Puskesmas : Ketapang

Bulan : September
Tahun : 2019

STOCK AWAL
S
NO NAMA OBAT a Harga satuan
t PKD
DAK KIA P2M Gizi
PROP

ACT (Artesunate tablet

50 mg + Amodiaquine 0 0 0 0 0
1 Tab 1,375
anhydrida tablet 200
mg)
2 Adrenalin Inj Amp 1,240 0 0 0 0 0
3 Alat suntik 1 ml Set 1,089 0 0 0 0 0
4 Alat suntik 2,5 ml Set 1,035 0 0 0 0 0
5 Alat suntik 3 ml ser 3,200 0 0 0 0
6 Alat suntik 5 ml Set 1,035 700 500 0 0 0
7 Albendazol 400 mg Tab 407 0 0 0 0 0
Albendazol Susp 250 0 0 0 0 0
8 Btl 3,811
mg/ 5 ml
9 Alopurinol 100 mg Tab 132 500 1,000 0 0 0
10 Alprazolam 0,5 mg Tab 460 0 0 0 0 0
11 Ambroxol syp 60 ml Btl 3,290 0 0 0 0 0
12 Ambroxol Tablet Tab 86 0 0 0 0 0
13 Aminopillin 200 mg Tab 113 700 0 0 0 0
14 Aminopillin Injeksi Amp 3,240 0 0 0 0 0
15 Amitriptilin Tablet Tab 102 0 0 0 0 0
16 Amlodipine 5 mg Tab 187 0 450 0 0 0
17 Amlodipin Tab 10 mg Tab 440 1,230 0 0 0 0
18 Amoksisillin 250 mg Kap 210 7,100 1,800 0 0 0
19 Amoksisillin 500 mg Kap 370 6,600 1,800 0 0 0
Amoksisillin S.K/125 0 0 0 0 0
20 Btl 3,690
mg/5 ml
21 Ampisillin Inj im/iv Amp 5,368 0 0 0 0 0
22 Antalgin 500mg Tab 149 0 0 0 0 0
23 Antasida DOEN Susp Btl 3,840 43 0 0 0 0
24 Antasida DOEN,100 Tab 162 9,500 0 0 0 0
Anti bakteri
25 DOEN/Bacitrasin Tub 2,491 0 24 0 0 0
Polimiksin
Anti Migren : Ergotamin
26 Tartrat 1 mg + Kofein 50 Tab 135 0 0 0 0 0
mg
27 Anti Hemoroid DOEN Sup 2,000 0 0 0 0 0

28 Anti Malaria DOEN Tab 483 0 0 0 0 0

29 Antifungi DOEN Tub 1,719 7 0 0 0 0
30 Aqua Pro Injeksi Steril Vial 5,300 0 0 0 0 0
31 Arterakine Tab 26,667 0 0 0 0 0
Artesunate Inj vial 60 0 0 0 0 0
32 Vial 25,063
mg
Arthemeter Inj 1 ml : 80 0 0 0 0 0
33 Amp 22,167
mg
34 As Askorbat 250 mg Tab 135 0 0 0 0 0
35 As Askorbat 50 mg Tab 32 600 0 0 0 0

36 As Mefenamat 500 mg Kap 176 0 0 0 0 0

Asam Asetil Salisilat 0 0 0 0 0

37 Tab 100
100 mg
38 Asam folat tablet Tab 45 0 0 0 0 0
Asam Traneksamat Inj 40 0 0 0 0
39 Amp 3,334
50 mg/ml
40 Asifit Tab 1,584 0 0 0 0 0
41 Asiklofir 200 mg Tab 237 400 400 0 0 0
42 Asiklofir 400 mg Tab 571 0 0 0 0 0
43 Asiklofir krim 5 % Tub 3,000 0 0 0 0 0
44 Atapulgit tablet 600 mg Tab 500 0 0 0 0
45 Atropin injeksi Amp 1,265 0 0 0 0 0
46 Atropin Sulfat Tab 68 0 0 0 0 0
47 Atropin Sulfat Tetes Mata Btl 0 0 0 0 0
Benzatin benzil penisilin 0 0 0 0 0
48 Vial 8,200
inj 1,2 jt IU/vial
49 Besi II Sulfat Tab 44 0 0 0 0 0

50 Betahistin Mesilat 6 mg Tab 924 1,500 0 0 0 0

51 Betametason krim 0,1% Tub 1,866 48 50 0 0 0

52 Betason - N Tub 0 0 0 0 0
53 Bioneuron Injeksi Amp 4,341 0 0 0 0 0
54 Blonick Plus Syrup Btl 18,700 0 0 0 0 0
55 Bionick Drop Btl 0 0 0 0 0
Budesonid Inhaler 200 0 0 0 0 0
56 Inh 93,000
mcg/puff 100 dosis
Catgut / Benang Bedah 0 0 0 0 0
57 Set 26,666
No. 2/0
Catgut / Benang Bedah 0 0 0 0 0
58 Set 24,583
No. 3/0
59 Cefotaxim Inj 1 gr Vial 8,678 10 0 0 0 0
60 Ceftriakson Inj 1 gr Vial 9,549 12 0 0 0 0
61 Cetirizine tablet 10 mg Tab 225 972 180 0 0 0
Chlorampecort Cream 0 0 0 0 0
62 Tub 9,955
10 g
Chlorampecort - H 0 0 0 0 0
63 Tub
Cream 10 g
64 Copper T (Andalan) Tab 8,855 0 0 0 0 0
65 DEC 100 mg Tab 98 0 0 0 0 0
Deksametason Inj 5 mg 170 0 0 0 0
66 Amp 2,002
/ ml-1 ml

67 Deksametason 0,5 mg Tab 70 6,700 700 0 0 0

68 Dekstrometorfan 15 mg Tab 110 0 0 0 0 0

Dekstrometorfan sirup 0 0 0 0 0
69 Btl 2,855
10 ml / 5 ml
70 Devitalisasi Pasta Btl 390,000 0 0 0 0 0
71 DHP (Dehidro Artemisin +Tab 20,000 0 0 0 0 0
72 Diapecta Tab 0 0 0 0 0
73 Diazepam 5 mg Tab 56 0 0 0 0 0
Diazepam Lar Rectal 10 0 0 0 0 0
74 Btl
mg/2.5 ml
75 Diazepam Inj 5 mg/ml Amp 2,344 0 0 0 0 0
76 Difenhidramin inj Amp 960 165 0 0 0 0
77 Digoksin 0,25 mg Tab 143 0 0 0 0 0
78 Doksisiklin 100 mg Kap 253 0 0 0 0 0
79 Domperidon 10 mg Tab 176 0 0 0 0 0
Domperidon Suspensi 5 0 0 0 0 0
80 Btl 3,333
mg/ml
81 Efedrin HCl 25 mg Tab 51 0 0 0 0 0
Epineprin(Adrenalin) Inj 0 65 0 0 0
82 Amp 1,500
0,1 %
Ergokalsiferol (Vit 0 0 0 0 0
83 Tab
D3/D2)50.000 UI
84 Etakridin Lar 0,1 % Btl 1,790 13 0 0 0 0
85 Etanol 70 % 1 ltr Btl 19,975 2 6 0 0 0
86 Etanol 70 % 100 ML Btl 2,500 0 0 0 0 0
Etanol 70 % (Swab 2- 12 0 0 0 0
87 Ktk 12,210
Ply)
88 Etil Klorida Spray Btl 104,950 0 0 0 0 0
89 Eugenol Cairan Btl 45,783 1 0 0 0 0
90 Extrak Belladona 10 mg Tab 38 0 0 0 0 0

91 Febrinex Suspensi Btl 15,855 0 0 0 0 0

Fenobarbital inj 50 0 0 0 0 0
92 Amp 1,716
mg/ml
93 Fenolbarbital 30 mg Tab 65 0 0 0 0 0
Fitomenadion Inj 90 0 0 0 0
94 Amp 1,740
10mg/ml-1ml
95 Fitomenadion 10 mg Tab 681 0 0 0 0 0
96 Fituno Tab 3,014 0 0 0 0 0
97 Flunarizine 5 mg Tab 0 0 0 0 0
Fluoksetin/foransi 10 0 0 0 0 0
98 Kap 419
mg
99 Fluoksetin 20 mg Kap 0 0 0 0 0

100 Flusinolon Asetonid Cr Tub 2,400 0 0 0 0 0

101 Flutamol Syr Btl 0 0 0 0 0

102 Foley chateter No 16 Pcs 8,490 0 0 0 0 0
103 Foley chateter No 18 Pcs 8,485 0 0 0 0 0
104 Furosemid 40 mg Tab 102 350 700 0 0 0
105 Furosemid Injeksi Amp 1,751 0 0 0 0 0
Garam Oralit 300 0 0 0 0
106 Sas 380
Gentamisin injeksi 80 10 0 0 0 0
107 Amp 3,694
mg / 2ml
108 Gentamisin SK 0,1% Tub 1,837 0 0 0 0 0
Gentamisin Sulfat TM 0 3 0 0 0
109 Btl 2,904
0,3 %
110 Gentian Violet 1% Btl 440 0 0 0 0 0

111 Glass Ionomercement Set 394,990 0 0 0 0 0

112 Glibenklamid 5 mg Tab 72 0 0 0 0 0

113 Glimepiride Tablet 2 mg Tab 500 1,000 0 0 0 0

Gliseril Guayakolat 100 0 0 0 0 0

114 Tab 28
mg
115 Glukonas Kalsikus 10% Amp 10,425 0 0 20 0 0
116 Glukosa 10 % Btl 5,727 60 0 0 0 0
117 Glukosa 5 % Btl 5,313 210 0 0 0 0
118 Griseovulfin 125 mg Tab 240 800 0 0 0 0
119 Haloperidol 0,5 mg Tab 60 0 0 0 0 0
120 Haloperidol 1,5 mg Tab 69 0 0 0 0 0
121 Haloperidol 2 mg Tab 0 0 0 0 0
122 Haloperidol 5 mg Tab 0 0 0 0 0
 Haloperidol Inj 50 0 0 0 0 0
123 Amp 83,333
mg/ml
124 Handscoon No 7 & 7.5 Psg 4,250 0 0 0 0 0
Handscoon Non steril S 0 0 0 0 0
125 Psg 4,250
&M
126 Hidrokortison Krim 1 % Tub 2,979 50 0 0 0 0

127 Hidroklortiazide Tab 36 0 0 0 0 0

128 Hustab Tab 0 0 0 0 0
129 Hyoscine - N - Butil Bro Amp 0 0 0 0 0
Hyoscine - N - Butil 0 0 0 0 0
130 Tab 395
Bromida
131 Ibuprofen 400 mg Tab 205 0 0 0 0 0
132 Ibuprofen 200 mg/ml Btl 4,499 0 0 0 0 0
133 Infusion set anak Set 3,990 50 50 0 0 0
134 Infusion set dewasa Set 3,500 30 0 0 0 0
135 Isosorbid dinitrat Tab Tab 97 1,300 0 0 0 0
136 IV Chateter No 20 G Set 7,776 0 0 0 0 0
IV Chateter No 20 0 0 0 0 0
137 Set
G/WP 26
138 IV Chateter No 22 G Set 7,776 0 0 0 0 0
139 IV Chateter No 24 G Set 7,776 0 0 0 0 0
Kalsium Hidroksida 0 0 0 0 0
140 Btl 242,000
Pasta
Kalsium Laktat 2,500 0 0 0 0
141 Tab 52
Kalsium Gluconat 2 6 10 0 0
142 Amp
Injeksi IV 10%
143 Kapas Pembalut 250 gr Bks 7,450 4 0 0 0 0

144 Kaptopril 12,5 mg Tab 63 0 0 0 0 0

145 Kaptopril 25 mg Tab 138 500 700 0 0 0
146 Karbo gliseril TT 10% Btl 2,042 3 0 0 0 0
Kasa Pembalut Elastic 4 0 0 0 0 0
147 rol
Inchi
Kasa Pembalut Hidrofil 0 0 0 0 0
148 Rol 607
4 x 10 cm
Kasa Pembalut Hidrofil 0 0 0 0 0
149 ktk 8,490
16 x 16 cm
Kasa Pembalut Hidrofil 0 0 0 0 0
150 Rol 55,190
36 x 80 cm
Kasa Pembalut Hidrofil 0 0 0 0 0
151 Rol
4 X 15 cm
 Kasa Kompres Steril 0 0 0 0 0
152 Rol
40X40 cm
153 Ketokonazole 2 % Tub 6,650 44 25 0 0 0

154 Ketokonazole 200 mg Tab 267 0 0 0 0 0

155 Ketorolac inj 30 mg Amp 13,365 30 0 0 0 0

156 Kina Inj 25% - 2 ml Amp 4,227 0 0 0 0 0
157 Kina Tablet 200 mg Tab 583 0 0 0 0 0
158 Klindamisin Kap Kap 527 0 0 0 0 0

159 Kloramfenikol 250 mg Kap 231 0 0 0 0 0

Kloramfenikol Salep 1,600 0 0 0 0 0

160 Tub
Mata 1 % 5 gr
Kloramfenikol TM 0,5 % 4 5 0 0 0
161 Btl 2,500
162 Kloramfenikol TT 3% Btl 1,599 0 0 0 0 0
Klorfemol Kamfer 0 0 0 0 0
163 Btl 55,000
Mentol (CHKM)
Klorpheniramin maleat 15,800 0 0 0 0
164 Tab 24
(CTM)
165 Klorpromazin 25 mg Tab 45 0 0 0 0 0
166 Klorpromazin 100 mg Tab 0 0 0 0 0
167 Klozapin 25 mg Tab 1,550 0 0 0 0 0
168 Kodein 10 mg Tab 500 0 0 0 0 0
169 Kondom Pcs 141 0 0 0 0 0

170 Kotrimoksazol 480 mg Tab 160 200 0 0 0 0

171 Kotrimoksazol Susp Tab 3,960 165 20 0 0 0

172 Lanzoprazole 30 mg Tab 473 0 0 0 0 0
173 Larutan Aminoleban Btl 65,000 0 0 0 0 0
174 Larutan Asering Btl 9,000 0 0 0 0 0
175 Levotiroksin Tab 100 mg Tab 0 0 0 0 0
176 Lidokain Inj 2% Amp 1,137 60 150 0 0 0
177 Loratadine tab 10 mg Tab 160 0 0 0 0 0
178 Loperamid 2 mg Tab 89 0 0 0 0 0
179 Masker with Tie On box 1,117 9 4 0 0 0

180 Meloksikam tab 15 mg Tab 348 0 0 0 0 0

181 Mersibion Injeksi Amp 0 0 0 0 0

182 Metformin HCL 500 mg Tab 105 0 0 0 0 0

183 Metil Prednisolon 4 mg Tab 296 3,500 500 0 0 0

Metilergometrin Maleat 0 0 0 0 0
184 Tab 121
185 Metoklopramid 10 mg Tab 110 300 300 0 0 0
Metoklopramid Injk 5 0 0 0 0 0
186 Amp 980
mg/ ml
187 Metronidazol 500 mg Tab 164 0 0 0 0 0
Metronidazol infus 500 0 0 0 0 0
188 Btl 9,950
mg/100 ml
189 MgSO4 20% Amp 1,540 0 0 0 0 0
190 MgSO4 40% Amp 1,948 0 0 12 0 0
191 Miraclav Tab 13,200 0 0 0 0 0
192 Mineral Mix Sas 2,475 0 0 0 0 80
193 Mummifying Pasta Vial 176,000 0 0 0 0 0
194 NaCl 0,9 % Btl 4,900 0 60 0 0 0
Natrium Bicarbonat 500 0 0 0 0 0
195 Tab 14
mg
Natrium Diklofenak 25 0 0 0 0 0
196 Tab
mg
Natrium Diklofenak 50 14,850 0 0 0 0
197 Tab 217
mg
Natrium Sulfacetamid 0 0 0 0 0
198 Btl
Tetes Mata
199 Natrium Tiroksin tab Tab 1,390 0 0 0 0 0
200 Neurodial Tab 0 0 0 0 0
201 Neurovit - E Tab 924 0 0 0 0 0
202 Nifedipin 10 mg Tab 129 0 1,100 0 0 0
Nistatin Vaginal 110 0 0 0 0
203 Tab 407
100.000 IU/ g

204 Nistatin 500.000 IU/ g Tab 0 0 0 0 0

205 Nodiar Tab 924 0 0 0 0 0

206 Noza Tab 399 0 0 0 0 0
207 OAT Kat Anak Pkt 171,900 0 0 0 0 0
208 OAT sisipan Pkt 159,200 0 0 0 0 0
209 OAT Kat 1 Pkt 172,000 0 0 0 0 0
OAT Kat Anak 0 0 0 0 0
210 Pkt 215,000
Combipac
211 OAT-FDC Kat 1 Pkt 360,000 0 0 0 0 0
212 OAT-FDC Kat 2 Pkt 1,200,000 0 0 0 0 0
Obat Batuk Hitam 0 0 0 0 0
213 Btl 1,420
 Obat Suntik KB I 3 0 0 0 0 0
214 Vial 6,500
blnan 1 ml
Obat Suntik KB I 3 0 0 0 0 0
215 Vial 6,500
blnan 3 ml
Oksimetazolin Tts 27,550 3 0 0 0 0
216 Btl
Hidung 0,05% dewasa
217 Oksitetrasiklin HCl Inj Amp 3,100 0 0 0 0 0
Oksitetrasiklin HCl SK 0 0 0 0 0
218 Tub 1,651
3%
Oksitosin Injeksi 10 IU / 0 0 0 0 0
219 Amp 1,820
ml - 1 ml
220 Oxytetrasiklin S.M 1% Tub 2,100 0 0 0 0 0

221 Omeprazole 20 mg kap Kap 265 2,220 600 0 0 0

Ondansetron Injeksi 4 0 0 0 0 0
222 Amp 2,400
mg/2 ml
223 Ondansetron 4 mg Tab 472 0 0 0 0 0
224 Papaverin tab 40 mg Tab 99 0 0 0 0 0
225 Paracetamol 100 mg Tab 32 0 0 0 0 0
226 Parasetamol 500 mg Tab 105 60,400 0 0 0 0
227 Parasetamol Drops Btl 5,270 0 0 0 0 0
Parasetamol sirup 120 70 0 0 0 0
228 Btl 2,290
mg / 5 ml
Permethrin Cream 5 % 0 0 0 0 0
229 Tub 11,475
10 g
230 Pil KB I Tab 2,175 0 0 0 0 0
Pirantel Suspensi 125 0 0 0 0 0
231 Btl 8,360
mg / 5 ml
Pirantel Tab Scorr 0 0 0 0 0
232 Tab
(base) 250 mg
233 Pirasetam inj 3 g/15ml Amp 17,103 0 0 0 0 0
234 Piridoksin 10 mg Tab 17 500 4,000 0 0 0
235 Piroksikam 20 mg Kap 84 0 0 0 0 0
236 Plester 5 yard x 2 inch Rol 23,625 0 0 0 0 0
Povidon Iodida 10 % 30 0 0 0 0 0
237 Btl 2,390
ml
Povidon Iodida Lar. 10 0 0 0 0 0
238 Btl 14,203
% 300 ml
239 Prednison 5 mg Tab 63 700 0 0 0 0
240 Primakuin tab 15 mg Tab 114 0 0 0 0 0
241 Progastric Tab 303 0 0 0 0 0

Prokain Benzil Penicillin 0 0 0 0 0

242 Vial 6,100
G inj 3 jtIU/Vial
243 Propanolol 10 mg Tab 77 0 0 0 0 0
244 Propiltiourasil 100 mg Tab 300 0 0 0 0 0
245 Ramaton Tab 0 0 0 0 0
246 Ramipril 2,5 mg Tab 300 0 0 0 0 0
247 Ramipril 5 mg Tab 580 0 0 0 0 0
248 Ranitidin 150 mg Tab 110 400 0 0 0 0
249 Ranitidin inj 25 mg/ml Amp 1,542 0 200 0 0 0
Retinol 100.000 IU 0 0 0 0 450
250 Kap 286
(Biru)
Retinol 200.000 IU 0 0 0 0 1,500
251 Kap 462
(Merah)
252 Ringer Laktat Btl 5,200 740 300 0 0 0
253 Risperidon 1 mg Tab 0 0 0 0 0
254 Risperidon 2 mg Tab 1,008 0 0 0 0 0
255 Risperidon 3 mg Tab 0 0 0 0 0
256 Salbutamol 2 mg Tab 84 0 700 0 0 0
257 Salbutamol 4 mg Tab 80 0 0 0 0 0
Salbutamol Inhalasi 100 0 0 0 0 0
258 Btl
mcg/dosis
259 Salep 2-4 Pot 1,229 20 0 0 0 0
260 Salisil Bedak 2 % ktk 1,420 0 35 0 0 0
261 Scabisid Cream 10 g Tub 28,380 0 0 0 0 0
Sefadroksil Sirup 125 0 0 0 0 0
262 Btl 4,896
mg/ 5 ml
263 Sefadroksil 500 mg Kap 521 0 0 0 0 0
Semen Seng Fosfat 0 0 0 0 0
264 Btl 93,500
serbuk&cairan
265 Serum (ABU I) 5 ml Vial 398,475 2 0 0 0 0
266 Serum ATS 1500 IU Amp 91,650 3 0 0 0 0
Sianokobalamin inj 500 70 0 0 0 0
267 Amp 1,037
mcg - ml
268 Silk No 3/0. Set 6,969 36 0 0 0 0
269 Simvastatin 10 mg Tab 180 0 420 0 0 0

270 Siprofloksasin 500 mg tab 284 700 0 0 0 0

271 Spironolakton 25 mg Tab 315 0 0 0 0 0

Sukralfat/Ulsafat 17 0 0 0 0
272 Btl 13,425
Suspensi 500 mg/5 ml
273 Susuk KB II Set 105,135 0 0 0 0 0
274 Tablet Tambah Darah Ktk 10,560 0 0 0 0 20
Temporary Stoping 0 0 0 0 0
275 Btl 34,000
Flecher Serbuk
276 Tetrasiklin HCL 250 mg Kap 166 0 0 0 0 0
277 Tetrasiklin HCL 500 mg Kap 257 0 0 0 0 0

