Rekap All Pusk Obat Utk Aset
Rekap All Pusk Obat Utk Aset
Rekap All Pusk Obat Utk Aset
1 2 3 4 5
1 Obat Albendazol sirup 200mg/5 ml Botol
2 Albendazol tablet 400 mg tablet 1,892
3 Allopurinol 100 mg tablet 1,700
4 Alprazolam 0,5 mg tablet 562
5 Alprazolam 1 mg tablet 280
6 Ambroxol 30 mg tablet tablet 2,591
7 Aminofilin inj 24mg/ml-10 ml ampul 70
8 Aminofilin tablet 200 mg tablet
9 Amitriptilin HCl tablet salut 25 mg tablet 145
10 Amlodipin 10 mg tablet 2,230
11 Amlodipin 5 mg tablet 3,590
12 Amoksisilin 250 mg tablet 2,859
13 Amoksisilin 500 mg tablet 5,615
14 Amoksisilin 250mg/5ml sirup kering botol 111
15 Amoksisilin sirup kering 125 mg/5 ml Botol 126
16 Antalgin injeksi 250 mg/ml-2ml ampul
17 Antasida DOEN tablet tablet 4,380
18 Antasida sirup Botol 349
19 Anti Bakteri DOEN salep Kombinasi (bacitrasin) Tube 71
20 Anti Fungi DOEN Kombinasi Pot 28
21 Anti Haemoroid DOEN kombinasi Suppos 67
22 Anti Migren (ergotamin caffein) tablet 90
23 Anti Tuberkulosis anak paket
24 Anti Tuberkulosis Kategori I paket 3
25 Anti Tuberkulosis Kategori II paket 1
26 Aqua pro injeksi steril bebas pirogen vial 75
27 Asam Folat 0,4 mg /profolat tablet
28 Asam folat 1 mg tablet 350
29 Asam mefenamat 500 mg tablet 3,353
30 Asam tranexamat inj 100 mg/ml ampul 8
31 Asam tranexamat inj 50mg/ml ampul
32 Asam Tranexamat tablet 500 mg tablet 645
33 Asam Valproat 500mg / Depakote 500 mg tablet 35
34 Asetosal 80 mg / Miniaspi tablet 140
35 Asiklovir Krim 5 % 5 gr Tube 81
36 Asiklovir tablet 200 mg tablet 387
37 Asiklovir tablet 400 mg tablet 561
38 Atripla tablet
39 Atropin sulfat injeksi 0,25 mg/ml - 1 ml ampul
40 Attapulgit (Pularex) tablet 1,020
41 Azitromisin tab 500 mg tablet
42 Benzatil benzil penisilin vial
43 Berotec 0,1 mg(Fenoterol HBr aerosol 100mcg/dosis) Btl
44 Betahistin mesilat tablet 1,000
45 Betametason krim 0,1% Tube 101
46 Bioplacenton tube
47 Bisacodil (dulcolax) supp suppos 38
48 Bisacodil (dulcolax) tab tablet 90
49 Bisacodil supp infant 5 mg /Dulcolax Suppos
50 Bisoprolol 5 mg tablet 440
51 Ca Glukonas ampul 10
52 Captopril 12,5mg tablet 860
53 Captopril 25 mg tablet 680
54 Cefadroxil tablet 2,184
55 Cefadroxyl syr 125 mg/ml Botol 77
56 Cefiksim syr kering 100mg/5ml btl 30ml 48
57 Cefixime 100mg tablet 605
58 Cefotaxim 1,0 G inj Vial 73
Cendo Lyteers Kombinasi tts mata 2,5 mg/ml; NaCl 8,664
59 mg; kalium klorida 1,32 mg botol 126
60 Cetirizin 10 mg tablet 2,190
61 Cetirizin syr 5mg/5ml btl 60ml 11
62 Ciprofloxacin tablet 500 mg tablet 1,960
63 Clindamisin 150 mg tablet 2,570
64 Clindamisin 300 mg tablet
65 Deksametason injeksi 5 mg/ml-1 ml ampul 40
66 Deksametason tablet 0,5 mg tablet 3,570
67 DHP-Frimal tablet
68 Diazepam injeksi 5 mg/ml-2 ml ampul 3
69 Diazepam rektal 10 mg Suppos 7
70 Diazepam rektal 5 mg Suppos 5
71 Diazepam tablet 2 mg tablet 624
72 Diazepam tablet 5 mg tablet
73 Dietil karbamazin sitrat tablet 100 mg tablet
74 Difenhidramin HCl inj 10 mg/ml-1 ml ampul
75 Digoksin tablet 0,25 mg tablet 130
76 Diltiazem tablet tablet
77 Dimenhidrinat 50 mg tablet
78 Doksisilin kapsul tablet
79 Domperidon 10 mg tablet
80 Domperidon syr Botol 135
81 Efedrin HCl tablet 25 mg tablet
82 Epinefrin HCl /adrenalin inj.0,1%-1ml ampul 15
83 Eritromisin 250 mg tablet
84 Eritromisin 500 mg tablet
85 Eritromisin sirup kering Botol 5
86 Etambutol 400mg tablet
87 Euthyrox tablet
88 Fenitoin natrium kapsul 30 mg tablet
89 Fenobarbital inj 50 mg/ml - 2 ml ampul
90 Fenobarbital tablet 30 mg tablet 525
91 Fenolgliserol tetes telinga 10% Botol 60
92 Fitomenadion (Vit K1) inj 10 mg/ml-1 ml ampul 39
93 Fitomenadion (Vit K1) tablet 10 mg tablet 734
94 Fitomenadion inj 2 mg/ml ampul 80
95 Fluoksetin / Prestine tablet
96 Furosemid injeksi ampul
97 Furosemid tablet 40 mg tablet 240
98 Gabapentin/Alpentin 100 mg kapsul
99 Garam Oralit untuk 200 ml bungkus 732
100 Gentamicin Salep Kulit Tube 14
101 Gentamisin inj ampul
102 Gentamisin tetes mata botol
103 Gentian violet larutan 1% Botol 75
104 Glibenklamid tablet 5 mg tablet 665
105 Glimepirid 1 mg tablet 600
106 Glimepirid 2 mg tablet 2,755
107 Gliseril Guaiakolat tablet 100 mg tablet
108 Glukosa 40% ampul 2
109 Glukosa larutan Infus 10% steril fls 41
110 Glukosa Larutan Infus 5% steril fls 114
111 Griseofulvin tablet 125 mg tablet
112 Griseofulvin tablet 500 mg tablet 830
113 Haloperidol 5 mg tablet 600
114 Haloperidol inj 50mg/ml ampul 5
115 Haloperidol tablet 0,5 mg tablet 390
116 Haloperidol tablet 1,5 mg tablet 820
117 Hidrochlorotiazid (HCT) tablet 25 mg tablet 755
118 Hidrokortison krim 2,5% Tube 46
119 Hiosin HBr Inj 20 mg ampul 13
120 Hiosin N Butil bromida tablet tablet 1,035
121 Ibuprofen suspensi 100 mg/5 ml botol 223
122 Ibuprofen tablet 200 mg tablet 1,550
123 Ibuprofen tablet 400 mg tablet 8,490
124 Ichtiol salep pot 4
125 Isoniazid 100 mg/PPINH 100 mg tablet 620
126 Isoniazid tablet 300 mg tablet 10
127 Isosorbid dinitrat tablet sublingual 5 mg tablet 255
128 Kalsium laktat (Kalk) tablet 500 mg tablet 930
129 Karbamazepin tablet 200 mg tablet 280
130 Ketokonazol krim Tube 90
131 Ketokonazol tab tablet 540
132 Ketoprofen 100mg tablet 100
133 Ketoprofen Supp suppos 160
134 Klopidogrel 75 mg Tablet
135 Kloramfenikol kapsul 250 mg tablet
136 Kloramfenikol salep Kulit Tube 54
137 Kloramfenikol salep mata 1 % Tube 33
138 Kloramfenikol suspensi 125 mg/5 ml Botol
139 Kloramfenikol tetes mata Botol 18
140 Kloramfenikol tetes telinga 3 % Botol 16
141 Klorfeniramin maleat (CTM) tablet 4 mg tablet 4,515
142 Klorpromazin 25mg tablet
143 Klorpromazin HCl inj 25 mg/ml - 1 ml ampul
144 Klorpromazin HCl inj 5 mg/ml - 1 ml ampul
145 Klorpromazin HCl tablet salut 100 mg tablet 440
146 Kodein HCl tablet 10 mg tablet 90
147 Kolkisin 500 mcg tablet
148 Kotrimoksazol suspensi kombinasi Botol 89
149 Kotrimoksazol tablet dewasa kombinasi tablet 1,355
150 Lamivudin tablet
151 Lansoprazole tablet 150
152 Levofloksasin 250mg tablet
153 Levofloksasin tetes mata 0,5% botol
154 Lidocain komp.inj. ampul 205
155 Lidocain inj. ampul 30
156 Loperamid Hcl tablet
157 Loratadin 10mg tablet 1,925
158 Magnesium sulfat inj (IV) 20%-25 ml vial 9
159 Magnesium sulfat inj (IV) 40%-25 ml vial
160 MDT MD Dewasa Paket
161 Meloksikam 15 mg tablet 500
162 Metformin tablet 2,760
163 Metil ergometrin maleat tablet salut 0,125 mg tablet 820
164 Metil ergometrin maleat inj 0,200mg-1ml ampul 113
165 Metil Prednisolon 4 mg tablet 1,865
166 Metil Prednisolon 8mg tablet
167 Metildopa 250mg tablet 535
168 Metoclopramid 10 gr tablet 880
169 Metoclopramid injeksi ampul
170 Metronidazol 500 mg tablet 1,330
171 Metronidazol supositoria 500 mg suppos
172 Metronidazole ovula 500mg ovula
173 Mikonazol krim Tube 94
174 Mineral Mix sachet
175 Multivitamin syr Botol 116
176 Multivitamin tab tablet
177 N-asetil sistein tablet 4,542
178 Natrium bicarbonat tablet 500 mg tablet 910
179 Natrium Diklofenak 50 mg tablet 6,280
180 Natrium klorida larutan infus 0,9% fls 79
181 Nevirapin tablet
182 Nifedipin 10 mg tablet 105
183 Nistatin suspensi botol 17
184 Nistatin tablet salut 500.000 IU tablet 100
185 Nistatin tablet vaginal 100.000 IU/g tablet 65
186 Oksitetrasiklin HCl salep kulit 3% Tube 50
187 Oksitetrasiklin HCl salep mata 1% Tube 92
188 Oksitosin inj 10 IU / ml - 1 ml ampul 103
189 Omeprazole 20mg tablet
190 Pantocain tetes mata btl 2
191 Papaverin tablet 40 mg tablet 30
192 Parasetamol Drop Botol 31
193 Parasetamol rektal 125 mg (dumin) suppos 14
194 Parasetamol rektal 250 mg (dumin) suppos 14
195 Parasetamol sirup 120mg/ml Botol 368
196 Parasetamol tablet 100 mg tablet
197 Parasetamol tablet 500 mg tablet 16,220
198 Permetrin krim 5% (Scabimite) tube 42
199 Petidin inj 50mg/ml ampul
200 Piracetam inj 3g/15ml ampul 14
201 Pirantel tablet 125 mg tablet
202 Pirasetam 800mg tablet 620
203 Piroxicam 10 mg tablet
204 Piroxicam 20 mg tablet
205 Prednison tablet 5 mg tablet 98
206 Primakuin tablet 15 mg tablet
207 Prokain benzil penisilin vial
208 Propanolol HCl tablet 10 mg tablet 30
209 Propanolol HCl tablet 40 mg tablet
210 Propiltiourasil tablet 100 mg tablet 340
211 Ramipril tablet
212 Ranitidin inj. 25mg/ml ampul 291
213 Ranitidin tablet 150 mg tablet 4,330
214 Risperidon 1 mg tablet
215 Risperidon 2 mg tablet 1,110
216 RL larutan infus fls 473
217 Salbutamol inhalasi 100 mcq/dosis botol 21
218 Salbutamol nebulizer Kotak 4
219 Salbutamol tablet 2 mg tablet 1,589
220 Salbutamol tablet 4 mg tablet 120
221 Salep 2-4 kombinasi pot 24
222 Salep luka bakar (Levertran) Tube
223 Salep Luka Bakar (Perak Sulfadiazin Krim) Tube 18
224 Salisil bedak 2% bungkus 25
225 Seftriakson Injeksi vial 14
226 Serum Anti Bisa Ular polivalen inj 5 ml vial 3
227 Serum Anti Rabies (SAR) Vial
228 Serum Anti Tetanus inj 1500 IU/ampul ampul
229 Simvastatin 10 mg tablet 960
230 Spironolacton 25 mg tablet 170
231 Sukralfat tablet tablet
232 Sukralfat Sirup Botol 3
233 Tablet Tambah darah tablet 8,700
234 Tenofovir tablet
235 Tetagam ampul
236 Tetrasiklin HCL kapsul 500 mg tablet
237 Thiamfenikol 500 mg tab tablet
238 Tramadol inj ampul
239 Trifluoperazin 5mg tablet
240 Triheksiphenidil HCl tablet 2 mg tablet 3,285
241 Vaksin Rabies Vero Vial
242 Vitamin A 100.000 IU tablet 150
243 Vitamin A 200.000 IU tablet 300
244 Vitamin B komplek tablet tablet 3,192
245 Vitamin B1 / Thiamin HCl tablet 50 mg tablet 3,372
246 Vitamin B12 / Sianokobalamin tab 50 mcg tablet 1,600
247 Vitamin B12 / Sianokobalamin Vit B12 inj 500mcg-ml ampul
248 Vitamin B6 / Pyridoksin HCL tab 10 mg tablet 1,927
249 Vitamin C / Asam askorbat tablet 50 mg tablet 2,977
250 Zinc syr botol 82
251 Zinc tab 20 mg tablet 3,210
252 BMHP Abochat (IV Chat) 18 Pcs 39
253 & Abochat (IV Chat) 20 Pcs 87
254 Reagen Abochat (IV Chat) 22 Pcs 131
255 Abochat (IV Chat) 24 Pcs 17
256 ADS 0,05 ml pcs 285
257 ADS 0,5 ml pcs 1,607
258 ADS 5 ml pcs 199
259 Alat suntik 10 ml pcs
260 Alat suntik 20 ml pcs 100
261 Alat suntik sekali pakai 1 ml Pcs 712
262 Alat suntik sekali pakai 2,5 ml / 3 ml Pcs 2,199
263 Alat suntik sekali pakai 5 ml Pcs 611
264 Alkacid Botol
265 Alkohol Swab sachet 1,146
266 Amoniak btl/1000 ml
267 Aquadest steril liter 24
268 Benecheck Cholesterol strip Botol 16
269 Benecheck Glucose strip Botol 3
270 Benecheck uric strip Botol
271 Blood lancet pcs 752
272 Blue tip box
273 Box Slide bok 5
274 Cartridge Gen Expert Pcs
275 Catgut/benang bedah Chromic 2/0 set 4
276 Catgut/benang bedah Chromic 3/0 set 56
277 Catgut/benang bedah Plain 2/0 set
278 Catgut/benang bedah Plain 3/0 set
279 Centrifuse Paket
280 Chlorin botol 24
281 Cuticell Classic pcs 3
282 DFI Cybow Box 2
283 EDTA 10 % Botol
284 Etakridin (rivanol) larutan 0,1% Botol 31
285 Etanol 100 ml botol.
286 Etanol 70% Botol 20
287 Etanol 96% botol 3
288 Eter Alkohol 5% botol
289 Folley Chatether pcs 11
290 Food Test - Borak Test Paket
291 Food Test - Formalin Test Paket
292 Food Test - Rhodamin Test Paket
293 Fouchet Botol
294 Handscoon psg 2,903
295 Handscoon Obgyn psg 53
296 Handscoon Steril psg 292
297 HCG Strip Pcs 173
298 Infusion set anak set 10
299 Infusion set dewasa set 59
300 Jarum jahit / bedah no. 9 s/d 14 Pcs
301 Jelly USG btl 7
302 Kaca Slide pcs 435
303 Kaca Tutup pcs 165
304 Kapas pembalut / absorben 250 g roll 17
305 Kasa kompres 40/40 steril lbr 151
306 Kasa pembalut 2 m x 80 cm roll 36
307 Kasa pembalut elastis 3 inchi roll 1
308 Kasa pembalut elastis 4 inchi roll 2
309 Kasa Pembalut hidrofil 3,6 m x 10 cm roll 80
310 Kasa Pembalut hidrofil 3,6 m x 5 cm roll
311 Kasa Pembalut hidrofil 4 m x 10 cm elastis roll 16
312 Kasa Pembalut hidrofil 4 m x 5 cm elastis roll 93
313 Kasa steril 16/16 kotak 77
314 Kassa gulung Besar 80cm x 40 m roll 5
315 Kertas lakmus biru pack
316 Kertas Lakmus merah pack
317 Kertas lensa pak
318 Kertas pH Universal Kotak
319 Kertas saring watchman ktk 1
320 kit gol. Darah A, B, AB set
321 Kondom pcs
322 Labstrip (urinalis) tube
323 Larutan Amonium Oksalat 1% Botol 1
324 Larutan Asam Asetat 6 % Botol 1
325 Larutan barium klorida Botol
326 Larutan benedict Botol
327 Larutan buffer PH 6,1 Botol 1
328 Larutan buffer PH 7,2 Botol
329 Larutan eosin 2% Botol
330 Larutan Etanol Asam Botol
331 Larutan giemsa stain Botol
332 Larutan H2O2 3% Botol 1 L
333 Larutan H2O2 3% Botol
334 Larutan Hayem Botol
335 Larutan HCl 0,1 N Botol
336 Larutan karbolfuksin Botol
337 Larutan metilen biru Botol
338 Larutan Na citrat Botol
339 Larutan Natrium Hipoklorid Botol/ 500ml
340 Larutan Ress Ecker Botol/ 100 ml
341 Larutan turk Botol
342 Larutan Wright Botol
343 Lisol Botol 11
344 Lubricant pcs
345 Mantoux tes vial
346 Masker pcs 2,021
347 Masker 3M N95 medikal respirator pcs 45
348 Mess pcs 100
349 Metanol 100 ml Botol 1
350 Metanol 1000 ml botol
351 Microlit tips for micropipettes MT-up to 1 ml pack 1
352 Mikropipet adjustable 100-1000µl unit
353 Mikropipet adjustable 5-50µl unit
354 Mikroskop malaria (nikon) unit
355 Minyak Imersi Botol
356 NAPZA Kit 6 Parameter pcs 67
357 Napza KIT 8 Parameter box
358 Needle 23 G Pcs
359 Pembalut gips 3 inch Roll
360 Pembalut gips 4 inch Roll 3
361 Pipet tetes bks/100 pcs 4
362 Planotest pcs
363 Plester 2,5 cmx 4,5 m roll
364 Plester 5 yard x 2 inch roll
365 Plester bulat non woven box 114
366 Poli Aid Botol 1
367 Poli Clean Botol 38
368 Poliwash botol 500ml
369 Pork Test Paket
370 Pot Sputum Pcs 365
371 Pot Urine Pcs 626
372 Povidon iodida 10% 30 ml Botol 18
373 Povidon iodida 10% 300 ml Botol 52
374 Povidon iodida 10% 60 ml Botol 29
375 Povidon Iodine 1 L Botol
376 RDT DBD Verotec Pcs
377 RDT DBD Biosen Pcs
378 RDT Hepatitis / HBSAG Strip pcs 74
379 RDT HIV -Fokus 1/2 casette box/25
380 RDT HIV Test (HIV 1 & 2 Anti Body) oncoprobe test
381 RDT HIV test (R1) SD Pcs 173
382 RDT HIV test Biomerieux (Vikia HIV 1 dan 2) ktk/25 test
383 RDT HIV test Intec (One Step Anti-HIV 1&2) Box
384 RDT Malaria / Malaria test ktk
385 RDT sifillis Pcs 67
386 Reagen dan Bahan alat lab.Malaria paket
387 Reagen Fotometer Kimia Klinik Randox Glukosa kit
388 Reagen Fotometer Kimia Klinik Randox Protein total kit
389 Reagen Fotometer Kimia Klinik Randox triglyserida kit
Reagen hematology analyzer Cointender 20 SFRI cliner
390 31 btl 5 L 2
Reagen hematology analyzer Cointender 20 SFRI diluent
391 31 btl 20 L 1
Mengetahui,
Kepala UPT Puskesmas Sitiung I
dr Dwinanda Emira
NIP. 19790724 200701 2004
Stok Persediaan per 31 Des 2019 Penambahan Tahun 2020 Kadaluarsa Tahun 2020
Harga Harga
Harga Satuan Jumlah Volume Jumlah Volume Jumlah
Satuan Satuan
6 7 8 9 10 11 12 13
- 2,580 4,200 10,836,000 -
452 855,184 5,970 452 2,698,440 -
99 168,300 1,300 105 136,500 -
88 49,456 - -
120 33,600 - -
99 256,509 2,000 99 198,000 -
2,789 195,230 - -
- - -
168 24,360 - -
94 209,620 8,700 94 817,800 -
73 262,070 26,400 78 2,059,200 -
203 580,377 1,000 203 203,000 -
250 1,403,750 15,800 260 4,108,000 -
3,737 414,807 - -
4,400 554,400 310 5,500 1,705,000 -
- - -
56 245,280 7,100 60 426,000 -
2,051 715,799 650 2,189 1,422,850 -
8,250 585,750 100 8,250 825,000 -
4,721 132,188 24 4,721 113,304 -
3,325 222,775 130 3,325 432,250 -
182 16,380 - -
- 8 260,526 2,084,208 -
408,812 1,226,436 9 415,469 3,739,221 -
1,297,889 1,297,889 - -
2,860 214,500 36 2,860 102,960 -
- - -
74 25,900 5,600 79 442,400 -
103 345,359 6,000 297 1,782,000 -
1,957 15,656 20 2,088 41,760 -
- - -
1,684 1,086,180 200 1,684 336,800 -
5,928 207,480 - -
99 13,860 400 99 39,600 -
3,300 267,300 50 3,300 165,000 -
245 94,815 500 245 122,500 -
399 223,839 500 426 213,000 -
- - -
- - -
160 163,200 200 155 31,000 -
- - -
- - -
- - -
110 110,000 2,000 110 220,000 -
1,340 135,340 400 1,430 572,000 -
- - -
5,900 224,200 50 5,900 295,000 -
327 29,430 - -
- - -
275 121,000 - 400 275 110,000
10,351 103,510 5 10,351 51,755 -
64 55,040 1,800 68 122,400 -
154 104,720 700 154 107,800 -
880 1,921,920 1,600 880 1,408,000 -
4,066 313,082 50 4,339 216,950 -
15,950 765,600 110 15,950 1,754,500 -
1,430 865,150 600 387 232,200 -
4,571 333,683 120 4,571 548,520 -
26,400 3,326,400 - -
101 221,190 4,500 101 454,500 -
2,973 32,703 150 2,973 445,950 -
495 970,200 2,000 495 990,000 -
729 1,873,530 - -
- - -
1,152 46,080 10 1,152 11,520 -
99 353,430 4,500 88 396,000 -
- - -
12,000 36,000 5 12,000 60,000 -
19,193 134,351 - -
13,202 66,010 10 13,202 132,020 -
86 53,664 2,700 86 232,200 -
- 1,000 114 114,000 -
- - -
- 5 1,228 6,140 -
104 13,520 100 104 10,400 -
- - -
- - -
- - -
- - -
2,781 375,435 - -
- - -
1,408 21,120 - -
- - -
- - -
6,303 31,515 - -
- - -
- - -
- - -
- - -
165 86,625 1,500 180 270,000 -
2,590 155,400 48 2,590 124,320 -
5,000 194,981 - -
747 548,298 100 797 79,700 -
3,867 309,360 150 3,867 580,050 -
- - -
- 5 1,333 6,665 -
81 19,440 200 82 16,400 -
- - -
257 188,124 1,500 274 411,000 -
2,299 32,186 - -
- - -
- - -
3,498 262,350 - -
125 83,125 1,000 125 125,000 -
174 104,400 2,400 174 417,600 -
207 570,285 18,000 207 3,726,000 -
- - -
12,000 24,000 - -
7,500 307,500 20 7,500 150,000 -
6,900 786,600 120 7,363 883,560 -
- - -
952 790,160 - -
56 33,600 200 56 11,200 300 56 16,800
101,300 506,500 - -
55 21,450 500 55 27,500 -
59 48,380 1,100 59 64,900 -
156 117,780 - -
2,475 113,850 120 2,475 297,000 -
9,999 129,987 - -
1,496 1,548,360 - -
2,776 619,048 - -
253 392,150 - -
330 2,801,700 - -
6,500 26,000 - -
100 62,000 - 600 100 60,000
173 1,730 - -
165 42,075 - -
59 54,870 7,200 63 453,600 -
280 78,400 1,400 247 345,800 -
2,518 226,620 100 2,518 251,800 -
297 160,380 700 297 207,900 -
990 99,000 - -
2,380 380,800 30 2,380 71,400 -
- - -
- - -
3,140 169,560 24 3,140 75,360 -
1,881 62,073 24 1,881 45,144 -
- - -
6,500 116,998 - -
7,502 120,032 - -
25 112,875 12,500 25 312,500 -
- - -
- - -
- - -
155 68,200 2,400 157 376,800 -
600 54,000 200 600 120,000 -
- - -
2,052 182,628 - -
125 169,375 800 133 106,400 -
- - -
334 50,100 2,960 334 988,640 -
- - -
- - -
1,205 247,025 540 1,286 694,440 -
1,208 36,240 - -
- 500 143 71,500 -
125 240,625 3,500 133 465,500 -
3,200 28,800 12 3,328 39,936 -
- 12 3,796 45,552 6 3,796 22,776
- - -
990 495,000 - -
105 288,696 13,800 106 1,462,800 -
221 181,220 300 236 70,800 -
2,992 338,096 100 3,102 310,200 -
137 255,505 8,500 146 1,241,000 -
- - -
993 531,255 - -
80 70,400 2,100 85 178,500 -
- 150 4,158 623,700 -
275 365,750 - -
- - -
- - -
3,585 336,990 - -
- 800 2,727 2,181,600 -
4,500 522,000 250 4,500 1,125,000 -
- - -
357 1,621,494 13,200 381 5,029,200 -
66 60,060 1,300 66 85,800 -
127 797,560 4,800 136 652,800 -
6,410 506,390 240 6,840 1,641,600 -
- - -
132 13,860 - -
34,980 594,660 10 34,980 349,800 -
830 83,000 100 886 88,600 -
572 37,180 100 572 57,200 -
3,850 192,500 - -
2,600 239,200 125 2,774 346,750 -
1,900 195,700 60 1,199 71,940 -
- 6,000 164 984,000 -
14,993 29,986 - -
350 10,494 500 350 175,000 -
6,981 216,411 420 6,981 2,932,020 -
16,995 237,930 35 16,995 594,825 -
17,800 249,200 - -
1,110 408,480 700 1,110 777,000 -
- - -
56 908,320 52,000 160 8,294,000 -
11,825 496,650 50 11,825 591,250 -
- - -
11,990 167,860 16 11,990 191,840 -
- - -
800 495,814 150 800 120,000 -
- - -
- 2,000 121 242,000 -
72 7,056 100 77 7,700 -
- - -
- - -
57 1,710 500 61 30,500 -
- - -
451 153,340 1,000 451 451,000 -
- - -
1,155 336,105 700 1,155 808,500 -
165 714,450 8,000 220 1,760,000 -
- 500 228 114,000 -
273 303,030 3,000 287 861,000 -
7,150 3,381,950 1,300 7,630 9,919,000 -
31,571 662,991 70 32,120 2,248,400 -
192,000 767,998 5 220,000 1,100,000 -
63 100,107 500 67 33,500 -
74 8,880 500 74 37,000 -
2,753 66,072 - -
- - -
20,700 372,600 15 20,700 310,500 -
3,190 79,750 90 3,190 287,100 -
4,998 69,972 40 4,998 199,920 -
479,996 1,439,988 2 512,204 1,024,408 -
- 2 1,608,255 3,216,510 -
- 120 130,999 15,719,880 -
110 105,600 1,470 117 171,990 -
195 33,150 100 208 20,800 -
- - -
6,989 20,967 225 6,989 1,572,525 -
372 3,236,400 93,420 372 34,752,240 -
- - -
- 27 176,800 4,773,600 -
- - -
- - -
- - -
- - -
87 285,795 2,900 93 269,700 -
- 44 165,000 7,260,000 -
304 45,600 600 324 194,400 -
544 163,200 2,700 581 1,568,700 -
123 392,616 25,000 131 3,275,000 -
86 289,992 9,600 92 883,200 -
47 75,200 - -
- - -
132 254,942 6,500 138 897,000 -
110 327,470 18,600 110 2,046,000 -
3,122 256,004 216 3,322 717,552 -
551 1,768,710 1,000 551 551,000 -
6,270 244,530 200 6,270 1,254,000 -
6,270 545,490 150 6,270 940,500 -
6,270 821,370 500 6,270 3,135,000 -
7,810 132,770 350 6,270 2,194,500 -
1,392 396,720 500 1,518 759,000 -
1,091 1,753,092 2,000 1,518 3,036,000 -
1,705 339,295 300 1,583 474,900 -
- - -
3,080 308,000 - -
880 626,560 100 880 88,000 -
894 1,965,906 2,500 894 2,235,000 -
943 576,173 600 943 565,800 -
- 1 2,837,835 2,837,835 -
118 135,228 2,200 120 264,000 -
- 1 71,999 71,999 -
3,465 83,160 - -
255,048 4,080,766 5 254,925 1,274,625 -
168,140 504,420 7 169,000 1,183,000 -
- 13 154,675 2,010,775 -
191 143,632 1,900 144 273,600 -
- - -
82,980 414,900 - -
- - -
52,100 208,401 - -
47,706 2,671,536 132 33,287 4,393,884 -
- - -
- - -
- - -
60,000 1,439,988 42 60,000 2,520,000 -
14,689 44,067 17 15,600 265,200 -
143,700 287,400 3 143,700 431,100 -
- - -
3,450 106,950 10 4,150 41,500 -
- - -
69,300 1,386,000 17 88,000 1,496,000 -
95,000 285,000 - -
- - -
10,212 112,332 60 20,100 1,206,000 -
- - -
- - -
- - -
- - -
990 2,873,970 7,750 2,640 20,460,000 -
21,296 1,128,688 60 40,733 2,443,980 -
6,793 1,983,512 500 6,595 3,297,500 -
1,679 290,531 350 4,881 1,708,350 -
9,130 91,300 10 9,130 91,300 -
5,608 330,893 625 5,445 3,403,125 -
- - -
14,472 101,301 10 26,487 264,867 -
307 133,454 360 417 150,000 -
138 22,770 100 138 13,800 -
31,694 538,798 30 34,150 1,024,500 -
1,760 265,760 50 1,760 88,000 -
11,322 407,590 60 11,322 679,320 -
16,000 16,000 - -
20,000 40,000 - -
2,609 208,688 150 2,471 370,650 -
- 100 1,140 114,000 -
2,480 39,680 - -
1,174 109,182 - -
8,144 627,119 160 7,530 1,204,800 -
165,720 828,600 16 140,500 2,248,000 -
- - -
- - -
- - -
- - -
430,000 430,000 - -
- 4 251,875 1,007,500 -
- - -
- - -
90,000 90,000 1 90,000 90,000 -
30,000 30,000 1 30,000 30,000 -
- - -
- - -
98,667 98,667 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
47,150 518,650 26 47,150 1,225,900 -
- - -
- - -
676 1,366,600 2,300 2,530 5,819,000 -
14,820 666,891 20 14,820 296,400 -
3,150 315,000 100 3,150 315,000 -
50,000 50,000 - -
- - -
238,100 238,100 - -
- 1 3,743,693 3,743,693 -
- 2 3,743,693 7,487,386 -
- - -
- - -
90,000 6,029,987 - -
- 2 802,225 1,604,450 -
- - -
- - -
34,125 102,375 - -
66,000 264,000 - -
- - -
- 60 12,675 760,500 -
- - -
33,880 3,862,320 - -
601,677 601,677 1 601,677 601,677 -
77,698 2,952,524 4 77,698 310,792 -
- - -
- - -
2,379 868,335 200 3,722 744,324 -
2,631 1,647,006 180 2,631 473,580 -
3,335 60,030 - -
20,700 1,076,400 25 19,633 490,833 -
23,890 692,810 10 5,187 51,865 -
- - -
- - -
- - -
9,878 730,972 150 8,175 1,226,250 -
- - -
- - -
11,975 2,071,675 400 11,400 4,560,000 -
- - -
- - -
- 1 161,900 161,900 -
20,400 1,366,800 500 7,250 3,625,000 -
- 1 1,306,996 1,306,996 -
- - -
- - -
- - -
3,040,000 6,079,999 - -
1,100,000 1,100,000 - -
2,500,000 2,500,000 - -
247,000 247,000 7 237,271 1,660,896 -
- - -
- - -
- - -
- - -
21,500 1,010,500 100 22,433 2,243,300 -
46,712 5,044,896 144 34,000 4,896,000 -
6,720 490,560 150 6,720 1,008,000 -
8,103 72,927 - -
6,720 383,040 - -
- - -
1,166,576 1,166,576 - -
- 1 30,000 30,000 -
- - -
- - -
- - -
- - -
96,260 1,540,161 3 91,000 273,000 -
249,920 2,249,280 10 249,920 2,499,200 -
- - -
164,373 493,120 2 202,200 404,400 -
- - -
- 15 462,200 6,933,000 -
526,250 2,105,000 5 569,700 2,848,500 -
- - -
- - -
- - -
- - -
23,958 2,156,220 - -
- - -
- - -
169,100 338,200 - -
8,877 142,032 40 8,070 322,800 -
146,000 146,000 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 9 6,494 58,446 -
- - -
1,500,000 2,999,999 - -
174,900 699,600 13 174,900 2,273,700 -
4,000 12,000 - -
330,000 330,000 1 330,000 330,000 -
- - -
57,750 115,500 - -
- - -
151,999 151,999 - -
225,000 225,000 - -
83,800 419,000 20 83,800 1,676,000 -
- - -
- - -
59,950 479,600 120 78,991 9,478,920 -
- 35 28,204 987,140 -
17,996 683,848 35 17,996 629,860 -
- - -
- 220 25,597 5,631,340 -
- - -
158,994 3,179,880 60 158,994 9,539,640 -
- - -
- 133 155,813 20,723,129 -
78,991 157,982 270 84,382 22,783,140 -
19,954 59,862 210 19,954 4,190,340 -
16,995 577,830 80 16,995 1,359,600 -
- - -
- 3 13,901 41,704 -
- 2 17,023 34,046 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
158,141,374 392,132,221 209,576
Pengeluaran/Penggunaan Tahun 2020 Sisa/Stok Persediaan per 31 Des 2020
14 15 16 17 18 19
2,040 4,200 8,568,000 540 4,200 2,268,000
7,335 452 3,315,420 527 452 238,204
2,920 105 306,600 80 105 8,400
400 88 35,200 162 88 14,256
280 120 33,600 - -
1,762 99 174,438 2,829 99 280,071
23 2,976 68,448 47 2,976 139,872
- - -
15 168 2,520 130 168 21,840
9,580 94 900,520 1,350 94 126,900
26,340 78 2,054,520 3,650 78 284,700
3,314 203 672,742 545 203 110,635
14,947 260 3,886,220 6,468 260 1,681,680
66 3,737 246,642 45 3,737 168,165
296 5,500 1,628,000 140 5,500 770,000
- - -
8,240 60 494,400 3,240 60 194,400
809 2,189 1,770,901 190 2,189 415,910
140 8,250 1,155,000 31 8,250 255,750
27 4,721 127,467 25 4,721 118,025
139 3,325 462,175 58 3,325 192,850
- 90 182 16,380
6 260,526 1,563,156 2 260,526 521,052
10 415,469 4,154,690 2 415,469 830,938
- 1 1,454,232 1,454,232
65 2,860 185,900 46 2,860 131,560
- - -
3,438 79 271,602 2,512 79 198,448
5,423 297 1,610,631 3,930 297 1,167,210
8 2,088 16,704 20 2,088 41,760
- - 3,100 -
570 1,684 959,880 275 1,684 463,100
35 5,928 207,480 - -
360 99 35,640 180 99 17,820
77 3,300 254,100 54 3,300 178,200
402 245 98,490 485 245 118,825
761 426 324,186 300 426 127,800
- - -
- - -
1,012 155 156,860 208 155 32,240
- - -
- - -
- - -
2,390 110 262,900 610 110 67,100
390 1,430 557,700 111 1,430 158,730
- - -
65 5,900 383,500 23 5,900 135,700
90 327 29,430 - -
- - -
40 275 11,000 - -
10 10,351 103,510 5 10,351 51,755
1,980 68 134,640 680 68 46,240
860 154 132,440 520 154 80,080
2,794 880 2,458,720 990 880 871,200
63 4,339 273,357 64 4,339 277,696
122 15,950 1,945,900 36 15,950 574,200
1,205 387 466,335 - -
77 4,571 351,967 116 4,571 530,236
1 1,100,000 1,100,000 - -
1 2,500,000 2,500,000 - -
7 237,271 1,660,896 1 237,271 237,271
- - -
- - -
- - -
- - -
58 22,433 1,301,114 89 22,433 1,996,537
177 34,000 6,018,000 75 34,000 2,550,000
171 6,720 1,149,120 52 6,720 349,440
5 8,103 40,515 4 8,103 32,412
23 6,720 154,560 34 6,720 228,480
- - -
- 1 1,166,576 1,166,576
- 1 30,000 30,000
- - -
- - -
- - -
- - -
18 91,000 1,638,000 1 91,000 91,000
19 249,920 4,748,480 - -
- - -
3 202,200 606,600 2 202,200 404,400
- - -
6 462,200 2,773,200 9 462,200 4,159,800
9 569,700 5,127,300 - -
- - -
- - -
- - -
- - -
10 23,958 239,580 80 23,958 1,916,640
- - -
- - -
2 169,100 338,200 - -
39 8,070 314,730 17 8,070 137,190
1 146,000 146,000 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
9 6,494 58,446 - -
- - -
2 1,500,000 3,000,000 - -
12 174,900 2,098,800 5 174,900 874,500
1 4,000 4,000 2 4,000 8,000
2 330,000 660,000 - -
- - -
- 2 57,750 115,500
- - -
- 1 151,999 151,999
1 225,000 225,000 - -
25 83,800 2,095,000 - -
- - -
- - -
110 78,991 8,689,010 18 78,991 1,421,838
35 28,204 987,140 - -
72 17,996 1,295,712 1 17,996 17,996
- - -
180 25,597 4,607,460 40 25,597 1,023,880
- - -
49 158,994 7,790,706 31 158,994 4,928,814
- - -
133 155,813 20,723,129 - -
263 84,382 22,192,466 9 84,382 759,438
197 19,954 3,930,938 16 19,954 319,264
73 16,995 1,240,635 41 16,995 696,795
- - -
3 13,901 41,704 - -
2 17,023 34,046 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
444,668,632 117,001,977
1 2 3 4 5
1 Obat Albendazol sirup 200mg/5 ml Botol
2 Albendazol tablet 400 mg tablet 300
3 Allopurinol 100 mg tablet 1,250
4 Alprazolam 0,5 mg tablet 300
5 Alprazolam 1 mg tablet
6 Ambroxol 30 mg tablet tablet 2,495
7 Aminofilin inj 24mg/ml-10 ml ampul 30
8 Aminofilin tablet 200 mg tablet
9 Amitriptilin HCl tablet salut 25 mg tablet 325
10 Amlodipin 10 mg tablet 525
11 Amlodipin 5 mg tablet 300
12 Amoksisilin 250 mg tablet 3,653
13 Amoksisilin 500 mg tablet 9,050
14 Amoksisilin 250mg/5ml sirup kering botol
15 Amoksisilin sirup kering 125 mg/5 ml Botol 98
16 Antalgin injeksi 250 mg/ml-2ml ampul
17 Antasida DOEN tablet tablet 540
18 Antasida sirup Botol 201
19 Anti Bakteri DOEN salep Kombinasi (bacitrasin) Tube 102
20 Anti Fungi DOEN Kombinasi Pot
21 Anti Haemoroid DOEN kombinasi Suppos 41
22 Anti Migren (ergotamin caffein) tablet
23 Anti Tuberkulosis anak paket
24 Anti Tuberkulosis Kategori I paket 4
25 Anti Tuberkulosis Kategori II paket
26 Aqua pro injeksi steril bebas pirogen vial 22
27 Asam Folat 0,4 mg /profolat tablet
28 Asam folat 1 mg tablet 1,630
29 Asam mefenamat 500 mg tablet 1,970
30 Asam tranexamat inj 100 mg/ml ampul
31 Asam tranexamat inj 50mg/ml ampul 5
32 Asam Tranexamat tablet 500 mg tablet 110
33 Asam Valproat 500mg / Depakote 500 mg tablet
34 Asetosal 80 mg / Miniaspi tablet
35 Asiklovir Krim 5 % 5 gr Tube 65
36 Asiklovir tablet 200 mg tablet
37 Asiklovir tablet 400 mg tablet 1,289
38 Atripla tablet
39 Atropin sulfat injeksi 0,25 mg/ml - 1 ml ampul 2
40 Attapulgit (Pularex) tablet 700
41 Azitromisin tab 500 mg tablet 20
42 Benzatil benzil penisilin vial
43 Berotec 0,1 mg(Fenoterol HBr aerosol 100mcg/dosis) Btl
44 Betahistin mesilat tablet
45 Betametason krim 0,1% Tube 12
46 Bioplacenton tube
47 Bisacodil (dulcolax) supp suppos 12
48 Bisacodil (dulcolax) tab tablet 150
49 Bisacodil supp infant 5 mg /Dulcolax Suppos
50 Bisoprolol 5 mg tablet
51 Ca Glukonas ampul 5
52 Captopril 12,5mg tablet 2,083
53 Captopril 25 mg tablet 2,533
54 Cefadroxil tablet 495
55 Cefadroxyl syr 125 mg/ml Botol 9
56 Cefiksim syr kering 100mg/5ml btl 30ml 27
57 Cefixime 100mg tablet 37
58 Cefotaxim 1,0 G inj Vial
59 Cendo Lyteers Kombinasi tts mata 2,5 mg/ml; NaCl 8,664 mbotol 4
60 Cetirizin 10 mg tablet
61 Cetirizin syr 5mg/5ml btl 60ml
62 Ciprofloxacin tablet 500 mg tablet 1,045
63 Clindamisin 150 mg tablet
64 Clindamisin 300 mg tablet
65 Deksametason injeksi 5 mg/ml-1 ml ampul 29
66 Deksametason tablet 0,5 mg tablet 2,740
67 DHP-Frimal tablet
68 Diazepam injeksi 5 mg/ml-2 ml ampul 7
69 Diazepam rektal 10 mg Suppos 4
70 Diazepam rektal 5 mg Suppos 7
71 Diazepam tablet 2 mg tablet 285
72 Diazepam tablet 5 mg tablet
73 Dietil karbamazin sitrat tablet 100 mg tablet
74 Difenhidramin HCl inj 10 mg/ml-1 ml ampul
75 Digoksin tablet 0,25 mg tablet
76 Diltiazem tablet tablet
77 Dimenhidrinat 50 mg tablet
78 Doksisilin kapsul tablet 200
79 Domperidon 10 mg tablet 130
80 Domperidon syr Botol 45
81 Efedrin HCl tablet 25 mg tablet
82 Epinefrin HCl /adrenalin inj.0,1%-1ml ampul 49
83 Eritromisin 250 mg tablet
84 Eritromisin 500 mg tablet
85 Eritromisin sirup kering Botol
86 Etambutol 400mg tablet
87 Euthyrox tablet
88 Fenitoin natrium kapsul 30 mg tablet
89 Fenobarbital inj 50 mg/ml - 2 ml ampul
90 Fenobarbital tablet 30 mg tablet 560
91 Fenolgliserol tetes telinga 10% Botol 36
92 Fitomenadion (Vit K1) inj 10 mg/ml-1 ml ampul
93 Fitomenadion (Vit K1) tablet 10 mg tablet 855
94 Fitomenadion inj 2 mg/ml ampul 45
95 Fluoksetin / Prestine tablet
96 Furosemid injeksi ampul
97 Furosemid tablet 40 mg tablet 180
98 Gabapentin/Alpentin 100 mg kapsul
99 Garam Oralit untuk 200 ml bungkus 575
100 Gentamicin Salep Kulit Tube
101 Gentamisin inj ampul
102 Gentamisin tetes mata botol
103 Gentian violet larutan 1% Botol 8
104 Glibenklamid tablet 5 mg tablet 2,114
105 Glimepirid 1 mg tablet
106 Glimepirid 2 mg tablet 1,285
107 Gliseril Guaiakolat tablet 100 mg tablet
108 Glukosa 40% ampul
109 Glukosa larutan Infus 10% steril fls
110 Glukosa Larutan Infus 5% steril fls 33
111 Griseofulvin tablet 125 mg tablet
112 Griseofulvin tablet 500 mg tablet 1,134
113 Haloperidol 5 mg tablet
114 Haloperidol inj 50mg/ml ampul
115 Haloperidol tablet 0,5 mg tablet
116 Haloperidol tablet 1,5 mg tablet 620
117 Hidrochlorotiazid (HCT) tablet 25 mg tablet 361
118 Hidrokortison krim 2,5% Tube 30
119 Hiosin HBr Inj 20 mg ampul
120 Hiosin N Butil bromida tablet tablet 740
121 Ibuprofen suspensi 100 mg/5 ml botol 127
122 Ibuprofen tablet 200 mg tablet
123 Ibuprofen tablet 400 mg tablet 3,317
124 Ichtiol salep pot 23
125 Isoniazid 100 mg/PPINH 100 mg tablet
126 Isoniazid tablet 300 mg tablet
127 Isosorbid dinitrat tablet sublingual 5 mg tablet
128 Kalsium laktat (Kalk) tablet 500 mg tablet 1,850
129 Karbamazepin tablet 200 mg tablet
130 Ketokonazol krim Tube 50
131 Ketokonazol tab tablet 1,030
132 Ketoprofen 100mg tablet
133 Ketoprofen Supp suppos
134 Klopidogrel 75 mg Tablet
135 Kloramfenikol kapsul 250 mg tablet
136 Kloramfenikol salep Kulit Tube 22
137 Kloramfenikol salep mata 1 % Tube 61
138 Kloramfenikol suspensi 125 mg/5 ml Botol
139 Kloramfenikol tetes mata Botol 47
140 Kloramfenikol tetes telinga 3 % Botol 14
141 Klorfeniramin maleat (CTM) tablet 4 mg tablet 1,957
142 Klorpromazin 25mg tablet
143 Klorpromazin HCl inj 25 mg/ml - 1 ml ampul
144 Klorpromazin HCl inj 5 mg/ml - 1 ml ampul
145 Klorpromazin HCl tablet salut 100 mg tablet 616
146 Kodein HCl tablet 10 mg tablet
147 Kolkisin 500 mcg tablet
148 Kotrimoksazol suspensi kombinasi Botol 81
149 Kotrimoksazol tablet dewasa kombinasi tablet 1,537
150 Lamivudin tablet
151 Lansoprazole tablet
152 Levofloksasin 250mg tablet
153 Levofloksasin tetes mata 0,5% botol
154 Lidocain komp.inj. ampul 97
155 Lidocain inj. ampul
156 Loperamid Hcl tablet 1,040
157 Loratadin 10mg tablet 640
158 Magnesium sulfat inj (IV) 20%-25 ml vial
159 Magnesium sulfat inj (IV) 40%-25 ml vial 12
160 MDT MD Dewasa Paket
161 Meloksikam 15 mg tablet
162 Metformin tablet 1,120
163 Metil ergometrin maleat tablet salut 0,125 mg tablet 200
164 Metil ergometrin maleat inj 0,200mg-1ml ampul 100
165 Metil Prednisolon 4 mg tablet 642
166 Metil Prednisolon 8mg tablet
167 Metildopa 250mg tablet
168 Metoclopramid 10 gr tablet
169 Metoclopramid injeksi ampul
170 Metronidazol 500 mg tablet 579
171 Metronidazol supositoria 500 mg suppos
172 Metronidazole ovula 500mg ovula
173 Mikonazol krim Tube 86
174 Mineral Mix sachet
175 Multivitamin syr Botol 126
176 Multivitamin tab tablet
177 N-asetil sistein tablet 6,070
178 Natrium bicarbonat tablet 500 mg tablet
179 Natrium Diklofenak 50 mg tablet 4,380
180 Natrium klorida larutan infus 0,9% fls 29
181 Nevirapin tablet
182 Nifedipin 10 mg tablet
183 Nistatin suspensi botol 10
184 Nistatin tablet salut 500.000 IU tablet 100
185 Nistatin tablet vaginal 100.000 IU/g tablet 203
186 Oksitetrasiklin HCl salep kulit 3% Tube 13
187 Oksitetrasiklin HCl salep mata 1% Tube 24
188 Oksitosin inj 10 IU / ml - 1 ml ampul 95
189 Omeprazole 20mg tablet 870
190 Pantocain tetes mata btl 1
191 Papaverin tablet 40 mg tablet
192 Parasetamol Drop Botol 47
193 Parasetamol rektal 125 mg (dumin) suppos 5
194 Parasetamol rektal 250 mg (dumin) suppos 16
195 Parasetamol sirup 120mg/ml Botol 170
196 Parasetamol tablet 100 mg tablet
197 Parasetamol tablet 500 mg tablet 3,636
198 Permetrin krim 5% (Scabimite) tube 10
199 Petidin inj 50mg/ml ampul
200 Piracetam inj 3g/15ml ampul
201 Pirantel tablet 125 mg tablet
202 Pirasetam 800mg tablet
203 Piroxicam 10 mg tablet
204 Piroxicam 20 mg tablet
205 Prednison tablet 5 mg tablet 505
206 Primakuin tablet 15 mg tablet
207 Prokain benzil penisilin vial
208 Propanolol HCl tablet 10 mg tablet
209 Propanolol HCl tablet 40 mg tablet
210 Propiltiourasil tablet 100 mg tablet
211 Ramipril tablet
212 Ranitidin inj. 25mg/ml ampul 11
213 Ranitidin tablet 150 mg tablet 900
214 Risperidon 1 mg tablet
215 Risperidon 2 mg tablet 220
216 RL larutan infus fls 43
217 Salbutamol inhalasi 100 mcq/dosis botol 2
218 Salbutamol nebulizer Kotak 2
219 Salbutamol tablet 2 mg tablet 1,150
220 Salbutamol tablet 4 mg tablet 40
221 Salep 2-4 kombinasi pot 5
222 Salep luka bakar (Levertran) Tube 2
223 Salep Luka Bakar (Perak Sulfadiazin Krim) Tube
224 Salisil bedak 2% bungkus 24
225 Seftriakson Injeksi vial
226 Serum Anti Bisa Ular polivalen inj 5 ml vial
227 Serum Anti Rabies (SAR) Vial
228 Serum Anti Tetanus inj 1500 IU/ampul ampul 2
229 Simvastatin 10 mg tablet 465
230 Spironolacton 25 mg tablet 200
231 Sukralfat tablet tablet
232 Sukralfat Sirup Botol
233 Tablet Tambah darah tablet 8,320
234 Tenofovir tablet
235 Tetagam ampul 4
236 Tetrasiklin HCL kapsul 500 mg tablet
237 Thiamfenikol 500 mg tab tablet
238 Tramadol inj ampul
239 Trifluoperazin 5mg tablet
240 Triheksiphenidil HCl tablet 2 mg tablet 80
241 Vaksin Rabies Vero Vial
242 Vitamin A 100.000 IU tablet
243 Vitamin A 200.000 IU tablet 400
244 Vitamin B komplek tablet tablet 3,255
245 Vitamin B1 / Thiamin HCl tablet 50 mg tablet 2,420
246 Vitamin B12 / Sianokobalamin tab 50 mcg tablet
247 Vitamin B12 / Sianokobalamin Vit B12 inj 500mcg-ml ampul
248 Vitamin B6 / Pyridoksin HCL tab 10 mg tablet 840
249 Vitamin C / Asam askorbat tablet 50 mg tablet 4,807
250 Zinc syr botol 11
251 Zinc tab 20 mg tablet 2,235
252 BMHP Abochat (IV Chat) 18 Pcs 39
253 & Abochat (IV Chat) 20 Pcs 82
254 Reagen Abochat (IV Chat) 22 Pcs
255 Abochat (IV Chat) 24 Pcs 54
256 ADS 0,05 ml pcs 900
257 ADS 0,5 ml pcs 1,200
258 ADS 5 ml pcs
259 Alat suntik 10 ml pcs
260 Alat suntik 20 ml pcs
261 Alat suntik sekali pakai 1 ml Pcs 746
262 Alat suntik sekali pakai 2,5 ml / 3 ml Pcs 221
263 Alat suntik sekali pakai 5 ml Pcs 49
264 Alkacid Botol
265 Alkohol Swab sachet
266 Amoniak btl/1000 ml 1
267 Aquadest steril liter
268 Benecheck Cholesterol strip Botol
269 Benecheck Glucose strip Botol
270 Benecheck uric strip Botol
271 Blood lancet pcs 700
272 Blue tip box
273 Box Slide bok 2
274 Cartridge Gen Expert Pcs
275 Catgut/benang bedah Chromic 2/0 set 2
276 Catgut/benang bedah Chromic 3/0 set 19
277 Catgut/benang bedah Plain 2/0 set
278 Catgut/benang bedah Plain 3/0 set
279 Centrifuse Paket
280 Chlorin botol
281 Cuticell Classic pcs 6
282 DFI Cybow Box
283 EDTA 10 % Botol
284 Etakridin (rivanol) larutan 0,1% Botol 8
285 Etanol 100 ml botol. 3
286 Etanol 70% Botol 6
287 Etanol 96% botol
288 Eter Alkohol 5% botol
289 Folley Chatether pcs
290 Food Test - Borak Test Paket
291 Food Test - Formalin Test Paket
292 Food Test - Rhodamin Test Paket
293 Fouchet Botol
294 Handscoon psg 496
295 Handscoon Obgyn psg 4
296 Handscoon Steril psg 167
297 HCG Strip Pcs
298 Infusion set anak set 17
299 Infusion set dewasa set 5
300 Jarum jahit / bedah no. 9 s/d 14 Pcs
301 Jelly USG btl 1
302 Kaca Slide pcs 432
303 Kaca Tutup pcs
304 Kapas pembalut / absorben 250 g roll 18
305 Kasa kompres 40/40 steril lbr
306 Kasa pembalut 2 m x 80 cm roll 2
307 Kasa pembalut elastis 3 inchi roll
308 Kasa pembalut elastis 4 inchi roll
309 Kasa Pembalut hidrofil 3,6 m x 10 cm roll
310 Kasa Pembalut hidrofil 3,6 m x 5 cm roll
311 Kasa Pembalut hidrofil 4 m x 10 cm elastis roll
312 Kasa Pembalut hidrofil 4 m x 5 cm elastis roll
313 Kasa steril 16/16 kotak 25
314 Kassa gulung Besar 80cm x 40 m roll 7
315 Kertas lakmus biru pack
316 Kertas Lakmus merah pack
317 Kertas lensa pak
318 Kertas pH Universal Kotak
319 Kertas saring watchman ktk
320 kit gol. Darah A, B, AB set 2
321 Kondom pcs
322 Labstrip (urinalis) tube
323 Larutan Amonium Oksalat 1% Botol
324 Larutan Asam Asetat 6 % Botol
325 Larutan barium klorida Botol
326 Larutan benedict Botol
327 Larutan buffer PH 6,1 Botol
328 Larutan buffer PH 7,2 Botol
329 Larutan eosin 2% Botol
330 Larutan Etanol Asam Botol
331 Larutan giemsa stain Botol
332 Larutan H2O2 3% Botol 1 L
333 Larutan H2O2 3% Botol
334 Larutan Hayem Botol
335 Larutan HCl 0,1 N Botol
336 Larutan karbolfuksin Botol
337 Larutan metilen biru Botol
338 Larutan Na citrat Botol
339 Larutan Natrium Hipoklorid Botol/ 500ml
340 Larutan Ress Ecker Botol/ 100 ml
341 Larutan turk Botol
342 Larutan Wright Botol
343 Lisol Botol 6
344 Lubricant pcs
345 Mantoux tes vial
346 Masker pcs 495
347 Masker 3M N95 medikal respirator pcs
348 Mess pcs 116
349 Metanol 100 ml Botol
350 Metanol 1000 ml botol
351 Microlit tips for micropipettes MT-up to 1 ml pack
352 Mikropipet adjustable 100-1000µl unit
353 Mikropipet adjustable 5-50µl unit
354 Mikroskop malaria (nikon) unit
355 Minyak Imersi Botol
356 NAPZA Kit 6 Parameter pcs
357 Napza KIT 8 Parameter box
358 Needle 23 G Pcs
359 Pembalut gips 3 inch Roll
360 Pembalut gips 4 inch Roll
361 Pipet tetes bks/100 pcs
362 Planotest pcs
363 Plester 2,5 cmx 4,5 m roll
364 Plester 5 yard x 2 inch roll
365 Plester bulat non woven box 43
366 Poli Aid Botol 1
367 Poli Clean Botol
368 Poliwash botol 500ml
369 Pork Test Paket
370 Pot Sputum Pcs
371 Pot Urine Pcs
372 Povidon iodida 10% 30 ml Botol
373 Povidon iodida 10% 300 ml Botol 16
374 Povidon iodida 10% 60 ml Botol 5
375 Povidon Iodine 1 L Botol
376 RDT DBD Verotec Pcs
377 RDT DBD Biosen Pcs
378 RDT Hepatitis / HBSAG Strip pcs
379 RDT HIV -Fokus 1/2 casette box/25
380 RDT HIV Test (HIV 1 & 2 Anti Body) oncoprobe test
381 RDT HIV test (R1) SD Pcs
382 RDT HIV test Biomerieux (Vikia HIV 1 dan 2) ktk/25 test
383 RDT HIV test Intec (One Step Anti-HIV 1&2) Box
384 RDT Malaria / Malaria test ktk
385 RDT sifillis Pcs
386 Reagen dan Bahan alat lab.Malaria paket
387 Reagen Fotometer Kimia Klinik Randox Glukosa kit
388 Reagen Fotometer Kimia Klinik Randox Protein total kit
389 Reagen Fotometer Kimia Klinik Randox triglyserida kit
390 Reagen hematology analyzer Cointender 20 SFRI cliner 31 btl 5 L
391 Reagen hematology analyzer Cointender 20 SFRI diluent 3 btl 20 L
392 Reagen hematology analyzer Cointender 20 SFRI Lyse 31 botol 500ml
393 Reagen TB kit
394 Reagen widal H Vial
395 Reagen widal O Vial
396 Rotator Sifilis Unit
397 RPR Sifilis Pcs
398 Safety box pcs 74
399 Silk no.3/0 dengan jarum bedah set 23
400 Slang Oksigen Dewasa (Adult) pcs
401 Slang Oksigen Dewasa (Neonatus) Pcs
402 Slang Oksigen Dewasa (Pediatri) Pcs
403 Smokerlyzer D-Pieces Box
404 Smokerlyzer Mouth Pieces Box
405 Spritus Botol
406 Stomach tube FR 12 pcs
407 Stomach tube FR 14 pcs
408 Stomach tube FR 16 pcs
409 Strip asam urat (UA SURE) Botol
410 Strip asam urat Sinocare ktk
411 Strip GLUCO DR Ktk
412 Strip glukosa darah (easy touch) ktk
413 Strip glukosa On Call ktk
414 Strip Hb (easy touch) ktk
415 Strip Hb Mission Kotak
416 Strip Kolesterol Mission Ultra ktk
417 Suction cateter No.12 Pcs
418 Suction cateter No.16 Pcs
419 Suction cateter No.8 Pcs
420 Tabung non EDTA 3 ml pack
421 Tabung reaksi tutup pcs
422 Thermal paper 4 x 5 -rocheurysis 1100 roll
423 Thermal paper SFRI roll
424 Tube EDTA Box
425 Urin Bag pcs 5
426 Vacum Tube EDTA 0,5 ml Bok
427 Vacutainer sample needle pcs
428 White Tip Bks
429 wing needle 21 G pcs
430 wing needle 23 G pcs
431 wing needle 25 G pcs
432 wing needle 27 G pcs
433 Xylol Botol
434 Yellow Tip/Micropipet MT-I 200 ul bks
435 Yodiol Test Botol
436 Gigi Bahan tambalan gigi sementara (mix/Caviton) Botol
437 Devitalisasi Non Arsen botol
438 Etil klorida spray Botol
439 Eugenol cairan Botol 1
440 Glassionomer Cement (GC IX) / GC. Fuji Botol 1
441 Kalsium hidroksida pasta / Calxyl blue kotak
442 Klorfenol kamfer menthol (CHKM) Botol
443 Lidocain pasta botol
444 Needle Carpul ktk
445 Occo pembersih karang gigi botol
446 Spongestan Hemospon ktk
447 Temporary stopping fletcher Set
448 TKF botol
449 Vaksin Vaksin BCG Vial 23
450 Imunisasi Vaksin CAMPAK Vial
451 Vaksin DT Vial 37
452 Vaksin HbIg Kotak
453 Vaksin HB-UNIJECT Vial 23
454 Vaksin Hepatitis dewasa vial
455 Vaksin IPV Vial 4
456 Vaksin Meningitis Vial
457 Vaksin MR Vial 12
458 Vaksin PENTABIO Vial 22
459 Vaksin POLIO Vial 9
460 Vaksin Td Vial 24
461 Vaksin TT Vial
462 Baru 0 0
463 0 0
464 0 0
465 0 0
466 0 0
467 0 0
468 0 0
469 0 0
470 0 0
471 0 0
472 0 0
Mengetahui,
Kepala Unit Layanan Puskesmas Gunung medan
Lennita Arifin,M.Mkes
NIP.19761123 200804 2 001
Stok Persediaan per 31 Des 2019 Penambahan tahun 2020 Kadaluarsa Tahun 2020
Harga Satuan Jumlah Volume Harga Satuan Jumlah Volume Harga Satuan
6 7 8 9 10 11 12
- -
452 135,600 90 452 40,680
99 123,750 1,500 105 157,500
88 26,400 -
- -
99 247,005 6,500 99 643,500
2,789 83,670 -
- -
168 54,600 -
94 49,350 2,310 94 217,140
73 21,900 4,500 78 351,000
203 741,559 1,000 203 203,000
250 2,262,500 8,500 260 2,210,000
- -
4,400 431,200 200 5,500 1,100,000
- -
56 30,240 8,000 60 480,000
2,051 412,251 100 2,189 218,900
8,250 841,500 50 8,250 412,500
- -
3,325 136,325 -
- -
- 2 260,526 521,052
408,812 1,635,248 9 415,469 3,739,221
- 2 1,454,232 2,908,464
2,860 62,920 12 2,860 34,320
- -
74 120,620 3,800 79 300,200
103 202,910 3,500 297 1,039,500
- -
3,100 15,500 -
1,684 185,240 -
- -
- 100 99 9,900
3,300 214,500 125 3,300 412,500
- -
399 514,311 700 426 298,200
- -
1,540 3,080 -
160 112,000 -
1,888 37,760 -
- 7 14,500 101,500
- -
- 1,000 110 110,000
1,340 16,080 150 1,430 214,500
- -
5,900 70,800 50 5,900 295,000
327 49,050 120 327 39,240
- -
- -
10,351 51,755 - 5 10,351
64 133,312 1,700 68 115,600
154 390,082 1,700 154 261,800
880 435,600 -
4,066 36,594 50 4,339 216,950
15,950 430,650 10 15,950 159,500
1,430 52,910 100 387 38,700
- -
26,400 105,600 -
- 4,800 101 484,800
- 10 2,973 29,730
495 517,275 1,800 495 891,000
- -
- -
1,152 33,408 10 1,152 11,520
99 271,260 7,500 88 660,000
- -
12,000 84,000 -
19,193 76,772 -
13,202 92,414 -
86 24,510 100 86 8,600
- -
- -
- 10 1,228 12,280
- -
- -
- -
273 54,600 -
86 11,180 1,200 86 103,200
2,781 125,145 100 2,781 278,100
- -
1,408 68,992 10 1,408 14,080
- -
- 300 751 225,300
- -
- -
- -
- -
- -
165 92,400 -
2,590 93,240 24 2,590 62,160
- -
747 638,685 400 797 318,800 820 747
3,867 174,015 60 3,867 232,020 23 3,867
- -
- -
81 14,580 -
- -
257 147,775 600 274 164,400
- -
- -
- -
3,498 27,984 36 3,498 125,928
125 264,250 -
- -
207 265,995 2,500 207 517,500
- -
- -
- -
6,900 227,700 40 7,363 294,520
- -
952 1,079,568 - 1,114 952
- -
- -
- -
59 36,580 300 59 17,700
156 56,316 -
2,475 74,250 168 2,475 415,800
- -
1,496 1,107,040 -
2,776 352,552 100 2,776 277,600
- -
330 1,094,610 6,000 330 1,980,000
6,500 149,498 -
- -
- -
- 100 165 16,500
59 109,150 4,000 63 252,000
- 100 247 24,700
2,518 125,900 75 2,518 188,850
297 305,910 500 297 148,500
- -
- -
- -
- -
3,140 69,080 168 3,140 527,520
1,881 114,741 24 1,881 45,144
- -
6,500 305,495 - 36 240
7,502 105,028 10 7,502 75,020
25 48,925 13,500 25 337,500
- -
- -
- -
155 95,480 400 157 62,800
- -
- -
2,052 166,212 100 2,190 219,000
125 192,125 200 133 26,600
- -
- 600 334 200,400
- -
- -
1,205 116,885 210 1,286 270,060
- -
143 148,720 1,200 143 171,600
125 80,000 1,700 133 226,100
- -
3,796 45,552 30 3,796 113,880
- -
- -
105 117,152 6,500 106 689,000
221 44,200 -
2,992 299,200 - 100 2,992
137 87,954 2,900 146 423,400
- -
- -
- -
- 10 4,158 41,580
275 159,225 -
- -
- -
3,585 308,310 -
- -
4,500 567,000 100 4,500 450,000
- -
357 2,166,990 -
- 300 66 19,800
127 556,260 3,000 136 408,000
6,410 185,890 80 6,840 547,200
- -
- 100 132 13,200
34,980 349,800 -
830 83,000 -
572 116,116 -
3,850 50,050 -
2,600 62,400 100 2,774 277,400
1,900 180,500 35 1,199 41,965 91 1,199
164 142,680 990 164 162,360
14,993 14,993 -
- 100 350 35,000
6,981 328,107 120 6,981 837,720
16,995 84,975 -
17,800 284,800 - 6 17,800
1,110 188,700 400 1,110 444,000 8 1,110
- -
56 203,616 20,500 160 3,269,750
11,825 118,250 30 11,825 354,750
- -
- -
- -
- -
- -
- 900 121 108,900
72 36,360 - 457 72
- -
- -
- -
- -
- -
- -
1,155 12,705 100 1,155 115,500
165 148,500 6,000 220 1,320,000
- -
273 60,060 300 287 86,100
7,150 307,450 80 7,630 610,400
31,571 63,142 5 32,120 160,600
192,000 383,999 -
63 72,450 1,700 67 113,900
74 2,960 1,200 74 88,800
2,753 13,765 -
6,100 12,200 -
- -
3,190 76,560 42 3,190 133,980
- -
- 1 512,204 512,204 1 479,996
- -
130,999 261,998 30 130,999 3,929,970
110 51,150 210 117 24,570
195 39,000 -
- -
- -
372 3,095,040 34,020 372 12,655,440 2,450 372
- -
176,800 707,200 -
- -
- -
- -
- -
87 6,960 800 93 74,400
- 4 165,000 660,000
- 1,250 324 405,000
544 217,600 2,400 581 1,394,400
123 400,365 7,500 131 982,500
86 208,120 7,000 92 644,000
- -
- -
132 111,132 3,400 138 469,200 50 132
110 528,770 10,500 110 1,155,000
3,122 34,342 36 3,322 119,592
551 1,231,485 300 551 165,300
6,270 244,530 50 6,270 313,500
6,270 514,140 -
- 50 6,270 313,500
7,810 421,740 -
1,392 1,252,800 -
1,091 1,309,092 1,800 1,518 2,732,400
- -
- -
- -
880 656,480 -
894 197,574 1,200 894 1,072,800
943 46,207 300 943 282,900
- -
- 3,000 120 360,000
71,999 71,999 -
- -
- 5 254,925 1,274,625
- 13 169,000 2,197,000
- 15 154,675 2,320,125
191 133,700 1,000 144 144,000
- -
82,980 165,960 -
- -
52,100 104,200 -
47,706 906,414 96 33,287 3,195,552
- -
- -
- -
- 1 60,000 60,000
14,689 88,134 - 4 6,899
- 1 143,700 143,700
- -
3,450 27,600 5 4,150 20,750 7 93,999
6,899 20,698 -
69,300 415,800 13 88,000 1,144,000
- -
- -
- 3 20,100 60,300
- -
- -
- -
- -
990 491,040 5,000 2,640 13,200,000
21,296 85,184 40 40,733 1,629,320
6,793 1,134,406 400 6,595 2,638,000
- 50 4,881 244,050
9,130 155,210 5 9,130 45,650
5,608 28,042 100 5,445 544,500
- -
14,472 14,472 3 26,487 79,460
307 132,534 -
- -
31,694 570,492 20 34,150 683,000
- 6 1,760 10,560
11,322 22,644 -
- -
- -
- -
- -
- -
- -
8,144 203,610 90 7,530 677,700
165,720 1,160,040 21 140,500 2,950,500
- -
- -
- -
- -
- -
219,640 439,280 2 251,875 503,750
- -
- -
- -
- 3 30,000 90,000
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
47,150 282,900 2 47,150 94,300
- -
- -
676 334,719 2,550 2,530 6,451,500
- -
3,150 365,400 100 3,150 315,000
- -
- -
- -
- 1 3,743,693 3,743,693
- 1 3,743,693 3,743,693
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 30 12,675 380,250
- -
33,880 1,456,840 -
601,677 601,677 -
- -
- -
- -
- 600 3,722 2,232,971
- 20 2,631 52,620
- -
20,700 331,200 15 19,633 294,500
23,890 119,450 26 5,187 134,849
- -
- -
- -
- 150 8,175 1,226,250
- -
- -
- 275 11,400 3,135,000
- -
- -
- -
- 325 7,250 2,356,250
- -
- -
- -
- -
- -
- -
- -
- 2 237,271 474,542
- -
- -
- -
- -
21,500 1,591,000 -
46,712 1,074,376 144 34,000 4,896,000
- 4 6,720 26,880
- -
- 3 6,720 20,160
- -
- -
- 3 30,000 90,000
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 3 462,200 1,386,600
- -
- 2 3,552 7,104
- 2 3,552 7,104
- 2 3,552 7,104
- -
- -
- -
- -
- -
8,877 44,385 -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 10 6,494 64,940
- -
- -
- 10 174,900 1,749,000
4,000 4,000 1 4,000 4,000
330,000 330,000 2 330,000 660,000
- -
- -
- -
- -
- 8 225,000 1,800,000
- -
- -
- 2 100,000 200,000
59,950 1,378,850 110 78,991 8,689,010
- 20 28,204 564,080
17,996 665,852 30 17,996 539,880
- 2 1,325,000 2,650,000
20,900 480,700 115 25,597 2,943,655
- -
158,994 635,976 40 158,994 6,359,760
- -
155,813 1,869,756 140 155,813 21,813,820
78,991 1,737,802 210 84,382 17,720,220
19,954 179,586 220 19,954 4,389,880
16,995 407,880 110 16,995 1,869,450
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
59,450,021 202,852,166
....................................................
