Obat Gizi 2019

LAMPIRAN BERITA ACARA STOK OPNAME
POSKESDES KARYA ABADI

PER 31 DESEMBER - 25 APRIL 2019
Penerimaan 01 Januari 2019 -

Stok Per 31 Desember2018
No Nama Obat Satuan Harga 31 Maret 2019
Volume Harga Volume

1 2 3 4 5 6 7
1 Amlodipin 5 mg Box/30Tablet 77 10 770 120
2 Air Untuk Irigasi Injeksi Infus 25 ml Ampul 2860 0 0
3 Air untuk irigasi larutan botol 10700 0 0
4 Allopurinol Ktk/100 Tab 275 0 0 100
5 Albendazol Tab 400mg box/100Tablet 451 20 9020 100
6 Akarbose box/100Tablet 657 0 0
7 Ambroxol box/100Tablet 165 0 0
8 Aminofilin Injeksi Box/30amp 3080 0 0
9 Amitripilin Tab box/100Tablet 165 0 0
10 Alprazolam box/100Tablet 585 0 0
11 Amlodipin 10mg Box/30Tablet 95 0 0 60
12 Amoksisilin SK Botol 5060 5 25300 10
13 Amoksisilin Tab box/100Tablet 248 80 19840 0
14 Ampisilin Inj Vial 9473 0 0
Anastetik Lokal gigi kombinasi : Lidokain Hcl 2% + Epinefrin 1 :
15 Box/30 Amp 1317 0 0 0
80.000 Inj 2 ml
16 Antalgin Inj Box 5000 0 0
17 Antasida Doen Tab box/100Tablet 56 0 0 400
18 Antasida Susp Botol 2098 2 4196 3
Antifungi Doen Salep, Kombinasi: Asam Benzoat 6%+Asam
19 Box/24 pot 5170 0 0
Salisilat 3%
20 Anti Malaria Tablet 2160 0 0
21 Antihemoroid box/10suppo 3542 0 0
22 Asam Asetilsalisilat Box/100 Tab 99 0 0
23 Asam Mefenamat Tab box/100Tablet 103 0 0 300
24 Asam Tranexamat Inj Box/10amp 2530 0 0 0
25 Aminofilin Tab Botol/100tab 167 0 0
26 Asam Folat Botol/100tab 62 0 0 100
27 Asam Tranexamat Tab box/100Tablet 2200 0 0 0
28 Asiklovir tab Tablet 425 0 0 150
29 Asiklovir krim Tube 5150 0 0 5
30 Attapulgit Box/100 Tab 237 0 0 0
31 Atropin Inj Box/100amp 1540 0 0 0
32 Aqua Pro Injeksi botol 2860 0 0
33 Bacitrasin + Polimiksin Salep Tube 3490 0 0
34 Betametason krim Box, 24 Tube 1420 5 7100 15
35 Betafor Botol 32594 0 0 5
36 Bedak salisil box 8400 0 0 3
37 Betahistin Tab Tablet 119 0 0 50
38 Bisakodil Suppositoria 5 mg Box/ 6 Suppo 5670 0 0
39 Bisakodil Suppositoria 10 mg Box/50 Suppo 5900 0 0
40 Bisakodil Suppositoria 5 mg tab Tablet 316 0 0
41 Bisoprolol Tablet 248 0 0
42 Burnazin (Perak Sulfadiazin) Tube 2070 0 0 1
43 Ciprofloksasin tab box/100Tablet 281 0 0 100
44 Cefixim Box/50tab 1545 0 0 100
45 Cetirizin Syr Botol 2993 0 0 5
46 Cetirizin Kap Kapsul 97 0 0 0
Cendo Liters Botol 38980 0 0
47 Codein Tablet 657 0 0
48 Dekstran 70-larutan infus 6 % steril Botol 500 ml 11335 0 0
49 Deksametason inj Box/100 Amp 1210 10 12100 0
50 Deksametason tab Tablet 34 30 1020 200
51 Dihydroartemisin 40mg + Piperaquin Phospate 320mg Box/9Tab 2160 0 0
52 Dimenhidrinate tab Tablet 121 0 0
53 Diazepam Tablet 0 0
54 Difenhidramine inj Box/30amp 1262 0 0 0
55 Digoksin box/100Tablet 104 0 0
56 Diksisiklin Kapsul 100mg Box/100 Tab 264 0 0
57 Domperidon Susp botol 2862 0 0 5
58 Domperidon Tab box/100Tablet 90 0 0 0
Dobutamin HCL Inj Vial 0 0
59 Eugenol Cairan Botol 0 0
60 Etil klorida semprot botol 0 0
61 Epinefrin Inj Box/100 Amp 1518 0 0
62 Eritromicin box/100Tablet 0 0
63 Eritromicin SK Botol 0 0
64 Furosemid box/100Tablet 82 20 1640 150
65 Fitomenadion (Vit K) Tab Botol/100tab 818 0 0
66 Glimepirid Box/ 50 Tab 174 20 3480 210
67 Glimepirid 2 mg Box/ 50 Tab 0 0
68 Gentian Violet Botol 3000 0 0 15
69 Glibenklamid box/100Tablet 137 0 0 100
70 Gliseril Guaikolat (Guaifenesin) box/100Tablet 0 0
71 Glukosa botol 6900 0 0
72 Griseofulvin box/100Tablet 223 50 11150 100
73 Haloperidol 0,5mg box/100Tablet 0 0
74 Haloperidol 1,5 mg Box/100 Tab 59 0 0
75 Haloperidol 2 mg box/100Tablet 1089 0 0
76 Haloperidol 5 mg box/100Tablet 0 0
77 Hidroklortiazid Box/100 Tab 178 0 0
78 Hidrokortison krim Box 24 Tube 2648 0 0 5
79 Ibuprofen Syr Botol 0 0 5
80 Ibuprofen Tab box/100Tablet 440 0 0 200
81 Isosorbit dinitrat box/100Tablet 89 70 6230 0
82 kalsium gluconas Box/24 Amp 0 0
83 Kalk box/100Tablet 59 100 5900 300
84 Karbamazepin Tab 200mg box/100Tablet 0 0
85 Kaptopril box/100Tablet 80 0 0 200
86 Ketokonazol Krim Tube 2694 0 0 15
87 Ketokonazol Tab Tablet 286 0 0 50
88 klonidin 0,15 mg Tablet 0 0
89 Klopidogrel Tab 75 mg Box/ 30 Tablet 1469 0 0
90 kloramfenikol tab 250mg Tablet 329 0 0
91 kloramfenikol tab 500 mg Tablet 0 0 100
92 Kloramfenikol Salep Mata Tube 2013 0 0 0
93 Kloramfenikol Susp Botol 8949 0 0 10
94 klorpeniramine maleat Tablet 24 70 1680 200
95 Klindamisin Kap Kapsul 59 0 0
96 Kotrimoksazol Tab box/100Tablet 125 0 0 150
97 Klorpromazin tab 100 mg box/100Tablet 26424 0 0
98 Klorpromazin tab 25 mg box/100Tablet 0 0
99 Kotrimoksazol Susp Botol 2052 15 30780 0
100 Metoclopramid Box/100 Tab 0 0
101 Loratadin Tab 10mg Box/50 Tab 127 0 0 100
102 Loperamid Box/100 Tab 13050 0 0 200
103 Kloramfenikol Tetes Telinga Botol 7400 5 37000 10
104 Kloramfenikol tetes mata Botol 12900 5 64500 10
105 Magnesium Sulfat (MgSO4) Botol 0 0
106 Metronidazol box/100Tablet 34100 50 1705000 100
107 Metronidazol Ovula Suppo 3590 0 0
108 Metformin 500 mg box/100Tablet 102 0 0 0
109 Meloksicam box/100Tablet 4450 0 0
110 Mikonazol krim Tube 3926 0 0
111 Metampiron box/100Tablet 222 0 0 0
112 Metil ergometrin Tab box/100Tablet 243 60 14580 0
113 Metil ergometrin inj Ampul 3399 3 10197 0
114 metil prednison Tablet 139 0 0 200
115 Multivitamin Dewasa Tablet (Lifron) box/100Tablet 0 0 100
116 Multivitamin Tambah Darah (Hemafort) box/100Tablet 1070 0 0 100
Multivitamin Tambah Darah (Nofabion) Kapsul 0 0 0
117 Novadyar Susp Botol 5900 0 0 10
118 Natrium Metamizole Inj Box/5Amp 0 0
Natrium Bikarbonat Tablet 134 0 0
119 Natrium Diklofenak Box/50tab 136 0 0 100
120 NACL BOTOL 6410 0 0 5
121 Nifedipin box/100Tablet 178 0 0
122 Nistatin Vaginal Tab box/100Tablet 910 50 45500 0
123 Novachlor (Kloramfenikol) Tablet 0 0
124 N-Asetil Sistein Kapsul 412 0 0
125 Omeprazol Kap 20mg Box/30 kapsul 12250 0 0 30
126 Omeprazol Inj Box/10 Vial 11868 0 0
127 Obat Batuk Hitam (OBH) Botol 2350 5 11750
128 Obat Batuk Hitam (OBH) Anak Botol 19898 0 0
129 Oksitetrasiklin HCL salep Mata Tube 5 0 0
130 Oksitetrasiklin HCL salep Kulit 3* Tube 2700 0 0 10
131 Oralit Sachet 275 100 27500 0
132 Oxytocin Ampul 1232 2 2464 5
133 Oxitetrasiklin Inj Vial 0 0
134 Ondansentron Inj Ampul 0 0
135 Papaverin Tab 40mg Box/100 Tab 280 0 0 0
136 Parasetamol Syr Botol 5500 0 0 15
137 Parasetamol Drops Botol 7646 0 0
138 Parasetamol Tab box/100Tablet 60 0 0 300
139 Permetrin Krim Tube 53600 0 0
140 Pyrantel Pamoat Tab box/100Tablet 331 0 0
141 Piridoxin (Vit B6) box/100Tablet 141 10 1410 100
142 Povidon Iodin Botol 1 0
143 Primakuin Tab box/100Tablet 0 0
144 Prednison box/100Tablet 74 0 0 400
145 Propanolol box/100Tablet 59 0 0 0
146 Perak Sulfadiazin Krim Tube 20700 0 0
147 Pyrantel Pamoat Susp Botol 11050 0 0
148 PTU box/100Tablet 64090 0 0
149 Piroksikam box/100Tablet 13500 0 0 100
150 Ranitidin Tab box/100Tablet 220 0 0 300
151 Uthekol box/100Tablet 2190 0 0 0
152 Sefadroxil Kapsul Box/100 Tab 557 0 0
153 Sefadroxil SK Botol 5286 0 0 0
154 Sianokobalamin (Vit B12) Btl/100 Tab 1126 0 0
155 Salep 24 pot 2797 0 0
156 Ranitidin Injeksi Box/10amp 1105 0 0 5
157 Retinol Vit A 100.000 UI Botol 21550 0 0
159 Sianokobalamin (Vit B12) Box/100amp 1226 5 6130 5
160 Simvastatin Box/30Tablet 135 30 4050 60
161 Sefotaxim Inj Box/2Vial 30600 0 0
162 Seftriaxon inj Box/2Vial 30600 0 0
163 Stimuno Botol 29400 0 0
164 Tablet Tambah Darah FE box/100Tablet 406 0 0 200
165 Tetrasiclin box/100Tablet 520 0 0 0
166 Thiamin (Vit B1) Tab box/100Tablet 87 0 0 100
167 Thiamin (Vit B1) Injeksi Box/100amp 2500 0 0
168 Vagistin Suppo Box/10 suppo 0 0
169 Vit K inj Ampul 4083 0 0 0
170 Vit C Tablet 120 0 0 300
171 Vit B Com Tablet 132 0 0 200
172 Xylastin tab Tablet 0 0
173 Zinc box/100Tablet 586 0 0 0
174 Zinc Syr Botol 4959 0 0 3
175 Anti migrain : Ergotamin tab 1mg Tablet 256 0 0
176 Salbutamol 4 mg box/100Tablet 89 0 0 100
177 Biocombin Inj ktk/10 ampl 0 0
178 Diazepam Inj 5 ml ktk/5 amp 0 0
179 Diazepam Tab Ktk/100 Tab 0 0
180 novapyron Ktk/100 Tab 558 0 0 100
181 OAT Anak paket 267400 0 0
182 Obat Kusta PB paket 0 0
183 Obat Kusta MB paket 0 0
184 Ringer Lactat Botol 7150 2 14300 0
185 Eritromicin Syr Botol 6461 0 0
186 OAT KATEGORI 1 Paket 447747 0 0
187 OAT KATEGORI 2 Paket 0 0
188 Regen Zn Paket 0 0
189 Larutan Giemsa Botol 0 0
190 ETSA Set 0 0
191 Devitalisasi Pasta Non Arsen Set 0 0
192 Kalsium Hidroksida Pasta Tube 0 0
193 Trichloro Formalin (TKF) Set 0 0
194 Klorfenol Kamfer Menthol (CHKM) Botol 0 0
195 Cresopate (Filling Of Root Canals) Set 0 0
196 Glass Ionomer Cement ART Set 0 0
197 Semen Seng Fosfat serbuk dan cairan Set 0 0
198 LC (Light Curring) A2-A3 Set 0 0
199 Caviton 0 0
200 D-pulp 0 0
Jumlah 840 2084587 6910
Penerimaan 01 Januari 2019 -

No Nama BHP Satuan Harga 06 Maret 2019
Volume Harga Volume
1 2 3 4 5 6 7
1 Etanol 70 % 100 ml Botol 0

2 Catgut Cromic 3-0 Box/12pcs 0 0
3 Catgut Cromic 2-0 Box/12pcs 0
4 Catgut Cromic 3-0 + Jarum 1/2 GT Box/24pcs 3
6 Catgut Plain 3-0 Box/12pcs 0
8 Catgut Plain 3-0 + Jarum 1/2 GT Box/24pcs 0
10 Foley Catheter Two Way No. 10 Pcs 0
15 0
16 Dermafix ktk/25 pcs 0
17 Silk Box/12pcs 0
18 Silk 2/0 + Jarum 1/2 GT Box/36pcs 0
20 Cathy IV. CANNULA 18G Box/100pcs 0
21 Steracath I.V Catheter No. 18G x 32 cm Box/50pcs 0
22 Abocath 20G Box/100pcs 0
23 Steracath I.V Catheter No. 20G Box/50pcs 0
28 Dispo 1cc Box/100pcs 10
29 Dispo 3cc Box/100pcs 20 0
30 Syringe Disposable 3 cc x 23 G Box/100pcs 0
31 Syringe Disposable 5 cc x 23 G Box/100pcs 0 0
33 Aximed Face Mask 3 Ply Ear Loop Box/50pcs 0
34 Onemed Mask 3 Ply Ear Loop Box/50pcs 0
35 Masker One med tali tie on Box 1
36 Kapas Pembalut 250gr Bks 1 0
37 Folay Cateter 18 Pcs 0
38 Foley Cateter 16 pcs 0
39 Gloves Surgical Steril No. 7 Psg 3 0
40 Gloves Surgical Steril No. 7,5 Psg 0
41 Gloves Surgical Steril No. 6.5 Psg 0
42 Gloves Surgical Steril No. 8 Psg 0
43 Gloves Surgical NonSteril M Box/100pcs 1 0
44 Gloves Surgical Non Steril Uk l Box/100pcs 0
45 Gloves Surgical NonSteril S Box/100pcs 0
46 Sarung Tangan Panjang Pcs 0
47 Gloves Surgical Steril Gynaecolog Psg 0
48 Infusion Set Dewasa Pcs 3
49 Infusion Set Anak set/kantong 0
50 Infuset Dewasa (tipe Y) Pcs 0
51 onemed Kapas pembalut / absorben 500gr Bks 0
52 Kasa Hidrofil Steril UK 16 x16 Box/16lbr 5 0
53 Kasa Hidrofil 36, x 80 cm Roll 0
55 Alkohol Swab Box 1
56 Etanol 70% 1000ml Botol 1 0
57 Rivanol Botol 0 0
58 Pengikat Tali Pusat Box/50pcs 5
59 Urine Bag Buah 0
60 lancet Box/100pcs 100
61 lisol botol 0
62 Povidon Iodin Lar 10% Botol 300ml 1 0
63 Fixomul Sretc Roll 0
64 onemed kassa pembalut hidrophil 4m x 15 cm Roll 0
65 Handsrub Botol 0
66 Leukoplast 2,5cm x 4,5 m Roll 0
67 Leukoplast 7,5cm x 4,5 roll 0
68 Leukomed Pcs 0
69 Easculap Blades - 15 Box/100pcs 0
71 Abate Pack/1000gr 0
72 iodium Test Btl 10ml 0
73 RDT DBD Box/20pcs 0
74 RDT Malaria Box/25pcs 0
75 Strip Glukosa Botol 0
76 Strip Asam Urat Botol 0
77 Strip Colesterol Botol 0
78 Antiseptik Gel Botol 0 0
79 Ultra One Tes Kehamilan Pcs 0
80 Uniflex 15cm x 4.5cm Roll 0
81 Uniflex 7,5cm x 4,5 m 0
82 Uniflex 10cm x 4,5 m 0
83 Paper Tape 2,5cm x 9,14 m 0
85 Tes Kehamilan Box/50pcs 0
86 Aximed Nasal O2 Canula Size M Pcs 0
87 Aximed Nasal O2 Canula Size S Pcs 0
88 Aximed Nasal O2 Canula Size L Pcs 0
89 Nasal O2 Bayi Pcs 0
90 Nasal O2 anak Pcs 0
91 Nasal O2 dewasa pcs 0
92 Bioplasenton Tulle 10 x 10 Sachet 0
93 Saraya Alsoft Pure 500ml Botol 0
94 Bonding set 0
95 Turniquit Pcs 0
96 Timer Buah 0
97 Pot Sputum botol 0
98 Test Kid Pemeriksaan Formalin Paket 0
99 Bisturi pcs 0
100 Arm Sling M pcs 0
101 Arm Sling L pcs 0
102 Pembalut Elastis perban Roll 0 0
103 Plester Roll Kain 7.5cm x 4.5cm Roll 0 0
104 Pembalut Gips Roll 0
105 Plesterin Non Woven Roll 5cm x 5 m Roll 0
Plastik Klip Sedang (6 x 10 cm) Pak 0
107 Objek Glass Frosted Box/72 Pcs 0
108 Kertas Puyer Pak 0
109 Kertas Puyer Press Pak 200 Buah 170 200
110 Plastik Sedang Pak 100 0
111 Ecodine 5 liter Botol 5000 ml 0
112 Reagen Pemeriksaan Golongan Darah paket 0
113 Reagen Pemeriksaan TB paket 0
114 Stik HIV Aids Pcs 0
115 Stik pemeriksaan HB Strip 0
116 Stik Pemeriksaan Narkoba (Ampethamine) Pcs 0
117 Stik Pemeriksaan Narkoba (Benzodiazepim) Pcs 0
118 Bahan Penambal Gigi SET 0
Jumlah
Mengetahui,
Kepala Puskesmas Taopa Penanggung Jaw
Bidan Desa Karya A
Yasir Syam, SKM Eni Ayuningsih,A.M