278 Tiamin HCL 100 mg Tab 81 0 0 0 0 0

279 Tiamin HCL 50mg Tab 38 3,600 0 0 0 0
Timolol Tetes Mata 0,25 0 0 0 0 0
280 Btl 9,128
%
Tramadol Injek 50 mg/ 360 0 0 0 0
281 Amp 5,400
ml
282 Tramadol kap 50 mg Kap 189 0 0 0 0 0
283 Trifluoperazin 5 mg Tab 405 0 0 0 0 0
284 Triheksifenidil 2mg Tab 40 0 0 0 0 0
Urea Cream/soft U 0 0 0 0 0
285 Tub 6,400
derm 10 %
286 Urin bag pcs 3,990 0 40 0 0 0
Vaksin Anti Rabies 0 0 0 0 0
287 Vial 126,500
( Verorad )
288 Ventolin/Salbutamol Inha Btl 63,750 0 0 0 0 0
289 Vitamin B.Komplek Tab 22 2,400 0 0 0 0
290 Wing Needle No. 23 G set 5,770 0 0 0 0 0
291 Wing Needle No. 25 G set 5,770 0 0 0 0 0
292 Wing Needle No.27 G set 5,470 0 0 0 0 0
293 Zink 20 mg tab 475 0 0 0 1,500 0
294 Zink drop 10 mg/ml Btl 12,840 0 0 0 0 0
295 Zink Syrup Btl 0 0 0 0 0
296 Metylergometrin Maleat inAmp 0 0 0 0 0
297 Simvastatin 20 mg Tab 252.00 500 0 0 0 0
Kloramfenikol SM 0 0 0 0 0
298 Tub 3,091
(Bufacetin)
299 Metylprednisolon 8 mg Tab 309 0 0 0 0 0
300 Mikonazole Crem 2% Tub 3250 0 0 0 0 0
301 N.Asetil Sistein tab 200m Tab 426 0 0 0 0 0
302 Pehapral Tab 809 0 0 0 0 0
Pembalut Elastis crape rol 31 0 0 0 0
303
7,5cmx4,55cm
304 Kloramfenikol 500mg kap 1007 400 0 0 0 0
305 Ceuticel clasik 10 X 10 c pcs 33645 160 0 0 0 0
306 Alat suntik 0,5 ml pcs 0 0 0 0 0
307 Alkazyme sacset 25 Sas 99 0 0 0 0
308 Asam Asetyl Salisilat 80 tab 0 0 0 0 0
309 Daryant-Tulle 10x10 helai 0 0 0 0 0
310 Dimenhidrinat 50mg tab 0 0 0 0 0
311 Dulcolax supp infant 5mg Sup 14 0 0 0 0
312 Gentamisin SM 0,3% Tub 2 0 0 0 0
314 Leukoplas 1622H rol 25 0 0 0 0
 Diazepam Lar Rectal Tub 0 0 0 0 0
315
5mg/2.5 ml
316 Alkohol 70% 300ml Btl 0 0 0 0 0
317 Kapas Pembalut 100 gr rol 0 0 0 0 0
318 Pavidon Iodida 60 ml Btl 23 0 0 0 0
319 IV Catheter No. 26 G Sas 0 0 0 0 0
320 Masker with Ear Loop box 9 0 0 0 0
321 MengetahuiBtl
Oflosasin TT 3% 4 0 0 0 0
322 Betadin SabunKepala Btl
cair Puskesmas Rawat Inap 3 0 0 0 0
323 Betadin salepKetapang
5 mg Tub 94 0 0 0 0
324 Dulcolax supp infant 10mg 6 0 0 0 0
325 Eritromycin kap 500 mg Kap 600 0 0 0 0
326 Lisol Concentrate 1 ltr Btl 7 0 0 0 0
327 dr.Hi.DIAN
Paper Tape 2,5 X 9,14 c MAULI,MH
Rol 0 0 0 0 0
328 NIP.19800120
Sefadroksil 250 mg Kap200804 1 690
001 2,200 0 0 0 0
Oksimetazolin Tts Btl 2 0 0 0 0
329
Hidung 0,025%
330 Sarung tangan steril N0. pcs 0 0 0 0 0
331 Dulcolax supp infant 5mg supp 16 0 0 0 0
332 Underpad pcs 0 20 0 0 0
Hydrogel wound ktk 0 2 0 0 0
333
dressing
334 Soft U Derm krim tube 0 6 0 0 0
335 Alkohol swab 200 pcs ktk 0 7 0 0 0
336 0 0 0 0 0
Total
 Jumlah Kunjungan umum jkn jamkesda jumlah
Resep
Puskesmas Induk 0
Pustu + Bides 0
Total 1162
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT

STOCK AWAL PENERIMAAN P

PKD PKD
Total Total Harga DAK PROP KIA P2M Gizi Total Total Harga DAK
PROP

0 0 0 0 0 0

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
3,200 0 0 0 700 0
1,200 1,241,520 0 0 400 0
0 0 0 0 0 0
0 0 0 0 0 0
1,500 197,850 0 0 0 600
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
700 79,310 0 0 100 0
0 0 0 0 0 0
0 0 0 0 0 0
450 84,150 0 0 0 450
1,230 541,200 0 0 780 0
8,900 1,869,000 0 0 0 0
8,400 3,107,160 0 0 3,700 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
43 165,120 0 0 43 0
9,500 1,538,050 0 0 5,000 0

24 59,784 0 0 0 13

0 0 0 0 0 0
 0 0 0 0 0 0

0 0 0 0 0 0
7 12,031 0 0 2 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0

0 0 0 0 0 0
0 0 0 0 0 0
600 19,194 0 0 600 0
0 0 0 0 0 0

0 0 0 0 0 0
0 0 0 0 0 0
40 133,360 0 0 10 0
0 0 0 0 0 0
800 189,600 0 0 400 400
0 0 0 0 0 0
0 0 0 0 0 0
500 0 0 0 300 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1,500 1,386,000 0 0 1,050 0

98 182,868 0 0 16 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0
 10 86,780 0 0 0 0
12 114,588 0 0 0 0
1,152 259,200 0 0 0 152

0 0 0 0 0 0

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0

170 340,323 0 0 10

7,400 518,000 0 0 3,500 0

0 0 0 0 0 0

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
165 158,400 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
65 97,500 0 0 0 0

0 0 0 0 0 0
13 23,270 0 0 0 0
8 159,800 0 0 2 1
0 0 0 0 0 0
12 146,520 0 0 4 0
0 0 0 0 0 0
1 45,783 0 0 0 0
 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
90 156,570 0 0 30 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1,050 107,079 0 0 150 0
0 0 0 0 0 0
300 114,000 0 0 300 0
10 36,940 0 0 0 0
0 0 0 0 0 0
3 8,712 0 0 0 3
0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

1,000 500,000 0 0 500 0

0 0 0 0 0 0

20 208,500 0 0 0 0
60 343,620 0 0 0 0
210 1,115,730 0 0 40
800 191,920 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
 0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

50 148,958 0 0 12 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
100 399,000 0 0 0 0
30 105,000 0 0 30 0
1,300 126,555 0 0 200 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
2,500 130,000 0 0 700 0
18 0 0 0 0 0

4 29,800 0 0 2 0
0 0 0 0 0 0
1,200 165,300 0 0 100 500
3 6,126 0 0 3 0
0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0 0
 0 0 0 0 0 0
69 458,850 0 0 9 0
0 0 0 0 0 0
30 400,950 0 0 30 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0

0 0 0 0 0 0

0 0 0 0 0

9 22,500 0 0 4 0

0 0 0 0 0 0
0 0 0 0 0 0

15,800 379,200 0 0 3,900 0

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
200 32,000 0 0 200 0
185 732,600 0 0 100 10
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
210 238,700 0 0 60 60
0 0 0 0 0 0
0 0 0 0 0 0
13 14,521 0 0 4 0

0 0 0 0 0 0

0 0 0 0 0 0
0 0 0 0 0 0
 4,000 1,183,320 0 0 2,700 500

0 0 0 0 0 0
600 66,000 0 0 0 200
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
12 23,376 0 0 0 0
0 0 0 0 0 0
80 198,000 0 0 0 0
0 0 0 0 0 0
60 294,000 0 0 0 60
0 0 0 0 0 0

0 0 0 0 0 0

14,850 3,229,578 0 0 2,650 0

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1,100 141,900 0 0 0 100
110 44,770 0 0 10 0

0 0 0 0 0 0

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
 0 0 0 0 0 0

0 0 0 0 0 0

3 82,650 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0

0 0 0 0 0 0
0 0 0 0 0 0
2,820 747,300 0 0 780 0

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
60,400 6,335,960 0 0 7,600 0
0 0 0 0 0 0
70 160,300 0 0 70 0

0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0

0 0 0 0 0 0
0 0 0 0 0 0
4,500 78,300 0 0 0 300
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0

0 0 0 0 0 0
700 43,750 0 0 200 0
0 0 0 0 0 0
0 0 0 0 0 0

0 0 0 0 0 0
 0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
400 44,000 0 0 400 0
200 308,400 0 0 0 110
450 128,610 0 0 0 0

1,500 692,700 0 0 0 0
1,040 5,408,000 0 0 260 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
700 58,821 0 0 0 400
0 0 0 0 0 0
0 0 0 0 0 0
20 24,575 0 0 4 0
35 49,700 0 0 0 5
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
2 796,950 0 0 0 0
3 274,950 0 0 3 0
70 72,583 0 0 35 0
36 250,900 0 0 24 0
420 75,600 0 0 0 240
700 198,800 0 0 500 0
0 0 0 0 0 0
17 228,225 0 0 8 0
0 0 0 0 0 0
20 211,200 0 0 0 0
0 0 0 0 0 0

0 0 0 0 0 0
 0 0 0 0 0 0
0 0 0 0 0 0
3,600 136,044 0 0 1,000 0
0 0 0 0 0 0

360 1,944,000 0 0 60 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
40 159,600 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
2,400 53,256 0 0 1,900 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
1,500 712,500 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
500 126,000 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
0 0 0 0 0 0
31 0 0 0 10 0
400 402,800 0 0 0 0
160 5,383,200 0 0 0 0
0 0 0 0 0 0
99 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
14 0 0 0 0
2 0 0 0 2
25 0 0 0 12 0
 0 0 0 0 0

0 0 0 0 0 0
0 0 0 0 0 0
23 0 0 0 15 0
0 0 0 0 0
9 0 1
4 0 0
3 0 0
94 0 6
6 0 3
600 0 100
7 0 0
0 0 0
2,200 1,518,000 1,100
2 0 0
0 0 0
16 0 7
20 0 10

2 0 0
6 0 0
7 0
0 0
Rp 59,234,024 Rp -
AN OBAT

PEMAKAIAN SISA STOCK

PKD
KIA P2M Gizi Total Total harga DAK KIA P2M Gizi TOTAL
PROP

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 700 0 2,500 0 0 0 0 2,500
0 0 0 400 413840 300 500 0 0 0 800
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 600 79140 500 400 0 0 0 900
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 100 11330 600 0 0 0 0 600
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 450 84150 0 0 0 0 0 0
0 0 0 780 343200 450 0 0 0 0 450
0 0 0 0 0 7,100 1,800 0 0 0 8,900
0 0 0 3,700 1368630 2,900 1,800 0 0 0 4,700
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 43 165120 0 0 0 0 0 0
0 0 0 5,000 809500 4,500 0 0 0 0 4,500

0 0 0 13 32383 0 11 0 0 0 11

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0
0 0 0 2 3438 5 0 0 0 0 5
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 600 19194 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 10 33340 30 0 0 0 0 30
0 0 0 0 0 0 0 0 0 0 0
0 0 0 800 189600 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 300 0 200 0 0 0 0 200
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 1,050 970200 450 0 0 0 0 450

0 0 0 16 29856 32 50 0 0 0 82
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 10 0 0 0 0 10
0 0 0 0 0 12 0 0 0 0 12
0 0 0 152 34200 972 28 0 0 0 1,000

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0

0 0 0 10 20019 160 0 0 0 0 160

0 0 0 3,500 245000 3,200 700 0 0 0 3,900

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 165 0 0 0 0 165
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 65 0 0 0 65

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 13 0 0 0 0 13
0 0 0 3 59925 0 5 0 0 0 5
0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 48840 8 0 0 0 0 8
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 0 0 0 0 1
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 30 52190 60 0 0 0 0 60
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 150 15297 200 700 0 0 0 900
0 0 0 0 0 0 0 0 0 0 0
0 0 0 300 114000 0 0 0 0 0 0
0 0 0 0 0 10 0 0 0 0 10
0 0 0 0 0 0 0 0 0 0 0
0 0 0 3 8712 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 500 250000 500 0 0 0 0 500

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 20 0 0 20
0 0 0 0 0 60 0 0 0 0 60
0 0 0 40 212520 170 0 0 0 0 170
0 0 0 0 0 800 0 0 0 0 800
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 12 35750 38 0 0 0 0 38
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 50 50 0 0 0 100
0 0 0 30 105000 0 0 0 0 0 0
0 0 0 200 19470 1,100 0 0 0 0 1,100
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 700 36400 1,800 0 0 0 0 1,800
5 0 0 5 0 2 6 5 0 0 13

0 0 0 2 14900 2 0 0 0 0 2
0 0 0 0 0 0 0 0 0 0 0
0 0 0 600 82650 400 200 0 0 0 600
0 0 0 3 6126 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 9 59850 35 25 0 0 0 60
0 0 0 0 0 0 0 0 0 0 0
0 0 0 30 400950 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 4 10000 0 5 0 0 0 5

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0

0 0 0 3,900 93600 11,900 0 0 0 0 11,900

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 200 32000 0 0 0 0 0 0
0 0 0 110 435600 65 10 0 0 0 75
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 120 136400 0 90 0 0 0 90
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 4468 5 4 0 0 0 9

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 3,200 946656 800 0 0 0 0 800

0 0 0 0 0 0 0 0 0 0 0
0 0 0 200 22000 300 100 0 0 0 400
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 12 0 0 12
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 80 80
0 0 0 0 0 0 0 0 0 0 0
0 0 0 60 294000 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 2,650 576322 12,200 0 0 0 0 12,200

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 100 12900 0 1,000 0 0 0 1,000
0 0 0 10 4070 100 0 0 0 0 100

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 3 0 0 0 0 3
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 780 206700 1,440 600 0 0 0 2,040

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 7,600 797240 52,800 0 0 0 0 52,800
0 0 0 0 0 0 0 0 0 0 0
0 0 0 70 160300 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 300 5220 500 3,700 0 0 0 4,200
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0
0 0 0 200 12500 500 0 0 0 0 500
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 400 44000 0 0 0 0 0 0
0 0 0 110 169620 0 90 0 0 0 90
0 0 0 0 0 0 0 0 0 450 450

0 0 0 0 0 0 0 0 0 1,500 1,500
0 0 0 260 1352000 480 300 0 0 0 780
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 400 33612 0 300 0 0 0 300
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 4 4915 16 0 0 0 0 16
0 0 0 5 7100 0 30 0 0 0 30
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 2 0 0 0 0 2
0 0 0 3 274950 0 0 0 0 0 0
0 0 0 35 36292 35 0 0 0 0 35
0 0 0 24 167267 12 0 0 0 0 12
0 0 0 240 43200 0 180 0 0 0 180
0 0 0 500 142000 200 0 0 0 0 200
0 0 0 0 0 0 0 0 0 0 0
0 0 0 8 107400 9 0 0 0 0 9
0 0 0 0 0 0 0 0 0 0 0
0 0 20 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 1,000 37790 2,600 0 0 0 0 2,600
0 0 0 0 0 0 0 0 0 0 0

0 0 0 60 324000 300 0 0 0 0 300

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 40 0 0 0 40
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 1,900 42161 500 0 0 0 0 500
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 700 0 700 332500 0 0 0 800 0 800
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 500 0 0 0 0 500
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 10 0 21 0 0 0 0 21
0 0 0 0 0 400 0 0 0 0 400
0 0 0 0 0 160 0 0 0 0 160
0 0 0 0 0 0 0 0
0 0 99 0 0 0 0 99
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 14 0 0 0 0 14
2 0 0 0 0 0 0 0
12 0 13 0 0 0 0 13
 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
15 0 8 0 0 0 0 8
0 0 0 0 0 0 0 0
1 0 8 0 0 0 0 8
0 0 4 0 0 0 0 4
0 0Ketapang 3 , 03 Oktober
0 0 20190 0 3
6 0Pengelola
88 Obat Puskesmas
0 0 0 0 88
3 0 3 0 0 0 0 3
100 0 500 0 0 0 0 500
0 0 7 0 0 0 0 7
0 0EYIN MUHIDIN
0 0 0 0 0 0
1100 759000NIP.19620906
1,100 0 0 1 0060
198803 0 1,100
0 0 2 0 0 0 0 2
0 0 0 0 0 0 0 0
7 9 0 0 0 0 9
10 0 10 0 0 0 10

0 0 2 0 0 0 2
0 0 6 0 0 0 6
0 0 7 0 0 0 7
0 0 0 0 0 0 0
Rp 14,002,502
CK KEB. PER TRI BULAN

NILAI (RP) TOTAL NILAI(RP)

0 0 0

0 0 0
0 500 544500
0 0 0
0 1800 0
827,680 500 517300
0 0 0

0 0 0

118,710 1000 131900

0 0 0
0 0 0
0 0 0
67,980 500 56650
0 0 0
0 0 0
0 1700 317900
198,000 1050 462000
1,869,000 0 0
1,738,530 10000 3699000

0 250 922500

0 0 0
0 0 0
0 100 384000
728,550 15000 2428500

27,401 0 0

0 0 0
 0 20 40000

0 0 0
8,594 24 41250
0 0 0
0 0 0

0 0 0

0 0 0

0 0 0
0 3000 95970

0 0 0

0 0 0

0 0 0

100,020 0 0

0 0 0
0 500 118500
0 1000 571230
0 50 149980
0 500 0
0 0 0
0 0 0
0 0 0

0 0 0

0 0 0

415,800 1800 1663200

153,012 150 279900

0 0 0
0 0 0
0 0 0
0 0 0

0 0 0

0 0 0

0 180 4424925
 86,780 50 433900
114,588 50 477450
225,000 2480 558000

0 0 0

0 0 0

0 0 0
0 0 0

320,304 200 400380

273,000 10000 700000

0 0 0

0 0 0

0 0 0
0 0 0
0 0 0
0 0 0

0 0 0

0 0 0
158,400 120 115200
0 0 0
0 0 0
0 500 88000

0 0 0

0 0 0

97,500 0 0

0 0 0

23,270 0 0
99,875 5 99875
0 0 0

97,680 10 122100

0 0 0
45,783 0 0
 0 0 0
0 0 0

0 0 0

0 0 0

104,380 60 104380

0 0 0
0 0 0
0 0 0

0 0 0

0 0 0

0 0 0

0 0 0
0 0 0
0 0 0
91,782 0 0
0 0 0
0 1200 456000

36,940 0 0

0 50 91850

0 50 145200

0 0 0

0 0 0

0 0 0

250,000 500 250000

0 0 0

208,500 0 0
343,620 0 0
903,210 0 0
191,920 0 0
0 0 0
0 0 0
0 0 0
0 0 0
 0 0 0

0 100 425000

0 200 850000

113,208 150 446875

0 0 0
0 0 0
0 0 0

0 0 0

0 1500 307410
0 0 0
399,000 150 598500
0 300 1050000
107,085 0 0
0 200 1555120

0 0

0 300 2332680
0 300 2332680

0 0 0

93,600 1000 52000

0 0 0

14,900 5 37250

0 0 0
82,650 1500 206625
0 24 49008

0 0 0

0 200 121360

0 0 0

0 5 275950

0 200 0
 0 100 0
399,000 0 0

0 500 133500

0 200 2673000
0 0 0
0 0 0
0 0 0

0 0 0

0 25 40000

12,500 25 62500

0 25 39975

0 0 0

285,600 10000 240000

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0

0 1000 160000

297,000 100 396000

0 0 0
0 0 0
0 0 0
0 0 0
102,300 300 341000
0 0 0
0 0 0
10,053 10 11170

0 0 0

0 0 0

0 1000 105000
 236,664 10000 2958300

0 0 0

44,000 500 55000

0 0 0

0 0 0

0 0 0

0 0 0
23,376 0 0
0 0 0
198,000 0 0
0 0 0
0 100 490000

0 0 0

0 0 0

2,653,256 5600 1217888

0 0 0

0 0 0
0 0 0
0 0 0
129,000 0 0

40,700 0 0

0 0 0

0 0 0
0 0 0
0 0 0
0 0 0
0 0 0

0 0 0

0 0 0
0 0 0
0 0 0
 0 0 0

0 0 0

82,650 0 0

0 0 0

0 100 165060

0 200 364000

0 100 210000

540,600 2250 596250

0 0 0

0 0 0
0 0 0
0 0 0
5,538,720 0 0
0 0 0

0 300 687000

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0
73,080 1500 26100
0 0 0
0 10 236250

0 0 0

0 0 0

31,250 0 0
0 0 0
0 0 0

0 0 0
 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 4000 440000
138,780 300 462600
128,610 0 0

692,700 0 0

4,056,000 700 3640000

0 0 0
0 0 0
0 0 0
25,209 1500 126045
0 2000 160000

0 0 0

19,660 36 44235
42,600 0 0
0 12 340560

0 0 0

0 2000 1042000

0 0 0

796,950 3 1195425
0 20 1833000

36,292 200 207380

83,633 72 501800
32,400 700 126000

56,800 1000 284000

0 0 0

120,825 0 0

0 0 0
0 0 0

0 0 0

0 0 0
 0 0 0
0 0 0
98,254 3500 132265

0 0 0

1,620,000 0 0

0 0 0
0 0 0
0 0 0

0 0 0

159,600 0 0

0 0 0

0 0 0
11,095 7000 155330
0 0 0
0 0 0
0 0 0
380,000 0 0
0 0 0
0 0 0
0 0 0
126,000 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0

0 0 0

402,800 0 0
5,383,200 0 0
0 500 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 50 0
 0 0 0

0 0 0
0 0 0
0 48 0
0 50 0
0 10 0
0 0 0
0 10 0
0 0 0
0 0 0
0 0 0
0 0 0
0 24 0
759,000 1000 690000

0 0 0

0 200 0
0 0
0 Rp - 0

0 0 0
0 0 0
0 0
0 0
Rp 54,120,631
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
Puskesmas : Ketapang
Bulan : Oktober
Tahun : 2019

STOCK AWAL PENERIMAAN PEMAKAIAN

S
NO NAMA OBAT a Harga satuan
t PKD PKD PKD
DAK KIA P2M Gizi Total Total Harga DAK KIA P2M Gizi Total Total Harga DAK KIA P2M
PROP PROP PROP

ACT (Artesunate tablet 50

1 mg + Amodiaquine Tab 1,375 0 0 0 0 0 0 0 0 0 0 0 0 0
anhydrida tablet 200 mg)

