PEMERINTAH KABUPATEN BOLAANG MONGONDOW SELATAN

RUMAH SAKIT UMUM DAERAH BOLAANG MONGONDOW SELATAN

JL.TRANS SULAWESI LINTAS SELATAN, 95774

LAPORAN STOCK OPNAME 31 DESEMBER 2015

LAPORAN STOCK OPNAME GUDANG PENYIMPANAN UMUM

1. BHP RAJAWALI NUSINDO SEPTEMBER 2014 (99.991.520)
Jumlah
No Jenis persediaan satuan Harga Satuan
Barang
1 Catgut chromic 2/0 HR 37 Buah 0 Rp 57,446
2 Catgut chromic 3/0 HR 26 Buah 0 Rp 54,688
3 Catgut crhomic 2 HR 50 Buah 36 Rp 58,542
4 Catgut chromic 0 HR 37 Buah 36 Rp 57,446
5 Catgut Plain 2/0 HR 26 Buah 24 Rp 54,125
6 Catgut Plain 3/0 HR 26 Buah 12 Rp 54,125
7 Silk Black 2/0 DS 19 Buah 24 Rp 44,746
8 Silk Black 3/0 DS 19 Buah 24 Rp 44,746
9 Folley Catheter 18 Buah 0 Rp 18,860
10 Folley Catheter 20 Buah 10 Rp 18,860
11 Folley Catheter 22 Buah 30 Rp 18,860
12 Folley Catheter 24 Buah 20 Rp 18,860
13 Hydrex Galon 3 Rp 1,226,250
14 Infus set Dewasa Buah 0 Rp 3,955
15 Infus Set Anak Buah 100 Rp 4,590
16 Handscoen Steril No.7 Psng 100 Rp 10,587
17 Handscoen Steril No.7,5 Psng 100 Rp 10,587
18 Handscoen No Steril No.7 Psng 0 Rp 4,775
19 handscoen No Steril No.7,5 Psng 0 Rp 4,775
20 IV Chateter No.18 Buah 150 Rp 8,734
21 IV Chateter No.20 Buah 0 Rp 8,734
22 IV Chateter No.22 Buah 0 Rp 8,734
23 IV Chateter No.24 Buah 100 Rp 8,734
24 Kasa Steril 40x40 Bks 98 Rp 23,700
25 Kasa Steril 16x16 Kotak 0 Rp 9,425
26 NGT 16 Buah 23 Rp 22,350
27 NGT 18 Buah 30 Rp 22,350
28 NGT3,5 Buah 43 Rp 18,923
29 NGT 8 Buah 50 Rp 18,923
30 NGT 12 Buah 23 Rp 22,360

Page 1 of 42
 Jumlah
No Jenis persediaan satuan Harga Satuan
Barang
31 NGT 14 Buah 30 Rp 22,360
32 Kapas Pembalut 500 gr Roll 12 Rp 73,300
33 Kasa Hidrofil 40x80 Roll 42 Rp 198,930
34 Masker Buah 0 Rp 1,450
35 Leukoplast Roll 0 Rp 28,580
36 Alat Suntik Sekali Pakai 1 Ml Buah 900 Rp 1,208
37 Alat Suntik Sekali Pakai 3 Ml Buah 0 Rp 1,148
38 Alat Suntik Sekali Pakai 5 Ml Buah 400 Rp 1,148
39 Dispo 10 Ml Buah 300 Rp 3,072
40 Urin Bag Buah 100 Rp 4,995
41 Alkohol 70% Botol 31 Rp 27,780
42 Surgical Blade No 10 Buah 0 Rp 2,250
43 Surgical Blade No 22 Buah 0 Rp 2,250
44 Surgical Blade No.23 Buah 80 Rp 2,250
Total

2. BHP APOTIK BERKAH FARMA OKTOBER 2014 (100,000,000)

Jumlah
No Jenis persediaan satuan Harga Satuan
Barang
1 Alkohol Onemed 70% 1 Ltr Botol 500 Rp 28,000
2 Aseptik Gel 90 cc Botol 0 Rp 7,500
3 Benang Silk Roll No 2/0 Roll 0 Rp 1,123,300
4 Benang Silk Roll No 3/0 Roll 0 Rp 1,943,340
5 Blood Transfusion Set Buah 50 Rp 21,000
6 Daryantul Box 10 Pcs Lembar 30 Rp 23,300
7 Folley Catheter 2W No.18 Buah 30 Rp 18,860
8 Folley Catheter 2W No.20 Buah 50 Rp 18,860
9 Folley Catheter Pediatrik No.18 Buah 10 Rp 55,950
10 Infus Set Anak Onemed Buah 50 Rp 9,000
11 Infus Set Dewasa Onemed Buah 964 Rp 9,000
12 Kassa Hexa Husada 16x16 Kotak 0 Rp 9,425
13 Kassa Roll 40x80 Yard Roll 10 Rp 198,930
14 Leukoplast 4 inchi Roll 14 Rp 54,500
15 Mediban 4 inchi Roll 20 Rp 1,858
16 Mediban 6 inchi Roll 20 Rp 2,167
17 Medicrape 4 inchi Roll 20 Rp 2,979
18 Medicrape 6 inchi Roll 20 Rp 3,500
19 Rivanol 300 cc Botol 120 Rp 4,688
20 Spuit Disposible 1 cc Buah 1948 Rp 1,450

Page 2 of 42
 Jumlah
No Jenis persediaan satuan Harga Satuan
Barang
21 Spuit Disposible 3 cc Buah 4300 Rp 1,750
22 Spuit Disposible 5 cc Buah 1000 Rp 1,660
23 Spuit Disposible 10 cc Buah 2000 Rp 2,813
24 Spuit Disposible 20 cc Buah 0 Rp 4,200
25 Stomach Tube No.16 Buah 20 Rp 86,500
26 Stomach Tube No.18 Buah 14 Rp 86,500
27 Surgical Blade No.10 Buah 200 Rp 2,245
28 Surgical Blade No.15 Buah 600 Rp 2,245
29 Surgical Blade No.24 Buah 100 Rp 2,245
30 Tes Kehamilan Strip Onemed Buah 300 Rp 4,700
31 Ultrafix 5x5 Roll 4 Rp 25,000
32 Ultrafix 10x1 Box@ 5 Roll 0 Rp 9,500
33 Ultrafix 15x5 0 Rp 68,500
34 Under Pad Bks 80 Rp 29,500
35 Urine Bag Buah 100 Rp 4,500
36 Verband 4 Yard x 5 Cm Ball 18 Rp 124,000
37 Verband 4 Yard x 10 Cm Ball 20 Rp 124,000
Total

3. BHP LAINNYA PADA KEGIATAN PENGADAAN ALAT ALAT LABORATORIUM RUMAH SAKIT T/A 2015 (75.00
Jumlah
No Jenis persediaan satuan Harga Satuan
Barang
1 Alkohol 70% Botol 100 Rp 39,000
2 Benang Cromic Rool No.2 Buah 100 Rp 30,000
3 Benang Cromic Rool No.2.0 Buah 100 Rp 30,000
4 Benang Cromic Rool No.3.0 Buah 100 Rp 30,000
5 Benang Plain Rool No.2 Buah 100 Rp 30,000
6 Benang Plain Rool No.2.0 Buah 100 Rp 30,000
7 Benang Plain Rool No.3.0 Buah 100 Rp 30,000
8 Benang Saide Rool No.2 Buah 100 Rp 30,000
9 Benang Saide Rool No.2.0 Buah 100 Rp 30,000
10 Benang Saide Rool No.3.0 Buah 100 Rp 30,000
11 Folley Catheter No.18 Buah 20 Rp 19,000
12 Folley Catheter No.20 Buah 20 Rp 19,000
13 Folley Catheter No.22 Buah 20 Rp 19,000
14 Folley Catheter No.24 Buah 20 Rp 19,000
15 Infus Set Anak Buah 100 Rp 9,000
16 Infus Set Dewasa Buah 100 Rp 4,750
17 Kapas Pembalut 500 gr Ball 30 Rp 87,000
18 Jarum Otot Buah 100 Rp 25,000

