Nomor : 442/ 46 /PKM SKG/I/2020

Tanggal : 15 Januari 2020

Harga Satuan Harga Satuan Harga Satuan

No Nama Obat Satuan
2017 2018 2019
1 2 3 4 5 6
1 Acetyl Cysteine 200 mg Kapsul - 358.00 -
2 Alat Suntik Sekali Pakai 0.5 ml Pcs 1,249.45 - -
3 Alat Suntik Sekali Pakai 1 ml Pcs 990.00 653.41 656.64
4 Alat Suntik Sekali Pakai 10 ml (Aximed) Buah - 1,382.37 932.16
5 Alat Suntik Sekali Pakai 10 ml (Top Point) Buah 3,600.00 941.48 -
6 Alat Suntik Sekali Pakai 2,5 ml Pcs 652.51 652.51 -
7 Alat Suntik Sekali Pakai 20 ml Buah - 1,478.28 -
8 Alat Suntik Sekali Pakai 3 ml Pcs 792.00 792.00 652.51
9 Alat Suntik Sekali Pakai 5 ml Pcs 979.00 784.09 -
10 Albendazol 400 mg Tablet - 403.00 403.00
11 Alkohol Swab ( PT. Bio Axion Healthindo) Sase - 116.04 105.00
12 Alkohol Swab CHG + 0,5 % (e-care) Pcs 196.80 196.80 105.00
13 Alopurinol tablet 100 mg Tablet 89.00 99.00 -
14 Alopurinol tablet 300 mg Tablet 210.00 - -
15 Ambroxol Sirup Botol 3,900.00 3,970.00 -
16 Ambroxol Tablet 30 mg Tablet 148.50 - -
17 Aminofilin Inj 24 mg/ml-10 ml Ampul 3,345.00 2,789.00 -
18 Aminofilin Tablet 200 mg Tablet 91.00 89.00 -
19 Aminofluid Botol 64,990.00 - -
20 Amitriptilina HCl tablet salut 25 mg Tablet 112.00 167.00 -
21 Amlodipin tablet 10 mg Tablet 104.00 93.00 93.00
22 Amlodipin tablet 5 mg Tablet 85.00 70.00 70.00
23 Amoksilin 500 mg Kaplet 190.00 233.00 233.00
24 Amoksilin Kapsul 250 mg Kapsul 195.00 184.00 -
25 Amoksilin sirup kering 125 mg/5ml Botol 1,881.00 - 2,500.00
26 Amoksilin sirup kering forte 250 mg/5ml Botol 3,984.00 3,400.00 -
27 Ampisilin 1 gr inj Ampul 9,176.00 8,237.00 -
28 Ampisilin Kaplet 500 mg Kaplet 362.00 570.00 -
29 Ampisilin Kaplet 500 mg Kaplet 597.00 570.00 -
30 Ampisilin Serbuk Injeksi Vial - 8,237.00 -
31 Antalgin(Metampiron) Tablet 500 mg Tablet 242.00 218.50 268.07
32 Antasida DOEN I tablet kombinasi Tablet 58.00 54.00 54.00
33 Antasida DOEN II suspensi kombinasi Botol 1,923.00 1,995.00 1,995.00
34 Anti hemoroid suppositorida Supp 4,950.00 3,167.00 -
35 Antifungi DOEN kombinasi : Pot 4,323.00 4,496.00 -
36 Antimigren DOEN/Ergotamin kafein Tablet 135.00 173.00 -
37 Antiseptik Hand Rub 5 lt Galon 145,000.00 - -
38 Antiseptik Hand Rub 500 ml Botol 60,800.00 - -
39 Antiseptik Surgical Hand Scrub 5 lt Galon 160,200.00 - -
40 Antiseptik Surgical Hand Scrub 500 ml Botol 74,000.00 - -
41 Aqua Pro Injeksi steril bebas pirogen- 20 ml Ampul 2,302.00 2,295.00 -
42 Aquadest steril -500 ml Botol 24,000.00 24,200.00 -
43 Asam Askorbat (VIT C) Tablet 50 mg (KF) Tablet 104.00 105.00 105.00
44 Asam folat tablet 0,4 mg Tablet 55.00 52.00 52.00
45 Asam Mefenamat 500 mg Tablet 100.00 103.00 103.00
46 Asering Botol 9,275.00 9,646.00 -
47 Asetosal tablet 80 mg Tablet 92.00 - -
48 Asiklovir cr Tube 3,110.00 3,140.00 3,322.00
49 Asiklovir tab 200 mg Tablet 240.00 - 236.00
50 Asiklovir tab 400 mg Tablet 365.00 380.00 380.00
51 Atapulgit Tablet 142.00 136.00 136.00
52 Atorvastatin 10 mg Tablet 10,890.00 1,100.00 -
53 Atropin Sulfat injeksi 0,25 mg/ml-1 ml Ampul 1,672.00 - -
54 Azitromisin 500 mg Kaplet 1,888.00 - -
55 Bedak Salisil serbuk 2 % Buah 1,025.00 2,400.00 -
56 Benzatin benzil penisilin 1,2 juta IU/Vial Vial 14,500.00 - -
57 Betametason Krim 0.1 % Tube 1,349.00 1,340.00 -
58 Bisturi no 10 Buah 767.00 - -
59 Bloodseet Buah 13,420.00 - -
60 Camabion Tablet 355.00 - -
61 Carpul (Articain & Adrenalin) Ampul 10,914.00 - -
62 Catgut Chromic 2/0 100 m Roll 940,554.00 - -
63 Catgut Chromic 2/0 75C + Jarum 1/2 30 MR Roll 22,500.00 22,500.00 61,800.00
64 Catgut Chromic 3/0 75C + Jarum 1/2 22 MR Roll 22,500.00 22,500.00 -
65 Catgut Plain 2/0 70C + Jarum 1/2 36M R Roll 30,500.00 - -
66 Catgut Plain 3/0 70C + Jarum 3/8 19M C Roll 29,583.33 - -
67 Catgut/Benang Bedah No.2/0-3/0 dg jarum bedah Roll 24,500.00 - -
68 Cefiksim 100 mg Kapsul 750.00 803.00 -
69 Cetirizine Kapsul 96.00 90.00 90.00
70 Citoject Pcs 909,900.00 - -
71 Clorofenol (CHKM) Ples 115,700.00 106,000.00 -
72 Deksametason inj 5 mg/ml-1 ml Ampul 1,500.00 1,097.00 -
73 Deksametason Tablet 0,5 mg Tablet 41.00 32.00 250.00
74 Devitalisasi Pasta (Non arsen) Botol 816,700.00 385,000.00 -
75 Difenhidramin inj 10 mg/ml Ampul 1,060.00 1,095.00 -
76 Digoksin tablet 0,25 mg Tablet 104.00 104.00 -
77 Dimenhidrinat tablet 50 mg Tablet 99.00 - 99.00
78 Doksisiklin 100 mg Kapsul 268.00 268.00 -
79 Domperidon Syrup Botol 3,000.00 2,700.00 -
80 Domperidon tablet 10 mg Tablet 95.00 85.00 -
81 Ekstrak Belladona tablet 10 mg Tablet 38.00 - -
82 Eosin 2% 1x100 ml Botol - 179,595.00 -
83 Epinefrina(Adrenalin) inj i.v/s.k/i.m 1 mg/ml Ampul 1,749.00 1,408.00 -
84 Eritromisin 250 mg Tablet 557.00 546.00 546.00
85 Eritromisin 500 mg Tablet 730.00 750.00 -
86 Eritromisin sirup kering 200 mg/5 ml Botol 6,700.00 6,090.00 -
87 Etambutol Hcl tablet 250 mg Tablet 314.00 366.00 -
88 Etambutol Hcl Tablet 500 mg Tablet 451.00 - -
89 Etanol 70 %- 100 ml Botol 2,500.00 - -
90 Etanol 70% - 1 L Botol 21,500.00 25,000.00 18,700.00
91 Etil Klorida semprot-100 ml Botol 124,900.00 - -
92 Eugenol Cairan Botol 102,000.00 18,824.00 -
93 Female Catheter no 16 Pcs 5,720.00 - -
94 Female Catheter no 18 Pcs 5,720.00 - -
95 Fenitoin Kapsul100 mg Kapsul 152.00 - -
96 Fenoksimetil Penisilin tablet 250 mg Tablet 350.00 - -
97 Fenoksimetil Penisilin tablet 500 mg Tablet 605.00 - -
98 Fenol Gliserol Tetes telinga 10 % Botol 1,008.33 - -
99 Film IV Dressing 6x7 P Pcs 2,200.00 - -
100 Fitomenadion(Vit K1) inj 10 mg/ml-1ml Ampul 1,566.00 - -
101 Fitomenadion(Vit K1) inj 2 mg/ml-1ml Ampul 3,550.00 3,682.00 3,682.00
102 Fitomenadion(Vit K1) tablet salut gula 10 mg Tablet 686.00 710.00 710.00
103 Fluconazol 150 mg kapsul 18,000.00 18,720.00 -
104 Folley Cathether 2 way no 20 Pcs 8,000.00 - -
105 Folley Cathether no 16 Pcs 11,000.00 - 10,340.00
106 Folley Cathether no 18 Pcs 11,000.00 - 11,890.00
107 Furosemid tablet 40 mg Tablet 72.00 77.00 -
108 Garam Oralit 200 ml air Sachet 260.00 260.00 274.00
109 Gentamisin Inj 40 mg/ml Vial 3,386.00 3,509.00 5,900.00
110 Gentamycin Salep Kulit Tube 3,040.00 3,550.00 -
111 Gentamycin Salep Mata Tube 2,960.00 2,675.00 -
112 Gentamycin Tetes Mata Tube 4,170.00 4,232.00 4,232.00
113 Gentian violet larutan 1 %-10 ml Botol 3,000.00 - -
114 Glas Lonomer Cement Set 480,840.00 500,000.00 275,924.71
115 Glibenklamid tablet 5 mg Tablet 100.00 119.00 -
116 Glimepiride tablet 1 mg Tablet 194.00 - 174.00
117 Gliseril Gyayakolat tablet 100 mg Tablet 118.80 118.00 128.81
118 Glukosa Larutan infus 10% steril-500 ml Botol 5,700.00 - -
119 Glukosa Larutan infus 5% steril-500 ml Botol 5,200.00 - 6,900.00
120 Griseofulvin tablet 125 mg micronized Tablet 247.00 210.00 210.00
121 Haloperidol Injeksi (Lodomer) Ampul 6,250.00 - -
122 Haloperidol tablet 0,5 mg Tablet 56.00 55.00 -
123 Haloperidol tablet 1,5 mg Tablet 61.00 59.00 -
124 Haloperidol tablet 2 mg Tablet 126.00 84.00 -
125 Haloperidol tablet 5 mg Tablet 69.00 56.00 56.00
126 Hansaplast 2,5 cm x 4,5 m Roll 11,334.00 - -
127 Hansaplast 7,5 cm x 4,5 m Roll 31,265.00 - -
128 Hidrogen Peroksida 3% (H2O2) Botol 23,931.00 - -
129 Hidroklortiazid (HCT) tablet 25 mg Tablet 149.00 155.00 -
130 Hidrokortison krim 2,5 % Tube 2,639.00 2,475.00 -
131 Ibuprofen sirup 100 mg/5 ml Botol 2,475.00 2,365.00 -
132 Ibuprofen tablet 200 mg Tablet 102.00 105.00 -
133 Ibuprofen tablet 400 mg Tablet 111.00 - 360.00
134 Infusion set anak Set 4,000.00 6,273.00 6,150.00
135 Infusion set dewasa Set 6,435.00 6,435.00 5,800.00
136 Isoniazida ( INH ) tablet 300 mg Tablet 170.00 173.00 173.00
137 Isosorbit 5 mg Tablet 90.00 89.00 89.00
138 IV Cateter 18 Buah 10,494.00 10,494.00 11,000.00
139 IV Cateter 20 Buah 10,494.00 10,494.00 11,000.00
140 IV Cateter 22 Buah 10,494.00 10,494.00 11,000.00
141 IV Cateter 24 Buah 10,494.00 10,494.00 11,000.00
142 IV Cateter no 26 wings & port Buah 6,600.00 - -
143 IV Cateter with injection port 26 G Buah 16,346.00 13,200.00 -
144 Jarum Citojek No 16 Pcs 2,093.00 - -
145 Jarum Jahit kulit No.12 Pcs 2,283.33 - -
146 Jarum Jahit Otot No.12 Pcs 2,283.33 - -
147 Kalium Permanganat Pot 8,700.00 - -
148 Kalsium Glukonat injeksi i.v 10 % Ampul 9,955.00 10,351.00 -
149 Kalsium Hidroksida Pasta Set 290,000.00 - -
150 Kalsium laktat (Kalk) tablet 500 mg Tablet 56.00 59.00 -
151 Kapas pembalut/absorben 250 mg Buah 12,500.00 12,500.00 -
152 Kaptropil 12,5 mg Tablet 62.00 62.00 -
153 Kaptropil 25 mg Tablet 80.00 - -
154 Karbamazepin tablet 200 mg Tablet 270.00 230.00 230.00
155 Karbogliserin Tetes Telinga Botol 2,500.00 2,590.00 -
156 Kasa hidrofil 36 m x 80 cm Roll 55,000.00 106,605.00 123,000.00
157 Kasa hidrofile 3 yard x 10 cm Buah - 1,380.00 -
158 Kasa hidrofile 40 yard x 80 cm Roll - 123,000.00 -
159 Kasa kompres 16x16 steril Buah 362.50 500.00 291.67
160 Kasa pembalut hidrofil 4 m x 10 cm Roll 606.00 1,493.50 -
161 Ketokonazol 200 mg Tablet 280.00 270.00 -
162 Ketokonazol Krim 2% Tube 2,595.00 2,518.00 -
163 Klindamisin 300 mg Tablet 578.00 - -
164 Kloramfenikol kapsul 250 mg Kapsul 649.05 310.00 -
165 Kloramfenikol salep kulit 2 % Tube 3,091.00 3,038.00 -
166 Kloramfenikol salep mata 1 % Tube 1,810.00 1,881.00 -
167 Kloramfenikol susp 125 ml Botol 4,700.00 4,700.00 -
168 Kloramfenikol tetes telinga 3 % Ples 8,910.00 7,700.00 11,044.00
169 Klorfenariamin maleat (CTM) tablet 4 mg Tablet 37.00 22.00 -
