Register Sisa Stok 2021

REGISTER SISA OBAT PUSKESMAS
PUSKESMAS : Umanen TAHUN: 2020

BULAN: JANUARI
SATUAN GUDANG NAMA SUB UNIT
NO. NAMA OBAT SATUAN JUMLAH TOTAL HARGA
HARGA OBAT APOTEK PUSTU R.T VK POL. TLM POL.GIGI
1 Analgestik, Antipiretik,Antiinflamasi NonSteroid, Antipirai
1.1 Analgetik Narkotika
1.1.1 Petidin Injeksi 50 mg/ml Ampul 17,400.00 0 -
1.2 Analgetik Non Narkotik - 0 -
1.2.1 Antalgin 500 mg Tablet 220.00 0 -
1.2.2 Antalgin Injeksi 250 mg/ml-2ml Ampul 1,566.67 0 -
1.2.3 Asam Mefenamat 500 mg Tablet 237.60 700 556 100 50 1406 334,065.60
1.2.4 Asam Asetilsalisilat (asetosal) tab 100 mg Tablet 165.00 0 -
1.2.5 Ibuprofen 400 mg Tablet 118.00 1400 510 100 2010 237,180.00
1.2.6 Natrium Diklofenak 50 mg Tablet 154.00 400 290 690 106,260.00
1.2.7 Parasetamol 500 mg Tablet 125.00 8900 352 30 10 40 9332 1,166,500.00
1.2.8 Parasetamol Syrup 120 mg/ml-2ml Botol 5,065.50 20 7 27 136,768.50
1.2.9 Piroksikam 20 mg Tablet 83.33 0 -
1.2.10 Tramadol tablet 50 mg Tablet 300.00 0 -
1.2.11 Tramadol injeksi 50mg/ml Ampul 3,000.00 0 -
1.3 Antipirai - 0 -
1.3.1 Alopurinol 100 mg Tablet 108.00 500 103 150 100 853 92,124.00
1.3.2 Benechek Tets Asam Urat (DAU) Test 5,365.16 0 -
2 Anestetik - 0 -
2.1 Anestetik Lokal - 0 -
2.1.1 Lidokain Hcl injeksi 2 ml Ampul 1,390.00 0 -
2.1.2 Lidokain compositum injeksi 2 ml Ampul 2,424.00 30 3 4 37 89,688.00
2.1.3 Etil Klorida Semprot Botol 135,300.00 3 3 405,900.00
3 Antialergi, Obat Anafilaksis dan kortikosteroid - 0 -
3.1 Adrenalin/ Epinefrin Injeksi Ampul 2,486.00 1 2 3 7,458.00
3.2 Chloramfeniramin Maleat 4 mg (CTM) Tablet 25.00 1000 534 204 1738 43,450.00
3.3 Cetirizin 10 mg Tablet 103.00 100 100 10,300.00
3.4 Deksametason 0,5 mg Tablet 48.00 0 -
3.5 Deksametason Injeksi 1 ml Ampul 1,965.00 10 10 19,650.00
3.6 Difenhidramin Hcl Injeksi Ampul 1,329.00 26 2 28 37,212.00
3.7 Loratidin 10 mg Tablet 150.00 60 60 9,000.00
3.8 Metilprednisolon Tablet 180.00 0 -
3.9 Prednison 5 mg Tablet 81.00 700 400 83 1183 95,823.00
4 Antidotum dan Obat Lain Untuk Keracunan - 0 -
4.1 Magnesium Sulfat injeksi 20%-25ml (JKN) Ampul 3,200.00 2 2 4 12,800.00
4.2 Magnesium Sulfat injeksi 40%-25ml Vial 3,650.00 0 -
5 Antiepilepsi - Antikonvulsi - 0 -
5.1 Fenitoin 30 mg Tablet 183.00 0 -
5.3 Fenitoin Injeksi 50 mg/ml Ampul 58,042.00 0 -
5.4 Fenobarbital Inj.50mg/ml-2ml Ampul 1,836.00 0 -
5.5 Fenobarbital 100 mg Tablet 175.30 0 -
6 Antelmintik - 0 -
6.1 Albendazole 100 mg Tablet 549.55 0 -
6.2 Albendazole 400 mg Tablet 506.00 118 118 59,708.00
6.3 Mebendazol 100 mg Tablet 357.00 0 -
6.4 Pirantel Pamoat 125 mg Tablet 357.00 0 -
7 Antifilaria - 0 -
7.1 Dietilkarbamazin 50 mg Tablet 136.00 0 -
8 Antibakteri - 0 -
8.1 Amoksisilin 250 mg Kapsul 212.00 300 66 366 77,592.00
8.2 Amoksisilin 500 mg Kaplet 248.00 600 462 117 40 60 1279 317,192.00
8.3 Amoksisilin Syrup kering Botol 3,910.00 30 7 37 144,670.00
8.4 Ampicilin 500 mg Kaplet 374.00 0 -
8.5 Ampicilin inj. 1 gram Vial 6,120.00 0 -
8.6 Ampisilin syrup kering Botol 5,280.00 0 -
8.7 Azitromisin 500 mg Tablet 1,888.00 44 44 83,072.00
8.8 Benzatin Benzilpenisilin inj. 1,2 jt IU Vial 13,375.00 0 -
8.10 Cefadroxil 500 mg Tablet 465.00 300 35 335 155,775.00
8.11 Cefotaxim Inj.1 g Ampul 4,704.00 0 -
8.12 Clyndamicin 150 mg Tablet 893.00 300 300 267,900.00
8.13 Clyndamicin 300 mg Tablet 0 -
8.14 Cyprofloksacin 500 mg Tablet 276.00 400 190 590 162,840.00
8.15 Doksisiklin Tablet 430.00 100 60 160 68,800.00
8.16 Erytromicyn 500 mg Tablet 833.00 0 -
8.17 Gentamicin Salep Kulit 0.1% Tube 3,400.00 0 -
8.18 Gentamycin inj.80 mg/2ml Ampul 3,503.60 0 -
8.19 Gentamicin Tetes Mata Tube 5,313.00 13 13 69,069.00
8.20 Kloramfenikol 250 mg Kapsul 373.00 0 -
8.21 Kloramfenikol Salep Mata 1%-5g Tube 2,160.00 24 5 29 62,640.00
8.22 Kloramfenikol Tetes Telinga 3%-5ml Botol 4,500.00 0 -
8.23 Kotrimoksazol Dewasa Kombinasi 480 mg Tablet 222.75 1400 280 100 1780 396,495.00
8.24 Kotrimoksazol Pediatrik Kombinasi 120 mg Tablet 91.08 0 -
8.25 Kotrimoksazole Suspensi Botol 2,590.00 0 -
8.26 Metronidaszole 250 mg Tablet 122.00 0 -
8.28 Oksitetrasiklin Injeksi Vial 8,500.00 0 -
8.29 Oksitetrasiklin Salep Kulit 3 %-5g Tube 2,009.70 27 6 33 66,320.10
8.30 Oksitetrasiklin Salep Mata 1 %-5g Tube 2,600.00 33 4 3 1 41 106,600.00
8.31 Prokain benzilpenisilin inj. 3 juta IU Vial 10,770.00 0 -
8.32 Salep kulit Bacitrasin Tube 3,019.00 0 -
8.33 Tetrasiklin 500 mg Kapsul 350.00 100 100 35,000.00
8.34 Tetrasiklin HCL Kapsul 250 mg Kapsul 179.00 0 -
8.35 Thiamfenikol 500 mg Tablet 609.00 0 -
9 KUSTA - 0 -
9.1 Obat Kusta MB Dewasa Blister 31,760.00 1 1 31,760.00
9.2 Obat Kusta MB Anak Blister 20,207.00 0 -
9.3 Obat Kusta PB Dewasa Blister - 0 -
9.4 Obat Kusta PB anak Blister - 0 -
10 Antituberculosis - 0 -
10.1 OAT Kategori anak Paket 290,650.00 2 2 581,300.00
10.2 FDC 1 & III Paket 486,683.00 4 4 1,946,732.00
10.3 FDC 2 Paket 1,622,369.00 0 -
10.4 Kategor Sisipan Paket 191,999.00 0 -
10.5 Sputum pot Buah 5,890.00 20 20 117,800.00
10.6 Anisol 100 cc btl/100 cc 132,000.00 0 -
10.7 Anisol 1000 cc btl/1000 cc 560,000.00 0 -
10.8 Zeil Nelson Paket 297,440.00 2 2 594,880.00
10.9 Lampren Kapsul 1,234.00 0 -
10.10 Lexofloxacin 250 mg Tablet 673.00 0 -
10.11 Pyrazinamide 500 mg Tablet 435.00 0 -
11 Antifungi - 0 -
11.1 Gentian Viloet larutan 1% Botol 4,000.00 0 -
11.2 Griseofulvin, micronized 250 mg Tablet 242.00 100 57 157 37,994.00
11.3 Ketokonazol tab 200 mg Tablet 322.00 30 30 9,660.00
11.4 Ketokonazol krim 2 % Tube 3,083.00 0 -
11.5 Miconazol cream Tube 4,268.00 24 7 31 132,308.00
11.6 Nistatin tablet salut 500.000 IU Tab.Salut 990.00 47 47 46,530.00
11.7 Nistatin tablet Vaginal 100.000 IU Tab.Vagina 700.00 130 130 91,000.00
11.8 Salep Kulit 2 - 4 % Pot 3,277.00 11 11 36,047.00
11.9 Salep Kulit 3 - 6 % Pot 5,620.00 15 15 84,300.00
12 Antimalaria ( Program Malaria ) - 0 -
12.1 Abatte Galon 25 kg 78,000.00 0 -
12.2 Abate Galon 1 kg 178,200.00 0 -
12.3 Artemeter injeksi 80mg/ml Ampul 25,490.00 0 -
12.4 Artesunat Injeksi 60mg/ml Vial 4,224.00 0 -
12.5 ACT tab(ARTERAKINE)/Darpleks Tablet 2,070.00 27 27 55,890.00
12.6 Autoclick Device Buah 0 -
12.7 Blood Lancet Pcs 5,950.00 0 -
12.8 Merck Immersion Oil 100 ml Botol 388,350.00 0 -
12.10 Kina injeksi 25 % - 25 ml Ampul 7,440.00 0 -
12.11 Kinina 222 mg/ tablet Tablet 804.00 0 -
12.12 Komb.Sulfadoksin 500 mg + Pirimetamin 25 mg Tablet 712.00 94 94 66,928.00
12.13 Primakuin tablet 15 mg Tablet 253.00 54 54 13,662.00
12.14 Rapid Test Malaria Pcs 5,271.00 50 50 263,550.00
12.15 RDT DBD Combo (NSI+lgG+lgM) Test 115,225.00 0 -
12.16 RDT DBD INSI (ID Biosens Dengue NSI) Test 43,600.00 0 -
12.17 Reagen Giemsa 100 cc Botol 201,600.00 0 -
12.19 Sarung tangan disposible ktk 49,160.00 0 -
12.20 Slide Box Buah 3,700.00 0 -
12.21 Slide (Obyek gelass) Pcs 305.63 0 -
12.22 Slide Folder Chip Board (objek glass) ktk 126,700.00 0 -
12.23 Safety Box 2,5 ml Pcs 16,885.00 0 -
12.24 Safety Box 5 ml Pcs 16,383.00 2 2 32,766.00
12.25 Tisu Lensa Buah 26,100.00 1 1 26,100.00
12.26 Tisu Rol Roll 5,000.00 0 -
12.27 Wab Disinfektan ktk 198,500.00 0 -
13 Antimigrein - 0 -
13.1 Bethahistin 6 mg Tablet 160.00 0 -
13.2 Ergotamin 100 mg Tablet 162.00 0 -
14 Anti Anemia dan Roborantia - 0 -
14.1 Asam Askorbat ( Vitamin C 50 mg Tablet 131.00 440 300 30 30 800 104,800.00
14.2 Fitommenadion 10 mg ( Vti.K ) Tablet 759.00 60 60 45,540.00
14.3 Fitommenadion Injeksi ( Vti.K ) Ampul 4,438.00 22 13 35 155,330.00
14.4 Piridoksin HCl 10 mg Tablet 154.00 455 40 70 565 87,010.00
14.5 Sianokobalamin 100 mg (Vit B12 ) tab Tablet 53.00 90 90 4,770.00
14.6 Sianokobalamin Injeksi (Vit B12 ) Ampul 1,423.00 5 5 7,115.00
14.7 Vitamin B 1 ( Thiamin HCl) 100 mg Tablet 98.00 430 290 720 70,560.00
14.8 Vitamin B 1 ( Thiamin HCl) Injeksi Ampul 1,600.00 0 -
14.9 Vitamin B Complek Tablet 147.00 1600 484 158 50 2292 336,924.00
15 Obat - obat Program KIA / Gizi - 0 -
15.1 Besi (II) Tablet salut kombinasi Tablet 48.47 2580 330 690 150 570 4320 209,376.00
15.2 Calcium Gluconas Ampul 9,955.00 5 5 49,775.00
15.3 HBSAG Strip ea 9,870.00 0 -
15.4 Iodiol Kapsul lunak Kapsul 1,116.00 0 -
15.5 Iodine Test Botol 31,650.00 0 -
15.6 Kalsium Laktat ( Kalak ) Tablet 62.00 600 490 310 30 1430 88,660.00
15.7 Kit HB Sahli Buah 0 -
15.8 Larutan HCL 0,1 N Set 16,500.00 0 -
15.9 Mineral Mix Saset 2,920.00 0 -
15.10 Retinol (Vit. A) caps. lunak 100.000 IU Kapsul 361.00 0 -
15.11 Retinol (Vit. A) caps. lunak 200.000 IU Kapsul 648.00 50 50 32,400.00
15.12 Under Pad Pcs 5,203.00 90 25 115 598,345.00
15.13 HCG Pregnancy Test (Test Hamil) Ktk 2,423.75 120 16 136 329,630.00
15.14 Urine gluco protein test Srip 1,306.00 540 540 705,240.00
16 Bahan serta Obat Gigi dan Mulut - 0 -
16.1 Articulating Paper Pak 229,500.00 0 -
16.2 Cavit G RF 28 G Bottle Botol 238,000.00 0 -
16.3 Cavit RF 28G Bottle Botol 238,000.00 0 -
16.4 Cavit W Box 238,000.00 0 -
16.5 Cotton Roll Prodental #2 Roll 4,250.00 0 -
16.6 Cresotin Liquid II Tehnodent Box 552,500.00 0 -
16.7 Devitalisasi Paste Pot 81,000.00 0 -
16.8 Elite Cement 100 Liquid 125 GR Box 425,000.00 0 -
16.9 Elite Cement 100 Powder 125 GR Box 459,000.00 0 -
16.10 Endoseal Denpro Box 204,000.00 0 -
16.11 Epivlac Solution 10 ml Biodimika Botol 187,000.00 0 -
16.12 Eugenol Cairan Kotak 255,000.00 0 -
16.13 Fletcher serbuk + cair Paket 8,578.00 0 -
16.14 Fuji IX GP 1-1 #Extra A2 Box 1,118,758.00 0 -
16.15 Hemospon isi 10 s Box 153,000.00 0 -
16.16 Kalsium Hidroksida Paste//Hydcal Technew Pcs 246,500.00 0 -
16.17 Monoklorkamfer mentol cairan ( CHKM ) 20 ml Botol 85,000.00 0 -
16.18 Pulp - X (Devitalizer) 6 GR Denpro (Arsen) Pcs 401,818.00 0 -
16.19 Saliva Ejector Svenska Pcs 102,000.00 0 -
16.20 ScqtcGbond Etvhant 9 ml Pcs 459,000.00 0 -
16.21 Semen Seng Posfat serbuk + cairan Pot 47,500.00 0 -
16.22 Silver Amalgam serbuk 65 - 75 % Botol 1,400,000.00 0 -
16.23 Single Bond Universal RF Vial EE Box 1,320,000.00 0 -
16.24 TKF Tricresolformalin 10 ml Bioanalitika Botol 102,000.00 0 -
17 Diuretika - 0 -
17.1 Furosemida 40 mg Tablet 88.00 164 100 264 23,232.00
18 Antitiroxin - 0 -
18.1 Propiltiuurasil 100 mg Tablet 404.42 60 60 24,265.20
19 Antidiabetes - 0 -
19.1 Benechek Tets Glukosa (DAU) Test 3,317.92 3450 3450 11,446,824.00
19.2 Glibenklamid 5 mg Tablet 70.00 0 -
19.3 Glukosa Accu Check Strip 7,800.00 0 -
19.4 Metformin HCL tablet 500 mg Tablet 113.00 900 160 230 1290 145,770.00
20 Kolesterol 0 -
20.1 Benechek Tets Kolesterol (DAU) Test 23,864.30 0 -
20.2 Simvastin tablet 20 mg Tablet 240.00 0 -
20.3 Simvastin tablet 10 mg Tablet 84 110 194
21 Antiseptik dan Desinfektan - 0 -
21.1 Bayclin cairan Botol 15,625.00 1 1 15,625.00
21.2 Etakridin Laktat ( Rivanol ) 300 ml Botol 3,900.00 1 1 3,900.00
21.3 Etanol 70% (Alkohol ) Botol/1 ltr 32,500.00 2 1 1 4 130,000.00
21.4 Lisol Cairan Botol/1 ltr 53,300.00 1 1 53,300.00
21.5 Povidon Iodida 10%- 300 ml Botol 23,400.00 3 1 1 5 117,000.00
22 Program Promkes - 0 -
22.1 Briliant Green Lactosa Broth Botol 1,925,000.00 0 -
22.2 Kaporit Galon15 kg 550,000.00 0 -
23 Program HIV / AIDS - 0 -
23.1 Acyklovir 200 mg Tablet 465.82 0 -
23.2 Acyklovir 400 mg Tablet 465.00 32 32 14,880.00
23.3 Acyklovir cream 5% Tube 3,960.00 0 -
23.4 Asiklovir Salep Mata 3% Tube 24,750.00 0 -
23.5 Determinan Set 60,000.00 0 -
23.6 Intec Periksa Sifilis Set 26,889.30 0 -
23.7 Ofloxacin 200 mg Tablet 708.12 0 -
23.8 Oncoprobe Pcs 23,386.00 0 -
23.9 One step Anti HIV (1.2) Triline (test Lard ) Intec pcs 22,450.00 0 -
23.10 Rapid Test Reagent HIV / AIDS Set 28,000.00 0 -
23.11 Reagen HIV 1/2.3 SD Set 14,340.00 0 -
23.12 Rapid Test SD Biolin HIV 1/2 3.0 set 14,340.00 0 -
23.13 Rapid test 3 (VIKIA 1/2 ) test 19,480.00 0 -
23.14 Reagen Rapid 2 HIV test 14,490.00 0 -
23.15 Raegen CD4 control test 643,500.00 0 -
23.16 RPR Syphilis test 4,250.00 0 -
24 Antiangina, Antiaritmia, Antihipertensi, Gagal Jantung - 0 -
24.1 Amlodipin Kapsul 5 mg Kapsul 83.00 0 -
24.2 Captopril 12,5 mg Tablet 81.00 20 20 1,620.00
24.3 Captopril 25 mg Tablet 94.00 0 -
24.4 Digoksin 0, 25 mg Tablet 190.67 100 100 19,067.00
24.5 HCT 25 mg Tablet 35.60 100 100 3,560.00
24.6 Isosorbit Dinitrat Sublingual 5 Mg Tablet 107.00 0 -
24.7 Nifedipin 20 mg ( Adalat ) Tablet 3,350.00 79 10 89 298,150.00
24.8 Propranolol 40 mg Tablet 92.00 0 -
25 Antiinflamasi dan Antipruritik - 0 -
25.1 Betametason Salep Kulit Tube 1,520.00 80 3 4 87 132,240.00
25.2 Hidrokortison Salep Kulit 2,5% Tube 2,846.00 61 5 2 68 193,528.00
25.3 Keratolitik dan keratoplastik - 0 -
25.4 Bedak salisilat serbuk 2 % Kotak 1,142.00 4 1 5 5,710.00
26 Larutan Elektrolit, Nutrisi dan lain-lain - 0 -
26.1 Air untuk injeksi 20 ml Ampul 2,400.00 6 6 14,400.00
26.2 Aqua dest steril 1000 ml Botol 11,000.00 0 -
26.3 Garam oralit 200 ml Sachet 293.00 80 2 23 105 30,765.00
26.4 Glukosa lar.infus 10%-25ml Flakon 6,840.00 0 -
26.5 Glukosa lar.infus 5%-500 ml Flakon 6,900.00 5 5 10 69,000.00
26.6 NaCl 0,9%-500 ml lar.infus Flakon 6,410.00 12 12 76,920.00
26.7 Ringer laktat lar. 500 ml Flakon 7,150.00 8 11 19 135,850.00
26.8 Potassium Chloride ( Kalium Klorida ) Tablet 1,700.00 370 370 629,000.00
26.9 Zinc Tablet 658.00 75 75 49,350.00
26.10 Zinc Syrup Botol 5,289.00 0 -
27 Oksitosik dan Relaksan uterus - 0 -
27.1 Metilergometrin 0,200 mg inj. Ampul 2,684.00 5 5 13,420.00
27.2 Metilergometrin Maleat 0,125 mg Tablet 185.00 24 10 34 6,290.00
27.3 Oksitosin injeksi Ampul 1,900.00 60 9 69 131,100.00
28 Sedativa - 0 -
28.1 Diazepam Injeksi 5 mg/ml-2ml Ampul 2,150.00 3 3 6,450.00
28.2 Diazepam 2 mg Tablet 38.28 0 -
28.3 Diazepam 5 mg Tablet 146.00 10 10 1,460.00
29 Antipsikosis - 0 -
29.1 Klorpromazin HCl 100 mg Tablet 179.00 0 -
30 Antasida dan Antiulkus - 0 -
30.1 Antasida DOEN 500 mg Tablet 58.00 400 518 50 100 1068 61,944.00
30.2 Antasida DOEN Suspensi Botol 2,257.00 5 4 9 20,313.00
30.3 Cimetidine 200 mg Tablet 110.00 0 -
30.4 Natrium Bikarbonat tablet Tablet 180.00 0 -
30.5 Omeprazole 20 mg Tablet 150.00 70 70 10,500.00
30.6 Ranitidin 150 mg Tablet 121.00 0 -
30.7 Ranitidin injkesi Ampul 1,540.00 0 -
31 AntiDiare 0 -
31.1 Atapulgit tab 600 mg Tablet 177.00 150 20 170 30,090.00
31.2 Loperamid tablet 2 mg Tablet 95.00 100 100 9,500.00
32 Antispasmodik - 0 -
32.1 Atropin Injeksi 1 ml Ampul 1,250.00 0 -
32.2 Extrak Beladona 10 mg Tablet 19.90 0 -
32.3 Papaverin tablet Tablet 136.91 0 -
32.3 Papaverin inj. Ampul 636.00 0 -
33 Antiasma - 0 -
33.1 Aminofilin 24 mg Injeksi Ampul 3,520.00 0 -
33.2 Aminofilin 200 mg Tablet 94.00 100 100 9,400.00
33.3 Efedrin 25 mg Tablet 197.00 0 -
33.4 Salbutamol 2 mg Tablet 113.44 0 -
33.5 Salbutamol 4 mg Tablet 81.00 300 45 345 27,945.00
34 Antitusive dan Expectoran - 0 -
34.1 Ambroxol 30 mg Tablet 121.00 0 -
34.2 Ambroxol Syrup 60 ml Botol 3,000.00 0 -
34.3 Glyseril Guayakolat 100 mg Tablet 26.30 0 -
34.4 Kodein 10 mg Tablet 687.00 0 -
34.5 Obat Batuk Hitam ( OBH ) Sirup 100 ml Botol 4,500.00 0 -
35 Antiemetik - 0 -
35.1 Metoklorpramid tab Tablet 130.00 80 80 10,400.00
35.2 Metoklorpamide sirup 5mg/5ml Botol 3,250.00 0 -
36 Rantai Dingin (Chold Chain) - 0 -
36.1 Serum anti bisa ular polivalen inj. 5 ml (ABU I) Vial 436,360.00 0 -
36.2 Serum anti Tetanus inj. 1.500 IU/amp. (ATS) Ampul 119,090.00 0 -
36.3 Sumbu chold chain wick aladin Buah 439,860.00 0 -
37 Vaksin - 0 -
37,1 BCG Vaccine SSI 10 dosis Vial 54,500.00 1 1 54,500.00
37,2 Pelarut BCG Vial - 3 3 -
37,3 Campak 10 dosis @ 0,5 ml Vial 25,640.00 0 -
37,4 Pelarut Campak Kering @ 5 ml Ampul - 0 -
37,5 DPT-HB-Hib 5 dosis @ 0,5 ml Vial 70,232.00 18 18 1,264,176.00
37,6 DT 10 dosis @ 0,5 ml Vial 16,360.00 39 39 638,040.00
37,7 Dropper Polio Vial - 40 40 -
37,8 HB 0-7 hr @ 0,5 ml Vial 20,900.00 23 23 480,700.00
37,9 HBIg Buah 1,325,000.00 0 -
37,10 MR Vial 141,648.00 2 2 283,296.00
37,11 Meningitis Vial 307,400.00 0 -
37,12 Pelarut MR Vial 2 2 -
37,13 Polio @ 1 ml/OPV Vial 19,954.00 15 15 299,310.00
37,14 Polio IPV Vial 137,610.00 1 1 137,610.00
37,15 Pipet Polio Pcs 0 -
37,16 TD 10 dosis @ 0,5 ml Vial 15,000.00 24 24 360,000.00
38 Alat - alat kesehatan - 0 -
38.1 Abocath/IV Cateter 18 G Pcs 6,243.00 10 7 17 106,131.00
38.2 Abocath /IV Cateter 20 G Pcs 6,266.00 5 11 16 100,256.00
38.4 Abocath /IV Cateter 24 G Pcs 6,201.00 10 10 62,010.00
38.5 Bisturi No. 10 Pcs 2,660.00 0 -
38.6 Bisturi No. 11 Pcs 2,660.00 0 -
38.7 Bisturi No. 15 Pcs 2,660.00 0 -
38.8 Cat gut chromic No.2/0 Set 8,916.67 12 12 107,000.00
38.9 Catgut Cromic 3/0 HR-27, 75 cm Pcs 8,980.29 37 37 332,270.79
38.10 Cat gut plain No.2/0 Set 8,968.75 0 -
38.11 Catgut Plain 2/0 HR-27, 75 cm Pcs 45,015.63 0 -
38.12 Disposible /Jarum Suntik 0,05 ml Pcs 3,000.00 226 226 678,000.00
38.14 Disposible/Jarum Suntik 1 ml Pcs 1,540.00 133 17 150 231,000.00
38.15 Disposible /Jarum Suntik 2,5 ml Pcs 1,245.60 0 -
38.16 Disposible /Jarum Suntik 3 ml Pcs 860.46 155 18 8 181 155,743.26
38.17 Disposible /Jarum Suntik 5 ml Pcs 1,031.33 258 8 266 274,333.78
38.18 Folley Catheter 2 way no. 16 Pcs 10,000.00 96 96 960,000.00
38.19 Folley Catheter 2 way no. 18 Pcs 10,000.00 86 2 88 880,000.00
38.20 Hand SchoenSteril no: 6,5 Powder Free Psg 5,720.00 87 12 99 566,280.00
38.21 Hand SchoenSteril no: 7 Powder Free set 5,720.00 36 5 41 234,520.00
38.22 Hand SchoenSteril no: 7,5 Powder Free Set 7,585.00 25 50 75 568,875.00
38.23 Sarung Tangan Panjang no.7 psg 14,000.00 0 -
38.24 Hand Schoen Non Steril Powder Free M Psg 672.10 100 100 67,210.00
38.25 Hand Schoen Non Steril Powder Free L Psg 672.10 200 24 224 150,550.40
38.26 Infus set Anak Pcs 3,500.00 10 10 35,000.00
38.27 Infus set Dewasa Pcs 6,891.00 6 9 15 103,365.00
38.28 Jelly 82 gram Tube 36,933.00 7 7 258,531.00
38.29 Kain kasa roll panjang 40 X 80 Roll 146,250.00 0 -
38.30 Kapas pembalut / adsorben 250 g Roll 12,500.00 7 1 8 100,000.00
38.31 Kasa pembalut hidrofil 16 X 16 cm ( steril ) Kotak 10,000.00 0 -
38.32 Kasa pembalut hidrofil 4m X 15 cm Roll 700.00 0 -
38.33 Kasa Hidrofil 4 x 10 cm Roll 720.00 20 16 36 25,920.00
38.34 Kantong Urine Dewasa Psc 3,750.00 0 -
38.35 Masker Mulut Pcs 550.00 199 2 6 1 208 114,400.00
38.36 Masker N95 1880S Pcs 20,100.00 5 5 100,500.00
38.37 Masker N95 1870 Pcs 21,600.00 0 -
38.38 Plester 5 yard X 2 Inchi Roll 6,716.67 0 -
38.39 Plester 5 cm x 5 m Roll 29,700.00 0 -
38.40 Plester non Woven Roll 10 x 5 cm Roll 51,700.00 3 1 1 5 258,500.00
38.41 Silk (benang bedah sutera) no. 3/0 Set 5,555.56 17 17 94,444.44
38.42 Silk Black 2/0 HR-27,75 cm Pcs 42,443.17 0 -
38.43 Transfusi set Set 4,500.00 0 -
38.44 Wing nidle no.23 G Pcs 1,750.00 0 -
38.45 Wing nidle no.25 G Pcs 1,750.00 10 10 17,500.00
39 Anti Haemoroid - 0 -
39.1 Antihemaroid suppositoria Supp 3,806.00 10 10 38,060.00
40 Lain - lain - 0 -
40.1 Fenol Gliseril TT Botol 1,087.50 0 -
40.2 Plastik Klips uk. 10 x 7 (sedang) Pcs 31.00 700 200 900 27,900.00
40.3 Plastik Klips uk. 11 x 17 (besar) Pcs 85.00 2000 100 2100 178,500.00
40.4 Plastik Klips uk. 6 x 4 (kecil) Pcs 13.00 1600 65 1665 21,645.00
40.5 Reagen Golongan Darah Set 515,000.00 0 -
40.6 Kartu Golongan Darah Lbr 200 200 -
40.7 Benechek Tets Asam Urat (JKN) Test 5,414.00 0 -
40.8 Benechek Tets Glukosa (JKN) Test 3,355.48 0 -
40.9 Benechek Tets Kolesterol (JKN) Test 23,980.20 0 -
40.10 Sarung Tangan Obgyn steril (JKN) Pasang 24,200.00 15 15 363,000.00
40.11 Handschoen 6,5 (DAU) Psg 5,470.00 0 -
40.12 Handschoen 7 (DAU) Psg 5,470.00 0 -
40.13 Handschoen 7,5 (DAU) Psg 5,470.00 0 -
40.14 Handschoen L (DAU) psg 420.00 0 -
40.15 Handschoen M (DAU) psg 420.00 0 -
40.16 Sputum pot (JKN) Buah 3,410.00 0 -
40.17 Erytromicyn 250 mg Tablet 70 70
37,041,980.08
0
0
0
0
1406
0
2010
690
9332
27
0
0
0
0
853
0
0
0
0
37
3
0
3
1738
100
0
10
28
60
0
1183
0
4
0
0
0
0
0
0
0
0
0
0
118
0
0
0
0
0
366
1279
37
0
0
0
44
0
0
335
0
300
0
590
160
0
0
0
13
0
29
0
1780
0
0
0
0
0
33
41
0
0
100
0
0
0
1
0
0
0
0
2
4
0
0
20
0
0
2
0
0
0
0
0
157
30
0
31
47
130
11
15
0
0
0
0
0
27
0
0
0
0
0
0
94
54
50
0
0
0
0
0
0
0
0
0
2
1
0
0
0
0
0
0
800
60
35
565
90
5
720
0
2292
0
4320
5
0
0
0
1430
0
0
0
0
50
115
136
540
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
264
0
60
0
3450
0
0
1290
0
0
0
194
0
1
1
4
1
5
0
0
0
0
0
32
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
20
0
100
100
0
89
0
0
87
68
0
5
0
6
0
105
0
10
12
19
370
75
0
0
5
34
69
0
3
0
10
0
0
0
1068
9
0
0
70
0
0
0
170
100
0
0
0
0
0
0
0
100
0
0
345
0
0
0
0
0
0
0
0
80
0
0
0
0
0
0
1
3
0
0
18
39
40
23
0
2
0
2
15
1
0
24
0
17
16
12
10
0
0
0
12
37
0
0
226
271
150
0
181
266
96
88
99
41
75
0
100
224
10
15
7
0
8
0
0
36
0
208
5
0
0
0
5
17
0
0
0
10
0
0
10
0
0
900
2100
1665
0
200
0
0
0
15
0
0
0
0
0
0
70

