KEADAAN OBAT PER 31 DESEMBER 2006

PUSKESMAS SUMBERMALANG

SISA
NO NAMA OBAT SAT HARGA OBAT TOTAL HARGA
OBAT

1 Acyclovir oint tube 11 Rp. 109,992.00 per 24 tube Rp. 50,413.00

2 Alkohol 70% btl 4 Rp. 18,698.00 per botol Rp. 74,792.00
3 Allopurinol 100 tab 544 Rp. 13,243.00 per 100 tab Rp. 72,042.00
4 Aminophylline 200 tab 700 Rp. 8,030.00 per 100 tab Rp. 56,210.00
5 Amoxicillin 500 tab 5472 Rp. 28,162.00 per 100 tab Rp. 1,541,025.00
6 Amoxicillin syr btl 101 Rp. 3,315.00 per botol Rp. 334,815.00
7 Antalgin 500 tab 18000 Rp. 59,910.00 per 1000 tab Rp. 1,078,380.00
8 Antasida tab 6355 Rp. 49,820.00 per 1000 tab Rp. 316,606.00
9 Asam Mefenamat 500 tab 100 Rp. 26,350.00 per 100 tab Rp. 26,350.00
10 Asetosal 500 tab 800 Rp. 9,962.00 per 100 tab Rp. 79,696.00
11 Bedak Salycil 2% ktk 50 Rp. 1,025.00 per kotak Rp. 51,250.00
12 Benang Bedah Sutera (Silk) sase 108 Rp. 206,779.00 per 12 sase Rp. 1,861,011.00
13 Betametasone oint tube 67 Rp. 57,745.00 per 25 tube Rp. 154,757.00
14 Captopril 12,5 tab 100 Rp. 22,000.00 per 100 tab Rp. 22,000.00
15 Captopril 25 tab 500 Rp. 31,500.00 per 100 tab Rp. 157,500.00
16 Chloramphenicole 250 kaps 2000 Rp. 42,350.00 per 250 tab Rp. 338,800.00
17 Chloramphenicole 3% ear drop btl 12 Rp. 58,300.00 per 24 btl Rp. 29,150.00
18 Cotrimoxazole 480 tab 1789 Rp. 13,481.00 per 100 tab Rp. 241,175.00
19 Cotrimoxazole paed tab 800 Rp. 4,986.00 per 100 tab Rp. 39,888.00
20 Cotrimoxazole syr btl 72 Rp. 2,990.00 per btl Rp. 215,280.00
21 CTM (chlorpheniramine) tab 862 Rp. 13,836.00 per 1000 tab Rp. 11,927.00
22 Dexamethasone tab 2740 Rp. 26,712.00 per 1000 tab Rp. 73,190.00
23 Dexamethasone inj. amp 685 Rp. 104,000.00 per 100 amp Rp. 712,400.00
24 Dextromethorpan syr btl 72 Rp. 2,400.00 per btl Rp. 172,800.00
25 Dextromethorpan tab tab 6691 Rp. 42,774.00 per 1000 tab Rp. 286,200.00
26 Diazepam 2 tab 3900 Rp. 13,200.00 per 1000 tab Rp. 51,480.00
27 Diazepam inj. amp 20 Rp. 26,177.00 per 30 amp Rp. 17,451.00
28 Diphenhydramine inj. amp 450 Rp. 13,787.00 per 30 amp Rp. 206,805.00
29 Ephedrine tab 2244 Rp. 37,095.00 per 1000 tab Rp. 83,241.00
30 Ergotamine - Caffeine tab 300 Rp. 10,280.00 per 100 tab Rp. 30,840.00
31 Erythromycine 250 tab 120 Rp. 67,200.00 per 120 tab Rp. 67,200.00
32 Ethyl Chloride spray btl 14 Rp. 81,392.00 per btl Rp. 1,139,488.00
33 Ext. Belladonna tab 2000 Rp. 17,892.00 per 1000 tab Rp. 35,784.00
34 Furosemide tab 900 Rp. 13,991.00 per 250 tab Rp. 50,368.00
35 Gameksan emulsi btl 11 Rp. 2,200.00 per btl Rp. 24,200.00
36 Gentian Violet btl 13 Rp. 450.00 per btl Rp. 5,850.00
37 GG (gliseril guaiacolat) tab 5953 Rp. 24,995.00 per 1000 tab Rp. 148,795.00
38 Glucose 5% infus btl 40 Rp. 3,821.00 per btl Rp. 152,840.00
39 Griseofulvin tab 600 Rp. 11,097.00 per 100 tab Rp. 66,582.00
40 HCT (hidrochlortiazid) tab 1747 Rp. 17,000.00 per 1000 tab Rp. 29,699.00
41 Hydrocortisone oint tube 71 Rp. 59,628.00 per 24 tube Rp. 176,399.00
42 Ibuprofen 200 tab 1400 Rp. 7,357.00 per 100 tab Rp. 102,998.00
43 Ibuprofen 400 tab 1100 Rp. 18,525.00 per 100 tab Rp. 203,775.00
44 Infus Set Dewasa set 129 Rp. 3,666.00 per set Rp. 472,914.00
45 Infus Set Paed set 65 Rp. 3,666.00 per set Rp. 238,290.00
46 ISDN (isosorbid dinitrat) tab 500 Rp. 7,333.00 per 100 tab Rp. 36,665.00
47 Kalk tab 5000 Rp. 40,953.00 per 1000 tab Rp. 204,765.00
48 Kapas Berlemak bks 2 Rp. 13,800.00 per bungkus Rp. 27,600.00
49 Kapas Pembalut bks 4 Rp. 11,401.00 per bungkus Rp. 45,604.00
50 Kasa Kompres bks 52 Rp. 1,393.00 per bungkus Rp. 72,436.00
51 Kasa Pembalut roll 26 Rp. 8,799.00 per roll Rp. 228,774.00
52 Kasa Perban 15cm roll 74 Rp. 3,373.00 per roll Rp. 249,602.00
53 Kasa Perban 3cm roll 79 Rp. 733.00 per roll Rp. 57,907.00
54 Lidocaine Comp. Inj. amp 638 Rp. 13,545.00 per 30 amp Rp. 288,057.00
55 Mebendazole 100 tab 200 Rp. 4,361.00 per 30 tab Rp. 29,073.00
56 Metronidazole 250 tab 1500 Rp. 9,800.00 per 100 tab Rp. 147,000.00
57 OBH syr btl 35 Rp. 1,250.00 per btl Rp. 43,750.00
58 Oralit sase 2497 Rp. 30,456.00 per 100 sase Rp. 760,486.00
59 Oxytetracycline eye oint tube 40 Rp. 30,973.00 per 25 tube Rp. 49,557.00