Page 3 of 42
 Jumlah
No Jenis persediaan satuan Harga Satuan
Barang
19 Jarum Kulit Buah 100 Rp 23,500
20 Lisol 1 Ltr/Rivanol 300 ml Botol 195 Rp 13,250
21 Selang O2 Buah 100 Rp 35,000
22 Kasa Rool 36 x 80 Roll 15 Rp 197,500
23 Leukoplast 5 Cm Roll 20 Rp 55,000
24 Leukoplast 7,5 Cm Roll 20 Rp 70,000
25 Umbilical Clamp Buah 300 Rp 17,800
26 Hydrex 5 Ltr Galon 2 Rp 1,113,125
27 Usg Jelly 250 ml Botol 100 Rp 30,800
28 Larutan Laktat Botol 100 Rp 8,500
29 Larutan H2O2 Botol 100 Rp 36,500
30 Larutan Glukosa Botol 157 Rp 7,500
31 Kassa Hexa Husada 16 x 16 Kotak 200 Rp 9,500
32 Kassa Darma Husada 40 x 40 Bks 100 Rp 10,750
33 Handscoon No.7,5 psng 580 Rp 5,000
Total

4. KLAIM BPJS CV.GIVANA OKTOBER 2014 (9,000,000)

Jumlah
No Jenis persediaan satuan Harga Satuan
Barang
1 Larutan H2O Botol 30 Rp 35,000
2 larutan Glucosa Botol 0 Rp 7,000
3 Larutan Laktat Botol 0 Rp 7,750
4 Kapas Roll 1 kg Roll 5 Rp 87,000
5 Alkohol 70 % 1 ltr Botol 24 Rp 41,350
6 Muncun Extractor Buah 13 Rp 16,200
7 Umbilical Clamp Buah 0 Rp 10,000
8 Leucoplast 7,5 cm Roll 0 Rp 70,000
9 USG jelly galon Galon 4 Rp 271,500
10 USG jelly 250 ml Botol 5 Rp 30,800
Total

5. OBAT OBATAN PADA KEGIATAN PENGADAAN OBAT OBATAN RUMAH SAKIT T/A 2015(99.996.
Jumlah
No Jenis persediaan satuan Harga Satuan
Barang
1 Acyclovir 400 mg Tablet Tablet 2000 Rp 1,436
2 Allopurinol 100 mg Tablet Tablet 2000 Rp 133
3 Amlodipine Tablet 5 mg Tablet 3000 Rp 95
4 Amoxicillin Syrup 125 mg/ml botol 250 Rp 5,000
5 Amoxicillin Tablet 500 mg Tablet 10000 Rp 480

Page 4 of 42
 Jumlah
No Jenis persediaan satuan Harga Satuan
Barang
6 Asam Traneksamat Injeksi 500 mg Ampul 200 Rp 8,175
7 Bisoprolol Tablet 5 mg Tablet 2000 Rp 2,323
8 Cefadroxyl Syrup 125 mg/ml botol 300 Rp 11,000
9 Cefotaximine Injeksi 1gr Vial 400 Rp 13,750
10 Ceftriaxone Injeksi 1 gr Vial 400 Rp 8,650
11 Citicoline Injeksi 125 mg Ampul 100 Rp 40,800
12 Dexamethasone Injeksi 5 mg Ampul 1000 Rp 3,575
13 Kalium Diklofenak 50 mg Tablet 1250 Rp 1,100
14 Ketorolac 10 mg Injeksi Ampul 300 Rp 12,500
15 Livron B Plex Tablet Tablet 5000 Rp 325
16 Meloxicam 7,5 mg Tablet Tablet 1760 Rp 780
17 Meloxicam 15 mg Tablet Tablet 1980 Rp 470
18 Metformin 500 mg Kapsul Tablet 3000 Rp 182
19 Methyl Prednisonol Tablet 4 mg Tablet 3000 Rp 631
20 Metoclopramide Injeksi Ampul 250 Rp 10,890
21 Piracetam Injeksi 5 ml Ampul 160 Rp 10,345
22 Piracetam Tablet 400 mg Tablet 2900 Rp 298
23 Piracetam Tablet 800 mg Tablet 1300 Rp 615
24 Piracetam Tablet 800 mg Tablet 600 Rp 1,060
25 Sohobion Injeksi Ampul 250 Rp 15,800
26 Tramadol Tablet 50 mg Tablet 4850 Rp 440
27 Hemorogard Tablet 2500 Rp 1,430
28 Miconazole Salep Tube 200 Rp 7,500
29 Ranitidin Inj 25 mg Ampul 4375 Rp 2,580
30 Metformin 500 mg Tablet 3000 Rp 192
31 Ondansetron Injeksi HCL Ampul 200 Rp 5,515
32 Taxep (Cefotaximine) Vial 36 Rp 119,745
33 Dextamine Tablet 1200 Rp 1,784
34 Isosorbit 5 mg Tablet 2000 Rp 255
35 Bioneuron Tablet 3000 Rp 993
36 Becefort Syrup 60 ml botol 25 Rp 17,366
37 Seledril Tab Tablet 8400 Rp 718
Total

6. APOTIK BERKAH FARMA OKTOBER 2014 (Rp 99. 999.625)

Jumlah
No Jenis persediaan satuan Harga Satuan
Barang
1 Acyclovir 400 mg Tablet Tablet 1000 Rp 1,436
2 Allopurinol 100 mg Tablet Tablet 2000 Rp 133

Page 5 of 42
 Jumlah
No Jenis persediaan satuan Harga Satuan
Barang
3 Amlodipine Tablet 5 mg Tablet 150 Rp 1,050
4 Amoxicillin Syrup 125 mg/ml Botol 232 Rp 5,000
5 Amoxicillin Tablet 500 mg Tablet 3900 Rp 480
6 Asam Traneksamat Injeksi 500 mg Ampul 0 Rp 16,329
7 Bisopronol Tablet 5 mg Tablet 600 Rp 2,323
8 Cefadroxyl Syrup 125 mg/ml Botol 273 Rp 11,000
9 Cefixime syrup 100 mg Botol 175 Rp 41,000
10 Cefotaxime Injeksi 1 gr Vial 900 Rp 13,750
11 Ceftriaxone Injeksi 1 gr Vial 1500 Rp 8,650
12 Citicoline injeksi 125 mg Ampul 0 Rp 40,800
13 Dexamethasone Injeksi 5 mg Ampul 4300 Rp 3,575
14 Kalium Diklofenat 50 mg Tablet 1000 Rp 1,100
15 Ketoconazole Cream 2% Tube 90 Rp 6,500
16 Ketorolac 10 mg Injeksi Ampul 300 Rp 7,500
17 Livron B Plex Tablet Tablet 4000 Rp 325
18 Meloxicam 7,5 mg Tablet Tablet 1200 Rp 780
19 Meloxicam 15 mg Tablet Tablet 1300 Rp 470
20 Metformin 500 mg kapsul Tablet 1700 Rp 182
21 Methyl Prednisolon Tablet 4 mg Tablet 3000 Rp 631
22 Metoclopramide injeksi Ampul 0 Rp 10,890
23 Piracetam Injeksi 5 ml Ampul 300 Rp 5,518
24 Piracetam Tablet 400 mg Tablet 1000 Rp 298
25 Piracetam Tablet 800 mg Tablet 1700 Rp 615
26 Piracetam Tablet 800 mg Tablet 150 Rp 1,060
27 Ranitidine Injeksi Ampul 0 Rp 3,400
28 sohobion Injeksi Ampul 350 Rp 15,800
29 Tramadol Tablet 50 mg Tablet 4650 Rp 440
Total

