 2 0 1 0 1 0 1 0 1 1 6
358 Pot sputum Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
359 Reagen TB Paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
360 Sefty box 2,5 L Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAIA PERMINTAA PEMBERIAN
KET.
NO. NAMA BARANG SATUAN N
N
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/BLN PKD PROG JUMLAH

361 Reagen sifilis(SD,Bio StanQ) Test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


362 Box Slide Ktk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
363 Fokus test Ktk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
364 Alat suntik 0,5 ml Box 0 0 4859 4859 0 0 0 0 0 0 4859 4859 0 0 0 0 0 0 4859 4859 0 0
365 Sefty box 5 L Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
366 Masker Nebulizer Anak Psc 5 0 0 5 0 0 0 0 5 0 0 5 0 0 0 0 5 0 0 5 0 5
367 Masker Nebulizer Dewasa Psc 10 0 0 10 0 0 0 0 10 0 0 10 0 0 0 0 10 0 0 10 0 5
368 Nasal Oksigen Kanula Anak Psc 5 0 0 5 0 0 0 0 5 0 0 5 0 0 0 0 5 0 0 5 0 5
369 Nasal Oksigen Kanula Dewasa Psc 10 0 0 10 0 0 0 0 10 0 0 10 0 0 0 0 10 0 0 10 0 5
370 Non Rebreating Mask Psc 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
371 ID Dewasa Pink Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
372 ID Dewasa Blue Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
373 ID Bayi Pink Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
374 ID Bayi Biru Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
375 Umbilical Keniko Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
376 Folley Catheter 16 Rusch Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
377 Urine Bag Fresco Pcs 10 0 0 10 0 0 0 0 10 0 0 10 10 0 0 10 0 0 0 0 0 0
378 Disp Sryringe 10 ml Onemed Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
379 Suction Catheter 8 Remedi Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
380 Suction Catheter 16 Remedi Psc 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
381 Plaster Hypafix Psc 14 0 0 14 0 0 0 0 14 0 0 14 0 0 0 0 14 0 0 14 3 7
382 Rapid Test HIV I Standar (Stik SD HIV ) Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
383 Kasa Steril 16 X 16 Kotak 0 164 0 164 0 0 0 0 0 164 0 164 0 0 0 0 0 164 0 164 0 0
384 Alat Nesco Tri in one Kotak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
385 Alkohol Swab One swab Kotak 0 10 0 10 0 0 0 0 0 10 0 10 0 0 0 0 0 10 0 10 2 4
386 Bahan tambalan Komposid (solare) Tube 0 4 0 4 0 0 0 0 0 4 0 4 0 0 0 0 0 4 0 4 0 0
387 OCO Btl/15ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
388 Paper Pad Buku 0 6 0 6 0 0 0 0 0 6 0 6 0 0 0 0 0 6 0 6 0 0
389 Masker 1860 S/N95 pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
390 Rapid Test HIV II : Vikia (HIV ke 1) Test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
391 Rapid Test Hiv, 3 : Intec/China (HIV KE 2) Test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
392 RDT(Virotec+Diluent)DBD Test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
393 Rapid HBsAg(Virochek HbsAg) Test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
394 Baju Hazmat APD Pcs 0 20 0 20 0 0 0 0 0 20 0 20 0 20 0 20 0 0 0 0 0 0
395 Baju APD Gaun Pcs 0 0 0 0 0 10 0 10 0 10 0 10 0 10 0 10 0 0 0 0 0 0
REAGENSIA
396 Cell Clean ( CL-50) Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
397 Cell Pack ( PK-30L) Btl 0 0 0 0 0 3 0 3 0 3 0 3 0 3 0 3 0 0 0 0 1 0
398 Control eight check 3 x 1,5 ml Btl/set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
399 Eightcheck-3WP (Normal) 1,5 ml Vial 0 0 0 0 0 1 0 1 0 1 0 1 0 1 0 1 0 0 0 0 0 0
400 Eightcheck-3WP (Low) 1,5 ml Vial 0 0 0 0 0 1 0 1 0 1 0 1 0 1 0 1 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAIA PERMINTAA PEMBERIAN
KET.
NO. NAMA BARANG SATUAN N
N
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/BLN PKD PROG JUMLAH

401 Eightcheck-3WP (High) 1,5 ml Vial 0 0 0 0 0 1 0 1 0 1 0 1 0 1 0 1 0 0 0 0 0 0


402 Stomalyzer WH(SWH-2004) btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0
403 Tabung K2 EDTA 2 ml Btl 0 0 0 0 0 5 0 5 0 5 0 5 0 4 0 4 0 1 0 1 2 0
404 Printer Paper Pcs 0 0 0 0 0 5 0 5 0 5 0 5 0 5 0 5 0 0 0 0 0 0
405 Deck Glass Btl 5 0 0 5 0 0 0 0 5 0 0 5 0 0 0 0 5 0 0 5 0 0
406 Tes Gol Darah (A,B,AB ) Set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
407 Tisu lensa Buku 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
408 Kertas perkamen Lembar 19 0 0 19 0 0 0 0 19 0 0 19 0 0 0 0 19 0 0 19 0 0
409 Podofilin Tinctur 25 % Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
410 Larutan Fauchet Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
411 Larutan Lisol Btl 22 0 0 22 0 0 0 0 22 0 0 22 0 0 0 0 22 0 0 22 0 0
412 Larutan asam klorida 0,1 N Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
413 Larutan asam sulfosalisilat 20% Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
414 Larutan barium klorida Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
415 Larutan Benedict Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
416 Larutan Bupper PH 7,2 Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
417 Larutan EDTA Cair 10 % Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
418 Larutan Eosin 2 % Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
419 Larutan Etanol Asam Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
420 Larutan Giemsa Stalin Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
421 Larutan H2O2 Btl 7 0 0 7 0 0 0 0 7 0 0 7 0 0 0 0 7 0 0 7 0 0
422 Larutan Imersen oil HB Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
423 Larutan karbol fuksin Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
424 Larutan Metanol Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425 Larutan Metilen Biru Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
426 Larutan Natrium Sitrat 38 % Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
427 Larutan Rees echer Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
428 Larutan spiritus 100 ml Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
429 Larutan turk Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
430 Ether Alkohol Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
431 Buffer Ph 6,4 Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
432 KOH 10 % Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

339606 156418 7375 503399 400 866 105 1371 340006 2E+05 7480 504770 50650 12869 435 63954 289356 144415 7045 440816

339,606 156,418 7,375 503399 400 856 - 1,256 504,770 50650 12859 335 63844 289,356 144,415 7040 440,811

5
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAIA PERMINTAA PEMBERIAN
KET.
NO. NAMA BARANG SATUAN N
N
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/BLN PKD PROG JUMLAH

JENIS PELAYANAN PUSKESMAS PAAL X PUSTU POSKESDES JUMLAH


R/ UMUM 209 45 0 254
R/ BPJS 561 23 8 592
R/ JAMKESDA 0 25 0 25
Jlh. Recipe 2045 372 56 2473
Jlh R/ Generik 2045 372 56 2473
R/ Antibiotik 134 35 16 185

Mengetahui Jambi, September 2020


Kepala UPTD Puskesmas Paal X Kota Jambi

dr.Hj.SRI ROSIANTI SRI HARTATY, AMF


NIP. 19720704 200701 2 017 NIP. 19820825 200502 2 001
PUSKESMAS PAAL X KOTA JAMBI
KODE. 5070101

JUMLAH STOK AWAL


NO. NAMA BARANG SATUAN
JUMLAH PKD BLUD PROG
OBAT
1 Acyclovir cream 5 % tube 325 325 0 0
2 Acyclovir tablet 200 mg Tab 1155 1155 0 0
3 Acyclovir tablet 400 mg Tab 1150 1150 0 0
4 Air Raksa Dental Use Btl 1 1 0 0
5 Albendazole 400 mg Tab 100 100 0 0
6 Allopurinol 100 mg Tab 2700 2700 0 0
7 Allopurinol 300 mg Tab 0 0 0 0
8 Ambroxol syrup Btl 227 60 167 0
9 Ambroxol tab 30 mg Tab 2550 2550 0 0
10 Aminofilin injeksi Ampul 0 0 0 0
11 Aminofilin tablet Tab 1500 1500 0 0
12 Amitriptilin tablet 25 mg Tab 1985 1985 0 0
13 Amlodipin 5 mg Tab 3900 900 3000 0
14 Amoksisilin kap 250 mg Kap 9000 0 9000 0
15 Amoksisilin kap 500 mg Kap 20200 20200 0 0
16 Amoksisilin sirup kering 125 mg/5 ml Btl 154 154 0 0
17 Amoksisilin Sirup Forte 250 mg/5 ml Btl 458 458 0 0
18 Amlodipin 10 mg Tab 2445 2445 0 0
19 Amoksisilin injeksi Vial 0 0 0 0
20 Ampisilin Kaplet 500 mg Kap 0 0 0 0
21 Ampisilin sirup kering 125 mg/5 ml Btl 0 0 0 0
22 Antalgin tablet 500 mg Tab 3810 3810 0 0
23 Antalgin injeksi Ampul 0 0 0 0
24 Antasida doen tablet Tab 22860 12860 10000 0
25 Antasida sirup Btl 207 190 17 0
26 Anti Bakteri salep / Bacitracin salep Tube 0 0 0 0
27 Anti Fungi kombinasi Pot 128 128 0 0
28 Anti Hemoroid supp 207 207 0 0
29 Anti Migrain tablet Tab 980 980 0 0
30 Asam Askorbat (VIT C) 50 mg Tab 29620 24120 5500 0
31 Asam Folat Tab 4770 4770 0 0
32 Asering Infus Kolf 0 0 0 0
33 Asam Mefenamat 500 mg Tab 5655 5655 0 0
34 Asam Tranexamat injeksi Ampul 0 0 0 0
35 Asam Asetilsalisilat(Asetosal) 80 mg Tab 100 100 0 0
36 Asetosal tablet 100 mg Tab 0 0 0 0
37 Azitromycin 500 mg Tab 195 195 0 0
38 Bisoprolol tablet Tab 0 0 0 0
39 Benzatin benzil penicilin inj 2,4 jt iu Vial 0 0 0 0
40 Betadin salep Tube 0 0 0 0
41 Betametason kream 0,1 % Tube 206 206 0 0
42 Bisacodyl 10 mg Supp 0 0 0 0
43 Bethahistin maselat Tablet 2798 2798 0 0
44 Captopril 12,5 mg Tab 800 800 0 0
45 Captopril 25 mg Tab 100 100 0 0
46 Captopril 50 mg Tab 0 0 0 0
47 Caviton Btl 2 2 0 0
48 Cefadroxil 500 mg kap 874 874 0 0
49 Cefotaxime injeksi 1 g Vial 0 0 0 0
50 Cefriaxon injeksi Vial 0 0 0 0
51 Cetrizin tablet 10 mg Kap 0 0 0 0
52 Ciprofloxacin 500 mg Tab 3390 3390 0 0
53 Clindamicin 150 mg Kap 300 300 0 0
54 Clindamicin 300 mg Kap 0 0 0 0
55 Devitalisasi pasta Btl 0 0 0 0
56 Dexamethason tablet Tab 12600 12600 0 0
57 Dexamethason injeksi Ampul 160 160 0 0
58 Diazepam tablet 2 mg Tab 941 141 800 0
59 Diazepam tablet 5 mg Tab 1194 1094 0 100
60 Diazepam injeksi Ampul 30 30 0 0
61 Difenhidramin injeksi Ampul 120 120 0 0
62 Digoksin tablet Tab 100 100 0 0
63 Doxicillin Tab 0 0 0 0
64 Dulcolax tablet Tab 0 0 0 0
65 Dulculax supp 10 mg ( Dewasa ) Supp 71 71 0 0
66 Dulculax supp 5 mg ( Anak ) Supp 25 25 0 0
67 Efedrin Hcl 25 mg Tab 0 0 0 0
68 Ekstrak belladona tablet 10 mg Tab 0 0 0 0
69 Ephinefrin hcl injeksi Ampul 120 120 0 0
70 Erytromycin kapsul 250 mg Kap 3256 3256 0 0
71 Erytromycin kapsul 500 mg Kap 4000 4000 0 0
72 Erytromycin syrup Btl 18 0 18 0
73 Etakridin / Rivanol Btl 12 12 0 0
74 Ethambutol hcl tab 250 mg Tab 0 0 0 0
75 Ethambutol hcl tab 500 mg Tab 0 0 0 0
76 Etil klorida semprot Btl 6 6 0 0
77 Eugenol cairan Btl 0 0 0 0
78 Fenitoin natrium 30 mg Kap 0 0 0 0
79 Fenitoin natrium 100 mg Kap 0 0 0 0
80 Fenobarbital injeksi Ampul 0 0 0 0
81 Fenobarbital tab 100 mg Tab 0 0 0 0
82 Fenobarbital tablet 30 mg Tab 697 697 0 0
83 Fenoksimetil fenisilin tab 250 mg Tab 0 0 0 0
84 Fenoksimetil fenisilin tab 500 mg Tab 0 0 0 0
85 Fenol Gliserol tetes telinga Btl 105 105 0 0
86 Fitomenadion (Vit K) tab 10 mg Tab 2150 2150 0 0
87 Fitomenadion (Vit K) injeksi Ampul 60 60 0 0
88 Fluconazol 150 mg Tab 0 0 0 0
89 Furosemide tablet 40 mg Tab 595 0 595 0
90 Fluor gel Btl 0 0 0 0
91 Garam oralit untuk 200 ml air Set 4530 4530 0 0
92 Gentamycin salep kulit 0,1 % Tube 98 98 0 0
93 Gentamycin salep mata Tube 100 100 0 0
94 Gentamycin tetes mata Btl 135 135 0 0
95 Gentamycin injeksi Ampul 0 0 0 0
96 Gentian violet Btl 81 33 48 0
97 Glass Ionomer (ART FUJI IX) Btl 0 0 0 0
98 Glibenklamida tablet 5 mg Tab 100 100 0 0
99 Glimepiride 1 mg Tab 2340 2340 0 0
100 Glimepiride 2 mg Tab 1725 1225 500 0
101 Gliseril guaiakolat tablet 100 mg Tab 44286 0 44286 0
102 Glukosa larutan infus 5 % steril Btl 0 0 0 0
103 Griseofulvin tablet 125 mg Tab 1600 1600 0 0
104 Griseofulvin tablet 500 mg Tab 400 400 0 0
105 Halloperidol tab 0,5 mg Tab 70 70 0 0
106 Halloperidol tab 1,5 mg Tab 600 600 0 0
107 Halloperidol tab 5 mg Tab 100 100 0 0
108 Hidroklortiazide (HCT) tablet 25 mg Tab 1300 1300 0 0
109 Hidrocortison krim 2,5 % Tube 128 128 0 0
110 Ibuprofen tablet 200 mg Tab 1628 1628 0 0
111 Ibuprofen tablet 400 mg Tab 1000 1000 0 0
112 Ibuprofen syrup Btl 0 0 0 0
113 Insulin Human Rapid injeksi 100 IU vial 0 0 0 0
114 Isoniazida ( INH ) tab 100 mg Tab 0 0 0 0
115 Isoniazida ( INH ) tab 300 mg Tab 100 0 0 100
116 Isosorbit dinitrat sublingual 5 mg Tab 115 115 0 0
117 Komb. Primetamin 25mg+suldox 500mg Tab 0 0 0 0
118 Klorfenol kamfermenthol ( CHKM ) Tab 0 0 0 0
119 Kalsium Laktat tablet Tab 21305 10805 10500 0
120 Kandesartan cilexetil 8 mg Tab 0 0 0 0
121 Karbamazepin tablet 200 mg Tab 500 500 0 0
122 Ketorolac injeksi Ampul 0 0 0 0
123 Kloramfenikol salep kulit Tube 132 132 0 0
124 Kloramfenikol salep mata 1 % Tube 130 130 0 0
125 Kloramfenicol tetes telinga 3 % Btl 65 65 0 0
126 Kloramfenicol 250 mg kapsul Kap 0 0 0 0
127 Klorfeniramin maleat 4 mg (CTM ) Tab 22240 22240 0 0
128 Kloramfenicol tetes mata ( Reco ) Btl 48 0 48 0
129 Kalsium Hidroksida Pasta ( Calcidor ) Tube 0 0 0 0
130 Klorpromazin hcl injeksi Ampul 0 0 0 0
131 Klorpromazine tab salut 25 mg Tab 0 0 0 0
132 Klorpromazine tab salut 100 mg Tab 90 90 0 0
133 Kodein tablet 10 mg Tab 688 688 0 0
134 Kotrimoksazol suspensi Btl 300 300 0 0
135 Kotrimoksazol pediatrik Tab 0 0 0 0
136 Kotrimoksazol tablet 480 mg Tab 2000 2000 0 0
137 Klorokuin Tab 0 0 0 0
138 Kuinin sulfat tab 222 mg (7H2O) Tab 0 0 0 0
139 Lidocain kompositum inj (Pehacain) Ampul 480 480 0 0
140 Lidocain injeksi Ampul 400 400 0 0
141 Lisinopril 10 mg Tab 0 0 0 0
142 Loperamide tab 2 mg / Novadium Tab 0 0 0 0
143 Loratadin 10 mg Tab 0 0 0 0
144 Magnesium sulfat injeksi 20% vial 5 5 0 0
145 Magnesium sulfat injeksi 40% vial 5 5 0 0
146 Mecobalamin injeksi Ampul 0 0 0 0
147 Meloxicam 7,5 mg Tab 0 0 0 0
148 Metformin hcl tablet 500 mg Tab 3670 3670 0 0
149 Methyl prednisolon tablet 4 mg Tab 7584 5000 2584 0
150 Metilergometrin tablet salut Tab 200 200 0 0
151 Metilergometrin injeksi Ampul 25 0 0 25
152 Metoklorpropamide hcl 10 mg Tab 2500 2500 0 0
153 Metronidazole tablet 250 mg Tab 0 0 0 0
154 Metronidazole tablet 500 mg Tab 1475 1475 0 0
155 Metronidazole syrup Btl 0 0 0 0
156 Metronidazole infus Btl 0 0 0 0
157 Miconazol cream tube 184 184 0 0
158 Microlax rectal tube tube 0 0 0 0
159 Mummifying pasta Btl 0 0 0 0
160 Natrium bikarbonat tablet Tab 1165 1165 0 0
161 Natrium Diklofenak 25 mg Tab 2620 2620 0 0
162 Natrium Diklofenak 50 mg Tab 2650 1550 1100 0
163 Natrium klorida larutan infus Btl 103 103 0 0
164 Neurobion 5000 injeksi Ampul 0 0 0 0
165 Nifedipin tablet Tab 260 260 0 0
166 Nistatin tablet salut 500.000 iu/g Tab 0 0 0 0
167 Nistatin tablet vaginal 100.000 iu/g Tab 330 330 0 0
168 OBH Btl 286 202 84 0
169 Obat Anti TBC Kategori 1 paket 0 0 0 0
170 Obat Anti TBC Kategori 1 -Stop TB KIT paket 0 0 0 0
171 Obat Anti TBC Kategori II paket 0 0 0 0
172 Obat Anti TBC Kategori Anak paket 0 0 0 0
173 Kombipak Kategori I paket 0 0 0 0
174 Ofloxacin 200 mg Tab 0 0 0 0
175 Oksitetrasiklin hcl salep mata 1 % tube 45 45 0 0
176 Oksitetrasiklin hcl salep kulit 3 % Tube 111 111 0 0
177 Oksitetrasiklin hcl injeksi vial 0 0 0 0
178 Oksitosin injeksi / Pitogin Ampul 80 80 0 0
179 Omeprazole capsul 20 mg Kap 721 721 0 0
180 Ondansentron injeksi Ampul 0 0 0 0
181 Papaverin tablet Tab 0 0 0 0
182 Paracetamol tablet 100 mg Tab 0 0 0 0
183 Paracetamol tablet 500 mg Tab 56050 35850 20200 0
184 Paracetamol Drop Btl 0 0 0 0
185 Parasetamol sirup Btl 331 40 291 0
186 Perfenazine tablet 4 mg Tab 0 0 0 0
187 Piracetam 3 g injeksi Ampul 0 0 0 0
188 Pirantel pamoat tablet 125 mg Tab 200 200 0 0
189 Pirantel pamoat sirup Btl 50 50 0 0
190 Pyrazinamide tablet 500 mg Tab 0 0 0 0
191 Piridoxin hcl tablet 10 mg Tab 20905 20905 0 0
192 Piroxicam 10 mg Tab 2500 500 2000 0
193 Piroxicam 20 mg Tab 374 0 374 0
194 Polikresulen / Albothil Btl 0 0 0 0
195 Prednison tablet Tab 17930 17930 0 0
196 Primakuin tablet Tab 0 0 0 0
197 Prokain benzil penisilin inj vial 0 0 0 0
198 Pronalges suppositoria Supp 0 0 0 0
199 Propanolol tab 10 mg Tab 0 0 0 0
200 Propanolol tab 40 mg Tab 0 0 0 0
201 Propiltiourasil tablet 100 mg Tab 770 200 570 0
202 Proris suppositoria Supp 0 0 0 0
203 Perak sulfadiazine cream 3 % tube 0 0 0 0
204 Ranitidin tablet 150 mg Tab 2426 2426 0 0
205 Ranitidin injeksi Ampul 0 0 0 0
206 Reserpin tablet 0,1 mg Tab 0 0 0 0
207 Reserpin tablet 0,25 mg Tab 0 0 0 0
208 Retinol kapsul 100.000 IU Kapsul 0 0 0 0
209 Retinol kapsul 200.000 IU Kapsul 0 0 0 0
210 Rifampisin kapsul 300 mg Kap 0 0 0 0
211 Rifampisin kapsul 450 mg Kap 0 0 0 0
212 Rifampisin kapsul 600 mg Kap 0 0 0 0
213 Ringer laktat infus steril Btl 65 65 0 0
214 Salbutamol tablet 2 mg Tab 800 800 0 0
215 Salbuatmol tablet 4 mg Tab 880 880 0 0
216 salep 2-4 Pot 0 0 0 0
217 Salisil bedak 2 % Pot 248 248 0 0
218 Semen seng fosfat serbuk & cairan Btl 0 0 0 0
219 Serum Anti Bisa Ular injeksi Vial 1 1 0 0
220 Serum Anti tetanus injeksi 1500 IU Ampul 10 10 0 0
221 Tatagam vial 0 0 0 0
222 Sianokobalamin inj 500 mcg/ml Btl 0 0 0 0
223 Silver Amalgam serbuk Tab 0 0 0 0
224 Simvastatin 10 mg Tab 2740 2740 0 0
225 Simvastatin 20 mg supp 2525 0 2525 0
226 Stesolid rectal supp 5 mg Supp 5 5 0 0
227 Stesolid rectal supp 10 mg Btl 8 8 0 0
228 Sulfasetamid tetes mata 15 % Tab 0 0 0 0
229 Tablet tambah darah (SF) Tab 8880 8880 0 0
230 Temporary / Fletcher Kap 0 0 0 0
231 Tetrasiklin kapsul 250 mg Kap 0 0 0 0
232 Tetrasiklin kapsul 500 mg Tab 1000 1000 0 0
233 Thrombo Aspilet Tab 0 0 0 0
234 Thiamin injeksi Ampul 0 0 0 0
235 Thiamin tablet 50 mg Tab 17945 17945 0 0
236 Triheksipenidil hcl tablet 2 mg Tab 637 637 0 0
237 Trikresol formalin cairan ( TKF ) Ampul 0 0 0 0
238 Vaksin rabies vero Tab 0 0 0 0
239 Valsartan 80 mg Tab 0 0 0 0
240 Ventolin nebulizer Nebules 30 30 0 0
241 Vitamin B komplek tablet Tab 14170 13970 0 200
242 Yodium povidon lart 10 % - 30 ml Btl 0 0 0 0
243 Yodium povidon lart 10 % - 300 ml Btl 31 17 14 0
244 Xylocain jelly Tube 0 0 0 0
245 Lidocain Pasta Pot 0 0 0 0
246 Zinc tablet 20 mg Tab 2355 2355 0 0
247 Zinc sirup Btl 106 106 0 0
248 Betamin drage ( Vit. B1 ) Tab 0 0 0 0
249 Domperidon Btl 2600 2600 0 0
250 Clozapin 25 mg Tab 150 0 0 150
251 Clobazam 10 mg Tab 0 0 0 0
252 Trifluoperazin HCl 5 mg ( Stelosi ) Tab 0 0 0 0
253 Vitamin B 12 Tab 2100 2100 0 0
254 Ketokonazol Crem Tube 40 40 0 0
255 Ketokonazole Tablet Tab 195 195 0 0
256 Flufenazin Decanoat Inj 25 mg Ampul 0 0 0 0
257 Haloperidol Inj 5 mg ( Ladomer ) Ampul 0 0 0 0
258 Haloperidol Decanoat Inj 50 mg Ampul 0 0 0 0
259 Resperidon tab 2 mg Tab 980 0 0 980
260 Curviplex Sirup Btl 0 0 0 0
261 Andalan Inj 3 Bulan Vial 0 0 0 0
262 Andalan Inj 1 Bulan Vial 0 0 0 0
263 Cyclopen Inj. 1 Bulan Vial 170 0 170 0
264 Ichtyol Salaf Kulit Pot 8 0 8 0
265 Levertran Salep Kulit Pot 42 0 42 0
266 HEPATITIS B Paket 11 0 0 11
267 BCG Ampul 6 0 0 6
268 POLIO Vial 8 0 0 8
269 PENTABIO/DPTHBHib Vial 25 0 0 25
270 CAMPAK Vial 4 0 0 4
271 Td / TT Vial 20 0 0 20
272 IPV Vial 0 0 0 0
273 Vaksin MR Vial 0 0 0 0
274 Pelarut MR Vial 0 0 0 0
275 Pentocain 0,5 % TT Mata Btl 25 0 25 0
276 Domperidon syrup btl 99 99 0 0
277 Kloramfenikol syrup btl 100 100 0 0
278 cetirizin syrup btl 0 0 0 0
279 Pritamox sirup 125 mg btl 180 0 180 0
280 Albendazole syrup btl 0 0 0 0
281 Moxalaskap/cotri480mg tab 2450 0 2450 0
282 Moxalas syr/cotry syr btl 100 0 100 0
283 Lorihis tab/loratadin tab tab 860 0 860 0
284 Flagsol syr/metro syr btl 46 0 46 0
285 Selfolic 1000mg/Asam folat tab 2000 0 2000 0
286 Trifadium2mg/Loperamid tab tab 570 0 570 0
287 Omeprazole Injeksi Ampul 15 15 0 0
288 Gluconas Kalsikus injeksi amp 0 0 0 0
289 Tricloflem Vial 0 0 0 0
290 Cycloserin 250mg tab 0 0 0 0
291 Ethionmid 250mg tab 0 0 0 0
292 Levofloxacin 750mg tab 0 0 0 0
293 Bedaquilin 100mg tab 0 0 0 0
294 Hbig Bayi vial 0 0 0 0
295 Amoxcillin drop btl 49 49 0 0
296 scabimid salep tube 56 56 0 0
297 Selcom C Tab 500 0 0 500
298 Cyanocobalamin Inj Ampul 100 100 0 0
299 Kloramfenicol 500 mg Kap 410 410 0 0
0 0 0 0
BMHP 0 0 0 0
300 Alat suntik 1 ml Pcs 600 600 0 0
301 Alat suntik 2,5 ml Pcs 400 400 0 0
302 Alat suntik 3 ml Pcs 3130 2700 400 30
303 Alat suntik 5 ml Pcs 2100 1300 500 300
304 Alkohol 70 % ( 1 L ) Btl 22 22 0 0
305 Alkohol 70 % ( 60 Ml ) Btl 0 0 0 0
306 Aqua destilata steril 500 ml Btl 12 12 0 0
307 Aqua pro injeksi Vial 99 74 25 0
308 Bisturi no 10 Pcs 10 10 0 0
309 Bisturi no 11 Pcs 10 10 0 0
310 Bisturi no 20 Pcs 0 0 0 0
311 Bisturi no 22 Pcs 0 0 0 0
312 Blood Lancet Pcs 4800 2000 2800 0
313 Catgut/benang bedah Pcs 96 96 0 0
314 ETT no.6 Pcs 0 0 0 0
315 ETT no.6,5 Set 0 0 0 0
316 ETT no.7 Set 0 0 0 0
317 ETT no.7,5 Btl 0 0 0 0
318 Hand scrub Pcs 23 23 0 0
319 Handscoon uk.S Pcs 500 500 0 0
320 Handscoon uk. M Pcs 1700 300 1400 0
321 Handscoon uk. L Pcs 400 300 100 0
322 Infusion set anak set 50 0 50 0
323 Infusion set dewasa set 45 0 45 0
324 Wing neadle no. 23G Pcs 0 0 0 0
325 IV Catheter (Abocath) NO.20 Pcs 10 10 0 0
326 IV Catheter (Abocath) NO.22 Pcs 10 10 0 0
327 IV Catheter (Abocath) NO.24 pcs 0 0 0 0
328 Jarum Jahit (Nald Heating ) no. 10 pcs 39 39 0 0
329 Jarum Jahit (Nald Heating ) no. 11 pcs 0 0 0 0
330 Jarum Jahit (Nald Heating ) no. 12 pcs 0 0 0 0
331 Jarum Jahit (Nald Heating ) no. 13 pcs 25 25 0 0
332 Jarum Jahit (Nald Heating ) no. 14 Pcs 25 25 0 0
333 Kapas pembalut/Absorben 250 gr Roll 44 44 0 0
334 Kasa kompres 40/40 steril Roll 158 158 0 0
335 Kasa pembalut hidrofil 4m x 15 cm Roll 420 420 0 0
336 Kasa pembalut hidrofil 4 m x 3 cm Roll 300 300 0 0
337 Kassa 36x80 cm Roll 16 16 0 0
338 Kertas Saring Whatman Buku 1 0 1 0
339 Masker Pcs 4150 950 3200 0
340 Objec Glass Box/72 21 4 0 17
341 Pipet Tetes Panjang Pcs 15 15 0 0
342 Plastik Obat Klip 10 x 7 Pcs 15000 0 15000 0
343 Plastik Obat Klip 13 x 8,7 12000 0 12000 0
344 Plester 5 yard x 2 inch Roll 23 19 0 4
345 Poly catheter no.8 Pcs 0 0 0 0
346 Poly catheter no.12 Pcs 3 3 0 0
347 Poly catheter no.16 Pcs/set 16 16 0 0
348 Silk ( benang bedah sutera) 03/0 Sak 85 49 0 36
349 Spons gelatin cublices bks 7 7 0 0
350 Stick Gluco DR Btl/50 12 1 11 0
351 Tabung Reaksi Pcs 0 0 0 0
352 Tes Kehamilan HCG Pcs 2 2 0 0
353 Transfution set/Transfusion blood ADM set 3 3 0 0
354 Urinalysis 10 parameter Btl 0 0 0 0
355 Stick asam Urat Btl/25 9 1 8 0
356 Stick Colestrol Btl/10 0 0 0 0
357 Jelly 250ml Ultra soundgel btl 2 0 2 0
358 Pot sputum Pcs 0 0 0 0
359 Reagen TB Paket 0 0 0 0
360 Sefty box 2,5 L Box 0 0 0 0
361 Reagen sifilis(SD,Bio StanQ) Test 0 0 0 0
362 Box Slide Ktk 0 0 0 0
363 Fokus test Ktk 0 0 0 0
364 Alat suntik 0,5 ml Box 4859 0 0 4859
365 Sefty box 5 L Box 0 0 0 0
366 Masker Nebulizer Anak Psc 5 5 0 0
367 Masker Nebulizer Dewasa Psc 10 10 0 0
368 Nasal Oksigen Kanula Anak Psc 5 5 0 0
369 Nasal Oksigen Kanula Dewasa Psc 10 10 0 0
370 Non Rebreating Mask Psc 0 0 0 0
371 ID Dewasa Pink Box 0 0 0 0
372 ID Dewasa Blue Box 0 0 0 0
373 ID Bayi Pink Box 0 0 0 0
374 ID Bayi Biru Box 0 0 0 0
375 Umbilical Keniko Box 0 0 0 0
376 Folley Catheter 16 Rusch Pcs 0 0 0 0
377 Urine Bag Fresco Pcs 10 10 0 0
378 Disp Sryringe 10 ml Onemed Box 0 0 0 0
379 Suction Catheter 8 Remedi Pcs 0 0 0 0
380 Suction Catheter 16 Remedi Psc 0 0 0 0
381 Plaster Hypafix Psc 14 14 0 0
382 Rapid Test HIV I Standar (Stik SD HIV ) Pcs 0 0 0 0
383 Kasa Steril 16 X 16 Kotak 164 0 164 0
384 Alat Nesco Tri in one Kotak 0 0 0 0
385 Alkohol Swab One swab Kotak 10 0 10 0
386 Bahan tambalan Komposid (solare) Tube 4 0 4 0
387 OCO Btl/15ml 0 0 0 0
388 Paper Pad Buku 6 0 6 0
389 Masker 1860 S/N95 pcs 0 0 0 0
390 Rapid Test HIV II : Vikia (HIV ke 1) Test 0 0 0 0
391 Rapid Test Hiv, 3 : Intec/China (HIV KE 2) Test 0 0 0 0
392 RDT(Virotec+Diluent)DBD Test 0 0 0 0
393 Rapid HBsAg(Virochek HbsAg) Test 0 0 0 0
394 Baju Hazmat APD Pcs 20 0 20 0
395 Baju APD Gaun Pcs 0 0 0 0
REAGENSIA 0 0 0 0
396 Cell Clean ( CL-50) Btl 0 0 0 0
397 Cell Pack ( PK-30L) Btl 0 0 0 0
398 Control eight check 3 x 1,5 ml Btl/set 0 0 0 0
399 Eightcheck-3WP (Normal) 1,5 ml Vial 0 0 0 0
400 Eightcheck-3WP (Low) 1,5 ml Vial 0 0 0 0
401 Eightcheck-3WP (High) 1,5 ml Vial 0 0 0 0
402 Stomalyzer WH(SWH-2004) btl 0 0 0 0
403 Tabung K2 EDTA 2 ml Btl 0 0 0 0
404 Printer Paper Pcs 0 0 0 0
405 Deck Glass Btl 5 5 0 0
406 Tes Gol Darah (A,B,AB ) Set 0 0 0 0
407 Tisu lensa Buku 0 0 0 0
408 Kertas perkamen Lembar 19 19 0 0
409 Podofilin Tinctur 25 % Btl 0 0 0 0
410 Larutan Fauchet Btl 0 0 0 0
411 Larutan Lisol Btl 22 22 0 0
412 Larutan asam klorida 0,1 N Btl 0 0 0 0
413 Larutan asam sulfosalisilat 20% Btl 0 0 0 0
414 Larutan barium klorida Btl 0 0 0 0
415 Larutan Benedict Btl 0 0 0 0
416 Larutan Bupper PH 7,2 Btl 0 0 0 0
417 Larutan EDTA Cair 10 % Btl 0 0 0 0
418 Larutan Eosin 2 % Btl 0 0 0 0
419 Larutan Etanol Asam Btl 0 0 0 0
420 Larutan Giemsa Stalin Btl 0 0 0 0
421 Larutan H2O2 Btl 7 7 0 0
422 Larutan Imersen oil HB Btl 0 0 0 0
423 Larutan karbol fuksin Btl 0 0 0 0
424 Larutan Metanol Btl 0 0 0 0
425 Larutan Metilen Biru Btl 0 0 0 0
426 Larutan Natrium Sitrat 38 % Btl 0 0 0 0
427 Larutan Rees echer Btl 0 0 0 0
428 Larutan spiritus 100 ml Btl 0 0 0 0
429 Larutan turk Btl 0 0 0 0
430 Ether Alkohol Botol 0 0 0 0
431 Buffer Ph 6,4 Botol 0 0 0 0
432 KOH 10 % Btl 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
503,399 339,606 156,418 7,375
503,399 339,606 156,418 7,375

- -
LAPORAN PEMAKAIAN DAN LEMBAR

STOK AWAL GUDANG STOK AWAL APOTIK PENERIMAAN


PKD BLUD PROG PKD BLUD PROG PKD BLUD PROG

278 0 0 47 0 0 0 0 0
900 0 0 255 0 0 0 0 0
750 0 0 400 0 0 0 0 0
1 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 0
2500 0 0 200 0 0 0 0 0
0 0 0 0 0 0 0 0 0
60 144 0 0 23 0 0 0 0
1800 0 0 750 0 0 0 0 0
0 0 0 0 0 0 0 0 0
1300 0 0 200 0 0 0 0 0
1800 0 0 185 0 0 0 0 0
600 3000 0 300 0 0 0 0 0
0 9000 0 0 0 0 0 0 0
19200 0 0 1000 0 0 0 0 0
120 0 0 34 0 0 0 0 0
420 0 0 38 0 0 0 0 0
2160 0 0 285 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
3500 0 0 310 0 0 0 0 0
0 0 0 0 0 0 0 0 0
11700 10000 0 1160 0 0 0 0 0
190 0 0 0 17 0 0 0 0
0 0 0 0 0 0 0 0 0
120 0 0 8 0 0 0 0 0
150 0 0 57 0 0 0 0 0
900 0 0 80 0 0 0 0 0
23500 5500 0 620 0 0 0 0 0
4500 0 0 270 0 0 0 0 0
0 0 0 0 0 0 0 0 0
5600 0 0 55 0 0 0 0 0
0 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
180 0 0 15 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
150 0 0 56 0 0 0 0 0
0 0 0 0 0 0 0 0 0
2200 0 0 598 0 0 0 0 0
800 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0 0
800 0 0 74 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
2800 0 0 590 0 0 0 0 0
300 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
12600 0 0 0 0 0 0 0 0
160 0 0 0 0 0 0 0 0
100 800 0 41 0 0 0 0 0
1000 0 100 94 0 0 0 0 0
30 0 0 0 0 0 0 0 0
120 0 0 0 0 0 0 0 0
100 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
71 0 0 0 0 0 0 0 0
25 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
120 0 0 0 0 0 0 0 0
2800 0 0 456 0 0 0 0 0
4000 0 0 0 0 0 0 0 0
0 0 0 0 18 0 0 0 0
12 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
6 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 0 0 0 0 0 0
600 0 0 97 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
96 0 0 9 0 0 0 0 0
1700 0 0 450 0 0 0 0 0
60 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 200 0 0 395 0 0 0 0
0 0 0 0 0 0 0 0 0
4300 0 0 230 0 0 0 0 0
50 0 0 48 0 0 0 0 0
72 0 0 28 0 0 0 0 0
96 0 0 39 0 0 0 0 0
0 0 0 0 0 0 0 0 0
24 48 0 9 0 0 0 0 0
0 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 0
1900 0 0 440 0 0 0 0 0
1000 500 0 225 0 0 0 0 0
0 42900 0 0 1386 0 0 0 0
0 0 0 0 0 0 0 0 0
1600 0 0 0 0 0 0 0 0
300 0 0 100 0 0 0 0 0
0 0 0 70 0 0 0 0 0
600 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 0
900 0 0 400 0 0 0 0 0
96 0 0 32 0 0 0 0 0
1200 0 0 428 0 0 0 0 0
800 0 0 200 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 0 100 400 0 0
100 0 0 15 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
10200 10500 0 605 0 0 0 0 0
0 0 0 0 0 0 0 0 0
500 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
108 0 0 24 0 0 0 0 0
120 0 0 10 0 0 0 0 0
65 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
21300 0 0 940 0 0 0 0 0
0 48 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 90 0 0 0 0 0
600 0 0 88 0 0 0 0 0
300 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
2000 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
480 0 0 0 0 0 0 0 0
400 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
5 0 0 0 0 0 0 0 0
5 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
3500 0 0 170 0 0 0 0 0
5000 2200 0 0 384 0 0 0 0
200 0 0 0 0 0 0 0 0
0 0 25 0 0 0 0 0 0
2500 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
1000 0 0 475 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
120 0 0 64 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
1100 0 0 65 0 0 0 0 0
2050 0 0 570 0 0 0 0 0
650 1100 0 900 0 0 0 0 0
103 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
200 0 0 60 0 0 0 0 0
0 0 0 0 0 0 0 0 0
300 0 0 30 0 0 0 0 0
200 0 0 2 84 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 0 0
0 0 0 0 0 0 0 0 0
25 0 0 20 0 0 0 0 0
100 0 0 11 0 0 0 0 0
0 0 0 0 0 0 0 0 0
80 0 0 0 0 0 0 0 0
660 0 0 61 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
34800 20200 0 1050 0 0 0 0 0
0 0 0 0 0 0 0 0 0
40 260 0 0 31 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
100 0 0 100 0 0 0 0 0
50 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
20400 0 0 505 0 0 0 0 0
500 2000 0 0 0 0 0 0 0
0 300 0 0 74 0 0 0 0
0 0 0 0 0 0 0 0 0
17200 0 0 730 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 0 0 0
200 400 0 0 170 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
2000 0 0 426 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 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
65 0 0 0 0 0 0 0 0
800 0 0 0 0 0 0 0 0
400 0 0 480 0 0 0 0 0
0 0 0 0 0 0 0 0 0
216 0 0 32 0 0 0 0 0
0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0
10 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
2670 0 0 70 0 0 0 0 0
0 2000 0 0 525 0 0 0 0
5 0 0 0 0 0 0 0 0
8 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
8500 0 0 380 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
900 0 0 100 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
17500 0 0 445 0 0 0 0 0
500 0 0 137 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
30 0 0 0 0 0 0 0 0
12900 0 200 1070 0 0 0 0 0
0 0 0 0 0 0 0 0 0
17 14 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
2100 0 0 255 0 0 0 0 0
100 0 0 6 0 0 0 0 0
0 0 0 0 0 0 0 0 0
2300 0 0 300 0 0 0 0 0
0 0 150 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
1100 0 0 1000 0 0 0 0 0
25 0 0 15 0 0 0 0 0
100 0 0 95 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 0 900 0 0 80 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
0 170 0 0 0 0 0 0 0
0 0 0 0 8 0 0 0 0
0 24 0 0 18 0 0 0 0
0 0 11 0 0 0 0 0 30
0 0 6 0 0 0 0 0 20
0 0 8 0 0 0 0 0 10
0 0 25 0 0 0 0 0 30
0 0 4 0 0 0 0 0 15
0 0 20 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 25 0 0 0 0 0 0 0
50 0 0 49 0 0 0 0 0
50 0 0 50 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 180 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 1800 0 0 650 0 0 0 0
0 100 0 0 0 0 0 0 0
0 700 0 0 160 0 0 0 0
0 40 0 0 6 0 0 0 0
0 2000 0 0 0 0 0 0 0
0 0 0 0 570 0 0 0 0
15 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 60 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
30 0 0 19 0 0 0 0 0
45 0 0 11 0 0 0 0 0
0 0 400 0 0 100 0 0 0
100 0 0 0 0 0 0 0 0
300 0 0 110 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
600 0 0 0 0 0 0 0 0
400 0 0 0 0 0 0 0 0
2700 400 30 0 0 0 0 0 0
1300 500 300 0 0 0 0 0 0
22 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0
74 25 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0
10 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
2000 2800 0 0 0 0 0 0 0
96 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
23 0 0 0 0 0 0 0 0
500 0 0 0 0 0 0 0 0
300 1400 0 0 0 0 0 0 0
300 100 0 0 0 0 0 0 0
0 50 0 0 0 0 0 0 0
0 45 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
39 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
25 0 0 0 0 0 0 0 0
25 0 0 0 0 0 0 0 0
44 0 0 0 0 0 0 0 0
158 0 0 0 0 0 0 0 0
420 0 0 0 0 0 0 0 0
300 0 0 0 0 0 0 0 0
16 0 0 0 0 0 0 0 0
0 1 0 0 0 0 0 0 0
950 3200 0 0 0 0 0 750 0
4 0 17 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0
0 15000 0 0 0 0 0 0 0
0 12000 0 0 0 0 0 0 0
19 0 4 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
3 0 0 0 0 0 0 0 0
16 0 0 0 0 0 0 0 0
49 0 36 0 0 0 0 0 0
7 0 0 0 0 0 0 0 0
1 11 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0 0
3 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
1 8 0 0 0 0 0 5 0
0 0 0 0 0 0 0 25 0
0 2 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 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 4859 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
5 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0
5 0 0 0 0 0 0 0 0
10 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 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
10 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
14 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 164 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 10 0 0 0 0 0 0 0
0 4 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 6 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 0 0 0 0 0
0 20 0 0 0 0 0 0 0
0 0 0 0 0 0 0 10 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 3 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 5 0
0 0 0 0 0 0 0 5 0
5 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
19 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
22 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 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
7 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 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 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
316,988 151,899 7,095 22,618 4,519 280 400 866 105
316,988 151,899 7,095 22618 4519 280 400 856 -
N PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )

