Stok Akhir Tahun 2023 PKM Gentungan

DAFTAR PERSEDIAAN OBAT/BHP MEDIS PER 31 DESEMBER 2023
GUDANG FARMASI PUSKESMAS GENTUNGAN

SISA STOK OBAT
NO Nama Obat Kemasan SISA STOK PER 31 DESEMBER 2022 PENERIMAAN OBAT PER 31 DESEMBER 2023 TOTAL JUMLAH OBAT TOTAL DISTRIBUSI OBAT
PER 31 DESEMBER 2023
Vol Harga 2022 Jumlah Vol Harga Jumlah Vol Harga Jumlah Vol Harga Jumlah Vol Harga Jumlah
1 Acetyl Cysteine Ktk 60 tab 240 Rp 317.00 Rp 76,080.00 Rp 317.00 Rp - 240 Rp 317.00 Rp 76,080.00 240 Rp 317.00 Rp 76,080.00 0 Rp 317.00 Rp -
2 Acetyl Cysteine ktk 100 tab 0 Rp 1,110.00 Rp - 2400 Rp 1,110.00 Rp 2,664,000.00 2400 Rp 1,110.00 Rp 2,664,000.00 1500 Rp 1,110.00 Rp 1,665,000.00 900 Rp 1,110.00 Rp 999,000.00
3 Acyclovir 400 mg Ktk 100 tab 900 Rp 1,440.00 Rp 1,296,000.00 Rp 1,440.00 Rp - 900 Rp 1,440.00 Rp 1,296,000.00 900 Rp 1,440.00 Rp 1,296,000.00 0 Rp 1,440.00 Rp -
4 Acyclovir 400 mg Ktk 100 tab 0 Rp 900.00 Rp - 1400 Rp 900.00 Rp 1,260,000.00 1400 Rp 900.00 Rp 1,260,000.00 1200 Rp 900.00 Rp 1,080,000.00 200 Rp 900.00 Rp 180,000.00
5 Aqua Pro Injection Ktk 100 tab 0 Rp 2,955.00 Rp - 70 Rp 2,955.00 Rp 206,850.00 70 Rp 2,955.00 Rp 206,850.00 31 Rp 2,955.00 Rp 91,605.00 39 Rp 2,955.00 Rp 115,245.00
6 Allopurinol tab 100 mg Ktk 100 tab 4600 Rp 89.00 Rp 409,400.00 Rp 89.00 Rp - 4600 Rp 89.00 Rp 409,400.00 4600 Rp 89.00 Rp 409,400.00 Rp 89.00 Rp -
7 Allopurinol tab 100 mg Ktk 100 tab Rp 270.00 2000 Rp 270.00 Rp 540,000.00 2000 Rp 270.00 Rp 540,000.00 2000 Rp 270.00 Rp 540,000.00 Rp 270.00 Rp -
8 Alprazolam 0,25 mg Ktk 100 tab 200 Rp 629.00 Rp 125,800.00 Rp 629.00 Rp - 200 Rp 629.00 Rp 125,800.00 200 Rp 629.00 Rp 125,800.00 Rp 629.00 Rp -
9 Alprazolam 0.5 mg Ktk 100 tab 300 Rp 78.00 Rp 23,400.00 Rp 78.00 Rp - 300 Rp 78.00 Rp 23,400.00 300 Rp 78.00 Rp 23,400.00 Rp 78.00 Rp -
10 Alprazolam 0.5 mg Ktk 100 tab Rp 182.00 1000 Rp 182.00 Rp 182,000.00 1000 Rp 182.00 Rp 182,000.00 100 Rp 182.00 Rp 18,200.00 900 Rp 182.00 Rp 163,800.00
11 Ambroxol Tab Ktk 100 tab 0 Rp 210.00 Rp - 21000 Rp 210.00 Rp 4,410,000.00 21000 Rp 210.00 Rp 4,410,000.00 7900 Rp 210.00 Rp 1,659,000.00 13100 Rp 210.00 Rp 2,751,000.00
12 Amlodipin 5mg ktk 50 tab 0 Rp 107.00 Rp - 6000 Rp 107.00 Rp 642,000.00 6000 Rp 107.00 Rp 642,000.00 0 Rp 107.00 Rp - 6000 Rp 107.00 Rp 642,000.00
13 Acyclovir Krim Ktk 10x10 tab 0 Rp 2,898.00 Rp - 50 Rp 2,898.00 Rp 144,900.00 50 Rp 2,898.00 Rp 144,900.00 25 Rp 2,898.00 Rp 72,450.00 25 Rp 2,898.00 Rp 72,450.00
14 Aminofilin 200 mg tab Btl 100 tab 0 Rp 131.00 Rp - 1000 Rp 131.00 Rp 131,000.00 1000 Rp 131.00 Rp 131,000.00 100 Rp 131.00 Rp 13,100.00 900 Rp 131.00 Rp 117,900.00
15 Amoxicillin 500 mg Caplet Ktk 100 tab 0 Rp 655.00 Rp - 40000 Rp 655.00 Rp 26,200,000.00 40000 Rp 655.00 Rp 26,200,000.00 36800 Rp 655.00 Rp 24,104,000.00 3200 Rp 655.00 Rp 2,096,000.00
16 Amoxicillin 500 mg Caplet Ktk 100 tab 0 Rp 191.00 Rp - Rp 191.00 Rp - 0 Rp 191.00 Rp - 0 Rp 191.00 Rp - Rp 191.00 Rp -
17 Amiptriptillin 25 mg Ktk 100 tab 800 Rp 83.50 Rp 66,800.00 Rp 83.50 Rp - 800 Rp 83.50 Rp 66,800.00 800 Rp 83.50 Rp 66,800.00 0 Rp 83.50 Rp -
18 Amiptriptillin 25 mg Ktk 100 tab Rp 167.00 500 Rp 167.00 Rp 83,500.00 500 Rp 167.00 Rp 83,500.00 0 Rp 167.00 Rp - 500 Rp 167.00 Rp 83,500.00
19 Amlodipin tab ktk 50 tab 39300 Rp 55.00 Rp 2,161,500.00 Rp 55.00 Rp - 39300 Rp 55.00 Rp 2,161,500.00 30150 Rp 55.00 Rp 1,658,250.00 9150 Rp 55.00 Rp 503,250.00
20 Amoxicillin sirup 125 mg/5 ml Btl 60 ml 0 Rp 6,237.00 Rp - 300 Rp 6,237.00 Rp 1,871,100.00 300 Rp 6,237.00 Rp 1,871,100.00 0 Rp 6,237.00 Rp - 300 Rp 6,237.00 Rp 1,871,100.00
21 Amoxicillin 500 mg Caplet Ktk 200 tab 36800 Rp 231.00 Rp 8,500,800.00 16400 Rp 231.00 Rp 3,788,400.00 53200 Rp 231.00 Rp 12,289,200.00 53200 Rp 231.00 Rp 12,289,200.00 0 Rp 231.00 Rp -
22 Amoxicillin sirup 125 mg/5 ml Btl 60 ml 540 Rp 2,050.00 Rp 1,107,000.00 Rp 2,050.00 Rp - 540 Rp 2,050.00 Rp 1,107,000.00 495 Rp 2,050.00 Rp 1,014,750.00 45 Rp 2,050.00 Rp 92,250.00
23 Amoxicillin sirup 250 mg/5 ml Btl 60 ml 95 Rp 3,510.00 Rp 333,450.00 Rp 3,510.00 Rp - 95 Rp 3,510.00 Rp 333,450.00 95 Rp 3,510.00 Rp 333,450.00 0 Rp 3,510.00 Rp -
24 Antasida Syrup botol 0 Rp 655.00 Rp - Rp 655.00 Rp - 0 Rp 655.00 Rp - 0 Rp 655.00 Rp - Rp 655.00 Rp -
25 Antasida DOEN tab ktk 100 0 Rp 108.00 Rp - 18800 Rp 108.00 Rp 2,030,400.00 18800 Rp 108.00 Rp 2,030,400.00 18000 Rp 108.00 Rp 1,944,000.00 800 Rp 108.00 Rp 86,400.00
26 Anti Fungi DOEN Ktk 24 pot 0 Rp 3,637.00 Rp - Rp 3,637.00 Rp - 0 Rp 3,637.00 Rp - 0 Rp 3,637.00 Rp - Rp 3,637.00 Rp -
27 Antasida DOEN tab Ktk 100 tab 0 Rp 54.00 Rp - Rp 54.00 Rp - 0 Rp 54.00 Rp - 0 Rp 54.00 Rp - Rp 54.00 Rp -
28 Asam Ascorbat 50 mg Ktk 100 tab 0 Rp 120.00 Rp - Rp 120.00 Rp - 0 Rp 120.00 Rp - 0 Rp 120.00 Rp - Rp 120.00 Rp -
29 Antasida Syrup Botol 0 Rp 1,756.00 Rp - Rp 1,756.00 Rp - 0 Rp 1,756.00 Rp - 0 Rp 1,756.00 Rp - Rp 1,756.00 Rp -
30 Anti Bakteri/Bacitracin krim Ktk 25 tube 0 Rp 4,800.00 Rp - 50 Rp 4,800.00 Rp 240,000.00 50 Rp 4,800.00 Rp 240,000.00 25 Rp 4,800.00 Rp 120,000.00 25 Rp 4,800.00 Rp 120,000.00
31 Anti Hemoroid DOEN Ktk 10 pcs 0 Rp 3,738.00 Rp - 100 Rp 3,738.00 Rp 373,800.00 100 Rp 3,738.00 Rp 373,800.00 0 Rp 3,738.00 Rp - 100 Rp 3,738.00 Rp 373,800.00
32 Antihemoroid Kombinasi ktk 10 supp 40 Rp 3,260.00 Rp 130,400.00 Rp 3,260.00 Rp - 40 Rp 3,260.00 Rp 130,400.00 30 Rp 3,260.00 Rp 97,800.00 10 Rp 3,260.00 Rp 32,600.00
33 Betametason cream 0,1% Ktk 25 tube 0 Rp 2,812.00 Rp - Rp 2,812.00 Rp - 0 Rp 2,812.00 Rp - 0 Rp 2,812.00 Rp - Rp 2,812.00 Rp -
34 Asam Ascorbat 50 mg Ktk 100 tab 40100 Rp 46.00 Rp 1,844,600.00 Rp 46.00 Rp - 40100 Rp 46.00 Rp 1,844,600.00 40100 Rp 46.00 Rp 1,844,600.00 Rp 46.00 Rp -
35 Asam Mefenamat 500mg Ktk 100 tab 42600 Rp 117.00 Rp 4,984,200.00 19300 Rp 117.00 Rp 2,258,100.00 61900 Rp 117.00 Rp 7,242,300.00 61900 Rp 117.00 Rp 7,242,300.00 Rp 117.00 Rp -
36 Asam Traneksamat 50mg/ml inj. ampul 10 Rp 8,545.45 Rp 85,454.50 Rp 8,545.45 Rp - 10 Rp 8,545.45 Rp 85,454.50 10 Rp 8,545.45 Rp 85,454.50 0 Rp 8,545.45 Rp -
37 Asam Traneksamat 50mg/ml inj. ampul Rp 5,328.00 30 Rp 5,328.00 Rp 159,840.00 30 Rp 5,328.00 Rp 159,840.00 6 Rp 5,328.00 Rp 31,968.00 24 Rp 5,328.00 Rp 127,872.00
38 Atropin injeksi 0.25mg/,l Ampul 5 Rp 5,550.00 Rp 27,750.00 Rp 5,550.00 Rp - 5 Rp 5,550.00 Rp 27,750.00 4 Rp 5,550.00 Rp 22,200.00 1 Rp 5,550.00 Rp 5,550.00
39 Atropin injeksi 0.25mg/,l Ampul Rp 3,778.00 3 Rp 3,778.00 Rp 11,334.00 3 Rp 3,778.00 Rp 11,334.00 0 Rp 3,778.00 Rp - 3 Rp 3,778.00 Rp 11,334.00
40 Betahistin tab ktk 100 tab 1100 Rp 92.00 Rp 101,200.00 Rp 92.00 Rp - 1100 Rp 92.00 Rp 101,200.00 1100 Rp 92.00 Rp 101,200.00 0 Rp 92.00 Rp -
41 Betahistin tab Ktk 100 tab 0 Rp 610.00 Rp - 2500 Rp 610.00 Rp 1,525,000.00 2500 Rp 610.00 Rp 1,525,000.00 1500 Rp 610.00 Rp 915,000.00 1000 Rp 610.00 Rp 610,000.00
42 Betametason cream 0,1% Ktk 25 tube 110 Rp 1,520.00 Rp 167,200.00 Rp 1,520.00 Rp - 110 Rp 1,520.00 Rp 167,200.00 110 Rp 1,520.00 Rp 167,200.00 0 Rp 1,520.00 Rp -
43 Betametason cream 0,1% Ktk 25 tube Rp 2,100.00 275 Rp 2,100.00 Rp 577,500.00 275 Rp 2,100.00 Rp 577,500.00 225 Rp 2,100.00 Rp 472,500.00 50 Rp 2,100.00 Rp 105,000.00
44 Bisakodil 5mg tab Ktk 100 tab 0 Rp 168.00 Rp - 500 Rp 168.00 Rp 84,000.00 500 Rp 168.00 Rp 84,000.00 100 Rp 168.00 Rp 16,800.00 400 Rp 168.00 Rp 67,200.00
45 Captopril 25 mg Ktk 100 tab 300 Rp 75.00 Rp 22,500.00 Rp 75.00 Rp - 300 Rp 75.00 Rp 22,500.00 300 Rp 75.00 Rp 22,500.00 0 Rp 75.00 Rp -
46 Chlorpheniramine maleat tab Ktk 100 tab 0 Rp 151.43 Rp - Rp 151.43 Rp - 0 Rp 151.43 Rp - 0 Rp 151.43 Rp - Rp 151.43 Rp -
47 Chlorpromazine 100 mg tab Ktk 100 tab 0 Rp 170.00 Rp - Rp 170.00 Rp - 0 Rp 170.00 Rp - 0 Rp 170.00 Rp - Rp 170.00 Rp -
48 Carbamazepin 200mg tab Ktk 100 tab 300 Rp 216.00 Rp 64,800.00 Rp 216.00 Rp - 300 Rp 216.00 Rp 64,800.00 300 Rp 216.00 Rp 64,800.00 0 Rp 216.00 Rp -
49 Chlorpromazine 25 mg Prov Ktk 100 tab 0 Rp 208.00 Rp - Rp 208.00 Rp - 0 Rp 208.00 Rp - 0 Rp 208.00 Rp - Rp 208.00 Rp -
50 Carbamazepin 200mg tab Ktk 100 tab 0 Rp 196.63 Rp - 600 Rp 196.63 Rp 117,978.00 600 Rp 196.63 Rp 117,978.00 600 Rp 196.63 Rp 117,978.00 0 Rp 196.63 Rp -
51 Cefotaxim injeksi Vial 0 Rp 6,740.00 Rp - 10 Rp 6,740.00 Rp 67,400.00 10 Rp 6,740.00 Rp 67,400.00 0 Rp 6,740.00 Rp - 10 Rp 6,740.00 Rp 67,400.00
52 Cetirizine tab ktk 100 tab 0 Rp 123.00 Rp - 26000 Rp 123.00 Rp 3,198,000.00 26000 Rp 123.00 Rp 3,198,000.00 12000 Rp 123.00 Rp 1,476,000.00 14000 Rp 123.00 Rp 1,722,000.00
53 Channa Fit ktk 100 tab 0 Rp 3,330.00 Rp - 120 Rp 3,330.00 Rp 399,600.00 120 Rp 3,330.00 Rp 399,600.00 82 Rp 3,330.00 Rp 273,060.00 38 Rp 3,330.00 Rp 126,540.00
54 Channa Fola Ktk 100 tab 0 Rp 5,494.50 Rp - 1440 Rp 5,494.50 Rp 7,912,080.00 1440 Rp 5,494.50 Rp 7,912,080.00 1440 Rp 5,494.50 Rp 7,912,080.00 0 Rp 5,494.50 Rp -
55 Channa Boost Tube 0 Rp 5,494.50 Rp - 90 Rp 5,494.50 Rp 494,505.00 90 Rp 5,494.50 Rp 494,505.00 90 Rp 5,494.50 Rp 494,505.00 0 Rp 5,494.50 Rp -
56 Chlorampenicol Salep Mata Tube 0 Rp 14,572.00 Rp - Rp 14,572.00 Rp - 0 Rp 14,572.00 Rp - 0 Rp 14,572.00 Rp - Rp 14,572.00 Rp -
57 Erythromicin 500 mg Ktk 100 0 Rp 900.00 Rp - Rp 900.00 Rp - 0 Rp 900.00 Rp - 0 Rp 900.00 Rp - Rp 900.00 Rp -
58 Chloramphenicol susp btl 3 Rp 15,060.00 Rp 45,180.00 Rp 15,060.00 Rp - 3 Rp 15,060.00 Rp 45,180.00 3 Rp 15,060.00 Rp 45,180.00 0 Rp 15,060.00 Rp -
59 Chloramphenicol 250mg Ktk 100 cap 0 Rp 614.00 Rp - 4000 Rp 614.00 Rp 2,456,000.00 4000 Rp 614.00 Rp 2,456,000.00 1900 Rp 614.00 Rp 1,166,600.00 2100 Rp 614.00 Rp 1,289,400.00
60 Chloramphenicol 250mg Ktk 100 cap 0 Rp 1,000.00 Rp - Rp 1,000.00 Rp - 0 Rp 1,000.00 Rp - 0 Rp 1,000.00 Rp - 0 Rp 1,000.00 Rp -
61 Chloramphenicol tetes telinga botol 0 Rp 13,945.00 Rp - Rp 13,945.00 Rp - 0 Rp 13,945.00 Rp - 0 Rp 13,945.00 Rp - Rp 13,945.00 Rp -
62 Furosemide tab 40 mg ktk 200 tab 0 Rp 84.00 Rp - Rp 84.00 Rp - 0 Rp 84.00 Rp - 0 Rp 84.00 Rp - Rp 84.00 Rp -
63 Chlorpheniramine maleat tab Ktk 100 tab 0 Rp 74.00 Rp - 59000 Rp 74.00 Rp 4,366,000.00 59000 Rp 74.00 Rp 4,366,000.00 54700 Rp 74.00 Rp 4,047,800.00 4300 Rp 74.00 Rp 318,200.00
64 Chlorpromazine 100 mg Prov Ktk 100 tab 100 Rp 903.47 Rp 90,346.67 Rp 903.47 Rp - 100 Rp 903.47 Rp 90,346.67 100 Rp 903.47 Rp 90,346.67 0 Rp 903.47 Rp -
Chlorpromazine 100 mg Prov Ktk 100 tab Rp 525.00 3000 Rp 525.00 Rp 1,575,000.00 3000 Rp 525.00 Rp 1,575,000.00 900 Rp 525.00 Rp 472,500.00 2100 Rp 525.00 Rp 1,102,500.00
66 Ciprofloxacin 500 mg Ktk 100 tab 2700 Rp 260.00 Rp 702,000.00 Rp 260.00 Rp - 2700 Rp 260.00 Rp 702,000.00 2700 Rp 260.00 Rp 702,000.00 0 Rp 260.00 Rp -
Ciprofloxacin 500 mg Ktk 100 tab Rp 570.00 3000 Rp 570.00 Rp 1,710,000.00 3000 Rp 570.00 Rp 1,710,000.00 1800 Rp 570.00 Rp 1,026,000.00 1200 Rp 570.00 Rp 684,000.00
68 Gentamisin salep kulit tube 0 Rp 4,901.00 Rp - Rp 4,901.00 Rp - 0 Rp 4,901.00 Rp - 0 Rp 4,901.00 Rp - Rp 4,901.00 Rp -
69 Clozapine 25 mg Ktk 50 tab 0 Rp 560.50 Rp - 1000 Rp 560.50 Rp 560,500.00 1000 Rp 560.50 Rp 560,500.00 750 Rp 560.50 Rp 420,375.00 250 Rp 560.50 Rp 140,125.00
70 Clozapine 25 mg Ktk 50 tab 50 Rp 1,121.00 Rp 56,050.00 Rp 1,121.00 Rp - 50 Rp 1,121.00 Rp 56,050.00 50 Rp 1,121.00 Rp 56,050.00 0 Rp 1,121.00 Rp -
71 Combivent Ampul 2.5 ml ktk 10 Ampul 7 Rp 46,500.00 Rp 325,500.00 Rp 46,500.00 Rp - 7 Rp 46,500.00 Rp 325,500.00 7 Rp 46,500.00 Rp 325,500.00 Rp 46,500.00 Rp -
72 Griseofulvin Btl 100 tab 0 Rp 238.00 Rp - Rp 238.00 Rp - 0 Rp 238.00 Rp - 0 Rp 238.00 Rp - Rp 238.00 Rp -
73 Dexamethazone 0.5 mg tab Ktk 100 tab 0 Rp 116.00 Rp - 92300 Rp 116.00 Rp 10,706,800.00 92300 Rp 116.00 Rp 10,706,800.00 78900 Rp 116.00 Rp 9,152,400.00 13400 Rp 116.00 Rp 1,554,400.00
74 Guaifenesin tablet Ktk 100 tab 0 Rp 120.00 Rp - Rp 120.00 Rp - 0 Rp 120.00 Rp - 0 Rp 120.00 Rp - Rp 120.00 Rp -
75 Dexamethazone inj 5 mg/ml ampul 0 Rp 1,420.00 Rp - 50 Rp 1,420.00 Rp 71,000.00 50 Rp 1,420.00 Rp 71,000.00 25 Rp 1,420.00 Rp 35,500.00 25 Rp 1,420.00 Rp 35,500.00
76 Diazepam enema 5mg/2.5ml tube 0 Rp 10,545.00 Rp - 15 Rp 10,545.00 Rp 158,175.00 15 Rp 10,545.00 Rp 158,175.00 10 Rp 10,545.00 Rp 105,450.00 5 Rp 10,545.00 Rp 52,725.00
77 Diazepam 2 mg tab Ktk 100 tab 2900 Rp 85.00 Rp 246,500.00 Rp 85.00 Rp - 2900 Rp 85.00 Rp 246,500.00 1300 Rp 85.00 Rp 110,500.00 1600 Rp 85.00 Rp 136,000.00
78 Difenhidramin inj 10mg/ml ktk 30 ampul 32 Rp 1,222.00 Rp 39,104.00 30 Rp 1,222.00 Rp 36,660.00 62 Rp 1,222.00 Rp 75,764.00 62 Rp 1,222.00 Rp 75,764.00 0 Rp 1,222.00 Rp -
79 Difenhidramin inj 10mg/ml ampul 0 Rp 1,760.00 Rp - 25 Rp 1,760.00 Rp 44,000.00 25 Rp 1,760.00 Rp 44,000.00 20 Rp 1,760.00 Rp 35,200.00 5 Rp 1,760.00 Rp 8,800.00
80 Digoksin 0.25 mg ktk 100 tab 200 Rp 281.40 Rp 56,280.00 Rp 281.40 Rp - 200 Rp 281.40 Rp 56,280.00 0 Rp 281.40 Rp - 200 Rp 281.40 Rp 56,280.00
81 Domperidone syr botol 0 Rp 7,700.00 Rp - 28 Rp 7,700.00 Rp 215,600.00 28 Rp 7,700.00 Rp 215,600.00 28 Rp 7,700.00 Rp 215,600.00 Rp 7,700.00 Rp -
82 Domperidone tab Ktk 100 tab 6900 Rp 68.18 Rp 470,455.80 Rp 68.18 Rp - 6900 Rp 68.18 Rp 470,455.80 2400 Rp 68.18 Rp 163,636.80 4500 Rp 68.18 Rp 306,819.00
83 Eritromiin 500 mg Ktk 100 kap 0 Rp 820.00 Rp - 500 Rp 820.00 Rp 410,000.00 500 Rp 820.00 Rp 410,000.00 0 Rp 820.00 Rp - 500 Rp 820.00 Rp 410,000.00
84 Dumin Rectal supp 5 Rp 24,850.00 Rp 124,250.00 Rp 24,850.00 Rp - 5 Rp 24,850.00 Rp 124,250.00 5 Rp 24,850.00 Rp 124,250.00 0 Rp 24,850.00 Rp -
85 Ephinefrin HCl Injeksi ampul 0 Rp 10,500.00 Rp - 5 Rp 10,500.00 Rp 52,500.00 5 Rp 10,500.00 Rp 52,500.00 5 Rp 10,500.00 Rp 52,500.00 0 Rp 10,500.00 Rp -
86 Epinefrin inj 0.1% ampul 12 Rp 6,900.00 Rp 82,800.00 Rp 6,900.00 Rp - 12 Rp 6,900.00 Rp 82,800.00 12 Rp 6,900.00 Rp 82,800.00 0 Rp 6,900.00 Rp -
87 Kalsium Laktat 500 mg Ktk 100 tab 0 Rp 63.00 Rp - Rp 63.00 Rp - 0 Rp 63.00 Rp - 0 Rp 63.00 Rp - Rp 63.00 Rp -
88 Ethyl Chlorida Spray botol 17 Rp 205,000.00 Rp 3,485,000.00 Rp 205,000.00 Rp - 17 Rp 205,000.00 Rp 3,485,000.00 10 Rp 205,000.00 Rp 2,050,000.00 7 Rp 205,000.00 Rp 1,435,000.00
89 Fenobarbital 30 mg tab Btl 100 1500 Rp 177.00 Rp 265,500.00 Rp 177.00 Rp - 1500 Rp 177.00 Rp 265,500.00 1500 Rp 177.00 Rp 265,500.00 Rp 177.00 Rp -
90 Fitomenadion Injeksi 2 mg/ml Ktk 10 Amp 0 Rp 4,990.00 Rp - 200 Rp 4,990.00 Rp 998,000.00 200 Rp 4,990.00 Rp 998,000.00 60 Rp 4,990.00 Rp 299,400.00 140 Rp 4,990.00 Rp 698,600.00
91 Fitomenadion Injeksi 2 mg/ml Ktk 30 Amp 60 Rp 1,452.00 Rp 87,120.00 Rp 1,452.00 Rp - 60 Rp 1,452.00 Rp 87,120.00 60 Rp 1,452.00 Rp 87,120.00 Rp 1,452.00 Rp -
92 Lidokain injeksi Ktk 30 ampul 0 Rp 1,317.00 Rp - Rp 1,317.00 Rp - 0 Rp 1,317.00 Rp - 0 Rp 1,317.00 Rp - Rp 1,317.00 Rp -
93 Fitomenadion tab 10 mg Ktk 100 tab 0 Rp 790.00 Rp - Rp 790.00 Rp - 0 Rp 790.00 Rp - 0 Rp 790.00 Rp - Rp 790.00 Rp -
94 Fitomenadion tab 10 mg Ktk 100 tab 1800 Rp 781.00 Rp 1,405,800.00 Rp 781.00 Rp - 1800 Rp 781.00 Rp 1,405,800.00 600 Rp 781.00 Rp 468,600.00 1200 Rp 781.00 Rp 937,200.00
95 Furosemide tab 40 mg ktk 200 tab 800 Rp 123.55 Rp 98,840.00 Rp 123.55 Rp - 800 Rp 123.55 Rp 98,840.00 0 Rp 123.55 Rp - 800 Rp 123.55 Rp 98,840.00
96 Meloxicam 15 mg tab ktk 100 tab 0 Rp 251.70 Rp - Rp 251.70 Rp - 0 Rp 251.70 Rp - 0 Rp 251.70 Rp - Rp 251.70 Rp -
97 Garam Oralit Ktk 100 bks 1100 Rp 275.00 Rp 302,500.00 Rp 275.00 Rp - 1100 Rp 275.00 Rp 302,500.00 1100 Rp 275.00 Rp 302,500.00 Rp 275.00 Rp -
98 Gentamisin sulfat salep mata tube 0 Rp 6,127.00 Rp - 24 Rp 6,127.00 Rp 147,048.00 24 Rp 6,127.00 Rp 147,048.00 24 Rp 6,127.00 Rp 147,048.00 Rp 6,127.00 Rp -
99 Gentamisin sulfat Salep Kulit ktk 24 btl 0 Rp 2,780.00 Rp - 150 Rp 2,780.00 Rp 417,000.00 150 Rp 2,780.00 Rp 417,000.00 50 Rp 2,780.00 Rp 139,000.00 100 Rp 2,780.00 Rp 278,000.00
100 Gentamisin sulfat tetes mata ktk 24 btl 24 Rp 5,217.00 Rp 125,208.00 Rp 5,217.00 Rp - 24 Rp 5,217.00 Rp 125,208.00 24 Rp 5,217.00 Rp 125,208.00 Rp 5,217.00 Rp -
101 Glibenclamid Ktk 100 tab 0 Rp 137.00 Rp - Rp 137.00 Rp - 0 Rp 137.00 Rp - 0 Rp 137.00 Rp - Rp 137.00 Rp -
102 Metoklopramid inj 10 mg/ml ktk 10 ampul 0 Rp 4,554.00 Rp - Rp 4,554.00 Rp - 0 Rp 4,554.00 Rp - 0 Rp 4,554.00 Rp - Rp 4,554.00 Rp -
103 Glimepirid 2 mg ktk 100 tab 0 Rp 317.00 Rp - 1000 Rp 317.00 Rp 317,000.00 1000 Rp 317.00 Rp 317,000.00 850 Rp 317.00 Rp 269,450.00 150 Rp 317.00 Rp 47,550.00
Glukosa larutan infus 5% btl 500ml Rp 7,686.00 20 Rp 7,686.00 Rp 153,720.00 20 Rp 7,686.00 Rp 153,720.00 20 Rp 7,686.00 Rp 153,720.00 Rp 7,686.00 Rp -
105 Glukosa larutan infus 5% btl 500ml 5 Rp 6,627.00 Rp 33,135.00 Rp 6,627.00 Rp - 5 Rp 6,627.00 Rp 33,135.00 5 Rp 6,627.00 Rp 33,135.00 Rp 6,627.00 Rp -
106 Griseofulvin Btl 100 tab 1800 Rp 210.00 Rp 378,000.00 Rp 210.00 Rp - 1800 Rp 210.00 Rp 378,000.00 900 Rp 210.00 Rp 189,000.00 900 Rp 210.00 Rp 189,000.00
107 Guaifenesin 100 mg Ktk 100 tab 0 Rp 100.00 Rp - 44000 Rp 100.00 Rp 4,400,000.00 44000 Rp 100.00 Rp 4,400,000.00 36800 Rp 100.00 Rp 3,680,000.00 7200 Rp 100.00 Rp 720,000.00
108 MgSO4 40% injeksi botol 25 ml 0 Rp 3,796.00 Rp - Rp 3,796.00 Rp - 0 Rp 3,796.00 Rp - 0 Rp 3,796.00 Rp - Rp 3,796.00 Rp -
109 Haloperidol 5 mg Ktk 100 tab 0 Rp 60.00 Rp - Rp 60.00 Rp - 0 Rp 60.00 Rp - 0 Rp 60.00 Rp - Rp 60.00 Rp -
110 Asetil Salisilat 80 mg ktk 100 tab 0 Rp 89.00 Rp - Rp 89.00 Rp - 0 Rp 89.00 Rp - 0 Rp 89.00 Rp - Rp 89.00 Rp -
111 Haloperidol tab 5 mg Ktk 100 tab 0 Rp 227.00 Rp - 3000 Rp 227.00 Rp 681,000.00 3000 Rp 227.00 Rp 681,000.00 2100 Rp 227.00 Rp 476,700.00 900 Rp 227.00 Rp 204,300.00
112 Haloperidol tab 1.5 mg Ktk 100 tab 0 Rp 212.00 Rp - 1000 Rp 212.00 Rp 212,000.00 1000 Rp 212.00 Rp 212,000.00 600 Rp 212.00 Rp 127,200.00 400 Rp 212.00 Rp 84,800.00
Hiosina BB 10 mg (Scopma) Ktk 100 tab Rp 743.00 1000 Rp 743.00 Rp 743,000.00 1000 Rp 743.00 Rp 743,000.00 200 Rp 743.00 Rp 148,600.00 800 Rp 743.00 Rp 594,400.00
114 Hiosina Butilbromida 10 mg Ktk 100 tab 1600 Rp 1,050.00 Rp 1,680,000.00 Rp 1,050.00 Rp - 1600 Rp 1,050.00 Rp 1,680,000.00 1600 Rp 1,050.00 Rp 1,680,000.00 0 Rp 1,050.00 Rp -
115 Hydroclorthiazid (HCT) Ktk 100 tab 500 Rp 178.00 Rp 89,000.00 Rp 178.00 Rp - 500 Rp 178.00 Rp 89,000.00 300 Rp 178.00 Rp 53,400.00 200 Rp 178.00 Rp 35,600.00
116 Hydrokortison cream Ktk 24 tube 196 Rp 2,325.00 Rp 455,700.00 Rp 2,325.00 Rp - 196 Rp 2,325.00 Rp 455,700.00 178 Rp 2,325.00 Rp 413,850.00 18 Rp 2,325.00 Rp 41,850.00
117 Ibuprofen 400 mg Ktk 100 tab 16600 Rp 448.00 Rp 7,436,800.00 Rp 448.00 Rp - 16600 Rp 448.00 Rp 7,436,800.00 16600 Rp 448.00 Rp 7,436,800.00 Rp 448.00 Rp -
118 Ibuprofen 400 mg Btl 60 ml 0 Rp 199.00 Rp - 13200 Rp 199.00 Rp 2,626,800.00 13200 Rp 199.00 Rp 2,626,800.00 3300 Rp 199.00 Rp 656,700.00 9900 Rp 199.00 Rp 1,970,100.00
119 Ibuprofen suspensi btl 60 ml 0 Rp 3,392.00 Rp - Rp 3,392.00 Rp - 0 Rp 3,392.00 Rp - 0 Rp 3,392.00 Rp - Rp 3,392.00 Rp -
120 Ibuprofen tab 200 mg Btl 100 tab 0 Rp 257.40 Rp - Rp 257.40 Rp - 0 Rp 257.40 Rp - 0 Rp 257.40 Rp - Rp 257.40 Rp -
121 Isosorbid dinihrat 5 mg tab ktk 10 tab 0 Rp 89.00 Rp - Rp 89.00 Rp - 0 Rp 89.00 Rp - 0 Rp 89.00 Rp - Rp 89.00 Rp -
122 Kalsium Laktat Btl 100 tab 0 Rp 54.55 Rp - Rp 54.55 Rp - 0 Rp 54.55 Rp - 0 Rp 54.55 Rp - Rp 54.55 Rp -
123 Kalsium Laktat 500 mg Ktk 100 tab 49400 Rp 60.00 Rp 2,964,000.00 Rp 60.00 Rp - 49400 Rp 60.00 Rp 2,964,000.00 22700 Rp 60.00 Rp 1,362,000.00 26700 Rp 60.00 Rp 1,602,000.00
124 Ketoconazole krim Ktk 0 Rp 2,694.00 Rp - Rp 2,694.00 Rp - 0 Rp 2,694.00 Rp - 0 Rp 2,694.00 Rp - Rp 2,694.00 Rp -
125 Ketokonazol 200 mg Ktk 100 tab 500 Rp 143.00 Rp 71,500.00 Rp 143.00 Rp - 500 Rp 143.00 Rp 71,500.00 500 Rp 143.00 Rp 71,500.00 Rp 143.00 Rp -
126 Ketorolac inj 30 mg/ml ampul 10 Rp 923.00 Rp 9,230.00 Rp 923.00 Rp - 10 Rp 923.00 Rp 9,230.00 10 Rp 923.00 Rp 9,230.00 Rp 923.00 Rp -
127 Ketorolac inj 30 mg/ml ampul 0 Rp 6,000.00 Rp - 50 Rp 6,000.00 Rp 300,000.00 50 Rp 6,000.00 Rp 300,000.00 40 Rp 6,000.00 Rp 240,000.00 10 Rp 6,000.00 Rp 60,000.00
Kotrimoksasol 480 mg ktk 100 tab Rp 320.00 7000 Rp 320.00 Rp 2,240,000.00 7000 Rp 320.00 Rp 2,240,000.00 5000 Rp 320.00 Rp 1,600,000.00 2000 Rp 320.00 Rp 640,000.00
129 Kotrimoksasol suspensi botol 0 Rp 4,084.00 Rp - 192 Rp 4,084.00 Rp 784,128.00 192 Rp 4,084.00 Rp 784,128.00 181 Rp 4,084.00 Rp 739,204.00 11 Rp 4,084.00 Rp 44,924.00
130 Lanzoprazol kapsul ktk 50 kaps 0 Rp 655.00 Rp - 1500 Rp 655.00 Rp 982,500.00 1500 Rp 655.00 Rp 982,500.00 800 Rp 655.00 Rp 524,000.00 700 Rp 655.00 Rp 458,500.00
Lidokain comp injeksi Ktk 30 ampul Rp 1,532.00 450 Rp 1,532.00 Rp 689,400.00 450 Rp 1,532.00 Rp 689,400.00 450 Rp 1,532.00 Rp 689,400.00 Rp 1,532.00 Rp -
132 Lidokain comp injeksi Ktk 30 ampul 225 Rp 847.00 Rp 190,575.00 Rp 847.00 Rp - 225 Rp 847.00 Rp 190,575.00 225 Rp 847.00 Rp 190,575.00 Rp 847.00 Rp -
133 Loperamide tab Ktk 100 tab 1700 Rp 81.00 Rp 137,700.00 Rp 81.00 Rp - 1700 Rp 81.00 Rp 137,700.00 1700 Rp 81.00 Rp 137,700.00 Rp 81.00 Rp -
134 Loperamide tab Ktk 100 tab 0 Rp 77.00 Rp - 5300 Rp 77.00 Rp 408,100.00 5300 Rp 77.00 Rp 408,100.00 4900 Rp 77.00 Rp 377,300.00 400 Rp 77.00 Rp 30,800.00
135 Loratadin 10 mg tab ktk 100 tab 1600 Rp 117.00 Rp 187,200.00 Rp 117.00 Rp - 1600 Rp 117.00 Rp 187,200.00 1600 Rp 117.00 Rp 187,200.00 Rp 117.00 Rp -
Loratadin 10 mg tab ktk 100 tab Rp 200.00 500 Rp 200.00 Rp 100,000.00 500 Rp 200.00 Rp 100,000.00 0 Rp 200.00 Rp - 500 Rp 200.00 Rp 100,000.00
137 lyctacur syrup botol 48 Rp 10,656.00 Rp 511,488.00 Rp 10,656.00 Rp - 48 Rp 10,656.00 Rp 511,488.00 48 Rp 10,656.00 Rp 511,488.00 Rp 10,656.00 Rp -
138 Meloxicam 15 mg Ktk 50 tab 0 Rp 491.00 Rp - 9500 Rp 491.00 Rp 4,664,500.00 9500 Rp 491.00 Rp 4,664,500.00 7300 Rp 491.00 Rp 3,584,300.00 2200 Rp 491.00 Rp 1,080,200.00
139 Metformin 500 mg Ktk 200 tab 12600 Rp 77.00 Rp 970,200.00 Rp 77.00 Rp - 12600 Rp 77.00 Rp 970,200.00 12600 Rp 77.00 Rp 970,200.00 Rp 77.00 Rp -
Metformin 500 mg Ktk 100 tab Rp 200.00 4000 Rp 200.00 Rp 800,000.00 4000 Rp 200.00 Rp 800,000.00 4000 Rp 200.00 Rp 800,000.00 0 Rp 200.00 Rp -
Metformin 500 mg Ktk 100 tab Rp 260.00 3000 Rp 260.00 Rp 780,000.00 3000 Rp 260.00 Rp 780,000.00 2000 Rp 260.00 Rp 520,000.00 1000 Rp 260.00 Rp 260,000.00
142 Methyl prednisolon ktk 100 tab 0 Rp 282.00 Rp - 12000 Rp 282.00 Rp 3,384,000.00 12000 Rp 282.00 Rp 3,384,000.00 7600 Rp 282.00 Rp 2,143,200.00 4400 Rp 282.00 Rp 1,240,800.00
143 Metil Ergometrin Tab Ktk 100 tab 2000 Rp 214.00 Rp 428,000.00 Rp 214.00 Rp - 2000 Rp 214.00 Rp 428,000.00 1000 Rp 214.00 Rp 214,000.00 1000 Rp 214.00 Rp 214,000.00
Metil Ergometrin injekso ampul Rp 3,400.00 25 Rp 3,400.00 Rp 85,000.00 25 Rp 3,400.00 Rp 85,000.00 5 Rp 3,400.00 Rp 17,000.00 20 Rp 3,400.00 Rp 68,000.00
145 Metoklopramid 10 mg Ktk 100 tab 10400 Rp 66.00 Rp 686,400.00 Rp 66.00 Rp - 10400 Rp 66.00 Rp 686,400.00 3500 Rp 66.00 Rp 231,000.00 6900 Rp 66.00 Rp 455,400.00
146 Metoklopramid inj 5 mg/ml ktk 10 ampul 0 Rp 5,240.00 Rp - 100 Rp 5,240.00 Rp 524,000.00 100 Rp 5,240.00 Rp 524,000.00 90 Rp 5,240.00 Rp 471,600.00 10 Rp 5,240.00 Rp 52,400.00
147 Risperidone tablet Ktk 100 tab 0 Rp 273.00 Rp - Rp 273.00 Rp - 0 Rp 273.00 Rp - 0 Rp 273.00 Rp - Rp 273.00 Rp -
148 Salbutamol 4 mg tab ktk 100 tab 0 Rp 156.00 Rp - Rp 156.00 Rp - 0 Rp 156.00 Rp - 0 Rp 156.00 Rp - Rp 156.00 Rp -
149 Metoklopramid inj 5 mg/ml ktk 10 ampul 0 Rp 8,924.40 Rp - Rp 8,924.40 Rp - 0 Rp 8,924.40 Rp - 0 Rp 8,924.40 Rp - Rp 8,924.40 Rp -
150 Metoklopramid syrup botol 60 mL 123 Rp 4,379.00 Rp 538,617.00 Rp 4,379.00 Rp - 123 Rp 4,379.00 Rp 538,617.00 123 Rp 4,379.00 Rp 538,617.00 0 Rp 4,379.00 Rp -
151 Metoklopramid tablet ktk 100 tab 2200 Rp 100.00 Rp 220,000.00 Rp 100.00 Rp - 2200 Rp 100.00 Rp 220,000.00 2200 Rp 100.00 Rp 220,000.00 0 Rp 100.00 Rp -
152 Metronidazol 500 mg Ktk 100 tab 0 Rp 330.00 Rp - 2200 Rp 330.00 Rp 726,000.00 2200 Rp 330.00 Rp 726,000.00 1700 Rp 330.00 Rp 561,000.00 500 Rp 330.00 Rp 165,000.00
153 Sefadroxil kaps 500 mg Ktk 100 Kaps 0 Rp 744.00 Rp - Rp 744.00 Rp - 0 Rp 744.00 Rp - 0 Rp 744.00 Rp - Rp 744.00 Rp -
154 MgSO4 40% injeksi botol 25 ml 0 Rp 5,660.00 Rp - 12 Rp 5,660.00 Rp 67,920.00 12 Rp 5,660.00 Rp 67,920.00 5 Rp 5,660.00 Rp 28,300.00 7 Rp 5,660.00 Rp 39,620.00
155 MgSO4 20% injeksi botol 25 ml 6 Rp 3,745.55 Rp 22,473.30 Rp 3,745.55 Rp - 6 Rp 3,745.55 Rp 22,473.30 6 Rp 3,745.55 Rp 22,473.30 0 Rp 3,745.55 Rp -
156 Stesolid 5mg/2.5ml rectal tube 0 Rp 4,800.00 Rp - Rp 4,800.00 Rp - 0 Rp 4,800.00 Rp - 0 Rp 4,800.00 Rp - Rp 4,800.00 Rp -
157 tab Tambah Darah OGB tab 30 tab 0 Rp 409.00 Rp - Rp 409.00 Rp - 0 Rp 409.00 Rp - 0 Rp 409.00 Rp - Rp 409.00 Rp -
158 Mikonazole salep kulit 2 % tube 0 Rp 4,113.00 Rp - 168 Rp 4,113.00 Rp 690,984.00 168 Rp 4,113.00 Rp 690,984.00 168 Rp 4,113.00 Rp 690,984.00 Rp 4,113.00 Rp -
159 Trihexyphenidil 2 mg tab ktk 100 tab 0 Rp 85.00 Rp - Rp 85.00 Rp - 0 Rp 85.00 Rp - 0 Rp 85.00 Rp - Rp 85.00 Rp -
160 Vitamin B Kompleks Ktk 100 tab 0 Rp 144.00 Rp - Rp 144.00 Rp - 0 Rp 144.00 Rp - 0 Rp 144.00 Rp - Rp 144.00 Rp -
161 Mikonazole salep kulit 2 % tube 24 Rp 1,900.00 Rp 45,600.00 Rp 1,900.00 Rp - 24 Rp 1,900.00 Rp 45,600.00 24 Rp 1,900.00 Rp 45,600.00 Rp 1,900.00 Rp -
162 Muliavit Syrup botol 60 mL 0 Rp 5,720.00 Rp - Rp 5,720.00 Rp - 0 Rp 5,720.00 Rp - 0 Rp 5,720.00 Rp - Rp 5,720.00 Rp -
163 NaCl 0.9% Infus Btl 500 ml 26 Rp 6,900.00 Rp 179,400.00 Rp 6,900.00 Rp - 26 Rp 6,900.00 Rp 179,400.00 26 Rp 6,900.00 Rp 179,400.00 Rp 6,900.00 Rp -
NaCl 0.9% Infus Btl 500 ml Rp 7,673.00 320 Rp 7,673.00 Rp 2,455,360.00 320 Rp 7,673.00 Rp 2,455,360.00 180 Rp 7,673.00 Rp 1,381,140.00 140 Rp 7,673.00 Rp 1,074,220.00
165 Natrium Diklofenak 50 mg Ktk 50 tab Rp 210.00 Rp - 6000 Rp 210.00 Rp 1,260,000.00 6000 Rp 210.00 Rp 1,260,000.00 4400 Rp 210.00 Rp 924,000.00 1600 Rp 210.00 Rp 336,000.00
166 New Antides 600 mg ktk 100 tab 400 Rp 550.00 Rp 220,000.00 Rp 550.00 Rp - 400 Rp 550.00 Rp 220,000.00 200 Rp 550.00 Rp 110,000.00 200 Rp 550.00 Rp 110,000.00
167 Nifedipin 10 mg Ktk 100 tab 300 Rp 390.44 Rp 117,132.00 Rp 390.44 Rp - 300 Rp 390.44 Rp 117,132.00 300 Rp 390.44 Rp 117,132.00 Rp 390.44 Rp -
168 Nistatin Vaginal tab Ktk 100 tab 0 Rp 480.00 Rp - Rp 480.00 Rp - 0 Rp 480.00 Rp - 0 Rp 480.00 Rp - Rp 480.00 Rp -
169 Nistatin Vaginal tab Ktk 100 tab 0 Rp 550.00 Rp - Rp 550.00 Rp - 0 Rp 550.00 Rp - 0 Rp 550.00 Rp - Rp 550.00 Rp -
170 OBH syrup 100 ml Btl 100 ml 0 Rp 4,593.00 Rp - Rp 4,593.00 Rp - 0 Rp 4,593.00 Rp - 0 Rp 4,593.00 Rp - Rp 4,593.00 Rp -
171 OBH syrup 100 ml Btl 100 ml 0 Rp 7,025.00 Rp - Rp 7,025.00 Rp - 0 Rp 7,025.00 Rp - 0 Rp 7,025.00 Rp - Rp 7,025.00 Rp -
172 Omeprazole 20 mg ktk 200 tab 0 Rp 255.00 Rp - 4000 Rp 255.00 Rp 1,020,000.00 4000 Rp 255.00 Rp 1,020,000.00 4000 Rp 255.00 Rp 1,020,000.00 Rp 255.00 Rp -
173 Ondasentron HCl inj 2mg/ml ampul 0 Rp 2,575.00 Rp - 280 Rp 2,575.00 Rp 721,000.00 280 Rp 2,575.00 Rp 721,000.00 260 Rp 2,575.00 Rp 669,500.00 20 Rp 2,575.00 Rp 51,500.00
174 Difenhidramin inj 10mg/ml ktk 30 ampul 0 Rp 825.00 Rp - Rp 825.00 Rp - 0 Rp 825.00 Rp - 0 Rp 825.00 Rp - Rp 825.00 Rp -
Onoake Kapsul kotak 30 kap Rp 4,990.00 720 Rp 4,990.00 Rp 3,592,800.00 720 Rp 4,990.00 Rp 3,592,800.00 90 Rp 4,990.00 Rp 449,100.00 630 Rp 4,990.00 Rp 3,143,700.00
176 Oxytetracycline salep kulit 3% Ktk 25 tube 35 Rp 2,139.28 Rp 74,874.80 Rp 2,139.28 Rp - 35 Rp 2,139.28 Rp 74,874.80 35 Rp 2,139.28 Rp 74,874.80 Rp 2,139.28 Rp -
177 Oxytetracycline salep mata Ktk 25 tube 100 Rp 3,500.00 Rp 350,000.00 50 Rp 3,500.00 Rp 175,000.00 150 Rp 3,500.00 Rp 525,000.00 60 Rp 3,500.00 Rp 210,000.00 90 Rp 3,500.00 Rp 315,000.00
Rp - Rp - 0 Rp - Rp -
179 Oxytocin inj Ktk 100 amp 570 Rp 8,500.00 Rp 4,845,000.00 Rp 8,500.00 Rp - 570 Rp 8,500.00 Rp 4,845,000.00 170 Rp 8,500.00 Rp 1,445,000.00 400 Rp 8,500.00 Rp 3,400,000.00
180 Oxyvit D3 Btl 60 kap 180 Rp 2,035.00 Rp 366,300.00 Rp 2,035.00 Rp - 180 Rp 2,035.00 Rp 366,300.00 180 Rp 2,035.00 Rp 366,300.00 Rp 2,035.00 Rp -
181 Pantoprazole kap ktk 60 kap 0 Rp 5,273.00 Rp - 300 Rp 5,273.00 Rp 1,581,900.00 300 Rp 5,273.00 Rp 1,581,900.00 300 Rp 5,273.00 Rp 1,581,900.00 Rp 5,273.00 Rp -
182 Paracetamol syrup Btl 60 ml 375 Rp 1,160.00 Rp 435,000.00 Rp 1,160.00 Rp - 375 Rp 1,160.00 Rp 435,000.00 375 Rp 1,160.00 Rp 435,000.00 0 Rp 1,160.00 Rp -
183 Paracetamol syrup Btl 60 ml 0 Rp 4,957.00 Rp - 292 Rp 4,957.00 Rp 1,447,444.00 292 Rp 4,957.00 Rp 1,447,444.00 267 Rp 4,957.00 Rp 1,323,519.00 25 Rp 4,957.00 Rp 123,925.00
184 Paracetamol tab ktk 100 tab 0 Rp 182.00 Rp - Rp 182.00 Rp - 0 Rp 182.00 Rp - 0 Rp 182.00 Rp - Rp 182.00 Rp -
185 Ketokonazol 200 mg Ktk 100 tab 0 Rp 260.00 Rp - Rp 260.00 Rp - 0 Rp 260.00 Rp - 0 Rp 260.00 Rp - Rp 260.00 Rp -
186 Parasetamol 500 mg Ktk 100 tab 29100 Rp 292.00 Rp 8,497,200.00 Rp 292.00 Rp - 29100 Rp 292.00 Rp 8,497,200.00 29100 Rp 292.00 Rp 8,497,200.00 0 Rp 292.00 Rp -
187 Parasetamol 500 mg Ktk 100 tab 0 Rp 210.00 Rp - 79900 Rp 210.00 Rp 16,779,000.00 79900 Rp 210.00 Rp 16,779,000.00 62000 Rp 210.00 Rp 13,020,000.00 17900 Rp 210.00 Rp 3,759,000.00
188 Parasetamol infus 10 mg/ml botol 0 Rp 14,360.00 Rp - 80 Rp 14,360.00 Rp 1,148,800.00 80 Rp 14,360.00 Rp 1,148,800.00 80 Rp 14,360.00 Rp 1,148,800.00 Rp 14,360.00 Rp -
189 Piridoxin tab ktk 100 tab 0 Rp 114.00 Rp - 16000 Rp 114.00 Rp 1,824,000.00 16000 Rp 114.00 Rp 1,824,000.00 3400 Rp 114.00 Rp 387,600.00 12600 Rp 114.00 Rp 1,436,400.00
190 Piridoxin tab ktk 200 tab 17400 Rp 72.65 Rp 1,264,110.00 Rp 72.65 Rp - 17400 Rp 72.65 Rp 1,264,110.00 14600 Rp 72.65 Rp 1,060,690.00 2800 Rp 72.65 Rp 203,420.00
191 Prednison tab Ktk 100 tab 0 Rp 107.00 Rp - 500 Rp 107.00 Rp 53,500.00 500 Rp 107.00 Rp 53,500.00 500 Rp 107.00 Rp 53,500.00 Rp 107.00 Rp -
192 Chlorpheniramine maleat tab Ktk 100 tab 0 Rp 88.44 Rp - Rp 88.44 Rp - 0 Rp 88.44 Rp - 0 Rp 88.44 Rp - Rp 88.44 Rp -
193 Prednison tab Ktk 100 tab 0 Rp 73.00 Rp - Rp 73.00 Rp - 0 Rp 73.00 Rp - 0 Rp 73.00 Rp - Rp 73.00 Rp -
194 Propil Thiuracyl 100 mg ktk 100 tab 300 Rp 350.00 Rp 105,000.00 Rp 350.00 Rp - 300 Rp 350.00 Rp 105,000.00 300 Rp 350.00 Rp 105,000.00 Rp 350.00 Rp -
195 Propranolol 10 mg tab ktk 100 tab 300 Rp 63.00 Rp 18,900.00 Rp 63.00 Rp - 300 Rp 63.00 Rp 18,900.00 0 Rp 63.00 Rp - 300 Rp 63.00 Rp 18,900.00
Ranitidine 120 mg ktk 100 tab Rp 189.00 11600 Rp 189.00 Rp 2,192,400.00 11600 Rp 189.00 Rp 2,192,400.00 10700 Rp 189.00 Rp 2,022,300.00 900 Rp 189.00 Rp 170,100.00
197 Ranitidine 120 mg ktk 100 tab 4400 Rp 85.00 Rp 374,000.00 Rp 85.00 Rp - 4400 Rp 85.00 Rp 374,000.00 4400 Rp 85.00 Rp 374,000.00 0 Rp 85.00 Rp -
198 Ranitidine Inj ktk 25 amp 0 Rp 1,530.00 Rp - 300 Rp 1,530.00 Rp 459,000.00 300 Rp 1,530.00 Rp 459,000.00 250 Rp 1,530.00 Rp 382,500.00 50 Rp 1,530.00 Rp 76,500.00
Ringer Asetat Btl 500 ml Rp 8,500.00 200 Rp 8,500.00 Rp 1,700,000.00 200 Rp 8,500.00 Rp 1,700,000.00 80 Rp 8,500.00 Rp 680,000.00 120 Rp 8,500.00 Rp 1,020,000.00
200 Ringer Asetat Btl 500 ml 40 Rp 9,592.00 Rp 383,680.00 Rp 9,592.00 Rp - 40 Rp 9,592.00 Rp 383,680.00 40 Rp 9,592.00 Rp 383,680.00 0 Rp 9,592.00 Rp -
201 Ringer Lactat Btl 500 ml 0 Rp 8,498.00 Rp - 4500 Rp 8,498.00 Rp 38,241,000.00 4500 Rp 8,498.00 Rp 38,241,000.00 4360 Rp 8,498.00 Rp 37,051,280.00 140 Rp 8,498.00 Rp 1,189,720.00
202 Risperidone 2 mg Ktk 100 tab 600 Rp 287.00 Rp 172,200.00 Rp 287.00 Rp - 600 Rp 287.00 Rp 172,200.00 600 Rp 287.00 Rp 172,200.00 0 Rp 287.00 Rp -
203 Risperidone 2 mg Ktk 100 tab 0 Rp 273.00 Rp - 1000 Rp 273.00 Rp 273,000.00 1000 Rp 273.00 Rp 273,000.00 700 Rp 273.00 Rp 191,100.00 300 Rp 273.00 Rp 81,900.00
204 Salep 2 - 4 Ktk 24 pot 7 Rp 1,475.00 Rp 10,325.00 Rp 1,475.00 Rp - 7 Rp 1,475.00 Rp 10,325.00 7 Rp 1,475.00 Rp 10,325.00 Rp 1,475.00 Rp -
205 Salbutamol tab Ktk 100 tab 0 Rp 67.00 Rp - 3000 Rp 67.00 Rp 201,000.00 3000 Rp 67.00 Rp 201,000.00 3000 Rp 67.00 Rp 201,000.00 Rp 67.00 Rp -
Salbutamol inhalasi ampul Rp 4,995.00 50 Rp 4,995.00 Rp 249,750.00 50 Rp 4,995.00 Rp 249,750.00 30 Rp 4,995.00 Rp 149,850.00 20 Rp 4,995.00 Rp 99,900.00
207 Salisil Talk Pot 100 gr 0 Rp 3,103.00 Rp - 100 Rp 3,103.00 Rp 310,300.00 100 Rp 3,103.00 Rp 310,300.00 38 Rp 3,103.00 Rp 117,914.00 62 Rp 3,103.00 Rp 192,386.00
208 Scabimite Salep Permetrin Tube 0 Rp 11,825.00 Rp - Rp 11,825.00 Rp - 0 Rp 11,825.00 Rp - 0 Rp 11,825.00 Rp - Rp 11,825.00 Rp -
209 Sefadroxil kaps 500 mg Ktk 100 Kaps 0 Rp 1,000.00 Rp - 6000 Rp 1,000.00 Rp 6,000,000.00 6000 Rp 1,000.00 Rp 6,000,000.00 6000 Rp 1,000.00 Rp 6,000,000.00 Rp 1,000.00 Rp -
210 Sefadroxyl Syrup Botol 0 Rp 9,700.00 Rp - 85 Rp 9,700.00 Rp 824,500.00 85 Rp 9,700.00 Rp 824,500.00 80 Rp 9,700.00 Rp 776,000.00 5 Rp 9,700.00 Rp 48,500.00
211 Striatamin kap kotak 30 kap 0 Rp 5,372.00 Rp - 720 Rp 5,372.00 Rp 3,867,840.00 720 Rp 5,372.00 Rp 3,867,840.00 600 Rp 5,372.00 Rp 3,223,200.00 120 Rp 5,372.00 Rp 644,640.00
212 Sianokobalamin (Vit 12) tab Ktk 100 tab 0 Rp 70.00 Rp - 1000 Rp 70.00 Rp 70,000.00 1000 Rp 70.00 Rp 70,000.00 1000 Rp 70.00 Rp 70,000.00 0 Rp 70.00 Rp -
213 Simvastatin 20 mg Ktk 50 tab 0 Rp 430.00 Rp - 7000 Rp 430.00 Rp 3,010,000.00 7000 Rp 430.00 Rp 3,010,000.00 2300 Rp 430.00 Rp 989,000.00 4700 Rp 430.00 Rp 2,021,000.00
214 Siprofloksasin 500 mg tab Ktk 100 tab 0 Rp 260.00 Rp - Rp 260.00 Rp - 0 Rp 260.00 Rp - 0 Rp 260.00 Rp - Rp 260.00 Rp -
215 Stimuno Forte Tablet botol 30 kapsul 120 Rp 1,958.00 Rp 234,960.00 Rp 1,958.00 Rp - 120 Rp 1,958.00 Rp 234,960.00 120 Rp 1,958.00 Rp 234,960.00 Rp 1,958.00 Rp -
216 Stimuno Sachet Sacchet/ 30 792 Rp 1,832.00 Rp 1,450,944.00 Rp 1,832.00 Rp - 792 Rp 1,832.00 Rp 1,450,944.00 792 Rp 1,832.00 Rp 1,450,944.00 Rp 1,832.00 Rp -
217 Supralysin syrup botol 60 ml 0 Rp 33,300.00 Rp - 150 Rp 33,300.00 Rp 4,995,000.00 150 Rp 33,300.00 Rp 4,995,000.00 75 Rp 33,300.00 Rp 2,497,500.00 75 Rp 33,300.00 Rp 2,497,500.00
218 Trifluoperazin tab ktk 100 tab 0 Rp 287.00 Rp - 500 Rp 287.00 Rp 143,500.00 500 Rp 287.00 Rp 143,500.00 200 Rp 287.00 Rp 57,400.00 300 Rp 287.00 Rp 86,100.00
219 Tetrasiklin 250 mg ktk 100 kap 0 Rp 181.00 Rp - Rp 181.00 Rp - 0 Rp 181.00 Rp - 0 Rp 181.00 Rp - Rp 181.00 Rp -
220 Thiamin (Vit B1) tab 50 ktk 100 tab 0 Rp 225.00 Rp - 14000 Rp 225.00 Rp 3,150,000.00 14000 Rp 225.00 Rp 3,150,000.00 14000 Rp 225.00 Rp 3,150,000.00 0 Rp 225.00 Rp -
221 Trihexyphenidil 2 mg tab ktk 100 tab 100 Rp 63.00 Rp 6,300.00 Rp 63.00 Rp - 100 Rp 63.00 Rp 6,300.00 100 Rp 63.00 Rp 6,300.00 0 Rp 63.00 Rp -
Trihexyphenidil 2 mg tab ktk 100 tab Rp 110.00 6000 Rp 110.00 Rp 660,000.00 6000 Rp 110.00 Rp 660,000.00 4200 Rp 110.00 Rp 462,000.00 1800 Rp 110.00 Rp 198,000.00
223 Vitamin B Kompleks Ktk 100 tab 25700 Rp 60.00 Rp 1,542,000.00 Rp 60.00 Rp - 25700 Rp 60.00 Rp 1,542,000.00 25700 Rp 60.00 Rp 1,542,000.00 0 Rp 60.00 Rp -
Vitamin B Kompleks Ktk 100 tab Rp 127.00 19200 Rp 127.00 Rp 2,438,400.00 19200 Rp 127.00 Rp 2,438,400.00 17900 Rp 127.00 Rp 2,273,300.00 1300 Rp 127.00 Rp 165,100.00
225 Zinc tab Ktk 100 tab 2900 Rp 253.00 Rp 733,700.00 Rp 253.00 Rp - 2900 Rp 253.00 Rp 733,700.00 2900 Rp 253.00 Rp 733,700.00 0 Rp 253.00 Rp -
226 Zink Sulfat Ktk 100 tab 0 Rp 195.00 Rp - 5500 Rp 195.00 Rp 1,072,500.00 5500 Rp 195.00 Rp 1,072,500.00 3700 Rp 195.00 Rp 721,500.00 1800 Rp 195.00 Rp 351,000.00
Diazepam injeksi ampul 0 Rp 1,545.00 10 Rp 1,545.00 Rp 15,450.00 10 Rp 1,545.00 Rp 15,450.00 4 Rp 1,545.00 Rp 6,180.00 6 Rp 1,545.00 Rp 9,270.00
JUMLAH OBAT Rp 67,973,413.07 Rp 213,790,066.00 Rp 281,763,479.07 Rp 225,854,974.07 Rp 55,908,505.00

