KKP Bulan Juli 2021

KERTA
PUSKE
SALDO AWAL
NO JENIS BARANG Harga
Jumlah Jumlah
Satuan
Barang ( Rp. )
( Rp. )
1 2 3 4 5=3x4
TABLET DAK
1 Alopurinol 100 mg / BTT COVID 2020 785 151.25 118,731.25
2 Amilodipin 5 mg / DAK 2020 5106 75 382,950.00
3 aminofilin / DAK 2019 0 139 0.00
4 Amoksilin 500 mg / DAK 2019 0 233 0.00
5 Amoksilin 500 mg / DAK 2020 1092 249 271,908.00
Antasida (MgOH 200mg+AlOH 200mg) / DAK
6 2019 0 54 0.00
7 2020 2284 58 132,472.00
8 2020 3000 58 174,000.00
Anti Hemoroid (Bismut

subgallat150mg+Heksaklorofen2,5mg) / DAK
9 2020 11 3167 34,837.00
10 Asam Askorbat ( Vit C ) 50 mg / DAK 2019 294 105 30,870.00
asam askorbat (VIT. C) 500 mg / DROPPING
11 2020 4100 198 811,800.00
Asam Askorbat (Vitamin C) tab 250 mg / DAK
12 NON EKATALOG 2020 1394 200.2 279,078.80
Asam mefenamat 500mg / DAK NON
13 EKATALOG 2020 0 291.72 0.00
14 EKATALOG 2020 0 291.72 0.00
Asam mefenamat 500mg / DAK 2021 6353 111 705,183.00
15 Asetilsistein / DAK 2020 1644 373 613,212.00
16 Asiklovir 400mg / DAK 2019 274 380 104,120.00
17 Asiklovir 400mg / DAK 2020 600 405 243,000.00
18 betahistin 6 mg / DAK 2019 67 110 7,370.00
19 betahistin 6 mg / BTT COVID 2020 1600 234 374,400.00
Cefadroxil 500mg / BTT COVID 2020 990 605 598,950.00
Cetirizin 10mg / BTT COVID 2020 2100 366 768,600.00
Deksametason 0,5 mg / DAK NON EKATALOG
20 2020 1294 82 106,108.00
21 Digoksin 0,25 mg / DAK 2020 200 104 20,800.00
22 Dimenhidrinat tablet 50mg / DAK 2019 487 105 51,135.00
23 Domperidon tablet 10 mg / DAK 2020 59 91 5,369.00
25 Fitomenadion (Vit K1) 10mg / DAK 2019 0 710 0.00
26 Fitomenadion (Vit K1) 10mg / DAK 2020 532 758 403,256.00
27 Furosemid 40 mg / DAK 2018 0 77 0.00
28 Furosemid 40 sulfate/Zinc
GENERIK Zinc mg / DAK 2020sulfate 790 82 64,780.00
monohydrate/Zinc/ Zinc tablet dispersible 20
29 mg / DROPPING 2020 4501 524 2,358,524.00
30 Glibenklamid 5 mg / DAK 2020 33 119 3,927.00
32 glimepirid 2mg / BTT COVID 2020 1973 368 726,064.00
33 Glyceril Guaiacolat / BTT COVID 2020 0 220 0.00
34 Griseofulvin 125 mg / DAK 2018 300 245 73,500.00
35 Ibuprofen 400 mg / DAK NON EKATALOG 2020 0 380 0.00
36 Isosorbid Dinitrat sublingual 5 mg / DAK 2017 29 88 2,552.00

Isosorbid Dinitrat sublingual 5 mg / DAK NON
37 EKATALOG 2020 200 121 24,200.00
38 Kalsium Laktat (Kalk) 500 mg / DAK 2021 5000 60 300,000.00
Kalsium Laktat (Kalk) 500 mg / DAK NON
39 EKATALOG 2020 50 79 3,950.00
40 Kaptopril 12,5 mg / SILPA DAK 2019 0 66 0.00
41 Kaptopril 25 mg / DAK NON EKATALOG 2020 3461 181.12 626,856.32

42 Ketokonazol 200mg tablet / DAK 2019 354 288 101,952.00
43 Klindamycin 150mg / DAK 2019 0 715 0.00
44 Klopidogrel / BTT COVID 2020 450 1666 749,700.00
45 Klorfeniramin Maleat (CTM) 4 mg / DAK 2019 0 23 0.00

Klorfeniramin Maleat (CTM) 4 mg / DAK NON
46 EKATALOG 2020 6185 79 488,615.00
Kotrimoksazol dewasa kombinasi :

Sulfametoksazol400mg+Trimetoprim80mg /
47 DAK 2019 1811 125 226,375.00
48 Levofloksasin 500 mg / DAK 2019 0 424 0.00
Levofloksasin 500 mg / BTT COVID 2020 955.47 0.00
49 Loratadin tablet 10 mg / DAK 2019 0 123 0.00
Metformin 500mg tablet / DAK 2021 2830 77 217,910.00
50 Metformin 500mg tablet / DAK 2020 0 102 0.00
51 Metilergometrin Maleat 0,125 mg / DAK 2020 100 224 22,400.00

52 Metoklopramid 10mg / DAK 2019 1232 85 104,720.00
Metronidazol 500mg / DAK NON EKATALOG
53 2020 2000 218 436,000.00
54 Molexflu tab / BTT COVID 2020 555 393.33 218,298.15
55 Natrium Diklofenac 50 mg / DAK 2020 915 123 112,545.00
Natrium Diklofenac 50 mg / DAK 2021 5000 99 495,000.00
56 Nifedipin 10 mg tablet / DAK 2017 183 104 19,032.00
Nistatin tablet vaginal 100.000 IU/g / DAK
57 2019 57 560 31,920.00
58 Omeprazole 20mg / DAK NON EKATALOG 2020 2208 367 810,336.00

Parasetamol 500 mg / DAK NON EKATALOG
59 2020 6836 125 854,500.00
60 Piridoksin HCL (Vit B6) tablet 10 mg / DAK 2019 2130 123 261,990.00
61 Prednison tablet 5 mg / DAK 2019 0 73 0.00
62 Salbutamol tablet 2 mg / DAK 2020 218 67 14,606.00
64 Tetrasiklin HCL kapsul 500 mg / DAK 2018 611 310 189,410.00
65 Tiamin HCL (VitB1) 50 mg / DAK 2019 3609 91 328,419.00
66 Vitamin B Kompleks / DAK 2020 5070 89 451,230.00
INJEKSI
0.00
67 Aminofilina 24 mg/ml - 10 ml / DAK 2020 25 2976 74,400.00
68 Asam tranexamat injeksi / DAK 2018 0 1945 0.00
69 Atropin sulfat 0,25mg/ml-1 ml / DAK 2019 0 1639 0.00
Difenhidramin HCL Inj 10mg/ml-1 ml / DAK
70 2020 60 1168 70,080.00
71 Epinefrin injeksi / DAK 2020 50 1408 70,400.00
fitomenadion injeksi 2 mg/ml / SILPA DAK
72 2019 30 3682 110,460.00
Lidokain komp injeksi,Kombinasi:Lidokain

73 HCl2%+Epinefrin1:80000-2ml / DAK 2019 137 1145 156,865.00
Magnesium sulfat injeksi (IV) 20 % - 25 ml /
74 DAK 2021 6 3580 21,480.00
75 DAK 2020 6 3796 22,776.00
SALEP
0.00
Antifungi (As. Benzoat6%+As. salisilat 3%) /
76 DAK 2019 7 4496 31,472.00
DAK 2020 4798 0.00
77 Gentamisin salep mata 0,3% / DAK 2019 18 2675 48,150.00
78 Hidrokortison krim 2,5 % / DAK 2020 117 2475 289,575.00
79 Ketokonazol krim 2% / DAK 2019 24 2518 60,432.00
Kloramfenikol salep mata 1 % / DAK 2020 96 2007 192,672.00
80 Miconazol cream 2 % / DAK 2019 5 3414 17,070.00
Salep 2-4 Komb: As salisilat2%+Belerang
82 endap4% / DAK 2019 34 2620 89,080.00
SERBUK 0.00
Garam oralit untuk 200 ml air / DROPPING
83 2019 1248 257 320,736.00
84 Salisil Bedak 2 % / DAK NON EKATALOG 2020 142 2057 292,094.00
SIRUP 0.00
Amoksilin 125mg/5ml / DAK NON EKATALOG
85 2020 156 3401 530,556.00
Antasida syr (MgOH 200mg/5ml+AlOH
200mg/5ml) / DAK 2021 300 1679 503,700.00
86 Betadin kumur / BTT COVID 2020 90 28380 2,554,200.00
87 Cetirizin syr / DAK 2019 0 2915 0.00
Domperidon sirup/suspensi 5mg/5ml / SILPA
88 DAK 2019 16 2700 43,200.00
89 Ibuprofen suspensi 100mg/5ml / DAK 2019 0 2721 0.00
90 Kloramfenikol suspensi 125mg/5ml / DAK 2019 69 5015 346,035.00
Kotrimoksazol Suspensi komb: Sulfametoksazol

91 200mg+Trimetoprim40mg/5ml / DAK 2019 0 2052 0.00

92 200mg+Trimetoprim40mg/5ml / DAK 2020 70 2190 153,300.00
93 obh molex syr / BTT COVID 2020 75 5000 375,000.00
TETES 0.00
94 Fenol Gliserol tetes telinga 10 % / DAK 2019 0 2590 0.00

95 Gentamisin tetes mata 0.3% / DAK 2020 34 4232 143,888.00
Parasetamol drop 100mg/ml btl @ 15ml /
96 SILPA DAK 2019 76 6649 505,324.00
BMHP 0.00
Alat Suntik Sekali Pakai 0,5 ml / DROPPING
97 2021 0 1050 0.00
98 Alat suntik sekali pakai 1 ml / DAK 2017 990 1540 1,524,600.00
99 Alat suntik sekali pakai 3 ml NIPRO / DAK 2020 0 924 0.00

Alat suntik sekali pakai 3 ml NIPRO / BTT
100 COVID 2020 22 840 18,480.00
101 COVID 2020 327 840 274,680.00
Alat suntik sekali pakai 3 ml NIPRO / DAK 2021 880 0.00