IMAAN PERSEDIAA PEMAKAIAN PEMAKAIAN GUDANG (LAIN-LAIN) PEMAKAIAN APOTIK


JUMLAH N PKD BLUD PROG PKD BLUD PROG

0 325 1 0 0 0 1 0 0
0 1155 0 0 0 0 0 0 0
0 1150 70 0 0 0 70 0 0
0 1 0 0 0 0 0 0 0
0 100 0 0 0 0 0 0 0
0 2700 270 0 0 0 270 0 0
0 0 0 0 0 0 0 0 0
0 227 57 0 48 0 0 9 0
0 2550 540 0 0 0 540 0 0
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0 1 0 0 0 0 0 0 0
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0 2600 116 0 0 0 116 0 0
0 150 30 0 0 0 0 0 30
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 2100 54 0 0 0 54 0 0
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0 0 0 0 0 0 0 0 0
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0 980 80 0 0 0 0 0 80
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0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 170 10 0 10 0 0 0 0
0 8 0 0 0 0 0 0 0
0 42 0 0 0 0 0 0 0
30 41 16 0 0 16 0 0 0
20 26 9 0 0 9 0 0 0
10 18 18 0 0 18 0 0 0
30 55 40 0 0 40 0 0 0
15 19 12 0 0 12 0 0 0
0 20 5 0 0 5 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
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0 100 0 0 0 0 0 0 0
0 860 0 0 0 0 0 0 0
0 46 0 0 0 0 0 0 0
0 2000 0 0 0 0 0 0 0
0 570 70 0 0 0 0 70 0
0 15 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
60 60 40 0 40 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 0 0
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0 500 100 0 0 0 0 0 100
0 100 0 0 0 0 0 0 0
0 410 0 0 0 0 0 0 0
0 0 0
0 0 0 0 0 0 0 0 0
0 600 100 100 0 0 0 0 0
0 400 100 100 0 0 0 0 0
0 3130 0 0 0 0 0 0 0
0 2100 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0
0 23 2 1 0 0 1 0 0
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0 1700 300 300 0 0 0 0 0
0 400 400 300 100 0 0 0 0
0 50 0 0 0 0 0 0 0
0 45 0 0 0 0 0 0 0
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0 158 0 0 0 0 0 0 0
0 420 0 0 0 0 0 0 0
0 300 0 0 0 0 0 0 0
0 16 0 0 0 0 0 0 0
0 1 0 0 0 0 0 0 0
750 4900 1000 450 450 0 50 50 0
0 21 0 0 0 0 0 0 0
0 15 0 0 0 0 0 0 0
0 15000 1000 0 0 0 0 1000 0
0 12000 1000 0 0 0 0 1000 0
0 23 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 3 0 0 0 0 0 0 0
0 16 0 0 0 0 0 0 0
0 85 0 0 0 0 0 0 0
0 7 0 0 0 0 0 0 0
0 12 2 1 1 0 0 0 0
0 0 0 0 0 0 0 0 0
0 2 0 0 0 0 0 0 0
0 3 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
5 14 1 1 0 0 0 0 0
25 25 2 0 2 0 0 0 0
0 2 1 0 1 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 0 0
0 0 0 0 0 0 0 0 0
0 4859 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 5 0 0 0 0 0 0 0
0 10 0 0 0 0 0 0 0
0 5 0 0 0 0 0 0 0
0 10 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 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 10 10 10 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 14 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 164 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 10 0 0 0 0 0 0 0
0 4 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 6 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 0 0 0 0 0
0 20 20 0 20 0 0 0 0
10 10 10 0 10 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
3 3 3 0 3 0 0 0 0
0 0 0 0 0 0 0 0 0
1 1 1 0 1 0 0 0 0
1 1 1 0 1 0 0 0 0
1 1 1 0 1 0 0 0 0
0 0 0 0 0 0 0 0 0
5 5 4 0 4 0 0 0 0
5 5 5 0 5 0 0 0 0
0 5 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 19 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 22 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 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 7 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 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 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
1,371 504,770 63,954 31,358 9,737 125 19,292 3,132 310
1,256 31,358 9,707 25 19292 3132 310
504,770
Bulan :
STOK AKHIR PEMAKAIAN PERMINTAA PEMBERIAN
STOK AKHIR
PKD BLUD PROG RATA2/BLN N PKD BLUD PROG

324 324 0 0
1155 1155 0 0
1080 1080 0 0
1 1 0 0
100 100 0 0
2430 2430 0 0
0 0 0 0
170 60 110 0
2010 2010 0 0
0 0 0 0
1500 1500 0 0
1961 1961 0 0
3640 640 3000 0
0 0 0 0
19145 19145 0 0
153 153 0 0
394 394 0 0
2265 2265 0 0
0 0 0 0
0 0 0 0
0 0 0 0
3734 3734 0 0
0 0 0 0
22227 12227 10000 0
193 190 3 0
0 0 0 0
128 128 0 0
170 170 0 0
900 900 0 0
28749 23249 5500 0
4390 4390 0 0
0 0 0 0
4905 4905 0 0
0 0 0 0
100 100 0 0
0 0 0 0
100 100 0 0
0 0 0 0
0 0 0 0
0 0 0 0
200 200 0 0
0 0 0 0
2082 2082 0 0
590 590 0 0
100 100 0 0
0 0 0 0
2 2 0 0
640 640 0 0
0 0 0 0
0 0 0 0
0 0 0 0
2614 2614 0 0
300 300 0 0
0 0 0 0
0 0 0 0
0 0 0 0
160 160 0 0
876 76 800 0
1194 1094 0 100
30 30 0 0
120 120 0 0
100 100 0 0
0 0 0 0
0 0 0 0
56 56 0 0
24 24 0 0
0 0 0 0
0 0 0 0
120 120 0 0
3240 3240 0 0
4000 4000 0 0
14 0 14 0
12 12 0 0
0 0 0 0
0 0 0 0
6 6 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
697 697 0 0
0 0 0 0
0 0 0 0
98 98 0 0
2106 2106 0 0
60 60 0 0
0 0 0 0
595 0 595 0
0 0 0 0
4465 4465 0 0
83 83 0 0
96 96 0 0
50 50 0 0
0 0 0 0
56 32 24 0
0 0 0 0
100 100 0 0
2340 2340 0 0
1725 1225 500 0
44006 0 44006 0
0 0 0 0
1600 1600 0 0
400 400 0 0
20 20 0 0
600 600 0 0
100 100 0 0
400 400 0 0
96 96 0 0
1568 1568 0 0
1000 1000 0 0
0 0 0 0
0 0 0 0
0 0 0 0
400 400 0 0
115 115 0 0
0 0 0 0
0 0 0 0
20580 10080 10500 0
0 0 0 0
500 500 0 0
0 0 0 0
41 41 0 0
126 126 0 0
65 65 0 0
0 0 0 0
20174 20174 0 0
48 0 48 0
0 0 0 0
0 0 0 0
0 0 0 0
90 90 0 0
623 623 0 0
280 280 0 0
0 0 0 0
1700 1700 0 0
0 0 0 0
0 0 0 0
450 450 0 0
400 400 0 0
0 0 0 0
0 0 0 0
0 0 0 0
5 5 0 0
5 5 0 0
0 0 0 0
0 0 0 0
3660 3660 0 0
7210 5000 2210 0
200 200 0 0
0 0 0 0
2500 2500 0 0
0 0 0 0
1330 1330 0 0
0 0 0 0
0 0 0 0
168 168 0 0
0 0 0 0
0 0 0 0
1100 1100 0 0
2414 2414 0 0
2290 1190 1100 0
103 103 0 0
0 0 0 0
260 260 0 0
0 0 0 0
280 280 0 0
245 180 65 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
25 25 0 0
100 100 0 0
0 0 0 0
80 80 0 0
450 450 0 0
0 0 0 0
0 0 0 0
0 0 0 0
41580 21380 20200 0
0 0 0 0
285 15 270 0
0 0 0 0
0 0 0 0
200 200 0 0
50 50 0 0
0 0 0 0
20380 20380 0 0
2300 300 2000 0
239 0 239 0
0 0 0 0
16432 16432 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
770 200 570 0
0 0 0 0
0 0 0 0
2000 2000 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
65 65 0 0
590 590 0 0
870 870 0 0
0 0 0 0
238 238 0 0
0 0 0 0
1 1 0 0
10 10 0 0
0 0 0 0
0 0 0 0
0 0 0 0
1770 1770 0 0
2385 0 2385 0
5 5 0 0
8 8 0 0
0 0 0 0
6810 6810 0 0
0 0 0 0
0 0 0 0
1000 1000 0 0
0 0 0 0
0 0 0 0
16928 16928 0 0
559 559 0 0
0 0 0 0
0 0 0 0
0 0 0 0
20 20 0 0
12604 12404 0 200
0 0 0 0
25 14 11 0
0 0 0 0
0 0 0 0
2325 2325 0 0
101 101 0 0
0 0 0 0
2484 2484 0 0
120 0 0 120
0 0 0 0
0 0 0 0
2046 2046 0 0
32 32 0 0
155 155 0 0
0 0 0 0
0 0 0 0
0 0 0 0
900 0 0 900
0 0 0 0
0 0 0 0
0 0 0 0
160 0 160 0
8 0 8 0
42 0 42 0
25 0 0 25
17 0 0 17
0 0 0 0
15 0 0 15
7 0 0 7
15 0 0 15
0 0 0 0
0 0 0 0
0 0 0 0
12 0 12 0
80 80 0 0
100 100 0 0
0 0 0 0
180 0 180 0
0 0 0 0
2434 0 2434 0
100 0 100 0
860 0 860 0
46 0 46 0
2000 0 2000 0
500 0 500 0
15 15 0 0
0 0 0 0
20 0 20 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
49 49 0 0
49 49 0 0
400 0 0 400
100 100 0 0
410 410 0 0
0 0 0 0
0 0 0 0
500 500 0 0
300 300 0 0
3130 2700 400 30
2100 1300 500 300
19 19 0 0
0 0 0 0
12 12 0 0
99 74 25 0
10 10 0 0
10 10 0 0
0 0 0 0
0 0 0 0
4800 2000 2800 0
96 96 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
21 21 0 0
300 300 0 0
1400 0 1400 0
0 0 0 0
50 0 50 0
45 0 45 0
0 0 0 0
10 10 0 0
10 10 0 0
0 0 0 0
39 39 0 0
0 0 0 0
0 0 0 0
25 25 0 0
25 25 0 0
44 44 0 0
158 158 0 0
420 420 0 0
300 300 0 0
16 16 0 0
1 0 1 0
3900 450 3450 0
21 4 0 17
15 15 0 0
14000 0 14000 0
11000 0 11000 0
23 19 0 4
0 0 0 0
3 3 0 0
16 16 0 0
85 49 0 36
7 7 0 0
10 0 10 0
0 0 0 0
2 2 0 0
3 3 0 0
0 0 0 0
13 0 13 0
23 0 23 0
1 0 1 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
4859 0 0 4859
0 0 0 0
5 5 0 0
10 10 0 0
5 5 0 0
10 10 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
14 14 0 0
0 0 0 0
164 0 164 0
0 0 0 0
10 0 10 0
4 0 4 0
0 0 0 0
6 0 6 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 0 0
0 0 0 0
0 0 0 0
0 0 0 0
1 0 1 0
0 0 0 0
5 5 0 0
0 0 0 0
0 0 0 0
19 19 0 0
0 0 0 0
0 0 0 0
22 22 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
7 7 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 0 0 0
0 0 0 0
0 0 0 0
440,816 289,356 144,415 7,045 440,816
440,816 stok awal penerimaan
554,647 gudang 475,982 1,371
apotik 27,417 0
475,982

475,982 1,371
27,417 22643

63,863

27326
Agustus 2020
PEMBERIAN KET. PEMAKAIAN TOTAL(GUDANG + APOTIK)
LAIN-LAIN JUMLAH PKD BLUD PROG

1 0 0
0 0 0
70 0 0
0 0 0
0 0 0
270 0 0
0 0 0
0 57 0
540 0 0
0 0 0
0 0 0
24 0 0
260 0 0
0 9000 0
1055 0 0
1 0 0
64 0 0
180 0 0
0 0 0
0 0 0
0 0 0
76 0 0
0 0 0
633 0 0
0 14 0
0 0 0
0 0 0
37 0 0
80 0 0
871 0 0
380 0 0
0 0 0
750 0 0
0 0 0
0 0 0
0 0 0
95 0 0
0 0 0
0 0 0
0 0 0
6 0 0
0 0 0
716 0 0
210 0 0
0 0 0
0 0 0
0 0 0
234 0 0
0 0 0
0 0 0
0 0 0
776 0 0
0 0 0
0 0 0
0 0 0
12600 0 0
0 0 0
65 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
15 0 0
1 0 0
0 0 0
0 0 0
0 0 0
16 0 0
0 0 0
0 4 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
7 0 0
44 0 0
0 0 0
0 0 0
0 0 0
0 0 0
65 0 0
15 0 0
4 0 0
85 0 0
0 0 0
1 24 0
0 0 0
0 0 0
0 0 0
0 0 0
0 280 0
0 0 0
0 0 0
0 0 0
50 0 0
0 0 0
0 0 0
900 0 0
32 0 0
60 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 100
0 0 0
0 0 0
0 0 0
725 0 0
0 0 0
0 0 0
0 0 0
91 0 0
4 0 0
0 0 0
0 0 0
2066 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
65 0 0
20 0 0
0 0 0
300 0 0
0 0 0
0 0 0
30 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
10 0 0
0 374 0
0 0 0
0 0 25
0 0 0
0 0 0
145 0 0
0 0 0
0 0 0
16 0 0
0 0 0
0 0 0
65 0 0
206 0 0
360 0 0
0 0 0
0 0 0
0 0 0
0 0 0
50 0 0
22 19 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
20 0 0
11 0 0
0 0 0
0 0 0
271 0 0
0 0 0
0 0 0
0 0 0
14470 0 0
0 0 0
25 21 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
525 0 0
200 0 0
0 135 0
0 0 0
1498 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
426 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
210 0 0
10 0 0
0 0 0
10 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
970 0 0
0 140 0
0 0 0
0 0 0
0 0 0
2070 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1017 0 0
78 0 0
0 0 0
0 0 0
0 0 0
10 0 0
1566 0 0
0 0 0
3 3 0
0 0 0
0 0 0
30 0 0
5 0 0
0 0 0
116 0 0
0 0 30
0 0 0
0 0 0
54 0 0
8 0 0
40 0 0
0 0 0
0 0 0
0 0 0
0 0 80
0 0 0
0 0 0
0 0 0
0 10 0
0 0 0
0 0 0
0 0 16
0 0 9
0 0 18
0 0 40
0 0 12
0 0 5
0 0 0
0 0 0
0 0 0
0 13 0
19 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 16 0
0 0 0
0 0 0
0 0 0
0 0 0
0 70 0
0 0 0
0 0 0
0 40 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
7 0 0
0 0 100
0 0 0
0 0 0
0 0 0
0 0 0
100 0 0
100 0 0
0 0 0
0 0 0
3 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
2 0 0
200 0 0
300 0 0
300 100 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 0 0
0 0 0
500 500 0
0 0 0
0 0 0
0 1000 0
0 1000 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1 1 0
0 0 0
0 0 0
0 0 0
0 0 0
1 0 0
0 2 0
0 1 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 0 0
0 0 0
0 0 0
0 0 0
10 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
0 0 0
0 20 0
0 10 0
0 0 0
0 0 0
0 3 0
0 0 0
0 1 0
0 1 0
0 1 0
0 0 0
0 4 0
0 5 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 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

50,650 12,869 435 63,954


pemakaian sisa cek
41,220 436,133
22,734 4,683 63,954
440,816

63,863 413,490 413,490


22734 27,326 27,326
440,816 -

413,490
-
PUSKESMAS PAAL X KOTA JAMBI
KODE. 5070101
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )

Bulan : Septemb
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAI PEMBERIAN
AN PERMIN KET.
NO. NAMA BARANG SATUAN
RATA2/B TAAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH LN PKD PROG JUMLAH

OBAT
1 Acyclovir cream 5 % tube 324 0 0 324 0 0 0 0 324 0 0 324 0 0 0 0 324 0 0 324
2 Acyclovir tablet 200 mg Tab 1155 0 0 1155 400 0 0 400 1555 0 0 1555 255 0 0 255 1300 0 0 1300
3 Acyclovir tablet 400 mg Tab 1080 0 0 1080 500 0 0 500 1580 0 0 1580 0 0 0 0 1580 0 0 1580
4 Air Raksa Dental Use Btl 1 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0 1 0 0 1
5 Albendazole 400 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100
6 Allopurinol 100 mg Tab 2430 0 0 2430 0 0 0 0 2430 0 0 2430 220 0 0 220 2210 0 0 2210
7 Allopurinol 300 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Ambroxol syrup Btl 60 110 0 170 60 0 0 60 120 110 0 230 0 11 0 11 120 99 0 219
9 Ambroxol tab 30 mg Tab 2010 0 0 2010 3000 0 0 3000 5010 0 0 5010 110 0 0 110 4900 0 0 4900
10 Aminofilin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Aminofilin tablet Tab 1500 0 0 1500 0 0 0 0 1500 0 0 1500 0 0 0 0 1500 0 0 1500
12 Amitriptilin tablet 25 mg Tab 1961 0 0 1961 0 0 0 0 1961 0 0 1961 0 0 0 0 1961 0 0 1961
13 Amlodipin 5 mg Tab 640 3000 0 3640 2700 0 0 2700 3340 3000 0 6340 390 0 0 390 2950 3000 0 5950
14 Amoksisilin kap 250 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Amoksisilin kap 500 mg Kap 19145 0 0 19145 20000 0 0 20000 39145 0 0 39145 2445 0 0 2445 36700 0 0 36700
16 Amoksisilin sirup kering 125 mg/5 ml Btl 153 0 0 153 60 0 0 60 213 0 0 213 5 0 0 5 208 0 0 208
17 Amoksisilin Sirup Forte 250 mg/5 ml Btl 394 0 0 394 0 0 0 0 394 0 0 394 274 0 0 274 120 0 0 120
18 Amlodipin 10 mg Tab 2265 0 0 2265 1500 0 0 1500 3765 0 0 3765 105 0 0 105 3660 0 0 3660
19 Amoksisilin injeksi Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Ampisilin Kaplet 500 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Ampisilin sirup kering 125 mg/5 ml Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Antalgin tablet 500 mg Tab 3734 0 0 3734 0 0 0 0 3734 0 0 3734 64 0 0 64 3670 0 0 3670
23 Antalgin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Antasida doen tablet Tab 12227 10000 0 22227 16800 0 0 16800 29027 10000 0 39027 1487 0 0 1487 27540 10000 0 37540
25 Antasida sirup Btl 190 3 0 193 250 0 0 250 440 3 0 443 49 3 0 52 391 0 0 391
26 Anti Bakteri salep / Bacitracin salep Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Anti Fungi kombinasi Pot 128 0 0 128 72 0 0 72 200 0 0 200 1 0 0 1 199 0 0 199
28 Anti Hemoroid supp 170 0 0 170 150 0 0 150 320 0 0 320 115 0 0 115 205 0 0 205
29 Anti Migrain tablet Tab 900 0 0 900 500 0 0 500 1400 0 0 1400 0 0 0 0 1400 0 0 1400
30 Asam Askorbat (VIT C) 50 mg Tab 23249 5500 0 28749 14000 0 0 14000 37249 5500 0 42749 1639 0 0 1639 35610 5500 0 41110
31 Asam Folat Tab 4390 0 0 4390 1500 0 0 1500 5890 0 0 5890 310 0 0 310 5580 0 0 5580
32 Asering Infus Kolf 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 Asam Mefenamat 500 mg Tab 4905 0 0 4905 5000 0 0 5000 9905 0 0 9905 1080 0 0 1080 8825 0 0 8825
34 Asam Tranexamat injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAI PEMBERIAN
AN PERMIN KET.
NO. NAMA BARANG SATUAN
RATA2/B TAAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH LN PKD PROG JUMLAH

35 Asam Asetilsalisilat(Asetosal) 80 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100


36 Asetosal tablet 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
37 Azitromycin 500 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100
38 Bisoprolol tablet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 Benzatin benzil penicilin inj 2,4 jt iu Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
40 Betadin salep Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
41 Betametason kream 0,1 % Tube 200 0 0 200 150 0 0 150 350 0 0 350 33 0 0 33 317 0 0 317
42 Bisacodyl 10 mg Supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
43 Bethahistin maselat Tablet 2082 0 0 2082 500 0 0 500 2582 0 0 2582 561 0 0 561 2021 0 0 2021
44 Captopril 12,5 mg Tab 590 0 0 590 0 0 0 0 590 0 0 590 0 0 0 0 590 0 0 590
45 Captopril 25 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100
46 Captopril 50 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
47 Caviton Btl 2 0 0 2 0 0 0 0 2 0 0 2 0 0 0 0 2 0 0 2
48 Cefadroxil 500 mg kap 640 0 0 640 0 0 0 0 640 0 0 640 82 0 0 82 558 0 0 558
49 Cefotaxime injeksi 1 g Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
50 Cefriaxon injeksi Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
51 Cetrizin tablet 10 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
52 Ciprofloxacin 500 mg Tab 2614 0 0 2614 0 0 0 0 2614 0 0 2614 104 0 0 104 2510 0 0 2510
53 Clindamicin 150 mg Kap 300 0 0 300 0 0 0 0 300 0 0 300 0 0 0 0 300 0 0 300
54 Clindamicin 300 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
55 Devitalisasi pasta Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 Dexamethason tablet Tab 0 0 0 0 0 3000 0 3000 0 3000 0 3000 0 0 0 0 0 3000 0 3000
57 Dexamethason injeksi Ampul 160 0 0 160 0 0 0 0 160 0 0 160 0 0 0 0 160 0 0 160
58 Diazepam tablet 2 mg Tab 76 800 0 876 1000 0 0 1000 1076 800 0 1876 31 0 0 31 1045 800 0 1845
59 Diazepam tablet 5 mg Tab 1094 0 100 1194 0 0 0 0 1094 0 100 1194 0 0 0 0 1094 0 100 1194
60 Diazepam injeksi Ampul 30 0 0 30 0 0 0 0 30 0 0 30 0 0 0 0 30 0 0 30
61 Difenhidramin injeksi Ampul 120 0 0 120 0 0 0 0 120 0 0 120 0 0 0 0 120 0 0 120
62 Digoksin tablet Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100
63 Doxicillin Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
64 Dulcolax tablet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
65 Dulculax supp 10 mg ( Dewasa ) Supp 56 0 0 56 0 0 0 0 56 0 0 56 30 0 0 30 26 0 0 26
66 Dulculax supp 5 mg ( Anak ) Supp 24 0 0 24 12 0 0 12 36 0 0 36 0 0 0 0 36 0 0 36
67 Efedrin Hcl 25 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
68 Ekstrak belladona tablet 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
69 Ephinefrin hcl injeksi Ampul 120 0 0 120 0 0 0 0 120 0 0 120 0 0 0 0 120 0 0 120
70 Erytromycin kapsul 250 mg Kap 3240 0 0 3240 0 0 0 0 3240 0 0 3240 0 0 0 0 3240 0 0 3240
71 Erytromycin kapsul 500 mg Kap 4000 0 0 4000 0 0 0 0 4000 0 0 4000 0 0 0 0 4000 0 0 4000
72 Erytromycin syrup Btl 0 14 0 14 0 0 0 0 0 14 0 14 0 0 0 0 0 14 0 14
73 Etakridin / Rivanol Btl 12 0 0 12 6 0 0 6 18 0 0 18 0 0 0 0 18 0 0 18
74 Ethambutol hcl tab 250 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
75 Ethambutol hcl tab 500 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
76 Etil klorida semprot Btl 6 0 0 6 8 0 0 8 14 0 0 14 0 0 0 0 14 0 0 14
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAI PEMBERIAN
AN PERMIN KET.
NO. NAMA BARANG SATUAN
RATA2/B TAAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH LN PKD PROG JUMLAH

77 Eugenol cairan Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


78 Fenitoin natrium 30 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
79 Fenitoin natrium 100 mg Kap 0 0 0 0 100 0 0 100 100 0 0 100 0 0 0 0 100 0 0 100
80 Fenobarbital injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
81 Fenobarbital tab 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
82 Fenobarbital tablet 30 mg Tab 697 0 0 697 0 0 0 0 697 0 0 697 0 0 0 0 697 0 0 697
83 Fenoksimetil fenisilin tab 250 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
84 Fenoksimetil fenisilin tab 500 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
85 Fenol Gliserol tetes telinga Btl 98 0 0 98 0 0 0 0 98 0 0 98 6 0 0 6 92 0 0 92
86 Fitomenadion (Vit K) tab 10 mg Tab 2106 0 0 2106 0 0 0 0 2106 0 0 2106 246 0 0 246 1860 0 0 1860
87 Fitomenadion (Vit K) injeksi Ampul 60 0 0 60 0 0 0 0 60 0 0 60 0 0 0 0 60 0 0 60
88 Fluconazol 150 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
89 Furosemide tablet 40 mg Tab 0 595 0 595 0 0 0 0 0 595 0 595 0 0 0 0 0 595 0 595
90 Fluor gel Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
91 Garam oralit untuk 200 ml air Set 4465 0 0 4465 500 0 0 500 4965 0 0 4965 90 0 0 90 4875 0 0 4875
92 Gentamycin salep kulit 0,1 % Tube 83 0 0 83 50 0 0 50 133 0 0 133 23 0 0 23 110 0 0 110
93 Gentamycin salep mata Tube 96 0 0 96 0 0 0 0 96 0 0 96 0 0 0 0 96 0 0 96
94 Gentamycin tetes mata Btl 50 0 0 50 24 0 0 24 74 0 0 74 13 0 0 13 61 0 0 61
95 Gentamycin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
96 Gentian violet Btl 32 24 0 56 24 0 0 24 56 24 0 80 4 0 0 4 52 24 0 76
97 Glass Ionomer (ART FUJI IX) Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
98 Glibenklamida tablet 5 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100
99 Glimepiride 1 mg Tab 2340 0 0 2340 0 0 0 0 2340 0 0 2340 20 0 0 20 2320 0 0 2320
100 Glimepiride 2 mg Tab 1225 500 0 1725 0 0 0 0 1225 500 0 1725 0 0 0 0 1225 500 0 1725
101 Gliseril guaiakolat tablet 100 mg Tab 0 44006 0 44006 0 0 0 0 0 44006 0 44006 0 1506 0 1506 0 42500 0 42500
102 Glukosa larutan infus 5 % steril Btl 0 0 0 0 20 0 0 20 20 0 0 20 0 0 0 0 20 0 0 20
103 Griseofulvin tablet 125 mg Tab 1600 0 0 1600 500 0 0 500 2100 0 0 2100 510 0 0 510 1590 0 0 1590
104 Griseofulvin tablet 500 mg Tab 400 0 0 400 100 0 0 100 500 0 0 500 0 0 0 0 500 0 0 500
105 Halloperidol tab 0,5 mg Tab 20 0 0 20 300 0 0 300 320 0 0 320 0 0 0 0 320 0 0 320
106 Halloperidol tab 1,5 mg Tab 600 0 0 600 0 0 0 0 600 0 0 600 0 0 0 0 600 0 0 600
107 Halloperidol tab 5 mg Tab 100 0 0 100 300 0 0 300 400 0 0 400 0 0 0 0 400 0 0 400
108 Hidroklortiazide (HCT) tablet 25 mg Tab 400 0 0 400 0 0 0 0 400 0 0 400 0 0 0 0 400 0 0 400
109 Hidrocortison krim 2,5 % Tube 96 0 0 96 120 0 0 120 216 0 0 216 53 0 0 53 163 0 0 163
110 Ibuprofen tablet 200 mg Tab 1568 0 0 1568 0 0 0 0 1568 0 0 1568 668 0 0 668 900 0 0 900
111 Ibuprofen tablet 400 mg Tab 1000 0 0 1000 500 0 0 500 1500 0 0 1500 20 0 0 20 1480 0 0 1480
112 Ibuprofen syrup Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
113 Insulin Human Rapid injeksi 100 IU vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
114 Isoniazida ( INH ) tab 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
115 Isoniazida ( INH ) tab 300 mg Tab 400 0 0 400 0 0 0 0 400 0 0 400 0 0 0 0 400 0 0 400
116 Isosorbit dinitrat sublingual 5 mg Tab 115 0 0 115 0 0 0 0 115 0 0 115 0 0 0 0 115 0 0 115
117 Komb. Primetamin 25mg+suldox 500mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
118 Klorfenol kamfermenthol ( CHKM ) Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAI PEMBERIAN
AN PERMIN KET.
NO. NAMA BARANG SATUAN
RATA2/B TAAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH LN PKD PROG JUMLAH

119 Kalsium Laktat tablet Tab 10080 10500 0 20580 16800 0 0 16800 26880 10500 0 37380 1850 0 0 1850 25030 10500 0 35530
120 Kandesartan cilexetil 8 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
121 Karbamazepin tablet 200 mg Tab 500 0 0 500 0 0 0 0 500 0 0 500 0 0 0 0 500 0 0 500
122 Ketorolac injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
123 Kloramfenikol salep kulit Tube 41 0 0 41 0 0 0 0 41 0 0 41 0 0 0 0 41 0 0 41
124 Kloramfenikol salep mata 1 % Tube 126 0 0 126 0 0 0 0 126 0 0 126 3 0 0 3 123 0 0 123
125 Kloramfenicol tetes telinga 3 % Btl 65 0 0 65 0 0 0 0 65 0 0 65 0 0 0 0 65 0 0 65
126 Kloramfenicol 250 mg kapsul Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
127 Klorfeniramin maleat 4 mg (CTM ) Tab 20174 0 0 20174 4500 0 0 4500 24674 0 0 24674 1684 0 0 1684 22990 0 0 22990
128 Kloramfenicol tetes mata ( Reco ) Btl 0 48 0 48 0 0 0 0 0 48 0 48 0 0 0 0 0 48 0 48
129 Kalsium Hidroksida Pasta ( Calcidor ) Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
130 Klorpromazin hcl injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
131 Klorpromazine tab salut 25 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
132 Klorpromazine tab salut 100 mg Tab 90 0 0 90 300 0 0 300 390 0 0 390 0 0 0 0 390 0 0 390
133 Kodein tablet 10 mg Tab 623 0 0 623 0 0 0 0 623 0 0 623 48 0 0 48 575 0 0 575
134 Kotrimoksazol suspensi Btl 280 0 0 280 200 0 0 200 480 0 0 480 0 0 0 0 480 0 0 480
135 Kotrimoksazol pediatrik Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
136 Kotrimoksazol tablet 480 mg Tab 1700 0 0 1700 1000 0 0 1000 2700 0 0 2700 0 0 0 0 2700 0 0 2700
137 Klorokuin Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
138 Kuinin sulfat tab 222 mg (7H2O) Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
139 Lidocain kompositum inj (Pehacain) Ampul 450 0 0 450 0 0 0 0 450 0 0 450 60 0 0 60 390 0 0 390
140 Lidocain injeksi Ampul 400 0 0 400 0 0 0 0 400 0 0 400 0 0 0 0 400 0 0 400
141 Lisinopril 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
142 Loperamide tab 2 mg / Novadium Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
143 Loratadin 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
144 Magnesium sulfat injeksi 20% vial 5 0 0 5 0 0 0 0 5 0 0 5 0 0 0 0 5 0 0 5
145 Magnesium sulfat injeksi 40% vial 5 0 0 5 0 0 0 0 5 0 0 5 0 0 0 0 5 0 0 5
146 Mecobalamin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
147 Meloxicam 7,5 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
148 Metformin hcl tablet 500 mg Tab 3660 0 0 3660 0 0 0 0 3660 0 0 3660 160 0 0 160 3500 0 0 3500
149 Methyl prednisolon tablet 4 mg Tab 5000 2210 0 7210 0 0 0 0 5000 2210 0 7210 0 70 0 70 5000 2140 0 7140
150 Metilergometrin tablet salut Tab 200 0 0 200 0 0 0 0 200 0 0 200 0 0 0 0 200 0 0 200
151 Metilergometrin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
152 Metoklorpropamide hcl 10 mg Tab 2500 0 0 2500 0 0 0 0 2500 0 0 2500 0 0 0 0 2500 0 0 2500
153 Metronidazole tablet 250 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
154 Metronidazole tablet 500 mg Tab 1330 0 0 1330 1000 0 0 1000 2330 0 0 2330 30 0 0 30 2300 0 0 2300
155 Metronidazole syrup Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
156 Metronidazole infus Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
157 Miconazol cream tube 168 0 0 168 48 0 0 48 216 0 0 216 4 0 0 4 212 0 0 212
158 Microlax rectal tube tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
159 Mummifying pasta Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
160 Natrium bikarbonat tablet Tab 1100 0 0 1100 0 0 0 0 1100 0 0 1100 0 0 0 0 1100 0 0 1100
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAI PEMBERIAN
AN PERMIN KET.
NO. NAMA BARANG SATUAN
RATA2/B TAAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH LN PKD PROG JUMLAH

161 Natrium Diklofenak 25 mg Tab 2414 0 0 2414 2800 0 0 2800 5214 0 0 5214 544 0 0 544 4670 0 0 4670
162 Natrium Diklofenak 50 mg Tab 1190 1100 0 2290 500 0 0 500 1690 1100 0 2790 410 0 0 410 1280 1100 0 2380
163 Natrium klorida larutan infus Btl 103 0 0 103 0 0 0 0 103 0 0 103 16 0 0 16 87 0 0 87
164 Neurobion 5000 injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
165 Nifedipin tablet Tab 260 0 0 260 0 0 0 0 260 0 0 260 10 0 0 10 250 0 0 250
166 Nistatin tablet salut 500.000 iu/g Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
167 Nistatin tablet vaginal 100.000 iu/g Tab 280 0 0 280 0 0 0 0 280 0 0 280 10 0 0 10 270 0 0 270
168 O B H Btl 180 65 0 245 100 0 0 100 280 65 0 345 15 10 0 25 265 55 0 320
169 Obat Anti TBC Kategori 1 paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
170 Obat Anti TBC Kategori 1 -Stop TB KIT paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
171 Obat Anti TBC Kategori II paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
172 Obat Anti TBC Kategori Anak paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
173 Kombipak Kategori I paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
174 Ofloxacin 200 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
175 Oksitetrasiklin hcl salep mata 1 % tube 25 0 0 25 25 0 0 25 50 0 0 50 0 0 0 0 50 0 0 50
176 Oksitetrasiklin hcl salep kulit 3 % Tube 100 0 0 100 75 0 0 75 175 0 0 175 25 0 0 25 150 0 0 150
177 Oksitetrasiklin hcl injeksi vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
178 Oksitosin injeksi / Pitogin Ampul 80 0 0 80 0 0 0 0 80 0 0 80 0 0 0 0 80 0 0 80
179 Omeprazole capsul 20 mg Kap 450 0 0 450 0 0 0 0 450 0 0 450 354 0 0 354 96 0 0 96
180 Ondansentron injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
181 Papaverin tablet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
182 Paracetamol tablet 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
183 Paracetamol tablet 500 mg Tab 21380 20200 0 41580 16500 0 0 16500 37880 20200 0 58080 3200 0 0 3200 34680 20200 0 54880
184 Paracetamol Drop Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
185 Parasetamol sirup Btl 15 270 0 285 500 0 0 500 515 270 0 785 1 10 0 11 514 260 0 774
186 Perfenazine tablet 4 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
187 Piracetam 3 g injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
188 Pirantel pamoat tablet 125 mg Tab 200 0 0 200 0 0 0 0 200 0 0 200 0 0 0 0 200 0 0 200
189 Pirantel pamoat sirup Btl 50 0 0 50 0 0 0 0 50 0 0 50 0 0 0 0 50 0 0 50
190 Pyrazinamide tablet 500 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
191 Piridoxin hcl tablet 10 mg Tab 20380 0 0 20380 0 0 0 0 20380 0 0 20380 530 0 0 530 19850 0 0 19850
192 Piroxicam 10 mg Tab 300 2000 0 2300 0 0 0 0 300 2000 0 2300 300 110 0 410 0 1890 0 1890
193 Piroxicam 20 mg Tab 0 239 0 239 0 0 0 0 0 239 0 239 0 69 0 69 0 170 0 170
194 Polikresulen / Albothil Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
195 Prednison tablet Tab 16432 0 0 16432 3000 0 0 3000 19432 0 0 19432 652 0 0 652 18780 0 0 18780
196 Primakuin tablet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
197 Prokain benzil penisilin inj vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
198 Pronalges suppositoria Supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
199 Propanolol tab 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
200 Propanolol tab 40 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
201 Propiltiourasil tablet 100 mg Tab 200 570 0 770 0 0 0 0 200 570 0 770 0 0 0 0 200 570 0 770
202 Proris suppositoria Supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAI PEMBERIAN
AN PERMIN KET.
NO. NAMA BARANG SATUAN
RATA2/B TAAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH LN PKD PROG JUMLAH

203 Perak sulfadiazine cream 3 % tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


204 Ranitidin tablet 150 mg Tab 2000 0 0 2000 2000 0 0 2000 4000 0 0 4000 254 0 0 254 3746 0 0 3746
205 Ranitidin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
206 Reserpin tablet 0,1 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
207 Reserpin tablet 0,25 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
208 Retinol kapsul 100.000 IU Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
209 Retinol kapsul 200.000 IU Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
210 Rifampisin kapsul 300 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
211 Rifampisin kapsul 450 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
212 Rifampisin kapsul 600 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
213 Ringer laktat infus steril Btl 65 0 0 65 0 0 0 0 65 0 0 65 5 0 0 5 60 0 0 60
214 Salbutamol tablet 2 mg Tab 590 0 0 590 1000 0 0 1000 1590 0 0 1590 50 0 0 50 1540 0 0 1540
215 Salbuatmol tablet 4 mg Tab 870 0 0 870 0 0 0 0 870 0 0 870 230 0 0 230 640 0 0 640
216 salep 2-4 Pot 0 0 0 0 48 0 0 48 48 0 0 48 0 0 0 0 48 0 0 48
217 Salisil bedak 2 % Pot 238 0 0 238 40 0 0 40 278 0 0 278 41 0 0 41 237 0 0 237
218 Semen seng fosfat serbuk & cairan Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
219 Serum Anti Bisa Ular injeksi Vial 1 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0 1 0 0 1
220 Serum Anti tetanus injeksi 1500 IU Ampul 10 0 0 10 30 0 0 30 40 0 0 40 10 0 0 10 30 0 0 30
221 Tatagam vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
222 Sianokobalamin inj 500 mcg/ml Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
223 Silver Amalgam serbuk Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
224 Simvastatin 10 mg Tab 1770 0 0 1770 3000 0 0 3000 4770 0 0 4770 390 0 0 390 4380 0 0 4380
225 Simvastatin 20 mg supp 0 2385 0 2385 0 0 0 0 0 2385 0 2385 0 235 0 235 0 2150 0 2150
226 Stesolid rectal supp 5 mg Supp 5 0 0 5 5 0 0 5 10 0 0 10 0 0 0 0 10 0 0 10
227 Stesolid rectal supp 10 mg Btl 8 0 0 8 0 0 0 0 8 0 0 8 0 0 0 0 8 0 0 8
228 Sulfasetamid tetes mata 15 % Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
229 Tablet tambah darah (SF) Tab 6810 0 0 6810 16800 0 0 16800 23610 0 0 23610 1790 0 0 1790 21820 0 0 21820
230 Temporary / Fletcher Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
231 Tetrasiklin kapsul 250 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
232 Tetrasiklin kapsul 500 mg Tab 1000 0 0 1000 0 0 0 0 1000 0 0 1000 0 0 0 0 1000 0 0 1000
233 Thrombo Aspilet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
234 Thiamin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
235 Thiamin tablet 50 mg Tab 16928 0 0 16928 0 0 0 0 16928 0 0 16928 273 0 0 273 16655 0 0 16655
236 Triheksipenidil hcl tablet 2 mg Tab 559 0 0 559 0 0 0 0 559 0 0 559 60 0 0 60 499 0 0 499
237 Trikresol formalin cairan ( TKF ) Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
238 Vaksin rabies vero Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
239 Valsartan 80 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
240 Ventolin nebulizer Nebules 20 0 0 20 60 0 0 60 80 0 0 80 0 0 0 0 80 0 0 80
241 Vitamin B komplek tablet Tab 12404 0 200 12604 10000 0 0 10000 22404 0 200 22604 1834 0 0 1834 20570 0 200 20770
242 Yodium povidon lart 10 % - 30 ml Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
243 Yodium povidon lart 10 % - 300 ml Btl 14 11 0 25 3 0 0 3 17 11 0 28 10 11 0 21 7 0 0 7
244 Xylocain jelly Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAI PEMBERIAN
AN PERMIN KET.
NO. NAMA BARANG SATUAN
RATA2/B TAAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH LN PKD PROG JUMLAH

245 Lidocain Pasta Pot 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


246 Zinc tablet 20 mg Tab 2325 0 0 2325 0 0 0 0 2325 0 0 2325 350 0 0 350 1975 0 0 1975
247 Zinc sirup Btl 101 0 0 101 0 0 0 0 101 0 0 101 12 0 0 12 89 0 0 89
248 Betamin drage ( Vit. B1 ) Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
249 Domperidon Btl 2484 0 0 2484 0 0 0 0 2484 0 0 2484 174 0 0 174 2310 0 0 2310
250 Clozapin 25 mg Tab 0 0 120 120 0 0 0 0 0 0 120 120 0 0 25 25 0 0 95 95
251 Clobazam 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
252 Trifluoperazin HCl 5 mg ( Stelosi ) Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
253 Vitamin B 12 Tab 2046 0 0 2046 0 0 0 0 2046 0 0 2046 6 0 0 6 2040 0 0 2040
254 Ketokonazol Crem Tube 32 0 0 32 25 0 0 25 57 0 0 57 20 0 0 20 37 0 0 37
255 Ketokonazole Tablet Tab 155 0 0 155 500 0 0 500 655 0 0 655 41 0 0 41 614 0 0 614
256 Flufenazin Decanoat Inj 25 mg Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
257 Haloperidol Inj 5 mg ( Ladomer ) Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
258 Haloperidol Decanoat Inj 50 mg Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
259 Resperidon tab 2 mg Tab 0 0 900 900 0 0 0 0 0 0 900 900 0 0 60 60 0 0 840 840
260 Curviplex Sirup Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
261 Andalan Inj 3 Bulan Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
262 Andalan Inj 1 Bulan Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
263 Cyclopen Inj. 1 Bulan Vial 0 160 0 160 0 0 0 0 0 160 0 160 0 20 0 20 0 140 0 140
264 Ichtyol Salaf Kulit Pot 0 8 0 8 0 0 0 0 0 8 0 8 0 0 0 0 0 8 0 8
265 Levertran Salep Kulit Pot 0 42 0 42 0 0 0 0 0 42 0 42 0 0 0 0 0 42 0 42
266 HEPATITIS B Paket 0 0 25 25 0 0 30 30 0 0 55 55 0 0 30 30 0 0 25 25
267 BCG Ampul 0 0 17 17 0 0 5 5 0 0 22 22 0 0 0 0 0 0 22 22
268 POLIO Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
269 PENTABIO/DPTHBHib Vial 0 0 15 15 0 0 30 30 0 0 45 45 0 0 30 30 0 0 15 15
270 CAMPAK Vial 0 0 7 7 0 0 15 15 0 0 22 22 0 0 15 15 0 0 7 7
271 Td / TT Vial 0 0 15 15 0 0 0 0 0 0 15 15 0 0 0 0 0 0 15 15
272 IPV Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
273 Vaksin MR Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
274 Pelarut MR Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
275 Pentocain 0,5 % TT Mata Btl 0 12 0 12 0 0 0 0 0 12 0 12 0 0 0 0 0 12 0 12
276 Domperidon syrup btl 80 0 0 80 0 0 0 0 80 0 0 80 20 0 0 20 60 0 0 60
277 Kloramfenikol syrup btl 100 0 0 100 0 0 0 0 100 0 0 100 30 0 0 30 70 0 0 70
278 cetirizin syrup btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
279 Pritamox sirup 125 mg btl 0 180 0 180 0 0 0 0 0 180 0 180 0 0 0 0 0 180 0 180
280 Albendazole syrup btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
281 Moxalaskap/cotri480mg tab 0 2434 0 2434 0 0 0 0 0 2434 0 2434 0 54 0 54 0 2380 0 2380
282 Moxalas syr/cotry syr btl 0 100 0 100 0 0 0 0 0 100 0 100 0 0 0 0 0 100 0 100
283 Lorihis tab/loratadin tab tab 0 860 0 860 0 0 0 0 0 860 0 860 0 10 0 10 0 850 0 850
284 Flagsol syr/metro syr btl 0 46 0 46 0 0 0 0 0 46 0 46 0 0 0 0 0 46 0 46
285 Selfolic 1000mg/Asam folat tab 0 2000 0 2000 0 0 0 0 0 2000 0 2000 0 0 0 0 0 2000 0 2000
286 Trifadium2mg/Loperamid tab tab 0 500 0 500 0 0 0 0 0 500 0 500 0 80 0 80 0 420 0 420
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAI PEMBERIAN
AN PERMIN KET.
NO. NAMA BARANG SATUAN
RATA2/B TAAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH LN PKD PROG JUMLAH

287 Omeprazole Injeksi Ampul 15 0 0 15 0 0 0 0 15 0 0 15 0 0 0 0 15 0 0 15


288 Gluconas Kalsikus injeksi amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
289 Tricloflem Vial 0 20 0 20 0 0 0 0 0 20 0 20 0 20 0 20 0 0 0 0
290 Cycloserin 250mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
291 Ethionmid 250mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
292 Levofloxacin 750mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
293 Bedaquilin 100mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
294 Hbig Bayi vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
295 Amoxcillin drop btl 49 0 0 49 0 0 0 0 49 0 0 49 0 0 0 0 49 0 0 49
296 scabimid salep tube 49 0 0 49 120 0 0 120 169 0 0 169 17 0 0 17 152 0 0 152
297 Selcom C Tab 0 0 400 400 0 0 0 0 0 0 400 400 0 0 100 100 0 0 300 300
298 Cyanocobalamin Inj Ampul 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100
299 Kloramfenicol 500 mg Kap 410 0 0 410 1000 0 0 1000 1410 0 0 1410 0 0 0 0 1410 0 0 1410