60 Oxytetracycline inj. vial 30 Rp. 30,267.00 per 10 vial Rp. 90,801.00
 61 Paracetamol 500 tab 4936 Rp. 49,344.00 per 1000 tab Rp. 243,562.00
62 Paracetamol syr btl 132 Rp. 2,199.00 per btl Rp. 290,268.00
63 Phenobarbital 30 tab 2000 Rp. 21,230.00 per 1000 tab Rp. 42,460.00
64 Phenol Glycerol btl 21 Rp. 18,500.00 per 24 btl Rp. 16,188.00
65 Phenoxymethyl Penn. 250 tab 300 Rp. 21,092.00 per 100 tab Rp. 63,276.00
66 Phenoxymethyl Penn. 500 tab 700 Rp. 37,063.00 per 100 tab Rp. 259,441.00
67 PK serbuk btl 15 Rp. 6,247.00 per 20 btl Rp. 4,685.00
68 Plester 5cm x 4,5m (isoplast) roll 19 Rp. 7,186.00 per roll Rp. 136,534.00
69 Prednisone tab 6982 Rp. 66,306.00 per 1000 tab Rp. 462,948.00
70 Pyrantel 125 tab 720 Rp. 10,836.00 per 60 tab Rp. 130,032.00
71 Ranitidine tab 200 Rp. 60,000.00 per 100 tab Rp. 120,000.00
72 Reserpin 0,1 tab 400 Rp. 5,950.00 per 250 tab Rp. 9,520.00
73 Reserpin 0,25 tab 250 Rp. 19,400.00 per 1000 tab Rp. 4,850.00
74 Rivanol btl 9 Rp. 1,320.00 per btl Rp. 11,880.00
75 RL infus btl 84 Rp. 4,820.00 per btl Rp. 404,880.00
76 Salep 2-4 pot 27 Rp. 19,798.00 per 24 pot Rp. 22,272.00
77 Sodium Bicarbonat (NaBic) tab 3000 Rp. 13,286.00 per 1000 tab Rp. 39,858.00
78 Spuit 2,5 set 100 Rp. 59,394.00 per 100 set Rp. 59,394.00
79 Spuit 3 set 236 Rp. 74,353.00 per 100 set Rp. 175,473.00
80 Tetracycline 250 kaps 7000 Rp. 87,338.00 per 1000 tab Rp. 611,366.00
81 Tetracycline 500 kaps 400 Rp. 18,594.00 per 100 tab Rp. 74,376.00
82 Vit.B Complex tab 8239 Rp. 22,200.00 per 1000 tab Rp. 182,906.00
83 Vit.B1 tab 500 Rp. 22,568.00 per 1000 tab Rp. 11,284.00
84 Vit.B1 inj. amp 60 Rp. 13,702.00 per 30 amp Rp. 27,404.00
85 Vit.B12 inj. (cyanocobalamin) amp 1772 Rp. 50,320.00 per 100 amp Rp. 891,670.00
86 Vit.B6 (pyridoxine) tab 4000 Rp. 17,028.00 per 1000 tab Rp. 68,112.00
87 Vit.C tab 1723 Rp. 18,635.00 per 1000 tab Rp. 32,108.00
88 Vit.K (phytomenadione) tab 291 Rp. 68,062.00 per 100 tab Rp. 198,060.00
89 Methylergometrine inj amp 40 Rp. 38,746.00 per 30 amp Rp. 51,661.00
90 Albendazole tab 90 Rp. 9,165.00 per 100 tab Rp. 8,248.00
91 Antihemorrhoid supp. supp 60 Rp. 14,700.00 per 10 supp Rp. 88,200.00
92 Chlorpromazine 25 mg tab 1000 Rp. 24,452.00 per 1000 tab Rp. 24,452.00
93 Digoxin tab 80 Rp. 8,931.00 per 100 tab Rp. 7,145.00
94 Glibenklamid 5 mg tab 700 Rp. 15,750.00 per 100 tab Rp. 110,250.00
95 Pitogin inj. (oxitocin) amp 40 Rp. 17,850.00 per 10 amp Rp. 71,400.00
96 Povidon Iodine 300 ml btl 2 Rp. 14,500.00 per btl Rp. 29,000.00
97 Tetrakain tetes mata btl 19 Rp. 3,396.00 per btl Rp. 64,532.00
98 Aqua Pro Inj. vial 45 Rp. 22,000.00 per 10 vial Rp. 99,000.00
99 Paracetamol 100 mg tab 900 Rp. 3,049.00 per 100 tab Rp. 27,441.00
100 Aminophylline Inj. amp 30 Rp. 35,744.00 per 30 amp Rp. 35,744.00
101 Amitriptyllin 25 mg tab 100 Rp. 9,210.00 per 100 tab Rp. 9,210.00
102 Amoxicillin 250 mg kaps 720 Rp. 22,030.00 per 120 kaps Rp. 132,180.00
103 Antalgin Inj. amp 30 Rp. 12,600.00 per 30 amp Rp. 12,600.00
104 Antibakteri DOEN Salep tube 100 Rp. 43,000.00 per 25 tube Rp. 172,000.00
105 Antifungi DOEN Salep pot 24 Rp. 27,700.00 per 24 pot Rp. 27,700.00
106 Asetosal 100 mg tab 100 Rp. 5,949.00 per 100 tab Rp. 5,949.00
107 Epinefrin HCl Inj. amp 30 Rp. 10,371.00 per 30 amp Rp. 10,371.00
108 Eugenol Cairan btl 11 Rp. 38,130.00 per 12 btl Rp. 34,952.00
109 Fenitoin Natrium 30 mg kaps 500 Rp. 14,998.00 per 250 kaps Rp. 29,996.00
110 Phenobarbital Inj. amp 30 Rp. 20,100.00 per 30 amp Rp. 20,100.00
111 Vit. K Inj. amp 75 Rp. 29,330.00 per 30 amp Rp. 73,325.00
112 Fluor Tab. tab 200 Rp. 3,464.00 per 100 tab Rp. 6,928.00
113 Glukosa 10% btl 5 Rp. 4,100.00 per btl Rp. 20,500.00
114 Glukosa 40% btl 15 Rp. 1,040.00 per btl Rp. 15,600.00
115 Fenitoin Natrium Inj. amp 10 Rp. 63,887.00 per 10 amp Rp. 63,877.00
116 Lisol btl 1 Rp. 49,862.00 per btl Rp. 49,862.00
117 NaCl Infus btl 5 Rp. 4,059.00 per btl Rp. 20,295.00
118 Albothyl Conc. btl 1 Rp. 18,590.00 per btl Rp. 18,590.00
119 Povidon Iodine 30 ml btl 15 Rp. 2,000.00 per btl Rp. 30,000.00
120 Propanolol 40 mg tab 100 Rp. 8,812.00 per 100 tab Rp. 8,812.00
121 Catgut (benang bedah) sase 72 Rp. 213,525.00 per 24 sase Rp. 640,575.00