102 Alat suntik sekali pakai 5 ml / DAK 2019 6 98422 590,532.00
103 alkohol 70% 1 liter / DAK 2019 2 25000 50,000.00
104 Alkohol swab (Aximed) / DAK P2P 2020 0 12726 0.00
105 Alkohol swab (Aximed) / DROPPING 2021 0 9500 0.00

alkohol swab / DAK 2021 28 8380 234,640.00
Auto Disable Syringe 0,5 ml ONEJECT /
DROPPING 2021 4515 1185 5,350,275.00
Catgut chromic/benang bedah No. 2/0-3/0 /
106 DAK 2020 0 32522 0.00
Catgut plain/benang bedah No. 2/0-3/0 / DAK
107 2019 0 35067 0.00
COSMOMED INFUSION SET DEWASA / DAK
108 2020 124 4800 595,200.00
109 DRC kapas pembalut 250 gram / DAK 2019 5 20600 103,000.00
Examination Glove L / DID 2021 19 148916 2,829,404.00
Examination Glove M / DID 2021 47 148916 6,999,052.00
110 Female cath no 16 / DAK 2018 0 5720 0.00
111 Foley Catheter no.16 / DAK 2019 1 18450 18,450.00
113 Folley cath no. 18 / DAK 2019 6 18450 110,700.00
Folley cath no. 18 / DAK 2020 18450 0.00
114 Handscoon L 50 / BTT COVID 2020 0 185000 0.00
115 Handscoon M 50 / BTT COVID 2020 0 185000 0.00
116 Hi oxy mask Anak / NRBM / DAK 2018 19 24640 468,160.00
117 I.V. Catheter No 18 JELLCO / DAK 2020 45 8700 391,500.00
I.V. Catheter No 24 Trovensite Safeplus / DAK
120 2019 50 23100 1,155,000.00
121 ID Band adult blue / DAK 2018 200 1078 215,600.00
122 ID Band adult pink / DAK 2018 200 1078 215,600.00
123 ID Band adult yellow / DAK 2018 100 1078 107,800.00
124 ID Band child blue / DAK 2018 400 1078 431,200.00
125 ID Band child pink / DAK 2018 400 1078 431,200.00
126 Infusion set anak / DAK 2018 50 5100 255,000.00
IV Catheter trovensite Safety plus 26 G / DAK
127 2019 40 24668 986,720.00
Kantong jenazah / DAU 2021 88000 0.00
128 Kasa Pembalut 2 m x 80 cm / DAK 2018 15 9400 141,000.00
129 Kasa Steril 16 x 16 / DAK 2018 5 7900 39,500.00
130 Leukoplast (2,5cm x 4,5m) / DAK 2019 42 12675 532,350.00
131 Leukoplast (7,5cm x 4,5m) / DAK 2019 0 37371 0.00
Lisol, mengandung Kresol tersabun 50% / DAK
132 2019 3 41000 123,000.00
133 MASKER N95 (3M) / DROPPING 2020 45 0 0.00

134 Masker oxygen anak (NRBM) / DAK 2018 18 15700 282,600.00
Masker oxygen dewasa (NRBM) / BTT COVID
2020 13750 0.00
135 Masker oxygen dewasa (NRBM) / DAK 2018 11 15700 172,700.00

136 Masker tali (MI) / DAK 2018 0 17900 0.00
137 Nasal kanul L / BTT COVID 2020 20 6100 122,000.00
138 Nasal kanul S / DAK 2018 5 6600 33,000.00
139 New DRC 4Y x 80 cm plain / DAK 2018 0 149158 0.00
Nurse cap / BTT COVID 2020 1800 950 1,710,000.00
140 Plester infus cannofix 6 x 8 cm / DAK 2018 200 6850 1,370,000.00
141 Plesterin / DAK P2P 2020 12 38934 467,208.00
142 polypropylene 6/0 DS 12 mm / DAK 2019 24 37294 895,056.00
Prodestan / DID 2020 30 51150 1,534,500.00
144 Rivanol larutan 0,1 % 300ml / DAK 2019 0 2550 0.00
Silk ( Benang Bedah Sutera ) No. 3/0 / DAK
145 2019 25 22992 574,800.00
Surgical mask plus 3 ply HIJAB MMP /
146 DROPPING 2019 0 17014 0.00
Surgical gown (M) / BTT COVID 2020 70 99000 6,930,000.00
147 Tensocrepe (FM crepe) / DAK 2018 10 43987 439,870.00
Top Glove win glove non steril free powder L /
148 DAK P2P 2020 0 47050 0.00
149 Underpad / DAK 2019 88 4620 406,560.00
150 Underpad / BTT COVID 2020 150 4200 630,000.00
151 Urine Bag / DAK 2018 39 5500 214,500.00
OI-URINE BAG with T-Valve / DID 2021 4706 0.00
Viorex Liquid soap 2% 5L / BTT COVID 2020 504000 0.00

Waterone 1L / DAK 2018 0 14960 0.00
INFUS 0.00
152 Aqua pro injeksi / DAK 2018 0 2860 0.00
153 Aqua pro injeksi / DAK 2020 66 2860 188,760.00
154 Ringer Lactate infus steril / DAK 2020 0 7630 0.00
155 Ringer Lactate infus steril / DAK 2021 164 7630 1,251,320.00
PATEN 0.00
156 Calporosis / DAU 2018 0 430 0.00
157 Chloramex 500mg / DAK 2019 1523 1090 1,660,070.00
158 Dextrofen / DAU 2019 71 11550 820,050.00
159 Fenitoin Natrium 100 mg / DID 2020 510 627.27 319,907.70
160 HUSTAB TAB / DAU 2019 0 437.04 0.00
161 iafed tablet / BTT COVID 2020 0 362.99 0.00
162 Laxadin sirup / BTT COVID 2020 0 43000 0.00
163 Multivitamin ( C,B,E,Zink) / DROPPING 2021 7800 585 4,563,000.00

Noza / BTT COVID 2020 725 0.00
Pehavral / BTT COVID 2020 500 892.73 446,365.00
164 Permetrin/Scabicid krim 5% / DAK 2019 35 11825 413,875.00
165 Pularex / DAK 2019 8 152 1,216.00
166 Pularex / DAK 2020 2000 162 324,000.00
ALKES KHUSUS 0.00
167 APD(5 PAKET) / DROPPING 2020 0 323500 0.00

168 extradine / DAK 2019 0 61600 0.00
169 HAZMAT / DROPPING 2020 49 0 0.00

170 masker FFP2NR / DROPPING 2020 120 0 0.00
171 Masker KN95 / DROPPING 2020 75 0 0.00

172 masker medis hijab / BTT COVID 2020 13 68750 893,750.00
masker medis hijab / BTT COVID 2020 80 65000 5,200,000.00
173 neurobion injeksi / BTT COVID 2020 240 10633.6 2,552,064.00
174 Safety box 5 l / DAK 2018 0 15715 0.00
175 Safety box 5 l / DROPPING 2021 42 14000 588,000.00

176 Safety box 5 l / DAK P2P 2020 3 381830.18 1,145,490.54
FILARIASIS 0.00
177 Albendazol 400mg / DROPPING 2020 0 404 0.00
Albendazol 400mg / DROPPING 2021 0 404 0.00

Albendazol suspensi 200mg/5ml / DROPPING
2021 0 4000 0.00
Tes HBsAg / DROPPING 2021 310 8033 2,490,230.00
Tes HBsAg / DROPPING 2021 7926 0.00

GIGI 0.00
178 Eugenol cairan / DAK 2019 2 45000 90,000.00
GIZI 0.00
Retinol (Vit A) kapsul 100.000 IU / DROPPING
179 2020 0 25850 0.00
2021 14850 0.00
180 2021 0 27600 0.00
2021 0.00
Tablet Tambah Darah Kombinasi : Besi sulfat
181 200mg+Asam folat 0,25mg / DROPPING 2020 11819 354 4,183,926.00
Tablet Tambah Darah ( Ferro Fumarat 60 mg +
Asan Folat 0,4 mg ) / DROPPING 2021 354 0.00
Asan Folat 0,4 mg ) / DROPPING 2021 226 0.00
TABURIA / DROPPING 2021 605 0.00

JIWA
182 Amitriptilin HCL 25 mg / DROPPING 2018 490 167 81,830.00

183 Clozapin 25 mg tab / DID 2020 90 1040 93,600.00
Fenitoin Na 100mg / DAK NON EKATALOG
184 2020 0 660 0.00
185 Haloperidol 1,5 mg / DAK 2020 440 59 25,960.00
186 Haloperidol 5 mg / DAK 2020 432 60 25,920.00
Haloperidol inj 5 mg/ml / DROPPING 2021 25 1190 29,750.00

Risperidone 2mg / DAK 2021 2999 123 368,877.00
187 Risperidone 2mg / DID 2020 0 260 0.00
188 Trifluoperazin tablet 5 mg / DAK 2019 0 287 0.00
189 Trifluoperazin tablet 5 mg / DID 2020 330 270 89,100.00
Triheksifenidil Hidroklorida tab 2 mg / DAK
190 2020 615 91 55,965.00
KELAMIN + HIV
Azithromycin / BTT COVID 2020 1616.36 0.00
DS HIV DIAGNOSTAR (CCHIV-402A) /
191 DROPPING 2019 25 13353 333,825.00
Efavirenz (EFV) 600 mg / DROPPING 2020 198900 0.00

Flashback blood coll needle 22Gx1.5 / DAK P2P
192 2020 12 205978.76 2,471,745.12
Lamivudine 150 mg / DROPPING 2020 93600 0.00
Nevirapine (NVP) 200mg / DROPPING 2020 176400 0.00
193 New HIV 1/2 3 line (FOKUS) / DAK P2P 2020 48 336757.35 16,164,352.80
194 REAGAN RAPID HIV / DROPPING 2019 1450 11975 17,363,750.00
195 Standard Q Syphilis AB Test / DAK P2P 2020 48 350000 16,800,000.00
Tenofovir 300 / DROPPING 2021 252720 0.00

vacutainer pronto quick release needle holder
196 / DAK P2P 2020 12 12919 155,028.00
Vacutainer 3.0 ml Plus K2EDTA (BD) / DAK P2P
197 2020 0 173805.88 0.00
198 2020 12 173805.88 2,085,670.56
Zidovudine(ZDV)300mg+Lamivudine(3TC)150
mg / DROPPING 2020 222000 0.00
PSIKOTROPIKA NARKOTIKA 0.00
199 Diazepam 5 mg / DROPPING 2018 355 109 38,695.00

