STOK OPNAME PUSKESMAS MONDOKAN PER 31 DESEMBER 2016

HARGA SISA AKHIR TOTAL

NO NAMA OBAT SATUAN
SATUAN BARANG HARGA
A Obat Generik
1 Acetosal 500 mg tab Tablet 0 Rp -
Kotak 24
2 ACT tab 0
tab Rp -
3 Albendasol Tablet 344.00 89 Rp 30,616.00
4 Allopurinol 100 mg tab Tablet Rp 86.00 595 Rp 51,170.00
5 Ambroxol sirup Botol Rp 3,297.00 5 Rp 16,485.00
6 Ambroxol tab Tablet Rp 125.00 304 Rp 38,000.00
7 Aminofilin inj. Ampul Rp 3,823.00 0 Rp -
8 Aminofilin tab 200 mg Tablet Rp 90.00 1,170 Rp 105,300.00
9 Amitriptilin tab 25 mg Tablet Rp 112.00 0 Rp -
10 Amlodipin 5mg Tablet Rp 187.00 607 Rp 113,509.00
11 Amoksisilin + As. Klavunalat 625 mg Tablet 0 Rp -
12 Amoksisilin injeksi Vial Rp 7,492.10 0 Rp -
13 Amoksisilin kab 500 mg Tablet Rp 272.00 5,685 Rp 1,546,320.00
14 Amoksisilin kap 250 mg Kapsul 0 Rp -
15 Amoksisilin Sirup 125 mg Botol Rp 2,223.00 7 Rp 15,561.00
16 Ampisilin injeksi 1 gram Vial Rp 5,100.00 106 Rp 540,600.00
17 Antalgin injeksi Ampul Rp 1,200.00 0 Rp -
18 Antalgin tab 500 mg Tablet Rp 148.50 140 Rp 20,790.00
19 Antasida Doen tab Tablet Rp 62.00 5,975 Rp 370,450.00
20 Antasida sirup Botol Rp 2,025.00 25 Rp 50,625.00
21 Anti Bacteri Doen salep kulit Tube Rp 2,516.00 41 Rp 103,156.00
22 Anti Hemoroid suppo Suppo 0 Rp -
23 Antifungi Kombinasi salep kulit Pot Rp 1,904.39 41 Rp 78,079.99
24 Artemeter inj 80 mg Ktk 6 amp Rp 22,000.00 0 Rp -
25 Artesunate Inj ktk 8 amp 0 Rp -
26 Asam Askorbat tab 50 mg tab Tablet Rp 95.00 651 Rp 61,845.00
27 Asam Mefenamat kap 500 mg Kaplet Rp 112.00 0 Rp -
28 Asam traneksamat inj 250 mg Ampul Rp 2,950.00 0 Rp -
29 Asiklovir salep kulit Tube Rp 2,997.50 12 Rp 35,970.00
30 Asiklovir tab 200 mg Tablet Rp 237.00 390 Rp 92,430.00
31 Atropin Sulfas inj Ampul Rp 1,230.00 0 Rp -
32 Benzatin Benzyl Penisilin Inj 2,4jt UI Flacon Rp 13,400.00 0 Rp -
33 Besi II Sulfat Tablet + asam folat Tablet Rp 42.00 0 Rp -
34 Betahistin mesilat tab Tablet Rp 660.00 0 Rp -
35 Betamethason salep kulit Tube Rp 1,520.00 49 Rp 74,480.00
36 Bisakodil tab Tablet Rp 594.00 82 Rp 48,708.00
37 Deksametason inj Ampul Rp 1,518.00 90 Rp 136,620.00
38 Deksametason tab 0,5 mg Tablet Rp 67.50 6,927 Rp 467,572.50
39 Dekstromethorpan sirup Botol 0 Rp -
40 Dekstromethorpan tab Tablet 0 Rp -
41 Diazepam inj. 5mg/2ml Ampul Rp 2,344.00 0 Rp -
42 Diazepam tab 2 mg Tablet Rp 37.00 492 Rp 18,204.00
43 Diazepam tab 5 mg Tablet 0 Rp -
44 Difenhydramin HCl inj Ampul Rp 1,050.00 158 Rp 165,900.00