.
.
SISA STOK BMHP
NO Nama BHPM Kemasan SISA STOK PER 31 DESEMBER 2022 PENERIMAAN BMHP PER 31 DESEMBER 2023 TOTAL JUMLAH BMHP TOTAL DISTRIBUSI BMHP
NO Nama BHPM Kemasan Vol Harga 2022 Jumlah Vol Harga Jumlah Vol Harga Jumlah Vol Harga Jumlah Vol Harga Jumlah
1 Alat Suntik 0.5 ml Pcs 0 Rp 1,240.00 Rp - Rp 1,240.00 Rp - 0 Rp 1,240.00 Rp - 0 Rp 1,240.00 Rp - 0 Rp 1,240.00 Rp -
1 Alat Suntik 1 mL ktk 1600 Rp 747.50 Rp 1,196,000.00 1200 Rp 747.50 Rp 897,000.00 2800 Rp 747.50 Rp 2,093,000.00 1150 Rp 747.50 Rp 859,625.00 1650 Rp 747.50 Rp 1,233,375.00
3 Alat Suntik 1 ml REMEDI pcs 0 Rp 1,000.00 Rp - Rp 1,000.00 Rp - 0 Rp 1,000.00 Rp - 0 Rp 1,000.00 Rp - 0 Rp 1,000.00 Rp -
2 Alat Suntik 3 ml Ktk 600 Rp 747.50 Rp 448,500.00 Rp 747.50 Rp - 600 Rp 747.50 Rp 448,500.00 600 Rp 747.50 Rp 448,500.00 0 Rp 747.50 Rp -
5 Alat Suntik 3 ml Ktk 0 Rp 800.00 Rp - Rp 800.00 Rp - 0 Rp 800.00 Rp - 0 Rp 800.00 Rp - Rp 800.00 Rp -
6 Alat Suntik 3 ml REMEDI pcs 0 Rp 800.00 Rp - Rp 800.00 Rp - 0 Rp 800.00 Rp - 0 Rp 800.00 Rp - Rp 800.00 Rp -
7 Alat Suntik 5 ml Ktk 0 Rp 776.33 Rp - Rp 776.33 Rp - 0 Rp 776.33 Rp - 0 Rp 776.33 Rp - Rp 776.33 Rp -
8 Alat Suntik 5 ml pcs 0 Rp 1,583.00 Rp - Rp 1,583.00 Rp - 0 Rp 1,583.00 Rp - 0 Rp 1,583.00 Rp - Rp 1,583.00 Rp -
3 Alat Suntik 5 ml pcs 900 Rp 1,500.00 Rp 1,350,000.00 Rp 1,500.00 Rp - 900 Rp 1,500.00 Rp 1,350,000.00 900 Rp 1,500.00 Rp 1,350,000.00 0 Rp 1,500.00 Rp -
4 Alkohol swab Pcs 0 Rp 13,800.00 Rp - Rp 13,800.00 Rp - 0 Rp 13,800.00 Rp - 0 Rp 13,800.00 Rp - Rp 13,800.00 Rp -
5 Antiseptic gel botol 500 ml 0 Rp 76,743.53 Rp - Rp 76,743.53 Rp - 0 Rp 76,743.53 Rp - 0 Rp 76,743.53 Rp - Rp 76,743.53 Rp -
12 Autocheck Asam Urat Set 0 Rp 188,484.85 Rp - Rp 188,484.85 Rp - 0 Rp 188,484.85 Rp - 0 Rp 188,484.85 Rp - Rp 188,484.85 Rp -
13 Autocheck Asam Urat Set 0 Rp 178,750.00 Rp - Rp 178,750.00 Rp - 0 Rp 178,750.00 Rp - 0 Rp 178,750.00 Rp - Rp 178,750.00 Rp -
14 Autocheck Glukosa Set 0 Rp 137,500.00 Rp - Rp 137,500.00 Rp - 0 Rp 137,500.00 Rp - 0 Rp 137,500.00 Rp - Rp 137,500.00 Rp -
15 Autocheck Kolesterol Set 0 Rp 368,500.00 Rp - Rp 368,500.00 Rp - 0 Rp 368,500.00 Rp - 0 Rp 368,500.00 Rp - Rp 368,500.00 Rp -
6 Benecheck Glukosa Set 0 Rp 176,000.00 Rp - Rp 176,000.00 Rp - 0 Rp 176,000.00 Rp - 0 Rp 176,000.00 Rp - Rp 176,000.00 Rp -
7 Benecheck Kolesterol Set 0 Rp 275,000.00 Rp - Rp 275,000.00 Rp - 0 Rp 275,000.00 Rp - 0 Rp 275,000.00 Rp - Rp 275,000.00 Rp -
18 Blood Lancet ktk 100 pcs 0 Rp 14,546.00 Rp - Rp 14,546.00 Rp - 0 Rp 14,546.00 Rp - 0 Rp 14,546.00 Rp - Rp 14,546.00 Rp -
8 Canula anak pcs 80 Rp 7,421.00 Rp 593,680.00 Rp 7,421.00 Rp - 80 Rp 7,421.00 Rp 593,680.00 60 Rp 7,421.00 Rp 445,260.00 20 Rp 7,421.00 Rp 148,420.00
9 Canula Bayi Pcs 10 Rp 7,421.00 Rp 74,210.00 Rp 7,421.00 Rp - 10 Rp 7,421.00 Rp 74,210.00 0 Rp 7,421.00 Rp - 10 Rp 7,421.00 Rp 74,210.00
10 Canula dewasa pcs 340 Rp 7,421.00 Rp 2,523,140.00 Rp 7,421.00 Rp - 340 Rp 7,421.00 Rp 2,523,140.00 120 Rp 7,421.00 Rp 890,520.00 220 Rp 7,421.00 Rp 1,632,620.00
11 Catgut 2/0 dgn jarum bedah pcs 0 Rp 24,296.97 Rp - Rp 24,296.97 Rp - 0 Rp 24,296.97 Rp - 0 Rp 24,296.97 Rp - 0 Rp 24,296.97 Rp -
12 Catgut 2/0 dgn jarum bedah Pcs 96 Rp 52,872.61 Rp 5,075,770.56 Rp 52,872.61 Rp - 96 Rp 52,872.61 Rp 5,075,770.56 96 Rp 52,872.61 Rp 5,075,770.56 0 Rp 52,872.61 Rp -
24 Depulpin btl 0 Rp 83,490.00 Rp - Rp 83,490.00 Rp - 0 Rp 83,490.00 Rp - 0 Rp 83,490.00 Rp - 0 Rp 83,490.00 Rp -
13 Etanol 70 % Btl 1000 ml 0 Rp 28,400.00 Rp - Rp 28,400.00 Rp - 0 Rp 28,400.00 Rp - 0 Rp 28,400.00 Rp - 0 Rp 28,400.00 Rp -
26 Etanol 70 % Btl 1000 ml 0 Rp 65,000.00 Rp - Rp 65,000.00 Rp - 0 Rp 65,000.00 Rp - 0 Rp 65,000.00 Rp - 0 Rp 65,000.00 Rp -
14 Etanol 70 % Btl 1000 ml 19 Rp 65,000.00 Rp 1,235,000.00 20 Rp 65,000.00 Rp 1,300,000.00 39 Rp 65,000.00 Rp 2,535,000.00 39 Rp 65,000.00 Rp 2,535,000.00 0 Rp 65,000.00 Rp -
15 Folley Cateter No 16 Pcs 0 Rp 15,000.00 Rp - Rp 15,000.00 Rp - 0 Rp 15,000.00 Rp - 0 Rp 15,000.00 Rp - 0 Rp 15,000.00 Rp -
16 Folley Cateter No 18 pcs 0 Rp 15,000.00 Rp - Rp 15,000.00 Rp - 0 Rp 15,000.00 Rp - 0 Rp 15,000.00 Rp - 0 Rp 15,000.00 Rp -
17 Folley Cateter No 18 Pcs 0 Rp 11,005.50 Rp - Rp 11,005.50 Rp - 0 Rp 11,005.50 Rp - 0 Rp 11,005.50 Rp - 0 Rp 11,005.50 Rp -
18 Folley Cateter No 18 Fr Pcs 40 Rp 10,120.00 Rp 404,800.00 Rp 10,120.00 Rp - 40 Rp 10,120.00 Rp 404,800.00 40 Rp 10,120.00 Rp 404,800.00 0 Rp 10,120.00 Rp -
19 Glass Ionomer ART Set 1 Rp 1,555,000 Rp 1,555,000.00 Rp 1,555,000.00 Rp - 1 Rp 1,555,000.00 Rp 1,555,000.00 1 Rp 1,555,000.00 Rp 1,555,000.00 0 Rp 1,555,000.00 Rp -
20 Hemostal set 0 Rp 333,750.00 Rp - 1 Rp 333,750.00 Rp 333,750.00 1 Rp 333,750.00 Rp 333,750.00 1 Rp 333,750.00 Rp 333,750.00 0 Rp 333,750.00 Rp -
21 Handschoen Non Steril kotak 100 0 Rp 121,000.00 Rp - Rp 121,000.00 Rp - 0 Rp 121,000.00 Rp - 0 Rp 121,000.00 Rp - 0 Rp 121,000.00 Rp -
35 Handschoen Non Steril 7 - 7,5 pcs 0 Rp 2,290.00 Rp - Rp 2,290.00 Rp - 0 Rp 2,290.00 Rp - 0 Rp 2,290.00 Rp - 0 Rp 2,290.00 Rp -
22 Infus Set Anak set 250 Rp 6,900.00 Rp 1,725,000.00 Rp 6,900.00 Rp - 250 Rp 6,900.00 Rp 1,725,000.00 250 Rp 6,900.00 Rp 1,725,000.00 0 Rp 6,900.00 Rp -
37 Infus Set Dewasa set 0 Rp 7,810.00 Rp - Rp 7,810.00 Rp - 0 Rp 7,810.00 Rp - 0 Rp 7,810.00 Rp - 0 Rp 7,810.00 Rp -
23 Infusion Set Anak set 0 Rp 5,100.00 Rp - Rp 5,100.00 Rp - 0 Rp 5,100.00 Rp - 0 Rp 5,100.00 Rp - 0 Rp 5,100.00 Rp -
39 Infusion set Anak Set 0 Rp 5,819.00 Rp - Rp 5,819.00 Rp - 0 Rp 5,819.00 Rp - 0 Rp 5,819.00 Rp - 0 Rp 5,819.00 Rp -
40 Infusion Set Dewasa set 0 Rp 6,900.00 Rp - Rp 6,900.00 Rp - 0 Rp 6,900.00 Rp - 0 Rp 6,900.00 Rp - 0 Rp 6,900.00 Rp -
41 Infusion set Dewasa set 0 Rp 4,800.00 Rp - Rp 4,800.00 Rp - 0 Rp 4,800.00 Rp - 0 Rp 4,800.00 Rp - 0 Rp 4,800.00 Rp -
24 Infusion set Dewasa set 0 Rp 8,433.00 Rp - Rp 8,433.00 Rp - 0 Rp 8,433.00 Rp - 0 Rp 8,433.00 Rp - 0 Rp 8,433.00 Rp -
25 IV Catheter No. 18 G set 0 Rp 10,206.00 Rp - Rp 10,206.00 Rp - 0 Rp 10,206.00 Rp - 0 Rp 10,206.00 Rp - 0 Rp 10,206.00 Rp -
26 IV Catheter No. 18 G Pcs 500 Rp 6,894.25 Rp 3,447,125.00 Rp 6,894.25 Rp - 500 Rp 6,894.25 Rp 3,447,125.00 50 Rp 6,894.25 Rp 344,712.50 450 Rp 6,894.25 Rp 3,102,412.50
45 IV Catheter No. 20 G Pcs 0 Rp 6,100.00 Rp - Rp 6,100.00 Rp - 0 Rp 6,100.00 Rp - 0 Rp 6,100.00 Rp - 0 Rp 6,100.00 Rp -
28 IV Catheter No. 22 G Pcs 50 Rp 6,894.25 Rp 344,712.50 Rp 6,894.25 Rp - 50 Rp 6,894.25 Rp 344,712.50 50 Rp 6,894.25 Rp 344,712.50 0 Rp 6,894.25 Rp -
49 IV Catheter No. 22 G pcs 0 Rp 6,100.00 Rp - Rp 6,100.00 Rp - 0 Rp 6,100.00 Rp - 0 Rp 6,100.00 Rp - 0 Rp 6,100.00 Rp -
52 IV Catheter No. 24 G pcs 0 Rp 6,100.00 Rp - Rp 6,100.00 Rp - 0 Rp 6,100.00 Rp - 0 Rp 6,100.00 Rp - 0 Rp 6,100.00 Rp -
31 Jarum Citoject ktk 100 pcs 150 Rp 2,990.00 Rp 448,500.00 Rp 2,990.00 Rp - 150 Rp 2,990.00 Rp 448,500.00 150 Rp 2,990.00 Rp 448,500.00 0 Rp 2,990.00 Rp -
32 Kasa Hidrofil 4 m x 15 cm bungkus 50 Rp 2,365.00 Rp 118,250.00 Rp 2,365.00 Rp - 50 Rp 2,365.00 Rp 118,250.00 50 Rp 2,365.00 Rp 118,250.00 0 Rp 2,365.00 Rp -
55 Kasa Hidrofil 4 m x 15 cm roll 0 Rp 2,583.90 Rp - 100 Rp 2,583.90 Rp 258,390.00 100 Rp 2,583.90 Rp 258,390.00 95 Rp 2,583.90 Rp 245,470.50 5 Rp 2,583.90 Rp 12,919.50
56 Kasa Kompres 40/40 (steril) Bungkus 0 Rp 1,599.40 Rp - Rp 1,599.40 Rp - 0 Rp 1,599.40 Rp - 0 Rp 1,599.40 Rp - 0 Rp 1,599.40 Rp -
33 Kasa Pembalut 40 y x 80 cm Roll 20 Rp 147,775.00 Rp 2,955,500.00 20 Rp 147,775.00 Rp 2,955,500.00 40 Rp 147,775.00 Rp 5,911,000.00 29 Rp 147,775.00 Rp 4,285,475.00 11 Rp 147,775.00 Rp 1,625,525.00
34 Kasa Pembalut 40 y x 80 cm Roll 0 Rp 139,195.80 Rp - Rp 139,195.80 Rp - 0 Rp 139,195.80 Rp - 0 Rp 139,195.80 Rp - 0 Rp 139,195.80 Rp -
59 Masker Ktk 50 0 Rp 2,320.00 Rp - Rp 2,320.00 Rp - 0 Rp 2,320.00 Rp - 0 Rp 2,320.00 Rp - 0 Rp 2,320.00 Rp -
35 Masker kotak 50 pcs 31 Rp 55,000.00 Rp 1,705,000.00 Rp 55,000.00 Rp - 31 Rp 55,000.00 Rp 1,705,000.00 31 Rp 55,000.00 Rp 1,705,000.00 0 Rp 55,000.00 Rp -
62 Masker Earlop 3 ply ktk 50 lbr 0 Rp 116,000.00 Rp - Rp 116,000.00 Rp - 0 Rp 116,000.00 Rp - 0 Rp 116,000.00 Rp - 0 Rp 116,000.00 Rp -
37 Nilon 5/0 dgn jarum bedah pcs 0 Rp 44,613.80 Rp - Rp 44,613.80 Rp - 0 Rp 44,613.80 Rp - 0 Rp 44,613.80 Rp - 0 Rp 44,613.80 Rp -
38 Octadin Btl 1000 ml 7 Rp 396,000.00 Rp 2,772,000.00 Rp 396,000.00 Rp - 7 Rp 396,000.00 Rp 2,772,000.00 5 Rp 396,000.00 Rp 1,980,000.00 2 Rp 396,000.00 Rp 792,000.00
39 Oralfil Plus pot 0 Rp 52,033.33 Rp - 1 Rp 52,033.33 Rp 52,033.33 1 Rp 52,033.33 Rp 52,033.33 1 Rp 52,033.33 Rp 52,033.33 0 Rp 52,033.33 Rp -
40 Plester/Pharmafix 5 cm x 5 m Roll 0 Rp 32,190.00 Rp - Rp 32,190.00 Rp - 0 Rp 32,190.00 Rp - 0 Rp 32,190.00 Rp - 0 Rp 32,190.00 Rp -
41 Povidon Iodida Btl 300 ml 37 Rp 21,700.00 Rp 802,900.00 Rp 21,700.00 Rp - 37 Rp 21,700.00 Rp 802,900.00 37 Rp 21,700.00 Rp 802,900.00 0 Rp 21,700.00 Rp -
42 Zystem Pot 0 Rp 62,885.00 Rp - 1 Rp 62,885.00 Rp 62,885.00 1 Rp 62,885.00 Rp 62,885.00 1 Rp 62,885.00 Rp 62,885.00 0 Rp 62,885.00 Rp -
43 Silk 3/0 dgn jarum bedah pcs 0 Rp 15,626.97 Rp - Rp 15,626.97 Rp - 0 Rp 15,626.97 Rp - 0 Rp 15,626.97 Rp - 0 Rp 15,626.97 Rp -
70 Silk 3/0 dgn jarum bedah pcs 0 Rp 21,311.00 Rp - Rp 21,311.00 Rp - 0 Rp 21,311.00 Rp - 0 Rp 21,311.00 Rp - 0 Rp 21,311.00 Rp -
44 Silk 3/0 dgn jarum bedah pcs 96 Rp 38,119.43 Rp 3,659,465.28 Rp 38,119.43 Rp - 96 Rp 38,119.43 Rp 3,659,465.28 96 Rp 38,119.43 Rp 3,659,465.28 0 Rp 38,119.43 Rp -
45 Urine bag Pcs 45 Rp 9,460.00 Rp 425,700.00 Rp 9,460.00 Rp - 45 Rp 9,460.00 Rp 425,700.00 11 Rp 9,460.00 Rp 104,060.00 34 Rp 9,460.00 Rp 321,640.00
JUMLAH BHP MEDIS Rp 36,804,965.84 Rp 5,859,558.33 . Rp 42,664,524.17 Rp 33,721,402.17 Rp 8,943,122.00
JUMLAH OBAT + BHP MEDIS Rp 104,778,378.91 Rp 219,649,624.33 . Rp 324,428,003.24 Rp 259,576,376.24 Rp 64,851,627.00
.
Mengetahui, . Penanggung Jawab Pengelola Obat-BHPM
Kepala Puskesmas Gentungan . Puskesmas Gentungan
.
.
.
Hj. Herawati, S.Kep. Ns. . Asriani, S.Si., Apt.
NIP. 19770808 199702 2 001 . NIP. 19860226 201001 2 038
Bontomana
apotek UGD KIA gigi p. umum imun kartu tu kesling LAB Borimatang Kalemandal Mandalle Manjalling Tanabangka exp P2TB
i
Column1 Column2 Column3 Column32 Column4 Column5 Column54 Column55 Column53 Column52 Column6 Column7 Column8 Column9 Column10 Column11 Column112 Column12 Column13
60 120 60 0
480 180 360 360 120 0
900 0
1000 200 0
0 16 6 4 5 0
4600 0
700 200 200 100 100 700 0
200 0
300 0
100 0
6900 400 100 200 300 0
0 0
25 0
100 0
29600 4100 1100 300 200 300 1000 200 0
0 0
0 800 0
0 0
16000 5000 350 1000 1000 1500 1000 2750 1550 0
0
38800 8000 200 1000 400 1000 1400 2000 400 0
315 60 40 20 20 20 10 10 0
0 25 70 0
0 0
12800 2500 300 300 300 400 300 900 200 0
0
0
0
0
25 0
0 0
30 0
0
6000 1600 400 1000 1500 1000 1300 2500 2800 22000 0
29400 4800 1500 1000 1200 1000 1300 1500 200 20000 0
0 2 8 0
0 2 2 2 0
0 2 2 0
0 0
100 600 100 100 200 0
1100 200 200 0
110 0
205 10 10 0
0 100 0
100 200 0
0
0
300 0
0
600 0
0 0
8600 900 500 500 200 300 100 500 400 0
82 0
1440 0
90 0
0
0
3 0
1500 400 0
0
0
0
41400 6700 400 800 600 600 500 3000 700 0
100 0
900 0
2300 200 200 0
1800 0
0
750 0
50 0
0 7 0
0
59900 9500 700 1700 1000 1500 1000 2600 1000 0
0
0 10 5 5 5 0
0 10 0
400 900 0
0 10 5 5 5 37 0
0 8 4 4 4 0
0 0
21 7 0
0 1400 200 200 200 200 200 0
0 0
0 5 0
0 2 1 1 1 0
0 12 0
0
0 2 8 0
200 1300 0
0 60 0
0 60 0
0
0
600 0
0 0
0
800 300 0
24 0
50 0
24 0
0
0
850 0
0 20 0
5 0
100 300 300 200 0
25600 5200 400 700 800 1100 600 1800 600 0
0
0
0
2100 0
600 0
0 200 0
1000 100 200 100 200 0
0 300 0
120 18 20 20 0
9400 2500 400 800 700 700 300 1000 800 0
2300 300 500 200 0
0
0
0
0
11300 1700 1300 700 1800 2100 2100 1700 0
0
0 500 0
0 10 0
0 40 0
3000 1200 200 500 100 0
116 50 5 5 5 0
550 100 100 50 0
0 210 190 10 10 30 0
0 105 30 60 10 5 15 0
100 1100 100 100 100 200 0
2700 1900 200 100 0
1500 100 0
0 0
38 5 5 0
5900 200 200 50 200 150 350 250 0
3000 400 9200 0
3800 200 0
2000 0
5400 300 100 200 200 400 400 200 400 0
1000 0
0 5 0
2000 1300 200 0
0 90 0
0
0
0
48 31 44 0
1000 400 400 200 200 0
1100 300 100 100 100 0
0
0 5 0
0 6 0
0
0
168 0
0
0
24 0
0
0 26 0
0 180 0
3500 400 300 200 0
200 0
100 100 100 0
0
0
0
0
3600 200 200 0
0 260 0
0
90 0
35 0
45 5 10 0
0
0 170 0
120 60 0
300 0
230 65 10 20 10 10 20 10 0
199 48 5 5 10 0
0
0
17100 4200 800 1000 1400 1000 1300 1000 1300 0
48700 7900 700 700 500 500 2300 700 0
0 80 0
2000 200 800 400 0
8600 600 400 800 800 600 1000 1400 400 0
500 0
0
0
200 100 0
0 0
7500 2100 300 100 200 300 200 0
3000 900 100 100 100 200 0
0 250 0
0 80 0
0 40 0
0 4260 100 0
600 0
700 0
7 0
1000 300 100 200 200 1200 0
0 30 0
33 5 0
0
5500 200 100 100 100 0
60 20 0
600 0
1000 0
1700 200 200 100 100 0
0
120 0
480 120 48 48 48 48 0
70 5 0
200 0
0
10700 900 600 100 400 100 900 300 0
100 0
4200 0
16500 1200 400 1000 1300 1000 1300 1800 1200 0
14200 800 200 800 500 300 800 300 0
2000 300 100 100 200 200 0
2700.00 900 100 0
0 4 0
0
0 4 4
0 200 100 100 100 600 50 0
0
0 300 100 100 30 40 30 0
0
0
0
0
0 500 200 200 0
0
0
0
0
0
0
0
0
0
0 60 0
0 0
0 100 20 0
0
0 72 24 0
0
0
0
2 15 7 2 6 2 2 1 2 0
0
0
0
0 11 29 0
0 1 0
0 1 0
0
0
0 250 0
0
0
0
0
0
0
0
0 50 0
0
0
0
0 50 0
0
0 50 0
0
0
0 150 0
5 10 5 20 10 0
10 15 10 15 5 40 0
0
0 19 8 1 1 0
0
0
2 6 6 2 1 1 1 2 5 1 1 2 1 0
3 24 21 4 4 2 2 5 2 2 2 2 5 2 0
0
0
0 2 1 1 1 0
0 1 0
0
0 6 2 1 28 0
0 1 0
0
0
0 96 0
0.00 3 8 0 0
SISA STOK OBAT
2 Acetyl Cysteine ktk 100 tab 0 Rp 1,110.00 Rp - 2400 Rp 1,110.00 Rp 2,664,000.00 2400 Rp 1,110.00 Rp 2,664,000.00 1500 Rp 1,110.00 Rp 1,665,000.00 900 Rp 1,110.00 Rp 999,000.00
3 Acyclovir 400 mg Ktk 100 tab 900 Rp 1,440.00 Rp 1,296,000.00 Rp 1,440.00 Rp - 900 Rp 1,440.00 Rp 1,296,000.00 900 Rp 1,440.00 Rp 1,296,000.00 0 Rp 1,440.00 Rp -
4 Acyclovir 400 mg Ktk 100 tab 0 Rp 900.00 Rp - 1400 Rp 900.00 Rp 1,260,000.00 1400 Rp 900.00 Rp 1,260,000.00 1200 Rp 900.00 Rp 1,080,000.00 200 Rp 900.00 Rp 180,000.00
5 Acyclovir Krim Ktk 10x10 tab 0 Rp 2,898.00 Rp - 50 Rp 2,898.00 Rp 144,900.00 50 Rp 2,898.00 Rp 144,900.00 25 Rp 2,898.00 Rp 72,450.00 25 Rp 2,898.00 Rp 72,450.00
6 Allopurinol tab 100 mg Ktk 100 tab Rp 270.00 2000 Rp 270.00 Rp 540,000.00 2000 Rp 270.00 Rp 540,000.00 2000 Rp 270.00 Rp 540,000.00 0 Rp 270.00 Rp -
7 Allopurinol tab 100 mg Ktk 100 tab 4600 Rp 89.00 Rp 409,400.00 Rp 89.00 Rp - 4600 Rp 89.00 Rp 409,400.00 4600 Rp 89.00 Rp 409,400.00 0 Rp 89.00 Rp -
8 Alprazolam 0,25 mg Ktk 100 tab 200 Rp 629.00 Rp 125,800.00 Rp 629.00 Rp - 200 Rp 629.00 Rp 125,800.00 200 Rp 629.00 Rp 125,800.00 0 Rp 629.00 Rp -
9 Alprazolam 0.5 mg Ktk 100 tab 300 Rp 78.00 Rp 23,400.00 Rp 78.00 Rp - 300 Rp 78.00 Rp 23,400.00 300 Rp 78.00 Rp 23,400.00 0 Rp 78.00 Rp -
10 Alprazolam 0.5 mg Ktk 100 tab Rp 182.00 1000 Rp 182.00 Rp 182,000.00 1000 Rp 182.00 Rp 182,000.00 100 Rp 182.00 Rp 18,200.00 900 Rp 182.00 Rp 163,800.00
11 Ambroxol Tab Ktk 100 tab 0 Rp 210.00 Rp - 21000 Rp 210.00 Rp 4,410,000.00 21000 Rp 210.00 Rp 4,410,000.00 7900 Rp 210.00 Rp 1,659,000.00 13100 Rp 210.00 Rp 2,751,000.00
12 Aminofilin 200 mg tab Btl 100 tab 0 Rp 131.00 Rp - 1000 Rp 131.00 Rp 131,000.00 1000 Rp 131.00 Rp 131,000.00 100 Rp 131.00 Rp 13,100.00 900 Rp 131.00 Rp 117,900.00
13 Amiptriptillin 25 mg Ktk 100 tab Rp 167.00 500 Rp 167.00 Rp 83,500.00 500 Rp 167.00 Rp 83,500.00 0 Rp 167.00 Rp - 500 Rp 167.00 Rp 83,500.00
14 Amiptriptillin 25 mg Ktk 100 tab 800 Rp 83.50 Rp 66,800.00 Rp 83.50 Rp - 800 Rp 83.50 Rp 66,800.00 800 Rp 83.50 Rp 66,800.00 0 Rp 83.50 Rp -
15 Amlodipin 5mg ktk 50 tab 0 Rp 107.00 Rp - 6000 Rp 107.00 Rp 642,000.00 6000 Rp 107.00 Rp 642,000.00 0 Rp 107.00 Rp - 6000 Rp 107.00 Rp 642,000.00
16 Amlodipin tab ktk 50 tab 39300 Rp 55.00 Rp 2,161,500.00 Rp 55.00 Rp - 39300 Rp 55.00 Rp 2,161,500.00 30150 Rp 55.00 Rp 1,658,250.00 9150 Rp 55.00 Rp 503,250.00
17 Amoxicillin 500 mg Caplet Ktk 100 tab 0 Rp 655.00 Rp - 40000 Rp 655.00 Rp 26,200,000.00 40000 Rp 655.00 Rp 26,200,000.00 36800 Rp 655.00 Rp 24,104,000.00 3200 Rp 655.00 Rp 2,096,000.00
18 Amoxicillin 500 mg Caplet Ktk 200 tab 36800 Rp 231.00 Rp 8,500,800.00 16400 Rp 231.00 Rp 3,788,400.00 53200 Rp 231.00 Rp 12,289,200.00 53200 Rp 231.00 Rp 12,289,200.00 0 Rp 231.00 Rp -
19 Amoxicillin sirup 125 mg/5 ml Btl 60 ml 0 Rp 6,237.00 Rp - 300 Rp 6,237.00 Rp 1,871,100.00 300 Rp 6,237.00 Rp 1,871,100.00 0 Rp 6,237.00 Rp - 300 Rp 6,237.00 Rp 1,871,100.00
20 Amoxicillin sirup 125 mg/5 ml Btl 60 ml 540 Rp 2,050.00 Rp 1,107,000.00 Rp 2,050.00 Rp - 540 Rp 2,050.00 Rp 1,107,000.00 495 Rp 2,050.00 Rp 1,014,750.00 45 Rp 2,050.00 Rp 92,250.00
22 Antasida DOEN tab ktk 100 0 Rp 108.00 Rp - 18800 Rp 108.00 Rp 2,030,400.00 18800 Rp 108.00 Rp 2,030,400.00 18000 Rp 108.00 Rp 1,944,000.00 800 Rp 108.00 Rp 86,400.00
23 Anti Bakteri/Bacitracin krim Ktk 25 tube 0 Rp 4,800.00 Rp - 50 Rp 4,800.00 Rp 240,000.00 50 Rp 4,800.00 Rp 240,000.00 25 Rp 4,800.00 Rp 120,000.00 25 Rp 4,800.00 Rp 120,000.00
24 Anti Hemoroid DOEN Ktk 10 pcs 0 Rp 3,738.00 Rp - 100 Rp 3,738.00 Rp 373,800.00 100 Rp 3,738.00 Rp 373,800.00 0 Rp 3,738.00 Rp - 100 Rp 3,738.00 Rp 373,800.00
25 Antihemoroid Kombinasi ktk 10 supp 40 Rp 3,260.00 Rp 130,400.00 Rp 3,260.00 Rp - 40 Rp 3,260.00 Rp 130,400.00 30 Rp 3,260.00 Rp 97,800.00 10 Rp 3,260.00 Rp 32,600.00
26 Aqua Pro Injection Ktk 100 tab 0 Rp 2,955.00 Rp - 70 Rp 2,955.00 Rp 206,850.00 70 Rp 2,955.00 Rp 206,850.00 31 Rp 2,955.00 Rp 91,605.00 39 Rp 2,955.00 Rp 115,245.00
27 Asam Ascorbat 50 mg Ktk 100 tab 40100 Rp 46.00 Rp 1,844,600.00 Rp 46.00 Rp - 40100 Rp 46.00 Rp 1,844,600.00 40100 Rp 46.00 Rp 1,844,600.00 0 Rp 46.00 Rp -
28 Asam Mefenamat 500mg Ktk 100 tab 42600 Rp 117.00 Rp 4,984,200.00 19300 Rp 117.00 Rp 2,258,100.00 61900 Rp 117.00 Rp 7,242,300.00 61900 Rp 117.00 Rp 7,242,300.00 0 Rp 117.00 Rp -
29 Asam Traneksamat 50mg/ml inj. ampul 10 Rp 8,545.45 Rp 85,454.50 Rp 8,545.45 Rp - 10 Rp 8,545.45 Rp 85,454.50 10 Rp 8,545.45 Rp 85,454.50 0 Rp 8,545.45 Rp -
30 Asam Traneksamat 50mg/ml inj. ampul Rp 5,328.00 30 Rp 5,328.00 Rp 159,840.00 30 Rp 5,328.00 Rp 159,840.00 6 Rp 5,328.00 Rp 31,968.00 24 Rp 5,328.00 Rp 127,872.00
31 Atropin injeksi 0.25mg/,l Ampul Rp 3,778.00 3 Rp 3,778.00 Rp 11,334.00 3 Rp 3,778.00 Rp 11,334.00 0 Rp 3,778.00 Rp - 3 Rp 3,778.00 Rp 11,334.00
32 Atropin injeksi 0.25mg/,l Ampul 5 Rp 5,550.00 Rp 27,750.00 Rp 5,550.00 Rp - 5 Rp 5,550.00 Rp 27,750.00 4 Rp 5,550.00 Rp 22,200.00 1 Rp 5,550.00 Rp 5,550.00
33 Betahistin tab ktk 100 tab 1100 Rp 92.00 Rp 101,200.00 Rp 92.00 Rp - 1100 Rp 92.00 Rp 101,200.00 1100 Rp 92.00 Rp 101,200.00 0 Rp 92.00 Rp -
34 Betahistin tab Ktk 100 tab 0 Rp 610.00 Rp - 2500 Rp 610.00 Rp 1,525,000.00 2500 Rp 610.00 Rp 1,525,000.00 1500 Rp 610.00 Rp 915,000.00 1000 Rp 610.00 Rp 610,000.00
36 Betametason cream 0,1% Ktk 25 tube Rp 2,100.00 275 Rp 2,100.00 Rp 577,500.00 275 Rp 2,100.00 Rp 577,500.00 225 Rp 2,100.00 Rp 472,500.00 50 Rp 2,100.00 Rp 105,000.00
37 Bisakodil 5mg tab Ktk 100 tab 0 Rp 168.00 Rp - 500 Rp 168.00 Rp 84,000.00 500 Rp 168.00 Rp 84,000.00 100 Rp 168.00 Rp 16,800.00 400 Rp 168.00 Rp 67,200.00
39 Carbamazepin 200mg tab Ktk 100 tab 300 Rp 216.00 Rp 64,800.00 Rp 216.00 Rp - 300 Rp 216.00 Rp 64,800.00 300 Rp 216.00 Rp 64,800.00 0 Rp 216.00 Rp -
40 Carbamazepin 200mg tab Ktk 100 tab 0 Rp 196.63 Rp - 600 Rp 196.63 Rp 117,978.00 600 Rp 196.63 Rp 117,978.00 600 Rp 196.63 Rp 117,978.00 0 Rp 196.63 Rp -
41 Cefotaxim injeksi Vial 0 Rp 6,740.00 Rp - 10 Rp 6,740.00 Rp 67,400.00 10 Rp 6,740.00 Rp 67,400.00 0 Rp 6,740.00 Rp - 10 Rp 6,740.00 Rp 67,400.00
42 Cetirizine tab ktk 100 tab 0 Rp 123.00 Rp - 26000 Rp 123.00 Rp 3,198,000.00 26000 Rp 123.00 Rp 3,198,000.00 12000 Rp 123.00 Rp 1,476,000.00 14000 Rp 123.00 Rp 1,722,000.00
43 Channa Boost Tube 0 Rp 5,494.50 Rp - 90 Rp 5,494.50 Rp 494,505.00 90 Rp 5,494.50 Rp 494,505.00 90 Rp 5,494.50 Rp 494,505.00 0 Rp 5,494.50 Rp -
44 Channa Fit ktk 100 tab 0 Rp 3,330.00 Rp - 120 Rp 3,330.00 Rp 399,600.00 120 Rp 3,330.00 Rp 399,600.00 82 Rp 3,330.00 Rp 273,060.00 38 Rp 3,330.00 Rp 126,540.00
45 Channa Fola Ktk 100 tab 0 Rp 5,494.50 Rp - 1440 Rp 5,494.50 Rp 7,912,080.00 1440 Rp 5,494.50 Rp 7,912,080.00 1440 Rp 5,494.50 Rp 7,912,080.00 0 Rp 5,494.50 Rp -
47 Chloramphenicol 250mg Ktk 100 cap 0 Rp 614.00 Rp - 4000 Rp 614.00 Rp 2,456,000.00 4000 Rp 614.00 Rp 2,456,000.00 1900 Rp 614.00 Rp 1,166,600.00 2100 Rp 614.00 Rp 1,289,400.00
48 Chlorpheniramine maleat tab Ktk 100 tab 0 Rp 74.00 Rp - 59000 Rp 74.00 Rp 4,366,000.00 59000 Rp 74.00 Rp 4,366,000.00 54700 Rp 74.00 Rp 4,047,800.00 4300 Rp 74.00 Rp 318,200.00
49 Chlorpromazine 100 mg Prov Ktk 100 tab 100 Rp 903.47 Rp 90,346.67 Rp 903.47 Rp - 100 Rp 903.47 Rp 90,346.67 100 Rp 903.47 Rp 90,346.67 0 Rp 903.47 Rp -
50 Chlorpromazine 100 mg Prov Ktk 100 tab Rp 525.00 3000 Rp 525.00 Rp 1,575,000.00 3000 Rp 525.00 Rp 1,575,000.00 900 Rp 525.00 Rp 472,500.00 2100 Rp 525.00 Rp 1,102,500.00
51 Ciprofloxacin 500 mg Ktk 100 tab 2700 Rp 260.00 Rp 702,000.00 Rp 260.00 Rp - 2700 Rp 260.00 Rp 702,000.00 2700 Rp 260.00 Rp 702,000.00 0 Rp 260.00 Rp -
52 Ciprofloxacin 500 mg Ktk 100 tab Rp 570.00 3000 Rp 570.00 Rp 1,710,000.00 3000 Rp 570.00 Rp 1,710,000.00 1800 Rp 570.00 Rp 1,026,000.00 1200 Rp 570.00 Rp 684,000.00
53 Clozapine 25 mg Ktk 50 tab 50 Rp 1,121.00 Rp 56,050.00 Rp 1,121.00 Rp - 50 Rp 1,121.00 Rp 56,050.00 50 Rp 1,121.00 Rp 56,050.00 0 Rp 1,121.00 Rp -
54 Clozapine 25 mg Ktk 50 tab 0 Rp 560.50 Rp - 1000 Rp 560.50 Rp 560,500.00 1000 Rp 560.50 Rp 560,500.00 750 Rp 560.50 Rp 420,375.00 250 Rp 560.50 Rp 140,125.00
55 Combivent Ampul 2.5 ml ktk 10 Ampul 7 Rp 46,500.00 Rp 325,500.00 Rp 46,500.00 Rp - 7 Rp 46,500.00 Rp 325,500.00 7 Rp 46,500.00 Rp 325,500.00 0 Rp 46,500.00 Rp -
56 Dexamethazone 0.5 mg tab Ktk 100 tab 0 Rp 116.00 Rp - 92300 Rp 116.00 Rp 10,706,800.00 92300 Rp 116.00 Rp 10,706,800.00 78900 Rp 116.00 Rp 9,152,400.00 13400 Rp 116.00 Rp 1,554,400.00
57 Dexamethazone inj 5 mg/ml ampul 0 Rp 1,420.00 Rp - 50 Rp 1,420.00 Rp 71,000.00 50 Rp 1,420.00 Rp 71,000.00 25 Rp 1,420.00 Rp 35,500.00 25 Rp 1,420.00 Rp 35,500.00
58 Diazepam 2 mg tab Ktk 100 tab 2900 Rp 85.00 Rp 246,500.00 Rp 85.00 Rp - 2900 Rp 85.00 Rp 246,500.00 1300 Rp 85.00 Rp 110,500.00 1600 Rp 85.00 Rp 136,000.00