2 Adrenalin Inj Amp 1,240 0 0 0 0 0 0 0 0 0 0 0 0 0

3 Alat suntik 1 ml Set 1,089 0 0 0 0 0 0 0 0 0 0 0 0 0
4 Alat suntik 2,5 ml Set 1,035 0 0 0 0 0 0 0 0 0 0 0 0 0
5 Alat suntik 3 ml ser 2,500 0 0 0 0 2,500 0 4,000 4,000 0 1,300 0 0 0
6 Alat suntik 5 ml Set 1,035 300 500 0 0 0 800 827,680 500 500 517,300 0 0 0 0
7 Albendazol 400 mg Tab 407 0 0 0 0 0 0 0 0 0 0 0 0 0
Albendazol Susp 250 mg/ 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Btl 3,811
5 ml
9 Alopurinol 100 mg Tab 132 500 400 0 0 0 900 118,710 2,000 2,000 263,800 500 100 0 0
10 Alprazolam 0,5 mg Tab 460 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Ambroxol syp 60 ml Btl 3,290 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Ambroxol Tablet Tab 86 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Aminopillin 200 mg Tab 113 600 0 0 0 0 600 67,980 700 700 79,310 0 0 0 0
14 Aminopillin Injeksi Amp 3,240 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Amitriptilin Tablet Tab 102 0 0 0 0 0 0 0 0 0 0 0 0 0
16 Amlodipine 5 mg Tab 187 0 0 0 0 0 0 0 1,500 1,500 280,500 600 0 0 0
17 Amlodipin Tab 10 mg Tab 440 450 0 0 0 0 450 198,000 1,800 1,800 792,000 270 0 0 0
18 Amoksisillin 250 mg Kap 210 7,100 0 0 0 0 7,100 1,491,000 25,000 25,000 5,250,000 400 0 0 0
19 Amoksisillin 500 mg Kap 370 2,900 1,800 0 0 0 4,700 1,738,530 0 0 0 1,200 ### 0 0
Amoksisillin S.K/125 mg/5 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Btl 3,690
ml
21 Ampisillin Inj im/iv Amp 5,368 0 0 0 0 0 0 0 0 0 0 0 0 0
22 Antalgin 500mg Tab 149 0 0 0 0 0 0 0 0 0 0 0 0 0
23 Antasida DOEN Susp Btl 3,840 0 0 0 0 0 0 0 0 0 0 0 0 0
24 Antasida DOEN,100 Tab 162 4,500 0 0 0 0 4,500 728,550 15,000 15,000 2,428,500 6,900 0 0 0
 Anti bakteri
25 DOEN/Bacitrasin Tub 2,491 0 11 0 0 0 11 27,401 0 0 0 0 0 0 0
Polimiksin
Anti Migren : Ergotamin
26 Tartrat 1 mg + Kofein 50 Tab 135 0 0 0 0 0 0 0 0 0 0 0 0 0
mg
27 Anti Hemoroid DOEN Sup 2,000 0 0 0 0 0 0 0 0 0 0 0 0 0
28 Anti Malaria DOEN Tab 483 0 0 0 0 0 0 0 0 0 0 0 0 0
29 Antifungi DOEN Tub 1,719 5 0 0 0 0 5 8,594 0 0 2 0 0 0
30 Aqua Pro Injeksi Steril Vial 5,300 0 0 0 0 0 0 0 0 0 0 0 0 0
31 Arterakine Tab 26,667 0 0 0 0 0 0 0 0 0 0 0 0 0

32 Artesunate Inj vial 60 mg Vial 25,063 0 0 0 0 0 0 0 0 0 0 0 0 0

Arthemeter Inj 1 ml : 80 0 0 0 0 0 0 0 0 0 0 0 0 0
33 Amp 22,167
mg
34 As Askorbat 250 mg Tab 135 0 0 0 0 0 0 0 0 0 0 0 0 0
35 As Askorbat 50 mg Tab 32 0 0 0 0 0 0 0 0 0 0 0 0 0
36 As Mefenamat 500 mg Kap 176 0 0 0 0 0 0 0 0 0 0 0 0 0
Asam Asetil Salisilat 100 0 0 0 0 0 0 0 0 0 0 0 0 0
37 Tab 100
mg
38 Asam folat tablet Tab 45 0 0 0 0 0 0 0 0 0 0 0 0 0
Asam Traneksamat Inj 50 30 0 0 0 0 30 100,020 0 0 0 0 0 0 0
39 Amp 3,334
mg/ml
40 Asifit Tab 1,584 0 0 0 0 0 0 0 0 0 0 0 0 0
41 Asiklofir 200 mg Tab 237 0 0 0 0 0 0 0 1,500 1,500 355,500 600 0 0 0
42 Asiklofir 400 mg Tab 571 0 0 0 0 0 0 0 0 0 0 0 0 0
43 Asiklofir krim 5 % Tub 3,000 0 0 0 0 0 0 0 0 0 0 0 0 0
44 Atapulgit tablet 600 mg Tab 200 0 0 0 0 200 0 2,000 2,000 0 100 0 0 0
45 Atropin injeksi Amp 1,265 0 0 0 0 0 0 0 0 0 0 0 0 0
46 Atropin Sulfat Tab 68 0 0 0 0 0 0 0 0 0 0 0 0 0
47 Atropin Sulfat Tetes Mata Btl 0 0 0 0 0 0 0 0 0 0 0 0 0
Benzatin benzil penisilin 0 0 0 0 0 0 0 0 0 0 0 0 0
48 Vial 8,200
inj 1,2 jt IU/vial
49 Besi II Sulfat Tab 44 0 0 0 0 0 0 0 0 0 0 0 0 0

50 Betahistin Mesilat 6 mg Tab 924 450 0 0 0 0 450 415,800 1,500 1,500 1,386,000 1,050 0 0 0
51 Betametason krim 0,1% Tub 1,866 32 50 0 0 0 82 153,012 0 0 0 20 20 0 0

52 Betason - N Tub 0 0 0 0 0 0 0 0 0 0 0 0 0
53 Bioneuron Injeksi Amp 4,341 0 0 0 0 0 0 0 0 0 0 0 0 0
54 Blonick Plus Syrup Btl 18,700 0 0 0 0 0 0 0 0 0 0 0 0 0
55 Bionick Drop Btl 0 0 0 0 0 0 0 0 0 0 0 0 0
Budesonid Inhaler 200 0 0 0 0 0 0 0 0 0 0 0 0 0
56 Inh 93,000
mcg/puff 100 dosis
Catgut / Benang Bedah 0 0 0 0 0 0 0 0 0 0 0 0 0
57 Set 26,666
No. 2/0
Catgut / Benang Bedah 0 0 0 0 0 0 0 0 0 0 0 0 0
58 Set 24,583
No. 3/0
59 Cefotaxim Inj 1 gr Vial 8,678 10 0 0 0 0 10 86,780 0 0 0 0 0 0 0
60 Ceftriakson Inj 1 gr Vial 9,549 12 0 0 0 0 12 114,588 0 0 0 0 0 0 0
61 Cetirizine tablet 10 mg Tab 225 972 28 0 0 0 1,000 225,000 2,480 2,480 558,000 1,072 28 0 0
Chlorampecort Cream 10 0 0 0 0 0 0 0 0 0 0 0 0 0
62 Tub 9,955
g
Chlorampecort - H Cream 0 0 0 0 0 0 0 0 0 0 0 0 0
63 Tub
10 g
64 Copper T (Andalan) Tab 8,855 0 0 0 0 0 0 0 0 0 0 0 0 0
65 DEC 100 mg Tab 98 0 0 0 0 0 0 0 0 0 0 0 0 0
Deksametason Inj 5 mg / 160 0 0 0 0 160 320,304 0 0 20 0 0
66 Amp 2,002
ml-1 ml
67 Deksametason 0,5 mg Tab 70 3,200 700 0 0 0 3,900 273,000 10,000 10,000 700,000 2,900 700 0 0
68 Dekstrometorfan 15 mg Tab 110 0 0 0 0 0 0 0 0 0 0 0 0 0

Dekstrometorfan sirup 10 0 0 0 0 0 0 0 0 0 0 0 0 0
69 Btl 2,855
ml / 5 ml
70 Devitalisasi Pasta Btl 390,000 0 0 0 0 0 0 0 0 0 0 0 0 0
71 DHP (Dehidro Artemisin + PTab 20,000 0 0 0 0 0 0 0 0 0 0 0 0 0
72 Diapecta Tab 0 0 0 0 0 0 0 0 0 0 0 0 0
73 Diazepam 5 mg Tab 56 0 0 0 0 0 0 0 0 0 0 0 0 0
Diazepam Lar Rectal 10 0 0 0 0 0 0 0 0 0 0 0 0 0
74 Btl
mg/2.5 ml
75 Diazepam Inj 5 mg/ml Amp 2,344 0 0 0 0 0 0 0 0 0 0 0 0 0
76 Difenhidramin inj Amp 960 165 0 0 0 0 165 158,400 0 0 0 165 0 0 0
77 Digoksin 0,25 mg Tab 143 0 0 0 0 0 0 0 0 0 0 0 0 0
78 Doksisiklin 100 mg Kap 253 0 0 0 0 0 0 0 0 0 0 0 0 0
79 Domperidon 10 mg Tab 176 0 0 0 0 0 0 0 0 0 0 0 0 0
Domperidon Suspensi 5 0 0 0 0 0 0 0 0 0 0 0 0 0
80 Btl 3,333
mg/ml
81 Efedrin HCl 25 mg Tab 51 0 0 0 0 0 0 0 0 0 0 0 0 0
Epineprin(Adrenalin) Inj 0 65 0 0 0 65 97,500 0 0 0 0 0 0 0
82 Amp 1,500
0,1 %
Ergokalsiferol (Vit 0 0 0 0 0 0 0 0 0 0 0 0 0
83 Tab
D3/D2)50.000 UI
84 Etakridin Lar 0,1 % Btl 1,790 13 0 0 0 0 13 23,270 0 0 0 3 0 0 0
85 Etanol 70 % 1 ltr Btl 19,975 0 5 0 0 0 5 99,875 0 0 0 0 0 0 0
86 Etanol 70 % 100 ML Btl 2,500 0 0 0 0 0 0 0 0 0 0 0 0 0

87 Etanol 70 % (Swab 2-Ply) Ktk 12,210 8 0 0 0 0 8 97,680 0 0 0 3 0 0 0

88 Etil Klorida Spray Btl 104,950 0 0 0 0 0 0 0 0 0 0 0 0 0

89 Eugenol Cairan Btl 45,783 1 0 0 0 0 1 45,783 1 1 45,783 0 0 0 0
90 Extrak Belladona 10 mg Tab 38 0 0 0 0 0 0 0 0 0 0 0 0 0
91 Febrinex Suspensi Btl 15,855 0 0 0 0 0 0 0 0 0 0 0 0 0

92 Fenobarbital inj 50 mg/ml Amp 1,716 0 0 0 0 0 0 0 0 0 0 0 0 0

93 Fenolbarbital 30 mg Tab 65 0 0 0 0 0 0 0 0 0 0 0 0 0
Fitomenadion Inj 60 0 0 0 0 60 104,380 0 0 30 0 0 0
94 Amp 1,740
10mg/ml-1ml
95 Fitomenadion 10 mg Tab 681 0 0 0 0 0 0 0 0 0 0 0 0 0
96 Fituno Tab 3,014 0 0 0 0 0 0 0 0 0 0 0 0 0
97 Flunarizine 5 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0

98 Fluoksetin/foransi 10 mg Kap 419 0 0 0 0 0 0 0 0 0 0 0 0 0

99 Fluoksetin 20 mg Kap 0 0 0 0 0 0 0 0 0 0 0 0 0
100 Flusinolon Asetonid Cr Tub 2,400 0 0 0 0 0 0 0 0 0 0 0 0 0
101 Flutamol Syr Btl 0 0 0 0 0 0 0 0 0 0 0 0 0
102 Foley chateter No 16 Pcs 8,490 0 0 0 0 0 0 0 0 0 0 0 0 0
103 Foley chateter No 18 Pcs 8,485 0 0 0 0 0 0 0 0 0 0 0 0 0
104 Furosemid 40 mg Tab 102 200 700 0 0 0 900 91,782 400 400 40,792 100 0 0 0
105 Furosemid Injeksi Amp 1,751 0 0 0 0 0 0 0 0 0 0 0 0 0
Garam Oralit 0 0 0 0 0 0 0 0 0 0 0 0 0
106 Sas 380
Gentamisin injeksi 80 mg / 10 0 0 0 0 10 36,940 0 0 0 0 0 0
107 Amp 3,694
2ml
108 Gentamisin SK 0,1% Tub 1,837 0 0 0 0 0 0 0 0 0 0 0 0 0
Gentamisin Sulfat TM 0,3 0 0 0 0 0 0 0 0 0 0 0 0 0
109 Btl 2,904
%
110 Gentian Violet 1% Btl 440 0 0 0 0 0 0 0 0 0 0 0 0 0
111 Glass Ionomercement Set 394,990 0 0 0 0 0 0 0 0 0 0 0 0 0
112 Glibenklamid 5 mg Tab 72 0 0 0 0 0 0 0 0 0 0 0 0 0

113 Glimepiride Tablet 2 mg Tab 500 500 0 0 0 0 500 250,000 2,000 2,000 1,000,000 600 0 0 0

Gliseril Guayakolat 100 0 0 0 0 0 0 0 0 0 0 0 0 0

114 Tab 28
mg

115 Glukonas Kalsikus 10% Amp 10,425 0 0 20 0 0 20 208,500 0 0 0 0 0 10 0

116 Glukosa 10 % Btl 5,727 60 0 0 0 0 60 343,620 0 0 0 0 0 0 0

117 Glukosa 5 % Btl 5,313 170 0 0 0 0 170 903,210 120 120 637,560 110 0 0
118 Griseovulfin 125 mg Tab 240 800 0 0 0 0 800 191,920 0 0 0 800 0 0 0
119 Haloperidol 0,5 mg Tab 60 0 0 0 0 0 0 0 0 0 0 0 0 0
120 Haloperidol 1,5 mg Tab 69 0 0 0 0 0 0 0 0 0 0 0 0 0
121 Haloperidol 2 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0
122 Haloperidol 5 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0

123 Haloperidol Inj 50 mg/ml Amp 83,333 0 0 0 0 0 0 0 0 0 0 0 0 0

124 Handscoon No 7 & 7.5 Psg 4,250 0 0 0 0 0 0 0 0 0 0 0 0 0

Handscoon Non steril S & 0 0 0 0 0 0 0 0 0 0 0 0 0
125 Psg 4,250
M
126 Hidrokortison Krim 1 % Tub 2,979 38 0 0 0 0 38 113,208 12 12 35,750 20 0 0 0
127 Hidroklortiazide Tab 36 0 0 0 0 0 0 0 0 0 0 0 0 0
128 Hustab Tab 0 0 0 0 0 0 0 0 0 0 0 0 0
129 Hyoscine - N - Butil Bromi Amp 0 0 0 0 0 0 0 0 0 0 0 0 0
Hyoscine - N - Butil 0 0 0 0 0 0 0 0 0 0 0 0 0
130 Tab 395
Bromida
131 Ibuprofen 400 mg Tab 205 0 0 0 0 0 0 0 0 0 0 0 0 0
132 Ibuprofen 200 mg/ml Btl 4,499 0 0 0 0 0 0 0 0 0 0 0 0 0
133 Infusion set anak Set 3,990 50 50 0 0 0 100 399,000 50 50 199,500 25 0 0 0
134 Infusion set dewasa Set 3,500 0 0 0 0 0 0 0 0 0 0 0 0 0
135 Isosorbid dinitrat Tab Tab 97 1,100 0 0 0 0 1,100 107,085 400 400 38,940 100 0 0 0
136 IV Chateter No 20 G Set 7,776 0 0 0 0 0 0 0 0 0 0 0 0 0
 IV Chateter No 20 G/WP 0 0 0 0 0 0 0 0 0 0 0 0 0
137 Set
26
138 IV Chateter No 22 G Set 7,776 0 0 0 0 0 0 0 0 0 0 0 0 0
139 IV Chateter No 24 G Set 7,776 0 0 0 0 0 0 0 0 0 0 0 0 0

140 Kalsium Hidroksida Pasta Btl 242,000 0 0 0 0 0 0 0 0 0 0 0 0 0

Kalsium Laktat 1,800 0 0 0 0 1,800 93,600 5,000 5,000 260,000 1,400 0 0 0
141 Tab 52
Kalsium Gluconat Injeksi 2 6 5 0 0 13 0 0 0 0 0 5 0
142 Amp
IV 10%
143 Kapas Pembalut 250 gr Bks 7,450 2 0 0 0 0 2 14,900 10 10 74,500 4 0 0 0
144 Kaptopril 12,5 mg Tab 63 0 0 0 0 0 0 0 0 0 0 0 0 0
145 Kaptopril 25 mg Tab 138 400 200 0 0 0 600 82,650 1,500 1,500 206,625 500 200 0 0
146 Karbo gliseril TT 10% Btl 2,042 0 0 0 0 0 0 0 0 0 0 0 0 0
Kasa Pembalut Elastic 4 0 0 0 0 0 0 0 0 0 0 0 0 0
147 rol
Inchi
Kasa Pembalut Hidrofil 4 0 0 0 0 0 0 0 0 0 0 0 0 0
148 Rol 607
x 10 cm
Kasa Pembalut Hidrofil 16 0 0 0 0 0 0 0 0 0 0 0 0 0
149 ktk 8,490
x 16 cm
Kasa Pembalut Hidrofil 36 0 0 0 0 0 0 0 0 0 0 0 0 0
150 Rol 55,190
x 80 cm
Kasa Pembalut Hidrofil 4 0 0 0 0 0 0 0 0 0 0 0 0 0
151 Rol
X 15 cm
Kasa Kompres Steril 0 0 0 0 0 0 0 0 0 0 0 0 0
152 Rol
40X40 cm
153 Ketokonazole 2 % Tub 6,650 35 25 0 0 0 60 399,000 0 0 0 10 0 0 0
154 Ketokonazole 200 mg Tab 267 0 0 0 0 0 0 0 0 0 0 0 0 0
155 Ketorolac inj 30 mg Amp 13,365 0 0 0 0 0 0 0 300 300 4,009,500 50 0 0 0
156 Kina Inj 25% - 2 ml Amp 4,227 0 0 0 0 0 0 0 0 0 0 0 0 0
157 Kina Tablet 200 mg Tab 583 0 0 0 0 0 0 0 0 0 0 0 0 0
158 Klindamisin Kap Kap 527 0 0 0 0 0 0 0 0 0 0 0 0 0
159 Kloramfenikol 250 mg Kap 231 0 0 0 0 0 0 0 0 0 0 0 0 0
Kloramfenikol Salep Mata 1,600 0 0 0 0 0 0 0 0 0 0 0 0 0
160 Tub
1 % 5 gr
Kloramfenikol TM 0,5 % 0 5 0 0 0 5 12,500 10 10 25,000 5 5 0 0
161 Btl 2,500

162 Kloramfenikol TT 3% Btl 1,599 0 0 0 0 0 0 0 0 0 0 0 0 0

 Klorfemol Kamfer Mentol 0 0 0 0 0 0 0 0 0 0 0 0 0
163 Btl 55,000
(CHKM)
Klorpheniramin maleat 11,900 0 0 0 0 11,900 285,600 10,000 10,000 240,000 2,600 0 0 0
164 Tab 24
(CTM)
165 Klorpromazin 25 mg Tab 45 0 0 0 0 0 0 0 0 0 0 0 0 0
166 Klorpromazin 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0
167 Klozapin 25 mg Tab 1,550 0 0 0 0 0 0 0 0 0 0 0 0 0
168 Kodein 10 mg Tab 500 0 0 0 0 0 0 0 0 0 0 0 0 0
169 Kondom Pcs 141 0 0 0 0 0 0 0 0 0 0 0 0 0
170 Kotrimoksazol 480 mg Tab 160 0 0 0 0 0 0 0 2,000 2,000 320,000 500 0 0 0
171 Kotrimoksazol Susp Tab 3,960 65 10 0 0 0 75 297,000 100 100 396,000 0 0 0 0
172 Lanzoprazole 30 mg Tab 473 0 0 0 0 0 0 0 0 0 0 0 0 0
173 Larutan Aminoleban Btl 65,000 0 0 0 0 0 0 0 0 0 0 0 0 0
174 Larutan Asering Btl 9,000 0 0 0 0 0 0 0 0 0 0 0 0 0

175 Levotiroksin Tab 100 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0

176 Lidokain Inj 2% Amp 1,137 0 90 0 0 0 90 102,300 600 600 682,000 120 0 0 0
177 Loratadine tab 10 mg Tab 160 0 0 0 0 0 0 0 0 0 0 0 0 0
178 Loperamid 2 mg Tab 89 0 0 0 0 0 0 0 0 0 0 0 0 0
179 Masker with Tie On box 1,117 5 4 0 0 0 9 10,053 6 6 6,702 5 0 0 0
180 Meloksikam tab 15 mg Tab 348 0 0 0 0 0 0 0 0 0 0 0 0 0
181 Mersibion Injeksi Amp 0 0 0 0 0 0 0 0 0 0 0 0 0
182 Metformin HCL 500 mg Tab 105 0 0 0 0 0 0 0 0 0 0 0 0 0
183 Metil Prednisolon 4 mg Tab 296 800 0 0 0 0 800 236,664 0 0 0 800 0 0 0
Metilergometrin Maleat 0 0 0 0 0 0 0 0 0 0 0 0 0
184 Tab 121
185 Metoklopramid 10 mg Tab 110 300 100 0 0 0 400 44,000 2,900 2,900 319,000 500 100 0 0
Metoklopramid Injk 5 mg/ 0 0 0 0 0 0 0 0 0 0 0 0 0
186 Amp 980
ml
187 Metronidazol 500 mg Tab 164 0 0 0 0 0 0 0 0 0 0 0 0 0
Metronidazol infus 500 0 0 0 0 0 0 0 0 0 0 0 0 0
188 Btl 9,950
mg/100 ml
189 MgSO4 20% Amp 1,540 0 0 0 0 0 0 0 0 0 0 0 0 0
190 MgSO4 40% Amp 1,948 0 0 12 0 0 12 23,376 0 0 0 0 0 12 0
191 Miraclav Tab 13,200 0 0 0 0 0 0 0 0 0 0 0 0 0
192 Mineral Mix Sas 2,475 0 0 0 0 80 80 198,000 0 0 0 0 0 0 0
193 Mummifying Pasta Vial 176,000 0 0 0 0 0 0 0 0 0 0 0 0 0
194 NaCl 0,9 % Btl 4,900 0 0 0 0 0 0 0 0 0 0 0 0 0
 Natrium Bicarbonat 500 0 0 0 0 0 0 0 0 0 0 0 0 0
195 Tab 14
mg

