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DINAS KESEHATAN KABUPATEN BANDUNG

PUSKESMAS SUDI
MAJALAYA SUDI NO. 1 RT 02/08 DS. BUDI KEC. IBUN

LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT


Periode Laporan: Juni 2021
Kode Puskesmas : P3204070202
Nama Puskesmas : SUDI
Pelaporan Bulan : Juni
Permintaan Bulan : Juli

Stok
No. Kode Nama Barang Satuan
Awal
OBAT-OBATAN
1 GFK0001 Acetylcystein Tablet 200 mg Tablet 1
2 GFK0327 Albendazol susp 200mg/5mL BOTTLE 2
3 GFK0002 Albendazole Tablet 400 mg Tablet 3
4 GFK0003 Allopurinol Tablet 100 mg Tablet 4
5 GFK0004 Allopurinol Tablet 400 mg Tablet 5
6 GFK0005 Ambroxol Sirup 15 mg / 5 ml Botol 6
7 GFK0006 Ambroxol Tablet 30 mg Tablet 7
8 GFK0008 Aminofilin Injeksi 24 mg / ml Ampul 8
9 GFK0007 Aminofilin Tablet 200 mg Tablet 9
10 GFK0009 Amitripillin Tablet Salut 25 mg Tablet 12
11 GFK0010 Amlodipine Tablet 10 mg Tablet 3145
12 GFK0011 Amlodipine Tablet 5 mg Tablet 2855
13 GFK0012 Amoxicilin Injeksi 1000 mg/ml Ampul 0
14 GFK0013 Amoxicilin Kaplet 250 mg Tablet 7800
15 GFK0014 Amoxicilin Kaplet 500 mg Tablet 8300
16 GFK0015 Amoxicilin Sirup Kering 125 mg/5 ml Botol 0
17 GFK0016 Amoxicilin Sirup Kering 250 mg/5 ml Botol 600

18 GFK0017 Antalgin (Metampiron) Injeksi 250 mg/ml Ampul 0


19 GFK0018 Antalgin (Metampiron) Tablet 500 mg Tablet 0
20 GFK0019 Antasida DOEN Suspensi Botol 436
21 GFK0020 Antasida DOEN Tablet Tablet 4200
Antifungi DOEN Salep (Kombinasi : Asam
22 GFK0021 Benzoat 6% + Asam Salisilat 3%) Pot 48
23 GFK0022 Antihemoroid DOEN Suppositoria Tablet 50
Antimigren DOEN Tablet (Kombinasi :
24 GFK0023 Ergotamin Tartat 1 mg + Caffein 50 mg) Tablet 0

25 GFK0024 Aqua Pro Injeksi Steril Bebas Pirogen 20 ml Ampul 0


26 GFK0025 Asam Asetil Salisilat (Asetosal) Tablet 80 mg Tablet 0
27 GFK0381 Asam Askorbat (Vit. C) 500 mg tablet TABLET 0
28 GFK0026 Asam Askorbat (Vit. C) Tablet 50 mg Tablet 7900
29 GFK0362 Asam askorbat (vitamin C) tab 250 mg TABLET 0
30 GFK0027 Asam Folat Tablet 1 mg Tablet 1100
31 GFK0028 Asam Mefenamat Tablet 500 mg Tablet 0
32 GFK0029 Asiklovir Krim 5% Tube 0
33 GFK0296 Asiklovir Tablet 200 mg Tablet 0
34 GFK0030 Asiklovir Tablet 400 mg Tablet 0
35 GFK0031 Atropin Sulfat Injeksi 0,25 mg/ml - 1 ml Ampul 0
36 GFK0032 Bedak Salisil 2% - 50 gram Sachet 0
37 GFK0033 Betametason Krim 0,1% Tube 325
38 GFK0034 Cefadroxil Sirup Kering 125 mg/5 ml Botol 0
39 GFK0349 CHLORQUINE PHOSPHATE Tablet TABLET 0
40 GFK0035 Deksametason Injeksi 5 mg/ml Ampul 7
41 GFK0036 Deksametason Tablet 0,5 mg Tablet 0
42 GFK0342 Desinfektan 5 Liter GALLON 2
43 GFK0037 Diazepam Injeksi 5 mg/ml Ampul 2
44 GFK0038 Diazepam Rectal 10 mg Suppositoria 0
45 GFK0039 Diazepam Rectal 5 mg Suppositoria 2
46 GFK0040 Diazepam Tablet 2 mg Tablet 0
47 GFK0041 Difenhidramin Hcl Injeksi 10 mg/ml Ampul 0
48 GFK0042 Digoxin Tablet 0,25 mg Tablet 0
Dimenhidrinat Tablet 50 mg Dimenhidrinat
49 GFK0307 Tablet 50 mg TABLET 0
50 GFK0326 Diphteria Antitoxin Serum VIAL 0
51 GFK0382 Doksisiklin kaps 100mg TABLET 0
52 GFK0305 Domperidon sir 5mg/5mL BOTTLE 0
53 GFK0043 Domperidon Tablet 10 mg Tablet 1000
54 GFK0044 Epinefrin HCl injeksi 0,1% - 1 ml Ampul 100
55 GFK0046 Eritromisin Kapsul 250 mg 0
56 GFK0045 Eritromisin Kapsul 500 mg Tablet 2000
57 GFK0047 Eritromisin Sirup 200 mg/5 ml Botol 0
58 GFK0048 Etakridin (Rivanol) 0,1% Botol 0
59 GFK0049 Etanol 70% - 1000 ml Botol 14
60 GFK0050 Etanol 70% - 300 ml Botol 0
61 GFK0324 Etil Klorida spray 100 mL BOTTLE 0
62 GFK0051 Eugenol 10 ml Botol 0
63 GFK0052 Fenobarbital Injeksi 50 mg/ ml Ampul 0
64 GFK0053 Fenobarbital Tablet 30 mg Tablet 0
65 GFK0055 Fenoksimetil Fenisilin Tablet 250 mg Tablet 0
66 GFK0054 Fenoksimetil Fenisilin Tablet 500 mg Tablet 0
67 GFK0056 Fenol Griseol Tetes Telinga 10% Botol 82
68 GFK0057 Fitomenadion (Vit. K) Injeksi 10 mg/ml Ampul 0
69 GFK0058 Fitomenadion (Vit. K) Injeksi 2 mg/ml Ampul 90

