Obat Bingung 2020

KARTU PERSEDIAAN BARANG
SKPD : UPT DINAS KESEHATAN PUSKESMAS

KABUPATEN/KOTA : KUANTAN SINGINGI
PROVINSI : RIAU
BULAN : 31/01/2020
BARANG : OBAT-OBATAN
Tgl Surat Barang - Barang

Saldo Jumlah Harga Barang yg Diterima /Yang Dikeluarkan / Sisa
Dasar
Tanggal NO Nama Obat Kemasan Satuan Kemasan Awal Harga Satuan Saldo Awal Harga Ket.
Penerimaan/ Masuk Keluar Sisa
Barang Bertambah Berkurang Sisa
Pengeluaran
1 2 3 4 5 6 7 8 9 9 10 11 12 13 14
1 Abbocath No 18 pcs pcs 0 0 15,500.00 - - - -

5 Acetylcysteine tablet 200 mg 60 tablet / box tablet 1800 1800 376.00 676,800.00 - - 676,800.00
6 Acyclovir cream 5 % tube 5 gr tube 0 0 3,100.00 - - - -
8 Acyclovir tablet 200 mg 100 tablet / box tablet 0 0 239.00 - - - -
9 Acyclovir tablet 200 mg 50 tablet / box tablet 1245 45 1200 245.00 305,025.00 - 11,025.00 294,000.00
11 Acyclovir tablet 400 mg 50 tablet / box tablet 230 230 900.00 207,000.00 - - 207,000.00
13 Acyclovir tablet 400 mg 50 Tablet / Box tablet 0 0 380.00 - - - -
14 Air untuk Inj 25ml 120 Ampul / Box ampul 13 13 2,750.00 35,750.00 - - 35,750.00
15 Alat suntik sekali pakai 0.05 ml 100 pcs / box pcs 0 0 2,200.00 - - - -
16 Alat suntik sekali pakai 1 cc 100 pcs / box pcs 110 110 715.00 78,650.00 - - 78,650.00
17 Alat suntik sekali pakai 1 cc 100 Pcs / Box Pcs 350 350 713.90 249,865.00 - - 249,865.00
18 Alat suntik sekali pakai 1 cc 100 pcs / Box Pcs 200 200 710.00 142,000.00 - - 142,000.00
19 Alat suntik sekali pakai 1 ml 100 pcs / box pcs 0 0 2,650.00 - - - -
21 Alat suntik sekali pakai 20 ml pcs pcs 0 0 3,500.00 - - - -
23 Alat suntik sekali pakai 3 cc 100 Pcs / Box Pcs 0 0 713.90 - - - -
26 Alat suntik sekali pakai 3 ml 100 pcs / box pcs 0 0 957.00 - - - -
31 Alat suntik sekali pakai 50 cc 20 Pcs / Box Pcs 0 0 3,729.00 - - - -
33 Albendazole 400 mg 200 tablet / botol tablet 0 0 350.00 - - - -
34 Alkohol swab 100 pcs / box pcs 0 0 250.00 - - - -
35 Alkohol Swab 100 pcs / box pcs 0 0 110.00 - - - -
36 Alkohol Swab 100 Pcs / Box Pcs 0 0 109.89 - - - -
37 Allopurinol tablet 100 mg 100 tablet/ box tablet 0 0 111.49 - - - -
38 Allopurinol tablet 100 mg 100 Tablet / Box tablet 500 200 300 93.00 46,500.00 - 18,600.00 27,900.00
39 Allopurinol tablet 100 mg 100 Tablet / Box tablet 0 0 113.00 - - - -
40 Amboxol tablet 30 mg 100 tablet/ box tablet 0 0 129.00 - - - -
42 Ambroxol 100 tablet/box tablet 0 0 140.00 - - - -
43 Ambroxol syrup 15mg/5ml botol 60 ml botol 0 0 3,200.00 - - - -
45 Ambroxol tablet 30 mg kotak/100 tablet tablet 0 0 165.23 - - - -
46 Aminofilin injeksi 24 mg/ml - 10 ml ampul ampul 30 30 4,013.00 120,390.00 - - 120,390.00
47 Aminofilin injeksi 24 mg/ml - 10 ml 30 Amp @10 ml / Box ampul 0 0 2,998.00 - - - -
48 Aminofilin tablet 200 mg 100 tablet / botol tablet 0 0 82.00 - - - -
49 Amitriptilin HCl tablet salut 25 mg 100 tablet /box tablet 0 0 117.00 - - - -
50 Amlodipin tablet 10 mg 30 tablet / box tablet 0 0 105.00 - - - -
1/16/2020 51 Amlodipin tablet 10 mg 30 tab/Box tablet 600 900 275 1225 95.00 57,000.00 85,500.00 26,125.00 116,375.00
53 Amlodipine 5mg 30 tablet / box tablet 0 0 240.00 - - - -
55 Amminofilin Tablet 200 mg 100 Tablet / Botol Tablet 100 100 92.00 9,200.00 - - 9,200.00
56 Amobiotik Drop botol 10 ml botol 0 0 23,000.00 - - - -
57 Amoxicillin 250 mg 120 cap / box tablet 0 0 210.00 - - - -
58 Amoxicillin 500 mg 100 tablet/Box tablet 460 360 100 245.00 112,700.00 - 88,200.00 24,500.00
59 Amoxicillin kaplet 250 mg 100 tablet / box tablet 0 0 201.00 - - - -
60 Amoxicillin kaplet 250 mg 100 Kaplet / Box Kaplet 0 0 185.00 - - - -
63 Amoxicillin syrup kering 125mg/5ml botol 60 ml botol 0 0 2,500.00 - - - -
64 Amoxicillin syrup kering 125mg/5ml 60 botol 60 ml botol 0 0 6,900.00 - - - -
65 Amoxicillin syrup kering 125mg/5ml 150 Botol 60 ml / Box Botol 0 0 1,920.00 - - - -
1/16/2020 66 Amoxicillin syrup kering 250 mg/5ml 60 ml/Botol Botol 106 60 52 114 3502.00 371,212.00 210,120.00 182,104.00 399,228.00
67 Amoxycillin kapsul 250 mg 100 caps / box capsul 0 0 190.00 - - - -
68 Amoxycillin sirup kering 250 mg 60 botol / box botol 0 0 3502.00 - - - -
69 Amoxycillin tablet 500 mg kotak/100 tablet tablet 0 0 191.00 - - - -
70 Ampisillin serbuk injeksi 1000 mg vial vial 50 50 8649.00 432,450.00 - - 432,450.00
71 Antacida doen 100 tablet/box tablet 0 0 63.00 - - - -
72 Antacida doen suspensi btl 60 ml botol 0 0 2,065.00 - - - -
73 Antalgin ( metampiron ) tablet 500 mg 100 tabet /box tablet 0 0 116.00 - - - -
74 Antalgin ( metampiron ) tablet 500 mg 1000 tablet / botl tablet 0 0 111.00 - - - -
76 Antalgin injeksi 250 mg/ml - 8 ml ampul ampul 0 0 1,400.00 - - - -
78 Antalgin injeksi 250 mg/ml - 8 ml 30 amp/ box ampul 0 0 1,393.33 - - - -
79 Antasida tablet kombinasi 200 mg 100 tab / box tablet 0 0 56.00 - - - -
80 Antasida doen suspensi botol 60 ml botol 0 0 2,160.00 - - - -
81 Antasida doen tablet kombinasi 100 tabet /box tablet 0 0 74.00 - - - -
82 Antasida doen tablet kombinasi kotak/100 tablet tablet 0 0 54.00 - - - -
1/16/2020 83 Antasida suspensi 60 ml/Botol Botol 91 100 43 148 2051.00 186,641.00 205,100.00 88,193.00 303,548.00
84 Antasida tablet kombinasi 100 tab/box tablet 1000 346 654 56.00 56,000.00 - 19,376.00 36,624.00
85 Anti hemoroid Supp pcs supp 20 20 3325.00 66,500.00 - - 66,500.00
86 Anti sera A botol 10 ml botol 0 0 132,000.00 - - - -
88 Anti sera AB botol 10 ml botol 0 0 132,000.00 - - - -
90 Anti sera B botol 10 ml botol 0 0 132,000.00 - - - -
92 Antibakteri doen ( basitrasin) tube tube 0 0 2,641.00 - - - -
Antifungi Salep, kombinasi : Asam Benzoat 6%+
24 Pot / Box Tube / Pot 85 4,540.00
93 As.salisilat 3 % 85 385,900.00 - - 385,900.00
94 Antihaemoroid 10 supp / box supp 0 0 2,090.00 - - - -
95 Antihemoroid 10 supp @ 2 mg / box supp 0 0 3,197.00 - - - -
96 Antimigren (ergotamin kofein) 100 tabet / botol tablet 0 0 129.00 - - - -
98 Asam Asetilsalisilat 80 mg ( Miniaspi ) 100 tablet / box tablet 0 0 155.00 - - - -
99 Asam Asetilsalisilat 80 mg ( Miniaspi ) 100 tablet / box tablet 2700 2700 94.00 253,800.00 - - 253,800.00
100 Asam askorbat ( Vit C ) tablet 250 mg 100 tablet / box tablet 0 0 159.00 - - - -
101 Asam askorbat ( Vit C ) tablet 250 mg 100 Tablet / Box tablet 1600 100 1500 114.00 182,400.00 - 11,400.00 171,000.00
103 Asam askorbat ( Vit C ) tablet 50 mg 100 Tablet / Box tablet 0 0 109.00 - - - -
104 Asam askorbat 250 mg 100 tab/box tablet 1000 1000 1114.00 1,114,000.00 - - 1,114,000.00
105 Asam Folat Tablet 0,4mg (Profolat ) 100 Tablet / Box tablet 0 0 60.00 - - - -
106 Asam Mefenamat 500 mg 100 tabet /box tablet 0 0 184.00 - - - -
108 Asam Mefenamat 500 mg 100 tablet/Box tablet 100 100 0 453.96 45,396.00 - 45,396.00 -
109 Asam Mefenamat 500mg 100 Tab Sal / Box Tab Sal 0 0 102.00 - - - -
110 Asam Traneksamat 500 mg 100 tabet /box tablet 0 0 1,080.00 - - - -
111 Aspimec tablet 100 tabet /box tablet 0 0 360.00 - - - -
112 Atropine sulfat inj 0,25 mg/ml 1 ml Ampul ampul 0 0 2,090.00 - - - -
113 Atropine sulfat inj 0,25 mg/ml 1 ml 100 Amp @1ml / Box Ampul 100 100 1,540.00 154,000.00 - - 154,000.00
114 Atropine sulfat injeksi 0,25 mg/ml - 1 ml ampul ampul 0 0 1,155.00 - - - -
115 baby cought botol botol 0 0 3916 - - - -
116 Becefort 100 tablet/ box tablet 0 0 1,490.00 - - - -
117 Bekamin B comp forte 1000 tablet / botol tablet 0 0 58.60 - - - -
118 Benovit c dragee 100 tablet / box tablet 0 0 1,720.00 - - - -
119 Betahistin maleat tab 5 mg 30 tablet / box tablet 0 0 1,033.33 - - - -
120 Betametason krim 0,1 % tube 5 gr tube 0 0 1,520.00 - - - -
121 Betametason krim 0,1 % tube 5 gr tube 20 20 0 1,407.00 28,140.00 - 28,140.00 -
122 Betametason krim 0,1 % 5 gr tube tube 0 0 1,407.00 - - - -
123 Betametason krim 0,1 % 25 tube/box Tube 50 50 1340.00 67,000.00 - - 67,000.00
124 Biolysin Multivitamin botol @ 100 ml botol 0 0 10,300.00 - - - -
125 Bioneuron injeksi ampul ampul 0 0 4,500.00 - - - -
127 Bioplacenton tube 15 gram tablet 0 0 12,000.00 - - - -
129 Bioplacenton tube 15 gram tube 0 0 21,000.00 - - - -
130 Bioralit 25 sach / box sach 0 0 545.44 - - - -
131 Bismecon krim tube 15 gram tube 0 0 10,000.00 - - - -
132 Bisoprolol tab 5 mg 30 tablet / box tablet 0 0 669.00 - - - -
133 Bledstop Injeksi 10 ampul / box ampul 0 0 3,900.00 - - - -
134 Borraginol suppos 20 supp / box supp 0 0 9,075.00 - - - -
135 Box Objek Gelas'50, grey and orange Pcs Pcs 0 0 41,470.00 - - - -
136 Box Slide Unit Unit 0 0 75,000.00 - - - -
137 Calcidin tablet 100 tablet / box tablet 0 0 670.00 - - - -
138 Calcidol suspensi botol 60 ml botol 0 0 10,000.00 - - - -
139 calcium gluconate injeksi ampul/box ampul 0 0 32,500.00 - - - -
140 Captopril 12,5 mg 100 tablet/box tablet 0 0 63.00 - - - -
141 Captopril 25 mg 100 tablet/box tablet 0 0 71.00 - - - -
142 Captopril 50 mg kotak/100 tablet tablet 50 50 0 130.00 6,500.00 - 6,500.00 -
143 Captopril 50 mg 100 tab/box tablet 500 500 130.00 65,000.00 - - 65,000.00
144 Captropil 12,5 mg 60 tablet / box tablet 0 0 62.00 - - - -
145 Captropil 25 mg 100 tablet / box tablet 0 0 92.00 - - - -
148 Catgut / benang bedah no.2/0 cromic 24 pcs / box pcs 0 0 29,000.00 - - - -
150 Catgut / benang bedah no.2/0 cromic 24 pcs / box Pcs 88 88 6,141.20 540,425.60 - - 540,425.60
151 Catgut / benang bedah no.2/0 plain 24 pcs / box pcs 0 0 29,000.00 - - - -
153 Catgut / benang bedah no.2/0 plain 24 pcs / box Pcs 73 73 6,141.20 448,307.60 - - 448,307.60
156 Catgut / benang bedah no.3/0 cromic 24 pcs / box pcs 39 39 6,141.67 239,525.13 - - 239,525.13
160 Catgut / benang bedah no.3/0 plain 24 pcs / box pcs 66 66 6,141.67 405,350.22 - - 405,350.22
161 Catgut / benang bedah no.3/0 plain 24 pcs / box Pcs 0 0 6,141.20 - - - -
162 Cefadroxil kapsul 500 mg 100 tablet/box tablet 180 60 120 600.00 108,000.00 - 36,000.00 72,000.00
163 Cefadroxil kapsul 500 mg 100 tab/box tablet 500 500 488.00 244,000.00 - - 244,000.00
164 Cefadroxil Syrup kering 100 mg/ 5ml botol 60 ml botol 0 0 5,064.00 - - - -
165 Cefadroxil tab 500 mg 100 tab / box tablet 0 0 519.00 - - - -
166 Cefadroxil tab 500 mg 100 tab / box tablet 0 0 1,050.00 - - - -
167 Cefotaxime injeksi 1000 mg kotak/2vial vial 0 0 5,500.00 - - - -
168 Cefotaxime injeksi 1g / vial vial 20 ml vial 0 0 7,100.00 - - - -
170 Cefotaxime injeksi 1g / vial 10 vial 20 ml / Box vial 0 0 5,635.00 - - - -
171 Ceftriaxone injeksi 1g / vial vial 20 ml vial 0 0 10,700.00 - - - -
172 Cendo Xitrol botol botol 0 0 31,000.00 - - - -
1/16/2020 173 Ceterizin syr 5 mg 24 Botol / Box botol 0 50 50 2,973.00 - 148,650.00 - 148,650.00
174 Ceterizin syrup botol botol 0 0 10,345.00 - - - -
175 Ceterizine 10 mg 50 tablet / box tablet 0 0 236.00 - - - -
176 Chlorpeniramine maleat 100 tablet/box tablet 0 0 43.00 - - - -
177 Chlorpheniramine maleat tablet 4 mg 100 tab / box tablet 1689 469 1220 23.00 38,847.00 - 10,787.00 28,060.00
178 Chlorpromazine Hcl 25 100 tablet/box tablet 0 0 155.00 - - - -
179 Chlorpromazine tab 100 mg 100 tablet / box tablet 0 0 140.00 - - - -
180 Chlorpromazine tab 100 mg 1000 tablet / botol tablet 0 0 158.80 - - - -
182 Cimetidin 100 tablet / box tablet 0 0 120.00 - - - -
184 Ciprofloxacin 500 mg 100 tablet / box tablet 0 0 260.00 - - - -
187 Ciprofloxacin 500 mg 100 tablet / box tablet 943 943 247.00 232,921.00 - - 232,921.00
188 Clindamysin tablet 150 mg 50 tablet / box tablet 500 10 490 729.00 364,500.00 - 7,290.00 357,210.00
189 Clonex cap 100 cap / box tablet 0 0 2,400.00 - - - -
190 Clonex Inj ampul ampul 0 0 5,081.80 - - - -
191 Clozapin tablet tablet 140 140 - - - -