196 Natrium Diklofenak 25 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0

197 Natrium Diklofenak 50 mg Tab 217 12,200 0 0 0 0 12,200 2,653,256 5,600 5,600 1,217,888 1,500 0 0 0

Natrium Sulfacetamid 0 0 0 0 0 0 0 0 0 0 0 0 0
198 Btl
Tetes Mata
199 Natrium Tiroksin tab Tab 1,390 0 0 0 0 0 0 0 0 0 0 0 0 0
200 Neurodial Tab 0 0 0 0 0 0 0 0 0 0 0 0 0
201 Neurovit - E Tab 924 0 0 0 0 0 0 0 0 0 0 0 0 0
202 Nifedipin 10 mg Tab 129 0 1,000 0 0 0 1,000 129,000 2,900 2,900 374,100 800 0 0 0
Nistatin Vaginal 100.000 100 0 0 0 0 100 40,700 200 200 81,400 100 0 0
203 Tab 407
IU/ g
204 Nistatin 500.000 IU/ g Tab 0 0 0 0 0 0 0 0 0 0 0 0 0
205 Nodiar Tab 924 0 0 0 0 0 0 0 0 0 0 0 0 0
206 Noza Tab 399 0 0 0 0 0 0 0 0 0 0 0 0 0
207 OAT Kat Anak Pkt 171,900 0 0 0 0 0 0 0 0 0 0 0 0 0
208 OAT sisipan Pkt 159,200 0 0 0 0 0 0 0 0 0 0 0 0 0
209 OAT Kat 1 Pkt 172,000 0 0 0 0 0 0 0 0 0 0 0 0 0

210 OAT Kat Anak Combipac Pkt 215,000 0 0 0 0 0 0 0 0 0 0 0 0 0

211 OAT-FDC Kat 1 Pkt 360,000 0 0 0 0 0 0 0 0 0 0 0 0 0

212 OAT-FDC Kat 2 Pkt 1,200,000 0 0 0 0 0 0 0 0 0 0 0 0 0
Obat Batuk Hitam 0 0 0 0 0 0 0 0 0 0 0 0 0
213 Btl 1,420
Obat Suntik KB I 3 blnan 1 0 0 0 0 0 0 0 0 0 0 0 0 0
214 Vial 6,500
ml
Obat Suntik KB I 3 blnan 3 0 0 0 0 0 0 0 0 0 0 0 0 0
215 Vial 6,500
ml
Oksimetazolin Tts Hidung 27,550 3 0 0 0 0 3 82,650 3 3 82,650 0 0 0 0
216 Btl
0,05% dewasa
217 Oksitetrasiklin HCl Inj Amp 3,100 0 0 0 0 0 0 0 0 0 0 0 0 0

218 Oksitetrasiklin HCl SK 3% Tub 1,651 0 0 0 0 0 0 0 0 0 0 0 0 0

Oksitosin Injeksi 10 IU / ml 0 0 0 0 0 0 0 0 0 0 0 0 0 0
219 Amp 1,820
- 1 ml
220 Oxytetrasiklin S.M 1% Tub 2,100 0 0 0 0 0 0 0 0 0 0 0 0 0
221 Omeprazole 20 mg kap Kap 265 1,440 600 0 0 0 2,040 540,600 2,910 2,910 771,150 750 600 0 0
 Ondansetron Injeksi 4 0 0 0 0 0 0 0 0 0 0 0 0 0
222 Amp 2,400
mg/2 ml
223 Ondansetron 4 mg Tab 472 0 0 0 0 0 0 0 0 0 0 0 0 0
224 Papaverin tab 40 mg Tab 99 0 0 0 0 0 0 0 0 0 0 0 0 0
225 Paracetamol 100 mg Tab 32 0 0 0 0 0 0 0 0 0 0 0 0 0
226 Parasetamol 500 mg Tab 105 52,800 0 0 0 0 52,800 5,538,720 11,000 11,000 1,153,900 3,300 0 0 0
227 Parasetamol Drops Btl 5,270 0 0 0 0 0 0 0 0 0 0 0 0 0
Parasetamol sirup 120 mg 0 0 0 0 0 0 0 250 250 572,500 100 0 0 0
228 Btl 2,290
/ 5 ml
Permethrin Cream 5 % 10 0 0 0 0 0 0 0 15 15 172,125 0 0 0 0
229 Tub 11,475
g
230 Pil KB I Tab 2,175 0 0 0 0 0 0 0 0 0 0 0 0 0
Pirantel Suspensi 125 0 0 0 0 0 0 0 0 0 0 0 0 0
231 Btl 8,360
mg / 5 ml
Pirantel Tab Scorr (base) 0 0 0 0 0 0 0 0 0 0 0 0 0
232 Tab
250 mg
233 Pirasetam inj 3 g/15ml Amp 17,103 0 0 0 0 0 0 0 0 0 0 0 0 0
234 Piridoksin 10 mg Tab 17 500 0 0 0 0 500 8,700 4,000 4,000 69,600 1,500 0 0 0
235 Piroksikam 20 mg Kap 84 0 0 0 0 0 0 0 0 0 0 0 0 0
236 Plester 5 yard x 2 inch Rol 23,625 0 0 0 0 0 0 0 0 0 0 0 0 0
Povidon Iodida 10 % 30 0 0 0 0 0 0 0 48 48 114,720 10 0 0 0
237 Btl 2,390
ml
Povidon Iodida Lar. 10 % 0 0 0 0 0 0 0 0 0 0 0 0 0
238 Btl 14,203
300 ml
239 Prednison 5 mg Tab 63 500 0 0 0 0 500 31,250 4,000 4,000 250,000 1,800 0 0 0
240 Primakuin tab 15 mg Tab 114 0 0 0 0 0 0 0 0 0 0 0 0 0
241 Progastric Tab 303 0 0 0 0 0 0 0 0 0 0 0 0 0
Prokain Benzil Penicillin G 0 0 0 0 0 0 0 0 0 0 0 0 0
242 Vial 6,100
inj 3 jtIU/Vial
243 Propanolol 10 mg Tab 77 0 0 0 0 0 0 0 0 0 0 0 0 0
244 Propiltiourasil 100 mg Tab 300 0 0 0 0 0 0 0 0 0 0 0 0 0
245 Ramaton Tab 0 0 0 0 0 0 0 0 0 0 0 0 0
246 Ramipril 2,5 mg Tab 300 0 0 0 0 0 0 0 0 0 0 0 0 0
247 Ramipril 5 mg Tab 580 0 0 0 0 0 0 0 0 0 0 0 0 0
248 Ranitidin 150 mg Tab 110 0 0 0 0 0 0 0 10,000 10,000 1,100,000 1,200 0 0 0
249 Ranitidin inj 25 mg/ml Amp 1,542 0 90 0 0 0 90 138,780 0 0 0 0 35 0 0
250 Retinol 100.000 IU (Biru) Kap 286 0 0 0 0 450 450 128,610 0 0 0 0 0 0 0
 Retinol 200.000 IU 0 0 0 0 1,500 1,500 692,700 0 0 0 0 0 0 0
251 Kap 462
(Merah)
252 Ringer Laktat Btl 5,200 480 300 0 0 0 780 4,056,000 700 700 3,640,000 120 300 0 0
253 Risperidon 1 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0
254 Risperidon 2 mg Tab 1,008 0 0 0 0 0 0 0 0 0 0 0 0 0
255 Risperidon 3 mg Tab 0 0 0 0 0 0 0 0 0 0 0 0 0
256 Salbutamol 2 mg Tab 84 0 300 0 0 0 300 25,209 0 0 0 0 300 0 0
257 Salbutamol 4 mg Tab 80 0 0 0 0 0 0 0 0 0 0 0 0 0
Salbutamol Inhalasi 100 0 0 0 0 0 0 0 0 0 0 0 0 0
258 Btl
mcg/dosis
259 Salep 2-4 Pot 1,229 16 0 0 0 0 16 19,660 0 0 0 12 0 0 0
260 Salisil Bedak 2 % ktk 1,420 0 30 0 0 0 30 42,600 0 0 0 5 0 0
261 Scabisid Cream 10 g Tub 28,380 0 0 0 0 0 0 0 0 0 0 0 0 0
Sefadroksil Sirup 125 mg/ 0 0 0 0 0 0 0 0 0 0 0 0 0
262 Btl 4,896
5 ml
263 Sefadroksil 500 mg Kap 521 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Semen Seng Fosfat 0 0 0 0 0 0 0 0 0 0 0 0 0
264 Btl 93,500
serbuk&cairan
265 Serum (ABU I) 5 ml Vial 398,475 2 0 0 0 0 2 796,950 0 0 0 0 0 0 0
266 Serum ATS 1500 IU Amp 91,650 0 0 0 0 0 0 0 20 20 1,833,000 2 0 0 0
Sianokobalamin inj 500 35 0 0 0 0 35 36,292 300 300 311,070 35 0 0 0
267 Amp 1,037
mcg - ml
268 Silk No 3/0. Set 6,969 12 0 0 0 0 12 83,633 0 0 12 0 0 0
269 Simvastatin 10 mg Tab 180 0 180 0 0 0 180 32,400 1,000 1,000 180,000 0 150 0 0
270 Siprofloksasin 500 mg tab 284 200 0 0 0 0 200 56,800 1,000 1,000 284,000 500 0 0 0
271 Spironolakton 25 mg Tab 315 0 0 0 0 0 0 0 0 0 0 0 0 0
Sukralfat/Ulsafat Suspensi 9 0 0 0 0 9 120,825 0 0 0 5 0 0 0
272 Btl 13,425
500 mg/5 ml
273 Susuk KB II Set 105,135 0 0 0 0 0 0 0 0 0 0 0 0 0
274 Tablet Tambah Darah Ktk 10,560 0 0 0 0 0 0 0 0 0 0 0 0 0
Temporary Stoping 0 0 0 0 0 0 0 0 0 0 0 0 0
275 Btl 34,000
Flecher Serbuk
276 Tetrasiklin HCL 250 mg Kap 166 0 0 0 0 0 0 0 0 0 0 0 0 0
277 Tetrasiklin HCL 500 mg Kap 257 0 0 0 0 0 0 0 0 0 0 0 0 0
278 Tiamin HCL 100 mg Tab 81 0 0 0 0 0 0 0 0 0 0 0 0 0
279 Tiamin HCL 50mg Tab 38 2,600 0 0 0 0 2,600 98,254 5,000 5,000 188,950 1,700 0 0 0

280 Timolol Tetes Mata 0,25 % Btl 9,128 0 0 0 0 0 0 0 0 0 0 0 0 0

281 Tramadol Injek 50 mg/ ml Amp 5,400 300 0 0 0 0 300 1,620,000 0 0 300 0 0 0

282 Tramadol kap 50 mg Kap 189 0 0 0 0 0 0 0 0 0 0 0 0 0

283 Trifluoperazin 5 mg Tab 405 0 0 0 0 0 0 0 0 0 0 0 0 0
284 Triheksifenidil 2mg Tab 40 0 0 0 0 0 0 0 900 900 36,000 0 0 0 0
Urea Cream/soft U derm 0 0 0 0 0 0 0 0 0 0 0 0 0
285 Tub 6,400
10 %
286 Urin bag pcs 3,990 0 40 0 0 0 40 159,600 0 0 0 0 0 0
Vaksin Anti Rabies 0 0 0 0 0 0 0 0 0 0 0 0 0
287 Vial 126,500
( Verorad )
288 Ventolin/Salbutamol Inhala Btl 63,750 0 0 0 0 0 0 0 0 0 0 0 0 0
289 Vitamin B.Komplek Tab 22 500 0 0 0 0 500 11,095 7,000 7,000 155,330 3,000 0 0 0
290 Wing Needle No. 23 G set 5,770 0 0 0 0 0 0 0 0 0 0 0 0 0
291 Wing Needle No. 25 G set 5,770 0 0 0 0 0 0 0 0 0 0 0 0 0
292 Wing Needle No.27 G set 5,470 0 0 0 0 0 0 0 0 0 0 0 0 0
293 Zink 20 mg tab 475 0 0 0 800 0 800 380,000 0 0 0 0 0 400
294 Zink drop 10 mg/ml Btl 12,840 0 0 0 0 0 0 0 0 0 0 0 0
295 Zink Syrup Btl 0 0 0 0 0 0 0 0 0 0 0 0 0
296 Metylergometrin Maleat inj. Amp 0 0 0 0 0 0 0 0 0 0 0 0 0
297 Simvastatin 20 mg Tab 252.00 500 0 0 0 0 500 126,000 1,000 1,000 252,000 200 0 0 0
Kloramfenikol SM 0 0 0 0 0 0 0 0 0 0 0 0 0
298 Tub 3,091
(Bufacetin)
299 Metylprednisolon 8 mg Tab 309 0 0 0 0 0 0 0 0 0 0 0 0 0
300 Mikonazole Crem 2% Tub 3250 0 0 0 0 0 0 0 0 0 0 0 0 0
301 N.Asetil Sistein tab 200mg Tab 426 0 0 0 0 0 0 0 0 0 0 0 0 0
302 Pehapral Tab 809 0 0 0 0 0 0 0 0 0 0 0 0 0
Pembalut Elastis crape rol 21 0 0 0 0 21 0 0 0 11 0 0 0
303
7,5cmx4,55cm
304 Kloramfenikol 500mg kap 1007 400 0 0 0 0 400 402,800 0 0 400 0 0 0
305 Ceuticel clasik 10 X 10 cm pcs 33645 160 0 0 0 0 160 5,383,200 40 40 1,345,800 40 0 0 0
306 Alat suntik 0,5 ml pcs 0 0 0 0 0 0 0 0 0 0 0
307 Alkazyme sacset 25 Sas 99 0 0 0 0 0 0 10 0 0 0
308 Asam Asetyl Salisilat 80mg tab 0 0 0 0 0 0 0 0 0 0 0
309 Daryant-Tulle 10x10 helai 0 0 0 0 0 0 0 0 0 0 0
310 Dimenhidrinat 50mg tab 0 0 0 0 0 0 0 0 0 0 0
311 Dulcolax supp infant 5mg Sup 14 0 0 0 0 0 0 14 0 0 0
312 Gentamisin SM 0,3% Tub 0 0 0 0 0 0 0 0 0 0 0
314 Leukoplas 1622H rol 13 0 0 0 0 18 18 0 5 0 0 0
Diazepam Lar Rectal Tub 0 0 0 0 0 0 0 0 0 0 0
315
5mg/2.5 ml
316 Alkohol 70% 300ml Btl 0 0 0 0 0 0 0 0 0 0 0
317 Kapas Pembalut 100 gr rol 0 0 0 0 0 0 0 0 0 0 0
318 Pavidon Iodida 60 ml Btl 8 0 0 0 0 48 48 0 14 0 0 0
319 IV Catheter No. 26 G Sas 0 0 0 0 0 0 0 0 0 0 0
320 Masker with Ear Loop box 8 0 0 0 0 10 10 5 0 0 0
321 Oflosasin TT 3% Btl 4 0 0 0 0 0 0 0 0
322 Betadin Sabun cair Btl 3 0 0 0 0 5 5 2 0 0 0
323 Betadin salep 5 mg Tub 88 0 0 0 0 48 48 20 0 0 0
324 Dulcolax supp infant 10mg 3 0 0 0 0 3 0 0 0
325 Eritromycin kap 500 mg Kap 500 0 0 0 0 1,500 1,500 200 0 0 0
326 Lisol Concentrate 1 ltr Btl 7 0 0 0 0 10 10 1 0 0 0
327 Paper Tape 2,5 X 9,14 cm Rol 0 0 0 0 0 12 12 2 0 0 0
328 Sefadroksil 250 mg Kap 690 1,100 0 0 0 0 2,000 2,000 1,200 0 0 0
Oksimetazolin Tts Hidung Btl 2 0 0 0 0 0 0 0 0
329
0,025%
330 Sarung tangan steril N0.8 pcs 0 0 0 0 0 0 0 0 0
331 Dulcolax supp infant 5mg supp 9 0 0 0 0 0 0 0 0
332 Underpad pcs 0 20 0 0 0 0 0 20 0 0
333 Hydrogel w dressing ktk 0 2 0 0 0 0 0 2 0 0
334 Soft U Derm krim tube 0 6 0 0 0 0 0 4 0 0
335 0 0 0 0
336
Total Rp 59,234,024 Rp 35,334,745

Mengetahui
Kepala Puskesmas Rawat Inap Ketapang

dr.Hi.DIAN MAULI,MH
NIP.19800120 200804 1 001
Jumlah Kunjungan Resep umum jkn jamkesda jumlah
Puskesmas Induk 0
Pustu + Bides 0
Total 955
PEMAKAIAN SISA STOCK KEB. PER TRI BULAN

PKD
Gizi Total Total harga DAK KIA P2M Gizi TOTAL NILAI (RP) TOTAL NILAI(RP)
PROP

0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 500 544500
0 0 0 0 0 0 0 0 0 0 0 0
0 1,300 0 4,700 0 0 0 0 4,700 0 1800 0
0 0 0 800 500 0 0 0 1,300 1,344,980 1000 1034600
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 600 79140 2,000 300 0 0 0 2,300 303,370 1000 131900
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 1,300 0 0 0 0 1,300 147,290 500 56650
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 600 112200 900 0 0 0 0 900 168,300 1500 280500
0 270 118800 840 0 0 0 0 840 369,600 1050 462000
0 400 84000 31,700 0 0 0 0 31,700 6,657,000 3000 630000
0 2,200 813780 1,700 800 0 0 0 2,500 924,750 10000 3699000
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 100 384000
0 6,900 1117110 12,600 0 0 0 0 12,600 2,039,940 15000 2428500
0 0 0 0 11 0 0 0 11 27,401 0 0

0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 20 40000
0 0 0 0 0 0 0 0 0 0 0 0
0 2 3438 3 0 0 0 0 3 5,156 24 41250
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 2000 63980
0 0 0 0 0 0 0 0 0 0 15000 2638500
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 30 0 0 0 0 30 100,020 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 600 142200 900 0 0 0 0 900 213,300 500 118500
0 0 0 0 0 0 0 0 0 0 500 285615
0 0 0 0 0 0 0 0 0 0 50 149980
0 100 0 2,100 0 0 0 0 2,100 0 500 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 1,050 970200 900 0 0 0 0 900 831,600 3000 2772000
0 40 74640 12 30 0 0 0 42 78,372 150 279900
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 156 3834935
0 0 0 10 0 0 0 0 10 86,780 50 433900
0 0 0 12 0 0 0 0 12 114,588 50 477450
0 1,100 247500 2,380 0 0 0 0 2,380 535,500 2480 558000

0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0

0 20 40038 140 0 0 0 0 140 280,266 200 400380

0 3,600 252000 10,300 0 0 0 0 10,300 721,000 10000 700000

0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 165 158400 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 65 0 0 0 65 97,500 0 0

0 0 0 0 0 0 0 0 0 0 0 0
0 3 5370 10 0 0 0 0 10 17,900 0 0
0 0 0 0 5 0 0 0 5 99,875 5 99875
0 0 0 0 0 0 0 0 0 0 0 0
0 3 36630 5 0 0 0 0 5 61,050 10 122100
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 2 0 0 0 0 2 91,567 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 30 52190 30 0 0 0 0 30 52,190 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 100 10198 500 700 0 0 0 1,200 122,376 500 50990
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 1200 456000
0 0 0 10 0 0 0 0 10 36,940 0 0
0 0 0 0 0 0 0 0 0 0 100 183700
0 0 0 0 0 0 0 0 0 0 50 145200
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 1500 107850

0 600 300000 1,900 0 0 0 0 1,900 950,000 0 0

0 0 0 0 0 0 0 0 0 0 7000 195300

0 10 104250 0 0 10 0 0 10 104,250 0 0
0 0 0 60 0 0 0 0 60 343,620 0 0
0 110 584430 180 0 0 0 0 180 956,340 0 0
0 800 191920 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 100 425000
0 0 0 0 0 0 0 0 0 0 200 850000
0 20 59583 30 0 0 0 0 30 89,375 150 446875
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 1500 307410
0 0 0 0 0 0 0 0 0 0 0 0
0 25 99750 75 50 0 0 0 125 498,750 150 598500
0 0 0 0 0 0 0 0 0 0 250 875000
0 100 9735 1,400 0 0 0 0 1,400 136,290 0 0
0 0 0 0 0 0 0 0 0 0 200 1555120
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 250 1943900
0 0 0 0 0 0 0 0 0 0 250 1943900
0 0 0 0 0 0 0 0 0 0 0 0
0 1,400 72800 5,400 0 0 0 0 5,400 280,800 2000 104000
0 5 0 2 6 0 0 0 8 0 0 0
0 4 29800 8 0 0 0 0 8 59,600 10 74500
0 0 0 0 0 0 0 0 0 0 0 0
0 700 96425 1,400 0 0 0 0 1,400 192,850 2000 275500
0 0 0 0 0 0 0 0 0 0 24 49008
0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 200 121360

0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 5 275950

0 0 0 0 0 0 0 0 0 0 200 0

0 0 0 0 0 0 0 0 0 0 100 0
0 10 66500 25 25 0 0 0 50 332,500 0 0
0 0 0 0 0 0 0 0 0 0 500 133500
0 50 668250 250 0 0 0 0 250 3,341,250 150 2004750
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 25 40000

0 10 25000 5 0 0 0 0 5 12,500 25 62500

0 0 0 0 0 0 0 0 0 0 25 39975
0 0 0 0 0 0 0 0 0 0 0 0

0 2,600 62400 19,300 0 0 0 0 19,300 463,200 15000 360000

0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 500 80000 1,500 0 0 0 0 1,500 240,000 0 0
0 0 0 165 10 0 0 0 175 693,000 100 396000
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 120 136400 480 90 0 0 0 570 647,900 300 341000
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 5 5585 6 4 0 0 0 10 11,170 10 11170
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 1000 105000
0 800 236664 0 0 0 0 0 0 0 10000 2958300
0 0 0 0 0 0 0 0 0 0 0 0
0 600 66000 2,700 0 0 0 0 2,700 297,000 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 12 23376 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 80 80 198,000 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 40 196000
0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0

0 1,500 326220 16,300 0 0 0 0 16,300 3,544,924 8400 1826832

0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 800 103200 2,100 1,000 0 0 0 3,100 399,900 0 0
0 100 40700 200 0 0 0 0 200 81,400 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 6 0 0 0 0 6 165,300 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 1,350 357750 3,600 0 0 0 0 3,600 954,000 2250 596250
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 3,300 346170 60,500 0 0 0 0 60,500 6,346,450 33600 3524640
0 0 0 0 0 0 0 0 0 0 0 0
0 100 229000 150 0 0 0 0 150 343,500 250 572500

0 0 0 15 0 0 0 0 15 172,125 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 1,500 26100 3,000 0 0 0 0 3,000 52,200 1500 26100
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 10 236250
0 10 23900 38 0 0 0 0 38 90,820 0 0