Nip. 19701125 199102 1 002 Nip. 19940208 20170
OPNAME
Penerimaan 01 Januari 2019 - Pengeluaran 01 Januari 2019 Sisa Stok Tanggal 25 April
31 Maret 2019 - 31 Maret 2019 2019
Harga Volume Harga Volume Harga

8 9 10 11 12
9240 120 9240 10 770
0 0 0 0
0 0 0 0
27500 10 2750 90 24750
45100 10 4510 110 49610
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
5700 30 2850 30 2850
50600 3 15180 12 60720
0 80 19840 0 0
0 0 0 0
0 0 0 0
0
0 0 0 0
22400 330 18480 70 3920
6294 5 10490 0 0
0 0 0
0
0 0 0 0
0 0 0 0
0 0 0 0
30900 250 25750 50 5150
0 0 0 0 0
0 0 0 0
6200 100 6200 0 0
0 0 0 0 0
63750 20 8500 130 55250
25750 0 0 5 25750
0 0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0
21300 10 14200 10 14200
162970 5 162970 0 0
25200 1 8400 2 16800
5950 40 4760 10 1190
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
2070 0 0 1 2070
28100 10 2810 90 25290
154500 20 30900 80 123600
14965 5 14965 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 9 10890 1 1210
6800 30 1020 200 6800
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0
14310 2 5724 3 8586
0 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
12300 50 4100 120 9840
0 0 0 0
36540 100 17400 130 22620
0 0 0 0
45000 3 9000 12 36000
13700 70 9590 30 4110
0 0 0 0 0
0 0 0 0
22300 20 4460 130 28990
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
13240 3 7944 2 5296
0 5 0 0 0
88000 0 0 200 88000
0 0 0 70 6230
0 0 0 0
17700 200 11800 200 11800
0 0 0 0
16000 10 800 190 15200
40410 5 13470 10 26940
14300 30 8580 20 5720
0 0 0 0
0 0 0 0
0 0 0 0
0 30 0 70 0
0 0 0 0 0
89490 5 44745 5 44745
4800 100 2400 170 4080
0 0 0 0
18750 50 6250 100 12500
0 0 0 0
0 0 0 0
0 10 20520 5 10260
0 0 0 0
12700 70 8890 30 3810
2610000 70 913500 130 1696500
74000 9 66600 6 44400
129000 9 116100 6 77400
0 0 0 0
3410000 10 341000 140 4774000
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 60 14580
0 0 3 10197
27800 200 27800 0 0
0 100 0 0 0
107000 20 21400 80 85600
0 0 0 0 0
59000 2 11800 8 47200
0 0 0 0
0 0 0 0
13600 100 13600 0 0
32050 3 19230 2 12820
0 0 0 0
0 0 0 50 45500
0 0 0 0
0 0 0 0
367500 30 367500 0 0
0 0 0 0
0 5 11750 0 0
0 0 0 0
0 5 0 0 0
27000 7 18900 3 8100
0 50 13750 50 13750
6160 3 3696 4 4928
0 0 0 0
0 0 0 0
0 0 0 0 0
82500 12 66000 3 16500
0 0 0 0
18000 300 18000 0 0
0 0 0 0
0 0 0 0
14100 70 9870 40 5640
0 0 1 0
0 0 0 0
29600 400 29600 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
1350000 100 1350000 0 0
66000 190 41800 110 24200
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0
5525 1 1105 4 4420
0 0 0 0
0 0 0 0
6130 7 8582 3 3678
8100 30 4050 60 8100
0 0 0 0
0 0 0 0
0 0 0 0
81200 150 60900 50 20300
0 0 0 0 0
8700 0 0 100 8700
0 0 0 0
0 0 0 0
0 0 0 0 0
36000 230 27600 70 8400
26400 190 25080 10 1320
0 0 0 0
0 0 0 0 0
14877 3 14877 0 0
0 0 0 0
8900 100 8900 0 0
0 0 0 0
0 0 0 0
0 0 0 0
55800 70 39060 30 16740
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 2 14300
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
9849771 4327 4202428 3423 7731930
Penerimaan 01 Januari 2019 - Pengeluaran 01 Januari 2019 Sisa Stok Tanggal 06 Maret
06 Maret 2019 - 06 Maret 2019 2019
8 9 10 11 12
0 0
15
10
0 20
0 0
0 1
0 3
0 1
0 5
1
0 1
0 0
5
100
0 1
0 0
0 0
0 0
170
Penanggung Jawab
Bidan Desa Karya Abadi
Eni Ayuningsih,A.Md.Keb
Nip. 19940208 201704 2 001
POLINDES KARYA AGUNG
PER 31 DESEMBER - 06 MARET 2019
Penerimaan 01 Januari
No Nama Obat Satuan Harga 2019 - 06 Maret 2019
Volume Harga Volume Harga
1 2 3 4 5 6 7 8
1 Amlodipin 5 mg Box/30Tablet 77 0 0 90 6930
2 Air Untuk Irigasi Injeksi Infus 25 ml Ampul 2860 0 0 0 0
3 Air untuk irigasi larutan botol 10700 0 0 0 0
4 Allopurinol Ktk/100 Tab 275 0 0 0 0
box/100Table
5 Albendazol Tab 400mg 451 0 0 0 0
t
box/100Table
6 Akarbose 657 0 0 0 0
t
box/100Table
7 Ambroxol 165 0 0 0 0
t
8 Aminofilin Injeksi Box/30amp 3080 0 0 0 0
box/100Table
9 Amitripilin Tab 165 0 0 0 0
t
box/100Table
10 Alprazolam 585 0 0 0 0
t
11 Amlodipin 10mg Box/30Tablet 95 100 9500 0 0
12 Amoksisilin SK Botol 5060 0 0 0 0
box/100Table
13 Amoksisilin Tab 248 0 0 0 0
t
14 Ampisilin Inj Vial 9473 0 0 0 0
Anastetik Lokal gigi kombinasi : Lidokain Hcl
15 Box/30 Amp 1317 0 0 0 0
2% + Epinefrin 1 : 80.000 Inj 2 ml
16 Antalgin Inj Box 5000 0 0 0 0

box/100Table
17 Antasida Doen Tab 56 100
t
18 Antasida Susp Botol 2098 0 0 5 10490
Antifungi Doen Salep, Kombinasi: Asam

19 Box/24 pot 5170 0 0 0 0
Benzoat 6%+Asam Salisilat 3%
20 Anti Malaria Tablet 2160 0 0 0 0
21 Antihemoroid box/10suppo 3542 0 0 10 35420
22 Asam Asetilsalisilat Box/100 Tab 99 0 0 0 0
box/100Table
23 Asam Mefenamat Tab 103 100 10300 0 0
t
24 Asam Tranexamat Inj Box/10amp 2530 0 0 0 0
25 Aminofilin Tab Botol/100tab 167 0 0 0 0
26 Asam Folat Botol/100tab 62 0 0 0 0
box/100Table
27 Asam Tranexamat Tab 2200 0 0 0 0
t
28 Asiklovir tab Tablet 425 100 42500 0 0
29 Asiklovir krim Tube 5150 5 25750 0 0
30 Attapulgit Box/100 Tab 237 0 0 0 0
31 Atropin Inj Box/100amp 1540 0 0 0 0
32 Aqua Pro Injeksi botol 2860 0 0 0 0
33 Bacitrasin + Polimiksin Salep Tube 3490 0 0 5 17450
34 Betametason krim Box, 24 Tube 1420 5 7100 5 7100

35 Betafor Botol 32594 0 0 0 0
36 Bedak salisil box 8400 0 0 4 33600
37 Betahistin Tab Tablet 119 0 0 0 0
38 Bisakodil Suppositoria 5 mg Box/ 6 Suppo 5670 0 0 0 0
Box/50
39 Bisakodil Suppositoria 10 mg 5900 0 0 0 0
Suppo
40 Bisakodil Suppositoria 5 mg tab Tablet 316 0 0 0 0
41 Bisoprolol Tablet 248 0 0 0 0
42 Burnazin (Perak Sulfadiazin) Tube 2070 0 0 0 0
box/100Table
43 Ciprofloksasin tab 281 0 0 0 0
t
44 Cefixim Box/50tab 1545 0 0 0 0
45 Cetirizin Syr Botol 2993 0 0 0 0
46 Cetirizin Kap Kapsul 97 0 0 0 0
Cendo Liters Botol 38980 0 0 0 0
47 Codein Tablet 657 0 0 0 0
48 Dekstran 70-larutan infus 6 % steril Botol 500 ml 11335 0 0 0 0
49 Deksametason inj Box/100 Amp 1210 5 6050 5 6050
50 Deksametason tab Tablet 34 100 3400 100 3400
Dihydroartemisin 40mg + Piperaquin
51 Box/9Tab 2160 0 0 0 0
Phospate 320mg
52 Dimenhidrinate tab Tablet 121 0 0 50 6050
53 Diazepam Tablet 0 0 0 0
54 Difenhidramine inj Box/30amp 1262 0 0 0 0
box/100Table
55 Digoksin 104 0 0 0 0
t
56 Diksisiklin Kapsul 100mg Box/100 Tab 264 0 0 0 0
57 Domperidon Susp botol 2862 5 14310 0 0
box/100Table
58 Domperidon Tab 90 100 9000 0 0
t
Dobutamin HCL Inj Vial 0 0 0 0
59 Eugenol Cairan Botol 0 0 0 0
60 Etil klorida semprot botol 0 0 0 0
61 Epinefrin Inj Box/100 Amp 1518 0 0 0 0
box/100Table
62 Eritromicin 0 0 0 0
t
63 Eritromicin SK Botol 0 0 0 0
box/100Table
64 Furosemid 82 0 0 0 0
t
65 Fitomenadion (Vit K) Tab Botol/100tab 818 0 0 0 0
66 Glimepirid Box/ 50 Tab 174 0 0 0 0

68 Gentian Violet Botol 3000 5 15000 0 0
box/100Table
69 Glibenklamid 137 0 0 0 0
t
box/100Table
70 Gliseril Guaikolat (Guaifenesin) 170 0 0 100 17000
t
71 Glukosa botol 6900 2 13800 0 0
box/100Table
72 Griseofulvin 223 100 22300 0 0
t
box/100Table
73 Haloperidol 0,5mg 0 0 0 0
t
74 Haloperidol 1,5 mg Box/100 Tab 59 0 0 0 0
box/100Table
75 Haloperidol 2 mg 1089 0 0 0 0
t
box/100Table
76 Haloperidol 5 mg 0 0 0 0
t
77 Hidroklortiazid Box/100 Tab 178 0 0 0 0
78 Hidrokortison krim Box 24 Tube 2648 0 0 0 0
79 Ibuprofen Syr Botol 0 0 0 0
box/100Table
80 Ibuprofen Tab 440 0 0 0 0
t
box/100Table
81 Isosorbit dinitrat 89 0 0 0 0
t
82 kalsium gluconas Box/24 Amp 0 0 0 0
box/100Table
83 Kalk 59 0 0 100 5900
t
box/100Table
84 Karbamazepin Tab 200mg 0 0 0 0
t
box/100Table
85 Kaptopril 80 60 4800 100 8000
t
86 Ketokonazol Krim Tube 2694 5 13470 0 0
87 Ketokonazol Tab Tablet 286 0 0 100 28600
88 klonidin 0,15 mg Tablet 0 0 0 0
Box/ 30
89 Klopidogrel Tab 75 mg 1469 0 0 0 0
Tablet
90 kloramfenikol tab 250mg Tablet 329 0 0 100 32900
91 kloramfenikol tab 500 mg Tablet 0 0 0 0
92 Kloramfenikol Salep Mata Tube 2013 0 0 2 4026
93 Kloramfenikol Susp Botol 8949 0 0 5 44745
94 klorpeniramine maleat Tablet 24 100 2400 100 2400
95 Klindamisin Kap Kapsul 59 0 0 0 0
box/100Table
96 Kotrimoksazol Tab 125 0 0 0 0
t
box/100Table
97 Klorpromazin tab 100 mg 26424 0 0 0 0
t
box/100Table
98 Klorpromazin tab 25 mg 0 0 0 0
t
99 Kotrimoksazol Susp Botol 2052 5 10260 0 0
100 Metoclopramid Box/100 Tab 0 0 0 0
101 Loratadin Tab 10mg Box/50 Tab 127 0 0 100 12700
102 Loperamid Box/100 Tab 13050 0 0 0 0
103 Kloramfenikol Tetes Telinga Botol 7400 5 37000 0 0
104 Kloramfenikol tetes mata Botol 12900 5 64500 0 0
105 Magnesium Sulfat (MgSO4) Botol 0 0 0 0
box/100Table
106 Metronidazol 34100 0 0 100 3410000
t
107 Metronidazol Ovula Suppo 3590 0 0 0 0
box/100Table
108 Metformin 500 mg 102 100 10200 100 10200
t
box/100Table
109 Meloksicam 4450 0 0 0 0
t
110 Mikonazol krim Tube 3926 0 0 0 0
box/100Table
111 Metampiron 222 0 0 0 0
t
box/100Table
112 Metil ergometrin Tab 243 0 0 0 0
t
113 Metil ergometrin inj Ampul 3399 0 0 0 0
114 metil prednison Tablet 139 100 13900 0 0
box/100Table
115 Multivitamin Dewasa Tablet (Lifron) 0 0 0 0
t
box/100Table
116 Multivitamin Tambah Darah (Hemafort) 1070 0 0 0 0
t
Multivitamin Tambah Darah (Hufabion) Kapsul 0 0 0 0
117 Novadyar Susp Botol 5900 0 0 0 0
118 Natrium Metamizole Inj Box/5Amp 0 0 0 0
Natrium Bikarbonat Tablet 134 0 0 0 0
119 Natrium Diklofenak Box/50tab 136 0 0 100 13600
120 NACL BOTOL 6410 0 0 0 0
box/100Table
121 Nifedipin 178 0 0 0 0
t
box/100Table
122 Nistatin Vaginal Tab 910 5 4550 0 0
t
123 Novachlor (Kloramfenikol) Tablet 0 0 0 0
124 N-Asetil Sistein Kapsul 412 0 0 0 0
Box/30
125 Omeprazol Kap 20mg 12250 0 0 180 2205000
kapsul
126 Omeprazol Inj Box/10 Vial 11868 0 0 0 0
127 Obat Batuk Hitam (OBH) Botol 2350 0 0 5 11750
128 Obat Batuk Hitam (OBH) Anak Botol 19898 0 0 0 0
129 Oksitetrasiklin HCL salep Mata Tube 0 0 0 0
130 Oksitetrasiklin HCL salep Kulit 3* Tube 2700 0 0 0 0
131 Oralit Sachet 275 0 0 10 2750
132 Oxytocin Ampul 1232 0 0 0 0
133 Oxitetrasiklin Inj Vial 0 0 0 0
134 Ondansentron Inj Ampul 0 0 0 0
135 Papaverin Tab 40mg Box/100 Tab 280 0 0 0 0
136 Parasetamol Syr Botol 5500 0 0 10 55000
137 Parasetamol Drops Botol 7646 0 0 0 0
box/100Table
138 Parasetamol Tab 60 100 6000 100 6000
t
139 Permetrin Krim Tube 53600 0 0 0 0
box/100Table
140 Pyrantel Pamoat Tab 331 0 0 8 2648
t
box/100Table
141 Piridoxin (Vit B6) 141 0 0 0 0
t
142 Povidon Iodin Botol 0 0 0 0
box/100Table
143 Primakuin Tab 0 0 0 0
t
box/100Table
144 Prednison 74 100 7400 100 7400
t
box/100Table
145 Propanolol 59 0 0 0 0
t
146 Perak Sulfadiazin Krim Tube 20700 0 0 0 0
147 Pyrantel Pamoat Susp Botol 11050 0 0 0 0
box/100Table
148 PTU 64090 0 0 0 0
t
box/100Table
149 Piroksikam 13500 0 0 200 2700000
t
box/100Table
150 Ranitidin Tab 220 0 0 100 22000
t
box/100Table
151 Scopma Plus 2190 0 0 0 0
t
152 Sefadroxil Kapsul Box/100 Tab 557 0 0 100 55700
153 Sefadroxil SK Botol 5286 0 0 0 0
154 Sianokobalamin (Vit B12) Btl/100 Tab 1126 0 0 0 0
155 Salep 24 pot 2797 0 0 5 13985
156 Ranitidin Injeksi Box/10amp 1105 0 0 10 11050
157 Retinol Vit A 100.000 UI Botol 21550 0 0 0 0
159 Sianokobalamin (Vit B12) Box/100amp 1226 0 0 0 0
160 Simvastatin Box/30Tablet 135 90 12150 90 12150
161 Sefotaxim Inj Box/2Vial 30600 0 0 0 0
162 Seftriaxon inj Box/2Vial 30600 0 0 0 0
163 Stimuno Botol 29400 0 0 5 147000
box/100Table
164 Tablet Tambah Darah FE 406 100 40600 300 121800
t
box/100Table
165 Tetrasiclin 520 0 0 0 0
t
box/100Table
166 Thiamin (Vit B1) Tab 87 0 0 100 8700
t
167 Thiamin (Vit B1) Injeksi Box/100amp 2500 0 0 0 0
168 Vagistin Suppo Box/10 suppo 0 0 0 0
169 Vit K inj Ampul 4083 0 0 0 0
170 Vit C Tablet 120 100 12000 100 12000
171 Vit B Com Tablet 132 100 13200 100 13200
172 Xylastin tab Tablet 0 0 0 0
box/100Table
173 Zinc 586 0 0 100 58600
t
174 Zinc Syr Botol 4959 0 0 5 24795
175 Anti migrain : Ergotamin tab 1mg Tablet 256 0 0 0 0
176 Salbutamol 4 mg box/100Tablet 89 0 0 100 8900
177 Biocombin Inj ktk/10 ampl 0 0 0 0
178 Diazepam Inj 5 ml ktk/5 amp 0 0 0 0
179 Diazepam Tab Ktk/100 Tab 0 0 0 0
180 novapyron Ktk/100 Tab 558 0 0 0 0
181 OAT Anak paket 267400 0 0 0 0
182 Obat Kusta PB paket 0 0 0 0
183 Obat Kusta MB paket 0 0 0 0
184 Ringer Lactat Botol 7150 0 0 0 0
185 Eritromicin Syr Botol 6461 0 0 0 0
186 OAT KATEGORI 1 Paket 447747 0 0 0 0
187 OAT KATEGORI 2 Paket 0 0 0 0
188 Regen Zn Paket 0 0 0 0
189 Larutan Giemsa Botol 0 0 0 0
190 ETSA Set 0 0 0 0
191 Devitalisasi Pasta Non Arsen Set 0 0 0 0
192 Kalsium Hidroksida Pasta Tube 0 0 0 0
193 Trichloro Formalin (TKF) Set 0 0 0 0
194 Klorfenol Kamfer Menthol (CHKM) Botol 0 0 0 0
195 Cresopate (Filling Of Root Canals) Set 0 0 0 0
196 Glass Ionomer Cement ART Set 0 0 0 0
197 Semen Seng Fosfat serbuk dan cairan Set 0 0 0 0
198 LC (Light Curring) A2-A3 Set 0 0 0 0
199 Caviton 0 0 0 0
200 D-pulp 0 0 0 0
Jumlah
No Nama BHP Satuan Harga 2019 - 06 Maret 2019
1 2 3 4 5 6 7 8
4 Catgut Cromic 3-0 + Jarum 1/2 GT Box/24pcs 0 24
15 0
17 Silk Box/12pcs 0
19 Silk 3/0 + Jarum 1/2 GT Box/36pcs 0 36
21 Steracath I.V Catheter No. 18G x 32 cm Box/50pcs 0 5
23 Steracath I.V Catheter No. 20G Box/50pcs 0 5
35 Masker One med tali tie on Box 0 1
36 Kapas Pembalut 250gr Bks 0
43 Gloves Surgical NonSteril M Box/100pcs 0
52 Kasa Hidrofil Steril UK 16 x16 Box/16lbr 0 2
55 Alkohol Swab Box 0 1
56 Etanol 70% 1000ml Botol 0
57 Rivanol Botol 0
58 Pengikat Tali Pusat Box/50pcs 0 25
59 Urine Bag Buah 0
61 lisol botol 0
62 Povidon Iodin Lar 10% Botol 300ml 0
65 Handsrub Botol 0
68 Leukomed Pcs 0
74 RDT Malaria Box/25pcs 0 15
78 Antiseptik Gel Botol 0
85 Tes Kehamilan Box/50pcs 0 15
94 Bonding set 0
95 Turniquit Pcs 0
96 Timer Buah 0
99 Bisturi pcs 0
102 Pembalut Elastis perban Roll 0
103 Plester Roll Kain 7.5cm x 4.5cm Roll 0 1
109 Kertas Puyer Press Pak 200 Buah 0
Jumlah
Mengetahui,
Kepala Puskesmas Moutong Penanggung Jawab
YASIR SYAM,SKM ..................................