45 Digoxin tab 0,25 mg Tablet Rp 97.00 746 Rp 72,362.00
46 Dimenhydrinat tab Tablet Rp 104.00 690 Rp 71,760.00
47 Doksisiklin 100 Tablet 0 Rp -
48 Domperidon suspensi Botol Rp 3,333.00 19 Rp 63,327.00
49 Domperidon tab 10 mg Tablet Rp 167.00 94 Rp 15,698.00
50 Efedrin tab 25 mg Tablet 0 Rp -
51 Efinefrin ( Adrenalin inj ) Ampul Rp 2,204.00 10 Rp 22,040.00
52 Ekstrak Belladon tab 10 mg Tablet Rp 38.00 0 Rp -
53 Erytromicin kap 250 mg Kapsul Rp 930.00 27 Rp 25,110.00
54 Erytromicin kap 500 mg 0
55 Erytromicin sirup Botol Rp 7,700.00 21 Rp 161,700.00
56 Etakridin Lakt. ( Rivanol ) Botol Rp 2,550.00 7 Rp 17,850.00
57 Ethambutol tab 250 mg Tablet 0 Rp -
58 Fenitoin Na. kap 100 mg Kapsul Rp 133.00 100 Rp 13,300.00
59 Fenobarbital inj 50mg/ml Ampul Rp 1,800.00 17 Rp 30,600.00
60 Fenobarbital tab30 mg Tablet Rp 67.00 0 Rp -
61 Fenol Gliserol Botol 0 Rp -
62 Fitomenadion inj Ampul Rp 3,417.00 0 Rp -
63 Fitomenadion tab 10 mg Tablet Rp 630.00 184 Rp 115,920.00
64 Furosemide tab 40 mg Tablet Rp 78.00 670 Rp 52,260.00
65 Furosemide injeksi Ampul Rp 1,829.00 22 Rp 40,238.00
66 Gameksan salep kulit Tube 0 Rp -
67 Garam Oralit 200ml Sak Rp 288.00 673 Rp 193,824.00
68 Gentamicin tetes mata 0,3 % Botol Rp 3,194.00 0 Rp -
69 Gentamicin injeksi Ampul 0 Rp -
70 Gentamisin salep kulit Tube Rp 1,972.00 17 Rp 33,524.00
71 Gentian Violet Botol Rp 895.00 0 Rp -
72 Glibenklamide tab 5 mg Tablet Rp 56.00 498 Rp 27,888.00
73 Gliseril guaiakolat tab Tablet Rp 27.50 0 Rp -
74 Glukonas kalsikus Ampul Rp 8,522.00 0 Rp -
75 Glukose 40 % larutan infus Ampul Rp 5,720.00 0 Rp -
76 Glukose 10 % larutan infus 0
77 Glukose 5 % larutan infus Flabot Rp 5,200.00 0 Rp -
78 Griseofulvin tab 125 mg Tablet Rp 219.00 0 Rp -
79 Haloperidol tab 0,5 mg Tablet Rp 59.00 0 Rp -
80 Haloperidol tab 1,5 mg Tablet 0 Rp -
81 Hidrokhlorotiazide (HCT) tab 25 mg Tablet Rp 36.30 527 Rp 19,130.10
82 Hidrokortison salep kulit Tube Rp 2,798.00 45 Rp 125,910.00
83 Hiosine-N- butilbromide tablet 10 mg Tablet Rp 395.00 288 Rp 113,760.00
 84 Ibuprofen tab 200 mg Tablet Rp 110.00 1,264 Rp 139,040.00
85 Ibuprofen tab 400 mg Tablet Rp 150.00 0 Rp -
86 Isoniazide tab ( INH ) Tablet Rp 65.00 0 Rp -
87 Isosorbid Dinitrat Tablet Rp 88.00 214 Rp 18,832.00
88 Kalium Diklofenak 25 mg Tablet Rp 707.00 0 Rp -
89 Kalium Diklofenak 50 mg 0
90 Kalsium Laktat tab 500 mg Tablet Rp 70.00 1,149 Rp 80,430.00
91 Kaptopril tab 25 mg Tablet Rp 84.00 5,313 Rp 446,292.00
92 Karbamazepin tab 200 mg Tablet Rp 245.00 0 Rp -