0 0 0 0 0 0 0 0 0 0 0 0
0 1,800 112500 2,700 0 0 0 0 2,700 168,750 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 1,200 132000 8,800 0 0 0 0 8,800 968,000 3000 330000
0 35 53970 0 55 0 0 0 55 84,810 300 462600
0 0 0 0 0 0 0 450 450 128,610 0 0
0 0 0 0 0 0 0 1,500 1,500 692,700 0 0
0 420 2184000 1,060 0 0 0 0 1,060 5,512,000 1000 5200000
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 300 25209 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 2000 160000
0 0 0 0 0 0 0 0 0 0 0 0
0 12 14745 4 0 0 0 0 4 4,915 36 44235
0 5 7100 0 25 0 0 0 25 35,500 0 0
0 0 0 0 0 0 0 0 0 0 12 340560
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 2000 1042000
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 2 0 0 0 0 2 796,950 0 0
0 2 183300 18 0 0 0 0 18 1,649,700 0 0
0 35 36292 300 0 0 0 0 300 311,070 200 207380
0 12 83633 0 0 0 0 0 0 0 72 501800
0 150 27000 1,000 30 0 0 0 1,030 185,400 700 126000
0 500 142000 700 0 0 0 0 700 198,800 1000 284000
0 0 0 0 0 0 0 0 0 0 0 0
0 5 67125 4 0 0 0 0 4 53,700 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 1,700 64243 5,900 0 0 0 0 5,900 222,961 5000 188950
0 0 0 0 0 0 0 0 0 0 0 0
0 300 1620000 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 900 0 0 0 0 900 36,000 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 40 0 0 0 40 159,600 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 3,000 66570 4,500 0 0 0 0 4,500 99,855 7000 155330
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 400 190000 0 0 0 400 0 400 190,000 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 200 50400 1,300 0 0 0 0 1,300 327,600 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0

0 11 0 10 0 0 0 0 10 0 0 0

0 400 402800 0 0 0 0 0 0 0 0 0
0 40 1345800 160 0 0 0 0 160 5,383,200 0 0
0 0 0 0 0 0 0 0 0 0 500 0
0 10 0 89 0 0 0 0 89 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 14 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 5 0 26 0 0 0 0 26 0 50 0

0 0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 14 0 42 0 0 0 0 42 0 20 0
0 0 0 0 0 0 0 0 0 0 50 0
0 5 0 13 0 0 0 0 13 0 0 0
0 0 0 4 0 0 0 0 4 0 0 0
0 2 0 6 0 0 0 0 6 0 10 0
0 20 0 116 0 0 0 0 116 0 0 0
0 3 0 0 0 0 0 0 0 0 0 0
0 200 0 1,800 0 0 0 0 1,800 0 0 0
0 1 0 16 0 0 0 0 16 0 0 0
0 2 0 10 0 0 0 0 10 0 24 0
0 1200 828000 1,900 0 0 0 0 1,900 1,311,000 1000 690000
0 0 0 2 0 0 0 0 2 0 0 0
0 0 0 0 0 0 0 0 0 0 100 0
0 0 18 0 0
0 20 0 0 0 0 0 0 0
0 2 0 0 0 0 0 0 0
0 4 0 2 0 0 0 2 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0
Rp 16,326,429 Rp 78,242,340

Ketapang , 04 Nopember 2019

Pengelola Obat Puskesmas

EYIN MUHIDIN
NIP.19620906 198803 1 006
 LAPORAN
Puskesmas : Ketapang
Bulan : Nopember
Tahun : 2019

STOCK AWAL
S
NO NAMA OBAT a Harga satuan PKD
t DAK KIA P2M Gizi Total
PROP

ACT (Artesunate tablet 50

1 mg + Amodiaquine Tab 1,375 0 0 0 0 0 0
anhydrida tablet 200 mg)

2 Adrenalin Inj Amp 1,240 0 0 0 0 0 0

3 Alat suntik 1 ml Set 1,089 0 0 0 0 0 0
4 Alat suntik 2,5 ml Set 1,035 0 0 0 0 0 0
5 Alat suntik 3 ml ser 4,700 0 0 0 0 4,700
6 Alat suntik 5 ml Set 1,035 800 500 0 0 0 1,300
7 Albendazol 400 mg Tab 407 0 0 0 0 0 0
Albendazol Susp 250 mg/ 0 0 0 0 0 0
8 Btl 3,811
5 ml
9 Alopurinol 100 mg Tab 132 2,000 300 0 0 0 2,300
10 Alprazolam 0,5 mg Tab 460 0 0 0 0 0 0
11 Ambroxol syp 60 ml Btl 3,290 0 0 0 0 0 0
12 Ambroxol Tablet Tab 86 0 0 0 0 0 0
13 Aminopillin 200 mg Tab 113 1,300 0 0 0 0 1,300
14 Aminopillin Injeksi Amp 3,240 0 0 0 0 0 0
15 Amitriptilin Tablet Tab 102 0 0 0 0 0 0
16 Amlodipine 5 mg Tab 187 900 0 0 0 0 900
17 Amlodipin Tab 10 mg Tab 440 840 0 0 0 0 840
18 Amoksisillin 250 mg Kap 210 31,700 0 0 0 0 31,700
19 Amoksisillin 500 mg Kap 370 1,700 800 0 0 0 2,500
Amoksisillin S.K/125 mg/5 0 0 0 0 0 0
20 Btl 3,690
ml
21 Ampisillin Inj im/iv Amp 5,368 0 0 0 0 0 0
22 Antalgin 500mg Tab 149 0 0 0 0 0 0
23 Antasida DOEN Susp Btl 3,840 0 0 0 0 0 0
24 Antasida DOEN,100 Tab 162 12,600 0 0 0 0 12,600
Anti bakteri
25 DOEN/Bacitrasin Tub 2,491 0 11 0 0 0 11
Polimiksin
Anti Migren : Ergotamin
26 Tartrat 1 mg + Kofein 50 Tab 135 0 0 0 0 0 0
mg
27 Anti Hemoroid DOEN Sup 2,000 0 0 0 0 0 0
28 Anti Malaria DOEN Tab 483 0 0 0 0 0 0
29 Antifungi DOEN Tub 1,719 3 0 0 0 0 3
30 Aqua Pro Injeksi Steril Vial 5,300 0 0 0 0 0 0
31 Arterakine Tab 26,667 0 0 0 0 0 0
32 Artesunate Inj vial 60 mg Vial 25,063 0 0 0 0 0 0
Arthemeter Inj 1 ml : 80 0 0 0 0 0 0
33 Amp 22,167
mg
34 As Askorbat 250 mg Tab 135 0 0 0 0 0 0
35 As Askorbat 50 mg Tab 32 0 0 0 0 0 0
36 As Mefenamat 500 mg Kap 176 0 0 0 0 0 0
Asam Asetil Salisilat 100 0 0 0 0 0 0
37 Tab 100
mg
38 Asam folat tablet Tab 45 0 0 0 0 0 0
Asam Traneksamat Inj 50 30 0 0 0 0 30
39 Amp 3,334
mg/ml
40 Asifit Tab 1,584 0 0 0 0 0 0
41 Asiklofir 200 mg Tab 237 900 0 0 0 0 900
42 Asiklofir 400 mg Tab 571 0 0 0 0 0 0
43 Asiklofir krim 5 % Tub 3,000 0 0 0 0 0 0
44 Atapulgit tablet 600 mg Tab 2,100 0 0 0 0 2,100
45 Atropin injeksi Amp 1,265 0 0 0 0 0 0
46 Atropin Sulfat Tab 68 0 0 0 0 0 0
47 Atropin Sulfat Tetes Mata Btl 0 0 0 0 0 0
Benzatin benzil penisilin 0 0 0 0 0 0
48 Vial 8,200
inj 1,2 jt IU/vial
49 Besi II Sulfat Tab 44 0 0 0 0 0 0
50 Betahistin Mesilat 6 mg Tab 924 900 0 0 0 0 900
51 Betametason krim 0,1% Tub 1,866 12 30 0 0 0 42
52 Betason - N Tub 0 0 0 0 0 0
53 Bioneuron Injeksi Amp 4,341 0 0 0 0 0 0
54 Blonick Plus Syrup Btl 18,700 0 0 0 0 0 0
55 Bionick Drop Btl 0 0 0 0 0 0
Budesonid Inhaler 200 0 0 0 0 0 0
56 Inh 93,000
mcg/puff 100 dosis
Catgut / Benang Bedah 0 0 0 0 0 0
57 Set 26,666
No. 2/0
Catgut / Benang Bedah 0 0 0 0 0 0
58 Set 24,583
No. 3/0
59 Cefotaxim Inj 1 gr Vial 8,678 10 0 0 0 0 10
60 Ceftriakson Inj 1 gr Vial 9,549 12 0 0 0 0 12
61 Cetirizine tablet 10 mg Tab 225 2,380 0 0 0 0 2,380
Chlorampecort Cream 10 0 0 0 0 0 0
62 Tub 9,955
g
Chlorampecort - H Cream 0 0 0 0 0 0
63 Tub
10 g
64 Copper T (Andalan) Tab 8,855 0 0 0 0 0 0
65 DEC 100 mg Tab 98 0 0 0 0 0 0
 Deksametason Inj 5 mg / 140 0 0 0 0 140
66 Amp 2,002
ml-1 ml
67 Deksametason 0,5 mg Tab 70 10,300 0 0 0 0 10,300
68 Dekstrometorfan 15 mg Tab 110 0 0 0 0 0 0
Dekstrometorfan sirup 10 0 0 0 0 0 0
69 Btl 2,855
ml / 5 ml
70 Devitalisasi Pasta Btl 390,000 0 0 0 0 0 0
71 DHP (Dehidro Artemisin + PTab 20,000 0 0 0 0 0 0
72 Diapecta Tab 0 0 0 0 0 0
73 Diazepam 5 mg Tab 56 0 0 0 0 0 0
Diazepam Lar Rectal 10 0 0 0 0 0 0
74 Btl
mg/2.5 ml
75 Diazepam Inj 5 mg/ml Amp 2,344 0 0 0 0 0 0
76 Difenhidramin inj Amp 960 0 0 0 0 0 0
77 Digoksin 0,25 mg Tab 143 0 0 0 0 0 0
78 Doksisiklin 100 mg Kap 253 0 0 0 0 0 0
79 Domperidon 10 mg Tab 176 0 0 0 0 0 0
Domperidon Suspensi 5 0 0 0 0 0 0
80 Btl 3,333
mg/ml
81 Efedrin HCl 25 mg Tab 51 0 0 0 0 0 0
Epineprin(Adrenalin) Inj 0 65 0 0 0 65
82 Amp 1,500
0,1 %
Ergokalsiferol (Vit 0 0 0 0 0 0
83 Tab
D3/D2)50.000 UI
84 Etakridin Lar 0,1 % Btl 1,790 10 0 0 0 0 10
85 Etanol 70 % 1 ltr Btl 19,975 0 5 0 0 0 5
86 Etanol 70 % 100 ML Btl 2,500 0 0 0 0 0 0

87 Etanol 70 % (Swab 2-Ply) Ktk 12,210 5 0 0 0 0 5

88 Etil Klorida Spray Btl 104,950 0 0 0 0 0 0

89 Eugenol Cairan Btl 45,783 2 0 0 0 0 2
90 Extrak Belladona 10 mg Tab 38 0 0 0 0 0 0
91 Febrinex Suspensi Btl 15,855 0 0 0 0 0 0

92 Fenobarbital inj 50 mg/ml Amp 1,716 0 0 0 0 0 0

93 Fenolbarbital 30 mg Tab 65 0 0 0 0 0 0
Fitomenadion Inj 30 0 0 0 0 30
94 Amp 1,740
10mg/ml-1ml
95 Fitomenadion 10 mg Tab 681 0 0 0 0 0 0
96 Fituno Tab 3,014 0 0 0 0 0 0
97 Flunarizine 5 mg Tab 0 0 0 0 0 0
98 Fluoksetin/foransi 10 mg Kap 419 0 0 0 0 0 0
99 Fluoksetin 20 mg Kap 0 0 0 0 0 0
100 Flusinolon Asetonid Cr Tub 2,400 0 0 0 0 0 0
101 Flutamol Syr Btl 0 0 0 0 0 0
102 Foley chateter No 16 Pcs 8,490 0 0 0 0 0 0
103 Foley chateter No 18 Pcs 8,485 0 0 0 0 0 0
104 Furosemid 40 mg Tab 102 500 700 0 0 0 1,200
105 Furosemid Injeksi Amp 1,751 0 0 0 0 0 0
Garam Oralit 0 0 0 0 0 0
106 Sas 380
Gentamisin injeksi 80 mg / 10 0 0 0 0 10
107 Amp 3,694
2ml
108 Gentamisin SK 0,1% Tub 1,837 0 0 0 0 0 0
Gentamisin Sulfat TM 0,3 0 0 0 0 0 0
109 Btl 2,904
%
110 Gentian Violet 1% Btl 440 0 0 0 0 0 0
111 Glass Ionomercement Set 394,990 0 0 0 0 0 0
112 Glibenklamid 5 mg Tab 72 0 0 0 0 0 0
113 Glimepiride Tablet 2 mg Tab 500 1,900 0 0 0 0 1,900
Gliseril Guayakolat 100 0 0 0 0 0 0
114 Tab 28
mg
115 Glukonas Kalsikus 10% Amp 10,425 0 0 10 0 0 10
116 Glukosa 10 % Btl 5,727 60 0 0 0 0 60
117 Glukosa 5 % Btl 5,313 180 0 0 0 0 180
118 Griseovulfin 125 mg Tab 240 800 0 0 0 0 0
119 Haloperidol 0,5 mg Tab 60 0 0 0 0 0 0
120 Haloperidol 1,5 mg Tab 69 0 0 0 0 0 0
121 Haloperidol 2 mg Tab 0 0 0 0 0 0
122 Haloperidol 5 mg Tab 0 0 0 0 0 0
123 Haloperidol Inj 50 mg/ml Amp 83,333 0 0 0 0 0 0
124 Handscoon No 7 & 7.5 Psg 4,250 0 0 0 0 0 0
Handscoon Non steril S & 0 0 0 0 0 0
125 Psg 4,250
M
126 Hidrokortison Krim 1 % Tub 2,979 30 0 0 0 0 30
127 Hidroklortiazide Tab 36 0 0 0 0 0 0
128 Hustab Tab 0 0 0 0 0 0
129 Hyoscine - N - Butil Bromi Amp 0 0 0 0 0 0
Hyoscine - N - Butil 0 0 0 0 0 0
130 Tab 395
Bromida
131 Ibuprofen 400 mg Tab 205 0 0 0 0 0 0
132 Ibuprofen 200 mg/ml Btl 4,499 0 0 0 0 0 0
133 Infusion set anak Set 3,990 75 50 0 0 0 125
134 Infusion set dewasa Set 3,500 0 0 0 0 0 0
135 Isosorbid dinitrat Tab Tab 97 1,400 0 0 0 0 1,400
136 IV Chateter No 20 G Set 7,776 0 0 0 0 0 0
IV Chateter No 20 G/WP 0 0 0 0 0 0
137 Set
26
138 IV Chateter No 22 G Set 7,776 0 0 0 0 0 0
139 IV Chateter No 24 G Set 7,776 0 0 0 0 0 0

140 Kalsium Hidroksida Pasta Btl 242,000 0 0 0 0 0 0

Kalsium Laktat 5,400 0 0 0 0 5,400
141 Tab 52
 Kalsium Gluconat Injeksi 2 6 0 0 0 8
142 Amp
IV 10%
143 Kapas Pembalut 250 gr Bks 7,450 8 0 0 0 0 8
144 Kaptopril 12,5 mg Tab 63 0 0 0 0 0 0
145 Kaptopril 25 mg Tab 138 1,400 0 0 0 0 1,400
146 Karbo gliseril TT 10% Btl 2,042 0 0 0 0 0 0
Kasa Pembalut Elastic 4 0 0 0 0 0 0
147 rol
Inchi
Kasa Pembalut Hidrofil 4 0 0 0 0 0 0
148 Rol 607
x 10 cm
Kasa Pembalut Hidrofil 16 0 0 0 0 0 0
149 ktk 8,490
x 16 cm
Kasa Pembalut Hidrofil 36 0 0 0 0 0 0
150 Rol 55,190
x 80 cm
Kasa Pembalut Hidrofil 4 0 0 0 0 0 0
151 Rol
X 15 cm
Kasa Kompres Steril 0 0 0 0 0 0
152 Rol
40X40 cm
153 Ketokonazole 2 % Tub 6,650 25 25 0 0 0 50
154 Ketokonazole 200 mg Tab 267 0 0 0 0 0 0
155 Ketorolac inj 30 mg Amp 13,365 250 0 0 0 0 250
156 Kina Inj 25% - 2 ml Amp 4,227 0 0 0 0 0 0
157 Kina Tablet 200 mg Tab 583 0 0 0 0 0 0
158 Klindamisin Kap Kap 527 0 0 0 0 0 0
159 Kloramfenikol 250 mg Kap 231 0 0 0 0 0 0
Kloramfenikol Salep Mata 1,600 0 0 0 0 0 0
160 Tub
1 % 5 gr
Kloramfenikol TM 0,5 % 5 0 0 0 0 5
161 Btl 2,500
162 Kloramfenikol TT 3% Btl 1,599 0 0 0 0 0 0
Klorfemol Kamfer Mentol 0 0 0 0 0 0
163 Btl 55,000
(CHKM)
Klorpheniramin maleat 19,300 0 0 0 0 19,300
164 Tab 24
(CTM)
165 Klorpromazin 25 mg Tab 45 0 0 0 0 0 0
166 Klorpromazin 100 mg Tab 0 0 0 0 0 0
167 Klozapin 25 mg Tab 1,550 0 0 0 0 0 0
168 Kodein 10 mg Tab 500 0 0 0 0 0 0
169 Kondom Pcs 141 0 0 0 0 0 0
170 Kotrimoksazol 480 mg Tab 160 1,500 0 0 0 0 1,500
171 Kotrimoksazol Susp Tab 3,960 165 10 0 0 0 175
172 Lanzoprazole 30 mg Tab 473 0 0 0 0 0 0
173 Larutan Aminoleban Btl 65,000 0 0 0 0 0 0
174 Larutan Asering Btl 9,000 0 0 0 0 0 0
175 Levotiroksin Tab 100 mg Tab 0 0 0 0 0 0
176 Lidokain Inj 2% Amp 1,137 480 90 0 0 0 570
177 Loratadine tab 10 mg Tab 160 0 0 0 0 0 0
178 Loperamid 2 mg Tab 89 0 0 0 0 0 0
179 Masker with Tie On box 1,117 6 4 0 0 0 10
180 Meloksikam tab 15 mg Tab 348 0 0 0 0 0 0
181 Mersibion Injeksi Amp 0 0 0 0 0 0
182 Metformin HCL 500 mg Tab 105 0 0 0 0 0 0
183 Metil Prednisolon 4 mg Tab 296 0 0 0 0 0 0
Metilergometrin Maleat 0 0 0 0 0 0
184 Tab 121
185 Metoklopramid 10 mg Tab 110 2,700 0 0 0 0 2,700
Metoklopramid Injk 5 mg/ 0 0 0 0 0 0
186 Amp 980
ml
187 Metronidazol 500 mg Tab 164 0 0 0 0 0 0
Metronidazol infus 500 0 0 0 0 0 0
188 Btl 9,950
mg/100 ml
189 MgSO4 20% Amp 1,540 0 0 0 0 0 0
190 MgSO4 40% Amp 1,948 0 0 0 0 0 0
191 Miraclav Tab 13,200 0 0 0 0 0 0
192 Mineral Mix Sas 2,475 0 0 0 0 80 80
193 Mummifying Pasta Vial 176,000 0 0 0 0 0 0
194 NaCl 0,9 % Btl 4,900 0 0 0 0 0 0
Natrium Bicarbonat 500 0 0 0 0 0 0
195 Tab 14
mg

196 Natrium Diklofenak 25 mg Tab 0 0 0 0 0 0

197 Natrium Diklofenak 50 mg Tab 217 16,300 0 0 0 0 16,300

Natrium Sulfacetamid 0 0 0 0 0 0
198 Btl
Tetes Mata
199 Natrium Tiroksin tab Tab 1,390 0 0 0 0 0 0
200 Neurodial Tab 0 0 0 0 0 0
201 Neurovit - E Tab 924 0 0 0 0 0 0
202 Nifedipin 10 mg Tab 129 2,800 1,000 0 0 0 2,800
Nistatin Vaginal 100.000 200 0 0 0 0 200
203 Tab 407
IU/ g
204 Nistatin 500.000 IU/ g Tab 0 0 0 0 0 0
205 Nodiar Tab 924 0 0 0 0 0 0
206 Noza Tab 399 0 0 0 0 0 0
207 OAT Kat Anak Pkt 171,900 0 0 0 0 0 0
208 OAT sisipan Pkt 159,200 0 0 0 0 0 0
209 OAT Kat 1 Pkt 172,000 0 0 0 0 0 0

210 OAT Kat Anak Combipac Pkt 215,000 0 0 0 0 0 0

211 OAT-FDC Kat 1 Pkt 360,000 0 0 0 0 0 0

212 OAT-FDC Kat 2 Pkt 1,200,000 0 0 0 0 0 0
Obat Batuk Hitam 0 0 0 0 0 0
213 Btl 1,420
Obat Suntik KB I 3 blnan 1 0 0 0 0 0 0
214 Vial 6,500
ml
 Obat Suntik KB I 3 blnan 3 0 0 0 0 0 0
215 Vial 6,500
ml
Oksimetazolin Tts Hidung 27,550 6 0 0 0 0 6
216 Btl
0,05% dewasa
217 Oksitetrasiklin HCl Inj Amp 3,100 0 0 0 0 0 0