7. Obat Generik Pengadaan 2013 (2015)

Jumlah
No Jenis persediaan satuan Harga Satuan
Barang
1 Aminophilin injeksi Ampul 0 Rp 17,500
2 Ampicilin Injeksi Ampul 0 Rp 6,350
3 Antalgin 1000 g Tablet 0 Rp 5,150
4 Antalgin Tab Tablet 2600 Rp 180
5 Aquadest 1 vial Vial 0 Rp 12,000
6 Asam Folat Tablet 300 Rp 350
7 Atropin Injeksi Ampul 0 Rp 3,176

Page 6 of 42
 Jumlah
No Jenis persediaan satuan Harga Satuan
Barang
8 Bineuron Injeksi Ampul 0 Rp 5,430
9 Cefotaxime injeksi Vial 0 Rp 6,938
10 Ceftriaxone Injeksi Vial 0 Rp 8,650
11 Dexametason injeksi Ampul 0 Rp 3,575
12 Diltiazem Tablet 0 Rp 152
13 Epinefrin Injeksi Ampul 0 Rp 2,800
14 Furosemide injeksi 10 mg/ml Ampul 50 Rp 3,800
15 Gentamicin 40 mg/ml Ampul 0 Rp 1,370
16 Kalnex injeksi Ampul 0 Rp 12,050
17 Kaltrofen 50 mg 0 Rp 4,667
18 Kaltrofen supp 0 Rp 17,500
19 Ketokenazole Zalf 0 Rp 7,500
20 Ketorolac 10 mg 0 Rp 7,504
21 Ketorolac 30 mg 0 Rp 25,310
22 Lidocain Injeksi Ampul 50 Rp 3,000
23 Metoclopramide Injeksi 0 Rp 10,890
24 Metoclopramide Tab 0 Rp 545
25 Nodiar 0 Rp 800
26 Oxytocin 10 0 Rp 8,100
27 Phytomenadion 30 mg 0 Rp 2,667
28 Piracetam injeksi 15ml 0 Rp 43,750
29 Piracetam injeksi 5ml 0 Rp 7,054
30 Proinfark Dopamin 0 Rp 40,200
31 PTU 100 mg 0 Rp 850
32 Ranitidin Injeksi 0 Rp 2,572
33 Sohobion injeksi 0 Rp 15,800
34 Sohobion injeksi 0 Rp -
35 Terapril 0 Rp 12,167
36 Tramadol 50 mg 0 Rp 440
37 Trunal DX 0 Rp 9,000
38 Vastigo 0 Rp 1,950
39 Vertikaf 0 Rp 4,350
40 Piracetam injeksi 15ml 0 Rp 3,413
Total

8.OBAT PATEN PENGADAAN 2013 ( LAPORAN TAHUN 2015)

Jumlah
No Jenis persediaan satuan Harga Satuan
Barang
1 Anemolat tab 1 mg 0 Rp 20,405

Page 7 of 42
 Jumlah
No Jenis persediaan satuan Harga Satuan
Barang
2 Antrain Inj 0 Rp 9,270
3 Becefort Syr 0 Rp 15,800
4 Betadin Botol 2 Rp 192,500
5 Bio ATP Tablet 200 Rp 2,356
6 Bioneuron 0 Rp 983
7 Bioneuron Inj 0 Rp 4,341
8 Cefspan 100 mg 0 Rp 19,017
9 Cendo Asthenof 0 Rp 22,600
10 Cendo Catarlent 0 Rp 22,200
11 Cendo Cenfresh Tetes Mata 0 Rp 38,385
12 Cendo Floxa 0 Rp 29,475
13 Cendo Hyalub 0 Rp 12,887
14 Cendo Lfx 0 Rp 75,975
15 Cendo Lyteers 0 Rp 21,200
16 Cendo Polinef 0 Rp 3,993
17 Cendo Timol 0 Rp 19,500
18 Cendo Tobrosom 0 Rp 57,375
19 Cendo Ulcori 0 Rp 4,749
20 Cendo Vasacon A 0 Rp 16,300
21 Cendo Vernacel 0 Rp 23,000
22 Cendo Vitrolenta 0 Rp 36,075
23 Cendo Xytrol 0 Rp 26,850
24 Cendo Xytrol Salep Mata 0 Rp 42,501
25 Cercul (Citicolin 250 mg) 0 Rp 25,080
26 Climadan (Clindamycin) Tablet 500 Rp 7,150
27 Dextamin 0 Rp 17,842
28 Dextamin Syr 0 Rp 30,204
29 Dextrofen Syr 0 Rp 8,047
30 Dolsic Inj 0 Rp 80,042
31 Dopamet 0 Rp 1,760
32 Dulcolax 0 Rp 885
33 Dulcolax Suppo 0 Rp 593,560
34 Dumin Suppo 125 mg 0 Rp 10,600
35 Febrinex Syr 0 Rp 15,855
36 Fluocort N Cream 0 Rp 18,844
37 Grivin F Tablet 400 Rp 559
38 Hemafort 0 Rp 72,600
39 Hustab Tablet 2700 Rp 312
40 Induxin 0 Rp 8,580

Page 8 of 42
 Jumlah
No Jenis persediaan satuan Harga Satuan
Barang
41 Inerson Salep 0 Rp 28,188
42 Interhistin Tab 500 Rp 620
43 Kalnex (Asam Traneksamat) Inj 0 Rp 1,100
44 Kalnex (Asam Traneksamat) Tab 0 Rp 12,050
45 Lactor Inj (Ketorolac 30 mg) 0 Rp 2,695
46 Longcef (Cefadroxil) Tablet 90 Rp 12,760
47 Metaneuron 0 Rp 9,600
48 Nacoflar 25 mg (Kalium Diklofenak) 0 Rp 1,500
49 Noperten Tablet 540 Rp 4,785
50 Novomix 0 Rp 160,083
51 Novorapid 0 Rp 160,083
52 Noza Tablet 800 Rp 500
53 Otopain Ear Drops 0 Rp 33,825
54 Pehacain Inj Ampul 420 Rp 3,113
55 Pehachlor Tablet 12000 Rp 98
56 Pehacort Tablet 13500 Rp 300
57 Pehadoxin F Tablet 3150 Rp 926
58 Pehamoxil F 0 Rp 977
59 Pehastan 0 Rp 532
60 Pehatrim F 1400 Rp 660
61 Pehatrim Suspensi 0 Rp 11,000
62 Pehavask 10 mg (Amlodipin 10 mg) 0 Rp 8,030
63 Pehavask 5 mg (Amlodipin 5 mg) 0 Rp 4,565
64 Pehavral 0 Rp 708
65 Phadilon (Methylprednisolon) 4 mg 800 Rp 2,211
66 Phaminov Inj 0 Rp 8,250
67 Phaproxin Tablet 950 Rp 1,652
68 Pospargin Inj 0 Rp 5,630
69 Proinfark (Dopamin) Ampul 35 Rp 31,532
70 Renatac 0 Rp 18,700
71 Spirolacton 100 mg 0 Rp 3,921
72 Spirolacton 25 mg Tablet 1000 Rp 1,323
73 Stesolid Inj Ampul 20 Rp 11,440
74 Stesolid Rectal 5 mg 0 Rp 23,760
75 Taxef (Cefotaxim 1 gr) 0 Rp 119,745
76 Tetagam 0 Rp 189,750
77 Trixon (Ceftriaxon 1 gr) 0 Rp 176,727
78 Urinter Caps Tablet 800 Rp 3,383
79 Vapril 12,5 0 Rp 121

