Lplpo Gudang 2022

DINAS KESEHATAN
UPTD PUSKESMAS PANINCONG

KECAMATAN MARIORIAWA
Jalan Jambu Desa Panincong Kecamatan Marioriawa Kabupaten Soppeng Sulawesi Selatan Kode Pos 9085
Email : pkmpanincong@gmail.com Telp. (0484) 2512595
LAPORAN BULANAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBA

BULAN : JANUARI 2022
PERSEDIAAN PERSALINA
NO NAMA OBAT SATUAN HARGA AWAL PENERIMAAN PERSEDIAAN APOTEK N UGD GILUT MTBS LAB POLI UMUM
1 2 3 4 5 6 PERSEDIAAN APT BRSLN UGD GILUT MTBS LAB POLI UMUM

OBAT
1 Albendazol sirup Tablet 4,600.00 - -
2 Albendazol tablet 400 mg Tablet 494.00 - -
6 Albothyl cons.(policresulen) Botol 5ml 33,000.00 - -
7 Alopurinol tablet 100 mg Tablet 99.00 - -
8 Alopurinol tablet 100 mg Tablet 89.00 - -
9 Alprazolam 0,5 mg tablet Tablet 88.00 - -
10 Ambroxol sirup Botol 5,012.00 - -
11 Ambroxol tablet 30 mg Tablet 222.00 - -
12 Amitripilin HCl tablet salut 25 mg Tablet 123.00 - -
13 Amitripilin HCl tablet salut 25 mg Tablet 165.00 - -
14 Amlodiphin tablet 5 mg Tablet 79.00 - -
15 Amlodiphin tablet 5 mg Tablet 55.00 9,250 9,250 2,000
16 Amlodiphin tablet 10 mg Tablet 95.00 - -
17 Amoksisilin kaplet 500 mg Kaplet 399.02 - -
19 Amoksisilin kaplet 500 mg Kaplet 265.00 4,400 4,400 400 100
21 Amoksisilin sirup kering 125 mg/5 ml Botol 60 ml 3,846.00 - -
22 Amoksisilin sirup kering 125 mg/5 ml Botol 60 ml 4,068.00 - -
23 Amoksisilin sirup kering 125 mg/5 ml Botol 60 ml 2,050.00 97 97 10
24 Ampisilin serbuk injeksi Vial 9,473.00 - -
25 Antalgin /Metampiron tab 500 mg Tablet 176.00 - -
26 Antasida DOEN tablet kombinasi Tablet 56.00 - -
27 Antasida DOEN tablet kombinasi Tablet 60.00 6,500 6,500
28 Antasida Sirup Botol 60 ml 2,239.00 - -

29 Antasida Sirup Botol 60 ml 2,098.00 - -
30 Antasida Sirup Botol 60 ml 1,756.00 245 245 20
31 Aspilet / Miniaspi Tablet 105.00 - -
32 Anti bakteri DOEN Tube 3,490.00 - -
33 Anti bakteri DOEN Tube 6,072.00 - -
34 Antihemorhoid DOEN kombinasi Supp 3,502.00 - -
35 Antihemorhoid DOEN kombinasi Supp 3,642.00 - -
36 Antimigrain DOEN kombinasi Tablet 199.00 - -
37 Antimigrain DOEN kombinasi Tablet 212.00 - -
38 Asam Askorbat ( vit. C ) tablet 50 mg Tablet 120.00 3,500 3,500 1,200 100
39 Asam Mefenamat tablet 500 mg Tablet 103.00 - -
40 Asam Mefenamat tablet 500 mg Tablet 297.00 2,600 2,600 500 100
41 Asering Infus Botol 500ml 9,000.00 - -
42 Asetil sistein Tablet 369.00 - -
43 Asetil sistein Tablet 394.00 800 800 800
44 Asiklovir cream Tube 3,850.00 - -
48 Asiklovir tablet 400 mg Tablet 425.00 300 300
49 Attapulgit (New Antides) Tablet 149.00 - -
50 Attapulgit (New Antides) Tablet 668.00 - -
51 Azithromycin 500 mg Tablet 15,400.00 - -
52 Betahistin Mesilat 6 mg tab Tablet 119.00 1,500 1,500 500
53 Betahistin Mesilat 6 mg tab Tablet 92.00 4,000 4,000
54 Betametason krim 0,1 % Tube 1,450.00 - -
55 Betametason krim 0,1 % Tube 1,520.00 - 50 50
56 Betametason krim 0,1 % Tube 2,942.00 - -
57 Captopril 25 mg Tablet 80.00 - -
58 Cavida Gel 15 gram Tube 41,000.00 13 13
59 Cefadroxyl syrup kering 125 mg/5ml Botol 60 ml 4,360.00 27 27
60 Cendo Xitrol ED Botol 35,200.00 - -
61 Cetirizin Syrup Botol 60 ml 2,993.00 - -
62 Cetirizin Syrup Botol 60 ml 3,061.00 63 63 15
63 Ciproloxacin 500 mg isi 100 tab Tablet 298.00 - -
64 Ciproloxacin 500 mg isi 100 tab Tablet 281.00 - -
65 Clobazam Tablet 1,120.00 - -
66 Clobazam Tablet 872.00 - -
67 Clobazam Tablet 384.00 - -
68 Deksametason inj 5 mg/ml -1 ml Ampul 1,210.00 45 45
69 Deksametason tablet 0,5 mg Tablet 34.00 - -

72 Diazepam injeksi Tablet 1,913.00 - -
73 Diazepam tablet 2 mg Tablet 86.00 - -
74 Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1,346.00 60 60
75 Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1,056.00 - -
76 Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1,156.00 - -
77 Digoksin tablet 0,25 mg Tablet 104.00 - -
78 Diltiazem HCl Tablet 135.00 - -
79 Diltiazem HCl Tablet 142.00 - -
80 Dimenhidrinat Tablet 114.00 - -
81 Dimenhidrinat Tablet 121.00 - -
82 Doksisiklin tablet 100 mg Tablet 309.00 - -
83 Doksisiklin tablet 100 mg Tablet 264.00 - -
84 Domperidon Tablet 90.00 - -
85 Domperidon suspensi 5 mg/5 ml Botol 60 ml 2,862.00 - -
86 Epineprin HCl/bitartrat (adrenalin) inj. Ampul 1,848.00 - -
87 Epineprin HCl/bitartrat (adrenalin) inj. Ampul 1,518.00 - -
88 Eritromisin 250 mg Kapsul 636.00 - -
89 Eritromisin 500 mg Kapsul 1,225.00 - -
90 Eritromisin 500 mg Kapsul 781.00 - -
91 Eritromisin sirup Kapsul 17,373.40 - -
92 Eugenol cairan Pcs 38,130.00 - -
93 Famotidine 20 mg Tablet 132.00 - -
94 Fenobarbital tablet 30 mg Tablet 177.00 - -
95 Fitomenadion ( vit k ) tablet salut 10 mg Tablet 818.00 - -
98 Fitomenadion ( vit k) injeksi Ampul 4,236.00 138 138 10
99 Furosemid tablet 40 mg Tablet 91.00 - -
100 Furosemid tablet 40 mg Tablet 82.00 600 600 200
101 Garam oralit untuk 200 ml air Sachet 275.00 160 160 100
102 Garam oralit untuk 200 ml air Sachet 500.00 - -
103 Gentamisin cream Tube 4,623.30 - -
104 Gentamisin injeksi Ampul 4,036.00 - -
105 Glibenklamid tablet 5 mg Tablet 61.00 - -
106 Glibenklamid tablet 5 mg Tablet 137.00 400 400 300
107 Glimepiride tab 2 mg Tablet 207.00 - -
108 Glimepiride tab 2 mg Tablet 123.00 700 700 200
109 Glukosa larutan infus 5 % steril Botol 5,720.00 - -
112 Glukosa larutan infus 5 % steril Botol 6,627.00 8 8 5 1
113 Griseofulvin tablet 125 mg, micronized Tablet 385.00 - -

116 Haloperidol tablet 5 mg Tablet 56.00 - -
117 Hidrocortison cream 2,5 % Tube 2,648.00 82 82
118 Hidrocortison cream 2,5 % Tube 4,616.00 - -
119 Hidroklortiazida tablet 25 mg Tablet 178.00 - -
120 Ibuprofen syrup 100mg/5 ml Botol 60 ml 2,858.00 167 167 40
121 Ibuprofen tablet 200 mg Tablet 264.00 - -
122 Isosorbit dinitrat tablet sublungual 5 mg Tablet 101.00 - -
125 Kaen - 3 B Botol 10,050.00 - -
126 Kaen - 3 B Botol 11,314.00 - -
127 Kalsium laktak ( kalak ) tablet 500 mg Tablet 59.00 - -
128 Kalsium laktak ( kalak ) tablet 500 mg Tablet 63.00 6,100 6,100 300
129 Karbamazepin tab 200 mg Tablet 234.00 - -
130 Ketokonazol Krim 2% Tube 2,694.00 56 56
131 Ketokonazol tab Tablet 286.00 - -
132 Ketokonazol tab Tablet 305.00 - -
133 Ketorolac injeksi 30 mg Ampul 1,089.00 - -
134 Kloramfenikol kapsul 250 mg Kapsul 329.00 3,500 3,500
135 Kloramfenikol kapsul 250 mg Kapsul 873.40 - -
136 Kloramfenikol salep mata 1 % Tube 2,013.00 - -
137 Kloramfenikol salep kulit Tube 3,760.00 84 84
138 Kloramfenikol tetes telinga 3 % Botol 9,749.30 15 15
139 Klorfeniramin maleat ( CTM ) tablet 4 mg Tablet 24.00 - -
142 Klorpromazin HCl tablet salut 100 mg Tablet 170.00 - -
143 Kodein HCl tablet 10 mg Tablet 657.00 - -
144 Kotrimoksazol dewasa tablet Tablet 125.00 300 300
145 Kotrimoksazol dewasa tablet Tablet 274.00 - -
146 Kotrimoksazol dewasa tablet Tablet 133.00 - -
147 Kotrimoksazol suspensi Botol 60 ml 2,052.00 - -
148 Lanzoprasole kapsul 30 mg Kapsul 352.00 - -
149 Lanzoprasole kapsul 30 mg Kapsul 330.00 - -
150 Lanzoprasole kapsul 30 mg Kapsul 278.00 3,250 3,250 1,000
151 Lidokain kompositum injeksi Ampul 1,405.00 52 52 10 10 30
152 Lidokain kompositum injeksi Ampul 1,317.00 - -
153 Lidokain kompositum injeksi Ampul 847.00 60 60
154 Lidokain spray Botol 177,216.00 - -
155 Loperamid tablet Tablet 90.00 - -
156 Loratadin tablet 10 mg Tablet 127.00 - -
157 Loratadin tablet 10 mg Tablet 136.00 - -

158 Loratadin tablet 10 mg Tablet 117.00 600 1,000 1,600 600
159 Meloksikam tablet 15 mg Tablet 1,350.00 - -
160 Metformin tab. 500 mg Tablet 102.00 - -
161 Metformin tab. 500 mg Tablet 77.00 3,400 3,400 1,200
162 Metformin tab. 850 mg Tablet 167.00 - -
163 Metilergometrin maleat inj. 0,200 mg - 1 ml Ampul 2,684.00 - -
164 Metilergometrin maleat inj. 0,200 mg - 1 ml Ampul 3,399.00 - -
165 Metilergometrin maleat tablet salut 0,125 mg Tablet 162.80 - -
166 Metilergometrin maleat tablet salut 0,125 mg Tablet 245.00 - -
167 Metilprednisolon tablet 4 mg Tablet 148.00 - -
170 Metilprednisolon tablet 4 mg Tablet 102.00 1,500 5,000 6,500 1,800
171 Metoklorpropamid injeksi (Sotatic) Ampul 4,313.83 - -
172 Metoklorpropamid injeksi (Sotatic) Ampul 4,554.00 8 8 2
173 Metoklorpropamid sirup Botol 60 ml 2,700.00 59 59 5
174 Metoklorpropamid tab 10 mg Tablet 93.00 100 100
175 Metoklorpropamid tab 10 mg Tablet 87.00 - -
178 Metronidazol tablet 500 mg Tablet 140.00 - -
181 Miconasol cream Tube 3,926.00 - -
182 Miconasol cream Tube 4,111.00 62 62
183 Mineral Mix Tube 3,116.00 - -
184 Multivitamin sirup anak Botol 16,500.00 - -
185 NA. Diklofenak tablet 50 mg Tablet 145.00 - -
186 NA. Diklofenak tablet 50 mg Tablet 136.00 - -
187 NA. Diklofenak tablet 50 mg Tablet 109.00 10,950 10,950 1,500
188 Natrium klorida larutan infus 0,9 % steril Botol 6,840.00 21 21
189 Natrium klorida larutan infus 0,9 % steril Botol 6,410.00 - -
190 Natrium klorida larutan infus 0,9 % steril Botol 6,900.00 60 60
191 Natrium klorida (VAKSIN) Botol 3,280.00 - -
192 Nifedipine tablet 10 mg Tablet 123.00 - -
193 Nifedipine tablet 10 mg Tablet 244.20 - -
194 Nistatin 100.000 iu / tablet vaginal Tablet 645.00 - -
195 Novabion Tablet 202.40 - -
196 OAT FDC Kategori Anak Tablet 285,339.00 - -
197 OAT FDC Kategori I Paket 447,747.00 - -
198 OAT FDC Kategori I Paket 477,791.00 2 2
199 OAT FDC Kategori I (dosis harian) Paket - 2 2
200 OAT FDC Kategori II Paket 1,379,984.00 - -

201 OAT FDC Kategori II Paket 1,492,579.00 - -
202 Obat batuk hitam (OBH) cairan (Herbakof) Botol 14,273.00 66 66 10
203 Oksitetrasiklin HCl salep 3 % Tube 2,200.00 - -
204 Oksitetrasiklin HCl salep 3 % Tube 3,047.00 - -
205 Oksitetrasiklin HCl salep mata Tube 3,740.00 - -
206 Oksitetrasiklin HCl salep mata Tube 2,600.00 - -
207 Oksitetrasiklin HCl salep mata Tube 2,774.00 30 30 15
208 Oksitosin injeksi 10 iu / ml - 1 ml Ampul 1,232.00 138 138 15
209 Omeprasol Tablet 138.00 - -
210 Omeprasol Tablet 147.00 - -
211 Papaverin HCl tab Tablet 137.50 - -
212 Parasetamol drops Botol 15 ml 7,646.00 25 25 5
213 Parasetamol sirup 120 mg / 5 ml Botol 60 ml 1,119.00 - -
217 Parasetamol sirup 120 mg / 5 ml Botol 60 ml 5,478.00 15 15 15
218 Parasetamol tablet 500 mg Tablet 60.00 - -
219 Parasetamol tablet 500 mg Tablet 165.00 5,200 5,200 300
220 Parasetamol tablet 500 mg Tablet 186.00 - -
221 Piracetam injeksi 1 g/ 5 ml Ampul 2,090.00 - -
222 Piracetam tablet 800 mg Tablet 781.00 - -
223 Piridoksin HCl tablet 10 mg Tablet 150.00 - -
224 Piroksicam 20 mg kapsul Kapsul 192.00 - -
225 Piroksicam 20 mg kapsul Kapsul 169.40 - -
226 Prednison tablet 5 mg Tablet 198.00 - -
229 Prednison tablet 5 mg Tablet 73.00 3,200 3,200
230 Propiltiourasil tablet 100 mg Tablet 550.00 - -
231 Propiltiourasil tablet 100 mg Tablet 741.40 - -
232 Propranolol tablet 40 mg Tablet 90.00 - -
233 Provital Plus tablet Tablet 7,150.00 - -
234 Ranitidin injeksi Ampul 1,600.00 - -
235 Ranitidin injeksi Ampul 1,188.00 - -
236 Ranitidin tablet Tablet 122.00 900 900 500
237 Ranitidin tablet Tablet 114.00 - -
238 Retinol ( vit. A ) kapsul 100.000 iu Kapsul 327.00 - -
242 Ringer laktak larutan infus steril Botol 7,150.00 - -
243 Ringer laktak larutan infus steril Botol 7,630.00 43 43 5 3

