PEMERINTAH KABUPATEN INDRAMAYU

LAPORAN REKAPITULASI TRANSFER MASUK PERSEDIAAN TAHUN 2022

Periode : 01/01/2022 - 31/12/2022

URUSAN :1 . Urusan Wajib Pelayanan Dasar

BIDANG :1 . 2 . Kesehatan
UNIT :1 . 2 . 1 . DINAS KESEHATAN
SUB-UNIT : 1 . 2 . 1 . 43 . PUSKESMAS SUKRA
GUDANG :5 . GUDANG NON APBD
NO. NO & TGL BUKTI NO & TGL BAP ASAL TRANSFER
UNIT ORG. GUDANG
1 000017/2/1.2.1.43.5/2022 000041/6/1.2.1.51.5/2022 DINAS KESEHATAN Gudang Program TB BUFFER
14 Januari 2022 14 Januari 2022

2 000018/2/1.2.1.43.5/2022 000057/6/1.2.1.51.5/2022
26 Januari 2022 26 Januari 2022

3 000022/2/1.2.1.43.5/2022 000016/6/1.2.1.51.6/2022 Gudang Program HIV dan

03 Februari 2022 03 Februari 2022 Program lainnya

4 000001/2/1.2.1.43.5/2022 000021/6/1.2.1.51.3/2022 Gudang Provinsi JAWA BARAT

09 Maret 2022 09 Maret 2022 (Program)

5 000012/2/1.2.1.43.5/2022 000547/6/1.2.1.51.3/2022
09 Maret 2022 09 Maret 2022
6 000013/2/1.2.1.43.5/2022 000565/6/1.2.1.51.3/2022
05 April 2022 05 April 2022
7

9 000003/2/1.2.1.43.5/2022 000121/6/1.2.1.51.3/2022
14 April 2022 14 April 2022

10 000023/2/1.2.1.43.5/2022 000055/6/1.2.1.51.6/2022 Gudang Program HIV dan

14 April 2022 14 April 2022 Program lainnya

11 000002/2/1.2.1.43.5/2022 13 000091/6/1.2.1.51.3/2022 13 Juni Gudang Provinsi JAWA BARAT

Juni 2022 2022 (Program)

12

13 000004/2/1.2.1.43.5/2022 13 000176/6/1.2.1.51.3/2022 13 Juni

Juni 2022 2022

14 000004/2/1.2.1.43.5/2022 13 000176/6/1.2.1.51.3/2022 13 Juni DINAS KESEHATAN Gudang Provinsi JAWA BARAT

Juni 2022 2022 (Program)

15

16

17

18

19

20

21
22

23

24

25

26 000014/2/1.2.1.43.5/2022 13 000636/6/1.2.1.51.3/2022 13 Juni

Juni 2022 2022
27 000027/2/1.2.1.43.5/2022 13 000264/6/1.2.1.51.6/2022 13 Juni Gudang Program HIV dan
Juni 2022 2022 Program lainnya

28

29

30 000024/2/1.2.1.43.5/2022 12 Juli 000147/6/1.2.1.51.6/2022 12 Juli

2022 2022

31 000005/2/1.2.1.43.5/2022 13 Juli 000259/6/1.2.1.51.3/2022 13 Juli Gudang Provinsi JAWA BARAT

2022 2022 (Program)

32

33

34

35

36 000009/2/1.2.1.43.5/2022 13 Juli 000457/6/1.2.1.51.3/2022 13 Juli

2022 2022

37 000009/2/1.2.1.43.5/2022 13 Juli 000457/6/1.2.1.51.3/2022 13 Juli DINAS KESEHATAN Gudang Provinsi JAWA BARAT
2022 2022 (Program)