70 GFK0059 Fitomenadion (Vit. K) Tablet Salut 10 mg Tablet 400


71 GFK0478 Flufenazin inj 25mg/mL (i.m.) AMPULE 0

72 GFK0061 Furosemida Injeksi IV/IM 10 mg/ml-2ml Ampul 0


73 GFK0060 Furosemida Tablet 40 mg Tablet 720
74 GFK0062 Gentamisin Injeksi 80 mg/2,5 ml Ampul 0
75 GFK0063 Gentamisin Salep Kulit 0,1% Tube 0
76 GFK0064 Gentamisin Salep Mata Tube 94
77 GFK0065 Gentamisin Tetes Mata Botol 56
78 GFK0066 Glibenclamide Tablet 5 mg Tablet 400
79 GFK0067 Glimepirid Tablet 1 mg Tablet 0
80 GFK0068 Glimepirid Tablet 2 mg Tablet 0
81 GFK0069 Gliserin Cairan 100 ml Botol 5
82 GFK0070 Gluconas calcicus 10% - 10 ml Ampul 4
83 GFK0071 Glukosa Lar. Steril Cairan Infus 10% Botol 0
84 GFK0072 Glukosa Lar. Steril Cairan Infus 5% Botol 14
85 GFK0073 Griseofulvin Tablet 125 mg Tablet 0
86 GFK0074 Griseril Guaiakolat Tablet 100 mg Tablet 0
87 GFK0477 Haloperidol inj 50mg/mL AMPULE 0
88 GFK0075 Haloperidol Tablet 0,5 mg Tablet 0
89 GFK0076 Haloperidol Tablet 1,5 mg Tablet 0
90 GFK0077 Haloperidol Tablet 2 mg Tablet 0
91 GFK0078 Haloperidol Tablet 5 mg Tablet 0
92 GFK0079 Hidroklortiazid (HCT) Tablet 25 mg Tablet 200
93 GFK0080 Hidrokortison Krim 2,5% Tube 192
94 GFK0081 Ibuprofen Suspensi 100 mg/ 5 ml 60 ml Botol 0
95 GFK0082 Ibuprofen Suspensi 200 mg/ 5 ml 60 ml Botol 0
96 GFK0083 Ibuprofen Tablet 400 mg Tablet 0
97 GFK0458 Imunodulator Kapsul KAPSUL 0
98 GFK0084 Isoniazide (INH) 100 mg Tablet 0
99 GFK0085 Isoniazide (INH) 300 mg Tablet 0
Isosorbid Dinitrat (ISDN) Tablet Sublingual 5
100 GFK0086 mg Tablet 0
101 GFK0087 Kalsium Laktat (Kalk) Tablet 500 mg Tablet 4250
102 GFK0088 Kaptopril Tablet 12,5 mg Tablet 5600
103 GFK0089 Kaptopril Tablet 25 mg Tablet 161
104 GFK0090 Karbamazepin Tablet 200 mg Tablet 0
105 GFK0091 Ketoconazole Tablet 200 mg Tablet 0
106 GFK0360 Ketokonazol krim 2% TUBE 0
107 GFK0092 Klindamisin Kapsul 150 mg Kapsul 0
108 GFK0093 Klindamisin Kapsul 300 mg Kapsul 0
109 GFK0094 Kloramfenikol Kapsul 250 mg Kapsul 0

110 GFK0095 Kloramfenikol Salep Kulit (Bufacetine) 2% Tube 149


111 GFK0096 Kloramfenikol Salep Mata 1% Tube 82

112 GFK0097 Kloramfenikol Suspensi 125 mg/5 ml - 60 ml Botol 0


113 GFK0098 Kloramfenikol Tetes Mata 0,5% Botol 0
114 GFK0099 Kloramfenikol Tetes Telinga 3% Botol 0

115 GFK0100 Klorfeniramin Maleat (CTM) Tablet 4 mg Tablet 4732


116 GFK0102 Klorpromazin HCL Tablet Salut 100 mg Tablet 0
117 GFK0101 Klorpromazin HCL Tablet Salut 25 mg Tablet 0
118 GFK0321 Kolekalsiferol (Vit. D3) 400 unit tablet TABLET 0

119 GFK0322 Kolekalsiferol (Vit. D3) 400 unit/5 ml syr BOTTLE 0

Kotrimoksazol (dewasa) tab 960mg


kombinasi: sulfametoksazol
120 GFK0435 800mg+trimetoprim 160mg TABLET 0

Kotrimoksazol Suspensi 60 ml (Kombinasi :


Sulfametaksazol 200 mg/5 ml +
121 GFK0103 Trimetropim 40 mg/5 ml) Botol 308

Kotrimoksazol Tablet 480 mg (Kombinasi :


Sulfametaksazol 400 mg + Trimetropim 80
122 GFK0104 mg) Tablet 437
123 GFK0105 Lidokain Injeksi Ampul 0