NIP. .............................................
luarsa Tahun 2020 Pengeluaran/Penggunaan Tahun 2020 Sisa/Stok Persediaan per 31 Des 2020
13 14 15 16 17 18 19
- - - -
- 152 452 68,704 238 452 107,576
- 2,557 105 268,485 193 105 20,265
- 17 88 1,496 283 88 24,904
- - - -
- 7,665 99 758,835 1,330 99 131,670
- - 30 2,976 89,280
- - - -
- - 325 168 54,600
- 2,512 94 236,128 323 94 30,362
- 4,380 78 341,640 420 78 32,760
- 4,293 203 871,479 360 203 73,080
- 14,456 260 3,758,560 3,094 260 804,440
- - - -
- 294 5,500 1,617,000 4 5,500 22,000
- - - -
- 6,500 60 390,000 2,040 60 122,400
- 259 2,189 566,951 42 2,189 91,938
- 115 8,250 948,750 37 8,250 305,250
- - - -
- 26 3,325 86,450 15 3,325 49,875
- - - -
- 2 260,526 521,052 - -
- 11 415,469 4,570,159 2 415,469 830,938
- - 2 1,454,232 2,908,464
- 20 2,860 57,200 14 2,860 40,040
- - - -
- 3,850 79 304,150 1,580 79 124,820
- 5,220 297 1,550,340 250 297 74,250
- - - -
- 5 3,100 15,500 - -
- 110 1,684 185,240 - -
- - - -
- - 100 99 9,900
- 104 3,300 343,200 86 3,300 283,800
- - - 245 -
- 1,316 426 560,616 673 426 286,698
- - - -
- - 2 1,540 3,080
- 160 155 24,800 540 155 83,700
- - 20 1,888 37,760
- 7 14,500 101,500 - -
- - - -
- 475 110 52,250 525 110 57,750
- 144 1,430 205,920 18 1,430 25,740
- - - -
- 13 5,900 76,700 49 5,900 289,100
- 150 327 49,050 120 327 39,240
- - - -
- - - -
51,755 - - -
- 3,363 68 228,684 420 68 28,560
- 3,028 154 466,312 1,205 154 185,570
- 495 880 435,600 - -
- 24 4,339 104,136 35 4,339 151,865
- 15 15,950 239,250 22 15,950 350,900
- 137 387 53,019 - -
- - - -
- 4 27,500 110,000 - -
- 4,171 101 421,271 629 101 63,529
- 7 2,973 20,811 3 2,973 8,919
- 2,668 495 1,320,660 177 495 87,615
- - - -
- - - -
- 22 1,152 25,344 17 1,152 19,584
- 8,301 88 730,488 1,939 88 170,632
- - - -
- 1 12,000 12,000 6 12,000 72,000
- 2 19,193 38,386 2 19,193 38,386
- 7 13,202 92,414 - -
- 385 86 33,110 - -
- - - -
- - - -
- 10 1,228 12,280 - -
- - - -
- - - -
- - - -
- 200 273 54,600 - -
- 910 86 78,260 420 86 36,120
- 69 2,781 191,889 76 2,781 211,356
- - - -
- 59 1,408 83,072 - -
- - - -
- 31 751 23,281 269 751 202,019
- - - -
- - - -
- - - -
- - - -
- - - -
- 340 180 61,200 220 180 39,600
- 58 2,590 150,220 2 2,590 5,180
- - - -
612,540 124 797 98,828 311 797 247,867
88,941 82 3,867 317,094 - -
- - - -
- - - -
- 133 82 10,906 47 82 3,854
- - - -
- 911 274 249,614 264 274 72,336
- - - -
- - - -
- - - -
- 38 3,498 132,924 6 3,498 20,988
- 514 125 64,250 1,600 125 200,000
- - - -
- 3,565 207 737,955 220 207 45,540
- - - -
- - - -
- - - -
- 61 7,363 449,143 12 7,363 88,356
- - - -
1,060,528 20 952 19,040 - -
- - - -
- - - -
- - - -
- 920 59 54,280 - -
- 1 156 156 360 156 56,160
- 168 2,475 415,800 30 2,475 74,250
- - - -
- 600 1,496 897,600 140 1,496 209,440
- 105 2,776 291,480 122 2,776 338,672
- - - -
- 7,020 330 2,316,600 2,297 330 758,010
- 19 6,500 123,500 4 6,500 26,000
- - - -
- - - -
- - 100 165 16,500
- 4,200 63 264,600 1,650 63 103,950
- 20 247 4,940 80 247 19,760
- 118 2,518 297,124 7 2,518 17,626
- 1,050 297 311,850 480 297 142,560
- - - -
- - - -
- - - -
- - - -
- 190 3,140 596,600 - -
- 82 1,881 154,242 3 1,881 5,643
- - - -
6,500 11 6,500 71,500 - -
- 24 7,502 180,048 - -
- 14,402 25 360,050 1,055 25 26,375
- - - -
- - - -
- - - -
- 1,016 157 159,512 - -
- - - -
- - - -
- 87 2,190 190,530 94 2,190 205,860
- 948 133 126,084 789 133 104,937
- - - -
- 486 334 162,324 114 334 38,076
- - - -
- - - -
- 307 1,286 394,802 - -
- - - -
- 1,555 143 222,365 685 143 97,955
- 1,905 133 253,365 435 133 57,855
- - - -
- 37 3,796 140,452 5 3,796 18,980
- - - -
- - - -
- 6,710 106 711,260 910 106 96,460
- 10 236 2,360 190 236 44,840
299,200 - - -
- 3,235 146 472,310 307 146 44,822
- - - -
- - - -
- - - -
- 10 4,158 41,580 - -
- 328 275 90,200 251 275 69,025
- - - -
- - - -
- 82 3,585 293,970 4 3,585 14,340
- - - -
- 226 4,500 1,017,000 - -
- - - -
- 3,122 381 1,189,482 2,948 381 1,123,188
- 260 66 17,160 40 66 2,640
- 5,899 136 802,264 1,481 136 201,416
- 66 6,840 451,440 43 6,840 294,120
- - - -
- - 100 132 13,200
- 2 34,980 69,960 8 34,980 279,840
- 5 886 4,430 95 886 84,170
- 48 572 27,456 155 572 88,660
- 13 3,850 50,050 - -
- 88 2,774 244,112 36 2,774 99,864
109,109 15 1,199 17,985 24 1,199 28,776
- 1,731 164 283,884 129 164 21,156
- 1 14,993 14,993 - -
- 100 350 35,000 - -
- 121 6,981 844,701 46 6,981 321,126
- 5 16,995 84,975 - -
106,800 9 17,800 160,200 1 17,800 17,800
8,880 432 1,110 479,520 130 1,110 144,300
- - - -
- 22,946 160 3,659,887 1,190 160 189,805
- 38 11,825 449,350 2 11,825 23,650
- - - -
- - - -
- - - -
- - - -
- - - -
- 900 121 108,900 - -
32,904 48 77 3,696 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 17 1,155 19,635 94 1,155 108,570
- 6,030 220 1,326,600 870 220 191,400
- - - -
- 300 287 86,100 220 287 63,140
- 74 7,630 564,620 49 7,630 373,870
- 5 32,120 160,600 2 32,120 64,240
- 1 220,000 220,000 1 220,000 220,000
- 2,274 67 152,358 576 67 38,592
- 398 74 29,452 842 74 62,308
- 5 2,753 13,765 - -
- 2 6,100 12,200 - -
- - - -
- 61 3,190 194,590 5 3,190 15,950
- - - -
479,996 - - -
- - - -
- 22 130,999 2,881,978 10 130,999 1,309,990
- 565 117 66,105 110 117 12,870
- 200 208 41,600 - -
- - - -
- - - -
911,400 33,620 372 12,506,640 6,270 372 2,332,440
- - - -
- 4 176,800 707,200 - -
- - - -
- - - -
- - - -
- - - -
- 830 93 77,190 50 93 4,650
- 4 165,000 660,000 - -
- 1,250 324 405,000 - -
- 2,800 581 1,626,800 - -
- 10,078 131 1,320,218 677 131 88,687
- 7,930 92 729,560 1,490 92 137,080
- - - -
- - - -
6,600 3,302 138 455,676 888 138 122,544
- 13,172 110 1,448,920 2,135 110 234,850
- 22 3,322 73,084 25 3,322 83,050
- 1,490 551 820,990 1,045 551 575,795
- 65 6,270 407,550 24 6,270 150,480
- 29 6,270 181,830 53 6,270 332,310
- 21 6,270 131,670 29 6,270 181,830
- 13 6,270 81,510 41 6,270 257,070
- 404 1,518 613,272 496 1,518 752,928
- 1,607 1,518 2,439,426 1,393 1,518 2,114,574
- - - -
- - - -
- - - -
- 522 880 459,360 224 880 197,120
- 1,039 894 928,866 382 894 341,508
- 125 943 117,875 224 943 211,232
- - - -
- 3,000 120 360,000 - -
- - 1 71,999 71,999
- - - -
- 5 254,925 1,274,625 - -
- 4 169,000 676,000 9 169,000 1,521,000
- 11 154,675 1,701,425 4 154,675 618,700
- 1,000 144 144,000 700 144 100,800
- - - -
- - 2 82,980 165,960
- - - -
- 2 33,565 67,130 - -
- 78 33,287 2,596,386 37 33,287 1,231,619
- - - -
- - - -
- - - -
- 1 60,000 60,000 - -
27,597 2 15,600 31,200 - -
- 1 143,700 143,700 - -
- - - -
657,996 6 4,150 24,900 - -
- 3 11,000 33,000 - -
- 17 88,000 1,496,000 2 88,000 176,000
- - - -
- - - -
- 3 20,100 60,300 - -
- - - -
- - - -
- - - -
- - - -
- 4,996 2,640 13,189,440 500 2,640 1,320,000
- 34 40,733 1,384,922 10 40,733 407,330
- 456 6,595 3,007,320 111 6,595 732,045
- 50 4,881 244,050 - -
- 22 9,130 200,860 - -
- 68 5,445 370,260 37 5,445 201,465
- - - -
- 4 26,487 105,947 - -
- 72 417 30,000 360 417 150,000
- - - -
- 26 34,150 887,900 12 34,150 409,800
- - 6 1,760 10,560
- 2 11,322 22,644 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 108 7,530 813,240 7 7,530 52,710
- 28 140,500 3,934,000 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 3 251,875 755,625 1 251,875 251,875
- - - -
- - - -
- - - -
- - 3 30,000 90,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 8 47,150 377,200 - -
- - - -
- - - -
- 3,040 2,530 7,691,200 5 2,530 12,650
- - - -
- 92 3,150 289,800 124 3,150 390,600
- - - -
- - - -
- - - -
- 1 3,743,693 3,743,693 - -
- 1 3,743,693 3,743,693 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 20 12,675 253,500 10 12,675 126,750
- - - -
- 6 33,880 203,280 37 33,880 1,253,560
- - 1 601,677 601,677
- - - -
- - - -
- - - -
- 200 3,722 744,324 400 3,722 1,488,647
- 20 2,631 52,620 - -
- - - -
- 26 19,633 510,467 5 19,633 98,167
- 26 5,187 134,849 5 5,187 25,933
- - - -
- - - -
- - - -
- 150 8,175 1,226,250 - -
- - - -
- - - -
- 275 11,400 3,135,000 - -
- - - -
- - - -
- - - -
- 325 7,250 2,356,250 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 1 237,271 237,271 1 237,271 237,271
- - - -
- - - -
- - - -
- - - -
- 42 22,433 942,186 32 22,433 717,856
- 90 34,000 3,060,000 77 34,000 2,618,000
- - 4 6,720 26,880
- - - -
- 3 6,720 20,160 - -
- - - -
- - - -
- 1 30,000 30,000 2 30,000 60,000
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 1 462,200 462,200 2 462,200 924,400
- - - -
- 1 3,552 3,552 1 3,552 3,552
- 1 3,552 3,552 1 3,552 3,552
- - 2 3,552 7,104
- - - -
- - - -
- - - -
- - - -
- - - -
- 3 8,070 24,210 2 8,070 16,140
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 10 6,494 64,940 - -
- - - -
- - - -
- 8 174,900 1,399,200 2 174,900 349,800
- 1 4,000 4,000 1 4,000 4,000
- 3 330,000 990,000 - -
- - - -
- - - -
- - - -
- - - -
- 8 225,000 1,800,000 - -
- - - -
- - - -
- 2 100,000 200,000 - -
- 111 78,991 8,768,001 22 78,991 1,737,802
- 20 28,204 564,080 - -
- 59 17,996 1,061,764 8 17,996 143,968
- 2 1,325,000 2,650,000 - -
- 111 25,597 2,841,267 27 25,597 691,119
- - - -
- 28 158,994 4,451,832 16 158,994 2,543,904
- - - -
- 111 155,813 17,295,243 41 155,813 6,388,333
- 211 84,382 17,804,602 21 84,382 1,772,022
- 210 19,954 4,190,340 19 19,954 379,126
- 82 16,995 1,393,590 52 16,995 883,740
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
4,460,746 205,517,354 56,525,756
................................................
P. .............................................
LAPORAN PERSEDIAAN OBAT DAN PERBEKALAN KESEHATAN
UPT. PUSKESMAS SUNGAI DAREH
PER 31 DESEMBER 2020
1 2 3 4 5
1 Obat Albendazol sirup 200mg/5 ml Botol 9
2 Albendazol tablet 400 mg tablet 263
3 Allopurinol 100 mg tablet 1,964
4 Alprazolam 0,5 mg tablet 910
5 Alprazolam 1 mg tablet 1,000
6 Ambroxol 30 mg tablet tablet 6,341
7 Aminofilin inj 24mg/ml-10 ml ampul
8 Aminofilin tablet 200 mg tablet 70
9 Amitriptilin HCl tablet salut 25 mg tablet 1,009
10 Amlodipin 10 mg tablet 1,848
11 Amlodipin 5 mg tablet 4,454
12 Amoksisilin 250 mg tablet
13 Amoksisilin 500 mg tablet 8,841
14 Amoksisilin 250mg/5ml sirup kering botol 109
15 Amoksisilin sirup kering 125 mg/5 ml Botol 146
16 Antalgin injeksi 250 mg/ml-2ml ampul
17 Antasida DOEN tablet tablet 2,215
18 Antasida sirup Botol 174
19 Anti Bakteri DOEN salep Kombinasi (bacitrasin) Tube 107
20 Anti Fungi DOEN Kombinasi Pot
21 Anti Haemoroid DOEN kombinasi Suppos 41
22 Anti Migren (ergotamin caffein) tablet
23 Anti Tuberkulosis anak paket
24 Anti Tuberkulosis Kategori I paket 10
25 Anti Tuberkulosis Kategori II paket 1
26 Aqua pro injeksi steril bebas pirogen vial 119
27 Asam Folat 0,4 mg /profolat tablet
28 Asam folat 1 mg tablet 1,730
29 Asam mefenamat 500 mg tablet 3,909
30 Asam tranexamat inj 100 mg/ml ampul
31 Asam tranexamat inj 50mg/ml ampul 10
32 Asam Tranexamat tablet 500 mg tablet 162
33 Asam Valproat 500mg / Depakote 500 mg tablet
34 Asetosal 80 mg / Miniaspi tablet 290
35 Asiklovir Krim 5 % 5 gr Tube 125
36 Asiklovir tablet 200 mg tablet 1,403
37 Asiklovir tablet 400 mg tablet 1,883
38 Atripla tablet
39 Atropin sulfat injeksi 0,25 mg/ml - 1 ml ampul 20
40 Attapulgit (Pularex) tablet 1,783
41 Azitromisin tab 500 mg tablet 127
42 Benzatil benzil penisilin vial
43 Berotec 0,1 mg(Fenoterol HBr aerosol 100mcg/dosis) Btl
44 Betahistin mesilat tablet 891
45 Betametason krim 0,1% Tube 58
46 Bioplacenton tube
47 Bisacodil (dulcolax) supp suppos 45
48 Bisacodil (dulcolax) tab tablet 216
49 Bisacodil supp infant 5 mg /Dulcolax Suppos
50 Bisoprolol 5 mg tablet 280
51 Ca Glukonas ampul 43
52 Captopril 12,5mg tablet 1,269
53 Captopril 25 mg tablet 879
54 Cefadroxil tablet 972
55 Cefadroxyl syr 125 mg/ml Botol 107
56 Cefiksim syr kering 100mg/5ml btl 30ml 139
57 Cefixime 100mg tablet 206
58 Cefotaxim 1,0 G inj Vial
59 Cendo Lyteers Kombinasi tts mata 2,5 mg/ml; NaCl 8,664 mbotol 55
60 Cetirizin 10 mg tablet 540
61 Cetirizin syr 5mg/5ml btl 60ml 133
62 Ciprofloxacin tablet 500 mg tablet 1,439
63 Clindamisin 150 mg tablet 878
64 Clindamisin 300 mg tablet
65 Deksametason injeksi 5 mg/ml-1 ml ampul 80
66 Deksametason tablet 0,5 mg tablet 4,372
67 DHP-Frimal tablet 18
68 Diazepam injeksi 5 mg/ml-2 ml ampul 20
69 Diazepam rektal 10 mg Suppos 10
70 Diazepam rektal 5 mg Suppos 2
71 Diazepam tablet 2 mg tablet 517
72 Diazepam tablet 5 mg tablet 492
73 Dietil karbamazin sitrat tablet 100 mg tablet
74 Difenhidramin HCl inj 10 mg/ml-1 ml ampul
75 Digoksin tablet 0,25 mg tablet
76 Diltiazem tablet tablet
77 Dimenhidrinat 50 mg tablet
78 Doksisilin kapsul tablet 850
79 Domperidon 10 mg tablet 455
80 Domperidon syr Botol 92
81 Efedrin HCl tablet 25 mg tablet
82 Epinefrin HCl /adrenalin inj.0,1%-1ml ampul 105
83 Eritromisin 250 mg tablet
84 Eritromisin 500 mg tablet
85 Eritromisin sirup kering Botol
86 Etambutol 400mg tablet
87 Euthyrox tablet
88 Fenitoin natrium kapsul 30 mg tablet
89 Fenobarbital inj 50 mg/ml - 2 ml ampul
90 Fenobarbital tablet 30 mg tablet 500
91 Fenolgliserol tetes telinga 10% Botol 114
92 Fitomenadion (Vit K1) inj 10 mg/ml-1 ml ampul
93 Fitomenadion (Vit K1) tablet 10 mg tablet 1,225
94 Fitomenadion inj 2 mg/ml ampul 89
95 Fluoksetin / Prestine tablet
96 Furosemid injeksi ampul
97 Furosemid tablet 40 mg tablet 224
98 Gabapentin/Alpentin 100 mg kapsul
99 Garam Oralit untuk 200 ml bungkus 1,534
100 Gentamicin Salep Kulit Tube 2
101 Gentamisin inj ampul
102 Gentamisin tetes mata botol
103 Gentian violet larutan 1% Botol 46
104 Glibenklamid tablet 5 mg tablet 1,380
105 Glimepirid 1 mg tablet 4,724
106 Glimepirid 2 mg tablet 1,570
107 Gliseril Guaiakolat tablet 100 mg tablet
108 Glukosa 40% ampul
109 Glukosa larutan Infus 10% steril fls 26
110 Glukosa Larutan Infus 5% steril fls 85
111 Griseofulvin tablet 125 mg tablet
112 Griseofulvin tablet 500 mg tablet 608
113 Haloperidol 5 mg tablet 700
114 Haloperidol inj 50mg/ml ampul 12
115 Haloperidol tablet 0,5 mg tablet 600
116 Haloperidol tablet 1,5 mg tablet 700
117 Hidrochlorotiazid (HCT) tablet 25 mg tablet
118 Hidrokortison krim 2,5% Tube 154
119 Hiosin HBr Inj 20 mg ampul
120 Hiosin N Butil bromida tablet tablet 1,180
121 Ibuprofen suspensi 100 mg/5 ml botol 397
122 Ibuprofen tablet 200 mg tablet
123 Ibuprofen tablet 400 mg tablet 2,340
124 Ichtiol salep pot 24
125 Isoniazid 100 mg/PPINH 100 mg tablet
126 Isoniazid tablet 300 mg tablet 500
127 Isosorbid dinitrat tablet sublingual 5 mg tablet 419
128 Kalsium laktat (Kalk) tablet 500 mg tablet 3,105
129 Karbamazepin tablet 200 mg tablet
130 Ketokonazol krim Tube 50
131 Ketokonazol tab tablet 510
132 Ketoprofen 100mg tablet
133 Ketoprofen Supp suppos 14
134 Klopidogrel 75 mg Tablet
135 Kloramfenikol kapsul 250 mg tablet
136 Kloramfenikol salep Kulit Tube 85
137 Kloramfenikol salep mata 1 % Tube 159
138 Kloramfenikol suspensi 125 mg/5 ml Botol
139 Kloramfenikol tetes mata Botol 51
140 Kloramfenikol tetes telinga 3 % Botol 32
141 Klorfeniramin maleat (CTM) tablet 4 mg tablet 7,157
142 Klorpromazin 25mg tablet 1,750
143 Klorpromazin HCl inj 25 mg/ml - 1 ml ampul
144 Klorpromazin HCl inj 5 mg/ml - 1 ml ampul
145 Klorpromazin HCl tablet salut 100 mg tablet 880
146 Kodein HCl tablet 10 mg tablet 410
147 Kolkisin 500 mcg tablet
148 Kotrimoksazol suspensi kombinasi Botol 92
149 Kotrimoksazol tablet dewasa kombinasi tablet 440
150 Lamivudin tablet
151 Lansoprazole tablet
152 Levofloksasin 250mg tablet
153 Levofloksasin tetes mata 0,5% botol
154 Lidocain komp.inj. ampul 277
155 Lidocain inj. ampul 20
156 Loperamid Hcl tablet 573
157 Loratadin 10mg tablet 3,500
158 Magnesium sulfat inj (IV) 20%-25 ml vial
159 Magnesium sulfat inj (IV) 40%-25 ml vial 38
160 MDT MD Dewasa Paket
161 Meloksikam 15 mg tablet 725
162 Metformin tablet 8,560
163 Metil ergometrin maleat tablet salut 0,125 mg tablet 1,512
164 Metil ergometrin maleat inj 0,200mg-1ml ampul 96
165 Metil Prednisolon 4 mg tablet 1,681
166 Metil Prednisolon 8mg tablet
167 Metildopa 250mg tablet 58
168 Metoclopramid 10 gr tablet
169 Metoclopramid injeksi ampul
170 Metronidazol 500 mg tablet 1,280
171 Metronidazol supositoria 500 mg suppos
172 Metronidazole ovula 500mg ovula 30
173 Mikonazol krim Tube 81
174 Mineral Mix sachet
175 Multivitamin syr Botol 104
176 Multivitamin tab tablet
177 N-asetil sistein tablet 6,510
178 Natrium bicarbonat tablet 500 mg tablet
179 Natrium Diklofenak 50 mg tablet 4,507
180 Natrium klorida larutan infus 0,9% fls 99
181 Nevirapin tablet
182 Nifedipin 10 mg tablet 135
183 Nistatin suspensi botol 15
184 Nistatin tablet salut 500.000 IU tablet 90
185 Nistatin tablet vaginal 100.000 IU/g tablet 362
186 Oksitetrasiklin HCl salep kulit 3% Tube 50
187 Oksitetrasiklin HCl salep mata 1% Tube 149
188 Oksitosin inj 10 IU / ml - 1 ml ampul 151
189 Omeprazole 20mg tablet
190 Pantocain tetes mata btl
191 Papaverin tablet 40 mg tablet
192 Parasetamol Drop Botol
193 Parasetamol rektal 125 mg (dumin) suppos 11
194 Parasetamol rektal 250 mg (dumin) suppos 10
195 Parasetamol sirup 120mg/ml Botol 422
196 Parasetamol tablet 100 mg tablet
197 Parasetamol tablet 500 mg tablet 20,465
198 Permetrin krim 5% (Scabimite) tube 40
199 Petidin inj 50mg/ml ampul
200 Piracetam inj 3g/15ml ampul
201 Pirantel tablet 125 mg tablet
202 Pirasetam 800mg tablet 940
203 Piroxicam 10 mg tablet
204 Piroxicam 20 mg tablet
205 Prednison tablet 5 mg tablet
206 Primakuin tablet 15 mg tablet
207 Prokain benzil penisilin vial
208 Propanolol HCl tablet 10 mg tablet
209 Propanolol HCl tablet 40 mg tablet
210 Propiltiourasil tablet 100 mg tablet
211 Ramipril tablet
212 Ranitidin inj. 25mg/ml ampul 116
213 Ranitidin tablet 150 mg tablet 4,560
214 Risperidon 1 mg tablet
215 Risperidon 2 mg tablet 265
216 RL larutan infus fls 158
217 Salbutamol inhalasi 100 mcq/dosis botol 36
218 Salbutamol nebulizer Kotak 4
219 Salbutamol tablet 2 mg tablet 1,136
220 Salbutamol tablet 4 mg tablet 1,236
221 Salep 2-4 kombinasi pot 34
222 Salep luka bakar (Levertran) Tube
223 Salep Luka Bakar (Perak Sulfadiazin Krim) Tube
224 Salisil bedak 2% bungkus 70
225 Seftriakson Injeksi vial
226 Serum Anti Bisa Ular polivalen inj 5 ml vial 1
227 Serum Anti Rabies (SAR) Vial
228 Serum Anti Tetanus inj 1500 IU/ampul ampul
229 Simvastatin 10 mg tablet 860
230 Spironolacton 25 mg tablet 100
231 Sukralfat tablet tablet
232 Sukralfat Sirup Botol 54
233 Tablet Tambah darah tablet 10,775
234 Tenofovir tablet
235 Tetagam ampul 18
236 Tetrasiklin HCL kapsul 500 mg tablet 85
237 Thiamfenikol 500 mg tab tablet
238 Tramadol inj ampul
239 Trifluoperazin 5mg tablet
240 Triheksiphenidil HCl tablet 2 mg tablet 1,220
241 Vaksin Rabies Vero Vial 28
242 Vitamin A 100.000 IU tablet 50
243 Vitamin A 200.000 IU tablet 978
244 Vitamin B komplek tablet tablet 7,261
245 Vitamin B1 / Thiamin HCl tablet 50 mg tablet 3,894
246 Vitamin B12 / Sianokobalamin tab 50 mcg tablet
247 Vitamin B12 / Sianokobalamin Vit B12 inj 500mcg-ml ampul
248 Vitamin B6 / Pyridoksin HCL tab 10 mg tablet 990
249 Vitamin C / Asam askorbat tablet 50 mg tablet 6,617
250 Zinc syr botol 23
251 Zinc tab 20 mg tablet 2,882
252 BMHP Abochat (IV Chat) 18 Pcs 77
253 & Abochat (IV Chat) 20 Pcs 116
254 Reagen Abochat (IV Chat) 22 Pcs
255 Abochat (IV Chat) 24 Pcs 111
256 ADS 0,05 ml pcs 454
257 ADS 0,5 ml pcs 1,083
258 ADS 5 ml pcs
259 Alat suntik 10 ml pcs
260 Alat suntik 20 ml pcs
261 Alat suntik sekali pakai 1 ml Pcs 841
262 Alat suntik sekali pakai 2,5 ml / 3 ml Pcs 1,677
263 Alat suntik sekali pakai 5 ml Pcs 1,756
264 Alkacid Botol
265 Alkohol Swab sachet 1,200
266 Amoniak btl/1000 ml
267 Aquadest steril liter 16
268 Benecheck Cholesterol strip Botol 18
269 Benecheck Glucose strip Botol 7
270 Benecheck uric strip Botol
271 Blood lancet pcs 2,700
272 Blue tip box
273 Box Slide bok 2
274 Cartridge Gen Expert Pcs
275 Catgut/benang bedah Chromic 2/0 set 42
276 Catgut/benang bedah Chromic 3/0 set 104
277 Catgut/benang bedah Plain 2/0 set
278 Catgut/benang bedah Plain 3/0 set 118
279 Centrifuse Paket
280 Chlorin botol
281 Cuticell Classic pcs 5
282 DFI Cybow Box 1
283 EDTA 10 % Botol
284 Etakridin (rivanol) larutan 0,1% Botol 47
285 Etanol 100 ml botol. 60
286 Etanol 70% Botol 13
287 Etanol 96% botol
288 Eter Alkohol 5% botol
289 Folley Chatether pcs 59
290 Food Test - Borak Test Paket
291 Food Test - Formalin Test Paket
292 Food Test - Rhodamin Test Paket
293 Fouchet Botol
294 Handscoon psg 4,389
295 Handscoon Obgyn psg 44
296 Handscoon Steril psg 389
297 HCG Strip Pcs 183
298 Infusion set anak set 66
299 Infusion set dewasa set 92
300 Jarum jahit / bedah no. 9 s/d 14 Pcs 12
301 Jelly USG btl 9
302 Kaca Slide pcs 504
303 Kaca Tutup pcs 200
304 Kapas pembalut / absorben 250 g roll 25
305 Kasa kompres 40/40 steril lbr 33
306 Kasa pembalut 2 m x 80 cm roll 76
307 Kasa pembalut elastis 3 inchi roll
308 Kasa pembalut elastis 4 inchi roll
309 Kasa Pembalut hidrofil 3,6 m x 10 cm roll
310 Kasa Pembalut hidrofil 3,6 m x 5 cm roll
311 Kasa Pembalut hidrofil 4 m x 10 cm elastis roll 46
312 Kasa Pembalut hidrofil 4 m x 5 cm elastis roll 16
313 Kasa steril 16/16 kotak 213
314 Kassa gulung Besar 80cm x 40 m roll 12
315 Kertas lakmus biru pack
316 Kertas Lakmus merah pack
317 Kertas lensa pak
318 Kertas pH Universal Kotak
319 Kertas saring watchman ktk
320 kit gol. Darah A, B, AB set 3
321 Kondom pcs
322 Labstrip (urinalis) tube
323 Larutan Amonium Oksalat 1% Botol
324 Larutan Asam Asetat 6 % Botol 3
325 Larutan barium klorida Botol 1
326 Larutan benedict Botol 1
327 Larutan buffer PH 6,1 Botol 1
328 Larutan buffer PH 7,2 Botol 1
329 Larutan eosin 2% Botol
330 Larutan Etanol Asam Botol
331 Larutan giemsa stain Botol
332 Larutan H2O2 3% Botol 1 L
333 Larutan H2O2 3% Botol
334 Larutan Hayem Botol
335 Larutan HCl 0,1 N Botol 4
336 Larutan karbolfuksin Botol
337 Larutan metilen biru Botol
338 Larutan Na citrat Botol
339 Larutan Natrium Hipoklorid Botol/ 500ml 3
340 Larutan Ress Ecker Botol/ 100 ml
341 Larutan turk Botol
342 Larutan Wright Botol
343 Lisol Botol 18
344 Lubricant pcs
345 Mantoux tes vial
346 Masker pcs 2,142
347 Masker 3M N95 medikal respirator pcs 110
348 Mess pcs 371
349 Metanol 100 ml Botol 1
350 Metanol 1000 ml botol
351 Microlit tips for micropipettes MT-up to 1 ml pack
352 Mikropipet adjustable 100-1000µl unit
353 Mikropipet adjustable 5-50µl unit
354 Mikroskop malaria (nikon) unit
355 Minyak Imersi Botol
356 NAPZA Kit 6 Parameter pcs
357 Napza KIT 8 Parameter box
358 Needle 23 G Pcs
359 Pembalut gips 3 inch Roll
360 Pembalut gips 4 inch Roll
361 Pipet tetes bks/100 pcs
362 Planotest pcs
363 Plester 2,5 cmx 4,5 m roll
364 Plester 5 yard x 2 inch roll 1
365 Plester bulat non woven box 8
366 Poli Aid Botol -
367 Poli Clean Botol 11
368 Poliwash botol 500ml
369 Pork Test Paket
370 Pot Sputum Pcs 141
371 Pot Urine Pcs
372 Povidon iodida 10% 30 ml Botol 73
373 Povidon iodida 10% 300 ml Botol 13
374 Povidon iodida 10% 60 ml Botol 27
375 Povidon Iodine 1 L Botol
376 RDT DBD Verotec Pcs
377 RDT DBD Biosen Pcs
378 RDT Hepatitis / HBSAG Strip pcs 6
379 RDT HIV -Fokus 1/2 casette box/25
380 RDT HIV Test (HIV 1 & 2 Anti Body) oncoprobe test
381 RDT HIV test (R1) SD Pcs 330
382 RDT HIV test Biomerieux (Vikia HIV 1 dan 2) ktk/25 test
383 RDT HIV test Intec (One Step Anti-HIV 1&2) Box
384 RDT Malaria / Malaria test ktk 1
385 RDT sifillis Pcs 444
386 Reagen dan Bahan alat lab.Malaria paket
387 Reagen Fotometer Kimia Klinik Randox Glukosa kit
388 Reagen Fotometer Kimia Klinik Randox Protein total kit
389 Reagen Fotometer Kimia Klinik Randox triglyserida kit
390 Reagen hematology analyzer Cointender 20 SFRI cliner 31 btl 5 L
391 Reagen hematology analyzer Cointender 20 SFRI diluent 3 btl 20 L
392 Reagen hematology analyzer Cointender 20 SFRI Lyse 31 botol 500ml
393 Reagen TB kit 3
394 Reagen widal H Vial
395 Reagen widal O Vial
396 Rotator Sifilis Unit
397 RPR Sifilis Pcs 25
398 Safety box pcs 50
399 Silk no.3/0 dengan jarum bedah set 119
400 Slang Oksigen Dewasa (Adult) pcs
401 Slang Oksigen Dewasa (Neonatus) Pcs 5
402 Slang Oksigen Dewasa (Pediatri) Pcs 5
403 Smokerlyzer D-Pieces Box
404 Smokerlyzer Mouth Pieces Box
405 Spritus Botol 1
406 Stomach tube FR 12 pcs
407 Stomach tube FR 14 pcs
408 Stomach tube FR 16 pcs
409 Strip asam urat (UA SURE) Botol
410 Strip asam urat Sinocare ktk 6
411 Strip GLUCO DR Ktk
412 Strip glukosa darah (easy touch) ktk 2
413 Strip glukosa On Call ktk 5
414 Strip Hb (easy touch) ktk
415 Strip Hb Mission Kotak
416 Strip Kolesterol Mission Ultra ktk 7
417 Suction cateter No.12 Pcs
418 Suction cateter No.16 Pcs
419 Suction cateter No.8 Pcs
420 Tabung non EDTA 3 ml pack 1
421 Tabung reaksi tutup pcs
422 Thermal paper 4 x 5 -rocheurysis 1100 roll
423 Thermal paper SFRI roll
424 Tube EDTA Box
425 Urin Bag pcs 66
426 Vacum Tube EDTA 0,5 ml Bok 5
427 Vacutainer sample needle pcs
428 White Tip Bks
429 wing needle 21 G pcs
430 wing needle 23 G pcs
431 wing needle 25 G pcs
432 wing needle 27 G pcs
433 Xylol Botol 3
434 Yellow Tip/Micropipet MT-I 200 ul bks
435 Yodiol Test Botol
436 Gigi Bahan tambalan gigi sementara (mix/Caviton) Botol
437 Devitalisasi Non Arsen botol
438 Etil klorida spray Botol 2
439 Eugenol cairan Botol
440 Glassionomer Cement (GC IX) / GC. Fuji Botol
441 Kalsium hidroksida pasta / Calxyl blue kotak
442 Klorfenol kamfer menthol (CHKM) Botol
443 Lidocain pasta botol
444 Needle Carpul ktk
445 Occo pembersih karang gigi botol
446 Spongestan Hemospon ktk 41
447 Temporary stopping fletcher Set
448 TKF botol
449 Vaksin Vaksin BCG Vial 6
450 Imunisasi Vaksin CAMPAK Vial
451 Vaksin DT Vial 33
452 Vaksin HbIg Kotak
453 Vaksin HB-UNIJECT Vial 46
454 Vaksin Hepatitis dewasa vial
455 Vaksin IPV Vial 12
456 Vaksin Meningitis Vial
457 Vaksin MR Vial
458 Vaksin PENTABIO Vial 13
459 Vaksin POLIO Vial 21
460 Vaksin Td Vial 18
461 Vaksin TT Vial
462 Baru MP ASI ktk
463 PMT Bumil ktk
464 Stik Hb Family DR Ktk
465 0 -
466 0 0 -
467 0 0 -
468 0 0 -
469 0 0 -
470 0 0 -
471 0 0 -
472 0 0 -
Mengetahui,
Kepala UPT Puskesmas Sungai Dareh
Harga Satuan Jumlah Volume Harga Satuan Jumlah Volume Harga Satuan Jumlah
6 7 8 9 10 11 12 13
4,200 37,800 740 4,200 3,108,000 -
452 118,876 13,080 452 5,912,160 -
99 194,436 3,000 105 315,000 2,599 99 257,301
88 80,080 - -
120 120,000 - 1,000 120 120,000
99 627,759 6,000 99 594,000 -
- - -
341 23,870 200 341 68,200 -
168 169,512 1,000 168 168,000 -
94 173,712 7,200 94 676,800 -
73 325,142 18,300 78 1,427,400 -
- 200 203 40,600 -
250 2,210,250 17,000 260 4,420,000 -
3,737 407,333 - -
4,400 642,400 300 5,500 1,650,000 -
- - -
56 124,040 16,000 60 960,000 -
2,051 356,874 450 2,189 985,050 -
8,250 882,750 225 8,250 1,856,250 -
- - -
3,325 136,325 160 3,325 532,000 -
- - -
- 6 260,526 1,563,156 -
408,812 4,088,120 23 415,469 9,555,787 -
1,297,889 1,297,889 2 1,454,232 2,908,464 -
2,860 340,340 60 2,860 171,600 70 2,860 200,200
- - -
74 128,020 6,000 79 474,000 -
103 402,627 4,000 297 1,188,000 -
- - -
3,100 31,000 - 10 3,100 31,000
1,684 272,808 200 1,684 336,800 -
- - -
99 28,710 - -
3,300 412,500 75 3,300 247,500 -
245 343,735 - -
399 751,317 - -
- - -
1,540 30,800 - -
160 285,280 - -
1,888 239,776 - -
- - -
- - -
110 98,010 1,200 110 132,000 -
1,340 77,720 175 1,430 250,250 -
- - -
5,900 265,500 100 5,900 590,000 -
327 70,632 - 189 327 61,803
- - -
275 77,000 - -
10,351 445,093 33 10,351 341,583 13 10,351 134,563
64 81,216 500 68 34,000 -
154 135,366 500 154 77,000 -
880 855,360 300 880 264,000 -
4,066 435,062 - -
15,950 2,217,050 - -
1,430 294,580 500 387 193,500 -
- - -
26,400 1,452,000 45 27,500 1,237,500 -
101 54,540 4,500 101 454,500 -
2,973 395,409 100 2,973 297,300 -
495 712,305 400 495 198,000 629 495 311,355
729 640,062 1,500 770 1,155,000 1,114 729 812,106
- - -
1,152 92,160 80 1,152 92,160 48 1,152 55,296
99 432,828 8,000 88 704,000 -
2,000 36,000 - 18 2,000 36,000
12,000 240,000 5 12,000 60,000 -
19,193 191,930 5 19,193 95,965 -
13,202 26,404 5 13,202 66,010 -
86 44,462 500 86 43,000 -
109 53,628 300 114 34,200 -
- - -
- - -
- - -
- - -
- - -
273 232,050 - 850 273 232,050
86 39,130 500 86 43,000 -
2,781 255,852 - -
- - -
1,408 147,840 55 1,408 77,440 119 1,408 167,552
- - -
- 100 751 75,100 -
- - -
- - -
- - -
- - -
- - -
165 82,500 200 180 36,000 -
2,590 295,260 - -
- - -
747 915,075 300 797 239,100 575 747 429,525
3,867 344,163 270 3,867 1,044,090 101 3,867 390,567
- - -
- - -
81 18,144 - -
- - -
257 394,238 2,000 274 548,000 -
2,299 4,598 - -
- - -
- - -
3,498 160,908 24 3,498 83,952 -
125 172,500 - -
174 821,976 2,000 174 348,000 -
207 324,990 13,000 207 2,691,000 -
- - -
- - -
7,500 195,000 20 7,500 150,000 -
6,900 586,500 60 7,363 441,780 -
- - -
952 578,816 - -
56 39,200 200 56 11,200 -
101,300 1,215,600 - -
55 33,000 - -
59 41,300 2,500 59 147,500 -
- - -
2,475 381,150 72 2,475 178,200 -
- - -
1,496 1,765,280 - -
2,776 1,102,072 150 2,776 416,400 -
- - -
330 772,200 5,000 330 1,650,000 -
6,500 155,998 - -
- - -
173 86,500 - -
165 69,135 - -
59 183,195 5,500 63 346,500 -
- 1,700 247 419,900 -
2,518 125,900 175 2,518 440,650 -
297 151,470 200 297 59,400 -
- - -
2,380 33,320 10 2,380 23,800 -
- - -
- - -
3,140 266,900 240 3,140 753,600 73 3,140 229,220
1,881 299,079 - -
- - -
6,500 331,495 - -
7,502 240,064 - -
25 178,925 27,000 25 675,000 -
240 419,650 - -
- - -
- - -
155 136,400 2,800 157 439,600 -
600 246,000 - -
- - -
2,052 188,784 - -
125 55,000 200 133 26,600 -
- - -
- 1,100 334 367,400 -
- - -
- - -
1,205 333,785 540 1,286 694,440 -
1,208 24,160 - -
143 81,939 300 143 42,900 -
125 437,500 1,500 133 199,500 -
- - -
3,796 144,248 6 3,796 22,776 -
- - -
990 717,750 - -
105 895,376 13,000 106 1,378,000 -
221 334,152 500 236 118,000 1,180 221 260,780
2,992 287,232 80 3,102 248,160 78 2,992 233,376
137 230,297 5,500 146 803,000 -
- - -
993 57,594 - -
- - -
- - -
275 352,000 100 275 27,500 -
- - -
3,590 107,700 - -
3,585 290,385 - -
- - -
4,500 468,000 100 4,500 450,000 -
- - -
357 2,324,070 6,200 381 2,362,200 -
- 200 66 13,200 -
127 572,389 8,400 136 1,142,400 -
6,410 634,590 140 6,840 957,600 -
- - -
132 17,820 100 132 13,200 -
34,980 524,700 40 34,980 1,399,200 -
830 74,700 100 886 88,600 -
572 207,064 - -
3,850 192,500 - -
2,600 387,400 - -
1,900 286,900 60 1,199 71,940 93 1,199 111,507
- 5,400 164 885,600 -
- - -
- - -
- 435 6,981 3,036,735 -
16,995 186,945 10 16,995 169,950 -
17,800 178,000 - -
1,110 468,420 1,300 1,110 1,443,000 -
- - -
56 1,146,040 43,200 160 6,890,400 3,175 56 177,800
11,825 473,000 165 11,825 1,951,125 -
- - -
- - -
- - -
800 751,718 - 700 800 560,000
- - -
- - -
- 100 77 7,700 -
- - -
- - -
- - -
- - -
- - -
- - -
1,155 133,980 - -
165 752,400 9,000 220 1,980,000 -
- - -
273 72,345 1,800 287 516,600 -
7,150 1,129,700 200 7,630 1,526,000 -
31,571 1,136,556 100 32,120 3,212,000 -
192,000 767,998 1 220,000 220,000 -
63 71,568 2,000 67 134,000 -
74 91,464 1,000 74 74,000 -
2,753 93,602 - -
- - -
- - -
3,190 223,300 108 3,190 344,520 -
- - -
479,996 479,996 2 512,204 1,024,408 2 479,996 959,992
- - -
- 40 130,999 5,239,960 -
110 94,600 1,830 117 214,110 -
195 19,500 100 208 20,800 -
- - -
6,989 377,406 100 6,989 698,900 -
372 4,008,300 90,720 372 33,747,840 -
8,845 - - -
176,800 3,182,400 7 176,800 1,237,600 -
319 27,115 - 85 319 27,115
- - -
- - -
- - -
87 106,140 4,390 93 408,270 -
165,000 4,620,000 196 165,000 32,340,000 -
304 15,200 1,300 324 421,200 -
544 532,032 4,900 581 2,846,900 -
123 893,103 13,100 131 1,716,100 -
86 334,884 4,000 92 368,000 -
- - -
- - -
132 130,977 3,500 138 483,000 -
110 727,870 14,600 110 1,606,000 -
3,122 71,806 72 3,322 239,184 -
551 1,587,982 4,000 551 2,204,000 -
6,270 482,790 100 6,270 627,000 -
6,270 727,320 - -
- 52 6,270 326,040 -
7,810 866,910 - -
1,392 631,968 1,500 1,518 2,277,000 -
1,091 1,181,456 5,100 1,518 7,741,800 -
- - -
- - -
- - -
880 740,080 1,400 880 1,232,000 -
894 1,499,238 1,600 894 1,430,400 -
943 1,655,908 800 943 754,400 -
- 1 2,837,835 2,837,835 -
118 141,600 3,500 120 420,000 -
- - -
3,465 55,440 - -
255,048 4,590,861 8 254,925 2,039,400 -
168,140 1,176,980 19 169,000 3,211,000 -
- 29 154,675 4,485,575 -
191 515,700 1,000 144 144,000 -
- - -
82,980 165,960 - -
- - -
52,100 2,188,210 24 33,565 805,560 -
47,706 4,961,424 48 33,287 1,597,776 -
- 36 35,125 1,264,500 -
46,481 5,484,759 - -
- - -
- 3 60,000 180,000 -
14,689 73,445 20 15,600 312,000 -
143,700 143,700 1 143,700 143,700 -
- - -
3,450 162,150 15 4,150 62,250 -
6,899 413,952 30 11,000 330,000 -
69,300 900,900 25 88,000 2,200,000 -
- - -
- - -
10,212 602,508 7 20,100 140,700 -
- 1 349,998 349,998 -
- 1 349,998 349,998 -
- 1 449,900 449,900 -
- - -
990 4,345,110 8,200 2,640 21,648,000 -
21,296 937,024 50 40,733 2,036,650 -
6,793 2,642,419 550 6,595 3,627,250 -
1,679 307,325 350 4,881 1,708,350 -
9,130 602,580 22 9,130 200,860 -
5,608 515,968 150 5,445 816,750 -
2,188 26,256 - -
14,472 130,244 11 26,487 291,353 -
307 154,623 288 417 120,000 -
138 27,600 - -
31,694 792,350 26 34,150 887,900 -
1,760 58,080 150 1,760 264,000 -
11,322 860,468 - -
- - -
- - -
- - -
- 100 1,140 114,000 -
2,480 114,080 50 2,100 105,000 -
1,174 18,784 - -
8,144 1,734,757 120 7,530 903,600 -
165,720 1,988,640 19 140,500 2,669,500 -
- - -
- - -
- - -
- - -
- - -
219,640 658,920 3 251,875 755,625 -
- - -
- 5 349,998 1,749,990 -
- - -
30,000 90,000 - -
34,200 34,200 - -
19,950 19,950 - -
98,667 98,667 - -
57,750 57,750 - -
- - -
- - -
- - -
- - -
- - -
- - -
24,990 99,960 - -
- - -
- - -
- - -
313,700 941,100 - -
- - -
- - -
- - -
47,150 848,700 12 47,150 565,800 -
- - -
- - -
676 1,448,420 3,000 2,530 7,590,000 -
14,820 1,630,178 20 14,820 296,400 -
3,150 1,168,650 200 3,150 630,000 -
50,000 50,000 - -
- - -
- - -
- 1 3,743,693 3,743,693 -
- 2 3,743,693 7,487,386 -
- - -
- - -
- - -
- 2 802,225 1,604,450 -
- - -
- - -
- - -
- - -
- - -
- 42 12,675 532,350 -
35,532 35,532 - -
33,880 271,040 - -
601,677 - - -
77,698 854,678 44 77,698 3,418,712 -
- - -
- 30 73,750 2,212,500 -
2,379 335,439 1,000 3,722 3,721,618 -
- 500 2,631 1,315,500 -
3,335 243,455 - -
20,700 269,100 72 19,633 1,413,600 -
23,890 645,030 38 5,187 197,087 -
- 1 149,314 149,314 -
- - -
- - -
9,878 59,268 600 8,175 4,905,000 -
- - -
- - -
11,975 3,951,750 300 11,400 3,420,000 -
- - -
- - -
161,900 161,900 - -
20,400 9,057,600 300 7,250 2,175,000 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
247,000 741,000 6 237,271 1,423,625 -
- - -
- - -
- - -
4,000 100,000 - -
21,500 1,075,000 50 22,433 1,121,650 -
46,712 5,558,728 108 34,000 3,672,000 -
- - -
8,103 40,515 - -
6,720 33,600 - -
- - -
- - -
30,000 30,000 2 30,000 60,000 -
- - -
- - -
- - -
- - -
96,260 577,560 2 91,000 182,000 -
- - -
110,000 220,000 - -
164,373 821,867 3 202,200 606,600 -
- - -
- - -
526,250 3,683,750 9 569,700 5,127,300 -
- - -
- - -
- - -
123,600 123,600 1 123,600 123,600 -
- - -
- - -
- - -
- - -
8,877 585,882 - -
146,000 730,000 1 146,000 146,000 -
- - -
- - -
- - -
- - -
- - -
- - -
75,000 225,000 - -
- - -
- 20 6,494 129,880 -
- - -
- - -
174,900 349,800 1 174,900 174,900 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