J U M L A H Rp. 20.250.035,00

Sumbermalang, 2 Januari 2007

Mengetahui,
Kepala Puskesmas Sumbermalang Pengelola Obat
dr. Rokhmad Sun'an Joni Hardianto
NIP. 140 365 700 NIP. 510 150 309
 KEADAAN OBAT DI GUDANG
1 Desember 2007

Stok Awal Masuk Keluar Sisa Stok

No Nama Obat SAT
PKD PKPS Askes PKD PKPS Askes PKD PKPS Askes PKD

1 Alat Suntik 2,5 ml set 0 1175 0 0 75 0 0

2 Albendazole tab tab 0 150 0 0 0 0 0
3 Alkohol 70% btl 0 35 0 0 2 0 0
4 Alopurinol 100 tab 0 700 0 0 0 0 0
5 Aminophylline 200 tab 1000 6900 0 0 0 0 1000
6 Aminophylline inj. amp 0 58 0 0 0 0 0
7 Amitriptillin 25 mg tab 0 100 0 0 0 0 0
8 Amoxicillin 250 kaps 0 740 0 0 140 0 0
9 Amoxicillin 500 tab 0 5900 610 0 700 0 0
10 Amoxicillin syr btl 0 138 0 0 23 0 0
11 Antalgin 500 tab 0 12000 0 0 1000 0 0
12 Antalgin inj. amp 0 57 0 0 0 0 0
13 Antasida tab 7000 0 1400 0 0 0 7000
14 Antibakteri DOEN salep tube 0 103 0 0 6 0 0
15 Antifungi DOEN salep pot 0 39 0 0 2 0 0
16 Antihemorrhoid supp. supp 0 78 0 0 0 0 0
17 Antimigren (ergotamin-kofein) tab 0 500 0 0 0 0 0
18 Aqua Pro inj. amp 0 36 0 0 0 0 0
19 Asetosal 100 mg tab 0 200 0 0 0 0 0
20 Asetosal 500 tab 800 0 0 0 0 0 800
21 Betametasone oint tube 110 43 0 0 0 0 110
22 Catgut sak 0 95 0 0 0 0 0
23 Dexamethasone inj. amp 300 0 0 25 0 0 275
24 Dexamethasone tab 0 7000 0 0 1000 0 0
25 Dextromethorpan syr btl 0 54 0 0 0 0 0
26 Dextromethorpan tab tab 1820 0 0 96 17 0 0 1899
27 Diazepam inj. amp 10 0 0 0 0 0 10
28 Diazepam 2 tab 5700 1000 0 27 0 0 5673
29 Diazepam 5 tab 0 0 0 0 0 0 0
30 Diphenhydramine inj. amp 0 570 0 0 45 0 0
31 Digoxin tab 0 0 160 0 0 0 0
32 Ephedrine tab 1000 0 0 0 0 0 1000
33 Ekstrak Belladonna tab 1750 0 0 0 0 0 1750
34 Epinefrin inj. amp 0 45 0 0 2 0 0
35 Ethyl Chloride spray btl 13 0 0 0 0 0 13
36 Eugenol Cairan gigi btl 0 11 0 0 0 0 0
37 Fenitoin Na 30 mg kaps 0 750 0 0 0 0 0
38 Fenitoin Na inj. amp 0 10 0 0 0 0 0
39 Fenobarbital 30 tab 0 4000 0 0 0 0 0
40 Fenobarbital inj. amp 0 60 0 0 0 0 0
41 Fenoxymethyl Penn. 250 tab 500 0 0 0 0 0 500
42 Fenoxymethyl Penn. 500 tab 0 900 0 0 0 0 0
43 Fenol Glycerol tetes telinga btl 0 69 0 0 0 0 0
44 Fluor tab tab 0 400 0 0 0 0 0
45 Furosemide tab 200 0 0 0 0 0 200
46 Gameksan emulsi btl 18 3 0 0 3 0 18
47 Garam Oralit sak 0 4400 0 0 300 0 0
48 Gentian Violet btl 0 120 0 0 0 0 0
49 Glibenklamide 5 mg tab 0 500 0 0 0 0 0
50 GG (gliseril guaiacolat) tab 0 5000 0 0 0 0 0
51 Glukosa 10 % btl 0 9 0 0 0 0 0
52 Glukosa 40 % btl 0 30 0 0 0 0 0
53 Glucose 5% infus btl 0 67 0 0 0 0 0
54 Griseofulvin tab 0 500 0 0 0 0 0
55 HCT (hidrochlortiazid) tab 800 3650 0 0 200 0 800
56 Hydrocortisone oint tube 0 112 0 0 16 0 0
57 Ibuprofen 200 tab 0 2100 0 0 200 0 0
58 Ibuprofen 400 tab 0 1800 0 0 200 0 0
59 Infus Set Paed set 0 18 0 0 0 0 0
60 Infus Set Dewasa set 0 61 0 0 0 0 0
61 Isosorbid dinitrat (ISDN) tab 0 600 0 0 0 0 0
62 Kalium Permanganat serbuk btl 11 0 0 0 0 0 11
63 Kalk (calcium laktat) tab 0 4000 0 0 0 0 0
Stok Awal Masuk Keluar Sisa Stok
No Nama Obat SAT
PKD PKPS Askes PKD PKPS Askes PKD PKPS Askes PKD
64 Kapas Berlemak bks 0 2 0 0 0 0 0
65 Kapas Pembalut 250 gr bks 0 18 0 0 1 0 0
66 Kasa Kompres 40/40 roll 0 21 0 0 0 0 0
67 Kasa Pembalut 2 x 80 roll 0 29 0 0 5 0 0
68 Kasa Pembalut 4m x 15cm roll 0 100 0 0 6 0 0
69 Kasa Pembalut 4m x 3cm roll 64 0 0 0 0 0 64
70 Kloramphenicole 250 kaps 0 2000 0 0 0 0 0
71 Kloramphenicole 3% ear drop btl 0 89 0 0 0 0 0
72 Klorpheniramine (CTM) tab 0 15000 0 0 1000 0 0
73 Klorpromazine 25mg (CPZ) tab 0 1000 0 0 0 0 0
74 Kotrimoxazole paed tab 400 0 0 0 0 0 400
75 Kotrimoxazole syr btl 0 79 0 0 13 0 0
76 Kotrimoxazole 480 tab 0 1600 0 0 200 0 0