Page 9 of 42
 Jumlah
No Jenis persediaan satuan Harga Satuan
Barang
80 Vapril 25 0 Rp 220
81 Vitka Infant 0 Rp 82,500
82 Zibac 0 Rp 44,000
Total

9. RAJAWALI NUSINDO SEPTEMBER 2014 (Rp 199.859.875 )

Jumlah
No Jenis persediaan satuan Harga Satuan
Barang
1 Asiklovir Cream Tube 75 Rp 3,200
2 Alco drops 0 Rp 43,600
3 Allupurinol 100 mg Tablet 800 Rp 133
4 Alprazolam 0,5 mg Tablet 400 Rp 586
5 Amaropo Tablet 300 Rp 2,150
6 Acitral Syrup 0 Rp 27,185
7 Antrain Ampul 150 Rp 9,270
8 Apyalis Drops 0 Rp 27,525
9 Apyalis Syrup 0 Rp 24,050
10 Astenof minidose Strip 5 Rp 22,600
11 becefort Syrup 0 Rp 15,800
12 Berotec Botol 9 Rp 227,850
13 Betametason 0 Rp 2,075
14 Bisoprolol Tablet 50 Rp 2,323
15 Buscopan 0 Rp 2,110
16 Catarlent minidose Strip 10 Rp 22,200
17 Cefixime tab Tablet 1150 Rp 1,199
18 Cefotaxim Vial 1050 Rp 6,938
19 Cesfpan 100 mg Tablet 450 Rp 19,017
20 Ceftiaxone Vial 400 Rp 8,650
21 Cenfresh Eye Drops Botol 12 Rp 38,385
22 Cetizine tab 0 Rp 314
23 Cotrimoxazole Syrup Botol 27 Rp 3,985
24 Curcuma tab Tablet 500 Rp 727
25 Diltazem tab Tablet 200 Rp 152
26 Dulcolax tab Tablet 800 Rp 885
27 Eturol 0 Rp 4,252
28 Fenilbutason tab 0 Rp 81
29 Finpro Tablet 90 Rp 9,905
30 Floxa minidose Strip 14 Rp 29,475
31 Gastul 0 Rp 10,458

Page 10 of 42
 Jumlah
No Jenis persediaan satuan Harga Satuan
Barang
32 Hepa Balance Tablet 420 Rp 10,004
33 Imunos Tablet 360 Rp 7,550
34 Inpepsa Syrup 0 Rp 80,350
35 Intermoxil Syrup Botol 78 Rp 22,050
36 Interpec 800 Rp 1,090
37 Interpril Tablet 90 Rp 2,900
38 Invomit Inj 8 mg Ampul 350 Rp 55,100
39 Invomit Inj 8 mg oral Ampul 75 Rp 54,331
40 ISDN Tablet 2000 Rp 98
41 Kalnex Inj 500 mg Ampul 885 Rp 12,050
42 Ketorolac Inj 1% Ampul 1668 Rp 7,504
43 Lanavision 0 Rp 4,400
44 Lansoprazole 0 Rp 1,355
45 Lfx minidose Strip 5 Rp 75,975
46 Lycalvit Tablet 200 Rp 683
47 Lyteers minidose 0 Rp 21,200
48 Metaneuron Tablet 2100 Rp 1,038
49 Metformin 500 0 Rp 182
50 Metokloramid drops (metolon) Botol 30 Rp 13,250
51 Metronidazole tab 500 mg Tablet 2500 Rp 222
52 Miconazole Cream Tube 200 Rp 3,100
53 Ondancentron 8 mg Tablet 60 Rp 5,507
54 Ondancentron inj 4 mg 0 Rp 5,515
55 Piracetam Inj 1 gr Ampul 290 Rp 552
56 Pamol Drops Botol 20 Rp 23,550
57 Pamol Syrup 0 Rp 13,600
58 Pravinat 10 mg Tablet 160 Rp 9,413
59 Profertil Tablet 10 Rp 13,150
60 Propanolol 40 mg Tablet 400 Rp 122
61 Ranitidin Inj 0 Rp 2,572
62 Renax Tablet 50 Rp 3,856
63 Salbutamol 4 mg Tablet 400 Rp 100
64 Scopamin Inj Ampul 90 Rp 12,150
65 Sedrofen Syrup 0 Rp 43,600
66 Sinvastatin tab 10 mg Tablet 450 Rp 514
67 Theobron Tablet 400 Rp 1,215
68 Thiampenicol tab Tablet 1000 Rp 620
69 Timol 0,25% minidose Strip 10 Rp 19,500
70 Tobrosom minidose 0 Rp 57,375

Page 11 of 42
 Jumlah
No Jenis persediaan satuan Harga Satuan
Barang
71 Tomit Inj 0 Rp 8,800
72 Tradil Tablet 500 Rp 3,620
73 Upixon Syrup Botol 35 Rp 11,550
74 Vasacom A minidose Botol 15 Rp 16,300
75 Vernacel minidose Strip 20 Rp 23,000
76 Vitrolenta Eye Drops Botol 10 Rp 36,075
77 Xytrol Strip 65 Rp 26,850
Total

10. KLAIM BPJS APOTIK ASSIFA NOVEMBER 2015 ( 13.550.650 )

Jumlah
No Jenis persediaan satuan Harga Satuan
Barang
1 Alat suntik Sekali pakai 1 ml Buah 400 Rp 1,202
2 Alat suntik Sekali pakai 2,5 ml Buah 700 Rp 1,142
3 Alat Suntik Sekali pakai 5 ml Buah 700 Rp 1,142
4 Catgut No 2/0 Dengan Jarum Benang Buah 96 Rp 29,333
5 Catgut No 2/0 Dengan Jarum Bedah Buah 96 Rp 27,042
6 Infusion Set Anak Buah 18 Rp 9,000
7 Infusion Set Dewasa Buah 42 Rp 4,750
8 Plester 5 Yard x 2 inch (-9 Kotak) Roll 18 Rp 26,000
9 Urine Bag Buah 22 Rp 4,400
10 Handscoen (-2 kotak) Psng 108 Rp 4,690
11 Masker Buah 350 Rp 495
12 Kasa Hidrofil steril Uk. 16x16 cm Kotak 100 Rp 9,350
13 Kasa Hidrofil steril Uk. 18x22 cm(tidak Ada) 0 Rp 5,250
14 Kasa Pembalut Hidrofil 4x5 cm Bks@10 100 Rp 3,340
15 Kasa Pembalut Hidrofil 4x5 cm Bks@10 100 Rp 3,340
16 Silk No. 3/0 Dengan Jarum Bedah(Tidak Ada) 0 Rp 276,600

LAPORAN STOCK OPNAME APOTEK

1. OBAT OBATAN PADA KEGIATAN PENGADAAN OBAT OBATAN RUMAH SAKIT T/A 2015(99.996.
Jumlah
No Jenis persediaan satuan Harga Satuan
Barang

1 Acyclovir 400 mg Tablet Tablet 0 Rp 1,436

2 Allopurinol 100 mg Tablet Tablet 0 Rp 133
3 Amlodipine Tablet 5 mg Tablet 0 Rp 95
4 Amoxicillin Syrup 125 mg/ml botol 0 Rp 5,000
5 Amoxicillin Tablet 500 mg Tablet 0 Rp 480

