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LAPORAN PEMAKAIA

KODE PUSKESMAS :
PUSKESMAS : BUKI
KECAMATAN : BUKI
KABUPATEN : KEPULAUAN SELAYAR
PROPINSI : SULAWESI SELATAN

STOK
NO NAMA OBAT SATUAN HARGA NILAI
AWAL
1 2 3 4 5 6

1 ACETOSAL Tab 105.000 -

2 ALBENDAZOL TABLET 400 MG HOLI Tab 380.00 -

3 ALBENDAZOL TABLET 400 MG HOLI tab 404.000 -

4 ALBENDAZOL TABLET 400 MG HOLI Tab 494.000 -

5 ALBENDAZOL SUSPENSI Btl 4,600.000 299 1,375,400

6 ALOPURINOL TABLET 100 MG Tab 99.00 -

7 ALOPURINOL TABLET 100 MG Tab 89.00 1000 89,000

8 ALOPURINOL TABLET 300 MG Tab 200.000 100 20,000

9 AMBROKSOL SIRUP Btl 7,700.000 53 408,100

10 AMBROKSOL TAB 30 MG Tab 270.00 0 -

11 AMINOFILIN TABLET 200 MG Tab 97.000 -

12 AMINOFILIN INJ 24 MG/ML-10 ML AMP 3,071.000 -

13 AMITRIPTILIN TABLET SALUT 25 MG Tab 165.00 -

14 AMITRIPTILIN TABLET SALUT 25 MG Tab 168.000 -

15 AMLODIPIN 10 MG Tab 74.00 1100 81,400

16 AMLODIPIN 5 MG Tab 55.00 900 49,500

17 AMLODIPIN 5 MG Tab 79.000 -

18 AMOKSISILIN KAPSUL 500 MG Kap 191.000 -

AMOKSISILIN KAPLET 500 MG 265.00 3800 1,007,000

19 AMOKSISILIN SIROP KERING 125 mg/5ml Btl 3,846.000 31 119,226

20 AMOKSISILIN SYRUP 250 MG/ML Btl 3,510.00 150 526,500

21 AMPICILIN SERBUK INJ 1 G Vial 9,473.000 -

22 ANTASIDA DOEN KOMBINASI TAB 500 MG Tab 60.000 1800 108,000

23 ANTASIDA DOEN KOMBINASI TAB 500 MG Tab 59.000 -

24 ANTASIDA DOEN SUSPENSI DAU Btl 1,756.00 30 52,680

25 ANTASIDA DOEN SUSPENSI 5,800.000 -

26 ANTIBAKTERI DOEN SALEP KOMBINASI Tube 3,365.000 -

27 ANTIFUNGI DOEN KOMBINASI Pot 4,782.000 -

28 ANTIHEMOROID SUPP SUPP 3,502.000 -

29 ASAM ASKORBAT (VIT C) 50 MG Tab 120.000 -

ASAM ASKORBAT (VIT C) 50 MG Tab 46.000 1100


30 ASAM MEFENAMAT TABLET SALUT 500 MG Tab 117.000 600 70,200

31 ASIKLOVIR KRIM 5 % Tube 2,367.000 -

32 ASIKLOVIR TABLET 200 MG Tab 236.000 -

33 ASIKLOVIR TABLET 400 MG Tab 429.000 300 128,700

34 ASETYLCYSTEINE 200 MG Tab 394.000 -


35 ATROPIN TETES MATA 0.5 % Btl -

36 BETAHISTIN MESILAT TAB 6 MG TAB 92.00 200 18,400

37 BETAHISTIN MESILAT TAB 6 MG TAB 151.000 -

38 BETAMETASON KRIM 0,1 % Tube 1,450.000 -

39 BETAMETASON KRIM 0,1 % Tube 1,515.000 0 -

40 BISAKODIL SUPPOSITORIA SUPP 6,000.000 -

41 BISAKODIL SUPPOSITORIA SUPP 5,900.000 -

42 BISOPROLOL FUMARATE Tab 695.000 -

43 BISOPROLOL TABLET 5 MG NOVELL Tab 143.00 300 42,900

44 CARBAMAZEPIN TAB 200 MG Tab 250.000 300 75,000

CARBAMAZEPIN TAB 200 MG Tab 216.00 500 108,000

45 CETIRIZINE SIRUP Btl 7,756.000 -

46 ceterizin cap cap 104.000 -

47 CETIRIZINE TAB Tab 52.00 200 10,400

48 CLOBAZAM TAB 10 MG Tab 1,110.000 -

49 CURCUMA TAB Tab 1,150.000 -

50 DEKSAMETASON INJ 5 MG/ML - 1 ML Amp 968.00 30 29,040

51 DEKSAMETASON TABLET 0,5 MG Tab 45.000 -

52 DEKSAMETASON TABLET 0,5 MG Tab 154.000 -

53 DIAZEPAM INJ 5 MG/ML Amp 1,913.00 25 47,825

54 DIAZEPAM REKTAL SUPP 14,459.000 -

55 DIAZEPAM TABLET 5 MG Tab 109.000 685 74,665

56 DIAZEPAM TABLET 2 MG Tab 86.000 -

57 DIFENHIDRAMIN INJ 10 MG/ML Amp 1,346.000 -

DIFENHIDRAMIN INJ 10 MG/ML Amp 825.00 30 24,750

58 DIGOKSIN TABLET 0,25 MG Tab 108.000 -

59 DIGOKSIN TABLET 0,25 MG Tab 104.000 -

60 DILTIAZEM TAB 30 MG Tab 143.000 300 42,900

61 DIMENHIDRINAT TAB 50 MG Tab 109.00 0 -

62 DIMENHIDRINAT TAB 50 MG tab 121.000 -

63 DOKSISIKLIN KAPSUL 100 MG Kap 309.000 -

64 DOMPERIDON DROPS btl 17,939.000 -

65 DOMPERIDON SIRUP 5 MG Btl 2,401.00 -

66 DOMPERIDON TABLET 10 MG Tab 75.00 -

67 DOMPERIDON TABLET 10 MG Tab 96.00 -

68 EFINEFRIN INJ. Amp 2,904.000 20 58,080

69 EPINEFRIN/ADRENALIN INJ 1 MG/ML Amp 1,518.00 -

70 ERITROMISIN KAPSUL 250 MG Kap 679.00 -

71 ERITROMISIN KAPSUL 500 MG Kap 781.000 0 -

72 ERITROMISIN KAPSUL 500 MG Kap 766.00 -

73 ERITROMISIN SIROP 200 MG/ 5 ML Btl 7,581.000 -

74 ETAKRIDIN (RIVANOL) 300 ml Btl 3,900.00 8 31,200

75 ETAKRIDIN (RIVANOL) 300 ml Btl 3,900.000 0 -

76 ETANOL 95 % 100 ml Btl 4,002.720 35 140,095

77 ETANOL 70 % 1000 ml Btl 31,250.000 -

78 ETANOL 70 % 1000 ml 31,247.700 -

79 ETHYLIS CHLORIDUM SEMPROT Btl 112,500.000 -


80 EUGENOL CAIRAN Btl 18,333.000 -

81 FENOBARBITAL AMPUL 2 ML Btl 2,265.000 -

82 FENOBARBITAL TABLET 30 MG Tab 177.000 -

83 FITOMENADION (VIT K) INJ. Ampul 3,900.00 50 195,000

84 FITOMENADION (VIT K) INJ. 4,236.000 -

85 FITOMENADION (VIT K) TABLET 10 MG Tab 818.00 -

86 FUROSEMIDA TABLET 40 MG Tab 84.000 -

87 GARAM ORALIT I SERBUK Sac 275.000 440 121,000

88 GARAM ORALIT I SERBUK Sac 317.000 -

89 GEMFIBROZIL KAPSUL 300 MG Kap 429.000 -

90 GEMFIBROZIL KAPSUL 300 MG Kap 436.000 -

91 GENTAMISIN INJ 80 MG/ML Amp 4,036.000 -

92 GENTAMISIN SALEP KULIT Pot 1,469.000 -

93 GENTAMISIN SULFAT TETES MATA 0,3 % Pot 5,170.00 29 149,930

94 GLIBENKLAMIDA TABLET 5 MG Tab 151.000 2100 317,100

95 GLIMEPIRIDE 2 MG Tab 207.000 -

96 GLISERIL GUALAKOLAT TABLET 100 MG Tab 260.000 -

97 GLUKOSA LARUTAN INFUS 10 % Btl 6,270.000 -

98 GLUKOSA LARUTAN INFUS 10 % 7,500.000 -

99 GLUKOSA LARUTAN INFUS 40 % Btl 1,597.000 -

100 GLUKOSA LARUTAN INFUS 5 % Btl 6,900.000 -

101 GLUKOSA LARUTAN INFUS 5 % btl 7,363.000 -

102 GRANTUSIF Tab 405.000 -

103 GRISEOFULVIN TABLET 125 MG Tab 238.000 -

104 GRISEOFULVIN TABLET 125 MG NOVAPHARIN Tab 263.00 -

105 HALOPERIDOL INJ. 5 MG/ML Amp 6,250.000 -

106 HALOPERIDOL TABLET 2 MG Tab 90.000 -

HALOPERIDOL TABLET 2 MG Tab 93.000 300 27,900

107 HALOPERIDOL TABLET 1.5 MG Tab 59.00 0 -

108 HIDROKLOROTIAZIDA TABLET 25 MG Tab 171.000 995 170,145

109 HIDROKORTISON KRIM 2,5 % Tab 2,648.000 -

110 HIDROKORTISON KRIM 2,5 % Tube 2,838.000 -

111 HYOSIN BUTIL BROMIDA TAB 10 MG Tab 1,475.000 -

112 IBUPROFEN SIRUP 15 MG/ML Btl 2,339.00 -

113 IBUPROFEN TABLET 200 MG Tab 480.000 -

114 IBUPROFEN TABLET 200 MG Tab 108.000 -

115 IBUPROFEN TABLET 400 MG Tab 680.00 -

116 IBUPROFEN TABLET 400 MG Tab 133.000 -

117 ISONIAZID TABLET 300 MG Tab 106.700 -

118 ISOSORBID DINITRAT TABLET 5 MG Tab 93.000 -

119 ISOSORBID DINITRAT TABLET 5 MG YARINDO Tab 89.00 200 17,800

120 KALIUM DIKLOFENAK TAB 50 MG Tab 63.00 -

121 KALSIUM GLUCONAS INJ Amp 10,351.000 -

122 KALSIUM LAKTAT TABLET 500 MG Tab 63.00 -

123 KALSIUM LAKTAT TABLET 500 MG 60.00 800 48,000

124 KALSIUM LAKTAT TABLET 500 MG Tab 63.000 -

125 KAPTOPRIL 12.5 MG Tab 68.00 -


126 KAPTOPRIL 12.5 MG Tab 67.000 -

127 KAPTOPRIL 12.5 MG KF Tab 68.00 600 40,800

128 KAPTOPRIL 25 MG Tab 135.000 -

129 KAPTOPRIL 25 MG Tab 75.000 -

130 KAPTOPRIL 50 MG Tab 143.000 -

131 KAPTOPRIL 50 MG KF Tab 134.00 -

132 KETOKENAZOL KRIM Tube 3,135.000 -

133 KETOKENAZOL TAB 200 MG Tab 297.000 -

134 KLONIDIN TABLET 0.15 MG Tab 145.000 -

135 KLORAMFENIKOL SALEP KULIT 3 % Tube 3,327.000 -

136 KLORAMFENIKOL KAPSUL 500 MG Kapsul 1,337.990 400 535,196

137 KLORAMFENIKOL KAPSUL 250 MG Kapsul 660.00 -

138 KLORAMFENIKOL KAPSUL 250 MG Kapsul 329.000 -

139 KLORAMFENIKOL SALEP MATA 1% Kapsul 2,148.00 -

140 KLORAMFENIKOL SUSP 125 MG/ 5 ML Btl 4,982.000 -

141 KLORAMFENIKOL TETES MATA 0.5 % Tube 0.000 -

142 KLORAMFENIKOL TETES TELINGA 3 % -

143 KLORFENIRAMINA MALEAT TAB 4 MG Tab 45.000 -

144 KLORFENIRAMINA MALEAT TAB 4 MG Tab 39.000 -

145 KLORPROMAZIN TAB SALUT 100 MG Tab 170.000 -

146 KLORPROMAZIN TAB SALUT 100 MG MERSIFA Tab 170.00 -

147 KOTRIMOKSAZOL DOEN I (DEWASA) 480 MG Tab 133.000 -

148 KOTRIMOKSAZOL DOEN (DEWASA)480 MG Tab 125.000 -

149 KOTRIMOKSAZOL DOEN II (ANAK) Tab 79.000 -

150 KOTRIMOKSAZOL SUSPENSI Btl 2,100.00 -

151 KOTRIMOKSAZOL SUSPENSI Btl 2,190.000 0 -

152 KOTRIMOKSAZOL SUSPENSI MERSIFARM Btl 2,052.00 -

153 KOTRIMOKSAZOL TABLET 480 MG MERSIFARM Tab 125.00 -

154 KUINIDIN 100 MG TABLET Tab -

155 KUINIDIN 200 MG TABLET Tab -

156 KUININ (KINA) TABLET 200 MG Tab -

157 KUININ INJEKSI 25 % Tab -

158 KUININ SULFAT TAB 222 MG (7 H2O) Tab 641.670 -

159 LANSOPRAZOL 30 MG KAP 360.000 -

160 LIDOKAIN SPRAY BTL 177,216.000 -

161 LIDOKAIN INJ 2 % Amp 847.00 35 29,645

162 LIDOKAIN INJ 2 % + EPINEFRIN 1,405.000 -

163 LISOL DENGAN KRESOL SABUN 50 % Btl 31,800.000 -

164 LOPERAMIDE TAB 2 MG Tab 90.000 -

165 LOPERAMIDE TAB 2 MG Tab 460.000 -

166 LOPERAMIDE TAB 2 MG Tab 85.000 -

167 LORATADIN TAB Tab 136.000 -

168 LORATADIN TABLET 10 MG PROMED Tab 117.00 200 23,400

169 LUBIRE Tab 5,225.00 -

170 MEBENDAZOL SIROP 100 MG/ 5 ML Btl -

171 MEBENDAZOL TABLET 100 MG Tab -

MELOXICAM KAPS 7,5 MG 830.28 600 498,168


172 METAMPIRON TABLET 500 MG (ANTALGIN) Tab 141.850 -

173 METFORMIN TAB 500 MG Tab 77.00 -

174 METFORMIN TAB 500 MG Tab 109.000 -

175 METFORMIN TAB 850 MG Tab 240.000 -

176 METILERGOMETRIN MALEAT INJ 0.2 MG Amp 3,399.000 -

177 METILERGOMETRIN MALEAT TABLET 0.125 MG Tab 133.100 -

178 METILERGOMETRIN MALEAT TABLET 0.125 MG Tab 245.000 -

179 METILPREDNISOLON TAB 4 MG Tab 102.00 400 40,800

180 METILPREDNISOLON TAB 4 MG Tab 148.000 -

181 METILPREDNISOLON TAB16 MG Tab 456.00 500 228,000

182 METILPREDNISOLON TAB16 MG Tab 548.00 -

183 METOKLOPRAMIDE TAB 10 MG TAB 93.000 -

184 METOKLOPRAMIDE TAB 10 MG KF Tab 87.00 -

185 METRONIDAZOL TABLET 250 MG Tab 116.000 -

186 METRONIDAZOL TABLET 250 MG PHYTO Tab 93.00 -

187 METRONIDAZOL TABLET 500 MG Tab 660.000 -

188 MDT MB KUSTA DEWASA BLISTER 31,570.000 -

189 MgSO4 20% Btl 3,327.990 -

190 MgSO4 40% Btl 4,700.000 10 47,000

191 MIKONAZOLE KREAM Tube 1,900.00 24 45,600

192 MIKONAZOLE KREAM Tube 3,926.000 -

193 MIKONAZOLE KREAM 2% KF Tube 2,462.00 -

194 MIKORIN POWDER POT 26,950.000 -

195 MINERAL MIX Succ 2,723.000 -

196 MINERAL MIX Succ 2,550.000 -

197 MULTIVITAMIN TAB VINETRON Tab 1,848.000 -

198 MULTIVITAMIN TAB VINETRON Tab 1,705.000 -

199 MULTIVITAMIN TAB MEVITON 1,592.250 -

200 MULTIVITAMIN SYR CAMIVITA DAU Btl 5,300.000 -

201 NATRIUM DKLOFENAK TABLET 25 MG Tab 109.00 -

202 NATRIUM DKLOFENAK TABLET 50 MG Tab 109.00 -

203 NATRIUM DKLOFENAK TABLET 50 MG Tab 145.00 -

204 NATRIUM KLORIDA LARUTAN INFUS 0.9 % Btl 6,840.00 20 136,800

205 NATRIUM KLORIDA LARUTAN INFUS 0.9 % Btl 6,410.000 -

206 NIPEDIFINE TAB 10 MG Tab 120.000 -

NIPEDIFINE TAB 10 MG 221.00 0 -

NIPEDIFINE TAB 10 MG 150.000 300 45,000

207 NISTATIN 100.000 IU Tab 627.000 -

208 NISTATIN 500.000 IU Tab 704.000 -

209 NISTATIN VAGINAL TAB 100.000 UI Tab 645.00 100 64,500

210 NISTATIN VAGINAL 100.000 IU Tab 645.00 -

211 OBAT ANTITUBERKULOSIS KAT 1 DEWASA Tab 413,984.000 -

212 OBAT ANTITUBERKULOSIS KAT 1 DEWASA 356,829.000 -

213 OBAT ANTITUBERKULOSIS KAT 1 DEWASA 447,791.000 -

214 OBAT ANTITUBERKULOSIS KAT 2 DEWASA Tab 1,319.900 -

215 OBAT ANTITUBERKULOSIS KAT 2 DEWASA Paket 1,492,579 -

216 OBAT ANTITUBERKULOSIS KAT ANAK Tab 236,500.000 -


217 OBAT ANTITUBERKULOSIS KAT ANAK KF Paket 267,397 -

218 OBAT ANTITUBERKULOSIS SISIPAN DEWASA Tab 175,980.000 -

219 OBAT BATUK HITAM CAIRAN Btl 1,339.800 -

220 OKSITETRASIKLIN HCL SALEP 3 % Tube 3,600.000 -

221 OKSITETRASIKLIN HCL SALEP MATA 1 % Tube 2,600.000 10 26,000

222 OKSITETRASIKLIN SALEP MATA 1% KF Tube 3,926.00 -

223 OKSITOSIN INJ 10 IU/ML Amp 1,232.000 -

224 OKSITOSIN INJ 10 IU/ML 1,199.000 -

225 OMEPRAZOLE KAP 20 MG Tab 780.000 -

226 OMEPRAZOLE KAPSUL 20 MG Kapsul 148.00 -

227 OMEPRASOL INJ 40 MG/ML vial 5,346.00 20 106,920

228 OMEPRAZOLE INJ 11,868.00 -

229 OAM(ACT)DHP-FRIMAL 2,000.00 -

230 PAPAVERIN TABLET 40 MG Tab 680.000 -

231 PARACETAMOL DROPS 100 MG/ML (60 MG/0,6 Btl 5,204.00 30 156,120

232 PARASETAMOL DROPS 100 MG/ML IGM Btl 7,646.00 -

233 PARASETAMOL SIROP 120 MG/ 5 ML Btl 1,160.00 25 29,000

234 PARASETAMOL SIROP 120 MG/ 5 ML Btl 4,700.000 -

235 PARASETAMOL SIROP 120 MG/ 5 ML Btl 1,160 -

236 PARASETAMOL TABLET 500 MG Tab 86.000 -

237 PARASETAMOL TABLET 500 MG MERSIFARM Tab 60.00 -

238 PARASETAMOL TABLET 500 MG MERSIFARM Tab 165.00 -

239 PEHACAIN INJ Amp 4,850.000 -

240 PENOL GLISEROL TETES TELINGA Btl 2,246.000 -

241 PIRANTEL SIRUP btl 9,100.000 -

242 PIRANTEL TABLET SCORE 125 MG Tab 341.00 300 102,300

243 PIRASETAM 1200 Tab 854.000 -

244 PIRASETAM 400 Tab 194.000 -

245 PIRIDOKSIN (VIT B6) TAB 10 MG Tab 72.00 1000 72,000

PIRIDOKSIN (VIT B6) TAB 10 MG Tab 157.99 -

246 PIROKSIKAM TABLET 20 MG Tab 215.000 -

247 PIROKSIKAM TABLET 20 MG Tab 189.500 -

248 PITOGIN AMPUL 1 ML Amp 11,550.000 -

249 POVIDON IODIDA 10 % 1000 ML Btl 149,313.000 -

250 POVIDON IODIDA 10 % 1000 ML MAHAKAM Btl 139,313.00 -

251 POVIDON IODIDA 10 % 30 ML Btl 3,624.500 -

252 POVIDON IODIDA 10 % 300 ML Btl 22,498.300 -

253 POVIDON IODIDA 10 % 300 ML Btl 15,386.000 -

254 POVIDON IODIDA BETADIN 5 G SALEP Tube 7,039.00 -

255 POVIDON SALEP Tube 6,348.000 -

256 PREDNISON TABLET 5 MG Tab 73.00 300 21,900

257 PRIMAUINE/PRIMAQUINE TAB 15 Tab 253.000 -

258 PROPANOLOL TABLET 10 MG Tab 59.000 -

259 PROPANOLOL TABLET 40 MG Tab 59.000 -

260 PROPILITIOURASIL TABLET 100 MG Tab 351.000 -

261 RANITIDIN INJ 25 MG / 2 ML Amp 1,155.00 -

262 RANITIDIN INJ 25 MG / 2 ML Amp 858.00 11 9,438


263 RANITIDIN TABLET 150 MG Tab 85.00 800 68,000

264 RANITIDIN TABLET 150 MG Tab 122.00 -

265 RINGER LAKTAT INFUS Btl 7,630.00 60 457,800

266 RISPERIDON 2 MG Tab 287.000 200 57,400

267 SALBUTAMOL SIRUP 5,463.000 -

268 SALBUTAMOL TABLET 4 MG KF Tab 195.00 -

269 SALBUTAMOL TABLET 2 MG Tab 150.000 -

270 SALEP 2-4 KOMBINASI Tube 1,475.000 5 7,375

271 SALISIL BEDAK 2 % Pot 6,426.00 0 -

272 SCABIMATE CREM SACH 12,155.000 -

273 SALISIL BEDAK 2 % TUBE 6,426.00 -

274 SEFADROKSIL KAPSUL 500 MG Kapsul 1,210.000 100 121,000

275 SEFADROKSIL KAPSUL 500 MG Kapsul 492.00 -

276 SEFADROKSIL SIROP KERING 125 MG / 5 ML Btl 4,133.000 -

277 SEFOTAKSIM 1000 MG Vial 5,700.000 -

278 SEFOTAKSIM INJ 1000 MG RAMA Vial 4,410.00 -

279 SIANOKOBALAMIN TABLET 50 MCG Tab 44.00 1000 44,000

280 SIANOKOBALAMIN TABLET 50 MCG KF Tab 51.00 -

281 SIANOKOBALAMIN VIT B12 INJ 500 MCG/ML Ampul 1,160.00 20 23,200

282 SIANOKOBALAMIN VIT B12 INJ 500 MCG/ML 3,070.000 -

283 SIMVASTATIN TABLET 10 MG TAB 73.00 -

284 SIMVASTATIN TABLET 10 MG 117.000 -

285 SIPROFLOKSASIN KAPLET 500 MG Kaplet 260.00 800 208,000

286 SULFASETAMID TETES MATA 15 % Btl 12,500.000 -

287 TABLET TAMBAH DARAH KOMBINASI Tab 409.000 -

TABLET TAMBAH DARAH KOMBINASI Tab 255.00 2200 561,000

288 TETRASIKLIN KAPSUL 500 MG Kapsul 346.000 0 -

289 TETRASIKLIN KAPSUL 500 MG Kapsul 324.000 -

290 TIAMIN (VIT B1) INJ 100 MG/ML Amp 730.000 -

291 TIAMIN (VIT B1) TABLET 50 MG Tab 87.000 -

292 TIAMIN (VIT B1) TABLET 50 MG 90.000 -

293 TRIHEKSIFENIDIL 25 MG Tab 691.190 450 311,036

294 VAKSIN ANTI RABIES INJ vial 165,000.000 8 1,320,000

VAKSIN ANTI RABIES INJ vial 153,000.00 12 1,836,000

295 VAKSIN POLIO (bOPV) 10 ds Vial 19,954.000 22 438,988

296 VAKSIN MR 10 ds Vial 155,813.000 22 3,427,886

297 VAKSIN DPT-HB-HIB 5 ds Vial 78,991.000 20 1,579,820

VAKSIN HB Ig Vial 1,325,000.000 -

VAKSIN HB UNIJECT (HBO) 1 ds Vial 23,991.000 24 575,784

298 VAKSIN BCG Vial 61,996.000 21 1,301,916

299 VAKSIN HEPATITIS B Vial 23,991.000 -

300 VAKSIN IPV Vial 158,994.000 10 1,589,940

301 VAKSIN Td 10 ds VIAL 16,995.000 8 135,960

VAKSIN DT 10 ds VIAL 17,996.00 -

302 VITAMIN A 100.000 UI Btl 17,600.00 2 35,200

303 VITAMIN A 200.000 UI Btl 31,850.00 17 541,450

306 VITAMIN B KOMPLEKS TABLET Tab 132.000 -


307 VITAMIN B KOMPLEKS TABLET Tab 135.000 -

308 ZINK SIRUP Btl 6,600.000 -

309 ZINK SIRUP MEPROFARM Btl 3,285.00 -

310 ZINK TAB 20 MG Tab 2,000.00 -

311 ZINK TAB 20 MG Tab 604.00 -

312 ZINK TAB 20 MG 586.000 -

PERBEKALAN KESEHATAN -

1 ACCU-CHECK PERFORMA Btl 420,000.000 -

2 ALAT SUNTIK SEKALI PAKAI 2,5/3 ML Set 851.53 100 85,153

3 ALAT SUNTIK SEKALI PAKAI 2,5/3 ML Set 1,056.00 -

4 ALAT SUNTIK SEKALI PAKAI 3 ML Set 1,108.800 -

5 ALAT SUNTIK SEKALI PAKAI 0,05 ML Set 1,456.000 300 436,800

6 ALAT SUNTIK SEKALI PAKAI 0,05 ML Set 1,240.000 -

7 ALAT SUNTIK SEKALI PAKAI 0,5 ML Set 1,240.00 -

8 ALAT SUNTIK SEKALI PAKAI 0,5 ML 1,240.00 0 -

9 ALAT SUNTIK SEKALI PAKAI 0,5 ML 1,650.000 -

10 ALAT SUNTIK SEKALI PAKAI 10 ML Set 1,216.470 90 109,482

11 ALAT SUNTIK SEKALI PAKAI 1 ML Set 822.000 -

12 ALAT SUNTIK SEKALI PAKAI 1 ML Set 844.260 195 164,631

13 ALAT SUNTIK SEKALI PAKAI 10 ML Set 1,622.500 -

14 ALAT SUNTIK SEKALI PAKAI 5 ML Set 1,013.11 100 101,311

15 ALAT SUNTIK SEKALI PAKAI 5 ML 1,583.000 0 -

16 ALKOHOL 70% 1 LTR Box 206.640 -

17 ALKOHOL SWAB Box 151.20 0 -

18 AQUA PRO INJEKSI 25 ML Btl 2,650.00 -

19 BAJU HAZMAT COVER ALL Bh 475,000.000 -

20 BISTURI NO. 19 Pcs 3,150 -

21 BISTURI NO.20 3,150 50 157,500

22 BISTURI NO. 22 Pcs 3,300 30 99,000

23 CANULA DEWASA Pcs 5,711.00 15 85,665

24 CATGUT NO 2/0 21,000.00 -

25 CATGUT NO 3/0 Pcs 34,538.00 50 1,726,900

26 CATGUT NO 3/0 RNI Pcs 35,295.00 -

27 CATGUT NO 4/0 RNI Pcs 32,685.00 -

28 CATHEJELL Pcs 42,848.000 -

29 FOLEY CATETER 16 Bh 10,000.000 -

30 FOLEY CATETER 18 Bh 10,000.000 -

31 FOLEY CATETER 20 Bh 10,000.000 -

32 HAND RUB BTL 46,016.56 0 -

33 HAND RUB BTL 62,624.000 -

34 HAND RUB fresco BTL 76,274.470 -

35 HANDSCOEN 6,5 STERIL Roll 6,237.000 -

36 HANDSCON 7 1/2 Pasang 7,254.90 -

37 HANDSCON 7 1/2 STERIL Bks 11,990.000 50 599,500

38 HANDSCON 7 STERIL 11,990.000 45 539,550

39 HANDSCON L Pasang 1,750.00 0 -

40 HANDSCON L KARINDO Pasang 1,647.24 -


42 HANDSCON M Pasang 1,750.00 0 -

43 HANDSCON M 2,750.000 -

44 HANDSCON S Pasang 1,161.600 -

45 HANDSCON S 2,750.000 -

46 TREPOCHECK SYPHILIS Pcs 9,300.00 -

47 HIV TEST Pcs 15,377.000 -

48 HIV TEST Pcs 15,367.000 -

49 INFUSION SET ANAK SET 4,198.700 -

50 INFUSION SET ANAK AXIMED Pcs 5,865.00 25 146,625

51 INFUSION SET DEWASA Set 8,342.40 60 500,544

52 INFUSION SET DEWASA 1,540.00 -

53 IV CATHETER N0 22 G Set 13,894.000 -

IV CATHETER N0 22 G Set 6,875.000 0 -

54 IV CATHETER NO 18 Set 9,123.400 -

55 IV CATHETER NO 20 G Set 6,875.000 25 171,875

56 IV CATHETER NO 22 G NIPRO Pcs 6,875.00 50 343,750

57 IV CATHETER NO 24 G Set 7,194.00 30 215,820

58 IV CATHETER NO 24 G Set 14,493.600 32 463,795

59 KANULA ANAK Pcs 5,711.00 23 131,353

61 KAPAS PEMBALUT / ABSORBEN 250 GRAM Set 18,000.000 -

62 KAPAS PEMBALUT / ABSORBEN 250 GRAM Set 25,198.000 9 226,782

63 KAPAS PEMBALUT 250 GRAM DRC Roll 30,500.00 -

64 KASA KOMPRES 40/40 STERIL Bks 1,944.000 -

65 KASA PEMBALUT 2 M X 80 CM Bks 79,360.00 -

66 KASA PEMBALUT 2 M X 80 CM DRC Bks 10,661.00 -

67 KASA PEMBALUT HIDROFIL 20 yard x 80 cm Roll 81,920.000 -

68 KASA PEMBALUT HIDROFIL 20 yard x 80 cm Roll 79,360.000 -

69 KASA PEMBALUT HIDROFIL 36 X 80 CM DRC Roll 145,600.00 -

70 KASA PEMBALUT HIDROFIL 4 M X 15 CM DRC Bks 4,104.00 50 205,200

71 KASA PEMBALUT HIDROFIL 4 M X 15 CM ELAST Bks 4,145.00 -

72 KASA PEMBALUT HIDROFIL 4 M X 5 CM ELASTI Bks 2,750.000 -

73 KASA PEMBALUT HIDROFIL 16 M X 16 CM DRC Bks 4,200.00 -

74 LANCET Box 20,000.00 15 300,000

76 MASKER HIJAB Bh 580.800 -

77 MASKER KARET Bh 314.000 -

78 MASKER KAIN Bh 5,000.000 -

79 MASKER KAIN 5,000.000 -

80 NESCO / STRIP CHOLESTROL Btl 290,000.000 -

81 NASAL OKSIGEN DEWASA Bh 6,000.000 -

82 PLESTER 10 CM X 5 M Roll 49,632.000 -

83 PLESTER PHARMAFIX 10 CM X 500 CM Roll 51,305.00 0 -

84 PLESTER PHARMAFIX 15 CM X 500 CM Roll 78,115.00 8 624,920

85 PLESTER PHARMAFIX 5 CM X 500 CM Roll 27,000.00 5 135,000

86 PLESTER YARD Roll 43,700.000 -

87 POT SPUTUM 2,079.000 -

88 POT SPUTUM Pot 2,272.00 25 56,800

89 REAGEN SYPHILIS Pcs 20,400.000 -


90 RAPID TEST SYPHILIS 9,917.000 -

91 TREPOCHECK SYPHILIS 9,300.000 100 930,000

92 RAPID 1 (SD) /HIV TEST 8,350.00 0 -

93 RAPID 3 ( DIAGNOSTAR ) 12,527.00 -

94 RAPID TEST HBsAg /VIROCHECK 8,300.00 0 -

95 RAPID TEST ANTIGEN COVID 19 CLUNGENE Box 60,500.00 -

96 RAPID TEST ANTIGEN COVID 19 CLUNGENE Box 52,800.00 -

97 RDT MALARIA Box 14,238.000 25 355,950

99 FDC OAT KATAGORI 1 PKT 447,791.00 2 895,582

100 SAFETY BOX 21,566.890 -

101 SAFETY BOX 20,394.000 4 81,576

102 SILK 2/0 SET 21,875.000 -

103 SILK 2/0 TROGE Pcs 42,601.900 -

SILK 2/0 21,458.334 -

104 SILK 3/0 SET 6,400.000 -

105 SILK 3/0 SET 29,931.00 -

106 SILK 3/0 TROGE Pcs 43,429.100 -

107 STRIP ASAM URAT NESCO Box 145,200.00 4 580,800

108 STRIP CHOLESTEROL Box 231,000.00 -

109 SRTIP GULA NESCO Btl 132,000.000 3 396,000

SRTIP GULA NESCO Btl 132,000.000 6 792,000

110 STRIP ASAM URAT Btl 145,200.000 -

111 STRIP SD BIOLINE DENGUE DUO BOX 60,813.12 25 1,520,328

112 STRIP SD BIOLINE HIV 1/2 3.0 BOX 13,367.70 30 401,031

113 URIN BAG TANPA HANGER BH 5,742.00 26 149,292

114 URIN BAG TROGE Pcs 8,877.00 -

115 WING NEEDLE NO.23 Pcs 1,400.000 -

116 WING NEEDLE NO.25 Pcs 1,400.000 -

117 WING NEEDLE NO.27 Pcs 1,400.000 -

PENANGANAN CORONA VIRUS -

1 FACE SHIELD 27,500.000 17 467,500

2 PAKAIAN PELINDUNG/HAZMAT PCH 660,000.000 7 4,620,000

3 PAKAIAN PELINDUNG/HAZMAT SET 475,000.000 10 4,750,000

4 VISOR/SHIELDFACE/HELM BUAH 315,000.000 8 2,520,000

5 SEPATU BOOT PSG 215,000.000 4 860,000

6 WIND NEEDLE PCS 5,500.000 300 1,650,000

7 COLD BOX KAPASITAS 6 L BOX 4,500,000.000 -

8 CAIRAN NaOCl BTL 50,000.000 15 750,000

9 SARUNG TANGAN NON STERIL PCH 1,800.000 -

10 APD SET SET 3,902,499.700 -

11 BAJU APD 660,000.000 -

12 SARUNG TANGAN PANJANG 54 -

13 SEPATU BOOT -

14 MASKER PKM 1 2,640.00 0 -

15 MASKER PKM 2 2,640.00 -

16 MASKER PKM 3 2,640.00 -

17 MASKER PKM 2,640.00 -


18 MASKER PKM 2,640.00 -

19 KACA MATA SAFETY -

20 HAND RUB 250 ML BTL 71,692.500 -

21 SARUNG TANGAN STERIL PSG 8,000.000 -

22 HANDSCOON NON STERIL BTL 900.00 0 -

23 HAND SANITEZER PKM 2 BTL 37,812.50 -

24 HAND SANITEZER PKM 3 BTL 37,812.50 -

25 HAND SANITEZER PKM BTL 37,812.50 -

26 SURGICAL MASK PCH 5,000.000 -

27 HANDSCOON NON STERIL M PSG 1,540.00 -

28 HANDSCOON NON STERIL M PSG 1,540.00 -

29 HANDSCOON NON STERIL M PSG 1,540.00 -

30 HANDSCOON NON STERIL M PSG 1,540.00 -

31 BUKU SAKU 30,000.000 7 210,000

32 KANTONG SAMPAH MEDIS 3,000.00 -

33 KANTONG SAMPAH PKM 2 3,000.00 -

34 KANTONG SAMPAH PKM 3 3,000.00 -

35 KANTONG SAMPAH PKM 3 3,000.00 -

36 KANTONG JENAZAH 300,000.000 10 3,000,000

37 KANTONG JENAZAH 99,999.000 10 999,990

38 MASKER BEDAH 2,640.000 -

BANTUAN DINKES PROVINSI


1 BAJU APD MEREK SANDON ( DINKES PROVINSI PCH 12 -

2 BAJU APD MEREK SANDON ( DINKES PROVINSI ) 660,000.00 15 9,900,000

FACE SHIELD PCH 12 -

VIRUS COLLECTION & TRANSPORT TUBE BTL 130,000.00 30 3,900,000

MULTIVITAMIN SIVIT ZINC (DINKES PROVINSI) BTL 2,000.00 -

FACE SHIELD BTL 27,500.00 10 275,000

HAND SANITIZER 37,812.50 -

HAND SANITIZER 19,250.00 -

HANDSCOON NON STERIL M 1,540.00 -

APD SET IMUNISASI :