77 Lidocaine Comp. Inj. amp 0 890 0 0 30 0 0
78 Lisol btl 0 5 0 3 0 0 0 0
79 Mebendazole 100 tab 0 0 0 0 0 0 0
80 Methylergometrin inj. amp 0 50 0 0 0 0 0
81 Metronidazole 250 tab 0 1000 0 0 100 0 0
82 NaCl infus btl 0 5 0 0 0 0 0
83 Natrium Bikarbonat 500 tab 0 0 0 0 0 0 0
84 OBH syr btl 0 58 0 0 3 0 0
85 Oxytetracycline inj. amp 0 60 0 0 0 0 0
86 Oxytetracycline eye oint tube 0 167 0 0 5 0 0
87 Oksitosin inj. amp 0 50 0 0 0 0 0
88 Paracetamol syr btl 0 100 0 0 29 0 0
89 Paracetamol 100 mg tab 0 700 0 0 100 0 0
90 Paracetamol 500 tab 0 4000 0 0 2000 0 0
91 Plester 5cm x 4,5m (isoplast) roll 0 12 0 0 0 0 0
92 Polikresulen (Albothyl conc.) btl 0 1 0 0 0 0 0
 93 Prednisone tab 0 3982 0 0 1000 0 0
94 Propanolol 40 tab 0 100 0 0 0 0 0
95 Pyrantel 125 tab 0 48 0 0 0 0 0
96 Reserpin 0,1 tab 0 0 0 0 0 0 0
97 Reserpin 0,25 tab 0 0 0 0 0 0 0
98 Rivanol btl 10 0 0 2 0 0 8
99 RL infus btl 0 113 0 0 9 0 0
100 Salep 2-4 btl 0 37 0 0 0 0 0
101 Salycil Bedak 2% ktk 0 56 0 0 6 0 0
102 Silk (Benang Bedah sutera) set 0 144 0 0 0 0 0
103 Tetrakain tetes mata btl 0 13 0 0 0 0 0
104 Tetracycline 250 kaps 0 11000 0 0 0 0 0
105 Tetracycline 500 kaps 1300 0 0 0 0 0 1300
106 Vit.B Complex tab 0 10000 0 0 0 0 0
107 Vit.B1 inj. amp 0 300 0 0 30 0 0
108 Vit.B1 tab 0 13000 0 0 2000 0 0
109 Vit.B12 inj. (cyanocobalamin) amp 0 1700 0 0 15 0 0
110 Vit.B6 (pyridoxine) tab 5000 0 0 1000 0 0 4000
111 Vit. C 250 mg tab 1250 0 0 0 0 0 1250
112 Vit.C 50 mg tab 7000 0 0 0 0 0 7000
113 Vit.K inj. amp 0 60 0 0 0 0 0
114 Vit.K (phytomenadione) tab 600 0 0 0 0 0 600
115 Yodium Povidon 30 ml btl 0 34 0 0 1 0 0
116 Yodium Povidon 300 ml btl 0 6 0 0 0 0 0
117 Acyclovir oint tube 0 0 12 0 0 0 0
118 Acyclovir 200 mg tab 0 0 100 0 0 0 0
119 Alat Suntik sekali pakai 3 ml set 0 0 0 500 0 50 0 0
120 Antasida syr btl 0 0 7 0 0 0 0
121 Asam Mefenamat 500 kapl 0 0 0 0 0 0 0
122 Captopril 12,5 tab 0 0 0 0 0 0 0
123 Captopril 25 tab 0 0 750 0 0 350 0
124 Cimetidine tab 0 0 0 0 0 0 0
125 Ciprofloxacin 500 mg tab 800 0 300 50 0 0 750
126 Erythromycine 250 kapl 0 0 120 0 0 0 0
127 Lidocaine Inj. 2% amp 0 78 0 0 0 0 0
128 Ranitidine tab 0 0 100 0 0 0 0
129 Sarung Tangan Steril set 141 0 0 200 43 0 0 298
130 Sulfadimidin 500 mg tab 1000 0 0 0 0 0 1000
131 Alat Suntik sekali pakai 5 ml set 0 395 0 0 0 0 0
Stok Awal Masuk Keluar Sisa Stok
No Nama Obat SAT
PKD PKPS Askes PKD PKPS Askes PKD PKPS Askes PKD
132 Devitalisasi Pasta (NonArsen) btl 0 0 0 0 0 0 0
133 Glass Ionomer Cement (GC IX) btl 0 0 0 0 0 0 0
134 Monoklorkamfer Mentol Cairan btl 0 0 0 0 0 0 0
135 Methylergometrin 0,125 mg tab 0 500 0 0 0 0 0
136 Nistatin tab vaginal 100.000 IU tab 0 200 0 0 0 0 0
137 Serum ATS inj. 1500 IU/amp amp 0 20 0 0 0 0 0
138 Spons Gelatin Cubicles 1x1x1 cm ktk 0 0 0 0 0 0 0
139 Sulfasetamid Na Tetes Mata btl 0 60 0 0 0 0 0
140 Salbutamol 2 mg tab 0 0 40 0 0 20 0
141 Simvastatin tab 0 0 100 0 0 0 0
142 AS infus btl 0 4 0 0 0 0 0
143 Diaform tab 2000 0 0 0 0 0 2000
144 Hibiscrub ltr 0 5 0 0 0 0 0
145 Kreolin btl 0 24 0 0 0 0 0
146 Masker lbr 0 50 0 100 0 2 0 0
147 Surflo IV Catheter set 0 5 0 0 0 0 0
148 Abbocath no 18 set 54 0 0 0 0
149 Abbocath no 20 set 26 0 0 0 0
150 Abbocath no 22 set 60 0 0 0 0
151 Abbocath no 24 set 2 0 0 0 0
152 Wing Needle set 100 0 0 0 0
153 Urine Bag set 10 0 0 0 0
154 Urocare set 10 0 0 0 0
155 Nilatika tab tab 100 0 10 0 0
156 Novalgin inj amp 5 0 0 0 0
157 Papaverin inj. vial 8 0 0 0 0
158 Primperan inj. amp 2 0 0 0 0
159 Viccilin inj. vial 9 0 0 0 0
160 Isoniazide 100 mg tab 0 0 0 0 0
161 Kloramphenikol Tetes mata btl 0 0 0 0 0
162 Pirazinamid tab 0 0 0 0 0
163 Chlorin (1,5 l) btl 0 3 0 0 0 0