83,800 3,435,800 - 38 83,800 3,184,400
- - -
- - -
59,950 359,700 200 78,991 15,798,200 -
- 20 28,204 564,080 -
17,996 593,868 90 17,996 1,619,640 -
- 6 1,325,000 7,950,000 -
20,900 961,400 375 25,597 9,598,875 -
- - -
158,994 1,907,928 40 158,994 6,359,760 -
- - -
- 219 155,813 34,123,047 -
78,991 1,026,883 390 84,382 32,908,980 -
19,954 419,034 320 19,954 6,385,280 -
16,995 305,910 240 16,995 4,078,800 -
- - -
- 4 13,901 55,605 -
- 2 17,023 34,045 -
- 20 231,500 4,630,000 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
165,223,833 430,316,402 8,983,508
Pengeluaran/Penggunaan Tahun 2020 Sisa/Stok Persediaan per 31 Des 2020
14 15 16 17 18 19
749 4,200 3,145,800 - 4,200 - 4200
12,977 452 5,865,604 366 452 165,432 452
2,365 105 248,325 - 105 - 105
86 88 7,568 824 88 72,512 88
- - 120 - 120
4,726 99 467,874 7,615 99 753,885 99
- - 2,976 - 2976
200 341 68,200 70 341 23,870 341
860 168 144,480 1,149 168 193,032 168
6,043 94 568,042 3,005 94 282,470 94
20,520 78 1,600,560 2,234 78 174,252 78
200 203 40,600 - 203 - 203
19,322 260 5,023,720 6,519 260 1,694,940 260
57 3,737 213,009 52 3,737 194,324 3737
258 5,500 1,419,000 188 5,500 1,034,000 5500
- - -
13,490 60 809,400 4,725 60 283,500 60
499 2,189 1,092,311 125 2,189 273,625 2189
272 8,250 2,244,000 60 8,250 495,000 8250
- - 4,721 - 4721
185 3,325 615,125 16 3,325 53,200 3325
- - 182 - 182
3 260,526 781,578 3 260,526 781,578 260526
23 415,469 9,555,787 10 415,469 4,154,690 415469
2 1,454,232 2,908,464 1 1,454,232 1,454,232 1454232
77 2,860 220,220 32 2,860 91,520 2860
- - -
4,110 79 324,690 3,620 79 285,980 79
5,339 297 1,585,683 2,570 297 763,290 297
- - 2,088 - 2088
- - 3,100 - 3100
290 1,684 488,360 72 1,684 121,248 1684
- - 5,928 - 5928
60 99 5,940 230 99 22,770 99
107 3,300 353,100 93 3,300 306,900 3300
428 245 104,860 975 245 238,875 245
1,323 426 563,598 560 426 238,560 426
- - 3,276 - 3275.7667
5 1,540 7,700 15 1,540 23,100 1540
110 155 17,050 1,673 155 259,315 155
127 1,888 239,776 - 1,888 - 1888
- - -
- - -
1,069 110 117,590 1,022 110 112,420 110
180 1,430 257,400 53 1,430 75,790 1430
- - -
47 5,900 277,300 98 5,900 578,200 5900
27 327 8,829 - 327 - 327
- - -
280 275 77,000 - 275 - 275
19 10,351 196,669 44 10,351 455,444 10351
1,345 68 91,460 424 68 28,832 68
746 154 114,884 633 154 97,482 154
1,012 880 890,560 260 880 228,800 880
37 4,339 160,543 70 4,339 303,730 4339
17 15,950 271,150 122 15,950 1,945,900 15950
696 387 269,352 10 387 3,870 387
- - 4,571 - 4571
65 27,500 1,787,500 35 27,500 962,500 27500
4,087 101 412,787 953 101 96,253 101
168 2,973 499,464 65 2,973 193,245 2973
820 495 405,900 390 495 193,050 495
1,264 770 973,280 - 770 - 770
- - -
54 1,152 62,208 58 1,152 66,816 1152
7,144 88 628,672 5,228 88 460,064 88
- - -
2 12,000 24,000 23 12,000 276,000 12000
3 19,193 57,579 12 19,193 230,316 19193
2 13,202 26,404 5 13,202 66,010 13202
717 86 61,662 300 86 25,800 86
505 114 57,570 287 114 32,718 114
- - -
- - 1,228 - 1228
- - 104 - 104
- - -
- - -
- - 273 - 273
323 86 27,778 632 86 54,352 86
37 2,781 102,897 55 2,781 152,955 2781
- - -
18 1,408 25,344 23 1,408 32,384 1408
- - -
30 751 22,530 70 751 52,570 751
- - -
- - -
- - -
- - -
- - -
400 180 72,000 300 180 54,000 180
114 2,590 295,260 - 2,590 - 2590
- - 3,600 - 3600
760 797 605,720 190 797 151,430 797
100 3,867 386,700 158 3,867 610,986 3867
- - -
- - 1,333 - 1333
75 82 6,150 149 82 12,218 82
- - -
2,360 274 646,640 1,174 274 321,676 274
2 2,299 4,598 - -
- - -
- - -
33 3,498 115,434 37 3,498 129,426 3498
1,015 125 126,875 365 125 45,625 125
6,724 174 1,169,976 - 174 - 174
10,635 207 2,201,445 3,935 207 814,545 207
- - -
- - -
26 7,500 195,000 20 7,500 150,000 7500
105 7,363 773,115 40 7,363 294,520 7363
- - -
- 608 952 578,816 952
900 56 50,400 - 56 - 56
7 101,300 709,100 5 101,300 506,500 101300
585 55 32,175 15 55 825 55
3,200 59 188,800 - 59 - 59
- - 156 - 156
179 2,475 443,025 47 2,475 116,325 2475
- - 9,999 - 9999
315 1,496 471,240 865 1,496 1,294,040 1496
413 2,776 1,146,488 134 2,776 371,984 2776
- - 253 - 253
3,565 330 1,176,450 3,775 330 1,245,750 330
14 6,500 91,000 10 6,500 64,999 6499.9
- - 100 - 100
400 173 69,200 100 173 17,300 173
10 165 1,650 409 165 67,485 165
3,955 63 249,165 4,650 63 292,950 63
950 247 234,650 750 247 185,250 247
201 2,518 506,118 24 2,518 60,432 2518
571 297 169,587 139 297 41,283 297
- - 990 - 990
17 2,380 40,460 7 2,380 16,660 2380
- - -
- - 495 - 495
252 3,140 791,280 - 3,140 - 3140
139 1,881 261,459 20 1,881 37,620 1881
- - -
51 6,500 331,500 - -
32 7,502 240,064 - 7,502 - 7502
26,578 25 664,450 7,579 25 189,475 25
1,750 240 420,000 - -
- - -
- - -
3,680 157 577,760 - 157 - 157
- 410 600 246,000 600
- - 2,414 - 2414
11 2,190 24,090 81 2,190 177,390 2190
300 133 39,900 340 133 45,220 133
- - 1,575 - 1575
700 334 233,800 400 334 133,600 334
- - -
- - -
533 1,286 685,438 284 1,286 365,224 1286
- 20 1,289 25,780 1289
437 143 62,491 436 143 62,348 143
3,766 133 500,878 1,234 133 164,122 133
- - 3,328 - 3328
30 3,796 113,880 14 3,796 53,144 3796
- - 39,880 - 39880
685 990 678,150 40 990 39,600 990
19,760 106 2,094,560 1,800 106 190,800 106
392 236 92,512 440 236 103,840 236
50 3,102 155,100 48 3,102 148,896 3102
3,591 146 524,286 3,590 146 524,140 146
- - -
58 993 57,594 - 993 - 993
- - 85 - 85
- - 4,158 - 4158
1,119 275 307,725 261 275 71,775 275
- - -
- 30 3,590 107,700 3590
81 3,585 290,385 - 3,585 - 3585
- - -
204 4,500 918,000 - 4,500 - 4500
- - -
8,651 381 3,296,031 4,059 381 1,546,479 381
67 66 4,422 133 66 8,778 66
8,544 136 1,161,984 4,363 136 593,368 136
154 6,840 1,053,360 85 6,840 581,400 6840
- - 3,058 - 3058
45 132 5,940 190 132 25,080 132
54 34,980 1,888,920 1 34,980 34,980 34980
- 190 886 168,340 886
63 572 36,036 299 572 171,028 572
- 50 3,850 192,500 3850
57 2,774 158,118 92 2,774 255,208 2774
70 1,199 83,930 48 1,199 57,552 1199
5,400 164 885,600 - 164 - 164
- - 14,993 - 14993
- - 350 - 350
178 6,981 1,242,618 257 6,981 1,794,117 6981
21 16,995 356,895 - 16,995 - 16995
10 17,800 178,000 - 17,800 - 17800
1,443 1,110 1,601,730 279 1,110 309,690 1110
- - -
55,903 160 8,916,529 4,587 160 731,627 159.5
205 11,825 2,424,125 - 11,825 - 11825
- - -
- - 11,990 - 11990
- - 302 - 302
240 800 192,000 - -
- - -
- - 121 - 121
- 100 77 7,700 77
- - 253 - 253
- - -
- - 61 - 61
- - -
- - 451 - 451
- - -
9 1,155 10,395 107 1,155 123,585 1155
9,576 220 2,106,720 3,984 220 876,480 220
- - 228 - 228
2,063 287 592,081 2 287 574 287
272 7,630 2,075,360 86 7,630 656,180 7630
93 32,120 2,987,160 43 32,120 1,381,160 32120
3 220,000 660,000 2 220,000 440,000 220000
669 67 44,823 2,467 67 165,289 67
724 74 53,576 1,512 74 111,888 74
28 2,753 77,084 6 2,753 16,518 2753
- - -
- - 20,700 - 20700
133 3,190 424,270 45 3,190 143,550 3190
- - 4,998 - 4998
- 1 512,204 512,204 512204
- - -
30 130,999 3,929,970 10 130,999 1,309,990 130999
2,520 117 294,840 170 117 19,890 117
40 208 8,320 160 208 33,280 208
- - -
154 6,989 1,076,306 - 6,989 - 6989
101,345 372 37,700,340 150 372 55,800 372
- - 8,845 - 8845
25 176,800 4,420,000 - 176,800 - 176800
- - - -
- - 990 - 990
- - -
- - -
5,450 93 506,850 160 93 14,880 93
201 165,000 33,165,000 23 165,000 3,795,000 165000
1,205 324 390,420 145 324 46,980 324
5,746 581 3,338,426 132 581 76,692 581
19,096 131 2,501,576 1,265 131 165,715 131
6,661 92 612,812 1,233 92 113,436 92
- - 47 - 47
- - -
3,276 138 452,088 1,214 138 167,532 138
17,405 110 1,914,550 3,812 110 419,320 110
75 3,322 249,150 20 3,322 66,440 3322
3,789 551 2,087,739 3,093 551 1,704,243 551
111 6,270 695,970 66 6,270 413,820 6270
54 6,270 338,580 62 6,270 388,740 6270
5 6,270 31,350 47 6,270 294,690 6270
42 6,270 263,340 69 6,270 432,630 6270
1,025 1,518 1,555,950 929 1,518 1,410,222 1518
4,003 1,518 6,076,554 2,180 1,518 3,309,240 1518
- - 1,583 - 1583
- - -
- - -
1,035 880 910,800 1,206 880 1,061,280 880
2,255 894 2,015,970 1,022 894 913,668 894
905 943 853,415 1,651 943 1,556,893 943
1 2,837,835 2,837,835 - 2,837,835 - 2837835
4,000 120 480,000 700 120 84,000 120
- - 71,999 - 71999.4
16 3,465 55,440 - -
26 254,925 6,628,050 - 254,925 - 254925
26 169,000 4,394,000 - 169,000 - 169000
26 154,675 4,021,550 3 154,675 464,025 154675
1,900 144 273,600 1,800 144 259,200 144
- - -
- 2 82,980 165,960 82980
- - 33,565 - 33565
29 33,565 973,385 37 33,565 1,241,905 33565
63 33,287 2,097,081 89 33,287 2,962,543 33287
24 35,125 843,000 12 35,125 421,500 35125
56 46,481 2,602,936 62 46,481 2,881,823 46481.01
- - 8,370,000 - 8370000
- 3 60,000 180,000 60000
18 15,600 280,800 7 15,600 109,200 15600
1 143,700 143,700 1 143,700 143,700 143700
- - -
47 4,150 195,050 15 4,150 62,250 4150
56 11,000 616,000 34 11,000 374,000 11000
33 88,000 2,904,000 5 88,000 440,000 88000
- - 95,000 - 95000
- - -
46 20,100 924,600 20 20,100 402,000 20100
1 349,998 349,998 - -
1 349,998 349,998 - -
1 449,900 449,900 - -
- - -
11,020 2,640 29,092,800 1,569 2,640 4,142,160 2640
56 40,733 2,281,048 38 40,733 1,547,854 40733
855 6,595 5,638,725 84 6,595 553,980 6595
508 4,881 2,479,548 25 4,881 122,025 4881
22 9,130 200,860 66 9,130 602,580 9130
134 5,445 729,630 108 5,445 588,060 5445
- 12 2,188 26,256 2188
15 26,487 397,300 5 26,487 132,433 26486.67
648 417 270,000 144 417 60,000 416.66667
200 138 27,600 - 138 - 138
40 34,150 1,366,000 11 34,150 375,650 34150
168 1,760 295,680 15 1,760 26,400 1760
33 11,322 373,626 43 11,322 486,844 11321.944
- - 16,000 - 16000
- - 20,000 - 20000
- - 2,471 - 2471
50 1,140 57,000 50 1,140 57,000 1140
53 2,100 111,300 43 2,100 90,300 2100
13 590 7,670 3 590 1,770 590
247 7,530 1,859,910 86 7,530 647,580 7530
21 140,500 2,950,500 10 140,500 1,405,000 140500
- - -
- - 85,556 - 85556
- - -
- - -
- - 430,000 - 429999.9
6 251,875 1,511,250 - 251,875 - 251875
- - 358 - 358
5 349,998 1,749,990 - -
- - 90,000 - 89999.8
- 3 30,000 90,000 30000
1 34,200 34,200 - -
1 19,950 19,950 - -
- 1 98,667 98,667 98667
- 1 57,750 57,750 57750
- - -
- - -
- - -
- - -
- - 4,090 - 4090
- - -
- 4 24,990 99,960 24990
- - -
- - -
- - 27,000 - 27000
3 313,700 941,100 - -
- - -
- - -
- - -
24 47,150 1,131,600 6 47,150 282,900 47150
- - -
- - 625,900 - 625900
3,923 2,530 9,925,190 1,219 2,530 3,084,070 2530
130 14,820 1,926,600 - -
367 3,150 1,156,050 204 3,150 642,600 3150
- 1 50,000 50,000 50000
- - -
- - 238,100 - 238100
1 3,743,693 3,743,693 - 3,743,693 - 3743693
2 3,743,693 7,487,386 - 3,743,693 - 3743693
- - -
- - -
- - -
- 2 802,225 1,604,450 802225
- - -
- - 24,675 - 24675
- - 34,125 - 34125
- - 66,000 - 66000
- - 1,939 - 1939
18 12,675 228,150 24 12,675 304,200 12675
1 35,532 35,532 - -
8 33,880 271,040 - 33,880 - 33880
- - 601,677 - 601677
54 77,698 4,195,692 1 77,698 77,698 77698
- - -
30 73,750 2,212,500 - -
541 3,722 2,013,395 600 3,722 2,232,971 3721.6176
500 2,631 1,315,500 - 2,631 - 2631
72 3,335 240,120 1 3,335 3,335 3335
76 19,633 1,492,133 9 19,633 176,700 19633.333
33 5,187 171,155 32 5,187 165,968 5186.5
1 149,314 149,314 - 149,314 - 149314
- - -
- - -
471 8,175 3,850,425 135 8,175 1,103,625 8175
- - -
- - -
555 11,400 6,327,000 75 11,400 855,000 11400
- - -
- - -
1 161,900 161,900 - 161,900 - 161900
713 7,250 5,169,250 31 7,250 224,750 7250
- - 1,306,996 - 1306996
- - -
- - -
- - -
- - 3,040,000 - 3040000
- - -
- - -
9 237,271 2,135,437 - 237,271 - 237270.83
- - 75,625 - 75625
- - 75,625 - 75625
- - -
25 4,250 106,250 - -
78 22,433 1,749,774 22 22,433 493,526 22433
177 34,000 6,018,000 50 34,000 1,700,000 34000
- - 6,720 - 6720
- 5 8,103 40,515 8103
- 5 6,720 33,600 6720
- - -
- - 1,166,576 - 1166576
3 30,000 90,000 - 30,000 - 30000
- - -
- - -
- - -
- - 275,000 - 275000
6 91,000 546,000 2 91,000 182,000 91000
- - -
2 110,000 220,000 - -
8 202,200 1,617,600 - 202,200 - 202200
- - -
- - 462,200 - 462200
16 569,700 9,115,200 - 569,700 - 569700
- - 3,552 - 3552
- - 3,552 - 3552
- - 3,552 - 3552
1 123,600 123,600 1 123,600 123,600 123600
- - 23,958 - 23958
- - -
- - 300,000 - 299999.92
- - -
21 8,070 169,470 45 8,070 363,150 8070
6 146,000 876,000 - -
- - -
- - -
- - -
- - -
- - -
- - -
3 75,000 225,000 - -
- - 186,700 - 186700
20 6,494 129,880 - -
- - -
- - -
1 174,900 174,900 2 174,900 349,800 174900
- - 4,000 - 4000
- - 330,000 - 330000
- - -
- - 57,750 - 57750
- - -
- - 151,999 - 151999.1
- - -
3 83,800 251,400 - 83,800 - 83800
- - -
- - 100,000 - 100000
204 78,991 16,114,164 2 78,991 157,982 78991
20 28,204 564,080 - -
123 17,996 2,213,508 - 17,996 - 17996
6 1,325,000 7,950,000 - 1,325,000 - 1325000
332 25,597 8,498,204 89 25,597 2,278,133 25597
- - -
39 158,994 6,200,766 13 158,994 2,066,922 158994
- - -
214 155,813 33,343,982 5 155,813 779,065 155813
398 84,382 33,584,036 5 84,382 421,910 84382
330 19,954 6,584,820 11 19,954 219,494 19954
193 16,995 3,280,035 65 16,995 1,104,675 16995
- - -
4 13,901 55,605 - -
2 17,023 34,045 - -
14 231,500 3,241,000 6 231,500 1,389,000
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
491,023,473 103,884,969
1 2 3 4 5
1 Obat Albendazol sirup 200mg/5 ml Botol 88
2 Albendazol tablet 400 mg tablet 384
3 Allopurinol 100 mg tablet 1,502
4 Alprazolam 0,5 mg tablet
5 Alprazolam 1 mg tablet
6 Ambroxol 30 mg tablet tablet 2,538
7 Aminofilin inj 24mg/ml-10 ml ampul
8 Aminofilin tablet 200 mg tablet
9 Amitriptilin HCl tablet salut 25 mg tablet
10 Amlodipin 10 mg tablet 805
11 Amlodipin 5 mg tablet 505
12 Amoksisilin 250 mg tablet 3,040
13 Amoksisilin 500 mg tablet 5,120
14 Amoksisilin 250mg/5ml sirup kering botol 25
15 Amoksisilin sirup kering 125 mg/5 ml Botol 173
16 Antalgin injeksi 250 mg/ml-2ml ampul
17 Antasida DOEN tablet tablet 280
18 Antasida sirup Botol 125
19 Anti Bakteri DOEN salep Kombinasi (bacitrasin) Tube 17
20 Anti Fungi DOEN Kombinasi Pot
21 Anti Haemoroid DOEN kombinasi Suppos 44
22 Anti Migren (ergotamin caffein) tablet 100
23 Anti Tuberkulosis anak paket
24 Anti Tuberkulosis Kategori I paket 6
25 Anti Tuberkulosis Kategori II paket 2
26 Aqua pro injeksi steril bebas pirogen vial 10
27 Asam Folat 0,4 mg /profolat tablet
28 Asam folat 1 mg tablet
29 Asam mefenamat 500 mg tablet 3,790
30 Asam tranexamat inj 100 mg/ml ampul
31 Asam tranexamat inj 50mg/ml ampul
32 Asam Tranexamat tablet 500 mg tablet
33 Asam Valproat 500mg / Depakote 500 mg tablet
34 Asetosal 80 mg / Miniaspi tablet
35 Asiklovir Krim 5 % 5 gr Tube 66
36 Asiklovir tablet 200 mg tablet
37 Asiklovir tablet 400 mg tablet 853
38 Atripla tablet 120
39 Atropin sulfat injeksi 0,25 mg/ml - 1 ml ampul 10
40 Attapulgit (Pularex) tablet
41 Azitromisin tab 500 mg tablet
42 Benzatil benzil penisilin vial
43 Berotec 0,1 mg(Fenoterol HBr aerosol 100mcg/dosis) Btl
44 Betahistin mesilat tablet 555
45 Betametason krim 0,1% Tube 64
46 Bioplacenton tube
47 Bisacodil (dulcolax) supp suppos 50
48 Bisacodil (dulcolax) tab tablet 90
49 Bisacodil supp infant 5 mg /Dulcolax Suppos
50 Bisoprolol 5 mg tablet
51 Ca Glukonas ampul
52 Captopril 12,5mg tablet 1,055
53 Captopril 25 mg tablet 970
54 Cefadroxil tablet 700
55 Cefadroxyl syr 125 mg/ml Botol 27
56 Cefiksim syr kering 100mg/5ml btl 30ml 19
57 Cefixime 100mg tablet 80
58 Cefotaxim 1,0 G inj Vial
Cendo Lyteers Kombinasi tts mata 2,5 mg/ml; NaCl 8,664
59 mg; kalium klorida 1,32 mg botol 42
60 Cetirizin 10 mg tablet 791
61 Cetirizin syr 5mg/5ml btl 60ml 130
62 Ciprofloxacin tablet 500 mg tablet 1,857
63 Clindamisin 150 mg tablet
64 Clindamisin 300 mg tablet
65 Deksametason injeksi 5 mg/ml-1 ml ampul 69
66 Deksametason tablet 0,5 mg tablet 2,808
67 DHP-Frimal tablet
68 Diazepam injeksi 5 mg/ml-2 ml ampul 2
69 Diazepam rektal 10 mg Suppos
70 Diazepam rektal 5 mg Suppos
71 Diazepam tablet 2 mg tablet 100
72 Diazepam tablet 5 mg tablet 30
73 Dietil karbamazin sitrat tablet 100 mg tablet
74 Difenhidramin HCl inj 10 mg/ml-1 ml ampul
75 Digoksin tablet 0,25 mg tablet
76 Diltiazem tablet tablet
77 Dimenhidrinat 50 mg tablet
78 Doksisilin kapsul tablet 500
79 Domperidon 10 mg tablet 1,530
80 Domperidon syr Botol 100
81 Efedrin HCl tablet 25 mg tablet
82 Epinefrin HCl /adrenalin inj.0,1%-1ml ampul 7
83 Eritromisin 250 mg tablet
84 Eritromisin 500 mg tablet
85 Eritromisin sirup kering Botol 10
86 Etambutol 400mg tablet
87 Euthyrox tablet
88 Fenitoin natrium kapsul 30 mg tablet
89 Fenobarbital inj 50 mg/ml - 2 ml ampul
90 Fenobarbital tablet 30 mg tablet 40
91 Fenolgliserol tetes telinga 10% Botol 71
92 Fitomenadion (Vit K1) inj 10 mg/ml-1 ml ampul 7
93 Fitomenadion (Vit K1) tablet 10 mg tablet 924
94 Fitomenadion inj 2 mg/ml ampul 57
95 Fluoksetin / Prestine tablet
96 Furosemid injeksi ampul
97 Furosemid tablet 40 mg tablet
98 Gabapentin/Alpentin 100 mg kapsul
99 Garam Oralit untuk 200 ml bungkus 546
100 Gentamicin Salep Kulit Tube
101 Gentamisin inj ampul
102 Gentamisin tetes mata botol
103 Gentian violet larutan 1% Botol 30
104 Glibenklamid tablet 5 mg tablet 375
105 Glimepirid 1 mg tablet 160
106 Glimepirid 2 mg tablet 200
107 Gliseril Guaiakolat tablet 100 mg tablet
108 Glukosa 40% ampul
109 Glukosa larutan Infus 10% steril fls
110 Glukosa Larutan Infus 5% steril fls 16
111 Griseofulvin tablet 125 mg tablet
112 Griseofulvin tablet 500 mg tablet 675
113 Haloperidol 5 mg tablet 450
114 Haloperidol inj 50mg/ml ampul 5
115 Haloperidol tablet 0,5 mg tablet
116 Haloperidol tablet 1,5 mg tablet 520
117 Hidrochlorotiazid (HCT) tablet 25 mg tablet 876
118 Hidrokortison krim 2,5% Tube 41
119 Hiosin HBr Inj 20 mg ampul
120 Hiosin N Butil bromida tablet tablet 520
121 Ibuprofen suspensi 100 mg/5 ml botol 54
122 Ibuprofen tablet 200 mg tablet 470
123 Ibuprofen tablet 400 mg tablet 1,160
124 Ichtiol salep pot 17
125 Isoniazid 100 mg/PPINH 100 mg tablet 200
126 Isoniazid tablet 300 mg tablet
127 Isosorbid dinitrat tablet sublingual 5 mg tablet
128 Kalsium laktat (Kalk) tablet 500 mg tablet 620
129 Karbamazepin tablet 200 mg tablet
130 Ketokonazol krim Tube 67
131 Ketokonazol tab tablet 730
132 Ketoprofen 100mg tablet
133 Ketoprofen Supp suppos
134 Klopidogrel 75 mg Tablet
135 Kloramfenikol kapsul 250 mg tablet 150
136 Kloramfenikol salep Kulit Tube 37
137 Kloramfenikol salep mata 1 % Tube 37
138 Kloramfenikol suspensi 125 mg/5 ml Botol
139 Kloramfenikol tetes mata Botol
140 Kloramfenikol tetes telinga 3 % Botol 4
141 Klorfeniramin maleat (CTM) tablet 4 mg tablet 2,574
142 Klorpromazin 25mg tablet
143 Klorpromazin HCl inj 25 mg/ml - 1 ml ampul
144 Klorpromazin HCl inj 5 mg/ml - 1 ml ampul
145 Klorpromazin HCl tablet salut 100 mg tablet 480
146 Kodein HCl tablet 10 mg tablet
147 Kolkisin 500 mcg tablet
148 Kotrimoksazol suspensi kombinasi Botol 87
149 Kotrimoksazol tablet dewasa kombinasi tablet 250
150 Lamivudin tablet
151 Lansoprazole tablet 150
152 Levofloksasin 250mg tablet
153 Levofloksasin tetes mata 0,5% botol
154 Lidocain komp.inj. ampul 156
155 Lidocain inj. ampul
156 Loperamid Hcl tablet 99
157 Loratadin 10mg tablet 1,166
158 Magnesium sulfat inj (IV) 20%-25 ml vial
159 Magnesium sulfat inj (IV) 40%-25 ml vial
160 MDT MD Dewasa Paket
161 Meloksikam 15 mg tablet 1,185
162 Metformin tablet 560
163 Metil ergometrin maleat tablet salut 0,125 mg tablet 100
164 Metil ergometrin maleat inj 0,200mg-1ml ampul 183
165 Metil Prednisolon 4 mg tablet 1,680
166 Metil Prednisolon 8mg tablet
167 Metildopa 250mg tablet
168 Metoclopramid 10 gr tablet 500
169 Metoclopramid injeksi ampul 10
170 Metronidazol 500 mg tablet 420
171 Metronidazol supositoria 500 mg suppos
172 Metronidazole ovula 500mg ovula
173 Mikonazol krim Tube 71
174 Mineral Mix sachet
175 Multivitamin syr Botol 75
176 Multivitamin tab tablet
177 N-asetil sistein tablet 2,287
178 Natrium bicarbonat tablet 500 mg tablet 100
179 Natrium Diklofenak 50 mg tablet 1,890
180 Natrium klorida larutan infus 0,9% fls 25
181 Nevirapin tablet
182 Nifedipin 10 mg tablet
183 Nistatin suspensi botol
184 Nistatin tablet salut 500.000 IU tablet 40
185 Nistatin tablet vaginal 100.000 IU/g tablet 215
186 Oksitetrasiklin HCl salep kulit 3% Tube 72
187 Oksitetrasiklin HCl salep mata 1% Tube 68
188 Oksitosin inj 10 IU / ml - 1 ml ampul
189 Omeprazole 20mg tablet
190 Pantocain tetes mata btl
191 Papaverin tablet 40 mg tablet 100
192 Parasetamol Drop Botol 6
193 Parasetamol rektal 125 mg (dumin) suppos 4
194 Parasetamol rektal 250 mg (dumin) suppos 5
195 Parasetamol sirup 120mg/ml Botol 194
196 Parasetamol tablet 100 mg tablet
197 Parasetamol tablet 500 mg tablet 12,845
198 Permetrin krim 5% (Scabimite) tube 11
199 Petidin inj 50mg/ml ampul
200 Piracetam inj 3g/15ml ampul
201 Pirantel tablet 125 mg tablet
202 Pirasetam 800mg tablet
203 Piroxicam 10 mg tablet
204 Piroxicam 20 mg tablet
205 Prednison tablet 5 mg tablet
206 Primakuin tablet 15 mg tablet
207 Prokain benzil penisilin vial
208 Propanolol HCl tablet 10 mg tablet
209 Propanolol HCl tablet 40 mg tablet
210 Propiltiourasil tablet 100 mg tablet
211 Ramipril tablet
212 Ranitidin inj. 25mg/ml ampul
213 Ranitidin tablet 150 mg tablet 547
214 Risperidon 1 mg tablet
215 Risperidon 2 mg tablet
216 RL larutan infus fls 58
217 Salbutamol inhalasi 100 mcq/dosis botol 10
218 Salbutamol nebulizer Kotak 1
219 Salbutamol tablet 2 mg tablet 538
220 Salbutamol tablet 4 mg tablet 300
221 Salep 2-4 kombinasi pot 31
222 Salep luka bakar (Levertran) Tube
223 Salep Luka Bakar (Perak Sulfadiazin Krim) Tube 15
224 Salisil bedak 2% bungkus 10
225 Seftriakson Injeksi vial
226 Serum Anti Bisa Ular polivalen inj 5 ml vial 4
227 Serum Anti Rabies (SAR) Vial
228 Serum Anti Tetanus inj 1500 IU/ampul ampul
229 Simvastatin 10 mg tablet 380
230 Spironolacton 25 mg tablet
231 Sukralfat tablet tablet
232 Sukralfat Sirup Botol
233 Tablet Tambah darah tablet 28,310
234 Tenofovir tablet
235 Tetagam ampul
236 Tetrasiklin HCL kapsul 500 mg tablet
237 Thiamfenikol 500 mg tab tablet 300
238 Tramadol inj ampul
239 Trifluoperazin 5mg tablet
240 Triheksiphenidil HCl tablet 2 mg tablet 520
241 Vaksin Rabies Vero Vial
242 Vitamin A 100.000 IU tablet
243 Vitamin A 200.000 IU tablet
244 Vitamin B komplek tablet tablet 2,483
245 Vitamin B1 / Thiamin HCl tablet 50 mg tablet 952
246 Vitamin B12 / Sianokobalamin tab 50 mcg tablet 1,149
247 Vitamin B12 / Sianokobalamin Vit B12 inj 500mcg-ml ampul
248 Vitamin B6 / Pyridoksin HCL tab 10 mg tablet 1,072
249 Vitamin C / Asam askorbat tablet 50 mg tablet 1,354
250 Zinc syr botol 24
251 Zinc tab 20 mg tablet 860
252 BMHP Abochat (IV Chat) 18 Pcs 136
253 & Abochat (IV Chat) 20 Pcs 81
254 Reagen Abochat (IV Chat) 22 Pcs 106
255 Abochat (IV Chat) 24 Pcs 74
256 ADS 0,05 ml pcs 213
257 ADS 0,5 ml pcs 1,012
258 ADS 5 ml pcs 720
259 Alat suntik 10 ml pcs
260 Alat suntik 20 ml pcs
261 Alat suntik sekali pakai 1 ml Pcs 175
262 Alat suntik sekali pakai 2,5 ml / 3 ml Pcs 253
263 Alat suntik sekali pakai 5 ml Pcs 270
264 Alkacid Botol
265 Alkohol Swab sachet 300
266 Amoniak btl/1000 ml
267 Aquadest steril liter
268 Benecheck Cholesterol strip Botol 2
269 Benecheck Glucose strip Botol 3
270 Benecheck uric strip Botol
271 Blood lancet pcs 200
272 Blue tip box
273 Box Slide bok
274 Cartridge Gen Expert Pcs
275 Catgut/benang bedah Chromic 2/0 set 5
276 Catgut/benang bedah Chromic 3/0 set
277 Catgut/benang bedah Plain 2/0 set 17
278 Catgut/benang bedah Plain 3/0 set 68
279 Centrifuse Paket
280 Chlorin botol
281 Cuticell Classic pcs
282 DFI Cybow Box 2
283 EDTA 10 % Botol
284 Etakridin (rivanol) larutan 0,1% Botol 6
285 Etanol 100 ml botol.
286 Etanol 70% Botol 15
287 Etanol 96% botol
288 Eter Alkohol 5% botol
289 Folley Chatether ( no. 16 & 18 ) pcs
290 Food Test - Borak Test Paket
291 Food Test - Formalin Test Paket
292 Food Test - Rhodamin Test Paket
293 Fouchet Botol
294 Handscoon psg 254
295 Handscoon Obgyn psg 58
296 Handscoon Steril psg 54
297 HCG Strip Pcs
298 Infusion set anak set 19
299 Infusion set dewasa set 46
300 Jarum jahit / bedah no. 9 s/d 14 Pcs
301 Jelly USG btl
302 Kaca Slide pcs 216
303 Kaca Tutup pcs
304 Kapas pembalut / absorben 250 g roll 8
305 Kasa kompres 40/40 steril lbr 12
306 Kasa pembalut 2 m x 80 cm roll 39
307 Kasa pembalut elastis 3 inchi roll
308 Kasa pembalut elastis 4 inchi roll
309 Kasa Pembalut hidrofil 3,6 m x 10 cm roll
310 Kasa Pembalut hidrofil 3,6 m x 5 cm roll
311 Kasa Pembalut hidrofil 4 m x 10 cm elastis roll 11
312 Kasa Pembalut hidrofil 4 m x 5 cm elastis roll 18
313 Kasa steril 16/16 kotak 96
314 Kassa gulung Besar 80cm x 40 m roll 5
315 Kertas lakmus biru pack
316 Kertas Lakmus merah pack
317 Kertas lensa pak
318 Kertas pH Universal Kotak
319 Kertas saring watchman ktk
320 kit gol. Darah A, B, AB set
321 Kondom pcs 400
322 Labstrip (urinalis) tube
323 Larutan Amonium Oksalat 1% Botol
324 Larutan Asam Asetat 6 % Botol
325 Larutan barium klorida Botol
326 Larutan benedict Botol
327 Larutan buffer PH 6,1 Botol
328 Larutan buffer PH 7,2 Botol
329 Larutan eosin 2% Botol
330 Larutan Etanol Asam Botol
331 Larutan giemsa stain Botol
332 Larutan H2O2 3% Botol 1 L
333 Larutan H2O2 3% Botol
334 Larutan Hayem Botol
335 Larutan HCl 0,1 N Botol
336 Larutan karbolfuksin Botol
337 Larutan metilen biru Botol
338 Larutan Na citrat Botol
339 Larutan Natrium Hipoklorid Botol/ 500ml
340 Larutan Ress Ecker Botol/ 100 ml
341 Larutan turk Botol
342 Larutan Wright Botol
343 Lisol Botol
344 Lubricant pcs 200
345 Mantoux tes vial
346 Masker pcs 353
347 Masker 3M N95 medikal respirator pcs
348 Mess pcs 100
349 Metanol 100 ml Botol
350 Metanol 1000 ml botol
351 Microlit tips for micropipettes MT-up to 1 ml pack 1
352 Mikropipet adjustable 100-1000µl unit
353 Mikropipet adjustable 5-50µl unit
354 Mikroskop malaria (nikon) unit
355 Minyak Imersi Botol
356 NAPZA Kit 6 Parameter pcs
357 Napza KIT 8 Parameter box
358 Needle 23 G Pcs
359 Pembalut gips 3 inch Roll
360 Pembalut gips 4 inch Roll
361 Pipet tetes bks/100 pcs
362 Planotest pcs 112
363 Plester 2,5 cmx 4,5 m roll
364 Plester 5 yard x 2 inch roll
365 Plester bulat non woven box 36
366 Poli Aid Botol
367 Poli Clean Botol
368 Poliwash botol 500ml
369 Pork Test Paket
370 Pot Sputum Pcs
371 Pot Urine Pcs
372 Povidon iodida 10% 30 ml Botol
373 Povidon iodida 10% 300 ml Botol 8
374 Povidon iodida 10% 60 ml Botol
375 Povidon Iodine 1 L Botol
376 RDT DBD Verotec Pcs
377 RDT DBD Biosen Pcs
378 RDT Hepatitis / HBSAG Strip pcs 34
379 RDT HIV -Fokus 1/2 casette box/25
380 RDT HIV Test (HIV 1 & 2 Anti Body) oncoprobe test
381 RDT HIV test (R1) SD Pcs 12
382 RDT HIV test Biomerieux (Vikia HIV 1 dan 2) ktk/25 test 1
383 RDT HIV test Intec (One Step Anti-HIV 1&2) Box
384 RDT Malaria / Malaria test ktk 3
385 RDT sifillis Pcs 150
386 Reagen dan Bahan alat lab.Malaria paket
387 Reagen Fotometer Kimia Klinik Randox Glukosa kit 1
388 Reagen Fotometer Kimia Klinik Randox Protein total kit 2
389 Reagen Fotometer Kimia Klinik Randox triglyserida kit 2
Mengetahui,
Plt. Kepala UPT Puskesmas Sialang
Stok Persediaan per 31 Des 2019 Penambahan tahun 2020 Kadaluarsa Tahun 2020
Harga
Harga Satuan Jumlah Volume Harga Satuan Jumlah Volume Jumlah
Satuan
6 7 8 9 10 11 12 13
4,200 369,600 600 4,200 2,520,000 -
452 173,568 2,100 452 949,200 -
99 148,698 1,500 105 157,500 -
- - -
- 100 120 12,000 100 120 12,000
99 251,262 3,500 99 346,500 -
- - -
- - -
- - -
94 75,670 900 94 84,600 -
73 36,865 1,800 78 140,400 -
203 617,120 1,500 203 304,500 -
250 1,280,000 7,000 260 1,820,000 -
3,737 93,425 - -
4,400 761,200 200 5,500 1,100,000 -
- - -
56 15,680 6,500 60 390,000 -
2,051 256,375 250 2,189 547,250 -
8,250 140,250 75 8,250 618,750 -
- - -
3,325 146,300 140 3,325 465,500 -
182 18,200 - -
- 1 260,526 260,526 -
408,812 2,452,872 12 415,469 4,985,628 -
1,297,889 2,595,778 2 1,454,232 2,908,464 -
2,860 28,600 18 2,860 51,480 -
- - -
- - -
103 390,370 3,500 297 1,039,500 -
- - -
- - -
- - -
- - -
- - -
3,300 217,800 75 3,300 247,500 -
- - -
399 340,347 800 426 340,800 -
3,276 393,092 720 3,276 2,358,720 -
1,540 15,400 40 1,540 61,600 -
- 200 155 31,000 -
- - -
- - -
- - -
110 61,050 200 110 22,000 -
1,340 85,760 150 1,430 214,500 -
- - -
5,900 295,000 - -
327 29,430 30 327 9,810 -
- - -
- - -
- - -
64 67,520 1,000 68 68,000 -
154 149,380 1,800 154 277,200 -
880 616,000 - -
4,066 109,782 - -
15,950 303,050 - -
1,430 114,400 400 387 154,800 -
- - -
- - -
- - -
- - -
- 2 237,271 474,542 -
- - -
- - -
- - -
- - -
21,500 516,000 - -
46,712 4,390,928 36 34,000 1,224,000 -
6,720 33,600 10 6,720 67,200 -
8,103 40,515 - -
6,720 33,600 - -
- - -
- - -
- - -
- - -
- - -
- - -
- 15 275,000 4,125,000 -
96,260 866,340 2 91,000 182,000 -
- - -
- - -
164,373 493,120 2 202,200 404,400 -
210,000 210,000 - -
- 2 462,200 924,400 -
526,250 2,105,000 2 569,700 1,139,400 -
- 7 3,552 24,864 -
- 7 3,552 24,864 -
- 7 3,552 24,864 -
- - -
- - -
- - -
- - -
- - -
- 5 8,070 40,350 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 10 6,494 64,940 -
- - -
- - -
- 1 174,900 174,900 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
83,800 2,011,200 - -
- - -
- - -
59,950 479,600 80 78,991 6,319,280 -
28,204 112,816 - -
17,996 269,940 30 17,996 539,880 -
- 6 1,325,000 7,950,000 -
20,900 229,900 190 25,597 4,863,430 -
52,052 - - -
158,994 1,430,946 15 158,994 2,384,910 -
- - -
- 132 155,813 20,567,316 -
- 210 84,382 17,720,220 -
- 150 19,954 2,993,100 -
16,995 407,880 80 16,995 1,359,600 -
- - -
- 1,140 6,375 7,267,500 -
- 960 4,040 3,878,400 -
- 1 17,023 17,023 -
- 15 13,901 208,519 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
88,237,408 279,275,749 165,160
Pengeluaran/Penggunaan Tahun 2020 Sisa/Stok Persediaan per 31 Des 2020
14 15 16 17 18 19
668 4,200 2,805,600 20 4,200 84,000
1,195 452 540,140 1,289 452 582,628
2,147 105 225,435 855 105 89,775
- - 88 -
- - 120 -
4,079 99 403,821 1,959 99 193,941
- - 2,976 -
- - 341 -
- - 168 -
905 94 85,070 800 94 75,200
2,305 78 179,790 - 78 -
3,456 203 701,568 1,084 203 220,052
9,292 260 2,415,920 2,828 260 735,280
25 3,737 93,425 - 3,737 -
202 5,500 1,111,000 171 5,500 940,500
- - -
4,342 60 260,520 2,438 60 146,280
244 2,189 534,116 131 2,189 286,759
37 8,250 305,250 55 8,250 453,750
- - 4,721 -
54 3,325 179,550 130 3,325 432,250
- 100 182 18,200
1 260,526 260,526 - 260,526 -
17 415,469 7,062,973 1 415,469 415,469
2 1,454,232 2,908,464 2 1,454,232 2,908,464
8 2,860 22,880 20 2,860 57,200
- - -
- - 79 -
5,440 297 1,615,680 1,850 297 549,450
- - 2,088 -
- - 3,100 -
- - 1,684 -
- - 5,928 -
- - 99 -
63 3,300 207,900 78 3,300 257,400
- - 245 -
464 426 197,664 1,189 426 506,514
600 3,276 1,965,460 240 3,276 786,184
20 1,540 30,800 30 1,540 46,200
200 155 31,000 - 155 -
- - 1,888 -
- - -
- - -
210 110 23,100 545 110 59,950
130 1,430 185,900 84 1,430 120,120
- - -
7 5,900 41,300 43 5,900 253,700
94 327 30,738 26 327 8,502
- - -
- - 275 -
- - 10,351 -
521 68 35,428 1,534 68 104,312
2,135 154 328,790 635 154 97,790
295 880 259,600 405 880 356,400
21 4,339 91,119 6 4,339 26,034
9 15,950 143,550 10 15,950 159,500
480 387 185,760 - 387 -
- - 4,571 -
- - 3,040,000 -
- - -
- - -
2 237,271 474,542 - 237,271 -
- - 75,625 -
- - 75,625 -
- - -
- - -
24 22,433 538,392 - 22,433 -
50 34,000 1,700,000 80 34,000 2,720,000
- 15 6,720 100,800
- 5 8,103 40,515
- 5 6,720 33,600
- - -
- - 1,166,576 -
- - 30,000 -
- - -
- - -
- - -
15 275,000 4,125,000 - 275,000 -
11 91,000 1,001,000 - 91,000 -
- - -
- - -
5 202,200 1,011,000 - 202,200 -
1 210,000 210,000 - -
2 462,200 924,400 - 462,200 -
6 569,700 3,418,200 - 569,700 -
- 7 3,552 24,864
- 7 3,552 24,864
- 7 3,552 24,864
- - 123,600 -
- - 23,958 -
- - -
- - 300,000 -
- - -
- 5 8,070 40,350
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - 186,700 -
10 6,494 64,940 - -
- - -
- - -
1 174,900 174,900 - 174,900 -
- - 4,000 -
- - 330,000 -
- - -
- - 57,750 -
- - -
- - 151,999 -
- - -
24 83,800 2,011,200 - 83,800 -
- - -
- - 100,000 -
79 78,991 6,240,289 9 78,991 710,919
4 28,204 112,816 - -
32 17,996 575,872 13 17,996 233,948
6 1,325,000 7,950,000 - 1,325,000 -
179 25,597 4,581,863 22 25,597 563,134
- - -
24 158,994 3,815,856 - 158,994 -
- - -
115 155,813 17,918,495 17 155,813 2,648,821
205 84,382 17,298,310 5 84,382 421,910
150 19,954 2,993,100 - 19,954 -
89 16,995 1,512,555 15 16,995 254,925
- - -
930 13,901 12,928,209 210 6,375 1,338,750
300 17,023 5,106,900 660 4,040 2,666,400
1 17,023 17,023 - -
15 13,901 208,519 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
309,653,848 71,438,663
4200 4200 0
452 452 0
105 99 6
88 88
120 120
99 99 0
2976 2976
341 341
168 168
94 94 0
78 78
203 203 0
260 250 10
3737 3737
5500 4400 1100
0
60 56 4
2189 2051 138
8250 8250 0
4721 4721
3325 3325 0
182 182 0
260526 260526
415469 408812 6657
1454232 1297889 156343
2860 2860 0
0
79 79
297 103 194
2088 2088
3100 3100
1684 1684
5928 5928
99 99
3300 3300 0
245 245
426 399 27
3275.7667 3275.7667 0
1540 1540 0
155 155
1888 1888
0
0
110 110 0
1430 1340 90
0
5900 5900 0
327 327 0
0
275 275
10351 10351
68 64 4
154 154 0
880 880 0
4339 4066 273
15950 15950 0
387 387
4571 4571
3040000 3040000
0
237270.83 237270.83
75625 75625
75625 75625
0
0
22433 22433
34000 46712 -12712
6720 6720 0
8103 8103 0
6720 6720 0
0
1166576 1166576
30000 30000
0
0
0
275000 275000
91000 91000
0
0
202200 202200
0
462200 462200
569700 569700
3552 3552 0
3552 3552 0
3552 3552 0
123600 123600
23958 23958
0
299999.92 299999.92
0
8070 8877 -807
0
0
0
0
0
0
0
0
186700 186700
0
0
0
174900 174900
4000 4000
330000 330000
0
57750 57750
0
151999.1 151999.1
0
83800 83800
0
100000 100000
78991 59950 19041
0
17996 17996 0
1325000 1325000
25597 20900 4697
0
158994 158994
0
155813 155813 0
84382 78991 5391
19954 19954
16995 16995 0
0
0
0
0
0
0
0
4040 4040 0
6375 6375 0
231500
LAPORAN PERSEDIAAN OBAT DAN PERBEKALAN KESEHATAN
UPT. PUSKESMAS SILAGO
PER 31 DESEMBER 2020
1 2 3 4 5
1 Obat Albendazol sirup 200mg/5 ml Botol
2 Albendazol tablet 400 mg tablet 144
3 Allopurinol 100 mg tablet 4,890
4 Alprazolam 0,5 mg tablet
5 Alprazolam 1 mg tablet 112
6 Ambroxol 30 mg tablet tablet 5,290
7 Aminofilin inj 24mg/ml-10 ml ampul 26
8 Aminofilin tablet 200 mg tablet
9 Amitriptilin HCl tablet salut 25 mg tablet 50
10 Amlodipin 10 mg tablet 1,720
11 Amlodipin 5 mg tablet 775
12 Amoksisilin 250 mg tablet 910
13 Amoksisilin 500 mg tablet 1,860
14 Amoksisilin 250mg/5ml sirup kering botol 60
15 Amoksisilin sirup kering 125 mg/5 ml Botol 130
16 Antalgin injeksi 250 mg/ml-2ml ampul 75
17 Antasida DOEN tablet tablet 1,170
18 Antasida sirup Botol 136
19 Anti Bakteri DOEN salep Kombinasi (bacitrasin) Tube 44
20 Anti Fungi DOEN Kombinasi Pot
21 Anti Haemoroid DOEN kombinasi Suppos 80
22 Anti Migren (ergotamin caffein) tablet 100
23 Anti Tuberkulosis anak paket
24 Anti Tuberkulosis Kategori I paket 1
25 Anti Tuberkulosis Kategori II paket
26 Aqua pro injeksi steril bebas pirogen vial 10
27 Asam Folat 0,4 mg /profolat tablet
28 Asam folat 1 mg tablet 890
29 Asam mefenamat 500 mg tablet 2,870
30 Asam tranexamat inj 100 mg/ml ampul
31 Asam tranexamat inj 50mg/ml ampul
32 Asam Tranexamat tablet 500 mg tablet 230
33 Asam Valproat 500mg / Depakote 500 mg tablet
34 Asetosal 80 mg / Miniaspi tablet 300
35 Asiklovir Krim 5 % 5 gr Tube 93
36 Asiklovir tablet 200 mg tablet 550
37 Asiklovir tablet 400 mg tablet 915
38 Atripla tablet
39 Atropin sulfat injeksi 0,25 mg/ml - 1 ml ampul 4
40 Attapulgit (Pularex) tablet 70
41 Azitromisin tab 500 mg tablet
42 Benzatil benzil penisilin vial 5
43 Berotec 0,1 mg(Fenoterol HBr aerosol 100mcg/dosis) Btl
44 Betahistin mesilat tablet 1,235
45 Betametason krim 0,1% Tube 70
46 Bioplacenton tube
47 Bisacodil (dulcolax) supp suppos
48 Bisacodil (dulcolax) tab tablet 6
49 Bisacodil supp infant 5 mg /Dulcolax Suppos
50 Bisoprolol 5 mg tablet 230
51 Ca Glukonas ampul
52 Captopril 12,5mg tablet 1,190
53 Captopril 25 mg tablet 890
54 Cefadroxil tablet 3,010
55 Cefadroxyl syr 125 mg/ml Botol 25
56 Cefiksim syr kering 100mg/5ml btl 30ml 48
57 Cefixime 100mg tablet 1,480
58 Cefotaxim 1,0 G inj Vial
59 Cendo Lyteers Kombinasi tts mata 2,5 mg/ml; NaCl 8,664 mbotol 11
60 Cetirizin 10 mg tablet 480
61 Cetirizin syr 5mg/5ml btl 60ml 112
62 Ciprofloxacin tablet 500 mg tablet 925
63 Clindamisin 150 mg tablet 480
64 Clindamisin 300 mg tablet
65 Deksametason injeksi 5 mg/ml-1 ml ampul 124
66 Deksametason tablet 0,5 mg tablet 5,740
67 DHP-Frimal tablet
68 Diazepam injeksi 5 mg/ml-2 ml ampul 9
69 Diazepam rektal 10 mg Suppos
70 Diazepam rektal 5 mg Suppos
71 Diazepam tablet 2 mg tablet 310
72 Diazepam tablet 5 mg tablet 770
73 Dietil karbamazin sitrat tablet 100 mg tablet
74 Difenhidramin HCl inj 10 mg/ml-1 ml ampul
75 Digoksin tablet 0,25 mg tablet 380
76 Diltiazem tablet tablet
77 Dimenhidrinat 50 mg tablet
78 Doksisilin kapsul tablet
79 Domperidon 10 mg tablet 510
80 Domperidon syr Botol 75
81 Efedrin HCl tablet 25 mg tablet
82 Epinefrin HCl /adrenalin inj.0,1%-1ml ampul
83 Eritromisin 250 mg tablet
84 Eritromisin 500 mg tablet
85 Eritromisin sirup kering Botol
86 Etambutol 400mg tablet
87 Euthyrox tablet
88 Fenitoin natrium kapsul 30 mg tablet
89 Fenobarbital inj 50 mg/ml - 2 ml ampul
90 Fenobarbital tablet 30 mg tablet 197
91 Fenolgliserol tetes telinga 10% Botol 17
92 Fitomenadion (Vit K1) inj 10 mg/ml-1 ml ampul
93 Fitomenadion (Vit K1) tablet 10 mg tablet 1,238
94 Fitomenadion inj 2 mg/ml ampul 60
95 Fluoksetin / Prestine tablet
96 Furosemid injeksi ampul
97 Furosemid tablet 40 mg tablet 430
98 Gabapentin/Alpentin 100 mg kapsul
99 Garam Oralit untuk 200 ml bungkus 793
100 Gentamicin Salep Kulit Tube
101 Gentamisin inj ampul
102 Gentamisin tetes mata botol
103 Gentian violet larutan 1% Botol 21
104 Glibenklamid tablet 5 mg tablet 780
105 Glimepirid 1 mg tablet 310
106 Glimepirid 2 mg tablet 800
107 Gliseril Guaiakolat tablet 100 mg tablet
108 Glukosa 40% ampul
109 Glukosa larutan Infus 10% steril fls 20
110 Glukosa Larutan Infus 5% steril fls 170
111 Griseofulvin tablet 125 mg tablet
112 Griseofulvin tablet 500 mg tablet 1,565
113 Haloperidol 5 mg tablet
114 Haloperidol inj 50mg/ml ampul
115 Haloperidol tablet 0,5 mg tablet
116 Haloperidol tablet 1,5 mg tablet 108
117 Hidrochlorotiazid (HCT) tablet 25 mg tablet 283
118 Hidrokortison krim 2,5% Tube 85
119 Hiosin HBr Inj 20 mg ampul 25
120 Hiosin N Butil bromida tablet tablet 850
121 Ibuprofen suspensi 100 mg/5 ml botol 206
122 Ibuprofen tablet 200 mg tablet 620
123 Ibuprofen tablet 400 mg tablet 5,110
124 Ichtiol salep pot
125 Isoniazid 100 mg/PPINH 100 mg tablet
126 Isoniazid tablet 300 mg tablet
127 Isosorbid dinitrat tablet sublingual 5 mg tablet 670
128 Kalsium laktat (Kalk) tablet 500 mg tablet 1,840
129 Karbamazepin tablet 200 mg tablet
130 Ketokonazol krim Tube 128
131 Ketokonazol tab tablet 1,421
132 Ketoprofen 100mg tablet 100
133 Ketoprofen Supp suppos 10
134 Klopidogrel 75 mg Tablet
135 Kloramfenikol kapsul 250 mg tablet 600
136 Kloramfenikol salep Kulit Tube 132
137 Kloramfenikol salep mata 1 % Tube 6
138 Kloramfenikol suspensi 125 mg/5 ml Botol
139 Kloramfenikol tetes mata Botol 72
140 Kloramfenikol tetes telinga 3 % Botol 55
141 Klorfeniramin maleat (CTM) tablet 4 mg tablet 6,280
142 Klorpromazin 25mg tablet
143 Klorpromazin HCl inj 25 mg/ml - 1 ml ampul
144 Klorpromazin HCl inj 5 mg/ml - 1 ml ampul
145 Klorpromazin HCl tablet salut 100 mg tablet 130
146 Kodein HCl tablet 10 mg tablet
147 Kolkisin 500 mcg tablet 100
148 Kotrimoksazol suspensi kombinasi Botol 193
149 Kotrimoksazol tablet dewasa kombinasi tablet 1,630
150 Lamivudin tablet
151 Lansoprazole tablet 330
152 Levofloksasin 250mg tablet
153 Levofloksasin tetes mata 0,5% botol
154 Lidocain komp.inj. ampul 265
155 Lidocain inj. ampul
156 Loperamid Hcl tablet 1,420
157 Loratadin 10mg tablet 1,720
158 Magnesium sulfat inj (IV) 20%-25 ml vial
159 Magnesium sulfat inj (IV) 40%-25 ml vial 6
160 MDT MD Dewasa Paket
161 Meloksikam 15 mg tablet
162 Metformin tablet 1,235
163 Metil ergometrin maleat tablet salut 0,125 mg tablet
164 Metil ergometrin maleat inj 0,200mg-1ml ampul
165 Metil Prednisolon 4 mg tablet 7,320
166 Metil Prednisolon 8mg tablet
167 Metildopa 250mg tablet 100
168 Metoclopramid 10 gr tablet 1,715
169 Metoclopramid injeksi ampul 40
170 Metronidazol 500 mg tablet 490
171 Metronidazol supositoria 500 mg suppos
172 Metronidazole ovula 500mg ovula
173 Mikonazol krim Tube 148
174 Mineral Mix sachet
175 Multivitamin syr Botol 268
176 Multivitamin tab tablet
177 N-asetil sistein tablet 5,500
178 Natrium bicarbonat tablet 500 mg tablet 110
179 Natrium Diklofenak 50 mg tablet 5,675
180 Natrium klorida larutan infus 0,9% fls 5
181 Nevirapin tablet
182 Nifedipin 10 mg tablet 315
183 Nistatin suspensi botol 20
184 Nistatin tablet salut 500.000 IU tablet 650
185 Nistatin tablet vaginal 100.000 IU/g tablet 33
186 Oksitetrasiklin HCl salep kulit 3% Tube 115
187 Oksitetrasiklin HCl salep mata 1% Tube 102
188 Oksitosin inj 10 IU / ml - 1 ml ampul 113
189 Omeprazole 20mg tablet
190 Pantocain tetes mata btl
191 Papaverin tablet 40 mg tablet 670
192 Parasetamol Drop Botol 102
193 Parasetamol rektal 125 mg (dumin) suppos 4
194 Parasetamol rektal 250 mg (dumin) suppos 2
195 Parasetamol sirup 120mg/ml Botol 204
196 Parasetamol tablet 100 mg tablet
197 Parasetamol tablet 500 mg tablet 11,350
198 Permetrin krim 5% (Scabimite) tube 19
199 Petidin inj 50mg/ml ampul
200 Piracetam inj 3g/15ml ampul
201 Pirantel tablet 125 mg tablet 73
202 Pirasetam 800mg tablet
203 Piroxicam 10 mg tablet
204 Piroxicam 20 mg tablet 720
205 Prednison tablet 5 mg tablet 680
206 Primakuin tablet 15 mg tablet
207 Prokain benzil penisilin vial
208 Propanolol HCl tablet 10 mg tablet 300
209 Propanolol HCl tablet 40 mg tablet
210 Propiltiourasil tablet 100 mg tablet 70
211 Ramipril tablet
212 Ranitidin inj. 25mg/ml ampul 180
213 Ranitidin tablet 150 mg tablet 3,270
214 Risperidon 1 mg tablet
215 Risperidon 2 mg tablet 114
216 RL larutan infus fls 538
217 Salbutamol inhalasi 100 mcq/dosis botol 8
218 Salbutamol nebulizer Kotak
219 Salbutamol tablet 2 mg tablet 1,490
220 Salbutamol tablet 4 mg tablet 2,760
221 Salep 2-4 kombinasi pot 11
222 Salep luka bakar (Levertran) Tube
223 Salep Luka Bakar (Perak Sulfadiazin Krim) Tube
224 Salisil bedak 2% bungkus 25
225 Seftriakson Injeksi vial
226 Serum Anti Bisa Ular polivalen inj 5 ml vial
227 Serum Anti Rabies (SAR) Vial
228 Serum Anti Tetanus inj 1500 IU/ampul ampul 27
229 Simvastatin 10 mg tablet 1,770
230 Spironolacton 25 mg tablet 280
231 Sukralfat tablet tablet
232 Sukralfat Sirup Botol 10
233 Tablet Tambah darah tablet 8,360
234 Tenofovir tablet
235 Tetagam ampul
236 Tetrasiklin HCL kapsul 500 mg tablet 100
237 Thiamfenikol 500 mg tab tablet
238 Tramadol inj ampul
239 Trifluoperazin 5mg tablet
240 Triheksiphenidil HCl tablet 2 mg tablet 140
241 Vaksin Rabies Vero Vial
242 Vitamin A 100.000 IU tablet
243 Vitamin A 200.000 IU tablet
244 Vitamin B komplek tablet tablet 2,940
245 Vitamin B1 / Thiamin HCl tablet 50 mg tablet 3,230
246 Vitamin B12 / Sianokobalamin tab 50 mcg tablet 1,880
247 Vitamin B12 / Sianokobalamin Vit B12 inj 500mcg-ml ampul
248 Vitamin B6 / Pyridoksin HCL tab 10 mg tablet 720
249 Vitamin C / Asam askorbat tablet 50 mg tablet 3,140
250 Zinc syr botol 30
251 Zinc tab 20 mg tablet 530
252 BMHP Abochat (IV Chat) 18 Pcs 151
253 & Abochat (IV Chat) 20 Pcs 227
254 Reagen Abochat (IV Chat) 22 Pcs 168
255 Abochat (IV Chat) 24 Pcs 140
256 ADS 0,05 ml pcs 108
257 ADS 0,5 ml pcs 600
258 ADS 5 ml pcs
259 Alat suntik 10 ml pcs
260 Alat suntik 20 ml pcs 80
261 Alat suntik sekali pakai 1 ml Pcs 99
262 Alat suntik sekali pakai 2,5 ml / 3 ml Pcs 584
263 Alat suntik sekali pakai 5 ml Pcs
264 Alkacid Botol
265 Alkohol Swab sachet 1,355
266 Amoniak btl/1000 ml
267 Aquadest steril liter
268 Benecheck Cholesterol strip Botol
269 Benecheck Glucose strip Botol
270 Benecheck uric strip Botol
271 Blood lancet pcs 800
272 Blue tip box
273 Box Slide bok
274 Cartridge Gen Expert Pcs
275 Catgut/benang bedah Chromic 2/0 set 57
276 Catgut/benang bedah Chromic 3/0 set 140
277 Catgut/benang bedah Plain 2/0 set
278 Catgut/benang bedah Plain 3/0 set
279 Centrifuse Paket
280 Chlorin botol 3
281 Cuticell Classic pcs
282 DFI Cybow Box
283 EDTA 10 % Botol
284 Etakridin (rivanol) larutan 0,1% Botol 25
285 Etanol 100 ml botol. 6
286 Etanol 70% Botol 29
287 Etanol 96% botol
288 Eter Alkohol 5% botol
289 Folley Chatether pcs 11
290 Food Test - Borak Test Paket
291 Food Test - Formalin Test Paket
292 Food Test - Rhodamin Test Paket
293 Fouchet Botol
294 Handscoon psg 165
295 Handscoon Obgyn psg
296 Handscoon Steril psg 105
297 HCG Strip Pcs 300
298 Infusion set anak set 59
299 Infusion set dewasa set 446
300 Jarum jahit / bedah no. 9 s/d 14 Pcs
301 Jelly USG btl 6
302 Kaca Slide pcs
303 Kaca Tutup pcs
304 Kapas pembalut / absorben 250 g roll 29
305 Kasa kompres 40/40 steril lbr
306 Kasa pembalut 2 m x 80 cm roll 22
307 Kasa pembalut elastis 3 inchi roll
308 Kasa pembalut elastis 4 inchi roll
309 Kasa Pembalut hidrofil 3,6 m x 10 cm roll 170
310 Kasa Pembalut hidrofil 3,6 m x 5 cm roll
311 Kasa Pembalut hidrofil 4 m x 10 cm elastis roll
312 Kasa Pembalut hidrofil 4 m x 5 cm elastis roll 118
313 Kasa steril 16/16 kotak 130
314 Kassa gulung Besar 80cm x 40 m roll 5
315 Kertas lakmus biru pack
316 Kertas Lakmus merah pack 1
317 Kertas lensa pak
318 Kertas pH Universal Kotak
319 Kertas saring watchman ktk
320 kit gol. Darah A, B, AB set
321 Kondom pcs
322 Labstrip (urinalis) tube
323 Larutan Amonium Oksalat 1% Botol
324 Larutan Asam Asetat 6 % Botol
325 Larutan barium klorida Botol
326 Larutan benedict Botol
327 Larutan buffer PH 6,1 Botol
328 Larutan buffer PH 7,2 Botol
329 Larutan eosin 2% Botol
330 Larutan Etanol Asam Botol
331 Larutan giemsa stain Botol
332 Larutan H2O2 3% Botol 1 L
333 Larutan H2O2 3% Botol
334 Larutan Hayem Botol
335 Larutan HCl 0,1 N Botol
336 Larutan karbolfuksin Botol
337 Larutan metilen biru Botol
338 Larutan Na citrat Botol
339 Larutan Natrium Hipoklorid Botol/ 500ml
340 Larutan Ress Ecker Botol/ 100 ml
341 Larutan turk Botol
342 Larutan Wright Botol
343 Lisol Botol
344 Lubricant pcs
345 Mantoux tes vial
346 Masker pcs
347 Masker 3M N95 medikal respirator pcs 40
348 Mess pcs 62
349 Metanol 100 ml Botol
350 Metanol 1000 ml botol
351 Microlit tips for micropipettes MT-up to 1 ml pack
352 Mikropipet adjustable 100-1000µl unit
353 Mikropipet adjustable 5-50µl unit
354 Mikroskop malaria (nikon) unit
355 Minyak Imersi Botol
356 NAPZA Kit 6 Parameter pcs
357 Napza KIT 8 Parameter box
358 Needle 23 G Pcs
359 Pembalut gips 3 inch Roll
360 Pembalut gips 4 inch Roll
361 Pipet tetes bks/100 pcs
362 Planotest pcs 1
363 Plester 2,5 cmx 4,5 m roll
364 Plester 5 yard x 2 inch roll
365 Plester bulat non woven box
366 Poli Aid Botol
367 Poli Clean Botol
368 Poliwash botol 500ml
369 Pork Test Paket
370 Pot Sputum Pcs
371 Pot Urine Pcs 100
372 Povidon iodida 10% 30 ml Botol 23
373 Povidon iodida 10% 300 ml Botol 27
374 Povidon iodida 10% 60 ml Botol 34
375 Povidon Iodine 1 L Botol
376 RDT DBD Verotec Pcs
377 RDT DBD Biosen Pcs
378 RDT Hepatitis / HBSAG Strip pcs
379 RDT HIV -Fokus 1/2 casette box/25
380 RDT HIV Test (HIV 1 & 2 Anti Body) oncoprobe test
381 RDT HIV test (R1) SD Pcs
382 RDT HIV test Biomerieux (Vikia HIV 1 dan 2) ktk/25 test
383 RDT HIV test Intec (One Step Anti-HIV 1&2) Box
384 RDT Malaria / Malaria test ktk 1
385 RDT sifillis Pcs 25
386 Reagen dan Bahan alat lab.Malaria paket
387 Reagen Fotometer Kimia Klinik Randox Glukosa kit
388 Reagen Fotometer Kimia Klinik Randox Protein total kit
389 Reagen Fotometer Kimia Klinik Randox triglyserida kit
390 Reagen hematology analyzer Cointender 20 SFRI cliner 31 btl 5 L
391 Reagen hematology analyzer Cointender 20 SFRI diluent 3 btl 20 L
392 Reagen hematology analyzer Cointender 20 SFRI Lyse 31 botol 500ml
393 Reagen TB kit
394 Reagen widal H Vial
395 Reagen widal O Vial
396 Rotator Sifilis Unit
397 RPR Sifilis Pcs
398 Safety box pcs
399 Silk no.3/0 dengan jarum bedah set 62
400 Slang Oksigen Dewasa (Adult) pcs 65
401 Slang Oksigen Dewasa (Neonatus) Pcs 5
402 Slang Oksigen Dewasa (Pediatri) Pcs 5
403 Smokerlyzer D-Pieces Box
404 Smokerlyzer Mouth Pieces Box
405 Spritus Botol 5
406 Stomach tube FR 12 pcs
407 Stomach tube FR 14 pcs
408 Stomach tube FR 16 pcs
409 Strip asam urat (UA SURE) Botol
410 Strip asam urat Sinocare ktk 20
411 Strip GLUCO DR Ktk
412 Strip glukosa darah (easy touch) ktk
413 Strip glukosa On Call ktk 3
414 Strip Hb (easy touch) ktk
415 Strip Hb Mission Kotak
416 Strip Kolesterol Mission Ultra ktk
417 Suction cateter No.12 Pcs
418 Suction cateter No.16 Pcs
419 Suction cateter No.8 Pcs
420 Tabung non EDTA 3 ml pack
421 Tabung reaksi tutup pcs
422 Thermal paper 4 x 5 -rocheurysis 1100 roll
423 Thermal paper SFRI roll
424 Tube EDTA Box
425 Urin Bag pcs 32
426 Vacum Tube EDTA 0,5 ml Bok
427 Vacutainer sample needle pcs
428 White Tip Bks
429 wing needle 21 G pcs
430 wing needle 23 G pcs
431 wing needle 25 G pcs
432 wing needle 27 G pcs
433 Xylol Botol
434 Yellow Tip/Micropipet MT-I 200 ul bks 1
435 Yodiol Test Botol
436 Gigi Bahan tambalan gigi sementara (mix/Caviton) Botol
437 Devitalisasi Non Arsen botol
438 Etil klorida spray Botol 1
439 Eugenol cairan Botol
440 Glassionomer Cement (GC IX) / GC. Fuji Botol
441 Kalsium hidroksida pasta / Calxyl blue kotak
442 Klorfenol kamfer menthol (CHKM) Botol
443 Lidocain pasta botol
444 Needle Carpul ktk
445 Occo pembersih karang gigi botol
446 Spongestan Hemospon ktk
447 Temporary stopping fletcher Set
448 TKF botol
449 Vaksin Vaksin BCG Vial 9
450 Imunisasi Vaksin CAMPAK Vial
451 Vaksin DT Vial 4
452 Vaksin HbIg Kotak
453 Vaksin HB-UNIJECT Vial 5
454 Vaksin Hepatitis dewasa vial
455 Vaksin IPV Vial 8
456 Vaksin Meningitis Vial
457 Vaksin MR Vial 9
458 Vaksin PENTABIO Vial 12
459 Vaksin POLIO Vial 10
460 Vaksin Td Vial 19
461 Vaksin TT Vial
462 Baru BMT BUMIL KTK
463 MP ASI KTK
464 PMT Balita KTK
465 0 0
466 0 0
467 0 0
468 0 0
469 0 0
470 0 0
471 0 0
472 0 0
Mengetahui,
Kepala Unit Layanan Puskesmas Silago
Harga Satuan Jumlah Volume Harga Satuan Jumlah Volume Harga Satuan Jumlah
6 7 8 9 10 11 12 13
- 540 4,200 2,268,000 300 4,200 1,260,000
452 65,088 2,490 452 1,125,480 -
99 484,110 500 105 52,500 785 99 77,715
- - -
120 13,440 300 120 36,000 20 120 2,400
99 523,710 2,000 99 198,000 -
2,789 72,514 80 2,976 238,080 -
- - -
168 8,400 200 168 33,600 -
94 161,680 1,800 94 169,200 -
73 56,575 2,400 78 187,200 -
203 184,730 1,500 203 304,500 -
250 465,000 12,000 260 3,120,000 -
3,737 224,220 - -
4,400 572,000 250 5,500 1,375,000 -
3,675 275,625 - -
56 65,520 8,500 60 510,000 -
2,051 278,936 510 2,189 1,116,390 -
8,250 363,000 75 8,250 618,750 -
- - -
3,325 266,000 220 3,325 731,500 -
182 18,200 - -
- 1 260,526 260,526 -
408,812 408,812 12 415,469 4,985,628 -
- - -
2,860 28,600 30 2,860 85,800 -
- - -
74 65,860 4,000 79 316,000 -
103 295,610 4,000 297 1,188,000 -
- - -
- - -
1,684 387,320 - -
- - -
99 29,700 - -
3,300 306,900 75 3,300 247,500 -
245 134,750 - -
399 365,085 1,600 426 681,600 -
- - -
1,540 6,160 - -
160 11,200 - -
- - -
14,500 72,500 - -
- - -
110 135,850 2,500 110 275,000 -
1,340 93,800 175 1,430 250,250 -
- - -
- - -
327 1,962 630 327 206,010 -
- - -
275 63,250 - -
- - -
64 76,160 1,600 68 108,800 -
154 137,060 1,500 154 231,000 -
880 2,648,800 2,700 880 2,376,000 -
4,066 101,650 120 4,339 520,680 -
15,950 765,600 100 15,950 1,595,000 -
1,430 2,116,400 550 387 212,850 -
- 10 4,571 45,710 -
26,400 290,400 45 27,500 1,237,500 -
101 48,480 5,800 101 585,800 -
2,973 332,976 150 2,973 445,950 -
495 457,875 3,000 495 1,485,000 -
729 349,920 1,500 770 1,155,000 -
- - -
1,152 142,848 650 1,152 748,800 -
99 568,260 17,000 88 1,496,000 -
- - -
12,000 108,000 15 12,000 180,000 -
- 30 19,193 575,790 -
- 30 13,202 396,060 -
86 26,660 - -
109 83,930 600 114 68,400 -
- - -
- - -
104 39,520 - -
- - -
- - -
- - -
86 43,860 400 86 34,400 -
2,781 208,575 50 2,781 139,050 -
- - -
- 11 1,408 15,488 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
165 32,505 - -
2,590 44,030 - -
- - -
747 924,786 500 797 398,500 -
3,867 232,020 150 3,867 580,050 25 3,867 96,675
- - -
- - -
81 34,830 300 82 24,600 -
- - -
257 203,801 - -
- - -
- - -
- - -
3,498 73,458 - -
125 97,500 1,600 125 200,000 -
174 53,940 - -
207 165,600 - -
- - -
- - -
7,500 150,000 - -
6,900 1,173,000 240 7,363 1,767,120 40 7,363 294,520
- - -
952 1,489,880 3,500 952 3,332,000 -
- - -
- - -
- - -
59 6,372 200 59 11,800 -
156 44,148 - -
2,475 210,375 120 2,475 297,000 -
9,999 249,975 - -
1,496 1,271,600 - -
2,776 571,856 100 2,776 277,600 -
253 156,860 - -
330 1,686,300 12,500 330 4,125,000 -
- - -
- - -
- - -
165 110,550 - -
59 108,560 2,500 63 157,500 -
- - -
2,518 322,304 325 2,518 818,350 -
297 422,037 1,700 297 504,900 -
990 99,000 - -
2,380 23,800 - -
- - -
495 297,000 - -
3,140 414,480 120 3,140 376,800 60 3,140 188,400
1,881 11,286 - -
- - -
6,500 467,993 - 22 6,500 143,000
7,502 412,610 - -
25 157,000 12,500 25 312,500 -
- - -
- - -
- - -
155 20,150 200 157 31,400 -
- - -
2,750 275,000 1,200 2,414 2,896,800 -
2,052 396,036 - -
125 203,750 500 133 66,500 -
- - -
334 110,220 1,400 334 467,600 -
- - -
- - -
1,205 319,325 270 1,286 347,220 -
- 30 1,289 38,670 -
143 203,060 2,000 143 286,000 -
125 215,000 3,800 133 505,400 -
- - -
3,796 22,776 - -
- - -
- - -
105 129,181 2,200 106 233,200 -
- 200 236 47,200 -
- 60 3,102 186,120 -
137 1,002,840 9,600 146 1,401,600 -
- - -
993 99,300 - -
80 137,200 1,000 85 85,000 -
4,158 166,320 200 4,158 831,600 -
275 134,750 - -
- - -
- - -
3,585 530,580 - -
- - -
4,500 1,206,000 - -
- - -
357 1,963,500 2,100 381 800,100 -
66 7,260 500 66 33,000 -
127 720,725 17,600 136 2,393,600 -
6,410 32,050 220 6,840 1,504,800 -
- - -
132 41,580 100 132 13,200 -
34,980 699,600 10 34,980 349,800 -
830 539,500 300 886 265,800 -
572 18,876 - -
3,850 442,750 - -
2,600 265,200 75 2,774 208,050 -
1,900 214,700 30 1,199 35,970 50 1,199 59,950
- 1,500 164 246,000 -
- - -
350 234,366 300 350 105,000 -
6,981 712,062 485 6,981 3,385,785 -
16,995 67,980 - -
17,800 35,600 - -
1,110 226,440 300 1,110 333,000 -
- - -
56 635,600 21,500 160 3,429,250 -
11,825 224,675 30 11,825 354,750 -
- - -
- - -
302 22,046 - -
- - -
- - -
121 87,120 5,000 121 605,000 -
72 48,960 100 77 7,700 -
- - -
- - -
57 17,100 - -
- - -
451 31,570 100 451 45,100 -
- - -
1,155 207,900 1,000 1,155 1,155,000 -
165 539,550 16,600 220 3,652,000 -
- - -
273 31,122 500 287 143,500 -
7,150 3,846,700 600 7,630 4,578,000 -
31,571 252,568 25 32,120 803,000 -
- 1 220,000 220,000 -
63 93,870 2,300 67 154,100 -
74 204,240 1,500 74 111,000 -
2,753 30,283 - -
- - -
- 5 20,700 103,500 -
3,190 79,750 12 3,190 38,280 -
- - -
- 14 512,204 7,170,856 -
- - -
130,999 3,536,973 30 130,999 3,929,970 10 130,999 1,309,990
110 194,700 1,200 117 140,400 -
195 54,600 100 208 20,800 -
- - -
6,989 69,890 100 6,989 698,900 -
372 3,109,920 34,020 372 12,655,440 1,176 372 437,472
- - -
- - -
319 31,900 - -
- - -
- - -
- - -
87 12,180 700 93 65,100 -
- 16 165,000 2,640,000 -
- 600 324 194,400 -
- 2,000 581 1,162,000 -
123 361,620 11,500 131 1,506,500 -
86 277,780 1,500 92 138,000 -
47 88,360 - -
- - -
132 95,256 1,100 138 151,800 -
110 345,400 13,500 110 1,485,000 -
3,122 93,660 144 3,322 478,368 -
551 292,030 900 551 495,900 -
6,270 946,770 150 6,270 940,500 -
6,270 1,423,290 150 6,270 940,500 -
6,270 1,053,360 290 6,270 1,818,300 -
7,810 1,093,400 100 6,270 627,000 -
1,392 150,336 300 1,518 455,400 -
1,091 654,546 7,000 1,518 10,626,000 -
- 400 1,583 633,200 -
- - -
3,080 246,400 - -
880 87,120 300 880 264,000 -
894 522,096 2,600 894 2,324,400 -
- 400 943 377,200 -
- - -
118 159,890 2,000 120 240,000 -
- - -
- - -
- 6 254,925 1,529,550 -
- 8 169,000 1,352,000 -
- 15 154,675 2,320,125 -
191 152,800 900 144 129,600 -
- - -
- - -
- - -
52,100 2,969,714 36 33,565 1,208,340 -
47,706 6,678,840 - -
- - -
- - -
- 1 8,370,000 8,370,000 -
60,000 179,999 - -
- 3 15,600 46,800 -
- - -
- - -
3,450 86,250 - -
6,899 41,395 - -
69,300 2,009,700 12 88,000 1,056,000 -
- - -
- - -
10,212 112,332 - -
- - -
- - -
- - -
- - -
990 163,350 5,200 2,640 13,728,000 -
- - -
6,793 713,249 250 6,595 1,648,750 -
1,679 503,811 200 4,881 976,200 -
9,130 538,670 - -
5,608 2,501,324 150 5,445 816,750 -
- - -
14,472 86,830 - -
- 288 417 120,000 -
- - -
31,694 919,126 20 34,150 683,000 -
- - -
11,322 249,083 5 11,322 56,610 -
- - -
- - -
2,609 443,462 150 2,471 370,650 -
- - -
- - -
1,174 138,532 200 590 118,000 -
8,144 1,058,772 190 7,530 1,430,700 -
165,720 828,600 12 140,500 1,686,000 -
- - -
85,556 85,556 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 1 30,000 30,000 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 11 47,150 518,650 -