38 000029/2/1.2.1.43.5/2022 000378/6/1.2.1.51.6/2022 Gudang Program HIV dan

03 Agustus 2022 03 Agustus 2022 Program lainnya

39 000006/2/1.2.1.43.5/2022 000272/6/1.2.1.51.3/2022 Gudang Provinsi JAWA BARAT

06 September 2022 06 September 2022 (Program)

40 000019/2/1.2.1.43.5/2022 000166/6/1.2.1.51.5/2022 Gudang Program TB BUFFER

06 September 2022 06 September 2022

41

42

43

44

45

46 000007/2/1.2.1.43.5/2022 000289/6/1.2.1.51.3/2022 Gudang Provinsi JAWA BARAT

15 September 2022 15 September 2022 (Program)

47 000020/2/1.2.1.43.5/2022 000184/6/1.2.1.51.5/2022 Gudang Program TB BUFFER

15 September 2022 15 September 2022

48

49

50

51 000015/2/1.2.1.43.5/2022 000676/6/1.2.1.51.3/2022 Gudang Provinsi JAWA BARAT

22 September 2022 22 September 2022 (Program)
52

53
54

55 000025/2/1.2.1.43.5/2022 000149/6/1.2.1.51.6/2022 Gudang Program HIV dan

22 September 2022 22 September 2022 Program lainnya

56 000028/2/1.2.1.43.5/2022 000301/6/1.2.1.51.6/2022
22 September 2022 22 September 2022

57

58

59 000028/2/1.2.1.43.5/2022 000301/6/1.2.1.51.6/2022 DINAS KESEHATAN Gudang Program HIV dan

22 September 2022 22 September 2022 Program lainnya

60

61 000016/2/1.2.1.43.5/2022 000719/6/1.2.1.51.3/2022 Gudang Provinsi JAWA BARAT

27 Oktober 2022 27 Oktober 2022 (Program)
62 000021/2/1.2.1.43.5/2022 000253/6/1.2.1.51.5/2022 Gudang Program TB BUFFER
16 November 2022 16 November 2022

63

64

65

66

67

68 000010/2/1.2.1.43.5/2022 000494/6/1.2.1.51.3/2022 Gudang Provinsi JAWA BARAT

24 November 2022 24 November 2022 (Program)

69 000008/2/1.2.1.43.5/2022 000402/6/1.2.1.51.3/2022
01 Desember 2022 01 Desember 2022

70 000030/2/1.2.1.43.5/2022 000430/6/1.2.1.51.6/2022 Gudang Program HIV dan

01 Desember 2022 01 Desember 2022 Program lainnya

71 000011/2/1.2.1.43.5/2022 000535/6/1.2.1.51.3/2022 Gudang Provinsi JAWA BARAT

15 Desember 2022 15 Desember 2022 (Program)

72 000026/2/1.2.1.43.5/2022 000186/6/1.2.1.51.6/2022 Gudang Program HIV dan

15 Desember 2022 15 Desember 2022 Program lainnya
AAN TAHUN 2022

KODE REK. & NAMA REKENING SATUAN HARGA UNIT JUMLAH

SATUAN

1.1.7.2.4.1.1.478. Paket 248,120.00 2.00 496,240.00

Obat Anti Tuberculosis FDC Kategori Anak

1.1.7.2.4.1.1.1673. Paket 414,310.00 16.00 6,628,960.00

OAT KDT Dosis Harian

1.1.7.2.17.1.1.685. HBSAG Test 7,851.00 150.00 1,177,650.00

1.1.7.2.4.1.1.1688. Tablet 226.00 30,940.00 6,992,440.00

Tablet Tambah Darah

1.1.7.2.4.1.1.331. Ampul 1,190.00 10.00 11,900.00

Haloperidol inj 5 mg/ml (i.m.)
1.1.7.2.4.1.1.30. Tablet 167.00 300.00 50,100.00
Amitriptilin tab sal 25 mg
1.1.7.2.4.1.1.336. Tablet 60.00 300.00 18,000.00
Haloperidol tab 5 mg
1.1.7.2.4.1.1.765. Tablet 287.00 300.00 86,100.00
Risperidon tab sal 2 mg
1.1.7.2.4.1.1.934. Tablet 208.00 2,000.00 416,000.00
Zinc tab disp 20 mg

