PEMERINTAH KABUPATEN MUSI RAWAS UTARA

DINAS KESEHATAN
UPTD PUSKESMAS MUARA KULAM
Alamat : Jl. Kesehatan No 01 Kel, Muara Kulam Kec. Ulu Rawas

STOK OPNAME OBAT DAN BMHP (GUDANG)

APBD DAN DAK KABUPATEN MUSI RAWAS UTARA
PER 31 DESEMBER 2023

SUMBER DANA
PENGANDAAN
SATUAN

TAHUN
HARGA JUMLAH HARGA
NO NAMA OBAT DAN BMHP SISA STOK KETERANGAN

ED
SATUAN (Rp.) (Rp.)

1 ALKOHOL SWAB pcs 2019 DAK May-24 161 -

2 AMOXICILIN 500 MG tab 2019 DAK Aug-23 260 -
3 CAPTROFIL 12,5 MG tab 2019 DAK Feb-24 6,200 64 396,800
4 CAT GUT CHROMIC 2/0 HR 20 MM pcs 2019 DAK Apr-24 14 27,608 386,512
5 HYDROCHLORTIAZIDE 25 MG tab 2019 DAK Jan-23 163 -
6 KAPAS PEMBALUT 500 GR ball 2019 DAK Jan-24 4 3,000 12,000
7 NIPRO SYRINGE 1 CC TUBERCULIN 26 G pcs 2019 DAK Feb-24 500 1,118 559,000
8 NIPRO SYRINGE 5 CC 22 G pcs 2019 DAK Jan-24 93 1,139 105,932
9 STERPTOMYCIN INJ 1000 MG vial 2019 DAK Aug-24 5,460 -
10 URINE BAG pcs 2019 DAK May-23 8,880 -
11 ACYCLOVIR 400 MG TAB 2020 DAK Feb-24 2,900 426 1,235,400
12 ALKOHOL 70% 1000 ML BTL 2020 DAK Jul-24 31 25,800 799,800
13 CAPTROFIL TABLET 25 MG TAB 2020 DAK Jul-24
Jan-23, 165 -
14 COTRIMOXAZOL 480 MG TAB 2020 DAK Des-23 & 133 -
15 DIAZEPAM 2 MG TAB 2020 DAK Feb-23
Oct-23 86 -
16 DIAZEPAM INJ AMP 2020 DAK Aug-23 1,822 -
17 DOMPERIDONE 10 MG TAB 2020 DAK Mar-24 200 86 17,200
18 HALOPERIDOL 0,5 MG TAB 2020 DAK Jul-23 5,300 55 291,500
19 HALOPERIDOL 5 MG TAB 2020 DAK Jan-23 60 -
IV CATHETER 18 G PCS 2020 DAK Jun-23 33 7,454 245,982
LEUKOPLAST (7,5x4,5) PCS 2020 DAK Sep-24 29 37,371 1,083,759
PEHACAIN INJ AMP 2020 DAK Feb-24 60 3,850 231,000
20 KASA HYDROFIL 15 CM PCS 2020 DAK Oct-24 135 3,716 501,663
21 KASA HYDROFIL STERIL 16X16 PCS 2020 DAK Mar-25 684 396 270,739
22 METOCLOPRAMIDE 5 MG TAB 2020 DAK Jan-23 121 -
23 NIFEDIPIN TABLET TAB 2020 DAK May-24 2,700 176 475,200
24 PARACETAMOL SYR BTL 2020 DAK Mar-23 1,181 -
25 STESOLID 10 MG SUPP 2020 DAK Jan-23 13,202 -
26 STESOLID 5 MG SUPP 2020 DAK Jan-23 19,193 -
27 URINE BAG PCS 2020 DAK Jul-24 51 6,397 326,257
28 ALKOHOL SWAB PCS 2020 DAK P2P Feb-23 132 -
29 HAND SCON STERIL TROGE NO: 6,5 PCS 2020 DAK P2P Oct-24 13,178 -
30 NS-1 SMART DIAGNOSTIC DENGUE BOK 2020 DAK P2P Oct-22 27,568 -
31 SAMPLE CONTAINER PCS 2020 DAK P2P Mar-25 2,345 -
32 SYPHILIS AB TEST PCS 2020 DAK P2P Apr-22 14,004 -
33 MASKER N 95 NOUSMED PCS 2021 DID COV Jan-26 84,774 -
34 ACETYLCYSTEINE 200 MG CPS 2021 DAK Sep-23 307 -
35 ACYCLOVIR 400 MG TAB 2021 DAK Jun-23 429 -
Okt-23 &
36 AMBROXOL ELIXIR SYR BTL 2021 DAK 6,600 -
Sep-23
37 AMBROXOL TABLET TAB 2021 DAK Sep-23 330 -
38 AMLODIPIN 10 mg TAB 2021 DAK Feb-24 500 72 36,000
39 AMLODIPIN 5 MG TABLET TAB 2021 DAK May-23 1,800 53 95,400
40 AMOXICILLIN SYR KERING 250 MG BTL 2021 DAK Dec-23 3,498 -
41 AMOXICILLIN SYR KERING 125 MG BTL 2021 DAK May-23 134 2,050 274,700
42 ANTALGIN 500 MG/ METAMIZOL TABLET TAB 2021 DAK Sep-24 700 286 200,200
43 ANTASIDA TAB 200 MG TAB 2021 DAK Sep-23 54 -
44 ANTIHEMEROID SUPPOS TUBE 2021 DAK May-23 3,250 -
45 ASAM ASCORBAT (VITAMIN C) 50 MG TABLET TAB 2021 DAK Feb-24 1,100 43 47,300
46 ASAM ASETILSALISILAT - ASETOSAL 80 MG TAB 2021 DAK Apr-23 89 -
47 ASAM FOLAT 1 mg TAB 2021 DAK Oct-23 58 -
48 ASAM FUCIDAT / FUCILEX KRIM TUBE 2021 DAK Sep-24 35 11,000 385,000
49 ASAM TRANEKSAMAT INJ. 50 mg/Ml AMP 2021 DAK Mar-24 34 1,745 59,330
50 ASIKLOVIR 200 MG / ACIFAR TAB TAB 2021 DAK Aug-23 550 -
51 ASIKLOVIR KRIM TUBE 2021 DAK Jan-23 3,498 -
52 ATORVASTATIN TABLET TAB 2021 DAK Mar-23 2,750 -
53 ATROPIN INJ. 0,25 mg/ml AMP 2021 DAK Aug-24 192 1,718 329,856
54 AZITHROMYCIN 500 MG TAB 2020 DAK Jun-25 800 1,778 1,422,400
55 BECEFORT SYR 60 ML BTL 2021 DAK Jul-24 17,365 -
56 BEDAK SALISILAT PCS 2021 DAK Sep-24 16 2,200 35,200
57 BIOCOMBINE 8 MG INJEKSI AMP 2021 DAK Sep-23 5,500 -
58 BISAKODIL SUPPOSITORIA 5 MG / DULCOLAX SUPP 2021 DAK Feb-24 35 5,085 177,975
59 BUFACETINE 2% SALEP TUBE 2021 DAK May-24 72 3,431 247,032
60 CALSIUM LACTAT 500 MG TAB 2021 DAK Feb-24 1,200 60 72,000
61 CAPTOPRIL 25 MG TABLET TAB 2021 DAK Jun-23 75 -