- - -
- - -
- 900 2,530 2,277,000 -
14,820 592,792 - -
3,150 195,300 200 3,150 630,000 -
- - -
- - -
- - -
- 1 3,743,693 3,743,693 -
- 1 3,743,693 3,743,693 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
1,939 1,939 - -
- 40 12,675 507,000 -
- - -
- - -
- - -
- 11 77,698 854,678 -
- - -
- - -
- - -
2,631 263,100 - -
3,335 76,705 - -
20,700 558,900 10 19,633 196,333 -
23,890 812,260 5 5,187 25,933 -
- 5 149,314 746,570 -
- - -
- - -
- 250 8,175 2,043,750 -
- - -
- - -
- 200 11,400 2,280,000 -
- - -
- - -
161,900 161,900 - -
20,400 510,000 350 7,250 2,537,500 -
- 1 1,306,996 1,306,996 -
- - -
- - -
- - -
- - -
- - -
- - -
- 3 237,271 711,812 -
- - -
- - -
- - -
- - -
- 25 22,433 560,825 -
46,712 2,896,144 216 34,000 7,344,000 -
6,720 436,800 5 6,720 33,600 -
8,103 40,515 - -
6,720 33,600 15 6,720 100,800 -
- - -
- - -
30,000 150,000 - -
- - -
- - -
- - -
- - -
96,260 1,925,201 2 91,000 182,000 -
- - -
- - -
164,373 493,120 2 202,200 404,400 -
- - -
- 6 462,200 2,773,200 -
- 3 569,700 1,709,100 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
8,877 284,064 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
186,700 186,700 - -
- 10 6,494 64,940 -
- - -
- - -
174,900 174,900 - -
- 1 4,000 4,000 -
- 1 330,000 330,000 -
- - -
- - -
- - -
- - -
- - -
- 3 83,800 251,400 -
- - -
- - -
59,950 539,550 130 78,991 10,268,830 -
- 20 28,204 564,080 -
17,996 71,984 30 17,996 539,880 -
- 1 1,325,000 1,325,000 -
20,900 104,500 110 25,597 2,815,670 -
- - -
158,994 1,271,952 10 158,994 1,589,940 -
- - -
155,813 1,402,317 130 155,813 20,255,690 -
78,991 947,892 190 84,382 16,032,580 -
19,954 199,540 190 19,954 3,791,260 -
16,995 322,905 130 16,995 2,209,350 -
- - -
- 1 17,023 17,023 -
- 26 13,901 361,426 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
94,536,719 265,425,718 3,870,122
14 15 16 17 18 19
180 4,200 756,000 60 4,200 252,000
2,488 452 1,124,576 146 452 65,992
4,205 105 441,525 400 105 42,000
- - -
372 120 44,640 20 120 2,400
6,080 99 601,920 1,210 99 119,790
54 2,976 160,704 52 2,976 154,752
- - -
100 168 16,800 150 168 25,200
2,275 94 213,850 1,245 94 117,030
2,490 78 194,220 685 78 53,430
1,940 203 393,820 470 203 95,410
10,775 260 2,801,500 3,085 260 802,100
55 3,737 205,535 5 3,737 18,685
348 5,500 1,914,000 32 5,500 176,000
75 3,675 275,625 - -
7,672 60 460,320 1,998 60 119,880
601 2,189 1,315,589 45 2,189 98,505
93 8,250 767,250 26 8,250 214,500
- - -
228 3,325 758,100 72 3,325 239,400
100 182 18,200 - -
- 1 260,526 260,526
6 415,469 2,492,814 7 415,469 2,908,283
- - -
29 2,860 82,940 11 2,860 31,460
- - -
2,940 79 232,260 1,950 79 154,050
4,250 297 1,262,250 2,620 297 778,140
- - -
- - -
120 1,684 202,080 110 1,684 185,240
- - -
200 99 19,800 100 99 9,900
122 3,300 402,600 46 3,300 151,800
450 245 110,250 100 245 24,500
1,588 426 676,488 927 426 394,902
- - -
4 1,540 6,160 - -
70 155 10,850 - -
- - -
5 14,500 72,500 - -
- - -
2,425 110 266,750 1,310 110 144,100
202 1,430 288,860 43 1,430 61,490
- - -
- - -
255 327 83,385 381 327 124,587
- - -
230 275 63,250 - -
- - -
1,605 68 109,140 1,185 68 80,580
1,250 154 192,500 1,140 154 175,560
4,430 880 3,898,400 1,280 880 1,126,400
48 4,339 208,272 97 4,339 420,883
115 15,950 1,834,250 33 15,950 526,350
2,024 387 783,288 6 387 2,322
- 10 4,571 45,710
43 27,500 1,182,500 13 27,500 357,500
5,530 101 558,530 750 101 75,750
206 2,973 612,438 56 2,973 166,488
3,345 495 1,655,775 580 495 287,100
1,020 770 785,400 960 770 739,200
- - -
490 1,152 564,480 284 1,152 327,168
21,490 88 1,891,120 1,250 88 110,000
- - -
13 12,000 156,000 11 12,000 132,000
15 19,193 287,895 15 19,193 287,895
15 13,202 198,030 15 13,202 198,030
310 86 26,660 - -
775 114 88,350 595 114 67,830
- - -
- - -
100 104 10,400 280 104 29,120
- - -
- - -
- - -
477 86 41,022 433 86 37,238
65 2,781 180,765 60 2,781 166,860
- - -
5 1,408 7,040 6 1,408 8,448
- - -
- - -
- - -
- - -
- - -
- - -
- - -
197 180 35,460 - -
17 2,590 44,030 - -
- - -
1,125 797 896,625 613 797 488,561
108 3,867 417,636 77 3,867 297,759
- - -
- - -
730 82 59,860 - -
- - -
451 274 123,574 342 274 93,708
- - -
- - -
- - -
15 3,498 52,470 6 3,498 20,988
1,630 125 203,750 750 125 93,750
240 174 41,760 70 174 12,180
210 207 43,470 590 207 122,130
- - -
- - -
10 7,500 75,000 10 7,500 75,000
335 7,363 2,466,605 35 7,363 257,705
- - -
3,255 952 3,098,760 1,810 952 1,723,120
- - -
- - -
- - -
265 59 15,635 43 59 2,537
83 156 12,948 200 156 31,200
147 2,475 363,825 58 2,475 143,550
25 9,999 249,975 - -
850 1,496 1,271,600 - -
181 2,776 502,456 125 2,776 347,000
620 253 156,860 - -
14,430 330 4,761,900 3,180 330 1,049,400
- - -
- - -
- - -
200 165 33,000 470 165 77,550
3,160 63 199,080 1,180 63 74,340
- - -
346 2,518 871,228 107 2,518 269,426
2,881 297 855,657 240 297 71,280
- 100 990 99,000
5 2,380 11,900 5 2,380 11,900
- - -
600 495 297,000 - -
192 3,140 602,880 - -
6 1,881 11,286 - -
- - -
50 6,500 325,000 - -
55 7,502 412,610 - -
18,745 25 468,625 35 25 875
- - -
- - -
- - -
330 157 51,810 - -
- - -
710 2,414 1,713,940 590 2,414 1,424,260
127 2,190 278,130 66 2,190 144,540
1,385 133 184,205 745 133 99,085
- - -
1,260 334 420,840 470 334 156,980
- - -
- - -
469 1,286 603,134 66 1,286 84,876
30 1,289 38,670 - -
2,830 143 404,690 590 143 84,370
5,380 133 715,540 140 133 18,620
- - -
6 3,796 22,776 - -
- - -
- - -
2,545 106 269,770 890 106 94,340
- 200 236 47,200
14 3,102 43,428 46 3,102 142,692
14,340 146 2,093,640 2,580 146 376,680
- - -
100 993 99,300 - -
1,695 85 144,075 1,020 85 86,700
216 4,158 898,128 24 4,158 99,792
490 275 134,750 - -
- - -
- - -
148 3,585 530,580 - -
- - -
268 4,500 1,206,000 - -
- - -
6,990 381 2,663,190 610 381 232,410
248 66 16,368 362 66 23,892
18,290 136 2,487,440 4,985 136 677,960
150 6,840 1,026,000 75 6,840 513,000
- - -
415 132 54,780 - -
30 34,980 1,049,400 - -
720 886 637,920 230 886 203,780
33 572 18,876 - -
62 3,850 238,700 53 3,850 204,050
128 2,774 355,072 49 2,774 135,926
75 1,199 89,925 18 1,199 21,582
1,500 164 246,000 - -
- - -
530 350 185,500 440 350 154,000
350 6,981 2,443,350 237 6,981 1,654,497
4 16,995 67,980 - -
2 17,800 35,600 - -
319 1,110 354,090 185 1,110 205,350
- - -
30,796 160 4,911,962 2,054 160 327,613
49 11,825 579,425 - -
- - -
- - -
48 302 14,496 25 302 7,550
- - -
- - -
5,350 121 647,350 370 121 44,770
500 77 38,500 280 77 21,560
- - -
- - -
260 61 15,860 40 61 2,440
- - -
130 451 58,630 40 451 18,040
- - -
787 1,155 908,985 393 1,155 453,915
17,600 220 3,872,000 2,270 220 499,400
- - -
434 287 124,558 180 287 51,660
946 7,630 7,217,980 192 7,630 1,464,960
20 32,120 642,400 13 32,120 417,560
- 1 220,000 220,000
2,265 67 151,755 1,525 67 102,175
4,260 74 315,240 - -
11 2,753 30,283 - -
- - -
5 20,700 103,500 - -
25 3,190 79,750 12 3,190 38,280
- - -
9 512,204 4,609,836 5 512,204 2,561,020
- - -
27 130,999 3,536,973 20 130,999 2,619,980
2,110 117 246,870 860 117 100,620
310 208 64,480 70 208 14,560
- - -
110 6,989 768,790 - -
41,204 372 15,327,888 - -
- - -
- - -
100 319 31,900 - -
- - -
- - -
- - -
640 93 59,520 200 93 18,600
8 165,000 1,320,000 8 165,000 1,320,000
600 324 194,400 - -
2,000 581 1,162,000 - -
11,300 131 1,480,300 3,140 131 411,340
3,720 92 342,240 1,010 92 92,920
1,880 47 88,360 - -
- - -
1,820 138 251,160 - -
14,648 110 1,611,280 1,992 110 219,120
94 3,322 312,268 80 3,322 265,760
992 551 546,592 438 551 241,338
181 6,270 1,134,870 120 6,270 752,400
201 6,270 1,260,270 176 6,270 1,103,520
223 6,270 1,398,210 235 6,270 1,473,450
152 6,270 953,040 88 6,270 551,760
408 1,518 619,344 - -
2,200 1,518 3,339,600 5,400 1,518 8,197,200
100 1,583 158,300 300 1,583 474,900
- - -
80 3,080 246,400 - -
90 880 79,200 309 880 271,920
2,934 894 2,622,996 250 894 223,500
288 943 271,584 112 943 105,616
- - -
2,742 120 329,040 613 120 73,560
- - -
- - -
6 254,925 1,529,550 - -
8 169,000 1,352,000 - -
15 154,675 2,320,125 - -
900 144 129,600 800 144 115,200
- - -
- - -
- - -
87 33,565 2,920,155 6 33,565 201,390
140 33,287 4,660,180 - -
- - -
- - -
- 1 8,370,000 8,370,000
- 3 60,000 180,000
2 15,600 31,200 1 15,600 15,600
- - -
- - -
16 4,150 66,400 9 4,150 37,350
1 11,000 11,000 5 11,000 55,000
37 88,000 3,256,000 4 88,000 352,000
- - -
- - -
5 20,100 100,500 6 20,100 120,600
- - -
- - -
- - -
- - -
4,470 2,640 11,800,800 895 2,640 2,362,800
- - -
355 6,595 2,341,225 - -
496 4,881 2,420,976 4 4,881 19,524
22 9,130 200,860 37 9,130 337,810
529 5,445 2,880,405 67 5,445 364,815
- - -
3 26,487 79,460 3 26,487 79,460
144 417 60,000 144 417 60,000
- - -
26 34,150 887,900 23 34,150 785,450
- - -
27 11,322 305,694 - -
- - -
- - -
240 2,471 593,040 80 2,471 197,680
- - -
- - -
143 590 84,370 175 590 103,250
218 7,530 1,641,540 102 7,530 768,060
10 140,500 1,405,000 7 140,500 983,500
- - -
1 85,556 85,556 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
1 30,000 30,000 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
10 47,150 471,500 1 47,150 47,150
- - -
- - -
900 2,530 2,277,000 - -
40 14,820 592,800 - -
66 3,150 207,900 196 3,150 617,400
- - -
- - -
- - -
1 3,743,693 3,743,693 - -
1 3,743,693 3,743,693 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
1 1,939 1,939 - -
34 12,675 430,950 6 12,675 76,050
- - -
- - -
- - -
9 77,698 699,282 2 77,698 155,396
- - -
- - -
- - -
100 2,631 263,100 - -
23 3,335 76,705 - -
35 19,633 687,167 2 19,633 39,267
39 5,187 202,274 - -
1 149,314 149,314 4 149,314 597,256
- - -
- - -
50 8,175 408,750 200 8,175 1,635,000
- - -
- - -
100 11,400 1,140,000 100 11,400 1,140,000
- - -
- - -
- 1 161,900 161,900
275 7,250 1,993,750 100 7,250 725,000
- 1 1,306,996 1,306,996
- - -
- - -
- - -
- - -
- - -
- - -
3 237,271 711,812 - -
- - -
- - -
- - -
- - -
- 25 22,433 560,825
214 34,000 7,276,000 64 34,000 2,176,000
7 6,720 47,040 63 6,720 423,360
- 5 8,103 40,515
10 6,720 67,200 10 6,720 67,200
- - -
- - -
- 5 30,000 150,000
- - -
- - -
- - -
- - -
22 91,000 2,002,000 - -
- - -
- - -
5 202,200 1,011,000 - -
- - -
2 462,200 924,400 4 462,200 1,848,800
1 569,700 569,700 2 569,700 1,139,400
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
6 8,070 48,420 26 8,070 209,820
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
1 186,700 186,700 - -
10 6,494 64,940 - -
- - -
- - -
1 174,900 174,900 - -
1 4,000 4,000 - -
1 330,000 330,000 - -
- - -
- - -
- - -
- - -
- - -
3 83,800 251,400 - -
- - -
- - -
133 78,991 10,505,803 6 78,991 473,946
20 28,204 564,080 - -
34 17,996 611,864 - -
1 1,325,000 1,325,000 - -
99 25,597 2,534,103 16 25,597 409,552
- - -
18 158,994 2,861,892 - -
- - -
126 155,813 19,632,438 13 155,813 2,025,569
185 84,382 15,610,670 17 84,382 1,434,494
188 19,954 3,751,352 12 19,954 239,448
132 16,995 2,243,340 17 16,995 288,915
- - -
1 17,023 17,023 - -
26 13,901 361,426 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
270,867,969 83,705,780
01704 2 007
231500
LAPORAN PERSEDIAAN OBAT DAN PERBEKALAN KESEHATAN
UPT. PUSKESMAS BERINGIN SAKTI
PER 31 DESEMBER 2020
1 2 3 4 5
1 Obat Albendazol sirup 200mg/5 ml Botol
2 Albendazol tablet 400 mg tablet 1,026
3 Allopurinol 100 mg tablet 690
4 Alprazolam 0,5 mg tablet
5 Alprazolam 1 mg tablet 637
6 Ambroxol 30 mg tablet tablet 1,980
7 Aminofilin inj 24mg/ml-10 ml ampul
8 Aminofilin tablet 200 mg tablet
9 Amitriptilin HCl tablet salut 25 mg tablet 200
10 Amlodipin 10 mg tablet 521
11 Amlodipin 5 mg tablet 1,010
12 Amoksisilin 250 mg tablet 1,055
13 Amoksisilin 500 mg tablet 1,530
14 Amoksisilin 250mg/5ml sirup kering botol 23
15 Amoksisilin sirup kering 125 mg/5 ml Botol 78
16 Antalgin injeksi 250 mg/ml-2ml ampul
17 Antasida DOEN tablet tablet 880
18 Antasida sirup Botol 49
19 Anti Bakteri DOEN salep Kombinasi (bacitrasin) Tube 51
20 Anti Fungi DOEN Kombinasi Pot 45
21 Anti Haemoroid DOEN kombinasi Suppos 43
22 Anti Migren (ergotamin caffein) tablet
23 Anti Tuberkulosis anak paket 2
24 Anti Tuberkulosis Kategori I paket 5
25 Anti Tuberkulosis Kategori II paket 2
26 Aqua pro injeksi steril bebas pirogen vial 21
27 Asam Folat 0,4 mg /profolat tablet
28 Asam folat 1 mg tablet 580
29 Asam mefenamat 500 mg tablet 580
30 Asam tranexamat inj 100 mg/ml ampul
31 Asam tranexamat inj 50mg/ml ampul
32 Asam Tranexamat tablet 500 mg tablet 410
33 Asam Valproat 500mg / Depakote 500 mg tablet
34 Asetosal 80 mg / Miniaspi tablet
35 Asiklovir Krim 5 % 5 gr Tube 97
36 Asiklovir tablet 200 mg tablet 1,438
37 Asiklovir tablet 400 mg tablet 1,611
38 Atripla tablet
39 Atropin sulfat injeksi 0,25 mg/ml - 1 ml ampul 20
40 Attapulgit (Pularex) tablet
41 Azitromisin tab 500 mg tablet
42 Benzatil benzil penisilin vial
43 Berotec 0,1 mg(Fenoterol HBr aerosol 100mcg/dosis) Btl
44 Betahistin mesilat tablet 280
45 Betametason krim 0,1% Tube 12
46 Bioplacenton tube
47 Bisacodil (dulcolax) supp suppos 50
48 Bisacodil (dulcolax) tab tablet
49 Bisacodil supp infant 5 mg /Dulcolax Suppos
50 Bisoprolol 5 mg tablet
51 Ca Glukonas ampul 5
52 Captopril 12,5mg tablet 2,740
53 Captopril 25 mg tablet 2,390
54 Cefadroxil tablet 675
55 Cefadroxyl syr 125 mg/ml Botol 47
56 Cefiksim syr kering 100mg/5ml btl 30ml 12
57 Cefixime 100mg tablet 588
58 Cefotaxim 1,0 G inj Vial
Cendo Lyteers Kombinasi tts mata 2,5 mg/ml; NaCl 8,664
59 mg; kalium klorida 1,32 mg botol
60 Cetirizin 10 mg tablet 240
61 Cetirizin syr 5mg/5ml btl 60ml 134
62 Ciprofloxacin tablet 500 mg tablet 970
63 Clindamisin 150 mg tablet 470
64 Clindamisin 300 mg tablet
65 Deksametason injeksi 5 mg/ml-1 ml ampul
66 Deksametason tablet 0,5 mg tablet 2,160
67 DHP-Frimal tablet 27
68 Diazepam injeksi 5 mg/ml-2 ml ampul 15
69 Diazepam rektal 10 mg Suppos 5
70 Diazepam rektal 5 mg Suppos 5
71 Diazepam tablet 2 mg tablet 200
72 Diazepam tablet 5 mg tablet 16
73 Dietil karbamazin sitrat tablet 100 mg tablet
74 Difenhidramin HCl inj 10 mg/ml-1 ml ampul
75 Digoksin tablet 0,25 mg tablet 200
76 Diltiazem tablet tablet
77 Dimenhidrinat 50 mg tablet
78 Doksisilin kapsul tablet
79 Domperidon 10 mg tablet 1,078
80 Domperidon syr Botol 100
81 Efedrin HCl tablet 25 mg tablet
82 Epinefrin HCl /adrenalin inj.0,1%-1ml ampul 5
83 Eritromisin 250 mg tablet
84 Eritromisin 500 mg tablet
85 Eritromisin sirup kering Botol 12
86 Etambutol 400mg tablet
87 Euthyrox tablet
88 Fenitoin natrium kapsul 30 mg tablet
89 Fenobarbital inj 50 mg/ml - 2 ml ampul
90 Fenobarbital tablet 30 mg tablet
91 Fenolgliserol tetes telinga 10% Botol
92 Fitomenadion (Vit K1) inj 10 mg/ml-1 ml ampul 7
93 Fitomenadion (Vit K1) tablet 10 mg tablet 715
94 Fitomenadion inj 2 mg/ml ampul 19
95 Fluoksetin / Prestine tablet
96 Furosemid injeksi ampul
97 Furosemid tablet 40 mg tablet 331
98 Gabapentin/Alpentin 100 mg kapsul
99 Garam Oralit untuk 200 ml bungkus 176
100 Gentamicin Salep Kulit Tube
101 Gentamisin inj ampul
102 Gentamisin tetes mata botol
103 Gentian violet larutan 1% Botol 14
104 Glibenklamid tablet 5 mg tablet 1,470
105 Glimepirid 1 mg tablet 220
106 Glimepirid 2 mg tablet 280
107 Gliseril Guaiakolat tablet 100 mg tablet
108 Glukosa 40% ampul 4
109 Glukosa larutan Infus 10% steril fls
110 Glukosa Larutan Infus 5% steril fls 16
111 Griseofulvin tablet 125 mg tablet
112 Griseofulvin tablet 500 mg tablet 1,000
113 Haloperidol 5 mg tablet
114 Haloperidol inj 50mg/ml ampul
115 Haloperidol tablet 0,5 mg tablet
116 Haloperidol tablet 1,5 mg tablet 140
117 Hidrochlorotiazid (HCT) tablet 25 mg tablet
118 Hidrokortison krim 2,5% Tube 79
119 Hiosin HBr Inj 20 mg ampul
120 Hiosin N Butil bromida tablet tablet
121 Ibuprofen suspensi 100 mg/5 ml botol 58
122 Ibuprofen tablet 200 mg tablet
123 Ibuprofen tablet 400 mg tablet 1,545
124 Ichtiol salep pot 10
125 Isoniazid 100 mg/PPINH 100 mg tablet 300
126 Isoniazid tablet 300 mg tablet
127 Isosorbid dinitrat tablet sublingual 5 mg tablet
128 Kalsium laktat (Kalk) tablet 500 mg tablet 250
129 Karbamazepin tablet 200 mg tablet
130 Ketokonazol krim Tube 46
131 Ketokonazol tab tablet 154
132 Ketoprofen 100mg tablet
133 Ketoprofen Supp suppos
134 Klopidogrel 75 mg Tablet
135 Kloramfenikol kapsul 250 mg tablet
136 Kloramfenikol salep Kulit Tube 21
137 Kloramfenikol salep mata 1 % Tube 24
138 Kloramfenikol suspensi 125 mg/5 ml Botol
139 Kloramfenikol tetes mata Botol 38
140 Kloramfenikol tetes telinga 3 % Botol 17
141 Klorfeniramin maleat (CTM) tablet 4 mg tablet 300
142 Klorpromazin 25mg tablet
143 Klorpromazin HCl inj 25 mg/ml - 1 ml ampul
144 Klorpromazin HCl inj 5 mg/ml - 1 ml ampul
145 Klorpromazin HCl tablet salut 100 mg tablet 135
146 Kodein HCl tablet 10 mg tablet
147 Kolkisin 500 mcg tablet 530
148 Kotrimoksazol suspensi kombinasi Botol 107
149 Kotrimoksazol tablet dewasa kombinasi tablet 480
150 Lamivudin tablet
151 Lansoprazole tablet
152 Levofloksasin 250mg tablet
153 Levofloksasin tetes mata 0,5% botol
154 Lidocain komp.inj. ampul 129
155 Lidocain inj. ampul
156 Loperamid Hcl tablet 287
157 Loratadin 10mg tablet 866
158 Magnesium sulfat inj (IV) 20%-25 ml vial 6
159 Magnesium sulfat inj (IV) 40%-25 ml vial
160 MDT MD Dewasa Paket
161 Meloksikam 15 mg tablet 290
162 Metformin tablet 400
163 Metil ergometrin maleat tablet salut 0,125 mg tablet
164 Metil ergometrin maleat inj 0,200mg-1ml ampul 100
165 Metil Prednisolon 4 mg tablet 1,368
166 Metil Prednisolon 8mg tablet
167 Metildopa 250mg tablet
168 Metoclopramid 10 gr tablet 2,640
169 Metoclopramid injeksi ampul
170 Metronidazol 500 mg tablet 20
171 Metronidazol supositoria 500 mg suppos
172 Metronidazole ovula 500mg ovula
173 Mikonazol krim Tube 40
174 Mineral Mix sachet
175 Multivitamin syr Botol 429
176 Multivitamin tab tablet
177 N-asetil sistein tablet 1,427
178 Natrium bicarbonat tablet 500 mg tablet 200
179 Natrium Diklofenak 50 mg tablet 1,120
180 Natrium klorida larutan infus 0,9% fls 36
181 Nevirapin tablet
182 Nifedipin 10 mg tablet 108
183 Nistatin suspensi botol 29
184 Nistatin tablet salut 500.000 IU tablet 200
185 Nistatin tablet vaginal 100.000 IU/g tablet 144
186 Oksitetrasiklin HCl salep kulit 3% Tube
187 Oksitetrasiklin HCl salep mata 1% Tube 45
188 Oksitosin inj 10 IU / ml - 1 ml ampul 68
189 Omeprazole 20mg tablet
190 Pantocain tetes mata btl
191 Papaverin tablet 40 mg tablet 528
192 Parasetamol Drop Botol 6
193 Parasetamol rektal 125 mg (dumin) suppos 2
194 Parasetamol rektal 250 mg (dumin) suppos 16
195 Parasetamol sirup 120mg/ml Botol 113
196 Parasetamol tablet 100 mg tablet
197 Parasetamol tablet 500 mg tablet 2,515
198 Permetrin krim 5% (Scabimite) tube 28
199 Petidin inj 50mg/ml ampul
200 Piracetam inj 3g/15ml ampul
201 Pirantel tablet 125 mg tablet
202 Pirasetam 800mg tablet 100
203 Piroxicam 10 mg tablet
204 Piroxicam 20 mg tablet 500
205 Prednison tablet 5 mg tablet
206 Primakuin tablet 15 mg tablet
207 Prokain benzil penisilin vial
208 Propanolol HCl tablet 10 mg tablet
209 Propanolol HCl tablet 40 mg tablet
210 Propiltiourasil tablet 100 mg tablet
211 Ramipril tablet
212 Ranitidin inj. 25mg/ml ampul 103
213 Ranitidin tablet 150 mg tablet 340
214 Risperidon 1 mg tablet
215 Risperidon 2 mg tablet
216 RL larutan infus fls 115
217 Salbutamol inhalasi 100 mcq/dosis botol 8
218 Salbutamol nebulizer Kotak 1
219 Salbutamol tablet 2 mg tablet 196
220 Salbutamol tablet 4 mg tablet 300
221 Salep 2-4 kombinasi pot 13
222 Salep luka bakar (Levertran) Tube
223 Salep Luka Bakar (Perak Sulfadiazin Krim) Tube 17
224 Salisil bedak 2% bungkus
225 Seftriakson Injeksi vial
226 Serum Anti Bisa Ular polivalen inj 5 ml vial 3
227 Serum Anti Rabies (SAR) Vial
228 Serum Anti Tetanus inj 1500 IU/ampul ampul
229 Simvastatin 10 mg tablet 719
230 Spironolacton 25 mg tablet
231 Sukralfat tablet tablet
232 Sukralfat Sirup Botol
233 Tablet Tambah darah tablet 4,220
234 Tenofovir tablet
235 Tetagam ampul 10
236 Tetrasiklin HCL kapsul 500 mg tablet 200
237 Thiamfenikol 500 mg tab tablet
238 Tramadol inj ampul
239 Trifluoperazin 5mg tablet
240 Triheksiphenidil HCl tablet 2 mg tablet 330
241 Vaksin Rabies Vero Vial 4
242 Vitamin A 100.000 IU tablet 610
243 Vitamin A 200.000 IU tablet 648
244 Vitamin B komplek tablet tablet 1,720
245 Vitamin B1 / Thiamin HCl tablet 50 mg tablet 370
246 Vitamin B12 / Sianokobalamin tab 50 mcg tablet 2,600
247 Vitamin B12 / Sianokobalamin Vit B12 inj 500mcg-ml ampul
248 Vitamin B6 / Pyridoksin HCL tab 10 mg tablet 200
249 Vitamin C / Asam askorbat tablet 50 mg tablet 3,503
250 Zinc syr botol 14
251 Zinc tab 20 mg tablet 718
252 BMHP Abochat (IV Chat) 18 Pcs 83
253 & Abochat (IV Chat) 20 Pcs 31
254 Reagen Abochat (IV Chat) 22 Pcs 47
255 Abochat (IV Chat) 24 Pcs 48
256 ADS 0,05 ml pcs 200
257 ADS 0,5 ml pcs 1,368
258 ADS 5 ml pcs 439
259 Alat suntik 10 ml pcs
260 Alat suntik 20 ml pcs
261 Alat suntik sekali pakai 1 ml Pcs 132
262 Alat suntik sekali pakai 2,5 ml / 3 ml Pcs 898
263 Alat suntik sekali pakai 5 ml Pcs
264 Alkacid Botol
265 Alkohol Swab sachet 1,000
266 Amoniak btl/1000 ml
267 Aquadest steril liter
268 Benecheck Cholesterol strip Botol 1
269 Benecheck Glucose strip Botol 5
270 Benecheck uric strip Botol 1
271 Blood lancet pcs 400
272 Blue tip box
273 Box Slide bok
274 Cartridge Gen Expert Pcs
275 Catgut/benang bedah Chromic 2/0 set 43
276 Catgut/benang bedah Chromic 3/0 set 16
277 Catgut/benang bedah Plain 2/0 set
278 Catgut/benang bedah Plain 3/0 set
279 Centrifuse Paket
280 Chlorin botol
281 Cuticell Classic pcs 6
282 DFI Cybow Box
283 EDTA 10 % Botol
284 Etakridin (rivanol) larutan 0,1% Botol
285 Etanol 100 ml botol.
286 Etanol 70% Botol 6
287 Etanol 96% botol
288 Eter Alkohol 5% botol
289 Folley Chatether pcs 5
290 Food Test - Borak Test Paket
291 Food Test - Formalin Test Paket
292 Food Test - Rhodamin Test Paket
293 Fouchet Botol
294 Handscoon psg 50
295 Handscoon Obgyn psg 10
296 Handscoon Steril psg 65
297 HCG Strip Pcs
298 Infusion set anak set 17
299 Infusion set dewasa set 32
300 Jarum jahit / bedah no. 9 s/d 14 Pcs
301 Jelly USG btl
302 Kaca Slide pcs 72
303 Kaca Tutup pcs
304 Kapas pembalut / absorben 250 g roll
305 Kasa kompres 40/40 steril lbr 27
306 Kasa pembalut 2 m x 80 cm roll 2
307 Kasa pembalut elastis 3 inchi roll 1
308 Kasa pembalut elastis 4 inchi roll 1
309 Kasa Pembalut hidrofil 3,6 m x 10 cm roll
310 Kasa Pembalut hidrofil 3,6 m x 5 cm roll
311 Kasa Pembalut hidrofil 4 m x 10 cm elastis roll
312 Kasa Pembalut hidrofil 4 m x 5 cm elastis roll 144
313 Kasa steril 16/16 kotak 85
314 Kassa gulung Besar 80cm x 40 m roll 12
315 Kertas lakmus biru pack
316 Kertas Lakmus merah pack 1
317 Kertas lensa pak
318 Kertas pH Universal Kotak
319 Kertas saring watchman ktk
320 kit gol. Darah A, B, AB set
321 Kondom pcs
322 Labstrip (urinalis) tube
323 Larutan Amonium Oksalat 1% Botol
324 Larutan Asam Asetat 6 % Botol
325 Larutan barium klorida Botol
326 Larutan benedict Botol
327 Larutan buffer PH 6,1 Botol
328 Larutan buffer PH 7,2 Botol
329 Larutan eosin 2% Botol
330 Larutan Etanol Asam Botol
331 Larutan giemsa stain Botol
332 Larutan H2O2 3% Botol 1 L
333 Larutan H2O2 3% Botol
334 Larutan Hayem Botol
335 Larutan HCl 0,1 N Botol
336 Larutan karbolfuksin Botol
337 Larutan metilen biru Botol
338 Larutan Na citrat Botol
339 Larutan Natrium Hipoklorid Botol/ 500ml
340 Larutan Ress Ecker Botol/ 100 ml
341 Larutan turk Botol
342 Larutan Wright Botol
343 Lisol Botol 6
344 Lubricant pcs
345 Mantoux tes vial
346 Masker pcs 900
347 Masker 3M N95 medikal respirator pcs
348 Mess pcs 200
349 Metanol 100 ml Botol 1
350 Metanol 1000 ml botol
351 Microlit tips for micropipettes MT-up to 1 ml pack
352 Mikropipet adjustable 100-1000µl unit
353 Mikropipet adjustable 5-50µl unit
354 Mikroskop malaria (nikon) unit
355 Minyak Imersi Botol
356 NAPZA Kit 6 Parameter pcs
357 Napza KIT 8 Parameter box
358 Needle 23 G Pcs
359 Pembalut gips 3 inch Roll
360 Pembalut gips 4 inch Roll
361 Pipet tetes bks/100 pcs
362 Planotest pcs 77
363 Plester 2,5 cmx 4,5 m roll
364 Plester 5 yard x 2 inch roll
365 Plester bulat non woven box 28
366 Poli Aid Botol 3
367 Poli Clean Botol 22
368 Poliwash botol 500ml
369 Pork Test Paket
370 Pot Sputum Pcs 352
371 Pot Urine Pcs 30
372 Povidon iodida 10% 30 ml Botol
373 Povidon iodida 10% 300 ml Botol 4
374 Povidon iodida 10% 60 ml Botol 5
375 Povidon Iodine 1 L Botol
376 RDT DBD Verotec Pcs
377 RDT DBD Biosen Pcs
378 RDT Hepatitis / HBSAG Strip pcs
379 RDT HIV -Fokus 1/2 casette box/25
380 RDT HIV Test (HIV 1 & 2 Anti Body) oncoprobe test
381 RDT HIV test (R1) SD Pcs
382 RDT HIV test Biomerieux (Vikia HIV 1 dan 2) ktk/25 test
383 RDT HIV test Intec (One Step Anti-HIV 1&2) Box
384 RDT Malaria / Malaria test ktk
385 RDT sifillis Pcs
386 Reagen dan Bahan alat lab.Malaria paket
387 Reagen Fotometer Kimia Klinik Randox Glukosa kit
388 Reagen Fotometer Kimia Klinik Randox Protein total kit
389 Reagen Fotometer Kimia Klinik Randox triglyserida kit
Harga Satuan Jumlah Volume Harga Satuan Jumlah Volume Harga Satuan
6 7 8 9 10 11 12
- -
452 463,752 960 452 433,920
99 68,310 500 105 52,500 225 99
- -
120 76,440 - 340 120
99 196,020 3,000 99 297,000
- -
- 100 341 34,100 100 341
168 33,600 -
94 48,974 900 94 84,600
73 73,730 2,700 78 210,600
203 214,165 - 585 203
250 382,500 4,000 260 1,040,000
3,737 85,951 20 3,737 74,740
4,400 343,200 100 5,500 550,000
- -
56 49,280 3,000 60 180,000
2,051 100,499 250 2,189 547,250
8,250 420,750 50 8,250 412,500
4,721 212,445 - 13 4,721
3,325 142,975 30 3,325 99,750
- -
260,526 521,052 -
408,812 2,044,060 6 415,469 2,492,814
1,297,889 2,595,778 2 1,454,232 2,908,464
2,860 60,060 12 2,860 34,320
- -
74 42,920 500 79 39,500 670 74
103 59,740 1,800 297 534,600
- -
- -
1,684 690,440 - 90 1,684
- -
- -
3,300 320,100 -
245 352,310 -
399 642,789 200 426 85,200 1,000 399
- -
1,540 30,800 -
- 100 155 15,500
- -
- -
- -
110 30,800 600 110 66,000
1,340 16,080 100 1,430 143,000
- -
5,900 295,000 -
- 60 327 19,620
- -
- -
10,351 51,755 -
64 175,360 -
154 368,060 -
880 594,000 400 880 352,000 505 880
4,066 191,102 -
15,950 191,400 30 15,950 478,500
1,430 840,840 350 387 135,450
- -
- -
101 24,240 2,600 101 262,600
2,973 398,382 - 30 2,973
495 480,150 - 115 495
729 342,630 - 470 729
- -
- 20 1,152 23,040
99 213,840 2,600 88 228,800
2,000 54,000 - 27 2,000
12,000 180,000 -
19,193 95,965 5 19,193 95,965
13,202 66,010 10 13,202 132,020
86 17,200 300 86 25,800
109 1,744 200 114 22,800
- -
- 5 1,228 6,140 5 1,228
104 20,800 200 104 20,800 200 104
- -
- -
- -
86 92,708 -
2,781 278,100 50 2,781 139,050 80 2,781
- -
1,408 7,040 5 1,408 7,040
- -
- 200 751 150,200
6,303 75,636 -
- -
- -
- -
- -
- 200 180 36,000
- -
5,000 34,997 30 3,600 108,000
747 534,105 300 797 239,100
3,867 73,473 60 3,867 232,020 22 3,867
- -
- -
81 26,811 100 82 8,200
- -
257 45,232 200 274 54,800
- -
- -
- -
3,498 48,972 24 3,498 83,952
125 183,750 - 860 125
174 38,280 200 174 34,800
207 57,960 1,300 207 269,100
- -
12,000 48,000 -
- -
6,900 110,400 20 7,363 147,260 30 6,900
- -
952 952,000 - 500 952
- -
- -
- -
59 8,260 600 59 35,400
- -
2,475 195,525 48 2,475 118,800
- -
- -
2,776 161,008 -
- -
330 509,850 800 330 264,000
6,500 64,999 -
100 30,000 - 298 100
- -
- 100 165 16,500
59 14,750 1,500 63 94,500
- -
2,518 115,828 100 2,518 251,800
297 45,738 700 297 207,900
- -
- 20 2,380 47,600
- -
- -
3,140 65,940 72 3,140 226,080 39 3,140
1,881 45,144 - 9 1,881
- -
6,500 246,996 -
7,502 127,534 10 7,502 75,020
25 7,500 9,000 25 225,000
- -
- -
- -
155 20,925 200 157 31,400
- -
2,750 1,457,500 - 530 2,414
2,052 219,564 24 2,190 52,560
125 60,000 -
- -
- 200 334 66,800
- -
- -
1,205 155,445 30 1,286 38,580
- 30 1,289 38,670
143 41,041 400 143 57,200
125 108,250 -
3,200 19,200 12 3,328 39,936
- 12 3,796 45,552
- 3 39,880 119,640
990 287,100 -
105 41,840 1,500 106 159,000
- -
2,992 299,200 15 3,102 46,530 105 2,992
137 187,416 1,000 146 146,000
- -
- -
80 211,200 -
- 10 4,158 41,580
275 5,500 100 275 27,500
- -
- -
3,585 143,400 - 11 3,585
- -
4,500 1,930,500 - 40 4,500
- -
357 509,439 3,400 381 1,295,400
66 13,200 100 66 6,600
127 142,240 4,500 136 612,000
6,410 230,760 20 6,840 136,800
- -
132 14,256 -
34,980 1,014,420 -
830 166,000 -
572 82,368 -
- -
2,600 117,000 50 2,774 138,700
1,900 129,200 25 1,199 29,975 15 1,199
- 930 164 152,520
- -
350 184,694 200 350 70,000 718 350
6,981 41,886 180 6,981 1,256,580
16,995 33,990 5 16,995 84,975
17,800 284,800 - 15 17,800
1,110 125,430 300 1,110 333,000
- -
56 140,840 16,000 160 2,552,000 2,764 56
11,825 331,100 10 11,825 118,250
- -
- -
- -
800 79,970 - 100 800
- -
121 60,500 200 121 24,200
- 200 77 15,400
- -
- -
- -
- -
- -
- -
1,155 118,965 -
165 56,100 6,000 220 1,320,000
- -
- -
7,150 822,250 -
31,571 252,568 -
192,000 192,000 -
63 12,348 700 67 46,900
74 22,200 -
2,753 35,789 -
- -
20,700 351,900 10 20,700 207,000 22 20,700
- 6 3,190 19,140
- -
479,996 1,439,988 1 512,204 512,204 1 479,996
- -
- 10 130,999 1,309,990
110 79,090 120 117 14,040
- -
- -
- -
372 1,569,840 23,220 372 8,637,840
- -
176,800 1,768,000 2 176,800 353,600 6 176,800
319 63,800 - 200 319
- -
- -
- -
87 28,710 700 93 65,100
165,000 660,000 4 165,000 660,000
304 185,440 50 324 16,200
544 352,512 900 581 522,900
123 211,560 6,000 131 786,000
86 31,820 -
47 122,200 - 2,600 47
- -
132 26,460 -
110 385,330 1,000 110 110,000
3,122 43,708 36 3,322 119,592
551 395,618 -
6,270 520,410 50 6,270 313,500
6,270 194,370 50 6,270 313,500
6,270 294,690 50 6,270 313,500
7,810 374,880 50 6,270 313,500
1,392 278,400 200 1,518 303,600
1,091 1,492,365 2,800 1,518 4,250,400
1,705 748,495 -
- -
- -
880 116,160 200 880 176,000
894 802,812 100 894 89,400
- -
- -
118 118,000 1,000 120 120,000
- -
- -
255,048 255,048 5 254,925 1,274,625
168,140 840,700 5 169,000 845,000
154,675 154,675 5 154,675 773,375
191 76,400 600 144 86,400
- -
- -
- -
52,100 2,240,310 24 33,565 805,560
47,706 763,296 24 33,287 798,888
- 12 35,125 421,500
- -
- -
- -
14,689 88,134 5 15,600 78,000
- -
- -
- -
- -
69,300 415,800 2 88,000 176,000
- -
- -
10,212 51,060 2 20,100 40,200
- -
- -
- -
- -
990 49,500 2,200 2,640 5,808,000
21,296 212,960 10 40,733 407,330
6,793 441,535 350 6,595 2,308,250
- 75 4,881 366,075
9,130 155,210 10 9,130 91,300
5,608 179,467 25 5,445 136,125
- -
- -
307 22,089 -
- -
- 18 34,150 614,700
1,760 47,520 -
11,322 22,644 -
16,000 16,000 -
20,000 20,000 -
- 50 2,471 123,550
- -
- -
1,174 169,056 -
8,144 692,274 -
165,720 1,988,640 -
- -
85,556 85,556 -
- -
- -
- -
- 1 251,875 251,875
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
47,150 282,900 4 47,150 188,600
- -
- -
676 608,580 1,100 2,530 2,783,000
- -
3,150 630,000 -
50,000 50,000 -
- -
- -
- 1 3,743,693 3,743,693
- 1 3,743,693 3,743,693
- -
- -
- -
- 2 802,225 1,604,450
- -
- -
- -
- -
1,939 149,303 - 75 1,939
- 10 12,675 126,750
- -
33,880 948,640 -
601,677 1,805,031 -
77,698 1,709,356 -
- -
- -
2,379 837,408 -
2,631 78,930 -
- -
20,700 82,800 5 19,633 98,167
23,890 119,450 10 5,187 51,865
- 2 149,314 298,628
- -
- -
- 225 8,175 1,839,375
- -
- -
- 100 11,400 1,140,000
- -
- -
- -
- 275 7,250 1,993,750 250 7,250
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 25 22,433 560,825
- 36 34,000 1,224,000
- -
8,103 81,030 -
6,720 60,480 -
- -
- -
- -
- -
- -
- -
- 1 275,000 275,000
96,260 96,260 -
- -
- -
164,373 493,120 1 202,200 202,200
- -
- 2 462,200 924,400
526,250 2,105,000 4 569,700 2,278,800
- -
- -
- -
- -
- -
- -
- -
- -
8,877 26,631 10 8,070 80,700
- -
- -
- -
- -
- -
- -
- -
- -
- -
6,494 6,494 10 6,494 64,940
- -
- -
174,900 174,900 -
4,000 4,000 -
- 1 330,000 330,000
- -
- -
- -
- -
- -
83,800 2,430,200 - 29 83,800
- -
- -
59,950 659,450 40 78,991 3,159,640
- 20 28,204 564,080
17,996 89,980 15 17,996 269,940
- 1 1,325,000 1,325,000
20,900 522,500 70 25,597 1,791,790
- -
158,994 1,271,952 20 158,994 3,179,880
- -
- 46 155,813 7,167,398
78,991 1,816,793 120 84,382 10,125,840
19,954 438,988 90 19,954 1,795,860
16,995 271,920 40 16,995 679,800
- -
- 2 13,901 27,803
- 1 17,023 17,023
- -
- -
- -
- -
- -
- -
- -
- -
- -
69,067,456 112,906,911
luarsa Tahun 2020 Pengeluaran/Penggunaan Tahun 2020 Sisa/Stok Persediaan per 31 Des 2020
13 14 15 16 17 18 19
- - - -
- 1,772 452 800,944 214 452 96,728
22,275 795 105 83,475 170 105 17,850
- - - -
40,800 297 120 35,640 - -
- 3,830 99 379,170 1,150 99 113,850
- - - -
34,100 - - -
- - 200 168 33,600
- 841 94 79,054 580 94 54,520
- 2,950 78 230,100 760 78 59,280
118,755 470 203 95,410 - -
- 4,040 260 1,050,400 1,490 260 387,400
- 26 3,737 97,162 17 3,737 63,529
- 96 5,500 528,000 82 5,500 451,000
- - - -
- 2,794 60 167,640 1,086 60 65,160
- 225 2,189 492,525 74 2,189 161,986
- 54 8,250 445,500 47 8,250 387,750
61,373 15 4,721 70,815 17 4,721 80,257
- 66 3,325 219,450 7 3,325 23,275
- - - -
- 2 260,526 521,052 - -
- 10 415,469 4,154,690 1 415,469 415,469
- 2 1,454,232 2,908,464 2 1,454,232 2,908,464
- 29 2,860 82,940 4 2,860 11,440
- - - -
49,580 70 79 5,530 340 79 26,860
- 1,580 297 469,260 800 297 237,600
- - - -
- - - -
151,560 320 1,684 538,880 - -
- - - -
- - - -
- 27 3,300 89,100 70 3,300 231,000
- 272 245 66,640 1,166 245 285,670
399,000 683 426 290,958 128 426 54,528
- - - -
- 5 1,540 7,700 15 1,540 23,100
- - 100 155 15,500
- - - -
- - - -
- - - -
- 640 110 70,400 240 110 26,400
- 95 1,430 135,850 17 1,430 24,310
- - - -
- 50 5,900 295,000 - -
- - 60 327 19,620
- - - -
- - - -
- - 5 10,351 51,755
- 1,390 68 94,520 1,350 68 91,800
- 540 154 83,160 1,850 154 284,900
444,400 220 880 193,600 350 880 308,000
- 13 4,339 56,407 34 4,339 147,526
- 21 15,950 334,950 21 15,950 334,950
- 938 387 363,006 - -
- - - -
- - - -
- 2,730 101 275,730 110 101 11,110
89,190 51 2,973 151,623 53 2,973 157,569
56,925 580 495 287,100 275 495 136,125
342,630 - - -
- - - -
- - 20 1,152 23,040
- 3,960 88 348,480 800 88 70,400
54,000 - - -
- 15 12,000 180,000 - -
- 3 19,193 57,579 7 19,193 134,351
- 2 13,202 26,404 13 13,202 171,626
- 400 86 34,400 100 86 8,600
- 151 114 17,214 65 114 7,410
- - - -
6,140 - - -
20,800 10 104 1,040 190 104 19,760
- - - -
- - - -
- - - -
- 275 86 23,650 803 86 69,058
222,480 23 2,781 63,963 47 2,781 130,707
- - - -
- 5 1,408 7,040 5 1,408 7,040
- - - -
- - 200 751 150,200
- 12 6,303 75,636 - -
- - - -
- - - -
- - - -
- - - -
- 10 180 1,800 190 180 34,200
- - - -
- 5 3,600 18,000 32 3,600 115,200
- 745 797 593,765 270 797 215,190
85,074 51 3,867 197,217 6 3,867 23,202
- - - -
- - - -
- 251 82 20,582 180 82 14,760
- - - -
- 219 274 60,006 157 274 43,018
- - - -
- - - -
- - - -
- 20 3,498 69,960 18 3,498 62,964
107,500 10 125 1,250 600 125 75,000
- 420 174 73,080 - -
- 1,155 207 239,085 425 207 87,975
- - - -
- 4 12,000 48,000 - -
- - - -
207,000 6 7,363 44,178 - -
- - - -
476,000 180 952 171,360 320 952 304,640
- - - -
- - - -
- - - -
- 590 59 34,810 150 59 8,850
- - - -
- 94 2,475 232,650 33 2,475 81,675
- - - -
- - - -
- 23 2,776 63,848 35 2,776 97,160
- - - -
- 1,795 330 592,350 550 330 181,500
- 10 6,500 65,000 - -
29,800 2 100 200 - -
- - - -
- - 100 165 16,500
- 950 63 59,850 800 63 50,400
- - - -
- 82 2,518 206,476 64 2,518 161,152
- 640 297 190,080 214 297 63,558
- - - -
- 5 2,380 11,900 15 2,380 35,700
- - - -
- - - -
122,460 54 3,140 169,560 - -
16,929 15 1,881 28,215 - -
- - - -
- 38 6,500 247,000 - -
- 25 7,502 187,550 2 7,502 15,004
- 7,140 25 178,500 2,160 25 54,000
- - - -
- - - -
- - - -
- 205 157 32,185 130 157 20,410
- - - -
1,279,420 - - -
- 108 2,190 236,520 23 2,190 50,370
- 70 133 9,310 410 133 54,530
- - - -
- 80 334 26,720 120 334 40,080
- - - -
- - - -
- 100 1,286 128,600 59 1,286 75,874
- - 30 1,289 38,670
- 607 143 86,801 80 143 11,440
- 586 133 77,938 280 133 37,240
- 12 3,328 39,936 6 3,328 19,968
- 6 3,796 22,776 6 3,796 22,776
- 2 39,880 79,760 1 39,880 39,880
- 290 990 287,100 - -
- 1,060 106 112,360 840 106 89,040
- - - -
314,160 10 3,102 31,020 - -
- 1,290 146 188,340 1,078 146 157,388
- - - -
- - - -
- 495 85 42,075 2,145 85 182,325
- - 10 4,158 41,580
- 120 275 33,000 - -
- - - -
- - - -
39,435 3 3,585 10,755 26 3,585 93,210
- - - -
180,000 389 4,500 1,750,500 - -
- - - -
- 3,757 381 1,431,417 1,070 381 407,670
- 140 66 9,240 160 66 10,560
- 4,820 136 655,520 800 136 108,800
- 25 6,840 171,000 31 6,840 212,040
- - - -
- 8 132 1,056 100 132 13,200
- 29 34,980 1,014,420 - -
- 23 886 20,378 177 886 156,822
- 3 572 1,716 141 572 80,652
- - - -
- 49 2,774 135,926 46 2,774 127,604
17,985 70 1,199 83,930 8 1,199 9,592
- 930 164 152,520 - -
- - - -
251,300 10 350 3,500 - -
- 116 6,981 809,796 70 6,981 488,670
- 7 16,995 118,965 - -
267,000 1 17,800 17,800 - -
- 296 1,110 328,560 117 1,110 129,870
- - - -
154,784 14,031 160 2,237,945 1,720 160 274,340
- 37 11,825 437,525 1 11,825 11,825
- - - -
- - - -
- - - -
80,000 - - -
- - - -
- 500 121 60,500 200 121 24,200
- 7 77 539 193 77 14,861
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 29 1,155 33,495 74 1,155 85,470
- 4,920 220 1,082,400 1,420 220 312,400
- - - -
- - - -
- 55 7,630 419,650 60 7,630 457,800
- 7 32,120 224,840 1 32,120 32,120
- 1 220,000 220,000 - -
- 466 67 31,222 430 67 28,810
- 300 74 22,200 - -
- 13 2,753 35,789 - -
- - - -
455,400 4 20,700 82,800 1 20,700 20,700
- 1 3,190 3,190 5 3,190 15,950
- - - -
479,996 2 512,204 1,024,408 1 512,204 512,204
- - - -
- 1 130,999 130,999 9 130,999 1,178,991
- 730 117 85,410 109 117 12,753
- - - -
- - - -
- - - -
- 23,540 372 8,756,880 3,900 372 1,450,800
- - - -
1,060,800 6 176,800 1,060,800 - -
63,800 - - -
- - - -
- - - -
- - - -
- 720 93 66,960 310 93 28,830
- 7 165,000 1,155,000 1 165,000 165,000
- 610 324 197,640 50 324 16,200
- 1,473 581 855,813 75 581 43,575
- 6,420 131 841,020 1,300 131 170,300
- 180 92 16,560 190 92 17,480
122,200 - - -
- - - -
- 70 138 9,660 130 138 17,940
- 3,323 110 365,530 1,180 110 129,800
- 32 3,322 106,304 18 3,322 59,796
- 692 551 381,292 26 551 14,326
- 43 6,270 269,610 90 6,270 564,300
- 31 6,270 194,370 50 6,270 313,500
- 47 6,270 294,690 50 6,270 313,500
- 48 6,270 300,960 50 6,270 313,500
- 178 1,518 270,204 222 1,518 336,996
- 2,488 1,518 3,776,784 1,680 1,518 2,550,240
- 247 1,583 391,001 192 1,583 303,936
- - - -
- - - -
- 47 880 41,360 285 880 250,800
- 552 894 493,488 446 894 398,724
- - - -
- - - -
- 1,600 120 192,000 400 120 48,000
- - - -
- - - -
- 1 254,925 254,925 5 254,925 1,274,625
- 4 169,000 676,000 6 169,000 1,014,000
- 4 154,675 618,700 2 154,675 309,350
- 848 144 122,112 152 144 21,888
- - - -
- - - -
- - - -
- 43 33,565 1,443,295 24 33,565 805,560
- 28 33,287 932,036 12 33,287 399,444
- - 12 35,125 421,500
- - - -
- - - -
- - - -
- 7 15,600 109,200 4 15,600 62,400
- - - -
- - - -
- - - -
- - - -
- 6 88,000 528,000 2 88,000 176,000
- - - -
- - - -
- - 7 20,100 140,700
- - - -
- - - -
- - - -
- - - -
- 1,950 2,640 5,148,000 300 2,640 792,000
- 10 40,733 407,330 10 40,733 407,330
- 236 6,595 1,556,420 179 6,595 1,180,505
- 25 4,881 122,025 50 4,881 244,050
- 12 9,130 109,560 15 9,130 136,950
- 33 5,445 179,685 24 5,445 130,680
- - - -
- - - -
- 72 417 30,000 - -
- - - -
- 10 34,150 341,500 8 34,150 273,200
- - 27 1,760 47,520
- - 2 11,322 22,644
- 1 16,000 16,000 - -
- 1 20,000 20,000 - -
- - 50 2,471 123,550
- - - -
- - - -
- 1 590 590 143 590 84,370
- 51 7,530 384,030 34 7,530 256,020
- 4 140,500 562,000 8 140,500 1,124,000
- - - -
- 1 85,556 85,556 - -
- - - -
- - - -
- - - -
- 1 251,875 251,875 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 7 47,150 330,050 3 47,150 141,450
- - - -
- - - -
- 1,100 2,530 2,783,000 900 2,530 2,277,000
- - - -
- 5 3,150 15,750 195 3,150 614,250
- - 1 50,000 50,000
- - - -
- - - -
- 1 3,743,693 3,743,693 - -
- 1 3,743,693 3,743,693 - -
- - - -
- - - -
- - - -
- 2 802,225 1,604,450 - -
- - - -
- - - -
- - - -
- - - -
145,425 2 1,939 3,878 - -
- 4 12,675 50,700 6 12,675 76,050
- - - -
- 7 33,880 237,160 21 33,880 711,480
- - 3 601,677 1,805,031
- 17 77,698 1,320,866 5 77,698 388,490
- - - -
- - - -
- 116 3,722 431,708 236 3,722 878,302
- 30 2,631 78,930 - -
- - - -
- 9 19,633 176,700 - -
- 10 5,187 51,865 5 5,187 25,933
- 2 149,314 298,628 - -
- - - -
- - - -
- 75 8,175 613,125 150 8,175 1,226,250
- - - -
- - - -
- 50 11,400 570,000 50 11,400 570,000
- - - -
- - - -
- - - -
1,812,500 25 7,250 181,250 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 5 22,433 112,165 20 22,433 448,660
- 6 34,000 204,000 30 34,000 1,020,000
- - - -
- - 10 8,103 81,030
- - 9 6,720 60,480
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - 1 275,000 275,000
- 1 91,000 91,000 - -
- - - -
- - - -
- 4 202,200 808,800 - -
- - - -
- - 2 462,200 924,400
- 5 569,700 2,848,500 3 569,700 1,709,100
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 5 8,070 40,350 8 8,070 64,560
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 11 6,494 71,434 - -
- - - -
- - - -
- 1 174,900 174,900 - -
- - 1 4,000 4,000
- - 1 330,000 330,000
- - - -
- - - -
- - - -
- - - -
- - - -
2,430,200 - - -
- - - -
- - - -
- 34 78,991 2,685,694 17 78,991 1,342,847
- 20 28,204 564,080 - -
- 8 17,996 143,968 12 17,996 215,952
- 1 1,325,000 1,325,000 - -
- 79 25,597 2,022,163 16 25,597 409,552
- - - -
- 12 158,994 1,907,928 16 158,994 2,543,904
- - - -
- 44 155,813 6,855,772 2 155,813 311,626
- 133 84,382 11,222,806 10 84,382 843,820
- 105 19,954 2,095,170 7 19,954 139,678
- 49 16,995 832,755 7 16,995 118,965
- - - -
- 2 13,901 27,803 - -
- 1 17,023 17,023 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
12,313,176 119,401,396 52,600,044
LAPORAN PERSEDIAAN OBAT DAN PERBEKALAN KESEHATAN
UPT. PUSKESMAS TIMPEH
PER 31 DESEMBER 2020
1 2 3 4 5
1 Obat Albendazol sirup 200mg/5 ml Botol 32
2 Albendazol tablet 400 mg tablet 144
3 Allopurinol 100 mg tablet 250
4 Alprazolam 0,5 mg tablet
5 Alprazolam 1 mg tablet 70
6 Ambroxol 30 mg tablet tablet 472
7 Aminofilin inj 24mg/ml-10 ml ampul 19
8 Aminofilin tablet 200 mg tablet 75
9 Amitriptilin HCl tablet salut 25 mg tablet
10 Amlodipin 10 mg tablet 460
11 Amlodipin 5 mg tablet 725
12 Amoksisilin 250 mg tablet 410
13 Amoksisilin 500 mg tablet 2,892
14 Amoksisilin 250mg/5ml sirup kering botol
15 Amoksisilin sirup kering 125 mg/5 ml Botol 128
16 Antalgin injeksi 250 mg/ml-2ml ampul
17 Antasida DOEN tablet tablet 1,104
18 Antasida sirup Botol 172
19 Anti Bakteri DOEN salep Kombinasi (bacitrasin) Tube
20 Anti Fungi DOEN Kombinasi Pot
21 Anti Haemoroid DOEN kombinasi Suppos 25
22 Anti Migren (ergotamin caffein) tablet
23 Anti Tuberkulosis anak paket 2
24 Anti Tuberkulosis Kategori I paket 4
25 Anti Tuberkulosis Kategori II paket
26 Aqua pro injeksi steril bebas pirogen vial 36
27 Asam Folat 0,4 mg /profolat tablet
28 Asam folat 1 mg tablet 110
29 Asam mefenamat 500 mg tablet 459
30 Asam tranexamat inj 100 mg/ml ampul
31 Asam tranexamat inj 50mg/ml ampul
32 Asam Tranexamat tablet 500 mg tablet 110
33 Asam Valproat 500mg / Depakote 500 mg tablet 100
34 Asetosal 80 mg / Miniaspi tablet
35 Asiklovir Krim 5 % 5 gr Tube 54
36 Asiklovir tablet 200 mg tablet 320
37 Asiklovir tablet 400 mg tablet 315
38 Atripla tablet
39 Atropin sulfat injeksi 0,25 mg/ml - 1 ml ampul 5
40 Attapulgit (Pularex) tablet 207
41 Azitromisin tab 500 mg tablet
42 Benzatil benzil penisilin vial
43 Berotec 0,1 mg(Fenoterol HBr aerosol 100mcg/dosis) Btl
44 Betahistin mesilat tablet 160
45 Betametason krim 0,1% Tube 18
46 Bioplacenton tube
47 Bisacodil (dulcolax) supp suppos
48 Bisacodil (dulcolax) tab tablet 30
49 Bisacodil supp infant 5 mg /Dulcolax Suppos
50 Bisoprolol 5 mg tablet 100
51 Ca Glukonas ampul
52 Captopril 12,5mg tablet 505
53 Captopril 25 mg tablet 225
54 Cefadroxil tablet 917
55 Cefadroxyl syr 125 mg/ml Botol 23
56 Cefiksim syr kering 100mg/5ml btl 30ml
57 Cefixime 100mg tablet 170
58 Cefotaxim 1,0 G inj Vial 41
Cendo Lyteers Kombinasi tts mata 2,5 mg/ml; NaCl 8,664
59 mg; kalium klorida 1,32 mg botol 40
60 Cetirizin 10 mg tablet 149
61 Cetirizin syr 5mg/5ml btl 60ml
62 Ciprofloxacin tablet 500 mg tablet 630
63 Clindamisin 150 mg tablet 430
64 Clindamisin 300 mg tablet
65 Deksametason injeksi 5 mg/ml-1 ml ampul 82
66 Deksametason tablet 0,5 mg tablet 3,015
67 DHP-Frimal tablet
68 Diazepam injeksi 5 mg/ml-2 ml ampul 2
69 Diazepam rektal 10 mg Suppos
70 Diazepam rektal 5 mg Suppos
71 Diazepam tablet 2 mg tablet 200
72 Diazepam tablet 5 mg tablet 157
73 Dietil karbamazin sitrat tablet 100 mg tablet
74 Difenhidramin HCl inj 10 mg/ml-1 ml ampul
75 Digoksin tablet 0,25 mg tablet 190
76 Diltiazem tablet tablet
77 Dimenhidrinat 50 mg tablet
78 Doksisilin kapsul tablet 100
79 Domperidon 10 mg tablet 426
80 Domperidon syr Botol 48
81 Efedrin HCl tablet 25 mg tablet
82 Epinefrin HCl /adrenalin inj.0,1%-1ml ampul 17
83 Eritromisin 250 mg tablet
84 Eritromisin 500 mg tablet
85 Eritromisin sirup kering Botol
86 Etambutol 400mg tablet
87 Euthyrox tablet
88 Fenitoin natrium kapsul 30 mg tablet
89 Fenobarbital inj 50 mg/ml - 2 ml ampul
90 Fenobarbital tablet 30 mg tablet 244
91 Fenolgliserol tetes telinga 10% Botol
92 Fitomenadion (Vit K1) inj 10 mg/ml-1 ml ampul
93 Fitomenadion (Vit K1) tablet 10 mg tablet 247
94 Fitomenadion inj 2 mg/ml ampul 58
95 Fluoksetin / Prestine tablet
96 Furosemid injeksi ampul
97 Furosemid tablet 40 mg tablet 233
98 Gabapentin/Alpentin 100 mg kapsul
99 Garam Oralit untuk 200 ml bungkus 289
100 Gentamicin Salep Kulit Tube
101 Gentamisin inj ampul
102 Gentamisin tetes mata botol
103 Gentian violet larutan 1% Botol 13
104 Glibenklamid tablet 5 mg tablet 100
105 Glimepirid 1 mg tablet 1,235
106 Glimepirid 2 mg tablet 10
107 Gliseril Guaiakolat tablet 100 mg tablet
108 Glukosa 40% ampul
109 Glukosa larutan Infus 10% steril fls
110 Glukosa Larutan Infus 5% steril fls 31
111 Griseofulvin tablet 125 mg tablet
112 Griseofulvin tablet 500 mg tablet 70
113 Haloperidol 5 mg tablet
114 Haloperidol inj 50mg/ml ampul 5
115 Haloperidol tablet 0,5 mg tablet
116 Haloperidol tablet 1,5 mg tablet 381
117 Hidrochlorotiazid (HCT) tablet 25 mg tablet
118 Hidrokortison krim 2,5% Tube 147
119 Hiosin HBr Inj 20 mg ampul 6
120 Hiosin N Butil bromida tablet tablet 264
121 Ibuprofen suspensi 100 mg/5 ml botol 62
122 Ibuprofen tablet 200 mg tablet
123 Ibuprofen tablet 400 mg tablet 645
124 Ichtiol salep pot
125 Isoniazid 100 mg/PPINH 100 mg tablet
126 Isoniazid tablet 300 mg tablet 440
127 Isosorbid dinitrat tablet sublingual 5 mg tablet 385
128 Kalsium laktat (Kalk) tablet 500 mg tablet 1,180
129 Karbamazepin tablet 200 mg tablet
130 Ketokonazol krim Tube 47
131 Ketokonazol tab tablet 365
132 Ketoprofen 100mg tablet
133 Ketoprofen Supp suppos 36
134 Klopidogrel 75 mg Tablet
135 Kloramfenikol kapsul 250 mg tablet
136 Kloramfenikol salep Kulit Tube 61
137 Kloramfenikol salep mata 1 % Tube 36
138 Kloramfenikol suspensi 125 mg/5 ml Botol
139 Kloramfenikol tetes mata Botol 37
140 Kloramfenikol tetes telinga 3 % Botol 60
141 Klorfeniramin maleat (CTM) tablet 4 mg tablet 3,128
142 Klorpromazin 25mg tablet
143 Klorpromazin HCl inj 25 mg/ml - 1 ml ampul
144 Klorpromazin HCl inj 5 mg/ml - 1 ml ampul
145 Klorpromazin HCl tablet salut 100 mg tablet 250
146 Kodein HCl tablet 10 mg tablet
147 Kolkisin 500 mcg tablet 20
148 Kotrimoksazol suspensi kombinasi Botol 10
149 Kotrimoksazol tablet dewasa kombinasi tablet 100
150 Lamivudin tablet
151 Lansoprazole tablet
152 Levofloksasin 250mg tablet
153 Levofloksasin tetes mata 0,5% botol
154 Lidocain komp.inj. ampul 95
155 Lidocain inj. ampul
156 Loperamid Hcl tablet 115
157 Loratadin 10mg tablet 190
158 Magnesium sulfat inj (IV) 20%-25 ml vial 4
159 Magnesium sulfat inj (IV) 40%-25 ml vial
160 MDT MD Dewasa Paket
161 Meloksikam 15 mg tablet
162 Metformin tablet 1,970
163 Metil ergometrin maleat tablet salut 0,125 mg tablet
164 Metil ergometrin maleat inj 0,200mg-1ml ampul 95
165 Metil Prednisolon 4 mg tablet 505
166 Metil Prednisolon 8mg tablet
167 Metildopa 250mg tablet 100
168 Metoclopramid 10 gr tablet 190
169 Metoclopramid injeksi ampul 31
170 Metronidazol 500 mg tablet 135
171 Metronidazol supositoria 500 mg suppos
172 Metronidazole ovula 500mg ovula 15
173 Mikonazol krim Tube 21
174 Mineral Mix sachet
175 Multivitamin syr Botol 156
176 Multivitamin tab tablet
177 N-asetil sistein tablet 5,211
178 Natrium bicarbonat tablet 500 mg tablet 140
179 Natrium Diklofenak 50 mg tablet 3,894
180 Natrium klorida larutan infus 0,9% fls 25
181 Nevirapin tablet
182 Nifedipin 10 mg tablet 354
183 Nistatin suspensi botol 18
184 Nistatin tablet salut 500.000 IU tablet 80
185 Nistatin tablet vaginal 100.000 IU/g tablet 12
186 Oksitetrasiklin HCl salep kulit 3% Tube
187 Oksitetrasiklin HCl salep mata 1% Tube 75
188 Oksitosin inj 10 IU / ml - 1 ml ampul 19
189 Omeprazole 20mg tablet
190 Pantocain tetes mata btl
191 Papaverin tablet 40 mg tablet
192 Parasetamol Drop Botol
193 Parasetamol rektal 125 mg (dumin) suppos 2
194 Parasetamol rektal 250 mg (dumin) suppos 8
195 Parasetamol sirup 120mg/ml Botol 343
196 Parasetamol tablet 100 mg tablet
197 Parasetamol tablet 500 mg tablet 10,843
198 Permetrin krim 5% (Scabimite) tube 15
199 Petidin inj 50mg/ml ampul
200 Piracetam inj 3g/15ml ampul 4
201 Pirantel tablet 125 mg tablet
202 Pirasetam 800mg tablet 245
203 Piroxicam 10 mg tablet
204 Piroxicam 20 mg tablet
205 Prednison tablet 5 mg tablet
206 Primakuin tablet 15 mg tablet
207 Prokain benzil penisilin vial
208 Propanolol HCl tablet 10 mg tablet
209 Propanolol HCl tablet 40 mg tablet
210 Propiltiourasil tablet 100 mg tablet
211 Ramipril tablet
212 Ranitidin inj. 25mg/ml ampul 162
213 Ranitidin tablet 150 mg tablet 1,815
214 Risperidon 1 mg tablet
215 Risperidon 2 mg tablet 240
216 RL larutan infus fls 128
217 Salbutamol inhalasi 100 mcq/dosis botol 10
218 Salbutamol nebulizer Kotak 4
219 Salbutamol tablet 2 mg tablet 899
220 Salbutamol tablet 4 mg tablet 470
221 Salep 2-4 kombinasi pot 16
222 Salep luka bakar (Levertran) Tube
223 Salep Luka Bakar (Perak Sulfadiazin Krim) Tube 5
224 Salisil bedak 2% bungkus
225 Seftriakson Injeksi vial
226 Serum Anti Bisa Ular polivalen inj 5 ml vial 4
227 Serum Anti Rabies (SAR) Vial
228 Serum Anti Tetanus inj 1500 IU/ampul ampul
229 Simvastatin 10 mg tablet 220
230 Spironolacton 25 mg tablet
231 Sukralfat tablet tablet
232 Sukralfat Sirup Botol 100
233 Tablet Tambah darah tablet 25,650
234 Tenofovir tablet
235 Tetagam ampul 10
236 Tetrasiklin HCL kapsul 500 mg tablet
237 Thiamfenikol 500 mg tab tablet
238 Tramadol inj ampul
239 Trifluoperazin 5mg tablet
240 Triheksiphenidil HCl tablet 2 mg tablet 97
241 Vaksin Rabies Vero Vial
242 Vitamin A 100.000 IU tablet 200
243 Vitamin A 200.000 IU tablet 700
244 Vitamin B komplek tablet tablet 3,890
245 Vitamin B1 / Thiamin HCl tablet 50 mg tablet 810
246 Vitamin B12 / Sianokobalamin tab 50 mcg tablet
247 Vitamin B12 / Sianokobalamin Vit B12 inj 500mcg-ml ampul
248 Vitamin B6 / Pyridoksin HCL tab 10 mg tablet 745
249 Vitamin C / Asam askorbat tablet 50 mg tablet 770
250 Zinc syr botol 31
251 Zinc tab 20 mg tablet 359
252 BMHP Abochat (IV Chat) 18 Pcs 26
253 & Abochat (IV Chat) 20 Pcs 56
254 Reagen Abochat (IV Chat) 22 Pcs 34
255 Abochat (IV Chat) 24 Pcs 50
256 ADS 0,05 ml pcs 471
257 ADS 0,5 ml pcs 670
258 ADS 5 ml pcs
259 Alat suntik 10 ml pcs
260 Alat suntik 20 ml pcs
261 Alat suntik sekali pakai 1 ml Pcs 472
262 Alat suntik sekali pakai 2,5 ml / 3 ml Pcs 784
263 Alat suntik sekali pakai 5 ml Pcs 523
264 Alkacid Botol
265 Alkohol Swab sachet
266 Amoniak btl/1000 ml
267 Aquadest steril liter
268 Benecheck Cholesterol strip Botol
269 Benecheck Glucose strip Botol
270 Benecheck uric strip Botol
271 Blood lancet pcs 1,480
272 Blue tip box
273 Box Slide bok
274 Cartridge Gen Expert Pcs
275 Catgut/benang bedah Chromic 2/0 set 9
276 Catgut/benang bedah Chromic 3/0 set 38
277 Catgut/benang bedah Plain 2/0 set 12
278 Catgut/benang bedah Plain 3/0 set
279 Centrifuse Paket
280 Chlorin botol 20
281 Cuticell Classic pcs 8
282 DFI Cybow Box 1
283 EDTA 10 % Botol
284 Etakridin (rivanol) larutan 0,1% Botol 10
285 Etanol 100 ml botol.
286 Etanol 70% Botol 20
287 Etanol 96% botol 1
288 Eter Alkohol 5% botol
289 Folley Chatether pcs 10
290 Food Test - Borak Test Paket
291 Food Test - Formalin Test Paket
292 Food Test - Rhodamin Test Paket
293 Fouchet Botol
294 Handscoon psg 1,950
295 Handscoon Obgyn psg 15
296 Handscoon Steril psg 83
297 HCG Strip Pcs
298 Infusion set anak set 12
299 Infusion set dewasa set 87
300 Jarum jahit / bedah no. 9 s/d 14 Pcs
301 Jelly USG btl 4
302 Kaca Slide pcs 360
303 Kaca Tutup pcs
304 Kapas pembalut / absorben 250 g roll 4
305 Kasa kompres 40/40 steril lbr 92
306 Kasa pembalut 2 m x 80 cm roll
307 Kasa pembalut elastis 3 inchi roll
308 Kasa pembalut elastis 4 inchi roll
309 Kasa Pembalut hidrofil 3,6 m x 10 cm roll
310 Kasa Pembalut hidrofil 3,6 m x 5 cm roll
311 Kasa Pembalut hidrofil 4 m x 10 cm elastis roll
312 Kasa Pembalut hidrofil 4 m x 5 cm elastis roll
313 Kasa steril 16/16 kotak 69
314 Kassa gulung Besar 80cm x 40 m roll 4
315 Kertas lakmus biru pack
316 Kertas Lakmus merah pack
317 Kertas lensa pak
318 Kertas pH Universal Kotak
319 Kertas saring watchman ktk
320 kit gol. Darah A, B, AB set
321 Kondom pcs
322 Labstrip (urinalis) tube
323 Larutan Amonium Oksalat 1% Botol
324 Larutan Asam Asetat 6 % Botol
325 Larutan barium klorida Botol
326 Larutan benedict Botol
327 Larutan buffer PH 6,1 Botol
328 Larutan buffer PH 7,2 Botol
329 Larutan eosin 2% Botol
330 Larutan Etanol Asam Botol
331 Larutan giemsa stain Botol
332 Larutan H2O2 3% Botol 1 L
333 Larutan H2O2 3% Botol
334 Larutan Hayem Botol
335 Larutan HCl 0,1 N Botol
336 Larutan karbolfuksin Botol
337 Larutan metilen biru Botol
338 Larutan Na citrat Botol
339 Larutan Natrium Hipoklorid Botol/ 500ml
340 Larutan Ress Ecker Botol/ 100 ml
341 Larutan turk Botol
342 Larutan Wright Botol
343 Lisol Botol 1
344 Lubricant pcs
345 Mantoux tes vial
346 Masker pcs 1,200
347 Masker 3M N95 medikal respirator pcs
348 Mess pcs 190
349 Metanol 100 ml Botol
350 Metanol 1000 ml botol
351 Microlit tips for micropipettes MT-up to 1 ml pack
352 Mikropipet adjustable 100-1000µl unit
353 Mikropipet adjustable 5-50µl unit
354 Mikroskop malaria (nikon) unit
355 Minyak Imersi Botol
356 NAPZA Kit 6 Parameter pcs
357 Napza KIT 8 Parameter box 4
358 Needle 23 G Pcs
359 Pembalut gips 3 inch Roll
360 Pembalut gips 4 inch Roll
361 Pipet tetes bks/100 pcs
362 Planotest pcs 35
363 Plester 2,5 cmx 4,5 m roll
364 Plester 5 yard x 2 inch roll
365 Plester bulat non woven box 83
366 Poli Aid Botol 1
367 Poli Clean Botol 12
368 Poliwash botol 500ml 12
369 Pork Test Paket
370 Pot Sputum Pcs 160
371 Pot Urine Pcs 15
372 Povidon iodida 10% 30 ml Botol
373 Povidon iodida 10% 300 ml Botol 11
374 Povidon iodida 10% 60 ml Botol
375 Povidon Iodine 1 L Botol
376 RDT DBD Verotec Pcs
377 RDT DBD Biosen Pcs
378 RDT Hepatitis / HBSAG Strip pcs 30
379 RDT HIV -Fokus 1/2 casette box/25
380 RDT HIV Test (HIV 1 & 2 Anti Body) oncoprobe test
381 RDT HIV test (R1) SD Pcs 130
382 RDT HIV test Biomerieux (Vikia HIV 1 dan 2) ktk/25 test
383 RDT HIV test Intec (One Step Anti-HIV 1&2) Box
384 RDT Malaria / Malaria test ktk
385 RDT sifillis Pcs 25
386 Reagen dan Bahan alat lab.Malaria paket
387 Reagen Fotometer Kimia Klinik Randox Glukosa kit
388 Reagen Fotometer Kimia Klinik Randox Protein total kit
389 Reagen Fotometer Kimia Klinik Randox triglyserida kit
Mengetahui,
Kepala Puskesmas Timpeh
Yulisna, S.Tr.Keb
Nip. 19660712 198803 2 005
Stok Persediaan per 31 Des 2019 Penambahan tahun 2020 Kadaluarsa Tahun 2020
Harga Satuan Jumlah Volume Harga Satuan Jumlah Volume Harga Satuan Jumlah
6 7 8 9 10 11 12 13
4,200 134,400 360 4,200 1,512,000 30 4,200 126,000
452 65,088 1,890 452 854,280 - -
99 24,750 1,700 105 178,500 330 99 32,670
- - - - -
120 8,400 400 120 48,000 160 120 19,200
99 46,728 1,500 99 148,500 - -
2,789 52,991 - - - -
341 25,575 200 341 68,200 85 341 28,985
- 500 168 84,000 - -
94 43,240 2,100 94 197,400 - -
73 52,925 9,300 78 725,400 - -
203 83,230 300 203 60,900 - -
250 723,000 10,000 260 2,600,000 - -
- - - - -
4,400 563,200 50 5,500 275,000 - -
- - - - -
56 61,824 7,000 60 420,000 - -
2,051 352,772 450 2,189 985,050 - -
- 100 8,250 825,000 - -
- - - - -
3,325 83,125 100 3,325 332,500 - -
- - - - -
260,526 521,052 1 260,526 260,526 - -
408,812 1,635,248 7 415,469 2,908,283 - -
- - - - -
2,860 102,960 - - - -
- - - - -
74 8,140 1,000 79 79,000 - -
103 47,277 2,500 297 742,500 - -
- - - - -
- - - - -
1,684 185,240 100 1,684 168,400 - -
5,928 592,800 - - - -
- - - - -
3,300 178,200 - - - -
245 78,400 - - - -
399 125,685 400 426 170,400 195 399 77,805
- - - - -
1,540 7,700 - - - -
160 33,120 200 155 31,000 - -
- - - - -
- - - - -
- - - - -
110 17,600 1,700 110 187,000 - -
1,340 24,120 75 1,430 107,250 - -
- - - - -
- - - - -
327 9,810 60 327 19,620 - -
- - - - -
275 27,500 - - 70 275 19,250
- - - - -
64 32,320 700 68 47,600 - -
154 34,650 300 154 46,200 - -
880 806,960 2,200 880 1,936,000 - -
4,066 93,518 40 4,339 173,560 - -
- - - - -
1,430 243,100 400 387 154,800 - -
4,571 187,411 - - - -
- - - - -
- - - - -
- - - - -
247,000 247,000 4 237,271 949,083 - -
- - - - -
- - - - -
- - - - -
- - - - -
21,500 2,859,500 - - - -
46,712 140,136 144 34,000 4,896,000 - -
6,720 20,160 35 6,720 235,200 - -
8,103 56,721 - - - -
6,720 47,040 - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- 15 275,000 4,125,000 - -
96,260 192,520 3 91,000 273,000 - -
- - - - -
- - - - -
164,373 164,373 9 202,200 1,819,800 - -
- - - - -
- 7 462,200 3,235,400 - -
526,250 526,250 15 569,700 8,545,500 - -
- - - - -
- - - - -
- - - - -
- 1 123,600 123,600 - -
- - - - -
- - - - -
- - - - -
- - - - -
8,877 44,385 5 8,070 40,350 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - - -
6,494 45,461 7 6,494 45,458 - -
- - - - -
- - - - -
174,900 699,600 5 174,900 874,500 - -
- - - - -
- 1 330,000 330,000 - -
- - - - -
- - - - -
- - - - -
- - - - -
- - - - -
83,800 2,095,000 - - - -
- - - - -
- 1 100,000 100,000 - -
- 100 78,991 7,899,100 - -
- - - - -
17,996 53,988 25 17,996 449,900 - -
- 3 1,325,000 3,975,000 - -
20,900 292,600 170 25,597 4,351,490 - -
- - - - -
158,994 317,988 30 158,994 4,769,820 - -
- - - - -
155,813 1,246,504 149 155,813 23,216,137 - -
78,991 394,955 260 84,382 21,939,320 - -
19,954 19,954 170 19,954 3,392,180 - -
16,995 169,950 90 16,995 1,529,550 - -
- - - - -
77,111,123 260,499,919 9,341,676
Pengeluaran/Penggunaan Tahun 2020 Sisa/Stok Persediaan per 31 Des 2020
14 15 16 17 18 19
350 4,200 1,470,000 12 4,200 50,400
2,006 452 906,712 28 452 12,656
1,290 105 135,450 330 105 34,650
- - - -
310 120 37,200 - -
1,094 99 108,306 878 99 86,922
4 2,976 11,904 15 2,976 44,640
170 341 57,970 20 341 6,820
180 168 30,240 320 168 53,760
1,820 94 171,080 740 94 69,560
7,925 78 618,150 2,100 78 163,800
540 203 109,620 170 203 34,510
9,609 260 2,498,340 3,283 260 853,580
- - - -
150 5,500 825,000 28 5,500 154,000
- - - -
4,578 60 274,680 3,526 60 211,560
556 2,189 1,217,084 66 2,189 144,474
69 8,250 569,250 31 8,250 255,750
- - - -
85 3,325 282,625 40 3,325 133,000
- - - -
2 260,526 521,052 1 260,526 260,526
10 415,469 4,154,690 1 415,469 415,469
- - - -
21 2,860 60,060 15 2,860 42,900
- - - -
556 79 43,924 554 79 43,766
2,429 297 721,413 530 297 157,410
- - - -
- - - -
210 1,684 353,640 - -
10 5,928 59,280 90 5,928 533,520
- - - -
26 3,300 85,800 28 3,300 92,400
120 245 29,400 200 245 49,000
326 426 138,876 194 426 82,644
- - - -
2 1,540 3,080 3 1,540 4,620
240 155 37,200 167 155 25,885
- - - -
- - - -
- - - -
976 110 107,360 884 110 97,240
52 1,430 74,360 41 1,430 58,630
- - - -
- - - -
62 327 20,274 28 327 9,156
- - - -
30 275 8,250 - -
- - - -
967 68 65,756 238 68 16,184
260 154 40,040 265 154 40,810
2,387 880 2,100,560 730 880 642,400
30 4,339 130,170 33 4,339 143,187
- - - -
570 387 220,590 - -
18 4,571 82,278 23 4,571 105,133
- - - -
- - - -
- - - -
5 237,271 1,186,354 - -
- - - -
- - - -
- - - -
- - - -
57 22,433 1,278,681 76 22,433 1,704,908
94 34,000 3,196,000 53 34,000 1,802,000
2 6,720 13,440 36 6,720 241,920
2 8,103 16,206 5 8,103 40,515
1 6,720 6,720 6 6,720 40,320
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
15 275,000 4,125,000 - -
4 91,000 364,000 1 91,000 91,000
- - - -
- - - -
10 202,200 2,022,000 - -
- - - -
3 462,200 1,386,600 4 462,200 1,848,800
16 569,700 9,115,200 - -
- - - -
- - - -
- - - -
1 123,600 123,600 - -
- - - -
- - - -
- - - -
- - - -
8 8,070 64,560 2 8,070 16,140
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
14 6,494 90,916 - -
- - - -
- - - -
4 174,900 699,600 5 174,900 874,500
- - - -
1 330,000 330,000 - -
- - - -
- - - -
- - - -
- - - -
- - - -
25 83,800 2,095,000 - -
- - - -
1 100,000 100,000 - -
89 78,991 7,030,199 11 78,991 868,901
- - - -
27 17,996 485,892 1 17,996 17,996
3 1,325,000 3,975,000 - -
147 25,597 3,762,759 37 25,597 947,089
- - - -
28 158,994 4,451,832 4 158,994 635,976
- - - -
151 155,813 23,527,763 6 155,813 934,878
250 84,382 21,095,500 15 84,382 1,265,730
171 19,954 3,412,134 - -
92 16,995 1,563,540 8 16,995 135,960
- - - - -
275,620,986 59,831,346
Novina RahmI,Amd.Far
NIP. 19841117 200501 2 001
LAPORAN PERSEDIAAN OBAT DAN PERBEKALAN KESEHATAN
UPT. PUSKESMAS SITIUNG II
PER 31 DESEMBER 2020
1 2 3 4 5
1 Obat Albendazol sirup 200mg/5 ml Botol
2 Albendazol tablet 400 mg tablet
3 Allopurinol 100 mg tablet 1,730
4 Alprazolam 0,5 mg tablet
5 Alprazolam 1 mg tablet
6 Ambroxol 30 mg tablet tablet 2,725
7 Aminofilin inj 24mg/ml-10 ml ampul
8 Aminofilin tablet 200 mg tablet
9 Amitriptilin HCl tablet salut 25 mg tablet 215
10 Amlodipin 10 mg tablet 1,430
11 Amlodipin 5 mg tablet 1,975
12 Amoksisilin 250 mg tablet
13 Amoksisilin 500 mg tablet 4,348
14 Amoksisilin 250mg/5ml sirup kering botol 5
15 Amoksisilin sirup kering 125 mg/5 ml Botol 129
16 Antalgin injeksi 250 mg/ml-2ml ampul
17 Antasida DOEN tablet tablet
18 Antasida sirup Botol 220
19 Anti Bakteri DOEN salep Kombinasi (bacitrasin) Tube 58
20 Anti Fungi DOEN Kombinasi Pot 21
21 Anti Haemoroid DOEN kombinasi Suppos 23
22 Anti Migren (ergotamin caffein) tablet
23 Anti Tuberkulosis anak paket 1
24 Anti Tuberkulosis Kategori I paket 2
25 Anti Tuberkulosis Kategori II paket
26 Aqua pro injeksi steril bebas pirogen vial
27 Asam Folat 0,4 mg /profolat tablet
28 Asam folat 1 mg tablet
29 Asam mefenamat 500 mg tablet 3,430
30 Asam tranexamat inj 100 mg/ml ampul
31 Asam tranexamat inj 50mg/ml ampul
32 Asam Tranexamat tablet 500 mg tablet 265
33 Asam Valproat 500mg / Depakote 500 mg tablet
34 Asetosal 80 mg / Miniaspi tablet 70
35 Asiklovir Krim 5 % 5 gr Tube 24
36 Asiklovir tablet 200 mg tablet 582
37 Asiklovir tablet 400 mg tablet 410
38 Atripla tablet
39 Atropin sulfat injeksi 0,25 mg/ml - 1 ml ampul
40 Attapulgit (Pularex) tablet 50
41 Azitromisin tab 500 mg tablet
42 Benzatil benzil penisilin vial
43 Berotec 0,1 mg(Fenoterol HBr aerosol 100mcg/dosis) Btl
44 Betahistin mesilat tablet
45 Betametason krim 0,1% Tube 42
46 Bioplacenton tube
47 Bisacodil (dulcolax) supp suppos
48 Bisacodil (dulcolax) tab tablet
49 Bisacodil supp infant 5 mg /Dulcolax Suppos
50 Bisoprolol 5 mg tablet
51 Ca Glukonas ampul
52 Captopril 12,5mg tablet 539
53 Captopril 25 mg tablet 2,772
54 Cefadroxil tablet 1,110
55 Cefadroxyl syr 125 mg/ml Botol 5
56 Cefiksim syr kering 100mg/5ml btl 30ml 7
57 Cefixime 100mg tablet 2
58 Cefotaxim 1,0 G inj Vial
Cendo Lyteers Kombinasi tts mata 2,5 mg/ml; NaCl 8,664
59 mg; kalium klorida 1,32 mg botol 36
60 Cetirizin 10 mg tablet 200
61 Cetirizin syr 5mg/5ml btl 60ml 47
62 Ciprofloxacin tablet 500 mg tablet 1,380
63 Clindamisin 150 mg tablet 755
64 Clindamisin 300 mg tablet
65 Deksametason injeksi 5 mg/ml-1 ml ampul 62
66 Deksametason tablet 0,5 mg tablet 5,780
67 DHP-Frimal tablet
68 Diazepam injeksi 5 mg/ml-2 ml ampul 2
69 Diazepam rektal 10 mg Suppos 10
70 Diazepam rektal 5 mg Suppos
71 Diazepam tablet 2 mg tablet 143
72 Diazepam tablet 5 mg tablet
73 Dietil karbamazin sitrat tablet 100 mg tablet
74 Difenhidramin HCl inj 10 mg/ml-1 ml ampul
75 Digoksin tablet 0,25 mg tablet
76 Diltiazem tablet tablet
77 Dimenhidrinat 50 mg tablet
78 Doksisilin kapsul tablet
79 Domperidon 10 mg tablet
80 Domperidon syr Botol 5
81 Efedrin HCl tablet 25 mg tablet
82 Epinefrin HCl /adrenalin inj.0,1%-1ml ampul 10
83 Eritromisin 250 mg tablet
84 Eritromisin 500 mg tablet
85 Eritromisin sirup kering Botol
86 Etambutol 400mg tablet
87 Euthyrox tablet
88 Fenitoin natrium kapsul 30 mg tablet
89 Fenobarbital inj 50 mg/ml - 2 ml ampul
90 Fenobarbital tablet 30 mg tablet 340
91 Fenolgliserol tetes telinga 10% Botol 24
92 Fitomenadion (Vit K1) inj 10 mg/ml-1 ml ampul
93 Fitomenadion (Vit K1) tablet 10 mg tablet 220
94 Fitomenadion inj 2 mg/ml ampul 72
95 Fluoksetin / Prestine tablet
96 Furosemid injeksi ampul
97 Furosemid tablet 40 mg tablet 138
98 Gabapentin/Alpentin 100 mg kapsul
99 Garam Oralit untuk 200 ml bungkus 204
100 Gentamicin Salep Kulit Tube
101 Gentamisin inj ampul
102 Gentamisin tetes mata botol
103 Gentian violet larutan 1% Botol 11
104 Glibenklamid tablet 5 mg tablet
105 Glimepirid 1 mg tablet
106 Glimepirid 2 mg tablet 1,012
107 Gliseril Guaiakolat tablet 100 mg tablet
108 Glukosa 40% ampul
109 Glukosa larutan Infus 10% steril fls 17
110 Glukosa Larutan Infus 5% steril fls 10
111 Griseofulvin tablet 125 mg tablet
112 Griseofulvin tablet 500 mg tablet
113 Haloperidol 5 mg tablet 170
114 Haloperidol inj 50mg/ml ampul
115 Haloperidol tablet 0,5 mg tablet 390
116 Haloperidol tablet 1,5 mg tablet 650
117 Hidrochlorotiazid (HCT) tablet 25 mg tablet
118 Hidrokortison krim 2,5% Tube 85
119 Hiosin HBr Inj 20 mg ampul
120 Hiosin N Butil bromida tablet tablet
121 Ibuprofen suspensi 100 mg/5 ml botol 54
122 Ibuprofen tablet 200 mg tablet
123 Ibuprofen tablet 400 mg tablet 1,960
124 Ichtiol salep pot 9
125 Isoniazid 100 mg/PPINH 100 mg tablet
126 Isoniazid tablet 300 mg tablet 100
127 Isosorbid dinitrat tablet sublingual 5 mg tablet 310
128 Kalsium laktat (Kalk) tablet 500 mg tablet 1,900
129 Karbamazepin tablet 200 mg tablet
130 Ketokonazol krim Tube 65
131 Ketokonazol tab tablet
132 Ketoprofen 100mg tablet
133 Ketoprofen Supp suppos 22
134 Klopidogrel 75 mg Tablet
135 Kloramfenikol kapsul 250 mg tablet
136 Kloramfenikol salep Kulit Tube 26
137 Kloramfenikol salep mata 1 % Tube 90
138 Kloramfenikol suspensi 125 mg/5 ml Botol
139 Kloramfenikol tetes mata Botol 5
140 Kloramfenikol tetes telinga 3 % Botol 20
141 Klorfeniramin maleat (CTM) tablet 4 mg tablet 4,361
142 Klorpromazin 25mg tablet
143 Klorpromazin HCl inj 25 mg/ml - 1 ml ampul
144 Klorpromazin HCl inj 5 mg/ml - 1 ml ampul
145 Klorpromazin HCl tablet salut 100 mg tablet 217
146 Kodein HCl tablet 10 mg tablet
147 Kolkisin 500 mcg tablet
148 Kotrimoksazol suspensi kombinasi Botol
149 Kotrimoksazol tablet dewasa kombinasi tablet 1,260
150 Lamivudin tablet
151 Lansoprazole tablet
152 Levofloksasin 250mg tablet
153 Levofloksasin tetes mata 0,5% botol
154 Lidocain komp.inj. ampul
155 Lidocain inj. ampul 46
156 Loperamid Hcl tablet
157 Loratadin 10mg tablet 109
158 Magnesium sulfat inj (IV) 20%-25 ml vial
159 Magnesium sulfat inj (IV) 40%-25 ml vial 5
160 MDT MD Dewasa Paket
161 Meloksikam 15 mg tablet 325
162 Metformin tablet 2,890
163 Metil ergometrin maleat tablet salut 0,125 mg tablet 568
164 Metil ergometrin maleat inj 0,200mg-1ml ampul 129
165 Metil Prednisolon 4 mg tablet 1,184
166 Metil Prednisolon 8mg tablet
167 Metildopa 250mg tablet
168 Metoclopramid 10 gr tablet 180
169 Metoclopramid injeksi ampul
170 Metronidazol 500 mg tablet 740
171 Metronidazol supositoria 500 mg suppos
172 Metronidazole ovula 500mg ovula
173 Mikonazol krim Tube 60
174 Mineral Mix sachet
175 Multivitamin syr Botol 98
176 Multivitamin tab tablet
177 N-asetil sistein tablet 3,838
178 Natrium bicarbonat tablet 500 mg tablet
179 Natrium Diklofenak 50 mg tablet 4,762
180 Natrium klorida larutan infus 0,9% fls 88
181 Nevirapin tablet
182 Nifedipin 10 mg tablet
183 Nistatin suspensi botol
184 Nistatin tablet salut 500.000 IU tablet 20
185 Nistatin tablet vaginal 100.000 IU/g tablet
186 Oksitetrasiklin HCl salep kulit 3% Tube
187 Oksitetrasiklin HCl salep mata 1% Tube
188 Oksitosin inj 10 IU / ml - 1 ml ampul 128
189 Omeprazole 20mg tablet
190 Pantocain tetes mata btl
191 Papaverin tablet 40 mg tablet
192 Parasetamol Drop Botol
193 Parasetamol rektal 125 mg (dumin) suppos 4
194 Parasetamol rektal 250 mg (dumin) suppos 13
195 Parasetamol sirup 120mg/ml Botol 163
196 Parasetamol tablet 100 mg tablet
197 Parasetamol tablet 500 mg tablet 4,782
198 Permetrin krim 5% (Scabimite) tube 12
199 Petidin inj 50mg/ml ampul
200 Piracetam inj 3g/15ml ampul 4
201 Pirantel tablet 125 mg tablet
202 Pirasetam 800mg tablet 369
203 Piroxicam 10 mg tablet
204 Piroxicam 20 mg tablet
205 Prednison tablet 5 mg tablet
206 Primakuin tablet 15 mg tablet
207 Prokain benzil penisilin vial
208 Propanolol HCl tablet 10 mg tablet
209 Propanolol HCl tablet 40 mg tablet
210 Propiltiourasil tablet 100 mg tablet
211 Ramipril tablet
212 Ranitidin inj. 25mg/ml ampul
213 Ranitidin tablet 150 mg tablet 2,620
214 Risperidon 1 mg tablet
215 Risperidon 2 mg tablet 326
216 RL larutan infus fls 106
217 Salbutamol inhalasi 100 mcq/dosis botol 18
218 Salbutamol nebulizer Kotak 1
219 Salbutamol tablet 2 mg tablet
220 Salbutamol tablet 4 mg tablet 401
221 Salep 2-4 kombinasi pot 10
222 Salep luka bakar (Levertran) Tube
223 Salep Luka Bakar (Perak Sulfadiazin Krim) Tube 8
224 Salisil bedak 2% bungkus 21
225 Seftriakson Injeksi vial
226 Serum Anti Bisa Ular polivalen inj 5 ml vial 7
227 Serum Anti Rabies (SAR) Vial
228 Serum Anti Tetanus inj 1500 IU/ampul ampul 17
229 Simvastatin 10 mg tablet 560
230 Spironolacton 25 mg tablet
231 Sukralfat tablet tablet
232 Sukralfat Sirup Botol
233 Tablet Tambah darah tablet
234 Tenofovir tablet
235 Tetagam ampul
236 Tetrasiklin HCL kapsul 500 mg tablet
237 Thiamfenikol 500 mg tab tablet
238 Tramadol inj ampul
239 Trifluoperazin 5mg tablet
240 Triheksiphenidil HCl tablet 2 mg tablet 210
241 Vaksin Rabies Vero Vial
242 Vitamin A 100.000 IU tablet
243 Vitamin A 200.000 IU tablet
244 Vitamin B komplek tablet tablet 1,900
245 Vitamin B1 / Thiamin HCl tablet 50 mg tablet 5,110
246 Vitamin B12 / Sianokobalamin tab 50 mcg tablet
247 Vitamin B12 / Sianokobalamin Vit B12 inj 500mcg-ml ampul
248 Vitamin B6 / Pyridoksin HCL tab 10 mg tablet 4,272
249 Vitamin C / Asam askorbat tablet 50 mg tablet 5,759
250 Zinc syr botol 57
251 Zinc tab 20 mg tablet
252 BMHP Abochat (IV Chat) 18 Pcs 193
253 & Abochat (IV Chat) 20 Pcs 138
254 Reagen Abochat (IV Chat) 22 Pcs 216
255 Abochat (IV Chat) 24 Pcs 160
256 ADS 0,05 ml pcs
257 ADS 0,5 ml pcs
258 ADS 5 ml pcs
259 Alat suntik 10 ml pcs
260 Alat suntik 20 ml pcs
261 Alat suntik sekali pakai 1 ml Pcs 295
262 Alat suntik sekali pakai 2,5 ml / 3 ml Pcs 487
263 Alat suntik sekali pakai 5 ml Pcs 165
264 Alkacid Botol
265 Alkohol Swab sachet
266 Amoniak btl/1000 ml
267 Aquadest steril liter
268 Benecheck Cholesterol strip Botol
269 Benecheck Glucose strip Botol
270 Benecheck uric strip Botol
271 Blood lancet pcs
272 Blue tip box
273 Box Slide bok
274 Cartridge Gen Expert Pcs
275 Catgut/benang bedah Chromic 2/0 set 23
276 Catgut/benang bedah Chromic 3/0 set 70
277 Catgut/benang bedah Plain 2/0 set 24
278 Catgut/benang bedah Plain 3/0 set 24
279 Centrifuse Paket
280 Chlorin botol
281 Cuticell Classic pcs 7
282 DFI Cybow Box
283 EDTA 10 % Botol
284 Etakridin (rivanol) larutan 0,1% Botol 12
285 Etanol 100 ml botol.
286 Etanol 70% Botol 13
287 Etanol 96% botol
288 Eter Alkohol 5% botol
289 Folley Chatether pcs 17
290 Food Test - Borak Test Paket
291 Food Test - Formalin Test Paket
292 Food Test - Rhodamin Test Paket
293 Fouchet Botol
294 Handscoon psg 632
295 Handscoon Obgyn psg
296 Handscoon Steril psg 428
297 HCG Strip Pcs
298 Infusion set anak set
299 Infusion set dewasa set 61
300 Jarum jahit / bedah no. 9 s/d 14 Pcs
301 Jelly USG btl
302 Kaca Slide pcs
303 Kaca Tutup pcs
304 Kapas pembalut / absorben 250 g roll 5
305 Kasa kompres 40/40 steril lbr
306 Kasa pembalut 2 m x 80 cm roll 7
307 Kasa pembalut elastis 3 inchi roll
308 Kasa pembalut elastis 4 inchi roll
309 Kasa Pembalut hidrofil 3,6 m x 10 cm roll 50
310 Kasa Pembalut hidrofil 3,6 m x 5 cm roll
311 Kasa Pembalut hidrofil 4 m x 10 cm elastis roll 8
312 Kasa Pembalut hidrofil 4 m x 5 cm elastis roll 22
313 Kasa steril 16/16 kotak 66
314 Kassa gulung Besar 80cm x 40 m roll
315 Kertas lakmus biru pack
316 Kertas Lakmus merah pack
317 Kertas lensa pak
318 Kertas pH Universal Kotak
319 Kertas saring watchman ktk
320 kit gol. Darah A, B, AB set
321 Kondom pcs
322 Labstrip (urinalis) tube
323 Larutan Amonium Oksalat 1% Botol
324 Larutan Asam Asetat 6 % Botol
325 Larutan barium klorida Botol
326 Larutan benedict Botol
327 Larutan buffer PH 6,1 Botol
328 Larutan buffer PH 7,2 Botol
329 Larutan eosin 2% Botol
330 Larutan Etanol Asam Botol
331 Larutan giemsa stain Botol
332 Larutan H2O2 3% Botol 1 L
333 Larutan H2O2 3% Botol
334 Larutan Hayem Botol
335 Larutan HCl 0,1 N Botol
336 Larutan karbolfuksin Botol
337 Larutan metilen biru Botol
338 Larutan Na citrat Botol
339 Larutan Natrium Hipoklorid Botol/ 500ml
340 Larutan Ress Ecker Botol/ 100 ml
341 Larutan turk Botol
342 Larutan Wright Botol
343 Lisol Botol
344 Lubricant pcs
345 Mantoux tes vial
346 Masker pcs
347 Masker 3M N95 medikal respirator pcs
348 Mess pcs 80
349 Metanol 100 ml Botol
350 Metanol 1000 ml botol
351 Microlit tips for micropipettes MT-up to 1 ml pack
352 Mikropipet adjustable 100-1000µl unit
353 Mikropipet adjustable 5-50µl unit
354 Mikroskop malaria (nikon) unit
355 Minyak Imersi Botol
356 NAPZA Kit 6 Parameter pcs
357 Napza KIT 8 Parameter box
358 Needle 23 G Pcs
359 Pembalut gips 3 inch Roll
360 Pembalut gips 4 inch Roll
361 Pipet tetes bks/100 pcs
362 Planotest pcs
363 Plester 2,5 cmx 4,5 m roll
364 Plester 5 yard x 2 inch roll
365 Plester bulat non woven box 23
366 Poli Aid Botol
367 Poli Clean Botol 8
368 Poliwash botol 500ml
369 Pork Test Paket
370 Pot Sputum Pcs
371 Pot Urine Pcs
372 Povidon iodida 10% 30 ml Botol 9
373 Povidon iodida 10% 300 ml Botol 16
374 Povidon iodida 10% 60 ml Botol 14
375 Povidon Iodine 1 L Botol
376 RDT DBD Verotec Pcs
377 RDT DBD Biosen Pcs
378 RDT Hepatitis / HBSAG Strip pcs
379 RDT HIV -Fokus 1/2 casette box/25
380 RDT HIV Test (HIV 1 & 2 Anti Body) oncoprobe test
381 RDT HIV test (R1) SD Pcs
382 RDT HIV test Biomerieux (Vikia HIV 1 dan 2) ktk/25 test
383 RDT HIV test Intec (One Step Anti-HIV 1&2) Box
384 RDT Malaria / Malaria test ktk
385 RDT sifillis Pcs
386 Reagen dan Bahan alat lab.Malaria paket
387 Reagen Fotometer Kimia Klinik Randox Glukosa kit
388 Reagen Fotometer Kimia Klinik Randox Protein total kit
389 Reagen Fotometer Kimia Klinik Randox triglyserida kit
Mengetahui,
Kepala UPT Puskesmas Sitiung II
Juerni, S. ST
NIP. 197501032006042009
Stok Persediaan per 31 Des 2019 Penambahan tahun 2020 Kadaluarsa Tahun 2020
Harga Satuan Jumlah Volume Harga Satuan Jumlah Volume Harga Satuan
6 7 8 9 10 11 12
- -
- 6,900 452 3,118,800
99 171,270 3,000 105 315,000 2,439 99
- -
- -
99 269,775 5,000 99 495,000
- -
- -
168 36,120 200 168 33,600
94 134,420 7,500 94 705,000
73 144,175 7,200 78 561,600 305 73
- -
250 1,087,000 18,000 260 4,680,000
3,737 18,685 -
4,400 567,600 550 5,500 3,025,000
- -
- 18,000 60 1,080,000
2,051 451,220 750 2,189 1,641,750
8,250 478,500 225 8,250 1,856,250
4,721 99,141 -
3,325 76,475 60 3,325 199,500
- -
260,526 260,526 7 260,526 1,823,682
408,812 817,624 12 415,469 4,985,628
- -
- -
- -
- 1,500 79 118,500
103 353,290 8,000 297 2,376,000
- 10 2,088 20,880
- -
1,684 446,260 - 215 1,684
- -
99 6,930 100 99 9,900
3,300 79,200 125 3,300 412,500
245 142,590 -
399 163,590 500 426 213,000 285 399
- -
- 10 1,540 15,400
160 8,000 300 155 46,500
- -
- 42 14,500 609,000
- -
- 500 110 55,000
1,340 56,280 175 1,430 250,250
- -
- 50 5,900 295,000
- -
- -
- -
- -
64 34,496 2,500 68 170,000
154 426,888 500 154 77,000
880 976,800 2,000 880 1,760,000 260 880
4,066 20,330 50 4,339 216,950
15,950 111,650 50 15,950 797,500
1,430 2,860 200 387 77,400
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 50 22,433 1,121,650
46,712 2,055,328 108 34,000 3,672,000
- 5 6,720 33,600
8,103 16,206 -
6,720 6,720 -
- -
- -
- 5 30,000 150,000
- -
- -
- -
- -
- 2 91,000 182,000
- -
- -
- 7 202,200 1,415,400
- -
- -
- 2 569,700 1,139,400
- -
- -
- -
- -
- -
- -
- -
- -
8,877 53,262 -
- -
- -
- -
- -
- -
- -
- -
- -
- -
6,494 19,483 10 6,494 64,940
- -
- -
- 2 174,900 349,800
- 1 4,000 4,000
- 2 330,000 660,000
- -
- -
- -
- -
- 1 225,000 225,000
83,800 3,352,000 - 40 83,800
- -
- -
59,950 599,500 120 78,991 9,478,920
- 25 28,204 705,100
17,996 89,980 40 17,996 719,840
- 1 1,325,000 1,325,000
20,900 229,900 170 25,597 4,351,490
- -
158,994 2,066,922 50 158,994 7,949,700
- -
155,813 2,960,447 169 155,813 26,332,397
78,991 4,502,487 240 84,382 20,251,680
19,954 1,436,688 150 19,954 2,993,100
16,995 271,920 170 16,995 2,889,150
- -
- -
- 3 13,901 41,704
- 1 17,023 17,023
- -
- -
- -
- -
- -
- -
- -
- -
68,437,937 254,403,230
13 14 15 16 17 18 19
- - -
- 6,900 452 3,118,800 - -
241,461 1,886 105 198,030 405 105 42,525
- - - -
- - - -
- 5,480 99 542,520 2,245 99 222,255
- - - -
- - - -
- 172 168 28,896 243 168 40,824
- 7,790 94 732,260 1,140 94 107,160
22,265 7,608 78 593,424 1,262 78 98,436
- - - -
- 15,768 260 4,099,680 6,580 260 1,710,800
- 5 3,737 18,685 - -
- 470 5,500 2,585,000 209 5,500 1,149,500
- - - -
- 9,513 60 570,780 8,487 60 509,220
- 820 2,189 1,794,980 150 2,189 328,350
- 247 8,250 2,037,750 36 8,250 297,000
- 11 4,721 51,931 10 4,721 47,210
- 69 3,325 229,425 14 3,325 46,550
- - - -
- 8 260,526 2,084,208 - -
- 10 415,469 4,154,690 4 415,469 1,661,876
- - - -
- - - -
- - - -
- 1,000 79 79,000 500 79 39,500
- 8,626 297 2,561,922 2,804 297 832,788
- - 10 2,088 20,880
- - - -
362,060 50 1,684 84,200 - -
- - - -
- 37 99 3,663 133 99 13,167
- 103 3,300 339,900 46 3,300 151,800
- 580 245 142,100 2 245 490
113,715 175 426 74,550 450 426 191,700
- - - -
- - 10 1,540 15,400
- 150 155 23,250 200 155 31,000
- - - -
- 42 14,500 609,000 - -
- - - -
- 310 110 34,100 190 110 20,900
- 162 1,430 231,660 55 1,430 78,650
- - - -
- 20 5,900 118,000 30 5,900 177,000
- - - -
- - - -
- - - -
- - - -
- 1,480 68 100,640 1,559 68 106,012
- 1,372 154 211,288 1,900 154 292,600
228,800 1,686 880 1,483,680 1,164 880 1,024,320
- 6 4,339 26,034 49 4,339 212,611
- 24 15,950 382,800 33 15,950 526,350
- 202 387 78,174 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 50 22,433 1,121,650 - -
- 116 34,000 3,944,000 36 34,000 1,224,000
- 1 6,720 6,720 4 6,720 26,880
- - 2 8,103 16,206
- - 1 6,720 6,720
- - - -
- - - -
- - 5 30,000 150,000
- - - -
- - - -
- - - -
- - - -
- 2 91,000 182,000 - -
- - - -
- - - -
- 7 202,200 1,415,400 - -
- - - -
- - - -
- 2 569,700 1,139,400 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 6 8,070 48,420 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- 13 6,494 84,422 - 6,494 -
- - - -
- - - -
- 2 174,900 349,800 - 174,900 -
- 1 4,000 4,000 - 4,000 -
- 2 330,000 660,000 - 330,000 -
- - - -
- - - -
- - - -
- - - -
- 1 225,000 225,000 - 225,000 -
3,352,000 - - -
- - - -
- - - -
- 104 78,991 8,215,064 26 78,991 2,053,766
- 25 28,204 705,100 - -
- 38 17,996 683,848 7 17,996 125,972
- 1 1,325,000 1,325,000 - -
- 159 25,597 4,069,923 22 25,597 563,134
- - - -
- 46 158,994 7,313,724 17 158,994 2,702,898
- - - -
- 148 155,813 23,060,324 40 155,813 6,232,520
- 269 84,382 22,698,758 28 84,382 2,362,696
- 205 19,954 4,090,570 17 19,954 339,218
- 128 16,995 2,175,360 58 16,995 985,710
- - - -
- - - -
- 3 13,901 41,704 - -
- 1 17,023 17,023 - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
9,508,844 253,949,250 71,038,621
1 2 3 4 5
1 Obat Albendazol sirup 200mg/5 ml Botol 40
2 Albendazol tablet 400 mg tablet 798
3 Allopurinol 100 mg tablet 480
4 Alprazolam 0,5 mg tablet 185
5 Alprazolam 1 mg tablet 570
6 Ambroxol 30 mg tablet tablet 769
7 Aminofilin inj 24mg/ml-10 ml ampul 10
8 Aminofilin tablet 200 mg tablet
9 Amitriptilin HCl tablet salut 25 mg tablet 780
10 Amlodipin 10 mg tablet 2,645
11 Amlodipin 5 mg tablet 1,597
12 Amoksisilin 250 mg tablet
13 Amoksisilin 500 mg tablet 1,925
14 Amoksisilin 250mg/5ml sirup kering botol 60
15 Amoksisilin sirup kering 125 mg/5 ml Botol 23
16 Antalgin injeksi 250 mg/ml-2ml ampul
17 Antasida DOEN tablet tablet 608
18 Antasida sirup Botol
19 Anti Bakteri DOEN salep Kombinasi (bacitrasin) Tube 40
20 Anti Fungi DOEN Kombinasi Pot 4
21 Anti Haemoroid DOEN kombinasi Suppos 25
22 Anti Migren (ergotamin caffein) tablet
23 Anti Tuberkulosis anak paket
24 Anti Tuberkulosis Kategori I paket
25 Anti Tuberkulosis Kategori II paket
26 Aqua pro injeksi steril bebas pirogen vial
27 Asam Folat 0,4 mg /profolat tablet
28 Asam folat 1 mg tablet 1,280
29 Asam mefenamat 500 mg tablet 68
30 Asam tranexamat inj 100 mg/ml ampul
31 Asam tranexamat inj 50mg/ml ampul
32 Asam Tranexamat tablet 500 mg tablet 420
33 Asam Valproat 500mg / Depakote 500 mg tablet 200
34 Asetosal 80 mg / Miniaspi tablet 380
35 Asiklovir Krim 5 % 5 gr Tube
36 Asiklovir tablet 200 mg tablet
37 Asiklovir tablet 400 mg tablet 991
38 Atripla tablet
39 Atropin sulfat injeksi 0,25 mg/ml - 1 ml ampul 82
40 Attapulgit (Pularex) tablet
41 Azitromisin tab 500 mg tablet
42 Benzatil benzil penisilin vial
43 Berotec 0,1 mg(Fenoterol HBr aerosol 100mcg/dosis) Btl 2
44 Betahistin mesilat tablet 2,703
45 Betametason krim 0,1% Tube 64
46 Bioplacenton tube
47 Bisacodil (dulcolax) supp suppos
48 Bisacodil (dulcolax) tab tablet
49 Bisacodil supp infant 5 mg /Dulcolax Suppos
50 Bisoprolol 5 mg tablet 310
51 Ca Glukonas ampul
52 Captopril 12,5mg tablet 3,719
53 Captopril 25 mg tablet 1,460
54 Cefadroxil tablet 2,646
55 Cefadroxyl syr 125 mg/ml Botol 113
56 Cefiksim syr kering 100mg/5ml btl 30ml 39
57 Cefixime 100mg tablet 1,147
58 Cefotaxim 1,0 G inj Vial 16
59 Cendo Lyteers Kombinasi tts mata 2,5 mg/ml; NaCl 8,664 mbotol
60 Cetirizin 10 mg tablet 1,045
61 Cetirizin syr 5mg/5ml btl 60ml
62 Ciprofloxacin tablet 500 mg tablet 1,498
63 Clindamisin 150 mg tablet 960
64 Clindamisin 300 mg tablet
65 Deksametason injeksi 5 mg/ml-1 ml ampul
66 Deksametason tablet 0,5 mg tablet 270
67 DHP-Frimal tablet
68 Diazepam injeksi 5 mg/ml-2 ml ampul 10
69 Diazepam rektal 10 mg Suppos 15
70 Diazepam rektal 5 mg Suppos
71 Diazepam tablet 2 mg tablet 600
72 Diazepam tablet 5 mg tablet 300
73 Dietil karbamazin sitrat tablet 100 mg tablet
74 Difenhidramin HCl inj 10 mg/ml-1 ml ampul
75 Digoksin tablet 0,25 mg tablet 522
76 Diltiazem tablet tablet
77 Dimenhidrinat 50 mg tablet
78 Doksisilin kapsul tablet 525
79 Domperidon 10 mg tablet 674
80 Domperidon syr Botol 56
81 Efedrin HCl tablet 25 mg tablet
82 Epinefrin HCl /adrenalin inj.0,1%-1ml ampul 57
83 Eritromisin 250 mg tablet
84 Eritromisin 500 mg tablet
85 Eritromisin sirup kering Botol
86 Etambutol 400mg tablet
87 Euthyrox tablet
88 Fenitoin natrium kapsul 30 mg tablet
89 Fenobarbital inj 50 mg/ml - 2 ml ampul
90 Fenobarbital tablet 30 mg tablet 300
91 Fenolgliserol tetes telinga 10% Botol 31
92 Fitomenadion (Vit K1) inj 10 mg/ml-1 ml ampul
93 Fitomenadion (Vit K1) tablet 10 mg tablet 582
94 Fitomenadion inj 2 mg/ml ampul 5
95 Fluoksetin / Prestine tablet
96 Furosemid injeksi ampul
97 Furosemid tablet 40 mg tablet 520
98 Gabapentin/Alpentin 100 mg kapsul
99 Garam Oralit untuk 200 ml bungkus 100
100 Gentamicin Salep Kulit Tube
101 Gentamisin inj ampul
102 Gentamisin tetes mata botol
103 Gentian violet larutan 1% Botol 6
104 Glibenklamid tablet 5 mg tablet 1,713
105 Glimepirid 1 mg tablet 1,470
106 Glimepirid 2 mg tablet 2,915
107 Gliseril Guaiakolat tablet 100 mg tablet
108 Glukosa 40% ampul 8
109 Glukosa larutan Infus 10% steril fls
110 Glukosa Larutan Infus 5% steril fls 80
111 Griseofulvin tablet 125 mg tablet
112 Griseofulvin tablet 500 mg tablet 860
113 Haloperidol 5 mg tablet 216
114 Haloperidol inj 50mg/ml ampul
115 Haloperidol tablet 0,5 mg tablet
116 Haloperidol tablet 1,5 mg tablet
117 Hidrochlorotiazid (HCT) tablet 25 mg tablet 805
118 Hidrokortison krim 2,5% Tube 54
119 Hiosin HBr Inj 20 mg ampul 50
120 Hiosin N Butil bromida tablet tablet
121 Ibuprofen suspensi 100 mg/5 ml botol 116
122 Ibuprofen tablet 200 mg tablet
123 Ibuprofen tablet 400 mg tablet
124 Ichtiol salep pot
125 Isoniazid 100 mg/PPINH 100 mg tablet
126 Isoniazid tablet 300 mg tablet
127 Isosorbid dinitrat tablet sublingual 5 mg tablet
128 Kalsium laktat (Kalk) tablet 500 mg tablet 500
129 Karbamazepin tablet 200 mg tablet
130 Ketokonazol krim Tube 50
131 Ketokonazol tab tablet 1,205
132 Ketoprofen 100mg tablet 420
133 Ketoprofen Supp suppos 6
134 Klopidogrel 75 mg Tablet
135 Kloramfenikol kapsul 250 mg tablet 650
136 Kloramfenikol salep Kulit Tube 22
137 Kloramfenikol salep mata 1 % Tube 21
138 Kloramfenikol suspensi 125 mg/5 ml Botol
139 Kloramfenikol tetes mata Botol 54
140 Kloramfenikol tetes telinga 3 % Botol 25
141 Klorfeniramin maleat (CTM) tablet 4 mg tablet 8,006
142 Klorpromazin 25mg tablet
143 Klorpromazin HCl inj 25 mg/ml - 1 ml ampul
144 Klorpromazin HCl inj 5 mg/ml - 1 ml ampul
145 Klorpromazin HCl tablet salut 100 mg tablet
146 Kodein HCl tablet 10 mg tablet
147 Kolkisin 500 mcg tablet 950
148 Kotrimoksazol suspensi kombinasi Botol 148
149 Kotrimoksazol tablet dewasa kombinasi tablet 526
150 Lamivudin tablet
151 Lansoprazole tablet
152 Levofloksasin 250mg tablet
153 Levofloksasin tetes mata 0,5% botol
154 Lidocain komp.inj. ampul
155 Lidocain inj. ampul 30
156 Loperamid Hcl tablet 324
157 Loratadin 10mg tablet
158 Magnesium sulfat inj (IV) 20%-25 ml vial
159 Magnesium sulfat inj (IV) 40%-25 ml vial 13
160 MDT MD Dewasa Paket
161 Meloksikam 15 mg tablet 1,365
162 Metformin tablet 1,146
163 Metil ergometrin maleat tablet salut 0,125 mg tablet 190
164 Metil ergometrin maleat inj 0,200mg-1ml ampul 20
165 Metil Prednisolon 4 mg tablet 3,517
166 Metil Prednisolon 8mg tablet
167 Metildopa 250mg tablet 80
168 Metoclopramid 10 gr tablet 2,500
169 Metoclopramid injeksi ampul 56
170 Metronidazol 500 mg tablet 302
171 Metronidazol supositoria 500 mg suppos
172 Metronidazole ovula 500mg ovula 25
173 Mikonazol krim Tube 61
174 Mineral Mix sachet
175 Multivitamin syr Botol 20
176 Multivitamin tab tablet
177 N-asetil sistein tablet 3,524
178 Natrium bicarbonat tablet 500 mg tablet 200
179 Natrium Diklofenak 50 mg tablet 3,185
180 Natrium klorida larutan infus 0,9% fls 88
181 Nevirapin tablet
182 Nifedipin 10 mg tablet 906
183 Nistatin suspensi botol
184 Nistatin tablet salut 500.000 IU tablet 100
185 Nistatin tablet vaginal 100.000 IU/g tablet 147
186 Oksitetrasiklin HCl salep kulit 3% Tube
187 Oksitetrasiklin HCl salep mata 1% Tube 97
188 Oksitosin inj 10 IU / ml - 1 ml ampul 50
189 Omeprazole 20mg tablet
190 Pantocain tetes mata btl
191 Papaverin tablet 40 mg tablet
192 Parasetamol Drop Botol
193 Parasetamol rektal 125 mg (dumin) suppos
194 Parasetamol rektal 250 mg (dumin) suppos 15
195 Parasetamol sirup 120mg/ml Botol 45
196 Parasetamol tablet 100 mg tablet
197 Parasetamol tablet 500 mg tablet 6,750
198 Permetrin krim 5% (Scabimite) tube 38
199 Petidin inj 50mg/ml ampul
200 Piracetam inj 3g/15ml ampul
201 Pirantel tablet 125 mg tablet
202 Pirasetam 800mg tablet
203 Piroxicam 10 mg tablet
204 Piroxicam 20 mg tablet
205 Prednison tablet 5 mg tablet 480
206 Primakuin tablet 15 mg tablet
207 Prokain benzil penisilin vial
208 Propanolol HCl tablet 10 mg tablet 275
209 Propanolol HCl tablet 40 mg tablet
210 Propiltiourasil tablet 100 mg tablet 200
211 Ramipril tablet
212 Ranitidin inj. 25mg/ml ampul 300
213 Ranitidin tablet 150 mg tablet 2,428
214 Risperidon 1 mg tablet
215 Risperidon 2 mg tablet 360
216 RL larutan infus fls 100
217 Salbutamol inhalasi 100 mcq/dosis botol 37
218 Salbutamol nebulizer Kotak
219 Salbutamol tablet 2 mg tablet 2,490
220 Salbutamol tablet 4 mg tablet 500
221 Salep 2-4 kombinasi pot 4
222 Salep luka bakar (Levertran) Tube
223 Salep Luka Bakar (Perak Sulfadiazin Krim) Tube 1
224 Salisil bedak 2% bungkus
225 Seftriakson Injeksi vial 10
226 Serum Anti Bisa Ular polivalen inj 5 ml vial 6
227 Serum Anti Rabies (SAR) Vial
228 Serum Anti Tetanus inj 1500 IU/ampul ampul
229 Simvastatin 10 mg tablet 670
230 Spironolacton 25 mg tablet 120
231 Sukralfat tablet tablet
232 Sukralfat Sirup Botol 25
233 Tablet Tambah darah tablet 220
234 Tenofovir tablet
235 Tetagam ampul
236 Tetrasiklin HCL kapsul 500 mg tablet
237 Thiamfenikol 500 mg tab tablet
238 Tramadol inj ampul
239 Trifluoperazin 5mg tablet
240 Triheksiphenidil HCl tablet 2 mg tablet 10
241 Vaksin Rabies Vero Vial
242 Vitamin A 100.000 IU tablet
243 Vitamin A 200.000 IU tablet
244 Vitamin B komplek tablet tablet
245 Vitamin B1 / Thiamin HCl tablet 50 mg tablet 87
246 Vitamin B12 / Sianokobalamin tab 50 mcg tablet
247 Vitamin B12 / Sianokobalamin Vit B12 inj 500mcg-ml ampul
248 Vitamin B6 / Pyridoksin HCL tab 10 mg tablet 42
249 Vitamin C / Asam askorbat tablet 50 mg tablet
250 Zinc syr botol 65
251 Zinc tab 20 mg tablet 90
252 BMHP Abochat (IV Chat) 18 Pcs 392
253 & Abochat (IV Chat) 20 Pcs 186
254 Reagen Abochat (IV Chat) 22 Pcs 100
255 Abochat (IV Chat) 24 Pcs 15
256 ADS 0,05 ml pcs
257 ADS 0,5 ml pcs 500
258 ADS 5 ml pcs 500
259 Alat suntik 10 ml pcs
260 Alat suntik 20 ml pcs
261 Alat suntik sekali pakai 1 ml Pcs 600
262 Alat suntik sekali pakai 2,5 ml / 3 ml Pcs 700
263 Alat suntik sekali pakai 5 ml Pcs
264 Alkacid Botol
265 Alkohol Swab sachet 200
266 Amoniak btl/1000 ml
267 Aquadest steril liter
268 Benecheck Cholesterol strip Botol
269 Benecheck Glucose strip Botol 18
270 Benecheck uric strip Botol 10
271 Blood lancet pcs 300
272 Blue tip box
273 Box Slide bok
274 Cartridge Gen Expert Pcs
275 Catgut/benang bedah Chromic 2/0 set
276 Catgut/benang bedah Chromic 3/0 set 22
277 Catgut/benang bedah Plain 2/0 set
278 Catgut/benang bedah Plain 3/0 set
279 Centrifuse Paket
280 Chlorin botol
281 Cuticell Classic pcs
282 DFI Cybow Box
283 EDTA 10 % Botol
284 Etakridin (rivanol) larutan 0,1% Botol
285 Etanol 100 ml botol.
286 Etanol 70% Botol
287 Etanol 96% botol
288 Eter Alkohol 5% botol
289 Folley Chatether pcs 6
290 Food Test - Borak Test Paket
291 Food Test - Formalin Test Paket
292 Food Test - Rhodamin Test Paket
293 Fouchet Botol
294 Handscoon psg 100
295 Handscoon Obgyn psg
296 Handscoon Steril psg 100
297 HCG Strip Pcs
298 Infusion set anak set 14
299 Infusion set dewasa set 10
300 Jarum jahit / bedah no. 9 s/d 14 Pcs
301 Jelly USG btl
302 Kaca Slide pcs
303 Kaca Tutup pcs
304 Kapas pembalut / absorben 250 g roll
305 Kasa kompres 40/40 steril lbr
306 Kasa pembalut 2 m x 80 cm roll
307 Kasa pembalut elastis 3 inchi roll
308 Kasa pembalut elastis 4 inchi roll
309 Kasa Pembalut hidrofil 3,6 m x 10 cm roll
310 Kasa Pembalut hidrofil 3,6 m x 5 cm roll
311 Kasa Pembalut hidrofil 4 m x 10 cm elastis roll
312 Kasa Pembalut hidrofil 4 m x 5 cm elastis roll
313 Kasa steril 16/16 kotak 4
314 Kassa gulung Besar 80cm x 40 m roll
315 Kertas lakmus biru pack
316 Kertas Lakmus merah pack
317 Kertas lensa pak
318 Kertas pH Universal Kotak
319 Kertas saring watchman ktk
320 kit gol. Darah A, B, AB set
321 Kondom pcs
322 Labstrip (urinalis) tube
323 Larutan Amonium Oksalat 1% Botol
324 Larutan Asam Asetat 6 % Botol
325 Larutan barium klorida Botol
326 Larutan benedict Botol
327 Larutan buffer PH 6,1 Botol
328 Larutan buffer PH 7,2 Botol
329 Larutan eosin 2% Botol
330 Larutan Etanol Asam Botol
331 Larutan giemsa stain Botol
332 Larutan H2O2 3% Botol 1 L
333 Larutan H2O2 3% Botol
334 Larutan Hayem Botol
335 Larutan HCl 0,1 N Botol
336 Larutan karbolfuksin Botol
337 Larutan metilen biru Botol
338 Larutan Na citrat Botol
339 Larutan Natrium Hipoklorid Botol/ 500ml
340 Larutan Ress Ecker Botol/ 100 ml
341 Larutan turk Botol
342 Larutan Wright Botol
343 Lisol Botol
344 Lubricant pcs
345 Mantoux tes vial
346 Masker pcs
347 Masker 3M N95 medikal respirator pcs
348 Mess pcs
349 Metanol 100 ml Botol
350 Metanol 1000 ml botol
351 Microlit tips for micropipettes MT-up to 1 ml pack
352 Mikropipet adjustable 100-1000µl unit
353 Mikropipet adjustable 5-50µl unit
354 Mikroskop malaria (nikon) unit
355 Minyak Imersi Botol
356 NAPZA Kit 6 Parameter pcs
357 Napza KIT 8 Parameter box
358 Needle 23 G Pcs
359 Pembalut gips 3 inch Roll
360 Pembalut gips 4 inch Roll
361 Pipet tetes bks/100 pcs
362 Planotest pcs
363 Plester 2,5 cmx 4,5 m roll
364 Plester 5 yard x 2 inch roll
365 Plester bulat non woven box
366 Poli Aid Botol
367 Poli Clean Botol 8
368 Poliwash botol 500ml
369 Pork Test Paket
370 Pot Sputum Pcs
371 Pot Urine Pcs
372 Povidon iodida 10% 30 ml Botol 20
373 Povidon iodida 10% 300 ml Botol 3
374 Povidon iodida 10% 60 ml Botol 3
375 Povidon Iodine 1 L Botol
376 RDT DBD Verotec Pcs
377 RDT DBD Biosen Pcs
378 RDT Hepatitis / HBSAG Strip pcs
379 RDT HIV -Fokus 1/2 casette box/25
380 RDT HIV Test (HIV 1 & 2 Anti Body) oncoprobe test
381 RDT HIV test (R1) SD Pcs
382 RDT HIV test Biomerieux (Vikia HIV 1 dan 2) ktk/25 test
383 RDT HIV test Intec (One Step Anti-HIV 1&2) Box
384 RDT Malaria / Malaria test ktk
385 RDT sifillis Pcs
386 Reagen dan Bahan alat lab.Malaria paket
387 Reagen Fotometer Kimia Klinik Randox Glukosa kit
388 Reagen Fotometer Kimia Klinik Randox Protein total kit
389 Reagen Fotometer Kimia Klinik Randox triglyserida kit
390 Reagen hematology analyzer Cointender 20 SFRI cliner 31 btl 5 L
391 Reagen hematology analyzer Cointender 20 SFRI diluent 3 btl 20 L
392 Reagen hematology analyzer Cointender 20 SFRI Lyse 31 botol 500ml
393 Reagen TB kit 2
394 Reagen widal H Vial
395 Reagen widal O Vial
396 Rotator Sifilis Unit
397 RPR Sifilis Pcs
398 Safety box pcs
399 Silk no.3/0 dengan jarum bedah set 36
400 Slang Oksigen Dewasa (Adult) pcs
401 Slang Oksigen Dewasa (Neonatus) Pcs
402 Slang Oksigen Dewasa (Pediatri) Pcs
403 Smokerlyzer D-Pieces Box
404 Smokerlyzer Mouth Pieces Box
405 Spritus Botol
406 Stomach tube FR 12 pcs
407 Stomach tube FR 14 pcs
408 Stomach tube FR 16 pcs
409 Strip asam urat (UA SURE) Botol
410 Strip asam urat Sinocare ktk
411 Strip GLUCO DR Ktk
412 Strip glukosa darah (easy touch) ktk
413 Strip glukosa On Call ktk 3
414 Strip Hb (easy touch) ktk
415 Strip Hb Mission Kotak 9
416 Strip Kolesterol Mission Ultra ktk
417 Suction cateter No.12 Pcs
418 Suction cateter No.16 Pcs
419 Suction cateter No.8 Pcs
420 Tabung non EDTA 3 ml pack
421 Tabung reaksi tutup pcs
422 Thermal paper 4 x 5 -rocheurysis 1100 roll
423 Thermal paper SFRI roll
424 Tube EDTA Box
425 Urin Bag pcs 9
426 Vacum Tube EDTA 0,5 ml Bok
427 Vacutainer sample needle pcs
428 White Tip Bks
429 wing needle 21 G pcs
430 wing needle 23 G pcs
431 wing needle 25 G pcs
432 wing needle 27 G pcs
433 Xylol Botol
434 Yellow Tip/Micropipet MT-I 200 ul bks
435 Yodiol Test Botol
436 Gigi Bahan tambalan gigi sementara (mix/Caviton) Botol
437 Devitalisasi Non Arsen botol
438 Etil klorida spray Botol
439 Eugenol cairan Botol
440 Glassionomer Cement (GC IX) / GC. Fuji Botol
441 Kalsium hidroksida pasta / Calxyl blue kotak
442 Klorfenol kamfer menthol (CHKM) Botol
443 Lidocain pasta botol
444 Needle Carpul ktk
445 Occo pembersih karang gigi botol
446 Spongestan Hemospon ktk
447 Temporary stopping fletcher Set
448 TKF botol
449 Vaksin Vaksin BCG Vial 9
450 Imunisasi Vaksin CAMPAK Vial
451 Vaksin DT Vial 33
452 Vaksin HbIg Kotak
453 Vaksin HB-UNIJECT Vial 40
454 Vaksin Hepatitis dewasa vial
455 Vaksin IPV Vial 11
456 Vaksin Meningitis Vial
457 Vaksin MR Vial
458 Vaksin PENTABIO Vial
459 Vaksin POLIO Vial 3
460 Vaksin Td Vial 30
461 Vaksin TT Vial
462 Baru MP ASI Kotak
463 BMT Bumil Kotak
464 0 0
465 0 0
466 0 0
467 0 0
468 0 0
469 0 0
470 0 0
471 0 0
472 0 0
Mengetahui,
Kepala Upt Puskesmas Padang Laweh
Ns . Gufra, S.kep
NIP. 19720901 199303 1 007
Stok Persediaan per 31 Des 2019 Penambahan tahun 2020 Kadaluarsa Tahun 2020
Harga Satuan Jumlah Volume Harga Satuan Jumlah Volume Harga Satuan Jumlah
6 7 8 9 10 11 12 13
4,200 168,000 - -
452 360,696 - -
99 47,520 2,000 105 210,000 1,830 99 181,170
88 16,280 300 88 26,400 -
120 68,400 - 475 120 57,000
99 76,131 3,300 99 326,700 -
2,789 27,890 - -
- - -
168 131,040 1,000 168 168,000 -
94 248,630 1,080 94 101,520 -
73 116,581 1,500 78 117,000 1,017 73 74,241
- 1,000 203 203,000 -
250 481,250 6,000 260 1,560,000 -
3,737 224,220 50 3,737 186,850 -
4,400 101,200 200 5,500 1,100,000 -
- - -
56 34,048 7,500 60 450,000 -
- 550 2,189 1,203,950 -
8,250 330,000 25 8,250 206,250 -
4,721 18,884 - -
3,325 83,125 150 3,325 498,750 -
- - -
- 2 260,526 521,052 2 260,526 521,052
- 12 415,469 4,985,628 -
- 2 1,454,232 2,908,464 -
- 6 2,860 17,160 -
- - -
74 94,720 3,500 79 276,500 200 74 14,800
103 7,004 5,500 297 1,633,500 -
- - -
- - -
1,684 707,280 - -
5,928 1,185,600 - -
99 37,620 - -
- 75 3,300 247,500 -
- - -
399 395,409 500 426 213,000 330 399 131,670
- - -
1,540 126,280 - -
- 500 155 77,500 -
- - -
- - -
83,190 166,380 - 2 83,190 166,380
110 297,330 - -
1,340 85,760 100 1,430 143,000 -
- - -
- 100 5,900 590,000 -
- - -
- - -
275 85,250 - 280 275 77,000
- 5 10,351 51,755 -
64 238,016 - -
154 224,840 200 154 30,800 -
880 2,328,480 - -
4,066 459,458 50 4,339 216,950 -
15,950 622,050 63 15,950 1,004,850 -
1,430 1,640,210 10 387 3,870 -
4,571 73,136 46 4,571 210,266 -
- 20 27,500 550,000 -
101 105,545 3,000 101 303,000 -
- - -
495 741,510 1,200 495 594,000 -
729 699,840 - 565 729 411,885
- - -
- 200 1,152 230,400 -
99 26,730 7,000 88 616,000 -
- - -
12,000 120,000 10 12,000 120,000 -
19,193 287,895 5 19,193 95,965 -
- 15 13,202 198,030 -
86 51,600 600 86 51,600 -
109 32,700 700 114 79,800 -
- - -
- 10 1,228 12,280 -
104 54,288 - 300 104 31,200
- - -
- - -
273 143,325 - 409 273 111,657
86 57,964 1,000 86 86,000 -
2,781 155,736 150 2,781 417,150 -
- - -
1,408 80,256 10 1,408 14,080 46 1,408 64,768
- - -
- - -
- - -
- - -
- - -
- - -
- - -
165 49,500 3,400 180 612,000 -
2,590 80,290 48 2,590 124,320 64 2,590 165,760
- - -
747 434,754 200 797 159,400 -
3,867 19,335 150 3,867 580,050 -
- - -
- - -
81 42,120 - -
- - -
257 25,700 100 274 27,400 -
- - -
- - -
- - -
3,498 20,988 24 3,498 83,952 -
125 214,125 - -
174 255,780 - -
207 603,405 3,500 207 724,500 -
- - -
12,000 95,999 4 12,000 48,000 -
- 20 7,500 150,000 -
6,900 552,000 100 7,363 736,300 -
- - -
952 818,720 - -
56 12,096 400 56 22,400 190 56 10,640
- 10 101,300 1,013,000 -
- - -
- - -
156 125,580 - -
2,475 133,650 72 2,475 178,200 -
9,999 499,950 - -
- - -
2,776 322,016 - -
- - -
- - -
- - -
- - -
- - -
- 100 165 16,500 -
59 29,500 2,000 63 126,000 -
- 200 247 49,400 -
2,518 125,900 25 2,518 62,950 -
297 357,885 300 297 89,100 -
990 415,800 - 410 990 405,900
2,380 14,280 110 2,380 261,800 -
- - -
495 321,750 - -
3,140 69,080 48 3,140 150,720 48 3,140 150,720
1,881 39,501 - -
- - -
6,500 350,995 - -
7,502 187,550 - -
25 200,150 5,500 25 137,500 -
- - -
- - -
- - -
- 400 157 62,800 -
- - -
2,750 2,612,500 - 600 2,414 1,448,400
2,052 303,696 - -
125 65,750 800 133 106,400 -
- - -
- - -
- - -
- - -
- 180 1,286 231,480 -
1,208 36,240 150 1,289 193,350 -
143 46,332 1,000 143 143,000 -
- 500 133 66,500 -
- 12 3,328 39,936 -
3,796 49,348 18 3,796 68,328 -
- - -
990 1,351,350 - -
105 119,872 4,000 106 424,000 -
221 41,990 20 236 4,720 -
2,992 59,840 56 3,102 173,712 -
137 481,829 4,700 146 686,200 -
- - -
993 79,440 - -
80 200,000 500 85 42,500 -
4,158 232,848 120 4,158 498,960 -
275 83,050 - -
- - -
3,590 89,750 - -
3,585 218,685 - -
- 160 2,727 436,320 -
4,500 90,000 200 4,500 900,000 -
- - -
357 1,258,068 3,800 381 1,447,800 40 357 14,280
66 13,200 800 66 52,800 -
127 404,495 7,800 136 1,060,800 180 127 22,860
6,410 564,080 80 6,840 547,200 -
- - -
132 119,592 - -
- - -
830 83,000 - -
572 84,084 - -
- - -
2,600 252,200 - -
1,900 95,000 70 1,199 83,930 -
- 2,400 164 393,600 -
- 2 14,993 29,986 -
- - -
- 120 6,981 837,720 -
- 15 16,995 254,925 -
17,800 267,000 5 17,800 89,000 -
1,110 49,950 700 1,110 777,000 -
- - -
56 378,000 17,000 160 2,711,500 956 56 53,536
11,825 449,350 30 11,825 354,750 -
- - -
- - -
- - -
- - -
- - -
- - -
72 34,560 1,500 77 115,500 -
- - -
- - -
57 15,675 300 61 18,300 -
- - -
451 90,200 500 451 225,500 -
- - -
1,155 346,500 300 1,155 346,500 -
165 400,620 8,500 220 1,870,000 -
- 400 228 91,200 -
273 98,280 - -
7,150 715,000 460 7,630 3,509,800 -
31,571 1,168,127 29 32,120 931,480 -
- - -
63 156,870 1,500 67 100,500 -
74 37,000 - 300 74 22,200
2,753 11,012 - -
- - -
20,700 20,700 12 20,700 248,400 -
- 12 3,190 38,280 -
4,998 49,980 10 4,998 49,980 -
479,996 2,879,976 8 512,204 4,097,632 -
- - -
- 40 130,999 5,239,960 -
110 73,700 1,500 117 175,500 276 110 30,360
195 23,400 - -
- - -
6,989 174,725 75 6,989 524,175 -
372 81,840 26,460 372 9,843,120 8,572 372 3,188,784
- - -
- 5 176,800 884,000 -
- - -
- - -
- - -
- - -
87 870 1,200 93 111,600 -
- 24 165,000 3,960,000 -
- 350 324 113,400 -
- 1,150 581 668,150 -
- 11,200 131 1,467,200 -
86 7,482 1,000 92 92,000 -
- 500 47 23,500 -
- - -
132 5,557 2,500 138 345,000 -
- 9,600 110 1,056,000 -
3,122 202,930 144 3,322 478,368 -
551 49,590 5,100 551 2,810,100 -
6,270 2,457,840 150 6,270 940,500 -
6,270 1,166,220 - -
6,270 627,000 - -
7,810 117,150 - -
- 300 1,518 455,400 -
1,091 545,455 3,200 1,518 4,857,600 -
1,705 852,500 - -
- - -
- - -
880 528,000 200 880 176,000 -
894 625,800 1,000 894 894,000 -
- 200 943 188,600 -
- - -
118 23,600 4,100 120 492,000 -
- - -
- - -
- 5 254,925 1,274,625 -
168,140 3,026,520 3 169,000 507,000 -
154,675 1,546,750 13 154,675 2,010,775 -
191 57,300 1,000 144 144,000 -
- - -
- - -
- - -
- - -
47,706 1,049,532 12 33,287 399,444 -
- - -
- 24 46,481 1,115,544 -
- - -
- - -
- 10 15,600 156,000 -
- - -
- - -
- - -
- - -
- 5 88,000 440,000 -
- - -
- - -
10,212 61,272 30 20,100 603,000 -
- - -
- - -
- - -
- - -
990 99,000 6,950 2,640 18,348,000 -
- - -
6,793 679,285 900 6,595 5,935,500 -
- 150 4,881 732,150 -
9,130 127,820 35 9,130 319,550 -
5,608 56,084 325 5,445 1,769,625 -
- - -
- 5 26,487 132,433 -
- - -
- - -
- 10 34,150 341,500 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
8,144 32,578 150 7,530 1,129,500 -
- 16 140,500 2,248,000 -
- - -
- - -
- 1 17,999 17,999 -
- - -
- - -
- 2 251,875 503,750 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 2,500 2,530 6,325,000 -
- - -
- - -
- - -
- - -
- - -
- 1 3,743,693 3,743,693 -
- 1 3,743,693 3,743,693 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 36 12,675 456,300 -
- - -
- - -
- - -
77,698 621,584 24 77,698 1,864,752 -
- - -
- 20 73,750 1,475,000 -
- 200 3,722 744,324 -
- - -
3,335 66,700 - -
20,700 62,100 10 19,633 196,333 -
23,890 71,670 20 5,187 103,730 -
- - -
- - -
- - -
- 150 8,175 1,226,250 -
- - -
- - -
- 50 11,400 570,000 -
- - -
- - -
- - -
- 300 7,250 2,175,000 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
247,000 494,000 - -
- - -
- - -
- - -
- - -
- 50 22,433 1,121,650 -
46,712 1,681,632 108 34,000 3,672,000 -
- 20 6,720 134,400 -
- 15 8,103 121,545 -
- 20 6,720 134,400 -
- - -
- - -
- - -
- - -
- - -
- - -
- 5 275,000 1,375,000 -
- 3 91,000 273,000 -
- - -
- - -
164,373 493,120 4 202,200 808,800 -
- - -
427,500 3,847,500 - -
- 6 569,700 3,418,200 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
8,877 79,893 10 8,070 80,700 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 15 6,494 97,410 -
