RINCIAN DANA OBM
NO. PROKER CAWU I
1. Pengadaan Peralatan Penunjang 1. HT 5 buah= Rp300.000 X 5 =
Kegiatan Tim Bantuan Medis Rp1.500.000
2. Meja Lipat 1 buah = Rp.300.000
3. Ice bag 3 buah = Rp. 35.000 × 3 =
Rp. 105.000
4. Selimut thermal 2 buah = Rp.
10.000 × 2 = Rp. 20.000
TOTAL Rp. 1.925.000
2. Pemeliharaan Kelengkapan Logistik Rp500.000
3. Pengadaan BPH dan Obat-obatan Rp3.000.000
1. Acyclovir 2 Box= Rp.
60.000 X 2 = Rp. 120.000
2. Alcohol swab 2 box= Rp.
12.000 X 2 = Rp. 24.000
3. Amlodipine 1 box = Rp.
40.000 X 1 = Rp. 40.000
4. Amoxicilin 3 Box = Rp.
50.000 X 3 = Rp. 150.000
5. Antasida doen 3 box= Rp.
35.000 X 3 = Rp. 105.000
CAWU II
1. Tempat box obat = Rp.
100.000
2. Manekin RJP 1 buah =
Rp7.000.000 X 1 =
Rp7.000.000
TOTAL: Rp. 7.100.000
Rp500.000
Rp2.000.000
1. Ambroxol HCL 2 box= Rp.
30.000 X 1 = RP. 30.000
2. Betahistine 1 box= Rp.
40.000 X 1 = Rp. 40.000
3. Captopril 1 box= Rp. 35.000
X 1 = Rp. 35.000
4. Ctm 1 box = Rp. 25.000 X
1 = Rp. 25.000
5. Diatabs attapulgite 1 box=
Rp. 50.000 X 1 = Rp.
CAWU III
1. Tandu 2 unit = Rp.
700.000 × 2 = Rp. 1.400.000
2. Tenda kerucut lipat 1 unit
= Rp.450.000
TOTAL: Rp. 1.850.000
Rp500.000
Rp2.000.000
1. Alopurinol 2 Box =Rp.
30.000 X 2 =Rp. 60.000
2. Betamethasone valerate
krim 20 tube= Rp. 5.000
X 20 = Rp. 100.000
3. Cefadroxil monohydrate
1 box= Rp. 150.000 X 1
=Rp. 150.000
4. Cotrimoxazole 1 box=
Rp. 100.000 X 1 = Rp.
6. Cetrizine hydrocloride 2 50.000 100.000
box= Rp. 50.000 X 2 = 6. Ethyl cloride 3 buah = Rp. 5. Gentamicine 20 tube=
Rp. 100.000 150.000 X 2 = Rp. 300.000 Rp. 10.000 X 20 = Rp.
7. Ciprofloxacin 2 box= Rp. 7. Furosemide 1 box= Rp. 200.000
65.000 X 2 = Rp. 130.000 20.000 X 1 = Rp. 20.000 6. Metoclopramide HCl 1
8. Counterpaint cool 2 buah 8. Histigo Betahistine Mesilate box = Rp. 40. 000 X 1 =
besar = Rp. 46.000 X 2 1 Box = Rp. 35.000 X 1 = Rp. 40.000
=Rp. 92.000 Rp. 35.000 7. Oralit = Rp. 150.000 X 1
9. Counterpaint hot 1 buah= 9. Hydrocortisne Acetate 5 = Rp. 150.000
Rp. 45.000 X 1 = Rp. tube= Rp. 5.000 X 5 = Rp. 8. Zinc Sulfate
45.000 20.000 Monohydrate 1 box =
10. Dexamethasone 1 10. Ibuprofen 1 box= Rp. Rp. 90.000 X 1 = Rp.
box= Rp. 37.000 X 1 = 35.000 X 1 = Rp. 35.000 90.000
Rp. 37. 000 11. Isosorbide Dinitrate 1 box= 9. Asam Folat 1 box = Rp.
11. Diclofenac sodium 2 Rp. 25.000 X 1 = Rp. 50.000 x 1 = Rp. 50.000
box= Rp. 42.000 X 2 25.000 10.Grfazol metronidazole 1
=Rp. 84.000 12. Lidocaine HCl 1 box= Rp. box = Rp. 50.000 X 1 =
12. Domperidone 2 box 150.000 X 1 = 150.000 Rp. 50.000
