NO. BARC. NAMA REKENING SAT. HARGA SAT.

2 1010 Amoksisilin sirup kering 125 mg/5 ml 60 ml Botol 2,050.00

3 1010 Amoksisilin sirup kering 125 mg/5 ml 60 ml Botol 2,310.00
4 2106 Amoksisilin sirup kering forte 250 mg / 5 ml Botol 3,630.00
5 3054 Anti diare sirup (Kaotin sirup) 60 ml Botol 5,100.00
6 1017 Antihemoroid DOEN supp Sup 3,167.01
7 1017 Antihemoroid DOEN supp Sup 3,170.00
8 1017 Antihemoroid DOEN supp Sup 4,416.67
1 3120 Antikulating Set 278,750.00
9 3048 Asam folat tablet 1 mg Tablet 70.00
10 3048 Asam folat tablet 1 mg Tablet 70.00
11 3048 Asam folat tablet 1 mg Tablet 75.00
12 3048 Asam folat tablet 1 mg Tablet 172.79
13 2108 Attapulgit tablet 600 mg Tablet 140.00
14 2108 Attapulgit tablet 600 mg Tablet 145.00
15 2108 Attapulgit tablet 600 mg Tablet 162.00
16 2109 Bisakodil Suppositoria 10 mg (Stolax) Sup 5,730.00
17 3004 Borax Gliserin 8 ml Botol 2,956.80
18 2096 Deksametason tab 0,5 mg ( Blister ) Tablet 55.00
19 2096 Deksametason tab 0,5 mg ( Blister ) Tablet 67.65
20 2096 Deksametason tab 0,5 mg ( Blister ) Tablet 70.00
21 1041 Devitalisasi Pasta (non arsen) Pot 892,000.00
22 1055 Etil Klorid Semprot - 100 ml Botol 200,700.00
23 1055 Etil Klorid Semprot - 100 ml Botol 330,000.00
24 1056 Eugenol 10 ml Botol 139,375.00
25 2140 Fe Fumarat + As. Folat 0.4 mg tablet Tablet 352.99
26 2140 Fe Fumarat + As. Folat 0.4 mg tablet Tablet 352.99
27 99015 Ferro Folat Tablet Salut Selaput 200 Mg + 0,25 Mg Tablet 355.00
28 2137 Fitomenadion (Vit K) injeksi 2 mg/amp Ampul 3,690.00
29 1069 Furosemide tablet 40 mg Tablet 135.59
30 1069 Furosemide tablet 40 mg Tablet 141.24
31 3117 Glass Ionomer 15 Gram Set 1,338,000.00
32 3063 Glass Ionomer Cement ART 5 gram Set 585,375.00
33 1075 Glibenklamida tablet 5 mg Tablet 282.56
34 2111 Glimepirid tablet 2 mg Tablet 207.00
35 2111 Glimepirid tablet 2 mg Tablet 210.00
36 1086 Hidrokortison krim 2,5% Tube 2,640.00
37 2175 Ibuprofen Sirup 200 mg/ 5 ml Botol 4,665.00
38 1088 Ibuprofen tablet 400 mg Tablet 320.00
39 1094 Isorbid Dinitrat tablet sublingual 5 mg Tablet 93.98
40 2033 Kaptopril tablet 25 mg Tablet 79.71
41 2033 Kaptopril tablet 25 mg Tablet 80.85
42 3119 Komposite Filter Set 3,010,500.00
43 1137 Magnesium Sulfat inj (IV) 40 % Ampul 3,800.00
44 1143 Metilergometrin injeksi Ampul 3,850.00
45 2045 Metronidazol tablet 500 mg Tablet 235.00
46 2046 Mikonazol krim/salep 2% (nitrat) -10 g Tube 3,415.00
47 2046 Mikonazol krim/salep 2% (nitrat) -10 g Tube 3,755.00
48 3038 Obat Tambal Gigi Sementara Botol 271,781.25
49 1162 Oksitosin injeksi 10 mg IU/ml - 1 ml Ampul 1,199.00
50 2053 Omeprazol kapsul 20 mg Kapsul 319.00
51 2053 Omeprazol kapsul 20 mg Kapsul 347.07
52 2124 Paracetamol drops 60 mg/ 0.6 mL Botol 6,650.00
53 2124 Paracetamol drops 60 mg/ 0.6 mL Botol 7,199.50
54 2055 Parasetamol tablet 500 mg ( Blister ) Tablet 81.40
55 2055 Parasetamol tablet 500 mg ( Blister ) Tablet 82.50
56 2125 Permetrim krim 5 % (scabimite) Tube 11,825.00
57 3041 Povidon Iodida 1%, obat kumur Botol 27,393.78
58 3041 Povidon Iodida 1%, obat kumur Botol 27,393.80
59 1197 Salisil bedak 2% 50 g Pot 6,426.20
60 2069 Sefadroksil kapsul 500 mg Kapsul 601.92
61 2115 Setirizin Sirup 5 mg/ 5 ml Botol 2,915.00
62 2079 Siprofloksasin tablet 500 mg (sebagai HCl) Tablet 368.51
63 2079 Siprofloksasin tablet 500 mg (sebagai HCl) Tablet 480.00