192 Coamox 30 tablet / box tablet 0 0 4,777.00 - - - -
193 Codein 100 tablet / box tablet 0 0 525.00 - - - -
194 Combivent UDV 20 vial / box vial 19 14 5 5,990.00 113,810.00 - 83,860.00 29,950.00
195 Combivent UDV 20 pcs / box pcs 40 40 4550.00 182,000.00 - - 182,000.00
196 Cotrimoxasol Forte 960 100 tab/box tablet 1000 1000 299.00 299,000.00 - - 299,000.00
1/16/2020 197 Cotrimoxasol Suspensi 240 ml Botol Btl 100 100 2,190.00 - 219,000.00 - 219,000.00
198 Dasabion 100 tablet /box tablet 0 0 840.00 - - - -
199 Dexametasone inj 5 mg/ml - 1 ml ampul ampul 0 0 1,659.00 - - - -
200 Dexametasone inj 5 mg/ml - 1 ml ampul ampul 200 200 1,600.00 320,000.00 - - 320,000.00
201 Dexametasone inj 5 mg/ml - 1 ml 100 Amp @ 1 ml / Box Ampul 0 0 1,647.00 - - - -
1/16/2020 202 Dexametasone tablet 0,5 mg 100 tablet / box tablet 0 1000 1000 43.00 - 43,000.00 - 43,000.00
203 Dexametasone tablet 0,5 mg 100 tablet / box tablet 0 0 46.00 - - - -
205 Dexamethasone inj 5 mg/ml-1 ml 100 Amp @ 1 ml/ Box ampul 100 100 1647.00 164,700.00 - - 164,700.00
206 Dexamethasone tablet 0,5 mg 100 tab/box tablet 594 594 0 43.00 25,542.00 - 25,542.00 -
207 Dextromethorphan HBr syrup 10 mg/5 ml botol 60 ml botol 0 0 - - - -
208 Dextromethorphan HBr tablet 15 mg 100 tablet /box tablet 0 0 - - - -
209 Diazepam injeksi 5 mg / ml vial vial 10 10 1822.00 18,220.00 - - 18,220.00
210 Diazepam tablet 2 mg 100 tablet / botol tablet 0 0 45.00 - - - -
211 Diazepam tablet 2 mg ( VASANBE ) 100 tablet / botol tablet 0 0 35.00 - - - -
212 Diazepam tablet 5 mg 100 tablet / box tablet 0 0 105.00 - - - -
213 Diazepam tablet 5 mg ( VASANBE ) 100 tablet / box tablet 20 20 50.00 1,000.00 - - 1,000.00
214 Diclofenac Sodium kotak/100 tablet tablet 0 0 127.00 - - - -
215 Diclofenac Sodium 50 mg 50 tablet / box tablet 1890 480 1410 127.00 240,030.00 - 60,960.00 179,070.00
216 Difenhidramin inj ampul ampul 0 0 1,107.00 - - - -
217 Difenhidramin inj ( HCL ) ampul ampul 0 0 1,236.00 - - - -
218 Difenhidramin Injeksi 10 mg/ml 30 Ampul @1ml / Box Ampul 54 54 1,115.00 60,210.00 - - 60,210.00
219 Digoksin tablet 0,25 mg 100 tablet / box tablet 0 0 100.00 - - - -
220 Digoksin tablet 0,25 mg 100 tablet / box tablet 500 500 0 104.00 52,000.00 - 52,000.00 - ED
221 Diltiazem Hcl tab 30mg 100 Tablet / Box tablet 1090 1090 135.00 147,150.00 - - 147,150.00
222 Dimenhidrinat tab 50mg 100 Tablet / Botol Tablet 300 300 110.00 33,000.00 - - 33,000.00
223 Doksisiklin 100 mg 100 tablet /box tablet 280 280 231.00 64,680.00 - - 64,680.00
224 Doksisiklin Kaps 100 mg 100 Kapsul/ Box Kapsul 1300 1300 273.00 354,900.00 - - 354,900.00
225 Domperidon Suspensi 5 mg/5ml botol 60 ml botol 0 0 3,410.00 - - - -
227 Domperidon tablet 10 mg 100 tablet /box tablet 2128 21 2107 170.00 361,760.00 - 3,570.00 358,190.00
228 Domperidon tablet 10 mg 100 Tablet / Box Tablet 930 930 95.00 88,350.00 - - 88,350.00
229 Domperidone Syr 60 ml/Botol Botol 42 9 33 2781.00 116,802.00 - 25,029.00 91,773.00
230 Domperidone Tab 100 tab/box tablet 1000 1000 95.00 95,000.00 - - 95,000.00
231 D-Pulp botol botol 0 0 234,000.00 - - - -
232 Dumin supp 5 supp / box supp 0 0 12,160.00 - - - -
233 Ekstrabelladon 100 tablet /box tablet 0 0 40.00 - - - -
234 Epinefrin HCl / bitatrat (adrenalin) inj 0,1 % - 1ml ampul ampul 0 0 8,505.00 - - - -
236 Epinefrin HCl / bitatrat (adrenalin) inj 0,1 % - 1ml 100 Ampul @ 1 ml/ Box Ampul 0 0 1,749.00 - - - -
237 Erithromicyn cap 250 mg 120 cap /box tablet 0 0 517.00 - - - -
239 Erithromicyn cap 250 mg 100 Kapsul / Box Kapsul 0 0 587.00 - - - -
240 Erithromicyn cap 500 mg 100 cap / box tablet 0 0 888.00 - - - -
242 Erithromicyn cap 500 mg ( TAMARET ) 100 cap / box tablet 0 0 2,530.00 - - - -
243 Erithromicyn syrup botol 60 ml botol 0 0 7,893.00 - - - -
244 Erithromicyn Syrup Kering 200mg/5ml 120 Botol 60 ml / Box Botol 0 0 6,303.00 - - - -
245 Erlamycetin tetes mata botol 5ml botol 0 0 2,200.00 - - - -
246 Erlamycetin tetes telinga 3 % botol 10 ml botol 0 0 1,650.00 - - - -
247 Erytromicin 500 mg 100 tab/box tablet 1000 1000 765.00 765,000.00 - - 765,000.00
248 Etakridin (rivanol) 300 cc botol 300 ml botol 0 0 3,060.00 - - - -
249 Etakridin (rivanol)larutan 0,1 % botol 300 ml botol 0 0 5,300.00 - - - -
250 Etanol 70 % botol 1000 ml botol 0 0 24,545.00 - - - -
252 Eter alkohol botol 100 ml botol 0 0 65,500.00 - - - -
253 Etil klorida semprot botol100 ml botol 0 0 110,000.00 - - - -
255 Eugenol botol 20 ml botol 1 1 164,000.00 164,000.00 - - 164,000.00
256 Eutrox ( Levotiroxin ) 500 mcg 12 tablet / box tablet 100 100 735.00 73,500.00 - - 73,500.00
257 extra belladon 10 mg tab 100 tablet/box tablet 0 0 128.26 - - - -
258 Farbivent inj ampul ampul 0 0 9,000.00 - - - -
259 Fasolon cream tube 5 gr tube 0 0 10,000.00 - - - -
260 Fenobarbital injeksi 50 mg ampul ampul 60 60 1950.00 117,000.00 - - 117,000.00
261 Fenobarbital injeksi 50 mg/ml - 2 ml 30 Ampul @1ml / Box ampul 0 0 1,890.00 - - - -
262 Fenobarbital tablet 30 mg 1000 tablet / botol tablet 0 0 31.00 - - - -
264 Fenol gliserol tetes telinga 10 % botol 5 ml botol 0 0 2,144.00 - - - -
265 Ferro Fumarat 60 mg + Asam Folat 0,4 mg Tab Sal 100 Tablet Sal / Box Tab Sal 0 0 372.00 - - - -
266 Ferrous sulfat 300 mg 1000 tablet / botol tablet 0 0 22.95 - - - -
267 Fitomenadion (vit K1) Injeksi 2mg/ml(i.m) 30 Amp @ 1 ml / Box Ampul 0 0 3,728.00 - - - -
268 Fitomenadion (vit K1) tablet salut 10 mg 100 tablet / botol tablet 0 0 666.00 - - - -
269 Flucodin tablet 60 tablet / box tablet 0 0 824.25 - - - -
270 Flucort N Cream tube 5 gr tube 0 0 19,000.00 - - - -
271 Flucort N Cream tube tube 0 0 902.91 - - - -
272 Folley cateter 2 way 30cc no 14 10 Pcs / Box unit 0 0 23,000.00 - - - -
274 Folley cateter 2 way 30cc no 14 10 Pcs / Box Pcs 29 29 8,798.90 255,168.10 - - 255,168.10
281 Furosemida injeksi 25 ampul @ 2ml/ Box ampul 0 0 1,920.00 - - - -
282 Furosemida tablet 40 mg 200 tablet / box tablet 0 0 94.00 - - - -
283 Garam Oralit Kombinasi 100 sach / bok sach 0 0 269.00 - - - -
284 Garam oralit untuk 200 ml air 100 sach / bok sach 0 0 303.00 - - - -
285 Garexin tetes mata 10 Botol / Box botol 0 0 1,160.00 - - - -
287 Genoint Salep Mata 0,3% 48 tube 3,5 gr / Box tube 0 0 2,660.00 - - - -
288 Gentamicin 40 gr / ml inj ampul ampul 73 73 3685.00 269,005.00 - - 269,005.00
289 Gentamycin 0,1% salep kulit tube 5 gr tube 0 0 1,850.00 - - - -
291 Gentamycin sulfat tetes mata 0,3 % botol 5 ml botol 0 0 3,049.00 - - - -
292 Gentian violet botol botol 0 0 3,352.80 - - - -
293 Gentian violet larutan 1 % botol 10 ml botol 0 0 2,600.00 - - - -
294 Glibenklamid tablet 5 mg 100 tablet / box tablet 0 0 58.00 - - - -
295 Glibenklamid tablet 5 mg 100 tablet/box tablet 0 0 80.00 - - - -
296 Glibenklamid tablet 5 mg 100 tablet / box tablet 2000 147 1853 125.00 250,000.00 - 18,375.00 231,625.00
297 Glimepiride 2 mg 50 tablet / box tablet 0 0 1,720.00 - - - -
299 Glimepiride 2 mg 50 Tablet / Box Tablet 0 0 231.00 - - - -
300 Glimepiride 2 mg 100 tabley / box tablet 676 280 396 207.00 139,932.00 - 57,960.00 81,972.00
301 Glimepiride 2 mg 100 tab/box tablet 500 500 207.00 103,500.00 - - 103,500.00
302 Gliseril guayakolat 100 mg 1000 tablet / botol tablet 0 0 29.20 - - - -
304 Gliseril guayakolat 100 mg botol botol 0 0 124.19 - - - -
305 Glukosa larutan infus 10 % steril botol 500 ml botol 0 0 8,003.00 - - - -
306 Glukosa larutan infus 10 % steril 20 Botol 500 ml / Box Botol 0 0 7,500.00 - - - -
1/16/2020 307 Glukosa Larutan Infus 10% 20 Botol 500 ml / Box Botol 40 160 200 7500.00 300,000.00 1,200,000.00 - 1,500,000.00
308 Glukosa larutan infus 40 % steril ampul 25 ml ampul 3 3 0 3,800.00 11,400.00 - 11,400.00 - ED
1/16/2020 311 Glukosa Larutan Infus 5% 20 Botol 500 ml / Box Botol 40 160 200 6900.00 276,000.00 1,104,000.00 - 1,380,000.00
312 Griseofulvin 125 mg 100 tab/box tablet 500 500 217.00 108,500.00 - - 108,500.00
313 Griseovulfin 125 mg 100 Tablet / Box Tablet 1069 20 1049 249.00 266,181.00 - 4,980.00 261,201.00
314 Grisiovulfin 125 mg 100 tab /box tablet 0 0 230.00 - - - -
315 H2O2 3% botol 800 ml botol 0 0 18,600.00 - - - -
316 Haloperidol 1,5 mg 100 tablet / box tablet 0 0 72.00 - - - -
Handschoon Top Glove Win Non Steril Free
100 pcs / Box Pcs
317 Powder Ukuran (M) 500 500 572.27 286,135.00 - - 286,135.00
100 pcs / Box Pcs 500 572.27
318 Powder Ukuran (S) 500 286,135.00 - - 286,135.00
319 Handscoen Glove Natural Rubber latex 7 50 pcs/box pcs 50 50 117.80 5,890.00 - - 5,890.00
320 Handscoen Glove Natural Rubber latex 7,5 50 pcs/box pcs 90 90 117.80 10,602.00 - - 10,602.00
321 Handscoen Top Glove Win Non Steril M 100 pcs / Box pcs 0 0 572.27 - - - -
322 Handscoen Top Glove Win Non Steril S 100 pcs / Box pcs 200 100 100 572.27 114,454.00 - 57,227.00 57,227.00
323 Handscoend Examination Glove M 100 pcs / box pcs 0 0 391.82 - - - -
325 Handscoend Examination Glove S 100 pcs / box pcs 0 0 390.00 - - - -
327 Handscoend No. 7 50 Pcs / Box pasang 0 0 7,100.00 - - - -
329 Handscoend No. 7 50 pcs/box Pcs 0 0 4,598.00 - - - -
330 Handscoend No. 7,5 50 Pcs / Box pasang 0 0 7,100.00 - - - -
332 Handscoend No. 7,5 50 pcs/box Pcs 35 25 10 4,598.00 160,930.00 - 114,950.00 45,980.00
333 Hemafort multivitamin 100 tablet / box tablet 0 0 792.00 - - - -
334 Hidroklorotiazid ( hct ) tablet 25 mg 1000 tablet / botol tablet 0 0 38.12 - - - -
335 Hidroklorotiazit tab 25 mg 100 tablet/box tablet 766 32 734 156.00 119,496.00 - 4,992.00 114,504.00
336 Hidroklorotiazit tab 25 mg 100 Tablet / Box Tablet 0 0 156.00 - - - -
337 Hidrokortison Cream 2,5 % 24 Tube @ 5 gr/ Box Tube 88 15 73 2,650.00 233,200.00 - 39,750.00 193,450.00
338 Hidrokortison krim 2,5 % tube 5 gr tube 0 0 2,798.00 - - - -
339 Hidrokortison krim 2,5 % 24 tube/box tube 0 0 2,650.00 - - - -
340 Hyorex 50 tablet / box tablet 0 0 399.00 - - - -
341 Ibu profen 400 mg 100 tablet/box tablet 0 0 130.00 - - - -
342 Ibuprofen suspensi 200 mg / 5 ml botol botol 0 0 4755.00 - - - -
343 Ibuprofen tablet 200 mg 100 tablet /botol tablet 0 0 116.00 - - - -
344 Ibuprofen tablet 200 mg 100 tablet /botol Tablet 0 0 105.00 - - - -
345 Ibuprofen tablet 400 mg 100 tablet / box tablet 0 0 153.00 - - - -
346 Infusion set anak 50 Pcs / Box pcs 0 0 8,500.00 - - - -
347 Infusion Set Anak 50 Pcs / Box pcs 31 31 3,850.00 119,350.00 - - 119,350.00
348 Infusion Set Anak 50 Pcs / Box Pcs 0 0 3,848.90 - - - -
349 Infusion set dewasa 50 Pcs / Box pcs 0 0 5,900.00 - - - -
350 Infusion Set Dewasa 50 Pcs/ Box pcs 0 0 3,520.00 - - - -
351 Infusion Set Dewasa 50 Pcs / Box Pcs 96 10 86 3,518.90 337,814.40 - 35,189.00 302,625.40
352 Isoplast 1,25 cm x 4,5 m roll roll 0 0 7,700.00 - - - -
353 Isosorbid dinitrat tablet sublingual 5 mg 100 tablet / box tablet 500 500 93.00 46,500.00 - - 46,500.00
354 Jarum Jahit Kulit G 1113 No. 9-14 12 pcs / bks pcs 0 0 458.33 - - - -
355 Jarum Jahit Kulit GT No. 10 12 pcs / bks pcs 0 0 458.33 - - - -
356 Jarum Jahit Kulit GT No. 10 12 pcs / bks 0 0 19,000.00 - - - -
361 Jarum Jahit Kulit GT No. 14 12 pcs / bks lusin 0 0 19,000.00 - - - -
364 Jarum Jahit Kulit GT No.13 12 pcs / bks pcs 0 0 458.33 - - - -
365 Jarum Jahit Kulit GT No.13 12 pcs / bks 0 0 19,000.00 - - - -
366 Kalsium laktat ( kalk ) tablet 500 mg 1000 tablet / botol tablet 0 0 52.00 - - - -
368 Kalsium laktat ( kalk ) tablet 500 mg 1000 tab / botol tablet 0 0 75.00 - - - -
369 Kalsium laktat ( kalk ) tablet 500 mg 100 tab/box tablet 500 500 59.00 29,500.00 - - 29,500.00
370 Kapas pembalut / absorben 250 mg bungkus bungkus 0 0 7,500.00 - - - -
