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STOK PERSEDIAAN OBAT BULAN JANUARI 2021

PUSKESMAS WISATA PADANG LAMBE


KOTA PALOPO 2021

STOK AWAL RETUR PENAMBAHAN JUMLAH PERSEDIAAN PEMAKAIAAN SISA


PERMI
SAT HARGA
NO NAMA OBAT UAN SATUAN (Rp) NTAA KET
N
JML NILAI PERSEDIAAN JML PERSEDIAAN JML NILAI PERSEDIAAN JML NILAI PERSEDIAAN JML NILAI PERSEDIAAN JML NILAI PERSEDIAAN

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 acyclovir cream tube 5,450.00 34 Rp 185,300.00 Rp - Rp - 34 Rp 185,300.00 0 Rp - 34 Rp 185,300.00
2 acyclovir tab 200 mg tab 737.00 400 Rp 294,800.00 Rp - Rp - 400 Rp 294,800.00 0 Rp - 400 Rp 294,800.00
3 acetyl cystein 200 mg tab 369.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
4 Aminofilin inj 24 mg/ml 10 ml amp 2,878.00 0 Rp - Rp - Rp - Rp - 0 Rp - 0 Rp -
5 Aminofilin tablet 200 mg tab 95.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
6 Allopurinol tablet 100 mg tab 275.00 700 Rp 192,500.00 Rp - Rp - 700 Rp 192,500.00 200 Rp 55,000.00 500 Rp 137,500.00
7 Ambroxol Syr 15 mg/5 ml Btl 6,237.00 49 Rp 305,613.00 Rp - Rp - 49 Rp 305,613.00 3 Rp 18,711.00 46 Rp 286,902.00
8 Ambroxol tablet tab 227.70 600 Rp 136,620.00 Rp - Rp - 600 Rp 136,620.00 400 Rp 91,080.00 200 Rp 45,540.00 800
9 Amlodipin 10 mg tab 94.00 600 Rp 56,400.00 Rp - Rp - 600 Rp 56,400.00 100 Rp 9,400.00 500 Rp 47,000.00
10 amlodipin 5 mg tab 74.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp - 300
11 amoxicillin kaplet 500 mg tab 770.00 1870 Rp 1,439,900.00 Rp - 500 Rp 385,000.00 2370 Rp 1,824,900.00 820 Rp 631,400.00 1550 Rp 1,193,500.00 500
12 amoxicillin sirup kering 125 mg/ 5ml btl 1,919.00 146 Rp 280,174.00 Rp - Rp - 146 Rp 280,174.00 20 Rp 38,380.00 126 Rp 241,794.00
13 amoxicillin syrup kering 250 mg/5ml btl 3,604.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
14 Amoxicillin 100 mg/ml drops btl 11,500.00 70 Rp 805,000.00 Rp - Rp - 70 Rp 805,000.00 70 Rp 805,000.00 0 Rp - exp
15 Ampicillin Injeksi amp 7,920.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
16 antasida DOEN tablet kunyah tab 60.00 750 Rp 45,000.00 Rp - Rp - 750 Rp 45,000.00 150 Rp 9,000.00 600 Rp 36,000.00
17 antasida DOEN syrup btl 2,239.00 36 Rp 80,604.00 Rp - 50 Rp 111,950.00 86 Rp 192,554.00 20 Rp 44,780.00 66 Rp 147,774.00 50
18 anti bakteri DOEN salep kombinasi : basitrasin tube 3,490.00 25 Rp 87,250.00 Rp - Rp - 25 Rp 87,250.00 0 Rp - 25 Rp 87,250.00
19 anti fungi salep tube 5,170.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -

20 antihemoroid DOEN kombinasi : Bismut supp 3,642.00 21 Rp 76,482.00 Rp - Rp - 21 Rp 76,482.00 0 Rp - 21 Rp 76,482.00


subgalat 150 mg+ heksaklorofen 250 mg
21 asam ascorbat (vitamin C ) Tablet 50 mg tab 120.28 0 Rp - Rp - 2000 Rp 240,560.00 2000 Rp 240,560.00 1000 Rp 120,280.00 1000 Rp 120,280.00 1000
22 Aqua pro injeksi steril, bebas pirogen vial 4,840.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
23 asam mefenamat kaplet 500 mg tab 297.00 2170 Rp 644,490.00 Rp - Rp - 2170 Rp 644,490.00 320 Rp 95,040.00 1850 Rp 549,450.00 500
24 Asam Asetilsalisilat tab 80 mg/ miniaspi kap 99.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 100
25 Asam Asetilsalisilat tab 100 mg kap 153.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
26 asam traneksamat tab 1,782.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 100
27 betahistin mesilat ab 6 mg tab 119.00 300 Rp 35,700.00 Rp - Rp - 300 Rp 35,700.00 100 Rp 11,900.00 200 Rp 23,800.00 300
28 betametason krim 0,1 % tube 1,515.00 65 Rp 98,475.00 Rp - Rp - 65 Rp 98,475.00 5 Rp 7,575.00 60 Rp 90,900.00
29 captopril tablet 25mg tab 80.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
30 captopril 12,5 tab 73.00 450 Rp 32,850.00 Rp - Rp - 450 Rp 32,850.00 50 Rp 3,650.00 400 Rp 29,200.00
31 carbamasepin tab 200 mg tab 234.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
32 cetirizin 5 mg/5 ml syr btl 38,500.00 35 Rp 1,347,500.00 Rp - Rp - 35 Rp 1,347,500.00 0 Rp - 35 Rp 1,347,500.00
33 cetirizin tablet tab 1,100.00 900 Rp 990,000.00 Rp - Rp - 900 Rp 990,000.00 0 Rp - 900 Rp 990,000.00
34 cimetidin tab 200 mg tab 274.95 500 Rp 137,475.00 Rp - Rp - 500 Rp 137,475.00 0 Rp - 500 Rp 137,475.00
35 ciprofloxacin tab 500 mg tab 770.00 1450 Rp 1,116,500.00 Rp - Rp - 1450 Rp 1,116,500.00 100 Rp 77,000.00 1350 Rp 1,039,500.00
36 clorfeniramina mealeat (CTM) tab 4 mg tab 24.00 450 Rp 10,800.00 Rp - 400 Rp 9,600.00 850 Rp 20,400.00 350 Rp 8,400.00 500 Rp 12,000.00 400
37 codein 10 mg tab 657.00 100 Rp 65,700.00 Rp - Rp - 100 Rp 65,700.00 0 Rp - 100 Rp 65,700.00
38 cotrimoxazol DOEN (dewasa) tab 133.00 350 Rp 46,550.00 Rp - 200 Rp 26,600.00 550 Rp 73,150.00 150 Rp 19,950.00 400 Rp 53,200.00 200
39 cotrimoxazol susp kombinasi btl 2,190.00 47 Rp 102,930.00 Rp - Rp - 47 Rp 102,930.00 8 Rp 17,520.00 39 Rp 85,410.00
40 dexametason injeksi amp 1,740.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
41 dexametason tablet 0,5 mg tab 132.60 1570 Rp 208,182.00 Rp - 500 Rp 66,300.00 2070 Rp 274,482.00 470 Rp 62,322.00 1600 Rp 212,160.00 500
42 Dextral tab 557.00 450 Rp 250,650.00 Rp - Rp - 450 Rp 250,650.00 0 Rp - 450 Rp 250,650.00
43 Dulcolax 10 mg (bisacodil supp) susp 5,900.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 20
44 diazepam rektal 5 supp supp 14,459.00 2 Rp 28,918.00 Rp - Rp - 2 Rp 28,918.00 0 Rp - 2 Rp 28,918.00
45 diazepam tablet 2 mg tab 137.26 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 100
46 dimenhydrinate 50 mg tab 121.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
47 domperidone syrup btl 8,000.00 25 Rp 200,000.00 Rp - 50 Rp 400,000.00 75 Rp 600,000.00 6 Rp 48,000.00 69 Rp 552,000.00 50
48 domperidone tablet tab 480.70 550 Rp 264,385.00 Rp - Rp - 550 Rp 264,385.00 50 Rp 24,035.00 500 Rp 240,350.00
49 Dypenhidramin hcl inj 10 mg/ml-1ml ampl 1,354.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
50 epinefrin
(adrenalin) injeksi 0.1% (sebagai
ampl 1,518.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
HCL)
51 eritromicyn cap 500mg tab 766.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
52 etakridin / rivanol btl 3,600.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
53 ethanol 100 ml btl 4,510.00 20 Rp 90,200.00 Rp - 10 Rp 45,100.00 30 Rp 135,300.00 4 Rp 18,040.00 26 Rp 117,260.00
54 ethanol 70% 1000 ml btl 51,425.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
55 extrak belladon Tab 93.55 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
56 Ergotamin tartrat tab 199.00 100 Rp 19,900.00 Rp - Rp - 100 Rp 19,900.00 0 Rp - 100 Rp 19,900.00
57 fenobarbital injeksi 1 ml/ v 50 mg/ ml amp 1,430.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
58 fitomenadion inj 10 mg/ ml amp 4,167.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
59 Ensure Vanila klg 138,050.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
60 fitomenadion inj 2 mg/ml amp 4,236.00 50 Rp 211,800.00 Rp - Rp - 50 Rp 211,800.00 10 Rp 42,360.00 40 Rp 169,440.00
61 fitomenadion tab 10 mg tab 818.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 100
62 furosemid tab 40 mg tab 88.00 300 Rp 26,400.00 Rp - Rp - 300 Rp 26,400.00 100 Rp 8,800.00 200 Rp 17,600.00 200
63 Gentamisin inj 40mg/ml amp 3,545.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
64 gentamisin salep kulit 0,1 % slp 4,600.00 56 Rp 257,600.00 Rp - Rp - 56 Rp 257,600.00 9 Rp 41,400.00 47 Rp 216,200.00
65 gentamisin tetes mata 0,3 % btl 4,885.00 32 Rp 156,320.00 Rp - Rp - 32 Rp 156,320.00 0 Rp - 32 Rp 156,320.00
66 gentian violet btl 2,400.00 17 Rp 40,800.00 Rp - Rp - 17 Rp 40,800.00 2 Rp 4,800.00 15 Rp 36,000.00
67 glibenklamida 5 mg tab 137.00 300 Rp 41,100.00 Rp - Rp - 300 Rp 41,100.00 0 Rp - 300 Rp 41,100.00
68 glukosa larutan infus 5% btl 7,363.00 15 Rp 110,445.00 Rp - Rp - 15 Rp 110,445.00 5 Rp 36,815.00 10 Rp 73,630.00
69 griseofulvin tablet 125 mg, micronized tab 223.00 750 Rp 167,250.00 Rp - Rp - 750 Rp 167,250.00 0 Rp - 750 Rp 167,250.00
70 haloperidol tab 1,5 mg tab 74.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
71 Hemafort Tab Tab 667.92 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
72 hidrokortison krim 2,5% slp 2,648.00 61 Rp 161,528.00 Rp - Rp - 61 Rp 161,528.00 10 Rp 26,480.00 51 Rp 135,048.00
73 hidroklortiazida tab 25 mg tab 178.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
74 ibuprofen syrup 200 mg/5 ml btl 5,211.00 65 Rp 338,715.00 Rp - Rp - 65 Rp 338,715.00 6 Rp 31,266.00 59 Rp 307,449.00
75 ibuprofen tablet 400 mg tab 381.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 2000
76 Ibuprofen 200 mg tab 287.00 1600 Rp 459,200.00 Rp - 800 Rp 229,600.00 2400 Rp 688,800.00 950 Rp 272,650.00 1450 Rp 416,150.00 800
77 isoniazida 100 mg tab 85.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
78 isosorbit dinitrat tab 140.00 100 Rp 14,000.00 Rp - Rp - 100 Rp 14,000.00 0 Rp - 100 Rp 14,000.00
79 Kalsium Laktat ( kalk ) tablet 500 mg tab 63.00 1100 Rp 69,300.00 Rp - Rp - 1100 Rp 69,300.00 300 Rp 18,900.00 800 Rp 50,400.00
80 Ketokonazole Tab 200 mg tab 286.00 300 Rp 85,800.00 Rp - Rp - 300 Rp 85,800.00 0 Rp - 300 Rp 85,800.00
81 Ketorolac Injeksi 30 mg vial 1,276.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 10
82 Kloramfenicol kapsul 500mg tab 1,254.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
83 kloramfenikol salep mata 1% tube 2,013.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
84 Kloramfenikol Sirup 125 mg/ml susp btl 4,985.00 50 Rp 249,250.00 Rp - Rp - 50 Rp 249,250.00 50 Rp 249,250.00 0 Rp - exp
85 kloramfenikol tetes telinga 3% btl 8,510.00 10 Rp 85,100.00 Rp - Rp - 10 Rp 85,100.00 0 Rp - 10 Rp 85,100.00
86 lidokain injeksi 2% (HCL) + EPINEFRIN 1 : amp 1,317.00 67 Rp 88,239.00 Rp - Rp - 67 Rp 88,239.00 20 Rp 26,340.00 47 Rp 61,899.00 30
80.000
87 lisol btl 133,000.00 4 Rp 532,000.00 Rp - 10 Rp 1,330,000.00 14 Rp 1,862,000.00 10 Rp 1,330,000.00 4 Rp 532,000.00
88 loperamid tab 2 mg tab 90.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 100
89 loratadin tab 10 mg tab 127.00 1150 Rp 146,050.00 Rp - Rp - 1150 Rp 146,050.00 100 Rp 12,700.00 1050 Rp 133,350.00
90 Lexagin tab 190.30 0 Rp - Rp - Rp - Rp - 0 Rp - 0 Rp -
91 Melocxicam 7,5 mg Tab 830.28 800 Rp 664,224.00 Rp - Rp - 800 Rp 664,224.00 100 Rp 83,028.00 700 Rp 581,196.00
92 metampiron tab 500 tab 190.31 500 Rp 95,155.00 Rp - Rp - 500 Rp 95,155.00 0 Rp - 500 Rp 95,155.00
93 metformin tab 500 mg tab 102.00 900 Rp 91,800.00 Rp - Rp - 900 Rp 91,800.00 100 Rp 10,200.00 800 Rp 81,600.00

94 metilergometrin injeksi 0,2000 mg-1 ml amp 3,399.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -

