LKO 2022 LK TUPABBIRING EDIT Fix

LAPORAN PERSEDIAAN OBAT, VAKSIN DAN BAHAN MEDIS HABIS PAKAI (BMHP)
TAHUN ANGGARAN 2022
PUSKESMAS : LIUKANG TUPABBIRING
SUMBER ANGGARAN NO NAMA OBAT/BMHP SATUAN HARGA STOK AWAL JANUARI 2023 PENERIMAAN PEMAKAIAN SISA STOK 31 JANUARI 2022
URUT SATUAN (Rp)
JUMLAH NILAI JUMLAH NILAI JUMLAH NILAI JUMLAH NILAI
1 2 3 4 5 6 7
APBD II (DAU) 89 Alat suntik sekali pakai 1 ml (Ciringe) Pcs 1,102.20 170 187,374.00 - - 170 187,374.00 187,374.00
Alat suntik sekali pakai 1 ml (Ciringe) Pcs 1,062.30 100 106,230.00 100 106,230.00 106,230.00
APBD II (DAU) 24 Alat suntik sekali pakai 3 ml (Ciringe) Pcs 995.50 - - - - - -
APBD II (DAU) 76 Alkohol 70 % Botol 37,638.70 - - - - - -
APBD II (DAU) 50 Alkohol 70 % Botol 37,638.70 6 225,832.20 - - 6 225,832.20 225,832.20
APBD II (DAU) 30 Alkohol 70% Botol 37,638.700 10 376,387.00 - 10 376,387.00 376,387.00
APBD II (DAU) 3 Alkohol Swab Kotak 30,000.00 20 600,000.00 - - 20 600,000.00 600,000.00
APBD II (DAU) 1 Alkohol Swab Kotak 100 pcs 30,000.00 - - - - - -
APBD II (DAU) 6 Ambroxol HCl 30 mg Tablet 224.40 1400 314,160.00 - 500.00 112,200.00 900 201,960.00 201,960.00
APBD II (DAU) 7 Ambroxol HCl 30 mg Tablet 224.40 - - - - - -
APBD II (DAU) 10 Amlodipin 10 mg Tablet 74.00 1300 96,200.00 - 1,000.00 74,000.00 300 22,200.00 22,200.00
APBD II (DAU) 11 Amlodipin tablet 10 mg Tablet 74.00 - - - - - -
APBD II (DAU) 12 Amlodipin tablet 5 mg Tablet 55.00 350 19,250.00 - 200.00 11,000.00 150 8,250.00 8,250.00
APBD II (DAU) 13 Amoksisillin 500 mg Kapsul 231.00 5000 1,155,000.00 - 200.00 46,200.00 4,800 1,108,800.00 1,108,800.00
APBD II (DAU) 14 Amoksisillin 500 mg Kapsul 231.00 600 138,600.00 - - 600 138,600.00 138,600.00
APBD II (DAU) 1 Amoksisillin 500 mg Kapsul 231.00 - - - - - -
2
APBD II (DAU) Amoksisillin 500 mg Kapsul 231.00 - - - - - -
APBD II (DAU) 3 Amoksisillin 500 mg Kapsul 231.00 - - - - - -
APBD II (DAU) 4 Antasida Doen Tablet 54.00 2800 151,200.00 - - 2,800 151,200.00 151,200.00
APBD II (DAU) 5 Antasida Doen Tablet Tablet 54.00 - - - - - -
APBD II (DAU) 8 Antasida Suspensi Botol 60 ml 1,756.00 4 7,024.00 - - 4 7,024.00 7,024.00
9
APBD II (DAU) Antasida Suspensi Botol 60 ml 1,756.00 50 87,800.00 - - 50 87,800.00 87,800.00
APBD II (DAU) 10 Antasida Suspensi Botol 60 ml 1,756.00 20 35,120.00 - - 20 35,120.00 35,120.00
APBD II (DAU) 11 Antihemoroid suppo Supp 3,260.00 - - - - - -
APBD II (DAU) 2 Antihemoroid suppo Supp 3,260.00 20 65,200.00 - - 20 65,200.00 65,200.00
APBD II (DAU) 3 Asam Askorbat 50 mg Tablet 46.00 - - - - - -
APBD II (DAU) 4 Asam Mefenamat 500 mg Tablet 117.00 1000 117,000.00 - - 1,000 117,000.00 117,000.00
APBD II (DAU) 5 Asam Mefenamat 500 mg Tablet 117.00 2000 234,000.00 - - 2,000 234,000.00 234,000.00
APBD II (DAU) 6 Becefort sirup Botol 60 ml 17,325.00 10 173,250.00 6 103,950.00 - 16 277,200.00 277,200.00
APBD II (DAU) 7 Becefort sirup Botol 60 ml 17,325.00 240 4,158,000.00 - - 240 4,158,000.00 4,158,000.00
APBD II (DAU) 8 Benecheck Strip cholesterol Pcs 25,283.92 100 2,528,392.30 - 100.00 2,528,392.30 - - -
APBD II (DAU) 9 Benecheck Strip cholesterol Pcs 25,283.92 100 2,528,392.30 - 100.00 2,528,392.30 - - -
APBD II (DAU) 10 Benecheck Strip Glucose Pcs 3,206.20 - - - - - -
APBD II (DAU) 11 Benecheck Strip Uric Acid Pcs 6,689.54 300 2,006,862.00 - - 300 2,006,862.00 2,006,862.00
APBD II (DAU) 12 Benecheck Strip Uric Acid Pcs 6,689.54 100 668,954.00 - - 100 668,954.00 668,954.00
Page 1
URUT SATUAN (Rp)
1 2 3 4 5 6 7
APBD II (DAU) 2 Ciprofloxacin Tablet 260.000 1300 338,000.00 - 1,300 338,000.00 338,000.00
APBD II (DAU) 3 Ciprofloxacin Tablet 260.00 - - - - - -
APBD II (DAU) 4 Ciprofloxacin Tablet 260.00 600 156,000.00 - - 600 156,000.00 156,000.00
Chlodine Hand scrub 2% Botol 500ml 70,000.00 9 630,000.00 - 9 630,000.00
APBD II (DAU) 5 Deksametason tab 0,5 mg Tablet 151.80 2000 303,600.00 - 1,600.00 242,880.00 400 60,720.00 60,720.00
APBD II (DAU) 6 Deksamethason 0,5 mg Tablet 151.80 - - - - - -
APBD II (DAU) 2 Dextrose 5% (Satoria) Botol 6,627.00 - - - - - -
APBD II (DAU) 3 Dextrose 5% (Satoria) Botol 6,627.00 40 265,080.00 - 20.00 132,540.00 20 132,540.00 132,540.00
APBD II (DAU) 4 Dextrose 5% (Satoria) Botol 6,627.00 - - - - - -
APBD II (DAU) 5 Diazepam 2 mg Tablet 70.00 400 28,000.00 - 374.00 26,180.00 26 1,820.00 1,820.00
APBD II (DAU) 6 Diazepam tablet 2 mg Tablet 70.00 - - - - - -
APBD II (DAU) 7 Dimenhidrinat 50 mg Tablet 109.00 - - - - - -
APBD II (DAU) 8 Domperidon suspensi 5 mg/ 5 ml Botol 60 ml 2,401.00 - - - - - -
APBD II (DAU) 11 Domperidon tablet 10 mg Tablet 75.00 500 37,500.00 - - 500 37,500.00 37,500.00
APBD II (DAU) 12 Doxycyclin 100 mg Kapsul 289.000 200 57,800.00 - 200 57,800.00 57,800.00
APBD II (DAU) 13 Face Mask Head Loop Kotak/50 pcs 47,551.35 - - - - - -
APBD II (DAU) 14 Fit D3 1000 Tablet 2,178.00 2100 4,573,800.00 - - 2,100 4,573,800.00 4,573,800.00
APBD II (DAU) 15 Fit D3 1000 Tablet 2,178.00 930 2,025,540.00 - - 930 2,025,540.00 2,025,540.00
APBD II (DAU) 16 Fitomenadion (Vit K1)tablet salut gula 10 Tablet 781.00 - - - - - -
APBD II (DAU) 19 Glimepirid 1 mg Tablet 96.00 - 4,500 432,000.00 1,100.00 105,600.00 3,400 326,400.00 326,400.00
APBD II (DAU) 1 Glimepirid tab 1 mg Tablet 96.00 - - - - - -
APBD II (DAU) 2 Glimepirid tab 1 mg Tablet 96.00 2000 192,000.00 - - 2,000 192,000.00 192,000.00
APBD II (DAU) 4 Glimepirid tab 1 mg Tablet 96.00 200 19,200.00 - - 200 19,200.00 19,200.00
APBD II (DAU) 5 Glimepirid tab 1 mg Tablet 96.00 3000 288,000.00 - - 3,000 288,000.00 288,000.00
APBD II (DAU) 6 Griseofulvin 125 mg Tablet 210.00 200 42,000.00 - - 200 42,000.00 42,000.00
APBD II (DAU) 7 Griseofulvin 125 mg Tablet 210.00 1000 210,000.00 500 105,000.00 - 1,500 315,000.00 315,000.00
APBD II (DAU) 8 Guafenesin tab Tablet 152.90 - - - - - -
APBD II (DAU) 12 Guafenesin tab Tablet 152.90 2100 321,090.00 - 800.00 122,320.00 1,300 198,770.00 atur 198,770.00
APBD II (DAU) 13 Guafenesin tab Tablet 152.90 2000 305,800.00 - - 2,000 305,800.00 305,800.00
APBD II (DAU) 14 Guaifenesin 100 mg Tablet 152.90 4000 611,600.00 - 800.00 122,320.00 3,200 489,280.00 489,280.00
APBD II (DAU) 15 Hemafort tab Tablet 854.70 2000 1,709,397.80 - - 2,000 1,709,397.80 1,709,397.80
APBD II (DAU) 16 Ibuprofen syrup 200 mg/5 ml Botol 3,392.00 - - - - - -
APBD II (DAU) 3 Infusion set dewasa Pcs 6,584.00 - - - - - -
APBD II (DAU) 4 IV catheher 20 G (abbocath T) Pcs 16,000.000 - - - - -
APBD II (DAU) 5 Kalsium Laktat 500 mg Tablet 60.000 - - - - -
APBD II (DAU) 6 Kalsium Laktat 500 mg Tablet 60.00 1700 102,000.00 - - 1,700 102,000.00 102,000.00
APBD II (DAU) 7 Kaptopril 25 mg Tablet 75.000 500 37,500.00 - 500 37,500.00 37,500.00
APBD II (DAU) 8 Kasa pembalut hidrofil 40 x 80 Pcs 156,200.00 - - - - - -
APBD II (DAU) 9 Kasa pembalut hidrofil 40 x 80 Pcs 156,200.00 - - - - - -
APBD II (DAU) 10 Ketokonazol Tablet 260.00 500 130,000.00 - - 500 130,000.00 130,000.00
APBD II (DAU) 11 Ketokonazole 200 mg Tablet 260.000 300 78,000.00 - 300 78,000.00 78,000.00
APBD II (DAU) 12 Kloramfenikol Salep Kulit (Bufacetin) Tube 3,760.00 7 26,320.00 - - 7 26,320.00 26,320.00
APBD II (DAU) 13 Kloramfenikol Salep Kulit (Bufacetin) Tube 3,760.00 - - - - - -
APBD II (DAU) 1 Klorfeniramin maleat (CTM) tablet 4 mg Tablet 24.00 - - - - - -
Page 2
URUT SATUAN (Rp)
1 2 3 4 5 6 7
APBD II (DAU) 6 Kotrimoksasol suspensi 240 mg/5 ml Botol 60 ml 2,100.00 - - - - - -
APBD II (DAU) 8 Kotrimoksasol suspensi 240 mg/5 ml Botol 60 ml 2,100.00 82 172,200.00 - 5.00 10,500.00 77 161,700.00 161,700.00
APBD II (DAU) 11 Kotrimoxsazol suspensi Botol 2,100.00 - - - - - -
APBD II (DAU) 12 MetforminHCl 500 mg Tablet 77.00 - - - - - -
APBD II (DAU) 15 Metilergometrin maleat 0,125 mg Tablet 214.00 100 21,400.00 - - 100 21,400.00 21,400.00
APBD II (DAU) 16 Metilergometrin maleat 0,125 mg Tablet 214.00 - - - - - -
APBD II (DAU) 1 Mikonazole krim 2% (Nitrat) Tube 10 gram 1,900.00 - - - - - -
APBD II (DAU) 2 Mikonazole krim 2% (Nitrat) Tube 10 gram 1,900.00 93 176,700.00 - 10.00 19,000.00 83 157,700.00 157,700.00
APBD II (DAU) 6 NaCl 0,9% Botol 6,900.00 20 138,000.00 - 20.00 138,000.00 - - -
APBD II (DAU) 7 NaCl 0,9% Botol 6,900.00 40 276,000.00 - - 40 276,000.00 276,000.00
APBD II (DAU) 8 NaCl 0,9% Botol 6,900.00 40 276,000.00 - - 40 276,000.00 276,000.00
APBD II (DAU) 9 Natrium Diklofenak 50 mg Tablet 109.00 - - - - - -
APBD II (DAU) 10 Non woven fixation 5 cm x 10 m (aximed) Roll 44,781.00 5 223,905.00 - - 5 223,905.00 223,905.00
APBD II (DAU) 11 Non woven fixation 5 cm x 10 m (aximed) Roll 44,781.00 5 223,905.00 - - 5 223,905.00 223,905.00
APBD II (DAU) 12 Obat Batuk Hitam (Herbakof Syrup) Botol 14,273.00 - - - - - -
APBD II (DAU) 13 Obat Batuk Hitam (Herbakof Syrup) Botol 14,273.00 20 285,460.00 - - 20 285,460.00 285,460.00
APBD II (DAU) 1 Obat Batuk Hitam (Herbakof Syrup) Botol 14,273.00 100 1,427,300.00 - - 100 1,427,300.00 1,427,300.00
APBD II (DAU) 2 Obat Batuk Hitam (Herbakof Syrup) Botol 14,273.00 - - - - - -
APBD II (DAU) 3 Oksitetrasiklin 1 % Salep Mata Tube 3,500.00 - - - - - -
APBD II (DAU) 4 Omeprazol 20 mg Tablet 129.000 - - - - -
APBD II (DAU) 5 Omeprazol 20 mg Tablet 129.00 1000 129,000.00 - 300.00 38,700.00 700 90,300.00 90,300.00
APBD II (DAU) 6 Omeprazol 20 mg Tablet 129.00 - - - - - -
APBD II (DAU) 7 Parasetamol sirup Botol 1,160.00 - 50 58,000.00 30.00 34,800.00 20 23,200.00 23,200.00
APBD II (DAU) 8 Parasetamol sirup Botol 60 ml 1,160.00 - - - - - -
APBD II (DAU) 9 Parasetamol sirup Botol 60 ml 1,160.00 - - - - - -
APBD II (DAU) 10 Parasetamol sirup Botol 60 ml 1,160.00 58 67,280.00 - - 58 67,280.00 67,280.00
APBD II (DAU) 11 Plester Nonwoven Fixation (aximed) Pcs 44,781.00 5 223,905.00 - - 5 223,905.00 223,905.00
APBD II (DAU) 12 Prednison tab 5 mg Tablet 73.00 2800 204,400.00 - 500.00 36,500.00 2,300 167,900.00 167,900.00
APBD II (DAU) 13 Pritavit Kaplet Kaplet 1,027.95 400 411,180.00 - - 400 411,180.00 411,180.00
APBD II (DAU) 14 Pritavit Kaplet Kaplet 1,027.95 2000 2,055,900.00 - - 2,000 2,055,900.00 2,055,900.00
APBD II (DAU) 15 Pritavit Kaplet Kaplet 1,027.95 1000 1,027,950.00 - - 1,000 1,027,950.00 1,027,950.00
APBD II (DAU) 16 Ranitidin 150 mg Tablet 85.00 1000 85,000.00 - 1,000 85,000.00 85,000.00
APBD II (DAU) 17 Ranitidin 150 mg Tablet 85.00 - - - - - -
APBD II (DAU) 18 Sianokobalamin (Vit B12) 50 mcg Tablet 44.00 3000 132,000.00 - 700.00 30,800.00 2,300 101,200.00 101,200.00
APBD II (DAU) 19 Sianokobalamin (Vit B12) 50 mcg Tablet 44.00 1200 52,800.00 - - 1,200 52,800.00 52,800.00
APBD II (DAU) 20 Sianokobalamin (Vit B12) 50 mcg Tablet 44.00 - - - - - -
APBD II (DAU) 21 Sianokobalamin (Vit B12) 50 mcg Tablet 44.00 - - - - - -
APBD II (DAU) 22 Simvastatin tablet salut 10 mg Tablet 73.00 1500 109,500.00 - 1,500 109,500.00 109,500.00
APBD II (DAU) 23 Simvastatin tablet salut 20 mg Tablet 150.00 - - - - - -
APBD II (DAU) 27 Softanol Botol 500 ml 57,750.00 20 1,155,000.00 10 577,500.00 - 30 1,732,500.00 1,732,500.00
APBD II (DAU) 28 Softanol Botol 500 ml 57,750.00 10 577,500.00 - - 10 577,500.00 577,500.00
APBD II (DAU) 29 Softanol Botol 500 ml 57,750.00 - - - - - -
APBD II (DAU) 30 Water For Injection 25 ml(Satoria) Ampul 2,650.00 20 53,000.00 - - 20 53,000.00 53,000.00
- - - - -
39,244,372.60 2,012,680.00 6,360,324.60 34,896,728.00 34,896,728.00
Page 3
URUT SATUAN (Rp)
1 2 3 4 5 6 7
- - -
BIAN 1 Alat suntik sekali pakai 0,5 ml ( One Ject Pcs 1,650.00 200 330,000.00 - 200.00 330,000.00 - - -
BIAN 1 Alat suntik sekali pakai 0,5 ml ( One Ject Pcs 1,650.00 299 493,350.00 - 299.00 493,350.00 - - -
BIAN 1 Vaksin DPT HB HiB Vial 78,991.00 79 6,240,289.00 - 79.00 6,240,289.00 - - -
BIAN 2 Vaksin MR Vial 155,813.00 43 6,699,959.00 - 43.00 6,699,959.00 - - -
BIAN 1 Vaksin MR Vial 155,813.00 148 23,060,324.00 - 148.00 23,060,324.00 - - -
BIAN 2 Vaksin polio IPV Vial 158,994.00 35 5,564,790.00 - 35 5,564,790.00 - - -
BIAN 3 Vaksin polio IPV Vial 158,994.00 10 1,589,940.00 - 10.00 1,589,940.00 - - -
BIAN 4 Vaksin polio IPV Vial 158,994.00 12 1,907,928.00 - 12.00 1,907,928.00 - - -
BIAN 5 Vaksin Polio Oral (OPV) Vial 19,954.00 29 578,666.00 - 29.00 578,666.00 - - -
- - -
46,465,246.00 - 46,465,246.00 - -
- - -
BIAYA TAK TERDUGA (B 1 Baju Hasmat/ APD Pcs 180,000.000 23 4,140,000.00 - 23 4,140,000.00 4,140,000.00
BIAYA TAK TERDUGA (B 13 Face shield anti droplet Pcs 38,000.00 - - - -
BIAYA TAK TERDUGA (B 14 Sarung Tangan L Box/100 200,000.000 - - - -
BIAYA TAK TERDUGA 1 Sarung Tangan L Box/100 200,000.000 23 4,600,000.00 - 23 4,600,000.00 4,600,000.00
- - -
8,740,000.00 - - 8,740,000.00 8,740,000.00
- - -
DAK BMHP 1 Alat suntik sekali pakai 1 ml Pcs 1,051.85 - - - -
DAK BMHP 2 Alat suntik sekali pakai 3 ml Pcs 967.92 - - - -
DAK BMHP 3 Alat suntik sekali pakai 3 ml Pcs 967.92 - - - -
DAK BMHP 4 Blood Lancet ( Ekomed) Kotak 23,606.00 - - - -
DAK BMHP 5 Blood Lancet ( Ekomed) Kotak 16,401.00 - - - -
DAK BMHP 1 Blood Lancet ( Medso Care) Kotak 23,606.00 - - - -
DAK BMHP 2 Catgut 2/0 Pcs 51,877.00 - - - -
DAK BMHP 3 Catgut 3/0 (Optime) Pcs 75,020.00 - - - -
DAK BMHP 4 Chlodine Jergen 414,739.00 - - - -
DAK BMHP 5 Chlodine 0,5 % Jergen 414,739.00 - - - -
DAK BMHP 6 Chromic surgical catgut suture 3/0 (kulit) Pcs 49,491.00 - - - -
DAK BMHP 2 Chromic surgical catgut suture CG342 Pcs 49,491.00 - - - -
DAK BMHP 3 Chromic surgical catgut suture CG342 Pcs 49,491.00 - - - -
DAK BMHP 4 Examination gloves size M Pcs 1,740.20 - - - -
DAK BMHP 5 Folley Catheher No. 16 Pcs 11,945.23 - - - -
DAK BMHP 9 Golden Glove Powder Free Size L Pcs 1,485.00 500 742,500.00 - 500 742,500.00 742,500.00
DAK BMHP 1 Golden Glove Powder Free Size L Pcs 1,485.00 - - - -
DAK BMHP 4 Golden Glove Powder Free Size M Pcs 1,485.00 - - - -
DAK BMHP 7 Golden Glove Powder Free Size S Pcs 1,485.00 - - - -
DAK BMHP 3 Infus set Anak Pcs 3,592.27 - - - -
DAK BMHP 6 Infus set Anak ( Abada ) Pcs 5,566.00 - - - -
DAK BMHP 7 Infus set dewasa (Medso care) Pcs 9,936.00 - - - -
DAK BMHP 8 Infus set dewasa (Medso care) Pcs 9,936.00 - - - -
DAK BMHP 9 IV Catheter 18 G ( Fesco ) Pcs 7,992.00 - - - -
DAK BMHP 10 IV Catheter 20 G ( Ekomed ) Pcs 5,827.00 - - - -
Page 4
URUT SATUAN (Rp)
1 2 3 4 5 6 7
DAK BMHP 8 Kasa 40 x 80 cm Roll 157,620.00 1 157,620.00 - 1 157,620.00 157,620.00
DAK BMHP 9 Kasa 40 x 80 cm Roll 157,620.00 - - - -
DAK BMHP 1 Kasa 40 x 80 cm Roll 157,620.00 - - - -
DAK BMHP 2 Kasa 40 x 80 cm (Medso Care) Roll 157,620.00 - - - -
DAK BMHP 3 Masker ear loop Box/50 pcs 63,250.00 - - - -
DAK BMHP 4 Nasal Oxygen Anak Pcs 9,794.00 - - - -
DAK BMHP 5 Oxygen Mask Anak Pcs 11,656.00 - - - -
DAK BMHP 6 Oxygen Mask Dewasa Pcs 11,656.00 - - - -
DAK BMHP 1 Plus Surgical glove steril size 7,0 (Tro S Pcs 13,563.00 - - - -
DAK BMHP 5 Polipix 5 cm x 5 m Roll 41,100.00 - - - -
DAK BMHP 10 Silk 3/0 Pcs 36,542.00 - - - -
DAK BMHP 11 Surgical glove steril size 7,0 (Tro Sensos Pcs 8,635.00 - - - -
DAK BMHP 12 Surgical glove steril size 7,5 (Tro Sensos Pcs 8,635.00 - - - -
DAK BMHP 13 Urine Bag (Medso Care) Pcs 10,165.00 - - - -
- - -
- 900,120.00 - 900,120.00 900,120.00
- - -
DAK NON FISIK 1 Heclin handrub 0,5% Botol 50 ml 27,500.000 0.00 - - -
DAK NON FISIK 2 Heclin handrub 0,5% Botol 50 ml 27,500.00 43 1,182,500.00 - - 43 1,182,500.00 1,182,500.00
DAK NON FISIK 3 Maxter Exam Glove L Kotak 100pcs 132,000.000 12 1,584,000.00 - 12 1,584,000.00 1,584,000.00
DAK NON FISIK 4 Maxter Exam Glove L Kotak/100pcs 132,000.00 0.00 - - - -
DAK NON FISIK 1 Maxter Exam Glove M Kotak 100pcs 132,000.000 2 264,000.00 - 2 264,000.00 264,000.00
DAK NON FISIK 1 Maxter Exam Glove M Kotak/100pcs 132,000.00 5 660,000.00 - - 5 660,000.00 660,000.00
DAK NON FISIK 2 Maxter Exam Glove S Kotak/100pcs 132,000.00 5 660,000.00 - - 5 660,000.00 660,000.00
DAK NON FISIK 1 Maxter Exam Glove S Kotak/100pcs 132,000.00 5 660,000.00 - - 5 660,000.00 660,000.00
DAK NON FISIK 2 Maxter Exam Glove S Kotak 100pcs 132,000.000 10 1,320,000.00 - 10 1,320,000.00 1,320,000.00
- - -
8,310,500.00 - - 8,310,500.00 8,310,500.00
- - -
DAK OBAT 11 Acyclovir 400 mg Tablet 2,214.45 260 575,757.00 150 332,167.50 - 410 907,924.50 907,924.50
DAK OBAT 205 Acyclovir 400 mg Tablet 2,214.45 0.00 - - - - -
DAK OBAT 171 Acyclovir 400 mg Tablet 2,214.45 0.00 - - - - -
DAK OBAT 187 Acyclovir 400 mg Tablet 429.00 1000 429,000.00 - - 1,000 429,000.00 429,000.00
DAK OBAT 189 Alkohol swab (Onemed) Box 11,200.000 28 313,600.00 5.00 56,000.00 23 257,600.00 257,600.00
DAK OBAT 185 Allopurinol Tablet 100 mg Tablet 89.00 0.00 2,000 178,000.00 600.00 53,400.00 1,400 124,600.00 124,600.00
DAK OBAT 132 Allopurinol Tablet 100 mg Tablet 89.00 0.00 - - - - -
Page 5
URUT SATUAN (Rp)
1 2 3 4 5 6 7
DAK OBAT 101 Allopurinol Tablet 100 mg Tablet 89.00 2000 178,000.00 - - 2,000 178,000.00 178,000.00
DAK OBAT 149 Allopurinol Tablet 100 mg Tablet 89.00 200 17,800.00 - - 200 17,800.00 17,800.00
DAK OBAT 108 Amlodipin 5 mg Tablet 55.50 1800 99,900.00 - 100.00 5,550.00 1,700 94,350.00 94,350.00
DAK OBAT 15 Amoksisilin kaplet 500 mg Tablet 231.00 0.00 - - - - -
DAK OBAT 109 Amoksisilin kaplet 500 mg Tablet 231.00 5000 1,155,000.00 - - 5,000 1,155,000.00 1,155,000.00
DAK OBAT 91 Amoksisilin kaplet 500 mg Tablet 231.00 2800 646,800.00 - - 2,800 646,800.00 646,800.00
DAK OBAT 99 Amoksisilin kaplet 500 mg Tablet 360.000 5500 1,980,000.00 - 5,500 1,980,000.00 1,980,000.00
DAK OBAT 87 Amoksisilin sir kering125 mg/5 ml Botol 2,068.63 73 151,009.99 - 25.00 51,715.75 48 99,294.24 99,294.24
DAK OBAT 156 Amoksisilin sir kering125 mg/5 ml Botol 2,068.63 0.00 - - - - -
DAK OBAT 52 Amoksisilin Sirup Kering 250 mg/5ml Botol 3,846.000 75 288,450.00 - 75 288,450.00 288,450.00
DAK OBAT 55 Amoksisillin sirup DS 250 mg/ 5 ml Botol 60 ml 3,510.00 0.00 - - - - -
DAK OBAT 201 Amoksisillin sirup DS 250 mg/ 5 ml Botol 60 ml 3,510.00 0.00 - - - - -
DAK OBAT 1 Anti Fungi Salep Pot 3,670.00 24 88,080.00 - 10.00 36,700.00 14 51,380.00 51,380.00
DAK OBAT 2 Anti Fungi Salep Pot 3,670.00 0.00 - - - - -
DAK OBAT 5 Antihemoroid Suppo 3,289.64 20 65,792.80 - - 20 65,792.80 65,792.80
DAK OBAT 1 Asam Asetilsalisilat (Miniaspi) Tablet 89.80 100 8,980.00 - - 100 8,980.00 8,980.00
DAK OBAT 2 Asam Askorbat 50 mg Tablet 46.41 2000 92,820.00 - 1,500.00 69,615.00 500 23,205.00 23,205.00
DAK OBAT 3 Asam Askorbat 50 mg Tablet 46.41 0.00 - - - - -
DAK OBAT 4 Asam Folat Tablet 45.00 1600 72,000.00 - - 1,600 72,000.00 72,000.00
DAK OBAT 5 Asam Folat Tablet 45.00 0.00 - - - - -
DAK OBAT 6 Asam Folat Tablet 45.00 0.00 - - - - -
DAK OBAT 7 Asam Mefenamat Tablet 117.00 1500 175,500.00 2,000 234,000.00 500.00 58,500.00 3,000 351,000.00 351,000.00
DAK OBAT 8 Asetat Ringer (Asering) Botol 500 ml 9,679.00 30 290,370.00 - - 30 290,370.00 290,370.00
DAK OBAT 9 Asetylcysteine 200 mg Kapsul 320.00 2000 640,000.00 - - 2,000 640,000.00 640,000.00
DAK OBAT 10 Asetylcysteine 200 mg Kapsul 320.00 1020 326,400.00 - - 1,020 326,400.00 326,400.00
DAK OBAT 11 Asetylcysteine 200 mg Kapsul 317.00 540 171,180.00 - - 540 171,180.00 171,180.00
DAK OBAT 12 Asetylcysteine 200 mg Kapsul 317.00 0.00 - - - - -
DAK OBAT 15 Atapulgit 600 mg Tablet 699.30 0.00 - - - - -
DAK OBAT 16 Atapulgit 600 mg Tablet 699.30 200 139,860.00 - - 200 139,860.00 139,860.00
Antasida doen Tablet 54.49 2,000 108,980 - 2,000 108,980
DAK OBAT 17 Bedak Salisil Serbuk 2% Box 50 gram 6,105.00 50 305,250.00 - - 50 305,250.00 305,250.00
DAK OBAT 18 Bedak Salisil Serbuk 2% Box 50 gram 6,105.00 13 79,365.00 - - 13 79,365.00 79,365.00
DAK OBAT 19 Bedak Salisil Serbuk 2% Box 50 gram 6,105.00 0.00 - - - - -
DAK OBAT 20 Betahistin 24 mg Tablet 4,990.00 30 149,700.00 - - 30 149,700.00 149,700.00
DAK OBAT 21 Betahistin 24 mg Tablet 4,990.00 1570 7,834,300.00 - - 1,570 7,834,300.00 7,834,300.00
DAK OBAT 22 Betametason krim 0,1% tube 1,520.000 0.00 - - - -
DAK OBAT 23 Betametasone krim 0,1 % Tube 1,520.00 8 12,160.00 - - 8 12,160.00 12,160.00
DAK OBAT 24 Betametasone krim 0,1 % Tube 1,520.00 200 304,000.00 - - 200 304,000.00 304,000.00
DAK OBAT 25 Betametasone krim 0,1 % Tube 1,520.00 0.00 - - - - -
DAK OBAT 26 Betametasone krim 0,1 % Tube 1,520.00 0.00 - - - - -
DAK OBAT 27 Bisakodil Suppositoria 10 mg (Dulcolax) Suppo 4,325.00 0.00 - - - - -
DAK OBAT 28 Bisakodil Suppositoria 10 mg (Dulcolax) Suppo 4,325.00 10 43,250.00 - - 10 43,250.00 43,250.00
DAK OBAT 29 Bisakodil suppositoria 5 mg (Dulcolax) Suppo 5,085.00 12 61,020.00 - - 12 61,020.00 61,020.00
DAK OBAT 30 Bisakodil suppositoria 5 mg (Dulcolax) Suppo 5,085.00 0.00 - - - - -
DAK OBAT 31 Bisakodil suppositoria 5 mg (Dulcolax) Suppo 5,085.00 0.00 - - - - -
DAK OBAT 32 Bisakodil tab sal 5 mg Tablet 217.95 0.00 - - - - -
DAK OBAT 33 Cavitami (Imicryl) Pcs 135,073.00 2 270,146.00 - - 2 270,146.00 270,146.00
DAK OBAT 34 Cetrizine Syrup 5 mg/5 ml Botol 2,215.00 30 66,450.00 - - 30 66,450.00 66,450.00
DAK OBAT 35 Cetrizine Syrup 5 mg/5 ml Botol 2,215.00 22 48,730.00 - - 22 48,730.00 48,730.00
DAK OBAT 36 Cetrizine Syrup 5 mg/5 ml Botol 2,215.00 0.00 - - - - -
DAK OBAT 37 Clozapine 25 mg Tablet 477.00 700 333,900.00 - - 700 333,900.00 333,900.00
DAK OBAT 38 Deksamethasone injeksi 5 mg/ml-1 ml Ampul 976.80 5 4,884.00 10 9,768.00 - 15 14,652.00 14,652.00
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DAK OBAT 39 Diazepam 2 mg Tablet 70.64 0.00 500 35,320.000 - 500 35,320.00 35,320.00
DAK OBAT 40 Diazepam enema 5 mg/2,5 ml Tube@2,5 ml 13,546.00 5 67,730.00 - - 5 67,730.00 67,730.00
DAK OBAT 41 Diazepam enema 5 mg/2,5 ml Tube@2,5 ml 13,546.00 0.00 - - - - -
DAK OBAT 42 Diazepam injeksi 5 mg/ml-2 ml Ampul 1,545.00 0.00 - - - - -
DAK OBAT 43 Diazepam lar rektal 10 mg/2,5 ml Tube 21,021.000 5 105,105.00 - 5 105,105.00 105,105.00
DAK OBAT 44 Difenhidramin HCl Injeksi 10 mg/1 ml Ampul 1,261.000 5 6,305.00 - 5 6,305.00 6,305.00
DAK OBAT 45 Difenhidramin inj 10 mg/ml Ampul 825.00 5 4,125.00 - - 5 4,125.00 4,125.00
DAK OBAT 46 Dimenhidrinat Tab Tablet 109.99 100 10,999.00 - - 100 10,999.00 10,999.00
DAK OBAT 1 Dimenhidrinat Tab Tablet 109.99 0.00 - - - - -
DAK OBAT 2 Disposible Safety Box 5 Liter Buah 18,000.000 19 342,000.00 - 19 342,000.00 342,000.00
DAK OBAT 3 Domperidon suspensi 5 mg/5 ml Botol 2,423.00 0.00 - - - - -
DAK OBAT 7 Etil Klorida Botol 175,010.00 0.00 3 525,030.00 1.00 175,010.00 2 350,020.00 350,020.00
DAK OBAT 8 Etil Klorida Botol 175,010.00 3 525,030.00 - - 3 525,030.00 525,030.00
DAK OBAT 9 Etil Klorida Botol 175,010.00 0.00 - - - - -
DAK OBAT 10 Etil Klorida Botol 175,010.00 0.00 - - - - -
Epinephrine HCl Injeksi 1 mg Ampul 1,740.00 0.00 21 36,540.00 - 21 36,540.00 36,540.00
DAK OBAT 11 Farbivent Amp 25 ml 3,951.60 30 118,548.00 - - 30 118,548.00 118,548.00
DAK OBAT 12 Farbivent Amp 25 ml 3,951.60 0.00 - - - - -
DAK OBAT 13 Fenobarbital Tablet 30 mg Tablet 197.00 0.00 - - - -
DAK OBAT 14 Fenol Gliserol Tetes Telinga Botol 3,330.00 0.00 5 16,650.00 - 5 16,650.00 16,650.00
DAK OBAT 15 Fenol Gliserol Tetes Telinga Botol 3,330.00 0.00 - - - - -
DAK OBAT 18 Fenol Gliserol Tetes Telinga Botol 3,330.00 10 33,300.00 - - 10 33,300.00 33,300.00
DAK OBAT 19 Fenol Gliserol Tetes Telinga Botol 3,330.00 10 33,300.00 - - 10 33,300.00 33,300.00
DAK OBAT 20 Fibumin Kapsul 6,327.00 0.00 - - - - -
DAK OBAT 21 Fibumin Kapsul 6,327.00 480 3,036,960.00 - - 480 3,036,960.00 3,036,960.00
DAK OBAT 22 Fitomenadion 10 mg Tablet 788.00 100 78,800.00 100 78,800.00 - 200 157,600.00 157,600.00
DAK OBAT 23 Fitomenadion 10 mg Tablet 788.00 100 78,800.00 - - 100 78,800.00 78,800.00
DAK OBAT 24 Fitomenadion Injeksi Ampul 1,465.00 0.00 - - - - -
DAK OBAT 25 Fitomenadion Injeksi 2 mg/ml Ampul 1,465.00 0.00 - - - - -
DAK OBAT 26 Fitomenadion Injeksi 2 mg/ml Ampul 1,465.00 0.00 - - - - -
DAK OBAT 27 Furosemid 40 mg Tablet 410.70 200 82,140.00 - - 200 82,140.00 82,140.00
DAK OBAT 28 Furosemid 40 mg Tablet 410.70 100 41,070.00 - - 100 41,070.00 41,070.00
DAK OBAT 29 Garam Oralit Kombinasi Serbuk untuk 200 Sacch 283.00 0.00 - - - - -
DAK OBAT 30 Gentamisin Salep mata 0,3% Tube 3,092.86 20 61,857.20 - - 20 61,857.20 61,857.20
DAK OBAT 1 Gentamisin Salep mata 0,3% Tube 3,092.86 20 61,857.20 - - 20 61,857.20 61,857.20
DAK OBAT 2 Gentamisin Tetes mata Botol 5,217.00 0.00 - - - - -
DAK OBAT 3 Gentamisin Tetes mata Botol 5,217.00 0.00 - - - - -
DAK OBAT 4 Glukosa larutan infus 40% Botol 25 ml 7,000.00 10 70,000.00 - - 10 70,000.00 70,000.00
DAK OBAT 1 Glukosa larutan infus 5% steril Botol 6,627.000 40 265,080.00 - 40 265,080.00 14600.3 265,080.00
DAK OBAT 2 Glyceryl Guaiacolat (Guaifenesin) Kotak 14,600.300 48 700,814.40 - 48 700,814.40 700,814.40
DAK OBAT 3 Haloperidol tab 2 mg (Iodomer) Tablet 81.73 0.00 300 24,519.00 200.00 16,346.00 100 8,173.00 8,173.00
DAK OBAT 4 Haloperidol tab 2 mg (Iodomer) Tablet 81.73 0.00 - - - - -
DAK OBAT 5 Haloperidol tab 2 mg (Iodomer) Tablet 81.73 300 24,519.00 - 300.00 24,519.00 - - -
DAK OBAT 6 Haloperidol tab 2 mg (Iodomer) Tablet 81.73 500 40,865.00 - 500.00 40,865.00 - - -
DAK OBAT 7 Haloperidol tab 5 mg Tablet 54.49 400 21,796.00 - 400.00 21,796.00 - - -
DAK OBAT 8 Herba Asimor Tablet 1,776.00 20 35,520.00 - 20.00 35,520.00 - - -
DAK OBAT 11 Herbakof Sirup Botol 100 ml 14,402.00 0.00 - - - - -
DAK OBAT 12 Herbakof Sirup Botol 100 ml 14,402.00 41 590,482.00 - 10.00 144,020.00 31 446,462.00 446,462.00
DAK OBAT 13 Hidrokortison Krim 2,5% Tube 5 gr 2,648.000 0.00 - - - -
DAK OBAT 14 Hidrokortison salep Tube 2,346.13 0.00 96 225,228.48 - 96 225,228.48 225,228.48
DAK OBAT 15 Hidrokortison salep Tube 2,325.00 0.00 - - - - -
DAK OBAT 16 Hidrokortison salep Tube 2,325.00 84 195,300.00 - - 84 195,300.00 195,300.00
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DAK OBAT 19 Hiosina butilbromida tab 10 mg Tablet 1,050.00 0.00 - - - - -
DAK OBAT 20 Hiosina butilbromida tab 10 mg Tablet 1,050.00 700 735,000.00 - 200.00 210,000.00 500 525,000.00 525,000.00
DAK OBAT 21 Hiosina butilbromida tab 10 mg Tablet 1,050.000 0.00 - - - -
DAK OBAT 22 Ibuprofen 400 mg Tablet 516.15 4000 2,064,600.00 500 258,075.00 700.00 361,305.00 3,800 1,961,370.00 1,961,370.00
DAK OBAT 23 Ibuprofen 400 mg Tablet 516.15 2000 1,032,300.00 - - 2,000 1,032,300.00 1,032,300.00
DAK OBAT 24 Ibuprofen 400 mg Tablet 516.15 800 412,920.00 - - 800 412,920.00 412,920.00
DAK OBAT 25 Ibuprofen 400 mg Tablet 516.15 0.00 - - - - -
DAK OBAT 26 Ibuprofen 400 mg Tablet 516.15 0.00 - - - - -
DAK OBAT 27 Isosorbid dinitrat tab 5 mg Tablet 99.90 0.00 - - - - -
DAK OBAT 28 IV. Catheher 20 Cx1 1/4 (Steracath) Pcs 4,256.00 90 383,040.00 - 90 383,040.00 383,040.00
DAK OBAT 29 IV. Catheher 22 G x 1 1/4 (Steracath) Pcs 4,256.00 50 212,800.00 - 50 212,800.00 212,800.00
DAK OBAT 1 Kalsium Laktat 500 mg Tablet 60.54 2000 121,080.00 - - 2,000 121,080.00 121,080.00
DAK OBAT 2 Kaptopril tab 25 mg Tablet 76.00 0.00 1,000 76,000.00 200.00 15,200.00 800 60,800.00 60,800.00
DAK OBAT 1 Kaptopril tab 25 mg Tablet 75.00 0.00 - - - - -
DAK OBAT 3 Kaptopril tab 25 mg Tablet 75.00 1200 90,000.00 - 1,200.00 90,000.00 - - -
DAK OBAT 5 Kasa Pembalut Hydrofil 4 m x 3 cm (One Roll 660.80 25 16,520.00 - - 25 16,520.00 16,520.00
DAK OBAT 6 Klorfeniramine Maleat Tablet (CTM) Tablet 96.57 0.00 2,000 193,140.00 2,000.00 193,140.00 - - -
DAK OBAT 7 Klorfeniramine Maleat Tablet (CTM) Tablet 96.57 0.00 - - - - -
DAK OBAT 8 Klorfeniramine Maleat Tablet (CTM) Tablet 24.00 3400 81,600.00 - 1,500.00 36,000.00 1,900 45,600.00 45,600.00
DAK OBAT 9 Klorpromazin tab sal 25 mg Tablet 208.00 0.00 - - - - -
DAK OBAT 10 Kotrimoksazol 480 mg (dewasa) Tablet 127.14 2000 254,280.00 - - 2,000 254,280.00 254,280.00
DAK OBAT 11 Kotrimoksazol 480 mg (dewasa) Tablet 126.00 0.00 - - - - -
DAK OBAT 14 Lidocain Injeksi Komp Ampul 1,405.000 210 295,050.00 - 210 295,050.00 295,050.00
DAK OBAT 15 Lidokain Injeksi Comp Ampul 847.00 0.00 - - - - -
DAK OBAT 16 Loperamid Tablet 92.00 100 9,200.00 100 9,200.00 - 200 18,400.00 18,400.00
DAK OBAT 17 Loperamid Tablet 81.74 0.00 - - - - -
DAK OBAT 18 Lytacur sirup Botol 60 ml 10,656.00 0.00 240 2,557,440.00 15.00 159,840.00 225 2,397,600.00 2,397,600.00
DAK OBAT 19 Magnesium sulfate inj 40% Ampul 4,700.00 1 4,700.00 - - 1 4,700.00 4,700.00
DAK OBAT 20 Metformin Tablet Tablet 77.00 800 61,600.00 3,000 231,000.00 600.00 46,200.00 3,200 246,400.00 246,400.00
DAK OBAT 21 Metformin Tablet Tablet 77.00 0.00 - - - - -
DAK OBAT 22 Metformin Tablet Tablet 77.00 0.00 - - - - -
DAK OBAT 23 Methyl Prednisolon Tablet 102.00 1400 142,800.00 - 700.00 71,400.00 700 71,400.00 71,400.00
DAK OBAT 24 Methyl Prednisolon Tablet 102.00 2000 204,000.00 - - 2,000 204,000.00 204,000.00
DAK OBAT 1 Methyl Prednisolon Tablet 102.00 2000 204,000.00 - - 2,000 204,000.00 204,000.00
DAK OBAT 2 Methyl Prednisolon Tablet 102.00 0.00 - - - - -
DAK OBAT 5 Metronidazole tab 500 mg Tablet 381.84 1000 381,840.00 - - 1,000 381,840.00 381,840.00
DAK OBAT 6 Metronidazole tab 500 mg Tablet 381.84 200 76,368.00 - - 200 76,368.00 76,368.00
Metronidazole infus 100mg Tablet 5,938.50 5 29,692.50 5.00 29,692.50 - -
DAK OBAT 7 Miconazole krim 2% Tube 1,917.27 96 184,057.92 - - 96 184,057.92 184,057.92
DAK OBAT 8 Miniaspi Tablet 89.800 0.00 - - - -
DAK OBAT 9 Natrium Diklofenak 50 mg Tablet 109.00 300 32,700.00 2,800 305,200.00 1,050.00 114,450.00 2,050 223,450.00 223,450.00
DAK OBAT 10 Natrium Diklofenak 50 mg Tablet 109.00 0.00 - - - - -
DAK OBAT 14 Natrium Klorida larutan infus steril 0,9 % Botol 100 ml 6,763.00 20 135,260.00 - - 20 135,260.00 135,260.00
DAK OBAT 15 Natrium Klorida larutan infus steril 0,9 % Botol 500 ml 6,963.00 40 278,520.00 40 278,520.00 - 80 557,040.00 557,040.00
DAK OBAT 16 Natrium Klorida larutan infus steril 0,9 % Botol 100 ml 6,763.00 0.00 - - - - -
DAK OBAT 17 Natrium Klorida larutan infus steril 0,9 % Botol 500 ml 6,900.00 0.00 - - - - -
DAK OBAT 18 Natrium Klorida larutan infus steril 0,9 % Botol 500 ml 6,900.00 40 276,000.00 - - 40 276,000.00 276,000.00
DAK OBAT 19 Natrium Klorida larutan infus steril 0.9% botol 6,840.000 0.00 - - - -
DAK OBAT 20 Nifedipin kaps 10 mg Tablet 412.92 0.00 200 82,584.00 100.00 41,292.00 100 41,292.00 41,292.00
DAK OBAT 21 Nistatin tab vaginal 100.000 IU Tablet 555.00 90 49,950.00 - - 90 49,950.00 49,950.00
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DAK OBAT 22 Nova Glass F (Imicryl) Pcs 421,173.00 0.00 - - - - -
DAK OBAT 23 Octadin 1 L Botol 396,000.00 6 2,376,000.00 - - 6 2,376,000.00 2,376,000.00
DAK OBAT 24 Oksitosin injeksi Ampul 1,348.00 0.00 - - - - -
DAK OBAT 25 Omeprazol kaps 20 mg (Redusec) Kapsul 851.00 0.00 - - - - -
DAK OBAT 26 Oxytetracycline salep mata 1% Tube 3,531.81 0.00 - - - - -
DAK OBAT 27 Oxytetracycline salep mata 1% Tube 3,531.81 150 529,771.50 - - 150 529,771.50 529,771.50
DAK OBAT 28 Oxytocin injeksi 10 IU/ml Ampul 1,348.00 100 134,800.00 - - 100 134,800.00 134,800.00
DAK OBAT 29 Oxyvit Tablet 2,035.00 150 305,250.00 - - 150 305,250.00 305,250.00
DAK OBAT 30 Oxyvit C Plus Tablet 2,035.00 900 1,831,500.00 - - 900 1,831,500.00 1,831,500.00
DAK OBAT 1 Oxyvit C Plus Tablet 2,035.00 300 610,500.00 - - 300 610,500.00 610,500.00
DAK OBAT 2 Oxyvit C Plus Tablet 2,035.00 60 122,100.00 - - 60 122,100.00 122,100.00
DAK OBAT 3 Parasetamol 1000 mg/100 ml Bag 8,880.00 40 355,200.00 - - 40 355,200.00 355,200.00
DAK OBAT 4 Parasetamol 1000 mg/100 ml Bag 8,880.00 0.00 - - - - -
DAK OBAT 5 Parasetamol 500 mg Tablet 162.800 0.00 - - - -
DAK OBAT 6 Parasetamol drops 100 mg/ml Botol 5,251.00 0.00 - - - - -
DAK OBAT 9 Parasetamol sirup Botol 1,160.00 0.00 - - - - -
DAK OBAT 10 Parasetamol tablet 500 mg Tablet 219.003 1601 350,623.80 6,300 1,379,718.90 2,101.00 460,125.30 5,800 1,270,217.40 1,270,217.40
DAK OBAT 11 Parasetamol tablet 500 mg Tablet 186.78 0.00 - - - - 466016.1 -
DAK OBAT 12 Parasetamol tablet 500 mg Tablet 186.78 0.00 - - - - -
DAK OBAT 2 Pehacain Ampul 3,113.00 200 622,600.00 - - 200 622,600.00 622,600.00
DAK OBAT 5 Pehacain Ampul 3,113.00 0.00 - - - - -
DAK OBAT 6 Permetrin krim 5% Tube 11,466.000 7 80,262.00 - 7 80,262.00 80,262.00
DAK OBAT 7 Permetrin krim 5% Tube 7,303.80 10 73,038.00 - - 10 73,038.00 73,038.00
DAK OBAT 8 Permetrin krim 5% Tube 7,303.80 5 36,519.00 - - 5 36,519.00 36,519.00
DAK OBAT 9 Permetrin krim 5% Tube 11,466.00 0.00 - - - - -
DAK OBAT 10 Phenobarbital Tablet 30 mg Tablet 197.00 5 985.00 - 5.00 985.00 - - -
DAK OBAT 11 Phenobarbital Tablet 30 mg Tablet 197.00 200 39,400.00 - 200.00 39,400.00 - - -
DAK OBAT 12 Phenobarbital Tablet 30 mg Tablet 197.00 500 98,500.00 - 400.00 78,800.00 100 19,700.00 19,700.00
DAK OBAT 13 Piridoksin (Vitamin B6) tab 10 mg Tablet 72.00 0.00 - - - - -
DAK OBAT 14 Piridoksin (Vitamin B6) tab 10 mg Tablet 72.00 0.00 - - - - -
DAK OBAT 15 Povidon iodin lar 100 mg/ml Botol 300 ml 25,445.00 10 254,450.00 - - 10 254,450.00 254,450.00
DAK OBAT 1 Povidon iodin lar 100 mg/ml Botol 60 ml 7,351.00 90 661,590.00 - - 90 661,590.00 661,590.00
DAK OBAT 2 Prednison tablet 5 mg Tablet 79.000 300 23,700.00 300.00 23,700.00 - - -
DAK OBAT 3 Prednison tablet 5 mg Tablet 73.00 0.00 - - - - -
DAK OBAT 6 Prednison tablet 5 mg Tablet 73.00 1000 73,000.00 - 500.00 36,500.00 500 36,500.00 36,500.00
DAK OBAT 7 Ranitidin 150 mg Tablet 85.00 3000 255,000.00 - 600.00 51,000.00 2,400 204,000.00 204,000.00
DAK OBAT 8 Ranitidin 150 mg Tablet 85.00 800 68,000.00 - - 800 68,000.00 68,000.00
DAK OBAT 9 Ranitidin 150 mg Tablet 85.00 3000 255,000.00 - - 3,000 255,000.00 255,000.00
DAK OBAT 10 Ranitidin 150 mg Tablet 85.00 0.00 - - - - -
DAK OBAT 11 Ranitidin tablet 150 mg Tablet 114.000 1400 159,600.00 - 1,400 159,600.00 159,600.00
DAK OBAT 12 Ringer Laktat Larutan (Satoria) Botol 7,773.00 300 2,331,900.00 - 100.00 777,300.00 200 1,554,600.00 1,554,600.00
DAK OBAT 13 Ringer Laktat Larutan (Satoria) Botol 7,773.00 300 2,331,900.00 - - 300 2,331,900.00 2,331,900.00
DAK OBAT 14 Ringer Laktat Larutan (Satoria) Botol 7,773.00 160 1,243,680.00 - - 160 1,243,680.00 1,243,680.00
DAK OBAT 15 Ringer Laktat Larutan (Satoria) Botol 7,703.00 0.00 - - - - -
DAK OBAT 4 Ringer Laktat Larutan Infus (Otsuka) Botol 7,630.000 320 2,441,600.00 - - 320 2,441,600.00 2,441,600.00
Risperidone 2 mg Tablet 131.000 1,000 131,000.00 - 1,000 131,000.00 131,000.00
Retinol ( Vitamin A ) Kapsul Lunak 100.000 iu botol/50 kapsul 17,760 10 177,600.00 - 10 177,600 177,600.00
Retinol ( Vitamin A ) Kapsul Lunak 200.000 iu botol/50 kapsul 32,150 15 482,250.00 15 482,250
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DAK OBAT 5 Salbutamol 4 mg Tablet 231.69 1700 393,873.00 - - 1,700 393,873.00 393,873.00
DAK OBAT 6 Salbutamol 4 mg Tablet 231.69 0.00 - - - - -
DAK OBAT 7 Salbutamol 4 mg Tablet 67.00 500 33,500.00 - 500.00 33,500.00 - - -
DAK OBAT 8 Salbutamol 4 mg Tablet 67.00 1000 67,000.00 - 100.00 6,700.00 900 60,300.00 60,300.00
DAK OBAT 9 Sianokobalamin (Vit B12) 50 mcg Tablet 44.00 0.00 - - - - -
DAK OBAT 2 Simvastatin 20 mg Tablet 151.36 2000 302,720.00 - 650.00 98,384.00 1,350 204,336.00 204,336.00
DAK OBAT 3 Simvastatin 20 mg Tablet 151.36 500 75,680.00 - - 500 75,680.00 75,680.00
DAK OBAT 4 SS-24 Pot 1,488.00 30 44,640.00 - 10.00 14,880.00 20 29,760.00 29,760.00
DAK OBAT 5 SS-24 Pot 1,488.00 30 44,640.00 - - 30 44,640.00 44,640.00
DAK OBAT 6 SS-24 Pot 1,488.00 30 44,640.00 - - 30 44,640.00 44,640.00
DAK OBAT 7 SS-24 Pot 1,488.00 30 44,640.00 - - 30 44,640.00 44,640.00
DAK OBAT 1 Stimuno Syrup Botol 28,374.00 10 283,740.00 - - 10 283,740.00 283,740.00
DAK OBAT 2 Stimuno Syrup Botol 28,374.00 10 283,740.00 - - 10 283,740.00 283,740.00
DAK OBAT 3 Tablet Tambah Darah Tablet 983.710 0 0.00 - - - -
DAK OBAT 4 Tablet Tambah Darah Tablet 257.31 18283 4,704,398.73 - 1,900.00 488,889.00 16,383 4,215,509.73 4,215,509.73
DAK OBAT 5 Tablet Tambah Darah Tablet 257.62 46 11,850.83 - 46.00 11,850.83 - - tandai -
DAK OBAT 6 Tiamin (vitamin B1) tab 50 mg Tablet 216.00 2300 496,800.00 - 300.00 64,800.00 2,000 432,000.00 432,000.00
DAK OBAT 7 Triheksipenidil 2 mg Tablet 63.57 500 31,785.00 - - 500 31,785.00 31,785.00
DAK OBAT 8 Vitamin B kompleks tablet Tablet 144.000 5500 792,000.00 - 5,500 792,000.00 792,000.00
DAK OBAT 9 Vitamin B kompleks tablet Tablet 61.00 3300 201,300.00 - - 3,300 201,300.00 201,300.00
DAK OBAT 10 Vitamin B kompleks tablet Tablet 61.00 0.00 - - - - -
DAK OBAT 16 Zink sir 20 mg/5 ml Botol 2,511.00 20 50,220.00 - - 20 50,220.00 50,220.00
DAK OBAT 17 Zink sir 20 mg/5 ml Botol 2,511.00 0.00 - - - - -
DAK OBAT 18 Zink Tablet 20 mg Tablet 253.00 1000 253,000.00 - 1,000.00 253,000.00 - - -
DAK OBAT 19 Zink Tablet 20 mg Tablet 253.00 800 202,400.00 - 200.00 50,600.00 600 151,800.00 151,800.00
DAK OBAT 20 Zink Tablet 20 mg Tablet 253.00 0.00 - - - - -
- - -
58,642,930.37 7,996,423.38 5,128,010.38 61,511,343.37 61,511,343.37
- - -
DAU RECOFUSING 1 Masker ear loop (Solida) Box 50 Pcs 53,039.998 1 53,040.00 - - 1 53,040.00 53,040.00
DAU RECOFUSING 1 Masker ear loop (Solida) Box 50 Pcs 53,039.998 200 10,607,999.60 - - 200 10,607,999.60 10,607,999.60
DAU RECOFUSING 1 Sae handsanitizer Gel Botol 500 ml 72,600.00 10 726,000.00 - - 10 726,000.00 726,000.00
- - -
11,387,039.598 - - 11,387,039.60 11,387,039.60
-
DBHCHT Fokus New HIV 1/2 3 line Kotak/25 pcs 368,175.000 0 0.00 - 0 - -
DBHCHT 1 Fokus New HIV 1/2 3 Line Kotak/25 pcs 368,175.00 0 - - 0 - -
DBHCHT 2 Metra Gloves LX Exam P Free M Kotak/100 pcs 125,208.000 0 - 0 - -
DBHCHT 3 Metra Gloves LX Exam P Free M Kotak/100 pcs 125,208.00 5 626,040.00 - 5 626,040.00 626,040.00
DBHCHT 1 Metra Gloves LX Exam P Free M Kotak/100 pcs 125,208.00 - - - -
DBHCHT 1 Metra Gloves LX Exam P Free S Kotak/100 pcs 125,208.000 0 - 0 - -
DBHCHT 2 Metra Gloves LX Exam P Free S Kotak/100 pcs 125,208.00 - - - -
DBHCHT 1 Metra Gloves LX Exam P Free S Kotak/100 pcs 125,208.00 - - - -
DBHCHT 1 - - -
- - -
- 626,040.00 - 626,040.00 626,040.00
- - -
DONASI 1 Herba Asimar Kap Kapsul 2,750.00 90 247,500.00 - - 90 247,500.00 247,500.00
DONASI 2 Herbakof sirup Botol 15,125.00 2 30,250.00 - - 2 30,250.00 30,250.00
DONASI 3 Lytacur Syrup Botol 16,500.00 8 132,000.00 - - 8 132,000.00 132,000.00
DONASI 4 Stimuno Syrup Botol 48,881.00 3 146,643.00 - - 3 146,643.00 146,643.00
- - -
556,393.00 - - 556,393.00 556,393.00
- - -
KESGRA 1 Kapas pembalut / absorben 250 gram Roll 16,000.00 - - - -
Page 10
URUT SATUAN (Rp)
1 2 3 4 5 6 7
KESGRA 1 Kapas pembalut / absorben 250 gram Roll 16,000.00 - - - -
- - -
- - - - -
- - -
KESMAS 20 Ampicillin Injeksi 1000 mg Vial 9,473.00 - - - - -
KESMAS 24 Ampicillin Injeksi 1000 mg Vial 9,473.00 5 47,365.00 - 5.00 47,365.00 - - -
KESMAS 11 Calcii Gluconas injeksi 10% Ampul 10,351.00 0.00 - - - - -
KESMAS 8 Calcii Gluconas injeksi 10% Ampul 10,351.00 2 20,702.00 - - 2 20,702.00 20,702.00
KESMAS 9 Calcii Gluconas injeksi 10% Ampul 10,351.00 10 103,510.00 - 10.00 103,510.00 - - -
KESMAS 1 Fenobarbital injeksi 50 mg/ml (Kes ibu da Ampul 2,278.00 10 22,780.00 - 15.00 34,170.00 (5) - 11,390.00 - 11,390.00
KESMAS 1 Maxter Exam Glove M Kotak/100pcs 132,000.000 2 264,000.00 - 2 264,000.00 264,000.00
KESMAS 1 Metilergometrin injeksi 0,200 mg Ampul 3,399.000 37 125,763.00 - 37 125,763.00 125,763.00
KESMAS 1 Metronidazole 500 mg/100 ml Botol 8,250.000 1 8,250.00 - 1 8,250.00 8,250.00
KESMAS 1 Mineral Mix Sachet 2,981.00 40 119,240.00 - - 40 119,240.00 119,240.00
KESMAS 1 Tablet Tambah darah Tablet 409.000 0.00 - - - -
KESMAS 1 Tablet Tambah Darah Tablet 409.00 5010 2,049,090.00 - 5,010.00 2,049,090.00 - - -
KESMAS 2 Vit A balita 200.000 IU (Merah) Kapsul 637.000 300 191,100.00 - 300 191,100.00 191,100.00
0.00 - - -
2,951,800.00 - 2,234,135.00 717,665.00 717,665.00
P2PL 10 Alat suntik 5 ml Pcs 1,583.00 0.00 - - - -

