Lampiran Berita Acara Pemeriksaan Fisik Atas Persediaan

SKPD

SALDO AKHIR 31 DESEMBER

HARGA SATUAN SALDO AWAL 1 JANUARI 2017 PENAMBAHAN 2017 PENGURANGAN 2017
No URAIAN 2017
(Rp)
Jumlah Nilai (Rp) Jumlah Nilai (Rp) Jumlah Nilai (Rp) Jumlah Nilai (Rp)
1 Amoxcilin sy 2,200 0 0.00 130 286,000 120 264,000 10 22,000
2 Allo Purinol 95 0 0.00 1500 142,500 1120 106,400 380 36,100
3 Amoxilin Tab 191 0 0.00 5300 1,012,300 5300 1,012,300 0 0,00
4 Amplodipine 163 0 0.00 270 44,010 270 44,010 0 0,00
5 Antasida 64 0 0.00 2600 166,400 2500 16,000 100 150,400
6 Antasida Sirup 4,350 0 0.00 70 304,500 70 304,500 0 0,00
7 Asam Mefenamat 102 0 0.00 2200 224,400 1960 199,920 240 24,480
8 B.Com 132 0 0.00 1800 237,600 1550 204,600 250 33,000
9 Besi Sulfat 45 0 0.00 670 30,150 570 25,650 100 4,500
10 Betametason 1,450 0 0.00 8 11,600 8 11,600 0 0,00
11 Bignat 56 0 0.00 1000 56,000 730 40,880 270 15,120
12 Captropil 69 0 0.00 400 27,600 400 27,600 0 0,00
13 Cipro Floxasin 245 0 0.00 1600 406,400 1500 381,000 100 25,400
14 Cotri sy 2,225 0 0.00 95 211,375 83 184,675 12 26,700
15 Cotri Tab 152 0 0.00 1400 212,800 1020 155,040 380 57,760
16 CTM 45 0 0.00 5000 225,000 4900 224,550 100 450
17 Dexsa Methason 45 0 0.00 2900 130,500 2900 130,500 0 0,00
18 Domperidone 116 0 0.00 600 69,600 470 54,520 130 15,080
19 Gentacimin Salap Mata 3,400 0 0.00 35 119,000 35 119,000 0 0,00
20 Gentacimin Tetes Mata 4,800 0 0.00 40 192,000 40 192,000 0 0,00
21 GG 46 0 0.00 3100 142,600 2320 106,720 780 35,880
22 Gliben Clamide 61 0 0.00 1100 67,100 1100 67,100 0 0,00
23 Grisio Vulvin 263 0 0.00 300 78,900 235 61,805 65 17,095
 SALDO AKHIR 31 DESEMBER
HARGA SATUAN SALDO AWAL 1 JANUARI 2017 PENAMBAHAN 2017 PENGURANGAN 2017
No URAIAN 2017
(Rp)
Jumlah Nilai (Rp) Jumlah Nilai (Rp) Jumlah Nilai (Rp) Jumlah Nilai (Rp)
24 Hidro Cortison slap 2,838 0 0.00 44 124,872 43 122,034 1 2,838
25 Ibu Profhen 113 0 0.00 1400 158,200 1010 114,130 390 44,070
26 Kalsium Laktat 57 0 0.00 600 34,200 320 18,240 280 15,960
27 Kasa Gulung 664 0 0.00 35 23,240 35 23,240 0 0,00
28 Kloram Phenicol Salap Mata 1,850 0 0.00 35 64,750 35 64,750 0 0,00
29 Metronazole 169 0 0.00 410 69,290 410 69,290 0 0,00
30 New Antides 166 0 0.00 600 99,600 530 87,980 70 11,620
31 Omeprazole 148 0 0.00 540 79,920 495 73,260 45 6,660
32 Oralit 247 0 0.00 70 19,180 70 19,180 0 0,00
33 Paracetamol sy 3,800 0 0.00 120 456,000 105 399,000 15 57,000
34 Paracetamol Tab 92 0 0.00 6600 607,200 6140 562,120 460 45,080
35 Piridoksin 31 0 0.00 400 12,400 400 12,400 0 0,00
36 Ranitidin 110 0 0.00 300 33,000 300 33,000 0 0,00
37 Salaf 24 4,785 0 0.00 50 239,100 50 239,100 0 0,00
38 Salbu Tamol 68 0 0.00 2900 197,200 2630 178,840 270 18,360
39 Salisil Talk 1,066 0 0.00 65 69,290 65 69,290 0 0,00
40 Simvastatin 113 0 0.00 1000 113,000 810 10,170 190 102,830
41 Vit.C 120 0 0.00 1700 204,000 1170 140,400 530 63,600
41 Vitamin B1 63 0 0.00 2000 126,000 1940 8,820 60 117,180
JUMLAH TOTAL 7,128,777 6,179,614 949,163

