Scribd Logo
Upload

Welcome to Scribd!

  • Usulan Obat 2016

    Uploaded by

    Ma'rifatul Serin aulia
    7 views18 pages
    1. This document is a request for medicines from Puskesmas Parigi health center for the year 2016. It includes 63 items with details on medicine name, form, packaging, quantity requested, unit price and total price. 2. The total requested budget for all medicines is Rp 105,150,690. The head of Puskesmas Parigi health center approved the request. 3. An additional document lists medicines that will be relocated with details on name, unit, initial stock, remaining stock and notes. It includes 12 items.

    Original Description:

    Original Title

    USULAN OBAT 2016

    Copyright

    © © All Rights Reserved

    Available Formats

    XLSX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    1. This document is a request for medicines from Puskesmas Parigi health center for the year 2016. It includes 63 items with details on medicine name, form, packaging, quantity requested, unit price and total price. 2. The total requested budget for all medicines is Rp 105,150,690. The head of Puskesmas Parigi health center approved the request. 3. An additional document lists medicines that will be relocated with details on name, unit, initial stock, remaining stock and notes. It includes 12 items.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    7 views18 pages

    Usulan Obat 2016

    Uploaded by

    Ma'rifatul Serin aulia
    1. This document is a request for medicines from Puskesmas Parigi health center for the year 2016. It includes 63 items with details on medicine name, form, packaging, quantity requested, unit price and total price. 2. The total requested budget for all medicines is Rp 105,150,690. The head of Puskesmas Parigi health center approved the request. 3. An additional document lists medicines that will be relocated with details on name, unit, initial stock, remaining stock and notes. It includes 12 items.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    of 18

    USULAN OBAT TAHUN 2016

    USULAN DARI
    UNIT KERJA : PUSKESMAS PARIGI
    ALAMAT LENGKAP : JL. PACUAN KUDA No. 305 KEL. BANTAYA KEC. PARIGI
    No. Telp/Fax :

    No. Nama Obat, Bentuk, Sediaan, Kekuatan Kemasan Jumlah Harga Satuan Total Harga Pemesanan Metode Pemesanan