Nip. 19701125 199102 1 002 Nip/NRPTT.
NAME
Pengeluaran 01 Januari 2019 - 06

Sisa Stok Tanggal 06 Maret 2019
Maret 2019
9 10 11 12
70 5390 20 1540
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0
100 9500 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
100 0
1 2098 4 8392
0 0 0 0
0 0 0 0
8 28336 2 7084
0 0 0 0
60 6180 40 4120
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
30 12750 70 29750
3 15450 2 10300
0 0 0 0
0 0 0 0
0 0 0 0
0 0 5 17450
7 9940 3 4260
0 0 0 0
1 8400 3 25200
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
8 9680 2 2420
160 5440 40 1360
0 0 0 0
0 0 50 6050
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
2 5724 3 8586
40 3600 60 5400
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
100 0
3 9000 2 6000
0 0 0 0
90 15300 10 1700
0 0 2 13800
20 4460 80 17840
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 100 5900
0 0 0 0
80 6400 80 6400
2 5388 3 8082
60 17160 40 11440
0 0 0 0
0 0 0 0
40 13160 60 19740
0 0 0 0
0 0 2 4026
3 26847 2 17898
120 2880 80 1920
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
3 6156 2 4104
0 0 0 0
70 8890 30 3810
0 0 0 0
22200 0 2 14800
4 51600 1 12900
0 0 0 0
40 1364000 60 2046000
0 0 0 0
120 12240 80 2040
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
20 2780 80 11120
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
80 10880 20 2720
0 0 0 0
0 0 0 0
0 0 5 4550
0 0 0 0
0 0 0 0
110 1347500 70 857500
0 0 0 0
3 7050 2 4700
0 0 0 0
0 0 0 0
0 0 0 0
0 0 10 2750
0 0 0 0
0 0 0 0
0 0 0
0 0 0 0
8 44000 2 11000
0 0 0 0
160 9600 40 2400
0 0 0
4 1324 4 1324
0 0 0 0
0 0 0 0
0 0 0 0
130 9620 70 5180
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
120 1620000 80 1080000
100 22000 0 0
0 0 0 0
100 55700 0 0
0 0 0 0
0 0 0 0
3 8391 2 5594
6 6630 4 4420
0 0 0 0
0 0 0 0
0 0 0 0
120 16200 60 8100
0 0 0 0
0 0 0 0
5 147000 0 0
360 146160 40 16240
0 0 0 0
60 5220 40 3480
0 0 0 0
0 0 0 0
0 0 0 0
170 20400 30 3600
180 23760 20 2640
0 0 0 0
20 11720 80 46880
2 9918 3 14877
0 0 0 0
50 4450 50 4450
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 0
Pengeluaran 01 Januari 2019 - 06

Maret 2019
9 10 11 12
3 21
16 20
0 5
0 5
0 100
45 15
1 0
2 0
1 0
0 25
10 5
5 10
31-Dec 0
nanggung Jawab
..................
POSKESDES NUNU RANTAI
PER 31 DESEMBER - 06 MARET 2019
No Nama Obat Satuan Harga 2019 - 06 Maret 2019
Volume Harga Volume

1 2 3 4 5 6 7
1 Amlodipin 5 mg Box/30Tablet 77 20 1540 0
2 Air Untuk Irigasi Injeksi Infus 25 ml Ampul 2860 0 0
3 Air untuk irigasi larutan botol 10700 0 0
5 Albendazol Tab 400mg box/100Tablet 451 0 0
6 Akarbose box/100Tablet 657 0 0
7 Ambroxol box/100Tablet 165 0 0 0
8 Aminofilin Injeksi Box/30amp 3080 0 0
9 Amitripilin Tab box/100Tablet 165 0 0
10 Alprazolam box/100Tablet 585 0 0
13 Amoksisilin Tab box/100Tablet 248 20 4960
14 Ampisilin Inj Vial 9473 0 0
Anastetik Lokal gigi kombinasi : Lidokain Hcl
15 Box/30 Amp 1317 0 0
2% + Epinefrin 1 : 80.000 Inj 2 ml
16 Antalgin Inj Box 5000 0 0
17 Antasida Doen Tab box/100Tablet 56 10 560 0
Antifungi Doen Salep, Kombinasi: Asam

19 Box/24 pot 5170 0 0
Benzoat 6%+Asam Salisilat 3%
20 Anti Malaria Tablet 2160 0 0

21 Antihemoroid box/10suppo 3542 0 0
22 Asam Asetilsalisilat Box/100 Tab 99 0 0
23 Asam Mefenamat Tab box/100Tablet 103 50 5150
24 Asam Tranexamat Inj Box/10amp 2530 0 0
25 Aminofilin Tab Botol/100tab 167 0 0

27 Asam Tranexamat Tab box/100Tablet 2200 0 0
28 Asiklovir tab Tablet 425 0 0
29 Asiklovir krim Tube 5150 0 0
30 Attapulgit Box/100 Tab 237 0 0
31 Atropin Inj Box/100amp 1540 0 0
32 Aqua Pro Injeksi botol 2860 0 0
33 Bacitrasin + Polimiksin Salep Tube 3490 0 0
34 Betametason krim Box, 24 Tube 1420 0 0
35 Betafor Botol 32594 0 0
36 Bedak salisil box 8400 6 50400
37 Betahistin Tab Tablet 119 0 0
38 Bisakodil Suppositoria 5 mg Box/ 6 Suppo 5670 0 0
39 Bisakodil Suppositoria 10 mg Box/50 Suppo 5900 0 0
40 Bisakodil Suppositoria 5 mg tab Tablet 316 0 0

41 Bisoprolol Tablet 248 0 0
42 Burnazin (Perak Sulfadiazin) Tube 2070 0 0
43 Ciprofloksasin tab box/100Tablet 281 100 28100 0
44 Cefixim Box/50tab 1545 0 0
45 Cetirizin Syr Botol 2993 0 0
46 Cetirizin Kap Kapsul 97 0 0
Cendo Liters Botol 38980 0 0
48 Dekstran 70-larutan infus 6 % steril Botol 500 ml 11335 0 0
49 Deksametason inj Box/100 Amp 1210 2 2420

50 Deksametason tab Tablet 34 140 4760
Dihydroartemisin 40mg + Piperaquin Phospate
51 Box/9Tab 2160 0 0
320mg
52 Dimenhidrinate tab Tablet 121 0 0
53 Diazepam Tablet 0 0
54 Difenhidramine inj Box/30amp 1262 0 0
55 Digoksin box/100Tablet 104 0 0
56 Diksisiklin Kapsul 100mg Box/100 Tab 264 0 0
57 Domperidon Susp botol 2862 0 0
58 Domperidon Tab box/100Tablet 0 0 0
Dobutamin HCL Inj Vial 0 0
59 Eugenol Cairan Botol 0 0
60 Etil klorida semprot botol 0 0
61 Epinefrin Inj Box/100 Amp 1518 0 0
62 Eritromicin box/100Tablet 0 0
63 Eritromicin SK Botol 0 0
64 Furosemid box/100Tablet 82 0 0
65 Fitomenadion (Vit K) Tab Botol/100tab 818 0 0
66 Glimepirid Box/ 50 Tab 174 0 0
68 Gentian Violet Botol 3000 0 0
69 Glibenklamid box/100Tablet 137 0 0 0
70 Gliseril Guaikolat (Guaifenesin) box/100Tablet 60 0 0
71 Glukosa botol 6900 0 0
72 Griseofulvin box/100Tablet 223 80 17840 0
73 Haloperidol 0,5mg box/100Tablet 0 0
74 Haloperidol 1,5 mg Box/100 Tab 59 0 0
75 Haloperidol 2 mg box/100Tablet 1089 0 0
76 Haloperidol 5 mg box/100Tablet 0 0
77 Hidroklortiazid Box/100 Tab 178 0 0
78 Hidrokortison krim Box 24 Tube 2648 0 0
79 Ibuprofen Syr Botol 0 0
80 Ibuprofen Tab box/100Tablet 440 100 44000 100
81 Isosorbit dinitrat box/100Tablet 89 0 0
83 Kalk box/100Tablet 59 100 5900 0
84 Karbamazepin Tab 200mg box/100Tablet 0 0
85 Kaptopril box/100Tablet 80 0 0
86 Ketokonazol Krim Tube 2694 0 0
87 Ketokonazol Tab Tablet 286 0 0
89 Klopidogrel Tab 75 mg Box/ 30 Tablet 1469 0 0
92 Kloramfenikol Salep Mata Tube 2013 0 0
93 Kloramfenikol Susp Botol 8949 0 0
94 klorpeniramine maleat Tablet 24 70 1680 0
96 Kotrimoksazol Tab box/100Tablet 125 70 8750 0
97 Klorpromazin tab 100 mg box/100Tablet 26424 0 0
98 Klorpromazin tab 25 mg box/100Tablet 0 0
99 Kotrimoksazol Susp Botol 2052 6 12312 0
100 Metoclopramid Box/100 Tab 0 0
102 Loperamid Box/100 Tab 13050 0 0
103 Kloramfenikol Tetes Telinga Botol 7400 0 0
104 Kloramfenikol tetes mata Botol 12900 0 0
106 Metronidazol box/100Tablet 34100 0 0 0
108 Metformin 500 mg box/100Tablet 102 0 0
109 Meloksicam box/100Tablet 4450 0 0
110 Mikonazol krim Tube 3926 0 0
111 Metampiron box/100Tablet 222 40 8880
112 Metil ergometrin Tab box/100Tablet 243 0 0
113 Metil ergometrin inj Ampul 3399 0 0
115 Multivitamin Dewasa Tablet (Lifron) box/100Tablet 0 0
116 Multivitamin Tambah Darah (Hemafort) box/100Tablet 1070 0 0
Multivitamin Tambah Darah (Hufabion) Kapsul 0 0
117 Novadyar Susp Botol 5900 2 11800
Natrium Bikarbonat Tablet 134 0 0
119 Natrium Diklofenak Box/50tab 136 0 0
120 NACL BOTOL 6410 2 12820 3
121 Nifedipin box/100Tablet 178 0 0
122 Nistatin Vaginal Tab box/100Tablet 910 100 91000
125 Omeprazol Kap 20mg Box/30 kapsul 12250 0 0
128 Obat Batuk Hitam (OBH) Anak Botol 19898 0 0
129 Oksitetrasiklin HCL salep Mata Tube 0 0
130 Oksitetrasiklin HCL salep Kulit 3* Tube 2700 0 0
131 Oralit Sachet 275 0 0
132 Oxytocin Ampul 1232 0 0
135 Papaverin Tab 40mg Box/100 Tab 280 0 0
137 Parasetamol Drops Botol 7646 0 0
138 Parasetamol Tab box/100Tablet 60 60 3600
140 Pyrantel Pamoat Tab box/100Tablet 331 0 0
141 Piridoxin (Vit B6) box/100Tablet 141 0 0
143 Primakuin Tab box/100Tablet 0 0
144 Prednison box/100Tablet 74 0 0
145 Propanolol box/100Tablet 59 0 0
148 PTU box/100Tablet 64090 0 0
149 Piroksikam box/100Tablet 13500 0 0
150 Ranitidin Tab box/100Tablet 220 0 0
151 Scopma Plus box/100Tablet 2190 0 0
152 Sefadroxil Kapsul Box/100 Tab 557 100 55700 0
153 Sefadroxil SK Botol 5286 0 0
155 Salep 24 pot 2797 0 0
156 Ranitidin Injeksi Box/10amp 1105 0 0
159 Sianokobalamin (Vit B12) Box/100amp 1226 0 0
160 Simvastatin Box/30Tablet 135 0 0
163 Stimuno Botol 29400 0 0
164 Tablet Tambah Darah FE box/100Tablet 406 0 0
165 Tetrasiclin box/100Tablet 520 0 0
166 Thiamin (Vit B1) Tab box/100Tablet 87 470 40890 0
169 Vit K inj Ampul 4083 0 0
170 Vit C Tablet 120 0 0
171 Vit B Com Tablet 132 0 0
173 Zinc box/100Tablet 586 0 0
174 Zinc Syr Botol 4959 0 0
176 Salbutamol 4 mg box/100Tablet 89 0 0
180 novapyron Ktk/100 Tab 558 0 0
184 Ringer Lactat Botol 7150 0 0
190 ETSA Set 0 0
199 Caviton 0 0
200 D-pulp 0 0
Jumlah
2019 - 06 Maret 2019
No Nama BHP Satuan Harga
Volume Harga Volume
1 2 3 4 5 6 7

2 Catgut Cromic 3-0 Box/12pcs 0 0
5 Catgut Cromic 2-0 + Jarum 1/2 GT Box/24pcs 0 0
15 0
17 Silk Box/12pcs 0
31 Syringe Disposable 5 cc x 23 G Box/100pcs 0 0
52 Kasa Hidrofil Steril UK 16 x16 Box/16lbr 0
57 Rivanol Botol 0
59 Urine Bag Buah 0
61 lisol botol 0
65 Handsrub Botol 0
68 Leukomed Pcs 0
94 Bonding set 0
95 Turniquit Pcs 0
96 Timer Buah 0
99 Bisturi pcs 0
103 Plester Roll Kain 7.5cm x 4.5cm Roll 0
Jumlah
Mengetahui,
Kepala Puskesmas Moutong Penanggung Jawab
YASIR SYAM,SKM ..................................