P2PL 29 Alat suntik 5 ml Pcs 1,583.00 250 395,750.00 - - 250 395,750.00 395,750.00
P2PL 21 Alat suntik 5 ml Skifa Pcs 1,500.00 0.00 - - - - -
P2PL 63 Alat suntik sekali pakai 0,5 ml ( One Ject Pcs 1,650.00 0.00 - - - - -
P2PL 13 Alat suntik sekali pakai 0,5 ml ( One Ject Pcs 1,650.00 0.00 - - - - -
P2PL 47 Albendazol Suspensi Botol 4,300.00 66 283,800.00 - 20.00 86,000.00 46 197,800.00 197,800.00
P2PL 16 Albendazol Tab 400 mg Tablet 366.50 847 310,425.50 - - 847 310,425.50 310,425.50
P2PL 23 Albendazole Susp 200 mg/5 ml botol 4,600.000 80 368,000.00 - - 80 368,000.00 368,000.00
Albendazole Susp 200 mg/5 ml botol 4,300.000 40 172,000.00 40 172,000.00 172,000.00
P2PL 7 Albendazole tab 400 mg Tablet 431.000 1096 472,376.00 - - 1,096 472,376.00 472,376.00
P2PL 15 Amitriptilin Tablet 167.00 0.00 - - - - -
P2PL 52 Amitriptilin Tablet 167.00 0.00 - - - - -
P2PL 32 Amitriptilin Tablet 167.00 261 43,587.00 - 131.00 21,877.00 130 21,710.00 21,710.00
P2PL 35 Amtriptilin tab sal 25 mg Tablet 167.00 500 83,500.00 - - 500 83,500.00 83,500.00
P2PL 57 Amytriptilin tab salut 25 mg Tablet 167.000 0.00 - - - -
PROGRAM P2PL 1 Clobazam tab 10 mg Tablet 776.00 80 62,080.00 - 80 62,080.00 62,080.00
PROGRAM P2PL 2 Clozapine tab 25 mg Tablet 1,121.00 100 112,100.00 - 100 112,100.00 112,100.00
PROGRAM P2PL 3 Cotrimoxazole 960 mg Tablet 325.00 400 130,000.00 - - 400 130,000.00 130,000.00
PROGRAM P2PL 4 Dietil Carbamazepin (DEC) 100 mg Tablet 190.00 1500 285,000.00 - - 1,500 285,000.00 285,000.00
PROGRAM P2PL 5 Dietil Carbamazepin (DEC) 100 mg Tablet 168.00 0.00 - - - - -
PROGRAM P2PL 6 Dietil Carbamazepin (DEC) 100 mg Tablet 190.00 0.00 - - - - -
PROGRAM P2PL 7 Evavirenz 600 mg Botol/30 Tab 213,000.00 0.00 - - - - -
PROGRAM P2PL 8 Evavirenz 600 mg Botol/30 Tab 228,750.00 2 457,500.00 - - 2 457,500.00 457,500.00
PROGRAM P2PL 9 Garam Oralit untuk 200 ml air Sachet 275.000 180 49,500.00 - 180 49,500.00 49,500.00
PROGRAM P2PL 10 Garam Oralit untuk 200 ml air Sachet 280.00 0.00 - - - - -
PROGRAM P2PL 1 Haloperidol tab 5 mg Tablet 60.00 215 12,900.00 - - 215 12,900.00 12,900.00
PROGRAM P2PL 2 INH 100 MG Tablet 2,880.00 0.00 66 190,080.00 - 66 190,080.00 190,080.00
PROGRAM P2PL 3 INH 100 mg Tablet 231.00 0.00 - - - - -
PROGRAM P2PL 6 Isoniazid 300 mg Tablet 150.000 0.00 300 45,000.00 - 300 45,000.00 45,000.00
PROGRAM P2PL 7 Klozapin tab 25 mg Tablet 1,121.00 500 560,500.00 - 450.00 504,450.00 50 56,050.00 56,050.00
PROGRAM P2PL 8 Lamivudine 150 mg Botol/60 Tab 98,400.00 0.00 - - - - -
PROGRAM P2PL 9 Lamivudine 150 mg Botol/60 Tab 107,640.00 0.00 - - - - -
PROGRAM P2PL 10 Lopinavir 40 mg+ Ritenavir 10 mg (FDC Box 285,829.00 0.00 - - - - -
Page 11
URUT SATUAN (Rp)
1 2 3 4 5 6 7
PROGRAM P2PL 11 Masker N95 Buah 19,900.000 0.00 - - - -
PROGRAM P2PL 12 Masker partikulat N95 Buah 19,900.00 0.00 - - - - -
PROGRAM P2PL 13 MDT Mb Dewasa Blister 40,526.00 0.00 - - - - -
PROGRAM P2PL 1 Obat FDC Kategori 1 Paket 477,791.000 0.00 - - - -
PROGRAM P2PL 2 Obat FDC Kategori 1 Paket 478,142.00 15 7,172,130.00 - 2.00 956,284.00 13 6,215,846.00 6,215,846.00
PROGRAM P2PL 3 Obat FDC Kategori 1 Paket 478,142.00 0.00 - - - - -
PROGRAM P2PL 6 Obat FDC Kategori 2 Paket 1,592,731.000 0.00 - - - -
PROGRAM P2PL 7 Rapid Test Anti HCV Test 11,188.00 0.00 - - - - -
PROGRAM P2PL 8 Rapid Test HbsAg Test 8,068.000 150 1,210,200.00 50.00 403,400.00 100 806,800.00 806,800.00
PROGRAM P2PL 9 Rapid Test HBsAg Tes 8,151.00 75 611,325.00 - - 75 611,325.00 611,325.00
PROGRAM P2PL 10 Rapid Test HIV 1 (Virocheck HIV) Test 8,391.00 0.00 25 209,775.00 25.00 209,775.00 - - -
PROGRAM P2PL 11 Rapid Test HIV 1 (Virocheck HIV) Test 7,879.00 0.00 - - - - -
PROGRAM P2PL 2 Rapid Test Sypilis (Trepocheck Sypilis) Tes 8,096.00 0.00 25 202,400.00 25.00 202,400.00 - - -
PROGRAM P2PL RPR Sifilis Tes 2,422.00 0.00 100 242,200.00 100.00 242,200.00 - - -
PROGRAM P2PL 3 RDT Tifoid test 33,334.000 0.00 - - - -
PROGRAM P2PL 4 Reagen Ziehl Neelson (ZN) Paket 239,593.00 0.00 - - - -
PROGRAM P2PL 5 Rifampisin 75 mg/Isoniazid 50 mg Tablet 799.00 0.00 - - - - -
PROGRAM P2PL 6 Rifapentine 300 mg/Isoniazid 300 mg Tablet 6,524.00 0.00 - - - - -
PROGRAM P2PL 4 Risperidon Tablet 287.00 500 143,500.00 - 230.00 66,010.00 270 77,490.00 77,490.00
PROGRAM P2PL 5 Risperidon Tablet 287.00 0.00 - - - - -
PROGRAM P2PL 6 Risperidon tab 2 mg Tablet 287.00 0.00 - - - - -
PROGRAM P2PL 7 Safety Box Unit 21,930.00 0.00 - - - - -
PROGRAM P2PL 1 Safety Box Unit 21,930.00 0.00 - - - - -
PROGRAM P2PL 1 TDF(300)+3 TC(300)+EFV(600) FDC De Botol/30 Tab 209,130.00 0.00 - - - - -
PROGRAM P2PL 2 TDF(300)+3 TC(300)+EFV(600) FDC De Botol/30 Tab 204,000.00 0.00 - - - - -
PROGRAM P2PL 3 TDF(300)+3TC(300)+EFV(600)FDC Dew Botol/30 Tab 209,130.00 0.00 - - - - -
PROGRAM P2PL 4 TDF(300)+3TC(300)+EFV(600)FDC Dew Botol/30 Tab 209,130.00 0.00 - - - - -
PROGRAM P2PL 5 Tenovovir 300 mg Botol/30 Tab 290,640.00 0.00 - - - - -
PROGRAM P2PL 6 Tenovovir 300 mg Botol/30 Tab 290,640.00 0.00 - - - - -
PROGRAM P2PL 7 Trepocheck sifilis Test 8,870.00 0.00 - - - - -
PROGRAM P2PL 8 Triheksifenidil 2 mg tab Tablet 91.00 500 45,500.00 500 45,500.00 1,000.00 91,000.00 - - -
PROGRAM P2PL 9 Triheksifenidil 2 mg tab Tablet 91.00 500 45,500.00 - 370.00 33,670.00 130 11,830.00 11,830.00
PROGRAM P2PL 10 Triheksifenidil tab 2 mg Tablet 91.000 180 16,380.00 - 180 16,380.00 16,380.00
PROGRAM P2PL 1 Triheksifenidil tab 2 mg Tablet 91.00 500 45,500.00 - - 500 45,500.00 45,500.00
PROGRAM P2PL 2 Tuberkulin Vial 625,800.00 0.00 - - - - -
PROGRAM P2PL 3 Tuberkulin Vial 625,800.00 0.00 - - - - -
PROGRAM P2PL 4 Vaksin BCG Vial 61,996.00 0.00 - - - - -
PROGRAM P2PL 7 Vaksin BCG Vial 61,996.00 5 309,980.00 - 5.00 309,980.00 - - -
PROGRAM P2PL 1 Vaksin DPT HB HiB Vial 78,991.00 0.00 10 789,910.00 - 10 789,910.00 789,910.00
PROGRAM P2PL 2 Vaksin DPT HB HiB Vial 78,991.00 0.00 - - - - -
Page 12
URUT SATUAN (Rp)
1 2 3 4 5 6 7
PROGRAM P2PL 1 Vaksin Hepatitis Immuno Globuline Vial 3,324,420.00 0.00 - - - - -
PROGRAM P2PL 2 Vaksin Hepatitis Immuno Globuline (Hum Vial 3,324,420.00 0.00 - - - - -
PROGRAM P2PL 1 Vaksin Hepatitis Kombinasi Inj (HB-Pid) Uniject 23,991.00 0.00 15 359,865.00 5.00 119,955.00 10 239,910.00 239,910.00
PROGRAM P2PL 2 Vaksin Hepatitis Kombinasi Inj (HB-Pid) Uniject 23,991.00 0.00 - - - - -
PROGRAM P2PL 4 Vaksin MR Vial 155,813.00 5 779,065.00 5 779,065.00 10.00 1,558,130.00 - - -
PROGRAM P2PL 1 Vaksin MR Vial 155,813.00 5 779,065.00 - 5.00 779,065.00 - - -
PROGRAM P2PL 6 Vaksin MR Vial 155,813.00 10 1,558,130.00 - 5.00 779,065.00 5 779,065.00 779,065.00
PROGRAM P2PL 7 Vaksin MR Vial 155,813.00 5 779,065.00 - - 5 779,065.00 779,065.00
PROGRAM P2PL 8 Vaksin polio IPV Vial 158,994.00 5 794,970.00 - - 5 794,970.00 794,970.00
PROGRAM P2PL 2 Vaksin polio IPV Vial 158,994.00 5 794,970.00 - 2.00 317,988.00 3 476,982.00 476,982.00
PROGRAM P2PL 3 Vaksin Polio Oral (OPV) Vial 19,954.00 5 99,770.00 10 199,540.00 9.00 179,586.00 6 119,724.00 119,724.00
PROGRAM P2PL 4 Vaksin Polio Oral (OPV) Vial 19,954.00 10 199,540.00 - 10.00 199,540.00 - - -
PROGRAM P2PL 4 Vaksin Polio Oral (OPV) Vial 19,954.00 0.00 - - - - -
PROGRAM P2PL 5 Vaksin Polio Oral (OPV) Vial 19,954.00 0.00 - - - - -
PROGRAM P2PL 6 Vaksin TD Vial 16,995.00 3 50,985.00 5 84,975.00 2.00 33,990.00 6 101,970.00 101,970.00
PROGRAM P2PL 7 Vaksin TD Vial 16,995.00 0.00 - - - - -
PROGRAM P2PL 8 Vaksin TD Vial 16,995.00 5 84,975.00 - 5.00 84,975.00 - - -
PROGRAM P2PL Vaksin PCV Vial 190,657.00 21 4,003,797.00 19.00 3,622,483.00 2 381,314.00 381,314.00
PROGRAM P2PL 11 Zidovudin 100 mg Botol 106,080.00 0.00 - - - - -
PROGRAM P2PL 12 Zidovudine 100 mg Botol/60 Tab 106,080.00 0.00 - - - - -
PROGRAM P2PL 13 Zink Tablet 20 mg Tablet 216.00 500 108,000.00 - - 500 108,000.00 108,000.00
PROGRAM P2PL 14 Zink Tablet 20 mg Tablet 253.00 0.00 - - - -
-
TOTAL PERSEDIAAN PROGRAM P2PL 27,234,488.50 7,324,107.00 16,395,833.00 18,162,762.50 18,162,762.50
TOTAL SELURUH SUMBER ANGGARAN 203,532,770.071 18,859,370.380 76,583,548.983 145,808,591.468 145,808,591.468
Page 13
TAHUN ANGGARAN 2022
SUMBER NO NAMA OBAT/BMHP SATUAN HARGA STOK AWAL 2022 PENERIMAAN PEMAKAIAN
ANGGARAN URUT SATUAN (Rp)
JUMLAH NILAI JUMLAH NILAI JUMLAH
1 2 3 4 5 6 7
APBD II (DAU) 89 Alat suntik sekali pakai 1 m Pcs 1,102.20 200 220,440.00 30.00
APBD II (DAU) 24 Alat suntik sekali pakai 3 m Pcs 995.50 300 298,650.00 300.00
APBD II (DAU) 76 Alkohol 70 % Botol 37,638.70 5 188,193.50 5.00
APBD II (DAU) 30 Alkohol 70% Botol 37,638.700 10 376,387.00 -
APBD II (DAU) 3 Alkohol Swab Kotak 30,000.00 20 600,000.00 -
APBD II (DAU) 1 Alkohol Swab Kotak 100 pcs 30,000.00 1 30,000.00 1.00
APBD II (DAU) 6 Ambroxol HCl 30 mg Tablet 224.40 1,500 336,600.00 100.00
APBD II (DAU) 7 Ambroxol HCl 30 mg Tablet 224.40 1,500 336,600.00 1,500.00
APBD II (DAU) 10 Amlodipin 10 mg Tablet 74.00 3,000 222,000.00 1,700.00
APBD II (DAU) 11 Amlodipin tablet 10 mg Tablet 74.00 1,000 74,000.00 1,000.00
APBD II (DAU) 13 Amoksisillin 500 mg Kapsul 231.00 5,000 1,155,000.00 -
APBD II (DAU) 14 Amoksisillin 500 mg Kapsul 231.00 1,000 231,000.00 400.00
APBD II (DAU) 1 Amoksisillin 500 mg Kapsul 231.00 5,000 1,155,000.00 5,000.00
2
APBD II (DAU) Amoksisillin 500 mg Kapsul 231.00 2,000 462,000.00 2,000.00
APBD II (DAU) 4 Antasida Doen Tablet 54.00 3,000 162,000.00 200.00
APBD II (DAU) 5 Antasida Doen Tablet Tablet 54.00 1,000 54,000.00 1,000.00
Page 14
1 2 3 4 5 6 7
APBD II (DAU) 8 Antasida Suspensi Botol 60 ml 1,756.00 30 52,680.00 26.00
9
APBD II (DAU) Antasida Suspensi Botol 60 ml 1,756.00 50 87,800.00 -
APBD II (DAU) 10 Antasida Suspensi Botol 60 ml 1,756.00 20 35,120.00 -
APBD II (DAU) 11 Antihemoroid suppo Supp 3,260.00 30 97,800.00 30.00
APBD II (DAU) 2 Antihemoroid suppo Supp 3,260.00 20 65,200.00 -
APBD II (DAU) 3 Asam Askorbat 50 mg Tablet 46.00 1,000 46,000.00 1,000.00
APBD II (DAU) 4 Asam Mefenamat 500 mg Tablet 117.00 1,000 117,000.00 -
APBD II (DAU) 6 Becefort sirup Botol 60 ml 17,325.00 10 173,250.00 -
APBD II (DAU) 7 Becefort sirup Botol 60 ml 17,325.00 240 4,158,000.00 -
APBD II (DAU) 8 Benecheck Strip cholester Pcs 25,283.92 100 2,528,392.30 -
APBD II (DAU) 10 Benecheck Strip Glucose Pcs 3,206.20 100 320,620.00 100.00
APBD II (DAU) 11 Benecheck Strip Uric Acid Pcs 6,689.54 300 2,006,862.00 -
APBD II (DAU) 12 Benecheck Strip Uric Acid Pcs 6,689.54 100 668,954.00 -
APBD II (DAU) 2 Ciprofloxacin Tablet 260.000 1,300 338,000.00 -
APBD II (DAU) 3 Ciprofloxacin Tablet 260.00 500 130,000.00 500.00
APBD II (DAU) 4 Ciprofloxacin Tablet 260.00 1,000 260,000.00 400.00
APBD II (DAU) 5 Deksametason tab 0,5 mg Tablet 151.80 3,000 455,400.00 1,000.00
APBD II (DAU) 6 Deksamethason 0,5 mg Tablet 151.80 3,000 455,400.00 3,000.00
APBD II (DAU) 2 Dextrose 5% (Satoria) Botol 6,627.00 20 132,540.00 20.00
APBD II (DAU) 3 Dextrose 5% (Satoria) Botol 6,627.00 40 265,080.00 -
APBD II (DAU) 5 Diazepam 2 mg Tablet 70.00 400 28,000.000 -
Page 15
1 2 3 4 5 6 7
APBD II (DAU) 6 Diazepam tablet 2 mg Tablet 70.00 100 7,000.00 100.00
APBD II (DAU) 7 Dimenhidrinat 50 mg Tablet 109.00 100 10,900.00 100.00
APBD II (DAU) 8 Domperidon suspensi 5 mg Botol 60 ml 2,401.00 30 72,030.00 30.00
APBD II (DAU) 11 Domperidon tablet 10 mg Tablet 75.00 1,000 75,000.00 500.00
APBD II (DAU) 12 Doxycyclin 100 mg Kapsul 289.000 200 57,800.00 -
APBD II (DAU) 13 Face Mask Head Loop Kotak/50 pcs 47,551.35 1 47,551.35 1.00
APBD II (DAU) 14 Fit D3 1000 Tablet 2,178.00 2,100 4,573,800.00 -
APBD II (DAU) 15 Fit D3 1000 Tablet 2,178.00 2,100 4,573,800.00 1,170.00
APBD II (DAU) 16 Fitomenadion (Vit K1)table Tablet 781.00 200 156,200.00 200.00
APBD II (DAU) 18 Fitomenadion (Vit K1)table Tablet 781.00 1,000 781,000.00 1,000.00
APBD II (DAU) 19 Glimepirid 1 mg Tablet 96.00 3,000 288,000.00 3,000.00
APBD II (DAU) 1 Glimepirid tab 1 mg Tablet 96.00 500 48,000.00 500.00
APBD II (DAU) 1 Glimepirid tab 1 mg Tablet 96.00 2,000 192,000.00 2,000.00
APBD II (DAU) 2 Glimepirid tab 1 mg Tablet 96.00 2,000 192,000.00 -
APBD II (DAU) 6 Griseofulvin 125 mg Tablet 210.00 500 105,000.00 300.00
APBD II (DAU) 7 Griseofulvin 125 mg Tablet 210.00 1,000 210,000.00 -
APBD II (DAU) 8 Guafenesin tab Tablet 152.90 2,000 305,800.00 2,000.00
APBD II (DAU) 12 Guafenesin tab Tablet 152.90 3,000 458,700.00 900.00
APBD II (DAU) 13 Guafenesin tab Tablet 152.90 2,000 305,800.00 -
APBD II (DAU) 14 Guaifenesin 100 mg Tablet 152.90 4,000 611,600.00 -
APBD II (DAU) 15 Hemafort tab Tablet 854.70 3,400 2,905,976.26 1,400.00
APBD II (DAU) 16 Ibuprofen syrup 200 mg/5 Botol 3,392.00 30 101,760.00 30.00
Ibuprofen syrup 200 mg/5
1
APBD II (DAU) ml Botol 3,392.00 20 67,840.00 20.00
APBD II (DAU) 3 Infusion set dewasa Pcs 6,584.00 100 658,400.00 100.00
APBD II (DAU) 4 IV catheher 20 G (abbocath T) Pcs 16,000.000 215 3,440,000.00 215.00
APBD II (DAU) 5 Kalsium Laktat 500 mg Tablet 60.000 300 18,000.00 300.00
Page 16
1 2 3 4 5 6 7
APBD II (DAU) 6 Kalsium Laktat 500 mg Tablet 60.00 4,000 240,000.00 2,300.00
APBD II (DAU) 7 Kaptopril 25 mg Tablet 75.000 500 37,500.00 -
Kasa pembalut hidrofil 40
8
APBD II (DAU) x 80 Pcs 156,200.00 3 468,600.00 3.00
9
APBD II (DAU) x 80 Pcs 156,200.00 3 468,600.00 3.00
APBD II (DAU) 10 Ketokonazol Tablet 260.00 500 130,000.00 -
APBD II (DAU) 11 Ketokonazole 200 mg Tablet 260.000 300 78,000.00 -
APBD II (DAU) 12 Kloramfenikol Salep Kulit ( Tube 3,760.00 10 37,600.00 3.00
APBD II (DAU) 1 Klorfeniramin maleat (CTM) Tablet 24.00 4,000 96,000.00 4,000.00
APBD II (DAU) 3 Klorfeniramin maleat (CTM) Tablet 24.00 600 14,400.00 600.00
APBD II (DAU) 6 Kotrimoksasol suspensi 24 Botol 60 ml 2,100.00 40 84,000.00 40.00
APBD II (DAU) 11 Kotrimoxsazol suspensi Botol 2,100.00 30 63,000.00 30.00
APBD II (DAU) 12 MetforminHCl 500 mg Tablet 77.00 1,000 77,000.00 1,000.00
APBD II (DAU) 15 Metilergometrin maleat 0, Tablet 214.00 100 21,400.00 -
APBD II (DAU) 16 Metilergometrin maleat 0, Tablet 214.00 100 21,400.00 100.00
APBD II (DAU) 1 Mikonazole krim 2% (Nitrat Tube 10 gram 1,900.00 48 91,200.00 48.00
APBD II (DAU) 6 NaCl 0,9% Botol 6,900.00 20 138,000.00 -
APBD II (DAU) 9 Natrium Diklofenak 50 mg Tablet 109.00 4,000 436,000.00 4,000.00
APBD II (DAU) 10 Non woven fixation 5 cm x Roll 44,781.00 5 223,905.00 -
Page 17
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APBD II (DAU) 12 Obat Batuk Hitam (Herbako Botol 14,273.00 10 142,730.00 10.00
APBD II (DAU) 13 Obat Batuk Hitam (Herbako Botol 14,273.00 20 285,460.00 -
APBD II (DAU) 1 Obat Batuk Hitam (Herbako Botol 14,273.00 100 1,427,300.00 -
APBD II (DAU) 3 Oksitetrasiklin 1 % Salep Tube 3,500.00 25 87,500.00 25.00
APBD II (DAU) 4 Omeprazol 20 mg Tablet 129.000 1,200 154,800.00 1,200.00
APBD II (DAU) 5 Omeprazol 20 mg Tablet 129.00 1,000 129,000.00 -
APBD II (DAU) 6 Omeprazol 20 mg Tablet 129.00 600 77,400.00 600.00
APBD II (DAU) 7 Parasetamol sirup Botol 1,160.00 100 116,000.00 100.00
APBD II (DAU) 8 Parasetamol sirup Botol 60 ml 1,160.00 100 116,000.00 100.00
APBD II (DAU) 11 Plester Nonwoven Fixation Pcs 44,781.00 5 223,905.00 -
APBD II (DAU) 12 Prednison tab 5 mg Tablet 73.00 3,000 219,000.00 200.00
APBD II (DAU) 13 Pritavit Kaplet Kaplet 1,027.95 400 411,180.00 -
APBD II (DAU) 14 Pritavit Kaplet Kaplet 1,027.95 2,000 2,055,900.00 -
APBD II (DAU) 16 Ranitidin 150 mg Tablet 85.00 1,000 85,000.00 -
APBD II (DAU) 17 Ranitidin 150 mg Tablet 85.00 2,000 170,000.00 2,000.00
APBD II (DAU) 18 Sianokobalamin (Vit B12) Tablet 44.00 3,000 132,000.00 -
APBD II (DAU) 19 Sianokobalamin (Vit B12) Tablet 44.00 3,000 132,000.00 1,800.00
APBD II (DAU) 22 Simvastatin tablet salut 10 mg Tablet 73.00 1,500 109,500.00 -
APBD II (DAU) 23 Simvastatin tablet salut 2 Tablet 150.00 2,000 300,000.00 2,000.00
APBD II (DAU) 27 Softanol Botol 500 ml 57,750.00 20 1,155,000.00 -
APBD II (DAU) 28 Softanol Botol 500 ml 57,750.00 10 577,500.00 -
APBD II (DAU) 29 Softanol Botol 500 ml 57,750.00 10 577,500.00 10.00
APBD II (DAU) 30 Water For Injection 25 ml(S Ampul 2,650.00 20 53,000.00 -
-
4,694,987.00 63,040,407.51 -
-
BIAN 1 Alat suntik sekali pakai 0,5 Pcs 1,650.00 200 330,000.00 -
Page 18
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BIAN 1 Vaksin DPT HB HiB Vial 78,991.00 79 6,240,289.00 -
BIAN 2 Vaksin MR Vial 155,813.00 43 6,699,959.00 -
BIAN 2 Vaksin polio IPV Vial 158,994.00 35 5,564,790.00 -
BIAN 5 Vaksin Polio Oral (OPV) Vial 19,954.00 29 578,666.00 -
-
- 46,465,246.00 -
-
BIAYA TAK TERDUG 1 Baju Hasmat/ APD Pcs 180,000.000 23 4,140,000.00 -
BIAYA TAK TERDUG 13 Face shield anti droplet Pcs 38,000.00 30 1,140,000.00 30.00
BIAYA TAK TERDUG 14 Sarung Tangan L Box/100 200,000.000 23 4,600,000.00 23.00
BIAYA TAK TERDUGA 1 Sarung Tangan L Box/100 200,000.000 23 4,600,000.00 -
-
13,340,000.00 1,140,000.00 -
-
DAK BMHP 1 Alat suntik sekali pakai 1 m Pcs 1,051.85 100 105,185.00 100.00
DAK BMHP 2 Alat suntik sekali pakai 3 m Pcs 967.92 500 483,960.00 500.00
DAK BMHP 4 Blood Lancet ( Ekomed) Kotak 23,606.00 2 47,212.00 2.00
DAK BMHP 1 Blood Lancet ( Medso Car Kotak 23,606.00 5 118,030.00 5.00
DAK BMHP 2 Catgut 2/0 Pcs 51,877.00 24 1,245,048.00 24.00
DAK BMHP 3 Catgut 3/0 (Optime) Pcs 75,020.00 25 1,875,500.00 25.00
DAK BMHP 4 Chlodine Jergen 414,739.00 1 414,739.00 1.00
DAK BMHP 5 Chlodine 0,5 % Jergen 414,739.00 3 1,244,217.00 3.00
DAK BMHP 6 Chromic surgical catgut sutu Pcs 49,491.00 30 1,484,730.00 30.00
DAK BMHP 7 Chromic surgical catgut sutu Pcs 49,491.20 12 593,894.40 12.00
DAK BMHP 2 Chromic surgical catgut s Pcs 49,491.00 24 1,187,784.00 24.00
DAK BMHP 3 Chromic surgical catgut s Pcs 49,491.00 12 593,892.00 12.00
DAK BMHP 4 Examination gloves size M Pcs 1,740.20 500 870,100.00 500.00
DAK BMHP 5 Folley Catheher No. 16 Pcs 11,945.23 20 238,904.60 20.00
Page 19
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DAK BMHP 9 Golden Glove Powder Free Pcs 1,485.00 500 742,500.00 500.00
DAK BMHP 3 Infus set Anak Pcs 3,592.27 50 179,613.50 50.00
DAK BMHP 6 Infus set Anak ( Abada ) Pcs 5,566.00 100 556,600.00 100.00
DAK BMHP 7 Infus set dewasa (Medso c Pcs 9,936.00 50 496,800.00 50.00
DAK BMHP 9 IV Catheter 18 G ( Fesco ) Pcs 7,992.00 15 119,880.00 15.00
DAK BMHP 10 IV Catheter 20 G ( Ekomed Pcs 5,827.00 100 582,700.00 100.00
DAK BMHP 8 Kasa 40 x 80 cm Roll 157,620.00 10 1,576,200.00 10.00
DAK BMHP 9 Kasa 40 x 80 cm Roll 157,620.00 6 945,720.00 6.00
DAK BMHP 2 Kasa 40 x 80 cm (Medso C Roll 157,620.00 3 472,860.00 3.00
DAK BMHP 3 Masker ear loop Box/50 pcs 63,250.00 50 3,162,500.00 50.00
DAK BMHP 4 Nasal Oxygen Anak Pcs 9,794.00 10 97,940.00 10.00
Page 20
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DAK BMHP 5 Oxygen Mask Anak Pcs 11,656.00 20 233,120.00 20.00
DAK BMHP 6 Oxygen Mask Dewasa Pcs 11,656.00 20 233,120.00 20.00
DAK BMHP 1 Plus Surgical glove steril Pcs 13,563.00 50 678,150.00 50.00
DAK BMHP 5 Polipix 5 cm x 5 m Roll 41,100.00 5 205,500.00 5.00
DAK BMHP 10 Silk 3/0 Pcs 36,542.00 12 438,504.00 12.00
DAK BMHP 11 Surgical glove steril size Pcs 8,635.00 50 431,750.00 50.00
DAK BMHP 13 Urine Bag (Medso Care) Pcs 10,165.00 10 101,650.00 10.00
-
- 44,530,316.50 -
-
DAK NON FISIK 1 Heclin handrub 0,5% Botol 50 ml 27,500.000 10 275,000.00 10.00
DAK NON FISIK 2 Heclin handrub 0,5% Botol 50 ml 27,500.00 43 1,182,500.00 -
DAK NON FISIK 3 Maxter Exam Glove L Kotak 100pcs 132,000.000 12 1,584,000.00 -
DAK NON FISIK 4 Maxter Exam Glove L Kotak/100pcs 132,000.00 5 660,000.00 5.00
DAK NON FISIK 1 Maxter Exam Glove M Kotak 100pcs 132,000.000 20 2,640,000.00 18.00
DAK NON FISIK 1 Maxter Exam Glove M Kotak/100pcs 132,000.00 5 660,000.00 -
DAK NON FISIK 2 Maxter Exam Glove S Kotak/100pcs 132,000.00 5 660,000.00 -
DAK NON FISIK 2 Maxter Exam Glove S Kotak 100pcs 132,000.000 20 2,640,000.00 10.00
-
7,139,000.00 5,802,500.00 -
Page 21
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-
DAK OBAT 11 Acyclovir 400 mg Tablet 2,214.45 300 664,335.00 40.00