59 Diazepam enema 5mg/2.5ml tube 0 Rp 10,545.00 Rp - 15 Rp 10,545.00 Rp 158,175.00 15 Rp 10,545.00 Rp 158,175.00 10 Rp 10,545.00 Rp 105,450.00 5 Rp 10,545.00 Rp 52,725.00
60 Diazepam injeksi ampul 0 Rp 1,545.00 10 Rp 1,545.00 Rp 15,450.00 10 Rp 1,545.00 Rp 15,450.00 4 Rp 1,545.00 Rp 6,180.00 6 Rp 1,545.00 Rp 9,270.00
61 Difenhidramin inj 10mg/ml ampul 0 Rp 1,760.00 Rp - 25 Rp 1,760.00 Rp 44,000.00 25 Rp 1,760.00 Rp 44,000.00 20 Rp 1,760.00 Rp 35,200.00 5 Rp 1,760.00 Rp 8,800.00
62 Difenhidramin inj 10mg/ml ktk 30 ampul 32 Rp 1,222.00 Rp 39,104.00 30 Rp 1,222.00 Rp 36,660.00 62 Rp 1,222.00 Rp 75,764.00 62 Rp 1,222.00 Rp 75,764.00 0 Rp 1,222.00 Rp -
63 Digoksin 0.25 mg ktk 100 tab 200 Rp 281.40 Rp 56,280.00 Rp 281.40 Rp - 200 Rp 281.40 Rp 56,280.00 0 Rp 281.40 Rp - 200 Rp 281.40 Rp 56,280.00
64 Domperidone syr botol 0 Rp 7,700.00 Rp - 28 Rp 7,700.00 Rp 215,600.00 28 Rp 7,700.00 Rp 215,600.00 28 Rp 7,700.00 Rp 215,600.00 0 Rp 7,700.00 Rp -
65 Domperidone tab Ktk 100 tab 6900 Rp 68.18 Rp 470,455.80 Rp 68.18 Rp - 6900 Rp 68.18 Rp 470,455.80 2400 Rp 68.18 Rp 163,636.80 4500 Rp 68.18 Rp 306,819.00
66 Dumin Rectal supp 5 Rp 24,850.00 Rp 124,250.00 Rp 24,850.00 Rp - 5 Rp 24,850.00 Rp 124,250.00 5 Rp 24,850.00 Rp 124,250.00 0 Rp 24,850.00 Rp -
68 Epinefrin inj 0.1% ampul 12 Rp 6,900.00 Rp 82,800.00 Rp 6,900.00 Rp - 12 Rp 6,900.00 Rp 82,800.00 12 Rp 6,900.00 Rp 82,800.00 0 Rp 6,900.00 Rp -
69 Eritromiin 500 mg Ktk 100 kap 0 Rp 820.00 Rp - 500 Rp 820.00 Rp 410,000.00 500 Rp 820.00 Rp 410,000.00 0 Rp 820.00 Rp - 500 Rp 820.00 Rp 410,000.00
70 Ethyl Chlorida Spray botol 17 Rp 205,000.00 Rp 3,485,000.00 Rp 205,000.00 Rp - 17 Rp 205,000.00 Rp 3,485,000.00 10 Rp 205,000.00 Rp 2,050,000.00 7 Rp 205,000.00 Rp 1,435,000.00
71 Fenobarbital 30 mg tab Btl 100 1500 Rp 177.00 Rp 265,500.00 Rp 177.00 Rp - 1500 Rp 177.00 Rp 265,500.00 1500 Rp 177.00 Rp 265,500.00 0 Rp 177.00 Rp -
72 Fitomenadion Injeksi 2 mg/ml Ktk 30 Amp 60 Rp 1,452.00 Rp 87,120.00 Rp 1,452.00 Rp - 60 Rp 1,452.00 Rp 87,120.00 60 Rp 1,452.00 Rp 87,120.00 0 Rp 1,452.00 Rp -
73 Fitomenadion Injeksi 2 mg/ml Ktk 10 Amp 0 Rp 4,990.00 Rp - 200 Rp 4,990.00 Rp 998,000.00 200 Rp 4,990.00 Rp 998,000.00 60 Rp 4,990.00 Rp 299,400.00 140 Rp 4,990.00 Rp 698,600.00
74 Fitomenadion tab 10 mg Ktk 100 tab 1800 Rp 781.00 Rp 1,405,800.00 Rp 781.00 Rp - 1800 Rp 781.00 Rp 1,405,800.00 600 Rp 781.00 Rp 468,600.00 1200 Rp 781.00 Rp 937,200.00
75 Furosemide tab 40 mg ktk 200 tab 800 Rp 123.55 Rp 98,840.00 Rp 123.55 Rp - 800 Rp 123.55 Rp 98,840.00 0 Rp 123.55 Rp - 800 Rp 123.55 Rp 98,840.00
76 Garam Oralit Ktk 100 bks 1100 Rp 275.00 Rp 302,500.00 Rp 275.00 Rp - 1100 Rp 275.00 Rp 302,500.00 1100 Rp 275.00 Rp 302,500.00 0 Rp 275.00 Rp -
77 Gentamisin sulfat Salep Kulit ktk 24 btl 0 Rp 2,780.00 Rp - 150 Rp 2,780.00 Rp 417,000.00 150 Rp 2,780.00 Rp 417,000.00 50 Rp 2,780.00 Rp 139,000.00 100 Rp 2,780.00 Rp 278,000.00
78 Gentamisin sulfat salep mata tube 0 Rp 6,127.00 Rp - 24 Rp 6,127.00 Rp 147,048.00 24 Rp 6,127.00 Rp 147,048.00 24 Rp 6,127.00 Rp 147,048.00 0 Rp 6,127.00 Rp -
79 Gentamisin sulfat tetes mata ktk 24 btl 24 Rp 5,217.00 Rp 125,208.00 Rp 5,217.00 Rp - 24 Rp 5,217.00 Rp 125,208.00 24 Rp 5,217.00 Rp 125,208.00 0 Rp 5,217.00 Rp -
80 Glimepirid 2 mg ktk 100 tab 0 Rp 317.00 Rp - 1000 Rp 317.00 Rp 317,000.00 1000 Rp 317.00 Rp 317,000.00 850 Rp 317.00 Rp 269,450.00 150 Rp 317.00 Rp 47,550.00
81 Glukosa larutan infus 5% btl 500ml 5 Rp 6,627.00 Rp 33,135.00 Rp 6,627.00 Rp - 5 Rp 6,627.00 Rp 33,135.00 5 Rp 6,627.00 Rp 33,135.00 0 Rp 6,627.00 Rp -
82 Glukosa larutan infus 5% btl 500ml Rp 7,686.00 20 Rp 7,686.00 Rp 153,720.00 20 Rp 7,686.00 Rp 153,720.00 20 Rp 7,686.00 Rp 153,720.00 0 Rp 7,686.00 Rp -
83 Griseofulvin Btl 100 tab 1800 Rp 210.00 Rp 378,000.00 Rp 210.00 Rp - 1800 Rp 210.00 Rp 378,000.00 900 Rp 210.00 Rp 189,000.00 900 Rp 210.00 Rp 189,000.00
84 Guaifenesin 100 mg Ktk 100 tab 0 Rp 100.00 Rp - 44000 Rp 100.00 Rp 4,400,000.00 44000 Rp 100.00 Rp 4,400,000.00 36800 Rp 100.00 Rp 3,680,000.00 7200 Rp 100.00 Rp 720,000.00
85 Haloperidol tab 1.5 mg Ktk 100 tab 0 Rp 212.00 Rp - 1000 Rp 212.00 Rp 212,000.00 1000 Rp 212.00 Rp 212,000.00 600 Rp 212.00 Rp 127,200.00 400 Rp 212.00 Rp 84,800.00
86 Haloperidol tab 5 mg Ktk 100 tab 0 Rp 227.00 Rp - 3000 Rp 227.00 Rp 681,000.00 3000 Rp 227.00 Rp 681,000.00 2100 Rp 227.00 Rp 476,700.00 900 Rp 227.00 Rp 204,300.00
87 Hiosina BB 10 mg (Scopma) Ktk 100 tab Rp 743.00 1000 Rp 743.00 Rp 743,000.00 1000 Rp 743.00 Rp 743,000.00 200 Rp 743.00 Rp 148,600.00 800 Rp 743.00 Rp 594,400.00
88 Hiosina Butilbromida 10 mg Ktk 100 tab 1600 Rp 1,050.00 Rp 1,680,000.00 Rp 1,050.00 Rp - 1600 Rp 1,050.00 Rp 1,680,000.00 1600 Rp 1,050.00 Rp 1,680,000.00 0 Rp 1,050.00 Rp -
89 Hydroclorthiazid (HCT) Ktk 100 tab 500 Rp 178.00 Rp 89,000.00 Rp 178.00 Rp - 500 Rp 178.00 Rp 89,000.00 300 Rp 178.00 Rp 53,400.00 200 Rp 178.00 Rp 35,600.00
90 Hydrokortison cream Ktk 24 tube 196 Rp 2,325.00 Rp 455,700.00 Rp 2,325.00 Rp - 196 Rp 2,325.00 Rp 455,700.00 178 Rp 2,325.00 Rp 413,850.00 18 Rp 2,325.00 Rp 41,850.00
91 Ibuprofen 400 mg Btl 60 ml 0 Rp 199.00 Rp - 13200 Rp 199.00 Rp 2,626,800.00 13200 Rp 199.00 Rp 2,626,800.00 3300 Rp 199.00 Rp 656,700.00 9900 Rp 199.00 Rp 1,970,100.00
92 Ibuprofen 400 mg Ktk 100 tab 16600 Rp 448.00 Rp 7,436,800.00 Rp 448.00 Rp - 16600 Rp 448.00 Rp 7,436,800.00 16600 Rp 448.00 Rp 7,436,800.00 0 Rp 448.00 Rp -
93 Kalsium Laktat 500 mg Ktk 100 tab 49400 Rp 60.00 Rp 2,964,000.00 Rp 60.00 Rp - 49400 Rp 60.00 Rp 2,964,000.00 22700 Rp 60.00 Rp 1,362,000.00 26700 Rp 60.00 Rp 1,602,000.00
94 Ketokonazol 200 mg Ktk 100 tab 500 Rp 143.00 Rp 71,500.00 Rp 143.00 Rp - 500 Rp 143.00 Rp 71,500.00 500 Rp 143.00 Rp 71,500.00 0 Rp 143.00 Rp -
95 Ketorolac inj 30 mg/ml ampul 10 Rp 923.00 Rp 9,230.00 Rp 923.00 Rp - 10 Rp 923.00 Rp 9,230.00 10 Rp 923.00 Rp 9,230.00 0 Rp 923.00 Rp -
96 Ketorolac inj 30 mg/ml ampul 0 Rp 6,000.00 Rp - 50 Rp 6,000.00 Rp 300,000.00 50 Rp 6,000.00 Rp 300,000.00 40 Rp 6,000.00 Rp 240,000.00 10 Rp 6,000.00 Rp 60,000.00
97 Kotrimoksasol 480 mg ktk 100 tab Rp 320.00 7000 Rp 320.00 Rp 2,240,000.00 7000 Rp 320.00 Rp 2,240,000.00 5000 Rp 320.00 Rp 1,600,000.00 2000 Rp 320.00 Rp 640,000.00
98 Kotrimoksasol suspensi botol 0 Rp 4,084.00 Rp - 192 Rp 4,084.00 Rp 784,128.00 192 Rp 4,084.00 Rp 784,128.00 181 Rp 4,084.00 Rp 739,204.00 11 Rp 4,084.00 Rp 44,924.00
99 Lanzoprazol kapsul ktk 50 kaps 0 Rp 655.00 Rp - 1500 Rp 655.00 Rp 982,500.00 1500 Rp 655.00 Rp 982,500.00 800 Rp 655.00 Rp 524,000.00 700 Rp 655.00 Rp 458,500.00
100 Lidokain comp injeksi Ktk 30 ampul 225 Rp 847.00 Rp 190,575.00 Rp 847.00 Rp - 225 Rp 847.00 Rp 190,575.00 225 Rp 847.00 Rp 190,575.00 0 Rp 847.00 Rp -
101 Lidokain comp injeksi Ktk 30 ampul Rp 1,532.00 450 Rp 1,532.00 Rp 689,400.00 450 Rp 1,532.00 Rp 689,400.00 450 Rp 1,532.00 Rp 689,400.00 0 Rp 1,532.00 Rp -
102 Loperamide tab Ktk 100 tab 1700 Rp 81.00 Rp 137,700.00 Rp 81.00 Rp - 1700 Rp 81.00 Rp 137,700.00 1700 Rp 81.00 Rp 137,700.00 0 Rp 81.00 Rp -
103 Loperamide tab Ktk 100 tab 0 Rp 77.00 Rp - 5300 Rp 77.00 Rp 408,100.00 5300 Rp 77.00 Rp 408,100.00 4900 Rp 77.00 Rp 377,300.00 400 Rp 77.00 Rp 30,800.00
104 Loratadin 10 mg tab ktk 100 tab Rp 200.00 500 Rp 200.00 Rp 100,000.00 500 Rp 200.00 Rp 100,000.00 0 Rp 200.00 Rp - 500 Rp 200.00 Rp 100,000.00
105 Loratadin 10 mg tab ktk 100 tab 1600 Rp 117.00 Rp 187,200.00 Rp 117.00 Rp - 1600 Rp 117.00 Rp 187,200.00 1600 Rp 117.00 Rp 187,200.00 0 Rp 117.00 Rp -
106 lyctacur syrup botol 48 Rp 10,656.00 Rp 511,488.00 Rp 10,656.00 Rp - 48 Rp 10,656.00 Rp 511,488.00 48 Rp 10,656.00 Rp 511,488.00 0 Rp 10,656.00 Rp -
107 Meloxicam 15 mg Ktk 50 tab 0 Rp 491.00 Rp - 9500 Rp 491.00 Rp 4,664,500.00 9500 Rp 491.00 Rp 4,664,500.00 7300 Rp 491.00 Rp 3,584,300.00 2200 Rp 491.00 Rp 1,080,200.00
108 Metformin 500 mg Ktk 100 tab Rp 260.00 3000 Rp 260.00 Rp 780,000.00 3000 Rp 260.00 Rp 780,000.00 2000 Rp 260.00 Rp 520,000.00 1000 Rp 260.00 Rp 260,000.00
109 Metformin 500 mg Ktk 100 tab Rp 200.00 4000 Rp 200.00 Rp 800,000.00 4000 Rp 200.00 Rp 800,000.00 4000 Rp 200.00 Rp 800,000.00 0 Rp 200.00 Rp -
110 Metformin 500 mg Ktk 200 tab 12600 Rp 77.00 Rp 970,200.00 Rp 77.00 Rp - 12600 Rp 77.00 Rp 970,200.00 12600 Rp 77.00 Rp 970,200.00 0 Rp 77.00 Rp -
111 Methyl prednisolon ktk 100 tab 0 Rp 282.00 Rp - 12000 Rp 282.00 Rp 3,384,000.00 12000 Rp 282.00 Rp 3,384,000.00 10100 Rp 282.00 Rp 2,848,200.00 1900 Rp 282.00 Rp 535,800.00
112 Metil Ergometrin injekso ampul Rp 3,400.00 25 Rp 3,400.00 Rp 85,000.00 25 Rp 3,400.00 Rp 85,000.00 5 Rp 3,400.00 Rp 17,000.00 20 Rp 3,400.00 Rp 68,000.00
114 Metoklopramid 10 mg Ktk 100 tab 10400 Rp 66.00 Rp 686,400.00 Rp 66.00 Rp - 10400 Rp 66.00 Rp 686,400.00 3500 Rp 66.00 Rp 231,000.00 6900 Rp 66.00 Rp 455,400.00
115 Metoklopramid inj 5 mg/ml ktk 10 ampul 0 Rp 5,240.00 Rp - 100 Rp 5,240.00 Rp 524,000.00 100 Rp 5,240.00 Rp 524,000.00 90 Rp 5,240.00 Rp 471,600.00 10 Rp 5,240.00 Rp 52,400.00
116 Metoklopramid syrup botol 60 mL 123 Rp 4,379.00 Rp 538,617.00 Rp 4,379.00 Rp - 123 Rp 4,379.00 Rp 538,617.00 123 Rp 4,379.00 Rp 538,617.00 0 Rp 4,379.00 Rp -
117 Metoklopramid tablet ktk 100 tab 2200 Rp 100.00 Rp 220,000.00 Rp 100.00 Rp - 2200 Rp 100.00 Rp 220,000.00 2200 Rp 100.00 Rp 220,000.00 0 Rp 100.00 Rp -
118 Metronidazol 500 mg Ktk 100 tab 0 Rp 330.00 Rp - 2200 Rp 330.00 Rp 726,000.00 2200 Rp 330.00 Rp 726,000.00 1700 Rp 330.00 Rp 561,000.00 500 Rp 330.00 Rp 165,000.00
119 MgSO4 20% injeksi botol 25 ml 6 Rp 3,745.55 Rp 22,473.30 Rp 3,745.55 Rp - 6 Rp 3,745.55 Rp 22,473.30 6 Rp 3,745.55 Rp 22,473.30 0 Rp 3,745.55 Rp -
120 MgSO4 40% injeksi botol 25 ml 0 Rp 5,660.00 Rp - 12 Rp 5,660.00 Rp 67,920.00 12 Rp 5,660.00 Rp 67,920.00 5 Rp 5,660.00 Rp 28,300.00 7 Rp 5,660.00 Rp 39,620.00
121 Mikonazole salep kulit 2 % tube 24 Rp 1,900.00 Rp 45,600.00 Rp 1,900.00 Rp - 24 Rp 1,900.00 Rp 45,600.00 24 Rp 1,900.00 Rp 45,600.00 0 Rp 1,900.00 Rp -
122 Mikonazole salep kulit 2 % tube 0 Rp 4,113.00 Rp - 168 Rp 4,113.00 Rp 690,984.00 168 Rp 4,113.00 Rp 690,984.00 168 Rp 4,113.00 Rp 690,984.00 0 Rp 4,113.00 Rp -
123 NaCl 0.9% Infus Btl 500 ml 26 Rp 6,900.00 Rp 179,400.00 Rp 6,900.00 Rp - 26 Rp 6,900.00 Rp 179,400.00 26 Rp 6,900.00 Rp 179,400.00 0 Rp 6,900.00 Rp -
124 NaCl 0.9% Infus Btl 500 ml Rp 7,673.00 320 Rp 7,673.00 Rp 2,455,360.00 320 Rp 7,673.00 Rp 2,455,360.00 180 Rp 7,673.00 Rp 1,381,140.00 140 Rp 7,673.00 Rp 1,074,220.00
125 Natrium Diklofenak 50 mg Ktk 50 tab Rp 210.00 Rp - 6000 Rp 210.00 Rp 1,260,000.00 6000 Rp 210.00 Rp 1,260,000.00 4400 Rp 210.00 Rp 924,000.00 1600 Rp 210.00 Rp 336,000.00
126 New Antides 600 mg ktk 100 tab 400 Rp 550.00 Rp 220,000.00 Rp 550.00 Rp - 400 Rp 550.00 Rp 220,000.00 200 Rp 550.00 Rp 110,000.00 200 Rp 550.00 Rp 110,000.00
127 Nifedipin 10 mg Ktk 100 tab 300 Rp 390.44 Rp 117,132.00 Rp 390.44 Rp - 300 Rp 390.44 Rp 117,132.00 300 Rp 390.44 Rp 117,132.00 0 Rp 390.44 Rp -
128 Omeprazole 20 mg ktk 200 tab 0 Rp 255.00 Rp - 4000 Rp 255.00 Rp 1,020,000.00 4000 Rp 255.00 Rp 1,020,000.00 4000 Rp 255.00 Rp 1,020,000.00 0 Rp 255.00 Rp -
129 Ondasentron HCl inj 2mg/ml ampul 0 Rp 2,575.00 Rp - 280 Rp 2,575.00 Rp 721,000.00 280 Rp 2,575.00 Rp 721,000.00 260 Rp 2,575.00 Rp 669,500.00 20 Rp 2,575.00 Rp 51,500.00
130 Onoake Kapsul kotak 30 kap Rp 4,990.00 720 Rp 4,990.00 Rp 3,592,800.00 720 Rp 4,990.00 Rp 3,592,800.00 90 Rp 4,990.00 Rp 449,100.00 630 Rp 4,990.00 Rp 3,143,700.00
131 Oxytetracycline salep kulit 3% Ktk 25 tube 35 Rp 2,139.28 Rp 74,874.80 Rp 2,139.28 Rp - 35 Rp 2,139.28 Rp 74,874.80 35 Rp 2,139.28 Rp 74,874.80 Rp 2,139.28 Rp -
132 Oxytetracycline salep mata Ktk 25 tube 100 Rp 3,500.00 Rp 350,000.00 50 Rp 3,500.00 Rp 175,000.00 150 Rp 3,500.00 Rp 525,000.00 60 Rp 3,500.00 Rp 210,000.00 90 Rp 3,500.00 Rp 315,000.00
133 Oxytocin inj Ktk 100 amp 570 Rp 8,500.00 Rp 4,845,000.00 Rp 8,500.00 Rp - 570 Rp 8,500.00 Rp 4,845,000.00 170 Rp 8,500.00 Rp 1,445,000.00 400 Rp 8,500.00 Rp 3,400,000.00
134 Oxyvit D3 Btl 60 kap 180 Rp 2,035.00 Rp 366,300.00 Rp 2,035.00 Rp - 180 Rp 2,035.00 Rp 366,300.00 180 Rp 2,035.00 Rp 366,300.00 0 Rp 2,035.00 Rp -
135 Pantoprazole kap ktk 60 kap 0 Rp 5,273.00 Rp - 300 Rp 5,273.00 Rp 1,581,900.00 300 Rp 5,273.00 Rp 1,581,900.00 300 Rp 5,273.00 Rp 1,581,900.00 0 Rp 5,273.00 Rp -
136 Paracetamol syrup Btl 60 ml 0 Rp 4,957.00 Rp - 292 Rp 4,957.00 Rp 1,447,444.00 292 Rp 4,957.00 Rp 1,447,444.00 267 Rp 4,957.00 Rp 1,323,519.00 25 Rp 4,957.00 Rp 123,925.00
137 Paracetamol syrup Btl 60 ml 375 Rp 1,160.00 Rp 435,000.00 Rp 1,160.00 Rp - 375 Rp 1,160.00 Rp 435,000.00 375 Rp 1,160.00 Rp 435,000.00 0 Rp 1,160.00 Rp -
138 Parasetamol 500 mg Ktk 100 tab 29100 Rp 292.00 Rp 8,497,200.00 Rp 292.00 Rp - 29100 Rp 292.00 Rp 8,497,200.00 29100 Rp 292.00 Rp 8,497,200.00 0 Rp 292.00 Rp -
139 Parasetamol 500 mg Ktk 100 tab 0 Rp 210.00 Rp - 79900 Rp 210.00 Rp 16,779,000.00 79900 Rp 210.00 Rp 16,779,000.00 62000 Rp 210.00 Rp 13,020,000.00 17900 Rp 210.00 Rp 3,759,000.00
140 Parasetamol infus 10 mg/ml botol 0 Rp 14,360.00 Rp - 80 Rp 14,360.00 Rp 1,148,800.00 80 Rp 14,360.00 Rp 1,148,800.00 80 Rp 14,360.00 Rp 1,148,800.00 0 Rp 14,360.00 Rp -
141 Piridoxin tab ktk 100 tab 0 Rp 114.00 Rp - 16000 Rp 114.00 Rp 1,824,000.00 16000 Rp 114.00 Rp 1,824,000.00 3400 Rp 114.00 Rp 387,600.00 12600 Rp 114.00 Rp 1,436,400.00
142 Piridoxin tab ktk 200 tab 17400 Rp 72.65 Rp 1,264,110.00 Rp 72.65 Rp - 17400 Rp 72.65 Rp 1,264,110.00 14600 Rp 72.65 Rp 1,060,690.00 2800 Rp 72.65 Rp 203,420.00
143 Prednison tab Ktk 100 tab 0 Rp 107.00 Rp - 500 Rp 107.00 Rp 53,500.00 500 Rp 107.00 Rp 53,500.00 500 Rp 107.00 Rp 53,500.00 0 Rp 107.00 Rp -
144 Propil Thiuracyl 100 mg ktk 100 tab 300 Rp 350.00 Rp 105,000.00 Rp 350.00 Rp - 300 Rp 350.00 Rp 105,000.00 300 Rp 350.00 Rp 105,000.00 0 Rp 350.00 Rp -
145 Propranolol 10 mg tab ktk 100 tab 300 Rp 63.00 Rp 18,900.00 Rp 63.00 Rp - 300 Rp 63.00 Rp 18,900.00 0 Rp 63.00 Rp - 300 Rp 63.00 Rp 18,900.00
147 Ranitidine 120 mg ktk 100 tab Rp 189.00 11600 Rp 189.00 Rp 2,192,400.00 11600 Rp 189.00 Rp 2,192,400.00 10700 Rp 189.00 Rp 2,022,300.00 900 Rp 189.00 Rp 170,100.00
148 Ranitidine Inj ktk 25 amp 0 Rp 1,530.00 Rp - 300 Rp 1,530.00 Rp 459,000.00 300 Rp 1,530.00 Rp 459,000.00 250 Rp 1,530.00 Rp 382,500.00 50 Rp 1,530.00 Rp 76,500.00
149 Ringer Asetat Btl 500 ml 40 Rp 9,592.00 Rp 383,680.00 Rp 9,592.00 Rp - 40 Rp 9,592.00 Rp 383,680.00 40 Rp 9,592.00 Rp 383,680.00 0 Rp 9,592.00 Rp -
150 Ringer Asetat Btl 500 ml Rp 8,500.00 200 Rp 8,500.00 Rp 1,700,000.00 200 Rp 8,500.00 Rp 1,700,000.00 80 Rp 8,500.00 Rp 680,000.00 120 Rp 8,500.00 Rp 1,020,000.00
151 Ringer Lactat Btl 500 ml 0 Rp 8,498.00 Rp - 4500 Rp 8,498.00 Rp 38,241,000.00 4500 Rp 8,498.00 Rp 38,241,000.00 4360 Rp 8,498.00 Rp 37,051,280.00 140 Rp 8,498.00 Rp 1,189,720.00
152 Risperidone 2 mg Ktk 100 tab 600 Rp 287.00 Rp 172,200.00 Rp 287.00 Rp - 600 Rp 287.00 Rp 172,200.00 600 Rp 287.00 Rp 172,200.00 0 Rp 287.00 Rp -
153 Risperidone 2 mg Ktk 100 tab 0 Rp 273.00 Rp - 1000 Rp 273.00 Rp 273,000.00 1000 Rp 273.00 Rp 273,000.00 700 Rp 273.00 Rp 191,100.00 300 Rp 273.00 Rp 81,900.00
154 Salbutamol inhalasi ampul Rp 4,995.00 50 Rp 4,995.00 Rp 249,750.00 50 Rp 4,995.00 Rp 249,750.00 30 Rp 4,995.00 Rp 149,850.00 20 Rp 4,995.00 Rp 99,900.00
155 Salbutamol tab Ktk 100 tab 0 Rp 67.00 Rp - 3000 Rp 67.00 Rp 201,000.00 3000 Rp 67.00 Rp 201,000.00 3000 Rp 67.00 Rp 201,000.00 0 Rp 67.00 Rp -
156 Salep 2 - 4 Ktk 24 pot 7 Rp 1,475.00 Rp 10,325.00 Rp 1,475.00 Rp - 7 Rp 1,475.00 Rp 10,325.00 7 Rp 1,475.00 Rp 10,325.00 0 Rp 1,475.00 Rp -
157 Salisil Talk Pot 100 gr 0 Rp 3,103.00 Rp - 100 Rp 3,103.00 Rp 310,300.00 100 Rp 3,103.00 Rp 310,300.00 38 Rp 3,103.00 Rp 117,914.00 62 Rp 3,103.00 Rp 192,386.00
158 Sefadroxil kaps 500 mg Ktk 100 Kaps 0 Rp 1,000.00 Rp - 6000 Rp 1,000.00 Rp 6,000,000.00 6000 Rp 1,000.00 Rp 6,000,000.00 6000 Rp 1,000.00 Rp 6,000,000.00 0 Rp 1,000.00 Rp -
159 Sefadroxyl Syrup Botol 0 Rp 9,700.00 Rp - 85 Rp 9,700.00 Rp 824,500.00 85 Rp 9,700.00 Rp 824,500.00 80 Rp 9,700.00 Rp 776,000.00 5 Rp 9,700.00 Rp 48,500.00
160 Sianokobalamin (Vit 12) tab Ktk 100 tab 0 Rp 70.00 Rp - 1000 Rp 70.00 Rp 70,000.00 1000 Rp 70.00 Rp 70,000.00 1000 Rp 70.00 Rp 70,000.00 0 Rp 70.00 Rp -
161 Simvastatin 20 mg Ktk 50 tab 0 Rp 430.00 Rp - 7000 Rp 430.00 Rp 3,010,000.00 7000 Rp 430.00 Rp 3,010,000.00 2300 Rp 430.00 Rp 989,000.00 4700 Rp 430.00 Rp 2,021,000.00
162 Stimuno Forte Tablet botol 30 kapsul 120 Rp 1,958.00 Rp 234,960.00 Rp 1,958.00 Rp - 120 Rp 1,958.00 Rp 234,960.00 120 Rp 1,958.00 Rp 234,960.00 0 Rp 1,958.00 Rp -
163 Stimuno Sachet Sacchet/ 30 792 Rp 1,832.00 Rp 1,450,944.00 Rp 1,832.00 Rp - 792 Rp 1,832.00 Rp 1,450,944.00 792 Rp 1,832.00 Rp 1,450,944.00 0 Rp 1,832.00 Rp -
164 Striatamin kap kotak 30 kap 0 Rp 5,372.00 Rp - 720 Rp 5,372.00 Rp 3,867,840.00 720 Rp 5,372.00 Rp 3,867,840.00 600 Rp 5,372.00 Rp 3,223,200.00 120 Rp 5,372.00 Rp 644,640.00
165 Supralysin syrup botol 60 ml 0 Rp 33,300.00 Rp - 150 Rp 33,300.00 Rp 4,995,000.00 150 Rp 33,300.00 Rp 4,995,000.00 75 Rp 33,300.00 Rp 2,497,500.00 75 Rp 33,300.00 Rp 2,497,500.00
166 Thiamin (Vit B1) tab 50 ktk 100 tab 0 Rp 225.00 Rp - 14000 Rp 225.00 Rp 3,150,000.00 14000 Rp 225.00 Rp 3,150,000.00 14000 Rp 225.00 Rp 3,150,000.00 0 Rp 225.00 Rp -
167 Trifluoperazin tab ktk 100 tab 0 Rp 287.00 Rp - 500 Rp 287.00 Rp 143,500.00 500 Rp 287.00 Rp 143,500.00 200 Rp 287.00 Rp 57,400.00 300 Rp 287.00 Rp 86,100.00
168 Trihexyphenidil 2 mg tab ktk 100 tab 100 Rp 63.00 Rp 6,300.00 Rp 63.00 Rp - 100 Rp 63.00 Rp 6,300.00 100 Rp 63.00 Rp 6,300.00 0 Rp 63.00 Rp -
169 Trihexyphenidil 2 mg tab ktk 100 tab Rp 110.00 6000 Rp 110.00 Rp 660,000.00 6000 Rp 110.00 Rp 660,000.00 4200 Rp 110.00 Rp 462,000.00 1800 Rp 110.00 Rp 198,000.00
170 Vitamin B Kompleks Ktk 100 tab Rp 127.00 19200 Rp 127.00 Rp 2,438,400.00 19200 Rp 127.00 Rp 2,438,400.00 17900 Rp 127.00 Rp 2,273,300.00 1300 Rp 127.00 Rp 165,100.00
171 Vitamin B Kompleks Ktk 100 tab 25700 Rp 60.00 Rp 1,542,000.00 Rp 60.00 Rp - 25700 Rp 60.00 Rp 1,542,000.00 25700 Rp 60.00 Rp 1,542,000.00 0 Rp 60.00 Rp -
172 Zinc tab Ktk 100 tab 2900 Rp 253.00 Rp 733,700.00 Rp 253.00 Rp - 2900 Rp 253.00 Rp 733,700.00 2900 Rp 253.00 Rp 733,700.00 0 Rp 253.00 Rp -
173 Zink Sulfat Ktk 100 tab 0 Rp 195.00 Rp - 5500 Rp 195.00 Rp 1,072,500.00 5500 Rp 195.00 Rp 1,072,500.00 3700 Rp 195.00 Rp 721,500.00 1800 Rp 195.00 Rp 351,000.00
.
.
SISA STOK BMHP
1 Alat Suntik 1 mL ktk 1600 Rp 747.50 Rp 1,196,000.00 1200 Rp 747.50 Rp 897,000.00 2800 Rp 747.50 Rp 2,093,000.00 1150 Rp 747.50 Rp 859,625.00 1650 Rp 747.50 Rp 1,233,375.00
2 Alat Suntik 3 ml Ktk 600 Rp 747.50 Rp 448,500.00 Rp 747.50 Rp - 600 Rp 747.50 Rp 448,500.00 600 Rp 747.50 Rp 448,500.00 0 Rp 747.50 Rp -
3 Alat Suntik 5 ml pcs 900 Rp 1,500.00 Rp 1,350,000.00 Rp 1,500.00 Rp - 900 Rp 1,500.00 Rp 1,350,000.00 900 Rp 1,500.00 Rp 1,350,000.00 0 Rp 1,500.00 Rp -
4 Canula anak pcs 80 Rp 7,421.00 Rp 593,680.00 Rp 7,421.00 Rp - 80 Rp 7,421.00 Rp 593,680.00 60 Rp 7,421.00 Rp 445,260.00 20 Rp 7,421.00 Rp 148,420.00
5 Canula Bayi Pcs 10 Rp 7,421.00 Rp 74,210.00 Rp 7,421.00 Rp - 10 Rp 7,421.00 Rp 74,210.00 0 Rp 7,421.00 Rp - 10 Rp 7,421.00 Rp 74,210.00
6 Canula dewasa pcs 340 Rp 7,421.00 Rp 2,523,140.00 Rp 7,421.00 Rp - 340 Rp 7,421.00 Rp 2,523,140.00 120 Rp 7,421.00 Rp 890,520.00 220 Rp 7,421.00 Rp 1,632,620.00
7 Catgut 2/0 dgn jarum bedah Pcs 96 Rp 52,872.61 Rp 5,075,770.56 Rp 52,872.61 Rp - 96 Rp 52,872.61 Rp 5,075,770.56 96 Rp 52,872.61 Rp 5,075,770.56 0 Rp 52,872.61 Rp -
8 Etanol 70 % Btl 1000 ml 19 Rp 65,000.00 Rp 1,235,000.00 20 Rp 65,000.00 Rp 1,300,000.00 39 Rp 65,000.00 Rp 2,535,000.00 39 Rp 65,000.00 Rp 2,535,000.00 0 Rp 65,000.00 Rp -
9 Folley Cateter No 18 Fr Pcs 40 Rp 10,120.00 Rp 404,800.00 Rp 10,120.00 Rp - 40 Rp 10,120.00 Rp 404,800.00 40 Rp 10,120.00 Rp 404,800.00 0 Rp 10,120.00 Rp -
10 Glass Ionomer ART Set 1 Rp 1,555,000 Rp 1,555,000.00 Rp 1,555,000.00 Rp - 1 Rp 1,555,000.00 Rp 1,555,000.00 1 Rp 1,555,000.00 Rp 1,555,000.00 0 Rp 1,555,000.00 Rp -
12 Infus Set Anak set 250 Rp 6,900.00 Rp 1,725,000.00 Rp 6,900.00 Rp - 250 Rp 6,900.00 Rp 1,725,000.00 250 Rp 6,900.00 Rp 1,725,000.00 0 Rp 6,900.00 Rp -
13 IV Catheter No. 18 G Pcs 500 Rp 6,894.25 Rp 3,447,125.00 Rp 6,894.25 Rp - 500 Rp 6,894.25 Rp 3,447,125.00 50 Rp 6,894.25 Rp 344,712.50 450 Rp 6,894.25 Rp 3,102,412.50
16 Jarum Citoject ktk 100 pcs 150 Rp 2,990.00 Rp 448,500.00 Rp 2,990.00 Rp - 150 Rp 2,990.00 Rp 448,500.00 150 Rp 2,990.00 Rp 448,500.00 0 Rp 2,990.00 Rp -
17 Kasa Hidrofil 4 m x 15 cm bungkus 50 Rp 2,365.00 Rp 118,250.00 Rp 2,365.00 Rp - 50 Rp 2,365.00 Rp 118,250.00 50 Rp 2,365.00 Rp 118,250.00 0 Rp 2,365.00 Rp -
18 Kasa Hidrofil 4 m x 15 cm roll 0 Rp 2,583.90 Rp - 100 Rp 2,583.90 Rp 258,390.00 100 Rp 2,583.90 Rp 258,390.00 95 Rp 2,583.90 Rp 245,470.50 5 Rp 2,583.90 Rp 12,919.50
19 Kasa Pembalut 40 y x 80 cm Roll 20 Rp 147,775.00 Rp 2,955,500.00 20 Rp 147,775.00 Rp 2,955,500.00 40 Rp 147,775.00 Rp 5,911,000.00 29 Rp 147,775.00 Rp 4,285,475.00 11 Rp 147,775.00 Rp 1,625,525.00
22 Octadin Btl 1000 ml 7 Rp 396,000.00 Rp 2,772,000.00 Rp 396,000.00 Rp - 7 Rp 396,000.00 Rp 2,772,000.00 5 Rp 396,000.00 Rp 1,980,000.00 2 Rp 396,000.00 Rp 792,000.00
24 Povidon Iodida Btl 300 ml 37 Rp 21,700.00 Rp 802,900.00 Rp 21,700.00 Rp - 37 Rp 21,700.00 Rp 802,900.00 37 Rp 21,700.00 Rp 802,900.00 0 Rp 21,700.00 Rp -
25 Silk 3/0 dgn jarum bedah pcs 96 Rp 38,119.43 Rp 3,659,465.28 Rp 38,119.43 Rp - 96 Rp 38,119.43 Rp 3,659,465.28 96 Rp 38,119.43 Rp 3,659,465.28 0 Rp 38,119.43 Rp -
26 Urine bag Pcs 45 Rp 9,460.00 Rp 425,700.00 Rp 9,460.00 Rp - 45 Rp 9,460.00 Rp 425,700.00 11 Rp 9,460.00 Rp 104,060.00 34 Rp 9,460.00 Rp 321,640.00
JUMLAH BHP MEDIS Rp 36,804,965.84 Rp 5,859,558.33 . Rp 42,664,524.17 Rp 33,721,402.17 Rp 8,943,122.00
.
.
.
.
NIP. 19770808 199702 2 001 . NIP. 19860226 201001 2 038
PEMERINTAH KABUPATEN GOWA
DINAS KESEHATAN
PUSKESMAS GENTUNGAN KEC. BAJENG BARAT
Alamat : Jalan Poros Limbung Gelesong, Dusun Romang Lompoa
Desa Gentungan Kec. Bajeng Barat Kab. Gowa Kode Pos 92152
Email : puskesmasgentungan@gmail.com
BERITA ACARA PEMERIKSAAN OBAT/BMHP