170 Klorine Botol 24,000.00 - -
171 Klorpromazin 100 MG Tablet 144.00 147.00 -
172 Klorpromazin 25 mg Tablet 148.00 - -
173 Klorpromazin injeksi 5 mg/ml-2ml Ampul 1,050.00 - -
174 Kotrimoksazol anak Tablet 76.00 - -
175 Kotrimoksazol Susp Botol 2,140.00 2,052.00 -
176 Kotrimoksazol Tablet 480 mg Tablet 129.00 - 125.00
177 Leucoplast 2,50 cm x 4,5 m Roll 12,076.00 12,076.00 12,675.00
178 Leucoplast 7,50 cm x 4,5 m Roll 35,532.00 35,532.00 37,371.00
179 Lidocain compositum inj kombinasi Ampul 1,937.00 1,152.00 -
180 Lidocain Injeksi 2% Ampul 1,111.00 1,144.00 1,144.00
181 Lidocain Jeli 2% Syringe 40,000.00 41,600.00 -
182 Lidokain Spray Oral 10%(Xylocaine spray) Botol - 177,216.00 -
183 Lisol Botol 41,000.00 41,000.00 -
184 Loratadine 10 mg Tablet 123.00 - 123.00
185 Magnesium Sulfat Inj 20% Vial 3,200.00 - -
186 Magnesium Sulfat Inj 40% Ampul - 3,796.00 -
187 Masker Karet Buah 726.00 - 331.70
188 Masker Tali Buah 726.00 762.00 -
189 Metformin Tablet 94.00 96.00 96.00
190 Metildopa 250 mg / Dopamet Tablet 869.00 - 946.00
191 Metilergometrin Maleat Inj Ampul 2,849.00 2,959.00 -
192 Metilergometrin Maleat tab Tablet 267.86 210.00 -
193 Metoklopramide Inj Ampul 4,200.00 3,960.00 -
194 Metronidazol tablet 250 mg Tablet 90.00 89.00 -
195 Metronidazol tablet 500 mg Tablet 113.00 - -
196 Mikonazol krim 2% Tube 3,250.00 3,414.00 -
197 Mummying Pasta Botol 285,000.00 - -
198 Nasal Oxygen, O2 cannula size L Pcs 6,600.00 5,082.00 5,500.00
199 Nasal Oxygen, O2 cannula size M Pcs - 5,082.00 -
200 Nasal Oxygen, O2 cannula size S/infant Pcs 6,600.00 - 5,500.00
201 Nasal Oxygen, O2 cannula size XS Pcs 6,600.00 - 6,930.00
202 Natrium Bikarbonat tablet 500 mg Tablet 544.00 60.00 110.00
203 Natrium Diklofenak Tablet 132.00 128.00 128.00
204 Natrium Klorida Lar.infus 0,9 % steril Botol 6,410.00 - 6,410.00
205 Natrium Tiroksin Tablet 3,100.00 - -
206 Nifedipin 10 mg Tablet 104.00 - -
207 Nistatin Suspensi 100.000 IU/ml Botol - 13,500.00 -
208 Nistatin tablet vaginal 100.000 IU/g Tablet 523.00 560.00 -
209 Nistatin tablet vaginal 500.000 IU/g Tablet 640.00 - -
210 Norit Tablet 250.00 - -
211 OAT Sisipan/FDC Sisipan Paket 160,000.00 - -
212 Obat antituberkolosis Kombipak Kat.I Dewasa Paket 288,199.00 316,635.00 -
213 Obat antituberkulosis anak/FDC Anak Paket 214,900.00 232,518.00 -
214 Obat antituberkulosis kategori 1/FDC 1 Paket 359,900.00 389,344.00 -
215 Obat antituberkulosis kategori 2/FDC 2 Paket 1,247,984.00 1,297,889.00
-
216 Obat Batuk Hitam (OBH) Cairan -100 ml Botol 2,800.00 - -
217 OBH Nusantara Menthol Botol - 7,950.00 9,647.00
218 OBH Plus Botol 10,600.00 - -
219 Oksitetrasiklin HCl 1 % Salep mata Tube 1,600.00 2,500.00 -
220 Oksitetrasiklin HCl inj i.m 50 mg/ml-10 ml Vial 7,700.00 - -
221 Oksitetrasiklin HCl Salep Kulit 3 % Tube 2,926.00 5,800.00 4,884.00
222 Oksitoksin inj 10 IU/ml- 1 ml Ampul 1,900.00 1,199.00 1,785.00
223 Omeprazol Kapsul 140.00 130.00 139.00
224 Omeprazol Injeksi Vial 11,868.00 9,898.00 9,898.00
225 Papaverin tab Tablet 297.00 640.00 -
226 Paraformaldehid Tablet 660.00 - -
227 Parasetamol drop Botol 17,458.00 6,649.00 -
228 Parasetamol sirup 120 mg / 5ml Botol 1,010.00 1,107.00 -
229 Parasetamol tablet 500 mg Tablet 49.00 53.00 -
230 Parasetamol tablet 100 mg Tablet 92.00 - -
231 Pehakain Ampul 3,000.00 - -
232 Permetrin Krim 5% (Scabimite) Tube 12,155.00 11,825.00 7,200.00
233 PGA 2 75 C + Jarum 1/2 40 M Pcs 58,333.33 - -
234 Piralent Inj Ampul 7,240.00 - -
235 Pirazinamid 500 mg Tablet 237.00 222.00 -
236 Piridoksin HCl (Vit B6) tablet 10 mg Tablet 45.00 123.00 -
237 Piroxicam 10 mg Tablet 118.80 195.00 160.60
238 Plester 5 yard x 2 inch Roll 23,600.00 - -
239 Plester 7,5 cm x 5 m Buah 30,000.00 - -
240 Polypropylene 2/0 75C + Jarum 3/8 26m Pcs 24,500.00 - -
241 Povidon Iodiada 10 %-30 ml Botol 2,900.00 2,900.00 -
242 Povidon Iodiada 10 %-300 ml Botol 18,000.00 18,000.00 18,000.00
243 Prednison tablet 5 mg Tablet 76.00 68.00 -
244 Probenesid 500 mg Tablet 1,755.00 - -
245 Propanolol HCl tablet 10 mg Tablet 60.00 - -
246 Propanolol HCl tablet 40 mg Tablet 74.00 76.00 -
247 Propiltiourasil tablet 100 mg Tablet 279.00 - -
248 Ranitidin inj Ampul 1,458.00 - -
249 Ranitidine 150 mg Tablet 98.00 105.00 112.00
250 Retinol (VIT A) Kapsul 100.000 IU Kapsul 284.00 288.00 -
251 Retinol (VIT A) Kapsul 200.000 IU Kapsul 459.00 517.00 -
252 Rifampisin kapsul 300 mg Kapsul 376.00 725.00 -
253 Rifampisin kapsul 450 mg Kapsul 897.00 - -
254 Ringer Laktat Larutan Infus Steril Botol 7,150.00 7,150.00 7,150.00
255 Rivanol 300 ml Botol 2,550.00 3,000.00 -
256 Salbutamol tablet 2 mg Tablet 78.00 63.00 -
257 Salep 2-4 kombinasi : as.asal 2 % + Bel. 4 % Pot 2,527.00 2,621.00 -
258 Salisil Spiritus Botol 32,299.00 - -
259 Sarung Tangan non steril no 6,5 Pasang 7,700.00 7,700.00 -
260 Sarung Tangan non steril no 7 Pasang - 7,700.00 8,701.00
261 Sarung Tangan non steril no 7,5 Pasang - 7,700.00 8,701.00
262 Sarung Tangan Obgyn steril Pasang - 19,360.00 -
263 Sarung tangan steril no 6,5 Pasang 7,865.00 7,865.00 -
264 Sarung tangan steril no 7 Pasang 7,865.00 7,865.00 8,888.00
265 Sarung tangan steril no 7,5 Pasang 7,865.00 7,865.00 8,888.00
266 Semen Seng Fosfat Serbuk Cairan Set 238,200.00 - -
267 Semillas non Woven Medical Tape Pcs 21,753.00 - -
268 Serum anti tetanus (ATS) / Biosat Ampul - 130,999.00 -
269 Serum anti tetanus (ATS) / Tetagam Ampul 170,000.00 176,800.00 -
270 Serum antibisa ular Polivalen inj 5 ml (SABU) I Ampul 462,000.00 479,996.00 479,996.00
271 Silk 2/0 75 C + Jarum 1/2 30M R Sase 20,833.33 20,833.33 -
272 Silk 3/0 75 C + Jarum 1/2 17M R Sase - 20,833.33 -
273 Silk 3/0 75 C + Jarum 3/8 26M C Sase 15,000.00 - -
274 Silk Black 2/0 DS 24 MM Sase 23,300.00 - -
275 Silk Black 2/0 HR 26 MM Sase 20,300.00 - -
276 Silk Black 3/0 DS 24 MM Sase 22,400.00 - -
277 Silk Black 3/0 HR 26 MM Sase 19,700.00 - -
278 Silk Black PFM 2/0 100 m Roll 425,066.00 - -
279 Simvastatin tablet 10 mg Tablet 111.00 110.00 -
280 Simvastatin tablet 20 mg Tablet 229.00 205.00 -
281 Siprofloksasin 500 mg Tablet 281.00 265.00 550.00
282 Softanol antimicrobial 500 ml Botol - 56,925.00 -
283 Softanol antimicrobial galon 5 liter Galon - 569,250.00 -
284 Spironolakton 25 mg Tablet 244.00 195.00 -
285 Streptomisin Inj Vial 5,000.00 - -
286 Sulfasetamid Natrium Tetes mata 15 % Ples 10,890.00 12,300.00 12,650.00
287 Tablet Tambah darah kombinasi : Besi II Sulfat Tablet 350.00 353.00 353.00
288 Temporary Filling Material (Fermin) Botol 158,000.00 220,000.00 -
289 Temporary Stopping Fletcher serbuk &cairan Set 37,000.00 - -
290 Tetrakain HCl tetes mata 0,5 % Botol 11,500.00 - -
291 Tetrasiklin Kapsul 250 mg Kapsul 166.00 - -
292 Tetrasiklin Kapsul 500 mg Kapsul 310.00 303.00 -
293 Tiamin HCL (Vit B1) tablet 50 mg Tablet 82.00 85.00 -
294 Transfusion Set Set 7,860.00 - -
295 Triheksifenidil HCl tablet 2 mg Tablet 80.00 85.00 85.00
296 Trikesol Formalin (TKF) Botol 110,000.00 - -
297 Umbilical cord klem steril Pcs 1,000.00 - -
298 Urine bag pcs 4,000.00 - -
299 Urine Drainage Bag, T valve with hanger Pcs - 5,785.00 4,202.00
300 Ventolin nebules Nebule 4,000.00 - -
301 Viorex no rinse antimicrobial Galon - 672,765.00 -
302 Viorex no rinse antimicrobial Botol - 67,626.66 -
303 Vitamin B 12 Injeksi Ampul 520.00 - -
304 Vitamin B 12 tab Tablet 51.00 46.00 -
305 Vitamin B Kompleks tablet Tablet 115.00 83.00 -
306 Wing Nedle no 25 Tablet 5,749.00 - -
307 Zink Tablet 514.00 524.00 508.00
308 Dextaco Tablet - 394.00 -
309 Dextrofen Syrup 60 ml Botol - 11,500.00 -
310 Hemafort Tablet 834.90 834.00 -
311 Lodecon Forte Tablet 958.30 1,110.00 -
312 Scandonest Ampul 13,612.00 - -
313 Seledril Tablet Tablet 815.00 823.33 -
314 Solacort krim /Armacort Tube 8,150.00 8,200.00 -
315 Solafluz Botol 11,900.00 13,700.00 -
316 Soldextam Tablet 566.00 - -
317 Solvitral Tablet 816.00 911.00 -
318 Truvit Syr Botol 10,700.00 12,400.00 12,221.00
319 Widabest Botol - 9,646.00 -
320 Accu Chek Perfoma Buah - 350,000.00 325,000.00
321 Alat Suntik 0,05ml Buah 1,379.80 1,379.80 -
322 Alat Suntik Sekali Pakai 3 ml Pcs - - 662.00
323 Amoksilin sirup kering 125 mg/5ml Botol - - 2,750.00
324 Asetosal tablet 80 mg Tablet 148.00 - -
325 Atropin Sulfat injeksi 0,25 mg/ml-1 ml Ampul 1,540.00 - -
326 Bedak Salisil serbuk 2 % Buah 1,020.00 - -
327 Etambutol Hcl Tablet 500 mg Tablet 505.00 - -
328 Glas Lonomer Cement Liquid Set - - 151,242.86
329 Haloperidol Injeksi (Lodomer) Ampul 4,000.00 - -
330 Infusion set anak Set - - 6,242.25
331 Infusion Set Dewasa Set - - 5,887.00
332 Isoniazida ( INH ) tablet 100 mg Tablet - 137.00 -
333 Kloramfenikol kapsul 250 mg Kapsul 547.00 - -
334 Metoklopramide Inj Ampul 3,395.00 - -
335 Obat antituberkulosis anak/FDC Anak Paket 214,985.00 232,158.00 -
336 Obat antituberkulosis kategori 1/FDC 1 Paket 359,980.00 - -
337 Obat antituberkulosis kategori 2/FDC 2 Paket - 1,199,985.00 -
338 Pirantel Pamoat 125 mg Tablet 269.00 - -
339 Piridoxin 10mg Tablet 118.00 - -
340 Siprofloksasin 500 mg Tablet - - 550.00
341 Softanol antimicrobial galon 5 liter Galon - 568,583.33 -
342 Tablet Tambah darah kombinasi : Besi II Sulfat Tablet - - 350.00
343 Trikesol Formalin (TKF) Botol 115,700.00 106,000.00 -
344 Zink Tablet - 508.00 -
345 Amoksillin + as.klavulanat 625 mg Tablet 5,750.00