372 Kapas pembalut 250 g 50 Roll / Box Roll 46 1 45 13,748.90 632,449.40 - 13,748.90 618,700.50
373 Kapas pembalut 250 mg roll roll 0 0 13,750.00 - - - -
374 Kasa hidrofil 36 cm x 80m roll roll 10 10 133,993.33 1,339,933.30 - - 1,339,933.30
375 Kasa hidrofil 40 cm x 80m roll roll 0 0 215,000.00 - - - -
376 Kasa Hidrofil 40x80cm 20 Roll / Box Roll 0 0 115,498.90 - - - -
377 Kasa Hidrofil Steril uk.16x16 16 Pouch / Box Pcs 12 4 8 8,798.90 105,586.80 - 35,195.60 70,391.20
378 Kasa Kompres 40 x40 bks bks 0 0 - - - -
379 Kasa steril 16 x 16 16 lbr / box box 0 0 7,000.00 - - - -
380 Kasa steril 16 x 16 box box 0 0 6,960.00 - - - -
381 Kertas Perkarmen 1000 lbr / pack 1000 lbr / pack 0 0 25.00 - - - -
383 Ketokonazol cream tube tube 0 0 4,930.00 - - - -
384 Ketokonazol tab 50 tablet / box tablet 0 0 267.00 - - - -
386 Ketokonazol tab 200mg 50 Tablet / Box Tablet 1070 1070 288.00 308,160.00 - - 308,160.00
387 Ketoprofen tablet 100 mg 100 tablet /box tablet 0 0 1,550.00 - - - -
389 Ketorolak injeksi 10 mg /ml ampul ampul 0 0 2,539.00 - - - -
391 Ketorolak injeksi 10 mg /ml ampul ampul 5 5 1,308.00 6,540.00 - - 6,540.00
392 Klindamisin 150 mg 50 kapsul /box tablet 0 0 401.00 - - - -
393 Kloramfenikol kapsul 250 mg 100 kap / box tablet 800 800 0 262.00 209,600.00 - 209,600.00 - ED
394 Kloramfenikol salaf mata 1 % tube tube 0 0 1,450.00 - - - -
396 Kloramfenikol Suspensi 125 mg/5 ml 50 Botol / Box Botol 30 30 4,841.00 145,230.00 - - 145,230.00
397 Kloramfenikol syrup botol 60 ml botol 0 0 3,900.00 - - - -
398 Kloramfenikol Tetes Mata 0.5% (Decacetin) 60 Tube / Box Tube 0 0 3,500.00 - - - -
399 Kloramfenikol tetes telinga 3 % botol 5 ml botol 0 0 1,679.00 - - - -
400 Klorfeniramin maleat ( CTM 4 mg ) 100 tablet /box tablet 0 0 43.00 - - - -
401 Klorfeniramin maleat ( CTM ) tablet 4 mg 100 tablet / box tablet 0 0 99.00 - - - -
402 Klorfeniramin maleat / Pehaclor ( CTM 4 mg ) 1500 Tab / Botol tablet 0 0 99.00 - - - -
403 Kotrimoksazol (dws) Forte komb. Sulfametoksazol 100 tablet /box tablet 380 380 323.00 122,740.00 - - 122,740.00
404 Kotrimoksazol dewasa tablet 100 tablet /box tablet 0 0 135.00 - - - -
405 Kotrimoksazol dewasa tablet Trimetopirin 80 mg 100 tablet /box tablet 0 0 145.00 - - - -
1/16/2020 406 Kotrimoksazol suspensi botol 60 ml botol 0 100 100 2,222.00 - 222,200.00 - 222,200.00
407 Kotromoksazol tab 100 tablet/box tablet 0 0 154.00 - - - -
408 Lansoprazole 30mg 20 tablet / box tablet 0 0 473.00 - - - -
409 Lansoprazole 30mg 20 kaplet/box kaplet 0 0 334.00 - - - -
410 Larutan giemsa stain botol 100 ml botol 0 0 190,000.00 - - - -
411 Lens tissue 50 pcs / box pcs 0 0 680.00 - - - -
412 Leucoplast 1,25 cm x 4,5 m roll roll 0 0 7,000.00 - - - -
413 Leukoplast 2,5 mm x 4,5 mm box roll 0 0 12076.00 - - - -
414 Leukoplast 2,5 mm x 4,5 mm Box roll 40 2 38 12,076.00 483,040.00 - 24,152.00 458,888.00
415 Lexatrans 500 50 kaplet / box tablet 0 0 2,000.00 - - - -
416 Lidocain Inj 2% + Efinefrin 30 Ampul @1ml / Box ampul 90 90 1205.00 108,450.00 - - 108,450.00
417 Lidokain comp inj ampul ampul 0 0 1,360.00 - - - -
418 Lidokain inj ampul ampul 0 0 879.00 - - - -
419 Lidokain inj + epinefrin 30 Amp @ 2 ml / Box ampul 0 0 1,937.00 - - - -
420 Lidokain inj 2%(HCL) + epinefrin 1.80.000-2m 30 Amp @ 2 ml / Box Ampul 210 210 2,037.00 427,770.00 - - 427,770.00
421 Lisol 1 liter botol botol 0 0 46,740.00 - - - -
422 Lisol 1 liter 1 Liter / Botol Botol 0 0 47,146.00 - - - -
423 Lisol 50 % botol 1000 ml botol 0 0 38,500.00 - - - -
424 Livron B-Plex 100 tablet / box tablet 0 0 250.00 - - - -
426 Loperamid tablet 100 tablet / box tablet 0 0 92.00 - - - -
428 Loratadin tablet 50 tablet / box tablet 0 0 160.00 - - - -
430 Loratadin tablet 100 tablet/box tablet 0 0 139.00 - - - -
431 Loratadin Tablet 10 mg 100 Kaplet / Box Kaplet 0 0 128.00 - - - -
432 Loratadin Tablet 10 mg 100 tabley / box tablet 114 114 0 125.00 14,250.00 - 14,250.00 -
433 Loratadin Tablet 10 mg 100 tab/box tablet 500 400 100 125.00 62,500.00 - 50,000.00 12,500.00
434 mag sulfat injeksi 20% ampul/box ampul 0 0 4,583.33 - - - -
435 Mag sulfat injeksi 40% ampul ampul 39 39 3796.00 148,044.00 - - 148,044.00
436 Masker Mask Plus 3 ply 50 pcs / box Pcs 100 100 0 479.60 47,960.00 - 47,960.00 -
437 Masker N 95 20 pcs / box Pcs 0 0 7,163.20 - - - -
438 Masker N95 20 pcs / box pcs 0 0 10,750.00 - - - -
439 Masker Tie On 3 Fly 50 pcs / box pcs 0 0 900.00 - - - -
441 Masker Tie On 3 Fly 50 pcs / box pcs 100 100 0 585.60 58,560.00 - 58,560.00 -
442 Mata Bor Gigi High Speed pcs pcs 0 0 49,000.00 - - - -
443 Meloxicam 15 mg 50 tablet / box tablet 0 0 498.00 - - - -
444 Meloxicam 7,5 mg 50 tablet / box tablet 0 0 234.00 - - - -
445 Metanol 100 ml botol 100 ml botol 0 0 36,000.00 - - - -
446 Meterinal 100 tab /box tablet 0 0 375.00 - - - -
447 Metformin tablet 500 mg 100 tablet /box tablet 0 0 105.00 - - - -
448 Metformin tablet 500 mg 100 tabley / box tablet 670 670 0 99.00 66,330.00 - 66,330.00 -
449 Metformin tablet 850 mg kotak/100 tablet tablet 856 856 163.00 139,528.00 - - 139,528.00
450 Methyl Prednisolon 4 mg 100 tab/box tablet 800 546 254 137.00 109,600.00 - 74,802.00 34,798.00
451 Metil Prednisolon 4 mg tablet 100 tablet / box Tablet 0 0 160.00 - - - -
452 Metil prednisolon tab 4mg 100 tablet /box tablet 0 0 306.00 - - - -
453 Metil Prednison 4 mg tablet 100 tablet / box tablet 0 0 550.00 - - - -
454 Metilergometrin maleat inj 0,200 mg-1 ml ampul ampul 0 0 2,750.00 - - - -
456 Metilergometrin maleat inj 0,200 mg-1 ml 100 Amp @ 1 ml/ Box Ampul 0 0 7,645.00 - - - -
457 Metilergometrin maleat tablet 100 tablet / box tablet 960 10 950 162.00 155,520.00 - 1,620.00 153,900.00
458 Metilergometrin maleat tablet 100 tablet/box tablet 575 575 150.00 86,250.00 - - 86,250.00
459 Metoklopramid tablet 10 mg 100 tablet /box tablet 900 900 105.00 94,500.00 - - 94,500.00
460 Metoklopramid tablet 10 mg ( sotatic ) 100 tablet /box tablet 0 0 410.00 - - - -
461 Metronidazol generik 500 mg/100ml inf botol botol 4 4 8250.00 33,000.00 - - 33,000.00
462 Metronidazol tablet 250 mg 100 tablet / box tablet 0 0 135.00 - - - -
463 Metronidazol tablet 500 mg 100 tablet /box tablet 0 0 164.00 - - - -
464 Metronidazol tablet 500 mg 100 tablet /box Tablet 0 0 114.00 - - - -
465 Meylon Injeksi i.v 4,8 % ampul 25 ml ampul 0 0 6,510.00 - - - -
466 Miconazole cream 2% tube tube 236 0 236 2,922.85 689,792.60 - - 689,792.60
467 Micropore 3M 24 Roll / Box roll 0 0 10855.00 - - - -
468 Mineral Mix 40 sach /box tablet 0 0 2,599.00 - - - -
469 Mineral Mix kotak/40 sachet sachet 0 0 2,550.00 - - - -
470 Molagit tab 700 mg.Pectine 50 mg 150 tablet / box tablet 0 0 545.00 - - - -
471 Molagit tablet 150 tablet / box tablet 0 0 303.03 - - - -
472 Molaneuron 50 tablet / box tablet 0 0 1,030.00 - - - -
474 Myconazol krim 2% tube tube 132 74 58 3,150.00 415,800.00 - 233,100.00 182,700.00
475 Myomergin inj ampul ampul 0 0 4,400.00 - - - -
476 Nald inj 23 / Needle 23G x 11/4" 100 pcs / box pcs 0 0 900.00 - - - -
477 Nald inj 23 / Needle 23G x 11/4" 100 pcs / box pcs 0 0 1,100.00 - - - -
478 Nasal oxigen adult 50 pcs / box pcs 0 0 8,000.00 - - - -
480 Nasal oxigen adult 50 Pcs / Box Pcs 0 0 6,050.00 - - - -
481 Nasal oxigen child 50 pcs / box pcs 1 1 0 12,600.00 12,600.00 - 12,600.00 -
482 Nasal oxigen child 50 Pcs / Box Pcs 0 0 6,050.00 - - - -
483 Nasal Oxigen mask Adult pcs pcs 18 18 23677.00 426,186.00 - - 426,186.00
484 Nasal Oxigen mask Child pcs pcs 18 18 23677.00 426,186.00 - - 426,186.00
485 Natrium bikarbonat tablet 500 mg 1000 tablet / botol tablet 0 0 1,502.00 - - - -
486 Natrium bikarbonat tablet 500 mg 1000 tablet / botol tablet 614 614 15.02 9,222.28 - - 9,222.28
487 Natrium bikarbonat tablet 500 mg 100 tablet/btl botol 0 0 253.00 - - - -
488 Natrium diklofenak 25 mg kotak/50 tablet tablet 0 0 157.00 - - - -
489 Natrium diklofenak 50 mg 50 tablet / box tablet 0 0 185.00 - - - -
491 Natrium diklofenak 50 mg 5x10 tablet/box tablet 0 0 157.00 - - - -
492 Natrium klorida larutan infus 0,9 % steril botol plastik 500 ml botol 0 0 6,840.00 - - - -
494 Natrium klorida larutan infus 0,9 % steril 20 Botol 500 ml / Box Botol 0 0 6,410.00 - - - -
1/16/2020 495 Natrium klorida larutan infus 0,9 % steril 20 Botol 500 ml / Box Botol 60 160 220 6410.00 384,600.00 1,025,600.00 - 1,410,200.00
496 neo diaform 500 tab/box tablet 0 0 140 - - - -
497 Nifedipine 10 mg 100 tablet /box tablet 580 100 480 110.00 63,800.00 - 11,000.00 52,800.00
498 Nifedipine Kapsul 10 mg 100 Tab Sal / Box Caps 0 0 110.00 - - - -
499 Nifedipine Tablet 10 mg 100 tablet /box tablet 0 0 138.00 - - - -
500 Nifudiar Suspensi botol 60 ml botol 0 0 40,100.00 - - - -
501 Novakal kotak/100 tablet tablet 89 89 0 - - - -
502 Noza 100 tablet /box tablet 0 0 400.00 - - - -
503 Obat Antituberkolosis Anak box box 0 0 225,740.00 - - - -
504 Obat Antituberkolosis FDC Anak Fase intensif ct ct 0 0 2,750.00 - - - -
505 Obat Antituberkolosis FDC Anak Fase lanjutan ct ct 0 0 2,275.00 - - - -
506 Obat Antituberkolosis Kategori 1 box box 0 0 377,990.00 - - - -
507 Obat Antituberkolosis Kategori 2 box box 0 0 1,259,990.00 - - - -
508 Obat Antituberkolosis Kombipak box box 0 0 302,610.00 - - - -
509 Obat Antituberkolosis sisipan box box 0 0 167,160.00 - - - -
510 OBH Indoplus botol 100 ml botol 0 0 11,200.00 - - - -
511 OBH Indoplus 100 ml/btl botol 0 0 11,000.00 - - - -
512 Objek glass box box 0 0 25,000.00 - - - -
513 Objek glass 7101 72 Pcs / Box Pcs 0 0 268.88 - - - -
514 Ofloxacin tablet 200mg 50 tablet / box tablet 0 0 420.00 - - - -
515 Oksitetrasiklin Hcl salap kulit 3% tube 5 gr tube 0 0 1,751.00 - - - -
517 Oksitetrasiklin Hcl salap mata 1% tube 5 gr tube 0 0 1,600.00 - - - -
518 Oksitocyn injeksi ampul ampul 0 0 1,820.00 - - - -
519 Oksitocyn Injeksi 10 UI/ml (Pitogin) 100 Ampul @ 1 ml/ Box Ampul 0 0 1,900.00 - - - -
520 Omeprazole 30 tablet /box tablet 0 0 265.00 - - - -
522 Omeprazole Inj.40mg/10ml 10 Vial @ 40 mg / box Vial 0 0 12,998.00 - - - -
523 Omeprazole Inj.40mg/10ml 10 ampul / box ampul 31 20 11 9999.00 309,969.00 - 199,980.00 109,989.00
524 Omeprazole Inj.40mg/10ml Ampul ampul 30 30 9999.00 299,970.00 - - 299,970.00
525 Omeprazole kaps 20mg 30 Kapsul / Box Kapsul 0 0 144.00 - - - -
526 Omeprazole kaps 20mg 50 Kapsul / box Kapsul 2610 797 1813 134.00 349,740.00 - 106,798.00 242,942.00
527 Ondansetron Injeksi 4 mg/2ml ampul ampul 0 0 2,400.00 - - - -
528 Ondarin inj ampul ampul 0 0 28,400.00 - - - -
529 Onemed Alkohol 70% 1 L Botol Botol 3 1 2 27,250.00 81,750.00 - 27,250.00 54,500.00
530 Onemed Safety Box box dus 0 0 17120.00 - - - -
531 OneScrub 500cc+dispenser 12 Botol / Box Botol 3 2 1 71,874.00 215,622.00 - 143,748.00 71,874.00
532 Oxican botol botol 0 0 65,000.00 - - - -
533 Oxytetracycline 1% salep mata tube tube 140 14 126 2600.00 364,000.00 - 36,400.00 327,600.00
534 Oxytetracycline 3% salep 25 tube/box tube 0 0 1,640.00 - - - -
535 Oxyvit Tablet 100 tab / box tablet 0 0 2,360.00 - - - -
536 Pantocain tetes mata 0,5 % botol 5 ml botol 0 0 11,500.00 - - - -
537 Papaverin 40 mg tablet 1000 tablet / box tablet 0 0 100.00 - - - -
539 Paracetamol sirup 120mg btl 60 ml botol 0 0 1,119.00 - - - -
540 Paracetamol tablet 500mg 100 tablet/box tablet 0 0 187.00 - - - -
541 Parasetamol 500 mg 100 tablet/Box tablet 1324 1,324 0 56.00 74,144.00 - 74,144.00 -
542 Parasetamol Drops botol 15 ml botol 2 2 0 5,460.00 10,920.00 - 10,920.00 -
543 Parasetamol Drops botol 15 ml botol 0 0 7,165.00 - - - -