1.1.7.2.17.1.1.685. HBSAG Test 7,851.00 150.00 1,177,650.00

1.1.7.2.4.1.1.1688. Tablet 226.00 36,000.00 8,136,000.00

Tablet Tambah Darah

1.1.7.2.4.1.1.758. Kapsul 553.00 6,500.00 3,594,500.00

Retinol (vitamin A) kaps lunak 200.000 UI
1.1.7.2.4.1.1.1136. Vial 8,237.00 29.00 238,873.00
Ampisillin Serbuk Injeksi 1 G

1.1.7.2.4.1.1.236. Ampul 1,700.00 20.00 34,000.00

Fenobarbital inj 50 mg/ml

1.1.7.2.4.1.1.8. Tablet 367.00 3,400.00 1,247,800.00

Albendazol tab 400 mg
1.1.7.2.4.1.1.7. Botol 4,300.00 80.00 344,000.00
Albendazol susp 200 mg/5 ml
1.1.7.2.4.1.1.1057. Sachet 280.00 1,700.00 476,000.00
Garam Oralit 200ml Air
1.1.7.2.4.1.1.934. Tablet 208.00 1,300.00 270,400.00
Zinc tab disp 20 mg
1.1.7.2.4.1.1.149. Ampul 1,545.00 14.00 21,630.00
Diazepam inj 5 mg/ml (i.v./i.m.)
1.1.7.2.4.1.1.149. Ampul 1,545.00 6.00 9,270.00
Diazepam inj 5 mg/ml (i.v./i.m.)
1.1.7.2.4.1.1.1680. Botol 5,885.00 3.00 17,655.00
Metronidazol Infus 500 mg/100 ml
1.1.7.2.4.1.1.255. Ampul 3,550.00 60.00 213,000.00
Fitomenadion (vitamin K 1) inj 2 mg/ml (i.m.)
1.1.7.2.4.1.1.297. Ampul 3,355.00 2.00 6,710.00
Gentamisin inj 40 mg/ml
1.1.7.2.4.1.1.952. Tube 3,500.00 60.00 210,000.00
Oksitetrasiklin HCL Salep Mata 1%
1.1.7.2.17.1.1.696. Unit 266,015.00 2.00 532,030.00
Sound Timer
1.1.7.2.4.1.1.331. Ampul 1,190.00 15.00 17,850.00
Haloperidol inj 5 mg/ml (i.m.)
1.1.7.2.4.1.1.1694. Paket 31,231.00 10.00 312,310.00
Kombipak Azithromicin - Cefixime Kombinasi (500+200) mg

1.1.7.2.17.1.1.699. Test 11,500.00 50.00 575,000.00

Diagnostar DS HIV 1/2 one step rapid test
1.1.7.2.17.1.1.698. Test 7,879.00 700.00 5,515,300.00
ViroCheck HIV 1/2
1.1.7.2.17.1.1.685. HBSAG Test 7,369.00 200.00 1,473,800.00

1.1.7.2.4.1.1.8. Tablet 385.00 4,500.00 1,732,500.00

Albendazol tab 400 mg

1.1.7.2.4.1.1.7. Botol 4,300.00 2.00 8,600.00

Albendazol susp 200 mg/5 ml
1.1.7.2.4.1.1.560. Vial 3,580.00 2.00 7,160.00
Magnesium sulfat inj 20%
1.1.7.2.4.1.1.297. Ampul 3,355.00 32.00 107,360.00
Gentamisin inj 40 mg/ml
1.1.7.2.4.1.1.297. Ampul 3,355.00 3.00 10,065.00
Gentamisin inj 40 mg/ml
1.1.7.2.4.1.1.757. Kapsul 305.00 1,000.00 305,000.00
Retinol (vitamin A) kaps lunak 100.000 UI