Page 12 of 42
 Jumlah
No Jenis persediaan satuan Harga Satuan
Barang
6 Asam Traneksamat Injeksi 500 mg Ampul 0 Rp 8,175
7 Bisoprolol Tablet 5 mg Tablet 0 Rp 2,323
8 Cefadroxyl Syrup 125 mg/ml botol 0 Rp 11,000
9 Cefotaximine Injeksi 1gr Vial 0 Rp 13,750
10 Ceftriaxone Injeksi 1 gr Vial 0 Rp 8,650
11 Citicoline Injeksi 125 mg Ampul 0 Rp 40,800
12 Dexamethasone Injeksi 5 mg Ampul 0 Rp 3,575
13 Kalium Diklofenak 50 mg Tablet 0 Rp 1,100
14 Ketorolac 10 mg Injeksi Ampul 0 Rp 12,500
15 Livron B Plex Tablet Tablet 0 Rp 325
16 Meloxicam 7,5 mg Tablet Tablet 0 Rp 780
17 Meloxicam 15 mg Tablet Tablet 0 Rp 470
18 Metformin 500 mg Kapsul Tablet 0 Rp 182
19 Methyl Prednisonol Tablet 4 mg Tablet 220 Rp 631
20 Metoclopramide Injeksi Ampul 75 Rp 10,890
21 Piracetam Injeksi 5 ml Ampul 0 Rp 10,345
22 Piracetam Tablet 400 mg Tablet 0 Rp 298
23 Piracetam Tablet 800 mg Tablet 0 Rp 615
24 Piracetam Tablet 800 mg Tablet 0 Rp 1,060
25 Sohobion Injeksi Ampul 0 Rp 15,800
26 Tramadol Tablet 50 mg Tablet 0 Rp 440
27 Hemorogard Tablet 0 Rp 1,430
28 Miconazole Salep Tube 0 Rp 7,500
29 Ranitidin Inj 25 mg Ampul 0 Rp 2,580
30 Metformin 500 mg Tablet 0 Rp 192
31 Ondansetron Injeksi HCL Ampul 0 Rp 5,515
32 Taxep (Cefotaximine) Vial 0 Rp 119,745
33 Dextamine Tablet 0 Rp 1,784
34 Isosorbit 5 mg Tablet 0 Rp 255
35 Bioneuron Tablet 0 Rp 993
36 Becefort Syrup 60 ml botol 0 Rp 17,366
37 Seledril Tab Tablet 0 Rp 718
Total

2. APOTIK BERKAH FARMA OKTOBER 2014 (Rp 99. 999.625)

Jumlah
No Jenis persediaan satuan Barang Harga Satuan

1 Acyclovir 400 mg Tablet Tablet 0 Rp 1,436

2 Allopurinol 100 mg Tablet Tablet 0 Rp 133
3 Amlodipine Tablet 5 mg Tablet 495 Rp 1,050

Page 13 of 42
 Jumlah
No Jenis persediaan satuan Harga Satuan
Barang
4 Amoxicillin Syrup 125 mg/ml Botol 0 Rp 5,000
5 Amoxicillin Tablet 500 mg Tablet 0 Rp 480
6 Asam Traneksamat Injeksi 500 mg Ampul 0 Rp 16,329
7 Bisopronol Tablet 5 mg Tablet 0 Rp 2,323
8 Cefadroxyl Syrup 125 mg/ml Botol 0 Rp 11,000
9 Cefixime syrup 100 mg Botol 0 Rp 41,000
10 Cefotaxime Injeksi 1 gr Vial 0 Rp 13,750
11 Ceftriaxone Injeksi 1 gr Vial 0 Rp 8,650
12 Citicoline injeksi 125 mg Ampul 0 Rp 40,800
13 Dexamethasone Injeksi 5 mg Ampul 0 Rp 3,575
14 Kalium Diklofenat 50 mg Tablet 70 Rp 1,100
15 Ketoconazole Cream 2% Tube 0 Rp 6,500
16 Ketorolac 10 mg Injeksi Ampul 0 Rp 7,500
17 Livron B Plex Tablet Tablet 0 Rp 325
18 Meloxicam 7,5 mg Tablet Tablet 80 Rp 780
19 Meloxicam 15 mg Tablet Tablet 150 Rp 470
20 Metformin 500 mg kapsul Tablet 30 Rp 182
21 Methyl Prednisolon Tablet 4 mg Tablet 0 Rp 631
22 Metoclopramide injeksi Ampul 0 Rp 10,890
23 Piracetam Injeksi 5 ml Ampul 0 Rp 5,518
24 Piracetam Tablet 400 mg Tablet 0 Rp 298
25 Piracetam Tablet 800 mg Tablet 0 Rp 615
26 Piracetam Tablet 800 mg Tablet 0 Rp 1,060
27 Ranitidine Injeksi Ampul 0 Rp 3,400
28 sohobion Injeksi Ampul 0 Rp 15,800
29 Tramadol Tablet 50 mg Tablet 0 Rp 440
Total

3. Obat Generik Pengadaan 2013 (2015)

Jumlah
No Jenis persediaan satuan Harga Satuan
Barang

1 Aminophilin injeksi Ampul 0 Rp 17,500

2 Ampicilin Injeksi Ampul 0 Rp 6,350
3 Antalgin 1000 g Tablet 0 Rp 5,150
4 Antalgin Tab Tablet 0 Rp 180
5 Aquadest 1 vial Vial 0 Rp 12,000
6 Asam Folat Tablet 0 Rp 350
7 Atropin Injeksi Ampul 0 Rp 3,176
8 Bineuron Injeksi Ampul 0 Rp 5,430
9 Cefotaxime injeksi Vial 0 Rp 6,938

Page 14 of 42
 Jumlah
No Jenis persediaan satuan Harga Satuan
Barang
10 Ceftriaxone Injeksi Vial 0 Rp 8,650
11 Dexametason injeksi Ampul 0 Rp 3,575
12 Diltiazem Tablet 0 Rp 152
13 Epinefrin Injeksi Ampul 140 Rp 2,800
14 Furosemide injeksi 10 mg/ml Ampul 21 Rp 3,800
15 Gentamicin 40 mg/ml Ampul 20 Rp 1,370
16 Kalnex injeksi Ampul 0 Rp 12,050
17 Kaltrofen 50 mg 0 Rp 4,667
18 Kaltrofen supp 0 Rp 17,500
19 Ketokenazole Zalf 0 Rp 7,500
20 Ketorolac 10 mg 0 Rp 7,504
21 Ketorolac 30 mg 0 Rp 25,310
22 Lidocain Injeksi Ampul 69 Rp 3,000
23 Metoclopramide Injeksi 0 Rp 10,890
24 Metoclopramide Tab 0 Rp 545
25 Nodiar 0 Rp 800
26 Oxytocin 10 0 Rp 8,100
27 Phytomenadion 30 mg 0 Rp 2,667
28 Piracetam injeksi 15ml 0 Rp 43,750
29 Piracetam injeksi 5ml 0 Rp 7,054
30 Proinfark Dopamin 0 Rp 40,200
31 PTU 100 mg 0 Rp 850
32 Ranitidin Injeksi 0 Rp 2,572
33 Sohobion injeksi 0 Rp 15,800
34 Sohobion injeksi 0 Rp -
35 Terapril 0 Rp 12,167
36 Tramadol 50 mg 0 Rp 440
37 Trunal DX 0 Rp 9,000
38 Vastigo 0 Rp 1,950
39 Vertikaf 0 Rp 4,350
40 Piracetam injeksi 15ml 0 Rp 3,413
Total

4.OBAT PATEN PENGADAAN 2013 ( LAPORAN TAHUN 2015)