    1 Allopurinol 100 mg Dus, 10 blis @ 10 tab 10000 Rp 90.00 Rp 900,000.00


    2 Ambroxol tab Dus, 5 strip @ 6 tab 2000 Rp 363.00 Rp 726,000.00
    3 Albendazole tab 400 mg ktk 10x10 tab 1000 Rp 245.00 Rp 245,000.00
    4 Amlodipin 10 mg Box, 3 strps @ 10 tab 10000 Rp 352.00 Rp 3,520,000.00
    5 Amlodipin 5 mg Box, 3 strps @ 10 tab 10000 Rp 197.00 Rp 1,970,000.00
    6 Amoxicillin 500 mg tab ktk @ 10 x 10 tab 10000 Rp 279.00 Rp 2,790,000.00
    7 Amoxicillin sirup kering 125 mg botol 60 ml 544 Rp 2,560.00 Rp 1,392,640.00
    8 Amoxicillin sirup kering forte 250 mg Dus, botol 60 ml 460 Rp 4,730.00 Rp 2,175,800.00
    9 Antasida DOEN Syrup
    10 Antasida DOEN tablet kunyah Dus, 10 strip @ 10 tab 10000 Rp 78.00 Rp 780,000.00
    11 Antimigren Ergotamin Tartrat Botol 100 tablet 2000 Rp 149.00 Rp 298,000.00
    12 Asam Askorbat 50 mg Dus 10 strip x 10 tab 10000 Rp 105.00 Rp 1,050,000.00
    13 Asam Folat tab 1 mg Botol @ 100 tab 2000 Rp 52.00 Rp 104,000.00
    14 Asam Mefenamat tab 500 mg Dus, 10 strip @ 10 tab 10000 Rp 127.00 Rp 1,270,000.00
    15 Spironolakton 100 mg Dus, 10 strip @ 10 tab 2000 Rp 1,000.00 Rp 2,000,000.00
    16 Atenolol tab 100 mg Strip 2000 Rp 800.00 Rp 1,600,000.00
    17 Betametason Krim Tube 5 gr 500 Rp 1,596.00 Rp 798,000.00
    18 Bisakodil suppositoria 10 mg supp 300 Rp 6,045.00 Rp 1,813,500.00
    19 Bisakodil suppositoria 5 mg 1 Box @ 6's 300 Rp 4,990.00 Rp 1,497,000.00
    20 Dexametason tab 0,5 mg Dus, 10 strip @ 10 tab 10000 Rp 68.00 Rp 680,000.00
    21 Diphenhidramin Inj Ampul @ 1 ml 500 Rp 1,160.00 Rp 580,000.00
    22 Betahistin Mesylate 6 mg Dus, 10 blis @ 12 kaps 2000 Rp 318.00 Rp 636,000.00
    23 Gentamycin salep mata 0,3% tube @ 3,5 gr 500 Rp 2,786.00 Rp 1,393,000.00
    24 Gentamycin tetes mata 0,3% Dus,botol plastik 5 ml 500 Rp 3,513.00 Rp 1,756,500.00
    25 Glimepirid tab 1 mg Ktk 5 x 10 tab 5000 Rp 278.00 Rp 1,390,000.00
    26 Glimepirid tab 2 mg Ktk 5 x 10 tab 5000 Rp 458.00 Rp 2,290,000.00
    27 Glimepirid tab 3 mg Ktk 5 x 10 tab 5000 Rp 424.00 Rp 2,120,000.00
    28 Griseovulvin tablet 125 mg ktk 10x10 tab 5000 Rp 230.00 Rp 1,150,000.00
    29 Hidrokortison krim 2,5% Tube 5 gr 500 Rp 2,938.00 Rp 1,469,000.00
    30 Ibuprofen sirup 100mg/5 ml dus,botol 60 ml 500 Rp 3,849.00 Rp 1,924,500.00
    31 Ibuprofen tablet 400 mg dus, 10x10's 4000 Rp 157.00 Rp 628,000.00
    32 ketokonazole krim 2% tube 10gr 400 Rp 2,697.00 Rp 1,078,800.00
    33 Ketoprofen Supp 100 mg dus 2's @ 10 Supp 300 Rp 2,858.00 Rp 857,400.00
    34 Lanzoprazole kapsul 30 mg Dus, 2 strip @ 10 kaps 2000 Rp 521.00 Rp 1,042,000.00
    35 Lisinopril tablet 10 mg Box, 3 strps @ 10 tab 2000 Rp 660.00 Rp 1,320,000.00
    36 Lisinopril tablet 5 mg Box, 3 strps @ 10 tab 5000 Rp 385.00 Rp 1,925,000.00
    37 Loratadin tab 10 mg Dus, 5 strip @ 10 tab 5000 Rp 170.00 Rp 850,000.00
    38 Methyl Prednisolon 4 mg Dus, 10 strip @ 10 tab 5000 Rp 230.00 Rp 1,150,000.00
    39 Natrium Diclovenac 25 mg DUS, 5 x 10's 10000 Rp 146.00 Rp 1,460,000.00
    40 Omeprazole kapsul 20 mg Dus 10 x 3's 10000 Rp 221.00 Rp 2,210,000.00
    41 Paracetamol 500 mg tab Dus, 10 strip @ 10 tab 20000 Rp 88.00 Rp 1,760,000.00
    42 pirantel tablet score (base)125 mg Dus,25 blister@4 tablet 2000 Rp 318.00 Rp 636,000.00
    43 Pravastatin tablet 20 mg Box, 5 strip @ 10 tab 1000 Rp 2,500.00 Rp 2,500,000.00
    44 Prednison tab 5 mg Dus, 10 strip @ 10 tab 10000 Rp 125.00 Rp 1,250,000.00
    45 Ranitidin tablet 150 mg dus,10 strip@10 tab 10000 Rp 132.00 Rp 1,320,000.00
    46 Salbutamol tablet 2 mg strip @10 tablet 5000 Rp 65.00 Rp 325,000.00
    47 Salep 2-4 pot @30 gram 101 Rp 2,200.00 Rp 222,200.00
    48 Sefadroxil kapsul 500 mg dus, 10 strip @ 10 Kapsul 10000 Rp 548.00 Rp 5,480,000.00
    49 Sefadroxil Sirup/kering 125 mg/ml dus,botol 60 ml 600 Rp 5,286.00 Rp 3,171,600.00
    50 Sefiksim syrup Dus, botol 30 ml 200 Rp 9,400.00 Rp 1,880,000.00
    51 Sefixim Kapsul 100 mg dus, 5 strip @ 10 kapsul 5000 Rp 1,000.00 Rp 5,000,000.00
    52 setirizin kapsul 10 mg box 10 strip@10 caps 5000 Rp 190.00 Rp 950,000.00
    53 Sianokobalamin tablet 50 mg dus,10stri@10 tablet 1000 Rp 63.00 Rp 63,000.00
    54 Simvastatin 10 mg Ktk/ 100 Tab 15000 Rp 177.00 Rp 2,655,000.00
    55 Sulfas Ferosus (Fe)
    56 Spironolakton 25 Dus, 10 strip @ 10 tab 3000 Rp 350.00 Rp 1,050,000.00
    57 Sukralfat syrup Botol, 100 ml 100 Rp 14,450.00 Rp 1,445,000.00
    58 Tetrasiklin kapsul 500 mg dus,10 strip@10 caps 5000 Rp 325.00 Rp 1,625,000.00
    59 Vitamin B complex dus, 10 strip x 10 tab 10000 Rp 112.00 Rp 1,120,000.00
    60 Vorumen Tetes telinga Btl, @ 15 ml 23 Rp 40,000.00 Rp 920,000.00
    61 Neurodex (Vit B1, B6 B12) Box @ 10 strip 15 Rp 89,350.00 Rp 1,340,250.00
    62 Paracetamol syrup Btl, @ 60 ml 500 Rp 1,535.00 Rp 767,500.00
    63 Multivitamin Syrup Anak Btl, @ 60 ml 500 Rp 16,000.00 Rp 8,000,000.00
    64 Meloxicam 7,5 mg tab Ktk, 50 tab 1000 Rp 7,609.00 Rp 7,609,000.00
    65 Metformin 500 mg
    66 Hydrochlortiazid (HCT)
    67 Bromhexin Hcl
    68 Zinc syrup Dus, botol 60 ml 150 Rp 8,140.00 Rp 1,221,000.00
    JUMLAH Rp 105,150,690.00