544 Parasetamol kaplet 500 mg 100 tablet /box tablet 0 0 80.00 - - - -
545 Parasetamol kaplet 500 mg 1000 tablet / botol tablet 0 0 84.00 - - - -
547 Parasetamol sirup 125 mg/5ml botol botol 0 0 6,287.60 - - - -
1/16/2020 548 Parasetamol syrup 120 mg/5ml botol 60 ml botol 43 50 21 72 1,496.00 64,328.00 74,800.00 31,416.00 107,712.00
1/16/2020 549 Parasetamol tablet 500 mg kotak/100 tablet tablet 0 500 500 49.00 - 24,500.00 - 24,500.00
550 Parasetamol tablet 500 mg 100 tablet / box tablet 0 0 56.00 - - - -
551 Pedimin Drop botol 15 ml botol 0 0 24,500.00 - - - -
552 Pehacain inj 20 ampul / box ampul 0 0 3,200.00 - - - -
553 Pehavral Tablet 100 tablet /box tablet 0 0 720.00 - - - -
554 Permetrin Cream 5% (Scabimite) 60 Tube / Box Tube / Pot 0 0 12,155.00 - - - -
555 Persidal 20 tablet / box tablet 0 0 1,400.00 - - - -
556 Phenol Glyserol tetes telinga 10 % pcs pcs 22 22 2590.00 56,980.00 - - 56,980.00
557 Phytomenadion inj 2 mg / ml ampul ampul 294 294 3867.00 1,136,898.00 - - 1,136,898.00
558 Piracetam 800 mg 50 tablet / box tablet 0 0 920.00 - - - -
559 Piracetam inj ampul ampul 0 0 6,330.00 - - - -
561 Piridoksin (Vitamin B6 ) Tablet 10 mg 100 Tablet / Box Tablet 20 20 124.00 2,480.00 - - 2,480.00
562 Piridoksin HCl tablet 10 mg 1000 tablet / botol tablet 0 0 18.27 - - - -
564 Piridoksin HCl tablet 10 mg 100 tablet/box tablet 0 0 47.00 - - - -
565 Piroxicam 20 mg 100 tablet / box tablet 0 0 100.00 - - - -
567 Plester Drasing dispenser ( MICROPORE ) 24 Roll / Box roll 0 0 14,500.00 - - - -
568 Plester Drasing non dispenser ( MICROPORE ) 24 Roll / Box roll 0 0 10,855.00 - - - -
569 Pot sputum 200 Pcs / Box pcs 0 0 2,000.00 - - - -
570 Pot sputum 200 Pcs / Box pcs 0 0 500.00 - - - -
571 Prednisone tablet 5 mg 1000 tablet / botol tablet 0 0 65.30 - - - -
572 Prednisone tablet 5 mg 100 tablet / box tablet 1400 1400 55.00 77,000.00 - - 77,000.00
573 Prednisone tablet 5 mg 100 tablet / box tablet 0 0 119.00 - - - -
574 Prednisone tablet 5 mg 100 tablet/Box tablet 1000 1000 72.00 72,000.00 - - 72,000.00
575 Probiokid suplemen makan 10 sachet / box tablet 0 0 12,960.00 - - - -
576 Propanolol HCl tablet 40 mg 100 tablet /botol tablet 0 0 110.00 - - - -
577 Propitiurasil 100 mg 100 tablet / botol tablet 0 0 340.00 - - - -
578 Protein Urine Test strip strip 0 0 1,900.00 - - - -
579 Pyrantel tablet 125 mg 30 tablet / box tablet 0 0 308.00 - - - -
581 Pyrantin tab 200 tablet / box tablet 0 0 609.30 - - - -
582 Pytogin ( Oxytocin ) inj ampul ampul 0 0 8,000.00 - - - -
583 Ranitidin 150 mg 100 tablet /box tablet 0 0 126.00 - - - -
585 Ranitidin Inj 25 mg / ml ampul ampul 0 0 7,350.00 - - - -
586 Ranitidin inj 25mg/ml - 2 ml ampul ampul 0 0 2,698.52 - - - -
587 Ranitidine Injeksi kotak/10 ampul ampul 0 0 1,531.00 - - - -
588 Ranitidine Tablet 150 mg kotak/100 tablet tablet 0 0 100.00 - - - -
589 Rapid diagnostik test (RDT) malaria box box 0 0 1,500,000.00 - - - -
590 Reagen Zeihl Neelsen Kit Kit 0 0 335,000.00 - - - -
591 Reagent hematology MS4-s-e paket paket 0 0 11,240,000.00 - - - -
592 Renabetic ( glibenclamide ) 5 mg 100 tablet /box tablet 0 0 180.00 - - - -
593 Retinol A 100 000 IU kapsul lunak (Vit A Biru) 50 cap /botol botol 0 0 273.00 - - - -
594 Retinol A 100 000 IU kapsul lunak (Vit A Biru) 50 cap / botol cap 0 0 273.00 - - - -
595 Retinol A 200 000 IU kapsul lunak (Vit A Merah) 50 cap /botol botol 0 0 482.00 - - - -
596 Retinol A 200 000 IU kapsul lunak (Vit A Merah) 50 cap / botol cap 0 0 273.00 - - - -
597 Ringer laktat larutan infus steril botol plastik 500 ml botol 0 0 7,630.00 - - - -
599 Ringer laktat larutan infus steril 20 Botol 500 ml / Box Botol 0 0 7,150.00 - - - -
1/16/2020 600 Ringer laktat larutan infus steril 20 Botol 500 ml / Box Botol 100 420 520 7150.00 715,000.00 3,003,000.00 - 3,718,000.00
601 Risperidone tablet 1 mg 50 tablet / box tablet 0 0 1,400.00 - - - -
602 Salbutamol sirup 2 mg / 5 ml 49 botol / box botol 49 49 4446.00 217,854.00 - - 217,854.00
603 Salbutamol sirup 2 mg / 5 ml 60 ml/Botol Botol 49 49 4446.00 217,854.00 - - 217,854.00
604 Salbutamol tablet 2 mg 100 tabet /box tablet 1355 1355 62.00 84,010.00 - - 84,010.00
606 Salbutamol tablet 4 mg 100 tabet /box tablet 0 0 100.00 - - - -
Salep 2-4 Komb.Asam Salisilat 2%+Belerang
24 Pot / Box Tube / Pot 2,654.00
607 Endap 4% 60 60 159,240.00 - - 159,240.00
24 Pot / Box Pot
608 Endap 4% 24 24 2654.00 63,696.00 - - 63,696.00
609 Salisil bedak 2 % kotak kotak 0 0 1,155.00 - - - -
610 Salisil bedak 2 % 50gr/box 4 4 1,250.00 5,000.00 - - 5,000.00
611 Salisil bedak 2 % kotak kotak 5 5 1,040.00 5,200.00 - - 5,200.00
612 Sanadryl syrup botol 60 ml botol 0 0 9,000.00 - - - -
613 Santocyn Injeksi ampul ampul 0 0 7,000.00 - - - -
614 Scabimite cream 30gr tube tube 0 0 12,155.00 - - - -
615 Scabisid cream tube 10 gr tube 0 0 21,000.00 - - - -
616 Scaple Blade No. 11 100 pcs / box pcs 52 7 45 2,750.00 143,000.00 - 19,250.00 123,750.00
617 Scaple Blade No. 11 100 pcs / box pcs 0 0 3,425.00 - - - -
619 Scaple Blade No. 11 100 Pcs / Box Pcs 0 0 3,150.00 - - - -
620 Scopamin inj ampul ampul 0 0 13,200.00 - - - -
621 Serum Anti Bisa Ular (ABU) Polivalent 1,500 IU vial 5 ml vial 0 0 615,000.00 - - - -
623 Serum Anti Bisa Ular (ABU) Polivalent 1,500 IU 1 Vial @ 5 ml vial 0 0 462,000.00 - - - -
624 Serum Anti Tetanus 1,500 IU ampul ampul 0 0 158,000.00 - - - -
625 Sianocobalamin (B12) Tablet 100 tablet/Box tablet 500 200 300 47.00 23,500.00 - 9,400.00 14,100.00
626 Sianokobalamin (Vit B12) Tabet 50mcg 100 Tablet / Box Tablet 10 10 0 52.00 520.00 - 520.00 -
627 Sianokobalamin (Vit B12) inj 500 mcg/ml - 1 ml ampul ampul 0 0 1,131.00 - - - -
628 Sianokobalamin (Vit B12) tab 1000 tablet / botol tablet 0 0 19.90 - - - -
629 Sianokobalamin (Vit B12) tab 100 tabet /box tablet 0 0 60.00 - - - -
630 Silk ( benang bedah sutera ) no. 2/0 36 pcs /box pcs 0 0 3,666.66 - - - -
631 Silk ( Benang Bedah Sutera ) no. 2/0 36 Pcs / Box Pcs 72 72 3,361.11 241,999.92 - - 241,999.92
634 Silk ( benang bedah sutera ) no. 3/0 36 Pcs / Box Pcs 79 79 3,361.11 265,527.69 - - 265,527.69
635 Simvastatin 10 mg 30 tab /box tablet 0 0 180.00 - - - -
636 Simvastatin 10 mg 30 tablet / box tablet 0 0 310.00 - - - -
637 Simvastatin 10 mg 3x10 tab/box tablet 0 0 133.00 - - - -
638 Simvastatin 20 mg kotak/100 tablet tablet 0 0 264.00 - - - -
639 Simvastatin 20 mg 500 tab/box tablet 1000 32 968 100.00 100,000.00 - 3,200.00 96,800.00
1/16/2020 640 Simvastatin tablet 10 mg 30 tablet / box tablet 515 500 417 598 110.00 56,650.00 55,000.00 45,870.00 65,780.00
641 Soft cholt drassing IV (3M) box box 0 0 1,960.00 - - - -
642 Spalk set set set 0 0 98,500.00 - - - -
643 Spalk set set set 0 0 109,000.00 - - - -
644 Spalk set Set Set 3 3 67,760.00 203,280.00 - - 203,280.00
645 Spironolacton tablet 25 mg 100 tablet / box tablet 0 0 320.00 - - - -
646 Spironolakton Tablet 25 mg 100 Tablet / Box Tablet 0 0 244.00 - - - -
647 Stesolid 5 mg/ 2,5 ml Rectal supp supp 0 0 24,000.00 - - - -
648 Stesolid injeksi 5 ampul / box ampul 0 0 10,435.80 - - - -
649 Stesolid injeksi 5 ampul / box ampul 9 9 11,950.00 107,550.00 - - 107,550.00
650 Stesolid tab 5 mg 100 tablet / box tablet 0 0 1,400.00 - - - -
651 Stomach tube no 16 pcs pcs 0 0 16,500.00 - - - -
653 Stomach tube no 16 100 Pcs / Box Pcs 0 0 8,514.00 - - - -
656 Stomach tube no 18 100 pcs / Box Pcs 0 0 8,514.00 - - - -
657 Synarcus krim 0,025% tube 5 gr tube 0 0 2,500.00 - - - -
658 Syringe for Pump 20ml 50 Pcs / Box Pcs 0 0 1,738.00 - - - -
1/27/2020 659 Tablet tambah darah 30 tablet / sacet tablet 0 2500 2500 372.00 - 930,000.00 - 930,000.00
660 Tablet tambah darah 100 tablet/box tablet 0 0 372.00 - - - -
661 tetrakain HCL tetes mata 0,5 % botol 5 ml botol 0 0 11,500.00 - - - -
662 Tetrasiklin 500 mg 100 tablet / box tablet 0 0 280.00 - - - -
663 Tetrasiklin Kapsul 500 mg 100 Kapsul/ Box Kapsul 400 400 319.00 127,600.00 - - 127,600.00
664 Tiamfenikol 500 mg 100 tablet / box tablet 0 0 433.00 - - - -
665 Tiamin ( vit B1) Tablet 50 mg 100 Tablet / Box Tablet 320 320 84.00 26,880.00 - - 26,880.00
666 Tiamin HCl mononitrat ( vit B1) tablet 100mg 1000 tablet / botol tablet 0 0 39.00 - - - -
668 Tiamin HCl mononitrat (vit B1) inj ampul ampul 0 0 1,040.00 - - - -
669 Tiamin hcl tab 50 mg 100 tab/box tablet 0 0 89.00 - - - -
670 Tramadol injeksi ampul ampul 0 0 2,520.00 - - - -
671 Tramadol tablet 50 mg 50 tablet / box tablet 0 0 336.00 - - - -
672 Trihexyphenidyl HCl tab 2 mg 100 tablet / box tablet 0 0 47.00 - - - -
673 Truvit Syrup botol 60 ml botol 0 0 12,600.00 - - - -
674 Tuzalos cap 100 cap / box tablet 0 0 700.00 - - - -
675 Umbilical cord clamb pcs pcs 0 0 3,000.00 - - - -
676 Umbilical cord klem box/50 pcs 0 0 1,430.00 - - - -
677 Umbilical cord klem 50 Pcs/ Box Pcs 0 0 1,429.78 - - - -
678 Underpad pcs pcs 0 0 4,800.00 - - - -
679 Underpad pcs pcs 0 0 4,578.20 - - - -
680 Underpad 10 Pcs / Box Pcs 0 0 4,203.98 - - - -
681 Urine Bag pcs pcs 1 1 0 7,500.00 7,500.00 - 7,500.00 -
682 Urine Bag pcs pcs 10 10 7,450.00 74,500.00 - - 74,500.00
683 Urine Bag 10 Pcs / Box Pcs 0 0 3,289.00 - - - -
1/16/2020 684 Vasofix IV G22 x 25 MM Blue 50 pcs/box Pcs 200 50 60 190 9,187.50 1,837,500.00 459,375.00 551,250.00 1,745,625.00
1/16/2020 685 Vasofix IV G24 x 25 MM Blue 50 pcs/box Pcs 195 50 55 190 9,187.50 1,791,562.50 459,375.00 505,312.50 1,745,625.00
686 Vasovix no. 18 50 pcs / box pcs 70 70 9,187.50 643,125.00 - - 643,125.00
687 Vasovix no. 18 50 pcs / box Pcs 0 0 9,187.50 - - - -
1/16/2020 688 Vasovix no. 20 50 pcs / box pcs 355 50 405 9,187.50 3,261,562.50 459,375.00 - 3,720,937.50
690 Vasovix no. 22 50 pcs / box pcs 0 9,187.50 - - - -
691 Vasovix no. 22 50 pcs / box Pcs 2 0 2 0 9,187.50 18,375.00 - 18,375.00 -
692 Vasovix no. 24 50 pcs / box pcs 0 0 9,187.50 - - - -
694 Verorab injeksi ampul / kotak ampul 0 0 145,000.00 - - - -
695 Verorab injeksi ( RABIPUR ) ampul / kotak ampul 0 0 78,500.00 - - - -
696 Vitamin B Kompleks tablet 100 tablet / box tablet 0 0 110.00 - - - -
697 Vitamin B Kompleks tablet 100 tablet / box Tablet 0 0 121.00 - - - -
698 Vitamin B Kompleks tablet 100 tablet / box tablet 115 115 0 123.00 14,145.00 - 14,145.00 -
699 Vitka infant inj ampul ampul 0 0 8,500.00 - - - -
701 Wing Needle No. 23 G pcs pcs 0 0 5,772.38 - - - -
702 Xephalium Tablet 50 tablet / box tablet 0 0 5,000.00 - - - -
703 Xilol 100 ml botol 100 ml botol 0 0 19,000.00 - - - -
704 Yodium povidon larutan 10% - 30 ml botol 30 ml botol 0 0 2,250.00 - - - -
705 Yodium povidon larutan 10% - 30 ml 50 Botol / Box Botol 0 0 3,322.00 - - - -
710 Yodium povidon larutan 10% - 60 ml 48 Botol / Box Botol 58 58 4,246.00 246,268.00 - - 246,268.00
711 Yodium povidon larutan 10% -1000 ml botol 1000 ml botol 0 0 38,594.00 - - - -
712 Yodium Povidon larutan 10%-300 ml 24 Botol / Box Botol 24 24 20,691.00 496,584.00 - - 496,584.00
713 Zinc Syr 20 mg / 5 ml 50 Botol 60 ml/ Box Botol 0 0 4,789.00 - - - -
714 Zinc Syr 20 mg / 5 ml botol botol 19 7 12 3122.00 59,318.00 - 21,854.00 37,464.00
715 Zinc tab 100 tablet / box tablet 0 0 540.00 - - - -
716 Zinc Tab Disp 20 mg 100 Tablet / Box Tablet 0 0 539.00 - - - -
717 Zink Tablet 20 mg 100 tablet / box tablet 0 0 497.00 - - - -
64,303 7,810 10,868 61,245 38,886,832.44 9,996,095.00 3,884,421.00 44,998,506.44
61,245 38,886,832.44 44,998,506.44
Mengetahui; Sungai Sirih, 31 Januari 2020
Kepala UPTD Kesehatan Puskesmas Sungai Sirih Pengurus Barang
Kabupaten Kuantan Singingi
HERIZON, SKM MISRIANI, S.Kep