HAND SANITIZER 37,812.50 0 -

MASKER BEDAH 990.00 200 198,000

MASKER 2,640.00 -

HANDSCOON NON STERIL L 1,870.00 -

FACE SHIELD 27,500.00 9 247,500

PROGRAM IMUNISASI/VAKSIN CORONA


1 ALAT SUNTIK SEKALI PAKAI 0,5 ML PKM 1 PCH 1,185.00 100 118,500

ALAT SUNTIK SEKALI PAKAI 0,5 ML PKM2 PCH 1,185.00 -

ALAT SUNTIK SEKALI PAKAI 0,5 ML PKM2 PCH 1,185.00 -

ALAT SUNTIK SEKALI PAKAI 0,5 ML PKM2 PCH 1,185.00 -

ALAT SUNTIK SEKALI PAKAI 0,5 ML PKM2 PCH 1,185.00 -

ALAT SUNTIK SEKALI PAKAI 0,5 ML PKM2 PCH 1,185.00 -

ALAT SUNTIK SEKALI PAKAI 0,5 ML PKM2 PCH 1,185.00 -

VAKSIN COVID-19 (10 DOSIS ) 1,339,440.00 -

VAKSIN COVID-19 CORONAVAC ( 2 DOSIS ) -


VAKSIN COVID-19 CORONAVAC ( 2 DOSIS ) -

VAKSIN COVID-19 MODERNA (14 DOSIS ) PCH -

VAKSIN MODERNA 10 DOSIS PCH -

2 SAFETY BOX 5 L PKM 1 BOX 14,000.00 0 -

SAFETY BOX 5 L PKM 1 BOX 14,000.00 -

3 VAKSIN COVID 19 (10 DOSIS) PKM1 VIAL 1,339,440.00 -

ALKOHOL SWAB PKM VIAL 79.00 0 -

ALKOHOL SWAB PKM VIAL 79.00 0 -

ALKOHOL SWAB PKM VIAL 79.00 0 -

ALKOHOL SWAB PKM VIAL 79.00 0 -

ALKOHOL SWAB PKM VIAL 79.00 0 -

ALKOHOL SWAB PKM VIAL 79.00 0 -

PENANGANAN CORONA VIRUS DISEASE DINKES


1 MASKER BEDAH PCS 770.00 -

HAND SANITIZER PCS 19,250.00 -

HANDSCOON NON STERIL M PCS 1,540.00 0 -

RAPID TEST ANTIGEN COVID 19 CLUNGENE PCS 60,500.00 -

OBAT GIGI -

1 ETIL KLORIDA Btl 126,500.00 1 126,500

2 COMPOSIT ANTERIOR A2 SOLARE Pcs 675,000.000 -

3 COMPOSIT ANTERIOR A3 SOLARE Pcs 675,000.000 -

4 COMPOSIT POSTERIOR A2 SOLARE Pcs 675,000.000 -

5 COMPOSIT POSTERIOR A3 SOLARE Pcs 675,000.000 -

6 DYCAL Pcs 800,000.000 -

7 EUGENOL Btl 165,000.000 -

8 FUJI IX MINI/ GOLD LABEL Pcs 650,000.000 -

9 XYLESTESIN Pcs 795,000.000 -


TOTAL HARGA OBAT DAN BHP 71,009,682.90
PORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
( LPLPO )

BULAN
TRI WULAN
TAHUN

PENERI PERSE PEMA KADALUARS


NILAI NILAI NILAI NILAI
MAAN DIAAN KAIAN A

7 8 9 10 11 12 13 14

- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 299 1,375,400 - 299 1,375,400
- 0 - - -
- 1000 89,000 - -
- 100 20,000 100 20,000 -
- 53 408,100 - 53 408,100
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
300 22,200.00 1400 103,600 100 7,400 -
1500 82,500.00 2400 132,000 1250 68,750 -
- 0 - - -
- 0 - - -
- 3800 1,007,000 2100 556,500 -
- 31 119,226 6 23,076 -
- 150 526,500 - -
- 0 - - -
2000 120,000.00 3800 228,000 1400 84,000 -
- 0 - - -
30 52,680.00 60 105,360 15 26,340 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
1000 46,000.00 2100 96,600 1600 73,600 -
2000 234,000.00 2600 304,200 1700 198,900 -
- 0 - - -
- 0 - - -
- 300 128,700 - -
- 0 - - -
- 0 - - -
200 18,400.00 400 36,800 400 36,800 -
- 0 - - -
- 0 - - -
100 151,500.00 100 151,500 50 75,750 -
- 0 - - -
- 0 - - -
- 0 - - -
- 300 42,900 - -
- 300 75,000 - -
- 500 108,000 - -
- 0 - - -
- 0 - - -
1000 52,000.00 1200 62,400 1200 62,400 -
- 0 - - -
- 0 - - -
- 30 29,040 15 14,520 -
- 0 - - -
- 0 - - -
- 25 47,825 25 47,825 -
- 0 - - -
- 685 74,665 85 9,265 -
- 0 - - -
- 0 - - -
- 30 24,750 - -
- 0 - - -
- 0 - - -
- 300 42,900 100 14,300 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
20 48,020.00 20 48,020 10 24,010 -
500 37,500.00 500 37,500 300 22,500 -
- 0 - - -
- 20 58,080 - -
- 0 - - -
500 339,500.00 500 339,500 - -
- 0 - - -
- 0 - - -
- 0 - - -
- 8 31,200 - -
- 0 - - -
- 35 140,095 29 116,079 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 50 195,000 20 78,000 -
- 0 - - -
- 0 - - -
- 0 - - -
- 440 121,000 340 93,500 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 29 149,930 - -
- 2100 317,100 - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
300 27,900.00 600 55,800 400 37,200 -
- 0 - - -
- 995 170,145 - -
- 0 - - -
- 0 - - -
- 0 - - -
30 70,170.00 30 70,170 3 7,017 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
500 44,500.00 700 62,300 - 700 62,300
- 0 - - -
- 0 - - -
- 0 - - -
- 800 48,000 200 12,000 -
- 0 - - -
- 0 - - -
- 0 - - -
- 600 40,800 - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - -
- 0 - - -
- 0 - - -
- 400 535,196 - -
500 330,000.00 500 330,000 - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
20 42,000.00 20 42,000 10 21,000 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
60 50,820.00 95 80,465 50 42,350 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 200 23,400 200 23,400 -
- 0 - - -
- 0 - - -
- 0 - - -
1500 1,245,420.00 2100 1,743,588 1100 913,308 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
2000 204,000.00 2400 244,800 1500 153,000 -
- 0 - - -
- 500 228,000 - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
200 132,000.00 200 132,000 - -
- 0 - - -
- 0 - - -
- 10 47,000 - -
- 24 45,600 12 22,800 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
20 136,800.00 40 273,600 20 136,800 -
- 0 - - -
- 0 - - -
- 0 - - -
- 300 45,000 - -
- 0 - - -
- 0 - - -
- 100 64,500 - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 10 26,000 - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
10 53,460.00 30 160,380 - -
- 0 - - -
- 0 - - -
- 0 - - -
- 30 156,120 20 104,080 -
- 0 - - -
50 58,000.00 75 87,000 50 58,000 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
500 170,500.00 800 272,800 - -
- 0 - - -
- 0 - - -
- 1000 72,000 500 36,000 -
500 78,995.00 500 78,995 - -
- 0 - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
1000 73,000.00 1300 94,900 600 43,800 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
25 21,450.00 36 30,888 35 30,030 -
- 800 68,000 200 17,000 -
1000 122,000.00 1000 122,000 - -
100 763,000.00 160 1,220,800 80 610,400 -
500 143,500.00 700 200,900 - -
- 0 - - -
- 0 - - -
- 0 - - -
20 29,500.00 25 36,875 13 19,175 -
10 64,260.00 10 64,260 9 57,834 -
- 0 - - -
- 0 - - -
500 605,000.00 600 726,000 400 484,000 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
1000 44,000.00 2000 88,000 800 35,200 -
- 0 - - -
30 34,800.00 50 58,000 30 34,800 -
- 0 - - -
- 0 - - -
- 0 - - -
500 130,000.00 1300 338,000 200 52,000 -
- 0 - - -
- 0 - - -
3000 765,000.00 5200 1,326,000 1100 280,500 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
500 345,595.00 950 656,631 - -
- 8 1,320,000 - -
8 1,224,000.00 20 3,060,000 - -
- 22 438,988 - -
- 22 3,427,886 - -
- 20 1,579,820 - -
- 0 - - -
- 24 575,784 - -
- 21 1,301,916 - -
- 0 - - -
10 1,589,940.00 20 3,179,880 - -
- 8 135,960 - -
- 0 - - -
- 2 35,200 - -
- 17 541,450 - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
300 600,000.00 300 600,000 - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 100 85,153 100 85,153 -
200 211,200.00 200 211,200 200 211,200 -
- 0 - - -
- 300 436,800 300 436,800 -
- 0 - - -
500 620,000.00 500 620,000 400 496,000 -
- 0 - - -
- 0 - - -
- 90 109,482 - -
- 0 - - -
- 195 164,631 - -
- 0 - - -
100 101,311.00 200 202,622 - -
- 0 - - -
- 0 - - -
500 75,600.00 500 75,600 300 45,360 -
- 0 - - -
- 0 - - -
- 0 - - -
- 50 157,500 - -
- 30 99,000 - -
- 15 85,665 - -
12 252,000.00 12 252,000 - -
- 50 1,726,900 - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
10 460,165.60 10 460,166 5 230,083 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 50 599,500 - -
- 45 539,550 - -
500 875,000.00 500 875,000 200 350,000 -
- 0 - - -
500 875,000.00 500 875,000 400 700,000 -
20 55,000.00 20 55,000 20 55,000 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
100 586,500.00 125 733,125 25 146,625 -
50 417,120.00 110 917,664 25 208,560 -
20 30,800.00 20 30,800 20 30,800 -
- 0 - - -
50 343,750.00 50 343,750 25 171,875 -
- 0 - - -
- 25 171,875 0 - -
- 50 343,750 30 206,250 -
20 143,880.00 50 359,700 - -
- 32 463,795 12 173,923 -
- 23 131,353 - -
- 0 - - -
- 9 226,782 - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 50 205,200 50 205,200 -
50 207,250.00 50 207,250 10 41,450 -
- 0 - - -
- 0 - - -
- 15 300,000 7 140,000 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 8 624,920 - -
10 270,000.00 15 405,000 - -
- 0 - - -
- 0 - - -
- 25 56,800 - -
- 0 - - -
- 0 - - -
- 100 930,000 100 930,000 -
25 208,750.00 25 208,750 - -
- 0 - - -
50 415,000.00 50 415,000 50 415,000 -
75 4,537,500.00 75 4,537,500 25 1,512,500 -
175 9,240,000.00 175 9,240,000 - -
- 25 355,950 - -
- 2 895,582 -
- 0 - - -
- 4 81,576 - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
24 718,344.00 24 718,344 12 359,172 -
- 0 - - -
- 4 580,800 2 290,400 -
5 1,155,000.00 5 1,155,000 5 1,155,000 -
- 3 396,000 3 396,000 -
- 6 792,000 - -
2 290,400.00 2 290,400 - -
- 25 1,520,328 - -
- 30 401,031 - -
- 26 149,292 2 11,484 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- - - -
- 17 467,500 - -
- 7 4,620,000 - -
- 10 4,750,000 - -
- 8 2,520,000 - -
- 4 860,000 - -
- 300 1,650,000 - -
- 0 - - -
- 15 750,000 - -
- 0 - - -
- 0 - - -
- 0 - - -
- 54 - - -
- 0 - - -
30 79,200.00 30 79,200 30 79,200 -
30 79,200.00 30 79,200 30 79,200 -
30 79,200.00 30 79,200 30 79,200 -
30 79,200.00 30 79,200 30 79,200 -
60 158,400.00 60 158,400 60 158,400 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
3 113,437.50 3 113,438 3 113,438 -
3 113,437.50 3 113,438 3 113,438 -
3 113,437.50 3 113,438 3 113,438 -
- 0 - - -
20 30,800.00 20 30,800 20 30,800 -
20 30,800.00 20 30,800 20 30,800 -
20 30,800.00 20 30,800 20 30,800 -
20 30,800.00 20 30,800 20 30,800 -
- 7 210,000 - -
2 6,000.00 2 6,000 2 6,000 -
1 3,000.00 1 3,000 1 3,000 -
1 3,000.00 1 3,000 1 3,000 -
3 9,000.00 3 9,000 3 9,000 -
- 10 3,000,000 - -
- 10 999,990 - -
30 79,200.00 30 79,200 30 79,200 -

- 12 - - -
- 15 9,900,000 - -
- 12 - - -
- 30 3,900,000 - -
- 0 - - -
- 10 275,000 -
3 113,437.50 3 113,438 3 113,438 -
3 57,750.00 3 57,750 3 57,750 -
20 30,800.00 20 30,800 20 30,800 -

3 113,437.50 3 113,438 3 113,438 -


- 200 198,000 200 198,000 -
60 158,400.00 60 158,400 60 158,400 -
- 0 - - -
- 9 247,500 - -

120 142,200.00 220 260,700 220 - -


150 177,750.00 150 177,750 150 - -
130 154,050.00 130 154,050 130 - -
180 213,300.00 180 213,300 180 - -
180 213,300.00 180 213,300 180 - -
200 237,000.00 200 237,000 200 - -
300 355,500.00 300 355,500 169 - -
5 6,697,200.00 5 6,697,200 5 - -
80 - 80 - 25 - -
40 - 40 - 40 - -
20 - 20 - 20 - -
75 - 75 - 49 - -
1 14,000.00 1 14,000 1 - -
8 112,000.00 8 112,000 6 - -
- 0 - - -
120 9,480.00 120 9,480 120 - -
150 11,850.00 150 11,850 150 - -
130 10,270.00 130 10,270 130 - -
180 14,220.00 180 14,220 180 - -
180 14,220.00 180 14,220 180 - -
500 39,500.00 500 39,500 500 - -

500 385,000.00 500 385,000 200 154,000 -


3 57,750.00 3 57,750 3 57,750 -
20 30,800.00 20 30,800 - -
- 0 - - -
- 0 - - -
- 1 126,500 - 1 -
- 0 - - 675,000
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
42,895,608.10 ### 0 15,811,531.38 2,520,800.00
Desember

2021
Hal 1
SISA PERMINTAA
NILAI KET
STOK N

15 16 17 18
0 -
0 -
0 -
0 -
0 -
0 -
1000 89,000
0 - 1,000
0 -
0 - 3,000
0 -
0 -
0 -
0 -
1300 96,200 2,000
1150 63,250 3,000
0 -
0 -
1700 450,500
25 96,150
150 526,500
0 -
2400 144,000 3,000
0 -
45 79,020 100
0 -
0 -
0 -
0 -
0 -
500 23,000 2,000
900 105,300 3,000
0 -
0 -
300 128,700
0 -
0 -
0 - 2,000
0 -
0 -
50 75,750 100
0 -
0 -
0 -
300 42,900
300 75,000
500 108,000
0 -
0 -
0 - 3,000
0 -
0 -
15 14,520
0 - 3,000
0 -
0 -
0 - 100
600 65,400
0 -
0 -
30 24,750
0 -
0 -
200 28,600
0 - 1,000
0 -
0 -
0 -
10 24,010 100
200 15,000 3,000 21-Nov
0 - 21-Nov
20 58,080
0 -
500 339,500
0 - 1,000
0 -
0 -
8 31,200
0 -
6 24,016
0 -
0 - 10
0 -
0 -
0 -
0 -
30 117,000
0 -
0 - 1,000
0 -
100 27,500
0 -
0 -
0 -
0 -
0 -
29 149,930
2100 317,100
0 - 3,000
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
200 18,600 500
0 -
995 170,145
0 -
0 -
0 -
27 63,153 100
0 - 3,000
0 -
0 - 3,000
0 -
0 -
0 -
0 - 500
0 -
0 -
0 -
600 36,000 2,000
0 -
0 -
0 -
600 40,800
0 -
0 - 3,000
0 -
0 - 3,000
0 -
0 - 1,000
0 -
0 -
400 535,196 500
500 330,000
0 -
0 -
0 -
0 -
0 -
0 - 3000
0 -
0 -
0 -
0 - 3,000
0 -
0 -
10 21,000
0 - 50
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 - 10
45 38,115 50
0 -
0 -
0 -
0 -
0 -
0 -
0 - 500
0 - 1,000
0 -
0 -
1000 830,280 3,000
0 -
0 - 3,000
0 - 1
0 -
0 -
0 - 3,000
0 -
900 91,800 3,000
0 -
500 228,000 1,000
0 -
0 -
0 -
0 - 500
0 -
200 132,000
0 -
0 -
10 47,000
12 22,800
0 -
0 -
0 - 50
0 -
0 -
0 - 3,000
0 -
0 -
0 - 100
0 -
0 - 3,000
0 -
20 136,800 60
0 -
0 -
0 -
300 45,000
0 -
0 -
100 64,500
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 - 100
10 26,000
0 -
0 -
0 -
0 - 3,000
0 -
30 160,380 50
0 -
0 -
0 - 3,000
10 52,040
0 -
25 29,000 50
0 -
0 -
0 - 3,000
0 -
0 -
0 -
0 -
0 -
800 272,800 500
0 -
0 -
500 36,000 1,000
500 78,995
0 - 3,000
0 -
0 -
0 -
0 - 10
0 -
0 -
0 -
0 -
0 -
700 51,100 2,000
0 -
0 -
0 -
0 -
0 -
1 858 100
600 51,000 1,000
1000 122,000
80 610,400 100
700 200,900 500
0 -
0 - 3,000
0 -
12 17,700 20
1 6,426 10
0 -
0 -
200 242,000 3,000
0 -
0 -
0 -
0 -
1200 52,800 3,000
0 -
20 23,200 100
0 -
0 - 3,000
0 -
1100 286,000 1000
0 -
0 -
4100 1,045,500 3,000
0 -
0 -
0 -
0 - 3,000
0 -
950 656,631 500
8 1,320,000
20 3,060,000
22 438,988
22 3,427,886
20 1,579,820
0 -
24 575,784
21 1,301,916
0 -
20 3,179,880
8 135,960
0 -
2 35,200
17 541,450
0 - 3,000
0 -
0 -
0 -
300 600,000
0 - 3,000
0 -
0 -
0 -
0 - 300
0 -
0 -
0 -
0 -
100 124,000
0 - 300
0 -
90 109,482
0 -
195 164,631
0 -
200 202,622 200
0 -
0 - 10
200 30,240 1,000
0 -
0 -
0 -
50 157,500
30 99,000
15 85,665
12 252,000 60
50 1,726,900
0 -
0 -
0 -
0 - 10
0 - 10
0 - 10
5 230,083 10
0 -
0 - 10
0 - 500
0 -
50 599,500
45 539,550 500
300 525,000 500
0 -
100 175,000 1,000
0 -
0 - 1,000
0 -
0 -
0 -
0 -
0 - 100
100 586,500
85 709,104 100
0 -
0 -
25 171,875 100
0 -
25 171,875
20 137,500
50 359,700 50
20 289,872
23 131,353
0 -
9 226,782
0 -
0 -
0 -
0 -
0 -
0 -
0 - 20
0 - 50
40 165,800
0 -
0 -
8 160,000
0 - 500
0 -
0 -
0 -
0 -
0 -
0 -
0 -
8 624,920
15 405,000 10
0 -
0 -
25 56,800
0 -
0 -
0 - 50
25 208,750 100
0 -
0 - 50
50 3,025,000
175 9,240,000
25 355,950
2 895,582
0 -
4 81,576
0 - 60
0 -
0 -
0 - 60
12 359,172
0 -
2 290,400 5
0 - 10
0 -
6 792,000
2 290,400
25 1,520,328
30 401,031
24 137,808
0 -
0 -
0 -
0 -
0 -
17 467,500
7 4,620,000
10 4,750,000
8 2,520,000
4 860,000
300 1,650,000
0 -
15 750,000
0 -
0 -
0 -
54 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
7 210,000
0 -
0 -
0 -
0 -
10 3,000,000
10 999,990
0 -
0
12 -
15 9,900,000
12 -
30 3,900,000
0 - 300
10 275,000
0 -
0 -
0 -
0
0 -
0 -
0 -
0 -
9 247,500
0
0 260,700
0 177,750
0 154,050
0 213,300
0 213,300
0 237,000
131 355,500
0 6,697,200
55 -
0 -
0 -
26 -
0 14,000
2 112,000
0 -
0 9,480
0 11,850
0 10,270
0 14,220
0 14,220
0 39,500
0
300 231,000
0 -
20 30,800
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 96,172,059.62
LAPORAN PEMAKAIAN D