1.1.7.2.4.1.1.1049. Sachet 2,981.00 30.00 89,430.00

Mineral Mix

1.1.7.2.17.1.1.702. Test 8,870.00 200.00 1,774,000.00

Trepocheck Rapid Test Syphilis

1.1.7.2.4.1.1.8. Tablet 385.00 8,000.00 3,080,000.00

Albendazol tab 400 mg

1.1.7.2.4.1.1.394. Tablet 231.00 100.00 23,100.00

Isoniazid tab 100 mg

1.1.7.2.4.1.1.1678. Tablet 6,524.00 36.00 234,864.00

Isoniazid 300 mg/Rifapentin 300mg
1.1.7.2.4.1.1.1679. Tablet 799.00 84.00 67,116.00
Rifampicin/Isoniazid tab 75mg/50mg
1.1.7.2.17.1.1.688. Pcs 666.67 10.00 6,666.67
Masker N95 (Aero Pro)
1.1.7.2.17.1.1.682. Pcs 706.42 50.00 35,321.00
Masker bedah earloop
1.1.7.2.17.1.1.689. Pcs 995.00 20.00 19,900.00
Masker N95 (Dream Can)
1.1.7.2.4.1.1.8. Tablet 385.00 8,000.00 3,080,000.00
Albendazol tab 400 mg

1.1.7.2.4.1.1.1678. Tablet 6,524.00 180.00 1,174,320.00

Isoniazid 300 mg/Rifapentin 300mg

1.1.7.2.17.1.1.688. Pcs 666.67 60.00 40,000.00

Masker N95 (Aero Pro)
1.1.7.2.17.1.1.682. Pcs 706.42 200.00 141,284.00
Masker bedah earloop
1.1.7.2.17.1.1.689. Pcs 995.00 60.00 59,700.00
Masker N95 (Dream Can)
1.1.7.2.4.1.1.30. Tablet 167.00 1,000.00 167,000.00
Amitriptilin tab sal 25 mg
1.1.7.2.4.1.1.336. Tablet 54.00 1,000.00 54,000.00
Haloperidol tab 5 mg
1.1.7.2.4.1.1.765. Tablet 287.00 1,000.00 287,000.00
Risperidon tab sal 2 mg
1.1.7.2.4.1.1.898. Tablet 63.00 1,000.00 63,000.00
Triheksifenidil tab 2 mg
1.1.7.2.17.1.1.685. HBSAG Test 7,369.00 200.00 1,473,800.00

1.1.7.2.17.1.1.699. Test 11,500.00 25.00 287,500.00

Diagnostar DS HIV 1/2 one step rapid test

1.1.7.2.17.1.1.700. Test 10,500.00 25.00 262,500.00

Standar Q HIV 1/2 AB 3 Line
1.1.7.2.17.1.1.698. Test 7,879.00 200.00 1,575,800.00
ViroCheck HIV 1/2
1.1.7.2.4.1.1.1292. Pieces 448.00 500.00 224,000.00
Kondom

1.1.7.2.4.1.1.1473. Pieces 331.00 300.00 99,300.00

Lubricant Sutra
1.1.7.2.4.1.1.466. Tablet 1,121.00 300.00 336,300.00
Klozapin tab 25 mg
1.1.7.2.4.1.1.478. Paket 248,710.00 5.00 1,243,550.00
Obat Anti Tuberculosis FDC Kategori Anak

1.1.7.2.4.1.1.1678. Tablet 6,524.00 36.00 234,864.00

Isoniazid 300 mg/Rifapentin 300mg
1.1.7.2.17.1.1.271. Kit 177,891.00 10.00 1,778,910.00
Reagen Ziel Nelsen
1.1.7.2.17.1.1.688. Pcs 666.67 30.00 20,000.00
Masker N95 (Aero Pro)
1.1.7.2.17.1.1.682. Pcs 706.42 300.00 211,926.00
Masker bedah earloop
1.1.7.2.17.1.1.689. Pcs 995.00 300.00 298,500.00
Masker N95 (Dream Can)
1.1.7.2.4.1.1.1688. Tablet 226.00 36,780.00 8,312,280.00
Tablet Tambah Darah