Pada hari Sabtu tanggal tiga puluh Desember tahun dua ribu dua puluh tiga telah dilakukan
pemeriksaan Obat dan BMHP yang diterima dari Gudang Farmasi Dinas Kesehatan Kab. Gowa yang
terdapat pada Puskesmas Gentungan sesuai daftar terlampir, dengan perincian sebagai berikut :
1. Persediaan/Stok Obat dan BMHP 31/12/2022 Rp 104,778,378.91

2. Penerimaan Obat dan BMHP tahun 2023 Rp 219,649,624.33
3. Jumlah Total Obat dan BMHP tahun 2023 Rp 324,428,003.24
4. Distribusi Penggunaan Tahun 2023 Rp 260,281,376.24
5. Stok Obat dan BMHP per 30 Desember 2023 Rp 64,146,627.00
Demikian Berita Acara Pemeriksaan ini dibuat untuk dipergunakan sebagaimana mestinya
Gentungang, 30 Desember 2023

Mengetahui, Penanggungjawab Obat dan BMHP
Kepala Puskesmas Gentungan Puskesmas Gentungan
Hj. Herawati, S.Kep. Ns. Asriani, S.Si., Apt.

NIP. 19770808 199702 2 001 NIP. 19860226 201001 2 038
KAMAR OBAT PUSKESMAS GENTUNGAN
SISA STOK OBAT
NO Nama Obat Kemasan SISA STOK PER 31 DESEMBER 2022 PENERIMAAN OBAT PER 31 DESEMBER 2023 TOTAL JUMLAH OBAT TOTAL DISTRIBUSI OBAT PER 31 DESEMBER 2023
1 Acetyl Cysteine Ktk 60 tab 26 Rp 317.00 Rp 8,242.00 60 Rp 317.00 Rp 19,020.00 86 Rp 317.00 Rp 27,262.00 86 Rp 317.00 Rp 27,262.00 0 Rp 317.00 Rp -
2 Acetyl Cysteine ktk 100 tab Rp 1,110.00 Rp - 480 Rp 1,110.00 Rp 532,800.00 480 Rp 1,110.00 Rp 532,800.00 470 Rp 1,110.00 Rp 521,700.00 10 Rp 1,110.00 Rp 11,100.00
3 Acyclovir 400 mg Ktk 100 tab Rp 900.00 Rp - 1000 Rp 900.00 Rp 900,000.00 1000 Rp 900.00 Rp 900,000.00 586 Rp 900.00 Rp 527,400.00 414 Rp 900.00 Rp 372,600.00
4 Acyclovir 400 mg Ktk 100 tab 525 Rp 1,440.00 Rp 756,000.00 900 Rp 1,440.00 Rp 1,296,000.00 1425 Rp 1,440.00 Rp 2,052,000.00 1425 Rp 1,440.00 Rp 2,052,000.00 0 Rp 1,440.00 Rp -
5 Acyclovir Krim Ktk 10x10 tab Rp 2,898.00 Rp - 25 Rp 2,898.00 Rp 72,450.00 25 Rp 2,898.00 Rp 72,450.00 20 Rp 2,898.00 Rp 57,960.00 5 Rp 2,898.00 Rp 14,490.00
6 Allopurinol tab 100 mg Ktk 100 tab Rp 270.00 Rp - 700 Rp 270.00 Rp 189,000.00 700 Rp 270.00 Rp 189,000.00 700 Rp 270.00 Rp 189,000.00 0 Rp 270.00 Rp -
7 Allopurinol tab 100 mg Ktk 100 tab 310 Rp 89.00 Rp 27,590.00 4600 Rp 89.00 Rp 409,400.00 4910 Rp 89.00 Rp 436,990.00 4910 Rp 89.00 Rp 436,990.00 0 Rp 89.00 Rp -
8 Alprazolam 0,25 mg Ktk 100 tab 17 Rp 629.00 Rp 10,693.00 200 Rp 629.00 Rp 125,800.00 217 Rp 629.00 Rp 136,493.00 217 Rp 629.00 Rp 136,493.00 0 Rp 629.00 Rp -
9 Alprazolam 0.5 mg Ktk 100 tab Rp 182.00 Rp - 100 Rp 182.00 Rp 18,200.00 100 Rp 182.00 Rp 18,200.00 30 Rp 182.00 Rp 5,460.00 70 Rp 182.00 Rp 12,740.00
10 Alprazolam 0.5 mg Ktk 100 tab Rp 78.00 Rp - 300 Rp 78.00 Rp 23,400.00 300 Rp 78.00 Rp 23,400.00 300 Rp 78.00 Rp 23,400.00 0 Rp 78.00 Rp -
11 Ambroxol Tab ktk 50 tab 4 Rp 220.00 Rp 880.00 0 Rp 220.00 Rp - 4 Rp 220.00 Rp 880.00 4 Rp 220.00 Rp 880.00 0 Rp 220.00 Rp -
12 Ambroxol Tab Ktk 100 tab Rp 210.00 Rp - 6900 Rp 210.00 Rp 1,449,000.00 6900 Rp 210.00 Rp 1,449,000.00 6306 Rp 210.00 Rp 1,324,260.00 594 Rp 210.00 Rp 124,740.00
13 Aminofilin 200 mg tab Btl 100 tab Rp 131.00 Rp - 100 Rp 131.00 Rp 13,100.00 100 Rp 131.00 Rp 13,100.00 100 Rp 131.00 Rp 13,100.00 0 Rp 131.00 Rp -
14 Amlodipin tab ktk 50 tab 251 Rp 55.00 Rp 13,805.00 16000 Rp 55.00 Rp 880,000.00 16251 Rp 55.00 Rp 893,805.00 16196 Rp 55.00 Rp 890,780.00 55 Rp 55.00 Rp 3,025.00
15 Amoxicillin 500 mg Caplet Ktk 100 tab Rp 655.00 Rp - 29600 Rp 655.00 Rp 19,388,000.00 29600 Rp 655.00 Rp 19,388,000.00 28850 Rp 655.00 Rp 18,896,750.00 750 Rp 655.00 Rp 491,250.00
16 Amoxicillin 500 mg Caplet Ktk 200 tab 608 Rp 231.00 Rp 140,448.00 38800 Rp 231.00 Rp 8,962,800.00 39408 Rp 231.00 Rp 9,103,248.00 39408 Rp 231.00 Rp 9,103,248.00 0 Rp 231.00 Rp -
17 Amoxicillin sirup 125 mg/5 ml Btl 60 ml 33 Rp 2,050.00 Rp 67,650.00 315 Rp 2,050.00 Rp 645,750.00 348 Rp 2,050.00 Rp 713,400.00 312 Rp 2,050.00 Rp 639,600.00 36 Rp 2,050.00 Rp 73,800.00
18 Antasida DOEN tab ktk 100 Rp 108.00 Rp - 12800 Rp 108.00 Rp 1,382,400.00 12800 Rp 108.00 Rp 1,382,400.00 12556 Rp 108.00 Rp 1,356,048.00 244 Rp 108.00 Rp 26,352.00
19 Anti Bakteri/Bacitracin krim Ktk 25 tube Rp 4,800.00 Rp - 25 Rp 4,800.00 Rp 120,000.00 25 Rp 4,800.00 Rp 120,000.00 12 Rp 4,800.00 Rp 57,600.00 13 Rp 4,800.00 Rp 62,400.00
20 Antihemoroid Kombinasi ktk 10 supp 7 Rp 3,260.00 Rp 22,820.00 30 Rp 3,260.00 Rp 97,800.00 37 Rp 3,260.00 Rp 120,620.00 33 Rp 3,260.00 Rp 107,580.00 4 Rp 3,260.00 Rp 13,040.00
21 Asam Ascorbat 50 mg Ktk 100 tab 931 Rp 46.00 Rp 42,826.00 6000 Rp 46.00 Rp 276,000.00 6931 Rp 46.00 Rp 318,826.00 6931 Rp 46.00 Rp 318,826.00 0 Rp 46.00 Rp -
22 Asam Mefenamat 500mg Ktk 100 tab 968 Rp 117.00 Rp 113,256.00 29400 Rp 117.00 Rp 3,439,800.00 30368 Rp 117.00 Rp 3,553,056.00 30368 Rp 117.00 Rp 3,553,056.00 0 Rp 117.00 Rp -
23 Betahistin tab ktk 100 tab 410 Rp 92.00 Rp 37,720.00 100 Rp 92.00 Rp 9,200.00 510 Rp 92.00 Rp 46,920.00 510 Rp 92.00 Rp 46,920.00 0 Rp 92.00 Rp -
24 Betahistin tab Ktk 100 tab Rp 610.00 Rp - 1100 Rp 610.00 Rp 671,000.00 1100 Rp 610.00 Rp 671,000.00 1077 Rp 610.00 Rp 656,970.00 23 Rp 610.00 Rp 14,030.00
25 Betametason cream 0,1% Ktk 25 tube 39 Rp 1,520.00 Rp 59,280.00 110 Rp 1,520.00 Rp 167,200.00 149 Rp 1,520.00 Rp 226,480.00 149 Rp 1,520.00 Rp 226,480.00 0 Rp 1,520.00 Rp -
26 Betametason cream 0,1% Ktk 25 tube Rp 2,100.00 Rp - 205 Rp 2,100.00 Rp 430,500.00 205 Rp 2,100.00 Rp 430,500.00 193 Rp 2,100.00 Rp 405,300.00 12 Rp 2,100.00 Rp 25,200.00
27 Bisakodil 5mg tab Ktk 100 tab 152 Rp 216.00 Rp 32,832.00 0 Rp 216.00 Rp - 152 Rp 216.00 Rp 32,832.00 52 Rp 216.00 Rp 11,232.00 100 Rp 216.00 Rp 21,600.00
28 Captopril 25 mg Ktk 100 tab Rp 75.00 Rp - 100 Rp 75.00 Rp 7,500.00 100 Rp 75.00 Rp 7,500.00 100 Rp 75.00 Rp 7,500.00 0 Rp 75.00 Rp -
29 Carbamazepin 200mg tab Ktk 100 tab 20 Rp 216.00 Rp 4,320.00 300 Rp 216.00 Rp 64,800.00 320 Rp 216.00 Rp 69,120.00 320 Rp 216.00 Rp 69,120.00 0 Rp 216.00 Rp -
30 Carbamazepin 200mg tab Ktk 100 tab Rp 196.63 Rp - 600 Rp 196.63 Rp 117,978.00 600 Rp 196.63 Rp 117,978.00 430 Rp 196.63 Rp 84,550.90 170 Rp 196.63 Rp 33,427.10
31 Cetirizine tab ktk 100 tab Rp 123.00 Rp - 8600 Rp 123.00 Rp 1,057,800.00 8600 Rp 123.00 Rp 1,057,800.00 7936 Rp 123.00 Rp 976,128.00 664 Rp 123.00 Rp 81,672.00
32 Channa Boost Tube Rp 5,494.50 Rp - 90 Rp 5,494.50 Rp 494,505.00 90 Rp 5,494.50 Rp 494,505.00 90 Rp 5,494.50 Rp 494,505.00 0 Rp 5,494.50 Rp -
33 Channa Fit ktk 100 tab Rp 3,330.00 Rp - 82 Rp 3,330.00 Rp 273,060.00 82 Rp 3,330.00 Rp 273,060.00 81 Rp 3,330.00 Rp 269,730.00 1 Rp 3,330.00 Rp 3,330.00
34 Channa Fola Ktk 100 tab Rp 5,494.50 Rp - 1440 Rp 5,494.50 Rp 7,912,080.00 1440 Rp 5,494.50 Rp 7,912,080.00 1440 Rp 5,494.50 Rp 7,912,080.00 0 Rp 5,494.50 Rp -
35 Chlorampenicol Salep Mata Tube 9 Rp 5,720.00 Rp 51,480.00 0 Rp 5,720.00 Rp - 9 Rp 5,720.00 Rp 51,480.00 9 Rp 5,720.00 Rp 51,480.00 0 Rp 5,720.00 Rp -
36 Chloramphenicol susp btl 4 Rp 15,060.00 Rp 60,240.00 3 Rp 15,060.00 Rp 45,180.00 7 Rp 15,060.00 Rp 105,420.00 7 Rp 15,060.00 Rp 105,420.00 0 Rp 15,060.00 Rp -
37 Chloramphenicol 250mg Ktk 100 cap Rp 614.00 Rp - 1500 Rp 614.00 Rp 921,000.00 1500 Rp 614.00 Rp 921,000.00 1229 Rp 614.00 Rp 754,606.00 271 Rp 614.00 Rp 166,394.00
38 Chloramphenicol tetes telinga botol 4 Rp 13,945.00 Rp 55,780.00 0 Rp 13,945.00 Rp - 4 Rp 13,945.00 Rp 55,780.00 4 Rp 13,945.00 Rp 55,780.00 0 Rp 13,945.00 Rp -
39 Chlorpheniramine maleat tab Ktk 100 tab 803 Rp 88.00 Rp 70,664.00 0 Rp 88.00 Rp - 803 Rp 88.00 Rp 70,664.00 803 Rp 88.00 Rp 70,664.00 0 Rp 88.00 Rp -
40 Chlorpheniramine maleat tab Ktk 100 tab Rp 74.00 Rp - 41400 Rp 74.00 Rp 3,063,600.00 41400 Rp 74.00 Rp 3,063,600.00 41001 Rp 74.00 Rp 3,034,074.00 399 Rp 74.00 Rp 29,526.00
41 Chlorpromazine 100 mg Prov Ktk 100 tab 84 Rp 903.47 Rp 75,891.20 100 Rp 903.47 Rp 90,346.67 184 Rp 903.47 Rp 166,237.87 184 Rp 903.47 Rp 166,237.87 0 Rp 903.47 Rp -
42 Chlorpromazine 100 mg Prov Ktk 100 tab Rp 525.00 Rp - 900 Rp 525.00 Rp 472,500.00 900 Rp 525.00 Rp 472,500.00 821 Rp 525.00 Rp 431,025.00 79 Rp 525.00 Rp 41,475.00
43 Ciprofloxacin 500 mg Ktk 100 tab Rp 570.00 Rp - 1800 Rp 570.00 Rp 1,026,000.00 1800 Rp 570.00 Rp 1,026,000.00 1720 Rp 570.00 Rp 980,400.00 80 Rp 570.00 Rp 45,600.00
44 Ciprofloxacin 500 mg Ktk 100 tab Rp 260.00 Rp - 2300 Rp 260.00 Rp 598,000.00 2300 Rp 260.00 Rp 598,000.00 2300 Rp 260.00 Rp 598,000.00 0 Rp 260.00 Rp -
45 Clozapine 25 mg Ktk 50 tab Rp 1,121.00 Rp - 50 Rp 1,121.00 Rp 56,050.00 50 Rp 1,121.00 Rp 56,050.00 50 Rp 1,121.00 Rp 56,050.00 0 Rp 1,121.00 Rp -
46 Clozapine 25 mg Ktk 50 tab Rp 560.50 Rp - 750 Rp 560.50 Rp 420,375.00 750 Rp 560.50 Rp 420,375.00 750 Rp 560.50 Rp 420,375.00 0 Rp 560.50 Rp -
47 Dexamethazone 0.5 mg tab Ktk 100 tab 872 Rp 130.00 Rp 113,360.00 0 Rp 130.00 Rp - 872 Rp 130.00 Rp 113,360.00 872 Rp 130.00 Rp 113,360.00 0 Rp 130.00 Rp -
48 Dexamethazone 0.5 mg tab Ktk 100 tab Rp 116.00 Rp - 59900 Rp 116.00 Rp 6,948,400.00 59900 Rp 116.00 Rp 6,948,400.00 59796 Rp 116.00 Rp 6,936,336.00 104 Rp 116.00 Rp 12,064.00
49 Diazepam 2 mg tab Ktk 100 tab 93 Rp 85.00 Rp 7,905.00 400 Rp 85.00 Rp 34,000.00 493 Rp 85.00 Rp 41,905.00 454 Rp 85.00 Rp 38,590.00 39 Rp 85.00 Rp 3,315.00
50 Domperidone syr botol Rp 7,700.00 Rp - 21 Rp 7,700.00 Rp 161,700.00 21 Rp 7,700.00 Rp 161,700.00 21 Rp 7,700.00 Rp 161,700.00 0 Rp 7,700.00 Rp -
51 Domperidone tab Ktk 100 tab 1200 Rp 90.00 Rp 108,000.00 0 Rp 90.00 Rp - 1200 Rp 90.00 Rp 108,000.00 409 Rp 90.00 Rp 36,810.00 791 Rp 90.00 Rp 71,190.00
52 Fenobarbital 30 mg tab Btl 100 30 Rp 177.00 Rp 5,310.00 200 Rp 177.00 Rp 35,400.00 230 Rp 177.00 Rp 40,710.00 230 Rp 177.00 Rp 40,710.00 0 Rp 177.00 Rp -
53 Fitomenadion tab 10 mg Ktk 100 tab 511 Rp 781.00 Rp 399,091.00 600 Rp 781.00 Rp 468,600.00 1111 Rp 781.00 Rp 867,691.00 995 Rp 781.00 Rp 777,095.00 116 Rp 781.00 Rp 90,596.00
54 Furosemide tab 40 mg ktk 200 tab 366 Rp 123.55 Rp 45,219.30 0 Rp 123.55 Rp - 366 Rp 123.55 Rp 45,219.30 125 Rp 123.55 Rp 15,443.75 241 Rp 123.55 Rp 29,775.55
55 Garam Oralit Ktk 100 bks 21 Rp 275.00 Rp 5,775.00 800 Rp 275.00 Rp 220,000.00 821 Rp 275.00 Rp 225,775.00 821 Rp 275.00 Rp 225,775.00 0 Rp 275.00 Rp -
56 Gentamisin sulfat Salep Kulit ktk 24 btl Rp 2,780.00 Rp - 50 Rp 2,780.00 Rp 139,000.00 50 Rp 2,780.00 Rp 139,000.00 31 Rp 2,780.00 Rp 86,180.00 19 Rp 2,780.00 Rp 52,820.00
57 Gentamisin sulfat salep mata tube Rp 6,127.00 Rp - 24 Rp 6,127.00 Rp 147,048.00 24 Rp 6,127.00 Rp 147,048.00 9 Rp 6,127.00 Rp 55,143.00 15 Rp 6,127.00 Rp 91,905.00
58 Gentamisin sulfat tetes mata ktk 24 btl 19 Rp 5,217.00 Rp 99,123.00 24 Rp 5,217.00 Rp 125,208.00 43 Rp 5,217.00 Rp 224,331.00 43 Rp 5,217.00 Rp 224,331.00 0 Rp 5,217.00 Rp -
59 Glimepirid 2 mg ktk 100 tab 40 Rp 123.00 Rp 4,920.00 0 Rp 123.00 Rp - 40 Rp 123.00 Rp 4,920.00 40 Rp 123.00 Rp 4,920.00 0 Rp 123.00 Rp -
60 Glimepirid 2 mg ktk 100 tab Rp 317.00 Rp - 850 Rp 317.00 Rp 269,450.00 850 Rp 317.00 Rp 269,450.00 815 Rp 317.00 Rp 258,355.00 35 Rp 317.00 Rp 11,095.00
61 Griseofulvin Btl 100 tab 344 Rp 210.00 Rp 72,240.00 0 Rp 210.00 Rp - 344 Rp 210.00 Rp 72,240.00 309 Rp 210.00 Rp 64,890.00 35 Rp 210.00 Rp 7,350.00
62 Guaifenesin 100 mg Ktk 100 tab Rp 100.00 Rp - 25600 Rp 100.00 Rp 2,560,000.00 25600 Rp 100.00 Rp 2,560,000.00 24706 Rp 100.00 Rp 2,470,600.00 894 Rp 100.00 Rp 89,400.00
63 Haloperidol tab 1.5 mg Ktk 100 tab Rp 212.00 Rp - 600 Rp 212.00 Rp 127,200.00 600 Rp 212.00 Rp 127,200.00 530 Rp 212.00 Rp 112,360.00 70 Rp 212.00 Rp 14,840.00
64 Haloperidol tab 5 mg Ktk 100 tab Rp 227.00 Rp - 2100 Rp 227.00 Rp 476,700.00 2100 Rp 227.00 Rp 476,700.00 2096 Rp 227.00 Rp 475,792.00 4 Rp 227.00 Rp 908.00
65 Hiosina Butilbromida 10 mg Ktk 100 tab 716 Rp 1,050.00 Rp 751,800.00 1000 Rp 1,050.00 Rp 1,050,000.00 1716 Rp 1,050.00 Rp 1,801,800.00 1403 Rp 1,050.00 Rp 1,473,150.00 313 Rp 1,050.00 Rp 328,650.00
66 Hydrokortison cream Ktk 24 tube 13 Rp 2,325.00 Rp 30,225.00 120 Rp 2,325.00 Rp 279,000.00 133 Rp 2,325.00 Rp 309,225.00 120 Rp 2,325.00 Rp 279,000.00 13 Rp 2,325.00 Rp 30,225.00
67 Ibuprofen 400 mg Btl 60 ml Rp 199.00 Rp - 2300 Rp 199.00 Rp 457,700.00 2300 Rp 199.00 Rp 457,700.00 1472 Rp 199.00 Rp 292,928.00 828 Rp 199.00 Rp 164,772.00
68 Ibuprofen 400 mg Ktk 100 tab 690 Rp 448.00 Rp 309,120.00 9400 Rp 448.00 Rp 4,211,200.00 10090 Rp 448.00 Rp 4,520,320.00 10090 Rp 448.00 Rp 4,520,320.00 0 Rp 448.00 Rp -
69 Kalsium Laktat 500 mg Ktk 100 tab 744 Rp 60.00 Rp 44,640.00 11300 Rp 60.00 Rp 678,000.00 12044 Rp 60.00 Rp 722,640.00 11990 Rp 60.00 Rp 719,400.00 54 Rp 60.00 Rp 3,240.00
70 Ketokonazol 200 mg Ktk 100 tab 200 Rp 143.00 Rp 28,600.00 0 Rp 143.00 Rp - 200 Rp 143.00 Rp 28,600.00 200 Rp 143.00 Rp 28,600.00 0 Rp 143.00 Rp -
71 Kotrimoksasol 480 mg ktk 100 tab Rp 320.00 Rp - 3000 Rp 320.00 Rp 960,000.00 3000 Rp 320.00 Rp 960,000.00 3000 Rp 320.00 Rp 960,000.00 0 Rp 320.00 Rp -
72 Kotrimoksasol suspensi botol Rp 4,084.00 Rp - 116 Rp 4,084.00 Rp 473,744.00 116 Rp 4,084.00 Rp 473,744.00 112 Rp 4,084.00 Rp 457,408.00 4 Rp 4,084.00 Rp 16,336.00
73 Lanzoprazol kapsul ktk 50 kaps Rp 655.00 Rp - 550 Rp 655.00 Rp 360,250.00 550 Rp 655.00 Rp 360,250.00 529 Rp 655.00 Rp 346,495.00 21 Rp 655.00 Rp 13,755.00
74 Loperamide tab Ktk 100 tab Rp 81.00 Rp - 100 Rp 81.00 Rp 8,100.00 100 Rp 81.00 Rp 8,100.00 100 Rp 81.00 Rp 8,100.00 0 Rp 81.00 Rp -
75 Loperamide tab Ktk 100 tab Rp 77.00 Rp - 2700 Rp 77.00 Rp 207,900.00 2700 Rp 77.00 Rp 207,900.00 1866 Rp 77.00 Rp 143,682.00 834 Rp 77.00 Rp 64,218.00
76 Loratadin 10 mg tab ktk 100 tab 21 Rp 117.00 Rp 2,457.00 1500 Rp 117.00 Rp 175,500.00 1521 Rp 117.00 Rp 177,957.00 1521 Rp 117.00 Rp 177,957.00 0 Rp 117.00 Rp -
77 lyctacur syrup botol 13 Rp 10,656.00 Rp 138,528.00 38 Rp 10,656.00 Rp 404,928.00 51 Rp 10,656.00 Rp 543,456.00 51 Rp 10,656.00 Rp 543,456.00 0 Rp 10,656.00 Rp -
78 Meloxicam 15 mg Ktk 50 tab Rp 491.00 Rp - 5900 Rp 491.00 Rp 2,896,900.00 5900 Rp 491.00 Rp 2,896,900.00 5778 Rp 491.00 Rp 2,836,998.00 122 Rp 491.00 Rp 59,902.00
79 Metformin 500 mg ampul 714 Rp 77.00 Rp 54,978.00 0 Rp 77.00 Rp - 714 Rp 77.00 Rp 54,978.00 714 Rp 77.00 Rp 54,978.00 0 Rp 77.00 Rp -
80 Metformin 500 mg Ktk 100 tab Rp 260.00 Rp - 2000 Rp 260.00 Rp 520,000.00 2000 Rp 260.00 Rp 520,000.00 1746 Rp 260.00 Rp 453,960.00 254 Rp 260.00 Rp 66,040.00
81 Metformin 500 mg Ktk 200 tab Rp 77.00 Rp - 3000 Rp 77.00 Rp 231,000.00 3000 Rp 77.00 Rp 231,000.00 3000 Rp 77.00 Rp 231,000.00 0 Rp 77.00 Rp -
83 Methyl prednisolon ktk 100 tab 34 Rp 102.00 Rp 3,468.00 0 Rp 102.00 Rp - 34 Rp 102.00 Rp 3,468.00 34 Rp 102.00 Rp 3,468.00 0 Rp 102.00 Rp -
84 Methyl prednisolon ktk 100 tab Rp 282.00 Rp - 9400 Rp 282.00 Rp 2,650,800.00 9400 Rp 282.00 Rp 2,650,800.00 8786 Rp 282.00 Rp 2,477,652.00 614 Rp 282.00 Rp 173,148.00
85 Metil Ergometrin Tab Ktk 100 tab 60 Rp 214.00 Rp 12,840.00 1000 Rp 214.00 Rp 214,000.00 1060 Rp 214.00 Rp 226,840.00 680 Rp 214.00 Rp 145,520.00 380 Rp 214.00 Rp 81,320.00
86 Metoklopramid 10 mg Ktk 100 tab 631 Rp 100.00 Rp 63,100.00 0 Rp 100.00 Rp - 631 Rp 100.00 Rp 63,100.00 631 Rp 100.00 Rp 63,100.00 0 Rp 100.00 Rp -
87 Metoklopramid 10 mg Ktk 100 tab Rp 66.00 Rp - 2000 Rp 66.00 Rp 132,000.00 2000 Rp 66.00 Rp 132,000.00 941 Rp 66.00 Rp 62,106.00 1059 Rp 66.00 Rp 69,894.00
88 Metoklopramid syrup botol 60 mL 11 Rp 4,379.00 Rp 48,169.00 48 Rp 4,379.00 Rp 210,192.00 59 Rp 4,379.00 Rp 258,361.00 59 Rp 4,379.00 Rp 258,361.00 0 Rp 4,379.00 Rp -
89 Metoklopramid tablet ktk 100 tab Rp 100.00 Rp - 1000 Rp 100.00 Rp 100,000.00 1000 Rp 100.00 Rp 100,000.00 1000 Rp 100.00 Rp 100,000.00 0 Rp 100.00 Rp -
90 Metronidazol 500 mg Ktk 100 tab Rp 330.00 Rp - 1100 Rp 330.00 Rp 363,000.00 1100 Rp 330.00 Rp 363,000.00 605 Rp 330.00 Rp 199,650.00 495 Rp 330.00 Rp 163,350.00
91 Mikonazole salep kulit 2 % tube 20 Rp 1,900.00 Rp 38,000.00 24 Rp 1,900.00 Rp 45,600.00 44 Rp 1,900.00 Rp 83,600.00 44 Rp 1,900.00 Rp 83,600.00 0 Rp 1,900.00 Rp -
92 Mikonazole salep kulit 2 % tube Rp 4,113.00 Rp - 168 Rp 4,113.00 Rp 690,984.00 168 Rp 4,113.00 Rp 690,984.00 161 Rp 4,113.00 Rp 662,193.00 7 Rp 4,113.00 Rp 28,791.00
93 Natrium Diklofenak 50 mg Ktk 50 tab 202 Rp 109.00 Rp 22,018.00 0 Rp 109.00 Rp - 202 Rp 109.00 Rp 22,018.00 202 Rp 109.00 Rp 22,018.00 0 Rp 109.00 Rp -
94 Natrium Diklofenak 50 mg Ktk 100 tab Rp 210.00 Rp - 3500 Rp 210.00 Rp 735,000.00 3500 Rp 210.00 Rp 735,000.00 2570 Rp 210.00 Rp 539,700.00 930 Rp 210.00 Rp 195,300.00
95 New Antides 600 mg ktk 100 tab Rp 550.00 Rp - 200 Rp 550.00 Rp 110,000.00 200 Rp 550.00 Rp 110,000.00 133 Rp 550.00 Rp 73,150.00 67 Rp 550.00 Rp 36,850.00
96 Nifedipin 10 mg Ktk 100 tab 100 Rp 390.44 Rp 39,044.00 100 Rp 390.44 Rp 39,044.00 200 Rp 390.44 Rp 78,088.00 200 Rp 390.44 Rp 78,088.00 0 Rp 390.44 Rp -
97 Nistatin Vaginal tab Ktk 100 tab 55 Rp 480.00 Rp 26,400.00 0 Rp 480.00 Rp - 55 Rp 480.00 Rp 26,400.00 55 Rp 480.00 Rp 26,400.00 0 Rp 480.00 Rp -
98 Omeprazole 20 mg ktk 200 tab Rp 255.00 Rp - 3600 Rp 255.00 Rp 918,000.00 3600 Rp 255.00 Rp 918,000.00 3600 Rp 255.00 Rp 918,000.00 0 Rp 255.00 Rp -
99 Onoake Kapsul kotak 30 kap Rp 4,990.00 Rp - 90 Rp 4,990.00 Rp 449,100.00 90 Rp 4,990.00 Rp 449,100.00 90 Rp 4,990.00 Rp 449,100.00 0 Rp 4,990.00 Rp -
100 Oxytetracycline salep kulit 3% Ktk 25 tube 9 Rp 2,139.28 Rp 19,253.52 35 Rp 2,139.28 Rp 74,874.80 44 Rp 2,139.28 Rp 94,128.32 44 Rp 2,139.28 Rp 94,128.32 0 Rp 2,139.28 Rp -
101 Oxytetracycline salep mata Ktk 25 tube Rp 3,500.00 Rp - 45 Rp 3,500.00 Rp 157,500.00 45 Rp 3,500.00 Rp 157,500.00 44 Rp 3,500.00 Rp 154,000.00 1 Rp 3,500.00 Rp 3,500.00
102 Oxyvit D3 Btl 60 kap Rp 2,035.00 Rp - 120 Rp 2,035.00 Rp 244,200.00 120 Rp 2,035.00 Rp 244,200.00 120 Rp 2,035.00 Rp 244,200.00 0 Rp 2,035.00 Rp -
103 Pantoprazole kap ktk 60 kap Rp 5,273.00 Rp - 300 Rp 5,273.00 Rp 1,581,900.00 300 Rp 5,273.00 Rp 1,581,900.00 284 Rp 5,273.00 Rp 1,497,532.00 16 Rp 5,273.00 Rp 84,368.00
104 Paracetamol syrup Btl 60 ml Rp 4,957.00 Rp - 199 Rp 4,957.00 Rp 986,443.00 199 Rp 4,957.00 Rp 986,443.00 191 Rp 4,957.00 Rp 946,787.00 8 Rp 4,957.00 Rp 39,656.00
105 Paracetamol syrup Btl 60 ml Rp 1,160.00 Rp - 230 Rp 1,160.00 Rp 266,800.00 230 Rp 1,160.00 Rp 266,800.00 230 Rp 1,160.00 Rp 266,800.00 0 Rp 1,160.00 Rp -
106 Parasetamol 500 mg Ktk 100 tab 143 Rp 292.00 Rp 41,756.00 17100 Rp 292.00 Rp 4,993,200.00 17243 Rp 292.00 Rp 5,034,956.00 17243 Rp 292.00 Rp 5,034,956.00 0 Rp 292.00 Rp -
107 Parasetamol 500 mg Ktk 100 tab Rp 210.00 Rp - 48700 Rp 210.00 Rp 10,227,000.00 48700 Rp 210.00 Rp 10,227,000.00 48249 Rp 210.00 Rp 10,132,290.00 451 Rp 210.00 Rp 94,710.00
108 Piridoxin tab ktk 100 tab Rp 114.00 Rp - 2000 Rp 114.00 Rp 228,000.00 2000 Rp 114.00 Rp 228,000.00 1880 Rp 114.00 Rp 214,320.00 120 Rp 114.00 Rp 13,680.00
109 Piridoxin tab ktk 200 tab 1470 Rp 72.65 Rp 106,795.50 8600 Rp 72.65 Rp 624,790.00 10070 Rp 72.65 Rp 731,585.50 10070 Rp 72.65 Rp 731,585.50 0 Rp 72.65 Rp -
110 Prednison tab Ktk 100 tab Rp 107.00 Rp - 500 Rp 107.00 Rp 53,500.00 500 Rp 107.00 Rp 53,500.00 500 Rp 107.00 Rp 53,500.00 0 Rp 107.00 Rp -
111 Propil Thiuracyl 100 mg ktk 100 tab 58 Rp 350.00 Rp 20,300.00 200 Rp 350.00 Rp 70,000.00 258 Rp 350.00 Rp 90,300.00 58 Rp 350.00 Rp 20,300.00 200 Rp 350.00 Rp 70,000.00
112 Ranitidine 120 mg ktk 100 tab 469 Rp 85.00 Rp 39,865.00 3000 Rp 85.00 Rp 255,000.00 3469 Rp 85.00 Rp 294,865.00 3469 Rp 85.00 Rp 294,865.00 0 Rp 85.00 Rp -
113 Ranitidine 120 mg ktk 100 tab Rp 189.00 Rp - 7500 Rp 189.00 Rp 1,417,500.00 7500 Rp 189.00 Rp 1,417,500.00 7194 Rp 189.00 Rp 1,359,666.00 306 Rp 189.00 Rp 57,834.00
114 Risperidone 2 mg Ktk 100 tab 80 Rp 287.00 Rp 22,960.00 600 Rp 287.00 Rp 172,200.00 680 Rp 287.00 Rp 195,160.00 680 Rp 287.00 Rp 195,160.00 0 Rp 287.00 Rp -
115 Risperidone 2 mg Ktk 100 tab Rp 273.00 Rp - 700 Rp 273.00 Rp 191,100.00 700 Rp 273.00 Rp 191,100.00 700 Rp 273.00 Rp 191,100.00 0 Rp 273.00 Rp -
116 Salbutamol tab Ktk 100 tab Rp 67.00 Rp - 1000 Rp 67.00 Rp 67,000.00 1000 Rp 67.00 Rp 67,000.00 1000 Rp 67.00 Rp 67,000.00 0 Rp 67.00 Rp -
117 Salep 2 - 4 Ktk 24 pot Rp 1,475.00 Rp - 7 Rp 1,475.00 Rp 10,325.00 7 Rp 1,475.00 Rp 10,325.00 7 Rp 1,475.00 Rp 10,325.00 0 Rp 1,475.00 Rp -
118 Salisil Talk Pot 100 gr 6 Rp 1,040.00 Rp 6,240.00 0 Rp 1,040.00 Rp - 6 Rp 1,040.00 Rp 6,240.00 6 Rp 1,040.00 Rp 6,240.00 0 Rp 1,040.00 Rp -
119 Salisil Talk Pot 100 gr Rp 3,103.00 Rp - 33 Rp 3,103.00 Rp 102,399.00 33 Rp 3,103.00 Rp 102,399.00 31 Rp 3,103.00 Rp 96,193.00 2 Rp 3,103.00 Rp 6,206.00
120 Sefadroxil kaps 500 mg Ktk 100 Kaps Rp 1,000.00 Rp - 5500 Rp 1,000.00 Rp 5,500,000.00 5500 Rp 1,000.00 Rp 5,500,000.00 5500 Rp 1,000.00 Rp 5,500,000.00 0 Rp 1,000.00 Rp -
121 Sefadroxyl Syrup Botol Rp 9,700.00 Rp - 60 Rp 9,700.00 Rp 582,000.00 60 Rp 9,700.00 Rp 582,000.00 58 Rp 9,700.00 Rp 562,600.00 2 Rp 9,700.00 Rp 19,400.00
122 Sianokobalamin (Vit 12) tab Ktk 100 tab Rp 70.00 Rp - 1000 Rp 70.00 Rp 70,000.00 1000 Rp 70.00 Rp 70,000.00 1000 Rp 70.00 Rp 70,000.00 0 Rp 70.00 Rp -
123 Simvastatin 20 mg Ktk 50 tab Rp 430.00 Rp - 1700 Rp 430.00 Rp 731,000.00 1700 Rp 430.00 Rp 731,000.00 1157 Rp 430.00 Rp 497,510.00 543 Rp 430.00 Rp 233,490.00
124 Siprofloksasin 500 mg tab Ktk 100 tab 720 Rp 260.00 Rp 187,200.00 0 Rp 260.00 Rp - 720 Rp 260.00 Rp 187,200.00 720 Rp 260.00 Rp 187,200.00 0 Rp 260.00 Rp -
125 Stimuno Forte Tablet botol 30 kapsul 12 Rp 1,958.00 Rp 23,496.00 120 Rp 1,958.00 Rp 234,960.00 132 Rp 1,958.00 Rp 258,456.00 132 Rp 1,958.00 Rp 258,456.00 0 Rp 1,958.00 Rp -
126 Stimuno Sachet Sacchet/ 30 28 Rp 1,832.00 Rp 51,296.00 480 Rp 1,832.00 Rp 879,360.00 508 Rp 1,832.00 Rp 930,656.00 508 Rp 1,832.00 Rp 930,656.00 0 Rp 1,832.00 Rp -
127 Striatamin kap kotak 30 kap Rp 5,372.00 Rp - 600 Rp 5,372.00 Rp 3,223,200.00 600 Rp 5,372.00 Rp 3,223,200.00 600 Rp 5,372.00 Rp 3,223,200.00 0 Rp 5,372.00 Rp -
128 Supralysin syrup botol 60 ml Rp 33,300.00 Rp - 70 Rp 33,300.00 Rp 2,331,000.00 70 Rp 33,300.00 Rp 2,331,000.00 70 Rp 33,300.00 Rp 2,331,000.00 0 Rp 33,300.00 Rp -
129 Thiamin (Vit B1) tab 50 ktk 100 tab Rp 225.00 Rp - 10700 Rp 225.00 Rp 2,407,500.00 10700 Rp 225.00 Rp 2,407,500.00 10700 Rp 225.00 Rp 2,407,500.00 0 Rp 225.00 Rp -
130 Trifluoperazin tab ktk 100 tab Rp 287.00 Rp - 200 Rp 287.00 Rp 57,400.00 200 Rp 287.00 Rp 57,400.00 90 Rp 287.00 Rp 25,830.00 110 Rp 287.00 Rp 31,570.00
131 Trihexyphenidil 2 mg tab ktk 100 tab 60 Rp 63.00 Rp 3,780.00 100 Rp 63.00 Rp 6,300.00 160 Rp 63.00 Rp 10,080.00 160 Rp 63.00 Rp 10,080.00 0 Rp 63.00 Rp -
132 Trihexyphenidil 2 mg tab ktk 100 tab Rp 110.00 Rp - 4200 Rp 110.00 Rp 462,000.00 4200 Rp 110.00 Rp 462,000.00 4080 Rp 110.00 Rp 448,800.00 120 Rp 110.00 Rp 13,200.00
133 Vitamin B Kompleks Ktk 100 tab Rp 127.00 14200 Rp 127.00 Rp 1,803,400.00 14200 Rp 127.00 Rp 1,803,400.00 14080 Rp 127.00 Rp 1,788,160.00 120 Rp 127.00 Rp 15,240.00
134 Vitamin B Kompleks Ktk 100 tab 791 Rp 60.00 Rp 47,460.00 16500 Rp 60.00 Rp 990,000.00 17291 Rp 60.00 Rp 1,037,460.00 17291 Rp 60.00 Rp 1,037,460.00 0 Rp 60.00 Rp -
135 Zinc tab Ktk 100 tab 130 Rp 253.00 Rp 32,890.00 2000 Rp 253.00 Rp 506,000.00 2130 Rp 253.00 Rp 538,890.00 2130 Rp 253.00 Rp 538,890.00 0 Rp 253.00 Rp -
.
.
SISA STOK BMHP
NO Nama BHPM Kemasan SISA STOK PER 31 DESEMBER 2022 PENERIMAAN BMHP PER 31 DESEMBER 2023 TOTAL JUMLAH BMHP TOTAL DISTRIBUSI BMHP PER 31 DESEMBER 2023
14 Etanol 70 % Btl 1000 ml Rp 65,000.00 Rp - 2 Rp 65,000.00 Rp 130,000.00 2 Rp 65,000.00 Rp 130,000.00 2 Rp 65,000.00 Rp 130,000.00 0 Rp 65,000.00 Rp -
32 Kasa Hidrofil 4 m x 15 cm bungkus Rp 2,365.00 Rp - 10 Rp 2,365.00 Rp 23,650.00 10 Rp 2,365.00 Rp 23,650.00 10 Rp 2,365.00 Rp 23,650.00 0 Rp 2,365.00 Rp -
55 Kasa Hidrofil 4 m x 15 cm roll Rp 2,583.90 Rp - 5 Rp 2,583.90 Rp 12,919.50 5 Rp 2,583.90 Rp 12,919.50 5 Rp 2,583.90 Rp 12,919.50 0 Rp 2,583.90 Rp -
35 Masker kotak 50 pcs Rp 55,000.00 Rp - 2 Rp 55,000.00 Rp 110,000.00 2 Rp 55,000.00 Rp 110,000.00 2 Rp 55,000.00 Rp 110,000.00 0 Rp 55,000.00 Rp -
JUMLAH BHP MEDIS Rp - Rp 411,569.50 . Rp 411,569.50 Rp 411,569.50 Rp -
JUMLAH OBAT + BHP MEDIS Rp 4,730,039.52 Rp 132,103,463.97 Rp 136,833,503.49 Rp 132,511,808.84 Rp 4,321,694.65

.
Mengetahui, Penanggung Jawab Pengelola Obat-BHPM
Kepala Puskesmas Gentungan Kamar Obat Puskesmas Gentungan
Hj. Herawati, S.Kep. Ns. Suparmi, Amd.F

NIP. 19770808 199702 2 001 NIP. 19681210 199103 2 013
DINAS KESEHATAN
UPT PUSKESMAS GENTUNGAN
BERITA ACARA PEMERIKSAAN OBAT/BMHP JKN

pemeriksaan Obat dan BMHP yang terdapat pada Kamar Obat (Apotek) Puskesmas Gentungan
sesuai daftar terlampir, dengan perincian sebagai berikut :
1. Persediaan/Stok Obat dan BMHP JKN 31/12/2022 Rp 4,730,039.52

2. Penerimaan Obat dan BMHP JKN tahun 2023 Rp 132,103,463.97
3. Jumlah Total Obat dan BMHP JKN tahun 2023 Rp 136,833,503.49
4. Distribusi Penggunaan JKN Tahun 2023 Rp 132,511,808.84
5. Stok Obat dan BMHP JKN per 30 Desember 2023 Rp 4,321,694.65

Kepala Puskesmas Gentungan Kamar Obat Puskesmas Gentungan
Hj. Herawati, S.Kep. Ns. Suparmi, Amd.F

NIP. 19770808 199702 2 001 NIP. 19681210 199103 2 013
UNIT GAWAT DARURAT PUSKESMAS GENTUNGAN
NO Nama Obat Kemasan SISA STOK PER 31 DESEMBER 2022 PENERIMAAN OBAT PER 31 DESEMBER 2023 TOTAL JUMLAH OBAT TOTAL DISTRIBUSI OBAT SISA STOK OBAT
3 Allopurinol tab 100 mg Ktk 100 tab Rp 270.00 200 Rp 270.00 Rp 54,000.00 200 Rp 270.00 Rp 54,000.00 200 Rp 270.00 Rp 54,000.00 0 Rp 270.00 Rp -
4 Ambroxol Tab Ktk 100 tab Rp 210.00 Rp - 400 Rp 210.00 Rp 84,000.00 400 Rp 210.00 Rp 84,000.00 350 Rp 210.00 Rp 73,500.00 50 Rp 210.00 Rp 10,500.00
5 Amlodipin tab ktk 50 tab Rp 55.00 Rp - 5000 Rp 55.00 Rp 275,000.00 5000 Rp 55.00 Rp 275,000.00 4800 Rp 55.00 Rp 264,000.00 200 Rp 55.00 Rp 11,000.00
6 Amoxicillin 500 mg Caplet Ktk 100 tab Rp 655.00 Rp - 4100 Rp 655.00 Rp 2,685,500.00 4100 Rp 655.00 Rp 2,685,500.00 4100 Rp 655.00 Rp 2,685,500.00 0 Rp 655.00 Rp -
7 Amoxicillin 500 mg Caplet Ktk 200 tab Rp 231.00 Rp - 8000 Rp 231.00 Rp 1,848,000.00 8000 Rp 231.00 Rp 1,848,000.00 8000 Rp 231.00 Rp 1,848,000.00 0 Rp 231.00 Rp -
8 Amoxicillin sirup 125 mg/5 ml Btl 60 ml 6 Rp 2,050.00 Rp 12,300.00 60 Rp 2,050.00 Rp 123,000.00 66 Rp 2,050.00 Rp 135,300.00 66 Rp 2,050.00 Rp 135,300.00 0 Rp 2,050.00 Rp -
9 Amoxicillin sirup 250 mg/5 ml Btl 60 ml Rp 3,510.00 Rp - 25 Rp 3,510.00 Rp 87,750.00 25 Rp 3,510.00 Rp 87,750.00 25 Rp 3,510.00 Rp 87,750.00 0 Rp 3,510.00 Rp -
10 Antasida DOEN tab ktk 100 Rp 108.00 Rp - 2500 Rp 108.00 Rp 270,000.00 2500 Rp 108.00 Rp 270,000.00 2500 Rp 108.00 Rp 270,000.00 0 Rp 108.00 Rp -
11 Aqua Pro Injection Ktk 100 tab Rp 2,955.00 Rp - 16 Rp 2,955.00 Rp 47,280.00 16 Rp 2,955.00 Rp 47,280.00 16 Rp 2,955.00 Rp 47,280.00 0 Rp 2,955.00 Rp -
12 Asam Ascorbat 50 mg Ktk 100 tab 130 Rp 46.00 Rp 5,980.00 Rp 46.00 Rp - 130 Rp 46.00 Rp 5,980.00 130 Rp 46.00 Rp 5,980.00 0 Rp 46.00 Rp -
13 Asam Ascorbat 50 mg Ktk 100 tab Rp 46.00 Rp - 1600 Rp 46.00 Rp 73,600.00 1600 Rp 46.00 Rp 73,600.00 1600 Rp 46.00 Rp 73,600.00 0 Rp 46.00 Rp -
14 Asam Mefenamat 500mg Ktk 100 tab 100 Rp 117.00 Rp 11,700.00 4800 Rp 117.00 Rp 561,600.00 4900 Rp 117.00 Rp 573,300.00 4900 Rp 117.00 Rp 573,300.00 0 Rp 117.00 Rp -
15 Asam Traneksamat 50mg/ml inj. ampul Rp 8,545.45 Rp - 2 Rp 8,545.45 Rp 17,090.90 2 Rp 8,545.45 Rp 17,090.90 2 Rp 8,545.45 Rp 17,090.90 0 Rp 8,545.45 Rp -
16 Asam Traneksamat 50mg/ml inj. ampul Rp 5,328.00 2 Rp 5,328.00 Rp 10,656.00 2 Rp 5,328.00 Rp 10,656.00 2 Rp 5,328.00 Rp 10,656.00 0 Rp 5,328.00 Rp -
17 Atropin injeksi 0.25mg/,l Ampul Rp 5,550.00 Rp - 2 Rp 5,550.00 Rp 11,100.00 2 Rp 5,550.00 Rp 11,100.00 2 Rp 5,550.00 Rp 11,100.00 0 Rp 5,550.00 Rp -
18 Betahistin tab Ktk 100 tab Rp 610.00 Rp - 200 Rp 610.00 Rp 122,000.00 200 Rp 610.00 Rp 122,000.00 200 Rp 610.00 Rp 122,000.00 0 Rp 610.00 Rp -
19 Betahistin tab ktk 100 tab Rp 92.00 Rp - 600 Rp 92.00 Rp 55,200.00 600 Rp 92.00 Rp 55,200.00 600 Rp 92.00 Rp 55,200.00 0 Rp 92.00 Rp -
20 Cefotaxim injeksi Vial 3 Rp 3,050.00 Rp 9,150.00 Rp 3,050.00 Rp - 3 Rp 3,050.00 Rp 9,150.00 3 Rp 3,050.00 Rp 9,150.00 0 Rp 3,050.00 Rp -
21 Cetirizine tab ktk 100 tab Rp 123.00 Rp - 900 Rp 123.00 Rp 110,700.00 900 Rp 123.00 Rp 110,700.00 900 Rp 123.00 Rp 110,700.00 0 Rp 123.00 Rp -
23 Chloramphenicol 250mg Ktk 100 cap Rp 614.00 Rp - 400 Rp 614.00 Rp 245,600.00 400 Rp 614.00 Rp 245,600.00 200 Rp 614.00 Rp 122,800.00 200 Rp 614.00 Rp 122,800.00
24 Chlorpheniramine maleat tab Ktk 100 tab 120 Rp 88.00 Rp 10,560.00 Rp 88.00 Rp - 120 Rp 88.00 Rp 10,560.00 120 Rp 88.00 Rp 10,560.00 0 Rp 88.00 Rp -
25 Chlorpheniramine maleat tab Ktk 100 tab Rp 74.00 Rp - 6700 Rp 74.00 Rp 495,800.00 6700 Rp 74.00 Rp 495,800.00 6700 Rp 74.00 Rp 495,800.00 0 Rp 74.00 Rp -
26 Combivent Ampul 2.5 ml ktk 10 Ampul Rp 46,500.00 Rp - 7 Rp 46,500.00 Rp 325,500.00 7 Rp 46,500.00 Rp 325,500.00 7 Rp 46,500.00 Rp 325,500.00 0 Rp 46,500.00 Rp -
27 Dexamethazone 0.5 mg tab Ktk 100 tab Rp 116.00 Rp - 9500 Rp 116.00 Rp 1,102,000.00 9500 Rp 116.00 Rp 1,102,000.00 8900 Rp 116.00 Rp 1,032,400.00 600 Rp 116.00 Rp 69,600.00
28 Dexamethazone inj 5 mg/ml ampul Rp 1,420.00 Rp - 10 Rp 1,420.00 Rp 14,200.00 10 Rp 1,420.00 Rp 14,200.00 10 Rp 1,420.00 Rp 14,200.00 0 Rp 1,420.00 Rp -
29 Diazepam enema 5mg/2.5ml tube Rp 10,545.00 Rp - 10 Rp 10,545.00 Rp 105,450.00 10 Rp 10,545.00 Rp 105,450.00 10 Rp 10,545.00 Rp 105,450.00 0 Rp 10,545.00 Rp -
30 Diazepam injeksi ampul Rp 1,545.00 4 Rp 1,545.00 Rp 6,180.00 4 Rp 1,545.00 Rp 6,180.00 4 Rp 1,545.00 Rp 6,180.00 0 Rp 1,545.00 Rp -
31 Difenhidramin inj 10mg/ml ampul Rp 1,760.00 Rp - 8 Rp 1,760.00 Rp 14,080.00 8 Rp 1,760.00 Rp 14,080.00 8 Rp 1,760.00 Rp 14,080.00 0 Rp 1,760.00 Rp -
32 Difenhidramin inj 10mg/ml ktk 30 ampul Rp 1,222.00 Rp - 10 Rp 1,222.00 Rp 12,220.00 10 Rp 1,222.00 Rp 12,220.00 10 Rp 1,222.00 Rp 12,220.00 0 Rp 1,222.00 Rp -
33 Domperidone syr botol 2 Rp 2,401.00 Rp 4,802.00 Rp 2,401.00 Rp - 2 Rp 2,401.00 Rp 4,802.00 2 Rp 2,401.00 Rp 4,802.00 0 Rp 2,401.00 Rp -
34 Domperidone syr botol Rp 7,700.00 Rp - 7 Rp 7,700.00 Rp 53,900.00 7 Rp 7,700.00 Rp 53,900.00 7 Rp 7,700.00 Rp 53,900.00 0 Rp 7,700.00 Rp -
35 Domperidone tab Ktk 100 tab Rp 68.18 Rp - 1400 Rp 68.18 Rp 95,454.80 1400 Rp 68.18 Rp 95,454.80 900 Rp 68.18 Rp 61,363.80 500 Rp 68.18 Rp 34,091.00
36 Dumin Rectal supp Rp 24,850.00 Rp - 5 Rp 24,850.00 Rp 124,250.00 5 Rp 24,850.00 Rp 124,250.00 5 Rp 24,850.00 Rp 124,250.00 0 Rp 24,850.00 Rp -
37 Ephinefrin HCl Injeksi ampul Rp 10,500.00 Rp - 2 Rp 10,500.00 Rp 21,000.00 2 Rp 10,500.00 Rp 21,000.00 2 Rp 10,500.00 Rp 21,000.00 0 Rp 10,500.00 Rp -
38 Ethyl Chlorida Spray botol Rp 205,000.00 Rp - 2 Rp 205,000.00 Rp 410,000.00 2 Rp 205,000.00 Rp 410,000.00 2 Rp 205,000.00 Rp 410,000.00 0 Rp 205,000.00 Rp -
39 Furosemide tab 40 mg ktk 200 tab 70 Rp 123.55 Rp 8,648.50 Rp 123.55 Rp - 70 Rp 123.55 Rp 8,648.50 70 Rp 123.55 Rp 8,648.50 0 Rp 123.55 Rp -
40 Glibenclamid Ktk 100 tab 10 Rp 137.00 Rp 1,370.00 Rp 137.00 Rp - 10 Rp 137.00 Rp 1,370.00 10 Rp 137.00 Rp 1,370.00 0 Rp 137.00 Rp -
41 Glukosa larutan infus 5% btl 500ml Rp 7,686.00 20 Rp 7,686.00 Rp 153,720.00 20 Rp 7,686.00 Rp 153,720.00 20 Rp 7,686.00 Rp 153,720.00 0 Rp 7,686.00 Rp -
42 Griseofulvin Btl 100 tab Rp 210.00 Rp - 100 Rp 210.00 Rp 21,000.00 100 Rp 210.00 Rp 21,000.00 100 Rp 210.00 Rp 21,000.00 0 Rp 210.00 Rp -
43 Guaifenesin 100 mg Ktk 100 tab Rp 100.00 Rp - 5200 Rp 100.00 Rp 520,000.00 5200 Rp 100.00 Rp 520,000.00 4900 Rp 100.00 Rp 490,000.00 300 Rp 100.00 Rp 30,000.00
44 Hiosina BB 10 mg (Scopma) Ktk 100 tab Rp 743.00 200 Rp 743.00 Rp 148,600.00 200 Rp 743.00 Rp 148,600.00 200 Rp 743.00 Rp 148,600.00 0 Rp 743.00 Rp -
45 Ibuprofen 400 mg Btl 60 ml Rp 199.00 Rp - 300 Rp 199.00 Rp 59,700.00 300 Rp 199.00 Rp 59,700.00 300 Rp 199.00 Rp 59,700.00 0 Rp 199.00 Rp -
46 Ibuprofen 400 mg Ktk 100 tab 100 Rp 448.00 Rp 44,800.00 2500 Rp 448.00 Rp 1,120,000.00 2600 Rp 448.00 Rp 1,164,800.00 2600 Rp 448.00 Rp 1,164,800.00 0 Rp 448.00 Rp -
47 Kalsium Laktat 500 mg Ktk 100 tab Rp 60.00 Rp - 1700 Rp 60.00 Rp 102,000.00 1700 Rp 60.00 Rp 102,000.00 1700 Rp 60.00 Rp 102,000.00 0 Rp 60.00 Rp -
48 Ketorolac inj 30 mg/ml ampul Rp 923.00 Rp - 10 Rp 923.00 Rp 9,230.00 10 Rp 923.00 Rp 9,230.00 10 Rp 923.00 Rp 9,230.00 0 Rp 923.00 Rp -
49 Ketorolac inj 30 mg/ml ampul Rp 6,000.00 Rp - 40 Rp 6,000.00 Rp 240,000.00 40 Rp 6,000.00 Rp 240,000.00 30 Rp 6,000.00 Rp 180,000.00 10 Rp 6,000.00 Rp 60,000.00
50 Kotrimoksasol 480 mg ktk 100 tab Rp 320.00 1200 Rp 320.00 Rp 384,000.00 1200 Rp 320.00 Rp 384,000.00 800 Rp 320.00 Rp 256,000.00 400 Rp 320.00 Rp 128,000.00
52 Lanzoprazol kapsul ktk 50 kaps Rp 655.00 Rp - 100 Rp 655.00 Rp 65,500.00 100 Rp 655.00 Rp 65,500.00 100 Rp 655.00 Rp 65,500.00 0 Rp 655.00 Rp -
53 Lidokain comp injeksi Ktk 30 ampul Rp 847.00 Rp - 105 Rp 847.00 Rp 88,935.00 105 Rp 847.00 Rp 88,935.00 105 Rp 847.00 Rp 88,935.00 0 Rp 847.00 Rp -
55 Loperamide tab Ktk 100 tab 180 Rp 81.00 Rp 14,580.00 1100 Rp 81.00 Rp 89,100.00 1280 Rp 81.00 Rp 103,680.00 1280 Rp 81.00 Rp 103,680.00 0 Rp 81.00 Rp -
56 Loperamide tab Ktk 100 tab Rp 77.00 Rp - 1900 Rp 77.00 Rp 146,300.00 1900 Rp 77.00 Rp 146,300.00 1400 Rp 77.00 Rp 107,800.00 500 Rp 77.00 Rp 38,500.00
57 Meloxicam 15 mg Ktk 50 tab Rp 491.00 Rp - 200 Rp 491.00 Rp 98,200.00 200 Rp 491.00 Rp 98,200.00 200 Rp 491.00 Rp 98,200.00 0 Rp 491.00 Rp -
58 Methyl prednisolon ktk 100 tab Rp 282.00 Rp - 500 Rp 282.00 Rp 141,000.00 500 Rp 282.00 Rp 141,000.00 500 Rp 282.00 Rp 141,000.00 0 Rp 282.00 Rp -
59 Metoklopramid 10 mg Ktk 100 tab Rp 66.00 Rp - 1300 Rp 66.00 Rp 85,800.00 1300 Rp 66.00 Rp 85,800.00 1300 Rp 66.00 Rp 85,800.00 0 Rp 66.00 Rp -
60 Metoklopramid inj 5 mg/ml ktk 10 ampul Rp 5,240.00 Rp - 90 Rp 5,240.00 Rp 471,600.00 90 Rp 5,240.00 Rp 471,600.00 90 Rp 5,240.00 Rp 471,600.00 0 Rp 5,240.00 Rp -
61 Metoklopramid syrup botol 60 mL 3 Rp 4,379.00 Rp 13,137.00 31 Rp 4,379.00 Rp 135,749.00 34 Rp 4,379.00 Rp 148,886.00 34 Rp 4,379.00 Rp 148,886.00 0 Rp 4,379.00 Rp -
62 Metoklopramid tablet ktk 100 tab 326 Rp 100.00 Rp 32,600.00 400 Rp 100.00 Rp 40,000.00 726 Rp 100.00 Rp 72,600.00 226 Rp 100.00 Rp 22,600.00 500 Rp 100.00 Rp 50,000.00
64 MgSO4 40% injeksi botol 25 ml Rp 5,660.00 Rp - 5 Rp 5,660.00 Rp 28,300.00 5 Rp 5,660.00 Rp 28,300.00 5 Rp 5,660.00 Rp 28,300.00 0 Rp 5,660.00 Rp -
65 NaCl 0.9% Infus Btl 500 ml 16 Rp 6,900.00 Rp 110,400.00 26 Rp 6,900.00 Rp 179,400.00 42 Rp 6,900.00 Rp 289,800.00 42 Rp 6,900.00 Rp 289,800.00 0 Rp 6,900.00 Rp -
66 NaCl 0.9% Infus Btl 500 ml Rp 7,673.00 180 Rp 7,673.00 Rp 1,381,140.00 180 Rp 7,673.00 Rp 1,381,140.00 161 Rp 7,673.00 Rp 1,235,353.00 19 Rp 7,673.00 Rp 145,787.00
67 Natrium Diklofenak 50 mg Ktk 50 tab Rp 210.00 Rp - 400 Rp 210.00 Rp 84,000.00 400 Rp 210.00 Rp 84,000.00 400 Rp 210.00 Rp 84,000.00 0 Rp 210.00 Rp -
68 Nifedipin 10 mg Ktk 100 tab Rp 390.44 Rp - 100 Rp 390.44 Rp 39,044.00 100 Rp 390.44 Rp 39,044.00 100 Rp 390.44 Rp 39,044.00 0 Rp 390.44 Rp -
70 Ondasentron HCl inj 2mg/ml ampul Rp 2,575.00 Rp - 260 Rp 2,575.00 Rp 669,500.00 260 Rp 2,575.00 Rp 669,500.00 250 Rp 2,575.00 Rp 643,750.00 10 Rp 2,575.00 Rp 25,750.00
72 Paracetamol syrup Btl 60 ml 4 Rp 1,160.00 Rp 4,640.00 65 Rp 1,160.00 Rp 75,400.00 69 Rp 1,160.00 Rp 80,040.00 69 Rp 1,160.00 Rp 80,040.00 0 Rp 1,160.00 Rp -
73 Paracetamol tab ktk 100 tab 360 Rp 295.00 Rp 106,200.00 Rp 295.00 Rp - 360 Rp 295.00 Rp 106,200.00 360 Rp 295.00 Rp 106,200.00 0 Rp 295.00 Rp -
74 Parasetamol 500 mg Ktk 100 tab Rp 292.00 Rp - 4200 Rp 292.00 Rp 1,226,400.00 4200 Rp 292.00 Rp 1,226,400.00 4200 Rp 292.00 Rp 1,226,400.00 0 Rp 292.00 Rp -
75 Parasetamol 500 mg Ktk 100 tab Rp 210.00 Rp - 7900 Rp 210.00 Rp 1,659,000.00 7900 Rp 210.00 Rp 1,659,000.00 7300 Rp 210.00 Rp 1,533,000.00 600 Rp 210.00 Rp 126,000.00
76 Parasetamol infus 10 mg/ml botol Rp 14,360.00 Rp - 80 Rp 14,360.00 Rp 1,148,800.00 80 Rp 14,360.00 Rp 1,148,800.00 80 Rp 14,360.00 Rp 1,148,800.00 0 Rp 14,360.00 Rp -
77 Piridoxin tab ktk 100 tab 200 Rp 256.00 Rp 51,200.00 Rp 256.00 Rp - 200 Rp 256.00 Rp 51,200.00 200 Rp 256.00 Rp 51,200.00 0 Rp 256.00 Rp -
78 Piridoxin tab ktk 200 tab Rp 72.65 Rp - 600 Rp 72.65 Rp 43,590.00 600 Rp 72.65 Rp 43,590.00 600 Rp 72.65 Rp 43,590.00 0 Rp 72.65 Rp -
80 Ranitidine 120 mg ktk 100 tab Rp 189.00 2100 Rp 189.00 Rp 396,900.00 2100 Rp 189.00 Rp 396,900.00 2000 Rp 189.00 Rp 378,000.00 100 Rp 189.00 Rp 18,900.00
81 Ranitidine Inj ktk 25 amp Rp 1,530.00 Rp - 250 Rp 1,530.00 Rp 382,500.00 250 Rp 1,530.00 Rp 382,500.00 223 Rp 1,530.00 Rp 341,190.00 27 Rp 1,530.00 Rp 41,310.00
82 Ringer Asetat Btl 500 ml Rp 9,592.00 Rp - 40 Rp 9,592.00 Rp 383,680.00 40 Rp 9,592.00 Rp 383,680.00 40 Rp 9,592.00 Rp 383,680.00 0 Rp 9,592.00 Rp -
83 Ringer Asetat Btl 500 ml Rp 8,500.00 80 Rp 8,500.00 Rp 680,000.00 80 Rp 8,500.00 Rp 680,000.00 80 Rp 8,500.00 Rp 680,000.00 0 Rp 8,500.00 Rp -
84 Ringer Lactat Btl 500 ml Rp 8,498.00 Rp - 4260 Rp 8,498.00 Rp 36,201,480.00 4260 Rp 8,498.00 Rp 36,201,480.00 4260 Rp 8,498.00 Rp 36,201,480.00 0 Rp 8,498.00 Rp -
85 Salbutamol inhalasi ampul Rp 4,995.00 30 Rp 4,995.00 Rp 149,850.00 30 Rp 4,995.00 Rp 149,850.00 15 Rp 4,995.00 Rp 74,925.00 15 Rp 4,995.00 Rp 74,925.00
87 Sefadroxil kaps 500 mg Ktk 100 Kaps Rp 1,000.00 Rp - 200 Rp 1,000.00 Rp 200,000.00 200 Rp 1,000.00 Rp 200,000.00 200 Rp 1,000.00 Rp 200,000.00 0 Rp 1,000.00 Rp -
88 Sefadroxyl Syrup Botol Rp 9,700.00 Rp - 20 Rp 9,700.00 Rp 194,000.00 20 Rp 9,700.00 Rp 194,000.00 20 Rp 9,700.00 Rp 194,000.00 0 Rp 9,700.00 Rp -
89 Simvastatin 20 mg Ktk 50 tab Rp 430.00 Rp - 200 Rp 430.00 Rp 86,000.00 200 Rp 430.00 Rp 86,000.00 200 Rp 430.00 Rp 86,000.00 0 Rp 430.00 Rp -
90 Siprofloksasin 500 mg tab Ktk 100 tab 160 Rp 260.00 Rp 41,600.00 Rp 260.00 Rp - 160 Rp 260.00 Rp 41,600.00 160 Rp 260.00 Rp 41,600.00 0 Rp 260.00 Rp -
91 Stimuno Sachet Sacchet/ 30 Rp 1,832.00 Rp - 120 Rp 1,832.00 Rp 219,840.00 120 Rp 1,832.00 Rp 219,840.00 120 Rp 1,832.00 Rp 219,840.00 0 Rp 1,832.00 Rp -
92 Thiamin (Vit B1) tab 50 ktk 100 tab Rp 225.00 Rp - 900 Rp 225.00 Rp 202,500.00 900 Rp 225.00 Rp 202,500.00 900 Rp 225.00 Rp 202,500.00 0 Rp 225.00 Rp -
93 Vitamin B Kompleks Ktk 100 tab Rp 127.00 800 Rp 127.00 Rp 101,600.00 800 Rp 127.00 Rp 101,600.00 800 Rp 127.00 Rp 101,600.00 0 Rp 127.00 Rp -
94 Vitamin B Kompleks Ktk 100 tab Rp 60.00 Rp - 1200 Rp 60.00 Rp 72,000.00 1200 Rp 60.00 Rp 72,000.00 1200 Rp 60.00 Rp 72,000.00 0 Rp 60.00 Rp -
95 Zinc tab Ktk 100 tab Rp 253.00 Rp - 300 Rp 253.00 Rp 75,900.00 300 Rp 253.00 Rp 75,900.00 300 Rp 253.00 Rp 75,900.00 0 Rp 253.00 Rp -
96 Zink Sulfat Ktk 100 tab Rp 195.00 Rp - 900 Rp 195.00 Rp 175,500.00 900 Rp 195.00 Rp 175,500.00 900 Rp 195.00 Rp 175,500.00 0 Rp 195.00 Rp -
JUMLAH OBAT Rp 638,927.50 Rp 60,649,325.70 Rp 61,288,253.20 Rp 60,203,010.20 Rp 1,085,243.00
.
.
NO Nama BHPM Kemasan SISA STOK PER 31 DESEMBER 2022 PENERIMAAN BMHP PER 31 DESEMBER 2023 TOTAL JUMLAH BMHP TOTAL DISTRIBUSI BMHP SISA STOK BMHP
30 Alat Suntik 1 mL ktk Rp 747.50 Rp - 200 Rp 747.50 Rp 149,500.00 200 Rp 747.50 Rp 149,500.00 200 Rp 747.50 Rp 149,500.00 0 Rp 747.50 Rp -
52 Alat Suntik 3 ml Ktk Rp 747.50 Rp - 300 Rp 747.50 Rp 224,250.00 300 Rp 747.50 Rp 224,250.00 300 Rp 747.50 Rp 224,250.00 0 Rp 747.50 Rp -
31 Alat Suntik 5 ml pcs Rp 1,500.00 Rp - 500 Rp 1,500.00 Rp 750,000.00 500 Rp 1,500.00 Rp 750,000.00 500 Rp 1,500.00 Rp 750,000.00 0 Rp 1,500.00 Rp -
32 Canula anak pcs 6 Rp 7,421.00 Rp 44,526.00 60 Rp 7,421.00 Rp 445,260.00 66 Rp 7,421.00 Rp 489,786.00 52 Rp 7,421.00 Rp 385,892.00 14 Rp 7,421.00 Rp 103,894.00
55 Canula dewasa pcs 9 Rp 7,421.00 Rp 66,789.00 100 Rp 7,421.00 Rp 742,100.00 109 Rp 7,421.00 Rp 808,889.00 107 Rp 7,421.00 Rp 794,047.00 2 Rp 7,421.00 Rp 14,842.00
56 Catgut 2/0 dgn jarum bedah Pcs Rp 52,872.61 Rp - 72 Rp 52,872.61 Rp 3,806,827.92 72 Rp 52,872.61 Rp 3,806,827.92 72 Rp 52,872.61 Rp 3,806,827.92 0 Rp 52,872.61 Rp -
34 Folley Cateter No 18 Fr Pcs Rp 10,120.00 Rp - 11 Rp 10,120.00 Rp 111,320.00 11 Rp 10,120.00 Rp 111,320.00 11 Rp 10,120.00 Rp 111,320.00 0 Rp 10,120.00 Rp -
59 Infus Set Anak set 50 Rp 6,900.00 Rp 345,000.00 250 Rp 6,900.00 Rp 1,725,000.00 300 Rp 6,900.00 Rp 2,070,000.00 300 Rp 6,900.00 Rp 2,070,000.00 0 Rp 6,900.00 Rp -
35 IV Catheter No. 18 G Pcs 41 Rp 6,894.25 Rp 282,664.25 50 Rp 6,894.25 Rp 344,712.50 91 Rp 6,894.25 Rp 627,376.75 91 Rp 6,894.25 Rp 627,376.75 0 Rp 6,894.25 Rp -
37 IV Catheter No. 24 G pcs 13 Rp 6,100.00 Rp 79,300.00 Rp 6,100.00 Rp - 13 Rp 6,100.00 Rp 79,300.00 13 Rp 6,100.00 Rp 79,300.00 0 Rp 6,100.00 Rp -
40 Kasa Pembalut 40 y x 80 cm Roll Rp 147,775.00 Rp - 19 Rp 147,775.00 Rp 2,807,725.00 19 Rp 147,775.00 Rp 2,807,725.00 19 Rp 147,775.00 Rp 2,807,725.00 0 Rp 147,775.00 Rp -
42 Masker kotak 50 pcs Rp 45,000.00 Rp - 24 Rp 45,000.00 Rp 1,080,000.00 24 Rp 45,000.00 Rp 1,080,000.00 24 Rp 45,000.00 Rp 1,080,000.00 0 Rp 45,000.00 Rp -
43 Octadin Btl 1000 ml Rp 396,000.00 Rp - 2 Rp 396,000.00 Rp 792,000.00 2 Rp 396,000.00 Rp 792,000.00 2 Rp 396,000.00 Rp 792,000.00 0 Rp 396,000.00 Rp -
70 Povidon Iodida Btl 300 ml Rp 21,700.00 Rp - 6 Rp 21,700.00 Rp 130,200.00 6 Rp 21,700.00 Rp 130,200.00 6 Rp 21,700.00 Rp 130,200.00 0 Rp 21,700.00 Rp -
44 Silk 3/0 dgn jarum bedah pcs Rp 38,119.43 Rp - 96 Rp 38,119.43 Rp 3,659,465.28 96 Rp 38,119.43 Rp 3,659,465.28 96 Rp 38,119.43 Rp 3,659,465.28 0 Rp 38,119.43 Rp -
45 Urine bag Pcs Rp 9,460.00 Rp - 3 Rp 9,460.00 Rp 28,380.00 3 Rp 9,460.00 Rp 28,380.00 3 Rp 9,460.00 Rp 28,380.00 0 Rp 9,460.00 Rp -
JUMLAH BHP MEDIS Rp 1,362,925.00 Rp 18,164,149.20 . Rp 19,527,074.20 Rp 19,408,338.20 Rp 118,736.00
.
Mengetahui, . Penanggung Jawab Unit Gawat Darurat
.
.
.
Hj. Herawati, S.Kep. Ns. . Nurhikmah, S.Kep. Ns.
NIP. 19770808 199702 2 001 . NIP. 19880309 200901 2 003
DINAS KESEHATAN

Pada hari Minggu tanggal tiga puluh satu Desember tahun dua ribu dua puluh tiga telah dilakukan
pemeriksaan Obat dan BMHP di Unit Gawat Darurat sesuai daftar terlampir,
dengan perincian sebagai berikut :


Mengetahui, Penanggung Jawab Unit Gawat Darurat
Hj. Herawati, S.Kep. Ns. Nurhikmah, S.Kep. Ns.