Lidokain Injeksi Komb. (Kombinasi : Lidokain


124 GFK0106 HCl 2% + Epinefrin 1: 80.000) 2 ml Ampul 180
125 GFK0107 Loratadin Tablet 10 mg Tablet 0
126 GFK0108 Magnesium Sulfat Injeksi 20% - 25 ml Vial 5
127 GFK0109 Magnesium Sulfat Injeksi 40% - 25 ml Vial 6
128 GFK0110 Mebendazole Sirup 100 mg/5 ml Botol 0
129 GFK0111 Mebendazole Tablet 100 mg Tablet 0
130 GFK0112 Meloxicam Tablet 15 mg Tablet 0
131 GFK0113 Metformin Tablet 500 mg Tablet 10500
132 GFK0114 Metildopa (Dopamet) Tablet 250 mg Tablet 600
Metilergometrin Maleat (Metergin) Injeksi
133 GFK0115 0,2 mg/ml Ampul 57
Metilergometrin Maleat (Metergin) Tablet
134 GFK0116 Salut 0,125 mg Tablet 600
135 GFK0117 Metilprednisolon Tablet 4 mg Tablet 0
136 GFK0118 Metoklorpramid Injeksi 5 mg/ml Ampul 0
137 GFK0119 Metoklorpramid Tablet 10 mg Tablet 1134
138 GFK0120 Metronidazole Syrup Botol 42
139 GFK0121 Metronidazole Tablet 250 mg Tablet 0
140 GFK0122 Metronidazole Tablet 500 mg Tablet 0
141 GFK0123 Mikonazole Krim 2% Tube 150
142 GFK0124 Multivitamin + Mineral Tablet Tablet 0
143 GFK0125 Multivitamin Sirup Botol 0
144 GFK0126 Multivitamin Tablet Tablet 0
145 GFK0127 Natrium Bikarbonat Tablet 500 mg Tablet 0
146 GFK0128 Natrium Diklofenak Tablet 50 mg Tablet 2082

147 GFK0441 Natrium Klorida Cairan Infus 0,9% - 100 ml BOTTLE 1

148 GFK0129 Natrium Klorida Cairan Infus 0,9% - 500 ml Botol 7


149 GFK0130 Nifedipine Tablet 10 mg Tablet 0
150 GFK0132 Nistatin Tablet 500.000 IU Tablet 600
151 GFK0131 Nistatin Tablet Vaginal 100.000 IU Tablet Vaginal 110
COVID-19
152 GFK0406 Obat Flu Batuk Sirup BOTTLE 0
OBAT-OBATAN
153 GFK0133 Obat Flu Sirup Botol 0
154 GFK0134 Obat Flu Tablet Tablet 0
155 GFK0323 Oksigen ih, gas dalam tabung BOTTLE 0
156 GFK0135 Oksitetrasiklin HCl Salep Kulit 3% Tube 0
157 GFK0136 Oksitetrasiklin HCl Salep Mata 1% Tube 0
158 GFK0137 Oksitosin Injeksi 10 IU/ml Ampul 54
159 GFK0138 Omeprazol Tablet 20 mg Tablet 0
160 GFK0304 Oseltamivir Kapsul 75 Mg KAPSUL 0
161 GFK0139 Parasetamol Drops 100mg/ml Botol 0
162 GFK0140 Parasetamol Sirup 120 mg/5 ml Botol 1282
163 GFK0141 Parasetamol Suppositoria Suppositoria 0
164 GFK0142 Parasetamol Tablet 500 mg Tablet 10600
165 GFK0348 Pehavral Tablet TABLET 0
166 GFK0438 Periokin Spray BOTTLE 0
167 GFK0475 Permetrin krim 5% TUBE 0
168 GFK0143 Piridoksin (Vit. B6) Tablet 10 mg Tablet 2500
169 GFK0144 Piridoksin (Vit. B6) Tablet 25 mg Tablet 0
170 GFK0145 Piroxicam Kapsul 20 mg Tablet 0
171 GFK0146 Povidon Iodida 10% Cairan 30 ml Botol 30
172 GFK0147 Povidon Iodida 10% Cairan 300 ml Botol 0
173 GFK0332 Povidon Iodida 10% Cairan 60 ml BOTTLE 0
174 GFK0148 Prednison Tablet 5 mg Tablet 570
175 GFK0149 Propanolol Tablet 10 mg Tablet 0
176 GFK0150 Propanolol Tablet 40 mg Tablet 0
177 GFK0151 Propiltiourasil Tablet 100 mg Tablet 0
178 GFK0152 Ranitidine Injeksi 25 mg/ml Ampul 0
179 GFK0153 Ranitidine Tablet 150 mg Tablet 800
180 GFK0366 Remdesivir Inj 100 mg VIAL 0
181 GFK0154 Ringer Laktat Cairan Infus 500 ml Botol 0
182 GFK0474 Risperidone Tablet 1 mg TABLET 0
183 GFK0155 Risperidone Tablet 2 mg Tablet 0
184 GFK0464 Sabun Cuci Tangan 500 ml BOTTLE 0
185 GFK0156 Salbutamol Nebulizer 1 mg/ml - 2,5 ml Ampul 0
186 GFK0157 Salbutamol Tablet 2 mg Tablet 300
187 GFK0158 Salbutamol Tablet 4 mg Tablet 774
Salep 2-4 (Kombinasi : Asam Salisilat 2% +
188 GFK0159 Belerang Endap 2%) Pot 78
189 GFK0160 Scabimite Cream (Premetrin 5% krim) Tube 65
Serum anti bisa ular I (khusus ular dari luar
190 GFK0473 papua) inj (i.m./i.v.) VIAL 0

191 GFK0161 Serum Anti Tetanus Injeksi 1.500 IU (ATS) Ampul 0


Sianokobalamin (Vit. B12) Injeksi 500
192 GFK0162 mcg/ml Ampul 0

193 GFK0163 Sianokobalamin (Vit. B12) Tablet 50 mcg Tablet 0


194 GFK0164 Simvastatin Tablet 10 mg Tablet 230
195 GFK0165 Simvastatin Tablet 20 mg Tablet 0
196 GFK0166 Siprofloksasin Tablet 500 mg Tablet 0
197 GFK0440 SULFADIAZINE SILVER CREAM 35 G TUBE 0
198 GFK0167 Tetrasiklin Kapsul 250 mg Kapsul 0
199 GFK0168 Tetrasiklin Kapsul 500 mg Kapsul 0
200 GFK0169 Thiamfenikol Kapsul 500 mg Kapsul 0