346 Garam Oralit 200 ml air Pcs 257.00

347 Cefadroksil Syr kering 125 mg/5 ml Botol 4,185.00
348 Methyl Prednisolon 4 mg Tablet 143.00
349 Metronidazol syr Botol 3,950.00
350 Povidon Iodin 10% 60 ml Botol 4,620.00
351 Glibenklamid tablet 5 mg Tablet 99.00
352 Glassionomer Liquid Pcs 151,242.86
353 Bisturi no.11 Pcs 767.00
354 Ibuprofen tab 400 mg Tablet 396.00

OBAT PREKURSOR DAN PSIKOTROPIKA

1 Diazepam inj 5 mg/ml-2 ml Ampul 4,180.00 1,735.00 -

2 Diazepam tablet 2 mg Tablet 35.00 - 86.00
3 Diazepam tablet 5 mg Tablet 117.00 109.00 109.00
4 Fenobarbital inj 50 mg/ml-2ml Ampul 1,300.00 - -
5 Fenobarbital tablet 30 mg Tablet 165.00 165.00 -
6 Stesolid (Diazepam Rectal) Tube 11,517.00 12,573.00 -

PROGRAM

1 MB Dewasa Blister - 31,570.00 -

2 MB Anak Blister - 20,554.00 -
3 PB Dewasa Blister - 12,569.00 -
4 PB Anak Blister - - -
5 Clozapine 25 mg Tablet - 1,550.00 -
6 DHP Kotak - - -
7 Doksisiklin Kapsul - - -
8 Efavirenz 200 mg Botol - - -
9 Efavirenz 600 mg Botol - 191,250.00 -
10 Lamivudine 150 mg Botol - 90,000.00 -
11 Malation 96 Drigen - - -
12 Nepiraphine 200 mg Botol - 168,000.00 -
13 Primakuin Tablet - - -
14 RDT Malaria Test - - -
15 TDP (300)+3TC(300)+EFV(600) Botol - 356,829.00 -
16 Tenofovir 300 mg Botol - 243.00 -
17 Vaksin Anti Rabies Kuur - 164,030.00 -
18 Zdvdn(60)+Lmvdn(30)+Nvrpn(50) Botol - 41,532.00 -
19 Zidopudin(300)+lamivudin(150) Botol - 222,000.00 -
20 Zidovudin 100 mg Botol - 102,000.00 -
REAGEN

1 Kaca Slide Box - 19,700.00 -

2 Pot Dahak Buah - 5,800.00 -
3 Reagen Ziehl Neelsen Kit - - 276,500.00
4 Rapid Test HIV SD Kit - 1,434,000.00 -
5 Hepatitis B IMM Kit - - 1,325,000.00
6 Rapid Test Syphilis Kit - - -
7 Rapid Test HBSAG Test - - 9,870.00
8 Accu Check Performa Dus - - 420,000.00
9 Anti-A Monoclonal Gol. Darah 10ml Vial - - 66,750.00
10 Anti-B Monoclonal Gol. Darah 10ml Vial - - 66,750.00
11 Anti-AB Monoclonal Gol. Darah 10ml Vial - - 88,750.00
12 Anti-D Duoclone Gol. Darah 10ml Vial - - 108,750.00
13 Benecheck Strip Gula Darah Box - - 152,375.00
14 Benecheck Strip Cholesterol Box - - 164,177.78
15 Benecheck Strip Asam Urat Box - - 252,625.00
16 Salmonella Typhi O Widal test 5ml Vial - - 65,750.00
17 Salmonella Typhi H Widal test 5ml Vial - - 65,750.00
18 Salmonella Paratyphi AO Widal test 5ml Vial - - 65,750.00
19 Salmonella Paratyphi AH Widal test 5ml Vial - - 65,750.00
20 Rapid 2 HIV FOKUS @25 tes Kit - - 361,750.00
21 Rapid Biomeriux/Vikia @25 tes Kit - - 487,000.00

VAKSIN

1 Hepatitis B Pouch - - 25,597.00

2 BCG Amp - - 66,154.00
3 DPT-HB-Hib Vial - 78,991.00 84,282.00
4 Polio B-OPV Vial - - 19,954.00
5 IPV 5 Dosis Vial - - 169,653.00
6 Campak Vial - - 28,204.00
7 MR Vial - 166,265.00 155,813.00
8 TD Vial - 18,128.00 16,995.00
9 DT SD Vial - - 17,996.00
10 ADS 0,05cc Buah - - -
11 ADS 0,5cc Buah - 1,185.00 1,158.00
12 ADS 5cc Buah - 1,439.00 1,640.00
13 Safety Box Buah - - 22,433.00
14 DPT-HB-Hib Vial - - 78,991.00
15 Hepatitis-B (rDNA) Cairan Injeksi 20 MCG/ML Syringe - - 52,050.00
16 MR Vial - 155,813.00 166,265.00
17 ADS 0,5cc Buah - - 1,185.00
18 TD Vial - - 18,128.00
Cat : Format/nama-nama obat jangan dirubah, Bila ada obat-obat yang tidak ada di format (obat lama) mohon dimasukan

Mengetahui,

Kepala UPTD BLUD Puskesmas Sukagalih

dr.Hj.Ratih Noor Agni

NIP. 19870721 201410 2 002
 Saldo 31-12-2018
Penambahan
Jumlah Σ Harga 2017 Jumlah Σ Harga 2018 Jumlah Σ Harga 2017 Jumlah Σ Harga 2018
7 8 ( 7x4 ) 9 10 ( 9x5 ) 11 12 ( 11x4 ) 13 14 ( 13x5 )
- - - - 5,880 2,105,040.00