1
 SUMBER DANA
PENGANDAAN
SATUAN

TAHUN
HARGA JUMLAH HARGA
NO NAMA OBAT DAN BMHP SISA STOK KETERANGAN

ED
SATUAN (Rp.) (Rp.)

62 CAPTOPRIL 25 MG TABLET TAB 2021 DAK Jul-23 75 -

63 CETIRIZINE SRY 5 mg/ml BTL 2021 DAK Jul-23 2,153 -
64 CHLORPHENIRAMINE MALEATE (CTM) 4 MG TAB 2021 DAK Mar-24 24 -
May-23 &
65 CLOZAPINE 100 MG TAB TAB 2021 DAK 1,197 -
Jun-23
66 COOLPACK BUAH 2021 DAK Dec-30 36,750 -
67 COTRIMOXAZOLE SYR 240 MG TAB 2021 DAK Sep-23 2,100 -
68 COTRIMOXAZOLE TAB 480 MG TAB 2021 DAK Oct-23 126 -
69 DESOXIMETASONE SALEP 0,25% TUBE 2021 DAK Mar-23 17,017 -
70 DEXAMETHASON 0,5 mg TAB TAB 2021 DAK Sep-25 600 35 21,000
71 DEXAMETHASON INJ. 5 mg/ Ml VIAL 2021 DAK Aug-24 181 968 175,208
72 DIAZEPAM INJ 5 mg/ml VIAL 2021 DAK Sep-23 1,545 -
73 DIMENHIDRINAT 50 mg TAB 2021 DAK 108 -
74 DIPENHIDRAMIN INJ 10 MG AMP 2021 DAK Apr-23 825 -
75 DOMPERIDONE 10 MG TAB TAB 2021 DAK Jul-24 73 -
76 DOMPERIDONE SYR 5 MG BTL 2021 DAK Jul-24 2,359 -
77 DONEXAN 120 ML SYRUP BTL 2021 DAK Aug-23 19,800 -
78 EPINEFRIN INJEKSI 1 mg AMP 2021 DAK Jul-23 1,590 -
79 ERITROMISIN 500 MG TABLET TAB 2021 DAK Aug-23 1,430 -
80 ERYTHROMYCIN 200 MG/ 5 MG SIRUP BTL 2021 DAK May-24 6,786 -
81 ETIL KLORIDA SEMPROT BTL 2021 DAK Jan-23 12 176,000 2,112,000
82 EUGENOL BTL 2021 DAK Dec-22 20,150 -
83 FERRO FUMARAT-TABLET TAMBAH DARAH (FE) TAB 2021 DAK May-24 238 -
84 FUROSEMID 40 MG TABLET TAB 2021 DAK Aug-23 220 -
85 FUROSEMID INJEKSI 10 mg/mL AMP 2021 DAK May-23 923 -
86 GEA INFUSION SET ANAK (CHILD) PCS 2021 DAK Dec-25 142 5,192 737,264
87 GEA INFUSION SET DEWASA (ADULT) PCS 2021 DAK Jun-26 202 4,862 982,124
88 GENTAMISIN SULFAT T.M 3 MG/ML BTL 2021 DAK Jul-23 4,720 -
Sep-23 &
89 GLIBENCLAMIDE 5 mg TAB 2021 DAK 87 -
Okt-23
90 GLUCOSA 5 % BTL 2021 DAK Apr-24 80 6,627 530,160
91 GRISEOFULVIN 125 MG TABLET TAB 2021 DAK Feb-24 800 210 168,000
92 HALLOPERIDOL INJ 50 mg/ml / Decanoak AMP 2021 DAK Oct-23 109,000 -
93 HALlOPERIDOL INJ. 5 mg/Ml (i.m) AMP 2021 DAK Aug-22 1,190 -
94 HANDRUB BTL 2021 DAK Jan-22 89,640 -
95 HANDSCOON MAXTER EXAM GLOVE L PCS 2021 DAK May-26 1,638 -
96 HANDSCOON STERIL 6,5 PCS 2021 DAK Jan-25 13,563 -
97 HANDSCOON STERIL 7,5 PCS 2021 DAK Jan-25 200 13,563 2,712,600
98 HANDSCRUB BTL 2021 DAK Jan-22 119,652 -
99 HEPA FILTER PCS 2021 DAK Jan-26 38,500 -
100 HERBAKOF SYRUP 100 ML BTL 2021 DAK Jun-23 14,273 -