244 Ringer laktak larutan infus steril Botol 7,550.00 - -
245 Salbutamol tablet 2 mg Tablet 64.00 - -
246 Salbutamol tablet 4 mg Tablet 123.00 - -
247 Salep 2 - 4 kombinasi Pot 3,017.00 - -
248 Salep 2 - 4 kombinasi Pot 5,900.00 - -
249 Salep 2 - 4 kombinasi Pot 3,017.00 6 6 6
250 Salisil bedak 2 % Pot 7,500.00 - -
251 Salisil bedak 2 % Pot 5,300.00 - -
252 Scabimite 5 % krim Tube 30,000.00 - -
253 Scabimite 5 % krim Tube 12,155.00 - -
254 Serbuk PK Kristal Pot 5 g 2,585.00 - -
255 Sianokobalamin (Vitamin B12) 50 mcg Tablet 48.00 - -
256 Sianokobalamin tablet Tablet 51.00 - -
257 Sianokobalamin tablet Tablet 48.00 - -
258 Simvastatin tablet 10 mg Tablet 117.00 - -
261 Simvastatin tablet 10 mg Tablet 73.00 2,800 2,800 700
263 Sivit Zinc tablet Tablet 2,500.00 3,180 3,180
264 Stesolid Rectal Tablet 14,459.00 - -
265 Tablet tambah darah kombinasi Tablet 409.00 3,300 3,300 1,500 120
266 Tiamin HCl mononitrat ( vit. B. 1 ) tablet 50 mg Tablet 90.00 - -
267 Vaksin Corona VAC MD (POLRES) Vial 1,339,440.00 - -
268 Vaksin Corona VAC MD (TNI) Vial 1,339,440.00 - -
269 Vaksin Corona VAC MD (DINKES) Vial 1,339,440.00 - -
270 Vaksin Corona VAC MD (DINKES BUFFER) Vial 1,339,440.00 - -
271 Vaksin COVID 19 MODERNA Vial - -
272 Vaksin COVID 19 Coronavac 2 Dosis (Dinkes) Vial - -
273 Vaksin COVID 19 Coronavac 2 Dosis (Polri) Vial - -
274 Vaksin COVID 19 Coronavac 2 Dosis (TNI) Vial - -
275 Vaksin COVID 19 Coronavac AZTRAZENECA 10 Dosis Vial - -
276 Vaksin COVID 19 PFIZER 6 Dosis Vial - -
277 Vaksin Hb Unijec (HBO) 1 DS Vial 23,991.00 - -
278 Vaksin BCG 20 ds sll Vial 61,996.00 - -
279 Vaksin Polio (BOPV) 10 ds Vial 19,954.00 - -
280 Vaksin POLIO (IPV) 5 ds Vial 158,994.00 - -
281 Vaksin DPT-HB-HIB 5ds Vial 78,991.00 - -
282 Vaksin DT 10 ds Vial 17,996.00 - -
283 Vaksin Td 10 ds Vial 16,995.00 - -
284 Vaksin Measleas dan Rubella (MR) 10 ds Vial 155,813.00 - -
285 Vaksin Corona VAC Vial 211,282.00 - -
286 Vaksin rabies vero Vial 165,000.00 - -

287 Vaksin rabies vero Vial 187,000.00 - -
288 Ventolin Nebulizer Ampul 12,976.00 - -
289 Vitamin B Kompleks Tablet - -
290 Vitamin C 500 mg Tablet 618.75 - -
291 Yodium povidon larutan 10 % 60 ml Botol 4,255.00 - -
292 Yodium povidon larutan 10 % 1.000 ml Botol 149,314.00 4 4
293 Zink Sirup Botol 3,285.00 - -
294 Zink Tablet Tablet 674.00 - -
295 Zink Tablet Tablet 604.00 - -
PERBEKALAN KESEHATAN -
296 Alat suntik sekali pakai 0,5 ml Pcs 1,240.00 - -
297 Alat suntik sekali pakai 0,5 ml (vaksin) Pcs 1,050.00 - -
298 Alat suntik sekali pakai 0,5 ml (vaksin) Pcs 1,185.00 - -
299 Alat suntik sekali pakai 0,5 ml (imunisasi rutin) Pcs 1,650.00 - -
300 Alat suntik sekali pakai 1 ml Pcs 910.80 - -
301 Alat suntik sekali pakai 3 ml Pcs 910.80 - -
302 Alat suntik sekali pakai 3 ml Pcs 1,062.60 18 100 118 10
303 Alat suntik sekali pakai 3 ml Pcs 1,062.40 100 100
304 Alat suntik sekali pakai 3 ml Pcs 1,110.00 - -
305 Alat suntik sekali pakai 3 ml (VAKSIN) Pcs 569.00 - -
309 Alat suntik sekali pakai 0.3 ml Pcs 1,255.00 - -
310 Alkacide Pcs 2,972,970.00 - -
311 Alkacide Pcs 2,702,700.00 - -
312 Alkazime Pcs 881,100.00 - -
313 Alkazime Pcs 801,000.00 - -
314 Alkohol Swab (vaksin) Sachet 79.00 - -
318 Alkohol Swab Sachet 138.00 - -
319 Alkohol Swab Sachet 280.00 200 200
320 Anti A Monoclonal Golongan Darah Botol 71,300.00 - -
321 Anti B Monoclonal Golongan Darah Botol 71,300.00 - -
322 Anti D Monoclonal Golongan Darah Botol 119,600.00 - -
323 APD Hazmat Coverall Pcs - -
324 APD Inka Medical Coverall (APD) Pcs 235,000.00 50 50
325 APD Sandoz Pcs 55,900.00 38 38
326 Apron Plastik / Celemek Lembar 3,450.00 - -
327 Apron Lembar 3,373.00 100 100
328 Aqua pro injeksi steril, bebas pirogen Botol 2,750.00 - -

329 Aquadest Bioanalitik Botol 1 L 5,500.00 - -
330 Aseptic Gel Botol 500ml 25,300.00 - -
333 Bill Direk Lembar 529,000.00 - -
334 Bill Total Botol 514,000.00 - -
335 Bisturi Pcs 825.00 - -
336 Blood Lancet Pcs 167.42 - -
337 Blood Lancet Pcs 275.00 - -
338 Blue Tip Pcs 132.00 - -
339 Bracket ABS Pcs 20,240.00 - -
340 Catgut/benang bedah 3/0 HR 30 (kulit/342) Pcs 51,291.00 16 16 12 4
341 Catgut/benang bedah no 2/0 - 3/0 (otot/344) Pcs 48,664.23 - -
342 Catgut/benang bedah no 2/0 - 3/0 (otot/344) Pcs 47,812.86 - -
343 Catgut/benang bedah no 2/0 - 3/0 Pcs 8,500.00 - -
344 Catgut/benang bedah no 2/0 Pcs 55,000.00 - -
345 Catgut/benang bedah no 3/0 Pcs 55,000.00 - -
346 CHKM Pcs 60,500.00 - -
347 Cover Glass/Deck Glass Ktk 33,000.00 - -
348 Detergen, Cleanac Pcs 8,662,500.00 - -
349 Detergen, Cleanac-3 Pcs 5,568,750.00 - -
350 Diluent, Isotonac-3 Pcs 5,197,500.00 - -
351 Devitalisasi pasta Pcs 423,500.00 - -
352 Dropper 80 mm pcs - -
353 Etanol 70 % Botol 31,625.00 11 11 1
354 Etanol 70 % Botol 30,000.00 - -
355 Fletcher Pcs 35,200.00 - -
356 Focos Diagnostics Pcs 13,665.00 - -
357 Gell Doppler/Jelly USG Tube 33,983.0 10 10
358 Glass ionomer Pcs 275,500.00 - -
359 Glass ionomer ( fuji II ) Pcs 385,000.00 - -
360 Glass ionomer cement ( fuji ix ) Pcs 418,000.00 - -
361 Hanclin Solution 2% 500 mL Botol 52,900.00 12 12
362 Handschun Steril no.7 Pasang 3,979.00 - -
363 Handschun Steril no.7 Pasang 7,794.00 70 70 10
364 Handschun Steril Pasang 6,595.00 - -
365 Handschun Steril Pasang 13,178.00 - -
366 Handschun non steril Pasang 3,410.00 - -
367 Handschun non steril Pasang 3,410.00 - -
368 Handschun non steril no.7 Pasang 1,113.20 - -
369 Handschun non steril no.7 (HIV) Pasang 1,064.80 - -
370 Handschun non steril Nitril L Pasang 4,806.40 - 200 200
371 Handschun non steril Nitril M Pasang 4,806.40 - -

372 Handscoon (HIV) Pasang 4,400.00 - -
373 Hanscoen ginekolog Set 15,730.00 - -
376 Handscrub Botol 87,798.75 - -
377 Handrub Botol 36,227.00 24 24
378 Handwash (Stefanol) Botol 98,050.00 15 15
379 HbA1C Dayli Check Pcs 451,000.00 - -
380 HbA1C Monthly Check Tube 451,000.00 - -
381 HbA1C Test Catridge Kotak 2,507,000.00 - -
382 Hematology Control CBC-5DN Roll 1,502,875.00 - -
383 Hemolyzing Reagen, Hemolynac-3N Roll 3,930,300.00 - -
384 Hemolyzing Reagen, Hemolynac-5 Roll 3,930,300.00 - -
385 Infusion set anak Set 7,700.00 - -
386 Infusion set anak Set 4,136.00 159 159
387 Infusion set anak Set 8,900.00 - -
388 Infusion set dewasa Set 7,969.50 - -
389 Infusion set dewasa Set 5,445.00 54 54 10 3
390 Infusion set dewasa Set 8,900.00 - -
391 IV. Catheter No. 18 Pcs 7,700.00 - -
393 IV. Catheter No. 18 Pcs 12,631.00 95 95 5
398 IV. Catheter No. 20 Pcs 10,555.50 50 50
404 IV. Catheter No. 24 Pcs 14,625.00 126 126
407 Iodium Test Pcs 18,700.00 - -
408 Jarum jahit ( Kulit ) no.9 s/d 15 Pcs 1,250.00 - -
409 Jarum jahit ( otot ) no.9 s/d 15 Pcs 1,250.00 - -
410 Jelly Kateter/Lubricant Tube 33,981.34 - -
411 Kalsium Hidroksida Pasta Kotak 48,700.00 - -
412 Kapas pembalut / absorben 250 gram Roll 22,000.00 - -

415 Kapas pembalut / absorben 250 gram Roll 29,900.00 9 9
416 Kasa kompres 40 x 80 cm Roll 137,025.00 - -
417 Kasa kompres 40 x 80 cm Roll 156,600.00 - -
418 Kasa pembalut 2 m x 80 cm Roll 8,855.00 24 24 10 10
419 Kasa pembalut hidrofil 4 m x 15 cm Roll 3,373.00 - -
420 Kasa pembalut hidrofil 4 m x 15 cm Roll 2,415.00 45 45
421 Kateter No. 20 Pcs 12,529.00 - -
422 Kateter No. 20 Pcs 8,695.15 - -
423 Kateter No. 20 Pcs 20,700.00 - -
424 Kateter No.12 Pcs 11,247.00 - -
425 Kateter No.20 Pcs 10,580.00 - -
426 Kateter No.18 Pcs 11,247.00 - -
427 Kateter No.18 Pcs 31,359.35 - -
428 Kateter No.18 Pcs 10,580.00 - -
429 Kertas Puyer Press Pcs 82.50 - -
430 Kertas Puyer Press Pcs 78.10 - -
431 Larutan Amonium oksalat Botol 500 ml 31,900.00 - -
432 Larutan Natrium sitrat 3.8% Botol 100ml 13,200.00 - -
433 Lisol Botol 1 L 49,200.00 - -
434 Lisol Botol 1 L 57,200.00 - -
435 Maag slang anak Set 4,779.50 - -
436 Maag slang dewasa Set 4,779.50 - -
437 Maag slang 10 Set 6,400.00 - -
438 Masker Pcs 473.11 - -
439 Masker Pcs 800.00 - -
440 Masker Pcs 1,012.00 - -
441 Masker (HIV) Pcs 2,145.00 - -
442 Masker Bedah (UNICEF) Pcs 23.00 - -
443 Masker N95 Pcs 42,000.00 - -
444 Masker N95 Pcs 8,500.00 - -
445 Masker N95 (P2) Pcs 20,637.00 50 50
446 Masker Nebulizer Adult Pcs 28,300.00 - -
447 Masker Nebulizer Pediatrik Pcs 25,300.00 - -
448 Metanol Pcs 58,300.00 - -
449 Obyek glass Pcs 13,200.00 - -
450 Obyek glass Pcs 23,855.70 - -
451 Obyek glass Pcs 20,244.60 - -
452 Penjepit Tali Pusat (Umbilical Clamps) Pcs 1,494.90 - -
453 Penjepit Tali Pusat (Umbilical Clamps) Pcs 1,495.00 100 100 10
454 Pharmafix Pcs 51,305.00 - -
455 Pharmafix 15 X 500 CM Roll 78,155.00 - -
456 Pharmafix 15 X 500 CM Roll 85,970.50 - -
457 Pharmafix 15 X 500 CM Roll 47,000.00 17 17 1

458 Plester 5 yard x 2 inch Roll 35,532.00 - -
459 Paket APD Imunisasi Pcs 93,469.00 - -
460 Plesterin Pcs 177.10 - -
461 Pot Dahak Pot 2,420.00 - -
462 Pot Dahak Pot 2,950.00 - -
463 Pot Dahak Pot 5,890.00 - -
464 Pot Dahak Pot 2,200.00 - -
465 Rapid test IgG/IgM Pot 1,580,000.00 - -
466 Rapid Test Siphilis pack 12,264.00 - -
469 Reagen Siphilis 4x100ml 20,400.00 - -
470 Rapid Antigen Paket 80,000.00 - -
471 RPR Focos Set 4,250.00 - -
472 Salmonella Typhi O Widal Test Pot 70,150.00 - -
473 Salmonella Paratyphi CH Widal Test Paket 70,150.00 - -
474 Salmonella Typhi H Widal Test Paket 70,150.00 - -
475 Salmonella Paratyphi AH Widal Test Pcs 70,150.00 - -
476 Savety Box Pack 20,394.00 16 16
477 Savety Box (vaksin) 5 Ltr Pack 14,000.00 - -
478 Savety Box (vaksin) 5 Ltr Pack 23,398.00 - -
479 SD HIV 19 Pack 11,975.00 - -
480 SD HIV 19 Pack 14,430.00 - -
481 SD HIV 19 (R3) Pack 12,527.00 - -
482 Silk ( benang bedah sutera ) no.3/0 Pcs 55,476.20 - -
483 Silk ( benang bedah sutera ) no.3/0 Pcs 44,505.00 - -
484 Silk ( benang bedah sutera ) no.3/0 Pcs 43,470.00 4 4 4
485 Slang O2 dewasa Set 6,187.50 - -
486 Slang O2 dewasa Set 7,623.00 - -
487 Slang O2 anak Set 6,325.00 - -
488 Slang O2 anak Set 7,590.00 - -
489 Slang O2 anak Set 7,623.00 - -
490 Spiritus Botol 1 L 35,220.00 - -
491 Strip GDS Pcs 3,229.94 - -
492 Strip HBSAg Pcs 8,068.00 - 100 100
493 Strip HBSAg Pcs 9,850.00 - -
494 Surgical Gown Ktk/100 59,138.75 - -
495 Surgical Gown Pcs 55,900.00 25 25
496 Tabung K3 EDTA Pcs 1,540.00 - -
497 Tabung Reaksi 12 ml Pcs 1,870.00 - -
498 Tes Gol. Darah Anti A Paket 76,450.00 - -
499 Tes Gol. Darah Anti B Paket 76,450.00 - -
500 Tes Gol. Darah Anti AB Paket 100,760.00 - -

501 Tes Gol. Darah Anti O Paket 122,320.00 - -
502 Tes Kehamilan Pcs 4,790.00 - -
503 Tissu Roll Roll 3,300.00 - -
504 Under Pad/ Perlak Pcs 5,500.00 - -
505 Urine Bag Pcs 9,281.00 - -
506 Urine Bag Pcs 6,325.00 - -
507 Urine Bag Pcs 4,933.50 29 29
508 VIKIA Pcs 4,250.00 - -
509 Yellow Tip Pcs 55.00 - -
Mengetahui :
Kepala UPTD Puskesmas Panincong
SYAMSURIATI, SKM
Nip. 19780917 200604 2 010
S KESEHATAN
KESMAS PANINCONG
TAN MARIORIAWA
Marioriawa Kabupaten Soppeng Sulawesi Selatan Kode Pos 90852
cong@gmail.com Telp. (0484) 2512595
KAIAN DAN LEMBAR PERMINTAAN OBAT