BMHP
300 Alat suntik 1 ml Pcs 500 0 0 500 500 0 0 500 1000 0 0 1000 0 0 0 0 1000 0 0 1000
301 Alat suntik 2,5 ml Pcs 300 0 0 300 0 0 0 0 300 0 0 300 100 0 0 100 200 0 0 200
302 Alat suntik 3 ml Pcs 2700 400 30 3130 0 0 0 0 2700 400 30 3130 200 0 0 200 2500 400 30 2930
303 Alat suntik 5 ml Pcs 1300 500 300 2100 0 0 0 0 1300 500 300 2100 800 0 0 800 500 500 300 1300
304 Alkohol 70 % ( 1 L ) Btl 19 0 0 19 12 0 0 12 31 0 0 31 4 0 0 4 27 0 0 27
305 Alkohol 70 % ( 60 Ml ) Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
306 Aqua destilata steril 500 ml Btl 12 0 0 12 2 0 0 2 14 0 0 14 2 0 0 2 12 0 0 12
307 Aqua pro injeksi Vial 74 25 0 99 0 0 0 0 74 25 0 99 0 10 0 10 74 15 0 89
308 Bisturi no 10 Pcs 10 0 0 10 0 0 0 0 10 0 0 10 0 0 0 0 10 0 0 10
309 Bisturi no 11 Pcs 10 0 0 10 0 0 0 0 10 0 0 10 0 0 0 0 10 0 0 10
310 Bisturi no 20 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
311 Bisturi no 22 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
312 Blood Lancet Pcs 2000 2800 0 4800 0 0 0 0 2000 2800 0 4800 0 0 0 0 2000 2800 0 4800
313 Catgut/benang bedah Pcs 96 0 0 96 0 0 0 0 96 0 0 96 0 0 0 0 96 0 0 96
314 ETT no.6 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
315 ETT no.6,5 Set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
316 ETT no.7 Set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
317 ETT no.7,5 Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
318 Hand scrub Pcs 21 0 0 21 20 0 0 20 41 0 0 41 7 0 0 7 34 0 0 34
319 Handscoon uk.S Pcs 300 0 0 300 1000 0 0 1000 1300 0 0 1300 400 0 0 400 900 0 0 900
320 Handscoon uk. M Pcs 0 1400 0 1400 1000 0 0 1000 1000 1400 0 2400 200 1200 0 1400 800 200 0 1000
321 Handscoon uk. L Pcs 0 0 0 0 1000 0 0 1000 1000 0 0 1000 200 0 0 200 800 0 0 800
322 Infusion set anak set 0 50 0 50 0 0 0 0 0 50 0 50 0 0 0 0 0 50 0 50
323 Infusion set dewasa set 0 45 0 45 0 0 0 0 0 45 0 45 0 0 0 0 0 45 0 45
324 Wing neadle no. 23G Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
325 IV Catheter (Abocath) NO.20 Pcs 10 0 0 10 0 0 0 0 10 0 0 10 0 0 0 0 10 0 0 10
326 IV Catheter (Abocath) NO.22 Pcs 10 0 0 10 0 0 0 0 10 0 0 10 0 0 0 0 10 0 0 10
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAI PEMBERIAN
AN PERMIN KET.
NO. NAMA BARANG SATUAN
RATA2/B TAAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH LN PKD PROG JUMLAH

327 IV Catheter (Abocath) NO.24 pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


328 Jarum Jahit (Nald Heating ) no. 10 pcs 39 0 0 39 0 0 0 0 39 0 0 39 0 0 0 0 39 0 0 39
329 Jarum Jahit (Nald Heating ) no. 11 pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
330 Jarum Jahit (Nald Heating ) no. 12 pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
331 Jarum Jahit (Nald Heating ) no. 13 pcs 25 0 0 25 0 0 0 0 25 0 0 25 0 0 0 0 25 0 0 25
332 Jarum Jahit (Nald Heating ) no. 14 Pcs 25 0 0 25 0 0 0 0 25 0 0 25 0 0 0 0 25 0 0 25
333 Kapas pembalut/Absorben 250 gr Roll 44 0 0 44 0 0 0 0 44 0 0 44 9 0 0 9 35 0 0 35
334 Kasa kompres 40/40 steril Roll 158 0 0 158 0 0 0 0 158 0 0 158 0 0 0 0 158 0 0 158
335 Kasa pembalut hidrofil 4m x 15 cm Roll 420 0 0 420 0 0 0 0 420 0 0 420 20 0 0 20 400 0 0 400
336 Kasa pembalut hidrofil 4 m x 3 cm Roll 300 0 0 300 0 0 0 0 300 0 0 300 10 0 0 10 290 0 0 290
337 Kassa 36x80 cm Roll 16 0 0 16 5 0 0 5 21 0 0 21 3 0 0 3 18 0 0 18
338 Kertas Saring Whatman Buku 0 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 1
339 Masker Pcs 450 3450 0 3900 350 0 0 350 800 3450 0 4250 350 700 0 1050 450 2750 0 3200
340 Objec Glass Box/72 4 0 17 21 0 0 0 0 4 0 17 21 0 0 0 0 4 0 17 21
341 Pipet Tetes Panjang Pcs 15 0 0 15 0 0 0 0 15 0 0 15 0 0 0 0 15 0 0 15
342 Plastik Obat Klip 10 x 7 Pcs 0 14000 0 14000 0 0 0 0 0 14000 0 14000 0 700 0 700 0 13300 0 13300
343 Plastik Obat Klip 13 x 8,7 0 11000 0 11000 0 0 0 0 0 11000 0 11000 0 200 0 200 0 10800 0 10800
344 Plester 5 yard x 2 inch Roll 19 0 4 23 0 0 0 0 19 0 4 23 0 0 0 0 19 0 4 23
345 Poly catheter no.8 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
346 Poly catheter no.12 Pcs 3 0 0 3 0 0 0 0 3 0 0 3 0 0 0 0 3 0 0 3
347 Poly catheter no.16 Pcs/set 16 0 0 16 0 0 0 0 16 0 0 16 0 0 0 0 16 0 0 16
348 Silk ( benang bedah sutera) 03/0 Sak 49 0 36 85 0 0 0 0 49 0 36 85 0 0 0 0 49 0 36 85
349 Spons gelatin cublices bks 7 0 0 7 0 0 0 0 7 0 0 7 0 0 0 0 7 0 0 7
350 Stick Gluco DR Btl/50 0 10 0 10 2 0 0 2 2 10 0 12 0 1 0 1 2 9 0 11
351 Tabung Reaksi Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
352 Tes Kehamilan HCG Pcs 2 0 0 2 0 0 0 0 2 0 0 2 0 0 0 0 2 0 0 2
353 Transfution set/Transfusion blood ADM set 3 0 0 3 0 0 0 0 3 0 0 3 0 0 0 0 3 0 0 3
354 Urinalysis 10 parameter Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
355 Stick asam Urat Btl/25 0 13 0 13 0 0 0 0 0 13 0 13 0 0 0 0 0 13 0 13
356 Stick Colestrol Btl/10 0 23 0 23 0 0 0 0 0 23 0 23 0 4 0 4 0 19 0 19
357 Jelly 250ml Ultra soundgel btl 0 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 1
358 Pot sputum Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
359 Reagen TB Paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
360 Sefty box 2,5 L Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
361 Reagen sifilis(SD,Bio StanQ) Test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
362 Box Slide Ktk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
363 Fokus test Ktk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
364 Alat suntik 0,5 ml Box 0 0 4859 4859 0 0 0 0 0 0 4859 4859 0 0 4859 4859 0 0 0 0
365 Sefty box 5 L Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
366 Masker Nebulizer Anak Psc 5 0 0 5 0 0 0 0 5 0 0 5 0 0 0 0 5 0 0 5
367 Masker Nebulizer Dewasa Psc 10 0 0 10 5 0 0 5 15 0 0 15 0 0 0 0 15 0 0 15
368 Nasal Oksigen Kanula Anak Psc 5 0 0 5 5 0 0 5 10 0 0 10 0 0 0 0 10 0 0 10
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAI PEMBERIAN
AN PERMIN KET.
NO. NAMA BARANG SATUAN
RATA2/B TAAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH LN PKD PROG JUMLAH

369 Nasal Oksigen Kanula Dewasa Psc 10 0 0 10 5 0 0 5 15 0 0 15 0 0 0 0 15 0 0 15


370 Non Rebreating Mask Psc 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
371 ID Dewasa Pink Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
372 ID Dewasa Blue Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
373 ID Bayi Pink Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
374 ID Bayi Biru Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
375 Umbilical Keniko Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
376 Folley Catheter 16 Rusch Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
377 Urine Bag Fresco Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
378 Disp Sryringe 10 ml Onemed Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
379 Suction Catheter 8 Remedi Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
380 Suction Catheter 16 Remedi Psc 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
381 Plaster Hypafix Psc 14 0 0 14 0 0 0 0 14 0 0 14 0 0 0 0 14 0 0 14
382 Rapid Test HIV I Standar (Stik SD HIV ) Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
383 Kasa Steril 16 X 16 Kotak 0 164 0 164 0 0 0 0 0 164 0 164 0 0 0 0 0 164 0 164
384 Alat Nesco Tri in one Kotak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
385 Alkohol Swab One swab Kotak 0 10 0 10 0 0 0 0 0 10 0 10 0 0 0 0 0 10 0 10
386 Bahan tambalan Komposid (solare) Tube 0 4 0 4 0 0 0 0 0 4 0 4 0 0 0 0 0 4 0 4
387 OCO Btl/15ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
388 Paper Pad Buku 0 6 0 6 0 0 0 0 0 6 0 6 0 0 0 0 0 6 0 6
389 Masker 1860 S/N95 pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
390 Rapid Test HIV II : Vikia (HIV ke 1) Test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
391 Rapid Test Hiv, 3 : Intec/China (HIV KE 2) Test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
392 RDT(Virotec+Diluent)DBD Test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
393 Rapid HBsAg(Virochek HbsAg) Test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
394 Baju Hazmat APD Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
395 Baju APD Gaun Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
396 Rapidtest Igm/40 TEST/KiT Kit 0 0 0 0 0 1 0 1 0 1 0 1 0 1 0 1 0 0 0 0

REAGENSIA
397 Cell Clean ( CL-50) Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
398 Cell Pack ( PK-30L) Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
399 Control eight check 3 x 1,5 ml Btl/set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
400 Eightcheck-3WP (Normal) 1,5 ml Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
401 Eightcheck-3WP (Low) 1,5 ml Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
402 Eightcheck-3WP (High) 1,5 ml Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
403 Stomalyzer WH(SWH-2004) btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
404 Tabung K2 EDTA 2 ml Btl 0 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 1
405 Printer Paper Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
406 Deck Glass Btl 5 0 0 5 0 0 0 0 5 0 0 5 0 0 0 0 5 0 0 5
407 Tes Gol Darah (A,B,AB ) Set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
408 Tisu lensa Buku 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAI PEMBERIAN
AN PERMIN KET.
NO. NAMA BARANG SATUAN
RATA2/B TAAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH LN PKD PROG JUMLAH

409 Kertas perkamen Lembar 19 0 0 19 0 0 0 0 19 0 0 19 0 0 0 0 19 0 0 19


410 Podofilin Tinctur 25 % Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
411 Larutan Fauchet Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
412 Larutan Lisol Btl 22 0 0 22 0 0 0 0 22 0 0 22 7 0 0 7 15 0 0 15
413 Larutan asam klorida 0,1 N Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
414 Larutan asam sulfosalisilat 20% Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
415 Larutan barium klorida Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
416 Larutan Benedict Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
417 Larutan Bupper PH 7,2 Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
418 Larutan EDTA Cair 10 % Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
419 Larutan Eosin 2 % Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
420 Larutan Etanol Asam Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
421 Larutan Giemsa Stalin Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
422 Larutan H2O2 Btl 7 0 0 7 0 0 0 0 7 0 0 7 0 0 0 0 7 0 0 7
423 Larutan Imersen oil HB Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
424 Larutan karbol fuksin Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425 Larutan Metanol Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
426 Larutan Metilen Biru Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
427 Larutan Natrium Sitrat 38 % Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
428 Larutan Rees echer Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
429 Larutan spiritus 100 ml Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
430 Larutan turk Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
431 Ether Alkohol Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
432 Buffer Ph 6,4 Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
433 KOH 10 % Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
434 Hemaatology calibrator btl 0 0 0 0 0 1 0 1 0 1 0 1 0 1 0 1 0 0 0 0
435 Cellcheck-400(cc-12) vial 0 0 0 0 0 1 0 1 0 1 0 1 0 1 0 1 0 0 0 0

289356 144415 7045 440816 156591 3003 80 159674 445947 147418 7125 600490 28878 5037 5119 39034 417069 142381 2006 561456

289,356 144,415 7,040 440811 156,591 3,003 - 159,594 600,490 29078 5037 5044 39159 416,869 142,381 1996 561,246

210

JENIS PELAYANAN PUSKESMAS PAAL X PUSTU POSKESDES JUMLAH


R/ UMUM 220 40 0 260
R/ BPJS 616 25 0 641
R/ JAMKESDA 0 23 0 23
Jlh. Recipe 2107 350 0 2457
Jlh R/ Generik 2107 350 0 2457
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAI PEMBERIAN
AN PERMIN KET.
NO. NAMA BARANG SATUAN
RATA2/B TAAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH LN PKD PROG JUMLAH

R/ Antibiotik 116 36 0 152

Mengetahui Jambi, Oktober 2020


Kepala UPTD Puskesmas Paal X Kota Jambi

dr.Hj.SRI ROSIANTI SRI HARTATY, AMF


NIP. 19720704 200701 2 017 NIP. 19820825 200502 2 001
PUSKESMAS PAAL X KOTA JAMBI
KODE. 5070101

JUMLAH STOK AWAL


NO. NAMA BARANG SATUAN
JUMLAH PKD BLUD PROG
OBAT
1 Acyclovir cream 5 % tube 324 324 0 0
2 Acyclovir tablet 200 mg Tab 1155 1155 0 0
3 Acyclovir tablet 400 mg Tab 1080 1080 0 0
4 Air Raksa Dental Use Btl 1 1 0 0
5 Albendazole 400 mg Tab 100 100 0 0
6 Allopurinol 100 mg Tab 2430 2430 0 0
7 Allopurinol 300 mg Tab 0 0 0 0
8 Ambroxol syrup Btl 170 60 110 0
9 Ambroxol tab 30 mg Tab 2010 2010 0 0
10 Aminofilin injeksi Ampul 0 0 0 0
11 Aminofilin tablet Tab 1500 1500 0 0
12 Amitriptilin tablet 25 mg Tab 1961 1961 0 0
13 Amlodipin 5 mg Tab 3640 640 3000 0
14 Amoksisilin kap 250 mg Kap 0 0 0 0
15 Amoksisilin kap 500 mg Kap 19145 19145 0 0
16 Amoksisilin sirup kering 125 mg/5 ml Btl 153 153 0 0
17 Amoksisilin Sirup Forte 250 mg/5 ml Btl 394 394 0 0
18 Amlodipin 10 mg Tab 2265 2265 0 0
19 Amoksisilin injeksi Vial 0 0 0 0
20 Ampisilin Kaplet 500 mg Kap 0 0 0 0
21 Ampisilin sirup kering 125 mg/5 ml Btl 0 0 0 0
22 Antalgin tablet 500 mg Tab 3734 3734 0 0
23 Antalgin injeksi Ampul 0 0 0 0
24 Antasida doen tablet Tab 22227 12227 10000 0
25 Antasida sirup Btl 193 190 3 0
26 Anti Bakteri salep / Bacitracin salep Tube 0 0 0 0
27 Anti Fungi kombinasi Pot 128 128 0 0
28 Anti Hemoroid supp 170 170 0 0
29 Anti Migrain tablet Tab 900 900 0 0
30 Asam Askorbat (VIT C) 50 mg Tab 28749 23249 5500 0
31 Asam Folat Tab 4390 4390 0 0
32 Asering Infus Kolf 0 0 0 0
33 Asam Mefenamat 500 mg Tab 4905 4905 0 0
34 Asam Tranexamat injeksi Ampul 0 0 0 0
35 Asam Asetilsalisilat(Asetosal) 80 mg Tab 100 100 0 0
36 Asetosal tablet 100 mg Tab 0 0 0 0
37 Azitromycin 500 mg Tab 100 100 0 0
38 Bisoprolol tablet Tab 0 0 0 0
39 Benzatin benzil penicilin inj 2,4 jt iu Vial 0 0 0 0
40 Betadin salep Tube 0 0 0 0
41 Betametason kream 0,1 % Tube 200 200 0 0
42 Bisacodyl 10 mg Supp 0 0 0 0
43 Bethahistin maselat Tablet 2082 2082 0 0
44 Captopril 12,5 mg Tab 590 590 0 0
45 Captopril 25 mg Tab 100 100 0 0
46 Captopril 50 mg Tab 0 0 0 0
47 Caviton Btl 2 2 0 0
48 Cefadroxil 500 mg kap 640 640 0 0
49 Cefotaxime injeksi 1 g Vial 0 0 0 0
50 Cefriaxon injeksi Vial 0 0 0 0
51 Cetrizin tablet 10 mg Kap 0 0 0 0
52 Ciprofloxacin 500 mg Tab 2614 2614 0 0
53 Clindamicin 150 mg Kap 300 300 0 0
54 Clindamicin 300 mg Kap 0 0 0 0
55 Devitalisasi pasta Btl 0 0 0 0
56 Dexamethason tablet Tab 0 0 0 0
57 Dexamethason injeksi Ampul 160 160 0 0
58 Diazepam tablet 2 mg Tab 876 76 800 0
59 Diazepam tablet 5 mg Tab 1194 1094 0 100
60 Diazepam injeksi Ampul 30 30 0 0
61 Difenhidramin injeksi Ampul 120 120 0 0
62 Digoksin tablet Tab 100 100 0 0
63 Doxicillin Tab 0 0 0 0
64 Dulcolax tablet Tab 0 0 0 0
65 Dulculax supp 10 mg ( Dewasa ) Supp 56 56 0 0
66 Dulculax supp 5 mg ( Anak ) Supp 24 24 0 0
67 Efedrin Hcl 25 mg Tab 0 0 0 0
68 Ekstrak belladona tablet 10 mg Tab 0 0 0 0
69 Ephinefrin hcl injeksi Ampul 120 120 0 0
70 Erytromycin kapsul 250 mg Kap 3240 3240 0 0
71 Erytromycin kapsul 500 mg Kap 4000 4000 0 0
72 Erytromycin syrup Btl 14 0 14 0
73 Etakridin / Rivanol Btl 12 12 0 0
74 Ethambutol hcl tab 250 mg Tab 0 0 0 0
75 Ethambutol hcl tab 500 mg Tab 0 0 0 0
76 Etil klorida semprot Btl 6 6 0 0
77 Eugenol cairan Btl 0 0 0 0
78 Fenitoin natrium 30 mg Kap 0 0 0 0
79 Fenitoin natrium 100 mg Kap 0 0 0 0
80 Fenobarbital injeksi Ampul 0 0 0 0
81 Fenobarbital tab 100 mg Tab 0 0 0 0
82 Fenobarbital tablet 30 mg Tab 697 697 0 0
83 Fenoksimetil fenisilin tab 250 mg Tab 0 0 0 0
84 Fenoksimetil fenisilin tab 500 mg Tab 0 0 0 0
85 Fenol Gliserol tetes telinga Btl 98 98 0 0
86 Fitomenadion (Vit K) tab 10 mg Tab 2106 2106 0 0
87 Fitomenadion (Vit K) injeksi Ampul 60 60 0 0
88 Fluconazol 150 mg Tab 0 0 0 0
89 Furosemide tablet 40 mg Tab 595 0 595 0
90 Fluor gel Btl 0 0 0 0
91 Garam oralit untuk 200 ml air Set 4465 4465 0 0
92 Gentamycin salep kulit 0,1 % Tube 83 83 0 0
93 Gentamycin salep mata Tube 96 96 0 0
94 Gentamycin tetes mata Btl 50 50 0 0
95 Gentamycin injeksi Ampul 0 0 0 0
96 Gentian violet Btl 56 32 24 0
97 Glass Ionomer (ART FUJI IX) Btl 0 0 0 0
98 Glibenklamida tablet 5 mg Tab 100 100 0 0
99 Glimepiride 1 mg Tab 2340 2340 0 0
100 Glimepiride 2 mg Tab 1725 1225 500 0
101 Gliseril guaiakolat tablet 100 mg Tab 44006 0 44006 0
102 Glukosa larutan infus 5 % steril Btl 0 0 0 0
103 Griseofulvin tablet 125 mg Tab 1600 1600 0 0
104 Griseofulvin tablet 500 mg Tab 400 400 0 0
105 Halloperidol tab 0,5 mg Tab 20 20 0 0
106 Halloperidol tab 1,5 mg Tab 600 600 0 0
107 Halloperidol tab 5 mg Tab 100 100 0 0
108 Hidroklortiazide (HCT) tablet 25 mg Tab 400 400 0 0
109 Hidrocortison krim 2,5 % Tube 96 96 0 0
110 Ibuprofen tablet 200 mg Tab 1568 1568 0 0
111 Ibuprofen tablet 400 mg Tab 1000 1000 0 0
112 Ibuprofen syrup Btl 0 0 0 0
113 Insulin Human Rapid injeksi 100 IU vial 0 0 0 0
114 Isoniazida ( INH ) tab 100 mg Tab 0 0 0 0
115 Isoniazida ( INH ) tab 300 mg Tab 400 400 0 0
116 Isosorbit dinitrat sublingual 5 mg Tab 115 115 0 0
117 Komb. Primetamin 25mg+suldox 500mg Tab 0 0 0 0
118 Klorfenol kamfermenthol ( CHKM ) Tab 0 0 0 0
119 Kalsium Laktat tablet Tab 20580 10080 10500 0
120 Kandesartan cilexetil 8 mg Tab 0 0 0 0
121 Karbamazepin tablet 200 mg Tab 500 500 0 0
122 Ketorolac injeksi Ampul 0 0 0 0
123 Kloramfenikol salep kulit Tube 41 41 0 0
124 Kloramfenikol salep mata 1 % Tube 126 126 0 0
125 Kloramfenicol tetes telinga 3 % Btl 65 65 0 0
126 Kloramfenicol 250 mg kapsul Kap 0 0 0 0
127 Klorfeniramin maleat 4 mg (CTM ) Tab 20174 20174 0 0
128 Kloramfenicol tetes mata ( Reco ) Btl 48 0 48 0
129 Kalsium Hidroksida Pasta ( Calcidor ) Tube 0 0 0 0
130 Klorpromazin hcl injeksi Ampul 0 0 0 0
131 Klorpromazine tab salut 25 mg Tab 0 0 0 0
132 Klorpromazine tab salut 100 mg Tab 90 90 0 0
133 Kodein tablet 10 mg Tab 623 623 0 0
134 Kotrimoksazol suspensi Btl 280 280 0 0
135 Kotrimoksazol pediatrik Tab 0 0 0 0
136 Kotrimoksazol tablet 480 mg Tab 1700 1700 0 0
137 Klorokuin Tab 0 0 0 0
138 Kuinin sulfat tab 222 mg (7H2O) Tab 0 0 0 0
139 Lidocain kompositum inj (Pehacain) Ampul 450 450 0 0
140 Lidocain injeksi Ampul 400 400 0 0
141 Lisinopril 10 mg Tab 0 0 0 0
142 Loperamide tab 2 mg / Novadium Tab 0 0 0 0
143 Loratadin 10 mg Tab 0 0 0 0
144 Magnesium sulfat injeksi 20% vial 5 5 0 0
145 Magnesium sulfat injeksi 40% vial 5 5 0 0
146 Mecobalamin injeksi Ampul 0 0 0 0
147 Meloxicam 7,5 mg Tab 0 0 0 0
148 Metformin hcl tablet 500 mg Tab 3660 3660 0 0
149 Methyl prednisolon tablet 4 mg Tab 7210 5000 2210 0
150 Metilergometrin tablet salut Tab 200 200 0 0
151 Metilergometrin injeksi Ampul 0 0 0 0
152 Metoklorpropamide hcl 10 mg Tab 2500 2500 0 0
153 Metronidazole tablet 250 mg Tab 0 0 0 0
154 Metronidazole tablet 500 mg Tab 1330 1330 0 0
155 Metronidazole syrup Btl 0 0 0 0
156 Metronidazole infus Btl 0 0 0 0
157 Miconazol cream tube 168 168 0 0
158 Microlax rectal tube tube 0 0 0 0
159 Mummifying pasta Btl 0 0 0 0
160 Natrium bikarbonat tablet Tab 1100 1100 0 0
161 Natrium Diklofenak 25 mg Tab 2414 2414 0 0
162 Natrium Diklofenak 50 mg Tab 2290 1190 1100 0
163 Natrium klorida larutan infus Btl 103 103 0 0
164 Neurobion 5000 injeksi Ampul 0 0 0 0
165 Nifedipin tablet Tab 260 260 0 0
166 Nistatin tablet salut 500.000 iu/g Tab 0 0 0 0
167 Nistatin tablet vaginal 100.000 iu/g Tab 280 280 0 0
168 OBH Btl 245 180 65 0
169 Obat Anti TBC Kategori 1 paket 0 0 0 0
170 Obat Anti TBC Kategori 1 -Stop TB KIT paket 0 0 0 0
171 Obat Anti TBC Kategori II paket 0 0 0 0
172 Obat Anti TBC Kategori Anak paket 0 0 0 0
173 Kombipak Kategori I paket 0 0 0 0
174 Ofloxacin 200 mg Tab 0 0 0 0
175 Oksitetrasiklin hcl salep mata 1 % tube 25 25 0 0
176 Oksitetrasiklin hcl salep kulit 3 % Tube 100 100 0 0
177 Oksitetrasiklin hcl injeksi vial 0 0 0 0
178 Oksitosin injeksi / Pitogin Ampul 80 80 0 0
179 Omeprazole capsul 20 mg Kap 450 450 0 0
180 Ondansentron injeksi Ampul 0 0 0 0
181 Papaverin tablet Tab 0 0 0 0
182 Paracetamol tablet 100 mg Tab 0 0 0 0
183 Paracetamol tablet 500 mg Tab 41580 21380 20200 0
184 Paracetamol Drop Btl 0 0 0 0
185 Parasetamol sirup Btl 285 15 270 0
186 Perfenazine tablet 4 mg Tab 0 0 0 0
187 Piracetam 3 g injeksi Ampul 0 0 0 0
188 Pirantel pamoat tablet 125 mg Tab 200 200 0 0
189 Pirantel pamoat sirup Btl 50 50 0 0
190 Pyrazinamide tablet 500 mg Tab 0 0 0 0
191 Piridoxin hcl tablet 10 mg Tab 20380 20380 0 0
192 Piroxicam 10 mg Tab 2300 300 2000 0
193 Piroxicam 20 mg Tab 239 0 239 0
194 Polikresulen / Albothil Btl 0 0 0 0
195 Prednison tablet Tab 16432 16432 0 0
196 Primakuin tablet Tab 0 0 0 0
197 Prokain benzil penisilin inj vial 0 0 0 0
198 Pronalges suppositoria Supp 0 0 0 0
199 Propanolol tab 10 mg Tab 0 0 0 0
200 Propanolol tab 40 mg Tab 0 0 0 0
201 Propiltiourasil tablet 100 mg Tab 770 200 570 0
202 Proris suppositoria Supp 0 0 0 0
203 Perak sulfadiazine cream 3 % tube 0 0 0 0
204 Ranitidin tablet 150 mg Tab 2000 2000 0 0
205 Ranitidin injeksi Ampul 0 0 0 0
206 Reserpin tablet 0,1 mg Tab 0 0 0 0
207 Reserpin tablet 0,25 mg Tab 0 0 0 0
208 Retinol kapsul 100.000 IU Kapsul 0 0 0 0
209 Retinol kapsul 200.000 IU Kapsul 0 0 0 0
210 Rifampisin kapsul 300 mg Kap 0 0 0 0
211 Rifampisin kapsul 450 mg Kap 0 0 0 0
212 Rifampisin kapsul 600 mg Kap 0 0 0 0
213 Ringer laktat infus steril Btl 65 65 0 0
214 Salbutamol tablet 2 mg Tab 590 590 0 0
215 Salbuatmol tablet 4 mg Tab 870 870 0 0
216 salep 2-4 Pot 0 0 0 0
217 Salisil bedak 2 % Pot 238 238 0 0
218 Semen seng fosfat serbuk & cairan Btl 0 0 0 0
219 Serum Anti Bisa Ular injeksi Vial 1 1 0 0
220 Serum Anti tetanus injeksi 1500 IU Ampul 10 10 0 0
221 Tatagam vial 0 0 0 0
222 Sianokobalamin inj 500 mcg/ml Btl 0 0 0 0
223 Silver Amalgam serbuk Tab 0 0 0 0
224 Simvastatin 10 mg Tab 1770 1770 0 0
225 Simvastatin 20 mg supp 2385 0 2385 0
226 Stesolid rectal supp 5 mg Supp 5 5 0 0
227 Stesolid rectal supp 10 mg Btl 8 8 0 0
228 Sulfasetamid tetes mata 15 % Tab 0 0 0 0
229 Tablet tambah darah (SF) Tab 6810 6810 0 0
230 Temporary / Fletcher Kap 0 0 0 0
231 Tetrasiklin kapsul 250 mg Kap 0 0 0 0
232 Tetrasiklin kapsul 500 mg Tab 1000 1000 0 0
233 Thrombo Aspilet Tab 0 0 0 0
234 Thiamin injeksi Ampul 0 0 0 0
235 Thiamin tablet 50 mg Tab 16928 16928 0 0
236 Triheksipenidil hcl tablet 2 mg Tab 559 559 0 0
237 Trikresol formalin cairan ( TKF ) Ampul 0 0 0 0
238 Vaksin rabies vero Tab 0 0 0 0
239 Valsartan 80 mg Tab 0 0 0 0
240 Ventolin nebulizer Nebules 20 20 0 0
241 Vitamin B komplek tablet Tab 12604 12404 0 200
242 Yodium povidon lart 10 % - 30 ml Btl 0 0 0 0
243 Yodium povidon lart 10 % - 300 ml Btl 25 14 11 0
244 Xylocain jelly Tube 0 0 0 0
245 Lidocain Pasta Pot 0 0 0 0
246 Zinc tablet 20 mg Tab 2325 2325 0 0
247 Zinc sirup Btl 101 101 0 0
248 Betamin drage ( Vit. B1 ) Tab 0 0 0 0
249 Domperidon Btl 2484 2484 0 0
250 Clozapin 25 mg Tab 120 0 0 120
251 Clobazam 10 mg Tab 0 0 0 0
252 Trifluoperazin HCl 5 mg ( Stelosi ) Tab 0 0 0 0
253 Vitamin B 12 Tab 2046 2046 0 0
254 Ketokonazol Crem Tube 32 32 0 0
255 Ketokonazole Tablet Tab 155 155 0 0
256 Flufenazin Decanoat Inj 25 mg Ampul 0 0 0 0
257 Haloperidol Inj 5 mg ( Ladomer ) Ampul 0 0 0 0
258 Haloperidol Decanoat Inj 50 mg Ampul 0 0 0 0
259 Resperidon tab 2 mg Tab 900 0 0 900
260 Curviplex Sirup Btl 0 0 0 0
261 Andalan Inj 3 Bulan Vial 0 0 0 0
262 Andalan Inj 1 Bulan Vial 0 0 0 0
263 Cyclopen Inj. 1 Bulan Vial 160 0 160 0
264 Ichtyol Salaf Kulit Pot 8 0 8 0
265 Levertran Salep Kulit Pot 42 0 42 0
266 HEPATITIS B Paket 25 0 0 25
267 BCG Ampul 17 0 0 17
268 POLIO Vial 0 0 0 0
269 PENTABIO/DPTHBHib Vial 15 0 0 15
270 CAMPAK Vial 7 0 0 7
271 Td / TT Vial 15 0 0 15
272 IPV Vial 0 0 0 0
273 Vaksin MR Vial 0 0 0 0
274 Pelarut MR Vial 0 0 0 0
275 Pentocain 0,5 % TT Mata Btl 12 0 12 0
276 Domperidon syrup btl 80 80 0 0
277 Kloramfenikol syrup btl 100 100 0 0
278 cetirizin syrup btl 0 0 0 0
279 Pritamox sirup 125 mg btl 180 0 180 0
280 Albendazole syrup btl 0 0 0 0
281 Moxalaskap/cotri480mg tab 2434 0 2434 0
282 Moxalas syr/cotry syr btl 100 0 100 0
283 Lorihis tab/loratadin tab tab 860 0 860 0
284 Flagsol syr/metro syr btl 46 0 46 0
285 Selfolic 1000mg/Asam folat tab 2000 0 2000 0
286 Trifadium2mg/Loperamid tab tab 500 0 500 0
287 Omeprazole Injeksi Ampul 15 15 0 0
288 Gluconas Kalsikus injeksi amp 0 0 0 0
289 Tricloflem Vial 20 0 20 0
290 Cycloserin 250mg tab 0 0 0 0
291 Ethionmid 250mg tab 0 0 0 0
292 Levofloxacin 750mg tab 0 0 0 0
293 Bedaquilin 100mg tab 0 0 0 0
294 Hbig Bayi vial 0 0 0 0
295 Amoxcillin drop btl 49 49 0 0
296 scabimid salep tube 49 49 0 0
297 Selcom C Tab 400 0 0 400
298 Cyanocobalamin Inj Ampul 100 100 0 0
299 Kloramfenicol 500 mg Kap 410 410 0 0
0 0 0 0
BMHP 0 0 0 0
300 Alat suntik 1 ml Pcs 500 500 0 0
301 Alat suntik 2,5 ml Pcs 300 300 0 0
302 Alat suntik 3 ml Pcs 3130 2700 400 30
303 Alat suntik 5 ml Pcs 2100 1300 500 300
304 Alkohol 70 % ( 1 L ) Btl 19 19 0 0
305 Alkohol 70 % ( 60 Ml ) Btl 0 0 0 0
306 Aqua destilata steril 500 ml Btl 12 12 0 0
307 Aqua pro injeksi Vial 99 74 25 0
308 Bisturi no 10 Pcs 10 10 0 0
309 Bisturi no 11 Pcs 10 10 0 0
310 Bisturi no 20 Pcs 0 0 0 0
311 Bisturi no 22 Pcs 0 0 0 0
312 Blood Lancet Pcs 4800 2000 2800 0
313 Catgut/benang bedah Pcs 96 96 0 0
314 ETT no.6 Pcs 0 0 0 0
315 ETT no.6,5 Set 0 0 0 0
316 ETT no.7 Set 0 0 0 0
317 ETT no.7,5 Btl 0 0 0 0
318 Hand scrub Pcs 21 21 0 0
319 Handscoon uk.S Pcs 300 300 0 0
320 Handscoon uk. M Pcs 1400 0 1400 0
321 Handscoon uk. L Pcs 0 0 0 0
322 Infusion set anak set 50 0 50 0
323 Infusion set dewasa set 45 0 45 0
324 Wing neadle no. 23G Pcs 0 0 0 0
325 IV Catheter (Abocath) NO.20 Pcs 10 10 0 0
326 IV Catheter (Abocath) NO.22 Pcs 10 10 0 0
327 IV Catheter (Abocath) NO.24 pcs 0 0 0 0
328 Jarum Jahit (Nald Heating ) no. 10 pcs 39 39 0 0
329 Jarum Jahit (Nald Heating ) no. 11 pcs 0 0 0 0
330 Jarum Jahit (Nald Heating ) no. 12 pcs 0 0 0 0
331 Jarum Jahit (Nald Heating ) no. 13 pcs 25 25 0 0
332 Jarum Jahit (Nald Heating ) no. 14 Pcs 25 25 0 0
333 Kapas pembalut/Absorben 250 gr Roll 44 44 0 0
334 Kasa kompres 40/40 steril Roll 158 158 0 0
335 Kasa pembalut hidrofil 4m x 15 cm Roll 420 420 0 0
336 Kasa pembalut hidrofil 4 m x 3 cm Roll 300 300 0 0
337 Kassa 36x80 cm Roll 16 16 0 0
338 Kertas Saring Whatman Buku 1 0 1 0
339 Masker Pcs 3900 450 3450 0
340 Objec Glass Box/72 21 4 0 17
341 Pipet Tetes Panjang Pcs 15 15 0 0
342 Plastik Obat Klip 10 x 7 Pcs 14000 0 14000 0
343 Plastik Obat Klip 13 x 8,7 11000 0 11000 0
344 Plester 5 yard x 2 inch Roll 23 19 0 4
345 Poly catheter no.8 Pcs 0 0 0 0
346 Poly catheter no.12 Pcs 3 3 0 0
347 Poly catheter no.16 Pcs/set 16 16 0 0
348 Silk ( benang bedah sutera) 03/0 Sak 85 49 0 36
349 Spons gelatin cublices bks 7 7 0 0
350 Stick Gluco DR Btl/50 10 0 10 0
351 Tabung Reaksi Pcs 0 0 0 0
352 Tes Kehamilan HCG Pcs 2 2 0 0
353 Transfution set/Transfusion blood ADM set 3 3 0 0
354 Urinalysis 10 parameter Btl 0 0 0 0
355 Stick asam Urat Btl/25 13 0 13 0
356 Stick Colestrol Btl/10 23 0 23 0
357 Jelly 250ml Ultra soundgel btl 1 0 1 0
358 Pot sputum Pcs 0 0 0 0
359 Reagen TB Paket 0 0 0 0
360 Sefty box 2,5 L Box 0 0 0 0
361 Reagen sifilis(SD,Bio StanQ) Test 0 0 0 0
362 Box Slide Ktk 0 0 0 0
363 Fokus test Ktk 0 0 0 0
364 Alat suntik 0,5 ml Box 4859 0 0 4859
365 Sefty box 5 L Box 0 0 0 0
366 Masker Nebulizer Anak Psc 5 5 0 0
367 Masker Nebulizer Dewasa Psc 10 10 0 0
368 Nasal Oksigen Kanula Anak Psc 5 5 0 0
369 Nasal Oksigen Kanula Dewasa Psc 10 10 0 0
370 Non Rebreating Mask Psc 0 0 0 0
371 ID Dewasa Pink Box 0 0 0 0
372 ID Dewasa Blue Box 0 0 0 0
373 ID Bayi Pink Box 0 0 0 0
374 ID Bayi Biru Box 0 0 0 0
375 Umbilical Keniko Box 0 0 0 0
376 Folley Catheter 16 Rusch Pcs 0 0 0 0
377 Urine Bag Fresco Pcs 0 0 0 0
378 Disp Sryringe 10 ml Onemed Box 0 0 0 0
379 Suction Catheter 8 Remedi Pcs 0 0 0 0
380 Suction Catheter 16 Remedi Psc 0 0 0 0
381 Plaster Hypafix Psc 14 14 0 0
382 Rapid Test HIV I Standar (Stik SD HIV ) Pcs 0 0 0 0
383 Kasa Steril 16 X 16 Kotak 164 0 164 0
384 Alat Nesco Tri in one Kotak 0 0 0 0
385 Alkohol Swab One swab Kotak 10 0 10 0
386 Bahan tambalan Komposid (solare) Tube 4 0 4 0
387 OCO Btl/15ml 0 0 0 0
388 Paper Pad Buku 6 0 6 0
389 Masker 1860 S/N95 pcs 0 0 0 0
390 Rapid Test HIV II : Vikia (HIV ke 1) Test 0 0 0 0
391 Rapid Test Hiv, 3 : Intec/China (HIV KE 2) Test 0 0 0 0
392 RDT(Virotec+Diluent)DBD Test 0 0 0 0
393 Rapid HBsAg(Virochek HbsAg) Test 0 0 0 0
394 Baju Hazmat APD Pcs 0 0 0 0
395 Baju APD Gaun Pcs 0 0 0 0
396 Rapidtest Igm/40 TEST/KiT Kit 0 0 0 0
0 0 0 0
REAGENSIA 0 0 0 0
397 Cell Clean ( CL-50) Btl 0 0 0 0
398 Cell Pack ( PK-30L) Btl 0 0 0 0
399 Control eight check 3 x 1,5 ml Btl/set 0 0 0 0
400 Eightcheck-3WP (Normal) 1,5 ml Vial 0 0 0 0
401 Eightcheck-3WP (Low) 1,5 ml Vial 0 0 0 0
402 Eightcheck-3WP (High) 1,5 ml Vial 0 0 0 0
403 Stomalyzer WH(SWH-2004) btl 0 0 0 0
404 Tabung K2 EDTA 2 ml Btl 1 0 1 0
405 Printer Paper Pcs 0 0 0 0
406 Deck Glass Btl 5 5 0 0
407 Tes Gol Darah (A,B,AB ) Set 0 0 0 0
408 Tisu lensa Buku 0 0 0 0
409 Kertas perkamen Lembar 19 19 0 0
410 Podofilin Tinctur 25 % Btl 0 0 0 0
411 Larutan Fauchet Btl 0 0 0 0
412 Larutan Lisol Btl 22 22 0 0
413 Larutan asam klorida 0,1 N Btl 0 0 0 0
414 Larutan asam sulfosalisilat 20% Btl 0 0 0 0
415 Larutan barium klorida Btl 0 0 0 0
416 Larutan Benedict Btl 0 0 0 0
417 Larutan Bupper PH 7,2 Btl 0 0 0 0
418 Larutan EDTA Cair 10 % Btl 0 0 0 0
419 Larutan Eosin 2 % Btl 0 0 0 0
420 Larutan Etanol Asam Btl 0 0 0 0
421 Larutan Giemsa Stalin Btl 0 0 0 0
422 Larutan H2O2 Btl 7 7 0 0
423 Larutan Imersen oil HB Btl 0 0 0 0
424 Larutan karbol fuksin Btl 0 0 0 0
425 Larutan Metanol Btl 0 0 0 0
426 Larutan Metilen Biru Btl 0 0 0 0
427 Larutan Natrium Sitrat 38 % Btl 0 0 0 0
428 Larutan Rees echer Btl 0 0 0 0
429 Larutan spiritus 100 ml Btl 0 0 0 0
430 Larutan turk Btl 0 0 0 0
431 Ether Alkohol Botol 0 0 0 0
432 Buffer Ph 6,4 Botol 0 0 0 0
433 KOH 10 % Btl 0 0 0 0
434 Hemaatology calibrator btl 0 0 0 0
435 Cellcheck-400(cc-12) vial 0 0 0 0
0 0 0 0
440,816 289,356 144,415 7,045
440,811 289,356 144,415 7,040