BULAN: JANUARI
GUDANG NAMA SUB UNIT

NO NAMA OBAT SATUAN HARGA SATUAN JUMLAH TOTAL HARGA
OBAT APOTEK PUSTU VK POL. TLM POL.GIGI
1.2.1 Antalgin 500 mg Tablet 308.00 500 500 154,000.00
1.2.3 Asam Mefenamat 500 mg Tablet 440.00 1200 428 110 1738 764,720.00
1.2.5 Ibuprofen 400 mg Tablet 495.00 0 -
1.2.7 Parasetamol 500 mg Tablet 287.00 1200 587 70 10 20 1887 541,569.00
1.2.8 Parasetamol Syrup 120 mg/ml-2ml Botol 6,600.00 0 -
1.2.9 Parasetamol drop 100 mg/ml Botol 8,311.00 33 33 274,263.00
1.2.11 Piroksikam 20 mg Tablet 440.00 200 70 270 118,800.00
1.3 Antipirai - 0 -
1.3.1 Alopurinol 100 mg Tablet 114.00 500 23 120 50 693 79,002.00
2.0 Anestetik - 0 -
2.1.1 Lidokain Hcl injeksi 2 ml Ampul 1,529.00 9 6 15 22,935.00
2.1.2 Lidokain compositum injeksi 2 ml Ampul 1,473.00 23 3 26 38,298.00
3.1 Adrenalin/ Epinefrin Injeksi Ampul 2,000.00 5 5 10,000.00
3.2 Chloramfeniramin Maleat 4 mg (CTM) Tablet 25.00 0 -
3.3 Cetrizin 10 mg Tablet 111.00 400 88 488 54,168.00
3.4 Deksametason 0,5 mg Tablet 250.00 1800 189 50 2039 509,750.00
3.6 Difenhidramin Hcl Injeksi Ampul 1,320.00 0 -
3.7 Loratidin 10 mg Tablet 150.00 0 -
4.1 Magnesium Sulfat injeksi 20%-25ml Vial 3,328.00 3 3 9,984.00
6 Antelmintik - 0 -
6.3 AlbendazoleSyrup Botol 5,000.00 46 46 230,000.00
7 Antifilaria - 0 -
8 Antibakteri - 0 -
8.10 Cefadroxil 500 mg Tablet 495.00 0 -
8.11 Cefadroxil Syrup Botol 6,215.00 0 -
8.17 Erytromicyn 250 mg Tablet 693.00 25 25 17,325.00
8.19 Gentamicin Salep Kulit 0.1% Tube 6,600.00 9 4 13 85,800.00
8.23 Kloramfenikol Salep Mata 1%-5g Tube 2,305.00 38 2 2 42 96,810.00
8.24 Kloramfenikol Tetes Telinga 3%-5ml Botol 15,000.00 17 17 255,000.00
8.25 Kotrimoksazol Dewasa Kombinasi 480 mg Tablet 132.00 500 152 60 60 772 101,904.00
8.27 Kotrimoksazole Suspensi Botol 2,300.00 4 4 9,200.00
8.29 Metronidaszole 500 mg Tablet 286.00 100 80 100 280 80,080.00
8.30 Metronidazol injeksi Vial 8,110.00 0 -
8.33 Oksitetrasiklin Salep Mata 1 %-5g Tube 2,774.00 23 5 1 1 30 83,220.00
8.35 Salep kulit Bacitrasin Tube 33,000.00 20 3 23 759,000.00
9 KUSTA - 0 -
9.1 Obat Kusta MB Dewasa Blister 31,760.00 1 1 31,760.00
9.4 Obat Kusta PB anak Blister 13,300.00 0 -
10 Program TBC - 0 -
10.1 OAT Kategori anak Paket 310,153.00 0 -
10.2 OAT Kar I Kombipak Paket 317,018.00 0 -
10.3 FDC 1 & III Paket 519,339.00 2 2 1,038,678.00
10.4 FDC 2 Paket 1,731,230.00 1 1 1,731,230.00
10.6 Sputum pot Buah 5,890.00 280 280 1,649,200.00
10.7 Anisol 100 cc btl/100 cc 550,000.00 0 -
10.8 Anisol 1000 cc btl/1000 cc 560,000.00 0 -
10.9 Isoniazid 100 mg Tablet 228.00 0 -
10.13 Cycloserine (Cs) Tablet 4,118.00 0 -
10.14 Risperidon 2 mg Tablet 114.00 0 -
11 Antifungi - 0 -
11.1 Gentian Viloet larutan 1% Botol 3,294.00 5 5 16,470.00
11.4 Ketokonazol krim 2 % Tube 2,893.00 11 3 14 40,502.00
11.5 Miconazol cream Tube 4,268.00 4 4 4 12 51,216.00
11.8 Salep Kulit 2 - 4 % Pot 3,277.00 11 11 36,047.00
11.9 Salep Kulit 3 - 6 % Pot 5,620.00 15 15 84,300.00
12 Program Malaria - 0 -
12.1 Abatte Kg 120,000.00 0 -
12.2 Abate 1 kg Kg 178,200.00 0 -
12.3 Abate Cair Ltr 440,000.00 0 -
12.8 Blood Lancet Pcs 832.50 0 -
12.12 Kinina 222 mg/ tablet Tablet 3,000.00 0 -
12.13 Komb. Sulfadoksin 500 mg + Pirimetamin 25 m Tablet 712.00 0 -
12.15 Rapid Test Malaria Pcs 14,934.00 0 -
12.18 Reagen Giemsa 100 cc Botol 880,000.00 1 1 880,000.00
12.20 Sarung tangan disposible Kotak 40,000.00 0 -
12.21 Slide Box Buah 82,971.00 0 -
12.22 Slide (Obyek gelass) Pcs 277.78 936 936 260,000.00
12.23 Slide Folder Chip Board (Slide box) ktk 126,700.00 0 -
12.24 Safety Box 2,5 ml Pcs 16,885.00 0 -
12.25 Safety Box 5 ml Pcs 18,625.00 0 -
12.26 Tisu Lensa Buah 26,100.00 0 -
12.27 Tisu Rol Roll 5,000.00 0 -
12.28 Wab Disinfektan Kotak 10,400.00 0 -
13.1 Bethahistin 6 mg Tablet 134.00 160 160 21,440.00
14.4 Piridoksin HCl 10 mg Tablet 164.00 200 190 10 400 65,600.00
14.7 Vitamin B 1 ( Thiamin HCl) 100 mg Tablet 98.00 1000 480 80 1560 152,880.00
15 Program KIA / Gizi - 0 -
15.1 Besi (II) Tablet salut kombinasi Tablet 445.00 8130 440 170 1440 10180 4,530,100.00
15.2 Calcium Gluconas Ampul 9,955.00 0 -
15.3 HBSAG Strip ea 8,200.00 0 -
15.6 Kalsium Laktat ( Kalak ) Tablet 66.00 1000 360 60 60 390 1870 123,420.00
15.8 Larutan HCL 0,1 N Set 74,909.00 2 2 149,818.00
15.12 Under Pad Pcs 9,480.00 2 2 18,960.00
15.13 HCG Pregnancy Test (Test Hamil) Ktk 2,423.75 0 -
15.14 Urine gluco protein test Srip 1,306.00 0 -
16.1 Articulating Paper Pak 229,500.00 3 3 688,500.00
16.2 Bahan Bonding Pcs 2,265,000.00 0 -
16.3 Composite 3M A1 Pcs 550,000.00 0 -
16.4 Composite 3M A2 Pcs 550,000.00 0 -
16.5 Composite 3M A3 Pcs 550,000.00 0 -
16.6 Composite 3M B1 Pcs 1,275,000.00 0 -
16.7 Composite 3M B2 Pcs 1,275,000.00 0 -
16.10 Cavit W Box 312,000.00 0 -
16.13 Darryan Tulle Roll 29,998.00 0 -
16.15 Deppen Dish Pcs 41,000.00 0 -
16.20 ETSA Pcs 439,500.00 0 -
16.24 GIC Fuji G Pcs 1,649,500.00 0 -
16.26 Kalsium Hidroksida Paste/Calcidor/hydcal Tec Pcs 439,700.00 0 -
16.27 Matabur Pcs 494,750.00 0 -
17 Diuretika - 0 -
17.1 Furosemida 40 mg Tablet 88.00 0 -
19.1 Glibenklamid 5 mg Tablet 240.00 300 160 120 580 139,200.00
20 Anti Kolesterol 0 -
21.1 Bayclin cairan Botol 65,000.00 3 1 4 260,000.00
21.3 Etanol 70% (Alkohol ) 1 liter Botol 31,478.00 0 -
21.4 Lisol Cairan 1 liter Botol 80,000.00 1 1 80,000.00
21.5 Povidon Iodida 10%- 300 ml Botol 22,018.00 0 -
22.2 Kaporit Galon15 kg 550,000.00 0 -
22.3 Malation liter 250,000.00 0 -
23.5 Determinan Set 60,000.00 0 -
23.6 Intec Periksa Sifilis Kapsul 26,889.30 0 -
23.7 Ofloxacin 200 mg Set 708.12 0 -
23.8 Oncoprobe Tablet 23,386.00 0 -
23.9 One step Anti HIV (1.2) Triline (test Lard ) Inte Pcs 22,450.00 0 -
23.10 Rapid Test Reagent HIV / AIDS pcs 28,000.00 0 -
23.11 Reagen HIV 1/2.3 SD Set 14,340.00 0 -
23.12 Rapid Test SD Biolin HIV 1/2 3.0 Set 11,975.00 150 150 1,796,250.00
23.13 Rapid Test 3 (VIKIA 1/2) set 19,480.00 0 -
23.14 Reagen Rapid 2 HIV Test 13,755.00 0 -
23.15 Reagen CD4 Control Test 643,500.00 0 -
23.16 RPR Syphilis Test 909,480.00 0 -
23.17 Reagen Anti HCV Test 13,329.00 0 -
23.18 Reagen Anti HBS u/ Dewasa Test 19,800.00 0 -
23.19 Reagen CD4 Mobile Test 158,400.00 0 -
23.20 Rapid Test Syphilis Bio Sensor (AB) Pcs 20,400.00 0 -
23.21 Rapid Test HIV 2 KHB Diagnostik Test 12,500.00 0 -
23.22 Diagnostar DS HIV 1/2 Rapid Test Test 14,815.00 0 -
24.1 Amlodipin Kapsul 5 mg Kapsul 83.00 1,600 318 240 20 2178 180,774.00
24.2 Captopril 12,5 mg Tablet 79.00 1400 230 1630 128,770.00
24.4 Digoksin 0, 25 mg Tablet 104.00 0 -
24.5 HCT 25 mg Tablet 194.00 100 100 19,400.00
24.6 Isosorbit Dinitrat Sublingual 5 Mg Tablet 163.00 92 92 14,996.00
24.8 Propanolol 40 mg Tablet 92.00 0 -
25.1 Betametason Salep Kulit Tube 1,622.00 35 5 4 1 45 72,990.00
26 Keratolitik dan keratoplastik - 0 -
26.1 Bedak salisilat serbuk 2 % Kotak 6,671.00 5 5 33,355.00
27.1 Air untuk injeksi 20 ml Ampul 2,200.00 0 -
27.2 Aqua Pro Injeksi 500 ml Btl 88,000.00 5 5 440,000.00
27.7 NaCl 0,9%-500 ml lar.infus Flakon 6,840.00 14 5 19 129,960.00
27.9 Potassium Chloride ( Kalium Klorida ) Tablet 1,700.00 0 -
27.10 Zinc Tablet 658.00 500 60 80 640 421,120.00
28.1 Metilergometrin 0,200 mg inj. Ampul 3,696.00 0 -
28.2 Metilergometrin Maleat 0,125 mg Tablet 283.00 100 100 28,300.00
29 Sedativa - 0 -
30 Antidepresi dan Antimania 0 -
30.1 Amitripylin 25 mg Tablet 168.00 100 100 16,800.00
30.2 Halloperidol 0.5 mg Tablet 56.00 0 -
30.3 Triheksifenidil Tablet 880.00 0 -
31.1 Klorpromazin HCl 100 mg Tablet 440.00 200 200 88,000.00
32.5 Omeprazole 20 mg Tablet 150.00 0 -
32.6 Ranitidin 150 mg Tablet 462.00 105 105 48,510.00
33 AntiDiare 0 -
33.1 Atapulgit tab 600 mg Tablet 189.00 140 140 26,460.00
33.2 Loperamid tablet 2 mg Tablet 400.00 0 -
34.3 Papaverin tablet Tablet 330.00 100 100 33,000.00
35 Antiasma - 0 -
35,1 Aminofilin 24 mg Injeksi Ampul 3,280.00 0 -
35,2 Aminofilin 200 mg Tablet 105.00 100 100 10,500.00
35,3 Efedrin 25 mg Tablet 197.00 0 -
35,4 Salbutamol 2 mg Tablet 113.44 0 -
35,5 Salbutamol 4 mg Tablet 220.00 400 20 420 92,400.00
35,6 Ventolin Ampul 22,000.00 0 -
36.1 Ambroxol 30 mg Tablet 308.00 200 208 408 125,664.00
36.2 Ambroxol Syrup 60 ml Botol 5,900.00 5 5 29,500.00
36.3 Glyseril Guayakolat 100 mg Tablet 235.00 1,000 332 90 1422 334,170.00
36.4 Kodein 10 mg Tablet 685.00 0 -
36.5 Obat Batuk Hitam ( OBH ) Sirup 100 ml Botol 4,831.00 10 10 48,310.00
37 Antiemetik - 0 -
37.1 Domperidon Tablet 648.00 0 -
37.2 Donperidon Syrup Botol 19,998.00 0 -
38 Serum - 0 -
38,2 Serum anti Tetanus inj. 1.500 IU/amp. (ATS) Ampul 130,999.00 0 -
39 Vaksin - 0 -
39.1 BCG Vaccine SSI 10 dosis Vial 54,500.00 4 4 218,000.00
39.2 Pelarut BCG Vial - 1 1 -
39.3 Campak 10 dosis @ 0,5 ml Vial 25,640.00 0 -
39.4 Pelarut Campak Kering @ 5 ml Ampul - 0 -
39.5 DPT-HB-Hib 5 dosis @ 0,5 ml Vial 70,232.00 4 4 280,928.00
39.6 DT 10 dosis @ 0,5 ml Vial 16,360.00 36 36 588,960.00
39.7 Dropper Polio Vial - 19 19 -
39.8 HB 0-7 hr @ 0,5 ml Vial 20,900.00 45 45 940,500.00
39.9 HBIg Buah 1,325,000.00 0 -
39.10 HB Dewasa Buah 52,052.00 0 -
39.11 MR Vial 141,648.00 5 5 708,240.00
39.12 Pelarut MR Vial 5 5 -
39.13 Meningitis Vial 307,400.00 0 -
39.14 Polio @ 1 ml/OPV Vial 19,954.00 24 24 478,896.00
39.15 Polio IPV Vial 137,610.00 0 -
39.16 Pipet Polio 0 -
39.17 TD 10 dosis @ 0,5 ml Vial 15,000.00 19 19 285,000.00
41 Bahan Medis Habis Pakai - 0 -
41.2 Abocath /IV cateter 20 G Pcs 6,585.00 1 8 9 59,265.00
41.3 Abocath/IV cateter 22 G Pcs 6,500.00 13 9 22 143,000.00
41.4 Abocath /IV Cateter 24 G Pcs 6,652.00 0 -
41.5 Bisturi No. 10 Pcs 2,660.00 4 4 10,640.00
41.6 Bisturi No. 11 Pcs 2,660.00 0 -
41.7 Bisturi No. 15 Pcs 2,660.00 0 -
41.8 Cat gut chromic No.2/0 Set 8,916.67 3 3 26,750.00
41.9 Catgut Cromic 3/0 HR-27, 75 cm Pcs 8,980.29 8 19 27 242,467.88
41.12 Catgut Plain 3/0 26 mm 2,963.17 0 -
41.15 Disposible/Jarum Suntik 1 ml Pcs 852.78 145 16 161 137,297.58
41.19 Folley Catheter 2 way no. 16 Pcs 10,000.00 0 -
41.20 Folley Catheter 2 way no. 18 Pcs 10,000.00 86 86 860,000.00
41.21 Hand SchoenSteril no: 6,5 Powder Free Psg 5,720.00 26 4 2 32 183,040.00
41.22 Hand SchoenSteril no: 7 Powder Free Buah 5,720.00 0 -
41.23 Hand SchoenSteril no: 7,5 Powder Free Buah 5,720.00 14 31 3 48 274,560.00
41.24 Sarung Tangan Obgyn steril psg 24,200.00 0 -
41.25 Hand Schoen Non Steril Powder Free M Psg 672.10 200 70 270 181,467.00
41.26 Hand Schoen Non Steril Powder Free L Psg 672.10 100 100 67,210.00
41.27 Infus set Anak Pcs 7,987.00 8 1 9 71,883.00
41.29 Jelly 82 gram Tube 36,937.28 0 -
41.30 Kain kasa roll panjang 40 X 80 Roll 169,740.00 1 1 169,740.00
41.31 Kapas pembalut / adsorben 250 g Roll 12,500.00 0 -
41.32 Kasa pembalut hidrofil 16 X 16 cm ( steril ) Kotak 4,830.00 3 3 14,490.00
41.34 Kasa Hidrofil 4 x 10 cm Roll 720.00 40 40 28,800.00
41.35 Kantong Urine Dewasa (Urine Bag) Psc 5,982.00 0 -
41.36 Masker Mulut Ear Loop Pcs 531.82 0 -
41.37 Masker N95 1880S Box 20,100.00 1 1 20,100.00
41.38 Masker N95 1870 Box 21,600.00 0 -
41.39 Masker N95 3M 1860 Pcs 23,510.00 0 -
41.42 Plester non Woven Roll 10 x 5 cm Roll 51,700.00 7 1 8 413,600.00
41.43 Silk (benang bedah sutera) no. 3/0 Set 3,055.56 22 22 67,222.22
41.46 Umbilical Cord Klem Pcs 1,625.00 0 -
41.50 Benechek Tets Asam Urat Test 7,527.00 0 -
41.51 Benechek Tets Glukosa Test 3,435.00 500 500 1,717,500.00
41.52 Benechek Tets Kolesterol Test 28,660.70 0 -
41.55 Plastik Klips uk. 10 x 7 (sedang) Pcs 31.00 0 -
41.56 Plastik Klips uk. 11 x 17 (besar) Pcs 85.00 0 -
41.65 Kit Food Security Set 35,000,000.00 0 -
42 OBAT JKN KAPITASI PUSKESMAS 0 -
42.1 Ambroxol Syrup Botol 5,996.00 0 -
42.2 Asam Tranexmat 500 mg Tablet 2,696.00 0 -
42.3 Catopril 12,5 mg Tablet 218.00 0 -
42.4 Catopril 125 mg Tablet 143.00 0 -
42.6 Cefixime sy Botol 19,998.00 0 -
42.7 Ceftriakson inj Ampul 9,998.00 0 -
42.8 Chloramfenicol TT Botol 14,998.00 0 -
42.9 Cimetidin 200 mg Tablet 328.00 0 -
42.10 Clopidogrel 75 mg Tablet 3,198.00 0 -
42.11 CTM Tablet 25.00 1728 195 1923 48,075.00
42.12 Difenhidramin inj Ampul 1,320.00 0 -
42.13 Donperidon 10 mg Tablet 648.00 0 -
42.14 Gentamicin SK Tube 6,598.00 0 -
42.15 ISDN 5 mg Tablet 163.00 0 -
42.16 Metyl Prednisolon Tablet 152.00 0 -
42.17 OBH Syrup 100 ml Botol 4,830.00 0 -
42.18 Oksitetrasiklin SK Tube 4,498.00 0 -
42.19 Piroxicam 20 mg Tablet 438.00 0 -
42.20 Salep Hitam (Ichtyol) Tube 9,998.00 0 -
42.21 Ventolin Botol 21,998.00 0 -
42.22 Benechek stik Asam Urat @ 25 (JKN) Strip 7,200.00 0 -
42.23 Benechek stik Asam Glukosa @ 25 (JKN) Strip 4,620.00 375 375 1,732,500.00
42.24 Benechek stik Asam Kolesterol @ 10 (JKN) Strip 30,000.00 0 -
42.25 Vaseline Pcs 249,800.00 0 -
JUMLAH 37,073,146.57