KODE PUSKESMAS :
PUSKESMAS : BUKI
KECAMATAN : BUKI
KABUPATEN : KEPULAUAN SELAYAR
PROPINSI : SULAWESI SELATAN

STOK PENERI
NO NAMA OBAT SATUAN HARGA NILAI
AWAL MAAN
1 2 3 4 5 6 7

1 ACETOSAL Tab 105.000 0 -

2 ALBENDAZOL TABLET 400 MG HOLI Tab 380.00 0 -

3 ALBENDAZOL TABLET 400 MG HOLI tab 404.000 0 -

4 ALBENDAZOL TABLET 400 MG HOLI Tab 494.000 0 -

5 ALBENDAZOL SUSPENSI Btl 4,600.000 0 -

6 ALOPURINOL TABLET 100 MG Tab 99.00 0 -

7 ALOPURINOL TABLET 100 MG Tab 89.00 1000 89,000

8 ALOPURINOL TABLET 300 MG Tab 200.000 0 -

9 AMBROKSOL SIRUP Btl 7,700.000 0 -

10 AMBROKSOL TAB 30 MG Tab 270.00 0 -

11 AMINOFILIN TABLET 200 MG Tab 97.000 0 -

12 AMINOFILIN INJ 24 MG/ML-10 ML AMP 3,071.000 0 -

13 AMITRIPTILIN TABLET SALUT 25 MG Tab 165.00 0 -

14 AMITRIPTILIN TABLET SALUT 25 MG Tab 168.000 0 -

15 AMLODIPIN 10 MG Tab 74.00 1300 96,200 300


16 AMLODIPIN 5 MG Tab 55.00 1150 63,250 1000
17 AMLODIPIN 5 MG Tab 79.000 0 -

18 AMOKSISILIN KAPLET 500 MG Kap 231.000 0 - 2000


AMOKSISILIN KAPLET 500 MG 265.00 1700 450,500

19 AMOKSISILIN SIROP KERING 125 mg/5ml Btl 3,846.000 25 96,150

20 AMOKSISILIN SYRUP 250 MG/ML Btl 3,510.00 150 526,500

21 AMPICILIN SERBUK INJ 1 G Vial 9,473.000 0 -

22 ANTASIDA DOEN KOMBINASI TAB 500 MG Tab 60.000 2400 144,000 1500
23 ANTASIDA DOEN KOMBINASI TAB 500 MG Tab 59.000 0 -

24 ANTASIDA DOEN SUSPENSI DAU Btl 1,756.00 45 79,020 20


25 ANTASIDA DOEN SUSPENSI 5,800.000 0 -

26 ANTIBAKTERI DOEN SALEP KOMBINASI Tube 3,365.000 0 -

27 ANTIFUNGI DOEN KOMBINASI Pot 4,782.000 0 -

28 ANTIHEMOROID SUPP SUPP 3,502.000 0 -

29 ASAM ASKORBAT (VIT C) 50 MG Tab 120.000 0 -

ASAM ASKORBAT (VIT C) 50 MG Tab 46.000 500 23,000 1500


30 ASAM MEFENAMAT TABLET SALUT 500 MG Tab 117.000 900 105,300 1500
31 ASIKLOVIR KRIM 5 % Tube 2,367.000 0 -

32 ASIKLOVIR TABLET 200 MG Tab 236.000 0 -

33 ASIKLOVIR TABLET 400 MG Tab 429.000 300 128,700

34 ASETYLCYSTEINE 200 MG Tab 394.000 0 -


35 ATROPIN TETES MATA 0.5 % Btl 0 -

36 BETAHISTIN MESILAT TAB 6 MG TAB 92.00 0 - 500


37 BETAHISTIN MESILAT TAB 6 MG TAB 151.000 0 -

38 BETAMETASON KRIM 0,1 % Tube 1,450.000 0 -

39 BETAMETASON KRIM 0,1 % Tube 1,515.000 50 75,750 50


40 BISAKODIL SUPPOSITORIA SUPP 6,000.000 0 -

41 BISAKODIL SUPPOSITORIA SUPP 5,900.000 0 -

42 BISOPROLOL FUMARATE Tab 695.000 0 -

43 BISOPROLOL TABLET 5 MG NOVELL Tab 143.00 300 42,900

44 CARBAMAZEPIN TAB 200 MG Tab 250.000 300 75,000

CARBAMAZEPIN TAB 200 MG Tab 216.00 500 108,000

45 CETIRIZINE SIRUP Btl 7,756.000 0 -

46 ceterizin cap cap 104.000 0 -

47 CETIRIZINE TAB Tab 52.00 0 - 1500


48 CLOBAZAM TAB 10 MG Tab 1,110.000 0 -

49 CURCUMA TAB Tab 1,150.000 0 -

50 DEKSAMETASON INJ 5 MG/ML - 1 ML Amp 968.00 15 14,520

51 DEKSAMETASON TABLET 0,5 MG Tab 69.000 0 - 1000


52 DEKSAMETASON TABLET 0,5 MG Tab 154.000 0 -

53 DIAZEPAM INJ 5 MG/ML Amp 1,913.00 0 -

54 DIAZEPAM REKTAL SUPP 14,459.000 0 -

55 DIAZEPAM TABLET 5 MG Tab 109.000 600 65,400

56 DIAZEPAM TABLET 2 MG Tab 86.000 0 -

57 DIFENHIDRAMIN INJ 10 MG/ML Amp 1,346.000 0 -

DIFENHIDRAMIN INJ 10 MG/ML Amp 825.00 30 24,750

58 DIGOKSIN TABLET 0,25 MG Tab 108.000 0 -

59 DIGOKSIN TABLET 0,25 MG Tab 104.000 0 -

60 DILTIAZEM TAB 30 MG Tab 143.000 200 28,600

61 DIMENHIDRINAT TAB 50 MG Tab 109.00 0 - 200


62 DIMENHIDRINAT TAB 50 MG tab 121.000 0 -

63 DOKSISIKLIN KAPSUL 100 MG Kap 309.000 0 -

64 DOMPERIDON DROPS btl 17,939.000 0 -

65 DOMPERIDON SIRUP 5 MG Btl 2,401.00 10 24,010

66 DOMPERIDON TABLET 10 MG Tab 75.00 200 15,000 500


67 DOMPERIDON TABLET 10 MG Tab 96.00 0 -

68 EFINEFRIN INJ. Amp 2,904.000 20 58,080

69 EPINEFRIN/ADRENALIN INJ 1 MG/ML Amp 1,518.00 0 -

70 ERITROMISIN KAPSUL 250 MG Kap 679.00 500 339,500

71 ERITROMISIN KAPSUL 500 MG Kap 781.000 0 -

72 ERITROMISIN KAPSUL 500 MG Kap 766.00 0 -

73 ERITROMISIN SIROP 200 MG/ 5 ML Btl 7,581.000 0 -

74 ETAKRIDIN (RIVANOL) 300 ml Btl 3,900.00 8 31,200

75 ETAKRIDIN (RIVANOL) 300 ml Btl 3,900.000 0 -

76 ETANOL 95 % 100 ml Btl 4,002.720 6 24,016 10


77 ETANOL 70 % 1000 ml Btl 31,250.000 0 -

78 ETANOL 70 % 1000 ml 31,247.700 0 -

79 ETHYLIS CHLORIDUM SEMPROT Btl 112,500.000 0 -


80 EUGENOL CAIRAN Btl 18,333.000 0 -

81 FENOBARBITAL AMPUL 2 ML Btl 2,265.000 0 -

82 FENOBARBITAL TABLET 30 MG Tab 177.000 0 -

83 FITOMENADION (VIT K) INJ. Ampul 3,900.00 30 117,000

84 FITOMENADION (VIT K) INJ. 4,236.000 0 -

85 FITOMENADION (VIT K) TABLET 10 MG Tab 818.00 0 -

86 FUROSEMIDA TABLET 40 MG Tab 84.000 0 -

87 GARAM ORALIT I SERBUK Sac 275.000 100 27,500

88 GARAM ORALIT I SERBUK Sac 317.000 0 -

89 GEMFIBROZIL KAPSUL 300 MG Kap 429.000 0 -

90 GEMFIBROZIL KAPSUL 300 MG Kap 436.000 0 -

91 GENTAMISIN INJ 80 MG/ML Amp 4,036.000 0 -

92 GENTAMISIN SALEP KULIT Pot 1,469.000 0 -

93 GENTAMISIN SULFAT TETES MATA 0,3 % Pot 5,170.00 29 149,930

94 GLIBENKLAMIDA TABLET 5 MG Tab 151.000 2100 317,100

95 GLIMEPIRIDE 2 MG Tab 207.000 0 -

96 GLISERIL GUALAKOLAT TABLET 100 MG Tab 260.000 0 -

97 GLUKOSA LARUTAN INFUS 10 % Btl 6,270.000 0 -

98 GLUKOSA LARUTAN INFUS 10 % 7,500.000 0 -

99 GLUKOSA LARUTAN INFUS 40 % Btl 1,597.000 0 -

100 GLUKOSA LARUTAN INFUS 5 % Btl 6,900.000 0 -

101 GLUKOSA LARUTAN INFUS 5 % btl 7,363.000 0 -

102 GRANTUSIF Tab 405.000 0 -

103 GRISEOFULVIN TABLET 125 MG Tab 238.000 0 -

104 GRISEOFULVIN TABLET 125 MG NOVAPHARIN Tab 263.00 0 -

105 HALOPERIDOL INJ. 5 MG/ML Amp 6,250.000 0 -

106 HALOPERIDOL TABLET 2 MG Tab 90.000 0 -

HALOPERIDOL TABLET 2 MG Tab 93.000 200 18,600 300


107 HALOPERIDOL TABLET 1.5 MG Tab 59.00 0 -

108 HIDROKLOROTIAZIDA TABLET 25 MG Tab 171.000 995 170,145

109 HIDROKORTISON KRIM 2,5 % Tab 2,648.000 0 -

110 HIDROKORTISON KRIM 2,5 % Tube 2,838.000 0 -

111 HYOSIN BUTIL BROMIDA TAB 10 MG Tab 1,475.000 0 -

112 IBUPROFEN SIRUP 15 MG/ML Btl 2,339.00 27 63,153 20


113 IBUPROFEN TABLET 200 MG Tab 206.000 0 - 500

114 IBUPROFEN TABLET 200 MG Tab 108.000 0 -

115 IBUPROFEN TABLET 400 MG Tab 150.00 0 - 1000

116 IBUPROFEN TABLET 400 MG Tab 133.000 0 -

117 ISONIAZID TABLET 300 MG Tab 106.700 0 -

118 ISOSORBID DINITRAT TABLET 5 MG Tab 93.000 0 -

119 ISOSORBID DINITRAT TABLET 5 MG YARINDO Tab 89.00 0 -

120 KALIUM DIKLOFENAK TAB 50 MG Tab 63.00 0 -

121 KALSIUM GLUCONAS INJ Amp 10,351.000 0 -

122 KALSIUM LAKTAT TABLET 500 MG Tab 63.00 0 -

123 KALSIUM LAKTAT TABLET 500 MG 60.00 600 36,000

124 KALSIUM LAKTAT TABLET 500 MG Tab 63.000 0 -

125 KAPTOPRIL 12.5 MG Tab 68.00 0 -


126 KAPTOPRIL 12.5 MG Tab 67.000 0 -

127 KAPTOPRIL 12.5 MG KF Tab 68.00 600 40,800

128 KAPTOPRIL 25 MG Tab 135.000 0 -

129 KAPTOPRIL 25 MG Tab 75.000 0 -

130 KAPTOPRIL 50 MG Tab 143.000 0 -

131 KAPTOPRIL 50 MG KF Tab 134.00 0 -

132 KETOKENAZOL KRIM Tube 3,135.000 0 -

133 KETOKENAZOL TAB 200 MG Tab 297.000 0 -

134 KLONIDIN TABLET 0.15 MG Tab 145.000 0 -

135 KLORAMFENIKOL SALEP KULIT 3 % Tube 3,327.000 0 -

136 KLORAMFENIKOL KAPSUL 500 MG Kapsul 1,337.990 400 535,196

137 KLORAMFENIKOL KAPSUL 250 MG Kapsul 660.00 500 330,000

138 KLORAMFENIKOL KAPSUL 250 MG Kapsul 329.000 0 -

139 KLORAMFENIKOL SALEP MATA 1% Kapsul 2,148.00 0 -

140 KLORAMFENIKOL SUSP 125 MG/ 5 ML Btl 4,982.000 0 -

141 KLORAMFENIKOL TETES MATA 0.5 % Tube 0.000 0 -

142 KLORAMFENIKOL TETES TELINGA 3 % 0 -

143 KLORFENIRAMINA MALEAT TAB 4 MG Tab 50.000 0 - 1000

144 KLORFENIRAMINA MALEAT TAB 4 MG Tab 39.000 0 -

145 KLORPROMAZIN TAB SALUT 100 MG Tab 170.000 0 -

146 KLORPROMAZIN TAB SALUT 100 MG MERSIFARM Tab 170.00 0 -

147 KOTRIMOKSAZOL DOEN I (DEWASA) 480 MG Tab 133.000 0 -

148 KOTRIMOKSAZOL DOEN (DEWASA)480 MG Tab 125.000 0 -

149 KOTRIMOKSAZOL DOEN II (ANAK) Tab 79.000 0 -

150 KOTRIMOKSAZOL SUSPENSI Btl 2,100.00 10 21,000 20


151 KOTRIMOKSAZOL SUSPENSI Btl 2,190.000 0 -

152 KOTRIMOKSAZOL SUSPENSI MERSIFARM Btl 2,052.00 0 -

153 KOTRIMOKSAZOL TABLET 480 MG MERSIFARM Tab 125.00 0 -

154 KUINIDIN 100 MG TABLET Tab 0 -

155 KUINIDIN 200 MG TABLET Tab 0 -

156 KUININ (KINA) TABLET 200 MG Tab 0 -

157 KUININ INJEKSI 25 % Tab 0 -

158 KUININ SULFAT TAB 222 MG (7 H2O) Tab 641.670 0 -

159 LANSOPRAZOL 30 MG KAP 360.000 0 -

160 LIDOKAIN SPRAY BTL 177,216.000 0 -

161 LIDOKAIN INJ 2 % Amp 847.00 45 38,115 30


162 LIDOKAIN INJ 2 % + EPINEFRIN 1,405.000 0 -

163 LISOL DENGAN KRESOL SABUN 50 % Btl 31,800.000 0 -

164 LOPERAMIDE TAB 2 MG Tab 90.000 0 -

165 LOPERAMIDE TAB 2 MG Tab 460.000 0 -

166 LOPERAMIDE TAB 2 MG Tab 85.000 0 -

167 LORATADIN TAB Tab 136.000 0 -

168 LORATADIN TABLET 10 MG PROMED Tab 117.00 0 -

169 LUBIRE Tab 5,225.00 0 -

170 MEBENDAZOL SIROP 100 MG/ 5 ML Btl 0 -

171 MEBENDAZOL TABLET 100 MG Tab 0 -

MELOXICAM KAPS 7,5 MG 830.28 1000 830,280 1000


172 METAMPIRON TABLET 500 MG (ANTALGIN) Tab 141.850 0 -

173 METFORMIN TAB 500 MG Tab 77.00 0 -

174 METFORMIN TAB 500 MG Tab 109.000 0 -

175 METFORMIN TAB 850 MG Tab 240.000 0 -

176 METILERGOMETRIN MALEAT INJ 0.2 MG Amp 3,399.000 0 -

177 METILERGOMETRIN MALEAT TABLET 0.125 MG Tab 133.100 0 -

178 METILERGOMETRIN MALEAT TABLET 0.125 MG Tab 245.000 0 -

179 METILPREDNISOLON TAB 4 MG Tab 102.00 900 91,800 1000


180 METILPREDNISOLON TAB 4 MG Tab 148.000 0 -

181 METILPREDNISOLON TAB16 MG Tab 456.00 500 228,000

182 METILPREDNISOLON TAB16 MG Tab 548.00 0 -

183 METOKLOPRAMIDE TAB 10 MG TAB 93.000 0 -

184 METOKLOPRAMIDE TAB 10 MG KF Tab 87.00 0 -

185 METRONIDAZOL TABLET 250 MG Tab 116.000 0 -

186 METRONIDAZOL TABLET 250 MG PHYTO Tab 93.00 0 -

187 METRONIDAZOL TABLET 500 MG Tab 660.000 200 132,000

188 MDT MB KUSTA DEWASA BLISTER 31,570.000 0 -

189 MgSO4 20% Btl 3,327.990 0 -

190 MgSO4 40% Btl 4,700.000 10 47,000

191 MIKONAZOLE KREAM Tube 1,900.00 12 22,800

192 MIKONAZOLE KREAM Tube 3,926.000 0 -

193 MIKONAZOLE KREAM 2% KF Tube 2,462.00 0 -

194 MIKORIN POWDER POT 26,950.000 0 -

195 MINERAL MIX Succ 2,723.000 0 -

196 MINERAL MIX Succ 2,550.000 0 -

197 MULTIVITAMIN TAB VINETRON Tab 1,848.000 0 -

198 MULTIVITAMIN TAB VINETRON Tab 1,705.000 0 -

199 MULTIVITAMIN TAB MEVITON 1,592.250 0 -

200 MULTIVITAMIN SYR CAMIVITA DAU Btl 5,300.000 0 -

201 NATRIUM DKLOFENAK TABLET 25 MG Tab 109.00 0 -

202 NATRIUM DKLOFENAK TABLET 50 MG Tab 109.00 0 -

203 NATRIUM DKLOFENAK TABLET 50 MG Tab 145.00 0 -

204 NATRIUM KLORIDA LARUTAN INFUS 0.9 % Btl 6,840.00 20 136,800 20


205 NATRIUM KLORIDA LARUTAN INFUS 0.9 % Btl 6,410.000 0 -

206 NIPEDIFINE TAB 10 MG Tab 120.000 0 -

NIPEDIFINE TAB 10 MG 221.00 0 -

NIPEDIFINE TAB 10 MG 150.000 300 45,000

207 NISTATIN 100.000 IU Tab 627.000 0 -

208 NISTATIN 500.000 IU Tab 704.000 0 -

209 NISTATIN VAGINAL TAB 100.000 UI Tab 645.00 100 64,500

210 NISTATIN VAGINAL 100.000 IU Tab 645.00 0 -

211 OBAT ANTITUBERKULOSIS KAT 1 DEWASA Tab 413,984.000 0 -

212 OBAT ANTITUBERKULOSIS KAT 1 DEWASA 356,829.000 0 -

213 OBAT ANTITUBERKULOSIS KAT 1 DEWASA 447,791.000 0 -

214 OBAT ANTITUBERKULOSIS KAT 2 DEWASA Tab 1,319.900 0 -

215 OBAT ANTITUBERKULOSIS KAT 2 DEWASA Paket 1,492,579 0 -

216 OBAT ANTITUBERKULOSIS KAT ANAK Tab 236,500.000 0 -


217 OBAT ANTITUBERKULOSIS KAT ANAK KF Paket 267,397 0 -

218 OBAT ANTITUBERKULOSIS SISIPAN DEWASA Tab 175,980.000 0 -

219 OBAT BATUK HITAM CAIRAN Btl 1,339.800 0 -

220 OKSITETRASIKLIN HCL SALEP 3 % Tube 3,600.000 0 -

221 OKSITETRASIKLIN HCL SALEP MATA 1 % Tube 2,600.000 10 26,000

222 OKSITETRASIKLIN SALEP MATA 1% KF Tube 3,926.00 0 -

223 OKSITOSIN INJ 10 IU/ML Amp 1,232.000 0 -

224 OKSITOSIN INJ 10 IU/ML 1,199.000 0 -

225 OMEPRAZOLE KAP 20 MG Tab 780.000 0 -

226 OMEPRAZOLE KAPSUL 20 MG Kapsul 148.00 0 -

227 OMEPRASOL INJ 40 MG/ML vial 5,346.00 30 160,380

228 OMEPRAZOLE INJ 11,868.00 0 -

229 OAM(ACT)DHP-FRIMAL 2,000.00 0 -

230 PAPAVERIN TABLET 40 MG Tab 680.000 0 -

231 PARACETAMOL DROPS 100 MG/ML (60 MG/0,6 ML) Btl 5,204.00 10 52,040

232 PARASETAMOL DROPS 100 MG/ML IGM Btl 7,646.00 0 -

233 PARASETAMOL SIROP 120 MG/ 5 ML Btl 1,160.00 25 29,000 50


234 PARASETAMOL SIROP 120 MG/ 5 ML Btl 4,700.000 0 -

235 PARASETAMOL SIROP 120 MG/ 5 ML Btl 1,160 0 -

236 PARASETAMOL TABLET 500 MG Tab 86.000 0 -

237 PARASETAMOL TABLET 500 MG MERSIFARM Tab 60.00 0 -

238 PARASETAMOL TABLET 500 MG MERSIFARM Tab 165.00 0 -

239 PEHACAIN INJ Amp 4,850.000 0 -

240 PENOL GLISEROL TETES TELINGA Btl 2,246.000 0 -

241 PIRANTEL SIRUP btl 9,100.000 0 -

242 PIRANTEL TABLET SCORE 125 MG Tab 341.00 800 272,800 500
243 PIRASETAM 1200 Tab 854.000 0 -

244 PIRASETAM 400 Tab 194.000 0 -

245 PIRIDOKSIN (VIT B6) TAB 10 MG Tab 72.00 500 36,000

PIRIDOKSIN (VIT B6) TAB 10 MG Tab 157.99 500 78,995 500


246 PIROKSIKAM TABLET 20 MG Tab 215.000 0 -

247 PIROKSIKAM TABLET 20 MG Tab 189.500 0 -

248 PITOGIN AMPUL 1 ML Amp 11,550.000 0 -

249 POVIDON IODIDA 10 % 1000 ML Btl 149,313.000 0 -

250 POVIDON IODIDA 10 % 1000 ML MAHAKAM Btl 139,313.00 0 -

251 POVIDON IODIDA 10 % 30 ML Btl 3,624.500 0 -

252 POVIDON IODIDA 10 % 300 ML Btl 22,498.300 0 -

253 POVIDON IODIDA 10 % 300 ML Btl 15,386.000 0 -

254 POVIDON IODIDA BETADIN 5 G SALEP Tube 7,039.00 0 -

255 POVIDON SALEP Tube 6,348.000 0 -

256 PREDNISON TABLET 5 MG Tab 73.00 700 51,100 500


257 PRIMAUINE/PRIMAQUINE TAB 15 Tab 253.000 0 -

258 PROPANOLOL TABLET 10 MG Tab 59.000 0 -

259 PROPANOLOL TABLET 40 MG Tab 59.000 0 -

260 PROPILITIOURASIL TABLET 100 MG Tab 351.000 0 -

261 RANITIDIN INJ 25 MG / 2 ML Amp 1,155.00 0 -

262 RANITIDIN INJ 25 MG / 2 ML Amp 858.00 1 858 25


263 RANITIDIN TABLET 150 MG Tab 85.00 600 51,000

264 RANITIDIN TABLET 150 MG Tab 122.00 1000 122,000 500


265 RINGER LAKTAT INFUS Btl 7,630.00 80 610,400 80
266 RISPERIDON 2 MG Tab 287.000 700 200,900 100
267 SALBUTAMOL SIRUP 5,463.000 0 -

268 SALBUTAMOL TABLET 4 MG KF Tab 195.00 0 -

269 SALBUTAMOL TABLET 2 MG Tab 150.000 0 -

270 SALEP 2-4 KOMBINASI Tube 1,475.000 12 17,700 20


271 SALISIL BEDAK 2 % Pot 6,426.00 1 6,426

272 SCABIMATE CREM SACH 12,155.000 0 -

273 SALISIL BEDAK 2 % TUBE 6,426.00 0 - 10


274 SEFADROKSIL KAPSUL 500 MG Kapsul 1,210.000 200 242,000 500
275 SEFADROKSIL KAPSUL 500 MG Kapsul 492.00 0 -

276 SEFADROKSIL SIROP KERING 125 MG / 5 ML Btl 4,133.000 0 -

277 SEFOTAKSIM 1000 MG Vial 5,700.000 0 -

278 SEFOTAKSIM INJ 1000 MG RAMA Vial 4,410.00 0 -

279 SIANOKOBALAMIN TABLET 50 MCG Tab 44.00 1200 52,800 1000


280 SIANOKOBALAMIN TABLET 50 MCG KF Tab 51.00 0 -

281 SIANOKOBALAMIN VIT B12 INJ 500 MCG/ML Ampul 1,160.00 20 23,200 30
282 SIANOKOBALAMIN VIT B12 INJ 500 MCG/ML 3,070.000 0 -

283 SIMVASTATIN TABLET 10 MG TAB 73.00 0 -

284 SIMVASTATIN TABLET 10 MG 117.000 0 -

285 SIPROFLOKSASIN KAPLET 500 MG Kaplet 260.00 1100 286,000 500


286 SULFASETAMID TETES MATA 15 % Btl 12,500.000 0 -

287 TABLET TAMBAH DARAH KOMBINASI Tab 409.000 0 -

TABLET TAMBAH DARAH KOMBINASI Tab 255.00 4100 1,045,500 1500


288 TETRASIKLIN KAPSUL 500 MG Kapsul 346.000 0 -

289 TETRASIKLIN KAPSUL 500 MG Kapsul 324.000 0 -

290 TIAMIN (VIT B1) INJ 100 MG/ML Amp 730.000 0 -

291 TIAMIN (VIT B1) TABLET 50 MG Tab 169.000 0 - 1000


292 TIAMIN (VIT B1) TABLET 50 MG 90.000 0 -

293 TRIHEKSIFENIDIL 25 MG Tab 691.190 950 656,631 500


294 VAKSIN ANTI RABIES INJ vial 165,000.000 8 1,320,000

VAKSIN ANTI RABIES INJ vial 153,000.00 20 3,060,000

295 VAKSIN POLIO (bOPV) 10 ds Vial 19,954.000 22 438,988 20


296 VAKSIN MR 10 ds Vial 155,813.000 22 3,427,886 20
297 VAKSIN DPT-HB-HIB 5 ds Vial 78,991.000 20 1,579,820 30
VAKSIN HB Ig Vial 1,325,000.000 0 -

VAKSIN HB UNIJECT (HBO) 1 ds Vial 23,991.000 24 575,784 10


298 VAKSIN BCG Vial 61,996.000 21 1,301,916 5
299 VAKSIN HEPATITIS B Vial 23,991.000 0 -

300 VAKSIN IPV Vial 158,994.000 20 3,179,880

301 VAKSIN Td 10 ds VIAL 16,995.000 8 135,960 10


VAKSIN DT 10 ds VIAL 17,996.00 0 -

302 VITAMIN A 100.000 UI Btl 17,600.00 2 35,200

303 VITAMIN A 200.000 UI Btl 31,850.00 17 541,450

306 VITAMIN B KOMPLEKS TABLET Tab 60.000 0 - 1000


307 VITAMIN B KOMPLEKS TABLET Tab 135.000 0 -

308 ZINK SIRUP Btl 2,489.000 0 - 10

309 ZINK SIRUP MEPROFARM Btl 3,285.00 0 -

310 ZINK TAB 20 MG Tab 2,000.00 300 600,000

311 ZINK TAB 20 MG Tab 604.00 0 -

312 ZINK TAB 20 MG 586.000 0 -

PERBEKALAN KESEHATAN 0 -

1 ACCU-CHECK PERFORMA Btl 420,000.000 0 -

2 ALAT SUNTIK SEKALI PAKAI 2,5/3 ML Set 851.53 0 -

3 ALAT SUNTIK SEKALI PAKAI 2,5/3 ML Set 1,056.00 0 - 300


4 ALAT SUNTIK SEKALI PAKAI 3 ML Set 1,108.800 0 -

5 ALAT SUNTIK SEKALI PAKAI 0,05 ML Set 1,456.000 0 -

6 ALAT SUNTIK SEKALI PAKAI 0,05 ML Set 1,240.000 0 -

7 ALAT SUNTIK SEKALI PAKAI 0,5 ML Set 1,240.00 100 124,000 300
8 ALAT SUNTIK SEKALI PAKAI 0,5 ML 1,240.00 0 -

9 ALAT SUNTIK SEKALI PAKAI 0,5 ML 1,650.000 0 -

10 ALAT SUNTIK SEKALI PAKAI 10 ML Set 1,216.470 90 109,482

11 ALAT SUNTIK SEKALI PAKAI 1 ML Set 822.000 0 -

12 ALAT SUNTIK SEKALI PAKAI 1 ML Set 844.260 195 164,631

13 ALAT SUNTIK SEKALI PAKAI 10 ML Set 1,622.500 0 -

14 ALAT SUNTIK SEKALI PAKAI 5 ML Set 1,013.11 200 202,622 200


15 ALAT SUNTIK SEKALI PAKAI 5 ML 1,583.000 0 -

16 ALKOHOL 70% 1 LTR Box 206.640 0 -

17 ALKOHOL SWAB Box 151.20 200 30,240 500


18 AQUA PRO INJEKSI 25 ML Btl 2,650.00 0 -

19 BAJU HAZMAT COVER ALL Bh 475,000.000 0 -

20 BISTURI NO. 19 Pcs 3,150 0 -

21 BISTURI NO.20 3,150 50 157,500

22 BISTURI NO. 22 Pcs 3,300 30 99,000

23 CANULA DEWASA Pcs 5,711.00 15 85,665

24 CATGUT NO 2/0 21,000.00 12 252,000 12


25 CATGUT NO 3/0 Pcs 34,538.00 50 1,726,900

26 CATGUT NO 3/0 RNI Pcs 35,295.00 0 -

27 CATGUT NO 4/0 RNI Pcs 32,685.00 0 -

28 CATHEJELL Pcs 42,848.000 0 -

29 FOLEY CATETER 16 Bh 10,000.000 0 -

30 FOLEY CATETER 18 Bh 10,000.000 0 -

31 FOLEY CATETER 20 Bh 10,000.000 0 -

32 HAND RUB BTL 46,016.56 5 230,083 5


33 HAND RUB BTL 62,624.000 0 -

34 HAND RUB fresco BTL 76,274.470 0 -

35 HANDSCOEN 6,5 STERIL Roll 8,600.000 0 - 50

36 HANDSCON 7 Pasang 8,600.00 0 - 50

37 HANDSCON 7 1/2 STERIL Bks 11,990.000 50 599,500

38 HANDSCON 7 STERIL 11,990.000 45 539,550

39 HANDSCON L Pasang 1,750.00 300 525,000 300


40 HANDSCON L KARINDO Pasang 1,647.24 0 -
42 HANDSCON M Pasang 1,750.00 100 175,000 500
43 HANDSCON M 2,750.000 0 -

44 HANDSCON S Pasang 1,161.600 0 -

45 HANDSCON S 2,750.000 0 -

46 TREPOCHECK SYPHILIS Pcs 9,300.00 0 -

47 HIV TEST Pcs 15,377.000 0 -

48 HIV TEST Pcs 15,367.000 0 -

49 INFUSION SET ANAK SET 4,198.700 0 -

50 INFUSION SET ANAK AXIMED Pcs 5,865.00 100 586,500 100


51 INFUSION SET DEWASA Set 8,342.40 85 709,104 30
52 INFUSION SET DEWASA 1,540.00 0 -

53 IV CATHETER N0 22 G Set 13,894.000 0 -

IV CATHETER N0 22 G Set 6,875.000 25 171,875 30


54 IV CATHETER NO 18 Set 9,123.400 0 -

55 IV CATHETER NO 20 G Set 6,875.000 25 171,875

56 IV CATHETER NO 22 G NIPRO Pcs 6,875.00 20 137,500

57 IV CATHETER NO 24 G Set 7,194.00 50 359,700

58 IV CATHETER NO 24 G Set 14,493.600 20 289,872

59 KANULA ANAK Pcs 5,711.00 23 131,353

61 KAPAS PEMBALUT / ABSORBEN 250 GRAM Set 18,000.000 0 -

62 KAPAS PEMBALUT / ABSORBEN 250 GRAM Set 25,198.000 9 226,782

63 KAPAS PEMBALUT 250 GRAM DRC Roll 30,500.00 0 -

64 KASA KOMPRES 40/40 STERIL Bks 1,944.000 0 -

65 KASA PEMBALUT 2 M X 80 CM Bks 79,360.00 0 -

66 KASA PEMBALUT 2 M X 80 CM DRC Bks 10,661.00 0 -

67 KASA PEMBALUT HIDROFIL 20 yard x 80 cm Roll 81,920.000 0 -

68 KASA PEMBALUT HIDROFIL 20 yard x 80 cm Roll 79,360.000 0 -

69 KASA PEMBALUT HIDROFIL 36 X 80 CM DRC Roll 145,600.00 0 -

70 KASA PEMBALUT HIDROFIL 4 M X 15 CM DRC Bks 4,104.00 0 -

71 KASA PEMBALUT HIDROFIL 4 M X 15 CM ELASTIS Bks 4,145.00 40 165,800 50


72 KASA PEMBALUT HIDROFIL 4 M X 5 CM ELASTIS Bks 2,750.000 0 -

73 KASA PEMBALUT HIDROFIL 16 M X 16 CM DRC Bks 4,200.00 0 -

74 LANCET Box 20,000.00 8 160,000

76 MASKER HIJAB Bh 580.800 0 -

77 MASKER KARET Bh 314.000 0 -

78 MASKER KAIN Bh 5,000.000 0 -

79 MASKER KAIN 5,000.000 0 -

80 NESCO / STRIP CHOLESTROL Btl 290,000.000 0 -

81 NASAL OKSIGEN DEWASA Bh 6,000.000 0 -

82 PLESTER 10 CM X 5 M Roll 49,632.000 0 -

83 PLESTER PHARMAFIX 10 CM X 500 CM Roll 51,305.00 0 -

84 PLESTER PHARMAFIX 15 CM X 500 CM Roll 78,115.00 8 624,920

85 PLESTER PHARMAFIX 5 CM X 500 CM Roll 27,000.00 15 405,000 10


86 PLESTER YARD Roll 43,700.000 0 -

87 POT SPUTUM 2,079.000 0 -

88 POT SPUTUM Pot 2,272.00 25 56,800

89 REAGEN SYPHILIS Pcs 20,400.000 0 -


90 STRIP BIOLINE SYPIHILIS 3.0 100T 7,237.630 0 - 50

91 TREPOCHECK SYPHILIS 9,300.000 0 -

92 RAPID 1 (SD) /HIV TEST 8,350.00 25 208,750 25


93 RAPID 3 ( DIAGNOSTAR ) 12,527.00 0 -

94 RAPID TEST HBsAg /VIROCHECK 8,300.00 0 - 50


95 RAPID TEST ANTIGEN COVID 19 CLUNGENE Box 60,500.00 50 3,025,000

96 RAPID TEST ANTIGEN COVID 19 CLUNGENE Box 52,800.00 175 9,240,000

97 RDT MALARIA Box 14,238.000 25 355,950

99 FDC OAT KATAGORI 1 PKT 447,791.00 2 895,582

100 SAFETY BOX 21,566.890 0 -

101 SAFETY BOX 20,394.000 4 81,576

102 SILK 2/0 SET 21,875.000 0 -

103 SILK 2/0 TROGE Pcs 42,601.900 0 -

SILK 2/0 21,458.334 0 -

104 SILK 3/0 SET 6,400.000 0 -

105 SILK 3/0 SET 29,931.00 12 359,172 12


106 SILK 3/0 TROGE Pcs 43,429.100 0 -

107 STRIP ASAM URAT NESCO Box 145,200.00 2 290,400 5


108 STRIP CHOLESTEROL Box 231,000.00 0 - 5
109 SRTIP GULA NESCO Btl 132,000.000 0 -

SRTIP GULA NESCO Btl 132,000.000 6 792,000

110 STRIP ASAM URAT Btl 145,200.000 2 290,400

111 STRIP SD BIOLINE DENGUE DUO BOX 60,813.12 25 1,520,328

112 STRIP SD BIOLINE HIV 1/2 3.0 BOX 13,367.70 30 401,031

113 URIN BAG TANPA HANGER BH 5,742.00 24 137,808

114 URIN BAG TROGE Pcs 8,877.00 0 -

115 WING NEEDLE NO.23 Pcs 1,400.000 0 -

116 WING NEEDLE NO.25 Pcs 1,400.000 0 -

117 WING NEEDLE NO.27 Pcs 1,400.000 0 -

PENANGANAN CORONA VIRUS 0 -

1 FACE SHIELD 27,500.000 17 467,500

2 PAKAIAN PELINDUNG/HAZMAT PCH 660,000.000 7 4,620,000

3 PAKAIAN PELINDUNG/HAZMAT SET 475,000.000 10 4,750,000

4 VISOR/SHIELDFACE/HELM BUAH 315,000.000 8 2,520,000

5 SEPATU BOOT PSG 215,000.000 4 860,000

6 WIND NEEDLE PCS 5,500.000 300 1,650,000

7 COLD BOX KAPASITAS 6 L BOX 4,500,000.000 0 -

8 CAIRAN NaOCl BTL 50,000.000 15 750,000

9 SARUNG TANGAN NON STERIL PCH 1,800.000 0 -

10 APD SET SET 3,902,499.700 0 -

11 BAJU APD 660,000.000 0 -

12 SARUNG TANGAN PANJANG 54 -

13 SEPATU BOOT 0 -

14 MASKER 2,640.00 0 -

19 KACA MATA SAFETY 0 -

20 HAND RUB 250 ML BTL 71,692.500 0 -

21 SARUNG TANGAN STERIL PSG 8,000.000 0 -


22 HANDSCOON NON STERIL BTL 900.00 0 -

25 HAND SANITEZER BTL 19,500.00 0 - 18


26 SURGICAL MASK PCH 5,000.000 0 -

27 HANDSCOON NON STERIL M PSG 1,540.00 0 - 120


31 BUKU SAKU 30,000.000 7 210,000

32 KANTONG SAMPAH MEDIS 3,000.00 0 -

36 KANTONG JENAZAH 300,000.000 10 3,000,000

37 KANTONG JENAZAH 99,999.000 10 999,990

38 MASKER BEDAH 770.000 0 -

BANTUAN DINKES PROVINSI 0 -

1 BAJU APD MEREK SANDON ( DINKES PROVINSI ) PCH 12 -

2 BAJU APD MEREK SANDON ( DINKES PROVINSI ) 660,000.00 15 9,900,000

FACE SHIELD PCH 12 -

VIRUS COLLECTION & TRANSPORT TUBE BTL 130,000.00 30 3,900,000

MULTIVITAMIN SIVIT ZINC (DINKES PROVINSI) BTL 2,000.00 0 - 300


FACE SHIELD BTL 27,500.00 10 275,000

HAND SANITIZER 37,812.50 0 -

HAND SANITIZER 19,250.00 0 -

HANDSCOON NON STERIL M 1,540.00 0 -

APD SET IMUNISASI : 0 -

HAND SANITIZER 37,812.50 0 -

MASKER BEDAH 990.00 0 -

MASKER 2,640.00 0 - 180


HANDSCOON NON STERIL L 1,870.00 0 -

KANTONG MEDIS 3,000.00 0 - 6


FACE SHIELD 27,500.00 9 247,500

PROGRAM IMUNISASI/VAKSIN CORONA 0 -

ALAT SUNTIK SEKALI PAKAI 0,5 ML PCH 1,185.00 131 155,235 1064
VAKSIN COVID-19 (10 DOSIS ) VIAL 1,339,440.00 0 -

VAKSIN COVID-19 CORONAVAC ( 2 DOSIS ) VIAL 55 - 182


VAKSIN COVID-19 MODERNA (14 DOSIS ) VIAL 0 -

VAKSIN MODERNA 10 DOSIS VIAL 26 - 20


VAKSIN COVID 19 JANSSENS 5 DOSIS VIAL 0 - 80
VAKSIN COVID 19 ASTRAZENECA 10 DOSIS VIAL 0 - 10
SAFETY BOX 5 L PKM 1 BOX 14,000.00 2 28,000 7
ALKOHOL SWAB PKM VIAL 79.00 0 - 1064
PENANGANAN CORONA VIRUS DISEASE DINKES 0 -

1 MASKER BEDAH PCS 770.00 300 231,000 500


HAND SANITIZER PCS 19,250.00 0 -

HANDSCOON NON STERIL M PCS 1,540.00 20 30,800

RAPID TEST ANTIGEN COVID 19 CLUNGENE PCS 60,500.00 0 -

OBAT GIGI 0 -

1 ETIL KLORIDA Btl 126,500.00 0 -

2 COMPOSIT ANTERIOR A2 SOLARE Pcs 675,000.000 0 -

3 COMPOSIT ANTERIOR A3 SOLARE Pcs 675,000.000 0 -

4 COMPOSIT POSTERIOR A2 SOLARE Pcs 675,000.000 0 -

5 COMPOSIT POSTERIOR A3 SOLARE Pcs 675,000.000 0 -


6 DYCAL Pcs 800,000.000 0 -

7 EUGENOL Btl 165,000.000 0 -

8 FUJI IX MINI/ GOLD LABEL Pcs 650,000.000 0 -

9 XYLESTESIN Pcs 795,000.000 0 -


TOTAL HARGA OBAT DAN BHP 87,820,954.62
ORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
( LPLPO )

BULAN JANUARI
TRI WULAN
TAHUN 2022

PERSE PEMA KADALUAR SISA


NILAI NILAI NILAI NILAI
DIAAN KAIAN SA STOK
8 9 10 11 12 13 14 15

- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 1000 89,000 - - 1000
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
22,200.00 1600 118,400 300 22,200 - 1300
55,000.00 2150 118,250 600 33,000 - 1550
- 0 - - - 0
462,000.00 2000 462,000 800 184,800 - 1200
- 1700 450,500 1200 318,000 500 132,500 0
- 25 96,150 25 96,150 - 0
- 150 526,500 - - 150
- 0 - - - 0
90,000.00 3900 234,000 552 33,120 - 3348
- 0 - - - 0
35,120.00 65 114,140 47 82,532 - 18
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
69,000.00 2000 92,000 900 41,400 - 1100
175,500.00 2400 280,800 1600 187,200 - 800
- 0 - - - 0
- 0 - - - 0
- 300 128,700 - - 300
- 0 - - - 0
- 0 - - - 0
46,000.00 500 46,000 100 9,200 - 400
- 0 - - - 0
- 0 - - - 0
75,750.00 100 151,500 47 71,205 - 53
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 300 42,900 - - 300
- 300 75,000 - - 300
- 500 108,000 - - 500
- 0 - - - 0
- 0 - - - 0
78,000.00 1500 78,000 600 31,200 - 900
- 0 - - - 0
- 0 - - - 0
- 15 14,520 15 14,520 - 0
69,000.00 1000 69,000 300 20,700 - 700
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 600 65,400 - - 600
- 0 - - - 0
- 0 - - - 0
- 30 24,750 30 24,750 - 0
- 0 - - - 0
- 0 - - - 0
- 200 28,600 - 200 28,600 0
21,800.00 200 21,800 200 21,800 - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 10 24,010 3 7,203 - 7
37,500.00 700 52,500 400 30,000 - 300
- 0 - - - 0
- 20 58,080 - - 20
- 0 - - - 0
- 500 339,500 - - 500
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 8 31,200 - - 8
- 0 - - - 0
40,027.20 16 64,044 11 44,030 - 5
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 30 117,000 30 117,000 - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 100 27,500 - - 100
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 29 149,930 12 62,040 - 17
- 2100 317,100 - - 2100
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
27,900.00 500 46,500 - - 500
- 0 - - - 0
- 995 170,145 - - 995
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
46,780.00 47 109,933 - - 47
103,000.00 500 103,000 300 61,800 - 200
- 0 - - - 0
150,000.00 1000 150,000 700 105,000 - 300
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 600 36,000 300 18,000 - 300
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 600 40,800 300 20,400 - 300
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 400 535,196 - - 400
- 500 330,000 - - 500
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
50,000.00 1000 50,000 - - 1000
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
42,000.00 30 63,000 - - 30
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
25,410.00 75 63,525 - - 75
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
830,280.00 2000 1,660,560 - - 2000
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
102,000.00 1900 193,800 - - 1900
- 0 - - - 0
- 500 228,000 - - 500
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 200 132,000 - - 200
- 0 - - - 0
- 0 - - - 0
- 10 47,000 - - 10
- 12 22,800 - - 12
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
136,800.00 40 273,600 - - 40
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 300 45,000 - - 300
- 0 - - - 0
- 0 - - - 0
- 100 64,500 - - 100
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 10 26,000 - - 10
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 30 160,380 - - 30
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 10 52,040 - - 10
- 0 - - - 0
58,000.00 75 87,000 - - 75
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
170,500.00 1300 443,300 - - 1300
- 0 - - - 0
- 0 - - - 0
- 500 36,000 - - 500
78,995.00 1000 157,990 - - 1000
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
36,500.00 1200 87,600 - - 1200
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
21,450.00 26 22,308 26 22,308 - 0
- 600 51,000 - - 600
61,000.00 1500 183,000 - - 1500
610,400.00 160 1,220,800 100 763,000 - 60
28,700.00 800 229,600 - - 800
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
29,500.00 32 47,200 - - 32
- 1 6,426 - - 1
- 0 - - - 0
64,260.00 10 64,260 10 64,260 - 0
605,000.00 700 847,000 - - 700
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
44,000.00 2200 96,800 - - 2200
- 0 - - - 0
34,800.00 50 58,000 50 58,000 - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
130,000.00 1600 416,000 - - 1600
- 0 - - - 0
- 0 - - - 0
382,500.00 5600 1,428,000 1100 280,500 - 4500
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
169,000.00 1000 169,000 - - 1000
- 0 - - - 0
345,595.00 1450 1,002,226 - 1450 1,002,226 0
- 8 1,320,000 - - 8
- 20 3,060,000 - - 20
399,080.00 42 838,068 - - 42
3,116,260.00 42 6,544,146 - - 42
2,369,730.00 50 3,949,550 - - 50
- 0 - - - 0
239,910.00 34 815,694 - - 34
309,980.00 26 1,611,896 - - 26
- 0 - - - 0
- 20 3,179,880 - - 20
169,950.00 18 305,910 - - 18
- 0 - - - 0
- 2 35,200 - - 2
- 17 541,450 - - 17
60,000.00 1000 60,000 - - 1000
- 0 - - - 0
24,890.00 10 24,890 - - 10
- 0 - - - 0
- 300 600,000 - - 300
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
316,800.00 300 316,800 100 105,600 - 200
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
372,000.00 400 496,000 - - 400
- 0 - - - 0
- 0 - - - 0
- 90 109,482 - - 90
- 0 - - - 0
- 195 164,631 - - 195
- 0 - - - 0
202,622.00 400 405,244 - - 400
- 0 - - - 0
- 0 - - - 0
75,600.00 700 105,840 200 30,240 - 500
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 50 157,500 - - 50
- 30 99,000 - - 30
- 15 85,665 - - 15
252,000.00 24 504,000 - - 24
- 50 1,726,900 - - 50
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
230,082.80 10 460,166 - - 10
- 0 - - - 0
- 0 - - - 0
430,000.00 50 430,000 0 - - 50
430,000.00 50 430,000 - - 50
- 50 599,500 - - 50
- 45 539,550 45 539,550 - 0
525,000.00 600 1,050,000 400 700,000 - 200
- 0 - - - 0
875,000.00 600 1,050,000 100 175,000 - 500
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
586,500.00 200 1,173,000 10 58,650 - 190
250,272.00 115 959,376 115 959,376 - 0
- 0 - - - 0
- 0 - - - 0
206,250.00 55 378,125 - - 55
- 0 - - - 0
- 25 171,875 - - 25
- 20 137,500 - - 20
- 50 359,700 - - 50
- 20 289,872 - - 20
- 23 131,353 - - 23
- 0 - - - 0
- 9 226,782 - - 9
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
207,250.00 90 373,050 40 165,800 - 50
- 0 - - - 0
- 0 - - - 0
- 8 160,000 - - 8
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 8 624,920 - - 8
270,000.00 25 675,000 - - 25
- 0 - - - 0
- 0 - - - 0
- 25 56,800 - - 25
- 0 - - - 0
361,881.50 50 361,882 25 180,941 - 25
- 0 - - - 0
208,750.00 50 417,500 50 417,500 - 0
- 0 - - - 0
415,000.00 50 415,000 0 - - 50
- 50 3,025,000 50 3,025,000 - 0
- 175 9,240,000 - - 175
- 25 355,950 - - 25
- 2 895,582 - - 2
- 0 - - - 0
- 4 81,576 - - 4
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
359,172.00 24 718,344 - - 24
- 0 - - - 0
726,000.00 7 1,016,400 7 1,016,400 - 0
1,155,000.00 5 1,155,000 5 1,155,000 - 0
- 0 - - - 0
- 6 792,000 - - 6
- 2 290,400 - - 2
- 25 1,520,328 - - 25
- 30 401,031 - - 30
- 24 137,808 - - 24
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 17 467,500 - - 17
- 7 4,620,000 - - 7
- 10 4,750,000 - - 10
- 8 2,520,000 - - 8
- 4 860,000 - - 4
- 300 1,650,000 - - 300
- 0 - - - 0
- 15 750,000 - - 15
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 54 - - - 54
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
351,000.00 18 351,000 18 351,000 - 0
- 0 - - - 0
184,800.00 120 184,800 120 184,800 - 0
- 7 210,000 - - 7
- 0 - - - 0
- 10 3,000,000 - - 10
- 10 999,990 - - 10
- 0 - - - 0
- 0 - - - 0
- 12 - - - 12
- 15 9,900,000 - - 15
- 12 - - - 12
- 30 3,900,000 - - 30
600,000.00 300 600,000 60 120,000 240 480,000 0
- 10 275,000 - - 10
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
475,200.00 180 475,200 180 475,200 - 0
- 0 - - - 0
18,000.00 6 18,000 6 18,000 - 0
- 9 247,500 - - 9
- 0 - - - 0
1,260,840.00 1195 1,416,075 - - 1195
- 0 - - - 0
- 237 - - - 237
- 0 - - - 0
- 46 - - - 46
- 80 - - - 80
- 10 - - - 10
98,000.00 9 126,000 - - 9
84,056.00 1064 84,056 - - 1064
- 0 - - - 0
385,000.00 800 616,000 500 385,000 - 300
- 0 - - - 0
- 20 30,800 - - 20
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
24,263,143.50 112,084,098.12 0 12,908,374.67 1,643,325.50
JANUARI