Nip. 19701125 199102 1 002 Nip/NRPTT.
OPNAME
Penerimaan 01 Januari Pengeluaran 01 Januari Sisa Stok Tanggal 06 Maret

2019 - 06 Maret 2019 2019 - 06 Maret 2019 2019

8 9 10 11 12
0 20 1540 0 0
0 0 0
0 0 0
0 30 8250 0 0
0 0 0
0 0 0
0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0
0 0 0 0 0
0 20 4960 0 0
0 0 0
0 0 0
0 0 0
0 10 560 0 0
0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 40 4120 10 1030
0 0 0
0 0 0
0 0 0 0 0
0 0 0
0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 6 50400
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 100 28100
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 2 2420
0 10 340 130 4420
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0
0 0 0 20 0
0 0 0
0 0 0 80 17840
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
44000 100 44000 0 0
0 0 0
0 0 0
0 100 5900 0 0
0 0 0
0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 100 0
0 0 0
0 0 0
0 10 240 60 1440
0 0 0
0 0 0 70 8750
0 0 0
0 0 0
0 0 0 6 12312
0 0 0
12700 0 0 100 12700
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 40 8880
0 0 0
0 0 0
0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 2 11800
0 0 0
0 0 0
0 0 0
19230 0 2 12820
0 0 0
0 10 9100 90 81900
0 0 0
0 0 0
0 0 0
0 0 0
0 30 70500 20 47000
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 6 33000
0 0 0
0 20 1200 40 2400
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 100 55700
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 470 40890
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
Penerimaan 01 Januari Pengeluaran 01 Januari Sisa Stok Tanggal 06 Maret

2019 - 06 Maret 2019 2019 - 06 Maret 2019 2019

8 9 10 11 12
0 0 0
1 2
0 0
15 5
0 0
Penanggung Jawab
..................................
Nip/NRPTT.
GIZI PKM TAOPA
PER DESEMBER 2018 - MARET 2019
Penerimaan Jan-Maret
Stok Desember 2018 Pengeluaran Jan-Maret2019 Sisa Stok Maret 2019
2019
No Nama Obat Satuan Harga
Volume Harga Volume Harga Volume Harga Volume Harga
1 2 2 4 5 6 7 8 9 10 11 12
1 Amlodipin 5 mg Box/30Tablet 77 0 0 0 0 0 0 0 0
2 Air Untuk Irigasi Injeksi Infus 25 ml Ampul 2860 0 0 0 0 0 0 0 0
3 Air untuk irigasi larutan botol 10700 0 0 0 0 0 0 0 0

4 Allopurinol Ktk/100 Tab 275 0 0 0 0 0 0 0 0
box/100Table
5 Albendazol Tab 400mg 451 0 0 0 0 0 0 0 0
t
box/100Table
6 Akarbose 657 0 0 0 0 0 0 0 0
t
box/100Table
7 Ambroxol 165 0 0 0 0 0 0 0 0
t
8 Aminofilin Injeksi Box/30amp 3080 0 0 0 0 0 0 0 0
box/100Table
9 Amitripilin Tab 165 0 0 0 0 0 0 0 0
t
box/100Table
10 Alprazolam 585 0 0 0 0 0 0 0 0
t
11 Amlodipin 10mg Box/30Tablet 95 0 0 0 0 0 0 0 0
12 Amoksisilin SK Botol 5060 0 0 0 0 0 0 0 0
box/100Table
13 Amoksisilin Tab 248 0 0 0 0 0 0 0 0
t
14 Ampisilin Inj Vial 9473 0 0 0 0 0 0 0 0
Anastetik Lokal gigi kombinasi : Lidokain Hcl 2% +

15 Box/30 Amp 1317 0 0 0 0 0 0 0 0
Epinefrin 1 : 80.000 Inj 2 ml
16 Antalgin Inj Box 5000 0 0 0 0 0 0 0 0

box/100Table
17 Antasida Doen Tab 56 0 0 0 0 0 0 0 0
t
18 Antasida Susp Botol 2098 0 0 0 0 0 0 0 0
Antifungi Doen Salep, Kombinasi: Asam Benzoat 6%

19 Box/24 pot 5170 0 0 0 0 0 0 0 0
+Asam Salisilat 3%
20 Anti Malaria Tablet 2160 0 0 0 0 0 0 0 0

21 Antihemoroid box/10suppo 3542 0 0 0 0 0 0 0
22 Asam Asetilsalisilat Box/100 Tab 99 0 0 0 0 0 0 0 0
box/100Table
23 Asam Mefenamat Tab 103 0 0 0 0 0 0 0 0
t
24 Asam Tranexamat Inj Box/10amp 2530 0 0 0 0 0 0 0 0
25 Aminofilin Tab Botol/100tab 167 0 0 0 0 0 0 0 0
26 Asam Folat Botol/100tab 62 0 0 0 0 0 0 0 0

box/100Table
27 Asam Tranexamat Tab 2200 0 0 0 0 0 0
t
28 Asiklovir tab Tablet 425 0 0 0 0 0 0 0 0
29 Asiklovir krim Tube 5150 0 0 0 0 0 0 0 0
30 Attapulgit Box/100 Tab 237 0 0 0 0 0 0 0 0

31 Atropin Inj Box/100amp 1540 0 0 0 0 0 0 0 0
32 Aqua Pro Injeksi botol 2860 0 0 0 0 0 0 0 0
33 Bacitrasin + Polimiksin Salep Tube 3490 0 0 0 0 0 0 0 0
34 Betametason krim Box, 24 Tube 1420 0 0 0 0 0 0 0 0

35 Betafor Botol 32594 5000 162970000 0 0 5000 162970000 0 0
36 Bedak salisil box 8400 0 0 0 0 0 0 0 0
37 Betahistin Tab Tablet 119 0 0 0 0 0 0 0 0
38 Bisakodil Suppositoria 5 mg Box/ 6 Suppo 5670 0 0 0 0 0 0 0 0
Box/50
39 Bisakodil Suppositoria 10 mg 5900 0 0 0 0 0 0 0 0
Suppo
40 Bisakodil Suppositoria 5 mg tab Tablet 316 0 0 0 0 0 0 0 0
41 Bisoprolol Tablet 248 0 0 0 0 0 0 0 0
42 Burnazin (Perak Sulfadiazin) Tube 2070 0 0 0 0 0 0 0 0
box/100Table
43 Ciprofloksasin tab 281 0 0 0 0 0 0 0 0
t
44 Cefixim Box/50tab 1545 0 0 0 0 0 0 0 0
45 Cetirizin Syr Botol 2993 0 0 0 0 0 0 0 0
46 Cetirizin Kap Kapsul 97 0 0 0 0 0 0 0 0
Cendo Liters Botol 38980 0 0 0 0 0 0
47 Codein Tablet 657 0 0 0 0 0 0 0
48 Dekstran 70-larutan infus 6 % steril Botol 500 ml 11335 0 0 0 0 0 0 0
49 Deksametason inj Box/100 Amp 1210 0 0 0 0 0 0 0 0
50 Deksametason tab Tablet 34 0 0 0 0 0 0 0 0

51 Box/9Tab 2160 0 0 0 0 0 0 0 0
320mg
52 Dimenhidrinate tab Tablet 121 0 0 0 0 0 0 0 0
53 Diazepam Tablet 0 0 0 0 0 0
54 Difenhidramine inj Box/30amp 1262 0 0 0 0 0 0 0 0

box/100Table
55 Digoksin 104 0 0 0 0 0 0 0 0
t
56 Diksisiklin Kapsul 100mg Box/100 Tab 264 0 0 0 0 0 0 0 0
57 Domperidon Susp botol 2862 0 0 0 0 0 0 0 0
box/100Table
58 Domperidon Tab 90 0 0 0 0 0 0 0 0
t
Dobutamin HCL Inj Vial 0 0 0 0 0 0 0 0
59 Eugenol Cairan Botol 0 0 0 0 0 0 0 0

60 Etil klorida semprot botol 0 0 0 0 0 0 0 0
61 Epinefrin Inj Box/100 Amp 1518 0 0 0 0 0 0 0 0
box/100Table
62 Eritromicin 0 0 0 0 0 0 0 0
t
63 Eritromicin SK Botol 0 0 0 0 0 0 0
box/100Table
64 Furosemid 82 0 0 0 0 0 0 0 0
t
65 Fitomenadion (Vit K) Tab Botol/100tab 818 0 0 0 0 0 0 0 0
66 Glimepirid Box/ 50 Tab 174 0 0 0 0 0 0 0 0
67 Glimepirid 2 mg Box/ 50 Tab 0 0 0 0 0 0 0
68 Gentian Violet Botol 3000 0 0 0 0 0 0 0 0
box/100Table
69 Glibenklamid 137 0 0 0 0 0 0 0 0
t
box/100Table
70 Gliseril Guaikolat (Guaifenesin) 0 0 0 0 0 0 0 0
t
71 Glukosa botol 6900 0 0 0 0 0 0 0 0
box/100Table
72 Griseofulvin 223 0 0 0 0 0 0 0 0
t
box/100Table
73 Haloperidol 0,5mg 0 0 0 0 0 0 0 0
t
74 Haloperidol 1,5 mg Box/100 Tab 59 0 0 0 0 0 0 0 0
box/100Table
75 Haloperidol 2 mg 1089 0 0 0 0 0 0 0 0
t
box/100Table
76 Haloperidol 5 mg 0 0 0 0 0 0 0 0
t
77 Hidroklortiazid Box/100 Tab 178 0 0 0 0 0 0 0 0
78 Hidrokortison krim Box 24 Tube 2648 0 0 0 0 0 0 0 0
79 Ibuprofen Syr Botol 0 0 0 0 0 0 5 0
box/100Table
80 Ibuprofen Tab 440 0 0 0 0 0 0 0 0
t
box/100Table
81 Isosorbit dinitrat 89 0 0 0 0 0
t
82 kalsium gluconas Box/24 Amp 0 0 0 0 0
box/100Table
83 Kalk 59 0 0 0 0 0 0 0 0
t
box/100Table
84 Karbamazepin Tab 200mg 0 0 0 0 0
t
box/100Table
85 Kaptopril 80 0 0 0 0 0 0 0 0
t
86 Ketokonazol Krim Tube 2694 0 0 0 0 0 0 0 0
87 Ketokonazol Tab Tablet 286 0 0 0 0 0 0 0 0
88 klonidin 0,15 mg Tablet 0 0 0 0 0
Box/ 30
89 Klopidogrel Tab 75 mg 1469 0 0 0 0 0
Tablet
90 kloramfenikol tab 250mg Tablet 329 0 0 0 0 0
91 kloramfenikol tab 500 mg Tablet 0 0 0 0 0 0 0 0
92 Kloramfenikol Salep Mata Tube 2013 0 0 0 0 0
93 Kloramfenikol Susp Botol 8949 0 0 0 0 0 0 0 0
94 klorpeniramine maleat Tablet 24 0 0 0 0 0
95 Klindamisin Kap Kapsul 59 0 0 0 0 0
box/100Table
96 Kotrimoksazol Tab 125 0 0 0 0 0 0 0 0
t
box/100Table
97 Klorpromazin tab 100 mg 26424 0 0 0 0 0
t
box/100Table
t
99 Kotrimoksazol Susp Botol 2052 0 0 0 0 0
100 Metoclopramid Box/100 Tab 0 0 0 0 0 0 0 0
101 Loratadin Tab 10mg Box/50 Tab 127 0 0 0 0 0 0 0 0
102 Loperamid Box/100 Tab 13050 0 0 0 0 0 0 0 0
103 Kloramfenikol Tetes Telinga Botol 7400 0 0 0 0 0 0 0 0
104 Kloramfenikol tetes mata Botol 12900 0 0 0 0 0 0 0 0
105 Magnesium Sulfat (MgSO4) Botol 0 0 0 0 0
box/100Table
106 Metronidazol 34100 0 0 0 0 0 0 0 0
t
107 Metronidazol Ovula Suppo 3590 0 0 0 0 0 0
box/100Table
108 Metformin 500 mg 102 0 0 0 0 0 0 0 0
t
box/100Table
109 Meloksicam 4450 0 0 0 0 0 0
t
110 Mikonazol krim Tube 3926 0 0 0 0 0 0 0 0
box/100Table
111 Metampiron 222 0 0 0 0 0 0 0 0
t
box/100Table
112 Metil ergometrin Tab 243 0 0 0 0 0
t
113 Metil ergometrin inj Ampul 3399 0 0 0 0 0 0 0 0
114 metil prednison Tablet 139 0 0 0 0 0 0 0 0
box/100Table
115 Multivitamin Dewasa Tablet (Lifron) 0 0 0 0 0
t
box/100Table
116 Multivitamin Tambah Darah (Hemafort) 1070 0 0 0 0 0
t
117 Multivitamin Tambah Darah (Novabion) Kapsul 0 0 0 0 0 0 0 0
118 Novadyar Susp Botol 5900 0 0 0 0 0 0 0 0
119 Natrium Metamizole Inj Box/5Amp 0 0 0 0 0
120 Natrium Bikarbonat Tablet 134 0 0 0 0 0
121 Natrium Diklofenak Box/50tab 136 0 0 0 0 0 0 0 0
122 NACL BOTOL 6410 0 0 0 0 0 0 0 0
box/100Table
123 Nifedipin 178 0 0 0 0 0
t
box/100Table
124 Nistatin Vaginal Tab 910 0 0 0 0 0
t
125 Novachlor (Kloramfenikol) Tablet 0 0 0 0 0
126 N-Asetil Sistein Kapsul 412 0 0 0 0 0
Box/30
127 Omeprazol Kap 20mg 12250 0 0 0 0 0
kapsul
128 Omeprazol Inj Box/10 Vial 11868 0 0 0 0 0
129 Obat Batuk Hitam (OBH) Botol 2350 0 0 0 0 0
130 Obat Batuk Hitam (OBH) Anak Botol 19898 0 0 0 0 0 0 0 0
131 Oksitetrasiklin HCL salep Mata Tube 0 0 0 0 0
132 Oksitetrasiklin HCL salep Kulit 3* Tube 2700 0 0 0 0 0 0 0 0
133 Oralit Sachet 275 0 0 0 0 0 0 0 0
134 Oxytocin Ampul 1232 0 0 0 0 0 0 0 0
135 Oxitetrasiklin Inj Vial 0 0 0 0 0
136 Ondansentron Inj Ampul 0 0 0 0 0
137 Papaverin Tab 40mg Box/100 Tab 280 0 0 0 0 0 0 0 0
138 Parasetamol Syr Botol 5500 0 0 0 0 0 0 0 0
139 Parasetamol Drops Botol 7646 0 0 0 0 0 0 0 0
box/100Table
140 Parasetamol Tab 60 200 12000 0 0 200 12000 0 0
t
141 Permetrin Krim Tube 53600 0 0 0 0 0
box/100Table
142 Pyrantel Pamoat Tab 331 0 0 0 0 0
t
box/100Table
143 Piridoxin (Vit B6) 141 0 0 0 0 0
t
144 Povidon Iodin Botol 0 0 0 0 0
box/100Table
145 Primakuin Tab 0 0 0 0 0
t
box/100Table
146 Prednison 74 0 0 0 0 0
t
box/100Table
147 Propanolol 59 0 0 0 0 0
t
148 Perak Sulfadiazin Krim Tube 20700 0 0 0 0 0
149 Pyrantel Pamoat Susp Botol 11050 0 0 0 0 0
box/100Table
150 PTU 64090 0 0 0 0 0
t
box/100Table
151 Piroksikam 13500 0 0 0 0 0 0 0 0
t
box/100Table
152 Ranitidin Tab 220 0 0 0 0 0 0 0 0
t
box/100Table
153 Scopma Plus 2190 0 0 0 0 0 0 0 0
t
154 Sefadroxil Kapsul Box/100 Tab 557 0 0 0 0 0 0 0 0
155 Sefadroxil SK Botol 5286 0 0 0 0 0 0 0 0
156 Sianokobalamin (Vit B12) Btl/100 Tab 1126 0 0 0 0 0
157 Salep 24 pot 2797 0 0 0 0 0 0 0 0
158 Ranitidin Injeksi Box/10amp 1105 0 0 0 0 0
159 Retinol Vit A 100.000 UI Botol 21550 0 0 0 0 0
161 Sianokobalamin (Vit B12) Box/100amp 1226 0 0 0 0 0 0 0
162 Simvastatin Box/30Tablet 135 0 0 0 0 0 0 0 0
163 Sefotaxim Inj Box/2Vial 30600 0 0 0 0 0
164 Seftriaxon inj Box/2Vial 30600 0 0 0 0 0
165 Stimuno Botol 29400 0 0 0 0 0
box/100Table
166 Tablet Tambah Darah FE 406 3000 1218000 0 0 3000 1218000 0 0
t
box/100Table
167 Tetrasiclin 520 0 0 0 0 0
t
box/100Table
168 Thiamin (Vit B1) Tab 87 0 0 0 0 0 0 0 0
t
169 Thiamin (Vit B1) Injeksi Box/100amp 2500 0 0 0 0 0
170 Vagistin Suppo Box/10 suppo 0 0 0 0 0
171 Vit K inj Ampul 4083 0 0 0 0 0 0 0 0
172 Vit C Tablet 120 0 0 0 0 0 0 0 0
173 Vit B Com Tablet 132 500 66000 0 0 500 66000 0 0
174 Xylastin tab Tablet 0 0 0 0 0
box/100Table
175 Zinc 586 0 0 0 0 0 0 0 0
t
176 Zinc Syr Botol 4959 0 0 0 0 0 0 0 0
177 Anti migrain : Ergotamin tab 1mg Tablet 256 0 0 0 0 0
178 Salbutamol 4 mg box/100Tablet 89 0 0 0 0 0 0 0 0
179 Biocombin Inj ktk/10 ampl 0 0 0 0 0
180 Diazepam Inj 5 ml ktk/5 amp 0 0 0 0 0
181 Diazepam Tab Ktk/100 Tab 0 0 0 0 0
182 novapyron Ktk/100 Tab 558 0 0 0 0 0 0 0 0
183 OAT Anak paket 267400 0 0 0 0 0
184 Obat Kusta PB paket 0 0 0 0 0
185 Obat Kusta MB paket 0 0 0 0 0
186 Ringer Lactat Botol 7150 0 0 0 0 0 0 0 0
187 Eritromicin Syr Botol 6461 0 0 0 0 0
188 OAT KATEGORI 1 Paket 447747 0 0 0 0 0
190 Regen Zn Paket 0 0 0 0 0
191 Larutan Giemsa Botol 0 0 0 0 0
192 ETSA Set 0 0 0 0 0
193 Devitalisasi Pasta Non Arsen Set 0 0 0 0 0
194 Kalsium Hidroksida Pasta Tube 0 0 0 0 0
195 Trichloro Formalin (TKF) Set 0 0 0 0 0
196 Klorfenol Kamfer Menthol (CHKM) Botol 0 0 0 0 0
197 Cresopate (Filling Of Root Canals) Set 0 0 0 0 0
198 Glass Ionomer Cement ART Set 0 0 0 0 0
199 Semen Seng Fosfat serbuk dan cairan Set 0 0 0 0 0
200 LC (Light Curring) A2-A3 Set 0 0 0 0 0
201 Caviton 0 0 0 0 0
202 D-pulp 0 0 0 0 0
Jumlah
Stok Per 31 Desember Penerimaan 01 Januari Pengeluaran 01 Januari 2019 - 06