64 1218 Temporary S Fletcher (set 100 g) Set 758,200.00
65 2118 Zinc Sirup 20 mg / 5 ml (zirkum kid syr) Botol 3,270.00
66 2084 Zinc tablet 20 mg Tablet 505.85
 SALDO AWAL PENERIMAAN PENGELUARAN
JML. BARANG JML. HARGA JML. BARANG JML. HARGA JML. BARANG JML. HARGA
0.00 0.00 1,000.00 2,050,000.00 230.00 471,500.00
0.00 0.00 300.00 693,000.00 300.00 693,000.00
484.00 1,756,920.00 0.00 0.00 484.00 1,756,920.00
68.00 346,800.00 0.00 0.00 68.00 346,800.00
0.00 0.00 300.00 950,103.00 0.00 0.00
497.00 1,575,490.00 0.00 0.00 497.00 1,575,490.00
0.00 0.00 270.00 1,192,500.09 32.00 141,333.34
0.00 0.00 1.00 278,750.00 1.00 278,750.00
0.00 0.00 20,000.00 1,399,998.00 0.00 0.00
2,720.00 190,400.00 0.00 0.00 0.00 0.00
10,000.00 750,000.00 0.00 0.00 7,375.00 553,125.00
0.00 0.00 1,500.00 259,182.00 0.00 0.00
997.00 139,580.00 0.00 0.00 0.00 0.00
10,000.00 1,450,000.00 0.00 0.00 5,147.00 746,315.00
0.00 0.00 3,000.00 486,000.00 0.00 0.00
0.00 0.00 60.00 343,800.00 6.00 34,380.00
0.00 0.00 300.00 887,040.00 56.00 165,580.80
0.00 0.00 28,000.00 1,540,029.96 0.00 0.00
0.00 0.00 7,000.00 473,554.90 0.00 0.00
36,043.00 2,523,010.00 0.00 0.00 23,701.00 1,659,070.00
0.00 0.00 1.00 892,000.00 1.00 892,000.00
0.00 0.00 8.00 1,605,600.00 8.00 1,605,600.00
9.00 2,970,000.00 0.00 0.00 9.00 2,970,000.00
0.00 0.00 1.00 139,375.00 1.00 139,375.00
0.00 0.00 37,020.00 13,067,689.80 0.00 0.00
0.00 0.00 17,130.00 6,046,752.96 0.00 0.00
12,000.00 4,260,000.00 0.00 0.00 12,000.00 4,260,000.00
270.00 996,300.00 0.00 0.00 90.00 332,100.00
0.00 0.00 100.00 13,558.60 100.00 13,558.60
0.00 0.00 1,000.00 141,243.00 0.00 0.00
0.00 0.00 1.00 1,338,000.00 1.00 1,338,000.00
 0.00 0.00 2.00 1,170,750.00 2.00 1,170,750.00
0.00 0.00 10,000.00 2,825,598.00 80.00 22,604.78
0.00 0.00 10,000.00 2,070,000.00 0.00 0.00
27,305.00 5,734,050.00 0.00 0.00 20,222.00 4,246,620.00
256.00 675,840.00 0.00 0.00 256.00 675,840.00
0.00 0.00 1,500.00 6,997,500.00 0.00 0.00
18,620.00 5,958,400.00 0.00 0.00 12,178.00 3,896,960.00
0.00 0.00 100.00 9,398.40 0.00 0.00
0.00 0.00 4,000.00 318,824.00 0.00 0.00
0.00 0.00 3,600.00 291,060.00 2,102.00 169,946.70
0.00 0.00 1.00 3,010,500.00 1.00 3,010,500.00
360.00 1,368,000.00 0.00 0.00 60.00 228,000.00
0.00 0.00 70.00 269,500.00 0.00 0.00
9,740.00 2,288,900.00 0.00 0.00 1,260.00 296,100.00
900.00 3,073,500.00 0.00 0.00 287.00 980,105.00
99.00 371,745.00 0.00 0.00 99.00 371,745.00
0.00 0.00 2.00 543,562.50 2.00 543,562.50
0.00 0.00 500.00 599,500.00 500.00 599,500.00
0.00 0.00 3,000.00 957,000.00 3,000.00 957,000.00
0.00 0.00 6,000.00 2,082,432.00 1,122.00 389,414.78
1,156.00 7,687,400.00 0.00 0.00 1,156.00 7,687,400.00
0.00 0.00 800.00 5,759,600.00 15.00 107,992.50
0.00 0.00 50,000.00 4,070,000.00 0.00 0.00
0.00 0.00 40,000.00 3,300,000.00 0.00 0.00
0.00 0.00 50.00 591,250.00 0.00 0.00
0.00 0.00 50.00 1,369,689.00 0.00 0.00
0.00 0.00 20.00 547,876.00 20.00 547,876.00
0.00 0.00 1,872.00 12,029,846.40 368.00 2,364,841.60
0.00 0.00 10,000.00 6,019,200.00 1,163.00 700,032.96
871.00 2,538,965.00 0.00 0.00 604.00 1,760,660.00
0.00 0.00 5,000.00 1,842,555.00 0.00 0.00
4,210.00 2,020,800.00 0.00 0.00 2,454.00 1,177,920.00
0.00 0.00 1.00 758,200.00 1.00 758,200.00
1,530.00 5,003,100.00 0.00 0.00 1,473.00 4,816,710.00
0.00 0.00 10,000.00 5,058,480.00 0.00 0.00