- - - - - -

289 286,110.00 - - - 300 196,023.00

- - - - - -

- - - - - -

- - - 500 326,255.00 200 130,502.00

- - - - 100 147,828.00

674 533,808.00 - 500 396,000.00 - -

236 231,044.00 - - - 400 313,636.00

- 391 157,573.00 - - 12,200 4,916,600.00

- - - - 400 46,416.00

100 19,680.00 - - - - -

571 50,819.00 300 29,700.00 - - 900 89,100.00

298 62,580.00 - - 300 63,000.00 - -

2 7,800.00 - - - - -

- - - - - -

2 6,690.00 - - - - -

820 74,620.00 - - - 1,000 89,000.00

- - - - - -

100 11,200.00 - - - - -

- 592 55,056.00 - - 14,400 1,339,200.00

- 919 64,330.00 - - 21,000 1,470,000.00

3,662 695,780.00 7,453 1,736,549.00 - - 37,000 8,621,000.00

1,263 246,285.00 - - - 8,900 1,637,600.00

200 376,200.00 - 400 752,400.00 - -

43 171,312.00 - - - 300 1,020,000.00

- - - - - -

- - - - - -

- - - - - -

- - - - 87 716,619.00

- 1,241 271,158.50 - - 7,000 1,529,500.00

9,997 579,826.00 - - - 34,000 1,836,000.00

113 217,299.00 - - - 600 1,197,000.00

96 475,200.00 - - - 280 886,760.00

52 224,796.00 - - - 72 323,712.00

191 25,785.00 - - - 500 86,500.00

- - - - - -

12 729,600.00 - 8 486,400.00 - -

- - - - - -

4 296,000.00 - - - - -

16 36,832.00 - - - 20 45,900.00

- - - - - -

3,031 315,224.00 - - - 12,500 1,312,500.00

418 22,990.00 - - - 1,900 98,800.00

3,810 381,000.00 - - - 13,600 1,400,800.00

- - - - - -

650 59,800.00 - 1,100 101,200.00 - -

78 242,580.00 - - - 160 502,400.00

75 18,000.00 - - - - -

338 123,370.00 - - - 800 304,000.00

554 78,668.00 - - - 2,800 380,800.00

30 326,700.00 - - - 60 66,000.00

- - - - - -

- - - - - -

221 226,525.00 - - - 180 432,000.00

- - - - - -
 113 152,437.00 - - - 575 770,500.00

97 74,399.00 - - - - -

- - - - - -

- - - - - -

- - - - - -

- - - - - -

7 157,500.00 - - - 36 810,000.00

- - - - 36 810,000.00

- - - - - -

- - - - - -

- - - - - -

- - - - 300 240,900.00

38 3,648.00 100 9,000.00 - - 2,320 208,800.00

- - - - - -

- - - - 1 106,000.00

- - - - - -

3,049 125,009.00 - - - 25,000 800,000.00

- - - - - -

26 27,560.00 - - - 50 54,750.00

214 22,256.00 - - - 600 62,400.00

102 10,098.00 - 300 29,700.00 - -

349 93,532.00 - - - - -

17 51,000.00 - - - 15 40,500.00

76 7,220.00 - - - 1,500 127,500.00

- - - - - -

- - - - - -

43 75,207.00 - - - 5 7,040.00

200 111,400.00 - - - 600 327,600.00

207 151,110.00 - - - 200 150,000.00

- - - - - -

- - - - - -

- - - - - -

- - - - - -

6 129,000.00 - 10 215,000.00 - -
 - - - - - -

- - - - 2 37,648.00

- - - - - -

- - - - - -

128 19,456.00 - 2,100 319,200.00 - -

- - - - - -

196 118,580.00 - 400 242,000.00 - -

- - - - - -

158 347,600.00 - - - - -

- - - - - -

90 319,500.00 - - - 321 1,181,922.00

300 205,800.00 - - - - -

100 1,800,000.00 - - - - -

- - - - - -

- - - - - -

- - - - - -

537 38,664.00 - 200 14,400.00 1,000 77,000.00

642 166,920.00 - - - 900 234,000.00

- - - - - -

43 130,720.00 - - - 96 340,800.00

93 275,280.00 - - - 120 321,000.00

19 79,230.00 - - - 132 558,624.00

6 18,000.00 - - - - -

1 480,840.00 - - - - -

67 6,700.00 - - - 1,600 190,400.00

217 42,098.00 - 950 184,300.00 - -

6,846 813,304.80 - - - 20,000 2,360,000.00

- - - - - -

- - 5 26,000.00 - -

168 41,496.00 - - - - -

- - - - - -

- - - - - -

210 12,810.00 - - - - -

- - - - - -
 - - - - 2,000 112,000.00

4 45,336.00 - - - - -

2 62,530.00 - - - - -

- - - - - -

262 39,038.00 - - - - -

91 240,149.00 - - - 624 1,544,400.00

184 455,400.00 - - - - -

3,781 385,662.00 - - - 6,500 682,500.00

- - - - - -

6 24,000.00 - - - 10 62,730.00

25 160,875.00 - - - 50 321,750.00

- - - - - -

290 26,100.00 - - - 200 17,800.00

28 293,832.00 - - - 40 419,760.00

28 293,832.00 - - - 60 629,640.00

3 31,482.00 - - - - -

12 125,928.00 - - - - -

10 66,000.00 - - - - -

- - - - - -

- - - - - -

- - - - - -

2 4,566.66 - - - - -

- - - - - -

35 348,425.00 - - - 40 414,040.00

- - - - - -

4,907 274,792.00 - - - 41,000 2,419,000.00

5 62,500.00 - - - 12 150,000.00

1,775 110,050.00 - 2,900 179,800.00 1,300 80,600.00

813 65,040.00 - 1,500 120,000.00 - -

- - - - 900 207,000.00

70 175,000.00 - - - 178 461,020.00

3 165,000.00 - - - - -

- - - - - -

- - - - - -
 121 43,862.50 - - - 112 56,000.00

113 68,478.00 - - - - -

255 71,400.00 - - - 600 162,000.00

131 339,945.00 - - - 144 362,592.00

300 173,400.00 - - - - -

340 220,677.00 - - - 800 248,000.00

23 71,093.00 - - - 161 489,118.00

87 157,470.00 - - - 360 677,160.00

15 70,500.00 - - - 12 56,400.00

14 124,740.00 39 300,300.00 - - - -

3,641 134,717.00 - - - 49,600 1,091,200.00

4 96,000.00 - - - - -

140 20,160.00 - - - 200 29,400.00

- - - - - -

- - - - - -

- - - - - -

93 199,020.00 100 205,200.00 - - 370 759,240.00

960 123,840.00 - 1,700 219,300.00 - -

- - - - 5 60,380.00

- - - - 8 284,256.00

46 89,102.00 - - - 10 11,520.00

32 35,552.00 - - - 130 148,720.00

- - - - 4 166,400.00

- 4 708,864.00 - - 2 354,432.00

- - - - 1 41,000.00

266 32,718.00 - 1,000 123,000.00 - -

5 16,000.00 - - - - -

- - - - 34 129,064.00

- - - - - -

550 399,300.00 - 200 145,200.00 - -

669 62,886.00 - - - 6,300 604,800.00

310 269,390.00 - - - - -

71 202,279.00 - - - 600 1,775,400.00

71 19,018.06 - - - - -
 - - - - - -

962 86,580.00 - - - 1,900 169,100.00

- - - - - -

2 6,500.00 - - - - -

- - - - - -

2 13,200.00 - - - 5 25,410.00

- - - - 5 25,410.00

1 6,600.00 - - - - -

- - - - - -

4,735 2,575,840.00 - - - 11,500 690,000.00

666 87,912.00 - - - 10,500 1,344,000.00

3 19,230.00 - 30 192,300.00 - -

- - - - - -

124 12,896.00 - - - - -

- - - - 66 891,000.00

289 151,147.00 - - - 200 112,000.00

- - - - - -

- - - - - -

- - - - - -

- - - - - -

1 214,900.00 - - - 1 232,518.00

7 2,519,300.00 - - - 16 6,229,504.00

2 2,495,968.00 - - - - -

- - - - - -

- 131 1,041,450.00 - - 24 190,800.00

- - - - - -

47 75,200.00 - - - 205 512,500.00

- - - - - -

34 99,484.00 - - - 10 58,000.00

105 199,500.00 - 120 228,000.00 150 179,850.00

1,523 213,220.00 - - - 2,520 327,600.00

- - - - - -

227 67,419.00 - - - 600 384,000.00

65 42,900.00 - - - - -
 - 38 252,662.00 - - 190 1,263,310.00

165 166,650.00 - 300 303,000.00 1,450 1,605,150.00

11,406 558,894.00 - 70,000 3,430,000.00 65,000 3,445,000.00

- - - - - -

83 249,000.00 - - - - -

30 364,650.00 - 110 1,337,050.00 72 851,400.00

- - - - - -

- - - - - -

158 37,446.00 - - - - -

- - - - 8,000 984,000.00

2,779 330,145.20 - - - 1,200 234,000.00

- - - - - -

- - - - - -

5 122,500.00 - - - - -

8 23,200.00 - - - 18 52,200.00

2 36,000.00 - - - 7 126,000.00

- 2,127 144,636.00 4,000 304,000.00 15,100 1,026,800.00

295 517,725.00 - - - - -

- - - - - -

100 7,400.00 - - - 100 7,600.00

- - 100 27,900.00 - -

16 23,328.00 - 15 21,870.00 - -

- 4,203 441,315.00 - - 8,500 892,500.00

- - 200 56,800.00 200 57,600.00

- - 1,500 688,500.00 1,800 930,600.00

- - - - - -

277 248,469.00 - - - - -

35 250,250.00 - - - 140 1,001,000.00

3 7,650.00 - - - - -

761 59,358.00 - 500 39,000.00 2,700 170,100.00

72 181,944.00 - - - 120 314,520.00

- - - - - -

4 30,800.00 - - - - -

- - - - 250 1,925,000.00
 102 - - - - - -

- - - - 50 968,000.00

- - - - - -

- - - - 250 1,966,250.00

102 802,230.00 - - - - -

- - - - - -

2 43,506.00 - - - - -

- - - - - -

3 510,000.00 - - - 2 353,600.00

- - - - - -

12 249,999.96 - - - - -

- - - - 24 499,999.92

13 195,000.00 - - - - -

- - - - - -

- - - - - -

- - - - - -

- - - - - -

- - - - - -

445 49,395.00 - - - 720 79,200.00

- 270 55,350.00 - - 1,300 266,500.00

173 48,613.00 - - - 1,100 291,500.00

- - - - 15 853,875.00

- - - - - -

325 79,300.00 - - - 300 58,500.00

- - - - - -

24 261,360.00 - - - - -

8,980 3,143,000.00 - 85,700 29,995,000.00 60,300 21,285,900.00

- - - - 1 220,000.00

- - - - - -

- - - - - -

- - - - - -

246 76,260.00 - - - - -

3,590 294,380.00 - 6,500 533,000.00 21,500 1,827,500.00

- - 30 235,800.00 - -
 114 9,120.00 - - - 2,400 204,000.00

- - - - - -

137 137,000.00 - - - - -

- - - - - -

- - - - 20 115,700.00

- - - - - -

- - - - 1 672,765.00

- - - - - -

- - - - - -

2,477 126,327.00 - - 17,100 872,100.00 - -

2,281 262,315.00 1,297 107,651.00 7,500 862,500.00 19,100 1,585,300.00

- - - - - -

642 329,988.00 400 209,600.00 - - 1,700 890,800.00

- 384 151,296.00 - - 2,200 866,800.00

- - - - 130 1,495,000.00

2,034 1,698,186.60 - - - 1,000 834,000.00

31 29,707.30 - - - - -

- - - - - -

37 30,155.00 - - - 480 395,198.40

33 268,950.00 - - - 10 82,000.00

- - - - - -

- - - - - -

- - 4,000 3,264,000.00 9,700 8,836,700.00

26 278,200.00 - - - 10 124,000.00

- - - - - -

- - - - - -

- - - - 500 689,900.00

- - - - - -

- - - - - -

- - - - - -

- - - - - -

- - 25 25,500.00 - -

- - - - - -

- - - - - -
 - - - - - -

- - - - - -

- - - - - -

524 - - - - - -

- - - - - -

- - - - - -

- - 6 1,289,910.00 - -

- - 16 5,759,680.00 - -

- - - - - -

- - - - - -

4,384 517,312.00 - 8,000 944,000.00 - -

- - - - - -