5 5
LAPORAN PEMAKAIAN DAN LEMBAR PER

STOK AWAL GUDANG STOK AWAL APOTIK PENERIMAAN


PKD BLUD PROG PKD BLUD PROG PKD BLUD PROG JUMLAH

278 0 0 46 0 0 0 0 0 0
900 0 0 255 0 0 400 0 0 400
750 0 0 330 0 0 500 0 0 500
1 0 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 0 0
2000 0 0 430 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
60 96 0 0 14 0 60 0 0 60
1300 0 0 710 0 0 3000 0 0 3000
0 0 0 0 0 0 0 0 0 0
1300 0 0 200 0 0 0 0 0 0
1800 0 0 161 0 0 0 0 0 0
0 3000 0 640 0 0 2700 0 0 2700
0 0 0 0 0 0 0 0 0 0
18800 0 0 345 0 0 20000 0 0 20000
120 0 0 33 0 0 60 0 0 60
360 0 0 34 0 0 0 0 0 0
2160 0 0 105 0 0 1500 0 0 1500
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
3500 0 0 234 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
11700 10000 0 527 0 0 16800 0 0 16800
150 0 0 40 3 0 250 0 0 250
0 0 0 0 0 0 0 0 0 0
120 0 0 8 0 0 72 0 0 72
150 0 0 20 0 0 150 0 0 150
900 0 0 0 0 0 500 0 0 500
22000 5500 0 1249 0 0 14000 0 0 14000
3500 0 0 890 0 0 1500 0 0 1500
0 0 0 0 0 0 0 0 0 0
4600 0 0 305 0 0 5000 0 0 5000
0 0 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
100 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
150 0 0 50 0 0 150 0 0 150
0 0 0 0 0 0 0 0 0 0
1700 0 0 382 0 0 500 0 0 500
400 0 0 190 0 0 0 0 0 0
100 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0 0 0
200 0 0 440 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
2300 0 0 314 0 0 0 0 0 0
300 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 3000 0 3000
160 0 0 0 0 0 0 0 0 0
0 800 0 76 0 0 1000 0 0 1000
1000 0 100 94 0 0 0 0 0 0
30 0 0 0 0 0 0 0 0 0
120 0 0 0 0 0 0 0 0 0
100 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
41 0 0 15 0 0 0 0 0 0
24 0 0 0 0 0 12 0 0 12
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
120 0 0 0 0 0 0 0 0 0
2800 0 0 440 0 0 0 0 0 0
4000 0 0 0 0 0 0 0 0 0
0 0 0 0 14 0 0 0 0 0
12 0 0 0 0 0 6 0 0 6
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
6 0 0 0 0 0 8 0 0 8
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 0 100 0 0 100
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
600 0 0 97 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
96 0 0 2 0 0 0 0 0 0
1700 0 0 406 0 0 0 0 0 0
60 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 200 0 0 395 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
4300 0 0 165 0 0 500 0 0 500
50 0 0 33 0 0 50 0 0 50
72 0 0 24 0 0 0 0 0 0
24 0 0 26 0 0 24 0 0 24
0 0 0 0 0 0 0 0 0 0
0 24 0 32 0 0 24 0 0 24
0 0 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 0 0
1900 0 0 440 0 0 0 0 0 0
1000 500 0 225 0 0 0 0 0 0
0 42900 0 0 1106 0 0 0 0 0
0 0 0 0 0 0 20 0 0 20
1600 0 0 0 0 0 500 0 0 500
300 0 0 100 0 0 100 0 0 100
0 0 0 20 0 0 300 0 0 300
600 0 0 0 0 0 0 0 0 0
100 0 0 0 0 0 300 0 0 300
0 0 0 400 0 0 0 0 0 0
96 0 0 0 0 0 120 0 0 120
1200 0 0 368 0 0 0 0 0 0
800 0 0 200 0 0 500 0 0 500
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
300 0 0 100 0 0 0 0 0 0
100 0 0 15 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
9200 10500 0 880 0 0 16800 0 0 16800
0 0 0 0 0 0 0 0 0 0
500 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
19 0 0 22 0 0 0 0 0 0
120 0 0 6 0 0 0 0 0 0
65 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
19800 0 0 374 0 0 4500 0 0 4500
0 48 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 90 0 0 300 0 0 300
600 0 0 23 0 0 0 0 0 0
280 0 0 0 0 0 200 0 0 200
0 0 0 0 0 0 0 0 0 0
1700 0 0 0 0 0 1000 0 0 1000
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
450 0 0 0 0 0 0 0 0 0
400 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
5 0 0 0 0 0 0 0 0 0
5 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
3500 0 0 160 0 0 0 0 0 0
5000 2200 0 0 10 0 0 0 0 0
200 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
2500 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1000 0 0 330 0 0 1000 0 0 1000
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
120 0 0 48 0 0 48 0 0 48
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1100 0 0 0 0 0 0 0 0 0
2050 0 0 364 0 0 2800 0 0 2800
650 1100 0 540 0 0 500 0 0 500
103 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
200 0 0 60 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
200 0 0 80 0 0 0 0 0 0
180 0 0 0 65 0 100 0 0 100
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 0 0 0
0 0 0 0 0 0 0 0 0 0
25 0 0 0 0 0 25 0 0 25
100 0 0 0 0 0 75 0 0 75
0 0 0 0 0 0 0 0 0 0
80 0 0 0 0 0 0 0 0 0
210 0 0 240 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
20500 20200 0 880 0 0 16500 0 0 16500
0 0 0 0 0 0 0 0 0 0
15 260 0 0 10 0 500 0 0 500
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
100 0 0 100 0 0 0 0 0 0
50 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
19400 0 0 980 0 0 0 0 0 0
0 2000 0 300 0 0 0 0 0 0
0 0 0 0 239 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
16200 0 0 232 0 0 3000 0 0 3000
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 0 0 0
200 400 0 0 170 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
1500 0 0 500 0 0 2000 0 0 2000
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 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
65 0 0 0 0 0 0 0 0 0
300 0 0 290 0 0 1000 0 0 1000
400 0 0 470 0 0 0 0 0 0
0 0 0 0 0 0 48 0 0 48
216 0 0 22 0 0 40 0 0 40
0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 30 0 0 30
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
1590 0 0 180 0 0 3000 0 0 3000
0 2000 0 0 385 0 0 0 0 0
5 0 0 0 0 0 5 0 0 5
8 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
6000 0 0 810 0 0 16800 0 0 16800
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
900 0 0 100 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
15600 0 0 1328 0 0 0 0 0 0
500 0 0 59 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
20 0 0 0 0 0 60 0 0 60
11400 0 200 1004 0 0 10000 0 0 10000
0 0 0 0 0 0 0 0 0 0
14 11 0 0 0 0 3 0 0 3
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
2100 0 0 225 0 0 0 0 0 0
100 0 0 1 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
2300 0 0 184 0 0 0 0 0 0
0 0 50 0 0 70 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1100 0 0 946 0 0 0 0 0 0
25 0 0 7 0 0 25 0 0 25
100 0 0 55 0 0 500 0 0 500
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 0 700 0 0 200 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
0 160 0 0 0 0 0 0 0 0
0 0 0 0 8 0 0 0 0 0
0 24 0 0 18 0 0 0 0 0
0 0 25 0 0 0 0 0 30 30
0 0 17 0 0 0 0 0 5 5
0 0 0 0 0 0 0 0 0 0
0 0 15 0 0 0 0 0 30 30
0 0 7 0 0 0 0 0 15 15
0 0 15 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 12 0 0 0 0 0 0 0 0
50 0 0 30 0 0 0 0 0 0
50 0 0 50 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 180 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 1800 0 0 634 0 0 0 0 0
0 100 0 0 0 0 0 0 0 0
0 700 0 0 160 0 0 0 0 0
0 40 0 0 6 0 0 0 0 0
0 2000 0 0 0 0 0 0 0 0
0 0 0 0 500 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 20 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 0
0 0 0 0 0 0 0 0 0 0
30 0 0 19 0 0 0 0 0 0
45 0 0 4 0 0 120 0 0 120
0 0 400 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 0 0
300 0 0 110 0 0 1000 0 0 1000
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
500 0 0 0 0 0 500 0 0 500
300 0 0 0 0 0 0 0 0 0
2700 400 30 0 0 0 0 0 0 0
1300 500 300 0 0 0 0 0 0 0
19 0 0 0 0 0 12 0 0 12
0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 2 0 0 2
74 25 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0
10 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
2000 2800 0 0 0 0 0 0 0 0
96 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 0 0
21 0 0 0 0 0 20 0 0 20
300 0 0 0 0 0 1000 0 0 1000
0 1400 0 0 0 0 1000 0 0 1000
0 0 0 0 0 0 1000 0 0 1000
0 50 0 0 0 0 0 0 0 0
0 45 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
39 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
25 0 0 0 0 0 0 0 0 0
25 0 0 0 0 0 0 0 0 0
44 0 0 0 0 0 0 0 0 0
158 0 0 0 0 0 0 0 0 0
420 0 0 0 0 0 0 0 0 0
300 0 0 0 0 0 0 0 0 0
16 0 0 0 0 0 5 0 0 5
0 1 0 0 0 0 0 0 0 0
450 3450 0 0 0 0 350 0 0 350
4 0 17 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0
0 14000 0 0 0 0 0 0 0 0
0 11000 0 0 0 0 0 0 0 0
19 0 4 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
3 0 0 0 0 0 0 0 0 0
16 0 0 0 0 0 0 0 0 0
49 0 36 0 0 0 0 0 0 0
7 0 0 0 0 0 0 0 0 0
0 10 0 0 0 0 2 0 0 2
0 0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0 0 0
3 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 13 0 0 0 0 0 0 0 0
0 23 0 0 0 0 0 0 0 0
0 1 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 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 4859 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
5 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 5 0 0 5
5 0 0 0 0 0 5 0 0 5
10 0 0 0 0 0 5 0 0 5
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 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 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 164 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 10 0 0 0 0 0 0 0 0
0 4 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 6 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 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 1 0 1
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 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 1 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
5 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
19 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
22 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 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 0 0 0 0 0
7 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 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 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 1 0 1
0 0 0 0 0 0 0 1 0 1
0 0 0 0 0 0 0 0 0 0
266,037 140,678 6,775 23,319 3,737 270 156,591 3,003 80 159,674
266,037 140,678 6,770 23319 3737 270 156,591 3,003 - 159,594
IAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )

PERSEDIAA PEMAKAIAN PEMAKAIAN GUDANG (LAIN-LAIN) PEMAKAIAN APOTIK


STOK AKHIR
N PKD BLUD PROG PKD BLUD PROG

324 0 0 0 0 0 0 0 324
1555 255 0 0 0 255 0 0 1300
1580 0 0 0 0 0 0 0 1580
1 0 0 0 0 0 0 0 1
100 0 0 0 0 0 0 0 100
2430 220 0 0 0 220 0 0 2210
0 0 0 0 0 0 0 0 0
230 11 0 0 0 0 11 0 219
5010 110 0 0 0 110 0 0 4900
0 0 0 0 0 0 0 0 0
1500 0 0 0 0 0 0 0 1500
1961 0 0 0 0 0 0 0 1961
6340 390 0 0 0 390 0 0 5950
0 0 0 0 0 0 0 0 0
39145 2445 1600 0 0 845 0 0 36700
213 5 0 0 0 5 0 0 208
394 274 180 0 0 94 0 0 120
3765 105 0 0 0 105 0 0 3660
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
3734 64 0 0 0 64 0 0 3670
0 0 0 0 0 0 0 0 0
39027 1487 800 0 0 687 0 0 37540
443 52 10 0 0 39 3 0 391
0 0 0 0 0 0 0 0 0
200 1 0 0 0 1 0 0 199
320 115 0 0 0 115 0 0 205
1400 0 0 0 0 0 0 0 1400
42749 1639 0 0 0 1639 0 0 41110
5890 310 0 0 0 310 0 0 5580
0 0 0 0 0 0 0 0 0
9905 1080 200 0 0 880 0 0 8825
0 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 100
0 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 100
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
350 33 25 0 0 8 0 0 317
0 0 0 0 0 0 0 0 0
2582 561 100 0 0 461 0 0 2021
590 0 0 0 0 0 0 0 590
100 0 0 0 0 0 0 0 100
0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0 2
640 82 0 0 0 82 0 0 558
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
2614 104 0 0 0 104 0 0 2510
300 0 0 0 0 0 0 0 300
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
3000 0 0 0 0 0 0 0 3000
160 0 0 0 0 0 0 0 160
1876 31 0 0 0 31 0 0 1845
1194 0 0 0 0 0 0 0 1194
30 0 0 0 0 0 0 0 30
120 0 0 0 0 0 0 0 120
100 0 0 0 0 0 0 0 100
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
56 30 10 0 0 20 0 0 26
36 0 0 0 0 0 0 0 36
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
120 0 0 0 0 0 0 0 120
3240 0 0 0 0 0 0 0 3240
4000 0 0 0 0 0 0 0 4000
14 0 0 0 0 0 0 0 14
18 0 0 0 0 0 0 0 18
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
14 0 0 0 0 0 0 0 14
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 100
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
697 0 0 0 0 0 0 0 697
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
98 6 0 0 0 6 0 0 92
2106 246 0 0 0 246 0 0 1860
60 0 0 0 0 0 0 0 60
0 0 0 0 0 0 0 0 0
595 0 0 0 0 0 0 0 595
0 0 0 0 0 0 0 0 0
4965 90 0 0 0 90 0 0 4875
133 23 0 0 0 23 0 0 110
96 0 0 0 0 0 0 0 96
74 13 0 0 0 13 0 0 61
0 0 0 0 0 0 0 0 0
80 4 0 0 0 4 0 0 76
0 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 100
2340 20 0 0 0 20 0 0 2320
1725 0 0 0 0 0 0 0 1725
44006 1506 0 1000 0 0 506 0 42500
20 0 0 0 0 0 0 0 20
2100 510 500 0 0 10 0 0 1590
500 0 0 0 0 0 0 0 500
320 0 0 0 0 0 0 0 320
600 0 0 0 0 0 0 0 600
400 0 0 0 0 0 0 0 400
400 0 0 0 0 0 0 0 400
216 53 24 0 0 29 0 0 163
1568 668 300 0 0 368 0 0 900
1500 20 0 0 0 20 0 0 1480
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
400 0 0 0 0 0 0 0 400
115 0 0 0 0 0 0 0 115
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
37380 1850 500 0 0 1350 0 0 35530
0 0 0 0 0 0 0 0 0
500 0 0 0 0 0 0 0 500
0 0 0 0 0 0 0 0 0
41 0 0 0 0 0 0 0 41
126 3 0 0 0 3 0 0 123
65 0 0 0 0 0 0 0 65
0 0 0 0 0 0 0 0 0
24674 1684 0 0 0 1684 0 0 22990
48 0 0 0 0 0 0 0 48
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
390 0 0 0 0 0 0 0 390
623 48 0 0 0 48 0 0 575
480 0 0 0 0 0 0 0 480
0 0 0 0 0 0 0 0 0
2700 0 0 0 0 0 0 0 2700
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
450 60 60 0 0 0 0 0 390
400 0 0 0 0 0 0 0 400
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
5 0 0 0 0 0 0 0 5
5 0 0 0 0 0 0 0 5
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
3660 160 0 0 0 160 0 0 3500
7210 70 0 0 0 0 70 0 7140
200 0 0 0 0 0 0 0 200
0 0 0 0 0 0 0 0 0
2500 0 0 0 0 0 0 0 2500
0 0 0 0 0 0 0 0 0
2330 30 0 0 0 30 0 0 2300
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
216 4 0 0 0 4 0 0 212
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
1100 0 0 0 0 0 0 0 1100
5214 544 200 0 0 344 0 0 4670
2790 410 300 0 0 110 0 0 2380
103 16 16 0 0 0 0 0 87
0 0 0 0 0 0 0 0 0
260 10 0 0 0 10 0 0 250
0 0 0 0 0 0 0 0 0
280 10 0 0 0 10 0 0 270
345 25 15 0 0 0 10 0 320
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 0 0 0 0 0 0 0
50 0 0 0 0 0 0 0 50
175 25 0 0 0 25 0 0 150
0 0 0 0 0 0 0 0 0
80 0 0 0 0 0 0 0 80
450 354 0 0 0 354 0 0 96
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
58080 3200 500 0 0 2700 0 0 54880
0 0 0 0 0 0 0 0 0
785 11 0 0 0 1 10 0 774
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
200 0 0 0 0 0 0 0 200
50 0 0 0 0 0 0 0 50
0 0 0 0 0 0 0 0 0
20380 530 0 0 0 530 0 0 19850
2300 410 0 0 0 300 110 0 1890
239 69 0 0 0 0 69 0 170
0 0 0 0 0 0 0 0 0
19432 652 0 0 0 652 0 0 18780
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
770 0 0 0 0 0 0 0 770
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
4000 254 0 0 0 254 0 0 3746
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 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
65 5 5 0 0 0 0 0 60
1590 50 0 0 0 50 0 0 1540
870 230 200 0 0 30 0 0 640
48 0 0 0 0 0 0 0 48
278 41 16 0 0 25 0 0 237
0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 1
40 10 10 0 0 0 0 0 30
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
4770 390 0 0 0 390 0 0 4380
2385 235 0 0 0 0 235 0 2150
10 0 0 0 0 0 0 0 10
8 0 0 0 0 0 0 0 8
0 0 0 0 0 0 0 0 0
23610 1790 0 0 0 1790 0 0 21820
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
1000 0 0 0 0 0 0 0 1000
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
16928 273 0 0 0 273 0 0 16655
559 60 0 0 0 60 0 0 499
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
80 0 0 0 0 0 0 0 80
22604 1834 0 0 0 1834 0 0 20770
0 0 0 0 0 0 0 0 0
28 21 10 11 0 0 0 0 7
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
2325 350 300 0 0 50 0 0 1975
101 12 6 0 0 6 0 0 89
0 0 0 0 0 0 0 0 0
2484 174 0 0 0 174 0 0 2310
120 25 0 0 0 0 0 25 95
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
2046 6 0 0 0 6 0 0 2040
57 20 0 0 0 20 0 0 37
655 41 0 0 0 41 0 0 614
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
900 60 0 0 0 0 0 60 840
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
160 20 0 20 0 0 0 0 140
8 0 0 0 0 0 0 0 8
42 0 0 0 0 0 0 0 42
55 30 0 0 30 0 0 0 25
22 0 0 0 0 0 0 0 22
0 0 0 0 0 0 0 0 0
45 30 0 0 30 0 0 0 15
22 15 0 0 15 0 0 0 7
15 0 0 0 0 0 0 0 15
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
12 0 0 0 0 0 0 0 12
80 20 0 0 0 20 0 0 60
100 30 0 0 0 30 0 0 70
0 0 0 0 0 0 0 0 0
180 0 0 0 0 0 0 0 180
0 0 0 0 0 0 0 0 0
2434 54 0 0 0 0 54 0 2380
100 0 0 0 0 0 0 0 100
860 10 0 0 0 0 10 0 850
46 0 0 0 0 0 0 0 46
2000 0 0 0 0 0 0 0 2000
500 80 0 0 0 0 80 0 420
15 0 0 0 0 0 0 0 15
0 0 0 0 0 0 0 0 0
20 20 0 20 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 0 0 0
49 0 0 0 0 0 0 0 49
169 17 0 0 0 17 0 0 152
400 100 0 0 0 0 0 100 300
100 0 0 0 0 0 0 0 100
1410 0 0 0 0 0 0 0 1410
0 0 0
0 0 0 0 0 0 0 0 0
1000 0 0 0 0 0 0 0 1000
300 100 100 0 0 0 0 0 200
3130 200 200 0 0 0 0 0 2930
2100 800 800 0 0 0 0 0 1300
31 4 4 0 0 0 0 0 27
0 0 0 0 0 0 0 0 0
14 2 2 0 0 0 0 0 12
99 10 0 10 0 0 0 0 89
10 0 0 0 0 0 0 0 10
10 0 0 0 0 0 0 0 10
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
4800 0 0 0 0 0 0 0 4800
96 0 0 0 0 0 0 0 96
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
41 7 7 0 0 0 0 0 34
1300 400 300 0 0 100 0 0 900
2400 1400 200 1200 0 0 0 0 1000
1000 200 200 0 0 0 0 0 800
50 0 0 0 0 0 0 0 50
45 0 0 0 0 0 0 0 45
0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 10
10 0 0 0 0 0 0 0 10
0 0 0 0 0 0 0 0 0
39 0 0 0 0 0 0 0 39
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
25 0 0 0 0 0 0 0 25
25 0 0 0 0 0 0 0 25
44 9 9 0 0 0 0 0 35
158 0 0 0 0 0 0 0 158
420 20 20 0 0 0 0 0 400
300 10 10 0 0 0 0 0 290
21 3 3 0 0 0 0 0 18
1 0 0 0 0 0 0 0 1
4250 1050 250 650 0 100 50 0 3200
21 0 0 0 0 0 0 0 21
15 0 0 0 0 0 0 0 15
14000 700 0 700 0 0 0 0 13300
11000 200 0 200 0 0 0 0 10800
23 0 0 0 0 0 0 0 23
0 0 0 0 0 0 0 0 0
3 0 0 0 0 0 0 0 3
16 0 0 0 0 0 0 0 16
85 0 0 0 0 0 0 0 85
7 0 0 0 0 0 0 0 7
12 1 0 1 0 0 0 0 11
0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0 2
3 0 0 0 0 0 0 0 3
0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 0 0 13
23 4 0 4 0 0 0 0 19
1 0 0 0 0 0 0 0 1
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 0 0 0 0 0 0 0
4859 4859 0 0 4859 0 0 0 0
0 0 0 0 0 0 0 0 0
5 0 0 0 0 0 0 0 5
15 0 0 0 0 0 0 0 15
10 0 0 0 0 0 0 0 10
15 0 0 0 0 0 0 0 15
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 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 0 0 0 0 0
14 0 0 0 0 0 0 0 14
0 0 0 0 0 0 0 0 0
164 0 0 0 0 0 0 0 164
0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 10
4 0 0 0 0 0 0 0 4
0 0 0 0 0 0 0 0 0
6 0 0 0 0 0 0 0 6
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 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
1 1 0 1 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
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
1 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0
5 0 0 0 0 0 0 0 5
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
19 0 0 0 0 0 0 0 19
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
22 7 7 0 0 0 0 0 15
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 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
7 0 0 0 0 0 0 0 7
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 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 0 0 0 0 0
1 1 0 1 0 0 0 0 0
1 1 0 1 0 0 0 0 0
0 0 0 0 0 0 0 0 0
600,490 39,034 7,999 3,819 4,934 20,879 1,218 185 561,456
8,199 3,819 4,859 20879 1218 185 561,456
600,485
Bulan : September 2020
STOK AKHIR PEMAKAIAN PERMINTAA PEMBERIAN
PKD BLUD PROG RATA2/BLN N PKD BLUD PROG LAIN-LAIN

324 0 0
1300 0 0
1580 0 0
1 0 0
100 0 0
2210 0 0
0 0 0
120 99 0
4900 0 0
0 0 0
1500 0 0
1961 0 0
2950 3000 0
0 0 0
36700 0 0
208 0 0
120 0 0
3660 0 0
0 0 0
0 0 0
0 0 0
3670 0 0
0 0 0
27540 10000 0
391 0 0
0 0 0
199 0 0
205 0 0
1400 0 0
35610 5500 0
5580 0 0
0 0 0
8825 0 0
0 0 0
100 0 0
0 0 0
100 0 0
0 0 0
0 0 0
0 0 0
317 0 0
0 0 0
2021 0 0
590 0 0
100 0 0
0 0 0
2 0 0
558 0 0
0 0 0
0 0 0
0 0 0
2510 0 0
300 0 0
0 0 0
0 0 0
0 3000 0
160 0 0
1045 800 0
1094 0 100
30 0 0
120 0 0
100 0 0
0 0 0
0 0 0
26 0 0
36 0 0
0 0 0
0 0 0
120 0 0
3240 0 0
4000 0 0
0 14 0
18 0 0
0 0 0
0 0 0
14 0 0
0 0 0
0 0 0
100 0 0
0 0 0
0 0 0
697 0 0
0 0 0
0 0 0
92 0 0
1860 0 0
60 0 0
0 0 0
0 595 0
0 0 0
4875 0 0
110 0 0
96 0 0
61 0 0
0 0 0
52 24 0
0 0 0
100 0 0
2320 0 0
1225 500 0
0 42500 0
20 0 0
1590 0 0
500 0 0
320 0 0
600 0 0
400 0 0
400 0 0
163 0 0
900 0 0
1480 0 0
0 0 0
0 0 0
0 0 0
400 0 0
115 0 0
0 0 0
0 0 0
25030 10500 0
0 0 0
500 0 0
0 0 0
41 0 0
123 0 0
65 0 0
0 0 0
22990 0 0
0 48 0
0 0 0
0 0 0
0 0 0
390 0 0
575 0 0
480 0 0
0 0 0
2700 0 0
0 0 0
0 0 0
390 0 0
400 0 0
0 0 0
0 0 0
0 0 0
5 0 0
5 0 0
0 0 0
0 0 0
3500 0 0
5000 2140 0
200 0 0
0 0 0
2500 0 0
0 0 0
2300 0 0
0 0 0
0 0 0
212 0 0
0 0 0
0 0 0
1100 0 0
4670 0 0
1280 1100 0
87 0 0
0 0 0
250 0 0
0 0 0
270 0 0
265 55 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
50 0 0
150 0 0
0 0 0
80 0 0
96 0 0
0 0 0
0 0 0
0 0 0
34680 20200 0
0 0 0
514 260 0
0 0 0
0 0 0
200 0 0
50 0 0
0 0 0
19850 0 0
0 1890 0
0 170 0
0 0 0
18780 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
200 570 0
0 0 0
0 0 0
3746 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
60 0 0
1540 0 0
640 0 0
48 0 0
237 0 0
0 0 0
1 0 0
30 0 0
0 0 0
0 0 0
0 0 0
4380 0 0
0 2150 0
10 0 0
8 0 0
0 0 0
21820 0 0
0 0 0
0 0 0
1000 0 0
0 0 0
0 0 0
16655 0 0
499 0 0
0 0 0
0 0 0
0 0 0
80 0 0
20570 0 200
0 0 0
7 0 0
0 0 0
0 0 0
1975 0 0
89 0 0
0 0 0
2310 0 0
0 0 95
0 0 0
0 0 0
2040 0 0
37 0 0
614 0 0
0 0 0
0 0 0
0 0 0
0 0 840
0 0 0
0 0 0
0 0 0
0 140 0
0 8 0
0 42 0
0 0 25
0 0 22
0 0 0
0 0 15
0 0 7
0 0 15
0 0 0
0 0 0
0 0 0
0 12 0
60 0 0
70 0 0
0 0 0
0 180 0
0 0 0
0 2380 0
0 100 0
0 850 0
0 46 0
0 2000 0
0 420 0
15 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
49 0 0
152 0 0
0 0 300
100 0 0
1410 0 0
0 0 0
0 0 0
1000 0 0
200 0 0
2500 400 30
500 500 300
27 0 0
0 0 0
12 0 0
74 15 0
10 0 0
10 0 0
0 0 0
0 0 0
2000 2800 0
96 0 0
0 0 0
0 0 0
0 0 0
0 0 0
34 0 0
900 0 0
800 200 0
800 0 0
0 50 0
0 45 0
0 0 0
10 0 0
10 0 0
0 0 0
39 0 0
0 0 0
0 0 0
25 0 0
25 0 0
35 0 0
158 0 0
400 0 0
290 0 0
18 0 0
0 1 0
450 2750 0
4 0 17
15 0 0
0 13300 0
0 10800 0
19 0 4
0 0 0
3 0 0
16 0 0
49 0 36
7 0 0
2 9 0
0 0 0
2 0 0
3 0 0
0 0 0
0 13 0
0 19 0
0 1 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
5 0 0
15 0 0
10 0 0
15 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
14 0 0
0 0 0
0 164 0
0 0 0
0 10 0
0 4 0
0 0 0
0 6 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 0 0
0 0 0
0 1 0
0 0 0
5 0 0
0 0 0
0 0 0
19 0 0
0 0 0
0 0 0
15 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
7 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
417,069 142,381 2,006 -
stok awal penerimaanpemakaian
554,647 gudang 413,490 159,674 16,752
apotik 27,326 0 22,282
413,490

413,490 159,674 43,279


27,326 26527 22282

43,279

31571
September 2020
KET. PEMAKAIAN TOTAL(GUDANG + APOTIK)
JUMLAH PKD BLUD PROG

0 0 0
255 0 0
0 0 0
0 0 0
0 0 0
220 0 0
0 0 0
0 11 0
110 0 0
0 0 0
0 0 0
0 0 0
390 0 0
0 0 0
2445 0 0
5 0 0
274 0 0
105 0 0
0 0 0
0 0 0
0 0 0
64 0 0
0 0 0
1487 0 0
49 3 0
0 0 0
1 0 0
115 0 0
0 0 0
1639 0 0
310 0 0
0 0 0
1080 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
33 0 0
0 0 0
561 0 0
0 0 0
0 0 0
0 0 0
0 0 0
82 0 0
0 0 0
0 0 0
0 0 0
104 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
31 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
30 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
0 0 0
0 0 0
0 0 0
0 0 0
6 0 0
246 0 0
0 0 0
0 0 0
0 0 0
0 0 0
90 0 0
23 0 0
0 0 0
13 0 0
0 0 0
4 0 0
0 0 0
0 0 0
20 0 0
0 0 0
0 1506 0
0 0 0
510 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
53 0 0
668 0 0
20 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1850 0 0
0 0 0
0 0 0
0 0 0
0 0 0
3 0 0
0 0 0
0 0 0
1684 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
48 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
60 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
160 0 0
0 70 0
0 0 0
0 0 0
0 0 0
0 0 0
30 0 0
0 0 0
0 0 0
4 0 0
0 0 0
0 0 0
0 0 0
544 0 0
410 0 0
16 0 0
0 0 0
10 0 0
0 0 0
10 0 0
15 10 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
25 0 0
0 0 0
0 0 0
354 0 0
0 0 0
0 0 0
0 0 0
3200 0 0
0 0 0
1 10 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
530 0 0
300 110 0
0 69 0
0 0 0
652 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
254 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
5 0 0
50 0 0
230 0 0
0 0 0
41 0 0
0 0 0
0 0 0
10 0 0
0 0 0
0 0 0
0 0 0
390 0 0
0 235 0
0 0 0
0 0 0
0 0 0
1790 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
273 0 0
60 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1834 0 0
0 0 0
10 11 0
0 0 0
0 0 0
350 0 0
12 0 0
0 0 0
174 0 0
0 0 25
0 0 0
0 0 0
6 0 0
20 0 0
41 0 0
0 0 0
0 0 0
0 0 0
0 0 60
0 0 0
0 0 0
0 0 0
0 20 0
0 0 0
0 0 0
0 0 30
0 0 0
0 0 0
0 0 30
0 0 15
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
20 0 0
30 0 0
0 0 0
0 0 0
0 0 0
0 54 0
0 0 0
0 10 0
0 0 0
0 0 0
0 80 0
0 0 0
0 0 0
0 20 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
17 0 0
0 0 100
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
100 0 0
200 0 0
800 0 0
4 0 0
0 0 0
2 0 0
0 10 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
7 0 0
400 0 0
200 1200 0
200 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
9 0 0
0 0 0
20 0 0
10 0 0
3 0 0
0 0 0
350 700 0
0 0 0
0 0 0
0 700 0
0 200 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 1 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 4 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 4859
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 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 1 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 0 0
0 0 0
7 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
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 1 0
0 1 0

28,878 5,037 5,119 39,034


sisa cek
556,412
5,044 39,034
561,456

529,885 529,885
31,571 31,571
561,456 -

529,885
-
PUSKESMAS PAAL X KOTA JAMBI
KODE. 5070101
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )

Bulan : Oktober
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMBERIAN KET.
PEMAKAI
AN PERMIN
NO. NAMA BARANG SATUAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/B TAAN PKD PROG JUMLAH
LN

OBAT
1 Acyclovir cream 5 % tube 324 0 0 324 0 0 0 0 324 0 0 324 4 0 0 4 320 0 0 320
2 Acyclovir tablet 200 mg Tab 1300 0 0 1300 0 0 0 0 1300 0 0 1300 0 0 0 0 1300 0 0 1300
3 Acyclovir tablet 400 mg Tab 1580 0 0 1580 0 0 0 0 1580 0 0 1580 215 0 0 215 1365 0 0 1365
4 Air Raksa Dental Use Btl 1 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0 1 0 0 1
5 Albendazole 400 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100
6 Allopurinol 100 mg Tab 2210 0 0 2210 0 0 0 0 2210 0 0 2210 120 0 0 120 2090 0 0 2090
7 Allopurinol 300 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Ambroxol syrup Btl 120 99 0 219 0 0 0 0 120 99 0 219 13 3 0 16 107 96 0 203
9 Ambroxol tab 30 mg Tab 4900 0 0 4900 0 0 0 0 4900 0 0 4900 590 0 0 590 4310 0 0 4310
10 Aminofilin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Aminofilin tablet Tab 1500 0 0 1500 0 0 0 0 1500 0 0 1500 0 0 0 0 1500 0 0 1500
12 Amitriptilin tablet 25 mg Tab 1961 0 0 1961 0 0 0 0 1961 0 0 1961 0 0 0 0 1961 0 0 1961
13 Amlodipin 5 mg Tab 2950 3000 0 5950 0 0 0 0 2950 3000 0 5950 560 0 0 560 2390 3000 0 5390
14 Amoksisilin kap 250 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Amoksisilin kap 500 mg Kap 36700 0 0 36700 0 0 0 0 36700 0 0 36700 2175 0 0 2175 34525 0 0 34525
16 Amoksisilin sirup kering 125 mg/5 ml Btl 208 0 0 208 0 0 0 0 208 0 0 208 13 0 0 13 195 0 0 195
17 Amoksisilin Sirup Forte 250 mg/5 ml Btl 120 0 0 120 0 0 0 0 120 0 0 120 0 0 0 0 120 0 0 120
18 Amlodipin 10 mg Tab 3660 0 0 3660 0 0 0 0 3660 0 0 3660 575 0 0 575 3085 0 0 3085
19 Amoksisilin injeksi Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Ampisilin Kaplet 500 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Ampisilin sirup kering 125 mg/5 ml Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Antalgin tablet 500 mg Tab 3670 0 0 3670 0 0 0 0 3670 0 0 3670 100 0 0 100 3570 0 0 3570
23 Antalgin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Antasida doen tablet Tab 27540 10000 0 37540 0 0 0 0 27540 10000 0 37540 2190 0 0 2190 25350 10000 0 35350
25 Antasida sirup Btl 391 0 0 391 0 0 0 0 391 0 0 391 17 0 0 17 374 0 0 374
26 Anti Bakteri salep / Bacitracin salep Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
27 Anti Fungi kombinasi Pot 199 0 0 199 0 0 0 0 199 0 0 199 0 0 0 0 199 0 0 199
28 Anti Hemoroid supp 205 0 0 205 0 0 0 0 205 0 0 205 17 0 0 17 188 0 0 188
29 Anti Migrain tablet Tab 1400 0 0 1400 0 0 0 0 1400 0 0 1400 0 0 0 0 1400 0 0 1400
30 Asam Askorbat (VIT C) 50 mg Tab 35610 5500 0 41110 0 0 0 0 35610 5500 0 41110 610 372 0 982 35000 5128 0 40128
31 Asam Folat Tab 5580 0 0 5580 0 0 0 0 5580 0 0 5580 240 0 0 240 5340 0 0 5340
32 Asering Infus Kolf 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 Asam Mefenamat 500 mg Tab 8825 0 0 8825 0 0 0 0 8825 0 0 8825 345 0 0 345 8480 0 0 8480
34 Asam Tranexamat injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMBERIAN KET.
PEMAKAI
AN PERMIN
NO. NAMA BARANG SATUAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/B TAAN PKD PROG JUMLAH
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35 Asam Asetilsalisilat(Asetosal) 80 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100


36 Asetosal tablet 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
37 Azitromycin 500 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100
38 Bisoprolol tablet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 Benzatin benzil penicilin inj 2,4 jt iu Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
40 Betadin salep Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
41 Betametason kream 0,1 % Tube 317 0 0 317 0 0 0 0 317 0 0 317 42 0 0 42 275 0 0 275
42 Bisacodyl 10 mg Supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
43 Bethahistin maselat Tablet 2021 0 0 2021 0 0 0 0 2021 0 0 2021 0 0 0 0 2021 0 0 2021
44 Captopril 12,5 mg Tab 590 0 0 590 0 0 0 0 590 0 0 590 0 0 0 0 590 0 0 590
45 Captopril 25 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100
46 Captopril 50 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
47 Caviton Btl 2 0 0 2 0 0 0 0 2 0 0 2 0 0 0 0 2 0 0 2
48 Cefadroxil 500 mg kap 558 0 0 558 0 0 0 0 558 0 0 558 48 0 0 48 510 0 0 510
49 Cefotaxime injeksi 1 g Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
50 Cefriaxon injeksi Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
51 Cetrizin tablet 10 mg Kap 0 0 0 0 2500 0 0 2500 2500 0 0 2500 140 0 0 140 2360 0 0 2360
52 Ciprofloxacin 500 mg Tab 2510 0 0 2510 0 0 0 0 2510 0 0 2510 130 0 0 130 2380 0 0 2380
53 Clindamicin 150 mg Kap 300 0 0 300 0 0 0 0 300 0 0 300 0 0 0 0 300 0 0 300
54 Clindamicin 300 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
55 Devitalisasi pasta Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 Dexamethason tablet Tab 0 3000 0 3000 0 0 0 0 0 3000 0 3000 0 710 0 710 0 2290 0 2290
57 Dexamethason injeksi Ampul 160 0 0 160 0 0 0 0 160 0 0 160 0 0 0 0 160 0 0 160
58 Diazepam tablet 2 mg Tab 1045 800 0 1845 0 0 0 0 1045 800 0 1845 58 0 0 58 987 800 0 1787
59 Diazepam tablet 5 mg Tab 1094 0 100 1194 0 0 0 0 1094 0 100 1194 6 0 0 6 1088 0 100 1188
60 Diazepam injeksi Ampul 30 0 0 30 0 0 0 0 30 0 0 30 0 0 0 0 30 0 0 30
61 Difenhidramin injeksi Ampul 120 0 0 120 0 0 0 0 120 0 0 120 0 0 0 0 120 0 0 120
62 Digoksin tablet Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100
63 Doxicillin Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
64 Dulcolax tablet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
65 Dulculax supp 10 mg ( Dewasa ) Supp 26 0 0 26 0 0 0 0 26 0 0 26 0 0 0 0 26 0 0 26
66 Dulculax supp 5 mg ( Anak ) Supp 36 0 0 36 0 0 0 0 36 0 0 36 0 0 0 0 36 0 0 36
67 Efedrin Hcl 25 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
68 Ekstrak belladona tablet 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
69 Ephinefrin hcl injeksi Ampul 120 0 0 120 0 0 0 0 120 0 0 120 0 0 0 0 120 0 0 120
70 Erytromycin kapsul 250 mg Kap 3240 0 0 3240 0 0 0 0 3240 0 0 3240 40 0 0 40 3200 0 0 3200
71 Erytromycin kapsul 500 mg Kap 4000 0 0 4000 0 0 0 0 4000 0 0 4000 0 0 0 0 4000 0 0 4000
72 Erytromycin syrup Btl 0 14 0 14 0 60 0 60 0 74 0 74 0 14 0 14 0 60 0 60
73 Etakridin / Rivanol Btl 18 0 0 18 0 0 0 0 18 0 0 18 0 0 0 0 18 0 0 18
74 Ethambutol hcl tab 250 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
75 Ethambutol hcl tab 500 mg Tab 0 0 0 0 0 0 252 252 0 0 252 252 0 0 252 252 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMBERIAN KET.
PEMAKAI
AN PERMIN
NO. NAMA BARANG SATUAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/B TAAN PKD PROG JUMLAH
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76 Etil klorida semprot Btl 14 0 0 14 0 0 0 0 14 0 0 14 0 0 0 0 14 0 0 14


77 Eugenol cairan Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
78 Fenitoin natrium 30 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
79 Fenitoin natrium 100 mg Kap 100 0 0 100 0 0 0 0 100 0 0 100 70 0 0 70 30 0 0 30
80 Fenobarbital injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
81 Fenobarbital tab 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
82 Fenobarbital tablet 30 mg Tab 697 0 0 697 0 0 0 0 697 0 0 697 0 0 0 0 697 0 0 697
83 Fenoksimetil fenisilin tab 250 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
84 Fenoksimetil fenisilin tab 500 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
85 Fenol Gliserol tetes telinga Btl 92 0 0 92 0 0 0 0 92 0 0 92 9 0 0 9 83 0 0 83
86 Fitomenadion (Vit K) tab 10 mg Tab 1860 0 0 1860 0 0 0 0 1860 0 0 1860 40 0 0 40 1820 0 0 1820
87 Fitomenadion (Vit K) injeksi Ampul 60 0 0 60 0 0 0 0 60 0 0 60 0 0 0 0 60 0 0 60
88 Fluconazol 150 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
89 Furosemide tablet 40 mg Tab 0 595 0 595 0 0 0 0 0 595 0 595 0 0 0 0 0 595 0 595
90 Fluor gel Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
91 Garam oralit untuk 200 ml air Set 4875 0 0 4875 0 0 0 0 4875 0 0 4875 79 0 0 79 4796 0 0 4796
92 Gentamycin salep kulit 0,1 % Tube 110 0 0 110 0 0 0 0 110 0 0 110 31 0 0 31 79 0 0 79
93 Gentamycin salep mata Tube 96 0 0 96 0 0 0 0 96 0 0 96 2 0 0 2 94 0 0 94
94 Gentamycin tetes mata Btl 61 0 0 61 0 0 0 0 61 0 0 61 11 0 0 11 50 0 0 50
95 Gentamycin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
96 Gentian violet Btl 52 24 0 76 0 0 0 0 52 24 0 76 2 0 0 2 50 24 0 74
97 Glass Ionomer (ART FUJI IX) Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
98 Glibenklamida tablet 5 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100
99 Glimepiride 1 mg Tab 2320 0 0 2320 0 0 0 0 2320 0 0 2320 0 0 0 0 2320 0 0 2320
100 Glimepiride 2 mg Tab 1225 500 0 1725 0 0 0 0 1225 500 0 1725 0 0 0 0 1225 500 0 1725
101 Gliseril guaiakolat tablet 100 mg Tab 0 42500 0 42500 0 0 0 0 0 42500 0 42500 0 2160 0 2160 0 40340 0 40340
102 Glukosa larutan infus 5 % steril Btl 20 0 0 20 0 0 0 0 20 0 0 20 0 0 0 0 20 0 0 20
103 Griseofulvin tablet 125 mg Tab 1590 0 0 1590 0 0 0 0 1590 0 0 1590 10 0 0 10 1580 0 0 1580
104 Griseofulvin tablet 500 mg Tab 500 0 0 500 0 0 0 0 500 0 0 500 0 0 0 0 500 0 0 500
105 Halloperidol tab 0,5 mg Tab 320 0 0 320 0 0 0 0 320 0 0 320 0 0 0 0 320 0 0 320
106 Halloperidol tab 1,5 mg Tab 600 0 0 600 0 0 0 0 600 0 0 600 0 0 0 0 600 0 0 600
107 Halloperidol tab 5 mg Tab 400 0 0 400 0 0 0 0 400 0 0 400 0 0 0 0 400 0 0 400
108 Hidroklortiazide (HCT) tablet 25 mg Tab 400 0 0 400 0 0 0 0 400 0 0 400 400 0 0 400 0 0 0 0
109 Hidrocortison krim 2,5 % Tube 163 0 0 163 0 0 0 0 163 0 0 163 19 0 0 19 144 0 0 144
110 Ibuprofen tablet 200 mg Tab 900 0 0 900 0 0 0 0 900 0 0 900 300 0 0 300 600 0 0 600
111 Ibuprofen tablet 400 mg Tab 1480 0 0 1480 0 0 0 0 1480 0 0 1480 0 0 0 0 1480 0 0 1480
112 Ibuprofen syrup Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
113 Insulin Human Rapid injeksi 100 IU vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
114 Isoniazida ( INH ) tab 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
115 Isoniazida ( INH ) tab 300 mg Tab 400 0 0 400 0 0 0 0 400 0 0 400 0 0 0 0 400 0 0 400
116 Isosorbit dinitrat sublingual 5 mg Tab 115 0 0 115 0 0 0 0 115 0 0 115 0 0 0 0 115 0 0 115
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMBERIAN KET.
PEMAKAI
AN PERMIN
NO. NAMA BARANG SATUAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/B TAAN PKD PROG JUMLAH
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117 Komb. Primetamin 25mg+suldox 500mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


118 Klorfenol kamfermenthol ( CHKM ) Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
119 Kalsium Laktat tablet Tab 25030 10500 0 35530 0 0 0 0 25030 10500 0 35530 720 0 0 720 24310 10500 0 34810
120 Kandesartan cilexetil 8 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
121 Karbamazepin tablet 200 mg Tab 500 0 0 500 0 0 0 0 500 0 0 500 0 0 0 0 500 0 0 500
122 Ketorolac injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
123 Kloramfenikol salep kulit Tube 41 0 0 41 0 0 0 0 41 0 0 41 0 0 0 0 41 0 0 41
124 Kloramfenikol salep mata 1 % Tube 123 0 0 123 0 0 0 0 123 0 0 123 0 0 0 0 123 0 0 123
125 Kloramfenicol tetes telinga 3 % Btl 65 0 0 65 0 0 0 0 65 0 0 65 0 0 0 0 65 0 0 65
126 Kloramfenicol 250 mg kapsul Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
127 Klorfeniramin maleat 4 mg (CTM ) Tab 22990 0 0 22990 0 0 0 0 22990 0 0 22990 2335 0 0 2335 20655 0 0 20655
128 Kloramfenicol tetes mata ( Reco ) Btl 0 48 0 48 0 0 0 0 0 48 0 48 0 0 0 0 0 48 0 48
129 Kalsium Hidroksida Pasta ( Calcidor ) Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
130 Klorpromazin hcl injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
131 Klorpromazine tab salut 25 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
132 Klorpromazine tab salut 100 mg Tab 390 0 0 390 0 0 0 0 390 0 0 390 0 0 0 0 390 0 0 390
133 Kodein tablet 10 mg Tab 575 0 0 575 0 0 0 0 575 0 0 575 45 0 0 45 530 0 0 530
134 Kotrimoksazol suspensi Btl 480 0 0 480 0 0 0 0 480 0 0 480 0 0 0 0 480 0 0 480
135 Kotrimoksazol pediatrik Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
136 Kotrimoksazol tablet 480 mg Tab 2700 0 0 2700 0 0 0 0 2700 0 0 2700 0 0 0 0 2700 0 0 2700
137 Klorokuin Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
138 Kuinin sulfat tab 222 mg (7H2O) Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
139 Lidocain kompositum inj (Pehacain) Ampul 390 0 0 390 0 0 0 0 390 0 0 390 30 0 0 30 360 0 0 360
140 Lidocain injeksi Ampul 400 0 0 400 0 0 0 0 400 0 0 400 0 0 0 0 400 0 0 400
141 Lisinopril 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
142 Loperamide tab 2 mg / Novadium Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
143 Loratadin 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
144 Magnesium sulfat injeksi 20% vial 5 0 0 5 0 0 0 0 5 0 0 5 0 0 0 0 5 0 0 5
145 Magnesium sulfat injeksi 40% vial 5 0 0 5 0 0 0 0 5 0 0 5 0 0 0 0 5 0 0 5
146 Mecobalamin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
147 Meloxicam 7,5 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
148 Metformin hcl tablet 500 mg Tab 3500 0 0 3500 0 0 0 0 3500 0 0 3500 40 0 0 40 3460 0 0 3460
149 Methyl prednisolon tablet 4 mg Tab 5000 2140 0 7140 0 0 0 0 5000 2140 0 7140 0 80 0 80 5000 2060 0 7060
150 Metilergometrin tablet salut Tab 200 0 0 200 0 0 0 0 200 0 0 200 0 0 0 0 200 0 0 200
151 Metilergometrin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
152 Metoklorpropamide hcl 10 mg Tab 2500 0 0 2500 0 0 0 0 2500 0 0 2500 300 0 0 300 2200 0 0 2200
153 Metronidazole tablet 250 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
154 Metronidazole tablet 500 mg Tab 2300 0 0 2300 0 0 0 0 2300 0 0 2300 565 0 0 565 1735 0 0 1735
155 Metronidazole syrup Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
156 Metronidazole infus Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
157 Miconazol cream tube 212 0 0 212 0 0 0 0 212 0 0 212 9 0 0 9 203 0 0 203
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMBERIAN KET.
PEMAKAI
AN PERMIN
NO. NAMA BARANG SATUAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/B TAAN PKD PROG JUMLAH
LN

158 Microlax rectal tube tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


159 Mummifying pasta Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
160 Natrium bikarbonat tablet Tab 1100 0 0 1100 0 0 0 0 1100 0 0 1100 0 0 0 0 1100 0 0 1100
161 Natrium Diklofenak 25 mg Tab 4670 0 0 4670 0 0 0 0 4670 0 0 4670 308 0 0 308 4362 0 0 4362
162 Natrium Diklofenak 50 mg Tab 1280 1100 0 2380 0 0 0 0 1280 1100 0 2380 80 0 0 80 1200 1100 0 2300
163 Natrium klorida larutan infus Btl 87 0 0 87 0 0 0 0 87 0 0 87 0 0 0 0 87 0 0 87
164 Neurobion 5000 injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
165 Nifedipin tablet Tab 250 0 0 250 0 0 0 0 250 0 0 250 15 0 0 15 235 0 0 235
166 Nistatin tablet salut 500.000 iu/g Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
167 Nistatin tablet vaginal 100.000 iu/g Tab 270 0 0 270 0 0 0 0 270 0 0 270 6 0 0 6 264 0 0 264
168 O B H Btl 265 55 0 320 0 0 0 0 265 55 0 320 0 10 0 10 265 45 0 310
169 Obat Anti TBC Kategori 1 paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
170 Obat Anti TBC Kategori 1 -Stop TB KIT paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
171 Obat Anti TBC Kategori II paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
172 Obat Anti TBC Kategori Anak paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
173 Kombipak Kategori I paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
174 Ofloxacin 200 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
175 Oksitetrasiklin hcl salep mata 1 % tube 50 0 0 50 0 0 0 0 50 0 0 50 2 0 0 2 48 0 0 48
176 Oksitetrasiklin hcl salep kulit 3 % Tube 150 0 0 150 0 0 0 0 150 0 0 150 50 0 0 50 100 0 0 100
177 Oksitetrasiklin hcl injeksi vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
178 Oksitosin injeksi / Pitogin Ampul 80 0 0 80 0 0 0 0 80 0 0 80 0 0 0 0 80 0 0 80
179 Omeprazole capsul 20 mg Kap 96 0 0 96 0 1800 0 1800 96 1800 0 1896 96 10 0 106 0 1790 0 1790
180 Ondansentron injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
181 Papaverin tablet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
182 Paracetamol tablet 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
183 Paracetamol tablet 500 mg Tab 34680 20200 0 54880 0 0 0 0 34680 20200 0 54880 2920 0 0 2920 31760 20200 0 51960
184 Paracetamol Drop Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
185 Parasetamol sirup Btl 514 260 0 774 0 0 0 0 514 260 0 774 15 0 0 15 499 260 0 759
186 Perfenazine tablet 4 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
187 Piracetam 3 g injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
188 Pirantel pamoat tablet 125 mg Tab 200 0 0 200 0 0 0 0 200 0 0 200 0 0 0 0 200 0 0 200
189 Pirantel pamoat sirup Btl 50 0 0 50 0 0 0 0 50 0 0 50 0 0 0 0 50 0 0 50
190 Pyrazinamide tablet 500 mg Tab 0 0 0 0 0 0 252 252 0 0 252 252 0 0 252 252 0 0 0 0
191 Piridoxin hcl tablet 10 mg Tab 19850 0 0 19850 0 0 420 420 19850 0 420 20270 360 0 420 780 19490 0 0 19490
192 Piroxicam 10 mg Tab 0 1890 0 1890 0 0 0 0 0 1890 0 1890 0 235 0 235 0 1655 0 1655
193 Piroxicam 20 mg Tab 0 170 0 170 0 1000 0 1000 0 1170 0 1170 0 90 0 90 0 1080 0 1080
194 Polikresulen / Albothil Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
195 Prednison tablet Tab 18780 0 0 18780 0 0 0 0 18780 0 0 18780 1250 0 0 1250 17530 0 0 17530
196 Primakuin tablet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
197 Prokain benzil penisilin inj vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
198 Pronalges suppositoria Supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMBERIAN KET.
PEMAKAI
AN PERMIN
NO. NAMA BARANG SATUAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/B TAAN PKD PROG JUMLAH
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199 Propanolol tab 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