53,679,200.00 96,290,498.61 57,453,179.57

 SALDO AKHIR STOCK. SUMBER
SELISIH KET
JML. BARANG JML. HARGA OPN. DN
770.00 1,578,500.00 770.00 0.00 BPJS
0.00 0.00 0.00 0.00 BPJS
0.00 0.00 0.00 0.00 BPJS
0.00 0.00 0.00 0.00 BPJS
300.00 950,103.00 300.00 0.00 BPJS
0.00 0.00 0.00 0.00 BPJS
238.00 1,051,166.75 238.00 0.00 BPJS
0.00 0.00 0.00 0.00
20,000.00 1,399,998.00 20,000.00 0.00 BPJS
2,720.00 190,400.00 2,720.00 0.00 BPJS
2,625.00 196,875.00 2,625.00 0.00 BPJS
1,500.00 259,182.00 1,500.00 0.00 BPJS
997.00 139,580.00 997.00 0.00 BPJS
4,853.00 703,685.00 4,853.00 0.00 BPJS
3,000.00 486,000.00 3,000.00 0.00 BPJS
54.00 309,420.00 54.00 0.00 BPJS
244.00 721,459.20 244.00 0.00 BPJS
28,000.00 1,540,029.96 28,000.00 0.00 BPJS
7,000.00 473,554.90 7,000.00 0.00 BPJS
12,342.00 863,940.00 12,342.00 0.00 BPJS
0.00 0.00 0.00 0.00 BPJS
0.00 0.00 0.00 0.00 BPJS
0.00 0.00 0.00 0.00 BPJS
0.00 0.00 0.00 0.00 BPJS
37,020.00 13,067,689.80 37,020.00 0.00 BPJS
17,130.00 6,046,752.96 17,130.00 0.00 BPJS
0.00 0.00 0.00 0.00 BPJS
180.00 664,200.00 180.00 0.00 BPJS
0.00 0.00 0.00 0.00 BPJS
1,000.00 141,243.00 1,000.00 0.00 BPJS
0.00 0.00 0.00 0.00 BPJS
 0.00 0.00 0.00 0.00 BPJS
9,920.00 2,802,993.22 9,920.00 0.00 BPJS
10,000.00 2,070,000.00 10,000.00 0.00 BPJS
7,083.00 1,487,430.00 7,083.00 0.00 BPJS
0.00 0.00 0.00 0.00 BPJS
1,500.00 6,997,500.00 1,500.00 0.00 BPJS
6,442.00 2,061,440.00 6,442.00 0.00 BPJS
100.00 9,398.40 100.00 0.00 BPJS
4,000.00 318,824.00 4,000.00 0.00 BPJS
1,498.00 121,113.30 1,498.00 0.00 BPJS
0.00 0.00 0.00 0.00
300.00 1,140,000.00 300.00 0.00 BPJS
70.00 269,500.00 70.00 0.00 BPJS
8,480.00 1,992,800.00 8,480.00 0.00 BPJS
613.00 2,093,395.00 613.00 0.00 BPJS
0.00 0.00 0.00 0.00 BPJS
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 BPJS
0.00 0.00 0.00 0.00 BPJS
4,878.00 1,693,017.22 4,878.00 0.00 BPJS
0.00 0.00 0.00 0.00 BPJS
785.00 5,651,607.50 785.00 0.00 BPJS
50,000.00 4,070,000.00 50,000.00 0.00 BPJS
40,000.00 3,300,000.00 40,000.00 0.00 BPJS
50.00 591,250.00 50.00 0.00 BPJS
50.00 1,369,689.00 50.00 0.00 BPJS
0.00 0.00 0.00 0.00 BPJS
1,504.00 9,665,004.80 1,504.00 0.00 BPJS
8,837.00 5,319,167.04 8,837.00 0.00 BPJS
267.00 778,305.00 267.00 0.00 BPJS
5,000.00 1,842,555.00 5,000.00 0.00 BPJS
1,756.00 842,880.00 1,756.00 0.00 BPJS
0.00 0.00 0.00 0.00
57.00 186,390.00 57.00 0.00 BPJS
10,000.00 5,058,480.00 10,000.00 0.00 BPJS

92,516,519.04
NO. BARC. NAMA REKENING SAT. HARGA SAT.