- - - - - -

- - - - - -

- - - - - -

- - - - - -

85 488,750.00 - - - - -

- - 1,100 282,700.00

- - - -

- - - -

- - - -

- - - -

- - - 500 49,500.00

- - - - -

- - - 10 7,670.00

- - - - - -

- - - - - -

- - - -

5 20,900.00 - - - - -

- - 0 - - -

157 18,369.00 - 0 - 200 21,800.00

- - 0 - - -

212 34,980.00 - 1200 198,000.00 1,000 165,000.00

- - 0 - 8 100,584.00

- - 0 - - -

- - 0 - - -

- - 0 - - -

- - 0 - - -

- - 0 - - -

- - 0 - - -

- - 0 - 200 310,000.00

- - 0 - - -

- - 0 - - -

- - 0 - - -

- - 0 - - -

- - 0 - - -

- - 0 - - -

- - 0 - - -

- - 0 - - -

- - 0 - - -

- - 0 - - -

- - 0 - - -

- - 0 - - -

- - 0 - - -

- - 0 - - -

- - 0 - - -

- - 0 - - -

- - 0 - - -

- - 0 - - -

- - 0 - - -

- - 0 - - -

- - 0 - - -

- - 0 - - -

- - 0 - - -

- - 0 - - -

- - 0 - - -

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

- - 0 - - -

- - 0 - - -

- - 0 - - -

- - 0 - - -

- - 0 - - -

- - 0 - - -

- - 0 - - -

- - 0 - - -

- - 0 - - -

- - 0 - - -

- - 0 - - -

- - 0 - - -

- 23 - 0 - - -

- 8 - 0 - - -

17 - - - 0 - 37 2,922,667.00

- - 0 - - -

- 2 - 0 - - -

- 6 - 0 - - -

- - 0 - 15 2,493,975.00

16 - - - 0 - 107 1,939,696.00

- - 0 - 8 -

- 432 - 0 - - -

200 - - - 0 - 1,450 1,718,250.00

10 - - - 0 - 30 43,170.00

- 23 - 0 - - -

- - 0 - - -

- - 0 - - -

5 - - - 0 - 17 2,648,821.00

- - 0 - - -

- - 0 - - -

Total (Rp) 41,866,092.08 Total (Rp) 5,941,690.50 Total (Rp) 54,551,065.00 Total (Rp) 142,513,235.32
Total (Rp) 47,807,782.58 Total (Rp) 279,625,637
at (obat lama) mohon dimasukan di kolom paling bawah sesudah nomor 344 (Zink)
 PEMERINTAH KABUPATEN SUMEDANG
DINAS KESEHATAN KABUPATEN SUMEDANG
UPTD BLUD PUSKESMAS SUKAGALIH
Jl. Pager Betis No.116

LAPORAN TAHUNAN 2019

Mutasi 2019
han Persediaan
Jumlah Σ Harga 2019 Jumlah Σ Harga 2017 Jumlah Σ Harga 2018 Jumlah Σ Harga 2019
15 16 ( 15x6 ) 17 18 19 20 21 22
- - - - 5,880 2,105,040.00 - -

- - - - - - - -

- - 289 286,110.00 300 196,023.00 - -

100 93,216.00 - - - - 100 93,216.00

- - - - - - - -

- - 500 326,255.00 200 130,502.00 - -

- - - - 100 147,828.00 - -

300 195,753.00 1,174 929,808.00 - - 300 195,753.00

- - 236 231,044.00 400 313,636.00 - -

- - - - 12,591 5,074,173.00 - -

2,500 262,500.00 - - 400 46,416.00 2,500 262,500.00

- - 100 19,680.00 - - - -

- - 571 50,819.00 1,200 118,800.00 - -

- - 598 125,580.00 - - - -

- - 2 7,800.00 - - - -

- - - - - - - -

- - 2 6,690.00 - - - -

- - 820 74,620.00 1,000 89,000.00 - -

- - - - - - - -

- - 100 11,200.00 - - - -

- - - - 14,992 1,394,256.00 - -

- - - - 21,919 1,534,330.00 - -
5,000 1,165,000.00 3,662 695,780.00 44,453 10,357,549.00 5,000 1,165,000.00

- - 1,263 246,285.00 8,900 1,637,600.00 - -

200 500,000.00 600 1,128,600.00 - - 200 500,000.00

- - 43 171,312.00 300 1,020,000.00 - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - 87 716,619.00 - -

4,000 1,072,280.00 - - 8,241 1,800,658.50 4,000 1,072,280.00

- - 9,997 579,826.00 34,000 1,836,000.00 - -

- - 113 217,299.00 600 1,197,000.00 - -

- - 96 475,200.00 280 886,760.00 - -

- - 52 224,796.00 72 323,712.00 - -

- - 191 25,785.00 500 86,500.00 - -

- - - - - - - -

- - 20 1,216,000.00 - - - -

- - - - - - - -

- - 4 296,000.00 - - - -

- - 16 36,832.00 20 45,900.00 - -

- - - - - - - -

2,000 210,000.00 3,031 315,224.00 12,500 1,312,500.00 2,000 210,000.00

1,000 52,000.00 418 22,990.00 1,900 98,800.00 1,000 52,000.00

3,000 309,000.00 3,810 381,000.00 13,600 1,400,800.00 3,000 309,000.00

- - - - - - - -

- - 1,750 161,000.00 - - - -

50 166,100.00 78 242,580.00 160 502,400.00 50 166,100.00

600 141,600.00 75 18,000.00 - - 600 141,600.00

300 114,000.00 338 123,370.00 800 304,000.00 300 114,000.00

1,000 136,000.00 554 78,668.00 2,800 380,800.00 1,000 136,000.00

- - 30 326,700.00 60 66,000.00 - -

- - - - - - - -

- - - - - - - -

- - 221 226,525.00 180 432,000.00 - -

- - - - - - - -
 - - 113 152,437.00 575 770,500.00 - -

- - 97 74,399.00 - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

120 7,416,000.00 7 157,500.00 36 810,000.00 120 7,416,000.00

- - - - 36 810,000.00 - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - 300 240,900.00 - -

- - 38 3,648.00 2,420 217,800.00 - -

- - - - - - - -

- - - - 1 106,000.00 - -

- - - - - - - -

1,000 250,000.00 3,049 125,009.00 25,000 800,000.00 1,000 250,000.00

- - - - - - - -

- - 26 27,560.00 50 54,750.00 - -

- - 214 22,256.00 600 62,400.00 - -

700 69,300.00 402 39,798.00 - - 700 69,300.00

- - 349 93,532.00 - - - -

- - 17 51,000.00 15 40,500.00 - -

- - 76 7,220.00 1,500 127,500.00 - -

- - - - - - - -

- - - - - - - -

- - 43 75,207.00 5 7,040.00 - -

600 327,600.00 200 111,400.00 600 327,600.00 600 327,600.00

- - 207 151,110.00 200 150,000.00 - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

2 37,400.00 16 344,000.00 - - 2 37,400.00

 - - - - - - - -

- - - - 2 37,648.00 - -

- - - - - - - -

- - - - - - - -

- - 2,228 338,656.00 - - - -

- - - - - - - -

- - 596 360,580.00 - - - -

- - - - - - - -

- - 158 347,600.00 - - - -

- - - - - - - -

- - 90 319,500.00 321 1,181,922.00 - -

- - 300 205,800.00 - - - -

- - 100 1,800,000.00 - - - -

- - - - - - - -

30 310,200.00 - - - - 30 310,200.00

30 356,700.00 - - - - 30 356,700.00

- - 737 53,064.00 1,000 77,000.00 - -

400 109,600.00 642 166,920.00 900 234,000.00 400 109,600.00

100 590,000.00 - - - - 100 590,000.00

- - 43 130,720.00 96 340,800.00 - -

- - 93 275,280.00 120 321,000.00 - -

192 812,544.00 19 79,230.00 132 558,624.00 192 812,544.00

- - 6 18,000.00 - - - -

1 275,924.71 1 480,840.00 - - 1 275,924.71

- - 67 6,700.00 1,600 190,400.00 - -

200 34,800.00 1,167 226,398.00 - - 200 34,800.00

6,000 772,860.00 6,846 813,304.80 20,000 2,360,000.00 6,000 772,860.00

- - - - - - - -

- - 5 26,000.00 - - - -

- - 168 41,496.00 - - - -

- - - - - - - -

- - - - - - - -

- - 210 12,810.00 - - - -

- - - - - - - -
1,400 78,400.00 - - 2,000 112,000.00 1,400 78,400.00

- - 4 45,336.00 - - - -

- - 2 62,530.00 - - - -

- - - - - - - -

- - 262 39,038.00 - - - -

- - 91 240,149.00 624 1,544,400.00 - -

- - 184 455,400.00 - - - -

- - 3,781 385,662.00 6,500 682,500.00 - -

5,000 1,800,000.00 - - - - 5,000 1,800,000.00

50 307,500.00 6 24,000.00 10 62,730.00 50 307,500.00

100 580,000.00 25 160,875.00 50 321,750.00 100 580,000.00

- - - - - - - -

- - 290 26,100.00 200 17,800.00 - -

100 1,100,000.00 28 293,832.00 40 419,760.00 100 1,100,000.00

100 1,100,000.00 28 293,832.00 60 629,640.00 100 1,100,000.00

- - 3 31,482.00 - - - -

- - 12 125,928.00 - - - -

- - 10 66,000.00 - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - 2 4,566.66 - - - -

- - - - - - - -

- - 35 348,425.00 40 414,040.00 - -

- - - - - - - -

- - 4,907 274,792.00 41,000 2,419,000.00 - -

- - 5 62,500.00 12 150,000.00 - -

- - 4,675 289,850.00 1,300 80,600.00 - -

- - 2,313 185,040.00 - - - -

200 46,000.00 - - 900 207,000.00 200 46,000.00

- - 70 175,000.00 178 461,020.00 - -

1 123,000.00 3 165,000.00 - - 1 123,000.00

- - - - - - - -

- - - - - - - -
 780 227,502.60 121 43,862.50 112 56,000.00 780 227,502.60

- - 113 68,478.00 - - - -

- - 255 71,400.00 600 162,000.00 - -

- - 131 339,945.00 144 362,592.00 - -

- - 300 173,400.00 - - - -

- - 340 220,677.00 800 248,000.00 - -

- - 23 71,093.00 161 489,118.00 - -

- - 87 157,470.00 360 677,160.00 - -

- - 15 70,500.00 12 56,400.00 - -

48 530,112.00 14 124,740.00 39 300,300.00 48 530,112.00

- - 3,641 134,717.00 49,600 1,091,200.00 - -

- - 4 96,000.00 - - - -

- - 140 20,160.00 200 29,400.00 - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - 93 199,020.00 470 964,440.00 - -

- - 2,660 343,140.00 - - - -

12 152,100.00 - - 5 60,380.00 12 152,100.00

4 149,484.00 - - 8 284,256.00 4 149,484.00

- - 46 89,102.00 10 11,520.00 - -

80 91,520.00 32 35,552.00 130 148,720.00 80 91,520.00

- - - - 4 166,400.00 - -

- - - - 6 1,063,296.00 - -

- - - - 1 41,000.00 - -

1,000 123,000.00 1,266 155,718.00 - - 1,000 123,000.00

- - 5 16,000.00 - - - -

- - - - 34 129,064.00 - -

650 215,605.00 - - - - 650 215,605.00

- - 750 544,500.00 - - - -

800 76,800.00 669 62,886.00 6,300 604,800.00 800 76,800.00

1,100 1,040,600.00 310 269,390.00 - - 1,100 1,040,600.00

- - 71 202,279.00 600 1,775,400.00 - -

- - 71 19,018.06 - - - -
 - - - - - - - -

- - 962 86,580.00 1,900 169,100.00 - -

- - - - - - - -

- - 2 6,500.00 - - - -

- - - - - - - -

10 55,000.00 2 13,200.00 5 25,410.00 10 55,000.00

- - - - 5 25,410.00 - -

- - 1 6,600.00 - - - -

- - - - - - - -

5,000 550,000.00 4,735 2,575,840.00 11,500 690,000.00 5,000 550,000.00

1,000 128,000.00 666 87,912.00 10,500 1,344,000.00 1,000 128,000.00

5 32,050.00 33 211,530.00 - - 5 32,050.00

- - - - - - - -

- - 124 12,896.00 - - - -

- - - - 66 891,000.00 - -

- - 289 151,147.00 200 112,000.00 - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - 1 214,900.00 1 232,518.00 - -