DAK OBAT 187 Acyclovir 400 mg Tablet 429.00 1,000 429,000.00 -
DAK OBAT 189 Alkohol swab (Onemed) Box 11,200.000 28 313,600.00 -
DAK OBAT 185 Allopurinol Tablet 100 mg Tablet 89.00 1,000 89,000.00 1,000.00
DAK OBAT 101 Allopurinol Tablet 100 mg Tablet 89.00 2,000 178,000.00 -
DAK OBAT 149 Allopurinol Tablet 100 mg Tablet 89.00 1,000 89,000.00 800.00
DAK OBAT 108 Amlodipin 5 mg Tablet 55.50 3,000 166,500.00 1,200.00
DAK OBAT 15 Amoksisilin kaplet 500 mg Tablet 231.00 200 46,200.00 200.00
DAK OBAT 109 Amoksisilin kaplet 500 mg Tablet 231.00 5,000 1,155,000.00 -
DAK OBAT 91 Amoksisilin kaplet 500 mg Tablet 231.00 3,000 693,000.00 200.00
DAK OBAT 87 Amoksisilin sir kering125 Botol 2,068.63 100 206,863.00 27.00
Amoksisilin Sirup Kering 250
Botol
DAK OBAT 52 mg/5ml 3,846.000 75 288,450.00 -
DAK OBAT 55 Amoksisillin sirup DS 250 Botol 60 ml 3,510.00 100 351,000.00 100.00
DAK OBAT 1 Anti Fungi Salep Pot 3,670.00 60 220,200.00 36.00
DAK OBAT 5 Antihemoroid Suppo 3,289.64 20 65,792.80 -
DAK OBAT 1 Asam Asetilsalisilat (Minias Tablet 89.80 100 8,980.00 -
DAK OBAT 2 Asam Askorbat 50 mg Tablet 46.41 2,000 92,820.00 -
DAK OBAT 3 Asam Askorbat 50 mg Tablet 46.41 3,000 139,230.00 3,000.00
DAK OBAT 4 Asam Folat Tablet 45.00 2,000 90,000.00 400.00
DAK OBAT 5 Asam Folat Tablet 45.00 500 22,500.00 500.00
DAK OBAT 7 Asam Mefenamat Tablet 117.00 2,000 234,000.00 500.00
Page 22
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DAK OBAT 8 Asetat Ringer (Asering) Botol 500 ml 9,679.00 30 290,370.00 -
DAK OBAT 9 Asetylcysteine 200 mg Kapsul 320.00 2,040 652,800.00 40.00
DAK OBAT 10 Asetylcysteine 200 mg Kapsul 320.00 1,020 326,400.00 -
DAK OBAT 11 Asetylcysteine 200 mg Kapsul 317.00 840 266,280.00 300.00
DAK OBAT 12 Asetylcysteine 200 mg Kapsul 317.00 1,020 323,340.00 1,020.00
DAK OBAT 15 Atapulgit 600 mg Tablet 699.30 300 209,790.00 300.00
DAK OBAT 17 Bedak Salisil Serbuk 2% Box 50 gram 6,105.00 50 305,250.00 -
DAK OBAT 18 Bedak Salisil Serbuk 2% Box 50 gram 6,105.00 30 183,150.00 17.00
DAK OBAT 20 Betahistin 24 mg Tablet 4,990.00 30 149,700.00 -
DAK OBAT 21 Betahistin 24 mg Tablet 4,990.00 1,570 7,834,300.00 -
DAK OBAT 22 Betametason krim 0,1% tube 1,520.000 100 152,000.00 100.00
DAK OBAT 23 Betametasone krim 0,1 % Tube 1,520.00 50 76,000.00 42.00
DAK OBAT 24 Betametasone krim 0,1 % Tube 1,520.00 200 304,000.00 -
Bisakodil Suppositoria 10
27 4,325.00
DAK OBAT mg (Dulcolax) Suppo 20 86,500.00 20.00
28 4,325.00
DAK OBAT mg (Dulcolax) Suppo 10 43,250.00 -
Bisakodil suppositoria 5
29 5,085.00
30 5,085.00
31 5,085.00
DAK OBAT 32 Bisakodil tab sal 5 mg Tablet 217.95 100 21,795.00 100.00
DAK OBAT 33 Cavitami (Imicryl) Pcs 135,073.00 2 270,146.00 -
DAK OBAT 34 Cetrizine Syrup 5 mg/5 ml Botol 2,215.00 30 66,450.00 -
DAK OBAT 35 Cetrizine Syrup 5 mg/5 ml Botol 2,215.00 30 66,450.00 8.00
DAK OBAT 37 Clozapine 25 mg Tablet 477.00 700 333,900.00 -
DAK OBAT 38 Deksamethasone injeksi 5 Ampul 976.80 5 4,884.00 -
DAK OBAT 39 Diazepam 2 mg Tablet 70.00 500 35,000.000 500.00
Page 23
1 2 3 4 5 6 7
DAK OBAT 40 Diazepam enema 5 mg/2,5 Tube@2,5 ml 13,546.00 5 67,730.000 -
DAK OBAT 41 Diazepam enema 5 mg/2,5 Tube@2,5 ml 13,546.00 5 67,730.000 5.00
DAK OBAT 42 Diazepam injeksi 5 mg/ml- Ampul 1,545.00 5 7,725.000 5.00
DAK OBAT 43 Diazepam lar rektal 10 mg/2,5 m Tube 21,021.000 5 105,105.00 -
DAK OBAT 44 Difenhidramin HCl Injeksi 10 mg Ampul 1,261.000 5 6,305.00 -
DAK OBAT 45 Difenhidramin inj 10 mg/ml Ampul 825.00 5 4,125.000 -
DAK OBAT 46 Dimenhidrinat Tab Tablet 109.99 100 10,999.00 -
DAK OBAT 1 Dimenhidrinat Tab Tablet 109.99 100 10,999.00 100.00
DAK OBAT 2 Disposible Safety Box 5 Liter Buah 18,000.000 19 342,000.00 -
DAK OBAT 3 Domperidon suspensi 5 mg Botol 2,423.00 50 121,150.00 50.00
DAK OBAT 7 Etil Klorida Botol 175,010.00 2 350,020.00 2.00
DAK OBAT 8 Etil Klorida Botol 175,010.00 3 525,030.00 -
DAK OBAT 11 Farbivent Amp 25 ml 3,951.60 30 118,548.00 -
DAK OBAT 12 Farbivent Amp 25 ml 3,951.60 20 79,032.00 20.00
DAK OBAT 13 Fenobarbital Tablet 30 mg Tablet 197.00 115 22,655.00 115.00
DAK OBAT 14 Fenol Gliserol Tetes Telin Botol 3,330.00 5 16,650.00 5.00
DAK OBAT 18 Fenol Gliserol Tetes Telin Botol 3,330.00 10 33,300.00 -
DAK OBAT 20 Fibumin Kapsul 6,327.00 30 189,810.00 30.00
DAK OBAT 21 Fibumin Kapsul 6,327.00 600 3,796,200.00 120.00
DAK OBAT 22 Fitomenadion 10 mg Tablet 788.00 100 78,800.00 -
DAK OBAT 24 Fitomenadion Injeksi Ampul 1,465.00 30 43,950.00 30.00
DAK OBAT 25 Fitomenadion Injeksi 2 mg Ampul 1,465.00 60 87,900.00 60.00
DAK OBAT 27 Furosemid 40 mg Tablet 410.70 200 82,140.00 -
DAK OBAT 29 Garam Oralit Kombinasi Se Sacch 283.00 100 28,300.00 100.00
Page 24
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DAK OBAT 30 Gentamisin Salep mata 0, Tube 3,092.86 20 61,857.20 -
DAK OBAT 2 Gentamisin Tetes mata Botol 5,217.00 10 52,170.00 10.00
DAK OBAT 4 Glukosa larutan infus 40% Botol 25 ml 7,000.00 10 70,000.00 -
DAK OBAT 1 Glukosa larutan infus 5% steril Botol 6,627.000 40 265,080.00 -
DAK OBAT 2 Glyceryl Guaiacolat (Guaifenesin Kotak 14,600.300 49 715,414.70 1.00
DAK OBAT 3 Haloperidol tab 2 mg (Iod Tablet 81.73 100 8,173.00 100.00
DAK OBAT 5 Haloperidol tab 2 mg (Iod Tablet 81.73 300 24,519.00 -
DAK OBAT 7 Haloperidol tab 5 mg Tablet 54.49 400 21,796.00 -
DAK OBAT 8 Herba Asimor Tablet 1,776.00 20 35,520.00 -
DAK OBAT 11 Herbakof Sirup Botol 100 ml 14,402.00 5 72,010.00 5.00
DAK OBAT 13 Hidrokortison Krim 2,5% Tube 5 gr 2,648.000 48 127,104.00 48.00
DAK OBAT 14 Hidrokortison salep Tube 2,346.13 48 112,614.24 48.00
DAK OBAT 19 Hiosina butilbromida tab 1 Tablet 1,050.00 1,000 1,050,000.00 1,000.00
DAK OBAT 20 Hiosina butilbromida tab 1 Tablet 1,050.00 1,000 1,050,000.00 300.00
DAK OBAT 21 Hiosina butilbromida tab 10 mg Tablet 1,050.000 100 105,000.00 100.00
DAK OBAT 22 Ibuprofen 400 mg Tablet 516.15 4,000 2,064,600.00 -
DAK OBAT 24 Ibuprofen 400 mg Tablet 516.15 2,000 1,032,300.00 1,200.00
DAK OBAT 25 Ibuprofen 400 mg Tablet 516.15 1,000 516,150.00 1,000.00
DAK OBAT 27 Isosorbid dinitrat tab 5 mg Tablet 99.90 100 9,990.00 100.00
DAK OBAT 28 IV. Catheher 20 Cx1 1/4 (Steraca Pcs 4,256.00 90 383,040.00 -
DAK OBAT 29 IV. Catheher 22 G x 1 1/4 (Stera Pcs 4,256.00 50 212,800.00 -
DAK OBAT 1 Kalsium Laktat 500 mg Tablet 60.54 2,000 121,080.00 -
DAK OBAT 2 Kaptopril tab 25 mg Tablet 76.00 1,000 76,000.00 1,000.00
DAK OBAT 1 Kaptopril tab 25 mg Tablet 75.00 500 37,500.00 500.00
Page 25
1 2 3 4 5 6 7
DAK OBAT 3 Kaptopril tab 25 mg Tablet 75.00 2,000 150,000.00 800.00
DAK OBAT 5 Kasa Pembalut Hydrofil 4 Roll 660.80 25 16,520.00 -
DAK OBAT 6 Klorfeniramine Maleat Tab Tablet 96.57 4,000 386,280.00 4,000.00
DAK OBAT 8 Klorfeniramine Maleat Tab Tablet 24.00 4,000 96,000.00 600.00
DAK OBAT 9 Klorpromazin tab sal 25 m Tablet 208.00 500 104,000.00 500.00
DAK OBAT 10 Kotrimoksazol 480 mg (de Tablet 127.14 2,000 254,280.00 -
DAK OBAT 11 Kotrimoksazol 480 mg (de Tablet 126.00 1,000 126,000.00 1,000.00
DAK OBAT 14 Lidocain Injeksi Komp Ampul 1,405.000 210 295,050.00 -
DAK OBAT 15 Lidokain Injeksi Comp Ampul 847.00 30 25,410.00 30.00
DAK OBAT 16 Loperamid Tablet 92.00 100 9,200.00 -
DAK OBAT 17 Loperamid Tablet 81.74 500 40,870.00 500.00
DAK OBAT 18 Lytacur sirup Botol 60 ml 10,656.00 48 511,488.00 48.00
DAK OBAT 19 Magnesium sulfate inj 40% Ampul 4,700.00 5 23,500.00 4.00
DAK OBAT 20 Metformin Tablet Tablet 77.00 3,000 231,000.00 2,200.00
DAK OBAT 21 Metformin Tablet Tablet 77.00 600 46,200.00 600.00
DAK OBAT 23 Methyl Prednisolon Tablet 102.00 1,500 153,000.00 100.00
DAK OBAT 24 Methyl Prednisolon Tablet 102.00 2,000 204,000.00 -
DAK OBAT 2 Methyl Prednisolon Tablet 102.00 2,000 204,000.00 2,000.00
DAK OBAT 5 Metronidazole tab 500 mg Tablet 381.84 1,000 381,840.00 -
DAK OBAT 6 Metronidazole tab 500 mg Tablet 381.84 200 76,368.00 -
DAK OBAT 7 Miconazole krim 2% Tube 1,917.27 96 184,057.92 -
DAK OBAT 8 Miniaspi Tablet 89.800 100 8,980.00 100.00
DAK OBAT 9 Natrium Diklofenak 50 mg Tablet 109.00 3,000 327,000.00 2,700.00
DAK OBAT 14 Natrium Klorida larutan infu Botol 100 ml 6,763.00 20 135,260.00 -
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DAK OBAT 16 Natrium Klorida larutan infu Botol 100 ml 6,763.00 10 67,630.00 10.00
DAK OBAT 19 Natrium Klorida larutan infus ste botol 6,840.000 35 239,400.00 35.00
DAK OBAT 20 Nifedipin kaps 10 mg Tablet 412.92 100 41,292.00 100.00
DAK OBAT 21 Nistatin tab vaginal 100.00 Tablet 555.00 100 55,500.00 10.00
DAK OBAT 22 Nova Glass F (Imicryl) Pcs 421,173.00 2 842,346.00 2.00
DAK OBAT 23 Octadin 1 L Botol 396,000.00 6 2,376,000.00 -
DAK OBAT 24 Oksitosin injeksi Ampul 1,348.00 20 26,960.00 20.00
DAK OBAT 25 Omeprazol kaps 20 mg (R Kapsul 851.00 2,490 2,118,990.00 2,490.00
DAK OBAT 26 Oxytetracycline salep mat Tube 3,531.81 100 353,181.00 100.00
DAK OBAT 27 Oxytetracycline salep mat Tube 3,531.81 150 529,771.50 -
DAK OBAT 28 Oxytocin injeksi 10 IU/ml Ampul 1,348.00 100 134,800.00 -
DAK OBAT 29 Oxyvit Tablet 2,035.00 150 305,250.00 -
DAK OBAT 30 Oxyvit C Plus Tablet 2,035.00 900 1,831,500.00 -
DAK OBAT 1 Oxyvit C Plus Tablet 2,035.00 300 610,500.00 -
DAK OBAT 3 Parasetamol 1000 mg/100 Bag 8,880.00 40 355,200.00 -
DAK OBAT 4 Parasetamol 1000 mg/100 Bag 8,880.00 10 88,800.00 10.00
DAK OBAT 5 Parasetamol 500 mg Tablet 162.800 1,600 260,480.00 1,600.00
DAK OBAT 6 Parasetamol drops 100 mg Botol 5,251.00 10 52,510.00 10.00
DAK OBAT 9 Parasetamol sirup Botol 1,160.00 100 116,000.00 100.00
DAK OBAT 10 Parasetamol tablet 500 mg Tablet 219.003 7,000 1,533,021.00 5,399.00
DAK OBAT 11 Parasetamol tablet 500 mg Tablet 186.78 3,000 560,340.00 3,000.00
DAK OBAT 2 Pehacain Ampul 3,113.00 200 622,600.00 -
DAK OBAT 4 Pehacain Ampul 3,113.00 200 622,600.00 190.00
DAK OBAT 6 Permetrin krim 5% Tube 11,466.000 7 80,262.00 -
DAK OBAT 8 Permetrin krim 5% Tube 7,303.80 10 73,038.00 5.00
Page 27
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DAK OBAT 10 Phenobarbital Tablet 30 m Tablet 197.00 100 19,700.00 95.00
DAK OBAT 11 Phenobarbital Tablet 30 m Tablet 197.00 200 39,400.00 -
DAK OBAT 13 Piridoksin (Vitamin B6) ta Tablet 72.00 1,000 72,000.00 1,000.00
DAK OBAT 15 Povidon iodin lar 100 mg/m Botol 300 ml 25,445.00 10 254,450.00 -
DAK OBAT 2 Prednison tablet 5 mg Tablet 79.000 300 23,700.00 -
DAK OBAT 3 Prednison tablet 5 mg Tablet 73.00 2,000 146,000.00 2,000.00
DAK OBAT 6 Prednison tablet 5 mg Tablet 73.00 1,500 109,500.00 500.00
DAK OBAT 7 Ranitidin 150 mg Tablet 85.00 3,000 255,000.00 -
DAK OBAT 8 Ranitidin 150 mg Tablet 85.00 2,000 170,000.00 1,200.00
DAK OBAT 11 Ranitidin tablet 150 mg Tablet 114.000 1,400 159,600.00 -
DAK OBAT 12 Ringer Laktat Larutan (Sat Botol 7,773.00 300 2,331,900.00 -
DAK OBAT 14 Ringer Laktat Larutan (Sat Botol 7,773.00 300 2,331,900.00 140.00
DAK OBAT 16 Ringer Laktat Larutan (Sat Botol 7,703.00 100 770,300.00 100.00
DAK OBAT 4 Ringer Laktat Larutan Infus (Ots Botol 7,630.000 320 2,441,600.00 -
DAK OBAT 5 Salbutamol 4 mg Tablet 231.69 2,000 463,380.00 300.00
DAK OBAT 6 Salbutamol 4 mg Tablet 231.69 1,000 231,690.00 1,000.00
DAK OBAT 7 Salbutamol 4 mg Tablet 67.00 500 33,500.00 -
DAK OBAT 8 Salbutamol 4 mg Tablet 67.00 1,000 67,000.00 -
DAK OBAT 9 Sianokobalamin (Vit B12) Tablet 44.00 2,000 88,000.00 2,000.00
DAK OBAT 2 Simvastatin 20 mg Tablet 151.36 2,000 302,720.00 -
DAK OBAT 3 Simvastatin 20 mg Tablet 151.36 1,000 151,360.00 500.00
DAK OBAT 4 SS-24 Pot 1,488.00 30 44,640.00 -
Page 28
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DAK OBAT 5 SS-24 Pot 1,488.00 30 44,640.00 -
DAK OBAT 6 SS-24 Pot 1,488.00 30 44,640.00 -
DAK OBAT 7 SS-24 Pot 1,488.00 30 44,640.00 -
DAK OBAT 1 Stimuno Syrup Botol 28,374.00 10 283,740.00 -
DAK OBAT 3 Tablet Tambah Darah Tablet 983.710 1 983.71 1.00
DAK OBAT 4 Tablet Tambah Darah Tablet 257.31 20,000 5,146,200.00 1,717.00
DAK OBAT 5 Tablet Tambah Darah Tablet 257.31 3,600 926,316.00 3,554.00
DAK OBAT 6 Tiamin (vitamin B1) tab 50 Tablet 216.00 3,000 648,000.00 700.00
DAK OBAT 7 Triheksipenidil 2 mg Tablet 63.57 500 31,785.00 -
DAK OBAT 8 Vitamin B kompleks tablet Tablet 144.000 5,500 792,000.00 -
DAK OBAT 9 Vitamin B kompleks tablet Tablet 61.00 6,000 366,000.00 2,700.00
DAK OBAT 16 Zink sir 20 mg/5 ml Botol 2,511.00 20 50,220.00 -
DAK OBAT 17 Zink sir 20 mg/5 ml Botol 2,511.00 20 50,220.00 20.00
DAK OBAT 18 Zink Tablet 20 mg Tablet 253.00 1,000 253,000.00 -
DAK OBAT 19 Zink Tablet 20 mg Tablet 253.00 1,000 253,000.00 200.00
DAK OBAT 20 Zink Tablet 20 mg Tablet 253.00 1,000 253,000.00 1,000.00
-
9,320,609.41 86,538,750.76 -
-
DAU RECOFUSING 1 Masker ear loop (Solida) Box 50 Pcs 53,039.998 1 53,040.00 -
DAU RECOFUSING 1 Masker ear loop (Solida) Box 50 Pcs 53,039.998 200 10,607,999.60 -
DAU RECOFUSING 1 Sae handsanitizer Gel Botol 500 ml 72,600.00 10 726,000.00 -
-
- 11,387,039.598 -
DBHCHT Fokus New HIV 1/2 3 line Kotak/25 pcs 368,175.000 100 36817500.00 100.00
DBHCHT 1 Fokus New HIV 1/2 3 Line Kotak/25 pcs 368,175.00 1 368,175.00 1.00
DBHCHT 2 Metra Gloves LX Exam P Free M Kotak/100 pcs 125,208.000 20 2504160.00 20.00
DBHCHT 3 Metra Gloves LX Exam P Kotak/100 pcs 125,208.00 10 1,252,080.00 10.00
DBHCHT 1 Metra Gloves LX Exam P Kotak/100 pcs 125,208.00 5 626,040.00 5.00
Page 29
1 2 3 4 5 6 7
DBHCHT 1 Metra Gloves LX Exam P Free S Kotak/100 pcs 125,208.000 20 2504160.00 20.00
DBHCHT 2 Metra Gloves LX Exam P F Kotak/100 pcs 125,208.00 1 125,208.00 1.00
DBHCHT 1 -
-
41,825,820.00 2,621,919.00 -
-
DONASI 1 Herba Asimar Kap Kapsul 2,750.00 90 247,500.00 -
DONASI 2 Herbakof sirup Botol 15,125.00 2 30,250.00 -
DONASI 3 Lytacur Syrup Botol 16,500.00 8 132,000.00 -
DONASI 4 Stimuno Syrup Botol 48,881.00 3 146,643.00 -
-
- 556,393.00 -
-
KESGRA 1 Kapas pembalut / absorbe Roll 16,000.00 10 160,000.00 10.00
-
- 192,000.00 -
-
KESMAS 20 Ampicillin Injeksi 1000 mg Vial 9,473.00 3 28,419.00 3.00
KESMAS 24 Ampicillin Injeksi 1000 mg Vial 9,473.00 5 47,365.00 -
KESMAS 11 Calcii Gluconas injeksi 10 Ampul 10,351.00 5 51,755.00 5.00
KESMAS 9 Calcii Gluconas injeksi 10 Ampul 10,351.00 10 103,510.00 -
KESMAS 1 Fenobarbital injeksi 50 mg Ampul 2,278.00 10 22,780.00 -
KESMAS 1 Maxter Exam Glove M Kotak/100pcs 132,000.000 2 264,000.00 -
KESMAS 1 Metilergometrin injeksi 0,200 m Ampul 3,399.000 37 125,763.00 -
KESMAS 1 Metronidazole 500 mg/100 ml Botol 8,250.000 1 8,250.00 -
KESMAS 1 Mineral Mix Sachet 2,981.00 40 119,240.00 -
KESMAS 1 Tablet Tambah darah Tablet 409.000 380 155,420.00 380.00
KESMAS 1 Tablet Tambah Darah Tablet 409.00 5,010 2,049,090.00 -
KESMAS 2 Vit A balita 200.000 IU (Merah) Kapsul 637.000 300 191,100.00 -
-
744,533.00 2,473,914.00 -
-
-
P2PL 10 Alat suntik 5 ml Pcs 1,583.00 50 79,150.00 50.00
Page 30
1 2 3 4 5 6 7
P2PL 21 Alat suntik 5 ml Skifa Pcs 1,500.00 185 277,500.00 185.00
P2PL 63 Alat suntik sekali pakai 0,5 Pcs 1,650.00 500 825,000.00 500.00
P2PL 47 Albendazol Suspensi Botol 4,300.00 100 430,000.00 34.00
P2PL 16 Albendazol Tab 400 mg Tablet 366.50 1,447 530,325.50 600.00
P2PL 23 Albendazole Susp 200 mg/5 ml botol 4,600.000 80 368,000.00 -
P2PL 7 Albendazole tab 400 mg Tablet 431.000 1,096 472,376.00 -
P2PL 15 Amitriptilin Tablet 167.00 100 16,700.00 100.00
P2PL 35 Amtriptilin tab sal 25 mg Tablet 167.00 500 83,500.00 -
P2PL 57 Amytriptilin tab salut 25 mg Tablet 167.000 160 26,720.00 160.00
PROGRAM P2PL 1 Clobazam tab 10 mg Tablet 776.00 80 62,080.00 -
PROGRAM P2PL 2 Clozapine tab 25 mg Tablet 1,121.00 100 112,100.00 -
PROGRAM P2PL 3 Cotrimoxazole 960 mg Tablet 325.00 400 130,000.00 -
PROGRAM P2PL 4 Dietil Carbamazepin (DEC Tablet 190.00 1,500 285,000.00 -
PROGRAM P2PL 5 Dietil Carbamazepin (DEC Tablet 168.00 33,500 5,628,000.00 33,500.00
PROGRAM P2PL 6 Dietil Carbamazepin (DEC Tablet 190.00 4,600 874,000.00 4,600.00
PROGRAM P2PL 7 Evavirenz 600 mg Botol/30 Tab 213,000.00 2 426,000.00 2.00
PROGRAM P2PL 9 Garam Oralit untuk 200 ml air Sachet 275.000 180 49,500.00 -
PROGRAM P2PL 10 Garam Oralit untuk 200 ml Sachet 280.00 200 56,000.00 200.00
PROGRAM P2PL 15 Garam Oralit untuk 200 ml Sachet 275.00 1,000 275,000.00 1,000.00
PROGRAM P2PL 1 Haloperidol tab 5 mg Tablet 60.00 500 30,000.00 285.00
PROGRAM P2PL 2 INH 100 MG Tablet 2,880.00 545 1,569,600.00 545.00
PROGRAM P2PL 3 INH 100 mg Tablet 231.00 480 110,880.00 480.00
PROGRAM P2PL 6 Isoniazid 100 mg Tablet 231.000 100 23,100.00 100.00
PROGRAM P2PL 7 Klozapin tab 25 mg Tablet 1,121.00 500 560,500.00 -
PROGRAM P2PL 8 Lamivudine 150 mg Botol/60 Tab 98,400.00 5 492,000.00 5.00
PROGRAM P2PL 10 Lopinavir 40 mg+ Ritenavi Box 285,829.00 1 285,829.00 1.00
Page 31
1 2 3 4 5 6 7
PROGRAM P2PL 11 Masker N95 Buah 19,900.000 480 9,552,000.00 480.00
PROGRAM P2PL 12 Masker partikulat N95 Buah 19,900.00 360 7,164,000.00 360.00
PROGRAM P2PL 13 MDT Mb Dewasa Blister 40,526.00 6 243,156.00 6.00
PROGRAM P2PL 1 Obat FDC Kategori 1 Paket 477,791.000 6 2,866,746.00 6.00
PROGRAM P2PL 2 Obat FDC Kategori 1 Paket 478,142.00 15 7,172,130.00 -
PROGRAM P2PL 6 Obat FDC Kategori 2 Paket 1,592,731.000 1 1,592,731.00 1.00
PROGRAM P2PL 7 Rapid Test Anti HCV Test 11,188.00 25 279,700.00 25.00
PROGRAM P2PL 8 Rapid Test HbsAg Test 8,068.000 150 1,210,200.00 -
PROGRAM P2PL 9 Rapid Test HBsAg Tes 8,151.00 200 1,630,200.00 125.00
PROGRAM P2PL 10 Rapid Test HIV 1 (Viroche Test 8,391.00 25 209,775.00 25.00
PROGRAM P2PL 2 Rapid Test Sypilis (Trepoc Tes 8,096.00 25 202,400.00 25.00
PROGRAM P2PL 3 RDT Tifoid test 33,334.000 25 833,350.00 25.00
PROGRAM P2PL 4 Reagen Ziehl Neelson (ZN) Paket 239,593.00 1 239,593.00 1.00
PROGRAM P2PL 5 Rifampisin 75 mg/Isoniazi Tablet 799.00 80 63,920.00 80.00
PROGRAM P2PL 6 Rifapentine 300 mg/Isonia Tablet 6,524.00 76 495,824.00 76.00
PROGRAM P2PL 1 Rifapentine 300 mg/Isonia Tablet 6,546.00 180 1,178,280.00 180.00
PROGRAM P2PL 4 Risperidon Tablet 287.00 500 143,500.00 -
PROGRAM P2PL 5 Risperidon Tablet 287.00 500 143,500.00 500.00
PROGRAM P2PL 6 Risperidon tab 2 mg Tablet 287.00 300 86,100.00 300.00
PROGRAM P2PL 7 Safety Box Unit 21,930.00 5 109,650.00 5.00
PROGRAM P2PL 1 TDF(300)+3 TC(300)+EFV Botol/30 Tab 209,130.00 16 3,346,080.00 16.00
PROGRAM P2PL 3 TDF(300)+3TC(300)+EFV Botol/30 Tab 209,130.00 12 2,509,560.00 12.00
PROGRAM P2PL 5 Tenovovir 300 mg Botol/30 Tab 290,640.00 4 1,162,560.00 4.00
PROGRAM P2PL 7 Trepocheck sifilis Test 8,870.00 50 443,500.00 50.00
PROGRAM P2PL 8 Triheksifenidil 2 mg tab Tablet 91.00 500 45,500.00 -
Page 32
1 2 3 4 5 6 7
PROGRAM P2PL 10 Triheksifenidil tab 2 mg Tablet 91.000 180 16,380.00 -
PROGRAM P2PL 2 Tuberkulin Vial 625,800.00 3 1,877,400.00 3.00
PROGRAM P2PL 4 Vaksin BCG Vial 61,996.00 3 185,988.00 3.00
PROGRAM P2PL 7 Vaksin BCG Vial 61,996.00 5 309,980.00 -
PROGRAM P2PL 1 Vaksin DPT HB HiB Vial 78,991.00 10 789,910.00 10.00
PROGRAM P2PL 1 Vaksin Hepatitis Immuno G Vial 3,324,420.00 2 6,648,840.00 2.00
PROGRAM P2PL 2 Vaksin Hepatitis Immuno Vial 3,324,420.00 1 3,324,420.00 1.00
PROGRAM P2PL 1 Vaksin Hepatitis Kombinasi Uniject 23,991.00 10 239,910.00 10.00
PROGRAM P2PL 4 Vaksin MR Vial 155,813.00 5 779,065.00 -
Page 33
1 2 3 4 5 6 7
PROGRAM P2PL 6 Vaksin MR Vial 155,813.00 10 1,558,130.000 -
PROGRAM P2PL 8 Vaksin polio IPV Vial 158,994.00 5 794,970.00 -
PROGRAM P2PL 3 Vaksin Polio Oral (OPV) Vial 19,954.00 5 99,770.00 -
PROGRAM P2PL 4 Vaksin Polio Oral (OPV) Vial 19,954.00 5 99,770.00 5.00
PROGRAM P2PL 6 Vaksin TD Vial 16,995.00 3 50,985.00 -
PROGRAM P2PL 7 Vaksin TD Vial 16,995.00 10 169,950.00 10.00
PROGRAM P2PL 11 Zidovudin 100 mg Botol 106,080.00 1 106,080.00 1.00
PROGRAM P2PL 12 Zidovudine 100 mg Botol/60 Tab 106,080.00 1 106,080.00 1.00
PROGRAM P2PL 13 Zink Tablet 20 mg Tablet 216.00 500 108,000.00 -
PROGRAM P2PL 14 Zink Tablet 20 mg Tablet 253.00 1,000 253,000.00 1,000.00
TOTAL PERSEDIAAN PROGRAM P2PL 17,424,876.00 101,705,653.50
TOTAL SELURUH SUMBER ANGGARAN 94,489,825.41 366,454,139.87
Page 34
PEMAKAIAN SISA STOK 31 DESEMBER 2022
NILAI JUMLAH NILAI
33,066.00 170 187,374.00 187,374.00