200 diazepam inj 10 mg/2ml / DID 2020 7 9600 67,200.00
201 Kodein tablet 10mg / DAK 2019 354 571 202,134.00
202 Stesolid rectal supp 5 mg / DAK 2019 4 12573 50,292.00
TBC 0.00
203 Isoniazid (INH) 100mg / DROPPING 2020 360 282 101,520.00

Obat Antituberkulosis kategori I ( FDC ) /
204 DROPPING 2019 0 389344 0.00
205 DROPPING 2020 11 415469 4,570,159.00
206 Slide / DROPPING 2018 18 19500 351,000.00

Slide / DAK P2P 2020 20748 0.00
207 Sputum pot / DROPPING 2017 100 4952.83 495,283.00

208 Sputum pot / DROPPING 2018 1600 2728 4,364,800.00
Sputum pot / DAK P2P 2020 2148.06 0.00
209 Ziehl nelseen / DAK P2P 2020 9 220893.28 1,988,039.52
162,716,722.76
KERTAS KERJA PERSEDIAAN
PUSKESMAS BULULAWANG
TAHUN 2021
BULAN JUNI
MUTASI TAMBAH MUTASI KURANG

Harga Harga
Jumlah Jumlah Jumlah Jumlah
Satuan Satuan
Barang ( Rp. ) Barang ( Rp. )
( Rp. ) ( Rp. )
6 7 8=6x7 9 10 11=9x10
151.25 0.00 100 151.25 15,125.00

75 0.00 1056 75 79,200.00
139.00 0.00 139.00 0.00
233 0.00 233 0.00
3000 249 747,000.00 249 0.00
54 0.00 54 0.00
58 0.00 1680 58 97,440.00
3000 58 174,000.00 58 0.00
200 3167 633,400.00 16 3167 50,672.00

105 0.00 90 105 9,450.00
198 0.00 1100 198 217,800.00
2000 200.2 400,400.00 820 200.2 164,164.00
291.72 0.00 291.72 0.00
291.72 0.00 291.72 0.00

111 0.00 866 111 96,126.00
3000 373 1,119,000.00 3762 373 1,403,226.00
380 0.00 380 0.00
405 0.00 405 0.00
110 0.00 110 0.00
234 0.00 300 234 70,200.00
605 0.00 30 605 18,150.00
366 0.00 10 366 3,660.00
82 0.00 698 82 57,236.00

104 0.00 104 0.00
105 0.00 32 105 3,360.00
91 0.00 59 91 5,369.00
91 0.00 730 91 66,430.00
710 0.00 710 0.00
758 0.00 13 758 9,854.00
77 0.00 77 0.00
82 0.00 82 0.00
524 0.00 956 524 500,944.00

119 0.00 30 119 3,570.00
119 0.00 119 0.00
368 0.00 311 368 114,448.00
220 0.00 220 0.00
245 0.00 300 245 73,500.00
2000 380 760,000.00 380 0.00
88 0.00 29 88 2,552.00
121 0.00 121 0.00

60 0.00 788 60 47,280.00
79 0.00 50 79 3,950.00
66 0.00 66 0.00
181.12 0.00 66 181.12 11,953.92

288 0.00 200 288 57,600.00
715 0.00 715 0.00
1666 0.00 1666 0.00
23 0.00 23 0.00
79 0.00 3723 79 294,117.00
125 0.00 30 125 3,750.00

424 0.00 424 0.00
240 955.47 229,312.80 81 955.47 77,393.07
123 0.00 123 0.00
77 0.00 310 77 23,870.00
102 0.00 102 0.00
224 0.00 224 0.00

85 0.00 281 85 23,885.00
218 0.00 122 218 26,596.00

393.33 0.00 555 393.33 218,298.15
123 0.00 915 123 112,545.00
99 0.00 401 99 39,699.00
104 0.00 183 104 19,032.00
560 0.00 560 0.00
367 0.00 367 0.00
125 0.00 3113 125 389,125.00
123 0.00 525 123 64,575.00

73 0.00 73 0.00
500 67 33,500.00 67 0.00
89 0.00 33 89 2,937.00
310 0.00 310 0.00
91 0.00 138 91 12,558.00
89 0.00 1992 89 177,288.00
0.00 0.00
2976 0.00 2976 0.00
1945 0.00 1945 0.00
1639 0.00 1639 0.00
1168 0.00 1168 0.00

1408 0.00 1408 0.00
3682 0.00 3682 0.00
1145 0.00 6 1145 6,870.00
3580 0.00 3580 0.00
3796 0.00 3796 0.00
0.00 0.00
4496 0.00 1 4496 4,496.00
48 4798 230,304.00 4798 0.00

2675 0.00 3 2675 8,025.00
2475 0.00 11 2475 27,225.00
2518 0.00 6 2518 15,108.00
2007 0.00 2007 0.00
3414 0.00 5 3414 17,070.00
3414 0.00 11 3414 37,554.00
2620 0.00 5 2620 13,100.00

0.00 0.00
257 0.00 204 257 52,428.00

2057 0.00 37 2057 76,109.00
0.00 0.00
3401 0.00 59 3401 200,659.00
1679 0.00 1679 0.00

28380 0.00 22 28380 624,360.00
2915 0.00 2915 0.00
2700 0.00 6 2700 16,200.00
2721 0.00 2721 0.00
5015 0.00 6 5015 30,090.00
2052 0.00 2052 0.00
2190 0.00 2190 0.00

5000 0.00 21 5000 105,000.00
0.00 0.00
2590 0.00 2590 0.00

4232 0.00 15 4232 63,480.00
6649 0.00 3 6649 19,947.00

0.00 0.00
1050 0.00 1050 0.00

1540 0.00 110 1540 169,400.00
924 0.00 924 0.00
840 0.00 22 840 18,480.00
840 0.00 181 840 152,040.00
300 880 264,000.00 880 0.00

98422 0.00 3 98422 295,266.00
25000 0.00 25000 0.00
12726 0.00 12726 0.00
9500 0.00 9500 0.00

8380 0.00 13 8380 108,940.00
1185 0.00 300 1185 355,500.00
32522 0.00 32522 0.00
35067 0.00 35067 0.00
4800 0.00 4800 0.00

20600 0.00 20600 0.00
148916 0.00 148916 0.00
148916 0.00 8 148916 1,191,328.00
5720 0.00 5720 0.00
18450 0.00 1 18450 18,450.00
18450 0.00 27 18450 498,150.00
18450 0.00 18450 0.00
30 18450 553,500.00 18450 0.00
185000 0.00 18450 0.00
185000 0.00 185000 0.00
24640 0.00 24640 0.00
8700 0.00 8700 0.00
8700 0.00 15 8700 130,500.00
8700 0.00 8700 0.00
23100 0.00 23100 0.00

1078 0.00 1078 0.00
1078 0.00 1078 0.00
1078 0.00 1078 0.00
1078 0.00 1078 0.00
1078 0.00 1078 0.00
5100 0.00 5100 0.00
24668 0.00 24668 0.00

10 88000 880,000.00 88000 0.00
9400 0.00 9400 0.00
7900 0.00 7900 0.00
12675 0.00 3 12675 38,025.00
37371 0.00 37371 0.00
41000 0.00 41000 0.00
0 0.00 0 0.00
15700 0.00 15700 0.00
20 13750 275,000.00 6 13750 82,500.00
15700 0.00 11 15700 172,700.00

17900 0.00 17900 0.00
6100 0.00 16 6100 97,600.00
6600 0.00 6600 0.00
149158 0.00 149158 0.00
950 0.00 300 950 285,000.00
6850 0.00 6850 0.00
38934 0.00 38934 0.00
37294 0.00 37294 0.00
40145 0.00 40145 0.00
51150 0.00 25 51150 1,278,750.00
2550 0.00 2550 0.00
22992 0.00 22992 0.00
17014 0.00 17014 0.00

99000 0.00 99000 0.00
43987 0.00 43987 0.00
47050 0.00 47050 0.00

4620 0.00 88 4620 406,560.00
4200 0.00 25 4200 105,000.00
5500 0.00 5500 0.00
20 4706 94,120.00 4706 0.00
2 504000 1,008,000.00 2 504000 1,008,000.00

14960 0.00 14960 0.00
0.00 0.00
2860 0.00 2860 0.00
2860 0.00 2860 0.00
7630 0.00 7630 0.00
7630 0.00 7630 0.00
0.00 0.00
430 0.00 430 0.00
1090 0.00 56 1090 61,040.00
11550 0.00 57 11550 658,350.00
627.27 0.00 60 627.27 37,636.20
437.04 0.00 437.04 0.00
362.99 0.00 362.99 0.00
43000 0.00 43000 0.00
585 0.00 3250 585 1,901,250.00

3000 725 2,175,000.00 2701 725 1,958,225.00
892.73 0.00 190 892.73 169,618.70
11825 0.00 22 11825 260,150.00
152 0.00 8 152 1,216.00
162 0.00 418 162 67,716.00
0.00 0.00
323500 0.00 323500 0.00

61600 0.00 61600 0.00
0 0.00 19 0 0.00
0 0.00 0 0.00
0 0.00 0 0.00
68750 0.00 13 68750 893,750.00
65000 0.00 65000 0.00
10633.6 0.00 10633.6 0.00
15715 0.00 15715 0.00
14000 0.00 4 14000 56,000.00

381830.18 0.00 3 381830.18 1,145,490.54
0.00 0.00
404 0.00 404 0.00
404 0.00 404 0.00
4000 0.00 4000 0.00
8033 0.00 8033 0.00
700 7926 5,548,200.00 7926 0.00

0.00 0.00
45000 0.00 45000 0.00
0.00 0.00
25850 0.00 25850 0.00
12 14850 178,200.00 14850 0.00
37 27600 1,021,200.00 27600 0.00
93
354 0.00 776 354 274,704.00
3000 354 1,062,000.00 354 0.00
36800 226 8,316,800.00 226 0.00
9120 605 5,517,600.00 605 0.00