1 3120 Antikulating Set 278,750.00

2 1010 Amoksisilin sirup kering 125 mg/5 ml 60 ml Botol 2,050.00
3 1010 Amoksisilin sirup kering 125 mg/5 ml 60 ml Botol 2,310.00
4 2106 Amoksisilin sirup kering forte 250 mg / 5 ml Botol 3,630.00
5 3054 Anti diare sirup (Kaotin sirup) 60 ml Botol 5,100.00
6 1017 Antihemoroid DOEN supp Sup 3,167.01
7 1017 Antihemoroid DOEN supp Sup 3,170.00
8 1017 Antihemoroid DOEN supp Sup 4,416.67
9 3048 Asam folat tablet 1 mg Tablet 70.00
10 3048 Asam folat tablet 1 mg Tablet 70.00
11 3048 Asam folat tablet 1 mg Tablet 75.00
12 3048 Asam folat tablet 1 mg Tablet 172.79
13 2108 Attapulgit tablet 600 mg Tablet 140.00
14 2108 Attapulgit tablet 600 mg Tablet 145.00
15 2108 Attapulgit tablet 600 mg Tablet 162.00
16 2109 Bisakodil Suppositoria 10 mg (Stolax) Sup 5,730.00
17 3004 Borax Gliserin 8 ml Botol 2,956.80
18 2096 Deksametason tab 0,5 mg ( Blister ) Tablet 55.00
19 2096 Deksametason tab 0,5 mg ( Blister ) Tablet 67.65
20 2096 Deksametason tab 0,5 mg ( Blister ) Tablet 70.00
21 1041 Devitalisasi Pasta (non arsen) Pot 892,000.00
22 1055 Etil Klorid Semprot - 100 ml Botol 200,700.00
23 1055 Etil Klorid Semprot - 100 ml Botol 330,000.00
24 1056 Eugenol 10 ml Botol 139,375.00
25 2140 Fe Fumarat + As. Folat 0.4 mg tablet Tablet 352.99
26 2140 Fe Fumarat + As. Folat 0.4 mg tablet Tablet 352.99
27 99015 Ferro Folat Tablet Salut Selaput 200 Mg + 0,25 Mg Tablet 355.00
28 2137 Fitomenadion (Vit K) injeksi 2 mg/amp Ampul 3,690.00
29 1069 Furosemide tablet 40 mg Tablet 135.59
30 1069 Furosemide tablet 40 mg Tablet 141.24
31 3117 Glass Ionomer 15 Gram Set 1,338,000.00
32 3063 Glass Ionomer Cement ART 5 gram Set 585,375.00
33 1075 Glibenklamida tablet 5 mg Tablet 282.56
34 2111 Glimepirid tablet 2 mg Tablet 207.00
35 2111 Glimepirid tablet 2 mg Tablet 210.00
36 1086 Hidrokortison krim 2,5% Tube 2,640.00
37 2175 Ibuprofen Sirup 200 mg/ 5 ml Botol 4,665.00
38 1088 Ibuprofen tablet 400 mg Tablet 320.00
39 1094 Isorbid Dinitrat tablet sublingual 5 mg Tablet 93.98
40 2033 Kaptopril tablet 25 mg Tablet 79.71
41 2033 Kaptopril tablet 25 mg Tablet 80.85
42 3119 Komposite Filter Set 3,010,500.00
43 1137 Magnesium Sulfat inj (IV) 40 % Ampul 3,800.00
44 1143 Metilergometrin injeksi Ampul 3,850.00
45 2045 Metronidazol tablet 500 mg Tablet 235.00
46 2046 Mikonazol krim/salep 2% (nitrat) -10 g Tube 3,415.00
47 2046 Mikonazol krim/salep 2% (nitrat) -10 g Tube 3,755.00
48 3038 Obat Tambal Gigi Sementara Botol 271,781.25
49 1162 Oksitosin injeksi 10 mg IU/ml - 1 ml Ampul 1,199.00
50 2053 Omeprazol kapsul 20 mg Kapsul 319.00
51 2053 Omeprazol kapsul 20 mg Kapsul 347.07
52 2124 Paracetamol drops 60 mg/ 0.6 mL Botol 6,650.00
53 2124 Paracetamol drops 60 mg/ 0.6 mL Botol 7,199.50
54 2055 Parasetamol tablet 500 mg ( Blister ) Tablet 81.40
55 2055 Parasetamol tablet 500 mg ( Blister ) Tablet 82.50
56 2125 Permetrim krim 5 % (scabimite) Tube 11,825.00
57 3041 Povidon Iodida 1%, obat kumur Botol 27,393.78
58 3041 Povidon Iodida 1%, obat kumur Botol 27,393.80