    KEPALA PUSKESMAS PARIGI

    FITRIYANI, SKM
    NIP. 19780923 200501 2 007
    DAFTAR OBAT YANG AKAN DI RELOKASIKAN

    NO NAMA OBAT SATUAN STOK AWAL SISA STOK KETERANGAN


    1. Antalgin Inj inj
    2. Papaverin tab tablet 15,300 15,300 FEB 17, JUNI 2018
    3. Primaquin tab tablet 8,300 8300
    4. Sulfadoxin tab tablet
    5. Loperamid tablet
    6. Ceftriaxone inj inj 30 vial Lambunu I
    7. Nystatin Vaginal tablet
    8. Nystatin tablet tablet
    9. Infus set Dewasa pcs
    10. Infus set Anak pcs
    11. Itraconazole tab tablet
    12. Haloperidol tab tablet
    13. Phenobarbital Inj inj
    PERMINTAAN OBAT PUSKESMAS PARIGI

    NO NAMA OBAT SATUAN JUMLAH KETERANGAN


    1. Amlodipin tab 5 mg tablet 5,000
    2. Ambroxol tab tablet 5,000
    3. Captopril tab 25 mg tablet 5,000
    4. Ibuprofen tab 400 mg tablet 2,000
    5. Meloxicam 7,5 mg tablet 1,500
    6. Piroxicam tab tablet 2,000
    7. Simvastatin 10 mg tablet 5,000
    8. Vit. B comp tablet 10,000
    9. Diazepam 2 mg tab tablet 300
    10. Ketokonazole Cream Tube 400
    11. Oxytetrasiklin Zalf kulit Tube 400
    12. Natrium Diclovenac 25 mg tablet 2000
    13. Sefadroxil syrup botol 300
    14. Novakid Syrup botol 500
    15. Scopma Plus tablet 1000
    16. CTM tab tablet 10000