- - -
- - -
- 8 174,900 1,399,200 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
59,950 539,550 110 78,991 8,689,010 -
- 10 28,204 282,040 -
17,996 593,868 30 17,996 539,880 -
- 3 1,325,000 3,975,000 -
20,900 836,000 115 25,597 2,943,655 -
- - -
158,994 1,748,934 50 158,994 7,949,700 -
- - -
- 119 155,813 18,541,747 -
- 220 84,382 18,564,040 -
19,954 59,862 250 19,954 4,988,500 -
16,995 509,850 120 16,995 2,039,400 -
- - -
- 17 13,901 236,322 -
- 4 17,023 68,092 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
62,495,607 230,576,636 7,356,263
14 15 16 17 18 19
40 4,200 168,000 - -
798 452 360,696 - -
590 105 61,950 60 105 6,300
485 88 42,680 - -
95 120 11,400 - -
3,459 99 342,441 610 99 60,390
10 2,976 29,760 - -
- - -
1,280 168 215,040 500 168 84,000
3,135 94 294,690 590 94 55,460
1,910 78 148,980 170 78 13,260
1,000 203 203,000 - -
6,195 260 1,610,700 1,730 260 449,800
110 3,737 411,070 - -
183 5,500 1,006,500 40 5,500 220,000
- - -
4,508 60 270,480 3,600 60 216,000
470 2,189 1,028,830 80 2,189 175,120
34 8,250 280,500 31 8,250 255,750
- 4 4,721 18,884
118 3,325 392,350 57 3,325 189,525
- - -
- - -
12 415,469 4,985,628 - -
2 1,454,232 2,908,464 - -
6 2,860 17,160 - -
- - -
1,840 79 145,360 2,740 79 216,460
3,428 297 1,018,116 2,140 297 635,580
- - -
- - -
220 1,684 370,480 200 1,684 336,800
200 5,928 1,185,600 - -
30 99 2,970 350 99 34,650
11 3,300 36,300 64 3,300 211,200
- - -
961 426 409,386 200 426 85,200
- - -
79 1,540 121,660 3 1,540 4,620
- 500 155 77,500
- - -
- - -
- - -
1,863 110 204,930 840 110 92,400
137 1,430 195,910 27 1,430 38,610
- - -
74 5,900 436,600 26 5,900 153,400
- - -
- - -
30 275 8,250 - -
- 5 10,351 51,755
3,379 68 229,772 340 68 23,120
1,270 154 195,580 390 154 60,060
2,646 880 2,328,480 - -
78 4,339 338,442 85 4,339 368,815
72 15,950 1,148,400 30 15,950 478,500
1,157 387 447,759 - -
40 4,571 182,840 22 4,571 100,562
20 27,500 550,000 - -
3,265 101 329,765 780 101 78,780
- - -
2,308 495 1,142,460 390 495 193,050
395 770 304,150 - 770 -
- - -
65 1,152 74,880 135 1,152 155,520
6,765 88 595,320 505 88 44,440
- - -
20 12,000 240,000 - -
12 19,193 230,316 8 19,193 153,544
4 13,202 52,808 11 13,202 145,222
1,000 86 86,000 200 86 17,200
1,000 114 114,000 - -
- - -
5 1,228 6,140 5 1,228 6,140
- 222 104 23,088
- - -
- - -
116 273 31,668 - -
938 86 80,668 736 86 63,296
146 2,781 406,026 60 2,781 166,860
- - -
11 1,408 15,488 10 1,408 14,080
- - -
- - -
- - -
- - -
- - -
- - -
- - -
3,120 180 561,600 580 180 104,400
15 2,590 38,850 - -
- - -
642 797 511,674 140 797 111,580
114 3,867 440,838 41 3,867 158,547
- - -
- - -
140 82 11,480 380 82 31,160
- - -
171 274 46,854 29 274 7,946
- - -
- - -
- - -
30 3,498 104,940 - -
10 125 1,250 1,703 125 212,875
1,420 174 247,080 50 174 8,700
5,415 207 1,120,905 1,000 207 207,000
- - -
12 12,000 144,000 - -
20 7,500 150,000 - -
180 7,363 1,325,340 - -
- - -
60 952 57,120 800 952 761,600
426 56 23,856 - -
- 10 101,300 1,013,000
- - -
- - -
22 156 3,432 783 156 122,148
101 2,475 249,975 25 2,475 61,875
35 9,999 349,965 15 9,999 149,985
- - -
46 2,776 127,696 70 2,776 194,320
- - -
- - -
- - -
- - -
- - -
- 100 165 16,500
700 63 44,100 1,800 63 113,400
200 247 49,400 - -
40 2,518 100,720 35 2,518 88,130
1,340 297 397,980 165 297 49,005
10 990 9,900 - -
90 2,380 214,200 26 2,380 61,880
- - -
445 495 220,275 205 495 101,475
22 3,140 69,080 - -
21 1,881 39,501 - -
- - -
54 6,500 351,000 - -
13 7,502 97,526 12 7,502 90,024
11,206 25 280,150 2,300 25 57,500
- - -
- - -
- - -
400 157 62,800 - -
- - -
350 2,414 844,900 - -
89 2,190 194,910 59 2,190 129,210
426 133 56,658 900 133 119,700
- - -
- - -
- - -
- - -
160 1,286 205,760 20 1,286 25,720
109 1,289 140,501 71 1,289 91,519
824 143 117,832 500 143 71,500
430 133 57,190 70 133 9,310
9 3,328 29,952 3 3,328 9,984
31 3,796 117,676 - -
- - -
765 990 757,350 600 990 594,000
5,056 106 535,936 90 106 9,540
174 236 41,064 36 236 8,496
76 3,102 235,752 - -
7,372 146 1,076,312 845 146 123,370
- - -
- 80 993 79,440
1,200 85 102,000 1,800 85 153,000
117 4,158 486,486 59 4,158 245,322
298 275 81,950 4 275 1,100
- - -
5 3,590 17,950 20 3,590 71,800
56 3,585 200,760 5 3,585 17,925
160 2,727 436,320 - -
220 4,500 990,000 - -
- - -
5,874 381 2,237,994 1,410 381 537,210
700 66 46,200 300 66 19,800
10,135 136 1,378,360 670 136 91,120
73 6,840 499,320 95 6,840 649,800
- - -
246 132 32,472 660 132 87,120
- - -
5 886 4,430 95 886 84,170
47 572 26,884 100 572 57,200
- - -
35 2,774 97,090 62 2,774 171,988
66 1,199 79,134 54 1,199 64,746
2,400 164 393,600 - -
2 14,993 29,986 - -
- - -
120 6,981 837,720 - -
15 16,995 254,925 - -
20 17,800 356,000 - -
535 1,110 593,850 210 1,110 233,100
- - -
21,384 160 3,410,748 1,410 160 224,895
68 11,825 804,100 - -
- - -
- - -
- - -
- - -
- - -
- - -
620 77 47,740 1,360 77 104,720
- - -
- - -
455 61 27,755 120 61 7,320
- - -
371 451 167,321 329 451 148,379
- - -
363 1,155 419,265 237 1,155 273,735
9,701 220 2,134,220 1,227 220 269,940
400 228 91,200 - -
360 287 103,320 - -
495 7,630 3,776,850 65 7,630 495,950
50 32,120 1,606,000 16 32,120 513,920
- - -
1,550 67 103,850 2,440 67 163,480
200 74 14,800 - -
- 4 2,753 11,012
- - -
11 20,700 227,700 2 20,700 41,400
12 3,190 38,280 - -
20 4,998 99,960 - -
8 512,204 4,097,632 6 512,204 3,073,224
- - -
24 130,999 3,143,976 16 130,999 2,095,984
1,604 117 187,668 290 117 33,930
120 208 24,960 - -
- - -
100 6,989 698,900 - -
13,598 372 5,058,456 4,510 372 1,677,720
- - -
5 176,800 884,000 - -
- - -
- - -
- - -
- - -
510 93 47,430 700 93 65,100
24 165,000 3,960,000 - -
350 324 113,400 - -
1,150 581 668,150 - -
11,200 131 1,467,200 - -
667 92 61,364 420 92 38,640
500 47 23,500 - -
- - -
2,542 138 350,796 - -
6,400 110 704,000 3,200 110 352,000
154 3,322 511,588 55 3,322 182,710
3,390 551 1,867,890 1,800 551 991,800
340 6,270 2,131,800 202 6,270 1,266,540
171 6,270 1,072,170 15 6,270 94,050
100 6,270 627,000 - -
15 6,270 94,050 - -
200 1,518 303,600 100 1,518 151,800
3,700 1,518 5,616,600 - -
500 1,583 791,500 - -
- - -
- - -
780 880 686,400 20 880 17,600
1,660 894 1,484,040 40 894 35,760
170 943 160,310 30 943 28,290
- - -
4,200 120 504,000 100 120 12,000
- - -
- - -
5 254,925 1,274,625 - -
20 169,000 3,380,000 1 169,000 169,000
22 154,675 3,402,850 1 154,675 154,675
1,300 144 187,200 - -
- - -
- - -
- - -
- - -
34 33,287 1,131,758 - -
- - -
24 46,481 1,115,544 - -
- - -
- - -
5 15,600 78,000 5 15,600 78,000
- - -
- - -
- - -
- - -
5 88,000 440,000 - -
- - -
- - -
36 20,100 723,600 - -
- - -
- - -
- - -
- - -
5,450 2,640 14,388,000 1,600 2,640 4,224,000
- - -
1,000 6,595 6,595,000 - -
150 4,881 732,150 - -
35 9,130 319,550 14 9,130 127,820
223 5,445 1,214,235 112 5,445 609,840
- - -
5 26,487 132,433 - -
- - -
- - -
10 34,150 341,500 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
154 7,530 1,159,620 - -
16 140,500 2,248,000 - -
- - -
- - -
1 17,999 17,999 - -
- - -
- - -
- 2 251,875 503,750
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
2,500 2,530 6,325,000 - -
- - -
- - -
- - -
- - -
- - -
1 3,743,693 3,743,693 - -
1 3,743,693 3,743,693 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
6 12,675 76,050 30 12,675 380,250
- - -
- - -
- - -
32 77,698 2,486,336 - -
- - -
20 73,750 1,475,000 - -
200 3,722 744,324 - -
- - -
20 3,335 66,700 - -
13 19,633 255,233 - -
23 5,187 119,290 - -
- - -
- - -
- - -
150 8,175 1,226,250 - -
- - -
- - -
50 11,400 570,000 - -
- - -
- - -
- - -
300 7,250 2,175,000 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
2 237,271 474,542 - -
- - -
- - -
- - -
- - -
20 22,433 448,660 30 22,433 672,990
144 34,000 4,896,000 - -
20 6,720 134,400 - -
15 8,103 121,545 - -
20 6,720 134,400 - -
- - -
- - -
- - -
- - -
- - -
- - -
5 275,000 1,375,000 - -
3 91,000 273,000 - -
- - -
- - -
7 202,200 1,415,400 - -
- - -
9 462,200 4,159,800 - -
6 569,700 3,418,200 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
10 8,070 80,700 9 8,070 72,630
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
15 6,494 97,410 - -
- - -
- - -
8 174,900 1,399,200 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
104 78,991 8,215,064 15 78,991 1,184,865
10 28,204 282,040 - -
53 17,996 953,788 10 17,996 179,960
2 1,325,000 2,650,000 1 1,325,000 1,325,000
155 25,597 3,967,535 - -
- - -
41 158,994 6,518,754 20 158,994 3,179,880
- - -
82 155,813 12,776,666 37 155,813 5,765,081
220 84,382 18,564,040 - -
253 19,954 5,048,362 - -
120 16,995 2,039,400 30 16,995 509,850
- - -
17 13,901 236,322 - -
4 17,023 68,092 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
241,157,997 44,764,671
01704 2 004
LAPORAN PERSEDIAAN OBAT DAN PERBEKALAN KESEHATAN
UPT. PUSKESMAS KOTO BARU
PER 31 DESEMBER 2020
1 2 3 4 5
1 Obat Albendazol sirup 200mg/5 ml Botol 9
2 Albendazol tablet 400 mg tablet
3 Allopurinol 100 mg tablet 855
4 Alprazolam 0,5 mg tablet 370
5 Alprazolam 1 mg tablet 500
6 Ambroxol 30 mg tablet tablet 4,638
7 Aminofilin inj 24mg/ml-10 ml ampul 4
8 Aminofilin tablet 200 mg tablet
9 Amitriptilin HCl tablet salut 25 mg tablet 1,370
10 Amlodipin 10 mg tablet 2,320
11 Amlodipin 5 mg tablet 1,400
12 Amoksisilin 250 mg tablet 2,523
13 Amoksisilin 500 mg tablet 1,105
14 Amoksisilin 250mg/5ml sirup kering botol
15 Amoksisilin sirup kering 125 mg/5 ml Botol 137
16 Antalgin injeksi 250 mg/ml-2ml ampul
17 Antasida DOEN tablet tablet 2,911
18 Antasida sirup Botol 299
19 Anti Bakteri DOEN salep Kombinasi (bacitrasin) Tube 78
20 Anti Fungi DOEN Kombinasi Pot 47
21 Anti Haemoroid DOEN kombinasi Suppos 43
22 Anti Migren (ergotamin caffein) tablet
23 Anti Tuberkulosis anak paket
24 Anti Tuberkulosis Kategori I paket 6
25 Anti Tuberkulosis Kategori II paket
26 Aqua pro injeksi steril bebas pirogen vial 47
27 Asam Folat 0,4 mg /profolat tablet
28 Asam folat 1 mg tablet 480
29 Asam mefenamat 500 mg tablet 4,817
30 Asam tranexamat inj 100 mg/ml ampul 15
31 Asam tranexamat inj 50mg/ml ampul
32 Asam Tranexamat tablet 500 mg tablet 798
33 Asam Valproat 500mg / Depakote 500 mg tablet
34 Asetosal 80 mg / Miniaspi tablet 640
35 Asiklovir Krim 5 % 5 gr Tube 106
36 Asiklovir tablet 200 mg tablet 150
37 Asiklovir tablet 400 mg tablet 1,930
38 Atripla tablet
39 Atropin sulfat injeksi 0,25 mg/ml - 1 ml ampul
40 Attapulgit (Pularex) tablet 789
41 Azitromisin tab 500 mg tablet
42 Benzatil benzil penisilin vial
43 Berotec 0,1 mg(Fenoterol HBr aerosol 100mcg/dosis) Btl
44 Betahistin mesilat tablet 1,830
45 Betametason krim 0,1% Tube 56
46 Bioplacenton tube
47 Bisacodil (dulcolax) supp suppos 23
48 Bisacodil (dulcolax) tab tablet 30
49 Bisacodil supp infant 5 mg /Dulcolax Suppos
50 Bisoprolol 5 mg tablet
51 Ca Glukonas ampul 7
52 Captopril 12,5mg tablet 1,240
53 Captopril 25 mg tablet 2,658
54 Cefadroxil tablet 1,699
55 Cefadroxyl syr 125 mg/ml Botol 2
56 Cefiksim syr kering 100mg/5ml btl 30ml 15
57 Cefixime 100mg tablet 130
58 Cefotaxim 1,0 GKombinasi
Cendo Lyteers inj tts mata 2,5 mg/ml; NaCl 8,664 Vial 22
59 mg; kalium klorida 1,32 mg botol 39
60 Cetirizin 10 mg tablet 933
61 Cetirizin syr 5mg/5ml btl 60ml 43
62 Ciprofloxacin tablet 500 mg tablet 2,009
63 Clindamisin 150 mg tablet 499
64 Clindamisin 300 mg tablet
65 Deksametason injeksi 5 mg/ml-1 ml ampul 209
66 Deksametason tablet 0,5 mg tablet 4,227
67 DHP-Frimal tablet
68 Diazepam injeksi 5 mg/ml-2 ml ampul 53
69 Diazepam rektal 10 mg Suppos 5
70 Diazepam rektal 5 mg Suppos
71 Diazepam tablet 2 mg tablet 830
72 Diazepam tablet 5 mg tablet 86
73 Dietil karbamazin sitrat tablet 100 mg tablet
74 Difenhidramin HCl inj 10 mg/ml-1 ml ampul
75 Digoksin tablet 0,25 mg tablet
76 Diltiazem tablet tablet
77 Dimenhidrinat 50 mg tablet
78 Doksisilin kapsul tablet
79 Domperidon 10 mg tablet
80 Domperidon syr Botol 72
81 Efedrin HCl tablet 25 mg tablet
82 Epinefrin HCl /adrenalin inj.0,1%-1ml ampul 118
83 Eritromisin 250 mg tablet
84 Eritromisin 500 mg tablet
85 Eritromisin sirup kering Botol
86 Etambutol 400mg tablet
87 Euthyrox tablet
88 Fenitoin natrium kapsul 30 mg tablet
89 Fenobarbital inj 50 mg/ml - 2 ml ampul
90 Fenobarbital tablet 30 mg tablet
91 Fenolgliserol tetes telinga 10% Botol 60
92 Fitomenadion (Vit K1) inj 10 mg/ml-1 ml ampul
93 Fitomenadion (Vit K1) tablet 10 mg tablet 1,477
94 Fitomenadion inj 2 mg/ml ampul 223
95 Fluoksetin / Prestine tablet
96 Furosemid injeksi ampul
97 Furosemid tablet 40 mg tablet 450
98 Gabapentin/Alpentin 100 mg kapsul
99 Garam Oralit untuk 200 ml bungkus 424
100 Gentamicin Salep Kulit Tube
101 Gentamisin inj ampul
102 Gentamisin tetes mata botol
103 Gentian violet larutan 1% Botol 29
104 Glibenklamid tablet 5 mg tablet 1,140
105 Glimepirid 1 mg tablet 2,285
106 Glimepirid 2 mg tablet 2,365
107 Gliseril Guaiakolat tablet 100 mg tablet
108 Glukosa 40% ampul
109 Glukosa larutan Infus 10% steril fls 15
110 Glukosa Larutan Infus 5% steril fls 26
111 Griseofulvin tablet 125 mg tablet
112 Griseofulvin tablet 500 mg tablet 1,815
113 Haloperidol 5 mg tablet 310
114 Haloperidol inj 50mg/ml ampul
115 Haloperidol tablet 0,5 mg tablet
116 Haloperidol tablet 1,5 mg tablet 2,970
117 Hidrochlorotiazid (HCT) tablet 25 mg tablet
118 Hidrokortison krim 2,5% Tube 236
119 Hiosin HBr Inj 20 mg ampul 48
120 Hiosin N Butil bromida tablet tablet
121 Ibuprofen suspensi 100 mg/5 ml botol 153
122 Ibuprofen tablet 200 mg tablet 1,190
123 Ibuprofen tablet 400 mg tablet 1,410
124 Ichtiol salep pot 37
125 Isoniazid 100 mg/PPINH 100 mg tablet
126 Isoniazid tablet 300 mg tablet
127 Isosorbid dinitrat tablet sublingual 5 mg tablet 644
128 Kalsium laktat (Kalk) tablet 500 mg tablet 170
129 Karbamazepin tablet 200 mg tablet 500
130 Ketokonazol krim Tube 39
131 Ketokonazol tab tablet 300
132 Ketoprofen 100mg tablet
133 Ketoprofen Supp suppos 57
134 Klopidogrel 75 mg Tablet
135 Kloramfenikol kapsul 250 mg tablet 200
136 Kloramfenikol salep Kulit Tube 7
137 Kloramfenikol salep mata 1 % Tube 67
138 Kloramfenikol suspensi 125 mg/5 ml Botol
139 Kloramfenikol tetes mata Botol 43
140 Kloramfenikol tetes telinga 3 % Botol 16
141 Klorfeniramin maleat (CTM) tablet 4 mg tablet 4,490
142 Klorpromazin 25mg tablet
143 Klorpromazin HCl inj 25 mg/ml - 1 ml ampul
144 Klorpromazin HCl inj 5 mg/ml - 1 ml ampul
145 Klorpromazin HCl tablet salut 100 mg tablet 1,610
146 Kodein HCl tablet 10 mg tablet
147 Kolkisin 500 mcg tablet 526
148 Kotrimoksazol suspensi kombinasi Botol 21
149 Kotrimoksazol tablet dewasa kombinasi tablet 1,753
150 Lamivudin tablet
151 Lansoprazole tablet
152 Levofloksasin 250mg tablet
153 Levofloksasin tetes mata 0,5% botol
154 Lidocain komp.inj. ampul 175
155 Lidocain inj. ampul 105
156 Loperamid Hcl tablet 1,415
157 Loratadin 10mg tablet 1,277
158 Magnesium sulfat inj (IV) 20%-25 ml vial 14
159 Magnesium sulfat inj (IV) 40%-25 ml vial 28
160 MDT MD Dewasa Paket 3
161 Meloksikam 15 mg tablet
162 Metformin tablet 2,995
163 Metil ergometrin maleat tablet salut 0,125 mg tablet 600
164 Metil ergometrin maleat inj 0,200mg-1ml ampul 141
165 Metil Prednisolon 4 mg tablet 3,627
166 Metil Prednisolon 8mg tablet
167 Metildopa 250mg tablet
168 Metoclopramid 10 gr tablet 510
169 Metoclopramid injeksi ampul
170 Metronidazol 500 mg tablet 2,610
171 Metronidazol supositoria 500 mg suppos
172 Metronidazole ovula 500mg ovula
173 Mikonazol krim Tube 132
174 Mineral Mix sachet 40
175 Multivitamin syr Botol 251
176 Multivitamin tab tablet
177 N-asetil sistein tablet 2,808
178 Natrium bicarbonat tablet 500 mg tablet 2,182
179 Natrium Diklofenak 50 mg tablet 1,858
180 Natrium klorida larutan infus 0,9% fls 72
181 Nevirapin tablet
182 Nifedipin 10 mg tablet 471
183 Nistatin suspensi botol 7
184 Nistatin tablet salut 500.000 IU tablet
185 Nistatin tablet vaginal 100.000 IU/g tablet 134
186 Oksitetrasiklin HCl salep kulit 3% Tube 150
187 Oksitetrasiklin HCl salep mata 1% Tube 174
188 Oksitosin inj 10 IU / ml - 1 ml ampul 115
189 Omeprazole 20mg tablet
190 Pantocain tetes mata btl 2
191 Papaverin tablet 40 mg tablet
192 Parasetamol Drop Botol
193 Parasetamol rektal 125 mg (dumin) suppos 7
194 Parasetamol rektal 250 mg (dumin) suppos 9
195 Parasetamol sirup 120mg/ml Botol 453
196 Parasetamol tablet 100 mg tablet
197 Parasetamol tablet 500 mg tablet 19,324
198 Permetrin krim 5% (Scabimite) tube 14
199 Petidin inj 50mg/ml ampul
200 Piracetam inj 3g/15ml ampul 8
201 Pirantel tablet 125 mg tablet 216
202 Pirasetam 800mg tablet 710
203 Piroxicam 10 mg tablet
204 Piroxicam 20 mg tablet
205 Prednison tablet 5 mg tablet 810
206 Primakuin tablet 15 mg tablet
207 Prokain benzil penisilin vial
208 Propanolol HCl tablet 10 mg tablet 640
209 Propanolol HCl tablet 40 mg tablet
210 Propiltiourasil tablet 100 mg tablet 580
211 Ramipril tablet
212 Ranitidin inj. 25mg/ml ampul 238
213 Ranitidin tablet 150 mg tablet 1,910
214 Risperidon 1 mg tablet
215 Risperidon 2 mg tablet 2,000
216 RL larutan infus fls 985
217 Salbutamol inhalasi 100 mcq/dosis botol 23
218 Salbutamol nebulizer Kotak 1
219 Salbutamol tablet 2 mg tablet 1,738
220 Salbutamol tablet 4 mg tablet 3,040
221 Salep 2-4 kombinasi pot 24
222 Salep luka bakar (Levertran) Tube
223 Salep Luka Bakar (Perak Sulfadiazin Krim) Tube
224 Salisil bedak 2% bungkus 37
225 Seftriakson Injeksi vial
226 Serum Anti Bisa Ular polivalen inj 5 ml vial 3
227 Serum Anti Rabies (SAR) Vial
228 Serum Anti Tetanus inj 1500 IU/ampul ampul 12
229 Simvastatin 10 mg tablet 915
230 Spironolacton 25 mg tablet 290
231 Sukralfat tablet tablet
232 Sukralfat Sirup Botol 65
233 Tablet Tambah darah tablet 9,829
234 Tenofovir tablet
235 Tetagam ampul 30
236 Tetrasiklin HCL kapsul 500 mg tablet
237 Thiamfenikol 500 mg tab tablet
238 Tramadol inj ampul
239 Trifluoperazin 5mg tablet
240 Triheksiphenidil HCl tablet 2 mg tablet 2,408
241 Vaksin Rabies Vero Vial 13
242 Vitamin A 100.000 IU tablet
243 Vitamin A 200.000 IU tablet
244 Vitamin B komplek tablet tablet 2,966
245 Vitamin B1 / Thiamin HCl tablet 50 mg tablet 1,230
246 Vitamin B12 / Sianokobalamin tab 50 mcg tablet
247 Vitamin B12 / Sianokobalamin Vit B12 inj 500mcg-ml ampul
248 Vitamin B6 / Pyridoksin HCL tab 10 mg tablet 567
249 Vitamin C / Asam askorbat tablet 50 mg tablet 3,686
250 Zinc syr botol
251 Zinc tab 20 mg tablet 127
252 BMHP Abochat (IV Chat) 18 Pcs 72
253 & Abochat (IV Chat) 20 Pcs 1
254 Reagen Abochat (IV Chat) 22 Pcs 285
255 Abochat (IV Chat) 24 Pcs 115
256 ADS 0,05 ml pcs 494
257 ADS 0,5 ml pcs 317
258 ADS 5 ml pcs 202
259 Alat suntik 10 ml pcs
260 Alat suntik 20 ml pcs 45
261 Alat suntik sekali pakai 1 ml Pcs 1,080
262 Alat suntik sekali pakai 2,5 ml / 3 ml Pcs 1,614
263 Alat suntik sekali pakai 5 ml Pcs 45
264 Alkacid Botol
265 Alkohol Swab sachet 2,500
266 Amoniak btl/1000 ml
267 Aquadest steril liter 62
268 Benecheck Cholesterol strip Botol 3
269 Benecheck Glucose strip Botol
270 Benecheck uric strip Botol 1
271 Blood lancet pcs 1,600
272 Blue tip box
273 Box Slide bok 4
274 Cartridge Gen Expert Pcs
275 Catgut/benang bedah Chromic 2/0 set
276 Catgut/benang bedah Chromic 3/0 set 129
277 Catgut/benang bedah Plain 2/0 set 17
278 Catgut/benang bedah Plain 3/0 set
279 Centrifuse Paket
280 Chlorin botol
281 Cuticell Classic pcs 10
282 DFI Cybow Box 3
283 EDTA 10 % Botol
284 Etakridin (rivanol) larutan 0,1% Botol 11
285 Etanol 100 ml botol.
286 Etanol 70% Botol 15
287 Etanol 96% botol
288 Eter Alkohol 5% botol
289 Folley Chatether pcs 13
290 Food Test - Borak Test Paket
291 Food Test - Formalin Test Paket
292 Food Test - Rhodamin Test Paket
293 Fouchet Botol
294 Handscoon psg 1,820
295 Handscoon Obgyn psg 36
296 Handscoon Steril psg 446
297 HCG Strip Pcs -
298 Infusion set anak set 10
299 Infusion set dewasa set 151
300 Jarum jahit / bedah no. 9 s/d 14 Pcs 264
301 Jelly USG btl
302 Kaca Slide pcs 648
303 Kaca Tutup pcs
304 Kapas pembalut / absorben 250 g roll 2
305 Kasa kompres 40/40 steril lbr 91
306 Kasa pembalut 2 m x 80 cm roll 6
307 Kasa pembalut elastis 3 inchi roll
308 Kasa pembalut elastis 4 inchi roll
309 Kasa Pembalut hidrofil 3,6 m x 10 cm roll 1
310 Kasa Pembalut hidrofil 3,6 m x 5 cm roll
311 Kasa Pembalut hidrofil 4 m x 10 cm elastis roll
312 Kasa Pembalut hidrofil 4 m x 5 cm elastis roll 92
313 Kasa steril 16/16 kotak 31
314 Kassa gulung Besar 80cm x 40 m roll 9
315 Kertas lakmus biru pack
316 Kertas Lakmus merah pack 1
317 Kertas lensa pak
318 Kertas pH Universal Kotak
319 Kertas saring watchman ktk
320 kit gol. Darah A, B, AB set
321 Kondom pcs 200
322 Labstrip (urinalis) tube
323 Larutan Amonium Oksalat 1% Botol 3
324 Larutan Asam Asetat 6 % Botol 2
325 Larutan barium klorida Botol
326 Larutan benedict Botol
327 Larutan buffer PH 6,1 Botol 1
328 Larutan buffer PH 7,2 Botol 4
329 Larutan eosin 2% Botol
330 Larutan Etanol Asam Botol
331 Larutan giemsa stain Botol
332 Larutan H2O2 3% Botol 1 L
333 Larutan H2O2 3% Botol
334 Larutan Hayem Botol
335 Larutan HCl 0,1 N Botol
336 Larutan karbolfuksin Botol
337 Larutan metilen biru Botol
338 Larutan Na citrat Botol
339 Larutan Natrium Hipoklorid Botol/ 500ml
340 Larutan Ress Ecker Botol/ 100 ml
341 Larutan turk Botol
342 Larutan Wright Botol
343 Lisol Botol 1
344 Lubricant pcs 100
345 Mantoux tes vial
346 Masker pcs 2,200
347 Masker 3M N95 medikal respirator pcs
348 Mess pcs 100
349 Metanol 100 ml Botol 1
350 Metanol 1000 ml botol
351 Microlit tips for micropipettes MT-up to 1 ml pack 1
352 Mikropipet adjustable 100-1000µl unit
353 Mikropipet adjustable 5-50µl unit
354 Mikroskop malaria (nikon) unit
355 Minyak Imersi Botol
356 NAPZA Kit 6 Parameter pcs
357 Napza KIT 8 Parameter box
358 Needle 23 G Pcs
359 Pembalut gips 3 inch Roll 5
360 Pembalut gips 4 inch Roll 5
361 Pipet tetes bks/100 pcs
362 Planotest pcs 250
363 Plester 2,5 cmx 4,5 m roll
364 Plester 5 yard x 2 inch roll
365 Plester bulat non woven box 155
366 Poli Aid Botol 4
367 Poli Clean Botol 84
368 Poliwash botol 500ml
369 Pork Test Paket
370 Pot Sputum Pcs 340
371 Pot Urine Pcs
372 Povidon iodida 10% 30 ml Botol 38
373 Povidon iodida 10% 300 ml Botol 51
374 Povidon iodida 10% 60 ml Botol 57
375 Povidon Iodine 1 L Botol
376 RDT DBD Verotec Pcs
377 RDT DBD Biosen Pcs
378 RDT Hepatitis / HBSAG Strip pcs
379 RDT HIV -Fokus 1/2 casette box/25
380 RDT HIV Test (HIV 1 & 2 Anti Body) oncoprobe test
381 RDT HIV test (R1) SD Pcs 150
382 RDT HIV test Biomerieux (Vikia HIV 1 dan 2) ktk/25 test
383 RDT HIV test Intec (One Step Anti-HIV 1&2) Box
384 RDT Malaria / Malaria test ktk
385 RDT sifillis Pcs 200
386 Reagen dan Bahan alat lab.Malaria paket
387 Reagen Fotometer Kimia Klinik Randox Glukosa kit
388 Reagen Fotometer Kimia Klinik Randox Protein total kit
389 Reagen Fotometer Kimia Klinik Randox triglyserida kit
390 Reagen
Reagen hematology
hematology analyzer
analyzer Cointender
Cointender 20
20 SFRI
SFRI cliner
diluent31 btl 5 L
391 31 btl 20 L
392 Reagen hematology analyzer Cointender 20 SFRI Lyse 31 botol 500ml
393 Reagen TB kit 1
394 Reagen widal H Vial 1
395 Reagen widal O Vial 1
396 Rotator Sifilis Unit 1
397 RPR Sifilis Pcs
398 Safety box pcs 100
399 Silk no.3/0 dengan jarum bedah set 122
400 Slang Oksigen Dewasa (Adult) pcs 7
401 Slang Oksigen Dewasa (Neonatus) Pcs 12
402 Slang Oksigen Dewasa (Pediatri) Pcs 7
403 Smokerlyzer D-Pieces Box
404 Smokerlyzer Mouth Pieces Box
405 Spritus Botol 3
406 Stomach tube FR 12 pcs
407 Stomach tube FR 14 pcs
408 Stomach tube FR 16 pcs
409 Strip asam urat (UA SURE) Botol
410 Strip asam urat Sinocare ktk 16
411 Strip GLUCO DR Ktk
412 Strip glukosa darah (easy touch) ktk
413 Strip glukosa On Call ktk 3
414 Strip Hb (easy touch) ktk
415 Strip Hb Mission Kotak 8
416 Strip Kolesterol Mission Ultra ktk 4
417 Suction cateter No.12 Pcs
418 Suction cateter No.16 Pcs
419 Suction cateter No.8 Pcs
420 Tabung non EDTA 3 ml pack
421 Tabung reaksi tutup pcs
422 Thermal paper 4 x 5 -rocheurysis 1100 roll
423 Thermal paper SFRI roll 3
424 Tube EDTA Box
425 Urin Bag pcs 28
426 Vacum Tube EDTA 0,5 ml Bok
427 Vacutainer sample needle pcs
428 White Tip Bks
429 wing needle 21 G pcs
430 wing needle 23 G pcs
431 wing needle 25 G pcs
432 wing needle 27 G pcs
433 Xylol Botol
434 Yellow Tip/Micropipet MT-I 200 ul bks
435 Yodiol Test Botol 5
436 Gigi Bahan tambalan gigi sementara (mix/Caviton) Botol
437 Devitalisasi Non Arsen botol
438 Etil klorida spray Botol 10
439 Eugenol cairan Botol
440 Glassionomer Cement (GC IX) / GC. Fuji Botol
441 Kalsium hidroksida pasta / Calxyl blue kotak
442 Klorfenol kamfer menthol (CHKM) Botol
443 Lidocain pasta botol
444 Needle Carpul ktk
445 Occo pembersih karang gigi botol
446 Spongestan Hemospon ktk 48
447 Temporary stopping fletcher Set
448 TKF botol
449 Vaksin Vaksin BCG Vial 10
450 Imunisasi Vaksin CAMPAK Vial
451 Vaksin DT Vial 15
452 Vaksin HbIg Kotak
453 Vaksin HB-UNIJECT Vial 81
454 Vaksin Hepatitis dewasa vial
455 Vaksin IPV Vial 14
456 Vaksin Meningitis Vial
457 Vaksin MR Vial
458 Vaksin PENTABIO Vial 21
459 Vaksin POLIO Vial 34
460 Vaksin Td Vial 58
461 Vaksin TT Vial
462 Baru MP ASI Kotak
463 BMT Bumil Kotak
464 0 0 -
465 0 0 -
466 0 0 -
467 0 0 -
468 0 0 -
469 0 0 -
470 0 0 -
471 0 0 -
472 0 0 -
Mengetahui,
Kepala Unit Layanan Puskesmas
Koto Baru
Harga Satuan Jumlah Volume Harga Satuan Jumlah Volume Harga Satuan Jumlah
6 7 8 9 10 11 12 13
4,200 37,800 240 4,200 1,008,000 -
- 9,330 452 4,217,160 -
99 84,645 3,500 105 367,500 475 99 47,025
88 32,560 - -
120 60,000 - 190 120 22,800
99 459,162 13,000 99 1,287,000 -
2,789 11,156 90 2,976 267,840 -
- - -
168 230,160 - -
94 218,080 12,000 94 1,128,000 -
73 102,200 10,800 78 842,400 -
203 512,169 4,000 203 812,000 -
250 276,250 20,000 260 5,200,000 -
- - -
4,400 602,800 500 5,500 2,750,000 -
- - -
56 163,016 9,400 60 564,000 -
2,051 613,249 1,850 2,189 4,049,650 -
8,250 643,500 200 8,250 1,650,000 -
4,721 221,887 - -
3,325 142,975 100 3,325 332,500 -
- - -
- 15 260,526 3,907,890 -
408,812 2,452,872 21 415,469 8,724,849 -
- - -
2,860 134,420 276 2,860 789,360 -
- - -
74 35,520 1,500 79 118,500 -
103 496,151 9,500 297 2,821,500 -
1,957 29,355 - -
- - -
1,684 1,343,832 - -
- - -
99 63,360 - -
3,300 349,800 50 3,300 165,000 -
245 36,750 - -
399 770,070 - -
- - -
- 20 - -
160 126,240 - -
- - -
- - -
- - -
110 201,300 4,100 110 451,000 -
1,340 75,040 250 1,430 357,500 -
- - -
5,900 135,700 50 5,900 295,000 -
327 9,810 - -
- - -
- - -
10,351 72,457 - 7 10,351 72,457
64 79,360 1,500 68 102,000 -
154 409,332 - -
880 1,495,120 3,000 880 2,640,000 -
4,066 8,132 50 4,339 216,950 -
15,950 239,250 50 15,950 797,500 -
1,430 185,900 600 387 232,200 -
4,571 100,562 210 4,571 959,910 -
26,400 1,029,600 10 27,500 275,000 -
101 94,233 7,000 101 707,000 -
2,973 127,839 - -
495 994,455 6,500 495 3,217,500 -
729 363,771 1,800 770 1,386,000 467 729 340,443
- - -
1,152 240,768 350 1,152 403,200 -
99 418,473 22,500 88 1,980,000 -
- - -
12,000 636,000 25 12,000 300,000 -
19,193 95,965 55 19,193 1,055,615 -
- 40 13,202 528,080 -
86 71,380 500 86 43,000 -
109 9,374 1,100 114 125,400 -
- - -
- 20 1,228 24,560 -
- - -
- - -
- - -
- - -
- 900 86 77,400 -
2,781 200,232 350 2,781 973,350 -
- - -
1,408 166,144 150 1,408 211,200 132 1,408 185,856
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 100 180 18,000 -
2,590 155,400 72 2,590 186,480 39 2,590 101,010
- - 3,600 - -
747 1,103,319 1,000 797 797,000 100 747 74,700
3,867 862,341 120 3,867 464,040 94 3,867 363,498
- - -
- - -
81 36,450 300 82 24,600 -
- - -
257 108,968 1,500 274 411,000 -
- - -
- - -
- - -
3,498 101,442 48 3,498 167,904 -
125 142,500 - 760 125 95,000
174 397,590 2,000 174 348,000 -
207 489,555 7,000 207 1,449,000 -
- - -
- - -
7,500 112,500 - -
6,900 179,400 60 7,363 441,780 -
- - -
952 1,727,880 1,000 952 952,000 950 952 904,400
56 17,360 500 56 28,000 -
- - -
- 2,300 55 126,500 -
59 175,230 4,500 59 265,500 -
- - -
2,475 584,100 96 2,475 237,600 -
9,999 479,952 - -
- - -
2,776 424,728 300 2,776 832,800 -
253 301,070 - -
330 465,300 7,000 330 2,310,000 -
6,500 240,496 - -
- - -
- - -
165 106,260 200 165 33,000 -
59 10,030 7,000 63 441,000 -
280 140,000 700 247 172,900 -
2,518 98,202 350 2,518 881,300 -
297 89,100 1,500 297 445,500 -
- - -
2,380 135,660 540 2,380 1,285,200 -
- - -
495 99,000 - -
3,140 21,980 48 3,140 150,720 -
1,881 126,027 48 1,881 90,288 -
- - -
6,500 279,496 - -
7,502 120,032 20 7,502 150,040 -
25 112,250 26,000 25 650,000 -
240 - - -
- - -
- - -
155 249,550 4,300 157 675,100 -
600 - - -
2,750 1,446,500 - -
2,052 43,092 200 2,190 438,000 -
125 219,125 2,000 133 266,000 -
- - -
- 540 334 180,360 -
- - -
- - -
1,205 210,875 840 1,286 1,080,240 151 1,205 181,955
1,208 126,840 - -
143 202,345 1,800 143 257,400 -
125 159,625 2,000 133 266,000 -
3,200 44,800 12 3,328 39,936 1 3,200 3,200
3,796 106,288 18 3,796 68,328 18 3,796 68,328
39,880 119,640 - -
- - -
105 313,277 10,000 106 1,060,000 -
221 132,600 - -
2,992 421,872 60 3,102 186,120 121 2,992 362,032
137 496,899 8,000 146 1,168,000 -
- - -
- - -
80 40,800 2,500 85 212,500 -
- 750 4,158 3,118,500 -
275 717,750 - -
- - -
- - -
3,585 473,220 - -
3,116 124,640 800 2,727 2,181,600 -
4,500 1,129,500 400 4,500 1,800,000 -
- - -
357 1,002,456 7,800 381 2,971,800 -
66 144,012 1,500 66 99,000 -
127 235,966 19,000 136 2,584,000 -
6,410 461,520 360 6,840 2,462,400 -
- - -
132 62,172 500 132 66,000 -
34,980 244,860 10 34,980 349,800 -
- - -
572 76,648 - -
3,850 577,500 25 3,850 96,250 -
2,600 452,400 50 2,774 138,700 -
1,900 218,500 90 1,199 107,910 50 1,199 59,950
- 3,300 164 541,200 -
14,993 29,986 - -
- - -
- 900 6,981 6,282,900 -
16,995 118,965 70 16,995 1,189,650 -
17,800 160,200 5 17,800 89,000 -
1,110 502,830 1,900 1,110 2,109,000 -
- - -
56 1,082,144 45,100 160 7,193,450 2,891 56 161,896
11,825 165,550 70 11,825 827,750 -
- - -
11,990 95,920 12 11,990 143,880 -
302 65,232 - 216 302 65,232
800 567,787 - 245 800 195,927
- - -
- - -
72 58,320 500 77 38,500 -
- - -
- - -
57 36,480 - -
- - -
451 261,580 1,000 451 451,000 -
- - -
1,155 274,890 2,600 1,155 3,003,000 -
165 315,150 19,500 220 4,290,000 -
- - -
273 546,000 1,000 287 287,000 -
7,150 7,042,750 2,100 7,630 16,023,000 -
31,571 726,133 90 32,120 2,890,800 -
192,000 192,000 10 220,000 2,200,000 -
63 109,494 3,500 67 234,500 -
74 224,960 - -
2,753 66,072 - -
- - -
- - -
3,190 118,030 102 3,190 325,380 -
- 30 4,998 149,940 -
479,996 1,439,988 7 512,204 3,585,428 -
- - -
130,999 1,571,988 160 130,999 20,959,840 -
110 100,650 2,100 117 245,700 1,069 110 117,590
195 56,550 400 208 83,200 290 195 56,550
296 - - -
6,989 454,285 100 6,989 698,900 -
372 3,656,388 37,800 372 14,061,600 3,393 372 1,262,196
- - -
176,800 5,304,000 - -
- - -
- - -
- - -
- - -
87 209,496 9,000 93 837,000 -
165,000 2,145,000 108 165,000 17,820,000 -
- 800 324 259,200 -
- 5,350 581 3,108,350 -
123 364,818 30,400 131 3,982,400 -
86 105,780 - -
- - -
- - -
132 75,014 2,000 138 276,000 -
110 405,460 22,000 110 2,420,000 -
- 144 3,322 478,368 -
551 69,977 3,000 551 1,653,000 -
6,270 451,440 50 6,270 313,500 -
6,270 6,270 50 6,270 313,500 -
6,270 1,786,950 1,200 6,270 7,524,000 -
7,810 898,150 150 6,270 940,500 -
1,392 687,648 1,500 1,518 2,277,000 -
1,091 345,818 6,800 1,518 10,322,400 -
1,705 344,410 800 1,583 1,266,400 -
- - -
3,080 138,600 - -
880 950,400 - -
894 1,442,916 4,500 894 4,023,000 -
943 42,435 2,000 943 1,886,000 -
- 3 2,837,835 8,513,505 -
118 295,000 500 120 60,000 -
- - -
3,465 214,830 - -
255,048 765,144 6 255,048 1,530,288 -
- 20 169,000 3,380,000 -
154,675 154,675 13 154,675 2,010,775 -
191 305,600 500 144 72,000 -
- - -
82,980 331,920 - -
- - -
- 36 33,565 1,208,340 -
47,706 6,154,074 228 33,287 7,589,436 -
35,125 597,125 - -
- - -
- - -
- 20 60,000 1,200,000 -
14,689 146,890 10 15,600 156,000 -
143,700 431,100 3 143,700 431,100 -
- - -
3,450 37,950 20 4,150 83,000 -
6,899 - - -
69,300 1,039,500 39 88,000 3,432,000 -
95,000 - 2 95,000 190,000 -
93,999 - - -
10,212 132,756 90 20,100 1,809,000 -
- - -
- - -
- - -
- - -
990 1,801,800 12,800 2,640 33,792,000 -
21,296 766,656 30 40,733 1,221,990 -
6,793 3,029,611 650 6,595 4,286,750 -
1,679 - 250 4,881 1,220,250 -
9,130 91,300 40 9,130 365,200 -
5,608 846,861 1,200 5,445 6,534,000 -
2,188 577,632 - -
- 4 26,487 105,947 -
307 198,801 - -
- - -
31,694 63,388 65 34,150 2,219,750 -
1,760 160,160 117 1,760 205,920 -
11,322 67,932 47 11,322 532,134 -
- - -
- - -
2,609 2,609 100 2,471 247,100 -
- - -
- - -
1,174 108,008 200 590 118,000 -
8,144 252,476 70 7,530 527,100 -
165,720 1,491,480 23 140,500 3,231,500 -
- - -
85,556 85,556 - -
- - -
- - -
- - -
- 2 251,875 503,750 -
358 71,600 - -
- - -
90,000 269,999 - -
30,000 60,000 5 30,000 150,000 -
- - -
- - -
98,667 98,667 - -
57,750 231,000 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
47,150 47,150 12 47,150 565,800 -
486 48,600 - -
- - -
676 1,487,640 2,500 2,530 6,325,000 -
- - -
3,150 315,000 600 3,150 1,890,000 -
50,000 50,000 - -
- - -
238,100 238,100 - -
- 2 3,743,693 7,487,386 -
- 2 3,743,693 7,487,386 -
- - -
- - -
- - -
- - -
- - -
24,675 123,375 - -
34,125 170,625 - -
- - -
1,939 484,750 - -
- 100 12,675 1,267,500 -
- - -
33,880 5,251,400 - -
601,677 2,406,708 - -
77,698 6,526,632 30 77,698 2,330,940 -
- - -
- - -
2,379 808,860 200 3,722 744,324 -
- 575 2,631 1,512,825 -
3,335 126,730 - -
20,700 1,055,700 - -
23,890 1,361,730 - -
- - -
- - -
- - -
- 350 8,175 2,861,250 -
- - -
- - -
11,975 1,796,250 600 11,400 6,840,000 -
- - -
- - -
- - -
20,400 4,080,000 450 7,250 3,262,500 -
- 1 1,306,996 1,306,996 -
- - -
- - -
- - -
- - -
- - -
- - -
247,000 247,000 2 237,271 474,542 -
81,285 81,285 1 75,625 75,625 -
81,285 81,285 1 75,625 75,625 -
3,885,000 3,885,000 - -
- - -
21,500 2,150,000 150 22,433 3,364,950 -
46,712 5,698,864 360 34,000 12,240,000 -
6,720 47,040 26 6,720 174,720 -
8,103 97,236 - -
6,720 47,040 - -
- - -
- - -
30,000 90,000 - -
- - -
- - -
- - -
- - -
96,260 1,540,161 2 91,000 182,000 -
- - -
- - -
164,373 493,120 2 202,200 404,400 -
- - -
427,500 3,420,000 13 462,200 6,008,600 -
526,250 2,105,000 11 569,700 6,266,700 -
- - -
- - -
- - -
- - -
- - -
- - -
300,000 900,000 - -
- - -
8,877 248,556 115 8,070 928,050 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 1 186,700 186,700 -
6,494 32,472 14 6,494 90,916 -
- - -
- - -
174,900 1,749,000 - -
- - -
- - -
- - -
- - -
- - -
- 1 151,999 151,999 -
- - -
83,800 4,022,400 - 48 83,800 4,022,400
- - -
- - -
59,950 599,500 230 78,991 18,167,930 -
- 30 28,204 846,120 -
17,996 269,940 85 17,996 1,529,660 -
- 1 1,325,000 1,325,000 -
20,900 1,692,900 400 25,597 10,238,800 -
- - -
158,994 2,225,916 70 158,994 11,129,580 -
- - -
- 295 155,813 45,964,835 -
78,991 1,658,811 480 84,382 40,503,360 -
19,954 678,436 370 19,954 7,382,980 -
16,995 985,710 160 16,995 2,719,200 -
16,995 - - -
- 3 13,901 41,704 -
- 2 17,023 34,046 -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
- - - -
155,531,991 542,518,629 8,764,445
Pengeluaran/Penggunaan Tahun 2020 Sisa/Stok Persediaan per 31 Des 2020
14 15 16 17 18 19
249 4,200 1,045,800 - -
9,330 452 4,217,160 - -
3,605 105 378,525 275 105 28,875
265 88 23,320 105 88 9,240
10 120 1,200 300 120 36,000
12,492 99 1,236,708 5,146 99 509,454
70 2,976 208,320 24 2,976 71,424
- - -
1,335 168 224,280 35 168 5,880
9,455 94 888,770 4,865 94 457,310
10,262 78 800,436 1,938 78 151,164
3,628 203 736,484 2,895 203 587,685
17,545 260 4,561,700 3,560 260 925,600
- - -
552 5,500 3,036,000 85 5,500 467,500
- - -
7,611 60 456,660 4,700 60 282,000
1,858 2,189 4,067,162 291 2,189 636,999
152 8,250 1,254,000 126 8,250 1,039,500
13 4,721 61,373 34 4,721 160,514
92 3,325 305,900 51 3,325 169,575
- - -
13 260,526 3,386,838 2 260,526 521,052
15 415,469 6,232,035 12 415,469 4,985,628
- - -
222 2,860 634,920 101 2,860 288,860
- - -
680 79 53,720 1,300 79 102,700
9,927 297 2,948,319 4,390 297 1,303,830
15 2,088 31,320 - -
- - -
798 1,684 1,343,832 - -
- - -
20 99 1,980 620 99 61,380
108 3,300 356,400 48 3,300 158,400
30 245 7,350 120 245 29,400
1,655 426 705,030 275 426 117,150
- - -
3 1,540 4,620 17 1,540 26,180
789 155 122,295 - -
- - -
- - -
- - -
3,795 110 417,450 2,135 110 234,850
184 1,430 263,120 122 1,430 174,460
- - -
53 5,900 312,700 20 5,900 118,000
30 327 9,810 - -
- - -
- - -
- - -
1,490 68 101,320 1,250 68 85,000
914 154 140,756 1,744 154 268,576
3,519 880 3,096,720 1,180 880 1,038,400
18 4,339 78,102 34 4,339 147,526
58 15,950 925,100 7 15,950 111,650
540 387 208,980 190 387 73,530
145 4,571 662,795 87 4,571 397,677
48 27,500 1,320,000 1 27,500 27,500
4,913 101 496,213 3,020 101 305,020
11 2,973 32,703 32 2,973 95,136
6,509 495 3,221,955 2,000 495 990,000
1,832 770 1,410,640 - -
- - -
274 1,152 315,648 285 1,152 328,320
21,835 88 1,921,480 4,892 88 430,496
- - -
14 12,000 168,000 64 12,000 768,000
28 19,193 537,404 32 19,193 614,176
10 13,202 132,020 30 13,202 396,060
830 86 71,380 500 86 43,000
741 114 84,474 445 114 50,730
- - -
4 1,228 4,912 16 1,228 19,648
- - -
- - -
- - -
- - -
900 86 77,400 - -
328 2,781 912,168 94 2,781 261,414
- - -
86 1,408 121,088 50 1,408 70,400
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 100 180 18,000
90 2,590 233,100 3 2,590 7,770
- - -
957 797 762,729 1,420 797 1,131,740
184 3,867 711,528 65 3,867 251,355
- - -
- - -
640 82 52,480 110 82 9,020
- - -
1,371 274 375,654 553 274 151,522
- - -
- - -
- - -
11 3,498 38,478 66 3,498 230,868
380 125 47,500 - -
3,905 174 679,470 380 174 66,120
5,315 207 1,100,205 4,050 207 838,350
- - -
- - -
15 7,500 112,500 - -
66 7,363 485,958 20 7,363 147,260
- - -
785 952 747,320 1,080 952 1,028,160
810 56 45,360 - -
- - -
950 55 52,250 1,350 55 74,250
7,420 59 437,780 50 59 2,950
- - -
253 2,475 626,175 79 2,475 195,525
48 9,999 479,952 - -
- - -
367 2,776 1,018,792 86 2,776 238,736
1,190 253 301,070 - -
5,270 330 1,739,100 3,140 330 1,036,200
21 6,500 136,500 16 6,500 103,998
- - -
- - -
204 165 33,660 640 165 105,600
555 63 34,965 6,615 63 416,745
600 247 148,200 600 247 148,200
294 2,518 740,292 95 2,518 239,210
1,330 297 395,010 470 297 139,590
- - -
593 2,380 1,411,340 4 2,380 9,520
- - -
- 200 495 99,000
55 3,140 172,700 - -
107 1,881 201,267 8 1,881 15,048
- - -
43 6,500 279,500 - -
36 7,502 270,072 - -
17,534 25 438,350 12,956 25 323,900
- - -
- - -
- - -
4,365 157 685,305 1,545 157 242,565
- - -
526 2,414 1,269,764 - -
80 2,190 175,200 141 2,190 308,790
2,358 133 313,614 1,395 133 185,535
- - -
440 334 146,960 100 334 33,400
- - -
- - -
617 1,286 793,462 247 1,286 317,642
25 1,289 32,225 80 1,289 103,120
3,025 143 432,575 190 143 27,170
1,462 133 194,446 1,815 133 241,395
17 3,328 56,576 8 3,328 26,624
19 3,796 72,124 9 3,796 34,164
2 39,880 79,760 1 39,880 39,880
- - -
10,885 106 1,153,810 2,110 106 223,660
- 600 236 141,600
50 3,102 155,100 30 3,102 93,060
6,053 146 883,738 5,574 146 813,804
- - -
- - -
2,450 85 208,250 560 85 47,600
600 4,158 2,494,800 150 4,158 623,700
2,380 275 654,500 230 275 63,250
- - -
- - -
132 3,585 473,220 - -
840 2,727 2,290,680 - -
651 4,500 2,929,500 - -
- - -
6,763 381 2,576,703 3,845 381 1,464,945
1,785 66 117,810 1,897 66 125,202
16,864 136 2,293,504 3,994 136 543,184
287 6,840 1,963,080 145 6,840 991,800
- - -
461 132 60,852 510 132 67,320
12 34,980 419,760 5 34,980 174,900
- - -
6 572 3,432 128 572 73,216
170 3,850 654,500 5 3,850 19,250
80 2,774 221,920 144 2,774 399,456
83 1,199 99,517 72 1,199 86,328
3,300 164 541,200 - -
- 2 14,993 29,986
- - -
599 6,981 4,181,619 301 6,981 2,101,281
77 16,995 1,308,615 - -
14 17,800 249,200 - -
1,730 1,110 1,920,300 623 1,110 691,530
- - -
56,478 160 9,008,241 5,055 160 806,273
84 11,825 993,300 - -
- - -
9 11,990 107,910 11 11,990 131,890
302 - - -
465 800 372,000 - -
- - -
- - -
1,010 77 77,770 300 77 23,100
- - -
- - -
640 61 39,040 - -
- - -
1,080 451 487,080 500 451 225,500
- - -
2,067 1,155 2,387,385 771 1,155 890,505
17,330 220 3,812,600 4,080 220 897,600
- - -
2,950 287 846,650 50 287 14,350
2,665 7,630 20,333,950 420 7,630 3,204,600
83 32,120 2,665,960 30 32,120 963,600
6 220,000 1,320,000 5 220,000 1,100,000
2,998 67 200,866 2,240 67 150,080
837 74 61,938 2,203 74 163,022
17 2,753 46,801 7 2,753 19,271
- - -
- - -
71 3,190 226,490 68 3,190 216,920
30 4,998 149,940 - -
6 512,204 3,073,224 4 512,204 2,048,816
- - -
138 130,999 18,077,862 34 130,999 4,453,966
1,436 117 168,012 510 117 59,670
100 208 20,800 300 208 62,400
- - -
165 6,989 1,153,185 - -
43,370 372 16,133,640 866 372 322,152
- - -
30 176,800 5,304,000 - -
- - -
- - -
- - -
- - -
8,008 93 744,744 3,400 93 316,200
106 165,000 17,490,000 15 165,000 2,475,000
800 324 259,200 - -
5,350 581 3,108,350 - -
25,705 131 3,367,355 7,661 131 1,003,591
600 92 55,200 630 92 57,960
- - -
- - -
1,420 138 195,960 1,147 138 158,286
17,319 110 1,905,090 8,367 110 920,370
33 3,322 109,626 111 3,322 368,742
1,287 551 709,137 1,840 551 1,013,840
4 6,270 25,080 118 6,270 739,860
- 51 6,270 319,770
1,119 6,270 7,016,130 366 6,270 2,294,820
181 6,270 1,134,870 84 6,270 526,680
1,494 1,518 2,267,892 500 1,518 759,000
6,717 1,518 10,196,406 400 1,518 607,200
1,002 1,583 1,586,166 - -
- - -
45 3,080 138,600 - -
539 880 474,320 541 880 476,080
4,679 894 4,183,026 1,435 894 1,282,890
1,226 943 1,156,118 819 943 772,317
3 2,837,835 8,513,505 - -
1,800 120 216,000 1,200 120 144,000
- - -
62 3,465 214,830 - -
6 254,925 1,529,550 3 254,925 764,775
15 169,000 2,535,000 5 169,000 845,000
2 154,675 309,350 12 154,675 1,856,100
1,200 144 172,800 900 144 129,600
- - -
1 82,980 82,980 3 82,980 248,940
- - -
- 36 33,565 1,208,340
345 33,287 11,484,015 12 33,287 399,444
17 35,125 597,125 - -
- - -
- - -
3 60,000 180,000 17 60,000 1,020,000
12 15,600 187,200 8 15,600 124,800
6 143,700 862,200 - -
- - -
31 4,150 128,650 - -
- - -
52 88,000 4,576,000 2 88,000 176,000
2 95,000 190,000 - -
- - -
76 20,100 1,527,600 27 20,100 542,700
- - -
- - -
- - -
- - -
14,480 2,640 38,227,200 140 2,640 369,600
57 40,733 2,321,781 9 40,733 366,597
1,019 6,595 6,720,305 77 6,595 507,815
250 4,881 1,220,250 - -
34 9,130 310,420 16 9,130 146,080
1,033 5,445 5,624,685 318 5,445 1,731,510
124 2,188 271,312 140 2,188 306,320
2 26,487 52,973 2 26,487 52,973
648 417 270,000 - -
- - -
46 34,150 1,570,900 21 34,150 717,150
124 1,760 218,240 84 1,760 147,840
33 11,322 373,626 20 11,322 226,439
- - -
- - -
46 2,471 113,666 55 2,471 135,905
- - -
- - -
93 590 54,870 199 590 117,410
69 7,530 519,570 32 7,530 240,960
26 140,500 3,653,000 6 140,500 843,000
- - -
- 1 85,556 85,556
- - -
- - -
- - -
2 251,875 503,750 - -
200 358 71,600 - -
- - -
- 3 90,000 269,999
1 30,000 30,000 6 30,000 180,000
- - -
- - -
- 1 98,667 98,667
- 4 57,750 231,000
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
10 47,150 471,500 3 47,150 141,450
100 486 48,600 - -
- - -
3,550 2,530 8,981,500 1,150 2,530 2,909,500
- - -
500 3,150 1,575,000 200 3,150 630,000
- 1 50,000 50,000
- - -
1 238,100 238,100 - -
2 3,743,693 7,487,387 - -
2 3,743,693 7,487,387 - -
- - -
- - -
- - -
- - -
- - -
- 5 24,675 123,375
- 5 34,125 170,625
- - -
150 1,939 290,850 100 1,939 193,900
44 12,675 557,700 56 12,675 709,800
- - -
18 33,880 609,840 137 33,880 4,641,560
2 601,677 1,203,354 2 601,677 1,203,354
114 77,698 8,857,572 - -
- - -
- - -
540 3,722 2,009,674 - -
575 2,631 1,512,825 - -
38 3,335 126,730 - -
49 19,633 962,033 2 19,633 39,267
51 5,187 264,512 6 5,187 31,119
- - -
- - -
- - -
325 8,175 2,656,875 25 8,175 204,375
- - -
- - -
575 11,400 6,555,000 175 11,400 1,995,000
- 487,000 - - -
- - - -
- 161,900 - - -
500 7,250 3,625,000 150 7,250 1,087,500
1 1,306,996 1,306,996 - -
- - -
- - -
- - -
- - -
- - -
- - -
1 237,271 237,271 2 237,271 474,542
2 75,625 151,250 - -
2 75,625 151,250 - -
1 3,885,000 3,885,000 - -
- - -
120 22,433 2,691,960 130 22,433 2,916,290
380 34,000 12,920,000 102 34,000 3,468,000
14 6,720 94,080 19 6,720 127,680
3 8,103 24,309 9 8,103 72,927
7 6,720 47,040 - -
- - -
- - -
- 3 30,000 90,000
- - -
- - -
- - -
- - -
18 91,000 1,638,000 - -
- - -
- - -
5 202,200 1,011,000 - -
- - -
15 462,200 6,933,000 6 462,200 2,773,200
15 569,700 8,545,500 - -
- - -
- - -
- - -
- - -
- - -
- - -
- 3 300,000 900,000
- - -
91 8,070 734,370 52 8,070 419,640
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
1 186,700 186,700 - -
19 6,494 123,386 - -
- - -
- - -
3 174,900 524,700 7 174,900 1,224,300
- - -
- - -
- - -
- - -
- - -
1 151,999 151,999 - -
- - -
- - -
- - -
- - -
203 78,991 16,035,173 37 78,991 2,922,667
30 28,204 846,120 - -
93 17,996 1,673,628 7 17,996 125,972
1 1,325,000 1,325,000 - -
431 25,597 11,032,307 50 25,597 1,279,850
- - -
54 158,994 8,585,676 30 158,994 4,769,820
- - -
254 155,813 39,576,502 41 155,813 6,388,333
472 84,382 39,828,304 29 84,382 2,447,078
372 19,954 7,422,888 32 19,954 638,528
150 16,995 2,549,250 68 16,995 1,155,660
- - -
3 13,901 41,704 - -
2 17,023 34,046 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
567,250,387 127,953,016
1 2 3 4 5
1 Obat Albendazol sirup 200mg/5 ml Botol
2 Albendazol tablet 400 mg tablet 300
3 Allopurinol 100 mg tablet 2,015
4 Alprazolam 0,5 mg tablet 500
5 Alprazolam 1 mg tablet 500
6 Ambroxol 30 mg tablet tablet
7 Aminofilin inj 24mg/ml-10 ml ampul
8 Aminofilin tablet 200 mg tablet
9 Amitriptilin HCl tablet salut 25 mg tablet
10 Amlodipin 10 mg tablet 1,255
11 Amlodipin 5 mg tablet 1,430
12 Amoksisilin 250 mg tablet 1,901
13 Amoksisilin 500 mg tablet 8,381
14 Amoksisilin 250mg/5ml sirup kering botol 5
15 Amoksisilin sirup kering 125 mg/5 ml Botol 114
16 Antalgin injeksi 250 mg/ml-2ml ampul
17 Antasida DOEN tablet tablet 2,970
18 Antasida sirup Botol 114
19 Anti Bakteri DOEN salep Kombinasi (bacitrasin) Tube 120
20 Anti Fungi DOEN Kombinasi Pot
21 Anti Haemoroid DOEN kombinasi Suppos 36
22 Anti Migren (ergotamin caffein) tablet
23 Anti Tuberkulosis anak paket
24 Anti Tuberkulosis Kategori I paket 4
25 Anti Tuberkulosis Kategori II paket
26 Aqua pro injeksi steril bebas pirogen vial 13
27 Asam Folat 0,4 mg /profolat tablet
28 Asam folat 1 mg tablet 150
29 Asam mefenamat 500 mg tablet 3,746
30 Asam tranexamat inj 100 mg/ml ampul 5
31 Asam tranexamat inj 50mg/ml ampul 5
32 Asam Tranexamat tablet 500 mg tablet 590
33 Asam Valproat 500mg / Depakote 500 mg tablet
34 Asetosal 80 mg / Miniaspi tablet
35 Asiklovir Krim 5 % 5 gr Tube 78
36 Asiklovir tablet 200 mg tablet 565
37 Asiklovir tablet 400 mg tablet 700
38 Atripla tablet
39 Atropin sulfat injeksi 0,25 mg/ml - 1 ml ampul 28
40 Attapulgit (Pularex) tablet 800
41 Azitromisin tab 500 mg tablet
42 Benzatil benzil penisilin vial
43 Berotec 0,1 mg(Fenoterol HBr aerosol 100mcg/dosis) Btl
44 Betahistin mesilat tablet 1,100
45 Betametason krim 0,1% Tube 109
46 Bioplacenton tube
47 Bisacodil (dulcolax) supp suppos 30
48 Bisacodil (dulcolax) tab tablet 130
49 Bisacodil supp infant 5 mg /Dulcolax Suppos
50 Bisoprolol 5 mg tablet 200
51 Ca Glukonas ampul
52 Captopril 12,5mg tablet 2,540
53 Captopril 25 mg tablet 1,780
54 Cefadroxil tablet 1,005
55 Cefadroxyl syr 125 mg/ml Botol 68
56 Cefiksim syr kering 100mg/5ml btl 30ml 48
57 Cefixime 100mg tablet
58 Cefotaxim 1,0 G inj Vial
59 Cendo Lyteers Kombinasi tts mata 2,5 mg/ml; NaCl 8,664 mbotol 36
60 Cetirizin 10 mg tablet 1,631
61 Cetirizin syr 5mg/5ml btl 60ml 122
62 Ciprofloxacin tablet 500 mg tablet 1,673
63 Clindamisin 150 mg tablet 705
64 Clindamisin 300 mg tablet
65 Deksametason injeksi 5 mg/ml-1 ml ampul 122
66 Deksametason tablet 0,5 mg tablet 7,651
67 DHP-Frimal tablet
68 Diazepam injeksi 5 mg/ml-2 ml ampul 4
69 Diazepam rektal 10 mg Suppos 4
70 Diazepam rektal 5 mg Suppos 3
71 Diazepam tablet 2 mg tablet 300
72 Diazepam tablet 5 mg tablet 320
73 Dietil karbamazin sitrat tablet 100 mg tablet
74 Difenhidramin HCl inj 10 mg/ml-1 ml ampul
75 Digoksin tablet 0,25 mg tablet
76 Diltiazem tablet tablet
77 Dimenhidrinat 50 mg tablet
78 Doksisilin kapsul tablet
79 Domperidon 10 mg tablet
80 Domperidon syr Botol 111
81 Efedrin HCl tablet 25 mg tablet
82 Epinefrin HCl /adrenalin inj.0,1%-1ml ampul 70
83 Eritromisin 250 mg tablet
84 Eritromisin 500 mg tablet
85 Eritromisin sirup kering Botol
86 Etambutol 400mg tablet
87 Euthyrox tablet
88 Fenitoin natrium kapsul 30 mg tablet
89 Fenobarbital inj 50 mg/ml - 2 ml ampul
90 Fenobarbital tablet 30 mg tablet 100
91 Fenolgliserol tetes telinga 10% Botol 49
92 Fitomenadion (Vit K1) inj 10 mg/ml-1 ml ampul
93 Fitomenadion (Vit K1) tablet 10 mg tablet 567
94 Fitomenadion inj 2 mg/ml ampul 56
95 Fluoksetin / Prestine tablet
96 Furosemid injeksi ampul
97 Furosemid tablet 40 mg tablet 660
98 Gabapentin/Alpentin 100 mg kapsul
99 Garam Oralit untuk 200 ml bungkus 939
100 Gentamicin Salep Kulit Tube 1
101 Gentamisin inj ampul
102 Gentamisin tetes mata botol
103 Gentian violet larutan 1% Botol 24
104 Glibenklamid tablet 5 mg tablet 1,560
105 Glimepirid 1 mg tablet
106 Glimepirid 2 mg tablet 45
107 Gliseril Guaiakolat tablet 100 mg tablet
108 Glukosa 40% ampul
109 Glukosa larutan Infus 10% steril fls 37
110 Glukosa Larutan Infus 5% steril fls 23
111 Griseofulvin tablet 125 mg tablet
112 Griseofulvin tablet 500 mg tablet 1,625
113 Haloperidol 5 mg tablet 320
114 Haloperidol inj 50mg/ml ampul
115 Haloperidol tablet 0,5 mg tablet
116 Haloperidol tablet 1,5 mg tablet 700
117 Hidrochlorotiazid (HCT) tablet 25 mg tablet 500
118 Hidrokortison krim 2,5% Tube 45
119 Hiosin HBr Inj 20 mg ampul 7
120 Hiosin N Butil bromida tablet tablet 510
121 Ibuprofen suspensi 100 mg/5 ml botol 56
122 Ibuprofen tablet 200 mg tablet
123 Ibuprofen tablet 400 mg tablet 1,510
124 Ichtiol salep pot 21
125 Isoniazid 100 mg/PPINH 100 mg tablet 300
126 Isoniazid tablet 300 mg tablet 130
127 Isosorbid dinitrat tablet sublingual 5 mg tablet 485
128 Kalsium laktat (Kalk) tablet 500 mg tablet
129 Karbamazepin tablet 200 mg tablet
130 Ketokonazol krim Tube 107
131 Ketokonazol tab tablet 1,361
132 Ketoprofen 100mg tablet 380
133 Ketoprofen Supp suppos 37
134 Klopidogrel 75 mg Tablet
135 Kloramfenikol kapsul 250 mg tablet
136 Kloramfenikol salep Kulit Tube 90
137 Kloramfenikol salep mata 1 % Tube 83
138 Kloramfenikol suspensi 125 mg/5 ml Botol
139 Kloramfenikol tetes mata Botol 29
140 Kloramfenikol tetes telinga 3 % Botol 36
141 Klorfeniramin maleat (CTM) tablet 4 mg tablet 7,738
142 Klorpromazin 25mg tablet
143 Klorpromazin HCl inj 25 mg/ml - 1 ml ampul
144 Klorpromazin HCl inj 5 mg/ml - 1 ml ampul
145 Klorpromazin HCl tablet salut 100 mg tablet 145
146 Kodein HCl tablet 10 mg tablet
147 Kolkisin 500 mcg tablet 240
148 Kotrimoksazol suspensi kombinasi Botol 78
149 Kotrimoksazol tablet dewasa kombinasi tablet 2,537
150 Lamivudin tablet
151 Lansoprazole tablet
152 Levofloksasin 250mg tablet
153 Levofloksasin tetes mata 0,5% botol
154 Lidocain komp.inj. ampul 103
155 Lidocain inj. ampul
156 Loperamid Hcl tablet 1,865
157 Loratadin 10mg tablet 1,246
158 Magnesium sulfat inj (IV) 20%-25 ml vial 14
159 Magnesium sulfat inj (IV) 40%-25 ml vial 14
160 MDT MD Dewasa Paket
161 Meloksikam 15 mg tablet 965
162 Metformin tablet 2,520
163 Metil ergometrin maleat tablet salut 0,125 mg tablet 645
164 Metil ergometrin maleat inj 0,200mg-1ml ampul 78
165 Metil Prednisolon 4 mg tablet 1,919
166 Metil Prednisolon 8mg tablet 60
167 Metildopa 250mg tablet
168 Metoclopramid 10 gr tablet 1,445
169 Metoclopramid injeksi ampul 40
170 Metronidazol 500 mg tablet 447
171 Metronidazol supositoria 500 mg suppos
172 Metronidazole ovula 500mg ovula
173 Mikonazol krim Tube 126
174 Mineral Mix sachet
175 Multivitamin syr Botol 157
176 Multivitamin tab tablet
177 N-asetil sistein tablet 4,596
178 Natrium bicarbonat tablet 500 mg tablet 1,894
179 Natrium Diklofenak 50 mg tablet 750
180 Natrium klorida larutan infus 0,9% fls 16
181 Nevirapin tablet
182 Nifedipin 10 mg tablet
183 Nistatin suspensi botol
184 Nistatin tablet salut 500.000 IU tablet
185 Nistatin tablet vaginal 100.000 IU/g tablet
186 Oksitetrasiklin HCl salep kulit 3% Tube 52
187 Oksitetrasiklin HCl salep mata 1% Tube 165
188 Oksitosin inj 10 IU / ml - 1 ml ampul 113
189 Omeprazole 20mg tablet
190 Pantocain tetes mata btl
191 Papaverin tablet 40 mg tablet 500
192 Parasetamol Drop Botol 27
193 Parasetamol rektal 125 mg (dumin) suppos
194 Parasetamol rektal 250 mg (dumin) suppos 6
195 Parasetamol sirup 120mg/ml Botol 379
196 Parasetamol tablet 100 mg tablet
197 Parasetamol tablet 500 mg tablet 7,215
198 Permetrin krim 5% (Scabimite) tube 50
199 Petidin inj 50mg/ml ampul
200 Piracetam inj 3g/15ml ampul
201 Pirantel tablet 125 mg tablet
202 Pirasetam 800mg tablet 200
203 Piroxicam 10 mg tablet
204 Piroxicam 20 mg tablet
205 Prednison tablet 5 mg tablet 1,020
206 Primakuin tablet 15 mg tablet
207 Prokain benzil penisilin vial
208 Propanolol HCl tablet 10 mg tablet
209 Propanolol HCl tablet 40 mg tablet
210 Propiltiourasil tablet 100 mg tablet 500
211 Ramipril tablet
212 Ranitidin inj. 25mg/ml ampul 25
213 Ranitidin tablet 150 mg tablet 2,554
214 Risperidon 1 mg tablet
215 Risperidon 2 mg tablet 300
216 RL larutan infus fls 55
217 Salbutamol inhalasi 100 mcq/dosis botol 10
218 Salbutamol nebulizer Kotak 3
219 Salbutamol tablet 2 mg tablet 1,953
220 Salbutamol tablet 4 mg tablet 1,000
221 Salep 2-4 kombinasi pot
222 Salep luka bakar (Levertran) Tube
223 Salep Luka Bakar (Perak Sulfadiazin Krim) Tube 18
224 Salisil bedak 2% bungkus 12
225 Seftriakson Injeksi vial
226 Serum Anti Bisa Ular polivalen inj 5 ml vial 3
227 Serum Anti Rabies (SAR) Vial
228 Serum Anti Tetanus inj 1500 IU/ampul ampul 20
229 Simvastatin 10 mg tablet 649
230 Spironolacton 25 mg tablet
231 Sukralfat tablet tablet 10
232 Sukralfat Sirup Botol
233 Tablet Tambah darah tablet 8,952
234 Tenofovir tablet
235 Tetagam ampul 3
236 Tetrasiklin HCL kapsul 500 mg tablet
237 Thiamfenikol 500 mg tab tablet
238 Tramadol inj ampul
239 Trifluoperazin 5mg tablet
240 Triheksiphenidil HCl tablet 2 mg tablet 655
241 Vaksin Rabies Vero Vial
242 Vitamin A 100.000 IU tablet
243 Vitamin A 200.000 IU tablet
244 Vitamin B komplek tablet tablet 7,905
245 Vitamin B1 / Thiamin HCl tablet 50 mg tablet 3,100
246 Vitamin B12 / Sianokobalamin tab 50 mcg tablet 500
247 Vitamin B12 / Sianokobalamin Vit B12 inj 500mcg-ml ampul
248 Vitamin B6 / Pyridoksin HCL tab 10 mg tablet 2,830
249 Vitamin C / Asam askorbat tablet 50 mg tablet 2,750
250 Zinc syr botol
251 Zinc tab 20 mg tablet 2,070
252 BMHP Abochat (IV Chat) 18 Pcs 115
253 & Abochat (IV Chat) 20 Pcs 36
254 Reagen Abochat (IV Chat) 22 Pcs 148
255 Abochat (IV Chat) 24 Pcs 100
256 ADS 0,05 ml pcs
257 ADS 0,5 ml pcs
258 ADS 5 ml pcs
259 Alat suntik 10 ml pcs
260 Alat suntik 20 ml pcs
261 Alat suntik sekali pakai 1 ml Pcs 604
262 Alat suntik sekali pakai 2,5 ml / 3 ml Pcs 1,350
263 Alat suntik sekali pakai 5 ml Pcs 743
264 Alkacid Botol
265 Alkohol Swab sachet 900
266 Amoniak btl/1000 ml
267 Aquadest steril liter
268 Benecheck Cholesterol strip Botol 13
269 Benecheck Glucose strip Botol 8
270 Benecheck uric strip Botol 1
271 Blood lancet pcs 103
272 Blue tip box
273 Box Slide bok
274 Cartridge Gen Expert Pcs
275 Catgut/benang bedah Chromic 2/0 set
276 Catgut/benang bedah Chromic 3/0 set 51
277 Catgut/benang bedah Plain 2/0 set
278 Catgut/benang bedah Plain 3/0 set 63
279 Centrifuse Paket
280 Chlorin botol
281 Cuticell Classic pcs 2
282 DFI Cybow Box
283 EDTA 10 % Botol
284 Etakridin (rivanol) larutan 0,1% Botol 33
285 Etanol 100 ml botol. 1
286 Etanol 70% Botol 7
287 Etanol 96% botol
288 Eter Alkohol 5% botol
289 Folley Chatether pcs 18
290 Food Test - Borak Test Paket
291 Food Test - Formalin Test Paket
292 Food Test - Rhodamin Test Paket
293 Fouchet Botol
294 Handscoon psg 850
295 Handscoon Obgyn psg
296 Handscoon Steril psg 216
297 HCG Strip Pcs 100
298 Infusion set anak set 44
299 Infusion set dewasa set 52
300 Jarum jahit / bedah no. 9 s/d 14 Pcs
301 Jelly USG btl 6
302 Kaca Slide pcs 120
303 Kaca Tutup pcs 100
304 Kapas pembalut / absorben 250 g roll 9
305 Kasa kompres 40/40 steril lbr
306 Kasa pembalut 2 m x 80 cm roll
307 Kasa pembalut elastis 3 inchi roll
308 Kasa pembalut elastis 4 inchi roll
309 Kasa Pembalut hidrofil 3,6 m x 10 cm roll
310 Kasa Pembalut hidrofil 3,6 m x 5 cm roll
311 Kasa Pembalut hidrofil 4 m x 10 cm elastis roll
312 Kasa Pembalut hidrofil 4 m x 5 cm elastis roll
313 Kasa steril 16/16 kotak 64
314 Kassa gulung Besar 80cm x 40 m roll 3
315 Kertas lakmus biru pack
316 Kertas Lakmus merah pack 1
317 Kertas lensa pak
318 Kertas pH Universal Kotak
319 Kertas saring watchman ktk
320 kit gol. Darah A, B, AB set
321 Kondom pcs
322 Labstrip (urinalis) tube
323 Larutan Amonium Oksalat 1% Botol
324 Larutan Asam Asetat 6 % Botol
325 Larutan barium klorida Botol
326 Larutan benedict Botol
327 Larutan buffer PH 6,1 Botol
328 Larutan buffer PH 7,2 Botol
329 Larutan eosin 2% Botol
330 Larutan Etanol Asam Botol
331 Larutan giemsa stain Botol
332 Larutan H2O2 3% Botol 1 L
333 Larutan H2O2 3% Botol 1
334 Larutan Hayem Botol
335 Larutan HCl 0,1 N Botol
336 Larutan karbolfuksin Botol
337 Larutan metilen biru Botol
338 Larutan Na citrat Botol
339 Larutan Natrium Hipoklorid Botol/ 500ml
340 Larutan Ress Ecker Botol/ 100 ml
341 Larutan turk Botol
342 Larutan Wright Botol
343 Lisol Botol 8
344 Lubricant pcs
345 Mantoux tes vial
346 Masker pcs 1,850
347 Masker 3M N95 medikal respirator pcs
348 Mess pcs 135
349 Metanol 100 ml Botol
350 Metanol 1000 ml botol
351 Microlit tips for micropipettes MT-up to 1 ml pack
352 Mikropipet adjustable 100-1000µl unit
353 Mikropipet adjustable 5-50µl unit
354 Mikroskop malaria (nikon) unit
355 Minyak Imersi Botol
356 NAPZA Kit 6 Parameter pcs 250
357 Napza KIT 8 Parameter box
358 Needle 23 G Pcs
359 Pembalut gips 3 inch Roll
360 Pembalut gips 4 inch Roll
361 Pipet tetes bks/100 pcs
362 Planotest pcs
363 Plester 2,5 cmx 4,5 m roll
364 Plester 5 yard x 2 inch roll
365 Plester bulat non woven box 18
366 Poli Aid Botol
367 Poli Clean Botol 4
368 Poliwash botol 500ml
369 Pork Test Paket
370 Pot Sputum Pcs
371 Pot Urine Pcs
372 Povidon iodida 10% 30 ml Botol 20
373 Povidon iodida 10% 300 ml Botol 15
374 Povidon iodida 10% 60 ml Botol
375 Povidon Iodine 1 L Botol 13
376 RDT DBD Verotec Pcs
377 RDT DBD Biosen Pcs
378 RDT Hepatitis / HBSAG Strip pcs 100
379 RDT HIV -Fokus 1/2 casette box/25
380 RDT HIV Test (HIV 1 & 2 Anti Body) oncoprobe test
381 RDT HIV test (R1) SD Pcs 200
382 RDT HIV test Biomerieux (Vikia HIV 1 dan 2) ktk/25 test
383 RDT HIV test Intec (One Step Anti-HIV 1&2) Box
384 RDT Malaria / Malaria test ktk
385 RDT sifillis Pcs 200
386 Reagen dan Bahan alat lab.Malaria paket
387 Reagen Fotometer Kimia Klinik Randox Glukosa kit
388 Reagen Fotometer Kimia Klinik Randox Protein total kit
389 Reagen Fotometer Kimia Klinik Randox triglyserida kit
390 Reagen hematology analyzer Cointender 20 SFRI cliner 31 btl 5 L
391 Reagen hematology analyzer Cointender 20 SFRI diluent 3 btl 20 L
392 Reagen hematology analyzer Cointender 20 SFRI Lyse 31 botol 500ml
393 Reagen TB kit
394 Reagen widal H Vial
395 Reagen widal O Vial
396 Rotator Sifilis Unit
397 RPR Sifilis Pcs
398 Safety box pcs
399 Silk no.3/0 dengan jarum bedah set 161
400 Slang Oksigen Dewasa (Adult) pcs
401 Slang Oksigen Dewasa (Neonatus) Pcs
402 Slang Oksigen Dewasa (Pediatri) Pcs
403 Smokerlyzer D-Pieces Box
404 Smokerlyzer Mouth Pieces Box
405 Spritus Botol 6
406 Stomach tube FR 12 pcs
407 Stomach tube FR 14 pcs
408 Stomach tube FR 16 pcs
409 Strip asam urat (UA SURE) Botol
410 Strip asam urat Sinocare ktk 10
411 Strip GLUCO DR Ktk
412 Strip glukosa darah (easy touch) ktk
413 Strip glukosa On Call ktk 3
414 Strip Hb (easy touch) ktk
415 Strip Hb Mission Kotak
416 Strip Kolesterol Mission Ultra ktk 4
417 Suction cateter No.12 Pcs
418 Suction cateter No.16 Pcs
419 Suction cateter No.8 Pcs
420 Tabung non EDTA 3 ml pack
421 Tabung reaksi tutup pcs
422 Thermal paper 4 x 5 -rocheurysis 1100 roll
423 Thermal paper SFRI roll
424 Tube EDTA Box 1
425 Urin Bag pcs 10
426 Vacum Tube EDTA 0,5 ml Bok
427 Vacutainer sample needle pcs
428 White Tip Bks
429 wing needle 21 G pcs
430 wing needle 23 G pcs
431 wing needle 25 G pcs
432 wing needle 27 G pcs
433 Xylol Botol
434 Yellow Tip/Micropipet MT-I 200 ul bks
435 Yodiol Test Botol
436 Gigi Bahan tambalan gigi sementara (mix/Caviton) Botol
437 Devitalisasi Non Arsen botol
438 Etil klorida spray Botol
439 Eugenol cairan Botol 1
440 Glassionomer Cement (GC IX) / GC. Fuji Botol
441 Kalsium hidroksida pasta / Calxyl blue kotak
442 Klorfenol kamfer menthol (CHKM) Botol
443 Lidocain pasta botol 1
444 Needle Carpul ktk
445 Occo pembersih karang gigi botol
446 Spongestan Hemospon ktk 20
447 Temporary stopping fletcher Set
448 TKF botol
449 Vaksin Vaksin BCG Vial 9
450 Imunisasi Vaksin CAMPAK Vial
451 Vaksin DT Vial 27
452 Vaksin HbIg Kotak
453 Vaksin HB-UNIJECT Vial 40
454 Vaksin Hepatitis dewasa vial
455 Vaksin IPV Vial 8
456 Vaksin Meningitis Vial
457 Vaksin MR Vial 15
458 Vaksin PENTABIO Vial 17
459 Vaksin POLIO Vial 19
460 Vaksin Td Vial 20
461 Vaksin TT Vial
462 Baru BMT Bumil box
463 MP ASI box
464 0 0
465 0 0
466 0 0
467 0 0
468 0 0
469 0 0
470 0 0
471 0 0
472 0 0
Mengetahui,
Kepala UPT Puskesmas Koto Besar
Harga Satuan Jumlah Volume Harga Satuan Jumlah Volume Harga Satuan Jumlah
6 7 8 9 10 11 12 13
- 60 4,200 252,000 -
452 135,600 2,100 452 949,200 -
99 199,485 1,500 105 157,500 -
88 44,000 - -
120 60,000 - 500 120 60,000
- 9,000 99 891,000 -
- 5 2,976 14,880 -
- 100 341 34,100 100 341 34,100
- 100 168 16,800 -
94 117,970 5,700 94 535,800 -
73 104,390 7,200 78 561,600 -
203 385,903 1,500 203 304,500 1,000 203 203,000
250 2,095,250 21,000 260 5,460,000 -
3,737 18,685 40 3,737 149,480 -
4,400 501,600 500 5,500 2,750,000 -
- - -
56 166,320 11,000 60 660,000 -
2,051 233,814 450 2,189 985,050 -
8,250 990,000 125 8,250 1,031,250 -
- - -
3,325 119,700 90 3,325 299,250 -
- - -
- 2 260,526 521,052 -
408,812 1,635,248 15 415,469 6,232,035 -
- 1 1,454,232 1,454,232 -
2,860 37,180 48 2,860 137,280 -
- - -
74 11,100 7,500 79 592,500 -
103 385,838 6,000 297 1,782,000 -
1,957 9,785 - 5 1,957 9,785
3,100 15,500 - 5 3,100 15,500
1,684 993,560 - -
- - -
- - -
3,300 257,400 25 3,300 82,500 -
245 138,425 - -
399 279,300 1,000 426 426,000 -
- - -
1,540 43,120 - -
160 128,000 - -
- - -
- - -
- - -
110 121,000 600 110 66,000 -
1,340 146,060 300 1,430 429,000 -
- - -
5,900 177,000 50 5,900 295,000 -
327 42,510 - -
- - -
275 55,000 - -
- 5 10,351 51,755 5 10,351 51,755
64 162,560 8,000 68 544,000 -
154 274,120 2,000 154 308,000 -
880 884,400 2,000 880 1,760,000 -
4,066 276,488 - -
15,950 765,600 - -
- 300 387 116,100 -
- - -
26,400 950,400 30 27,500 825,000 -
101 164,731 4,500 101 454,500 -
2,973 362,706 120 2,973 356,760 -
495 828,135 1,000 495 495,000 300 495 148,500
729 513,945 750 770 577,500 -
- - -
1,152 140,544 - -
99 757,449 13,300 88 1,170,400 -
- - -
12,000 48,000 - -
19,193 76,772 - -
13,202 39,606 - -
86 25,800 2,000 86 172,000 -
109 34,880 1,200 114 136,800 -
- - -
- 20 1,228 24,560 -
- - -
- - -
- - -
- - -
- 1,100 86 94,600 -
2,781 308,691 250 2,781 695,250 -
- - -
1,408 98,560 - 25 1,408 35,200
- - -
- 500 751 375,500 -
- - -
- - -
- - -
- - -
- - -
165 16,500 1,300 180 234,000 -
2,590 126,910 - 37 2,590 95,830
- - -
747 423,549 - 500 797 398,500
3,867 216,552 270 3,867 1,044,090 -
- - -
- 5 1,333 6,665 -
81 53,460 200 82 16,400 -
- - -
257 241,323 1,000 274 274,000 -
2,299 2,299 - -
- - -
- - -
3,498 83,952 24 3,498 83,952 -
125 195,000 - -
- 500 174 87,000 -
207 9,315 6,000 207 1,242,000 -
- - -
- - -
7,500 277,500 - 11 7,500 82,500
6,900 158,700 40 7,363 294,520 10 7,363 73,630
- - -
952 1,547,000 - -
56 17,920 900 56 50,400 -
- 5 101,300 506,500 -
- 300 55 16,500 -
59 41,300 500 59 29,500 300 59 17,700
156 78,000 - 500 156 78,000
2,475 111,375 144 2,475 356,400 -
9,999 69,993 - -
1,496 762,960 - -
2,776 155,456 150 2,776 416,400 -
- 1,000 253 253,000 -
330 498,300 6,000 330 1,980,000 -
6,500 136,498 - -
100 30,000 - 200 100 20,000
173 22,490 - 130 173 22,490
165 80,025 - -
- 6,000 63 378,000 -
- - -
2,518 269,426 175 2,518 440,650 -
297 404,217 - -
990 376,200 200 990 198,000 -
2,380 88,060 20 2,380 47,600 -
- - -
- - -
3,140 282,600 48 3,140 150,720 -
1,881 156,123 - -
- - -
6,500 188,497 - -
7,502 270,072 - -
25 193,450 14,000 25 350,000 -
- - -
- - -
- - -
155 22,475 700 157 109,900 -
- - -
2,750 660,000 450 2,414 1,086,300 200 2,414 482,800
2,052 160,056 120 2,190 262,800 -
125 317,125 1,100 133 146,300 -
- - -
- 1,000 334 334,000 -
- - -
- - -
1,205 124,115 240 1,286 308,640 -
- 130 1,289 167,570 -
143 266,695 900 143 128,700 -
125 155,750 1,800 133 239,400 -
3,200 44,800 24 3,328 79,872 -
3,796 53,144 36 3,796 136,656 -
- - -
990 955,350 - -
105 263,592 9,000 106 954,000 -
221 142,545 - 615 236 145,140
2,992 233,376 93 3,102 288,486 16 3,102 49,632
137 262,903 5,000 146 730,000 -
305 18,300 - -
- - -
80 115,600 500 85 42,500 -
4,158 166,320 - -
275 122,925 - -
- - -
- - -
3,585 451,710 - -
- - -
4,500 706,500 - -
- - -
357 1,640,772 3,000 381 1,143,000 -
66 125,004 - -
127 95,250 6,500 136 884,000 -
6,410 102,560 80 6,840 547,200 -
- - -
- - -
- - -
- - -
- - -
3,850 200,200 - -
2,600 429,000 50 2,774 138,700 -
1,900 214,700 103 1,199 123,497 25 1,199 29,975
- 1,800 164 295,200 -
- 4 14,993 59,972 -
350 174,900 - 100 350 35,000
6,981 188,487 240 6,981 1,675,440 -
- - -
17,800 106,800 - -
1,110 420,690 400 1,110 444,000 -
- - -
56 404,040 41,100 160 6,555,450 1,500 160 239,250
11,825 591,250 60 11,825 709,500 -
- - -
- - -
- - -
800 159,940 - 100 800 79,970
- - -
- - -
72 73,440 500 77 38,500 -
- - -
- - -
- - -
- - -
451 225,500 - -
- - -
1,155 28,875 100 1,155 115,500 -
165 421,410 12,000 220 2,640,000 -
- 500 228 114,000 -
273 81,900 2,300 287 660,100 -
7,150 393,250 250 7,630 1,907,500 -
31,571 315,710 5 32,120 160,600 -
192,000 575,999 - -
63 123,039 - -
74 74,000 500 74 37,000 -
- - -
- - -
20,700 372,600 11 20,700 227,700 2 20,700 41,400
3,190 38,280 18 3,190 57,420 -
- - -
479,996 1,439,988 6 512,204 3,073,224 -
- - -
130,999 2,619,980 40 130,999 5,239,960 -
110 71,390 600 117 70,200 -
- - -
296 2,960 - -
- 25 6,989 174,725 -
372 3,330,144 59,940 372 22,297,680 -
- - -
176,800 530,400 1 176,800 176,800 -
- - -
- - -
- - -
- - -
87 56,985 2,800 93 260,400 -
- - -
- 1,100 324 356,400 -
- 4,700 581 2,730,700 -
123 972,315 18,000 131 2,358,000 -
86 266,600 10,600 92 975,200 -
47 23,500 - -
- - -
132 374,409 2,000 138 276,000 -
110 302,500 19,000 110 2,090,000 -
- 72 3,322 239,184 -
551 1,140,570 5,000 551 2,755,000 -
6,270 721,050 200 6,270 1,254,000 -
6,270 225,720 300 6,270 1,881,000 -
6,270 927,960 - -
7,810 781,000 - -
- 1,500 1,518 2,277,000 -
- 5,500 1,518 8,349,000 -
- - -
- - -
- - -
880 531,520 500 880 440,000 -
894 1,206,900 1,500 894 1,341,000 -
943 700,649 - -
- 1 2,837,835 2,837,835 -
118 106,200 1,800 120 216,000 -
- - -
- - -
255,048 3,315,622 6 254,925 1,529,550 -
168,140 1,345,120 6 169,000 1,014,000 -
154,675 154,675 19 154,675 2,938,825 -
191 19,673 2,500 144 360,000 -
- - -
- 1 82,980 82,980 -
- - -
- 48 33,565 1,611,120 -
47,706 2,433,006 48 33,287 1,597,776 -
- 36 35,125 1,264,500 -
46,481 2,928,304 - -
- - -
- - -
14,689 29,378 10 15,600 156,000 -
- 2 143,700 287,400 -
- - -
3,450 113,850 20 4,150 83,000 -
6,899 6,899 5 11,000 55,000 -
69,300 485,100 14 88,000 1,232,000 -
- 2 95,000 190,000 -
- - -
10,212 183,816 18 20,100 361,800 -
- - -
- - -
- - -
- - -
990 841,500 4,450 2,640 11,748,000 -
- 58 40,733 2,362,514 -
6,793 1,467,256 350 6,595 2,308,250 -
1,679 167,937 150 4,881 732,150 -
9,130 401,720 15 9,130 136,950 -
5,608 291,634 225 5,445 1,225,125 -
- - -
14,472 86,830 5 26,487 132,433 -
307 36,815 - -
138 13,800 - -
31,694 285,246 20 34,150 683,000 -
- - -
- - -
- - -
- 2 20,000 40,000 -
- - -
- - -
- - -
- - -
8,144 521,242 140 7,530 1,054,200 -
165,720 497,160 16 140,500 2,248,000 -
- - -
85,556 85,556 - -
- - -
- - -
- 1 430,000 430,000 -
- 3 251,875 755,625 -
- - -
- - -
- - -
- 5 30,000 150,000 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
4,090 4,090 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
47,150 377,200 12 47,150 565,800 -
- - -
- - -
676 1,250,970 2,250 2,530 5,692,500 -
- - -
3,150 425,250 100 3,150 315,000 -
- - -
- - -
- - -
- 1 3,743,693 3,743,693 -
- 1 3,743,693 3,743,693 -
- - -
- - -
90,000 22,499,950 - 250 12,076 3,019,000
- - -
- - -
- - -
- - -
- - -
- - -
- 80 12,675 1,014,000 -
- - -
33,880 609,840 1 33,880 33,880 -
- - -
77,698 310,792 24 77,698 1,864,752 -
- - -
- - -
- 200 3,722 744,324 -
- - -
3,335 66,700 - -
20,700 310,500 42 19,633 824,600 4 19,633 78,532
- 10 5,187 51,865 -
149,314 1,941,082 - -
- - -
- - -
9,878 987,800 100 8,175 817,500 -
- - -
- - -
11,975 2,395,000 100 11,400 1,140,000 -
- - -
- - -
- 2 161,900 323,800 -
20,400 4,080,000 350 7,250 2,537,500 -
- 1 1,306,996 1,306,996 -
- - -
- - -
- - -
- - -
- - -
- - -
- 3 237,271 711,812 -
- - -
- - -
- - -
- - -
- 150 22,433 3,364,950 -
46,712 7,520,632 36 34,000 1,224,000 -
- 20 6,720 134,400 -
- - -
- 20 6,720 134,400 -
- - -
- - -
30,000 180,000 - -
- - -
- - -
- - -
- 1 275,000 275,000 -
96,260 962,600 2 91,000 182,000 -
- - -
- 2 110,000 220,000 -
164,373 493,120 2 202,200 404,400 -
- - -
- - -
526,250 2,105,000 2 569,700 1,139,400 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
169,100 169,100 - 1 169,100 169,100
8,877 88,770 20 8,070 161,400 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 10 6,494 64,940 -