- - 7 2,519,300.00 16 6,229,504.00 - -

- - 2 2,495,968.00 - - - -

- - - - - - - -

100 964,700.00 - - 155 1,232,250.00 100 964,700.00

- - - - - - - -

- - 47 75,200.00 205 512,500.00 - -

- - - - - - - -

50 244,200.00 34 99,484.00 10 58,000.00 50 244,200.00

60 107,100.00 225 427,500.00 150 179,850.00 60 107,100.00

1,800 250,200.00 1,523 213,220.00 2,520 327,600.00 1,800 250,200.00

- - - - - - - -

- - 227 67,419.00 600 384,000.00 - -

- - 65 42,900.00 - - - -
 - - - - 228 1,515,972.00 - -

- - 465 469,650.00 1,450 1,605,150.00 - -

- - 81,406 3,988,894.00 65,000 3,445,000.00 - -

- - - - - - - -

- - 83 249,000.00 - - - -

- - 140 1,701,700.00 72 851,400.00 - -

- - - - - - - -

- - - - - - - -

- - 158 37,446.00 - - - -

- - - - 8,000 984,000.00 - -

2,000 321,200.00 2,779 330,145.20 1,200 234,000.00 2,000 321,200.00

- - - - - - - -

- - - - - - - -

- - 5 122,500.00 - - - -

- - 8 23,200.00 18 52,200.00 - -

7 126,000.00 2 36,000.00 7 126,000.00 7 126,000.00

- - 4,000 304,000.00 17,227 1,171,436.00 - -

- - 295 517,725.00 - - - -

- - - - - - - -

- - 100 7,400.00 100 7,600.00 - -

- - 100 27,900.00 - - - -

- - 31 45,198.00 - - - -

6,000 672,000.00 - - 12,703 1,333,815.00 6,000 672,000.00

- - 200 56,800.00 200 57,600.00 - -

- - 1,500 688,500.00 1,800 930,600.00 - -

- - - - - - - -

- - 277 248,469.00 - - - -

- - 35 250,250.00 140 1,001,000.00 - -

- - 3 7,650.00 - - - -

- - 1,261 98,358.00 2,700 170,100.00 - -

- - 72 181,944.00 120 314,520.00 - -

- - - - - - - -

- - 4 30,800.00 - - - -

350 3,045,350.00 - - 250 1,925,000.00 350 3,045,350.00

 50 435,050.00 102 - - - 50 435,050.00

- - - - 50 968,000.00 - -

- - - - - - - -

500 4,444,000.00 - - 250 1,966,250.00 500 4,444,000.00

100 888,800.00 102 802,230.00 - - 100 888,800.00

- - - - - - - -

- - 2 43,506.00 - - - -

- - - - - - - -

- - 3 510,000.00 2 353,600.00 - -

- - - - - - - -

- - 12 249,999.96 - - - -

- - - - 24 499,999.92 - -

- - 13 195,000.00 - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - 445 49,395.00 720 79,200.00 - -

- - - - 1,570 321,850.00 - -

900 495,000.00 173 48,613.00 1,100 291,500.00 900 495,000.00

- - - - 15 853,875.00 - -

- - - - - - - -

- - 325 79,300.00 300 58,500.00 - -

- - - - - - - -

72 910,800.00 24 261,360.00 - - 72 910,800.00

- - 94,680 33,138,000.00 60,300 21,285,900.00 - -

- - - - 1 220,000.00 - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - 246 76,260.00 - - - -

- - 10,090 827,380.00 21,500 1,827,500.00 - -

- - 30 235,800.00 - - - -
1,700 144,500.00 114 9,120.00 2,400 204,000.00 1,700 144,500.00

- - - - - - - -

- - 137 137,000.00 - - - -

- - - - - - - -

- - - - 20 115,700.00 - -

- - - - - - - -

- - - - 1 672,765.00 - -

- - - - - - - -

- - - - - - - -

- - 19,577 998,427.00 - - - -

- - 9,781 1,124,815.00 20,397 1,692,951.00 - -

- - - - - - - -

2,200 1,117,600.00 642 329,988.00 2,100 1,100,400.00 2,200 1,117,600.00

- - - - 2,584 1,018,096.00 - -

- - - - 130 1,495,000.00 - -

- - 2,034 1,698,186.60 1,000 834,000.00 - -

- - 31 29,707.30 - - - -

- - - - - - - -

- - 37 30,155.00 480 395,198.40 - -

- - 33 268,950.00 10 82,000.00 - -

- - - - - - - -

- - - - - - - -

- - 4,000 3,264,000.00 9,700 8,836,700.00 - -

100 1,222,100.00 26 278,200.00 10 124,000.00 100 1,222,100.00

- - - - - - - -

- - - - - - - -

- - - - 500 689,900.00 - -

- - - - - - - -

300 825,000.00 - - - - 300 825,000.00

- - - - - - - -

- - - - - - - -

- - 25 25,500.00 - - - -

- - - - - - - -

- - - - - - - -
 - - - - - - - -

- - - - - - - -

- - - - - - - -

- - 524 - - - - -

- - - - - - - -

- - - - - - - -

- - 6 1,289,910.00 - - - -

- - 16 5,759,680.00 - - - -

- - - - - - - -

- - - - - - - -

- - 12,384 1,461,312.00 - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - 85 488,750.00 - - - -

- - - - 1,100 282,700.00 - -

100 418,500.00 - - - - 100 418,500.00

2,200 314,600.00 - - - - 2,200 314,600.00

50 197,500.00 - - - - 50 197,500.00

5 23,100.00 - - - - 5 23,100.00

- - - - 500 49,500.00 - -

1 151,242.86 - - - - 1 151,242.86

- - - - 10 7,670.00 - -

5,000 1,980,000.00 - - - - 5,000 1,980,000.00

- - - - - - - -

- - - - - -

- - - - - - -

- - 5 20,900.00 - - - -

300 25,800.00 - - - - 300 25,800.00

300 32,700.00 157 18,369.00 200 21,800.00 300 32,700.00

- - - - - - - -

- - 1,412 232,980.00 1,000 165,000.00 - -

 - - - - 8 100,584.00 - -

0 - - - - - - -

0 - - - - - - -

0 - - - - - - -

0 - - - - - - -

0 - - - - - - -

0 - - - - - - -

0 - - - 200 310,000.00 - -

0 - - - - - - -

0 - - - - - - -

0 - - - - - - -

0 - - - - - - -

0 - - - - - - -

0 - - - - - - -

0 - - - - - - -

0 - - - - - - -

0 - - - - - - -

0 - - - - - - -

0 - - - - - - -

0 - - - - - - -

0 - - - - - - -

0 - - - - - - -

0 - - - - - - -

0 - - - - - - -

0 - - - - - - -

0 - - - - - - -

0 - - - - - - -

0 - - - - - - -

0 - - - - - - -

0 - - - - - - -

0 - - - - - - -

0 - - - - - - -

0 - - - - - - -

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

0 - - - - - - -

0 - - - - - - -

0 - - - - - - -

0 - - - - - - -

0 - - - - - - -

0 - - - - - - -

0 - - - - - - -

0 - - - - - - -

0 - - - - - - -

0 - - - - - - -

0 - - - - - - -

0 - - - - - - -

167 4,274,699.00 - - 23 - 167 4,274,699.00

73 4,829,242.00 - - 8 - 73 4,829,242.00

149 12,558,018.00 17 - 37 2,922,667.00 149 12,558,018.00

123 2,454,342.00 - - - - 123 2,454,342.00

12 2,035,836.00 - - 2 - 12 2,035,836.00

41 1,156,364.00 - - 6 - 41 1,156,364.00

33 5,141,829.00 - - 15 2,493,975.00 33 5,141,829.00

45 764,775.00 16 - 107 1,939,696.00 45 764,775.00

47 845,812.00 - - 8 - 47 845,812.00

0 - - - 432 - - -

600 694,800.00 200 - 1,450 1,718,250.00 600 694,800.00

110 180,400.00 10 - 30 43,170.00 110 180,400.00

7 157,031.00 - - 23 - 7 157,031.00

0 - - - - - - -

0 - - - - - - -

23 3,824,095.00 5 - 17 2,648,821.00 23 3,824,095.00

0 - - - - - - -

0 - - - - - - -

- - - - -

Total (Rp) 82,561,337.17 Total (Rp) 96,417,157.08 Total (Rp) 148,454,925.82 Total (Rp) 82,561,337.17
279,625,637.49 Total (Rp) 327,433,420.07
DANG
MEDANG
GALIH

Mutasi 2019
Pengeluaran ED
Jumlah Σ Harga 2017 Jumlah Σ Harga 2018 Jumlah Σ Harga 2019 Jumlah Σ Harga 2017
23 24 25 26 27 28 29 30
- - 5,386 1,928,188.00 - - - -

- - - - - - - -

267 264,330.00 - - - - 20 19,800.00

- - - - - - - -

- - - - - - - -

475 309,942.25 - - - - - -

- - - - - - - -

913 723,096.00 - - - - - -

221 216,359.00 121 94,874.89 - - 15 14,685.00

- - 7,775 3,133,325.00 - - - -

- - 400 46,416.00 1,500 157,500.00 - -

100 19,680.00 - - - - - -

571 50,819.00 665 65,835.00 - - - -

250 52,500.00 - - - - - -

2 7,800.00 - - - - - -

- - - - - - - -

- - - - - - - -

701 63,791.00 - - - - - -

- - - - - - - -

- - - - - - 100 11,200.00

- - 10,871 1,011,003.00 - - - -

- - 16,671 1,166,970.00 - - - -
3,662 695,780.00 39,736 9,258,488.00 - - - -

1,263 246,285.00 6,421 1,181,464.00 - - - -

436 820,116.00 - - 185 462,500.00 164 308,484.00

43 171,312.00 27 91,800.00 - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - 10 82,370.00 - - - -

- - 7,913 1,728,990.50 - - - -

9,997 579,826.00 23,681 1,278,774.00 - - - -

113 217,299.00 437 871,815.00 - - - -

96 475,200.00 145 459,215.00 - - - -

52 224,796.00 21 94,416.00 - - - -

82 11,070.00 81 14,013.00 - - 109 14,715.00

- - - - - - - -

18 1,094,400.00 - - - - - -

- - - - - - - -

3 222,000.00 - - - - - -

13 29,926.00 - - - - - -

- - - - - - - -

3,031 315,224.00 10,221 1,073,205.00 - - - -

418 22,990.00 1,319 68,588.00 575 29,900.00 - -

3,810 381,000.00 12,924 1,331,172.00 - - - -

- - - - - - - -

1,299 119,508.00 - - - - - -

78 242,580.00 160 502,400.00 15 49,830.00 - -

75 18,000.00 - - 334 78,824.00 - -

338 123,370.00 574 218,120.00 300 114,000.00 - -

554 78,668.00 2,426 329,936.00 - - - -

30 326,700.00 30 33,000.00 - - - -

- - - - - - - -

- - - - - - - -

221 226,525.00 98 235,200.00 - - - -

- - - - - - - -
 113 152,437.00 486 651,240.00 - - - -

39 29,913.00 - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

7 157,500.00 36 810,000.00 51 3,151,800.00 - -

- - 31 697,500.00 - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - 300 240,900.00 - - - -

38 3,648.00 593 53,370.00 - - - -

- - - - - - - -

- - 1 106,000.00 - - - -

- - - - - - - -

3,049 125,009.00 21,508 688,256.00 1,000 250,000.00 - -

- - - - - - - -

26 27,560.00 38 41,610.00 - - - -

214 22,256.00 245 25,480.00 - - - -

402 39,798.00 - - 423 41,877.00 - -

12 3,216.00 - - - - - -

13 39,000.00 - - - - - -

76 7,220.00 1,361 115,685.00 - - - -

- - - - - - - -

- - - - - - - -

- - - - - - 40 69,960.00

200 111,400.00 600 327,600.00 134 73,164.00 - -

207 151,110.00 97 72,750.00 - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