95 metilergometrin maleat tab 245.00 250 Rp 61,250.00 Rp - Rp - 250 Rp 61,250.00 250 Rp 61,250.00 0 Rp - 300 exp
96 metilprednisolon tab 4 mg tab 148.00 2200 Rp 325,600.00 Rp - 500 Rp 74,000.00 2700 Rp 399,600.00 400 Rp 59,200.00 2300 Rp 340,400.00 500
97 Metoklorpamide tablet tab 87.00 100 Rp 8,700.00 Rp - Rp - 100 Rp 8,700.00 0 Rp - 100 Rp 8,700.00 200
98 metoklopramide inj 5mg/ml amp 3,904.00 7 Rp 27,328.00 Rp - Rp - 7 Rp 27,328.00 0 Rp - 7 Rp 27,328.00
99 metronidazol tablet 250 mg tab 254.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
100 metronidazol tablet 500 mg tab 264.00 600 Rp 158,400.00 Rp - Rp - 600 Rp 158,400.00 100 Rp 26,400.00 500 Rp 132,000.00
101 MgSO4 OTSU btl 3,328.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
102 miconasole krim 2 % slp 4,125.00 78 Rp 321,750.00 Rp - Rp - 78 Rp 321,750.00 10 Rp 41,250.00 68 Rp 280,500.00
103 micardis ( Telmisartatn 40 ) tab 3,045.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
104 Mineral mix sac 3,116.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
105 Multivitamin syr btl 8,530.00 225 Rp 1,919,250.00 Rp - Rp - 225 Rp 1,919,250.00 12 Rp 102,360.00 213 Rp 1,816,890.00
106 natrium diclofenac tab 50 mg tab 136.00 800 Rp 108,800.00 Rp - Rp - 800 Rp 108,800.00 800 Rp 108,800.00 0 Rp - 1000 exp
107 natrium klorida larutan infus 0,9% btl 6,410.00 24 Rp 153,840.00 Rp - 20 Rp 128,200.00 44 Rp 282,040.00 0 Rp - 44 Rp 282,040.00
108 NIFEDIPIN TAB 10 MG tab 220.17 150 Rp 33,025.50 Rp - Rp - 150 Rp 33,025.50 0 Rp - 150 Rp 33,025.50
109 Nistatin tab vag 100.000 IU tab 645.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
110 New Antides ( attapulgit ) tab 149.00 200 Rp 29,800.00 Rp - Rp - 200 Rp 29,800.00 0 Rp - 200 Rp 29,800.00
111 oksitetrasiklin HCL salep mata 1 % slp 2,600.00 35 Rp 91,000.00 Rp - Rp - 35 Rp 91,000.00 35 Rp 91,000.00 0 Rp - 25 exp
112 oksitetrasiklin salep kulit 3% slp 3,556.00 75 Rp 266,700.00 Rp - Rp - 75 Rp 266,700.00 10 Rp 35,560.00 65 Rp 231,140.00
113 oksitosin inj 10 UI/ ml - 1ml amp 1,232.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
114 Omeprasol kapsul 20 mg kap 846.66 540 Rp 457,196.40 Rp - Rp - 540 Rp 457,196.40 0 Rp - 540 Rp 457,196.40
115 OAT Kategori I/ FDC pkt 430,538.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
116 paracetamol drops btl 7,646.00 36 Rp 275,256.00 Rp - Rp - 36 Rp 275,256.00 0 Rp - 36 Rp 275,256.00
117 paracetamol sirup 120 mg / 5 ml btl 3,750.00 90 Rp 337,500.00 Rp - Rp - 90 Rp 337,500.00 20 Rp 75,000.00 70 Rp 262,500.00
118 paracetamol tab 500 mg tab 154.00 1750 Rp 269,500.00 Rp - Rp - 1750 Rp 269,500.00 650 Rp 100,100.00 1100 Rp 169,400.00
119 piracetam 800 mg tab 480.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
120 pirantel tab score (base) 125 mg tab 353.00 100 Rp 35,300.00 Rp - Rp - 100 Rp 35,300.00 0 Rp - 100 Rp 35,300.00
121 piridoksin (vit B6)tab 10 mg (HCL) tab 52.00 1500 Rp 78,000.00 Rp - Rp - 1500 Rp 78,000.00 100 Rp 5,200.00 1400 Rp 72,800.00
122 piroxicam tab 20 mg tab 146.65 300 Rp 43,995.00 Rp - Rp - 300 Rp 43,995.00 0 Rp - 300 Rp 43,995.00
123 polikresulen btl 66,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
124 povidon lodida larutan 30 ml btl 3,479.30 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
125 povidon lodida larutan 300 ml btl 21,600.00 4 Rp 86,400.00 Rp - 2 Rp 43,200.00 6 Rp 129,600.00 1 Rp 21,600.00 5 Rp 108,000.00
126 prednison tab 5mg tab 79.00 300 Rp 23,700.00 Rp - Rp - 300 Rp 23,700.00 0 Rp - 300 Rp 23,700.00
127 Susu Proten Vanila klg 11,897.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
128 Ranitidine tab 122.00 400 Rp 48,800.00 Rp - Rp - 400 Rp 48,800.00 200 Rp 24,400.00 200 Rp 24,400.00 300
129 Ranitidine injeksi vial 1,677.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 10
130 retinol 100.000 IU kap lunak Biru kap 327.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
131 retinol 200.000 IU kap lunak Merah kap 637.00 100 Rp 63,700.00 Rp - Rp - 100 Rp 63,700.00 0 Rp - 100 Rp 63,700.00
132 ringer laktat larutan infus btl 7,150.00 58 Rp 414,700.00 Rp - Rp - 58 Rp 414,700.00 5 Rp 35,750.00 53 Rp 378,950.00
133 resperidon tab 1 mg tab 439.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
134 salbutamol tab 2 mg tab 147.00 600 Rp 88,200.00 Rp - Rp - 600 Rp 88,200.00 0 Rp - 600 Rp 88,200.00
135 salep 2-4 pot 3,017.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
136 salisil bedak 2% ktk 3,630.00 70 Rp 254,100.00 Rp - Rp - 70 Rp 254,100.00 0 Rp - 70 Rp 254,100.00
137 Samcodin tab 875.00 470 Rp 411,250.00 Rp - Rp - 470 Rp 411,250.00 170 Rp 148,750.00 300 Rp 262,500.00 500
138 Scabimite sembada salep Tube 11,475.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 10
139 simvastatin Tab 10 mg Tab 266.00 550 Rp 146,300.00 Rp - Rp - 550 Rp 146,300.00 100 Rp 26,600.00 450 Rp 119,700.00 400
140 tablet tambah darah tab 409.00 3570 Rp 1,460,130.00 Rp - Rp - 3570 Rp 1,460,130.00 390 Rp 159,510.00 3180 Rp 1,300,620.00
141 tetrasiklin kapsul 500 mg tab 324.00 100 Rp 32,400.00 Rp - Rp - 100 Rp 32,400.00 0 Rp - 100 Rp 32,400.00
142 trihexifenidil tab 2 mg tab 95.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
143 vitamin (vit B1) tab 50 mg (HCL/nitrat) tab 90.00 500 Rp 45,000.00 Rp - Rp - 500 Rp 45,000.00 200 Rp 18,000.00 300 Rp 27,000.00 200
144 vitamin B komplex tab tab 135.00 1300 Rp 175,500.00 Rp - Rp - 1300 Rp 175,500.00 500 Rp 67,500.00 800 Rp 108,000.00
145 Vaksin jerap TT 5 ml Vial 54,500.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
146 Vitamin B12 (Sianokobalamin) tab 48.00 600 Rp 28,800.00 Rp - Rp - 600 Rp 28,800.00 0 Rp - 600 Rp 28,800.00
147 Wicold syr btl 12,340.00 76 Rp 937,840.00 Rp - Rp - 76 Rp 937,840.00 11 Rp 135,740.00 65 Rp 802,100.00
148 zink tablet tab 604.00 300 Rp 181,200.00 Rp - Rp - 300 Rp 181,200.00 100 Rp 60,400.00 200 Rp 120,800.00 200
ALAT KESEHATAN Rp - Rp - 0 Rp - 0 Rp - Rp -
149 Alat suntik 1 ml set 1,138.50 50 Rp 56,925.00 Rp - Rp - 50 Rp 56,925.00 30 Rp 34,155.00 20 Rp 22,770.00 100
150 Alat suntik 3 ml set 910.80 132 Rp 120,225.60 Rp - Rp - 132 Rp 120,225.60 30 Rp 27,324.00 102 Rp 92,901.60
151 Alat Suntik 5 ml set 1,530.60 85 Rp 130,101.00 Rp - Rp - 85 Rp 130,101.00 0 Rp - 85 Rp 130,101.00
152 Alkohol Swabb set 121.00 200 Rp 24,200.00 Rp - 500 Rp 60,500.00 700 Rp 84,700.00 200 Rp 24,200.00 500 Rp 60,500.00
153 Bisturi pcs 1,500.00 76 Rp 114,000.00 Rp - Rp - 76 Rp 114,000.00 10 Rp 15,000.00 66 Rp 99,000.00
154 catgut/benang bedah 2/0 dengan jarum ktk 41,565.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
155 catgut/benang bedah 3/0 dengan jarum ktk 33,358.00 24 Rp 800,592.00 Rp - Rp - 24 Rp 800,592.00 0 Rp - 24 Rp 800,592.00
156 Silk Black 3/0 pcs 21,735.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
157 Silk (benang bedah sutera)no.3/0 dgn jarum pcs 48,993.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 24
bedah
158 kasa kompres 40 cm x 40 cm psg 1,942.50 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
159 handskun steril no. 6,5 psg 13,178.00 238 Rp 3,136,364.00 Rp - Rp - 238 Rp 3,136,364.00 69 Rp 909,282.00 169 Rp 2,227,082.00 100
160 handscoen genekolog/KIA psg 40,733.00 48 Rp 1,955,184.00 Rp - Rp - 48 Rp 1,955,184.00 0 Rp - 48 Rp 1,955,184.00
161 handscoen non steril psg 1,300.00 400 Rp 520,000.00 Rp - 200 Rp 260,000.00 600 Rp 780,000.00 100 Rp 130,000.00 500 Rp 650,000.00 200
162 Hipafix Pcs 48,235.00 2 Rp 96,470.00 Rp - 3 Rp 144,705.00 5 Rp 241,175.00 1 Rp 48,235.00 4 Rp 192,940.00
163 infusion set dewasa set 8,349.00 83 Rp 692,967.00 Rp - Rp - 83 Rp 692,967.00 5 Rp 41,745.00 78 Rp 651,222.00
164 folley catheter 10ml no 18 set 13,090.00 3 Rp 39,270.00 Rp - Rp - 3 Rp 39,270.00 0 Rp - 3 Rp 39,270.00
165 urine bag set 8,800.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
166 infusion set anak set 4,023.80 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 20
167 IV catherter no. 18 G buah 12,631.00 123 Rp 1,553,613.00 Rp - Rp - 123 Rp 1,553,613.00 0 Rp - 123 Rp 1,553,613.00
168 IV catherter no. 20 G buah 3,978.89 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 50
169 IV catheter no. 22 G buah 12,631.00 60 Rp 757,860.00 Rp - Rp - 60 Rp 757,860.00 10 Rp 126,310.00 50 Rp 631,550.00
170 IV catherter no. 24 G buah 4,717.00 68 Rp 320,756.00 Rp - Rp - 68 Rp 320,756.00 0 Rp - 68 Rp 320,756.00
171 IV catheter no. 26 G buah 11,000.00 40 Rp 440,000.00 Rp - Rp - 40 Rp 440,000.00 0 Rp - 40 Rp 440,000.00
172 kapas pembalut / absorben 250 gram buah 29,900.00 4 Rp 119,600.00 Rp - Rp - 4 Rp 119,600.00 2 Rp 59,800.00 2 Rp 59,800.00
173 kasa pembalut hidrofil 4 cm X 5 cm rol 304.00 100 Rp 30,400.00 Rp - Rp - 100 Rp 30,400.00 0 Rp - 100 Rp 30,400.00
174 kasa pembalut hidrofil 3 cm X 5 cm rol 730.25 100 Rp 73,025.00 Rp - Rp - 100 Rp 73,025.00 0 Rp - 100 Rp 73,025.00
175 kasa 4 X 15 rol 3,971.30 40 Rp 158,852.00 Rp - Rp - 40 Rp 158,852.00 0 Rp - 40 Rp 158,852.00
176 kasa hidrofil steril uk. 16 X 16 ktk 7,940.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 50
177 kasa hidrofil uk.40x80 cm rol 156,600.00 3 Rp 469,800.00 Rp - Rp - 3 Rp 469,800.00 0 Rp - 3 Rp 469,800.00
178 kasa hidrofil uk. 36 X 80 cm rol 97,175.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
179 kertas puyer pak 1,500.00 200 Rp 300,000.00 Rp - Rp - 200 Rp 300,000.00 0 Rp - 200 Rp 300,000.00
180 masker earloop set 3,600.00 300 Rp 1,080,000.00 Rp - 600 Rp 2,160,000.00 900 Rp 3,240,000.00 450 Rp 1,620,000.00 450 Rp 1,620,000.00
181 masker hijab set 4,020.00 50 Rp 201,000.00 Rp - Rp - 50 Rp 201,000.00 0 Rp - 50 Rp 201,000.00 600
182 masker N95 pcs 50,000.00 20 Rp 1,000,000.00 Rp - Rp - 20 Rp 1,000,000.00 3 Rp 150,000.00 17 Rp 850,000.00
183 Object Glass/ Slide Ktk 60,500.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
184 plester 5 yards x 2 inch rol 35,532.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
185 Polifix 5 cm x 5 m rol 42,780.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
186 Poli clean btl 78,200.00 11 Rp 860,200.00 Rp - Rp - 11 Rp 860,200.00 3 Rp 234,600.00 8 Rp 625,600.00 10
187 USG Gel btl 15,100.80 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 3
REAGENS Rp - Rp - 0 Rp - 0 Rp - Rp -
188 strep kolesterol nesco tube 250,000.00 3 Rp 750,000.00 Rp - 3 Rp 750,000.00 6 Rp 1,500,000.00 0 Rp - 6 Rp 1,500,000.00 3
189 strep glukosa tube 155,000.00 4 Rp 620,000.00 Rp - Rp - 4 Rp 620,000.00 2 Rp 310,000.00 2 Rp 310,000.00 10
190 strep as.urat tube 155,000.00 5 Rp 775,000.00 Rp - Rp - 5 Rp 775,000.00 2 Rp 310,000.00 3 Rp 465,000.00 10
191 Strip HB easy touch tube 290,000.00 2 Rp 580,000.00 Rp - Rp - 2 Rp 580,000.00 0 Rp - 2 Rp 580,000.00
192 Strip DBD ktk 69,333.33 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
193 Strip Malaria PCS 56,226.01 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
194 strip HBSAG/Hepatitis ktk 8,360.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
195 Tydal set 680,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
196 spiritus btl 55,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
197 tes kehamilan strip 1,980.22 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
198 ABO Screen set 479,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
199 Pot Dahak bh 2,863.33 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
200 Aquadest Steril ktk 21,039.70 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
201 Gel USG 250 ml btl 15,100.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
202 Urine test btl 358,914.60 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
203 HCL 0,1 N btl 12,376.10 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
204 EDTA 10% 100 ml btl 86,634.90 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
205 Fouchet btl 250,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
206 Giemsa btl 450,000.00 Rp - Rp - 0
207 Immerson Oil btl 596,541.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
208 Lar. Eosin 2% 50 ml btl 99,011.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
209 Nat. Sitrat 3,8 % 100 ml btl 49,505.50 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
210 Asam Sulfosalisilat 20% btl 81,683.80 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
211 Turk 100 ml btl 49,505.50 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
212 Knipet Kuning buah 198.02 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
213 knipet Putih buah 222.78 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
214 Hayem btl 110,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
215 lancets set 192.00 500 Rp 96,000.00 Rp - Rp - 500 Rp 96,000.00 200 Rp 38,400.00 300 Rp 57,600.00 200
216 Sylene 100 mg btl 100,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
217 Viro Check HIV 1/2 PCS 12,103.53 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
218 Rapid 1 HIV(SD) HIV 1/2 Cassette pcs 11,975.00 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
219 SO Biorin Shypilis pcs 7,395.00 Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
220 RDT IMS Syphylis ktk 20,400.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
OBAT GIGI Rp - Rp - 0 Rp - 0 Rp - Rp -
221 Atzen Gel 7-EICH btl 126,000.00 0 Rp - Rp - 0 Rp - 0 Rp - Rp -
222 cotton rol rol 92.40 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
223 citojek ktk 1,400.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
224 Etil Klorida btl 175,010.00 6 Rp 1,050,060.00 Rp - Rp - 6 Rp 1,050,060.00 1 Rp 175,010.00 5 Rp 875,050.00
225 Eugenol Cairan btl 21,648.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
226 Kalsium Hidroksida Pasta tube 300,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
227 Deviatlilsasi Pasta (Non Arsen ) tube 869,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
228 Glass ionomert cement tube 650,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
229 saliva ejector buah 2,100.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
230 Semen seng Fosfat serbuk dan cair tube 753,500.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
231 septocain amp 28,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
232 micro aplikator buah 700.00 100 Rp 70,000.00 Rp - Rp - 100 Rp 70,000.00 0 Rp - 100 Rp 70,000.00
233 Mummifying Pasta tube 984,500.00 0 Rp - Rp - Rp - 0 Rp - Rp - Rp -

JUMLAH Rp 42,161,599.50 0 Rp - Rp 6,465,315.00 Rp 48,626,914.50 Rp 10,069,883.00 Rp 38,557,031.50

Mengetahui, Palopo,31 Januari 2021


Kepala Puskesmas Wisata Padang Lambe Pengelola Obat

Anwar,S.Kep.Ns ANIYUNITA, S. Farm


Nip : 19690223 199203 1 004
STOK PERSEDIAAN OBAT BULAN FEBRUARI 2021
PUSKESMAS WISATA PADANG LAMBE
KOTA PALOPO 2021

STOK AWAL RETUR PENAMBAHAN JUMLAH PERSEDIAAN PEMAKAIAAN SISA


PERMI
SAT HARGA
NO NAMA OBAT UAN SATUAN (Rp) NTAA KET
N
JML NILAI PERSEDIAAN JML PERSEDIAA JML NILAI PERSEDIAAN JML NILAI PERSEDIAAN JML NILAI PERSEDIAAN JML NILAI PERSEDIAAN
N