    Mengetahui Parigi, 13 April 2016


    Kepala Puskesmas Parigi Pengelola Obat

    FTRIYANI, SKM MOHAMMAD ARIFIN, S.Farm.,Apt


    Nip. 19780923 200501 2 007 Nip. 19790517 200604 1 021
    USULAN BHP TAHUN 2016/ TW

    USULAN DARI
    UNIT KERJA : PUSKESMAS PARIGI
    ALAMAT LENGKAP : JL. PACUAN KUDA No. 305 KEL. BANTAYA KEC. PARIGI
    No. Telp/Fax :

    No Nama Obat, Bentuk, Sediaan, Kekuatan Kemasan Jumlah Harga Satuan (Rp) Total Harga (Rp) Pemesan Metode Pemesanan

    1 Strip Nesco Cholesterol/Dus dus 40 Rp 209,091.00 Rp 8,363,640


    2 Strip Nesco Glucosa/Dus dus 30 Rp 152,273.00 Rp 4,568,190
    3 Strip Nesco Uric Acid/Dus dus 30 Rp 162,273.00 Rp 4,868,190
    4 Terumo Dental @ 100 Needle box 20 Rp 134,091.00 Rp 2,681,820
    5 Septocain @ 50 box 6 Rp 429,091.00 Rp 2,574,546
    6. Blood Lancets box 6 Rp 50,000.00 Rp 300,000
    7. Kasa Kompres steril 40 x 40 rol 5 Rp 2,088.00 Rp 10,440
    JUMLAH Rp 8,374,080.00

    KEPALA PUSKESMAS PARIGI

    FITRIYANI, SKM
    NIP. 19780923 200501 2 007
    USULAN BHP TAHUN 2016

    USULAN DARI
    UNIT KERJA : PUSKESMAS PARIGI
    ALAMAT LENGKAP : JL. PACUAN KUDA No. 305 KEL. BANTAYA KEC. PARIGI
    No. Telp/Fax :

    No Nama Obat, Bentuk, Sediaan, Kekuatan Kemasan Jumlah Harga Satuan (Rp) Total Harga (Rp) Pemesan Metode Pemesanan

    1 Strip Nesco Cholesterol/Dus dus 40 Rp 209,091.00 Rp 8,363,640


    2 Strip Nesco Glucosa/Dus dus 30 Rp 152,273.00 Rp 4,568,190
    3 Strip Nesco Uric Acid/Dus dus 30 Rp 162,273.00 Rp 4,868,190
    4 Terumo Dental @ 100 Needle box 20 Rp 134,091.00 Rp 2,681,820
    5 Septocain @ 50 box 6 Rp 429,091.00 Rp 2,574,546
    6. Blood Lancets box 6 Rp 50,000.00 Rp 300,000
    7. Kasa Kompres steril 40 x 40 bh 204 Rp 2,088.00 Rp 425,952
    8. Kasa Hydrophil steril uk 16 x 16 box / 16 100 Rp 7,569.00 Rp 756,900.00
    9. Bisturi Gea No. 11 dos 10 Rp 87,500.00 Rp 875,000.00
    10. ST. Handscund Steril No. 7 psg 400 Rp 10,500.00 Rp 4,200,000.00
    11. Masker One Med Kait dos 20 Rp 45,000.00 Rp 900,000.00
    12. Masker One Med Tali dos 15 Rp 55,200.00 Rp 828,000.00
    13. Plester BSN 5 x 2 Cm roll 40 Rp 52,000.00 Rp 2,080,000.00
    14. Aseptik Gell btl 10 Rp 50,000.00 Rp 500,000.00
    15. Syringe disposable 3 cc X 23G X 1 1/4" box / 100 400 Rp 84,825.00 Rp 33,930,000.00
    16. Alkohol 70 % 1 liter btl 47 Rp 28,058.00 Rp 1,318,726.00
    17 Plastik Klip Besar
    18 Plastik Klip Kecil
    19 Kantongan Kresek
    20 Hunds Crub
    21 Kertas Perkamen
    22 Lidocain Inj Dus, 100 Amp @ 2 ml 1001 Rp 929.00 Rp 929,929.00
    JUMLAH Rp 70,100,893.00
    KEPALA PUSKESMAS PARIGI