NIP. 19770808 199702 2 001 NIP. 19880309 200901 2 003
RUANG PELAYANAN KIA PUSKESMAS GENTUNGAN
SISA STOK OBAT
1 Amlodipin tab ktk 50 tab 100 Rp 55.00 Rp 5,500.00 350 Rp 55.00 Rp 19,250.00 450 Rp 55.00 Rp 24,750.00 450 Rp 55.00 Rp 24,750.00 0 Rp 55.00 Rp -
2 Amoxicillin 500 mg Caplet Ktk 200 tab 330 Rp 231.00 Rp 76,230.00 200 Rp 231.00 Rp 46,200.00 530 Rp 231.00 Rp 122,430.00 530 Rp 231.00 Rp 122,430.00 0 Rp 231.00 Rp -
3 Amoxicillin 500 mg Caplet Ktk 100 tab Rp 655.00 Rp - 1100 Rp 655.00 Rp 720,500.00 1100 Rp 655.00 Rp 720,500.00 1100 Rp 655.00 Rp 720,500.00 0 Rp 655.00 Rp -
4 Antasida DOEN tab Ktk 100 tab 50 Rp 54.00 Rp 2,700.00 Rp 54.00 Rp - 50 Rp 54.00 Rp 2,700.00 50 Rp 54.00 Rp 2,700.00 0 Rp 54.00 Rp -
5 Antasida DOEN tab Ktk 100 tab 50 Rp 49.09 Rp 2,454.55 Rp 49.09 Rp - 50 Rp 49.09 Rp 2,454.55 50 Rp 49.09 Rp 2,454.55 0 Rp 49.09 Rp -
8 Asam Ascorbat 50 mg Ktk 100 tab 200 Rp 46.00 Rp 9,200.00 Rp 46.00 Rp - 200 Rp 46.00 Rp 9,200.00 200 Rp 46.00 Rp 9,200.00 0 Rp 46.00 Rp -
11 Asam Traneksamat 50mg/ml inj. ampul Rp 5,328.00 2 Rp 5,328.00 Rp 10,656.00 2 Rp 5,328.00 Rp 10,656.00 2 Rp 5,328.00 Rp 10,656.00 0 Rp 5,328.00 Rp -
12 Atropin injeksi 0.25mg/,l Ampul Rp 5,550.00 Rp - 2 Rp 5,550.00 Rp 11,100.00 2 Rp 5,550.00 Rp 11,100.00 2 Rp 5,550.00 Rp 11,100.00 0 Rp 5,550.00 Rp -
15 Dexamethazone 0.5 mg tab Ktk 100 tab Rp 116.00 Rp - 700 Rp 116.00 Rp 81,200.00 700 Rp 116.00 Rp 81,200.00 700 Rp 116.00 Rp 81,200.00 0 Rp 116.00 Rp -
16 Dexamethazone inj 5 mg/ml ampul Rp 1,420.00 Rp - 5 Rp 1,420.00 Rp 7,100.00 5 Rp 1,420.00 Rp 7,100.00 5 Rp 1,420.00 Rp 7,100.00 0 Rp 1,420.00 Rp -
18 Difenhidramin inj 10mg/ml ktk 30 ampul Rp 1,222.00 Rp - 5 Rp 1,222.00 Rp 6,110.00 5 Rp 1,222.00 Rp 6,110.00 5 Rp 1,222.00 Rp 6,110.00 0 Rp 1,222.00 Rp -
19 Ephinefrin HCl Injeksi ampul Rp 10,500.00 Rp - 1 Rp 10,500.00 Rp 10,500.00 1 Rp 10,500.00 Rp 10,500.00 1 Rp 10,500.00 Rp 10,500.00 0 Rp 10,500.00 Rp -
20 Fitomenadion Injeksi 2 mg/ml Ktk 10 Amp Rp 4,990.00 Rp - 60 Rp 4,990.00 Rp 299,400.00 60 Rp 4,990.00 Rp 299,400.00 0 Rp 4,990.00 Rp - 60 Rp 4,990.00 Rp 299,400.00
21 Fitomenadion Injeksi 2 mg/ml Ktk 30 Amp Rp 1,452.00 Rp - 60 Rp 1,452.00 Rp 87,120.00 60 Rp 1,452.00 Rp 87,120.00 30 Rp 1,452.00 Rp 43,560.00 30 Rp 1,452.00 Rp 43,560.00
22 Glukosa larutan infus 5% btl 500ml Rp 6,627.00 Rp - 5 Rp 6,627.00 Rp 33,135.00 5 Rp 6,627.00 Rp 33,135.00 4 Rp 6,627.00 Rp 26,508.00 1 Rp 6,627.00 Rp 6,627.00
23 Guaifenesin 100 mg Ktk 100 tab Rp 100.00 Rp - 400 Rp 100.00 Rp 40,000.00 400 Rp 100.00 Rp 40,000.00 400 Rp 100.00 Rp 40,000.00 0 Rp 100.00 Rp -
24 Ibuprofen 400 mg Ktk 100 tab Rp 448.00 Rp - 400 Rp 448.00 Rp 179,200.00 400 Rp 448.00 Rp 179,200.00 400 Rp 448.00 Rp 179,200.00 0 Rp 448.00 Rp -
25 Kalsium Laktat 500 mg Ktk 100 tab 200 Rp 60.00 Rp 12,000.00 Rp 60.00 Rp - 200 Rp 60.00 Rp 12,000.00 200 Rp 60.00 Rp 12,000.00 0 Rp 60.00 Rp -
30 Metil Ergometrin injekso ampul Rp 3,400.00 5 Rp 3,400.00 Rp 17,000.00 5 Rp 3,400.00 Rp 17,000.00 5 Rp 3,400.00 Rp 17,000.00 0 Rp 3,400.00 Rp -
32 Nifedipin 10 mg Ktk 100 tab 60 Rp 390.44 Rp 23,426.40 100 Rp 390.44 Rp 39,044.00 160 Rp 390.44 Rp 62,470.40 160 Rp 390.44 Rp 62,470.40 0 Rp 390.44 Rp -
34 Oxytocin inj Ktk 100 amp Rp 8,500.00 Rp - 170 Rp 8,500.00 Rp 1,445,000.00 170 Rp 8,500.00 Rp 1,445,000.00 170 Rp 8,500.00 Rp 1,445,000.00 0 Rp 8,500.00 Rp -
35 Oxyvit D3 Btl 60 kap Rp 2,035.00 Rp - 60 Rp 2,035.00 Rp 122,100.00 60 Rp 2,035.00 Rp 122,100.00 60 Rp 2,035.00 Rp 122,100.00 0 Rp 2,035.00 Rp -
36 Parasetamol 500 mg Ktk 100 tab Rp 210.00 Rp - 700 Rp 210.00 Rp 147,000.00 700 Rp 210.00 Rp 147,000.00 700 Rp 210.00 Rp 147,000.00 0 Rp 210.00 Rp -
38 Piridoxin tab ktk 100 tab 80 Rp 256.00 Rp 20,480.00 Rp 256.00 Rp - 80 Rp 256.00 Rp 20,480.00 80 Rp 256.00 Rp 20,480.00 0 Rp 256.00 Rp -
41 Ranitidine 120 mg ktk 100 tab Rp 189.00 300 Rp 189.00 Rp 56,700.00 300 Rp 189.00 Rp 56,700.00 300 Rp 189.00 Rp 56,700.00 0 Rp 189.00 Rp -
42 Ringer Lactat Btl 500 ml Rp 8,498.00 Rp - 100 Rp 8,498.00 Rp 849,800.00 100 Rp 8,498.00 Rp 849,800.00 100 Rp 8,498.00 Rp 849,800.00 0 Rp 8,498.00 Rp -
45 Thiamin (Vit B1) tab 50 ktk 100 tab 100 Rp 250.01 Rp 25,001.00 Rp 250.01 Rp - 100 Rp 250.01 Rp 25,001.00 100 Rp 250.01 Rp 25,001.00 0 Rp 250.01 Rp -
JUMLAH OBAT Rp 539,251.95 Rp 5,117,155.00 Rp 5,656,406.95 Rp 5,199,819.95 Rp 456,587.00

.
.
SISA STOK BMHP
2 Alat Suntik 3 ml Ktk Rp 747.50 Rp - 100 Rp 747.50 Rp 74,750.00 100 Rp 747.50 Rp 74,750.00 80 Rp 747.50 Rp 59,800.00 20 Rp 747.50 Rp 14,950.00
3 Alat Suntik 5 ml pcs Rp 1,500.00 Rp - 200 Rp 1,500.00 Rp 300,000.00 200 Rp 1,500.00 Rp 300,000.00 200 Rp 1,500.00 Rp 300,000.00 0 Rp 1,500.00 Rp -
4 Canula dewasa pcs Rp 7,421.00 Rp - 20 Rp 7,421.00 Rp 148,420.00 20 Rp 7,421.00 Rp 148,420.00 20 Rp 7,421.00 Rp 148,420.00 0 Rp 7,421.00 Rp -
5 Catgut 2/0 dgn jarum bedah Pcs Rp 52,872.61 Rp - 24 Rp 52,872.61 Rp 1,268,942.64 24 Rp 52,872.61 Rp 1,268,942.64 24 Rp 52,872.61 Rp 1,268,942.64 0 Rp 52,872.61 Rp -
7 Folley Cateter No 18 Fr Pcs Rp 10,120.00 Rp - 29 Rp 10,120.00 Rp 293,480.00 29 Rp 10,120.00 Rp 293,480.00 29 Rp 10,120.00 Rp 293,480.00 0 Rp 10,120.00 Rp -
8 Infusion set Dewasa set 15 Rp 8,433.00 Rp 126,495.00 Rp 8,433.00 Rp - 15 Rp 8,433.00 Rp 126,495.00 15 Rp 8,433.00 Rp 126,495.00 0 Rp 8,433.00 Rp -
10 IV Catheter No. 22 G Pcs Rp 6,894.25 Rp - 50 Rp 6,894.25 Rp 344,712.50 50 Rp 6,894.25 Rp 344,712.50 50 Rp 6,894.25 Rp 344,712.50 0 Rp 6,894.25 Rp -
11 IV Catheter No. 24 G Pcs 10 Rp 6,894.25 Rp 68,942.50 50 Rp 6,894.25 Rp 344,712.50 60 Rp 6,894.25 Rp 413,655.00 60 Rp 6,894.25 Rp 413,655.00 0 Rp 6,894.25 Rp -
13 Kasa Pembalut 40 y x 80 cm Roll Rp 147,775.00 Rp - 8 Rp 147,775.00 Rp 1,182,200.00 8 Rp 147,775.00 Rp 1,182,200.00 8 Rp 147,775.00 Rp 1,182,200.00 0 Rp 147,775.00 Rp -
17 Urine bag Pcs Rp 9,460.00 Rp - 8 Rp 9,460.00 Rp 75,680.00 8 Rp 9,460.00 Rp 75,680.00 8 Rp 9,460.00 Rp 75,680.00 0 Rp 9,460.00 Rp -
JUMLAH BHP MEDIS Rp 298,851.25 8 Rp 6,259,486.64 . Rp 6,558,337.89 Rp 6,543,387.89 Rp 14,950.00
JUMLAH OBAT + BHP MEDIS Rp 838,103.20 Rp 11,376,641.64 . Rp 12,214,744.84 Rp 11,743,207.84 Rp 471,537.00
.
Mengetahui, . Penanggung Jawab KIA
.
.
.
Hj. Herawati, S.Kep. Ns. . Hj. Mutmainnah Mansyur, S.ST.
NIP. 19770808 199702 2 001 . NIP. 19700122 199003 2 004
DINAS KESEHATAN

pemeriksaan Obat/BMHP yang diterima dari Gudang Farmasi Puskesmas Gentungan yang
terdapat pada Pelayanan KIA sesuai daftar terlampir, dengan perincian sebagai berikut :
1. Persediaan/Stok Obat dan BMHP 31/12/2022 Rp 838,103.20

5. Stok Obat dan BMHP per 30 Desember 2023 Rp 471,537.00

Mengetahui,
Kepala Puskesmas Gentungan Penanggung Jawab KIA
Hj. Herawati, S.Kep. Ns. Hj. Mutmainnah Mansyur, S.ST.

NIP. 19770808 199702 2 001 NIP. 19700122 199003 2 004
RUANG PEMERIKSAAN KESEHATAN GIGI PUSKESMAS GENTUNGAN
SISA STOK OBAT
1 Asam Traneksamat 50mg/ml inj. ampul 0 Rp 8,545.45 Rp - 8 Rp 8,545.45 Rp 68,363.60 8 Rp 8,545.45 Rp 68,363.60 8 Rp 8,545.45 Rp 68,363.60 0 Rp 8,545.45 Rp -
2 Dexamethazone inj 5 mg/ml ampul 0 Rp 1,420.00 Rp - 5 Rp 1,420.00 Rp 7,100.00 5 Rp 1,420.00 Rp 7,100.00 5 Rp 1,420.00 Rp 7,100.00 0 Rp 1,420.00 Rp -
3 Difenhidramin inj 10mg/ml ampul 0 Rp 1,760.00 Rp - 4 Rp 1,760.00 Rp 7,040.00 4 Rp 1,760.00 Rp 7,040.00 4 Rp 1,760.00 Rp 7,040.00 0 Rp 1,760.00 Rp -
4 Difenhidramin inj 10mg/ml ktk 30 ampul 0 Rp 1,222.00 Rp - 5 Rp 1,222.00 Rp 6,110.00 5 Rp 1,222.00 Rp 6,110.00 5 Rp 1,222.00 Rp 6,110.00 0 Rp 1,222.00 Rp -
6 Epinefrin inj 0.1% ampul 0 Rp 6,900.00 Rp - 12 Rp 6,900.00 Rp 82,800.00 12 Rp 6,900.00 Rp 82,800.00 12 Rp 6,900.00 Rp 82,800.00 0 Rp 6,900.00 Rp -
7 Ethyl Chlorida Spray botol 0 Rp 205,000.00 Rp - 8 Rp 205,000.00 Rp 1,640,000.00 8 Rp 205,000.00 Rp 1,640,000.00 8 Rp 205,000.00 Rp 1,640,000.00 0 Rp 205,000.00 Rp -
8 Lidokain comp injeksi Ktk 30 ampul 0 Rp 847.00 Rp - 60 Rp 847.00 Rp 50,820.00 60 Rp 847.00 Rp 50,820.00 60 Rp 847.00 Rp 50,820.00 0 Rp 847.00 Rp -
9 Lidokain comp injeksi Ktk 30 ampul 0 Rp 1,532.00 Rp - 190 Rp 1,532.00 Rp 291,080.00 190 Rp 1,532.00 Rp 291,080.00 179 Rp 1,532.00 Rp 274,228.00 11 Rp 1,532.00 Rp 16,852.00
JUMLAH OBAT Rp - Rp 2,163,813.60 Rp 2,163,813.60 Rp 2,146,961.60 Rp 16,852.00

.
.
SISA STOK BMHP
1 Alat Suntik 1 mL ktk 0 Rp 747.50 Rp - 100 Rp 747.50 Rp 74,750.00 100 Rp 747.50 Rp 74,750.00 100 Rp 747.50 Rp 74,750.00 0 Rp 747.50 Rp -
2 Glass Ionomer ART Set 0 Rp 1,555,000 Rp - 1 Rp 1,555,000.00 Rp 1,555,000.00 1 Rp 1,555,000.00 Rp 1,555,000.00 1 Rp 1,555,000.00 Rp 1,555,000.00 0 Rp 1,555,000.00 Rp -
4 Jarum Citoject ktk 100 pcs 0 Rp 2,990.00 Rp - 150 Rp 2,990.00 Rp 448,500.00 150 Rp 2,990.00 Rp 448,500.00 150 Rp 2,990.00 Rp 448,500.00 0 Rp 2,990.00 Rp -
5 Kasa Hidrofil 4 m x 15 cm bungkus 0 Rp 2,365.00 Rp - 5 Rp 2,365.00 Rp 11,825.00 5 Rp 2,365.00 Rp 11,825.00 5 Rp 2,365.00 Rp 11,825.00 0 Rp 2,365.00 Rp -
6 Kasa Hidrofil 4 m x 15 cm roll 0 Rp 2,583.90 Rp - 15 Rp 2,583.90 Rp 38,758.50 15 Rp 2,583.90 Rp 38,758.50 15 Rp 2,583.90 Rp 38,758.50 0 Rp 2,583.90 Rp -
7 Kasa Pembalut 40 y x 80 cm Roll 0 Rp 147,775.00 Rp - 1 Rp 147,775.00 Rp 147,775.00 1 Rp 147,775.00 Rp 147,775.00 1 Rp 147,775.00 Rp 147,775.00 0 Rp 147,775.00 Rp -
8 Masker kotak 50 pcs 0 Rp 55,000.00 Rp - 2 Rp 55,000.00 Rp 110,000.00 2 Rp 55,000.00 Rp 110,000.00 2 Rp 55,000.00 Rp 110,000.00 0 Rp 55,000.00 Rp -
9 Masker kotak 50 pcs 0 Rp 45,000.00 Rp - 4 Rp 45,000.00 Rp 180,000.00 4 Rp 45,000.00 Rp 180,000.00 4 Rp 45,000.00 Rp 180,000.00 0 Rp 45,000.00 Rp -
JUMLAH BHP MEDIS Rp - Rp 3,015,276.83 . Rp 3,015,276.83 Rp 3,015,276.83 Rp -
JUMLAH OBAT + BHP MEDIS Rp - Rp 5,179,090.43 . Rp 5,179,090.43 Rp 5,162,238.43 Rp 16,852.00
Mengetahui, Penanggungjawab Poli Gigi

Hj. Herawati, S.Kep. Ns. H. Kamaruddin, S.St

NIP. 19770808 199702 2 001 NIP. 19720725 199403 1 006
DINAS KESEHATAN

terdapat pada Pelayanan Pemeriksaan Gigi sesuai daftar terlampir, dengan perincian sebagai berikut :
21. Persediaan/Stok Obat dan BMHP 31/12/2022 Rp -


Mengetahui,
Kepala Puskesmas Gentungan Penanggungjawab Pem. Gigi dan Mulut
Hj. Herawati, S.Kep. Ns. H. Kamaruddin, S.ST

NIP. 19770808 199702 2 001 NIP. 19720725 199403 1 006
POSKESDES BONTOMANAI PUSKESMAS GENTUNGAN
SISA STOK OBAT
1 Acetyl Cysteine Ktk 60 tab 42 Rp 317.00 Rp 13,314.00 120 Rp 317.00 Rp 38,040.00 162 Rp 317.00 Rp 51,354.00 162 Rp 317.00 Rp 51,354.00 0 Rp 317.00 Rp -
2 Acetyl Cysteine ktk 100 tab Rp 1,110.00 Rp - 180 Rp 1,110.00 Rp 199,800.00 180 Rp 1,110.00 Rp 199,800.00 180 Rp 1,110.00 Rp 199,800.00 0 Rp 1,110.00 Rp -
3 Acyclovir 200 mg Ktk 100 tab 100 Rp 629.00 Rp 62,900.00 Rp 629.00 Rp - 100 Rp 629.00 Rp 62,900.00 0 Rp 629.00 Rp - 100 Rp 629.00 Rp 62,900.00
4 Allopurinol tab 100 mg Ktk 100 tab 10 Rp 99.00 Rp 990.00 Rp 99.00 Rp - 10 Rp 99.00 Rp 990.00 10 Rp 99.00 Rp 990.00 0 Rp 99.00 Rp -
5 Allopurinol tab 100 mg Ktk 100 tab Rp 270.00 200 Rp 270.00 Rp 54,000.00 200 Rp 270.00 Rp 54,000.00 105 Rp 270.00 Rp 28,350.00 95 Rp 270.00 Rp 25,650.00
9 Amoxicillin 500 mg Caplet Ktk 200 tab 685 Rp 231.00 Rp 158,235.00 1000 Rp 231.00 Rp 231,000.00 1685 Rp 231.00 Rp 389,235.00 1583 Rp 231.00 Rp 365,673.00 102 Rp 231.00 Rp 23,562.00
10 Amoxicillin sirup 125 mg/5 ml Btl 60 ml 7 Rp 2,050.00 Rp 14,350.00 40 Rp 2,050.00 Rp 82,000.00 47 Rp 2,050.00 Rp 96,350.00 47 Rp 2,050.00 Rp 96,350.00 0 Rp 2,050.00 Rp -
14 Betahistin tab ktk 100 tab 100 Rp 92.00 Rp 9,200.00 Rp 92.00 Rp - 100 Rp 92.00 Rp 9,200.00 78 Rp 92.00 Rp 7,176.00 22 Rp 92.00 Rp 2,024.00
15 Betahistin tab Ktk 100 tab Rp 610.00 Rp - 200 Rp 610.00 Rp 122,000.00 200 Rp 610.00 Rp 122,000.00 0 Rp 610.00 Rp - 200 Rp 610.00 Rp 122,000.00
17 Betametason cream 0,1% Ktk 25 tube Rp 2,100.00 10 Rp 2,100.00 Rp 21,000.00 10 Rp 2,100.00 Rp 21,000.00 10 Rp 2,100.00 Rp 21,000.00 0 Rp 2,100.00 Rp -
18 Cetirizine tab ktk 100 tab Rp 123.00 Rp - 500 Rp 123.00 Rp 61,500.00 500 Rp 123.00 Rp 61,500.00 475 Rp 123.00 Rp 58,425.00 25 Rp 123.00 Rp 3,075.00
20 Chlorpheniramine maleat tab Ktk 100 tab Rp 74.00 Rp - 800 Rp 74.00 Rp 59,200.00 800 Rp 74.00 Rp 59,200.00 675 Rp 74.00 Rp 49,950.00 125 Rp 74.00 Rp 9,250.00
21 Dexamethazone 0.5 mg tab Ktk 100 tab Rp 116.00 Rp - 1700 Rp 116.00 Rp 197,200.00 1700 Rp 116.00 Rp 197,200.00 1478 Rp 116.00 Rp 171,448.00 222 Rp 116.00 Rp 25,752.00
22 Domperidone tab Ktk 100 tab 100 Rp 68.18 Rp 6,818.20 Rp 68.18 Rp - 100 Rp 68.18 Rp 6,818.20 0 Rp 68.18 Rp - 100 Rp 68.18 Rp 6,818.20
23 Furosemide tab 40 mg ktk 200 tab 224 Rp 123.55 Rp 27,675.20 Rp 123.55 Rp - 224 Rp 123.55 Rp 27,675.20 94 Rp 123.55 Rp 11,613.70 130 Rp 123.55 Rp 16,061.50
24 Griseofulvin Btl 100 tab 185 Rp 210.00 Rp 38,850.00 300 Rp 210.00 Rp 63,000.00 485 Rp 210.00 Rp 101,850.00 278 Rp 210.00 Rp 58,380.00 207 Rp 210.00 Rp 43,470.00
26 Hiosina Butilbromida 10 mg Ktk 100 tab Rp 1,050.00 Rp - 100 Rp 1,050.00 Rp 105,000.00 100 Rp 1,050.00 Rp 105,000.00 0 Rp 1,050.00 Rp - 100 Rp 1,050.00 Rp 105,000.00
28 Ibuprofen 400 mg Ktk 100 tab Rp 448.00 Rp - 800 Rp 448.00 Rp 358,400.00 800 Rp 448.00 Rp 358,400.00 799 Rp 448.00 Rp 357,952.00 1 Rp 448.00 Rp 448.00
29 Ibuprofen tab 200 mg Btl 100 tab 49 Rp 257.40 Rp 12,612.60 Rp 257.40 Rp - 49 Rp 257.40 Rp 12,612.60 49 Rp 257.40 Rp 12,612.60 0 Rp 257.40 Rp -
33 Loperamide tab Ktk 100 tab 203 Rp 81.00 Rp 16,443.00 Rp 81.00 Rp - 203 Rp 81.00 Rp 16,443.00 157 Rp 81.00 Rp 12,717.00 46 Rp 81.00 Rp 3,726.00
34 Meloxicam 15 mg Ktk 50 tab Rp 491.00 Rp - 200 Rp 491.00 Rp 98,200.00 200 Rp 491.00 Rp 98,200.00 192 Rp 491.00 Rp 94,272.00 8 Rp 491.00 Rp 3,928.00
35 Methyl prednisolon ktk 100 tab 166 Rp 102.00 Rp 16,932.00 Rp 102.00 Rp - 166 Rp 102.00 Rp 16,932.00 166 Rp 102.00 Rp 16,932.00 0 Rp 102.00 Rp -
36 Methyl prednisolon ktk 100 tab Rp 282.00 Rp - 200 Rp 282.00 Rp 56,400.00 200 Rp 282.00 Rp 56,400.00 194 Rp 282.00 Rp 54,708.00 6 Rp 282.00 Rp 1,692.00
37 Metoklopramid tablet ktk 100 tab 280 Rp 100.00 Rp 28,000.00 Rp 100.00 Rp - 280 Rp 100.00 Rp 28,000.00 146 Rp 100.00 Rp 14,600.00 134 Rp 100.00 Rp 13,400.00
39 Natrium Diklofenak 50 mg ktk 50 tab 28 Rp 109.00 Rp 3,052.00 Rp 109.00 Rp - 28 Rp 109.00 Rp 3,052.00 28 Rp 109.00 Rp 3,052.00 0 Rp 109.00 Rp -
40 Natrium Diklofenak 50 mg Ktk 100 tab Rp 210.00 Rp - 300 Rp 210.00 Rp 63,000.00 300 Rp 210.00 Rp 63,000.00 300 Rp 210.00 Rp 63,000.00 0 Rp 210.00 Rp -
43 Parasetamol 500 mg Ktk 100 tab Rp 210.00 Rp - 700 Rp 210.00 Rp 147,000.00 700 Rp 210.00 Rp 147,000.00 668 Rp 210.00 Rp 140,280.00 32 Rp 210.00 Rp 6,720.00
44 Parasetamol 500 mg Ktk 100 tab 470 Rp 295.00 Rp 138,650.00 1000 Rp 295.00 Rp 295,000.00 1470 Rp 295.00 Rp 433,650.00 1470 Rp 295.00 Rp 433,650.00 0 Rp 295.00 Rp -
46 Piridoxin tab ktk 200 tab 162 Rp 72.65 Rp 11,769.30 800 Rp 72.65 Rp 58,120.00 962 Rp 72.65 Rp 69,889.30 961 Rp 72.65 Rp 69,816.65 1 Rp 72.65 Rp 72.65
47 Prednison tab Ktk 100 tab 106 Rp 73.00 Rp 7,738.00 Rp 73.00 Rp - 106 Rp 73.00 Rp 7,738.00 46 Rp 73.00 Rp 3,358.00 60 Rp 73.00 Rp 4,380.00
50 Salbutamol tab Ktk 100 tab Rp 67.00 Rp - 200 Rp 67.00 Rp 13,400.00 200 Rp 67.00 Rp 13,400.00 190 Rp 67.00 Rp 12,730.00 10 Rp 67.00 Rp 670.00
51 Sefadroxil kaps 500 mg Ktk 100 Kaps Rp 1,000.00 Rp - 100 Rp 1,000.00 Rp 100,000.00 100 Rp 1,000.00 Rp 100,000.00 90 Rp 1,000.00 Rp 90,000.00 10 Rp 1,000.00 Rp 10,000.00
52 Simvastatin 20 mg Ktk 50 tab 30 Rp 150.00 Rp 4,500.00 Rp 150.00 Rp - 30 Rp 150.00 Rp 4,500.00 0 Rp 150.00 Rp - 30 Rp 150.00 Rp 4,500.00
54 Thiamin (Vit B1) tab 50 ktk 100 tab Rp 225.00 Rp - 600 Rp 225.00 Rp 135,000.00 600 Rp 225.00 Rp 135,000.00 400 Rp 225.00 Rp 90,000.00 200 Rp 225.00 Rp 45,000.00
55 Vitamin B Kompleks Ktk 100 tab Rp 127.00 800 Rp 127.00 Rp 101,600.00 800 Rp 127.00 Rp 101,600.00 798 Rp 127.00 Rp 101,346.00 2 Rp 127.00 Rp 254.00
56 Vitamin B Kompleks Ktk 100 tab 56 Rp 60.00 Rp 3,360.00 1000 Rp 60.00 Rp 60,000.00 1056 Rp 60.00 Rp 63,360.00 1056 Rp 60.00 Rp 63,360.00 0 Rp 60.00 Rp -
57 Zinc tab Ktk 100 tab 352 Rp 253.00 Rp 89,056.00 100 Rp 253.00 Rp 25,300.00 452 Rp 253.00 Rp 114,356.00 413 Rp 253.00 Rp 104,489.00 39 Rp 253.00 Rp 9,867.00

.
.
SISA STOK BMHP
JUMLAH OBAT + BHP MEDIS Rp 835,903.30 Rp 4,174,351.00 Rp 5,010,254.30 Rp 4,367,533.95 Rp 642,720.35
Mengetahui, Penanggungjawab Poskesdes Bontomanai

Kepala Puskesmas Gentungan
Hj. Herawati, S.Kep. Ns. Hj. Munawarah, S.ST

NIP. 19770808 199702 2 001 NIP. 19740630 200604 2 027
DINAS KESEHATAN

terdapat pada Poskesdes Bontomanai sesuai daftar terlampir, dengan perincian sebagai berikut :


Mengetahui,
Kepala Puskesmas Gentungan Penanggungjawab Poskesdes Bontomanai
Hj. Herawati, S.Kep. Ns. Hj. Munawarah, S.ST

NIP. 19770808 199702 2 001 NIP. 19740630 200604 2 027
PUSTU BORIMATANGKASA PUSKESMAS GENTUNGAN
SISA STOK OBAT
1 Acyclovir 400 mg Ktk 100 tab 14 Rp 1,141.52 Rp 15,981.28 Rp 1,141.52 Rp - 14 Rp 1,141.52 Rp 15,981.28 14 Rp 1,141.52 Rp 15,981.28 Rp 1,141.52 Rp -
2 Allopurinol tab 100 mg Ktk 100 tab 60 Rp 89.00 Rp 5,340.00 Rp 89.00 Rp - 60 Rp 89.00 Rp 5,340.00 30 Rp 89.00 Rp 2,670.00 30 Rp 89.00 Rp 2,670.00
3 Ambroxol Tab Ktk 100 tab 67 Rp 220.00 Rp 14,740.00 Rp 220.00 Rp - 67 Rp 220.00 Rp 14,740.00 67 Rp 220.00 Rp 14,740.00 0 Rp 220.00 Rp -
6 Amoxicillin 500 mg Caplet Ktk 100 tab Rp 655.00 Rp - 300 Rp 655.00 Rp 196,500.00 300 Rp 655.00 Rp 196,500.00 50 Rp 655.00 Rp 32,750.00 250 Rp 655.00 Rp 163,750.00
8 Amoxicillin sirup 125 mg/5 ml Btl 60 ml Rp 2,050.00 Rp - 20 Rp 2,050.00 Rp 41,000.00 20 Rp 2,050.00 Rp 41,000.00 5 Rp 2,050.00 Rp 10,250.00 15 Rp 2,050.00 Rp 30,750.00
9 Antasida DOEN tab ktk 100 Rp 108.00 Rp - 300 Rp 108.00 Rp 32,400.00 300 Rp 108.00 Rp 32,400.00 190 Rp 108.00 Rp 20,520.00 110 Rp 108.00 Rp 11,880.00
10 Anti Bakteri/Bacitracin krim Ktk 25 tube 9 Rp 3,172.72 Rp 28,554.48 Rp 3,172.72 Rp - 9 Rp 3,172.72 Rp 28,554.48 9 Rp 3,172.72 Rp 28,554.48 Rp 3,172.72 Rp -
11 Asam Ascorbat 50 mg Ktk 100 tab Rp 46.00 Rp - 1500 Rp 46.00 Rp 69,000.00 1500 Rp 46.00 Rp 69,000.00 1500 Rp 46.00 Rp 69,000.00 Rp 46.00 Rp -
12 Asam Mefenamat 500mg Ktk 100 tab Rp 117.00 Rp - 1200 Rp 117.00 Rp 140,400.00 1200 Rp 117.00 Rp 140,400.00 1200 Rp 117.00 Rp 140,400.00 0 Rp 117.00 Rp -
13 Betahistin tab ktk 100 tab Rp 92.00 Rp - 100 Rp 92.00 Rp 9,200.00 100 Rp 92.00 Rp 9,200.00 10 Rp 92.00 Rp 920.00 90 Rp 92.00 Rp 8,280.00
15 Chlorpheniramine maleat tab Ktk 100 tab Rp 74.00 Rp - 600 Rp 74.00 Rp 44,400.00 600 Rp 74.00 Rp 44,400.00 361 Rp 74.00 Rp 26,714.00 239 Rp 74.00 Rp 17,686.00
16 Ciprofloxacin 500 mg Ktk 100 tab Rp 260.00 Rp - 200 Rp 260.00 Rp 52,000.00 200 Rp 260.00 Rp 52,000.00 0 Rp 260.00 Rp - 200 Rp 260.00 Rp 52,000.00
18 Domperidone tab Ktk 100 tab 30 Rp 68.18 Rp 2,045.46 200 Rp 68.18 Rp 13,636.40 230 Rp 68.18 Rp 15,681.86 10 Rp 68.18 Rp 681.82 220 Rp 68.18 Rp 15,000.04
19 Gentamisin salep kulit tube 1 Rp 4,095.00 Rp 4,095.00 Rp 4,095.00 Rp 4,095.00 Rp 4,095.00 Rp 4,095.00
20 Glibenclamid Ktk 100 tab 170 Rp 137.00 Rp 23,290.00 Rp 137.00 Rp - 170 Rp 137.00 Rp 23,290.00 0 Rp 137.00 Rp - 170 Rp 137.00 Rp 23,290.00
22 Ibuprofen 400 mg Ktk 100 tab Rp 448.00 Rp - 700 Rp 448.00 Rp 313,600.00 700 Rp 448.00 Rp 313,600.00 440 Rp 448.00 Rp 197,120.00 260 Rp 448.00 Rp 116,480.00
23 Kalsium Laktat 500 mg Ktk 100 tab 134 Rp 60.00 Rp 8,040.00 700 Rp 60.00 Rp 42,000.00 834 Rp 60.00 Rp 50,040.00 834 Rp 60.00 Rp 50,040.00 0 Rp 60.00 Rp -
24 Kotrimoksasol 480 mg ktk 100 tab 98 Rp 368.13 Rp 36,076.74 Rp 368.13 Rp - 98 Rp 368.13 Rp 36,076.74 98 Rp 368.13 Rp 36,076.74 0 Rp 368.13 Rp -
25 Kotrimoksasol 480 mg ktk 100 tab Rp 320.00 Rp - 200 Rp 320.00 Rp 64,000.00 200 Rp 320.00 Rp 64,000.00 40 Rp 320.00 Rp 12,800.00 160 Rp 320.00 Rp 51,200.00
26 Lidokain comp injeksi Ktk 30 ampul Rp 847.00 Rp - 10 Rp 847.00 Rp 8,470.00 10 Rp 847.00 Rp 8,470.00 0 Rp 847.00 Rp - 10 Rp 847.00 Rp 8,470.00
27 Loperamide tab Ktk 100 tab Rp 81.00 Rp - 100 Rp 81.00 Rp 8,100.00 100 Rp 81.00 Rp 8,100.00 0 Rp 81.00 Rp - 100 Rp 81.00 Rp 8,100.00
28 Loperamide tab Ktk 100 tab 141 Rp 245.00 Rp 34,545.00 100 Rp 245.00 Rp 24,500.00 241 Rp 245.00 Rp 59,045.00 10 Rp 245.00 Rp 2,450.00 231 Rp 245.00 Rp 56,595.00
29 Loratadin 10 mg tab ktk 100 tab 10 Rp 117.00 Rp 1,170.00 Rp 117.00 Rp - 10 Rp 117.00 Rp 1,170.00 10 Rp 117.00 Rp 1,170.00 Rp 117.00 Rp -
30 Meloxicam 15 mg Ktk 50 tab Rp 491.00 Rp - 50 Rp 491.00 Rp 24,550.00 50 Rp 491.00 Rp 24,550.00 50 Rp 491.00 Rp 24,550.00 Rp 491.00 Rp -
31 Methyl prednisolon ktk 100 tab Rp 282.00 Rp - 200 Rp 282.00 Rp 56,400.00 200 Rp 282.00 Rp 56,400.00 0 Rp 282.00 Rp - 200 Rp 282.00 Rp 56,400.00
32 Metoklopramid 10 mg Ktk 100 tab Rp 66.00 Rp - 200 Rp 66.00 Rp 13,200.00 200 Rp 66.00 Rp 13,200.00 0 Rp 66.00 Rp - 200 Rp 66.00 Rp 13,200.00
33 Metronidazol 500 mg Ktk 100 tab 80 Rp 150.00 Rp 12,000.00 Rp 150.00 Rp - 80 Rp 150.00 Rp 12,000.00 20 Rp 150.00 Rp 3,000.00 60 Rp 150.00 Rp 9,000.00
34 NaCl 0.9% Infus Btl 500 ml 1 Rp 6,410.00 Rp 6,410.00 Rp 6,410.00 Rp - 1 Rp 6,410.00 Rp 6,410.00 1 Rp 6,410.00 Rp 6,410.00 Rp 6,410.00 Rp -
35 Pantoprazole kap ktk 60 kap 8 Rp 1,054.55 Rp 8,436.40 Rp 1,054.55 Rp - 8 Rp 1,054.55 Rp 8,436.40 8 Rp 1,054.55 Rp 8,436.40 Rp 1,054.55 Rp -
36 Paracetamol syrup Btl 60 ml 5 Rp 1,160.00 Rp 5,800.00 20 Rp 1,160.00 Rp 23,200.00 25 Rp 1,160.00 Rp 29,000.00 0 Rp 1,160.00 Rp - 25 Rp 1,160.00 Rp 29,000.00
37 Parasetamol 500 mg Ktk 100 tab Rp 292.00 Rp - 1400 Rp 292.00 Rp 408,800.00 1400 Rp 292.00 Rp 408,800.00 1400 Rp 292.00 Rp 408,800.00 Rp 292.00 Rp -
39 Ranitidine 120 mg ktk 100 tab Rp 85.00 Rp - 100 Rp 85.00 Rp 8,500.00 100 Rp 85.00 Rp 8,500.00 100 Rp 85.00 Rp 8,500.00 Rp 85.00 Rp -
40 Simvastatin 20 mg Ktk 50 tab 80 Rp 150.00 Rp 12,000.00 Rp 150.00 Rp - 80 Rp 150.00 Rp 12,000.00 0 Rp 150.00 Rp - 80 Rp 150.00 Rp 12,000.00
41 Simvastatin 20 mg Ktk 50 tab Rp 430.00 Rp - 200 Rp 430.00 Rp 86,000.00 200 Rp 430.00 Rp 86,000.00 0 Rp 430.00 Rp - 200 Rp 430.00 Rp 86,000.00
42 Stimuno Sachet Sacchet/ 30 Rp 1,832.00 Rp - 48 Rp 1,832.00 Rp 87,936.00 48 Rp 1,832.00 Rp 87,936.00 0 Rp 1,832.00 Rp - 48 Rp 1,832.00 Rp 87,936.00
43 Thiamin (Vit B1) tab 50 ktk 100 tab Rp 225.00 Rp - 100 Rp 225.00 Rp 22,500.00 100 Rp 225.00 Rp 22,500.00 100 Rp 225.00 Rp 22,500.00 Rp 225.00 Rp -
44 Vitamin B Kompleks Ktk 100 tab 29 Rp 60.00 Rp 1,740.00 1300 Rp 60.00 Rp 78,000.00 1329 Rp 60.00 Rp 79,740.00 1329 Rp 60.00 Rp 79,740.00 Rp 60.00 Rp -
45 Zinc tab Ktk 100 tab 200 Rp 253.00 Rp 50,600.00 Rp 253.00 Rp - 200 Rp 253.00 Rp 50,600.00 200 Rp 253.00 Rp 50,600.00 Rp 253.00 Rp -

.
.
SISA STOK BMHP
JUMLAH OBAT + BHP MEDIS Rp 298,254.36 Rp 2,534,962.40 . Rp 2,829,121.76 Rp 1,815,125.22 Rp 1,013,996.54
.
Mengetahui,
Kepala Puskesmas Gentungan Penanggungjawab Pustu Borimatangkasa
Hj. Herawati, S.Kep. Ns. Islamiah, A.Md.Keb.

NIP. 19770808 199702 2 001 NIP. 198112242017052002
DINAS KESEHATAN

terdapat pada Pustu Borimatangkasa sesuai daftar terlampir, dengan perincian sebagai berikut :


Mengetahui,
Kepala Puskesmas Gentungan Penanggungjawab Pustu Borimatangkasa
Hj. Herawati, S.Kep. Ns. Islamiah, A.Md.Keb.

NIP. 19770808 199702 2 001 NIP. 198112242017052002
PUSTU KALEMANDALLE PUSKESMAS GENTUNGAN
SISA STOK OBAT
1 Acetyl Cysteine ktk 100 tab Rp 1,110.00 Rp - 360 Rp 1,110.00 Rp 399,600.00 360 Rp 1,110.00 Rp 399,600.00 140 Rp 1,110.00 Rp 155,400.00 220 Rp 1,110.00 Rp 244,200.00
4 Amoxicillin 500 mg Caplet Ktk 100 tab Rp 655.00 Rp - 200 Rp 655.00 Rp 131,000.00 200 Rp 655.00 Rp 131,000.00 0 Rp 655.00 Rp - 200 Rp 655.00 Rp 131,000.00
6 Amoxicillin sirup 125 mg/5 ml Btl 60 ml 10 Rp 2,050.00 Rp 20,500.00 20 Rp 2,050.00 Rp 41,000.00 30 Rp 2,050.00 Rp 61,500.00 26 Rp 2,050.00 Rp 53,300.00 4 Rp 2,050.00 Rp 8,200.00
11 Betahistin tab ktk 100 tab 100 Rp 92.00 Rp 9,200.00 100 Rp 92.00 Rp 9,200.00 200 Rp 92.00 Rp 18,400.00 68 Rp 92.00 Rp 6,256.00 132 Rp 92.00 Rp 12,144.00
14 Cetirizine tab ktk 100 tab 1 Rp 278.00 Rp 278.00 Rp 278.00 Rp - 1 Rp 278.00 Rp 278.00 1 Rp 278.00 Rp 278.00 0 Rp 278.00 Rp -
18 Dexamethazone 0.5 mg tab Ktk 100 tab 365 Rp 130.00 Rp 47,450.00 Rp 130.00 Rp - 365 Rp 130.00 Rp 47,450.00 365 Rp 130.00 Rp 47,450.00 0 Rp 130.00 Rp -
20 Domperidone tab Ktk 100 tab Rp 68.18 Rp - 200 Rp 68.18 Rp 13,636.40 200 Rp 68.18 Rp 13,636.40 6 Rp 68.18 Rp 409.09 194 Rp 68.18 Rp 13,227.31
22 Griseofulvin Btl 100 tab Rp 210.00 Rp - 300 Rp 210.00 Rp 63,000.00 300 Rp 210.00 Rp 63,000.00 56 Rp 210.00 Rp 11,760.00 244 Rp 210.00 Rp 51,240.00
24 Hiosina Butilbromida 10 mg Ktk 100 tab Rp 1,050.00 Rp - 200 Rp 1,050.00 Rp 210,000.00 200 Rp 1,050.00 Rp 210,000.00 60 Rp 1,050.00 Rp 63,000.00 140 Rp 1,050.00 Rp 147,000.00
25 Ibuprofen 400 mg Ktk 100 tab 500 Rp 448.00 Rp 224,000.00 700 Rp 448.00 Rp 313,600.00 1200 Rp 448.00 Rp 537,600.00 1200 Rp 448.00 Rp 537,600.00 0 Rp 448.00 Rp -
27 Kotrimoksasol 480 mg ktk 100 tab 64 Rp 368.13 Rp 23,560.32 Rp 368.13 Rp - 64 Rp 368.13 Rp 23,560.32 64 Rp 368.13 Rp 23,560.32 0 Rp 368.13 Rp -
29 Lidokain comp injeksi Ktk 30 ampul Rp 847.00 Rp - 5 Rp 847.00 Rp 4,235.00 5 Rp 847.00 Rp 4,235.00 3 Rp 847.00 Rp 2,541.00 2 Rp 847.00 Rp 1,694.00
31 Methyl prednisolon Ktk 100 tab 2 Rp 102.00 Rp 204.00 Rp 102.00 Rp - 2 Rp 102.00 Rp 204.00 2 Rp 102.00 Rp 204.00 0 Rp 102.00 Rp -
33 Muliavit syrup botol 2 Rp 5,720.00 Rp 11,440.00 Rp 5,720.00 Rp - 2 Rp 5,720.00 Rp 11,440.00 2 Rp 5,720.00 Rp 11,440.00 0 Rp 5,720.00 Rp -
34 Natrium Diklofenak 50 mg Ktk 50 tab Rp 210.00 Rp - 200 Rp 210.00 Rp 42,000.00 200 Rp 210.00 Rp 42,000.00 36 Rp 210.00 Rp 7,560.00 164 Rp 210.00 Rp 34,440.00
35 Oxytetracycline salep kulit 3% Ktk 25 tube 17 Rp 2,139.28 Rp 36,367.76 Rp 2,139.28 Rp - 17 Rp 2,139.28 Rp 36,367.76 17 Rp 2,139.28 Rp 36,367.76 0 Rp 2,139.28 Rp -
36 Oxytetracycline salep mata Ktk 25 tube Rp 3,500.00 Rp - 5 Rp 3,500.00 Rp 17,500.00 5 Rp 3,500.00 Rp 17,500.00 0 Rp 3,500.00 Rp - 5 Rp 3,500.00 Rp 17,500.00
39 Paracetamol tab ktk 100 tab 500 Rp 182.00 Rp 91,000.00 Rp 182.00 Rp - 500 Rp 182.00 Rp 91,000.00 500 Rp 182.00 Rp 91,000.00 0 Rp 182.00 Rp -
42 Piridoxin tab ktk 200 tab 400 Rp 72.65 Rp 29,060.00 600 Rp 72.65 Rp 43,590.00 1000 Rp 72.65 Rp 72,650.00 674 Rp 72.65 Rp 48,966.10 326 Rp 72.65 Rp 23,683.90
44 Ranitidine 120 mg ktk 100 tab Rp 189.00 200 Rp 189.00 Rp 37,800.00 200 Rp 189.00 Rp 37,800.00 160 Rp 189.00 Rp 30,240.00 40 Rp 189.00 Rp 7,560.00
46 Salisil Talk Pot 100 gr 5 Rp 4,160.00 Rp 20,800.00 Rp 4,160.00 Rp - 5 Rp 4,160.00 Rp 20,800.00 5 Rp 4,160.00 Rp 20,800.00 0 Rp 4,160.00 Rp -
47 Simvastatin 20 mg Ktk 50 tab 79 Rp 150.00 Rp 11,850.00 Rp 150.00 Rp - 79 Rp 150.00 Rp 11,850.00 79 Rp 150.00 Rp 11,850.00 0 Rp 150.00 Rp -
48 Simvastatin 20 mg Ktk 50 tab Rp 430.00 Rp - 100 Rp 430.00 Rp 43,000.00 100 Rp 430.00 Rp 43,000.00 20 Rp 430.00 Rp 8,600.00 80 Rp 430.00 Rp 34,400.00
50 Supralysin syrup botol 60 ml Rp 33,300.00 Rp - 5 Rp 33,300.00 Rp 166,500.00 5 Rp 33,300.00 Rp 166,500.00 5 Rp 33,300.00 Rp 166,500.00 0 Rp 33,300.00 Rp -
51 Thiamin (Vit B1) tab 50 ktk 100 tab Rp 225.00 Rp - 400 Rp 225.00 Rp 90,000.00 400 Rp 225.00 Rp 90,000.00 46 Rp 225.00 Rp 10,350.00 354 Rp 225.00 Rp 79,650.00
54 Zinc tab Ktk 100 tab 186 Rp 253.00 Rp 47,058.00 Rp 253.00 Rp - 186 Rp 253.00 Rp 47,058.00 56 Rp 253.00 Rp 14,168.00 130 Rp 253.00 Rp 32,890.00

.
.
SISA STOK BMHP
1 Etanol 70 % Btl 1000 ml Rp 65,000.00 Rp - 2 Rp 65,000.00 Rp 130,000.00 2 Rp 65,000.00 Rp 130,000.00 1 Rp 65,000.00 Rp 65,000.00 1 Rp 65,000.00 Rp 65,000.00
JUMLAH BHP MEDIS Rp - Rp 130,000.00 . Rp 130,000.00 Rp 65,000.00 Rp 65,000.00
JUMLAH OBAT + BHP MEDIS Rp 844,664.08 Rp 3,638,302.40 . Rp 4,482,966.48 Rp 3,180,093.27 Rp 1,302,873.21
.
Mengetahui,
Kepala Puskesmas Gentungan Penanggungjawab Pustu Kalemandalle
Hj. Herawati, S.Kep. Ns. Nursamsi AH., S.ST.

NIP. 19770808 199702 2 001 NIP. 19831024 201705 2 001
DINAS KESEHATAN

pemeriksaan Obat dan BMHP yang diterima dari Gudang Farmasi Puskesmas Gentungan
yang terdapat pada Pustu Kalemandalle sesuai daftar terlampir, dengan perincian sebagai berikut :


Mengetahui,
Kepala Puskesmas Gentungan Penanggungjawab Pustu Kalemandalle
Hj. Herawati, S.Kep. Ns. Nursamsi AH., S.ST.