Nama BHP Satuan Harga 2018 2019 - 06 Maret 2019 Maret 2019
No
2 3 4 5 6 7 8 9 10 11 12
1
Etanol 70 % 100 ml Botol 0
14
16 Silk Box/12pcs 0
56 Rivanol Botol 4
58 Urine Bag Buah 5
60 lisol botol 0
64 Handsrub Botol 2
67 Leukomed Pcs 0
93 Bonding set 0
94 Turniquit Pcs 0
95 Timer Buah 0
98 Bisturi pcs 0
106 Plastik Klip Sedang (6 x 10 cm) Pak 0
Objek Glass Frosted Box/72 Pcs 0
118 Jumlah
Mengetahui,
Kepala Puskesmas Taopa Penanggung Jawab
YASIR SYAM, SKM Ririn Yuliandari, A.Md.Gz

Nip. 19701125 199102 1 002 Nip/NRPTT.
GIZI PKM TAOPA
PER APRIL 2019
Stok Maret 2019 Penerimaan April 2019 Pengeluaran April 2019 Sisa Stok April 2019
1 2 2 4 5 6 7 8 9 10 11 12
1 Amlodipin 5 mg Box/30Tablet 77 0 0 0 0 0 0 0

box/100Table
t
box/100Table
6 Akarbose 657 0 0 0 0 0 0 0 0
t
box/100Table
7 Ambroxol 165 0 0 0 0 0 0 0 0
t
box/100Table
9 Amitripilin Tab 165 0 0 0 0 0 0 0 0
t
box/100Table
10 Alprazolam 585 0 0 0 0 0 0 0 0
t
box/100Table
13 Amoksisilin Tab 248 0 0 0 0 0 0 0 0
t

15 Box/30 Amp 1317 0 0 0 0 0 0 0 0
16 Antalgin Inj Box 5000 0 0 0 0 0 0 0 0

box/100Table
t

19 Box/24 pot 5170 0 0 0 0 0 0 0 0
+Asam Salisilat 3%

box/100Table
t

box/100Table
t


35 Betafor Botol 32594 0 0 0 0 0 0 0 0
Box/50
Suppo
box/100Table
t
44 Cefixim Box/50tab 1545 0 0 0 0 0 0 0 0
47 Codein Tablet 657 0 0 0 0 0 0 0

51 Box/9Tab 2160 0 0 0 0 0 0 0 0
320mg

box/100Table
55 Digoksin 104 0 0 0 0 0 0 0 0
t
box/100Table
58 Domperidon Tab 90 0 0 0 0 0 0 0 0
t

box/100Table
62 Eritromicin 0 0 0 0 0 0 0 0
t
box/100Table
64 Furosemid 82 0 0 0 0 0 0 0 0
t
box/100Table
69 Glibenklamid 137 0 0 0 0 0 0 0 0
t
box/100Table
t
71 Glukosa botol 6900 0 0 0 0 0 0 0 0
box/100Table
72 Griseofulvin 223 0 0 0 0 0 0 0 0
t
box/100Table
73 Haloperidol 0,5mg 0 0 0 0 0 0 0 0
t
box/100Table
75 Haloperidol 2 mg 1089 0 0 0 0 0 0 0 0
t
box/100Table
76 Haloperidol 5 mg 0 0 0 0 0 0 0 0
t
box/100Table
80 Ibuprofen Tab 440 0 0 0 0 0 0 0 0
t
box/100Table
t
box/100Table
83 Kalk 59 0 0 0 0 0 0 0 0
t
box/100Table
t
box/100Table
85 Kaptopril 80 0 0 0 0 0 0 0 0
t
Box/ 30
Tablet
box/100Table
t
box/100Table
t
box/100Table
t
box/100Table
106 Metronidazol 34100 0 0 0 0 0 0 0 0
t
box/100Table
108 Metformin 500 mg 102 0 0 0 0 0 0 0 0
t
box/100Table
109 Meloksicam 4450 0 0 0 0 0 0
t
box/100Table
111 Metampiron 222 0 0 0 0 0 0 0 0
t
box/100Table
t
box/100Table
115 Multivitamin Dewasa Tablet (Lifron) 200 0 400 0 0 0 600 0
t
box/100Table
116 Multivitamin Tambah Darah (Hemafort) 1070 60 64200 3000 3210000 1960 2097200 1100 1177000
t
122 NACL BOTOL 6410 0 0 0 0 0 0 0 0
box/100Table
123 Nifedipin 178 0 0 0 0 0
t
box/100Table
t
Box/30
127 Omeprazol Kap 20mg 12250 0 0 0 0 0
kapsul
133 Oralit Sachet 275 0 0 0 0 0 0 0 0
134 Oxytocin Ampul 1232 0 0 0 0 0 0 0 0
box/100Table
140 Parasetamol Tab 60 200 0 0 0 0 0 0 0
t
box/100Table
t
box/100Table
143 Piridoxin (Vit B6) 141 0 0 0 0 0
t
box/100Table
t
box/100Table
146 Prednison 74 0 0 0 0 0
t
box/100Table
147 Propanolol 59 0 0 0 0 0
t
box/100Table
150 PTU 64090 0 0 0 0 0
t
box/100Table
151 Piroksikam 13500 0 0 0 0 0 0 0 0
t
box/100Table
152 Ranitidin Tab 220 0 0 0 0 0 0 0 0
t
box/100Table
153 Scopma Plus 2190 0 0 0 0 0 0 0 0
t
157 Salep 24 pot 2797 0 0 0 0 0 0 0 0
165 Stimuno Botol 29400 36 1058400 46 1352400 13 382200 69 2028600
box/100Table
t
box/100Table
167 Tetrasiclin 520 0 0 0 0 0
t
box/100Table
168 Thiamin (Vit B1) Tab 87 0 0 0 0 0 0 0 0
t
171 Vit K inj Ampul 4083 0 0 0 0 0 0 0 0
172 Vit C Tablet 120 0 0 0 0 0 0 0 0
173 Vit B Com Tablet 132 600 79200 1000 132000 500 66000 1400 184800
box/100Table
175 Zinc 586 0 0 0 0 0 0 0 0
t
176 Zinc Syr Botol 4959 0 0 0 0 0 0 0 0
183 OAT Anak paket 267400 0 0 0 0 0
192 ETSA Set 0 0 0 0 0
201 Caviton 0 0 0 0 0
202 D-pulp 0 0 0 0 0
203 Calcium Lactate Tablet 1300 0 200 1100
204 Iodium Test Botol 1 5 2 4
205 Vitamin A Biru Botol 750 0 0 750
206 Vitamin A Merah Botol 700 0 0 700
Jumlah
Stok Maret 2019 Penerimaan April 2019 Pengeluaran April 2019 Sisa Stok April 2019
Nama BHP Satuan Harga
2 3 4 5 6 7 8 9 10 11 12
No

Catgut Cromic 3-0 Box/12pcs 0
13
15 Silk Box/12pcs 0
55 Rivanol Botol 4
57 Urine Bag Buah 5
59 lisol botol 0
63 Handsrub Botol 2
66 Leukomed Pcs 0
92 Bonding set 0
93 Turniquit Pcs 0
94 Timer Buah 0
97 Bisturi pcs 0
Kertas Puyer Pak 0
117 Jumlah
118
Mengetahui,
YASIR SYAM, SKM Ririn Yuliandari, A.Md.Gz

Nip. 19701125 199102 1 002 Nip/NRPTT.
GIZI PKM TAOPA
PER MEI 2019
Stok April 2018 Penerimaan Mei 2019 Pengeluaran Mei 2019 Sisa Stok Mei 2019
1 2 2 4 5 6 7 8 9 10 11 12

box/100Table
t
box/100Table
6 Akarbose 657 0 0 0 0 0 0 0 0
t
box/100Table
7 Ambroxol 165 0 0 0 0 0 0 0 0
t
box/100Table
9 Amitripilin Tab 165 0 0 0 0 0 0 0 0
t
box/100Table
10 Alprazolam 585 0 0 0 0 0 0 0 0
t
box/100Table
13 Amoksisilin Tab 248 0 0 0 0 0 0 0 0
t

15 Box/30 Amp 1317 0 0 0 0 0 0 0 0
16 Antalgin Inj Box 5000 0 0 0 0 0 0 0 0

box/100Table
t

19 Box/24 pot 5170 0 0 0 0 0 0 0 0
+Asam Salisilat 3%

box/100Table
t

box/100Table
t


35 Betafor Botol 32594 0 0 0 0 0 0 0 0
Box/50
Suppo
box/100Table
t
44 Cefixim Box/50tab 1545 0 0 0 0 0 0 0 0
47 Codein Tablet 657 0 0 0 0 0 0 0

51 Box/9Tab 2160 0 0 0 0 0 0 0 0
320mg

box/100Table
55 Digoksin 104 0 0 0 0 0 0 0 0
t
box/100Table
58 Domperidon Tab 90 0 0 0 0 0 0 0 0
t

box/100Table
62 Eritromicin 0 0 0 0 0 0 0 0
t
box/100Table
64 Furosemid 82 0 0 0 0 0 0 0 0
t
box/100Table
69 Glibenklamid 137 0 0 0 0 0 0 0 0
t
box/100Table
t
71 Glukosa botol 6900 0 0 0 0 0 0 0 0
box/100Table
72 Griseofulvin 223 0 0 0 0 0 0 0 0
t
box/100Table
73 Haloperidol 0,5mg 0 0 0 0 0 0 0 0
t
box/100Table
75 Haloperidol 2 mg 1089 0 0 0 0 0 0 0 0
t
box/100Table
76 Haloperidol 5 mg 0 0 0 0 0 0 0 0
t
box/100Table
80 Ibuprofen Tab 440 0 0 0 0 0 0 0 0
t
box/100Table
t
box/100Table
83 Kalk 59 0 0 0 0 0 0 0 0
t
box/100Table
t
box/100Table
85 Kaptopril 80 0 0 0 0 0 0 0 0
t
Box/ 30
Tablet
box/100Table
t
box/100Table
t
box/100Table
t
box/100Table
106 Metronidazol 34100 0 0 0 0 0 0 0 0
t
box/100Table
108 Metformin 500 mg 102 0 0 0 0 0 0 0 0
t
box/100Table
109 Meloksicam 4450 0 0 0 0 0 0
t
box/100Table
111 Metampiron 222 0 0 0 0 0 0 0 0
t
box/100Table
t
box/100Table
t
box/100Table
t
122 NACL BOTOL 6410 0 0 0 0 0 0 0 0
box/100Table
123 Nifedipin 178 0 0 0 0 0
t
box/100Table
t
Box/30
127 Omeprazol Kap 20mg 12250 0 0 0 0 0
kapsul
133 Oralit Sachet 275 0 0 0 0 0 0 0 0
134 Oxytocin Ampul 1232 0 0 0 0 0 0 0 0
box/100Table
140 Parasetamol Tab 60 0 0 0 0 0 0 0 0
t
box/100Table
t
box/100Table
143 Piridoxin (Vit B6) 141 0 0 0 0 0
t
box/100Table
t
box/100Table
146 Prednison 74 0 0 0 0 0
t
box/100Table
147 Propanolol 59 0 0 0 0 0
t
box/100Table
150 PTU 64090 0 0 0 0 0
t
box/100Table
151 Piroksikam 13500 0 0 0 0 0 0 0 0
t
box/100Table
152 Ranitidin Tab 220 0 0 0 0 0 0 0 0
t
box/100Table
153 Scopma Plus 2190 0 0 0 0 0 0 0 0
t
157 Salep 24 pot 2797 0 0 0 0 0 0 0 0
165 Stimuno Botol 29400 69 2028600 0 0 15 441000 54 1587600
box/100Table
t
box/100Table
167 Tetrasiclin 520 0 0 0 0 0
t
box/100Table
168 Thiamin (Vit B1) Tab 87 0 0 0 0 0 0 0 0
t
171 Vit K inj Ampul 4083 0 0 0 0 0 0 0 0
172 Vit C Tablet 120 0 0 0 0 0 0 0 0
173 Vit B Com Tablet 132 600 79200 0 0 300 39600 300 39600
box/100Table
175 Zinc 586 0 0 0 0 0 0 0 0
t
176 Zinc Syr Botol 4959 0 0 0 0 0 0 0 0
183 OAT Anak paket 267400 0 0 0 0 0
192 ETSA Set 0 0 0 0 0
201 Caviton 0 0 0 0 0
202 D-pulp 0 0 0 0 0
Jumlah
Stok April 2019 Peneriman Mei 2019 Pengeluaran Mei 2019 Sisa Stok Mei 2019
2 3 4 5 6 7 8 9 10 11 12
No

13
15 Silk Box/12pcs 0
55 Rivanol Botol 4
57 Urine Bag Buah 5
59 lisol botol 0
63 Handsrub Botol 2
66 Leukomed Pcs 0
92 Bonding set 0
93 Turniquit Pcs 0
94 Timer Buah 0
97 Bisturi pcs 0
Kertas Puyer Pak 0
117 Jumlah
118
Mengetahui,
YASIR SYAM, SKM Ni Putu Anipratiwi, A.Md.Gz

Nip. 19701125 199102 1 002
GIZI PKM TAOPA
PER JUNI 2019
Stok MEI 2018 Penerimaan JUNI 2019

Volume Harga Volume
1 2 2 4 5 6 7
1 Amlodipin 5 mg Box/30Tablet 77 0 0
2 Air Untuk Irigasi Injeksi Infus 25 ml Ampul 2860 0 0 0
3 Air untuk irigasi larutan botol 10700 0 0 0

box/100Table
5 Albendazol Tab 400mg 451 420 189420 0
t
box/100Table
6 Akarbose 657 0 0 0
t
box/100Table
7 Ambroxol 165 0 0 0
t
8 Aminofilin Injeksi Box/30amp 3080 0 0 0
box/100Table
9 Amitripilin Tab 165 0 0 0
t
box/100Table
10 Alprazolam 585 0 0 0
t
box/100Table
13 Amoksisilin Tab 248 0 0 0
t
14 Ampisilin Inj Vial 9473 0 0 0

15 Box/30 Amp 1317 0 0 0
16 Antalgin Inj Box 5000 0 0 0

box/100Table
17 Antasida Doen Tab 56 0 0 0
t

19 Box/24 pot 5170 0 0 0
+Asam Salisilat 3%
20 Anti Malaria Tablet 2160 0 0 0

21 Antihemoroid box/10suppo 3542 0 0 0
22 Asam Asetilsalisilat Box/100 Tab 99 0 0 0
box/100Table
23 Asam Mefenamat Tab 103 0 0 0
t
25 Aminofilin Tab Botol/100tab 167 0 0 0

box/100Table
27 Asam Tranexamat Tab 2200 0 0
t

32 Aqua Pro Injeksi botol 2860 0 0 0
33 Bacitrasin + Polimiksin Salep Tube 3490 0 0 0

38 Bisakodil Suppositoria 5 mg Box/ 6 Suppo 5670 0 0 0
Box/50
39 Bisakodil Suppositoria 10 mg 5900 0 0 0
Suppo
40 Bisakodil Suppositoria 5 mg tab Tablet 316 0 0 0
41 Bisoprolol Tablet 248 0 0 0
box/100Table
43 Ciprofloksasin tab 281 0 0 0
t
44 Cefixim Box/50tab 1545 0 0 0
Cendo Liters Botol 38980 0 0 0
48 Dekstran 70-larutan infus 6 % steril Botol 500 ml 11335 0 0 0

51 Box/9Tab 2160 0 0 0
320mg
52 Dimenhidrinate tab Tablet 121 0 0 0
53 Diazepam Tablet 0 0 0

box/100Table
55 Digoksin 104 0 0 0
t
56 Diksisiklin Kapsul 100mg Box/100 Tab 264 0 0 0
box/100Table
58 Domperidon Tab 90 0 0 0
t
Dobutamin HCL Inj Vial 0 0 0