    FITRIYANI, SKM
    NIP. 19780923 200501 2 007
    USULAN OBAT/TW TAHUN 2016

    USULAN DARI
    UNIT KERJA : PUSKESMAS PARIGI
    ALAMAT LENGKAP : JL. PACUAN KUDA No. 305 KEL BANTAYA KEC. PARIGI
    No. Telp/Fax :

    No NAMA OBAT, BENTUK, SEDIAAN, KEKUATAN KEMASAN JUMLAH HARGA SATUAN (Rp) TOTAL HARGA (Rp) PEMESANAN METODE PEMESANAN
    1. Alloporinol 100 mg Dus, 10 blis @ 10 tab 3000 Rp 90.00 Rp 270,000.00
    2. Ambroxol 30 mg Dus, 5 strip @ 6 tab 2000 Rp 363.00 Rp 726,000.00
    3. Amlodipin 10 mg Box, 3 strip @ 10 tab 3000 Rp 352.00 Rp 1,056,000.00
    4. Amlodipin 5 mg Box, 3 strip @ 10 tab 3000 Rp 197.00 Rp 591,000.00
    5. Amoxicillin 500 mg tab Ktk @ 10 x 10 tab 10000 Rp 279.00 Rp 2,790,000.00
    6. Amoxicillin syrup kering Forte 250 mg Dus, botol 60 ml 200 Rp 4,730.00 Rp 946,000.00
    7. Amoxicillin Syrup kering 125 mg Botol 60 ml 418 Rp 2,560.00 Rp 1,070,080.00
    8. Antasida DOEN tablet Kunyah Dus, 10 Strip @ 10 tab 5000 Rp 78.00 Rp 390,000.00
    9. Asam Askorbat (Vit. C) 50 mg Dus, 10 strip x 10 tab 10000 Rp 105.00 Rp 1,050,000.00
    10. Asam Folat tab 1 mg Botol @ 100 tab 1000 Rp 52.00 Rp 52,000.00
    11. Asam Mefenamat 500 mg Dus, 10 Strip @ 10 tab 5000 Rp 127.00 Rp 635,000.00
    12. Antasida DOEN Syrup Strip 1000 Rp 800.00 Rp 800,000.00
    13. Aciklovir tablet/kapsul/kaplet 200 mg Ktk @ 10 x 10 tab 1000 Rp 251.00 Rp 251,000.00
    14. Bisakodil Suppositoria 10 mg Supp 300 Rp 6,045.00 Rp 1,813,500.00
    15. Bisakodil Suppositoria 5 mg 1 Box @ 6's 200 Rp 4,990.00 Rp 998,000.00
    Multivitamin Syrup Anak
    Bromhexin Tablet
    16. Betametasone zalf kulit Tube 5 gr 200 Rp 1,596.00 Rp 319,200.00
    17. Dexametasone 0,5 mg Dus, 10 Strip @ 10 tab 2000 Rp 68.00 Rp 136,000.00
    Donperidon Syrup
    Donperidon tab 10 mg
    18. Diphenhidramin Inj Ampul @ 1 ml 500 Rp 1,160.00 Rp 580,000.00
    19. Gentamycin Tetes mata Dus, 10 blis @ 12 kaps 1200 Rp 318.00 Rp 381,600.00
    20. Gentamycin zalf Kulit Tube @ 3,5 gr 300 Rp 2,786.00 Rp 835,800.00
    21. Glimepirid tab 1 mg Ktk 5 x 10 tab 3000 Rp 278.00 Rp 834,000.00
    22. Glimepirid tab 2 mg Ktk 5 x 10 tab 2000 Rp 458.00 Rp 916,000.00
    23. Glimepirid tab 3 mg Ktk 5 x 10 tab 2000 Rp 424.00 Rp 848,000.00
    24. Lidocain Inj Dus, 100 amp @ 2 ml 1000 Rp 929.00 Rp 929,000.00
    25. Loratadine 10 mg Dus, 5 strip @ 10 tab 3000 Rp 170.00 Rp 510,000.00
    26. Lisinopril 10 mg Box, 3 strip @ 10 tab 1000 Rp 660.00 Rp 660,000.00
    27. Lisinopril 5 mg Box, 3 strip @ 10 tab 2000 Rp 385.00 Rp 770,000.00
    28. Omeprazole kapsul 20 mg Dus, 10 x 3's 5000 Rp 221.00 Rp 1,105,000.00
    29. Prednison tab 5 mg Dus, 10 Strip @ 10 tab 5000 Rp 125.00 Rp 625,000.00
    30. Paracetamol 500 mg Dus, 10 Strip @ 10 tab 10000 Rp 88.00 Rp 880,000.00
    31. paracetamol Syrup Btl @ 60 ml 508 Rp 1,875.00 Rp 952,500.00
    32. Sefadroxil Kaps 500 mg Dus, 10 Strip @ 10 kap 5000 Rp 548.00 Rp 2,740,000.00
    33. Sefixim Kaps 100 mg Dus, 5 Strip @ 10 kap 2000 Rp 1,000.00 Rp 2,000,000.00
    34. Simvastatin 10 mg Dus, 3 strip @ 10 tab 10000 Rp 177.00 Rp 1,770,000.00
    35. Sukralfat Syrup Botol 100 ml 58 Rp 14,450.00 Rp 838,100.00
    36. Sefiksim syrup Dus, botol 30 ml 50 Rp 9,400.00 Rp 470,000.00
    37. Vit B Complex Dus, 10 strip @ 10 tab 1000 Rp 1,000.00 Rp 1,000,000.00
    38. Setirizine kapsul 10 mg Box 10 strip@10 caps 4000 Rp 190.00 Rp 760,000.00
    39. Methyl Prednisolon 4 mg Dus, 10 strip @ 10 tab 2000 Rp 230.00 Rp 460,000.00
    Novabion kapsul
    40. Natrium Diclovenac 25 mg Dus, 5 x 10's 2000 Rp 146.00 Rp 292,000.00
    JUMLAH Rp 35,050,780.00