BULAN: FEBRUARI

1.2.3 Asam Mefenamat 500 mg Tablet 440.00 1400 538 50 1988 874,720.00
1.2.7 Parasetamol 500 mg Tablet 287.00 2500 547 50 120 3217 923,279.00
1.3 Antipirai - 0 -
1.3.1 Alopurinol 100 mg Tablet 114.00 300 193 120 613 69,882.00
2.0 Anestetik - 0 -
2.1.1 Lidokain Hcl injeksi 2 ml Ampul 1,529.00 5 5 7,645.00
3.6 Difenhidramin Hcl Injeksi Ampul 1,320.00 0 -
6 Antelmintik - 0 -
7 Antifilaria - 0 -
8 Antibakteri - 0 -
8.19 Gentamicin Salep Kulit 0.1% Tube 6,600.00 9 9 59,400.00
8.29 Metronidaszole 500 mg Tablet 286.00 100 60 160 45,760.00
8.33 Oksitetrasiklin Salep Mata 1 %-5g Tube 2,774.00 23 5 1 29 80,446.00
9 KUSTA - 0 -
9.1 Obat Kusta MB Dewasa Blister 31,760.00 0 -
10.3 FDC 1 & III Paket 519,339.00 22 22 11,425,458.00
10.4 FDC 2 Paket 1,731,230.00 1 1 1,731,230.00
10.6 Sputum pot Buah 5,890.00 260 260 1,531,400.00
10.7 Anisol 100 cc btl/100 cc 550,000.00 0 -
10.8 Anisol 1000 cc btl/1000 cc 560,000.00 0 -
11 Antifungi - 0 -
11.8 Salep Kulit 2 - 4 % Pot 3,277.00 11 11 36,047.00
11.9 Salep Kulit 3 - 6 % Pot 5,620.00 15 15 84,300.00
12.1 Abatte Kg 120,000.00 0 -
12.2 Abate 1 kg Kg 178,200.00 0 -
12.3 Abate Cair Ltr 440,000.00 0 -
12.6 ACT tab(ARTERAKINE)/Darpleks Tablet 2,070.00 0 -
12.13 Komb. Sulfadoksin 500 mg + Pirimetamin 2 Tablet 712.00 0 -
12.21 Slide Box Buah 82,971.00 0 -
12.24 Safety Box 2,5 ml Pcs 16,885.00 0 -
12.25 Safety Box 5 ml Pcs 18,625.00 9 9 167,625.00
12.26 Tisu Lensa Buah 26,100.00 0 -
12.27 Tisu Rol Roll 5,000.00 0 -
14.4 Piridoksin HCl 10 mg Tablet 164.00 100 116 10 80 306 50,184.00
15.1 Besi (II) Tablet salut kombinasi Tablet 445.00 5310 190 140 180 510 6330 2,816,850.00
15.3 HBSAG Strip ea 8,200.00 0 -
15.8 Larutan HCL 0,1 N Set 74,909.00 2 2 149,818.00
15.11 Retinol (Vit. A) caps. lunak 200.000 IU Kapsul 552.00 144 16 160 88,320.00
15.12 Under Pad Pcs 9,480.00 0 -
16.3 Composite 3M A1 Pcs 550,000.00 0 -
16.4 Composite 3M A2 Pcs 550,000.00 0 -
16.5 Composite 3M A3 Pcs 550,000.00 0 -
16.6 Composite 3M B1 Pcs 1,275,000.00 0 -
16.7 Composite 3M B2 Pcs 1,275,000.00 0 -
16.10 Cavit W Box 312,000.00 0 -
16.15 Deppen Dish Pcs 41,000.00 0 -
16.20 ETSA Pcs 439,500.00 0 -
16.24 GIC Fuji G Pcs 1,649,500.00 0 -
16.26 Kalsium Hidroksida Paste/Calcidor/hydcal Pcs 439,700.00 0 -
16.27 Matabur Pcs 494,750.00 0 -
16.28 Monoklorkamfer mentol cairan ( CHKM ) 20 Botol 164,700.00 0 -
17 Diuretika - 0 -
21.4 Lisol Cairan 1 liter Botol 80,000.00 0 -
22.2 Kaporit Galon15 kg 550,000.00 0 -
22.3 Malation liter 250,000.00 0 -
23.5 Determinan Set 60,000.00 0 -
23.6 Intec Periksa Sifilis Kapsul 26,889.30 0 -
23.7 Ofloxacin 200 mg Set 708.12 0 -
23.9 One step Anti HIV (1.2) Triline (test Lard ) I Pcs 22,450.00 0 -
23.11 Reagen HIV 1/2.3 SD Set 14,340.00 0 -
23.12 Rapid Test SD Biolin HIV 1/2 3.0 Set 11,975.00 125 125 1,496,875.00
24.1 Amlodipin Kapsul 5 mg Kapsul 83.00 1300 420 240 1960 162,680.00
24.5 HCT 25 mg Tablet 194.00 100 100 19,400.00
27.1 Air untuk injeksi 20 ml Ampul 2,200.00 10 10 22,000.00
27.10 Zinc Tablet 658.00 300 200 80 580 381,640.00
29 Sedativa - 0 -
32.1 Antasida DOEN 500 mg Tablet 58.00 600 390 90 1080 62,640.00
32.6 Ranitidin 150 mg Tablet 462.00 500 75 575 265,650.00
33 AntiDiare 0 -
35 Antiasma - 0 -
35,2 Aminofilin 200 mg Tablet 105.00 0 -
35,6 Ventolin Ampul 22,000.00 0 -
36.3 Glyseril Guayakolat 100 mg Tablet 235.00 1500 689 60 2249 528,515.00
36.4 Kodein 10 mg Tablet 685.00 100 100 68,500.00
37 Antiemetik - 0 -
38 Serum - 0 -
38.1 Serum anti bisa ular polivalen inj. 5 ml (ABU Vial 512,204.00 0 -
38,2 Serum anti Tetanus inj. 1.500 IU/amp. (ATS Ampul 130,999.00 0 -
39 Vaksin - 0 -
39.2 Pelarut BCG Vial - 0 -
39.5 DPT-HB-Hib 5 dosis @ 0,5 ml Vial 70,232.00 37 37 2,598,584.00
39.6 DT 10 dosis @ 0,5 ml Vial 16,360.00 36 36 588,960.00
39.8 HB 0-7 hr @ 0,5 ml Vial 20,900.00 36 36 752,400.00
39.9 HBIg Buah 1,325,000.00 0 -
39.10 HB Dewasa Buah 52,052.00 0 -
39.11 MR Vial 141,648.00 3 3 424,944.00
39.13 Meningitis Vial 307,400.00 0 -
39.14 Polio @ 1 ml/OPV Vial 19,954.00 36 36 718,344.00
39.15 Polio IPV Vial 137,610.00 0 -
39.17 TD 10 dosis @ 0,5 ml Vial 15,000.00 21 21 315,000.00
41.5 Bisturi No. 10 Pcs 2,660.00 4 4 10,640.00
41.6 Bisturi No. 11 Pcs 2,660.00 0 -
41.7 Bisturi No. 15 Pcs 2,660.00 0 -
41.8 Cat gut chromic No.2/0 Set 8,916.67 24 1 25 222,916.67
41.12 Catgut Plain 3/0 26 mm 2,963.17 0 -
41.13 Disposible /Jarum Suntik 0,05 ml Pcs 1,453.32 245 3 248 360,423.36
41.15 Disposible/Jarum Suntik 1 ml Pcs 852.78 144 144 122,800.32
41.17 Disposible /Jarum Suntik 3 ml Pcs 861.32 154 17 2 1 174 149,869.68
41.21 Hand SchoenSteril no: 6,5 Powder Free Psg 5,720.00 67 15 1 83 474,760.00
41.23 Hand SchoenSteril no: 7,5 Powder Free Buah 5,720.00 0 -
41.25 Hand Schoen Non Steril Powder Free M Psg 672.10 0 -
41.26 Hand Schoen Non Steril Powder Free L Psg 672.10 0 -
41.29 Jelly 82 gram Tube 36,937.28 0 -
41.37 Masker N95 1880S Box 20,100.00 1 1 20,100.00
41.38 Masker N95 1870 Box 21,600.00 0 -
41.39 Masker N95 3M 1860 Pcs 23,510.00 0 -
41.42 Plester non Woven Roll 10 x 5 cm Roll 51,700.00 6 6 310,200.00
41.43 Silk (benang bedah sutera) no. 3/0 Set 3,055.56 20 1 21 64,166.67
41.55 Plastik Klips uk. 10 x 7 (sedang) Pcs 31.00 1000 1000 31,000.00
41.56 Plastik Klips uk. 11 x 17 (besar) Pcs 85.00 1000 1000 85,000.00
42.11 CTM Tablet 25.00 1440 148 1588 39,700.00
42.15 ISDN 5 mg Tablet 163.00 0 -
42.21 Ventolin Botol 21,998.00 0 -
42.23 Benechek stik Asam Glukosa @ 25 (JKN) Strip 4,620.00 325 325 1,501,500.00
42.24 Benechek stik Asam Kolesterol @ 10 (JKN Strip 30,000.00 0 -
42.25 Vaseline Pcs 249,800.00 0 -
JUMLAH 47,961,898.63

BULAN: MARET

1.1.1 Petidin Injeksi 50 mg/ml Ampul 17,400.00 -
1.2 Analgetik Non Narkotik - -
1.2.11 Piroksikam 20 mg Tablet 440.00 170 170 74,800.00
1.3 Antipirai - 0 -
2.0 Anestetik - 0 -
2.1.1 Lidokain Hcl injeksi 2 ml Ampul 1,529.00 4 3 5 12 18,348.00
3.6 Difenhidramin Hcl Injeksi Ampul 1,320.00 5 5 6,600.00
6 Antelmintik - 0 -
7 Antifilaria - 0 -
8 Antibakteri - 0 -
8.2 Amoksisilin 500 mg Kaplet 269.00 0 -
8.3 Amoksisilin Syrup kering Botol 4,172.00 0 -
8.32 Oksitetrasiklin Salep Kulit 3 %-5g Tube 4,500.00 10 1 5 16 72,000.00
9 KUSTA - 0 -
10.3 FDC 1 & III Paket 519,339.00 21 21 10,906,119.00
10.4 FDC 2 Paket 1,731,230.00 1 1 1,731,230.00
10.6 Sputum pot Buah 5,890.00 200 200 1,178,000.00
10.7 Anisol 100 cc btl/100 cc 550,000.00 0 -
10.8 Anisol 1000 cc btl/1000 cc 560,000.00 0 -
11 Antifungi - 0 -
11.4 Ketokonazol krim 2 % Tube 2,893.00 11 11 31,823.00
11.6 Nistatin tablet salut 500.000 IU Tab.Salut 990.00 0 -
11.8 Salep Kulit 2 - 4 % Pot 3,277.00 10 10 32,770.00
11.9 Salep Kulit 3 - 6 % Pot 5,620.00 0 -
12.1 Abatte Kg 120,000.00 0 -
12.2 Abate 1 kg Kg 178,200.00 0 -
12.3 Abate Cair Ltr 440,000.00 0 -
12.15 Rapid Test Malaria Pcs 14,934.00 50 50 746,700.00
12.21 Slide Box Buah 82,971.00 0 -
12.24 Safety Box 2,5 ml Pcs 16,885.00 0 -
12.25 Safety Box 5 ml Pcs 18,625.00 7 7 130,375.00
12.26 Tisu Lensa Buah 26,100.00 0 -
12.27 Tisu Rol Roll 5,000.00 0 -
14.1 Asam Askorbat ( Vitamin C 50 mg Tablet 131.00 1000 556 150 50 90 1846 241,826.00
15.1 Besi (II) Tablet salut kombinasi Tablet 445.00 4530 500 650 260 5940 2,643,300.00
15.3 HBSAG Strip ea 8,200.00 0 -
15.8 Larutan HCL 0,1 N Set 74,909.00 1 1 74,909.00
15.12 Under Pad Pcs 9,480.00 0 -
16.3 Composite 3M A1 Pcs 550,000.00 0 -
16.4 Composite 3M A2 Pcs 550,000.00 0 -
16.5 Composite 3M A3 Pcs 550,000.00 0 -
16.6 Composite 3M B1 Pcs 1,275,000.00 0 -
16.7 Composite 3M B2 Pcs 1,275,000.00 0 -
16.10 Cavit W Box 312,000.00 0 -
16.15 Deppen Dish Pcs 41,000.00 0 -
16.20 ETSA Pcs 439,500.00 0 -
16.24 GIC Fuji G Pcs 1,649,500.00 0 -
16.27 Matabur Pcs 494,750.00 0 -
17 Diuretika - 0 -
22.2 Kaporit Galon15 kg 550,000.00 0 -
22.3 Malation liter 250,000.00 0 -
23.5 Determinan Set 60,000.00 0 -
23.6 Intec Periksa Sifilis Kapsul 26,889.30 50 50 1,344,465.00
23.7 Ofloxacin 200 mg Set 708.12 0 -
23.11 Reagen HIV 1/2.3 SD Set 14,340.00 0 -
23.12 Rapid Test SD Biolin HIV 1/2 3.0 Set 11,975.00 75 75 898,125.00
24.2 Captopril 12,5 mg Tablet 79.00 800 400 90 1290 101,910.00
24.5 HCT 25 mg Tablet 194.00 100 100 19,400.00
24.7 Nifedipin 20 mg ( Adalat ) Tablet 3,350.00 39 7 30 76 254,600.00
27.7 NaCl 0,9%-500 ml lar.infus Flakon 6,840.00 5 2 5 12 82,080.00
27.10 Zinc Tablet 658.00 300 120 80 500 329,000.00
29 Sedativa - 0 -
33 AntiDiare 0 -
35 Antiasma - 0 -
35,6 Ventolin Ampul 22,000.00 0 -
36.3 Glyseril Guayakolat 100 mg Tablet 235.00 800 676 150 100 1726 405,610.00
36.4 Kodein 10 mg Tablet 685.00 100 100 68,500.00
37 Antiemetik - 0 -
38 Serum - 0 -
39 Vaksin - 0 -
39.6 DT 10 dosis @ 0,5 ml Vial 16,360.00 36 36 588,960.00
39.8 HB 0-7 hr @ 0,5 ml Vial 20,900.00 43 43 898,700.00
39.9 HBIg Buah 1,325,000.00 0 -
39.10 HB Dewasa Buah 52,052.00 0 -
39.11 MR Vial 141,648.00 4 4 566,592.00
39.13 Meningitis Vial 307,400.00 0 -
39.14 Polio @ 1 ml/OPV Vial 19,954.00 33 33 658,482.00
39.15 Polio IPV Vial 137,610.00 0 -
39.17 TD 10 dosis @ 0,5 ml Vial 15,000.00 14 14 210,000.00
41.5 Bisturi No. 10 Pcs 2,660.00 3 3 7,980.00
41.6 Bisturi No. 11 Pcs 2,660.00 0 -
41.7 Bisturi No. 15 Pcs 2,660.00 0 -
41.12 Catgut Plain 3/0 26 mm 2,963.17 0 -
41.18 Disposible /Jarum Suntik 5 ml Pcs 1,048.05 153 3 10 166 173,976.30
41.21 Hand SchoenSteril no: 6,5 Powder Free Psg 5,720.00 30 52 10 3 95 543,400.00
41.26 Hand Schoen Non Steril Powder Free L Psg 672.10 46 46 30,916.60
41.29 Jelly 82 gram Tube 36,937.28 0 -
41.30 Kain kasa roll panjang 40 X 80 Roll 169,740.00 2 1 3 509,220.00
41.37 Masker N95 1880S Box 20,100.00 0 -
41.38 Masker N95 1870 Box 21,600.00 0 -
41.39 Masker N95 3M 1860 Pcs 23,510.00 0 -
42.11 CTM Tablet 25.00 864 361 100 1325 33,125.00
42.15 ISDN 5 mg Tablet 163.00 0 -
42.21 Ventolin Botol 21,998.00 0 -
42.23 Benechek stik Asam Glukosa @ 25 (JKN) Strip 4,620.00 175 175 808,500.00
42.25 Vaseline Pcs 249,800.00 0 -
JUMLAH 43,163,286.25