298,650.00 - -
188,193.50 - -
112,916.10 - -
188,193.50 - -
37,638.70 - -
188,193.50 - -
150,554.80 6 225,832.20 225,832.20
- 10 376,387.00 376,387.00
- 20 600,000.00 600,000.00
30,000.00 - -
300,000.00 - -
300,000.00 - -
300,000.00 - -
72,450.00 - -
22,440.00 1400 314,160.00 314,160.00
336,600.00 - -
448,800.00 - -
224,400.00 - -
125,800.00 1300 96,200.00 96,200.00
74,000.00 - -
145,750.00 350 19,250.00 19,250.00
- 5000 1,155,000.00 1,155,000.00
92,400.00 600 138,600.00 138,600.00
1,155,000.00 - -
462,000.00 - -
1,155,000.00 - -
10,800.00 2800 151,200.00 151,200.00
54,000.00 - -
Page 35
NILAI JUMLAH NILAI
108,000.00 - -
54,000.00 - -
45,656.00 4 7,024.00 7,024.00
- 50 87,800.00 87,800.00
- 20 35,120.00 35,120.00
97,800.00 - -
32,600.00 - -
32,600.00 - -
- 20 65,200.00 65,200.00
46,000.00 - -
- 1000 117,000.00 117,000.00
- 2000 234,000.00 234,000.00
- 10 173,250.00 173,250.00
- 240 4,158,000.00 4,158,000.00
- 100 2,528,392.30 2,528,392.30
- 100 2,528,392.30 2,528,392.30
320,620.00 - -
- 300 2,006,862.00 2,006,862.00
- 100 668,954.00 668,954.00
- 100 668,954.00 668,954.00
- 100 668,954.00 668,954.00
- 100 668,954.00 668,954.00
- 1300 338,000.00 338,000.00
130,000.00 - -
104,000.00 600 156,000.00 156,000.00
151,800.00 2000 303,600.00 303,600.00
455,400.00 - -
455,400.00 - -
455,400.00 - -
151,800.00 - -
303,600.00 - -
455,400.00 - -
132,540.00 - -
- 40 265,080.00 265,080.00
397,620.00 - -
- 400 28,000.00 28,000.00
Page 36
NILAI JUMLAH NILAI
7,000.00 - -
10,900.00 - -
72,030.00 - -
24,010.00 - -
48,020.00 - -
37,500.00 500 37,500.00 37,500.00
- 200 57,800.00 57,800.00
47,551.35 - -
- 2100 4,573,800.00 4,573,800.00
2,548,260.00 930 2,025,540.00 2,025,540.00
156,200.00 - -
78,100.00 - -
781,000.00 - -
288,000.00 - -
48,000.00 - -
192,000.00 - -
- 2000 192,000.00 192,000.00
96,000.00 - -
28,800.00 200 19,200.00 19,200.00
- 3000 288,000.00 288,000.00
63,000.00 200 42,000.00 42,000.00
- 1000 210,000.00 210,000.00
305,800.00 - -
152,900.00 - -
152,900.00 - -
152,900.00 - -
137,610.00 2100 321,090.00 atur 321,090.00
- 2000 305,800.00 305,800.00
- 4000 611,600.00 611,600.00
1,196,578.46 2000 1,709,397.80 1,709,397.80
101,760.00 - -
67,840.00 - -
169,600.00 - -
658,400.00 - -
3,440,000.00 - -
18,000.00 - -
Page 37
NILAI JUMLAH NILAI
138,000.00 1700 102,000.00 102,000.00