    KEPALA PUSKESMAS PARIGI

    FITRIYANI, SKM
    NIP: 19780923 200501 2 007
    DAFTAR OBAT YANG AKAN DI RELOKASIKAN

    NO NAMA OBAT SATUAN RELOKASI SUMBER OBAT KETERANGAN


    1. Ampicillin Inj Inj 30 PKD 2013 Lambunu I
    2. Diazepam Inj Inj 30 PKD 2013 Lambunu I
    3. Furosemid tablet 300 PKD DAK/DAU 2014 Lambunu I
    4. Furosemid tablet 900 PKD DAK 2013 Lambunu I

    Parigi, 25 Januari 2016


    Mengetahui Yang menerima
    Kepala Puskesmas Parigi

    FITRIYANI, SKM WINARTI ADJAMI


    NIP : 19790923 200501 2 007 NIP :
    DAFTAR OBAT YANG AKAN DI RELOKASIKAN

    NO NAMA OBAT SATUAN RELOKASI SUMBER OBAT KETERANGAN


    1. Isosorbid Dinitrat (ISDN) tablet 100 PKD 2013 Kasimbar

    Parigi, 25 Januari 2016


    Mengetahui Yang menerima
    Kepala Puskesmas Parigi

    FITRIYANI, SKM
    NIP : 19790923 200501 2 007 NIP :
    DAFTAR OBAT YANG AKAN DI RELOKASIKAN

    NO NAMA OBAT SATUAN RELOKASI SUMBER OBAT KETERANGAN


    1. Metronidazole 250 mg tablet 1000 PKD DAK 2013 Mepanga

    Parigi, 25 Januari 2016


    Mengetahui Yang menerima
    Kepala Puskesmas Parigi

    FITRIYANI, SKM
    NIP : 19790923 200501 2 007 NIP :
    DAFTAR OBAT YANG AKAN DI RELOKASIKAN

    NO NAMA OBAT SATUAN RELOKASI SUMBER OBAT KETERANGAN


    1. Dexametasone Inj Inj 100 PKD 2013 Tada
    2. Diazepam Inj Inj 30 PKD 2013 Tada
    3. Isosorbid Dinitrat (ISDN) tablet 100 PKD 2013 Tada

    Parigi, 25 Januari 2016


    Mengetahui Yang menerima
    Kepala Puskesmas Parigi

    FITRIYANI, SKM
    NIP : 19790923 200501 2 007 NIP :

    You might also like