AN : JANUARI 2022
PEMAKAIAN
PENDAFTAR ATTANGSAL PERSEDIAAN STOK
KIA AN PADALI TRANS MEDDE O KACA LAJAROKO TAMPANING PROGRAM AKHIR OPTIMUM PERMINTAAN
DISTRIBUSI EXP RETUR RUSAK
PENDAFTAR
KIA AN PADALI TRANS MEDDE ATTANGSAKACA LAJAROKO TAMPANINPROGRAM 7 8 9 10 11 12 13
1
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
100 100 100 2,300 6,950 4,529 18,500.00
- - - -
- - - -
- - - -
100 200 800 3,600 1,575 8,800.00
- - - -
- - - -
- - - -
10 87 20 194.00
- - - -
- - - -
- - - -
100 100 200 6,300 394 13,000.00
- - - -
PEMAKAIAN
PENDAFTAR
- - - -
10 30 215 59 490.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
100 100 100 100 1,700 1,800 3,348 5,000 12,000.00
- - - -
100 700 1,900 1,378 5,000 10,200.00
- - - -
- - - -
800 - 1,575 3,000 4,600.00
- - - -
- - - -
- - - -
- - - -
- 300 - 600.00
- - - 500 500.00
- - - -
- - - -
100 600 900 1,182 3,000.00
- 4,000 8,000.00
- - - -
- 50 - 100 200.00
- - - -
- - - -
- 13 - 26.00
- 27 - 50 104.00
- - - -
- - - -
15 48 30 126.00
- - - -
- - - -
- - - -
- - - -
- - - 200 200.00
- 45 - 90.00
- - - -
- - - -
- - - -
PEMAKAIAN
PENDAFTAR
- - - -
- - - 200 200.00
- 60 - 120.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
10 128 20 276.00
- - - -
200 400 394 1,200.00
30 130 30 256 200 520.00
- - - -
- - - -
- - - -
- - - -
100 400 - 788 1,000 1,800.00
- - - -
200 500 394 1,400.00
- - - -
- - - -
- - - -
6 2 12 40 56.00
- - - -
- - - -
PEMAKAIAN
PENDAFTAR
- - - -
- - - -
- 82 - 164.00
- - - -
- - - -
5 45 122 89 334.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
100 400 5,700 788 12,200.00
- - - -
- 56 - 112.00
- - - -
- - - -
- - - 50 50.00
- 3,500 - 7,000.00
- - - -
- - - -
- 84 - 168.00
- 15 - 30.00
- - - -
- - - -
- - - -
- - - -
- - - -
- 300 - 600.00
- - - -
- - - -
- - - -
- - - -
- - - -
1,000 2,250 1,969 6,500.00
50 2 98 104.00
- - - -
- 60 - 120.00
- - - -
- - - -
- - - -
- - - -
PEMAKAIAN
PENDAFTAR
600 1,000 1,182 3,000 6,200.00
- - - -
- - - -
1,200 2,200 2,363 3,000 9,800.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
200 2,000 4,500 3,938 5,000 18,000.00
- - - -
2 6 4 20 36.00
5 54 10 118.00
- 100 - 500 700.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 62 - 124.00
- - - -
- - - -
- - - -
- - - -
100 200 1,800 9,150 3,545 21,900.00
- 21 - 42.00
- - - -
- 60 - 120.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 2 - 4.00
2 2 - 2 4.00
- - - -
PEMAKAIAN
PENDAFTAR
- - - -
5 15 51 30 96 228.00
- - - -
- - - -
- - - -
- - - -
15 15 30 50 110.00
2 17 121 33 276.00
- - - -
- - - -
- - - -
5 20 10 50.00
- - - -
- - - -
- - - -
- - - -
15 - 30 30.00
- - - -
100 400 4,800 788 10,400.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
100 100 3,100 197 6,400.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 50 50.00
100 600 300 1,182 3,000 4,800.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
8 35 16 86.00
PEMAKAIAN
PENDAFTAR
- - - -
- - - -
- - - -
- - - -
- - - -
6 - 12 12.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
100 800 2,000 1,575 5,600.00
- - - -
90 90 3,090 177 6,360.00
- - - 10 10.00
120 90 120 90 2,040 1,260 4,017 10,000 16,600.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
PEMAKAIAN
PENDAFTAR
- - - -
- - - -
- - - 5,000 5,000.00
- - - -
- - - -
- 4 - 8.00
- - - -
- - - -
- - - 500 500.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
10 108 20 236.00
- 100 - 200.00
- - - -
- - -
- 175 - 350.00
- 100 - 200.00
- 3 - 6.00
- - -
- - - -
- - - -
- - - -
- - - -
- - -
- - - -
- - - -
- - -
- - - -
- 200 - 400.00
- - - -
- - - -
- - - -
-
- 50 - 100.00
- 38 - 76.00
- - - -
- 100 - 200.00
- - - -
PEMAKAIAN
PENDAFTAR
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 400 400.00
- - - -
- - - -
16 - 32 24 56.00
- - - 24 24.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
1 10 2 22.00
- - - -
- - - -
- - - -
1 1 9 2 20.00
- - - -
- - - -
- - - -
- 12 - 24.00
- - - -
10 60 20 140.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 200 - 500 900.00
- - - -
PEMAKAIAN
PENDAFTAR
- - - -
- - - -
- - - -
- - - -
- - - -
- 24 - 48.00
- 15 30.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 159 - 318.00
- - - -
- - - -
13 41 26 108.00
- - - -
- - - -
- - - -
5 90 10 190.00
- - - -
- - - -
1 30 2 62.00
- - - -
- 50 - 100.00
- - - -
- - - -
- - - -
1 42 2 86.00
- - - -
- 126 - 252.00
- - - -
3 18 6 42.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
PEMAKAIAN
PENDAFTAR
- 9 - 18.00
- - - 30 30.00
- - - -
20 4 39 50 98.00
- - - -
- 45 - 90.00
- - - 20 20.00
- - - -
- - - -
- - - -
- - - -
- - - 20 20.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - 1,000 1,000.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 50 - 100.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
10 90 20 200.00
- - - -
- - - -
- - - -
1 16 2 34.00
PEMAKAIAN
PENDAFTAR
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 16 - 32.00
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
4 - 8 48 56.00
- - - -
- - - 20 20.00
- - - 20 20.00
- - - -
- - - -
- - - -
- - - -
100 100 - 197 200.00
- - - -
- - - -
- 25 - 50.00
- - - -
- - - -
- - - -
- - - -
- - - -
PEMAKAIAN
PENDAFTAR
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 29 - 58.00
- - -
- - -
###
Panincong, 31 Januari 2022
Pengelola Obat,
Puskesmas Panincong
NUR RAHMAH MASDA, S.Si., Apt

NIP. 19960416 202012 2 003
pemakaian rata2 buffer stock lead time
2 3 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
2,300.00 0 88 460 1,769
- 0 - - -
- 0 - - -
- 0 - - -
800.00 0 31 160 615
- 0 - - -
- 0 - - -
- 0 - - -
10.00 0 0 2 8
- 0 - - -
- 0 - - -
- 0 - - -
200.00 0 8 40 154
- 0 - - -
- 0 - - -
30.00 0 1 6 23
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
1,700.00 0 65 340 1,308
- 0 - - -
700.00 0 27 140 538
- 0 - - -
- 0 - - -
800.00 0 31 160 615
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
600.00 0 23 120 462
- 0 - - -
- 0 - - -
- 76000 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
15.00 0 1 3 12
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
10.00 0 0 2 8
- 0 - - -
200.00 0 8 40 154
130.00 0 5 26 100
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
400.00 0 15 80 308
- 0 - - -
200.00 0 8 40 154
- 0 - - -
- 0 - - -
- 0 - - -
6.00 0 0 1 5
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
45.00 0 2 9 35
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
400.00 0 15 80 308
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
1,000.00 0 38 200 769
50.00 0 2 10 38
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
600.00 117000 23 120 462
- 0 - - -
- 0 - - -
1,200.00 0 46 240 923
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
2,000.00 510000 77 400 1,538
- 0 - - -
2.00 0 0 0 2
5.00 0 0 1 4
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
1,800.00 0 69 360 1,385
- 0 - - -
- 0 - - -
- 0 - - -
- 0
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
15.00 0 1 3 12
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
15.00 0 1 3 12
17.00 0 1 3 13
- 0 - - -
- 0 - - -
- 0 - - -
5.00 0 0 1 4
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
15.00 0 1 3 12
- 0 - - -
400.00 0 15 80 308
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
100.00 0 4 20 77
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
600.00 0 23 120 462
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
8.00 0 0 2 6
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
6.00 0 0 1 5
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
800.00 0 31 160 615
- 0 - - -
90.00 0 3 18 69
- 0 - - -
2,040.00 0 78 408 1,569
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
10.00 106260 0 2 8
- 0 - - -
- 0 - - -
- 0
- 0 - - -
- 0 - - -
- 0 - - -
- 0
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 1 3 12
- 0 - - -
16.00 0
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 0 0 1
- 0 - - -
1.00 0 - - -
- 0 - - -
- 0 0 0 1
- 0 - - -
1.00 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 0 2 8
- 0 - - -
10.00 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 961280.4 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 1 3 10
- 0 - - -
13.00 0 #REF! #REF! #REF!
- 0 - - -
- 0 - - -
- 0 0 1 4
5.00 0 - - -
- 0 - - -
- 0 0 0 1
1.00 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 0 0 1
1.00 0 - - -
- 0 - - -
- 0 - - -
- 0 0 1 2
3.00 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 1 4 15
20.00 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 0 2 8
10.00 0 - - -
- 0 - - -
- 0 - - -
- 0 0 0 1
1.00 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 0 1 3
4.00 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 4 20 77
100.00 806800 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0
DINAS KESEHATAN
LAPORAN BULANAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT

BULAN : FEBRUARI 2022
PEMAKAIAN
PERSEDIAAN PERSEDIAAN STOK
NO NAMA OBAT SATUAN HARGA AWAL PENERIMAAN AKHIR OPTIMUM PERMINTAAN
1 2 3 4 5 6 7 8 9 10 11 12 13
OBAT -
1 Albendazol sirup Tablet 4,600.00 - - - -
2 Albendazol tablet 400 mg Tablet 494.00 - - - -
6 Albothyl cons.(policresulen) Botol 5ml 33,000.00 - - - -
7 Alopurinol tablet 100 mg Tablet 99.00 - - - -
8 Alopurinol tablet 100 mg Tablet 89.00 - - - -
9 Alprazolam 0,5 mg tablet Tablet 88.00 - - - -
10 Ambroxol sirup Botol 5,012.00 - - - -
11 Ambroxol tablet 30 mg Tablet 222.00 - - - -
12 Amitripilin HCl tablet salut 25 mg Tablet 123.00 - - - -
13 Amitripilin HCl tablet salut 25 mg Tablet 165.00 - - - -
14 Amlodiphin tablet 5 mg Tablet 79.00 - - - -
15 Amlodiphin tablet 5 mg Tablet 55.00 6,950 1,700 5,250 3,348
16 Amlodiphin tablet 10 mg Tablet 95.00 - - - -
17 Amoksisilin kaplet 500 mg Kaplet 399.02 - - - -
19 Amoksisilin kaplet 500 mg Kaplet 265.00 3,600 900 2,700 1,772
21 Amoksisilin sirup kering 125 mg/5 ml Botol 60 ml 3,846.00 - - - -
22 Amoksisilin sirup kering 125 mg/5 ml Botol 60 ml 4,068.00 - - - -
23 Amoksisilin sirup kering 125 mg/5 ml Botol 60 ml 2,050.00 87 27 60 53
24 Ampisilin serbuk injeksi Vial 9,473.00 - - - -
25 Antalgin /Metampiron tab 500 mg Tablet 176.00 - - - -
26 Antasida DOEN tablet kombinasi Tablet 56.00 - - - -
27 Antasida DOEN tablet kombinasi Tablet 60.00 6,300 400 5,900 788
28 Antasida Sirup Botol 60 ml 2,239.00 - - - -
PEMAKAIAN
1 2 3 4 5 6 7 8 9 10 11 12 13
29 Antasida Sirup Botol 60 ml 2,098.00 - - - -
30 Antasida Sirup Botol 60 ml 1,756.00 215 40 175 79
31 Aspilet / Miniaspi Tablet 105.00 - - - - 200
32 Anti bakteri DOEN Tube 3,490.00 - - - -
33 Anti bakteri DOEN Tube 6,072.00 - - - -
34 Antihemorhoid DOEN kombinasi Supp 3,502.00 - - - -
35 Antihemorhoid DOEN kombinasi Supp 3,642.00 - - - -
36 Antimigrain DOEN kombinasi Tablet 199.00 - - - -
37 Antimigrain DOEN kombinasi Tablet 212.00 - - - -
38 Asam Askorbat ( vit. C ) tablet 50 mg Tablet 120.00 1,800 900 900 1,772 5,000
39 Asam Mefenamat tablet 500 mg Tablet 103.00 - - - -
40 Asam Mefenamat tablet 500 mg Tablet 297.00 1,900 900 1,000 1,772 5,000
41 Asering Infus Botol 500ml 9,000.00 - - - -
42 Asetil sistein Tablet 369.00 - - - -
43 Asetil sistein Tablet 394.00 - - - - 3,000
44 Asiklovir cream Tube 3,850.00 - - - -
48 Asiklovir tablet 400 mg Tablet 425.00 300 - 300 -
49 Attapulgit (New Antides) Tablet 149.00 - - - - 500
50 Attapulgit (New Antides) Tablet 668.00 - - - -
51 Azithromycin 500 mg Tablet 15,400.00 - - - -
52 Betahistin Mesilat 6 mg tab Tablet 119.00 900 600 300 1,182
53 Betahistin Mesilat 6 mg tab Tablet 92.00 4,000 - 4,000
54 Betametason krim 0,1 % Tube 1,450.00 - - - -
55 Betametason krim 0,1 % Tube 1,520.00 50 100 40 110 79 100
56 Betametason krim 0,1 % Tube 2,942.00 - - - -
57 Captopril 25 mg Tablet 80.00 - - - -
58 Cavida Gel 15 gram Tube 41,000.00 13 - 13 -
59 Cefadroxyl syrup kering 125 mg/5ml Botol 60 ml 4,360.00 27 10 17 20 50
60 Cendo Xitrol ED Botol 35,200.00 - - - -
61 Cetirizin Syrup Botol 60 ml 2,993.00 - - - -
62 Cetirizin Syrup Botol 60 ml 3,061.00 48 10 38 20
63 Ciproloxacin 500 mg isi 100 tab Tablet 298.00 - - - -
64 Ciproloxacin 500 mg isi 100 tab Tablet 281.00 - - - -
65 Clobazam Tablet 872.00 - - - -
66 Clobazam Tablet 384.00 - - - - 200
67 Clozapine Tablet - - - -
68 Deksametason inj 5 mg/ml -1 ml Ampul 1,210.00 45 - 45 -
69 Deksametason tablet 0,5 mg Tablet 34.00 - - - -
PEMAKAIAN
1 2 3 4 5 6 7 8 9 10 11 12 13
72 Diazepam injeksi Tablet 1,913.00 - - - -
73 Diazepam tablet 2 mg Tablet 86.00 - - - - 200
74 Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1,346.00 60 - 60 -
75 Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1,056.00 - - - -
76 Difenhidramin HCl inj 10 mg/ml - 1 ml Ampul 1,156.00 - - - -
77 Digoksin tablet 0,25 mg Tablet 104.00 - - - -
78 Diltiazem HCl Tablet 135.00 - - - -
79 Diltiazem HCl Tablet 142.00 - - - -
80 Dimenhidrinat Tablet 114.00 - - - -
81 Dimenhidrinat Tablet 121.00 - - - -
82 Doksisiklin tablet 100 mg Tablet 309.00 - - - -
83 Doksisiklin tablet 100 mg Tablet 264.00 - - - -
84 Domperidon Tablet 90.00 - - - - 500
85 Domperidon suspensi 5 mg/5 ml Botol 60 ml 2,862.00 - - - -
86 Epineprin HCl/bitartrat (adrenalin) inj. Ampul 1,848.00 - - - -
87 Epineprin HCl/bitartrat (adrenalin) inj. Ampul 1,518.00 - - - -
88 Eritromisin 250 mg Kapsul 636.00 - - - -
89 Eritromisin 500 mg Kapsul 1,225.00 - - - -
90 Eritromisin 500 mg Kapsul 781.00 - - - -
91 Eritromisin sirup Kapsul 17,373.40 - - - -
92 Eugenol cairan Pcs 38,130.00 - - - -
93 Famotidine 20 mg Tablet 132.00 - - - -
94 Fenobarbital tablet 30 mg Tablet 177.00 - - - -
95 Fitomenadion ( vit k ) tablet salut 10 mg Tablet 818.00 - - - -
98 Fitomenadion ( vit k) injeksi Ampul 4,236.00 128 - 128 -
99 Furosemid tablet 40 mg Tablet 91.00 - - - -
100 Furosemid tablet 40 mg Tablet 82.00 400 - 400 -
101 Garam oralit untuk 200 ml air Sachet 275.00 30 30 - 59 400
102 Garam oralit untuk 200 ml air Sachet 500.00 - - - -
103 Gentamisin cream Tube 4,623.30 - - - -
104 Gentamisin injeksi Ampul 4,036.00 - - - -
105 Glibenklamid tablet 5 mg Tablet 61.00 - - - -
106 Glibenklamid tablet 5 mg Tablet 137.00 - 1,000 - 1,000 -
107 Glimepiride tab 2 mg Tablet 207.00 - - - -
108 Glimepiride tab 2 mg Tablet 123.00 500 200 300 394 500
109 Glukosa larutan infus 5 % steril Botol 5,720.00 - - - -
112 Glukosa larutan infus 5 % steril Botol 6,627.00 2 20 2 20 4
113 Griseofulvin tablet 125 mg, micronized Tablet 385.00 - - - -
114 Griseofulvin tablet 125 mg, micronized Tablet 223.00 - - - -
PEMAKAIAN
1 2 3 4 5 6 7 8 9 10 11 12 13
115 Haloperidol tablet 5 mg Tablet 56.00 - - - -
116 Haloperidol injeksi 5 mg/ml Ampul - - - -
117 Hidrocortison cream 2,5 % Tube 2,648.00 82 10 72 20
118 Hidrocortison cream 2,5 % Tube 4,616.00 - - - -
119 Hidroklortiazida tablet 25 mg Tablet 178.00 - - - -
120 Ibuprofen syrup 100mg/5 ml Botol 60 ml 2,858.00 122 22 100 43
121 Ibuprofen tablet 200 mg Tablet 264.00 - - - -
122 Isosorbit dinitrat tablet sublungual 5 mg Tablet 101.00 - - - -
125 Kaen - 3 B Botol 10,050.00 - - - -
126 Kaen - 3 B Botol 11,314.00 - - - -
127 Kalsium laktak ( kalak ) tablet 500 mg Tablet 59.00 - - - -
128 Kalsium laktak ( kalak ) tablet 500 mg Tablet 63.00 5,700 600 5,100 1,182
129 Karbamazepin tab 200 mg Tablet 234.00 - - - -
130 Ketokonazol Krim 2% Tube 2,694.00 56 25 31 49
131 Ketokonazol tab Tablet 286.00 - - - -
132 Ketokonazol tab Tablet 305.00 - - - -
133 Ketorolac injeksi 30 mg Ampul 1,089.00 - - - - 50
134 Kloramfenikol kapsul 250 mg Kapsul 329.00 3,500 - 3,500 -
135 Kloramfenikol kapsul 250 mg Kapsul 873.40 - - - -
136 Kloramfenikol salep mata 1 % Tube 2,013.00 - - - -
137 Kloramfenikol salep kulit Tube 3,760.00 84 - 84 -
138 Kloramfenikol tetes telinga 3 % Botol 9,749.30 15 15 - 30
139 Klorfeniramin maleat ( CTM ) tablet 4 mg Tablet 24.00 - - - -
142 Klorpromazin HCl tablet salut 100 mg Tablet 170.00 - - - -
143 Kodein HCl tablet 10 mg Tablet 657.00 - - - -
144 Kotrimoksazol dewasa tablet Tablet 125.00 300 - 300 -
145 Kotrimoksazol dewasa tablet Tablet 274.00 - - - -
146 Kotrimoksazol dewasa tablet Tablet 133.00 - - - -
147 Kotrimoksazol suspensi Botol 60 ml 2,052.00 - - - -
148 Lanzoprasole kapsul 30 mg Kapsul 352.00 - - - -
149 Lanzoprasole kapsul 30 mg Kapsul 330.00 - - - -
150 Lanzoprasole kapsul 30 mg Kapsul 278.00 2,250 750 1,500 1,477 2,000
151 Lidokain kompositum injeksi Ampul 1,405.00 2 2 - 4
152 Lidokain kompositum injeksi Ampul 1,317.00 - - - -
153 Lidokain kompositum injeksi Ampul 847.00 60 2 58 4
154 Lidokain spray Botol 177,216.00 - - - -
155 Loperamid tablet Tablet 90.00 - - - - 500
156 Loratadin tablet 10 mg Tablet 127.00 - - - -
157 Loratadin tablet 10 mg Tablet 136.00 - - - -
PEMAKAIAN
1 2 3 4 5 6 7 8 9 10 11 12 13
158 Loratadin tablet 10 mg Tablet 117.00 1,000 500 500 985 3,000
159 Meloksikam tablet 15 mg Tablet 1,350.00 - - - -
160 Metformin tab. 500 mg Tablet 102.00 - - - -
161 Metformin tab. 500 mg Tablet 77.00 2,200 1,200 1,000 2,363 5,000
162 Metformin tab. 850 mg Tablet 167.00 - - - -
163 Metilergometrin maleat inj. 0,200 mg - 1 ml Ampul 2,684.00 - - - -
164 Metilergometrin maleat inj. 0,200 mg - 1 ml Ampul 3,399.00 - - - -
165 Metilergometrin maleat tablet salut 0,125 mg Tablet 162.80 - - - - 100
166 Metilergometrin maleat tablet salut 0,125 mg Tablet 245.00 - - - -
167 Metilprednisolon tablet 4 mg Tablet 148.00 - - - -
170 Metilprednisolon tablet 4 mg Tablet 102.00 4,500 2,300 2,200 4,529 5,000
171 Metoklorpropamid injeksi (Sotatic) Ampul 4,313.83 - - - -
172 Metoklorpropamid injeksi (Sotatic) Ampul 4,554.00 6 2 4 4 20
173 Metoklorpropamid sirup Botol 60 ml 2,700.00 54 10 44 20
174 Metoklorpropamid tab 10 mg Tablet 93.00 100 100 - 197 1,000
175 Metoklorpropamid tab 10 mg Tablet 87.00 - - - -
178 Metronidazol tablet 500 mg Tablet 140.00 - - - -
181 Miconasol cream Tube 3,926.00 - - - -
182 Miconasol cream Tube 4,111.00 62 - 62 -
183 Mineral Mix Tube 3,116.00 - - - -
184 Multivitamin sirup anak Botol 16,500.00 - - - -
185 NA. Diklofenak tablet 50 mg Tablet 145.00 - - - -
186 NA. Diklofenak tablet 50 mg Tablet 136.00 - - - -
187 NA. Diklofenak tablet 50 mg Tablet 109.00 9,150 1,550 7,600 3,052
188 Natrium klorida larutan infus 0,9 % steril Botol 6,840.00 21 3 18 6
189 Natrium klorida larutan infus 0,9 % steril Botol 6,410.00 - - - -
190 Natrium klorida larutan infus 0,9 % steril Botol 6,900.00 60 - 60 -
191 Natrium klorida (VAKSIN) Botol 3,280.00 - 20 20 - 39
192 Nifedipine tablet 10 mg Tablet 123.00 - - - -
193 Nifedipine tablet 10 mg Tablet 244.20 - - - - 100
194 Nistatin 100.000 iu / tablet vaginal Tablet 645.00 - - - -
195 Novabion Tablet 202.40 - - - -
196 OAT FDC Kategori Anak Tablet 285,339.00 - - - -
197 OAT FDC Kategori I Paket 447,747.00 - - - -
198 OAT FDC Kategori I Paket 477,791.00 2 - 2 -
199 OAT KDT Dosis Harian Paket 409,461.00 - - - -
200 OAT FDC Kategori II Paket 1,379,984.00 - - - -
PEMAKAIAN
1 2 3 4 5 6 7 8 9 10 11 12 13
201 OAT FDC Kategori II Paket 1,492,579.00 - - - -
202 Obat batuk hitam (OBH) cairan (Herbakof) Botol 14,273.00 51 48 60 39 60 150
203 Oksitetrasiklin HCl salep 3 % Tube 2,200.00 - - - 58
204 Oksitetrasiklin HCl salep 3 % Tube 3,047.00 - - - -
205 Oksitetrasiklin HCl salep mata Tube 3,740.00 - - - -
206 Oksitetrasiklin HCl salep mata Tube 2,600.00 - - - -
207 Oksitetrasiklin HCl salep mata Tube 2,774.00 15 7 8 7 50
208 Oksitosin injeksi 10 iu / ml - 1 ml Ampul 1,232.00 121 - 121 7
209 Omeprasol Tablet 138.00 - - - -
210 Omeprasol Tablet 147.00 - - - -
211 Papaverin HCl tab Tablet 137.50 - - - -
212 Parasetamol drops Botol 15 ml 7,646.00 20 10 10 10 50
213 Parasetamol sirup 120 mg / 5 ml Botol 60 ml 1,119.00 - - - 10
214 Parasetamol sirup 120 mg / 5 ml Botol 60 ml 1,160.00 - - - -
218 Parasetamol tablet 500 mg Tablet 60.00 - - - -
219 Parasetamol tablet 500 mg Tablet 165.00 4,800 800 4,000 800
220 Parasetamol tablet 500 mg Tablet 186.00 - - - 775
221 Piracetam injeksi 1 g/ 5 ml Ampul 2,090.00 - - - - 5
222 Piracetam tablet 800 mg Tablet 781.00 - - - - 100
223 Piridoksin HCl tablet 10 mg Tablet 150.00 - - - - 1,000
224 Piroksicam 20 mg kapsul Kapsul 192.00 - - - -
225 Piroksicam 20 mg kapsul Kapsul 169.40 - - - -
226 Prednison tablet 5 mg Tablet 198.00 - - - -
229 Prednison tablet 5 mg Tablet 73.00 3,100 400 2,700 400
230 Propiltiourasil tablet 100 mg Tablet 550.00 - - - 388
231 Propiltiourasil tablet 100 mg Tablet 741.40 - - - -
232 Propranolol tablet 40 mg Tablet 90.00 - - - -
233 Provital Plus tablet Tablet 7,150.00 - - - -
234 Ranitidin injeksi Ampul 1,600.00 - - - -
235 Ranitidin injeksi Ampul 858.00 - 50 10 40 10 50
236 Ranitidin tablet Tablet 122.00 300 300 - 310 3,000
237 Ranitidin tablet Tablet 85.00 - 1,000 - 1,000 291
238 Retinol ( vit. A ) kapsul 100.000 iu Kapsul 327.00 - - - -
242 Ringer laktak larutan infus steril Botol 7,150.00 - - - -
243 Ringer laktak larutan infus steril Botol 7,630.00 35 8 27 8
PEMAKAIAN
1 2 3 4 5 6 7 8 9 10 11 12 13
244 Risperidone 2 mg Tablet - - - 8
245 Salbutamol tablet 2 mg Tablet 64.00 - - - -
246 Salbutamol tablet 4 mg Tablet 123.00 - - - -
247 Salep 2 - 4 kombinasi Pot 3,017.00 - - - -
250 Salisil bedak 2 % Pot 7,500.00 - - - -
251 Salisil bedak 2 % Pot 5,300.00 - - - - 50
252 Scabimite 5 % krim Tube 30,000.00 - - - -
253 Scabimite 5 % krim Tube 12,155.00 - - - -
254 Serbuk PK Kristal Pot 5 g 2,585.00 - - - -
255 Sianokobalamin (Vitamin B12) 50 mcg Tablet 48.00 - - - -
256 Sianokobalamin tablet Tablet 51.00 - - - -
257 Sianokobalamin tablet Tablet 48.00 - - - -
258 Simvastatin tablet 10 mg Tablet 117.00 - - - -
261 Simvastatin tablet 10 mg Tablet 73.00 2,000 900 1,100 900 2,000
262 Simvastatin tablet 20 mg Tablet 225.00 - - - 872
263 Sivit Zinc tablet Tablet 2,500.00 3,090 60 3,030 60
264 Stimuno tablet Tablet 1,763.00 - 990 - 990 58
265 Stesolid Rectal Tablet 14,459.00 - - - 58 10
266 Tablet tambah darah kombinasi Tablet 409.00 1,260 5,010 2,280 3,990 2,280 10,000
267 Tiamin HCl mononitrat ( vit. B. 1 ) tablet 50 mg Tablet 90.00 - - - -
268 Trifluperazine HCl 5 mg Tablet - 2,210
269 Triheksifenidil 2 mg Tablet - -
270 Vaksin Corona VAC MD (POLRES) Vial 1,339,440.00 - - - 2,210
271 Vaksin Corona VAC MD (TNI) Vial 1,339,440.00 - - - -
272 Vaksin Corona VAC MD (DINKES) Vial 1,339,440.00 - - - -
273 Vaksin Corona VAC MD (DINKES BUFFER) Vial 1,339,440.00 - - - -
274 Vaksin COVID 19 MODERNA Vial - - - -
275 Vaksin COVID 19 Coronavac 2 Dosis (Dinkes) Vial - 40 40 - 40
276 Vaksin COVID 19 Coronavac 2 Dosis (Polri) Vial - 400 400 - 400
277 Vaksin COVID 19 Coronavac 2 Dosis (TNI) Vial - - - -
278 Vaksin COVID 19 Coronavac AZTRAZENECA 10 Dosis Vial - 4 4 - 4
279 Vaksin COVID 19 PFIZER 6 Dosis Vial - 20 20 - 59
280 Vaksin Hb Unijec (HBO) 1 DS Vial 23,991.00 - - - 388
281 Vaksin BCG 20 ds sll Vial 61,996.00 - - - -
282 Vaksin Polio (BOPV) 10 ds Vial 19,954.00 - - - 4
283 Vaksin POLIO (IPV) 5 ds Vial 158,994.00 - - - 19
284 Vaksin DPT-HB-HIB 5ds Vial 78,991.00 - - - -
285 Vaksin DT 10 ds Vial 17,996.00 - - - -
286 Vaksin Td 10 ds Vial 16,995.00 - - - -
PEMAKAIAN
1 2 3 4 5 6 7 8 9 10 11 12 13
287 Vaksin Measleas dan Rubella (MR) 10 ds Vial 155,813.00 - - - -
288 Vaksin Corona VAC Vial 211,282.00 - - - -
289 Vaksin rabies vero Vial 165,000.00 - - - -
290 Vaksin rabies vero Vial 187,000.00 - - - -
291 Ventolin Nebulizer Ampul 12,976.00 - - - -
292 Vitamin B Kompleks Tablet 60.00 - 1,000 - 1,000 - 5,000
293 Vitamin C 500 mg Tablet 618.75 - - - -
294 Yodium povidon larutan 10 % 60 ml Botol 4,255.00 - - - - 5
295 Yodium povidon larutan 10 % 1.000 ml Botol 149,314.00 4 - 4 - 5
296 Zink Sirup Botol 3,285.00 - - - -
297 Zink Tablet Tablet 674.00 - - - -
298 Zink Tablet Tablet - 1,000 200 800 200 1,000
PERBEKALAN KESEHATAN
299 Alat suntik sekali pakai 0,5 ml Pcs 1,240.00 - - - -
300 Alat suntik sekali pakai 0,5 ml (vaksin) Pcs 1,050.00 - - - -
301 Alat suntik sekali pakai 0,5 ml (vaksin) Pcs 1,185.00 - 930 930 - 930
302 Alat suntik sekali pakai 0,5 ml (imunisasi rutin) Pcs 1,650.00 - - - 194
303 Alat suntik sekali pakai 1 ml Pcs 910.80 - - - -
304 Alat suntik sekali pakai 3 ml Pcs 910.80 - - - -
306 Alat suntik sekali pakai 3 ml Pcs 1,062.40 100 - 100 901
307 Alat suntik sekali pakai 3 ml Pcs 1,110.00 - - - -
308 Alat suntik sekali pakai 3 ml (VAKSIN) Pcs 569.00 - 20 20 -
309 Alat suntik sekali pakai 5 ml Pcs 1,125.85 175 - 175 -
310 Alat suntik sekali pakai 5 ml Pcs 1,201.75 100 - 100 33
312 Alat suntik sekali pakai 0.3 ml Pcs 1,255.00 - 180 180 -
313 Alkacide Pcs 2,972,970.00 - - - 19
314 Alkacide Pcs 2,702,700.00 - - - -
315 Alkazime Pcs 881,100.00 - - - -
316 Alkazime Pcs 801,000.00 - - - 1
317 Alkohol Swab (vaksin) Sachet 79.00 - - -
318 Alkohol Swab (vaksin) Sachet 90.00 - 1,120 1,120 - 1,120
319 Alkohol Swab (vaksin) Sachet 95.00 - - - -
320 Alkohol Swab (vaksin) Sachet 97.50 - - -
321 Alkohol Swab Sachet 138.00 - - - -
322 Alkohol Swab Sachet 280.00 200 - 200 -
323 Anti A Monoclonal Golongan Darah Botol 71,300.00 - - - 1,086
324 Anti B Monoclonal Golongan Darah Botol 71,300.00 - - - -
325 Anti D Monoclonal Golongan Darah Botol 119,600.00 - - - -
326 APD Hazmat Coverall Pcs 150.00 -
327 APD Inka Medical Coverall (APD) Pcs 235,000.00 50 - 50 -
328 APD Sandoz Pcs 55,900.00 38 - 38 -
PEMAKAIAN
1 2 3 4 5 6 7 8 9 10 11 12 13
329 Apron Plastik / Celemek Lembar 3,450.00 - - - -
330 Apron Lembar 3,373.00 100 - 100 -
331 Aqua pro injeksi steril, bebas pirogen Botol 2,750.00 - - - -
332 Aquadest Bioanalitik Botol 1 L 5,500.00 - - - -
333 Aseptic Gel Botol 500ml 25,300.00 - - - -
336 Bill Direk Lembar 529,000.00 - - - -
337 Bill Total Botol 514,000.00 - - - -
338 Bisturi Pcs 825.00 - - - -
339 Blood Lancet Pcs 167.42 - - - -
340 Blood Lancet Pcs 275.00 - - - - 500
341 Blue Tip Pcs 132.00 - - - -
342 Bracket ABS Pcs 20,240.00 - - - -
343 Catgut/benang bedah 3/0 HR 30 (kulit/342) Pcs 51,291.00 - - - -
344 Catgut/benang bedah no 2/0 - 3/0 (otot/344) Pcs 48,664.23 - - - - 24
345 Catgut/benang bedah no 2/0 - 3/0 (otot/344) Pcs 47,812.86 - - - -
346 Catgut/benang bedah no 2/0 - 3/0 Pcs 8,500.00 - - - -
347 Catgut/benang bedah no 2/0 Pcs 55,000.00 - - - -
348 Catgut/benang bedah no 3/0 Pcs 55,000.00 - - - -
349 CHKM Pcs 60,500.00 - - - -
350 Cover Glass/Deck Glass Ktk 33,000.00 - - - -
351 Detergen, Cleanac Pcs 8,662,500.00 - - - -
352 Detergen, Cleanac-3 Pcs 5,568,750.00 - - - -
353 Diluent, Isotonac-3 Pcs 5,197,500.00 - - - -
354 Devitalisasi pasta Pcs 423,500.00 - - - -
355 Dropper 80 mm pcs - - - -
356 Etanol 70 % Botol 31,625.00 10 - 10 -
357 Etanol 70 % Botol 30,000.00 - - - -
358 Fletcher Pcs 35,200.00 - - - -
359 Focos Diagnostics Pcs 13,665.00 - - - -
360 Gell Doppler/Jelly USG Tube 33,983.0 9 - 9 -
361 Glass ionomer Pcs 275,500.00 - - - -
362 Glass ionomer ( fuji II ) Pcs 385,000.00 - - - -
363 Glass ionomer cement ( fuji ix ) Pcs 418,000.00 - - - -
364 Hanclin Solution 2% 500 mL Botol 52,900.00 12 - 12 -
365 Handschun Steril no.7 Pasang 3,979.00 - - - -
366 Handschun Steril no.7 Pasang 7,794.00 60 - 60 -
367 Handschun Steril Pasang 6,595.00 - - - -
368 Handschun Steril Pasang 13,178.00 - - - -
369 Handschun non steril Pasang 3,410.00 - - - -
370 Handschun non steril Pasang 3,410.00 - - - -
371 Handschun non steril no.7 Pasang 1,113.20 - - - -
PEMAKAIAN
1 2 3 4 5 6 7 8 9 10 11 12 13
372 Handschun non steril no.7 (HIV) Pasang 1,064.80 - - - -
373 Handschun non steril Nitril L Pasang 4,806.40 200 200 - 200 500
374 Handschun non steril Nitril M Pasang 4,806.40 - - - -
375 Handscoon (HIV) Pasang 4,400.00 - - - -
376 Hanscoen ginekolog Set 15,730.00 - - - -
379 Handscrub Botol 87,798.75 - - - -
380 Handrub Botol 36,227.00 24 - 24 194
381 Handwash (Stefanol) Botol 98,050.00 15 - 15
382 HbA1C Dayli Check Pcs 451,000.00 - - - -
383 HbA1C Monthly Check Tube 451,000.00 - - - -
384 HbA1C Test Catridge Kotak 2,507,000.00 - - - -
385 Hematology Control CBC-5DN Roll 1,502,875.00 - - - -
386 Hemolyzing Reagen, Hemolynac-3N Roll 3,930,300.00 - - - -
387 Hemolyzing Reagen, Hemolynac-5 Roll 3,930,300.00 - - - -
388 Infusion set anak Set 7,700.00 - - - -
389 Infusion set anak Set 4,136.00 159 1 158 1
390 Infusion set anak Set 8,900.00 - - - -
391 Infusion set dewasa Set 7,969.50 - - - -
392 Infusion set dewasa Set 5,445.00 41 7 34 7 50
393 Infusion set dewasa Set 8,900.00 - - - -
394 IV. Catheter No. 18 Pcs 7,700.00 - - - -
395 IV. Catheter No. 18 Pcs 14,625.00 - - - 1
396 IV. Catheter No. 18 Pcs 12,631.00 90 6 84 6
401 IV. Catheter No. 20 Pcs 10,555.50 50 - 50 -
410 Iodium Test Pcs 18,700.00 - - - -
411 Jarum jahit ( Kulit ) no.9 s/d 15 Pcs 1,250.00 - - - 6
412 Jarum jahit ( otot ) no.9 s/d 15 Pcs 1,250.00 - - - -
413 Jelly Kateter/Lubricant Tube 33,981.34 - - - -
414 Kalsium Hidroksida Pasta Kotak 48,700.00 - - - -
PEMAKAIAN
1 2 3 4 5 6 7 8 9 10 11 12 13
415 Kapas pembalut / absorben 250 gram Roll 22,000.00 - - - 1
416 Kapas pembalut / absorben 250 gram Roll 28,750.00 - - - -
417 Kapas pembalut / absorben 250 gram Roll 23,690.00 - - - -
418 Kapas pembalut / absorben 250 gram Roll 29,900.00 9 1 8 1 10
419 Kasa kompres 40 x 80 cm Roll 137,025.00 - - - - 30
420 Kasa kompres 40 x 80 cm Roll 156,600.00 - - - -
421 Kasa pembalut 2 m x 80 cm Roll 8,855.00 4 4 - 4 50
422 Kasa pembalut hidrofil 4 m x 15 cm Roll 3,373.00 - - - -
423 Kasa pembalut hidrofil 4 m x 15 cm Roll 2,415.00 45 2 43 2
424 Kateter No. 20 Pcs 12,529.00 - - - 1 20
425 Kateter No. 20 Pcs 8,695.15 - - - -
426 Kateter No. 20 Pcs 20,700.00 - - - -
427 Kateter No.12 Pcs 11,247.00 - - - 4
428 Kateter No.20 Pcs 10,580.00 - - - -
429 Kateter No.18 Pcs 11,247.00 - - - 2 20
430 Kateter No.18 Pcs 31,359.35 - - - -
431 Kateter No.18 Pcs 10,580.00 - - - -
432 Kertas Puyer Press Pcs 82.50 - - - - 2,000
433 Kertas Puyer Press Pcs 78.10 - - - -
434 Larutan Amonium oksalat Botol 500 ml 31,900.00 - - - -
435 Larutan Natrium sitrat 3.8% Botol 100ml 13,200.00 - - - -
436 Lisol Botol 1 L 49,200.00 - - - -
437 Lisol Botol 1 L 57,200.00 - - - -
438 Maag slang anak Set 4,779.50 - - - -
439 Maag slang dewasa Set 4,779.50 - - - -
440 Maag slang 10 Set 6,400.00 - - - -
441 Masker Pcs 473.11 - - - - 1,000
442 Masker Pcs 800.00 - - - -
443 Masker Pcs 1,012.00 - - - -
444 Masker (HIV) Pcs 2,145.00 - - - -
445 Masker Bedah (UNICEF) Pcs 23.00 - - - -
446 Masker N95 Pcs 42,000.00 - - - -
447 Masker N95 Pcs 8,500.00 - - - -
448 Masker N95 (P2) Pcs 20,637.00 50 - 50 -
449 Masker Nebulizer Adult Pcs 28,300.00 - - - -
450 Masker Nebulizer Pediatrik Pcs 25,300.00 - - - -
451 Metanol Pcs 58,300.00 - - - -
452 Obyek glass Pcs 13,200.00 - - - -
453 Obyek glass Pcs 23,855.70 - - - -
454 Obyek glass Pcs 20,244.60 - - - -
455 Penjepit Tali Pusat (Umbilical Clamps) Pcs 1,494.90 - - - -
456 Penjepit Tali Pusat (Umbilical Clamps) Pcs 1,495.00 90 - 90 -
457 Pharmafix Pcs 51,305.00 - - - -
PEMAKAIAN
1 2 3 4 5 6 7 8 9 10 11 12 13
458 Pharmafix 15 X 500 CM Roll 78,155.00 - - - -
459 Pharmafix 15 X 500 CM Roll 85,970.50 - - - -
460 Pharmafix 15 X 500 CM Roll 47,000.00 16 2 14 2
461 Plester 5 yard x 2 inch Roll 35,532.00 - - - -
462 Paket APD Imunisasi Pcs 93,469.00 - - - -
463 Plesterin Pcs 177.10 - - - -
464 Pot Dahak Pot 2,420.00 - - - -
465 Pot Dahak Pot 2,950.00 - - - -
466 Pot Dahak Pot 5,890.00 - - - 2
467 Pot Dahak Pot 2,200.00 - 100 100 - 100
468 Rapid test IgG/IgM Pot 1,580,000.00 - - - -
469 Rapid Test Siphilis pack 12,264.00 - - - -
472 Reagen Siphilis 4x100ml 20,400.00 - - - -
473 Rapid Antigen Paket 80,000.00 - - - 97
474 RPR Focos Set 4,250.00 - - - -
475 Salmonella Typhi O Widal Test Pot 70,150.00 - - - -
476 Salmonella Paratyphi CH Widal Test Paket 70,150.00 - - - -
477 Salmonella Typhi H Widal Test Paket 70,150.00 - - - -
478 Salmonella Paratyphi AH Widal Test Pcs 70,150.00 - - - -
479 Savety Box Pack 20,394.00 16 - 16 -
480 Savety Box (vaksin) 5 Ltr Pack 14,000.00 - - - -
481 Savety Box (vaksin) 5 Ltr Pack 23,398.00 - - - -
482 SD HIV 19 Pack 11,975.00 - - - -
483 SD HIV 19 Pack 14,430.00 - - - -
484 SD HIV 19 (R3) Pack 12,527.00 - - - -
485 Silk ( benang bedah sutera ) no.3/0 Pcs 55,476.20 - - - -
486 Silk ( benang bedah sutera ) no.3/0 Pcs 44,505.00 - - - -
487 Silk ( benang bedah sutera ) no.3/0 Pcs 43,470.00 - - - - 48
488 Slang O2 dewasa Set 6,187.50 - - - -
489 Slang O2 dewasa Set 7,623.00 - - - - 20
490 Slang O2 anak Set 6,325.00 - - - - 20
491 Slang O2 anak Set 7,590.00 - - - -
492 Slang O2 anak Set 7,623.00 - - - -
493 Spiritus Botol 1 L 35,220.00 - - - -
494 Strip GDS Pcs 3,229.94 - - - -
495 Strip HBSAg Pcs 8,068.00 - - - -
496 Strip HBSAg Pcs 9,850.00 - - - -
497 Surgical Gown Ktk/100 59,138.75 - - - -
498 Surgical Gown Pcs 55,900.00 25 - 25 -
499 Tabung K3 EDTA Pcs 1,540.00 - - - -
500 Tabung Reaksi 12 ml Pcs 1,870.00 - - - -
PEMAKAIAN
1 2 3 4 5 6 7 8 9 10 11 12 13
501 Tes Gol. Darah Anti A Paket 76,450.00 - - - -
502 Tes Gol. Darah Anti B Paket 76,450.00 - - - -
503 Tes Gol. Darah Anti AB Paket 100,760.00 - - - -
504 Tes Gol. Darah Anti O Paket 122,320.00 - - - -
505 Tes Kehamilan Pcs 4,790.00 - - - -
506 Tissu Roll Roll 3,300.00 - - - -
507 Under Pad/ Perlak Pcs 5,500.00 - - - -
508 Urine Bag Pcs 9,281.00 - - - -
509 Urine Bag Pcs 6,325.00 - - - -
510 Urine Bag Pcs 4,933.50 29 - 29 -
511 VIKIA Pcs 4,250.00 - - - -
512 Yellow Tip Pcs 55.00 - - - -
Panincong, 26 Februari 2022
Mengetahui : Pengelola Obat,