Yang tidak masuk LPLPO :

- AS infus
- Hibiscrub
- Kreolin
- Masker
- Chlorin
Sisa Stok
Total Stok
PKPS Askes

1100 0 1100
150 0 150
33 0 33
700 0 700
6900 0 7900
58 0 58
100 0 100
600 0 600
5200 610 5810
115 0 115
11000 0 11000
57 0 57
0 1400 8400
97 0 97
37 0 37
78 0 78
500 0 500
36 0 36
200 0 200
0 0 800
43 0 153
95 0 95
0 0 275
6000 0 6000
54 0 54
0 0 1899
0 0 10
1000 0 6673
0 0 0
525 0 525
0 160 160
0 0 1000
0 0 1750
43 0 43
0 0 13
11 0 11
750 0 750
10 0 10
4000 0 4000
60 0 60
0 0 500
900 0 900
69 0 69
400 0 400
 0 0 200
0 0 18
4100 0 4100
120 0 120
500 0 500
5000 0 5000
9 0 9
30 0 30
67 0 67
500 0 500
3450 0 4250
96 0 96
1900 0 1900
1600 0 1600
18 0 18
61 0 61
600 0 600
0 0 11
4000 0 4000
Sisa Stok
Total Stok
PKPS Askes
2 0 2
17 0 17
21 0 21
24 0 24
94 0 94
0 0 64
2000 0 2000
89 0 89
14000 0 14000
1000 0 1000
0 0 400
66 0 66
1400 0 1400
860 0 860
8 0 8
0 0 0
50 0 50
900 0 900
5 0 5
0 0 0
55 0 55
60 0 60
162 0 162
50 0 50
71 0 71
600 0 600
2000 0 2000
12 0 12
1 0 1
 2982 0 2982
100 0 100
48 0 48
0 0 0
0 0 0
0 0 8
104 0 104
37 0 37
50 0 50
144 0 144
13 0 13
11000 0 11000
0 0 1300
10000 0 10000
270 0 270
11000 0 11000
1685 0 1685
0 0 4000
0 0 1250
0 0 7000
60 0 60
0 0 600
33 0 33
6 0 6
0 12 12
0 100 100
450 0 450
0 7 7
0 0 0
0 0 0
0 400 400
0 0 0
0 300 1050
0 120 120
78 0 78
0 100 100
0 0 298
0 0 1000
395 395
Sisa Stok
Total Stok
PKPS Askes
0 0
0 0
0 0
500 500
200 200
20 20
0 0
60 60
0 20 20
0 100 100
 4 0 4
0 0 2000
5 0 5
24 0 24
148 0 148
5 0 5
54 0 54
26 0 26
60 0 60
2 0 2
100 0 100
10 0 10
10 0 10
90 0 90
5 0 5
8 0 8
2 0 2
9 0 9
0 0 0
0 0 0
0 0 0
3 0 3
 NERACA OBAT PER 31 DESEMBER 2007
PUSKESMAS SUMBERMALANG