- - -
- - -
- 3 174,900 524,700 -
4,000 4,000 - -
- - -
- - -
- - -
371,999 371,999 - -
- - -
- - -
83,800 1,676,000 - 20 83,800 1,676,000
- - -
- 2 100,000 200,000 -
59,950 539,550 190 78,991 15,008,290 -
- 20 28,204 564,080 -
17,996 485,892 68 17,996 1,223,728 -
- 5 1,325,000 6,625,000 -
20,900 836,000 300 25,597 7,679,100 -
- - -
158,994 1,271,952 60 158,994 9,539,640 -
- - -
155,813 2,337,195 200 155,813 31,162,600 -
78,991 1,342,847 460 84,382 38,815,720 -
19,954 379,126 350 19,954 6,983,900 -
16,995 339,900 220 16,995 3,738,900 -
- - -
- 2 17,023 34,045 -
- 3 13,901 41,704 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
125,175,764 320,550,952 7,392,289
14 15 16 17 18 19
10 4,200 42,000 50 4,200 210,000
2,130 452 962,760 270 452 122,040
2,325 105 244,125 1,190 105 124,950
50 88 4,400 450 88 39,600
- - -
6,900 99 683,100 2,100 99 207,900
- 5 2,976 14,880
- - -
50 168 8,400 50 168 8,400
5,500 94 517,000 1,455 94 136,770
7,340 78 572,520 1,290 78 100,620
901 203 182,903 1,500 203 304,500
21,668 260 5,633,680 7,713 260 2,005,380
7 3,737 26,159 38 3,737 142,006
500 5,500 2,750,000 114 5,500 627,000
- - -
10,300 60 618,000 3,670 60 220,200
469 2,189 1,026,641 95 2,189 207,955
147 8,250 1,212,750 98 8,250 808,500
- - -
111 3,325 369,075 15 3,325 49,875
- - -
1 260,526 260,526 1 260,526 260,526
16 415,469 6,647,504 3 415,469 1,246,407
- 1 1,454,232 1,454,232
44 2,860 125,840 17 2,860 48,620
- - -
3,780 79 298,620 3,870 79 305,730
5,732 297 1,702,404 4,014 297 1,192,158
- - -
- - -
300 1,684 505,200 290 1,684 488,360
- - -
- - -
58 3,300 191,400 45 3,300 148,500
180 245 44,100 385 245 94,325
1,040 426 443,040 660 426 281,160
- - -
25 1,540 38,500 3 1,540 4,620
200 155 31,000 600 155 93,000
- - -
- - -
- - -
1,440 110 158,400 260 110 28,600
301 1,430 430,430 108 1,430 154,440
- - -
40 5,900 236,000 40 5,900 236,000
130 327 42,510 - -
- - -
- 200 275 55,000
- - -
6,150 68 418,200 4,390 68 298,520
2,184 154 336,336 1,596 154 245,784
1,915 880 1,685,200 1,090 880 959,200
41 4,339 177,899 27 4,339 117,153
23 15,950 366,850 25 15,950 398,750
200 387 77,400 100 387 38,700
- - -
46 27,500 1,265,000 20 27,500 550,000
5,181 101 523,281 950 101 95,950
122 2,973 362,706 120 2,973 356,760
1,703 495 842,985 670 495 331,650
955 770 735,350 500 770 385,000
- - -
53 1,152 61,056 69 1,152 79,488
15,525 88 1,366,200 5,426 88 477,488
- - -
- 4 12,000 48,000
- 4 19,193 76,772
1 13,202 13,202 2 13,202 26,404
1,800 86 154,800 500 86 43,000
1,020 114 116,280 500 114 57,000
- - -
15 1,228 18,420 5 1,228 6,140
- - -
- - -
- - -
- - -
1,000 86 86,000 100 86 8,600
291 2,781 809,271 70 2,781 194,670
- - -
45 1,408 63,360 - -
- - -
- 500 751 375,500
- - -
- - -
- - -
- - -
- - -
1,000 180 180,000 400 180 72,000
12 2,590 31,080 - -
- - -
67 797 53,399 - -
264 3,867 1,020,888 62 3,867 239,754
- - -
- 5 1,333 6,665
581 82 47,642 279 82 22,878
- - -
1,275 274 349,350 664 274 181,936
1 2,299 2,299 - 2,299 -
- - -
- - -
40 3,498 139,920 8 3,498 27,984
1,560 125 195,000 - -
500 174 87,000 - -
4,555 207 942,885 1,490 207 308,430
- - -
- - -
26 7,500 195,000 - -
13 7,363 95,719 40 7,363 294,520
- - -
955 952 909,160 670 952 637,840
1,045 56 58,520 175 56 9,800
- 5 101,300 506,500
- 300 55 16,500
900 59 53,100 - -
- - -
126 2,475 311,850 63 2,475 155,925
7 9,999 69,993 - -
510 1,496 762,960 - -
30 2,776 83,280 176 2,776 488,576
600 253 151,800 400 253 101,200
4,058 330 1,339,140 3,452 330 1,139,160
9 6,500 58,500 12 6,500 77,999
- 100 100 10,000
- - -
91 165 15,015 394 165 65,010
390 63 24,570 5,610 63 353,430
- - -
198 2,518 498,564 84 2,518 211,512
735 297 218,295 626 297 185,922
380 990 376,200 200 990 198,000
25 2,380 59,500 32 2,380 76,160
- - -
- - -
138 3,140 433,320 - -
83 1,881 156,123 - -
- - -
29 6,500 188,500 - -
27 7,502 202,554 9 7,502 67,518
16,372 25 409,300 5,366 25 134,150
- - -
- - -
- - -
585 157 91,845 260 157 40,820
- - -
40 2,414 96,560 450 2,414 1,086,300
136 2,190 297,840 62 2,190 135,780
2,577 133 342,741 1,060 133 140,980
- - -
432 334 144,288 568 334 189,712
- - -
- - -
263 1,286 338,218 80 1,286 102,880
80 1,289 103,120 50 1,289 64,450
2,290 143 327,470 475 143 67,925
1,857 133 246,981 1,189 133 158,137
16 3,328 53,248 22 3,328 73,216
43 3,796 163,228 7 3,796 26,572
- - -
965 990 955,350 - -
11,190 106 1,186,140 330 106 34,980
30 236 7,080 - -
116 3,102 359,832 39 3,102 120,978
4,519 146 659,774 2,400 146 350,400
60 305 18,300 - -
- - -
1,245 85 105,825 700 85 59,500
18 4,158 74,844 22 4,158 91,476
447 275 122,925 - -
- - -
- - -
126 3,585 451,710 - -
- - -
157 4,500 706,500 - -
- - -
4,630 381 1,764,030 2,966 381 1,130,046
694 66 45,804 1,200 66 79,200
5,355 136 728,280 1,895 136 257,720
55 6,840 376,200 41 6,840 280,440
- - -
- - -
- - -
- - -
- - -
50 3,850 192,500 2 3,850 7,700
172 2,774 477,128 43 2,774 119,282
148 1,199 177,452 43 1,199 51,557
1,800 164 295,200 - -
- 4 14,993 59,972
400 350 140,000 - -
180 6,981 1,256,580 87 6,981 607,347
- - -
6 17,800 106,800 - -
668 1,110 741,480 111 1,110 123,210
- - -
40,430 160 6,448,585 6,385 160 1,018,408
110 11,825 1,300,750 - -
- - -
- - -
- - -
100 800 80,000 - -
- - -
- - -
1,020 77 78,540 500 77 38,500
- - -
- - -
- - -
- - -
- 500 451 225,500
- - -
60 1,155 69,300 65 1,155 75,075
8,306 220 1,827,320 6,248 220 1,374,560
500 228 114,000 - -
2,570 287 737,590 30 287 8,610
242 7,630 1,846,460 63 7,630 480,690
1 32,120 32,120 14 32,120 449,680
3 220,000 660,000 - -
673 67 45,091 1,280 67 85,760
1,310 74 96,940 190 74 14,060
- - -
- - -
18 20,700 372,600 9 20,700 186,300
17 3,190 54,230 13 3,190 41,470
- - -
7 512,204 3,585,428 2 512,204 1,024,408
- - -
48 130,999 6,287,952 12 130,999 1,571,988
749 117 87,633 500 117 58,500
- - -
10 - - -
25 6,989 174,725 - -
59,312 372 22,064,064 9,580 372 3,563,760
- - -
4 176,800 707,200 - -
- - -
- - -
- - -
- - -
2,315 93 215,295 1,140 93 106,020
- - -
900 324 291,600 200 324 64,800
4,550 581 2,643,550 150 581 87,150
17,805 131 2,332,455 8,100 131 1,061,100
7,900 92 726,800 5,800 92 533,600
500 47 23,500 - -
- - -
3,255 138 449,190 1,575 138 217,350
16,050 110 1,765,500 5,700 110 627,000
12 3,322 39,864 60 3,322 199,320
2,970 551 1,636,470 4,100 551 2,259,100
196 6,270 1,228,920 119 6,270 746,130
186 6,270 1,166,220 150 6,270 940,500
36 6,270 225,720 112 6,270 702,240
15 6,270 94,050 85 6,270 532,950
1,500 1,518 2,277,000 - -
5,500 1,518 8,349,000 - -
- - -
- - -
- - -
769 880 676,720 335 880 294,800
1,935 894 1,729,890 915 894 818,010
443 943 417,749 300 943 282,900
- 1 2,837,835 2,837,835
2,400 120 288,000 300 120 36,000
- - -
- - -
18 254,925 4,588,650 1 254,925 254,925
13 169,000 2,197,000 1 169,000 169,000
19 154,675 2,938,825 1 154,675 154,675
1,903 144 274,032 700 144 100,800
- - -
- 1 82,980 82,980
- - -
34 33,565 1,141,210 14 33,565 469,910
99 33,287 3,295,413 - -
36 35,125 1,264,500 - -
39 46,481 1,812,759 24 46,481 1,115,544
- - -
- - -
4 15,600 62,400 8 15,600 124,800
- 2 143,700 287,400
- - -
26 4,150 107,900 27 4,150 112,050
6 11,000 66,000 - -
19 88,000 1,672,000 2 88,000 176,000
- 2 95,000 190,000
- - -
29 20,100 582,900 7 20,100 140,700
- - -
- - -
- - -
- - -
4,600 2,640 12,144,000 700 2,640 1,848,000
52 40,733 2,118,116 6 40,733 244,398
566 6,595 3,732,770 - -
200 4,881 976,200 50 4,881 244,050
19 9,130 173,470 40 9,130 365,200
217 5,445 1,181,565 60 5,445 326,700
- - -
5 26,487 132,433 6 26,487 158,920
120 417 50,000 - -
100 138 13,800 - -
26 34,150 887,900 3 34,150 102,450
- - -
- - -
- - -
2 20,000 40,000 - -
- - -
- - -
- - -
- - -
143 7,530 1,076,790 61 7,530 459,330
16 140,500 2,248,000 3 140,500 421,500
- - -
1 85,556 85,556 - -
- - -
- - -
- 1 430,000 430,000
2 251,875 503,750 1 251,875 251,875
- - -
- - -
- - -
1 30,000 30,000 4 30,000 120,000
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 1 4,090 4,090
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
17 47,150 801,550 3 47,150 141,450
- - -
- - -
3,550 2,530 8,981,500 550 2,530 1,391,500
- - -
180 3,150 567,000 55 3,150 173,250
- - -
- - -
- - -
- 1 3,743,693 3,743,693
- 1 3,743,693 3,743,693
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
34 12,675 430,950 46 12,675 583,050
- - -
5 33,880 169,400 14 33,880 474,320
- - -
28 77,698 2,175,544 - -
- - -
- - -
180 3,722 669,891 20 3,722 74,432
- - -
20 3,335 66,700 - -
40 19,633 785,333 13 19,633 255,233
- 10 5,187 51,865
11 149,314 1,642,454 2 149,314 298,628
- - -
- - -
200 8,175 1,635,000 - -
- - -
- - -
300 11,400 3,420,000 - -
- - -
- - -
1 161,900 161,900 1 161,900 161,900
550 7,250 3,987,500 - -
- 1 1,306,996 1,306,996
- - -
- - -
- - -
- - -
- - -
- - -
2 237,271 474,542 1 237,271 237,271
- - -
- - -
- - -
- - -
75 22,433 1,682,475 75 22,433 1,682,475
128 34,000 4,352,000 69 34,000 2,346,000
5 6,720 33,600 15 6,720 100,800
- - -
5 6,720 33,600 15 6,720 100,800
- - -
- - -
2 30,000 60,000 4 30,000 120,000
- - -
- - -
- - -
- 1 275,000 275,000
7 91,000 637,000 5 91,000 455,000
- - -
2 110,000 220,000 - -
1 202,200 202,200 4 202,200 808,800
- - -
- - -
1 569,700 569,700 5 569,700 2,848,500
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
10 8,070 80,700 20 8,070 161,400
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
10 6,494 64,940 - -
- - -
- - -
- 3 174,900 524,700
- 1 4,000 4,000
- - -
- - -
- - -
1 - - -
- - -
- - -
- - -
- - -
- 2 100,000 200,000
186 78,991 14,692,326 13 78,991 1,026,883
20 28,204 564,080 - -
84 17,996 1,511,664 11 17,996 197,956
5 1,325,000 6,625,000 - -
310 25,597 7,935,070 30 25,597 767,910
- - -
54 158,994 8,585,676 14 158,994 2,225,916
- - -
204 155,813 31,785,852 11 155,813 1,713,943
457 84,382 38,562,574 20 84,382 1,687,640
325 19,954 6,485,050 44 19,954 877,976
222 16,995 3,772,890 18 16,995 305,910
- - -
2 17,023 34,045 - -
3 13,901 41,704 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
331,511,853 89,630,994
esember 2020
00212 2 003
LAPORAN PERSEDIAAN OBAT DAN PERBEKALAN KESEHATAN
UPT. PUSKESMAS SUNGAI LIMAU
PER 31 DESEMBER 2020
1 2 3 4 5
1 Obat Albendazol sirup 200mg/5 ml Botol 17
2 Albendazol tablet 400 mg tablet 482
3 Allopurinol 100 mg tablet 4,364
4 Alprazolam 0,5 mg tablet
5 Alprazolam 1 mg tablet
6 Ambroxol 30 mg tablet tablet 3,130
7 Aminofilin inj 24mg/ml-10 ml ampul 15
8 Aminofilin tablet 200 mg tablet
9 Amitriptilin HCl tablet salut 25 mg tablet 480
10 Amlodipin 10 mg tablet 2,490
11 Amlodipin 5 mg tablet 2,164
12 Amoksisilin 250 mg tablet 1,550
13 Amoksisilin 500 mg tablet 2,905
14 Amoksisilin 250mg/5ml sirup kering botol 10
15 Amoksisilin sirup kering 125 mg/5 ml Botol 272
16 Antalgin injeksi 250 mg/ml-2ml ampul
17 Antasida DOEN tablet tablet 560
18 Antasida sirup Botol 119
19 Anti Bakteri DOEN salep Kombinasi (bacitrasin) Tube 57
20 Anti Fungi DOEN Kombinasi Pot 2
21 Anti Haemoroid DOEN kombinasi Suppos 2
22 Anti Migren (ergotamin caffein) tablet
23 Anti Tuberkulosis anak paket 2
24 Anti Tuberkulosis Kategori I paket
25 Anti Tuberkulosis Kategori II paket 1
26 Aqua pro injeksi steril bebas pirogen vial 36
27 Asam Folat 0,4 mg /profolat tablet
28 Asam folat 1 mg tablet 635
29 Asam mefenamat 500 mg tablet 684
30 Asam tranexamat inj 100 mg/ml ampul
31 Asam tranexamat inj 50mg/ml ampul
32 Asam Tranexamat tablet 500 mg tablet 725
33 Asam Valproat 500mg / Depakote 500 mg tablet
34 Asetosal 80 mg / Miniaspi tablet 655
35 Asiklovir Krim 5 % 5 gr Tube 123
36 Asiklovir tablet 200 mg tablet 549
37 Asiklovir tablet 400 mg tablet 1,845
38 Atripla tablet
39 Atropin sulfat injeksi 0,25 mg/ml - 1 ml ampul 30
40 Attapulgit (Pularex) tablet 294
41 Azitromisin tab 500 mg tablet
42 Benzatil benzil penisilin vial
43 Berotec 0,1 mg(Fenoterol HBr aerosol 100mcg/dosis) Btl
44 Betahistin mesilat tablet 1,540
45 Betametason krim 0,1% Tube 22
46 Bioplacenton tube
47 Bisacodil (dulcolax) supp suppos 44
48 Bisacodil (dulcolax) tab tablet 135
49 Bisacodil supp infant 5 mg /Dulcolax Suppos
50 Bisoprolol 5 mg tablet 150
51 Ca Glukonas ampul 10
52 Captopril 12,5mg tablet 3,260
53 Captopril 25 mg tablet 2,665
54 Cefadroxil tablet 1,695
55 Cefadroxyl syr 125 mg/ml Botol 31
56 Cefiksim syr kering 100mg/5ml btl 30ml 20
57 Cefixime 100mg tablet 300
58 Cefotaxim 1,0 G inj Vial 34
Cendo Lyteers Kombinasi tts mata 2,5 mg/ml; NaCl 8,664
59 mg; kalium klorida 1,32 mg botol 32
60 Cetirizin 10 mg tablet 330
61 Cetirizin syr 5mg/5ml btl 60ml 90
62 Ciprofloxacin tablet 500 mg tablet 120
63 Clindamisin 150 mg tablet 1,301
64 Clindamisin 300 mg tablet
65 Deksametason injeksi 5 mg/ml-1 ml ampul 96
66 Deksametason tablet 0,5 mg tablet 2,110
67 DHP-Frimal tablet
68 Diazepam injeksi 5 mg/ml-2 ml ampul
69 Diazepam rektal 10 mg Suppos 4
70 Diazepam rektal 5 mg Suppos 4
71 Diazepam tablet 2 mg tablet 185
72 Diazepam tablet 5 mg tablet 20
73 Dietil karbamazin sitrat tablet 100 mg tablet
74 Difenhidramin HCl inj 10 mg/ml-1 ml ampul
75 Digoksin tablet 0,25 mg tablet 100
76 Diltiazem tablet tablet
77 Dimenhidrinat 50 mg tablet
78 Doksisilin kapsul tablet 200
79 Domperidon 10 mg tablet 730
80 Domperidon syr Botol 120
81 Efedrin HCl tablet 25 mg tablet
82 Epinefrin HCl /adrenalin inj.0,1%-1ml ampul 20
83 Eritromisin 250 mg tablet
84 Eritromisin 500 mg tablet
85 Eritromisin sirup kering Botol
86 Etambutol 400mg tablet
87 Euthyrox tablet
88 Fenitoin natrium kapsul 30 mg tablet
89 Fenobarbital inj 50 mg/ml - 2 ml ampul
90 Fenobarbital tablet 30 mg tablet
91 Fenolgliserol tetes telinga 10% Botol
92 Fitomenadion (Vit K1) inj 10 mg/ml-1 ml ampul 9
93 Fitomenadion (Vit K1) tablet 10 mg tablet 209
94 Fitomenadion inj 2 mg/ml ampul 60
95 Fluoksetin / Prestine tablet
96 Furosemid injeksi ampul
97 Furosemid tablet 40 mg tablet 1,260
98 Gabapentin/Alpentin 100 mg kapsul
99 Garam Oralit untuk 200 ml bungkus 138
100 Gentamicin Salep Kulit Tube
101 Gentamisin inj ampul
102 Gentamisin tetes mata botol
103 Gentian violet larutan 1% Botol 37
104 Glibenklamid tablet 5 mg tablet 1,800
105 Glimepirid 1 mg tablet 880
106 Glimepirid 2 mg tablet 980
107 Gliseril Guaiakolat tablet 100 mg tablet
108 Glukosa 40% ampul
109 Glukosa larutan Infus 10% steril fls
110 Glukosa Larutan Infus 5% steril fls 53
111 Griseofulvin tablet 125 mg tablet
112 Griseofulvin tablet 500 mg tablet 175
113 Haloperidol 5 mg tablet
114 Haloperidol inj 50mg/ml ampul
115 Haloperidol tablet 0,5 mg tablet
116 Haloperidol tablet 1,5 mg tablet
117 Hidrochlorotiazid (HCT) tablet 25 mg tablet 1
118 Hidrokortison krim 2,5% Tube 30
119 Hiosin HBr Inj 20 mg ampul 7
120 Hiosin N Butil bromida tablet tablet 2
121 Ibuprofen suspensi 100 mg/5 ml botol 125
122 Ibuprofen tablet 200 mg tablet
123 Ibuprofen tablet 400 mg tablet 2,949
124 Ichtiol salep pot
125 Isoniazid 100 mg/PPINH 100 mg tablet
126 Isoniazid tablet 300 mg tablet
127 Isosorbid dinitrat tablet sublingual 5 mg tablet 200
128 Kalsium laktat (Kalk) tablet 500 mg tablet 295
129 Karbamazepin tablet 200 mg tablet
130 Ketokonazol krim Tube 58
131 Ketokonazol tab tablet 650
132 Ketoprofen 100mg tablet 215
133 Ketoprofen Supp suppos 55
134 Klopidogrel 75 mg Tablet
135 Kloramfenikol kapsul 250 mg tablet 60
136 Kloramfenikol salep Kulit Tube 75
137 Kloramfenikol salep mata 1 % Tube 5
138 Kloramfenikol suspensi 125 mg/5 ml Botol
139 Kloramfenikol tetes mata Botol
140 Kloramfenikol tetes telinga 3 % Botol 6
141 Klorfeniramin maleat (CTM) tablet 4 mg tablet 2,530
142 Klorpromazin 25mg tablet
143 Klorpromazin HCl inj 25 mg/ml - 1 ml ampul
144 Klorpromazin HCl inj 5 mg/ml - 1 ml ampul
145 Klorpromazin HCl tablet salut 100 mg tablet
146 Kodein HCl tablet 10 mg tablet 60
147 Kolkisin 500 mcg tablet
148 Kotrimoksazol suspensi kombinasi Botol 15
149 Kotrimoksazol tablet dewasa kombinasi tablet 1,124
150 Lamivudin tablet
151 Lansoprazole tablet
152 Levofloksasin 250mg tablet
153 Levofloksasin tetes mata 0,5% botol
154 Lidocain komp.inj. ampul 62
155 Lidocain inj. ampul 34
156 Loperamid Hcl tablet 970
157 Loratadin 10mg tablet 670
158 Magnesium sulfat inj (IV) 20%-25 ml vial
159 Magnesium sulfat inj (IV) 40%-25 ml vial 12
160 MDT MD Dewasa Paket
161 Meloksikam 15 mg tablet 130
162 Metformin tablet 2,151
163 Metil ergometrin maleat tablet salut 0,125 mg tablet
164 Metil ergometrin maleat inj 0,200mg-1ml ampul 85
165 Metil Prednisolon 4 mg tablet 1,575
166 Metil Prednisolon 8mg tablet
167 Metildopa 250mg tablet 110
168 Metoclopramid 10 gr tablet 1,340
169 Metoclopramid injeksi ampul
170 Metronidazol 500 mg tablet 338
171 Metronidazol supositoria 500 mg suppos
172 Metronidazole ovula 500mg ovula
173 Mikonazol krim Tube 37
174 Mineral Mix sachet
175 Multivitamin syr Botol 211
176 Multivitamin tab tablet
177 N-asetil sistein tablet 4,302
178 Natrium bicarbonat tablet 500 mg tablet 308
179 Natrium Diklofenak 50 mg tablet 4,330
180 Natrium klorida larutan infus 0,9% fls 154
181 Nevirapin tablet
182 Nifedipin 10 mg tablet 590
183 Nistatin suspensi botol
184 Nistatin tablet salut 500.000 IU tablet 200
185 Nistatin tablet vaginal 100.000 IU/g tablet 84
186 Oksitetrasiklin HCl salep kulit 3% Tube 2
187 Oksitetrasiklin HCl salep mata 1% Tube 74
188 Oksitosin inj 10 IU / ml - 1 ml ampul 12
189 Omeprazole 20mg tablet
190 Pantocain tetes mata btl 2
191 Papaverin tablet 40 mg tablet 300
192 Parasetamol Drop Botol 23
193 Parasetamol rektal 125 mg (dumin) suppos 17
194 Parasetamol rektal 250 mg (dumin) suppos 27
195 Parasetamol sirup 120mg/ml Botol 218
196 Parasetamol tablet 100 mg tablet
197 Parasetamol tablet 500 mg tablet 4,512
198 Permetrin krim 5% (Scabimite) tube 7
199 Petidin inj 50mg/ml ampul
200 Piracetam inj 3g/15ml ampul 4
201 Pirantel tablet 125 mg tablet
202 Pirasetam 800mg tablet
203 Piroxicam 10 mg tablet
204 Piroxicam 20 mg tablet
205 Prednison tablet 5 mg tablet 632
206 Primakuin tablet 15 mg tablet 300
207 Prokain benzil penisilin vial
208 Propanolol HCl tablet 10 mg tablet 177
209 Propanolol HCl tablet 40 mg tablet
210 Propiltiourasil tablet 100 mg tablet 910
211 Ramipril tablet
212 Ranitidin inj. 25mg/ml ampul 130
213 Ranitidin tablet 150 mg tablet 2,872
214 Risperidon 1 mg tablet
215 Risperidon 2 mg tablet
216 RL larutan infus fls 322
217 Salbutamol inhalasi 100 mcq/dosis botol 10
218 Salbutamol nebulizer Kotak 2
219 Salbutamol tablet 2 mg tablet 1,640
220 Salbutamol tablet 4 mg tablet 2,670
221 Salep 2-4 kombinasi pot 38
222 Salep luka bakar (Levertran) Tube
223 Salep Luka Bakar (Perak Sulfadiazin Krim) Tube 16
224 Salisil bedak 2% bungkus 32
225 Seftriakson Injeksi vial 12
226 Serum Anti Bisa Ular polivalen inj 5 ml vial 7
227 Serum Anti Rabies (SAR) Vial
228 Serum Anti Tetanus inj 1500 IU/ampul ampul 1
229 Simvastatin 10 mg tablet 500
230 Spironolacton 25 mg tablet 232
231 Sukralfat tablet tablet
232 Sukralfat Sirup Botol 52
233 Tablet Tambah darah tablet 460
234 Tenofovir tablet
235 Tetagam ampul 4
236 Tetrasiklin HCL kapsul 500 mg tablet 100
237 Thiamfenikol 500 mg tab tablet
238 Tramadol inj ampul
239 Trifluoperazin 5mg tablet
240 Triheksiphenidil HCl tablet 2 mg tablet
241 Vaksin Rabies Vero Vial
242 Vitamin A 100.000 IU tablet 50
243 Vitamin A 200.000 IU tablet 50
244 Vitamin B komplek tablet tablet 2,200
245 Vitamin B1 / Thiamin HCl tablet 50 mg tablet 1,200
246 Vitamin B12 / Sianokobalamin tab 50 mcg tablet
247 Vitamin B12 / Sianokobalamin Vit B12 inj 500mcg-ml ampul
248 Vitamin B6 / Pyridoksin HCL tab 10 mg tablet 1,940
249 Vitamin C / Asam askorbat tablet 50 mg tablet 2,455
250 Zinc syr botol 14
251 Zinc tab 20 mg tablet 441
252 BMHP Abochat (IV Chat) 18 Pcs 94
253 & Abochat (IV Chat) 20 Pcs 204
254 Reagen Abochat (IV Chat) 22 Pcs 118
255 Abochat (IV Chat) 24 Pcs 184
256 ADS 0,05 ml pcs 1,100
257 ADS 0,5 ml pcs 1,600
258 ADS 5 ml pcs
259 Alat suntik 10 ml pcs
260 Alat suntik 20 ml pcs
261 Alat suntik sekali pakai 1 ml Pcs 782
262 Alat suntik sekali pakai 2,5 ml / 3 ml Pcs 1,610
263 Alat suntik sekali pakai 5 ml Pcs 614
264 Alkacid Botol
265 Alkohol Swab sachet 950
266 Amoniak btl/1000 ml
267 Aquadest steril liter
268 Benecheck Cholesterol strip Botol 4
269 Benecheck Glucose strip Botol
270 Benecheck uric strip Botol
271 Blood lancet pcs 1,030
272 Blue tip box
273 Box Slide bok
274 Cartridge Gen Expert Pcs
275 Catgut/benang bedah Chromic 2/0 set 45
276 Catgut/benang bedah Chromic 3/0 set 47
277 Catgut/benang bedah Plain 2/0 set 93
278 Catgut/benang bedah Plain 3/0 set 83
279 Centrifuse Paket
280 Chlorin botol
281 Cuticell Classic pcs 8
282 DFI Cybow Box
283 EDTA 10 % Botol
284 Etakridin (rivanol) larutan 0,1% Botol 8
285 Etanol 100 ml botol.
286 Etanol 70% Botol 25
287 Etanol 96% botol
288 Eter Alkohol 5% botol
289 Folley Chatether pcs 10
290 Food Test - Borak Test Paket
291 Food Test - Formalin Test Paket
292 Food Test - Rhodamin Test Paket
293 Fouchet Botol
294 Handscoon psg 890
295 Handscoon Obgyn psg 22
296 Handscoon Steril psg 107
297 HCG Strip Pcs
298 Infusion set anak set
299 Infusion set dewasa set 151
300 Jarum jahit / bedah no. 9 s/d 14 Pcs
301 Jelly USG btl 4
302 Kaca Slide pcs 144
303 Kaca Tutup pcs
304 Kapas pembalut / absorben 250 g roll 5
305 Kasa kompres 40/40 steril lbr 80
306 Kasa pembalut 2 m x 80 cm roll
307 Kasa pembalut elastis 3 inchi roll 1
308 Kasa pembalut elastis 4 inchi roll 1
309 Kasa Pembalut hidrofil 3,6 m x 10 cm roll
310 Kasa Pembalut hidrofil 3,6 m x 5 cm roll
311 Kasa Pembalut hidrofil 4 m x 10 cm elastis roll 65
312 Kasa Pembalut hidrofil 4 m x 5 cm elastis roll
313 Kasa steril 16/16 kotak 79
314 Kassa gulung Besar 80cm x 40 m roll
315 Kertas lakmus biru pack
316 Kertas Lakmus merah pack
317 Kertas lensa pak
318 Kertas pH Universal Kotak
319 Kertas saring watchman ktk
320 kit gol. Darah A, B, AB set
321 Kondom pcs
322 Labstrip (urinalis) tube
323 Larutan Amonium Oksalat 1% Botol
324 Larutan Asam Asetat 6 % Botol
325 Larutan barium klorida Botol
326 Larutan benedict Botol
327 Larutan buffer PH 6,1 Botol
328 Larutan buffer PH 7,2 Botol
329 Larutan eosin 2% Botol
330 Larutan Etanol Asam Botol
331 Larutan giemsa stain Botol
332 Larutan H2O2 3% Botol 1 L
333 Larutan H2O2 3% Botol
334 Larutan Hayem Botol
335 Larutan HCl 0,1 N Botol
336 Larutan karbolfuksin Botol
337 Larutan metilen biru Botol
338 Larutan Na citrat Botol
339 Larutan Natrium Hipoklorid Botol/ 500ml
340 Larutan Ress Ecker Botol/ 100 ml
341 Larutan turk Botol
342 Larutan Wright Botol
343 Lisol Botol 8
344 Lubricant pcs
345 Mantoux tes vial
346 Masker pcs 1,470
347 Masker 3M N95 medikal respirator pcs
348 Mess pcs
349 Metanol 100 ml Botol
350 Metanol 1000 ml botol
351 Microlit tips for micropipettes MT-up to 1 ml pack
352 Mikropipet adjustable 100-1000µl unit
353 Mikropipet adjustable 5-50µl unit
354 Mikroskop malaria (nikon) unit
355 Minyak Imersi Botol
356 NAPZA Kit 6 Parameter pcs
357 Napza KIT 8 Parameter box
358 Needle 23 G Pcs
359 Pembalut gips 3 inch Roll
360 Pembalut gips 4 inch Roll
361 Pipet tetes bks/100 pcs
362 Planotest pcs
363 Plester 2,5 cmx 4,5 m roll
364 Plester 5 yard x 2 inch roll
365 Plester bulat non woven box 80
366 Poli Aid Botol
367 Poli Clean Botol 21
368 Poliwash botol 500ml
369 Pork Test Paket
370 Pot Sputum Pcs
371 Pot Urine Pcs
372 Povidon iodida 10% 30 ml Botol 17
373 Povidon iodida 10% 300 ml Botol 27
374 Povidon iodida 10% 60 ml Botol 18
375 Povidon Iodine 1 L Botol
376 RDT DBD Verotec Pcs
377 RDT DBD Biosen Pcs
378 RDT Hepatitis / HBSAG Strip pcs 20
379 RDT HIV -Fokus 1/2 casette box/25
380 RDT HIV Test (HIV 1 & 2 Anti Body) oncoprobe test
381 RDT HIV test (R1) SD Pcs 100
382 RDT HIV test Biomerieux (Vikia HIV 1 dan 2) ktk/25 test
383 RDT HIV test Intec (One Step Anti-HIV 1&2) Box
384 RDT Malaria / Malaria test ktk 2
385 RDT sifillis Pcs 125
386 Reagen dan Bahan alat lab.Malaria paket
387 Reagen Fotometer Kimia Klinik Randox Glukosa kit
388 Reagen Fotometer Kimia Klinik Randox Protein total kit
389 Reagen Fotometer Kimia Klinik Randox triglyserida kit
Mengetahui,
Plt. Kepala UPT Puskesmas Sungai Limau
Harga Satuan Jumlah Volume Harga Satuan Jumlah Volume Harga Satuan Jumlah
6 7 8 9 10 11 12 13
4,200 71,400 - 17 4,200 71,400
452 217,864 3,000 452 1,356,000 -
99 432,036 4,500 105 472,500 -
- - -
- - -
99 309,870 7,500 99 742,500 -
2,789 41,835 - -
- 400 341 136,400 -
168 80,640 - -
94 234,060 1,200 94 112,800 -
73 157,972 4,500 78 351,000 -
203 314,650 3,500 203 710,500 -
250 726,250 12,500 260 3,250,000 -
3,737 37,370 - -
4,400 1,196,800 100 5,500 550,000 -
- - -
56 31,360 7,500 60 450,000 -
2,051 244,069 750 2,189 1,641,750 -
8,250 470,250 150 8,250 1,237,500 -
4,721 9,442 48 4,721 226,608 -
3,325 6,650 110 3,325 365,750 -
- - -
260,526 521,052 - -
- 5 415,469 2,077,345 -
1,297,889 1,297,889 - -
2,860 102,960 30 2,860 85,800 -
- - -
74 46,990 6,500 79 513,500 -
103 70,452 4,500 297 1,336,500 -
- 10 2,088 20,880 -
- - -
1,684 1,220,900 - -
- - -
99 64,845 - -
3,300 405,900 75 3,300 247,500 -
245 134,505 400 245 98,000 -
399 736,155 200 426 85,200 -
- - -
1,540 46,200 - -
160 47,040 1,000 155 155,000 -
- - -
- 1 14,500 14,500 -
- - -
110 169,400 2,400 110 264,000 -
1,340 29,480 175 1,430 250,250 -
- - -
5,900 259,600 50 5,900 295,000 -
327 44,145 120 327 39,240 -
- - -
275 41,250 - -
10,351 103,510 - -
64 208,640 2,000 68 136,000 -
154 410,410 6,000 154 924,000 -
880 1,491,600 1,300 880 1,144,000 -
4,066 126,046 70 4,339 303,730 -
15,950 319,000 30 15,950 478,500 -
1,430 429,000 400 387 154,800 -
4,571 155,414 90 4,571 411,390 -
26,400 844,800 - -
101 33,330 5,800 101 585,800 -
2,973 267,570 - -
495 59,400 5,000 495 2,475,000 -
729 948,429 - -
- - -
1,152 110,592 100 1,152 115,200 -
99 208,890 13,500 88 1,188,000 -
- 180 2,000 360,000 40 2,000 80,000
- 10 12,000 120,000 -
19,193 76,772 - -
13,202 52,808 5 13,202 66,010 -
86 15,910 400 86 34,400 -
109 2,180 - -
- - -
- 15 1,228 18,420 -
104 10,400 500 104 52,000 -
- - -
- - -
273 54,600 - 200 273 54,600
86 62,780 1,400 86 120,400 -
2,781 333,720 - -
- - -
1,408 28,160 40 1,408 56,320 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 200 180 36,000 -
- - -
5,000 44,996 - -
747 156,123 1,500 797 1,195,500 540 747 403,380
3,867 232,020 120 3,867 464,040 -
- - -
- 20 1,333 26,660 -
81 102,060 700 82 57,400 -
- - -
257 35,466 900 274 246,600 -
- - -
- - -
- - -
3,498 129,426 24 3,498 83,952 -
125 225,000 1,000 125 125,000 -
174 153,120 1,000 174 174,000 -
207 202,860 1,500 207 310,500 -
- - -
- - -
- 20 7,500 150,000 20 7,500 150,000
6,900 365,700 100 7,363 736,300 -
- - -
952 166,600 800 952 761,600 -
- - -
- - -
- - -
- - -
156 156 900 156 140,400 -
2,475 74,250 192 2,475 475,200 -
9,999 69,993 - -
1,496 2,992 - -
2,776 347,000 - -
- - -
330 973,170 11,500 330 3,795,000 -
- - -
- - -
- - -
165 33,000 800 165 132,000 -
59 17,405 2,500 63 157,500 -
- - -
2,518 146,044 50 2,518 125,900 -
297 193,050 1,300 297 386,100 -
990 212,850 700 990 693,000 -
2,380 130,900 70 2,380 166,600 -
- - -
495 29,700 480 495 237,600 -
3,140 235,500 48 3,140 150,720 -
1,881 9,405 - -
- - -
- - -
7,502 45,012 10 7,502 75,020 -
25 63,250 12,500 25 312,500 -
- - -
- - -
- - -
- - -
600 36,000 - -
- 900 2,414 2,172,600 -
2,052 30,780 - -
125 140,500 500 133 66,500 -
- - -
- 200 334 66,800 -
- - -
- - -
1,205 74,710 300 1,286 385,800 -
1,208 41,072 120 1,289 154,680 -
143 138,710 2,400 143 343,200 -
125 83,750 1,000 133 133,000 -
- - -
3,796 45,552 18 3,796 68,328 -
- - -
990 128,700 - -
105 224,995 10,500 106 1,113,000 -
- - -
2,992 254,320 40 3,102 124,080 -
137 215,775 5,500 146 803,000 -
- - -
993 109,230 - -
80 107,200 400 85 34,000 -
- 160 4,158 665,280 -
275 92,950 - -
- - -
- 40 3,590 143,600 -
3,585 132,645 24 3,585 86,040 -
- - -
4,500 949,500 100 4,500 450,000 -
- - -
357 1,535,814 2,000 381 762,000 -
66 20,328 700 66 46,200 -
127 549,910 7,600 136 1,033,600 -
6,410 987,140 120 6,840 820,800 -
- - -
132 77,880 600 132 79,200 -
- 10 34,980 349,800 -
830 166,000 - -
572 48,048 100 572 57,200 -
3,850 7,700 25 3,850 96,250 -
2,600 192,400 75 2,774 208,050 -
1,900 22,800 10 1,199 11,990 -
- 2,700 164 442,800 -
14,993 29,986 3 14,993 44,979 -
350 104,940 1,800 350 630,000 -
6,981 160,563 240 6,981 1,675,440 -
16,995 288,915 15 16,995 254,925 -
17,800 480,600 - -
1,110 241,980 1,200 1,110 1,332,000 -
- - -
56 252,672 14,500 160 2,312,750 -
11,825 82,775 10 11,825 118,250 -
- - -
11,990 47,960 4 11,990 47,960 -
- 400 302 120,800 -
- - -
- - -
- 4,500 121 544,500 -
72 45,504 1,700 77 130,900 -
253 75,900 100 253 25,300 -
- - -
57 10,089 700 61 42,700 -
- - - -
451 410,410 1,000 451 451,000 -
- - - -
1,155 150,150 370 1,155 427,350 -
165 473,880 10,500 220 2,310,000 -
- - -
- - -
7,150 2,302,300 300 7,630 2,289,000 -
31,571 315,710 10 32,120 321,200 -
192,000 383,999 4 220,000 880,000 -
63 103,320 1,000 67 67,000 -
74 197,580 - -
2,753 104,614 - -
- - -
20,700 331,200 29 20,700 600,300 -
3,190 102,080 24 3,190 76,560 -
4,998 59,976 20 4,998 99,960 -
479,996 3,359,972 11 512,204 5,634,244 -
- - -
130,999 130,999 20 130,999 2,619,980 -
110 55,000 1,500 117 175,500 -
195 45,240 800 208 166,400 -
- - -
6,989 363,428 50 6,989 349,450 -
372 171,120 35,670 372 13,269,240 -
- - -
176,800 707,200 5 176,800 884,000 -
319 31,900 - -
- - -
- - -
- - -
- 100 93 9,300 -
- 12 165,000 1,980,000 -
304 15,200 450 324 145,800 -
544 27,200 1,900 581 1,103,900 -
123 270,600 16,500 131 2,161,500 -
86 103,200 1,500 92 138,000 -
- - -
- - -
132 256,662 1,900 138 262,200 -
110 270,050 15,000 110 1,650,000 -
3,122 43,708 200 3,322 664,400 -
551 242,991 2,400 551 1,322,400 -
6,270 589,380 50 6,270 313,500 -
6,270 1,279,080 - -
6,270 739,860 350 6,270 2,194,500 -
7,810 1,437,040 - -
1,392 1,531,200 - -
1,091 1,745,456 - -
- - -
- - -
- - -
880 688,160 800 880 704,000 -
894 1,439,340 2,000 894 1,788,000 -
943 579,002 200 943 188,600 -
- - -
118 112,100 5,400 120 648,000 -
- - -
- - -
255,048 1,020,191 4 254,925 1,019,700 -
- 6 169,000 1,014,000 -
- 12 154,675 1,856,100 -
191 196,730 1,300 144 187,200 -
- - -
- - -
- - -
52,100 2,344,511 12 33,565 402,780 -
47,706 2,242,182 48 33,287 1,597,776 -
35,125 3,266,625 - -
46,481 3,857,924 - -
- 1 8,370,000 8,370,000 -
- 2 60,000 120,000 -
14,689 117,512 2 15,600 31,200 -
- 1 143,700 143,700 -
- - -
3,450 27,600 5 4,150 20,750 -
- 10 11,000 110,000 -
69,300 1,732,500 3 88,000 264,000 -
- - -
- - -
10,212 102,120 - -
- - -
- - -
- - -
- - -
990 881,100 5,350 2,640 14,124,000 -
21,296 468,512 - -
6,793 726,835 200 6,595 1,319,000 -
- 500 4,881 2,440,500 -
- 25 9,130 228,250 -
5,608 846,861 195 5,445 1,061,775 -
- - -
14,472 57,886 5 26,487 132,433 -
307 44,178 - -
- - -
31,694 158,470 25 34,150 853,750 -
1,760 140,800 80 1,760 140,800 -
- - -
16,000 16,000 - -
20,000 20,000 - -
- 50 2,471 123,550 -
- - -
2,480 161,200 50 2,100 105,000 -
- - -
8,144 643,408 180 7,530 1,355,400 -
- 10 140,500 1,405,000 -
- - -
- - -
- - -
- 1 144,000 144,000 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
47,150 377,200 12 47,150 565,800 -
- - -
- - -
676 994,014 1,850 2,530 4,680,500 -
- - -
- 100 3,150 315,000 -
- - -
- - -
- 1 238,100 238,100 -
- 1 3,743,693 3,743,693 -
- 1 3,743,693 3,743,693 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 50 12,675 633,750 -
- - -
33,880 2,710,400 - -
- - -
77,698 1,631,658 10 77,698 776,980 -
- - -
- - -
- 200 3,722 744,324 -
- 40 2,631 105,240 -
3,335 56,695 - -
20,700 558,900 9 19,633 176,700 -
23,890 430,020 40 5,187 207,460 -
- - -
- - -
- - -
9,878 197,560 250 8,175 2,043,750 -
- - -
- - -
11,975 1,197,500 150 11,400 1,710,000 -
- - -
- - -
161,900 323,800 1 161,900 161,900 -
20,400 2,550,000 300 7,250 2,175,000 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 2 237,271 474,542 -
- - -
- - -
- - -
- - -
21,500 559,000 75 22,433 1,682,475 -
46,712 3,269,840 216 34,000 7,344,000 -
6,720 33,600 - -
- - -
- - -
- - -
- - -
- - -
10,010 50,050 - -
10,010 50,050 - -
10,010 50,050 - -
- - -
- 2 91,000 182,000 -
- - -
- - -
164,373 493,120 - -
- - -
427,500 855,000 2 462,200 924,400 -
526,250 2,105,000 3 569,700 1,709,100 -
- 2 3,552 7,104 -
- 2 3,552 7,104 -
- 2 3,552 7,104 -
- - -
- - -
- - -
- - -
- - -
8,877 44,385 - -
- - -
- - -
- - -
- - -
- - -
1,540 7,700 - -
- - -
- - -
- - -
- 7 6,494 45,458 -
- - -
- - -
- 4 174,900 699,600 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 70 78,991 5,529,370 -