201 GFK0170 Thiamin HCl (Vit. B1) Injeksi 100 mcg/ml Ampul 0
202 GFK0171 Thiamin HCl (Vit. B1) Tablet 50 mg Tablet 4200
203 GFK0306 Tiamin (vitamin B1) tab 100 mg TABLET 0
204 GFK0444 Triheksifenidil tab 2mg TABLET 0
205 GFK0172 Trihexifenidil Hidroksida Tablet 2 mg Tablet 0
206 GFK0173 Vitamin B Kompleks Tablet Tablet 3000
BMHP
207 GFK0341 ALAT SEMPROT BUAH 1
208 GFK0186 Alat Suntik Sekali Pakai 0,05 ml Pcs 0
209 GFK0187 Alat Suntik Sekali Pakai 1 ml Pcs 168
210 GFK0190 Alat Suntik Sekali Pakai 10 ml Pcs 0
211 GFK0188 Alat Suntik Sekali Pakai 3 ml Pcs 132
212 GFK0189 Alat Suntik Sekali Pakai 5 ml Pcs 300
213 GFK0211 Alkohol Swab Pcs 1500
214 GFK0330 BARA COAT/GOWN NAVY BIRU PCS 60
215 GFK0212 Blood Lancet Pcs 1600
216 GFK0191 Canula Oksigen Pcs 0
Catgut/Benang Bedah No. 2/0 dengan
217 GFK0192 jarum bedah Pcs 16
Catgut/Benang Bedah No. 3/0 dengan
218 GFK0193 jarum bedah Pcs 12
Catgut/Benang Bedah No. 4/0 dengan
219 GFK0467 jarum bedah PIECES 0
220 GFK0334 COVER SHOES PCS 0
221 GFK0367 COVERALL DISPO PIECES 106
COVERALL PP+PE COATED ZIPPER WITH
222 GFK0329 HOOD L PCS 0
223 GFK0345 Desinfektan 20 Liter GALLON 0
COVID-19
224 GFK0431 ETANOL 96% GALLON 0
BMHP
225 GFK0314 EXTRADINE 5 LITER GALLON 0
226 GFK0194 Fixomull Stretch 5cm x 5m Pcs 0
227 GFK0195 Folley Catheter No. 16 Pcs 0
228 GFK0196 Folley Catheter No. 18 Pcs 0
229 GFK0197 Folley Catheter No. 20 Pcs 0
230 GFK0343 Helm + Visor Mask BUAH 0
231 GFK0198 Infus Set Adult 20 drops/mL Pcs 0
232 GFK0199 Infus Set Pedriatic 60 drops/mL Pcs 0
233 GFK0462 Isopore Surgical Tape 1 inch ROLL 0
234 GFK0463 Isopore Surgical Tape 1/2 inch ROLL 0
235 GFK0200 IV Catheter No. 18 Pcs 0
236 GFK0201 IV Catheter No. 20 Pcs 8
237 GFK0202 IV Catheter No. 22 Pcs 0
238 GFK0203 IV Catheter No. 24 Pcs 6
239 GFK0340 JAS HUJAN PCS 0
240 GFK0339 KACAMATA GOOGLE PIECES 0
241 GFK0213 Kantong mayat Pcs 0
242 GFK0405 KANTONG PLASTIK KUNING 60 X 100 TABLET 0
243 GFK0442 Kapas Pembalut/Absorben 100 gram ROLL 0
244 GFK0220 Kapas Pembalut/Absorben 250 gram Rol 0
245 GFK0460 Kapas Pembalut/Absorben 500 gram ROLL 0
246 GFK0179 Kaporit Serbuk Kg 0
247 GFK0180 Kaporit Tablet serbuk Kg 0
248 GFK0221 Kasa Gulung Besar 40 x 80 cm Rol 0
249 GFK0222 Kasa Pembalut Hidrofil 4 m x 10 cm Rol 260
250 GFK0223 Kasa Pembalut Hidrofil 4 m x 5 cm Rol 142
251 GFK0182 Kasa Steril 16 x 16 cm Kotak 124
252 GFK0308 Klor Fenol Kamfer (CHKM) KOTAK 0
253 GFK0468 Klorheksidin Lar. 4% - 5L GALLON 0
254 GFK0436 Kondom PIECES 0
255 GFK0174 Lisol Botol 8
256 GFK0204 Masker 3 Ply Tie One Pcs 0
257 GFK0390 Masker KN95 PIECES 40
258 GFK0205 Masker N95 Pcs 260
259 GFK0333 NURSE CAP PCS 0
260 GFK0400 OKSIGEN ISI ULANG UNITS 0
261 GFK0181 PAC Kg 0
262 GFK0224 Plester 2,5 cm x 4,5 cm (Kecil) Rol 10
263 GFK0461 Plester 5 cm x 5 cm ROLL 0
264 GFK0225 Plester 7,5 cm x 5 cm (Besar) Rol 0
265 GFK0226 Plesterin Bulat Soft Rol 0
266 GFK0480 Plesterin Rol 5 cm x 5 cm ROLL
Polybag Sampah/Limbah Warna Hitam
267 GFK0183 50x70 cm pack @ 24 lbr 0
Polybag Sampah/Limbah Warna Hitam
268 GFK0184 60x100 cm pack @ 24 lbr 0
Polybag Sampah/Limbah Warna Kuning
269 GFK0185 60x100 cm pack @ 24 lbr 0
270 GFK0469 Sabun Cuci Tangan 5 L GALLON 0
271 GFK0206 Safety Box Pcs 0
272 GFK0336 SAFETY GLASS PCS 0
273 GFK0335 Sarung Tangan Kain PCS 0
274 GFK0344 Sarung Tangan Karet PAIR 0
275 GFK0328 Sarung Tangan Non Steril Uk. L PCS 0
276 GFK0214 Sarung Tangan Non Steril Uk. M Psg 0
277 GFK0459 Sarung Tangan Non Steril Uk. M PIECES 0
278 GFK0215 Sarung Tangan Non Steril Uk. S Psg 0
279 GFK0216 Sarung Tangan Non Steril Uk. XL 0
280 GFK0217 Sarung Tangan Obgyn Steril Psg 0
281 GFK0218 Sarung Tangan Steril 6,5 G Psg 0
282 GFK0219 Sarung Tangan Steril 7 G Psg 0
283 GFK0479 Sarung Tangan Steril 7,5 G PAIR
284 GFK0337 SEPATU BOOT PAIR 0
Silk (Benang Bedah Sutera) No. 2/0 dengan
285 GFK0466 jarum bedah PIECES 0
Silk (Benang Bedah Sutera) No. 3/0 dengan
286 GFK0207 jarum bedah Pcs 10
Silk (Benang Bedah Sutera) No. 4/0 dengan
287 GFK0384 jarum bedah PIECES 0
288 GFK0177 Softanol 5 Liter Botol/Galon 0
289 GFK0175 Softanol 500 ml Botol 0
290 GFK0398 Spalk Telapak Tangan Anak PIECES 0
291 GFK0399 Spalk Telapak Tangan Dewasa PIECES 0
292 GFK0331 STANDARD SHOE COVER PAIR 0
293 GFK0312 STERALD 5 LITER GALLON 0
294 GFK0310 STERICIDE 5 LITER GALLON 0
295 GFK0313 STERICIDE 500 ML BOTTLE 0
296 GFK0309 STERICIDE-3 5 LITER GALLON 0
297 GFK0311 STERIZYME 5 LITER GALLON 0
298 GFK0347 SURGEON CAP WITH TIE PCS 0
299 GFK0385 TISSU ROLL 0
300 GFK0208 Umbical Clam Pcs 0
301 GFK0209 Underpad (Softpad) 60x90 cm Pcs 0
302 GFK0210 Urine Bag Steril 2 L Pcs 0
303 GFK0227 Verband Elastis 10 cm Rol 0