Kepala UPTD Puskesmas Panincong Puskesmas Panincong
SYAMSURIATI, SKM NUR RAHMAH MASDA, S.Si., Apt

Nip. 19780917 200604 2 010 NIP. 19960416 202012 2 003
1 2 3 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
13,900.00 1,700.00 0 65 340 1,308
- - 0 - - -
- - 0 - - -
- - 0 - - -
7,200.00 900.00 0 35 180 692
- - 0 - - -
- - 0 - - -
- - 0 - - -
174.00 27.00 0 1 5 21
- - 0 - - -
- - 0 - - -
- - 0 - - -
12,600.00 400.00 0 15 80 308
- - 0 - - -
- - 0 - - -
430.00 40.00 0 2 8 31
200.00 - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
8,600.00 900.00 0 35 180 692
- - 0 - - -
8,800.00 900.00 0 35 180 692
- - 0 - - -
- - 0 - - -
3,000.00 - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
600.00 - 0 - - -
500.00 - 0 - - -
- - 0 - - -
- - 0 - - -
1,800.00 600.00 0 23 120 462
8,000.00 - 0 - - -
- - 0 - - -
400.00 40.00 152000 2 8 31
- - 0 - - -
- - 0 - - -
26.00 - 0 - - -
104.00 10.00 0 0 2 8
- - 0 - - -
- - 0 - - -
96.00 10.00 0 0 2 8
- - 0 - - -
- - 0 - - -
- - 0 - - -
200.00 - 0 - - -
- - 0 - - -
90.00 - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
200.00 - 0 - - -
120.00 - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
500.00 - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
256.00 - 0 - - -
- - 0 - - -
800.00 - 0 - - -
460.00 30.00 0 1 6 23
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
2,000.00 - 137000 - - -
- - 0 - - -
1,500.00 200.00 0 8 40 154
- - 0 - - -
- - 0 - - -
- - 0 - - -
44.00 2.00 132540 0 0 2
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
164.00 10.00 0 0 2 8
- - 0 - - -
- - 0 - - -
244.00 22.00 0 1 4 17
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
11,400.00 600.00 0 23 120 462
- - 0 - - -
112.00 25.00 0 1 5 19
- - 0 - - -
- - 0 - - -
50.00 - 0 - - -
7,000.00 - 0 - - -
- - 0 - - -
- - 0 - - -
168.00 - 0 - - -
30.00 15.00 0 1 3 12
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
600.00 - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
6,500.00 750.00 0 29 150 577
4.00 2.00 0 0 0 2
- - 0 - - -
120.00 2.00 0 0 0 2
- - 0 - - -
500.00 - 0 - - -
- - 0 - - -
- - 0 - - -
5,000.00 500.00 0 19 100 385
- - 0 - - -
- - 0 - - -
9,400.00 1,200.00 0 46 240 923
- - 0 - - -
- - 0 - - -
- - 0 - - -
100.00 - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
14,000.00 2,300.00 0 88 460 1,769
- - 0 - - -
32.00 2.00 0 0 0 2
108.00 10.00 0 0 2 8
1,200.00 100.00 0 4 20 77
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
124.00 - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
18,300.00 1,550.00 0 60 310 1,192
42.00 3.00 0 0 1 2
- - 0 - - -
120.00 - 0 - - -
40.00 20.00 65600 1 4 15
- - 0 - - -
100.00 - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
4.00 - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
348.00 60.00 685104 2 12 46
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
80.00 7.00 0 0 1 5
242.00 - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
90.00 10.00 0 0 2 8
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
9,600.00 800.00 0 31 160 615
- - 0 - - -
5.00 - 0 - - -
100.00 - 0 - - -
1,000.00 - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
6,200.00 400.00 0 15 80 308
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
150.00 10.00 42900 0 2 8
3,600.00 300.00 0 12 60 231
2,000.00 - 85000 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
70.00 8.00 0 0 2 6
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
50.00 - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
6,000.00 900.00 0 35 180 692
- - 0 - - -
6,180.00 60.00 0 2 12 46
1,980.00 - 1745370 - - -
10.00 - 0 - - -
22,540.00 2,280.00 2049090 88 456 1,754
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
80.00 40.00 0 2 8 31
800.00 400.00 0 15 80 308
- - 0 - - -
8.00 4.00 0 0 1 3
40.00 20.00 0 1 4 15
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
7,000.00 - 60000 - - -
- - 0 - - -
5.00 - 0 - - -
13.00 - 0 - - -
- - 0 - - -
- - 0 - - -
3,000.00 200.00 0 8 40 154
- 0 - - -
- - 0 - - -
- - 0 - - -
1,860.00 930.00 1102050 36 186 715
- - 0 - - -
- - 0 - - -
- - 0 - - -
216.00 34.00 0 1 7 26
200.00 - 0 - - -
- - 0 - - -
40.00 20.00 11380 1 4 15
350.00 - 0 - - -
200.00 - - - - -
6.00 1.00 - 0 0 1
360.00 180.00 225,900.00 7 36 138
- - - - - -
- - - - - -
- - - - - -
- - - - - -
- - - - - -
2,240.00 1,120.00 100,800.00 43 224 862
- - - - - -
- - - - - -
- - - - - -
400.00 - - - - -
- - - - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
100.00 - 0 - - -
76.00 - 0 - - -
- - 0 - - -
200.00 - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
500.00 - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
24.00 - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
20.00 - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
18.00 - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
24.00 - 0 - - -
- - 0 - - -
120.00 - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
900.00 200.00 0 8 40 154
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
48.00 - 0 - - -
30.00 - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
318.00 1.00 0 0 0 1
- - 0 - - -
- - 0 - - -
132.00 7.00 0 0 1 5
- - 0 - - -
- - 0 - - -
- - 0 - - -
180.00 6.00 0 0 1 5
- - 0 - - -
- - 0 - - -
60.00 5.00 0 0 1 4
- - 0 - - -
100.00 - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
84.00 6.00 0 0 1 5
- - 0 - - -
252.00 - 0 - - -
- - 0 - - -
36.00 1.00 0 0 0 1
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
28.00 1.00 0 0 0 1
30.00 - 0 - - -
- - 0 - - -
58.00 4.00 0 0 1 3
- - 0 - - -
90.00 2.00 0 0 0 2
20.00 - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
20.00 - 0 - - -
- - 0 - - -
- - 0 - - -
2,000.00 - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
1,000.00 - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
100.00 - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
180.00 - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
32.00 2.00 0 0 0 2
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
200.00 100.00 220000 4 20 77
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
32.00 - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
48.00 - 0 - - -
- - 0 - - -
20.00 - 0 - - -
20.00 - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
50.00 - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
- - 0 - - -
58.00 - 0 - - -
- - 0 - - -
- - 0 - - -
DINAS KESEHATAN