93 Ketokonazole 200 mg Tablet Rp 300.00 0 Rp -
94 Ketokonazole krim tube Rp 4,700.00 0 Rp -
95 Ketoprofen inj Ampul Rp 2,542.00 0 Rp -
96 Kinina Dihydroklorid inj Ampul 0 Rp -
97 Kinina HCl. Tab Tablet 0 Rp -
98 Klobazam tab Tablet Rp 900.00 0 Rp -
99 Klonidin tab Tablet Rp 184.00 0 Rp -
100 Klorafeniramin ( CTM ) tab Tablet Rp 51.00 8,971 Rp 457,521.00
101 Kloramfenikol inj Vial Rp 9,350.00 0 Rp -
102 Kloramfenikol salep mata 1 % Tube Rp 1,600.00 23 Rp 36,800.00
103 Kloramfenikol sirup Botol Rp 3,955.00 74 Rp 292,670.00
104 Kloramfenikol tetes mata 0,5 % Tube Rp 4,950.00 0 Rp -
105 Kloramfenikol tetes telinga Kapsul Rp 2,365.00 4 Rp 9,460.00
106 Kloramfenikol kap 250 mg Botol Rp 264.00 6,072 Rp 1,603,008.00
107 Klorokuin tab 150 mg Tablet Rp 107.00 0 Rp -
108 Klorpromasin injeksi Ampul 0 Rp -
109 Klorpromasin tab 25 mg Tablet Rp 45.00 0 Rp -
110 Kontrasepsi implant set 0 Rp -
111 Kontrasepsi inj depo prog 3 bln vial 0 Rp -
112 Kotrimoksazol suspensi Botol Rp 2,136.00 143 Rp 305,448.00
113 Kotrimoksazol tab 120 mg Tablet 0 Rp -
114 Kotrimoksazol tab 480 mg Tablet Rp 151.00 2,767 Rp 417,817.00
115 Lidokain comp injeksi Ampul Rp 1,845.00 150 Rp 276,750.00
116 Loperamid Tablet Rp 89.00 307 Rp 27,323.00
117 Mebendazol tab100 mg Tablet 0 Rp -
118 Metformin 500 Tablet Rp 112.50 317 Rp 35,662.50
119 Methoklopramide injeksi Ampul Rp 4,400.00 93 Rp 409,200.00
120 Methoklopramide sirup Botol Rp 2,600.00 29 Rp 75,400.00
121 Methoklopramide tab10 mg Tablet Rp 85.00 776 Rp 65,960.00
122 Metilergomet injeksi 0,2 mg Ampul Rp 1,489.77 0 Rp -
123 Metilergomet tab 0,125 mg Tablet Rp 154.00 398 Rp 61,292.00
124 Metilprednisolon 4 Tablet Rp 205.00 218 Rp 44,690.00
125 Metronidazol inf Ampul 0 Rp -
126 Metronidazol tab 250 mg Tablet Rp 110.00 0 Rp -
127 Metronidazol tab 500 mg Tablet Rp 160.00 2,527 Rp 404,320.00
128 MgSO4 20 % Vial Rp 1,539.80 0 Rp -
129 MgSO4 40 % Vial Rp 2,434.90 0 Rp -
130 Mineral mix Sak Rp 13,526.00 0 Rp -
131 Misoprostol 0
132 Myconazol salep kulit Tube Rp 3,000.00 26 Rp 78,000.00
133 Na tiroksin Tablet Rp 217.58 0 Rp -
134 Na. Bic. Tab 500 mg Tablet 0 Rp -
135 Na. Cl. Infus Flabot Rp 4,700.00 2 Rp 9,400.00
136 Natrium Dikofenak 50 Tablet Rp 200.00 0 Rp -
137 Natrium Tiosulfas inj Ampul 0 Rp -
138 Nifedipin Tablet Rp 100.00 200 Rp 20,000.00
139 O A T Anak Paket 0 Rp -
140 O A T - FDC anak Paket ### 0 Rp -
141 O A T - FDC kat 1 & 3 Paket ### 0 Rp -