304 GFK0472 Verband Elastis Besar Uk. 15 cm x 4,55 m ROLL 0

305 GFK0470 Verband Elastis Kecil Uk. 7,5 cm x 4,55 m ROLL 0

306 GFK0471 Verband Elastis Sedang Uk. 10 cm x 4,55 m ROLL 0


307 GFK0178 Viorex 2% 5 Liter Botol/Galon 0
308 GFK0176 Viorex 2% 500 ml Botol 0
309 GFK0346 Visor Mask Mika BUAH 0
BAHAN LABORATORIUM
310 GFK0386 Answer HBsag Rapid Test TEST 0
311 GFK0387 Asam Sulfosalisilat 20% BOLUS 0
312 GFK0228 Benecheck Plus Glucose Test Strip Strip 7300

313 GFK0229 Benecheck Plus Total Cholesterol Test Strip Strip 0


314 GFK0230 Benecheck Plus Uric Test Strip Strip 0
315 GFK0231 Benecheck Test System Pcs 0

316 GFK0424 Blood Glucose On Call Meter Only Premium UNITS 0


317 GFK0389 Etanol 70% - 100 ml BOTTLE 0
318 GFK0388 Golongan Darah Test VIAL 0
319 GFK0232 Media Amies Pcs 0
320 GFK0443 Mission Ultra Biosensor Cholesterol UNITS 0
321 GFK0486 Primetamine Tablet TABLET
322 GFK0338 RAPID TEST CORONA TEST 0
323 GFK0404 Reagen Control Serum Precicontrol KIT 0
324 GFK0402 Reagen Trigliseride KIT 0
325 GFK0403 Reagen Urea KILOGRAM 0
PROGRAM KUSTA
326 GFK0233 MDT MB Anak Tablet Blister 0
327 GFK0234 MDT MB Dewasa Tablet Blister 0
328 GFK0235 MDT PB Anak Tablet Blister 0
329 GFK0236 MDT PB Dewasa Tablet Blister 0
PROGRAM IMUNISASI
330 VAC0304 Alat Suntik Sekali Pakai 0,5 ml TABLET 234
331 VAC0249 Pelarut BCG Vial 0
332 VAC0250 Pelarut Campak Vial 0
333 VAC0252 Pelarut MR Vial 10
334 VAC0303 Penetes Vaksin Polio (BOPV) Buah 12
335 VAC0237 Vaksin Anti Rabies (VAR) Verorab Vial 0
336 VAC0238 Vaksin BCG Vial 3
337 VAC0239 Vaksin Campak Vial 0
338 VAC0240 Vaksin DTP HB/HIB Vial 7
339 VAC0242 Vaksin HBV Vial 0

340 VAC0243 Vaksin Hepatitis B Immunoglobulin (HBIg) Vial 0


Vaksin Hepatitis B Recombinant Injeksi
341 VAC0251 0,5ml Vial 9
VAKSIN HYPERHEP B S/D CAIRAN INJEKSI
342 VAC0306 220 IU/ML VIAL 0
343 VAC0241 Vaksin Jerap DT Vial 0
344 VAC0247 Vaksin Jerap Td Vial 17
345 VAC0256 Vaksin Meningitis (Formening) Vial 0
346 VAC0255 Vaksin Meningitis (Menivax) Vial 0
347 VAC0244 Vaksin MR Vial 10
VAKSIN PCV (PNEUMUCOCCAL
348 GFK0476 CONJUNGATE VACCINE) VIAL 0
349 VAC0245 Vaksin Polio (BOPV) Vial 12
350 VAC0253 Vaksin Polio (IPV 10 ds) Vial 0
351 VAC0254 Vaksin Polio (IPV 20 ds) Vial 0
352 VAC0246 Vaksin Polio (IPV 5 ds) Vial 17
353 VAC0305 VAKSIN RABIES HYPERRAB S/D 2 ML VIAL 0
354 VAC0248 Vaksin Tuberkulin Vial 0
PROGRAM TB
355 GFK0426 CENTRIFUSE UNITS 0
356 GFK0257 Kaca Sediaan (Object Glass) Pcs 0
357 GFK0258 Obat antituberkulosa FDC Anak Paket 0
358 GFK0259 Obat antituberkulosa FDC kat. 1 Paket 0
359 GFK0260 Obat antituberkulosa FDC kat. 2 Paket 0
360 GFK0320 Obat antituberkulosa kombipak kat. 1 PACKAGE 0
361 GFK0261 Pot Dahak Pcs 0
362 GFK0262 Reagen Ziehl Neelsen Paket 2
363 GFK0365 Xpert MTB/RIF Assay Kit KIT 0
PROGRAM GIZI