59 Eugenol Cairan Botol 0 0 0
60 Etil klorida semprot botol 0 0 0
61 Epinefrin Inj Box/100 Amp 1518 0 0 0
box/100Table
62 Eritromicin 0 0 0
t
63 Eritromicin SK Botol 0 0 0
box/100Table
64 Furosemid 82 0 0 0
t
65 Fitomenadion (Vit K) Tab Botol/100tab 818 0 0 0
box/100Table
69 Glibenklamid 137 0 0 0
t
box/100Table
70 Gliseril Guaikolat (Guaifenesin) 0 0 0
t
71 Glukosa botol 6900 0 0 0
box/100Table
72 Griseofulvin 223 0 0 0
t
box/100Table
73 Haloperidol 0,5mg 0 0 0
t
74 Haloperidol 1,5 mg Box/100 Tab 59 0 0 0
box/100Table
t
box/100Table
76 Haloperidol 5 mg 0 0 0
t
77 Hidroklortiazid Box/100 Tab 178 0 0 0
box/100Table
80 Ibuprofen Tab 440 0 0 0
t
box/100Table
81 Isosorbit dinitrat 89 0 0
t
box/100Table
83 Kalk 59 0 0 0
t
box/100Table
84 Karbamazepin Tab 200mg 0 0
t
box/100Table
85 Kaptopril 80 0 0 0
t
Box/ 30
89 Klopidogrel Tab 75 mg 1469 0 0
Tablet
94 klorpeniramine maleat Tablet 24 0 0
box/100Table
96 Kotrimoksazol Tab 125 0 0 0
t
box/100Table
97 Klorpromazin tab 100 mg 26424 0 0
t
box/100Table
98 Klorpromazin tab 25 mg 0 0
t
99 Kotrimoksazol Susp Botol 2052 0 0
100 Metoclopramid Box/100 Tab 0 0 0
box/100Table
106 Metronidazol 34100 0 0 0
t
box/100Table
108 Metformin 500 mg 102 0 0 0
t
box/100Table
109 Meloksicam 4450 0 0
t
110 Mikonazol krim Tube 3926 0 0 0
box/100Table
111 Metampiron 222 0 0 0
t
box/100Table
112 Metil ergometrin Tab 243 0 0
t
box/100Table
115 Multivitamin Dewasa Tablet (Lifron) 600 0 0
t
box/100Table
116 Multivitamin Tambah Darah (Hemafort) 1070 60 64200 0
t
117 Multivitamin Tambah Darah (Novabion) Kapsul 0 0 0
120 Natrium Bikarbonat Tablet 134 0 0
122 NACL BOTOL 6410 0 0 0
box/100Table
123 Nifedipin 178 0 0
t
box/100Table
124 Nistatin Vaginal Tab 910 0 0
t
Box/30
127 Omeprazol Kap 20mg 12250 0 0
kapsul
130 Obat Batuk Hitam (OBH) Anak Botol 19898 0 0 0
133 Oralit Sachet 275 0 0 0
139 Parasetamol Drops Botol 7646 0 0 0
box/100Table
140 Parasetamol Tab 60 0 0 0
t
box/100Table
142 Pyrantel Pamoat Tab 331 0 0
t
box/100Table
143 Piridoxin (Vit B6) 141 0 0
t
box/100Table
145 Primakuin Tab 0 0
t
box/100Table
146 Prednison 74 0 0
t
box/100Table
147 Propanolol 59 0 0
t
box/100Table
150 PTU 64090 0 0
t
box/100Table
151 Piroksikam 13500 0 0 0
t
box/100Table
152 Ranitidin Tab 220 0 0 0
t
box/100Table
153 Scopma Plus 2190 0 0 0
t
157 Salep 24 pot 2797 0 0 0
165 Stimuno Botol 29400 54 1587600 0
box/100Table
166 Tablet Tambah Darah FE 406 0 0 0
t
box/100Table
167 Tetrasiclin 520 0 0
t
box/100Table
168 Thiamin (Vit B1) Tab 87 0 0 0
t
172 Vit C Tablet 120 0 0 0
173 Vit B Com Tablet 132 300 39600 0
box/100Table
175 Zinc 586 0 0 0
t
192 ETSA Set 0 0
201 Caviton 0 0
202 D-pulp 0 0
203 Calcium Lactate Tablet 900 0
204 Iodium Test Botol 4 0
205 Vitamin A Biru Botol 750 0
206 Vitamin A Merah Botol 700 0
Jumlah
Stok April 2019 Peneriman Mei 2019

Volume Harga Volume
2 3 4 5 6 7
No

13
15 Silk Box/12pcs 0
55 Rivanol Botol 4
57 Urine Bag Buah 5
59 lisol botol 0
63 Handsrub Botol 2
66 Leukomed Pcs 0
92 Bonding set 0
93 Turniquit Pcs 0
94 Timer Buah 0
97 Bisturi pcs 0
Kertas Puyer Pak 0
117 Jumlah
118
Mengetahui,

Nip. 19701125 199102 1 002
K OPNAME
Penerimaan JUNI 2019 Pengeluaran JUNI 2019 Sisa Stok JUNI 2019
8 9 10 11 12
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 420 189420
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 5 0
0 0 0 0 0
0 0 0
0 0 0
0 0 0 0 0
0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0
0 0 0
0 0 0 0 0
0 0 0
0 0 0
0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0
0 0 0 0 0
0 0 0 0 0
0 100 0 500 0
0 60 64200 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0
0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0
0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0
0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0
0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0
0 0 0
0 17 499800 37 1087800
0 0 0 0 0
0 0 0
0 0 0 0 0
0 0 0
0 0 0
0 0 0 0 0
0 0 0 0 0
0 200 26400 100 13200
0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0
0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
300 600
0 4
0 750
0 700
Peneriman Mei 2019 Pengeluaran Mei 2019 Sisa Stok Mei 2019

8 9 10 11 12
Penanggung Jawab
Ni Putu Anipratiwi, A.Md.Gz

GIZI PKM TAOPA
PER JULI 2019
Stok JUNI 2018 Penerimaan JULI 2019

Volume Harga Volume
1 2 2 4 5 6 7

box/100Table
t
box/100Table
t
box/100Table
t
box/100Table
t
box/100Table
t
box/100Table
t

15 Box/30 Amp 1317 0 0 0

box/100Table
t

19 Box/24 pot 5170 0 0 0
+Asam Salisilat 3%

box/100Table
t

box/100Table
t


Box/50
Suppo
box/100Table
t

51 Box/9Tab 2160 0 0 0
320mg

box/100Table
55 Digoksin 104 0 0 0
t
box/100Table
t

box/100Table
t
box/100Table
t
box/100Table
t
box/100Table
t
box/100Table
t
box/100Table
t
box/100Table
t
box/100Table
t
box/100Table
t
box/100Table
t
box/100Table
83 Kalk 59 0 0 0
t
box/100Table
t
box/100Table
t
Box/ 30
Tablet
box/100Table
t
box/100Table
t
box/100Table
t
box/100Table
t
box/100Table
108 Metformin 500 mg 102 0 0 0
t
box/100Table
t
box/100Table
t
box/100Table
t
box/100Table
t
box/100Table
t
122 NACL BOTOL 6410 0 0 0
box/100Table
t
box/100Table
t
Box/30
kapsul
box/100Table
t
box/100Table
t
box/100Table
t
box/100Table
t
box/100Table
t
box/100Table
t
box/100Table
150 PTU 64090 0 0
t
box/100Table
151 Piroksikam 13500 0 0 0
t
box/100Table
t
box/100Table
153 Scopma Plus 2190 0 0 0
t
157 Salep 24 pot 2797 0 0 0
165 Stimuno Botol 29400 37 1087800 0
box/100Table
t
box/100Table
t
box/100Table
t
172 Vit C Tablet 120 0 0 0
173 Vit B Com Tablet 132 100 13200 1500
box/100Table
175 Zinc 586 0 0 0
t
192 ETSA Set 0 0
201 Caviton 0 0
202 D-pulp 0 0
Jumlah

Volume Harga Volume
2 3 4 5 6 7
No

13
15 Silk Box/12pcs 0
55 Rivanol Botol 4
57 Urine Bag Buah 5
59 lisol botol 0
63 Handsrub Botol 2
66 Leukomed Pcs 0
92 Bonding set 0
93 Turniquit Pcs 0
94 Timer Buah 0
97 Bisturi pcs 0
Kertas Puyer Pak 0
117 Jumlah
118
Mengetahui,

Nip. 19701125 199102 1 002
K OPNAME
Penerimaan JULI 2019 Pengeluaran JULI 2019 Sisa Stok JULI 2019
8 9 10 11 12
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
1163580 0 0 3000 1353000
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0
0 0 0
0 0 0 0 0
0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0
0 0 0
0 0 0 0 0
0 0 0
0 0 0
0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0
0 0 0 0 0
0 0 0 0 0
0 100 0 400 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0
0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0
0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0
0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0
0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0
0 0 0
0 15 441000 22 646800
7892640 8190 3325140 11250 4567500
0 0 0
0 0 0 0 0
0 0 0
0 0 0
0 0 0 0 0
0 0 0 0 0
198000 200 26400 1300 171600
0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0
0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
200 1300
0 4
0 750
0 700

8 9 10 11 12
Penanggung Jawab

GIZI PKM TAOPA
PER AGUSTUS 2019
Penerimaan AGUSTUS
Stok JULI 2018
2019
Volume Harga Volume
1 2 2 4 5 6 7
box/100Table
t
box/100Table
t
box/100Table
t
box/100Table
t
box/100Table
t
box/100Table
t

15 Box/30 Amp 1317 0 0 0

box/100Table
t

19 Box/24 pot 5170 0 0 0
+Asam Salisilat 3%

box/100Table
t

box/100Table
t
Box/50
Suppo
box/100Table
t

51 Box/9Tab 2160 0 0 0
320mg
box/100Table
55 Digoksin 104 0 0 0
t
box/100Table
t

box/100Table
t
box/100Table
t
box/100Table
t
box/100Table
t
box/100Table
t
box/100Table
t
box/100Table
t
box/100Table
t
box/100Table
t
box/100Table
t
box/100Table
83 Kalk 59 0 0 0
t
box/100Table
t
box/100Table
t
Box/ 30
Tablet
box/100Table
t
box/100Table
t
box/100Table
t
box/100Table
t
box/100Table
108 Metformin 500 mg 102 0 0 0
t
box/100Table
t
box/100Table
t
box/100Table
t
box/100Table
t
box/100Table
t
122 NACL BOTOL 6410 0 0 0
box/100Table
t
box/100Table
t
Box/30
kapsul
box/100Table
t
box/100Table
t
box/100Table
t
box/100Table
t
box/100Table
t
box/100Table
t
box/100Table
150 PTU 64090 0 0
t
box/100Table
151 Piroksikam 13500 0 0 0
t
box/100Table
t
box/100Table
153 Scopma Plus 2190 0 0 0
t
157 Salep 24 pot 2797 0 0 0
165 Stimuno Botol 29400 22 646800 0
box/100Table
t
box/100Table
t
box/100Table
t
172 Vit C Tablet 120 0 0 0
173 Vit B Com Tablet 132 1300 171600 0
box/100Table
175 Zinc 586 0 0 0
t
192 ETSA Set 0 0
201 Caviton 0 0
202 D-pulp 0 0
Jumlah
Volume Harga Volume
2 3 4 5 6 7
No

13
15 Silk Box/12pcs 0
55 Rivanol Botol 4
57 Urine Bag Buah 5
59 lisol botol 0
63 Handsrub Botol 2
66 Leukomed Pcs 0
92 Bonding set 0
93 Turniquit Pcs 0
94 Timer Buah 0
97 Bisturi pcs 0
Kertas Puyer Pak 0
117 Jumlah
118
Mengetahui,

Nip. 19701125 199102 1 002
K OPNAME
Penerimaan AGUSTUS
Pengeluaran AGUSTUS 2019 Sisa Stok AGUSTUS 2019
2019
8 9 10 11 12
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 2829 1275879 171 77121
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0
0 0 0
0 0 0 0 0
0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0
0 0 0
0 0 0 0 0
0 0 0
0 0 0
0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0
0 0 0 0 0
0 0 0 0 0
0 100 0 400 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0
0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0
0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0
0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0
0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0
0 0 0
0 12 352800 10 294000
0 0 0 11250 4567500
0 0 0
0 0 0 0 0
0 0 0
0 0 0
0 0 0 0 0
0 0 0 0 0
0 200 26400 1100 145200
0 0 0
0 0 0 0 0
0 0 0 0 0
0 0 0
0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 0 0
0 1300
0 4
300 450
600 150
8 9 10 11 12
Penanggung Jawab

GIZI PKM TAOPA
PER SEPTEMBER 2019
Penerimaan SEPTEMBER
Stok AGUSTUS 2019 Pengeluaran SEPTEMBER 2019 Sisa Stok SEPTEMBER 2019
2019
1 2 2 4 5 6 7 8 9 10 11 12
box/100Table
t
box/100Table
6 Akarbose 657 0 0 0 0 0 0 0 0
t
box/100Table
7 Ambroxol 165 0 0 0 0 0 0 0 0
t
box/100Table
9 Amitripilin Tab 165 0 0 0 0 0 0 0 0
t
box/100Table
10 Alprazolam 585 0 0 0 0 0 0 0 0
t
box/100Table
13 Amoksisilin Tab 248 0 0 0 0 0 0 0 0
t

15 Box/30 Amp 1317 0 0 0 0 0 0 0 0
16 Antalgin Inj Box 5000 0 0 0 0 0 0 0 0

box/100Table
t

19 Box/24 pot 5170 0 0 0 0 0 0 0 0
+Asam Salisilat 3%

box/100Table
t

box/100Table
t
35 Betafor Botol 32594 0 0 0 0 0 0 0 0
Box/50
Suppo
box/100Table
t
44 Cefixim Box/50tab 1545 0 0 0 0 0 0 0 0
47 Codein Tablet 657 0 0 0 0 0 0 0

51 Box/9Tab 2160 0 0 0 0 0 0 0 0
320mg
box/100Table
55 Digoksin 104 0 0 0 0 0 0 0 0
t
box/100Table
58 Domperidon Tab 90 0 0 0 0 0 0 0 0
t

box/100Table
62 Eritromicin 0 0 0 0 0 0 0 0
t
box/100Table
64 Furosemid 82 0 0 0 0 0 0 0 0
t
box/100Table
69 Glibenklamid 137 0 0 0 0 0 0 0 0
t
box/100Table
t
71 Glukosa botol 6900 0 0 0 0 0 0 0 0
box/100Table
72 Griseofulvin 223 0 0 0 0 0 0 0 0
t
box/100Table
73 Haloperidol 0,5mg 0 0 0 0 0 0 0 0
t
box/100Table
75 Haloperidol 2 mg 1089 0 0 0 0 0 0 0 0
t
box/100Table
76 Haloperidol 5 mg 0 0 0 0 0 0 0 0
t
box/100Table
80 Ibuprofen Tab 440 0 0 0 0 0 0 0 0
t
box/100Table
t
box/100Table
83 Kalk 59 0 0 0 0 0 0 0 0
t
box/100Table
t
box/100Table
85 Kaptopril 80 0 0 0 0 0 0 0 0
t
Box/ 30
Tablet
box/100Table
t
box/100Table
t
box/100Table
t
box/100Table
106 Metronidazol 34100 0 0 0 0 0 0 0 0
t
box/100Table
108 Metformin 500 mg 102 0 0 0 0 0 0 0 0
t
box/100Table
109 Meloksicam 4450 0 0 0 0 0 0
t
box/100Table
111 Metampiron 222 0 0 0 0 0 0 0 0
t
box/100Table
t
box/100Table
t
box/100Table
t
122 NACL BOTOL 6410 0 0 0 0 0 0 0 0
box/100Table
123 Nifedipin 178 0 0 0 0 0
t
box/100Table
t
Box/30
127 Omeprazol Kap 20mg 12250 0 0 0 0 0
kapsul
133 Oralit Sachet 275 0 0 0 0 0 0 0 0
134 Oxytocin Ampul 1232 0 0 0 0 0 0 0 0
box/100Table
140 Parasetamol Tab 60 0 0 0 0 0 0 0 0
t
box/100Table
t
box/100Table
143 Piridoxin (Vit B6) 141 0 0 0 0 0
t
box/100Table
t
box/100Table
146 Prednison 74 0 0 0 0 0
t
box/100Table
147 Propanolol 59 0 0 0 0 0
t
box/100Table
150 PTU 64090 0 0 0 0 0
t
box/100Table
151 Piroksikam 13500 0 0 0 0 0 0 0 0
t
box/100Table
152 Ranitidin Tab 220 0 0 0 0 0 0 0 0
t
box/100Table
153 Scopma Plus 2190 0 0 0 0 0 0 0 0
t
157 Salep 24 pot 2797 0 0 0 0 0 0 0 0
165 Stimuno Botol 29400 10 294000 48 1411200 13 382200 45 1323000
box/100Table
t
box/100Table
167 Tetrasiclin 520 0 0 0 0 0
t
box/100Table
168 Thiamin (Vit B1) Tab 87 0 0 0 0 0 0 0 0
t
171 Vit K inj Ampul 4083 0 0 0 0 0 0 0 0
172 Vit C Tablet 120 0 0 0 0 0 0 0 0
173 Vit B Com Tablet 132 1100 145200 0 0 100 13200 1000 132000
box/100Table
175 Zinc 586 0 0 0 0 0 0 0 0
t
176 Zinc Syr Botol 4959 0 0 0 0 0 0 0 0
183 OAT Anak paket 267400 0 0 0 0 0
192 ETSA Set 0 0 0 0 0
201 Caviton 0 0 0 0 0
202 D-pulp 0 0 0 0 0
Jumlah
2 3 4 5 6 7 8 9 10 11 12
No

13
15 Silk Box/12pcs 0
55 Rivanol Botol 4
57 Urine Bag Buah 5
59 lisol botol 0
63 Handsrub Botol 2
66 Leukomed Pcs 0
92 Bonding set 0
93 Turniquit Pcs 0
94 Timer Buah 0
97 Bisturi pcs 0
Kertas Puyer Pak 0
117 Jumlah
118
Mengetahui,
NURLIAN PAUDI, SKM Ni Putu Anipratiwi, A.Md.Gz