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 acyclovir cream tube 5,450.00 34 Rp 185,300.00 Rp - Rp - 34 Rp 185,300.00 0 Rp - 34 Rp 185,300.00
2 acyclovir tab 200 mg tab 737.00 400 Rp 294,800.00 Rp - Rp - 400 Rp 294,800.00 0 Rp - 400 Rp 294,800.00
3 acetyl cystein 200 mg tab 369.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 1000
4 Aminofilin inj 24 mg/ml 10 ml amp 2,878.00 0 Rp - Rp - Rp - Rp - 0 Rp - 0 Rp -
5 Aminofilin tablet 200 mg tab 95.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 100
6 Allopurinol tablet 100 mg tab 275.00 500 Rp 137,500.00 Rp - Rp - 500 Rp 137,500.00 0 Rp - 500 Rp 137,500.00
7 Ambroxol Syr 15 mg/5 ml Btl 6,237.00 46 Rp 286,902.00 Rp - Rp - 46 Rp 286,902.00 5 Rp 31,185.00 41 Rp 255,717.00
8 Ambroxol tablet tab 227.70 200 Rp 45,540.00 Rp - 800 Rp 182,160.00 1000 Rp 227,700.00 0 Rp - 1000 Rp 227,700.00
9 Amlodipin 10 mg tab 94.00 500 Rp 47,000.00 Rp - Rp - 500 Rp 47,000.00 200 Rp 18,800.00 300 Rp 28,200.00 200
10 amlodipin 5 mg tab 74.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 300
11 amoxicillin kaplet 500 mg tab 770.00 1550 Rp 1,193,500.00 Rp - 500 Rp 385,000.00 2050 Rp 1,578,500.00 200 Rp 154,000.00 1850 Rp 1,424,500.00 500
12 amoxicillin sirup kering 125 mg/ 5ml btl 1,919.00 126 Rp 241,794.00 Rp - Rp - 126 Rp 241,794.00 17 Rp 32,623.00 109 Rp 209,171.00
13 amoxicillin syrup kering 250 mg/5ml btl 3,604.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 50
14 Amoxicillin 100 mg/ml drops btl 11,500.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 50
15 Ampicillin Injeksi amp 7,920.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
16 antasida DOEN tablet kunyah tab 60.00 600 Rp 36,000.00 Rp - Rp - 600 Rp 36,000.00 100 Rp 6,000.00 500 Rp 30,000.00
17 antasida DOEN syrup btl 2,239.00 66 Rp 147,774.00 Rp - 50 Rp 111,950.00 116 Rp 259,724.00 16 Rp 35,824.00 100 Rp 223,900.00
anti bakteri DOEN salep kombinasi :
18 tube 3,490.00 25 Rp 87,250.00 Rp - Rp - 25 Rp 87,250.00 0 Rp - 25 Rp 87,250.00
basitrasin
19 anti fungi salep tube 5,170.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 25

antihemoroid DOEN kombinasi : Bismut


20
subgalat 150 mg+ heksaklorofen 250 mg supp
3,642.00 21 Rp 76,482.00 Rp - Rp - 21 Rp 76,482.00 0 Rp - 21 Rp 76,482.00

21 asam ascorbat (vitamin C ) Tablet 50 mg tab 120.28 1000 Rp 120,280.00 Rp - 1000 Rp 120,280.00 2000 Rp 240,560.00 300 Rp 36,084.00 1700 Rp 204,476.00 1000

22 Aqua pro injeksi steril, bebas pirogen vial 4,840.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -


23 asam mefenamat kaplet 500 mg tab 297.00 1850 Rp 549,450.00 Rp - 500 Rp 148,500.00 2350 Rp 697,950.00 200 Rp 59,400.00 2150 Rp 638,550.00 500
24 Asam Asetilsalisilat tab 80 mg/ miniaspi kap 99.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 100

25 Asam Asetilsalisilat tab 100 mg kap 153.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -


26 asam traneksamat tab 1,782.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 100
27 betahistin mesilat ab 6 mg tab 119.00 200 Rp 23,800.00 Rp - 300 Rp 35,700.00 500 Rp 59,500.00 0 Rp - 500 Rp 59,500.00
28 betametason krim 0,1 % tube 1,515.00 60 Rp 90,900.00 Rp - Rp - 60 Rp 90,900.00 5 Rp 7,575.00 55 Rp 83,325.00
29 captopril tablet 25mg tab 80.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
30 captopril 12,5 tab 73.00 400 Rp 29,200.00 Rp - Rp - 400 Rp 29,200.00 50 Rp 3,650.00 350 Rp 25,550.00
31 carbamasepin tab 200 mg tab 234.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
32 cetirizin 5 mg/5 ml syr btl 38,500.00 35 Rp 1,347,500.00 Rp - Rp - 35 Rp 1,347,500.00 0 Rp - 35 Rp 1,347,500.00
33 cetirizin tablet tab 1,100.00 900 Rp 990,000.00 Rp - Rp - 900 Rp 990,000.00 0 Rp - 900 Rp 990,000.00
34 cimetidin tab 200 mg tab 274.95 500 Rp 137,475.00 Rp - Rp - 500 Rp 137,475.00 0 Rp - 500 Rp 137,475.00
35 ciprofloxacin tab 500 mg tab 770.00 1350 Rp 1,039,500.00 Rp - Rp - 1350 Rp 1,039,500.00 0 Rp - 1350 Rp 1,039,500.00

36 clorfeniramina mealeat (CTM) tab 4 mg tab 24.00 500 Rp 12,000.00 Rp - 400 Rp 9,600.00 900 Rp 21,600.00 0 Rp - 900 Rp 21,600.00 ED

37 codein 10 mg tab 657.00 100 Rp 65,700.00 Rp - Rp - 100 Rp 65,700.00 0 Rp - 100 Rp 65,700.00


38 cotrimoxazol DOEN (dewasa) tab 133.00 400 Rp 53,200.00 Rp - 200 Rp 26,600.00 600 Rp 79,800.00 50 Rp 6,650.00 550 Rp 73,150.00
39 cotrimoxazol susp kombinasi btl 2,190.00 39 Rp 85,410.00 Rp - Rp - 39 Rp 85,410.00 8 Rp 17,520.00 31 Rp 67,890.00
40 dexametason injeksi amp 1,740.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 10
41 dexametason tablet 0,5 mg tab 132.60 1600 Rp 212,160.00 Rp - 500 Rp 66,300.00 2100 Rp 278,460.00 0 Rp - 2100 Rp 278,460.00
42 Dextral tab 557.00 450 Rp 250,650.00 Rp - Rp - 450 Rp 250,650.00 0 Rp - 450 Rp 250,650.00
43 Dulcolax 10 mg (bisacodil supp) susp 5,900.00 0 Rp - Rp - 5 Rp 29,500.00 5 Rp 29,500.00 0 Rp - 5 Rp 29,500.00 20
44 diazepam rektal 5 supp supp 14,459.00 2 Rp 28,918.00 Rp - Rp - 2 Rp 28,918.00 0 Rp - 2 Rp 28,918.00
45 diazepam tablet 2 mg tab 137.26 0 Rp - Rp - 100 Rp 13,726.00 100 Rp 13,726.00 0 Rp - 100 Rp 13,726.00
46 dimenhydrinate 50 mg tab 121.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
47 domperidone syrup btl 8,000.00 69 Rp 552,000.00 Rp - Rp - 69 Rp 552,000.00 69 Rp 552,000.00 0 Rp - 50 exp
48 domperidone tablet tab 480.70 500 Rp 240,350.00 Rp - Rp - 500 Rp 240,350.00 100 Rp 48,070.00 400 Rp 192,280.00
49 Dypenhidramin hcl inj 10 mg/ml-1ml ampl 1,354.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 10
epinefrin (adrenalin) injeksi 0.1%
50 ampl 1,518.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
(sebagai HCL)
51 eritromicyn cap 500mg tab 766.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
52 etakridin / rivanol btl 3,600.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 3
53 ethanol 100 ml btl 4,510.00 26 Rp 117,260.00 Rp - Rp - 26 Rp 117,260.00 4 Rp 18,040.00 22 Rp 99,220.00
54 ethanol 70% 1000 ml btl 51,425.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
55 extrak belladon Tab 93.55 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
56 Ergotamin tartrat tab 199.00 100 Rp 19,900.00 Rp - Rp - 100 Rp 19,900.00 0 Rp - 100 Rp 19,900.00
57 fenobarbital injeksi 1 ml/ v 50 mg/ ml amp 1,430.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
58 fitomenadion inj 10 mg/ ml amp 4,167.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
59 Ensure Vanila klg 138,050.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
60 fitomenadion inj 2 mg/ml amp 4,236.00 40 Rp 169,440.00 Rp - Rp - 40 Rp 169,440.00 0 Rp - 40 Rp 169,440.00
61 fitomenadion tab 10 mg tab 818.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 200
62 furosemid tab 40 mg tab 88.00 200 Rp 17,600.00 Rp - 200 Rp 17,600.00 400 Rp 35,200.00 0 Rp - 400 Rp 35,200.00
63 Gentamisin inj 40mg/ml amp 3,545.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
64 gentamisin salep kulit 0,1 % slp 4,600.00 47 Rp 216,200.00 Rp - Rp - 47 Rp 216,200.00 10 Rp 46,000.00 37 Rp 170,200.00 25
65 gentamisin tetes mata 0,3 % btl 4,885.00 32 Rp 156,320.00 Rp - Rp - 32 Rp 156,320.00 0 Rp - 32 Rp 156,320.00
66 gentian violet btl 2,400.00 15 Rp 36,000.00 Rp - Rp - 15 Rp 36,000.00 0 Rp - 15 Rp 36,000.00
67 glibenklamida 5 mg tab 137.00 300 Rp 41,100.00 Rp - Rp - 300 Rp 41,100.00 0 Rp - 300 Rp 41,100.00
68 glukosa larutan infus 5% btl 7,363.00 10 Rp 73,630.00 Rp - Rp - 10 Rp 73,630.00 0 Rp - 10 Rp 73,630.00

69 griseofulvin tablet 125 mg, micronized tab 223.00 750 Rp 167,250.00 Rp - Rp - 750 Rp 167,250.00 0 Rp - 750 Rp 167,250.00

70 haloperidol tab 1,5 mg tab 74.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -


71 Hemafort Tab Tab 667.92 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
72 hidrokortison krim 2,5% slp 2,648.00 51 Rp 135,048.00 Rp - Rp - 51 Rp 135,048.00 10 Rp 26,480.00 41 Rp 108,568.00
73 hidroklortiazida tab 25 mg tab 178.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
74 ibuprofen syrup 200 mg/5 ml btl 5,211.00 59 Rp 307,449.00 Rp - Rp - 59 Rp 307,449.00 6 Rp 31,266.00 53 Rp 276,183.00
75 ibuprofen tablet 400 mg tab 381.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 2000
76 Ibuprofen 200 mg tab 287.00 1450 Rp 416,150.00 Rp - 800 Rp 229,600.00 2250 Rp 645,750.00 500 Rp 143,500.00 1750 Rp 502,250.00
77 isoniazida 100 mg tab 85.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
78 isosorbit dinitrat tab 140.00 100 Rp 14,000.00 Rp - Rp - 100 Rp 14,000.00 0 Rp - 100 Rp 14,000.00
79 Kalsium Laktat ( kalk ) tablet 500 mg tab 63.00 800 Rp 50,400.00 Rp - Rp - 800 Rp 50,400.00 300 Rp 18,900.00 500 Rp 31,500.00 500
80 Ketokonazole Tab 200 mg tab 286.00 300 Rp 85,800.00 Rp - Rp - 300 Rp 85,800.00 0 Rp - 300 Rp 85,800.00
81 Ketorolac Injeksi 30 mg vial 1,276.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 10
82 Kloramfenicol kapsul 500mg tab 1,254.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
83 kloramfenikol salep mata 1% tube 2,013.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
84 Kloramfenikol Sirup 125 mg/ml susp btl 4,985.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
85 kloramfenikol tetes telinga 3% btl 8,510.00 10 Rp 85,100.00 Rp - Rp - 10 Rp 85,100.00 0 Rp - 10 Rp 85,100.00

86 lidokain injeksi 2% (HCL) + EPINEFRIN 1 : amp 1,317.00 47 Rp 61,899.00 Rp - 30 Rp 39,510.00 77 Rp 101,409.00 0 Rp - 77 Rp 101,409.00 30
80.000
87 lisol btl 133,000.00 4 Rp 532,000.00 Rp - Rp - 4 Rp 532,000.00 1 Rp 133,000.00 3 Rp 399,000.00
88 loperamid tab 2 mg tab 90.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 100
89 loratadin tab 10 mg tab 127.00 1050 Rp 133,350.00 Rp - Rp - 1050 Rp 133,350.00 50 Rp 6,350.00 1000 Rp 127,000.00
90 Lexagin tab 190.30 0 Rp - Rp - Rp - Rp - 0 Rp - 0 Rp -
91 Melocxicam 7,5 mg Tab 830.28 700 Rp 581,196.00 Rp - Rp - 700 Rp 581,196.00 100 Rp 83,028.00 600 Rp 498,168.00 500
92 metampiron tab 500 tab 190.31 500 Rp 95,155.00 Rp - Rp - 500 Rp 95,155.00 0 Rp - 500 Rp 95,155.00
93 metformin tab 500 mg tab 102.00 800 Rp 81,600.00 Rp - Rp - 800 Rp 81,600.00 100 Rp 10,200.00 700 Rp 71,400.00

94 metilergometrin injeksi 0,2000 mg-1 ml amp 3,399.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -

95 metilergometrin maleat tab 245.00 0 Rp - Rp - 200 Rp 49,000.00 200 Rp 49,000.00 0 Rp - 200 Rp 49,000.00 300
96 metilprednisolon tab 4 mg tab 148.00 2300 Rp 340,400.00 Rp - 500 Rp 74,000.00 2800 Rp 414,400.00 300 Rp 44,400.00 2500 Rp 370,000.00 500
97 Metoklorpamide tablet tab 87.00 100 Rp 8,700.00 Rp - 500 Rp 43,500.00 600 Rp 52,200.00 0 Rp - 600 Rp 52,200.00
98 metoklopramide inj 5mg/ml amp 3,904.00 7 Rp 27,328.00 Rp - Rp - 7 Rp 27,328.00 0 Rp - 7 Rp 27,328.00
99 metronidazol tablet 250 mg tab 254.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
100 metronidazol tablet 500 mg tab 264.00 500 Rp 132,000.00 Rp - Rp - 500 Rp 132,000.00 0 Rp - 500 Rp 132,000.00
101 MgSO4 OTSU btl 3,328.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
102 miconasole krim 2 % slp 4,125.00 68 Rp 280,500.00 Rp - Rp - 68 Rp 280,500.00 3 Rp 12,375.00 65 Rp 268,125.00
103 micardis ( Telmisartatn 40 ) tab 3,045.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
104 Mineral mix sac 3,116.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
105 Multivitamin syr btl 8,530.00 213 Rp 1,816,890.00 Rp - Rp - 213 Rp 1,816,890.00 14 Rp 119,420.00 190 Rp 1,620,700.00
106 natrium diclofenac tab 50 mg tab 136.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 1000
107 natrium klorida larutan infus 0,9% btl 6,410.00 44 Rp 282,040.00 Rp - Rp - 44 Rp 282,040.00 1 Rp 6,410.00 43 Rp 275,630.00
108 NIFEDIPIN TAB 10 MG tab 220.17 150 Rp 33,025.50 Rp - Rp - 150 Rp 33,025.50 0 Rp - 150 Rp 33,025.50
109 Nistatin tab vag 100.000 IU tab 645.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
110 New Antides ( attapulgit ) tab 149.00 200 Rp 29,800.00 Rp - Rp - 200 Rp 29,800.00 0 Rp - 200 Rp 29,800.00
111 oksitetrasiklin HCL salep mata 1 % slp 2,600.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 25
112 oksitetrasiklin salep kulit 3% slp 3,556.00 65 Rp 231,140.00 Rp - Rp - 65 Rp 231,140.00 6 Rp 21,336.00 59 Rp 209,804.00
113 oksitosin inj 10 UI/ ml - 1ml amp 1,232.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
114 Omeprasol kapsul 20 mg kap 846.66 540 Rp 457,196.40 Rp - Rp - 540 Rp 457,196.40 90 Rp 76,199.40 450 Rp 380,997.00
115 OAT Kategori I/ FDC pkt 430,538.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 1
116 paracetamol drops btl 7,646.00 36 Rp 275,256.00 Rp - Rp - 36 Rp 275,256.00 0 Rp - 36 Rp 275,256.00
117 paracetamol sirup 120 mg / 5 ml btl 3,750.00 70 Rp 262,500.00 Rp - Rp - 70 Rp 262,500.00 13 Rp 48,750.00 57 Rp 213,750.00
118 paracetamol tab 500 mg tab 154.00 1100 Rp 169,400.00 Rp - Rp - 1100 Rp 169,400.00 150 Rp 23,100.00 950 Rp 146,300.00 500
119 piracetam 800 mg tab 480.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
120 pirantel tab score (base) 125 mg tab 353.00 100 Rp 35,300.00 Rp - Rp - 100 Rp 35,300.00 0 Rp - 100 Rp 35,300.00
121 piridoksin (vit B6)tab 10 mg (HCL) tab 52.00 1400 Rp 72,800.00 Rp - Rp - 1400 Rp 72,800.00 200 Rp 10,400.00 1200 Rp 62,400.00
122 piroxicam tab 20 mg tab 146.65 300 Rp 43,995.00 Rp - Rp - 300 Rp 43,995.00 0 Rp - 300 Rp 43,995.00
123 polikresulen btl 66,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
124 povidon lodida larutan 30 ml btl 3,479.30 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
125 povidon lodida larutan 300 ml btl 21,600.00 5 Rp 108,000.00 Rp - Rp - 5 Rp 108,000.00 1 Rp 21,600.00 4 Rp 86,400.00 2
126 prednison tab 5mg tab 79.00 300 Rp 23,700.00 Rp - Rp - 300 Rp 23,700.00 0 Rp - 300 Rp 23,700.00
127 Susu Proten Vanila klg 11,897.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
128 Ranitidine tab 122.00 200 Rp 24,400.00 Rp - Rp - 200 Rp 24,400.00 100 Rp 12,200.00 100 Rp 12,200.00 500
129 Ranitidine injeksi vial 1,677.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 10
130 retinol 100.000 IU kap lunak Biru kap 327.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
131 retinol 200.000 IU kap lunak Merah kap 637.00 100 Rp 63,700.00 Rp - Rp - 100 Rp 63,700.00 Rp - 100 Rp 63,700.00
132 ringer laktat larutan infus btl 7,150.00 53 Rp 378,950.00 Rp - Rp - 53 Rp 378,950.00 10 Rp 71,500.00 43 Rp 307,450.00
133 resperidon tab 1 mg tab 439.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
134 salbutamol tab 2 mg tab 147.00 600 Rp 88,200.00 Rp - Rp - 600 Rp 88,200.00 100 Rp 14,700.00 500 Rp 73,500.00
135 salep 2-4 pot 3,017.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
136 salisil bedak 2% ktk 3,630.00 70 Rp 254,100.00 Rp - Rp - 70 Rp 254,100.00 5 Rp 18,150.00 65 Rp 235,950.00
137 Samcodin tab 875.00 300 Rp 262,500.00 Rp - 500 Rp 437,500.00 800 Rp 700,000.00 100 Rp 87,500.00 700 Rp 612,500.00 300
138 Scabimite sembada salep Tube 11,475.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 10
139 simvastatin Tab 10 mg Tab 266.00 450 Rp 119,700.00 Rp - 400 Rp 106,400.00 850 Rp 226,100.00 50 Rp 13,300.00 800 Rp 212,800.00 400
140 tablet tambah darah tab 409.00 3180 Rp 1,300,620.00 Rp - Rp - 3180 Rp 1,300,620.00 330 Rp 134,970.00 2850 Rp 1,165,650.00
141 tetrasiklin kapsul 500 mg tab 324.00 100 Rp 32,400.00 Rp - Rp - 100 Rp 32,400.00 0 Rp - 100 Rp 32,400.00
142 trihexifenidil tab 2 mg tab 95.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
143 vitamin (vit B1) tab 50 mg (HCL/nitrat) tab 90.00 300 Rp 27,000.00 Rp - 200 Rp 18,000.00 500 Rp 45,000.00 100 Rp 9,000.00 400 Rp 36,000.00 200
144 vitamin B komplex tab tab 135.00 800 Rp 108,000.00 Rp - Rp - 800 Rp 108,000.00 100 Rp 13,500.00 700 Rp 94,500.00 500
145 Vaksin jerap TT 5 ml Vial 54,500.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
146 Vitamin B12 (Sianokobalamin) tab 48.00 600 Rp 28,800.00 Rp - Rp - 600 Rp 28,800.00 0 Rp - 600 Rp 28,800.00
147 Wicold syr btl 12,340.00 65 Rp 802,100.00 Rp - Rp - 65 Rp 802,100.00 5 Rp 61,700.00 60 Rp 740,400.00
148 zink tablet tab 604.00 200 Rp 120,800.00 Rp - Rp - 200 Rp 120,800.00 0 Rp - 200 Rp 120,800.00 200
ALAT KESEHATAN Rp - Rp - 0 Rp - 0 Rp - Rp -
149 Alat suntik 1 ml set 1,138.50 20 Rp 22,770.00 Rp - Rp - 20 Rp 22,770.00 0 Rp - 20 Rp 22,770.00 100
150 Alat suntik 3 ml set 910.80 102 Rp 92,901.60 Rp - Rp - 102 Rp 92,901.60 5 Rp 4,554.00 97 Rp 88,347.60
151 Alat Suntik 5 ml set 1,530.60 85 Rp 130,101.00 Rp - Rp - 85 Rp 130,101.00 0 Rp - 85 Rp 130,101.00
152 Alkohol Swabb set 121.00 500 Rp 60,500.00 Rp - Rp - 500 Rp 60,500.00 400 Rp 48,400.00 100 Rp 12,100.00 500
153 Bisturi pcs 1,500.00 66 Rp 99,000.00 Rp - Rp - 66 Rp 99,000.00 0 Rp - 66 Rp 99,000.00
154 catgut/benang bedah 2/0 dengan jarum ktk 41,565.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
155 catgut/benang bedah 3/0 dengan jarum ktk 33,358.00 24 Rp 800,592.00 Rp - Rp - 24 Rp 800,592.00 0 Rp - 24 Rp 800,592.00
156 Silk Black 3/0 pcs 21,735.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
Silk (benang bedah sutera)no.3/0 dgn
157 jarum bedah pcs 48,993.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 24

158 kasa kompres 40 cm x 40 cm psg 1,942.50 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -


159 handskun steril no. 6,5 psg 13,178.00 169 Rp 2,227,082.00 Rp - Rp - 169 Rp 2,227,082.00 39 Rp 513,942.00 130 Rp 1,713,140.00
160 handskun steril 6,5 psg 11,000.00 0 Rp - 150 Rp 1,650,000.00 150 Rp 1,650,000.00 0 Rp - 150 Rp 1,650,000.00
161 handscoen genekolog/KIA psg 40,733.00 48 Rp 1,955,184.00 Rp - Rp - 48 Rp 1,955,184.00 0 Rp - 48 Rp 1,955,184.00
162 handscoen non steril psg 1,300.00 500 Rp 650,000.00 Rp - Rp - 500 Rp 650,000.00 300 Rp 390,000.00 200 Rp 260,000.00 200
163 Hipafix Pcs 48,235.00 4 Rp 192,940.00 Rp - Rp - 4 Rp 192,940.00 0 Rp - 4 Rp 192,940.00 2
164 infusion set dewasa set 8,349.00 78 Rp 651,222.00 Rp - Rp - 78 Rp 651,222.00 6 Rp 50,094.00 72 Rp 601,128.00
165 folley catheter 10ml no 18 set 13,090.00 3 Rp 39,270.00 Rp - Rp - 3 Rp 39,270.00 0 Rp - 3 Rp 39,270.00
166 urine bag set 8,800.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
167 infusion set anak set 4,023.80 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 20
168 IV catherter no. 18 G buah 12,631.00 123 Rp 1,553,613.00 Rp - Rp - 123 Rp 1,553,613.00 73 Rp 922,063.00 50 Rp 631,550.00 exp73
169 IV catherter no. 20 G buah 3,978.89 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 50
170 IV catheter no. 22 G buah 12,631.00 50 Rp 631,550.00 Rp - Rp - 50 Rp 631,550.00 5 Rp 63,155.00 45 Rp 568,395.00
171 IV catherter no. 24 G buah 4,717.00 68 Rp 320,756.00 Rp - Rp - 68 Rp 320,756.00 0 Rp - 68 Rp 320,756.00
172 IV catheter no. 26 G buah 11,000.00 40 Rp 440,000.00 Rp - Rp - 40 Rp 440,000.00 0 Rp - 40 Rp 440,000.00
173 kapas pembalut / absorben 250 gram buah 29,900.00 2 Rp 59,800.00 Rp - Rp - 2 Rp 59,800.00 1 Rp 29,900.00 1 Rp 29,900.00 2
174 kasa pembalut hidrofil 4 cm X 5 cm rol 304.00 100 Rp 30,400.00 Rp - Rp - 100 Rp 30,400.00 0 Rp - 100 Rp 30,400.00
175 kasa pembalut hidrofil 3 cm X 5 cm rol 730.25 100 Rp 73,025.00 Rp - Rp - 100 Rp 73,025.00 0 Rp - 100 Rp 73,025.00
176 kasa 4 X 15 rol 3,971.30 40 Rp 158,852.00 Rp - Rp - 40 Rp 158,852.00 0 Rp - 40 Rp 158,852.00
177 kasa hidrofil steril uk. 16 X 16 ktk 7,940.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 50
178 kasa hidrofil uk.40x80 cm rol 156,600.00 3 Rp 469,800.00 Rp - Rp - 3 Rp 469,800.00 1 Rp 156,600.00 2 Rp 313,200.00
179 kasa hidrofil uk. 36 X 80 cm rol 97,175.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
180 kertas puyer pak 1,500.00 200 Rp 300,000.00 Rp - Rp - 200 Rp 300,000.00 0 Rp - 200 Rp 300,000.00
181 masker earloop set 3,600.00 450 Rp 1,620,000.00 Rp - Rp - 450 Rp 1,620,000.00 400 Rp 1,440,000.00 50 Rp 180,000.00
182 masker hijab set 4,020.00 50 Rp 201,000.00 Rp - Rp - 50 Rp 201,000.00 0 Rp - 50 Rp 201,000.00 600
183 masker N95 pcs 50,000.00 17 Rp 850,000.00 Rp - Rp - 17 Rp 850,000.00 0 Rp - 17 Rp 850,000.00
184 Object Glass/ Slide Ktk 60,500.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
185 plester 5 yards x 2 inch rol 35,532.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
186 Polifix 5 cm x 5 m rol 42,780.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
187 Poli clean btl 78,200.00 8 Rp 625,600.00 Rp - 10 Rp 782,000.00 18 Rp 1,407,600.00 7 Rp 547,400.00 11 Rp 860,200.00 10
188 USG Gel btl 15,100.80 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 3
REAGENS Rp - Rp - 0 Rp - 0 Rp - Rp -
189 strep kolesterol nesco tube 250,000.00 6 Rp 1,500,000.00 Rp - 3 Rp 750,000.00 9 Rp 2,250,000.00 0 Rp - 9 Rp 2,250,000.00 3
190 strep glukosa tube 155,000.00 2 Rp 310,000.00 Rp - 10 Rp 1,550,000.00 12 Rp 1,860,000.00 6 Rp 930,000.00 6 Rp 930,000.00 10
191 strep as.urat tube 155,000.00 3 Rp 465,000.00 Rp - 10 Rp 1,550,000.00 13 Rp 2,015,000.00 6 Rp 930,000.00 7 Rp 1,085,000.00 10
192 Strip HB easy touch tube 290,000.00 2 Rp 580,000.00 Rp - Rp - 2 Rp 580,000.00 2 Rp 580,000.00 0 Rp - 2
193 Strip DBD ktk 69,333.33 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
194 Strip Malaria PCS 56,226.01 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
195 strip HBSAG/Hepatitis ktk 8,360.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
196 Tydal set 680,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
197 spiritus btl 55,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
198 tes kehamilan strip 1,980.22 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
199 ABO Screen set 479,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
200 Pot Dahak bh 2,863.33 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
201 Aquadest Steril ktk 21,039.70 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
202 Gel USG 250 ml btl 15,100.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
203 Urine test btl 358,914.60 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
204 HCL 0,1 N btl 12,376.10 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
205 EDTA 10% 100 ml btl 86,634.90 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
206 Fouchet btl 250,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
207 Giemsa btl 450,000.00 Rp - Rp - 0
208 Immerson Oil btl 596,541.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
209 Lar. Eosin 2% 50 ml btl 99,011.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
210 Nat. Sitrat 3,8 % 100 ml btl 49,505.50 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
211 Asam Sulfosalisilat 20% btl 81,683.80 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
212 Turk 100 ml btl 49,505.50 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
213 Knipet Kuning buah 198.02 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
214 knipet Putih buah 222.78 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
215 Hayem btl 110,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
216 lancets set 192.00 300 Rp 57,600.00 Rp - 200 Rp 38,400.00 500 Rp 96,000.00 100 Rp 19,200.00 400 Rp 76,800.00 200
217 Sylene 100 mg btl 100,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
218 Viro Check HIV 1/2 PCS 12,103.53 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 1
219 Rapid 1 HIV(SD) HIV 1/2 Cassette pcs 11,975.00 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
220 SO Biorin Shypilis pcs 7,395.00 Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
221 RDT IMS Syphylis ktk 20,400.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
OBAT GIGI Rp - Rp - 0 Rp - 0 Rp - Rp -
222 Atzen Gel 7-EICH btl 126,000.00 0 Rp - Rp - 0 Rp - 0 Rp - Rp -
223 cotton rol rol 92.40 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
224 citojek ktk 1,400.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
225 Etil Klorida btl 175,010.00 5 Rp 875,050.00 Rp - Rp - 5 Rp 875,050.00 0 Rp - 5 Rp 875,050.00
226 Eugenol Cairan btl 21,648.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 2
227 Kalsium Hidroksida Pasta tube 300,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
228 Deviatlilsasi Pasta (Non Arsen ) tube 869,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
229 Glass ionomert cement tube 650,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
230 saliva ejector buah 2,100.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
231 Semen seng Fosfat serbuk dan cair tube 753,500.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
232 septocain amp 28,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
233 micro aplikator buah 700.00 100 Rp 70,000.00 Rp - Rp - 100 Rp 70,000.00 0 Rp - 100 Rp 70,000.00
234 Mummifying Pasta tube 984,500.00 0 Rp - Rp - Rp - 0 Rp - Rp - Rp -

JUMLAH Rp 38,557,031.50 0 Rp - Rp 8,464,826.00 Rp 47,021,857.50 Rp 9,048,733.40 Rp 37,973,124.10

Mengetahui, Palopo, ,27 Februari 2021


Kepala Puskesmas Wisata Padang Lambe Pengelola Obat

Anwar,S.Kep.Ns ANIYUNITA, S. Farm


Nip : 19690223 199203 1 004
STOK PERSEDIAAN OBAT BULAN MARET 2021
PUSKESMAS WISATA PADANG LAMBE
KOTA PALOPO 2021

STOK AWAL RETUR PENAMBAHAN JUMLAH PERSEDIAAN PEMAKAIAAN SISA


PERMI
SAT HARGA
NO NAMA OBAT UAN SATUAN (Rp) NTAA KET
N
JML NILAI PERSEDIAAN JML PERSEDIA JML NILAI PERSEDIAAN JML NILAI PERSEDIAAN JML NILAI PERSEDIAAN JML NILAI PERSEDIAAN
AN

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 acyclovir cream tube 5,450.00 34 Rp 185,300.00 Rp - Rp - 34 Rp 185,300.00 5 Rp 27,250.00 29 Rp 158,050.00
2 acyclovir tab 200 mg tab 737.00 400 Rp 294,800.00 Rp - Rp - 400 Rp 294,800.00 0 Rp - 400 Rp 294,800.00
3 acetyl cystein 200 mg tab 369.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 500
4 Aminofilin inj 24 mg/ml 10 ml amp 2,878.00 0 Rp - Rp - Rp - Rp - 0 Rp - 0 Rp -
5 Aminofilin tablet 200 mg tab 95.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 100
6 Allopurinol tablet 100 mg tab 275.00 500 Rp 137,500.00 Rp - 300 Rp 82,500.00 800 Rp 220,000.00 0 Rp - 800 Rp 220,000.00
7 Ambroxol Syr 15 mg/5 ml Btl 6,237.00 41 Rp 255,717.00 Rp - Rp - 41 Rp 255,717.00 4 Rp 24,948.00 37 Rp 230,769.00
8 Ambroxol tablet tab 227.70 1000 Rp 227,700.00 Rp - Rp - 1000 Rp 227,700.00 150 Rp 34,155.00 850 Rp 193,545.00
9 Amlodipin 10 mg tab 94.00 300 Rp 28,200.00 Rp - 200 Rp 18,800.00 500 Rp 47,000.00 0 Rp - 500 Rp 47,000.00 500
10 amlodipin 5 mg tab 74.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 300
11 amoxicillin kaplet 500 mg tab 770.00 1850 Rp 1,424,500.00 Rp - 500 Rp 385,000.00 2350 Rp 1,809,500.00 2050 Rp 1,578,500.00 300 Rp 231,000.00 500 ED 1500
12 amoxicillin sirup kering 125 mg/ 5ml btl 1,919.00 109 Rp 209,171.00 Rp - 120 Rp 230,280.00 229 Rp 439,451.00 15 Rp 28,785.00 214 Rp 410,666.00
13 amoxicillin syrup kering 250 mg/5ml btl 3,604.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
14 Amoxicillin 100 mg/ml drops btl 11,500.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 50
15 Ampicillin Injeksi amp 7,920.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
16 antasida DOEN tablet kunyah tab 60.00 500 Rp 30,000.00 Rp - Rp - 500 Rp 30,000.00 50 Rp 3,000.00 450 Rp 27,000.00
17 antasida DOEN syrup btl 2,239.00 100 Rp 223,900.00 Rp - Rp - 100 Rp 223,900.00 10 Rp 22,390.00 90 Rp 201,510.00