- 20 28,204 564,080 -
- 35 17,996 629,860 -
- 2 1,325,000 2,650,000 -
20,900 41,800 110 25,597 2,815,670 -
- - -
- 30 158,994 4,769,820 -
- - -
- 135 155,813 21,034,755 -
- 210 84,382 17,720,220 -
- 210 19,954 4,190,340 -
- 100 16,995 1,699,500 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
87,639,376 236,217,727 759,380
Pengeluaran/Penggunaan Tahun 2020 Sisa/Stok Persediaan per 31 Des 2020
14 15 16 17 18 19
- - -
2,882 452 1,302,664 600 452 271,200
8,676 105 910,980 188 105 19,740
- - -
- - -
8,248 99 816,552 2,382 99 235,818
2 2,976 5,952 13 2,976 38,688
- 400 341 136,400
480 168 80,640 - -
2,020 94 189,880 1,670 94 156,980
3,482 78 271,596 3,182 78 248,196
1,925 203 390,775 3,125 203 634,375
13,517 260 3,514,420 1,888 260 490,880
10 3,737 37,370 - -
227 5,500 1,248,500 145 5,500 797,500
- - -
6,732 60 403,920 1,328 60 79,680
782 2,189 1,711,798 87 2,189 190,443
166 8,250 1,369,500 41 8,250 338,250
50 4,721 236,050 - -
112 3,325 372,400 - -
- - -
- 2 260,526 521,052
1 415,469 415,469 4 415,469 1,661,876
- 1 1,454,232 1,454,232
60 2,860 171,600 6 2,860 17,160
- - -
5,817 79 459,543 1,318 79 104,122
3,794 297 1,126,818 1,390 297 412,830
10 2,088 20,880 - -
- - -
452 1,684 761,168 273 1,684 459,732
- - -
355 99 35,145 300 99 29,700
180 3,300 594,000 18 3,300 59,400
249 245 61,005 700 245 171,500
1,145 426 487,770 900 426 383,400
- - -
30 1,540 46,200 - -
429 155 66,495 865 155 134,075
- - -
1 14,500 14,500 - -
- - -
2,341 110 257,510 1,599 110 175,890
153 1,430 218,790 44 1,430 62,920
- - -
94 5,900 554,600 - -
255 327 83,385 - -
- - -
150 275 41,250 - -
10 10,351 103,510 - -
2,420 68 164,560 2,840 68 193,120
6,473 154 996,842 2,192 154 337,568
2,746 880 2,416,480 249 880 219,120
94 4,339 407,866 7 4,339 30,373
50 15,950 797,500 - -
700 387 270,900 - -
93 4,571 425,103 31 4,571 141,701
32 27,500 880,000 - -
5,106 101 515,706 1,024 101 103,424
90 2,973 267,570 - -
3,158 495 1,563,210 1,962 495 971,190
1,301 770 1,001,770 - -
- - -
164 1,152 188,928 32 1,152 36,864
14,542 88 1,279,696 1,068 88 93,984
140 2,000 280,000 - -
10 12,000 120,000 - -
4 19,193 76,772 - -
9 13,202 118,818 - -
585 86 50,310 - -
20 114 2,280 - -
- - -
15 1,228 18,420 - -
400 104 41,600 200 104 20,800
- - -
- - -
- - -
1,498 86 128,828 632 86 54,352
106 2,781 294,786 14 2,781 38,934
- - -
50 1,408 70,400 10 1,408 14,080
- - -
- - -
- - -
- - -
- - -
- - -
- - -
200 180 36,000 - -
- - -
9 3,600 32,400 - -
469 797 373,793 700 797 557,900
141 3,867 545,247 39 3,867 150,813
- - -
20 1,333 26,660 - -
1,560 82 127,920 400 82 32,800
- - -
710 274 194,540 328 274 89,872
- - -
- - -
- - -
61 3,498 213,378 - -
1,300 125 162,500 1,500 125 187,500
1,806 174 314,244 74 174 12,876
1,380 207 285,660 1,100 207 227,700
- - -
- - -
- - -
153 7,363 1,126,539 - -
- - -
175 952 166,600 800 952 761,600
- - -
- - -
- - -
- - -
901 156 140,556 - -
212 2,475 524,700 10 2,475 24,750
7 9,999 69,993 - -
2 1,496 2,992 - -
122 2,776 338,672 3 2,776 8,328
- - -
13,854 330 4,571,820 595 330 196,350
- - -
- - -
- - -
300 165 49,500 700 165 115,500
1,825 63 114,975 970 63 61,110
- - -
108 2,518 271,944 - -
1,891 297 561,627 59 297 17,523
765 990 757,350 150 990 148,500
125 2,380 297,500 - -
- - -
440 495 217,800 100 495 49,500
123 3,140 386,220 - -
5 1,881 9,405 - -
- - -
- - -
16 7,502 120,032 - -
12,438 25 310,950 2,592 25 64,800
- - -
- - -
- - -
- - -
60 600 36,000 - -
820 2,414 1,979,480 80 2,414 193,120
15 2,190 32,850 - -
324 133 43,092 1,300 133 172,900
- - -
- 200 334 66,800
- - -
- - -
297 1,286 381,942 65 1,286 83,590
145 1,289 186,905 9 1,289 11,601
2,087 143 298,441 1,283 143 183,469
660 133 87,780 1,010 133 134,330
- - -
11 3,796 41,756 19 3,796 72,124
- - -
130 990 128,700 - -
10,665 106 1,130,490 1,986 106 210,516
- - -
125 3,102 387,750 - -
4,665 146 681,090 2,410 146 351,860
- - -
31 993 30,783 79 993 78,447
810 85 68,850 930 85 79,050
90 4,158 374,220 70 4,158 291,060
270 275 74,250 68 275 18,700
- - -
20 3,590 71,800 20 3,590 71,800
61 3,585 218,685 - -
- - -
311 4,500 1,399,500 - -
- - -
1,312 381 499,872 4,990 381 1,901,190
775 66 51,150 233 66 15,378
10,370 136 1,410,320 1,560 136 212,160
167 6,840 1,142,280 107 6,840 731,880
- - -
530 132 69,960 660 132 87,120
10 34,980 349,800 - -
- 200 886 177,200
84 572 48,048 100 572 57,200
27 3,850 103,950 - -
103 2,774 285,722 46 2,774 127,604
22 1,199 26,378 - -
2,559 164 419,676 141 164 23,124
5 14,993 74,965 - 14,993 -
2,100 350 735,000 - -
132 6,981 921,492 131 6,981 914,511
32 16,995 543,840 - -
27 17,800 480,600 - -
1,159 1,110 1,286,490 259 1,110 287,490
- - -
18,139 160 2,893,171 873 160 139,244
17 11,825 201,025 - -
- - -
4 11,990 47,960 4 11,990 47,960
- 400 302 120,800
- - -
- - -
2,650 121 320,650 1,850 121 223,850
871 77 67,067 1,461 77 112,497
240 253 60,720 160 253 40,480
- - -
547 61 33,367 330 61 20,130
- - -
1,250 451 563,750 660 451 297,660
- - -
310 1,155 358,050 190 1,155 219,450
12,089 220 2,659,580 1,283 220 282,260
- - -
- - -
513 7,630 3,914,190 109 7,630 831,670
11 32,120 353,320 9 32,120 289,080
4 220,000 880,000 2 220,000 440,000
1,001 67 67,067 1,639 67 109,813
1,394 74 103,156 1,276 74 94,424
29 2,753 79,837 9 2,753 24,777
- - -
45 20,700 931,500 - -
48 3,190 153,120 8 3,190 25,520
32 4,998 159,936 - -
15 512,204 7,683,060 3 512,204 1,536,612
- - -
15 130,999 1,964,985 6 130,999 785,994
1,388 117 162,396 612 117 71,604
374 208 77,792 658 208 136,864
- - -
102 6,989 712,878 - -
33,690 372 12,532,680 2,440 372 907,680
- - -
9 176,800 1,591,200 - -
100 319 31,900 - -
- - -
- - -
- - -
100 93 9,300 - -
- 12 165,000 1,980,000
300 324 97,200 200 324 64,800
1,350 581 784,350 600 581 348,600
16,542 131 2,167,002 2,158 131 282,698
50 92 4,600 2,650 92 243,800
- - -
- - -
2,518 138 347,484 1,322 138 182,436
15,459 110 1,700,490 1,996 110 219,560
175 3,322 581,350 39 3,322 129,558
1,706 551 940,006 1,135 551 625,385
91 6,270 570,570 53 6,270 332,310
132 6,270 827,640 72 6,270 451,440
343 6,270 2,150,610 125 6,270 783,750
149 6,270 934,230 35 6,270 219,450
500 1,518 759,000 600 1,518 910,800
1,400 1,518 2,125,200 200 1,518 303,600
- - -
- - -
- - -
763 880 671,440 819 880 720,720
2,802 894 2,504,988 808 894 722,352
354 943 333,822 460 943 433,780
- - -
5,270 120 632,400 1,080 120 129,600
- - -
- - -
8 254,925 2,039,400 - -
5 169,000 845,000 1 169,000 169,000
9 154,675 1,392,075 3 154,675 464,025
1,430 144 205,920 900 144 129,600
- - -
- - -
- - -
55 33,565 1,846,075 2 33,565 67,130
72 33,287 2,396,664 23 33,287 765,601
93 35,125 3,266,625 - -
70 46,481 3,253,671 13 46,481 604,253
1 8,370,000 8,370,000 - -
1 60,000 60,000 1 60,000 60,000
10 15,600 156,000 - -
1 143,700 143,700 - -
- - -
13 4,150 53,950 - -
10 11,000 110,000 - -
28 88,000 2,464,000 - -
- - -
- - -
10 20,100 201,000 - -
- - -
- - -
- - -
- - -
5,490 2,640 14,493,600 750 2,640 1,980,000
22 40,733 896,126 - -
307 6,595 2,024,665 - -
450 4,881 2,196,450 50 4,881 244,050
- 25 9,130 228,250
241 5,445 1,312,245 105 5,445 571,725
- - -
8 26,487 211,893 1 26,487 26,487
144 417 60,000 - -
- - -
24 34,150 819,600 6 34,150 204,900
112 1,760 197,120 48 1,760 84,480
- - -
1 16,000 16,000 - -
1 20,000 20,000 - -
41 2,471 101,311 9 2,471 22,239
- - -
115 2,100 241,500 - -
- - -
220 7,530 1,656,600 39 7,530 293,670
7 140,500 983,500 3 140,500 421,500
- - -
- - -
- - -
1 144,000 144,000 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
20 47,150 943,000 - -
- - -
- - -
3,320 2,530 8,399,600 - -
- - -
- 100 3,150 315,000
- - -
- - -
1 238,100 238,100 - -
1 3,743,693 3,743,693 - -
1 3,743,693 3,743,693 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
40 12,675 507,000 10 12,675 126,750
- - -
44 33,880 1,490,720 36 33,880 1,219,680
- - -
31 77,698 2,408,638 - -
- - -
- - -
200 3,722 744,324 - -
40 2,631 105,240 - -
17 3,335 56,695 - -
33 19,633 647,900 3 19,633 58,900
45 5,187 233,393 13 5,187 67,425
- - -
- - -
- - -
70 8,175 572,250 200 8,175 1,635,000
- - -
- - -
50 11,400 570,000 200 11,400 2,280,000
- - -
- - -
3 161,900 485,700 - -
325 7,250 2,356,250 100 7,250 725,000
- - -
- - -
- - -
- - -
- - -
- - -
- - -
2 237,271 474,542 - -
- - -
- - -
- - -
- - -
51 22,433 1,144,083 50 22,433 1,121,650
231 34,000 7,854,000 55 34,000 1,870,000
5 6,720 33,600 - -
- - -
- - -
- - -
- - -
- - -
5 10,010 50,050 - -
5 10,010 50,050 - -
5 10,010 50,050 - -
- - -
2 91,000 182,000 - -
- - -
- - -
3 202,200 606,600 - -
- - -
4 462,200 1,848,800 - -
7 569,700 3,987,900 - -
2 3,552 7,104 - -
2 3,552 7,104 - -
2 3,552 7,104 - -
- - -
- - -
- - -
- - -
- - -
5 8,070 40,350 - -
- - -
- - -
- - -
- - -
- - -
5 1,540 7,700 - -
- - -
- - -
- - -
7 6,494 45,458 - -
- - -
- - -
2 174,900 349,800 2 174,900 349,800
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
58 78,991 4,581,478 12 78,991 947,892
20 28,204 564,080 - -
20 17,996 359,920 15 17,996 269,940
2 1,325,000 2,650,000 - -
100 25,597 2,559,700 12 25,597 307,164
- - -
- 30 158,994 4,769,820
- - -
125 155,813 19,476,625 10 155,813 1,558,130
163 84,382 13,754,266 47 84,382 3,965,954
176 19,954 3,511,904 34 19,954 678,436
54 16,995 917,730 46 16,995 781,770
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
260,509,326 66,031,423
1 2 3 4 5
1 Obat Albendazol sirup 200mg/5 ml Botol
2 Albendazol tablet 400 mg tablet 50
3 Allopurinol 100 mg tablet 420
4 Alprazolam 0,5 mg tablet
5 Alprazolam 1 mg tablet 285
6 Ambroxol 30 mg tablet tablet 1,823
7 Aminofilin inj 24mg/ml-10 ml ampul 3
8 Aminofilin tablet 200 mg tablet
9 Amitriptilin HCl tablet salut 25 mg tablet 440
10 Amlodipin 10 mg tablet 302
11 Amlodipin 5 mg tablet 340
12 Amoksisilin 250 mg tablet 900
13 Amoksisilin 500 mg tablet 2,124
14 Amoksisilin 250mg/5ml sirup kering botol
15 Amoksisilin sirup kering 125 mg/5 ml Botol 268
16 Antalgin injeksi 250 mg/ml-2ml ampul
17 Antasida DOEN tablet tablet 1,630
18 Antasida sirup Botol 216
19 Anti Bakteri DOEN salep Kombinasi (bacitrasin) Tube 78
20 Anti Fungi DOEN Kombinasi Pot
21 Anti Haemoroid DOEN kombinasi Suppos 21
22 Anti Migren (ergotamin caffein) tablet 100
23 Anti Tuberkulosis anak paket 1
24 Anti Tuberkulosis Kategori I paket 1
25 Anti Tuberkulosis Kategori II paket
26 Aqua pro injeksi steril bebas pirogen vial 13
27 Asam Folat 0,4 mg /profolat tablet
28 Asam folat 1 mg tablet
29 Asam mefenamat 500 mg tablet 1,035
30 Asam tranexamat inj 100 mg/ml ampul
31 Asam tranexamat inj 50mg/ml ampul 6
32 Asam Tranexamat tablet 500 mg tablet 120
33 Asam Valproat 500mg / Depakote 500 mg tablet
34 Asetosal 80 mg / Miniaspi tablet 98
35 Asiklovir Krim 5 % 5 gr Tube 33
36 Asiklovir tablet 200 mg tablet
37 Asiklovir tablet 400 mg tablet 414
38 Atripla tablet
39 Atropin sulfat injeksi 0,25 mg/ml - 1 ml ampul 10
40 Attapulgit (Pularex) tablet 730
41 Azitromisin tab 500 mg tablet
42 Benzatil benzil penisilin vial
43 Berotec 0,1 mg(Fenoterol HBr aerosol 100mcg/dosis) Btl
44 Betahistin mesilat tablet 245
45 Betametason krim 0,1% Tube 73
46 Bioplacenton tube 1
47 Bisacodil (dulcolax) supp suppos
48 Bisacodil (dulcolax) tab tablet 48
49 Bisacodil supp infant 5 mg /Dulcolax Suppos
50 Bisoprolol 5 mg tablet 170
51 Ca Glukonas ampul 10
52 Captopril 12,5mg tablet 490
53 Captopril 25 mg tablet 514
54 Cefadroxil tablet 770
55 Cefadroxyl syr 125 mg/ml Botol 70
56 Cefiksim syr kering 100mg/5ml btl 30ml 61
57 Cefixime 100mg tablet
58 Cefotaxim 1,0 G inj Vial
59 Cendo Lyteers Kombinasi tts mata 2,5 mg/ml; NaCl 8,664 mbotol 28
60 Cetirizin 10 mg tablet 182
61 Cetirizin syr 5mg/5ml btl 60ml 38
62 Ciprofloxacin tablet 500 mg tablet 150
63 Clindamisin 150 mg tablet 1,020
64 Clindamisin 300 mg tablet
65 Deksametason injeksi 5 mg/ml-1 ml ampul 112
66 Deksametason tablet 0,5 mg tablet 2,732
67 DHP-Frimal tablet
68 Diazepam injeksi 5 mg/ml-2 ml ampul 4
69 Diazepam rektal 10 mg Suppos
70 Diazepam rektal 5 mg Suppos
71 Diazepam tablet 2 mg tablet 240
72 Diazepam tablet 5 mg tablet 201
73 Dietil karbamazin sitrat tablet 100 mg tablet
74 Difenhidramin HCl inj 10 mg/ml-1 ml ampul
75 Digoksin tablet 0,25 mg tablet 100
76 Diltiazem tablet tablet
77 Dimenhidrinat 50 mg tablet
78 Doksisilin kapsul tablet 98
79 Domperidon 10 mg tablet 1,005
80 Domperidon syr Botol 178
81 Efedrin HCl tablet 25 mg tablet
82 Epinefrin HCl /adrenalin inj.0,1%-1ml ampul 25
83 Eritromisin 250 mg tablet
84 Eritromisin 500 mg tablet 90
85 Eritromisin sirup kering Botol 15
86 Etambutol 400mg tablet
87 Euthyrox tablet
88 Fenitoin natrium kapsul 30 mg tablet
89 Fenobarbital inj 50 mg/ml - 2 ml ampul
90 Fenobarbital tablet 30 mg tablet 290
91 Fenolgliserol tetes telinga 10% Botol 52
92 Fitomenadion (Vit K1) inj 10 mg/ml-1 ml ampul 65
93 Fitomenadion (Vit K1) tablet 10 mg tablet 410
94 Fitomenadion inj 2 mg/ml ampul 65
95 Fluoksetin / Prestine tablet
96 Furosemid injeksi ampul
97 Furosemid tablet 40 mg tablet 320
98 Gabapentin/Alpentin 100 mg kapsul
99 Garam Oralit untuk 200 ml bungkus 555
100 Gentamicin Salep Kulit Tube
101 Gentamisin inj ampul
102 Gentamisin tetes mata botol
103 Gentian violet larutan 1% Botol 20
104 Glibenklamid tablet 5 mg tablet 355
105 Glimepirid 1 mg tablet 1,500
106 Glimepirid 2 mg tablet 635
107 Gliseril Guaiakolat tablet 100 mg tablet
108 Glukosa 40% ampul 2
109 Glukosa larutan Infus 10% steril fls 60
110 Glukosa Larutan Infus 5% steril fls 46
111 Griseofulvin tablet 125 mg tablet
112 Griseofulvin tablet 500 mg tablet 200
113 Haloperidol 5 mg tablet 440
114 Haloperidol inj 50mg/ml ampul
115 Haloperidol tablet 0,5 mg tablet
116 Haloperidol tablet 1,5 mg tablet 170
117 Hidrochlorotiazid (HCT) tablet 25 mg tablet
118 Hidrokortison krim 2,5% Tube 68
119 Hiosin HBr Inj 20 mg ampul 6
120 Hiosin N Butil bromida tablet tablet 430
121 Ibuprofen suspensi 100 mg/5 ml botol 283
122 Ibuprofen tablet 200 mg tablet
123 Ibuprofen tablet 400 mg tablet 610
124 Ichtiol salep pot 17
125 Isoniazid 100 mg/PPINH 100 mg tablet
126 Isoniazid tablet 300 mg tablet 100
127 Isosorbid dinitrat tablet sublingual 5 mg tablet 140
128 Kalsium laktat (Kalk) tablet 500 mg tablet 588
129 Karbamazepin tablet 200 mg tablet
130 Ketokonazol krim Tube 77
131 Ketokonazol tab tablet 670
132 Ketoprofen 100mg tablet 212
133 Ketoprofen Supp suppos 19
134 Klopidogrel 75 mg Tablet
135 Kloramfenikol kapsul 250 mg tablet 156
136 Kloramfenikol salep Kulit Tube 48
137 Kloramfenikol salep mata 1 % Tube 21
138 Kloramfenikol suspensi 125 mg/5 ml Botol
139 Kloramfenikol tetes mata Botol 37
140 Kloramfenikol tetes telinga 3 % Botol 46
141 Klorfeniramin maleat (CTM) tablet 4 mg tablet 5,166
142 Klorpromazin 25mg tablet
143 Klorpromazin HCl inj 25 mg/ml - 1 ml ampul
144 Klorpromazin HCl inj 5 mg/ml - 1 ml ampul
145 Klorpromazin HCl tablet salut 100 mg tablet 324
146 Kodein HCl tablet 10 mg tablet
147 Kolkisin 500 mcg tablet 389
148 Kotrimoksazol suspensi kombinasi Botol 114
149 Kotrimoksazol tablet dewasa kombinasi tablet 692
150 Lamivudin tablet
151 Lansoprazole tablet 200
152 Levofloksasin 250mg tablet
153 Levofloksasin tetes mata 0,5% botol
154 Lidocain komp.inj. ampul 262
155 Lidocain inj. ampul
156 Loperamid Hcl tablet 970
157 Loratadin 10mg tablet 2,180
158 Magnesium sulfat inj (IV) 20%-25 ml vial 8
159 Magnesium sulfat inj (IV) 40%-25 ml vial 6
160 MDT MD Dewasa Paket
161 Meloksikam 15 mg tablet
162 Metformin tablet 345
163 Metil ergometrin maleat tablet salut 0,125 mg tablet 1,390
164 Metil ergometrin maleat inj 0,200mg-1ml ampul 111
165 Metil Prednisolon 4 mg tablet 580
166 Metil Prednisolon 8mg tablet
167 Metildopa 250mg tablet
168 Metoclopramid 10 gr tablet 2,240
169 Metoclopramid injeksi ampul 12
170 Metronidazol 500 mg tablet 600
171 Metronidazol supositoria 500 mg suppos
172 Metronidazole ovula 500mg ovula 11
173 Mikonazol krim Tube 98
174 Mineral Mix sachet
175 Multivitamin syr Botol 143
176 Multivitamin tab tablet
177 N-asetil sistein tablet 2,225
178 Natrium bicarbonat tablet 500 mg tablet
179 Natrium Diklofenak 50 mg tablet 2,740
180 Natrium klorida larutan infus 0,9% fls 54
181 Nevirapin tablet
182 Nifedipin 10 mg tablet 860
183 Nistatin suspensi botol
184 Nistatin tablet salut 500.000 IU tablet 100
185 Nistatin tablet vaginal 100.000 IU/g tablet 102
186 Oksitetrasiklin HCl salep kulit 3% Tube 13
187 Oksitetrasiklin HCl salep mata 1% Tube 79
188 Oksitosin inj 10 IU / ml - 1 ml ampul 57
189 Omeprazole 20mg tablet
190 Pantocain tetes mata btl
191 Papaverin tablet 40 mg tablet 200
192 Parasetamol Drop Botol 20
193 Parasetamol rektal 125 mg (dumin) suppos
194 Parasetamol rektal 250 mg (dumin) suppos
195 Parasetamol sirup 120mg/ml Botol 256
196 Parasetamol tablet 100 mg tablet
197 Parasetamol tablet 500 mg tablet 6,173
198 Permetrin krim 5% (Scabimite) tube 11
199 Petidin inj 50mg/ml ampul
200 Piracetam inj 3g/15ml ampul
201 Pirantel tablet 125 mg tablet 190
202 Pirasetam 800mg tablet 330
203 Piroxicam 10 mg tablet
204 Piroxicam 20 mg tablet 440
205 Prednison tablet 5 mg tablet 440
206 Primakuin tablet 15 mg tablet
207 Prokain benzil penisilin vial
208 Propanolol HCl tablet 10 mg tablet 200
209 Propanolol HCl tablet 40 mg tablet
210 Propiltiourasil tablet 100 mg tablet 285
211 Ramipril tablet
212 Ranitidin inj. 25mg/ml ampul 72
213 Ranitidin tablet 150 mg tablet 480
214 Risperidon 1 mg tablet 60
215 Risperidon 2 mg tablet
216 RL larutan infus fls 88
217 Salbutamol inhalasi 100 mcq/dosis botol
218 Salbutamol nebulizer Kotak 2
219 Salbutamol tablet 2 mg tablet 513
220 Salbutamol tablet 4 mg tablet 6
221 Salep 2-4 kombinasi pot 29
222 Salep luka bakar (Levertran) Tube
223 Salep Luka Bakar (Perak Sulfadiazin Krim) Tube 5
224 Salisil bedak 2% bungkus 43
225 Seftriakson Injeksi vial 4
226 Serum Anti Bisa Ular polivalen inj 5 ml vial 2
227 Serum Anti Rabies (SAR) Vial
228 Serum Anti Tetanus inj 1500 IU/ampul ampul 4
229 Simvastatin 10 mg tablet 345
230 Spironolacton 25 mg tablet 250
231 Sukralfat tablet tablet
232 Sukralfat Sirup Botol 40
233 Tablet Tambah darah tablet 6,300
234 Tenofovir tablet
235 Tetagam ampul
236 Tetrasiklin HCL kapsul 500 mg tablet 210
237 Thiamfenikol 500 mg tab tablet
238 Tramadol inj ampul
239 Trifluoperazin 5mg tablet
240 Triheksiphenidil HCl tablet 2 mg tablet 430
241 Vaksin Rabies Vero Vial
242 Vitamin A 100.000 IU tablet
243 Vitamin A 200.000 IU tablet
244 Vitamin B komplek tablet tablet 3,347
245 Vitamin B1 / Thiamin HCl tablet 50 mg tablet 970
246 Vitamin B12 / Sianokobalamin tab 50 mcg tablet
247 Vitamin B12 / Sianokobalamin Vit B12 inj 500mcg-ml ampul
248 Vitamin B6 / Pyridoksin HCL tab 10 mg tablet 820
249 Vitamin C / Asam askorbat tablet 50 mg tablet 3,294
250 Zinc syr botol 42
251 Zinc tab 20 mg tablet 642
252 BMHP Abochat (IV Chat) 18 Pcs 142
253 & Abochat (IV Chat) 20 Pcs 106
254 Reagen Abochat (IV Chat) 22 Pcs 100
255 Abochat (IV Chat) 24 Pcs 87
256 ADS 0,05 ml pcs
257 ADS 0,5 ml pcs
258 ADS 5 ml pcs
259 Alat suntik 10 ml pcs
260 Alat suntik 20 ml pcs
261 Alat suntik sekali pakai 1 ml Pcs 259
262 Alat suntik sekali pakai 2,5 ml / 3 ml Pcs 638
263 Alat suntik sekali pakai 5 ml Pcs 471
264 Alkacid Botol
265 Alkohol Swab sachet 100
266 Amoniak btl/1000 ml
267 Aquadest steril liter
268 Benecheck Cholesterol strip Botol 9
269 Benecheck Glucose strip Botol 11
270 Benecheck uric strip Botol
271 Blood lancet pcs 1,100
272 Blue tip box
273 Box Slide bok
274 Cartridge Gen Expert Pcs
275 Catgut/benang bedah Chromic 2/0 set 10
276 Catgut/benang bedah Chromic 3/0 set 77
277 Catgut/benang bedah Plain 2/0 set 12
278 Catgut/benang bedah Plain 3/0 set 73
279 Centrifuse Paket
280 Chlorin botol
281 Cuticell Classic pcs 5
282 DFI Cybow Box
283 EDTA 10 % Botol
284 Etakridin (rivanol) larutan 0,1% Botol 15
285 Etanol 100 ml botol.
286 Etanol 70% Botol 21
287 Etanol 96% botol
288 Eter Alkohol 5% botol
289 Folley Chatether pcs 13
290 Food Test - Borak Test Paket
291 Food Test - Formalin Test Paket
292 Food Test - Rhodamin Test Paket
293 Fouchet Botol
294 Handscoon psg 525
295 Handscoon Obgyn psg
296 Handscoon Steril psg 293
297 HCG Strip Pcs 100
298 Infusion set anak set 19
299 Infusion set dewasa set 82
300 Jarum jahit / bedah no. 9 s/d 14 Pcs
301 Jelly USG btl 3
302 Kaca Slide pcs 124
303 Kaca Tutup pcs
304 Kapas pembalut / absorben 250 g roll 15
305 Kasa kompres 40/40 steril lbr
306 Kasa pembalut 2 m x 80 cm roll 25
307 Kasa pembalut elastis 3 inchi roll
308 Kasa pembalut elastis 4 inchi roll
309 Kasa Pembalut hidrofil 3,6 m x 10 cm roll 96
310 Kasa Pembalut hidrofil 3,6 m x 5 cm roll
311 Kasa Pembalut hidrofil 4 m x 10 cm elastis roll 16
312 Kasa Pembalut hidrofil 4 m x 5 cm elastis roll
313 Kasa steril 16/16 kotak 67
314 Kassa gulung Besar 80cm x 40 m roll 2
315 Kertas lakmus biru pack
316 Kertas Lakmus merah pack
317 Kertas lensa pak
318 Kertas pH Universal Kotak
319 Kertas saring watchman ktk
320 kit gol. Darah A, B, AB set 1
321 Kondom pcs
322 Labstrip (urinalis) tube
323 Larutan Amonium Oksalat 1% Botol
324 Larutan Asam Asetat 6 % Botol 1
325 Larutan barium klorida Botol
326 Larutan benedict Botol
327 Larutan buffer PH 6,1 Botol 2
328 Larutan buffer PH 7,2 Botol
329 Larutan eosin 2% Botol
330 Larutan Etanol Asam Botol
331 Larutan giemsa stain Botol
332 Larutan H2O2 3% Botol 1 L
333 Larutan H2O2 3% Botol 10
334 Larutan Hayem Botol
335 Larutan HCl 0,1 N Botol
336 Larutan karbolfuksin Botol
337 Larutan metilen biru Botol
338 Larutan Na citrat Botol 3
339 Larutan Natrium Hipoklorid Botol/ 500ml
340 Larutan Ress Ecker Botol/ 100 ml
341 Larutan turk Botol
342 Larutan Wright Botol
343 Lisol Botol 4
344 Lubricant pcs
345 Mantoux tes vial
346 Masker pcs 315
347 Masker 3M N95 medikal respirator pcs
348 Mess pcs 211
349 Metanol 100 ml Botol
350 Metanol 1000 ml botol
351 Microlit tips for micropipettes MT-up to 1 ml pack
352 Mikropipet adjustable 100-1000µl unit
353 Mikropipet adjustable 5-50µl unit
354 Mikroskop malaria (nikon) unit
355 Minyak Imersi Botol
356 NAPZA Kit 6 Parameter pcs
357 Napza KIT 8 Parameter box
358 Needle 23 G Pcs
359 Pembalut gips 3 inch Roll
360 Pembalut gips 4 inch Roll
361 Pipet tetes bks/100 pcs
362 Planotest pcs 63
363 Plester 2,5 cmx 4,5 m roll
364 Plester 5 yard x 2 inch roll
365 Plester bulat non woven box 48
366 Poli Aid Botol
367 Poli Clean Botol 12
368 Poliwash botol 500ml
369 Pork Test Paket
370 Pot Sputum Pcs 150
371 Pot Urine Pcs
372 Povidon iodida 10% 30 ml Botol 9
373 Povidon iodida 10% 300 ml Botol 13
374 Povidon iodida 10% 60 ml Botol 10
375 Povidon Iodine 1 L Botol
376 RDT DBD Verotec Pcs
377 RDT DBD Biosen Pcs
378 RDT Hepatitis / HBSAG Strip pcs 9
379 RDT HIV -Fokus 1/2 casette box/25
380 RDT HIV Test (HIV 1 & 2 Anti Body) oncoprobe test
381 RDT HIV test (R1) SD Pcs 25
382 RDT HIV test Biomerieux (Vikia HIV 1 dan 2) ktk/25 test
383 RDT HIV test Intec (One Step Anti-HIV 1&2) Box
384 RDT Malaria / Malaria test ktk
385 RDT sifillis Pcs 131
386 Reagen dan Bahan alat lab.Malaria paket
387 Reagen Fotometer Kimia Klinik Randox Glukosa kit
388 Reagen Fotometer Kimia Klinik Randox Protein total kit
389 Reagen Fotometer Kimia Klinik Randox triglyserida kit
390 Reagen hematology analyzer Cointender 20 SFRI cliner 31 btl 5 L
391 Reagen hematology analyzer Cointender 20 SFRI diluent 3 btl 20 L
392 Reagen hematology analyzer Cointender 20 SFRI Lyse 31 botol 500ml
393 Reagen TB kit
394 Reagen widal H Vial
395 Reagen widal O Vial
396 Rotator Sifilis Unit
397 RPR Sifilis Pcs
398 Safety box pcs 74
399 Silk no.3/0 dengan jarum bedah set 9
400 Slang Oksigen Dewasa (Adult) pcs 10
401 Slang Oksigen Dewasa (Neonatus) Pcs 1
402 Slang Oksigen Dewasa (Pediatri) Pcs 5
403 Smokerlyzer D-Pieces Box
404 Smokerlyzer Mouth Pieces Box
405 Spritus Botol 1
406 Stomach tube FR 12 pcs
407 Stomach tube FR 14 pcs
408 Stomach tube FR 16 pcs
409 Strip asam urat (UA SURE) Botol
410 Strip asam urat Sinocare ktk 6
411 Strip GLUCO DR Ktk
412 Strip glukosa darah (easy touch) ktk
413 Strip glukosa On Call ktk 3
414 Strip Hb (easy touch) ktk
415 Strip Hb Mission Kotak
416 Strip Kolesterol Mission Ultra ktk 4
417 Suction cateter No.12 Pcs
418 Suction cateter No.16 Pcs
419 Suction cateter No.8 Pcs
420 Tabung non EDTA 3 ml pack
421 Tabung reaksi tutup pcs
422 Thermal paper 4 x 5 -rocheurysis 1100 roll
423 Thermal paper SFRI roll
424 Tube EDTA Box
425 Urin Bag pcs 6
426 Vacum Tube EDTA 0,5 ml Bok
427 Vacutainer sample needle pcs
428 White Tip Bks
429 wing needle 21 G pcs 20
430 wing needle 23 G pcs 20
431 wing needle 25 G pcs
432 wing needle 27 G pcs
433 Xylol Botol
434 Yellow Tip/Micropipet MT-I 200 ul bks
435 Yodiol Test Botol
436 Gigi Bahan tambalan gigi sementara (mix/Caviton) Botol
437 Devitalisasi Non Arsen botol
438 Etil klorida spray Botol 2
439 Eugenol cairan Botol
440 Glassionomer Cement (GC IX) / GC. Fuji Botol
441 Kalsium hidroksida pasta / Calxyl blue kotak 1
442 Klorfenol kamfer menthol (CHKM) Botol
443 Lidocain pasta botol
444 Needle Carpul ktk
445 Occo pembersih karang gigi botol 1
446 Spongestan Hemospon ktk
447 Temporary stopping fletcher Set 1
448 TKF botol 1
449 Vaksin Vaksin BCG Vial 11
450 Imunisasi Vaksin CAMPAK Vial
451 Vaksin DT Vial 6
452 Vaksin HbIg Kotak
453 Vaksin HB-UNIJECT Vial 28
454 Vaksin Hepatitis dewasa vial
455 Vaksin IPV Vial 12
456 Vaksin Meningitis Vial
457 Vaksin MR Vial
458 Vaksin PENTABIO Vial
459 Vaksin POLIO Vial 20
460 Vaksin Td Vial 14
461 Vaksin TT Vial
462 Baru MP ASI Kotak
463 BMT Bumil Kotak
464
465
466
467
468
469
470
471
472
Diketahui,
Kepala UPT Puskesmas Tiumang
Hj.Roswita,Amd.Keb.SKM
NIP.19681203 198912 2 001
Stok Persediaan per 31 Des 2019 Penambahan tahun 2020 Kadaluarsa Tahun 2020
Harga Satuan Jumlah Volume Harga Satuan Jumlah Volume Harga Satuan Jumlah
6 7 8 9 10 11 12 13
- - -
452 22,600 3,900 452 1,762,800 -
99 41,580 2,500 105 262,500 -
- - -
120 34,200 - 37 120 4,440
99 180,477 4,000 99 396,000 -
2,789 8,367 - -
- 200 341 68,200 -
168 73,920 - 200 168 33,600
94 28,388 3,600 94 338,400 -
73 24,820 4,200 78 327,600 -
203 182,700 4,300 203 872,900 -
250 531,000 17,000 260 4,420,000 -
- - -
4,400 1,179,200 450 5,500 2,475,000 -
- 10 3,675 36,750 -
56 91,280 8,500 60 510,000 -
2,051 443,016 650 2,189 1,422,850 -
8,250 643,500 100 8,250 825,000 -
- - -
3,325 69,825 40 3,325 133,000 -
182 18,200 100 182 18,200 -
260,526 260,526 2 260,526 521,052 -
408,812 408,812 7 415,469 2,908,283 -
- - -
2,860 37,180 24 2,860 68,640 -
- - -
- 4,500 79 355,500 -
103 106,605 5,200 297 1,544,400 -
- - -
3,100 18,600 - -
1,684 202,080 100 1,684 168,400 -
- - -
99 9,702 200 99 19,800 -
3,300 108,900 50 3,300 165,000 -
- - -
399 165,186 400 426 170,400 -
- - -
1,540 15,400 - -
160 116,800 1,000 155 155,000 -
- - -
- - -
- - -
110 26,950 1,300 110 143,000 -
1,340 97,820 100 1,430 143,000 -
17,500 17,500 - -
- 50 5,900 295,000 -
327 15,696 480 327 156,960 -
- - -
275 46,750 250 275 68,750 -
10,351 103,510 15 10,351 155,265 25 10,351 258,775
64 31,360 800 68 54,400 -
154 79,156 1,300 154 200,200 64 154 9,856
880 677,600 400 880 352,000 -
4,066 284,620 30 4,339 130,170 -
15,950 972,950 10 15,950 159,500 -
- 200 387 77,400 -
- 4 4,571 18,284 -
26,400 739,200 35 27,500 962,500 -
101 18,382 3,000 101 303,000 -
2,973 112,974 50 2,973 148,650 -
495 74,250 2,200 495 1,089,000 -
729 743,580 - -
- - -
1,152 129,024 200 1,152 230,400 -
99 270,468 12,500 88 1,100,000 -
- - -
12,000 48,000 5 12,000 60,000 -
- 5 19,193 95,965 -
- 5 13,202 66,010 -
86 20,640 200 86 17,200 -
109 21,909 200 114 22,800 -
- - -
- 20 1,228 24,560 -
104 10,400 100 104 10,400 -
- - -
- - -
273 26,754 100 273 27,300 -
86 86,430 900 86 77,400 -
2,781 495,018 150 2,781 417,150 -
- - -
1,408 35,200 59 1,408 83,072 -
- - -
751 67,590 200 751 150,200 -
6,303 94,545 - -
- - -
- - -
- - -
- - -
165 47,850 400 180 72,000 -
2,590 134,680 48 2,590 124,320 -
5,000 324,968 30 3,600 108,000 -
747 306,270 1,300 797 1,036,100 -
3,867 251,355 150 3,867 580,050 -
- - -
- 5 1,333 6,665 -
81 25,920 200 82 16,400 -
- - -
257 142,635 300 274 82,200 -
- - -
- - -
- - -
3,498 69,960 24 3,498 83,952 -
125 44,375 600 125 75,000 -
174 261,000 - -
207 131,445 5,800 207 1,200,600 -
- - -
12,000 24,000 - -
7,500 450,000 20 7,500 150,000 -
6,900 317,400 200 7,363 1,472,600 -
- - -
952 190,400 300 952 285,600 -
56 24,640 - -
- - -
- 200 55 11,000 -
59 10,030 200 59 11,800 -
- - -
2,475 168,300 96 2,475 237,600 -
9,999 59,994 - -
1,496 643,280 - -
2,776 785,608 200 2,776 555,200 -
- - -
330 201,300 11,000 330 3,630,000 -
6,500 110,498 - -
- - -
173 17,300 - -
165 23,100 100 165 16,500 -
59 34,692 6,000 63 378,000 -
- - -
2,518 193,886 50 2,518 125,900 -
297 198,990 300 297 89,100 -
990 209,880 - -
2,380 45,220 30 2,380 71,400 -
- - -
495 77,220 240 495 118,800 -
3,140 150,720 48 3,140 150,720 -
1,881 39,501 48 1,881 90,288 -
- - -
6,500 240,496 - -
7,502 345,092 - -
25 129,150 9,000 25 225,000 -
- - -
- - -
- - -
155 50,220 600 157 94,200 -
- - -
2,750 1,069,750 150 2,414 362,100 -
2,052 233,928 86 2,190 188,340 -
125 86,500 2,500 133 332,500 -
- - -
334 66,800 740 334 247,160 -
- - -
- - -
1,205 315,710 390 1,286 501,540 -
- - -
143 138,710 1,300 143 185,900 -
125 272,500 1,700 133 226,100 -
3,200 25,600 23 3,328 76,544 -
3,796 22,776 24 3,796 91,104 -
- - -
- - -
105 36,087 700 106 74,200 -
221 307,190 - -
2,992 332,112 85 3,102 263,670 -
137 79,460 2,500 146 365,000 -
- - -
- - -
80 179,200 700 85 59,500 -
4,158 49,896 10 4,158 41,580 -
275 165,000 - -
- - -
3,590 39,490 15 3,590 53,850 -
3,585 351,330 - -
- - -
4,500 643,500 100 4,500 450,000 -
- - -
357 794,325 6,000 381 2,286,000 -
- 1,000 66 66,000 -
127 347,980 3,500 136 476,000 -
6,410 346,140 100 6,840 684,000 -
- - -
132 113,520 200 132 26,400 860 132 113,520
- - -
830 83,000 100 886 88,600 -
572 58,344 100 572 57,200 -
3,850 50,050 30 3,850 115,500 -
2,600 205,400 75 2,774 208,050 -
1,900 108,300 95 1,199 113,905 -
- 1,200 164 196,800 -
- - -
350 69,960 - -
6,981 139,620 420 6,981 2,932,020 -
- 10 16,995 169,950 -
- 5 17,800 89,000 -
1,110 284,160 800 1,110 888,000 -
- - -
56 345,688 30,500 160 4,864,750 9,800 56 548,800
11,825 130,075 20 11,825 236,500 -
- - -
- - -
302 57,380 - -
800 263,901 100 800 80,000 -
- - -
121 53,240 1,200 121 145,200 -
72 31,680 900 77 69,300 -
- - -
- - -
57 11,400 100 61 6,100 -
- - -
451 128,535 400 451 180,400 -
- - -
1,155 83,160 100 1,155 115,500 -
165 79,200 9,200 220 2,024,000 -
228 13,680 - -
- - -
7,150 629,200 340 7,630 2,594,200 -
- 10 32,120 321,200 -
192,000 383,999 2 220,000 440,000 -
63 32,319 900 67 60,300 -
74 444 300 74 22,200 -
2,753 79,837 - -
- - -
20,700 103,500 10 20,700 207,000 -
3,190 137,170 24 3,190 76,560 -
4,998 19,992 - -
479,996 959,992 1 512,204 512,204 -
- - -
130,999 523,996 60 130,999 7,859,940 18 130,999 2,357,982
110 37,950 1,500 117 175,500 -
195 48,750 100 208 20,800 -
- - -
6,989 279,560 25 6,989 174,725 -
372 2,343,600 37,260 372 13,860,720 -
- - -
- - -
319 66,990 - -
- - -
- - -
- - -
87 37,410 600 93 55,800 -
- - -
- 900 324 291,600 -
- 1,800 581 1,045,800 -
123 411,681 16,000 131 2,096,000 -
86 83,420 4,000 92 368,000 -
- - -
- - -
132 108,486 3,500 138 483,000 -
110 362,340 10,500 110 1,155,000 -
3,122 131,124 144 3,322 478,368 -
551 353,742 3,500 551 1,928,500 -
6,270 890,340 100 6,270 627,000 -
6,270 664,620 100 6,270 627,000 -
6,270 627,000 98 6,270 614,460 -
7,810 679,470 100 6,270 627,000 -
- 800 1,518 1,214,400 -
- 4,100 1,518 6,223,800 -
- 1,300 1,583 2,057,900 -
- - -
- - -
880 227,920 600 880 528,000 -
894 570,372 1,900 894 1,698,600 -
943 444,153 400 943 377,200 -
- - -
118 11,800 300 120 36,000 -
- 1 71,999 71,999 -
- - -
255,048 2,295,431 6 254,925 1,529,550 -
168,140 1,849,540 3 169,000 507,000 -
- 3 154,675 464,025 -
191 210,100 800 144 115,200 -
- - -
- - -
- - -
52,100 521,002 - -
47,706 3,673,362 24 33,287 798,888 -
35,125 421,500 12 35,125 421,500 -
46,481 3,393,114 - -
- - -
- 80 60,000 4,800,000 -
14,689 73,445 - -
- 1 143,700 143,700 -
- - -
3,450 51,750 20 4,150 83,000 -
- - -
69,300 1,455,300 16 88,000 1,408,000 -
- 2 95,000 190,000 -
- - -
10,212 132,756 - -
- - -
- - -
- - -
- - -
990 519,750 4,600 2,640 12,144,000 -
- - -
6,793 1,990,305 250 6,595 1,648,750 -
1,679 167,937 - -
9,130 173,470 10 9,130 91,300 -
5,608 459,885 125 5,445 680,625 -
- - -
14,472 43,415 - -
307 38,042 72 417 30,000 -
- - -
31,694 475,410 40 34,150 1,366,000 -
- - -
11,322 283,049 120 11,322 1,358,640 -
- - -
- - -
2,609 250,426 150 2,471 370,650 -
- - -
2,480 39,680 50 2,100 105,000 -
- 50 590 29,500 -
8,144 545,675 100 7,530 753,000 -
165,720 331,440 4 140,500 562,000 -
- - -
- - -
- - -
- - -
- 1 430,000 430,000 -
219,640 219,640 2 251,875 503,750 -
- - -
- - -
- - -
30,000 30,000 2 30,000 60,000 -
- - -
- - -
98,667 197,334 1 98,667 98,667 -
- - -
- - -
- 1 90,000 90,000 -
- - -
- - -
4,090 40,900 - -
- - -
- - -
- - -
- - -
27,000 81,000 - -
- - -
- - -
- - -
- - -
47,150 188,600 22 47,150 1,037,300 -
- - -
- - -
676 213,003 1,250 2,530 3,162,500 -
- 20 14,820 296,400 -
3,150 664,650 - -
- - -
- - -
- - -
- 1 3,743,693 3,743,693 -
- 1 3,743,693 3,743,693 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
1,939 122,157 - -
- 40 12,675 507,000 -
- - -
33,880 1,626,240 - -
- - -
77,698 932,376 5 77,698 388,490 -
- - -
- - -
2,379 356,850 - -
- - -
3,335 30,015 - -
20,700 269,100 45 19,633 883,500 -
23,890 238,900 54 5,187 280,071 -
- 4 149,314 597,256 -
- - -
- - -
9,878 88,902 75 8,175 613,125 -
- - -
- - -
11,975 299,375 150 11,400 1,710,000 -
- - -
- - -
- - -
20,400 2,672,400 350 7,250 2,537,500 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
21,500 1,591,000 125 22,433 2,804,125 -
46,712 420,408 180 34,000 6,120,000 -
6,720 67,200 25 6,720 168,000 -
8,103 8,103 10 8,103 81,030 -
6,720 33,600 10 6,720 67,200 -
- - -
- - -
30,000 30,000 1 30,000 30,000 -
- - -
- - -
- - -
- - -
96,260 577,560 2 91,000 182,000 -
- - -
- - -
164,373 493,120 2 202,200 404,400 -
- - -
- - -
526,250 2,105,000 2 569,700 1,139,400 -
- 5 3,552 17,760 -
- 5 3,552 17,760 -
- - -
- - -
- - -
- - -
- - -
- - -
8,877 53,262 - -
- - -
- - -
- - -
1,540 30,800 - -
1,540 30,800 - -
- - -
- - -
- - -
- - -
- 7 6,494 45,458 -
- - -
- - -
174,900 349,800 2 174,900 349,800 -
- - -
- - -
479,100 479,100 - -
- - -
- - -
- 1 151,999 151,999 -
225,000 225,000 1 225,000 225,000 -
- 4 83,800 335,200 -
35,700 35,700 - -
100,000 100,000 - -
59,950 659,450 100 78,991 7,899,100 -
- - -
17,996 107,976 35 17,996 629,860 -
- 1 1,325,000 1,325,000 -
20,900 585,200 180 25,597 4,607,460 -
- - -
158,994 1,907,928 30 158,994 4,769,820 -
- - -
- 183 155,813 28,513,779 -
- 260 84,382 21,939,320 -
19,954 399,080 190 19,954 3,791,260 -
16,995 237,930 100 16,995 1,699,500 -
- - -
- 3 13,901 41,704 -
- 1 17,023 17,023 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
74,513,210 244,109,476 3,326,973
Tiumang ,31-DESEMBER-2020
Bend Pengeluaran Pembantu
Elita Warni
NIP.19761009 200212 2 004
Pengeluaran/Penggunaan Tahun 2020 Sisa/Stok Persediaan per 31 Des 2020
14 15 16 17 18 19
- - -
3,074 452 1,389,448 876 452 395,952
2,440 105 256,200 480 105 50,400
- - -
248 120 29,760 - -
1,769 99 175,131 4,054 99 401,346
1 2,976 2,976 2 2,976 5,952
- 200 341 68,200
240 168 40,320 - -
2,742 94 257,748 1,160 94 109,040
3,100 78 241,800 1,440 78 112,320
2,360 203 479,080 2,840 203 576,520
14,007 260 3,641,820 5,117 260 1,330,420
- - -
567 5,500 3,118,500 151 5,500 830,500
10 3,675 36,750 - -
7,825 60 469,500 2,305 60 138,300
656 2,189 1,435,984 210 2,189 459,690
118 8,250 973,500 60 8,250 495,000
- - -
34 3,325 113,050 27 3,325 89,775
- 200 182 36,400
- 3 260,526 781,578
7 415,469 2,908,283 1 415,469 415,469
- - -
18 2,860 51,480 19 2,860 54,340
- - -
1,750 79 138,250 2,750 79 217,250
3,685 297 1,094,445 2,550 297 757,350
- - -
6 3,100 18,600 - -
220 1,684 370,480 - -
- - -
198 99 19,602 100 99 9,900
37 3,300 122,100 46 3,300 151,800
- - -
507 426 215,982 307 426 130,782
- - -
8 1,540 12,320 2 1,540 3,080
1,010 155 156,550 720 155 111,600
- - -
- - -
- - -
940 110 103,400 605 110 66,550
148 1,430 211,640 25 1,430 35,750
1 17,500 17,500 - -
- 50 5,900 295,000
218 327 71,286 310 327 101,370
- - -
420 275 115,500 - -
- - -
710 68 48,280 580 68 39,440
441 154 67,914 1,309 154 201,586
935 880 822,800 235 880 206,800
68 4,339 295,052 32 4,339 138,848
10 15,950 159,500 61 15,950 972,950
105 387 40,635 95 387 36,765
- 4 4,571 18,284
41 27,500 1,127,500 22 27,500 605,000
3,082 101 311,282 100 101 10,100
61 2,973 181,353 27 2,973 80,271
1,100 495 544,500 1,250 495 618,750
1,020 770 785,400 - -
- - -
246 1,152 283,392 66 1,152 76,032
11,455 88 1,008,040 3,777 88 332,376
- - -
5 12,000 60,000 4 12,000 48,000
- 5 19,193 95,965
- 5 13,202 66,010
230 86 19,780 210 86 18,060
159 114 18,126 242 114 27,588
- - -
20 1,228 24,560 - -
100 104 10,400 100 104 10,400
- - -
- - -
198 273 54,054 - -
1,472 86 126,592 433 86 37,238
235 2,781 653,535 93 2,781 258,633
- - -
78 1,408 109,824 6 1,408 8,448
- - -
250 751 187,750 40 751 30,040
15 6,303 94,545 - -
- - -
- - -
- - -
- - -
480 180 86,400 210 180 37,800
100 2,590 259,000 - -
66 3,600 237,600 29 3,600 104,400
1,050 797 836,850 660 797 526,020
180 3,867 696,060 35 3,867 135,345
- - -
- 5 1,333 6,665
143 82 11,726 377 82 30,914
- - -
684 274 187,416 171 274 46,854
- - -
- - -
- - -
37 3,498 129,426 7 3,498 24,486
475 125 59,375 480 125 60,000
1,500 174 261,000 - -
4,115 207 851,805 2,320 207 480,240
- - -
2 12,000 24,000 - -
61 7,500 457,500 19 7,500 142,500
141 7,363 1,038,183 105 7,363 773,115
- - -
- 500 952 476,000
326 56 18,256 114 56 6,384
- - -
- 200 55 11,000
170 59 10,030 200 59 11,800
- - -
128 2,475 316,800 36 2,475 89,100
- 6 9,999 59,994
340 1,496 508,640 90 1,496 134,640
231 2,776 641,256 252 2,776 699,552
- - -
7,716 330 2,546,280 3,894 330 1,285,020
12 6,500 78,000 5 6,500 32,500
- - -
100 173 17,300 - -
20 165 3,300 220 165 36,300
2,228 63 140,364 4,360 63 274,680
- - -
77 2,518 193,886 50 2,518 125,900
325 297 96,525 645 297 191,565
2 990 1,980 210 990 207,900
39 2,380 92,820 10 2,380 23,800
- - -
12 495 5,940 384 495 190,080
95 3,140 298,300 1 3,140 3,140
66 1,881 124,146 3 1,881 5,643
- - -
37 6,500 240,500 - -
32 7,502 240,064 14 7,502 105,028
9,515 25 237,875 4,651 25 116,275
- - -
- - -
- - -
531 157 83,367 393 157 61,701
- - -
392 2,414 946,288 147 2,414 354,858
168 2,190 367,920 32 2,190 70,080
2,245 133 298,585 947 133 125,951
- - -
540 334 180,360 400 334 133,600
- - -
- - -
368 1,286 473,248 284 1,286 365,224
- - -
1,790 143 255,970 480 143 68,640
2,601 133 345,933 1,279 133 170,107
16 3,328 53,248 15 3,328 49,920
18 3,796 68,328 12 3,796 45,552
- - -
- - -
515 106 54,590 530 106 56,180
1,390 236 328,040 - -
156 3,102 483,912 40 3,102 124,080
1,594 146 232,724 1,486 146 216,956
- - -
- - -
2,010 85 170,850 930 85 79,050
4 4,158 16,632 18 4,158 74,844
600 275 165,000 - -
- - -
- 26 3,590 93,340
95 3,585 340,575 3 3,585 10,755
- - -
243 4,500 1,093,500 - -
- - -
3,726 381 1,419,606 4,499 381 1,714,119
547 66 36,102 453 66 29,898
4,600 136 625,600 1,640 136 223,040
89 6,840 608,760 65 6,840 444,600
- - -
- 200 132 26,400
- - -
- 200 886 177,200
102 572 58,344 100 572 57,200
40 3,850 154,000 3 3,850 11,550
121 2,774 335,654 33 2,774 91,542
95 1,199 113,905 57 1,199 68,343
1,200 164 196,800 - -
- - -
100 350 35,000 100 350 35,000
251 6,981 1,752,231 189 6,981 1,319,409
- 10 16,995 169,950
5 17,800 89,000 - -
683 1,110 758,130 373 1,110 414,030
- - -
20,769 160 3,312,656 6,104 160 973,588
24 11,825 283,800 7 11,825 82,775
- - -
- - -
18 302 5,436 172 302 51,944
430 800 344,000 - -
- - -
680 121 82,280 960 121 116,160
1,020 77 78,540 320 77 24,640
- - -
- - -
130 61 7,930 170 61 10,370
- - -
220 451 99,220 465 451 209,715
- - -
32 1,155 36,960 140 1,155 161,700
5,050 220 1,111,000 4,630 220 1,018,600
60 228 13,680 - -
- - -
226 7,630 1,724,380 202 7,630 1,541,260
2 32,120 64,240 8 32,120 256,960
1 220,000 220,000 3 220,000 660,000
839 67 56,213 574 67 38,458
274 74 20,276 32 74 2,368
23 2,753 63,319 6 2,753 16,518
- - -
1 20,700 20,700 14 20,700 289,800
37 3,190 118,030 30 3,190 95,700
4 4,998 19,992 - -
2 512,204 1,024,408 1 512,204 512,204
- - -
22 130,999 2,881,978 24 130,999 3,143,976
1,075 117 125,775 770 117 90,090
250 208 52,000 100 208 20,800
- - -
65 6,989 454,285 - -
42,152 372 15,680,544 1,408 372 523,776
- - -
- - -
210 319 66,990 - -
- - -
- - -
- - -
671 93 62,403 359 93 33,387
- - -
900 324 291,600 - -
1,800 581 1,045,800 - -
14,770 131 1,934,870 4,577 131 599,587
3,840 92 353,280 1,130 92 103,960
- - -
- - -
3,543 138 488,934 777 138 107,226
9,748 110 1,072,280 4,046 110 445,060
97 3,322 322,234 89 3,322 295,658
2,089 551 1,151,039 2,053 551 1,131,203
99 6,270 620,730 143 6,270 896,610
102 6,270 639,540 104 6,270 652,080
33 6,270 206,910 165 6,270 1,034,550
92 6,270 576,840 95 6,270 595,650
351 1,518 532,818 449 1,518 681,582
2,800 1,518 4,250,400 1,300 1,518 1,973,400
778 1,583 1,231,574 522 1,583 826,326
- - -
- - -
451 880 396,880 408 880 359,040
1,612 894 1,441,128 926 894 827,844
92 943 86,756 779 943 734,597
- - -
- 400 120 48,000
1 71,999 71,999 - -
- - -
9 254,925 2,294,325 6 254,925 1,529,550
10 169,000 1,690,000 4 169,000 676,000
2 154,675 309,350 1 154,675 154,675
775 144 111,600 1,125 144 162,000
- - -
- - -
- - -
10 33,565 335,650 - -
54 33,287 1,797,498 47 33,287 1,564,489
24 35,125 843,000 - -
15 46,481 697,215 58 46,481 2,695,899
- - -
40 60,000 2,400,000 40 60,000 2,400,000
5 15,600 78,000 - -
1 143,700 143,700 - -
- - -
23 4,150 95,450 12 4,150 49,800
- - -
27 88,000 2,376,000 10 88,000 880,000
- 2 95,000 190,000
- - -
1 20,100 20,100 12 20,100 241,200
- - -
- - -
- - -
- - -
3,967 2,640 10,472,880 1,158 2,640 3,057,120
- - -
530 6,595 3,495,350 13 6,595 85,735
100 4,881 488,100 - -
11 9,130 100,430 18 9,130 164,340
135 5,445 735,075 72 5,445 392,040
- - -
2 26,487 52,973 1 26,487 26,487
142 417 59,167 54 417 22,500
- - -
43 34,150 1,468,450 12 34,150 409,800
- - -
117 11,322 1,324,674 28 11,322 317,014
- - -
- - -
152 2,471 375,592 94 2,471 232,274
- - -
16 2,100 33,600 50 2,100 105,000
- 50 590 29,500
104 7,530 783,120 63 7,530 474,390
4 140,500 562,000 2 140,500 281,000
- - -
- - -
- - -
- - -
- 1 430,000 430,000
2 251,875 503,750 1 251,875 251,875
- - -
- - -
- - -
1 30,000 30,000 2 30,000 60,000
- - -
- - -
- 3 98,667 296,001
- - -
- - -
1 90,000 90,000 - -
- - -
- - -
10 4,090 40,900 - -
- - -
- - -
- - -
- - -
- 3 27,000 81,000
- - -
- - -
- - -
- - -
23 47,150 1,084,450 3 47,150 141,450
- - -
- - -
1,160 2,530 2,934,800 405 2,530 1,024,650
20 14,820 296,400 - -
27 3,150 85,050 184 3,150 579,600
- - -
- - -
- - -
1 3,743,693 3,743,693 - -
1 3,743,693 3,743,693 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
55 1,939 106,645 8 1,939 15,512
7 12,675 88,725 33 12,675 418,275
- - -
2 33,880 67,760 46 33,880 1,558,480
- - -
17 77,698 1,320,866 - -
- - -
- - -
121 3,722 450,316 29 3,722 107,927
- - -
9 3,335 30,015 - -
42 19,633 824,600 16 19,633 314,133
41 5,187 212,647 23 5,187 119,290
1 149,314 149,314 3 149,314 447,942
- - -
- - -
34 8,175 277,950 50 8,175 408,750
- - -
- - -
85 11,400 969,000 90 11,400 1,026,000
- - -
- - -
- - -
395 7,250 2,863,750 86 7,250 623,500
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
99 22,433 2,220,867 100 22,433 2,243,300
91 34,000 3,094,000 98 34,000 3,332,000
34 6,720 228,480 1 6,720 6,720
10 8,103 81,030 1 8,103 8,103
11 6,720 73,920 4 6,720 26,880
- - -
- - -
- 2 30,000 60,000
- - -
- - -
- - -
- - -
7 91,000 637,000 1 91,000 91,000
- - -
- - -
3 202,200 606,600 2 202,200 404,400
- - -
- - -
2 569,700 1,139,400 4 569,700 2,278,800
1 3,552 3,552 4 3,552 14,208
1 3,552 3,552 4 3,552 14,208
- - -
- - -
- - -
- - -
- - -
- - -
5 8,070 40,350 1 8,070 8,070
- - -
- - -
- - -
20 1,540 30,800 - -
20 1,540 30,800 - -
- - -
- - -
- - -
- - -
7 6,494 45,458 - -
- - -
- - -
3 174,900 524,700 1 174,900 174,900
- - -
- - -
1 479,100 479,100 - -
- - -
- - -
- 1 151,999 151,999
2 225,000 450,000 - -
1 83,800 83,800 3 83,800 251,400
1 35,700 35,700 - -
1 100,000 100,000 - -
94 78,991 7,425,154 17 78,991 1,342,847
- - -
35 17,996 629,860 6 17,996 107,976
1 1,325,000 1,325,000 - -
154 25,597 3,941,938 54 25,597 1,382,238
- - -
30 158,994 4,769,820 12 158,994 1,907,928
- - -
150 155,813 23,371,950 33 155,813 5,141,829
240 84,382 20,251,680 20 84,382 1,687,640
170 19,954 3,392,180 40 19,954 798,160
105 16,995 1,784,475 9 16,995 152,955
- - -
3 13,901 41,704 - -
1 17,023 17,023 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
223,078,766 92,326,897
LAPORAN PERSEDIAAN OBAT DAN PERBEKALAN KESEHATAN
UPT. PUSKESMAS SUNGAI RUMBAI
PER 31 DESEMBER 2020
1 2 3 4 5
1 Obat Albendazol sirup 200mg/5 ml Botol 22
2 Albendazol tablet 400 mg tablet 459
3 Allopurinol 100 mg tablet 5,002
4 Alprazolam 0,5 mg tablet 140
5 Alprazolam 1 mg tablet 170
6 Ambroxol 30 mg tablet tablet 885
7 Aminofilin inj 24mg/ml-10 ml ampul 30
8 Aminofilin tablet 200 mg tablet
9 Amitriptilin HCl tablet salut 25 mg tablet 520
10 Amlodipin 10 mg tablet 1,401
11 Amlodipin 5 mg tablet 1,476
12 Amoksisilin 250 mg tablet 1,820
13 Amoksisilin 500 mg tablet 5,125
14 Amoksisilin 250mg/5ml sirup kering botol 19
15 Amoksisilin sirup kering 125 mg/5 ml Botol 171
16 Antalgin injeksi 250 mg/ml-2ml ampul
17 Antasida DOEN tablet tablet 1,330
18 Antasida sirup Botol 66
19 Anti Bakteri DOEN salep Kombinasi (bacitrasin) Tube 49
20 Anti Fungi DOEN Kombinasi Pot
21 Anti Haemoroid DOEN kombinasi Suppos 46
22 Anti Migren (ergotamin caffein) tablet
23 Anti Tuberkulosis anak paket 2
24 Anti Tuberkulosis Kategori I paket 2
25 Anti Tuberkulosis Kategori II paket
26 Aqua pro injeksi steril bebas pirogen vial 22
27 Asam Folat 0,4 mg /profolat tablet
28 Asam folat 1 mg tablet 979
29 Asam mefenamat 500 mg tablet 2,497
30 Asam tranexamat inj 100 mg/ml ampul 5
31 Asam tranexamat inj 50mg/ml ampul
32 Asam Tranexamat tablet 500 mg tablet 254
33 Asam Valproat 500mg / Depakote 500 mg tablet
34 Asetosal 80 mg / Miniaspi tablet 276
35 Asiklovir Krim 5 % 5 gr Tube 21
36 Asiklovir tablet 200 mg tablet
37 Asiklovir tablet 400 mg tablet 472
38 Atripla tablet
39 Atropin sulfat injeksi 0,25 mg/ml - 1 ml ampul 42
40 Attapulgit (Pularex) tablet 334
41 Azitromisin tab 500 mg tablet 6
42 Benzatil benzil penisilin vial 5
43 Berotec 0,1 mg(Fenoterol HBr aerosol 100mcg/dosis) Btl
44 Betahistin mesilat tablet 170
45 Betametason krim 0,1% Tube 61
46 Bioplacenton tube
47 Bisacodil (dulcolax) supp suppos 38
48 Bisacodil (dulcolax) tab tablet 29
49 Bisacodil supp infant 5 mg /Dulcolax Suppos
50 Bisoprolol 5 mg tablet 98
51 Ca Glukonas ampul 5
52 Captopril 12,5mg tablet 1,225
53 Captopril 25 mg tablet 3,515
54 Cefadroxil tablet 615
55 Cefadroxyl syr 125 mg/ml Botol 51
56 Cefiksim syr kering 100mg/5ml btl 30ml 21
57 Cefixime 100mg tablet 2
58 Cefotaxim 1,0 G inj Vial
59 Cendo Lyteers Kombinasi tts mata 2,5 mg/ml; NaCl 8,664 mbotol 1
60 Cetirizin 10 mg tablet 841
61 Cetirizin syr 5mg/5ml btl 60ml 20
62 Ciprofloxacin tablet 500 mg tablet 150
63 Clindamisin 150 mg tablet 140
64 Clindamisin 300 mg tablet
65 Deksametason injeksi 5 mg/ml-1 ml ampul 112
66 Deksametason tablet 0,5 mg tablet 3,551
67 DHP-Frimal tablet
68 Diazepam injeksi 5 mg/ml-2 ml ampul 2
69 Diazepam rektal 10 mg Suppos 14
70 Diazepam rektal 5 mg Suppos 3
71 Diazepam tablet 2 mg tablet 687
72 Diazepam tablet 5 mg tablet 143
73 Dietil karbamazin sitrat tablet 100 mg tablet
74 Difenhidramin HCl inj 10 mg/ml-1 ml ampul
75 Digoksin tablet 0,25 mg tablet 340
76 Diltiazem tablet tablet
77 Dimenhidrinat 50 mg tablet
78 Doksisilin kapsul tablet
79 Domperidon 10 mg tablet 278
80 Domperidon syr Botol 34
81 Efedrin HCl tablet 25 mg tablet
82 Epinefrin HCl /adrenalin inj.0,1%-1ml ampul 65
83 Eritromisin 250 mg tablet
84 Eritromisin 500 mg tablet
85 Eritromisin sirup kering Botol 13
86 Etambutol 400mg tablet
87 Euthyrox tablet
88 Fenitoin natrium kapsul 30 mg tablet
89 Fenobarbital inj 50 mg/ml - 2 ml ampul
90 Fenobarbital tablet 30 mg tablet 100
91 Fenolgliserol tetes telinga 10% Botol 49
92 Fitomenadion (Vit K1) inj 10 mg/ml-1 ml ampul
93 Fitomenadion (Vit K1) tablet 10 mg tablet 544
94 Fitomenadion inj 2 mg/ml ampul 72
95 Fluoksetin / Prestine tablet
96 Furosemid injeksi ampul
97 Furosemid tablet 40 mg tablet 131
98 Gabapentin/Alpentin 100 mg kapsul
99 Garam Oralit untuk 200 ml bungkus 342
100 Gentamicin Salep Kulit Tube
101 Gentamisin inj ampul
102 Gentamisin tetes mata botol
103 Gentian violet larutan 1% Botol 28
104 Glibenklamid tablet 5 mg tablet 1,355
105 Glimepirid 1 mg tablet 911
106 Glimepirid 2 mg tablet 200
107 Gliseril Guaiakolat tablet 100 mg tablet
108 Glukosa 40% ampul 5
109 Glukosa larutan Infus 10% steril fls 20
110 Glukosa Larutan Infus 5% steril fls 50
111 Griseofulvin tablet 125 mg tablet
112 Griseofulvin tablet 500 mg tablet 313
113 Haloperidol 5 mg tablet
114 Haloperidol inj 50mg/ml ampul 9
115 Haloperidol tablet 0,5 mg tablet 30
116 Haloperidol tablet 1,5 mg tablet 100
117 Hidrochlorotiazid (HCT) tablet 25 mg tablet
118 Hidrokortison krim 2,5% Tube 112
119 Hiosin HBr Inj 20 mg ampul 15
120 Hiosin N Butil bromida tablet tablet 210
121 Ibuprofen suspensi 100 mg/5 ml botol 57
122 Ibuprofen tablet 200 mg tablet
123 Ibuprofen tablet 400 mg tablet 3,603
124 Ichtiol salep pot
125 Isoniazid 100 mg/PPINH 100 mg tablet 100
126 Isoniazid tablet 300 mg tablet 26
127 Isosorbid dinitrat tablet sublingual 5 mg tablet 270
128 Kalsium laktat (Kalk) tablet 500 mg tablet 910
129 Karbamazepin tablet 200 mg tablet
130 Ketokonazol krim Tube 80
131 Ketokonazol tab tablet 384
132 Ketoprofen 100mg tablet 666
133 Ketoprofen Supp suppos 62
134 Klopidogrel 75 mg Tablet
135 Kloramfenikol kapsul 250 mg tablet 80
136 Kloramfenikol salep Kulit Tube 39
137 Kloramfenikol salep mata 1 % Tube 113
138 Kloramfenikol suspensi 125 mg/5 ml Botol
139 Kloramfenikol tetes mata Botol 19
140 Kloramfenikol tetes telinga 3 % Botol 24
141 Klorfeniramin maleat (CTM) tablet 4 mg tablet 3,348
142 Klorpromazin 25mg tablet
143 Klorpromazin HCl inj 25 mg/ml - 1 ml ampul
144 Klorpromazin HCl inj 5 mg/ml - 1 ml ampul
145 Klorpromazin HCl tablet salut 100 mg tablet 118
146 Kodein HCl tablet 10 mg tablet 290
147 Kolkisin 500 mcg tablet 584
148 Kotrimoksazol suspensi kombinasi Botol 49
149 Kotrimoksazol tablet dewasa kombinasi tablet 378
150 Lamivudin tablet
151 Lansoprazole tablet 20
152 Levofloksasin 250mg tablet
153 Levofloksasin tetes mata 0,5% botol
154 Lidocain komp.inj. ampul 123
155 Lidocain inj. ampul
156 Loperamid Hcl tablet 875
157 Loratadin 10mg tablet 2,181
158 Magnesium sulfat inj (IV) 20%-25 ml vial 9
159 Magnesium sulfat inj (IV) 40%-25 ml vial 6
160 MDT MD Dewasa Paket
161 Meloksikam 15 mg tablet 320
162 Metformin tablet 3,590
163 Metil ergometrin maleat tablet salut 0,125 mg tablet 347
164 Metil ergometrin maleat inj 0,200mg-1ml ampul 155
165 Metil Prednisolon 4 mg tablet 1,505
166 Metil Prednisolon 8mg tablet
167 Metildopa 250mg tablet 143
168 Metoclopramid 10 gr tablet 820
169 Metoclopramid injeksi ampul 125
170 Metronidazol 500 mg tablet 451
171 Metronidazol supositoria 500 mg suppos
172 Metronidazole ovula 500mg ovula
173 Mikonazol krim Tube 33
174 Mineral Mix sachet 40
175 Multivitamin syr Botol 199
176 Multivitamin tab tablet
177 N-asetil sistein tablet 3,971
178 Natrium bicarbonat tablet 500 mg tablet 210
179 Natrium Diklofenak 50 mg tablet 4,424
180 Natrium klorida larutan infus 0,9% fls 50
181 Nevirapin tablet
182 Nifedipin 10 mg tablet 483
183 Nistatin suspensi botol 16
184 Nistatin tablet salut 500.000 IU tablet 100
185 Nistatin tablet vaginal 100.000 IU/g tablet 195
186 Oksitetrasiklin HCl salep kulit 3% Tube
187 Oksitetrasiklin HCl salep mata 1% Tube 95
188 Oksitosin inj 10 IU / ml - 1 ml ampul 204
189 Omeprazole 20mg tablet
190 Pantocain tetes mata btl 1
191 Papaverin tablet 40 mg tablet
192 Parasetamol Drop Botol 5
193 Parasetamol rektal 125 mg (dumin) suppos 28
194 Parasetamol rektal 250 mg (dumin) suppos
195 Parasetamol sirup 120mg/ml Botol 213
196 Parasetamol tablet 100 mg tablet
197 Parasetamol tablet 500 mg tablet 6,921
198 Permetrin krim 5% (Scabimite) tube 33
199 Petidin inj 50mg/ml ampul
200 Piracetam inj 3g/15ml ampul
201 Pirantel tablet 125 mg tablet
202 Pirasetam 800mg tablet
203 Piroxicam 10 mg tablet
204 Piroxicam 20 mg tablet 230
205 Prednison tablet 5 mg tablet 497
206 Primakuin tablet 15 mg tablet 80
207 Prokain benzil penisilin vial
208 Propanolol HCl tablet 10 mg tablet 185
209 Propanolol HCl tablet 40 mg tablet
210 Propiltiourasil tablet 100 mg tablet 260
211 Ramipril tablet
212 Ranitidin inj. 25mg/ml ampul 95
213 Ranitidin tablet 150 mg tablet 3,133
214 Risperidon 1 mg tablet 40
215 Risperidon 2 mg tablet 140
216 RL larutan infus fls 84
217 Salbutamol inhalasi 100 mcq/dosis botol
218 Salbutamol nebulizer Kotak
219 Salbutamol tablet 2 mg tablet 2,020
220 Salbutamol tablet 4 mg tablet 1,457
221 Salep 2-4 kombinasi pot 21
222 Salep luka bakar (Levertran) Tube
223 Salep Luka Bakar (Perak Sulfadiazin Krim) Tube 6
224 Salisil bedak 2% bungkus 4
225 Seftriakson Injeksi vial
226 Serum Anti Bisa Ular polivalen inj 5 ml vial 3
227 Serum Anti Rabies (SAR) Vial
228 Serum Anti Tetanus inj 1500 IU/ampul ampul 7
229 Simvastatin 10 mg tablet 551
230 Spironolacton 25 mg tablet 190
231 Sukralfat tablet tablet
232 Sukralfat Sirup Botol
233 Tablet Tambah darah tablet 10,750
234 Tenofovir tablet
235 Tetagam ampul 9
236 Tetrasiklin HCL kapsul 500 mg tablet
237 Thiamfenikol 500 mg tab tablet 100
238 Tramadol inj ampul
239 Trifluoperazin 5mg tablet
240 Triheksiphenidil HCl tablet 2 mg tablet 880
241 Vaksin Rabies Vero Vial 5
242 Vitamin A 100.000 IU tablet
243 Vitamin A 200.000 IU tablet 85
244 Vitamin B komplek tablet tablet 7,713
245 Vitamin B1 / Thiamin HCl tablet 50 mg tablet 648
246 Vitamin B12 / Sianokobalamin tab 50 mcg tablet
247 Vitamin B12 / Sianokobalamin Vit B12 inj 500mcg-ml ampul
248 Vitamin B6 / Pyridoksin HCL tab 10 mg tablet 1,277
249 Vitamin C / Asam askorbat tablet 50 mg tablet 5,489
250 Zinc syr botol 11
251 Zinc tab 20 mg tablet 1,283
252 BMHP Abochat (IV Chat) 18 Pcs 56
253 & Abochat (IV Chat) 20 Pcs 63
254 Reagen Abochat (IV Chat) 22 Pcs 66
255 Abochat (IV Chat) 24 Pcs 77
256 ADS 0,05 ml pcs
257 ADS 0,5 ml pcs 600
258 ADS 5 ml pcs 400
259 Alat suntik 10 ml pcs
260 Alat suntik 20 ml pcs 48
261 Alat suntik sekali pakai 1 ml Pcs 100
262 Alat suntik sekali pakai 2,5 ml / 3 ml Pcs 200
263 Alat suntik sekali pakai 5 ml Pcs
264 Alkacid Botol
265 Alkohol Swab sachet 600
266 Amoniak btl/1000 ml
267 Aquadest steril liter
268 Benecheck Cholesterol strip Botol 10
269 Benecheck Glucose strip Botol
270 Benecheck uric strip Botol
271 Blood lancet pcs
272 Blue tip box
273 Box Slide bok 7
274 Cartridge Gen Expert Pcs
275 Catgut/benang bedah Chromic 2/0 set 24
276 Catgut/benang bedah Chromic 3/0 set 4
277 Catgut/benang bedah Plain 2/0 set
278 Catgut/benang bedah Plain 3/0 set 23
279 Centrifuse Paket
280 Chlorin botol
281 Cuticell Classic pcs 1
282 DFI Cybow Box 2
283 EDTA 10 % Botol
284 Etakridin (rivanol) larutan 0,1% Botol 15
285 Etanol 100 ml botol.
286 Etanol 70% Botol 8
287 Etanol 96% botol
288 Eter Alkohol 5% botol
289 Folley Chatether pcs 16
290 Food Test - Borak Test Paket
291 Food Test - Formalin Test Paket
292 Food Test - Rhodamin Test Paket
293 Fouchet Botol
294 Handscoon psg 650
295 Handscoon Obgyn psg 32
296 Handscoon Steril psg 219
297 HCG Strip Pcs
298 Infusion set anak set 41
299 Infusion set dewasa set 47
300 Jarum jahit / bedah no. 9 s/d 14 Pcs
301 Jelly USG btl 3
302 Kaca Slide pcs 504
303 Kaca Tutup pcs
304 Kapas pembalut / absorben 250 g roll 1
305 Kasa kompres 40/40 steril lbr
306 Kasa pembalut 2 m x 80 cm roll
307 Kasa pembalut elastis 3 inchi roll
308 Kasa pembalut elastis 4 inchi roll
309 Kasa Pembalut hidrofil 3,6 m x 10 cm roll
310 Kasa Pembalut hidrofil 3,6 m x 5 cm roll
311 Kasa Pembalut hidrofil 4 m x 10 cm elastis roll
312 Kasa Pembalut hidrofil 4 m x 5 cm elastis roll
313 Kasa steril 16/16 kotak 13
314 Kassa gulung Besar 80cm x 40 m roll 2
315 Kertas lakmus biru pack
316 Kertas Lakmus merah pack
317 Kertas lensa pak
318 Kertas pH Universal Kotak
319 Kertas saring watchman ktk
320 kit gol. Darah A, B, AB set
321 Kondom pcs 200
322 Labstrip (urinalis) tube
323 Larutan Amonium Oksalat 1% Botol
324 Larutan Asam Asetat 6 % Botol
325 Larutan barium klorida Botol
326 Larutan benedict Botol
327 Larutan buffer PH 6,1 Botol
328 Larutan buffer PH 7,2 Botol
329 Larutan eosin 2% Botol
330 Larutan Etanol Asam Botol
331 Larutan giemsa stain Botol
332 Larutan H2O2 3% Botol 1 L
333 Larutan H2O2 3% Botol
334 Larutan Hayem Botol
335 Larutan HCl 0,1 N Botol
336 Larutan karbolfuksin Botol
337 Larutan metilen biru Botol
338 Larutan Na citrat Botol
339 Larutan Natrium Hipoklorid Botol/ 500ml
340 Larutan Ress Ecker Botol/ 100 ml
341 Larutan turk Botol
342 Larutan Wright Botol
343 Lisol Botol 17
344 Lubricant pcs
345 Mantoux tes vial 2
346 Masker pcs 900
347 Masker 3M N95 medikal respirator pcs
348 Mess pcs 500
349 Metanol 100 ml Botol
350 Metanol 1000 ml botol 1
351 Microlit tips for micropipettes MT-up to 1 ml pack
352 Mikropipet adjustable 100-1000µl unit
353 Mikropipet adjustable 5-50µl unit
354 Mikroskop malaria (nikon) unit
355 Minyak Imersi Botol
356 NAPZA Kit 6 Parameter pcs 175
357 Napza KIT 8 Parameter box
358 Needle 23 G Pcs
359 Pembalut gips 3 inch Roll
360 Pembalut gips 4 inch Roll
361 Pipet tetes bks/100 pcs
362 Planotest pcs 228
363 Plester 2,5 cmx 4,5 m roll
364 Plester 5 yard x 2 inch roll 16
365 Plester bulat non woven box 169
366 Poli Aid Botol
367 Poli Clean Botol 7
368 Poliwash botol 500ml
369 Pork Test Paket
370 Pot Sputum Pcs 160
371 Pot Urine Pcs
372 Povidon iodida 10% 30 ml Botol 8
373 Povidon iodida 10% 300 ml Botol 16
374 Povidon iodida 10% 60 ml Botol
375 Povidon Iodine 1 L Botol
376 RDT DBD Verotec Pcs
377 RDT DBD Biosen Pcs
378 RDT Hepatitis / HBSAG Strip pcs 3
379 RDT HIV -Fokus 1/2 casette box/25
380 RDT HIV Test (HIV 1 & 2 Anti Body) oncoprobe test
381 RDT HIV test (R1) SD Pcs
382 RDT HIV test Biomerieux (Vikia HIV 1 dan 2) ktk/25 test
383 RDT HIV test Intec (One Step Anti-HIV 1&2) Box
384 RDT Malaria / Malaria test ktk
385 RDT sifillis Pcs 223
386 Reagen dan Bahan alat lab.Malaria paket
387 Reagen Fotometer Kimia Klinik Randox Glukosa kit
388 Reagen Fotometer Kimia Klinik Randox Protein total kit
389 Reagen Fotometer Kimia Klinik Randox triglyserida kit
390 Reagen hematology analyzer Cointender 20 SFRI cliner 31 btl 5 L
391 Reagen hematology analyzer Cointender 20 SFRI diluent 3 btl 20 L
392 Reagen hematology analyzer Cointender 20 SFRI Lyse 31 botol 500ml
393 Reagen TB kit 1
394 Reagen widal H Vial
395 Reagen widal O Vial
396 Rotator Sifilis Unit
397 RPR Sifilis Pcs
398 Safety box pcs 24
399 Silk no.3/0 dengan jarum bedah set 12
400 Slang Oksigen Dewasa (Adult) pcs 3
401 Slang Oksigen Dewasa (Neonatus) Pcs 3
402 Slang Oksigen Dewasa (Pediatri) Pcs 3
403 Smokerlyzer D-Pieces Box
404 Smokerlyzer Mouth Pieces Box
405 Spritus Botol
406 Stomach tube FR 12 pcs
407 Stomach tube FR 14 pcs
408 Stomach tube FR 16 pcs
409 Strip asam urat (UA SURE) Botol
410 Strip asam urat Sinocare ktk 13
411 Strip GLUCO DR Ktk
412 Strip glukosa darah (easy touch) ktk
413 Strip glukosa On Call ktk 1
414 Strip Hb (easy touch) ktk
415 Strip Hb Mission Kotak
416 Strip Kolesterol Mission Ultra ktk 4
417 Suction cateter No.12 Pcs
418 Suction cateter No.16 Pcs
419 Suction cateter No.8 Pcs
420 Tabung non EDTA 3 ml pack
421 Tabung reaksi tutup pcs
422 Thermal paper 4 x 5 -rocheurysis 1100 roll
423 Thermal paper SFRI roll
424 Tube EDTA Box
425 Urin Bag pcs 11
426 Vacum Tube EDTA 0,5 ml Bok
427 Vacutainer sample needle pcs
428 White Tip Bks
429 wing needle 21 G pcs
430 wing needle 23 G pcs
431 wing needle 25 G pcs
432 wing needle 27 G pcs
433 Xylol Botol
434 Yellow Tip/Micropipet MT-I 200 ul bks
435 Yodiol Test Botol
436 Gigi Bahan tambalan gigi sementara (mix/Caviton) Botol
437 Devitalisasi Non Arsen botol
438 Etil klorida spray Botol 1
439 Eugenol cairan Botol 1
440 Glassionomer Cement (GC IX) / GC. Fuji Botol
441 Kalsium hidroksida pasta / Calxyl blue kotak
442 Klorfenol kamfer menthol (CHKM) Botol
443 Lidocain pasta botol
444 Needle Carpul ktk
445 Occo pembersih karang gigi botol
446 Spongestan Hemospon ktk 19
447 Temporary stopping fletcher Set
448 TKF botol
449 Vaksin Vaksin BCG Vial 28
450 Imunisasi Vaksin CAMPAK Vial
451 Vaksin DT Vial 1
452 Vaksin HbIg Kotak
453 Vaksin HB-UNIJECT Vial 43
454 Vaksin Hepatitis dewasa vial
455 Vaksin IPV Vial 24
456 Vaksin Meningitis Vial
457 Vaksin MR Vial 60
458 Vaksin PENTABIO Vial 44
459 Vaksin POLIO Vial 46
460 Vaksin Td Vial 28
461 Vaksin TT Vial
462 Baru
463 BMT Bumil Kotak
464 MPASI Kotak
465 0 0
466 0 0
467 0 0
468 0 0
469 0 0
470 0 0
471 0 0
472 0 0
Mengetahui,
Kepala UPT Puskesmas Sungai Rumbai
Harga Satuan Jumlah Volume Harga Satuan Jumlah Volume Harga Satuan Jumlah
6 7 8 9 10 11 12 13
4,200 92,400 3,240 4,200 13,608,000 -
452 207,468 2,970 452 1,342,440 -
99 495,198 3,600 105 378,000 3,660 99 362,340
88 12,320 200 88 17,600 -
120 20,400 300 120 36,000 -
99 87,615 11,000 99 1,089,000 -
2,789 83,670 30 2,976 89,280 -
- - -
168 87,360 400 168 67,200 -
94 131,694 5,400 94 507,600 -
73 107,748 22,800 78 1,778,400 -
203 369,460 2,000 203 406,000 -
250 1,281,250 15,000 260 3,900,000 -
3,737 71,003 60 3,737 224,220 -
4,400 752,400 450 5,500 2,475,000 -
- - -
56 74,480 6,000 60 360,000 -
2,051 135,366 1,200 2,189 2,626,800 -
8,250 404,250 25 8,250 206,250 -
- - -
3,325 152,950 20 3,325 66,500 -
- 100 182 18,200 -
260,526 521,052 5 260,526 1,302,630 -
408,812 817,624 26 415,469 10,802,194 2 408,812 817,624
- 2 1,454,232 2,908,464 -
2,860 62,920 30 2,860 85,800 -
- - -
74 72,446 1,600 79 126,400 -
103 257,191 7,000 297 2,079,000 -
1,957 9,785 10 2,088 20,880 -
- - -
1,684 427,736 - -
- - -
99 27,324 600 99 59,400 -
3,300 69,300 100 3,300 330,000 -
- - -
399 188,328 1,300 426 553,800 -
- - -
1,540 64,680 - -
160 53,440 1,000 155 155,000 -
1,888 11,328 - -
14,500 72,500 - 2 14,500 29,000
- - -
110 18,700 1,600 110 176,000 -
1,340 81,740 250 1,430 357,500 -
- - -
5,900 224,200 150 5,900 885,000 -
327 9,483 120 327 39,240 -
- - -
275 26,950 - 47 275 12,925
10,351 51,755 5 10,351 51,755 5 10,351 51,755
64 78,400 3,000 68 204,000 -
154 541,310 - -
880 541,200 2,500 880 2,200,000 -
4,066 207,366 100 4,339 433,900 -
15,950 334,950 72 15,950 1,148,400 -
1,430 2,860 400 387 154,800 -
- - -
26,400 26,400 45 27,500 1,237,500 -
101 84,941 10,000 101 1,010,000 -
2,973 59,460 100 2,973 297,300 -
495 74,250 6,000 495 2,970,000 -
729 102,060 700 770 539,000 -
- - -
1,152 129,024 80 1,152 92,160 70 1,152 80,640
99 351,549 22,000 88 1,936,000 -
- - -
12,000 24,000 10 12,000 120,000 -
19,193 268,702 - -
13,202 39,606 10 13,202 132,020 -
86 59,082 1,000 86 86,000 -
109 15,587 200 114 22,800 -
- - -
- 15 1,228 18,420 -
104 35,360 - 340 104 35,360
- - -
- - -
- - -
86 23,908 700 86 60,200 -
2,781 94,554 200 2,781 556,200 -
- - -
1,408 91,520 30 1,408 42,240 78 1,408 109,824
- - -
- - -
6,303 81,939 - 13 6,303 81,939
- - -
- - -
- - -
- - -
165 16,500 - -
2,590 126,910 48 2,590 124,320 -
- - -
747 406,368 700 797 557,900 384 747 286,848
3,867 278,424 150 3,867 580,050 24 3,867 92,808
- - -
- 35 1,333 46,655 -
81 10,611 1,000 82 82,000 -
- - -
257 87,894 700 274 191,800 -
- - -
- - -
- - -
3,498 97,944 - -
125 169,375 - -
174 158,514 2,900 174 504,600 -
207 41,400 9,500 207 1,966,500 -
- - -
12,000 60,000 - 4 12,000 48,000
7,500 150,000 - -
6,900 345,000 60 7,363 441,780 30 6,900 207,000
- - -
952 297,976 500 952 476,000 -
- - -
101,300 911,700 - -
55 1,650 300 55 16,500 -
59 5,900 800 59 47,200 -
- - -
2,475 277,200 120 2,475 297,000 -
9,999 149,985 - -
1,496 314,160 - -
2,776 158,232 100 2,776 277,600 -
- - -
330 1,188,990 10,000 330 3,300,000 -
- - -
100 10,000 - 100 100 10,000
173 4,498 600 173 103,800 -
165 44,550 600 165 99,000 -
59 53,690 6,500 63 409,500 -
- - -
2,518 201,440 225 2,518 566,550 -
297 114,048 800 297 237,600 563 297 167,211
990 659,340 990 - 350 990 346,500
2,380 147,560 60 2,380 142,800 -
- - -
495 39,600 120 495 59,400 -
3,140 122,460 - -
1,881 212,553 - -
- - -
6,500 123,498 - -
7,502 180,048 10 7,502 75,020 -
25 83,700 26,500 25 662,500 -
- - -
- - -
- - -
155 18,290 600 157 94,200 -
600 174,000 600 600 360,000 -
2,750 1,606,000 - 474 2,414 1,144,236
2,052 100,548 - -
125 47,250 - -
- - -
334 6,680 1,200 334 400,800 -
- - -
- - -
1,205 148,215 420 1,286 540,120 -
- - -
143 125,125 1,300 143 185,900 -
125 272,625 1,500 133 199,500 -
3,200 28,800 6 3,328 19,968 3 3,200 9,600
3,796 22,776 6 3,796 22,776 -
- - -
990 316,800 - -
105 375,514 12,500 106 1,325,000 -
221 76,687 200 236 47,200 200 221 44,200
2,992 463,760 50 3,102 155,100 166 2,992 496,672
137 206,185 6,500 146 949,000 -
- - -
993 141,999 - -
80 65,600 500 85 42,500 -
4,158 519,750 - -
275 124,025 - -
- - -
- - -
3,585 118,305 48 3,585 172,080 -
3,116 124,640 800 2,727 2,181,600 -
4,500 895,500 - -
- - -
357 1,417,647 16,000 381 6,096,000 -
66 13,860 100 66 6,600 -
127 561,848 19,600 136 2,665,600 -
6,410 320,500 80 6,840 547,200 -
- - -
132 63,756 200 132 26,400 -
34,980 559,680 20 34,980 699,600 -
830 83,000 - -
572 111,540 - -
- - -
2,600 247,000 - -
1,900 387,600 60 1,199 71,940 197 1,199 236,203
- 1,200 164 196,800 -
14,993 14,993 - -
- 200 350 70,000 160 350 56,000
6,981 34,905 300 6,981 2,094,300 -
16,995 475,860 10 16,995 169,950 -
- 10 17,800 178,000 -
1,110 236,430 1,000 1,110 1,110,000 -
- - -
56 387,576 53,000 160 8,453,500 8,600 56 481,600
11,825 390,225 50 11,825 591,250 -
- - -
- - -
- - -
- - -
- - -
121 27,830 700 121 84,700 -
72 35,784 700 77 53,900 -
253 20,240 100 253 25,300 -
- - -
57 10,545 400 61 24,400 -
- - -
451 117,260 600 451 270,600 -
- - -
1,155 109,725 200 1,155 231,000 -
165 516,945 14,000 220 3,080,000 -
228 9,120 - -
273 38,220 1,400 287 401,800 -
7,150 600,600 200 7,630 1,526,000 -
- 60 32,120 1,927,200 -
- 3 220,000 660,000 -
63 127,260 3,000 67 201,000 -
74 107,818 2,000 74 148,000 -
2,753 57,813 - -
- - -
20,700 124,200 10 20,700 207,000 -
3,190 12,760 36 3,190 114,840 -
- - -
479,996 1,439,988 4 512,204 2,048,816 -
- - -
130,999 916,993 50 130,999 6,549,950 -
110 60,610 2,100 117 245,700 -
195 37,050 400 208 83,200 -
- - -
- 50 6,989 349,450 -
372 3,999,000 52,380 372 19,485,360 -
- - -
176,800 1,591,200 10 176,800 1,768,000 -
- - -
990 99,000 - -
- - -
- - -
87 76,560 2,100 93 195,300 -
165,000 825,000 44 165,000 7,260,000 -
- 750 324 243,000 -
544 46,240 4,500 581 2,614,500 -
123 948,699 25,000 131 3,275,000 -
86 55,728 2,000 92 184,000 -
- 1,000 47 47,000 -
- - -
132 168,947 2,300 138 317,400 -
110 603,790 19,000 110 2,090,000 -
3,122 34,342 72 3,322 239,184 -
551 706,933 2,000 551 1,102,000 -
6,270 351,120 100 6,270 627,000 -
6,270 395,010 50 6,270 313,500 -
6,270 413,820 100 6,270 627,000 -
7,810 601,370 50 6,270 313,500 -
- 800 1,518 1,214,400 -
1,091 654,546 5,500 1,518 8,349,000 -
1,705 682,000 - -
- - -
3,080 147,840 - -
880 88,000 500 880 440,000 -
894 178,800 2,500 894 2,235,000 -
- - -
- - -
118 70,800 3,500 120 420,000 -
- - -
- - -
255,048 2,550,479 5 254,925 1,274,625 -
- 7 169,000 1,183,000 -
- 13 154,675 2,010,775 -
- 1,900 144 273,600 -
- - -
82,980 580,860 - -
- - -
52,100 1,250,406 24 33,565 805,560 -
47,706 190,824 72 33,287 2,396,664 -
- - -
46,481 1,069,063 24 46,481 1,115,544 -
- - -
- 42 60,000 2,520,000 -
14,689 14,689 6 15,600 93,600 -
143,700 287,400 1 143,700 143,700 -
- - -
3,450 51,750 - -
- - -
69,300 554,400 24 88,000 2,112,000 -
- 2 95,000 190,000 -
- - -
10,212 163,392 10 20,100 201,000 -
- - -
- - -
- - -
- - -
990 643,500 9,550 2,640 25,212,000 -
21,296 681,472 - -
6,793 1,487,634 100 6,595 659,500 -
- 200 4,881 976,200 -
9,130 374,330 - -
5,608 263,592 150 5,445 816,750 -
- - -
14,472 43,415 13 26,487 344,327 -
307 154,623 - -
- - -
31,694 31,694 25 34,150 853,750 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
8,144 105,877 150 7,530 1,129,500 -
165,720 331,440 15 140,500 2,107,500 -
- - -
- - -
- - -
- - -
- - -
- 2 251,875 503,750 -
358 71,600 - -
- - -
- - -
- 4 30,000 120,000 -
- - -
- - -
- 1 98,667 98,667 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
47,150 801,550 - -
- - -
625,900 1,251,800 10 625,900 6,259,000 -
676 608,580 2,200 2,530 5,566,000 -
- - -
3,150 1,575,000 - -
- - -
33,000 33,000 - -
- 1 238,100 238,100 -
- 1 3,743,693 3,743,693 -
- 2 3,743,693 7,487,386 -
- - -
- - -
90,000 15,749,965 - -
- - -
- - -
- - -
- - -
- - -
1,939 442,092 - -
- 80 12,675 1,014,000 -
35,532 568,512 - -
33,880 5,725,720 - -
- - -
77,698 543,886 2 77,698 155,396 -
- - -
- - -
2,379 380,640 200 3,722 744,324 -
- 200 2,631 526,200 -
3,335 26,680 - - -
20,700 331,200 48 19,633 942,400 -
- 20 5,187 103,730 -
- 12 149,314 1,791,768 -
- - -
- - -
9,878 29,634 400 8,175 3,270,000 -
- - -
- - -
- 350 11,400 3,990,000 -
- - -
- - -
- 1 161,900 161,900 -
20,400 4,549,200 200 7,250 1,450,000 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
247,000 247,000 5 237,271 1,186,354 -
- 1 75,625 75,625 -
- 1 75,625 75,625 -
- 1 3,885,000 3,885,000 -
- - -
21,500 516,000 87 22,433 1,951,671 -
46,712 560,544 108 34,000 3,672,000 -
6,720 20,160 - -
8,103 24,309 - -
6,720 20,160 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
96,260 1,251,380 6 91,000 546,000 -
- - -
- - -
164,373 164,373 9 202,200 1,819,800 -
- - -
- 13 462,200 6,008,600 -
526,250 2,105,000 9 569,700 5,127,300 -
- 6 3,552 21,312 -
- 3 3,552 10,656 -
- 6 3,552 21,312 -
- - -
- - -
- - -
- - -
- - -
8,877 97,647 15 8,070 121,050 -
- - -
- - -
- - -
- 20 1,540 30,800 -
- - -
- - -
- - -
- - -
- 5 186,700 933,500 -
- 40 6,494 259,760 -
- - -
- - -
174,900 174,900 3 174,900 524,700 -
4,000 4,000 - -
- - -
- - -
- - -
- - -
- - -
- - -
83,800 1,592,200 - -
- - -
- - -
59,950 1,678,600 85 78,991 6,714,235 -
- 30 28,204 846,120 6 28,204 169,224
17,996 17,996 55 17,996 989,780 -
- 6 1,325,000 7,950,000 -
20,900 898,700 260 25,597 6,655,220 -
- 10 52,052 520,520 -
158,994 3,815,856 60 158,994 9,539,640 -
- - -
155,813 9,348,780 155 155,813 24,151,015 42 155,813 6,544,146
78,991 3,475,604 320 84,382 27,002,240 -
19,954 917,884 200 19,954 3,990,800 -
16,995 475,860 110 16,995 1,869,450 -
- - -
- - -
- 2 17,023 34,046 -
- 3 13,901 41,704 -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
117,477,113 376,084,196 11,921,655
Pengeluaran/Penggunaan Tahun 2020 Sisa/Stok Persediaan per 31 Des 2020
14 15 16 17 18 19
3,262 4,200 13,700,400 - -
3,406 452 1,539,512 23 452 10,396
4,792 105 503,160 150 105 15,750
323 88 28,424 17 88 1,496
390 120 46,800 80 120 9,600
8,490 99 840,510 3,395 99 336,105
- 60 2,976 178,560
- - -
710 168 119,280 210 168 35,280
5,711 94 536,834 1,090 94 102,460
22,154 78 1,728,012 2,122 78 165,516
2,499 203 507,297 1,321 203 268,163
17,210 260 4,474,600 2,915 260 757,900
79 3,737 295,223 - -
482 5,500 2,651,000 139 5,500 764,500
- - -
5,180 60 310,800 2,150 60 129,000
1,052 2,189 2,302,828 214 2,189 468,446
40 8,250 330,000 34 8,250 280,500
- - -
38 3,325 126,350 28 3,325 93,100
- 100 182 18,200
4 260,526 1,042,104 3 260,526 781,578
21 415,469 8,724,849 5 415,469 2,077,345
1 1,454,232 1,454,232 1 1,454,232 1,454,232
28 2,860 80,080 24 2,860 68,640
- - -
1,769 79 139,751 810 79 63,990
5,964 297 1,771,308 3,533 297 1,049,301
7 2,088 14,616 8 2,088 16,704
- - -
254 1,684 427,736 - -
- - -
546 99 54,054 330 99 32,670
76 3,300 250,800 45 3,300 148,500
- - -
1,243 426 529,518 529 426 225,354
- - -
- 42 1,540 64,680
374 155 57,970 960 155 148,800
- 6 1,888 11,328
3 14,500 43,500 - -
- - -
1,465 110 161,150 305 110 33,550
308 1,430 440,440 3 1,430 4,290
- - -
53 5,900 312,700 135 5,900 796,500
89 327 29,103 60 327 19,620
- - -
51 275 14,025 - -
- 5 10,351 51,755
2,625 68 178,500 1,600 68 108,800
3,515 154 541,310 - -
2,177 880 1,915,760 938 880 825,440
103 4,339 446,917 48 4,339 208,272
82 15,950 1,307,900 11 15,950 175,450
402 387 155,574 - -
- - -
38 27,500 1,045,000 8 27,500 220,000
9,901 101 1,000,001 940 101 94,940
78 2,973 231,894 42 2,973 124,866
3,101 495 1,534,995 3,049 495 1,509,255
840 770 646,800 - -
- - -
92 1,152 105,984 30 1,152 34,560
23,614 88 2,078,032 1,937 88 170,456
- - -
7 12,000 84,000 5 12,000 60,000
8 19,193 153,544 6 19,193 115,158
3 13,202 39,606 10 13,202 132,020
1,169 86 100,534 518 86 44,548
113 114 12,882 230 114 26,220
- - -
5 1,228 6,140 10 1,228 12,280
- - -
- - -
- - -
- - -
949 86 81,614 29 86 2,494
188 2,781 522,828 46 2,781 127,926
- - -
7 1,408 9,856 10 1,408 14,080
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- 100 180 18,000
97 2,590 251,230 - -
- - -
860 797 685,420 - -
124 3,867 479,508 74 3,867 286,158
- - -
1 1,333 1,333 34 1,333 45,322
919 82 75,358 212 82 17,384
- - -
732 274 200,568 310 274 84,940
- - -
- - -
- - -
14 3,498 48,972 14 3,498 48,972
40 125 5,000 1,315 125 164,375
3,811 174 663,114 - -
7,084 207 1,466,388 2,616 207 541,512
- - -
1 12,000 12,000 - -
2 7,500 15,000 18 7,500 135,000
44 7,363 323,972 36 7,363 265,068
- - -
539 952 513,128 274 952 260,848
- - -
5 101,300 506,500 4 101,300 405,200
160 55 8,800 170 55 9,350
850 59 50,150 50 59 2,950
- - -
180 2,475 445,500 52 2,475 128,700
7 9,999 69,993 8 9,999 79,992
210 1,496 314,160 - -
102 2,776 283,152 55 2,776 152,680
- - -
10,296 330 3,397,680 3,307 330 1,091,310
- - -
- - -
292 173 50,516 334 173 57,782
606 165 99,990 264 165 43,560
3,293 63 207,459 4,117 63 259,371
- - -
247 2,518 621,946 58 2,518 146,044
450 297 133,650 171 297 50,787
316 990 312,840 - -
113 2,380 268,940 9 2,380 21,420
- - -
125 495 61,875 75 495 37,125
39 3,140 122,460 - -
113 1,881 212,553 - -
- - -
19 6,500 123,500 - -
34 7,502 255,068 - -
25,735 25 643,375 4,113 25 102,825
- - -
- - -
- - -
463 157 72,691 255 157 40,035
620 600 372,000 270 600 162,000
110 2,414 265,540 - -
27 2,190 59,130 22 2,190 48,180
302 133 40,166 76 133 10,108
- - -
746 334 249,164 474 334 158,316
- - -
- - -
475 1,286 610,850 68 1,286 87,448
- - -
2,135 143 305,305 40 143 5,720
3,224 133 428,792 457 133 60,781
6 3,328 19,968 6 3,328 19,968
12 3,796 45,552 - -
- - -
320 990 316,800 - -
15,100 106 1,600,600 990 106 104,940
177 236 41,772 170 236 40,120
21 3,102 65,142 18 3,102 55,836
5,279 146 770,734 2,726 146 397,996
- - -
84 993 83,412 59 993 58,587
930 85 79,050 390 85 33,150
72 4,158 299,376 53 4,158 220,374
451 275 124,025 - -
- - -
- - -
81 3,585 290,385 - -
840 2,727 2,290,680 - -
199 4,500 895,500 - -
- - -
14,991 381 5,711,571 4,980 381 1,897,380
210 66 13,860 100 66 6,600
20,044 136 2,725,984 3,980 136 541,280
73 6,840 499,320 57 6,840 389,880
- - -
176 132 23,232 507 132 66,924
36 34,980 1,259,280 - -
- 100 886 88,600
62 572 35,464 133 572 76,076
- - -
33 2,774 91,542 62 2,774 171,988
17 1,199 20,383 50 1,199 59,950
1,200 164 196,800 - -
1 14,993 14,993 - -
40 350 14,000 - -
256 6,981 1,787,136 49 6,981 342,069
38 16,995 645,810 - -
10 17,800 178,000 - -
1,024 1,110 1,136,640 189 1,110 209,790
- - -
46,345 160 7,392,028 4,976 160 793,672
83 11,825 981,475 - -
- - -
- - -
- - -
- - -
- - -
580 121 70,180 350 121 42,350
697 77 53,669 500 77 38,500
80 253 20,240 100 253 25,300
- - -
460 61 28,060 125 61 7,625
- - -
650 451 293,150 210 451 94,710
- - -
212 1,155 244,860 83 1,155 95,865
13,793 220 3,034,460 3,340 220 734,800
40 228 9,120 - -
1,330 287 381,710 210 287 60,270
231 7,630 1,762,530 53 7,630 404,390
45 32,120 1,445,400 15 32,120 481,800
1 220,000 220,000 2 220,000 440,000
3,180 67 213,060 1,840 67 123,280
2,866 74 212,084 591 74 43,734
17 2,753 46,801 4 2,753 11,012
- - -
9 20,700 186,300 7 20,700 144,900
24 3,190 76,560 16 3,190 51,040
- - -
5 512,204 2,561,020 2 512,204 1,024,408
- - -
42 130,999 5,501,958 15 130,999 1,964,985
2,001 117 234,117 650 117 76,050
590 208 122,720 - -
- - -
50 6,989 349,450 - -
55,151 372 20,516,172 7,979 372 2,968,188
- - -
19 176,800 3,359,200 - -
- - -
100 990 99,000 - -
- - -
- - -
2,580 93 239,940 400 93 37,200
44 165,000 7,260,000 5 165,000 825,000
750 324 243,000 - -
4,585 581 2,663,885 - -
29,933 131 3,921,223 2,780 131 364,180
1,777 92 163,484 871 92 80,132
1,000 47 47,000 - -
- - -
1,857 138 256,266 1,720 138 237,360
21,485 110 2,363,350 3,004 110 330,440
50 3,322 166,100 33 3,322 109,626
1,607 551 885,457 1,676 551 923,476
84 6,270 526,680 72 6,270 451,440
89 6,270 558,030 24 6,270 150,480
76 6,270 476,520 90 6,270 564,300
35 6,270 219,450 92 6,270 576,840
500 1,518 759,000 300 1,518 455,400
3,800 1,518 5,768,400 2,300 1,518 3,491,400
200 1,583 316,600 200 1,583 316,600
- - -
48 3,080 147,840 - -
500 880 440,000 100 880 88,000
2,500 894 2,235,000 200 894 178,800
- - -
- - -
3,700 120 444,000 400 120 48,000
- - -
- - -
14 254,925 3,568,950 1 254,925 254,925
7 169,000 1,183,000 - -
12 154,675 1,856,100 1 154,675 154,675
1,500 144 216,000 400 144 57,600
- - -
- 7 82,980 580,860
- - -
36 33,565 1,208,340 12 33,565 402,780
64 33,287 2,130,368 12 33,287 399,444
- - -
47 46,481 2,184,607 - -
- - -
2 60,000 120,000 40 60,000 2,400,000
5 15,600 78,000 2 15,600 31,200
2 143,700 287,400 1 143,700 143,700
- - -
15 4,150 62,250 - -
- - -
31 88,000 2,728,000 1 88,000 88,000
1 95,000 95,000 1 95,000 95,000
- - -
16 20,100 321,600 10 20,100 201,000
- - -
- - -
- - -
- - -
10,150 2,640 26,796,000 50 2,640 132,000
32 40,733 1,303,456 - -
269 6,595 1,774,055 50 6,595 329,750
183 4,881 893,223 17 4,881 82,977
8 9,130 73,040 33 9,130 301,290
170 5,445 925,650 27 5,445 147,015
- - -
11 26,487 291,353 5 26,487 132,433
288 417 120,000 216 417 90,000
- - -
24 34,150 819,600 2 34,150 68,300
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
115 7,530 865,950 48 7,530 361,440
14 140,500 1,967,000 3 140,500 421,500
- - -
- - -
- - -
- - -
- - -
2 251,875 503,750 - -
200 358 71,600 - -
- - -
- - -
3 30,000 90,000 1 30,000 30,000
- - -
- - -
- 1 98,667 98,667
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
11 47,150 518,650 6 47,150 282,900
- - -
7 625,900 4,381,300 5 625,900 3,129,500
3,000 2,530 7,590,000 100 2,530 253,000
- - -
200 3,150 630,000 300 3,150 945,000
- - -
1 33,000 33,000 - -
1 238,100 238,100 - -
1 3,743,693 3,743,693 - -
2 3,743,693 7,487,387 - -
- - -
- - -
175 90,000 15,750,000 - -
- - -
- - -
- - -
- - -
- - -
228 1,939 442,092 - -
17 12,675 215,475 63 12,675 798,525
16 35,532 568,512 - -
10 33,880 338,800 159 33,880 5,386,920
- - -
9 77,698 699,282 - -
- - -
- - -
260 3,722 967,621 100 3,722 372,162
20 2,631 52,620 180 2,631 473,580
8 3,335 26,680 - -
64 19,633 1,256,533 - -
12 5,187 62,238 8 5,187 41,492
3 149,314 447,942 9 149,314 1,343,826
- - -
- - -
403 8,175 3,294,525 - -
- - -
- - -
300 11,400 3,420,000 50 11,400 570,000
- - -
- - -
- 1 161,900 161,900
323 7,250 2,341,750 100 7,250 725,000
- - -
- - -
- - -
- - -
- - -
- - -
- - -
6 237,271 1,423,625 - -
- 1 75,625 75,625
- 1 75,625 75,625
1 3,885,000 3,885,000 - -
- - -
75 22,433 1,682,475 36 22,433 807,588
118 34,000 4,012,000 2 34,000 68,000
1 6,720 6,720 2 6,720 13,440
1 8,103 8,103 2 8,103 16,206
- 3 6,720 20,160
- - -
- - -
- - -
- - -
- - -
- - -
- - -
19 91,000 1,729,000 - -
- - -
- - -
10 202,200 2,022,000 - -
- - -
11 462,200 5,084,200 2 462,200 924,400
13 569,700 7,406,100 - -
3 3,552 10,656 3 3,552 10,656
3 3,552 10,656 - -
6 3,552 21,312 - -
- - -
- - -
- - -
- - -
- - -
16 8,070 129,120 10 8,070 80,700
- - -
- - -
- - -
20 1,540 30,800 - -
- - -
- - -
- - -
- - -
2 186,700 373,400 3 186,700 560,100
40 6,494 259,760 - -
- - -
- - -
3 174,900 524,700 1 174,900 174,900
- 1 4,000 4,000
- - -
- - -
- - -
- - -
- - -
- - -
19 83,800 1,592,200 - -
- - -
- - -
100 78,991 7,899,100 13 78,991 1,026,883
24 28,204 676,896 - -
53 17,996 953,788 3 17,996 53,988
6 1,325,000 7,950,000 - -
265 25,597 6,783,205 38 25,597 972,686
10 52,052 520,520 - -
60 158,994 9,539,640 24 158,994 3,815,856
- - -
150 155,813 23,371,950 23 155,813 3,583,699
335 84,382 28,267,970 29 84,382 2,447,078
230 19,954 4,589,420 16 19,954 319,264
128 16,995 2,175,360 10 16,995 169,950
- - -
- - -
2 17,023 34,046 - -
3 13,901 41,704 - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
- - -
403,972,851 80,066,063