2022
Hal 1

PERMINTAA
NILAI KET
N

16 17 18

-
-
-
-
-
-
89,000
-
-
-
-
-
-
-
96,200
85,250 1,000
-
277,200 1,000
-
-
526,500
-
200,880
-
31,608 50
-
-
-
-
-
50,600 600
93,600 1,000
-
-
128,700
-
-
36,800
-
-
80,295 50
-
-
-
42,900
75,000
108,000
-
-
46,800 500
-
-
- 30
48,300 500
-
-
-
65,400
-
-
- 30
-
-
- 100 DES/2021

- 300
-
-
-
16,807
22,500
-
58,080
-
339,500
-
-
-
31,200
-
20,014
-
-
-
-
-
-
- 30
-
-
-
27,500
-
-
-
-
-
87,890 24
317,100
-
-
-
-
-
-
-
-
-
-
-
-
46,500
-
170,145
-
-
-
109,933
41,200 1,500
-
45,000 1,000
-
-
-
-
-
-
-
18,000 300
-
-
-
20,400
- 1,000
-
-
-
-
-
-
-
535,196
330,000
-
-
-
-
-
50,000
-
-
-
-
-
-
63,000
-
-
-
-
-
-
-
-
-
-
63,525
-
-
-
-
-
-
-
-
-
-
1,660,560
-
-
-
-
-
-
-
193,800
-
228,000
-
-
-
-
-
132,000
-
-
47,000
22,800
-
-
-
-
-
-
-
-
-
-
-
-
273,600
-
-
-
45,000
-
-
64,500
-
-
-
-
-
-
-
-
-
-
-
26,000
-
-
-
-
-
160,380
-
-
-
52,040
-
87,000
-
-
-
-
-
-
-
-
443,300
-
-
36,000
157,990
-
-
-
-
-
-
-
-
-
-
87,600
-
-
-
-
-
-
51,000
183,000
457,800
229,600
-
-
-
47,200
6,426
-
-
847,000
-
-
-
-
96,800
-
- 50
-
-
-
416,000
-
-
1,147,500
-
-
-
169,000
-
- FEB/22

1,320,000
3,060,000
838,068
6,544,146
3,949,550
-
815,694
1,611,896
-
3,179,880
305,910
-
35,200
541,450
60,000
-
24,890
-
600,000
-
-
-
-
-
211,200
-
-
-
496,000
-
-
109,482
-
164,631
-
405,244
-
-
75,600
-
-
-
157,500
99,000
85,665
504,000
1,726,900
-
-
-
-
-
-
460,166
-
-
430,000
430,000
599,500
-
350,000
-
875,000
-
-
-
-
-
-
-
1,114,350
- 100
-
-
378,125
-
171,875
137,500
359,700
289,872
131,353
-
226,782
-
-
-
-
-
-
-
-
207,250 100
-
-
160,000
-
-
-
-
-
-
-
-
624,920
675,000
-
-
56,800
-
180,941
-
- 25
-
415,000
-
9,240,000
355,950
895,582
-
81,576
-
-
-
-
718,344
-
- 5
- 10
-
792,000
290,400
1,520,328
401,031
137,808
-
-
-
-
-
467,500
4,620,000
4,750,000
2,520,000
860,000
1,650,000
-
750,000
-
-
-
-
-
-
-
-
-
-
-
-
-
210,000
-
3,000,000
999,990
-
-
-
9,900,000
-
3,900,000
- RUSAK

275,000
-
-
-
-
-
-
-
-
-
247,500
-
1,416,075
-
-
-
-
-
-
126,000
84,056
-
231,000 500
-
30,800
-
-
-
-
-
-
-
-
-
-
-
97,532,397.95
LAPORAN PEMAKAIAN

KODE PUSKESMAS :
PUSKESMAS : BUKI
KECAMATAN : BUKI
KABUPATEN : KEPULAUAN SELAYAR
PROPINSI : SULAWESI SELATAN

STOK PENERI
NO NAMA OBAT SATUAN HARGA NILAI
AWAL MAAN
1 2 3 4 5 6 7

1 ACETOSAL Tab 105.000 0 -

2 ALBENDAZOL TABLET 400 MG HOLI Tab 380.00 0 -

3 ALBENDAZOL TABLET 400 MG HOLI tab 404.000 0 -

4 ALBENDAZOL TABLET 400 MG HOLI Tab 366.500 0 - 1100

5 ALBENDAZOL SUSPENSI Btl 4,300.000 0 - 162


6 ALOPURINOL TABLET 100 MG Tab 99.00 0 -

7 ALOPURINOL TABLET 100 MG Tab 89.00 1000 89,000

8 ALOPURINOL TABLET 300 MG Tab 200.000 0 -

9 AMBROKSOL SIRUP Btl 7,700.000 0 -

10 AMBROKSOL TAB 30 MG Tab 270.00 0 -

11 AMINOFILIN TABLET 200 MG Tab 97.000 0 -

12 AMINOFILIN INJ 24 MG/ML-10 ML AMP 3,071.000 0 -

13 AMITRIPTILIN TABLET SALUT 25 MG Tab 165.00 0 -

14 AMITRIPTILIN TABLET SALUT 25 MG Tab 168.000 0 -

15 AMLODIPIN 10 MG Tab 74.00 1300 96,200 500


16 AMLODIPIN 5 MG Tab 55.00 1550 85,250 500
17 AMLODIPIN 5 MG Tab 79.000 0 -

18 AMOKSISILIN KAPLET 500 MG Kap 231.000 1200 277,200 1000


AMOKSISILIN KAPLET 500 MG 265.00 0 -

19 AMOKSISILIN SIROP KERING 125 mg/5ml Btl 3,846.000 0 -

20 AMOKSISILIN SYRUP 250 MG/ML Btl 3,510.00 150 526,500

21 AMPICILIN SERBUK INJ 1 G Vial 9,473.000 0 -

22 ANTASIDA DOEN KOMBINASI TAB 500 MG Tab 60.000 3348 200,880

23 ANTASIDA DOEN KOMBINASI TAB 500 MG Tab 59.000 0 -

24 ANTASIDA DOEN SUSPENSI DAU Btl 1,756.00 18 31,608 50


25 ANTASIDA DOEN SUSPENSI 5,800.000 0 -

26 ANTIBAKTERI DOEN SALEP KOMBINASI Tube 3,365.000 0 -

27 ANTIFUNGI DOEN KOMBINASI Pot 4,782.000 0 -

28 ANTIHEMOROID SUPP SUPP 3,502.000 0 -

29 ASAM ASKORBAT (VIT C) 50 MG Tab 120.000 0 -

ASAM ASKORBAT (VIT C) 50 MG Tab 46.000 1100 50,600 600


30 ASAM MEFENAMAT TABLET SALUT 500 MG Tab 117.000 800 93,600 1000
31 ASIKLOVIR KRIM 5 % Tube 2,367.000 0 -

32 ASIKLOVIR TABLET 200 MG Tab 236.000 0 -

33 ASIKLOVIR TABLET 400 MG Tab 429.000 300 128,700

34 ASETYLCYSTEINE 200 MG Tab 394.000 0 -


35 ATROPIN TETES MATA 0.5 % Btl 0 -

36 BETAHISTIN MESILAT TAB 6 MG TAB 92.00 400 36,800

37 BETAHISTIN MESILAT TAB 6 MG TAB 151.000 0 -

38 BETAMETASON KRIM 0,1 % Tube 1,450.000 0 -

39 BETAMETASON KRIM 0,1 % Tube 1,515.000 53 80,295 50


40 BISAKODIL SUPPOSITORIA SUPP 6,000.000 0 -

41 BISAKODIL SUPPOSITORIA SUPP 5,900.000 0 -

42 BISOPROLOL FUMARATE Tab 695.000 0 -

43 BISOPROLOL TABLET 5 MG NOVELL Tab 143.00 300 42,900

44 CARBAMAZEPIN TAB 200 MG Tab 250.000 300 75,000

CARBAMAZEPIN TAB 200 MG Tab 216.00 500 108,000

45 CETIRIZINE SIRUP Btl 7,756.000 0 -

46 ceterizin cap cap 104.000 0 -

47 CETIRIZINE TAB Tab 52.00 900 46,800 600


48 CLOBAZAM TAB 10 MG Tab 1,110.000 0 -

49 CURCUMA TAB Tab 1,150.000 0 -

50 DEKSAMETASON INJ 5 MG/ML - 1 ML Amp 968.00 0 - 20


51 DEKSAMETASON TABLET 0,5 MG Tab 69.000 700 48,300 500
52 DEKSAMETASON TABLET 0,5 MG Tab 154.000 0 -

53 DIAZEPAM INJ 5 MG/ML Amp 1,913.00 0 -

54 DIAZEPAM REKTAL SUPP 14,459.000 0 -

55 DIAZEPAM TABLET 5 MG Tab 109.000 600 65,400

56 DIAZEPAM TABLET 2 MG Tab 86.000 0 -

57 DIFENHIDRAMIN INJ 10 MG/ML Amp 1,346.000 0 -

DIFENHIDRAMIN INJ 10 MG/ML Amp 825.00 0 - 35


58 DIGOKSIN TABLET 0,25 MG Tab 108.000 0 -

59 DIGOKSIN TABLET 0,25 MG Tab 104.000 0 -

60 DILTIAZEM TAB 30 MG Tab 142.000 0 - 100


61 DIMENHIDRINAT TAB 50 MG Tab 109.00 0 - 300
62 DIMENHIDRINAT TAB 50 MG tab 121.000 0 -

63 DOKSISIKLIN KAPSUL 100 MG Kap 309.000 0 -

64 DOMPERIDON DROPS btl 17,939.000 0 -

65 DOMPERIDON SIRUP 5 MG Btl 2,401.00 7 16,807

66 DOMPERIDON TABLET 10 MG Tab 75.00 300 22,500

67 DOMPERIDON TABLET 10 MG Tab 96.00 0 -

68 EFINEFRIN INJ. Amp 2,904.000 20 58,080

69 EPINEFRIN/ADRENALIN INJ 1 MG/ML Amp 1,518.00 0 -

70 ERITROMISIN KAPSUL 250 MG Kap 679.00 500 339,500

71 ERITROMISIN KAPSUL 500 MG Kap 781.000 0 -

72 ERITROMISIN KAPSUL 500 MG Kap 766.00 0 -

73 ERITROMISIN SIROP 200 MG/ 5 ML Btl 7,581.000 0 -

74 ETAKRIDIN (RIVANOL) 300 ml Btl 3,900.00 8 31,200

75 ETAKRIDIN (RIVANOL) 300 ml Btl 3,900.000 0 -

76 ETANOL 95 % 100 ml Btl 4,002.720 5 20,014

77 ETANOL 70 % 1000 ml Btl 31,250.000 0 -

78 ETANOL 70 % 1000 ml 31,247.700 0 -

79 ETHYLIS CHLORIDUM SEMPROT Btl 112,500.000 0 -


80 EUGENOL CAIRAN Btl 18,333.000 0 -

81 FENOBARBITAL AMPUL 2 ML Btl 2,265.000 0 -

82 FENOBARBITAL TABLET 30 MG Tab 177.000 0 -

83 FITOMENADION (VIT K) INJ. Ampul 3,900.00 0 - 30


84 FITOMENADION (VIT K) INJ. 4,236.000 0 -

85 FITOMENADION (VIT K) TABLET 10 MG Tab 818.00 0 -

86 FUROSEMIDA TABLET 40 MG Tab 84.000 0 -

87 GARAM ORALIT I SERBUK Sac 275.000 100 27,500

88 GARAM ORALIT I SERBUK Sac 317.000 0 -

89 GEMFIBROZIL KAPSUL 300 MG Kap 429.000 0 -

90 GEMFIBROZIL KAPSUL 300 MG Kap 436.000 0 -

91 GENTAMISIN INJ 80 MG/ML Amp 4,036.000 0 -

92 GENTAMISIN SALEP KULIT Pot 1,469.000 0 -

93 GENTAMISIN SULFAT TETES MATA 0,3 % Pot 5,170.00 17 87,890 24


94 GLIBENKLAMIDA TABLET 5 MG Tab 151.000 2100 317,100

95 GLIMEPIRIDE 2 MG Tab 207.000 0 -

96 GLISERIL GUALAKOLAT TABLET 100 MG Tab 260.000 0 -

97 GLUKOSA LARUTAN INFUS 10 % Btl 6,270.000 0 -

98 GLUKOSA LARUTAN INFUS 10 % 7,500.000 0 -

99 GLUKOSA LARUTAN INFUS 40 % Btl 1,597.000 0 -

100 GLUKOSA LARUTAN INFUS 5 % Btl 6,900.000 0 -

101 GLUKOSA LARUTAN INFUS 5 % btl 7,363.000 0 -

102 GRANTUSIF Tab 405.000 0 -

103 GRISEOFULVIN TABLET 125 MG Tab 210.000 0 - 500

104 GRISEOFULVIN TABLET 125 MG NOVAPHARIN Tab 263.00 0 -

105 HALOPERIDOL INJ. 5 MG/ML Amp 6,250.000 0 -

106 HALOPERIDOL TABLET 2 MG Tab 90.000 0 -

HALOPERIDOL TABLET 2 MG Tab 93.000 500 46,500

107 HALOPERIDOL TABLET 1.5 MG Tab 59.00 0 -

108 HIDROKLOROTIAZIDA TABLET 25 MG Tab 171.000 995 170,145

109 HIDROKORTISON KRIM 2,5 % Tab 2,325.000 0 - 48

110 HIDROKORTISON KRIM 2,5 % Tube 2,838.000 0 -

111 HYOSIN BUTIL BROMIDA TAB 10 MG Tab 1,475.000 0 -

112 IBUPROFEN SIRUP 15 MG/ML Btl 2,339.00 47 109,933

113 IBUPROFEN TABLET 200 MG Tab 206.000 200 41,200 500

114 IBUPROFEN TABLET 200 MG Tab 108.000 0 -

115 IBUPROFEN TABLET 400 MG Tab 150.00 300 45,000 1000

116 IBUPROFEN TABLET 400 MG Tab 133.000 0 -

117 ISONIAZID TABLET 300 MG Tab 106.700 0 -

118 ISOSORBID DINITRAT TABLET 5 MG Tab 93.000 0 -

119 ISOSORBID DINITRAT TABLET 5 MG YARINDO Tab 89.00 0 -

120 KALIUM DIKLOFENAK TAB 50 MG Tab 63.00 0 -

121 KALSIUM GLUCONAS INJ Amp 10,351.000 0 -

122 KALSIUM LAKTAT TABLET 500 MG Tab 63.00 0 -

123 KALSIUM LAKTAT TABLET 500 MG 60.00 300 18,000

124 KALSIUM LAKTAT TABLET 500 MG Tab 63.000 0 -

125 KAPTOPRIL 12.5 MG Tab 68.00 0 -


126 KAPTOPRIL 12.5 MG Tab 67.000 0 -

127 KAPTOPRIL 12.5 MG KF Tab 68.00 300 20,400

128 KAPTOPRIL 25 MG Tab 135.000 0 -

129 KAPTOPRIL 25 MG Tab 75.000 0 -

130 KAPTOPRIL 50 MG Tab 143.000 0 -

131 KAPTOPRIL 50 MG KF Tab 134.00 0 -

132 KETOKENAZOL KRIM Tube 3,135.000 0 -

133 KETOKENAZOL TAB 200 MG Tab 297.000 0 -

134 KLONIDIN TABLET 0.15 MG Tab 145.000 0 -

135 KLORAMFENIKOL SALEP KULIT 3 % Tube 3,327.000 0 -

136 KLORAMFENIKOL KAPSUL 500 MG Kapsul 1,337.990 400 535,196

137 KLORAMFENIKOL KAPSUL 250 MG Kapsul 660.00 500 330,000

138 KLORAMFENIKOL KAPSUL 250 MG Kapsul 329.000 0 -

139 KLORAMFENIKOL SALEP MATA 1% Kapsul 2,148.00 0 -

140 KLORAMFENIKOL SUSP 125 MG/ 5 ML Btl 4,982.000 0 -

141 KLORAMFENIKOL TETES MATA 0.5 % Tube 0.000 0 -

142 KLORAMFENIKOL TETES TELINGA 3 % 0 -

143 KLORFENIRAMINA MALEAT TAB 4 MG Tab 50.000 1000 50,000 1500

144 KLORFENIRAMINA MALEAT TAB 4 MG Tab 39.000 0 -

145 KLORPROMAZIN TAB SALUT 100 MG Tab 170.000 0 -

146 KLORPROMAZIN TAB SALUT 100 MG MERSIFARM Tab 170.00 0 -

147 KOTRIMOKSAZOL DOEN I (DEWASA) 480 MG Tab 133.000 0 -

148 KOTRIMOKSAZOL DOEN (DEWASA)480 MG Tab 125.000 0 -

149 KOTRIMOKSAZOL DOEN II (ANAK) Tab 79.000 0 -

150 KOTRIMOKSAZOL SUSPENSI Btl 2,100.00 30 63,000

151 KOTRIMOKSAZOL SUSPENSI Btl 2,190.000 0 -

152 KOTRIMOKSAZOL SUSPENSI MERSIFARM Btl 2,052.00 0 -

153 KOTRIMOKSAZOL TABLET 480 MG MERSIFARM Tab 125.00 0 -

154 KUINIDIN 100 MG TABLET Tab 0 -

155 KUINIDIN 200 MG TABLET Tab 0 -

156 KUININ (KINA) TABLET 200 MG Tab 0 -

157 KUININ INJEKSI 25 % Tab 0 -

158 KUININ SULFAT TAB 222 MG (7 H2O) Tab 641.670 0 -

159 LANSOPRAZOL 30 MG KAP 360.000 0 -

160 LIDOKAIN SPRAY BTL 177,216.000 0 -

161 LIDOKAIN INJ 2 % Amp 847.00 75 63,525 30


162 LIDOKAIN INJ 2 % + EPINEFRIN 1,405.000 0 -

163 LISOL DENGAN KRESOL SABUN 50 % Btl 31,800.000 0 -

164 LOPERAMIDE TAB 2 MG Tab 90.000 0 -

165 LOPERAMIDE TAB 2 MG Tab 460.000 0 -

166 LOPERAMIDE TAB 2 MG Tab 85.000 0 -

167 LORATADIN TAB Tab 136.000 0 -

168 LORATADIN TABLET 10 MG PROMED Tab 117.00 0 -

169 LUBIRE Tab 5,225.00 0 -

170 MEBENDAZOL SIROP 100 MG/ 5 ML Btl 0 -

171 MEBENDAZOL TABLET 100 MG Tab 0 -

MELOXICAM KAPS 7,5 MG 830.28 2000 1,660,560 1000


172 METAMPIRON TABLET 500 MG (ANTALGIN) Tab 141.850 0 -

173 METFORMIN TAB 500 MG Tab 77.00 0 -

174 METFORMIN TAB 500 MG Tab 109.000 0 -

175 METFORMIN TAB 850 MG Tab 240.000 0 -

176 METILERGOMETRIN MALEAT INJ 0.2 MG Amp 3,399.000 0 -

177 METILERGOMETRIN MALEAT TABLET 0.125 MG Tab 133.100 0 -

178 METILERGOMETRIN MALEAT TABLET 0.125 MG Tab 245.000 0 -

179 METILPREDNISOLON TAB 4 MG Tab 102.00 1900 193,800 1500


180 METILPREDNISOLON TAB 4 MG Tab 148.000 0 -

181 METILPREDNISOLON TAB16 MG Tab 456.00 500 228,000 500


182 METILPREDNISOLON TAB16 MG Tab 548.00 0 -

183 METOKLOPRAMIDE TAB 10 MG TAB 93.000 0 -

184 METOKLOPRAMIDE TAB 10 MG KF Tab 87.00 0 -

185 METRONIDAZOL TABLET 250 MG Tab 116.000 0 -

186 METRONIDAZOL TABLET 250 MG PHYTO Tab 93.00 0 -

187 METRONIDAZOL TABLET 500 MG Tab 660.000 200 132,000

188 MDT MB KUSTA DEWASA BLISTER 31,570.000 0 -

189 MgSO4 20% Btl 3,327.990 0 -

190 MgSO4 40% Btl 4,700.000 10 47,000 12


191 MIKONAZOLE KREAM Tube 1,900.00 12 22,800 24
192 MIKONAZOLE KREAM Tube 3,926.000 0 -

193 MIKONAZOLE KREAM 2% KF Tube 2,462.00 0 -

194 MIKORIN POWDER POT 26,950.000 0 -

195 MINERAL MIX Succ 2,723.000 0 -

196 MINERAL MIX Succ 2,550.000 0 -

197 MULTIVITAMIN TAB VINETRON Tab 1,848.000 0 -

198 MULTIVITAMIN TAB VINETRON Tab 1,705.000 0 -

199 MULTIVITAMIN TAB MEVITON 1,592.250 0 -

200 MULTIVITAMIN SYR CAMIVITA DAU Btl 5,300.000 0 -

201 NATRIUM DKLOFENAK TABLET 25 MG Tab 109.00 0 -

202 NATRIUM DKLOFENAK TABLET 50 MG Tab 109.00 0 -

203 NATRIUM DKLOFENAK TABLET 50 MG Tab 145.00 0 -

204 NATRIUM KLORIDA LARUTAN INFUS 0.9 % Btl 6,840.00 40 273,600

205 NATRIUM KLORIDA LARUTAN INFUS 0.9 % Btl 6,410.000 0 -

206 NIPEDIFINE TAB 10 MG Tab 120.000 0 -

NIPEDIFINE TAB 10 MG 221.00 0 -

NIPEDIFINE TAB 10 MG 150.000 300 45,000

207 NISTATIN 100.000 IU Tab 627.000 0 -

208 NISTATIN 500.000 IU Tab 704.000 0 -

209 NISTATIN VAGINAL TAB 100.000 UI Tab 645.00 100 64,500

210 NISTATIN VAGINAL 100.000 IU Tab 645.00 0 -

211 OBAT ANTITUBERKULOSIS KAT 1 DEWASA Tab 413,984.000 0 -

212 OBAT ANTITUBERKULOSIS KAT 1 DEWASA 356,829.000 0 -

213 OBAT ANTITUBERKULOSIS KAT 1 DEWASA 447,791.000 0 -

214 OBAT ANTITUBERKULOSIS KAT 2 DEWASA Tab 1,319.900 0 -

215 OBAT ANTITUBERKULOSIS KAT 2 DEWASA Paket 1,492,579 0 -

216 OBAT ANTITUBERKULOSIS KAT ANAK Tab 236,500.000 0 -


217 OBAT ANTITUBERKULOSIS KAT ANAK KF Paket 267,397 0 -

218 OBAT ANTITUBERKULOSIS SISIPAN DEWASA Tab 175,980.000 0 -

219 OBAT BATUK HITAM CAIRAN Btl 1,339.800 0 -

220 OKSITETRASIKLIN HCL SALEP 3 % Tube 3,600.000 0 -

221 OKSITETRASIKLIN HCL SALEP MATA 1 % Tube 2,600.000 10 26,000

222 OKSITETRASIKLIN SALEP MATA 1% KF Tube 3,926.00 0 -

223 OKSITOSIN INJ 10 IU/ML Amp 1,232.000 0 -

224 OKSITOSIN INJ 10 IU/ML 1,348.000 0 - 30

225 OMEPRAZOLE KAP 20 MG Tab 780.000 0 -

226 OMEPRAZOLE KAPSUL 20 MG Kapsul 148.00 0 -

227 OMEPRASOL INJ 40 MG/ML vial 5,346.00 30 160,380 30


228 OMEPRAZOLE INJ 11,868.00 0 -

229 OAM(ACT)DHP-FRIMAL 2,000.00 0 -

230 PAPAVERIN TABLET 40 MG Tab 680.000 0 -

231 PARACETAMOL DROPS 100 MG/ML (60 MG/0,6 ML) Btl 5,204.00 10 52,040

232 PARASETAMOL DROPS 100 MG/ML IGM Btl 7,646.00 0 -

233 PARASETAMOL SIROP 120 MG/ 5 ML Btl 1,160.00 75 87,000 50


234 PARASETAMOL SIROP 120 MG/ 5 ML Btl 4,700.000 0 -

235 PARASETAMOL SIROP 120 MG/ 5 ML Btl 1,160 0 -

236 PARASETAMOL TABLET 500 MG Tab 86.000 0 -

237 PARASETAMOL TABLET 500 MG MERSIFARM Tab 60.00 0 -

238 PARASETAMOL TABLET 500 MG MERSIFARM Tab 165.00 0 -

239 PEHACAIN INJ Amp 4,850.000 0 -

240 PENOL GLISEROL TETES TELINGA Btl 2,246.000 0 -

241 PIRANTEL SIRUP btl 9,100.000 0 -

242 PIRANTEL TABLET SCORE 125 MG Tab 341.00 1300 443,300

243 PIRASETAM 1200 Tab 854.000 0 -

244 PIRASETAM 400 Tab 194.000 0 -

245 PIRIDOKSIN (VIT B6) TAB 10 MG Tab 72.00 500 36,000

PIRIDOKSIN (VIT B6) TAB 10 MG Tab 157.99 1000 157,990 1000


246 PIROKSIKAM TABLET 20 MG Tab 215.000 0 -

247 PIROKSIKAM TABLET 20 MG Tab 189.500 0 -

248 PITOGIN AMPUL 1 ML Amp 11,550.000 0 -

249 POVIDON IODIDA 10 % 1000 ML Btl 149,313.000 0 -

250 POVIDON IODIDA 10 % 1000 ML MAHAKAM Btl 139,313.00 0 -

251 POVIDON IODIDA 10 % 30 ML Btl 3,624.500 0 -

252 POVIDON IODIDA 10 % 300 ML Btl 22,498.300 0 -

253 POVIDON IODIDA 10 % 300 ML Btl 15,386.000 0 -

254 POVIDON IODIDA BETADIN 5 G SALEP Tube 7,039.00 0 -

255 POVIDON SALEP Tube 6,348.000 0 -

256 PREDNISON TABLET 5 MG Tab 73.00 1200 87,600 1500


257 PRIMAUINE/PRIMAQUINE TAB 15 Tab 253.000 0 -

258 PROPANOLOL TABLET 10 MG Tab 59.000 0 -

259 PROPANOLOL TABLET 40 MG Tab 59.000 0 -

260 PROPILITIOURASIL TABLET 100 MG Tab 351.000 0 -

261 RANITIDIN INJ 25 MG / 2 ML Amp 1,155.00 0 -

262 RANITIDIN INJ 25 MG / 2 ML Amp 858.00 0 - 35


263 RANITIDIN TABLET 150 MG Tab 85.00 600 51,000

264 RANITIDIN TABLET 150 MG Tab 122.00 1500 183,000

265 RINGER LAKTAT INFUS Btl 7,630.00 60 457,800 40


266 RISPERIDON 2 MG Tab 287.000 800 229,600

267 SALBUTAMOL SIRUP 5,463.000 0 -

268 SALBUTAMOL TABLET 4 MG KF Tab 195.00 0 -

269 SALBUTAMOL TABLET 2 MG Tab 150.000 0 -

270 SALEP 2-4 KOMBINASI Tube 1,475.000 32 47,200

271 SALISIL BEDAK 2 % Pot 6,426.00 1 6,426 10


272 SCABIMATE CREM SACH 12,155.000 0 -

273 SALISIL BEDAK 2 % TUBE 6,426.00 0 -

274 SEFADROKSIL KAPSUL 500 MG Kapsul 1,210.000 700 847,000 500


275 SEFADROKSIL KAPSUL 500 MG Kapsul 492.00 0 -

276 SEFADROKSIL SIROP KERING 125 MG / 5 ML Btl 4,133.000 0 -

277 SEFOTAKSIM 1000 MG Vial 5,700.000 0 -

278 SEFOTAKSIM INJ 1000 MG RAMA Vial 4,410.00 0 -

279 SIANOKOBALAMIN TABLET 50 MCG Tab 44.00 2200 96,800 1000


280 SIANOKOBALAMIN TABLET 50 MCG KF Tab 51.00 0 -

281 SIANOKOBALAMIN VIT B12 INJ 500 MCG/ML Ampul 1,160.00 0 - 20


282 SIANOKOBALAMIN VIT B12 INJ 500 MCG/ML 3,070.000 0 -

283 SIMVASTATIN TABLET 10 MG TAB 73.00 0 -

284 SIMVASTATIN TABLET 10 MG 117.000 0 -

285 SIPROFLOKSASIN KAPLET 500 MG Kaplet 260.00 1600 416,000

286 SULFASETAMID TETES MATA 15 % Btl 12,500.000 0 -

287 TABLET TAMBAH DARAH KOMBINASI Tab 409.000 0 -

TABLET TAMBAH DARAH KOMBINASI Tab 255.00 4500 1,147,500

288 TETRASIKLIN KAPSUL 500 MG Kapsul 346.000 0 -

289 TETRASIKLIN KAPSUL 500 MG Kapsul 324.000 0 -

290 TIAMIN (VIT B1) INJ 100 MG/ML Amp 730.000 0 -

291 TIAMIN (VIT B1) TABLET 50 MG Tab 169.000 1000 169,000 500
292 TIAMIN (VIT B1) TABLET 50 MG 90.000 0 -

293 TRIHEKSIFENIDIL 25 MG Tab 691.190 0 - 500


294 VAKSIN ANTI RABIES INJ vial 165,000.000 8 1,320,000

VAKSIN ANTI RABIES INJ vial 153,000.00 20 3,060,000

295 VAKSIN POLIO (bOPV) 10 ds Vial 19,954.000 42 838,068

296 VAKSIN MR 10 ds Vial 155,813.000 42 6,544,146

297 VAKSIN DPT-HB-HIB 5 ds Vial 78,991.000 50 3,949,550

VAKSIN HB Ig Vial 1,325,000.000 0 -

VAKSIN HB UNIJECT (HBO) 1 ds Vial 23,991.000 34 815,694

298 VAKSIN BCG Vial 61,996.000 26 1,611,896

299 VAKSIN HEPATITIS B Vial 23,991.000 0 -

300 VAKSIN IPV Vial 158,994.000 20 3,179,880 20


301 VAKSIN Td 10 ds VIAL 16,995.000 18 305,910

VAKSIN DT 10 ds VIAL 17,996.00 0 -

302 VITAMIN A 100.000 UI Btl 17,600.00 2 35,200 1


303 VITAMIN A 200.000 UI Btl 31,850.00 17 541,450 8
306 VITAMIN B KOMPLEKS TABLET Tab 60.000 1000 60,000 1000
307 VITAMIN B KOMPLEKS TABLET Tab 135.000 0 -