Jumlah
No Jenis persediaan satuan Harga Satuan
Barang

1 Anemolat tab 1 mg 0 Rp 20,405

2 Antrain Inj 0 Rp 9,270
3 Becefort Syr 0 Rp 15,800
4 Betadin Botol 1 Rp 192,500

Page 15 of 42
 Jumlah
No Jenis persediaan satuan Harga Satuan
Barang
5 Bio ATP Tablet 295 Rp 2,356
6 Bioneuron 0 Rp 983
7 Bioneuron Inj 0 Rp 4,341
8 Cefspan 100 mg 0 Rp 19,017
9 Cendo Asthenof 0 Rp 22,600
10 Cendo Catarlent 0 Rp 22,200
11 Cendo Cenfresh Tetes Mata 0 Rp 38,385
12 Cendo Floxa 0 Rp 29,475
13 Cendo Hyalub 0 Rp 12,887
14 Cendo Lfx 0 Rp 75,975
15 Cendo Lyteers 0 Rp 21,200
16 Cendo Polinef 0 Rp 3,993
17 Cendo Timol 0 Rp 19,500
18 Cendo Tobrosom 0 Rp 57,375
19 Cendo Ulcori 0 Rp 4,749
20 Cendo Vasacon A 0 Rp 16,300
21 Cendo Vernacel 0 Rp 23,000
22 Cendo Vitrolenta 0 Rp 36,075
23 Cendo Xytrol 0 Rp 26,850
24 Cendo Xytrol Salep Mata 0 Rp 42,501
25 Cercul (Citicolin 250 mg) 0 Rp 25,080
26 Climadan (Clindamycin) Tablet 168 Rp 7,150
27 Dextamin 0 Rp 17,842
28 Dextamin Syr 0 Rp 30,204
29 Dextrofen Syr 0 Rp 8,047
30 Dolsic Inj 0 Rp 80,042
31 Dopamet 0 Rp 1,760
32 Dulcolax 0 Rp 885
33 Dulcolax Suppo 0 Rp 593,560
34 Dumin Suppo 125 mg 0 Rp 10,600
35 Febrinex Syr 0 Rp 15,855
36 Fluocort N Cream 20 Rp 18,844
37 Grivin F Tablet 570 Rp 559
38 Hemafort 0 Rp 72,600
39 Hustab Tablet 0 Rp 312
40 Induxin 0 Rp 8,580
41 Inerson Salep 0 Rp 28,188
42 Interhistin Tab 0 Rp 620
43 Kalnex (Asam Traneksamat) Inj 0 Rp 1,100
44 Kalnex (Asam Traneksamat) Tab 312 Rp 12,050
45 Lactor Inj (Ketorolac 30 mg) 0 Rp 2,695

Page 16 of 42
 Jumlah
No Jenis persediaan satuan Harga Satuan
Barang
46 Longcef (Cefadroxil) Tablet 10 Rp 12,760
47 Metaneuron 0 Rp 9,600
48 Nacoflar 25 mg (Kalium Diklofenak) 0 Rp 1,500
49 Noperten Tablet 180 Rp 4,785
50 Novomix 0 Rp 160,083
51 Novorapid 0 Rp 160,083
52 Noza Tablet 28 Rp 500
53 Otopain Ear Drops 0 Rp 33,825
54 Pehacain Inj Ampul 0 Rp 3,113
55 Pehachlor Tablet 1500 Rp 98
56 Pehacort Tablet 578 Rp 300
57 Pehadoxin F Tablet 0 Rp 926
58 Pehamoxil F 0 Rp 977
59 Pehastan 0 Rp 532
60 Pehatrim F 10 Rp 660
61 Pehatrim Suspensi 1 Rp 11,000
62 Pehavask 10 mg (Amlodipin 10 mg) 0 Rp 8,030
63 Pehavask 5 mg (Amlodipin 5 mg) 0 Rp 4,565
64 Pehavral 0 Rp 708
65 Phadilon (Methylprednisolon) 4 mg 0 Rp 2,211
66 Phaminov Inj 0 Rp 8,250
67 Phaproxin Tablet 170 Rp 1,652
68 Pospargin Inj 0 Rp 5,630
69 Proinfark (Dopamin) Ampul 0 Rp 31,532
70 Renatac 0 Rp 18,700
71 Spirolacton 100 mg 0 Rp 3,921
72 Spirolacton 25 mg Tablet 399 Rp 1,323
73 Stesolid Inj Ampul 0 Rp 11,440
74 Stesolid Rectal 5 mg 0 Rp 23,760
75 Taxef (Cefotaxim 1 gr) 0 Rp 119,745
76 Tetagam 0 Rp 189,750
77 Trixon (Ceftriaxon 1 gr) 0 Rp 176,727
78 Urinter Caps Tablet 130 Rp 3,383
79 Vapril 12,5 0 Rp 121
80 Vapril 25 0 Rp 220
81 Vitka Infant 0 Rp 82,500
82 Zibac 0 Rp 44,000
Total

5. RAJAWALI NUSINDO SEPTEMBER 2014 (Rp 199.859.875 )

Page 17 of 42
 Jumlah
No Jenis persediaan satuan Harga Satuan
Barang
Jumlah
No Jenis persediaan satuan Barang Harga Satuan

1 Asiklovir Cream Tube 37 Rp 3,200

2 Alco drops 4 Rp 43,600
3 Allupurinol 100 mg Tablet 160 Rp 133
4 Alprazolam 0,5 mg Tablet 2 Rp 586
5 Amaropo Tablet 190 Rp 2,150
6 Acitral Syrup 0 Rp 27,185
7 Antrain Ampul 0 Rp 9,270
8 Apyalis Drops 0 Rp 27,525
9 Apyalis Syrup 24 Rp 24,050
10 Astenof minidose Strip 3 Rp 22,600
11 becefort Syrup 0 Rp 15,800
12 Berotec Botol 2 Rp 227,850
13 Betametason 0 Rp 2,075
14 Bisoprolol Tablet 325 Rp 2,323
15 Buscopan 0 Rp 2,110
16 Catarlent minidose Strip 3 Rp 22,200
17 Cefixime tab Tablet 52 Rp 1,199
18 Cefotaxim Vial 0 Rp 6,938
19 Cesfpan 100 mg Tablet 0 Rp 19,017
20 Ceftiaxone Vial 0 Rp 8,650
21 Cenfresh Eye Drops Botol 4 Rp 38,385
22 Cetizine tab 270 Rp 314
23 Cotrimoxazole Syrup Botol 0 Rp 3,985
24 Curcuma tab Tablet 207 Rp 727
25 Diltazem tab Tablet 795 Rp 152
26 Dulcolax tab Tablet 427 Rp 885
27 Eturol 160 Rp 4,252
28 Fenilbutason tab 970 Rp 81
29 Finpro Tablet 12 Rp 9,905
30 Floxa minidose Strip 0 Rp 29,475
31 Gastul 46 Rp 10,458
32 Hepa Balance Tablet 144 Rp 10,004
33 Imunos Tablet 143 Rp 7,550
34 Inpepsa Syrup 0 Rp 80,350
35 Intermoxil Syrup Botol 0 Rp 22,050
36 Interpec 0 Rp 1,090
37 Interpril Tablet 104 Rp 2,900
38 Invomit Inj 8 mg Ampul 21 Rp 55,100