200 Propanolol tab 40 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
201 Propiltiourasil tablet 100 mg Tab 200 570 0 770 0 0 0 0 200 570 0 770 0 0 0 0 200 570 0 770
202 Proris suppositoria Supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
203 Perak sulfadiazine cream 3 % tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
204 Ranitidin tablet 150 mg Tab 3746 0 0 3746 0 0 0 0 3746 0 0 3746 92 0 0 92 3654 0 0 3654
205 Ranitidin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
206 Reserpin tablet 0,1 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
207 Reserpin tablet 0,25 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
208 Retinol kapsul 100.000 IU Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
209 Retinol kapsul 200.000 IU Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
210 Rifampisin kapsul 300 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
211 Rifampisin kapsul 450 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
212 Rifampisin kapsul 600 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
213 Ringer laktat infus steril Btl 60 0 0 60 0 0 0 0 60 0 0 60 0 0 0 0 60 0 0 60
214 Salbutamol tablet 2 mg Tab 1540 0 0 1540 0 0 0 0 1540 0 0 1540 40 0 0 40 1500 0 0 1500
215 Salbuatmol tablet 4 mg Tab 640 0 0 640 0 0 0 0 640 0 0 640 20 0 0 20 620 0 0 620
216 salep 2-4 Pot 48 0 0 48 0 0 0 0 48 0 0 48 0 0 0 0 48 0 0 48
217 Salisil bedak 2 % Pot 237 0 0 237 0 0 0 0 237 0 0 237 41 0 0 41 196 0 0 196
218 Semen seng fosfat serbuk & cairan Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
219 Serum Anti Bisa Ular injeksi Vial 1 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0 1 0 0 1
220 Serum Anti tetanus injeksi 1500 IU Ampul 30 0 0 30 0 0 0 0 30 0 0 30 0 0 0 0 30 0 0 30
221 Tatagam vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
222 Sianokobalamin inj 500 mcg/ml Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
223 Silver Amalgam serbuk Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
224 Simvastatin 10 mg Tab 4380 0 0 4380 0 0 0 0 4380 0 0 4380 650 0 0 650 3730 0 0 3730
225 Simvastatin 20 mg supp 0 2150 0 2150 0 0 0 0 0 2150 0 2150 0 210 0 210 0 1940 0 1940
226 Stesolid rectal supp 5 mg Supp 10 0 0 10 0 0 0 0 10 0 0 10 0 0 0 0 10 0 0 10
227 Stesolid rectal supp 10 mg Btl 8 0 0 8 0 0 0 0 8 0 0 8 0 0 0 0 8 0 0 8
228 Sulfasetamid tetes mata 15 % Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
229 Tablet tambah darah (SF) Tab 21820 0 0 21820 0 0 0 0 21820 0 0 21820 1120 0 0 1120 20700 0 0 20700
230 Temporary / Fletcher Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
231 Tetrasiklin kapsul 250 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
232 Tetrasiklin kapsul 500 mg Tab 1000 0 0 1000 0 0 0 0 1000 0 0 1000 0 0 0 0 1000 0 0 1000
233 Thrombo Aspilet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
234 Thiamin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
235 Thiamin tablet 50 mg Tab 16655 0 0 16655 0 0 0 0 16655 0 0 16655 55 0 0 55 16600 0 0 16600
236 Triheksipenidil hcl tablet 2 mg Tab 499 0 0 499 0 0 0 0 499 0 0 499 30 0 0 30 469 0 0 469
237 Trikresol formalin cairan ( TKF ) Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
238 Vaksin rabies vero Tab 0 0 0 0 0 0 3 3 0 0 3 3 0 0 3 3 0 0 0 0
239 Valsartan 80 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMBERIAN KET.
PEMAKAI
AN PERMIN
NO. NAMA BARANG SATUAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/B TAAN PKD PROG JUMLAH
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240 Ventolin nebulizer Nebules 80 0 0 80 0 0 0 0 80 0 0 80 0 0 0 0 80 0 0 80


241 Vitamin B komplek tablet Tab 20570 0 200 20770 0 0 0 0 20570 0 200 20770 1550 0 0 1550 19020 0 200 19220
242 Yodium povidon lart 10 % - 30 ml Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
243 Yodium povidon lart 10 % - 300 ml Btl 7 0 0 7 0 0 0 0 7 0 0 7 0 0 0 0 7 0 0 7
244 Xylocain jelly Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
245 Lidocain Pasta Pot 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
246 Zinc tablet 20 mg Tab 1975 0 0 1975 0 0 0 0 1975 0 0 1975 70 0 0 70 1905 0 0 1905
247 Zinc sirup Btl 89 0 0 89 0 0 0 0 89 0 0 89 7 0 0 7 82 0 0 82
248 Betamin drage ( Vit. B1 ) Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
249 Domperidon Btl 2310 0 0 2310 0 0 0 0 2310 0 0 2310 230 0 0 230 2080 0 0 2080
250 Clozapin 25 mg Tab 0 0 95 95 0 0 0 0 0 0 95 95 0 0 35 35 0 0 60 60
251 Clobazam 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
252 Trifluoperazin HCl 5 mg ( Stelosi ) Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
253 Vitamin B 12 Tab 2040 0 0 2040 0 0 0 0 2040 0 0 2040 20 0 0 20 2020 0 0 2020
254 Ketokonazol Crem Tube 37 0 0 37 0 0 0 0 37 0 0 37 7 0 0 7 30 0 0 30
255 Ketokonazole Tablet Tab 614 0 0 614 0 0 0 0 614 0 0 614 14 0 0 14 600 0 0 600
256 Flufenazin Decanoat Inj 25 mg Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
257 Haloperidol Inj 5 mg ( Ladomer ) Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
258 Haloperidol Decanoat Inj 50 mg Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
259 Resperidon tab 2 mg Tab 0 0 840 840 0 0 0 0 0 0 840 840 0 0 60 60 0 0 780 780
260 Curviplex Sirup Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
261 Andalan Inj 3 Bulan Vial 0 0 0 0 0 100 0 100 0 100 0 100 0 20 0 20 0 80 0 80
262 Andalan Inj 1 Bulan Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
263 Cyclopen Inj. 1 Bulan Vial 0 140 0 140 0 0 0 0 0 140 0 140 0 0 0 0 0 140 0 140
264 Ichtyol Salaf Kulit Pot 0 8 0 8 0 0 0 0 0 8 0 8 0 0 0 0 0 8 0 8
265 Levertran Salep Kulit Pot 0 42 0 42 0 0 0 0 0 42 0 42 0 0 0 0 0 42 0 42
266 HEPATITIS B Paket 0 0 25 25 0 0 30 30 0 0 55 55 0 0 30 30 0 0 25 25
267 BCG Ampul 0 0 22 22 0 0 5 5 0 0 27 27 0 0 22 22 0 0 5 5
268 POLIO Vial 0 0 0 0 0 0 32 32 0 0 32 32 0 0 0 0 0 0 32 32
269 PENTABIO/DPTHBHib Vial 0 0 15 15 0 0 30 30 0 0 45 45 0 0 14 14 0 0 31 31
270 CAMPAK Vial 0 0 7 7 0 0 15 15 0 0 22 22 0 0 11 11 0 0 11 11
271 Td / TT Vial 0 0 15 15 0 0 0 0 0 0 15 15 0 0 13 13 0 0 2 2
272 IPV Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
273 Vaksin MR Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
274 Pelarut MR Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
275 Pentocain 0,5 % TT Mata Btl 0 12 0 12 0 0 0 0 0 12 0 12 0 0 0 0 0 12 0 12
276 Domperidon syrup btl 60 0 0 60 0 0 0 0 60 0 0 60 10 0 0 10 50 0 0 50
277 Kloramfenikol syrup btl 70 0 0 70 0 0 0 0 70 0 0 70 20 0 0 20 50 0 0 50
278 cetirizin syrup btl 0 0 0 0 150 0 0 150 150 0 0 150 0 0 0 0 150 0 0 150
279 Pritamox sirup 125 mg btl 0 180 0 180 0 0 0 0 0 180 0 180 0 0 0 0 0 180 0 180
280 Albendazole syrup btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMBERIAN KET.
PEMAKAI
AN PERMIN
NO. NAMA BARANG SATUAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/B TAAN PKD PROG JUMLAH
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281 Moxalaskap/cotri480mg tab 0 2380 0 2380 0 0 0 0 0 2380 0 2380 0 10 0 10 0 2370 0 2370


282 Moxalas syr/cotry syr btl 0 100 0 100 0 0 0 0 0 100 0 100 0 0 0 0 0 100 0 100
283 Lorihis tab/loratadin tab tab 0 850 0 850 0 0 0 0 0 850 0 850 0 0 0 0 0 850 0 850
284 Flagsol syr/metro syr btl 0 46 0 46 0 0 0 0 0 46 0 46 0 0 0 0 0 46 0 46
285 Selfolic 1000mg/Asam folat tab 0 2000 0 2000 0 0 0 0 0 2000 0 2000 0 0 0 0 0 2000 0 2000
286 Trifadium2mg/Loperamid tab tab 0 420 0 420 0 0 0 0 0 420 0 420 0 90 0 90 0 330 0 330
287 Omeprazole Injeksi Ampul 15 0 0 15 0 0 0 0 15 0 0 15 0 0 0 0 15 0 0 15
288 Gluconas Kalsikus injeksi amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
289 Tricloflem Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
290 Cycloserin 250mg tab 0 0 0 0 0 0 252 252 0 0 252 252 0 0 252 252 0 0 0 0
291 Ethionmid 250mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
292 Levofloxacin 750mg tab 0 0 0 0 0 0 252 252 0 0 252 252 0 0 252 252 0 0 0 0
293 Bedaquilin 100mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
294 Hbig Bayi vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
295 Amoxcillin drop btl 49 0 0 49 0 0 0 0 49 0 0 49 19 0 0 19 30 0 0 30
296 scabimid salep tube 152 0 0 152 0 0 0 0 152 0 0 152 20 0 0 20 132 0 0 132
297 Selcom C Tab 0 0 300 300 0 0 0 0 0 0 300 300 0 0 0 0 0 0 300 300
298 Cyanocobalamin Inj Ampul 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100
299 Kloramfenicol 500 mg Kap 1410 0 0 1410 0 0 0 0 1410 0 0 1410 0 0 0 0 1410 0 0 1410
300 Attapulgit tab 0 0 0 0 300 0 0 300 300 0 0 300 100 0 0 100 200 0 0 200
0 0 0 0
BMHP 0 0 0 0
301 Alat suntik 1 ml Pcs 1000 0 0 1000 0 0 0 0 1000 0 0 1000 100 0 0 100 900 0 0 900
302 Alat suntik 2,5 ml Pcs 200 0 0 200 0 0 0 0 200 0 0 200 0 0 0 0 200 0 0 200
303 Alat suntik 3 ml Pcs 2500 400 30 2930 0 0 0 0 2500 400 30 2930 0 0 0 0 2500 400 30 2930
304 Alat suntik 5 ml Pcs 500 500 300 1300 0 0 0 0 500 500 300 1300 0 0 0 0 500 500 300 1300
305 Alkohol 70 % ( 1 L ) Btl 27 0 0 27 15 0 0 15 42 0 0 42 0 0 0 0 42 0 0 42
306 Alkohol 70 % ( 60 Ml ) Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
307 Aqua destilata steril 500 ml Btl 12 0 0 12 0 0 0 0 12 0 0 12 0 0 0 0 12 0 0 12
308 Aqua pro injeksi Vial 74 15 0 89 0 0 0 0 74 15 0 89 0 0 0 0 74 15 0 89
309 Bisturi no 10 Pcs 10 0 0 10 0 0 0 0 10 0 0 10 0 0 0 0 10 0 0 10
310 Bisturi no 11 Pcs 10 0 0 10 0 0 0 0 10 0 0 10 0 0 0 0 10 0 0 10
311 Bisturi no 20 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
312 Bisturi no 22 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
313 Blood Lancet Pcs 2000 2800 0 4800 0 0 0 0 2000 2800 0 4800 0 0 0 0 2000 2800 0 4800
314 Catgut/benang bedah Pcs 96 0 0 96 0 0 0 0 96 0 0 96 0 0 0 0 96 0 0 96
315 ETT no.6 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
316 ETT no.6,5 Set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
317 ETT no.7 Set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
318 ETT no.7,5 Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
319 Hand scrub Pcs 34 0 0 34 0 0 0 0 34 0 0 34 14 0 0 14 20 0 0 20
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMBERIAN KET.
PEMAKAI
AN PERMIN
NO. NAMA BARANG SATUAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/B TAAN PKD PROG JUMLAH
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320 Handscoon uk.S Pcs 900 0 0 900 0 0 0 0 900 0 0 900 400 0 0 400 500 0 0 500
321 Handscoon uk. M Pcs 800 200 0 1000 0 0 0 0 800 200 0 1000 500 0 0 500 300 200 0 500
322 Handscoon uk. L Pcs 800 0 0 800 0 0 0 0 800 0 0 800 500 0 0 500 300 0 0 300
323 Infusion set anak set 0 50 0 50 0 0 0 0 0 50 0 50 0 0 0 0 0 50 0 50
324 Infusion set dewasa set 0 45 0 45 0 0 0 0 0 45 0 45 0 0 0 0 0 45 0 45
325 Wing neadle no. 23G Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
326 IV Catheter (Abocath) NO.20 Pcs 10 0 0 10 0 0 0 0 10 0 0 10 0 0 0 0 10 0 0 10
327 IV Catheter (Abocath) NO.22 Pcs 10 0 0 10 0 0 0 0 10 0 0 10 0 0 0 0 10 0 0 10
328 IV Catheter (Abocath) NO.24 pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
329 Jarum Jahit (Nald Heating ) no. 10 pcs 39 0 0 39 0 0 0 0 39 0 0 39 0 0 0 0 39 0 0 39
330 Jarum Jahit (Nald Heating ) no. 11 pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
331 Jarum Jahit (Nald Heating ) no. 12 pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
332 Jarum Jahit (Nald Heating ) no. 13 pcs 25 0 0 25 0 0 0 0 25 0 0 25 0 0 0 0 25 0 0 25
333 Jarum Jahit (Nald Heating ) no. 14 Pcs 25 0 0 25 0 0 0 0 25 0 0 25 0 0 0 0 25 0 0 25
334 Kapas pembalut/Absorben 250 gr Roll 35 0 0 35 0 0 0 0 35 0 0 35 0 0 0 0 35 0 0 35
335 Kasa kompres 40/40 steril Roll 158 0 0 158 0 0 0 0 158 0 0 158 0 0 0 0 158 0 0 158
336 Kasa pembalut hidrofil 4m x 15 cm Roll 400 0 0 400 0 0 0 0 400 0 0 400 0 0 0 0 400 0 0 400
337 Kasa pembalut hidrofil 4 m x 3 cm Roll 290 0 0 290 0 0 0 0 290 0 0 290 0 0 0 0 290 0 0 290
338 Kassa 36x80 cm Roll 18 0 0 18 0 0 0 0 18 0 0 18 0 0 0 0 18 0 0 18
339 Kertas Saring Whatman Buku 0 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 1
340 Masker Pcs 450 2750 0 3200 0 0 0 0 450 2750 0 3200 450 600 0 1050 0 2150 0 2150
341 Objec Glass Box/72 4 0 17 21 0 0 0 0 4 0 17 21 0 0 0 0 4 0 17 21
342 Pipet Tetes Panjang Pcs 15 0 0 15 0 0 0 0 15 0 0 15 0 0 0 0 15 0 0 15
343 Plastik Obat Klip 10 x 7 Pcs 0 13300 0 13300 0 0 0 0 0 13300 0 13300 0 0 0 0 0 13300 0 13300
344 Plastik Obat Klip 13 x 8,7 0 10800 0 10800 0 0 0 0 0 10800 0 10800 0 0 0 0 0 10800 0 10800
345 Plester 5 yard x 2 inch Roll 19 0 4 23 0 0 0 0 19 0 4 23 1 0 0 1 18 0 4 22
346 Poly catheter no.8 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
347 Poly catheter no.12 Pcs 3 0 0 3 0 0 0 0 3 0 0 3 0 0 0 0 3 0 0 3
348 Poly catheter no.16 Pcs/set 16 0 0 16 0 0 0 0 16 0 0 16 0 0 0 0 16 0 0 16
349 Silk ( benang bedah sutera) 03/0 Sak 49 0 36 85 0 0 0 0 49 0 36 85 0 0 0 0 49 0 36 85
350 Spons gelatin cublices bks 7 0 0 7 0 0 0 0 7 0 0 7 0 0 0 0 7 0 0 7
351 Stick Gluco DR Btl/50 2 9 0 11 0 0 0 0 2 9 0 11 2 2 0 4 0 7 0 7
352 Tabung Reaksi Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
353 Tes Kehamilan HCG Pcs 2 0 0 2 0 0 0 0 2 0 0 2 0 0 0 0 2 0 0 2
354 Transfution set/Transfusion blood ADM set 3 0 0 3 0 0 0 0 3 0 0 3 0 0 0 0 3 0 0 3
355 Urinalysis 10 parameter Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
356 Stick asam Urat Btl/25 0 13 0 13 0 0 0 0 0 13 0 13 0 1 0 1 0 12 0 12
357 Stick Colestrol Btl/10 0 19 0 19 0 0 0 0 0 19 0 19 0 2 0 2 0 17 0 17
358 Jelly 250ml Ultra soundgel btl 0 1 0 1 0 2 0 2 0 3 0 3 0 0 0 0 0 3 0 3
359 Pot sputum Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
360 Reagen TB Paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMBERIAN KET.
PEMAKAI
AN PERMIN
NO. NAMA BARANG SATUAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/B TAAN PKD PROG JUMLAH
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361 Sefty box 2,5 L Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


362 Reagen sifilis(SD,Bio StanQ) Test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
363 Box Slide Ktk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
364 Fokus test Ktk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
365 Alat suntik 0,5 ml Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
366 Sefty box 5 L Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
367 Masker Nebulizer Anak Psc 5 0 0 5 0 0 0 0 5 0 0 5 0 0 0 0 5 0 0 5
368 Masker Nebulizer Dewasa Psc 15 0 0 15 0 0 0 0 15 0 0 15 0 0 0 0 15 0 0 15
369 Nasal Oksigen Kanula Anak Psc 10 0 0 10 0 0 0 0 10 0 0 10 0 0 0 0 10 0 0 10
370 Nasal Oksigen Kanula Dewasa Psc 15 0 0 15 0 0 0 0 15 0 0 15 0 0 0 0 15 0 0 15
371 Non Rebreating Mask Psc 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
372 ID Dewasa Pink Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
373 ID Dewasa Blue Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
374 ID Bayi Pink Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
375 ID Bayi Biru Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
376 Umbilical Keniko Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
377 Folley Catheter 16 Rusch Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
378 Urine Bag Fresco Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
379 Disp Sryringe 10 ml Onemed Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
380 Suction Catheter 8 Remedi Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
381 Suction Catheter 16 Remedi Psc 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
382 Plaster Hypafix Psc 14 0 0 14 0 0 0 0 14 0 0 14 0 0 0 0 14 0 0 14
383 Rapid Test HIV I Standar (Stik SD HIV ) Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
384 Kasa Steril 16 X 16 Kotak 0 164 0 164 0 0 0 0 0 164 0 164 0 0 0 0 0 164 0 164
385 Alat Nesco Tri in one Kotak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
386 Alkohol Swab One swab Kotak 0 10 0 10 0 0 0 0 0 10 0 10 0 0 0 0 0 10 0 10
387 Bahan tambalan Komposid (solare) Tube 0 4 0 4 0 0 0 0 0 4 0 4 0 0 0 0 0 4 0 4
388 OCO Btl/15ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
389 Paper Pad Buku 0 6 0 6 0 0 0 0 0 6 0 6 0 0 0 0 0 6 0 6
390 Masker 1860 S/N95 pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
391 Rapid Test HIV II : Vikia (HIV ke 1) Test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
392 Rapid Test Hiv, 3 : Intec/China (HIV KE 2) Test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
393 RDT(Virotec+Diluent)DBD Test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
394 Rapid HBsAg(Virochek HbsAg) Test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
395 Baju Hazmat APD Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
396 Baju APD Gaun Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
397 Rapidtest Igm/40 TEST/KiT Kit 0 0 0 0 0 3 0 3 0 3 0 3 0 3 0 3 0 0 0 0
398 Nurse Cup Box 0 0 0 0 4 0 0 4 4 0 0 4 0 0 0 0 4 0 0 4
399 Pembalut Siku Buah 0 0 0 0 5 0 0 5 5 0 0 5 0 0 0 0 5 0 0 5
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
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMBERIAN KET.
PEMAKAI
AN PERMIN
NO. NAMA BARANG SATUAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/B TAAN PKD PROG JUMLAH
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0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
REAGENSIA 0 0 0 0
400 Cell Clean ( CL-50) Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
401 Cell Pack ( PK-30L) Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
402 Control eight check 3 x 1,5 ml Btl/set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
403 Eightcheck-3WP (Normal) 1,5 ml Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
404 Eightcheck-3WP (Low) 1,5 ml Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
405 Eightcheck-3WP (High) 1,5 ml Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
406 Stomalyzer WH(SWH-2004) btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
407 Tabung K2 EDTA 2 ml Btl 0 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 1
408 Printer Paper Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
409 Deck Glass Btl 5 0 0 5 0 0 0 0 5 0 0 5 0 0 0 0 5 0 0 5
410 Tes Gol Darah (A,B,AB ) Set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
411 Tisu lensa Buku 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
412 Kertas perkamen Lembar 19 0 0 19 0 0 0 0 19 0 0 19 0 0 0 0 19 0 0 19
413 Podofilin Tinctur 25 % Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
414 Larutan Fauchet Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
415 Larutan Lisol Btl 15 0 0 15 30 0 0 30 45 0 0 45 0 0 0 0 45 0 0 45
416 Larutan asam klorida 0,1 N Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
417 Larutan asam sulfosalisilat 20% Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
418 Larutan barium klorida Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
419 Larutan Benedict Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
420 Larutan Bupper PH 7,2 Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
421 Larutan EDTA Cair 10 % Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
422 Larutan Eosin 2 % Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
423 Larutan Etanol Asam Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
424 Larutan Giemsa Stalin Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425 Larutan H2O2 Btl 7 0 0 7 0 0 0 0 7 0 0 7 0 0 0 0 7 0 0 7
426 Larutan Imersen oil HB Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
427 Larutan karbol fuksin Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
428 Larutan Metanol Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
429 Larutan Metilen Biru Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
430 Larutan Natrium Sitrat 38 % Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
431 Larutan Rees echer Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
432 Larutan spiritus 100 ml Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
433 Larutan turk Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
434 Ether Alkohol Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
435 Buffer Ph 6,4 Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
436 KOH 10 % Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
437 Hemaatology calibrator btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
438 Cellcheck-400(cc-12) vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMBERIAN KET.
PEMAKAI
AN PERMIN
NO. NAMA BARANG SATUAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/B TAAN PKD PROG JUMLAH
LN

417069 142381 2006 561456 3004 2965 1543 7512 420073 145346 3549 568968 24449 4622 1616 30687 395624 140724 1933 538281

417,069 142,381 2,006 561,456 3,004 2,964 1,543 25322 3749 1716 30787 1833 538281
7,511 568,968 394,551 141,596 537,980

JENIS PELAYANAN PUSKESMAS PAAL X PUSTU POSKESDES JUMLAH


R/ UMUM 170 30 0 200
R/ BPJS 543 23 0 566
R/ JAMKESDA 0 26 0 26
Jlh. Recipe 1654 308 0 1962
Jlh R/ Generik 1654 308 0 1962
R/ Antibiotik 97 35 0 132

Mengetahui Jambi, November 2020


Kepala UPTD Puskesmas Paal X Kota Jambi

dr.Hj.SRI ROSIANTI SRI HARTATY, AMF


NIP. 19720704 200701 2 017 NIP. 19820825 200502 2 001
PUSKESMAS PAAL X KOTA JAMBI
KODE. 5070101

JUMLAH STOK AWAL


NO. NAMA BARANG SATUAN
JUMLAH PKD BLUD PROG
OBAT
1 Acyclovir cream 5 % tube 324 324 0 0
2 Acyclovir tablet 200 mg Tab 1300 1300 0 0
3 Acyclovir tablet 400 mg Tab 1580 1580 0 0
4 Air Raksa Dental Use Btl 1 1 0 0
5 Albendazole 400 mg Tab 100 100 0 0
6 Allopurinol 100 mg Tab 2210 2210 0 0
7 Allopurinol 300 mg Tab 0 0 0 0
8 Ambroxol syrup Btl 219 120 99 0
9 Ambroxol tab 30 mg Tab 4900 4900 0 0
10 Aminofilin injeksi Ampul 0 0 0 0
11 Aminofilin tablet Tab 1500 1500 0 0
12 Amitriptilin tablet 25 mg Tab 1961 1961 0 0
13 Amlodipin 5 mg Tab 5950 2950 3000 0
14 Amoksisilin kap 250 mg Kap 0 0 0 0
15 Amoksisilin kap 500 mg Kap 36700 36700 0 0
16 Amoksisilin sirup kering 125 mg/5 ml Btl 208 208 0 0
17 Amoksisilin Sirup Forte 250 mg/5 ml Btl 120 120 0 0
18 Amlodipin 10 mg Tab 3660 3660 0 0
19 Amoksisilin injeksi Vial 0 0 0 0
20 Ampisilin Kaplet 500 mg Kap 0 0 0 0
21 Ampisilin sirup kering 125 mg/5 ml Btl 0 0 0 0
22 Antalgin tablet 500 mg Tab 3670 3670 0 0
23 Antalgin injeksi Ampul 0 0 0 0
24 Antasida doen tablet Tab 37540 27540 10000 0
25 Antasida sirup Btl 391 391 0 0
26 Anti Bakteri salep / Bacitracin salep Tube 0 0 0 0
27 Anti Fungi kombinasi Pot 199 199 0 0
28 Anti Hemoroid supp 205 205 0 0
29 Anti Migrain tablet Tab 1400 1400 0 0
30 Asam Askorbat (VIT C) 50 mg Tab 41110 35610 5500 0
31 Asam Folat Tab 5580 5580 0 0
32 Asering Infus Kolf 0 0 0 0
33 Asam Mefenamat 500 mg Tab 8825 8825 0 0
34 Asam Tranexamat injeksi Ampul 0 0 0 0
35 Asam Asetilsalisilat(Asetosal) 80 mg Tab 100 100 0 0
36 Asetosal tablet 100 mg Tab 0 0 0 0
37 Azitromycin 500 mg Tab 100 100 0 0
38 Bisoprolol tablet Tab 0 0 0 0
39 Benzatin benzil penicilin inj 2,4 jt iu Vial 0 0 0 0
40 Betadin salep Tube 0 0 0 0
41 Betametason kream 0,1 % Tube 317 317 0 0
42 Bisacodyl 10 mg Supp 0 0 0 0
43 Bethahistin maselat Tablet 2021 2021 0 0
44 Captopril 12,5 mg Tab 590 590 0 0
45 Captopril 25 mg Tab 100 100 0 0
46 Captopril 50 mg Tab 0 0 0 0
47 Caviton Btl 2 2 0 0
48 Cefadroxil 500 mg kap 558 558 0 0
49 Cefotaxime injeksi 1 g Vial 0 0 0 0
50 Cefriaxon injeksi Vial 0 0 0 0
51 Cetrizin tablet 10 mg Kap 0 0 0 0
52 Ciprofloxacin 500 mg Tab 2510 2510 0 0
53 Clindamicin 150 mg Kap 300 300 0 0
54 Clindamicin 300 mg Kap 0 0 0 0
55 Devitalisasi pasta Btl 0 0 0 0
56 Dexamethason tablet Tab 3000 0 3000 0
57 Dexamethason injeksi Ampul 160 160 0 0
58 Diazepam tablet 2 mg Tab 1845 1045 800 0
59 Diazepam tablet 5 mg Tab 1194 1094 0 100
60 Diazepam injeksi Ampul 30 30 0 0
61 Difenhidramin injeksi Ampul 120 120 0 0
62 Digoksin tablet Tab 100 100 0 0
63 Doxicillin Tab 0 0 0 0
64 Dulcolax tablet Tab 0 0 0 0
65 Dulculax supp 10 mg ( Dewasa ) Supp 26 26 0 0
66 Dulculax supp 5 mg ( Anak ) Supp 36 36 0 0
67 Efedrin Hcl 25 mg Tab 0 0 0 0
68 Ekstrak belladona tablet 10 mg Tab 0 0 0 0
69 Ephinefrin hcl injeksi Ampul 120 120 0 0
70 Erytromycin kapsul 250 mg Kap 3240 3240 0 0
71 Erytromycin kapsul 500 mg Kap 4000 4000 0 0
72 Erytromycin syrup Btl 14 0 14 0
73 Etakridin / Rivanol Btl 18 18 0 0
74 Ethambutol hcl tab 250 mg Tab 0 0 0 0
75 Ethambutol hcl tab 500 mg Tab 0 0 0 0
76 Etil klorida semprot Btl 14 14 0 0
77 Eugenol cairan Btl 0 0 0 0
78 Fenitoin natrium 30 mg Kap 0 0 0 0
79 Fenitoin natrium 100 mg Kap 100 100 0 0
80 Fenobarbital injeksi Ampul 0 0 0 0
81 Fenobarbital tab 100 mg Tab 0 0 0 0
82 Fenobarbital tablet 30 mg Tab 697 697 0 0
83 Fenoksimetil fenisilin tab 250 mg Tab 0 0 0 0
84 Fenoksimetil fenisilin tab 500 mg Tab 0 0 0 0
85 Fenol Gliserol tetes telinga Btl 92 92 0 0
86 Fitomenadion (Vit K) tab 10 mg Tab 1860 1860 0 0
87 Fitomenadion (Vit K) injeksi Ampul 60 60 0 0
88 Fluconazol 150 mg Tab 0 0 0 0
89 Furosemide tablet 40 mg Tab 595 0 595 0
90 Fluor gel Btl 0 0 0 0
91 Garam oralit untuk 200 ml air Set 4875 4875 0 0
92 Gentamycin salep kulit 0,1 % Tube 110 110 0 0
93 Gentamycin salep mata Tube 96 96 0 0
94 Gentamycin tetes mata Btl 61 61 0 0
95 Gentamycin injeksi Ampul 0 0 0 0
96 Gentian violet Btl 76 52 24 0
97 Glass Ionomer (ART FUJI IX) Btl 0 0 0 0
98 Glibenklamida tablet 5 mg Tab 100 100 0 0
99 Glimepiride 1 mg Tab 2320 2320 0 0
100 Glimepiride 2 mg Tab 1725 1225 500 0
101 Gliseril guaiakolat tablet 100 mg Tab 42500 0 42500 0
102 Glukosa larutan infus 5 % steril Btl 20 20 0 0
103 Griseofulvin tablet 125 mg Tab 1590 1590 0 0
104 Griseofulvin tablet 500 mg Tab 500 500 0 0
105 Halloperidol tab 0,5 mg Tab 320 320 0 0
106 Halloperidol tab 1,5 mg Tab 600 600 0 0
107 Halloperidol tab 5 mg Tab 400 400 0 0
108 Hidroklortiazide (HCT) tablet 25 mg Tab 400 400 0 0
109 Hidrocortison krim 2,5 % Tube 163 163 0 0
110 Ibuprofen tablet 200 mg Tab 900 900 0 0
111 Ibuprofen tablet 400 mg Tab 1480 1480 0 0
112 Ibuprofen syrup Btl 0 0 0 0
113 Insulin Human Rapid injeksi 100 IU vial 0 0 0 0
114 Isoniazida ( INH ) tab 100 mg Tab 0 0 0 0
115 Isoniazida ( INH ) tab 300 mg Tab 400 400 0 0
116 Isosorbit dinitrat sublingual 5 mg Tab 115 115 0 0
117 Komb. Primetamin 25mg+suldox 500mg Tab 0 0 0 0
118 Klorfenol kamfermenthol ( CHKM ) Tab 0 0 0 0
119 Kalsium Laktat tablet Tab 35530 25030 10500 0
120 Kandesartan cilexetil 8 mg Tab 0 0 0 0
121 Karbamazepin tablet 200 mg Tab 500 500 0 0
122 Ketorolac injeksi Ampul 0 0 0 0
123 Kloramfenikol salep kulit Tube 41 41 0 0
124 Kloramfenikol salep mata 1 % Tube 123 123 0 0
125 Kloramfenicol tetes telinga 3 % Btl 65 65 0 0
126 Kloramfenicol 250 mg kapsul Kap 0 0 0 0
127 Klorfeniramin maleat 4 mg (CTM ) Tab 22990 22990 0 0
128 Kloramfenicol tetes mata ( Reco ) Btl 48 0 48 0
129 Kalsium Hidroksida Pasta ( Calcidor ) Tube 0 0 0 0
130 Klorpromazin hcl injeksi Ampul 0 0 0 0
131 Klorpromazine tab salut 25 mg Tab 0 0 0 0
132 Klorpromazine tab salut 100 mg Tab 390 390 0 0
133 Kodein tablet 10 mg Tab 575 575 0 0
134 Kotrimoksazol suspensi Btl 480 480 0 0
135 Kotrimoksazol pediatrik Tab 0 0 0 0
136 Kotrimoksazol tablet 480 mg Tab 2700 2700 0 0
137 Klorokuin Tab 0 0 0 0
138 Kuinin sulfat tab 222 mg (7H2O) Tab 0 0 0 0
139 Lidocain kompositum inj (Pehacain) Ampul 390 390 0 0
140 Lidocain injeksi Ampul 400 400 0 0
141 Lisinopril 10 mg Tab 0 0 0 0
142 Loperamide tab 2 mg / Novadium Tab 0 0 0 0
143 Loratadin 10 mg Tab 0 0 0 0
144 Magnesium sulfat injeksi 20% vial 5 5 0 0
145 Magnesium sulfat injeksi 40% vial 5 5 0 0
146 Mecobalamin injeksi Ampul 0 0 0 0
147 Meloxicam 7,5 mg Tab 0 0 0 0
148 Metformin hcl tablet 500 mg Tab 3500 3500 0 0
149 Methyl prednisolon tablet 4 mg Tab 7140 5000 2140 0
150 Metilergometrin tablet salut Tab 200 200 0 0
151 Metilergometrin injeksi Ampul 0 0 0 0
152 Metoklorpropamide hcl 10 mg Tab 2500 2500 0 0
153 Metronidazole tablet 250 mg Tab 0 0 0 0
154 Metronidazole tablet 500 mg Tab 2300 2300 0 0
155 Metronidazole syrup Btl 0 0 0 0
156 Metronidazole infus Btl 0 0 0 0
157 Miconazol cream tube 212 212 0 0
158 Microlax rectal tube tube 0 0 0 0
159 Mummifying pasta Btl 0 0 0 0
160 Natrium bikarbonat tablet Tab 1100 1100 0 0
161 Natrium Diklofenak 25 mg Tab 4670 4670 0 0
162 Natrium Diklofenak 50 mg Tab 2380 1280 1100 0
163 Natrium klorida larutan infus Btl 87 87 0 0
164 Neurobion 5000 injeksi Ampul 0 0 0 0
165 Nifedipin tablet Tab 250 250 0 0
166 Nistatin tablet salut 500.000 iu/g Tab 0 0 0 0
167 Nistatin tablet vaginal 100.000 iu/g Tab 270 270 0 0
168 OBH Btl 320 265 55 0
169 Obat Anti TBC Kategori 1 paket 0 0 0 0
170 Obat Anti TBC Kategori 1 -Stop TB KIT paket 0 0 0 0
171 Obat Anti TBC Kategori II paket 0 0 0 0
172 Obat Anti TBC Kategori Anak paket 0 0 0 0
173 Kombipak Kategori I paket 0 0 0 0
174 Ofloxacin 200 mg Tab 0 0 0 0
175 Oksitetrasiklin hcl salep mata 1 % tube 50 50 0 0
176 Oksitetrasiklin hcl salep kulit 3 % Tube 150 150 0 0
177 Oksitetrasiklin hcl injeksi vial 0 0 0 0
178 Oksitosin injeksi / Pitogin Ampul 80 80 0 0
179 Omeprazole capsul 20 mg Kap 96 96 0 0
180 Ondansentron injeksi Ampul 0 0 0 0
181 Papaverin tablet Tab 0 0 0 0
182 Paracetamol tablet 100 mg Tab 0 0 0 0
183 Paracetamol tablet 500 mg Tab 54880 34680 20200 0
184 Paracetamol Drop Btl 0 0 0 0
185 Parasetamol sirup Btl 774 514 260 0
186 Perfenazine tablet 4 mg Tab 0 0 0 0
187 Piracetam 3 g injeksi Ampul 0 0 0 0
188 Pirantel pamoat tablet 125 mg Tab 200 200 0 0
189 Pirantel pamoat sirup Btl 50 50 0 0
190 Pyrazinamide tablet 500 mg Tab 0 0 0 0
191 Piridoxin hcl tablet 10 mg Tab 19850 19850 0 0
192 Piroxicam 10 mg Tab 1890 0 1890 0
193 Piroxicam 20 mg Tab 170 0 170 0
194 Polikresulen / Albothil Btl 0 0 0 0
195 Prednison tablet Tab 18780 18780 0 0
196 Primakuin tablet Tab 0 0 0 0
197 Prokain benzil penisilin inj vial 0 0 0 0
198 Pronalges suppositoria Supp 0 0 0 0
199 Propanolol tab 10 mg Tab 0 0 0 0
200 Propanolol tab 40 mg Tab 0 0 0 0
201 Propiltiourasil tablet 100 mg Tab 770 200 570 0
202 Proris suppositoria Supp 0 0 0 0
203 Perak sulfadiazine cream 3 % tube 0 0 0 0
204 Ranitidin tablet 150 mg Tab 3746 3746 0 0
205 Ranitidin injeksi Ampul 0 0 0 0
206 Reserpin tablet 0,1 mg Tab 0 0 0 0
207 Reserpin tablet 0,25 mg Tab 0 0 0 0
208 Retinol kapsul 100.000 IU Kapsul 0 0 0 0
209 Retinol kapsul 200.000 IU Kapsul 0 0 0 0
210 Rifampisin kapsul 300 mg Kap 0 0 0 0
211 Rifampisin kapsul 450 mg Kap 0 0 0 0
212 Rifampisin kapsul 600 mg Kap 0 0 0 0
213 Ringer laktat infus steril Btl 60 60 0 0
214 Salbutamol tablet 2 mg Tab 1540 1540 0 0
215 Salbuatmol tablet 4 mg Tab 640 640 0 0
216 salep 2-4 Pot 48 48 0 0
217 Salisil bedak 2 % Pot 237 237 0 0
218 Semen seng fosfat serbuk & cairan Btl 0 0 0 0
219 Serum Anti Bisa Ular injeksi Vial 1 1 0 0
220 Serum Anti tetanus injeksi 1500 IU Ampul 30 30 0 0
221 Tatagam vial 0 0 0 0
222 Sianokobalamin inj 500 mcg/ml Btl 0 0 0 0
223 Silver Amalgam serbuk Tab 0 0 0 0
224 Simvastatin 10 mg Tab 4380 4380 0 0
225 Simvastatin 20 mg supp 2150 0 2150 0
226 Stesolid rectal supp 5 mg Supp 10 10 0 0
227 Stesolid rectal supp 10 mg Btl 8 8 0 0
228 Sulfasetamid tetes mata 15 % Tab 0 0 0 0
229 Tablet tambah darah (SF) Tab 21820 21820 0 0
230 Temporary / Fletcher Kap 0 0 0 0
231 Tetrasiklin kapsul 250 mg Kap 0 0 0 0
232 Tetrasiklin kapsul 500 mg Tab 1000 1000 0 0
233 Thrombo Aspilet Tab 0 0 0 0
234 Thiamin injeksi Ampul 0 0 0 0
235 Thiamin tablet 50 mg Tab 16655 16655 0 0
236 Triheksipenidil hcl tablet 2 mg Tab 499 499 0 0
237 Trikresol formalin cairan ( TKF ) Ampul 0 0 0 0
238 Vaksin rabies vero Tab 0 0 0 0
239 Valsartan 80 mg Tab 0 0 0 0
240 Ventolin nebulizer Nebules 80 80 0 0
241 Vitamin B komplek tablet Tab 20770 20570 0 200
242 Yodium povidon lart 10 % - 30 ml Btl 0 0 0 0
243 Yodium povidon lart 10 % - 300 ml Btl 7 7 0 0
244 Xylocain jelly Tube 0 0 0 0
245 Lidocain Pasta Pot 0 0 0 0
246 Zinc tablet 20 mg Tab 1975 1975 0 0
247 Zinc sirup Btl 89 89 0 0
248 Betamin drage ( Vit. B1 ) Tab 0 0 0 0
249 Domperidon Btl 2310 2310 0 0
250 Clozapin 25 mg Tab 95 0 0 95
251 Clobazam 10 mg Tab 0 0 0 0
252 Trifluoperazin HCl 5 mg ( Stelosi ) Tab 0 0 0 0
253 Vitamin B 12 Tab 2040 2040 0 0
254 Ketokonazol Crem Tube 37 37 0 0
255 Ketokonazole Tablet Tab 614 614 0 0
256 Flufenazin Decanoat Inj 25 mg Ampul 0 0 0 0
257 Haloperidol Inj 5 mg ( Ladomer ) Ampul 0 0 0 0
258 Haloperidol Decanoat Inj 50 mg Ampul 0 0 0 0
259 Resperidon tab 2 mg Tab 840 0 0 840
260 Curviplex Sirup Btl 0 0 0 0
261 Andalan Inj 3 Bulan Vial 0 0 0 0
262 Andalan Inj 1 Bulan Vial 0 0 0 0
263 Cyclopen Inj. 1 Bulan Vial 140 0 140 0
264 Ichtyol Salaf Kulit Pot 8 0 8 0
265 Levertran Salep Kulit Pot 42 0 42 0
266 HEPATITIS B Paket 25 0 0 25
267 BCG Ampul 22 0 0 22
268 POLIO Vial 0 0 0 0
269 PENTABIO/DPTHBHib Vial 15 0 0 15
270 CAMPAK Vial 7 0 0 7
271 Td / TT Vial 15 0 0 15
272 IPV Vial 0 0 0 0
273 Vaksin MR Vial 0 0 0 0
274 Pelarut MR Vial 0 0 0 0
275 Pentocain 0,5 % TT Mata Btl 12 0 12 0
276 Domperidon syrup btl 60 60 0 0
277 Kloramfenikol syrup btl 70 70 0 0
278 cetirizin syrup btl 0 0 0 0
279 Pritamox sirup 125 mg btl 180 0 180 0
280 Albendazole syrup btl 0 0 0 0
281 Moxalaskap/cotri480mg tab 2380 0 2380 0
282 Moxalas syr/cotry syr btl 100 0 100 0
283 Lorihis tab/loratadin tab tab 850 0 850 0
284 Flagsol syr/metro syr btl 46 0 46 0
285 Selfolic 1000mg/Asam folat tab 2000 0 2000 0
286 Trifadium2mg/Loperamid tab tab 420 0 420 0
287 Omeprazole Injeksi Ampul 15 15 0 0
288 Gluconas Kalsikus injeksi amp 0 0 0 0
289 Tricloflem Vial 0 0 0 0
290 Cycloserin 250mg tab 0 0 0 0
291 Ethionmid 250mg tab 0 0 0 0
292 Levofloxacin 750mg tab 0 0 0 0
293 Bedaquilin 100mg tab 0 0 0 0
294 Hbig Bayi vial 0 0 0 0
295 Amoxcillin drop btl 49 49 0 0
296 scabimid salep tube 152 152 0 0
297 Selcom C Tab 300 0 0 300
298 Cyanocobalamin Inj Ampul 100 100 0 0
299 Kloramfenicol 500 mg Kap 1410 1410 0 0
300 Attapulgit tab 0 0 0 0
0 0 0 0
BMHP 0 0 0 0
301 Alat suntik 1 ml Pcs 1000 1000 0 0
302 Alat suntik 2,5 ml Pcs 200 200 0 0
303 Alat suntik 3 ml Pcs 2930 2500 400 30
304 Alat suntik 5 ml Pcs 1300 500 500 300
305 Alkohol 70 % ( 1 L ) Btl 27 27 0 0
306 Alkohol 70 % ( 60 Ml ) Btl 0 0 0 0
307 Aqua destilata steril 500 ml Btl 12 12 0 0
308 Aqua pro injeksi Vial 89 74 15 0
309 Bisturi no 10 Pcs 10 10 0 0
310 Bisturi no 11 Pcs 10 10 0 0
311 Bisturi no 20 Pcs 0 0 0 0
312 Bisturi no 22 Pcs 0 0 0 0
313 Blood Lancet Pcs 4800 2000 2800 0
314 Catgut/benang bedah Pcs 96 96 0 0
315 ETT no.6 Pcs 0 0 0 0
316 ETT no.6,5 Set 0 0 0 0
317 ETT no.7 Set 0 0 0 0
318 ETT no.7,5 Btl 0 0 0 0
319 Hand scrub Pcs 34 34 0 0
320 Handscoon uk.S Pcs 900 900 0 0
321 Handscoon uk. M Pcs 1000 800 200 0
322 Handscoon uk. L Pcs 800 800 0 0
323 Infusion set anak set 50 0 50 0
324 Infusion set dewasa set 45 0 45 0
325 Wing neadle no. 23G Pcs 0 0 0 0
326 IV Catheter (Abocath) NO.20 Pcs 10 10 0 0
327 IV Catheter (Abocath) NO.22 Pcs 10 10 0 0
328 IV Catheter (Abocath) NO.24 pcs 0 0 0 0
329 Jarum Jahit (Nald Heating ) no. 10 pcs 39 39 0 0
330 Jarum Jahit (Nald Heating ) no. 11 pcs 0 0 0 0
331 Jarum Jahit (Nald Heating ) no. 12 pcs 0 0 0 0
332 Jarum Jahit (Nald Heating ) no. 13 pcs 25 25 0 0
333 Jarum Jahit (Nald Heating ) no. 14 Pcs 25 25 0 0
334 Kapas pembalut/Absorben 250 gr Roll 35 35 0 0
335 Kasa kompres 40/40 steril Roll 158 158 0 0
336 Kasa pembalut hidrofil 4m x 15 cm Roll 400 400 0 0
337 Kasa pembalut hidrofil 4 m x 3 cm Roll 290 290 0 0
338 Kassa 36x80 cm Roll 18 18 0 0
339 Kertas Saring Whatman Buku 1 0 1 0
340 Masker Pcs 3200 450 2750 0
341 Objec Glass Box/72 21 4 0 17
342 Pipet Tetes Panjang Pcs 15 15 0 0
343 Plastik Obat Klip 10 x 7 Pcs 13300 0 13300 0
344 Plastik Obat Klip 13 x 8,7 10800 0 10800 0
345 Plester 5 yard x 2 inch Roll 23 19 0 4
346 Poly catheter no.8 Pcs 0 0 0 0
347 Poly catheter no.12 Pcs 3 3 0 0
348 Poly catheter no.16 Pcs/set 16 16 0 0
349 Silk ( benang bedah sutera) 03/0 Sak 85 49 0 36
350 Spons gelatin cublices bks 7 7 0 0
351 Stick Gluco DR Btl/50 11 2 9 0
352 Tabung Reaksi Pcs 0 0 0 0
353 Tes Kehamilan HCG Pcs 2 2 0 0
354 Transfution set/Transfusion blood ADM set 3 3 0 0
355 Urinalysis 10 parameter Btl 0 0 0 0
356 Stick asam Urat Btl/25 13 0 13 0
357 Stick Colestrol Btl/10 19 0 19 0
358 Jelly 250ml Ultra soundgel btl 1 0 1 0
359 Pot sputum Pcs 0 0 0 0
360 Reagen TB Paket 0 0 0 0
361 Sefty box 2,5 L Box 0 0 0 0
362 Reagen sifilis(SD,Bio StanQ) Test 0 0 0 0
363 Box Slide Ktk 0 0 0 0
364 Fokus test Ktk 0 0 0 0
365 Alat suntik 0,5 ml Box 0 0 0 0
366 Sefty box 5 L Box 0 0 0 0
367 Masker Nebulizer Anak Psc 5 5 0 0
368 Masker Nebulizer Dewasa Psc 15 15 0 0
369 Nasal Oksigen Kanula Anak Psc 10 10 0 0
370 Nasal Oksigen Kanula Dewasa Psc 15 15 0 0
371 Non Rebreating Mask Psc 0 0 0 0
372 ID Dewasa Pink Box 0 0 0 0
373 ID Dewasa Blue Box 0 0 0 0
374 ID Bayi Pink Box 0 0 0 0
375 ID Bayi Biru Box 0 0 0 0
376 Umbilical Keniko Box 0 0 0 0
377 Folley Catheter 16 Rusch Pcs 0 0 0 0
378 Urine Bag Fresco Pcs 0 0 0 0
379 Disp Sryringe 10 ml Onemed Box 0 0 0 0
380 Suction Catheter 8 Remedi Pcs 0 0 0 0
381 Suction Catheter 16 Remedi Psc 0 0 0 0
382 Plaster Hypafix Psc 14 14 0 0
383 Rapid Test HIV I Standar (Stik SD HIV ) Pcs 0 0 0 0
384 Kasa Steril 16 X 16 Kotak 164 0 164 0
385 Alat Nesco Tri in one Kotak 0 0 0 0
386 Alkohol Swab One swab Kotak 10 0 10 0
387 Bahan tambalan Komposid (solare) Tube 4 0 4 0
388 OCO Btl/15ml 0 0 0 0
389 Paper Pad Buku 6 0 6 0
390 Masker 1860 S/N95 pcs 0 0 0 0
391 Rapid Test HIV II : Vikia (HIV ke 1) Test 0 0 0 0
392 Rapid Test Hiv, 3 : Intec/China (HIV KE 2) Test 0 0 0 0
393 RDT(Virotec+Diluent)DBD Test 0 0 0 0
394 Rapid HBsAg(Virochek HbsAg) Test 0 0 0 0
395 Baju Hazmat APD Pcs 0 0 0 0
396 Baju APD Gaun Pcs 0 0 0 0
397 Rapidtest Igm/40 TEST/KiT Kit 0 0 0 0
398 Nurse Cup Box 0 0 0 0
399 Pembalut Siku Buah 0 0 0 0