364 GFK0263 Besi (Fe) Tablet Tambah Darah + Asam Folat Tablet 102610
365 GFK0264 Mineral Mix Sachet 0
366 GFK0265 Retinol (Vit. A) Kapsul Lunak 100.000 IU Kapsul Lunak 0
367 GFK0266 Retinol (Vit. A) Kapsul Lunak 200.000 IU Kapsul Lunak 0
368 GFK0485 Taburia SACHET
PROGRAM HIV AIDS
369 GFK0315 DBS Collection Kit KIT 0
370 GFK0267 Duviral (ZDV 300 mg + 3TC 150 mg) Tablet 0
371 GFK0268 Efavirenz 200 mg (EFV 1) Tablet 0
372 GFK0269 Efavirenz 600 mg (EFV 2) Tablet 0
FDC (TDF 300 mg + 3TC 300 mg + EFV 600
373 GFK0270 mg) Tablet 0
FDC Anak (ZDV 60 MG + 3TC 30 mg + NVF
374 GFK0271 50 mg) Tablet 0
375 GFK0272 HIV Test 1 (SD) tes/ kit 237
376 GFK0273 HIV Test 2 (FOKUS) tes/ kit 0
377 GFK0274 HIV Test 3 (VIKIA) tes/ kit 0
378 GFK0275 Lamivudine 150 mg (3TC) Tablet 0
379 GFK0276 Nevirapine 200 mg (NVP) Tablet 0
380 GFK0277 Rapid Test Syphillis tes/ kit 21
381 GFK0278 RDT Leptospira tes/ kit 0
382 GFK0325 REAGEN CD4 Tipe 1 TEST 0
383 GFK0279 RPR Syphilis tes/ kit 0
384 GFK0280 Tenofovir 300 mg (TDF) Tablet 0
385 GFK0281 Zidovudine 100 mg (ZDV) Tablet 0
PROGRAM HEPATITIS
386 GFK0282 Reagen Rapid Test HBsAg tes/ kit 287
PROGRAM DIARE
387 GFK0383 Atapulgit tablet 650 mg TABLET 0
388 GFK0283 Garam Oralit II (200 ml) Serbuk Sachet 0
389 GFK0284 Obat Antidiare Nonspesifik Sirup Botol 0

390 GFK0285 Obat Antidiare Nonspesifik Tablet 600 mg Tablet 2000


391 GFK0286 Zink Sirup 60 ml Botol 0
392 GFK0297 Zink Syrup 20mg/5 ml Tablet 186
393 GFK0287 Zink Tablet 200 mg Dispersible Tablet 0
394 GFK0298 Zink Tablet Dispersible 20 mg Tablet 0
PROGRAM FILARIASIS
395 GFK0319 Alat Pelindung Diri (APD) PACKAGE 0
396 GFK0317 Bactivec 30 ML BOTTLE 0
Dehidroartemisin + Piperaquine Tablet
397 GFK0288 (DHP) Tablet 0
398 GFK0289 Dietilkarbamazine (DEC) Tablet 100 mg Tablet 0
399 GFK0318 Jumantik Kit PACKAGE 0
400 GFK0290 Primakuin Tablet 15 mg Tablet 0
401 GFK0316 RDT DBD Combo TEST 0
PROGRAM IMS
402 GFK0291 Artesunat Injeksi 60mg/ml Ampul 0
403 GFK0292 Azitromisin Tablet 500 mg Tablet 0
404 GFK0293 Benzatin Penisilin Injeksi 2,4 mg Ampul 0
405 GFK0294 Cefixime + Azitromisin Kombipak Paket 0
406 GFK0295 Flukonazol Tablet 150 mg Tablet 0
COVID-19
407 GFK0428 ACU CARE PCS 0
408 GFK0420 ANTIBACTERIAL FILTER PCS 0
409 GFK0421 ASTRAL 150 PCS 0
410 GFK0380 BRANKAR UNITS 0
411 GFK0453 BUFFER TUBE 0

412 GFK0422 BUKU JUKNIS PVC VAKSINISASI COVID-19 PIECES 0


413 GFK0412 Cetirizine Sirup 5 mg/ 5 ml GALLON 0
414 GFK0394 Cetirizine Tablet TABLET 0
415 GFK0457 CRYSTAMIX KIT KIT 0
416 GFK0409 Desinfektan Spray BOTTLE 0