Page 18 of 42
 Jumlah
No Jenis persediaan satuan Harga Satuan
Barang
39 Invomit Inj 8 mg oral Ampul 0 Rp 54,331
40 ISDN Tablet 423 Rp 98
41 Kalnex Inj 500 mg Ampul 0 Rp 12,050
42 Ketorolac Inj 1% Ampul 0 Rp 7,504
43 Lanavision 0 Rp 4,400
44 Lansoprazole 0 Rp 1,355
45 Lfx minidose Strip 0 Rp 75,975
46 Lycalvit Tablet 575 Rp 683
47 Lyteers minidose 0 Rp 21,200
48 Metaneuron Tablet 248 Rp 1,038
49 Metformin 500 630 Rp 182
50 Metokloramid drops (metolon) Botol 9 Rp 13,250
51 Metronidazole tab 500 mg Tablet 300 Rp 222
52 Miconazole Cream Tube 8 Rp 3,100
53 Ondancentron 8 mg Tablet 60 Rp 5,507
54 Ondancentron inj 4 mg 21 Rp 5,515
55 Piracetam Inj 1 gr Ampul 43 Rp 552
56 Pamol Drops Botol 0 Rp 23,550
57 Pamol Syrup 0 Rp 13,600
58 Pravinat 10 mg Tablet 0 Rp 9,413
59 Profertil Tablet 20 Rp 13,150
60 Propanolol 40 mg Tablet 1349 Rp 122
61 Ranitidin Inj 114 Rp 2,572
62 Renax Tablet 50 Rp 3,856
63 Salbutamol 4 mg Tablet 350 Rp 100
64 Scopamin Inj Ampul 0 Rp 12,150
65 Sedrofen Syrup 0 Rp 43,600
66 Sinvastatin tab 10 mg Tablet 0 Rp 514
67 Theobron Tablet 100 Rp 1,215
68 Thiampenicol tab Tablet 0 Rp 620
69 Timol 0,25% minidose Strip 6 Rp 19,500
70 Tobrosom minidose 0 Rp 57,375
71 Tomit Inj 0 Rp 8,800
72 Tradil Tablet 40 Rp 3,620
73 Upixon Syrup Botol 5 Rp 11,550
74 Vasacom A minidose Botol 8 Rp 16,300
75 Vernacel minidose Strip 10 Rp 23,000
76 Vitrolenta Eye Drops Botol 25 Rp 36,075
77 Xytrol Strip 0 Rp 26,850
Total

Page 19 of 42
 Jumlah
No Jenis persediaan satuan Harga Satuan
Barang
LAPORAN STOCK OPNAME BHP LAINNYA
1. ALAT TULIS KANTOR DESEMBER 2015 ( 4.932.500 )
Jumlah
No Jenis persediaan satuan Harga Satuan
Barang
1 buku album besar 100 lmbr 3 Rp 20,000
2 Buku Album Kecil 6 Rp 15,000
3 Catridge hitam 810 0 Rp 285,000
4 Catridge Warna 811 1 Rp 295,000
5 Kertas HVS 4 Rp 55,000
6 Map Snelhekter 11 Rp 7,500
7 tinta e print 200 ml 2 Rp 65,000
8 tinta warna set suntik ( Merah,Kuning,Biru) 1 Rp 27,500

2. PERALATAN KEBERSIHAN DAN ALAT PEMBERSIH DESEMBER 2015 ( 2.505.00

Jumlah
No Jenis persediaan satuan Harga Satuan
Barang
1 Bayclin Pemutih 2 Rp 12,000
2 Cling Pembersih Kaca (sachet) 2 Rp 15,000
3 Sabun Cuci Pakaian 1000g 2 Rp 25,000
4 Sabun Cair Cuci Tangan (Handsoap) 2 Rp 22,500
5 Sabun Cuci Piring 2 Rp 25,000
6 Soklin Pembersih Lantai 4 Ltr 2 Rp 75,000
7 Tisue Elegan 6 Rp 17,500
8 Vixal Pembersih Poselen 800Ml 3 Rp 20,000
9 Wipol 3 Rp 30,000
Total

Gudang Penyimpan Umum

Apotik
RINCIAN
BHP Lainnya
JUMLAH

Mengetahui Molibagu, 18 Februari 2016

Direktur Rumah Sakit Umum Daerah
Bolaang Mongondow Selatan Penyimpan Barang

dr.Tanty Korompot,MM.Kes Aswar,A.Md.TEM

Page 20 of 42
 Jumlah
No Jenis persediaan satuan Harga Satuan
Barang
Nip.19720102 200701 2 019 Nip. 19820523 201402 1 00

Page 21 of 42
DOW SELATAN

GONDOW SELATAN
95774

MBER 2015

PANAN UMUM

Nilai Persediaan
Rp -
Rp -
Rp 2,107,500
Rp 2,068,050
Rp 1,299,000
Rp 649,500
Rp 1,073,900
Rp 1,073,900
Rp -
Rp 188,600
Rp 565,800
Rp 377,200
Rp 3,678,750
Rp -
Rp 459,000
Rp 1,058,700
Rp 1,058,700
Rp -
Rp -
Rp 1,310,100
Rp -
Rp -
Rp 873,400
Rp 2,322,600
Rp -
Rp 514,050
Rp 670,500
Rp 813,689
Rp 946,150
Rp 514,280

Page 22 of 42
Nilai Persediaan
Rp 670,800
Rp 879,600
Rp 8,355,060
Rp -
Rp -
Rp 1,086,750
Rp -
Rp 459,200
Rp 921,450
Rp 499,500
Rp 861,180
Rp -
Rp -
Rp 179,992
Rp 37,536,901

Nilai Persediaan
Rp 14,000,000
Rp -
Rp -
Rp -
Rp 1,050,000
Rp 699,000
Rp 565,800
Rp 943,000
Rp 559,500
Rp 450,000
Rp 8,676,000
Rp -
Rp 1,989,300
Rp 763,000
Rp 37,167
Rp 43,333
Rp 59,583
Rp 70,000
Rp 562,500
Rp 2,824,600

Page 23 of 42
 Nilai Persediaan
Rp 7,525,000
Rp 1,660,000
Rp 5,626,000
Rp -
Rp 1,730,000
Rp 1,211,000
Rp 449,000
Rp 1,347,000
Rp 224,500
Rp 1,410,000
Rp 100,000
Rp -
Rp -
Rp 2,360,000
Rp 450,000
Rp 2,232,000
Rp 2,480,000
Rp 62,097,283

MAH SAKIT T/A 2015 (75.000.000)

Nilai Persediaan
Rp 3,900,000
Rp 3,000,000
Rp 3,000,000
Rp 3,000,000
Rp 3,000,000
Rp 3,000,000
Rp 3,000,000
Rp 3,000,000
Rp 3,000,000
Rp 3,000,000
Rp 380,000
Rp 380,000
Rp 380,000
Rp 380,000
Rp 900,000
Rp 475,000
Rp 2,610,000
Rp 2,500,000

Page 24 of 42
 Nilai Persediaan
Rp 2,350,000
Rp 2,583,750
Rp 3,500,000
Rp 2,962,500
Rp 1,100,000
Rp 1,400,000
Rp 5,340,000
Rp 2,226,250
Rp 3,080,000
Rp 850,000
Rp 3,650,000
Rp 1,177,500
Rp 1,900,000
Rp 1,075,000
Rp 2,900,000
Rp 75,000,000

Nilai Persediaan
Rp 1,050,000
Rp -
Rp -
Rp 435,000
Rp 992,400
Rp 210,600
Rp -
Rp -
Rp 1,086,000
Rp 154,000
Rp 3,928,000

SAKIT T/A 2015(99.996.114)

Nilai Persediaan
Rp 2,871,000
Rp 266,000
Rp 285,682
Rp 1,250,000
Rp 4,800,000

Page 25 of 42
Nilai Persediaan
Rp 1,635,000
Rp 4,646,100
Rp 3,300,000
Rp 5,500,000
Rp 3,460,000
Rp 4,080,000
Rp 3,575,000
Rp 1,375,000
Rp 3,750,000
Rp 1,625,000
Rp 1,372,800
Rp 930,600
Rp 546,000
Rp 1,891,500
Rp 2,722,500
Rp 1,655,200
Rp 862,750
Rp 799,500
Rp 636,000
Rp 3,950,000
Rp 2,134,000
Rp 3,575,000
Rp 1,500,000
Rp 11,287,500
Rp 576,000
Rp 1,103,000
Rp 4,310,820
Rp 2,140,800
Rp 510,000
Rp 2,978,010
Rp 434,150
Rp 6,031,200
Rp 94,366,112