- 500 37,500.00 37,500.00
468,600.00 - -
468,600.00 - -
- 500 130,000.00 130,000.00
- 300 78,000.00 78,000.00
11,280.00 7 26,320.00 26,320.00
18,800.00 - -
96,000.00 - -
120,000.00 - -
14,400.00 - -
24,000.00 - -
72,000.00 - -
84,000.00 - -
105,000.00 - -
79,800.00 82 172,200.00 172,200.00
105,000.00 - -
105,000.00 - -
63,000.00 - -
77,000.00 - -
231,000.00 - -
107,800.00 - -
- 100 21,400.00 21,400.00
21,400.00 - -
91,200.00 - -
5,700.00 93 176,700.00 176,700.00
45,600.00 - -
136,800.00 - -
91,200.00 - -
- 20 138,000.00 138,000.00
- 40 276,000.00 276,000.00
- 40 276,000.00 276,000.00
436,000.00 - -
- 5 223,905.00 223,905.00
- 5 223,905.00 223,905.00
Page 38
NILAI JUMLAH NILAI
142,730.00 - -
- 20 285,460.00 285,460.00
- 100 1,427,300.00 1,427,300.00
713,650.00 - -
87,500.00 - -
154,800.00 - -
- 1000 129,000.00 129,000.00
77,400.00 - -
116,000.00 - -
116,000.00 - -
232,000.00 - -
48,720.00 58 67,280.00 67,280.00
- 5 223,905.00 223,905.00
14,600.00 2800 204,400.00 204,400.00
- 400 411,180.00 411,180.00
- 2000 2,055,900.00 2,055,900.00
- 1000 1,027,950.00 1,027,950.00
- 1000 85,000.00 85,000.00
170,000.00 - -
- 3000 132,000.00 132,000.00
79,200.00 1200 52,800.00 52,800.00
132,000.00 - -
44,000.00 - -
- 1500 109,500.00 109,500.00
300,000.00 - -
300,000.00 - -
300,000.00 - -
150,000.00 - -
- 20 1,155,000.00 1,155,000.00
- 10 577,500.00 577,500.00
577,500.00 - -
- 20 53,000.00 53,000.00
- - -
28,491,021.91 39,244,372.60 39,244,372.60
- - -
- 200 330,000.00 330,000.00
- 299 493,350.00 493,350.00
Page 39
NILAI JUMLAH NILAI
- 79 6,240,289.00 6,240,289.00
- 43 6,699,959.00 6,699,959.00
- 148 23,060,324.00 23,060,324.00
- 35 5,564,790.00 5,564,790.00
- 10 1,589,940.00 1,589,940.00
- 12 1,907,928.00 1,907,928.00
- 29 578,666.00 578,666.00
- - -
- 46,465,246.00 46,465,246.00
- - -
- 23 4,140,000.00 4,140,000.00
1,140,000.00 - -
4,600,000.00 - -
- 23 4,600,000.00 4,600,000.00
- - -
5,740,000.00 8,740,000.00 8,740,000.00
- - -
105,185.00 - -
483,960.00 - -
483,960.00 - -
47,212.00 - -
82,005.00 - -
118,030.00 - -
1,245,048.00 - -
1,875,500.00 - -
414,739.00 - -
1,244,217.00 - -
1,484,730.00 - -
593,894.40 - -
1,187,788.80 - -
1,187,784.00 - -
593,892.00 - -
870,100.00 - -
238,904.60 - -
597,261.50 - -
238,904.60 - -
Page 40
NILAI JUMLAH NILAI
597,261.50 - -
742,500.00 - -
742,500.00 - -
445,500.00 - -
445,500.00 - -
742,500.00 - -
742,500.00 - -
742,500.00 - -
742,500.00 - -
742,500.00 - -
297,000.00 - -
297,000.00 - -
179,613.50 - -
107,768.10 - -
179,613.50 - -
556,600.00 - -
496,800.00 - -
496,800.00 - -
119,880.00 - -
582,700.00 - -
396,350.00 - -
396,350.00 - -
237,810.00 - -
582,700.00 - -
396,350.00 - -
396,350.00 - -
792,700.00 - -
237,810.00 - -
582,700.00 - -
582,700.00 - -
634,160.00 - -
1,576,200.00 - -
945,720.00 - -
945,720.00 - -
472,860.00 - -
3,162,500.00 - -
97,940.00 - -
Page 41
NILAI JUMLAH NILAI
233,120.00 - -
233,120.00 - -
678,150.00 - -
678,150.00 - -
678,150.00 - -
678,150.00 - -
678,150.00 - -
678,150.00 - -
678,150.00 - -
678,150.00 - -
678,150.00 - -
205,500.00 - -
205,500.00 - -
205,500.00 - -
205,500.00 - -
205,500.00 - -
438,504.00 - -
431,750.00 - -
431,750.00 - -
101,650.00 - -
- - -
44,530,316.50 - -
- - -
275,000.00 - -
- 43 1,182,500.00 1,182,500.00
- 12 1,584,000.00 1,584,000.00
660,000.00 - -
2,376,000.00 2 264,000.00 264,000.00
- 5 660,000.00 660,000.00
- 5 660,000.00 660,000.00
- 5 660,000.00 660,000.00
- 5 660,000.00 660,000.00
- 5 660,000.00 660,000.00
- 5 660,000.00 660,000.00
1,320,000.00 10 1,320,000.00 1,320,000.00
- - -
4,631,000.00 8,310,500.00 8,310,500.00
Page 42
NILAI JUMLAH NILAI
- - -
88,578.00 260 575,757.00 575,757.00
265,734.00 - -
265,734.00 - -
- 1000 429,000.00 429,000.00
- 28 313,600.00 313,600.00
89,000.00 - -
89,000.00 - -
89,000.00 - -
178,000.00 - -
- 2000 178,000.00 178,000.00
71,200.00 200 17,800.00 17,800.00
66,600.00 1800 99,900.00 99,900.00
46,200.00 - -
- 5000 1,155,000.00 1,155,000.00
46,200.00 2800 646,800.00 646,800.00
- 5500 1,980,000.00 1,980,000.00
55,853.01 73 151,009.99 151,009.99
62,058.90 - -
103,431.50 - -
206,863.00 - -
103,431.50 - -
- 75 288,450.00 288,450.00
351,000.00 - -
175,500.00 - -
132,120.00 24 88,080.00 88,080.00
110,100.00 - -
110,100.00 - -
183,500.00 - -
- 20 65,792.80 65,792.80
- 100 8,980.00 8,980.00
- 2000 92,820.00 92,820.00
139,230.00 - -
18,000.00 1600 72,000.00 72,000.00
22,500.00 - -
22,500.00 - -
58,500.00 1500 175,500.00 175,500.00
Page 43
NILAI JUMLAH NILAI
- 30 290,370.00 290,370.00
12,800.00 2000 640,000.00 640,000.00
- 1020 326,400.00 326,400.00
95,100.00 540 171,180.00 171,180.00
323,340.00 - -
304,320.00 - -
285,300.00 - -
209,790.00 - -
69,930.00 200 139,860.00 139,860.00
- 50 305,250.00 305,250.00
103,785.00 13 79,365.00 79,365.00
183,150.00 - -
- 30 149,700.00 149,700.00
- 1570 7,834,300.00 7,834,300.00
152,000.00 - -
63,840.00 8 12,160.00 12,160.00
- 200 304,000.00 304,000.00
152,000.00 - -
152,000.00 - -
86,500.00 - -
- 10 43,250.00 43,250.00
- 12 61,020.00 61,020.00
30,510.00 - -
30,510.00 - -
21,795.00 - -
- 2 270,146.00 270,146.00
- 30 66,450.00 66,450.00
17,720.00 22 48,730.00 48,730.00
66,450.00 - -
- 700 333,900.00 333,900.00
- 5 4,884.00 4,884.00
35,000.00 - -
Page 44
NILAI JUMLAH NILAI
- 5 67,730.00 67,730.00
67,730.00 - -
7,725.00 - -
- 5 105,105.00 105,105.00
- 5 6,305.00 6,305.00
- 5 4,125.00 4,125.00
- 100 10,999.00 10,999.00
10,999.00 - -
- 19 342,000.00 342,000.00
121,150.00 - -
121,150.00 - -
72,690.00 - -
72,690.00 - -
350,020.00 - -
- 3 525,030.00 525,030.00
525,030.00 - -
525,030.00 - -
- 30 118,548.00 118,548.00
79,032.00 - -
22,655.00 - -
16,650.00 - -
33,300.00 - -
16,650.00 - -
33,300.00 - -
- 10 33,300.00 33,300.00
- 10 33,300.00 33,300.00
189,810.00 - -
759,240.00 480 3,036,960.00 3,036,960.00
- 100 78,800.00 78,800.00
- 100 78,800.00 78,800.00
43,950.00 - -
87,900.00 - -
43,950.00 - -
- 200 82,140.00 82,140.00
- 100 41,070.00 41,070.00
28,300.00 - -
Page 45
NILAI JUMLAH NILAI
- 20 61,857.20 61,857.20
- 20 61,857.20 61,857.20
52,170.00 - -
26,085.00 - -
- 10 70,000.00 70,000.00
- 40 265,080.00 14600.3 265,080.00
14,600.30 48 700,814.40 700,814.40
8,173.00 - -
24,519.00 - -
- 300 24,519.00 24,519.00
- 500 40,865.00 40,865.00
- 400 21,796.00 21,796.00
- 20 35,520.00 35,520.00
- 60 106,560.00 106,560.00
- 210 372,960.00 372,960.00
72,010.00 - -
100,814.00 41 590,482.00 590,482.00
127,104.00 - -
112,614.24 - -
111,600.00 - -
27,900.00 84 195,300.00 195,300.00
46,500.00 - -
167,400.00 - -
1,050,000.00 - -
315,000.00 700 735,000.00 735,000.00
105,000.00 - -
- 4000 2,064,600.00 2,064,600.00
- 2000 1,032,300.00 1,032,300.00
619,380.00 800 412,920.00 412,920.00
516,150.00 - -
1,032,300.00 - -
9,990.00 - -
- 90 383,040.00 383,040.00
- 50 212,800.00 212,800.00
- 2000 121,080.00 121,080.00
76,000.00 - -
37,500.00 - -
Page 46
NILAI JUMLAH NILAI
37,500.00 - -
60,000.00 1200 90,000.00 90,000.00
75,000.00 - -
- 25 16,520.00 16,520.00
386,280.00 - -
193,140.00 - -
14,400.00 3400 81,600.00 81,600.00
104,000.00 - -
- 2000 254,280.00 254,280.00
126,000.00 - -
126,000.00 - -
126,000.00 - -
- 210 295,050.00 295,050.00
25,410.00 - -
- 100 9,200.00 9,200.00
40,870.00 - -
511,488.00 - -
18,800.00 1 4,700.00 4,700.00
169,400.00 800 61,600.00 61,600.00
46,200.00 - -
231,000.00 - -
10,200.00 1400 142,800.00 142,800.00
- 2000 204,000.00 204,000.00
- 2000 204,000.00 204,000.00
204,000.00 - -
102,000.00 - -
102,000.00 - -
- 1000 381,840.00 381,840.00
- 200 76,368.00 76,368.00
- 96 184,057.92 184,057.92
8,980.00 - -
294,300.00 300 32,700.00 32,700.00
545,000.00 - -
218,000.00 - -
109,000.00 - -
163,500.00 - -
- 20 135,260.00 135,260.00
Page 47
NILAI JUMLAH NILAI
- 40 278,520.00 278,520.00
67,630.00 - -
138,000.00 - -
414,000.00 40 276,000.00 276,000.00
239,400.00 - -
41,292.00 - -
5,550.00 90 49,950.00 49,950.00
842,346.00 - -
- 6 2,376,000.00 2,376,000.00
26,960.00 - -
2,118,990.00 - -
353,181.00 - -
- 150 529,771.50 529,771.50
- 100 134,800.00 134,800.00
- 150 305,250.00 305,250.00
- 900 1,831,500.00 1,831,500.00
- 300 610,500.00 610,500.00
- 60 122,100.00 122,100.00
- 40 355,200.00 355,200.00
88,800.00 - -
260,480.00 - -
52,510.00 - -
52,510.00 - -
105,020.00 - -
116,000.00 - -
1,182,397.20 1601 350,623.80 350,623.80
560,340.00 - 466016.1 -
560,340.00 - -
373,560.00 - -
933,900.00 - -
- 200 622,600.00 622,600.00
- 100 311,300.00 311,300.00
591,470.00 10 31,130.00 31,130.00
124,520.00 - -
- 7 80,262.00 80,262.00
- 10 73,038.00 73,038.00
36,519.00 5 36,519.00 36,519.00
Page 48
NILAI JUMLAH NILAI
114,660.00 - -
18,715.00 5 985.00 985.00
- 200 39,400.00 39,400.00
- 500 98,500.00 98,500.00
72,000.00 - -
72,000.00 - -
- 10 254,450.00 254,450.00
- 90 661,590.00 661,590.00
- 300 23,700.00 23,700.00
146,000.00 - -
146,000.00 - -
146,000.00 - -
36,500.00 1000 73,000.00 73,000.00
- 3000 255,000.00 255,000.00
102,000.00 800 68,000.00 68,000.00
- 3000 255,000.00 255,000.00
170,000.00 - -
- 1400 159,600.00 159,600.00
- 300 2,331,900.00 2,331,900.00
- 300 2,331,900.00 2,331,900.00
1,088,220.00 160 1,243,680.00 1,243,680.00
1,540,600.00 - -
770,300.00 - -
1,540,600.00 - -
308,120.00 - -
385,150.00 - -
- 320 2,441,600.00 2,441,600.00
69,507.00 1700 393,873.00 393,873.00
231,690.00 - -
- 500 33,500.00 33,500.00
- 1000 67,000.00 67,000.00
88,000.00 - -
44,000.00 - -
44,000.00 - -
- 2000 302,720.00 302,720.00
75,680.00 500 75,680.00 75,680.00
- 30 44,640.00 44,640.00
Page 49
NILAI JUMLAH NILAI
- 30 44,640.00 44,640.00
- 30 44,640.00 44,640.00
- 30 44,640.00 44,640.00
- 10 283,740.00 283,740.00
- 10 283,740.00 283,740.00
983.71 0 - -
441,801.27 18283 4,704,398.73 4,704,398.73
914,479.74 46 11,836.57 tandai 11,836.26
151,200.00 2300 496,800.00 496,800.00
- 500 31,785.00 31,785.00
- 5500 792,000.00 792,000.00
164,700.00 3300 201,300.00 201,300.00
183,000.00 - -
305,000.00 - -
305,000.00 - -
122,000.00 - -
183,000.00 - -
120,000.00 - -
- 20 50,220.00 50,220.00
50,220.00 - -
- 1000 253,000.00 253,000.00
50,600.00 800 202,400.00 202,400.00
253,000.00 - -
- - -
37,216,444.37 58,642,916.11 58,642,915.80
- - -
- 1 53,040.00 53,040.00
- 200 10,607,999.60 10,607,999.60
- 10 726,000.00 726,000.00
- - -
- 11,387,039.60 11,387,039.60
-
36,817,500.00 0 - -
368,175.00 0 - -
2,504,160.00 0 - -
1,252,080.00 - -
626,040.00 - -
Page 50
NILAI JUMLAH NILAI
2,504,160.00 0 - -
125,208.00 - -
250,416.00 - -
- - -
- - -
44,447,739.00 - -
- - -
- 90 247,500.00 247,500.00
- 2 30,250.00 30,250.00
- 8 132,000.00 132,000.00
- 3 146,643.00 146,643.00
- - -
- 556,393.00 556,393.00
- - -
160,000.00 - -
32,000.00 - -
- - -
192,000.00 - -
- - -
28,419.00 - -
- 5 47,365.00 47,365.00
51,755.00 - -
31,053.00 2 20,702.00 20,702.00
- 10 103,510.00 103,510.00
- 10 22,780.00 22,780.00
- 2 264,000.00 264,000.00
- 37 125,763.00 125,763.00
- 1 8,250.00 8,250.00
- 40 119,240.00 119,240.00
155,420.00 - -
- 5010 2,049,090.00 2,049,090.00
- 300 191,100.00 191,100.00
- - -
266,647.00 2,951,800.00 2,951,800.00
- - -
- - -
79,150.00 - -
395,750.00 250 395,750.00 395,750.00
Page 51
NILAI JUMLAH NILAI
277,500.00 - -
825,000.00 - -
330,000.00 - -
146,200.00 66 283,800.00 283,800.00
219,900.00 847 310,425.50 310,425.50
- 80 368,000.00 368,000.00
- 1096 472,376.00 472,376.00
16,700.00 - -
83,500.00 - -
39,913.00 261 43,587.00 43,587.00
- 500 83,500.00 83,500.00
26,720.00 - -
- 80 62,080.00 62,080.00
- 100 112,100.00 112,100.00
- 400 130,000.00 130,000.00
- 1500 285,000.00 285,000.00
5,628,000.00 - -
874,000.00 - -
426,000.00 - -
457,500.00 2 457,500.00 457,500.00
- 180 49,500.00 49,500.00
56,000.00 - -
27,500.00 - -
27,500.00 - -
27,500.00 - -
27,500.00 - -
275,000.00 - -
17,100.00 215 12,900.00 12,900.00
1,569,600.00 - -
110,880.00 - -
159,390.00 - -
115,500.00 - -
23,100.00 - -
- 500 560,500.00 560,500.00
492,000.00 - -
538,200.00 - -
285,829.00 - -
Page 52
NILAI JUMLAH NILAI
9,552,000.00 - -
7,164,000.00 - -
243,156.00 - -
2,866,746.00 - -
- 15 7,172,130.00 7,172,130.00
2,390,710.00 - -
2,868,852.00 - -
4,781,420.00 - -
1,592,731.00 - -
279,700.00 - -
- 150 1,210,200.00 1,210,200.00
1,018,875.00 75 611,325.00 611,325.00
209,775.00 - -
393,950.00 - -
417,500.00 - -
208,750.00 - -
202,400.00 - -
833,350.00 - -
239,593.00 - -
63,920.00 - -
495,824.00 - -
1,178,280.00 - -
1,252,608.00 - -
521,920.00 - -
- 500 143,500.00 143,500.00
143,500.00 - -
86,100.00 - -
109,650.00 - -
438,600.00 - -
3,346,080.00 - -
2,448,000.00 - -
2,509,560.00 - -
2,509,560.00 - -
1,162,560.00 - -
1,162,560.00 - -
443,500.00 - -
- 500 45,500.00 45,500.00
Page 53
NILAI JUMLAH NILAI
- 500 45,500.00 45,500.00

- 180 16,380.00 16,380.00
- 500 45,500.00 45,500.00
1,877,400.00 - -
1,877,400.00 - -
185,988.00 - -
123,992.00 - -
309,980.00 - -
- 5 309,980.00 309,980.00
- 10 619,960.00 619,960.00
- 5 309,980.00 309,980.00
- 5 309,980.00 309,980.00
789,910.00 - -
394,955.00 - -
789,910.00 - -
789,910.00 - -
394,955.00 - -
789,910.00 - -
789,910.00 - -
789,910.00 - -
394,955.00 - -
789,910.00 - -
789,910.00 - -
6,648,840.00 - -
3,324,420.00 - -
239,910.00 - -
239,910.00 - -
359,865.00 - -
359,865.00 - -
239,910.00 - -
359,865.00 - -
359,865.00 - -
95,964.00 - -
239,910.00 - -
- 5 779,065.00 779,065.00
- 5 779,065.00 779,065.00
- 5 779,065.00 779,065.00
Page 54
NILAI JUMLAH NILAI
- 5 779,065.00 779,065.00
- 5 779,065.00 779,065.00
- 5 779,065.00 779,065.00
- 10 1,558,130.00 1,558,130.00
- 5 779,065.00 779,065.00
- 5 794,970.00 794,970.00
- 5 794,970.00 794,970.00
- 5 794,970.00 794,970.00
- 5 794,970.00 794,970.00
- 5 794,970.00 794,970.00
- 5 99,770.00 99,770.00
- 10 199,540.00 199,540.00
- 10 199,540.00 199,540.00
- 5 99,770.00 99,770.00
- 5 99,770.00 99,770.00
- 10 199,540.00 199,540.00
- 5 99,770.00 99,770.00
- 10 199,540.00 199,540.00
99,770.00 - -
99,770.00 - -
- 3 50,985.00 50,985.00
169,950.00 - -
- 5 84,975.00 84,975.00
- 10 169,950.00 169,950.00
- 10 169,950.00 169,950.00
106,080.00 - -
106,080.00 - -
- 500 108,000.00 108,000.00
253,000.00 - -
-
91,896,041.00 27,234,488.50 27,234,488.50
257,411,209.78 203,532,755.81 203,532,755.50
Page 55
TAHUN ANGGARAN 2022
1 2 3 4 5 6 7
2
Page 58
1 2 3 4 5 6 7
9
Page 59
1 2 3 4 5 6 7
APBD II (DAU) 13 Face Mask Head Loop Kotak/50 pcs 47,551.35 1 47,551.35 1.00
APBD II (DAU) 12 Guafenesin tab Tablet 152.90 3,000 458,700.00 900.00
1
Page 60
1 2 3 4 5 6 7
8
APBD II (DAU) x 80 Pcs 156,200.00 3 468,600.00 3.00
9
APBD II (DAU) x 80 Pcs 156,200.00 3 468,600.00 3.00
Page 61
1 2 3 4 5 6 7
-
4,694,987.00 63,040,407.51 -
-
Page 62
1 2 3 4 5 6 7
-
- 46,465,246.00 -
-
BIAYA TAK TERDUG 14 Sarung Tangan L Box/100 200,000.000 23 4,600,000.00 23.00
-
13,340,000.00 1,140,000.00 -
-
Page 63
1 2 3 4 5 6 7
Page 64
1 2 3 4 5 6 7
DAK BMHP 10 Silk 3/0 Pcs 36,542.00 12 438,504.00 12.00
-
- 44,530,316.50 -
-
-
7,139,000.00 5,802,500.00 -
Page 65
1 2 3 4 5 6 7
-
Botol
DAK OBAT 52 mg/5ml 3,846.000 75 288,450.00 -
Page 66
1 2 3 4 5 6 7
27 4,325.00
28 4,325.00
29 5,085.00
30 5,085.00
31 5,085.00
Page 67
1 2 3 4 5 6 7
Page 68
1 2 3 4 5 6 7
DAK OBAT 2 Glyceryl Guaiacolat (Guaifenesin Kotak 14,600.300 49 715,414.70 1.00
Page 69
1 2 3 4 5 6 7
DAK OBAT 16 Loperamid Tablet 92.00 100 9,200.00 -
Page 70
1 2 3 4 5 6 7
Page 71
1 2 3 4 5 6 7
DAK OBAT 4 SS-24 Pot 1,488.00 30 44,640.00 -
Page 72
1 2 3 4 5 6 7
DAK OBAT 5 SS-24 Pot 1,488.00 30 44,640.00 -
DAK OBAT 6 SS-24 Pot 1,488.00 30 44,640.00 -
DAK OBAT 7 SS-24 Pot 1,488.00 30 44,640.00 -
DAK OBAT 3 Tablet Tambah Darah Tablet 983.710 1 983.71 1.00
-
9,320,609.41 86,538,750.76 -
-
-
- 11,387,039.598 -
Page 73
1 2 3 4 5 6 7
DBHCHT 1 -
-
41,825,820.00 2,621,919.00 -
-
-
- 556,393.00 -
-
-
- 192,000.00 -
-
-
744,533.00 2,473,914.00 -
-
-
Page 74
1 2 3 4 5 6 7
Page 75
1 2 3 4 5 6 7
Page 76
1 2 3 4 5 6 7
Page 77
1 2 3 4 5 6 7
94,489,825.41 366,454,139.87
Page 78
NILAI JUMLAH NILAI
33,066.00 170 187,374.00 187,374.00

298,650.00 - -
188,193.50 - -
112,916.10 - -
188,193.50 - -
37,638.70 - -
188,193.50 - -
150,554.80 6 225,832.20 225,832.20
- 10 376,387.00 376,387.00
- 20 600,000.00 600,000.00
30,000.00 - -
300,000.00 - -
300,000.00 - -
300,000.00 - -
72,450.00 - -
22,440.00 1400 314,160.00 314,160.00
336,600.00 - -
448,800.00 - -
224,400.00 - -
125,800.00 1300 96,200.00 96,200.00
74,000.00 - -
145,750.00 350 19,250.00 19,250.00
- 5000 1,155,000.00 1,155,000.00
92,400.00 600 138,600.00 138,600.00
1,155,000.00 - -
462,000.00 - -
1,155,000.00 - -
10,800.00 2800 151,200.00 151,200.00
54,000.00 - -
Page 79
NILAI JUMLAH NILAI
108,000.00 - -
54,000.00 - -
45,656.00 4 7,024.00 7,024.00
- 50 87,800.00 87,800.00
- 20 35,120.00 35,120.00
97,800.00 - -
32,600.00 - -
32,600.00 - -
- 20 65,200.00 65,200.00
46,000.00 - -
- 1000 117,000.00 117,000.00
- 2000 234,000.00 234,000.00
- 10 173,250.00 173,250.00
- 240 4,158,000.00 4,158,000.00
- 100 2,528,392.30 2,528,392.30
- 100 2,528,392.30 2,528,392.30
320,620.00 - -
- 300 2,006,862.00 2,006,862.00
- 100 668,954.00 668,954.00
- 100 668,954.00 668,954.00
- 100 668,954.00 668,954.00
- 100 668,954.00 668,954.00
- 1300 338,000.00 338,000.00
130,000.00 - -
104,000.00 600 156,000.00 156,000.00
151,800.00 2000 303,600.00 303,600.00
455,400.00 - -
455,400.00 - -
455,400.00 - -
151,800.00 - -
303,600.00 - -
455,400.00 - -
132,540.00 - -
- 40 265,080.00 265,080.00
397,620.00 - -
- 400 28,000.00 28,000.00
Page 80
NILAI JUMLAH NILAI
7,000.00 - -
10,900.00 - -
72,030.00 - -
24,010.00 - -
48,020.00 - -
37,500.00 500 37,500.00 37,500.00
- 200 57,800.00 57,800.00
47,551.35 - -
- 2100 4,573,800.00 4,573,800.00
2,548,260.00 930 2,025,540.00 2,025,540.00
156,200.00 - -
78,100.00 - -
781,000.00 - -
288,000.00 - -
48,000.00 - -
192,000.00 - -
- 2000 192,000.00 192,000.00
96,000.00 - -
28,800.00 200 19,200.00 19,200.00
- 3000 288,000.00 288,000.00
63,000.00 200 42,000.00 42,000.00
- 1000 210,000.00 210,000.00
305,800.00 - -
152,900.00 - -
152,900.00 - -
152,900.00 - -
137,610.00 2100 321,090.00 atur 321,090.00
- 2000 305,800.00 305,800.00
- 4000 611,600.00 611,600.00
1,196,578.46 2000 1,709,397.80 1,709,397.80
101,760.00 - -
67,840.00 - -
169,600.00 - -
658,400.00 - -
3,440,000.00 - -
18,000.00 - -
Page 81
NILAI JUMLAH NILAI
138,000.00 1700 102,000.00 102,000.00