142 O A T - FDC kat 2 Paket ### 0 Rp -
143 O A T - FDC sisipan Paket 0 Rp -
144 O A T Katagori - 1 Paket ### 0 Rp -
145 O A T Katagori - 2 Paket 0 Rp -
146 O A T Katagori - 3 Paket 0 Rp -
147 O A T Sisipan Paket 0 Rp -
148 Obat Batuk Hitam sirup Botol Rp 1,802.90 42 Rp 75,721.80
149 Oksitetrasiklin salep kulit 3 % Tube Rp 1,910.00 4 Rp 7,640.00
150 Oksitetrasiklin salep mata Tube Rp 1,600.00 0 Rp -
151 Oksitetrasiklin 50mg/ml inj Flacon 0 Rp -
152 Oksitocin 10mg/ml inj Ampul Rp 2,750.00 16 Rp 44,000.00
153 Omeprazol kaps Kapsul Rp 160.00 77 Rp 12,320.00
154 Papaverin inj Ampul Rp 1,150.00 0 Rp -
155 Papaverin tab 40 mg Tablet Rp 115.00 597 Rp 68,655.00
156 Parasetamol sirup Botol Rp 1,438.00 0 Rp -
157 Parasetamol tab 100 mg Tablet 0 Rp -
158 Parasetamol tab 500 mg Tablet Rp 89.00 8,411 Rp 748,579.00
159 Perhidrol 2 % Botol 0 Rp -
160 Piracetam 400 Kapsul Rp 194.00 454 Rp 88,076.00
161 Pirazinamid tab 500 mg Tablet 0 Rp -
162 Piridoksin tab 10 mg Tablet Rp 118.00 6,294 Rp 742,692.00
163 Piroksikam tab 10 mg Kapsul Rp 79.00 36 Rp 2,844.00
164 Piroksikam tab 20 mg Kapsul 0 Rp -
165 Polykrusulen ( Albothyl ) Botol Rp 17,393.00 6 Rp 104,358.00
166 Povidon Iodium 10% 30 ml Botol Rp 2,900.00 0 Rp -
167 Povidon Iodium 10% 300 ml Botol Rp 18,000.00 10 Rp 180,000.00
168 Prednison tab 5 mg Tablet Rp 88.00 36 Rp 3,168.00
169 Primakuin tab 15 mg Tablet Rp 114.00 0 Rp -
170 Proc. Pen. 3 juta inj Vial 0 Rp -
171 Prokain Benzil Penisilin Vial Rp 7,190.00 0 Rp -
172 Propanolol tab 40 mg Tablet 0 Rp -
173 Propylthioracil ( PTU ) tab 100 mg Tablet Rp 319.00 0 Rp -
174 Pyrantel tab 125 mg Tablet Rp 298.00 0 Rp -
175 Ranitidine 150 mg Tablet Rp 105.00 1,370 Rp 143,850.00
176 Ranitidine inj ampul Rp 1,140.00 40 Rp 45,600.00
177 Reserpin tab 0,25 mg Tablet 0 Rp -
178 Retinol 100.000 iu Kab Btl @50 Rp 13,000.00 0 Rp -
179 Retinol 200.000 iu Kab Btl @50 Rp 22,950.00 0 Rp -
180 Rifampisin kap 300 mg Kapsul 0 Rp -
181 Ringer Laktat Infus Flabot Rp 7,150.00 377 Rp 2,695,550.00
182 Salbutamol tab 2 mg Tablet Rp 59.00 488 Rp 28,792.00
183 Salep 2 - 4 kombinasi Pot Rp 2,000.00 0 Rp -
184 Salysil bedak 2 % Botol Rp 1,250.00 90 Rp 112,500.00
185 Sefadroksil 500 cps Kapsul Rp 510.00 562 Rp 286,620.00
186 Sefotaxim 1g inj Vial 0 Rp -
187 Seftriaxon inj Vial Rp 3,300.00 0 Rp -
188 Serum ABU 5 ml inj. Flacon ### 12 Rp 6,413,880.00
189 Serum ATS 1.500 iu inj Ampul ### 10 Rp 1,429,450.00
190 Sianokobalamin inj ( Vit. B12 ) inj Ampul Rp 1,098.00 128 Rp 140,544.00