59 1197 Salisil bedak 2% 50 g Pot 6,426.20
60 2069 Sefadroksil kapsul 500 mg Kapsul 601.92
61 2115 Setirizin Sirup 5 mg/ 5 ml Botol 2,915.00
62 2079 Siprofloksasin tablet 500 mg (sebagai HCl) Tablet 368.51
63 2079 Siprofloksasin tablet 500 mg (sebagai HCl) Tablet 480.00
64 1218 Temporary S Fletcher (set 100 g) Set 758,200.00
65 2118 Zinc Sirup 20 mg / 5 ml (zirkum kid syr) Botol 3,270.00
66 2084 Zinc tablet 20 mg Tablet 505.85
 SALDO AWAL PENERIMAAN PENGELUARAN
JML. BARANG JML. HARGA JML. BARANG JML. HARGA JML. BARANG JML. HARGA
0.00 0.00 1.00 278,750.00 1.00 278,750.00
0.00 0.00 1,000.00 2,050,000.00 230.00 471,500.00
0.00 0.00 300.00 693,000.00 300.00 693,000.00
484.00 1,756,920.00 0.00 0.00 484.00 1,756,920.00
68.00 346,800.00 0.00 0.00 68.00 346,800.00
0.00 0.00 300.00 950,103.00 0.00 0.00
497.00 1,575,490.00 0.00 0.00 497.00 1,575,490.00
0.00 0.00 270.00 1,192,500.09 32.00 141,333.34
0.00 0.00 20,000.00 1,399,998.00 0.00 0.00
2,720.00 190,400.00 0.00 0.00 0.00 0.00
10,000.00 750,000.00 0.00 0.00 7,375.00 553,125.00
0.00 0.00 1,500.00 259,182.00 0.00 0.00
997.00 139,580.00 0.00 0.00 0.00 0.00
10,000.00 1,450,000.00 0.00 0.00 5,147.00 746,315.00
0.00 0.00 3,000.00 486,000.00 0.00 0.00
0.00 0.00 60.00 343,800.00 6.00 34,380.00
0.00 0.00 300.00 887,040.00 56.00 165,580.80
0.00 0.00 28,000.00 1,540,029.96 0.00 0.00
0.00 0.00 7,000.00 473,554.90 0.00 0.00
36,043.00 2,523,010.00 0.00 0.00 23,701.00 1,659,070.00
0.00 0.00 1.00 892,000.00 1.00 892,000.00
0.00 0.00 8.00 1,605,600.00 8.00 1,605,600.00
9.00 2,970,000.00 0.00 0.00 9.00 2,970,000.00
0.00 0.00 1.00 139,375.00 1.00 139,375.00
0.00 0.00 37,020.00 13,067,689.80 0.00 0.00
0.00 0.00 17,130.00 6,046,752.96 0.00 0.00
12,000.00 4,260,000.00 0.00 0.00 12,000.00 4,260,000.00
270.00 996,300.00 0.00 0.00 90.00 332,100.00
0.00 0.00 100.00 13,558.60 100.00 13,558.60
0.00 0.00 1,000.00 141,243.00 0.00 0.00
0.00 0.00 1.00 1,338,000.00 1.00 1,338,000.00
 0.00 0.00 2.00 1,170,750.00 2.00 1,170,750.00
0.00 0.00 10,000.00 2,825,598.00 80.00 22,604.78
0.00 0.00 10,000.00 2,070,000.00 0.00 0.00
27,305.00 5,734,050.00 0.00 0.00 20,222.00 4,246,620.00
256.00 675,840.00 0.00 0.00 256.00 675,840.00
0.00 0.00 1,500.00 6,997,500.00 0.00 0.00
18,620.00 5,958,400.00 0.00 0.00 12,178.00 3,896,960.00
0.00 0.00 100.00 9,398.40 0.00 0.00
0.00 0.00 4,000.00 318,824.00 0.00 0.00
0.00 0.00 3,600.00 291,060.00 2,102.00 169,946.70
0.00 0.00 1.00 3,010,500.00 1.00 3,010,500.00
360.00 1,368,000.00 0.00 0.00 60.00 228,000.00
0.00 0.00 70.00 269,500.00 0.00 0.00
9,740.00 2,288,900.00 0.00 0.00 1,260.00 296,100.00
900.00 3,073,500.00 0.00 0.00 287.00 980,105.00
99.00 371,745.00 0.00 0.00 99.00 371,745.00
0.00 0.00 2.00 543,562.50 2.00 543,562.50
0.00 0.00 500.00 599,500.00 500.00 599,500.00
0.00 0.00 3,000.00 957,000.00 3,000.00 957,000.00
0.00 0.00 6,000.00 2,082,432.00 1,122.00 389,414.78
1,156.00 7,687,400.00 0.00 0.00 1,156.00 7,687,400.00
0.00 0.00 800.00 5,759,600.00 15.00 107,992.50