218 Oksitetrasiklin HCl SK 3% Tub 1,651 0 0 0 0 0 0

Oksitosin Injeksi 10 IU / ml 0 0 0 0 0 0
219 Amp 1,820
- 1 ml
220 Oxytetrasiklin S.M 1% Tub 2,100 0 0 0 0 0 0
221 Omeprazole 20 mg kap Kap 265 3,600 0 0 0 0 3,600
Ondansetron Injeksi 4 0 0 0 0 0 0
222 Amp 2,400
mg/2 ml
223 Ondansetron 4 mg Tab 472 0 0 0 0 0 0
224 Papaverin tab 40 mg Tab 99 0 0 0 0 0 0
225 Paracetamol 100 mg Tab 32 0 0 0 0 0 0
226 Parasetamol 500 mg Tab 105 60,500 0 0 0 0 60,500
227 Parasetamol Drops Btl 5,270 0 0 0 0 0 0
Parasetamol sirup 120 mg 150 0 0 0 0 150
228 Btl 2,290
/ 5 ml
Permethrin Cream 5 % 10 15 0 0 0 0 15
229 Tub 11,475
g
230 Pil KB I Tab 2,175 0 0 0 0 0 0
Pirantel Suspensi 125 0 0 0 0 0 0
231 Btl 8,360
mg / 5 ml
Pirantel Tab Scorr (base) 0 0 0 0 0 0
232 Tab
250 mg
233 Pirasetam inj 3 g/15ml Amp 17,103 0 0 0 0 0 0
234 Piridoksin 10 mg Tab 17 3,000 0 0 0 0 3,000
235 Piroksikam 20 mg Kap 84 0 0 0 0 0 0
236 Plester 5 yard x 2 inch Rol 23,625 0 0 0 0 0 0
Povidon Iodida 10 % 30 38 0 0 0 0 38
237 Btl 2,390
ml
Povidon Iodida Lar. 10 % 0 0 0 0 0 0
238 Btl 14,203
300 ml
239 Prednison 5 mg Tab 63 2,700 0 0 0 0 2,700
240 Primakuin tab 15 mg Tab 114 0 0 0 0 0 0
241 Progastric Tab 303 0 0 0 0 0 0
Prokain Benzil Penicillin G 0 0 0 0 0 0
242 Vial 6,100
inj 3 jtIU/Vial
243 Propanolol 10 mg Tab 77 0 0 0 0 0 0
244 Propiltiourasil 100 mg Tab 300 0 0 0 0 0 0
245 Ramaton Tab 0 0 0 0 0 0
246 Ramipril 2,5 mg Tab 300 0 0 0 0 0 0
247 Ramipril 5 mg Tab 580 0 0 0 0 0 0
248 Ranitidin 150 mg Tab 110 8,800 0 0 0 0 8,800
249 Ranitidin inj 25 mg/ml Amp 1,542 0 55 0 0 0 55
250 Retinol 100.000 IU (Biru) Kap 286 0 0 0 0 450 450
Retinol 200.000 IU 0 0 0 0 1,500 1,500
251 Kap 462
(Merah)
252 Ringer Laktat Btl 5,200 1,060 0 0 0 0 1,060
253 Risperidon 1 mg Tab 0 0 0 0 0
254 Risperidon 2 mg Tab 1,008 0 0 0 0 0 0
255 Risperidon 3 mg Tab 0 0 0 0 0 0
256 Salbutamol 2 mg Tab 84 0 0 0 0 0 0
257 Salbutamol 4 mg Tab 80 0 0 0 0 0 0
Salbutamol Inhalasi 100 0 0 0 0 0 0
258 Btl
mcg/dosis
259 Salep 2-4 Pot 1,229 4 0 0 0 0 4
260 Salisil Bedak 2 % ktk 1,420 0 30 0 0 0 25
261 Scabisid Cream 10 g Tub 28,380 0 0 0 0 0 0
Sefadroksil Sirup 125 mg/ 0 0 0 0 0 0
262 Btl 4,896
5 ml
263 Sefadroksil 500 mg Kap 521 0 0 0 0 0 0
Semen Seng Fosfat 0 0 0 0 0 0
264 Btl 93,500
serbuk&cairan
265 Serum (ABU I) 5 ml Vial 398,475 2 0 0 0 0 2
266 Serum ATS 1500 IU Amp 91,650 18 0 0 0 0 18
Sianokobalamin inj 500 300 0 0 0 0 300
267 Amp 1,037
mcg - ml
268 Silk No 3/0. Set 6,969 0 0 0 0 0 0
269 Simvastatin 10 mg Tab 180 1,000 30 0 0 0 1,030
270 Siprofloksasin 500 mg tab 284 700 0 0 0 0 700
271 Spironolakton 25 mg Tab 315 0 0 0 0 0 0
Sukralfat/Ulsafat Suspensi 4 0 0 0 0 4
272 Btl 13,425
500 mg/5 ml
273 Susuk KB II Set 105,135 0 0 0 0 0 0
274 Tablet Tambah Darah Ktk 10,560 0 0 0 0 0 0
Temporary Stoping 0 0 0 0 0 0
275 Btl 34,000
Flecher Serbuk
276 Tetrasiklin HCL 250 mg Kap 166 0 0 0 0 0 0
277 Tetrasiklin HCL 500 mg Kap 257 0 0 0 0 0 0
278 Tiamin HCL 100 mg Tab 81 0 0 0 0 0 0
279 Tiamin HCL 50mg Tab 38 5,900 0 0 0 0 5,900

280 Timolol Tetes Mata 0,25 % Btl 9,128 0 0 0 0 0 0

281 Tramadol Injek 50 mg/ ml Amp 5,400 0 0 0 0 0 0

282 Tramadol kap 50 mg Kap 189 0 0 0 0 0 0

283 Trifluoperazin 5 mg Tab 405 0 0 0 0 0 0
284 Triheksifenidil 2mg Tab 40 900 0 0 0 0 900
 Urea Cream/soft U derm 0 0 0 0 0 0
285 Tub 6,400
10 %
286 Urin bag pcs 3,990 0 40 0 0 0 40
Vaksin Anti Rabies 0 0 0 0 0 0
287 Vial 126,500
( Verorad )
288 Ventolin/Salbutamol Inhala Btl 63,750 0 0 0 0 0 0
289 Vitamin B.Komplek Tab 22 4,500 0 0 0 0 4,500
290 Wing Needle No. 23 G set 5,770 0 0 0 0 0 0
291 Wing Needle No. 25 G set 5,770 0 0 0 0 0 0
292 Wing Needle No.27 G set 5,470 0 0 0 0 0 0
293 Zink 20 mg tab 475 0 0 0 400 0 400
294 Zink drop 10 mg/ml Btl 12,840 0 0 0 0 0 0
295 Zink Syrup Btl 0 0 0 0 0 0
296 Metylergometrin Maleat inj. Amp 0 0 0 0 0 0
297 Simvastatin 20 mg Tab 252.00 1,300 0 0 0 0 1,300
Kloramfenikol SM 0 0 0 0 0 0
298 Tub 3,091
(Bufacetin)
299 Metylprednisolon 8 mg Tab 309 0 0 0 0 0 0
300 Mikonazole Crem 2% Tub 3250 0 0 0 0 0 0
301 N.Asetil Sistein tab 200mg Tab 426 0 0 0 0 0 0
302 Pehapral Tab 809 0 0 0 0 0 0
Pembalut Elastis crape rol 10 0 0 0 0 10
303
7,5cmx4,55cm
304 Kloramfenikol 500mg kap 1007 0 0 0 0 0 0
305 Ceuticel clasik 10 X 10 cm pcs 33645 160 0 0 0 0 160
306 Alat suntik 0,5 ml pcs 0 0 0 0 0 0
307 Alkazyme sacset 25 Sas 89 0 0 0 0 89
308 Asam Asetyl Salisilat 80mg tab 0 0 0 0 0 0
309 Daryant-Tulle 10x10 helai 0 0 0 0 0 0
310 Dimenhidrinat 50mg tab 0 0 0 0 0 0
311 Dulcolax supp infant 5mg Sup 0 0 0 0 0 0
312 Gentamisin SM 0,3% Tub 0 0 0 0 0 0
314 Leukoplas 1622H rol 26 0 0 0 0 26
Diazepam Lar Rectal Tub 0 0 0 0 0 0
315
5mg/2.5 ml
316 Alkohol 70% 300ml Btl 0 0 0 0 0 0
317 Kapas Pembalut 100 gr rol 0 0 0 0 0 0
318 Pavidon Iodida 60 ml Btl 42 0 0 0 0 42
319 IV Catheter No. 26 G Sas 0 0 0 0 0 0
320 Masker with Ear Loop box 13 0 0 0 0 13
321 Oflosasin TT 3% Btl 4 0 0 0 0 4
322 Betadin Sabun cair Btl 6 0 0 0 0 6
323 Betadin salep 5 mg Tub 116 0 0 0 0 116
324 Dulcolax supp infant 10mg 0 0 0 0 0 0
325 Eritromycin kap 500 mg Kap 1,800 0 0 0 0 1,800
326 Lisol Concentrate 1 ltr Btl 16 0 0 0 0 16
327 Paper Tape 2,5 X 9,14 cm Rol 10 0 0 0 0 10
328 Sefadroksil 250 mg Kap 690 1,900 0 0 0 0 1,900
Oksimetazolin Tts Hidung Btl 2 0 0 0 0 2
329
0,025%
330 Sarung tangan steril N0.8 pcs 0 0 0 0 0 0
331 Dulcolax supp infant 5mg supp 18 0 0 0 0 18
332 Underpad pcs 0 0 0 0 0 0
333 Hydrogel w dressing ktk 0 0 0 0 0 0
334 Soft U Derm krim tube 0 2 0 0 0 2
335 0 0 0 0 0 0
336 0 0 0 0 0 0
Total

Mengetahui
Kepala Puskesmas Rawat Inap Ketapang

dr.Hi.DIAN MAULI,MH
NIP.19800120 200804 1 001

Jumlah Kunjungan Resep umum jkn jamkesda jumlah

Puskesmas Induk 0
Pustu + Bides 0
Total 955
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT

WAL PENERIMAAN PEMAKAIAN

PKD PKD
Total Harga DAK KIA P2M Gizi Total Total Harga DAK KIA P2M Gizi
PROP PROP

0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 600 0 0 0 0
1,344,980 0 0 100 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
303,370 0 0 200 300 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
147,290 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
168,300 0 0 600 0 0 0 0
369,600 0 0 520 0 0 0 0
6,657,000 0 0 3,800 0 0 0 0
924,750 0 0 700 800 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
2,039,940 0 0 3,800 0 0 0 0

27,401 0 0 0 6 0 0 0

0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
5,156 0 0 2 0 0 0 0
 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
100,020 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
213,300 0 0 300 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 300 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
831,600 0 0 300 0 0 0 0
78,372 0 0 12 20 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0
86,780 0 0 2 0 0 0 0
114,588 0 0 2 0 0 0 0
535,500 0 0 700 0 0 0 0
0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
280,266 0 0 20 0 0 0
721,000 0 0 4,100 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
97,500 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0
17,900 0 0 3 0 0 0 0
99,875 0 0 0 1 0 0 0
0 0 0 0 0 0 0 0
61,050 0 0 3 0 0 0 0
0 0 0 0 0 0 0 0
91,567 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
52,190 0 0 25 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
 0 0 0 0 0 0 0 0
122,376 0 0 100 100 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
36,940 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
950,000 0 0 700 0 0 0 0
0 0 0 0 0 0 0 0
104,250 0 0 0 0 10 0 0
343,620 0 0 0 0 0 0 0
956,340 0 0 20 0 0 0
0 0 0 400 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
89,375 0 0 10 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
498,750 0 0 25 0 0 0 0
0 0 0 0 0 0 0 0
136,290 0 0 100 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
280,800 0 0 600 0 0 0 0
 0 0 0 0 0 5 0 0
59,600 0 0 2 0 0 0 0
0 0 0 0 0 0 0 0
192,850 0 0 400 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0
332,500 0 0 5 0 0 0 0
0 0 0 0 0 0 0 0
3,341,250 0 0 50 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
12,500 0 0 5 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0

463,200 0 0 4,700 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
240,000 0 0 500 0 0 0 0
693,000 0 0 15 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
647,900 0 0 120 0 0 0 0
0 0 0 0 0 0 0 0
 0 0 0 0 0 0 0 0
11,170 0 0 2 2 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
297,000 0 0 300 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
198,000 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0

3,544,924 0 0 5,800 0 0 0 0

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
399,900 0 0 800 200 0 0 0
81,400 0 0 100 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
 0 0 0 0 0 0 0 0

165,300 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
954,000 0 0 870 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
6,346,450 0 0 6,200 0 0 0 0
0 0 0 0 0 0 0 0
343,500 0 0 40 0 0 0 0

172,125 0 0 10 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
52,200 0 0 1,500 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
90,820 0 0 10 0 0 0 0

0 0 0 0 0 0 0 0
168,750 0 0 500 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
968,000 0 0 800 0 0 0 0
 84,810 0 0 0 35 0 0 0
128,610 0 0 0 0 0 0 0
692,700 0 0 0 0 0 0 0
5,512,000 0 0 220 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
4,915 0 0 2 0 0 0 0
35,500 0 0 0 7 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
796,950 0 0 2 0 0 0 0
1,649,700 0 0 8 0 0 0 0
311,070 0 0 60 0 0 0 0
0 0 0 0 0 0 0 0
185,400 0 0 0 30 0 0 0
198,800 0 0 200 0 0 0 0
0 0 0 0 0 0 0 0
53,700 0 0 4 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
222,961 0 0 900 0 0 0 0
0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
36,000 0 0 100 0 0 0 0
 0 0 0 0 0 0 0 0
159,600 0 0 0 5 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
99,855 0 0 2,700 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
190,000 0 0 0 0 0 100 0
0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
327,600 0 0 200 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 5 0 0 0 0
0 0 0 0 0 0 0 0
5,383,200 0 0 30 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 20 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 12 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 12 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 3 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 2 0 0 0 0
0 0 0 24 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 200 0 0 0 0
0 0 0 2 0 0 0 0
 0 0 0 2 0 0 0 0
1,311,000 0 0 800 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 8 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
Rp 79,070,340 Rp -
PEMAKAIAN SISA STOCK KEB. PER TRI BULAN

PKD
Total Total harga DAK KIA P2M Gizi TOTAL NILAI (RP) TOTAL NILAI(RP)
PROP

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 500 544500
0 0 0 0 0 0 0 0 0 0 0
600 0 4,100 0 0 0 0 4,100 0 1800 0
100 103460 700 500 0 0 0 1,200 1,241,520 1000 1034600
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
500 65950 1,800 0 0 0 0 1,800 237,420 1000 131900
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 1,300 0 0 0 0 1,300 147,290 500 56650
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
600 112200 300 0 0 0 0 300 56,100 1500 280500
520 228800 320 0 0 0 0 320 140,800 1050 462000
3,800 798000 27,900 0 0 0 0 27,900 5,859,000 3000 630000
1,500 554850 1,000 0 0 0 0 1,000 369,900 10000 3699000
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 100 384000
3,800 615220 8,800 0 0 0 0 8,800 1,424,720 15000 2428500

6 14946 0 5 0 0 0 5 12,455 24 59784

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 20 40000
0 0 0 0 0 0 0 0 0 0 0
2 3438 1 0 0 0 0 1 1,719 24 41250
 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 2000 63980
0 0 0 0 0 0 0 0 0 15000 2638500
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 30 0 0 0 0 30 100,020 0 0
0 0 0 0 0 0 0 0 0 0 0
300 71100 600 0 0 0 0 600 142,200 500 118500
0 0 0 0 0 0 0 0 0 500 285615
0 0 0 0 0 0 0 0 0 50 149980
300 0 1,800 0 0 0 0 1,800 0 500 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
300 277200 600 0 0 0 0 600 554,400 3000 2772000
32 59712 0 10 0 0 0 10 18,660 150 279900
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 156 3834935
2 17356 8 0 0 0 0 8 69,424 50 433900
2 19098 10 0 0 0 0 10 95,490 50 477450
700 157500 1,680 0 0 0 0 1,680 378,000 2480 558000
0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
 20 40038 120 0 0 0 0 120 240,228 200 400380
4,100 287000 6,200 0 0 0 0 6,200 434,000 10000 700000
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 65 0 0 0 65 97,500 0 0

0 0 0 0 0 0 0 0 0 0 0
3 5370 7 0 0 0 0 7 12,530 0 0
1 19975 0 4 0 0 0 4 79,900 5 99875
0 0 0 0 0 0 0 0 0 0 0
3 36630 2 0 0 0 0 2 24,420 10 122100
0 0 0 0 0 0 0 0 0 0 0
0 0 2 0 0 0 0 2 91,567 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
25 43492 5 0 0 0 0 5 8,698 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
 0 0 0 0 0 0 0 0 0 0 0
200 20396 400 600 0 0 0 1,000 101,980 500 50990
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1200 456000
0 0 10 0 0 0 0 10 36,940 0 0
0 0 0 0 0 0 0 0 0 100 183700
0 0 0 0 0 0 0 0 0 50 145200
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1500 107850
700 350000 1,200 0 0 0 0 1,200 600,000 0 0
0 0 0 0 0 0 0 0 0 7000 195300
10 104250 0 0 0 0 0 0 0 0 0
0 0 60 0 0 0 0 60 343,620 0 0
20 106260 160 0 0 0 0 160 850,080 0 0
400 95960 400 0 0 0 0 400 95,960 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 100 425000
0 0 0 0 0 0 0 0 0 200 850000
10 29792 20 0 0 0 0 20 59,583 150 446875
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1500 307410
0 0 0 0 0 0 0 0 0 0 0
25 99750 50 50 0 0 0 100 399,000 150 598500
0 0 0 0 0 0 0 0 0 250 875000
100 9735 1,300 0 0 0 0 1,300 126,555 0 0
0 0 0 0 0 0 0 0 0 200 1555120
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 250 1943900
0 0 0 0 0 0 0 0 0 250 1943900
0 0 0 0 0 0 0 0 0 0 0
600 31200 4,800 0 0 0 0 4,800 249,600 2000 104000
 5 0 2 6 5 0 0 3 0 0 0
2 14900 6 0 0 0 0 6 44,700 10 74500
0 0 0 0 0 0 0 0 0 0 0
400 55100 1,000 0 0 0 0 1,000 137,750 2000 275500
0 0 0 0 0 0 0 0 0 24 49008
0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 200 121360

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 5 275950

0 0 0 0 0 0 0 0 0 200 0

0 0 0 0 0 0 0 0 0 100 0
5 33250 20 25 0 0 0 45 299,250 0 0
0 0 0 0 0 0 0 0 0 500 133500
50 668250 200 0 0 0 0 200 2,673,000 150 2004750
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 25 40000
5 12500 0 0 0 0 0 0 0 25 62500
0 0 0 0 0 0 0 0 0 25 39975
0 0 0 0 0 0 0 0 0 0 0

4,700 112800 14,600 0 0 0 0 14,600 350,400 15000 360000

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
500 80000 1,000 0 0 0 0 1,000 160,000 0 0
15 59400 150 10 0 0 0 160 633,600 100 396000
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
120 136400 360 90 0 0 0 450 511,500 300 341000
0 0 0 0 0 0 0 0 0 0 0
 0 0 0 0 0 0 0 0 0 0 0
4 4468 4 2 0 0 0 6 6,702 10 11170
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1000 105000
0 0 0 0 0 0 0 0 0 10000 2958300
0 0 0 0 0 0 0 0 0 0 0
300 33000 2,400 0 0 0 0 2,400 264,000 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 80 80 198,000 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 40 196000
0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

5,800 1261384 10,500 0 0 0 0 10,500 2,283,540 8400 1826832

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
1,000 129000 2,000 800 0 0 0 2,800 361,200 0 0
100 40700 100 0 0 0 0 100 40,700 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
 0 0 0 0 0 0 0 0 0 0 0

0 0 6 0 0 0 0 6 165,300 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
870 230550 2,730 0 0 0 0 2,730 723,450 2250 596250
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
6,200 650380 54,300 0 0 0 0 54,300 5,696,070 33600 3524640
0 0 0 0 0 0 0 0 0 0 0
40 91600 110 0 0 0 0 110 251,900 250 572500

10 114750 5 0 0 0 0 5 57,375 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
1,500 26100 1,500 0 0 0 0 1,500 26,100 1500 26100
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 10 236250
10 23900 28 0 0 0 0 28 66,920 52 124280

0 0 0 0 0 0 0 0 0 0 0
500 31250 2,200 0 0 0 0 2,200 137,500 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
800 88000 8,000 0 0 0 0 8,000 880,000 3000 330000
 35 53970 0 20 0 0 0 20 30,840 300 462600
0 0 0 0 0 0 450 450 128,610 0 0
0 0 0 0 0 0 1,500 1,500 692,700 0 0
220 1144000 840 0 0 0 0 840 4,368,000 1000 5200000
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 2000 160000
0 0 0 0 0 0 0 0 0 0 0
2 2458 2 0 0 0 0 2 2,458 36 44235
7 9940 0 23 0 0 0 23 32,660 0 0
0 0 0 0 0 0 0 0 0 12 340560
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 2000 1042000
0 0 0 0 0 0 0 0 0 0 0
2 796950 0 0 0 0 0 0 0 0 0
8 733200 10 0 0 0 0 10 916,500 0 0
60 62214 240 0 0 0 0 240 248,856 200 207380
0 0 0 0 0 0 0 0 0 72 501800
30 5400 1,000 0 0 0 0 1,000 180,000 700 126000
200 56800 500 0 0 0 0 500 142,000 1000 284000
0 0 0 0 0 0 0 0 0 0 0
4 53700 0 0 0 0 0 0 0 18 241650
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
900 34011 5,000 0 0 0 0 5,000 188,950 5000 188950
0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
100 4000 800 0 0 0 0 800 32,000 0 0
 0 0 0 0 0 0 0 0 0 0 0
5 19950 0 35 0 0 0 35 139,650 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
2,700 59913 1,800 0 0 0 0 1,800 39,942 7000 155330
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
100 47500 0 0 0 300 0 300 142,500 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
200 50400 1,100 0 0 0 0 1,100 277,200 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
5 0 5 0 0 0 0 5 0 0 0
0 0 0 0 0 0 0 0 0 0 0
30 1009350 130 0 0 0 0 130 4,373,850 0
0 0 0 0 0 0 0 0 0 500 0
20 0 69 0 0 0 0 69 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
12 0 14 0 0 0 0 14 0 50 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
12 0 30 0 0 0 0 30 0 20 0
0 0 0 0 0 0 0 0 0 0 0
3 0 10 0 0 0 0 10 0 0 0
0 0 4 0 0 0 0 4 0 0 0
2 0 4 0 0 0 0 4 0 10 0
20 0 92 0 0 0 0 92 0 0 0
0 0 0 0 0 0 0 0 0 0 0
200 0 1,600 0 0 0 0 1,600 0 0 0
2 0 14 0 0 0 0 14 0 0 0
 2 0 8 0 0 0 0 8 0 24 0
800 552000 1,100 0 0 0 0 1,100 759,000 2500 1725000
0 0 2 0 0 0 0 2 0 0 0
0 0 0 0 0 0 0 0 0 100 0
8 10 0 0 0 0 10 0 0 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
0 0 2 0 0 0 2 0 10
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
Rp 12,972,114 Rp 66,098,226

Ketapang , 02 Desember 2019

Pengelola Obat Puskesmas

EYIN MUHIDIN
NIP.19620906 198803 1 006
 LAPORAN
Puskesmas : Ketapang
Bulan : Desember
Tahun : 2019