308 ZINK SIRUP Btl 2,489.000 10 24,890

309 ZINK SIRUP MEPROFARM Btl 3,285.00 0 -

310 ZINK TAB 20 MG Tab 2,000.00 300 600,000

311 ZINK TAB 20 MG Tab 604.00 0 -

312 ZINK TAB 20 MG 586.000 0 -

PERBEKALAN KESEHATAN 0 -

1 ACCU-CHECK PERFORMA Btl 420,000.000 0 -

2 ALAT SUNTIK SEKALI PAKAI 2,5/3 ML Set 851.53 0 -

3 ALAT SUNTIK SEKALI PAKAI 2,5/3 ML Set 1,056.00 200 211,200

4 ALAT SUNTIK SEKALI PAKAI 3 ML Set 1,108.800 0 -

5 ALAT SUNTIK SEKALI PAKAI 0,05 ML Set 1,456.000 0 -

6 ALAT SUNTIK SEKALI PAKAI 0,05 ML Set 1,240.000 0 -

7 ALAT SUNTIK SEKALI PAKAI 0,5 ML Set 1,240.00 400 496,000

8 ALAT SUNTIK SEKALI PAKAI 0,5 ML 1,240.00 0 -

9 ALAT SUNTIK SEKALI PAKAI 0,5 ML 1,650.000 0 -

10 ALAT SUNTIK SEKALI PAKAI 10 ML Set 1,216.470 90 109,482

11 ALAT SUNTIK SEKALI PAKAI 1 ML Set 822.000 0 -

12 ALAT SUNTIK SEKALI PAKAI 1 ML Set 844.260 195 164,631

13 ALAT SUNTIK SEKALI PAKAI 10 ML Set 1,622.500 0 -

14 ALAT SUNTIK SEKALI PAKAI 5 ML Set 1,013.11 400 405,244

15 ALAT SUNTIK SEKALI PAKAI 5 ML 1,583.000 0 -

16 ALKOHOL 70% 1 LTR Box 206.640 0 -

17 ALKOHOL SWAB Box 151.20 500 75,600

18 AQUA PRO INJEKSI 25 ML Btl 2,650.00 0 -

19 BAJU HAZMAT COVER ALL Bh 475,000.000 0 -

20 BISTURI NO. 19 Pcs 3,150 0 -

21 BISTURI NO.20 3,150 50 157,500

22 BISTURI NO. 22 Pcs 3,300 30 99,000

23 CANULA DEWASA Pcs 5,711.00 15 85,665

24 CATGUT NO 2/0 21,000.00 24 504,000

25 CATGUT NO 3/0 Pcs 34,538.00 50 1,726,900

26 CATGUT NO 3/0 RNI Pcs 35,295.00 0 -

27 CATGUT NO 4/0 RNI Pcs 32,685.00 0 -

28 CATHEJELL Pcs 42,848.000 0 -

29 FOLEY CATETER 16 Bh 10,000.000 0 -

30 FOLEY CATETER 18 Bh 10,000.000 0 -

31 FOLEY CATETER 20 Bh 10,000.000 0 -

32 HAND RUB BTL 46,016.56 10 460,166

33 HAND RUB BTL 62,624.000 0 -

34 HAND RUB fresco BTL 76,274.470 0 -

35 HANDSCOEN 6,5 STERIL Roll 8,600.000 50 430,000

36 HANDSCON 7 Pasang 8,600.00 50 430,000

37 HANDSCON 7 1/2 STERIL Bks 11,990.000 50 599,500

38 HANDSCON 7 STERIL 11,990.000 0 -

39 HANDSCON L Pasang 1,750.00 200 350,000 200


40 HANDSCON L KARINDO Pasang 1,647.24 0 -
42 HANDSCON M Pasang 1,750.00 500 875,000

43 HANDSCON M 2,750.000 0 -

44 HANDSCON S Pasang 1,161.600 0 -

45 HANDSCON S 2,750.000 0 -

46 TREPOCHECK SYPHILIS Pcs 9,300.00 0 -

47 HIV TEST Pcs 15,377.000 0 -

48 HIV TEST Pcs 15,367.000 0 -

49 INFUSION SET ANAK SET 4,198.700 0 -

50 INFUSION SET ANAK AXIMED Pcs 5,865.00 190 1,114,350

51 INFUSION SET DEWASA Set 8,342.40 0 -

52 INFUSION SET DEWASA 1,540.00 0 -

53 IV CATHETER N0 22 G Set 13,894.000 0 -

IV CATHETER N0 22 G Set 6,875.000 55 378,125 50


54 IV CATHETER NO 18 Set 9,123.400 0 -

55 IV CATHETER NO 20 G Set 6,875.000 25 171,875

56 IV CATHETER NO 22 G NIPRO Pcs 6,875.00 20 137,500

57 IV CATHETER NO 24 G Set 7,194.00 50 359,700

58 IV CATHETER NO 24 G Set 14,493.600 20 289,872

59 KANULA ANAK Pcs 5,711.00 23 131,353

61 KAPAS PEMBALUT / ABSORBEN 250 GRAM Set 18,000.000 0 -

62 KAPAS PEMBALUT / ABSORBEN 250 GRAM Set 25,198.000 9 226,782

63 KAPAS PEMBALUT 250 GRAM DRC Roll 30,500.00 0 -

64 KASA KOMPRES 40/40 STERIL Bks 1,944.000 0 -

65 KASA PEMBALUT 2 M X 80 CM Bks 79,360.00 0 -

66 KASA PEMBALUT 2 M X 80 CM DRC Bks 10,661.00 0 -

67 KASA PEMBALUT HIDROFIL 20 yard x 80 cm Roll 81,920.000 0 -

68 KASA PEMBALUT HIDROFIL 20 yard x 80 cm Roll 79,360.000 0 -

69 KASA PEMBALUT HIDROFIL 36 X 80 CM DRC Roll 145,600.00 0 -

70 KASA PEMBALUT HIDROFIL 4 M X 15 CM DRC Bks 4,104.00 0 -

71 KASA PEMBALUT HIDROFIL 4 M X 15 CM ELASTIS Bks 4,145.00 50 207,250 10


72 KASA PEMBALUT HIDROFIL 4 M X 5 CM ELASTIS Bks 2,750.000 0 -

73 KASA PEMBALUT HIDROFIL 16 M X 16 CM DRC Bks 4,200.00 0 -

74 LANCET Box 20,000.00 8 160,000

76 MASKER HIJAB Bh 580.800 0 -

77 MASKER KARET Bh 314.000 0 -

78 MASKER KAIN Bh 5,000.000 0 -

79 MASKER KAIN 5,000.000 0 -

80 NESCO / STRIP CHOLESTROL Btl 290,000.000 0 -

81 NASAL OKSIGEN DEWASA Bh 6,000.000 0 -

82 PLESTER 10 CM X 5 M Roll 49,632.000 0 -

83 PLESTER PHARMAFIX 10 CM X 500 CM Roll 51,305.00 0 -

84 PLESTER PHARMAFIX 15 CM X 500 CM Roll 78,115.00 8 624,920

85 PLESTER PHARMAFIX 5 CM X 500 CM Roll 27,000.00 25 675,000

86 PLESTER YARD Roll 43,700.000 0 -

87 POT SPUTUM 2,079.000 0 -

88 POT SPUTUM Pot 2,272.00 25 56,800

89 REAGEN SYPHILIS Pcs 20,400.000 0 -


90 STRIP BIOLINE SYPIHILIS 3.0 100T 7,237.630 25 180,941

91 TREPOCHECK SYPHILIS 8,870.000 0 - 25


92 RAPID 1 (SD) /HIV TEST 8,350.00 0 - 25
93 RAPID 3 ( DIAGNOSTAR ) 12,527.00 0 -

94 RAPID TEST HBsAg /VIROCHECK 8,300.00 50 415,000 25


95 RAPID TEST ANTIGEN COVID 19 CLUNGENE Box 60,500.00 0 -

96 RAPID TEST ANTIGEN COVID 19 CLUNGENE Box 52,800.00 175 9,240,000 125
97 RDT MALARIA Box 14,238.000 25 355,950

99 FDC OAT KATAGORI 1 PKT 447,791.00 2 895,582

100 SAFETY BOX 21,566.890 0 -

101 SAFETY BOX 20,394.000 4 81,576

102 SILK 2/0 SET 21,875.000 0 -

103 SILK 2/0 TROGE Pcs 42,601.900 0 -

SILK 2/0 21,458.334 0 -

104 SILK 3/0 SET 6,400.000 0 -

105 SILK 3/0 SET 29,931.00 24 718,344

106 SILK 3/0 TROGE Pcs 43,429.100 0 -

107 STRIP ASAM URAT NESCO Box 145,200.00 0 -

108 STRIP CHOLESTEROL Box 231,000.00 0 - 10


109 SRTIP GULA NESCO Btl 132,000.000 0 -

SRTIP GULA NESCO Btl 132,000.000 6 792,000 6


110 STRIP ASAM URAT Btl 145,200.000 2 290,400 7
111 STRIP SD BIOLINE DENGUE DUO BOX 60,813.12 25 1,520,328

112 STRIP SD BIOLINE HIV 1/2 3.0 BOX 13,367.70 30 401,031

113 URIN BAG TANPA HANGER BH 5,742.00 24 137,808

114 URIN BAG TROGE Pcs 8,877.00 0 -

115 WING NEEDLE NO.23 Pcs 1,400.000 0 -

116 WING NEEDLE NO.25 Pcs 1,400.000 0 -

117 WING NEEDLE NO.27 Pcs 1,400.000 0 -

PENANGANAN CORONA VIRUS 0 -

1 FACE SHIELD 27,500.000 17 467,500

2 PAKAIAN PELINDUNG/HAZMAT PCH 660,000.000 7 4,620,000

3 PAKAIAN PELINDUNG/HAZMAT SET 475,000.000 10 4,750,000

4 VISOR/SHIELDFACE/HELM BUAH 315,000.000 8 2,520,000

5 SEPATU BOOT PSG 215,000.000 4 860,000

6 WIND NEEDLE PCS 5,500.000 300 1,650,000

7 COLD BOX KAPASITAS 6 L BOX 4,500,000.000 0 -

8 CAIRAN NaOCl BTL 50,000.000 15 750,000

9 SARUNG TANGAN NON STERIL PCH 1,800.000 0 -

10 APD SET SET 3,902,499.700 0 -

11 BAJU APD 660,000.000 0 -

12 SARUNG TANGAN PANJANG 54 -

13 SEPATU BOOT 0 -

14 MASKER 2,640.00 0 -

19 KACA MATA SAFETY 0 -

20 HAND RUB 250 ML BTL 71,692.500 0 -

21 SARUNG TANGAN STERIL PSG 8,000.000 0 -


22 HANDSCOON NON STERIL BTL 900.00 0 -

25 HAND SANITEZER BTL 19,500.00 0 -

26 SURGICAL MASK PCH 5,000.000 0 -

27 HANDSCOON NON STERIL M PSG 1,540.00 0 -

31 BUKU SAKU 30,000.000 7 210,000

32 KANTONG SAMPAH MEDIS 3,000.00 0 -

36 KANTONG JENAZAH 300,000.000 10 3,000,000

37 KANTONG JENAZAH 99,999.000 10 999,990

38 MASKER BEDAH 770.000 0 - 500


BANTUAN DINKES PROVINSI 0 -

1 BAJU APD MEREK SANDON ( DINKES PROVINSI ) PCH 12 -

2 BAJU APD MEREK SANDON ( DINKES PROVINSI ) 660,000.00 15 9,900,000

FACE SHIELD PCH 12 -

VIRUS COLLECTION & TRANSPORT TUBE BTL 130,000.00 30 3,900,000

MULTIVITAMIN SIVIT ZINC (DINKES PROVINSI) BTL 2,000.00 0 -

FACE SHIELD BTL 27,500.00 10 275,000

HAND SANITIZER 37,812.50 0 -

HAND SANITIZER 19,500.00 0 - 9


HANDSCOON NON STERIL M 1,540.00 0 - 60
APD SET IMUNISASI : 0 -

HAND SANITIZER 37,812.50 0 -

MASKER BEDAH 990.00 0 -

MASKER 2,640.00 0 - 90
HANDSCOON NON STERIL L 1,870.00 0 -

KANTONG MEDIS 3,000.00 0 - 3


FACE SHIELD 27,500.00 9 247,500

PROGRAM IMUNISASI/VAKSIN CORONA 0 -

ALAT SUNTIK SEKALI PAKAI 0,5 ML PCH 1,185.00 1195 1,416,075 720
VAKSIN COVID-19 (10 DOSIS ) VIAL 1,339,440.00 0 -

VAKSIN COVID-19 CORONAVAC ( 2 DOSIS ) VIAL 237 - 260


VAKSIN COVID-19 MODERNA (14 DOSIS ) VIAL 0 -

VAKSIN MODERNA 10 DOSIS VIAL 46 -

VAKSIN COVID 19 JANSSENS 5 DOSIS VIAL 80 -

VAKSIN COVID 19 ASTRAZENECA 10 DOSIS VIAL 10 - 10


SAFETY BOX 5 L PKM 1 BOX 14,000.00 9 126,000 5
ALKOHOL SWAB PKM VIAL 79.00 1064 84,056 720
PENANGANAN CORONA VIRUS DISEASE DINKES 0 -

1 MASKER BEDAH PCS 770.00 300 231,000

HAND SANITIZER PCS 19,250.00 0 -

HANDSCOON NON STERIL M PCS 1,540.00 20 30,800

RAPID TEST ANTIGEN COVID 19 CLUNGENE PCS 60,500.00 0 -

OBAT GIGI 0 -

1 ETIL KLORIDA Btl 126,500.00 0 -

2 COMPOSIT ANTERIOR A2 SOLARE Pcs 675,000.000 0 -

3 COMPOSIT ANTERIOR A3 SOLARE Pcs 675,000.000 0 -

4 COMPOSIT POSTERIOR A2 SOLARE Pcs 675,000.000 0 -

5 COMPOSIT POSTERIOR A3 SOLARE Pcs 675,000.000 0 -


6 DYCAL Pcs 800,000.000 0 -

7 EUGENOL Btl 165,000.000 0 -

8 FUJI IX MINI/ GOLD LABEL Pcs 650,000.000 0 -

9 XYLESTESIN Pcs 795,000.000 0 -


TOTAL HARGA OBAT DAN BHP 97,532,397.95
RAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
( LPLPO )

BULAN JANUARI
TRI WULAN
TAHUN 2022

PERSE PEMA KADALUAR SISA


NILAI NILAI NILAI NILAI
DIAAN KAIAN SA STOK
8 9 10 11 12 13 14 15

- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
403,150.00 1100 403,150 700 256,550 - 400
696,600.00 162 696,600 100 430,000 - 62
- 0 - - - 0
- 1000 89,000 500 44,500 - 500
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
37,000.00 1800 133,200 1300 96,200 - 500
27,500.00 2050 112,750 850 46,750 - 1200
- 0 - - - 0
231,000.00 2200 508,200 2200 508,200 - 0
- 0 - - - 0
- 0 - - - 0
- 150 526,500 - - 150
- 0 - - - 0
- 3348 200,880 - - 3348
- 0 - - - 0
87,800.00 68 119,408 - - 68
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
27,600.00 1700 78,200 1600 73,600 - 100
117,000.00 1800 210,600 1700 198,900 - 100
- 0 - - - 0
- 0 - - - 0
- 300 128,700 - - 300
- 0 - - - 0
- 0 - - - 0
- 400 36,800 200 18,400 - 200
- 0 - - - 0
- 0 - - - 0
75,750.00 103 156,045 48 72,720 - 55
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 300 42,900 - - 300
- 300 75,000 - - 300
- 500 108,000 - - 500
- 0 - - - 0
- 0 - - - 0
31,200.00 1500 78,000 1500 78,000 - 0
- 0 - - - 0
- 0 - - - 0
19,360.00 20 19,360 20 19,360 - 0
34,500.00 1200 82,800 500 34,500 - 700
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 600 65,400 - - 600
- 0 - - - 0
- 0 - - - 0
28,875.00 35 28,875 - - 35
- 0 - - - 0
- 0 - - - 0
14,200.00 100 14,200 - - 100
32,700.00 300 32,700 - - 300
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 7 16,807 7 16,807 - 0
- 300 22,500 300 22,500 - 0
- 0 - - - 0
- 20 58,080 - - 20
- 0 - - - 0
- 500 339,500 - - 500
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 8 31,200 - - 8
- 0 - - - 0
- 5 20,014 - - 5
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
117,000.00 30 117,000 - - 30
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 100 27,500 - - 100
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
124,080.00 41 211,970 17 87,890 - 24
- 2100 317,100 200 30,200 - 1900
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
105,000.00 500 105,000 - - 500
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 500 46,500 - - 500
- 0 - - - 0
- 995 170,145 - - 995
111,600.00 48 111,600 15 34,875 - 33
- 0 - - - 0
- 0 - - - 0
- 47 109,933 10 23,390 - 37
103,000.00 700 144,200 550 113,300 - 150
- 0 - - - 0
150,000.00 1300 195,000 1300 195,000 - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 300 18,000 - - 300
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 300 20,400 - - 300
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 400 535,196 - - 400
- 500 330,000 - - 500
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
75,000.00 2500 125,000 2500 125,000 - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 30 63,000 - - 30
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
25,410.00 105 88,935 - - 105
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
830,280.00 3000 2,490,840 2000 1,660,560 - 1000
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
153,000.00 3400 346,800 2500 255,000 - 900
- 0 - - - 0
228,000.00 1000 456,000 200 91,200 - 800
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 200 132,000 200 132,000 - 0
- 0 - - - 0
- 0 - - - 0
56,400.00 22 103,400 13 61,100 - 9
45,600.00 36 68,400 36 68,400 - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 40 273,600 28 191,520 - 12
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 300 45,000 - - 300
- 0 - - - 0
- 0 - - - 0
- 100 64,500 - - 100
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 10 26,000 - - 10
- 0 - - - 0
- 0 - - - 0
40,440.00 30 40,440 - - 30
- 0 - - - 0
- 0 - - - 0
160,380.00 60 320,760 55 294,030 - 5
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 10 52,040 - - 10
- 0 - - - 0
58,000.00 125 145,000 89 103,240 - 36
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 1300 443,300 - - 1300
- 0 - - - 0
- 0 - - - 0
- 500 36,000 100 7,200 - 400
157,990.00 2000 315,980 - - 2000
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
109,500.00 2700 197,100 1700 124,100 - 1000
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
30,030.00 35 30,030 35 30,030 - 0
- 600 51,000 600 51,000 - 0
- 1500 183,000 200 24,400 - 1300
305,200.00 100 763,000 100 763,000 - 0
- 800 229,600 - - 800
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 32 47,200 - - 32
64,260.00 11 70,686 11 70,686 - 0
- 0 - - - 0
- 0 - - - 0
605,000.00 1200 1,452,000 500 605,000 - 700
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
44,000.00 3200 140,800 1700 74,800 - 1500
- 0 - - - 0
23,200.00 20 23,200 20 23,200 - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 1600 416,000 500 130,000 - 1100
- 0 - - - 0
- 0 - - - 0
- 4500 1,147,500 900 229,500 - 3600
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
84,500.00 1500 253,500 - - 1500
- 0 - - - 0
345,595.00 500 345,595 - - 500
- 8 1,320,000 - - 8
- 20 3,060,000 - - 20
- 42 838,068 - - 42
- 42 6,544,146 - - 42
- 50 3,949,550 - - 50
- 0 - - - 0
- 34 815,694 - - 34
- 26 1,611,896 - - 26
- 0 - - - 0
3,179,880.00 40 6,359,760 - - 40
- 18 305,910 - - 18
- 0 - - - 0
17,600.00 3 52,800 1 17,600 - 2
254,800.00 25 796,250 25 796,250 0 - 0
60,000.00 2000 120,000 1800 108,000 - 200
- 0 - - - 0
- 10 24,890 6 14,934 - 4
- 0 - - - 0
- 300 600,000 300 600,000 - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 200 211,200 200 211,200 - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 400 496,000 200 248,000 - 200
- 0 - - - 0
- 0 - - - 0
- 90 109,482 - - 90
- 0 - - - 0
- 195 164,631 195 164,631 - 0
- 0 - - - 0
- 400 405,244 400 405,244 - 0
- 0 - - - 0
- 0 - - - 0
- 500 75,600 - - 500
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 50 157,500 - - 50
- 30 99,000 - - 30
- 15 85,665 - - 15
- 24 504,000 - - 24
- 50 1,726,900 - - 50
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 10 460,166 - - 10
- 0 - - - 0
- 0 - - - 0
- 50 430,000 15 129,000 - 35
- 50 430,000 15 129,000 - 35
- 50 599,500 15 179,850 - 35
- 0 - - - 0
350,000.00 400 700,000 300 525,000 - 100
- 0 - - - 0
- 500 875,000 450 787,500 - 50
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 190 1,114,350 90 527,850 - 100
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
343,750.00 105 721,875 105 721,875 - 0
- 0 - - - 0
- 25 171,875 - - 25
- 20 137,500 20 137,500 - 0
- 50 359,700 50 359,700 - 0
- 20 289,872 20 289,872 - 0
- 23 131,353 23 131,353 - 0
- 0 - - - 0
- 9 226,782 - - 9
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
41,450.00 60 248,700 60 248,700 - 0
- 0 - - - 0
- 0 - - - 0
- 8 160,000 - - 8
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 8 624,920 - - 8
- 25 675,000 - - 25
- 0 - - - 0
- 0 - - - 0
- 25 56,800 - - 25
- 0 - - - 0
- 25 180,941 - - 25
221,750.00 25 221,750 - - 25
208,750.00 25 208,750 - - 25
- 0 - - - 0
207,500.00 75 622,500 - - 75
- 0 - - - 0
6,600,000.00 300 15,840,000 - - 300
- 25 355,950 - - 25
- 2 895,582 - - 2
- 0 - - - 0
- 4 81,576 - - 4
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 24 718,344 - - 24
- 0 - - - 0
- 0 - - - 0
2,310,000.00 10 2,310,000 6 1,386,000 - 4
- 0 - - - 0
792,000.00 12 1,584,000 7 924,000 - 5
1,016,400.00 9 1,306,800 4 580,800 - 5
- 25 1,520,328 - - 25
- 30 401,031 - - 30
- 24 137,808 - - 24
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 17 467,500 - - 17
- 7 4,620,000 - - 7
- 10 4,750,000 - - 10
- 8 2,520,000 - - 8
- 4 860,000 - - 4
- 300 1,650,000 - - 300
- 0 - - - 0
- 15 750,000 - - 15
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 54 - - - 54
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 7 210,000 - - 7
- 0 - - - 0
- 10 3,000,000 - - 10
- 10 999,990 - - 10
385,000.00 500 385,000 250 192,500 - 250
- 0 - - - 0
- 12 - - - 12
- 15 9,900,000 - - 15
- 12 - - - 12
- 30 3,900,000 - - 30
- 0 - - - 0
- 10 275,000 - - 10
- 0 - - - 0
175,500.00 9 175,500 9 175,500 - 0
92,400.00 60 92,400 60 92,400 - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
237,600.00 90 237,600 90 237,600 - 0
- 0 - - - 0
9,000.00 3 9,000 3 9,000 - 0
- 9 247,500 - - 9
- 0 - - - 0
853,200.00 1915 2,269,275 - - 1915
- 0 - - - 0
- 497 - 399 - - 98
- 0 - - - 0
- 46 - - 11 - 35
- 80 - - - 80
- 20 - 7 - 13 - 0
70,000.00 14 196,000 - - 14
56,880.00 1784 140,936 - - 1784
- 0 - - - 0
- 300 231,000 - - 300
- 0 - - - 0
- 20 30,800 - - 20
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
- 0 - - - 0
23,500,160.00 121,032,557.95 0 17,847,466.70 -
13,388,810.00
JANUARI

2022
Hal 1

PERMINTAA
NILAI KET
N

16 17 18

-
-
-
146,600
266,600
-
44,500 500
-
-
-
-
-
-
-
37,000 2,000
66,000 1,000
-
- 2,500
-
-
526,500
-
200,880
-
119,408 50
-
-
-
-
-
4,600 2,000
11,700 2,500
-
-
128,700
-
-
18,400 200
-
-
83,325 50
-
-
-
42,900
75,000
108,000
-
-
- 2,000
-
-
- 20
48,300 500
-
-
-
65,400
-
-
28,875 50
-
-
14,200
32,700
-
-
-
- 10
- 300
-
58,080
-
339,500
-
-
-
31,200
-
20,014
-
-
-
-
-
-
117,000
-
-
- 200
27,500
-
-
-
-
-
124,080 24
286,900
-
-
-
-
-
-
-
-
105,000
-
-
-
46,500
-
170,145
76,725
-
-
86,543
30,900 1,000
-
- 2,000
-
-
-
-
-
-
-
18,000 300
-
-
-
20,400
- 1,000
-
-
-
-
-
-
-
535,196
330,000
-
-
-
-
-
- 3000
-
-
-
-
-
-
63,000
-
-
-
-
-
-
-
-
-
-
88,935
-
-
-
-
-
-
-
-
-
-
830,280 2,000
-
- 1,000
-
-
-
-
-
91,800 2,500
-
364,800 500
-
-
-
-
-
- 500
-
-
42,300
- 50
-
-
-
-
-
-
-
-
-
-
- 1,000
-
82,080 40
-
-
-
45,000
-
-
64,500
-
-
-
-
-
-
-
-
-
-
-
26,000
-
-
40,440
-
-
26,730 60
-
-
-
52,040
-
41,760 60
-
-
-
-
-
-
-
-
443,300
-
-
28,800
315,980
-
-
-
-
-
-
-
-
-
-
73,000 2,000
-
-
-
-
-
- 50
-
158,600
- 100
229,600
-
-
-
47,200
- 24
-
-
847,000 500
-
-
-
-
66,000 1,000
-
- 50
-
-
-
286,000
-
-
918,000
-
-
-
253,500
-
345,595
1,320,000
3,060,000
838,068
6,544,146
3,949,550
-
815,694
1,611,896
-
6,359,760
305,910
-
35,200
-
12,000 2,000
-
9,956 10
-
- 300
-
-
-
-
-
- 500
-
-
-
248,000 200
-
-
109,482
-
- 200
-
- 500
-
-
75,600
-
-
-
157,500
99,000
85,665
504,000
1,726,900
-
-
-
-
-
-
460,166
-
-
301,000
301,000 50
419,650
-
175,000 200
-
87,500 300
-
-
-
-
-
-
-
586,500
- 100
-
-
- 100
-
171,875
-
- 100
-
-
-
226,782
-
-
-
-
- 3
-
-
-
- 100
-
-
160,000
-
-
-
-
-
-
-
-
624,920
675,000
-
-
56,800
-
180,941
221,750
208,750 25
-
622,500
-
15,840,000
355,950
895,582
-
81,576
- 24
-
-
-
718,344
-
-
924,000 5
-
660,000 5
726,000 5
1,520,328
401,031
137,808
-
-
-
-
-
467,500
4,620,000
4,750,000
2,520,000
860,000
1,650,000
-
750,000
-
-
-
-
-
-
-
-
-
-
-
-
-
210,000
-
3,000,000
999,990
192,500 500
-
-
9,900,000
-
3,900,000
- RUSAK

275,000
-
-
-
-
-
-
-
-
-
247,500
-
2,269,275
-
-
-
-
-
-
196,000
140,936
-
231,000 500
-
30,800
-
-
-
-
-
-
-
-
-
-
-
103,185,091.25
LAPORAN PEMAKAIA

KODE PUSKESMAS :
PUSKESMAS : BUKI
KECAMATAN : BUKI
KABUPATEN : KEPULAUAN SELAYAR
PROPINSI : SULAWESI SELATAN

STOK
NO NAMA OBAT SATUAN HARGA NILAI
AWAL
1 2 3 4 5 6

1 ACETOSAL Tab 105.000 0 -

2 ALBENDAZOL TABLET 400 MG HOLI Tab 380.00 0 -

3 ALBENDAZOL TABLET 400 MG HOLI tab 404.000 0 -

4 ALBENDAZOL TABLET 400 MG HOLI Tab 366.500 400 146,600

5 ALBENDAZOL SUSPENSI Btl 4,300.000 62 266,600

6 ALOPURINOL TABLET 100 MG Tab 99.00 0 -

7 ALOPURINOL TABLET 100 MG Tab 89.00 500 44,500

8 ALOPURINOL TABLET 300 MG Tab 200.000 0 -

9 AMBROKSOL SIRUP Btl 7,700.000 0 -

10 AMBROKSOL TAB 30 MG Tab 270.00 0 -

11 AMINOFILIN TABLET 200 MG Tab 97.000 0 -

12 AMINOFILIN INJ 24 MG/ML-10 ML AMP 3,071.000 0 -

13 AMITRIPTILIN TABLET SALUT 25 MG Tab 165.00 0 -

14 AMITRIPTILIN TABLET SALUT 25 MG Tab 168.000 0 -

15 AMLODIPIN 10 MG Tab 74.00 500 37,000

16 AMLODIPIN 5 MG Tab 55.00 1200 66,000

17 AMLODIPIN 5 MG Tab 79.000 0 -

18 AMOKSISILIN KAPLET 500 MG Kap 231.000 0 -

AMOKSISILIN KAPLET 500 MG 265.00 0 -

19 AMOKSISILIN SIROP KERING 125 mg/5ml Btl 3,846.000 0 -

20 AMOKSISILIN SYRUP 250 MG/ML Btl 3,510.00 150 526,500

21 AMPICILIN SERBUK INJ 1 G Vial 9,473.000 0 -

22 ANTASIDA DOEN KOMBINASI TAB 500 MG Tab 60.000 3348 200,880

23 ANTASIDA DOEN KOMBINASI TAB 500 MG Tab 59.000 0 -

24 ANTASIDA DOEN SUSPENSI DAU Btl 1,756.00 68 119,408

25 ANTASIDA DOEN SUSPENSI 5,800.000 0 -

26 ANTIBAKTERI DOEN SALEP KOMBINASI Tube 3,365.000 0 -

27 ANTIFUNGI DOEN KOMBINASI Pot 4,782.000 0 -

28 ANTIHEMOROID SUPP SUPP 3,502.000 0 -

29 ASAM ASKORBAT (VIT C) 50 MG Tab 120.000 0 -

ASAM ASKORBAT (VIT C) 50 MG Tab 46.000 100 4,600

30 ASAM MEFENAMAT TABLET SALUT 500 MG Tab 117.000 100 11,700

31 ASIKLOVIR KRIM 5 % Tube 2,367.000 0 -

32 ASIKLOVIR TABLET 200 MG Tab 236.000 0 -

33 ASIKLOVIR TABLET 400 MG Tab 429.000 300 128,700

34 ASETYLCYSTEINE 200 MG Tab 394.000 0 -

35 ATROPIN TETES MATA 0.5 % Btl 0 -

36 BETAHISTIN MESILAT TAB 6 MG TAB 92.00 200 18,400

37 BETAHISTIN MESILAT TAB 6 MG TAB 151.000 0 -


38 BETAMETASON KRIM 0,1 % Tube 1,540.000 0 -

39 BETAMETASON KRIM 0,1 % Tube 1,515.000 55 83,325

40 BISAKODIL SUPPOSITORIA SUPP 6,000.000 0 -

41 BISAKODIL SUPPOSITORIA SUPP 5,900.000 0 -

42 BISOPROLOL FUMARATE Tab 695.000 0 -

43 BISOPROLOL TABLET 5 MG NOVELL Tab 143.00 300 42,900

44 CARBAMAZEPIN TAB 200 MG Tab 250.000 300 75,000

CARBAMAZEPIN TAB 200 MG Tab 216.00 500 108,000

45 CETIRIZINE SIRUP Btl 7,756.000 0 -

46 ceterizin cap cap 104.000 0 -

47 CETIRIZINE TAB Tab 52.00 0 -

48 CLOBAZAM TAB 10 MG Tab 1,110.000 0 -

49 CURCUMA TAB Tab 1,150.000 0 -

50 DEKSAMETASON INJ 5 MG/ML - 1 ML Amp 968.00 0 -

51 DEKSAMETASON TABLET 0,5 MG Tab 69.000 700 48,300

52 DEKSAMETASON TABLET 0,5 MG Tab 154.000 0 -

53 DIAZEPAM INJ 5 MG/ML Amp 1,913.00 0 -

54 DIAZEPAM REKTAL SUPP 14,459.000 0 -

55 DIAZEPAM TABLET 5 MG Tab 109.000 600 65,400

56 DIAZEPAM TABLET 2 MG Tab 86.000 0 -

57 DIFENHIDRAMIN INJ 10 MG/ML Amp 1,346.000 0 -

DIFENHIDRAMIN INJ 10 MG/ML Amp 825.00 35 28,875

58 DIGOKSIN TABLET 0,25 MG Tab 108.000 0 -

59 DIGOKSIN TABLET 0,25 MG Tab 104.000 0 -

60 DILTIAZEM TAB 30 MG Tab 142.000 100 14,200

61 DIMENHIDRINAT TAB 50 MG Tab 109.00 300 32,700

62 DIMENHIDRINAT TAB 50 MG tab 121.000 0 -

63 DOKSISIKLIN KAPSUL 100 MG Kap 309.000 0 -

64 DOMPERIDON DROPS btl 17,939.000 0 -

65 DOMPERIDON SIRUP 5 MG Btl 2,401.00 0 -

66 DOMPERIDON TABLET 10 MG Tab 75.00 0 -

67 DOMPERIDON TABLET 10 MG Tab 96.00 0 -

68 EFINEFRIN INJ. Amp 2,904.000 20 58,080

69 EPINEFRIN/ADRENALIN INJ 1 MG/ML Amp 1,518.00 0 -

70 ERITROMISIN KAPSUL 250 MG Kap 679.00 500 339,500

71 ERITROMISIN KAPSUL 500 MG Kap 781.000 0 -

72 ERITROMISIN KAPSUL 500 MG Kap 766.00 0 -

73 ERITROMISIN SIROP 200 MG/ 5 ML Btl 7,581.000 0 -

74 ETAKRIDIN (RIVANOL) 300 ml Btl 3,900.00 8 31,200

75 ETAKRIDIN (RIVANOL) 300 ml Btl 3,900.000 0 -

76 ETANOL 95 % 100 ml Btl 4,002.720 5 20,014

77 ETANOL 70 % 1000 ml Btl 31,250.000 0 -

78 ETANOL 70 % 1000 ml 31,247.700 0 -

79 ETHYLIS CHLORIDUM SEMPROT Btl 112,500.000 0 -

80 EUGENOL CAIRAN Btl 18,333.000 0 -

81 FENOBARBITAL AMPUL 2 ML Btl 2,265.000 0 -

82 FENOBARBITAL TABLET 30 MG Tab 177.000 0 -

83 FITOMENADION (VIT K) INJ. Ampul 3,900.00 30 117,000

84 FITOMENADION (VIT K) INJ. 4,236.000 0 -

85 FITOMENADION (VIT K) TABLET 10 MG Tab 818.00 0 -


86 FUROSEMIDA TABLET 40 MG Tab 84.000 0 -

87 GARAM ORALIT I SERBUK Sac 275.000 100 27,500

88 GARAM ORALIT I SERBUK Sac 317.000 0 -

89 GEMFIBROZIL KAPSUL 300 MG Kap 429.000 0 -

90 GEMFIBROZIL KAPSUL 300 MG Kap 436.000 0 -

91 GENTAMISIN INJ 80 MG/ML Amp 4,036.000 0 -

92 GENTAMISIN SALEP KULIT Pot 1,469.000 0 -

93 GENTAMISIN SULFAT TETES MATA 0,3 % Pot 5,170.00 24 124,080

94 GLIBENKLAMIDA TABLET 5 MG Tab 151.000 1900 286,900

95 GLIMEPIRIDE 2 MG Tab 207.000 0 -

96 GLISERIL GUALAKOLAT TABLET 100 MG Tab 260.000 0 -

97 GLUKOSA LARUTAN INFUS 10 % Btl 6,270.000 0 -

98 GLUKOSA LARUTAN INFUS 10 % 7,500.000 0 -

99 GLUKOSA LARUTAN INFUS 40 % Btl 1,597.000 0 -

100 GLUKOSA LARUTAN INFUS 5 % Btl 6,900.000 0 -

101 GLUKOSA LARUTAN INFUS 5 % btl 7,363.000 0 -

102 GRANTUSIF Tab 405.000 0 -

103 GRISEOFULVIN TABLET 125 MG Tab 210.000 500 105,000

104 GRISEOFULVIN TABLET 125 MG NOVAPHARIN Tab 263.00 0 -

105 HALOPERIDOL INJ. 5 MG/ML Amp 6,250.000 0 -

106 HALOPERIDOL TABLET 2 MG Tab 90.000 0 -

HALOPERIDOL TABLET 2 MG Tab 93.000 500 46,500

107 HALOPERIDOL TABLET 1.5 MG Tab 59.00 0 -

108 HIDROKLOROTIAZIDA TABLET 25 MG Tab 171.000 995 170,145

109 HIDROKORTISON KRIM 2,5 % Tab 2,325.000 33 76,725

110 HIDROKORTISON KRIM 2,5 % Tube 2,838.000 0 -

111 HYOSIN BUTIL BROMIDA TAB 10 MG Tab 1,475.000 0 -

112 IBUPROFEN SIRUP 15 MG/ML Btl 2,339.00 37 86,543

113 IBUPROFEN TABLET 200 MG Tab 206.000 150 30,900

114 IBUPROFEN TABLET 200 MG Tab 108.000 0 -

115 IBUPROFEN TABLET 400 MG Tab 150.00 0 -

116 IBUPROFEN TABLET 400 MG Tab 133.000 0 -

117 ISONIAZID TABLET 300 MG Tab 106.700 0 -

118 ISOSORBID DINITRAT TABLET 5 MG Tab 93.000 0 -

119 ISOSORBID DINITRAT TABLET 5 MG YARINDO Tab 89.00 0 -

120 KALIUM DIKLOFENAK TAB 50 MG Tab 63.00 0 -

121 KALSIUM GLUCONAS INJ Amp 10,351.000 0 -

122 KALSIUM LAKTAT TABLET 500 MG Tab 63.00 0 -

123 KALSIUM LAKTAT TABLET 500 MG 60.00 300 18,000

124 KALSIUM LAKTAT TABLET 500 MG Tab 63.000 0 -

125 KAPTOPRIL 12.5 MG Tab 68.00 0 -

126 KAPTOPRIL 12.5 MG Tab 67.000 0 -

127 KAPTOPRIL 12.5 MG KF Tab 68.00 300 20,400

128 KAPTOPRIL 25 MG Tab 135.000 0 -

129 KAPTOPRIL 25 MG Tab 75.000 0 -

130 KAPTOPRIL 50 MG Tab 143.000 0 -

131 KAPTOPRIL 50 MG KF Tab 134.00 0 -

132 KETOKENAZOL KRIM Tube 3,135.000 0 -

133 KETOKENAZOL TAB 200 MG Tab 297.000 0 -

134 KLONIDIN TABLET 0.15 MG Tab 145.000 0 -


135 KLORAMFENIKOL SALEP KULIT 3 % Tube 3,327.000 0 -

136 KLORAMFENIKOL KAPSUL 500 MG Kapsul 1,337.990 400 535,196

137 KLORAMFENIKOL KAPSUL 250 MG Kapsul 660.00 500 330,000

138 KLORAMFENIKOL KAPSUL 250 MG Kapsul 329.000 0 -

139 KLORAMFENIKOL SALEP MATA 1% Kapsul 2,148.00 0 -

140 KLORAMFENIKOL SUSP 125 MG/ 5 ML Btl 4,982.000 0 -

141 KLORAMFENIKOL TETES MATA 0.5 % Tube 0.000 0 -

142 KLORAMFENIKOL TETES TELINGA 3 % 0 -

143 KLORFENIRAMINA MALEAT TAB 4 MG Tab 50.000 0 -

144 KLORFENIRAMINA MALEAT TAB 4 MG Tab 39.000 0 -

145 KLORPROMAZIN TAB SALUT 100 MG Tab 170.000 0 -

146 KLORPROMAZIN TAB SALUT 100 MG MERSIFARM Tab 170.00 0 -

147 KOTRIMOKSAZOL DOEN I (DEWASA) 480 MG Tab 133.000 0 -

148 KOTRIMOKSAZOL DOEN (DEWASA)480 MG Tab 125.000 0 -

149 KOTRIMOKSAZOL DOEN II (ANAK) Tab 79.000 0 -

150 KOTRIMOKSAZOL SUSPENSI Btl 2,100.00 30 63,000

151 KOTRIMOKSAZOL SUSPENSI Btl 2,190.000 0 -

152 KOTRIMOKSAZOL SUSPENSI MERSIFARM Btl 2,052.00 0 -

153 KOTRIMOKSAZOL TABLET 480 MG MERSIFARM Tab 125.00 0 -

154 KUINIDIN 100 MG TABLET Tab 0 -

155 KUINIDIN 200 MG TABLET Tab 0 -

156 KUININ (KINA) TABLET 200 MG Tab 0 -

157 KUININ INJEKSI 25 % Tab 0 -

158 KUININ SULFAT TAB 222 MG (7 H2O) Tab 641.670 0 -

159 LANSOPRAZOL 30 MG KAP 360.000 0 -

160 LIDOKAIN SPRAY BTL 177,216.000 0 -

161 LIDOKAIN INJ 2 % Amp 847.00 105 88,935

162 LIDOKAIN INJ 2 % + EPINEFRIN 1,405.000 0 -

163 LISOL DENGAN KRESOL SABUN 50 % Btl 31,800.000 0 -

164 LOPERAMIDE TAB 2 MG Tab 90.000 0 -

165 LOPERAMIDE TAB 2 MG Tab 460.000 0 -

166 LOPERAMIDE TAB 2 MG Tab 85.000 0 -

167 LORATADIN TAB Tab 136.000 0 -

168 LORATADIN TABLET 10 MG PROMED Tab 117.00 0 -

169 LUBIRE Tab 5,225.00 0 -

170 MEBENDAZOL SIROP 100 MG/ 5 ML Btl 0 -

171 MEBENDAZOL TABLET 100 MG Tab 0 -

MELOXICAM KAPS 7,5 MG 830.28 1000 830,280

172 METAMPIRON TABLET 500 MG (ANTALGIN) Tab 141.850 0 -

173 METFORMIN TAB 500 MG Tab 77.00 0 -

174 METFORMIN TAB 500 MG Tab 109.000 0 -

175 METFORMIN TAB 850 MG Tab 240.000 0 -

176 METILERGOMETRIN MALEAT INJ 0.2 MG Amp 3,399.000 0 -

177 METILERGOMETRIN MALEAT TABLET 0.125 MG Tab 133.100 0 -

178 METILERGOMETRIN MALEAT TABLET 0.125 MG Tab 245.000 0 -

179 METILPREDNISOLON TAB 4 MG Tab 102.00 900 91,800

180 METILPREDNISOLON TAB 4 MG Tab 148.000 0 -

181 METILPREDNISOLON TAB16 MG Tab 456.00 800 364,800

182 METILPREDNISOLON TAB16 MG Tab 548.00 0 -

183 METOKLOPRAMIDE TAB 10 MG TAB 93.000 0 -


184 METOKLOPRAMIDE TAB 10 MG KF Tab 87.00 0 -

185 METRONIDAZOL TABLET 250 MG Tab 116.000 0 -

186 METRONIDAZOL TABLET 250 MG PHYTO Tab 93.00 0 -

187 METRONIDAZOL TABLET 500 MG Tab 660.000 0 -

188 MDT MB KUSTA DEWASA BLISTER 40,128.000 0 -

189 MgSO4 20% Btl 3,327.990 0 -

190 MgSO4 40% Btl 4,700.000 9 42,300

191 MIKONAZOLE KREAM Tube 1,900.00 0 -

192 MIKONAZOLE KREAM Tube 3,926.000 0 -

193 MIKONAZOLE KREAM 2% KF Tube 2,462.00 0 -

194 MIKORIN POWDER POT 26,950.000 0 -

195 MINERAL MIX Succ 2,723.000 0 -

196 MINERAL MIX Succ 2,550.000 0 -

197 MULTIVITAMIN TAB VINETRON Tab 1,848.000 0 -

198 MULTIVITAMIN TAB VINETRON Tab 1,705.000 0 -

199 MULTIVITAMIN TAB MEVITON 1,592.250 0 -

200 MULTIVITAMIN SYR CAMIVITA DAU Btl 5,300.000 0 -

201 NATRIUM DKLOFENAK TABLET 25 MG Tab 109.00 0 -

202 NATRIUM DKLOFENAK TABLET 50 MG Tab 109.00 0 -

203 NATRIUM DKLOFENAK TABLET 50 MG Tab 145.00 0 -

204 NATRIUM KLORIDA LARUTAN INFUS 0.9 % Btl 6,840.00 12 82,080

205 NATRIUM KLORIDA LARUTAN INFUS 0.9 % Btl 7,500.000 0 -

206 NIPEDIFINE TAB 10 MG Tab 120.000 0 -

NIPEDIFINE TAB 10 MG 221.00 0 -

NIPEDIFINE TAB 10 MG 150.000 300 45,000

207 NISTATIN 100.000 IU Tab 627.000 0 -

208 NISTATIN 500.000 IU Tab 704.000 0 -

209 NISTATIN VAGINAL TAB 100.000 UI Tab 645.00 100 64,500

210 NISTATIN VAGINAL 100.000 IU Tab 645.00 0 -

211 OBAT ANTITUBERKULOSIS KAT 1 DEWASA Tab 413,984.000 0 -

212 OBAT ANTITUBERKULOSIS KAT 1 DEWASA 356,829.000 0 -

213 OBAT ANTITUBERKULOSIS KAT 1 DEWASA 447,791.000 0 -

214 OBAT ANTITUBERKULOSIS KAT 2 DEWASA Tab 1,319.900 0 -

215 OBAT ANTITUBERKULOSIS KAT 2 DEWASA Paket 1,492,579 0 -

216 OBAT ANTITUBERKULOSIS KAT ANAK Tab 236,500.000 0 -

217 OBAT ANTITUBERKULOSIS KAT ANAK KF Paket 267,397 0 -

218 OBAT ANTITUBERKULOSIS SISIPAN DEWASA Tab 175,980.000 0 -

219 OBAT BATUK HITAM CAIRAN Btl 1,339.800 0 -

220 OKSITETRASIKLIN HCL SALEP 3 % Tube 3,600.000 0 -

221 OKSITETRASIKLIN HCL SALEP MATA 1 % Tube 2,600.000 10 26,000

222 OKSITETRASIKLIN SALEP MATA 1% KF Tube 3,926.00 0 -

223 OKSITOSIN INJ 10 IU/ML Amp 1,232.000 0 -

224 OKSITOSIN INJ 10 IU/ML 1,348.000 30 40,440

225 OMEPRAZOLE KAP 20 MG Tab 780.000 0 -

226 OMEPRAZOLE KAPSUL 20 MG Kapsul 148.00 0 -

227 OMEPRASOL INJ 40 MG/ML vial 5,346.00 5 26,730

228 OMEPRAZOLE INJ 11,868.00 0 -

229 OAM(ACT)DHP-FRIMAL 2,000.00 0 -

230 PAPAVERIN TABLET 40 MG Tab 680.000 0 -

231 PARACETAMOL DROPS 100 MG/ML (60 MG/0,6 ML) Btl 5,204.00 10 52,040
232 PARASETAMOL DROPS 100 MG/ML IGM Btl 7,646.00 0 -