BULAN: APRIL

1.2.7 Parasetamol 500 mg Tablet 287.00 609 80 30 719 206,353.00
1.3 Antipirai - 0 -
2.0 Anestetik - 0 -
2.1.1 Lidokain Hcl injeksi 2 ml Ampul 1,529.00 5 5 7,645.00
2.1.2 Lidokain compositum injeksi 2 ml Ampul 1,473.00 0 -
3.6 Difenhidramin Hcl Injeksi Ampul 1,320.00 5 5 6,600.00
6 Antelmintik - 0 -
7 Antifilaria - 0 -
8 Antibakteri - 0 -
8.2 Amoksisilin 500 mg Kaplet 269.00 216 30 30 276 74,244.00
8.15 Cyprofloksacin 500 mg Tablet 704.00 70 70 49,280.00
8.19 Gentamicin Salep Kulit 0.1% Tube 6,600.00 27 27 178,200.00
8.21 Gentamicin Tetes Mata Tube 5,315.00 0 -
8.32 Oksitetrasiklin Salep Kulit 3 %-5g Tube 4,500.00 25 1 9 35 157,500.00
9 KUSTA - 0 -
10.3 FDC 1 & III Paket 519,339.00 19 19 9,867,441.00
10.4 FDC 2 Paket 1,731,230.00 1 1 1,731,230.00
10.6 Sputum pot Buah 5,890.00 160 160 942,400.00
10.7 Anisol 100 cc btl/100 cc 550,000.00 0 -
10.8 Anisol 1000 cc btl/1000 cc 560,000.00 0 -
10.10 Zeil Nelson Paket 493,140.00 0 -
11 Antifungi - 0 -
11.8 Salep Kulit 2 - 4 % Pot 3,277.00 10 10 32,770.00
11.9 Salep Kulit 3 - 6 % Pot 5,620.00 0 -
12.1 Abatte Kg 120,000.00 0 -
12.2 Abate 1 kg Kg 178,200.00 0 -
12.3 Abate Cair Ltr 440,000.00 0 -
12.14 Primakuin tablet 15 mg Tablet 253.00 0 -
12.21 Slide Box Buah 82,971.00 0 -
12.24 Safety Box 2,5 ml Pcs 16,885.00 0 -
12.25 Safety Box 5 ml Pcs 18,625.00 6 6 111,750.00
12.26 Tisu Lensa Buah 26,100.00 0 -
12.27 Tisu Rol Roll 5,000.00 0 -
14.3 Fitommenadion Injeksi ( Vti.K ) Ampul 4,595.00 0 -
15.3 HBSAG Strip ea 8,200.00 0 -
15.6 Kalsium Laktat ( Kalak ) Tablet 66.00 500 200 300 110 1110 73,260.00
15.8 Larutan HCL 0,1 N Set 74,909.00 1 1 74,909.00
15.12 Under Pad Pcs 9,480.00 0 -
16.3 Composite 3M A1 Pcs 550,000.00 0 -
16.4 Composite 3M A2 Pcs 550,000.00 0 -
16.5 Composite 3M A3 Pcs 550,000.00 0 -
16.6 Composite 3M B1 Pcs 1,275,000.00 0 -
16.7 Composite 3M B2 Pcs 1,275,000.00 0 -
16.10 Cavit W Box 312,000.00 0 -
16.15 Deppen Dish Pcs 41,000.00 0 -
16.20 ETSA Pcs 439,500.00 0 -
16.24 GIC Fuji G Pcs 1,649,500.00 0 -
16.26 Kalsium Hidroksida Paste/Calcidor/hydcal Te Pcs 439,700.00 0 -
16.27 Matabur Pcs 494,750.00 0 -
17 Diuretika - 0 -
21.1 Bayclin cairan Botol 65,000.00 0 -
21.2 Etakridin Laktat ( Rivanol ) 300 ml Botol 14,015.00 0 -
22.2 Kaporit Galon15 kg 550,000.00 0 -
22.3 Malation liter 250,000.00 0 -
23.5 Determinan Set 60,000.00 0 -
23.6 Intec Periksa Sifilis Kapsul 26,889.30 25 25 672,232.50
23.7 Ofloxacin 200 mg Set 708.12 0 -
23.9 One step Anti HIV (1.2) Triline (test Lard ) Inte Pcs 22,450.00 0 -
23.11 Reagen HIV 1/2.3 SD Set 14,340.00 0 -
24.2 Captopril 12,5 mg Tablet 79.00 500 415 90 1005 79,395.00
24.5 HCT 25 mg Tablet 194.00 100 100 19,400.00
24.7 Nifedipin 20 mg ( Adalat ) Tablet 3,350.00 0 -
25.2 Hidrokortison Salep Kulit 2,5% Tube 2,846.00 39 1 40 113,840.00
27.10 Zinc Tablet 658.00 200 180 60 440 289,520.00
29 Sedativa - 0 -
32.2 Antasida DOEN Suspensi Botol 2,408.00 2 2 4,816.00
33 AntiDiare 0 -
35 Antiasma - 0 -
35,6 Ventolin Ampul 22,000.00 0 -
36.4 Kodein 10 mg Tablet 685.00 100 100 68,500.00
37 Antiemetik - 0 -
38 Serum - 0 -
38,2 Serum anti Tetanus inj. 1.500 IU/amp. (ATS) Ampul 130,999.00 0 -
39 Vaksin - 0 -
39.6 DT 10 dosis @ 0,5 ml Vial 16,360.00 36 36 588,960.00
39.8 HB 0-7 hr @ 0,5 ml Vial 20,900.00 25 25 522,500.00
39.9 HBIg Buah 1,325,000.00 0 -
39.10 HB Dewasa Buah 52,052.00 0 -
39.11 MR Vial 141,648.00 4 4 566,592.00
39.13 Meningitis Vial 307,400.00 0 -
39.14 Polio @ 1 ml/OPV Vial 19,954.00 35 35 698,390.00
39.15 Polio IPV Vial 137,610.00 10 10 1,376,100.00
39.17 TD 10 dosis @ 0,5 ml Vial 15,000.00 10 10 150,000.00
41.1 Abocath/IV Cateter 18 G Pcs 6,500.00 13 13 84,500.00
41.2 Abocath /IV cateter 20 G Pcs 6,585.00 11 11 72,435.00
41.5 Bisturi No. 10 Pcs 2,660.00 3 3 7,980.00
41.6 Bisturi No. 11 Pcs 2,660.00 0 -
41.7 Bisturi No. 15 Pcs 2,660.00 0 -
41.12 Catgut Plain 3/0 26 mm 2,963.17 0 -
41.17 Disposible /Jarum Suntik 3 ml Pcs 861.32 73 4 77 66,321.64
41.21 Hand SchoenSteril no: 6,5 Powder Free Psg 5,720.00 129 110 4 243 1,389,960.00
41.29 Jelly 82 gram Tube 36,937.28 0 -
41.37 Masker N95 1880S Box 20,100.00 0 -
41.38 Masker N95 1870 Box 21,600.00 0 -
41.39 Masker N95 3M 1860 Pcs 23,510.00 0 -
41.51 Benechek Tets Glukosa Test 3,435.00 200 200 687,000.00
42.11 CTM Tablet 25.00 576 246 822 20,550.00
42.15 ISDN 5 mg Tablet 163.00 0 -
42.21 Ventolin Botol 21,998.00 0 -
42.24 Benechek stik Asam Kolesterol @ 10 (JKN) Strip 30,000.00 0 -
42.25 Vaseline Pcs 249,800.00 0 -
JUMLAH 39,823,870.23

BULAN: MEI

OBAT APOTEK PUSTU VK POL. TLM R.T POL.GIGI
1.3 Antipirai - 0 -
1.3.1 Alopurinol 100 mg Tablet 114.00 333 120 453 51,642.00
2.0 Anestetik - 0 -
2.1.1 Lidokain Hcl injeksi 2 ml Ampul 1,529.00 8 3 5 5 21 32,109.00
2.1.2 Lidokain compositum injeksi 2 ml Ampul 1,473.00 2 2 2,946.00
2.1.3 Etil Klorida Semprot Botol 330,000.00 0 -
3.1 Adrenalin/ Epinefrin Injeksi Ampul 2,000.00 11 2 2 15 30,000.00
3.5 Deksametason Injeksi 1 ml Ampul 1,378.00 3 2 5 6,890.00
3.6 Difenhidramin Hcl Injeksi Ampul 1,320.00 3 2 5 6,600.00
6 Antelmintik - 0 -
7 Antifilaria - 0 -
8 Antibakteri - 0 -
8.1 Amoksisilin 250 mg Kapsul 226.00 200 186 10 396 89,496.00
8.2 Amoksisilin 500 mg Kaplet 269.00 1500 438 50 1988 534,772.00
8.3 Amoksisilin Syrup kering Botol 4,172.00 2 2 8,344.00
9 KUSTA - 0 -
10.3 FDC 1 & III Paket 519,339.00 16 16 8,309,424.00
10.4 FDC 2 Paket 1,731,230.00 1 1 1,731,230.00
10.6 Sputum pot Buah 5,890.00 120 20 20 160 942,400.00
10.7 Anisol 100 cc btl/100 cc 550,000.00 0 -
10.8 Anisol 1000 cc btl/1000 cc 560,000.00 0 -
11 Antifungi - 0 -
11.5 Miconazol cream Tube 4,268.00 23 3 26 110,968.00
11.8 Salep Kulit 2 - 4 % Pot 3,277.00 10 10 32,770.00
11.9 Salep Kulit 3 - 6 % Pot 5,620.00 0 -
12.1 Abatte Kg 120,000.00 0 -
12.2 Abate 1 kg Kg 178,200.00 0 -
12.3 Abate Cair Ltr 440,000.00 0 -
12.14 Primakuin tablet 15 mg Tablet 253.00 0 -
12.21 Slide Box Buah 82,971.00 0 -
12.24 Safety Box 2,5 ml Pcs 16,885.00 0 -
12.25 Safety Box 5 ml Pcs 18,625.00 0 -
12.26 Tisu Lensa Buah 26,100.00 0 -
12.27 Tisu Rol Roll 5,000.00 0 -
14.1 Asam Askorbat ( Vitamin C 50 mg Tablet 131.00 700 620 80 40 50 1490 195,190.00
14.3 Fitommenadion Injeksi ( Vti.K ) Ampul 4,595.00 8 6 2 16 73,520.00
15.3 HBSAG Strip ea 8,200.00 100 100 820,000.00
15.8 Larutan HCL 0,1 N Set 74,909.00 3 3 224,727.00
15.12 Under Pad Pcs 9,480.00 0 -
16.3 Composite 3M A1 Pcs 550,000.00 0 -
16.4 Composite 3M A2 Pcs 550,000.00 0 -
16.5 Composite 3M A3 Pcs 550,000.00 0 -
16.6 Composite 3M B1 Pcs 1,275,000.00 0 -
16.7 Composite 3M B2 Pcs 1,275,000.00 0 -
16.10 Cavit W Box 312,000.00 0 -
16.15 Deppen Dish Pcs 41,000.00 0 -
16.20 ETSA Pcs 439,500.00 0 -
16.24 GIC Fuji G Pcs 1,649,500.00 0 -
16.27 Matabur Pcs 494,750.00 0 -
17 Diuretika - 0 -
19.1 Glibenklamid 5 mg Tablet 240.00 350 120 470 112,800.00
21.1 Bayclin cairan Botol 65,000.00 0 -
21.2 Etakridin Laktat ( Rivanol ) 300 ml Botol 14,015.00 0 -
22.2 Kaporit Galon15 kg 550,000.00 0 -
22.3 Malation liter 250,000.00 0 -
23.5 Determinan Set 60,000.00 0 -
23.6 Intec Periksa Sifilis Kapsul 26,889.30 25 25 672,232.50
23.7 Ofloxacin 200 mg Set 708.12 0 -
23.11 Reagen HIV 1/2.3 SD Set 14,340.00 0 -
24.5 HCT 25 mg Tablet 194.00 100 100 19,400.00
24.7 Nifedipin 20 mg ( Adalat ) Tablet 3,350.00 0 -
27.6 Glukosa lar.infus 5%-500 ml Flakon 7,363.00 21 5 1 27 198,801.00
27.7 NaCl 0,9%-500 ml lar.infus Flakon 6,840.00 18 2 5 1 26 177,840.00
27.8 Ringer laktat lar. 500 ml Flakon 7,630.00 38 10 1 49 373,870.00
27.10 Zinc Tablet 658.00 300 150 60 510 335,580.00
29 Sedativa - 0 -
32.2 Antasida DOEN Suspensi Botol 2,408.00 2 2 4,816.00
32.6 Ranitidin 150 mg Tablet 462.00 225 225 103,950.00
33 AntiDiare 0 -
35 Antiasma - 0 -
35,6 Ventolin Ampul 22,000.00 0 -
36.2 Ambroxol Syrup 60 ml Botol 5,900.00 0 -
36.4 Kodein 10 mg Tablet 685.00 100 100 68,500.00
37 Antiemetik - 0 -
38 Serum - 0 -
39 Vaksin - 0 -
39.6 DT 10 dosis @ 0,5 ml Vial 16,360.00 36 36 588,960.00
39.8 HB 0-7 hr @ 0,5 ml Vial 20,900.00 15 15 313,500.00
39.9 HBIg Buah 1,325,000.00 0 -
39.10 HB Dewasa Buah 52,052.00 0 -
39.11 MR Vial 141,648.00 8 8 1,133,184.00
39.13 Meningitis Vial 307,400.00 0 -
39.14 Polio @ 1 ml/OPV Vial 19,954.00 32 32 638,528.00
39.15 Polio IPV Vial 137,610.00 20 20 2,752,200.00
39.17 TD 10 dosis @ 0,5 ml Vial 15,000.00 0 0 -
41.1 Abocath/IV Cateter 18 G Pcs 6,500.00 9 11 1 21 136,500.00
41.2 Abocath /IV cateter 20 G Pcs 6,585.00 9 8 2 19 125,115.00
41.5 Bisturi No. 10 Pcs 2,660.00 3 3 7,980.00
41.6 Bisturi No. 11 Pcs 2,660.00 0 -
41.7 Bisturi No. 15 Pcs 2,660.00 0 -
41.12 Catgut Plain 3/0 26 mm 2,963.17 0 -
41.15 Disposible/Jarum Suntik 1 ml Pcs 852.78 180 12 5 197 167,997.66
41.17 Disposible /Jarum Suntik 3 ml Pcs 861.32 130 20 5 1 156 134,365.92
41.21 Hand SchoenSteril no: 6,5 Powder Free Psg 5,720.00 0 -
41.28 Infus set Dewasa Pcs 5,760.00 18 11 1 30 172,800.00
41.29 Jelly 82 gram Tube 36,937.28 0 -
41.30 Kain kasa roll panjang 40 X 80 Roll 169,740.00 4 1 5 848,700.00
41.37 Masker N95 1880S Box 20,100.00 0 -
41.38 Masker N95 1870 Box 21,600.00 0 -
41.39 Masker N95 3M 1860 Pcs 23,510.00 0 -
41.51 Benechek Tets Glukosa Test 3,435.00 150 150 515,250.00
42.11 CTM Tablet 25.00 288 184 472 11,800.00
42.15 ISDN 5 mg Tablet 163.00 0 -
42.21 Ventolin Botol 21,998.00 0 -
42.25 Vaseline Pcs 249,800.00 0 -
JUMLAH 40,993,226.48
0
0
500
0
2213
0
0
1551
2439
0
24
0
930
0
0
0
453
0
0
21
2
0
0
15
0
445
1694
5
5
0
0
2211
0
0
0
0
0
0
0
0
0
0
0
0
0
45
0
0
0
0
0
396
1988
2
0
0
0
60
0
0
0
0
0
150
0
550
470
25
0
23
0
10
0
14
7
1530
0
3
0
740
0
0
29
20
0
23
80
0
0
0
0
0
0
0
0
0
0
16
1
0
160
0
0
0
2
0
0
0
0
0
5
400
100
5
26
0
134
10
0
0
0
0
0
0
0
18
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
648
0
0
0
0
0
0
0
160
0
0
1490
19
16
794
90
5
940
0
1437
0
5020
0
100
0
0
1490
0
3
0
61
65
0
0
0
0
3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
60
0
470
780
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
20
0
0
0
25
0
0
0
0
0
25
0
0
0
0
0
0
0
0
0
0
0
1890
90
0
0
100
92
0
0
0
32
37
0
5
0
0
5
0
110
0
27
26
49
0
510
0
0
0
100
60
0
3
0
95
0
100
0
0
0
10
0
880
2
0
0
0
225
0
0
110
0
0
0
0
100
0
0
0
0
0
0
828
0
0
694
0
2142
100
0
0
0
0
0
547
0
0
0
0
0
7
7
0
0
15
36
27
15
0
0
8
8
0
32
20
0
0
0
1
0
21
19
22
0
3
0
0
37
4
0
0
0
201
150
197
0
156
137
0
0
0
0
0
0
0
94
8
30
0
5
0
13
0
35
0
0
0
0
0
0
0
5
18
0
0
0
0
10
0
0
150
0
0
500
1400
1600
0
200
0
0
0
0
0
0
0
0
0
0
0
0
0
472
0
0
0
0
0
0
0
0
0
0
0
50
0
0
PUSKESMAS : Umanen