0.00 0.00
167 0.00 167 0.00

1040 0.00 90 1040 93,600.00
660 0.00 660 0.00

59 0.00 100 59 5,900.00
60 0.00 160 60 9,600.00
1190 0.00 3 1190 3,570.00

123 0.00 484 123 59,532.00
260 0.00 260 0.00
287 0.00 287 0.00
270 0.00 270 0.00
91 0.00 240 91 21,840.00

0.00 0.00
2000 1616.36 3,232,720.00 580 1616.36 937,488.80
13353 0.00 13353 0.00
1 198900 198,900.00 198900 0.00
205978.76 0.00 205978.76 0.00
1 93600 93,600.00 93600 0.00
1 176400 176,400.00 176400 0.00
336757.35 0.00 336757.35 0.00
11975 0.00 11975 0.00
350000 0.00 350000 0.00
1 252720 252,720.00 252720 0.00
12919 0.00 12919 0.00
173805.88 0.00 173805.88 0.00
173805.88 0.00 173805.88 0.00
1 222000 222,000.00 222000 0.00

0.00 0.00
109 0.00 20 109 2,180.00

9600 0.00 1 9600 9,600.00
571 0.00 90 571 51,390.00
12573 0.00 12573 0.00
0.00 0.00
282 0.00 30 282 8,460.00
389344 0.00 389344 0.00
415469 0.00 415469 0.00
19500 0.00 19500 0.00

22 20748 456,456.00 20748 0.00
4952.83 0.00 4952.83 0.00

2728 0.00 2728 0.00
1600 2148.06 3,436,896.00 2148.06 0.00
220893.28 0.00 220893.28 0.00
39,290,228.80 21,087,145.38
SALDO AKHIR
Harga
Jumlah Jumlah
Satuan
Barang ( Rp. )
( Rp. )
12 13 14=12x13
685 151.25 103606.25

4050 75 303750
0 139.00 0
0 233 0
4092 249 1018908
0 54 0
604 58 35032
6000 58 348000
195 3167 617565

204 105 21420
3000 198 594000
2574 200.2 515314.8
0 291.72 0
0 291.72 0
5487 111 609057
882 373 328986
274 380 104120
600 405 243000
67 110 7370
1300 234 304200
960 605 580800
2090 366 764940
596 82 48872
200 104 20800
455 105 47775
0 91 0
1770 91 161070
0 710 0
519 758 393402
0 77 0
790 82 64780
3545 524 1857580

3 119 357
1000 119 119000
1662 368 611616
0 220 0
0 245 0
2000 380 760000
0 88 0
200 121 24200

4212 60 252720
0 79 0
0 66 0
3395 181.12 614902.4

154 288 44352
0 715 0
450 1666 749700
0 23 0
2462 79 194498
1781 125 222625

0 424 0
159 955.47 151919.73
0 123 0
2520 77 194040
0 102 0
100 224 22400

951 85 80835
1878 218 409404

0 393.33 0
0 123 0
4599 99 455301
0 104 0
57 560 31920
2208 367 810336
3723 125 465375
1605 123 197415

0 73 0
718 67 48106
82 89 7298
611 310 189410
3471 91 315861
3078 89 273942
0 0
25 2976 74400
0 1945 0
0 1639 0
60 1168 70080
50 1408 70400
30 3682 110460
131 1145 149995
6 3580 21480
6 3796 22776
0 0
6 4496 26976
48 4798 230304
15 2675 40125
106 2475 262350
18 2518 45324
96 2007 192672
0 3414 0
85 3414 290190
29 2620 75980
0 0
1044 257 268308

105 2057 215985
0 0
97 3401 329897
300 1679 503700

68 28380 1929840
0 2915 0
10 2700 27000
0 2721 0
63 5015 315945
0 2052 0
70 2190 153300
54 5000 270000
0 0
0 2590 0
19 4232 80408
73 6649 485377
0 0
0 1050 0
880 1540 1355200
0 924 0
0 840 0
146 840 122640
300 880 264000

3 98422 295266
2 25000 50000
0 12726 0
0 9500 0
15 8380 125700
4215 1185 4994775
0 32522 0
0 35067 0
124 4800 595200

5 20600 103000
19 148916 2829404
39 148916 5807724
0 5720 0
0 18450 0
3 18450 55350
6 18450 110700
30 18450 553500
0 18450 0
0 185000 0
19 24640 468160
45 8700 391500
72 8700 626400
80 8700 696000
50 23100 1155000
200 1078 215600
200 1078 215600
100 1078 107800
400 1078 431200
400 1078 431200
50 5100 255000
40 24668 986720
10 88000 880000
15 9400 141000
5 7900 39500
39 12675 494325
0 37371 0
3 41000 123000
45 0 0
18 15700 282600
14 13750 192500
0 15700 0
0 17900 0
4 6100 24400
5 6600 33000
0 149158 0
1500 950 1425000
200 6850 1370000
12 38934 467208
24 37294 895056
24 40145 963480
5 51150 255750
0 2550 0
25 22992 574800
0 17014 0
70 99000 6930000
10 43987 439870
0 47050 0
0 4620 0
125 4200 525000
39 5500 214500
20 4706 94120
0 504000 0
0 14960 0
0 0
0 2860 0
66 2860 188760
0 7630 0
164 7630 1251320
0 0
0 430 0
1467 1090 1599030
14 11550 161700
450 627.27 282271.5
0 437.04 0
0 362.99 0
0 43000 0
4550 585 2661750

299 725 216775
310 892.73 276746.3
13 11825 153725
0 152 0
1582 162 256284
0 0
0 323500 0
0 61600 0
30 0 0
120 0 0
75 0 0
0 68750 0
80 65000 5200000
240 10633.6 2552064
0 15715 0
38 14000 532000
0 381830.18 0
0 0
0 404 0
0 404 0
0 4000 0
310 8033 2490230
700 7926 5548200

0 0
2 45000 90000
0 0
0 25850 0
12 14850 178200
37 27600 1021200
93 0
11043 354 3909222
3000 354 1062000
36800 226 8316800
9120 605 5517600

0 0
490 167 81830

0 1040 0
0 660 0
340 59 20060
272 60 16320
22 1190 26180
2515 123 309345
0 260 0
0 287 0
330 270 89100
375 91 34125
0 0
1420 1616.36 2295231.2
25 13353 333825
1 198900 198900
12 205978.76 2471745.12
1 93600 93600
1 176400 176400
48 336757.35 16164352.8
1450 11975 17363750
48 350000 16800000
1 252720 252720
12 12919 155028
0 173805.88 0
12 173805.88 2085670.56
1 222000 222000
0 0
335 109 36515

6 9600 57600
264 571 150744
4 12573 50292
0 0
330 282 93060
0 389344 0
11 415469 4570159
18 19500 351000
22 20748 456456
100 4952.83 495283

1600 2728 4364800
1600 2148.06 3436896
9 220893.28 1988039.52
180,919,806.18
KERTAS K
PUSKESM
TA
OBAT D
SALDO AWAL
Jumlah Jumlah
Satuan
Barang ( Rp. )
( Rp. )
1 2 3 4 5=3x4
TABLET DAK
2 Amilodipin 5 mg / DAK 2020 5106 75 382,950.00
3 aminofilin / DAK 2019 0 139 0.00
4 Amoksilin 500 mg / DAK 2019 0 233 0.00
5 Amoksilin 500 mg / DAK 2020 1092 249 271,908.00
6 2019 0 54 0.00
7 2020 2284 58 132,472.00
8 2020 3000 58 174,000.00
Anti Hemoroid (Bismut

subgallat150mg+Heksaklorofen2,5mg) / DAK
9 2020 11 3167 34,837.00
10 Asam Askorbat ( Vit C ) 50 mg / DAK 2019 294 105 30,870.00
Asam mefenamat 500mg / DAK 2021 6353 111 705,183.00
15 Asetilsistein / DAK 2020 1644 373 613,212.00
16 Asiklovir 400mg / DAK 2019 274 380 104,120.00
17 Asiklovir 400mg / DAK 2020 600 405 243,000.00
18 betahistin 6 mg / DAK 2019 67 110 7,370.00
21 Digoksin 0,25 mg / DAK 2020 200 104 20,800.00
22 Dimenhidrinat tablet 50mg / DAK 2019 487 105 51,135.00
25 Fitomenadion (Vit K1) 10mg / DAK 2019 0 710 0.00
26 Fitomenadion (Vit K1) 10mg / DAK 2020 532 758 403,256.00
27 Furosemid 40 mg / DAK 2018 0 77 0.00
28 Furosemid 40 mg / DAK 2020 790 82 64,780.00
34 Griseofulvin 125 mg / DAK 2018 300 245 73,500.00
36 Isosorbid Dinitrat sublingual 5 mg / DAK 2017 29 88 2,552.00

38 Kalsium Laktat (Kalk) 500 mg / DAK 2021 5000 60 300,000.00
42 Ketokonazol 200mg tablet / DAK 2019 354 288 101,952.00
43 Klindamycin 150mg / DAK 2019 0 715 0.00
45 Klorfeniramin Maleat (CTM) 4 mg / DAK 2019 0 23 0.00
Kotrimoksazol dewasa kombinasi :

Sulfametoksazol400mg+Trimetoprim80mg /
47 DAK 2019 1811 125 226,375.00
48 Levofloksasin 500 mg / DAK 2019 0 424 0.00
49 Loratadin tablet 10 mg / DAK 2019 0 123 0.00
Metformin 500mg tablet / DAK 2021 2830 77 217,910.00
50 Metformin 500mg tablet / DAK 2020 0 102 0.00
51 Metilergometrin Maleat 0,125 mg / DAK 2020 100 224 22,400.00