NIP. 19730919 199303 1 008 NIP.19830205 200502 2 002

PROVINSI : RIAU
BULAN : 29/02/2020

Dasar
Pengeluaran
1 2 3 4 5 6 7 8 9 9 10 11 12 13 14

22 Alat suntik sekali pakai 3 cc 100 pcs / box pcs 200 200 0 715.00 143,000.00 - 143,000.00 -
27 Alat suntik sekali pakai 5 cc 100 Pcs / Box Pcs 336 136 200 823.90 276,830.40 - 112,050.40 164,780.00
34 Alkohol swab 100 pcs / box pcs 0 0 250.00 - - - -
35 Alkohol Swab 100 pcs / box pcs 0 0 110.00 - - - -
38 Allopurinol tablet 100 mg 100 Tablet / Box tablet 300 300 0 93.00 27,900.00 - 27,900.00 -
51 Amlodipin tablet 10 mg 30 tab/Box tablet 1225 295 930 95.00 116,375.00 - 28,025.00 88,350.00
58 Amoxicillin 500 mg 100 tablet/Box tablet 100 100 0 245.00 24,500.00 - 24,500.00 -
66 Amoxicillin syrup kering 250 mg/5ml 60 ml/Botol Botol 114 64 50 3502.00 399,228.00 - 224,128.00 175,100.00
69 Amoxycillin tablet 500 mg kotak/100 tablet tablet 0 0 191.00 - - - -
83 Antasida suspensi 60 ml/Botol Botol 148 60 88 2051.00 303,548.00 - 123,060.00 180,488.00
24 Pot / Box Tube / Pot 85 4,540.00
93 As.salisilat 3 % 85 385,900.00 - - 385,900.00
101 Asam askorbat ( Vit C ) tablet 250 mg 100 Tablet / Box tablet 1500 1500 114.00 171,000.00 - - 171,000.00
104 Asam askorbat 250 mg 100 tab/box tablet 1000 1000 1114.00 1,114,000.00 - - 1,114,000.00
108 Asam Mefenamat 500 mg 100 tablet/Box tablet 0 0 453.96 - - - -
123 Betametason krim 0,1 % 25 tube/box Tube 50 50 1340.00 67,000.00 - - 67,000.00
142 Captopril 50 mg kotak/100 tablet tablet 0 0 130.00 - - - -
143 Captopril 50 mg 100 tab/box tablet 500 200 300 130.00 65,000.00 - 26,000.00 39,000.00
162 Cefadroxil kapsul 500 mg 100 tablet/box tablet 120 120 0 600.00 72,000.00 - 72,000.00 -
163 Cefadroxil kapsul 500 mg 100 tab/box tablet 500 500 488.00 244,000.00 - - 244,000.00
173 Ceterizin syr 5 mg 24 Botol / Box botol 50 15 35 2,973.00 148,650.00 - 44,595.00 104,055.00
177 Chlorpheniramine maleat tablet 4 mg 100 tab / box tablet 1220 1220 23.00 28,060.00 - - 28,060.00
194 Combivent UDV 20 vial / box vial 5 5 5,990.00 29,950.00 - - 29,950.00
195 Combivent UDV 20 pcs / box pcs 40 40 4550.00 182,000.00 - - 182,000.00
197 Cotrimoxasol Suspensi 240 ml Botol Btl 100 100 2,190.00 219,000.00 - - 219,000.00
202 Dexametasone tablet 0,5 mg 100 tablet / box tablet 1000 300 700 43.00 43,000.00 - 12,900.00 30,100.00
206 Dexamethasone tablet 0,5 mg 100 tab/box tablet 0 0 43.00 - - - -
227 Domperidon tablet 10 mg 100 tablet /box tablet 2107 137 1970 170.00 358,190.00 - 23,290.00 334,900.00
229 Domperidone Syr 60 ml/Botol Botol 33 14 19 2781.00 91,773.00 - 38,934.00 52,839.00
248 Etakridin (rivanol) 300 cc botol 300 ml botol 0 0 3,060.00 - - - -
268 Fitomenadion (vit K1) tablet salut 10 mg 100 tablet / botol tablet 0 0 666.00 - - - -
300 Glimepiride 2 mg 100 tabley / box tablet 396 396 0 207.00 81,972.00 - 81,972.00 -
301 Glimepiride 2 mg 100 tab/box tablet 500 194 306 207.00 103,500.00 - 40,158.00 63,342.00
307 Glukosa Larutan Infus 10% 20 Botol 500 ml / Box Botol 200 40 160 7500.00 1,500,000.00 - 300,000.00 1,200,000.00
308 Glukosa larutan infus 40 % steril ampul 25 ml ampul 0 0 3,800.00 - - - -
311 Glukosa Larutan Infus 5% 20 Botol 500 ml / Box Botol 200 200 6900.00 1,380,000.00 - - 1,380,000.00
312 Griseofulvin 125 mg 100 tab/box tablet 500 149 351 217.00 108,500.00 - 32,333.00 76,167.00
313 Griseovulfin 125 mg 100 Tablet / Box Tablet 1049 1049 249.00 261,201.00 - - 261,201.00
315 H2O2 3% botol 800 ml botol 0 0 18,600.00 - - - -
100 pcs / Box Pcs
317 Powder Ukuran (M) 500 200 300 572.27 286,135.00 - 114,454.00 171,681.00
100 pcs / Box Pcs 500 572.27
318 Powder Ukuran (S) 500 286,135.00 - - 286,135.00
322 Handscoen Top Glove Win Non Steril S 100 pcs / Box pcs 100 100 0 572.27 57,227.00 - 57,227.00 -
332 Handscoend No. 7,5 50 pcs/box Pcs 10 10 4,598.00 45,980.00 - - 45,980.00
347 Infusion Set Anak 50 Pcs / Box pcs 31 3 28 3,850.00 119,350.00 - 11,550.00 107,800.00
361 Jarum Jahit Kulit GT No. 14 12 pcs / bks lusin 0 0 19,000.00 - - - -
369 Kalsium laktat ( kalk ) tablet 500 mg 100 tab/box tablet 500 500 59.00 29,500.00 - - 29,500.00
372 Kapas pembalut 250 g 50 Roll / Box Roll 45 45 13,748.90 618,700.50 - - 618,700.50
374 Kasa hidrofil 36 cm x 80m roll roll 10 1 9 133,993.33 1,339,933.30 - 133,993.33 1,205,939.97
377 Kasa Hidrofil Steril uk.16x16 16 Pouch / Box Pcs 8 4 4 8,798.90 70,391.20 - 35,195.60 35,195.60
391 Ketorolak injeksi 10 mg /ml ampul ampul 5 5 0 1,308.00 6,540.00 - 6,540.00 -
393 Kloramfenikol kapsul 250 mg 100 kap / box tablet 0 0 262.00 - - - -
406 Kotrimoksazol suspensi botol 60 ml botol 100 100 2,222.00 222,200.00 - - 222,200.00
432 Loratadin Tablet 10 mg 100 tabley / box tablet 0 0 125.00 - - - -
433 Loratadin Tablet 10 mg 100 tab/box tablet 100 100 0 125.00 12,500.00 - 12,500.00 -
436 Masker Mask Plus 3 ply 50 pcs / box Pcs 0 0 479.60 - - - -
438 Masker N95 20 pcs / box pcs 0 0 10,750.00 - - - -
448 Metformin tablet 500 mg 100 tabley / box tablet 0 0 99.00 - - - -
450 Methyl Prednisolon 4 mg 100 tab/box tablet 254 254 0 137.00 34,798.00 - 34,798.00 -
457 Metilergometrin maleat tablet 100 tablet / box tablet 950 950 162.00 153,900.00 - - 153,900.00
466 Miconazole cream 2% tube tube 236 15 221 2,922.85 689,792.60 - 43,842.75 645,949.85
474 Myconazol krim 2% tube tube 58 58 3,150.00 182,700.00 - - 182,700.00
481 Nasal oxigen child 50 pcs / box pcs 0 0 12,600.00 - - - -
495 Natrium klorida larutan infus 0,9 % steril 20 Botol 500 ml / Box Botol 220 40 180 6410.00 1,410,200.00 - 256,400.00 1,153,800.00
497 Nifedipine 10 mg 100 tablet /box tablet 480 480 110.00 52,800.00 - - 52,800.00
498 Nifedipine Kapsul 10 mg 100 Tab Sal / Box Caps 0 0 110.00 - - - -
501 Novakal kotak/100 tablet tablet 0 0 - - - -
523 Omeprazole Inj.40mg/10ml 10 ampul / box ampul 11 10 1 9999.00 109,989.00 - 99,990.00 9,999.00
524 Omeprazole Inj.40mg/10ml Ampul ampul 30 15 15 9999.00 299,970.00 - 149,985.00 149,985.00
526 Omeprazole kaps 20mg 50 Kapsul / box Kapsul 1813 1,201 612 134.00 242,942.00 - 160,934.00 82,008.00
529 Onemed Alkohol 70% 1 L Botol Botol 2 1 1 27,250.00 54,500.00 - 27,250.00 27,250.00
531 OneScrub 500cc+dispenser 12 Botol / Box Botol 1 1 71,874.00 71,874.00 - - 71,874.00
533 Oxytetracycline 1% salep mata tube tube 126 126 2600.00 327,600.00 - - 327,600.00
541 Parasetamol 500 mg 100 tablet/Box tablet 0 0 56.00 - - - -
548 Parasetamol syrup 120 mg/5ml botol 60 ml botol 72 25 47 1,496.00 107,712.00 - 37,400.00 70,312.00
549 Parasetamol tablet 500 mg kotak/100 tablet tablet 500 500 0 49.00 24,500.00 - 24,500.00 -
557 Phytomenadion inj 2 mg / ml ampul ampul 294 294 3867.00 1,136,898.00 - - 1,136,898.00
561 Piridoksin (Vitamin B6 ) Tablet 10 mg 100 Tablet / Box Tablet 20 20 124.00 2,480.00 - - 2,480.00
572 Prednisone tablet 5 mg 100 tablet / box tablet 1400 200 1200 55.00 77,000.00 - 11,000.00 66,000.00
600 Ringer laktat larutan infus steril 20 Botol 500 ml / Box Botol 520 520 7150.00 3,718,000.00 - - 3,718,000.00
604 Salbutamol tablet 2 mg 100 tabet /box tablet 1355 125 1230 62.00 84,010.00 - 7,750.00 76,260.00
24 Pot / Box Tube / Pot 2,654.00
607 Endap 4% 60 60 159,240.00 - - 159,240.00
24 Pot / Box Pot
608 Endap 4% 24 5 19 2654.00 63,696.00 - 13,270.00 50,426.00
611 Salisil bedak 2 % kotak kotak 5 2 3 1,040.00 5,200.00 - 2,080.00 3,120.00
614 Scabimite cream 30gr tube tube 0 0 12,155.00 - - - -
616 Scaple Blade No. 11 100 pcs / box pcs 45 10 35 2,750.00 123,750.00 - 27,500.00 96,250.00
625 Sianocobalamin (B12) Tablet 100 tablet/Box tablet 300 100 200 47.00 14,100.00 - 4,700.00 9,400.00
626 Sianokobalamin (Vit B12) Tabet 50mcg 100 Tablet / Box Tablet 0 0 52.00 - - - -
640 Simvastatin tablet 10 mg 30 tablet / box tablet 598 151 447 110.00 65,780.00 - 16,610.00 49,170.00
642 Spalk set set set 0 0 98,500.00 - - - -
643 Spalk set set set 0 0 109,000.00 - - - -
644 Spalk set Set Set 3 3 67,760.00 203,280.00 - - 203,280.00
646 Spironolakton Tablet 25 mg 100 Tablet / Box Tablet 0 0 244.00 - - - -
1/27/2020 659 Tablet tambah darah 30 tablet / sacet tablet 2500 2500 372.00 930,000.00 - - 930,000.00
678 Underpad pcs pcs 0 0 4,800.00 - - - -
679 Underpad pcs pcs 0 0 4,578.20 - - - -
681 Urine Bag pcs pcs 0 0 7,500.00 - - - -
682 Urine Bag pcs pcs 10 10 7,450.00 74,500.00 - - 74,500.00
684 Vasofix IV G22 x 25 MM Blue 50 pcs/box Pcs 190 190 9,187.50 1,745,625.00 - - 1,745,625.00
688 Vasovix no. 20 50 pcs / box pcs 405 405 9,187.50 3,720,937.50 - - 3,720,937.50
710 Yodium povidon larutan 10% - 60 ml 48 Botol / Box Botol 58 5 53 4,246.00 246,268.00 - 21,230.00 225,038.00
61,245 - 7,483 53,762 44,998,506.44 - 3,027,019.28 41,971,487.16
53,762 44,998,506.44 41,971,487.16
Mengetahui; Sungai Sirih, 29 Februari 2020

NIP. 19730919 199303 1 008 NIP.19830205 200502 2 002

PROVINSI : RIAU
BULAN : 28/03/2020

Dasar
Pengeluaran
1 2 3 4 5 6 7 8 9 9 10 11 12 13 14

14 Air untuk Inj 25ml 120 Ampul / Box ampul 13 4 9 2,750.00 35,750.00 - 11,000.00 24,750.00
22 Alat suntik sekali pakai 3 cc 100 pcs / box pcs 0 0 715.00 - - - -
3/4/2020 24 Alat suntik sekali pakai 3 cc 100 pcs / Box Pcs 200 500 700 842.00 168,400.00 421,000.00 - 589,400.00
3/30/2020 34 Alkohol 70 % 100 pcs / box pcs 0 4 4 18,700.00 - 74,800.00 - 74,800.00
4,30/03/2020 35 Alkohol 70 % 1 L Onemed botol botol 0 7 7 0 27,250.00 - 190,750.00 190,750.00 -
3/4/2020 36 Alkohol Swab 100 Pcs / Box Pcs 0 500 350 150 109.89 - 54,945.00 38,461.50 16,483.50
3/4/2020 37 Allopurinol tablet 100 mg 100 tablet/ box tablet 0 1000 1000 113.00 - 113,000.00 - 113,000.00
58 Amoxicillin 500 mg 100 tablet/Box tablet 0 0 245.00 - - - -
3/4/2020 66 Amoxicillin syrup kering 250 mg/5ml 60 ml/Botol Botol 50 120 69 101 3502.00 175,100.00 420,240.00 241,638.00 353,702.00
3/4/2020 69 Amoxycillin tablet 500 mg kotak/100 tablet tablet 0 2000 2000 261.00 - 522,000.00 - 522,000.00
83 Antasida suspensi 60 ml/Botol Botol 88 72 16 2051.00 180,488.00 - 147,672.00 32,816.00
3/4/2020 84 Antasida tablet kombinasi 100 tab/box tablet 400 1500 1900 60.00 24,000.00 90,000.00 - 114,000.00
24 Pot / Box 4,540.00
93 As.salisilat 3 % Tube / Pot 85 85 385,900.00 - - 385,900.00
101 Asam askorbat ( Vit C ) tablet 250 mg 100 Tablet / Box tablet 1500 1,500 0 114.00 171,000.00 - 171,000.00 - ED
3/4/2020 102 Asam askorbat ( Vit C ) tablet 50 mg 100 tablet / box tablet 0 500 500 0 110.00 - 55,000.00 55,000.00 -
104 Asam askorbat 250 mg 100 tab/box tablet 1000 1,000 0 1114.00 1,114,000.00 - 1,114,000.00 - ED
3/4/2020 123 Betametason krim 0,1 % 25 tube/box Tube 50 25 8 67 3350.00 167,500.00 83,750.00 26,800.00 224,450.00
143 Captopril 50 mg 100 tab/box tablet 300 100 200 130.00 39,000.00 - 13,000.00 26,000.00
153 Catgut / benang bedah no.2/0 plain 24 pcs / box Pcs 73 1 72 6,141.20 448,307.60 - 6,141.20 442,166.40
162 Cefadroxil kapsul 500 mg 100 tablet/box tablet 0 0 600.00 - - - -
163 Cefadroxil kapsul 500 mg 100 tab/box tablet 500 200 300 488.00 244,000.00 - 97,600.00 146,400.00
3/4/2020 173 Ceterizin syr 5 mg 24 Botol / Box botol 35 50 44 41 2,973.00 104,055.00 148,650.00 130,812.00 121,893.00
3/4/2020 177 Chlorpheniramine maleat tablet 4 mg 100 tab / box tablet 1220 3000 2,174 2046 23.00 28,060.00 69,000.00 50,002.00 47,058.00
3/4/2020 194 Combivent UDV 20 vial / box vial 5 20 25 0 5,990.00 29,950.00 119,800.00 149,750.00 - ED
195 Combivent UDV 20 pcs / box pcs 40 40 0 4550.00 182,000.00 - 182,000.00 - ED
3/4/2020 202 Dexametasone tablet 0,5 mg 100 tablet / box tablet 700 2000 1,000 1700 43.00 30,100.00 86,000.00 43,000.00 73,100.00
3/4/2020 215 Diclofenac Sodium 50 mg 50 tablet / box tablet 800 2000 350 2450 127.00 101,600.00 254,000.00 44,450.00 311,150.00
3/4/2020 225 Domperidon Suspensi 5 mg/5ml botol 60 ml botol 0 100 29 71 2,781.00 - 278,100.00 80,649.00 197,451.00
227 Domperidon tablet 10 mg 100 tablet /box tablet 1970 1970 170.00 334,900.00 - - 334,900.00
229 Domperidone Syr 60 ml/Botol Botol 19 19 2781.00 52,839.00 - - 52,839.00
3/4/2020 248 Etakridin (rivanol) 300 cc botol 300 ml botol 0 10 1 9 3,405.00 - 34,050.00 3,405.00 30,645.00
3/4/2020 268 Fitomenadion (vit K1) tablet salut 10 mg 100 tablet / botol tablet 0 1000 1000 797.00 - 797,000.00 - 797,000.00
300 Glimepiride 2 mg 100 tabley / box tablet 0 0 207.00 - - - -
3/4/2020 301 Glimepiride 2 mg 100 tab/box tablet 306 2000 130 2176 207.00 63,342.00 414,000.00 26,910.00 450,432.00
315 H2O2 3% botol 800 ml botol 0 0 18,600.00 - - - -
100 pcs / Box
3/9/2020 317 Powder Ukuran (M) Pcs 300 300 600 0 572.27 171,681.00 171,681.00 343,362.00 -
100 pcs / Box 572.27
3/9/2020 318 Powder Ukuran (S) Pcs 500 100 200 400 286,135.00 57,227.00 114,454.00 228,908.00
3/30/2020 319 Handscoen Glove Natural Rubber latex 7 50 pcs/box pcs 50 50 5 95 6595.00 329,750.00 329,750.00 32,975.00 626,525.00
3/30/2020 320 Handscoen Glove Natural Rubber latex 7,5 50 pcs/box pcs 90 50 140 6595.00 593,550.00 329,750.00 - 923,300.00
3/4/2020 321 Handscoen Top Glove Win Non Steril M 100 pcs / Box pcs 0 300 300 572.27 - 171,681.00 - 171,681.00
3/4/2020 322 Handscoen Top Glove Win Non Steril S 100 pcs / Box pcs 0 100 100 572.27 - 57,227.00 - 57,227.00
332 Handscoend No. 7,5 50 pcs/box Pcs 10 10 0 4,598.00 45,980.00 - 45,980.00 -
3/4/2020 337 Hidrokortison Cream 2,5 % 24 Tube @ 5 gr/ Box Tube 50 48 98 2,475.00 123,750.00 118,800.00 - 242,550.00
3/4/2020 351 Infusion Set Dewasa 50 Pcs / Box Pcs 58 100 32 126 3,518.90 204,096.20 351,890.00 112,604.80 443,381.40
353 Isosorbid dinitrat tablet sublingual 5 mg 100 tablet / box tablet 500 10 490 93.00 46,500.00 - 930.00 45,570.00
3/4/2020 355 Jarum Jahit Kulit GT No. 10 12 pcs / bks pcs 0 12 12 1,583.33 - 18,999.96 - 18,999.96
3/4/2020 357 Jarum Jahit Kulit GT No. 11 12 pcs / bks pcs 0 12 12 1,583.33 - 18,999.96 - 18,999.96
3/4/2020 361 Jarum Jahit Kulit GT No. 14 12 pcs / bks lusin 0 12 12 1,583.33 - 18,999.96 - 18,999.96
369 Kalsium laktat ( kalk ) tablet 500 mg 100 tab/box tablet 500 50 450 59.00 29,500.00 - 2,950.00 26,550.00
3/4/2020 374 Kasa hidrofil 36 cm x 80m roll roll 9 3 12 136.00 1,224.00 408.00 - 1,632.00
3/4/2020 377 Kasa Hidrofil Steril uk.16x16 16 Pouch / Box Pcs 4 320 52 272 549.93 2,199.72 175,977.60 28,596.36 149,580.96
3/4/2020 394 Kloramfenikol salaf mata 1 % tube tube 0 24 24 1,881.00 - 45,144.00 - 45,144.00
3/4/2020 408 Lansoprazole 30mg 20 tablet / box tablet 0 60 60 303.00 - 18,180.00 - 18,180.00
4,30/03/1930 421 Lisol 1 liter botol botol 0 6 4 2 41,000.00 - 246,000.00 164,000.00 82,000.00
3/4/2020 431 Loratadin Tablet 10 mg 100 Kaplet / Box Kaplet 0 1000 250 750 133.00 - 133,000.00 33,250.00 99,750.00
433 Loratadin Tablet 10 mg 100 tab/box tablet 0 0 125.00 - - - -
3/4/2020 436 Masker Mask Plus 3 ply 50 pcs / box Pcs 0 200 200 479.60 - 95,920.00 - 95,920.00
3/4/2020 438 Masker Kain pcs pcs 0 36 36 0 10,750.00 - 387,000.00 387,000.00 -
3/30/2020 439 Masker Bedah (Earlop) box/50 Pcs pcs 0 350 350 0 322.00 - 112,700.00 112,700.00 -
450 Methyl Prednisolon 4 mg 100 tab/box tablet 0 0 137.00 - - - -
3/4/2020 453 Metil Prednison 4 mg tablet 100 tablet / box tablet 0 2000 290 1710 137.00 - 274,000.00 39,730.00 234,270.00
466 Miconazole cream 2% tube tube 221 221 2,922.85 645,949.85 - - 645,949.85
474 Myconazol krim 2% tube tube 58 38 20 3,150.00 182,700.00 - 119,700.00 63,000.00
3/4/2020 478 Nasal oxigen adult 50 pcs / box pcs 0 10 10 5,995.00 - 59,950.00 - 59,950.00
3/4/2020 481 Nasal oxigen child 50 pcs / box pcs 0 10 10 5,995.00 - 59,950.00 - 59,950.00
484 Nasal Oxigen mask Child pcs pcs 18 1 17 23677.00 426,186.00 - 23,677.00 402,509.00
3/4/2020 498 Neo Diagon Atapulgit 100 Tab / Box tablet 0 500 12 488 216.00 - 108,000.00 2,592.00 105,408.00
523 Omeprazole Inj.40mg/10ml 10 ampul / box ampul 1 1 0 9999.00 9,999.00 - 9,999.00 -
3/4/2020 524 Omeprazole Inj.40mg/10ml Ampul ampul 15 70 22 63 9999.00 149,985.00 699,930.00 219,978.00 629,937.00
3/4/2020 526 Omeprazole kaps 20mg 50 Kapsul / box Kapsul 612 3000 732 2880 134.00 82,008.00 402,000.00 98,088.00 385,920.00
529 Onemed Alkohol 70% 1 L Botol Botol 1 1 27,250.00 27,250.00 - - 27,250.00
4,30/03/2020 531 OneScrub 500cc+dispenser 12 Botol / Box Botol 1 10 4 7 71,874.00 71,874.00 718,740.00 287,496.00 503,118.00
3/4/2020 548 Parasetamol syrup 120 mg/5ml botol 60 ml botol 47 100 47 100 1,184.00 55,648.00 118,400.00 55,648.00 118,400.00
3/4/2020 549 Parasetamol tablet 500 mg kotak/100 tablet tablet 0 500 500 0 56.00 - 28,000.00 28,000.00 -
556 Phenol Glyserol tetes telinga 10 % pcs pcs 22 1 21 2590.00 56,980.00 - 2,590.00 54,390.00
557 Phytomenadion inj 2 mg / ml ampul ampul 294 294 0 3867.00 1,136,898.00 - 1,136,898.00 - ED
561 Piridoksin (Vitamin B6 ) Tablet 10 mg 100 Tablet / Box Tablet 20 20 0 124.00 2,480.00 - 2,480.00 -
572 Prednisone tablet 5 mg 100 tablet / box tablet 1200 5 1195 55.00 66,000.00 - 275.00 65,725.00
3/4/2020 580 Pyrantel tablet 125 mg 100 tablet / box tablet 0 200 28 172 303.00 - 60,600.00 8,484.00 52,116.00
600 Ringer laktat larutan infus steril 20 Botol 500 ml / Box Botol 520 57 463 7150.00 3,718,000.00 - 407,550.00 3,310,450.00
24 Pot / Box 2,654.00
607 Endap 4% Tube / Pot 60 60 159,240.00 - - 159,240.00
24 Pot / Box 2
608 Endap 4% Pot 19 17 2654.00 50,426.00 - 5,308.00 45,118.00
3/4/2020 614 Scabimite cream 30gr tube tube 0 60 60 11,825.00 - 709,500.00 - 709,500.00
616 Scaple Blade No. 11 100 pcs / box pcs 35 35 2,750.00 96,250.00 - - 96,250.00
3/4/2020 625 Sianocobalamin (B12) Tablet 100 tablet/Box tablet 200 1000 100 1100 50.00 10,000.00 50,000.00 5,000.00 55,000.00
3/4/2020 639 Simvastatin 20 mg 500 tab/box tablet 650 500 80 1070 214.00 139,100.00 107,000.00 17,120.00 228,980.00
642 Spalk set set set 0 0 98,500.00 - - - -
643 Spalk set set set 0 0 109,000.00 - - - -
644 Spalk set Set Set 3 3 67,760.00 203,280.00 - - 203,280.00
3/30/2020 646 Soft Man 500 ML Botol Botol 0 6 4 2 82,687.00 - 496,122.00 330,748.00 165,374.00
659 Tablet tambah darah 30 tablet / sacet tablet 2500 2500 372.00 930,000.00 - - 930,000.00
678 Underpad pcs pcs 0 0 4,800.00 - - - -
679 Underpad pcs pcs 0 0 4,578.20 - - - -
681 Urine Bag pcs pcs 0 0 7,500.00 - - - -
3/4/2020 682 Urine Bag pcs pcs 10 10 20 7,450.00 74,500.00 74,500.00 - 149,000.00
684 Vasofix IV G22 x 25 MM Blue 50 pcs/box Pcs 190 40 150 9,187.50 1,745,625.00 - 367,500.00 1,378,125.00
686 Vasovix no. 18 50 pcs / box pcs 70 20 50 9,187.50 643,125.00 - 183,750.00 459,375.00
696 Vitamin B Kompleks tablet 100 tablet / box tablet 0 2000 2000 131.00 - 262,000.00 - 262,000.00
53,762 32,395 12,994 73,163 41,819,589.31 11,569,112.48 8,252,593.76 45,136,108.03
73,163 41,971,487.16 45,136,108.03
Mengetahui; Sungai Sirih, 28 Maret 2020
Kepala UPTD Kesehatan Puskesmas Sungai Sirih selisih -151,897.85 Pengurus Barang