NO NAMA OBAT SATUAN HARGA SATUAN
OBAT APOTEK PUSTU VK
1.1.1 Petidin Injeksi 50 mg/ml Ampul 17,400.00
1.2 Analgetik Non Narkotik -
1.2.1 Antalgin 500 mg Tablet 308.00 500
1.2.2 Antalgin Injeksi 250 mg/ml-2ml Ampul 1,566.67
1.2.3 Asam Mefenamat 500 mg Tablet 440.00 1000 425 130
1.2.4 Asam Asetilsalisilat (asetosal) tab 100 mg Tablet 165.00
1.2.5 Ibuprofen 400 mg Tablet 495.00
1.2.6 Natrium Diklofenak 50 mg Tablet 164.00 600 610
1.2.7 Parasetamol 500 mg Tablet 287.00 300 340 135
1.2.8 Parasetamol Syrup 120 mg/ml-2ml Botol 6,600.00
1.2.9 Parasetamol drop 100 mg/ml Botol 8,311.00 18
1.2.10 Piroksikam 10 mg Tablet 216.70
1.2.11 Piroksikam 20 mg Tablet 440.00 600 520
1.2.12 Tramadol tablet 50 mg Tablet 300.00
1.2.13 Tramadol injeksi 50mg/ml Ampul 3,000.00
1.3 Antipirai -
1.3.1 Alopurinol 100 mg Tablet 114.00 200 448 120
2.0 Anestetik -
2.1 Anestetik Lokal -
2.1.1 Lidokain Hcl injeksi 2 ml Ampul 1,529.00 3 3
2.1.2 Lidokain compositum injeksi 2 ml Ampul 1,473.00
2.1.3 Etil Klorida Semprot Botol 330,000.00 3
3 Antialergi, Obat Anafilaksis dan kortikosteroid -
3.1 Adrenalin/ Epinefrin Injeksi Ampul 2,000.00 11 2
3.2 Chloramfeniramin Maleat 4 mg (CTM) Tablet 25.00
3.3 Cetrizin 10 mg Tablet 111.00 400 35
3.4 Deksametason 0,5 mg Tablet 250.00 600 473 60
3.5 Deksametason Injeksi 1 ml Ampul 1,378.00 3
3.6 Difenhidramin Hcl Injeksi Ampul 1,320.00 3
3.7 Loratidin 10 mg Tablet 150.00
3.8 Metilprednisolon Tablet 152.00
3.9 Prednison 5 mg Tablet 86.00 1000 585 70
4 Antidotum dan Obat Lain Untuk Keracunan -
4.1 Magnesium Sulfat injeksi 20%-25ml Vial 3,328.00
4.2 Magnesium Sulfat injeksi 40%-25ml Vial 3,796.00 5
5 Antiepilepsi - Antikonvulsi -
5.1 Fenitoin 30 mg Tablet 183.00
5.3 Fenitoin Injeksi 50 mg/ml Ampul 58,042.00
5.4 Fenobarbital Inj.50mg/ml-2ml Ampul 1,836.00
5.5 Fenobarbital 100 mg Tablet 175.30
6 Antelmintik -
6.1 Albendazole 100 mg Tablet 549.55
6.3 AlbendazoleSyrup Botol 5,000.00 45
6.4 Mebendazol 100 mg Tablet 357.00
6.5 Pirantel Pamoat 125 mg Tablet 357.00
7 Antifilaria -
7.1 Dietilkarbamazin 50 mg Tablet 136.00
8 Antibakteri -
8.1 Amoksisilin 250 mg Kapsul 226.00
8.2 Amoksisilin 500 mg Kaplet 269.00 1000 1014 90
8.3 Amoksisilin Syrup kering Botol 4,172.00 2
8.4 Ampicilin 500 mg Kaplet 374.00
8.5 Ampicilin inj. 1 gram Vial 8,237.00
8.6 Ampisilin syrup kering Botol 5,280.00
8.7 Azitromisin 500 mg Tablet 1,888.00 15
8.8 Benzatin Benzilpenisilin inj. 1,2 jt IU Vial 13,375.00
8.10 Cefadroxil 500 mg Tablet 495.00
8.11 Cefadroxil Syrup Botol 6,215.00
8.12 Cefotaxim Inj.1 g Ampul 4,704.00
8.13 Clyndamicin 150 mg Tablet 946.00 150
8.14 Clyndamicin 300 mg Tablet
8.15 Cyprofloksacin 500 mg Tablet 704.00 500 20
8.16 Doksisiklin Tablet 264.00 400 70
8.17 Erytromicyn 250 mg Tablet 693.00
8.19 Gentamicin Salep Kulit 0.1% Tube 6,600.00 10 4
8.20 Gentamycin inj.80 mg/2ml Ampul 4,387.00
8.21 Gentamicin Tetes Mata Tube 5,315.00 10
8.22 Kloramfenikol 250 mg Kapsul 990.00
8.23 Kloramfenikol Salep Mata 1%-5g Tube 2,305.00 4 3 6
8.24 Kloramfenikol Tetes Telinga 3%-5ml Botol 15,000.00 6
8.25 Kotrimoksazol Dewasa Kombinasi 480 mg Tablet 132.00 600 640 80
8.26 Kotrimoksazol Pediatrik Kombinasi 120 mg Tablet 91.08
8.27 Kotrimoksazole Suspensi Botol 2,300.00 3
8.28 Metronidaszole 250 mg Tablet 122.00
8.29 Metronidaszole 500 mg Tablet 286.00 300 320
8.30 Metronidazol injeksi Vial 8,110.00
8.31 Oksitetrasiklin Injeksi Vial 8,500.00
8.32 Oksitetrasiklin Salep Kulit 3 %-5g Tube 4,500.00 20 3 3
8.33 Oksitetrasiklin Salep Mata 1 %-5g Tube 2,774.00 11 5
8.34 Prokain benzilpenisilin inj. 3 juta IU Vial 44,000.00
8.35 Salep kulit Bacitrasin Tube 33,000.00 20 3
8.36 Tetrasiklin 500 mg Kapsul 348.00 80
8.37 Tetrasiklin HCL Kapsul 250 mg Kapsul 348.00
8.38 Thiamfenikol 500 mg Tablet 609.00
9 KUSTA -
9.1 Obat Kusta MB Dewasa Blister 31,760.00
9.2 Obat Kusta MB Anak Blister 20,678.00
9.3 Obat Kusta PB Dewasa Blister -
9.4 Obat Kusta PB anak Blister 13,300.00
10 Program TBC -
10.1 OAT Kategori anak Paket 310,153.00
10.2 OAT Kar I Kombipak Paket 317,018.00
10.3 FDC 1 & III Paket 519,339.00 13
10.4 FDC 2 Paket 1,731,230.00
10.5 Kategor Sisipan Paket 191,999.00
10.6 Sputum pot Buah 5,890.00 120 20
10.7 Anisol 100 cc btl/100 cc 550,000.00
10.8 Anisol 1000 cc btl/1000 cc 560,000.00
10.9 Isoniazid 100 mg Tablet 228.00
10.10 Zeil Nelson Paket 493,140.00 2
10.11 Lexofloxacin 250 mg Tablet 673.00
10.12 Pyrazinamide 500 mg Tablet 435.00
10.13 Cycloserine (Cs) Tablet 4,118.00
10.14 Risperidon 2 mg Tablet 114.00
11 Antifungi -
11.1 Gentian Viloet larutan 1% Botol 3,294.00 5
11.2 Griseofulvin, micronized 250 mg Tablet 258.00 200 190
11.3 Ketokonazol tab 200 mg Tablet 322.00 100
11.4 Ketokonazol krim 2 % Tube 2,893.00 27 1
11.5 Miconazol cream Tube 4,268.00 18 2 2
11.6 Nistatin tablet salut 500.000 IU Tab.Salut 990.00
11.7 Nistatin tablet Vaginal 100.000 IU Tab.Vagina 700.00 129
11.8 Salep Kulit 2 - 4 % Pot 3,277.00 10
11.9 Salep Kulit 3 - 6 % Pot 5,620.00
12 Program Malaria -
12.1 Abatte Kg 120,000.00
12.2 Abate 1 kg Kg 178,200.00
12.3 Abate Cair Ltr 440,000.00
12.4 Artemeter injeksi 80mg/ml Ampul 52,350.00
12.5 Artesunat Injeksi 60mg/ml Vial 4,224.00
12.6 ACT tab(ARTERAKINE)/Darpleks Tablet 2,070.00 18
12.7 Autoclick Device Buah
12.8 Blood Lancet Pcs 832.50 100
12.9 Merck Immersion Oil 100 ml Botol 750,000.00
12.11 Kina injeksi 25 % - 25 ml Ampul 7,440.00
12.12 Kinina 222 mg/ tablet Tablet 3,000.00
12.13 Komb. Sulfadoksin 500 mg + Pirimetamin 2 Tablet 712.00
12.14 Primakuin tablet 15 mg Tablet 253.00 100
12.15 Rapid Test Malaria Pcs 14,934.00 200
12.16 RDT DBD Combo (NSI+lgG+lgM) Test 64,000.00
12.17 RDT DBD INSI (ID Biosens Dengue NSI) Test 43,600.00
12.18 Reagen Giemsa 100 cc Botol 880,000.00 1
12.19 Reagen Giemsa 500 cc Botol 493,115.00
12.20 Sarung tangan disposible Kotak 40,000.00
12.21 Slide Box Buah 82,971.00
12.22 Slide (Obyek gelass) Pcs 277.78 504
12.23 Slide Folder Chip Board (Slide box) ktk 126,700.00
12.24 Safety Box 2,5 ml Pcs 16,885.00
12.25 Safety Box 5 ml Pcs 18,625.00 3
12.26 Tisu Lensa Buah 26,100.00
12.27 Tisu Rol Roll 5,000.00
12.28 Wab Disinfektan Kotak 10,400.00
13 Antimigrein -
13.1 Bethahistin 6 mg Tablet 134.00 140
13.2 Ergotamin 100 mg Tablet 162.00
14 Anti Anemia dan Roborantia -
14.1 Asam Askorbat ( Vitamin C 50 mg Tablet 131.00 500 876 150
14.2 Fitommenadion 10 mg ( Vti.K ) Tablet 890.00 19
14.3 Fitommenadion Injeksi ( Vti.K ) Ampul 4,595.00 28 8
14.4 Piridoksin HCl 10 mg Tablet 164.00 200 304 110
14.5 Sianokobalamin 100 mg (Vit B12 ) tab Tablet 53.00 90
14.6 Sianokobalamin Injeksi (Vit B12 ) Ampul 1,425.00 5
14.7 Vitamin B 1 ( Thiamin HCl) 100 mg Tablet 98.00 300 670 170
14.8 Vitamin B 1 ( Thiamin HCl) Injeksi Ampul 16,500.00
14.9 Vitamin B Complek Tablet 147.00 500 960 90
15 Program KIA / Gizi -
15.1 Besi (II) Tablet salut kombinasi Tablet 445.00 7560 504 310
15.2 Calcium Gluconas Ampul 9,955.00
15.3 HBSAG Strip ea 8,200.00 50
15.4 Iodiol Kapsul lunak Kapsul 1,116.00
15.5 Iodine Test Botol 31,650.00
15.6 Kalsium Laktat ( Kalak ) Tablet 66.00 600 440 180 90
15.7 Kit HB Sahli Buah
15.8 Larutan HCL 0,1 N Set 74,909.00 3
15.9 Mineral Mix Saset 2,920.00
15.10 Retinol (Vit. A) caps. lunak 100.000 IU Kapsul 554.00 61
15.11 Retinol (Vit. A) caps. lunak 200.000 IU Kapsul 552.00 27 14
15.12 Under Pad Pcs 9,480.00
15.13 HCG Pregnancy Test (Test Hamil) Ktk 2,423.75
15.14 Urine gluco protein test Srip 1,306.00
16 Bahan serta Obat Gigi dan Mulut -
16.1 Articulating Paper Pak 229,500.00 3
16.2 Bahan Bonding Pcs 2,265,000.00
16.3 Composite 3M A1 Pcs 550,000.00
16.6 Composite 3M B1 Pcs 1,275,000.00
16.7 Composite 3M B2 Pcs 1,275,000.00
16.8 Cavit G RF 28 G Bottle Botol 312,000.00
16.9 Cavit RF 28G Bottle Botol 238,000.00
16.10 Cavit W Box 312,000.00
16.11 Cotton Roll Prodental #2 Roll 175,000.00
16.12 Cresotin Liquid II Tehnodent Box 552,500.00
16.13 Darryan Tulle Roll 29,998.00
16.14 Devitalisasi Paste Pot 571,000.00
16.15 Deppen Dish Pcs 41,000.00
16.16 Elite Cement 100 Liquid 125 GR Box 425,000.00
16.17 Elite Cement 100 Powder 125 GR Box 459,000.00
16.18 Endoseal Denpro Box 204,000.00
16.19 Epivlac Solution 10 ml Biodimika Botol 187,000.00
16.20 ETSA Pcs 439,500.00
16.21 Eugenol Cairan Kotak 255,000.00
16.22 Fletcher serbuk + cair Paket 8,578.00
16.23 Fuji IX GP 1-1 #Extra A2 Box 1,724,550.00
16.24 GIC Fuji G Pcs 1,649,500.00
16.25 Hemospon isi 10 s Box 153,000.00
16.26 Kalsium Hidroksida Paste/Calcidor/hydcal Pcs 439,700.00
16.27 Matabur Pcs 494,750.00
16.28 Monoklorkamfer mentol cairan ( CHKM ) 20 Botol 164,700.00
16.29 Pulp - X (Devitalizer) 6 GR Denpro (Arsen) Pcs 549,600.00
16.30 Saliva Ejector Svenska Pcs 102,000.00
16.31 ScqtcGbond Etvhant 9 ml Pcs 459,000.00
16.32 Semen Seng Posfat serbuk + cairan Pot 439,600.00
16.33 Silver Amalgam serbuk 65 - 75 % Botol 1,400,000.00
16.34 Single Bond Universal RF Vial EE Box 1,320,000.00
16.35 TKF Tricresolformalin 10 ml Bioanalitika Botol 102,000.00
17 Diuretika -
17.1 Furosemida 40 mg Tablet 88.00
18 Antitiroxin -
18.1 Propiltiuurasil 100 mg Tablet 880.00 60
19 Antidiabetes -
19.1 Glibenklamid 5 mg Tablet 240.00 285 120
19.2 Metformin HCL tablet 500 mg Tablet 123.00 300 470 60
20 Anti Kolesterol
20.1 Simvastin tablet 10 mg Tablet 110.00
21 Antiseptik dan Desinfektan -
21.1 Bayclin cairan Botol 65,000.00 5
21.2 Etakridin Laktat ( Rivanol ) 300 ml Botol 14,015.00 5
21.3 Etanol 70% (Alkohol ) 1 liter Botol 31,478.00
21.4 Lisol Cairan 1 liter Botol 80,000.00 2
21.5 Povidon Iodida 10%- 300 ml Botol 22,018.00
21.6 Fenol Gliseril TT Botol 15,000.00
22 Program Promkes -
22.1 Briliant Green Lactosa Broth Botol 1,925,000.00
22.2 Kaporit Galon15 kg 550,000.00
22.3 Malation liter 250,000.00
23 Program HIV / AIDS -
23.1 Acyklovir 200 mg Tablet 465.82
23.2 Acyklovir 400 mg Tablet 496.00 60
23.3 Acyklovir cream 5% Tube 4,950.00
23.4 Asiklovir Salep Mata 3% Tube 24,750.00
23.5 Determinan Set 60,000.00
23.6 Intec Periksa Sifilis Kapsul 26,889.30
23.7 Ofloxacin 200 mg Set 708.12
23.8 Oncoprobe Tablet 23,386.00
23.9 One step Anti HIV (1.2) Triline (test Lard ) I Pcs 22,450.00
23.10 Rapid Test Reagent HIV / AIDS pcs 28,000.00
23.11 Reagen HIV 1/2.3 SD Set 14,340.00
23.12 Rapid Test SD Biolin HIV 1/2 3.0 Set 11,975.00
23.13 Rapid Test 3 (VIKIA 1/2) set 19,480.00
23.14 Reagen Rapid 2 HIV Test 13,755.00
23.15 Reagen CD4 Control Test 643,500.00
23.16 RPR Syphilis Test 909,480.00
23.17 Reagen Anti HCV Test 13,329.00
23.18 Reagen Anti HBS u/ Dewasa Test 19,800.00
23.19 Reagen CD4 Mobile Test 158,400.00
23.20 Rapid Test Syphilis Bio Sensor (AB) Pcs 20,400.00
23.21 Rapid Test HIV 2 KHB Diagnostik Test 12,500.00
23.22 Diagnostar DS HIV 1/2 Rapid Test Test 14,815.00
24 Antiangina, Antiaritmia, Antihipertensi, Gagal Jantung -
24.1 Amlodipin Kapsul 5 mg Kapsul 83.00 1000 800 50
24.2 Captopril 12,5 mg Tablet 79.00 300 460
24.3 Captopril 25 mg Tablet 145.00
24.4 Digoksin 0, 25 mg Tablet 104.00
24.5 HCT 25 mg Tablet 194.00 100
24.6 Isosorbit Dinitrat Sublingual 5 Mg Tablet 163.00 92
24.7 Nifedipin 20 mg ( Adalat ) Tablet 3,350.00
24.8 Propanolol 40 mg Tablet 92.00
25 Antiinflamasi dan Antipruritik -
25.1 Betametason Salep Kulit Tube 1,622.00 25 2 3
25.2 Hidrokortison Salep Kulit 2,5% Tube 2,846.00
26 Keratolitik dan keratoplastik -
26.1 Bedak salisilat serbuk 2 % Kotak 6,671.00 3
27 Larutan Elektrolit, Nutrisi dan lain-lain -
27.1 Air untuk injeksi 20 ml Ampul 2,200.00
27.2 Aqua Pro Injeksi 500 ml Btl 88,000.00 5
27.3 Aqua dest steril 1000 ml Botol 33,000.00
27.4 Garam oralit 200 ml Sachet 296.00 70 16 14
27.5 Glukosa lar.infus 10%-25ml Flakon 6,840.00
27.6 Glukosa lar.infus 5%-500 ml Flakon 7,363.00 21 5
27.7 NaCl 0,9%-500 ml lar.infus Flakon 6,840.00 17 2 4
27.8 Ringer laktat lar. 500 ml Flakon 7,630.00 18 18
27.9 Potassium Chloride ( Kalium Klorida ) Tablet 1,700.00
27.10 Zinc Tablet 658.00 300 125 60
27.11 Zinc Syrup Botol 5,289.00
28 Oksitosik dan Relaksan uterus -
28.1 Metilergometrin 0,200 mg inj. Ampul 3,696.00
28.2 Metilergometrin Maleat 0,125 mg Tablet 283.00 100
28.3 Oksitosin injeksi Ampul 1,837.00 10 13
29 Sedativa -
29.1 Diazepam Injeksi 5 mg/ml-2ml Ampul 2,150.00 3
29.2 Diazepam 2 mg Tablet 330.00
29.3 Diazepam 5 mg Tablet 121.00 85
30 Antidepresi dan Antimania
30.1 Amitripylin 25 mg Tablet 168.00 100
30.2 Halloperidol 0.5 mg Tablet 56.00
30.3 Triheksifenidil Tablet 880.00
31 Antipsikosis -
31.1 Klorpromazin HCl 100 mg Tablet 440.00 120
32 Antasida dan Antiulkus -
32.1 Antasida DOEN 500 mg Tablet 58.00 20
32.2 Antasida DOEN Suspensi Botol 2,408.00 1
32.3 Cimetidine 200 mg Tablet 330.00
32.4 Natrium Bikarbonat tablet Tablet 180.00
32.5 Omeprazole 20 mg Tablet 150.00
32.6 Ranitidin 150 mg Tablet 462.00 60
32.7 Ranitidin injkesi Ampul 1,540.00
33 AntiDiare
33.1 Atapulgit tab 600 mg Tablet 189.00
33.2 Loperamid tablet 2 mg Tablet 400.00
34 Antispasmodik -
34.1 Atropin Injeksi 1 ml Ampul 1,250.00
34.2 Extrak Beladona 10 mg Tablet 19.90
34.3 Papaverin tablet Tablet 330.00 100
34.4 Papaverin inj. Ampul 636.00
35 Antiasma -
35,1 Aminofilin 24 mg Injeksi Ampul 3,280.00
35,2 Aminofilin 200 mg Tablet 105.00
35,3 Efedrin 25 mg Tablet 197.00
35,4 Salbutamol 2 mg Tablet 113.44
35,5 Salbutamol 4 mg Tablet 220.00 1000 248
35,6 Ventolin Ampul 22,000.00
36 Antitusive dan Expectoran -
36.1 Ambroxol 30 mg Tablet 308.00 400 232
36.2 Ambroxol Syrup 60 ml Botol 5,900.00 10
36.3 Glyseril Guayakolat 100 mg Tablet 235.00 500 586 60
36.4 Kodein 10 mg Tablet 685.00 100
36.5 Obat Batuk Hitam ( OBH ) Sirup 100 ml Botol 4,831.00 20
36.6 Obat Batuk Hitam ( OBH ) Sirup 200 ml Botol 3,419.00
37 Antiemetik -
37.1 Domperidon Tablet 648.00
37.2 Donperidon Syrup Botol 19,998.00
37.3 Metoklorpramid tab Tablet 99.00 537
37.4 Metoklorpamide sirup 5mg/5ml Botol 3,250.00
38 Serum -
38.1 Serum anti bisa ular polivalen inj. 5 ml (ABU Vial 512,204.00
38,2 Serum anti Tetanus inj. 1.500 IU/amp. (ATS Ampul 130,999.00
39 Vaksin -
39.1 BCG Vaccine SSI 10 dosis Vial 54,500.00 1
39.2 Pelarut BCG Vial - 1
39.3 Campak 10 dosis @ 0,5 ml Vial 25,640.00
39.4 Pelarut Campak Kering @ 5 ml Ampul -
39.5 DPT-HB-Hib 5 dosis @ 0,5 ml Vial 70,232.00 21
39.6 DT 10 dosis @ 0,5 ml Vial 16,360.00 36
39.7 Dropper Polio Vial - 13
39.8 HB 0-7 hr @ 0,5 ml Vial 20,900.00
39.9 HBIg Buah 1,325,000.00
39.10 HB Dewasa Buah 52,052.00
39.11 MR Vial 141,648.00 2
39.12 Pelarut MR Vial 2
39.13 Meningitis Vial 307,400.00
39.14 Polio @ 1 ml/OPV Vial 19,954.00 18
39.15 Polio IPV Vial 137,610.00 8
39.16 Pipet Polio
39.17 TD 10 dosis @ 0,5 ml Vial 15,000.00 0
40 Anti Haemoroid -
40.1 Antihemaroid suppositoria Supp 3,959.00 1
41 Bahan Medis Habis Pakai -
41.1 Abocath/IV Cateter 18 G Pcs 6,500.00 9 11
41.2 Abocath /IV cateter 20 G Pcs 6,585.00 10 18
41.3 Abocath/IV cateter 22 G Pcs 6,500.00 18
41.4 Abocath /IV Cateter 24 G Pcs 6,652.00
41.5 Bisturi No. 10 Pcs 2,660.00 3
41.6 Bisturi No. 11 Pcs 2,660.00
41.7 Bisturi No. 15 Pcs 2,660.00
41.8 Cat gut chromic No.2/0 Set 8,916.67 12 12
41.9 Catgut Cromic 3/0 HR-27, 75 cm Pcs 8,980.29 4
41.10 Cat gut plain No.2/0 Set 8,968.75
41.11 Catgut Plain 2/0 HR-27, 75 cm Pcs 45,015.63
41.12 Catgut Plain 3/0 26 mm 2,963.17
41.13 Disposible /Jarum Suntik 0,05 ml Pcs 1,453.32 173
41.15 Disposible/Jarum Suntik 1 ml Pcs 852.78 180 8
41.16 Disposible /Jarum Suntik 2,5 ml Pcs 1,245.60
41.17 Disposible /Jarum Suntik 3 ml Pcs 861.32 50 10 23
41.18 Disposible /Jarum Suntik 5 ml Pcs 1,048.05 116 3
41.19 Folley Catheter 2 way no. 16 Pcs 10,000.00
41.21 Hand SchoenSteril no: 6,5 Powder Free Psg 5,720.00
41.22 Hand SchoenSteril no: 7 Powder Free Buah 5,720.00
41.23 Hand SchoenSteril no: 7,5 Powder Free Buah 5,720.00 102
41.24 Sarung Tangan Obgyn steril psg 24,200.00
41.25 Hand Schoen Non Steril Powder Free M Psg 672.10
41.26 Hand Schoen Non Steril Powder Free L Psg 672.10 100
41.27 Infus set Anak Pcs 7,987.00 8
41.28 Infus set Dewasa Pcs 5,760.00 18 2
41.29 Jelly 82 gram Tube 36,937.28
41.30 Kain kasa roll panjang 40 X 80 Roll 169,740.00 3 1
41.31 Kapas pembalut / adsorben 250 g Roll 12,500.00 3 1
41.32 Kasa pembalut hidrofil 16 X 16 cm ( steril ) Kotak 4,830.00 11
41.33 Kasa pembalut hidrofil 4m X 15 cm Roll 700.00
41.34 Kasa Hidrofil 4 x 10 cm Roll 720.00 35
41.35 Kantong Urine Dewasa (Urine Bag) Psc 5,982.00
41.36 Masker Mulut Ear Loop Pcs 531.82
41.37 Masker N95 1880S Box 20,100.00
41.38 Masker N95 1870 Box 21,600.00
41.39 Masker N95 3M 1860 Pcs 23,510.00
41.40 Plester 5 yard X 2 Inchi Roll 6,716.67
41.41 Plester 5 cm x 5 m Roll 29,700.00
41.42 Plester non Woven Roll 10 x 5 cm Roll 51,700.00 7 1
41.43 Silk (benang bedah sutera) no. 3/0 Set 3,055.56 16
41.44 Silk Black 2/0 HR-27,75 cm Pcs 1,736.08
41.45 Transfusi set Set 9,313.00
41.46 Umbilical Cord Klem Pcs 1,625.00 40
41.47 Wing nidle no.23 G Pcs 1,750.00
41.48 Wing nidle no.25 G Pcs 1,750.00 10
41.50 Benechek Tets Asam Urat Test 7,527.00
41.51 Benechek Tets Glukosa Test 3,435.00 100
41.52 Benechek Tets Kolesterol Test 28,660.70
41.53 Glukosa Accu Check Strip 7,800.00
41.54 Plastik Klips uk. 6 x 4 (kecil) Pcs 13.00 400
41.55 Plastik Klips uk. 10 x 7 (sedang) Pcs 31.00 2100
41.56 Plastik Klips uk. 11 x 17 (besar) Pcs 85.00 1400
41.57 Reagen Golongan Darah Set 515,000.00
41.58 Kartu Golongan Darah Lbr 200
41.59 Sumbu chold chain wick aladin Buah 439,860.00
41.65 Kit Food Security Set 35,000,000.00
42 OBAT JKN KAPITASI PUSKESMAS
42.1 Ambroxol Syrup Botol 5,996.00
42.2 Asam Tranexmat 500 mg Tablet 2,696.00
42.3 Catopril 12,5 mg Tablet 218.00
42.4 Catopril 125 mg Tablet 143.00
42.6 Cefixime sy Botol 19,998.00
42.7 Ceftriakson inj Ampul 9,998.00
42.8 Chloramfenicol TT Botol 14,998.00
42.9 Cimetidin 200 mg Tablet 328.00
42.10 Clopidogrel 75 mg Tablet 3,198.00
42.11 CTM Tablet 25.00 288
42.12 Difenhidramin inj Ampul 1,320.00
42.13 Donperidon 10 mg Tablet 648.00
42.14 Gentamicin SK Tube 6,598.00
42.15 ISDN 5 mg Tablet 163.00
42.16 Metyl Prednisolon Tablet 152.00
42.17 OBH Syrup 100 ml Botol 4,830.00
42.18 Oksitetrasiklin SK Tube 4,498.00
42.19 Piroxicam 20 mg Tablet 438.00
42.20 Salep Hitam (Ichtyol) Tube 9,998.00
42.21 Ventolin Botol 21,998.00
42.22 Benechek stik Asam Urat @ 25 (JKN) Strip 7,200.00
42.23 Benechek stik Asam Glukosa @ 25 (JKN) Strip 4,620.00
42.24 Benechek stik Asam Kolesterol @ 10 (JKN) Strip 30,000.00
42.25 Vaseline Pcs 249,800.00
JUMLAH
USKESMAS
TAHUN: 2021
BULAN: JUNI
NAMA SUB UNIT