STOCK AWAL
S
NO NAMA OBAT a Harga satuan PKD
t DAK KIA P2M Gizi Total
PROP

ACT (Artesunate tablet

50 mg + Amodiaquine
1 Tab 1,375
anhydrida tablet 200
mg) 0 0 0 0 0 0
2 Adrenalin Inj Amp 1,240 0 0 0 0 0 0
3 Alat suntik 1 ml Set 1,089 0 0 0 0 0 0
4 Alat suntik 2,5 ml Set 1,035 0 0 0 0 0 0
5 Alat suntik 3 ml ser 4100 0 0 0 0 4100
6 Alat suntik 5 ml Set 1,035 700 400 0 0 0 1100
7 Albendazol 400 mg Tab 407 0 0 0 0 0 0
Albendazol Susp 250
8 Btl 3,811
mg/ 5 ml 0 0 0 0 0 0
9 Alopurinol 100 mg Tab 132 1800 0 0 0 0 1800
10 Alprazolam 0,5 mg Tab 460 0 0 0 0 0 0
11 Ambroxol syp 60 ml Btl 3,290 0 0 0 0 0 0
12 Ambroxol Tablet Tab 86 0 0 0 0 0 0
13 Aminopillin 200 mg Tab 113 1300 0 0 0 0 1300
14 Aminopillin Injeksi Amp 3,240 0 0 0 0 0 0
15 Amitriptilin Tablet Tab 102 0 0 0 0 0 0
16 Amlodipine 5 mg Tab 187 300 0 0 0 0 300
17 Amlodipin Tab 10 mg Tab 440 320 0 0 0 0 320
18 Amoksisillin 250 mg Kap 210 27900 0 0 0 0 27900
19 Amoksisillin 500 mg Kap 370 1000 0 0 0 0 1000
Amoksisillin S.K/125
20 Btl 3,690
mg/5 ml 0 0 0 0 0 0
21 Ampisillin Inj im/iv Amp 5,368 0 0 0 0 0 0
22 Antalgin 500mg Tab 149 0 0 0 0 0 0
23 Antasida DOEN Susp Btl 3,840 0 0 0 0 0 0
24 Antasida DOEN,100 Tab 162 8800 0 0 0 0 8800
Anti bakteri
25 DOEN/Bacitrasin Tub 2,491
Polimiksin 0 5 0 0 0 5
Anti Migren : Ergotamin
26 Tartrat 1 mg + Kofein 50 Tab 135
mg 0 0 0 0 0 0
27 Anti Hemoroid DOEN Sup 2,000 0 0 0 0 0 0
28 Anti Malaria DOEN Tab 483 0 0 0 0 0 0
29 Antifungi DOEN Tub 1,719 1 0 0 0 0 1
30 Aqua Pro Injeksi Steril Vial 5,300 0 0 0 0 0 0
31 Arterakine Tab 26,667 0 0 0 0 0 0
Artesunate Inj vial 60
32 Vial 25,063
mg 0 0 0 0 0 0
Arthemeter Inj 1 ml : 80
33 Amp 22,167
mg 0 0 0 0 0 0
34 As Askorbat 250 mg Tab 135 0 0 0 0 0 0
35 As Askorbat 50 mg Tab 32 0 0 0 0 0 0
36 As Mefenamat 500 mg Kap 176 0 0 0 0 0 0
Asam Asetil Salisilat
37 Tab 100
100 mg 0 0 0 0 0 0
38 Asam folat tablet Tab 45 0 0 0 0 0 0
Asam Traneksamat Inj
39 Amp 3,334
50 mg/ml 30 0 0 0 0 30
40 Asifit Tab 1,584 0 0 0 0 0 0
41 Asiklofir 200 mg Tab 237 600 0 0 0 0 600
42 Asiklofir 400 mg Tab 571 0 0 0 0 0 0
43 Asiklofir krim 5 % Tub 3,000 0 0 0 0 0 0
44 Atapulgit tablet 600 mg Tab 1800 0 0 0 0 1800
45 Atropin injeksi Amp 1,265 0 0 0 0 0 0
46 Atropin Sulfat Tab 68 0 0 0 0 0 0
47 Atropin Sulfat Tetes Mata Btl 0 0 0 0 0 0
Benzatin benzil penisilin
48 Vial 8,200
inj 1,2 jt IU/vial 0 0 0 0 0 0
49 Besi II Sulfat Tab 44 0 0 0 0 0 0

50 Betahistin Mesilat 6 mg Tab 924

600 0 0 0 0 600

51 Betametason krim 0,1% Tub 1,866

0 10 0 0 0 10
52 Betason - N Tub 0 0 0 0 0 0
53 Bioneuron Injeksi Amp 4,341 0 0 0 0 0 0
54 Blonick Plus Syrup Btl 18,700 0 0 0 0 0 0
55 Bionick Drop Btl 0 0 0 0 0 0
Budesonid Inhaler 200
56 Inh 93,000
mcg/puff 100 dosis 0 0 0 0 0 0
Catgut / Benang Bedah
57 Set 26,666
No. 2/0 0 0 0 0 0 0
Catgut / Benang Bedah
58 Set 24,583
No. 3/0 0 0 0 0 0 0
59 Cefotaxim Inj 1 gr Vial 8,678 8 0 0 0 0 8
60 Ceftriakson Inj 1 gr Vial 9,549 10 0 0 0 0 10
61 Cetirizine tablet 10 mg Tab 225 1680 0 0 0 0 1680
Chlorampecort Cream
62 Tub 9,955
10 g 0 0 0 0 0 0
 Chlorampecort - H
63 Tub
Cream 10 g 0 0 0 0 0 0
64 Copper T (Andalan) Tab 8,855 0 0 0 0 0 0
65 DEC 100 mg Tab 98 0 0 0 0 0 0
Deksametason Inj 5 mg
66 Amp 2,002
/ ml-1 ml 120 0 0 0 0 120
67 Deksametason 0,5 mg Tab 70 6200 0 0 0 0 6200

68 Dekstrometorfan 15 mg Tab 110

0 0 0 0 0 0
Dekstrometorfan sirup
69 Btl 2,855
10 ml / 5 ml 0 0 0 0 0 0
70 Devitalisasi Pasta Btl 390,000 0 0 0 0 0 0
71 DHP (Dehidro Artemisin +Tab 20,000 0 0 0 0 0 0
72 Diapecta Tab 0 0 0 0 0 0
73 Diazepam 5 mg Tab 56 0 0 0 0 0 0
Diazepam Lar Rectal 10
74 Btl
mg/2.5 ml 0 0 0 0 0 0
75 Diazepam Inj 5 mg/ml Amp 2,344 0 0 0 0 0 0
76 Difenhidramin inj Amp 960 0 0 0 0 0 0
77 Digoksin 0,25 mg Tab 143 0 0 0 0 0 0
78 Doksisiklin 100 mg Kap 253 0 0 0 0 0 0
79 Domperidon 10 mg Tab 176 0 0 0 0 0 0
Domperidon Suspensi 5
80 Btl 3,333
mg/ml 0 0 0 0 0 0
81 Efedrin HCl 25 mg Tab 51 0 0 0 0 0 0
Epineprin(Adrenalin) Inj
82 Amp 1,500
0,1 % 0 65 0 0 0 65
Ergokalsiferol (Vit
83 Tab
D3/D2)50.000 UI 0 0 0 0 0 0
84 Etakridin Lar 0,1 % Btl 1,790 7 0 0 0 0 7
85 Etanol 70 % 1 ltr Btl 19,975 0 4 0 0 0 4
86 Etanol 70 % 100 ML Btl 2,500 0 0 0 0 0 0
Etanol 70 % (Swab 2-
87 Ktk 12,210
Ply) 2 0 0 0 0 2
88 Etil Klorida Spray Btl 104,950 0 0 0 0 0 0
89 Eugenol Cairan Btl 45,783 2 0 0 0 0 2

90 Extrak Belladona 10 mg Tab 38

0 0 0 0 0 0
91 Febrinex Suspensi Btl 15,855 0 0 0 0 0 0
Fenobarbital inj 50
92 Amp 1,716
mg/ml 0 0 0 0 0 0
93 Fenolbarbital 30 mg Tab 65 0 0 0 0 0 0
Fitomenadion Inj
94 Amp 1,740
10mg/ml-1ml 5 0 0 0 0 5
95 Fitomenadion 10 mg Tab 681 0 0 0 0 0 0
 96 Fituno Tab 3,014 0 0 0 0 0 0
97 Flunarizine 5 mg Tab 0 0 0 0 0 0
Fluoksetin/foransi 10
98 Kap 419
mg 0 0 0 0 0 0
99 Fluoksetin 20 mg Kap 0 0 0 0 0 0
100 Flusinolon Asetonid Cr Tub 2,400 0 0 0 0 0 0
101 Flutamol Syr Btl 0 0 0 0 0 0
102 Foley chateter No 16 Pcs 8,490 0 0 0 0 0 0
103 Foley chateter No 18 Pcs 8,485 0 0 0 0 0 0
104 Furosemid 40 mg Tab 102 400 600 0 0 0 1000
105 Furosemid Injeksi Amp 1,751 0 0 0 0 0 0
Garam Oralit
106 Sas 380 0 0 0 0 0 0
Gentamisin injeksi 80
107 Amp 3,694
mg / 2ml 10 0 0 0 0 10
108 Gentamisin SK 0,1% Tub 1,837 0 0 0 0 0 0
Gentamisin Sulfat TM
109 Btl 2,904
0,3 % 0 0 0 0 0 0
110 Gentian Violet 1% Btl 440 0 0 0 0 0 0
111 Glass Ionomercement Set 394,990 0 0 0 0 0 0
112 Glibenklamid 5 mg Tab 72 0 0 0 0 0 0

113 Glimepiride Tablet 2 mg Tab 500

1200 0 0 0 0 1200
Gliseril Guayakolat 100
114 Tab 28
mg 0 0 0 0 0 0

115 Glukonas Kalsikus 10% Amp 10,425

0 0 0 0 0 0
116 Glukosa 10 % Btl 5,727 60 0 0 0 0 60
117 Glukosa 5 % Btl 5,313 160 0 0 0 0 160
118 Griseovulfin 125 mg Tab 240 400 0 0 0 0 400
119 Haloperidol 0,5 mg Tab 60 0 0 0 0 0 0
120 Haloperidol 1,5 mg Tab 69 0 0 0 0 0 0
121 Haloperidol 2 mg Tab 0 0 0 0 0 0
122 Haloperidol 5 mg Tab 0 0 0 0 0 0
Haloperidol Inj 50
123 Amp 83,333
mg/ml 0 0 0 0 0 0
124 Handscoon No 7 & 7.5 Psg 4,250 0 0 0 0 0 0
Handscoon Non steril S
125 Psg 4,250
&M 0 0 0 0 0 0

126 Hidrokortison Krim 1 % Tub 2,979

20 0 0 0 0 20
127 Hidroklortiazide Tab 36 0 0 0 0 0 0
128 Hustab Tab 0 0 0 0 0 0
129 Hyoscine - N - Butil Bro Amp 0 0 0 0 0 0
Hyoscine - N - Butil
130 Tab 395
Bromida 0 0 0 0 0 0
131 Ibuprofen 400 mg Tab 205 0 0 0 0 0 0
132 Ibuprofen 200 mg/ml Btl 4,499 0 0 0 0 0 0
133 Infusion set anak Set 3,990 50 50 0 0 0 100
134 Infusion set dewasa Set 3,500 0 0 0 0 0 0
135 Isosorbid dinitrat Tab Tab 97 1300 0 0 0 0 1300
136 IV Chateter No 20 G Set 7,776 0 0 0 0 0 0
IV Chateter No 20
137 Set
G/WP 26 0 0 0 0 0 0
138 IV Chateter No 22 G Set 7,776 0 0 0 0 0 0
139 IV Chateter No 24 G Set 7,776 0 0 0 0 0 0
Kalsium Hidroksida
140 Btl 242,000
Pasta 0 0 0 0 0 0
Kalsium Laktat
141 Tab 52 4800 0 0 0 0 4800
Kalsium Gluconat
142 Amp
Injeksi IV 10% 2 6 0 0 0 8

143 Kapas Pembalut 250 gr Bks 7,450

6 0 0 0 0 6
144 Kaptopril 12,5 mg Tab 63 0 0 0 0 0 0
145 Kaptopril 25 mg Tab 138 1000 0 0 0 0 1000
146 Karbo gliseril TT 10% Btl 2,042 0 0 0 0 0 0
Kasa Pembalut Elastic 4
147 rol
Inchi 0 0 0 0 0 0
Kasa Pembalut Hidrofil
148 Rol 607
4 x 10 cm 0 0 0 0 0 0
Kasa Pembalut Hidrofil
149 ktk 8,490
16 x 16 cm 0 0 0 0 0 0
Kasa Pembalut Hidrofil
150 Rol 55,190
36 x 80 cm 0 0 0 0 0 0
Kasa Pembalut Hidrofil
151 Rol
4 X 15 cm 0 0 0 0 0 0
Kasa Kompres Steril
152 Rol
40X40 cm 0 0 0 0 0 0
153 Ketokonazole 2 % Tub 6,650 20 25 0 0 0 45
154 Ketokonazole 200 mg Tab 267 0 0 0 0 0 0
155 Ketorolac inj 30 mg Amp 13,365 200 0 0 0 0 200
156 Kina Inj 25% - 2 ml Amp 4,227 0 0 0 0 0 0
157 Kina Tablet 200 mg Tab 583 0 0 0 0 0 0
158 Klindamisin Kap Kap 527 0 0 0 0 0 0
159 Kloramfenikol 250 mg Kap 231 0 0 0 0 0 0
Kloramfenikol Salep 1,600
160 Tub
Mata 1 % 5 gr 0 0 0 0 0 0
Kloramfenikol TM 0,5 %
161 Btl 2,500
0 0 0 0 0 0
162 Kloramfenikol TT 3% Btl 1,599 0 0 0 0 0 0
 Klorfemol Kamfer
163 Btl 55,000
Mentol (CHKM) 0 0 0 0 0 0
Klorpheniramin maleat
164 Tab 24
(CTM) 14600 0 0 0 0 14600
165 Klorpromazin 25 mg Tab 45 0 0 0 0 0 0
166 Klorpromazin 100 mg Tab 0 0 0 0 0 0
167 Klozapin 25 mg Tab 1,550 0 0 0 0 0 0
168 Kodein 10 mg Tab 500 0 0 0 0 0 0
169 Kondom Pcs 141 0 0 0 0 0 0
170 Kotrimoksazol 480 mg Tab 160 1000 0 0 0 0 1000
171 Kotrimoksazol Susp Tab 3,960 150 10 0 0 0 160
172 Lanzoprazole 30 mg Tab 473 0 0 0 0 0 0
173 Larutan Aminoleban Btl 65,000 0 0 0 0 0 0
174 Larutan Asering Btl 9,000 0 0 0 0 0 0

175 Levotiroksin Tab 100 mg Tab

0 0 0 0 0 0
176 Lidokain Inj 2% Amp 1,137 360 90 0 0 0 450
177 Loratadine tab 10 mg Tab 160 0 0 0 0 0 0
178 Loperamid 2 mg Tab 89 0 0 0 0 0 0
179 Masker with Tie On box 1,117 4 2 0 0 0 6
180 Meloksikam tab 15 mg Tab 348 0 0 0 0 0 0
181 Mersibion Injeksi Amp 0 0 0 0 0 0

182 Metformin HCL 500 mg Tab 105

0 0 0 0 0 0

183 Metil Prednisolon 4 mg Tab 296

0 0 0 0 0 0
Metilergometrin Maleat
184 Tab 121
0 0 0 0 0 0
185 Metoklopramid 10 mg Tab 110 2400 0 0 0 0 2400
Metoklopramid Injk 5
186 Amp 980
mg/ ml 0 0 0 0 0 0
187 Metronidazol 500 mg Tab 164 0 0 0 0 0 0
Metronidazol infus 500
188 Btl 9,950
mg/100 ml 0 0 0 0 0 0
189 MgSO4 20% Amp 1,540 0 0 0 0 0 0
190 MgSO4 40% Amp 1,948 0 0 0 0 0 0
191 Miraclav Tab 13,200 0 0 0 0 0 0
192 Mineral Mix Sas 2,475 0 0 0 0 80 80
193 Mummifying Pasta Vial 176,000 0 0 0 0 0 0
194 NaCl 0,9 % Btl 4,900 0 0 0 0 0 0
Natrium Bicarbonat 500
195 Tab 14
mg 0 0 0 0 0 0
Natrium Diklofenak 25
196 Tab
mg 0 0 0 0 0 0
 Natrium Diklofenak 50
197 Tab 217
mg 10500 0 0 0 0 10500
Natrium Sulfacetamid
198 Btl
Tetes Mata 0 0 0 0 0 0
199 Natrium Tiroksin tab Tab 1,390 0 0 0 0 0 0
200 Neurodial Tab 0 0 0 0 0 0
201 Neurovit - E Tab 924 0 0 0 0 0 0
202 Nifedipin 10 mg Tab 129 2000 800 0 0 0 2800
Nistatin Vaginal
203 Tab 407
100.000 IU/ g 100 0 0 0 0 100
204 Nistatin 500.000 IU/ g Tab 0 0 0 0 0 0
205 Nodiar Tab 924 0 0 0 0 0 0
206 Noza Tab 399 0 0 0 0 0 0
207 OAT Kat Anak Pkt 171,900 0 0 0 0 0 0
208 OAT sisipan Pkt 159,200 0 0 0 0 0 0
209 OAT Kat 1 Pkt 172,000 0 0 0 0 0 0
OAT Kat Anak
210 Pkt 215,000
Combipac 0 0 0 0 0 0
211 OAT-FDC Kat 1 Pkt 360,000 0 0 0 0 0 0
212 OAT-FDC Kat 2 Pkt 1,200,000 0 0 0 0 0 0
Obat Batuk Hitam
213 Btl 1,420 0 0 0 0 0 0
Obat Suntik KB I 3
214 Vial 6,500
blnan 1 ml 0 0 0 0 0 0
Obat Suntik KB I 3
215 Vial 6,500
blnan 3 ml 0 0 0 0 0 0
Oksimetazolin Tts 27,550
216 Btl
Hidung 0,05% dewasa 6 0 0 0 0 6
217 Oksitetrasiklin HCl Inj Amp 3,100 0 0 0 0 0 0
Oksitetrasiklin HCl SK
218 Tub 1,651
3% 0 0 0 0 0 0
Oksitosin Injeksi 10 IU /
219 Amp 1,820
ml - 1 ml 0 0 0 0 0 0
220 Oxytetrasiklin S.M 1% Tub 2,100 0 0 0 0 0 0

221 Omeprazole 20 mg kap Kap 265

2730 0 0 0 0 2730
Ondansetron Injeksi 4
222 Amp 2,400
mg/2 ml 0 0 0 0 0 0
223 Ondansetron 4 mg Tab 472 0 0 0 0 0 0
224 Papaverin tab 40 mg Tab 99 0 0 0 0 0 0
225 Paracetamol 100 mg Tab 32 0 0 0 0 0 0
226 Parasetamol 500 mg Tab 105 54300 0 0 0 0 54300
227 Parasetamol Drops Btl 5,270 0 0 0 0 0 0
Parasetamol sirup 120
228 Btl 2,290
mg / 5 ml 110 0 0 0 0 110
 Permethrin Cream 5 %
229 Tub 11,475
10 g 5 0 0 0 0 5
230 Pil KB I Tab 2,175 0 0 0 0 0 0
Pirantel Suspensi 125
231 Btl 8,360
mg / 5 ml 0 0 0 0 0 0
Pirantel Tab Scorr
232 Tab
(base) 250 mg 0 0 0 0 0 0
233 Pirasetam inj 3 g/15ml Amp 17,103 0 0 0 0 0 0
234 Piridoksin 10 mg Tab 17 1500 0 0 0 0 1500
235 Piroksikam 20 mg Kap 84 0 0 0 0 0 0
236 Plester 5 yard x 2 inch Rol 23,625 0 0 0 0 0 0
Povidon Iodida 10 % 30
237 Btl 2,390
ml 28 0 0 0 0 28
Povidon Iodida Lar. 10
238 Btl 14,203
% 300 ml 0 0 0 0 0 0
239 Prednison 5 mg Tab 63 2200 0 0 0 0 2200
240 Primakuin tab 15 mg Tab 114 0 0 0 0 0 0
241 Progastric Tab 303 0 0 0 0 0 0

Prokain Benzil Penicillin

242 Vial 6,100
G inj 3 jtIU/Vial
0 0 0 0 0 0
243 Propanolol 10 mg Tab 77 0 0 0 0 0 0
244 Propiltiourasil 100 mg Tab 300 0 0 0 0 0 0
245 Ramaton Tab 0 0 0 0 0 0
246 Ramipril 2,5 mg Tab 300 0 0 0 0 0 0
247 Ramipril 5 mg Tab 580 0 0 0 0 0 0
248 Ranitidin 150 mg Tab 110 8000 0 0 0 0 8000
249 Ranitidin inj 25 mg/ml Amp 1,542 0 20 0 0 0 20
Retinol 100.000 IU
250 Kap 286
(Biru) 0 0 0 0 450 450
Retinol 200.000 IU
251 Kap 462
(Merah) 0 0 0 0 1500 1500
252 Ringer Laktat Btl 5,200 840 0 0 0 0 840
253 Risperidon 1 mg Tab 0 0 0 0 0 0
254 Risperidon 2 mg Tab 1,008 0 0 0 0 0 0
255 Risperidon 3 mg Tab 0 0 0 0 0 0
256 Salbutamol 2 mg Tab 84 0 0 0 0 0 0
257 Salbutamol 4 mg Tab 80 0 0 0 0 0 0
Salbutamol Inhalasi 100
258 Btl
mcg/dosis 0 0 0 0 0 0
259 Salep 2-4 Pot 1,229 2 0 0 0 0 2
260 Salisil Bedak 2 % ktk 1,420 0 23 0 0 0 23
261 Scabisid Cream 10 g Tub 28,380 0 0 0 0 0 0
Sefadroksil Sirup 125
262 Btl 4,896
mg/ 5 ml 0 0 0 0 0 0
263 Sefadroksil 500 mg Kap 521 0 0 0 0 0 0
Semen Seng Fosfat
264 Btl 93,500
serbuk&cairan 0 0 0 0 0 0
265 Serum (ABU I) 5 ml Vial 398,475 0 0 0 0 0 0
266 Serum ATS 1500 IU Amp 91,650 10 0 0 0 0 10
Sianokobalamin inj 500
267 Amp 1,037
mcg - ml 240 0 0 0 0 240
268 Silk No 3/0. Set 6,969 0 0 0 0 0 0
269 Simvastatin 10 mg Tab 180 700 0 0 0 0 700
270 Siprofloksasin 500 mg tab 284 500 0 0 0 0 500
271 Spironolakton 25 mg Tab 315 0 0 0 0 0 0
Sukralfat/Ulsafat
272 Btl 13,425
Suspensi 500 mg/5 ml 0 0 0 0 0 0
273 Susuk KB II Set 105,135 0 0 0 0 0 0
274 Tablet Tambah Darah Ktk 10,560 0 0 0 0 0 0
Temporary Stoping
275 Btl 34,000
Flecher Serbuk 0 0 0 0 0 0