NO NAMA OBAT SAT SISA OBAT HARGA OBAT

1 Alat Suntik 2,5 ml set 1100 Rp 109,992 per 100 set
2 Albendazole tab tab 150 Rp 18,698 per 30 tab
3 Alkohol 70% btl 33 Rp 13,243 per 1 botol 1 ltr
4 Alopurinol 100 tab 700 Rp 8,030 per 100 tab
5 Aminophylline 200 tab 7900 Rp 28,162 per 100 tab
6 Aminophylline inj. amp 58 Rp 3,315 per 30 amp
7 Amitriptillin 25 mg tab 100 Rp 59,910 per 100 tab
8 Amoxicillin 250 kaps 600 Rp 49,820 per 100 kaps
9 Amoxicillin 500 tab 5810 Rp 26,350 per 100 tab
10 Amoxicillin syr btl 115 Rp 9,962 per 100 btl
11 Antalgin 500 tab 11000 Rp 1,025 per 1000 tab
12 Antalgin inj. amp 57 Rp 206,779 per 30 amp
13 Antasida tab 8400 Rp 57,745 per 1000 tab
14 Antibakteri DOEN salep tube 97 Rp 22,000 per 25 tube
15 Antifungi DOEN salep pot 37 Rp 31,500 per 50 pot
16 Antihemorrhoid supp. supp 78 Rp 42,350 per 10 supp
17 Antimigren (ergotamin-kofein) tab 500 Rp 58,300 per 100 tab
18 Aqua Pro inj. amp 36 Rp 13,481 per 10 amp
19 Asetosal 100 mg tab 200 Rp 4,986 per 100 tab
20 Asetosal 500 tab 800 Rp 2,990 per 100 tab
21 Betametasone oint tube 153 Rp 13,836 per 25 tube
22 Catgut sak 95 Rp 26,712 per 24 sase
23 Dexamethasone inj. amp 275 Rp 104,000 per 100 amp
24 Dexamethasone tab 6000 Rp 2,400 per 1000 tab
25 Dextromethorpan syr btl 54 Rp 42,774 per 100 btl
26 Dextromethorpan tab tab 1899 Rp 13,200 per 1000 tab
27 Diazepam inj. amp 10 Rp 26,177 per 30 amp
28 Diazepam 2 tab 6673 Rp 13,787 per 1000 tab
29 Diazepam 5 tab 0 Rp 37,095 per 100 tab
30 Diphenhydramine inj. amp 525 Rp 10,280 per 30 amp
31 Digoxin tab 160 Rp 67,200 per 100 tab
32 Ephedrine tab 1000 Rp 81,392 per 1000 tab
33 Ekstrak Belladonna tab 1750 Rp 17,892 per 1000 tab
34 Epinefrin inj. amp 43 Rp 13,991 per 30 amp
35 Ethyl Chloride spray btl 13 Rp 2,200 per 1 btl
36 Eugenol Cairan gigi btl 11 Rp 450 per 1 btl
37 Fenitoin Na 30 mg kaps 750 Rp 24,995 per 100 kaps
38 Fenitoin Na inj. amp 10 Rp 3,821 per 30 amp
39 Fenobarbital 30 tab 4000 Rp 11,097 per 1000 tab
40 Fenobarbital inj. amp 60 Rp 17,000 per 30 amp
41 Fenoxymethyl Penn. 250 tab 500 Rp 59,628 per 100 tab
42 Fenoxymethyl Penn. 500 tab 900 Rp 7,357 per 100 tab
43 Fenol Glycerol tetes telinga btl 69 Rp 18,525 per 50 btl
44 Fluor tab tab 400 Rp 3,666 per 100 tab
45 Furosemide tab 200 Rp 3,666 per 100 tab
46 Gameksan emulsi btl 18 Rp 7,333 per 1 btl
47 Garam Oralit sak 4100 Rp 40,953 per 100 sak
48 Gentian Violet btl 120 Rp 13,800 per 50 btl
49 Glibenklamide 5 mg tab 500 Rp 11,401 per 100 tab
50 GG (gliseril guaiacolat) tab 5000 Rp 1,393 per 1000 tab
51 Glukosa 10 % btl 9 Rp 8,799 per 20 btl
52 Glukosa 40 % btl 30 Rp 3,373 per 1 btl
53 Glucose 5% infus btl 67 Rp 733 per 20 btl
54 Griseofulvin tab 500 Rp 13,545 per 100 tab
55 HCT (hidrochlortiazid) tab 4250 Rp 4,361 per 1000 tab
56 Hydrocortisone oint tube 96 Rp 9,800 per 25 tube
57 Ibuprofen 200 tab 1900 Rp 1,250 per 100 tab
58 Ibuprofen 400 tab 1600 Rp 30,456 per 100 tab
59 Infus Set Paed set 18 Rp 30,973 per 25 set
60 Infus Set Dewasa set 61 Rp 30,267 per 25 set
61 Isosorbid dinitrat (ISDN) tab 600 Rp 49,344 per 100 tab
62 Kalium Permanganat serbuk btl 11 Rp 2,199 per 1 btl
63 Kalk (calcium laktat) tab 4000 Rp 21,230 per 1000 tab