- 500 37,500.00 37,500.00
468,600.00 - -
468,600.00 - -
- 500 130,000.00 130,000.00
- 300 78,000.00 78,000.00
11,280.00 7 26,320.00 26,320.00
18,800.00 - -
96,000.00 - -
120,000.00 - -
14,400.00 - -
24,000.00 - -
72,000.00 - -
84,000.00 - -
105,000.00 - -
79,800.00 82 172,200.00 172,200.00
105,000.00 - -
105,000.00 - -
63,000.00 - -
77,000.00 - -
231,000.00 - -
107,800.00 - -
- 100 21,400.00 21,400.00
21,400.00 - -
91,200.00 - -
5,700.00 93 176,700.00 176,700.00
45,600.00 - -
136,800.00 - -
91,200.00 - -
- 20 138,000.00 138,000.00
- 40 276,000.00 276,000.00
- 40 276,000.00 276,000.00
436,000.00 - -
- 5 223,905.00 223,905.00
- 5 223,905.00 223,905.00
Page 82
NILAI JUMLAH NILAI
142,730.00 - -
- 20 285,460.00 285,460.00
- 100 1,427,300.00 1,427,300.00
713,650.00 - -
87,500.00 - -
154,800.00 - -
- 1000 129,000.00 129,000.00
77,400.00 - -
116,000.00 - -
116,000.00 - -
232,000.00 - -
48,720.00 58 67,280.00 67,280.00
- 5 223,905.00 223,905.00
14,600.00 2800 204,400.00 204,400.00
- 400 411,180.00 411,180.00
- 2000 2,055,900.00 2,055,900.00
- 1000 1,027,950.00 1,027,950.00
- 1000 85,000.00 85,000.00
170,000.00 - -
- 3000 132,000.00 132,000.00
79,200.00 1200 52,800.00 52,800.00
132,000.00 - -
44,000.00 - -
- 1500 109,500.00 109,500.00
300,000.00 - -
300,000.00 - -
300,000.00 - -
150,000.00 - -
- 20 1,155,000.00 1,155,000.00
- 10 577,500.00 577,500.00
577,500.00 - -
- 20 53,000.00 53,000.00
- - -
28,491,021.91 39,244,372.60 39,244,372.60
- - -
- 200 330,000.00 330,000.00
- 299 493,350.00 493,350.00
Page 83
NILAI JUMLAH NILAI
- 79 6,240,289.00 6,240,289.00
- 43 6,699,959.00 6,699,959.00
- 148 23,060,324.00 23,060,324.00
- 35 5,564,790.00 5,564,790.00
- 10 1,589,940.00 1,589,940.00
- 12 1,907,928.00 1,907,928.00
- 29 578,666.00 578,666.00
- - -
- 46,465,246.00 46,465,246.00
- - -
- 23 4,140,000.00 4,140,000.00
1,140,000.00 - -
4,600,000.00 - -
- 23 4,600,000.00 4,600,000.00
- - -
5,740,000.00 8,740,000.00 8,740,000.00
- - -
105,185.00 - -
483,960.00 - -
483,960.00 - -
47,212.00 - -
82,005.00 - -
118,030.00 - -
1,245,048.00 - -
1,875,500.00 - -
414,739.00 - -
1,244,217.00 - -
1,484,730.00 - -
593,894.40 - -
1,187,788.80 - -
1,187,784.00 - -
593,892.00 - -
870,100.00 - -
238,904.60 - -
597,261.50 - -
238,904.60 - -
Page 84
NILAI JUMLAH NILAI
597,261.50 - -
742,500.00 - -
742,500.00 - -
445,500.00 - -
445,500.00 - -
742,500.00 - -
742,500.00 - -
742,500.00 - -
742,500.00 - -
742,500.00 - -
297,000.00 - -
297,000.00 - -
179,613.50 - -
107,768.10 - -
179,613.50 - -
556,600.00 - -
496,800.00 - -
496,800.00 - -
119,880.00 - -
582,700.00 - -
396,350.00 - -
396,350.00 - -
237,810.00 - -
582,700.00 - -
396,350.00 - -
396,350.00 - -
792,700.00 - -
237,810.00 - -
582,700.00 - -
582,700.00 - -
634,160.00 - -
1,576,200.00 - -
945,720.00 - -
945,720.00 - -
472,860.00 - -
3,162,500.00 - -
97,940.00 - -
Page 85
NILAI JUMLAH NILAI
233,120.00 - -
233,120.00 - -
678,150.00 - -
678,150.00 - -
678,150.00 - -
678,150.00 - -
678,150.00 - -
678,150.00 - -
678,150.00 - -
678,150.00 - -
678,150.00 - -
205,500.00 - -
205,500.00 - -
205,500.00 - -
205,500.00 - -
205,500.00 - -
438,504.00 - -
431,750.00 - -
431,750.00 - -
101,650.00 - -
- - -
44,530,316.50 - -
- - -
275,000.00 - -
- 43 1,182,500.00 1,182,500.00
- 12 1,584,000.00 1,584,000.00
660,000.00 - -
2,376,000.00 2 264,000.00 264,000.00
- 5 660,000.00 660,000.00
- 5 660,000.00 660,000.00
- 5 660,000.00 660,000.00
- 5 660,000.00 660,000.00
- 5 660,000.00 660,000.00
- 5 660,000.00 660,000.00
1,320,000.00 10 1,320,000.00 1,320,000.00
- - -
4,631,000.00 8,310,500.00 8,310,500.00
Page 86
NILAI JUMLAH NILAI
- - -
88,578.00 260 575,757.00 575,757.00
265,734.00 - -
265,734.00 - -
- 1000 429,000.00 429,000.00
- 28 313,600.00 313,600.00
89,000.00 - -
89,000.00 - -
89,000.00 - -
178,000.00 - -
- 2000 178,000.00 178,000.00
71,200.00 200 17,800.00 17,800.00
66,600.00 1800 99,900.00 99,900.00
46,200.00 - -
- 5000 1,155,000.00 1,155,000.00
46,200.00 2800 646,800.00 646,800.00
- 5500 1,980,000.00 1,980,000.00
55,853.01 73 151,009.99 151,009.99
62,058.90 - -
103,431.50 - -
206,863.00 - -
103,431.50 - -
- 75 288,450.00 288,450.00
351,000.00 - -
175,500.00 - -
132,120.00 24 88,080.00 88,080.00
110,100.00 - -
110,100.00 - -
183,500.00 - -
- 20 65,792.80 65,792.80
- 100 8,980.00 8,980.00
- 2000 92,820.00 92,820.00
139,230.00 - -
18,000.00 1600 72,000.00 72,000.00
22,500.00 - -
22,500.00 - -
58,500.00 1500 175,500.00 175,500.00
Page 87
NILAI JUMLAH NILAI
- 30 290,370.00 290,370.00
12,800.00 2000 640,000.00 640,000.00
- 1020 326,400.00 326,400.00
95,100.00 540 171,180.00 171,180.00
323,340.00 - -
304,320.00 - -
285,300.00 - -
209,790.00 - -
69,930.00 200 139,860.00 139,860.00
- 50 305,250.00 305,250.00
103,785.00 13 79,365.00 79,365.00
183,150.00 - -
- 30 149,700.00 149,700.00
- 1570 7,834,300.00 7,834,300.00
152,000.00 - -
63,840.00 8 12,160.00 12,160.00
- 200 304,000.00 304,000.00
152,000.00 - -
152,000.00 - -
86,500.00 - -
- 10 43,250.00 43,250.00
- 12 61,020.00 61,020.00
30,510.00 - -
30,510.00 - -
21,795.00 - -
- 2 270,146.00 270,146.00
- 30 66,450.00 66,450.00
17,720.00 22 48,730.00 48,730.00
66,450.00 - -
- 700 333,900.00 333,900.00
- 5 4,884.00 4,884.00
35,000.00 - -
Page 88
NILAI JUMLAH NILAI
- 5 67,730.00 67,730.00
67,730.00 - -
7,725.00 - -
- 5 105,105.00 105,105.00
- 5 6,305.00 6,305.00
- 5 4,125.00 4,125.00
- 100 10,999.00 10,999.00
10,999.00 - -
- 19 342,000.00 342,000.00
121,150.00 - -
121,150.00 - -
72,690.00 - -
72,690.00 - -
350,020.00 - -
- 3 525,030.00 525,030.00
525,030.00 - -
525,030.00 - -
- 30 118,548.00 118,548.00
79,032.00 - -
22,655.00 - -
16,650.00 - -
33,300.00 - -
16,650.00 - -
33,300.00 - -
- 10 33,300.00 33,300.00
- 10 33,300.00 33,300.00
189,810.00 - -
759,240.00 480 3,036,960.00 3,036,960.00
- 100 78,800.00 78,800.00
- 100 78,800.00 78,800.00
43,950.00 - -
87,900.00 - -
43,950.00 - -
- 200 82,140.00 82,140.00
- 100 41,070.00 41,070.00
28,300.00 - -
Page 89
NILAI JUMLAH NILAI
- 20 61,857.20 61,857.20
- 20 61,857.20 61,857.20
52,170.00 - -
26,085.00 - -
- 10 70,000.00 70,000.00
- 40 265,080.00 14600.3 265,080.00
14,600.30 48 700,814.40 700,814.40
8,173.00 - -
24,519.00 - -
- 300 24,519.00 24,519.00
- 500 40,865.00 40,865.00
- 400 21,796.00 21,796.00
- 20 35,520.00 35,520.00
- 60 106,560.00 106,560.00
- 210 372,960.00 372,960.00
72,010.00 - -
100,814.00 41 590,482.00 590,482.00
127,104.00 - -
112,614.24 - -
111,600.00 - -
27,900.00 84 195,300.00 195,300.00
46,500.00 - -
167,400.00 - -
1,050,000.00 - -
315,000.00 700 735,000.00 735,000.00
105,000.00 - -
- 4000 2,064,600.00 2,064,600.00
- 2000 1,032,300.00 1,032,300.00
619,380.00 800 412,920.00 412,920.00
516,150.00 - -
1,032,300.00 - -
9,990.00 - -
- 90 383,040.00 383,040.00
- 50 212,800.00 212,800.00
- 2000 121,080.00 121,080.00
76,000.00 - -
37,500.00 - -
Page 90
NILAI JUMLAH NILAI
37,500.00 - -
60,000.00 1200 90,000.00 90,000.00
75,000.00 - -
- 25 16,520.00 16,520.00
386,280.00 - -
193,140.00 - -
14,400.00 3400 81,600.00 81,600.00
104,000.00 - -
- 2000 254,280.00 254,280.00
126,000.00 - -
126,000.00 - -
126,000.00 - -
- 210 295,050.00 295,050.00
25,410.00 - -
- 100 9,200.00 9,200.00
40,870.00 - -
511,488.00 - -
18,800.00 1 4,700.00 4,700.00
169,400.00 800 61,600.00 61,600.00
46,200.00 - -
231,000.00 - -
10,200.00 1400 142,800.00 142,800.00
- 2000 204,000.00 204,000.00
- 2000 204,000.00 204,000.00
204,000.00 - -
102,000.00 - -
102,000.00 - -
- 1000 381,840.00 381,840.00
- 200 76,368.00 76,368.00
- 96 184,057.92 184,057.92
8,980.00 - -
294,300.00 300 32,700.00 32,700.00
545,000.00 - -
218,000.00 - -
109,000.00 - -
163,500.00 - -
- 20 135,260.00 135,260.00
Page 91
NILAI JUMLAH NILAI
- 40 278,520.00 278,520.00
67,630.00 - -
138,000.00 - -
414,000.00 40 276,000.00 276,000.00
239,400.00 - -
41,292.00 - -
5,550.00 90 49,950.00 49,950.00
842,346.00 - -
- 6 2,376,000.00 2,376,000.00
26,960.00 - -
2,118,990.00 - -
353,181.00 - -
- 150 529,771.50 529,771.50
- 100 134,800.00 134,800.00
- 150 305,250.00 305,250.00
- 900 1,831,500.00 1,831,500.00
- 300 610,500.00 610,500.00
- 60 122,100.00 122,100.00
- 40 355,200.00 355,200.00
88,800.00 - -
260,480.00 - -
52,510.00 - -
52,510.00 - -
105,020.00 - -
116,000.00 - -
1,182,397.20 1601 350,623.80 350,623.80
560,340.00 - 466016.1 -
560,340.00 - -
373,560.00 - -
933,900.00 - -
- 200 622,600.00 622,600.00
- 100 311,300.00 311,300.00
591,470.00 10 31,130.00 31,130.00
124,520.00 - -
- 7 80,262.00 80,262.00
- 10 73,038.00 73,038.00
36,519.00 5 36,519.00 36,519.00
Page 92
NILAI JUMLAH NILAI
114,660.00 - -
18,715.00 5 985.00 985.00
- 200 39,400.00 39,400.00
- 500 98,500.00 98,500.00
72,000.00 - -
72,000.00 - -
- 10 254,450.00 254,450.00
- 90 661,590.00 661,590.00
- 300 23,700.00 23,700.00
146,000.00 - -
146,000.00 - -
146,000.00 - -
36,500.00 1000 73,000.00 73,000.00
- 3000 255,000.00 255,000.00
102,000.00 800 68,000.00 68,000.00
- 3000 255,000.00 255,000.00
170,000.00 - -
- 1400 159,600.00 159,600.00
- 300 2,331,900.00 2,331,900.00
- 300 2,331,900.00 2,331,900.00
1,088,220.00 160 1,243,680.00 1,243,680.00
1,540,600.00 - -
770,300.00 - -
1,540,600.00 - -
308,120.00 - -
385,150.00 - -
- 320 2,441,600.00 2,441,600.00
69,507.00 1700 393,873.00 393,873.00
231,690.00 - -
- 500 33,500.00 33,500.00
- 1000 67,000.00 67,000.00
88,000.00 - -
44,000.00 - -
44,000.00 - -
- 2000 302,720.00 302,720.00
75,680.00 500 75,680.00 75,680.00
- 30 44,640.00 44,640.00
Page 93
NILAI JUMLAH NILAI
- 30 44,640.00 44,640.00
- 30 44,640.00 44,640.00
- 30 44,640.00 44,640.00
- 10 283,740.00 283,740.00
- 10 283,740.00 283,740.00
983.71 0 - -
441,801.27 18283 4,704,398.73 4,704,398.73
914,479.74 46 11,836.26 11,836.26
151,200.00 2300 496,800.00 tandai 496,800.00
- 500 31,785.00 31,785.00
- 5500 792,000.00 792,000.00
164,700.00 3300 201,300.00 201,300.00
183,000.00 - -
305,000.00 - -
305,000.00 - -
122,000.00 - -
183,000.00 - -
120,000.00 - -
- 20 50,220.00 50,220.00
50,220.00 - -
- 1000 253,000.00 253,000.00
50,600.00 800 202,400.00 202,400.00
253,000.00 - -
- - -
37,216,444.37 58,642,915.80 58,642,915.80
- - -
- 1 53,040.00 53,040.00
- 200 10,607,999.60 10,607,999.60
- 10 726,000.00 726,000.00
- - -
- 11,387,039.60 11,387,039.60
-
36,817,500.00 0 - -
368,175.00 0 - -
2,504,160.00 0 - -
1,252,080.00 - -
626,040.00 - -
Page 94
NILAI JUMLAH NILAI
2,504,160.00 0 - -
125,208.00 - -
250,416.00 - -
- - -
- - -
44,447,739.00 - -
- - -
- 90 247,500.00 247,500.00
- 2 30,250.00 30,250.00
- 8 132,000.00 132,000.00
- 3 146,643.00 146,643.00
- - -
- 556,393.00 556,393.00
- - -
160,000.00 - -
32,000.00 - -
- - -
192,000.00 - -
- - -
28,419.00 - -
- 5 47,365.00 47,365.00
51,755.00 - -
31,053.00 2 20,702.00 20,702.00
- 10 103,510.00 103,510.00
- 10 22,780.00 22,780.00
- 2 264,000.00 264,000.00
- 37 125,763.00 125,763.00
- 1 8,250.00 8,250.00
- 40 119,240.00 119,240.00
155,420.00 - -
- 5010 2,049,090.00 2,049,090.00
- 300 191,100.00 191,100.00
- - -
266,647.00 2,951,800.00 2,951,800.00
- - -
- - -
79,150.00 - -
395,750.00 250 395,750.00 395,750.00
Page 95
NILAI JUMLAH NILAI
277,500.00 - -
825,000.00 - -
330,000.00 - -
146,200.00 66 283,800.00 283,800.00
219,900.00 847 310,425.50 310,425.50
- 80 368,000.00 368,000.00
- 1096 472,376.00 472,376.00
16,700.00 - -
83,500.00 - -
39,913.00 261 43,587.00 43,587.00
- 500 83,500.00 83,500.00
26,720.00 - -
- 80 62,080.00 62,080.00
- 100 112,100.00 112,100.00
- 400 130,000.00 130,000.00
- 1500 285,000.00 285,000.00
5,628,000.00 - -
874,000.00 - -
426,000.00 - -
457,500.00 2 457,500.00 457,500.00
- 180 49,500.00 49,500.00
56,000.00 - -
27,500.00 - -
27,500.00 - -
27,500.00 - -
27,500.00 - -
275,000.00 - -
17,100.00 215 12,900.00 12,900.00
1,569,600.00 - -
110,880.00 - -
159,390.00 - -
115,500.00 - -
23,100.00 - -
- 500 560,500.00 560,500.00
492,000.00 - -
538,200.00 - -
285,829.00 - -
Page 96
NILAI JUMLAH NILAI
9,552,000.00 - -
7,164,000.00 - -
243,156.00 - -
2,866,746.00 - -
- 15 7,172,130.00 7,172,130.00
2,390,710.00 - -
2,868,852.00 - -
4,781,420.00 - -
1,592,731.00 - -
279,700.00 - -
- 150 1,210,200.00 1,210,200.00
1,018,875.00 75 611,325.00 611,325.00
209,775.00 - -
393,950.00 - -
417,500.00 - -
208,750.00 - -
202,400.00 - -
833,350.00 - -
239,593.00 - -
63,920.00 - -
495,824.00 - -
1,178,280.00 - -
1,252,608.00 - -
521,920.00 - -
- 500 143,500.00 143,500.00
143,500.00 - -
86,100.00 - -
109,650.00 - -
438,600.00 - -
3,346,080.00 - -
2,448,000.00 - -
2,509,560.00 - -
2,509,560.00 - -
1,162,560.00 - -
1,162,560.00 - -
443,500.00 - -
- 500 45,500.00 45,500.00
Page 97
NILAI JUMLAH NILAI
- 500 45,500.00 45,500.00

- 180 16,380.00 16,380.00
- 500 45,500.00 45,500.00
1,877,400.00 - -
1,877,400.00 - -
185,988.00 - -
123,992.00 - -
309,980.00 - -
- 5 309,980.00 309,980.00
- 10 619,960.00 619,960.00
- 5 309,980.00 309,980.00
- 5 309,980.00 309,980.00
789,910.00 - -
394,955.00 - -
789,910.00 - -
789,910.00 - -
394,955.00 - -
789,910.00 - -
789,910.00 - -
789,910.00 - -
394,955.00 - -
789,910.00 - -
789,910.00 - -
6,648,840.00 - -
3,324,420.00 - -
239,910.00 - -
239,910.00 - -
359,865.00 - -
359,865.00 - -
239,910.00 - -
359,865.00 - -
359,865.00 - -
95,964.00 - -
239,910.00 - -
- 5 779,065.00 779,065.00
- 5 779,065.00 779,065.00
- 5 779,065.00 779,065.00
Page 98
NILAI JUMLAH NILAI
- 5 779,065.00 779,065.00
- 5 779,065.00 779,065.00
- 5 779,065.00 779,065.00
- 10 1,558,130.00 1,558,130.00
- 5 779,065.00 779,065.00
- 5 794,970.00 794,970.00
- 5 794,970.00 794,970.00
- 5 794,970.00 794,970.00
- 5 794,970.00 794,970.00
- 5 794,970.00 794,970.00
- 5 99,770.00 99,770.00
- 10 199,540.00 199,540.00
- 10 199,540.00 199,540.00
- 5 99,770.00 99,770.00
- 5 99,770.00 99,770.00
- 10 199,540.00 199,540.00
- 5 99,770.00 99,770.00
- 10 199,540.00 199,540.00
99,770.00 - -
99,770.00 - -
- 3 50,985.00 50,985.00
169,950.00 - -
- 5 84,975.00 84,975.00
- 10 169,950.00 169,950.00
- 10 169,950.00 169,950.00
106,080.00 - -
106,080.00 - -
- 500 108,000.00 108,000.00
253,000.00 - -
-
91,896,041.00 27,234,488.50 27,234,488.50
257,411,209.78 203,532,755.50 203,532,755.50
257,411,209.47
203,532,755.81
Page 99
NILAI JUMLAH NILAI
- 0.31
Page 100
TAHUN ANGGARAN 2022
1 2 3 4 5 6 7
2
Page 102
1 2 3 4 5 6 7
9
Page 103
1 2 3 4 5 6 7
APBD II (DAU) 13 Face Mask Head Loop Kotak/50 pcs 47,551.35 1 47,551.35 -
1
Page 104
1 2 3 4 5 6 7
8
APBD II (DAU) x 80 Pcs 156,200.00 3 468,600.00 3.00
9
APBD II (DAU) x 80 Pcs 156,200.00 3 468,600.00 3.00
Page 105
1 2 3 4 5 6 7
-
4,694,987.00 63,040,407.51 -
-
Page 106
1 2 3 4 5 6 7
-
- 46,465,246.00 -
-
BIAYA TAK TERDUG 14 Sarung Tangan L Box/100 200,000.000 23 4,600,000.00 -
-
13,340,000.00 1,140,000.00 -
-
Page 107
1 2 3 4 5 6 7
Page 108
1 2 3 4 5 6 7
DAK BMHP 10 Silk 3/0 Pcs 36,542.00 12 438,504.00 12.00
-
- 44,530,316.50 -
-
-
7,139,000.00 5,802,500.00 -
Page 109
1 2 3 4 5 6 7
-
Botol
DAK OBAT 52 mg/5ml 3,846.000 75 288,450.00 -
Page 110
1 2 3 4 5 6 7
27 4,325.00
28 4,325.00
29 5,085.00
30 5,085.00
31 5,085.00
Page 111
1 2 3 4 5 6 7
Page 112
1 2 3 4 5 6 7
DAK OBAT 2 Glyceryl Guaiacolat (Guaifenesin Kotak 14,600.300 49 715,414.70 -
Page 113
1 2 3 4 5 6 7
Page 114
1 2 3 4 5 6 7
Page 115
1 2 3 4 5 6 7
DAK OBAT 4 SS-24 Pot 1,488.00 30 44,640.00 -
Page 116
1 2 3 4 5 6 7
DAK OBAT 5 SS-24 Pot 1,488.00 30 44,640.00 -
DAK OBAT 6 SS-24 Pot 1,488.00 30 44,640.00 -
DAK OBAT 7 SS-24 Pot 1,488.00 30 44,640.00 -
DAK OBAT 3 Tablet Tambah Darah Tablet 983.710 1 983.71 -
-
9,320,609.41 86,538,750.76 -
-
-
- 11,387,039.598 -
Page 117
1 2 3 4 5 6 7
DBHCHT 1 -
-
41,825,820.00 2,621,919.00 -
-
-
- 556,393.00 -
-
-
- 192,000.00 -
-
-
744,533.00 2,473,914.00 -
-
-
Page 118
1 2 3 4 5 6 7
Page 119
1 2 3 4 5 6 7
Page 120
1 2 3 4 5 6 7
Page 121
1 2 3 4 5 6 7
Page 122
NILAI JUMLAH NILAI
33,066.00 170 187,374.00

298,650.00 -
188,193.50 -
112,916.10 -
188,193.50 -
37,638.70 -
188,193.50 -
150,554.80 6 225,832.20
- 10 376,387.00
- 20 600,000.00
30,000.00 -
300,000.00 -
300,000.00 -
300,000.00 -
72,450.00 -
22,440.00 1400 314,160.00
336,600.00 -
448,800.00 -
224,400.00 -
125,800.00 1300 96,200.00
74,000.00 -
145,750.00 350 19,250.00
- 5000 1,155,000.00
92,400.00 600 138,600.00
1,155,000.00 -
462,000.00 -
1,155,000.00 -
10,800.00 2800 151,200.00
54,000.00 -
Page 123
NILAI JUMLAH NILAI
108,000.00 -
54,000.00 -
45,656.00 4 7,024.00
- 50 87,800.00
- 20 35,120.00
97,800.00 -
32,600.00 -
32,600.00 -
- 20 65,200.00
46,000.00 -
- 1000 117,000.00
- 2000 234,000.00
- 10 173,250.00
- 240 4,158,000.00
- 100 2,528,392.30
- 100 2,528,392.30
320,620.00 -
- 300 2,006,862.00
- 100 668,954.00
- 100 668,954.00
- 100 668,954.00
- 100 668,954.00
- 1300 338,000.00
130,000.00 -
104,000.00 600 156,000.00
151,800.00 2000 303,600.00
455,400.00 -
455,400.00 -
455,400.00 -
151,800.00 -
303,600.00 -
455,400.00 -
132,540.00 -
- 40 265,080.00
397,620.00 -
- 400 28,000.00
Page 124
NILAI JUMLAH NILAI
7,000.00 -
10,900.00 -
72,030.00 -
24,010.00 -
48,020.00 -
37,500.00 500 37,500.00
- 200 57,800.00
- 1 47,551.35
- 2100 4,573,800.00
2,548,260.00 930 2,025,540.00
156,200.00 -
78,100.00 -
781,000.00 -
288,000.00 -
48,000.00 -
192,000.00 -
- 2000 192,000.00
96,000.00 -
28,800.00 200 19,200.00
- 3000 288,000.00
63,000.00 200 42,000.00
- 1000 210,000.00
305,800.00 -
152,900.00 -
152,900.00 -
152,900.00 -
- 3000 458,700.00 atur
- 2000 305,800.00
- 4000 611,600.00
1,196,578.46 2000 1,709,397.80
101,760.00 -
67,840.00 -
169,600.00 -
658,400.00 -
3,440,000.00 -
18,000.00 -
Page 125
NILAI JUMLAH NILAI
138,000.00 1700 102,000.00