0 0 0 0
REAGENSIA 0 0 0 0
400 Cell Clean ( CL-50) Btl 0 0 0 0
401 Cell Pack ( PK-30L) Btl 0 0 0 0
402 Control eight check 3 x 1,5 ml Btl/set 0 0 0 0
403 Eightcheck-3WP (Normal) 1,5 ml Vial 0 0 0 0
404 Eightcheck-3WP (Low) 1,5 ml Vial 0 0 0 0
405 Eightcheck-3WP (High) 1,5 ml Vial 0 0 0 0
406 Stomalyzer WH(SWH-2004) btl 0 0 0 0
407 Tabung K2 EDTA 2 ml Btl 1 0 1 0
408 Printer Paper Pcs 0 0 0 0
409 Deck Glass Btl 5 5 0 0
410 Tes Gol Darah (A,B,AB ) Set 0 0 0 0
411 Tisu lensa Buku 0 0 0 0
412 Kertas perkamen Lembar 19 19 0 0
413 Podofilin Tinctur 25 % Btl 0 0 0 0
414 Larutan Fauchet Btl 0 0 0 0
415 Larutan Lisol Btl 15 15 0 0
416 Larutan asam klorida 0,1 N Btl 0 0 0 0
417 Larutan asam sulfosalisilat 20% Btl 0 0 0 0
418 Larutan barium klorida Btl 0 0 0 0
419 Larutan Benedict Btl 0 0 0 0
420 Larutan Bupper PH 7,2 Btl 0 0 0 0
421 Larutan EDTA Cair 10 % Btl 0 0 0 0
422 Larutan Eosin 2 % Btl 0 0 0 0
423 Larutan Etanol Asam Btl 0 0 0 0
424 Larutan Giemsa Stalin Btl 0 0 0 0
425 Larutan H2O2 Btl 7 7 0 0
426 Larutan Imersen oil HB Btl 0 0 0 0
427 Larutan karbol fuksin Btl 0 0 0 0
428 Larutan Metanol Btl 0 0 0 0
429 Larutan Metilen Biru Btl 0 0 0 0
430 Larutan Natrium Sitrat 38 % Btl 0 0 0 0
431 Larutan Rees echer Btl 0 0 0 0
432 Larutan spiritus 100 ml Btl 0 0 0 0
433 Larutan turk Btl 0 0 0 0
434 Ether Alkohol Botol 0 0 0 0
435 Buffer Ph 6,4 Botol 0 0 0 0
436 KOH 10 % Btl 0 0 0 0
437 Hemaatology calibrator btl 0 0 0 0
438 Cellcheck-400(cc-12) vial 0 0 0 0
0 0 0 0
561,456 417,069 142,381 2,006
561,256 416,869 142,381 2,006

200 -
LAPORAN PEMAKAIAN DAN LEMBAR

STOK AWAL GUDANG STOK AWAL APOTIK PENERIMAAN


PKD BLUD PROG PKD BLUD PROG PKD BLUD PROG

278 0 0 46 0 0 0 0 0
1300 0 0 0 0 0 0 0 0
1250 0 0 330 0 0 0 0 0
1 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 0
2000 0 0 210 0 0 0 0 0
0 0 0 0 0 0 0 0 0
60 96 0 60 3 0 0 0 0
4300 0 0 600 0 0 0 0 0
0 0 0 0 0 0 0 0 0
1300 0 0 200 0 0 0 0 0
1800 0 0 161 0 0 0 0 0
2100 3000 0 850 0 0 0 0 0
0 0 0 0 0 0 0 0 0
35900 0 0 800 0 0 0 0 0
180 0 0 28 0 0 0 0 0
120 0 0 0 0 0 0 0 0
3360 0 0 300 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
3000 0 0 670 0 0 0 0 0
0 0 0 0 0 0 0 0 0
26700 10000 0 840 0 0 0 0 0
340 0 0 51 0 0 0 0 0
0 0 0 0 0 0 0 0 0
192 0 0 7 0 0 0 0 0
200 0 0 5 0 0 0 0 0
1400 0 0 0 0 0 0 0 0
35000 5500 0 610 0 0 0 0 0
4000 0 0 1580 0 0 0 0 0
0 0 0 0 0 0 0 0 0
8400 0 0 425 0 0 0 0 0
0 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
100 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
275 0 0 42 0 0 0 0 0
0 0 0 0 0 0 0 0 0
1600 0 0 421 0 0 0 0 0
400 0 0 190 0 0 0 0 0
100 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0 0
200 0 0 358 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 2500 0 0
1800 0 0 710 0 0 0 0 0
300 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 3000 0 0 0 0 0 0 0
160 0 0 0 0 0 0 0 0
1000 800 0 45 0 0 0 0 0
1000 0 100 94 0 0 0 0 0
30 0 0 0 0 0 0 0 0
120 0 0 0 0 0 0 0 0
100 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
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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 3 0
0 0 0 0 0 0 4 0 0
0 0 0 0 0 0 5 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 0 0 0
0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0
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5 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0
19 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
15 0 0 0 0 0 30 0 0
0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0
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0 0 0 0 0 0 0 0 0
389,752 138,312 1,821 27,317 4,069 185 3,004 2,965 1,543
389,552 138,312 1,821 27317 4069 185 3,004 2,964 1,543
N PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )

IMAAN PERSEDIAA PEMAKAIAN PEMAKAIAN GUDANG (LAIN-LAIN) PEMAKAIAN APOTIK


JUMLAH N PKD BLUD PROG PKD BLUD PROG

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0 1 0 0 0 0 0 0 0
0 3200 1050 450 550 0 0 50 0
0 21 0 0 0 0 0 0 0
0 15 0 0 0 0 0 0 0
0 13300 0 0 0 0 0 0 0
0 10800 0 0 0 0 0 0 0
0 23 1 1 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 3 0 0 0 0 0 0 0
0 16 0 0 0 0 0 0 0
0 85 0 0 0 0 0 0 0
0 7 0 0 0 0 0 0 0
0 11 4 2 2 0 0 0 0
0 0 0 0 0 0 0 0 0
0 2 0 0 0 0 0 0 0
0 3 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 13 1 0 1 0 0 0 0
0 19 2 0 2 0 0 0 0
2 3 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 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 5 0 0 0 0 0 0 0
0 15 0 0 0 0 0 0 0
0 10 0 0 0 0 0 0 0
0 15 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 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 0 0 0
0 0 0 0 0 0 0 0 0
0 14 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 164 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 10 0 0 0 0 0 0 0
0 4 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 6 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 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
3 3 3 0 3 0 0 0 0
4 4 0 0 0 0 0 0 0
5 5 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 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 0 0 0 0 0 0
0 1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 5 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 19 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
30 45 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 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 7 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 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 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
7,512 568,968 30,687 10,296 3,078 1,521 14,153 1,544 95
7,511 10,797 2,577 1,621 14525 1172 95
568,768
Bulan :
STOK AKHIR PEMAKAIAN PERMINTAA PEMBERIAN
STOK AKHIR
PKD BLUD PROG RATA2/BLN N PKD BLUD PROG

320 320 0 0
1300 1300 0 0
1365 1365 0 0
1 1 0 0
100 100 0 0
2090 2090 0 0
0 0 0 0
203 107 96 0
4310 4310 0 0
0 0 0 0
1500 1500 0 0
1961 1961 0 0
5390 2390 3000 0
0 0 0 0
34525 34525 0 0
195 195 0 0
120 120 0 0
3085 3085 0 0
0 0 0 0
0 0 0 0
0 0 0 0
3570 3570 0 0
0 0 0 0
35350 25350 10000 0
374 374 0 0
0 0 0 0
199 199 0 0
188 188 0 0
1400 1400 0 0
40128 35000 5128 0
5340 5340 0 0
0 0 0 0
8480 8480 0 0
0 0 0 0
100 100 0 0
0 0 0 0
100 100 0 0
0 0 0 0
0 0 0 0
0 0 0 0
275 275 0 0
0 0 0 0
2021 2021 0 0
590 590 0 0
100 100 0 0
0 0 0 0
2 2 0 0
510 510 0 0
0 0 0 0
0 0 0 0
2360 2360 0 0
2380 2380 0 0
300 300 0 0
0 0 0 0
0 0 0 0
2290 0 2290 0
160 160 0 0
1787 987 800 0
1188 1088 0 100
30 30 0 0
120 120 0 0
100 100 0 0
0 0 0 0
0 0 0 0
26 26 0 0
36 36 0 0
0 0 0 0
0 0 0 0
120 120 0 0
3200 3200 0 0
4000 4000 0 0
60 0 60 0
18 18 0 0
0 0 0 0
0 0 0 0
14 14 0 0
0 0 0 0
0 0 0 0
30 30 0 0
0 0 0 0
0 0 0 0
697 697 0 0
0 0 0 0
0 0 0 0
83 83 0 0
1820 1820 0 0
60 60 0 0
0 0 0 0
595 0 595 0
0 0 0 0
4796 4796 0 0
79 79 0 0
94 94 0 0
50 50 0 0
0 0 0 0
74 50 24 0
0 0 0 0
100 100 0 0
2320 2320 0 0
1725 1225 500 0
40340 0 40340 0
20 20 0 0
1580 1580 0 0
500 500 0 0
320 320 0 0
600 600 0 0
400 400 0 0
0 0 0 0
144 144 0 0
600 600 0 0
1480 1480 0 0
0 0 0 0
0 0 0 0
0 0 0 0
400 400 0 0
115 115 0 0
0 0 0 0
0 0 0 0
34810 24310 10500 0
0 0 0 0
500 500 0 0
0 0 0 0
41 41 0 0
123 123 0 0
65 65 0 0
0 0 0 0
20655 20655 0 0
48 0 48 0
0 0 0 0
0 0 0 0
0 0 0 0
390 390 0 0
530 530 0 0
480 480 0 0
0 0 0 0
2700 2700 0 0
0 0 0 0
0 0 0 0
360 360 0 0
400 400 0 0
0 0 0 0
0 0 0 0
0 0 0 0
5 5 0 0
5 5 0 0
0 0 0 0
0 0 0 0
3460 3460 0 0
7060 5000 2060 0
200 200 0 0
0 0 0 0
2200 2200 0 0
0 0 0 0
1735 1735 0 0
0 0 0 0
0 0 0 0
203 203 0 0
0 0 0 0
0 0 0 0
1100 1100 0 0
4362 4362 0 0
2300 1200 1100 0
87 87 0 0
0 0 0 0
235 235 0 0
0 0 0 0
264 264 0 0
310 265 45 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
48 48 0 0
100 100 0 0
0 0 0 0
80 80 0 0
1790 0 1790 0
0 0 0 0
0 0 0 0
0 0 0 0
51960 31760 20200 0
0 0 0 0
759 499 260 0
0 0 0 0
0 0 0 0
200 200 0 0
50 50 0 0
0 0 0 0
19490 19490 0 0
1655 0 1655 0
1080 0 1080 0
0 0 0 0
17530 17530 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
770 200 570 0
0 0 0 0
0 0 0 0
3654 3654 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
60 60 0 0
1500 1500 0 0
620 620 0 0
48 48 0 0
196 196 0 0
0 0 0 0
1 1 0 0
30 30 0 0
0 0 0 0
0 0 0 0
0 0 0 0
3730 3730 0 0
1940 0 1940 0
10 10 0 0
8 8 0 0
0 0 0 0
20700 20700 0 0
0 0 0 0
0 0 0 0
1000 1000 0 0
0 0 0 0
0 0 0 0
16600 16600 0 0
469 469 0 0
0 0 0 0
0 0 0 0
0 0 0 0
80 80 0 0
19220 19020 0 200
0 0 0 0
7 7 0 0
0 0 0 0
0 0 0 0
1905 1905 0 0
82 82 0 0
0 0 0 0
2080 2080 0 0
60 0 0 60
0 0 0 0
0 0 0 0
2020 2020 0 0
30 30 0 0
600 600 0 0
0 0 0 0
0 0 0 0
0 0 0 0
780 0 0 780
0 0 0 0
80 0 80 0
0 0 0 0
140 0 140 0
8 0 8 0
42 0 42 0
25 0 0 25
5 0 0 5
32 0 0 32
31 0 0 31
11 0 0 11
2 0 0 2
0 0 0 0
0 0 0 0
0 0 0 0
12 0 12 0
50 50 0 0
50 50 0 0
150 150 0 0
180 0 180 0
0 0 0 0
2370 0 2370 0
100 0 100 0
850 0 850 0
46 0 46 0
2000 0 2000 0
330 0 330 0
15 15 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
30 30 0 0
132 132 0 0
300 0 0 300
100 100 0 0
1410 1410 0 0
200 200 0 0
0 0 0 0
0 0 0 0
900 900 0 0
200 200 0 0
2930 2500 400 30
1300 500 500 300
42 42 0 0
0 0 0 0
12 12 0 0
89 74 15 0
10 10 0 0
10 10 0 0
0 0 0 0
0 0 0 0
4800 2000 2800 0
96 96 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
20 20 0 0
500 500 0 0
500 300 200 0
300 300 0 0
50 0 50 0
45 0 45 0
0 0 0 0
10 10 0 0
10 10 0 0
0 0 0 0
39 39 0 0
0 0 0 0
0 0 0 0
25 25 0 0
25 25 0 0
35 35 0 0
158 158 0 0
400 400 0 0
290 290 0 0
18 18 0 0
1 0 1 0
2150 0 2150 0
21 4 0 17
15 15 0 0
13300 0 13300 0
10800 0 10800 0
22 18 0 4
0 0 0 0
3 3 0 0
16 16 0 0
85 49 0 36
7 7 0 0
7 0 7 0
0 0 0 0
2 2 0 0
3 3 0 0
0 0 0 0
12 0 12 0
17 0 17 0
3 0 3 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
5 5 0 0
15 15 0 0
10 10 0 0
15 15 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
14 14 0 0
0 0 0 0
164 0 164 0
0 0 0 0
10 0 10 0
4 0 4 0
0 0 0 0
6 0 6 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
4 4 0 0
5 5 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
1 0 1 0
0 0 0 0
5 5 0 0
0 0 0 0
0 0 0 0
19 19 0 0
0 0 0 0
0 0 0 0
45 45 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
7 7 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 0 0 0
0 0 0 0
0 0 0 0
538,281 395,624 140,724 1,933 -
538,281 stok awal penerimaan
554,647 gudang 529,885 7,512
apotik 31,571 0
529,885

529,885 7,511
31,571 19103

33,998

34,882
Oktober 2020
PEMBERIAN KET. PEMAKAIAN TOTAL(GUDANG + APOTIK)
LAIN-LAIN JUMLAH PKD BLUD PROG

4 0 0
0 0 0
215 0 0
0 0 0
0 0 0
120 0 0
0 0 0
13 3 0
590 0 0
0 0 0
0 0 0
0 0 0
560 0 0
0 0 0
2175 0 0
13 0 0
0 0 0
575 0 0
0 0 0
0 0 0
0 0 0
100 0 0
0 0 0
2190 0 0
17 0 0
0 0 0
0 0 0
17 0 0
0 0 0
610 372 0
240 0 0
0 0 0
345 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
42 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
48 0 0
0 0 0
0 0 0
140 0 0
130 0 0
0 0 0
0 0 0
0 0 0
0 710 0
0 0 0
58 0 0
6 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
40 0 0
0 0 0
0 14 0
0 0 0
0 0 0
0 0 252
0 0 0
0 0 0
0 0 0
70 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
9 0 0
40 0 0
0 0 0
0 0 0
0 0 0
0 0 0
79 0 0
31 0 0
2 0 0
11 0 0
0 0 0
2 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 2160 0
0 0 0
10 0 0
0 0 0
0 0 0
0 0 0
0 0 0
400 0 0
19 0 0
300 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
720 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
2335 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
45 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
30 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
40 0 0
0 80 0
0 0 0
0 0 0
300 0 0
0 0 0
565 0 0
0 0 0
0 0 0
9 0 0
0 0 0
0 0 0
0 0 0
308 0 0
80 0 0
0 0 0
0 0 0
15 0 0
0 0 0
6 0 0
0 10 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
2 0 0
50 0 0
0 0 0
0 0 0
96 10 0
0 0 0
0 0 0
0 0 0
2920 0 0
0 0 0
15 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 252
360 0 420
0 235 0
0 90 0
0 0 0
1250 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
92 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
40 0 0
20 0 0
0 0 0
41 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
650 0 0
0 210 0
0 0 0
0 0 0
0 0 0
1120 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
55 0 0
30 0 0
0 0 0
0 0 3
0 0 0
0 0 0
1550 0 0
0 0 0
0 0 0
0 0 0
0 0 0
70 0 0
7 0 0
0 0 0
230 0 0
0 0 35
0 0 0
0 0 0
20 0 0
7 0 0
14 0 0
0 0 0
0 0 0
0 0 0
0 0 60
0 0 0
0 20 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 30
0 0 22
0 0 0
0 0 14
0 0 11
0 0 13
0 0 0
0 0 0
0 0 0
0 0 0
10 0 0
20 0 0
0 0 0
0 0 0
0 0 0
0 10 0
0 0 0
0 0 0
0 0 0
0 0 0
0 90 0
0 0 0
0 0 0
0 0 0
0 0 252
0 0 0
0 0 252
0 0 0
0 0 0
19 0 0
20 0 0
0 0 0
0 0 0
0 0 0
100 0 0
0 0 0
0 0 0
100 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
0 0 0
0 0 0
14 0 0
400 0 0
500 0 0
500 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
0 0 0
0 0 0
450 600 0
0 0 0
0 0 0
0 0 0
0 0 0
1 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
2 2 0
0 0 0
0 0 0
0 0 0
0 0 0
0 1 0
0 2 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 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
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 3 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 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
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

24,449 4,622 1,616 30,687


pemakaian sisa cek
14,895 522,502
15,792 15,779 30,687
538,281

33,997 503,399 503,399


15792 34,882 34,882
538,281 -

503,399
-
PUSKESMAS PAAL X KOTA JAMBI
KODE. 5070101
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )

Bulan : Novemb
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAIA PEMBERIAN KET.
N PERMINT
NO. NAMA BARANG SATUAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/BL AAN PKD PROG JUMLAH
N

OBAT
1 Acyclovir cream 5 % tube 320 0 0 320 0 0 0 0 320 0 0 320 7 0 0 7 313 0 0 313 6 0
2 Acyclovir tablet 200 mg Tab 1300 0 0 1300 0 0 0 0 1300 0 0 1300 0 0 0 0 1300 0 0 1300 45 0
3 Acyclovir tablet 400 mg Tab 1365 0 0 1365 0 0 0 0 1365 0 0 1365 375 0 0 375 990 0 0 990 103 0
4 Air Raksa Dental Use Btl 1 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0
5 Albendazole 400 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100 482 0
6 Allopurinol 100 mg Tab 2090 0 0 2090 0 0 0 0 2090 0 0 2090 210 0 0 210 1880 0 0 1880 719 500
7 Allopurinol 300 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 249 1000
8 Ambroxol syrup Btl 107 96 0 203 0 0 0 0 107 96 0 203 6 0 0 6 101 96 0 197 50 100
9 Ambroxol tab 30 mg Tab 4310 0 0 4310 0 0 0 0 4310 0 0 4310 220 0 0 220 4090 0 0 4090 1003 0
10 Aminofilin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Aminofilin tablet Tab 1500 0 0 1500 0 0 0 0 1500 0 0 1500 500 0 0 500 1000 0 0 1000 45 0
12 Amitriptilin tablet 25 mg Tab 1961 0 0 1961 0 0 0 0 1961 0 0 1961 0 0 0 0 1961 0 0 1961 16 0
13 Amlodipin 5 mg Tab 2390 3000 0 5390 0 0 0 0 2390 3000 0 5390 490 0 0 490 1900 3000 0 4900 482 0
14 Amoksisilin kap 250 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 928 0
15 Amoksisilin kap 500 mg Kap 34525 0 0 34525 0 0 0 0 34525 0 0 34525 965 0 0 965 33560 0 0 33560 1585 0
16 Amoksisilin sirup kering 125 mg/5 ml Btl 195 0 0 195 0 0 0 0 195 0 0 195 72 0 0 72 123 0 0 123 35 150
17 Amoksisilin Sirup Forte 250 mg/5 ml Btl 120 0 0 120 0 0 0 0 120 0 0 120 0 0 0 0 120 0 0 120 44 0
18 Amlodipin 10 mg Tab 3085 0 0 3085 0 0 0 0 3085 0 0 3085 69 0 0 69 3016 0 0 3016 235 0
19 Amoksisilin injeksi Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Ampisilin Kaplet 500 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Ampisilin sirup kering 125 mg/5 ml Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Antalgin tablet 500 mg Tab 3570 0 0 3570 0 0 0 0 3570 0 0 3570 102 0 0 102 3468 0 0 3468 126 0
23 Antalgin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Antasida doen tablet Tab 25350 10000 0 35350 0 0 0 0 25350 10000 0 35350 1450 0 0 1450 23900 10000 0 33900 3532 0
25 Antasida sirup Btl 374 0 0 374 0 0 0 0 374 0 0 374 73 0 0 73 301 0 0 301 49 50
26 Anti Bakteri salep / Bacitracin salep Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 50
27 Anti Fungi kombinasi Pot 199 0 0 199 0 0 0 0 199 0 0 199 25 0 0 25 174 0 0 174 8 0
28 Anti Hemoroid supp 188 0 0 188 0 0 0 0 188 0 0 188 41 0 0 41 147 0 0 147 42 30
29 Anti Migrain tablet Tab 1400 0 0 1400 0 0 0 0 1400 0 0 1400 0 0 0 0 1400 0 0 1400 9 0
30 Asam Askorbat (VIT C) 50 mg Tab 35000 5128 0 40128 0 0 0 0 35000 5128 0 40128 0 1848 0 1848 35000 3280 0 38280 1593 0
31 Asam Folat Tab 5340 0 0 5340 0 0 0 0 5340 0 0 5340 2012 0 0 2012 3328 0 0 3328 379 0
32 Asering Infus Kolf 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
33 Asam Mefenamat 500 mg Tab 8480 0 0 8480 0 0 0 0 8480 0 0 8480 1750 0 0 1750 6730 0 0 6730 1155 0
34 Asam Tranexamat injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAIA PEMBERIAN KET.
N PERMINT
NO. NAMA BARANG SATUAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/BL AAN PKD PROG JUMLAH
N

35 Asam Asetilsalisilat(Asetosal) 80 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100 0 0


36 Asetosal tablet 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
37 Azitromycin 500 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100 9 0
38 Bisoprolol tablet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
39 Benzatin benzil penicilin inj 2,4 jt iu Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
40 Betadin salep Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
41 Betametason kream 0,1 % Tube 275 0 0 275 0 0 0 0 275 0 0 275 9 0 0 9 266 0 0 266 39 0
42 Bisacodyl 10 mg Supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
43 Bethahistin maselat Tablet 2021 0 0 2021 0 0 0 0 2021 0 0 2021 11 0 0 11 2010 0 0 2010 235 500
44 Captopril 12,5 mg Tab 590 0 0 590 0 0 0 0 590 0 0 590 0 0 0 0 590 0 0 590 119 0
45 Captopril 25 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100 0 0
46 Captopril 50 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0
47 Caviton Btl 2 0 0 2 0 0 0 0 2 0 0 2 0 0 0 0 2 0 0 2 0 0
48 Cefadroxil 500 mg kap 510 0 0 510 0 0 0 0 510 0 0 510 20 0 0 20 490 0 0 490 200 500
49 Cefotaxime injeksi 1 g Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
50 Cefriaxon injeksi Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
51 Cetrizin tablet 10 mg Kap 2360 0 0 2360 0 0 0 0 2360 0 0 2360 260 0 0 260 2100 0 0 2100 119 0
52 Ciprofloxacin 500 mg Tab 2380 0 0 2380 0 0 0 0 2380 0 0 2380 280 0 0 280 2100 0 0 2100 282 0
53 Clindamicin 150 mg Kap 300 0 0 300 0 0 0 0 300 0 0 300 0 0 0 0 300 0 0 300 0 0
54 Clindamicin 300 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
55 Devitalisasi pasta Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
56 Dexamethason tablet Tab 0 2290 0 2290 0 0 0 0 0 2290 0 2290 0 560 0 560 0 1730 0 1730 2450 5000
57 Dexamethason injeksi Ampul 160 0 0 160 0 0 0 0 160 0 0 160 0 0 0 0 160 0 0 160 8 0
58 Diazepam tablet 2 mg Tab 987 800 0 1787 0 0 0 0 987 800 0 1787 46 0 0 46 941 800 0 1741 193 0
59 Diazepam tablet 5 mg Tab 1088 0 100 1188 0 0 0 0 1088 0 100 1188 0 0 0 0 1088 0 100 1188 1 0
60 Diazepam injeksi Ampul 30 0 0 30 0 0 0 0 30 0 0 30 0 0 0 0 30 0 0 30 3 0
61 Difenhidramin injeksi Ampul 120 0 0 120 0 0 0 0 120 0 0 120 0 0 0 0 120 0 0 120 0 0
62 Digoksin tablet Tab 100 0 0 100 0 0 0 0 100 0 0 100 100 0 0 100 0 0 0 0 9 100
63 Doxicillin Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
64 Dulcolax tablet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
65 Dulculax supp 10 mg ( Dewasa ) Supp 26 0 0 26 0 0 0 0 26 0 0 26 0 0 0 0 26 0 0 26 5 0
66 Dulculax supp 5 mg ( Anak ) Supp 36 0 0 36 0 0 0 0 36 0 0 36 0 0 0 0 36 0 0 36 1 0
67 Efedrin Hcl 25 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
68 Ekstrak belladona tablet 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
69 Ephinefrin hcl injeksi Ampul 120 0 0 120 0 0 0 0 120 0 0 120 0 0 0 0 120 0 0 120 0 0
70 Erytromycin kapsul 250 mg Kap 3200 0 0 3200 0 0 0 0 3200 0 0 3200 500 0 0 500 2700 0 0 2700 118 0
71 Erytromycin kapsul 500 mg Kap 4000 0 0 4000 0 0 0 0 4000 0 0 4000 500 0 0 500 3500 0 0 3500 70 0
72 Erytromycin syrup Btl 0 60 0 60 0 0 0 0 0 60 0 60 0 0 0 0 0 60 0 60 4 60
73 Etakridin / Rivanol Btl 18 0 0 18 0 0 0 0 18 0 0 18 2 0 0 2 16 0 0 16 3 0
74 Ethambutol hcl tab 250 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
75 Ethambutol hcl tab 500 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAIA PEMBERIAN KET.
N PERMINT
NO. NAMA BARANG SATUAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/BL AAN PKD PROG JUMLAH
N

76 Etil klorida semprot Btl 14 0 0 14 0 0 0 0 14 0 0 14 1 0 0 1 13 0 0 13 1 2


77 Eugenol cairan Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
78 Fenitoin natrium 30 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
79 Fenitoin natrium 100 mg Kap 30 0 0 30 300 0 0 300 330 0 0 330 60 0 0 60 270 0 0 270 48 200
80 Fenobarbital injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
81 Fenobarbital tab 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0
82 Fenobarbital tablet 30 mg Tab 697 0 0 697 0 0 0 0 697 0 0 697 0 0 0 0 697 0 0 697 0 0
83 Fenoksimetil fenisilin tab 250 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
84 Fenoksimetil fenisilin tab 500 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
85 Fenol Gliserol tetes telinga Btl 83 0 0 83 0 0 0 0 83 0 0 83 4 0 0 4 79 0 0 79 7 0
86 Fitomenadion (Vit K) tab 10 mg Tab 1820 0 0 1820 0 0 0 0 1820 0 0 1820 115 0 0 115 1705 0 0 1705 118 0
87 Fitomenadion (Vit K) injeksi Ampul 60 0 0 60 0 0 0 0 60 0 0 60 0 0 0 0 60 0 0 60 0 0
88 Fluconazol 150 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0
89 Furosemide tablet 40 mg Tab 0 595 0 595 0 0 0 0 0 595 0 595 0 0 0 0 0 595 0 595 30 0
90 Fluor gel Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
91 Garam oralit untuk 200 ml air Set 4796 0 0 4796 0 0 0 0 4796 0 0 4796 163 0 0 163 4633 0 0 4633 115 0
92 Gentamycin salep kulit 0,1 % Tube 79 0 0 79 0 0 0 0 79 0 0 79 25 0 0 25 54 0 0 54 18 50
93 Gentamycin salep mata Tube 94 0 0 94 0 0 0 0 94 0 0 94 0 0 0 0 94 0 0 94 2 0
94 Gentamycin tetes mata Btl 50 0 0 50 0 0 0 0 50 0 0 50 26 0 0 26 24 0 0 24 14 48
95 Gentamycin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
96 Gentian violet Btl 50 24 0 74 0 0 0 0 50 24 0 74 2 0 0 2 48 24 0 72 8 0
97 Glass Ionomer (ART FUJI IX) Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
98 Glibenklamida tablet 5 mg Tab 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100 0 0
99 Glimepiride 1 mg Tab 2320 0 0 2320 0 0 0 0 2320 0 0 2320 20 0 0 20 2300 0 0 2300 131 0
100 Glimepiride 2 mg Tab 1225 500 0 1725 0 0 0 0 1225 500 0 1725 0 0 0 0 1225 500 0 1725 75 0
101 Gliseril guaiakolat tablet 100 mg Tab 0 40340 0 40340 0 0 0 0 0 40340 0 40340 0 1640 0 1640 0 38700 0 38700 1594 0
102 Glukosa larutan infus 5 % steril Btl 20 0 0 20 0 0 0 0 20 0 0 20 0 0 0 0 20 0 0 20 3 0
103 Griseofulvin tablet 125 mg Tab 1580 0 0 1580 0 0 0 0 1580 0 0 1580 10 0 0 10 1570 0 0 1570 239 0
104 Griseofulvin tablet 500 mg Tab 500 0 0 500 0 0 0 0 500 0 0 500 50 0 0 50 450 0 0 450 5 0
105 Halloperidol tab 0,5 mg Tab 320 0 0 320 0 0 0 0 320 0 0 320 0 0 0 0 320 0 0 320 7 0
106 Halloperidol tab 1,5 mg Tab 600 0 0 600 0 0 0 0 600 0 0 600 0 0 0 0 600 0 0 600 0 0
107 Halloperidol tab 5 mg Tab 400 0 0 400 0 0 0 0 400 0 0 400 0 0 0 0 400 0 0 400 64 0
108 Hidroklortiazide (HCT) tablet 25 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 145 0
109 Hidrocortison krim 2,5 % Tube 144 0 0 144 0 0 0 0 144 0 0 144 48 0 0 48 96 0 0 96 33 0
110 Ibuprofen tablet 200 mg Tab 600 0 0 600 0 0 0 0 600 0 0 600 0 0 0 0 600 0 0 600 432 3000
111 Ibuprofen tablet 400 mg Tab 1480 0 0 1480 0 0 0 0 1480 0 0 1480 380 0 0 380 1100 0 0 1100 36 1500
112 Ibuprofen syrup Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
113 Insulin Human Rapid injeksi 100 IU vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
114 Isoniazida ( INH ) tab 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0
115 Isoniazida ( INH ) tab 300 mg Tab 400 0 0 400 0 0 0 0 400 0 0 400 0 0 0 0 400 0 0 400 18 0
116 Isosorbit dinitrat sublingual 5 mg Tab 115 0 0 115 0 0 0 0 115 0 0 115 0 0 0 0 115 0 0 115 11 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAIA PEMBERIAN KET.
N PERMINT
NO. NAMA BARANG SATUAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/BL AAN PKD PROG JUMLAH
N

117 Komb. Primetamin 25mg+suldox 500mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


118 Klorfenol kamfermenthol ( CHKM ) Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
119 Kalsium Laktat tablet Tab 24310 10500 0 34810 0 0 0 0 24310 10500 0 34810 2740 0 0 2740 21570 10500 0 32070 1383 0
120 Kandesartan cilexetil 8 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
121 Karbamazepin tablet 200 mg Tab 500 0 0 500 0 0 0 0 500 0 0 500 0 0 0 0 500 0 0 500 0 0
122 Ketorolac injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
123 Kloramfenikol salep kulit Tube 41 0 0 41 0 0 0 0 41 0 0 41 0 0 0 0 41 0 0 41 9 0
124 Kloramfenikol salep mata 1 % Tube 123 0 0 123 0 0 0 0 123 0 0 123 2 0 0 2 121 0 0 121 5 0
125 Kloramfenicol tetes telinga 3 % Btl 65 0 0 65 0 0 0 0 65 0 0 65 0 0 0 0 65 0 0 65 4 0
126 Kloramfenicol 250 mg kapsul Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96 2500
127 Klorfeniramin maleat 4 mg (CTM ) Tab 20655 0 0 20655 0 0 0 0 20655 0 0 20655 1395 0 0 1395 19260 0 0 19260 2608 0
128 Kloramfenicol tetes mata ( Reco ) Btl 0 48 0 48 0 0 0 0 0 48 0 48 0 0 0 0 0 48 0 48 2 0
129 Kalsium Hidroksida Pasta ( Calcidor ) Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
130 Klorpromazin hcl injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
131 Klorpromazine tab salut 25 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
132 Klorpromazine tab salut 100 mg Tab 390 0 0 390 0 0 0 0 390 0 0 390 0 0 0 0 390 0 0 390 1 200
133 Kodein tablet 10 mg Tab 530 0 0 530 0 0 0 0 530 0 0 530 30 0 0 30 500 0 0 500 59 200
134 Kotrimoksazol suspensi Btl 480 0 0 480 0 0 0 0 480 0 0 480 0 0 0 0 480 0 0 480 31 0
135 Kotrimoksazol pediatrik Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
136 Kotrimoksazol tablet 480 mg Tab 2700 0 0 2700 0 0 0 0 2700 0 0 2700 500 0 0 500 2200 0 0 2200 73 0
137 Klorokuin Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
138 Kuinin sulfat tab 222 mg (7H2O) Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
139 Lidocain kompositum inj (Pehacain) Ampul 360 0 0 360 0 0 0 0 360 0 0 360 60 0 0 60 300 0 0 300 41 0
140 Lidocain injeksi Ampul 400 0 0 400 0 0 0 0 400 0 0 400 100 0 0 100 300 0 0 300 36 0
141 Lisinopril 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
142 Loperamide tab 2 mg / Novadium Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
143 Loratadin 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
144 Magnesium sulfat injeksi 20% vial 5 0 0 5 0 0 0 0 5 0 0 5 5 0 0 5 0 0 0 0 0 5
145 Magnesium sulfat injeksi 40% vial 5 0 0 5 0 0 0 0 5 0 0 5 5 0 0 5 0 0 0 0 0 5
146 Mecobalamin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
147 Meloxicam 7,5 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
148 Metformin hcl tablet 500 mg Tab 3460 0 0 3460 0 0 0 0 3460 0 0 3460 120 0 0 120 3340 0 0 3340 196 0
149 Methyl prednisolon tablet 4 mg Tab 5000 2060 0 7060 0 0 0 0 5000 2060 0 7060 0 159 0 159 5000 1901 0 6901 426 0
150 Metilergometrin tablet salut Tab 200 0 0 200 0 0 0 0 200 0 0 200 0 0 0 0 200 0 0 200 0 0
151 Metilergometrin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0
152 Metoklorpropamide hcl 10 mg Tab 2200 0 0 2200 0 0 0 0 2200 0 0 2200 0 0 0 0 2200 0 0 2200 73 0
153 Metronidazole tablet 250 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
154 Metronidazole tablet 500 mg Tab 1735 0 0 1735 0 0 0 0 1735 0 0 1735 65 0 0 65 1670 0 0 1670 189 0
155 Metronidazole syrup Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
156 Metronidazole infus Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
157 Miconazol cream tube 203 0 0 203 0 0 0 0 203 0 0 203 10 0 0 10 193 0 0 193 17 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAIA PEMBERIAN KET.
N PERMINT
NO. NAMA BARANG SATUAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/BL AAN PKD PROG JUMLAH
N

158 Microlax rectal tube tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5


159 Mummifying pasta Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
160 Natrium bikarbonat tablet Tab 1100 0 0 1100 0 0 0 0 1100 0 0 1100 0 0 0 0 1100 0 0 1100 18 0
161 Natrium Diklofenak 25 mg Tab 4362 0 0 4362 0 0 0 0 4362 0 0 4362 802 0 0 802 3560 0 0 3560 478 0
162 Natrium Diklofenak 50 mg Tab 1200 1100 0 2300 0 0 0 0 1200 1100 0 2300 20 0 0 20 1180 1100 0 2280 296 0
163 Natrium klorida larutan infus Btl 87 0 0 87 0 0 0 0 87 0 0 87 7 0 0 7 80 0 0 80 5 0
164 Neurobion 5000 injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
165 Nifedipin tablet Tab 235 0 0 235 0 0 0 0 235 0 0 235 18 0 0 18 217 0 0 217 4 0
166 Nistatin tablet salut 500.000 iu/g Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
167 Nistatin tablet vaginal 100.000 iu/g Tab 264 0 0 264 0 0 0 0 264 0 0 264 14 0 0 14 250 0 0 250 50 200
168 O B H Btl 265 45 0 310 0 0 0 0 265 45 0 310 0 7 0 7 265 38 0 303 46 0
169 Obat Anti TBC Kategori 1 paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
170 Obat Anti TBC Kategori 1 -Stop TB KIT paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0
171 Obat Anti TBC Kategori II paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
172 Obat Anti TBC Kategori Anak paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
173 Kombipak Kategori I paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
174 Ofloxacin 200 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
175 Oksitetrasiklin hcl salep mata 1 % tube 48 0 0 48 0 0 0 0 48 0 0 48 1 0 0 1 47 0 0 47 5 0
176 Oksitetrasiklin hcl salep kulit 3 % Tube 100 0 0 100 0 0 0 0 100 0 0 100 25 0 0 25 75 0 0 75 25 50
177 Oksitetrasiklin hcl injeksi vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
178 Oksitosin injeksi / Pitogin Ampul 80 0 0 80 0 0 0 0 80 0 0 80 0 0 0 0 80 0 0 80 9 0
179 Omeprazole capsul 20 mg Kap 0 1790 0 1790 0 0 0 0 0 1790 0 1790 0 605 0 605 0 1185 0 1185 408 1200
180 Ondansentron injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
181 Papaverin tablet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
182 Paracetamol tablet 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
183 Paracetamol tablet 500 mg Tab 31760 20200 0 51960 0 0 0 0 31760 20200 0 51960 2060 0 0 2060 29700 20200 0 49900 5377 0
184 Paracetamol Drop Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
185 Parasetamol sirup Btl 499 260 0 759 0 0 0 0 499 260 0 759 24 0 0 24 475 260 0 735 59 0
186 Perfenazine tablet 4 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
187 Piracetam 3 g injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
188 Pirantel pamoat tablet 125 mg Tab 200 0 0 200 0 0 0 0 200 0 0 200 0 0 0 0 200 0 0 200 9 0
189 Pirantel pamoat sirup Btl 50 0 0 50 0 0 0 0 50 0 0 50 0 0 0 0 50 0 0 50 0 0
190 Pyrazinamide tablet 500 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 115 0
191 Piridoxin hcl tablet 10 mg Tab 19490 0 0 19490 0 0 0 0 19490 0 0 19490 250 0 0 250 19240 0 0 19240 691 0
192 Piroxicam 10 mg Tab 0 1655 0 1655 0 0 0 0 0 1655 0 1655 0 175 0 175 0 1480 0 1480 138 500
193 Piroxicam 20 mg Tab 0 1080 0 1080 0 0 0 0 0 1080 0 1080 0 60 0 60 0 1020 0 1020 136 500
194 Polikresulen / Albothil Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
195 Prednison tablet Tab 17530 0 0 17530 0 0 0 0 17530 0 0 17530 1300 0 0 1300 16230 0 0 16230 759 0
196 Primakuin tablet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
197 Prokain benzil penisilin inj vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
198 Pronalges suppositoria Supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAIA PEMBERIAN KET.
N PERMINT
NO. NAMA BARANG SATUAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/BL AAN PKD PROG JUMLAH
N