101 HYDROCORTISON KRIM 2,5 % TAB 2021 DAK Mar-25 2,325 -
102 IBUPROFEN 200 MG TABLET TAB 2021 DAK Sep-24 440 -
Jan-25 &
103 IBUPROFEN 400 MG TABLET TAB 2021 DAK 275 -
Sep-25
104 IBUPROFEN SYR 100 MG BTL 2021 DAK Jan-24 2,298 -
105 IBUPROFEN SYR 200 MG BTL 2021 DAK Jul-23 3,296 -
106 IV CATHETER 18 PCS 2021 DAK Jan-26 290 6,252 1,812,976
107 IV CATHETER 20 PCS 2021 DAK Jan-26 388 6,252 2,425,636
108 IV CATHETER 22 PCS 2021 DAK Jan-26 6,252 -
109 IV CATHETER 24 PCS 2021 DAK Jan-26 16 6,252 100,026
110 KANTONG UDARA NAFAS PCS 2021 DAK Jan-26 11,000 -
111 KERTAS GOLONGAN DARAH 2021 DAK 700 -
112 KLOBAZAM 10 mg TAB 2021 DAK Jun-24 384 -
113 KLORAMFENICOL SALEP MATA 1% / RECO BTL 2021 DAK Aug-24 5,170 -
114 LEUKOPLAST (1,25x4,5) ROLL 2021 DAK Jun-26 - 7,810 -
115 LEUKOPLAST 1624H (5x4,5) ROLL 2021 DAK Aug-25 38 30,800 1,170,400
Mar-26 &
116 LEUKOPLAST 1624H (2,5x4,5) ROLL 2021 DAK 33 14,810 488,730
Jun-26
117 LEXACROL TABLET TAB 2021 DAK Jan-26 3,300 523 1,725,900
118 LIDOCAIN COMPOSITUM INJ. 2021 DAK Nov-25 53 847 44,891
119 LOPERAMID HCL TAB TAB 2021 DAK Sep-23 275 -
120 MASKER N 95 NOUSMED PCS 2021 DAK Jan-26 84,774 -
121 MEPROVENT INJ AMP 2021 DAK Jan-23 3,677 -
122 MESS NO. 11 2021 DAK Jun-26 2,375 -
123 METHYLERGOMETRINE INJ. 0,2 mg/Ml AMP 2021 DAK Jul-23 9 1,023 9,207
124 METRONIDAZOLE 500 mg TAB 2021 DAK Sep-24 1,600 137 219,200
125 MICONAZOLE KRIM TUBE 2021 DAK Apr-25 1,900 -
126 MOLAKRIM TUBE 2021 DAK Jun-24 13,970 -
127 MOLEX FLU TABLET TAB 2021 DAK Sep-23 429 -
128 NACL 0,9 % BTL 2021 DAK Dec-25 6,900 -
129 NASAL CANULA ANAK PCS 2021 DAK Jan-26 138 5,345 737,665
130 NASAL CANULA DEWASA PCS 2021 DAK Jan-26 115 5,345 614,721
131 NATRIUM DICLOFENAC SODIUM 25 MG TAB 2021 DAK Sep-26 6,700 114 763,800
132 NIFEDIPIN 10 MG TABLET TAB 2021 DAK Mar-25 800 220 176,000
133 OBH MOLEX SIRUP BTL 2021 DAK Dec-22 5,500 -
134 OMEPRAZOL SODIUM INJ. 40 mg VIAL 2021 DAK Jul-23 5,346 -
135 ONDANSENTRON INJEKSI AMP 2021 DAK Jul-24 10 7,700 77,000
136 OTSU MGSO4 20 BTL 2021 DAK May-23 3,760 -
137 OXYGEN MASK SEMILLAS ANAK PCS 2021 DAK Jan-25 31 14,000 434,000
138 OXYGEN MASK SEMILLAS DEWASA PCS 2021 DAK Jan-25 25 14,000 350,000

2
 SUMBER DANA
PENGANDAAN
SATUAN

TAHUN
HARGA JUMLAH HARGA
NO NAMA OBAT DAN BMHP SISA STOK KETERANGAN

ED
SATUAN (Rp.) (Rp.)