1.1.7.2.4.1.1.679. Ampul 1,126.00 120.00 135,120.00

Oksitosin inj 10 UI/ml

1.1.7.2.17.1.1.702. Test 8,096.00 200.00 1,619,200.00

Trepocheck Rapid Test Syphilis

1.1.7.2.4.1.1.8. Tablet 385.00 4,800.00 1,848,000.00

Albendazol tab 400 mg

1.1.7.2.17.1.1.685. HBSAG Test 7,369.00 200.00 1,473,800.00

GRAND TOTAL : 74.303.904,67

 KET

046 Distribusi Obat Program

TB - Januari PKM SUKRA

059 Distribusi Obat Program

TB - Januari PKM SUKRA

016 Distribusi Obat Program

HEPATITIS - Februari PKM
SUKRA
042 Distribusi Obat Program
GIZI - Maret PKM SUKRA

048 Program Jiwa Prov -

Maret PKM Sukra
065 Program Jiwa Prov - April
PKM Sukra

023 Distribusi Obat Program

DIARE - April PKM SUKRA

056 Distribusi Obat Program

HEPATITIS - April PKM
SUKRA
092 Distribusi Obat Program
GIZI - Juni PKM SUKRA

077 Distribusi Obat Program

DIARE, FILARIASIS, KIA -
Juni PKM SUKRA

077 Distribusi Obat Program

DIARE, FILARIASIS, KIA -
Juni PKM SUKRA
123 Program Jiwa Prov - Juni
PKM Sukra
072 Distribusi Obat dan Alkes
Program HIV IMS - Juni PKM
SUKRA

149 Distribusi Obat Program

HEPATITIS - Juli PKM SUKRA

129 Distribusi Obat Program

FILARIASIS, KIA
- Juli PKM SUKRA

147 Distribusi Obat Program

GIZI - Juli PKM SUKRA

147 Distribusi Obat Program

GIZI - Juli PKM SUKRA

126 Distribusi Obat dan Alkes

Program HIV IMS - Agustus
PKM SUKRA
167 Distribusi Obat Program
FILARIASIS - September PKM
SUKRA
238 Distribusi Obat Program
TB - September PKM SUKRA

167 Distribusi Obat Program

FILARIASIS - September PKM
SUKRA
256 Distribusi Obat Program
TB - September PKM SUKRA

210 Program Jiwa Prov -

September PKM Sukra
 151 Distribusi Obat Program
HEPATITIS - September PKM
SUKRA
177 Distribusi Obat dan Alkes
Program HIV IMS -
September SUKRA

177 Distribusi Obat dan Alkes

Program HIV IMS -
September SUKRA

253 Program Jiwa Prov -

Oktober PKM Sukra
352 Distribusi Obat Program
TB - November PKM SUKRA

191 Distribusi Obat Program

GIZI - November PKM SUKRA

278 Distribusi Obat Program

KIA - Desember PKM SUKRA

239 Distribusi Obat dan Alkes

Program HIV IMS - Desember
PKM SUKRA
328 Distribusi Obat Program
FILARIASIS - Desember PKM
SUKRA
183 Distribusi Obat Program
HEPATITIS - Desember PKM
SUKRA
TAL : 74.303.904,67
 Petugas Farmasi

sandy
NIP. 199008132011011001
INDRAMAYU , 31 Desember 2022
Kepala Puskesmas Sukra
INDRAMAYU , 31 Desember 2022
Kepala Puskesmas Sukra

dr. Rosy Damayanti, MARS
NIP. 19710103 200604 2 012