18 anti bakteri salep kombinasi : basitrasin tube 3,490.00 25 Rp 87,250.00 Rp - Rp - 25 Rp 87,250.00 0 Rp - 25 Rp 87,250.00

19 anti fungi salep tube 5,517.00 0 Rp - Rp - 24 Rp 132,408.00 24 Rp 132,408.00 0 Rp - 24 Rp 132,408.00

20 antihemoroid DOEN kombinasi : Bismut supp 3,642.00 21 Rp 76,482.00 Rp - Rp - 21 Rp 76,482.00 0 Rp - 21 Rp 76,482.00


subgalat 150 mg+ heksaklorofen 250 mg

21 asam ascorbat (vitamin C ) Tablet 50 mg tab 120.28 1700 Rp 204,476.00 Rp - 1000 Rp 120,280.00 2700 Rp 324,756.00 300 Rp 36,084.00 2400 Rp 288,672.00

22 Aqua pro injeksi steril, bebas pirogen vial 4,840.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -


23 asam mefenamat kaplet 500 mg tab 297.00 2150 Rp 638,550.00 Rp - 500 Rp 148,500.00 2650 Rp 787,050.00 350 Rp 103,950.00 2300 Rp 683,100.00
24 Asam Asetilsalisilat tab 80 mg/ miniaspi kap 99.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 100

25 Asam Asetilsalisilat tab 100 mg kap 153.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -


26 asam traneksamat tab 1,782.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 100
27 betahistin mesilat ab 6 mg tab 119.00 500 Rp 59,500.00 Rp - Rp - 500 Rp 59,500.00 0 Rp - 500 Rp 59,500.00
28 betametason krim 0,1 % tube 1,515.00 55 Rp 83,325.00 Rp - Rp - 55 Rp 83,325.00 10 Rp 15,150.00 45 Rp 68,175.00
29 captopril tablet 25mg tab 80.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
30 captopril 12,5 tab 73.00 350 Rp 25,550.00 Rp - Rp - 350 Rp 25,550.00 50 Rp 3,650.00 300 Rp 21,900.00
31 carbamasepin tab 200 mg tab 234.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
32 cetirizin 5 mg/5 ml syr btl 38,500.00 35 Rp 1,347,500.00 Rp - Rp - 35 Rp 1,347,500.00 5 Rp 192,500.00 30 Rp 1,155,000.00
33 cetirizin tablet tab 1,100.00 900 Rp 990,000.00 Rp - Rp - 900 Rp 990,000.00 100 Rp 110,000.00 800 Rp 880,000.00
34 cimetidin tab 200 mg tab 274.95 500 Rp 137,475.00 Rp - Rp - 500 Rp 137,475.00 0 Rp - 500 Rp 137,475.00
35 ciprofloxacin tab 500 mg tab 770.00 1350 Rp 1,039,500.00 Rp - Rp - 1350 Rp 1,039,500.00 100 Rp 77,000.00 1250 Rp 962,500.00

36 clorfeniramina mealeat (CTM) tab 4 mg tab 24.00 900 Rp 21,600.00 Rp - 500 Rp 12,000.00 1400 Rp 33,600.00 1050 Rp 25,200.00 350 Rp 8,400.00 500 ED 900

37 codein 10 mg tab 657.00 100 Rp 65,700.00 Rp - Rp - 100 Rp 65,700.00 0 Rp - 100 Rp 65,700.00


38 cotrimoxazol DOEN (dewasa) tab 133.00 550 Rp 73,150.00 Rp - Rp - 550 Rp 73,150.00 100 Rp 13,300.00 450 Rp 59,850.00
39 cotrimoxazol susp kombinasi btl 2,190.00 31 Rp 67,890.00 Rp - Rp - 31 Rp 67,890.00 8 Rp 17,520.00 23 Rp 50,370.00
40 dexametason injeksi amp 1,740.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
41 dexametason tablet 0,5 mg tab 132.60 2100 Rp 278,460.00 Rp - Rp - 2100 Rp 278,460.00 150 Rp 19,890.00 1950 Rp 258,570.00
42 Dextral tab 557.00 450 Rp 250,650.00 Rp - Rp - 450 Rp 250,650.00 100 Rp 55,700.00 350 Rp 194,950.00
43 Dulcolax 10 mg (bisacodil supp) susp 5,900.00 5 Rp 29,500.00 Rp - Rp - 5 Rp 29,500.00 0 Rp - 5 Rp 29,500.00
44 diazepam rektal 5 supp 14,459.00 2 Rp 28,918.00 Rp - Rp - 2 Rp 28,918.00 0 Rp - 2 Rp 28,918.00
45 diazepam tablet 2 mg tab 137.26 100 Rp 13,726.00 Rp - Rp - 100 Rp 13,726.00 0 Rp - 100 Rp 13,726.00
46 dimenhydrinate 50 mg tab 121.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
47 domperidone syrup btl 8,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 50
48 domperidone tablet tab 480.70 400 Rp 192,280.00 Rp - Rp - 400 Rp 192,280.00 100 Rp 48,070.00 300 Rp 144,210.00 500
49 Dypenhidramin hcl inj 10 mg/ml-1ml ampl 1,354.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -

50 epinefrin (adrenalin) injeksi 0.1% (sebagai ampl 1,518.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -


HCL)
51 eritromicyn cap 500mg tab 766.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
52 etakridin / rivanol btl 3,600.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 3
53 ethanol 100 ml btl 4,510.00 22 Rp 99,220.00 Rp - Rp - 22 Rp 99,220.00 9 Rp 40,590.00 13 Rp 58,630.00
54 ethanol 70% 1000 ml btl 51,425.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
55 extrak belladon Tab 93.55 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
56 Ergotamin tartrat tab 199.00 100 Rp 19,900.00 Rp - Rp - 100 Rp 19,900.00 0 Rp - 100 Rp 19,900.00
57 fenobarbital injeksi 1 ml/ v 50 mg/ ml amp 1,430.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
58 fitomenadion inj 10 mg/ ml amp 4,167.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
59 Ensure Vanila klg 138,050.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
60 fitomenadion inj 2 mg/ml amp 4,236.00 40 Rp 169,440.00 Rp - Rp - 40 Rp 169,440.00 0 Rp - 40 Rp 169,440.00
61 fitomenadion tab 10 mg tab 818.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 200
62 furosemid tab 40 mg tab 88.00 400 Rp 35,200.00 Rp - Rp - 400 Rp 35,200.00 0 Rp - 400 Rp 35,200.00
63 Gentamisin inj 40mg/ml amp 3,545.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
64 gentamisin salep kulit 0,1 % slp 4,600.00 37 Rp 170,200.00 Rp - 24 Rp 110,400.00 61 Rp 280,600.00 5 Rp 23,000.00 56 Rp 257,600.00
65 gentamisin tetes mata 0,3 % btl 4,885.00 32 Rp 156,320.00 Rp - Rp - 32 Rp 156,320.00 3 Rp 14,655.00 29 Rp 141,665.00
66 gentian violet btl 2,400.00 15 Rp 36,000.00 Rp - Rp - 15 Rp 36,000.00 3 Rp 7,200.00 12 Rp 28,800.00
67 glibenklamida 5 mg tab 137.00 300 Rp 41,100.00 Rp - Rp - 300 Rp 41,100.00 0 Rp - 300 Rp 41,100.00
68 glukosa larutan infus 5% btl 7,363.00 10 Rp 73,630.00 Rp - Rp - 10 Rp 73,630.00 0 Rp - 10 Rp 73,630.00

69 griseofulvin tablet 125 mg, micronized tab 223.00 750 Rp 167,250.00 Rp - Rp - 750 Rp 167,250.00 0 Rp - 750 Rp 167,250.00

70 haloperidol tab 1,5 mg tab 74.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -


71 Hemafort Tab Tab 667.92 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
72 hidrokortison krim 2,5% slp 2,648.00 41 Rp 108,568.00 Rp - Rp - 41 Rp 108,568.00 10 Rp 26,480.00 31 Rp 82,088.00
73 hidroklortiazida tab 25 mg tab 178.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
74 ibuprofen syrup 200 mg/5 ml btl 5,211.00 53 Rp 276,183.00 Rp - Rp - 53 Rp 276,183.00 16 Rp 83,376.00 37 Rp 192,807.00
75 ibuprofen tablet 400 mg tab 381.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 500
76 Ibuprofen 200 mg tab 287.00 1750 Rp 502,250.00 Rp - 2000 Rp 574,000.00 3750 Rp 1,076,250.00 550 Rp 157,850.00 3200 Rp 918,400.00
77 isoniazida 100 mg tab 85.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
78 isosorbit dinitrat tab 140.00 100 Rp 14,000.00 Rp - Rp - 100 Rp 14,000.00 10 Rp 1,400.00 90 Rp 12,600.00
79 Kalsium Laktat ( kalk ) tablet 500 mg tab 63.00 500 Rp 31,500.00 Rp - 500 Rp 31,500.00 1000 Rp 63,000.00 0 Rp - 1000 Rp 63,000.00
80 Ketokonazole Tab 200 mg tab 286.00 300 Rp 85,800.00 Rp - Rp - 300 Rp 85,800.00 0 Rp - 300 Rp 85,800.00
81 Ketorolac Injeksi 30 mg vial 1,276.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 10
82 Kloramfenicol kapsul 500mg tab 1,254.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
83 kloramfenikol salep mata 1% tube 2,013.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
84 Kloramfenikol Sirup 125 mg/ml susp btl 4,985.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
85 kloramfenikol tetes telinga 3% btl 8,510.00 10 Rp 85,100.00 Rp - Rp - 10 Rp 85,100.00 0 Rp - 10 Rp 85,100.00
lidokain injeksi 2% (HCL) + EPINEFRIN 1 :
86 amp 1,317.00 77 Rp 101,409.00 Rp - Rp - 77 Rp 101,409.00 77 Rp 101,409.00 0 Rp - 30 ED
80.000
87 lisol btl 133,000.00 3 Rp 399,000.00 Rp - Rp - 3 Rp 399,000.00 2 Rp 266,000.00 1 Rp 133,000.00 3
88 loperamid tab 2 mg tab 90.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 100
89 loratadin tab 10 mg tab 127.00 1000 Rp 127,000.00 Rp - Rp - 1000 Rp 127,000.00 100 Rp 12,700.00 900 Rp 114,300.00
90 Lexagin tab 190.30 0 Rp - Rp - Rp - Rp - 0 Rp - 0 Rp -
91 Melocxicam 7,5 mg Tab 830.28 600 Rp 498,168.00 Rp - Rp - 600 Rp 498,168.00 100 Rp 83,028.00 500 Rp 415,140.00
92 metampiron tab 500 tab 190.31 500 Rp 95,155.00 Rp - Rp - 500 Rp 95,155.00 0 Rp - 500 Rp 95,155.00
93 metformin tab 500 mg tab 102.00 700 Rp 71,400.00 Rp - Rp - 700 Rp 71,400.00 600 Rp 61,200.00 100 Rp 10,200.00 500 ED 500

94 metilergometrin injeksi 0,2000 mg-1 ml amp 3,399.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -

95 metilergometrin maleat tab 245.00 200 Rp 49,000.00 Rp - Rp - 200 Rp 49,000.00 200 Rp 49,000.00 0 Rp - 300 ED
96 metilprednisolon tab 4 mg tab 148.00 2500 Rp 370,000.00 Rp - 500 Rp 74,000.00 3000 Rp 444,000.00 400 Rp 59,200.00 2600 Rp 384,800.00
97 Metoklorpamide tablet tab 87.00 600 Rp 52,200.00 Rp - 500 Rp 43,500.00 1100 Rp 95,700.00 500 Rp 43,500.00 600 Rp 52,200.00
98 metoklopramide inj 5mg/ml amp 3,904.00 7 Rp 27,328.00 Rp - Rp - 7 Rp 27,328.00 7 Rp 27,328.00 0 Rp - ED
99 metronidazol tablet 250 mg tab 254.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
100 metronidazol tablet 500 mg tab 264.00 500 Rp 132,000.00 Rp - 500 Rp 132,000.00 1000 Rp 264,000.00 100 Rp 26,400.00 900 Rp 237,600.00
101 MgSO4 OTSU btl 3,328.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
102 miconasole krim 2 % slp 4,125.00 65 Rp 268,125.00 Rp - Rp - 65 Rp 268,125.00 0 Rp - 65 Rp 268,125.00
103 micardis ( Telmisartatn 40 ) tab 3,045.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
104 Mineral mix sac 3,116.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
105 Multivitamin syr btl 8,530.00 190 Rp 1,620,700.00 Rp - Rp - 190 Rp 1,620,700.00 10 Rp 85,300.00 180 Rp 1,535,400.00
106 natrium diclofenac tab 50 mg tab 136.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 500
107 natrium klorida larutan infus 0,9% btl 6,410.00 43 Rp 275,630.00 Rp - Rp - 43 Rp 275,630.00 1 Rp 6,410.00 42 Rp 269,220.00
108 NIFEDIPIN TAB 10 MG tab 220.17 150 Rp 33,025.50 Rp - Rp - 150 Rp 33,025.50 0 Rp - 150 Rp 33,025.50
109 Nistatin tab vag 100.000 IU tab 645.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
110 New Antides ( attapulgit ) tab 149.00 200 Rp 29,800.00 Rp - Rp - 200 Rp 29,800.00 100 Rp 14,900.00 100 Rp 14,900.00
111 oksitetrasiklin HCL salep mata 1 % slp 2,600.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
112 oksitetrasiklin salep kulit 3% slp 3,556.00 59 Rp 209,804.00 Rp - Rp - 59 Rp 209,804.00 5 Rp 17,780.00 54 Rp 192,024.00
113 oksitosin inj 10 UI/ ml - 1ml amp 1,232.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
114 Omeprasol kapsul 20 mg kap 846.66 450 Rp 380,997.00 Rp - Rp - 450 Rp 380,997.00 180 Rp 152,398.80 270 Rp 228,598.20 200
115 OAT Kategori I/ FDC pkt 430,538.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
116 paracetamol drops btl 7,646.00 36 Rp 275,256.00 Rp - Rp - 36 Rp 275,256.00 12 Rp 91,752.00 24 Rp 183,504.00
117 paracetamol sirup 120 mg / 5 ml btl 3,750.00 57 Rp 213,750.00 Rp - Rp - 57 Rp 213,750.00 20 Rp 75,000.00 37 Rp 138,750.00
118 paracetamol tab 500 mg tab 154.00 950 Rp 146,300.00 Rp - 500 Rp 77,000.00 1450 Rp 223,300.00 250 Rp 38,500.00 1200 Rp 184,800.00
119 piracetam 800 mg tab 480.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
120 pirantel tab score (base) 125 mg tab 353.00 100 Rp 35,300.00 Rp - Rp - 100 Rp 35,300.00 0 Rp - 100 Rp 35,300.00
121 piridoksin (vit B6)tab 10 mg (HCL) tab 52.00 1200 Rp 62,400.00 Rp - Rp - 1200 Rp 62,400.00 0 Rp - 1200 Rp 62,400.00
122 piroxicam tab 20 mg tab 146.65 300 Rp 43,995.00 Rp - Rp - 300 Rp 43,995.00 0 Rp - 300 Rp 43,995.00
123 polikresulen btl 66,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
124 povidon lodida larutan 30 ml btl 3,479.30 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
125 povidon lodida larutan 300 ml btl 21,600.00 4 Rp 86,400.00 Rp - 2 Rp 43,200.00 6 Rp 129,600.00 2 Rp 43,200.00 4 Rp 86,400.00
126 prednison tab 5mg tab 79.00 300 Rp 23,700.00 Rp - Rp - 300 Rp 23,700.00 0 Rp - 300 Rp 23,700.00
127 Susu Proten Vanila klg 11,897.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
128 Ranitidine tab 122.00 100 Rp 12,200.00 Rp - 500 Rp 61,000.00 600 Rp 73,200.00 100 Rp 12,200.00 500 Rp 61,000.00
129 Ranitidine injeksi vial 1,677.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 5
130 retinol 100.000 IU kap lunak Biru kap 327.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 50
131 retinol 200.000 IU kap lunak Merah kap 637.00 100 Rp 63,700.00 Rp - Rp - 100 Rp 63,700.00 100 Rp 63,700.00 0 Rp - 100 ED
132 ringer laktat larutan infus btl 7,150.00 43 Rp 307,450.00 Rp - Rp - 43 Rp 307,450.00 5 Rp 35,750.00 38 Rp 271,700.00
133 resperidon tab 1 mg tab 439.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
134 salbutamol tab 2 mg tab 147.00 500 Rp 73,500.00 Rp - Rp - 500 Rp 73,500.00 0 Rp - 500 Rp 73,500.00
135 salep 2-4 pot 3,017.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
136 salisil bedak 2% ktk 3,630.00 65 Rp 235,950.00 Rp - Rp - 65 Rp 235,950.00 5 Rp 18,150.00 60 Rp 217,800.00
137 Samcodin tab 875.00 700 Rp 612,500.00 Rp - 300 Rp 262,500.00 1000 Rp 875,000.00 0 Rp - 1000 Rp 875,000.00
138 Scabimite sembada salep Tube 11,475.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 10
139 simvastatin Tab 10 mg Tab 266.00 800 Rp 212,800.00 Rp - Rp - 800 Rp 212,800.00 100 Rp 26,600.00 700 Rp 186,200.00
140 tablet tambah darah tab 409.00 2850 Rp 1,165,650.00 Rp - Rp - 2850 Rp 1,165,650.00 480 Rp 196,320.00 2370 Rp 969,330.00
141 tetrasiklin kapsul 500 mg tab 324.00 100 Rp 32,400.00 Rp - Rp - 100 Rp 32,400.00 100 Rp 32,400.00 0 Rp - 100 ED
142 trihexifenidil tab 2 mg tab 95.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
143 vitamin (vit B1) tab 50 mg (HCL/nitrat) tab 90.00 400 Rp 36,000.00 Rp - Rp - 400 Rp 36,000.00 100 Rp 9,000.00 300 Rp 27,000.00 200
144 vitamin B komplex tab tab 135.00 700 Rp 94,500.00 Rp - Rp - 700 Rp 94,500.00 700 Rp 94,500.00 0 Rp - 1000 ED 400
145 Vaksin jerap TT 5 ml Vial 54,500.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
146 Vitamin B12 (Sianokobalamin) tab 48.00 600 Rp 28,800.00 Rp - Rp - 600 Rp 28,800.00 0 Rp - 600 Rp 28,800.00
147 Wicold syr btl 12,340.00 60 Rp 740,400.00 Rp - Rp - 60 Rp 740,400.00 15 Rp 185,100.00 45 Rp 555,300.00
148 zink tablet tab 604.00 200 Rp 120,800.00 Rp - Rp - 200 Rp 120,800.00 50 Rp 30,200.00 150 Rp 90,600.00
ALAT KESEHATAN Rp - Rp - 0 Rp - 0 Rp - Rp -
149 Alat suntik 1 ml set 1,138.50 20 Rp 22,770.00 Rp - Rp - 20 Rp 22,770.00 10 Rp 11,385.00 10 Rp 11,385.00 100
150 Alat suntik 3 ml set 910.80 97 Rp 88,347.60 Rp - Rp - 97 Rp 88,347.60 22 Rp 20,037.60 75 Rp 68,310.00
151 Alat Suntik 5 ml set 1,530.60 85 Rp 130,101.00 Rp - Rp - 85 Rp 130,101.00 21 Rp 32,142.60 64 Rp 97,958.40
152 Alkohol Swabb set 121.00 100 Rp 12,100.00 Rp - 500 Rp 60,500.00 600 Rp 72,600.00 100 Rp 12,100.00 500 Rp 60,500.00
153 Bisturi pcs 1,500.00 66 Rp 99,000.00 Rp - Rp - 66 Rp 99,000.00 5 Rp 7,500.00 61 Rp 91,500.00