139 OXYTOCIN INJ. 10 IU/ml AMP 2021 DAK Sep-24 302 1,126 340,052
140 PAPER TIPE WITH DISPENSER 0,5 x 10 PCS 2021 DAK Jan-25 8,125 -
141 PAPER TIPE WITH DISPENSER 1 x 10 PCS 2021 DAK Jan-26 2 16,250 32,500
142 PAPER TIPE WITH DISPENSER 2 x 10 PCS 2021 DAK Jan-25 6 32,500 195,000
143 PARACETAMOL DROPS 100 mg/ml (60mg/0,6ml) BTL 2021 DAK May-24 5,113 -
144 PARFIX PHARMAFIX ROLL 2021 DAK Jan-26 10 31,900 319,000
145 PERMETHRIN KRIM 5% TUBE 2021 DAK Jul-23 52 6,578 342,056
146 PHENOBARBITAL INJ 50 MG AMP 2021 DAK Mar-24 1,700 -
147 PHENOL GLISEROL T.T 10% BTL 2021 DAK Jun-23 3,300 -
148 PHYTOMENADION (VIT. K1) 10 MG INJ AMP 2021 DAK Jun-23 3,600 -
149 PHYTOMENADION (VIT. K1) 10 MG TABLET TAB 2021 DAK Sep-23 781 -
Sep-23 &
150 PIROXICAM 20 MG TABLET TAB 2021 DAK 215 -
Jan-23
151 PREDNISON 5 MG TABLET TAB 2021 DAK Jun-23 71 -
152 PROPYLTHIOURACIL 100 mg TAB 2021 DAK May-25 405 -
153 RABIVAX-S VAKSIN (RABIES) VIAL 2021 DAK Oct-23 7 153,000 1,071,000
154 REAGENT SISMEX CELL CLEAN 2021 DAK May-23 1,258,400 -
155 REAGENT SISMEX CELL PCK 2021 DAK Jan-24 1,910,700 -
156 REAGENT SISMEX STROMA 2021 DAK Sep-23 1,265,000 -
157 RESPERIDON 2 MG TAB 2021 DAK Jun-25 123 -
158 SALBUTAMOL SULFATE CAIRAN ih 1 mg/ml AMP 2021 DAK Dec-22 4,900 -
159 SD BIOLINE DENGUE DUO PCS 2021 DAK Jan-23 58,798 -
160 SIMVASTATIN 20 MG TABLET TAB 2021 DAK Mar-23 150 -
161 TEST STRIP HB/ALAT 2021 DAK 426,682 -
162 TETAGAM INJ. 250 IU (i.m) 2021 DAK Feb-23 146,800 -
163 TRIHEKSIFENIDIL (HCl) 2 mg TAB 2021 DAK Jul-24 8,240 63 519,120
164 ULTRA ONE TEST HAMIL PCS 2021 DAK Jan-23 2,071 -
165 UMBILICAL CORD PCS 2021 DAK Jan-24 83 2,750 228,242
166 URINE TEST STRIP 2021 DAK Jul-23 120,400 -
167 VITAMIN B KOMPLEKS 2021 DAK Dec-23 5,000 59 295,000
168 WATER FOR INJECTION/AQUA PRO INJ 20 ML VIAL 2021 DAK Jul-23 2,115 -
169 XYLOCAIN GELL 2021 DAK 125,290 -
170 ZINC SULFAT SYRUP BTL 2021 DAK Mar-24 2,489 -
171 ZINC TABLET TAB 2021 DAK
COVID Apr-24 3,600 253 910,800
172 MASKER KN95 REMEDI PCS 2021 REFOCUSIN Aug-26 12,500 -
173 ALKOHOL SWAB PCS 2021 DAKGP2P Jun-25 96 -
174 BANE CHECK GLUCOSE TEST 50s PCS 2021 DAK P2P Jan-23 3,332 -
175 BLOOD LANCET PCS 2021 DAK P2P Jan-24 173 -
176 BTI DBD / ALTOCID PCS 2021 DAK P2P 1,362,084 -
177 LARVAGO BTL 2021 DAK P2P Jan-23 87,500 -
178 SUCRALFAT SYR BTL 2021 DAK Jan-23 5,970 -
FACE MASK HEADLOOP PCS 2021 DAK Jan-26 1,700 920 1,564,000
179 AIR UNTUK INJEKSI VIAL 2022 DAK 16 2,650 42,400
180 ALKOHOL SWAB NOUSMED PCS 2022 DAK Oct-27 6,200 160 992,000
181 ALOPURINOL 100 MG TAB 2022 DAK Jul-24 87 -
182 ALTOCID 1,3 GR TAB 2022 DAK 1,272,282 -
183 AMLODOPINE 5 MG TAB 2022 DAK 53 -
184 AMOXICILLIN 250 MG TAB 2022 DAK Sep-25 2,200 444 976,800
185 ANTASIDA DOEN SIRUP BTL 2022 DAK Aug-24 1,725 -
186 ANTI A MONOCLONAL BTL 2022 DAK 51,500 -
187 ANTI AB MONOCLONAL BTL 2022 DAK 51,500 -
188 ANTI B MONOCLONAL BTL 2022 DAK 80,000 -
189 ANTI D MONOCLONAL BTL 2022 DAK 83,000 -
190 ANTIHEMEROID SUPPOS SUPP 2022 DAK 3,250 -
191 ASAM MEFENAMAT 500 MG TAB 2022 DAK Aug-24 3,200 111 355,200
192 ATORVASTATIN TABLET TAB 2022 DAK 2,750 -
193 ATTAPULGIT / MOLAGIT TAB 2022 DAK Aug-27 3,150 476 1,499,400
194 BENECHECK GLUKOSA PCS 2022 DAK 1,450 3,349 4,856,050
195 BENECHEK STIK ASAM URAT PCS 2022 DAK 3,332 -
196 BENECHEK STIK KOLESTEROL PCS 2022 DAK 25,453 -
197 BETAHISTINE TABLET 24 MG TAB 2022 DAK Apr-24 840 4,945 4,153,800
198 BETAMETASONE KRIM 0,05% TUBE 2022 DAK Jun-24 1,520 -
199 BIOPLACENTON KRIM TUBE 2022 DAK 24,975 -
200 BLOOD LANCET NOUSMED PCS 2022 DAK 2,300 160 368,000
201 CEFADROXIL SIRUP 250 MG BTL 2022 DAK 150 11,100 1,665,000
202 CEFADROXIL TAB PCS 2022 DAK 1,320 -
203 CIPROFLOXACIN 500 MG TAB 2022 DAK Sep-26 3,600 250 900,000
204 CLOZAPINE 25 MG TAB TAB 2022 DAK Mar-24 5,700 473 2,696,100
205 ECG GEL BTL 2022 DAK 37,102 -
206 ETIL KLORIDA SEMPROT BTL 2022 DAK 199,800 -
207 HANDSANITIZER HENCLIN BTL 2022 DAK 17 79,250 1,347,250
208 HANDSCOON M PROTOS PCS 2022 DAK 600 1,230 738,000
209 HANDSCOON OBGYN PCS 2022 DAK 188 43,395 8,158,260
210 HANDSCRUB BTL 2022 DAK 99,000 -
211 HERBAKOF SYRUP 100 ML BTL 2022 DAK Jul-24 206 14,402 2,966,812
212 HERBAKOF TABLET TAB 2022 DAK 2,498 -
213 IMUNDO TABLET TAB 2022 DAK Aug-24 3,660 5,500 20,130,000
214 INTUNAL FORTE TABLET TAB 2022 DAK 1,500 833 1,249,500

