STOK OPNAME OBAT DAN BMHP PER 30 APRIL 2019

PUSKESMAS : SAWA
KECAMATAN : SAWA
KABUPATEN : KONAWE UTARA
PROVINSI : SULAWESI TENGGARA

HARGA DAFTAR
NO. NAMA OBAT KEMASAN QUANTUM ED KET
SATUAN HARGA

1 2 3 4 5 6 7 8
1 Allopurinol Tablet 100 Mg Kotak, 10 x 10 Tablet 142.00 1,900 Jun-20
2 Amlodipin tablet 5 mg Kotak, 3 x 10 Tablet 200.00 1,080 Jul-19
3 Amoksisilin kapsul/kaplet 250 mg Kotak 10 x 10 Tablet 215.00 1,900 Mar-20
4 Amoksisilin Kaplet 500 mg kotak 10 strip@10 kap 444.00 500 Nov-21
5 Amoxicilliyn Syrup 125 mg/ml Botol, 60 ml 5,075.00 130 Jan-21
6 Antasida Tablet Kotak, 10 x 10 Tablet 96.00 500 Feb-21
7 Asam Mefenamat 500 mg Kotak, 10 x 10 Tablet 211.00 500 Jul-20
8 Asam Askorbat (Vit C) Kotak, 10 x 10 Tablet 126.00 200 Mar-21

9 Asiklovir tablet 200 mg Kotak 10 strip@10 Tablet 251.00

900 May-19
10 Bedak Salisil Serbuk 2% Kotak 1,081.00 80 Aug-20

11 Betametason krim 0.5 mg/g (Skizon) Tube 3,575.00

126 May-20

12 Calcium Laktate (Kalk) tablet 500 mg Dus 10 blister@10 tablet 72.00

300 Aug-18

13 Calcium Laktate (Kalk) tablet 500 mg Kotak, 10 x10 Tablet 187.00

2,000 31 May 20
14 Captopril 12.5 mg Kotak, 10 x 10 Tablet 72.00 4,500 Oct-21
15 Captopril 25 mg Kotak, 10 x 10 Tablet 127.00 2,700 Nov-21
16 Captopril 50 mg Kotak, 5 x 10 Tablet 144.00 1,550 31 Juni 20
17 Cetirizin HCl 10 mg kotak 10 x 10 tablet 98.00 200
18 Cetirizin Syrup (Trisela Syrup) Botol 22,500.00 35 Jul-19
19 Ciprofloxacin tab 500 Mg Kotak. 10 x 10 Tab 264.00 3,400 Jul-20

20 Deksametason injeksi i.v./i.m 5 mg/ml Kotak, 100 Amp 1,820.00

250 Dec-19
21 Deksamethason Tablet 0.5 mg Kotak, 10 x 10 Tablet 35.00 700 Jul-20
22 Digoksin 0.25 mg Kotak, 10 x 10 Tablet 110.00 2,100 Nov-20
23 Domperidon suspensi 5 mg/5 ml Kotak 50 Botol @ 60 ml 3,300.00 300 Mar-21

24 Domperidon tablet 10 mg Kotak, 10 strip @ 10 tab 138.00

3,700 Nov-20
25 Dulcolax 10 Mg Supp Kotak, 50 Supp 5,800.00 75 Apr-19
26 Dulcolax 5 Mg Supp Kotak, 6 Suppo 5,670.00 10
Epinefrin (Adrenalin) Inj i.v/s.k./i.m 1
27 mg/ml Ampul 2,068.00
130
28 Eritromisin Kaplet 500 mg Kotak, 10 x 10 Kaplet 771.00 1,000 Apr-21
29 Furosemid injeksi i.v./i.m. 10 mg/ml Kotak, 25 Ampul 2,992.00
120 May-19
30 Furosemid Tablet 40 mg Kotak, 10 x 10 Tablet 117.00 700 Jan-21

Garam Oralit Kombinasi : natrium klorida

0.52 g + kalium klorida 0.030 g +
31 trinatrium sitrar 0.58 g + glukosa anhidrat Kotak, 100 Sachet 278.00
2.7 g
600 Nov-19
32 Glibenclamide Tablet 5 mg Kotak, 10 x 10 Tablet 126.00 2,600 Nov-21
33 Glukosa larutan infus 5 % steril Botol 500 ml 5,720.00 20
34 Glukosa larutan infus 5 % steril Botol 500 ml 6,900.00 20 22-Nov-19
35 Glukosa larutan infus 10 % steril Botol 500 ml 6,270.00 20
36 Griseofulvin tablet 125 mg Kotak, 10 x 10 Tablet 230.00 1,800 Mar-19
37 Hidrokortison 2.5 % Krim Kotak, 24 Tube 2,648.00 48 1-Aug-21
38 Ibuprofen tablet 200 mg Kotak, 10 x 10 Tablet 116.00 600 Feb-20
39 Ibuprofen Tablet 400 mg Kotak, 10 x 10 Tablet 193.00 2,600 Jul-20
40 Isosorbid Dinitrat 5 mg Kotak 10 x 10 Tablet 98.00 300