199 Propanolol tab 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0


200 Propanolol tab 40 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
201 Propiltiourasil tablet 100 mg Tab 200 570 0 770 0 0 0 0 200 570 0 770 0 0 0 0 200 570 0 770 3 0
202 Proris suppositoria Supp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5
203 Perak sulfadiazine cream 3 % tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0
204 Ranitidin tablet 150 mg Tab 3654 0 0 3654 0 0 0 0 3654 0 0 3654 459 0 0 459 3195 0 0 3195 437 0
205 Ranitidin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
206 Reserpin tablet 0,1 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
207 Reserpin tablet 0,25 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
208 Retinol kapsul 100.000 IU Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0
209 Retinol kapsul 200.000 IU Kapsul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 232 0
210 Rifampisin kapsul 300 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
211 Rifampisin kapsul 450 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
212 Rifampisin kapsul 600 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
213 Ringer laktat infus steril Btl 60 0 0 60 0 0 0 0 60 0 0 60 0 0 0 0 60 0 0 60 4 0
214 Salbutamol tablet 2 mg Tab 1500 0 0 1500 0 0 0 0 1500 0 0 1500 240 0 0 240 1260 0 0 1260 122 0
215 Salbuatmol tablet 4 mg Tab 620 0 0 620 0 0 0 0 620 0 0 620 10 0 0 10 610 0 0 610 89 0
216 salep 2-4 Pot 48 0 0 48 0 0 0 0 48 0 0 48 0 0 0 0 48 0 0 48 3 24
217 Salisil bedak 2 % Pot 196 0 0 196 0 0 0 0 196 0 0 196 23 0 0 23 173 0 0 173 22 0
218 Semen seng fosfat serbuk & cairan Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
219 Serum Anti Bisa Ular injeksi Vial 1 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0 1 0 0 1 0 0
220 Serum Anti tetanus injeksi 1500 IU Ampul 30 0 0 30 0 0 0 0 30 0 0 30 0 0 0 0 30 0 0 30 9 30
221 Tatagam vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
222 Sianokobalamin inj 500 mcg/ml Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
223 Silver Amalgam serbuk Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
224 Simvastatin 10 mg Tab 3730 0 0 3730 0 0 0 0 3730 0 0 3730 1940 0 0 1940 1790 0 0 1790 783 2100
225 Simvastatin 20 mg supp 0 1940 0 1940 0 0 0 0 0 1940 0 1940 0 0 0 0 0 1940 0 1940 96 0
226 Stesolid rectal supp 5 mg Supp 10 0 0 10 0 0 0 0 10 0 0 10 0 0 0 0 10 0 0 10 0 0
227 Stesolid rectal supp 10 mg Btl 8 0 0 8 0 0 0 0 8 0 0 8 0 0 0 0 8 0 0 8 1 0
228 Sulfasetamid tetes mata 15 % Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
229 Tablet tambah darah (SF) Tab 20700 0 0 20700 0 0 0 0 20700 0 0 20700 1720 0 0 1720 18980 0 0 18980 4238 3000
230 Temporary / Fletcher Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
231 Tetrasiklin kapsul 250 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
232 Tetrasiklin kapsul 500 mg Tab 1000 0 0 1000 0 0 0 0 1000 0 0 1000 0 0 0 0 1000 0 0 1000 27 0
233 Thrombo Aspilet Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
234 Thiamin injeksi Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
235 Thiamin tablet 50 mg Tab 16600 0 0 16600 0 0 0 0 16600 0 0 16600 380 0 0 380 16220 0 0 16220 522 0
236 Triheksipenidil hcl tablet 2 mg Tab 469 0 0 469 0 0 0 0 469 0 0 469 0 0 0 0 469 0 0 469 31 0
237 Trikresol formalin cairan ( TKF ) Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
238 Vaksin rabies vero Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0
239 Valsartan 80 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAIA PEMBERIAN KET.
N PERMINT
NO. NAMA BARANG SATUAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/BL AAN PKD PROG JUMLAH
N

240 Ventolin nebulizer Nebules 80 0 0 80 0 0 0 0 80 0 0 80 0 0 0 0 80 0 0 80 5 20


241 Vitamin B komplek tablet Tab 19020 0 200 19220 0 0 0 0 19020 0 200 19220 2700 0 0 2700 16320 0 200 16520 2362 0
242 Yodium povidon lart 10 % - 30 ml Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12
243 Yodium povidon lart 10 % - 300 ml Btl 7 0 0 7 0 0 0 0 7 0 0 7 3 0 0 3 4 0 0 4 4 6
244 Xylocain jelly Tube 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
245 Lidocain Pasta Pot 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
246 Zinc tablet 20 mg Tab 1905 0 0 1905 0 0 0 0 1905 0 0 1905 0 0 0 0 1905 0 0 1905 123 0
247 Zinc sirup Btl 82 0 0 82 0 0 0 0 82 0 0 82 3 0 0 3 79 0 0 79 7 0
248 Betamin drage ( Vit. B1 ) Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
249 Domperidon Btl 2080 0 0 2080 0 0 0 0 2080 0 0 2080 190 0 0 190 1890 0 0 1890 244 0
250 Clozapin 25 mg Tab 0 0 60 60 0 0 0 0 0 0 60 60 0 0 0 0 0 0 60 60 8 100
251 Clobazam 10 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
252 Trifluoperazin HCl 5 mg ( Stelosi ) Tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
253 Vitamin B 12 Tab 2020 0 0 2020 0 0 0 0 2020 0 0 2020 20 0 0 20 2000 0 0 2000 73 0
254 Ketokonazol Crem Tube 30 0 0 30 0 0 0 0 30 0 0 30 7 0 0 7 23 0 0 23 8 48
255 Ketokonazole Tablet Tab 600 0 0 600 0 0 0 0 600 0 0 600 0 0 0 0 600 0 0 600 104 500
256 Flufenazin Decanoat Inj 25 mg Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0
257 Haloperidol Inj 5 mg ( Ladomer ) Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
258 Haloperidol Decanoat Inj 50 mg Ampul 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0
259 Resperidon tab 2 mg Tab 0 0 780 780 0 0 0 0 0 0 780 780 0 0 0 0 0 0 780 780 20 0
260 Curviplex Sirup Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0
261 Andalan Inj 3 Bulan Vial 0 80 0 80 0 0 0 0 0 80 0 80 0 0 0 0 0 80 0 80 2 0
262 Andalan Inj 1 Bulan Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0
263 Cyclopen Inj. 1 Bulan Vial 0 140 0 140 0 0 0 0 0 140 0 140 0 20 0 20 0 120 0 120 8 0
264 Ichtyol Salaf Kulit Pot 0 8 0 8 0 0 0 0 0 8 0 8 0 0 0 0 0 8 0 8 1 0
265 Levertran Salep Kulit Pot 0 42 0 42 0 0 0 0 0 42 0 42 0 0 0 0 0 42 0 42 0 0
266 HEPATITIS B Paket 0 0 25 25 0 0 0 0 0 0 25 25 0 0 0 0 0 0 25 25 14 0
267 BCG Ampul 0 0 5 5 0 0 0 0 0 0 5 5 0 0 0 0 0 0 5 5 7 0
268 POLIO Vial 0 0 32 32 0 0 0 0 0 0 32 32 0 0 0 0 0 0 32 32 11 0
269 PENTABIO/DPTHBHib Vial 0 0 31 31 0 0 0 0 0 0 31 31 0 0 0 0 0 0 31 31 21 0
270 CAMPAK Vial 0 0 11 11 0 0 0 0 0 0 11 11 0 0 0 0 0 0 11 11 6 0
271 Td / TT Vial 0 0 2 2 0 0 0 0 0 0 2 2 0 0 0 0 0 0 2 2 5 0
272 IPV Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0
273 Vaksin MR Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0
274 Pelarut MR Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0
275 Pentocain 0,5 % TT Mata Btl 0 12 0 12 0 0 0 0 0 12 0 12 0 0 0 0 0 12 0 12 1 0
276 Domperidon syrup btl 50 0 0 50 0 0 0 0 50 0 0 50 0 0 0 0 50 0 0 50 6 0
277 Kloramfenikol syrup btl 50 0 0 50 0 0 0 0 50 0 0 50 50 0 0 50 0 0 0 0 10 0
278 cetirizin syrup btl 150 0 0 150 0 0 0 0 150 0 0 150 2 0 0 2 148 0 0 148 3 0
279 Pritamox sirup 125 mg btl 0 180 0 180 0 0 0 0 0 180 0 180 0 0 0 0 0 180 0 180 5 0
280 Albendazole syrup btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAIA PEMBERIAN KET.
N PERMINT
NO. NAMA BARANG SATUAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/BL AAN PKD PROG JUMLAH
N

281 Moxalaskap/cotri480mg tab 0 2370 0 2370 0 0 0 0 0 2370 0 2370 0 0 0 0 0 2370 0 2370 54 0


282 Moxalas syr/cotry syr btl 0 100 0 100 0 0 0 0 0 100 0 100 0 0 0 0 0 100 0 100 0 0
283 Lorihis tab/loratadin tab tab 0 850 0 850 0 0 0 0 0 850 0 850 0 0 0 0 0 850 0 850 5 0
284 Flagsol syr/metro syr btl 0 46 0 46 0 0 0 0 0 46 0 46 0 0 0 0 0 46 0 46 0 0
285 Selfolic 1000mg/Asam folat tab 0 2000 0 2000 0 0 0 0 0 2000 0 2000 0 0 0 0 0 2000 0 2000 289 0
286 Trifadium2mg/Loperamid tab tab 0 330 0 330 0 0 0 0 0 330 0 330 0 72 0 72 0 258 0 258 195 0
287 Omeprazole Injeksi Ampul 15 0 0 15 0 0 0 0 15 0 0 15 0 0 0 0 15 0 0 15 0 0
288 Gluconas Kalsikus injeksi amp 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
289 Tricloflem Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0
290 Cycloserin 250mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 0
291 Ethionmid 250mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 78 0
292 Levofloxacin 750mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 110 0
293 Bedaquilin 100mg tab 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24 0
294 Hbig Bayi vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
295 Amoxcillin drop btl 30 0 0 30 0 0 0 0 30 0 0 30 0 0 0 0 30 0 0 30 2 0
296 scabimid salep tube 132 0 0 132 0 0 0 0 132 0 0 132 12 0 0 12 120 0 0 120 5 0
297 Selcom C Tab 0 0 300 300 0 0 0 0 0 0 300 300 0 0 300 300 0 0 0 0 91 500
298 Cyanocobalamin Inj Ampul 100 0 0 100 0 0 0 0 100 0 0 100 0 0 0 0 100 0 0 100 55 0
299 Kloramfenicol 500 mg Kap 1410 0 0 1410 0 0 0 0 1410 0 0 1410 200 0 0 200 1210 0 0 1210 45 1000
300 Attapulgit tab 200 0 0 200 0 0 0 0 200 0 0 200 0 0 0 0 200 0 0 200 18 0

BMHP
301 Alat suntik 1 ml Pcs 900 0 0 900 0 0 0 0 900 0 0 900 300 0 0 300 600 0 0 600 164 0
302 Alat suntik 2,5 ml Pcs 200 0 0 200 0 0 0 0 200 0 0 200 0 0 0 0 200 0 0 200 50 0
303 Alat suntik 3 ml Pcs 2500 400 30 2930 0 0 0 0 2500 400 30 2930 200 0 30 230 2300 400 0 2700 112 0
304 Alat suntik 5 ml Pcs 500 500 300 1300 0 0 0 0 500 500 300 1300 100 0 300 400 400 500 0 900 38 0
305 Alkohol 70 % ( 1 L ) Btl 42 0 0 42 0 0 0 0 42 0 0 42 2 0 0 2 40 0 0 40 2 0
306 Alkohol 70 % ( 60 Ml ) Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
307 Aqua destilata steril 500 ml Btl 12 0 0 12 0 0 0 0 12 0 0 12 0 0 0 0 12 0 0 12 1 0
308 Aqua pro injeksi Vial 74 15 0 89 0 0 0 0 74 15 0 89 0 0 0 0 74 15 0 89 12 0
309 Bisturi no 10 Pcs 10 0 0 10 0 0 0 0 10 0 0 10 0 0 0 0 10 0 0 10 91 0
310 Bisturi no 11 Pcs 10 0 0 10 0 0 0 0 10 0 0 10 0 0 0 0 10 0 0 10 18 0
311 Bisturi no 20 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
312 Bisturi no 22 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
313 Blood Lancet Pcs 2000 2800 0 4800 0 0 0 0 2000 2800 0 4800 200 2800 0 3000 1800 0 0 1800 276 0
314 Catgut/benang bedah Pcs 96 0 0 96 0 0 0 0 96 0 0 96 0 0 0 0 96 0 0 96 1 0
315 ETT no.6 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 245 0
316 ETT no.6,5 Set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 155 0
317 ETT no.7 Set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100 0
318 ETT no.7,5 Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0
319 Hand scrub Pcs 20 0 0 20 20 0 0 20 40 0 0 40 22 0 0 22 18 0 0 18 12 42
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAIA PEMBERIAN KET.
N PERMINT
NO. NAMA BARANG SATUAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/BL AAN PKD PROG JUMLAH
N

320 Handscoon uk.S Pcs 500 0 0 500 0 0 0 0 500 0 0 500 400 0 0 400 100 0 0 100 336 1500
321 Handscoon uk. M Pcs 300 200 0 500 0 1000 300 1300 300 1200 300 1800 300 200 300 800 0 1000 0 1000 500 1500
322 Handscoon uk. L Pcs 300 0 0 300 0 500 0 500 300 500 0 800 300 100 0 400 0 400 0 400 500 2100
323 Infusion set anak set 0 50 0 50 0 0 0 0 0 50 0 50 0 0 0 0 0 50 0 50 0 0
324 Infusion set dewasa set 0 45 0 45 0 0 0 0 0 45 0 45 0 0 0 0 0 45 0 45 0 0
325 Wing neadle no. 23G Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
326 IV Catheter (Abocath) NO.20 Pcs 10 0 0 10 0 0 0 0 10 0 0 10 0 0 0 0 10 0 0 10 1 0
327 IV Catheter (Abocath) NO.22 Pcs 10 0 0 10 0 0 0 0 10 0 0 10 0 0 0 0 10 0 0 10 1 0
328 IV Catheter (Abocath) NO.24 pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 0
329 Jarum Jahit (Nald Heating ) no. 10 pcs 39 0 0 39 0 0 0 0 39 0 0 39 9 0 0 9 30 0 0 30 4 0
330 Jarum Jahit (Nald Heating ) no. 11 pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0
331 Jarum Jahit (Nald Heating ) no. 12 pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 282 0
332 Jarum Jahit (Nald Heating ) no. 13 pcs 25 0 0 25 0 0 0 0 25 0 0 25 0 0 0 0 25 0 0 25 91 0
333 Jarum Jahit (Nald Heating ) no. 14 Pcs 25 0 0 25 0 0 0 0 25 0 0 25 0 0 0 0 25 0 0 25 6 0
334 Kapas pembalut/Absorben 250 gr Roll 35 0 0 35 0 0 0 0 35 0 0 35 0 0 0 0 35 0 0 35 159 0
335 Kasa kompres 40/40 steril Roll 158 0 0 158 0 0 0 0 158 0 0 158 13 0 0 13 145 0 0 145 271 0
336 Kasa pembalut hidrofil 4m x 15 cm Roll 400 0 0 400 0 0 0 0 400 0 0 400 0 0 0 0 400 0 0 400 274 0
337 Kasa pembalut hidrofil 4 m x 3 cm Roll 290 0 0 290 0 0 0 0 290 0 0 290 140 0 0 140 150 0 0 150 150 0
338 Kassa 36x80 cm Roll 18 0 0 18 0 0 0 0 18 0 0 18 1 0 0 1 17 0 0 17 1773 0
339 Kertas Saring Whatman Buku 0 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 1 414 0
340 Masker Pcs 0 2150 0 2150 0 0 0 0 0 2150 0 2150 0 800 0 800 0 1350 0 1350 650 1900
341 Objec Glass Box/72 4 0 17 21 0 0 0 0 4 0 17 21 0 0 0 0 4 0 17 21 0 0
342 Pipet Tetes Panjang Pcs 15 0 0 15 0 0 0 0 15 0 0 15 0 0 0 0 15 0 0 15 246 0
343 Plastik Obat Klip 10 x 7 Pcs 0 13300 0 13300 0 0 0 0 0 13300 0 13300 0 100 0 100 0 13200 0 13200 209 0
344 Plastik Obat Klip 13 x 8,7 0 10800 0 10800 0 0 0 0 0 10800 0 10800 0 0 0 0 0 10800 0 10800 0 0
345 Plester 5 yard x 2 inch Roll 18 0 4 22 0 0 0 0 18 0 4 22 0 0 0 0 18 0 4 22 5 6
346 Poly catheter no.8 Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
347 Poly catheter no.12 Pcs 3 0 0 3 0 0 0 0 3 0 0 3 0 0 0 0 3 0 0 3 9 0
348 Poly catheter no.16 Pcs/set 16 0 0 16 0 0 0 0 16 0 0 16 0 0 0 0 16 0 0 16 0 0
349 Silk ( benang bedah sutera) 03/0 Sak 49 0 36 85 0 0 0 0 49 0 36 85 1 0 36 37 48 0 0 48 3 0
350 Spons gelatin cublices bks 7 0 0 7 0 0 0 0 7 0 0 7 0 0 0 0 7 0 0 7 15 0
351 Stick Gluco DR Btl/50 0 7 0 7 0 0 0 0 0 7 0 7 0 2 0 2 0 5 0 5 2 6
352 Tabung Reaksi Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
353 Tes Kehamilan HCG Pcs 2 0 0 2 0 0 0 0 2 0 0 2 1 0 0 1 1 0 0 1 0 0
354 Transfution set/Transfusion blood ADM set 3 0 0 3 0 0 0 0 3 0 0 3 3 0 0 3 0 0 0 0 37 0
355 Urinalysis 10 parameter Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
356 Stick asam Urat Btl/25 0 12 0 12 0 0 0 0 0 12 0 12 0 2 0 2 0 10 0 10 1 5
357 Stick Colestrol Btl/10 0 17 0 17 6 0 0 6 6 17 0 23 0 4 0 4 6 13 0 19 2 5
358 Jelly 250ml Ultra soundgel btl 0 3 0 3 0 0 0 0 0 3 0 3 0 0 0 0 0 3 0 3 2 0
359 Pot sputum Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
360 Reagen TB Paket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAIA PEMBERIAN KET.
N PERMINT
NO. NAMA BARANG SATUAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/BL AAN PKD PROG JUMLAH
N

361 Sefty box 2,5 L Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 10


362 Reagen sifilis(SD,Bio StanQ) Test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0
363 Box Slide Ktk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0
364 Fokus test Ktk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
365 Alat suntik 0,5 ml Box 0 0 0 0 0 0 600 600 0 0 600 600 0 0 600 600 0 0 0 0 0 0
366 Sefty box 5 L Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10
367 Masker Nebulizer Anak Psc 5 0 0 5 0 0 0 0 5 0 0 5 0 0 0 0 5 0 0 5 0 0
368 Masker Nebulizer Dewasa Psc 15 0 0 15 0 0 0 0 15 0 0 15 0 0 0 0 15 0 0 15 0 0
369 Nasal Oksigen Kanula Anak Psc 10 0 0 10 0 0 0 0 10 0 0 10 0 0 0 0 10 0 0 10 0 0
370 Nasal Oksigen Kanula Dewasa Psc 15 0 0 15 0 0 0 0 15 0 0 15 0 0 0 0 15 0 0 15 0 0
371 Non Rebreating Mask Psc 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8 0
372 ID Dewasa Pink Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0
373 ID Dewasa Blue Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
374 ID Bayi Pink Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
375 ID Bayi Biru Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
376 Umbilical Keniko Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
377 Folley Catheter 16 Rusch Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0
378 Urine Bag Fresco Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0
379 Disp Sryringe 10 ml Onemed Box 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
380 Suction Catheter 8 Remedi Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
381 Suction Catheter 16 Remedi Psc 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
382 Plaster Hypafix Psc 14 0 0 14 0 0 0 0 14 0 0 14 14 0 0 14 0 0 0 0 2 12
383 Rapid Test HIV I Standar (Stik SD HIV ) Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
384 Kasa Steril 16 X 16 Kotak 0 164 0 164 0 0 0 0 0 164 0 164 0 5 0 5 0 159 0 159 0 0
385 Alat Nesco Tri in one Kotak 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
386 Alkohol Swab One swab Kotak 0 10 0 10 0 0 0 0 0 10 0 10 0 2 0 2 0 8 0 8 2 6
387 Bahan tambalan Komposid (solare) Tube 0 4 0 4 0 0 0 0 0 4 0 4 0 0 0 0 0 4 0 4 1 0
388 OCO Btl/15ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
389 Paper Pad Buku 0 6 0 6 0 0 0 0 0 6 0 6 0 6 0 6 0 0 0 0 0 0
390 Masker 1860 S/N95 pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
391 Rapid Test HIV II : Vikia (HIV ke 1) Test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
392 Rapid Test Hiv, 3 : Intec/China (HIV KE 2) Test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
393 RDT(Virotec+Diluent)DBD Test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
394 Rapid HBsAg(Virochek HbsAg) Test 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
395 Baju Hazmat APD Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
396 Baju APD Gaun Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
397 Rapidtest Igm/40 TEST/KiT Kit 0 0 0 0 0 2 0 2 0 2 0 2 0 2 0 2 0 0 0 0 1 0
398 Nurse Cup Box 4 0 0 4 0 0 0 0 4 0 0 4 1 0 0 1 3 0 0 3 0 0
399 Pembalut Siku Buah 5 0 0 5 0 0 0 0 5 0 0 5 0 0 0 0 5 0 0 5 0 0
400 Handscoon Steril Psg 0 0 0 0 250 0 0 250 250 0 0 250 50 0 0 50 200 0 0 200 100 500
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAIA PEMBERIAN KET.
N PERMINT
NO. NAMA BARANG SATUAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/BL AAN PKD PROG JUMLAH
N

REAGENSIA
401 Cell Clean ( CL-50) Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
402 Cell Pack ( PK-30L) Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
403 Control eight check 3 x 1,5 ml Btl/set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
404 Eightcheck-3WP (Normal) 1,5 ml Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
405 Eightcheck-3WP (Low) 1,5 ml Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
406 Eightcheck-3WP (High) 1,5 ml Vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
407 Stomalyzer WH(SWH-2004) btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
408 Tabung K2 EDTA 2 ml Btl 0 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 1 0 0
409 Printer Paper Pcs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
410 Deck Glass Btl 5 0 0 5 0 0 0 0 5 0 0 5 0 0 0 0 5 0 0 5 0 0
411 Tes Gol Darah (A,B,AB ) Set 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
412 Tisu lensa Buku 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
413 Kertas perkamen Lembar 19 0 0 19 0 0 0 0 19 0 0 19 0 0 0 0 19 0 0 19 0 0
414 Podofilin Tinctur 25 % Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
415 Larutan Fauchet Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
416 Larutan Lisol Btl 45 0 0 45 0 0 0 0 45 0 0 45 9 0 0 9 36 0 0 36 2 0
417 Larutan asam klorida 0,1 N Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
418 Larutan asam sulfosalisilat 20% Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
419 Larutan barium klorida Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
420 Larutan Benedict Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
421 Larutan Bupper PH 7,2 Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
422 Larutan EDTA Cair 10 % Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
423 Larutan Eosin 2 % Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
424 Larutan Etanol Asam Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
425 Larutan Giemsa Stalin Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
426 Larutan H2O2 Btl 7 0 0 7 0 0 0 0 7 0 0 7 0 0 0 0 7 0 0 7 2 3
427 Larutan Imersen oil HB Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
428 Larutan karbol fuksin Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
429 Larutan Metanol Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
430 Larutan Metilen Biru Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
431 Larutan Natrium Sitrat 38 % Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
432 Larutan Rees echer Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
433 Larutan spiritus 100 ml Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
434 Larutan turk Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
435 Ether Alkohol Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
436 Buffer Ph 6,4 Botol 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
437 KOH 10 % Btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
438 Hemaatology calibrator btl 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
439 Cellcheck-400(cc-12) vial 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
STOK AWAL PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR PEMAKAIA PEMBERIAN KET.
N PERMINT
NO. NAMA BARANG SATUAN
PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH RATA2/BL AAN PKD PROG JUMLAH
N

395624 140724 1933 538281 576 1502 900 2978 396200 142226 2833 541259 30577 9169 1566 41312 365623 133057 1267 499947

395,624 140,724 1,933 538,281 3,004 2,964 1,543 7,511 541,259 25322 3749 1716 30787 365,647 133,057 1267 499,971

JENIS PELAYANAN PUSKESMAS PAAL X PUSTU POSKESDES JUMLAH


R/ UMUM 194 25 0 219
R/ BPJS 586 22 0 608
R/ JAMKESDA 0 25 0 25
Jlh. Recipe 1947 300 0 2247
Jlh R/ Generik 1947 300 0 2247
R/ Antibiotik 101 35 0 136

Mengetahui Jambi, Desember 2020


Kepala UPTD Puskesmas Paal X Kota Jambi
a.n. Kepala Tata Usaha

YURIKA MOECHLIS, SKM SRI HARTATY, AMF


NIP. 19760530 199903 2 003 NIP. 19820825 200502 2 001
PUSKESMAS PAAL X KOTA JAMBI
KODE. 5070101

JUMLAH STOK AWAL


NO. NAMA BARANG SATUAN
JUMLAH PKD BLUD PROG
OBAT
1 Acyclovir cream 5 % tube 320 320 0 0
2 Acyclovir tablet 200 mg Tab 1300 1300 0 0
3 Acyclovir tablet 400 mg Tab 1365 1365 0 0
4 Air Raksa Dental Use Btl 1 1 0 0
5 Albendazole 400 mg Tab 100 100 0 0
6 Allopurinol 100 mg Tab 2090 2090 0 0
7 Allopurinol 300 mg Tab 0 0 0 0
8 Ambroxol syrup Btl 203 107 96 0
9 Ambroxol tab 30 mg Tab 4310 4310 0 0
10 Aminofilin injeksi Ampul 0 0 0 0
11 Aminofilin tablet Tab 1500 1500 0 0
12 Amitriptilin tablet 25 mg Tab 1961 1961 0 0
13 Amlodipin 5 mg Tab 5390 2390 3000 0
14 Amoksisilin kap 250 mg Kap 0 0 0 0
15 Amoksisilin kap 500 mg Kap 34525 34525 0 0
16 Amoksisilin sirup kering 125 mg/5 ml Btl 195 195 0 0
17 Amoksisilin Sirup Forte 250 mg/5 ml Btl 120 120 0 0
18 Amlodipin 10 mg Tab 3085 3085 0 0
19 Amoksisilin injeksi Vial 0 0 0 0
20 Ampisilin Kaplet 500 mg Kap 0 0 0 0
21 Ampisilin sirup kering 125 mg/5 ml Btl 0 0 0 0
22 Antalgin tablet 500 mg Tab 3570 3570 0 0
23 Antalgin injeksi Ampul 0 0 0 0
24 Antasida doen tablet Tab 35350 25350 10000 0
25 Antasida sirup Btl 374 374 0 0
26 Anti Bakteri salep / Bacitracin salep Tube 0 0 0 0
27 Anti Fungi kombinasi Pot 199 199 0 0
28 Anti Hemoroid supp 188 188 0 0
29 Anti Migrain tablet Tab 1400 1400 0 0
30 Asam Askorbat (VIT C) 50 mg Tab 40128 35000 5128 0
31 Asam Folat Tab 5340 5340 0 0
32 Asering Infus Kolf 0 0 0 0
33 Asam Mefenamat 500 mg Tab 8480 8480 0 0
34 Asam Tranexamat injeksi Ampul 0 0 0 0
35 Asam Asetilsalisilat(Asetosal) 80 mg Tab 100 100 0 0
36 Asetosal tablet 100 mg Tab 0 0 0 0
37 Azitromycin 500 mg Tab 100 100 0 0
38 Bisoprolol tablet Tab 0 0 0 0
39 Benzatin benzil penicilin inj 2,4 jt iu Vial 0 0 0 0
40 Betadin salep Tube 0 0 0 0
41 Betametason kream 0,1 % Tube 275 275 0 0
42 Bisacodyl 10 mg Supp 0 0 0 0
43 Bethahistin maselat Tablet 2021 2021 0 0
44 Captopril 12,5 mg Tab 590 590 0 0
45 Captopril 25 mg Tab 100 100 0 0
46 Captopril 50 mg Tab 0 0 0 0
47 Caviton Btl 2 2 0 0
48 Cefadroxil 500 mg kap 510 510 0 0
49 Cefotaxime injeksi 1 g Vial 0 0 0 0
50 Cefriaxon injeksi Vial 0 0 0 0
51 Cetrizin tablet 10 mg Kap 2360 2360 0 0
52 Ciprofloxacin 500 mg Tab 2380 2380 0 0
53 Clindamicin 150 mg Kap 300 300 0 0
54 Clindamicin 300 mg Kap 0 0 0 0
55 Devitalisasi pasta Btl 0 0 0 0
56 Dexamethason tablet Tab 2290 0 2290 0
57 Dexamethason injeksi Ampul 160 160 0 0
58 Diazepam tablet 2 mg Tab 1787 987 800 0
59 Diazepam tablet 5 mg Tab 1188 1088 0 100
60 Diazepam injeksi Ampul 30 30 0 0
61 Difenhidramin injeksi Ampul 120 120 0 0
62 Digoksin tablet Tab 100 100 0 0
63 Doxicillin Tab 0 0 0 0
64 Dulcolax tablet Tab 0 0 0 0
65 Dulculax supp 10 mg ( Dewasa ) Supp 26 26 0 0
66 Dulculax supp 5 mg ( Anak ) Supp 36 36 0 0
67 Efedrin Hcl 25 mg Tab 0 0 0 0
68 Ekstrak belladona tablet 10 mg Tab 0 0 0 0
69 Ephinefrin hcl injeksi Ampul 120 120 0 0
70 Erytromycin kapsul 250 mg Kap 3200 3200 0 0
71 Erytromycin kapsul 500 mg Kap 4000 4000 0 0
72 Erytromycin syrup Btl 60 0 60 0
73 Etakridin / Rivanol Btl 18 18 0 0
74 Ethambutol hcl tab 250 mg Tab 0 0 0 0
75 Ethambutol hcl tab 500 mg Tab 0 0 0 0
76 Etil klorida semprot Btl 14 14 0 0
77 Eugenol cairan Btl 0 0 0 0
78 Fenitoin natrium 30 mg Kap 0 0 0 0
79 Fenitoin natrium 100 mg Kap 30 30 0 0
80 Fenobarbital injeksi Ampul 0 0 0 0
81 Fenobarbital tab 100 mg Tab 0 0 0 0
82 Fenobarbital tablet 30 mg Tab 697 697 0 0
83 Fenoksimetil fenisilin tab 250 mg Tab 0 0 0 0
84 Fenoksimetil fenisilin tab 500 mg Tab 0 0 0 0
85 Fenol Gliserol tetes telinga Btl 83 83 0 0
86 Fitomenadion (Vit K) tab 10 mg Tab 1820 1820 0 0
87 Fitomenadion (Vit K) injeksi Ampul 60 60 0 0
88 Fluconazol 150 mg Tab 0 0 0 0
89 Furosemide tablet 40 mg Tab 595 0 595 0
90 Fluor gel Btl 0 0 0 0
91 Garam oralit untuk 200 ml air Set 4796 4796 0 0
92 Gentamycin salep kulit 0,1 % Tube 79 79 0 0
93 Gentamycin salep mata Tube 94 94 0 0
94 Gentamycin tetes mata Btl 50 50 0 0
95 Gentamycin injeksi Ampul 0 0 0 0
96 Gentian violet Btl 74 50 24 0
97 Glass Ionomer (ART FUJI IX) Btl 0 0 0 0
98 Glibenklamida tablet 5 mg Tab 100 100 0 0
99 Glimepiride 1 mg Tab 2320 2320 0 0
100 Glimepiride 2 mg Tab 1725 1225 500 0
101 Gliseril guaiakolat tablet 100 mg Tab 40340 0 40340 0
102 Glukosa larutan infus 5 % steril Btl 20 20 0 0
103 Griseofulvin tablet 125 mg Tab 1580 1580 0 0
104 Griseofulvin tablet 500 mg Tab 500 500 0 0
105 Halloperidol tab 0,5 mg Tab 320 320 0 0
106 Halloperidol tab 1,5 mg Tab 600 600 0 0
107 Halloperidol tab 5 mg Tab 400 400 0 0
108 Hidroklortiazide (HCT) tablet 25 mg Tab 0 0 0 0
109 Hidrocortison krim 2,5 % Tube 144 144 0 0
110 Ibuprofen tablet 200 mg Tab 600 600 0 0
111 Ibuprofen tablet 400 mg Tab 1480 1480 0 0
112 Ibuprofen syrup Btl 0 0 0 0
113 Insulin Human Rapid injeksi 100 IU vial 0 0 0 0
114 Isoniazida ( INH ) tab 100 mg Tab 0 0 0 0
115 Isoniazida ( INH ) tab 300 mg Tab 400 400 0 0
116 Isosorbit dinitrat sublingual 5 mg Tab 115 115 0 0
117 Komb. Primetamin 25mg+suldox 500mg Tab 0 0 0 0
118 Klorfenol kamfermenthol ( CHKM ) Tab 0 0 0 0
119 Kalsium Laktat tablet Tab 34810 24310 10500 0
120 Kandesartan cilexetil 8 mg Tab 0 0 0 0
121 Karbamazepin tablet 200 mg Tab 500 500 0 0
122 Ketorolac injeksi Ampul 0 0 0 0
123 Kloramfenikol salep kulit Tube 41 41 0 0
124 Kloramfenikol salep mata 1 % Tube 123 123 0 0
125 Kloramfenicol tetes telinga 3 % Btl 65 65 0 0
126 Kloramfenicol 250 mg kapsul Kap 0 0 0 0
127 Klorfeniramin maleat 4 mg (CTM ) Tab 20655 20655 0 0
128 Kloramfenicol tetes mata ( Reco ) Btl 48 0 48 0
129 Kalsium Hidroksida Pasta ( Calcidor ) Tube 0 0 0 0
130 Klorpromazin hcl injeksi Ampul 0 0 0 0
131 Klorpromazine tab salut 25 mg Tab 0 0 0 0
132 Klorpromazine tab salut 100 mg Tab 390 390 0 0
133 Kodein tablet 10 mg Tab 530 530 0 0
134 Kotrimoksazol suspensi Btl 480 480 0 0
135 Kotrimoksazol pediatrik Tab 0 0 0 0
136 Kotrimoksazol tablet 480 mg Tab 2700 2700 0 0
137 Klorokuin Tab 0 0 0 0
138 Kuinin sulfat tab 222 mg (7H2O) Tab 0 0 0 0
139 Lidocain kompositum inj (Pehacain) Ampul 360 360 0 0
140 Lidocain injeksi Ampul 400 400 0 0
141 Lisinopril 10 mg Tab 0 0 0 0
142 Loperamide tab 2 mg / Novadium Tab 0 0 0 0
143 Loratadin 10 mg Tab 0 0 0 0
144 Magnesium sulfat injeksi 20% vial 5 5 0 0
145 Magnesium sulfat injeksi 40% vial 5 5 0 0
146 Mecobalamin injeksi Ampul 0 0 0 0
147 Meloxicam 7,5 mg Tab 0 0 0 0
148 Metformin hcl tablet 500 mg Tab 3460 3460 0 0
149 Methyl prednisolon tablet 4 mg Tab 7060 5000 2060 0
150 Metilergometrin tablet salut Tab 200 200 0 0
151 Metilergometrin injeksi Ampul 0 0 0 0
152 Metoklorpropamide hcl 10 mg Tab 2200 2200 0 0
153 Metronidazole tablet 250 mg Tab 0 0 0 0
154 Metronidazole tablet 500 mg Tab 1735 1735 0 0
155 Metronidazole syrup Btl 0 0 0 0
156 Metronidazole infus Btl 0 0 0 0
157 Miconazol cream tube 203 203 0 0
158 Microlax rectal tube tube 0 0 0 0
159 Mummifying pasta Btl 0 0 0 0
160 Natrium bikarbonat tablet Tab 1100 1100 0 0
161 Natrium Diklofenak 25 mg Tab 4362 4362 0 0
162 Natrium Diklofenak 50 mg Tab 2300 1200 1100 0
163 Natrium klorida larutan infus Btl 87 87 0 0
164 Neurobion 5000 injeksi Ampul 0 0 0 0
165 Nifedipin tablet Tab 235 235 0 0
166 Nistatin tablet salut 500.000 iu/g Tab 0 0 0 0
167 Nistatin tablet vaginal 100.000 iu/g Tab 264 264 0 0
168 OBH Btl 310 265 45 0
169 Obat Anti TBC Kategori 1 paket 0 0 0 0
170 Obat Anti TBC Kategori 1 -Stop TB KIT paket 0 0 0 0
171 Obat Anti TBC Kategori II paket 0 0 0 0
172 Obat Anti TBC Kategori Anak paket 0 0 0 0
173 Kombipak Kategori I paket 0 0 0 0
174 Ofloxacin 200 mg Tab 0 0 0 0
175 Oksitetrasiklin hcl salep mata 1 % tube 48 48 0 0
176 Oksitetrasiklin hcl salep kulit 3 % Tube 100 100 0 0
177 Oksitetrasiklin hcl injeksi vial 0 0 0 0
178 Oksitosin injeksi / Pitogin Ampul 80 80 0 0
179 Omeprazole capsul 20 mg Kap 1790 0 1790 0
180 Ondansentron injeksi Ampul 0 0 0 0
181 Papaverin tablet Tab 0 0 0 0
182 Paracetamol tablet 100 mg Tab 0 0 0 0
183 Paracetamol tablet 500 mg Tab 51960 31760 20200 0
184 Paracetamol Drop Btl 0 0 0 0
185 Parasetamol sirup Btl 759 499 260 0
186 Perfenazine tablet 4 mg Tab 0 0 0 0
187 Piracetam 3 g injeksi Ampul 0 0 0 0
188 Pirantel pamoat tablet 125 mg Tab 200 200 0 0
189 Pirantel pamoat sirup Btl 50 50 0 0
190 Pyrazinamide tablet 500 mg Tab 0 0 0 0
191 Piridoxin hcl tablet 10 mg Tab 19490 19490 0 0
192 Piroxicam 10 mg Tab 1655 0 1655 0
193 Piroxicam 20 mg Tab 1080 0 1080 0
194 Polikresulen / Albothil Btl 0 0 0 0
195 Prednison tablet Tab 17530 17530 0 0
196 Primakuin tablet Tab 0 0 0 0
197 Prokain benzil penisilin inj vial 0 0 0 0
198 Pronalges suppositoria Supp 0 0 0 0
199 Propanolol tab 10 mg Tab 0 0 0 0
200 Propanolol tab 40 mg Tab 0 0 0 0
201 Propiltiourasil tablet 100 mg Tab 770 200 570 0
202 Proris suppositoria Supp 0 0 0 0
203 Perak sulfadiazine cream 3 % tube 0 0 0 0
204 Ranitidin tablet 150 mg Tab 3654 3654 0 0
205 Ranitidin injeksi Ampul 0 0 0 0
206 Reserpin tablet 0,1 mg Tab 0 0 0 0
207 Reserpin tablet 0,25 mg Tab 0 0 0 0
208 Retinol kapsul 100.000 IU Kapsul 0 0 0 0
209 Retinol kapsul 200.000 IU Kapsul 0 0 0 0
210 Rifampisin kapsul 300 mg Kap 0 0 0 0
211 Rifampisin kapsul 450 mg Kap 0 0 0 0
212 Rifampisin kapsul 600 mg Kap 0 0 0 0
213 Ringer laktat infus steril Btl 60 60 0 0
214 Salbutamol tablet 2 mg Tab 1500 1500 0 0
215 Salbuatmol tablet 4 mg Tab 620 620 0 0
216 salep 2-4 Pot 48 48 0 0
217 Salisil bedak 2 % Pot 196 196 0 0
218 Semen seng fosfat serbuk & cairan Btl 0 0 0 0
219 Serum Anti Bisa Ular injeksi Vial 1 1 0 0
220 Serum Anti tetanus injeksi 1500 IU Ampul 30 30 0 0
221 Tatagam vial 0 0 0 0
222 Sianokobalamin inj 500 mcg/ml Btl 0 0 0 0
223 Silver Amalgam serbuk Tab 0 0 0 0
224 Simvastatin 10 mg Tab 3730 3730 0 0
225 Simvastatin 20 mg supp 1940 0 1940 0
226 Stesolid rectal supp 5 mg Supp 10 10 0 0
227 Stesolid rectal supp 10 mg Btl 8 8 0 0
228 Sulfasetamid tetes mata 15 % Tab 0 0 0 0
229 Tablet tambah darah (SF) Tab 20700 20700 0 0
230 Temporary / Fletcher Kap 0 0 0 0
231 Tetrasiklin kapsul 250 mg Kap 0 0 0 0
232 Tetrasiklin kapsul 500 mg Tab 1000 1000 0 0
233 Thrombo Aspilet Tab 0 0 0 0
234 Thiamin injeksi Ampul 0 0 0 0
235 Thiamin tablet 50 mg Tab 16600 16600 0 0
236 Triheksipenidil hcl tablet 2 mg Tab 469 469 0 0
237 Trikresol formalin cairan ( TKF ) Ampul 0 0 0 0
238 Vaksin rabies vero Tab 0 0 0 0
239 Valsartan 80 mg Tab 0 0 0 0
240 Ventolin nebulizer Nebules 80 80 0 0
241 Vitamin B komplek tablet Tab 19220 19020 0 200
242 Yodium povidon lart 10 % - 30 ml Btl 0 0 0 0
243 Yodium povidon lart 10 % - 300 ml Btl 7 7 0 0
244 Xylocain jelly Tube 0 0 0 0
245 Lidocain Pasta Pot 0 0 0 0
246 Zinc tablet 20 mg Tab 1905 1905 0 0
247 Zinc sirup Btl 82 82 0 0
248 Betamin drage ( Vit. B1 ) Tab 0 0 0 0
249 Domperidon Btl 2080 2080 0 0
250 Clozapin 25 mg Tab 60 0 0 60
251 Clobazam 10 mg Tab 0 0 0 0
252 Trifluoperazin HCl 5 mg ( Stelosi ) Tab 0 0 0 0
253 Vitamin B 12 Tab 2020 2020 0 0
254 Ketokonazol Crem Tube 30 30 0 0
255 Ketokonazole Tablet Tab 600 600 0 0
256 Flufenazin Decanoat Inj 25 mg Ampul 0 0 0 0
257 Haloperidol Inj 5 mg ( Ladomer ) Ampul 0 0 0 0
258 Haloperidol Decanoat Inj 50 mg Ampul 0 0 0 0
259 Resperidon tab 2 mg Tab 780 0 0 780
260 Curviplex Sirup Btl 0 0 0 0
261 Andalan Inj 3 Bulan Vial 80 0 80 0
262 Andalan Inj 1 Bulan Vial 0 0 0 0
263 Cyclopen Inj. 1 Bulan Vial 140 0 140 0
264 Ichtyol Salaf Kulit Pot 8 0 8 0
265 Levertran Salep Kulit Pot 42 0 42 0
266 HEPATITIS B Paket 25 0 0 25
267 BCG Ampul 5 0 0 5
268 POLIO Vial 32 0 0 32
269 PENTABIO/DPTHBHib Vial 31 0 0 31
270 CAMPAK Vial 11 0 0 11
271 Td / TT Vial 2 0 0 2
272 IPV Vial 0 0 0 0
273 Vaksin MR Vial 0 0 0 0
274 Pelarut MR Vial 0 0 0 0
275 Pentocain 0,5 % TT Mata Btl 12 0 12 0
276 Domperidon syrup btl 50 50 0 0
277 Kloramfenikol syrup btl 50 50 0 0
278 cetirizin syrup btl 150 150 0 0
279 Pritamox sirup 125 mg btl 180 0 180 0
280 Albendazole syrup btl 0 0 0 0
281 Moxalaskap/cotri480mg tab 2370 0 2370 0
282 Moxalas syr/cotry syr btl 100 0 100 0
283 Lorihis tab/loratadin tab tab 850 0 850 0
284 Flagsol syr/metro syr btl 46 0 46 0
285 Selfolic 1000mg/Asam folat tab 2000 0 2000 0
286 Trifadium2mg/Loperamid tab tab 330 0 330 0
287 Omeprazole Injeksi Ampul 15 15 0 0
288 Gluconas Kalsikus injeksi amp 0 0 0 0
289 Tricloflem Vial 0 0 0 0
290 Cycloserin 250mg tab 0 0 0 0
291 Ethionmid 250mg tab 0 0 0 0
292 Levofloxacin 750mg tab 0 0 0 0
293 Bedaquilin 100mg tab 0 0 0 0
294 Hbig Bayi vial 0 0 0 0
295 Amoxcillin drop btl 30 30 0 0
296 scabimid salep tube 132 132 0 0
297 Selcom C Tab 300 0 0 300
298 Cyanocobalamin Inj Ampul 100 100 0 0
299 Kloramfenicol 500 mg Kap 1410 1410 0 0
300 Attapulgit tab 200 200 0 0
0 0 0 0
BMHP 0 0 0 0
301 Alat suntik 1 ml Pcs 900 900 0 0
302 Alat suntik 2,5 ml Pcs 200 200 0 0
303 Alat suntik 3 ml Pcs 2930 2500 400 30
304 Alat suntik 5 ml Pcs 1300 500 500 300
305 Alkohol 70 % ( 1 L ) Btl 42 42 0 0
306 Alkohol 70 % ( 60 Ml ) Btl 0 0 0 0
307 Aqua destilata steril 500 ml Btl 12 12 0 0
308 Aqua pro injeksi Vial 89 74 15 0
309 Bisturi no 10 Pcs 10 10 0 0
310 Bisturi no 11 Pcs 10 10 0 0
311 Bisturi no 20 Pcs 0 0 0 0
312 Bisturi no 22 Pcs 0 0 0 0
313 Blood Lancet Pcs 4800 2000 2800 0
314 Catgut/benang bedah Pcs 96 96 0 0
315 ETT no.6 Pcs 0 0 0 0
316 ETT no.6,5 Set 0 0 0 0
317 ETT no.7 Set 0 0 0 0
318 ETT no.7,5 Btl 0 0 0 0
319 Hand scrub Pcs 20 20 0 0
320 Handscoon uk.S Pcs 500 500 0 0
321 Handscoon uk. M Pcs 500 300 200 0
322 Handscoon uk. L Pcs 300 300 0 0
323 Infusion set anak set 50 0 50 0
324 Infusion set dewasa set 45 0 45 0
325 Wing neadle no. 23G Pcs 0 0 0 0
326 IV Catheter (Abocath) NO.20 Pcs 10 10 0 0
327 IV Catheter (Abocath) NO.22 Pcs 10 10 0 0
328 IV Catheter (Abocath) NO.24 pcs 0 0 0 0
329 Jarum Jahit (Nald Heating ) no. 10 pcs 39 39 0 0
330 Jarum Jahit (Nald Heating ) no. 11 pcs 0 0 0 0
331 Jarum Jahit (Nald Heating ) no. 12 pcs 0 0 0 0
332 Jarum Jahit (Nald Heating ) no. 13 pcs 25 25 0 0
333 Jarum Jahit (Nald Heating ) no. 14 Pcs 25 25 0 0
334 Kapas pembalut/Absorben 250 gr Roll 35 35 0 0
335 Kasa kompres 40/40 steril Roll 158 158 0 0
336 Kasa pembalut hidrofil 4m x 15 cm Roll 400 400 0 0
337 Kasa pembalut hidrofil 4 m x 3 cm Roll 290 290 0 0
338 Kassa 36x80 cm Roll 18 18 0 0
339 Kertas Saring Whatman Buku 1 0 1 0
340 Masker Pcs 2150 0 2150 0
341 Objec Glass Box/72 21 4 0 17
342 Pipet Tetes Panjang Pcs 15 15 0 0
343 Plastik Obat Klip 10 x 7 Pcs 13300 0 13300 0
344 Plastik Obat Klip 13 x 8,7 10800 0 10800 0
345 Plester 5 yard x 2 inch Roll 22 18 0 4
346 Poly catheter no.8 Pcs 0 0 0 0
347 Poly catheter no.12 Pcs 3 3 0 0
348 Poly catheter no.16 Pcs/set 16 16 0 0
349 Silk ( benang bedah sutera) 03/0 Sak 85 49 0 36
350 Spons gelatin cublices bks 7 7 0 0
351 Stick Gluco DR Btl/50 7 0 7 0
352 Tabung Reaksi Pcs 0 0 0 0
353 Tes Kehamilan HCG Pcs 2 2 0 0
354 Transfution set/Transfusion blood ADM set 3 3 0 0
355 Urinalysis 10 parameter Btl 0 0 0 0
356 Stick asam Urat Btl/25 12 0 12 0
357 Stick Colestrol Btl/10 17 0 17 0
358 Jelly 250ml Ultra soundgel btl 3 0 3 0
359 Pot sputum Pcs 0 0 0 0
360 Reagen TB Paket 0 0 0 0
361 Sefty box 2,5 L Box 0 0 0 0
362 Reagen sifilis(SD,Bio StanQ) Test 0 0 0 0
363 Box Slide Ktk 0 0 0 0
364 Fokus test Ktk 0 0 0 0
365 Alat suntik 0,5 ml Box 0 0 0 0
366 Sefty box 5 L Box 0 0 0 0
367 Masker Nebulizer Anak Psc 5 5 0 0
368 Masker Nebulizer Dewasa Psc 15 15 0 0
369 Nasal Oksigen Kanula Anak Psc 10 10 0 0
370 Nasal Oksigen Kanula Dewasa Psc 15 15 0 0
371 Non Rebreating Mask Psc 0 0 0 0
372 ID Dewasa Pink Box 0 0 0 0
373 ID Dewasa Blue Box 0 0 0 0
374 ID Bayi Pink Box 0 0 0 0
375 ID Bayi Biru Box 0 0 0 0
376 Umbilical Keniko Box 0 0 0 0
377 Folley Catheter 16 Rusch Pcs 0 0 0 0
378 Urine Bag Fresco Pcs 0 0 0 0
379 Disp Sryringe 10 ml Onemed Box 0 0 0 0
380 Suction Catheter 8 Remedi Pcs 0 0 0 0
381 Suction Catheter 16 Remedi Psc 0 0 0 0
382 Plaster Hypafix Psc 14 14 0 0
383 Rapid Test HIV I Standar (Stik SD HIV ) Pcs 0 0 0 0
384 Kasa Steril 16 X 16 Kotak 164 0 164 0
385 Alat Nesco Tri in one Kotak 0 0 0 0
386 Alkohol Swab One swab Kotak 10 0 10 0
387 Bahan tambalan Komposid (solare) Tube 4 0 4 0
388 OCO Btl/15ml 0 0 0 0
389 Paper Pad Buku 6 0 6 0
390 Masker 1860 S/N95 pcs 0 0 0 0
391 Rapid Test HIV II : Vikia (HIV ke 1) Test 0 0 0 0
392 Rapid Test Hiv, 3 : Intec/China (HIV KE 2) Test 0 0 0 0
393 RDT(Virotec+Diluent)DBD Test 0 0 0 0
394 Rapid HBsAg(Virochek HbsAg) Test 0 0 0 0
395 Baju Hazmat APD Pcs 0 0 0 0
396 Baju APD Gaun Pcs 0 0 0 0
397 Rapidtest Igm/40 TEST/KiT Kit 0 0 0 0
398 Nurse Cup Box 4 4 0 0
399 Pembalut Siku Buah 5 5 0 0
400 Handscoon Steril Psg 0 0 0 0