52 Metoklopramid 10mg / DAK 2019 1232 85 104,720.00
55 Natrium Diklofenac 50 mg / DAK 2020 915 123 112,545.00
Natrium Diklofenac 50 mg / DAK 2021 5000 99 495,000.00
56 Nifedipin 10 mg tablet / DAK 2017 183 104 19,032.00
Nistatin tablet vaginal 100.000 IU/g / DAK
57 2019 57 560 31,920.00
60 Piridoksin HCL (Vit B6) tablet 10 mg / DAK 2019 2130 123 261,990.00
61 Prednison tablet 5 mg / DAK 2019 0 73 0.00
64 Tetrasiklin HCL kapsul 500 mg / DAK 2018 611 310 189,410.00
65 Tiamin HCL (VitB1) 50 mg / DAK 2019 3609 91 328,419.00
66 Vitamin B Kompleks / DAK 2020 5070 89 451,230.00
INJEKSI DAK
67 Aminofilina 24 mg/ml - 10 ml / DAK 2020 25 2976 74,400.00
68 Asam tranexamat injeksi / DAK 2018 0 1945 0.00
69 Atropin sulfat 0,25mg/ml-1 ml / DAK 2019 0 1639 0.00
Difenhidramin HCL Inj 10mg/ml-1 ml / DAK
70 2020 60 1168 70,080.00
71 Epinefrin injeksi / DAK 2020 50 1408 70,400.00
Lidokain komp injeksi,Kombinasi:Lidokain

73 HCl2%+Epinefrin1:80000-2ml / DAK 2019 137 1145 156,865.00
74 DAK 2021 6 3580 21,480.00
75 DAK 2020 6 3796 22,776.00
SALEP DAK
76 DAK 2019 7 4496 31,472.00
DAK 2020 4798 0.00
77 Gentamisin salep mata 0,3% / DAK 2019 18 2675 48,150.00
78 Hidrokortison krim 2,5 % / DAK 2020 117 2475 289,575.00
79 Ketokonazol krim 2% / DAK 2019 24 2518 60,432.00
Kloramfenikol salep mata 1 % / DAK 2020 96 2007 192,672.00
Salep 2-4 Komb: As salisilat2%+Belerang
82 endap4% / DAK 2019 34 2620 89,080.00
TABLET DAK
Antasida syr (MgOH 200mg/5ml+AlOH
200mg/5ml) / DAK 2021 300 1679 503,700.00
87 Cetirizin syr / DAK 2019 0 2915 0.00
89 Ibuprofen suspensi 100mg/5ml / DAK 2019 0 2721 0.00
90 Kloramfenikol suspensi 125mg/5ml / DAK 2019 69 5015 346,035.00

91 200mg+Trimetoprim40mg/5ml / DAK 2019 0 2052 0.00

92 200mg+Trimetoprim40mg/5ml / DAK 2020 70 2190 153,300.00
TABLET DAK
94 Fenol Gliserol tetes telinga 10 % / DAK 2019 0 2590 0.00

95 Gentamisin tetes mata 0.3% / DAK 2020 34 4232 143,888.00
Parasetamol drop 100mg/ml btl @ 15ml /
96 SILPA DAK 2019 76 6649 505,324.00
INFUS DAK
152 Aqua pro injeksi / DAK 2018 0 2860 0.00
153 Aqua pro injeksi / DAK 2020 66 2860 188,760.00
154 Ringer Lactate infus steril / DAK 2020 0 7630 0.00
155 Ringer Lactate infus steril / DAK 2021 164 7630 1,251,320.00
PATEN DAK
157 Chloramex 500mg / DAK 2019 1523 1090 1,660,070.00
164 Permetrin/Scabicid krim 5% / DAK 2019 35 11825 413,875.00
165 Pularex / DAK 2019 8 152 1,216.00
166 Pularex / DAK 2020 2000 162 324,000.00
TABLET DAK
178 Eugenol cairan / DAK 2019 2 45000 90,000.00
TABLET DAK
185 Haloperidol 1,5 mg / DAK 2020 440 59 25,960.00
186 Haloperidol 5 mg / DAK 2020 432 60 25,920.00
Risperidone 2mg / DAK 2021 2999 123 368,877.00
188 Trifluoperazin tablet 5 mg / DAK 2019 0 287 0.00
Triheksifenidil Hidroklorida tab 2 mg / DAK
190 2020 615 91 55,965.00
TABLET DAK
201 Kodein tablet 10mg / DAK 2019 354 571 202,134.00
202 Stesolid rectal supp 5 mg / DAK 2019 4 12573 50,292.00
TABLET DAK NON EKATALOG
Asam Askorbat (Vitamin C) tab 250 mg / DAK
12 NON EKATALOG 2020 1394 200.2 279,078.80
13 EKATALOG 2020 0 291.72 0.00
14 EKATALOG 2020 0 291.72 0.00
Deksametason 0,5 mg / DAK NON EKATALOG
20 2020 1294 82 106,108.00
35 Ibuprofen 400 mg / DAK NON EKATALOG 2020 0 380 0.00

Isosorbid Dinitrat sublingual 5 mg / DAK NON
37 EKATALOG 2020 200 121 24,200.00
Kalsium Laktat (Kalk) 500 mg / DAK NON
39 EKATALOG 2020 50 79 3,950.00
41 Kaptopril 25 mg / DAK NON EKATALOG 2020 3461 181.12 626,856.32

Klorfeniramin Maleat (CTM) 4 mg / DAK NON
46 EKATALOG 2020 6185 79 488,615.00
Metronidazol 500mg / DAK NON EKATALOG
53 2020 2000 218 436,000.00
58 Omeprazole 20mg / DAK NON EKATALOG 2020 2208 367 810,336.00

Parasetamol 500 mg / DAK NON EKATALOG
59 2020 6836 125 854,500.00
SERBUK DAK NON EKATALOG
84 Salisil Bedak 2 % / DAK NON EKATALOG 2020 142 2057 292,094.00

SIRUP DAK NON EKATALOG
Amoksilin 125mg/5ml / DAK NON EKATALOG
85 2020 156 3401 530,556.00
JIWA DAK NON EKATALOG
Fenitoin Na 100mg / DAK NON EKATALOG
184 2020 0 660 0.00
TABLET SILPA
40 Kaptopril 12,5 mg / SILPA DAK 2019 0 66 0.00
INJEKSI SILPA
fitomenadion injeksi 2 mg/ml / SILPA DAK
72 2019 30 3682 110,460.00
SIRUP SILPA
Domperidon sirup/suspensi 5mg/5ml / SILPA
88 DAK 2019 16 2700 43,200.00
PATEN DAU
156 Calporosis / DAU 2018 0 430 0.00
158 Dextrofen / DAU 2019 71 11550 820,050.00
160 HUSTAB TAB / DAU 2019 0 437.04 0.00
JIWA DID
159 Fenitoin Natrium 100 mg / DID 2020 510 627.27 319,907.70
183 Clozapin 25 mg tab / DID 2020 90 1040 93,600.00
187 Risperidone 2mg / DID 2020 0 260 0.00
189 Trifluoperazin tablet 5 mg / DID 2020 330 270 89,100.00
PSIKOTROPIK NARKOTIK DID
200 diazepam inj 10 mg/2ml / DID 2020 7 9600 67,200.00
TBC DAK
61 Ziehl nelseen / DAK P2P 2020 9 220893.28 1,988,039.52
59 Slide / DAK P2P 2020 20748 0.00
60 Sputum pot / DAK P2P 2020 2148.06 0.00
20,338,128.82
TAHUN 2021
OBAT DAK BULAN JULI

Harga
Jumlah Jumlah Jumlah Harga Satuan Jumlah
Satuan
Barang ( Rp. ) Barang ( Rp. ) ( Rp. )
( Rp. )
6 7 8=6x7 9 10 11=9x10
75 0.00 1056 75 79,200.00

139.00 0.00 139.00 0.00
233 0.00 233 0.00
3000 249 747,000.00 249 0.00
54 0.00 54 0.00
58 0.00 1680 58 97,440.00
3000 58 174,000.00 58 0.00
200 3167 633,400.00 16 3167 50,672.00

105 0.00 90 105 9,450.00
111 0.00 866 111 96,126.00
3000 373 1,119,000.00 3762 373 1,403,226.00
380 0.00 380 0.00
405 0.00 405 0.00
110 0.00 110 0.00
104 0.00 104 0.00
105 0.00 32 105 3,360.00
91 0.00 59 91 5,369.00
91 0.00 730 91 66,430.00
710 0.00 710 0.00
758 0.00 13 758 9,854.00
77 0.00 77 0.00
82 0.00 82 0.00
119 0.00 30 119 3,570.00
119 0.00 119 0.00
245 0.00 300 245 73,500.00
88 0.00 29 88 2,552.00
60 0.00 788 60 47,280.00
288 0.00 200 288 57,600.00
715 0.00 715 0.00
23 0.00 23 0.00
125 0.00 30 125 3,750.00

424 0.00 424 0.00
123 0.00 123 0.00
77 0.00 310 77 23,870.00
102 0.00 102 0.00
224 0.00 224 0.00

85 0.00 281 85 23,885.00
123 0.00 915 123 112,545.00
99 0.00 401 99 39,699.00
104 0.00 183 104 19,032.00
560 0.00 560 0.00
123 0.00 525 123 64,575.00

73 0.00 73 0.00
500 67 33,500.00 67 0.00
89 0.00 33 89 2,937.00
310 0.00 310 0.00
91 0.00 138 91 12,558.00
89 0.00 1992 89 177,288.00
2976 0.00 2976 0.00

1945 0.00 1945 0.00
1639 0.00 1639 0.00
1168 0.00 1168 0.00

1408 0.00 1408 0.00
1145 0.00 6 1145 6,870.00
3580 0.00 3580 0.00
3796 0.00 3796 0.00
4496 0.00 1 4496 4,496.00

48 4798 230,304.00 4798 0.00
2675 0.00 3 2675 8,025.00
2475 0.00 11 2475 27,225.00
2518 0.00 6 2518 15,108.00
2007 0.00 2007 0.00
3414 0.00 5 3414 17,070.00
3414 0.00 11 3414 37,554.00
2620 0.00 5 2620 13,100.00
1679 0.00 1679 0.00

2915 0.00 2915 0.00
2721 0.00 2721 0.00
5015 0.00 6 5015 30,090.00
2052 0.00 2052 0.00
2190 0.00 2190 0.00
2590 0.00 2590 0.00

4232 0.00 15 4232 63,480.00
6649 0.00 3 6649 19,947.00
2860 0.00 2860 0.00

2860 0.00 2860 0.00
7630 0.00 7630 0.00
7630 0.00 7630 0.00
1090 0.00 56 1090 61,040.00