NIP. 19770808 199702 2 001 NIP. 19831024 201705 2 001
PUSTU TANABANGKA PUSKESMAS GENTUNGAN
SISA STOK OBAT
1 Acyclovir 400 mg Ktk 100 tab Rp 900.00 Rp - 200 Rp 900.00 Rp 180,000.00 200 Rp 900.00 Rp 180,000.00 200 Rp 900.00 Rp 180,000.00 0 Rp 900.00 Rp -
2 Allopurinol tab 100 mg Ktk 100 tab Rp 270.00 700 Rp 270.00 Rp 189,000.00 700 Rp 270.00 Rp 189,000.00 660 Rp 270.00 Rp 178,200.00 40 Rp 270.00 Rp 10,800.00
6 Amoxicillin sirup 125 mg/5 ml Btl 60 ml Rp 2,050.00 Rp - 10 Rp 2,050.00 Rp 20,500.00 10 Rp 2,050.00 Rp 20,500.00 0 Rp 2,050.00 Rp - 10 Rp 2,050.00 Rp 20,500.00
7 Antasida DOEN tab ktk 100 7 Rp 49.09 Rp 343.63 Rp 49.09 Rp - 7 Rp 49.09 Rp 343.63 7 Rp 49.09 Rp 343.63 0 Rp 49.09 Rp -
13 Ciprofloxacin 500 mg Ktk 100 tab Rp 260.00 Rp - 200 Rp 260.00 Rp 52,000.00 200 Rp 260.00 Rp 52,000.00 200 Rp 260.00 Rp 52,000.00 0 Rp 260.00 Rp -
14 Dexamethazone 0.5 mg tab Ktk 100 tab 137 Rp 130.00 Rp 17,810.00 Rp 130.00 Rp - 137 Rp 130.00 Rp 17,810.00 137 Rp 130.00 Rp 17,810.00 0 Rp 130.00 Rp -
16 Domperidone tab Ktk 100 tab 178 Rp 68.18 Rp 12,136.40 200 Rp 68.18 Rp 13,636.40 378 Rp 68.18 Rp 25,772.80 0 Rp 68.18 Rp - 378 Rp 68.18 Rp 25,772.80
18 Griseofulvin Btl 100 tab Rp 210.00 Rp - 200 Rp 210.00 Rp 42,000.00 200 Rp 210.00 Rp 42,000.00 30 Rp 210.00 Rp 6,300.00 170 Rp 210.00 Rp 35,700.00
21 Ibuprofen 400 mg Btl 60 ml Rp 199.00 Rp - 200 Rp 199.00 Rp 39,800.00 200 Rp 199.00 Rp 39,800.00 68 Rp 199.00 Rp 13,532.00 132 Rp 199.00 Rp 26,268.00
22 Ibuprofen 400 mg Ktk 100 tab 261 Rp 448.00 Rp 116,928.00 800 Rp 448.00 Rp 358,400.00 1061 Rp 448.00 Rp 475,328.00 1061 Rp 448.00 Rp 475,328.00 0 Rp 448.00 Rp -
23 Kalsium Laktat 500 mg Ktk 100 tab Rp 60.00 Rp - 1700 Rp 60.00 Rp 102,000.00 1700 Rp 60.00 Rp 102,000.00 1640 Rp 60.00 Rp 98,400.00 60 Rp 60.00 Rp 3,600.00
24 Kotrimoksasol 480 mg ktk 100 tab Rp 320.00 100 Rp 320.00 Rp 32,000.00 100 Rp 320.00 Rp 32,000.00 20 Rp 320.00 Rp 6,400.00 80 Rp 320.00 Rp 25,600.00
26 Loratadin 10 mg tab ktk 100 tab 24 Rp 117.00 Rp 2,808.00 Rp 117.00 Rp - 24 Rp 117.00 Rp 2,808.00 24 Rp 117.00 Rp 2,808.00 0 Rp 117.00 Rp -
27 lyctacur syrup botol Rp 10,656.00 Rp - 5 Rp 10,656.00 Rp 53,280.00 5 Rp 10,656.00 Rp 53,280.00 5 Rp 10,656.00 Rp 53,280.00 0 Rp 10,656.00 Rp -
29 Metformin 500 mg Ktk 100 tab Rp 200.00 200 Rp 200.00 Rp 40,000.00 200 Rp 200.00 Rp 40,000.00 40 Rp 200.00 Rp 8,000.00 160 Rp 200.00 Rp 32,000.00
31 Methyl prednisolon Ktk 100 tab 116 Rp 102.00 Rp 11,832.00 Rp 102.00 Rp - 116 Rp 102.00 Rp 11,832.00 116 Rp 102.00 Rp 11,832.00 0 Rp 102.00 Rp -
33 Metoklopramid tablet ktk 100 tab Rp 100.00 Rp - 200 Rp 100.00 Rp 20,000.00 200 Rp 100.00 Rp 20,000.00 0 Rp 100.00 Rp - 200 Rp 100.00 Rp 20,000.00
34 Metoklopramid tablet ktk 100 tab 343 Rp 87.00 Rp 29,841.00 Rp 87.00 Rp - 343 Rp 87.00 Rp 29,841.00 31 Rp 87.00 Rp 2,697.00 312 Rp 87.00 Rp 27,144.00
35 Metronidazol 500 mg Ktk 100 tab 70 Rp 210.00 Rp 14,700.00 Rp 210.00 Rp - 70 Rp 210.00 Rp 14,700.00 0 Rp 210.00 Rp - 70 Rp 210.00 Rp 14,700.00
36 Natrium Diklofenak 50 mg Ktk 50 tab 100 Rp 109.00 Rp 10,900.00 Rp 109.00 Rp - 100 Rp 109.00 Rp 10,900.00 100 Rp 109.00 Rp 10,900.00 0 Rp 109.00 Rp -
37 Nistatin Vaginal tab Ktk 100 tab 7 Rp 480.00 Rp 3,360.00 Rp 480.00 Rp - 7 Rp 480.00 Rp 3,360.00 7 Rp 480.00 Rp 3,360.00 0 Rp 480.00 Rp -
38 OBH syrup 100 ml Btl 100 ml 1 Rp 4,593.00 Rp 4,593.00 Rp 4,593.00 Rp - 1 Rp 4,593.00 Rp 4,593.00 1 Rp 4,593.00 Rp 4,593.00 0 Rp 4,593.00 Rp -
46 Salisil Talk Pot 100 gr Rp 3,103.00 Rp - 5 Rp 3,103.00 Rp 15,515.00 5 Rp 3,103.00 Rp 15,515.00 5 Rp 3,103.00 Rp 15,515.00 0 Rp 3,103.00 Rp -
47 Simvastatin 20 mg Ktk 50 tab 60 Rp 150.00 Rp 9,000.00 Rp 150.00 Rp - 60 Rp 150.00 Rp 9,000.00 15 Rp 150.00 Rp 2,250.00 45 Rp 150.00 Rp 6,750.00
48 Simvastatin 20 mg Ktk 50 tab Rp 430.00 Rp - 100 Rp 430.00 Rp 43,000.00 100 Rp 430.00 Rp 43,000.00 0 Rp 430.00 Rp - 100 Rp 430.00 Rp 43,000.00
52 Zinc tab Ktk 100 tab Rp 253.00 Rp - 200 Rp 253.00 Rp 50,600.00 200 Rp 253.00 Rp 50,600.00 45 Rp 253.00 Rp 11,385.00 155 Rp 253.00 Rp 39,215.00
.
.
Mengetahui, .
Kepala Puskesmas Gentungan . Penanggungjawab Pustu Tanabangka
.
.
.
Hj. Herawati, S.Kep. Ns. . Hj. Kasturi, S.ST
NIP. 19770808 199702 2 001 . NIP. 19690812 199303 2 008
DINAS KESEHATAN

terdapat pada Pustu Tanabangka sesuai daftar terlampir, dengan perincian sebagai berikut :


Mengetahui,
Kepala Puskesmas Gentungan Penanggungjawab Pustu Tanabangka
Hj. Herawati, S.Kep. Ns. Hj. Kasturi, S.ST

NIP. 19770808 199702 2 001 NIP. 19690812 199303 2 008
PUSTU MANDALLE PUSKESMAS GENTUNGAN
SISA STOK OBAT
1 Acetyl Cysteine Ktk 60 tab Rp 317.00 Rp - 60 Rp 317.00 Rp 19,020.00 60 Rp 317.00 Rp 19,020.00 60 Rp 317.00 Rp 19,020.00 0 Rp 317.00 Rp -
3 Allopurinol tab 100 mg Ktk 100 tab 90 Rp 99.00 Rp 8,910.00 Rp 99.00 Rp - 90 Rp 99.00 Rp 8,910.00 65 Rp 99.00 Rp 6,435.00 25 Rp 99.00 Rp 2,475.00
4 Allopurinol tab 100 mg Ktk 100 tab Rp 270.00 100 Rp 270.00 Rp 27,000.00 100 Rp 270.00 Rp 27,000.00 0 Rp 270.00 Rp - 100 Rp 270.00 Rp 27,000.00
5 Amlodipin tab ktk 50 tab 50 Rp 55.00 Rp 2,750.00 1000 Rp 55.00 Rp 55,000.00 1050 Rp 55.00 Rp 57,750.00 1050 Rp 55.00 Rp 57,750.00 0 Rp 55.00 Rp -
8 Amoxicillin sirup 125 mg/5 ml Btl 60 ml Rp 2,050.00 Rp - 20 Rp 2,050.00 Rp 41,000.00 20 Rp 2,050.00 Rp 41,000.00 20 Rp 2,050.00 Rp 41,000.00 0 Rp 2,050.00 Rp -
10 Antasida DOEN tab Ktk 100 tab 10 Rp 49.09 Rp 490.91 Rp 49.09 Rp - 10 Rp 49.09 Rp 490.91 10 Rp 49.09 Rp 490.91 0 Rp 49.09 Rp -
12 Asam Ascorbat 50 mg Ktk 100 tab 20 Rp 46.00 Rp 920.00 Rp 46.00 Rp - 20 Rp 46.00 Rp 920.00 20 Rp 46.00 Rp 920.00 0 Rp 46.00 Rp -
15 Betahistin tab ktk 100 tab Rp 92.00 Rp - 200 Rp 92.00 Rp 18,400.00 200 Rp 92.00 Rp 18,400.00 200 Rp 92.00 Rp 18,400.00 0 Rp 92.00 Rp -
18 Dexamethazone 0.5 mg tab Ktk 100 tab Rp 116.00 Rp - 1000 Rp 116.00 Rp 116,000.00 1000 Rp 116.00 Rp 116,000.00 1000 Rp 116.00 Rp 116,000.00 0 Rp 116.00 Rp -
19 Domperidone tab Ktk 100 tab Rp 68.18 Rp - 200 Rp 68.18 Rp 13,636.40 200 Rp 68.18 Rp 13,636.40 117 Rp 68.18 Rp 7,977.29 83 Rp 68.18 Rp 5,659.11
21 Griseofulvin Btl 100 tab 78 Rp 240.00 Rp 18,720.00 Rp 240.00 Rp - 78 Rp 240.00 Rp 18,720.00 0 Rp 240.00 Rp - 78 Rp 240.00 Rp 18,720.00
22 Guaifenesin 100 mg Ktk 100 tab Rp 100.00 Rp - 600 Rp 100.00 Rp 60,000.00 600 Rp 100.00 Rp 60,000.00 600 Rp 100.00 Rp 60,000.00 0 Rp 100.00 Rp -
23 Hiosina Butilbromida 10 mg Ktk 100 tab 100 Rp 1,050.00 Rp 105,000.00 Rp 1,050.00 Rp - 100 Rp 1,050.00 Rp 105,000.00 40 Rp 1,050.00 Rp 42,000.00 60 Rp 1,050.00 Rp 63,000.00
25 Ibuprofen 400 mg Ktk 100 tab Rp 448.00 Rp - 300 Rp 448.00 Rp 134,400.00 300 Rp 448.00 Rp 134,400.00 300 Rp 448.00 Rp 134,400.00 0 Rp 448.00 Rp -
26 Kalsium Laktat Btl 100 tab 100 Rp 54.55 Rp 5,454.55 Rp 54.55 Rp - 100 Rp 54.55 Rp 5,454.55 100 Rp 54.55 Rp 5,454.55 0 Rp 54.55 Rp -
28 Ketoconazole krim Ktk 5 Rp 2,694.00 Rp 13,470.00 Rp 2,694.00 Rp - 5 Rp 2,694.00 Rp 13,470.00 5 Rp 2,694.00 Rp 13,470.00 0 Rp 2,694.00 Rp -
33 Meloxicam 15 mg Ktk 50 tab Rp 491.00 Rp - 150 Rp 491.00 Rp 73,650.00 150 Rp 491.00 Rp 73,650.00 150 Rp 491.00 Rp 73,650.00 0 Rp 491.00 Rp -
35 Metoklopramid tablet ktk 100 tab Rp 100.00 Rp - 400 Rp 100.00 Rp 40,000.00 400 Rp 100.00 Rp 40,000.00 53 Rp 100.00 Rp 5,300.00 347 Rp 100.00 Rp 34,700.00
36 Metronidazol 500 mg Ktk 100 tab 24 Rp 330.00 Rp 7,920.00 100 Rp 330.00 Rp 33,000.00 124 Rp 330.00 Rp 40,920.00 124 Rp 330.00 Rp 40,920.00 0 Rp 330.00 Rp -
37 Natrium Diklofenak 50 mg Ktk 50 tab 150 Rp 109.00 Rp 16,350.00 Rp 109.00 Rp - 150 Rp 109.00 Rp 16,350.00 150 Rp 109.00 Rp 16,350.00 0 Rp 109.00 Rp -
42 Prednison tab Ktk 100 tab 80 Rp 73.00 Rp 5,840.00 Rp 73.00 Rp - 80 Rp 73.00 Rp 5,840.00 80 Rp 73.00 Rp 5,840.00 0 Rp 73.00 Rp -
43 Ranitidine 120 mg ktk 100 tab Rp 85.00 Rp - 100 Rp 85.00 Rp 8,500.00 100 Rp 85.00 Rp 8,500.00 100 Rp 85.00 Rp 8,500.00 0 Rp 85.00 Rp -
45 Simvastatin 20 mg Ktk 50 tab 123 Rp 150.00 Rp 18,450.00 Rp 150.00 Rp - 123 Rp 150.00 Rp 18,450.00 123 Rp 150.00 Rp 18,450.00 0 Rp 150.00 Rp -
.
.
SISA STOK BMHP
1 Masker kotak 50 pcs 0 Rp 55,000.00 Rp - 2 Rp 55,000.00 Rp 110,000.00 2 Rp 55,000.00 Rp 110,000.00 Rp 55,000.00 Rp - 0 Rp 55,000.00 Rp -
2 Masker kotak 50 pcs 0 Rp 45,000.00 Rp - 2 Rp 45,000.00 Rp 90,000.00 2 Rp 45,000.00 Rp 90,000.00 Rp 45,000.00 Rp - 0 Rp 45,000.00 Rp -
3 Octadin Btl 1000 ml 0 Rp 396,000.00 Rp - 1 Rp 396,000.00 Rp 396,000.00 1 Rp 396,000.00 Rp 396,000.00 Rp 396,000.00 Rp - 0 Rp 396,000.00 Rp -
4 Povidon Iodida Btl 300 ml 0 Rp 21,700.00 Rp - 1 Rp 21,700.00 Rp 21,700.00 1 Rp 21,700.00 Rp 21,700.00 Rp 21,700.00 Rp - 0 Rp 21,700.00 Rp -
JUMLAH BHP MEDIS Rp - Rp 617,700.00 . Rp 617,700.00 Rp - Rp -
.
Mengetahui,
Kepala Puskesmas Gentungan Penanggungjawab Pustu Mandalle
Hj. Herawati, S.Kep. Ns. Hj. Hermawati, S.ST.

NIP. 19770808 199702 2 001 NIP. 19741023 199302 2 001
DINAS KESEHATAN

pemeriksaan Obat dan BMHP yang diterima dari Gudang Farmasi Puskesmas Gentungan yang
terdapat pada Pustu Mandalle sesuai daftar terlampir, dengan perincian sebagai berikut :


Mengetahui,
Kepala Puskesmas Gentungan Penanggungjawab Pustu Mandalle
Hj. Herawati, S.Kep. Ns. Hj. Hermawati, S.ST.

NIP. 19770808 199702 2 001 NIP. 19741023 199302 2 001
PUSTU MANJALLING PUSKESMAS GENTUNGAN
SISA STOK OBAT
2 Allopurinol tab 100 mg Ktk 100 tab Rp 270.00 Rp - 100 Rp 270.00 Rp 27,000.00 100 Rp 270.00 Rp 27,000.00 30 Rp 270.00 Rp 8,100.00 70 Rp 270.00 Rp 18,900.00
3 Ambroxol Tab Ktk 100 tab Rp 210.00 Rp - 300 Rp 210.00 Rp 63,000.00 300 Rp 210.00 Rp 63,000.00 300 Rp 210.00 Rp 63,000.00 0 Rp 210.00 Rp -
6 Amoxicillin 500 mg Caplet Ktk 200 tab 1024 Rp 231.00 Rp 236,544.00 2000 Rp 231.00 Rp 462,000.00 3024 Rp 231.00 Rp 698,544.00 1958 Rp 231.00 Rp 452,298.00 1066 Rp 231.00 Rp 246,246.00
7 Amoxicillin sirup 125 mg/5 ml Btl 60 ml Rp 2,050.00 Rp - 10 Rp 2,050.00 Rp 20,500.00 10 Rp 2,050.00 Rp 20,500.00 6 Rp 2,050.00 Rp 12,300.00 4 Rp 2,050.00 Rp 8,200.00
10 Asam Ascorbat 50 mg Ktk 100 tab 813 Rp 46.00 Rp 37,398.00 2500 Rp 46.00 Rp 115,000.00 3313 Rp 46.00 Rp 152,398.00 3099 Rp 46.00 Rp 142,554.00 214 Rp 46.00 Rp 9,844.00
12 Betametason cream 0,1% Ktk 25 tube Rp 2,100.00 Rp - 10 Rp 2,100.00 Rp 21,000.00 10 Rp 2,100.00 Rp 21,000.00 10 Rp 2,100.00 Rp 21,000.00 0 Rp 2,100.00 Rp -
14 Chlorpheniramine maleat tab Ktk 100 tab 301 Rp 88.00 Rp 26,488.00 Rp 88.00 Rp - 301 Rp 88.00 Rp 26,488.00 85 Rp 88.00 Rp 7,480.00 216 Rp 88.00 Rp 19,008.00
16 Dexamethazone 0.5 mg tab 169 Rp 130.00 Rp 21,970.00 Rp 130.00 Rp - 169 Rp 130.00 Rp 21,970.00 169 Rp 130.00 Rp 21,970.00 0 Rp 130.00 Rp -
18 Domperidone tab Ktk 100 tab 73 Rp 68.18 Rp 4,977.14 Rp 68.18 Rp - 73 Rp 68.18 Rp 4,977.14 73 Rp 68.18 Rp 4,977.14 0 Rp 68.18 Rp -
19 Domperidone tab Ktk 100 tab Rp 68.182 200 Rp 68.182 Rp 13,636.40 200 Rp 68.182 Rp 13,636.40 200 Rp 68.182 Rp 13,636.40 0 Rp 68.182 Rp -
23 Hydrokortison cream Ktk 24 tube 2 Rp 2,838.00 Rp 5,676.00 Rp 2,838.00 2 Rp 2,838.00 Rp 5,676.00 2 Rp 2,838.00 Rp 5,676.00 0 Rp 2,838.00 Rp -
25 Ibuprofen 400 mg Btl 60 ml Rp 199.00 Rp - 500 Rp 199.00 Rp 99,500.00 500 Rp 199.00 Rp 99,500.00 0 Rp 199.00 Rp - 500 Rp 199.00 Rp 99,500.00
26 Ibuprofen 400 mg Ktk 100 tab 300 Rp 448.00 Rp 134,400.00 1000 Rp 448.00 Rp 448,000.00 1300 Rp 448.00 Rp 582,400.00 1152 Rp 448.00 Rp 516,096.00 148 Rp 448.00 Rp 66,304.00
27 Kalsium Laktat Btl 100 tab 75 Rp 54.55 Rp 4,090.91 Rp 54.55 Rp - 75 Rp 54.55 Rp 4,090.91 75 Rp 54.55 Rp 4,090.91 0 Rp 54.55 Rp -
29 Kotrimoksasol 480 mg ktk 100 tab 27 Rp 133.00 Rp 3,591.00 Rp 133.00 27 Rp 133.00 Rp 3,591.00 27 Rp 133.00 Rp 3,591.00 0 Rp 133.00 Rp -
30 Kotrimoksasol 480 mg ktk 100 tab Rp 320.00 Rp - 500 Rp 320.00 Rp 160,000.00 500 Rp 320.00 Rp 160,000.00 91 Rp 320.00 Rp 29,120.00 409 Rp 320.00 Rp 130,880.00
31 Kotrimoksasol suspensi botol Rp 4,084.00 Rp - 5 Rp 4,084.00 Rp 20,420.00 5 Rp 4,084.00 Rp 20,420.00 5 Rp 4,084.00 Rp 20,420.00 0 Rp 4,084.00 Rp -
33 Lidokain comp injeksi Ktk 30 ampul Rp 1,532.00 Rp - 30 Rp 1,532.00 Rp 45,960.00 30 Rp 1,532.00 Rp 45,960.00 18 Rp 1,532.00 Rp 27,576.00 12 Rp 1,532.00 Rp 18,384.00
34 Loperamide tab Ktk 100 tab 76 Rp 81.00 Rp 6,156.00 Rp 81.00 Rp - 76 Rp 81.00 Rp 6,156.00 0 Rp 81.00 Rp - 76 Rp 81.00 Rp 6,156.00
35 Loratadin 10 mg tab ktk 100 tab Rp 117.00 Rp - 100 Rp 117.00 Rp 11,700.00 100 Rp 117.00 Rp 11,700.00 100 Rp 117.00 Rp 11,700.00 0 Rp 117.00 Rp -
36 lyctacur syrup botol Rp 10,656.00 Rp - 5 Rp 10,656.00 Rp 53,280.00 5 Rp 10,656.00 Rp 53,280.00 3 Rp 10,656.00 Rp 31,968.00 2 Rp 10,656.00 Rp 21,312.00
37 Meloxicam 15 mg Ktk 50 tab 86 Rp 1,127.00 Rp 96,922.00 Rp 1,127.00 86 Rp 1,127.00 Rp 96,922.00 86 Rp 1,127.00 Rp 96,922.00 0 Rp 1,127.00 Rp -
39 Methyl prednisolon ktk 100 tab 100 Rp 102.00 Rp 10,200.00 Rp 102.00 100 Rp 102.00 Rp 10,200.00 100 Rp 102.00 Rp 10,200.00 0 Rp 102.00 Rp -
41 Metoklopramid tablet ktk 100 tab Rp 100.00 Rp - 200 Rp 100.00 Rp 20,000.00 200 Rp 100.00 Rp 20,000.00 200 Rp 100.00 Rp 20,000.00 0 Rp 100.00 Rp -
43 Mikonazole salep kulit 2 % tube 5 Rp 3,926.00 Rp 19,630.00 Rp 3,926.00 Rp - 5 Rp 3,926.00 Rp 19,630.00 0 Rp 3,926.00 Rp - 5 Rp 3,926.00 Rp 19,630.00
44 Muliavit Syrup botol 60 mL 2 Rp 5,720.00 Rp 11,440.00 Rp 5,720.00 Rp - 2 Rp 5,720.00 Rp 11,440.00 2 Rp 5,720.00 Rp 11,440.00 0 Rp 5,720.00 Rp -
45 Oxytetracycline salep mata Ktk 25 tube Rp 3,500.00 Rp - 10 Rp 3,500.00 Rp 35,000.00 10 Rp 3,500.00 Rp 35,000.00 0 Rp 3,500.00 Rp - 10 Rp 3,500.00 Rp 35,000.00
48 Parasetamol 500 mg Ktk 100 tab 601 Rp 295.00 Rp 177,295.00 Rp 295.00 601 Rp 295.00 Rp 177,295.00 601 Rp 295.00 Rp 177,295.00 0 Rp 295.00 Rp -
51 Piridoxin tab ktk 100 tab 6 Rp 256.00 Rp 1,536.00 Rp 256.00 6 Rp 256.00 Rp 1,536.00 6 Rp 256.00 Rp 1,536.00 0 Rp 256.00 Rp -
54 Prednison tab Ktk 100 tab 120 Rp 73.00 Rp 8,760.00 Rp 73.00 120 Rp 73.00 Rp 8,760.00 120 Rp 73.00 Rp 8,760.00 0 Rp 73.00 Rp -
55 Ranitidine 120 mg ktk 100 tab Rp 85.00 Rp - 100 Rp 85.00 Rp 8,500.00 100 Rp 85.00 Rp 8,500.00 100 Rp 85.00 Rp 8,500.00 0 Rp 85.00 Rp -
56 Ranitidine 120 mg ktk 100 tab Rp 189.00 Rp - 300 Rp 189.00 Rp 56,700.00 300 Rp 189.00 Rp 56,700.00 110 Rp 189.00 Rp 20,790.00 190 Rp 189.00 Rp 35,910.00
57 Salisil Talk Pot 100 gr 4 Rp 4,160.00 Rp 16,640.00 Rp 4,160.00 4 Rp 4,160.00 Rp 16,640.00 4 Rp 4,160.00 Rp 16,640.00 0 Rp 4,160.00 Rp -
58 Simvastatin 10 mg Ktk 30 tab 146 Rp 150.00 Rp 21,900.00 Rp 150.00 146 Rp 150.00 Rp 21,900.00 146 Rp 150.00 Rp 21,900.00 0 Rp 150.00 Rp -
59 Siprofloksasin 500 mg tab Ktk 100 tab 100 Rp 260.00 Rp 26,000.00 Rp 260.00 Rp - 100 Rp 260.00 Rp 26,000.00 100 Rp 260.00 Rp 26,000.00 0 Rp 260.00 Rp -
60 Thiamin (Vit B1) tab 50 ktk 100 tab 8 Rp 250.01 Rp 2,000.08 Rp 250.01 8 Rp 250.01 Rp 2,000.08 8 Rp 250.01 Rp 2,000.08 0 Rp 250.01 Rp -
65 Zink Sulfat Ktk 100 tab Rp 195.00 Rp - 100 Rp 195.00 Rp 19,500.00 100 Rp 195.00 Rp 19,500.00 0 Rp 195.00 Rp - 100 Rp 195.00 Rp 19,500.00
66 Zink Sulfat tab Ktk 100 tab 70 Rp 604.00 Rp 42,280.00 Rp 604.00 70 Rp 604.00 Rp 42,280.00 56 Rp 604.00 Rp 33,824.00 14 Rp 604.00 Rp 8,456.00

.
.
SISA STOK BMHP
2 Masker kotak 50 pcs 1 Rp 55,000.00 Rp 55,000.00 Rp 55,000.00 Rp - 1 Rp 55,000.00 Rp 55,000.00 1 Rp 55,000.00 Rp 55,000.00 0 Rp 55,000.00 Rp -
4 Alat Suntik 3 ml Ktk 6 Rp 747.50 Rp 4,485.00 30 Rp 747.50 Rp 22,425.00 36 Rp 747.50 Rp 26,910.00 36 Rp 747.50 Rp 26,910.00 0 Rp 747.50 Rp -
5 Handschoen Non Steril kotak 100 2 Rp 148,500.00 Rp 148,500.00 0 Rp 148,500.00 Rp - 0 Rp 148,500.00 Rp -
JUMLAH BHP MEDIS Rp 59,485.00 Rp 312,425.00 . Rp 371,910.00 Rp 371,910.00 Rp -
JUMLAH OBAT + BHP MEDIS Rp 1,229,249.13 Rp 6,290,851.40 Rp 7,520,100.53 Rp 6,139,054.23 Rp 1,381,046.30
.
Mengetahui, .
Kepala Puskesmas Gentungan . Penanggungjawab Pustu Manjalling
.
.
.
Hj. Herawati, S.Kep. Ns. . Hj. Hasnawati, SY. S.ST.
NIP. 19770808 199702 2 001 . NIP. 19711210 199103 2 007
DINAS KESEHATAN

terdapat pada Pustu Manjalling sesuai daftar terlampir, dengan perincian sebagai berikut :


Mengetahui,
Kepala Puskesmas Gentungan Penanggungjawab Pustu Manjalling
Hj. Herawati, S.Kep. Ns. Hj. Hasnawati, SY. S.ST.

NIP. 19770808 199702 2 001 NIP. 19711210 199103 2 007
DAFTAR PERSEDIAAN ALAT KONTRASEPSI PUSKESMAS GENTUNGAN
TAHUN 2023
PERSEDIAAN OBAT/BMHP/ALKON PER PENERIMAAN OBAT/BMHP/ALKON TOTAL JUMLAH ALAT KONTRASEPSI TOTAL DISTRIBUSI/YANG DIGUNAKAN SISA STOK PER 31 DESEMBER 2023
DESEMBER 2022 PER DESEMBER 2023
NO NAMA OBAT KEMASAN
Vol Harga 2022 Jumlah Vol Harga 2023 Jumlah Vol Harga Jumlah Vol Harga Satuan Jumlah Vol Harga Satuan Jumlah
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
1 Implant set 20 Rp 174,052 Rp 3,481,040 Rp 174,052 Rp - 20 Rp 174,052 Rp 3,481,040 20 Rp 174,052 Rp 3,481,040 0 Rp 174,052 Rp -
2 Pil KB siklus 324 Rp 1,153 Rp 373,572 Rp 1,153 Rp - 324 Rp 1,153 Rp 373,572 324 Rp 1,153 Rp 373,572 0 Rp 1,153 Rp -
3 suntikan, 1cc vial 160 Rp 4,825 Rp 772,000 Rp 4,825 Rp - 160 Rp 4,825 Rp 772,000 160 Rp 4,825 Rp 772,000 0 Rp 4,825 Rp -
4 Kondom gross 26 Rp 10,842 Rp 281,894 Rp 10,842 Rp - 26 Rp 10,842 Rp 281,894 26 Rp 10,842 Rp 281,894 0 Rp 10,842 Rp -
5 IUD Coper T buah 16 Rp 12,500 Rp 200,000 Rp 12,500 Rp - 16 Rp 12,500 Rp 200,000 16 Rp 12,500 Rp 200,000 0 Rp 12,500 Rp -
6 Pil KB siklus Rp 1,153 Rp - 100 Rp 1,153 Rp 115,300 100 Rp 1,153 Rp 115,300 100 Rp 1,153 Rp 115,300 0 Rp 1,153 Rp -
7 Kondom gross Rp 130,105 Rp - 1 Rp 130,105 Rp 130,105 1 Rp 130,105 Rp 130,105 1 Rp 130,105 Rp 130,105 0 Rp 130,105 Rp -
8 IUD Coper T buah Rp 12,500 Rp - 5 Rp 12,500 Rp 62,500 5 Rp 12,500 Rp 62,500 5 Rp 12,500 Rp 62,500 0 Rp 12,500 Rp -
9 suntikan, 1cc vial Rp 4,825 Rp - 60 Rp 4,825 Rp 289,500 60 Rp 4,825 Rp 289,500 60 Rp 4,825 Rp 289,500 0 Rp 4,825 Rp -
10 Implant set Rp 174,052 Rp - 10 Rp 174,052 Rp 1,740,520 10 Rp 174,052 Rp 1,740,520 10 Rp 174,052 Rp 1,740,520 0 Rp 174,052 Rp -
11 Syringe, 3 ml (suntik KB) Buah Rp 888 Rp - 60 Rp 888 Rp 53,280 60 Rp 888 Rp 53,280 60 Rp 888 Rp 53,280 0 Rp 888 Rp -
12 Syringe, 3 ml (implant) Buah Rp 818 Rp - 10 Rp 818 Rp 8,180 10 Rp 818 Rp 8,180 10 Rp 818 Rp 8,180 0 Rp 818 Rp -
13 Povidone Iodine, 100 ml buah Rp 3,106 Rp - 2 Rp 3,106 Rp 6,212 2 Rp 3,106 Rp 6,212 2 Rp 3,106 Rp 6,212 0 Rp 3,106 Rp -
14 Lidocain 2%, Injeksi amp buah Rp 891 Rp - 10 Rp 891 Rp 8,910 10 Rp 891 Rp 8,910 10 Rp 891 Rp 8,910 0 Rp 891 Rp -
15 Asam Mefenamat 250 mg strip Rp 1,170 Rp - 10 Rp 1,170 Rp 11,700 10 Rp 1,170 Rp 11,700 10 Rp 1,170 Rp 11,700 0 Rp 1,170 Rp -
16 Sarung tangan steril pasang Rp 4,558 Rp - 10 Rp 4,558 Rp 45,580 10 Rp 4,558 Rp 45,580 10 Rp 4,558 Rp 45,580 0 Rp 4,558 Rp -
17 plester steril buah Rp 1,452 Rp - 10 Rp 1,452 Rp 14,520 10 Rp 1,452 Rp 14,520 10 Rp 1,452 Rp 14,520 0 Rp 1,452 Rp -
Kain penutup operasi steril (Doek
18 steril Disp) buah Rp 3,221 Rp - 10 Rp 3,221 Rp 32,210 10 Rp 3,221 Rp 32,210 10 Rp 3,221 Rp 32,210 0 Rp 3,221 Rp -
19 Masker (face mask) buah Rp 3,106 Rp - 10 Rp 3,106 Rp 31,060 10 Rp 3,106 Rp 31,060 10 Rp 3,106 Rp 31,060 0 Rp 3,106 Rp -
20 Safety box buah Rp 25,613 Rp - 1 Rp 25,613 Rp 25,613 1 Rp 25,613 Rp 25,613 1 Rp 25,613 Rp 25,613 0 Rp 25,613 Rp -
21 Alkohol swab 2-ply buah Rp 111 Rp - 10 Rp 111 Rp 1,110 10 Rp 111 Rp 1,110 10 Rp 111 Rp 1,110 0 Rp 111 Rp -
22 Implant set Rp 174,052 Rp - 100 Rp 174,052 Rp 17,405,200 100 Rp 174,052 Rp 17,405,200 100 Rp 174,052 Rp 17,405,200 0 Rp 174,052 Rp -
23 Povidone Iodine, 100 ml buah Rp 3,106 Rp - 30 Rp 3,106 Rp 93,180 30 Rp 3,106 Rp 93,180 30 Rp 3,106 Rp 93,180 0 Rp 3,106 Rp -
Kain penutup operasi steril (Doek
24 steril Disp) buah Rp 3,221 Rp - 100 Rp 3,221 Rp 322,100 100 Rp 3,221 Rp 322,100 100 Rp 3,221 Rp 322,100 0 Rp 3,221 Rp -
25 Lidocain 2%, Injeksi amp buah Rp 891 Rp - 100 Rp 891 Rp 89,100 100 Rp 891 Rp 89,100 100 Rp 891 Rp 89,100 0 Rp 891 Rp -
26 Masker (face mask) buah Rp 3,106 Rp - 30 Rp 3,106 Rp 93,180 30 Rp 3,106 Rp 93,180 30 Rp 3,106 Rp 93,180 0 Rp 3,106 Rp -
27 Asam Mefenamat 500 mg buah Rp 2,486 Rp - 50 Rp 2,486 Rp 124,300 50 Rp 2,486 Rp 124,300 50 Rp 2,486 Rp 124,300 0 Rp 2,486 Rp -
30 plester steril Dermafix buah Rp 1,452 Rp - 120 Rp 1,452 Rp 174,240 120 Rp 1,452 Rp 174,240 120 Rp 1,452 Rp 174,240 0 Rp 1,452 Rp -
33 Alkohol swab 2-ply buah Rp 111 Rp - 220 Rp 111 Rp 24,420 220 Rp 111 Rp 24,420 220 Rp 111 Rp 24,420 0 Rp 111 Rp -
34 Syringe, 3 ml (implant) Buah Rp 818 Rp - 30 Rp 818 Rp 24,540 30 Rp 818 Rp 24,540 30 Rp 818 Rp 24,540 0 Rp 818 Rp -
35 Amoksisilin 500 mg tablet buah Rp 6,210 Rp - 40 Rp 6,210 Rp 248,400 40 Rp 6,210 Rp 248,400 40 Rp 6,210 Rp 248,400 0 Rp 6,210 Rp -
36 Suntikan Progestin vial Rp 4,825 Rp - 400 Rp 4,825 Rp 1,930,000 400 Rp 4,825 Rp 1,930,000 400 Rp 4,825 Rp 1,930,000 0 Rp 4,825 Rp -
37 Suntikan Progestin vial Rp 4,820 Rp - 240 Rp 4,820 Rp 1,156,800 240 Rp 4,820 Rp 1,156,800 209 Rp 4,820 Rp 1,007,380 31 Rp 4,820 Rp 149,420
38 Masker (face mask) buah Rp 576 Rp - 70 Rp 576 Rp 40,320 70 Rp 576 Rp 40,320 70 Rp 576 Rp 40,320 0 Rp 576 Rp -
45 Syringe, 3 ml (suntik KB) Buah Rp 888 Rp - 350 Rp 888 Rp 310,800 350 Rp 888 Rp 310,800 350 Rp 888 Rp 310,800 0 Rp 888 Rp -
46 Pil Kombinasi siklus Rp 1,153 Rp - 400 Rp 1,153 Rp 461,200 400 Rp 1,153 Rp 461,200 314 Rp 1,153 Rp 362,042 86 Rp 1,153 Rp 99,158
47 Safety box buah Rp 25,613 Rp - 7 Rp 25,613 Rp 179,291 7 Rp 25,613 Rp 179,291 7 Rp 25,613 Rp 179,291 0 Rp 25,613 Rp -
48 IUD Coper T buah Rp 12,500 Rp - 10 Rp 12,500 Rp 125,000 10 Rp 12,500 Rp 125,000 0 Rp 12,500 Rp - 10 Rp 12,500 Rp 125,000
49 Kondom gross Rp 130,105 Rp - 4 Rp 130,105 Rp 520,420 4 Rp 130,105 Rp 520,420 4 Rp 130,105 Rp 520,420 0 Rp 130,105 Rp -
50 Syringe, 3 ml Buah Rp 818 Rp - 120 Rp 818 Rp 98,160 120 Rp 818 Rp 98,160 120 Rp 818 Rp 98,160 0 Rp 818 Rp -
51 Syringe, 3 ml Buah Rp 1,500 Rp - 360 Rp 1,500 Rp 540,000 360 Rp 1,500 Rp 540,000 360 Rp 1,500 Rp 540,000 0 Rp 1,500 Rp -
52 implan 2 batang set Rp 172,485 Rp - 120 Rp 172,485 Rp 20,698,200 120 Rp 172,485 Rp 20,698,200 105 Rp 172,485 Rp 18,110,925 15 Rp 172,485 Rp 2,587,275
53 Lidocain 2%, Injeksi amp buah Rp 1,341 Rp - 120 Rp 1,341 Rp 160,920 120 Rp 1,341 Rp 160,920 120 Rp 1,341 Rp 160,920 0 Rp 1,341 Rp -
54 Doek Steril Disposable buah Rp 6,798 Rp - 80 Rp 6,798 Rp 543,840 80 Rp 6,798 Rp 543,840 80 Rp 6,798 Rp 543,840 0 Rp 6,798 Rp -
55 Kasa Gulung buah Rp 250 Rp - 40 Rp 250 Rp 10,000 40 Rp 250 Rp 10,000 40 Rp 250 Rp 10,000 0 Rp 250 Rp -
JUMLAH Rp 5,108,506 Rp 49,642,971.0 Rp 54,751,477 Rp 51,790,624 Rp 2,960,853
Gentungan, 31 Desember 2023

Mengetahui, Koordinator KIA KB
Kepala Puskesmas Gentungan
Hj. Herawati, S.Kep. Ns. Idarianti, S.Tr. Keb.

NIP. 19770808 199702 2 001 Nip. 19890102 201101 2 007
DINAS KESEHATAN
BERITA ACARA PEMERIKSAAN ALAT KONTRASEPSI (ALKON)

Pada hari Sabtu tanggal tiga puluh Desember tahun dua ribu tiga puluh dua telah dilakukan
pemeriksaan Alat Kontrasepsi (Alkon) yang diterima dari Gudang Farmasi Dinas Kesehatan Kab. Gowa
yang terdapat pada Puskesmas Gentungan sesuai daftar terlampir, dengan perincian sebagai berikut :
1. Persediaan/Stok Alat Kontrasepsi (Alkon) 31/12/2022 Rp 5,108,506

2. Penerimaan Alat Kontrasepsi (Alkon) tahun 2023 Rp 49,642,971
3. Jumlah Total Alat Kontrasepsi (Alkon) tahun 2023 Rp 54,751,477
4. Distribusi Penggunaan Alat Kontrasepsi (Alkon) Tahun 2023 Rp 51,790,624
5. Stok Alat Kontrasepsi (Alkon) per 30 Desember 2023 Rp 2,960,853

Mengetahui,
Kepala Puskesmas Gentungan Koordinator KIA KB
Hj. Herawati, S.Kep. Ns. Idarianti, S.Tr. Keb.

NIP. 19770808 199702 2 001 Nip. 19890102 201101 2 007
IMUNISASI PUSKESMAS GENTUNGAN
SISA STOK OBAT
2 Dexamethazone inj 5 mg/ml ampul Rp 1,420.00 Rp - 5 Rp 1,420.00 Rp 7,100.00 5 Rp 1,420.00 Rp 7,100.00 0 Rp 1,420.00 Rp - 5 Rp 1,420.00 Rp 7,100.00
4 Difenhidramin inj 10mg/ml ampul Rp 1,760.00 Rp - 4 Rp 1,760.00 Rp 7,040.00 4 Rp 1,760.00 Rp 7,040.00 0 Rp 1,760.00 Rp - 4 Rp 1,760.00 Rp 7,040.00
5 Ephinefrin HCl Injeksi ampul Rp 10,500.00 Rp - 1 Rp 10,500.00 Rp 10,500.00 1 Rp 10,500.00 Rp 10,500.00 0 Rp 10,500.00 Rp - 1 Rp 10,500.00 Rp 10,500.00
JUMLAH OBAT Rp - Rp 42,570.00 Rp 42,570.00 Rp 17,930.00 Rp 24,640.00
.
.
SISA STOK BMHP
3 Kasa Pembalut 40 y x 80 cm Roll Rp 147,775.00 Rp - 1 Rp 147,775.00 Rp 147,775.00 1 Rp 147,775.00 Rp 147,775.00 1 Rp 147,775.00 Rp 147,775.00 0 Rp 147,775.00 Rp -
JUMLAH OBAT + BHP MEDIS Rp - Rp 485,095.00 . Rp 485,095.00 Rp 460,455.00 Rp 24,640.00
.
Mengetahui,
Kepala Puskesmas Gentungan Penanggungjawab Pelayanan Imunisasi
Hj. Herawati, S.Kep. Ns. Siti Aminah, S.ST.

NIP. 19770808 199702 2 001 NIP. 19771105 200604 2 019
DINAS KESEHATAN

terdapat pada Unit Pelayanan Imunisasi daftar terlampir, dengan perincian sebagai berikut :

2. Penerimaan Obat dan BMHP tahun 2023 Rp 485,095.00
3. Jumlah Total Obat dan BMHP tahun 2023 Rp 485,095.00
4. Distribusi Penggunaan Tahun 2023 Rp 460,455.00

Mengetahui,
Kepala Puskesmas Gentungan Penanggungjawab Pelayanan Imunisasi
Hj. Herawati, S.Kep. Ns. Siti Aminah, S.ST.

NIP. 19770808 199702 2 001 NIP. 19771105 200604 2 019
PEMERIKSAAN KESEHATAN UMUM PUSKESMAS GENTUNGAN
SISA STOK PER 31 DESEMBER 2022 PENERIMAAN BMHP PER 31 DESEMBER 2023 TOTAL JUMLAH BMHP TOTAL DISTRIBUSI BMHP SISA STOK BMHP
NO Nama BHPM Kemasan PER 31 DESEMBER 2023
.
Mengetahui,
Kepala Puskesmas Gentungan Penanggungjawab Pemeriksaan Umum
Hj. Herawati, S.Kep. Ns. H. M. Agus, S.Kep, NS

NIP. 19770808 199702 2 001 NIP. 19680818 199003 1 013
DINAS KESEHATAN

terdapat pada Pemeriksaan Umum sesuai daftar terlampir, dengan perincian sebagai berikut :

5. Stok Obat dan BMHP per 31 Desember 2023 Rp -

Mengetahui,
Kepala Puskesmas Gentungan Penanggungjawab Pemeriksaan Umum
Hj. Herawati, S.Kep. Ns. H. M. Agus, S.Kep, NS

NIP. 19770808 199702 2 001 NIP. 19680818 199003 1 013
UNIT PENDAFTARAN PUSKESMAS GENTUNGAN
.
Mengetahui,
Kepala Puskesmas Gentungan Penanggungjawab Unit Pendaftaran
Hj. Herawati, S.Kep. Ns. Musdalifah Malik, Amd.PK

NIP. 19770808 199702 2 001 NIP. 19840405 200604 2 013
DINAS KESEHATAN

Pada hari Minggu tanggal tiga puluh Desember tahun dua ribu dua puluh tiga telah dilakukan
terdapat pada Unit Pendaftaran sesuai daftar terlampir, dengan perincian sebagai berikut :


Mengetahui,
Kepala Puskesmas Gentungan Penanggungjawab Pendaftaran
Hj. Herawati, S.Kep. Ns. Musdalifah Malik, Amd.PK

NIP. 19770808 199702 2 001 NIP. 19840405 200604 2 013
TATA USAHA PUSKESMAS GENTUNGAN
.
Mengetahui,
Kepala Puskesmas Gentungan Penanggungjawab Unit Pendaftaran
Hj. Herawati, S.Kep. Ns. Munawirah, S.KM.

NIP. 19770808 199702 2 001 NIP. 19770519 201407 2 001
DINAS KESEHATAN

Pada hari Minggu tanggal tiga puluh Desember tahun dua ribu dua puluh tiga telah dilakukan
terdapat pada Tata Usaha sesuai daftar terlampir, dengan perincian sebagai berikut :


Mengetahui,
Kepala Puskesmas Gentungan Penanggungjawab Tata Usaha
Hj. Herawati, S.Kep. Ns. Munawirah, S.KM.

NIP. 19770808 199702 2 001 NIP. 19770519 201407 2 001
KESEHATAN LINGKUNGAN PUSKESMAS GENTUNGAN
.
Kepala Puskesmas Gentungan Puskesmas Gentungan Penanggungjawab Kesling
Hj. Herawati, S.Kep. Ns. Asriani, S.Si., Apt. Nurasiah, SKM

NIP. 19770808 199702 2 001 NIP. 19860226 201001 2 038 NIP. 19810922 201101 2 008
DINAS KESEHATAN

terdapat pada Program Kesehatan Lingkungan sesuai daftar terlampir, dengan perincian sebagai berikut :


Mengetahui,
Kepala Puskesmas Gentungan Penanggungjawab Kesling
Hj. Herawati, S.Kep. Ns. Nurasiah, SKM

NIP. 19770808 199702 2 001 NIP. 19810922 201101 2 008
LABORATORIUM PUSKESMAS GENTUNGAN
1 Alat Suntik 0.5 ml Pcs Rp 1,240.00 Rp - Rp 1,240.00 Rp - 0 Rp 1,240.00 Rp - 0 Rp 1,240.00 Rp - 0 Rp 1,240.00 Rp -
3 Alat Suntik 1 ml REMEDI pcs Rp 1,000.00 Rp - Rp 1,000.00 Rp - 0 Rp 1,000.00 Rp - 0 Rp 1,000.00 Rp - 0 Rp 1,000.00 Rp -
JUMLAH BHP MEDIS Rp - Rp 1,201,169.50 . Rp 1,201,169.50 Rp 1,201,169.50 Rp -
.
Kepala Puskesmas Gentungan Puskesmas Gentungan Penanggung Jawab Laboratorium
Hj. Herawati, S.Kep. Ns. Asriani, S.Si., Apt. Hj. Ratnasari, A.Md.AK.
NIP. 19770808 199702 2 001 NIP. 19860226 201001 2 038 NIP. 19820903 200604 2 013
DINAS KESEHATAN

terdapat pada Laboratorium sesuai daftar terlampir, dengan perincian sebagai berikut :


Mengetahui,
Kepala Puskesmas Gentungan Penanggung Jawab Laboratorium
Hj. Herawati, S.Kep. Ns. Hj. Ratnasari, A.Md.AK.

NIP. 19770808 199702 2 001 NIP. 19820903 200604 2 013
P2TB PUSKESMAS GENTUNGAN
SISA STOK OBAT
JUMLAH OBAT Rp - Rp 14,775.00 Rp 14,775.00 Rp 14,775.00 Rp -
.
.
SISA STOK BMHP
JUMLAH OBAT + BHP MEDIS Rp - Rp 173,131.00 . Rp 173,131.00 Rp 173,131.00 Rp -
.
Kepala Puskesmas Gentungan Puskesmas Gentungan Penanggungjawab P2TB
Hj. Herawati, S.Kep. Ns. Asriani, S.Si., Apt. Hj. Suriani Jalil, S.Kep. Ns.
NIP. 19770808 199702 2 001 NIP. 19860226 201001 2 038 NIP. 19780626 199803 2 005
DINAS KESEHATAN

terdapat pada Pelayanan P2TB daftar terlampir, dengan perincian sebagai berikut :


Mengetahui,
Kepala Puskesmas Gentungan Penanggungjawab P2TB
Hj. Herawati, S.Kep. Ns. Hj. Suriani Jalil, S.Kep. Ns.