- 500 37,500.00
468,600.00 -
468,600.00 -
- 500 130,000.00
- 300 78,000.00
11,280.00 7 26,320.00
18,800.00 -
96,000.00 -
120,000.00 -
14,400.00 -
24,000.00 -
72,000.00 -
84,000.00 -
105,000.00 -
79,800.00 82 172,200.00
105,000.00 -
105,000.00 -
63,000.00 -
77,000.00 -
231,000.00 -
107,800.00 -
- 100 21,400.00
21,400.00 -
91,200.00 -
5,700.00 93 176,700.00
45,600.00 -
136,800.00 -
91,200.00 -
- 20 138,000.00
- 40 276,000.00
- 40 276,000.00
436,000.00 -
- 5 223,905.00
- 5 223,905.00
Page 126
NILAI JUMLAH NILAI
142,730.00 -
- 20 285,460.00
- 100 1,427,300.00
713,650.00 -
87,500.00 -
154,800.00 -
- 1000 129,000.00
77,400.00 -
116,000.00 -
116,000.00 -
232,000.00 -
48,720.00 58 67,280.00
- 5 223,905.00
14,600.00 2800 204,400.00
- 400 411,180.00
- 2000 2,055,900.00
- 1000 1,027,950.00
- 1000 85,000.00
170,000.00 -
- 3000 132,000.00
79,200.00 1200 52,800.00
132,000.00 -
44,000.00 -
- 1500 109,500.00
300,000.00 -
300,000.00 -
300,000.00 -
150,000.00 -
- 20 1,155,000.00
- 10 577,500.00
577,500.00 -
- 20 53,000.00
- -
28,305,860.56 39,429,533.95 39,429,533.95
- -
- 200 330,000.00
- 299 493,350.00
Page 127
NILAI JUMLAH NILAI
- 79 6,240,289.00
- 43 6,699,959.00
- 148 23,060,324.00
- 35 5,564,790.00
- 10 1,589,940.00
- 12 1,907,928.00
- 29 578,666.00
- -
- 46,465,246.00 46,465,246.00
- -
- 23 4,140,000.00
1,140,000.00 -
- 23 4,600,000.00
- 23 4,600,000.00
- -
1,140,000.00 8,740,000.00 13,340,000.00
- -
105,185.00 -
483,960.00 -
483,960.00 -
47,212.00 -
82,005.00 -
118,030.00 -
1,245,048.00 -
1,875,500.00 -
414,739.00 -
1,244,217.00 -
1,484,730.00 -
593,894.40 -
1,187,788.80 -
1,187,784.00 -
593,892.00 -
870,100.00 -
238,904.60 -
597,261.50 -
238,904.60 -
Page 128
NILAI JUMLAH NILAI
597,261.50 -
742,500.00 -
742,500.00 -
445,500.00 -
445,500.00 -
742,500.00 -
742,500.00 -
742,500.00 -
742,500.00 -
742,500.00 -
297,000.00 -
297,000.00 -
179,613.50 -
107,768.10 -
179,613.50 -
556,600.00 -
496,800.00 -
496,800.00 -
119,880.00 -
582,700.00 -
396,350.00 -
396,350.00 -
237,810.00 -
582,700.00 -
396,350.00 -
396,350.00 -
792,700.00 -
237,810.00 -
582,700.00 -
582,700.00 -
634,160.00 -
1,576,200.00 -
945,720.00 -
945,720.00 -
472,860.00 -
3,162,500.00 -
97,940.00 -
Page 129
NILAI JUMLAH NILAI
233,120.00 -
233,120.00 -
678,150.00 -
678,150.00 -
678,150.00 -
678,150.00 -
678,150.00 -
678,150.00 -
678,150.00 -
678,150.00 -
678,150.00 -
205,500.00 -
205,500.00 -
205,500.00 -
205,500.00 -
205,500.00 -
438,504.00 -
431,750.00 -
431,750.00 -
101,650.00 -
- -
44,530,316.50 - -
- -
275,000.00 -
- 43 1,182,500.00
- 12 1,584,000.00
660,000.00 -
2,376,000.00 2 264,000.00
- 5 660,000.00
- 5 660,000.00
- 5 660,000.00
- 5 660,000.00
- 5 660,000.00
- 5 660,000.00
1,320,000.00 10 1,320,000.00
- -
4,631,000.00 8,310,500.00 8,310,500.00
Page 130
NILAI JUMLAH NILAI
- -
88,578.00 260 575,757.00
265,734.00 -
265,734.00 -
- 1000 429,000.00
- 28 313,600.00
89,000.00 -
89,000.00 -
89,000.00 -
178,000.00 -
- 2000 178,000.00
71,200.00 200 17,800.00
66,600.00 1800 99,900.00
46,200.00 -
- 5000 1,155,000.00
46,200.00 2800 646,800.00
- 5500 1,980,000.00
55,853.01 73 151,009.99
62,058.90 -
103,431.50 -
206,863.00 -
103,431.50 -
- 75 288,450.00
351,000.00 -
175,500.00 -
132,120.00 24 88,080.00
110,100.00 -
110,100.00 -
183,500.00 -
- 20 65,792.80
- 100 8,980.00
- 2000 92,820.00
139,230.00 -
18,000.00 1600 72,000.00
22,500.00 -
22,500.00 -
58,500.00 1500 175,500.00
Page 131
NILAI JUMLAH NILAI
- 30 290,370.00
12,800.00 2000 640,000.00
- 1020 326,400.00
95,100.00 540 171,180.00
323,340.00 -
304,320.00 -
285,300.00 -
209,790.00 -
69,930.00 200 139,860.00
- 50 305,250.00
103,785.00 13 79,365.00
183,150.00 -
- 30 149,700.00
- 1570 7,834,300.00
152,000.00 -
63,840.00 8 12,160.00
- 200 304,000.00
152,000.00 -
152,000.00 -
86,500.00 -
- 10 43,250.00
- 12 61,020.00
30,510.00 -
30,510.00 -
21,795.00 -
- 2 270,146.00
- 30 66,450.00
17,720.00 22 48,730.00
66,450.00 -
- 700 333,900.00
- 5 4,884.00
35,000.00 -
Page 132
NILAI JUMLAH NILAI
- 5 67,730.00
67,730.00 -
7,725.00 -
- 5 105,105.00
- 5 6,305.00
- 5 4,125.00
- 100 10,999.00
10,999.00 -
- 19 342,000.00
121,150.00 -
121,150.00 -
72,690.00 -
72,690.00 -
350,020.00 -
- 3 525,030.00
525,030.00 -
525,030.00 -
- 30 118,548.00
79,032.00 -
22,655.00 -
16,650.00 -
33,300.00 -
16,650.00 -
33,300.00 -
- 10 33,300.00
- 10 33,300.00
189,810.00 -
759,240.00 480 3,036,960.00
- 100 78,800.00
- 100 78,800.00
43,950.00 -
87,900.00 -
43,950.00 -
- 200 82,140.00
- 100 41,070.00
28,300.00 -
Page 133
NILAI JUMLAH NILAI
- 20 61,857.20
- 20 61,857.20
52,170.00 -
26,085.00 -
- 10 70,000.00
- 40 265,080.00 14600.3
- 49 715,414.70
8,173.00 -
24,519.00 -
- 300 24,519.00
- 500 40,865.00
- 400 21,796.00
- 20 35,520.00
- 60 106,560.00
- 210 372,960.00
72,010.00 -
100,814.00 41 590,482.00
127,104.00 -
112,614.24 -
111,600.00 -
27,900.00 84 195,300.00
46,500.00 -
167,400.00 -
1,050,000.00 -
315,000.00 700 735,000.00
105,000.00 -
- 4000 2,064,600.00
- 2000 1,032,300.00
619,380.00 800 412,920.00
516,150.00 -
1,032,300.00 -
9,990.00 -
- 90 383,040.00
- 50 212,800.00
- 2000 121,080.00
76,000.00 -
37,500.00 -
Page 134
NILAI JUMLAH NILAI
37,500.00 -
60,000.00 1200 90,000.00
75,000.00 -
- 25 16,520.00
386,280.00 -
193,140.00 -
14,400.00 3400 81,600.00
104,000.00 -
- 2000 254,280.00 5,000
126,000.00 -
126,000.00 -
126,000.00 -
- 210 295,050.00
25,410.00 -
9,200.00 -
32,696.00 100 8,174.00
511,488.00 -
18,800.00 1 4,700.00
169,400.00 800 61,600.00
46,200.00 -
231,000.00 -
10,200.00 1400 142,800.00
- 2000 204,000.00
- 2000 204,000.00
204,000.00 -
102,000.00 -
102,000.00 -
- 1000 381,840.00
- 200 76,368.00
- 96 184,057.92
8,980.00 -
294,300.00 300 32,700.00
545,000.00 -
218,000.00 -
109,000.00 -
163,500.00 -
- 20 135,260.00
Page 135
NILAI JUMLAH NILAI
- 40 278,520.00
67,630.00 -
138,000.00 -
414,000.00 40 276,000.00
239,400.00 -
41,292.00 -
5,550.00 90 49,950.00
842,346.00 -
- 6 2,376,000.00
26,960.00 -
2,118,990.00 -
353,181.00 -
- 150 529,771.50
- 100 134,800.00
- 150 305,250.00
- 900 1,831,500.00
- 300 610,500.00
- 60 122,100.00
- 40 355,200.00
88,800.00 -
260,480.00 -
52,510.00 -
52,510.00 -
105,020.00 -
116,000.00 -
1,533,021.00 -
261,492.00 1600 298,848.00 466016.1
560,340.00 -
373,560.00 -
933,900.00 -
- 200 622,600.00
- 100 311,300.00
591,470.00 10 31,130.00
124,520.00 -
- 7 80,262.00
- 10 73,038.00
36,519.00 5 36,519.00
Page 136
NILAI JUMLAH NILAI
114,660.00 -
18,715.00 5 985.00
- 200 39,400.00
- 500 98,500.00
72,000.00 -
72,000.00 -
- 10 254,450.00
- 90 661,590.00
- 300 23,700.00
146,000.00 -
146,000.00 -
146,000.00 -
36,500.00 1000 73,000.00
- 3000 255,000.00
102,000.00 800 68,000.00
- 3000 255,000.00
170,000.00 -
- 1400 159,600.00
- 300 2,331,900.00
- 300 2,331,900.00
1,088,220.00 160 1,243,680.00
1,540,600.00 -
770,300.00 -
1,540,600.00 -
308,120.00 -
385,150.00 -
- 320 2,441,600.00
69,507.00 1700 393,873.00
231,690.00 -
- 500 33,500.00
- 1000 67,000.00
88,000.00 -
44,000.00 -
44,000.00 -
- 2000 302,720.00
75,680.00 500 75,680.00 edot
- 30 44,640.00
Page 137
NILAI JUMLAH NILAI
- 30 44,640.00
- 30 44,640.00
- 30 44,640.00
- 10 283,740.00
- 10 283,740.00
- 1 983.71
579,719.43 17747 4,566,480.57
926,316.00 -
151,200.00 2300 496,800.00 tandai
- 500 31,785.00
- 5500 792,000.00
164,700.00 3300 201,300.00
183,000.00 -
305,000.00 -
305,000.00 -
122,000.00 -
183,000.00 -
120,000.00 -
- 20 50,220.00
50,220.00 -
- 1000 253,000.00
50,600.00 800 202,400.00
253,000.00 -
- -
37,403,416.58 58,455,943.59 58,455,943.59
- -
- 1 53,040.00
- 200 10,607,999.60
- 10 726,000.00
- -
- 11,387,039.60 11,387,039.60
36,817,500.00 0 -
368,175.00 0 -
2,504,160.00 0 -
1,252,080.00 -
626,040.00 -
Page 138
NILAI JUMLAH NILAI
2,504,160.00 0 -
125,208.00 -
250,416.00 -
- -
- -
44,447,739.00 - -
- -
- 90 247,500.00
- 2 30,250.00
- 8 132,000.00
- 3 146,643.00
- -
- 556,393.00 556,393.00
- -
160,000.00 -
32,000.00 -
- -
192,000.00 - -
- -
28,419.00 -
- 5 47,365.00
51,755.00 -
31,053.00 2 20,702.00
- 10 103,510.00
- 10 22,780.00
- 2 264,000.00
- 37 125,763.00
- 1 8,250.00
- 40 119,240.00
155,420.00 -
- 5010 2,049,090.00
- 300 191,100.00
- -
266,647.00 2,951,800.00 2,951,800.00
- -
- -
79,150.00 -
395,750.00 250 395,750.00
Page 139
NILAI JUMLAH NILAI
277,500.00 -
825,000.00 -
330,000.00 -
146,200.00 66 283,800.00
219,900.00 847 310,425.50
- 80 368,000.00
- 1096 472,376.00
16,700.00 -
83,500.00 -
40,080.00 260 43,420.00
- 500 83,500.00
26,720.00 -
- 80 62,080.00
- 100 112,100.00
- 400 130,000.00
- 1500 285,000.00
5,628,000.00 -
874,000.00 -
426,000.00 -
457,500.00 2 457,500.00
- 180 49,500.00
56,000.00 -
27,500.00 -
27,500.00 -
27,500.00 -
27,500.00 -
275,000.00 -
17,100.00 215 12,900.00
1,569,600.00 -
110,880.00 -
159,390.00 -
115,500.00 -
23,100.00 -
- 500 560,500.00
492,000.00 -
538,200.00 -
285,829.00 -
Page 140
NILAI JUMLAH NILAI
9,552,000.00 -
7,164,000.00 -
243,156.00 -
2,866,746.00 -
- 15 7,172,130.00
2,390,710.00 -
2,868,852.00 -
4,781,420.00 -
1,592,731.00 -
279,700.00 -
- 150 1,210,200.00
1,018,875.00 75 611,325.00
209,775.00 -
393,950.00 -
417,500.00 -
208,750.00 -
202,400.00 -
833,350.00 -
239,593.00 -
63,920.00 -
495,824.00 -
1,178,280.00 -
1,252,608.00 -
521,920.00 -
- 500 143,500.00
143,500.00 -
86,100.00 -
109,650.00 -
438,600.00 -
3,346,080.00 -
2,448,000.00 -
2,509,560.00 -
2,509,560.00 -
1,162,560.00 -
1,162,560.00 -
443,500.00 -
- 500 45,500.00
Page 141
NILAI JUMLAH NILAI
- 500 45,500.00
- 180 16,380.00
- 500 45,500.00
1,877,400.00 -
1,877,400.00 -
185,988.00 -
123,992.00 -
309,980.00 -
- 5 309,980.00
- 10 619,960.00
- 5 309,980.00
- 5 309,980.00
789,910.00 -
394,955.00 -
789,910.00 -
789,910.00 -
394,955.00 -
789,910.00 -
789,910.00 -
789,910.00 -
394,955.00 -
789,910.00 -
789,910.00 -
6,648,840.00 -
3,324,420.00 -
239,910.00 -
239,910.00 -
359,865.00 -
359,865.00 -
239,910.00 -
359,865.00 -
359,865.00 -
95,964.00 -
239,910.00 -
- 5 779,065.00
- 5 779,065.00
- 5 779,065.00
Page 142
NILAI JUMLAH NILAI
- 5 779,065.00
- 5 779,065.00
- 5 779,065.00
- 10 1,558,130.00
- 5 779,065.00
- 5 794,970.00
- 5 794,970.00
- 5 794,970.00
- 5 794,970.00
- 5 794,970.00
- 5 99,770.00
- 10 199,540.00
- 10 199,540.00
- 5 99,770.00
- 5 99,770.00
- 10 199,540.00
- 5 99,770.00
- 10 199,540.00
99,770.00 -
99,770.00 -
- 3 50,985.00
169,950.00 -
- 5 84,975.00
- 10 169,950.00
- 10 169,950.00
106,080.00 -
106,080.00 -
- 500 108,000.00
253,000.00 -
91,896,208.00 27,234,321.50 27,234,321.50
252,813,187.64 203,530,777.64 208,130,777.64
203,532,755.81
Page 143
NILAI JUMLAH NILAI
- 1,978.17 - 10.5909 pct

- 13.0693 simvas
- 12.9377 gg dau
- 7.6879 ttd
Page 144
TAHUN ANGGARAN 2022
62,417,907.51 63040407.51 622,500.00 85,978,022.26 86,538,750.76 560,728.50
94,489,825.41 94,489,825.41 0.00
101,705,653.50 101,705,653.50 -
NO URUT NAMA OBAT/BMHP SATUAN
JUMLAH NILAI (Rp) JUMLAH NILAI (Rp) JUMLAH NILAI (Rp) JUMLAH NILAI (Rp)
1 2 3 4 6 7 8 9 10 13 14 15 16
DAU
1 Alat suntik 3 ml Pcs 995.500 - 300 298,650.00 300 298,650.00 - -
2 Alat suntik 1 ml Pcs 1,102.200 - 200 220,440.00 30 33,066.00 170 187,374.00
3 Alkohol 70% Botol 37,638.700 10 376,387.00 29 1,091,522.30 23 865,690.10 16 602,219.20
4 Alkohol Swab Kotak 100 Pcs 14,490.000 - 5 72,450.00 5 72,450.00 - -
5 Alkohol Swab Kotak 100 Pcs 30,000.000 - 51 1,530,000.00 31 930,000.00 20 600,000.00
6 Ambroxol HCl 30 mg Tablet 224.400 - 6,000 1,346,400.00 4,600 1,032,240.00 1,400 314,160.00
7 Amlodipin tablet 10 mg Tablet 74.000 - 4,000 296,000.00 2,700 199,800.00 1,300 96,200.00
8 Amlodipin tablet 5 mg Tablet 55.000 - 3,000 165,000.00 2,650 145,750.00 350 19,250.00
9 Amoksisillin 500 mg Kapsul 231.000 - 18,000 4,158,000.00 12,400 2,864,400.00 5,600 1,293,600.00
Ampul - - -
10 - -
11 Antasida doen tablet Tablet 54.00 - 7,000 378,000.00 4200 226,800.00 2,800 151,200.00
12 Antasida Suspensi Botol 60 ml 1,756.00 - 100 175,600.00 26 45,656.00 74 129,944.00
13 Antihemorhoid Suppo 3,260.00 - 70 228,200.00 50 163,000.00 20 65,200.00
14 Asam Mefenamat 500 mg Tablet 117.00 - 3,000 351,000.00 3000 351,000.00 - -
15 Becefort Botol 17,325.00 - 250 4,331,250.00 250 4,331,250.00 - -
16 Becefort tablet 1,536.700 - - - - -
17 Asam Askorbat (Vit C) tab 50 mg Tablet 46.000 - 1,000 46,000.00 1,000 46,000.00 - -
18 Benecheck Strip Cholesterol Pcs 25,283.923 - 200 5,056,784.60 - 200 5,056,784.60
19 Benecheck Strip Glucose Pcs 3,206.200 - 100 320,620.00 100 320,620.00 - -
20 Benecheck Strip Uric Acid Pcs 6,689.540 - 700 4,682,678.00 100 668,954.00 600 4,013,724.00
21 Bufacetin Tube 3,360.000 - - - - -
22 Bufacetin Tube 3,760.000 - - - - -
23 Cetrizine syrup 5 mg/5 ml Botol 2,215.000 - - - - -
24 Ciprofloxacin Tablet 260.000 1,300 338,000.00 1,500 390,000.00 900 234,000.00 1,900 494,000.00
25 Diazepam 2 mg Tablet 70.000 - 400 28,000.00 - 400 28,000.00
26 Deksamethason 0,5 Tablet 151.800 - 15,000 2,277,000.00 13,000 1,973,400.00 2,000 303,600.00
27 Dextrose 5% (Satoria) Botol 6,627.000 - 120 795,240.00 80 530,160.00 40 265,080.00
28 Domperidon Tablet 10 mg Tablet 75.000 - 1,000 75,000.00 500 37,500.00 500 37,500.00
29 Domperidone suspensi botol 60 ml 2,401.000 - 60 144,060.00 60 144,060.00 - -
30 Doxycyclin 100 mg Kapsul 289.000 200 57,800.00 - - 200 57,800.00
31 Dimenhidrinat 50mg Tablet 109.000 - 100 10,900.00 100 10,900.00 - -
32 Diazepam 2 mg Tablet 70.000 - 500 35,000.00 100 7,000.00 400 28,000.00
33 Eritromycin sirup 200mg/5 ml Botol 7,436.000 - - - - -
34 Eugenol btl 10 ml - - - - -
35 Face Mask Ear Loop Kotak/50 Pcs 47,551.350 - 1 47,551.35 1 47,551.35 - -
36 Fitomenadion (Vit K1) tablet 10 mg Tablet 781.000 - 1,300 1,015,300.00 1,300 1,015,300.00 - -
37 Fit D3 1000 Tablet 2,178.000 - 4,200 9,147,600.00 1,170 2,548,260.00 3,030 6,599,340.00
38 Foley catheter 2 way FR NO.18 Pcs 36,696.000 - - - - -
39 Glibenklamid tab 5 mg Tablet 87.000 - - - - -
40 Glimepirid tab 1 mg Tablet 96.000 - 12,000 1,152,000.00 6,800 652,800.00 5,200 499,200.00
41 Griseofulvin 125 mg Tablet 210.000 - 1,500 315,000.00 300 63,000.00 1,200 252,000.00
42 Guafenasin Tablet 152.900 - 14,000 2,140,600.00 5,900 902,110.00 8,100 1,238,490.00
43 Hemafort tab Tablet 854.699 - 3,400 2,905,976.26 1,400 1,196,578.46 2,000 1,709,397.80
44 Human Humasens Plus Unit 814,009.500 - - - - -
45 Hiosina Butilbromida tab 10 mg (Buscopan) Tablet 1,050.000 - - - - -
46 Hipafix 15 cm x 5 m Roll 302,000.000 - - - - -
47 Ibuprofen Syrup 100 mg Botol 2,339.000 - - - - -
48 Ibuprofen Syrup 200 mg/5 ml Botol 3,392.000 - 50 169,600.00 100 339,200.00 - 50 (169,600.00)
49 Infusion set Anak Pcs - - - - -
50 IV catheher 20 G (abbocath T) Pcs 16,000.000 215 3,440,000.00 - - 215 3,440,000.00
51 Infusion set dewasa pcs 6,584.000 - 100 658,400.00 100 658,400.00 - -
52 IV catheher 22 G (abbocath T) pcs 16,000.000 - - - - -
53 Kaptopril 25 mg Tablet 75.000 500 37,500.00 - - 500 37,500.00
54 Kasa Pembalut hidrofil 40x80 Pcs 156,200.000 - 6 937,200.00 6 937,200.00 - -
55 Kalsium Laktat 500 mg Tablet 60.000 300 18,000.00 4,000 240,000.00 2,600 156,000.00 1,700 102,000.00
56 Ketokonazole 200 mg Tablet 260.000 300 78,000.00 500 130,000.00 - 800 208,000.00
57 Klindamisin kaps 300 mg kapsul 594.000 - - - - -
58 Kloramfenikol kapsul 250 mg Kapsul 1,174.000 - - - - -
59 Kloramfenikol Salep Kulit (Bufacetin) Tube 3,760.000 - 15 56,400.00 8 30,080.00 7 26,320.00
60 Kloramfeniramin maleat (CTM) Tablet 4 mg Tablet 24.000 - 13,600 326,400.00 13,600 326,400.00 - -
61 Kalsium Laktat 500 mg Tablet 60.000 - - - - -
62 Kotrimoksazol suspensi Botol 60 ml 2,100.000 - 340 714,000.00 258 541,800.00 82 172,200.00
63 Kotrimoksazol tab 480 mg Tablet 126.000 - - - - -
64 Lidokain Spray oral 10% Botol 177,216.000 - - - - -
65 Loperamide Tablet 81.000 - - - - -
66 Metilergometrin maleat Tablet 214.000 - 200 42,800.00 100 21,400.00 100 21,400.00
67 Metformin 500 mg Tablet 77.000 - 5,400 415,800.00 5,400 415,800.00 - -
68 Miconazole krim 2% Tube 1,900.000 - 288 547,200.00 195 370,500.00 93 176,700.00
69 Natrium Diklofenak Tablet 109.000 - 4,000 436,000.00 4,000 436,000.00 - -
70 Natrium Klorida Infus 0.9% Botol 500 ml 6,900.000 - 80 552,000.00 60 414,000.00 20 138,000.00
71 Nistatin Vaginal Tablet 500.000 UI Tablet Vaginal - - - - -
72 Non Woven Fixation 5 cm x 10 m (aximed) Roll 44,781.00 - 15 671,715.00 15 671,715.00 - -
73 Nacl 0.9% Botol 6,900.00 - 100 690,000.00 - 100 690,000.00
74 Obat Batuk Hitam (Herbakof Syrup) Botol 14,273.000 - 180 2,569,140.00 60 856,380.00 120 1,712,760.00
75 Oksitetrasiklin 1% salep mata Tube 3,500.000 - 25 87,500.00 25 87,500.00 - -
76 Omeprazol 20 mg Tablet 129.000 1,200 154,800.00 1,600 206,400.00 1,000 129,000.00 1,800 232,200.00
77 Parasetamol sirup Botol 60 ml 1,160.000 - 500 580,000.00 442 512,720.00 58 67,280.00
78 Prednison tab 5 mg Tablet 73.000 - 3,000 219,000.00 200 14,600.00 2,800 204,400.00
79 Pritavit Kaplet Kaplet 1,027.950 - 3,400 3,495,030.00 - 3,400 3,495,030.00
80 PTU 100 mg Tablet - - - - -
81 Ranitidin 150 mg Tablet 85.00 1,000 85,000.00 2,000 170,000.00 2,000 170,000.00 1,000 85,000.00
82 Ringer Laktat Larutan Infus (Satoria) Botol 7,703.000 - - - - -
83 Salep 24 Pot 1,475.000 - - - - -
84 Sarung tangan steril no. 7,5 Pcs 3,630.000 - - - - -
85 Sarung tangan steril no. 7 Pcs 3,630.000 - - - - -
86 Silk 3/0 Pcs - - - - -
87 Stericide 3 Galon 5 l - - - - -
88 Sianokobalamin (vit B12) Tablet 44.000 - 10,000 440,000.00 5,800 255,200.00 4,200 184,800.00
89 Simvastatin tablet salut 10 mg Tablet 73.00 1,500 109,500.00 - - 1,500 109,500.00
90 Simvastatin tablet salut 20 mg Tablet 150.00 - 7000 1,050,000.00 7000 1,050,000.00 - -
91 Softanol Botol 500 ml 57,750.00 - 30 1,732,500.00 - 30 1,732,500.00
92 Vitamin B Complex Tablet 141.90 - - - - -
93 Water For Injection 25 ml(Satoria) Botol 2,650.00 - 20 53,000.00 - 20 53,000.00
Total DAU (Kesehatan Gratis) 4,694,987.00 62,417,907.51 30,351,840.91 36,761,053.60 36,761,053.60
DAU PAJAK
ROKOK 1 Cairan pembersih tangan (softanol) Botol 55,000.000 - - - - -
2 Catgut 3/0 Pcs 63,103.000 - - - - -
3 Handscoen non Steril L Pcs 470.500 - - - - -
4 Handscoen non Steril M Pcs 470.500 - - - - -
5 Handscoon non steril S Pcs 470.500 - - - - -
6 IV. Catheter 22 G (Abada) Pcs 5,775.000 - - - - -
Total DAU PAJAK ROKOK 0.00 0.00 0.00 0.00 0.00
DAU
RECOFUSING 1 Sae Handsanitizer Gel Botol 500ml 72,600.000 - 10 726,000.00 - 10 726,000.00
2 Masker earloop (Solida) Box 50 pcs 53,039.998 - 201 10,661,039.60 - 201 10,661,039.60
3 Onoiwa Kapsul Kapsul - - - - -
4 VTM (Transport Medium Dacron Swab) Kit 1,878,709.677 - - - - -
Total DAU RECOFUSING 0.00 11,387,039.60 0.00 11,387,039.60 11,387,039.60
P2PL 1 Alat suntik Sekali Pakai 0,05 ml Pcs 1,240.000 - - - - - -

2 Alat Suntik sekali Pakai 0,05 ml Pcs 1,518.000 - - - - - -
3 Alat Suntik sekali Pakai 0,05 ml (One Ject) Pcs 1,465.000 - - - - - -
4 Alat suntik Sekali Pakai 0,5 ml Pcs 1,650.000 - 700 1,155,000.00 700 1,155,000.00 - - -
5 Alat suntik Sekali Pakai 5 ml Pcs 1,500.000 - 185 277,500.00 185 277,500.00 - - -
6 Alat suntik Sekali Pakai 5 ml Pcs 1,583.000 - 550 870,650.00 300 474,900.00 250 395,750.00 395,750.00
7 Albendazole Susp 200 mg/5 ml botol 4,600.000 80 368,000.00 - - 80 368,000.00 368,000.00
8 Albendazole Susp 200 mg/5 ml Botol 4,300.000 - 100 430,000.00 34 146,200.00 66 283,800.00 283,800.00
9 Albendazole tab 400 mg Tablet 366.500 - 1,447 530,325.50 600 219,900.00 847 310,425.50 310,425.50
10 Albendazole tab 400 mg Tablet 431.000 1,096 472,376.00 - - 1,096 472,376.00 472,376.00
11 Albendazole tab 400 mg Tablet 380.000 - - - - - -
12 Albendazole tab 400 mg Tablet 282.62 - - - - - -
13 Amytriptilin tab salut 25 mg Tablet 167.000 160 26,720.00 1,600 267,200.00 1,000 167,000.00 760 126,920.00 126,920.00
14 Cotrimoxazole 960 mg Tablet 325.000 - 400 130,000.00 - 400 130,000.00 130,000.00
15 Clobazam tab 10 mg Tablet 776.00 80 62,080.00 - - 80 62,080.00 62,080.00
16 Clozapine tab 25 mg Tablet 1,121.00 100 112,100.00 - - 100 112,100.00 112,100.00
17 Dietilkarbamazin tab 100 mg Tablet 190.000 - 6,100 1,159,000.00 4,600 874,000.00 1,500 285,000.00 285,000.00
18 Dietilkarbamazin tab 100 mg Tablet 168.000 - 33,500 5,628,000.00 - 33,500 5,628,000.00 5,628,000.00
19 Evavirenz Botol 30 tab 228,750.000 - 4 915,000.00 2 457,500.00 2 457,500.00 457,500.00
Evavirenz Botol 30 tab 213,000.000 - 2 426,000.00 3 639,000.00 - 1 (213,000.00)
20 Garam Oralit untuk 200 ml air Sachet 280.000 - 200 56,000.00 200 56,000.00 - - -
21 Garam Oralit untuk 200 ml air Sachet 275.000 180 49,500.00 1,400 385,000.00 1,400 385,000.00 180 49,500.00 49,500.00
22 Haloperidol tab 5 mg Tablet 60.000 - 500 30,000.00 285 17,100.00 215 12,900.00 12,900.00
23 Isoniazid 100 mg Tablet 231.000 100 23,100.00 1,670 385,770.00 1,670 385,770.00 100 23,100.00 23,100.00
24 Isoniazid 100 mg Tablet 2,880.000 - 545 1,569,600.00 - 545 1,569,600.00 1,569,600.00
25 Klozapin tab 25 mg Tablet 1,121.000 - 500 560,500.00 - 500 560,500.00 560,500.00
26 Lamivudine Botol 60 tab 98,400.000 - 5 492,000.00 - 5 492,000.00 492,000.00
27 Lamivudine Botol 60 tab 107,640.000 - 5 538,200.00 - 5 538,200.00 538,200.00
28 Lopinavir 40 mg + Ritenavir 10 mg ( FDC Anak) Box 285,829.000 - 1 285,829.00 - 1 285,829.00 285,829.00
29 Masker N95 Buah 19,900.000 480 9,552,000.00 360 7,164,000.00 - 840 16,716,000.00 16,716,000.00
30 MDT PB Anak Blister 12,328.000 - - - - - -
31 MDT MB Dewasa Blister 40,526.000 - 6 243,156.00 - 6 243,156.00 243,156.00
32 Obat FDC Kategori 1 Paket 477,791.000 6 2,866,746.00 - - 6 2,866,746.00 2,866,746.00
33 Obat FDC Kategori 1 Paket 478,142.000 - 36 17,213,112.00 21 10,040,982.00 15 7,172,130.00 7,172,130.00
34 Obat FDC Kategori 1 Paket 415,469.000 - - - - - -
35 Obat FDC Kategori 2 Paket 1,592,731.000 1 1,592,731.00 - - 1 1,592,731.00 1,592,731.00
36 Obat FDC KategoriAnak Paket 285,339.000 - - - - - -
37 Obat FDC Kategori anak Paket 287,387.000 - - - - - -
38 Pot Sputum Steril Pcs 2,272.000 - - - - - -
39 Pot Sputum Pcs 2,968.000 - - - - - -
40 Rapid 1 HIV (SD) Test 11,975.000 - - - - - -
41 Rapid 1 HIV (Virocheck HIV) Test 8,391.000 - 25 209,775.00 25 209,775.00 - - -
42 Rapid 1 HIV (Virocheck HIV) Test 8,350.000 - 75 626,250.00 - 75 626,250.00 626,250.00
43 Rapid 1 HIV (Virocheck HIV) Test 7,879.000 50 393,950.00 - 50 393,950.00 393,950.00
44 Rapid Test Anti HCV Test 11,188.000 - 25 279,700.00 - 25 279,700.00 279,700.00
45 Rapid Test HBsAg Test 8,151.000 - 200 1,630,200.00 125 1,018,875.00 75 611,325.00 611,325.00
46 Rapid Test HBsAg Tes 8,300.000 - - - - - -
47 Rapid Test HbsAg Test 8,068.000 150 1,210,200.00 - - 150 1,210,200.00 1,210,200.00
48 Rapid Test One Step Syphilis (Diagnostar) Tes 14,014.000 - - - - - -
49 Rapid test syphilis (Trepocheck) Tes 8,096.000 - 25 202,400.00 - 25 202,400.00 202,400.00
50 Rapid test syphilis (Trepocheck) Tes 8,870.000 - 50 443,500.00 - 50 443,500.00 443,500.00
51 Rapid Test One Step Syphilis (Trepochek) Tes 9,917.000 - - - - - -
52 RDT Tifoid test 33,334.000 25 833,350.00 - - 25 833,350.00 833,350.00
53 Risperidon 2 mg Tablet 287.000 - 1,300 373,100.00 800 229,600.00 500 143,500.00 143,500.00
54 Rifapentine 300 mg/ Isoniazid 300 mg Tablet 6,524.000 - 348 2,270,352.00 80 521,920.00 268 1,748,432.00 1,748,432.00
55 Rifapentine 300 mg/ Isoniazid 300 mg Tablet 6,546.000 - 180 1,178,280.00 - 180 1,178,280.00 1,178,280.00
56 Rifapentine 75 mg/ Isoniazid 50 mg Tablet 799.000 - 80 63,920.00 80 63,920.00 - - -
57 Reagen Ziehl Neelson (ZN) Paket 239,593.00 1 239,593.00 - - 1 239,593.00 239,593.00
58 Safety Box Unit 21,930.00 - 25 548,250.00 - 25 548,250.00 548,250.00
59 TDF(300)+3TC(300)+EFV(600)FDC Dewasa Botol/30 tab 209,130.00 - 40 8,365,200.00 16 3,346,080.00 24 5,019,120.00 5,019,120.00
60 TDF(300)+3TC(300)+EFV(600)FDC Dewasa Botol/30 tab 204,000.00 - 12 2,448,000.00 12 2,448,000.00 - - -
61 Tenovovir botol 30 tab 290,640.00 - 8 2,325,120.00 - 8 2,325,120.00 2,325,120.00
62 Trifluoperazine tab 5 mg Tablet - - - - - -
63 Triheksifenidil tab 2 mg Tablet 91.000 180 16,380.00 1,500 136,500.00 - 1,680 152,880.00 152,880.00
64 Tuberkulin Vial 625,800.000 - 6 3,754,800.00 3 1,877,400.00 3 1,877,400.00 1,877,400.00
65 Vaksin hepatitis Immuno Globuline Vial 3,324,420.000 - 3 9,973,260.00 2 6,648,840.00 1 3,324,420.00 3,324,420.00
66 Vaksin BCG Vial 61,996.000 - 35 2,169,860.00 10 619,960.00 25 1,549,900.00 1,549,900.00
67 Vaksin DPT HB HiB Vial 78,991.000 - 95 7,504,145.00 - 95 7,504,145.00 7,504,145.00
68 Vaksin HB Rekombinasi (HB-0) Uniject 23,991.000 - 104 2,495,064.00 - 104 2,495,064.00 2,495,064.00
69 Vaksin MR Vial 155,813.000 - 45 7,011,585.00 - 45 7,011,585.00 7,011,585.00
70 Vaksin Polio IPV Vial 158,994.000 - 25 3,974,850.00 - 25 3,974,850.00 3,974,850.00
71 Vaksin Polio Oral (OPV) Vial 19,954.000 - 70 1,396,780.00 10 199,540.00 60 1,197,240.00 1,197,240.00
72 Vaksin TD Vial 16,995.000 - 38 645,810.00 10 169,950.00 28 475,860.00 475,860.00
73 Vaksin DT Vial 17,996.000 - - - - - -
74 Zink Tablet 20 mg Tablet 253.000 - 1,000 253,000.00 1,000 253,000.00 - - -
75 Zinc Dispersible Tablet 216.000 - 500 108,000.00 - 500 108,000.00 108,000.00
76 Zivovudin botol 106,080.00 0.00 2 212,160.00 1 106,080.00 1 106,080.00 106,080.00
TOTAL P2PL 17,424,876.00 101,705,653.50 33,008,792.00 86,121,737.50 86,121,737.50
DAK 1 Alkohol 70 % 1 L (Onemed) Botol 25,155.000 - - - - -