Nip. 19690525 198811 2 001
GIZI PKM TAOPA
PER OKTOBER 2019
Penerimaan OKTOBER
Stok SEPTEMBER 2019 Pengeluaran OKTOBER 2019 Sisa Stok OKTOBER 2019
2019
1 2 2 4 5 6 7 8 9 10 11 12
box/100Table
t
box/100Table
6 Akarbose 657 0 0 0 0 0 0 0 0
t
box/100Table
7 Ambroxol 165 0 0 0 0 0 0 0 0
t
box/100Table
9 Amitripilin Tab 165 0 0 0 0 0 0 0 0
t
box/100Table
10 Alprazolam 585 0 0 0 0 0 0 0 0
t
box/100Table
13 Amoksisilin Tab 248 0 0 0 0 0 0 0 0
t

15 Box/30 Amp 1317 0 0 0 0 0 0 0 0
16 Antalgin Inj Box 5000 0 0 0 0 0 0 0 0

box/100Table
t

19 Box/24 pot 5170 0 0 0 0 0 0 0 0
+Asam Salisilat 3%

box/100Table
t

box/100Table
t
35 Betafor Botol 32594 0 0 0 0 0 0 0 0
Box/50
Suppo
box/100Table
t
44 Cefixim Box/50tab 1545 0 0 0 0 0 0 0 0
47 Codein Tablet 657 0 0 0 0 0 0 0

51 Box/9Tab 2160 0 0 0 0 0 0 0 0
320mg
box/100Table
55 Digoksin 104 0 0 0 0 0 0 0 0
t
box/100Table
58 Domperidon Tab 90 0 0 0 0 0 0 0 0
t
box/100Table
62 Eritromicin 0 0 0 0 0 0 0 0
t
box/100Table
64 Furosemid 82 0 0 0 0 0 0 0 0
t
box/100Table
69 Glibenklamid 137 0 0 0 0 0 0 0 0
t
box/100Table
t
71 Glukosa botol 6900 0 0 0 0 0 0 0 0
box/100Table
72 Griseofulvin 223 0 0 0 0 0 0 0 0
t
box/100Table
73 Haloperidol 0,5mg 0 0 0 0 0 0 0 0
t
box/100Table
75 Haloperidol 2 mg 1089 0 0 0 0 0 0 0 0
t
box/100Table
76 Haloperidol 5 mg 0 0 0 0 0 0 0 0
t
box/100Table
80 Ibuprofen Tab 440 0 0 0 0 0 0 0 0
t
box/100Table
t
box/100Table
83 Kalk 59 0 0 0 0 0 0 0 0
t
box/100Table
t
box/100Table
85 Kaptopril 80 0 0 0 0 0 0 0 0
t
Box/ 30
Tablet
box/100Table
t
box/100Table
t
box/100Table
t
box/100Table
106 Metronidazol 34100 0 0 0 0 0 0 0 0
t
box/100Table
108 Metformin 500 mg 102 0 0 0 0 0 0 0 0
t
box/100Table
109 Meloksicam 4450 0 0 0 0 0 0
t
box/100Table
111 Metampiron 222 0 0 0 0 0 0 0 0
t
box/100Table
t
box/100Table
t
box/100Table
t
122 NACL BOTOL 6410 0 0 0 0 0 0 0 0
box/100Table
123 Nifedipin 178 0 0 0 0 0
t
box/100Table
t
Box/30
127 Omeprazol Kap 20mg 12250 0 0 0 0 0
kapsul
133 Oralit Sachet 275 0 0 0 0 0 0 0 0
134 Oxytocin Ampul 1232 0 0 0 0 0 0 0 0
box/100Table
140 Parasetamol Tab 60 0 0 0 0 0 0 0 0
t
box/100Table
t
box/100Table
143 Piridoxin (Vit B6) 141 0 0 0 0 0
t
box/100Table
t
box/100Table
146 Prednison 74 0 0 0 0 0
t
box/100Table
147 Propanolol 59 0 0 0 0 0
t
box/100Table
150 PTU 64090 0 0 0 0 0
t
box/100Table
151 Piroksikam 13500 0 0 0 0 0 0 0 0
t
box/100Table
152 Ranitidin Tab 220 0 0 0 0 0 0 0 0
t
box/100Table
153 Scopma Plus 2190 0 0 0 0 0 0 0 0
t
157 Salep 24 pot 2797 0 0 0 0 0 0 0 0
165 Stimuno Botol 29400 45 1323000 0 0 35 1029000 9 264600
box/100Table
t
box/100Table
167 Tetrasiclin 520 0 0 0 0 0
t
box/100Table
168 Thiamin (Vit B1) Tab 87 0 0 0 0 0 0 0 0
t
171 Vit K inj Ampul 4083 0 0 0 0 0 0 0 0
172 Vit C Tablet 120 0 0 0 0 0 0 0 0
173 Vit B Com Tablet 132 1000 132000 0 0 100 13200 900 118800
box/100Table
175 Zinc 586 0 0 0 0 0 0 0 0
t
176 Zinc Syr Botol 4959 0 0 0 0 0 0 0 0
183 OAT Anak paket 267400 0 0 0 0 0
192 ETSA Set 0 0 0 0 0
201 Caviton 0 0 0 0 0
202 D-pulp 0 0 0 0 0
Jumlah
2 3 4 5 6 7 8 9 10 11 12
No

13
15 Silk Box/12pcs 0
55 Rivanol Botol 4
57 Urine Bag Buah 5
59 lisol botol 0
63 Handsrub Botol 2
66 Leukomed Pcs 0
92 Bonding set 0
93 Turniquit Pcs 0
94 Timer Buah 0
97 Bisturi pcs 0
Kertas Puyer Pak 0
117 Jumlah
118
Mengetahui,
Kepala Puskesmas Taopa TPG Puskesmas Taopa
NURLIAN PAUDI, SKM Siti Rahma, S.Tr.Gz

Nip. 19690525 198811 2 001 NRPK : 19.7.0806792
GIZI PKM TAOPA
PER NOVEMBER 2019
Penerimaan NOVEMBER
Stok NOVEMBER 2019 Pengeluaran NOVEMBER 2019 Sisa Stok NOVEMBER 2019
2019
1 2 2 4 5 6 7 8 9 10 11 12
box/100Table
t
box/100Table
6 Akarbose 657 0 0 0 0 0 0 0 0
t
box/100Table
7 Ambroxol 165 0 0 0 0 0 0 0 0
t
box/100Table
9 Amitripilin Tab 165 0 0 0 0 0 0 0 0
t
box/100Table
10 Alprazolam 585 0 0 0 0 0 0 0 0
t
box/100Table
13 Amoksisilin Tab 248 0 0 0 0 0 0 0 0
t

15 Box/30 Amp 1317 0 0 0 0 0 0 0 0
16 Antalgin Inj Box 5000 0 0 0 0 0 0 0 0

box/100Table
t

19 Box/24 pot 5170 0 0 0 0 0 0 0 0
+Asam Salisilat 3%

box/100Table
t

box/100Table
t
35 Betafor Botol 32594 0 0 0 0 0 0 0 0
Box/50
Suppo
box/100Table
t
44 Cefixim Box/50tab 1545 0 0 0 0 0 0 0 0
47 Codein Tablet 657 0 0 0 0 0 0 0

51 Box/9Tab 2160 0 0 0 0 0 0 0 0
320mg
box/100Table
55 Digoksin 104 0 0 0 0 0 0 0 0
t
box/100Table
58 Domperidon Tab 90 0 0 0 0 0 0 0 0
t
box/100Table
62 Eritromicin 0 0 0 0 0 0 0 0
t
box/100Table
64 Furosemid 82 0 0 0 0 0 0 0 0
t
box/100Table
69 Glibenklamid 137 0 0 0 0 0 0 0 0
t
box/100Table
t
71 Glukosa botol 6900 0 0 0 0 0 0 0 0
box/100Table
72 Griseofulvin 223 0 0 0 0 0 0 0 0
t
box/100Table
73 Haloperidol 0,5mg 0 0 0 0 0 0 0 0
t
box/100Table
75 Haloperidol 2 mg 1089 0 0 0 0 0 0 0 0
t
box/100Table
76 Haloperidol 5 mg 0 0 0 0 0 0 0 0
t
box/100Table
80 Ibuprofen Tab 440 0 0 0 0 0 0 0 0
t
box/100Table
t
box/100Table
83 Kalk 59 0 0 0 0 0 0 0 0
t
box/100Table
t
box/100Table
85 Kaptopril 80 0 0 0 0 0 0 0 0
t
Box/ 30
Tablet
box/100Table
t
box/100Table
t
box/100Table
t
box/100Table
106 Metronidazol 34100 0 0 0 0 0 0 0 0
t
box/100Table
108 Metformin 500 mg 102 0 0 0 0 0 0 0 0
t
box/100Table
109 Meloksicam 4450 0 0 0 0 0 0
t
box/100Table
111 Metampiron 222 0 0 0 0 0 0 0 0
t
box/100Table
t
box/100Table
t
box/100Table
t
122 NACL BOTOL 6410 0 0 0 0 0 0 0 0
box/100Table
123 Nifedipin 178 0 0 0 0 0
t
box/100Table
t
Box/30
127 Omeprazol Kap 20mg 12250 0 0 0 0 0
kapsul
133 Oralit Sachet 275 0 0 0 0 0 0 0 0
134 Oxytocin Ampul 1232 0 0 0 0 0 0 0 0
box/100Table
140 Parasetamol Tab 60 0 0 0 0 0 0 0 0
t
box/100Table
t
box/100Table
143 Piridoxin (Vit B6) 141 0 0 0 0 0
t
box/100Table
t
box/100Table
146 Prednison 74 0 0 0 0 0
t
box/100Table
147 Propanolol 59 0 0 0 0 0
t
box/100Table
150 PTU 64090 0 0 0 0 0
t
box/100Table
151 Piroksikam 13500 0 0 0 0 0 0 0 0
t
box/100Table
152 Ranitidin Tab 220 0 0 0 0 0 0 0 0
t
box/100Table
153 Scopma Plus 2190 0 0 0 0 0 0 0 0
t
157 Salep 24 pot 2797 0 0 0 0 0 0 0 0
165 Stimuno Botol 29400 9 264600 48 1411200 29 852600 28 823200
box/100Table
t
box/100Table
167 Tetrasiclin 520 0 0 0 0 0
t
box/100Table
168 Thiamin (Vit B1) Tab 87 0 0 0 0 0 0 0 0
t
171 Vit K inj Ampul 4083 0 0 0 0 0 0 0 0
172 Vit C Tablet 120 0 0 0 0 0 0 0 0
173 Vit B Com Tablet 132 900 118800 1000 132000 600 79200 1300 171600
box/100Table
175 Zinc 586 0 0 0 0 0 0 0 0
t
176 Zinc Syr Botol 4959 0 0 0 0 0 0 0 0
183 OAT Anak paket 267400 0 0 0 0 0
192 ETSA Set 0 0 0 0 0
201 Caviton 0 0 0 0 0
202 D-pulp 0 0 0 0 0
Jumlah
Stok oktober 2019 Peneriman november 2019 Pengeluaran november 2019 Sisa Stok november 2019
2 3 4 5 6 7 8 9 10 11 12
No

13
15 Silk Box/12pcs 0
55 Rivanol Botol 4
57 Urine Bag Buah 5
59 lisol botol 0
63 Handsrub Botol 2
66 Leukomed Pcs 0
92 Bonding set 0
93 Turniquit Pcs 0
94 Timer Buah 0
97 Bisturi pcs 0
Kertas Puyer Pak 0
117 Jumlah
118
Mengetahui,

Nip. 19690525 198811 2 001 NRPK : 19.7.0806792
GIZI PKM TAOPA
PER DESEMBER 2019
Stok DESEMBER 2019 Penerimaan JANUARI 2020 Pengeluaran JANUARI 2020

Volume Harga Volume Harga Volume Harga
1 2 2 4 5 6 7 8 9 10
1 Amlodipin 5 mg Box/30Tablet 77 0 0 0 0 0
Air Untuk Irigasi Injeksi
2 Ampul 2860 0 0 0 0 0 0
Infus 25 ml
3 Air untuk irigasi larutan botol 10700 0 0 0 0 0 0
4 Allopurinol Ktk/100 Tab 275 0 0 0 0 0 0
box/100Table
5 Albendazol Tab 400mg 451 3000 1353000 0 0 2829 1275879
t
box/100Table
6 Akarbose 657 0 0 0 0 0 0
t
box/100Table
7 Ambroxol 165 0 0 0 0 0 0
t
8 Aminofilin Injeksi Box/30amp 3080 0 0 0 0 0 0
box/100Table
9 Amitripilin Tab 165 0 0 0 0 0 0
t
box/100Table
10 Alprazolam 585 0 0 0 0 0 0
t
11 Amlodipin 10mg Box/30Tablet 95 0 0 0 0 0 0
12 Amoksisilin SK Botol 5060 0 0 0 0 0 0
box/100Table
13 Amoksisilin Tab 248 0 0 0 0 0 0
t
14 Ampisilin Inj Vial 9473 0 0 0 0 0 0
Anastetik Lokal gigi

kombinasi : Lidokain Hcl
15 Box/30 Amp 1317 0 0 0 0 0 0
2% + Epinefrin 1 : 80.000
Inj 2 ml
16 Antalgin Inj Box 5000 0 0 0 0 0 0

box/100Table
17 Antasida Doen Tab 56 0 0 0 0 0 0
t
18 Antasida Susp Botol 2098 0 0 0 0 0 0
Antifungi Doen Salep,

Kombinasi: Asam
19 Box/24 pot 5170 0 0 0 0 0 0
Benzoat 6%+Asam
Salisilat 3%
20 Anti Malaria Tablet 2160 0 0 0 0 0 0

21 Antihemoroid box/10suppo 3542 0 0 0 0 0 0
22 Asam Asetilsalisilat Box/100 Tab 99 0 0 0 0 0 0
box/100Table
23 Asam Mefenamat Tab 103 0 0 0 0 0 0
t
24 Asam Tranexamat Inj Box/10amp 2530 0 0 0 0 0 0
25 Aminofilin Tab Botol/100tab 167 0 0 0 0 0 0
26 Asam Folat Botol/100tab 62 0 0 0 0 0 0
box/100Table
27 Asam Tranexamat Tab 2200 0 0 0 0
t
28 Asiklovir tab Tablet 425 0 0 0 0 0 0
29 Asiklovir krim Tube 5150 0 0 0 0 0 0
30 Attapulgit Box/100 Tab 237 0 0 0 0 0 0
31 Atropin Inj Box/100amp 1540 0 0 0 0 0 0
32 Aqua Pro Injeksi botol 2860 0 0 0 0 0 0
Bacitrasin + Polimiksin
33 Tube 3490 0 0 0 0 0 0
Salep
34 Betametason krim Box, 24 Tube 1420 0 0 0 0 0 0
35 Betafor Botol 32594 0 0 0 0 0 0
36 Bedak salisil box 8400 0 0 0 0 0 0
37 Betahistin Tab Tablet 119 0 0 0 0 0 0
Bisakodil Suppositoria 5
38 Box/ 6 Suppo 5670 0 0 0 0 0 0
mg
Bisakodil Suppositoria 10 Box/50
39 5900 0 0 0 0 0 0
mg Suppo
Bisakodil Suppositoria 5
40 Tablet 316 0 0 0 0 0 0
mg tab
41 Bisoprolol Tablet 248 0 0 0 0 0 0
Burnazin (Perak
42 Tube 2070 0 0 0 0 0 0
Sulfadiazin)
box/100Table
43 Ciprofloksasin tab 281 0 0 0 0 0 0
t
44 Cefixim Box/50tab 1545 0 0 0 0 0 0
45 Cetirizin Syr Botol 2993 0 0 0 0 0 0
46 Cetirizin Kap Kapsul 97 0 0 0 0 0 0
Cendo Liters Botol 38980 0 0 0 0 0
47 Codein Tablet 657 0 0 0 0 0
Dekstran 70-larutan infus
48 Botol 500 ml 11335 0 0 0 0 0 0
6 % steril
49 Deksametason inj Box/100 Amp 1210 0 0 0 0 0 0
50 Deksametason tab Tablet 34 0 0 0 0 0 0

Dihydroartemisin 40mg +
51 Piperaquin Phospate Box/9Tab 2160 0 0 0 0 0 0
320mg
52 Dimenhidrinate tab Tablet 121 0 0 0 0 0 0
53 Diazepam Tablet 0 0 0 0 0
54 Difenhidramine inj Box/30amp 1262 0 0 0 0 0 0
box/100Table
55 Digoksin 104 0 0 0 0 0 0
t
56 Diksisiklin Kapsul 100mg Box/100 Tab 264 0 0 0 0 0 0
57 Domperidon Susp botol 2862 0 0 0 0 0 0

box/100Table
58 Domperidon Tab 90 0 0 0 0 0 0
t
Dobutamin HCL Inj Vial 0 0 0 0 0 0
59 Eugenol Cairan Botol 0 0 0 0 0 0
60 Etil klorida semprot botol 0 0 0 0 0 0
61 Epinefrin Inj Box/100 Amp 1518 0 0 0 0 0 0
box/100Table
62 Eritromicin 0 0 0 0 0 0
t
63 Eritromicin SK Botol 0 0 0 0 0 0
box/100Table
64 Furosemid 82 0 0 0 0 0 0
t
65 Fitomenadion (Vit K) Tab Botol/100tab 818 0 0 0 0 0 0
66 Glimepirid Box/ 50 Tab 174 0 0 0 0 0 0