11825 0.00 22 11825 260,150.00
152 0.00 8 152 1,216.00
162 0.00 418 162 67,716.00
45000 0.00 45000 0.00

59 0.00 100 59 5,900.00
60 0.00 160 60 9,600.00
123 0.00 484 123 59,532.00
287 0.00 287 0.00
91 0.00 240 91 21,840.00
571 0.00 90 571 51,390.00

12573 0.00 12573 0.00
2000 200.2 400,400.00 820 200.2 164,164.00
291.72 0.00 291.72 0.00
291.72 0.00 291.72 0.00
82 0.00 698 82 57,236.00
2000 380 760,000.00 380 0.00
121 0.00 121 0.00
79 0.00 50 79 3,950.00
181.12 0.00 66 181.12 11,953.92
79 0.00 3723 79 294,117.00
218 0.00 122 218 26,596.00
367 0.00 367 0.00
125 0.00 3113 125 389,125.00
2057 0.00 37 2057 76,109.00
3401 0.00 59 3401 200,659.00
660 0.00 660 0.00
66 0.00 66 0.00
3682 0.00 3682 0.00
2700 0.00 6 2700 16,200.00
430 0.00 430 0.00

11550 0.00 57 11550 658,350.00
437.04 0.00 437.04 0.00
627.27 0.00 60 627.27 37,636.20

1040 0.00 90 1040 93,600.00
260 0.00 260 0.00
270 0.00 270 0.00
9600 0.00 1 9600 9,600.00
220893.28 0.00 220893.28 0.00

22 20748 456,456.00 20748 0.00
1600 2148.06 3,436,896.00 2148.06 0.00
4,097,604.00 5,306,413.12
19,129,319.70
SALDO AKHIR
Harga
Jumlah Jumlah
Satuan
Barang ( Rp. )
( Rp. )
12 13 14=12x13
4050 75 303750
0 139.00 0
0 233 0
4092 249 1018908
0 54 0
604 58 35032
6000 58 348000
195 3167 617565

204 105 21420
5487 111 609057
882 373 328986
274 380 104120
600 405 243000
67 110 7370
200 104 20800
455 105 47775
0 91 0
1770 91 161070
0 710 0
519 758 393402
0 77 0
790 82 64780
3 119 357
1000 119 119000
0 245 0
0 88 0
4212 60 252720
154 288 44352
0 715 0
0 23 0
1781 125 222625

0 424 0
0 123 0
2520 77 194040
0 102 0
100 224 22400

951 85 80835
0 123 0
4599 99 455301
0 104 0
57 560 31920
1605 123 197415

0 73 0
718 67 48106
82 89 7298
611 310 189410
3471 91 315861
3078 89 273942
25 2976 74400
0 1945 0
0 1639 0
60 1168 70080
50 1408 70400
131 1145 149995
6 3580 21480
6 3796 22776
6 4496 26976
48 4798 230304
15 2675 40125
106 2475 262350
18 2518 45324
96 2007 192672
0 3414 0
85 3414 290190
29 2620 75980
300 1679 503700

0 2915 0
0 2721 0
63 5015 315945
0 2052 0
70 2190 153300
0 2590 0
19 4232 80408
73 6649 485377
0 2860 0
66 2860 188760
0 7630 0
164 7630 1251320
1467 1090 1599030

13 11825 153725
0 152 0
1582 162 256284
2 45000 90000
340 59 20060
272 60 16320
2515 123 309345
0 287 0
375 91 34125
264 571 150744

4 12573 50292
2574 200.2 515314.8
0 291.72 0
0 291.72 0
596 82 48872
2000 380 760000
200 121 24200
0 79 0
3395 181.12 614902.4
2462 79 194498
1878 218 409404
2208 367 810336
3723 125 465375
105 2057 215985
97 3401 329897
0 660 0
0 66 0
30 3682 110460
10 2700 27000
0 430 0
14 11550 161700
0 437.04 0
450 627.27 282271.5

0 1040 0
0 260 0
330 270 89100
6 9600 57600
9 220893.28 1988039.52
22 20748 456456
1600 2148.06 3436896
19129319.7
KERTAS KE
PUSKESM
TA
BMHP D
SALDO AWAL
Jumlah Jumlah
Satuan
Barang ( Rp. )
( Rp. )
1 2 3 4 5=3x4
BMHP DAK
1 Alat suntik sekali pakai 1 ml / DAK 2017 990 1540 1,524,600.00
2 Alat suntik sekali pakai 3 ml NIPRO / DAK 2020 0 924 0.00
3 Alat suntik sekali pakai 3 ml NIPRO / DAK 2021 880 0.00

4 Alat suntik sekali pakai 5 ml / DAK 2019 6 98422 590,532.00
5 alkohol 70% 1 liter / DAK 2019 2 25000 50,000.00
6 alkohol swab / DAK 2021 28 8380 234,640.00
Catgut chromic/benang bedah No. 2/0-3/0 /
7 DAK 2020 0 32522 0.00
Catgut plain/benang bedah No. 2/0-3/0 / DAK
8 2019 0 35067 0.00
COSMOMED INFUSION SET DEWASA / DAK
9 2020 124 4800 595,200.00
10 DRC kapas pembalut 250 gram / DAK 2019 5 20600 103,000.00
11 Female cath no 16 / DAK 2018 0 5720 0.00
14 Folley cath no. 18 / DAK 2019 6 18450 110,700.00
15 Folley cath no. 18 / DAK 2020 18450 0.00
16 Hi oxy mask Anak / NRBM / DAK 2018 19 24640 468,160.00
I.V. Catheter No 24 Trovensite Safeplus / DAK
20 2019 50 23100 1,155,000.00
21 ID Band adult blue / DAK 2018 200 1078 215,600.00
22 ID Band adult pink / DAK 2018 200 1078 215,600.00
23 ID Band adult yellow / DAK 2018 100 1078 107,800.00
24 ID Band child blue / DAK 2018 400 1078 431,200.00
25 ID Band child pink / DAK 2018 400 1078 431,200.00
26 Infusion set anak / DAK 2018 50 5100 255,000.00
IV Catheter trovensite Safety plus 26 G / DAK
27 2019 40 24668 986,720.00
28 Kasa Pembalut 2 m x 80 cm / DAK 2018 15 9400 141,000.00
29 Kasa Steril 16 x 16 / DAK 2018 5 7900 39,500.00
30 Leukoplast (2,5cm x 4,5m) / DAK 2019 42 12675 532,350.00
31 Leukoplast (7,5cm x 4,5m) / DAK 2019 0 37371 0.00
Lisol, mengandung Kresol tersabun 50% / DAK
32 2019 3 41000 123,000.00
33 Masker oxygen anak (NRBM) / DAK 2018 18 15700 282,600.00
34 Masker oxygen dewasa (NRBM) / DAK 2018 11 15700 172,700.00

35 Masker tali (MI) / DAK 2018 0 17900 0.00
36 Nasal kanul S / DAK 2018 5 6600 33,000.00
37 New DRC 4Y x 80 cm plain / DAK 2018 0 149158 0.00
38 Plester infus cannofix 6 x 8 cm / DAK 2018 200 6850 1,370,000.00
39 Plesterin / DAK P2P 2020 12 38934 467,208.00
42 Rivanol larutan 0,1 % 300ml / DAK 2019 0 2550 0.00
Silk ( Benang Bedah Sutera ) No. 3/0 / DAK
43 2019 25 22992 574,800.00
44 Tensocrepe (FM crepe) / DAK 2018 10 43987 439,870.00
45 Underpad / DAK 2019 88 4620 406,560.00
46 Urine Bag / DAK 2018 39 5500 214,500.00
47 Waterone 1L / DAK 2018 0 14960 0.00
ALKES KHUSUS DAK
48 extradine / DAK 2019 0 61600 0.00
49 Safety box 5 l / DAK 2018 0 15715 0.00
BMHP DAK P2P
50 Alkohol swab (Aximed) / DAK P2P 2020 0 12726 0.00
Top Glove win glove non steril free powder L /
51 DAK P2P 2020 0 47050 0.00
ALKES KHUSUS DAK P2P
52 Safety box 5 l / DAK P2P 2020 3 381830.18 1,145,490.54
KELAMIN + HIV DAK
Flashback blood coll needle 22Gx1.5 / DAK P2P
53 2020 12 205978.76 2,471,745.12
54 New HIV 1/2 3 line (FOKUS) / DAK P2P 2020 48 336757.35 16,164,352.80
55 Standard Q Syphilis AB Test / DAK P2P 2020 48 350000 16,800,000.00

vacutainer pronto quick release needle holder
56 / DAK P2P 2020 12 12919 155,028.00
57 2020 0 173805.88 0.00
58 2020 12 173805.88 2,085,670.56
BMHP DAU
62 Kantong jenazah / DAU 2021 88000 0.00
BMHP DID
63 Examination Glove L / DID 2021 19 148916 2,829,404.00
64 Examination Glove M / DID 2021 47 148916 6,999,052.00
65 Prodestan / DID 2020 30 51150 1,534,500.00
66 OI-URINE BAG with T-Valve / DID 2021 4706 0.00
66,732,169.02
TAHUN 2021
BMHP DAK BULAN JULI

Harga Harga
Satuan Satuan
( Rp. ) ( Rp. )
6 7 8=6x7 9 10 11=9x10
1540 0.00 110 1540 169,400.00
924 0.00 924 0.00
300 880 264,000.00 880 0.00

98422 0.00 3 98422 295,266.00
25000 0.00 25000 0.00
8380 0.00 13 8380 108,940.00
32522 0.00 32522 0.00
35067 0.00 35067 0.00
4800 0.00 4800 0.00

20600 0.00 20600 0.00
5720 0.00 5720 0.00
18450 0.00 1 18450 18,450.00
18450 0.00 27 18450 498,150.00
18450 0.00 18450 0.00
30 18450 553,500.00 18450 0.00
24640 0.00 24640 0.00
8700 0.00 8700 0.00
8700 0.00 15 8700 130,500.00
8700 0.00 8700 0.00
23100 0.00 23100 0.00