= Rp. 45.000 X 2 = 13. Methylprednisolone 1 box= 11.Gratheos Diclofenac
Rp. 90.000 Rp. 40.000 X 1 = Rp.40.000 Sodium 1 box= Rp.
13. Loperamide 1 box 14. NaCl 0,9 % 2 buah = Rp. 35.000 X 1 = Rp. 35.000
= Rp. 30.000 X 1 = 30.000 X 2 = Rp. 60.000 12.Demacoline 1 box=. Rp.
Rp. 30.000 15. Betadine 1 box = Rp. 50.000 70.000 X 1 = Rp. 70.000
14. Meloxicam 1 box X 1= Rp. 50.000 13.Glyceryl Guaiacolate 1
= Rp. 30.000 X 1 = 16. Salbutamol sulfate 1 box= box =. Rp. 35.000 X 1 =
Rp. 30.000 Rp. 35.000 X 1 = Rp. Rp. 35.000
15. Minyak telon 2 35.000 14.Glibenclamide 2 box=
buah= Rp. 18.000 X 2 = 17. Vitamin B compleks 1 Rp. 30.000 X 2 = Rp.
RP. 36.000 box=Rp. 25.000 X 1 = Rp. 30.000
16. Omeprazole 1 box 25.000 15.Oxycan mask 5 buah=
= Rp. 22.000 X 1 18. Vitamin B1 1 box = Rp. Rp. 100.000 X 5 = Rp.
=Rp. 22.000 20.000 X 1= Rp. 20.000 500.000
17. Oxytethracycline 19. Kapas pembalut 250 gr 3 16.Ketoconazole 2 box =
 HCl Salep Kulit 15 tube buah= Rp. 30.000 X 1 = Rp. Rp. 170.000 x 2 = Rp.
= Rp. 5.000 X 15 30.000 340.000
=Rp. 75.000 TOTAL Rp. 1. 025.000
18. Paracetamol 2 box TOTAL Rp. 2.000.000
= Rp. 30.000 X 2 = Bahan logistik
Rp. 60.000 1. Abocath= Rp. 50.000 X 1 =
19. Ranitidine HCL 1 Rp. 50.000
box= Rp. 30.000 X 1 = 2. Elastic bandage 5 buah= Rp.
Rp. 30.000 20.000 X 5 = Rp. 100.000
20. Ringer lactat 3 buah= 3. Kasa non steril 2 gulung =
Rp. 25.000 X 3= Rp. Rp. 350.000 x 2 = Rp.
75.000 700.000
21. Vitamin C 1 Box= 4. Plaster 5 = Rp. 15.000 X 5 =
Rp. 35.000 X 1 = Rp. Rp. 75.000
35.000
22. Propanolol 1 box TOTAL Rp. 975.000
= Rp. 25.000 X 1 =
Rp. 25.000
23. Minyak kayu putih 5
botol sedang = Rp. 5.000
X 5 = Rp. 25.000
24. Asam mefenamat 3
box= Rp. 35.000 X 3=
Rp. 105.000
25. Hand sanitizer 3
botol =
Rp. 50.000 X 3 = Rp.
150.000
26. Povidone iodine 2
botol= Rp. 93.000 X 2 =
Rp. 186.000
27. Alkohol 70 % 2 liter
= Rp. 45.000 X 2
 =Rp. 90.000
28. Gradilex loperamide
HCL 1 box = Rp. 18.000
X 1 = Rp. 10.000
29. Glibenclamide 2 box
= Rp. 26.000 X 2 =
Rp. 26.000
TOTAL Rp. 2.035.000

Bahan logistik
1. Catgut cromic 2 box= Rp.
200.000 X 2 = Rp.
400.000
2. Handscon non steril 2 box
= Rp. 50.000 X 2
=Rp. 100.000
3. Kasa steril 20 box= Rp.
8.000 X 20 =Rp. 160.000
4. Masker medis 2 pack=
Rp. 30.000 X 2 = Rp.
60.000
5. Strip gula darah 1 tube
=Rp. 75.000 X 1 =
Rp. 75.000
6. Strip kolestrol 1 tube=
Rp. 170.000 X 1= Rp.
170.000
TOTAL Rp. 965.000

Dana keseluruhan:
CAWU I : Rp. 5.425.000

CAWU II : Rp. 9.600.000

CAWU III : Rp. 4. 350.000