276 Tetrasiklin HCL 250 mg Kap 166

0 0 0 0 0 0

277 Tetrasiklin HCL 500 mg Kap 257

0 0 0 0 0 0
278 Tiamin HCL 100 mg Tab 81 0 0 0 0 0 0
279 Tiamin HCL 50mg Tab 38 5000 0 0 0 0 5000
Timolol Tetes Mata 0,25
280 Btl 9,128
% 0 0 0 0 0 0
Tramadol Injek 50 mg/
281 Amp 5,400
ml 0 0 0 0 0 0
282 Tramadol kap 50 mg Kap 189 0 0 0 0 0 0
283 Trifluoperazin 5 mg Tab 405 0 0 0 0 0 0
284 Triheksifenidil 2mg Tab 40 800 0 0 0 0 800
Urea Cream/soft U
285 Tub 6,400
derm 10 % 0 0 0 0 0 0
286 Urin bag pcs 3,990 0 35 0 0 0 35
Vaksin Anti Rabies
287 Vial 126,500
( Verorad ) 0 0 0 0 0 0
288 Ventolin/Salbutamol Inha Btl 63,750 0 0 0 0 0 0
289 Vitamin B.Komplek Tab 22 1800 0 0 0 0 1800
290 Wing Needle No. 23 G set 5,770 0 0 0 0 0 0
291 Wing Needle No. 25 G set 5,770 0 0 0 0 0 0
292 Wing Needle No.27 G set 5,470 0 0 0 0 0 0
293 Zink 20 mg tab 475 0 0 0 300 0 300
294 Zink drop 10 mg/ml Btl 12,840 0 0 0 0 0 0
295 Zink Syrup Btl 0 0 0 0 0 0
296 Metylergometrin Maleat inAmp 0 0 0 0 0 0
297 Simvastatin 20 mg Tab 252.00 1100 0 0 0 0 1100
 Kloramfenikol SM
298 Tub 3,091
(Bufacetin) 0 0 0 0 0 0
299 Metylprednisolon 8 mg Tab 309 0 0 0 0 0 0
300 Mikonazole Crem 2% Tub 3250 0 0 0 0 0 0
301 N.Asetil Sistein tab 200m Tab 426 0 0 0 0 0 0
302 Pehapral Tab 809 0 0 0 0 0 0
Pembalut Elastis crape rol
303
7,5cmx4,55cm 5 0 0 0 0 5
304 Kloramfenikol 500mg kap 1007 0 0 0 0 0 0
305 Ceuticel clasik 10 X 10 c pcs 33645 130 0 0 0 0 130
306 Alat suntik 0,5 ml pcs 0 0 0 0 0 0
307 Alkazyme sacset 25 Sas 69 0 0 0 0 69
308 Asam Asetyl Salisilat 80 tab 0 0 0 0 0 0
309 Daryant-Tulle 10x10 helai 0 0 0 0 0 0
310 Dimenhidrinat 50mg tab 0 0 0 0 0 0
311 Dulcolax supp infant 5mg Sup 0 0 0 0 0 0
312 Gentamisin SM 0,3% Tub 0 0 0 0 0 0
314 Leukoplas 1622H rol 14 0 0 0 0 14
Diazepam Lar Rectal Tub
315
5mg/2.5 ml 0 0 0 0 0 0
316 Alkohol 70% 300ml Btl 0 0 0 0 0 0
317 Kapas Pembalut 100 gr rol 0 0 0 0 0 0
318 Pavidon Iodida 60 ml Btl 30 0 0 0 0 30
319 IV Catheter No. 26 G Sas 0 0 0 0 0 0
320 Masker with Ear Loop box 10 0 0 0 0 10
321 Oflosasin TT 3% Btl 4 0 0 0 0 4
322 Betadin Sabun cair Btl 4 0 0 0 0 4
323 Betadin salep 5 mg Tub 92 0 0 0 0 92
324 Dulcolax supp infant 10mg 0 0 0 0 0 0
325 Eritromycin kap 500 mg Kap 1600 0 0 0 0 1600
326 Lisol Concentrate 1 ltr Btl 14 0 0 0 0 14
327 Paper Tape 2,5 X 9,14 c Rol 8 0 0 0 0 8
328 Sefadroksil 250 mg Kap 690 1100 0 0 0 0 1100
Oksimetazolin Tts Btl
329
Hidung 0,025% 2 0 0 0 0 2
330 Sarung tangan steril N0. pcs 0 0 0 0 0 0
331 Dulcolax supp infant 5mgsupp 10 0 0 0 0 10
332 Underpad pcs 0 0 0 0 0 0
Hydrogel wound ktk
333
dressing 0 0 0 0 0 0
334 Soft U Derm krim tube 0 2 0 0 0 2
335 Alkohol swab 200 pcs ktk 0 0 0 0 0 0
336 Phenobarbital (inj) 50mg Amp 0 0 0 0 0 0
Total

Mengetahui
Kepala Puskesmas Rawat Inap Ketapang

dr.Hi.DIAN MAULI,MH
NIP.19800120 200804 1 001

Jumlah Kunjungan Resep umum jkn jamkesda jumlah

Puskesmas Induk 0
Pustu + Bides 0
Total 955
 LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT

WAL PENERIMAAN PEMAKAIAN

PKD PKD
Total Harga DAK KIA P2M Gizi Total Total Harga DAK KIA P2M Gizi
PROP PROP

0 0 0 0 0 0 0

-
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 600 0 0 0 0
1,138,060 0 0 100 0 0 0 0
- 0 0 0 0 0 0 0

0 0 0 0 0 0 0
-
237,420 0 0 200 300 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
147,290 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
56,100 0 0 600 0 0 0 0
140,800 0 0 520 0 0 0 0
5,859,000 0 0 3,800 0 0 0 0
369,900 0 0 700 800 0 0 0

0 0 0 0 0 0 0
-
- 30 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
1,424,720 0 0 3,800 0 0 0 0

0 0 0 6 0 0 0
12,455

0 0 0 0 0 0 0
-
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
 1,719 0 0 2 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0

0 0 0 0 0 0 0
-
0 0 0 0 0 0 0
-
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0

0 0 0 0 0 0 0
-
- 0 0 0 0 0 0 0

0 0 0 0 0 0 0
100,020
- 0 0 0 0 0 0 0
142,200 0 0 300 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 300 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0

0 0 0 0 0 0 0
-
- 0 0 0 0 0 0 0

0 0 300 0 0 0 0
554,400
0 0 12 20 0 0 0
18,660
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0

0 0 0 0 0 0 0
-
0 0 0 0 0 0 0
-
0 0 0 0 0 0 0
-
69,424 0 0 2 0 0 0 0
95,490 0 0 2 0 0 0 0
378,000 0 0 700 0 0 0 0

0 0 0 0 0 0 0
-
 0 0 0 0 0 0 0
-
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0

0 0 20 0 0 0
240,228
434,000 0 0 4,100 0 0 0 0

0 0 0 0 0 0 0
-
0 0 0 0 0 0 0
-
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0

0 0 0 0 0 0 0
-
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0

0 0 0 0 0 0 0
-
- 0 0 0 0 0 0 0

0 0 0 0 0 0 0
97,500
0 0 0 0 0 0 0
-
12,530 0 0 3 0 0 0 0
79,900 0 0 0 1 0 0 0
- 0 0 0 0 0 0 0

0 0 3 0 0 0 0
24,420
- 0 0 0 0 0 0 0
91,567 0 0 0 0 0 0 0

0 0 0 0 0 0 0
-
- 0 0 0 0 0 0 0

0 0 0 0 0 0 0
-
- 0 0 0 0 0 0 0

60 0 0 25 0 0 0 0
8,698
- 0 0 0 0 0 0 0
 - 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0

0 0 0 0 0 0 0
-
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
101,980 0 0 100 100 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0

40 0 0 0 0 0 0 0
36,940
- 0 0 0 0 0 0 0

0 0 0 0 0 0 0
-
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0

0 0 700 0 0 0 0
600,000
0 0 0 0 0 0 0
-
48 0 0 0 0 10 0 0
-
343,620 0 0 0 0 0 0 0
850,080 0 0 20 0 0 0
95,960 0 0 400 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0

0 0 0 0 0 0 0
-
- 0 0 0 0 0 0 0

0 0 0 0 0 0 0
-
0 0 10 0 0 0 0
59,583
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0

0 0 0 0 0 0 0
-
 - 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
399,000 0 0 25 0 0 0 0
- 0 0 0 0 0 0 0
126,555 0 0 100 0 0 0 0
- 0 0 0 0 0 0 0

0 0 0 0 0 0 0
-
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0

0 0 0 0 0 0 0
-
249,600 0 0 600 0 0 0 0

0 0 0 0 5 0 0
-
0 0 2 0 0 0 0
44,700
- 0 0 0 0 0 0 0
137,750 0 0 400 0 0 0
- 0 0 0 0 0 0 0

0 0 0 0 0 0 0
-
0 0 0 0 0 0 0
-
0 0 0 0 0 0 0
-
0 0 0 0 0 0 0
-
0 0 0 0 0 0 0
-
0 0 0 0 0 0 0
-
299,250 0 0 5 0 0 0 0
- 0 0 0 0 0 0 0
2,673,000 0 0 50 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0

0 0 0 0 0 0 0
-
0 0 5 0 0 0 0
-
- 0 0 0 0 0 0 0
 0 0 0 0 0 0 0
-
0 0 4,700 0 0 0 0
350,400
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
160,000 0 0 500 0 0 0 0
633,600 0 0 15 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0

0 0 0 0 0 0 0
-
511,500 0 0 120 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
6,702 0 0 2 2 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0

0 0 0 0 0 0 0
-
0 0 0 0 0 0 0
-
0 0 0 0 0 0 0
-
264,000 0 0 300 0 0 0 0

0 0 0 0 0 0 0
-
- 0 0 0 0 0 0 0

0 0 0 0 0 0 0
-
- 0 0 0 0 0 0 0
- 40 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
198,000 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0

0 0 0 0 0 0 0
-
0 0 0 0 0 0 0
-
 0 0 5,800 0 0 0 0
2,283,540
0 0 0 0 0 0 0
-
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
361,200 0 0 800 200 0 0 0

0 0 100 0 0 0
40,700
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0

0 0 0 0 0 0 0
-
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0

0 0 0 0 0 0 0
-
0 0 0 0 0 0 0
-
0 0 0 0 0 0 0
165,300
- 0 0 0 0 0 0 0

0 0 0 0 0 0 0
-
0 0 0 0 0 0 0
-
- 200 0 0 0 0 0 0 0

0 0 870 0 0 0 0
723,450
0 0 0 0 0 0 0
-
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
5,696,070 0 0 6,200 0 0 0 0
- 0 0 0 0 0 0 0

0 0 40 0 0 0 0
251,900
 0 0 10 0 0 0 0
57,375
- 0 0 0 0 0 0 0

0 0 0 0 0 0 0
-
0 0 0 0 0 0 0
-
- 0 0 0 0 0 0 0
26,100 0 0 1,500 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0

0 0 10 0 0 0 0
66,920
0 0 0 0 0 0 0
-
137,500 0 0 500 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0

0 0 0 0 0 0 0
-
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
880,000 0 0 800 0 0 0 0
30,840 0 0 0 35 0 0 0

0 0 0 0 0 0 0
128,610
0 0 0 0 0 0 0
692,700
4,368,000 0 0 220 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0

0 0 0 0 0 0 0
-
2,458 0 0 2 0 0 0 0
32,660 0 0 0 7 0 0 0
- 0 0 0 0 0 0 0

0 0 0 0 0 0 0
-
 - 0 0 0 0 0 0 0

0 0 0 0 0 0 0
-
- 0 0 2 0 0 0 0
916,500 0 0 8 0 0 0 0

0 0 60 0 0 0 0
248,856
- 0 0 0 0 0 0 0
126,000 0 0 0 30 0 0 0
142,000 0 0 200 0 0 0 0
- 0 0 0 0 0 0 0

0 0 4 0 0 0 0
-
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0

0 0 0 0 0 0 0
-
0 0 0 0 0 0 0
-
0 0 0 0 0 0 0
-
- 0 0 0 0 0 0 0
188,950 0 0 900 0 0 0 0

0 0 0 0 0 0 0
-
0 0 0 0 0 0 0
-
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
32,000 0 0 100 0 0 0 0

0 0 0 0 0 0 0
-
139,650 0 0 0 5 0 0 0

0 0 0 0 0 0 0
-
- 0 0 0 0 0 0 0
39,942 0 0 2,700 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
142,500 0 0 0 0 0 100 0
- 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
277,200 0 0 200 0 0 0 0
 0 0 0 0 0 0 0
-
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0

0 0 5 0 0 0 0
-
- 0 0 0 0 0 0 0
4,373,850 0 0 30 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 20 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 12 0 0 0 0

0 0 0 0 0 0 0
-
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 12 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 3 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 2 0 0 0 0
- 0 0 24 0 0 0 0
- 0 0 0 0 0 0 0
- 0 0 200 0 0 0 0
- 0 0 2 0 0 0 0
- 0 0 2 0 0 0 0
759,000 0 0 800 0 0 0 0

0 0 0 0 0 0 0
-
- 0 0 0 0 0 0 0
- 0 0 8 0 0 0 0
- 0 0 0 0 0 0 0

0 0 0 0 0 0 0
-
- 0 0 0 0 0 0 0
- 0 0 0 0 0 0 0
- 60 0 0 0 0 0 0 0
66,098,226 Rp -
PEMAKAIAN SISA STOCK KEB. PER TRI BULAN

PKD
Total Total harga DAK KIA P2M Gizi TOTAL NILAI (RP) TOTAL NILAI(RP)
PROP

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 500 544500
0 0 0 0 0 0 0 0 0 0 0
600 0 3,500 0 0 0 0 3,500 0 1800 0
100 103460 600 400 0 0 0 1,000 1,034,600 1000 1034600
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
500 65950 1,600 300 0 0 0 1,300 171,470 1000 131900
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 1,300 0 0 0 0 1,300 147,290 500 56650
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
600 112200 300 0 0 0 0 300 56,100 1500 280500
520 228800 200 0 0 0 0 200 88,000 1050 462000
3,800 798000 24,100 0 0 0 0 24,100 5,061,000 3000 630000
1,500 554850 300 800 0 0 0 500 184,950 10000 3699000

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 30 0 0 30 161,040 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 100 384000
3,800 615220 5,000 0 0 0 0 5,000 809,500 15000 2428500

6 14946 0 1 0 0 0 1 2,491 24 59784

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 20 40000
0 0 0 0 0 0 0 0 0 0 0
 2 3438 1 0 0 0 0 1 1,719 24 41250
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 2000 63980
0 0 0 0 0 0 0 0 0 15000 2638500

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 30 0 0 0 0 30 100,020 0 0
0 0 0 0 0 0 0 0 0 0 0
300 71100 300 0 0 0 0 300 71,100 500 118500
0 0 0 0 0 0 0 0 0 500 285615
0 0 0 0 0 0 0 0 0 50 149980
300 0 1,500 0 0 0 0 1,500 0 500 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
300 277200 300 0 0 0 0 300 277,200 3000 2772000

32 59712 12 10 0 0 0 22 41,052 150 279900

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 156 3834935

2 17356 6 0 0 0 0 6 52,068 50 433900

2 19098 8 0 0 0 0 8 76,392 50 477450
700 157500 980 0 0 0 0 980 220,500 2480 558000
0 0 0 0 0 0 0 0 0 0 0
 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
20 40038 100 0 0 0 0 100 200,190 200 400380
4,100 287000 2,100 0 0 0 0 2,100 147,000 10000 700000
0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 65 0 0 0 65 97,500 0 0

0 0 0 0 0 0 0 0 0 0 0
3 5370 4 0 0 0 0 4 7,160 0 0
1 19975 0 3 0 0 0 3 59,925 5 99875
0 0 0 0 0 0 0 0 0 0 0
3 36630 1 0 0 0 0 1 12,210 10 122100
0 0 0 0 0 0 0 0 0 0 0
0 0 2 0 0 0 0 2 91,567 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
25 43492 20 0 60 0 0 40 69,587 0 0
0 0 0 0 0 0 0 0 0 0 0
 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
200 20396 300 500 0 0 0 800 81,584 500 50990
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1200 456000
0 0 10 0 40 0 0 50 184,700 0 0
0 0 0 0 0 0 0 0 0 100 183700
0 0 0 0 0 0 0 0 0 50 145200
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1500 107850
700 350000 500 0 0 0 0 500 250,000 0 0

0 0 0 0 0 0 0 0 0 7000 195300

10 104250 0 0 38 0 0 38 396,150 0 0
0 0 60 0 0 0 0 60 343,620 0 0
20 106260 140 0 0 0 0 140 743,820 0 0
400 95960 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 100 425000
0 0 0 0 0 0 0 0 0 200 850000

10 29792 10 0 0 0 0 10 29,792 150 446875

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
 0 0 0 0 0 0 0 0 0 1500 307410
0 0 0 0 0 0 0 0 0 0 0
25 99750 25 50 0 0 0 75 299,250 150 598500
0 0 0 0 0 0 0 0 0 250 875000
100 9735 1,200 0 0 0 0 1,200 116,820 0 0
0 0 0 0 0 0 0 0 0 200 1555120

0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 250 1943900
0 0 0 0 0 0 0 0 0 250 1943900

0 0 0 0 0 0 0 0 0 0 0
600 31200 4,200 0 0 0 0 4,200 218,400 2000 104000
5 0 2 6 5 0 0 3 0 0 0

2 14900 4 0 0 0 0 4 29,800 10 74500

0 0 0 0 0 0 0 0 0 0 0
400 55100 600 0 0 0 0 600 82,650 2000 275500
0 0 0 0 0 0 0 0 0 24 49008
0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 200 121360

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 5 275950

0 0 0 0 0 0 0 0 0 200 0

0 0 0 0 0 0 0 0 0 100 0
5 33250 15 25 0 0 0 40 266,000 0 0
0 0 0 0 0 0 0 0 0 500 133500
50 668250 150 0 0 0 0 150 2,004,750 150 2004750
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 25 40000

5 12500 5 0 0 0 0 5 12,500 25 62500

0 0 0 0 0 0 0 0 0 25 39975
 0 0 0 0 0 0 0 0 0 0 0

4,700 112800 9,900 0 0 0 0 9,900 237,600 15000 360000

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
500 80000 500 0 0 0 0 500 80,000 0 0
15 59400 135 10 0 0 0 145 574,200 100 396000
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
120 136400 240 90 0 0 0 330 375,100 300 341000
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
4 4468 2 0 0 0 0 2 2,234 10 11170
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1000 105000

0 0 0 0 0 0 0 0 0 10000 2958300

0 0 0 0 0 0 0 0 0 0 0
300 33000 2,100 0 0 0 0 2,100 231,000 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 40 0 0 40 77,920 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 80 80 198,000 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 40 196000
0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0
5,800 1261384 4,700 0 0 0 0 4,700 1,022,156 8400 1826832

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
1,000 129000 1,200 600 0 0 0 1,800 232,200 0 0
100 40700 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 6 0 0 0 0 6 165,300 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 200 0 0 200 420,000 0 0
870 230550 1,860 0 0 0 0 1,860 492,900 2250 596250

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
6,200 650380 48,100 0 0 0 0 48,100 5,045,690 33600 3524640
0 0 0 0 0 0 0 0 0 0 0
40 91600 70 0 0 0 0 70 160,300 250 572500
 10 114750 5 0 0 0 0 5 57,375 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
1,500 26100 0 0 0 0 0 0 0 1500 26100
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 10 236250
10 23900 18 0 0 0 0 18 43,020 52 124280

0 0 0 0 0 0 0 0 0 0 0
500 31250 1,700 0 0 0 0 1,700 106,250 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
800 88000 7,200 0 0 0 0 7,200 792,000 3000 330000
35 53970 0 15 0 0 0 15 23,130 300 462600
0 0 0 0 0 0 450 450 128,610 0 0

0 0 0 0 0 0 1,500 1,500 692,700 0 0

220 1144000 620 0 0 0 0 620 3,224,000 1000 5200000
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 2000 160000

0 0 0 0 0 0 0 0 0 0 0
2 2458 0 0 0 0 0 0 0 36 44235
7 9940 0 16 0 0 0 16 22,720 0 0
0 0 0 0 0 0 0 0 0 12 340560
0 0 0 0 0 0 0 0 0 0 0
 0 0 0 0 0 0 0 0 0 2000 1042000

0 0 0 0 0 0 0 0 0 0 0
2 796950 2 0 0 0 0 2 796,950 0 0
8 733200 2 0 0 0 0 2 183,300 0 0
60 62214 180 0 0 0 0 180 186,642 200 207380
0 0 0 0 0 0 0 0 0 72 501800
30 5400 700 30 0 0 0 670 120,600 700 126000
200 56800 300 0 0 0 0 300 85,200 1000 284000
0 0 0 0 0 0 0 0 0 0 0
4 53700 4 0 0 0 0 4 53,700 18 241650
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
900 34011 4,100 0 0 0 0 4,100 154,939 5000 188950
0 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
100 4000 700 0 0 0 0 700 28,000 0 0
0 0 0 0 0 0 0 0 0 0 0
5 19950 0 30 0 0 0 30 119,700 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
2,700 59913 900 0 0 0 0 900 19,971 7000 155330
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
100 47500 0 0 0 200 0 200 95,000 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
200 50400 900 0 0 0 0 900 226,800 0 0
 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
5 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
30 1009350 100 0 0 0 0 100 3,364,500 0
0 0 0 0 0 0 0 0 0 500 0
20 0 49 0 0 0 0 49 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
12 0 2 0 0 0 0 2 0 50 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0
12 0 18 0 0 0 0 18 0 20 0
0 0 0 0 0 0 0 0 0 0 0
3 0 7 0 0 0 0 7 0 0 0
0 0 4 0 0 0 0 4 0 0 0
2 0 2 0 0 0 0 2 0 10 0
20 0 68 0 0 0 0 68 0 0 0
0 0 0 0 0 0 0 0 0 0 0
200 0 1,400 0 0 0 0 1,400 0 0 0
2 0 12 0 0 0 0 12 0 0 0
2 0 6 0 0 0 0 6 0 24 0
800 552000 300 0 0 0 0 300 207,000 2500 1725000

0 0 2 0 0 0 0 2 0 0 0
0 0 0 0 0 0 0 0 0 100 0
8 2 0 0 0 0 2 0 0 0
0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0

0 0 2 0 0 0 2 0 10
0 0 0 0 0 0 0 0
0 0 0 60 0 0 60 0
Rp 12,972,114 Rp 53,126,112

Ketapang , 02 Desember 2019

Pengelola Obat Puskesmas

EYIN MUHIDIN
NIP.19620906 198803 1 006