11 236,500.00 - - - - - -
 - - - - - - - -

- - 1 18,824.00 - - - -

- - - - - - - -

- - - - - - - -

2,005 304,760.00 - - - - 223 33,896.00

- - - - - - - -

512 309,760.00 - - - - 84 50,820.00

- - - - - - - -

4 8,800.00 - - - - - -

- - - - - - - -

90 319,500.00 171 629,622.00 - - - -

43 29,498.00 - - - - 94 64,484.00

- - - - - - - -

- - - - - - - -

- - - - 1 10,340.00 - -

- - - - 1 11,890.00 - -

737 53,064.00 314 24,178.00 - - - -

642 166,920.00 900 234,000.00 42 11,508.00 - -

- - - - 20 118,000.00 - -

43 130,720.00 87 308,850.00 - - - -

93 275,280.00 19 50,825.00 - - - -

19 79,230.00 132 558,624.00 31 131,192.00 - -

6 18,000.00 - - - - - -

- - - - 1 275,924.71 1 480,840.00

67 6,700.00 912 108,528.00 - - - -

1,090 211,460.00 - - - - - -

6,846 813,304.80 20,000 2,360,000.00 1,671 215,241.51 - -

- - - - - - - -

1 5,200.00 - - - - - -

65 16,055.00 - - - - - -

- - - - - - - -

- - - - - - - -

110 6,710.00 - - - - - -

- - - - - - - -
 - - 2,000 112,000.00 781 43,736.00 - -

4 45,336.00 - - - - - -

1 31,265.00 - - - - - -

- - - - - - - -

100 14,900.00 - - - - - -

91 240,149.00 512 1,267,200.00 - - - -

89 220,275.00 - - - - 95 235,125.00

3,781 385,662.00 6,492 681,660.00 - - - -

- - - - 4,777 1,719,720.00 - -

- - - - - - 6 24,000.00

25 160,875.00 27 173,745.00 18 104,400.00 - -

- - - - - - - -

23 2,070.00 89 7,921.00 - - 267 24,030.00

28 293,832.00 40 419,760.00 9 99,000.00 - -

17 178,398.00 - - - - - -

- - - - - - - -

3 31,482.00 - - - - - -

1 6,600.00 - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

1 2,283.33 - - - - - -

- - - - - - - -

1 9,955.00 - - - - - -

- - - - - - - -

4,907 274,792.00 33,555 1,979,745.00 - - - -

5 62,500.00 3 37,500.00 - - - -

3,776 234,112.00 - - - - - -

1,794 143,520.00 - - - - 519 41,520.00

- - 620 142,600.00 - - - -

70 175,000.00 105 271,950.00 - - - -

2 110,000.00 - - - - - -

- - - - - - - -

- - - - - - - -
 121 43,862.50 112 56,000.00 494 144,084.98 - -

84 50,904.00 - - - - - -

255 71,400.00 272 73,440.00 - - - -

131 339,945.00 67 168,706.00 - - - -

300 173,400.00 - - - - - -

340 220,677.00 642 199,020.00 - - - -

17 52,547.00 115 349,370.00 - - 6 18,546.00

87 157,470.00 249 468,369.00 - - - -

1 4,700.00 - - - - 14 65,800.00

14 124,740.00 39 300,300.00 2 22,088.00 - -

3,641 134,717.00 38,623 849,706.00 - - - -

1 24,000.00 - - - - - -

90 12,960.00 - - - - 50 7,200.00

- - - - - - - -

- - - - - - - -

- - - - - - - -

93 199,020.00 256 525,312.00 - - - -

1,801 232,329.00 - - - - 859 110,811.00

- - 5 60,380.00 7 88,725.00 - -

- - 3 106,596.00 4 149,484.00 - -

24 46,488.00 - - - - - -

32 35,552.00 130 148,720.00 - - - -

- - 2 83,200.00 - - - -

- - 4 708,864.00 - - - -

- - 1 41,000.00 - - - -

1,266 155,718.00 - - 652 80,196.00 - -

1 3,200.00 - - - - 4 12,800.00

- - 6 22,776.00 - - - -

- - - - 417 138,318.90 - -

474 344,124.00 - - - - - -

669 62,886.00 6,300 604,800.00 - - - -

310 269,390.00 - - 283 267,718.00 - -

71 202,279.00 14 41,426.00 - - - -

47 12,589.42 - - - - - -
 - - - - - - - -

962 86,580.00 651 57,939.00 - - - -

- - - - - - - -

2 6,500.00 - - - - - -

- - - - - - - -

2 13,200.00 5 25,410.00 1 5,500.00 - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

4,735 2,575,840.00 11,500 690,000.00 984 108,240.00 - -

666 87,912.00 9,355 1,197,440.00 - - - -

26 166,660.00 - - - - - -

- - - - - - - -

4 416.00 - - - - - -

- - 38 513,000.00 - - - -

198 103,554.00 - - - - 33 17,259.00

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

1 214,900.00 1 232,518.00 - - - -

7 2,519,300.00 16 6,229,504.00 - - - -

2 2,495,968.00 - - - - - -

- - - - - - - -

- - 155 1,232,250.00 38 366,586.00 - -

- - - - - - - -

47 75,200.00 62 155,000.00 - - - -

- - - - - - - -

34 99,484.00 10 58,000.00 9 43,956.00 - -

131 248,900.00 - - 60 107,100.00 10 19,000.00

1,523 213,220.00 2,520 327,600.00 1,488 206,832.00 - -

- - - - - - - -

227 67,419.00 487 311,680.00 - - - -

- - - - - - - -
 - - 179 1,190,171.00 - - - -

465 469,650.00 928 1,027,296.00 - - - -

81,406 3,988,894.00 40,911 2,168,283.00 - - - -

- - - - - - - -

3 9,000.00 - - - - 80 240,000.00

137 1,665,235.00 - - - - - -

- - - - - - - -

- - - - - - - -

10 2,370.00 - - - - - -

- - 4,781 588,063.00 - - - -

2,779 330,145.20 1,200 234,000.00 631 101,338.60 - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

8 23,200.00 16 46,400.00 - - - -

2 36,000.00 7 126,000.00 2 36,000.00 - -

4,000 304,000.00 12,066 820,488.00 - - - -

32 56,160.00 - - - - 100 175,500.00

- - - - - - - -

100 7,400.00 - - - - - -

10 2,790.00 - - - - - -

15 21,870.00 - - - - - -

- - 12,703 1,333,815.00 2,432 272,384.00 - -

200 56,800.00 200 57,600.00 - - - -

1,500 688,500.00 1,800 930,600.00 - - - -

- - - - - - - -

277 248,469.00 - - - - - -

35 250,250.00 71 507,650.00 - - - -

3 7,650.00 - - - - - -

1,261 98,358.00 1,169 73,647.00 - - - -

72 181,944.00 33 86,493.00 - - - -

- - - - - - - -

4 30,800.00 - - - - - -

- - 250 1,925,000.00 144 1,252,944.00 - -

 102 - - - - - - -

- - 2 38,720.00 - - - -

- - - - - - - -

- - 250 1,966,250.00 188 1,670,944.00 - -

102 802,230.00 - - 5 44,440.00 - -

- - - - - - - -

2 43,506.00 - - - - - -

- - - - - - - -

1 170,000.00 - - - - - -

- - - - - - - -

12 249,999.96 - - - - - -

- - 15 312,499.95 - - - -

13 195,000.00 - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

445 49,395.00 265 29,150.00 - - - -

- - 969 198,645.00 - - - -

173 48,613.00 1,034 274,010.00 400 220,000.00 - -

- - 3 170,775.00 - - - -

- - - - - - - -

20 4,880.00 185 36,075.00 - - 305 74,420.00

- - - - - - - -

24 261,360.00 - - 38 480,700.00 - -

25,158 8,805,300.00 14,452 5,101,556.00 - - 69,522 24,332,700.00

- - 1 220,000.00 - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

168 52,080.00 - - - - - -

10,090 827,380.00 15,507 1,318,095.00 - - - -

5 39,300.00 - - - - - -
 114 9,120.00 2,400 204,000.00 1,046 88,910.00 - -

- - - - - - - -

72 72,000.00 - - - - - -

- - - - - - - -

- - 8 46,280.00 - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

15,950 813,450.00 - - - - - -

7,464 858,360.00 16,721 1,387,843.00 - - - -

- - - - - - - -

642 329,988.00 2,100 1,100,400.00 328 166,624.00 - -

- - 2,584 1,018,096.00 - - - -

- - 130 1,495,000.00 - - - -

2,034 1,698,186.60 149 124,266.00 - - - -

31 29,707.30 - - - - - -

- - - - - - - -

37 30,155.00 480 395,198.40 - - - -

33 268,950.00 10 82,000.00 - - - -

- - - - - - - -

- - - - - - - -

4,000 3,264,000.00 8,419 7,669,709.00 - - - -

26 278,200.00 10 124,000.00 36 439,956.00 - -

- - - - - - - -

- - - - - - - -

- - 400 551,920.00 - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

25 25,500.00 - - - - - -

- - - - - - - -

- - - - - - - -
 - - - - - - - -

- - - - - - - -

- - - - - - - -

524 - - - - - - -

- - - - - - - -

- - - - - - - -

6 1,289,910.00 - - - - - -

16 5,759,680.00 - - - - - -

- - - - - - - -

- - - - - - - -

12,384 1,461,312.00 - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

85 488,750.00 - - - - - -

- - 500 128,500.00 - - -

- - - - 3 12,555.00 -

- - - - 504 72,072.00 -

- - - - 25 98,750.00 -

- - - - 4 18,480.00 -

- - 500 49,500.00 - - -

- - - - 1 151,242.86 -

- - 10 7,670.00 - - -

- - - - - - - -

- - - - - - - -

- - - - - - -

- - - - - - - -

- - - - - - - -

- - - - 97 8,342.00 - -

157 18,369.00 200 21,800.00 134 14,606.00 - -

- - - - - - - -

1,412 232,980.00 163 26,895.00 - - - -

- - 5 62,865.00 - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - 90 139,500.00 - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -
 - - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - - - - - - -

- - 23 - 147 3,762,759.00 - -

- - 8 - 66 4,366,164.00 - -

17 - 37 2,922,667.00 130 10,956,660.00 - -

- - - - 107 2,135,078.00 - -

- - 2 - 12 2,035,836.00 - -

- - 6 - 41 1,156,364.00 - -

- - 15 2,493,975.00 33 5,141,829.00 - -

16 - 107 1,939,696.00 45 764,775.00 - -

- - 1 - 47 845,812.00 - -

- - 90 - - - - -

200 - 1,050 1,244,250.00 600 694,800.00 - -

10 - 30 43,170.00 100 164,000.00 - -

- - 23 - 7 157,031.00 - -

- - - - - - - -

- - - - - - - -

5 - 17 2,648,821.00 23 3,824,095.00 - -

- - - - - - - -

- - - - - - - -

- - - - -

Total (Rp) 63,742,525.36 Total (Rp) 102,065,130.74 Total (Rp) 50,034,667.56 Total (Rp) 26,467,595.00

Total (Rp) 215,842,323.66 Total (Rp)

 Saldo Akhir 2019
ED
Jumlah Σ Harga 2018 Jumlah Σ Harga 2019 Jumlah Σ Harga 2017 Jumlah Σ Harga 2018 Jumlah
31 32 33 34 35 36 37 38 39
- - - - 494 176,852.00