JUMLAH TOTAL HARGA
POL. TLM R.T POL.GIGI
- 0 0
- 0 0
500 154,000.00 500 500
0 - 0 0
50 1605 706,200.00 1605 1605
0 - 0 0
0 - 0 0
30 1240 203,360.00 1240 1240
20 795 228,165.00 795 795
0 - 0 0
18 149,598.00 18 18
0 - 0 0
1120 492,800.00 1120 1120
0 - 0 0
0 - 0 0
0 - 0 0
768 87,552.00 768 768
0 - 0 0
0 - 0 0
3 2 3 14 21,406.00 14 14
0 - 0 0
3 990,000.00 3 3
0 - 0 0
2 15 30,000.00 15 15
0 - 0 0
435 48,285.00 435 435
1133 283,250.00 1133 1133
2 5 6,890.00 5 5
2 5 6,600.00 5 5
0 - 0 0
0 - 0 0
1655 142,330.00 1655 1655
0 - 0 0
0 - 0 0
5 18,980.00 5 5
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
45 225,000.00 45 45
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
2104 565,976.00 2104 2104
2 8,344.00 2 2
0 - 0 0
0 - 0 0
0 - 0 0
15 28,320.00 15 15
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
150 141,900.00 150 150
0 - 0 0
520 366,080.00 520 520
470 124,080.00 470 470
0 - 0 0
0 - 0 0
14 92,400.00 14 14
0 - 0 0
10 53,150.00 10 10
0 - 0 0
13 29,965.00 13 13
6 90,000.00 6 6
20 1340 176,880.00 1340 1340
0 - 0 0
3 6,900.00 3 3
0 - 0 0
70 690 197,340.00 690 690
0 - 0 0
0 - 0 0
26 117,000.00 26 26
16 44,384.00 16 16
0 - 0 0
23 759,000.00 23 23
80 27,840.00 80 80
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
13 6,751,407.00 13 13
0 - 0 0
0 - 0 0
20 160 942,400.00 160 160
0 - 0 0
0 - 0 0
0 - 0 0
2 986,280.00 2 2
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
5 16,470.00 5 5
390 100,620.00 390 390
100 32,200.00 100 100
28 81,004.00 28 28
22 93,896.00 22 22
0 - 0 0
129 90,300.00 129 129
10 32,770.00 10 10
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
18 37,260.00 18 18
0 - 0 0
100 83,250.00 100 100
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
100 25,300.00 100 100
200 2,986,800.00 200 200
0 - 0 0
0 - 0 0
1 880,000.00 1 1
0 - 0 0
0 - 0 0
0 - 0 0
504 140,000.00 504 504
0 - 0 0
0 - 0 0
3 55,875.00 3 3
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
140 18,760.00 140 140
0 - 0 0
0 - 0 0
100 1626 213,006.00 1626 1626
19 16,910.00 19 19
2 38 174,610.00 38 38
60 674 110,536.00 674 674
90 4,770.00 90 90
5 7,125.00 5 5
20 1160 113,680.00 1160 1160
0 - 0 0
100 1650 242,550.00 1650 1650
0 - 0 0
510 8884 3,953,380.00 8884 8884
0 - 0 0
50 410,000.00 50 50
0 - 0 0
0 - 0 0
200 1510 99,660.00 1510 1510
0 - 0 0
3 224,727.00 3 3
0 - 0 0
61 33,794.00 61 61
41 22,632.00 41 41
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
3 688,500.00 3 3
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
60 52,800.00 60 60
0 - 0 0
405 97,200.00 405 405
830 102,090.00 830 830
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
5 325,000.00 5 5
5 70,075.00 5 5
0 - 0 0
1 3 240,000.00 3 3
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
60 29,760.00 60 60
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
1850 153,550.00 1850 1850
60 820 64,780.00 820 820
0 - 0 0
0 - 0 0
100 19,400.00 100 100
92 14,996.00 92 92
0 - 0 0
0 - 0 0
0 - 0 0
30 48,660.00 30 30
0 - 0 0
0 - 0 0
3 20,013.00 3 3
0 - 0 0
0 - 0 0
5 440,000.00 5 5
0 - 0 0
100 29,600.00 100 100
0 - 0 0
26 191,438.00 26 26
23 157,320.00 23 23
36 274,680.00 36 36
0 - 0 0
485 319,130.00 485 485
0 - 0 0
0 - 0 0
0 - 0 0
100 28,300.00 100 100
23 42,251.00 23 23
0 - 0 0
3 6,450.00 3 3
0 - 0 0
85 10,285.00 85 85
0 - 0 0
100 16,800.00 100 100
0 - 0 0
0 - 0 0
0 - 0 0
120 52,800.00 120 120
0 - 0 0
20 1,160.00 20 20
1 2,408.00 1 1
0 - 0 0
0 - 0 0
0 - 0 0
60 27,720.00 60 60
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
100 33,000.00 100 100
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
1248 274,560.00 1248 1248
0 - 0 0
0 - 0 0
632 194,656.00 632 632
10 59,000.00 10 10
70 1216 285,760.00 1216 1216
100 68,500.00 100 100
20 96,620.00 20 20
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
537 53,163.00 537 537
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
1 54,500.00 1 1
1 - 1 1
0 - 0 0
0 - 0 0
21 1,474,872.00 21 21
36 588,960.00 36 36
13 - 13 13
0 - 0 0
0 - 0 0
0 - 0 0
2 283,296.00 2 2
2 - 2 2
0 - 0 0
18 359,172.00 18 18
8 1,100,880.00 8 8
0 - 0 0
0 - 0 0
0 - 0 0
1 3,959.00 1 1
0 - 0 0
1 21 136,500.00 21 21
2 30 197,550.00 30 30
18 117,000.00 18 18
0 - 0 0
3 7,980.00 3 3
0 - 0 0
0 - 0 0
24 214,000.00 24 24
4 35,921.17 4 4
0 - 0 0
0 - 0 0
0 - 0 0
173 251,424.36 173 173
469 615,984.60 469 469
5 193 164,586.54 193 193
0 - 0 0
10 3 96 82,686.72 96 96
5 124 129,958.20 124 124
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
102 583,440.00 102 102
0 - 0 0
0 - 0 0
100 67,210.00 100 100
8 63,896.00 8 8
1 21 120,960.00 21 21
0 - 0 0
4 678,960.00 4 4
4 50,000.00 4 4
11 53,130.00 11 11
0 - 0 0
35 25,200.00 35 35
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
8 413,600.00 8 8
1 17 51,944.44 17 17
0 - 0 0
0 - 0 0
40 65,000.00 40 40
0 - 0 0
10 17,500.00 10 10
0 - 0 0
0 - 0 0
100 343,500.00 100 100
0 - 0 0
0 - 0 0
100 500 6,500.00 500 500
2100 65,100.00 2100 2100
1400 119,000.00 1400 1400
0 - 0 0
200 - 200 200
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
288 7,200.00 288 288
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
0 - 0 0
38,749,743.03
PUSKESMAS : Umanen

1.2.1 Antalgin 500 mg Tablet 308.00 400 90
1.2.5 Ibuprofen 400 mg Tablet 495.00 20
1.2.7 Parasetamol 500 mg Tablet 287.00 73 15
1.3 Antipirai -
1.3.1 Alopurinol 100 mg Tablet 114.00 508 120
2.0 Anestetik -
2.1.1 Lidokain Hcl injeksi 2 ml Ampul 1,529.00 18
2.1.2 Lidokain compositum injeksi 2 ml Ampul 1,473.00 5 5
3.4 Deksametason 0,5 mg Tablet 250.00 448 50
6 Antelmintik -
7 Antifilaria -
8 Antibakteri -
8.2 Amoksisilin 500 mg Kaplet 269.00 1000 624 100 50
8.3 Amoksisilin Syrup kering Botol 4,172.00
9 KUSTA -
10 Program TBC -
10.3 FDC 1 & III Paket 519,339.00 11
10.4 FDC 2 Paket 1,731,230.00
10.6 Sputum pot Buah 5,890.00 20
10.7 Anisol 100 cc btl/100 cc 550,000.00
10.8 Anisol 1000 cc btl/1000 cc 560,000.00
11 Antifungi -
11.4 Ketokonazol krim 2 % Tube 2,893.00 27
11.8 Salep Kulit 2 - 4 % Pot 3,277.00 10
11.9 Salep Kulit 3 - 6 % Pot 5,620.00
12.1 Abatte Kg 120,000.00
12.2 Abate 1 kg Kg 178,200.00
12.8 Blood Lancet Pcs 832.50
12.24 Safety Box 2,5 ml Pcs 16,885.00
12.25 Safety Box 5 ml Pcs 18,625.00
12.27 Tisu Rol Roll 5,000.00
13 Antimigrein -
14.1 Asam Askorbat ( Vitamin C 50 mg Tablet 131.00 1000 551 180 10
14.3 Fitommenadion Injeksi ( Vti.K ) Ampul 4,595.00 29
14.4 Piridoksin HCl 10 mg Tablet 164.00 288 110
14.7 Vitamin B 1 ( Thiamin HCl) 100 mg Tablet 98.00 620 120
15.1 Besi (II) Tablet salut kombinasi Tablet 445.00 3180 730 630 150
15.3 HBSAG Strip ea 8,200.00 25
15.8 Larutan HCL 0,1 N Set 74,909.00 3
15.12 Under Pad Pcs 9,480.00
16.6 Composite 3M B1 Pcs 1,275,000.00
16.7 Composite 3M B2 Pcs 1,275,000.00
16.10 Cavit W Box 312,000.00
16.20 ETSA Pcs 439,500.00
16.24 GIC Fuji G Pcs 1,649,500.00
16.27 Matabur Pcs 494,750.00
17 Diuretika -
18 Antitiroxin -
18.1 Propiltiuurasil 100 mg Tablet 880.00 60
19 Antidiabetes -
19.1 Glibenklamid 5 mg Tablet 240.00
20 Anti Kolesterol
21.1 Bayclin cairan Botol 65,000.00 3 1
23.11 Reagen HIV 1/2.3 SD Set 14,340.00
24.5 HCT 25 mg Tablet 194.00 100
25.2 Hidrokortison Salep Kulit 2,5% Tube 2,846.00 22
27.10 Zinc Tablet 658.00 205 60
28.3 Oksitosin injeksi Ampul 1,837.00 14
29 Sedativa -
31 Antipsikosis -
32.1 Antasida DOEN 500 mg Tablet 58.00 800 680 80
32.2 Antasida DOEN Suspensi Botol 2,408.00
32.6 Ranitidin 150 mg Tablet 462.00 300 170
33 AntiDiare
34 Antispasmodik -
35 Antiasma -
36.1 Ambroxol 30 mg Tablet 308.00 269
36.3 Glyseril Guayakolat 100 mg Tablet 235.00 331 50
37 Antiemetik -
38 Serum -
39 Vaksin -
39.6 DT 10 dosis @ 0,5 ml Vial 16,360.00 36
39.8 HB 0-7 hr @ 0,5 ml Vial 20,900.00 4
39.9 HBIg Buah 1,325,000.00
39.11 MR Vial 141,648.00 6
39.14 Polio @ 1 ml/OPV Vial 19,954.00 30
39.15 Polio IPV Vial 137,610.00 6
39.16 Pipet Polio
39.17 TD 10 dosis @ 0,5 ml Vial 15,000.00 16
40 Anti Haemoroid -
41.2 Abocath /IV cateter 20 G Pcs 6,585.00 10
41.5 Bisturi No. 10 Pcs 2,660.00 3
41.6 Bisturi No. 11 Pcs 2,660.00
41.7 Bisturi No. 15 Pcs 2,660.00
41.9 Catgut Cromic 3/0 HR-27, 75 cm Pcs 8,980.29 24 4
41.12 Catgut Plain 3/0 26 mm 2,963.17
41.23 Hand SchoenSteril no: 7,5 Powder Free Buah 5,720.00 116 49
41.29 Jelly 82 gram Tube 36,937.28 5
41.31 Kapas pembalut / adsorben 250 g Roll 12,500.00 2
41.37 Masker N95 1880S Box 20,100.00
41.38 Masker N95 1870 Box 21,600.00
41.39 Masker N95 3M 1860 Pcs 23,510.00
41.51 Benechek Tets Glukosa Test 3,435.00
41.54 Plastik Klips uk. 6 x 4 (kecil) Pcs 13.00 400
42.11 CTM Tablet 25.00
42.25 Vaseline Pcs 249,800.00
JUMLAH
USKESMAS
TAHUN: 2021
BULAN: JULI
NAMA SUB UNIT

JUMLAH TOTAL HARGA
- 0
- 0
490 150,920.00 490
0 - 0
2185 961,400.00 2185
0 - 0
20 9,900.00 20
130 1150 188,600.00 1150
88 25,256.00 88
0 - 0
18 149,598.00 18
0 - 0
50 990 435,600.00 990
0 - 0
0 - 0
0 - 0
50 678 77,292.00 678
0 - 0
0 - 0
2 4 24 36,696.00 24
10 14,730.00 10
3 990,000.00 3
0 - 0
2 15 30,000.00 15
0 - 0
425 47,175.00 425
80 578 144,500.00 578
2 5 6,890.00 5
2 5 6,600.00 5
0 - 0
0 - 0
1251 107,586.00 1251
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
45 225,000.00 45
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
1774 477,206.00 1774
0 - 0
0 - 0
0 - 0
0 - 0
15 28,320.00 15
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
150 141,900.00 150
0 - 0
490 344,960.00 490
470 124,080.00 470
0 - 0
0 - 0
30 198,000.00 30
0 - 0
10 53,150.00 10
0 - 0
13 29,965.00 13
5 75,000.00 5
110 1160 153,120.00 1160
0 - 0
3 6,900.00 3
0 - 0
30 650 185,900.00 650
0 - 0
0 - 0
23 103,500.00 23
5 16 44,384.00 16
0 - 0
23 759,000.00 23
80 27,840.00 80
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
11 5,712,729.00 11
0 - 0
0 - 0
20 117,800.00 20
0 - 0
0 - 0
0 - 0
2 986,280.00 2
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
5 16,470.00 5
390 100,620.00 390
100 32,200.00 100
27 78,111.00 27
21 89,628.00 21
0 - 0
129 90,300.00 129
10 32,770.00 10
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
18 37,260.00 18
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
100 25,300.00 100
200 2,986,800.00 200
0 - 0
0 - 0
1 880,000.00 1
0 - 0
0 - 0
0 - 0
504 140,000.00 504
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
140 18,760.00 140
0 - 0
0 - 0
100 1841 241,171.00 1841
19 16,910.00 19
2 31 142,445.00 31
90 488 80,032.00 488
90 4,770.00 90
5 7,125.00 5
80 820 80,360.00 820
0 - 0
1900 279,300.00 1900
0 - 0
720 5410 2,407,450.00 5410
0 - 0
25 205,000.00 25
0 - 0
0 - 0
80 2330 153,780.00 2330
0 - 0
3 224,727.00 3
0 - 0
61 33,794.00 61
29 16,008.00 29
0 - 0
0 - 0
0 - 0
0 - 0
3 688,500.00 3
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
60 52,800.00 60
0 - 0
0 - 0
1050 129,150.00 1050
0 - 0
0 - 0
0 - 0
0 - 0
4 260,000.00 4
5 70,075.00 5
0 - 0
1 3 240,000.00 3
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
57 28,272.00 57
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
2380 197,540.00 2380
40 650 51,350.00 650
0 - 0
0 - 0
100 19,400.00 100
92 14,996.00 92
0 - 0
0 - 0
0 - 0
2 25 40,550.00 25
2 24 68,304.00 24
0 - 0
3 20,013.00 3
0 - 0
0 - 0
5 440,000.00 5
0 - 0
90 26,640.00 90
0 - 0
1 25 184,075.00 25
21 143,640.00 21
1 21 160,230.00 21
0 - 0
265 174,370.00 265
0 - 0
0 - 0
0 - 0
100 28,300.00 100
14 25,718.00 14
0 - 0
3 6,450.00 3
0 - 0
85 10,285.00 85
0 - 0
100 16,800.00 100
0 - 0
0 - 0
0 - 0
75 33,000.00 75
0 - 0
130 1690 98,020.00 1690
0 - 0
0 - 0
0 - 0
0 - 0
470 217,140.00 470
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
100 33,000.00 100
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
1183 260,260.00 1183
0 - 0
0 - 0
269 82,852.00 269
10 59,000.00 10
381 89,535.00 381
100 68,500.00 100
20 96,620.00 20
0 - 0
0 - 0
0 - 0
0 - 0
534 52,866.00 534
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
8 436,000.00 8
8 - 8
0 - 0
0 - 0
28 1,966,496.00 28
36 588,960.00 36
25 - 25
4 83,600.00 4
0 - 0
0 - 0
6 849,888.00 6
6 - 6
0 - 0
30 598,620.00 30
6 825,660.00 6
0 - 0
16 240,000.00 16
0 - 0
1 3,959.00 1
0 - 0
1 15 97,500.00 15
2 12 79,020.00 12
9 58,500.00 9
0 - 0
3 7,980.00 3
0 - 0
0 - 0
22 196,166.67 22
28 251,448.17 28
0 - 0
0 - 0
0 - 0
151 219,451.32 151
1023 1,343,608.20 1023
5 190 162,028.20 190
0 - 0
5 1 168 144,701.76 168
110 115,285.50 110
0 - 0
0 - 0
0 - 0
0 - 0
165 943,800.00 165
0 - 0
0 - 0
200 134,420.00 200
8 63,896.00 8
1 5 28,800.00 5
5 184,686.40 5
3 509,220.00 3
2 25,000.00 2
8 38,640.00 8
0 - 0
35 25,200.00 35
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
7 361,900.00 7
16 48,888.89 16
0 - 0
0 - 0
40 65,000.00 40
0 - 0
10 17,500.00 10
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
100 500 6,500.00 500
1400 43,400.00 1400
1400 119,000.00 1400
0 - 0
200 - 200
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
36,671,843.10
PUSKESMAS : Umanen

1.3 Antipirai -
2.0 Anestetik -
2.1.2 Lidokain compositum injeksi 2 ml Ampul 1,473.00 5
3.4 Deksametason 0,5 mg Tablet 250.00 50
3.7 Loratidin 10 mg Tablet 150.00 200
3.8 Metilprednisolon Tablet 152.00 500
6 Antelmintik -
6.2 Albendazole 400 mg Tablet 506.00 600
7 Antifilaria -
8 Antibakteri -
8.2 Amoksisilin 500 mg Kaplet 269.00 1300 875 130 80
8.10 Cefadroxil 500 mg Tablet 495.00 300 180
9 KUSTA -
10 Program TBC -
10.3 FDC 1 & III Paket 519,339.00 11
10.4 FDC 2 Paket 1,731,230.00
10.7 Anisol 100 cc btl/100 cc 550,000.00
10.8 Anisol 1000 cc btl/1000 cc 560,000.00
11 Antifungi -
11.8 Salep Kulit 2 - 4 % Pot 3,277.00 10
11.9 Salep Kulit 3 - 6 % Pot 5,620.00
12.1 Abatte Kg 120,000.00
12.2 Abate 1 kg Kg 178,200.00
12.24 Safety Box 2,5 ml Pcs 16,885.00
12.27 Tisu Rol Roll 5,000.00
13 Antimigrein -
14.1 Asam Askorbat ( Vitamin C 50 mg Tablet 131.00 1600 710 340 100
15.1 Besi (II) Tablet salut kombinasi Tablet 445.00 7120 720 750 120
15.3 HBSAG Strip ea 8,200.00 25
15.8 Larutan HCL 0,1 N Set 74,909.00 3
15.9 Mineral Mix Saset 2,920.00 50
15.12 Under Pad Pcs 9,480.00 10
15.13 HCG Pregnancy Test (Test Hamil) Ktk 2,423.75 50 10
16.6 Composite 3M B1 Pcs 1,275,000.00
16.7 Composite 3M B2 Pcs 1,275,000.00
16.10 Cavit W Box 312,000.00
16.20 ETSA Pcs 439,500.00
16.24 GIC Fuji G Pcs 1,649,500.00
16.27 Matabur Pcs 494,750.00
17 Diuretika -
17.1 Furosemida 40 mg Tablet 88.00 400
18 Antitiroxin -
18.1 Propiltiuurasil 100 mg Tablet 880.00
19 Antidiabetes -
20 Anti Kolesterol
20.2 Simvastin tablet 20 mg Tablet 240.00 490
21.1 Bayclin cairan Botol 65,000.00 3
23.6 Intec Periksa Sifilis Kapsul 26,889.30 200
23.11 Reagen HIV 1/2.3 SD Set 14,340.00
23.12 Rapid Test SD Biolin HIV 1/2 3.0 Set 11,975.00 200
24.5 HCT 25 mg Tablet 194.00 100
25.1 Betametason Salep Kulit Tube 1,622.00 18 3
25.2 Hidrokortison Salep Kulit 2,5% Tube 2,846.00 17 4
27.8 Ringer laktat lar. 500 ml Flakon 7,630.00 10
27.10 Zinc Tablet 658.00 300 205 60
29 Sedativa -
31 Antipsikosis -
32.2 Antasida DOEN Suspensi Botol 2,408.00 5 3
33 AntiDiare
33.1 Atapulgit tab 600 mg Tablet 189.00 90
33.2 Loperamid tablet 2 mg Tablet 400.00 100
34 Antispasmodik -
35 Antiasma -
35,2 Aminofilin 200 mg Tablet 105.00 100
36.3 Glyseril Guayakolat 100 mg Tablet 235.00
37 Antiemetik -
38 Serum -
39 Vaksin -
39.6 DT 10 dosis @ 0,5 ml Vial 16,360.00 26
39.8 HB 0-7 hr @ 0,5 ml Vial 20,900.00
39.9 HBIg Buah 1,325,000.00
39.11 MR Vial 141,648.00 5
39.14 Polio @ 1 ml/OPV Vial 19,954.00 31
39.15 Polio IPV Vial 137,610.00
39.16 Pipet Polio
39.17 TD 10 dosis @ 0,5 ml Vial 15,000.00 13
40 Anti Haemoroid -
41.1 Abocath/IV Cateter 18 G Pcs 6,500.00 13
41.5 Bisturi No. 10 Pcs 2,660.00
41.6 Bisturi No. 11 Pcs 2,660.00
41.7 Bisturi No. 15 Pcs 2,660.00
41.12 Catgut Plain 3/0 26 mm 2,963.17
41.29 Jelly 82 gram Tube 36,937.28 4 1
41.31 Kapas pembalut / adsorben 250 g Roll 12,500.00 6
41.37 Masker N95 1880S Box 20,100.00
41.38 Masker N95 1870 Box 21,600.00
41.39 Masker N95 3M 1860 Pcs 23,510.00
41.54 Plastik Klips uk. 6 x 4 (kecil) Pcs 13.00
42.25 Vaseline Pcs 249,800.00
JUMLAH
USKESMAS
TAHUN: 2021
BULAN: AGUSTUS
NAMA SUB UNIT