1078 0.00 1078 0.00
1078 0.00 1078 0.00
1078 0.00 1078 0.00
1078 0.00 1078 0.00
1078 0.00 1078 0.00
5100 0.00 5100 0.00
24668 0.00 24668 0.00
9400 0.00 9400 0.00
7900 0.00 7900 0.00
12675 0.00 3 12675 38,025.00
37371 0.00 37371 0.00
41000 0.00 41000 0.00

15700 0.00 15700 0.00
15700 0.00 11 15700 172,700.00

17900 0.00 17900 0.00
6600 0.00 6600 0.00
149158 0.00 149158 0.00
6850 0.00 6850 0.00
38934 0.00 38934 0.00
37294 0.00 37294 0.00
40145 0.00 40145 0.00
2550 0.00 2550 0.00
22992 0.00 22992 0.00

43987 0.00 43987 0.00
4620 0.00 88 4620 406,560.00
5500 0.00 5500 0.00
14960 0.00 14960 0.00
61600 0.00 61600 0.00

15715 0.00 15715 0.00
12726 0.00 12726 0.00
47050 0.00 47050 0.00
381830.18 0.00 3 381830.18 1,145,490.54
205978.76 0.00 205978.76 0.00
336757.35 0.00 336757.35 0.00
350000 0.00 350000 0.00
12919 0.00 12919 0.00
173805.88 0.00 173805.88 0.00

173805.88 0.00 173805.88 0.00
10 88000 880,000.00 88000 0.00
148916 0.00 148916 0.00

148916 0.00 8 148916 1,191,328.00
51150 0.00 25 51150 1,278,750.00
20 4706 94,120.00 4706 0.00
1791620 5,453,559.54
63,070,229.48
SALDO AKHIR
Harga
Jumlah Jumlah
Satuan
Barang ( Rp. )
( Rp. )
12 13 14=12x13
880 1540 1355200
0 924 0
300 880 264000

3 98422 295266
2 25000 50000
15 8380 125700
0 32522 0
0 35067 0
124 4800 595200

5 20600 103000
0 5720 0
0 18450 0
3 18450 55350
6 18450 110700
30 18450 553500
19 24640 468160
45 8700 391500
72 8700 626400
80 8700 696000
50 23100 1155000
200 1078 215600
200 1078 215600
100 1078 107800
400 1078 431200
400 1078 431200
50 5100 255000
40 24668 986720
15 9400 141000
5 7900 39500
39 12675 494325
0 37371 0
3 41000 123000
18 15700 282600
0 15700 0
0 17900 0
5 6600 33000
0 149158 0
200 6850 1370000
12 38934 467208
24 37294 895056
24 40145 963480
0 2550 0
25 22992 574800
10 43987 439870
0 4620 0
39 5500 214500
0 14960 0
0 61600 0
0 15715 0
0 12726 0
0 47050 0
0 381830.18 0
12 205978.76 2471745.12
48 336757.35 16164352.8
48 350000 16800000
12 12919 155028
0 173805.88 0
12 173805.88 2085670.56
10 88000 880000
19 148916 2829404
39 148916 5807724
5 51150 255750
20 4706 94120
63070229.48
19129319.7
31138024
36473863
8255374.48
16971604
KERTAS K
PUSKESM
T
OBAT DR
SALDO AWAL
Jumlah Jumlah
Satuan
Barang ( Rp. )
( Rp. )
1 2 3 4 5=3x4
TABLET DROPPING
asam askorbat (VIT. C) 500 mg / DROPPING
1 2020
GENERIK Zinc sulfate/Zinc sulfate 4100 198 811800
monohydrate/Zinc/ Zinc tablet dispersible 20
2 mg / DROPPING 2020 4501 524 2,358,524.00
SERBUK DROPPING 0
Garam oralit untuk 200 ml air / DROPPING
3 2019 1248 257 320,736.00
PATEN DROPPING 0
4 Multivitamin ( C,B,E,Zink) / DROPPING 2021 7800 585 4563000

ALKES KHUSUS DROPPING
167 APD(5 PAKET) / DROPPING 2020 0 323500 0.00
169 HAZMAT / DROPPING 2020 49 0 0.00
175 Safety box 5 l / DROPPING 2021 42 14000 588,000.00

FILARIASIS DROPPING 0

Albendazol suspensi 200mg/5ml / DROPPING
7 2021 0 4000 0.00
Tes HBsAg / DROPPING 2021 310 8033 2,490,230.00
Tes HBsAg / DROPPING 2021 7926 0.00

GIZI DROPPING 0
8 2020 0 25850 0.00
9 2021 14850 0.00
10 2021 0 27600 0.00
11 2021 0.00
Tablet Tambah Darah Kombinasi : Besi sulfat
12 200mg+Asam folat 0,25mg / DROPPING 2020 11819 354 4,183,926.00
13 Asan Folat 0,4 mg ) / DROPPING 2021 354 0.00
14 Asan Folat 0,4 mg ) / DROPPING 2021 226 0.00
15 TABURIA / DROPPING 2021 605 0.00

INJEKSI DROPPING 0
16 Amitriptilin HCL 25 mg / DROPPING 2018 490 167 81,830.00

JIWA DROPPING 0
17 Haloperidol inj 5 mg/ml / DROPPING 2021 25 1190 29,750.00

KELAMIN + HIV DROPPING 0
18 Efavirenz (EFV) 600 mg / DROPPING 2020 198900 0.00
19 Lamivudine 150 mg / DROPPING 2020 93600 0.00
20 Nevirapine (NVP) 200mg / DROPPING 2020 176400 0.00
21 Tenofovir 300 / DROPPING 2021 252720 0.00

Zidovudine(ZDV)300mg+Lamivudine(3TC)150
22 mg / DROPPING 2020 222000 0.00
PSIKOTROPIK NARKOTIK DROPPING 0
23 Diazepam 5 mg / DROPPING 2018 355 109 38,695.00

KELAMIN + HIV DROPPING
DS HIV DIAGNOSTAR (CCHIV-402A) /
191 DROPPING 2019 25 13353 333,825.00
194 REAGAN RAPID HIV / DROPPING 2019 1450 11975 17,363,750.00

TBC DROPPING 0
24 Isoniazid (INH) 100mg / DROPPING 2020 360 282 101,520.00

25 DROPPING 2019 0 389344 0.00
26 DROPPING 2020 11 415469 4,570,159.00
206 Slide / DROPPING 2018 18 19500 351,000.00

208 Sputum pot / DROPPING 2018 1600 2728 4,364,800.00
TAHUN 2021
OBAT DROPPING BULAN JULI

Harga Harga
Jumlah Jumlah Jumlah
Satuan Jumlah Barang Satuan
Barang ( Rp. ) ( Rp. )
( Rp. ) ( Rp. )
6 7 8=6x7 9 10 11=9x10
198 0.00 1100 198 217,800.00
524 0.00 956 524 500,944.00
257 0.00 204 257 52,428.00
585 0.00 3250 585 1,901,250.00
323500 0.00 323500 0.00
0 0.00 19 0 0.00
14000 0.00 4 14000 56,000.00
404 0.00 404 0.00
404 0.00 404 0.00
4000 0.00 4000 0.00
8033 0.00 8033 0.00
700 7926 5,548,200.00 7926 0.00
25850 0.00 25850 0.00
12 14850 178,200.00 14850 0.00
37 27600 1,021,200.00 27600 0.00

93
354 0.00 776 354 274,704.00
3000 354 1,062,000.00 354 0.00
36800 226 8,316,800.00 226 0.00
9120 605 5,517,600.00 605 0.00
167 0.00 167 0.00
1190 0.00 3 1190 3,570.00
1 198900 198,900.00 198900 0.00
1 93600 93,600.00 93600 0.00
1 176400 176,400.00 176400 0.00
1 252720 252,720.00 252720 0.00
1 222000 222,000.00 222000 0.00
109 0.00 20 109 2,180.00
13353 0.00 13353 0.00
11975 0.00 11975 0.00
282 0.00 30 282 8,460.00
389344 0.00 389344 0.00
415469 0.00 415469 0.00
19500 0.00 19500 0.00

2728 0.00 2728 0.00
#REF!
SALDO AKHIR
Harga
Jumlah Jumlah
Satuan
Barang ( Rp. )
( Rp. )
12 13 14=12x13
3000 198 594000
3545 524 1857580
1044 257 268308
4550 585 2661750
0 323500 0
30 0 0
38 14000 532000
0 404 0
0 404 0
0 4000 0
310 8033 2490230
700 7926 5548200
0 25850 0
12 14850 178200
37 27600 1021200
93
11043 354 3909222
3000 354 1062000
36800 226 8316800
9120 605 5517600
490 167 81830
22 1190 26180
1 198900 198900
1 93600 93600
1 176400 176400
1 252720 252720
1 222000 222000
335 109 36515
25 13353 333825
1450 11975 17363750
330 282 93060
0 389344 0
11 415469 4570159
18 19500 351000
1600 2728 4364800
8255374.48
16971604
KERTAS KE
PUSKESM
TA
BMHP DRO
SALDO AWAL
Jumlah Jumlah
Satuan
Barang ( Rp. )
( Rp. )
1 2 3 4 5=3x4
BMHP DROPPING
Alat Suntik Sekali Pakai 0,5 ml / DROPPING
97 2021 0 1050 0.00
105 Alkohol swab (Aximed) / DROPPING 2021 0 9500 0.00

Auto Disable Syringe 0,5 ml ONEJECT /
DROPPING 2021 4515 1185 5,350,275.00
133 MASKER N95 (3M) / DROPPING 2020 45 0 0.00

Surgical mask plus 3 ply HIJAB MMP /
146 DROPPING 2019 0 17014 0.00
ALKES KHUSUS DROPPING
170 masker FFP2NR / DROPPING 2020 120 0 0.00
171 Masker KN95 / DROPPING 2020 75 0 0.00

FILARIASIS DROPPING
TBC DROPPING
207 Sputum pot / DROPPING 2017 100 4952.83 495,283.00
5,845,558.00
TAHUN 2021
BMHP DROPPING BULAN JULI