NIP. 19770808 199702 2 001 NIP. 19780626 199803 2 005
DAFTAR PERSEDIAAN OBAT/BHP MEDIS JKN PER 31 DESEMBER 2023
PERSEDIAAN OBAT PENERIMAAN OBAT
NO Nama Obat Kemasan TOTAL JUMLAH OBAT TOTAL DISTRIBUSI OBAT
PER 31 DESEMBER 2022 PER 31 DESEMBER 2023
Vol Harga 2022 Jumlah Vol Harga 2023 Jumlah Vol Harga 2023 Jumlah Vol Harga 2023
1
Ifidex, Dexamethasone Kaplet 0,5 mg @100 Kaplet Botol Rp 7,000 Rp - 10 Rp 7,000 Rp 70,000 10 Rp 7,000 Rp 70,000.00 10 Rp 7,000
2 Trifa, Guaifenesin tablet 100 mg @10 Strip@10

Tablet Botol Rp 10,000 Rp - 10 Rp 10,000 Rp 100,000 10 Rp 10,000 Rp 100,000.00 10 Rp 10,000
3
4 Cairan RL Botol Rp 8,500 Rp - 200 Rp 8,500 Rp 1,700,000 200 Rp 8,500 Rp 1,700,000.00 200 Rp 8,500
5 Cairan RL Botol Rp 8,500 Rp - 600 Rp 8,500 Rp 5,100,000 600 Rp 8,500 Rp 5,100,000.00 600 Rp 8,500
6 Rp - 0 Rp - 0
7
8 Trifa, Guaifenesin tablet 100 mg @10 Strip@10

Botol Rp 10,000 Rp - 10 Rp 10,000 Rp 100,000 10 Rp 10,000 Rp 100,000.00 10 Rp 10,000
Tablet
9 Ifi, Chlorphenamine Maleate @100 Tablet Botol Rp 5,000 Rp - 10 Rp 5,000 Rp 50,000 10 Rp 5,000 Rp 50,000.00 10 Rp 5,000
10
11
12 Metilprednisolon 4mg Box Rp 21,000 Rp - 5 Rp 21,000 Rp 105,000 5 Rp 21,000 Rp 105,000.00 5 Rp 21,000

13
Simvastatin 10 mg Box Rp 15,000 Rp - 2 Rp 15,000 Rp 30,000 2 Rp 15,000 Rp 30,000.00 2 Rp 15,000
14 Antasida Box Rp 15,000 Rp - 2 Rp 15,000 Rp 30,000 2 Rp 15,000 Rp 30,000.00 2 Rp 15,000

15 Vit B1 Botol Rp 20,000 Rp - 5 Rp 20,000 Rp 100,000 5 Rp 20,000 Rp 100,000.00 5 Rp 20,000
16 Dexametason Botol Rp 8,000 Rp - 20 Rp 8,000 Rp 160,000 20 Rp 8,000 Rp 160,000.00 20 Rp 8,000
17 Guaifenesin Botol Rp 11,000 Rp - 4 Rp 11,000 Rp 44,000 4 Rp 11,000 Rp 44,000.00 4 Rp 11,000
18 Guaifenesin Box Rp 13,000 Rp - 6 Rp 13,000 Rp 78,000 6 Rp 13,000 Rp 78,000.00 6 Rp 13,000
19 Rp - 0 Rp - 0
20 Ranitidin injeksi Ampul Rp 3,050 Rp - 200 Rp 3,050 Rp 610,000 200 Rp 3,050 Rp 610,000.00 200 Rp 3,050
21 GENTAMICIN TETES MATA (GENOINT) botol Rp 14,552 Rp - 50 Rp 14,552 Rp 727,600 50 Rp 14,552 Rp 727,600.00 6 Rp 14,552
22 cefixime 100 mg Box Rp 173,250 Rp - 10 Rp 173,250 Rp 1,732,500 10 Rp 173,250 Rp 1,732,500.00 10 Rp 173,250
23 CHLORAMPHENICOL SYR
Botol Rp 14,302 Rp - 50 Rp 14,302 Rp 715,100 50 Rp 14,302 Rp 715,100.00 10 Rp 14,302
(HUFAMYCETIN
24 DEXTROSE 10 % Botol Rp 12,825 Rp - 20 Rp 12,825 Rp 256,500 20 Rp 12,825 Rp 256,500.00 3 Rp 12,825
25 Rp - 0 Rp - 0
26 Ringer Laktat/ Ringer Lactate @500 mL Botol Rp 8,498 Rp - 680 Rp 8,498 Rp 5,778,640 680 Rp 8,498 Rp 5,778,640.00 0 Rp 8,498
27 Glukosa larutan infus 5%, @ 500 mL Botol Rp 7,686 Rp - 40 Rp 7,686 Rp 307,440 40 Rp 7,686 Rp 307,440.00 0 Rp 7,686
28 VITAMIN B1 50 MG Tablet Rp 245 Rp - 5000 Rp 245 Rp 1,225,000 5000 Rp 245 Rp 1,225,000.00 0 Rp 245
29 DEXAMETHASONE 0,5 MG_OGB Tablet Rp 107 Rp - 5000 Rp 107 Rp 5000 Rp 107 Rp 535,000.00 0 Rp 107
535,000
ANTASIDA DOEN Tablet Rp 130 Rp - 5000 Rp 130 Rp 650,000 5000 Rp 130 Rp 650,000.00 0 Rp 130
AMFALBUTAMOL SULFATE Box Rp 33,500 Rp - 10 Rp 33,500 Rp 335,000 10 Rp 33,500 Rp 335,000.00 0 Rp 33,500
CEFADROXIL 500 MG Box Rp 124,031 Rp - 17 Rp 124,031 Rp 2,108,527 17 Rp 124,031 Rp 2,108,527.00 0 Rp 124,031
AMFCEFIXM 100 MG Box Rp 173,250 Rp - 13 Rp 173,250 Rp 2,252,250 13 Rp 173,250 Rp 2,252,250.00 0 Rp 173,250
AMFEPINEFRIN INJEKSI 1MG/ML Box Rp 173,702 Rp - 2 Rp 173,702 Rp 347,404 2 Rp 173,702 Rp 347,404.00 0 Rp 173,702
30 AMF KTOROLAC INJ Ampul Rp 8,269 Rp - 30 Rp 8,269 Rp 248,070 30 Rp 8,269 Rp 248,070.00 0 Rp 8,269
31 AMF NIFEDIPINE 10 MG Box Rp 40,500 Rp - 5 Rp 40,500 Rp 202,500 5 Rp 40,500 Rp 202,500.00 0 Rp 40,500
JUMLAH OBAT Rp - Rp 25,978,531 Rp 25,978,531

PERSEDIAAN BMHP PER 31 DESEMBER PENERIMAAN BMHP
NO Nama BHPM Kemasan TOTAL JUMLAH BMHP TOTAL DISTRIBUSI BMHP
2022 PER 31 DESEMBER 2023
Vol Harga 2022 Jumlah Vol Harga 2021 Jumlah Vol Harga Jumlah Vol Harga
Rivanol botol 8 Rp 9,625 Rp 77,000 Rp 9,625 Rp - 8 Rp 9,625 Rp 77,000 8 Rp 9,625
Onemed, Infuset Dewasa 20G @ 1 Dos 50’s Pcs 200 Rp 5,800.00 Rp 1,160,000 Rp 5,800 Rp - 200 Rp 5,800.00 Rp 1,160,000 200 Rp 5,800
SafeGloves, handscoon Powder ukuran M Box 13 Rp 83,250 Rp 1,082,250 Rp 83,250 Rp - 13 Rp 83,250 Rp 1,082,250 13 Rp 83,250
BSN, Leukoplast 7,5 cm*4,5m Roll 20 Rp 83,250 Rp 1,665,000 Rp 83,250 Rp - 20 Rp 83,250 Rp 1,665,000 20 Rp 83,250
Onemed, Lancet 28G- 1Box isi 100 GC Pack 3 Rp 20,000 Rp 60,000 Rp 20,000 Rp - 3 Rp 20,000 Rp 60,000 3 Rp 20,000
OneMed, Lancet 30G- 1Box isi 100's Box 10 Rp 22,000 Rp 220,000 Rp 22,000 Rp - 10 Rp 22,000 Rp 220,000 10 Rp 22,000
GEA surgical Blades 100’s no. 11 5 Box Box 5 Rp 97,680 Rp 488,400 Rp 97,680 Rp - 5 Rp 97,680 Rp 488,400 5 Rp 97,680
NH, Kapas Pembalut 50 gr Buah 6 Rp 5,000 Rp 30,000 Rp 5,000 Rp - 6 Rp 5,000 Rp 30,000 6 Rp 5,000
Strip Autocheck Asam Urat 25 s Tube 5 Rp 115,500 Rp 577,500 Rp 115,500 Rp - 5 Rp 115,500 Rp 577,500 5 Rp 115,500
Gea Medical, Ultrasound Gell Dopler 5 Botol Botol 3 Rp 25,000 Rp 75,000 Rp 25,000 Rp - 3 Rp 25,000 Rp 75,000 3 Rp 25,000
Clorin 0,5 % isi 1 Liter 2 Botol Botol 1 Rp 25,000 Rp 25,000 Rp 25,000 Rp - 1 Rp 25,000 Rp 25,000 1 Rp 25,000
Jaya Mas Apron Lengan Panjang Pak 1 Rp 85,000 Rp 85,000 Rp 85,000 Rp - 1 Rp 85,000 Rp 85,000 1 Rp 85,000
Onemed, Kapas 250 gr 10 Roll Roll 6 Rp 27,750 Rp 166,500 Rp 27,750 Rp - 6 Rp 27,750 Rp 166,500 6 Rp 27,750
GEA, IV Catether No. 20 G Box 5 Rp 274,725 Rp 1,373,625 Rp 274,725 Rp - 5 Rp 274,725 Rp 1,373,625 5 Rp 274,725
GEA , IV Catether No. 22 G Box 5 Rp 274,725 Rp 1,373,625 Rp 274,725 Rp - 5 Rp 274,725 Rp 1,373,625 5 Rp 274,725
Alkohol swab Dos 5 Rp 20,000 Rp 100,000 Rp 20,000 Rp - 5 Rp 20,000 Rp 100,000 5 Rp 20,000
Rp - 0 Rp - 0
Yellow tip 1000's Pack 0 Rp 83,250 Rp - 1 Rp 83,250 Rp 83,250 1 Rp 83,250 Rp 83,250 1 Rp 83,250
Safe Gloves Powdered M Box 0 Rp 91,575 Rp - 30 Rp 91,575 Rp 2,747,250 30 Rp 91,575 Rp 2,747,250 30 Rp 91,575
Verify Urinalysis 3p 100's Box 0 Rp 111,000 Rp - 2 Rp 111,000 Rp 222,000 2 Rp 111,000 Rp 222,000 2 Rp 111,000
Reagen Widal Tydal 4vial Set 0 Rp 499,500 Rp - 2 Rp 499,500 Rp 999,000 2 Rp 499,500 Rp 999,000 2 Rp 499,500
Reagen Golongan Darah Delta 4vial Set 0 Rp 416,250 Rp - 1 Rp 416,250 Rp 416,250 1 Rp 416,250 Rp 416,250 1 Rp 416,250
Tabung EDTA 3ML Pack 0 Rp 149,850 Rp - 2 Rp 149,850 Rp 299,700 2 Rp 149,850 Rp 299,700 2 Rp 149,850
Strip autocheck Gula Tube 0 Rp 105,450 Rp - 10 Rp 105,450 Rp 1,054,500 10 Rp 105,450 Rp 1,054,500 10 Rp 105,450
Strip autocheck Cholesterol Tube 0 Rp 183,150 Rp - 10 Rp 183,150 Rp 1,831,500 10 Rp 183,150 Rp 1,831,500 10 Rp 183,150
Strip autocheck Asam urat Tube 0 Rp 122,100 Rp - 5 Rp 122,100 Rp 610,500 5 Rp 122,100 Rp 610,500 5 Rp 122,100
Blood Lancet 28G Box 0 Rp 22,200 Rp - 10 Rp 22,200 Rp 222,000 10 Rp 22,200 Rp 222,000 10 Rp 22,200
Inpus set Dewasa Onemed Pcs 0 Rp 6,105 Rp - 250 Rp 6,105 Rp 1,526,250 250 Rp 6,105 Rp 1,526,250 250 Rp 6,105
GEA, IV catheter no.20 Box 0 Rp 305,250 Rp - 3 Rp 305,250 Rp 915,750 3 Rp 305,250 Rp 915,750 3 Rp 305,250
Kertas Puyer Perkamen Buram Pack 0 Rp 26,640 Rp - 25 Rp 26,640 Rp 666,000 25 Rp 26,640 Rp 666,000 25 Rp 26,640
USG Gel 250Ml Botol 0 Rp 27,750 Rp - 5 Rp 27,750 Rp 138,750 5 Rp 27,750 Rp 138,750 5 Rp 27,750
Strip Autocheck Gula Tube 0 Rp 105,450 Rp - 10 Rp 105,450 Rp 1,054,500 10 Rp 105,450 Rp 1,054,500 10 Rp 105,450
Strip Autocheck Cholesterol Tube 0 Rp 183,150 Rp - 25 Rp 183,150 Rp 4,578,750 25 Rp 183,150 Rp 4,578,750 25 Rp 183,150
Rp - 0 Rp - 0
Leukoplast Roll 0 Rp 74,750 Rp - 23 Rp 74,750 Rp 1,719,250 23 Rp 74,750 Rp 1,719,250 23 Rp 74,750
Strip Autocheck Cholesterol Tube 0 Rp 230,000 Rp - 10 Rp 230,000 Rp 2,300,000 10 Rp 230,000 Rp 2,300,000 10 Rp 230,000
Strip Autocheck GDS Tube 0 Rp 115,000 Rp - 10 Rp 115,000 Rp 1,150,000 10 Rp 115,000 Rp 1,150,000 10 Rp 115,000
Strip Autocheck Uric Acid Tube 0 Rp 143,750 Rp - 10 Rp 143,750 Rp 1,437,500 10 Rp 143,750 Rp 1,437,500 10 Rp 143,750
Onemed Blood Lancet Box 0 Rp 23,000 Rp - 2 Rp 23,000 Rp 46,000 2 Rp 23,000 Rp 46,000 2 Rp 23,000
GEA, Infus set Anak Box 0 Rp 354,000 Rp - 3 Rp 354,000 Rp 1,062,000 3 Rp 354,000 Rp 1,062,000 3 Rp 354,000
GEA, Infus Set Dewasa Box 0 Rp 375,000 Rp - 5 Rp 375,000 Rp 1,875,000 5 Rp 375,000 Rp 1,875,000 5 Rp 375,000
Rp - 0 Rp - 0
GEA, HCG One step Pregnancy Box 0 Rp 90,000 Rp - 2 Rp 90,000 Rp 180,000 2 Rp 90,000 Rp 180,000 2 Rp 90,000
Glory Diagnostik, WIDAL Box 0 Rp 600,000 Rp - 1 Rp 600,000 Rp 600,000 1 Rp 600,000 Rp 600,000 1 Rp 600,000
Autucheck Asam Urat Tube 0 Rp 150,000 Rp - 10 Rp 150,000 Rp 1,500,000 10 Rp 150,000 Rp 1,500,000 10 Rp 150,000
Autocheck Kolesterol Tube 0 Rp 234,000 Rp - 15 Rp 234,000 Rp 3,510,000 15 Rp 234,000 Rp 3,510,000 15 Rp 234,000
Autocheck Gula Tube 0 Rp 114,000 Rp - 10 Rp 114,000 Rp 1,140,000 10 Rp 114,000 Rp 1,140,000 10 Rp 114,000
Onemed, Gel Botol 0 Rp 30,000 Rp - 5 Rp 30,000 Rp 150,000 5 Rp 30,000 Rp 150,000 5 Rp 30,000
Onemed, Kapas Pembalut 250gr Pcs 0 Rp 23,000 Rp - 5 Rp 23,000 Rp 115,000 5 Rp 23,000 Rp 115,000 5 Rp 23,000
Onemed, EDTA 3ml K3 Glass Pack 0 Rp 155,250 Rp - 5 Rp 155,250 Rp 776,250 5 Rp 155,250 Rp 776,250 5 Rp 155,250
ABO Screen Box 0 Rp 359,950 Rp - 2 Rp 359,950 Rp 719,900 2 Rp 359,950 Rp 719,900 2 Rp 359,950
Rp - 0 Rp - 0
Infusion Set With air vent-Adult Pcs 0 Rp 8,369 Rp - 500 Rp 8,369 Rp 4,184,700 500 Rp 8,369 Rp 4,184,700 500 Rp 8,369
Exam Gloves Non Sterile Powdered-M Box 0 Rp 70,815 Rp - 5 Rp 70,815 Rp 354,075 5 Rp 70,815 Rp 354,075 5 Rp 70,815
Exam Gloves Non Sterile Powdered-S Box 0 Rp 70,815 Rp - 10 Rp 70,815 Rp 708,150 10 Rp 70,815 Rp 708,150 10 Rp 70,815
IV Catheter Non-Wing no. 20 Pcs 0 Rp 8,370 Rp - 150 Rp 8,370 Rp 1,255,432 150 Rp 8,370 Rp 1,255,432 150 Rp 8,370
Exam Gloves Non Sterile Powdered-M Box 0 Rp 70,815 Rp - 5 Rp 70,815 Rp 354,075 5 Rp 70,815 Rp 354,075 5 Rp 70,815
Umbilical Cord Clamp Box 0 Rp 138,000 Rp - 1 Rp 138,000 Rp 138,000 1 Rp 138,000 Rp 138,000 1 Rp 138,000
Kapas Pembalut 250gr Pcs 0 Rp 23,000 Rp - 10 Rp 23,000 Rp 230,000 10 Rp 23,000 Rp 230,000 10 Rp 23,000
Onemed, Spoit 3 cc Box 0 Rp 920 Rp - 500 Rp 920 Rp 460,000 500 Rp 920 Rp 460,000 500 Rp 920
Altamed Latex Examination Gloves Box 0 Rp 84,000 Rp - 10 Rp 84,000 Rp 840,000 10 Rp 84,000 Rp 840,000 10 Rp 84,000
Onemed, Gel Usg Botol 0 Rp 30,000 Rp - 5 Rp 30,000 Rp 150,000 5 Rp 30,000 Rp 150,000 5 Rp 30,000
SD Bioline HbSag Box 0 Rp 900,000 Rp - 1 Rp 900,000 Rp 900,000 1 Rp 900,000 Rp 900,000 1 Rp 900,000
Plastik Klip CTI 6x10 Pack 0 Rp 47,000 Rp - 3 Rp 47,000 Rp 141,000 3 Rp 47,000 Rp 141,000 3 Rp 47,000
Rp - 0 Rp - 0
MINDRAY M-30D Diluent Botol 0 Rp 3,400,000 Rp - 1 Rp 3,400,000 Rp 3,400,000 1 Rp 3,400,000 Rp 3,400,000 1 Rp 3,400,000
MINDRAY M-30CFL Lyse Botol 0 Rp 2,400,000 Rp - 1 Rp 2,400,000 Rp 2,400,000 1 Rp 2,400,000 Rp 2,400,000 1 Rp 2,400,000
MINDRAY B30 Control 3 ml Botol 0 Rp 1,200,000 Rp - 1 Rp 1,200,000 Rp 1,200,000 1 Rp 1,200,000 Rp 1,200,000 1 Rp 1,200,000
M-53P Probe Cleanser 50 ml Botol 0 Rp 520,000 Rp - 1 Rp 520,000 Rp 520,000 1 Rp 520,000 Rp 520,000 1 Rp 520,000
Infus Set Anak Box 0 Rp 329,000 Rp - 5 Rp 329,000 Rp 1,645,000 5 Rp 329,000 Rp 1,645,000 5 Rp 329,000
Masker Bedah Karet Earloop Hijau Box 0 Rp 28,500 Rp - 50 Rp 28,500 Rp 1,425,000 50 Rp 28,500 Rp 1,425,000 50 Rp 28,500
Spoit 10cc Box 0 Rp 1,828.13 Rp - 200 Rp 1,828.13 Rp 365,626 200 Rp 1,828.13 Rp 365,626 70 Rp 1,828.13
Strip Autocheck Gula darah Botol 0 Rp 131,625 Rp - 10 Rp 131,625 Rp 1,316,250 10 Rp 131,625 Rp 1,316,250 10 Rp 131,625
Strip Autocheck Cholesterol Botol 0 Rp 248,625 Rp - 15 Rp 248,625 Rp 3,729,375 15 Rp 248,625 Rp 3,729,375 15 Rp 248,625
Kertas Lakmus Biru Box 0 Rp 53,455 Rp - 2 Rp 53,455 Rp 106,910 2 Rp 53,455 Rp 106,910 1 Rp 53,455
Jarum Citoject Box 0 Rp 175,781 Rp - 5 Rp 175,781 Rp 878,905 5 Rp 175,781 Rp 878,905 2 Rp 175,781
Rp - 0 Rp - 0
Lukoplast 7,5 cm X 4,5 cm Roll 0 Rp 77,695 Rp - 20 Rp 77,695 Rp 1,553,900 20 Rp 77,695 Rp 1,553,900 20 Rp 77,695
Resin Composite Unit 0 Rp 585,000 Rp - 2 Rp 585,000 Rp 1,170,000 2 Rp 585,000 Rp 1,170,000 1 Rp 585,000
AUTOCHECK Blood Glucose Tube 0 Rp 131,625 Rp - 20 Rp 131,625 Rp 2,632,500 20 Rp 131,625 Rp 2,632,500 20 Rp 131,625
I.V. Catheter No. 20 Box 0 Rp 251,016 Rp - 5 Rp 251,016 Rp 1,255,080 5 Rp 251,016 Rp 1,255,080 4 Rp 251,016
I.V. Catheter 22 Box 0 Rp 251,016 Rp - 5 Rp 251,016 Rp 1,255,080 5 Rp 251,016 Rp 1,255,080 5 Rp 251,016
I.V. Catheter NO. 24 Box 0 Rp 251,016 Rp - 3 Rp 251,016 Rp 753,048 3 Rp 251,016 Rp 753,048 3 Rp 251,016
AUTOCHECK Cholesterol Tube 0 Rp 248,625 Rp - 20 Rp 248,625 Rp 4,972,500 20 Rp 248,625 Rp 4,972,500 20 Rp 248,625
AUTOCHECK Uric Acid Tube 0 Rp 153,563 Rp - 20 Rp 153,563 Rp 3,071,260 20 Rp 153,563 Rp 3,071,260 18 Rp 153,563
KERTAS PERKAMEN ISI 500 Pcs 0 Rp 28,167 Rp - 20 Rp 28,167 Rp 563,340 20 Rp 28,167 Rp 563,340 14 Rp 28,167
Plesterin Bulat Box 0 Rp 70,859 Rp - 10 Rp 70,859 Rp 708,590 10 Rp 70,859 Rp 708,590 4 Rp 70,859
BLOOD LANCET 28G ISI 100 Box 0 Rp 23,906 Rp - 20 Rp 23,906 Rp 478,120 20 Rp 23,906 Rp 478,120 19 Rp 23,906
Tabung EDTA 3 ML K3 Glass Box 0 Rp 161,367 Rp - 5 Rp 161,367 Rp 806,835 5 Rp 161,367 Rp 806,835 0 Rp 161,367
Reagen Widal Box 0 Rp 632,813 Rp - 5 Rp 632,813 Rp 3,164,065 5 Rp 632,813 Rp 3,164,065 2 Rp 632,813
Silk 3/0 + Jarum MEIYI Box 0 Rp 275,900 Rp - 10 Rp 275,900 Rp 2,759,000 10 Rp 275,900 Rp 2,759,000 8 Rp 275,900
Alkohol Swab Box 0 Rp 34,900 Rp - 20 Rp 34,900 Rp 698,000 20 Rp 34,900 Rp 698,000 13 Rp 34,900
Urinalysis Reagent Strips 3P Box 0 Rp 139,750 Rp - 6 Rp 139,750 Rp 838,500 6 Rp 139,750 Rp 838,500 6 Rp 139,750
Catgut Chromic 3/0 + Jarum Box 0 Rp 261,900 Rp - 10 Rp 261,900 Rp 2,619,000 10 Rp 261,900 Rp 2,619,000 3 Rp 261,900
GEA BISTURI Box 0 Rp 134,900 Rp - 5 Rp 134,900 Rp 674,500 5 Rp 134,900 Rp 674,500 2 Rp 134,900
Rp - 0 Rp - 0
Latex Patient Examination
Box Rp 70,825 40 Rp 70,825 Rp 70,825 Rp 70,825
Gloves Powdered 0 Rp - Rp 2,833,000 40 Rp 2,833,000 40
Rp - Rp - 0 Rp - 0
Strip Urin 10P Box 0 Rp 276,900 Rp - 1 Rp 276,900 Rp 276,900 1 Rp 276,900 Rp 276,900 1 Rp 276,900
Probe Cleanser M-68 Botol 0 Rp 629,900 Rp - 1 Rp 629,900 Rp 629,900 1 Rp 629,900 Rp 629,900 1 Rp 629,900
Gel USG Botol 0 Rp 34,900 Rp - 5 Rp 34,900 Rp 174,500 5 Rp 34,900 Rp 174,500 1 Rp 34,900
Diluent 20 Liter Botol 0 Rp 2,307,000 Rp - 1 Rp 2,307,000 Rp 2,307,000 1 Rp 2,307,000 Rp 2,307,000 1 Rp 2,307,000
ABO Screen Box 0 Rp 359,900 Rp - 1 Rp 359,900 Rp 359,900 1 Rp 359,900 Rp 359,900 0 Rp 359,900
Lukoplast 7,5 cm X 4,5 cm Roll 0 Rp 87,000 Rp - 10 Rp 87,000 Rp 870,000 10 Rp 87,000 Rp 870,000 7 Rp 87,000
Plastik Ctik Uk 6*10 Pack 0 Rp 47,000 Rp - 5 Rp 47,000 Rp 235,000 5 Rp 47,000 Rp 235,000 3 Rp 47,000
I.VCHATETER NO. 20 Box 0 Rp 307,100 Rp - 2 Rp 307,100 Rp 614,200 2 Rp 307,100 Rp 614,200 0 Rp 307,100
BLOOD LANCET Box 0 Rp 28,000 Rp - 5 Rp 28,000 Rp 140,000 5 Rp 28,000 Rp 140,000 0 Rp 28,000
I.V CATHETER 24 Box 0 Rp 307,100 Rp - 1 Rp 307,100 Rp 307,100 1 Rp 307,100 Rp 307,100 1 Rp 307,100
INFUS SET DEWASA Pcs 0 Rp 7,300 Rp - 100 Rp 7,300 Rp 730,000 100 Rp 7,300 Rp 730,000 100 Rp 7,300
KERTAS PERKAMEN ISI 500 Pack 0 Rp 29,200 Rp - 5 Rp 29,200 Rp 146,000 5 Rp 29,200 Rp 146,000 0 Rp 29,200
I.V CATHETER NO.22 Box 0 Rp 307,100 Rp - 2 Rp 307,100 Rp 614,200 2 Rp 307,100 Rp 614,200 2 Rp 307,100
STRIP GLUCOSA AUTOCHECK Tube 0 Rp 131,600 Rp - 5 Rp 131,600 Rp 658,000 5 Rp 131,600 Rp 658,000 2 Rp 131,600
STRIP AUTOCHECK CHOLESTEROL Tube 0 Rp 248,600 Rp - 5 Rp 248,600 Rp 1,243,000 5 Rp 248,600 Rp 1,243,000 5 Rp 248,600
JUMLAH BHPM Rp 8,558,900 Rp 110,173,933 Rp 118,732,833
JUMLAH TOTAL OBAT + BHPM Rp 8,558,900 Rp 136,152,464 Rp 144,711,364
Rp 144,711,364
Mengetahui, . Penanggung Jawab Pengelola Obat-BHPM JKN
.
.
.
NIP. 19770808 199702 2 001 . NIP. 19860226 201001 2 038
#REF!
SISA STOK OBAT
TOTAL DISTRIBUSI OBAT
Jumlah Vol Harga 2023 Jumlah
Rp 70,000 0 Rp 7,000 Rp -
Rp 100,000 0 Rp 10,000 Rp -
Rp 70,000 0 Rp 7,000 Rp -
Rp 1,700,000 0 Rp 8,500 Rp -
Rp 5,100,000 0 Rp 8,500 Rp -
Rp - Rp -
Rp 70,000 0 Rp 7,000 Rp -
Rp 100,000 0 Rp 10,000 Rp -
Rp 50,000 0 Rp 5,000 Rp -
Rp 70,000 0 Rp 7,000 Rp -
Rp 70,000 0 Rp 7,000 Rp -
Rp 105,000 0 Rp 21,000 Rp -
Rp 30,000 0 Rp 15,000 Rp -
Rp 30,000 0 Rp 15,000 Rp -
Rp 100,000 0 Rp 20,000 Rp -
Rp 160,000 0 Rp 8,000 Rp -
Rp 44,000 0 Rp 11,000 Rp -
Rp 78,000 0 Rp 13,000 Rp -
Rp - Rp -
Rp 610,000 0 Rp 3,050 Rp -
Rp 87,312 44 Rp 14,552 Rp 640,288
Rp 1,732,500 0 Rp 173,250 Rp -
Rp 143,020 Rp 14,302 Rp 572,080

40
Rp 38,475 17 Rp 12,825 Rp 218,025
Rp - Rp -
Rp - 680 Rp 8,498 Rp 5,778,640
Rp - 40 Rp 7,686 Rp 307,440
Rp - 5000 Rp 245 Rp 1,225,000
Rp - 5000 Rp 107 Rp 535,000
Rp - 5000 Rp 130 Rp 650,000
Rp - 10 Rp 33,500 Rp 335,000
Rp - 17 Rp 124,031 Rp 2,108,527
Rp - 13 Rp 173,250 Rp 2,252,250
Rp - 2 Rp 173,702 Rp 347,404
Rp - 30 Rp 8,269 Rp 248,070
Rp - 5 Rp 40,500 Rp 202,500
Rp 10,558,307 Rp 15,420,224
TOTAL DISTRIBUSI BMHP SISA STOK PER 31 DESEMBER 2023
Jumlah Vol Harga Jumlah

Rp 77,000 0 Rp 9,625 Rp - Rp -
Rp 1,160,000 0 Rp 5,800 Rp - Rp -
Rp 1,082,250 0 Rp 83,250 Rp - Rp -
Rp 1,665,000 0 Rp 83,250 Rp - Rp -
Rp 60,000 0 Rp 20,000 Rp - Rp -
Rp 220,000 0 Rp 22,000 Rp - Rp -
Rp 488,400 0 Rp 97,680 Rp - Rp -
Rp 30,000 0 Rp 5,000 Rp - Rp -
Rp 577,500 0 Rp 115,500 Rp - Rp -
Rp 75,000 0 Rp 25,000 Rp - Rp -
Rp 25,000 0 Rp 25,000 Rp - Rp -
Rp 85,000 0 Rp 85,000 Rp - Rp -
Rp 166,500 0 Rp 27,750 Rp - Rp -
Rp 1,373,625 0 Rp 274,725 Rp - Rp -
Rp 1,373,625 0 Rp 274,725 Rp - Rp -
Rp 100,000 0 Rp 20,000 Rp - Rp -
Rp - Rp - Rp -
Rp 83,250 0 Rp 83,250 Rp - Rp -
Rp 2,747,250 0 Rp 91,575 Rp - Rp -
Rp 222,000 0 Rp 111,000 Rp - Rp -
Rp 999,000 0 Rp 499,500 Rp - Rp -
Rp 416,250 0 Rp 416,250 Rp - Rp -
Rp 299,700 0 Rp 149,850 Rp - Rp -
Rp 1,054,500 0 Rp 105,450 Rp - Rp -
Rp 1,831,500 0 Rp 183,150 Rp - Rp -
Rp 610,500 0 Rp 122,100 Rp - Rp -
Rp 222,000 0 Rp 22,200 Rp - Rp -
Rp 1,526,250 0 Rp 6,105 Rp - Rp -
Rp 915,750 0 Rp 305,250 Rp - Rp -
Rp 915,750 0 Rp 305,250 Rp - Rp -
Rp 666,000 0 Rp 26,640 Rp - Rp -
Rp 138,750 0 Rp 27,750 Rp - Rp -
Rp 1,054,500 0 Rp 105,450 Rp - Rp -
Rp 4,578,750 0 Rp 183,150 Rp - Rp -
Rp - Rp - Rp -
Rp 483,000 0 Rp 241,500 Rp - Rp -
Rp 483,000 0 Rp 241,500 Rp - Rp -
Rp 483,000 0 Rp 241,500 Rp - Rp -
Rp 1,719,250 0 Rp 74,750 Rp - Rp -
Rp 2,300,000 0 Rp 230,000 Rp - Rp -
Rp 1,150,000 0 Rp 115,000 Rp - Rp -
Rp 1,437,500 0 Rp 143,750 Rp - Rp -
Rp 46,000 0 Rp 23,000 Rp - Rp -
Rp 1,062,000 0 Rp 354,000 Rp - Rp -
Rp 1,875,000 0 Rp 375,000 Rp - Rp -
Rp - Rp - Rp -
Rp 180,000 0 Rp 90,000 Rp - Rp -
Rp 600,000 0 Rp 600,000 Rp - Rp -
Rp 1,500,000 0 Rp 150,000 Rp - Rp -
Rp 3,510,000 0 Rp 234,000 Rp - Rp -
Rp 1,140,000 0 Rp 114,000 Rp - Rp -
Rp 150,000 0 Rp 30,000 Rp - Rp -
Rp 115,000 0 Rp 23,000 Rp - Rp -
Rp 776,250 0 Rp 155,250 Rp - Rp -
Rp 719,900 0 Rp 359,950 Rp - Rp -
Rp - Rp - Rp -
Rp 4,184,700 0 Rp 8,369 Rp - Rp -
Rp 354,075 0 Rp 70,815 Rp - Rp -
Rp 708,150 0 Rp 70,815 Rp - Rp -
Rp 1,255,432 0 Rp 8,370 Rp - Rp -
Rp 2,092,386 Rp 8,370 Rp - Rp -
Rp 354,075 0 Rp 70,815 Rp - Rp -
Rp 1,255,432 0 Rp 8,370 Rp - Rp -
Rp 138,000 0 Rp 138,000 Rp - Rp -
Rp 230,000 0 Rp 23,000 Rp - Rp -
Rp 460,000 0 Rp 920 Rp - Rp -
Rp 840,000 0 Rp 84,000 Rp - Rp -
Rp 150,000 0 Rp 30,000 Rp - Rp -
Rp 900,000 0 Rp 900,000 Rp - Rp -
Rp 141,000 0 Rp 47,000 Rp - Rp -
Rp - Rp - Rp -
Rp 3,400,000 0 Rp 3,400,000 Rp - Rp -
Rp 2,400,000 0 Rp 2,400,000 Rp - Rp -
Rp 1,200,000 0 Rp 1,200,000 Rp - Rp -
Rp 520,000 0 Rp 520,000 Rp - Rp -
Rp 1,645,000 0 Rp 329,000 Rp - Rp -
Rp 1,425,000 0 Rp 28,500 Rp - Rp -
Rp 127,969.10 130 Rp 1,828.13 Rp 237,656.90 Rp -
Rp 1,316,250 0 Rp 131,625 Rp - Rp -
Rp 3,729,375 0 Rp 248,625 Rp - Rp -
Rp 53,455 1 Rp 53,455 Rp 53,455 Rp -
Rp 351,562 3 Rp 175,781 Rp 527,343 Rp -
Rp - Rp - Rp -
Rp 1,553,900 0 Rp 77,695 Rp - Rp -
Rp 585,000 1 Rp 585,000 Rp 585,000 Rp -
Rp 2,632,500 0 Rp 131,625 Rp - Rp -
Rp 1,004,064 1 Rp 251,016 Rp 251,016 Rp -
Rp 1,255,080 0 Rp 251,016 Rp - Rp -
Rp 753,048 0 Rp 251,016 Rp - Rp -
Rp 4,972,500 0 Rp 248,625 Rp - Rp -
Rp 2,764,134 2 Rp 153,563 Rp 307,126 Rp -
Rp 394,338 6 Rp 28,167 Rp 169,002 Rp -
Rp 283,436 6 Rp 70,859 Rp 425,154 Rp -
Rp 454,214 1 Rp 23,906 Rp 23,906 Rp -
Rp - 5 Rp 161,367 Rp 806,835 Rp -
Rp 1,265,626 3 Rp 632,813 Rp 1,898,439 Rp -
Rp 2,207,200 2 Rp 275,900 Rp 551,800 Rp -
Rp 453,700 7 Rp 34,900 Rp 244,300 Rp -
Rp 838,500 0 Rp 139,750 Rp - Rp -
Rp 785,700 7 Rp 261,900 Rp 1,833,300 Rp -
Rp 269,800 3 Rp 134,900 Rp 404,700 Rp -
Rp - Rp - Rp -
Rp 70,825
Rp 2,833,000 0 Rp - Rp -
Rp - Rp - Rp -
Rp 276,900 0 Rp 276,900 Rp - Rp -
Rp 629,900 0 Rp 629,900 Rp - Rp -
Rp 34,900 4 Rp 34,900 Rp 139,600 Rp -
Rp 2,307,000 0 Rp 2,307,000 Rp - Rp -
Rp - 1 Rp 359,900 Rp 359,900 Rp -
Rp 609,000 3 Rp 87,000 Rp 261,000 Rp -
Rp 141,000 2 Rp 47,000 Rp 94,000 Rp -
Rp - 2 Rp 307,100 Rp 614,200 Rp -
Rp - 5 Rp 28,000 Rp 140,000 Rp -
Rp 307,100 0 Rp 307,100 Rp - Rp -
Rp 730,000 0 Rp 7,300 Rp - Rp -
Rp - 5 Rp 29,200 Rp 146,000 Rp -
Rp 614,200 0 Rp 307,100 Rp - Rp -
Rp 263,200 3 Rp 131,600 Rp 394,800 Rp -
Rp 1,243,000 0 Rp 248,600 Rp - Rp -
Rp 108,264,300.558 Rp 10,468,533
Rp 118,822,608 Rp 25,888,757
Rp 118,822,608
Penanggung Jawab Pengelola Obat-BHPM JKN
Puskesmas Gentungan
Asriani, S.Si., Apt.

NIP. 19860226 201001 2 038
DINAS KESEHATAN
Jalan Poros Limbung Galesong,Romang Lompoa Desa Gentungan Kec. Bajeng Barat Kab. Gowa.Kode 92152
Email : puskesmasgentungan@gmail

Pada hari Sabtu tanggal tiga puluh Desember tahun dua ribu dua puluh dua telah dilakukan
pemeriksaan Obat dan BMHP JKN yang terdapat pada Gudang farmasi Puskesmas Gentungan
sesuai daftar terlampir, dengan perincian sebagai berikut :
1. Persediaan/Stok Obat dan BMHP JKN 31/12/2022 Rp 8,558,900

2. Penerimaan Obat dan BMHP JKN tahun 2023 Rp 136,152,464
3. Jumlah Total Obat dan BMHP JKN tahun 2023 Rp 144,711,364
4. Distribusi Penggunaan JKN Tahun 2023 Rp 118,668,178
5. Stok Obat dan BMHP JKN per 31 Desember 2023 Rp 26,043,187

Mengetahui,
Kepala Puskesmas Gentungan Penanggungjawab Obat dan BMHP JKN
Hj. Herawati, S.Kep. Ns. Asriani, S.Si., Apt.

NIP. 19770808 199702 2 001 NIP. 19860226 201001 2 038
a.Kode 92152
h dilakukan
Gentungan
mestinya
bat dan BMHP JKN

…………….. PUSKESMAS GENTUNGAN
SISA STOK OBAT
1 Acetyl Cysteine Ktk 60 tab Rp 317.00 Rp - Rp 317.00 Rp - 0 Rp 317.00 Rp - 0 Rp 317.00 Rp - Rp 317.00 Rp -