NIP. 19730919 199303 1 008 NIP.19830205 200502 2 002

PROVINSI : RIAU
BULAN : 29/04/2020

Dasar
Pengeluaran
1 2 3 4 5 6 7 8 9 9 10 11 12 13 14

24 Alat suntik sekali pakai 3 cc 100 pcs / Box Pcs 700 100 600 842.00 589,400.00 - 84,200.00 505,200.00
34 Alkohol 70 % 100 pcs / box pcs 4 4 0 18,700.00 74,800.00 - 74,800.00 -
35 Alkohol 70 % 1 L Onemed botol botol 0 0 27,250.00 - - - -
36 Alkohol Swab 100 Pcs / Box Pcs 150 150 0 109.89 16,483.50 - 16,483.50 -
37 Allopurinol tablet 100 mg 100 tablet/ box tablet 1000 1000 113.00 113,000.00 - - 113,000.00
69 Amoxycillin tablet 500 mg kotak/100 tablet tablet 2000 132 1868 261.00 522,000.00 - 34,452.00 487,548.00
83 Antasida suspensi 60 ml/Botol Botol 16 16 0 2051.00 32,816.00 - 32,816.00 -
24 Pot / Box 4,540.00
104 Asam askorbat 250 mg 100 tab/box tablet 0 0 1114.00 - - - -
123 Betametason krim 0,1 % 25 tube/box Tube 67 8 59 3350.00 224,450.00 - 26,800.00 197,650.00
188 Clindamysin tablet 150 mg 50 tablet / box tablet 458 458 729.00 333,882.00 - - 333,882.00
191 Clozapin tablet tablet 140 10 130 - - - -
194 Combivent UDV 20 vial / box vial 0 0 5,990.00 - - - -
195 Combivent UDV 20 pcs / box pcs 0 0 4550.00 - - - -
202 Dexametasone tablet 0,5 mg 100 tablet / box tablet 1700 558 1142 43.00 73,100.00 - 23,994.00 49,106.00
218 Difenhidramin Injeksi 10 mg/ml 30 Ampul @1ml / Box Ampul 54 54 0 1,115.00 60,210.00 - 60,210.00 - ED
225 Domperidon Suspensi 5 mg/5ml botol 60 ml botol 71 71 2,781.00 197,451.00 - - 197,451.00
229 Domperidone Syr 60 ml/Botol Botol 19 19 0 2781.00 52,839.00 - 52,839.00 -
247 Erytromicin 500 mg 100 tab/box tablet 1000 10 990 765.00 765,000.00 - 7,650.00 757,350.00
248 Etakridin (rivanol) 300 cc botol 300 ml botol 9 2 7 3,405.00 30,645.00 - 6,810.00 23,835.00
268 Fitomenadion (vit K1) tablet salut 10 mg 100 tablet / botol tablet 1000 1000 797.00 797,000.00 - - 797,000.00
315 H2O2 3% botol 800 ml botol 0 0 18,600.00 - - - -
100 pcs / Box
317 Powder Ukuran (M) Pcs 0 0 572.27 - - - -
100 pcs / Box 572.27
318 Powder Ukuran (S) Pcs 400 200 200 228,908.00 - 114,454.00 114,454.00
319 Handscoen Glove Natural Rubber latex 7 50 pcs/box pcs 95 10 85 6595.00 626,525.00 - 65,950.00 560,575.00
320 Handscoen Glove Natural Rubber latex 7,5 50 pcs/box pcs 140 24 116 6595.00 923,300.00 - 158,280.00 765,020.00
321 Handscoen Top Glove Win Non Steril M 100 pcs / Box pcs 300 200 100 572.27 171,681.00 - 114,454.00 57,227.00
322 Handscoen Top Glove Win Non Steril S 100 pcs / Box pcs 100 100 0 572.27 57,227.00 - 57,227.00 -
332 Handscoend No. 7,5 50 pcs/box Pcs 0 0 4,598.00 - - - -
335 Hidroklorotiazit tab 25 mg 100 tablet/box tablet 689 689 156.00 107,484.00 - - 107,484.00
355 Jarum Jahit Kulit GT No. 10 12 pcs / bks pcs 12 12 1,583.33 18,999.96 - - 18,999.96
361 Jarum Jahit Kulit GT No. 14 12 pcs / bks lusin 12 12 1,583.33 18,999.96 - - 18,999.96
369 Kalsium laktat ( kalk ) tablet 500 mg 100 tab/box tablet 450 30 420 59.00 26,550.00 - 1,770.00 24,780.00
374 Kasa hidrofil 36 cm x 80m roll roll 12 12 136.00 1,632.00 - - 1,632.00
377 Kasa Hidrofil Steril uk.16x16 16 Pouch / Box Pcs 272 32 240 549.93 149,580.96 - 17,597.76 131,983.20
394 Kloramfenikol salaf mata 1 % tube tube 24 1 23 1,881.00 45,144.00 - 1,881.00 43,263.00
408 Lansoprazole 30mg 20 tablet / box tablet 60 10 50 303.00 18,180.00 - 3,030.00 15,150.00
416 Lidocain Inj 2% + Efinefrin 30 Ampul @1ml / Box ampul 90 30 60 1205.00 108,450.00 - 36,150.00 72,300.00
421 Lisol 1 liter botol botol 2 2 0 41,000.00 82,000.00 - 82,000.00 -
431 Loratadin Tablet 10 mg 100 Kaplet / Box Kaplet 750 350 400 133.00 99,750.00 - 46,550.00 53,200.00
436 Masker Mask Plus 3 ply 50 pcs / box Pcs 200 200 0 479.60 95,920.00 - 95,920.00 -
438 Masker Kain pcs pcs 0 0 10,750.00 - - - -
4/6/2020 439 Masker Bedah (Earlop) box/50 Pcs pcs 0 250 100 150 322.00 - 80,500.00 32,200.00 48,300.00
453 Metil Prednison 4 mg tablet 100 tablet / box tablet 1710 244 1466 137.00 234,270.00 - 33,428.00 200,842.00
466 Miconazole cream 2% tube tube 221 221 2,922.85 645,949.85 - - 645,949.85
474 Myconazol krim 2% tube tube 20 20 3,150.00 63,000.00 - - 63,000.00
478 Nasal oxigen adult 50 pcs / box pcs 10 10 5,995.00 59,950.00 - - 59,950.00
481 Nasal oxigen child 50 pcs / box pcs 10 10 5,995.00 59,950.00 - - 59,950.00
495 Natrium klorida larutan infus 0,9 % steril 20 Botol 500 ml / Box Botol 170 170 6410.00 1,089,700.00 - - 1,089,700.00
498 Neo Diagon Atapulgit 100 Tab / Box tablet 488 488 216.00 105,408.00 - - 105,408.00
523 Omeprazole Inj.40mg/10ml 10 ampul / box ampul 0 0 9999.00 - - - -
529 Onemed Alkohol 70% 1 L Botol Botol 1 1 0 27,250.00 27,250.00 - 27,250.00 -
531 OneScrub 500cc+dispenser 12 Botol / Box Botol 7 7 0 71,874.00 503,118.00 - 503,118.00 - ED
549 Parasetamol tablet 500 mg kotak/100 tablet tablet 0 0 56.00 - - - -
557 Phytomenadion inj 2 mg / ml ampul ampul 0 0 3867.00 - - - -
561 Piridoksin (Vitamin B6 ) Tablet 10 mg 100 Tablet / Box Tablet 0 0 124.00 - - - -
572 Prednisone tablet 5 mg 100 tablet / box tablet 1195 39 1156 55.00 65,725.00 - 2,145.00 63,580.00
580 Pyrantel tablet 125 mg 100 tablet / box tablet 172 172 303.00 52,116.00 - - 52,116.00
602 Salbutamol sirup 2 mg / 5 ml 49 botol / box botol 49 49 0 4446.00 217,854.00 - 217,854.00 - ED
603 Salbutamol sirup 2 mg / 5 ml 60 ml/Botol Botol 49 49 0 4446.00 217,854.00 - 217,854.00 - ED
24 Pot / Box 2,654.00
607 Endap 4% Tube / Pot 60 60 159,240.00 - - 159,240.00
24 Pot / Box 5
608 Endap 4% Pot 17 12 2654.00 45,118.00 - 13,270.00 31,848.00
610 Salisil bedak 2 % 50gr/box 4 2 2 1,250.00 5,000.00 - 2,500.00 2,500.00
614 Scabimite cream 30gr tube tube 60 60 11,825.00 709,500.00 - - 709,500.00
616 Scaple Blade No. 11 100 pcs / box pcs 35 35 0 2,750.00 96,250.00 - 96,250.00 -
625 Sianocobalamin (B12) Tablet 100 tablet/Box tablet 1100 1100 50.00 55,000.00 - - 55,000.00
634 Silk ( benang bedah sutera ) no. 3/0 36 Pcs / Box Pcs 79 6 73 3,361.11 265,527.69 - 20,166.66 245,361.03
639 Simvastatin 20 mg 500 tab/box tablet 1070 1070 214.00 228,980.00 - - 228,980.00
640 Simvastatin tablet 10 mg 30 tablet / box tablet 292 292 110.00 32,120.00 - - 32,120.00
642 Spalk set set set 0 0 98,500.00 - - - -
643 Spalk set set set 0 0 109,000.00 - - - -
644 Spalk set Set Set 3 3 0 67,760.00 203,280.00 - 203,280.00 -
646 Soft Man 500 ML Botol Botol 2 2 0 82,687.00 165,374.00 - 165,374.00 -
659 Tablet tambah darah 30 tablet / sacet tablet 2500 2,500 0 372.00 930,000.00 - 930,000.00 -
678 Underpad pcs pcs 0 0 4,800.00 - - - -
679 Underpad pcs pcs 0 0 4,578.20 - - - -
681 Urine Bag pcs pcs 0 0 7,500.00 - - - -
682 Urine Bag pcs pcs 20 20 7,450.00 149,000.00 - - 149,000.00
696 Vitamin B Kompleks tablet 100 tablet / box tablet 2000 570 1430 131.00 262,000.00 - 74,670.00 187,330.00
714 Zinc Syr 20 mg / 5 ml botol botol 5 5 3122.00 15,610.00 - - 15,610.00
73,163 250 8,368 65,045 45,136,108.03 80,500.00 4,381,772.52 40,834,835.51
65,045 45,136,108.03 40,834,835.51
Mengetahui; Sungai Sirih, 29 April 2020