233 PARASETAMOL SIROP 120 MG/ 5 ML Btl 1,160.00 36 41,760

234 PARASETAMOL SIROP 120 MG/ 5 ML Btl 4,700.000 0 -

235 PARASETAMOL SIROP 120 MG/ 5 ML Btl 1,160 0 -

236 PARASETAMOL TABLET 500 MG Tab 86.000 0 -

237 PARASETAMOL TABLET 500 MG MERSIFARM Tab 60.00 0 -

238 PARASETAMOL TABLET 500 MG MERSIFARM Tab 165.00 0 -

239 PEHACAIN INJ Amp 4,850.000 0 -

240 PENOL GLISEROL TETES TELINGA Btl 2,246.000 0 -

241 PIRANTEL SIRUP btl 9,100.000 0 -

242 PIRANTEL TABLET SCORE 125 MG Tab 341.00 1300 443,300

243 PIRASETAM 1200 Tab 854.000 0 -

244 PIRASETAM 400 Tab 194.000 0 -

245 PIRIDOKSIN (VIT B6) TAB 10 MG Tab 72.00 400 28,800

PIRIDOKSIN (VIT B6) TAB 10 MG Tab 157.99 2000 315,980

246 PIROKSIKAM TABLET 20 MG Tab 215.000 0 -

247 PIROKSIKAM TABLET 20 MG Tab 189.500 0 -

248 PITOGIN AMPUL 1 ML Amp 11,550.000 0 -

249 POVIDON IODIDA 10 % 1000 ML Btl 149,313.000 0 -

250 POVIDON IODIDA 10 % 1000 ML MAHAKAM Btl 139,313.00 0 -

251 POVIDON IODIDA 10 % 30 ML Btl 3,624.500 0 -

252 POVIDON IODIDA 10 % 300 ML Btl 22,498.300 0 -

253 POVIDON IODIDA 10 % 300 ML Btl 15,386.000 0 -

254 POVIDON IODIDA BETADIN 5 G SALEP Tube 7,039.00 0 -

255 POVIDON SALEP Tube 6,348.000 0 -

256 PREDNISON TABLET 5 MG Tab 73.00 1000 73,000

257 PRIMAUINE/PRIMAQUINE TAB 15 Tab 253.000 0 -

258 PROPANOLOL TABLET 10 MG Tab 59.000 0 -

259 PROPANOLOL TABLET 40 MG Tab 59.000 0 -

260 PROPILITIOURASIL TABLET 100 MG Tab 351.000 0 -

261 RANITIDIN INJ 25 MG / 2 ML Amp 1,155.00 0 -

262 RANITIDIN INJ 25 MG / 2 ML Amp 858.00 0 -

263 RANITIDIN TABLET 150 MG Tab 85.00 0 -

264 RANITIDIN TABLET 150 MG Tab 122.00 1300 158,600

265 RINGER LAKTAT INFUS Btl 7,630.00 0 -

266 RISPERIDON 2 MG Tab 287.000 800 229,600

267 SALBUTAMOL SIRUP 5,463.000 0 -

268 SALBUTAMOL TABLET 4 MG KF Tab 195.00 0 -

269 SALBUTAMOL TABLET 2 MG Tab 150.000 0 -

270 SALEP 2-4 KOMBINASI Tube 1,475.000 32 47,200

271 SALISIL BEDAK 2 % Pot 6,426.00 0 -

272 SCABIMATE CREM SACH 12,155.000 0 -

273 SALISIL BEDAK 2 % TUBE 6,426.00 0 -

274 SEFADROKSIL KAPSUL 500 MG Kapsul 1,210.000 700 847,000

275 SEFADROKSIL KAPSUL 500 MG Kapsul 492.00 0 -

276 SEFADROKSIL SIROP KERING 125 MG / 5 ML Btl 4,133.000 0 -

277 SEFOTAKSIM 1000 MG Vial 5,700.000 0 -

278 SEFOTAKSIM INJ 1000 MG RAMA Vial 4,410.00 0 -

279 SIANOKOBALAMIN TABLET 50 MCG Tab 44.00 1500 66,000

280 SIANOKOBALAMIN TABLET 50 MCG KF Tab 51.00 0 -


281 SIANOKOBALAMIN VIT B12 INJ 500 MCG/ML Ampul 1,160.00 0 -

282 SIANOKOBALAMIN VIT B12 INJ 500 MCG/ML 3,070.000 0 -

283 SIMVASTATIN TABLET 10 MG TAB 73.00 0 -

284 SIMVASTATIN TABLET 10 MG 117.000 0 -

285 SIPROFLOKSASIN KAPLET 500 MG Kaplet 260.00 1100 286,000

286 SULFASETAMID TETES MATA 15 % Btl 12,500.000 0 -

287 TABLET TAMBAH DARAH KOMBINASI Tab 409.000 0 -

TABLET TAMBAH DARAH KOMBINASI Tab 255.00 3600 918,000

288 TETRASIKLIN KAPSUL 500 MG Kapsul 346.000 0 -

289 TETRASIKLIN KAPSUL 500 MG Kapsul 324.000 0 -

290 TIAMIN (VIT B1) INJ 100 MG/ML Amp 730.000 0 -

291 TIAMIN (VIT B1) TABLET 50 MG Tab 169.000 1500 253,500

292 TIAMIN (VIT B1) TABLET 50 MG 90.000 0 -

293 TRIHEKSIFENIDIL 25 MG Tab 691.190 500 345,595

294 VAKSIN ANTI RABIES INJ vial 165,000.000 8 1,320,000

VAKSIN ANTI RABIES INJ vial 153,000.00 20 3,060,000

295 VAKSIN POLIO (bOPV) 10 ds Vial 19,954.000 42 838,068

296 VAKSIN MR 10 ds Vial 155,813.000 42 6,544,146

297 VAKSIN DPT-HB-HIB 5 ds Vial 78,991.000 50 3,949,550

VAKSIN HB Ig Vial 1,325,000.000 0 -

VAKSIN HB UNIJECT (HBO) 1 ds Vial 23,991.000 34 815,694

298 VAKSIN BCG Vial 61,996.000 26 1,611,896

299 VAKSIN HEPATITIS B Vial 23,991.000 0 -

300 VAKSIN IPV Vial 158,994.000 40 6,359,760

301 VAKSIN Td 10 ds VIAL 16,995.000 18 305,910

VAKSIN DT 10 ds VIAL 17,996.00 0 -

302 VITAMIN A 100.000 UI Btl 17,600.00 2 35,200

303 VITAMIN A 200.000 UI Btl 31,850.00 0 -

306 VITAMIN B KOMPLEKS TABLET Tab 60.000 200 12,000

307 VITAMIN B KOMPLEKS TABLET Tab 135.000 0 -

308 ZINK SIRUP Btl 2,489.000 4 9,956

309 ZINK SIRUP MEPROFARM Btl 3,285.00 0 -

310 ZINK TAB 20 MG Tab 2,000.00 0 -

311 ZINK TAB 20 MG Tab 604.00 0 -

312 ZINK TAB 20 MG 586.000 0 -

PERBEKALAN KESEHATAN 0 -

1 ACCU-CHECK PERFORMA Btl 420,000.000 0 -

2 ALAT SUNTIK SEKALI PAKAI 2,5/3 ML Set 851.53 0 -

3 ALAT SUNTIK SEKALI PAKAI 2,5/3 ML Set 1,056.00 0 -

4 ALAT SUNTIK SEKALI PAKAI 3 ML Set 1,108.800 0 -

5 ALAT SUNTIK SEKALI PAKAI 0,05 ML Set 1,456.000 0 -

6 ALAT SUNTIK SEKALI PAKAI 0,05 ML Set 1,240.000 0 -

7 ALAT SUNTIK SEKALI PAKAI 0,5 ML Set 1,240.00 200 248,000

8 ALAT SUNTIK SEKALI PAKAI 0,5 ML 1,240.00 0 -

9 ALAT SUNTIK SEKALI PAKAI 0,5 ML 1,650.000 0 -

10 ALAT SUNTIK SEKALI PAKAI 10 ML Set 1,216.470 90 109,482

11 ALAT SUNTIK SEKALI PAKAI 1 ML Set 1,056.000 0 -

12 ALAT SUNTIK SEKALI PAKAI 1 ML Set 844.260 0 -

13 ALAT SUNTIK SEKALI PAKAI 10 ML Set 1,622.500 0 -

14 ALAT SUNTIK SEKALI PAKAI 5 ML Set 1,013.11 0 -


15 ALAT SUNTIK SEKALI PAKAI 5 ML 1,583.000 0 -

16 ALKOHOL 70% 1 LTR Box 206.640 0 -

17 ALKOHOL SWAB Box 151.20 500 75,600

18 AQUA PRO INJEKSI 25 ML Btl 2,650.00 0 -

19 BAJU HAZMAT COVER ALL Bh 475,000.000 0 -

20 BISTURI NO. 19 Pcs 3,150 0 -

21 BISTURI NO.20 3,150 50 157,500

22 BISTURI NO. 22 Pcs 3,300 30 99,000

23 CANULA DEWASA Pcs 5,711.00 15 85,665

24 CATGUT NO 2/0 21,000.00 24 504,000

25 CATGUT NO 3/0 Pcs 34,538.00 50 1,726,900

26 CATGUT NO 3/0 RNI Pcs 35,295.00 0 -

27 CATGUT NO 4/0 RNI Pcs 32,685.00 0 -

28 CATHEJELL Pcs 42,848.000 0 -

29 FOLEY CATETER 16 Bh 10,000.000 0 -

30 FOLEY CATETER 18 Bh 10,000.000 0 -

31 FOLEY CATETER 20 Bh 10,000.000 0 -

32 HAND RUB BTL 46,016.56 10 460,166

33 HAND RUB BTL 62,624.000 0 -

34 HAND RUB fresco BTL 76,274.470 0 -

35 HANDSCOEN 6,5 STERIL Roll 8,600.000 35 301,000

36 HANDSCON 7 Pasang 8,600.00 35 301,000

37 HANDSCON 7 1/2 STERIL Bks 11,990.000 35 419,650

38 HANDSCON 7 STERIL 11,990.000 0 -

39 HANDSCON L Pasang 1,750.00 100 175,000

40 HANDSCON L KARINDO Pasang 1,647.24 0 -

41 HANDSCON M Pasang 1,750.00 50 87,500

42 HANDSCON M 2,750.000 0 -

43 HANDSCON S Pasang 1,161.600 0 -

44 HANDSCON S 2,750.000 0 -

45 TREPOCHECK SYPHILIS Pcs 9,300.00 0 -

46 HIV TEST Pcs 15,377.000 0 -

47 HIV TEST Pcs 15,367.000 0 -

48 INFUSION SET ANAK SET 4,198.700 0 -

49 INFUSION SET ANAK AXIMED Pcs 5,865.00 100 586,500

50 INFUSION SET DEWASA Set 7,062.00 0 -

51 INFUSION SET DEWASA 1,540.00 0 -

52 IV CATHETER N0 22 G Set 13,894.000 0 -

53 IV CATHETER N0 22 G Set 6,875.000 0 -

54 IV CATHETER NO 18 Set 9,123.400 0 -

55 IV CATHETER NO 20 G Set 6,875.000 25 171,875

56 IV CATHETER NO 22 G NIPRO Pcs 6,875.00 0 -

57 IV CATHETER NO 24 G Set 7,194.00 0 -

58 IV CATHETER NO 24 G Set 14,493.600 0 -

59 KANULA ANAK Pcs 5,711.00 0 -

60 KAPAS PEMBALUT / ABSORBEN 250 GRAM Set 18,000.000 0 -

61 KAPAS PEMBALUT / ABSORBEN 250 GRAM Set 25,198.000 9 226,782

62 KAPAS PEMBALUT 250 GRAM DRC Roll 30,500.00 0 -

63 KASA KOMPRES 40/40 STERIL Bks 1,944.000 0 -

64 KASA PEMBALUT 2 M X 80 CM Bks 79,360.00 0 -


65 KASA PEMBALUT 2 M X 80 CM DRC Bks 10,661.00 0 -

66 KASA PEMBALUT HIDROFIL 20 yard x 80 cm Roll 81,920.000 0 -

67 KASA PEMBALUT HIDROFIL 20 yard x 80 cm Roll 79,360.000 0 -

68 KASA PEMBALUT HIDROFIL 40 X 80 CM DRC Roll 134,091.00 0 -

69 KASA PEMBALUT HIDROFIL 4 M X 15 CM DRC Bks 4,104.00 0 -

70 KASA PEMBALUT HIDROFIL 4 M X 3 CM Bks 891.00 0 -

71 KASA PEMBALUT HIDROFIL 4 M X 5 CM ELASTIS Bks 2,750.000 0 -

72 KASA PEMBALUT HIDROFIL 16 M X 16 CM DRC Bks 4,200.00 0 -

73 LANCET Box 20,000.00 8 160,000

74 MASKER HIJAB Bh 580.800 0 -

75 MASKER KARET Bh 314.000 0 -

76 MASKER KAIN Bh 5,000.000 0 -

77 MASKER KAIN 5,000.000 0 -

78 NESCO / STRIP CHOLESTROL Btl 290,000.000 0 -

79 NASAL OKSIGEN DEWASA Bh 6,000.000 0 -

80 PLESTER 10 CM X 5 M Roll 49,632.000 0 -

81 PLESTER PHARMAFIX 10 CM X 500 CM Roll 51,305.00 0 -

82 PLESTER PHARMAFIX 15 CM X 500 CM Roll 78,115.00 8 624,920

83 PLESTER PHARMAFIX 5 CM X 500 CM Roll 27,000.00 25 675,000

84 PLESTER YARD Roll 43,700.000 0 -

85 POT SPUTUM 2,079.000 0 -

86 POT SPUTUM Pot 2,272.00 25 56,800

87 REAGEN SYPHILIS Pcs 20,400.000 0 -

88 STRIP BIOLINE SYPIHILIS 3.0 100T 7,237.630 25 180,941

89 TREPOCHECK SYPHILIS 8,870.000 25 221,750

90 RAPID 1 (SD) /HIV TEST 8,350.00 25 208,750

91 RAPID 3 ( DIAGNOSTAR ) 12,527.00 0 -

92 RAPID TEST HBsAg /VIROCHECK 8,300.00 75 622,500

93 RAPID TEST ANTIGEN COVID 19 CLUNGENE Box 60,500.00 0 -

94 RAPID TEST ANTIGEN COVID 19 CLUNGENE Box 52,800.00 300 15,840,000

95 RDT MALARIA Box 14,238.000 25 355,950

96 FDC OAT KATAGORI 1 PKT 447,791.00 2 895,582

97 SAFETY BOX 21,566.890 0 -

98 SAFETY BOX 20,394.000 4 81,576

99 SILK 2/0 SET 21,875.000 0 -

100 SILK 2/0 TROGE Pcs 42,601.900 0 -

101 SILK 2/0 21,458.334 0 -

102 SILK 3/0 SET 6,400.000 0 -

103 SILK 3/0 SET 29,931.00 24 718,344

104 SILK 3/0 TROGE Pcs 43,429.100 0 -

105 STRIP ASAM URAT NESCO Box 145,200.00 5 726,000

106 STRIP CHOLESTEROL Box 231,000.00 4 924,000

107 SRTIP GULA NESCO Btl 132,000.000 0 -

108 SRTIP GULA NESCO Btl 132,000.000 5 660,000

110 STRIP SD BIOLINE DENGUE DUO BOX 60,813.12 25 1,520,328

111 STRIP SD BIOLINE HIV 1/2 3.0 BOX 13,367.70 30 401,031

112 URIN BAG TANPA HANGER BH 5,742.00 24 137,808

113 URIN BAG TROGE Pcs 8,877.00 0 -

114 WING NEEDLE NO.23 Pcs 1,400.000 0 -

115 WING NEEDLE NO.25 Pcs 1,400.000 0 -


116 WING NEEDLE NO.27 Pcs 1,400.000 0 -

PENANGANAN CORONA VIRUS 0 -

1 FACE SHIELD 27,500.000 17 467,500

2 PAKAIAN PELINDUNG/HAZMAT PCH 660,000.000 7 4,620,000

3 PAKAIAN PELINDUNG/HAZMAT SET 475,000.000 10 4,750,000

4 VISOR/SHIELDFACE/HELM BUAH 315,000.000 8 2,520,000

5 SEPATU BOOT PSG 215,000.000 4 860,000

6 WIND NEEDLE PCS 5,500.000 300 1,650,000

7 COLD BOX KAPASITAS 6 L BOX 4,500,000.000 0 -

8 CAIRAN NaOCl BTL 50,000.000 15 750,000

9 SARUNG TANGAN NON STERIL PCH 1,800.000 0 -

10 APD SET SET 3,902,499.700 0 -

11 BAJU APD 660,000.000 0 -

12 SARUNG TANGAN PANJANG 54 -

13 SEPATU BOOT 0 -

14 MASKER 2,640.00 0 -

19 KACA MATA SAFETY 0 -

20 HAND RUB 250 ML BTL 71,692.500 0 -

21 SARUNG TANGAN STERIL PSG 8,000.000 0 -

22 HANDSCOON NON STERIL BTL 900.00 0 -

25 HAND SANITEZER BTL 19,500.00 0 -

26 SURGICAL MASK PCH 5,000.000 0 -

27 HANDSCOON NON STERIL M PSG 1,540.00 0 -

31 BUKU SAKU 30,000.000 7 210,000

32 KANTONG SAMPAH MEDIS 3,000.00 0 -

36 KANTONG JENAZAH 300,000.000 10 3,000,000

37 KANTONG JENAZAH 99,999.000 10 999,990

38 MASKER BEDAH 770.000 250 192,500

BANTUAN DINKES PROVINSI 0 -

1 BAJU APD MEREK SANDON ( DINKES PROVINSI ) PCH 12 -

2 BAJU APD MEREK SANDON ( DINKES PROVINSI ) 660,000.00 15 9,900,000

FACE SHIELD PCH 12 -

VIRUS COLLECTION & TRANSPORT TUBE BTL 130,000.00 30 3,900,000

VITAMIN C 500 MG TAB 600.00 0 -

FACE SHIELD BTL 27,500.00 10 275,000

HAND SANITIZER 37,812.50 0 -

HAND SANITIZER 19,500.00 0 -

HANDSCOON NON STERIL M 1,540.00 0 -

APD SET IMUNISASI : 0 -

HAND SANITIZER 30,250.00 0 -

MASKER BEDAH 990.00 0 -

MASKER 2,640.00 0 -

HANDSCOON NON STERIL L 1,870.00 0 -

KANTONG MEDIS 3,000.00 0 -

FACE SHIELD 27,500.00 9 247,500

PROGRAM IMUNISASI/VAKSIN CORONA 0 -

ALAT SUNTIK SEKALI PAKAI 0,5 ML PCH 1,185.00 1915 2,269,275

VAKSIN COVID-19 (10 DOSIS ) VIAL 1,339,440.00 0 -

VAKSIN COVID-19 CORONAVAC ( 2 DOSIS ) VIAL 98 -

VAKSIN COVID-19 MODERNA (14 DOSIS ) VIAL 0 -


VAKSIN MODERNA 10 DOSIS VIAL 35 -

VAKSIN COVID 19 JANSSENS 5 DOSIS VIAL 80 -

VAKSIN COVID 19 ASTRAZENECA 10 DOSIS VIAL 0 -

VAKSIN COVID-19 COVOVAX 10 DOSIS 0


SAFETY BOX 5 L PKM 1 BOX 14,000.00 14 196,000

ALKOHOL SWAB PKM VIAL 79.00 1784 140,936

PENANGANAN CORONA VIRUS DISEASE DINKES 0 -

1 MASKER BEDAH PCS 770.00 300 231,000

HAND SANITIZER PCS 19,250.00 0 -

HANDSCOON NON STERIL M PCS 1,540.00 20 30,800

RAPID TEST ANTIGEN COVID 19 CLUNGENE PCS 60,500.00 0 -

OBAT GIGI 0 -

1 ETIL KLORIDA Btl 126,500.00 0 -

2 COMPOSIT ANTERIOR A2 SOLARE Pcs 675,000.000 0 -

3 COMPOSIT ANTERIOR A3 SOLARE Pcs 675,000.000 0 -

4 COMPOSIT POSTERIOR A2 SOLARE Pcs 675,000.000 0 -

5 COMPOSIT POSTERIOR A3 SOLARE Pcs 675,000.000 0 -

6 DYCAL Pcs 302,500.000 0 -

7 EUGENOL Btl 165,000.000 0 -

8 FUJI IX MINI/ GOLD LABEL Pcs 650,000.000 0 -

9 XYLESTESIN Pcs 795,000.000 0 -


TOTAL HARGA OBAT DAN BHP 103,911,091.25
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
( LPLPO )

BULAN
TRI WULAN
TAHUN

PENERI PERSE PEMA KADALUAR


NILAI NILAI NILAI
MAAN DIAAN KAIAN SA

7 8 9 10 11 12 13

- 0 - -
- 0 - -
- 0 - -
- 400 146,600 -
- 62 266,600 -
- 0 - -
500 44,500.00 1000 89,000 600 53,400
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
100 7,400.00 600 44,400 600 44,400
250 13,750.00 1450 79,750 1450 79,750
- 0 - -
2600 600,600.00 2600 600,600 2200 508,200
- 0 - -
- 0 - -
- 150 526,500 30 105,300
- 0 - -
- 3348 200,880 3348 200,880
- 0 - -
30 52,680.00 98 172,088 38 66,728
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 100 4,600 100 4,600
1000 117,000.00 1100 128,700 1100 128,700
- 0 - -
- 0 - -
- 300 128,700 -
- 0 - -
- 0 - -
200 18,400.00 400 36,800 200 18,400
- 0 - -
50 77,000.00 50 77,000 -
- 55 83,325 49 74,235
- 0 - -
- 0 - -
- 0 - -
- 300 42,900 -
- 300 75,000 -
- 500 108,000 -
- 0 - -
- 0 - -
1000 52,000.00 1000 52,000 1000 52,000
- 0 - -
- 0 - -
20 19,360.00 20 19,360 -
500 34,500.00 1200 82,800 600 41,400
- 0 - -
10 19,130.00 10 19,130 -
- 0 - -
- 600 65,400 -
- 0 - -
- 0 - -
- 35 28,875 35 28,875
- 0 - -
- 0 - -
- 100 14,200 -
- 300 32,700 300 32,700
- 0 - -
- 0 - -
- 0 - -
- 0 - -
300 22,500.00 300 22,500 100 7,500
- 0 - -
- 20 58,080 -
- 0 - -
- 500 339,500 -
- 0 - -
- 0 - -
- 0 - -
- 8 31,200 -
- 0 - -
- 5 20,014 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 30 117,000 -
- 0 - -
- 0 - -
- 0 - -
- 100 27,500 - 100

- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
24 124,080.00 48 248,160 35 180,950
- 1900 286,900 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 500 105,000 400 84,000
- 0 - -
- 0 - -
- 0 - -
- 500 46,500 - 500

- 0 - -
- 995 170,145 -
- 33 76,725 13 30,225
- 0 - -
- 0 - -
- 37 86,543 -
500 103,000.00 650 133,900 650 133,900
- 0 - -
1500 225,000.00 1500 225,000 1300 195,000
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 300 18,000 300 18,000
- 0 - -
- 0 - -
- 0 - -
- 300 20,400 300 20,400
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 400 535,196 400 535,196
- 500 330,000 200 132,000
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
2500 125,000.00 2500 125,000 1800 90,000
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 30 63,000 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 105 88,935 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
1000 830,280.00 2000 1,660,560 1200 996,336
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
1500 153,000.00 2400 244,800 1700 173,400
- 0 - -
300 136,800.00 1100 501,600 300 136,800
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
2 80,256.00 2 80,256 -
- 0 - -
- 9 42,300 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 12 82,080 12 82,080
40 300,000.00 40 300,000 19 142,500
- 0 - -
- 0 - -
- 300 45,000 -
- 0 - -
- 0 - -
- 100 64,500 - 100

- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 10 26,000 -
- 0 - -
- 0 - -
- 30 40,440 -
- 0 - -
- 0 - -
10 53,460.00 15 80,190 15 80,190
- 0 - -
- 0 - -
- 0 - -
- 10 52,040 -
- 0 - -
50 58,000.00 86 99,760 83 96,280
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 1300 443,300 -
- 0 - -
- 0 - -
- 400 28,800 -
- 2000 315,980 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
1500 109,500.00 2500 182,500 1500 109,500
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
35 30,030.00 35 30,030 35 30,030
- 0 - -
- 1300 158,600 800 97,600
100 763,000.00 100 763,000 60 457,800
- 800 229,600 -
- 0 - -
- 0 - -
- 0 - -
- 32 47,200 27 39,825
17 109,242.00 17 109,242 14 89,964
- 0 - -
- 0 - -
500 605,000.00 1200 1,452,000 800 968,000
- 0 - -
- 0 - -
- 0 - -
- 0 - -
1000 44,000.00 2500 110,000 1300 57,200
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 1100 286,000 -
- 0 - -
- 0 - -
- 3600 918,000 1400 357,000
- 0 - -
- 0 - -
- 0 - -
- 1500 253,500 1300 219,700
- 0 - -
- 500 345,595 -
- 8 1,320,000 8 1,320,000
- 20 3,060,000 16 2,448,000
10 199,540.00 52 1,037,608 -
- 42 6,544,146 -
10 789,910.00 60 4,739,460 -
- 0 - -
10 239,910.00 44 1,055,604 -
10 619,960.00 36 2,231,856 -
- 0 - -
- 40 6,359,760 -
- 18 305,910 -
- 0 - -
- 2 35,200 -
- 0 - - 0
2000 120,000.00 2200 132,000 2000 120,000
- 0 - -
6 14,934.00 10 24,890 8 19,912
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
400 422,400.00 400 422,400 100 105,600
- 0 - -
- 0 - -
- 0 - -
- 200 248,000 200 248,000
- 0 - -
200 330,000.00 200 330,000 -
- 90 109,482 50 60,824
200 211,200.00 200 211,200 100 105,600
- 0 - -
- 0 - -
400 405,244.00 400 405,244 -
- 0 - -
- 0 - -
- 500 75,600 500 75,600
- 0 - -
- 0 - -
- 0 - -
- 50 157,500 -
- 30 99,000 -
- 15 85,665 -
- 24 504,000 -
- 50 1,726,900 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 10 460,166 -
- 0 - -
- 0 - -
- 35 301,000 -
50 430,000.00 85 731,000 -
- 35 419,650 35 419,650
- 0 - -
200 350,000.00 300 525,000 100 175,000
- 0 - -
300 525,000.00 350 612,500 350 612,500
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 100 586,500 25 146,625
50 353,100.00 50 353,100 50 353,100
- 0 - -
- 0 - -
75 515,625.00 75 515,625 73 501,875
- 0 - -
- 25 171,875 25 171,875
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 9 226,782 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
4 536,364.00 4 536,364 2 268,182
- 0 - -
30 26,730.00 30 26,730 15 13,365
- 0 - -
- 0 - -
- 8 160,000 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 8 624,920 -
- 25 675,000 -
- 0 - -
- 0 - -
- 25 56,800 25 56,800
- 0 - -
- 25 180,941 -
- 25 221,750 -
25 208,750.00 50 417,500 25 208,750
- 0 - -
- 75 622,500 -
- 0 - -
- 300 15,840,000 -
- 25 355,950 -
- 2 895,582 -
- 0 - -
- 4 81,576 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 24 718,344 -
- 0 - -
4 580,800.00 9 1,306,800 -
1 231,000.00 5 1,155,000 5 1,155,000
- 0 - -
5 660,000.00 10 1,320,000 3 396,000
- 25 1,520,328 -
- 30 401,031 -
- 24 137,808 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 17 467,500 -
- 7 4,620,000 -
- 10 4,750,000 -
- 8 2,520,000 -
- 4 860,000 -
- 300 1,650,000 -
- 0 - -
- 15 750,000 -
- 0 - -
- 0 - -
- 0 - -
- 54 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 7 210,000 -
- 0 - -
- 10 3,000,000 -
- 10 999,990 -
300 231,000.00 550 423,500 550 423,500
- 0 - -
- 12 - -
- 15 9,900,000 -
- 12 - -
- 30 3,900,000 -
1000 600,000.00 1000 600,000 1000 600,000
- 10 275,000 -
- 0 - -
- 0 - -
100 154,000.00 100 154,000 100 154,000
- 0 - -
5 151,250.00 5 151,250 5 151,250
- 0 - -
150 396,000.00 150 396,000 150 396,000
- 0 - -
4 12,000.00 4 12,000 4 12,000
- 9 247,500 -
- 0 - -
560 663,600.00 2475 2,932,875 -
- 0 - -
40 - 138 - -
20 - 20 - -
- 35 - -
- 80 - -
20 - 20 - -
10 - 10 - -
5 70,000.00 19 266,000 -
560 44,240.00 2344 185,176 -
- 0 - -
- 300 231,000 300 231,000
- 0 - -
- 20 30,800 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
1 302,500.00 1 302,500 -
- 0 - -
- 0 - -
- 0 - -
15,759,125.00 119,670,216.25 0 18,096,151.50
MARET