BULAN : MARET 2022
PEMAKAIAN
NO NAMA OBAT SATUAN HARGA PENERIMAAN PERMINTAAN
AWAL DISTRIBUSI EXP RETUR RUSAK AKHIR OPTIMUM
1 2 3 4 5 6 7 8 9 10 11 12 13
OBAT
13 Amitripilin HCl tablet salut 25 mg Tablet 165.00 - - - - 100
15 Amlodiphin tablet 5 mg Tablet 55.00 5,250 200 5,050 394
19 Amoksisilin kaplet 500 mg Kaplet 265.00 2,700 1,100 1,600 2,166 5,000
23 Amoksisilin sirup kering 125 mg/5 ml Botol 60 ml 2,050.00 60 10 50 20
27 Antasida DOEN tablet kombinasi Tablet 60.00 5,900 600 5,300 1,182
30 Antasida Sirup Botol 60 ml 1,756.00 175 45 130 89
38 Asam Askorbat ( vit. C ) tablet 50 mg Tablet 120.00 900 900 - 1,772 5,000
40 Asam Mefenamat tablet 500 mg Tablet 297.00 1,000 5,000 800 5,200 1,575
52 Betahistin Mesilat 6 mg tab Tablet 119.00 300 300 - 591
53 Betahistin Mesilat 6 mg tab Tablet 92.00 4,000 300 3,700 591
55 Betametason krim 0,1 % Tube 1,520.00 110 100 30 180 59
58 Cavida Gel 15 gram Tube 41,000.00 13 - 13 -
59 Cefadroxyl syrup kering 125 mg/5ml Botol 60 ml 4,360.00 17 - 17 - 50
62 Cetirizin Syrup Botol 60 ml 3,061.00 38 20 18 39 50
66 Clobazam Tablet 384.00 - 200 200 - 394
67 Clozapine Tablet - - - - 100
73 Diazepam tablet 2 mg Tablet 86.00 - 200 200 - 394
80 Dimenhidrinat Tablet 114.00 - - - - 500
84 Domperidon Tablet 75.00 - 500 - 500 -
98 Fitomenadion ( vit k) injeksi Ampul 4,236.00 128 8 120 16
PEMAKAIAN
1 2 3 4 5 6 7 8 9 10 11 12 13
101 Garam oralit untuk 200 ml air Sachet 275.00 - 400 - 100 300 -
106 Glibenklamid tablet 5 mg Tablet 137.00 1,000 200 800 394
115 Haloperidol tablet 5 mg Tablet 56.00 - - - - 100
116 Haloperidol injeksi 5 mg/ml Ampul - - - - 10
117 Hidrocortison cream 2,5 % Tube 2,648.00 72 - 72 -
120 Ibuprofen syrup 100mg/5 ml Botol 60 ml 2,858.00 100 20 80 39
128 Kalsium laktak ( kalak ) tablet 500 mg Tablet 63.00 5,100 500 4,600 985
130 Ketokonazol Krim 2% Tube 2,694.00 31 - 31 -
134 Kloramfenikol kapsul 250 mg Kapsul 329.00 3,500 - 3,500 -
150 Lanzoprasole kapsul 30 mg Kapsul 278.00 1,500 2,400 - 3,900 -
155 Loperamid tablet Tablet 81.00 - 500 - 500 - 500
158 Loratadin tablet 10 mg Tablet 117.00 500 3,000 300 3,200 591
161 Metformin tab. 500 mg Tablet 77.00 1,000 600 400 1,182 5,000
166 Metilergometrin maleat tablet salut 0,125 mg Tablet 261.00 - 100 - 100 -
170 Metilprednisolon tablet 4 mg Tablet 102.00 2,200 5,000 1,900 5,300 3,742 10,000
172 Metoklorpropamid injeksi (Sotatic) Ampul 4,554.00 4 2 2 4 20
173 Metoklorpropamid sirup Botol 60 ml 2,700.00 44 - 44 -
174 Metoklorpropamid tab 10 mg Tablet 93.00 - 800 300 500 591 1,000
182 Miconasol cream Tube 4,111.00 62 - 62 - -
193 Nifedipine tablet 10 mg Tablet 244.20 - - - - 100
198 OAT FDC Kategori I Paket 477,791.00 2 - 2 -
202 Obat batuk hitam (OBH) cairan (Herbakof) Botol 14,273.00 39 144 87 96 171 100
207 Oksitetrasiklin HCl salep mata Tube 2,774.00 8 50 18 40 35
208 Oksitosin injeksi 10 iu / ml - 1 ml Ampul 1,232.00 121 10 111 20
212 Parasetamol drops Botol 15 ml 7,646.00 10 2 8 4
213 Parasetamol drops Botol 15 ml 5,204.00 - 50 - 50 -
219 Parasetamol tablet 500 mg Tablet 165.00 4,000 1,500 2,500 2,954 5,000
221 Piracetam injeksi 1 g/ 5 ml Ampul 2,090.00 - - - - 5
222 Piracetam tablet 800 mg Tablet 781.00 - - - - 100
223 Piridoksin HCl tablet 10 mg Tablet 150.00 - - - - 2,000
229 Prednison tablet 5 mg Tablet 73.00 2,700 100 2,600 197
PEMAKAIAN
1 2 3 4 5 6 7 8 9 10 11 12 13
235 Ranitidin injeksi Ampul 858.00 40 50 - 90 -
237 Ranitidin tablet Tablet 85.00 1,000 3,000 300 3,700 591
243 Ringer laktak larutan infus steril Botol 7,630.00 27 20 37 10 73 40
244 Risperidone 2 mg Tablet - - - - 100
261 Simvastatin tablet 10 mg Tablet 73.00 1,100 2,000 500 2,600 985 2,000
263 Sivit Zinc tablet Tablet 2,500.00 3,030 1,020 2,010 2,009
264 Stimuno tablet Tablet 1,763.00 990 300 690 591
265 Stesolid Rectal Tablet 14,459.00 - - - - 10
266 Tablet tambah darah kombinasi Tablet 409.00 3,990 10,350 2,640 11,700 5,199
268 Trifluperazine HCl 5 mg Tablet - - - - 100
269 Triheksifenidil 2 mg Tablet - - - - 100
274 Vaksin COVID 19 MODERNA Vial - 5 5 - 10
276 Vaksin COVID 19 Coronavac 2 Dosis (Polri) Vial - 40 40 - 79
278 Vaksin COVID 19 Coronavac AZTRAZENECA 10 Do Vial - 19 19 - 37
281 Vaksin BCG 20 ds sll Vial 61,996.00 - 10 10 - 20
282 Vaksin Polio (BOPV) 10 ds Vial 19,954.00 - 10 10 - 20
284 Vaksin DPT-HB-HIB 5ds Vial 78,991.00 - 20 20 - 39
292 Vitamin B Kompleks Tablet 60.00 1,000 300 700 591 5,000
294 Yodium povidon larutan 10 % 60 ml Botol 4,255.00 - - - - 5
295 Yodium povidon larutan 10 % 1.000 ml Botol 149,314.00 4 3 - 7 -
298 Zink Tablet Tablet 253.00 800 1,000 400 1,400 788
305 Alat suntik sekali pakai 3 ml Pcs 1,062.60 74 28 46 55 200
308 Alat suntik sekali pakai 3 ml (VAKSIN) Pcs 569.00 - 105 105 - 207
312 Alat suntik sekali pakai 5 mL Pcs 1,500.00 - 20 20 - 39
313 Alat suntik sekali pakai 0.3 ml Pcs 1,255.00 - 1,020 1,020 - 2,009
317 Alkohol Swab (vaksin) Sachet 79.00 - 1,370 1,370 - 2,698
322 Alkohol Swab Sachet 280.00 200 100 100 197 500
328 APD Sandoz Pcs 55,900.00 38 - 38 -
330 Apron Lembar 3,373.00 100 - 100 -
340 Blood Lancet Pcs 275.00 - - - - 1,000
348 Catgut/benang bedah no 3/0 Pcs - 24 10 14 20 36
356 Etanol 70 % Botol 31,625.00 10 - 10 -
PEMAKAIAN
1 2 3 4 5 6 7 8 9 10 11 12 13
360 Gell Doppler/Jelly USG Tube 33,983.0 9 2 7 4 10
364 Hanclin Solution 2% 500 mL Botol 52,900.00 12 - 12 -
365 Handschun Steril no.6.5 Pasang - 50 - 50 -
366 Handschun Steril no.7 Pasang 7,794.00 60 50 60 50 118
369 Handschun non steril Pasang 3,410.00 - - - - 2,000
380 Handrub Botol 36,227.00 24 3 21 6
381 Handwash (Stefanol) Botol 98,050.00 15 - 15 -
389 Infusion set anak Set 4,136.00 158 6 152 12
405 IV. Catheter No. 22 Pcs 10,555.50 36 4 32 8 50
418 Kapas pembalut / absorben 250 gram Roll 29,900.00 8 10 - 18 - 10
419 Kasa kompres 40 x 80 cm Roll 137,025.00 - - - - 30
421 Kasa pembalut 2 m x 80 cm Roll 8,855.00 - - - - 50
424 Kateter No. 20 Pcs 12,529.00 - - - - 20
429 Kateter No.18 Pcs 11,247.00 - - - - 20
432 Kertas Puyer Press Pcs 82.50 - 2,400 - 2,400 -
441 Masker Pcs 473.11 - - - - 1,000
443 Masker (KEMENKES) Pcs 1,385.00 - 1,000 - 1,000 -
448 Masker N95 (P2) Pcs 20,637.00 50 5 45 10
456 Penjepit Tali Pusat (Umbilical Clamps) Pcs 1,495.00 90 10 80 20
460 Pharmafix 15 X 500 CM Roll 47,000.00 14 1 13 2 10
479 Savety Box Pack 20,394.00 16 1 15 2
480 Savety Box (vaksin) 5 Ltr Pack 14,000.00 - 5 5 - 10
490 Slang O2 anak Set 6,325.00 - - - - 20
493 Strip Asam Urat Pcs - 500 - 500 -
494 Strip GDS Pcs - 500 50 450 98
510 Urine Bag Pcs 4,933.50 29 - 29 -
Panincong, 31 Maret 2022

PEMAKAIAN
1 2 3 4 5 6 7 8 9 10 11 12 13

Nip. 19780917 200604 2 010 NIP. 19960416 202012 2 003
1 2 3 - - -
100.00 - 0 - - -
10,500.00 200.00 0 8 40 154
10,400.00 1,100.00 0 42 220 846
120.00 10.00 0 0 2 8
11,800.00 600.00 0 23 120 462
350.00 45.00 0 2 9 35
200.00 - 0 - - -
6,800.00 900.00 0 35 180 692
12,000.00 800.00 1485000 31 160 615
5,000.00 - 0 - - -
600.00 - 0 - - -
500.00 - 0 - - -
600.00 300.00 0 12 60 231
8,000.00 300.00 0 12 60 231
420.00 30.00 152000 1 6 23
26.00 - 0 - - -
84.00 - 0 - - -
126.00 20.00 0 1 4 15
400.00 200.00 76800 8 40 154
100.00 - 0 - - -
90.00 - 0 - - -
400.00 200.00 17200 8 40 154
120.00 - 0 - - -
500.00 - 0 - - -
1,000.00 - 37500 - - -
256.00 8.00 0 0 2 6
800.00 - 0 - - -
800.00 - 110000 - - -
2,000.00 200.00 0 8 40 154
1,600.00 300.00 61500 12 60 231
80.00 5.00 0 0 1 4
100.00 - 0 - - -
10.00 - 0 - - -
144.00 - 0 - - -
200.00 20.00 0 1 4 15
10,200.00 500.00 0 19 100 385
62.00 - 0 - - -
50.00 - 0 - - -
7,000.00 - 0 - - -
168.00 - 0 - - -
600.00 - 0 - - -
7,800.00 - 667200 - - -
116.00 4.00 0 0 1 3
1,500.00 - 40500 - - -
7,000.00 300.00 351000 12 60 231
7,000.00 600.00 0 23 120 462
200.00 - 26100 - - -
24,400.00 1,900.00 510000 73 380 1,462
28.00 2.00 0 0 0 2
88.00 - 0 - - -
2,600.00 300.00 74400 12 60 231
124.00 - 0 - - -
15,200.00 1,000.00 0 38 200 769
36.00 5.00 0 0 1 4
120.00 - 0 - - -
210.00 105.00 344400 4 21 81
100.00 - 0 - - -
4.00 - 0 - - -
466.00 87.00 2055312 3 17 67
116.00 18.00 138700 1 4 14
242.00 10.00 0 0 2 8
20.00 2.00 0 0 0 2
100.00 - 260200 - - -
13,000.00 1,500.00 0 58 300 1,154
5.00 - 0 - - -
100.00 - 0 - - -
2,000.00 - 0 - - -
5,400.00 100.00 0 4 20 77
180.00 - 42900 - - -
8,000.00 300.00 255000 12 60 231
134.00 37.00 152600 1 7 28
100.00 - 0 - - -
200.00 - 0 - - -
8,200.00 500.00 146000 19 100 385
6,060.00 1,020.00 0 39 204 785
1,980.00 300.00 0 12 60 231
10.00 - 0 - - -
28,680.00 2,640.00 4233150 102 528 2,031
100.00 - 0 - - -
100.00 - 0 - - -
10.00 5.00 0 0 1 4
80.00 40.00 0 2 8 31
38.00 19.00 0 1 4 15
210.00 105.00 0 4 21 81
20.00 10.00 619960 0 2 8
20.00 10.00 199540 0 2 8
40.00 20.00 1579820 1 4 15
7,000.00 300.00 0 12 60 231
5.00 - 0 - - -
14.00 - 447942 - - -
3,600.00 400.00 253000 15 80 308
- 0 - - -
700.00 350.00 407750 13 70 269
348.00 28.00 0 1 6 22
200.00 - 0 - - -
210.00 105.00 59745 4 21 81
350.00 - 0 - - -
200.00 - - - - -
4.00 - - - - -
40.00 20.00 30,000.00 1 4 15
2,040.00 1,020.00 ### 39 204 785
2,740.00 1,370.00 108,230.00 53 274 1,054
900.00 100.00 - 4 20 77
100.00 - 0 - - -
76.00 - 0 - - -
200.00 - 0 - - -
1,000.00 - 0 - - -
84.00 10.00 0 0 2 8
20.00 - 0 - - -
28.00 2.00 0 0 0 2
24.00 - 0 - - -
100.00 - 0 - - -
220.00 60.00 389700 2 12 46
2,000.00 - 0 - - -
48.00 3.00 0 0 1 2
30.00 - 0 - - -
316.00 6.00 0 0 1 5
168.00 20.00 272250 1 4 15
168.00 10.00 0 0 2 8
50.00 5.00 0 0 1 4
100.00 8.00 0 0 2 6
122.00 4.00 0 0 1 3
252.00 - 0 - - -
34.00 - 0 - - -
46.00 - 299000 - - -
30.00 - 0 - - -
50.00 - 0 - - -
86.00 6.00 0 0 1 5
20.00 - 0 - - -
20.00 - 0 - - -
4,800.00 - 198000 - - -
1,000.00 - 0 - - -
2,000.00 - 1385000 - - -
100.00 5.00 0 0 1 4
180.00 10.00 0 0 2 8
38.00 1.00 0 0 0 1
32.00 1.00 0 0 0 1
10.00 5.00 70000 0 1 4
48.00 - 0 - - -
20.00 - 0 - - -
20.00 - 0 - - -
1,000.00 - 0 - - -
1,000.00 50.00 0 2 10 38
50.00 - 0 - - -
58.00 - 0 - - -
- - -
DINAS KESEHATAN