NIP. 19730919 199303 1 008 NIP.19830205 200502 2 002

PROVINSI : RIAU
BULAN : 30/05/2020

Dasar
Pengeluaran
1 2 3 4 5 6 7 8 9 9 10 11 12 13 14

5 Acetylcysteine tablet 200 mg 60 tablet / box tablet 1800 1,800 0 376.00 676,800.00 - 676,800.00 - ED
16 Alat suntik sekali pakai 1 cc 100 pcs / box pcs 110 110 0 715.00 78,650.00 - 78,650.00 -
24 Alat suntik sekali pakai 3 cc 100 pcs / Box Pcs 600 100 500 842.00 505,200.00 - 84,200.00 421,000.00
34 Alkohol 70 % 100 pcs / box pcs 0 0 18,700.00 - - - -
37 Allopurinol tablet 100 mg 100 tablet/ box tablet 1000 40 960 113.00 113,000.00 - 4,520.00 108,480.00
83 Antasida suspensi 60 ml/Botol Botol 0 0 2051.00 - - - -
24 Pot / Box 4,540.00
5/4/2020 120 Baju Apron pcs pcs 0 14 10 4 - - - - -
5/9/2020 121 Baju APD Pcs Pieces 0 0 110,625.00 - - - -
200 Dexametasone inj 5 mg/ml - 1 ml ampul ampul 200 200 0 1,600.00 320,000.00 - 320,000.00 - ED
202 Dexametasone tablet 0,5 mg 100 tablet / box tablet 1142 1142 43.00 49,106.00 - - 49,106.00
205 Dexamethasone inj 5 mg/ml-1 ml 100 Amp @ 1 ml/ Box ampul 100 100 0 1647.00 164,700.00 - 164,700.00 - ED
213 Diazepam tablet 5 mg ( VASANBE ) 100 tablet / box tablet 20 2 18 50.00 1,000.00 - 100.00 900.00
218 Difenhidramin Injeksi 10 mg/ml 30 Ampul @1ml / Box Ampul 0 0 1,115.00 - - - -
223 Doksisiklin 100 mg 100 tablet /box tablet 280 280 0 231.00 64,680.00 - 64,680.00 - ED
224 Doksisiklin Kaps 100 mg 100 Kapsul/ Box Kapsul 1300 20 1280 273.00 354,900.00 - 5,460.00 349,440.00 ED
225 Domperidon Suspensi 5 mg/5ml botol 60 ml botol 71 71 2,781.00 197,451.00 - - 197,451.00
229 Domperidone Syr 60 ml/Botol Botol 0 0 2781.00 - - - -
248 Etakridin (rivanol) 300 cc botol 300 ml botol 7 7 3,405.00 23,835.00 - - 23,835.00
5/9/2020 263 Face Shild Pcs Pices 0 4 4 30,000.00 - 120,000.00 - 120,000.00
268 Fitomenadion (vit K1) tablet salut 10 mg 100 tablet / botol tablet 1000 2 998 797.00 797,000.00 - 1,594.00 795,406.00
315 H2O2 3% botol 800 ml botol 0 0 18,600.00 - - - -
100 pcs / Box
100 pcs / Box 572.27
318 Powder Ukuran (S) Pcs 200 200 0 114,454.00 - 114,454.00 -
320 Handscoen Glove Natural Rubber latex 7,5 50 pcs/box pcs 116 82 34 6595.00 765,020.00 - 540,790.00 224,230.00
5/9/2020 321 Handscoen Top Glove Win Non Steril M 100 pcs / Box pcs 100 300 300 100 1070.00 107,000.00 321,000.00 321,000.00 107,000.00
322 Handscoen Top Glove Win Non Steril S 100 pcs / Box pcs 0 0 572.27 - - - -
347 Infusion Set Anak 50 Pcs / Box pcs 28 3 25 3,850.00 107,800.00 - 11,550.00 96,250.00
369 Kalsium laktat ( kalk ) tablet 500 mg 100 tab/box tablet 420 10 410 59.00 24,780.00 - 590.00 24,190.00
377 Kasa Hidrofil Steril uk.16x16 16 Pouch / Box Pcs 240 240 549.93 131,983.20 - - 131,983.20
386 Ketokonazol tab 200mg 50 Tablet / Box Tablet 1070 203 867 288.00 308,160.00 - 58,464.00 249,696.00
394 Kloramfenikol salaf mata 1 % tube tube 23 23 1,881.00 43,263.00 - - 43,263.00
408 Lansoprazole 30mg 20 tablet / box tablet 50 20 30 303.00 15,150.00 - 6,060.00 9,090.00
414 Leukoplast 2,5 mm x 4,5 mm Box roll 33 33 12,076.00 398,508.00 - - 398,508.00
416 Lidocain Inj 2% + Efinefrin 30 Ampul @1ml / Box ampul 60 5 55 1205.00 72,300.00 - 6,025.00 66,275.00
5/9/2020 437 Masker N 95 20 pcs / box Pcs 0 3 3 7,250.00 - 21,750.00 - 21,750.00
5/4/2020 438 Masker Kain pcs pcs 0 36 36 5,000.00 - 180,000.00 - 180,000.00
5/9/2020 439 Masker Bedah (Earlop) box/50 Pcs pcs 150 400 150 400 5,300.00 795,000.00 2,120,000.00 795,000.00 2,120,000.00
466 Miconazole cream 2% tube tube 221 5 216 2,922.85 645,949.85 - 14,614.25 631,335.60
474 Myconazol krim 2% tube tube 20 20 0 3,150.00 63,000.00 - 63,000.00 -
498 Neo Diagon Atapulgit 100 Tab / Box tablet 488 8 480 216.00 105,408.00 - 1,728.00 103,680.00
529 Onemed Alkohol 70% 1 L Botol Botol 0 0 27,250.00 - - - -
531 OneScrub 500cc+dispenser 12 Botol / Box Botol 0 0 71,874.00 - - - -
549 Parasetamol tablet 500 mg kotak/100 tablet tablet 0 0 56.00 - - - -
572 Prednisone tablet 5 mg 100 tablet / box tablet 1156 8 1148 55.00 63,580.00 - 440.00 63,140.00
580 Pyrantel tablet 125 mg 100 tablet / box tablet 172 8 164 303.00 52,116.00 - 2,424.00 49,692.00
5/9/2020 594 Rapid Test Covid 19 Pcs Piece 0 7 6 1 11,200.00 - 78,400.00 67,200.00 11,200.00
602 Salbutamol sirup 2 mg / 5 ml 49 botol / box botol 0 0 4446.00 - - - -
603 Salbutamol sirup 2 mg / 5 ml 60 ml/Botol Botol 0 0 4446.00 - - - -
24 Pot / Box 2,654.00
607 Endap 4% Tube / Pot 60 60 159,240.00 - - 159,240.00
24 Pot / Box
608 Endap 4% Pot 12 12 2654.00 31,848.00 - - 31,848.00
610 Salisil bedak 2 % 50gr/box 2 2 0 1,250.00 2,500.00 - 2,500.00 -
642 Spalk set set set 0 0 98,500.00 - - - -
643 Spalk set set set 0 0 109,000.00 - - - -
644 Spalk set Set Set 0 0 67,760.00 - - - -
646 Soft Man 500 ML Botol Botol 0 0 82,687.00 - - - -
659 Tablet tambah darah 30 tablet / sacet tablet 0 0 372.00 - - - -
665 Tiamin ( vit B1) Tablet 50 mg 100 Tablet / Box Tablet 320 20 300 84.00 26,880.00 - 1,680.00 25,200.00
5/9/2020 667 Thermogun PCS Piece 0 2 2 900,000.00 - 1,800,000.00 - 1,800,000.00
678 Underpad pcs pcs 0 0 4,800.00 - - - -
679 Underpad pcs pcs 0 0 4,578.20 - - - -
681 Urine Bag pcs pcs 0 0 7,500.00 - - - -
682 Urine Bag pcs pcs 20 20 7,450.00 149,000.00 - - 149,000.00
714 Zinc Syr 20 mg / 5 ml botol botol 5 5 0 3122.00 15,610.00 - 15,610.00 -
65,045 766 6,741 59,070 41,631,308.51 4,641,150.00 4,283,670.35 41,988,788.16
59,070 40,834,835.51 41,988,788.16
Mengetahui; Sungai Sirih, 30 Mei 2020
Kepala UPTD Kesehatan Puskesmas Sungai Sirih selisih 796,473.00 Pengurus Barang

NIP. 19730919 199303 1 008 NIP.19830205 200502 2 002

PROVINSI : RIAU
BULAN : 29/06/2020

Dasar
Pengeluaran
1 2 3 4 5 6 7 8 9 9 10 11 12 13 14

5 Acetylcysteine tablet 200 mg 60 tablet / box tablet 0 0 376.00 - - - -
11 Acyclovir tablet 400 mg 50 tablet / box tablet 230 230 0 900.00 207,000.00 - 207,000.00 -
37 Allopurinol tablet 100 mg 100 tablet/ box tablet 960 960 0 113.00 108,480.00 - 108,480.00 - ED
52 Amlodipin tablet 5 mg 300 tab/Box tablet 1810 1,810 0 75.00 135,750.00 - 135,750.00 - ED
66 Amoxicillin syrup kering 250 mg/5ml 60 ml/Botol Botol 53 53 0 3502.00 185,606.00 - 185,606.00 - ED
24 Pot / Box 4,540.00
6/26/2020 120 Baju Apron pcs pcs 4 85 89 - - - - -
121 Baju APD Pcs Pieces 0 0 110,625.00 - - - -
150 Catgut / benang bedah no.2/0 cromic 24 pcs / box Pcs 88 6 82 6,141.20 540,425.60 - 36,847.20 503,578.40
6/8/2020 181 Chlorpromazine tab 25 mg 1000 tablet / botol tablet 0 500 500 155.00 - 77,500.00 - 77,500.00
187 Ciprofloxacin 500 mg 100 tablet / box tablet 943 90 853 247.00 232,921.00 - 22,230.00 210,691.00
202 Dexametasone tablet 0,5 mg 100 tablet / box tablet 1142 930 212 43.00 49,106.00 - 39,990.00 9,116.00 ED
205 Dexamethasone inj 5 mg/ml-1 ml 100 Amp @ 1 ml/ Box ampul 0 0 1647.00 - - - -
213 Diazepam tablet 5 mg ( VASANBE ) 100 tablet / box tablet 18 18 50.00 900.00 - - 900.00
223 Doksisiklin 100 mg 100 tablet /box tablet 0 0 231.00 - - - -
224 Doksisiklin Kaps 100 mg 100 Kapsul/ Box Kapsul 1280 1,280 0 273.00 349,440.00 - 349,440.00 - ED
225 Domperidon Suspensi 5 mg/5ml botol 60 ml botol 71 71 0 2,781.00 197,451.00 - 197,451.00 - ED
248 Etakridin (rivanol) 300 cc botol 300 ml botol 7 7 3,405.00 23,835.00 - - 23,835.00
6/26/2020 263 Face Shild Pcs Pices 4 16 4 16 30,000.00 120,000.00 480,000.00 120,000.00 480,000.00
274 Folley cateter 2 way 30cc no 14 10 Pcs / Box Pcs 29 1 28 8,798.90 255,168.10 - 8,798.90 246,369.20
307 Glukosa Larutan Infus 10% 20 Botol 500 ml / Box Botol 160 40 120 7500.00 1,200,000.00 - 300,000.00 900,000.00
315 H2O2 3% botol 800 ml botol 0 0 18,600.00 - - - -
6/8/2020 316 Haloperidol 1,5 mg 100 tablet / box tablet 0 500 500 63.00 - 31,500.00 - 31,500.00
100 pcs / Box
100 pcs / Box 572.27
318 Powder Ukuran (S) Pcs 0 0 - - - -
321 Handscoen Top Glove Win Non Steril M 100 pcs / Box pcs 100 100 0 1070.00 107,000.00 - 107,000.00 -
369 Kalsium laktat ( kalk ) tablet 500 mg 100 tab/box tablet 410 410 0 59.00 24,190.00 - 24,190.00 - ED
408 Lansoprazole 30mg 20 tablet / box tablet 30 30 0 303.00 9,090.00 - 9,090.00 -
437 Masker N 95 20 pcs / box Pcs 3 3 7,250.00 21,750.00 - - 21,750.00
438 Masker Kain pcs pcs 36 36 5,000.00 180,000.00 - - 180,000.00
6/25/2020 439 Masker Bedah (Earlop) box/50 Pcs pcs 400 50 100 350 5,300.00 2,120,000.00 265,000.00 530,000.00 1,855,000.00
461 Metronidazol generik 500 mg/100ml inf botol botol 4 4 0 8250.00 33,000.00 - 33,000.00 - ED
466 Miconazole cream 2% tube tube 216 216 0 2,922.85 631,335.60 - 631,335.60 - ED
474 Myconazol krim 2% tube tube 0 0 3,150.00 - - - -
478 Nasal oxigen adult 50 pcs / box pcs 10 1 9 5,995.00 59,950.00 - 5,995.00 53,955.00
495 Natrium klorida larutan infus 0,9 % steril 20 Botol 500 ml / Box Botol 160 52 108 6410.00 1,025,600.00 - 333,320.00 692,280.00
6/26/2020 549 Parasetamol tablet 500 mg kotak/100 tablet tablet 0 1400 1400 132.00 - 184,800.00 - 184,800.00
572 Prednisone tablet 5 mg 100 tablet / box tablet 1148 1,148 0 55.00 63,140.00 - 63,140.00 - ED
574 Prednisone tablet 5 mg 100 tablet/Box tablet 1000 1,000 0 72.00 72,000.00 - 72,000.00 - ED
580 Pyrantel tablet 125 mg 100 tablet / box tablet 164 164 303.00 49,692.00 - - 49,692.00
594 Rapid Test Covid 19 Pcs Piece 1 1 0 11,200.00 11,200.00 - 11,200.00 -
600 Ringer laktat larutan infus steril 20 Botol 500 ml / Box Botol 443 140 303 7150.00 3,167,450.00 - 1,001,000.00 2,166,450.00
605 Salbutamol tablet 4 mg 100 tabet /box tablet 1800 72 1728 99.00 178,200.00 - 7,128.00 171,072.00 ED
24 Pot / Box 2,654.00
607 Endap 4% Tube / Pot 60 60 159,240.00 - - 159,240.00
24 Pot / Box 1
608 Endap 4% Pot 12 11 2654.00 31,848.00 - 2,654.00 29,194.00
610 Salisil bedak 2 % 50gr/box 0 0 1,250.00 - - - -
639 Simvastatin 20 mg 500 tab/box tablet 1035 1,035 0 214.00 221,490.00 - 221,490.00 - ED
640 Simvastatin tablet 10 mg 30 tablet / box tablet 277 277 0 110.00 30,470.00 - 30,470.00 - ED
642 Spalk set set set 0 0 98,500.00 - - - -
643 Spalk set set set 0 0 109,000.00 - - - -
644 Spalk set Set Set 0 0 67,760.00 - - - -
649 Stesolid injeksi 5 ampul / box ampul 9 9 0 11,950.00 107,550.00 - 107,550.00 - ED
6/26/2020 667 Thermogun PCS Piece 2 1 3 900,000.00 1,800,000.00 900,000.00 - 2,700,000.00
6/8/2020 672 Trihexyphenidyl HCl tab 2 mg 100 tablet / box tablet 0 500 500 80.00 - 40,000.00 - 40,000.00
678 Underpad pcs pcs 0 0 4,800.00 - - - -
679 Underpad pcs pcs 0 0 4,578.20 - - - -
681 Urine Bag pcs pcs 0 0 7,500.00 - - - -
682 Urine Bag pcs pcs 20 20 7,450.00 149,000.00 - - 149,000.00
691 Vasovix no. 22 50 pcs / box Pcs 2 2 9,187.50 18,375.00 - - 18,375.00
712 Yodium Povidon larutan 10%-300 ml 24 Botol / Box Botol 24 1 23 20,691.00 496,584.00 - 20,691.00 475,893.00
714 Zinc Syr 20 mg / 5 ml botol botol 0 0 3122.00 - - - -
59,072 3,052 12,612 49,512 42,007,163.16 1,978,800.00 5,769,669.64 38,216,293.52
49,512 41,988,788.16 38,216,293.52
Mengetahui; Sungai Sirih, 29 Juni 2020

NIP. 19730919 199303 1 008 NIP.19830205 200502 2 002

PROVINSI : RIAU
BULAN : 28/07/2020

Dasar
Pengeluaran
1 2 3 4 5 6 7 8 9 9 10 11 12 13 14

52 Amlodipin tablet 5 mg 300 tab/Box tablet 0 0 75.00 - - - -
55 Amminofilin Tablet 200 mg 100 Tablet / Botol Tablet 100 100 0 92.00 9,200.00 - 9,200.00 -
66 Amoxicillin syrup kering 250 mg/5ml 60 ml/Botol Botol 0 0 3502.00 - - - -
85 Anti hemoroid Supp pcs supp 20 2 18 3325.00 66,500.00 - 6,650.00 59,850.00
24 Pot / Box 4,540.00
120 Baju Apron pcs pcs 89 1 88 - - - - -
150 Catgut / benang bedah no.2/0 cromic 24 pcs / box Pcs 82 9 73 6,141.20 503,578.40 - 55,270.80 448,307.60
181 Chlorpromazine tab 25 mg 1000 tablet / botol tablet 500 29 471 155.00 77,500.00 - 4,495.00 73,005.00
187 Ciprofloxacin 500 mg 100 tablet / box tablet 853 21 832 247.00 210,691.00 - 5,187.00 205,504.00
196 Cotrimoxasol Forte 960 100 tab/box tablet 1000 1,000 0 299.00 299,000.00 - 299,000.00 - ED
202 Dexametasone tablet 0,5 mg 100 tablet / box tablet 212 212 0 43.00 9,116.00 - 9,116.00 -
209 Diazepam injeksi 5 mg / ml vial vial 10 1 9 1822.00 18,220.00 - 1,822.00 16,398.00
213 Diazepam tablet 5 mg ( VASANBE ) 100 tablet / box tablet 18 1 17 50.00 900.00 - 50.00 850.00
224 Doksisiklin Kaps 100 mg 100 Kapsul/ Box Kapsul 0 0 273.00 - - - -
263 Face Shild Pcs Pices 16 8 8 30,000.00 480,000.00 - 240,000.00 240,000.00
296 Glibenklamid tablet 5 mg 100 tablet / box tablet 1433 1433 125.00 179,125.00 - - 179,125.00
307 Glukosa Larutan Infus 10% 20 Botol 500 ml / Box Botol 120 1 119 7500.00 900,000.00 - 7,500.00 892,500.00
313 Griseovulfin 125 mg 100 Tablet / Box Tablet 1049 800 249 249.00 261,201.00 - 199,200.00 62,001.00
315 H2O2 3% botol 800 ml botol 0 0 18,600.00 - - - -
316 Haloperidol 1,5 mg 100 tablet / box tablet 500 20 480 63.00 31,500.00 - 1,260.00 30,240.00
100 pcs / Box
100 pcs / Box 572.27
318 Powder Ukuran (S) Pcs 0 0 - - - -
7/8/2020 323 Hand Sanitaizer 100 Ml pcs btl 0 16 8 8 85,000.00 - 1,360,000.00 680,000.00 680,000.00
7/8/2020 324 Handscoend Examination Glove M 100 pcs / box pcs 0 840 600 240 1,000.00 - 840,000.00 600,000.00 240,000.00
335 Hidroklorotiazit tab 25 mg 100 tablet/box tablet 649 5 644 156.00 101,244.00 - 780.00 100,464.00
7/8/2020 366 Kaca Mata Google pcs pcs 0 20 20 0 22,925.00 - 458,500.00 458,500.00 -
369 Kalsium laktat ( kalk ) tablet 500 mg 100 tab/box tablet 0 0 59.00 - - - -
374 Kasa hidrofil 36 cm x 80m roll roll 12 1 11 136.00 1,632.00 - 136.00 1,496.00
396 Kloramfenikol Suspensi 125 mg/5 ml 50 Botol / Box Botol 30 30 0 4,841.00 145,230.00 - 145,230.00 - ED
406 Kotrimoksazol suspensi botol 60 ml botol 100 1 99 2,222.00 222,200.00 - 2,222.00 219,978.00
420 Lidokain inj 2%(HCL) + epinefrin 1.80.000-2m 30 Amp @ 2 ml / Box Ampul 210 25 185 2,037.00 427,770.00 - 50,925.00 376,845.00
431 Loratadin Tablet 10 mg 100 Kaplet / Box Kaplet 182 182 0 133.00 24,206.00 - 24,206.00 -
7/8/2020 437 Masker N 95 20 pcs / box Pcs 3 15 8 10 102,500.00 307,500.00 1,537,500.00 820,000.00 1,025,000.00
439 Masker Bedah (Earlop) box/50 Pcs pcs 350 150 200 5,300.00 1,855,000.00 - 795,000.00 1,060,000.00
7/8/2020 440 Masker Tie On 3 Fly 50 pcs / box pcs 0 750 500 250 3,972.00 - 2,979,000.00 1,986,000.00 993,000.00
461 Metronidazol generik 500 mg/100ml inf botol botol 0 0 8250.00 - - - -
466 Miconazole cream 2% tube tube 0 0 2,922.85 - - - -
478 Nasal oxigen adult 50 pcs / box pcs 9 3 6 5,995.00 53,955.00 - 17,985.00 35,970.00
483 Nasal Oxigen mask Adult pcs pcs 18 2 16 23677.00 426,186.00 - 47,354.00 378,832.00
495 Natrium klorida larutan infus 0,9 % steril 20 Botol 500 ml / Box Botol 108 1 107 6410.00 692,280.00 - 6,410.00 685,870.00
526 Omeprazole kaps 20mg 50 Kapsul / box Kapsul 1210 1,210 0 134.00 162,140.00 - 162,140.00 - ED
549 Parasetamol tablet 500 mg kotak/100 tablet tablet 1400 100 1300 132.00 184,800.00 - 13,200.00 171,600.00
574 Prednisone tablet 5 mg 100 tablet/Box tablet 0 0 72.00 - - - -
580 Pyrantel tablet 125 mg 100 tablet / box tablet 164 164 0 303.00 49,692.00 - 49,692.00 - ED
594 Rapid Test Covid 19 Pcs Piece 0 0 11,200.00 - - - -
24 Pot / Box 2,654.00
607 Endap 4% Tube / Pot 60 60 159,240.00 - - 159,240.00
24 Pot / Box 4
608 Endap 4% Pot 11 7 2654.00 29,194.00 - 10,616.00 18,578.00
614 Scabimite cream 30gr tube tube 60 2 58 11,825.00 709,500.00 - 23,650.00 685,850.00
639 Simvastatin 20 mg 500 tab/box tablet 0 0 214.00 - - - -
640 Simvastatin tablet 10 mg 30 tablet / box tablet 0 0 110.00 - - - -
642 Spalk set set set 0 0 98,500.00 - - - -
643 Spalk set set set 0 0 109,000.00 - - - -
644 Spalk set Set Set 0 0 67,760.00 - - - -
667 Thermogun PCS Piece 3 3 0 900,000.00 2,700,000.00 - 2,700,000.00 -
672 Trihexyphenidyl HCl tab 2 mg 100 tablet / box tablet 500 20 480 80.00 40,000.00 - 1,600.00 38,400.00
678 Underpad pcs pcs 0 0 4,800.00 - - - -
679 Underpad pcs pcs 0 0 4,578.20 - - - -
681 Urine Bag pcs pcs 0 0 7,500.00 - - - -
682 Urine Bag pcs pcs 20 20 7,450.00 149,000.00 - - 149,000.00
688 Vasovix no. 20 50 pcs / box pcs 405 5 400 9,187.50 3,720,937.50 - 45,937.50 3,675,000.00
49,512 1,641 8,417 42,736 38,502,043.52 7,175,000.00 11,014,281.53 34,662,761.99
42,736 38,216,293.52 34,662,761.99
Mengetahui; Sungai Sirih, 28 Juli 2020
Kepala UPTD Kesehatan Puskesmas Sungai Sirih selisih 285,750.00 Pengurus Barang