191 Sianokobalamin tab ( Vit. B12 ) tab Tablet Rp 57.00 5,127 Rp 292,239.00
192 Simetidin tab Tablet Rp 129.00 0 Rp -
193 Simvastatin 10 Tablet Rp 180.00 0 Rp -
194 Siprofloxacin tab 500 mg Tablet Rp 255.00 158 Rp 40,290.00
195 Streptomicin 1.500 mg inj Vial 0 Rp -
196 Sulfacetamid tetes mata Botol Rp 3,443.00 3 Rp 10,329.00
197 Sulfadimidin 500 mg tab Tablet 0 Rp -
198 Sulfadoksin + Piritamin tab Tablet 0 Rp -
199 Tetracyklin kap 250 mg Kapsul 0 Rp -
200 Tetracyklin kap 500 mg Kapsul Rp 300.00 0 Rp -
201 Thiamin HCl / B1 tab 100 mg Tablet 0 Rp -
202 Tiamfenikol kap 500 mg Kapsul Rp 504.00 1,387 Rp 699,048.00
203 Tiamin HCl / B1 injeksi 100mg /ml Ampul Rp 680.00 0 Rp -
204 Tiamin HCl / B1 Tab 50 mg Tablet Rp 38.50 3,654 Rp 140,679.00
205 Triheksifenidil tab 2 mg Tablet Rp 37.79 0 Rp -
206 Vitamin B Komplek tab Tablet Rp 115.00 2,306 Rp 265,190.00
207 Zink Tablet Rp 473.00 0 Rp -
0
B Obat Non Generik 0
1 Antasida + Simetikon Tablet Rp 359.70 566 Rp 203,590.20
2 Antasida + simetikon sirup Botol Rp 4,388.00 17 Rp 74,596.00
3 Anti Diare kombinasi ( Dewasa ) Tablet Rp 190.00 992 Rp 188,480.00
4 Anti Diare kombinasi sirup ( Anak ) Botol Rp 7,733.00 33 Rp 255,189.00
5 Anti hemorhoid kapsul Kapsul Rp 1,550.00 161 Rp 249,550.00
Anti radang topikal mengandung triamsinolon Tube
6 0
acetonide 1 mg Rp 11,000.00 Rp -
7 Anti spasmodik inj / spasi inj Ampul Rp 4,500.00 0 Rp -
8 Asam Askorbat tab 500 + Vitamin Tablet Rp 1,334.00 370 Rp 493,580.00
 9 Asering infus Flabot Rp 9,000.00 0 Rp -
10 Asifit Kapsul 0 Rp -
11 Batugin eliksir Botol Rp 15,176.70 0 Rp -
12 Betamethason + Antibiotik salep kulit Tube Rp 9,200.00 0 Rp -
13 Bioprost Kapsul Rp 2,658.33 0 Rp -
14 D 1/2NS Flabot Rp 7,700.00 0 Rp -
15 Diazepam rectal Tube Rp 11,525.00 13 Rp 149,825.00
16 Flunarizin 5 mg Tablet Rp 594.00 0 Rp -
17 Mecobalamin 500 Kapsul Rp 799.99 196 Rp 156,798.04
18 Minyak kayu putih Botol Rp 13,700.00 10 Rp 137,000.00
19 Minyak telon Botol 0 Rp -
20 Multivitamin sirup ( Anak ) Botol Rp 6,600.00 53 Rp 349,800.00
21 Multivitamin tab ( Dewasa ) Tablet Rp 390.00 1,506 Rp 587,340.00
22 Neprolit Kapsul Rp 643.50 0 Rp -
23 Salep Luka Bakar Tube Rp 19,958.40 31 Rp 618,710.40
24 Simetidin inj Ampul 0 Rp -
25 Tablet Tambah Darah + Vitamin Tablet Rp 720.50 400 Rp 288,200.00
26 Tensigard Kapsul Rp 2,173.31 584 Rp 1,269,213.04
27 Vitamin neurotropik inj Ampul Rp 6,600.00 12 Rp 79,200.00
28 Xylomidon inj Vial Rp 4,158.00 0 Rp -