3
 SUMBER DANA
PENGANDAAN
SATUAN

TAHUN
HARGA JUMLAH HARGA
NO NAMA OBAT DAN BMHP SISA STOK KETERANGAN

ED
SATUAN (Rp.) (Rp.)

215 KASA HIDROFIL 40x80 cm PCS 2022 DAK 8 163,656 1,309,248

216 KETOKENAZOLE 200 MG TAB 2022 DAK Aug-24 1,000 260 260,000
217 KLORPROMAZIN 25 MG PCS 2022 DAK Jul-25 1,638 -
218 LANSOPRAZOLE TAB 2022 DAK 7,300 278 2,029,400
219 LORATADIN TAB 2022 DAK 111 -
220 MASKER DUCKBIL LYNDELLA PCS 2022 DID Apr-27 2,604 -
221 MASKER EARLOP PCS 2022 DAK 5,550 1,078 5,982,900
222 MASKER KF 94 PCS 2022 DID 1,875 -
223 METFORMIN 500 MG TAB 2022 DAK Oct-24 11,600 77 893,200
224 METHILPREDNISOLON 4 MG TAB 2022 DAK Sep-24 300 102 30,600
225 METRONIDAZOLE 500 mg PCS 2022 DAK Sep-24 1,200 -
226 MOMETASONE FUROATE KRIM 0,1% TUBE 2022 DAK 125 6,234 779,250
227 NATRIUM DICLOFENAC 50 MG TAB 2022 DAK Jun-24 108 -
228 OMEPRAZOLE TAB TAB 2022 DID Sep-24 129 -
229 PARACETAMOL 500 MG TAB 2022 DAK Jul-24 222 -
230 PEHAVRAL TABLET BTL 2022 DAK 994 -
231 PROPYLTHIOURACIL 100 mg TAB 2022 DAK Apr-26 405 -
232 RAMVIT C TAB 2022 DAK 225 -
233 RANITIDINE 150 MG TAB 2022 DAK May-24 85 -
234 RINGER LAKTAT 500 mL BTL 2022 DAK 7,703 -
235 RISPERIDONE 1 MG TAB 2022 DAK Jul-26 6,310 123 776,130
236 SALMONELA PARATYPII AH BTL 2022 DAK 66,000 -
237 SALMONELA PARATYPII AO BTL 2022 DAK 66,000 -
238 SALMONELA PARATYPII H BTL 2022 DAK 66,000 -
239 SALMONELAPARATYPII O BTL 2022 DAK 66,000 -
240 SERENITY SYRINGE 1 ML PCS 2022 DAK 690 1,260 869,400
241 SERENITY SYRINGE 5 ML PCS 2022 DAK Jun-27 1,320 -
242 SERUM BIO SAVE (ABU) VIAL 2022 DAK 3 517,132 1,551,396
243 SIMVASTATIN 10 MG TABLET TAB 2022 DAK Oct-24 1,500 68 102,000
244 SUCRALFAT TABLET TAB 2022 DAK Aug-24 222 -
245 TETAGAM INJ. 250 IU (i.m) VIAL 2022 DAK 146,800 -
246 TIAMIN (VITAMIN B1) TAB 2022 DAK Aug-26 2,600 166 431,600
247 VITAMIN B12 TAB 2022 DAK Sep-24 900 44 39,600
248 ALKOHOL SWAB PCS 2023 DAK Aug-26 120 -
249 AMOXICILIN 500 MG TABLET 2023 DAK Mar-25 3,600 450 1,620,000
250 AMOXICILIN DROP 100 MG BOTOL 2023 DAK Jul-25 9,891 -
251 AMOXICILIN SYR 125 MG BOTOL 2023 DAK Jun-26 3,480 -
252 AMOXICILIN FORTE SYR 250 MG BOTOL 2023 DAK May-25 25 6,234 155,850
253 ANTASIDA DONE TAB TABLET 2023 DAK Apr-26 6,400 99 633,600
254 ANTIHEMAROID SUPPOS TUBE 2023 DAK Jul-25 150 3,413 511,950