154 catgut/benang bedah 2/0 dengan jarum ktk 41,565.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -

155 catgut/benang bedah 3/0 dengan jarum ktk 33,358.00 24 Rp 800,592.00 Rp - Rp - 24 Rp 800,592.00 17 Rp 567,086.00 7 Rp 233,506.00 24

156 Silk Black 3/0 pcs 21,735.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -

157 Silk
(benang bedah sutera)no.3/0 dgn jarum pcs
48,993.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 24
bedah

158 kasa kompres 40 cm x 40 cm psg 1,942.50 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -


159 handskun steril no. 6,5 psg 13,178.00 130 Rp 1,713,140.00 Rp - Rp - 130 Rp 1,713,140.00 41 Rp 540,298.00 89 Rp 1,172,842.00
160 handskun steril 6,5 psg 11,000.00 150 Rp 1,650,000.00 Rp - 150 Rp 1,650,000.00 0 Rp - 150 Rp 1,650,000.00
161 handscoen genekolog/KIA psg 40,733.00 48 Rp 1,955,184.00 Rp - Rp - 48 Rp 1,955,184.00 5 Rp 203,665.00 43 Rp 1,751,519.00
162 handscoen non steril psg 1,300.00 200 Rp 260,000.00 Rp - Rp - 200 Rp 260,000.00 200 Rp 260,000.00 0 Rp - 300
163 Hipafix Pcs 48,235.00 4 Rp 192,940.00 Rp - Rp - 4 Rp 192,940.00 2 Rp 96,470.00 2 Rp 96,470.00
164 infusion set dewasa set 8,349.00 72 Rp 601,128.00 Rp - Rp - 72 Rp 601,128.00 8 Rp 66,792.00 64 Rp 534,336.00
165 folley catheter 10ml no 18 set 13,090.00 3 Rp 39,270.00 Rp - Rp - 3 Rp 39,270.00 0 Rp - 3 Rp 39,270.00
166 urine bag set 8,800.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
167 infusion set anak set 4,023.80 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 10
168 IV catherter no. 18 G buah 12,631.00 50 Rp 631,550.00 Rp - Rp - 50 Rp 631,550.00 5 Rp 63,155.00 45 Rp 568,395.00 exp73
169 IV catherter no. 20 G buah 3,978.89 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 50
170 IV catheter no. 22 G buah 12,631.00 45 Rp 568,395.00 Rp - Rp - 45 Rp 568,395.00 10 Rp 126,310.00 35 Rp 442,085.00
171 IV catherter no. 24 G buah 4,717.00 68 Rp 320,756.00 Rp - Rp - 68 Rp 320,756.00 0 Rp - 68 Rp 320,756.00
172 IV catheter no. 26 G buah 11,000.00 40 Rp 440,000.00 Rp - Rp - 40 Rp 440,000.00 0 Rp - 40 Rp 440,000.00
173 kapas pembalut / absorben 250 gram buah 29,900.00 1 Rp 29,900.00 Rp - 2 Rp 59,800.00 3 Rp 89,700.00 0 Rp - 3 Rp 89,700.00
174 kasa pembalut hidrofil 4 cm X 5 cm rol 304.00 100 Rp 30,400.00 Rp - Rp - 100 Rp 30,400.00 30 Rp 9,120.00 70 Rp 21,280.00
175 kasa pembalut hidrofil 3 cm X 5 cm rol 730.25 100 Rp 73,025.00 Rp - Rp - 100 Rp 73,025.00 0 Rp - 100 Rp 73,025.00
176 kasa 4 X 15 rol 3,971.30 40 Rp 158,852.00 Rp - Rp - 40 Rp 158,852.00 0 Rp - 40 Rp 158,852.00
177 kasa hidrofil steril uk. 16 X 16 ktk 7,940.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
178 kasa hidrofil uk.40x80 cm rol 156,600.00 2 Rp 313,200.00 Rp - 2 Rp 313,200.00 4 Rp 626,400.00 1 Rp 156,600.00 3 Rp 469,800.00
179 kasa hidrofil uk. 36 X 80 cm rol 97,175.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
180 kertas puyer pak 1,500.00 200 Rp 300,000.00 Rp - Rp - 200 Rp 300,000.00 0 Rp - 200 Rp 300,000.00
181 masker earloop set 3,600.00 50 Rp 180,000.00 Rp - Rp - 50 Rp 180,000.00 50 Rp 180,000.00 0 Rp - 300
182 masker hijab set 4,020.00 50 Rp 201,000.00 Rp - Rp - 50 Rp 201,000.00 0 Rp - 50 Rp 201,000.00 600
183 masker N95 pcs 50,000.00 17 Rp 850,000.00 Rp - Rp - 17 Rp 850,000.00 0 Rp - 17 Rp 850,000.00
184 Object Glass/ Slide Ktk 60,500.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
185 plester 5 yards x 2 inch rol 35,532.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
186 Polifix 5 cm x 5 m rol 42,780.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
187 Poli clean btl 78,200.00 11 Rp 860,200.00 Rp - Rp - 11 Rp 860,200.00 2 Rp 156,400.00 9 Rp 703,800.00 10
188 USG Gel btl 15,100.80 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
REAGENS Rp - Rp - 0 Rp - 0 Rp - Rp -
189 strep kolesterol nesco tube 250,000.00 9 Rp 2,250,000.00 Rp - 10 Rp 2,500,000.00 19 Rp 4,750,000.00 2 Rp 500,000.00 17 Rp 4,250,000.00
190 strep glukosa tube 155,000.00 6 Rp 930,000.00 Rp - 10 Rp 1,550,000.00 16 Rp 2,480,000.00 1 Rp 155,000.00 15 Rp 2,325,000.00
191 strep as.urat tube 155,000.00 7 Rp 1,085,000.00 Rp - Rp - 7 Rp 1,085,000.00 0 Rp - 7 Rp 1,085,000.00
192 Strip HB easy touch tube 290,000.00 0 Rp - Rp - 2 Rp 580,000.00 2 Rp 580,000.00 0 Rp - 2 Rp 580,000.00
193 Strip DBD ktk 69,333.33 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
194 Strip Malaria PCS 56,226.01 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
195 strip HBSAG/Hepatitis ktk 8,360.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp - 1 DUS
196 Tydal set 680,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
197 spiritus btl 55,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
198 tes kehamilan strip 1,980.22 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
199 ABO Screen set 479,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
200 Pot Dahak bh 2,863.33 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
201 Aquadest Steril ktk 21,039.70 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
202 Gel USG 250 ml btl 15,100.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
203 Urine test btl 358,914.60 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
204 HCL 0,1 N btl 12,376.10 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
205 EDTA 10% 100 ml btl 86,634.90 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
206 Fouchet btl 250,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
207 Giemsa btl 450,000.00 Rp - Rp - 0
208 Immerson Oil btl 596,541.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
209 Lar. Eosin 2% 50 ml btl 99,011.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
210 Nat. Sitrat 3,8 % 100 ml btl 49,505.50 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
211 Asam Sulfosalisilat 20% btl 81,683.80 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
212 Turk 100 ml btl 49,505.50 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
213 Knipet Kuning buah 198.02 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
214 knipet Putih buah 222.78 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
215 Hayem btl 110,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
216 lancets set 192.00 400 Rp 76,800.00 Rp - 200 Rp 38,400.00 600 Rp 115,200.00 100 Rp 19,200.00 500 Rp 96,000.00
217 Sylene 100 mg btl 100,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
218 Viro Check HIV 1/2 PCS 12,103.53 0 Rp - Rp - 25 Rp 302,588.25 25 Rp 302,588.25 25 Rp 302,588.25 0 Rp -
219 Rapid 1 HIV(SD) HIV 1/2 Cassette pcs 11,975.00 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
220 SO Biorin Shypilis pcs 7,395.00 Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
221 RDT IMS Syphylis ktk 20,400.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
OBAT GIGI Rp - Rp - 0 Rp - 0 Rp - Rp -
222 Atzen Gel 7-EICH btl 126,000.00 0 Rp - Rp - 0 Rp - 0 Rp - Rp -
223 cotton rol rol 92.40 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
224 citojek ktk 1,400.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
225 Etil Klorida btl 175,010.00 5 Rp 875,050.00 Rp - Rp - 5 Rp 875,050.00 5 Rp 875,050.00 0 Rp - 3 ED
226 Eugenol Cairan btl 21,648.00 0 Rp - Rp - 2 Rp 43,296.00 2 Rp 43,296.00 2 Rp 43,296.00 0 Rp - 2 ED
227 Kalsium Hidroksida Pasta tube 300,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
228 Deviatlilsasi Pasta (Non Arsen ) tube 869,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
229 Glass ionomert cement tube 650,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
230 saliva ejector buah 2,100.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
231 Semen seng Fosfat serbuk dan cair tube 753,500.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
232 septocain amp 28,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
233 micro aplikator buah 700.00 100 Rp 70,000.00 Rp - Rp - 100 Rp 70,000.00 0 Rp - 100 Rp 70,000.00
234 Mummifying Pasta tube 984,500.00 0 Rp - Rp - Rp - 0 Rp - Rp - Rp -

JUMLAH Rp 37,973,124.10 0 Rp - Rp 7,986,652.25 Rp 45,959,776.35 Rp 9,154,714.25 Rp 36,805,062.10

Mengetahui, Palopo, 31 Maret 2021


Kepala Puskesmas Wisata Padang Lambe Pengelola Obat

Anwar,S.Kep.Ns Iin Ayu Lestari, S.Si., Apt


Nip : 19690223 199203 1 004 Nip : 19950908 202012 2 004
0 Rp -
100 Rp 30,000.00
400 Rp -

400 Rp -
0 Rp -
600 Rp 72,000.00
510 Rp -
100 Rp -
1200 Rp -
69 Rp -
42 Rp -

130 Rp -

30 Rp 720.00

100 Rp -

0 Rp -
24 Rp 12,000.00
50 Rp -

1250 Rp -
10 Rp -
1500 Rp -
300 Rp -
300 Rp -

0 Rp -
62 Rp -
0 Rp -
300 Rp -
100 Rp -

50 Rp 25,000.00

0 Rp -
100 Rp -
500 Rp -
300 Rp -

500 Rp -
30 Rp -

700 Rp -
0 Rp -
10 Rp -
2 Rp -
0 Rp -

100 Rp -

20 Rp -
100 Rp -
0 Rp -
10 Rp -
0 Rp -
3 Rp -
13 Rp -
0 Rp -

200 Rp -
20 Rp -
19 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -

8 Rp -

13 Rp -
800 Rp -
20 Rp -
750 Rp -
200 Rp -
0 Rp -

30 Rp -
0 Rp -
35 Rp 17,500.00
1000 Rp -
100 Rp -

700 Rp -
150 Rp -
0 Rp -

24 Rp -
18 Rp -
0 Rp -
0 Rp -

42 Rp -
2 Rp -

0 Rp -

200 Rp -
1100 Rp 550,000.00
600 Rp 300,000.00
50 Rp -
200 Rp -
700 Rp 350,000.00
0 Rp -

500 Rp -

500 Rp -
6 Rp -
38 Rp -
40 Rp -
450 Rp -
27 Rp -

100 Rp -
200 Rp -
28 Rp -
124 Rp -
510 Rp -
0 Rp -
35 Rp -
0 Rp -

700 Rp -
0 Rp -
0 Rp -
800 Rp 1,600.00
300 Rp -

0 Rp -
9 Rp -
4 Rp -
300 Rp -
700 Rp -
93 Rp -
0 Rp -
200 Rp -
60 Rp -
0 Rp -
400 Rp -
20 Rp -
27 Rp -
0 Rp -
6 Rp -
0 Rp -
960 Rp -
100 Rp -
0 Rp -
500 Rp -
0 Rp -
900 Rp -
9 Rp -
60 Rp -
0 Rp -
0 Rp -
77 Rp -

69 Rp -

0 Rp -

75 Rp -

12 Rp -
12 Rp -

24 Rp -
0 Rp -
64 Rp -
101 Rp -
0 Rp -
100 Rp -
1 Rp -
28 Rp -
6 Rp -
2 Rp -
44 Rp -
70 Rp -
30 Rp 60.00
42 Rp -
7 Rp -
50 Rp -
2 Rp -

90 Rp -
100 Rp -
70 Rp -
15 Rp -
1 Rp -

0 Rp -

50 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
4 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
1 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -

0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -

0 Rp -
0 Rp -
300 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -

0 Rp -

0 Rp -
100 Rp -
0 Rp -
STOK PERSEDIAAN OBAT BULAN APRIL 2021
PUSKESMAS WISATA PADANG LAMBE
KOTA PALOPO 2021

STOK AWAL RETUR PENAMBAHAN JUMLAH PERSEDIAAN PEMAKAIAAN SISA


PERMI
SAT HARGA
NO NAMA OBAT UAN SATUAN (Rp) NTAA KET
N
JML NILAI PERSEDIAAN JML PERSEDIA JML NILAI PERSEDIAAN JML NILAI PERSEDIAAN JML NILAI PERSEDIAAN JML NILAI PERSEDIAAN
AN