JUMLAH TOTAL HARGA
-
-
470 144,760.00 470
0 - 0
90 2725 1,199,000.00 2725
0 - 0
100 49,500.00 100
110 1980 324,720.00 1980
650 186,550.00 650
0 - 0
13 108,043.00 13
0 - 0
10 880 387,200.00 880
0 - 0
0 - 0
0 - 0
20 1058 120,612.00 1058
0 - 0
0 - 0
4 4 4 17 25,993.00 17
5 7,365.00 5
3 990,000.00 3
0 - 0
2 15 30,000.00 15
0 - 0
410 45,510.00 410
40 90 22,500.00 90
2 5 6,890.00 5
2 5 6,600.00 5
200 30,000.00 200
500 76,000.00 500
2428 208,808.00 2428
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
600 303,600.00 600
45 225,000.00 45
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
2385 641,565.00 2385
1 4,172.00 1
0 - 0
0 - 0
0 - 0
55 103,840.00 55
0 - 0
0 - 0
480 237,600.00 480
0 - 0
0 - 0
140 132,440.00 140
0 - 0
470 330,880.00 470
470 124,080.00 470
0 - 0
0 - 0
16 105,600.00 16
0 - 0
10 53,150.00 10
0 - 0
13 29,965.00 13
5 75,000.00 5
100 1480 195,360.00 1480
0 - 0
3 6,900.00 3
0 - 0
590 168,740.00 590
0 - 0
0 - 0
22 99,000.00 22
4 15 41,610.00 15
0 - 0
23 759,000.00 23
80 27,840.00 80
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
11 5,712,729.00 11
0 - 0
0 - 0
20 117,800.00 20
0 - 0
0 - 0
0 - 0
2 986,280.00 2
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
5 16,470.00 5
870 224,460.00 870
90 28,980.00 90
25 72,325.00 25
16 68,288.00 16
0 - 0
129 90,300.00 129
10 32,770.00 10
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
18 37,260.00 18
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
100 25,300.00 100
200 2,986,800.00 200
0 - 0
0 - 0
1 880,000.00 1
0 - 0
0 - 0
0 - 0
504 140,000.00 504
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
140 18,760.00 140
0 - 0
0 - 0
300 3050 399,550.00 3050
19 16,910.00 19
2 49 225,155.00 49
100 738 121,032.00 738
90 4,770.00 90
5 7,125.00 5
40 2040 199,920.00 2040
0 - 0
150 2887 424,389.00 2887
0 - 0
660 9370 4,169,650.00 9370
0 - 0
25 205,000.00 25
0 - 0
0 - 0
70 2770 182,820.00 2770
0 - 0
3 224,727.00 3
50 146,000.00 50
70 38,780.00 70
151 83,352.00 151
10 94,800.00 10
60 145,425.00 60
0 - 0
0 - 0
3 688,500.00 3
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
400 35,200.00 400
0 - 0
0 - 0
0 - 0
0 - 0
2170 266,910.00 2170
0 - 0
0 - 0
490 117,600.00 490
0 - 0
3 195,000.00 3
3 42,045.00 3
0 - 0
2 160,000.00 2
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
57 28,272.00 57
0 - 0
0 - 0
0 - 0
200 5,377,860.00 200
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
200 2,395,000.00 200
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
3440 285,520.00 3440
1600 126,400.00 1600
0 - 0
0 - 0
100 19,400.00 100
92 14,996.00 92
0 - 0
0 - 0
0 - 0
1 22 35,684.00 22
1 22 62,612.00 22
0 - 0
8 53,368.00 8
0 - 0
0 - 0
5 440,000.00 5
0 - 0
165 48,840.00 165
0 - 0
1 25 184,075.00 25
15 102,600.00 15
1 11 83,930.00 11
0 - 0
565 371,770.00 565
0 - 0
0 - 0
0 - 0
100 28,300.00 100
51 93,687.00 51
0 - 0
3 6,450.00 3
0 - 0
85 10,285.00 85
0 - 0
100 16,800.00 100
0 - 0
0 - 0
0 - 0
145 63,800.00 145
0 - 0
2040 118,320.00 2040
8 19,264.00 8
0 - 0
0 - 0
0 - 0
820 378,840.00 820
0 - 0
0 - 0
90 17,010.00 90
100 40,000.00 100
0 - 0
0 - 0
0 - 0
100 33,000.00 100
0 - 0
0 - 0
0 - 0
100 10,500.00 100
0 - 0
0 - 0
1156 254,320.00 1156
0 - 0
0 - 0
802 247,016.00 802
9 53,100.00 9
0 - 0
100 68,500.00 100
14 67,634.00 14
0 - 0
0 - 0
0 - 0
0 - 0
509 50,391.00 509
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
7 381,500.00 7
7 - 7
0 - 0
0 - 0
21 1,474,872.00 21
26 425,360.00 26
26 - 26
0 - 0
0 - 0
0 - 0
5 708,240.00 5
6 - 6
0 - 0
31 618,574.00 31
0 - 0
0 - 0
13 195,000.00 13
0 - 0
1 3,959.00 1
0 - 0
1 14 91,000.00 14
16 105,360.00 16
19 123,500.00 19
0 - 0
0 - 0
0 - 0
0 - 0
17 151,583.33 17
26 233,487.58 26
0 - 0
0 - 0
0 - 0
109 158,411.88 109
720 945,648.00 720
5 171 145,825.38 171
0 - 0
1 135 116,278.20 135
3 99 103,756.95 99
0 - 0
0 - 0
0 - 0
0 - 0
5 268 1,532,960.00 268
0 - 0
0 - 0
150 100,815.00 150
8 63,896.00 8
1 17 97,920.00 17
5 184,686.40 5
6 1,018,440.00 6
6 75,000.00 6
4 19,320.00 4
0 - 0
35 25,200.00 35
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
6 310,200.00 6
2 13 39,722.22 13
0 - 0
0 - 0
30 48,750.00 30
0 - 0
10 17,500.00 10
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
50 50 650.00 50
700 21,700.00 700
1300 110,500.00 1300
0 - 0
200 - 200
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
48,125,734.95
PUSKESMAS : Umanen
NAMA SUB UNIT

NO NAMA OBAT SATUAN GUDANG
HARGA SATUAN

1.2.7 Parasetamol 500 mg Tablet 287.00
1.3 Antipirai -
2.0 Anestetik -
2.1.2 Lidokain compositum injeksi 2 ml Ampul 1,473.00 5 9
3.2 Chloramfeniramin Maleat 4 mg (CTM) Tablet 25.00 300 506
3.4 Deksametason 0,5 mg Tablet 250.00 20
3.8 Metilprednisolon Tablet 152.00 400 30
6 Antelmintik -
6.3 AlbendazoleSyrup Botol 5,000.00
7 Antifilaria -
8 Antibakteri -
8.17 Erytromicyn 250 mg Tablet 693.00 200
8.19 Gentamicin Salep Kulit 0.1% Tube 6,600.00 14
8.23 Kloramfenikol Salep Mata 1%-5g Tube 2,305.00 4 6
9 KUSTA -
10 Program TBC -
10.3 FDC 1 & III Paket 519,339.00 9
10.4 FDC 2 Paket 1,731,230.00
10.7 Anisol 100 cc btl/100 cc 550,000.00
10.8 Anisol 1000 cc btl/1000 cc 560,000.00
11 Antifungi -
11.3 Ketokonazol tab 200 mg Tablet 322.00
11.8 Salep Kulit 2 - 4 % Pot 3,277.00 10
11.9 Salep Kulit 3 - 6 % Pot 5,620.00
12.1 Abatte Kg 120,000.00
12.2 Abate 1 kg Kg 178,200.00
12.24 Safety Box 2,5 ml Pcs 16,885.00
12.27 Tisu Rol Roll 5,000.00
13 Antimigrein -
15.3 HBSAG Strip ea 8,200.00
15.8 Larutan HCL 0,1 N Set 74,909.00 3
15.12 Under Pad Pcs 9,480.00 40
16.6 Composite 3M B1 Pcs 1,275,000.00
16.7 Composite 3M B2 Pcs 1,275,000.00
16.10 Cavit W Box 312,000.00
16.20 ETSA Pcs 439,500.00
16.24 GIC Fuji G Pcs 1,649,500.00
16.27 Matabur Pcs 494,750.00
17 Diuretika -
18 Antitiroxin -
19 Antidiabetes -
20 Anti Kolesterol
23.3 Acyklovir cream 5% Tube 4,950.00 24
23.11 Reagen HIV 1/2.3 SD Set 14,340.00
24.5 HCT 25 mg Tablet 194.00 100
25.2 Hidrokortison Salep Kulit 2,5% Tube 2,846.00 12 1
27.10 Zinc Tablet 658.00 200 295 60
29 Sedativa -
31 Antipsikosis -
33 AntiDiare
34 Antispasmodik -
34.3 Papaverin tablet Tablet 330.00
35 Antiasma -
36.1 Ambroxol 30 mg Tablet 308.00 940
37 Antiemetik -
38 Serum -
39 Vaksin -
39.6 DT 10 dosis @ 0,5 ml Vial 16,360.00 26
39.8 HB 0-7 hr @ 0,5 ml Vial 20,900.00 18
39.9 HBIg Buah 1,325,000.00
39.11 MR Vial 141,648.00 4
39.14 Polio @ 1 ml/OPV Vial 19,954.00 15
39.15 Polio IPV Vial 137,610.00
39.16 Pipet Polio
39.17 TD 10 dosis @ 0,5 ml Vial 15,000.00 9
40 Anti Haemoroid -
41.1 Abocath/IV Cateter 18 G Pcs 6,500.00 13
41.3 Abocath/IV cateter 22 G Pcs 6,500.00 17 19
41.5 Bisturi No. 10 Pcs 2,660.00
41.6 Bisturi No. 11 Pcs 2,660.00
41.7 Bisturi No. 15 Pcs 2,660.00
41.12 Catgut Plain 3/0 26 mm 2,963.17
41.18 Disposible /Jarum Suntik 5 ml Pcs 1,048.05 83
41.26 Hand Schoen Non Steril Powder Free L Psg 672.10
41.29 Jelly 82 gram Tube 36,937.28 3 1
41.30 Kain kasa roll panjang 40 X 80 Roll 169,740.00 3 1 1
41.37 Masker N95 1880S Box 20,100.00
41.38 Masker N95 1870 Box 21,600.00
41.39 Masker N95 3M 1860 Pcs 23,510.00
41.42 Plester non Woven Roll 10 x 5 cm Roll 51,700.00 5
41.50 Benechek Tets Asam Urat Test 7,527.00 25
41.51 Benechek Tets Glukosa Test 3,435.00 300
41.52 Benechek Tets Kolesterol Test 28,660.70 20
42.25 Vaseline Pcs 249,800.00
JUMLAH
T PUSKESMAS
TAHUN: 2021
BULAN: SEPTEMBER
NAMA SUB UNIT

KIPI JUMLAH TOTAL HARGA
KIT
- 0
- 0
470 144,760.00 470
0 - 0
90 2875 1,265,000.00 2875
0 - 0
15 7,425.00 15
20 2020 331,280.00 2020
0 - 0
0 - 0
9 74,799.00 9
0 - 0
1190 523,600.00 1190
0 - 0
0 - 0
0 - 0
20 978 111,492.00 978
0 - 0
0 - 0
1 4 3 22 33,638.00 22
14 20,622.00 14
3 990,000.00 3
0 - 0
2 15 30,000.00 15
806 20,150.00 806
365 40,515.00 365
40 60 15,000.00 60
2 5 6,890.00 5
2 5 6,600.00 5
200 30,000.00 200
430 65,360.00 430
2795 240,370.00 2795
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
200 101,200.00 200
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
2598 698,862.00 2598
0 - 0
0 - 0
0 - 0
0 - 0
45 84,960.00 45
0 - 0
0 - 0
440 217,800.00 440
0 - 0
0 - 0
140 132,440.00 140
0 - 0
940 661,760.00 940
470 124,080.00 470
200 138,600.00 200
0 - 0
14 92,400.00 14
0 - 0
10 53,150.00 10
0 - 0
10 23,050.00 10
5 75,000.00 5
100 1420 187,440.00 1420
0 - 0
3 6,900.00 3
0 - 0
80 510 145,860.00 510
0 - 0
0 - 0
46 207,000.00 46
3 12 33,288.00 12
0 - 0
23 759,000.00 23
80 27,840.00 80
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
9 4,674,051.00 9
0 - 0
0 - 0
20 117,800.00 20
0 - 0
0 - 0
0 - 0
2 986,280.00 2
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
5 16,470.00 5
820 211,560.00 820
0 - 0
24 69,432.00 24
16 68,288.00 16
0 - 0
129 90,300.00 129
10 32,770.00 10
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
18 37,260.00 18
0 - 0
200 166,500.00 200
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
100 25,300.00 100
100 1,493,400.00 100
0 - 0
0 - 0
1 880,000.00 1
0 - 0
0 - 0
0 - 0
432 120,000.00 432
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
140 18,760.00 140
0 - 0
0 - 0
3406 446,186.00 3406
19 16,910.00 19
2 49 225,155.00 49
20 1008 165,312.00 1008
90 4,770.00 90
5 7,125.00 5
30 2010 196,980.00 2010
0 - 0
2102 308,994.00 2102
0 - 0
380 8404 3,739,780.00 8404
0 - 0
0 - 0
0 - 0
0 - 0
2550 168,300.00 2550
0 - 0
3 224,727.00 3
50 146,000.00 50
70 38,780.00 70
109 60,168.00 109
40 379,200.00 40
54 130,882.50 54
0 - 0
0 - 0
3 688,500.00 3
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
400 35,200.00 400
0 - 0
0 - 0
0 - 0
0 - 0
1810 222,630.00 1810
0 - 0
0 - 0
440 105,600.00 440
0 - 0
2 130,000.00 2
3 42,045.00 3
0 - 0
2 160,000.00 2
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
50 24,800.00 50
24 118,800.00 24
0 - 0
0 - 0
200 5,377,860.00 200
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
200 2,395,000.00 200
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
100 2930 243,190.00 2930
80 1988 157,052.00 1988
0 - 0
0 - 0
100 19,400.00 100
92 14,996.00 92
0 - 0
0 - 0
0 - 0
1 21 34,062.00 21
1 14 39,844.00 14
0 - 0
7 46,697.00 7
0 - 0
0 - 0
5 440,000.00 5
0 - 0
150 44,400.00 150
0 - 0
1 23 169,349.00 23
27 184,680.00 27
2 32 244,160.00 32
0 - 0
555 365,190.00 555
0 - 0
0 - 0
0 - 0
100 28,300.00 100
40 73,480.00 40
0 - 0
3 6,450.00 3
0 - 0
85 10,285.00 85
0 - 0
100 16,800.00 100
0 - 0
0 - 0
0 - 0
335 147,400.00 335
0 - 0
120 1594 92,452.00 1594
7 16,856.00 7
0 - 0
0 - 0
0 - 0
50 560 258,720.00 560
0 - 0
0 - 0
80 15,120.00 80
100 40,000.00 100
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
100 10,500.00 100
0 - 0
0 - 0
1146 252,120.00 1146
0 - 0
0 - 0
100 1040 320,320.00 1040
7 41,300.00 7
0 - 0
100 68,500.00 100
14 67,634.00 14
0 - 0
0 - 0
0 - 0
0 - 0
504 49,896.00 504
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
2 109,000.00 2
2 - 2
0 - 0
0 - 0
4 280,928.00 4
26 425,360.00 26
10 - 10
18 376,200.00 18
0 - 0
0 - 0
4 566,592.00 4
2 - 2
0 - 0
15 299,310.00 15
0 - 0
0 - 0
9 135,000.00 9
0 - 0
1 3,959.00 1
0 - 0
1 14 91,000.00 14
2 16 105,360.00 16
2 38 247,000.00 38
0 - 0
0 - 0
0 - 0
0 - 0
12 107,000.00 12
18 161,645.25 18
0 - 0
0 - 0
0 - 0
51 74,119.32 51
730 958,782.00 730
4 169 144,119.82 169
0 - 0
8 2 1 72 62,015.04 72
3 86 90,132.30 86
0 - 0
0 - 0
0 - 0
0 - 0
5 263 1,504,360.00 263
0 - 0
0 - 0
0 - 0
8 63,896.00 8
1 2 18 103,680.00 18
4 147,749.12 4
5 848,700.00 5
5 62,500.00 5
1 4,830.00 1
0 - 0
35 25,200.00 35
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
5 258,500.00 5
2 12 36,666.67 12
0 - 0
0 - 0
29 47,125.00 29
0 - 0
10 17,500.00 10
0 - 0
25 188,175.00 25
300 1,030,500.00 300
20 573,214.00 20
0 - 0
45 45 585.00 45
1000 31,000.00 1000
1300 110,500.00 1300
0 - 0
200 - 200
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
45,107,363.02
PUSKESMAS : Umanen
NAMA SUB UNIT

HARGA SATUAN

1.2.3 Asam Mefenamat 500 mg Tablet 440.00 1500 665
1.2.9 Parasetamol drop 100 mg/ml Botol 8,311.00
1.3 Antipirai -
2.0 Anestetik -
3.2 Chloramfeniramin Maleat 4 mg (CTM) Tablet 25.00 523
3.4 Deksametason 0,5 mg Tablet 250.00
3.9 Prednison 5 mg Tablet 86.00 1700 785
6 Antelmintik -
7 Antifilaria -
8 Antibakteri -
8.3 Amoksisilin Syrup kering Botol 4,172.00 5 4
8.7 Azitromisin 500 mg Tablet 1,888.00
8.23 Kloramfenikol Salep Mata 1%-5g Tube 2,305.00 4 6
8.29 Metronidaszole 500 mg Tablet 286.00 385
9 KUSTA -
10 Program TBC -
10.3 FDC 1 & III Paket 519,339.00 7
10.4 FDC 2 Paket 1,731,230.00
10.6 Sputum pot Buah 5,890.00 80 20
10.7 Anisol 100 cc btl/100 cc 550,000.00
10.8 Anisol 1000 cc btl/1000 cc 560,000.00
11 Antifungi -
11.8 Salep Kulit 2 - 4 % Pot 3,277.00 10
11.9 Salep Kulit 3 - 6 % Pot 5,620.00
12.1 Abatte Kg 120,000.00
12.2 Abate 1 kg Kg 178,200.00
12.6 ACT tab(ARTERAKINE)/Darpleks Tablet 2,070.00
12.24 Safety Box 2,5 ml Pcs 16,885.00
12.27 Tisu Rol Roll 5,000.00
13 Antimigrein -
15.8 Larutan HCL 0,1 N Set 74,909.00 3
15.12 Under Pad Pcs 9,480.00 50 8
16.6 Composite 3M B1 Pcs 1,275,000.00
16.7 Composite 3M B2 Pcs 1,275,000.00
16.10 Cavit W Box 312,000.00
16.20 ETSA Pcs 439,500.00
16.24 GIC Fuji G Pcs 1,649,500.00
16.27 Matabur Pcs 494,750.00
17 Diuretika -
18 Antitiroxin -
19 Antidiabetes -
20 Anti Kolesterol
21.3 Etanol 70% (Alkohol ) 1 liter Botol 31,478.00 9
21.5 Povidon Iodida 10%- 300 ml Botol 22,018.00 4
23.11 Reagen HIV 1/2.3 SD Set 14,340.00
24.5 HCT 25 mg Tablet 194.00 95
27.10 Zinc Tablet 658.00 200 230 60
28.3 Oksitosin injeksi Ampul 1,837.00 24
29 Sedativa -
31 Antipsikosis -
32.5 Omeprazole 20 mg Tablet 150.00 210
33 AntiDiare
34 Antispasmodik -
35 Antiasma -
37 Antiemetik -
38 Serum -
39 Vaksin -
39.6 DT 10 dosis @ 0,5 ml Vial 16,360.00 26
39.8 HB 0-7 hr @ 0,5 ml Vial 20,900.00 3
39.9 HBIg Buah 1,325,000.00
39.11 MR Vial 141,648.00 5
39.14 Polio @ 1 ml/OPV Vial 19,954.00 19
39.15 Polio IPV Vial 137,610.00
39.16 Pipet Polio
39.17 TD 10 dosis @ 0,5 ml Vial 15,000.00 3
40 Anti Haemoroid -
41.5 Bisturi No. 10 Pcs 2,660.00
41.6 Bisturi No. 11 Pcs 2,660.00
41.7 Bisturi No. 15 Pcs 2,660.00
41.8 Cat gut chromic No.2/0 Set 8,916.67 2
41.12 Catgut Plain 3/0 26 mm 2,963.17
41.17 Disposible /Jarum Suntik 3 ml Pcs 861.32 68 20
41.29 Jelly 82 gram Tube 36,937.28 2 1
41.37 Masker N95 1880S Box 20,100.00
41.38 Masker N95 1870 Box 21,600.00
41.39 Masker N95 3M 1860 Pcs 23,510.00
41.52 Benechek Tets Kolesterol Test 28,660.70 10
42.25 Vaseline Pcs 249,800.00
JUMLAH
T PUSKESMAS
TAHUN: 2021
BULAN: OKTOBER
NAMA SUB UNIT

KIT
-
-
470 144,760.00 470
0 - 0
90 2255 992,200.00 2255
0 - 0
610 301,950.00 610
10 1630 267,320.00 1630
0 - 0
0 - 0
0 - 0
0 - 0
80 1010 444,400.00 1010
0 - 0
0 - 0
0 - 0
948 108,072.00 948
0 - 0
0 - 0
3 4 2 18 27,522.00 18
5 7,365.00 5
2 660,000.00 2
0 - 0
2 14 28,000.00 14
523 13,075.00 523
317 35,187.00 317
30 30 7,500.00 30
2 5 6,890.00 5
2 5 6,600.00 5
200 30,000.00 200
408 62,016.00 408
2485 213,710.00 2485
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
200 101,200.00 200
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
2976 800,544.00 2976
9 37,548.00 9
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
364 180,180.00 364
0 - 0
0 - 0
90 85,140.00 90
0 - 0
890 626,560.00 890
470 124,080.00 470
200 138,600.00 200
0 - 0
11 72,600.00 11
0 - 0
10 53,150.00 10
0 - 0
10 23,050.00 10
2 30,000.00 2
90 1370 180,840.00 1370
0 - 0
3 6,900.00 3
0 - 0
30 415 118,690.00 415
0 - 0
0 - 0
45 202,500.00 45
1 4 11,096.00 4
0 - 0
21 693,000.00 21
80 27,840.00 80
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
7 3,635,373.00 7
0 - 0
0 - 0
100 589,000.00 100
0 - 0
0 - 0
0 - 0
2 986,280.00 2
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
5 16,470.00 5
780 201,240.00 780
0 - 0
24 69,432.00 24
15 64,020.00 15
0 - 0
114 79,800.00 114
10 32,770.00 10
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
100 83,250.00 100
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
100 25,300.00 100
25 373,350.00 25
0 - 0
0 - 0
1 880,000.00 1
0 - 0
0 - 0
0 - 0
432 120,000.00 432
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
120 16,080.00 120
0 - 0
0 - 0
200 4039 529,109.00 4039
100 89,000.00 100
2 33 151,635.00 33
60 724 118,736.00 724
90 4,770.00 90
5 7,125.00 5
2560 250,880.00 2560
0 - 0
100 3110 457,170.00 3110
0 - 0
480 4498 2,001,610.00 4498
0 - 0
0 - 0
0 - 0
0 - 0
20 2060 135,960.00 2060
0 - 0
3 224,727.00 3
50 146,000.00 50
70 38,780.00 70
65 35,880.00 65
58 549,840.00 58
53 128,458.75 53
0 - 0
0 - 0
3 688,500.00 3
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
400 35,200.00 400
0 - 0
0 - 0
0 - 0
0 - 0
2120 260,760.00 2120
0 - 0
0 - 0
430 103,200.00 430
0 - 0
7 455,000.00 7
3 42,045.00 3
9 283,302.00 9
2 160,000.00 2
1 5 110,090.00 5
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
28 13,888.00 28
22 108,900.00 22
0 - 0
0 - 0
200 5,377,860.00 200
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
100 1,197,500.00 100
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
10 2220 184,260.00 2220
60 990 78,210.00 990
0 - 0
0 - 0
95 18,430.00 95
82 13,366.00 82
0 - 0
0 - 0
0 - 0
1 20 32,440.00 20
1 13 36,998.00 13
0 - 0
4 26,684.00 4
0 - 0
0 - 0
5 440,000.00 5
0 - 0
126 37,296.00 126
0 - 0
1 23 169,349.00 23
26 177,840.00 26
2 15 114,450.00 15
0 - 0
490 322,420.00 490
0 - 0
0 - 0
0 - 0
100 28,300.00 100
24 44,088.00 24
0 - 0
3 6,450.00 3
0 - 0
58 7,018.00 58
0 - 0
100 16,800.00 100
0 - 0
0 - 0
0 - 0
240 105,600.00 240
0 - 0
30 2524 146,392.00 2524
7 16,856.00 7
0 - 0
0 - 0
210 31,500.00 210
260 120,120.00 260
0 - 0
0 - 0
150 28,350.00 150
100 40,000.00 100
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
100 10,500.00 100
0 - 0
0 - 0
1076 236,720.00 1076
0 - 0
0 - 0
80 1476 454,608.00 1476
6 35,400.00 6
1884 442,740.00 1884
100 68,500.00 100
11 53,141.00 11
0 - 0
0 - 0
0 - 0
0 - 0
504 49,896.00 504
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
3 163,500.00 3
3 - 3
0 - 0
0 - 0
4 280,928.00 4
26 425,360.00 26
19 - 19
3 62,700.00 3
0 - 0
0 - 0
5 708,240.00 5
5 - 5
0 - 0
19 379,126.00 19
0 - 0
0 - 0
3 45,000.00 3
0 - 0
1 3,959.00 1
0 - 0
1 22 143,000.00 22
2 31 204,135.00 31
2 34 221,000.00 34
0 - 0
0 - 0
0 - 0
0 - 0
2 17,833.33 2
15 134,704.38 15
0 - 0
0 - 0
0 - 0
105 152,598.60 105
810 1,063,854.00 810
3 154 131,328.12 154
0 - 0
3 2 93 80,102.76 93
1 169 177,120.45 169
0 - 0
0 - 0
0 - 0
0 - 0
5 212 1,212,640.00 212
0 - 0
0 - 0
0 - 0
8 63,896.00 8
1 2 25 144,000.00 25
3 110,811.84 3
6 1,018,440.00 6
8 100,000.00 8
4 18 86,940.00 18
0 - 0
35 25,200.00 35
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
1 4 206,800.00 4
2 12 36,666.67 12
0 - 0
0 - 0
19 30,875.00 19
0 - 0
10 17,500.00 10
0 - 0
0 - 0
0 - 0
10 286,607.00 10
0 - 0
45 45 585.00 45
1500 46,500.00 1500
1000 85,000.00 1000
0 - 0
200 - 200
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
39,210,048.90
PUSKESMAS : Umanen
NAMA SUB UNIT