255 ASAM MEFENAMAT 500 MG TABLET 2023 DAK Jul-25 130 -
256 BETAHISTIN 24 MG TAB TABLET 2023 DAK Jul-25 157 -
257 EASY TOUCH STIK ASAM URAT PCS 2023 DAK Oct-24 6,360 -
258 EASY TOUCH STIK KOLESTEROL PCS 2023 DAK Feb-25 26,900 -
259 EASY TOUCH STIK GLUCOSA PCS 2023 DAK Feb-25 6,360 -
260 EASY TOUCH STIK HEMOGLOBIN PCS 2023 DAK Aug-24 10,720 -
261 BETAMETASON KRIM 0,1 % TUBE 2023 DAK Jul-25 181 2,050 371,050
262 BLOOD LANCET 28 G PCS 2023 DAK Oct-27 14,377 -
263 CEFADROXIL 500 MG TABLET 2023 DAK May-25 3,500 830 2,905,000
264 CETIRIZIN 10 MG TABLET 2023 DAK Jul-25 3,400 76 258,400
265 CLINDAMYCIN 300 MG TAB BERNO TABLET 2023 DAK Sep-28 800 1,214 971,200
266 CLINDAMYCIN 300 MG TAB MEPRO TABLET 2023 DAK Aug-28 1,030 -
267 CTM 4 MG TAB TABLET 2023 DAK Jun-26 1,700 50 85,000
268 DEXAMETASON INJ AMPUL 2023 DAK Nov-25 1,152 -
269 DIAZEPAM 5 MG RECTAL / STESOLID TUBE 2023 DAK Sep-25 13,546 -
270 DIAZEPAM 10 MG RECTAL / STESOLID TUBE 2023 DAK Sep-25 19,693 -
271 DIPENHIDRAMIN INJ 10 MG VIAL 2023 DAK Apr-25 1,854 -
272 EPINEFRIN 0,1 % INJEKSI VIAL 2023 DAK Oct-26 3,885 -
273 ERITROMYCIN TAB TABLET 2023 DAK Jul-26 500 1,430 715,000
274 ERITROMYCIN SYR BOTOL 2023 DAK Aug-25 12,463 -
275 FOLID ACID 1 MG TABLET 2023 DAK Jul-25 73 -
276 FOLLEY CATHETER NO 16 PCS 2023 DAK Jan-28 10,900 -
277 GENTAMICIN KRIM TUBE 2023 DAK Sep-23 2,614 -
278 GLIMEPIRIDE TAB TABLET 2023 DAK Feb-27 198 -
279 GLUCOSA 5 % / D5 BOTOL 2023 DAK Jun-25 7,686 -
280 GLOVES STERIL FREE POWDER 6,5 PCS 2023 DAK Apr-28 9,900 -
281 GLOVES STERIL FREE POWDER 7,5 PCS 2023 DAK Apr-28 9,900 -
282 GLOVES POWDER LATEX L PCS 2023 DAK Mar-28 1,170 -
283 GLOVES POWDER LATEX S PCS 2023 DAK Jul-28 1,170 -
284 HIDROKLORTIAZID TABLET TABLET 2023 DAK Jul-25 155 -
285 HIDROKOTISON KRIM TUBE 2023 DAK Aug-25 224 2,870 642,880
286 IBUPROFEN 100 MG SYR BOTOL 2023 DAK Sep-25 3 2,870 8,610
287 IBUPROFEN 200 MG TABLET 2023 DAK Jul-26 3,800 157 596,600
288 IBUPROFEN 400 MG TABLET 2023 DAK Jun-25 1,000 195 195,000
289 INHAVENT CAIRAN INHALASI AMPUL 2023 DAK Mar-25 5,000 -
290 INFUS SET DEWASA TIPE Y PCS 2023 DAK Nov-28 7,500 -
291 IV CATHETER 18 G PCS 2023 DAK Sep-28 7,500 -

4
 SUMBER DANA
PENGANDAAN
SATUAN

TAHUN
HARGA JUMLAH HARGA
NO NAMA OBAT DAN BMHP SISA STOK KETERANGAN

ED
SATUAN (Rp.) (Rp.)