- - - - - -

- - - 2 1,980.00 300 196,023.00

- - - - - - 100

- - - - - -

- - - 25 16,312.75 200 130,502.00

- - - - 100 147,828.00

- - - 261 206,712.00 - - 300

- - - - 279 218,761.11

- - - - 4,816 1,940,848.00

- - - - - - 1,000

- - - - - -

- - - - 535 52,965.00

- - - 348 73,080.00 - -

- - - - - -

- - - - - -

- - - 2 6,690.00 - -

- - - 119 10,829.00 1,000 89,000.00

- - - - - -

- - - - - -

- - - - 4,121 383,253.00

- - - - 5,248 367,360.00
 - - - - 4,717 1,099,061.00 5,000

- - - - 2,479 456,136.00

- - - - - - 15

- - - - 273 928,200.00

- - - - - -

- - - - - -

- - - - - -

- - - - 77 634,249.00

- - - - 328 71,668.00 4,000

7,688 415,152.00 - - 2,631 142,074.00

- - - - 163 325,185.00

- - - - 135 427,545.00

- - - - 51 229,296.00

300 51,900.00 - - 119 20,587.00

- - - - - -

- - - 2 121,600.00 - -

- - - - - -

- - - 1 74,000.00 - -

- - - 3 6,906.00 20 45,900.00

- - - - - -

- - - - 2,279 239,295.00 2,000

- - - - 581 30,212.00 425

- - - - 676 69,628.00 3,000

- - - - - -

- - - 451 41,492.00 - -

- - - - - - 35

- - - - - - 266

- - - - 226 85,880.00

- - - - 374 50,864.00 1,000

- - - - 30 33,000.00

- - - - - -

- - - - - -

- - - - 82 196,800.00

- - - - - -
- - - - 89 119,260.00

- - - 58 44,486.00 - -

- - - - - -

- - - - - -

- - - - - -

- - - - - -

- - - - - - 69

- - - - 5 112,500.00

- - - - - -

- - - - - -

- - - - - -

- - - - - -

- - - - 1,827 164,430.00

- - - - - -

- - - - - -

- - - - - -

- - - - 3,492 111,744.00

- - - - - -

- - - - 12 13,140.00

- - - - 355 36,920.00 -

- - - - - - 277

- - - 337 90,316.00 - -

- - - 4 12,000.00 15 40,500.00

- - - - 139 11,815.00

- - - - - -

- - - - - -

- - - 3 5,247.00 5 7,040.00

- - - - - - 466

- - - - 103 77,250.00 -

- - - - - -

- - - - - -

- - - - - -

- - - - - -

- - - 5 107,500.00 - - 2
- - - - - -

- - - - 1 18,824.00

- - - - - -

- - - - - -

- - - - - -

- - - - - -

- - - - - -

- - - - - -

- - - 154 338,800.00 - -

- - - - - -

- - - - 150 552,300.00

- - - 163 111,818.00 - -

- - - 100 1,800,000.00 - -

- - - - - -

- - - - - 29

- - - - - 29

- - - - 686 52,822.00

- - - - - - 358

- - - - - - 80

- - - - 9 31,950.00

- - - - 101 270,175.00

- - - - - - 161

- - - - - -

- - - - - -

- - - - 688 81,872.00

- - - 77 14,938.00 - - 200

- - - - - - 4,329

- - - - - -

- - - 4 20,800.00 - -

- - - 103 25,441.00 - -

- - - - - -

- - - - - -

- - - 100 6,100.00 - -

- - - - - -
- - - - - - 619

- - - - - -

- - - 1 31,265.00 - -

- - - - - -

- - - 162 24,138.00 - -

- - - - 112 277,200.00

- - - - - -

- - - - 8 840.00

- - - - - - 223

- - - - 10 62,730.00 50

- - - - 23 148,005.00 82

- - - - - -

- - - - 111 9,879.00

- - - - - - 91

- - - 11 115,434.00 60 629,640.00 100

- - - 3 31,482.00 - -

- - - 9 94,446.00 - -

- - - 9 59,400.00 - -

- - - - - -

- - - - - -

- - - - - -

- - - 1 2,283.33 - -

- - - - - -

- - - 34 338,470.00 40 414,040.00

- - - - - -

- - - - 7,445 439,255.00

- - - - 9 112,500.00

- - - 899 55,738.00 1,300 80,600.00

- - - - - -

- - - - 280 64,400.00 200

- - - - 73 189,070.00

- - - 1 55,000.00 - - 1

- - - - - -

- - - - - -
 - - - - - - 286

- - - 29 17,574.00 - -

- - - - 328 88,560.00 -

- - - - 77 193,886.00

- - - - - -

- - - - 158 48,980.00

- - - - 46 139,748.00 -

- - - - 111 208,791.00

- - - - 12 56,400.00

- - - - - - 46

- - - - 10,977 241,494.00

- - - 3 72,000.00 - -

200 29,400.00 - - - -

- - - - - -

- - - - - -

- - - - - -

- - - - 214 439,128.00

- - - - - -

- - - - - - 5

- - - - 5 177,660.00

- - - 22 42,614.00 10 11,520.00

- - - - - - 80

- - - - 2 83,200.00

- - - - 2 354,432.00

- - - - - -

- - - - - - 348

- - - - -

- - - - 28 106,288.00

- - - - - - 233

- - - 276 200,376.00 - -

- - - - - - 800

- - - - - - 817

- - - - 586 1,733,974.00

- - - 24 6,428.64 - -
- - - - - -

- - - - 1,249 111,161.00

- - - - - -

- - - - - -

- - - - - -

- - - - - - 9

- - - - 5 25,410.00

- - - 1 6,600.00 - -

- - - - - -

- - - - - - 4,016

- - - - 1,145 146,560.00 1,000

- - - 7 44,870.00 - - 5

- - - - - -

- - - 120 12,480.00 - -

- - - - 28 378,000.00

- - - 58 30,334.00 200 112,000.00

- - - - - -

- - - - - -

- - - - - -

- - - - - -

- - - - - -

- - - - - -

- - - - - -

- - - - - -

- - - - - - 62

- - - - - -

- - - - 143 357,500.00

- - - - - -

- - - - - - 41

- - - 84 159,600.00 150 179,850.00

- - - - - - 312

- - - - - -

- - - - 113 72,320.00

- - - 65 42,900.00 - -
- - - - 49 325,801.00

- - - - 522 577,854.00

- - - - 24,089 1,276,717.00

- - - - - -

- - - - - -

- - - 3 36,465.00 72 851,400.00

- - - - - -

- - - - - -

- - - 148 35,076.00 - -

- - - - 3,219 395,937.00

- - - - - - 1,369

- - - - - -

- - - - - -

- - - 5 122,500.00 - -

- - - - 2 5,800.00

- - - - - - 5

- - - - 5,161 350,948.00

- - - 163 286,065.00 - -

- - - - - -

- - - - 100 7,600.00

- - - 90 25,110.00 - -

- - - 16 23,328.00 - -

- - - - - - 3,568

- - - - - -

- - - - - -

- - - - - -

- - - - - -

- - - - 69 493,350.00

- - - - - -

- - - - 1,531 96,453.00

- - - - 87 228,027.00

- - - - - -

- - - - - -

- - - - - - 206
 - - - - - - 50

- - - - 48 929,280.00

- - - - - -

- - - - - - 312

- - - - - - 95

- - - - - -

- - - - - -

- - - - - -

- - - 2 340,000.00 2 353,600.00 -

- - - - - -

- - - - - -

- - - - 9 187,499.97

- - - - - -

- - - - - -

- - - - - -

- - - - - -

- - - - - -

- - - - - -

- - - - 455 50,050.00 -

- - - - 601 123,205.00

- - - - 66 17,490.00 500

- - - - 12 683,100.00

- - - - - -

- - - - 115 22,425.00

- - - - - -

- - - - - - 34

44,067 15,555,651.00 - - 1,781 628,693.00

- - - - - -

- - - - - -

- - - - - -

- - - - - -

- - - 78 24,180.00 - -

- - - - 5,993 509,405.00

- - - 25 196,500.00 - -
- - - - - - 654

- - - - - -

- - - 65 65,000.00 - -

- - - - - -

- - - - 12 69,420.00

- - - - - -

- - - - 1 672,765.00

- - - - - -

- - - - - -

- - - 3,627 184,977.00 - -

- - - 2,317 266,455.00 3,676 305,108.00

- - - - - -

- - - - - - 1,872

- - - - - -

- - - - - -

- - - - 851 709,734.00

- - - - - -

- - - - - -

- - - - - -

- - - - - -

- - - - - -

- - - - - -

- - - - 1,281 1,166,991.00

- - - - - - 64

- - - - - -

- - - - -

- - - - - 100 137,980.00

- - - - -

- - - - - 300

- - - - -

- - - - -

- - - - -

- - - - -

- - - - -
- - - - -

- - - - -

- - - - -

- - - - -

- - - - -

- - - - -

- - - - -

- - - - -

- - - - -

- - - - -

- - - - -

- - - - -

- - - - -

- - - - -

- - - - -

- - - - -

- - -

- - 600 154,200.00

- - - 97

- - - 1,696

- - - 25

- - - 1

- - -

- - -

- - -

- - - - - 5,000

- - - - -

- - - - -

- - - 5 20,900.00 -

- - - - - 203

- - - - - 166

- - - - -

- - - - 837 138,105.00
- - - - 3 37,719.00

- - - - -

- - - - -

- - - - -

- - - - -

- - - - -

- - - - -

- - - - 110 170,500.00

- - - - -

- - - - -

- - - - -

- - - - -

- - - - -

- - - - -

- - - - -

- - - - -

- - - - -

- - - - -

- - - - -

- - - - -

- - - - -

- - - - -

- - - - -

- - - - -

- - - - -

- - - - -

- - - - -

- - - - -

- - - - -

- - - - -

- - - - -

- - - - -

- - - - -

- - - - -
 - - - - -

- - - - -

- - - - -

- - - - -

- - - - -

- - - - -

- - - - -

- - - - -

- - - - -

- - - - -

- - - - -

- - - - -

- - - - -

- - - - - 20

- - - - - 7

- - - - - 19

- - - - - 16

- - - - -

- - - - -

- - - - -

- - - - -

- - - - 7 - -

- - - - 342 -

- - - - 400 474,000.00

- - - - - 10

- - - - -

- - - - -

- - - - -

- - - - -

- - - - -

- - - - -

Total (Rp) 16,052,103.00 Total (Rp) - Total (Rp) 6,207,036.72 Total (Rp) 30,337,692.08 Total (Rp)
42,519,698.00 Total (Rp) 69,071,398.4
Sumedang, 15 Januari

Petugas Obat Puskesm

Nenden Purnamawat
NIP. 19870928 200604
 Ket
Σ Harga 2019
40 41
-

93,216.00

195,753.00

105,000.00

-
1,165,000.00

37,500.00

1,072,280.00

210,000.00

22,100.00

309,000.00

116,270.00

62,776.00

136,000.00

-
 -

4,264,200.00

27,423.00

254,436.00

37,400.00
 -

299,860.00

344,810.00

98,092.00

472,000.00

681,352.00

34,800.00

557,618.49

-
 34,664.00

80,280.00

307,500.00

475,600.00

1,001,000.00

1,100,000.00

46,000.00

123,000.00

-
 83,417.62

508,024.00

63,375.00

91,520.00

42,804.00

77,286.10

76,800.00

772,882.00

-
 -

49,500.00

441,760.00

128,000.00

32,050.00

598,114.00

200,244.00

43,368.00

-
 -

219,861.40

90,000.00

399,616.00

1,792,406.00
 435,050.00

2,773,056.00

844,360.00

275,000.00

430,100.00

-
 55,590.00

950,976.00

782,144.00

825,000.00

-
 -

405,945.00

242,528.00

98,750.00

4,620.00

1,980,000.00

17,458.00

18,094.00

-
-

-
 -

511,940.00

463,078.00

1,601,358.00

319,264.00

16,400.00

32,526,669.61
69,071,398.41
Sumedang, 15 Januari 2020

Petugas Obat Puskesmas

Nenden Purnamawati, S.Si

NIP. 19870928 200604 2 003