BULAN : APRIL 2022
PERSEDIAAN PEMAKAIAN PERSEDIAAN STOK

1 2 3 4 5 6 7 8 9 10 11 12 13
OBAT
13 Amitripilin HCl tablet salut 25 mg Tablet 167.00 - 100 100 - 197
15 Amlodiphin tablet 5 mg Tablet 55.00 5,050 200 4,850 394
19 Amoksisilin kaplet 500 mg Kaplet 1,600 1,600 - 3,151
20 Amoksisilin kaplet 500 mg Kaplet 231.00 - 6,000 - 6,000 -
23 Amoksisilin sirup kering 125 mg/5 ml Botol 60 ml 2,050.00 50 20 30 39 50
30 Antasida Sirup Botol 60 ml 1,756.00 130 30 100 59 200
38 Asam Askorbat ( vit. C ) tablet 50 mg Tablet 120.00 - - - - 3,000
40 Asam Mefenamat tablet 500 mg Tablet 297.00 5,200 700 4,500 1,378
44 Asiklovir cream Tube 3,850.00 - - - - 25
53 Betahistin Mesilat 6 mg tab Tablet 92.00 3,700 300 3,400 591
55 Betametason krim 0,1 % Tube 1,520.00 180 30 150 59
58 Cavida Gel 15 gram Tube 41,000.00 13 - 13 - 50
59 Cefadroxyl syrup kering 125 mg/5ml Botol 60 ml 4,360.00 17 17 - 33 50
62 Cetirizin Syrup Botol 60 ml 3,061.00 18 - 18 -
63 Cetirizin Syrup Tablet 2,215.00 - 50 - 50 -
67 Clozapine Tablet 1,121.00 - 100 - 100 - -
81 Dimenhidrinat Tablet 121.00 - 500 - 500 -
84 Domperidon Tablet 75.00 500 100 400 197
86 Epineprin HCl/bitartrat (adrenalin) inj. Ampul 1,848.00 - - - - 2
98 Fitomenadion ( vit k) injeksi Ampul 4,236.00 120 30 40 110 - 79
100 Furosemid tablet 40 mg Tablet 82.00 400 200 200 394
101 Garam oralit untuk 200 ml air Sachet 275.00 300 150 150 295 400
1 2 3 4 5 6 7 8 9 10 11 12 13
103 Gentamisin cream Tube 4,623.30 - - - - 25
106 Glibenklamid tablet 5 mg Tablet 137.00 800 200 600 394
108 Glimepiride tab 2 mg Tablet 123.00 500 - 500 -
115 Haloperidol tablet 5 mg Tablet 60.00 - 100 100 - 197
116 Haloperidol injeksi 5 mg/ml Ampul 1,190.00 - 10 10 - 20
119 Hyoscine butylbromide tab Tablet - 1,000 500 500 985
120 Ibuprofen syrup 100mg/5 ml Botol 60 ml 2,858.00 80 30 50 59 50
122 Isosorbit dinitrat tablet sublungual 5 mg Tablet 101.00 - - - - 100
128 Kalsium laktak ( kalak ) tablet 500 mg Tablet 63.00 4,600 700 3,900 1,378
130 Ketokonazol Krim 2% Tube 2,694.00 31 - 31 -
134 Kloramfenikol kapsul 250 mg Kapsul 329.00 3,500 - 3,500 - - 500
144 Kotrimoksazol dewasa tablet Tablet 125.00 300 100 200 197
150 Lanzoprasole kapsul 30 mg Kapsul 278.00 3,900 500 3,400 985
155 Loperamid tablet Tablet 81.00 500 500 - 985 1,000
158 Loratadin tablet 10 mg Tablet 117.00 3,200 500 2,700 985
161 Metformin tab. 500 mg Tablet 77.00 400 400 - 788 5,000
166 Metilergometrin maleat tablet salut 0,125 mg Tablet 261.00 100 100 - 197 100
170 Metilprednisolon tablet 4 mg Tablet 102.00 5,300 10,000 2,400 12,900 4,726
172 Metoklorpropamid injeksi (Sotatic) Ampul 4,554.00 2 2 - 4 20
173 Metoklorpropamid sirup Botol 60 ml 2,700.00 44 - 44 -
174 Metoklorpropamid tab 10 mg Tablet 93.00 500 300 200 591
177 Metoklorpropamid tab 5 mg Tablet 129.00 - 500 - 500 - -
198 OAT FDC Kategori I Paket 477,791.00 2 - 2 - 5
202 Obat batuk hitam (OBH) cairan (Herbakof) Botol 14,273.00 96 5 91 10
207 Oksitetrasiklin HCl salep mata Tube 2,774.00 40 10 30 20
208 Oksitosin injeksi 10 iu / ml - 1 ml Ampul 1,232.00 111 20 91 39
212 Parasetamol drops Botol 15 ml 7,646.00 8 8 - 16
213 Parasetamol drops Botol 15 ml 5,204.00 50 22 28 43
219 Parasetamol tablet 500 mg Tablet 165.00 2,500 5,200 1,500 6,200 2,954
229 Prednison tablet 5 mg Tablet 73.00 2,600 - 2,600 -
235 Ranitidin injeksi Ampul 858.00 90 10 80 20
237 Ranitidin tablet Tablet 85.00 3,700 600 3,100 1,182
242 Ringer laktak larutan infus steril Botol 7,703.00 - 40 - 40 - 60
243 Ringer laktak larutan infus steril Botol 7,630.00 10 10 - 20
244 Risperidone 2 mg Tablet 287.00 - 100 100 - 197
1 2 3 4 5 6 7 8 9 10 11 12 13
255 Sianokobalamin (Vitamin B12) 50 mcg Tablet 48.00 - - - - 1,000
261 Simvastatin tablet 10 mg Tablet 73.00 2,600 2,000 500 4,100 985
263 Sivit Zinc tablet Tablet 2,500.00 2,010 690 1,320 1,359
264 Stimuno tablet Tablet 1,763.00 690 - 690 - 600
268 Trifluperazine HCl 5 mg Tablet 287.00 - 100 100 - 197
269 Triheksifenidil 2 mg Tablet 63.00 - 100 100 - 197
274 Vaksin COVID 19 MODERNA Vial - 8 8 - 16
276 Vaksin COVID 19 Coronavac 2 Dosis (Polri) Vial - 15 8 7 - 16
280 Vaksin Hb Unijec (HBO) 1 DS Vial 23,991.00 - 20 20 - 39
283 Vaksin POLIO (IPV) 5 ds Vial 158,994.00 - 20 20 - 39
287 Vaksin Measleas dan Rubella (MR) 10 ds Vial 155,813.00 - 10 10 - 20
292 Vitamin B Kompleks Tablet 60.00 700 700 - 1,378 2,000
293 Vitamin C 500 mg Tablet 618.75 - 1,000 500 500 985 2,000
295 Yodium povidon larutan 10 % 1.000 ml Botol 149,314.00 7 - 7 -
298 Zink Tablet Tablet 253.00 1,400 - 1,400 -
PERBEKALAN KESEHATAN
305 Alat suntik sekali pakai 3 ml Pcs 1,062.60 46 46 - 91
307 Alat suntik sekali pakai 3 ml Pcs 1,016.40 - 200 20 180 39
311 Alat suntik sekali pakai 5 ml Pcs 1,525.00 2 2 - 4
313 Alat suntik sekali pakai 0.3 ml Pcs 1,255.00 - 480 480 - 945
317 Alkohol Swab (vaksin) Sachet 79.00 - 590 590 - 1,162
322 Alkohol Swab Sachet 280.00 100 100 - 197 500
328 APD Sandoz Pcs 55,900.00 38 - 38 -
330 Apron Lembar 3,373.00 100 - 100 -
333 Aseptic Gel Botol 500ml 25,300.00 - - - - 20
338 Bisturi Pcs 825.00 - - - - 100
339 Blood Lancet Pcs 167.42 - - - - 500
347 Catgut 3/0 (kulit) (24 mm) Pcs - 24 - 24 -
348 Catgut 3/0 (otot) (26 mm) Pcs 14 24 10 28 20
356 Etanol 70 % Botol 31,625.00 10 1 9 2
1 2 3 4 5 6 7 8 9 10 11 12 13
364 Hanclin Solution 2% 500 mL Botol 52,900.00 12 7 5 14
365 Handschun Steril no.6.5 Pasang 50 - 50 -
366 Handschun Steril no.7 Pasang 7,794.00 50 25 25 49
369 Handschun non steril S pcs - 3,000 800 2,200 1,575
370 Handschun non steril M pcs - 3,000 200 2,800 394
380 Handrub Botol 36,227.00 21 - 21 -
381 Handwash (Stefanol) Botol 98,050.00 15 10 5 20
389 Infusion set anak Set 4,136.00 152 - 152 -
399 IV. Catheter No. 20 Pcs 12,631.00 20 - 20 - 50
418 Kapas pembalut / absorben 250 gram Roll 29,900.00 18 10 - 28 -
419 Kasa 64 6x360 Roll - 50 - 50 -
420 Kasa kompres 40 x 80 cm Roll - 20 - 20 -
432 Kertas Puyer Press Pcs 82.50 2,400 - 2,400 -
441 Masker Pcs 1,012.00 - 1,000 - 1,000 -
443 Masker (KEMENKES) Pcs 1,385.00 1,000 800 200 1,575
448 Masker N95 (P2) Pcs 20,637.00 45 15 30 30
460 Pharmafix 15 X 500 CM Roll 47,000.00 13 10 3 20 6
469 Rapid Test HIV (Virocheck HIV) R1 pack 8,350.00 - 50 50 - 98
479 Savety Box Pack 20,394.00 15 - 15 -
482 Savety Box (vaksin) 5 Ltr Pack 5,382.00 - 20 20 - 39
490 Slang O2 anak Set 6,325.00 - - - - 50
493 Strip Asam Urat Pcs 500 - 500 -
494 Strip GDS Pcs 450 50 400 98
495 Strip Kolesterol Pcs - - - - 500
506 Tissu Roll Roll 3,300.00 - - - - 10
510 Urine Bag Pcs 4,933.50 29 - 29 -
Panincong, 30 April 2022

1 2 3 4 5 6 7 8 9 10 11 12 13

Nip. 19780917 200604 2 010 NIP. 19960416 202012 2 003
1 2 3 - - -
200.00 100.00 16700 4 20 77
10,100.00 200.00 0 8 40 154
3,200.00 1,600.00 #VALUE! 62 320 1,231
12,000.00 - 1386000 - - -
150.00 20.00 0 1 4 15
10,600.00 600.00 0 23 120 462
460.00 30.00 0 1 6 23
100.00 - 0 - - -
3,000.00 - 0 - - -
10,400.00 700.00 0 27 140 538
5,000.00 - 0 - - -
25.00 - 0 - - -
600.00 - 0 - - -
7,400.00 300.00 0 12 60 231
360.00 30.00 0 1 6 23
76.00 - 0 - - -
84.00 17.00 0 1 3 13
36.00 - 0 - - -
100.00 - 110750 - - -
200.00 - 112100 - - -
90.00 - 0 - - -
120.00 - 0 - - -
1,000.00 - 60500 - - -
1,000.00 100.00 0 4 20 77
2.00 - 0 - - -
300.00 40.00 127080 2 8 31
800.00 200.00 0 8 40 154
1,000.00 150.00 0 6 30 115
25.00 - 0 - - -
1,600.00 200.00 0 8 40 154
1,000.00 - 0 - - -
110.00 5.00 265080 0 1 4
200.00 100.00 6000 4 20 77
20.00 10.00 11900 0 2 8
144.00 - 0 - - -
2,000.00 500.00 0 19 100 385
210.00 30.00 0 1 6 23
100.00 - 0 - - -
9,200.00 700.00 0 27 140 538
62.00 - 0 - - -
50.00 - 0 - - -
7,500.00 - 0 - - -
168.00 - 0 - - -
600.00 100.00 0 4 20 77
7,800.00 500.00 0 19 100 385
108.00 3.00 0 0 1 2
2,000.00 500.00 0 19 100 385
6,400.00 500.00 0 19 100 385
5,800.00 400.00 0 15 80 308
300.00 100.00 0 4 20 77
30,600.00 2,400.00 1020000 92 480 1,846
24.00 2.00 0 0 0 2
88.00 - 0 - - -
1,000.00 300.00 0 12 60 231
1,000.00 - 64500 - - -
13,200.00 1,400.00 0 54 280 1,077
26.00 1.00 0 0 0 1
120.00 - 0 - - -
104.00 52.00 170560 2 10 40
9.00 - 0 - - -
192.00 5.00 0 0 1 4
80.00 10.00 0 0 2 8
222.00 20.00 0 1 4 15
16.00 8.00 0 0 2 6
100.00 22.00 0 1 4 17
15,400.00 1,500.00 858000 58 300 1,154
5,200.00 - 0 - - -
180.00 10.00 0 0 2 8
7,400.00 600.00 0 23 120 462
140.00 - 308120 - - -
20.00 10.00 0 0 2 8
200.00 100.00 28700 4 20 77
50.00 - 0 - - -
1,000.00 - 0 - - -
9,200.00 500.00 146000 19 100 385
4,020.00 690.00 0 27 138 531
1,980.00 - 0 - - -
5.00 - 0 - - -
33,400.00 6,510.00 0 250 1,302 5,008
200.00 100.00 28700 4 20 77
200.00 100.00 6300 4 20 77
16.00 8.00 0 0 2 6
23.00 8.00 0 0 2 6
104.00 52.00 0 2 10 40
40.00 20.00 479820 1 4 15
20.00 10.00 619960 0 2 8
40.00 20.00 399080 1 4 15
40.00 20.00 3179880 1 4 15
40.00 20.00 1579820 1 4 15
20.00 10.00 1558130 0 2 8
3,400.00 700.00 0 27 140 538
4,000.00 500.00 618750 19 100 385
14.00 - 0 - - -
2,800.00 - 0 - - -
- 0 - - -
420.00 210.00 244650 8 42 162
92.00 46.00 0 2 9 35
200.00 - 0 - - -
400.00 20.00 203280 1 4 15
104.00 52.00 29588 2 10 40
350.00 - 0 - - -
200.00 - - - - -
4.00 2.00 - 0 0 2
30.00 15.00 22,500.00 1 3 12
960.00 480.00 602,400.00 18 96 369
1,180.00 590.00 46,610.00 23 118 454
700.00 100.00 - 4 20 77
100.00 - 0 - - -
76.00 - 0 - - -
200.00 - 0 - - -
20.00 - 0 - - -
100.00 - 0 - - -
500.00 - 0 - - -
48.00 - 0 - - -
76.00 10.00 0 0 2 8
20.00 1.00 0 0 0 1
24.00 1.00 0 0 0 1
24.00 7.00 0 0 1 5
100.00 - 0 - - -
100.00 25.00 0 1 5 19
6,000.00 800.00 0 31 160 615
6,000.00 200.00 0 8 40 154
42.00 - 0 - - -
30.00 10.00 0 0 2 8
304.00 - 0 - - -
228.00 23.00 0 1 5 18
148.00 10.00 0 0 2 8
90.00 - 0 - - -
84.00 14.00 0 1 3 11
164.00 2.00 527775 0 0 2
252.00 - 0 - - -
34.00 2.00 0 0 0 2
56.00 - 299000 - - -
100.00 - 0 - - -
40.00 - 0 - - -
74.00 20.00 0 1 4 15
4,800.00 - 0 - - -
2,000.00 - 1012000 - - -
2,000.00 800.00 0 31 160 615
90.00 15.00 0 1 3 12
160.00 10.00 0 0 2 8
46.00 3.00 470000 0 1 2
100.00 50.00 417500 2 10 38
30.00 - 0 - - -
40.00 20.00 107640 1 4 15
50.00 - 0 - - -
50.00 - 0 - - -
50.00 - 0 - - -
1,000.00 - 0 - - -
900.00 50.00 0 2 10 38
500.00 - 0 - - -
50.00 - 0 - - -
10.00 - 0 - - -
58.00 - 0 - - -
- - -
DINAS KESEHATAN