292 IV CATHETER 20 G PCS 2023 DAK Aug-28 7,500 -

293 IV CATHETER 22 G PCS 2023 DAK Jun-28 7,500 -
294 IV CATHETER 24 G PCS 2023 DAK Jun-28 7,500 -
295 IV CATHETER 26 G PCS 2023 DAK Aug-28 6,950 -
296 KASA HYDROFIL 2,5 YARD X 15 CM PCS 2023 DAK Jul-28 2,640 -
297 KASA HYDROFIL 40 YARD X 80 CM PCS 2023 DAK Jul-28 185,000 -
298 KASA HYDROFIL 16 X 16 PCS 2023 DAK Oct-28 7,000 -
299 KAPAS PEMBALUT 500 GR PCS 2023 DAK Oct-27 54,000 -
300 KETEKONAZOLE TAB TABLET 2023 DAK Jun-26 423 -
301 KETOROLAC INJ AMPUL 2023 DAK Jul-25 81 423 34,263
302 LIDOCAIN COMPUSITUM INJ AMPUL 2023 DAK Sep-25 1,710 -
303 LIDOCAIN HCL 2ML AMPUL 2023 DAK Oct-26 1,848 -
304 LORATADINE TAB 10 MG TABLET 2023 DAK Nov-26 1,200 115 138,000
305 MASKER OXIGEN PEDIATRIK PCS 2023 DAK Oct-28 11,500 -
306 MICONAZOLE KRIM TUBE 2023 DAK Jun-26 242 4,015 971,630
307 MINIASPI TABLET 2023 DAK Jan-25 3,500 216 756,000
308 NASAL OXYGEN CANNULA ANAK PCS 2023 DAK Jul-28 8,000 -
309 NACL INF BOTOL 2023 DAK May-25 258 7,673 1,979,634
310 NYSTATIN 100.000 IU TABLET 2023 DAK 1,610 -
311 OMEPRAZOLE INJ AMPUL 2023 DAK Jun-25 85 7,125 605,625
312 OMEPRAZOLE TAB TABLET 2023 DAK Apr-25 170 -
313 OXYGEN MASK DEWASA PCS 2023 DAK Oct-28 18,000 -
314 PARACETAMOL TAB TABLET 2023 DAK Jun-25 9,300 423 3,933,900
315 PARACETAMOL DROP BOTOL 2023 DAK Oct-26 6,331 -
316 PARACETAMOL SYR BOTOL 2023 DAK Sep-25 3,296 -
317 PERMETHRIN KRIM 5% TUBE 2023 DAK Jun-25 2,870 -
318 PHYTOMENADION (VIT. K1) 10 MG INJ AMPUL 2023 DAK Aug-25 114 3,819 435,366
319 PHYTOMENADION (VIT. K1) 10 MG TAB TABLET 2023 DAK Jun-26 900 1,055 949,500
320 RANITIDIN TAB TABLET 2023 DAK Feb-25 2,700 150 405,000
321 RINGER LACTAT INF BOTOL 2023 DAK Jul-25 206 7,649 1,575,694
322 SALEP 2-4 TUBE 2023 DAK Sep-25 4,150 -
323 SYRINGE 3 ML SERENITY TABLET 2023 DAK May-28 845 1,000 845,000
324 SYRINGE 1 ML PCS 2023 DAK Apr-28 1,050 -
325 SYRINGE 5 ML PCS 2023 DAK Jun-28 1,100 -
326 TIAMIN 50 MG (VIT B1) TABLET 2023 DAK Jun-25 88 -
327 TRIHEXYPHENIDYL 2 MG TABLET 2023 DAK Jun-25 126 -
328 URINE BAG PCS 2023 DAK Sep-28 44,000 -
329 VITAMIN B12 TABLET 2023 DAK Jun-25 51 -
330 ZINC SULFATE SYR 60 ML BOTOL 2023 DAK Oct-25 3,219 -

JUMLAH 125,175,462

Muara Kulam, 31 Desember 2023

Diperiksa Oleh, Dibuat Oleh,
Ka. UPTD Puskesmas Muara Kulam Pengelola Obat

dr. Tri Handayani apt. Aleksander,S.Farm

NIP.199003242019022008 NIP.198707162023211001

5
 PEMERINTAH KABUPATEN MUSI RAWAS UTARA
DINAS KESEHATAN
UPTD PUSKESMAS MUARA KULAM
Alamat : Jl. Kesehatan No 01 Kel, Muara Kulam Kec. Ulu Rawas

STOK OPNAME VAKSIN IMUNISASI DAN LOGISTIK

APBD DAN DAK KABUPATEN MUSI RAWAS UTARA
PER 31 DESEMBER 2023

SUMBER DANA
SATUAN

HARGA SATUAN JUMLAH HARGA

NO NAMA OBAT DAN BMHP SISA STOK KETERANGAN

ED
(Rp.) (Rp.)