Harga Harga
Satuan Satuan
( Rp. ) ( Rp. )
6 7 8=6x7 9 10 11=9x10
1050 0.00 1050 0.00
9500 0.00 9500 0.00
1185 0.00 300 1185 355,500.00
0 0.00 0 0.00
17014 0.00 17014 0.00
0 0.00 0 0.00
0 0.00 0 0.00
4952.83 0.00 4952.83 0.00
0.00 355,500.00
5,490,058.00
SALDO AKHIR
Harga
Jumlah Jumlah
Satuan
Barang ( Rp. )
( Rp. )
12 13 14=12x13
0 1050 0
0 9500 0
4215 1185 4994775
45 0 0
0 17014 0
120 0 0
75 0 0
100 4952.83 495283
5490058
KERTAS KE
PUSKESM
TA
OBAT DRO
SALDO AWAL
Jumlah Jumlah
Satuan
Barang ( Rp. )
( Rp. )
1 2 3 4 5=3x4
TABLET BTT
1 Alopurinol 100 mg / BTT COVID 2020 785 151.25 118,731.25
2 betahistin 6 mg / BTT COVID 2020 1600 234 374400
3 Cefadroxil 500mg / BTT COVID 2020 990 605 598,950.00
4 Cetirizin 10mg / BTT COVID 2020 2100 366 768,600.00
5 glimepirid 2mg / BTT COVID 2020 1973 368 726,064.00
6 Glyceril Guaiacolat / BTT COVID 2020 0 220 0.00
7 Klopidogrel / BTT COVID 2020 450 1666 749,700.00
8 Levofloksasin 500 mg / BTT COVID 2020 955.47 0.00
9 Molexflu tab / BTT COVID 2020 555 393.33 218,298.15
SIRUP BTT
10 Betadin kumur / BTT COVID 2020 90 28380 2,554,200.00
11 obh molex syr / BTT COVID 2020 75 5000 375,000.00
PATEN BTT
12 iafed tablet / BTT COVID 2020 0 362.99 0.00
13 Laxadin sirup / BTT COVID 2020 0 43000 0.00
14 Noza / BTT COVID 2020 725 0.00
15 Pehavral / BTT COVID 2020 500 892.73 446,365.00
KELAMIN + HIV BTT
16 Azithromycin / BTT COVID 2020 1616.36 0.00
alkes khusus
13 neurobion injeksi / BTT COVID 2020 240 10633.6 2,552,064.00
6,930,308.40
TAHUN 2021
OBAT DROPPING BULAN JULI

Harga Harga
Satuan Satuan
( Rp. ) ( Rp. )
6 7 8=6x7 9 10 11=9x10
151.25 0.00 100 151.25 15,125.00

234 0.00 300 234 70,200.00
605 0.00 30 605 18,150.00
366 0.00 10 366 3,660.00
368 0.00 311 368 114,448.00
220 0.00 220 0.00
1666 0.00 1666 0.00
240 955.47 229,312.80 81 955.47 77,393.07
393.33 0.00 555 393.33 218,298.15
28380 0.00 22 28380 624,360.00

5000 0.00 21 5000 105,000.00
362.99 0.00 362.99 0.00

43000 0.00 43000 0.00
3000 725 2,175,000.00 2701 725 1,958,225.00
892.73 0.00 190 892.73 169,618.70
2000 1616.36 3,232,720.00 580 1616.36 937,488.80
10633.6 0.00 10633.6 0.00

5,637,032.80 4,311,966.72
8,255,374.48
SALDO AKHIR
Harga
Jumlah Jumlah
Satuan
Barang ( Rp. )
( Rp. )
12 13 14=12x13
685 151.25 103606.25

1300 234 304200
960 605 580800
2090 366 764940
1662 368 611616
0 220 0
450 1666 749700
159 955.47 151919.73
0 393.33 0
68 28380 1929840
54 5000 270000
0 362.99 0
0 43000 0
299 725 216775
310 892.73 276746.3
1420 1616.36 2295231.2
240 10633.6 2552064

8255374.48
16971604
KERTAS KE
PUSKESM
TA
BMHP BTT
SALDO AWAL
Jumlah Jumlah
Satuan
Barang ( Rp. )
( Rp. )
1 2 3 4 5=3x4
BMHP BTT
1 COVID 2020 22 840 18,480.00
2 COVID 2020 327 840 274,680.00
3 Handscoon L 50 / BTT COVID 2020 0 185000 0.00
4 Handscoon M 50 / BTT COVID 2020 0 185000 0.00
Masker oxygen dewasa (NRBM) / BTT COVID
5 2020 13750 0.00
6 Nasal kanul L / BTT COVID 2020 20 6100 122,000.00
7 Nurse cap / BTT COVID 2020 1800 950 1,710,000.00
8 Surgical gown (M) / BTT COVID 2020 70 99000 6,930,000.00
9 Underpad / BTT COVID 2020 150 4200 630,000.00
10 Viorex Liquid soap 2% 5L / BTT COVID 2020 504000 0.00

ALKES KHUSUS BTT
11 masker medis hijab / BTT COVID 2020 13 68750 893,750.00
12 masker medis hijab / BTT COVID 2020 80 65000 5,200,000.00
15,778,910.00
TAHUN 2021
BMHP BTT COVID BULAN JULI

Harga Harga
Satuan Satuan
( Rp. ) ( Rp. )
6 7 8=6x7 9 10 11=9x10
840 0.00 22 840 18,480.00
840 0.00 181 840 152,040.00

185000 0.00 18450 0.00
185000 0.00 185000 0.00
20 13750 275,000.00 6 13750 82,500.00

6100 0.00 16 6100 97,600.00
950 0.00 300 950 285,000.00
99000 0.00 99000 0.00
4200 0.00 25 4200 105,000.00
2 504000 1,008,000.00 2 504000 1,008,000.00
68750 0.00 13 68750 893,750.00

65000 0.00 65000 0.00
1,283,000.00 2,642,370.00
14,419,540.00
SALDO AKHIR
Harga
Jumlah Jumlah
Satuan
Barang ( Rp. )
( Rp. )
12 13 14=12x13
0 840 0
146 840 122640

0 18450 0
0 185000 0
14 13750 192500
4 6100 24400
1500 950 1425000
70 99000 6930000
125 4200 525000
0 504000 0
0 68750 0
80 65000 5200000
14419540

KKP Bulan Juli 2021

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KKP Bulan Juli 2021

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KERTA

Anti Hemoroid (Bismut

35 Ibuprofen 400 mg / DAK NON EKATALOG 2020 0 380 0.00

36 Isosorbid Dinitrat sublingual 5 mg / DAK 2017 29 88 2,552.00

41 Kaptopril 25 mg / DAK NON EKATALOG 2020 3461 181.12 626,856.32

45 Klorfeniramin Maleat (CTM) 4 mg / DAK 2019 0 23 0.00

Kotrimoksazol dewasa kombinasi :

51 Metilergometrin Maleat 0,125 mg / DAK 2020 100 224 22,400.00

58 Omeprazole 20mg / DAK NON EKATALOG 2020 2208 367 810,336.00

Lidokain komp injeksi,Kombinasi:Lidokain

89 Ibuprofen suspensi 100mg/5ml / DAK 2019 0 2721 0.00

90 Kloramfenikol suspensi 125mg/5ml / DAK 2019 69 5015 346,035.00

Kotrimoksazol Suspensi komb: Sulfametoksazol

Kotrimoksazol Suspensi komb: Sulfametoksazol

94 Fenol Gliserol tetes telinga 10 % / DAK 2019 0 2590 0.00

99 Alat suntik sekali pakai 3 ml NIPRO / DAK 2020 0 924 0.00

Alat suntik sekali pakai 3 ml NIPRO / DAK 2021 880 0.00

105 Alkohol swab (Aximed) / DROPPING 2021 0 9500 0.00

133 MASKER N95 (3M) / DROPPING 2020 45 0 0.00

135 Masker oxygen dewasa (NRBM) / DAK 2018 11 15700 172,700.00

Viorex Liquid soap 2% 5L / BTT COVID 2020 504000 0.00

163 Multivitamin ( C,B,E,Zink) / DROPPING 2021 7800 585 4,563,000.00

167 APD(5 PAKET) / DROPPING 2020 0 323500 0.00

169 HAZMAT / DROPPING 2020 49 0 0.00

171 Masker KN95 / DROPPING 2020 75 0 0.00

175 Safety box 5 l / DROPPING 2021 42 14000 588,000.00

177 Albendazol 400mg / DROPPING 2020 0 404 0.00

Albendazol 400mg / DROPPING 2021 0 404 0.00

Tes HBsAg / DROPPING 2021 310 8033 2,490,230.00

Tes HBsAg / DROPPING 2021 7926 0.00

TABURIA / DROPPING 2021 605 0.00

182 Amitriptilin HCL 25 mg / DROPPING 2018 490 167 81,830.00

Haloperidol inj 5 mg/ml / DROPPING 2021 25 1190 29,750.00

Efavirenz (EFV) 600 mg / DROPPING 2020 198900 0.00

Lamivudine 150 mg / DROPPING 2020 93600 0.00

Nevirapine (NVP) 200mg / DROPPING 2020 176400 0.00

194 REAGAN RAPID HIV / DROPPING 2019 1450 11975 17,363,750.00

195 Standard Q Syphilis AB Test / DAK P2P 2020 48 350000 16,800,000.00

Tenofovir 300 / DROPPING 2021 252720 0.00

199 Diazepam 5 mg / DROPPING 2018 355 109 38,695.00

203 Isoniazid (INH) 100mg / DROPPING 2020 360 282 101,520.00

206 Slide / DROPPING 2018 18 19500 351,000.00

207 Sputum pot / DROPPING 2017 100 4952.83 495,283.00

MUTASI TAMBAH MUTASI KURANG

151.25 0.00 100 151.25 15,125.00

58 0.00 1680 58 97,440.00

3000 58 174,000.00 58 0.00

200 3167 633,400.00 16 3167 50,672.00

198 0.00 1100 198 217,800.00

2000 200.2 400,400.00 820 200.2 164,164.00

291.72 0.00 291.72 0.00

291.72 0.00 291.72 0.00

82 0.00 698 82 57,236.00

524 0.00 956 524 500,944.00

2000 380 760,000.00 380 0.00

121 0.00 121 0.00

181.12 0.00 66 181.12 11,953.92

79 0.00 3723 79 294,117.00

125 0.00 30 125 3,750.00

224 0.00 224 0.00

218 0.00 122 218 26,596.00

367 0.00 367 0.00