67 Glimepirid 2 mg Box/ 50 Tab 0 0 0 0 0
68 Gentian Violet Botol 3000 0 0 0 0 0 0
box/100Table
69 Glibenklamid 137 0 0 0 0 0 0
t
Gliseril Guaikolat box/100Table
70 0 0 0 0 0 0
(Guaifenesin) t
71 Glukosa botol 6900 0 0 0 0 0 0
box/100Table
72 Griseofulvin 223 0 0 0 0 0 0
t
box/100Table
73 Haloperidol 0,5mg 0 0 0 0 0 0
t
74 Haloperidol 1,5 mg Box/100 Tab 59 0 0 0 0 0 0
box/100Table
75 Haloperidol 2 mg 1089 0 0 0 0 0 0
t
box/100Table
76 Haloperidol 5 mg 0 0 0 0 0 0
t
77 Hidroklortiazid Box/100 Tab 178 0 0 0 0 0 0
78 Hidrokortison krim Box 24 Tube 2648 0 0 0 0 0 0
79 Ibuprofen Syr Botol 0 0 0 0 0 0
box/100Table
80 Ibuprofen Tab 440 0 0 0 0 0 0
t
box/100Table
81 Isosorbit dinitrat 89 0 0 0 0
t
82 kalsium gluconas Box/24 Amp 0 0 0 0
box/100Table
83 Kalk 59 0 0 0 0 0 0
t
Karbamazepin Tab box/100Table
84 0 0 0 0
200mg t
box/100Table
85 Kaptopril 80 0 0 0 0 0 0
t
86 Ketokonazol Krim Tube 2694 0 0 0 0 0 0
87 Ketokonazol Tab Tablet 286 0 0 0 0 0 0
88 klonidin 0,15 mg Tablet 0 0 0 0
Box/ 30
89 Klopidogrel Tab 75 mg 1469 0 0 0 0
Tablet
90 kloramfenikol tab 250mg Tablet 329 0 0 0 0
91 kloramfenikol tab 500 mg Tablet 0 0 0 0 0 0
92 Kloramfenikol Salep Mata Tube 2013 0 0 0 0
93 Kloramfenikol Susp Botol 8949 0 0 0 0 0 0

94 klorpeniramine maleat Tablet 24 0 0 0 0
95 Klindamisin Kap Kapsul 59 0 0 0 0
box/100Table
96 Kotrimoksazol Tab 125 0 0 0 0 0 0
t
box/100Table
t
box/100Table
98 Klorpromazin tab 25 mg 0 0 0 0
t
99 Kotrimoksazol Susp Botol 2052 0 0 0 0
100 Metoclopramid Box/100 Tab 0 0 0 0 0 0
101 Loratadin Tab 10mg Box/50 Tab 127 0 0 0 0 0 0
102 Loperamid Box/100 Tab 13050 0 0 0 0 0 0
Kloramfenikol Tetes
103 Botol 7400 0 0 0 0 0 0
Telinga
104 Kloramfenikol tetes mata Botol 12900 0 0 0 0 0 0
Magnesium Sulfat
105 Botol 0 0 0 0
(MgSO4)
box/100Table
106 Metronidazol 34100 0 0 0 0 0 0
t
107 Metronidazol Ovula Suppo 3590 0 0 0 0
box/100Table
108 Metformin 500 mg 102 0 0 0 0 0 0
t
box/100Table
109 Meloksicam 4450 0 0 0 0
t
110 Mikonazol krim Tube 3926 0 0 0 0 0 0
box/100Table
111 Metampiron 222 0 0 0 0 0 0
t
box/100Table
112 Metil ergometrin Tab 243 0 0 0 0
t
113 Metil ergometrin inj Ampul 3399 0 0 0 0 0 0
114 metil prednison Tablet 139 0 0 0 0 0 0
Multivitamin Dewasa box/100Table
115 400 0 0 0 200 0
Tablet (Lifron) t
Multivitamin Tambah box/100Table
116 1070 0 0 0 0 0 0
Darah (Hemafort) t
Multivitamin Tambah
117 Kapsul 0 0 0 0 0 0
Darah (Novabion)
118 Novadyar Susp Botol 5900 0 0 0 0 0 0
119 Natrium Metamizole Inj Box/5Amp 0 0 0 0
120 Natrium Bikarbonat Tablet 134 0 0 0 0
121 Natrium Diklofenak Box/50tab 136 0 0 0 0 0 0
122 NACL BOTOL 6410 0 0 0 0 0 0
box/100Table
123 Nifedipin 178 0 0 0 0
t
box/100Table
124 Nistatin Vaginal Tab 910 0 0 0 0
t
Novachlor
125 Tablet 0 0 0 0
(Kloramfenikol)
126 N-Asetil Sistein Kapsul 412 0 0 0 0
Box/30
127 Omeprazol Kap 20mg 12250 0 0 0 0
kapsul
128 Omeprazol Inj Box/10 Vial 11868 0 0 0 0
129 Obat Batuk Hitam (OBH) Botol 2350 0 0 0 0
Obat Batuk Hitam (OBH)

130 Botol 19898 0 0 0 0 0 0
Anak
Oksitetrasiklin HCL salep
131 Tube 0 0 0 0
Mata
Oksitetrasiklin HCL salep
132 Tube 2700 0 0 0 0 0 0
Kulit 3*
133 Oralit Sachet 275 0 0 0 0 0 0
134 Oxytocin Ampul 1232 0 0 0 0 0 0
135 Oxitetrasiklin Inj Vial 0 0 0 0
136 Ondansentron Inj Ampul 0 0 0 0
137 Papaverin Tab 40mg Box/100 Tab 280 0 0 0 0 0 0
138 Parasetamol Syr Botol 5500 0 0 0 0 0 0
139 Parasetamol Drops Botol 7646 0 0 0 0 0 0
box/100Table
140 Parasetamol Tab 60 0 0 0 0 0 0
t
141 Permetrin Krim Tube 53600 0 0 0 0
box/100Table
142 Pyrantel Pamoat Tab 331 0 0 0 0
t
box/100Table
143 Piridoxin (Vit B6) 141 0 0 0 0
t
144 Povidon Iodin Botol 0 0 0 0
box/100Table
145 Primakuin Tab 0 0 0 0
t
box/100Table
146 Prednison 74 0 0 0 0
t
box/100Table
147 Propanolol 59 0 0 0 0
t
148 Perak Sulfadiazin Krim Tube 20700 0 0 0 0
149 Pyrantel Pamoat Susp Botol 11050 0 0 0 0
box/100Table
150 PTU 64090 0 0 0 0
t
box/100Table
151 Piroksikam 13500 0 0 0 0 0 0
t
box/100Table
152 Ranitidin Tab 220 0 0 0 0 0 0
t
box/100Table
153 Scopma Plus 2190 0 0 0 0 0 0
t
154 Sefadroxil Kapsul Box/100 Tab 557 0 0 0 0 0 0
155 Sefadroxil SK Botol 5286 0 0 0 0 0 0
156 Sianokobalamin (Vit B12) Btl/100 Tab 1126 0 0 0 0
157 Salep 24 pot 2797 0 0 0 0 0 0
158 Ranitidin Injeksi Box/10amp 1105 0 0 0 0
161 Sianokobalamin (Vit B12) Box/100amp 1226 0 0 0 0 0
162 Simvastatin Box/30Tablet 135 0 0 0 0 0 0
163 Sefotaxim Inj Box/2Vial 30600 0 0 0 0
164 Seftriaxon inj Box/2Vial 30600 0 0 0 0
165 Stimuno Botol 29400 76 2234400 0 0 44 1293600
box/100Table
166 Tablet Tambah Darah FE 406 11250 4567500 0 0 6930 2813580
t
box/100Table
167 Tetrasiclin 520 0 0 0 0
t
box/100Table
168 Thiamin (Vit B1) Tab 87 0 0 0 0 0 0
t
169 Thiamin (Vit B1) Injeksi Box/100amp 2500 0 0 0 0
170 Vagistin Suppo Box/10 suppo 0 0 0 0
171 Vit K inj Ampul 4083 0 0 0 0 0 0
172 Vit C Tablet 120 0 0 0 0 0 0
173 Vit B Com Tablet 132 1300 171600 0 0 1080 142560
174 Xylastin tab Tablet 0 0 0 0
box/100Table
175 Zinc 586 0 0 0 0 0 0
t
176 Zinc Syr Botol 4959 0 0 0 0 0 0
177 Anti migrain : Ergotamin t Tablet 256 0 0 0 0
178 Salbutamol 4 mg box/100Tablet 89 0 0 0 0 0 0
179 Biocombin Inj ktk/10 ampl 0 0 0 0
180 Diazepam Inj 5 ml ktk/5 amp 0 0 0 0
181 Diazepam Tab Ktk/100 Tab 0 0 0 0
182 novapyron Ktk/100 Tab 558 0 0 0 0 0 0
183 OAT Anak paket 267400 0 0 0 0
184 Obat Kusta PB paket 0 0 0 0
185 Obat Kusta MB paket 0 0 0 0
186 Ringer Lactat Botol 7150 0 0 0 0 0 0
187 Eritromicin Syr Botol 6461 0 0 0 0
189 OAT KATEGORI 2 Paket 0 0 0 0
190 Regen Zn Paket 0 0 0 0
191 Larutan Giemsa Botol 0 0 0 0
192 ETSA Set 0 0 0 0
193 Devitalisasi Pasta Non Ar Set 0 0 0 0
194 Kalsium Hidroksida Pasta Tube 0 0 0 0
195 Trichloro Formalin (TKF) Set 0 0 0 0
196 Klorfenol Kamfer Menthol Botol 0 0 0 0
197 Cresopate (Filling Of Root Set 0 0 0 0
198 Glass Ionomer Cement A Set 0 0 0 0
199 Semen Seng Fosfat serbuk Set 0 0 0 0
200 LC (Light Curring) A2-A3 Set 0 0 0 0
201 Caviton 0 0 0 0
202 D-pulp 0 0 0 0
203 Calcium Lactate Tablet 1300 0 100
204 Iodium Test Botol 4 0 0
205 Vitamin A Biru Botol 750 0 300
206 Vitamin A Merah Botol 700 0 600
Jumlah
Pengeluaran november
Stok oktober 2019 Peneriman november 2019
Nama BHP Satuan Harga 2019
Volume Harga Volume Harga Volume Harga
2 3 4 5 6 7 8 9 10
No

Catgut Cromic 3-0 +
2 Box/24pcs 24
Jarum 1/2 GT
Catgut Cromic 2-0 +
3 Box/24pcs 24
Jarum 1/2 GT
Catgut Plain 3-0 + Jarum
6 Box/24pcs 24
1/2 GT
Catgut Plain 2-0 + Jarum
7 Box/24pcs 24
1/2 GT
Foley Catheter Two Way
8 Pcs 0
No. 10
9 Pcs 0
No. 12
10 Pcs 0
No. 14
11 Pcs 0
No. 18
12 Pcs 0
No. 20
13
15 Silk Box/12pcs 0

Steracath I.V Catheter

19 Box/50pcs 0
No. 18G x 32 cm
21 Box/50pcs 0
No. 20G
23 Box/50pcs 0
No. 22G
25 Box/50pcs 0
No. 24G
Syringe Disposable 3 cc
28 Box/100pcs 0
x 23 G
Syringe Disposable 5 cc
29 Box/100pcs 0
x 23 G
Aximed Face Mask 3 Ply
31 Box/50pcs 0
Ear Loop
Onemed Mask 3 Ply Ear
32 Box/50pcs 200
Loop
33 Masker One med tali tie Box 0
Gloves Surgical Steril No.
37 Psg 0
7
38 Psg 0
7,5
39 Psg 0
6.5
40 Psg 0
8
Gloves Surgical NonSteril
41 Box/100pcs 0
M
Gloves Surgical Non
42 Box/100pcs 0
Steril Uk l
Gloves Surgical NonSteril
43 Box/100pcs 0
S
Gloves Surgical Steril
45 Psg 0
Gynaecolog
onemed Kapas
49 pembalut / absorben Bks 0
500gr
Kasa Hidrofil Steril UK 16

50 Box/16lbr 0
x16

55 Rivanol Botol 4
57 Urine Bag Buah 5
59 lisol botol 0
onemed kassa pembalut
62 Roll 0
hidrophil 4m x 15 cm
63 Handsrub Botol 2

66 Leukomed Pcs 0

Paper Tape 2,5cm x 9,14
81 0
m
Paper Tape 7,5cm x 9,14
82 0
m
84 Aximed Nasal O2 Canula Pcs 0
85 Aximed Nasal O2 Canula S Pcs 0
86 Aximed Nasal O2 Canula S Pcs 0
92 Bonding set 0
93 Turniquit Pcs 0
94 Timer Buah 0
96 Test Kid Pemeriksaan Form Paket 0
97 Bisturi pcs 0
101 Plester Roll Kain 7.5cm x Roll 0
103 Plesterin Non Woven Roll Roll 0
104 Plesterin Non Woven Roll Roll 0
105 Plastik Klip Sedang (6 x 1 Pak 0
106 Plastik Klip Sedang (5 x 8 Pak 0
Kertas Puyer Pak 0
110 Reagen Pemeriksaan Gol paket 0
114 Stik Pemeriksaan Narkob Pcs 0
115 Stik Pemeriksaan Narkoba Pcs 0
117 Jumlah
118
Mengetahui,

Nip. 19690525 198811 2 001 NRPK : 19.7.0806792
Sisa Stok JANUARI 2020
Volume Harga Ket.
11 12
0 0
0 0
0 0
0 0
171 77121
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0
0 0
0 0
0 0
0 0
0 0
0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0
0
0
0 0
0 0
0
0
0 0
0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
200 0
0 0
0 0
0 0
0
0
0 0
0 0
0
0 0
0 0
0 0
0 0
0
0
0 0
0 0
0 0
0 0
0
0
0 0
0 0
0 0
0 0
0 0
0
0 0
0
0
0
0 0
0 0
0
0
32 940800
4320 1753920
0 0
0
0
0 0
0 0
220 29040
0
0 0
0 0
0
0 0
0
0
0
0 0
0
0
0
0 0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1200
4
450
150
Sisa Stok november 2019

Volume Harga
11 12

Obat Gizi 2019

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LAMPIRAN BERITA ACARA STOK OPNAME

POSKESDES KARYA ABADI

Penerimaan 01 Januari 2019 -

Volume Harga Volume

Penerimaan 01 Januari 2019 -

1 Etanol 70 % 100 ml Botol 0

Yasir Syam, SKM Eni Ayuningsih,A.M

Harga Volume Harga Volume Harga

16 Antalgin Inj Box 5000 0 0 0 0

Antifungi Doen Salep, Kombinasi: Asam

33 Bacitrasin + Polimiksin Salep Tube 3490 0 0 5 17450

34 Betametason krim Box, 24 Tube 1420 5 7100 5 7100

66 Glimepirid Box/ 50 Tab 174 0 0 0 0

64 onemed kassa pembalut hidrophil 4m x 15 cm Roll 0

YASIR SYAM,SKM ..................................

Pengeluaran 01 Januari 2019 - 06

120 12240 80 2040

110 1347500 70 857500

130 9620 70 5180

120 1620000 80 1080000

360 146160 40 16240

Pengeluaran 01 Januari 2019 - 06

Volume Harga Volume

18 Antasida Susp Botol 2098 0 0 0

Antifungi Doen Salep, Kombinasi: Asam

20 Anti Malaria Tablet 2160 0 0

23 Asam Mefenamat Tab box/100Tablet 103 50 5150

24 Asam Tranexamat Inj Box/10amp 2530 0 0

25 Aminofilin Tab Botol/100tab 167 0 0

40 Bisakodil Suppositoria 5 mg tab Tablet 316 0 0

49 Deksametason inj Box/100 Amp 1210 2 2420

1 Etanol 70 % 100 ml Botol 0

64 onemed kassa pembalut hidrophil 4m x 15 cm Roll 0

YASIR SYAM,SKM ..................................

Penerimaan 01 Januari Pengeluaran 01 Januari Sisa Stok Tanggal 06 Maret

Harga Volume Harga Volume Harga

Penerimaan 01 Januari Pengeluaran 01 Januari Sisa Stok Tanggal 06 Maret

Harga Volume Harga Volume Harga

2 Air Untuk Irigasi Injeksi Infus 25 ml Ampul 2860 0 0 0 0 0 0 0 0

3 Air untuk irigasi larutan botol 10700 0 0 0 0 0 0 0 0

Anastetik Lokal gigi kombinasi : Lidokain Hcl 2% +

16 Antalgin Inj Box 5000 0 0 0 0 0 0 0 0

18 Antasida Susp Botol 2098 0 0 0 0 0 0 0 0

Antifungi Doen Salep, Kombinasi: Asam Benzoat 6%

20 Anti Malaria Tablet 2160 0 0 0 0 0 0 0 0

24 Asam Tranexamat Inj Box/10amp 2530 0 0 0 0 0 0 0 0

25 Aminofilin Tab Botol/100tab 167 0 0 0 0 0 0 0 0

26 Asam Folat Botol/100tab 62 0 0 0 0 0 0 0 0

29 Asiklovir krim Tube 5150 0 0 0 0 0 0 0 0

30 Attapulgit Box/100 Tab 237 0 0 0 0 0 0 0 0

33 Bacitrasin + Polimiksin Salep Tube 3490 0 0 0 0 0 0 0 0

34 Betametason krim Box, 24 Tube 1420 0 0 0 0 0 0 0 0

38 Bisakodil Suppositoria 5 mg Box/ 6 Suppo 5670 0 0 0 0 0 0 0 0

49 Deksametason inj Box/100 Amp 1210 0 0 0 0 0 0 0 0

50 Deksametason tab Tablet 34 0 0 0 0 0 0 0 0

54 Difenhidramine inj Box/30amp 1262 0 0 0 0 0 0 0 0

57 Domperidon Susp botol 2862 0 0 0 0 0 0 0 0

59 Eugenol Cairan Botol 0 0 0 0 0 0 0 0

61 Epinefrin Inj Box/100 Amp 1518 0 0 0 0 0 0 0 0

Stok Per 31 Desember Penerimaan 01 Januari Pengeluaran 01 Januari 2019 - 06

YASIR SYAM, SKM Ririn Yuliandari, A.Md.Gz

2 Air Untuk Irigasi Injeksi Infus 25 ml Ampul 2860 0 0 0 0 0 0 0 0