0.00 0.00 50,000.00 4,070,000.00 0.00 0.00
0.00 0.00 40,000.00 3,300,000.00 0.00 0.00
0.00 0.00 50.00 591,250.00 0.00 0.00
0.00 0.00 50.00 1,369,689.00 0.00 0.00
0.00 0.00 20.00 547,876.00 20.00 547,876.00
0.00 0.00 1,872.00 12,029,846.40 368.00 2,364,841.60
0.00 0.00 10,000.00 6,019,200.00 1,163.00 700,032.96
871.00 2,538,965.00 0.00 0.00 604.00 1,760,660.00
0.00 0.00 5,000.00 1,842,555.00 0.00 0.00
4,210.00 2,020,800.00 0.00 0.00 2,454.00 1,177,920.00
0.00 0.00 1.00 758,200.00 1.00 758,200.00
1,530.00 5,003,100.00 0.00 0.00 1,473.00 4,816,710.00
0.00 0.00 10,000.00 5,058,480.00 0.00 0.00
 SALDO AKHIR STOCK. SUMBER
SELISIH KET
JML. BARANG JML. HARGA OPN. DN
0.00 0.00 0.00 0.00
770.00 1,578,500.00 770.00 0.00 BPJS
0.00 0.00 0.00 0.00 BPJS
0.00 0.00 0.00 0.00 BPJS
0.00 0.00 0.00 0.00 BPJS
300.00 950,103.00 300.00 0.00 BPJS
0.00 0.00 0.00 0.00 BPJS
238.00 1,051,166.75 238.00 0.00 BPJS
20,000.00 1,399,998.00 20,000.00 0.00 BPJS
2,720.00 190,400.00 2,720.00 0.00 BPJS
2,625.00 196,875.00 2,625.00 0.00 BPJS
1,500.00 259,182.00 1,500.00 0.00 BPJS
997.00 139,580.00 997.00 0.00 BPJS
4,853.00 703,685.00 4,853.00 0.00 BPJS
3,000.00 486,000.00 3,000.00 0.00 BPJS
54.00 309,420.00 54.00 0.00 BPJS
244.00 721,459.20 244.00 0.00 BPJS
28,000.00 1,540,029.96 28,000.00 0.00 BPJS
7,000.00 473,554.90 7,000.00 0.00 BPJS
12,342.00 863,940.00 12,342.00 0.00 BPJS
0.00 0.00 0.00 0.00 BPJS
0.00 0.00 0.00 0.00 BPJS
0.00 0.00 0.00 0.00 BPJS
0.00 0.00 0.00 0.00 BPJS
37,020.00 13,067,689.80 37,020.00 0.00 BPJS
17,130.00 6,046,752.96 17,130.00 0.00 BPJS
0.00 0.00 0.00 0.00 BPJS
180.00 664,200.00 180.00 0.00 BPJS
0.00 0.00 0.00 0.00 BPJS
1,000.00 141,243.00 1,000.00 0.00 BPJS
0.00 0.00 0.00 0.00 BPJS
 0.00 0.00 0.00 0.00 BPJS
9,920.00 2,802,993.22 9,920.00 0.00 BPJS
10,000.00 2,070,000.00 10,000.00 0.00 BPJS
7,083.00 1,487,430.00 7,083.00 0.00 BPJS
0.00 0.00 0.00 0.00 BPJS
1,500.00 6,997,500.00 1,500.00 0.00 BPJS
6,442.00 2,061,440.00 6,442.00 0.00 BPJS
100.00 9,398.40 100.00 0.00 BPJS
4,000.00 318,824.00 4,000.00 0.00 BPJS
1,498.00 121,113.30 1,498.00 0.00 BPJS
0.00 0.00 0.00 0.00
300.00 1,140,000.00 300.00 0.00 BPJS
70.00 269,500.00 70.00 0.00 BPJS
8,480.00 1,992,800.00 8,480.00 0.00 BPJS
613.00 2,093,395.00 613.00 0.00 BPJS
0.00 0.00 0.00 0.00 BPJS
0.00 0.00 0.00 0.00
0.00 0.00 0.00 0.00 BPJS
0.00 0.00 0.00 0.00 BPJS
4,878.00 1,693,017.22 4,878.00 0.00 BPJS
0.00 0.00 0.00 0.00 BPJS
785.00 5,651,607.50 785.00 0.00 BPJS
50,000.00 4,070,000.00 50,000.00 0.00 BPJS
40,000.00 3,300,000.00 40,000.00 0.00 BPJS
50.00 591,250.00 50.00 0.00 BPJS
50.00 1,369,689.00 50.00 0.00 BPJS
0.00 0.00 0.00 0.00 BPJS
1,504.00 9,665,004.80 1,504.00 0.00 BPJS
8,837.00 5,319,167.04 8,837.00 0.00 BPJS
267.00 778,305.00 267.00 0.00 BPJS
5,000.00 1,842,555.00 5,000.00 0.00 BPJS
1,756.00 842,880.00 1,756.00 0.00 BPJS
0.00 0.00 0.00 0.00
57.00 186,390.00 57.00 0.00 BPJS
10,000.00 5,058,480.00 10,000.00 0.00 BPJS
 LAMPIRAN STOK OPNAME BARANG
BULAN JANUARI S/D
JKN