1 BCG 20 dosis Vial Kemenkes RI 11/30/2024 4 98,000 392,000

2 DT 10 dosis Vial Kemenkes RI 12/21/2025 2 36,700 73,400
3 Hepatitis B Uniject 0,5 ml Pcs Kemenkes RI 5/31/2026 17 26,074 443,256
4 IPV 5 dosis Vial Kemenkes RI 9/30/2025 - 158,500 -
5 MR 10 dosis Vial Kemenkes RI 7/31/2024 44 169,386 7,452,984
6 PCV 4 dosis Vial Kemenkes RI 2/28/2026 - 190,657 -
7 Pentabio DPT-HB/Hib 5 dosis Vial Kemenkes RI 12/31/2023 - 85,877 -
8 Polio Bivalent 10 dosis (oral) Vial Kemenkes RI 2/28/2025 42 21,689 910,955
9 TD 10 dosis Vial Kemenkes RI 11/15/2025 19 23,000 437,000
10 Alat Suntik 0,05 ml Pcs Kemenkes RI 8/30/2025 - 1,460 -
11 Alat Suntik 0,5 ml Pcs Kemenkes RI 2/28/2027 924 1,190 1,099,560
12 Alat Suntik 5 ml Pcs Kemenkes RI 4/1/2027 26 0 -
13 Safety Box 2,5 Liter Pcs Kemenkes RI - - 0 -
14 Rotavac 5 dosis Vial Kemenkes RI 12/31/2027 6 0 -
15 HEP B DEWASA Vial Kemenkes RI 9/30/2023 52 51,351 2,670,270
JUMLAH 13,479,425

Muara Kulam, 31 Desember 2023

Diperiksa Oleh, Dibuat Oleh,
Ka. UPTD Puskesmas Muara Kulam Pengelola Obat

dr. Tri Handayani apt. Aleksander,S.Farm

NIP.199003242019022008 NIP.198707162023211001
 PEMERINTAH KABUPATEN MUSI RAWAS UTARA
DINAS KESEHATAN
UPTD PUSKESMAS MUARA KULAM
Alamat : Jl. Kesehatan No 01 Kel, Muara Kulam Kec. Ulu Rawas

DANA DAK DAN APBD KABUPATEN MUSI RAWAS UTARA

PER 31 DESEMBER 2023

HARGA SATUAN
SUMBER DANA
PENGADAAN

SISA STOCK
SATUAN
NO URAIAN

ED
1 Desinfektan ltr 2020 APBD Covid 70,000
2 Fluvir tab 2020 DAK COVID 19,800
3 Hand Sanitizer btl 2020 DAK COVID 84,132
4 Handscoon Steril pcs 2020 DAK COVID 13,178
5 Head lamp unit 2020 APBD Covid 179,000
6 HYLOQUIN tab 2020 DAK COVID 16,500
7 Ice Gel pcs 2020 APBD Covid 96 22,000
8 Masker Bedah pcs 2020 DAK COVID 5,400
9 Pehavral tab 2020 DAK COVID 893
10 Pipet mikro 100 µl bh 2020 APBD Covid 775,000
11 Pipet mikro 1000 µl bh 2020 APBD Covid 775,000
12 Pipet mikro 200 µl bh 2020 APBD Covid 775,000
13 Pipet mikro 500 µl bh 2020 APBD Covid 775,000
14 Proxidan (Vit. E) tab 2020 DAK COVID 4,125
15 Safety Box pcs 2020 APBD Covid 340 30,000
16 Sample cup stopper pcs 2020 APBD Covid 900
17 Styrofoam box box 2020 APBD Covid 55,000
18 Tabung edta pcs 2020 APBD Covid 1,270
19 Tip pipet (biru) pcs 2020 APBD Covid 170
20 Tip pipet (kuning) pcs 2020 APBD Covid 70
21 Tongue spatel pcs 2020 APBD Covid 200
22 Vitacee 500 mg tab 2020 DAK COVID 1,650
23 Zitrolin tab 2020 DAK COVID 33,250
Jumlah Total

Muara Kulam, 31 Desember 202

Diperiksa Oleh, Dibuat Oleh,
Ka. UPTD Puskesmas Muara Kulam Pengelola Obat
dr. Tri Handayani apt. Aleksander,S.Farm
NIP.199003242019022008 NIP.198707162023211001
S UTARA

Rawas

AS UTARA
KETERANGAN
JUMLAH

-
-
-
-
-
-
2,112,000
-
-
-
-
-
-
-
10,200,000
-
-
-
-
-
-
-
-
12,312,000

Muara Kulam, 31 Desember 2023

Dibuat Oleh,
Pengelola Obat
apt. Aleksander,S.Farm
NIP.198707162023211001