2 Alkohol swab (Onemed) Box 11,200.000 28 313,600.00 - - 28 313,600.00
3 Alat suntik sekali pakai 1 ml (Stera Syringe) Pcs 728.000 - - - - -
4 Allopurinol tab 100 mg tablet 89.000 - 8,000 712,000.00 5,800 516,200.00 2,200 195,800.00
5 Allopurinol tablet 100 mg Tablet 99.000 - - - - -
6 Amlodipin 10 mg Tablet - - - - -
7 Amlodipin 10 mg Tablet 74.000 - - - - -
10 Amlodipin 5 mg tablet 55.500 - 3,000 166,500.00 1,200 66,600.00 1,800 99,900.00
11 Amoksisilin kaplet 500 mg Tablet 360.000 5,500 1,980,000.00 - - 5,500 1,980,000.00
12 Amoksisilin Kaplet 500 mg Kaplet 265.000 - - - - -
13 Amoksisilin kaplet 500 mg Tablet 231.000 - 8,200 1,894,200.00 400 92,400.00 7,800 1,801,800.00
14 Amoksisilin Sirup Kering 125 mg/5ml Botol 2,068.630 - 380 786,079.40 307 635,069.41 73 151,009.99
15 Amoksisilin Sirup Kering 250 mg/5ml Botol 3,846.000 75 288,450.00 - - 75 288,450.00
16 Amoksisilin Sirup Kering 250 mg/5ml Botol 3,510.000 - 150 526,500.00 150 526,500.00 - -
17 Antasida DOEN Tablet - - - - -
18 Antasida doen tablet 54.000 - - - - -
19 Antasida suspensi Botol 2,098.000 - - - - -
20 Antasida Suspensi botol 1,756.000 - - - - -
21 Antifungi salep, kombinasi asam benzoat 6% Pot 5,170.000 - - - - -
22 Antifungi salep Pot 3,670.000 - 170 623,900.00 146 535,820.00 24 88,080.00
23 Antihemorhoid Suppo 3,289.640 - 20 65,792.80 - 20 65,792.80
24 Asam Folat Tablet 45.000 - 3,000 135,000.00 1,400 63,000.00 1,600 72,000.00
25 Asam Askorbat (Vit C) tab 50 mg Tablet 120.000 - - - -
SISA STOK
SUMBER NO URUT NAMA OBAT/BMHP SATUAN HARGA SATUAN STOK AWAL PENERIMA PEMAKAIA 31
ANGGARAN (Rp) 2022 AN 2022 N 2022 DESEMBER
2022
JUMLAH NILAI (Rp) JUMLAH NILAI (Rp) JUMLAH NILAI (Rp) JUMLAH NILAI (Rp)
1 2 3 4 6 7 8 9 10 13 14 15 16
144 Metilergometrin Inj 0,2 mg/ml Ampul - - - - -
145 Metilergometrin tab salut 0,125 mg Tablet - - - - -
146 Methyl prednisolon Tablet 102.00 9,500 969,000.00 4,100 418,200.00 5,400 550,800.00
147 Metoklopramide tablet 10 mg Tablet - - - - -
148 Metronidazole 500 mg Tablet 381.840 - 1,200 458,208.00 - 1,200 458,208.00
149 Miniaspi Tablet 89.800 100 8,980.00 - - 100 8,980.00
150 Miconazole Krim 2% (Nitrat) Tube 1,917.270 - - - - -
151 Mikonazole Salep 2 % Tube 5 gr 3,926.000 - - - - -
152 Mikonazole Salep 2 % tube 1,917.270 - 96 184,057.92 - 96 184,057.92
153 Natrium Diklofenak 50 mg Tablet 109.000 - 12,500 1,362,500.00 12,200 1,329,800.00 300 32,700.00
154 Natrium Klorida Infus Steril 0,9% Botol 6,900.000 - 120 828,000.00 80 552,000.00 40 276,000.00
155 Natrium Klorida Infus Steril 0,9% Botol 100 ml 6,763.000 - 30 202,890.00 10 67,630.00 20 135,260.00
156 Natrium Klorida larutan infus steril 0.9% botol 6,840.000 35 239,400.00 - - 35 239,400.00
157 Natrium Klorida larutan infus steril 0.9% Botol 500 ml 6,963.000 - 40 278,520.00 - 40 278,520.00
158 Nifedipin kaps 10 mg Tablet 412.920 - 100 41,292.00 - 100 41,292.00
159 Nistatin Vaginal 100.000 IU Tablet 555.000 - 100 55,500.00 10 5,550.00 90 49,950.00
160 Nova Glass F (Imicryl) Pcs 421,173.000 - 2 842,346.00 - 2 842,346.00
161 Oksitetrasiklin salep mata 1% tube 3,531.810 - 250 882,952.50 100 353,181.00 150 529,771.50
162 Object Glass Frosted 7 105, box isi 72 (Onelab) Box/72 - - - - -
163 Oksitocin Injeksi Ampul 1,348.000 - 120 161,760.00 20 26,960.00 100 134,800.00
164 Oksitocin Injeksi Ampul - - - - -
165 Oksitosin Injeksi Ampul 1,348.000 - - - - -
166 Octadin 1 L Botol 396,000.000 - 6 2,376,000.00 - 6 2,376,000.00
167 omeprazole 20 mg Kapsul 129.000 - - - - -
168 omeprazole 20 mg Kapsul 851.000 - 2,490 2,118,990.00 990 842,490.00 1,500 1,276,500.00
169 Onoiwa Kaplet 5,650.000 - - - - -
170 Oxyvit C Plus Tablet 2,035.000 - 1,260 2,564,100.00 1,170 2,380,950.00 90 183,150.00
171 Parasetamol 500 mg Tablet 162.800 1,600 260,480.00 - - 1,600 260,480.00
172 Parasetamol 1000mg/100 ml Bag 8,880.000 - 50 444,000.00 10 88,800.00 40 355,200.00
173 Parasetamol sirup 120 mg/5 ml Botol 4,950.000 - - - - -
174 Parasetamol syr Botol 1,160.000 - 100 116,000.00 100 116,000.00 - -
175 Parasetamol drops 100 mg/ml Botol 5,251.000 - 40 210,040.00 40 210,040.00 - -
176 Parasetamol tablet 500 mg tablet 186.780 - 13,000 2,428,140.00 13,000 2,428,140.00 - -
177 Parasetamol tablet 500 mg Tablet 219.003 - 7,000 1,533,021.00 5,700 1,248,317.10 1,300 284,703.90
178 Pehacain Ampul 3,113.000 - 440 1,369,720.00 130 404,690.00 310 965,030.00
179 Permetrin krim 5% Tube 11,466.000 7 80,262.00 10 114,660.00 10 114,660.00 7 80,262.00
180 Permetrin krim 5% Tube 7,303.800 - 20 146,076.00 5 36,519.00 15 109,557.00
181 Piridoksin (Vitamin B6) Tablet 10 mg tablet 72.000 - 2,000 144,000.00 2,000 144,000.00 - -
182 Piridoksin HCl (Vit B6) tablet 10 mg Tablet 141.000 - - - - -
183 Povidon iodin lar 100 mg/ml Botol 300 ml 25,445.00 - 10 254,450.00 - 10 254,450.00
184 Povidon iodin lar 100 mg/ml Boto 60 ml 7,351.00 - 90 661,590.00 - 90 661,590.00
185 Prednison tablet 5 mg Tablet 79.000 300 23,700.00 - - 300 23,700.00
186 Prednison tablet 5 mg tablet 73.000 - 7,500 547,500.00 6,500 474,500.00 1,000 73,000.00
187 Ranitidin tablet 150 mg Tablet 114.000 1,400 159,600.00 - - 1,400 159,600.00
188 Ranitidin tablet 150 mg Tablet 85.000 - 10,000 850,000.00 3,200 272,000.00 6,800 578,000.00
189 Ringer Laktat Larutan Infus (Otsuka) Botol 7,630.000 320 2,441,600.00 - - 320 2,441,600.00
190 Ringer Laktat Larutan Infus (Satoria) Botol 7,703.000 - 590 4,544,770.00 590 4,544,770.00 - -
191 Ringer Laktat Larutan Infus (Satoria) Botol 7,773.000 - 900 6,995,700.00 140 1,088,220.00 760 5,907,480.00
192 Salbutamol 4 mg tablet 67.000 - 1,500 100,500.00 - 1,500 100,500.00
193 Salbutamol 4 mg Tablet 231.690 - 3,000 695,070.00 1,300 301,197.00 1,700 393,873.00
194 Stimuno Syrup Botol 28,374.000 - 20 567,480.00 12 340,488.00 8 226,992.00
195 Sianokobalamin (Vit. B12) 50 mcq tablet 44.000 - 4,000 176,000.00 4,000 176,000.00 - -
196 Sianokobalamin tablet 50 mcg Tablet 48.000 - - - - -
197 Simvastatin 20 mg tablet 150.000 - - - - -
198 Simvastatin 20 mg Tablet 151.360 - 3,000 454,080.00 500 75,680.00 2,500 378,400.00
199 Siprofloxacin Tablet 500 mg Tablet - - - - -
200 SS 24 Pot 1,488.00 - 120 178,560.00 30 44,640.00 90 133,920.00
201 Tablet Tambah Darah Tablet 983.710 1 983.71 - - 1 983.71
202 Tablet Tambah Darah Tablet 257.310 - 23,600 6,072,516.00 6,600 1,698,246.00 17,000 4,374,270.00
203 Tiamin (Vitamin B1) Tablet 216.000 - 3,000 648,000.00 700 151,200.00 2,300 496,800.00
204 Triheksifenidil tab 2 mg Tablet 63.570 - 500 31,785.00 - 500 31,785.00
205 Vitamin B kompleks tablet Tablet 144.000 5,500 792,000.00 - - 5,500 792,000.00
206 Vitamin B kompleks tablet Tablet 61.000 - 24,000 1,464,000.00 20,700 1,262,700.00 3,300 201,300.00
207 Vitamin B. Kompleks tablet Tablet 60.000 - 2,000 120,000.00 2,000 120,000.00 - -
208 Zink sirup 20 mg / 5 ml Botol 2,511.000 - 40 100,440.00 20 50,220.00 20 50,220.00
209 Zink sirup 20 mg / 5 ml Botol 60 ml 3,285.000 - - - - -
210 Zink Tablet dispersible 20 mg Tablet 253.000 - 3,000 759,000.00 1,200 303,600.00 1,800 455,400.00
-
TOTAL DAK 9,320,609.41 85,978,022.26 36,714,669.75 58,583,961.92 58,583,961.92
DAK BMHP
1 Alat suntik sekali pakai 1 ml (Nipro) Pcs 1,051.85 - 100 105,185.00 - 100 105,185.00
2 Alat suntik sekali pakai 3 ml Pcs 967.920 - 1,000 967,920.00 940 909,844.80 60 58,075.20
3 Alat suntik sekali pakai 3 ml (Abada) Pcs 924.000 - - - - -
4 Blood Lancet (Ekomed) Kotak/100 16,401.000 - 5 82,005.00 4 65,604.00 1 16,401.00
5 Blood Lancet (Ekomed) Kotak/101 23,606.000 - 7 165,242.00 7 165,242.00 - -
6 Catgut/benang bedah no. 3/0 Pcs 51,290.000 - - - - -
7 Catgut/benang bedah no. 3/0 (Optime) Pcs 75,020.000 - 25 1,875,500.00 25 1,875,500.00 - -
8 Cutgut 2/0 Pcs 51,877.000 - - - - -
9 Chlodine 0,5% Jergen 5 l 414,739.000 - 3 1,244,217.00 - 3 1,244,217.00
10 Chodine Jergen 414,739.000 - 1 414,739.00 1 414,739.00 - -
11 Chromic surgical catgut 3/0 pcs 49,491.000 - 36 1,781,676.00 36 1,781,676.00 - -
12 Chromic Surgical catgut Suture 2/0 (Kulit) Pcs 0.00 - - - - -
13 Chromic surgical Catgut Suture 3/0 (Kulit) Pcs 49,491.20 - 66 3,266,419.20 38 1,880,665.60 28 1,385,753.60
14 Chromic Surgical catgut Suture 3/0 (Otot) Pcs 0.00 - - - - -
15 Examination gloves size S Pcs 1,740.200 - - - - -
16 Examination gloves size M Pcs 1,740.200 - 500 870,100.00 500 870,100.00 - -
17 Examination gloves size L Pcs 1,740.200 - - - - -
18 Folley Catheher 2 way no. 16 Pcs 10,527.000 - - - - -
19 Foley Catheter No. 16 Pcs 11,945.230 - 70 836,166.10 16 191,123.68 54 645,042.42
20 Folley Catheher 2 way no. 18 Pcs 11,945.230 - 70 836,166.10 14 167,233.22 56 668,932.88
21 Golden Glove Powder Free size S Pcs 1,485.000 - 1,400 2,079,000.00 300 445,500.00 1,100 1,633,500.00
22 Golden Glove Powder Free size M Pcs 1,485.000 - 1,500 2,227,500.00 791 1,174,635.00 709 1,052,865.00
23 Golden Glove Powder Free size L Pcs 1,485.000 - 1,600 2,376,000.00 300 445,500.00 1,300 1,930,500.00
24 Handscoen Non Steril L Pcs - - - - -
25 Handscoen Non Steril S Pcs 1,740.200 - - - - -
26 Handscoen Steril 7 Pasang 11,808.500 - - - - -
27 Handscoen Steril 7,5 Pasang - - - - -
28 Infuset Anak (Adaba) Pcs 5,566.000 - 100 556,600.00 100 556,600.00 - -
29 Infuset Anak (Adaba) Pcs 3,592.270 - 130 466,995.10 40 143,690.80 90 323,304.30
30 Infuset Dewasa (Ekomed) Pcs 6,527.399 - - - - -
31 Infuset Dewasa (Medso Care) Pcs 9,936.00 - 50 496,800.00 50 496,800.00 - -
32 IV. Catheher 18 G (Adaba) Pcs 6,455.900 - - - - -
33 IV. Catheher 18 G (Ekomed) Pcs 5,827.800 - - - - -
34 IV. Catheter 18 G (Fesco) Pcs 7,992.000 - 15 119,880.00 10 79,920.00 5 39,960.00
35 IV. Catheter 20 G (Fesco) Pcs 7,927.000 - 130 1,030,510.00 - 130 1,030,510.00
36 IV. Catheher 20 G (Ekomed) Pcs 5,827.000 - 100 582,700.00 40 233,080.00 60 349,620.00
37 IV. Catheher 22 G (Abada) Pcs 6,455.900 - - - - -
38 IV. Catheher 22 G (Ekomed) Pcs 5,827.000 - 100 582,700.00 - 100 582,700.00
39 IV. Catheher 22 G (Fesco) Pcs 7,927.000 - 230 1,823,210.00 105 832,335.00 125 990,875.00
40 IV. Catheher 24 G (Fesco) Pcs 7,927.000 - 80 634,160.00 - 80 634,160.00
41 IV. Catheher 24 G (Ekomed) Pcs 5,827.000 - 200 1,165,400.00 147 856,569.00 53 308,831.00
42 Kasa Hidrofil steril 16 x 16 Kotak 4,439.000 - - - - -
43 Kasa 16 x 16 Kotak 4,114.000 - - - - -
44 Kasa 40 x 80 cm Roll 157,620.000 - 25 3,940,500.00 22 3,467,640.00 3 472,860.00
45 Kasa Hydrofil 40 x 80 cm Roll 143,022.000 - - - - -
46 Masker Earloop Box50 pcs 63,250.000 - 50 3,162,500.00 - 50 3,162,500.00
47 Nasal O2 Canula Child (Abada) Pcs 11,656.00 - 20 233,120.00 - 20 233,120.00
48 Nasal O2 Canula Child (Abada) Pcs 9,794.00 - 10 97,940.00 4 39,176.00 6 58,764.00
49 Nasal O2 Canula Dewasa Pcs 11,656.00 - 20 233,120.00 20 233,120.00 - -
50 Primer Blood Glukosa Test Strip Pcs 2,661.78 - - - - -
51 Polipix 5 cm x 5 m Roll 41,100.000 - 20 822,000.00 - 20 822,000.00
52 Silk 3/0 Pcs 43,470.000 - - - - -
53 Silk Braided Silk 3/0 Pcs 38,119.400 - - - - -
54 Silk 3/0 (Gabbler) Pcs 36,542.00 - 12 438,504.00 12 438,504.00 - -
55 Surgical glove steril size 7,0 (Tro Sensocurge) Pcs 8,635.00 - 50 431,750.00 50 431,750.00 - -
56 Surgical glove steril size 7,5 (Tro Sensocurge) Pcs 8,635.00 - 50 431,750.00 50 431,750.00 - -
57 Tro Sensocurge plus 7 Pcs 13,563.00 - 250 3,390,750.00 100 1,356,300.00 150 2,034,450.00
58 Tro Sensocurge plus 7,5 Pcs 13,563.00 - 200 2,712,600.00 50 678,150.00 150 2,034,450.00
59 Urine Bag (Ecomed) Pcs 10,165.00 - 10 101,650.00 - 10 101,650.00
60 Urine Bag with Hanger Pcs 6,062.100 - - - - -
TOTAL DAK BMHP 0.00 42,582,974.50 20,662,748.10 21,920,226.40 21,920,226.40

KESMAS
1 Ampisilin serbuk inj 1000 mg/ml vial 9,473.000 - 8 75,784.00 5 47,365.00 3 28,419.00
2 Calcii Glukonas injeksi 10% (harusnya 15) Ampul 10,351.000 - 20 207,020.00 8 82,808.00 12 124,212.00
3 Diazepam Injeksi 5 mg/ml ampul 2 ml 1,913.000 - - - - -
4 Fenobarbital injeksi 50mg/ml Ampul 2,265.000 - - - - -
5 Fenobarbital injeksi 50mg/ml ampul 2,278.000 - 10 22,780.00 - 10 22,780.00
6 Fenobarbital injeksi 50mg/ml Ampul 2,278.000 - - - - -
7 Gentamisin injeksi 40mg/ml Ampul 4,036.000 - - - - -
8 Maxter Exam Glove M Kotak/100pcs 132,000.000 2 264,000.00 - - 2 264,000.00
9 Metronidazole 500 mg/100 ml Botol 8,250.000 1 8,250.00 - - 1 8,250.00
10 Metronidazole 500 mg/100 ml Botol 5,885.000 - - - - -
11 Metilergometrin injeksi 0,200 mg Ampul 3,399.000 37 125,763.00 - - 37 125,763.00
12 MgSO4 Inj 20% Ampul 4,120.000 - - - - -
13 MgSO4 Inj 40% Ampul 3,796.000 - - - - -
14 MgSO4 Inj 40% Ampul 4,700.000 - - - - -
15 Mineral Mix sachet 2,981.000 - 40 119,240.00 - 40 119,240.00
16 Mineral Mix sachet 3,116.000 - - - - -
17 Oksitetrasiklin 1 % salep mata Tube 2,600.000 - - - - -
18 Oksitosin injeksi Ampul 1,199.000 - - - - -
19 Tablet Tambah darah Tablet 255.000 - - - - -
20 Tablet Tambah darah Tablet 409.000 380 155,420.00 5,010 2,049,090.00 5,010 2,049,090.00 380 155,420.00
21 Vit A balita 100.000 IU (Biru) Kapsul 297.000 - - - - -
24 Vit A balita 200.000 IU (Merah) Kapsul 637.000 300 191,100.00 - - 300 191,100.00
25 Vit A Blita (biru) Kapsul 354.000 - - - - -
TOTAL KESMAS 744,533.00 2,473,914.00 2,179,263.00 1,039,184.00 1,039,184.00
DONASI
1 Herbakof Sirup Botol 15,125.000 0.00 2 30,250.00 0.00 2 30,250.00
2 Herba Asimaf Kap Kapsul 2,750.000 0.00 90 247,500.00 0.00 90 247,500.00
3 Lytacur Syrup Botol 16,500.000 0.00 8 132,000.00 0.00 8 132,000.00
4 Stimuno Syrup Botol 48,881.000 0.00 3 146,643.00 0.00 3 146,643.00
TOTAL DONASI 0.00 556,393.00 0.00 556,393.00 556,393.00
BIAN
1 Alat Suntik sekali pakai 0,5 ml (One Ject) Pcs 1,650.000 0.00 499 823,350.00 0.00 499 823,350.00
2 Alat Suntik 5 ml Pcs 1,500.000 0.00 0.00 0.00 - 0.00
3 Vaksin DPT HB HiB vial 78,991.000 0.00 79 6,240,289.00 0.00 79 6,240,289.00
4 Vaksin MR vial 155,813.000 0.00 191 29,760,283.00 0.00 191 29,760,283.00
5 Vaksin Polio IPV vial 158,994.000 0.00 57 9,062,658.00 0.00 57 9,062,658.00
6 Vaksin Polio Oral (OPV) vial 19,954.000 0.00 29 578,666.00 0.00 29 578,666.00
TOTAL BIAN 0.00 46,465,246.00 0.00 46,465,246.00 46,465,246.00
DAK NON FISIK
1 Maxter Exam Glove S (harusnya 10) Kotak 100pcs 132,000.000 20 2,640,000.00 10 1,320,000.00 10 1,320,000.00 20 2,640,000.00
2 Maxter Exam Glove M (harusnya 15) Kotak 100pcs 132,000.000 20 2,640,000.00 20 2,640,000.00 18 2,376,000.00 22 2,904,000.00
3 Maxter Exam Glove L Kotak 100pcs 132,000.000 12 1,584,000.00 5 660,000.00 5 660,000.00 12 1,584,000.00
4 Heclin handrub 0,5% Botol 50 ml 27,500.000 10 275,000.00 43 1,182,500.00 43 1,182,500.00 10 275,000.00
TOTAL DAK NONFISIK 7,139,000.00 5,802,500.00 5,538,500.00 7,403,000.00 7,403,000.00
BIAYA TAK TERDUGA (BTT) KABUPATEN
1 Baju Hasmat/ APD Pcs 180,000.000 23 4,140,000.00 - - 23 4,140,000.00
2 Celemek Plastik Pcs 66,000.000 - - - - -
3 Efinefrin injeksi 1 mg Ampul 6,691.850 - - - - -
4 Face shield anti droplet Pcs 38,000.000 - 30 1,140,000.00 - 30 1,140,000.00
5 Handscoun steril 7 Pasang 12,000.000 - - - - -
6 Handscoun steril 7,5 Pasang 12,000.000 - - - - -
7 Masker Kotak/50 100,000.000 - - - - -
8 Masker N95 Pcs 66,000.000 - - - - -
9 Nurse Cap Pcs 5,000.000 - - - - -
10 Onoiwa Kapsul 6,000.000 - - - - -
11 Rapid test Antigen Test 70,000.000 - - - - -
12 Sarung Tangan Genekologi non steril Pcs 55,000.000 - - - - -
13 Sarung Tangan L Box/100 200,000.000 23 4,600,000.00 - - 23 4,600,000.00
14 Sarung Tangan L Box/100 200,000.000 23 4,600,000.00 - - 23 4,600,000.00
TOTAL BIAYA TAK TERDUGA (BTT) KABUPATEN 13,340,000.00 1,140,000.00 0.00 14,480,000.00 14,480,000.00
BAHAN HABIS PAKAI (BHP)
KESEHATAN GRATIS
1 Kapas Pembalut/absorben 250 gram Roll 16,000.000 - 12 192,000.00 12 192,000.00 - -
TOTAL KESGRA (BHP) 0.00 192,000.00 192,000.00 0.00 0.00
KESGA
1 Kalsium Glukonat Inj 100 mg/ml Ampul 9,955.000 - - - - -
2 Vit A Bayi (Biru) Botol/50 Kaps 332.000 - - - - -
3 Vit A Balita ( Merah ) Botol/50 Kaps 583.000 - - - - -
- - -
TOTAL KESGA 0.00 - 0.00 0.00 0.00
DBHCHT
1 Fokus New HIV 1/2 3 line Kotak/25 pcs 368,175.000 100 36817500.00 1 368,175.00 1 368175.00 100 36,817,500.00
2 Metra Gloves LX Exam P Free S Kotak/100 pcs 125,208.000 20 2504160.00 3 375,624.00 3 375,624.00 20 2,504,160.00
3 Metra Gloves LX Exam P Free M Kotak/100 pcs 125,208.000 20 2504160.00 15 1,878,120.00 15 1,878,120.00 20 2,504,160.00
TOTAL DBHCHT 41,825,820.00 2,621,919.00 2,621,919.00 41,825,820.00 41,825,820.00

94,489,825.41 363,323,569.37 131,269,732.76 326,543,662.02
TOTAL 94,489,825.41 366,454,139.87 257,411,209.47 203,532,755.81 326,543,662.02
Pulau Balang Lompo, 31 Desember 2022
Mengetahui,
Kepala Puskesmas Liukang Tupabbiring Petugas Farmasi
Armiaty Arsyad, S.Tr.Kes Muhammad Thoha, S.Si., Apt

NIP. 19800608 200902 2 003 NIP. 19930409 201903 1 002

LKO 2022 LK TUPABBIRING EDIT Fix

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LAPORAN PERSEDIAAN OBAT, VAKSIN DAN BAHAN MEDIS HABIS PAKAI (BMHP)

TAHUN ANGGARAN 2022

PUSKESMAS : LIUKANG TUPABBIRING

P2PL 10 Alat suntik 5 ml Pcs 1,583.00 0.00 - - - -

TOTAL SELURUH SUMBER ANGGARAN 203,532,770.071 18,859,370.380 76,583,548.983 145,808,591.468 145,808,591.468

PUSKESMAS : LIUKANG TUPABBIRING

TOTAL PERSEDIAAN PROGRAM P2PL 17,424,876.00 101,705,653.50

TOTAL SELURUH SUMBER ANGGARAN 94,489,825.41 366,454,139.87

33,066.00 170 187,374.00 187,374.00

138,000.00 1700 102,000.00 102,000.00

- 500 45,500.00 45,500.00

257,411,209.78 203,532,755.81 203,532,755.50

PUSKESMAS : LIUKANG TUPABBIRING

TOTAL PERSEDIAAN PROGRAM P2PL 17,424,876.00 101,705,653.50

TOTAL SELURUH SUMBER ANGGARAN 94,489,825.41 366,454,139.87

33,066.00 170 187,374.00 187,374.00

138,000.00 1700 102,000.00 102,000.00

- 500 45,500.00 45,500.00

257,411,209.78 203,532,755.50 203,532,755.50

PUSKESMAS : LIUKANG TUPABBIRING

TOTAL PERSEDIAAN PROGRAM P2PL 17,424,876.00 101,705,653.50

TOTAL SELURUH SUMBER ANGGARAN 94,489,825.41 366,454,139.87

33,066.00 170 187,374.00

138,000.00 1700 102,000.00

91,896,208.00 27,234,321.50 27,234,321.50

252,813,187.64 203,530,777.64 208,130,777.64

- 1,978.17 - 10.5909 pct

P2PL 1 Alat suntik Sekali Pakai 0,05 ml Pcs 1,240.000 - - - - - -

DAK 1 Alkohol 70 % 1 L (Onemed) Botol 25,155.000 - - - - -

TOTAL DAK BMHP 0.00 42,582,974.50 20,662,748.10 21,920,226.40 21,920,226.40

TOTAL DBHCHT 41,825,820.00 2,621,919.00 2,621,919.00 41,825,820.00 41,825,820.00

Armiaty Arsyad, S.Tr.Kes Muhammad Thoha, S.Si., Apt

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