0 0 0 0
REAGENSIA 0 0 0 0
401 Cell Clean ( CL-50) Btl 0 0 0 0
402 Cell Pack ( PK-30L) Btl 0 0 0 0
403 Control eight check 3 x 1,5 ml Btl/set 0 0 0 0
404 Eightcheck-3WP (Normal) 1,5 ml Vial 0 0 0 0
405 Eightcheck-3WP (Low) 1,5 ml Vial 0 0 0 0
406 Eightcheck-3WP (High) 1,5 ml Vial 0 0 0 0
407 Stomalyzer WH(SWH-2004) btl 0 0 0 0
408 Tabung K2 EDTA 2 ml Btl 1 0 1 0
409 Printer Paper Pcs 0 0 0 0
410 Deck Glass Btl 5 5 0 0
411 Tes Gol Darah (A,B,AB ) Set 0 0 0 0
412 Tisu lensa Buku 0 0 0 0
413 Kertas perkamen Lembar 19 19 0 0
414 Podofilin Tinctur 25 % Btl 0 0 0 0
415 Larutan Fauchet Btl 0 0 0 0
416 Larutan Lisol Btl 45 45 0 0
417 Larutan asam klorida 0,1 N Btl 0 0 0 0
418 Larutan asam sulfosalisilat 20% Btl 0 0 0 0
419 Larutan barium klorida Btl 0 0 0 0
420 Larutan Benedict Btl 0 0 0 0
421 Larutan Bupper PH 7,2 Btl 0 0 0 0
422 Larutan EDTA Cair 10 % Btl 0 0 0 0
423 Larutan Eosin 2 % Btl 0 0 0 0
424 Larutan Etanol Asam Btl 0 0 0 0
425 Larutan Giemsa Stalin Btl 0 0 0 0
426 Larutan H2O2 Btl 7 7 0 0
427 Larutan Imersen oil HB Btl 0 0 0 0
428 Larutan karbol fuksin Btl 0 0 0 0
429 Larutan Metanol Btl 0 0 0 0
430 Larutan Metilen Biru Btl 0 0 0 0
431 Larutan Natrium Sitrat 38 % Btl 0 0 0 0
432 Larutan Rees echer Btl 0 0 0 0
433 Larutan spiritus 100 ml Btl 0 0 0 0
434 Larutan turk Btl 0 0 0 0
435 Ether Alkohol Botol 0 0 0 0
436 Buffer Ph 6,4 Botol 0 0 0 0
437 KOH 10 % Btl 0 0 0 0
438 Hemaatology calibrator btl 0 0 0 0
439 Cellcheck-400(cc-12) vial 0 0 0 0
0 0 0 0
538,281 395,624 140,724 1,933
538,281 395,624 140,724 1,933

- -
LAPORAN PEMAKAIAN DAN LEMBAR PER

STOK AWAL GUDANG STOK AWAL APOTIK PENERIMAAN


PKD BLUD PROG PKD BLUD PROG PKD BLUD PROG JUMLAH

278 0 0 42 0 0 0 0 0 0
1300 0 0 0 0 0 0 0 0 0
1250 0 0 115 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 0 0
2000 0 0 90 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
60 96 0 47 0 0 0 0 0 0
3000 0 0 1310 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1300 0 0 200 0 0 0 0 0 0
1800 0 0 161 0 0 0 0 0 0
2100 3000 0 290 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
33900 0 0 625 0 0 0 0 0 0
180 0 0 15 0 0 0 0 0 0
120 0 0 0 0 0 0 0 0 0
2910 0 0 175 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
3000 0 0 570 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
24200 10000 0 1150 0 0 0 0 0 0
340 0 0 34 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
192 0 0 7 0 0 0 0 0 0
150 0 0 38 0 0 0 0 0 0
1400 0 0 0 0 0 0 0 0 0
35000 3500 0 0 1628 0 0 0 0 0
4000 0 0 1340 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
7400 0 0 1080 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
100 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
275 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1600 0 0 421 0 0 0 0 0 0
400 0 0 190 0 0 0 0 0 0
100 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0 0 0
200 0 0 310 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
2000 0 0 360 0 0 0 0 0 0
1800 0 0 580 0 0 0 0 0 0
300 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 1500 0 0 790 0 0 0 0 0
160 0 0 0 0 0 0 0 0 0
800 800 0 187 0 0 0 0 0 0
1000 0 100 88 0 0 0 0 0 0
30 0 0 0 0 0 0 0 0 0
120 0 0 0 0 0 0 0 0 0
100 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
16 0 0 10 0 0 0 0 0 0
36 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
120 0 0 0 0 0 0 0 0 0
2800 0 0 400 0 0 0 0 0 0
4000 0 0 0 0 0 0 0 0 0
0 60 0 0 0 0 0 0 0 0
18 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
14 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 30 0 0 300 0 0 300
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
600 0 0 97 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
72 0 0 11 0 0 0 0 0 0
1200 0 0 620 0 0 0 0 0 0
60 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 200 0 0 395 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
4600 0 0 196 0 0 0 0 0 0
70 0 0 9 0 0 0 0 0 0
48 0 0 46 0 0 0 0 0 0
48 0 0 2 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
24 24 0 26 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 0 0
1900 0 0 420 0 0 0 0 0 0
1000 500 0 225 0 0 0 0 0 0
0 38900 0 0 1440 0 0 0 0 0
20 0 0 0 0 0 0 0 0 0
1400 0 0 180 0 0 0 0 0 0
400 0 0 100 0 0 0 0 0 0
300 0 0 20 0 0 0 0 0 0
600 0 0 0 0 0 0 0 0 0
400 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
144 0 0 0 0 0 0 0 0 0
0 0 0 600 0 0 0 0 0 0
1300 0 0 180 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
300 0 0 100 0 0 0 0 0 0
100 0 0 15 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
23500 10500 0 810 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
500 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
19 0 0 22 0 0 0 0 0 0
120 0 0 3 0 0 0 0 0 0
65 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
19300 0 0 1355 0 0 0 0 0 0
0 48 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
300 0 0 90 0 0 0 0 0 0
400 0 0 130 0 0 0 0 0 0
480 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
2700 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
360 0 0 0 0 0 0 0 0 0
400 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
5 0 0 0 0 0 0 0 0 0
5 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
3300 0 0 160 0 0 0 0 0 0
5000 1700 0 0 360 0 0 0 0 0
200 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
2200 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1500 0 0 235 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
168 0 0 35 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
1100 0 0 0 0 0 0 0 0 0
4150 0 0 212 0 0 0 0 0 0
850 1100 0 350 0 0 0 0 0 0
87 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
200 0 0 35 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
200 0 0 64 0 0 0 0 0 0
265 0 0 0 45 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 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
25 0 0 23 0 0 0 0 0 0
75 0 0 25 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
80 0 0 0 0 0 0 0 0 0
0 1600 0 0 190 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
30000 20200 0 1760 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
440 260 0 59 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
100 0 0 100 0 0 0 0 0 0
50 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
18400 0 0 1090 0 0 0 0 0 0
0 1500 0 0 155 0 0 0 0 0
0 1000 0 0 80 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
16200 0 0 1330 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 0 0 0 0 0 0 0 0 0
200 400 0 0 170 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
3000 0 0 654 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 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
60 0 0 0 0 0 0 0 0 0
1300 0 0 200 0 0 0 0 0 0
200 0 0 420 0 0 0 0 0 0
48 0 0 0 0 0 0 0 0 0
184 0 0 12 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0
30 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
3180 0 0 550 0 0 0 0 0 0
0 1500 0 0 440 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0
8 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
19400 0 0 1300 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
900 0 0 100 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
15600 0 0 1000 0 0 0 0 0 0
400 0 0 69 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
80 0 0 0 0 0 0 0 0 0
18400 0 200 620 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
7 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
1300 0 0 605 0 0 0 0 0 0
72 0 0 10 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1300 0 0 780 0 0 0 0 0 0
0 0 50 0 0 10 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
1100 0 0 920 0 0 0 0 0 0
25 0 0 5 0 0 0 0 0 0
600 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 0 700 0 0 80 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 80 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 140 0 0 0 0 0 0 0 0
0 0 0 0 8 0 0 0 0 0
0 24 0 0 18 0 0 0 0 0
0 0 25 0 0 0 0 0 0 0
0 0 5 0 0 0 0 0 0 0
0 0 32 0 0 0 0 0 0 0
0 0 31 0 0 0 0 0 0 0
0 0 11 0 0 0 0 0 0 0
0 0 2 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 12 0 0 0 0 0 0 0 0
50 0 0 0 0 0 0 0 0 0
50 0 0 0 0 0 0 0 0 0
100 0 0 50 0 0 0 0 0 0
0 180 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 1800 0 0 570 0 0 0 0 0
0 100 0 0 0 0 0 0 0 0
0 700 0 0 150 0 0 0 0 0
0 40 0 0 6 0 0 0 0 0
0 2000 0 0 0 0 0 0 0 0
0 0 0 0 330 0 0 0 0 0
15 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 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
30 0 0 0 0 0 0 0 0 0
120 0 0 12 0 0 0 0 0 0
0 0 300 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 0 0
1300 0 0 110 0 0 0 0 0 0
200 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
900 0 0 0 0 0 0 0 0 0
200 0 0 0 0 0 0 0 0 0
2500 400 30 0 0 0 0 0 0 0
500 500 300 0 0 0 0 0 0 0
42 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0
74 15 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0
10 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
2000 2800 0 0 0 0 0 0 0 0
96 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 0 0
20 0 0 0 0 0 20 0 0 20
500 0 0 0 0 0 0 0 0 0
300 200 0 0 0 0 0 1000 300 1300
300 0 0 0 0 0 0 500 0 500
0 50 0 0 0 0 0 0 0 0
0 45 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
39 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
25 0 0 0 0 0 0 0 0 0
25 0 0 0 0 0 0 0 0 0
35 0 0 0 0 0 0 0 0 0
158 0 0 0 0 0 0 0 0 0
400 0 0 0 0 0 0 0 0 0
290 0 0 0 0 0 0 0 0 0
18 0 0 0 0 0 0 0 0 0
0 1 0 0 0 0 0 0 0 0
0 2150 0 0 0 0 0 0 0 0
4 0 17 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0
0 13300 0 0 0 0 0 0 0 0
0 10800 0 0 0 0 0 0 0 0
18 0 4 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
3 0 0 0 0 0 0 0 0 0
16 0 0 0 0 0 0 0 0 0
49 0 36 0 0 0 0 0 0 0
7 0 0 0 0 0 0 0 0 0
0 7 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0 0 0
3 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 12 0 0 0 0 0 0 0 0
0 17 0 0 0 0 6 0 0 6
0 3 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 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 0 600 600
0 0 0 0 0 0 0 0 0 0
5 0 0 0 0 0 0 0 0 0
15 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0
15 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 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 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
14 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 164 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 10 0 0 0 0 0 0 0 0
0 4 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 6 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 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 2 0 2
4 0 0 0 0 0 0 0 0 0
5 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 250 0 0 250
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 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 0 0 0 0 0
0 1 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
5 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
19 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
45 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 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 0 0 0 0 0
7 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 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 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 0 0 0 0 0 0 0 0
367,607 133,949 1,843 28,017 6,775 90 576 1,502 900 2,978
367,607 133,949 1,843 28017 6775 90 582 1,502 300 2,384
IAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )

PERSEDIAA PEMAKAIAN PEMAKAIAN GUDANG (LAIN-LAIN) PEMAKAIAN APOTIK


STOK AKHIR
N PKD BLUD PROG PKD BLUD PROG

320 7 0 0 0 7 0 0 313
1300 0 0 0 0 0 0 0 1300
1365 375 250 0 0 125 0 0 990
1 0 0 0 0 0 0 0 1
100 0 0 0 0 0 0 0 100
2090 210 0 0 0 210 0 0 1880
0 0 0 0 0 0 0 0 0
203 6 0 0 0 6 0 0 197
4310 220 0 0 0 220 0 0 4090
0 0 0 0 0 0 0 0 0
1500 500 500 0 0 0 0 0 1000
1961 0 0 0 0 0 0 0 1961
5390 490 0 0 0 490 0 0 4900
0 0 0 0 0 0 0 0 0
34525 965 500 0 0 465 0 0 33560
195 72 60 0 0 12 0 0 123
120 0 0 0 0 0 0 0 120
3085 69 0 0 0 69 0 0 3016
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
3570 102 0 0 0 102 0 0 3468
0 0 0 0 0 0 0 0 0
35350 1450 1000 0 0 450 0 0 33900
374 73 40 0 0 33 0 0 301
0 0 0 0 0 0 0 0 0
199 25 24 0 0 1 0 0 174
188 41 0 0 0 41 0 0 147
1400 0 0 0 0 0 0 0 1400
40128 1848 0 1000 0 0 848 0 38280
5340 2012 1000 0 0 1012 0 0 3328
0 0 0 0 0 0 0 0 0
8480 1750 800 0 0 950 0 0 6730
0 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 100
0 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 100
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
275 9 0 0 0 9 0 0 266
0 0 0 0 0 0 0 0 0
2021 11 0 0 0 11 0 0 2010
590 0 0 0 0 0 0 0 590
100 0 0 0 0 0 0 0 100
0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0 2
510 20 0 0 0 20 0 0 490
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
2360 260 200 0 0 60 0 0 2100
2380 280 200 0 0 80 0 0 2100
300 0 0 0 0 0 0 0 300
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
2290 560 0 200 0 0 360 0 1730
160 0 0 0 0 0 0 0 160
1787 46 0 0 0 46 0 0 1741
1188 0 0 0 0 0 0 0 1188
30 0 0 0 0 0 0 0 30
120 0 0 0 0 0 0 0 120
100 100 0 0 0 100 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
26 0 0 0 0 0 0 0 26
36 0 0 0 0 0 0 0 36
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
120 0 0 0 0 0 0 0 120
3200 500 500 0 0 0 0 0 2700
4000 500 500 0 0 0 0 0 3500
60 0 0 0 0 0 0 0 60
18 2 2 0 0 0 0 0 16
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
14 1 1 0 0 0 0 0 13
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
330 60 0 0 0 60 0 0 270
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
697 0 0 0 0 0 0 0 697
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
83 4 0 0 0 4 0 0 79
1820 115 0 0 0 115 0 0 1705
60 0 0 0 0 0 0 0 60
0 0 0 0 0 0 0 0 0
595 0 0 0 0 0 0 0 595
0 0 0 0 0 0 0 0 0
4796 163 100 0 0 63 0 0 4633
79 25 20 0 0 5 0 0 54
94 0 0 0 0 0 0 0 94
50 26 0 0 0 26 0 0 24
0 0 0 0 0 0 0 0 0
74 2 0 0 0 2 0 0 72
0 0 0 0 0 0 0 0 0
100 0 0 0 0 0 0 0 100
2320 20 0 0 0 20 0 0 2300
1725 0 0 0 0 0 0 0 1725
40340 1640 0 1500 0 0 140 0 38700
20 0 0 0 0 0 0 0 20
1580 10 0 0 0 10 0 0 1570
500 50 0 0 0 50 0 0 450
320 0 0 0 0 0 0 0 320
600 0 0 0 0 0 0 0 600
400 0 0 0 0 0 0 0 400
0 0 0 0 0 0 0 0 0
144 48 0 0 0 48 0 0 96
600 0 0 0 0 0 0 0 600
1480 380 0 0 0 380 0 0 1100
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
400 0 0 0 0 0 0 0 400
115 0 0 0 0 0 0 0 115
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
34810 2740 1000 0 0 1740 0 0 32070
0 0 0 0 0 0 0 0 0
500 0 0 0 0 0 0 0 500
0 0 0 0 0 0 0 0 0
41 0 0 0 0 0 0 0 41
123 2 0 0 0 2 0 0 121
65 0 0 0 0 0 0 0 65
0 0 0 0 0 0 0 0 0
20655 1395 200 0 0 1195 0 0 19260
48 0 0 0 0 0 0 0 48
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
390 0 0 0 0 0 0 0 390
530 30 0 0 0 30 0 0 500
480 0 0 0 0 0 0 0 480
0 0 0 0 0 0 0 0 0
2700 500 500 0 0 0 0 0 2200
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
360 60 60 0 0 0 0 0 300
400 100 100 0 0 0 0 0 300
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
5 5 5 0 0 0 0 0 0
5 5 5 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
3460 120 0 0 0 120 0 0 3340
7060 159 0 0 0 0 159 0 6901
200 0 0 0 0 0 0 0 200
0 0 0 0 0 0 0 0 0
2200 0 0 0 0 0 0 0 2200
0 0 0 0 0 0 0 0 0
1735 65 0 0 0 65 0 0 1670
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
203 10 0 0 0 10 0 0 193
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
1100 0 0 0 0 0 0 0 1100
4362 802 500 0 0 302 0 0 3560
2300 20 0 0 0 20 0 0 2280
87 7 7 0 0 0 0 0 80
0 0 0 0 0 0 0 0 0
235 18 0 0 0 18 0 0 217
0 0 0 0 0 0 0 0 0
264 14 0 0 0 14 0 0 250
310 7 0 0 0 0 7 0 303
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 0 0 0 0 0 0 0
48 1 0 0 0 1 0 0 47
100 25 25 0 0 0 0 0 75
0 0 0 0 0 0 0 0 0
80 0 0 0 0 0 0 0 80
1790 605 0 0 0 0 605 0 1185
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
51960 2060 1000 0 0 1060 0 0 49900
0 0 0 0 0 0 0 0 0
759 24 0 0 0 24 0 0 735
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
200 0 0 0 0 0 0 0 200
50 0 0 0 0 0 0 0 50
0 0 0 0 0 0 0 0 0
19490 250 0 0 0 250 0 0 19240
1655 175 0 0 0 0 175 0 1480
1080 60 0 0 0 0 60 0 1020
0 0 0 0 0 0 0 0 0
17530 1300 0 0 0 1300 0 0 16230
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
770 0 0 0 0 0 0 0 770
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
3654 459 0 0 0 459 0 0 3195
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 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
60 0 0 0 0 0 0 0 60
1500 240 200 0 0 40 0 0 1260
620 10 0 0 0 10 0 0 610
48 0 0 0 0 0 0 0 48
196 23 0 0 0 23 0 0 173
0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 1
30 0 0 0 0 0 0 0 30
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
3730 1940 1200 0 0 740 0 0 1790
1940 0 0 0 0 0 0 0 1940
10 0 0 0 0 0 0 0 10
8 0 0 0 0 0 0 0 8
0 0 0 0 0 0 0 0 0
20700 1720 1000 0 0 720 0 0 18980
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
1000 0 0 0 0 0 0 0 1000
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
16600 380 0 0 0 380 0 0 16220
469 0 0 0 0 0 0 0 469
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
80 0 0 0 0 0 0 0 80
19220 2700 1800 0 0 900 0 0 16520
0 0 0 0 0 0 0 0 0
7 3 3 0 0 0 0 0 4
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
1905 0 0 0 0 0 0 0 1905
82 3 0 0 0 3 0 0 79
0 0 0 0 0 0 0 0 0
2080 190 0 0 0 190 0 0 1890
60 0 0 0 0 0 0 0 60
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
2020 20 0 0 0 20 0 0 2000
30 7 0 0 0 7 0 0 23
600 0 0 0 0 0 0 0 600
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
780 0 0 0 0 0 0 0 780
0 0 0 0 0 0 0 0 0
80 0 0 0 0 0 0 0 80
0 0 0 0 0 0 0 0 0
140 20 0 20 0 0 0 0 120
8 0 0 0 0 0 0 0 8
42 0 0 0 0 0 0 0 42
25 0 0 0 0 0 0 0 25
5 0 0 0 0 0 0 0 5
32 0 0 0 0 0 0 0 32
31 0 0 0 0 0 0 0 31
11 0 0 0 0 0 0 0 11
2 0 0 0 0 0 0 0 2
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
12 0 0 0 0 0 0 0 12
50 0 0 0 0 0 0 0 50
50 50 50 0 0 0 0 0 0
150 2 0 0 0 2 0 0 148
180 0 0 0 0 0 0 0 180
0 0 0 0 0 0 0 0 0
2370 0 0 0 0 0 0 0 2370
100 0 0 0 0 0 0 0 100
850 0 0 0 0 0 0 0 850
46 0 0 0 0 0 0 0 46
2000 0 0 0 0 0 0 0 2000
330 72 0 0 0 0 72 0 258
15 0 0 0 0 0 0 0 15
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 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
30 0 0 0 0 0 0 0 30
132 12 0 0 0 12 0 0 120
300 300 0 0 300 0 0 0 0
100 0 0 0 0 0 0 0 100
1410 200 200 0 0 0 0 0 1210
200 0 0 0 0 0 0 0 200
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
900 300 300 0 0 0 0 0 600
200 0 0 0 0 0 0 0 200
2930 230 200 0 30 0 0 0 2700
1300 400 100 0 300 0 0 0 900
42 2 2 0 0 0 0 0 40
0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 12
89 0 0 0 0 0 0 0 89
10 0 0 0 0 0 0 0 10
10 0 0 0 0 0 0 0 10
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
4800 3000 200 2800 0 0 0 0 1800
96 0 0 0 0 0 0 0 96
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
40 22 20 0 0 2 0 0 18
500 400 400 0 0 0 0 0 100
1800 800 300 200 200 0 0 100 1000
800 400 300 100 0 0 0 0 400
50 0 0 0 0 0 0 0 50
45 0 0 0 0 0 0 0 45
0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 10
10 0 0 0 0 0 0 0 10
0 0 0 0 0 0 0 0 0
39 9 9 0 0 0 0 0 30
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
25 0 0 0 0 0 0 0 25
25 0 0 0 0 0 0 0 25
35 0 0 0 0 0 0 0 35
158 13 13 0 0 0 0 0 145
400 0 0 0 0 0 0 0 400
290 140 140 0 0 0 0 0 150
18 1 1 0 0 0 0 0 17
1 0 0 0 0 0 0 0 1
2150 800 0 750 0 0 50 0 1350
21 0 0 0 0 0 0 0 21
15 0 0 0 0 0 0 0 15
13300 100 0 0 0 0 100 0 13200
10800 0 0 0 0 0 0 0 10800
22 0 0 0 0 0 0 0 22
0 0 0 0 0 0 0 0 0
3 0 0 0 0 0 0 0 3
16 0 0 0 0 0 0 0 16
85 37 1 0 36 0 0 0 48
7 0 0 0 0 0 0 0 7
7 2 0 2 0 0 0 0 5
0 0 0 0 0 0 0 0 0
2 1 1 0 0 0 0 0 1
3 3 3 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
12 2 0 2 0 0 0 0 10
23 4 0 4 0 0 0 0 19
3 0 0 0 0 0 0 0 3
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 0 0 0 0 0 0 0
600 600 0 0 600 0 0 0 0
0 0 0 0 0 0 0 0 0
5 0 0 0 0 0 0 0 5
15 0 0 0 0 0 0 0 15
10 0 0 0 0 0 0 0 10
15 0 0 0 0 0 0 0 15
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 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 0 0 0 0 0
14 14 14 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
164 5 0 5 0 0 0 0 159
0 0 0 0 0 0 0 0 0
10 2 0 2 0 0 0 0 8
4 0 0 0 0 0 0 0 4
0 0 0 0 0 0 0 0 0
6 6 0 6 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 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
2 2 0 2 0 0 0 0 0
4 1 1 0 0 0 0 0 3
5 0 0 0 0 0 0 0 5
250 50 50 0 0 0 0 0 200
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 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
1 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0
5 0 0 0 0 0 0 0 5
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
19 0 0 0 0 0 0 0 19
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
45 9 9 0 0 0 0 0 36
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 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
7 0 0 0 0 0 0 0 7
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 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 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
541,259 41,312 15,616 6,593 1,466 14,961 2,576 100 499,947
15,588 6,593 866 14961 2576 100 499,947
541,259
Bulan : November 2020
STOK AKHIR PEMAKAIAN PERMINTAA PEMBERIAN
PKD BLUD PROG RATA2/BLN N PKD BLUD PROG LAIN-LAIN

313 0 0
1300 0 0
990 0 0
1 0 0
100 0 0
1880 0 0
0 0 0
101 96 0
4090 0 0
0 0 0
1000 0 0
1961 0 0
1900 3000 0
0 0 0
33560 0 0
123 0 0
120 0 0
3016 0 0
0 0 0
0 0 0
0 0 0
3468 0 0
0 0 0
23900 10000 0
301 0 0
0 0 0
174 0 0
147 0 0
1400 0 0
35000 3280 0
3328 0 0
0 0 0
6730 0 0
0 0 0
100 0 0
0 0 0
100 0 0
0 0 0
0 0 0
0 0 0
266 0 0
0 0 0
2010 0 0
590 0 0
100 0 0
0 0 0
2 0 0
490 0 0
0 0 0
0 0 0
2100 0 0
2100 0 0
300 0 0
0 0 0
0 0 0
0 1730 0
160 0 0
941 800 0
1088 0 100
30 0 0
120 0 0
0 0 0
0 0 0
0 0 0
26 0 0
36 0 0
0 0 0
0 0 0
120 0 0
2700 0 0
3500 0 0
0 60 0
16 0 0
0 0 0
0 0 0
13 0 0
0 0 0
0 0 0
270 0 0
0 0 0
0 0 0
697 0 0
0 0 0
0 0 0
79 0 0
1705 0 0
60 0 0
0 0 0
0 595 0
0 0 0
4633 0 0
54 0 0
94 0 0
24 0 0
0 0 0
48 24 0
0 0 0
100 0 0
2300 0 0
1225 500 0
0 38700 0
20 0 0
1570 0 0
450 0 0
320 0 0
600 0 0
400 0 0
0 0 0
96 0 0
600 0 0
1100 0 0
0 0 0
0 0 0
0 0 0
400 0 0
115 0 0
0 0 0
0 0 0
21570 10500 0
0 0 0
500 0 0
0 0 0
41 0 0
121 0 0
65 0 0
0 0 0
19260 0 0
0 48 0
0 0 0
0 0 0
0 0 0
390 0 0
500 0 0
480 0 0
0 0 0
2200 0 0
0 0 0
0 0 0
300 0 0
300 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
3340 0 0
5000 1901 0
200 0 0
0 0 0
2200 0 0
0 0 0
1670 0 0
0 0 0
0 0 0
193 0 0
0 0 0
0 0 0
1100 0 0
3560 0 0
1180 1100 0
80 0 0
0 0 0
217 0 0
0 0 0
250 0 0
265 38 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
47 0 0
75 0 0
0 0 0
80 0 0
0 1185 0
0 0 0
0 0 0
0 0 0
29700 20200 0
0 0 0
475 260 0
0 0 0
0 0 0
200 0 0
50 0 0
0 0 0
19240 0 0
0 1480 0
0 1020 0
0 0 0
16230 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
200 570 0
0 0 0
0 0 0
3195 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
60 0 0
1260 0 0
610 0 0
48 0 0
173 0 0
0 0 0
1 0 0
30 0 0
0 0 0
0 0 0
0 0 0
1790 0 0
0 1940 0
10 0 0
8 0 0
0 0 0
18980 0 0
0 0 0
0 0 0
1000 0 0
0 0 0
0 0 0
16220 0 0
469 0 0
0 0 0
0 0 0
0 0 0
80 0 0
16320 0 200
0 0 0
4 0 0
0 0 0
0 0 0
1905 0 0
79 0 0
0 0 0
1890 0 0
0 0 60
0 0 0
0 0 0
2000 0 0
23 0 0
600 0 0
0 0 0
0 0 0
0 0 0
0 0 780
0 0 0
0 80 0
0 0 0
0 120 0
0 8 0
0 42 0
0 0 25
0 0 5
0 0 32
0 0 31
0 0 11
0 0 2
0 0 0
0 0 0
0 0 0
0 12 0
50 0 0
0 0 0
148 0 0
0 180 0
0 0 0
0 2370 0
0 100 0
0 850 0
0 46 0
0 2000 0
0 258 0
15 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
30 0 0
120 0 0
0 0 0
100 0 0
1210 0 0
200 0 0
0 0 0
0 0 0
600 0 0
200 0 0
2300 400 0
400 500 0
40 0 0
0 0 0
12 0 0
74 15 0
10 0 0
10 0 0
0 0 0
0 0 0
1800 0 0
96 0 0
0 0 0
0 0 0
0 0 0
0 0 0
18 0 0
100 0 0
0 1000 0
0 400 0
0 50 0
0 45 0
0 0 0
10 0 0
10 0 0
0 0 0
30 0 0
0 0 0
0 0 0
25 0 0
25 0 0
35 0 0
145 0 0
400 0 0
150 0 0
17 0 0
0 1 0
0 1350 0
4 0 17
15 0 0
0 13200 0
0 10800 0
18 0 4
0 0 0
3 0 0
16 0 0
48 0 0
7 0 0
0 5 0
0 0 0
1 0 0
0 0 0
0 0 0
0 10 0
6 13 0
0 3 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
5 0 0
15 0 0
10 0 0
15 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
0 159 0
0 0 0
0 8 0
0 4 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
3 0 0
5 0 0
200 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 1 0
0 0 0
5 0 0
0 0 0
0 0 0
19 0 0
0 0 0
0 0 0
36 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
7 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
365,623 133,057 1,267 -
365,647 133057 1267 stok awal penerimaanpemakaian
554,647 gudang 503,399 2,978 23,675
apotik 34,882 0 17,637
503,399

503,399 2,384 41,422


34,882 18341 17637

42,016

35,586
November 2020
KET. PEMAKAIAN TOTAL(GUDANG + APOTIK)
JUMLAH PKD BLUD PROG

7 0 0
0 0 0
375 0 0
0 0 0
0 0 0
210 0 0
0 0 0
6 0 0
220 0 0
0 0 0
500 0 0
0 0 0
490 0 0
0 0 0
965 0 0
72 0 0
0 0 0
69 0 0
0 0 0
0 0 0
0 0 0
102 0 0
0 0 0
1450 0 0
73 0 0
0 0 0
25 0 0
41 0 0
0 0 0
0 1848 0
2012 0 0
0 0 0
1750 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
9 0 0
0 0 0
11 0 0
0 0 0
0 0 0
0 0 0
0 0 0
20 0 0
0 0 0
0 0 0
260 0 0
280 0 0
0 0 0
0 0 0
0 0 0
0 560 0
0 0 0
46 0 0
0 0 0
0 0 0
0 0 0
100 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
500 0 0
500 0 0
0 0 0
2 0 0
0 0 0
0 0 0
1 0 0
0 0 0
0 0 0
60 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
4 0 0
115 0 0
0 0 0
0 0 0
0 0 0
0 0 0
163 0 0
25 0 0
0 0 0
26 0 0
0 0 0
2 0 0
0 0 0
0 0 0
20 0 0
0 0 0
0 1640 0
0 0 0
10 0 0
50 0 0
0 0 0
0 0 0
0 0 0
0 0 0
48 0 0
0 0 0
380 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
2740 0 0
0 0 0
0 0 0
0 0 0
0 0 0
2 0 0
0 0 0
0 0 0
1395 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
30 0 0
0 0 0
0 0 0
500 0 0
0 0 0
0 0 0
60 0 0
100 0 0
0 0 0
0 0 0
0 0 0
5 0 0
5 0 0
0 0 0
0 0 0
120 0 0
0 159 0
0 0 0
0 0 0
0 0 0
0 0 0
65 0 0
0 0 0
0 0 0
10 0 0
0 0 0
0 0 0
0 0 0
802 0 0
20 0 0
7 0 0
0 0 0
18 0 0
0 0 0
14 0 0
0 7 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1 0 0
25 0 0
0 0 0
0 0 0
0 605 0
0 0 0
0 0 0
0 0 0
2060 0 0
0 0 0
24 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
250 0 0
0 175 0
0 60 0
0 0 0
1300 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
459 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
240 0 0
10 0 0
0 0 0
23 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1940 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1720 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
380 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
2700 0 0
0 0 0
3 0 0
0 0 0
0 0 0
0 0 0
3 0 0
0 0 0
190 0 0
0 0 0
0 0 0
0 0 0
20 0 0
7 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 20 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
50 0 0
2 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 72 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
12 0 0
0 0 300
0 0 0
200 0 0
0 0 0
0 0 0
0 0 0
300 0 0
0 0 0
200 0 30
100 0 300
2 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
200 2800 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
22 0 0
400 0 0
300 200 300
300 100 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
9 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
13 0 0
0 0 0
140 0 0
1 0 0
0 0 0
0 800 0
0 0 0
0 0 0
0 100 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
1 0 36
0 0 0
0 2 0
0 0 0
1 0 0
3 0 0
0 0 0
0 2 0
0 4 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 600
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 0
14 0 0
0 0 0
0 5 0
0 0 0
0 2 0
0 0 0
0 0 0
0 6 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 2 0
1 0 0
0 0 0
50 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
0 0 0
0 0 0
0 0 0
9 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
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0

30,577 9,169 1,566 41,312


sisa cek
482,702
17,245 41,312
499,947

464,361 464,361
35,586 35,586
499,947 -

464,361
-
PUSKESMAS PAAL X KOTA JAMBI
KODE. 5070101
LAPORAN PEMAKAIAN DAN

STOK AWAL PENERIMAAN


NO. NAMA BARANG SATUAN
PKD BLUD PROG JUMLAH PKD BLUD

OBAT
1 Panvit-c tab 0 0 0 0 0 0
2 As.askorbat inj Ampul 49 0 0 49 0 0
3 Neurobion inj Ampul 0 0 0 0 60 0
1600 0 0 1600 0 0
BMHP 2700 400 30
0 0
4 Desinfektan 5ltr btl 0 0 0 0 0 0
5 Desinfektan 500 ml btl 0 1 0 1 0 0
6 RDT covid Pcs 0 0 0 0 0 0

4349 401 30 1650 60 0

339,230 167,385 7,326 513941 35,649 -

Mengetahui
Kepala UPTD Puskesmas Paal X Kota Jambi

dr.Hj.SRI ROSIANTI
NIP. 19720704 200701 2 017
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT ( LPLPO )

PENERIMAAN PERSEDIAAN PEMAKAIAN STOK AKHIR

PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH PKD BLUD PROG JUMLAH

2 2 0 0 2 2 0 0 2 2 0 0 0 0
0 0 49 0 0 a 0 0 0 0 49 0 0 49
0 60 60 0 0 60 4 0 0 4 56 0 0 56
0 0 1600 0 0 1600 1200 0 0 1200 400 0 0 400

0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1 0 1 0 1 0 1 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0

2 62 1709 1 2 1663 1204 1 2 1207 505 0 0 505

602 36,251 1,712 34875 10944 387 46206 340,004 156,441 7541 503,986

###

JENIS PELAYANAN PUSKESMAS PAAL X PUSTU


R/ UMUM 209 48
R/ BPJS 562 25
R/ JAMKESDA 0 30
Jlh. Recipe 2184 412
Jlh R/ Generik 2184 412
R/ Antibiotik 107 40

Jambi, A

SRI HAR
NIP. 1982082
Bulan : Juli 202
PEMAKAIA PERMINTAA PEMBERIAN
KET.
N
N
RATA2/BLN PKD PROG JUMLAH

PUSTU POSKESDES JUMLAH


48 10 267
25 9 596
30 0 30
412 72 2668
412 72 2668
40 23 170

Jambi, Agustus 2020

SRI HARTATY, AMF


NIP. 19820825 200502 2 001
STOK AWAL
NO. NAMA BARANG SATUAN
JANUARI FEBRUARI
PKD BLUD PROG Jumlah PKD BLUD PROG PKD BLUD PROG
OBAT

1 Panvit-c tab 0 0 0 0 0 0 0 0 0 0
2 As.askorbat inj Ampul 0 0 0 0 0 0 0 0 0 0
3 Neurobion inj Ampul 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
JUMLAH OBAT 0 0 0 0 0 0 0 0 0 0
BMHP
4 Alkohol 96% 5ltr Btl 0 0 0 0 0 0 0 0 0 0
5 Alkohol96% 1ltr Btl 0 0 0 0 0 0 0 0 0 0
6 Handscrub 5ltr Btl 0 0 0 0 0 0 0 0 0 0
7 Nald 23 Psc 0 0 0 0 0 0 0 0 0 0
8 Nald 26 Psc 0 0 0 0 0 0 0 0 0 0
9 Desinfektan 5ltr btl 0 0 0 0 0 0 0 0 0 0
10 Desinfektan 500 ml btl 0 0 0 0 0 0 0 0 0 0
11 RDT covid Pcs 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
JUMLAH BMHP 0 0 0 0 0 0 0 0 0 0

JUMLAH SELURUHNYA - - - - - - - - - -

Mengetahui,
Kepala Puskesmas

drg. Gufrinaldi Ansar


NIP. 199700830 200112 1 002
PENERIMAAN

MARET APRIL MEI JUNI JULI AGUSTUS

PKD BLUD PROG PKD BLUD PROG PKD BLUD PROG PKD BLUD PROG PKD BLUD PROG PKD BLUD

0 0 120 0 0 120 0 0 0 0 0 0 0 0 0 0 0
0 0 10 0 0 10 0 0 0 0 0 0 0 0 0 0 0
0 0 30 0 0 30 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 0 160 0 0 160 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 40 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 4 0 0 40 0 0 0 0 0 0 0 0

- - 160 - - 164 - - 40 - - - - - - - -
REKAPITULASI PENERIMAAN DAN PENGELUARAN OBAT, BMHP DAN BA
TAHUN 2020

JUMLAH PENERIMAAN

AGUSTUS SEPTEMBER OKTOBER NOVEMBER DESEMBER

PROG PKD BLUD PROG PKD BLUD PROG PKD BLUD PROG PKD BLUD PROG PKD BLUD PROG

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 240
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60
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 0 320

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40

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 44

- - - - - - - - - - - - - - - 364
AN OBAT, BMHP DAN BAHAN LABOR UPTD PUSKESMAS PAAL X KOTA JAMBI
TAHUN 2020

H PENERIMAAN
JANUARI FEBRUARI MARET APRIL MEI

TOTAL PKD BLUD PROG PKD BLUD PROG PKD BLUD PROG PKD BLUD PROG PKD BLUD

240 0 0 0 0 0 0 40 0 0 0 0 0
20 0 0 0 0 0 0 0 0 0 0 0 0
60 0 0 0 0 0 0 0 0 0 20 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
320 0 0 0 0 0 0 0 0 40 0 0 20 0 0

2 0 0 0 0 0 0 0 0 0 0 0 0

5 0 0 0 0 0 0 0 0 0 0 0 0

2 0 0 0 0 0 0 0 0 0 0 0 0

30 0 0 0 0 0 0 0 0 0 30 0 0
30 0 0 0 0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0 0 0 0 0 0
40 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
44 0 0 0 0 0 0 0 0 0 0 0 0 0 0

364 - - - - - - - - 40 - - 20 - -
PENGELUARAN

MEI JUNI JULI AGUSTUS SEPTEMBER OKTOBER

PROG PKD BLUD PROG PKD BLUD PROG PKD BLUD PROG PKD BLUD PROG PKD BLUD

0 0 0 0 0 0 130 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 0 0 0 0 0 0
0 0 0 0 0 0 130 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 2 0 0 0 0 0 0 0 0

2 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 0 0 0 1 0 0 0 0 0 0 0 0
0 0 0 0 0 0 2 0 0 0 0 0 0 0 0
40 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
40 0 0 0 0 0 3 0 0 0 0 0 0 0 0

40 - - - - - 133 - - - - - - - -
JUMLAH PENGELUARAN SISA STOK
OKTOBER NOVEMBER DESEMBER

PROG PKD BLUD PROG PKD BLUD PROG PKD BLUD PROG JUMLAH PKD BLUD PROG

0 0 0 0 0 0 0 0 0 170 170 0 0 70
0 0 0 0 0 0 0 0 0 0 0 0 0 20
0 0 0 0 0 0 0 0 0 20 20 0 0 40
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 190 190 0 0 130

0 0 0 0 0 0 0 0 0 0 0 0 0 2

0 0 0 0 0 0 0 0 0 2 2 0 0 3

0 0 0 0 0 0 0 0 0 2 2 0 0 0

0 0 0 0 0 0 0 0 0 30 30 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 30

0 0 0 0 0 0 0 0 0 1 1 0 0 1

0 0 0 0 0 0 0 0 0 2 2 0 0 0

0 0 0 0 0 0 0 0 0 40 40 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 43 43 0 0 1

- - - - - - - - - 233 233 - - 131

Jambi, Agustus 2020


Pengelola Obat Puskesmas Paal X

Sri hartaty, AM.F


NIP. 19820825 200502 2001
SISA STOK

JUMLAH

70
20
40
0
130

30

0
1

131

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