SATUAN Persediaan Per 01-01-2020 (SALDO AWAL)

NO. NO KODE NAMA OBAT DAN PERBEKALAN KESEHATAN BARANG Harga Satuan (Rp)

Jumlah Barang

1 2 3 4 5 6

1 1010 Amoksisilin sirup kering 125 mg/5 ml 60 ml Botol 2,050.00 -

2 1010 Amoksisilin sirup kering 125 mg/5 ml 60 ml Botol 2,310.00 -
3 2106 Amoksisilin sirup kering forte 250 mg / 5 ml Botol 3,630.00 484.00
4 3054 Anti diare sirup (Kaotin sirup) 60 ml Botol 5,100.00 68.00
5 1017 Antihemoroid DOEN supp Sup 3,167.01 -
6 1017 Antihemoroid DOEN supp Sup 3,170.00 497.00
7 1017 Antihemoroid DOEN supp Sup 4,416.67 -
8 3120 Antikulating Set 278,750.00 -
9 3048 Asam folat tablet 1 mg Tablet 70.00 -
10 3048 Asam folat tablet 1 mg Tablet 70.00 2,720.00
11 3048 Asam folat tablet 1 mg Tablet 75.00 10,000.00
12 3048 Asam folat tablet 1 mg Tablet 172.79 -
13 2108 Attapulgit tablet 600 mg Tablet 140.00 997.00
14 2108 Attapulgit tablet 600 mg Tablet 145.00 10,000.00
15 2108 Attapulgit tablet 600 mg Tablet 162.00 -
16 2109 Bisakodil Suppositoria 10 mg (Stolax) Sup 5,730.00 -
17 3004 Borax Gliserin 8 ml Botol 2,956.80 -
18 2096 Deksametason tab 0,5 mg ( Blister ) Tablet 55.00 -
19 2096 Deksametason tab 0,5 mg ( Blister ) Tablet 67.65 -
20 2096 Deksametason tab 0,5 mg ( Blister ) Tablet 70.00 36,043.00
21 1041 Devitalisasi Pasta (non arsen) Pot 892,000.00 -
22 1055 Etil Klorid Semprot - 100 ml Botol 200,700.00 -
23 1055 Etil Klorid Semprot - 100 ml Botol 330,000.00 9.00
24 1056 Eugenol 10 ml Botol 139,375.00 -
25 2140 Fe Fumarat + As. Folat 0.4 mg tablet Tablet 352.99 -
26 2140 Fe Fumarat + As. Folat 0.4 mg tablet Tablet 352.99 -
27 99015 Ferro Folat Tablet Salut Selaput 200 Mg + 0,25 Mg Tablet 355.00 12,000.00
28 2137 Fitomenadion (Vit K) injeksi 2 mg/amp Ampul 3,690.00 270.00
29 1069 Furosemide tablet 40 mg Tablet 135.59 -
30 1069 Furosemide tablet 40 mg Tablet 141.24 -
31 3117 Glass Ionomer 15 Gram Set 1,338,000.00 -
32 3063 Glass Ionomer Cement ART 5 gram Set 585,375.00 -
33 1075 Glibenklamida tablet 5 mg Tablet 282.56 -
34 2111 Glimepirid tablet 2 mg Tablet 207.00 -
35 2111 Glimepirid tablet 2 mg Tablet 210.00 27,305.00
36 1086 Hidrokortison krim 2,5% Tube 2,640.00 256.00
37 2175 Ibuprofen Sirup 200 mg/ 5 ml Botol 4,665.00 -
38 1088 Ibuprofen tablet 400 mg Tablet 320.00 18,620.00
39 1094 Isorbid Dinitrat tablet sublingual 5 mg Tablet 93.98 -
40 2033 Kaptopril tablet 25 mg Tablet 79.71 -
41 2033 Kaptopril tablet 25 mg Tablet 80.85 -
42 3119 Komposite Filter Set 3,010,500.00 -
43 1137 Magnesium Sulfat inj (IV) 40 % Ampul 3,800.00 360.00
44 1143 Metilergometrin injeksi Ampul 3,850.00 -
45 2045 Metronidazol tablet 500 mg Tablet 235.00 9,740.00
46 2046 Mikonazol krim/salep 2% (nitrat) -10 g Tube 3,415.00 900.00
47 2046 Mikonazol krim/salep 2% (nitrat) -10 g Tube 3,755.00 99.00
48 3038 Obat Tambal Gigi Sementara Botol 271,781.25 -
49 1162 Oksitosin injeksi 10 mg IU/ml - 1 ml Ampul 1,199.00 -
50 2053 Omeprazol kapsul 20 mg Kapsul 319.00 -
51 2053 Omeprazol kapsul 20 mg Kapsul 347.07 -
52 2124 Paracetamol drops 60 mg/ 0.6 mL Botol 6,650.00 1,156.00
53 2124 Paracetamol drops 60 mg/ 0.6 mL Botol 7,199.50 -
54 2055 Parasetamol tablet 500 mg ( Blister ) Tablet 81.40 -
55 2055 Parasetamol tablet 500 mg ( Blister ) Tablet 82.50 -
56 2125 Permetrim krim 5 % (scabimite) Tube 11,825.00 -
57 3041 Povidon Iodida 1%, obat kumur Botol 27,393.78 -
58 3041 Povidon Iodida 1%, obat kumur Botol 27,393.80 -
59 1197 Salisil bedak 2% 50 g Pot 6,426.20 -
60 2069 Sefadroksil kapsul 500 mg Kapsul 601.92 -
61 2115 Setirizin Sirup 5 mg/ 5 ml Botol 2,915.00 871.00
62 2079 Siprofloksasin tablet 500 mg (sebagai HCl) Tablet 368.51 -
63 2079 Siprofloksasin tablet 500 mg (sebagai HCl) Tablet 480.00 4,210.00
64 1218 Temporary S Fletcher (set 100 g) Set 758,200.00 -
65 2118 Zinc Sirup 20 mg / 5 ml (zirkum kid syr) Botol 3,270.00 1,530.00
66 2084 Zinc tablet 20 mg Tablet 505.85 -

Jumlah Total 138,135.00

 LAMPIRAN STOK OPNAME BARANG PAKAI HABIS DI UPT FARMASI
BULAN JANUARI S/D DESEMBER 2020
JKN

Persediaan Barang Menurut Catatan Administrasi

Mutasi 1 Januari s/d 31 Desember 2020 Persediaan Per 31-12-2020 (SALDO
Persediaan Per 01-01-2020 (SALDO AWAL)
PENGADAAN PENGELUARAN AKHIR)

Jumlah Harga (Rp) Jumlah Barang Jumlah Harga (Rp) Jumlah Jumlah Harga (Rp) Jumlah Barang Jumlah Harga (Rp)
Barang