2022
Hal 1
SISA PERMINTAA
NILAI NILAI KET
STOK N

14 15 16 17 18

- 0 -
- 0 -
- 0 -
- 400 146,600
- 62 266,600
- 0 -
- 400 35,600 200
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 1,000
- 0 - 2,000
- 0 -
- 400 92,400 2,000
- 0 -
- 0 -
- 120 421,200
- 0 -
- 0 - 3,000
- 0 -
- 60 105,360
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 2,000
- 0 - 2,000
- 0 -
- 0 -
- 300 128,700
- 0 -
- 0 -
- 200 18,400
- 0 -
- 50 77,000
- 6 9,090
- 0 -
- 0 -
- 0 -
- 300 42,900
- 300 75,000
- 500 108,000
- 0 -
- 0 -
- 0 - 1,500
- 0 -
- 0 -
- 20 19,360
- 600 41,400 500
- 0 -
- 10 19,130
- 0 -
- 600 65,400
- 0 -
- 0 -
- 0 - 50
- 0 -
- 0 -
- 100 14,200
- 0 - 300
- 0 -
- 0 -
- 0 -
- 0 - 10
- 200 15,000
- 0 -
- 20 58,080
- 0 -
- 500 339,500
- 0 -
- 0 -
- 0 -
- 8 31,200
- 0 -
- 5 20,014
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 30 117,000
- 0 -
- 0 -
- 0 - 200
27,500 0 - 100
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 13 67,210 24
- 1900 286,900
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 2,000
- 100 21,000 500
- 0 -
- 0 -
- 0 -
46,500 0 - 200
- 0 -
- 995 170,145
- 20 46,500 25
- 0 -
- 0 -
- 37 86,543
- 0 - 1,000
- 0 -
- 200 30,000 2,000
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 500
- 0 -
- 0 -
- 0 -
- 0 - 500
- 0 - 1,000
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 300 198,000
- 0 -
- 0 - 24
- 0 - 5
- 0 -
- 0 -
- 700 35,000 3000
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 30 63,000
- 0 -
- 0 -
- 0 - 1,000
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 105 88,935
- 0 -
- 0 -
- 0 - 500
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 800 664,224 2,000
- 0 -
- 0 - 1,000
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 500
- 700 71,400 2,000
- 0 -
- 800 364,800
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 500
- 2 80,256
- 0 -
- 9 42,300
- 0 - 50
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 1,000
- 0 -
- 0 -
- 21 157,500 20
- 0 -
- 0 -
- 300 45,000
- 0 -
- 0 -
64,500 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 10 26,000
- 0 -
- 0 -
- 30 40,440
- 0 -
- 0 -
- 0 - 20
- 0 -
- 0 -
- 0 - 200
- 10 52,040
- 0 -
- 3 3,480 100
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 1300 443,300
- 0 -
- 0 -
- 400 28,800
- 2000 315,980
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 1000 73,000 1,000
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 50
- 0 -
- 500 61,000 1,000
- 40 305,200 60
- 800 229,600
- 0 -
- 0 -
- 0 -
- 5 7,375 24
- 3 19,278 24
- 0 -
- 0 -
- 400 484,000 600
- 0 -
- 0 -
- 0 -
- 0 -
- 1200 52,800 1,000
- 0 -
- 0 - 50
- 0 -
- 0 -
- 0 -
- 1100 286,000
- 0 -
- 0 -
- 2200 561,000
- 0 -
- 0 -
- 0 -
- 200 33,800 1,500
- 0 -
- 500 345,595
- 0 -
- 4 612,000 10
- 52 1,037,608
- 42 6,544,146
- 60 4,739,460
- 0 -
- 44 1,055,604
- 36 2,231,856
- 0 -
- 40 6,359,760
- 18 305,910
- 0 -
- 2 35,200
- 0 -
- 200 12,000 2,500
- 0 -
- 2 4,978 10
- 0 -
- 0 - 300
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 300 316,800 500
- 0 -
- 0 -
- 0 -
- 0 - 300
- 0 -
- 200 330,000
- 40 48,659 50
- 100 105,600 100
- 0 -
- 0 -
- 400 405,244
- 0 -
- 0 -
- 0 - 500
- 0 -
- 0 -
- 0 -
- 50 157,500
- 30 99,000
- 15 85,665
- 24 504,000
- 50 1,726,900
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 10 460,166
- 0 -
- 0 -
- 35 301,000
- 85 731,000
- 0 - 50
- 0 -
- 200 350,000
- 0 -
- 0 - 400
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 75 439,875
- 0 - 100
- 0 -
- 0 -
- 2 13,750 100
- 0 -
- 0 - 50
- 0 -
- 0 - 100
- 0 -
- 0 -
- 0 -
- 9 226,782
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 3
- 0 -
- 2 268,182
- 0 - 100
- 15 13,365 100
- 0 -
- 0 -
- 8 160,000
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 8 624,920
- 25 675,000
- 0 -
- 0 -
- 0 - 200
- 0 -
- 25 180,941
- 25 221,750
- 25 208,750 25
- 0 -
- 75 622,500
- 0 -
- 300 15,840,000
- 25 355,950
- 2 895,582
- 0 -
- 4 81,576
- 0 - 24
- 0 -
- 0 -
- 0 -
- 24 718,344
- 0 -
- 9 1,306,800
- 0 - 7
- 0 -
- 7 924,000
- 25 1,520,328
- 30 401,031
- 24 137,808
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 17 467,500
- 7 4,620,000
- 10 4,750,000
- 8 2,520,000
- 4 860,000
- 300 1,650,000
- 0 -
- 15 750,000
- 0 -
- 0 -
- 0 -
- 54 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 7 210,000
- 0 -
- 10 3,000,000
- 10 999,990
- 0 - 600
- 0 -
- 12 -
- 15 9,900,000
- 12 -
- 30 3,900,000
- 0 -
- 10 275,000
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 9 247,500
- 0 -
- 2475 2,932,875
- 0 -
- 138 -
- 20 -
- 35 -
- 80 -
- 20 -
- 10 -
- 19 266,000
- 2344 185,176
- 0 -
- 0 -
- 0 -
- 20 30,800
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 1 302,500
- 0 -
- 0 -
- 0 -
138,500.00 101,435,564.75
LAPORAN PEMAKAIAN