2 Acetyl Cysteine ktk 100 tab Rp 1,110.00 Rp - Rp 1,110.00 Rp - 0 Rp 1,110.00 Rp - 0 Rp 1,110.00 Rp - Rp 1,110.00 Rp -
3 Acyclovir 400 mg Ktk 100 tab Rp 1,440.00 Rp - Rp 1,440.00 Rp - 0 Rp 1,440.00 Rp - 0 Rp 1,440.00 Rp - Rp 1,440.00 Rp -
4 Acyclovir 400 mg Ktk 100 tab Rp 900.00 Rp - Rp 900.00 Rp - 0 Rp 900.00 Rp - 0 Rp 900.00 Rp - Rp 900.00 Rp -
5 Aqua Pro Injection Ktk 100 tab Rp 2,955.00 Rp - Rp 2,955.00 Rp - 0 Rp 2,955.00 Rp - 0 Rp 2,955.00 Rp - Rp 2,955.00 Rp -
6 Allopurinol tab 100 mg Ktk 100 tab Rp 89.00 Rp - Rp 89.00 Rp - 0 Rp 89.00 Rp - 0 Rp 89.00 Rp - Rp 89.00 Rp -
7 Allopurinol tab 100 mg Ktk 100 tab Rp 270.00 Rp 270.00 Rp - 0 Rp 270.00 Rp - 0 Rp 270.00 Rp - Rp 270.00 Rp -
8 Alprazolam 0,25 mg Ktk 100 tab Rp 629.00 Rp - Rp 629.00 Rp - 0 Rp 629.00 Rp - 0 Rp 629.00 Rp - Rp 629.00 Rp -
9 Alprazolam 0.5 mg Ktk 100 tab Rp 78.00 Rp - Rp 78.00 Rp - 0 Rp 78.00 Rp - 0 Rp 78.00 Rp - Rp 78.00 Rp -
10 Alprazolam 0.5 mg Ktk 100 tab Rp 182.00 Rp 182.00 Rp - 0 Rp 182.00 Rp - 0 Rp 182.00 Rp - Rp 182.00 Rp -
11 Ambroxol Tab Ktk 100 tab Rp 210.00 Rp - Rp 210.00 Rp - 0 Rp 210.00 Rp - 0 Rp 210.00 Rp - Rp 210.00 Rp -
12 Amlodipin 5mg ktk 50 tab Rp 107.00 Rp - Rp 107.00 Rp - 0 Rp 107.00 Rp - 0 Rp 107.00 Rp - Rp 107.00 Rp -
13 Acyclovir Krim Ktk 10x10 tab Rp 2,898.00 Rp - Rp 2,898.00 Rp - 0 Rp 2,898.00 Rp - 0 Rp 2,898.00 Rp - Rp 2,898.00 Rp -
14 Aminofilin 200 mg tab Btl 100 tab Rp 131.00 Rp - Rp 131.00 Rp - 0 Rp 131.00 Rp - 0 Rp 131.00 Rp - Rp 131.00 Rp -
15 Amoxicillin 500 mg Caplet Ktk 100 tab Rp 655.00 Rp - Rp 655.00 Rp - 0 Rp 655.00 Rp - 0 Rp 655.00 Rp - Rp 655.00 Rp -
17 Amiptriptillin 25 mg Ktk 100 tab Rp 83.50 Rp - Rp 83.50 Rp - 0 Rp 83.50 Rp - 0 Rp 83.50 Rp - Rp 83.50 Rp -
18 Amiptriptillin 25 mg Ktk 100 tab Rp 167.00 Rp 167.00 Rp - 0 Rp 167.00 Rp - 0 Rp 167.00 Rp - Rp 167.00 Rp -
19 Amlodipin tab ktk 50 tab Rp 55.00 Rp - Rp 55.00 Rp - 0 Rp 55.00 Rp - 0 Rp 55.00 Rp - Rp 55.00 Rp -
20 Amoxicillin sirup 125 mg/5 ml Btl 60 ml Rp 6,237.00 Rp - Rp 6,237.00 Rp - 0 Rp 6,237.00 Rp - 0 Rp 6,237.00 Rp - Rp 6,237.00 Rp -
24 Antasida Syrup botol Rp 655.00 Rp - Rp 655.00 Rp - 0 Rp 655.00 Rp - 0 Rp 655.00 Rp - Rp 655.00 Rp -
25 Antasida DOEN tab ktk 100 Rp 108.00 Rp - Rp 108.00 Rp - 0 Rp 108.00 Rp - 0 Rp 108.00 Rp - Rp 108.00 Rp -
26 Anti Fungi DOEN Ktk 24 pot Rp 3,637.00 Rp - Rp 3,637.00 Rp - 0 Rp 3,637.00 Rp - 0 Rp 3,637.00 Rp - Rp 3,637.00 Rp -
27 Antasida DOEN tab Ktk 100 tab Rp 54.00 Rp - Rp 54.00 Rp - 0 Rp 54.00 Rp - 0 Rp 54.00 Rp - Rp 54.00 Rp -
28 Asam Ascorbat 50 mg Ktk 100 tab Rp 120.00 Rp - Rp 120.00 Rp - 0 Rp 120.00 Rp - 0 Rp 120.00 Rp - Rp 120.00 Rp -
29 Antasida Syrup Botol Rp 1,756.00 Rp - Rp 1,756.00 Rp - 0 Rp 1,756.00 Rp - 0 Rp 1,756.00 Rp - Rp 1,756.00 Rp -
30 Anti Bakteri/Bacitracin krim Ktk 25 tube Rp 4,800.00 Rp - Rp 4,800.00 Rp - 0 Rp 4,800.00 Rp - 0 Rp 4,800.00 Rp - Rp 4,800.00 Rp -
31 Anti Hemoroid DOEN Ktk 10 pcs Rp 3,738.00 Rp - Rp 3,738.00 Rp - 0 Rp 3,738.00 Rp - 0 Rp 3,738.00 Rp - Rp 3,738.00 Rp -
32 Antihemoroid Kombinasi ktk 10 supp Rp 3,260.00 Rp - Rp 3,260.00 Rp - 0 Rp 3,260.00 Rp - 0 Rp 3,260.00 Rp - Rp 3,260.00 Rp -
33 Betametason cream 0,1% Ktk 25 tube Rp 2,812.00 Rp - Rp 2,812.00 Rp - 0 Rp 2,812.00 Rp - 0 Rp 2,812.00 Rp - Rp 2,812.00 Rp -
34 Asam Ascorbat 50 mg Ktk 100 tab Rp 46.00 Rp - Rp 46.00 Rp - 0 Rp 46.00 Rp - 0 Rp 46.00 Rp - Rp 46.00 Rp -
35 Asam Mefenamat 500mg Ktk 100 tab Rp 117.00 Rp - Rp 117.00 Rp - 0 Rp 117.00 Rp - 0 Rp 117.00 Rp - Rp 117.00 Rp -
36 Asam Traneksamat 50mg/ml inj. ampul Rp 8,545.45 Rp - Rp 8,545.45 Rp - 0 Rp 8,545.45 Rp - 0 Rp 8,545.45 Rp - Rp 8,545.45 Rp -
37 Asam Traneksamat 50mg/ml inj. ampul Rp 5,328.00 Rp 5,328.00 Rp - 0 Rp 5,328.00 Rp - 0 Rp 5,328.00 Rp - Rp 5,328.00 Rp -
38 Atropin injeksi 0.25mg/,l Ampul Rp 5,550.00 Rp - Rp 5,550.00 Rp - 0 Rp 5,550.00 Rp - 0 Rp 5,550.00 Rp - Rp 5,550.00 Rp -
39 Atropin injeksi 0.25mg/,l Ampul Rp 3,778.00 Rp 3,778.00 Rp - 0 Rp 3,778.00 Rp - 0 Rp 3,778.00 Rp - Rp 3,778.00 Rp -
40 Betahistin tab ktk 100 tab Rp 92.00 Rp - Rp 92.00 Rp - 0 Rp 92.00 Rp - 0 Rp 92.00 Rp - Rp 92.00 Rp -
41 Betahistin tab Ktk 100 tab Rp 610.00 Rp - Rp 610.00 Rp - 0 Rp 610.00 Rp - 0 Rp 610.00 Rp - Rp 610.00 Rp -
42 Betametason cream 0,1% Ktk 25 tube Rp 1,520.00 Rp - Rp 1,520.00 Rp - 0 Rp 1,520.00 Rp - 0 Rp 1,520.00 Rp - Rp 1,520.00 Rp -
43 Betametason cream 0,1% Ktk 25 tube Rp 2,100.00 Rp 2,100.00 Rp - 0 Rp 2,100.00 Rp - 0 Rp 2,100.00 Rp - Rp 2,100.00 Rp -
44 Bisakodil 5mg tab Ktk 100 tab Rp 168.00 Rp - Rp 168.00 Rp - 0 Rp 168.00 Rp - 0 Rp 168.00 Rp - Rp 168.00 Rp -
45 Captopril 25 mg Ktk 100 tab Rp 75.00 Rp - Rp 75.00 Rp - 0 Rp 75.00 Rp - 0 Rp 75.00 Rp - Rp 75.00 Rp -
46 Chlorpheniramine maleat tab Ktk 100 tab Rp 151.43 Rp - Rp 151.43 Rp - 0 Rp 151.43 Rp - 0 Rp 151.43 Rp - Rp 151.43 Rp -
47 Chlorpromazine 100 mg tab Ktk 100 tab Rp 170.00 Rp - Rp 170.00 Rp - 0 Rp 170.00 Rp - 0 Rp 170.00 Rp - Rp 170.00 Rp -
48 Carbamazepin 200mg tab Ktk 100 tab Rp 216.00 Rp - Rp 216.00 Rp - 0 Rp 216.00 Rp - 0 Rp 216.00 Rp - Rp 216.00 Rp -
49 Chlorpromazine 25 mg Prov Ktk 100 tab Rp 208.00 Rp - Rp 208.00 Rp - 0 Rp 208.00 Rp - 0 Rp 208.00 Rp - Rp 208.00 Rp -
50 Carbamazepin 200mg tab Ktk 100 tab Rp 196.63 Rp - Rp 196.63 Rp - 0 Rp 196.63 Rp - 0 Rp 196.63 Rp - Rp 196.63 Rp -
51 Cefotaxim injeksi Vial Rp 6,740.00 Rp - Rp 6,740.00 Rp - 0 Rp 6,740.00 Rp - 0 Rp 6,740.00 Rp - Rp 6,740.00 Rp -
52 Cetirizine tab ktk 100 tab Rp 123.00 Rp - Rp 123.00 Rp - 0 Rp 123.00 Rp - 0 Rp 123.00 Rp - Rp 123.00 Rp -
53 Channa Fit ktk 100 tab Rp 3,330.00 Rp - Rp 3,330.00 Rp - 0 Rp 3,330.00 Rp - 0 Rp 3,330.00 Rp - Rp 3,330.00 Rp -
54 Channa Fola Ktk 100 tab Rp 5,494.50 Rp - Rp 5,494.50 Rp - 0 Rp 5,494.50 Rp - 0 Rp 5,494.50 Rp - Rp 5,494.50 Rp -
55 Channa Boost Tube Rp 5,494.50 Rp - Rp 5,494.50 Rp - 0 Rp 5,494.50 Rp - 0 Rp 5,494.50 Rp - Rp 5,494.50 Rp -
56 Chlorampenicol Salep Mata Tube Rp 14,572.00 Rp - Rp 14,572.00 Rp - 0 Rp 14,572.00 Rp - 0 Rp 14,572.00 Rp - Rp 14,572.00 Rp -
57 Erythromicin 500 mg Ktk 100 Rp 900.00 Rp - Rp 900.00 Rp - 0 Rp 900.00 Rp - 0 Rp 900.00 Rp - Rp 900.00 Rp -
58 Chloramphenicol susp btl Rp 15,060.00 Rp - Rp 15,060.00 Rp - 0 Rp 15,060.00 Rp - 0 Rp 15,060.00 Rp - Rp 15,060.00 Rp -
59 Chloramphenicol 250mg Ktk 100 cap Rp 614.00 Rp - Rp 614.00 Rp - 0 Rp 614.00 Rp - 0 Rp 614.00 Rp - Rp 614.00 Rp -
60 Chloramphenicol 250mg Ktk 100 cap Rp 1,000.00 Rp - Rp 1,000.00 Rp - 0 Rp 1,000.00 Rp - 0 Rp 1,000.00 Rp - Rp 1,000.00 Rp -
61 Chloramphenicol tetes telinga botol Rp 13,945.00 Rp - Rp 13,945.00 Rp - 0 Rp 13,945.00 Rp - 0 Rp 13,945.00 Rp - Rp 13,945.00 Rp -
62 Furosemide tab 40 mg ktk 200 tab Rp 84.00 Rp - Rp 84.00 Rp - 0 Rp 84.00 Rp - 0 Rp 84.00 Rp - Rp 84.00 Rp -
64 Chlorpromazine 100 mg Prov Ktk 100 tab Rp 903.47 Rp - Rp 903.47 Rp - 0 Rp 903.47 Rp - 0 Rp 903.47 Rp - Rp 903.47 Rp -
Chlorpromazine 100 mg Prov Ktk 100 tab Rp 525.00 Rp 525.00 Rp - 0 Rp 525.00 Rp - 0 Rp 525.00 Rp - Rp 525.00 Rp -
66 Ciprofloxacin 500 mg Ktk 100 tab Rp 260.00 Rp - Rp 260.00 Rp - 0 Rp 260.00 Rp - 0 Rp 260.00 Rp - Rp 260.00 Rp -
Ciprofloxacin 500 mg Ktk 100 tab Rp 570.00 Rp 570.00 Rp - 0 Rp 570.00 Rp - 0 Rp 570.00 Rp - Rp 570.00 Rp -
68 Gentamisin salep kulit tube Rp 4,901.00 Rp - Rp 4,901.00 Rp - 0 Rp 4,901.00 Rp - 0 Rp 4,901.00 Rp - Rp 4,901.00 Rp -
69 Clozapine 25 mg Ktk 50 tab Rp 560.50 Rp - Rp 560.50 Rp - 0 Rp 560.50 Rp - 0 Rp 560.50 Rp - Rp 560.50 Rp -
70 Clozapine 25 mg Ktk 50 tab Rp 1,121.00 Rp - Rp 1,121.00 Rp - 0 Rp 1,121.00 Rp - 0 Rp 1,121.00 Rp - Rp 1,121.00 Rp -
71 Combivent Ampul 2.5 ml ktk 10 Ampul Rp 46,500.00 Rp - Rp 46,500.00 Rp - 0 Rp 46,500.00 Rp - 0 Rp 46,500.00 Rp - Rp 46,500.00 Rp -
72 Griseofulvin Btl 100 tab Rp 238.00 Rp - Rp 238.00 Rp - 0 Rp 238.00 Rp - 0 Rp 238.00 Rp - Rp 238.00 Rp -
73 Dexamethazone 0.5 mg tab Ktk 100 tab Rp 116.00 Rp - Rp 116.00 Rp - 0 Rp 116.00 Rp - 0 Rp 116.00 Rp - Rp 116.00 Rp -
74 Guaifenesin tablet Ktk 100 tab Rp 120.00 Rp - Rp 120.00 Rp - 0 Rp 120.00 Rp - 0 Rp 120.00 Rp - Rp 120.00 Rp -
75 Dexamethazone inj 5 mg/ml ampul Rp 1,420.00 Rp - Rp 1,420.00 Rp - 0 Rp 1,420.00 Rp - 0 Rp 1,420.00 Rp - Rp 1,420.00 Rp -
76 Diazepam enema 5mg/2.5ml tube Rp 10,545.00 Rp - Rp 10,545.00 Rp - 0 Rp 10,545.00 Rp - 0 Rp 10,545.00 Rp - Rp 10,545.00 Rp -
77 Diazepam 2 mg tab Ktk 100 tab Rp 85.00 Rp - Rp 85.00 Rp - 0 Rp 85.00 Rp - 0 Rp 85.00 Rp - Rp 85.00 Rp -
78 Difenhidramin inj 10mg/ml ktk 30 ampul Rp 1,222.00 Rp - Rp 1,222.00 Rp - 0 Rp 1,222.00 Rp - 0 Rp 1,222.00 Rp - Rp 1,222.00 Rp -
79 Difenhidramin inj 10mg/ml ampul Rp 1,760.00 Rp - Rp 1,760.00 Rp - 0 Rp 1,760.00 Rp - 0 Rp 1,760.00 Rp - Rp 1,760.00 Rp -
80 Digoksin 0.25 mg ktk 100 tab Rp 281.40 Rp - Rp 281.40 Rp - 0 Rp 281.40 Rp - 0 Rp 281.40 Rp - Rp 281.40 Rp -
81 Domperidone syr botol Rp 7,700.00 Rp - Rp 7,700.00 Rp - 0 Rp 7,700.00 Rp - 0 Rp 7,700.00 Rp - Rp 7,700.00 Rp -
82 Domperidone tab Ktk 100 tab Rp 68.18 Rp - Rp 68.18 Rp - 0 Rp 68.18 Rp - 0 Rp 68.18 Rp - Rp 68.18 Rp -
83 Eritromiin 500 mg Ktk 100 kap Rp 820.00 Rp - Rp 820.00 Rp - 0 Rp 820.00 Rp - 0 Rp 820.00 Rp - Rp 820.00 Rp -
84 Dumin Rectal supp Rp 24,850.00 Rp - Rp 24,850.00 Rp - 0 Rp 24,850.00 Rp - 0 Rp 24,850.00 Rp - Rp 24,850.00 Rp -
85 Ephinefrin HCl Injeksi ampul Rp 10,500.00 Rp - Rp 10,500.00 Rp - 0 Rp 10,500.00 Rp - 0 Rp 10,500.00 Rp - Rp 10,500.00 Rp -
86 Epinefrin inj 0.1% ampul Rp 6,900.00 Rp - Rp 6,900.00 Rp - 0 Rp 6,900.00 Rp - 0 Rp 6,900.00 Rp - Rp 6,900.00 Rp -
87 Kalsium Laktat 500 mg Ktk 100 tab Rp 63.00 Rp - Rp 63.00 Rp - 0 Rp 63.00 Rp - 0 Rp 63.00 Rp - Rp 63.00 Rp -
88 Ethyl Chlorida Spray botol Rp 205,000.00 Rp - Rp 205,000.00 Rp - 0 Rp 205,000.00 Rp - 0 Rp 205,000.00 Rp - Rp 205,000.00 Rp -
89 Fenobarbital 30 mg tab Btl 100 Rp 177.00 Rp - Rp 177.00 Rp - 0 Rp 177.00 Rp - 0 Rp 177.00 Rp - Rp 177.00 Rp -
90 Fitomenadion Injeksi 2 mg/ml Ktk 10 Amp Rp 4,990.00 Rp - Rp 4,990.00 Rp - 0 Rp 4,990.00 Rp - 0 Rp 4,990.00 Rp - Rp 4,990.00 Rp -
91 Fitomenadion Injeksi 2 mg/ml Ktk 30 Amp Rp 1,452.00 Rp - Rp 1,452.00 Rp - 0 Rp 1,452.00 Rp - 0 Rp 1,452.00 Rp - Rp 1,452.00 Rp -
92 Lidokain injeksi Ktk 30 ampul Rp 1,317.00 Rp - Rp 1,317.00 Rp - 0 Rp 1,317.00 Rp - 0 Rp 1,317.00 Rp - Rp 1,317.00 Rp -
93 Fitomenadion tab 10 mg Ktk 100 tab Rp 790.00 Rp - Rp 790.00 Rp - 0 Rp 790.00 Rp - 0 Rp 790.00 Rp - Rp 790.00 Rp -
94 Fitomenadion tab 10 mg Ktk 100 tab Rp 781.00 Rp - Rp 781.00 Rp - 0 Rp 781.00 Rp - 0 Rp 781.00 Rp - Rp 781.00 Rp -
95 Furosemide tab 40 mg ktk 200 tab Rp 123.55 Rp - Rp 123.55 Rp - 0 Rp 123.55 Rp - 0 Rp 123.55 Rp - Rp 123.55 Rp -
96 Meloxicam 15 mg tab ktk 100 tab Rp 251.70 Rp - Rp 251.70 Rp - 0 Rp 251.70 Rp - 0 Rp 251.70 Rp - Rp 251.70 Rp -
97 Garam Oralit Ktk 100 bks Rp 275.00 Rp - Rp 275.00 Rp - 0 Rp 275.00 Rp - 0 Rp 275.00 Rp - Rp 275.00 Rp -
98 Gentamisin sulfat salep mata tube Rp 6,127.00 Rp - Rp 6,127.00 Rp - 0 Rp 6,127.00 Rp - 0 Rp 6,127.00 Rp - Rp 6,127.00 Rp -
99 Gentamisin sulfat Salep Kulit ktk 24 btl Rp 2,780.00 Rp - Rp 2,780.00 Rp - 0 Rp 2,780.00 Rp - 0 Rp 2,780.00 Rp - Rp 2,780.00 Rp -
100 Gentamisin sulfat tetes mata ktk 24 btl Rp 5,217.00 Rp - Rp 5,217.00 Rp - 0 Rp 5,217.00 Rp - 0 Rp 5,217.00 Rp - Rp 5,217.00 Rp -
101 Glibenclamid Ktk 100 tab Rp 137.00 Rp - Rp 137.00 Rp - 0 Rp 137.00 Rp - 0 Rp 137.00 Rp - Rp 137.00 Rp -
102 Metoklopramid inj 10 mg/ml ktk 10 ampul Rp 4,554.00 Rp - Rp 4,554.00 Rp - 0 Rp 4,554.00 Rp - 0 Rp 4,554.00 Rp - Rp 4,554.00 Rp -
103 Glimepirid 2 mg ktk 100 tab Rp 317.00 Rp - Rp 317.00 Rp - 0 Rp 317.00 Rp - 0 Rp 317.00 Rp - Rp 317.00 Rp -
Glukosa larutan infus 5% btl 500ml Rp 7,686.00 Rp 7,686.00 Rp - 0 Rp 7,686.00 Rp - 0 Rp 7,686.00 Rp - Rp 7,686.00 Rp -
105 Glukosa larutan infus 5% btl 500ml Rp 6,627.00 Rp - Rp 6,627.00 Rp - 0 Rp 6,627.00 Rp - 0 Rp 6,627.00 Rp - Rp 6,627.00 Rp -
106 Griseofulvin Btl 100 tab Rp 210.00 Rp - Rp 210.00 Rp - 0 Rp 210.00 Rp - 0 Rp 210.00 Rp - Rp 210.00 Rp -
107 Guaifenesin 100 mg Ktk 100 tab Rp 100.00 Rp - Rp 100.00 Rp - 0 Rp 100.00 Rp - 0 Rp 100.00 Rp - Rp 100.00 Rp -
108 MgSO4 40% injeksi botol 25 ml Rp 3,796.00 Rp - Rp 3,796.00 Rp - 0 Rp 3,796.00 Rp - 0 Rp 3,796.00 Rp - Rp 3,796.00 Rp -
109 Haloperidol 5 mg Ktk 100 tab Rp 60.00 Rp - Rp 60.00 Rp - 0 Rp 60.00 Rp - 0 Rp 60.00 Rp - Rp 60.00 Rp -
110 Asetil Salisilat 80 mg ktk 100 tab Rp 89.00 Rp - Rp 89.00 Rp - 0 Rp 89.00 Rp - 0 Rp 89.00 Rp - Rp 89.00 Rp -
111 Haloperidol tab 5 mg Ktk 100 tab Rp 227.00 Rp - Rp 227.00 Rp - 0 Rp 227.00 Rp - 0 Rp 227.00 Rp - Rp 227.00 Rp -
112 Haloperidol tab 1.5 mg Ktk 100 tab Rp 212.00 Rp - Rp 212.00 Rp - 0 Rp 212.00 Rp - 0 Rp 212.00 Rp - Rp 212.00 Rp -
Hiosina BB 10 mg (Scopma) Ktk 100 tab Rp 743.00 Rp 743.00 Rp - 0 Rp 743.00 Rp - 0 Rp 743.00 Rp - Rp 743.00 Rp -
114 Hiosina Butilbromida 10 mg Ktk 100 tab Rp 1,050.00 Rp - Rp 1,050.00 Rp - 0 Rp 1,050.00 Rp - 0 Rp 1,050.00 Rp - Rp 1,050.00 Rp -
115 Hydroclorthiazid (HCT) Ktk 100 tab Rp 178.00 Rp - Rp 178.00 Rp - 0 Rp 178.00 Rp - 0 Rp 178.00 Rp - Rp 178.00 Rp -
116 Hydrokortison cream Ktk 24 tube Rp 2,325.00 Rp - Rp 2,325.00 Rp - 0 Rp 2,325.00 Rp - 0 Rp 2,325.00 Rp - Rp 2,325.00 Rp -
117 Ibuprofen 400 mg Ktk 100 tab Rp 448.00 Rp - Rp 448.00 Rp - 0 Rp 448.00 Rp - 0 Rp 448.00 Rp - Rp 448.00 Rp -
118 Ibuprofen 400 mg Btl 60 ml Rp 199.00 Rp - Rp 199.00 Rp - 0 Rp 199.00 Rp - 0 Rp 199.00 Rp - Rp 199.00 Rp -
119 Ibuprofen suspensi btl 60 ml Rp 3,392.00 Rp - Rp 3,392.00 Rp - 0 Rp 3,392.00 Rp - 0 Rp 3,392.00 Rp - Rp 3,392.00 Rp -
120 Ibuprofen tab 200 mg Btl 100 tab Rp 257.40 Rp - Rp 257.40 Rp - 0 Rp 257.40 Rp - 0 Rp 257.40 Rp - Rp 257.40 Rp -
121 Isosorbid dinihrat 5 mg tab ktk 10 tab Rp 89.00 Rp - Rp 89.00 Rp - 0 Rp 89.00 Rp - 0 Rp 89.00 Rp - Rp 89.00 Rp -
122 Kalsium Laktat Btl 100 tab Rp 54.55 Rp - Rp 54.55 Rp - 0 Rp 54.55 Rp - 0 Rp 54.55 Rp - Rp 54.55 Rp -
123 Kalsium Laktat 500 mg Ktk 100 tab Rp 60.00 Rp - Rp 60.00 Rp - 0 Rp 60.00 Rp - 0 Rp 60.00 Rp - Rp 60.00 Rp -
124 Ketoconazole krim Ktk Rp 2,694.00 Rp - Rp 2,694.00 Rp - 0 Rp 2,694.00 Rp - 0 Rp 2,694.00 Rp - Rp 2,694.00 Rp -
125 Ketokonazol 200 mg Ktk 100 tab Rp 143.00 Rp - Rp 143.00 Rp - 0 Rp 143.00 Rp - 0 Rp 143.00 Rp - Rp 143.00 Rp -
126 Ketorolac inj 30 mg/ml ampul Rp 923.00 Rp - Rp 923.00 Rp - 0 Rp 923.00 Rp - 0 Rp 923.00 Rp - Rp 923.00 Rp -
127 Ketorolac inj 30 mg/ml ampul Rp 6,000.00 Rp - Rp 6,000.00 Rp - 0 Rp 6,000.00 Rp - 0 Rp 6,000.00 Rp - Rp 6,000.00 Rp -
Kotrimoksasol 480 mg ktk 100 tab Rp 320.00 Rp 320.00 Rp - 0 Rp 320.00 Rp - 0 Rp 320.00 Rp - Rp 320.00 Rp -
129 Kotrimoksasol suspensi botol Rp 4,084.00 Rp - Rp 4,084.00 Rp - 0 Rp 4,084.00 Rp - 0 Rp 4,084.00 Rp - Rp 4,084.00 Rp -
130 Lanzoprazol kapsul ktk 50 kaps Rp 655.00 Rp - Rp 655.00 Rp - 0 Rp 655.00 Rp - 0 Rp 655.00 Rp - Rp 655.00 Rp -
Lidokain comp injeksi Ktk 30 ampul Rp 1,532.00 Rp 1,532.00 Rp - 0 Rp 1,532.00 Rp - 0 Rp 1,532.00 Rp - Rp 1,532.00 Rp -
132 Lidokain comp injeksi Ktk 30 ampul Rp 847.00 Rp - Rp 847.00 Rp - 0 Rp 847.00 Rp - 0 Rp 847.00 Rp - Rp 847.00 Rp -
133 Loperamide tab Ktk 100 tab Rp 81.00 Rp - Rp 81.00 Rp - 0 Rp 81.00 Rp - 0 Rp 81.00 Rp - Rp 81.00 Rp -
134 Loperamide tab Ktk 100 tab Rp 77.00 Rp - Rp 77.00 Rp - 0 Rp 77.00 Rp - 0 Rp 77.00 Rp - Rp 77.00 Rp -
135 Loratadin 10 mg tab ktk 100 tab Rp 117.00 Rp - Rp 117.00 Rp - 0 Rp 117.00 Rp - 0 Rp 117.00 Rp - Rp 117.00 Rp -
Loratadin 10 mg tab ktk 100 tab Rp 200.00 Rp 200.00 Rp - 0 Rp 200.00 Rp - 0 Rp 200.00 Rp - Rp 200.00 Rp -
137 lyctacur syrup botol Rp 10,656.00 Rp - Rp 10,656.00 Rp - 0 Rp 10,656.00 Rp - 0 Rp 10,656.00 Rp - Rp 10,656.00 Rp -
138 Meloxicam 15 mg Ktk 50 tab Rp 491.00 Rp - Rp 491.00 Rp - 0 Rp 491.00 Rp - 0 Rp 491.00 Rp - Rp 491.00 Rp -
139 Metformin 500 mg Ktk 200 tab Rp 77.00 Rp - Rp 77.00 Rp - 0 Rp 77.00 Rp - 0 Rp 77.00 Rp - Rp 77.00 Rp -
Metformin 500 mg Ktk 100 tab Rp 200.00 Rp 200.00 Rp - 0 Rp 200.00 Rp - 0 Rp 200.00 Rp - Rp 200.00 Rp -
Metformin 500 mg Ktk 100 tab Rp 260.00 Rp 260.00 Rp - 0 Rp 260.00 Rp - 0 Rp 260.00 Rp - Rp 260.00 Rp -
142 Methyl prednisolon ktk 100 tab Rp 282.00 Rp - Rp 282.00 Rp - 0 Rp 282.00 Rp - 0 Rp 282.00 Rp - Rp 282.00 Rp -
143 Metil Ergometrin Tab Ktk 100 tab Rp 214.00 Rp - Rp 214.00 Rp - 0 Rp 214.00 Rp - 0 Rp 214.00 Rp - Rp 214.00 Rp -
Metil Ergometrin injekso ampul Rp 3,400.00 Rp 3,400.00 Rp - 0 Rp 3,400.00 Rp - 0 Rp 3,400.00 Rp - Rp 3,400.00 Rp -
145 Metoklopramid 10 mg Ktk 100 tab Rp 66.00 Rp - Rp 66.00 Rp - 0 Rp 66.00 Rp - 0 Rp 66.00 Rp - Rp 66.00 Rp -
147 Risperidone tablet Ktk 100 tab Rp 273.00 Rp - Rp 273.00 Rp - 0 Rp 273.00 Rp - 0 Rp 273.00 Rp - Rp 273.00 Rp -
148 Salbutamol 4 mg tab ktk 100 tab Rp 156.00 Rp - Rp 156.00 Rp - 0 Rp 156.00 Rp - 0 Rp 156.00 Rp - Rp 156.00 Rp -
150 Metoklopramid syrup botol 60 mL Rp 4,379.00 Rp - Rp 4,379.00 Rp - 0 Rp 4,379.00 Rp - 0 Rp 4,379.00 Rp - Rp 4,379.00 Rp -
151 Metoklopramid tablet ktk 100 tab Rp 100.00 Rp - Rp 100.00 Rp - 0 Rp 100.00 Rp - 0 Rp 100.00 Rp - Rp 100.00 Rp -
152 Metronidazol 500 mg Ktk 100 tab Rp 330.00 Rp - Rp 330.00 Rp - 0 Rp 330.00 Rp - 0 Rp 330.00 Rp - Rp 330.00 Rp -
153 Sefadroxil kaps 500 mg Ktk 100 Kaps Rp 744.00 Rp - Rp 744.00 Rp - 0 Rp 744.00 Rp - 0 Rp 744.00 Rp - Rp 744.00 Rp -
156 Stesolid 5mg/2.5ml rectal tube Rp 4,800.00 Rp - Rp 4,800.00 Rp - 0 Rp 4,800.00 Rp - 0 Rp 4,800.00 Rp - Rp 4,800.00 Rp -
157 tab Tambah Darah OGB tab 30 tab Rp 409.00 Rp - Rp 409.00 Rp - 0 Rp 409.00 Rp - 0 Rp 409.00 Rp - Rp 409.00 Rp -
158 Mikonazole salep kulit 2 % tube Rp 4,113.00 Rp - Rp 4,113.00 Rp - 0 Rp 4,113.00 Rp - 0 Rp 4,113.00 Rp - Rp 4,113.00 Rp -
159 Trihexyphenidil 2 mg tab ktk 100 tab Rp 85.00 Rp - Rp 85.00 Rp - 0 Rp 85.00 Rp - 0 Rp 85.00 Rp - Rp 85.00 Rp -
160 Vitamin B Kompleks Ktk 100 tab Rp 144.00 Rp - Rp 144.00 Rp - 0 Rp 144.00 Rp - 0 Rp 144.00 Rp - Rp 144.00 Rp -
161 Mikonazole salep kulit 2 % tube Rp 1,900.00 Rp - Rp 1,900.00 Rp - 0 Rp 1,900.00 Rp - 0 Rp 1,900.00 Rp - Rp 1,900.00 Rp -
162 Muliavit Syrup botol 60 mL Rp 5,720.00 Rp - Rp 5,720.00 Rp - 0 Rp 5,720.00 Rp - 0 Rp 5,720.00 Rp - Rp 5,720.00 Rp -
163 NaCl 0.9% Infus Btl 500 ml Rp 6,900.00 Rp - Rp 6,900.00 Rp - 0 Rp 6,900.00 Rp - 0 Rp 6,900.00 Rp - Rp 6,900.00 Rp -
NaCl 0.9% Infus Btl 500 ml Rp 7,673.00 Rp 7,673.00 Rp - 0 Rp 7,673.00 Rp - 0 Rp 7,673.00 Rp - Rp 7,673.00 Rp -
165 Natrium Diklofenak 50 mg Ktk 50 tab Rp 210.00 Rp - Rp 210.00 Rp - 0 Rp 210.00 Rp - 0 Rp 210.00 Rp - Rp 210.00 Rp -
166 New Antides 600 mg ktk 100 tab Rp 550.00 Rp - Rp 550.00 Rp - 0 Rp 550.00 Rp - 0 Rp 550.00 Rp - Rp 550.00 Rp -
167 Nifedipin 10 mg Ktk 100 tab Rp 390.44 Rp - Rp 390.44 Rp - 0 Rp 390.44 Rp - 0 Rp 390.44 Rp - Rp 390.44 Rp -
168 Nistatin Vaginal tab Ktk 100 tab Rp 480.00 Rp - Rp 480.00 Rp - 0 Rp 480.00 Rp - 0 Rp 480.00 Rp - Rp 480.00 Rp -
169 Nistatin Vaginal tab Ktk 100 tab Rp 550.00 Rp - Rp 550.00 Rp - 0 Rp 550.00 Rp - 0 Rp 550.00 Rp - Rp 550.00 Rp -
170 OBH syrup 100 ml Btl 100 ml Rp 4,593.00 Rp - Rp 4,593.00 Rp - 0 Rp 4,593.00 Rp - 0 Rp 4,593.00 Rp - Rp 4,593.00 Rp -
171 OBH syrup 100 ml Btl 100 ml Rp 7,025.00 Rp - Rp 7,025.00 Rp - 0 Rp 7,025.00 Rp - 0 Rp 7,025.00 Rp - Rp 7,025.00 Rp -
172 Omeprazole 20 mg ktk 200 tab Rp 255.00 Rp - Rp 255.00 Rp - 0 Rp 255.00 Rp - 0 Rp 255.00 Rp - Rp 255.00 Rp -
173 Ondasentron HCl inj 2mg/ml ampul Rp 2,575.00 Rp - Rp 2,575.00 Rp - 0 Rp 2,575.00 Rp - 0 Rp 2,575.00 Rp - Rp 2,575.00 Rp -
174 Difenhidramin inj 10mg/ml ktk 30 ampul Rp 825.00 Rp - Rp 825.00 Rp - 0 Rp 825.00 Rp - 0 Rp 825.00 Rp - Rp 825.00 Rp -
Onoake Kapsul kotak 30 kap Rp 4,990.00 Rp 4,990.00 Rp - 0 Rp 4,990.00 Rp - 0 Rp 4,990.00 Rp - Rp 4,990.00 Rp -
176 Oxytetracycline salep kulit 3% Ktk 25 tube Rp 2,139.28 Rp - Rp 2,139.28 Rp - 0 Rp 2,139.28 Rp - 0 Rp 2,139.28 Rp - Rp 2,139.28 Rp -
177 Oxytetracycline salep mata Ktk 25 tube Rp 3,500.00 Rp - Rp 3,500.00 Rp - 0 Rp 3,500.00 Rp - 0 Rp 3,500.00 Rp - Rp 3,500.00 Rp -
Rp - Rp - 0 Rp - Rp -
179 Oxytocin inj Ktk 100 amp Rp 8,500.00 Rp - Rp 8,500.00 Rp - 0 Rp 8,500.00 Rp - 0 Rp 8,500.00 Rp - Rp 8,500.00 Rp -
180 Oxyvit D3 Btl 60 kap Rp 2,035.00 Rp - Rp 2,035.00 Rp - 0 Rp 2,035.00 Rp - 0 Rp 2,035.00 Rp - Rp 2,035.00 Rp -
181 Pantoprazole kap ktk 60 kap Rp 5,273.00 Rp - Rp 5,273.00 Rp - 0 Rp 5,273.00 Rp - 0 Rp 5,273.00 Rp - Rp 5,273.00 Rp -
182 Paracetamol syrup Btl 60 ml Rp 1,160.00 Rp - Rp 1,160.00 Rp - 0 Rp 1,160.00 Rp - 0 Rp 1,160.00 Rp - Rp 1,160.00 Rp -
183 Paracetamol syrup Btl 60 ml Rp 4,957.00 Rp - Rp 4,957.00 Rp - 0 Rp 4,957.00 Rp - 0 Rp 4,957.00 Rp - Rp 4,957.00 Rp -
184 Paracetamol tab ktk 100 tab Rp 182.00 Rp - Rp 182.00 Rp - 0 Rp 182.00 Rp - 0 Rp 182.00 Rp - Rp 182.00 Rp -
185 Ketokonazol 200 mg Ktk 100 tab Rp 260.00 Rp - Rp 260.00 Rp - 0 Rp 260.00 Rp - 0 Rp 260.00 Rp - Rp 260.00 Rp -
186 Parasetamol 500 mg Ktk 100 tab Rp 292.00 Rp - Rp 292.00 Rp - 0 Rp 292.00 Rp - 0 Rp 292.00 Rp - Rp 292.00 Rp -
187 Parasetamol 500 mg Ktk 100 tab Rp 210.00 Rp - Rp 210.00 Rp - 0 Rp 210.00 Rp - 0 Rp 210.00 Rp - Rp 210.00 Rp -
188 Parasetamol infus 10 mg/ml botol Rp 14,360.00 Rp - Rp 14,360.00 Rp - 0 Rp 14,360.00 Rp - 0 Rp 14,360.00 Rp - Rp 14,360.00 Rp -
189 Piridoxin tab ktk 100 tab Rp 114.00 Rp - Rp 114.00 Rp - 0 Rp 114.00 Rp - 0 Rp 114.00 Rp - Rp 114.00 Rp -
190 Piridoxin tab ktk 200 tab Rp 72.65 Rp - Rp 72.65 Rp - 0 Rp 72.65 Rp - 0 Rp 72.65 Rp - Rp 72.65 Rp -
191 Prednison tab Ktk 100 tab Rp 107.00 Rp - Rp 107.00 Rp - 0 Rp 107.00 Rp - 0 Rp 107.00 Rp - Rp 107.00 Rp -
193 Prednison tab Ktk 100 tab Rp 73.00 Rp - Rp 73.00 Rp - 0 Rp 73.00 Rp - 0 Rp 73.00 Rp - Rp 73.00 Rp -
194 Propil Thiuracyl 100 mg ktk 100 tab Rp 350.00 Rp - Rp 350.00 Rp - 0 Rp 350.00 Rp - 0 Rp 350.00 Rp - Rp 350.00 Rp -
195 Propranolol 10 mg tab ktk 100 tab Rp 63.00 Rp - Rp 63.00 Rp - 0 Rp 63.00 Rp - 0 Rp 63.00 Rp - Rp 63.00 Rp -
Ranitidine 120 mg ktk 100 tab Rp 189.00 Rp 189.00 Rp - 0 Rp 189.00 Rp - 0 Rp 189.00 Rp - Rp 189.00 Rp -
197 Ranitidine 120 mg ktk 100 tab Rp 85.00 Rp - Rp 85.00 Rp - 0 Rp 85.00 Rp - 0 Rp 85.00 Rp - Rp 85.00 Rp -
198 Ranitidine Inj ktk 25 amp Rp 1,530.00 Rp - Rp 1,530.00 Rp - 0 Rp 1,530.00 Rp - 0 Rp 1,530.00 Rp - Rp 1,530.00 Rp -
Ringer Asetat Btl 500 ml Rp 8,500.00 Rp 8,500.00 Rp - 0 Rp 8,500.00 Rp - 0 Rp 8,500.00 Rp - Rp 8,500.00 Rp -
200 Ringer Asetat Btl 500 ml Rp 9,592.00 Rp - Rp 9,592.00 Rp - 0 Rp 9,592.00 Rp - 0 Rp 9,592.00 Rp - Rp 9,592.00 Rp -
201 Ringer Lactat Btl 500 ml Rp 8,498.00 Rp - Rp 8,498.00 Rp - 0 Rp 8,498.00 Rp - 0 Rp 8,498.00 Rp - Rp 8,498.00 Rp -
202 Risperidone 2 mg Ktk 100 tab Rp 287.00 Rp - Rp 287.00 Rp - 0 Rp 287.00 Rp - 0 Rp 287.00 Rp - Rp 287.00 Rp -
203 Risperidone 2 mg Ktk 100 tab Rp 273.00 Rp - Rp 273.00 Rp - 0 Rp 273.00 Rp - 0 Rp 273.00 Rp - Rp 273.00 Rp -
204 Salep 2 - 4 Ktk 24 pot Rp 1,475.00 Rp - Rp 1,475.00 Rp - 0 Rp 1,475.00 Rp - 0 Rp 1,475.00 Rp - Rp 1,475.00 Rp -
205 Salbutamol tab Ktk 100 tab Rp 67.00 Rp - Rp 67.00 Rp - 0 Rp 67.00 Rp - 0 Rp 67.00 Rp - Rp 67.00 Rp -
Salbutamol inhalasi ampul Rp 4,995.00 Rp 4,995.00 Rp - 0 Rp 4,995.00 Rp - 0 Rp 4,995.00 Rp - Rp 4,995.00 Rp -
207 Salisil Talk Pot 100 gr Rp 3,103.00 Rp - Rp 3,103.00 Rp - 0 Rp 3,103.00 Rp - 0 Rp 3,103.00 Rp - Rp 3,103.00 Rp -
208 Scabimite Salep Permetrin Tube Rp 11,825.00 Rp - Rp 11,825.00 Rp - 0 Rp 11,825.00 Rp - 0 Rp 11,825.00 Rp - Rp 11,825.00 Rp -
209 Sefadroxil kaps 500 mg Ktk 100 Kaps Rp 1,000.00 Rp - Rp 1,000.00 Rp - 0 Rp 1,000.00 Rp - 0 Rp 1,000.00 Rp - Rp 1,000.00 Rp -
210 Sefadroxyl Syrup Botol Rp 9,700.00 Rp - Rp 9,700.00 Rp - 0 Rp 9,700.00 Rp - 0 Rp 9,700.00 Rp - Rp 9,700.00 Rp -
211 Striatamin kap kotak 30 kap Rp 5,372.00 Rp - Rp 5,372.00 Rp - 0 Rp 5,372.00 Rp - 0 Rp 5,372.00 Rp - Rp 5,372.00 Rp -
212 Sianokobalamin (Vit 12) tab Ktk 100 tab Rp 70.00 Rp - Rp 70.00 Rp - 0 Rp 70.00 Rp - 0 Rp 70.00 Rp - Rp 70.00 Rp -
213 Simvastatin 20 mg Ktk 50 tab Rp 430.00 Rp - Rp 430.00 Rp - 0 Rp 430.00 Rp - 0 Rp 430.00 Rp - Rp 430.00 Rp -
214 Siprofloksasin 500 mg tab Ktk 100 tab Rp 260.00 Rp - Rp 260.00 Rp - 0 Rp 260.00 Rp - 0 Rp 260.00 Rp - Rp 260.00 Rp -
215 Stimuno Forte Tablet botol 30 kapsul Rp 1,958.00 Rp - Rp 1,958.00 Rp - 0 Rp 1,958.00 Rp - 0 Rp 1,958.00 Rp - Rp 1,958.00 Rp -
216 Stimuno Sachet Sacchet/ 30 Rp 1,832.00 Rp - Rp 1,832.00 Rp - 0 Rp 1,832.00 Rp - 0 Rp 1,832.00 Rp - Rp 1,832.00 Rp -
217 Supralysin syrup botol 60 ml Rp 33,300.00 Rp - Rp 33,300.00 Rp - 0 Rp 33,300.00 Rp - 0 Rp 33,300.00 Rp - Rp 33,300.00 Rp -
218 Trifluoperazin tab ktk 100 tab Rp 287.00 Rp - Rp 287.00 Rp - 0 Rp 287.00 Rp - 0 Rp 287.00 Rp - Rp 287.00 Rp -
219 Tetrasiklin 250 mg ktk 100 kap Rp 181.00 Rp - Rp 181.00 Rp - 0 Rp 181.00 Rp - 0 Rp 181.00 Rp - Rp 181.00 Rp -
220 Thiamin (Vit B1) tab 50 ktk 100 tab Rp 225.00 Rp - Rp 225.00 Rp - 0 Rp 225.00 Rp - 0 Rp 225.00 Rp - Rp 225.00 Rp -
221 Trihexyphenidil 2 mg tab ktk 100 tab Rp 63.00 Rp - Rp 63.00 Rp - 0 Rp 63.00 Rp - 0 Rp 63.00 Rp - Rp 63.00 Rp -
Trihexyphenidil 2 mg tab ktk 100 tab Rp 110.00 Rp 110.00 Rp - 0 Rp 110.00 Rp - 0 Rp 110.00 Rp - Rp 110.00 Rp -
223 Vitamin B Kompleks Ktk 100 tab Rp 60.00 Rp - Rp 60.00 Rp - 0 Rp 60.00 Rp - 0 Rp 60.00 Rp - Rp 60.00 Rp -
Vitamin B Kompleks Ktk 100 tab Rp 127.00 Rp 127.00 Rp - 0 Rp 127.00 Rp - 0 Rp 127.00 Rp - Rp 127.00 Rp -
225 Zinc tab Ktk 100 tab Rp 253.00 Rp - Rp 253.00 Rp - 0 Rp 253.00 Rp - 0 Rp 253.00 Rp - Rp 253.00 Rp -
226 Zink Sulfat Ktk 100 tab Rp 195.00 Rp - Rp 195.00 Rp - 0 Rp 195.00 Rp - 0 Rp 195.00 Rp - Rp 195.00 Rp -
Diazepam injeksi ampul Rp 1,545.00 Rp 1,545.00 Rp - 0 Rp 1,545.00 Rp - 0 Rp 1,545.00 Rp - Rp 1,545.00 Rp -
JUMLAH OBAT Rp - Rp - Rp - Rp - Rp -
.
.
1 Alat Suntik 0.5 ml Pcs Rp 1,240.00 Rp - Rp 1,240.00 Rp - 0 Rp 1,240.00 Rp - 0 Rp 1,240.00 Rp - Rp 1,240.00 Rp -
1 Alat Suntik 1 mL ktk Rp 747.50 Rp - Rp 747.50 Rp - 0 Rp 747.50 Rp - 0 Rp 747.50 Rp - Rp 747.50 Rp -
3 Alat Suntik 1 ml REMEDI pcs Rp 1,000.00 Rp - Rp 1,000.00 Rp - 0 Rp 1,000.00 Rp - 0 Rp 1,000.00 Rp - Rp 1,000.00 Rp -
2 Alat Suntik 3 ml Ktk Rp 747.50 Rp - Rp 747.50 Rp - 0 Rp 747.50 Rp - 0 Rp 747.50 Rp - Rp 747.50 Rp -
6 Alat Suntik 3 ml REMEDI pcs Rp 800.00 Rp - Rp 800.00 Rp - 0 Rp 800.00 Rp - 0 Rp 800.00 Rp - Rp 800.00 Rp -
8 Alat Suntik 5 ml pcs Rp 1,583.00 Rp - Rp 1,583.00 Rp - 0 Rp 1,583.00 Rp - 0 Rp 1,583.00 Rp - Rp 1,583.00 Rp -
3 Alat Suntik 5 ml pcs Rp 1,500.00 Rp - Rp 1,500.00 Rp - 0 Rp 1,500.00 Rp - 0 Rp 1,500.00 Rp - Rp 1,500.00 Rp -
4 Alkohol swab Pcs Rp 13,800.00 Rp - Rp 13,800.00 Rp - 0 Rp 13,800.00 Rp - 0 Rp 13,800.00 Rp - Rp 13,800.00 Rp -
5 Antiseptic gel botol 500 ml Rp 76,743.53 Rp - Rp 76,743.53 Rp - 0 Rp 76,743.53 Rp - 0 Rp 76,743.53 Rp - Rp 76,743.53 Rp -
12 Autocheck Asam Urat Set Rp 188,484.85 Rp - Rp 188,484.85 Rp - 0 Rp 188,484.85 Rp - 0 Rp 188,484.85 Rp - Rp 188,484.85 Rp -
13 Autocheck Asam Urat Set Rp 178,750.00 Rp - Rp 178,750.00 Rp - 0 Rp 178,750.00 Rp - 0 Rp 178,750.00 Rp - Rp 178,750.00 Rp -
14 Autocheck Glukosa Set Rp 137,500.00 Rp - Rp 137,500.00 Rp - 0 Rp 137,500.00 Rp - 0 Rp 137,500.00 Rp - Rp 137,500.00 Rp -
15 Autocheck Kolesterol Set Rp 368,500.00 Rp - Rp 368,500.00 Rp - 0 Rp 368,500.00 Rp - 0 Rp 368,500.00 Rp - Rp 368,500.00 Rp -
6 Benecheck Glukosa Set Rp 176,000.00 Rp - Rp 176,000.00 Rp - 0 Rp 176,000.00 Rp - 0 Rp 176,000.00 Rp - Rp 176,000.00 Rp -
7 Benecheck Kolesterol Set Rp 275,000.00 Rp - Rp 275,000.00 Rp - 0 Rp 275,000.00 Rp - 0 Rp 275,000.00 Rp - Rp 275,000.00 Rp -
18 Blood Lancet ktk 100 pcs Rp 14,546.00 Rp - Rp 14,546.00 Rp - 0 Rp 14,546.00 Rp - 0 Rp 14,546.00 Rp - Rp 14,546.00 Rp -
8 Canula anak pcs Rp 7,421.00 Rp - Rp 7,421.00 Rp - 0 Rp 7,421.00 Rp - 0 Rp 7,421.00 Rp - Rp 7,421.00 Rp -
9 Canula Bayi Pcs Rp 7,421.00 Rp - Rp 7,421.00 Rp - 0 Rp 7,421.00 Rp - 0 Rp 7,421.00 Rp - Rp 7,421.00 Rp -
10 Canula dewasa pcs Rp 7,421.00 Rp - Rp 7,421.00 Rp - 0 Rp 7,421.00 Rp - 0 Rp 7,421.00 Rp - Rp 7,421.00 Rp -
11 Catgut 2/0 dgn jarum bedah pcs Rp 24,296.97 Rp - Rp 24,296.97 Rp - 0 Rp 24,296.97 Rp - 0 Rp 24,296.97 Rp - Rp 24,296.97 Rp -
12 Catgut 2/0 dgn jarum bedah Pcs Rp 52,872.61 Rp - Rp 52,872.61 Rp - 0 Rp 52,872.61 Rp - 0 Rp 52,872.61 Rp - Rp 52,872.61 Rp -
24 Depulpin btl Rp 83,490.00 Rp - Rp 83,490.00 Rp - 0 Rp 83,490.00 Rp - 0 Rp 83,490.00 Rp - Rp 83,490.00 Rp -
13 Etanol 70 % Btl 1000 ml Rp 28,400.00 Rp - Rp 28,400.00 Rp - 0 Rp 28,400.00 Rp - 0 Rp 28,400.00 Rp - Rp 28,400.00 Rp -
15 Folley Cateter No 16 Pcs Rp 15,000.00 Rp - Rp 15,000.00 Rp - 0 Rp 15,000.00 Rp - 0 Rp 15,000.00 Rp - Rp 15,000.00 Rp -
16 Folley Cateter No 18 pcs Rp 15,000.00 Rp - Rp 15,000.00 Rp - 0 Rp 15,000.00 Rp - 0 Rp 15,000.00 Rp - Rp 15,000.00 Rp -
17 Folley Cateter No 18 Pcs Rp 11,005.50 Rp - Rp 11,005.50 Rp - 0 Rp 11,005.50 Rp - 0 Rp 11,005.50 Rp - Rp 11,005.50 Rp -
18 Folley Cateter No 18 Fr Pcs Rp 10,120.00 Rp - Rp 10,120.00 Rp - 0 Rp 10,120.00 Rp - 0 Rp 10,120.00 Rp - Rp 10,120.00 Rp -
19 Glass Ionomer ART Set Rp 1,555,000 Rp - Rp 1,555,000.00 Rp - 0 Rp 1,555,000.00 Rp - 0 Rp 1,555,000.00 Rp - Rp 1,555,000.00 Rp -
20 Hemostal set Rp 333,750.00 Rp - Rp 333,750.00 Rp - 0 Rp 333,750.00 Rp - 0 Rp 333,750.00 Rp - Rp 333,750.00 Rp -
21 Handschoen Non Steril kotak 100 Rp 121,000.00 Rp - Rp 121,000.00 Rp - 0 Rp 121,000.00 Rp - 0 Rp 121,000.00 Rp - Rp 121,000.00 Rp -
35 Handschoen Non Steril 7 - 7,5 pcs Rp 2,290.00 Rp - Rp 2,290.00 Rp - 0 Rp 2,290.00 Rp - 0 Rp 2,290.00 Rp - Rp 2,290.00 Rp -
22 Infus Set Anak set Rp 6,900.00 Rp - Rp 6,900.00 Rp - 0 Rp 6,900.00 Rp - 0 Rp 6,900.00 Rp - Rp 6,900.00 Rp -
37 Infus Set Dewasa set Rp 7,810.00 Rp - Rp 7,810.00 Rp - 0 Rp 7,810.00 Rp - 0 Rp 7,810.00 Rp - Rp 7,810.00 Rp -
23 Infusion Set Anak set Rp 5,100.00 Rp - Rp 5,100.00 Rp - 0 Rp 5,100.00 Rp - 0 Rp 5,100.00 Rp - Rp 5,100.00 Rp -
39 Infusion set Anak Set Rp 5,819.00 Rp - Rp 5,819.00 Rp - 0 Rp 5,819.00 Rp - 0 Rp 5,819.00 Rp - Rp 5,819.00 Rp -
40 Infusion Set Dewasa set Rp 6,900.00 Rp - Rp 6,900.00 Rp - 0 Rp 6,900.00 Rp - 0 Rp 6,900.00 Rp - Rp 6,900.00 Rp -
41 Infusion set Dewasa set Rp 4,800.00 Rp - Rp 4,800.00 Rp - 0 Rp 4,800.00 Rp - 0 Rp 4,800.00 Rp - Rp 4,800.00 Rp -
24 Infusion set Dewasa set Rp 8,433.00 Rp - Rp 8,433.00 Rp - 0 Rp 8,433.00 Rp - 0 Rp 8,433.00 Rp - Rp 8,433.00 Rp -
25 IV Catheter No. 18 G set Rp 10,206.00 Rp - Rp 10,206.00 Rp - 0 Rp 10,206.00 Rp - 0 Rp 10,206.00 Rp - Rp 10,206.00 Rp -
26 IV Catheter No. 18 G Pcs Rp 6,894.25 Rp - Rp 6,894.25 Rp - 0 Rp 6,894.25 Rp - 0 Rp 6,894.25 Rp - Rp 6,894.25 Rp -
49 IV Catheter No. 22 G pcs Rp 6,100.00 Rp - Rp 6,100.00 Rp - 0 Rp 6,100.00 Rp - 0 Rp 6,100.00 Rp - Rp 6,100.00 Rp -
52 IV Catheter No. 24 G pcs Rp 6,100.00 Rp - Rp 6,100.00 Rp - 0 Rp 6,100.00 Rp - 0 Rp 6,100.00 Rp - Rp 6,100.00 Rp -
31 Jarum Citoject ktk 100 pcs Rp 2,990.00 Rp - Rp 2,990.00 Rp - 0 Rp 2,990.00 Rp - 0 Rp 2,990.00 Rp - Rp 2,990.00 Rp -
32 Kasa Hidrofil 4 m x 15 cm bungkus Rp 2,365.00 Rp - Rp 2,365.00 Rp - 0 Rp 2,365.00 Rp - 0 Rp 2,365.00 Rp - Rp 2,365.00 Rp -
55 Kasa Hidrofil 4 m x 15 cm roll Rp 2,583.90 Rp - Rp 2,583.90 Rp - 0 Rp 2,583.90 Rp - 0 Rp 2,583.90 Rp - Rp 2,583.90 Rp -
56 Kasa Kompres 40/40 (steril) Bungkus Rp 1,599.40 Rp - Rp 1,599.40 Rp - 0 Rp 1,599.40 Rp - 0 Rp 1,599.40 Rp - Rp 1,599.40 Rp -
33 Kasa Pembalut 40 y x 80 cm Roll Rp 147,775.00 Rp - Rp 147,775.00 Rp - 0 Rp 147,775.00 Rp - 0 Rp 147,775.00 Rp - Rp 147,775.00 Rp -
34 Kasa Pembalut 40 y x 80 cm Roll Rp 139,195.80 Rp - Rp 139,195.80 Rp - 0 Rp 139,195.80 Rp - 0 Rp 139,195.80 Rp - Rp 139,195.80 Rp -
59 Masker Ktk 50 Rp 2,320.00 Rp - Rp 2,320.00 Rp - 0 Rp 2,320.00 Rp - 0 Rp 2,320.00 Rp - Rp 2,320.00 Rp -
35 Masker kotak 50 pcs Rp 55,000.00 Rp - Rp 55,000.00 Rp - 0 Rp 55,000.00 Rp - 0 Rp 55,000.00 Rp - Rp 55,000.00 Rp -
36 Masker kotak 50 pcs Rp 45,000.00 Rp - Rp 45,000.00 Rp - 0 Rp 45,000.00 Rp - 0 Rp 45,000.00 Rp - Rp 45,000.00 Rp -
62 Masker Earlop 3 ply ktk 50 lbr Rp 116,000.00 Rp - Rp 116,000.00 Rp - 0 Rp 116,000.00 Rp - 0 Rp 116,000.00 Rp - Rp 116,000.00 Rp -
37 Nilon 5/0 dgn jarum bedah pcs Rp 44,613.80 Rp - Rp 44,613.80 Rp - 0 Rp 44,613.80 Rp - 0 Rp 44,613.80 Rp - Rp 44,613.80 Rp -
38 Octadin Btl 1000 ml Rp 396,000.00 Rp - Rp 396,000.00 Rp - 0 Rp 396,000.00 Rp - 0 Rp 396,000.00 Rp - Rp 396,000.00 Rp -
39 Oralfil Plus pot Rp 52,033.33 Rp - Rp 52,033.33 Rp - 0 Rp 52,033.33 Rp - 0 Rp 52,033.33 Rp - Rp 52,033.33 Rp -
40 Plester/Pharmafix 5 cm x 5 m Roll Rp 32,190.00 Rp - Rp 32,190.00 Rp - 0 Rp 32,190.00 Rp - 0 Rp 32,190.00 Rp - Rp 32,190.00 Rp -
41 Povidon Iodida Btl 300 ml Rp 21,700.00 Rp - Rp 21,700.00 Rp - 0 Rp 21,700.00 Rp - 0 Rp 21,700.00 Rp - Rp 21,700.00 Rp -
42 Zystem Pot Rp 62,885.00 Rp - Rp 62,885.00 Rp - 0 Rp 62,885.00 Rp - 0 Rp 62,885.00 Rp - Rp 62,885.00 Rp -
43 Silk 3/0 dgn jarum bedah pcs Rp 15,626.97 Rp - Rp 15,626.97 Rp - 0 Rp 15,626.97 Rp - 0 Rp 15,626.97 Rp - Rp 15,626.97 Rp -
45 Urine bag Pcs Rp 9,460.00 Rp - Rp 9,460.00 Rp - 0 Rp 9,460.00 Rp - 0 Rp 9,460.00 Rp - Rp 9,460.00 Rp -
JUMLAH BHP MEDIS Rp - Rp - . Rp - Rp - Rp -
JUMLAH OBAT + BHP MEDIS Rp - Rp - . Rp - Rp - Rp -
.
.
.
.
NIP. 19770808 199702 2 001 . NIP. 19860226 201001 2 038
Bontomana
apotek UGD KIA gigi p. umum imun kartu tu kesling LAB Borimatang Kalemandal Mandalle Manjalling Tanabangka exp P2TB
i
Column1 Column2 Column3 Column32 Column4 Column5 Column54 Column55 Column53 Column52 Column6 Column7 Column8 Column9 Column10 Column11 Column112 Column12 Column13
60 120 60 240
480 180 360 360 120 1500
900 900
1000 200 1200
0 2 6 14 4 5 31
4600 4600
700 200 200 100 100 700 2000
200 200
300 300
100 100
6900 400 100 200 300 7900
0 0
25 25
100 100
29600 4100 1100 300 200 300 1000 200 36800
0 0
0 800 800
0 0
16000 5000 350 1000 1000 1500 1000 2750 1550 30150
0
38800 8000 200 1000 400 1000 1400 2000 400 53200
315 60 40 20 20 20 10 10 495
0 25 70 95
0 0
12800 2500 300 300 300 400 300 900 200 18000
0
0
0
0
25 25
0 0
30 30
0
6000 1600 400 1000 1500 1000 1300 2500 2800 22000 40100
29400 4800 1500 1000 1200 1000 1300 1500 200 20000 61900
0 2 8 10
0 2 2 2 6
0 2 2 4
0 0
100 600 100 100 200 1100
1100 200 200 1500
110 110
205 10 10 225
0 100 100
100 200 300
0
0
300 300
0
600 600
0 0
8600 900 500 500 200 300 100 500 400 12000
82 82
1440 1440
90 90
0
0
3 3
1500 400 1900
0
0
0
41400 6700 400 800 600 600 500 3000 700 54700
100 100
900 900
2300 200 200 2700
1800 1800
0
750 750
50 50
0 7 7
0
59900 9500 700 1700 1000 1500 1000 2600 1000 78900
0
0 10 5 5 5 25
0 10 10
400 900 1300
0 10 5 5 5 37 62
0 8 4 4 4 20
0 0
21 7 28
0 1400 200 200 200 200 200 2400
0 0
0 5 5
0 2 1 1 1 5
0 12 12
0
0 2 8 10
200 1300 1500
0 60 60
0 60 60
0
0
600 600
0 0
0
800 300 1100
24 24
50 50
24 24
0
0
850 850
0 20 20
5 5
100 300 300 200 900
25600 5200 400 700 800 1100 600 1800 600 36800
0
0
0
2100 2100
600 600
0 200 200
1000 100 200 100 200 1600
0 300 300
120 18 20 20 178
9400 2500 400 800 700 700 300 1000 800 16600
2300 300 500 200 3300
0
0
0
0
11300 1700 1300 700 1800 2100 2100 1700 22700
0
0 500 500
0 10 10
0 40 40
3000 1200 200 500 100 5000
116 50 5 5 5 181
550 100 100 50 800
0 210 190 10 10 30 450
0 105 30 60 10 5 15 225
100 1100 100 100 100 200 1700
2700 1900 200 100 4900
1500 100 1600
0 0
38 5 5 48
5900 200 200 50 200 150 350 250 7300
3000 400 9200 12600
3800 200 4000
2000 2000
5400 300 100 200 200 400 400 200 400 7600
1000 1000
0 5 5
2000 1300 200 3500
0 90 90
0
0
0
48 31 44 123
1000 400 400 200 200 2200
1100 300 100 100 100 1700
0
0 5 5
0 6 6
0
0
168 168
0
0
24 24
0
0 26 26
0 180 180
3500 400 300 200 4400
200 200
100 100 100 300
0
0
0
0
3600 200 200 4000
0 260 260
0
90 90
35 35
45 5 10 60
0
0 170 170
120 60 180
300 300
230 65 10 20 10 10 20 10 375
199 48 5 5 10 267
0
0
17100 4200 800 1000 1400 1000 1300 1000 1300 29100
48700 7900 700 700 500 500 2300 700 62000
0 80 80
2000 200 800 400 3400
8600 600 400 800 800 600 1000 1400 400 14600
500 500
0
0
200 100 300
0 0
7500 2100 300 100 200 300 200 10700
3000 900 100 100 100 200 4400
0 250 250
0 80 80
0 40 40
0 4260 100 4360
600 600
700 700
7 7
1000 300 100 200 200 1200 3000
0 30 30
33 5 38
0
5500 200 100 100 100 6000
60 20 80
600 600
1000 1000
1700 200 200 100 100 2300
0
120 120
480 120 48 48 48 48 792
70 5 75
200 200
0
10700 900 600 100 400 100 900 300 14000
100 100
4200 4200
16500 1200 400 1000 1300 1000 1300 1800 1200 25700
14200 800 200 800 500 300 800 300 17900
2000 300 100 100 200 200 2900
2700.00 900 100 3700
0 4 4
0
0 4 4
0 200 100 100 100 600 50 1150
0
0 300 100 100 30 40 30 600
0
0
0
0
0 500 200 200 900
0
0
0
0
0
0
0
0
0
0 60 60
0 0
0 100 20 120
0
0 72 24 96
0
0
0
2 15 7 2 6 2 2 1 2 39
0
0
0
0 11 29 40
0 1 1
0 1 1
0
0
0 250 250
0
0
0
0
0
0
0
0 50 50
0
0
0
0 50 50
0
0 50 50
0
0
0 150 150
5 10 5 20 10 50
10 15 10 15 5 40 95
0
0 19 8 1 1 29
0
0
2 6 6 2 1 1 1 2 5 1 1 2 1 31
3 24 21 4 4 2 2 5 2 2 2 2 5 2 80
0
0
0 2 1 1 1 5
0 1 1
0
0 6 2 1 28 37
0 1 1
0
0
0 96 96
0.00 3 8 0 11

Stok Akhir Tahun 2023 PKM Gentungan

Uploaded by

Document Information

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

Stok Akhir Tahun 2023 PKM Gentungan

Uploaded by

Copyright:

Available Formats

DAFTAR PERSEDIAAN OBAT/BHP MEDIS PER 31 DESEMBER 2023

GUDANG FARMASI PUSKESMAS GENTUNGAN

JUMLAH OBAT Rp 67,973,413.07 Rp 213,790,066.00 Rp 281,763,479.07 Rp 225,854,974.07 Rp 55,908,505.00

BERITA ACARA PEMERIKSAAN OBAT/BMHP

1. Persediaan/Stok Obat dan BMHP 31/12/2022 Rp 104,778,378.91

Gentungang, 30 Desember 2023

Hj. Herawati, S.Kep. Ns. Asriani, S.Si., Apt.

JUMLAH OBAT + BHP MEDIS Rp 4,730,039.52 Rp 132,103,463.97 Rp 136,833,503.49 Rp 132,511,808.84 Rp 4,321,694.65

Hj. Herawati, S.Kep. Ns. Suparmi, Amd.F

BERITA ACARA PEMERIKSAAN OBAT/BMHP JKN

1. Persediaan/Stok Obat dan BMHP JKN 31/12/2022 Rp 4,730,039.52

Gentungang, 30 Desember 2023

Hj. Herawati, S.Kep. Ns. Suparmi, Amd.F

BERITA ACARA PEMERIKSAAN OBAT/BMHP JKN

1. Persediaan/Stok Obat dan BMHP 31/12/2022 Rp 2,001,852.50

Gentungang, 31 Desember 2023

Hj. Herawati, S.Kep. Ns. Nurhikmah, S.Kep. Ns.

JUMLAH OBAT Rp 539,251.95 Rp 5,117,155.00 Rp 5,656,406.95 Rp 5,199,819.95 Rp 456,587.00

BERITA ACARA PEMERIKSAAN OBAT/BMHP

1. Persediaan/Stok Obat dan BMHP 31/12/2022 Rp 838,103.20

Gentungang, 30 Desember 2023

Hj. Herawati, S.Kep. Ns. Hj. Mutmainnah Mansyur, S.ST.

JUMLAH OBAT Rp - Rp 2,163,813.60 Rp 2,163,813.60 Rp 2,146,961.60 Rp 16,852.00

Mengetahui, Penanggungjawab Poli Gigi

Hj. Herawati, S.Kep. Ns. H. Kamaruddin, S.St

BERITA ACARA PEMERIKSAAN OBAT/BMHP

21. Persediaan/Stok Obat dan BMHP 31/12/2022 Rp -

Gentungang, 30 Desember 2023

Hj. Herawati, S.Kep. Ns. H. Kamaruddin, S.ST

JUMLAH OBAT Rp 835,903.30 Rp 3,486,251.00 Rp 4,322,154.30 Rp 3,679,433.95 Rp 642,720.35

Mengetahui, Penanggungjawab Poskesdes Bontomanai

Hj. Herawati, S.Kep. Ns. Hj. Munawarah, S.ST

BERITA ACARA PEMERIKSAAN OBAT/BMHP

1. Persediaan/Stok Obat dan BMHP 31/12/2022 Rp 835,903.30

Gentungang, 30 Desember 2023

Hj. Herawati, S.Kep. Ns. Hj. Munawarah, S.ST

JUMLAH OBAT Rp 298,254.36 Rp 2,336,412.40 Rp 2,630,571.76 Rp 1,616,575.22 Rp 1,013,996.54

Hj. Herawati, S.Kep. Ns. Islamiah, A.Md.Keb.

BERITA ACARA PEMERIKSAAN OBAT/BMHP

1. Persediaan/Stok Obat dan BMHP 31/12/2022 Rp 298,254.36

Gentungang, 30 Desember 2023

Hj. Herawati, S.Kep. Ns. Islamiah, A.Md.Keb.

JUMLAH OBAT Rp 844,664.08 Rp 3,508,302.40 Rp 4,352,966.48 Rp 3,115,093.27 Rp 1,237,873.21

Hj. Herawati, S.Kep. Ns. Nursamsi AH., S.ST.

BERITA ACARA PEMERIKSAAN OBAT/BMHP

1. Persediaan/Stok Obat dan BMHP 31/12/2022 Rp 844,664.08

Gentungang, 30 Desember 2023

Hj. Herawati, S.Kep. Ns. Nursamsi AH., S.ST.

BERITA ACARA PEMERIKSAAN OBAT/BMHP

1. Persediaan/Stok Obat dan BMHP 31/12/2022 Rp 340,264.03

Gentungang, 30 Desember 2023

Hj. Herawati, S.Kep. Ns. Hj. Kasturi, S.ST

Hj. Herawati, S.Kep. Ns. Hj. Hermawati, S.ST.

BERITA ACARA PEMERIKSAAN OBAT/BMHP

1. Persediaan/Stok Obat dan BMHP 31/12/2022 Rp 303,686.46

Gentungang, 30 Desember 2023

Hj. Herawati, S.Kep. Ns. Hj. Hermawati, S.ST.

JUMLAH OBAT Rp 1,169,764.13 Rp 5,978,426.40 Rp 7,148,190.53 Rp 5,767,144.23 Rp 1,381,046.30

BERITA ACARA PEMERIKSAAN OBAT/BMHP

1. Persediaan/Stok Obat dan BMHP 31/12/2022 Rp 1,229,249.13

Gentungang, 30 Desember 2023

Hj. Herawati, S.Kep. Ns. Hj. Hasnawati, SY. S.ST.

Gentungan, 31 Desember 2023

Hj. Herawati, S.Kep. Ns. Idarianti, S.Tr. Keb.