7=6X5 8 9=8X5 10 11 = 10 X 5 12 = 6 + 8 - 10 13 = 12 X5

- 1,000.00 2,050,000.00 230.00 471,500.00 770.00 1,578,500.00

- 300.00 693,000.00 300.00 693,000.00 - -
1,756,920.00 - - 484.00 1,756,920.00 - -
346,800.00 - - 68.00 346,800.00 - -
- 300.00 950,103.00 - - 300.00 950,103.00
1,575,490.00 - - 497.00 1,575,490.00 - -
- 270.00 1,192,500.90 32.00 141,333.44 238.00 1,051,167.46
- 1.00 278,750.00 1.00 278,750.00 - -
- 20,000.00 1,400,000.00 - - 20,000.00 1,400,000.00
190,400.00 - - - - 2,720.00 190,400.00
750,000.00 - - 7,375.00 553,125.00 2,625.00 196,875.00
- 1,500.00 259,185.00 - - 1,500.00 259,185.00
139,580.00 - - - - 997.00 139,580.00
1,450,000.00 - - 5,147.00 746,315.00 4,853.00 703,685.00
- 3,000.00 486,000.00 - - 3,000.00 486,000.00
- 60.00 343,800.00 6.00 34,380.00 54.00 309,420.00
- 300.00 887,040.00 56.00 165,580.80 244.00 721,459.20
- 28,000.00 1,540,000.00 - - 28,000.00 1,540,000.00
- 7,000.00 473,550.00 - - 7,000.00 473,550.00
2,523,010.00 - - 23,701.00 1,659,070.00 12,342.00 863,940.00
- 1.00 892,000.00 1.00 892,000.00 - -
- 8.00 1,605,600.00 8.00 1,605,600.00 - -
2,970,000.00 - - 9.00 2,970,000.00 - -
- 1.00 139,375.00 1.00 139,375.00 - -
- 37,020.00 13,067,689.80 - - 37,020.00 13,067,689.80
- 17,130.00 6,046,718.70 - - 17,130.00 6,046,718.70
4,260,000.00 - - 12,000.00 4,260,000.00 - -
996,300.00 - - 90.00 332,100.00 180.00 664,200.00
- 100.00 13,559.00 100.00 13,559.00 - -
- 1,000.00 141,240.00 - - 1,000.00 141,240.00
- 1.00 1,338,000.00 1.00 1,338,000.00 - -
- 2.00 1,170,750.00 2.00 1,170,750.00 - -
- 10,000.00 2,825,600.00 80.00 22,604.80 9,920.00 2,802,995.20
- 10,000.00 2,070,000.00 - - 10,000.00 2,070,000.00
5,734,050.00 - - 20,222.00 4,246,620.00 7,083.00 1,487,430.00
 675,840.00 - - 256.00 675,840.00 - -
- 1,500.00 6,997,500.00 - - 1,500.00 6,997,500.00
5,958,400.00 - - 12,178.00 3,896,960.00 6,442.00 2,061,440.00
- 100.00 9,398.00 - - 100.00 9,398.00
- 4,000.00 318,840.00 - - 4,000.00 318,840.00
- 3,600.00 291,060.00 2,102.00 169,946.70 1,498.00 121,113.30
- 1.00 3,010,500.00 1.00 3,010,500.00 - -
1,368,000.00 - - 60.00 228,000.00 300.00 1,140,000.00
- 70.00 269,500.00 - - 70.00 269,500.00
2,288,900.00 - - 1,260.00 296,100.00 8,480.00 1,992,800.00
3,073,500.00 - - 287.00 980,105.00 613.00 2,093,395.00
371,745.00 - - 99.00 371,745.00 - -
- 2.00 543,562.50 2.00 543,562.50 - -
- 500.00 599,500.00 500.00 599,500.00 - -
- 3,000.00 957,000.00 3,000.00 957,000.00 - -
- 6,000.00 2,082,420.00 1,122.00 389,412.54 4,878.00 1,693,007.46
7,687,400.00 - - 1,156.00 7,687,400.00 - -
- 800.00 5,759,600.00 15.00 107,992.50 785.00 5,651,607.50
- 50,000.00 4,070,000.00 - - 50,000.00 4,070,000.00
- 40,000.00 3,300,000.00 - - 40,000.00 3,300,000.00
- 50.00 591,250.00 - - 50.00 591,250.00
- 50.00 1,369,689.00 - - 50.00 1,369,689.00
- 20.00 547,876.00 20.00 547,876.00 - -
- 1,872.00 12,029,846.40 368.00 2,364,841.60 1,504.00 9,665,004.80
- 10,000.00 6,019,200.00 1,163.00 700,032.96 8,837.00 5,319,167.04
2,538,965.00 - - 604.00 1,760,660.00 267.00 778,305.00
- 5,000.00 1,842,550.00 - - 5,000.00 1,842,550.00
2,020,800.00 - - 2,454.00 1,177,920.00 1,756.00 842,880.00
- 1.00 758,200.00 1.00 758,200.00 - -
5,003,100.00 - - 1,473.00 4,816,710.00 57.00 186,390.00
- 10,000.00 5,058,500.00 - - 10,000.00 5,058,500.00

53,679,200.00 273,560.00 96,290,453.30 98,532.00 57,453,177.84 313,163.00 92,516,475.46

MENURUT
HASIL STOK SELISIH KET
OPNAME

14 15 16