41 Klorfeniramina Maleat (CTM) tablet 4 mg Kotak, 10 x 10 tablet 25.00

800 Apr-22
42 Kotrimoxazole Tablet 480 mg Kotak, 10 x 10 Tablet 192.00 3,700 Mar-21
43 Loperamid tablet 2 mg Kotak, 10 x 10 Tablet 97.00 1,400 Jun-19
44 Loperamid tablet 2 mg Kotak, 10 x 10 Tablet 609.00 700 Jun-20
45 Metformin HCl tablet 500 mg Kotak, 10 x 10 Tablet 120.00 700 Jun-19
46 Methylprednisolone 4 mg Kotak, 10 x 10 Tablet 364.00 5,000 Aug-20
47 Methyl Ergometrin Inj 0.2 mg/ml Kotak, 100 Amp 2,684.00 600 Dec-19
48 Metoclopramide tablet 10 mg Kotak, 10 x 10 Tablet 93.00 900 Jul-22
49 Metoclopramide tablet 10 mg Kotak, 10 x 10 Tablet 110.00 500
50 Metronidazol tablet 500 mg Kotak, 10 x10 Tablet 102.00 3,800 Jul-21
51 Natrium Diklofenak 50 mg Kotak, 5 x 10 Tablet 162.00 1,000 Dec-19
52 Natrium Diklofenak 50 mg Kotak, 5 x 10 Tablet 455.00 250 Jun-22
53 Natrium Klorida larutan infus 0,9 % Botol 500 ml 6,410.00 210 23 Dec 21
54 Nifedipin Kapsul 10 mg Kotak, 10 x 10 Kapsul 203.00 800 Dec 2020
55 Nistatin vaginal tablet 100.000 IU/ g Kotak, 10 x 10 Tablet 628.00 2,800 Sep-20
56 Nistatin Tablet 500.000 IU/g Kotak, 10 x 10 Tablet 895.00 2,400 Jul-19
57 Omeprazol kapsul 20 mg Kotak, 3 x 10 Kapsul 176.00 600 Feb-21
58 Oxytocin Inj 10 UI/ml Kotak, 100 Amp 1,900.00 320 Jan-20
59 Parasetamol Sirup 120 mg / 5 ml Botol @ 60 ml 1,190.00 155 Apr-21
60 Parasetamol Tablet 500 mg Kotak, 10 x 10 Tablet 186.00 700 Jul-21
61 Piridoksin (Vitamin B6) 10 mg HCL Kotak 10 x 10 tablet 148.00 1,300 Feb-20
62 Prednisone Tablet 5 mg Botol, 1000 Tablet 86.00 3,000 Aug-19
63 Ringer Laktat larutan infuse Botol 500 ml 7,150.00 190 15 Oct 2021
64 Rivanol Botol 300 ml 3,327.75 10

65 Salbutamol tablet 2 mg (sebagai Sulfat) Kotak, 10 x 10 Tablet 69.00

2,800 Jan-20
66 Simvastatin Tablet 10 mg Kotak, 3 x 10 tablet 373.00 2,490 1-Jun-21

67 Tetrasiklin 500 mg Kotak, 10 str x 10 kapsul 341.00

1,000 Feb-21
68 Tiamin ( Vitamin B1) 50 mg Kotak, 10 x 10 tablet 85.00 500 Feb-21
 Obat Brendit
1 Fervital Tab Kotak, 10 x 10 Tablet 860.00 700 Feb-20
2 Itranervit.E Kotak, 10 x 10 Tablet 1,045.55 300 Dec-20
3 Livcopec Kotak, 100 Kaplet 600.40 900 Dec-19
4 Molagit Tablet Kotak, 15 x 10 tab 601.00 1,350 Mar-21
5 Novadiar Syr Botol 60 ml 7,650.00 40 Jan-21
6 Pehacain Inj Kotak, 20 Ampul 2,830.00 120 Feb-20
7 Tensi Gard Kotak 30 tablet 1,950.00 230
8 Itramycetine 250 mg Ktk, 10 Strip @ 10 caps 123,654.00 400