Mengetahui, Lhokseumawe, 31 Maret 2018

Kepala Puskesmas Rawatan Muara Dua Kepala Pustu Paya Punteuet

Rosmaniar, SKM Lili Rahmi

 SALDO AKHIR 31 DESEMBER
HARGA SATUAN SALDO AWAL 1 JANUARI 2017 PENAMBAHAN 2017 PENGURANGAN 2017
No URAIAN 2017
(Rp)
Jumlah Nilai (Rp) Jumlah Nilai (Rp) Jumlah Nilai (Rp) Jumlah Nilai (Rp)
Nip. 19600408 198103 2 010 Nip. 19830712 200212 2 003
Lampiran Berita Acara Pemeriksaan Fisik Atas Persediaan
SKPD
BULAN : JANUARI s/d MARET 2018

HARGA SATUAN SALDO AWAL PENAMBAHAN PENGURANGAN SALDO AKHIR

No URAIAN
(Rp) Jumlah Nilai (Rp) Jumlah Nilai (Rp) Jumlah Nilai (Rp) Jumlah Nilai (Rp)
1 Amoxcilin sy 2,200 10 22,000 30 66,000 34 74,800 6 13,200
2 Allo Purinol 95 380 36,100 400 38,000 340 32,300 440 41,800
3 Amoxilin Tab 191 490 93,590 1700 324,700 1385 264,535 805 153,755
4 Amplodipine 163 115 18,745 300 48,900 180 29,340 235 38,305
5 Antasida 64 100 6,400 1100 70,400 710 45,440 490 31,360
6 Antasida Sirup 4,350 0 - 15 65,250 15 65,250 0 -
7 Asam Mefenamat 102 240 24,480 800 81,600 540 55,080 500 51,000
8 B.Com 132 250 33,000 1100 145,200 750 99,000 600 79,200
9 Besi Sulfat 45 100 4,500 90 4,050 180 8,100 10 450
10 Betametason 1,450 0 - 12 17,400 4 5,800 8 11,600
11 Bignat 56 270 15,120 0 - 270 15,120 0 -
12 Captropil 69 0 - 100 6,900 0 - 100 6,900
13 Cipro Floxasin 245 710 173,950 0 - 320 78,400 390 95,550
14 Cotri sy 2,225 12 26,700 15 33,375 21 46,725 6 13,350
15 Cotri Tab 152 380 57,760 300 45,600 300 45,600 380 57,760
16 CTM 45 100 4,500 1000 45,000 1010 45,450 90 4,050
17 Dexsa Methason 45 130 5,850 1000 45,000 550 24,750 580 26,100
18 Domperidone 116 130 15,080 200 23,200 150 17,400 180 20,880
19 Gentacimin Salap Mata 3,400 0 - 6 20,400 1 3,400 5 17,000
20 Gentacimin Tetes Mata 4,800 0 - 5 24,000 5 24,000 0 -
21 GG 46 170 7,820 1600 73,600 1030 47,380 740 34,040
22 Gliben Clamide 61 0 - 500 30,500 190 11,590 310 18,910
23 Grisio Vulvin 263 65 17,095 400 105,200 225 59,175 240 63,120
24 Hidro Cortison slap 2,838 1 2,838 6 17,028 7 19,866 0 -
25 Ibu Profhen 113 390 44,070 200 22,600 330 37,290 260 29,380
26 Kalsium Laktat 57 280 15,960 400 22,800 320 18,240 360 20,520
27 New Antides 166 70 11,620 500 83,000 265 43,990 305 50,630
 HARGA SATUAN SALDO AWAL PENAMBAHAN PENGURANGAN SALDO AKHIR
No URAIAN
(Rp) Jumlah Nilai (Rp) Jumlah Nilai (Rp) Jumlah Nilai (Rp) Jumlah Nilai (Rp)
28 Omeprazole 148 45 6,660 120 17,760 135 19,980 30 4,440
29 Paracetamol sy 3,800 15 57,000 74 281,200 69 262,200 20 76,000
30 Paracetamol Tab 92 490 45,080 2000 184,000 1635 150,420 855 78,660
31 Salbu Tamol 68 290 19,720 300 20,400 220 14,960 370 25,160
32 Simvastatin 113 190 21,470 150 16,950 260 29,380 80 9,040
32 Vit.C 120 530 63,600 700 84,000 580 69,600 650 78,000
33 Vitamin B1 63 60 3,780 500 31,500 380 23,940 180 11,340
JUMLAH TOTAL 854,488 2,095,513 1,788,501 1,161,500

Mengetahui, Lhokseumawe, 31 Maret 2018

Kepala Puskesmas Rawatan Muara Dua Kepala Pustu Paya Punteuet

Rosmaniar, SKM Lili Rahmi

Nip. 19600408 198103 2 010 Nip. 19830712 200212 2 003