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
1 acyclovir cream tube 5,450.00 29 Rp 158,050.00 Rp - Rp - 29 Rp 158,050.00 0 Rp - 29 Rp 158,050.00
2 acyclovir tab 200 mg tab 737.00 400 Rp 294,800.00 Rp - Rp - 400 Rp 294,800.00 0 Rp - 400 Rp 294,800.00
3 acetyl cystein 200 mg tab 369.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
4 Aminofilin inj 24 mg/ml 10 ml amp 2,878.00 0 Rp - Rp - Rp - Rp - 0 Rp - 0 Rp -
5 Aminofilin tablet 200 mg tab 95.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
6 Allopurinol tablet 100 mg tab 275.00 800 Rp 220,000.00 Rp - Rp - 800 Rp 220,000.00 100 Rp 27,500.00 700 Rp 192,500.00
7 Ambroxol Syr 15 mg/5 ml Btl 6,237.00 37 Rp 230,769.00 Rp - Rp - 37 Rp 230,769.00 2 Rp 12,474.00 35 Rp 218,295.00
8 Ambroxol tablet tab 227.70 850 Rp 193,545.00 Rp - Rp - 850 Rp 193,545.00 420 Rp 95,634.00 430 Rp 97,911.00 300
9 Amlodipin 10 mg tab 94.00 500 Rp 47,000.00 Rp - 500 Rp 47,000.00 1000 Rp 94,000.00 200 Rp 18,800.00 800 Rp 75,200.00
10 amlodipin 5 mg tab 74.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
11 amoxicillin kaplet 500 mg tab 770.00 300 Rp 231,000.00 Rp - 800 Rp 616,000.00 1100 Rp 847,000.00 650 Rp 500,500.00 450 Rp 346,500.00 500
12 amoxicillin sirup kering 125 mg/ 5ml btl 1,919.00 214 Rp 410,666.00 Rp - Rp - 214 Rp 410,666.00 38 Rp 72,922.00 176 Rp 337,744.00
13 amoxicillin syrup kering 250 mg/5ml btl 3,604.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
14 Amoxicillin 100 mg/ml drops btl 11,500.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 10
15 Ampicillin Injeksi amp 7,920.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
16 antasida DOEN tablet kunyah tab 60.00 450 Rp 27,000.00 Rp - Rp - 450 Rp 27,000.00 50 Rp 3,000.00 400 Rp 24,000.00
17 antasida DOEN syrup btl 2,239.00 90 Rp 201,510.00 Rp - Rp - 90 Rp 201,510.00 20 Rp 44,780.00 70 Rp 156,730.00

18 anti bakteri salep kombinasi : basitrasin tube 3,490.00 25 Rp 87,250.00 Rp - Rp - 25 Rp 87,250.00 0 Rp - 25 Rp 87,250.00

19 anti fungi salep tube 5,517.00 24 Rp 132,408.00 Rp - Rp - 24 Rp 132,408.00 0 Rp - 24 Rp 132,408.00

20 antihemoroid DOEN kombinasi : Bismut supp 3,642.00 21 Rp 76,482.00 Rp - Rp - 21 Rp 76,482.00 0 Rp - 21 Rp 76,482.00


subgalat 150 mg+ heksaklorofen 250 mg

21 asam ascorbat (vitamin C ) Tablet 50 mg tab 120.28 2400 Rp 288,672.00 Rp - Rp - 2400 Rp 288,672.00 790 Rp 95,021.20 1610 Rp 193,650.80

22 Aqua pro injeksi steril, bebas pirogen vial 4,840.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -

23 asam mefenamat kaplet 500 mg tab 297.00 2300 Rp 683,100.00 Rp - Rp - 2300 Rp 683,100.00 400 Rp 118,800.00 1900 Rp 564,300.00
24 Asam Asetilsalisilat tab 80 mg/ miniaspi kap 99.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -

25 Asam Asetilsalisilat tab 100 mg kap 153.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -


26 asam traneksamat tab 1,782.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
27 betahistin mesilat ab 6 mg tab 119.00 500 Rp 59,500.00 Rp - Rp - 500 Rp 59,500.00 0 Rp - 500 Rp 59,500.00
28 betametason krim 0,1 % tube 1,515.00 45 Rp 68,175.00 Rp - Rp - 45 Rp 68,175.00 25 Rp 37,875.00 20 Rp 30,300.00 25
29 captopril tablet 25mg tab 80.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
30 captopril 12,5 tab 73.00 300 Rp 21,900.00 Rp - Rp - 300 Rp 21,900.00 0 Rp - 300 Rp 21,900.00
31 carbamasepin tab 200 mg tab 234.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
32 cetirizin 5 mg/5 ml syr btl 38,500.00 30 Rp 1,155,000.00 Rp - Rp - 30 Rp 1,155,000.00 0 Rp - 30 Rp 1,155,000.00
33 cetirizin tablet tab 1,100.00 800 Rp 880,000.00 Rp - Rp - 800 Rp 880,000.00 20 Rp 22,000.00 780 Rp 858,000.00
34 cimetidin tab 200 mg tab 274.95 500 Rp 137,475.00 Rp - Rp - 500 Rp 137,475.00 0 Rp - 500 Rp 137,475.00
35 ciprofloxacin tab 500 mg tab 770.00 1250 Rp 962,500.00 Rp - Rp - 1250 Rp 962,500.00 250 Rp 192,500.00 1000 Rp 770,000.00

36 clorfeniramina mealeat (CTM) tab 4 mg tab 24.00 350 Rp 8,400.00 Rp - 500 Rp 12,000.00 850 Rp 20,400.00 200 Rp 4,800.00 650 Rp 15,600.00

37 codein 10 mg tab 657.00 100 Rp 65,700.00 Rp - Rp - 100 Rp 65,700.00 0 Rp - 100 Rp 65,700.00


38 cotrimoxazol DOEN (dewasa) tab 133.00 450 Rp 59,850.00 Rp - Rp - 450 Rp 59,850.00 100 Rp 13,300.00 350 Rp 46,550.00
39 cotrimoxazol susp kombinasi btl 2,190.00 23 Rp 50,370.00 Rp - Rp - 23 Rp 50,370.00 20 Rp 43,800.00 3 Rp 6,570.00 50
40 dexametason injeksi amp 1,740.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
41 dexametason tablet 0,5 mg tab 132.60 1950 Rp 258,570.00 Rp - Rp - 1950 Rp 258,570.00 220 Rp 29,172.00 1730 Rp 229,398.00
42 Dextral tab 557.00 350 Rp 194,950.00 Rp - Rp - 350 Rp 194,950.00 50 Rp 27,850.00 300 Rp 167,100.00
43 Dulcolax 10 mg (bisacodil supp) susp 5,900.00 5 Rp 29,500.00 Rp - Rp - 5 Rp 29,500.00 2 Rp 11,800.00 3 Rp 17,700.00
44 diazepam rektal 5 supp 14,459.00 2 Rp 28,918.00 Rp - Rp - 2 Rp 28,918.00 0 Rp - 2 Rp 28,918.00
45 diazepam tablet 2 mg tab 137.26 100 Rp 13,726.00 Rp - Rp - 100 Rp 13,726.00 0 Rp - 100 Rp 13,726.00
46 dimenhydrinate 50 mg tab 121.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
47 domperidone syrup btl 8,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp - 50
48 domperidone tablet tab 96.00 300 Rp 28,800.00 Rp - 500 Rp 48,000.00 800 Rp 76,800.00 180 Rp 17,280.00 620 Rp 59,520.00
49 Dypenhidramin hcl inj 10 mg/ml-1ml ampl 1,354.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -

50 epinefrin (adrenalin) injeksi 0.1% (sebagai ampl 1,518.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -


HCL)
51 eritromicyn cap 500mg tab 766.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
52 etakridin / rivanol btl 3,600.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
53 ethanol 100 ml btl 4,510.00 13 Rp 58,630.00 Rp - Rp - 13 Rp 58,630.00 6 Rp 27,060.00 7 Rp 31,570.00
54 ethanol 70% 1000 ml btl 51,425.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
55 extrak belladon Tab 93.55 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
56 Ergotamin tartrat tab 199.00 100 Rp 19,900.00 Rp - Rp - 100 Rp 19,900.00 0 Rp - 100 Rp 19,900.00

57 fenobarbital injeksi 1 ml/ v 50 mg/ ml amp 1,430.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -

58 fitomenadion inj 10 mg/ ml amp 4,167.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -


59 Ensure Vanila klg 138,050.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
60 fitomenadion inj 2 mg/ml amp 4,236.00 40 Rp 169,440.00 Rp - Rp - 40 Rp 169,440.00 0 Rp - 40 Rp 169,440.00
61 fitomenadion tab 10 mg tab 818.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
62 furosemid tab 40 mg tab 88.00 400 Rp 35,200.00 Rp - Rp - 400 Rp 35,200.00 0 Rp - 400 Rp 35,200.00
63 Gentamisin inj 40mg/ml amp 3,545.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
64 gentamisin salep kulit 0,1 % slp 4,600.00 56 Rp 257,600.00 Rp - Rp - 56 Rp 257,600.00 32 Rp 147,200.00 24 Rp 110,400.00 24
65 gentamisin tetes mata 0,3 % btl 4,885.00 29 Rp 141,665.00 Rp - Rp - 29 Rp 141,665.00 0 Rp - 29 Rp 141,665.00
66 gentian violet btl 2,400.00 12 Rp 28,800.00 Rp - Rp - 12 Rp 28,800.00 3 Rp 7,200.00 9 Rp 21,600.00
67 glibenklamida 5 mg tab 137.00 300 Rp 41,100.00 Rp - Rp - 300 Rp 41,100.00 0 Rp - 300 Rp 41,100.00
68 glukosa larutan infus 5% btl 7,363.00 10 Rp 73,630.00 Rp - Rp - 10 Rp 73,630.00 2 Rp 14,726.00 8 Rp 58,904.00

69 griseofulvin tablet 125 mg, micronized tab 223.00 750 Rp 167,250.00 Rp - Rp - 750 Rp 167,250.00 0 Rp - 750 Rp 167,250.00

70 haloperidol tab 1,5 mg tab 74.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -


71 Hemafort Tab Tab 667.92 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
72 hidrokortison krim 2,5% slp 2,648.00 31 Rp 82,088.00 Rp - Rp - 31 Rp 82,088.00 5 Rp 13,240.00 26 Rp 68,848.00
73 hidroklortiazida tab 25 mg tab 178.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
74 ibuprofen syrup 200 mg/5 ml btl 5,211.00 37 Rp 192,807.00 Rp - Rp - 37 Rp 192,807.00 24 Rp 125,064.00 13 Rp 67,743.00 72
75 ibuprofen tablet 400 mg tab 381.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
76 Ibuprofen 200 mg tab 287.00 3200 Rp 918,400.00 Rp - Rp - 3200 Rp 918,400.00 830 Rp 238,210.00 2370 Rp 680,190.00
77 isoniazida 100 mg tab 85.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
78 isosorbit dinitrat tab 140.00 90 Rp 12,600.00 Rp - Rp - 90 Rp 12,600.00 0 Rp - 90 Rp 12,600.00
79 Kalsium Laktat ( kalk ) tablet 500 mg tab 63.00 1000 Rp 63,000.00 Rp - Rp - 1000 Rp 63,000.00 200 Rp 12,600.00 800 Rp 50,400.00
80 Ketokonazole Tab 200 mg tab 286.00 300 Rp 85,800.00 Rp - Rp - 300 Rp 85,800.00 0 Rp - 300 Rp 85,800.00
81 Ketorolac Injeksi 30 mg vial 1,276.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
82 Kloramfenicol kapsul 500mg tab 1,254.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
83 kloramfenikol salep mata 1% tube 2,013.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
84 Kloramfenikol Sirup 125 mg/ml susp btl 4,985.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
85 kloramfenikol tetes telinga 3% btl 8,510.00 10 Rp 85,100.00 Rp - Rp - 10 Rp 85,100.00 0 Rp - 10 Rp 85,100.00
lidokain injeksi 2% (HCL) + EPINEFRIN 1 :
86 80.000 amp 1,317.00 0 Rp - Rp - 10 Rp 13,170.00 10 Rp 13,170.00 5 Rp 6,585.00 5 Rp 6,585.00
87 lisol btl 133,000.00 1 Rp 133,000.00 Rp - 3 Rp 399,000.00 4 Rp 532,000.00 1 Rp 133,000.00 3 Rp 399,000.00
88 loperamid tab 2 mg tab 90.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
89 loratadin tab 10 mg tab 127.00 900 Rp 114,300.00 Rp - Rp - 900 Rp 114,300.00 0 Rp - 900 Rp 114,300.00
90 Lexagin tab 190.30 0 Rp - Rp - Rp - Rp - 0 Rp - 0 Rp -
91 Melocxicam 7,5 mg Tab 830.28 500 Rp 415,140.00 Rp - Rp - 500 Rp 415,140.00 10 Rp 8,302.80 490 Rp 406,837.20
92 metampiron tab 500 tab 190.31 500 Rp 95,155.00 Rp - Rp - 500 Rp 95,155.00 100 Rp 19,031.00 400 Rp 76,124.00
93 metformin tab 500 mg tab 102.00 100 Rp 10,200.00 Rp - 800 Rp 81,600.00 900 Rp 91,800.00 100 Rp 10,200.00 800 Rp 81,600.00

94 metilergometrin injeksi 0,2000 mg-1 ml amp 3,399.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -

95 metilergometrin maleat tab 245.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -


96 metilprednisolon tab 4 mg tab 148.00 2600 Rp 384,800.00 Rp - Rp - 2600 Rp 384,800.00 560 Rp 82,880.00 2040 Rp 301,920.00
97 Metoklorpamide tablet tab 87.00 600 Rp 52,200.00 Rp - Rp - 600 Rp 52,200.00 0 Rp - 600 Rp 52,200.00
98 metoklopramide inj 5mg/ml amp 3,904.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
99 metronidazol tablet 250 mg tab 254.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
100 metronidazol tablet 500 mg tab 264.00 900 Rp 237,600.00 Rp - Rp - 900 Rp 237,600.00 0 Rp - 900 Rp 237,600.00
101 MgSO4 OTSU btl 3,328.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
102 miconasole krim 2 % slp 4,125.00 65 Rp 268,125.00 Rp - Rp - 65 Rp 268,125.00 27 Rp 111,375.00 38 Rp 156,750.00
103 micardis ( Telmisartatn 40 ) tab 3,045.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
104 Mineral mix sac 3,116.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
105 Multivitamin syr btl 8,530.00 180 Rp 1,535,400.00 Rp - Rp - 180 Rp 1,535,400.00 17 Rp 145,010.00 163 Rp 1,390,390.00
106 natrium diclofenac tab 50 mg tab 136.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
107 natrium klorida larutan infus 0,9% btl 6,410.00 42 Rp 269,220.00 Rp - Rp - 42 Rp 269,220.00 10 Rp 64,100.00 32 Rp 205,120.00
108 NIFEDIPIN TAB 10 MG tab 220.17 150 Rp 33,025.50 Rp - Rp - 150 Rp 33,025.50 0 Rp - 150 Rp 33,025.50
109 Nistatin tab vag 100.000 IU tab 645.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
110 New Antides ( attapulgit ) tab 149.00 100 Rp 14,900.00 Rp - Rp - 100 Rp 14,900.00 0 Rp - 100 Rp 14,900.00
111 oksitetrasiklin HCL salep mata 1 % slp 2,600.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
112 oksitetrasiklin salep kulit 3% slp 3,556.00 54 Rp 192,024.00 Rp - Rp - 54 Rp 192,024.00 10 Rp 35,560.00 44 Rp 156,464.00
113 oksitosin inj 10 UI/ ml - 1ml amp 1,232.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
114 Omeprasol kapsul 20 mg kap 846.66 270 Rp 228,598.20 Rp - Rp - 270 Rp 228,598.20 150 Rp 126,999.00 120 Rp 101,599.20 500
115 OAT Kategori I/ FDC pkt 430,538.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
116 paracetamol drops btl 7,646.00 24 Rp 183,504.00 Rp - Rp - 24 Rp 183,504.00 8 Rp 61,168.00 16 Rp 122,336.00
117 paracetamol sirup 120 mg / 5 ml btl 3,750.00 37 Rp 138,750.00 Rp - Rp - 37 Rp 138,750.00 31 Rp 116,250.00 6 Rp 22,500.00 50
118 paracetamol tab 500 mg tab 154.00 1200 Rp 184,800.00 Rp - Rp - 1200 Rp 184,800.00 430 Rp 66,220.00 770 Rp 118,580.00
119 piracetam 800 mg tab 480.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
120 pirantel tab score (base) 125 mg tab 353.00 100 Rp 35,300.00 Rp - Rp - 100 Rp 35,300.00 0 Rp - 100 Rp 35,300.00
121 piridoksin (vit B6)tab 10 mg (HCL) tab 52.00 1200 Rp 62,400.00 Rp - Rp - 1200 Rp 62,400.00 210 Rp 10,920.00 990 Rp 51,480.00
122 piroxicam tab 20 mg tab 146.65 300 Rp 43,995.00 Rp - Rp - 300 Rp 43,995.00 0 Rp - 300 Rp 43,995.00
123 polikresulen btl 66,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
124 povidon lodida larutan 30 ml btl 3,479.30 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
125 povidon lodida larutan 300 ml btl 21,600.00 4 Rp 86,400.00 Rp - Rp - 4 Rp 86,400.00 1 Rp 21,600.00 3 Rp 64,800.00
126 prednison tab 5mg tab 79.00 300 Rp 23,700.00 Rp - Rp - 300 Rp 23,700.00 0 Rp - 300 Rp 23,700.00
127 Susu Proten Vanila klg 11,897.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
128 Ranitidine tab 122.00 500 Rp 61,000.00 Rp - Rp - 500 Rp 61,000.00 50 Rp 6,100.00 450 Rp 54,900.00
129 Ranitidine injeksi vial 1,677.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
130 retinol 100.000 IU kap lunak Biru kap 327.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
131 retinol 200.000 IU kap lunak Merah kap 637.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
132 ringer laktat larutan infus btl 7,150.00 38 Rp 271,700.00 Rp - Rp - 38 Rp 271,700.00 2 Rp 14,300.00 36 Rp 257,400.00
133 resperidon tab 1 mg tab 439.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
134 salbutamol tab 2 mg tab 147.00 500 Rp 73,500.00 Rp - Rp - 500 Rp 73,500.00 30 Rp 4,410.00 470 Rp 69,090.00
135 salep 2-4 pot 3,017.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
136 salisil bedak 2% ktk 3,630.00 60 Rp 217,800.00 Rp - Rp - 60 Rp 217,800.00 4 Rp 14,520.00 56 Rp 203,280.00
137 Samcodin tab 875.00 1000 Rp 875,000.00 Rp - Rp - 1000 Rp 875,000.00 170 Rp 148,750.00 830 Rp 726,250.00
138 Scabimite sembada salep Tube 11,475.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
139 simvastatin Tab 10 mg Tab 266.00 700 Rp 186,200.00 Rp - Rp - 700 Rp 186,200.00 10 Rp 2,660.00 690 Rp 183,540.00
140 tablet tambah darah tab 409.00 2370 Rp 969,330.00 Rp - Rp - 2370 Rp 969,330.00 660 Rp 269,940.00 1710 Rp 699,390.00
141 tetrasiklin kapsul 500 mg tab 324.00 0 Rp - Rp - 100 Rp 32,400.00 100 Rp 32,400.00 0 Rp - 100 Rp 32,400.00
142 trihexifenidil tab 2 mg tab 95.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -

143 vitamin (vit B1) tab 50 mg (HCL/nitrat) tab 90.00 300 Rp 27,000.00 Rp - 200 Rp 18,000.00 500 Rp 45,000.00 100 Rp 9,000.00 400 Rp 36,000.00

144 vitamin B komplex tab tab 135.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -


145 Vaksin jerap TT 5 ml Vial 54,500.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
146 Vitamin B12 (Sianokobalamin) tab 48.00 600 Rp 28,800.00 Rp - Rp - 600 Rp 28,800.00 0 Rp - 600 Rp 28,800.00
147 Wicold syr btl 12,340.00 45 Rp 555,300.00 Rp - Rp - 45 Rp 555,300.00 5 Rp 61,700.00 40 Rp 493,600.00
148 zink tablet tab 604.00 150 Rp 90,600.00 Rp - Rp - 150 Rp 90,600.00 150 Rp 90,600.00 0 Rp -
ALAT KESEHATAN
149 Alat suntik 1 ml set 1,138.50 10 Rp 11,385.00 Rp - Rp - 10 Rp 11,385.00 10 Rp 11,385.00 0 Rp - 100
150 Alat suntik 3 ml set 910.80 75 Rp 68,310.00 Rp - Rp - 75 Rp 68,310.00 15 Rp 13,662.00 60 Rp 54,648.00
151 Alat Suntik 5 ml set 1,530.60 64 Rp 97,958.40 Rp - Rp - 64 Rp 97,958.40 12 Rp 18,367.20 52 Rp 79,591.20
152 Alkohol Swabb set 121.00 500 Rp 60,500.00 Rp - Rp - 500 Rp 60,500.00 300 Rp 36,300.00 200 Rp 24,200.00
153 Bisturi pcs 1,500.00 61 Rp 91,500.00 Rp - Rp - 61 Rp 91,500.00 6 Rp 9,000.00 55 Rp 82,500.00

154 catgut/benang bedah 2/0 dengan jarum ktk 41,565.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -

155 catgut/benang bedah 3/0 dengan jarum ktk 33,358.00 7 Rp 233,506.00 Rp - Rp - 7 Rp 233,506.00 5 Rp 166,790.00 2 Rp 66,716.00 24

156 Silk Black 3/0 pcs 21,735.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -

157 Silk
(benang bedah sutera)no.3/0 dgn jarum pcs
48,993.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
bedah

158 kasa kompres 40 cm x 40 cm psg 1,942.50 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -


159 handskun steril no. 6,5 psg 13,178.00 89 Rp 1,172,842.00 Rp - Rp - 89 Rp 1,172,842.00 42 Rp 553,476.00 47 Rp 619,366.00
160 handskun steril 6,5 psg 11,000.00 150 Rp 1,650,000.00 Rp - 150 Rp 1,650,000.00 0 Rp - 150 Rp 1,650,000.00
161 handscoen genekolog/KIA psg 40,733.00 43 Rp 1,751,519.00 Rp - Rp - 43 Rp 1,751,519.00 2 Rp 81,466.00 41 Rp 1,670,053.00
162 handscoen non steril psg 1,300.00 0 Rp - Rp - 200 Rp 260,000.00 200 Rp 260,000.00 100 Rp 130,000.00 100 Rp 130,000.00
163 Hipafix Pcs 48,235.00 2 Rp 96,470.00 Rp - Rp - 2 Rp 96,470.00 0 Rp - 2 Rp 96,470.00
164 infusion set dewasa set 8,349.00 64 Rp 534,336.00 Rp - Rp - 64 Rp 534,336.00 0 Rp - 64 Rp 534,336.00
165 folley catheter 10ml no 18 set 13,090.00 3 Rp 39,270.00 Rp - Rp - 3 Rp 39,270.00 2 Rp 26,180.00 1 Rp 13,090.00 5
166 urine bag set 8,800.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
167 infusion set anak set 4,023.80 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
168 IV catherter no. 18 G buah 12,631.00 45 Rp 568,395.00 Rp - Rp - 45 Rp 568,395.00 5 Rp 63,155.00 40 Rp 505,240.00
169 IV catherter no. 20 G buah 3,978.89 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
170 IV catheter no. 22 G buah 12,631.00 35 Rp 442,085.00 Rp - Rp - 35 Rp 442,085.00 5 Rp 63,155.00 30 Rp 378,930.00
171 IV catherter no. 24 G buah 4,717.00 68 Rp 320,756.00 Rp - Rp - 68 Rp 320,756.00 0 Rp - 68 Rp 320,756.00
172 IV catheter no. 26 G buah 11,000.00 40 Rp 440,000.00 Rp - Rp - 40 Rp 440,000.00 0 Rp - 40 Rp 440,000.00

173 kapas pembalut / absorben 250 gram buah 29,900.00 3 Rp 89,700.00 Rp - Rp - 3 Rp 89,700.00 0 Rp - 3 Rp 89,700.00

174 kasa pembalut hidrofil 4 cm X 5 cm rol 304.00 70 Rp 21,280.00 Rp - Rp - 70 Rp 21,280.00 0 Rp - 70 Rp 21,280.00


175 kasa pembalut hidrofil 3 cm X 5 cm rol 730.25 100 Rp 73,025.00 Rp - Rp - 100 Rp 73,025.00 0 Rp - 100 Rp 73,025.00
176 kasa 4 X 15 rol 3,971.30 40 Rp 158,852.00 Rp - Rp - 40 Rp 158,852.00 0 Rp - 40 Rp 158,852.00
177 kasa hidrofil steril uk. 16 X 16 ktk 7,940.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
178 kasa hidrofil uk.40x80 cm rol 156,600.00 3 Rp 469,800.00 Rp - Rp - 3 Rp 469,800.00 1 Rp 156,600.00 2 Rp 313,200.00
179 kasa hidrofil uk. 36 X 80 cm rol 97,175.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
180 kertas puyer pak 1,500.00 200 Rp 300,000.00 Rp - Rp - 200 Rp 300,000.00 100 Rp 150,000.00 100 Rp 150,000.00
181 masker earloop set 3,600.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
182 masker hijab set 4,020.00 50 Rp 201,000.00 Rp - Rp - 50 Rp 201,000.00 0 Rp - 50 Rp 201,000.00
183 masker N95 pcs 50,000.00 17 Rp 850,000.00 Rp - Rp - 17 Rp 850,000.00 0 Rp - 17 Rp 850,000.00
184 Object Glass/ Slide Ktk 60,500.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
185 plester 5 yards x 2 inch rol 35,532.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
186 Polifix 5 cm x 5 m rol 42,780.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
187 Poli clean btl 78,200.00 9 Rp 703,800.00 Rp - Rp - 9 Rp 703,800.00 1 Rp 78,200.00 8 Rp 625,600.00
188 USG Gel btl 15,100.80 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
REAGENS
189 strep kolesterol nesco tube 250,000.00 17 Rp 4,250,000.00 Rp - Rp - 17 Rp 4,250,000.00 0 Rp - 17 Rp 4,250,000.00 5
190 strep glukosa tube 155,000.00 15 Rp 2,325,000.00 Rp - Rp - 15 Rp 2,325,000.00 0 Rp - 15 Rp 2,325,000.00
191 strep as.urat tube 155,000.00 7 Rp 1,085,000.00 Rp - Rp - 7 Rp 1,085,000.00 0 Rp - 7 Rp 1,085,000.00 5
192 Strip HB easy touch tube 290,000.00 2 Rp 580,000.00 Rp - Rp - 2 Rp 580,000.00 0 Rp - 2 Rp 580,000.00
193 Strip DBD ktk 69,333.33 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
194 Strip Malaria PCS 56,226.01 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
195 strip HBSAG/Hepatitis ktk 8,360.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
196 Tydal set 680,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
197 spiritus btl 55,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
198 tes kehamilan strip 1,980.22 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
199 ABO Screen set 479,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp - 1
200 Pot Dahak bh 2,863.33 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
201 Aquadest Steril ktk 21,039.70 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
202 Gel USG 250 ml btl 15,100.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
203 Urine test btl 358,914.60 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
204 HCL 0,1 N btl 12,376.10 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
205 EDTA 10% 100 ml btl 86,634.90 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
206 Fouchet btl 250,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
207 Giemsa btl 450,000.00 0 Rp - Rp - Rp - 0
208 Immerson Oil btl 596,541.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
209 Lar. Eosin 2% 50 ml btl 99,011.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
210 Nat. Sitrat 3,8 % 100 ml btl 49,505.50 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
211 Asam Sulfosalisilat 20% btl 81,683.80 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
212 Turk 100 ml btl 49,505.50 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
213 Knipet Kuning buah 198.02 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
214 knipet Putih buah 222.78 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
215 Hayem btl 110,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
216 lancets set 192.00 500 Rp 96,000.00 Rp - Rp - 500 Rp 96,000.00 200 Rp 38,400.00 300 Rp 57,600.00
217 Sylene 100 mg btl 100,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
218 Viro Check HIV 1/2 PCS 12,103.53 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
219 Rapid 1 HIV(SD) HIV 1/2 Cassette pcs 11,975.00 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
220 SO Biorin Shypilis pcs 7,395.00 Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
221 RDT IMS Syphylis ktk 20,400.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
OBAT GIGI
222 Atzen Gel 7-EICH btl 126,000.00 0 Rp - Rp - 0 Rp - 0 Rp - Rp -
223 cotton rol rol 92.40 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
224 citojek ktk 1,400.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
225 Etil Klorida btl 225,000.00 0 Rp - Rp - 5 Rp 1,125,000.00 5 Rp 1,125,000.00 0 Rp - 5 Rp 1,125,000.00
226 Eugenol Cairan btl 21,648.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - 0 Rp -
227 Kalsium Hidroksida Pasta tube 300,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
228 Deviatlilsasi Pasta (Non Arsen ) tube 869,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
229 Glass ionomert cement tube 650,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
230 saliva ejector buah 2,100.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
231 Semen seng Fosfat serbuk dan cair tube 753,500.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
232 septocain amp 28,000.00 0 Rp - Rp - Rp - 0 Rp - 0 Rp - Rp -
233 micro aplikator buah 700.00 100 Rp 70,000.00 Rp - Rp - 100 Rp 70,000.00 0 Rp - 100 Rp 70,000.00
234 Mummifying Pasta tube 984,500.00 0 Rp - Rp - Rp - 0 Rp - Rp - Rp -

JUMLAH Rp 36,689,652.10 0 Rp - Rp 2,652,170.00 Rp 39,341,822.10 Rp 5,212,425.20 Rp 34,129,396.90

Mengetahui, Palopo, 30-Apr-21


Kepala Puskesmas Wisata Padang Lambe Pengelola Obat

Anwar,S.Kep.Ns Iin Ayu Lestari, S.Si., Apt


Nip : 19690223 199203 1 004 Nip : 19950908 202012 2 004
0 Rp -
100 Rp -
400 Rp -

400 Rp -
0 Rp -
600 Rp -
510 Rp -
100 Rp -
1200 Rp -
69 Rp -
42 Rp -

130 Rp -

30 Rp -

100 Rp -

0 Rp -

24 Rp -
50 Rp -

1250 Rp -
10 Rp -
1500 Rp -
300 Rp -
300 Rp -

0 Rp -
62 Rp -
0 Rp -
300 Rp -
100 Rp -

50 Rp 25,000.00

0 Rp -
100 Rp -
500 Rp -
300 Rp -

500 Rp -
30 Rp -

700 Rp -
0 Rp -
10 Rp -
2 Rp 1,000.00
0 Rp -

100 Rp -

20 Rp -
100 Rp -
0 Rp -
10 Rp -
0 Rp -
3 Rp -

13 Rp -

0 Rp -

200 Rp -
20 Rp -
19 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -

8 Rp -

13 Rp -
800 Rp -
20 Rp -
750 Rp -
200 Rp -
0 Rp -

30 Rp -
0 Rp -
35 Rp -
1000 Rp -
100 Rp -

700 Rp -
150 Rp -
0 Rp -

24 Rp 240.00
18 Rp 54.00
0 Rp -
0 Rp -

42 Rp -
2 Rp -

0 Rp -

200 Rp -
1100 Rp -
600 Rp -
50 Rp -
200 Rp -
700 Rp -
0 Rp -

500 Rp -

500 Rp -
6 Rp -
38 Rp -
40 Rp -
450 Rp -
27 Rp -

100 Rp -
200 Rp -
28 Rp -
124 Rp -
510 Rp -
0 Rp -
35 Rp -
0 Rp -

700 Rp -
0 Rp -
0 Rp -
800 Rp -
300 Rp -

0 Rp -
9 Rp -
4 Rp -
300 Rp -
700 Rp -
93 Rp -
0 Rp -
200 Rp -
60 Rp -
0 Rp -
400 Rp -
20 Rp -
27 Rp -
0 Rp -
6 Rp -

0 Rp -

960 Rp -
100 Rp -
0 Rp -
500 Rp -
0 Rp -
900 Rp -
9 Rp -
60 Rp -
0 Rp -
0 Rp -
77 Rp -

69 Rp -

0 Rp -

75 Rp -

12 Rp -
12 Rp -

24 Rp -
0 Rp -
64 Rp -
101 Rp -
0 Rp -
100 Rp -
1 Rp -
28 Rp -
6 Rp -
2 Rp -
44 Rp -
70 Rp -

30 Rp -

42 Rp -
7 Rp -
50 Rp -
2 Rp -

90 Rp -
100 Rp -
70 Rp -
15 Rp -
1 Rp -

0 Rp -

50 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
4 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
1 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -

0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -

0 Rp -
0 Rp -
300 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -
0 Rp -

0 Rp -

0 Rp -
100 Rp -
0 Rp -

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