Bahan Medis Habis Pakai

1 Alat Suntik 1 ml (Aximed Syiringe 1 cc) 100 Pcs / Kotak 913.00

250 1-Sep-22
3 Alat Suntik 2.5 ml (Top point) Kotak, 100 Pcs 84,810.00 70 1-Sep-22

4 Alat Suntik 3 ml (Aximed Syiringe 3 cc) 100 Pcs / Kotak 907.50

100 1-Sep-22
5.67 Alat Suntik 5 ml (Cosmo Med) 100 Pcs / Kotak 973.24 70 1-Jun-21
7.17 Catgut Chromic 2/0 HR 26 MM Kotak @12 pcs 410,220.00 3 Jul-21
8.67 Catgut Chromic 3/0 HR 26 MM Kotak @12 pcs 410,220.00 2 Oct-21
10 Folley Cateter No.10 FR Kotak, 10 Pcs 22,150.00 10 Feb-20
12 Folley Cateter No.10 Kotak, 10 Pcs 9,345.00 10
13 Folley Cateter 12 FR Kotak, 10 Pcs 21,220.00 10 Feb-21
15 Folley Catheter No.16 FR Ktk, 10 pcs 21,220.00 10 Jul-21
16 Folley Catheter No.16 Ktk, 10 pcs 10,440.00 10 Aug-20
18 Folley Catheter No.18 Ktk, 10 pcs 8,490.00
8 Aug-20
19 Folley Catheter No.18 Ktk, 10 pcs 10,440.00 20 Aug-20
21 Folley Catheter No.20 Ktk, 10 pcs 10,440.00 25 Aug-20
22 Folley Catheter No.22 Ktk, 10 pcs 10,440.00 25 Aug-20
24 Folley Catheter 2 Way No. 24 10 buah/kotak 10,440.00 25 Aug-20
Hanscoen (Aximed Chirurgic Gloves)
25 No.8 Kotak, 50 Pcs 8,360.00
50 Nov-22
27 IV Cateter No.18 G (Jelco) Kotak, 50 Pcs 9,060.00 200 Apr-21
28 IV Cateter No.20 G (Jelco) Kotak 50 Pcs 4,746.00 100 Dec-22
30 IV Cateter No.22 (Gea) Kotak 50 Pcs 8,564.00 100

31 IV Catheter No. 24 G (Onionex/OneMed) Kotak, 50 Pcs 7,784.00

250
33 IV Catheter No. 24 G (Gea) Kotak, 50 Pcs 8,564.00 150 Aug-19
34 Infuset Anak (Top poit) Pcs 768,790.00 100 1-Dec-22
36 Infuset Dewasa (Stera) Set/kantong 7,249.00 50 1-Dec-22
37 Kapas 500 g Roll 31,372.00 25
39 Kasa Hidrofil 40 X 80 (Onemed) Roll 137,025.00 2
40 Masker Oksigen ( Cosmo Med) Pcs 11,020.00 15 15-Jan-21
42 Polifix 10 cm x 5 m Roll 78,279.11 13 Dec-19
43 Silk 2/0 + Jarum 1/2 GT 35 mm Kotak 36 Pcs 143,550.00 4 Oct-20
45 Silk 3/0 + Jarum 1/2 GT 35 mm Kotak 36 Pcs 143,550.00 5 Jun-20
46 Silk Black 3/0 HR 26 MM Kotak, 12 Pcs 253,020.00 1 Dec-21
48 Plester (Fescoplast) Roll 15,175.00 20 9-Jan-19
49 Urine Bag Steril (Cosmo Med) Pcs 5,452.00 25 25-Feb-21
51 Wing Needle no 23 G pcs 1,610.00 100
52 Wing Needle no 25 G ktk 100 sase 6,336.00 150 Jul-19
54 Wing Nedlle No 27 G ktk 100 sase 1,610.00 50
Obat Gigi
1 Alkohol 70% 100 ml Botol 100 ml 3,200.00 15 Feb-20
2 Alkohol 70% Botol 1000 ml 25,300.00 2 May-2021
3 Eugenol Cairan Botol 10 ml 22,589.00 1 May-21
4 Flour Gel Biodinamina Botol 101,640.00 2 Nov-19
5 Pasta Devitalizer Box 371,800.00 1 May-19
6 Pasta Pengisi Saluran Akar Box 1,078,000.00 1 Jun-21

Mengetahui Sawa, 30 APRIL 2019

Kepala Puskesmas Sawa
Pembuat Laporan

MUH. RAYUNG
NIP. 19680722 199003 1 009 RUNAYA HARYADI NINGSIH,Am.Keb
NIP. 19911031 201705 2 002
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