NO NAMA OBAT SAT SISA OBAT HARGA OBAT

64 Kapas Berlemak bks 2 Rp 18,500 per 1 bks
65 Kapas Pembalut 250 gr bks 17 Rp 21,092 per 1 bks
66 Kasa Kompres 40/40 roll 21 Rp 37,063 per 10 roll
67 Kasa Pembalut 2 x 80 roll 24 Rp 6,247 per 10 roll
68 Kasa Pembalut 4m x 15cm roll 94 Rp 7,186 per 10 roll
69 Kasa Pembalut 4m x 3cm roll 64 Rp 66,306 per 10 roll
70 Kloramphenicole 250 kaps 2000 Rp 10,836 per 100 k
71 Kloramphenicole 3% ear drop btl 89 Rp 60,000 per 50 btl
72 Klorpheniramine (CTM) tab 14000 Rp 5,950 per 1000 tab
73 Klorpromazine 25mg (CPZ) tab 1000 Rp 19,400 per 1000 tab
74 Kotrimoxazole paed tab 400 Rp 1,320 per 100 tab
75 Kotrimoxazole syr btl 66 Rp 4,820 per 100 btl
76 Kotrimoxazole 480 tab 1400 Rp 19,798 per 100 tab
77 Lidocaine Comp. Inj. amp 860 Rp 13,286 per 30 amp
78 Lisol btl 8 Rp 59,394 per 1 btl 1 liter
79 Mebendazole 100 tab 0 Rp 74,353 per 100 tab
80 Methylergometrin inj. amp 50 Rp 87,338 per 100 amp
81 Metronidazole 250 tab 900 Rp 18,594 per 100 tab
82 NaCl infus btl 5 Rp 22,200 per 20 btl
83 Natrium Bikarbonat 500 tab 0 Rp 22,568 per 1000 tab
84 OBH syr btl 55 Rp 13,702 per 100 btl
85 Oxytetracycline inj. vial 60 Rp 50,320 per 10 vial
86 Oxytetracycline eye oint tube 162 Rp 17,028 per 25 tube
87 Oksitosin inj. amp 50 Rp 18,635 per 10 amp
88 Paracetamol syr btl 71 Rp 68,062 per 100 btl
89 Paracetamol 100 mg tab 600 Rp 38,746 per 100 tab
90 Paracetamol 500 tab 2000 Rp 9,165 per 1000 tab
91 Plester 5cm x 4,5m (isoplast) roll 12 Rp 14,700 per 6 roll
92 Polikresulen (Albothyl conc.) btl 1 Rp 24,452 per 1 btl
93 Prednisone tab 2982 Rp 8,931 per 1000 tab
94 Propanolol 40 tab 100 Rp 15,750 per 100 tab
95 Pyrantel 125 tab 48 Rp 17,850 per 100 tab
96 Reserpin 0,1 tab 0 Rp 14,500 per 1000 tab
97 Reserpin 0,25 tab 0 Rp 3,396 per 1000 tab
98 Rivanol btl 8 Rp 22,000 per 1 btl
99 RL infus btl 104 Rp 3,049 per 20 btl
100 Salep 2-4 pot 37 Rp 35,744 per 50 pot
101 Salycil Bedak 2% ktk 50 Rp 9,210 per 1 ktk
102 Silk (Benang Bedah sutera) set 144 Rp 22,030 per 24 set
103 Tetrakain tetes mata btl 13 Rp 12,600 per 50 btl
104 Tetracycline 250 kaps 11000 Rp 43,000 per 1000 kaps
105 Tetracycline 500 kaps 1300 Rp 27,700 per 100 kaps
106 Vit.B Complex tab 10000 Rp 5,949 per 1000 tab
107 Vit.B1 inj. amp 270 Rp 10,371 per 30 amp
108 Vit.B1 tab 11000 Rp 38,130 per 1000 tab
109 Vit.B12 inj. (cyanocobalamin) amp 1685 Rp 14,998 per 100 amp
110 Vit.B6 (pyridoxine) tab 4000 Rp 20,100 per 1000 tab
111 Vit. C 250 mg tab 1250 Rp 29,330 per 250 tab
112 Vit.C 50 mg tab 7000 Rp 3,464 per 1000 tab
113 Vit.K inj. amp 60 Rp 4,100 per 30 amp
114 Vit.K (phytomenadione) tab 600 Rp 1,040 per 100 tab
115 Yodium Povidon 30 ml btl 33 Rp 63,887 per 1 btl
116 Yodium Povidon 300 ml btl 6 Rp 49,862 per 1 btl
117 Acyclovir oint tube 12 Rp 4,059 per 25 tube
118 Acyclovir 200 mg tab 100 Rp 18,590 per 100 tab
119 Alat Suntik sekali pakai 3 ml set 450 Rp 67 per 100 set
120 Antasida syr btl 7 Rp 8,812 per 100 btl
121 Asam Mefenamat 500 kapl 0 Rp 213,525 per 100 kapl
122 Captopril 12,5 tab 0 per 100 tab
123 Captopril 25 tab 400 per 100 tab
124 Cimetidine tab 0 per 100 tab
125 Ciprofloxacin 500 mg tab 1050 per 100 tab
126 Erythromycine 250 kapl 120 per 100 kapl
127 Lidocaine Inj. 2% amp 78 per 100 amp
128 Ranitidine tab 100 per 100 tab
129 Sarung Tangan Steril set 298 per 100 set