BULAN : MEI 2022

1 2 3 4 5 6 7 8 9 10 11 12 13
OBAT
2 Albendazol tablet 400 mg Tablet 494.00 - - - - 500
15 Amlodiphin tablet 5 mg Tablet 55.00 4,850 1,100 3,750 2,166 5,000
20 Amoksisilin kaplet 500 mg Kaplet 231.00 6,000 1,400 4,600 2,757
23 Amoksisilin sirup kering 125 mg/5 ml Botol 60 ml 2,050.00 30 50 - 80 -
30 Antasida Sirup Botol 60 ml 1,756.00 100 200 5 295 10
38 Asam Askorbat ( vit. C ) tablet 50 mg Tablet - 3,000 600 2,400 1,182 3,000
40 Asam Mefenamat tablet 500 mg Tablet 297.00 4,500 1,400 3,100 2,757
44 Asiklovir cream Tube 3,850.00 - - - - 25
53 Betahistin Mesilat 6 mg tab Tablet 92.00 3,400 700 2,700 1,378
55 Betametason krim 0,1 % Tube 1,520.00 150 35 115 69
57 Cavida Gel 15 gram Tube 50,600.00 - 20 - 20 -
58 Cavida Gel 15 gram Tube 41,000.00 13 13 - 26
59 Cefadroxyl syrup kering 125 mg/5ml Botol 60 ml 4,360.00 - - - - 50
64 Ciproloxacin 500 mg isi 100 tab Tablet - 200 200 - 394 1,000
73 Diazepam tablet 2 mg Tablet 86.00 - - - - 500
81 Dimenhidrinat Tablet 121.00 500 400 100 788
84 Domperidon Tablet 75.00 400 100 300 197 500
98 Fitomenadion ( vit k) injeksi Ampul 4,236.00 - 15 - 15 - 60
1 2 3 4 5 6 7 8 9 10 11 12 13
101 Garam oralit untuk 200 ml air Sachet 275.00 150 400 50 500 98
103 Gentamisin cream Tube 4,623.30 - - - - 25
106 Glibenklamid tablet 5 mg Tablet 137.00 600 200 400 394 500
112 Glukosa larutan infus 5 % steril Botol 6,627.00 50 5 45 10
119 Hyoscine butylbromide tab Tablet 500 - 500 - 1,000
120 Ibuprofen syrup 100mg/5 ml Botol 60 ml 2,858.00 50 50 25 75 49
121 Ibuprofen tablet Tablet 264.00 - - - - 1,000
122 Isosorbit dinitrat tablet sublingual 5 mg Tablet 101.00 - - - - 100
128 Kalsium laktak ( kalak ) tablet 500 mg Tablet 63.00 3,900 500 3,400 985
130 Ketokonazol Krim 2% Tube 2,694.00 31 10 21 20
131 Ketokonazol tab Tablet 286.00 - - - - 200
134 Kloramfenikol kapsul 250 mg Kapsul 329.00 - - - - 500
138 Kloramfenikol tetes telinga 3 % Botol 9,749.30 - - - - 20
150 Lanzoprasole kapsul 30 mg Kapsul 278.00 3,400 500 2,900 985
155 Loperamid tablet Tablet 81.00 - - - - 1,000
158 Loratadin tablet 10 mg Tablet 117.00 2,700 200 2,500 394
160 Metformin tab. 500 mg Tablet - 2,000 1,000 1,000 1,969 5,000
163 Metilergometrin maleat inj. 0,200 mg - 1 ml Ampul 2,684.00 - - - - 5
166 Metilergometrin maleat tablet salut 0,125 mg Tablet 261.00 - 100 - 100 -
170 Metilprednisolon tablet 4 mg Tablet 102.00 12,900 1,900 11,000 3,742
172 Metoklorpropamid injeksi (Sotatic) Ampul 4,554.00 - - - - 20
173 Metoklorpropamid sirup Botol 60 ml 2,700.00 44 - 44 - - 50
174 Metoklorpropamid tab 10 mg Tablet 93.00 200 200 - 394 1,000
198 OAT FDC Kategori I Paket 477,791.00 2 5 7 - 14
202 Obat batuk hitam (OBH) cairan (Herbakof) Botol 14,273.00 91 35 56 69 96
207 Oksitetrasiklin HCl salep mata Tube 2,774.00 30 30 - 59 50
208 Oksitosin injeksi 10 iu / ml - 1 ml Ampul 1,232.00 91 - 91 -
213 Parasetamol drops Botol 15 ml 5,204.00 28 5 23 10 50
219 Parasetamol tablet 500 mg Tablet 165.00 6,200 1,100 5,100 2,166
229 Prednison tablet 5 mg Tablet 73.00 2,600 - 2,600 -
235 Ranitidin injeksi Ampul 858.00 80 10 70 20
237 Ranitidin tablet Tablet 85.00 3,100 700 2,400 1,378
242 Ringer laktak larutan infus steril Botol 7,703.00 40 40 - 79
243 Ringer laktak larutan infus steril Botol 7,630.00 - 60 - 60 -
1 2 3 4 5 6 7 8 9 10 11 12 13
246 Salbutamol tablet 4 mg Tablet 123.00 - - - - 500
249 Salep 2 - 4 kombinasi Pot 3,017.00 - - - - 20
255 Sianokobalamin (Vitamin B12) 50 mcg Tablet 48.00 - - - - 1,000
261 Simvastatin tablet 10 mg Tablet 73.00 4,100 1,100 3,000 2,166
263 Sivit Zinc tablet Tablet 2,500.00 1,320 90 1,230 177
264 Stimuno tablet Tablet 1,763.00 690 600 360 930 709
283 Vaksin POLIO (IPV) 5 ds Vial 158,994.00 - 10 10 - 20
287 Vaksin Measleas dan Rubella (MR) 10 ds Vial 155,813.00 - 50 50 - 98
292 Vitamin B Kompleks Tablet 60.00 - - - - 2,000
293 Vitamin C 500 mg Tablet 618.75 500 2,000 500 2,000 985
295 Yodium povidon larutan 10 % 1.000 ml Botol 149,314.00 7 - 7 -
296 Zink Sirup Botol 3,285.00 - - - - 20
298 Zink Tablet Tablet 253.00 1,400 300 1,100 591
313 Alat suntik sekali pakai 0.3 ml Pcs 1,255.00 - 60 60 - 118
317 Alkohol Swab (vaksin) Sachet 79.00 - 60 60 - 118
322 Alkohol Swab Sachet 280.00 - - - - 1,000
328 APD Sandoz Pcs 55,900.00 38 - 38 -
330 Apron Lembar 3,373.00 100 - 100 -
339 Blood Lancet Pcs - 500 100 400 197 1,000
347 Catgut 3/0 (kulit) (24 mm) Pcs 24 4 20 8
348 Catgut 3/0 (otot) (26 mm) Pcs 28 10 18 20
356 Etanol 70 % Botol 31,625.00 9 - 9 -
364 Hanclin Solution 2% 500 mL Botol 52,900.00 5 18 1 22 2
365 Handschun Steril no.6.5 Pasang 50 - 50 -
366 Handschun Steril no.7 Pasang 7,794.00 35 5 30 10
369 Handschun non steril S pcs 2,200 700 1,500 1,378
370 Handschun non steril M pcs 2,800 100 2,700 197
1 2 3 4 5 6 7 8 9 10 11 12 13
380 Handrub Botol 36,227.00 21 - 21 -
381 Handwash (Stefanol) Botol 98,050.00 5 - 5 -
389 Infusion set anak Set 4,136.00 152 - 152 -
418 Kapas pembalut / absorben 250 gram Roll 29,900.00 28 1 27 2
419 Kasa 64 6x360 Roll 50 - 50 -
420 Kasa kompres 40 x 80 cm Roll 20 4 16 8
423 Kasa pembalut hidrofil 4 m x 15 cm Roll 2,415.00 17 17 - 33
432 Kertas Puyer Press Pcs 82.50 2,400 - 2,400 -
441 Masker Pcs 1,012.00 1,000 250 750 492
443 Masker (KEMENKES) Pcs 1,385.00 200 200 - 394
448 Masker N95 (P2) Pcs 20,637.00 30 5 25 10
460 Pharmafix 15 X 500 CM Roll 47,000.00 20 1 19 2
473 Rapid Antigen Paket 80,000.00 - - - - 3
479 Savety Box Pack 20,394.00 15 - 15 -
485 Silk ( benang bedah sutera ) no.3/0 Pcs - 12 12 - 24 50
488 Slang O2 dewasa Set - 40 - 40 -
490 Slang O2 anak Set - 40 - 40 -
493 Strip Asam Urat Pcs 500 - 500 -
494 Strip GDS Pcs 400 - 400 -
495 Strip Kolesterol Pcs - 500 - 500 -
506 Tissu Roll Roll 3,300.00 - - - - 10
510 Urine Bag Pcs 4,933.50 29 - 29 -
Panincong, 31 Mei 2022


Nip. 19780917 200604 2 010 NIP. 19960416 202012 2 003
1 2 3 - - -
500.00 - 0 - - -
14,700.00 1,100.00 0 42 220 846
12,000.00 1,400.00 0 54 280 1,077
160.00 - 102500 - - -
9,400.00 800.00 0 31 160 615
600.00 5.00 351200 0 1 4
100.00 - 0 - - -
9,000.00 600.00 0 23 120 462
9,000.00 1,400.00 0 54 280 1,077
5,000.00 - 0 - - -
25.00 - 0 - - -
600.00 - 0 - - -
500.00 - 0 - - -
6,800.00 700.00 0 27 140 538
300.00 35.00 0 1 7 27
40.00 - 1012000 - - -
26.00 13.00 0 1 3 10
50.00 - 0 - - -
36.00 - 0 - - -
100.00 - 0 - - -
1,400.00 200.00 0 8 40 154
90.00 - 0 - - -
500.00 - 0 - - -
120.00 - 0 - - -
1,000.00 400.00 0 15 80 308
1,300.00 100.00 0 4 20 77
90.00 - 63540 - - -
400.00 - 0 - - -
1,100.00 50.00 110000 2 10 38
25.00 - 0 - - -
1,700.00 200.00 0 8 40 154
1,500.00 200.00 0 8 40 154
100.00 5.00 0 0 1 4
144.00 - 0 - - -
2,000.00 - 0 - - -
200.00 25.00 142900 1 5 19
1,000.00 - 0 - - -
100.00 - 0 - - -
7,800.00 500.00 0 19 100 385
62.00 10.00 0 0 2 8
200.00 - 0 - - -
50.00 - 0 - - -
500.00 - 0 - - -
168.00 - 0 - - -
20.00 - 0 - - -
400.00 - 0 - - -
6,800.00 500.00 0 19 100 385
102.00 12.00 0 0 2 9
1,000.00 - 0 - - -
5,400.00 200.00 0 8 40 154
9,000.00 1,000.00 0 38 200 769
5.00 - 0 - - -
200.00 - 26100 - - -
25,800.00 1,900.00 0 73 380 1,462
20.00 - 0 - - -
138.00 - 0 - - -
1,400.00 200.00 0 8 40 154
10,400.00 1,300.00 0 50 260 1,000
24.00 4.00 0 0 1 3
120.00 - 0 - - -
20.00 10.00 32800 0 2 8
14.00 7.00 2388955 0 1 5
278.00 35.00 0 1 7 27
110.00 30.00 0 1 6 23
182.00 - 0 - - -
106.00 5.00 0 0 1 4
12,400.00 1,100.00 0 42 220 846
5,200.00 - 0 - - -
160.00 10.00 0 0 2 8
6,200.00 700.00 0 27 140 538
80.00 40.00 0 2 8 31
120.00 - 457800 - - -
500.00 - 0 - - -
20.00 - 0 - - -
100.00 - 0 - - -
1,000.00 - 0 - - -
8,200.00 1,100.00 0 42 220 846
2,640.00 90.00 0 3 18 69
2,580.00 360.00 1057800 14 72 277
5.00 - 0 - - -
31,080.00 2,430.00 4233150 93 486 1,869
20.00 10.00 0 0 2 8
20.00 10.00 619960 0 2 8
40.00 20.00 399080 1 4 15
20.00 10.00 1589940 0 2 8
40.00 20.00 1579820 1 4 15
100.00 50.00 7790650 2 10 38
2,000.00 - 0 - - -
5,000.00 500.00 1237500 19 100 385
14.00 - 0 - - -
20.00 - 0 - - -
2,800.00 300.00 0 12 60 231
- 0 - - -
200.00 100.00 116500 4 20 77
200.00 - 0 - - -
360.00 40.00 0 2 8 31
20.00 10.00 5690 0 2 8
350.00 3.00 0 0 1 2
200.00 - - - - -
30.00 15.00 22,500.00 1 3 12
120.00 60.00 75,300.00 2 12 46
120.00 60.00 4,740.00 2 12 46
1,000.00 - - - - -
100.00 - 0 - - -
76.00 - 0 - - -
200.00 - 0 - - -
2,000.00 100.00 0 4 20 77
48.00 4.00 0 0 1 3
56.00 10.00 0 0 2 8
18.00 - 0 - - -
22.00 2.00 0 0 0 2
46.00 1.00 952200 0 0 1
100.00 - 0 - - -
70.00 5.00 0 0 1 4
4,400.00 700.00 0 27 140 538
5,600.00 100.00 0 4 20 77
42.00 - 0 - - -
10.00 - 0 - - -
304.00 - 0 - - -
282.00 3.00 544500 0 1 2
128.00 10.00 0 0 2 8
40.00 - 0 - - -
156.00 10.00 527775 0 2 8
160.00 1.00 0 0 0 1
252.00 - 0 - - -
30.00 1.00 0 0 0 1
56.00 1.00 0 0 0 1
100.00 - 0 - - -
40.00 4.00 0 0 1 3
34.00 17.00 0 1 3 13
4,800.00 - 0 - - -
2,000.00 250.00 0 10 50 192
400.00 200.00 0 8 40 154
60.00 5.00 0 0 1 4
140.00 10.00 0 0 2 8
40.00 1.00 0 0 0 1
3.00 - 0 - - -
30.00 - 0 - - -
74.00 12.00 0 0 2 9
80.00 - 0 - - -
80.00 - 0 - - -
1,000.00 - 0 - - -
800.00 - 0 - - -
1,000.00 - 0 - - -
50.00 - 0 - - -
10.00 - 0 - - -
58.00 - 0 - - -

Lplpo Gudang 2022

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Lplpo Gudang 2022

Uploaded by

Copyright:

Available Formats

DINAS KESEHATAN

UPTD PUSKESMAS PANINCONG

LAPORAN BULANAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBA

1 2 3 4 5 6 PERSEDIAAN APT BRSLN UGD GILUT MTBS LAB POLI UMUM

1 2 3 4 5 6 PERSEDIAAN APT BRSLN UGD GILUT MTBS LAB POLI UMUM

1 2 3 4 5 6 PERSEDIAAN APT BRSLN UGD GILUT MTBS LAB POLI UMUM

1 2 3 4 5 6 PERSEDIAAN APT BRSLN UGD GILUT MTBS LAB POLI UMUM

1 2 3 4 5 6 PERSEDIAAN APT BRSLN UGD GILUT MTBS LAB POLI UMUM

1 2 3 4 5 6 PERSEDIAAN APT BRSLN UGD GILUT MTBS LAB POLI UMUM

1 2 3 4 5 6 PERSEDIAAN APT BRSLN UGD GILUT MTBS LAB POLI UMUM

1 2 3 4 5 6 PERSEDIAAN APT BRSLN UGD GILUT MTBS LAB POLI UMUM

1 2 3 4 5 6 PERSEDIAAN APT BRSLN UGD GILUT MTBS LAB POLI UMUM

1 2 3 4 5 6 PERSEDIAAN APT BRSLN UGD GILUT MTBS LAB POLI UMUM

1 2 3 4 5 6 PERSEDIAAN APT BRSLN UGD GILUT MTBS LAB POLI UMUM

1 2 3 4 5 6 PERSEDIAAN APT BRSLN UGD GILUT MTBS LAB POLI UMUM

1 2 3 4 5 6 PERSEDIAAN APT BRSLN UGD GILUT MTBS LAB POLI UMUM

KAIAN DAN LEMBAR PERMINTAAN OBAT

NUR RAHMAH MASDA, S.Si., Apt

LAPORAN BULANAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT

Panincong, 26 Februari 2022

Mengetahui : Pengelola Obat,

SYAMSURIATI, SKM NUR RAHMAH MASDA, S.Si., Apt

LAPORAN BULANAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT

Panincong, 31 Maret 2022

Mengetahui : Pengelola Obat,

SYAMSURIATI, SKM NUR RAHMAH MASDA, S.Si., Apt

LAPORAN BULANAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT

PERSEDIAAN PEMAKAIAN PERSEDIAAN STOK

Panincong, 30 April 2022

Mengetahui : Pengelola Obat,

SYAMSURIATI, SKM NUR RAHMAH MASDA, S.Si., Apt

LAPORAN BULANAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT

PERSEDIAAN PEMAKAIAN PERSEDIAAN STOK

Panincong, 31 Mei 2022

Mengetahui : Pengelola Obat,

SYAMSURIATI, SKM NUR RAHMAH MASDA, S.Si., Apt

You might also like