417 GFK0407 Dry Mist Hydrogen Peroxide Desinfector UNITS 0


418 GFK0392 Ermuno Kaplet TABLET 0
419 GFK0401 Favipiravir Tablet TABLET 0
420 GFK0410 Hand Wash BOTTLE 0
421 GFK0413 Hand Wash GALLON 0
422 GFK0427 HME PCS 0
423 GFK0423 KARTU VAKSINISASI COVID-19 PIECES 0
424 GFK0449 KERTAS STIKER LABEL PACKAGE 0
425 GFK0379 KURSI RODA UNITS 0
426 GFK0439 LARUTAN HAND SANITIZER BOTTLE 0
427 GFK0452 LARUTAN HAND SANITIZER 290 ml BOTTLE 0
428 GFK0408 Larutan Oxister H2O2 GALLON 1
429 GFK0448 Larutan Oxister H2O2 2% - 5L GALLON 0
430 GFK0447 Larutan Oxister H2O2 7,5 % - 20L GALLON 0
431 GFK0368 Lemari Instrumen 2 Pintu UNITS 0
432 GFK0369 Lemari Obat 2 Pintu UNITS 0
433 GFK0393 Levofloxacin 500 mg Tablet TABLET 0
434 GFK0378 Masker bedah 3fly PIECES 1500
435 GFK0415 MASKER NON MEDIS PIECES 0
436 GFK0454 MEDICAL SWAB PIECES 0
437 GFK0455 MICROTIPS 1O UI PIECES 0
438 GFK0456 MICROTIPS 1O0 UI PIECES 0
439 GFK0432 MICROTUBE PACKAGE 0
440 GFK0414 Minor Set UNITS 0
441 GFK0425 NEBULIZER UNITS 0
442 GFK0411 Obat Batuk Sirup BOTTLE 0
443 GFK0396 Obat Flu Batuk Syrup BOTTLE 0
444 GFK0397 Obat Flu Batuk Syrup BOTTLE 0
445 GFK0395 Obat Flu Batuk Tablet TABLET 0
446 GFK0370 PARAFILM ROLL 0
447 GFK0374 Penlight UNITS 0
448 GFK0391 POLYBAG PIECES 0
449 GFK0450 RAK TABUNG PIECES 0
450 GFK0417 RAPID TEST ANTIGEN TEST 0
451 GFK0433 Reagen PCR Portable PIECES 0
452 GFK0377 REGULATOR OKSIGEN UNITS 0
453 GFK0419 ROMPI TIM VAKSINISASI COVID-19 PIECES 0
454 GFK0371 Sarung Tangan Karet PIECES 0
455 GFK0465 Sarung Tangan Non Steril Uk. S PIECES 0
456 GFK0373 Stetoskop Dewasa UNITS 1
457 GFK0375 TABUNG OKSIGEN UNITS 0
458 GFK0430 Tempat Sampah / Limbah Medis 120 L UNITS 0
459 GFK0416 Tempat Sampah / Limbah Medis 660 L UNITS 0
460 GFK0364 Tempat Sampah / Limbah Medis 87 L UNITS 0
461 GFK0372 Tensimeter UNITS 0
462 GFK0429 Termometer Gun IR PIECES 2
463 GFK0446 TONGUE SPATEL PACKAGE 0
464 GFK0376 TROLLEY OKSIGEN UNITS 0
VAKSIN CORONAVAC (SARS-CoV-2
465 GFK0418 inactivated) VIAL 0
466 GFK0482 VAKSIN COVID-19 (ASTRAZANECA) VIAL

467 GFK0483 VAKSIN COVID-19 (GOTONG ROYONG/VGR) VIAL


VAKSIN COVID-19 (VIRUS SARS-CoV-2
468 GFK0437 Inactive) - BIOFARMA VIAL 0
VAKSIN COVID-19 SINOPHARM (GOTONG
469 GFK0484 ROYONG/VGR) VIAL
470 GFK0481 Vaksin Moderna VIAL
471 GFK0363 Visor Mask Mika BUAH 0
472 GFK0445 VITACEE TABLET KOTAK 0
473 GFK0434 Vortex UNITS 0
474 GFK0359 VTM TUBE 0
475 GFK0451 WARPPING UK. 30 CM x 500 M ROLL 0

Kepala Puskesmas Diterima Oleh

(..............................) (..............................)
HATAN KABUPATEN BANDUNG
PUSKESMAS SUDI
NO. 1 RT 02/08 DS. BUDI KEC. IBUN

DAN LEMBAR PERMINTAAN OBAT (LPLPO)


ode Laporan: Juni 2021

Sisa Stok
Penerimaan Persediaan Pemakaian Permintaan Pemberian Ket.
Akhir Optimum

0 520 330 190 304 APBD


0 17 0 17 27.2 APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 3145 590 2555 4088 APBD
0 2855 760 2095 3352 APBD
0 0 0 0 - APBD
0 7800 7800 0 - APBD
15000 23300 3300 20000 32000 APBD
0 0 0 0 - APBD
0 600 27 573 916.8 APBD

0 0 0 0 - APBD
0 0 0 0 - APBD
0 436 50 386 617.6 APBD
0 4200 705 3495 5592 APBD

0 48 1 47 75.2 APBD
0 50 23 27 43.2 APBD

0 0 0 0 - APBD

0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
7000 14900 3249 11651 18641.6 APBD
0 0 0 0 - APBD
0 1100 50 1050 1680 APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 325 32 293 468.8 APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 7 7 0 - APBD
0 0 0 0 - APBD
0 2 0 2 3.2 APBD
0 2 0 2 3.2 APBD
0 0 0 0 - APBD
0 2 0 2 3.2 APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD

0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 1000 200 800 1280 APBD
0 100 3 97 155.2 APBD
0 0 0 0 - APBD
0 2000 0 2000 3200 APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 14 2 12 19.2 APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 82 82 0 - APBD
0 0 0 0 - APBD
0 90 0 90 144 APBD

0 400 68 332 531.2 APBD


0 0 0 0 - APBD

0 0 0 0 - APBD
0 720 120 600 960 APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 94 1 93 148.8 APBD
0 56 6 50 80 APBD
0 400 30 370 592 APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 5 0 5 8 APBD
0 4 0 4 6.4 APBD
0 0 0 0 - APBD
0 14 0 14 22.4 APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 200 25 175 280 APBD
0 192 25 167 267.2 APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD

0 0 0 0 - APBD
0 4250 712 3538 5660.8 APBD
0 5600 26 5574 8918.4 APBD
0 161 0 161 257.6 APBD
0 0 0 0 - APBD
250 250 10 240 384 APBD
50 50 2 48 76.8 APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD

0 149 0 149 238.4 APBD


0 82 0 82 131.2 APBD

0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD

0 4732 300 4432 7091.2 APBD


0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD

0 0 0 0 - APBD

0 0 0 0 - APBD

0 308 308 0 - APBD

0 437 0 437 699.2 APBD


0 0 0 0 - APBD

0 180 0 180 288 APBD


0 0 0 0 - APBD
0 5 0 5 8 APBD
0 6 0 6 9.6 APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 10500 260 10240 16384 APBD
0 600 70 530 848 APBD

0 57 0 57 91.2 APBD

0 600 0 600 960 APBD


0 0 0 0 - APBD
0 0 0 0 - APBD
0 1134 0 1134 1814.4 APBD
0 42 0 42 67.2 APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 150 9 141 225.6 APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
600 600 600 0 - APBD
0 0 0 0 - APBD
0 2082 160 1922 3075.2 APBD

0 1 0 1 1.6 APBD

0 7 0 7 11.2 APBD
0 0 0 0 - APBD
0 600 26 574 918.4 APBD
0 110 6 104 166.4 APBD

0 0 0 0 - APBD

0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 54 0 54 86.4 APBD
0 0 0 0 - APBD
80 80 60 20 32 APBD
0 0 0 0 - APBD
0 1282 60 1222 1955.2 APBD
0 0 0 0 - APBD
0 10600 5092 5508 8812.8 APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 2500 303 2197 3515.2 APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 30 5 25 40 APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 570 36 534 854.4 APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 800 89 711 1137.6 APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 300 0 300 480 APBD
0 774 0 774 1238.4 APBD

0 78 0 78 124.8 APBD
0 65 4 61 97.6 APBD

0 0 0 0 - APBD

0 0 0 0 - APBD

0 0 0 0 - APBD

0 0 0 0 - APBD
0 230 55 175 280 APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD

0 0 0 0 - APBD
0 4200 2377 1823 2916.8 APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
2500 5500 1324 4176 6681.6 APBD

0 1 0 1 1.6 APBD
0 0 0 0 - APBD
0 168 0 168 268.8 APBD
0 0 0 0 - APBD
0 132 0 132 211.2 APBD
0 300 0 300 480 APBD
0 1500 400 1100 1760 APBD
0 60 0 60 96 APBD
0 1600 400 1200 1920 APBD
0 0 0 0 - APBD

0 16 0 16 25.6 APBD

0 12 0 12 19.2 APBD

0 0 0 0 - APBD
0 0 0 0 - APBD
0 106 56 50 80 APBD

0 0 0 0 - APBD
0 0 0 0 - APBD

0 0 0 0 - APBD

0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 8 0 8 12.8 APBD
0 0 0 0 - APBD
0 6 0 6 9.6 APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 260 0 260 416 APBD
0 142 0 142 227.2 APBD
0 124 10 114 182.4 APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 8 2 6 9.6 APBD
0 0 0 0 - APBD
0 40 21 19 30.4 APBD
0 260 20 240 384 APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 10 5 5 8 APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 - APBD

0 0 0 0 - APBD

0 0 0 0 - APBD

0 0 0 0 - APBD
0 0 0 0 - APBD
5 5 0 5 8 APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
500 500 500 0 - APBD
500 500 0 500 800 APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 - APBD
0 0 0 0 - APBD

0 0 0 0 - APBD
0 10 0 10 16 APBD

0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
2 2 0 2 3.2 APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
5 5 0 5 8 APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD

0 0 0 0 - APBD

0 0 0 0 - APBD

0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD

0 0 0 0 - APBD
0 0 0 0 - APBD
0 7300 300 7000 11200 APBD

0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD

0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD

0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD

100 334 203 131 209.6 APBD


0 0 0 0 - APBD
0 0 0 0 - APBD
20 30 0 30 48 APBD
30 42 0 42 67.2 APBD
0 0 0 0 - APBD
0 3 2 1 1.6 APBD
0 0 0 0 - APBD
0 7 3 4 6.4 APBD
0 0 0 0 - APBD

0 0 0 0 - APBD

40 49 5 44 70.4 APBD

2 2 0 2 3.2 APBD
0 0 0 0 - APBD
10 27 0 27 43.2 APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
20 30 4 26 41.6 APBD

0 0 0 0 - APBD
30 42 5 37 59.2 APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 17 0 17 27.2 APBD
0 0 0 0 - APBD
0 0 0 0 - APBD

0 0 0 0 - APBD
0 0 0 0 - APBD
16 16 2 14 22.4 APBD
16 16 2 14 22.4 APBD
4 4 0 4 6.4 APBD
0 0 0 0 - APBD
200 200 14 186 297.6 APBD
0 2 1 1 1.6 APBD
0 0 0 0 - APBD

0 102610 450 102160 163456 APBD


0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 - APBD

0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD

0 0 0 0 - APBD

0 0 0 0 - APBD
0 237 230 7 11.2 APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 21 8 13 20.8 APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD

0 287 58 229 366.4 APBD

0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD

0 2000 4 1996 3193.6 APBD


0 0 0 0 - APBD
0 186 36 150 240 APBD
0 0 0 0 - APBD
0 0 0 0 - APBD

100 100 0 100 160 APBD


0 0 0 0 - APBD

0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD

0 0 0 0 - APBD
140 140 140 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD

0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD

0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD

0 0 0 0 - APBD
0 0 0 0 - APBD
50 50 30 20 32 APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
3 3 0 3 4.8 APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 1 0 1 1.6 APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
1000 2500 700 1800 2880 APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
1 1 0 1 1.6 APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
3 3 0 3 4.8 APBD
350 350 343 7 11.2 APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 1 0 1 1.6 APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 2 0 2 3.2 APBD
10 10 0 10 16 APBD
0 0 0 0 - APBD

0 0 0 0 - APBD
0 0 0 - APBD

0 0 0 - APBD

0 0 0 0 - APBD
0 0 0 - APBD
0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
0 0 0 0 - APBD
50 50 0 50 80 APBD
1 1 0 1 1.6 APBD

Diterima Oleh Diserahkan Oleh

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