NO NAMA OBAT SAT SISA OBAT HARGA OBAT

130 Sulfadimidin 500 mg tab 1000 per 1000 tab
131 Alat Suntik sekali pakai 5 ml set 395 per 100 set
132 Devitalisasi Pasta (NonArsen) btl 0 per 1 btl
133 Glass Ionomer Cement (GC IX) btl 0 per 1 btl
134 Monoklorkamfer Mentol Cairan btl 0 per 1 btl
135 Methylergometrin 0,125 mg tab 500 per 100 tab
136 Nistatin tab vaginal 100.000 IU tab 200 per 100 tab
137 Serum ATS inj. 1500 IU/amp amp 20 per 5 amp
138 Spons Gelatin Cubicles 1x1x1 cm ktk 0 per 1 ktk
139 Sulfasetamid Na Tetes Mata btl 60 per 50 btl
140 Salbutamol 2 mg tab 20 per 100 tab
141 Simvastatin tab 100 per 30 tab
142 AS infus btl 4 per 1 btl
143 Diaform tab 2000 per 1000 tab
144 Hibiscrub ltr 5 per 1 btl 1 liter
145 Kreolin btl 24 per 1 btl 1 liter
146 Masker lbr 148 per 50 lbr
147 Surflo IV Catheter set 5 per 100 set
148 Abbocath no 18 set 54 per 100 set
149 Abbocath no 20 set 26 per 100 set
150 Abbocath no 22 set 60 per 100 set
151 Abbocath no 24 set 2 per 100 set
152 Wing Needle set 100 per 100 set
153 Urine Bag set 10 per 1 set
154 Urocare set 10 per 1 set
155 Nilatika tab tab 90 per 100 tab
156 Novalgin inj amp 5 per 30 amp
157 Papaverin inj. vial 8 per 10 vial
158 Primperan inj. amp 2 per 10 amp
159 Viccilin inj. vial 9 per 10 vial
160 Isoniazide 100 mg tab 0 per 100 tab
161 Kloramphenikol Tetes mata btl 0 per 50 btl
162 Pirazinamid tab 0 per 100 tab
163 Chlorin (1,5 l) btl 3 per 1 btl 1,5 ltr

Yang tidak masuk LPLPO :

- AS infus
- Hibiscrub
- Kreolin
- Masker
- Chlorin
7

TOTAL HARGA
Rp 50,413 100 set
Rp 74,792 30 tab
Rp 72,042 botol 1 ltr
Rp 56,210 100 tab
Rp 1,541,025 100 tab
Rp 334,815 30 amp
Rp 1,078,380 100 tab
Rp 316,606 100 kaps
Rp 26,350 100 tab
Rp 79,696 100 btl
Rp 51,250 1000 tab
Rp 1,861,011 30 amp
Rp 154,757 1000 tab
Rp 22,000 25 tube
Rp 157,500 50 pot
Rp 338,800 10 supp
Rp 29,150 100 tab
Rp 241,175 10 amp
Rp 39,888 100 tab
Rp 215,280 100 tab
Rp 11,927 25 tube
Rp 73,190 24 sase
Rp 712,400 100 amp
Rp 172,800 1000 tab
Rp 286,200 100 btl
Rp 51,480 1000 tab
Rp 17,451 30 amp
Rp 206,805 1000 tab
Rp 83,241 100 tab
Rp 30,840 30 amp
Rp 67,200 100 tab
Rp 1,139,488 1000 tab
Rp 35,784 1000 tab
Rp 50,368 30 amp
Rp 24,200 btl
Rp 5,850 btl
Rp 148,795 100 kaps
Rp 152,840 30 amp
Rp 66,582 1000 tab
Rp 29,699 30 amp
Rp 176,399 100 tab
Rp 102,998 100 tab
Rp 203,775 50 btl
Rp 472,914 100 tab
Rp 238,290 100 tab
Rp 36,665 btl
Rp 204,765 100 sak
Rp 27,600 50 btl
Rp 45,604 100 tab
Rp 72,436 1000 tab
Rp 228,774 20 btl
Rp 249,602 btl
Rp 57,907 20 btl
Rp 288,057 100 tab
Rp 29,073 1000 tab
Rp 147,000 25 tube
Rp 43,750 100 tab
Rp 760,486 100 tab
Rp 49,557 25 set
Rp 90,801 25 set
Rp 243,562 100 tab
Rp 290,268 btl
Rp 42,460 1000 tab

TOTAL HARGA
Rp 16,188 bks
Rp 63,276 bks
Rp 259,441 10 roll
Rp 4,685 10 roll
Rp 136,534 10 roll
Rp 462,948 10 roll
Rp 130,032 100 kaps
Rp 120,000 50 btl
Rp 9,520 1000 tab
Rp 4,850 1000 tab
Rp 11,880 100 tab
Rp 404,880 100 btl
Rp 22,272 100 tab
Rp 39,858 30 amp
Rp 59,394 btl 1 liter
Rp 175,473 100 tab
Rp 611,366 100 amp
Rp 74,376 100 tab
Rp 182,906 20 btl
Rp 11,284 1000 tab
Rp 27,404 100 btl
Rp 891,670 10 vial
Rp 68,112 25 tube
Rp 32,108 10 amp
Rp 198,060 100 btl
Rp 51,661 100 tab
Rp 8,248 1000 tab
Rp 88,200 6 roll
Rp 24,452 btl
Rp 7,145 1000 tab
Rp 110,250 100 tab
Rp 71,400 100 tab
Rp 29,000 1000 tab
Rp 64,532 1000 tab
Rp 99,000 btl
Rp 27,441 20 btl
Rp 35,744 50 pot
Rp 9,210 ktk
Rp 132,180 24 set
Rp 12,600 50 btl
Rp 172,000 1000 kaps
Rp 27,700 100 kaps
Rp 5,949 1000 tab
Rp 10,371 30 amp
Rp 34,952 1000 tab
Rp 29,996 100 amp
Rp 20,100 1000 tab
Rp 73,325 250 tab
Rp 6,928 1000 tab
Rp 20,500 30 amp
Rp 15,600 100 tab
Rp 63,877 btl
Rp 49,862 btl
Rp 20,295 25 tube
Rp 18,590 100 tab
Rp 30,000 100 set
Rp 8,812 100 btl
Rp 640,575 100 kapl
100 tab
100 tab
100 tab
100 tab
 100 kapl
100 amp
100 tab
100 set

TOTAL HARGA
1000 tab
100 set
btl
btl
btl
100 tab
100 tab
5 amp
ktk
50 btl
100 tab
30 tab
btl
1000 tab
btl 1 liter
btl 1 liter
50 lbr
100 set
100 set
100 set
100 set
100 set
100 set
set
set
100 tab
30 amp
10 vial
10 amp
10 vial
100 tab
50 btl
100 tab
btl 1,5 ltr

Rp 20,250,035