JUMLAH Rp 30,637,594.57

C Obat Gigi
1 Air raksa dental use Botol 0 Rp -
2 Bahan bonding botol 0 Rp -
3 Bahan Etsa botol 0 Rp -
4 Devitalisasi Pasta Botol ### 0 Rp -
5 Etil Klorida semprot Botol ### 8 Rp 924,000.00
6 Eugenol sol Pot 0 Rp -
7 Flour tablet Tablet 0 Rp -
8 Glass Ionomer Cement Pot ### 0 Rp -
9 Kalsium hydroksi pasta dos ### 0 Rp -
10 Monokror Kamfer Menthol ( CHKM ) Pot 0 Rp -
11 Mumiying Pasta Biji 0 Rp -
12 Semen Seng Fosfat p+liq Botol 0 Rp -
13 Silver Amalgam Botol 0 Rp -
14 Solare Tube 0 Rp -
15 Spons Gelatin Cubices Dos 0 Rp -
16 Temp+Stopp Fletc p+liq Set Rp 41,999.10 0 Rp -
17 Trikresol Formalin ( TKF ) Botol 0 Rp -
18 Yodium Gliserin Cc 0 Rp -

JUMLAH Rp 924,000.00
D Alkes Pakai Habis
1 ADS 0,05 ml Biji 0 Rp -
2 ADS 0,5 ml Biji 0 Rp -
3 ADS 5 ml 0
4 Alat suntik 1 ml Biji Rp 650.00 186 Rp 120,900.00
5 Alat suntik 2,5 ml / 3ml Biji 792.00 322 Rp 255,024.00
6 Alat Suntik 5 ml Biji 979.00 353 Rp 345,587.00
7 Antiseptik/Bayclin Botol 0 Rp -
8 Aqua Pro injeksi Flacon 2,000.00 123 Rp 246,000.00
9 Aquadest steril 500ml Botol 0 Rp -
10 Cat Gut Biji Rp 24,582.80 14 Rp 344,159.20
11 Etanol 70 % Botol 21,500.00 11 Rp 236,500.00
12 Hand Scoen Biji 365.00 30 Rp 10,950.00
13 Infus Set anak Biji 3,500.00 318 Rp 1,113,000.00
14 Infus Set dewasa Biji 4,100.00 543 Rp 2,226,300.00
15 IV Cateter No. 18 Rp 3,800.00 50 Rp 190,000.00
16 IV Cateter No. 20 ( Dewasa ) Biji 3,800.00 88 Rp 334,400.00
17 IV Cateter No. 22 ( Dewasa ) Biji 3,800.00 258 Rp 980,400.00
18 IV Cateter No. 24 ( Anak ) Biji 7,334.00 64 Rp 469,376.00
19 Jarum Bengkok / Jahit Biji Rp 2,291.67 12 Rp 27,500.04
20 Jarum Suntik Biji Rp 780.00 11 Rp 8,580.00
21 Kapas Adsorben 250 gr Roll Rp 12,500.00 5 Rp 62,500.00
22 Kasa panjang 40 cmx80 yard Roll 105,000.00 0 Rp -
23 Kasa Pemb 4 m x 10 cm Roll 0 Rp -
24 Kasa Pemb Hydro 4 m x 15 cm Roll 2,100.00 217 Rp 455,700.00
25 Kasa Pemb Hydro 4 x 80 cm Biji 0 Rp -
26 Kasa Steril 16 x 16 ( 16 lmb ) Dos 7,900.00 62 Rp 489,800.00
27 Kasa steril mengand:Framasetin 10% Biji 0 Rp -
28 Kasa uk 36 m x 80 cm Roll 0 Rp -
29 Kertas Puyer Pak 0 Rp -
30 Lisol Botol Rp 11,999.90 5 Rp 59,999.50
31 Masker Biji 440.00 273 Rp 120,120.00
32 Masker N 95 0
33 Mess Biji 1,500.00 10 Rp 15,000.00
34 Penjernih Air Cepat ( PAC ) Set 0 Rp -
35 Plastik obat pak 0 Rp -
36 Plester 5 yardx2inch Roll 35,532.00 5 Rp 177,660.00
37 Poly Cateter No. 14 Biji 8,000.00 0 Rp -
38 Poly Cateter No. 16 Biji 8,000.00 6 Rp 48,000.00
39 Poly Cateter No. 18 Biji 8,000.00 0 Rp -
40 Selang oksigen anak Biji 5,000.00 34 Rp 170,000.00
41 Selang Oksigen dws Biji 6,150.00 53 Rp 325,950.00
42 Silk Biji 3,055.55 0 Rp -
43 Tranfusi set Biji 0 Rp -
44 Urine Bag Biji 3,000.00 41 Rp 123,000.00
45 Wing Needle No 23 Biji 0 Rp -
46 Wing Needle No 25 Biji 0 Rp -
47 Pot dahak Biji Rp 1,750.00 0 Rp -