NIP. 19730919 199303 1 008 NIP.19830205 200502 2 002

PROVINSI : RIAU
BULAN : 28/08/2020

Dasar
Pengeluaran
1 2 3 4 5 6 7 8 9 9 10 11 12 13 14

8/18/2020 34 Alkohol 70 % 100 pcs / box pcs 0 3 1 2 18,700.00 - 56,100.00 18,700.00 37,400.00
55 Amminofilin Tablet 200 mg 100 Tablet / Botol Tablet 0 0 92.00 - - - -
24 Pot / Box 4,540.00
120 Baju Apron pcs pcs 88 8 80 - - - - -
163 Cefadroxil kapsul 500 mg 100 tab/box tablet 190 190 0 488.00 92,720.00 - 92,720.00 -
173 Ceterizin syr 5 mg 24 Botol / Box botol 10 10 0 2,973.00 29,730.00 - 29,730.00 -
187 Ciprofloxacin 500 mg 100 tablet / box tablet 832 832 0 247.00 205,504.00 - 205,504.00 - ED
196 Cotrimoxasol Forte 960 100 tab/box tablet 0 0 299.00 - - - -
209 Diazepam injeksi 5 mg / ml vial vial 9 5 4 1822.00 16,398.00 - 9,110.00 7,288.00
228 Domperidon tablet 10 mg 100 Tablet / Box Tablet 930 200 730 95.00 88,350.00 - 19,000.00 69,350.00
247 Erytromicin 500 mg 100 tab/box tablet 990 900 90 765.00 757,350.00 - 688,500.00 68,850.00
263 Face Shild Pcs Pices 8 8 0 30,000.00 240,000.00 - 240,000.00 -
296 Glibenklamid tablet 5 mg 100 tablet / box tablet 1433 1433 125.00 179,125.00 - - 179,125.00
307 Glukosa Larutan Infus 10% 20 Botol 500 ml / Box Botol 119 11 108 7500.00 892,500.00 - 82,500.00 810,000.00
315 H2O2 3% botol 800 ml botol 0 0 18,600.00 - - - -
316 Haloperidol 1,5 mg 100 tablet / box tablet 480 480 63.00 30,240.00 - - 30,240.00
100 pcs / Box
100 pcs / Box 572.27
8/18/2020 318 Powder Ukuran (S) Pcs 0 800 500 300 - 457,816.00 286,135.00 171,681.00
8/18/2020 320 Handscoen Glove Natural Rubber latex 7,5 50 pcs/box pcs 34 50 34 50 6595.00 224,230.00 329,750.00 224,230.00 329,750.00
323 Hand Sanitaizer 100 ML PCS btl 8 3 5 85,000.00 680,000.00 - 255,000.00 425,000.00
324 Handscoend Examination Glove M 100 pcs / box pcs 240 240 1,000.00 240,000.00 - - 240,000.00
347 Infusion Set Anak 50 Pcs / Box pcs 25 25 0 3,850.00 96,250.00 - 96,250.00 - ED
353 Isosorbid dinitrat tablet sublingual 5 mg 100 tablet / box tablet 490 90 400 93.00 45,570.00 - 8,370.00 37,200.00
366 Kaca Mata Goggle pcs pcs 0 0 22,925.00 - - - -
374 Kasa hidrofil 36 cm x 80m roll roll 11 1 10 136.00 1,496.00 - 136.00 1,360.00
377 Kasa Hidrofil Steril uk.16x16 16 Pouch / Box Pcs 32 32 0 549.93 17,597.76 - 17,597.76 -
396 Kloramfenikol Suspensi 125 mg/5 ml 50 Botol / Box Botol 0 0 4,841.00 - - - -
406 Kotrimoksazol suspensi botol 60 ml botol 99 4 95 2,222.00 219,978.00 - 8,888.00 211,090.00
414 Leukoplast 2,5 mm x 4,5 mm Box roll 28 28 12,076.00 338,128.00 - - 338,128.00
435 Mag sulfat injeksi 40% ampul ampul 39 39 0 3796.00 148,044.00 - 148,044.00 - ED
437 Masker N 95 20 pcs / box Pcs 10 10 0 7,250.00 72,500.00 - 72,500.00 -
439 Masker Bedah (Earlop) box/50 Pcs pcs 200 200 0 5,300.00 1,060,000.00 - 1,060,000.00 -
440 Masker Tie On 3 Fly 50 pcs / box pcs 250 250 0 396.00 99,000.00 - 99,000.00 -
449 Metformin tablet 850 mg kotak/100 tablet tablet 856 156 700 163.00 139,528.00 - 25,428.00 114,100.00
453 Metil Prednison 4 mg tablet 100 tablet / box tablet 105 105 0 137.00 14,385.00 - 14,385.00 -
457 Metilergometrin maleat tablet 100 tablet / box tablet 925 700 225 162.00 149,850.00 - 113,400.00 36,450.00 ED
483 Nasal Oxigen mask Adult pcs pcs 16 1 15 23677.00 378,832.00 - 23,677.00 355,155.00
486 Natrium bikarbonat tablet 500 mg 1000 tablet / botol tablet 614 14 600 15.02 9,222.28 - 210.28 9,012.00
526 Omeprazole kaps 20mg 50 Kapsul / box Kapsul 0 0 134.00 - - - -
549 Parasetamol tablet 500 mg kotak/100 tablet tablet 1300 500 800 132.00 171,600.00 - 66,000.00 105,600.00
556 Phenol Glyserol tetes telinga 10 % pcs pcs 21 21 0 2590.00 54,390.00 - 54,390.00 -
594 Rapid Test Covid 19 Pcs Piece 0 0 11,200.00 - - - -
24 Pot / Box 2,654.00
607 Endap 4% Tube / Pot 60 60 159,240.00 - - 159,240.00
24 Pot / Box
608 Endap 4% Pot 7 7 2654.00 18,578.00 - - 18,578.00
642 Spalk set set set 0 0 98,500.00 - - - -
643 Spalk set set set 0 0 109,000.00 - - - -
644 Spalk set Set Set 0 0 67,760.00 - - - -
667 Thermogun PCS Piece 0 0 900,000.00 - - - -
678 Underpad pcs pcs 0 0 4,800.00 - - - -
679 Underpad pcs pcs 0 0 4,578.20 - - - -
681 Urine Bag pcs pcs 0 0 7,500.00 - - - -
682 Urine Bag pcs pcs 20 20 0 7,450.00 149,000.00 - 149,000.00 - ED
685 Vasofix IV G24 x 25 MM Blue 50 pcs/box Pcs 145 45 100 9,187.50 1,332,187.50 - 413,437.50 918,750.00
696 Vitamin B Kompleks tablet 100 tablet / box tablet 641 641 0 131.00 83,971.00 - 83,971.00 -
8/18/2020 708 Yodium povidon larutan 10% - 60 ml botol 60 ml botol 0 50 50 3,500.00 - 175,000.00 - 175,000.00
8/18/2020 710 Yodium povidon larutan 10% - 60 ml 48 Botol / Box Botol 47 48 47 48 4,246.00 199,562.00 203,808.00 199,562.00 203,808.00 ED
712 Yodium Povidon larutan 10%-300 ml 24 Botol / Box Botol 23 23 0 20,691.00 475,893.00 - 475,893.00 - ED
42,736 951 9,770 33,917 32,816,261.99 1,222,474.00 6,861,160.14 27,177,575.85
33,917 34,662,761.99 27,177,575.85
Mengetahui; Sungai Sirih, Agustus 2020
Kepala UPTD Kesehatan Puskesmas Sungai Sirih selisih -1,846,500.00 Pengurus Barang

NIP. 19730919 199303 1 008 NIP.19830205 200502 2 002

PROVINSI : RIAU
BULAN : 28/09/2020

Dasar
Pengeluaran
1 2 3 4 5 6 7 8 9 9 10 11 12 13 14

34 Alkohol 70 % 100 pcs / box pcs 2 2 18,700.00 37,400.00 - - 37,400.00
46 Aminofilin injeksi 24 mg/ml - 10 ml ampul ampul 30 30 0 4,013.00 120,390.00 - 120,390.00 - ED
51 Amlodipin tablet 10 mg 30 tab/Box tablet 180 180 0 95.00 17,100.00 - 17,100.00 -
55 Amminofilin Tablet 200 mg 100 Tablet / Botol Tablet 0 0 92.00 - - - -
69 Amoxycillin tablet 500 mg kotak/100 tablet tablet 400 400 0 261.00 104,400.00 - 104,400.00 -
84 Antasida tablet kombinasi 100 tab/box tablet 300 300 0 60.00 18,000.00 - 18,000.00 -
24 Pot / Box 4,540.00
99 Asam Asetilsalisilat 80 mg ( Miniaspi ) 100 tablet / box tablet 2700 100 2600 94.00 253,800.00 - 9,400.00 244,400.00
120 Baju Apron pcs pcs 80 80 - - - - -
163 Cefadroxil kapsul 500 mg 100 tab/box tablet 0 0 488.00 - - - -
173 Ceterizin syr 5 mg 24 Botol / Box botol 0 0 2,973.00 - - - -
177 Chlorpheniramine maleat tablet 4 mg 100 tab / box tablet 300 300 0 23.00 6,900.00 - 6,900.00 -
196 Cotrimoxasol Forte 960 100 tab/box tablet 0 0 299.00 - - - -
9/4/2020 199 Desinfektan Liter Botol 0 25 10 15 89,320.00 - 2,233,000.00 893,200.00 1,339,800.00
228 Domperidon tablet 10 mg 100 Tablet / Box Tablet 730 200 530 95.00 69,350.00 - 19,000.00 50,350.00
263 Face Shild Pcs Pices 0 0 30,000.00 - - - -
288 Gentamicin 40 gr / ml inj ampul ampul 73 73 0 3685.00 269,005.00 - 269,005.00 - ED
307 Glukosa Larutan Infus 10% 20 Botol 500 ml / Box Botol 108 108 7500.00 810,000.00 - - 810,000.00
311 Glukosa Larutan Infus 5% 20 Botol 500 ml / Box Botol 150 150 0 6900.00 1,035,000.00 - 1,035,000.00 - ED
315 H2O2 3% botol 800 ml botol 0 0 18,600.00 - - - -
316 Haloperidol 1,5 mg 100 tablet / box tablet 480 480 0 63.00 30,240.00 - 30,240.00 - ED
100 pcs / Box
100 pcs / Box 572.27
318 Powder Ukuran (S) Pcs 300 200 100 171,681.00 - 114,454.00 57,227.00
9/4/2020 321 Handscoen Top Glove Win Non Steril M 100 pcs / Box pcs 0 200 50 150 2502.00 - 500,400.00 125,100.00 375,300.00
323 Hand Sanitaizer 100 ML PCS btl 5 5 85,000.00 425,000.00 - - 425,000.00
324 Handscoend Examination Glove M 100 pcs / box pcs 240 240 0 1,000.00 240,000.00 - 240,000.00 -
9/4/2020 328 Hand Sanitaizer 1000 ML btl btl 0 2 1 1 104,500.00 - 209,000.00 104,500.00 104,500.00
347 Infusion Set Anak 50 Pcs / Box pcs 0 0 3,850.00 - - - -
9/4/2020 350 Imboost Forte Tablet tab 0 60 60 0 3,520.00 - 211,200.00 211,200.00 -
366 Kaca Mata Goggle pcs pcs 0 0 22,925.00 - - - -
377 Kasa Hidrofil Steril uk.16x16 16 Pouch / Box Pcs 0 0 549.93 - - - -
396 Kloramfenikol Suspensi 125 mg/5 ml 50 Botol / Box Botol 0 0 4,841.00 - - - -
435 Mag sulfat injeksi 40% ampul ampul 0 0 3796.00 - - - -
9/4/2020 437 Masker N 95 20 pcs / box Pcs 0 10 3 7 137,115.00 - 1,371,150.00 411,345.00 959,805.00
9/4/2020 439 Masker Bedah (Earlop) box/50 Pcs pcs 0 1250 700 550 132.00 - 165,000.00 92,400.00 72,600.00
526 Omeprazole kaps 20mg 50 Kapsul / box Kapsul 0 0 134.00 - - - -
548 Parasetamol syrup 120 mg/5ml botol 60 ml botol 14 14 0 1,184.00 16,576.00 - 16,576.00 -
549 Parasetamol tablet 500 mg kotak/100 tablet tablet 800 800 132.00 105,600.00 - - 105,600.00
556 Phenol Glyserol tetes telinga 10 % pcs pcs 0 0 2590.00 - - - -
9/4/2020 594 Rapid Test Covid 19 Pcs Piece 0 60 60 0 150,700.00 - 9,042,000.00 9,042,000.00 -
24 Pot / Box 3 2,654.00
607 Endap 4% Tube / Pot 60 57 159,240.00 - 7,962.00 151,278.00
24 Pot / Box 7
608 Endap 4% Pot 7 0 2654.00 18,578.00 - 18,578.00 -
642 Spalk set set set 0 0 98,500.00 - - - -
643 Spalk set set set 0 0 109,000.00 - - - -
644 Spalk set Set Set 0 0 67,760.00 - - - -
667 Thermogun PCS Piece 0 0 900,000.00 - - - -
678 Underpad pcs pcs 0 0 4,800.00 - - - -
679 Underpad pcs pcs 0 0 4,578.20 - - - -
681 Urine Bag pcs pcs 0 0 7,500.00 - - - -
682 Urine Bag pcs pcs 0 0 7,450.00 - - - -
685 Vasofix IV G24 x 25 MM Blue 50 pcs/box Pcs 100 100 9,187.50 918,750.00 - - 918,750.00
708 Yodium povidon larutan 10% - 60 ml botol 60 ml botol 50 5 45 3,500.00 175,000.00 - 17,500.00 157,500.00
712 Yodium Povidon larutan 10%-300 ml 24 Botol / Box Botol 0 0 20,691.00 - - - -
33,917 1,607 4,440 31,084 27,177,575.85 13,731,750.00 13,476,520.15 27,432,805.70
31,084 27,177,575.85 27,432,805.70
Mengetahui; Sungai Sirih, September 2020

NIP. 19730919 199303 1 008 NIP.19830205 200502 2 002

Obat Bingung 2020

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KARTU PERSEDIAAN BARANG

SKPD : UPT DINAS KESEHATAN PUSKESMAS

Tgl Surat Barang - Barang

1 Abbocath No 18 pcs pcs 0 0 15,500.00 - - - -

HERIZON, SKM MISRIANI, S.Kep

SKPD : UPT DINAS KESEHATAN PUSKESMAS

Tgl Surat Barang - Barang

1 Abbocath No 18 pcs pcs 0 0 15,500.00 - - - -

HERIZON, SKM MISRIANI, S.Kep

SKPD : UPT DINAS KESEHATAN PUSKESMAS

Tgl Surat Barang - Barang

1 Abbocath No 18 pcs pcs 0 0 15,500.00 - - - -

HERIZON, SKM MISRIANI, S.Kep

SKPD : UPT DINAS KESEHATAN PUSKESMAS

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HERIZON, SKM MISRIANI, S.Kep

SKPD : UPT DINAS KESEHATAN PUSKESMAS

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1 Abbocath No 18 pcs pcs 0 0 15,500.00 - - - -

HERIZON, SKM MISRIANI, S.Kep

SKPD : UPT DINAS KESEHATAN PUSKESMAS

Tgl Surat Barang - Barang

1 Abbocath No 18 pcs pcs 0 0 15,500.00 - - - -

HERIZON, SKM MISRIANI, S.Kep

SKPD : UPT DINAS KESEHATAN PUSKESMAS

Tgl Surat Barang - Barang

1 Abbocath No 18 pcs pcs 0 0 15,500.00 - - - -

HERIZON, SKM MISRIANI, S.Kep

SKPD : UPT DINAS KESEHATAN PUSKESMAS

Tgl Surat Barang - Barang

1 Abbocath No 18 pcs pcs 0 0 15,500.00 - - - -

HERIZON, SKM MISRIANI, S.Kep

SKPD : UPT DINAS KESEHATAN PUSKESMAS

Tgl Surat Barang - Barang

1 Abbocath No 18 pcs pcs 0 0 15,500.00 - - - -

HERIZON, SKM MISRIANI, S.Kep

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