Nilai Persediaan
Rp 1,435,500
Rp 266,000

Page 26 of 42
Nilai Persediaan
Rp 157,443
Rp 1,160,000
Rp 1,872,000
Rp -
Rp 1,393,830
Rp 3,003,000
Rp 7,175,000
Rp 12,375,000
Rp 12,975,000
Rp -
Rp 15,372,500
Rp 1,100,000
Rp 585,000
Rp 2,250,000
Rp 1,300,000
Rp 936,000
Rp 611,000
Rp 309,400
Rp 1,891,500
Rp -
Rp 1,655,250
Rp 297,500
Rp 1,045,500
Rp 159,000
Rp -
Rp 5,530,000
Rp 2,046,000
Rp 76,901,423

Nilai Persediaan
Rp -
Rp -
Rp -
Rp 468,000
Rp -
Rp 105,000
Rp -

Page 27 of 42
Nilai Persediaan
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 190,000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 150,000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 913,000

Nilai Persediaan
Rp -

Page 28 of 42
Nilai Persediaan
Rp -
Rp -
Rp 385,000
Rp 471,200
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 3,575,000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 223,600
Rp -
Rp 842,400
Rp -

Page 29 of 42
Nilai Persediaan
Rp -
Rp 310,000
Rp -
Rp -
Rp -
Rp 1,148,400
Rp -
Rp -
Rp 2,583,900
Rp -
Rp -
Rp 400,000
Rp -
Rp 1,307,460
Rp 1,176,000
Rp 4,050,000
Rp 2,916,900
Rp -
Rp -
Rp 924,000
Rp -
Rp -
Rp -
Rp -
Rp 1,768,800
Rp -
Rp 1,569,400
Rp -
Rp 1,103,620
Rp -
Rp -
Rp 1,323,000
Rp 228,800
Rp -
Rp -
Rp -
Rp -
Rp 2,706,400
Rp -

Page 30 of 42
Nilai Persediaan
Rp -
Rp -
Rp -
Rp 29,013,880

Nilai Persediaan
Rp 240,000
Rp -
Rp 106,400
Rp 234,300
Rp 645,000
Rp -
Rp 1,390,500
Rp -
Rp -
Rp 113,000
Rp -
Rp 2,050,650
Rp -
Rp 116,153
Rp -
Rp 222,000
Rp 1,378,275
Rp 7,284,375
Rp 8,557,500
Rp 3,460,000
Rp 460,620
Rp -
Rp 107,595
Rp 363,250
Rp 30,350
Rp 708,000
Rp -
Rp -
Rp 891,450
Rp 412,650
Rp -

Page 31 of 42
Nilai Persediaan
Rp 4,201,680
Rp 2,718,000
Rp -
Rp 1,719,900
Rp 872,000
Rp 261,000
Rp 19,285,000
Rp 4,074,844
Rp 195,000
Rp 10,664,250
Rp 12,516,950
Rp -
Rp -
Rp 379,875
Rp 136,550
Rp -
Rp 2,180,500
Rp -
Rp 397,500
Rp 553,750
Rp 620,000
Rp 330,400
Rp -
Rp 160,008
Rp 471,000
Rp -
Rp 1,506,133
Rp 131,500
Rp 48,600
Rp -
Rp 192,800
Rp 40,000
Rp 1,093,500
Rp -
Rp 231,075
Rp 486,000
Rp 620,000
Rp 195,000
Rp -

Page 32 of 42
 Nilai Persediaan
Rp -
Rp 1,810,000
Rp 404,250
Rp 244,500
Rp 460,000
Rp 360,750
Rp 1,745,250
Rp 100,079,632

Nilai Persediaan
Rp 480,700
Rp 799,400
Rp 799,400
Rp 2,816,000
Rp 2,596,000
Rp 162,000
Rp 199,500
Rp 468,000
Rp 96,800
Rp 506,520
Rp 173,250
Rp 935,000
Rp -
Rp 334,000
Rp 334,000
Rp -
Rp 10,700,570

OTEK
SAKIT T/A 2015(99.996.114)

Nilai Persediaan

Rp -
Rp -
Rp -
Rp -
Rp -

Page 33 of 42
Nilai Persediaan
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 138,710
Rp 816,750
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 955,460

Nilai Persediaan

Rp -
Rp -
Rp 519,562

Page 34 of 42
Nilai Persediaan
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 77,000
Rp -
Rp -
Rp -
Rp 62,400
Rp 70,500
Rp 5,460
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 734,922

Nilai Persediaan

Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -

Page 35 of 42
Nilai Persediaan
Rp -
Rp -
Rp -
Rp 392,000
Rp 79,800
Rp 27,400
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 207,000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 706,200

Nilai Persediaan

Rp -
Rp -
Rp -
Rp 192,500

Page 36 of 42
Nilai Persediaan
Rp 695,020
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 1,201,200
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 376,880
Rp 318,630
Rp -
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 3,759,600
Rp -

Page 37 of 42
Nilai Persediaan
Rp 127,600
Rp -
Rp -
Rp 861,300
Rp -
Rp -
Rp 14,000
Rp -
Rp -
Rp 147,000
Rp 173,400
Rp -
Rp -
Rp -
Rp 6,600
Rp 11,000
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 280,840
Rp -
Rp -
Rp -
Rp -
Rp 527,877
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 439,790
Rp -
Rp -
Rp -
Rp -
Rp 9,133,237

Page 38 of 42
Nilai Persediaan

Nilai Persediaan

Rp 118,400
Rp 174,400
Rp 21,280
Rp 1,172
Rp 408,500
Rp -
Rp -
Rp -
Rp 577,200
Rp 67,800
Rp -
Rp 455,700
Rp -
Rp 754,991
Rp -
Rp 66,600
Rp 62,322
Rp -
Rp -
Rp -
Rp 153,540
Rp 84,780
Rp -
Rp 150,386
Rp 120,641
Rp 377,895
Rp 680,320
Rp 78,570
Rp 118,860
Rp -
Rp 481,083
Rp 1,440,576
Rp 1,079,650
Rp -
Rp -
Rp -
Rp 301,600
Rp 1,157,100

Page 39 of 42
Nilai Persediaan
Rp -
Rp 41,243
Rp -
Rp -
Rp -
Rp -
Rp -
Rp 392,581
Rp -
Rp 257,507
Rp 114,660
Rp 119,250
Rp 66,450
Rp 24,800
Rp 330,400
Rp 115,815
Rp 23,725
Rp -
Rp -
Rp -
Rp 263,000
Rp 163,904
Rp 293,208
Rp 192,800
Rp 35,000
Rp -
Rp -
Rp -
Rp 121,500
Rp -
Rp 117,000
Rp -
Rp -
Rp 144,800
Rp 57,750
Rp 130,400
Rp 230,000
Rp 901,875
Rp -
Rp 13,071,033

Page 40 of 42
 Nilai Persediaan
NYA

Nilai Persediaan
Rp 60,000
Rp 90,000
Rp -
Rp 295,000
Rp 220,000
Rp 82,500
Rp 130,000
Rp 27,500
Rp 905,000

BER 2015 ( 2.505.000 )

Nilai Persediaan
Rp 24,000
Rp 30,000
Rp 50,000
Rp 45,000
Rp 50,000
Rp 150,000
Rp 105,000
Rp 60,000
Rp 90,000
Rp 604,000

Rp 490,536,801
Rp 24,600,852
Rp 1,509,000
Rp 516,646,653

agu, 18 Februari 2016

Penyimpan Barang

Aswar,A.Md.TEM

Page 41 of 42
 Nilai Persediaan
9820523 201402 1 001

Page 42 of 42