JUMLAH Rp 8,956,405.74

E Laboratorium Dan Reagen

1 Alkohol swab 100pcs/box
2 Amphetamin dos 50 test dus 50
Kit 4 x 30
3 Asam urat
ml
4 Benzodiazepin dos 50 test dus 50
5 Blue tips set @100
6 BOD Nutrient Mixture Botol
7 BOD Standart Botol
8 Briliant green 2% Bile Broth (BGLB) Btl dlm dus
9 Cannabinoides dos 50 test dus 50
10 Cell clean Btl 50 ml
11 Cellpack (PK-30 ) box 20 lt
12 Cholinesterase botol
13 Cocain dos 50 test dus 50
14 COD cell test Botol
15 COD sol A Refil Botol
16 Combur test kit 100test Kit 100 test
17 Deck glass box 100 biji
18 EDTA 10 % btl 250 ml
serial
19 Eight check ( L,N,H )
3x1.5ml
Botol 5 x
20 Glukosa
100 ml
21 HbsAg test Dus 50 pcs
22 Iodida Test Botol
23 Kertas ECG lembar
Botol 5 x
24 Kolesterol
100 ml
Botol 2 x
25 Kreatinin
125 ml
26 Lactosa Broth Botol
27 Larutan Asam Klorida 1 % Botol
28 Larutan Asam Sulfosalisilat Botol
29 Larutan Benedick Botol
30 Larutan Eosin Botol
31 Larutan Etanol Asam Botol
32 Larutan Gabbet Botol
33 Larutan Giemsa Botol
34 Larutan Hayem Botol
35 Larutan Karbol Fuksin Botol
36 Larutan Kinyoun Botol
37 Larutan Metanol Botol
38 Larutan Metilen Biru Botol
39 Larutan Turk Botol
40 Larutan Drabkin Botol 500 ml
41 Larutan Rees Ecker Botol 100 ml
42 LDL kit
43 Minyak emersi botol
44 Morphines dos 50 test dus 50
45 Needle boorner dus 100
46 Obyek glass set
47 Oksigen m3
48 Poch-D box 5 lt
49 Poch-L box 500ml
50 Reagen A/B ( GOLDA ) Set
51 Reagen amonium Botol
52 Reagen Cu Btl dlm dus
53 Reagen Fe ( Iron ) Btl dlm dus
54 Reagen Mn Btl dlm dus
55 Reagen Nitrat Btl dlm dus
56 Reagen Nitrit Btl dlm dus
57 Reagen Phospat Botol
58 Reagen Zn Botol Rp -
59 Reagen Cyanmet kit/500ml Kit 500ml
60 Serum Widal AO Vial 5 ml
61 Serum Widal H Vial 5 ml
62 Serum Widal O Vial 5 ml
63 Serum widal S thypi H parathyphi AH vial 5 ml
Botol 2 x 62,5
64 SGOT ml

Botol 2 x 62,5
65 SGPT ml

66 Stromatolyser-WH Btl 500 ml

67 Tabung EDTA 3 ml dus 100
68 Tabung EDTA 5 ml dus 100
69 Test Gula Darah Biji
Tube 100
70 Test hematokrit/asisten
biji
71 Thermal roll paper roll
72 Tissue lensa biji
Botol 6 x 50
73 Trigliserida
ml
74 Ultrasonic gel set
Kit 2 x 100
75 Ureum
ml
76 Urine Test Biji Rp -
77 Vacum tainer dus 100 Rp -
78 Yellow tips set @1000 Rp -
79 Aminofluids infus Rp 64,990.00 68 Rp 4,419,320.00

JUMLAH TOTAL Rp 44,937,320.31

Sragen, 31 Desember 2016

Mengetahui Petugas Pengelola Obat
Kepala Puskesmas Mondokan

dr.Rita Ernawat Wijayant, A.Md

Nip.19710507 200604 2 005 Nip.19811009 200903 2 007