HARGA SATUAN

1.2.5 Ibuprofen 400 mg Tablet 495.00 600 790
1.2.6 Natrium Diklofenak 50 mg Tablet 164.00
1.3 Antipirai -
1.3.1 Alopurinol 100 mg Tablet 114.00 1158 120
2.0 Anestetik -
3.2 Chloramfeniramin Maleat 4 mg (CTM) Tablet 25.00 1000 832
3.3 Cetrizin 10 mg Tablet 111.00 208
3.4 Deksametason 0,5 mg Tablet 250.00 660 90
6 Antelmintik -
7 Antifilaria -
8 Antibakteri -
8.10 Cefadroxil 500 mg Tablet 495.00 190
8.19 Gentamicin Salep Kulit 0.1% Tube 6,600.00 7
8.29 Metronidaszole 500 mg Tablet 286.00 300
8.33 Oksitetrasiklin Salep Mata 1 %-5g Tube 2,774.00 23 1 1
9 KUSTA -
10 Program TBC -
10.3 FDC 1 & III Paket 519,339.00 1
10.4 FDC 2 Paket 1,731,230.00
10.6 Sputum pot Buah 5,890.00 80 20
10.7 Anisol 100 cc btl/100 cc 550,000.00
10.8 Anisol 1000 cc btl/1000 cc 560,000.00
11 Antifungi -
11.4 Ketokonazol krim 2 % Tube 2,893.00 22
11.6 Nistatin tablet salut 500.000 IU Tab.Salut 990.00 100
11.8 Salep Kulit 2 - 4 % Pot 3,277.00 10
11.9 Salep Kulit 3 - 6 % Pot 5,620.00
12.1 Abatte Kg 120,000.00
12.2 Abate 1 kg Kg 178,200.00
12.15 Rapid Test Malaria Pcs 14,934.00
12.24 Safety Box 2,5 ml Pcs 16,885.00
12.27 Tisu Rol Roll 5,000.00
13 Antimigrein -
15.3 HBSAG Strip ea 8,200.00 50
15.6 Kalsium Laktat ( Kalak ) Tablet 66.00 500 720 150
15.8 Larutan HCL 0,1 N Set 74,909.00 3
15.12 Under Pad Pcs 9,480.00 10 79
16.6 Composite 3M B1 Pcs 1,275,000.00
16.7 Composite 3M B2 Pcs 1,275,000.00
16.10 Cavit W Box 312,000.00
16.20 ETSA Pcs 439,500.00
16.24 GIC Fuji G Pcs 1,649,500.00
16.27 Matabur Pcs 494,750.00
17 Diuretika -
18 Antitiroxin -
19 Antidiabetes -
20 Anti Kolesterol
21.3 Etanol 70% (Alkohol ) 1 liter Botol 31,478.00 6 1 1
21.5 Povidon Iodida 10%- 300 ml Botol 22,018.00 3 1
23.11 Reagen HIV 1/2.3 SD Set 14,340.00
24.5 HCT 25 mg Tablet 194.00 95
27.4 Garam oralit 200 ml Sachet 296.00 47 14
27.10 Zinc Tablet 658.00 295 60
29 Sedativa -
30.2 Halloperidol 0.5 mg Tablet 56.00 94
31 Antipsikosis -
32.2 Antasida DOEN Suspensi Botol 2,408.00 5
32.5 Omeprazole 20 mg Tablet 150.00 100
33 AntiDiare
34 Antispasmodik -
35 Antiasma -
37 Antiemetik -
38 Serum -
39 Vaksin -
39.6 DT 10 dosis @ 0,5 ml Vial 16,360.00 66
39.8 HB 0-7 hr @ 0,5 ml Vial 20,900.00 2
39.9 HBIg Buah 1,325,000.00
39.11 MR Vial 141,648.00 8
39.14 Polio @ 1 ml/OPV Vial 19,954.00 28
39.15 Polio IPV Vial 137,610.00 35
39.16 Pipet Polio
39.17 TD 10 dosis @ 0,5 ml Vial 15,000.00 23
40 Anti Haemoroid -
41.5 Bisturi No. 10 Pcs 2,660.00
41.6 Bisturi No. 11 Pcs 2,660.00
41.7 Bisturi No. 15 Pcs 2,660.00
41.8 Cat gut chromic No.2/0 Set 8,916.67 2
41.12 Catgut Plain 3/0 26 mm 2,963.17
41.17 Disposible /Jarum Suntik 3 ml Pcs 861.32 90 12
41.18 Disposible /Jarum Suntik 5 ml Pcs 1,048.05 120
41.23 Hand SchoenSteril no: 7,5 Powder Free Buah 5,720.00
41.29 Jelly 82 gram Tube 36,937.28 1
41.37 Masker N95 1880S Box 20,100.00
41.38 Masker N95 1870 Box 21,600.00
41.39 Masker N95 3M 1860 Pcs 23,510.00
41.46 Umbilical Cord Klem Pcs 1,625.00
42.25 Vaseline Pcs 249,800.00
JUMLAH
T PUSKESMAS
TAHUN: 2021
BULAN: NOVEMBER
NAMA SUB UNIT

KIT
- 0
- 0
470 144,760.00 470
0 - 0
90 1780 783,200.00 1780
0 - 0
1390 688,050.00 1390
0 - 0
100 1735 497,945.00 1735
0 - 0
2 16,622.00 2
0 - 0
60 1810 796,400.00 1810
0 - 0
0 - 0
0 - 0
100 1378 157,092.00 1378
0 - 0
0 - 0
2 9 13,761.00 9
12 17,676.00 12
2 660,000.00 2
0 - 0
2 14 28,000.00 14
1832 45,800.00 1832
208 23,088.00 208
20 770 192,500.00 770
2 5 6,890.00 5
2 5 6,600.00 5
200 30,000.00 200
398 60,496.00 398
2253 193,758.00 2253
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
1100 556,600.00 1100
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
3184 856,496.00 3184
3 12,516.00 3
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
190 94,050.00 190
0 - 0
0 - 0
20 18,920.00 20
0 - 0
830 584,320.00 830
460 121,440.00 460
200 138,600.00 200
0 - 0
7 46,200.00 7
0 - 0
8 42,520.00 8
0 - 0
33 76,065.00 33
8 120,000.00 8
70 1260 166,320.00 1260
0 - 0
3 6,900.00 3
0 - 0
30 330 94,380.00 330
0 - 0
0 - 0
45 202,500.00 45
3 28 77,672.00 28
0 - 0
11 363,000.00 11
80 27,840.00 80
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
1 519,339.00 1
0 - 0
0 - 0
100 589,000.00 100
0 - 0
0 - 0
0 - 0
2 986,280.00 2
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
2 6,588.00 2
720 185,760.00 720
0 - 0
22 63,646.00 22
34 145,112.00 34
100 99,000.00 100
114 79,800.00 114
10 32,770.00 10
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
18 37,260.00 18
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
100 25,300.00 100
0 - 0
0 - 0
0 - 0
1 880,000.00 1
0 - 0
0 - 0
0 - 0
360 100,000.00 360
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
10 1,340.00 10
0 - 0
0 - 0
40 4750 622,250.00 4750
195 173,550.00 195
2 46 211,370.00 46
140 1012 165,968.00 1012
90 4,770.00 90
5 7,125.00 5
100 2290 224,420.00 2290
0 - 0
80 1934 284,298.00 1934
0 - 0
250 1790 796,550.00 1790
0 - 0
50 410,000.00 50
0 - 0
0 - 0
70 1440 95,040.00 1440
0 - 0
3 224,727.00 3
50 146,000.00 50
70 38,780.00 70
129 71,208.00 129
89 843,720.00 89
53 128,458.75 53
0 - 0
0 - 0
3 688,500.00 3
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
380 33,440.00 380
0 - 0
0 - 0
0 - 0
0 - 0
2760 339,480.00 2760
0 - 0
0 - 0
430 103,200.00 430
0 - 0
1 6 390,000.00 6
3 42,045.00 3
8 251,824.00 8
1 80,000.00 1
4 88,072.00 4
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
18 8,928.00 18
21 103,950.00 21
0 - 0
0 - 0
100 2,688,930.00 100
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
110 2310 191,730.00 2310
60 1995 157,605.00 1995
0 - 0
0 - 0
95 18,430.00 95
82 13,366.00 82
0 - 0
0 - 0
0 - 0
15 24,330.00 15
31 88,226.00 31
0 - 0
1 6,671.00 1
0 - 0
0 - 0
4 352,000.00 4
0 - 0
61 18,056.00 61
0 - 0
1 23 169,349.00 23
20 136,800.00 20
2 40 305,200.00 40
0 - 0
355 233,590.00 355
0 - 0
0 - 0
0 - 0
100 28,300.00 100
109 200,233.00 109
0 - 0
3 6,450.00 3
0 - 0
22 2,662.00 22
0 - 0
87 14,616.00 87
94 5,264.00 94
0 - 0
0 - 0
150 66,000.00 150
0 - 0
40 2380 138,040.00 2380
5 12,040.00 5
0 - 0
0 - 0
100 15,000.00 100
1100 508,200.00 1100
0 - 0
0 - 0
50 9,450.00 50
100 40,000.00 100
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
100 10,500.00 100
0 - 0
0 - 0
1003 220,660.00 1003
0 - 0
0 - 0
80 2051 631,708.00 2051
6 35,400.00 6
2498 587,030.00 2498
100 68,500.00 100
8 38,648.00 8
0 - 0
0 - 0
0 - 0
0 - 0
409 40,491.00 409
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
6 327,000.00 6
6 - 6
0 - 0
0 - 0
15 1,053,480.00 15
66 1,079,760.00 66
28 - 28
2 41,800.00 2
0 - 0
0 - 0
8 1,133,184.00 8
8 - 8
0 - 0
28 558,712.00 28
35 4,816,350.00 35
0 - 0
23 345,000.00 23
0 - 0
1 3,959.00 1
0 - 0
1 20 130,000.00 20
2 21 138,285.00 21
2 32 208,000.00 32
0 - 0
0 - 0
0 - 0
0 - 0
2 17,833.33 2
32 287,369.33 32
0 - 0
0 - 0
0 - 0
144 209,278.08 144
690 906,246.00 690
1 235 200,403.30 235
0 - 0
3 2 107 92,161.24 107
4 124 129,958.20 124
0 - 0
0 - 0
0 - 0
0 - 0
8 8 45,760.00 8
0 - 0
0 - 0
0 - 0
8 63,896.00 8
1 2 31 178,560.00 31
1 36,937.28 1
3 509,220.00 3
6 75,000.00 6
2 11 53,130.00 11
0 - 0
35 25,200.00 35
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
4 206,800.00 4
1 10 30,555.56 10
0 - 0
0 - 0
0 - 0
0 - 0
10 17,500.00 10
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
45 45 585.00 45
2000 62,000.00 2000
1000 85,000.00 1000
0 - 0
200 - 200
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
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0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
0 - 0
38,450,244.07
PUSKESMAS : Umanen

1.2.1 Antalgin 500 mg Tablet 308.00
1.2.3 Asam Mefenamat 500 mg Tablet 440.00
1.2.5 Ibuprofen 400 mg Tablet 495.00
1.2.6 Natrium Diklofenak 50 mg Tablet 164.00
1.2.9 Parasetamol drop 100 mg/ml Botol 8,311.00
1.3 Antipirai -
1.3.1 Alopurinol 100 mg Tablet 114.00
2.0 Anestetik -
2.1.1 Lidokain Hcl injeksi 2 ml Ampul 1,529.00
2.1.2 Lidokain compositum injeksi 2 ml Ampul 1,473.00
2.1.3 Etil Klorida Semprot Botol 330,000.00
3.1 Adrenalin/ Epinefrin Injeksi Ampul 2,000.00
3.3 Cetrizin 10 mg Tablet 111.00
3.4 Deksametason 0,5 mg Tablet 250.00
3.5 Deksametason Injeksi 1 ml Ampul 1,378.00
3.6 Difenhidramin Hcl Injeksi Ampul 1,320.00
3.9 Prednison 5 mg Tablet 86.00
6 Antelmintik -
7 Antifilaria -
8 Antibakteri -
8.2 Amoksisilin 500 mg Kaplet 269.00
8.13 Clyndamicin 150 mg Tablet 946.00
8.15 Cyprofloksacin 500 mg Tablet 704.00
8.16 Doksisiklin Tablet 264.00
8.19 Gentamicin Salep Kulit 0.1% Tube 6,600.00
8.21 Gentamicin Tetes Mata Tube 5,315.00
8.23 Kloramfenikol Salep Mata 1%-5g Tube 2,305.00
8.24 Kloramfenikol Tetes Telinga 3%-5ml Botol 15,000.00
8.25 Kotrimoksazol Dewasa Kombinasi 480 mg Tablet 132.00
8.27 Kotrimoksazole Suspensi Botol 2,300.00
8.32 Oksitetrasiklin Salep Kulit 3 %-5g Tube 4,500.00
8.33 Oksitetrasiklin Salep Mata 1 %-5g Tube 2,774.00
8.35 Salep kulit Bacitrasin Tube 33,000.00
8.36 Tetrasiklin 500 mg Kapsul 348.00
9 KUSTA -
10 Program TBC -
10.3 FDC 1 & III Paket 519,339.00
10.4 FDC 2 Paket 1,731,230.00
10.6 Sputum pot Buah 5,890.00
10.7 Anisol 100 cc btl/100 cc 550,000.00
10.8 Anisol 1000 cc btl/1000 cc 560,000.00
10.10 Zeil Nelson Paket 493,140.00
11 Antifungi -
11.1 Gentian Viloet larutan 1% Botol 3,294.00
11.2 Griseofulvin, micronized 250 mg Tablet 258.00
11.4 Ketokonazol krim 2 % Tube 2,893.00
11.5 Miconazol cream Tube 4,268.00
11.7 Nistatin tablet Vaginal 100.000 IU Tab.Vagina 700.00
11.8 Salep Kulit 2 - 4 % Pot 3,277.00
11.9 Salep Kulit 3 - 6 % Pot 5,620.00
12.1 Abatte Kg 120,000.00
12.2 Abate 1 kg Kg 178,200.00
12.6 ACT tab(ARTERAKINE)/Darpleks Tablet 2,070.00
12.14 Primakuin tablet 15 mg Tablet 253.00
12.15 Rapid Test Malaria Pcs 14,934.00
12.22 Slide (Obyek gelass) Pcs 277.78
12.24 Safety Box 2,5 ml Pcs 16,885.00
12.27 Tisu Rol Roll 5,000.00
13 Antimigrein -
13.1 Bethahistin 6 mg Tablet 134.00
14.1 Asam Askorbat ( Vitamin C 50 mg Tablet 131.00
14.2 Fitommenadion 10 mg ( Vti.K ) Tablet 890.00
14.3 Fitommenadion Injeksi ( Vti.K ) Ampul 4,595.00
14.4 Piridoksin HCl 10 mg Tablet 164.00
14.5 Sianokobalamin 100 mg (Vit B12 ) tab Tablet 53.00
14.6 Sianokobalamin Injeksi (Vit B12 ) Ampul 1,425.00
14.7 Vitamin B 1 ( Thiamin HCl) 100 mg Tablet 98.00
14.9 Vitamin B Complek Tablet 147.00
15.1 Besi (II) Tablet salut kombinasi Tablet 445.00
15.6 Kalsium Laktat ( Kalak ) Tablet 66.00
15.8 Larutan HCL 0,1 N Set 74,909.00
15.10 Retinol (Vit. A) caps. lunak 100.000 IU Kapsul 554.00
15.11 Retinol (Vit. A) caps. lunak 200.000 IU Kapsul 552.00
15.12 Under Pad Pcs 9,480.00
16.1 Articulating Paper Pak 229,500.00
16.6 Composite 3M B1 Pcs 1,275,000.00
16.7 Composite 3M B2 Pcs 1,275,000.00
16.10 Cavit W Box 312,000.00
16.20 ETSA Pcs 439,500.00
16.24 GIC Fuji G Pcs 1,649,500.00
16.27 Matabur Pcs 494,750.00
17 Diuretika -
18 Antitiroxin -
19 Antidiabetes -
19.2 Metformin HCL tablet 500 mg Tablet 123.00
20 Anti Kolesterol
21.1 Bayclin cairan Botol 65,000.00
21.2 Etakridin Laktat ( Rivanol ) 300 ml Botol 14,015.00
21.4 Lisol Cairan 1 liter Botol 80,000.00
23.11 Reagen HIV 1/2.3 SD Set 14,340.00
24.1 Amlodipin Kapsul 5 mg Kapsul 83.00
24.2 Captopril 12,5 mg Tablet 79.00
24.5 HCT 25 mg Tablet 194.00
24.6 Isosorbit Dinitrat Sublingual 5 Mg Tablet 163.00
25.1 Betametason Salep Kulit Tube 1,622.00
25.2 Hidrokortison Salep Kulit 2,5% Tube 2,846.00
26.1 Bedak salisilat serbuk 2 % Kotak 6,671.00
27.2 Aqua Pro Injeksi 500 ml Btl 88,000.00
27.4 Garam oralit 200 ml Sachet 296.00
27.6 Glukosa lar.infus 5%-500 ml Flakon 7,363.00
27.7 NaCl 0,9%-500 ml lar.infus Flakon 6,840.00
27.8 Ringer laktat lar. 500 ml Flakon 7,630.00
27.10 Zinc Tablet 658.00
28.2 Metilergometrin Maleat 0,125 mg Tablet 283.00
28.3 Oksitosin injeksi Ampul 1,837.00
29 Sedativa -
29.1 Diazepam Injeksi 5 mg/ml-2ml Ampul 2,150.00
30.1 Amitripylin 25 mg Tablet 168.00
31 Antipsikosis -
31.1 Klorpromazin HCl 100 mg Tablet 440.00
32.1 Antasida DOEN 500 mg Tablet 58.00
32.2 Antasida DOEN Suspensi Botol 2,408.00
32.6 Ranitidin 150 mg Tablet 462.00
33 AntiDiare
34 Antispasmodik -
35 Antiasma -
36.1 Ambroxol 30 mg Tablet 308.00
36.2 Ambroxol Syrup 60 ml Botol 5,900.00
36.4 Kodein 10 mg Tablet 685.00
37 Antiemetik -
37.3 Metoklorpramid tab Tablet 99.00
38 Serum -
39 Vaksin -
39.1 BCG Vaccine SSI 10 dosis Vial 54,500.00
39.2 Pelarut BCG Vial -
39.5 DPT-HB-Hib 5 dosis @ 0,5 ml Vial 70,232.00
39.6 DT 10 dosis @ 0,5 ml Vial 16,360.00
39.7 Dropper Polio Vial -
39.8 HB 0-7 hr @ 0,5 ml Vial 20,900.00
39.9 HBIg Buah 1,325,000.00
39.11 MR Vial 141,648.00
39.12 Pelarut MR Vial
39.14 Polio @ 1 ml/OPV Vial 19,954.00
39.15 Polio IPV Vial 137,610.00
39.16 Pipet Polio
39.17 TD 10 dosis @ 0,5 ml Vial 15,000.00
40 Anti Haemoroid -
40.1 Antihemaroid suppositoria Supp 3,959.00
41.1 Abocath/IV Cateter 18 G Pcs 6,500.00
41.2 Abocath /IV cateter 20 G Pcs 6,585.00
41.3 Abocath/IV cateter 22 G Pcs 6,500.00
41.5 Bisturi No. 10 Pcs 2,660.00
41.6 Bisturi No. 11 Pcs 2,660.00
41.7 Bisturi No. 15 Pcs 2,660.00
41.8 Cat gut chromic No.2/0 Set 8,916.67
41.9 Catgut Cromic 3/0 HR-27, 75 cm Pcs 8,980.29
41.12 Catgut Plain 3/0 26 mm 2,963.17
41.15 Disposible/Jarum Suntik 1 ml Pcs 852.78
41.17 Disposible /Jarum Suntik 3 ml Pcs 861.32
41.18 Disposible /Jarum Suntik 5 ml Pcs 1,048.05
41.23 Hand SchoenSteril no: 7,5 Powder Free Buah 5,720.00
41.27 Infus set Anak Pcs 7,987.00
41.28 Infus set Dewasa Pcs 5,760.00
41.29 Jelly 82 gram Tube 36,937.28
41.30 Kain kasa roll panjang 40 X 80 Roll 169,740.00
41.31 Kapas pembalut / adsorben 250 g Roll 12,500.00
41.32 Kasa pembalut hidrofil 16 X 16 cm ( steril ) Kotak 4,830.00
41.34 Kasa Hidrofil 4 x 10 cm Roll 720.00
41.37 Masker N95 1880S Box 20,100.00
41.38 Masker N95 1870 Box 21,600.00
41.39 Masker N95 3M 1860 Pcs 23,510.00
41.42 Plester non Woven Roll 10 x 5 cm Roll 51,700.00
41.43 Silk (benang bedah sutera) no. 3/0 Set 3,055.56
41.46 Umbilical Cord Klem Pcs 1,625.00
41.55 Plastik Klips uk. 10 x 7 (sedang) Pcs 31.00
41.56 Plastik Klips uk. 11 x 17 (besar) Pcs 85.00
41.58 Kartu Golongan Darah Lbr
42.25 Vaseline Pcs 249,800.00
JUMLAH
T PUSKESMAS
TAHUN: 2021
BULAN: DESEMBER
NAMA SUB UNIT

KIT
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REGISTER SISA OBAT PUSKESMAS

PUSKESMAS : Umanen TAHUN: 2020

PUSKESMAS : Umanen TAHUN: 2021

GUDANG NAMA SUB UNIT

PUSKESMAS : Umanen TAHUN: 2021

GUDANG NAMA SUB UNIT

PUSKESMAS : Umanen TAHUN: 2021

GUDANG NAMA SUB UNIT

PUSKESMAS : Umanen TAHUN: 2021

GUDANG NAMA SUB UNIT

PUSKESMAS : Umanen TAHUN: 2021

GUDANG NAMA SUB UNIT

GUDANG NAMA SUB UNIT

NAMA SUB UNIT

GUDANG NAMA SUB UNIT

NAMA SUB UNIT

GUDANG NAMA SUB UNIT

NAMA SUB UNIT

NAMA SUB UNIT

1 Analgestik, Antipiretik,Antiinflamasi NonSteroid, Antipirai

NAMA SUB UNIT

NAMA SUB UNIT

1 Analgestik, Antipiretik,Antiinflamasi NonSteroid, Antipirai

NAMA SUB UNIT

NAMA SUB UNIT

1 Analgestik, Antipiretik,Antiinflamasi NonSteroid, Antipirai

NAMA SUB UNIT

GUDANG NAMA SUB UNIT

NAMA SUB UNIT

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