KODE PUSKESMAS :
PUSKESMAS : BUKI
KECAMATAN : BUKI
KABUPATEN : KEPULAUAN SELAYAR
PROPINSI : SULAWESI SELATAN

STOK PENERI
NO NAMA OBAT SATUAN HARGA NILAI
AWAL MAAN
1 2 3 4 5 6 7

1 ACETOSAL Tab 105.000 0 -

2 ALBENDAZOL TABLET 400 MG HOLI Tab 380.00 0 -

3 ALBENDAZOL TABLET 400 MG HOLI tab 404.000 0 -

4 ALBENDAZOL TABLET 400 MG HOLI Tab 366.500 400 146,600

5 ALBENDAZOL SUSPENSI Btl 4,300.000 62 266,600

6 ALOPURINOL TABLET 100 MG Tab 99.00 0 -

7 ALOPURINOL TABLET 100 MG Tab 89.00 400 35,600 200


8 ALOPURINOL TABLET 300 MG Tab 200.000 0 -

9 AMBROKSOL SIRUP Btl 7,700.000 0 -

10 AMBROKSOL TAB 30 MG Tab 270.00 0 -

11 AMINOFILIN TABLET 200 MG Tab 97.000 0 -

12 AMINOFILIN INJ 24 MG/ML-10 ML AMP 3,071.000 0 -

13 AMITRIPTILIN TABLET SALUT 25 MG Tab 165.00 0 -

14 AMITRIPTILIN TABLET SALUT 25 MG Tab 167.000 0 - 200


15 AMLODIPIN 10 MG Tab 74.00 0 -

16 AMLODIPIN 5 MG Tab 55.00 0 -

17 AMLODIPIN 5 MG Tab 79.000 0 -

18 AMOKSISILIN KAPLET 500 MG Kap 231.000 400 92,400 2000


AMOKSISILIN KAPLET 500 MG 265.00 0 -

19 AMOKSISILIN SIROP KERING 125 mg/5ml Btl 3,846.000 0 -

20 AMOKSISILIN SYRUP 250 MG/ML Btl 3,510.00 120 421,200

21 AMPICILIN SERBUK INJ 1 G Vial 9,473.000 0 -

22 ANTASIDA DOEN KOMBINASI TAB 500 MG Tab 60.000 0 - 3000


23 ANTASIDA DOEN KOMBINASI TAB 500 MG Tab 59.000 0 -

24 ANTASIDA DOEN SUSPENSI DAU Btl 1,756.00 60 105,360

25 ANTASIDA DOEN SUSPENSI 5,800.000 0 -

26 ANTIBAKTERI DOEN SALEP KOMBINASI Tube 3,365.000 0 -

27 ANTIFUNGI DOEN KOMBINASI Pot 4,782.000 0 -

28 ANTIHEMOROID SUPP SUPP 3,502.000 0 -

29 ASAM ASKORBAT (VIT C) 50 MG Tab 120.000 0 -

ASAM ASKORBAT (VIT C) 50 MG Tab 46.000 0 -

30 ASAM MEFENAMAT TABLET SALUT 500 MG Tab 117.000 0 - 1500


31 ASIKLOVIR KRIM 5 % Tube 2,367.000 0 -

32 ASIKLOVIR TABLET 200 MG Tab 236.000 0 -

33 ASIKLOVIR TABLET 400 MG Tab 429.000 300 128,700

34 ASETYLCYSTEINE 200 MG Tab 394.000 0 -


35 ATROPIN TETES MATA 0.5 % Btl 0 -

36 BETAHISTIN MESILAT TAB 6 MG TAB 92.00 200 18,400

37 BETAHISTIN MESILAT TAB 6 MG TAB 151.000 0 -

38 BETAMETASON KRIM 0,1 % Tube 1,540.000 50 77,000

39 BETAMETASON KRIM 0,1 % Tube 1,515.000 6 9,090

40 BISAKODIL SUPPOSITORIA SUPP 6,000.000 0 -

41 BISAKODIL SUPPOSITORIA SUPP 5,900.000 0 -

42 BISOPROLOL FUMARATE Tab 695.000 0 -

43 BISOPROLOL TABLET 5 MG NOVELL Tab 143.00 300 42,900

44 CARBAMAZEPIN TAB 200 MG Tab 250.000 300 75,000

CARBAMAZEPIN TAB 200 MG Tab 216.00 500 108,000

45 CETIRIZINE SIRUP Btl 7,756.000 0 -

46 ceterizin cap cap 104.000 0 -

47 CETIRIZINE TAB Tab 52.00 0 - 1500


48 CLOBAZAM TAB 10 MG Tab 1,110.000 0 -

49 CURCUMA TAB Tab 1,150.000 0 -

50 DEKSAMETASON INJ 5 MG/ML - 1 ML Amp 968.00 20 19,360

51 DEKSAMETASON TABLET 0,5 MG Tab 69.000 600 41,400 500


52 DEKSAMETASON TABLET 0,5 MG Tab 154.000 0 -

53 DIAZEPAM INJ 5 MG/ML Amp 1,913.00 10 19,130

54 DIAZEPAM REKTAL SUPP 14,459.000 0 -

55 DIAZEPAM TABLET 5 MG Tab 109.000 600 65,400

56 DIAZEPAM TABLET 2 MG Tab 86.000 0 -

57 DIFENHIDRAMIN INJ 10 MG/ML Amp 1,346.000 0 -

DIFENHIDRAMIN INJ 10 MG/ML Amp 825.00 0 -

58 DIGOKSIN TABLET 0,25 MG Tab 108.000 0 -

59 DIGOKSIN TABLET 0,25 MG Tab 104.000 0 -

60 DILTIAZEM TAB 30 MG Tab 142.000 100 14,200

61 DIMENHIDRINAT TAB 50 MG Tab 109.00 0 -

62 DIMENHIDRINAT TAB 50 MG tab 121.000 0 -

63 DOKSISIKLIN KAPSUL 100 MG Kap 309.000 0 -

64 DOMPERIDON DROPS btl 17,939.000 0 -

65 DOMPERIDON SIRUP 5 MG Btl 2,401.00 0 -

66 DOMPERIDON TABLET 10 MG Tab 75.00 200 15,000

67 DOMPERIDON TABLET 10 MG Tab 96.00 0 -

68 EFINEFRIN INJ. Amp 2,904.000 20 58,080

69 EPINEFRIN/ADRENALIN INJ 1 MG/ML Amp 1,518.00 0 -

70 ERITROMISIN KAPSUL 250 MG Kap 679.00 500 339,500

71 ERITROMISIN KAPSUL 500 MG Kap 781.000 0 -

72 ERITROMISIN KAPSUL 500 MG Kap 766.00 0 -

73 ERITROMISIN SIROP 200 MG/ 5 ML Btl 7,581.000 0 -

74 ETAKRIDIN (RIVANOL) 300 ml Btl 3,900.00 8 31,200

75 ETAKRIDIN (RIVANOL) 300 ml Btl 3,900.000 0 -

76 ETANOL 95 % 100 ml Btl 4,002.720 5 20,014

77 ETANOL 70 % 1000 ml Btl 31,250.000 0 -

78 ETANOL 70 % 1000 ml 31,247.700 0 -

79 ETHYLIS CHLORIDUM SEMPROT Btl 112,500.000 0 -


80 EUGENOL CAIRAN Btl 18,333.000 0 -

81 FENOBARBITAL AMPUL 2 ML Btl 2,265.000 0 -

82 FENOBARBITAL TABLET 30 MG Tab 177.000 0 -

83 FITOMENADION (VIT K) INJ. Ampul 3,900.00 30 117,000

84 FITOMENADION (VIT K) INJ. 4,236.000 0 -

85 FITOMENADION (VIT K) TABLET 10 MG Tab 818.00 0 -

86 FUROSEMIDA TABLET 40 MG Tab 84.000 0 -

87 GARAM ORALIT I SERBUK Sac 275.000 0 - 100

88 GARAM ORALIT I SERBUK Sac 317.000 0 -

89 GEMFIBROZIL KAPSUL 300 MG Kap 429.000 0 -

90 GEMFIBROZIL KAPSUL 300 MG Kap 436.000 0 -

91 GENTAMISIN INJ 80 MG/ML Amp 4,036.000 0 -

92 GENTAMISIN SALEP KULIT Pot 1,469.000 0 -

93 GENTAMISIN SULFAT TETES MATA 0,3 % Pot 5,170.00 13 67,210

94 GLIBENKLAMIDA TABLET 5 MG Tab 151.000 1900 286,900

95 GLIMEPIRIDE 2 MG Tab 207.000 0 -

96 GLISERIL GUALAKOLAT TABLET 100 MG Tab 260.000 0 -

97 GLUKOSA LARUTAN INFUS 10 % Btl 6,270.000 0 -

98 GLUKOSA LARUTAN INFUS 10 % 7,500.000 0 -

99 GLUKOSA LARUTAN INFUS 40 % Btl 1,597.000 0 -

100 GLUKOSA LARUTAN INFUS 5 % Btl 6,900.000 0 -

101 GLUKOSA LARUTAN INFUS 5 % btl 7,363.000 0 -

102 GRANTUSIF Tab 405.000 0 -

103 GRISEOFULVIN TABLET 125 MG Tab 210.000 100 21,000 500

104 GRISEOFULVIN TABLET 125 MG NOVAPHARIN Tab 263.00 0 -

105 HALOPERIDOL INJ. 5 MG/ML Amp 6,250.000 0 -

106 HALOPERIDOL TABLET 2 MG Tab 90.000 0 -

HALOPERIDOL TABLET 2 MG Tab 93.000 0 -

107 HALOPERIDOL TABLET 5 MG Tab 60.00 0 - 100


108 HIDROKLOROTIAZIDA TABLET 25 MG Tab 171.000 995 170,145

109 HIDROKORTISON KRIM 2,5 % Tab 2,325.000 20 46,500 24

110 HIDROKORTISON KRIM 2,5 % Tube 2,838.000 0 -

111 HYOSIN BUTIL BROMIDA TAB 10 MG Tab 1,475.000 0 -

112 IBUPROFEN SIRUP 15 MG/ML Btl 2,339.00 37 86,543

113 IBUPROFEN TABLET 200 MG Tab 206.000 0 - 1000

114 IBUPROFEN TABLET 200 MG Tab 108.000 0 -

115 IBUPROFEN TABLET 400 MG Tab 150.00 200 30,000 1500

116 IBUPROFEN TABLET 400 MG Tab 133.000 0 -

117 ISONIAZID TABLET 300 MG Tab 106.700 0 -

118 ISOSORBID DINITRAT TABLET 5 MG Tab 93.000 0 -

119 ISOSORBID DINITRAT TABLET 5 MG YARINDO Tab 89.00 0 -

120 KALIUM DIKLOFENAK TAB 50 MG Tab 63.00 0 -

121 KALSIUM GLUCONAS INJ Amp 10,351.000 0 -

122 KALSIUM LAKTAT TABLET 500 MG Tab 63.00 0 -

123 KALSIUM LAKTAT TABLET 500 MG 60.00 0 -

124 KALSIUM LAKTAT TABLET 500 MG Tab 63.000 0 -

125 KAPTOPRIL 12.5 MG Tab 68.00 0 -


126 KAPTOPRIL 12.5 MG Tab 67.000 0 -

127 KAPTOPRIL 12.5 MG KF Tab 68.00 0 -

128 KAPTOPRIL 25 MG Tab 135.000 0 -

129 KAPTOPRIL 25 MG Tab 75.000 0 -

130 KAPTOPRIL 50 MG Tab 143.000 0 -

131 KAPTOPRIL 50 MG KF Tab 134.00 0 -

132 KETOKENAZOL KRIM Tube 3,135.000 0 -

133 KETOKENAZOL TAB 200 MG Tab 297.000 0 -

134 KLONIDIN TABLET 0.15 MG Tab 145.000 0 -

135 KLORAMFENIKOL SALEP KULIT 3 % Tube 3,327.000 0 -

136 KLORAMFENIKOL KAPSUL 500 MG Kapsul 1,337.990 0 -

137 KLORAMFENIKOL KAPSUL 250 MG Kapsul 660.00 300 198,000

138 KLORAMFENIKOL KAPSUL 250 MG Kapsul 329.000 0 -

139 KLORAMFENIKOL SALEP MATA 1% Kapsul 2,148.00 0 -

140 KLORAMFENIKOL SUSP 125 MG/ 5 ML Btl 4,982.000 0 -

141 KLORAMFENIKOL TETES MATA 0.5 % Tube 0.000 0 -

142 KLORAMFENIKOL TETES TELINGA 3 % 0 -

143 KLORFENIRAMINA MALEAT TAB 4 MG Tab 50.000 700 35,000 2000

144 KLORFENIRAMINA MALEAT TAB 4 MG Tab 39.000 0 -

145 KLORPROMAZIN TAB SALUT 100 MG Tab 170.000 0 -

146 KLORPROMAZIN TAB SALUT 100 MG MERSIFARM Tab 170.00 0 -

147 KOTRIMOKSAZOL DOEN I (DEWASA) 480 MG Tab 325.00 0 - 500


148 KOTRIMOKSAZOL DOEN (DEWASA)480 MG Tab 125.000 0 -

149 KOTRIMOKSAZOL DOEN II (ANAK) Tab 79.000 0 -

150 KOTRIMOKSAZOL SUSPENSI Btl 2,100.00 30 63,000

151 KOTRIMOKSAZOL SUSPENSI Btl 2,190.000 0 -

152 KOTRIMOKSAZOL SUSPENSI MERSIFARM Btl 2,052.00 0 -

153 KOTRIMOKSAZOL TABLET 480 MG MERSIFARM Tab 125.00 0 -

154 KUINIDIN 100 MG TABLET Tab 0 -

155 KUINIDIN 200 MG TABLET Tab 0 -

156 KUININ (KINA) TABLET 200 MG Tab 0 -

157 KUININ INJEKSI 25 % Tab 0 -

158 KUININ SULFAT TAB 222 MG (7 H2O) Tab 641.670 0 -

159 LANSOPRAZOL 30 MG KAP 360.000 0 -

160 LIDOKAIN SPRAY BTL 177,216.000 0 -

161 LIDOKAIN INJ 2 % Amp 847.00 105 88,935

162 LIDOKAIN INJ 2 % + EPINEFRIN 1,405.000 0 -

163 LISOL DENGAN KRESOL SABUN 50 % Btl 31,800.000 0 -

164 LOPERAMIDE TAB 2 MG Tab 90.000 0 -

165 LOPERAMIDE TAB 2 MG Tab 460.000 0 -

166 LOPERAMIDE TAB 2 MG Tab 85.000 0 -

167 LORATADIN TAB Tab 136.000 0 -

168 LORATADIN TABLET 10 MG PROMED Tab 117.00 0 -

169 LUBIRE Tab 5,225.00 0 -

170 MEBENDAZOL SIROP 100 MG/ 5 ML Btl 0 -

171 MEBENDAZOL TABLET 100 MG Tab 0 -

MELOXICAM KAPS 7,5 MG 830.28 800 664,224 1500


172 METAMPIRON TABLET 500 MG (ANTALGIN) Tab 141.850 0 -

173 METFORMIN TAB 500 MG Tab 77.00 0 -

174 METFORMIN TAB 500 MG Tab 109.000 0 -

175 METFORMIN TAB 850 MG Tab 240.000 0 -

176 METILERGOMETRIN MALEAT INJ 0.2 MG Amp 3,399.000 0 -

177 METILERGOMETRIN MALEAT TABLET 0.125 MG Tab 133.100 0 -

178 METILERGOMETRIN MALEAT TABLET 0.125 MG Tab 245.000 0 -

179 METILPREDNISOLON TAB 4 MG Tab 102.00 700 71,400 1000


180 METILPREDNISOLON TAB 4 MG Tab 148.000 0 -

181 METILPREDNISOLON TAB16 MG Tab 456.00 800 364,800

182 METILPREDNISOLON TAB16 MG Tab 548.00 0 -

183 METOKLOPRAMIDE TAB 10 MG TAB 93.000 0 -

184 METOKLOPRAMIDE TAB 10 MG KF Tab 87.00 0 -

185 METRONIDAZOL TABLET 250 MG Tab 116.000 0 -

186 METRONIDAZOL TABLET 250 MG PHYTO Tab 93.00 0 -

187 METRONIDAZOL TABLET 500 MG Tab 660.000 0 -

188 MDT MB KUSTA DEWASA BLISTER 40,128.000 2 80,256

189 MgSO4 20% Btl 3,327.990 0 -

190 MgSO4 40% Btl 4,700.000 9 42,300

191 MIKONAZOLE KREAM Tube 1,900.00 0 -

192 MIKONAZOLE KREAM Tube 3,926.000 0 -

193 MIKONAZOLE KREAM 2% KF Tube 2,462.00 0 -

194 MIKORIN POWDER POT 26,950.000 0 -

195 MINERAL MIX Succ 2,723.000 0 -

196 MINERAL MIX Succ 2,550.000 0 -

197 MULTIVITAMIN TAB VINETRON Tab 1,848.000 0 -

198 MULTIVITAMIN TAB VINETRON Tab 1,705.000 0 -

199 MULTIVITAMIN TAB MEVITON 1,592.250 0 -

200 MULTIVITAMIN SYR CAMIVITA DAU Btl 5,300.000 0 -

201 NATRIUM DKLOFENAK TABLET 25 MG Tab 109.00 0 -

202 NATRIUM DKLOFENAK TABLET 50 MG Tab 109.00 0 -

203 NATRIUM DKLOFENAK TABLET 50 MG Tab 145.00 0 -

204 NATRIUM KLORIDA LARUTAN INFUS 0.9 % Btl 6,840.00 0 -

205 NATRIUM KLORIDA LARUTAN INFUS 0.9 % Btl 7,500.000 21 157,500 20

206 NIPEDIFINE TAB 10 MG Tab 120.000 0 -

NIPEDIFINE TAB 10 MG 221.00 0 -

NIPEDIFINE TAB 10 MG 150.000 300 45,000

207 NISTATIN 100.000 IU Tab 627.000 0 -

208 NISTATIN 500.000 IU Tab 704.000 0 -

209 NISTATIN VAGINAL TAB 100.000 UI Tab 645.00 0 -

210 NISTATIN VAGINAL 100.000 IU Tab 645.00 0 -

211 OBAT ANTITUBERKULOSIS KAT 1 DEWASA Tab 415,469.00 0 - 3

212 OBAT ANTITUBERKULOSIS KAT 1 DEWASA 356,829.000 0 -

213 OBAT ANTITUBERKULOSIS KAT 1 DEWASA 447,791.000 0 -

214 OBAT ANTITUBERKULOSIS KAT 2 DEWASA Tab 1,319.900 0 -

215 OBAT ANTITUBERKULOSIS KAT 2 DEWASA Paket 1,492,579 0 -

216 OBAT ANTITUBERKULOSIS KAT ANAK Tab 236,500.000 0 -


217 OBAT ANTITUBERKULOSIS KAT ANAK KF Paket 267,397 0 -

218 OBAT ANTITUBERKULOSIS SISIPAN DEWASA Tab 175,980.000 0 -

219 OBAT BATUK HITAM CAIRAN Btl 1,339.800 0 -

220 OKSITETRASIKLIN HCL SALEP 3 % Tube 3,600.000 0 -

221 OKSITETRASIKLIN HCL SALEP MATA 1 % Tube 2,600.000 10 26,000

222 OKSITETRASIKLIN SALEP MATA 1% KF Tube 3,926.00 0 -

223 OKSITOSIN INJ 10 IU/ML Amp 1,232.000 0 -

224 OKSITOSIN INJ 10 IU/ML 1,348.000 30 40,440

225 OMEPRAZOLE KAP 20 MG Tab 780.000 0 -

226 OMEPRAZOLE KAPSUL 20 MG Kapsul 148.00 0 -

227 OMEPRASOL INJ 40 MG/ML vial 5,346.00 0 -

228 OMEPRAZOLE INJ 11,868.00 0 -

229 OAM(ACT)DHP-FRIMAL 2,000.00 0 -

230 PAPAVERIN TABLET 40 MG Tab 680.000 0 -

231 PARACETAMOL DROPS 100 MG/ML (60 MG/0,6 ML) Btl 5,204.00 10 52,040

232 PARASETAMOL DROPS 100 MG/ML IGM Btl 7,646.00 0 -

233 PARASETAMOL SIROP 120 MG/ 5 ML Btl 1,160.00 3 3,480

234 PARASETAMOL SIROP 120 MG/ 5 ML Btl 4,700.000 0 -

235 PARASETAMOL SIROP 120 MG/ 5 ML Btl 1,160 0 - 100

236 PARASETAMOL TABLET 500 MG Tab 86.000 0 -

237 PARASETAMOL TABLET 500 MG MERSIFARM Tab 60.00 0 -

238 PARASETAMOL TABLET 500 MG MERSIFARM Tab 165.00 0 -

239 PEHACAIN INJ Amp 4,850.000 0 -

240 PENOL GLISEROL TETES TELINGA Btl 2,246.000 0 -

241 PIRANTEL SIRUP btl 9,100.000 0 -

242 PIRANTEL TABLET SCORE 125 MG Tab 341.00 1300 443,300

243 PIRASETAM 1200 Tab 854.000 0 -

244 PIRASETAM 400 Tab 194.000 0 -

245 PIRIDOKSIN (VIT B6) TAB 10 MG Tab 72.00 400 28,800

PIRIDOKSIN (VIT B6) TAB 10 MG Tab 157.99 2000 315,980

246 PIROKSIKAM TABLET 20 MG Tab 215.000 0 -

247 PIROKSIKAM TABLET 20 MG Tab 189.500 0 -

248 PITOGIN AMPUL 1 ML Amp 11,550.000 0 -

249 POVIDON IODIDA 10 % 1000 ML Btl 149,313.000 0 -

250 POVIDON IODIDA 10 % 1000 ML MAHAKAM Btl 139,313.00 0 -

251 POVIDON IODIDA 10 % 30 ML Btl 3,624.500 0 -

252 POVIDON IODIDA 10 % 300 ML Btl 22,498.300 0 -

253 POVIDON IODIDA 10 % 300 ML Btl 15,386.000 0 -

254 POVIDON IODIDA BETADIN 5 G SALEP Tube 7,039.00 0 -

255 POVIDON SALEP Tube 6,348.000 0 -

256 PREDNISON TABLET 5 MG Tab 73.00 1000 73,000 1000


257 PRIMAUINE/PRIMAQUINE TAB 15 Tab 253.000 0 -

258 PROPANOLOL TABLET 10 MG Tab 59.000 0 -

259 PROPANOLOL TABLET 40 MG Tab 59.000 0 -

260 PROPILITIOURASIL TABLET 100 MG Tab 351.000 0 -

261 RANITIDIN INJ 25 MG / 2 ML Amp 1,155.00 0 -

262 RANITIDIN INJ 25 MG / 2 ML Amp 858.00 0 - 25


263 RANITIDIN TABLET 150 MG Tab 85.00 0 - 100
264 RANITIDIN TABLET 150 MG Tab 122.00 500 61,000

265 RINGER LAKTAT INFUS Btl 7,630.00 40 305,200 60


266 RISPERIDON 2 MG Tab 287.000 800 229,600

267 SALBUTAMOL SIRUP 5,463.000 0 -

268 SALBUTAMOL TABLET 4 MG KF Tab 195.00 0 -

269 SALBUTAMOL TABLET 2 MG Tab 150.000 0 -

270 SALEP 2-4 KOMBINASI Tube 1,475.000 5 7,375 20


271 SALISIL BEDAK 2 % Pot 6,426.00 3 19,278 5
272 SCABIMATE CREM SACH 12,155.000 0 -

273 SALISIL BEDAK 2 % TUBE 6,426.00 0 -

274 SEFADROKSIL KAPSUL 500 MG Kapsul 1,210.000 400 484,000 300


275 SEFADROKSIL KAPSUL 500 MG Kapsul 492.00 0 -

276 SEFADROKSIL SIROP KERING 125 MG / 5 ML Btl 4,133.000 0 -

277 SEFOTAKSIM 1000 MG Vial 5,700.000 0 -

278 SEFOTAKSIM INJ 1000 MG RAMA Vial 4,410.00 0 -

279 SIANOKOBALAMIN TABLET 50 MCG Tab 44.00 1200 52,800 1000


280 SIANOKOBALAMIN TABLET 50 MCG KF Tab 51.00 0 -

281 SIANOKOBALAMIN VIT B12 INJ 500 MCG/ML Ampul 1,160.00 0 -

282 SIANOKOBALAMIN VIT B12 INJ 500 MCG/ML 3,070.000 0 -

283 SIMVASTATIN TABLET 10 MG TAB 73.00 0 -

284 SIMVASTATIN TABLET 10 MG 117.000 0 -

285 SIPROFLOKSASIN KAPLET 500 MG Kaplet 260.00 1100 286,000

286 SULFASETAMID TETES MATA 15 % Btl 12,500.000 0 -

287 TABLET TAMBAH DARAH KOMBINASI Tab 409.000 0 -

TABLET TAMBAH DARAH KOMBINASI Tab 255.00 2200 561,000

288 TETRASIKLIN KAPSUL 500 MG Kapsul 346.000 0 -

289 TETRASIKLIN KAPSUL 500 MG Kapsul 324.000 0 -

290 TIAMIN (VIT B1) INJ 100 MG/ML Amp 730.000 0 -

291 TIAMIN (VIT B1) TABLET 50 MG Tab 169.000 200 33,800

292 TIAMIN (VIT B1) TABLET 50 MG 90.000 0 -

293 TRIHEKSIFENIDIL 25 MG Tab 691.190 500 345,595

294 VAKSIN ANTI RABIES INJ vial 165,000.000 0 -

VAKSIN ANTI RABIES INJ vial 153,000.00 4 612,000 8


295 VAKSIN POLIO (bOPV) 10 ds Vial 19,954.000 52 1,037,608

296 VAKSIN MR 10 ds Vial 155,813.000 42 6,544,146

297 VAKSIN DPT-HB-HIB 5 ds Vial 78,991.000 60 4,739,460

VAKSIN HB Ig Vial 1,325,000.000 0 - 1

VAKSIN HB UNIJECT (HBO) 1 ds Vial 23,991.000 44 1,055,604

298 VAKSIN BCG Vial 61,996.000 36 2,231,856

299 VAKSIN HEPATITIS B Vial 23,991.000 0 -

300 VAKSIN IPV Vial 158,994.000 40 6,359,760

301 VAKSIN Td 10 ds VIAL 16,995.000 18 305,910

VAKSIN DT 10 ds VIAL 17,996.00 0 -

302 VITAMIN A 100.000 UI Btl 17,600.00 2 35,200

303 VITAMIN A 200.000 UI Btl 31,850.00 0 -

306 VITAMIN B KOMPLEKS TABLET Tab 60.000 200 12,000 2000


307 VITAMIN B KOMPLEKS TABLET Tab 135.000 0 -

308 ZINK SIRUP Btl 2,489.000 2 4,978 6

309 ZINK SIRUP MEPROFARM Btl 3,285.00 0 -

310 ZINK TAB 20 MG Tab 2,000.00 0 -

311 ZINK TAB 20 MG Tab 604.00 0 -

312 ZINK TAB 20 MG 586.000 0 -

PERBEKALAN KESEHATAN 0 -

1 ACCU-CHECK PERFORMA Btl 420,000.000 0 -

2 ALAT SUNTIK SEKALI PAKAI 2,5/3 ML Set 851.53 0 -

3 ALAT SUNTIK SEKALI PAKAI 2,5/3 ML Set 1,056.00 300 316,800 200
4 ALAT SUNTIK SEKALI PAKAI 3 ML Set 1,108.800 0 -

5 ALAT SUNTIK SEKALI PAKAI 0,05 ML Set 1,456.000 0 -

6 ALAT SUNTIK SEKALI PAKAI 0,05 ML Set 1,240.000 0 -

7 ALAT SUNTIK SEKALI PAKAI 0,5 ML Set 1,240.00 0 -

8 ALAT SUNTIK SEKALI PAKAI 0,5 ML 1,240.00 0 -

9 ALAT SUNTIK SEKALI PAKAI 0,5 ML 1,650.000 200 330,000 300

10 ALAT SUNTIK SEKALI PAKAI 10 ML Set 1,216.470 40 48,659 50


11 ALAT SUNTIK SEKALI PAKAI 1 ML Set 1,056.000 100 105,600 100

12 ALAT SUNTIK SEKALI PAKAI 1 ML Set 844.260 0 -

13 ALAT SUNTIK SEKALI PAKAI 10 ML Set 1,622.500 0 -

14 ALAT SUNTIK SEKALI PAKAI 5 ML Set 1,013.11 400 405,244

15 ALAT SUNTIK SEKALI PAKAI 5 ML 1,583.000 0 -

16 ALKOHOL 70% 1 LTR Box 206.640 0 -

17 ALKOHOL SWAB Box 151.20 0 - 500


18 AQUA PRO INJEKSI 25 ML Btl 2,650.00 0 -

19 BAJU HAZMAT COVER ALL Bh 475,000.000 0 -

20 BISTURI NO. 19 Pcs 3,150 0 -

21 BISTURI NO.20 3,150 50 157,500

22 BISTURI NO. 22 Pcs 3,300 30 99,000

23 CANULA DEWASA Pcs 5,711.00 15 85,665 5


24 CATGUT NO 2/0 21,000.00 24 504,000

25 CATGUT NO 3/0 Pcs 34,538.00 50 1,726,900

26 CATGUT NO 3/0 RNI Pcs 35,295.00 0 -

27 CATGUT NO 4/0 RNI Pcs 32,685.00 0 -

28 CATHEJELL Pcs 42,848.000 0 -

29 FOLEY CATETER 16 Bh 10,000.000 0 -

30 FOLEY CATETER 18 Bh 10,000.000 0 -

31 FOLEY CATETER 20 Bh 10,000.000 0 -

32 HAND RUB BTL 46,016.56 10 460,166

33 HAND RUB BTL 62,624.000 0 -

34 HAND RUB fresco BTL 76,274.470 0 -

35 HANDSCOEN 6,5 STERIL Roll 8,600.000 35 301,000

36 HANDSCON 7 Pasang 8,600.00 85 731,000

37 HANDSCON 7 1/2 STERIL Bks 8,600.00 0 - 50


38 HANDSCON 7 STERIL 11,990.000 0 -

39 HANDSCON L Pasang 1,750.00 200 350,000

40 HANDSCON L KARINDO Pasang 1,647.24 0 -


42 HANDSCON M Pasang 1,750.00 0 - 400
43 HANDSCON M 2,750.000 0 -

44 HANDSCON S Pasang 1,161.600 0 -

45 HANDSCON S 2,750.000 0 -

46 TREPOCHECK SYPHILIS Pcs 9,300.00 0 -

47 HIV TEST Pcs 15,377.000 0 -

48 HIV TEST Pcs 15,367.000 0 -

49 INFUSION SET ANAK SET 4,198.700 0 -

50 INFUSION SET ANAK AXIMED Pcs 5,865.00 75 439,875

51 INFUSION SET DEWASA Set 7,062.00 0 - 40


52 INFUSION SET DEWASA 1,540.00 0 -

53 IV CATHETER N0 22 G Set 13,894.000 0 -

IV CATHETER N0 22 G Set 6,875.000 2 13,750

54 IV CATHETER NO 18 Set 9,123.400 0 -

55 IV CATHETER NO 20 G Set 6,875.000 0 - 50


56 IV CATHETER NO 22 G NIPRO Pcs 6,875.00 0 -

57 IV CATHETER NO 24 G Set 7,194.00 0 -

58 IV CATHETER NO 24 G Set 14,493.600 0 -

59 KANULA ANAK Pcs 5,711.00 0 -

61 KAPAS PEMBALUT / ABSORBEN 250 GRAM Set 18,000.000 0 -

62 KAPAS PEMBALUT / ABSORBEN 250 GRAM Set 25,198.000 9 226,782

63 KAPAS PEMBALUT 250 GRAM DRC Roll 30,500.00 0 -

64 KASA KOMPRES 40/40 STERIL Bks 1,944.000 0 -

65 KASA PEMBALUT 2 M X 80 CM Bks 79,360.00 0 -

66 KASA PEMBALUT 2 M X 80 CM DRC Bks 10,661.00 0 -

67 KASA PEMBALUT HIDROFIL 20 yard x 80 cm Roll 81,920.000 0 -

68 KASA PEMBALUT HIDROFIL 20 yard x 80 cm Roll 79,360.000 0 -

69 KASA PEMBALUT HIDROFIL 40 X 80 CM DRC Roll 134,091.00 2 268,182 2

70 KASA PEMBALUT HIDROFIL 4 M X 15 CM DRC Bks 4,104.00 0 -

71 KASA PEMBALUT HIDROFIL 4 M X 3 CM Bks 891.00 15 13,365

72 KASA PEMBALUT HIDROFIL 4 M X 5 CM ELASTIS Bks 2,750.000 0 - 50

73 KASA PEMBALUT HIDROFIL 16 M X 16 CM DRC Bks 4,200.00 0 -

74 LANCET Box 20,000.00 8 160,000

76 MASKER HIJAB Bh 580.800 0 -

77 MASKER KARET Bh 314.000 0 -

78 MASKER KAIN Bh 5,000.000 0 -

79 MASKER KAIN 5,000.000 0 -

80 NESCO / STRIP CHOLESTROL Btl 290,000.000 0 -

81 NASAL OKSIGEN DEWASA Bh 6,000.000 0 -

82 PLESTER 10 CM X 5 M Roll 49,632.000 0 -

83 PLESTER PHARMAFIX 10 CM X 500 CM Roll 51,305.00 0 -

84 PLESTER PHARMAFIX 15 CM X 500 CM Roll 78,115.00 8 624,920

85 PLESTER PHARMAFIX 5 CM X 500 CM Roll 27,000.00 25 675,000

86 PLESTER YARD Roll 43,700.000 0 -

87 SAMPEL CONTAINER/POT 2,342.00 0 - 100

88 POT SPUTUM Pot 2,272.00 0 -

89 REAGEN SYPHILIS Pcs 20,400.000 0 -


90 STRIP BIOLINE SYPIHILIS 3.0 100T 7,237.630 25 180,941

91 TREPOCHECK SYPHILIS 8,870.000 25 221,750

92 RAPID 1 (SD) /HIV TEST 8,350.00 25 208,750

93 RAPID TES HIV 1 7,879.00 0 - 25

94 RAPID TEST HBsAg /VIROCHECK 8,300.00 75 622,500

95 RAPID TEST ANTIGEN COVID 19 CLUNGENE Box 60,500.00 0 -

96 RAPID TEST ANTIGEN COVID 19 CLUNGENE Box 52,800.00 300 15,840,000

97 RDT MALARIA Box 14,238.000 25 355,950

99 FDC OAT KATAGORI 1 PKT 447,791.00 2 895,582

100 SAFETY BOX 21,566.890 0 -

101 SAFETY BOX 20,394.000 4 81,576

102 SILK 2/0 SET 21,875.000 0 -

103 SILK 2/0 TROGE Pcs 42,601.900 0 -

SILK 2/0 21,458.334 0 -

104 SILK 3/0 SET 6,400.000 0 -

105 SILK 3/0 SET 29,931.00 24 718,344

106 SILK 3/0 TROGE Pcs 43,429.100 0 -

107 STRIP ASAM URAT NESCO Box 145,200.00 9 1,306,800

108 STRIP CHOLESTEROL Box 231,000.00 0 -

109 SRTIP GULA NESCO Btl 132,000.000 0 -

SRTIP GULA NESCO Btl 132,000.000 7 924,000

111 STRIP SD BIOLINE DENGUE DUO BOX 60,813.12 25 1,520,328

112 STRIP SD BIOLINE HIV 1/2 3.0 BOX 13,367.70 30 401,031

113 URIN BAG TANPA HANGER BH 5,742.00 24 137,808

114 URIN BAG TROGE Pcs 8,877.00 0 -

115 WING NEEDLE NO.23 Pcs 1,400.000 0 -

116 WING NEEDLE NO.25 Pcs 1,400.000 0 -

117 WING NEEDLE NO.27 Pcs 1,400.000 0 -

PENANGANAN CORONA VIRUS 0 -

1 FACE SHIELD 27,500.000 17 467,500

2 PAKAIAN PELINDUNG/HAZMAT PCH 660,000.000 7 4,620,000

3 PAKAIAN PELINDUNG/HAZMAT SET 475,000.000 10 4,750,000

4 VISOR/SHIELDFACE/HELM BUAH 315,000.000 8 2,520,000

5 SEPATU BOOT PSG 215,000.000 4 860,000

6 WIND NEEDLE PCS 5,500.000 300 1,650,000

7 COLD BOX KAPASITAS 6 L BOX 4,500,000.000 0 -

8 CAIRAN NaOCl BTL 50,000.000 15 750,000

9 SARUNG TANGAN NON STERIL PCH 1,800.000 0 -

10 APD SET SET 3,902,499.700 0 -

11 BAJU APD 660,000.000 0 -

12 SARUNG TANGAN PANJANG 54 -

13 SEPATU BOOT 0 -

14 MASKER 2,640.00 0 -

19 KACA MATA SAFETY 0 -

20 HAND RUB 250 ML BTL 71,692.500 0 -

21 SARUNG TANGAN STERIL PSG 8,000.000 0 -

22 HANDSCOON NON STERIL BTL 900.00 0 -


25 HAND SANITEZER BTL 19,500.00 0 -

26 SURGICAL MASK PCH 5,000.000 0 -

27 HANDSCOON NON STERIL M PSG 1,540.00 0 -

31 BUKU SAKU 30,000.000 7 210,000

32 KANTONG SAMPAH MEDIS 3,000.00 0 -

36 KANTONG JENAZAH 300,000.000 10 3,000,000

37 KANTONG JENAZAH 99,999.000 10 999,990

38 MASKER BEDAH 770.000 0 -

BANTUAN DINKES PROVINSI 0 -

1 BAJU APD MEREK SANDON ( DINKES PROVINSI ) PCH 12 -

2 BAJU APD MEREK SANDON ( DINKES PROVINSI ) 660,000.00 15 9,900,000

FACE SHIELD PCH 12 -

VIRUS COLLECTION & TRANSPORT TUBE BTL 130,000.00 30 3,900,000

VITAMIN C 500 MG TAB 600.00 0 - 2000


FACE SHIELD BTL 27,500.00 10 275,000

HAND SANITIZER 37,812.50 0 -

HAND SANITIZER 19,500.00 0 -

HANDSCOON NON STERIL M 1,540.00 0 -

APD SET IMUNISASI : 0 -

HAND SANITIZER 30,250.00 0 -

MASKER BEDAH 990.00 0 -

MASKER 2,640.00 0 -

HANDSCOON NON STERIL L 1,870.00 0 -

KANTONG MEDIS 3,000.00 0 -

FACE SHIELD 27,500.00 9 247,500

PROGRAM IMUNISASI/VAKSIN CORONA 0 -

ALAT SUNTIK SEKALI PAKAI 0,5 ML PCH 1,185.00 2475 2,932,875

ALAT SUNTIK SEKALI PAKAI 0,3 ML 1,255.00 0 - 120


ALAT SUNTIK SEKALI PAKAI 3 ML 569.00 0 - 10
VAKSIN COVID-19 (10 DOSIS ) VIAL 1,339,440.00 0 -

VAKSIN COVID-19 CORONAVAC ( 2 DOSIS ) VIAL 138 -

VAKSIN COVID-19 MODERNA (14 DOSIS ) VIAL 20 -

VAKSIN MODERNA 10 DOSIS VIAL 35 -

VAKSIN COVID 19 JANSSENS 5 DOSIS VIAL 80 -

VAKSIN COVID 19 ASTRAZENECA 10 DOSIS VIAL 20 -

VAKSIN COVID-19 COVOVAX 10 DOSIS 10 -

VAKSIN Covid -19 Pfizer (6 Dosis) 0 - 10


SAFETY BOX 5 L PKM 1 BOX 14,000.00 19 266,000

SAFETY BOX 5 L PKM 1 5,382.00 0 1


ALKOHOL SWAB PKM VIAL 79.00 2344 185,176 120
NaCl 10 ml 3,280.00 0 - 10
PENANGANAN CORONA VIRUS DISEASE DINKES 0 -

1 MASKER BEDAH PCS 770.00 0 - 500


HAND SANITIZER PCS 19,250.00 0 -

HANDSCOON NON STERIL M PCS 1,540.00 20 30,800

RAPID TEST ANTIGEN COVID 19 CLUNGENE PCS 60,500.00 0 -

OBAT GIGI 0 -
1 ETIL KLORIDA Btl 126,500.00 0 -

2 COMPOSIT ANTERIOR A2 SOLARE Pcs 675,000.000 0 -

3 COMPOSIT ANTERIOR A3 SOLARE Pcs 675,000.000 0 -

4 COMPOSIT POSTERIOR A2 SOLARE Pcs 675,000.000 0 -

5 COMPOSIT POSTERIOR A3 SOLARE Pcs 675,000.000 0 -

6 DYCAL Pcs 302,500.000 1 302,500

7 EUGENOL Btl 165,000.000 0 -

8 FUJI IX MINI/ GOLD LABEL Pcs 650,000.000 0 -

9 XYLESTESIN Pcs 795,000.000 0 -


TOTAL HARGA OBAT DAN BHP 101,435,564.75
ORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
( LPLPO )

BULAN
TRI WULAN
TAHUN

PERSE PEMA KADALUAR


NILAI NILAI NILAI NILAI
DIAAN KAIAN SA

8 9 10 11 12 13 14

- 0 - - -
- 0 - - -
- 0 - - -
- 400 146,600 - -
- 62 266,600 - -
- 0 - - -
17,800.00 600 53,400 600 53,400 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
33,400.00 200 33,400 100 16,700 -
- 0 - - -
- 0 - - -
- 0 - - -
462,000.00 2400 554,400 1900 438,900 -
- 0 - - -
- 0 - - -
- 120 421,200 30 105,300 -
- 0 - - -
180,000.00 3000 180,000 1400 84,000 -
- 0 - - -
- 60 105,360 32 56,192 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
175,500.00 1500 175,500 1200 140,400 -
- 0 - - -
- 0 - - -
- 300 128,700 - -
- 0 - - -
- 0 - - -
- 200 18,400 - -
- 0 - - -
- 50 77,000 38 58,520 -
- 6 9,090 6 9,090 -
- 0 - - -
- 0 - - -
- 0 - - -
- 300 42,900 - -
- 300 75,000 300 75,000 -
- 500 108,000 500 108,000 -
- 0 - - -
- 0 - - -
78,000.00 1500 78,000 700 36,400 -
- 0 - - -
- 0 - - -
- 20 19,360 20 19,360 -
34,500.00 1100 75,900 700 48,300 -
- 0 - - -
- 10 19,130 10 19,130 -
- 0 - - -
- 600 65,400 100 10,900 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 100 14,200 - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 200 15,000 - -
- 0 - - -
- 20 58,080 - -
- 0 - - -
- 500 339,500 - -
- 0 - - -
- 0 - - -
- 0 - - -
- 8 31,200 - -
- 0 - - -
- 5 20,014 - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 30 117,000 - -
- 0 - - -
- 0 - - -
- 0 - - -
27,500.00 100 27,500 - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 13 67,210 13 67,210 -
- 1900 286,900 - 1900 286,900
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
105,000.00 600 126,000 100 21,000 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
6,000.00 100 6,000 100 6,000 -
- 995 170,145 - 995 170,145
55,800.00 44 102,300 20 46,500 -
- 0 - - -
- 0 - - -
- 37 86,543 - -
206,000.00 1000 206,000 1000 206,000 -
- 0 - - -
225,000.00 1700 255,000 700 105,000 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 300 198,000 - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
100,000.00 2700 135,000 1900 95,000 -
- 0 - - -
- 0 - - -
- 0 - - -
162,500.00 500 162,500 200 65,000 -
- 0 - - -
- 0 - - -
- 30 63,000 13 27,300 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 105 88,935 60 50,820 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
1,245,420.00 2300 1,909,644 900 747,252 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
102,000.00 1700 173,400 1100 112,200 -
- 0 - 0 - -
- 800 364,800 - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 2 80,256 2 80,256 -
- 0 - - -
- 9 42,300 - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
150,000.00 41 307,500 16 120,000 -
- 0 - - -
- 0 - - -
- 300 45,000 - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
1,246,407.00 3 1,246,407 - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 10 26,000 10 26,000 -
- 0 - - -
- 0 - - -
- 30 40,440 - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 10 52,040 - -
- 0 - - -
- 3 3,480 3 3,480 -
- 0 - - -
116,000.00 100 116,000 96 111,360 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 1300 443,300 200 68,200 -
- 0 - - -
- 0 - - -
- 400 28,800 400 28,800 -
- 2000 315,980 600 94,794 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
73,000.00 2000 146,000 300 21,900 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
21,450.00 25 21,450 - -
8,500.00 100 8,500 100 8,500 -
- 500 61,000 300 36,600 -
457,800.00 100 763,000 60 457,800 -
- 800 229,600 - 800 229,600
- 0 - - -
- 0 - - -
- 0 - - -
29,500.00 25 36,875 - -
32,130.00 8 51,408 4 25,704 -
- 0 - - -
- 0 - - -
363,000.00 700 847,000 400 484,000 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
44,000.00 2200 96,800 500 22,000 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 1100 286,000 300 78,000 -
- 0 - - -
- 0 - - -
- 2200 561,000 1400 357,000 -
- 0 - - -
- 0 - - -
- 0 - - -
- 200 33,800 - -
- 0 - - -
- 500 345,595 - -
- 0 - - -
1,224,000.00 12 1,836,000 - -
- 52 1,037,608 - -
- 42 6,544,146 - -
- 60 4,739,460 - -
1,325,000.00 1 1,325,000 - -
- 44 1,055,604 - -
- 36 2,231,856 - -
- 0 - - -
- 40 6,359,760 - -
- 18 305,910 - -
- 0 - - -
- 2 35,200 - -
- 0 - - -
120,000.00 2200 132,000 1200 72,000 -
- 0 - - -
14,934.00 8 19,912 4 9,956 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
211,200.00 500 528,000 300 316,800 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
495,000.00 500 825,000 300 495,000 -
60,823.50 90 109,482 60 72,988 -
105,600.00 200 211,200 100 105,600 -
- 0 - - -
- 0 - - -
- 400 405,244 200 202,622 -
- 0 - - -
- 0 - - -
75,600.00 500 75,600 500 75,600 -
- 0 - - -
- 0 - - -
- 0 - - -
- 50 157,500 50 157,500 -
- 30 99,000 20 66,000 -
28,555.00 20 114,220 8 45,688 -
- 24 504,000 - -
- 50 1,726,900 25 863,450 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 10 460,166 10 460,166 -
- 0 - - -
- 0 - - -
- 35 301,000 5 43,000 -
- 85 731,000 40 344,000 -
430,000.00 50 430,000 20 172,000 -
- 0 - - -
- 200 350,000 150 262,500 -
- 0 - - -
700,000.00 400 700,000 300 525,000 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 75 439,875 50 293,250 -
282,480.00 40 282,480 36 254,232 -
- 0 - - -
- 0 - - -
- 2 13,750 2 13,750 -
- 0 - - -
343,750.00 50 343,750 50 343,750 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 9 226,782 5 125,990 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
268,182.00 4 536,364 4 536,364 -
- 0 - - -
- 15 13,365 8 7,128 -
137,500.00 50 137,500 30 82,500 -
- 0 - - -
- 8 160,000 1 20,000 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 8 624,920 4 312,460 -
- 25 675,000 10 270,000 -
- 0 - - -
234,200.00 100 234,200 100 234,200 -
- 0 - - -
- 0 - - -
- 25 180,941 - -
- 25 221,750 - -
- 25 208,750 - -
196,975.00 25 196,975 - -
- 75 622,500 - -
- 0 - - -
- 300 15,840,000 - -
- 25 355,950 - -
- 2 895,582 - -
- 0 - - -
- 4 81,576 - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 24 718,344 24 718,344 -
- 0 - - -
- 9 1,306,800 - -
- 0 - - -
- 0 - - -
- 7 924,000 4 528,000 -
- 25 1,520,328 - -
- 30 401,031 - -
- 24 137,808 8 45,936 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 17 467,500 - -
- 7 4,620,000 - -
- 10 4,750,000 - -
- 8 2,520,000 - -
- 4 860,000 - -
- 300 1,650,000 - -
- 0 - - -
- 15 750,000 15 750,000 -
- 0 - - -
- 0 - - -
- 0 - - -
- 54 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 7 210,000 - -
- 0 - - -
- 10 3,000,000 - -
- 10 999,990 - -
- 0 - - -
- 0 - - -
- 12 - - -
- 15 9,900,000 - -
- 12 - - -
- 30 3,900,000 - -
1,200,000.00 2000 1,200,000 300 180,000 -
- 10 275,000 - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 9 247,500 - -
- 0 - - -
- 2475 2,932,875 - -
150,600.00 120 - -
5,690.00 10

- 0 - - -
- 138 - - -
- 20 - - -
- 35 - - -
- 80 - - -
- 20 - - -
- 10 - - -
10

- 19 266,000 - -
5,382.00 1

9,480.00 2464 194,656 - -


32,800.00 10

- 0 - - -
385,000.00 500 385,000 500 385,000 -
- 0 - - -
- 20 30,800 20 30,800 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 1 302,500 - -
- 0 - - -
- 0 - - -
- 0 - - -
13,800,958.50 115,042,051.25 0 14,274,841.80 686,645.00
MARET

2022
Hal 1
SISA PERMINTAA
NILAI KET
STOK N

15 16 17 18

0 -
0 -
0 -
400 146,600
62 266,600
0 -
0 - 200
0 -
0 -
0 -
0 -
0 -
0 -
100 16,700
0 - 1,000
0 - 2,000
0 -
500 115,500 2,000
0 -
0 -
90 315,900
0 -
1600 96,000 3,000
0 -
28 49,168
0 -
0 -
0 -
0 -
0 -
0 - 2,000
300 35,100 2,000
0 -
0 -
300 128,700
0 -
0 -
200 18,400
0 -
12 18,480
0 -
0 -
0 -
0 -
300 42,900
0 -
0 -
0 -
0 -
800 41,600 1,500
0 -
0 -
0 -
400 27,600 500
0 -
0 -
0 -
500 54,500
0 -
0 -
0 - 50
0 -
0 -
100 14,200
0 - 300
0 -
0 -
0 -
0 - 10
200 15,000
0 -
20 58,080
0 -
500 339,500
0 -
0 -
0 -
8 31,200
0 -
5 20,014
0 -
0 -
0 -
0 -
0 -
0 -
30 117,000
0 -
0 -
0 - 200
100 27,500 100
0 -
0 -
0 -
0 -
0 -
0 - 24
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 - 2,000
500 105,000 500
0 -
0 -
0 -
0 - 200
0 -
0 -
24 55,800 25
0 -
0 -
37 86,543
0 - 1,000
0 -
1000 150,000 2,000
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 - 500
0 -
0 -
0 -
0 - 500
0 - 1,000
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
300 198,000
0 -
0 - 24
0 - 5
0 -
0 -
800 40,000 3000
0 -
0 -
0 -
300 97,500
0 -
0 -
17 35,700
0 -
0 -
0 - 1,000
0 -
0 -
0 -
0 -
0 -
0 -
0 -
45 38,115
0 -
0 -
0 - 500
0 -
0 -
0 -
0 -
0 -
0 -
0 -
1400 1,162,392 2,000
0 -
0 - 1,000
0 -
0 -
0 -
0 -
0 - 500
600 61,200 2,000
0 -
800 364,800
0 -
0 -
0 -
0 -
0 -
0 - 500
0 -
0 -
9 42,300
0 - 50
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 - 1,000
0 -
0 -
25 187,500 20
0 -
0 -
300 45,000
0 -
0 -
0 -
0 -
3 1,246,407
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
30 40,440
0 -
0 -
0 - 20
0 -
0 -
0 - 200
10 52,040
0 -
0 - 100
0 -
4 4,640
0 -
0 -
0 -
0 -
0 -
0 -
1100 375,100
0 -
0 -
0 -
1400 221,186
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
1700 124,100 1,000
0 -
0 -
0 -
0 -
0 -
25 21,450 50
0 -
200 24,400 1,000
40 305,200 60
0 -
0 -
0 -
0 -
25 36,875 24
4 25,704 24
0 -
0 -
300 363,000 600
0 -
0 -
0 -
0 -
1700 74,800 1,000
0 -
0 - 50
0 -
0 -
0 -
800 208,000
0 -
0 -
800 204,000
0 -
0 -
0 -
200 33,800 1,500
0 -
500 345,595
0 -
12 1,836,000 10
52 1,037,608
42 6,544,146
60 4,739,460
1 1,325,000
44 1,055,604
36 2,231,856
0 -
40 6,359,760
18 305,910
0 -
2 35,200
0 -
1000 60,000 2,500
0 -
4 9,956 10
0 -
0 - 300
0 -
0 -
0 -
0 -
0 -
200 211,200 500
0 -
0 -
0 -
0 - 300
0 -
200 330,000
30 36,494 50
100 105,600 100
0 -
0 -
200 202,622
0 -
0 -
0 - 500
0 -
0 -
0 -
0 -
10 33,000
12 68,532
24 504,000
25 863,450
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
30 258,000
45 387,000
30 258,000 50
0 -
50 87,500
0 -
100 175,000 400
0 -
0 -
0 -
0 -
0 -
0 -
0 -
25 146,625
4 28,248 100
0 -
0 -
0 - 100
0 -
0 - 50
0 -
0 - 100
0 -
0 -
0 -
4 100,792
0 -
0 -
0 -
0 -
0 - 3
0 -
0 -
0 - 100
7 6,237 100
20 55,000
0 -
7 140,000
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
4 312,460
15 405,000
0 -
0 -
0 - 200
0 -
25 180,941
25 221,750
25 208,750 25
25 196,975
75 622,500
0 -
300 15,840,000
25 355,950
2 895,582
0 -
4 81,576
0 - 24
0 -
0 -
0 -
0 -
0 -
9 1,306,800
0 - 7
0 -
3 396,000
25 1,520,328
30 401,031
16 91,872
0 -
0 -
0 -
0 -
0 -
17 467,500
7 4,620,000
10 4,750,000
8 2,520,000
4 860,000
300 1,650,000
0 -
0 -
0 -
0 -
0 -
54 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
7 210,000
0 -
10 3,000,000
10 999,990
0 - 600
0 -
12 -
15 9,900,000
12 -
30 3,900,000
1700 1,020,000
10 275,000
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
9 247,500
0 -
2475 2,932,875

0 -
138 -
20 -
35 -
80 -
20 -
10 -

19 266,000

2464 194,656

0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
1 302,500
0 -
0 -
0 -
100,080,564.45
LAPORAN PEMAKAIAN

KODE PUSKESMAS :
PUSKESMAS : BUKI
KECAMATAN : BUKI
KABUPATEN : KEPULAUAN SELAYAR
PROPINSI : SULAWESI SELATAN

STOK PENERI
NO NAMA OBAT SATUAN HARGA NILAI
AWAL MAAN
1 2 3 4 5 6 7

1 ACETOSAL Tab 105.000 0 -

2 ALBENDAZOL TABLET 400 MG HOLI Tab 380.00 0 -

3 ALBENDAZOL TABLET 400 MG HOLI tab 404.000 0 -

4 ALBENDAZOL TABLET 400 MG HOLI Tab 366.500 400 146,600

5 ALBENDAZOL SUSPENSI Btl 4,300.000 62 266,600

6 ALOPURINOL TABLET 100 MG Tab 99.00 0 -

7 ALOPURINOL TABLET 100 MG Tab 89.00 0 - 1000


8 ALOPURINOL TABLET 300 MG Tab 200.000 0 -

9 AMBROKSOL SIRUP Btl 7,700.000 0 -

10 AMBROKSOL TAB 30 MG Tab 270.00 0 -

11 AMINOFILIN TABLET 200 MG Tab 97.000 0 -

12 AMINOFILIN INJ 24 MG/ML-10 ML AMP 3,071.000 0 -

13 AMITRIPTILIN TABLET SALUT 25 MG Tab 165.00 0 -

14 AMITRIPTILIN TABLET SALUT 25 MG Tab 167.000 100 16,700 100


15 AMLODIPIN 10 MG Tab 74.00 0 - 1000
16 AMLODIPIN 5 MG Tab 55.00 0 -

17 AMLODIPIN 5 MG Tab 79.000 0 -

18 AMOKSISILIN KAPLET 500 MG Kap 231.000 500 115,500 3000


AMOKSISILIN KAPLET 500 MG 265.00 0 -

19 AMOKSISILIN SIROP KERING 125 mg/5ml Btl 3,846.000 0 -

20 AMOKSISILIN SYRUP 250 MG/ML Btl 3,510.00 90 315,900

21 AMPICILIN SERBUK INJ 1 G Vial 9,473.000 0 -

22 ANTASIDA DOEN KOMBINASI TAB 500 MG Tab 60.000 1600 96,000 2000
23 ANTASIDA DOEN KOMBINASI TAB 500 MG Tab 59.000 0 -

24 ANTASIDA DOEN SUSPENSI DAU Btl 1,756.00 28 49,168

25 ANTASIDA DOEN SUSPENSI 5,800.000 0 -

26 ANTIBAKTERI DOEN SALEP KOMBINASI Tube 3,365.000 0 -

27 ANTIFUNGI DOEN KOMBINASI Pot 4,782.000 0 -

28 ANTIHEMOROID SUPP SUPP 3,502.000 0 -

29 ASAM ASKORBAT (VIT C) 50 MG Tab 120.000 0 -

ASAM ASKORBAT (VIT C) 50 MG Tab 46.000 0 -

30 ASAM MEFENAMAT TABLET SALUT 500 MG Tab 117.000 300 35,100 1500
31 ASIKLOVIR KRIM 5 % Tube 2,367.000 0 -

32 ASIKLOVIR TABLET 200 MG Tab 236.000 0 -

33 ASIKLOVIR TABLET 400 MG Tab 429.000 300 128,700

34 ASETYLCYSTEINE 200 MG Tab 394.000 0 -


35 ATROPIN TETES MATA 0.5 % Btl 0 -

36 BETAHISTIN MESILAT TAB 6 MG TAB 92.00 200 18,400 100


37 BETAHISTIN MESILAT TAB 6 MG TAB 151.000 0 -

38 BETAMETASON KRIM 0,1 % Tube 1,540.000 12 18,480 50


39 BETAMETASON KRIM 0,1 % Tube 1,515.000 0 -

40 BISAKODIL SUPPOSITORIA SUPP 6,000.000 0 -

41 BISAKODIL SUPPOSITORIA SUPP 5,900.000 0 -

42 BISOPROLOL FUMARATE Tab 695.000 0 -

43 BISOPROLOL TABLET 5 MG NOVELL Tab 143.00 300 42,900

44 CARBAMAZEPIN TAB 200 MG Tab 250.000 0 -

CARBAMAZEPIN TAB 200 MG Tab 216.00 0 -

45 CETIRIZINE SIRUP Btl 7,756.000 0 -

46 ceterizin cap cap 104.000 0 -

47 CETIRIZINE TAB Tab 52.00 800 41,600 1000


48 CLOBAZAM TAB 10 MG Tab 1,110.000 0 -

49 CURCUMA TAB Tab 1,150.000 0 -

50 DEKSAMETASON INJ 5 MG/ML - 1 ML Amp 968.00 0 -

51 DEKSAMETASON TABLET 0,5 MG Tab 69.000 400 27,600

52 DEKSAMETASON TABLET 0,5 MG Tab 154.000 0 -

53 DIAZEPAM INJ 5 MG/ML Amp 1,913.00 0 -

54 DIAZEPAM REKTAL SUPP 14,459.000 0 -

55 DIAZEPAM TABLET 5 MG Tab 109.000 500 54,500

56 DIAZEPAM TABLET 2 MG Tab 86.000 0 -

57 DIFENHIDRAMIN INJ 10 MG/ML Amp 1,346.000 0 -

DIFENHIDRAMIN INJ 10 MG/ML Amp 825.00 0 -

58 DIGOKSIN TABLET 0,25 MG Tab 108.000 0 -

59 DIGOKSIN TABLET 0,25 MG Tab 104.000 0 -

60 DILTIAZEM TAB 30 MG Tab 142.000 100 14,200

61 DIMENHIDRINAT TAB 50 MG Tab 109.00 0 -

62 DIMENHIDRINAT TAB 50 MG tab 121.000 0 -

63 DOKSISIKLIN KAPSUL 100 MG Kap 309.000 0 -

64 DOMPERIDON DROPS btl 17,939.000 0 -

65 DOMPERIDON SIRUP 5 MG Btl 2,401.00 0 -

66 DOMPERIDON TABLET 10 MG Tab 75.00 200 15,000 200


67 DOMPERIDON TABLET 10 MG Tab 96.00 0 -

68 EFINEFRIN INJ. Amp 2,904.000 20 58,080

69 EPINEFRIN/ADRENALIN INJ 1 MG/ML Amp 1,518.00 0 -

70 ERITROMISIN KAPSUL 250 MG Kap 679.00 500 339,500

71 ERITROMISIN KAPSUL 500 MG Kap 781.000 0 -

72 ERITROMISIN KAPSUL 500 MG Kap 766.00 0 -

73 ERITROMISIN SIROP 200 MG/ 5 ML Btl 7,581.000 0 -

74 ETAKRIDIN (RIVANOL) 300 ml Btl 3,900.00 8 31,200

75 ETAKRIDIN (RIVANOL) 300 ml Btl 3,900.000 0 -

76 ETANOL 95 % 100 ml Btl 4,002.720 5 20,014

77 ETANOL 70 % 1000 ml Btl 31,250.000 0 -

78 ETANOL 70 % 1000 ml 31,247.700 0 -

79 ETHYLIS CHLORIDUM SEMPROT Btl 112,500.000 0 -


80 EUGENOL CAIRAN Btl 18,333.000 0 -

81 FENOBARBITAL AMPUL 2 ML Btl 2,265.000 0 -

82 FENOBARBITAL TABLET 30 MG Tab 177.000 0 -

83 FITOMENADION (VIT K) INJ. Ampul 3,900.00 30 117,000

84 FITOMENADION (VIT K) INJ. 4,236.000 0 -

85 FITOMENADION (VIT K) TABLET 10 MG Tab 818.00 0 -

86 FUROSEMIDA TABLET 40 MG Tab 84.000 0 -

87 GARAM ORALIT I SERBUK Sac 275.000 100 27,500 100

88 GARAM ORALIT I SERBUK Sac 317.000 0 -

89 GEMFIBROZIL KAPSUL 300 MG Kap 429.000 0 -

90 GEMFIBROZIL KAPSUL 300 MG Kap 436.000 0 -

91 GENTAMISIN INJ 80 MG/ML Amp 4,036.000 0 -

92 GENTAMISIN SALEP KULIT Pot 1,469.000 0 -

93 GENTAMISIN SULFAT TETES MATA 0,3 % Pot 5,170.00 0 -

94 GLIBENKLAMIDA TABLET 5 MG Tab 151.000 0 -

95 GLIMEPIRIDE 2 MG Tab 207.000 0 -

96 GLISERIL GUALAKOLAT TABLET 100 MG Tab 260.000 0 -

97 GLUKOSA LARUTAN INFUS 10 % Btl 6,270.000 0 -

98 GLUKOSA LARUTAN INFUS 10 % 7,500.000 0 -

99 GLUKOSA LARUTAN INFUS 40 % Btl 1,597.000 0 -

100 GLUKOSA LARUTAN INFUS 5 % Btl 6,900.000 0 -

101 GLUKOSA LARUTAN INFUS 5 % btl 7,363.000 0 -

102 GRANTUSIF Tab 405.000 0 -

103 GRISEOFULVIN TABLET 125 MG Tab 210.000 500 105,000

104 GRISEOFULVIN TABLET 125 MG NOVAPHARIN Tab 263.00 0 -

105 HALOPERIDOL INJ. 5 MG/ML Amp 6,250.000 0 -

106 HALOPERIDOL TABLET 2 MG Tab 90.000 0 -

HALOPERIDOL TABLET 2 MG Tab 93.000 0 -

107 HALOPERIDOL TABLET 5 MG Tab 60.00 0 - 100


108 HIDROKLOROTIAZIDA TABLET 25 MG Tab 171.000 0 -

109 HIDROKORTISON KRIM 2,5 % Tab 2,325.000 24 55,800 24

110 HIDROKORTISON KRIM 2,5 % Tube 2,838.000 0 -

111 HYOSIN BUTIL BROMIDA TAB 10 MG Tab 1,475.000 0 -

112 IBUPROFEN SIRUP 15 MG/ML Btl 2,339.00 37 86,543

113 IBUPROFEN TABLET 200 MG Tab 206.000 0 - 1000

114 IBUPROFEN TABLET 200 MG Tab 108.000 0 -

115 IBUPROFEN TABLET 400 MG Tab 150.00 1000 150,000 1000

116 IBUPROFEN TABLET 400 MG Tab 133.000 0 -

117 ISONIAZID TABLET 300 MG Tab 106.700 0 -

118 ISOSORBID DINITRAT TABLET 5 MG Tab 93.000 0 -

119 ISOSORBID DINITRAT TABLET 5 MG YARINDO Tab 89.00 0 -

120 KALIUM DIKLOFENAK TAB 50 MG Tab 63.00 0 -

121 KALSIUM GLUCONAS INJ Amp 10,351.000 0 -

122 KALSIUM LAKTAT TABLET 500 MG Tab 63.00 0 -

123 KALSIUM LAKTAT TABLET 500 MG 60.00 0 -

124 KALSIUM LAKTAT TABLET 500 MG Tab 63.000 0 -

125 KAPTOPRIL 12.5 MG Tab 68.00 0 -


126 KAPTOPRIL 12.5 MG Tab 67.000 0 -

127 KAPTOPRIL 12.5 MG KF Tab 68.00 0 -

128 KAPTOPRIL 25 MG Tab 135.000 0 -

129 KAPTOPRIL 25 MG Tab 75.000 0 -

130 KAPTOPRIL 50 MG Tab 143.000 0 -

131 KAPTOPRIL 50 MG KF Tab 134.00 0 -

132 KETOKENAZOL KRIM Tube 3,135.000 0 -

133 KETOKENAZOL TAB 200 MG Tab 297.000 0 -

134 KLONIDIN TABLET 0.15 MG Tab 145.000 0 -

135 KLORAMFENIKOL SALEP KULIT 3 % Tube 3,327.000 0 -

136 KLORAMFENIKOL KAPSUL 500 MG Kapsul 1,337.990 0 -

137 KLORAMFENIKOL KAPSUL 250 MG Kapsul 660.00 300 198,000

138 KLORAMFENIKOL KAPSUL 250 MG Kapsul 329.000 0 -

139 KLORAMFENIKOL SALEP MATA 1% Kapsul 2,148.00 0 -

140 KLORAMFENIKOL SUSP 125 MG/ 5 ML Btl 4,982.000 0 -

141 KLORAMFENIKOL TETES MATA 0.5 % Tube 0.000 0 -

142 KLORAMFENIKOL TETES TELINGA 3 % 0 -

143 KLORFENIRAMINA MALEAT TAB 4 MG Tab 50.000 800 40,000 2000

144 KLORFENIRAMINA MALEAT TAB 4 MG Tab 39.000 0 -

145 KLORPROMAZIN TAB SALUT 100 MG Tab 170.000 0 -

146 KLORPROMAZIN TAB SALUT 100 MG MERSIFARM Tab 170.00 0 -

147 KOTRIMOKSAZOL DOEN I (DEWASA) 480 MG Tab 325.00 300 97,500

148 KOTRIMOKSAZOL DOEN (DEWASA)480 MG Tab 125.000 0 -

149 KOTRIMOKSAZOL DOEN II (ANAK) Tab 79.000 0 -

150 KOTRIMOKSAZOL SUSPENSI Btl 2,100.00 17 35,700

151 KOTRIMOKSAZOL SUSPENSI Btl 2,190.000 0 -

152 KOTRIMOKSAZOL SUSPENSI MERSIFARM Btl 2,052.00 0 -

153 KOTRIMOKSAZOL TABLET 480 MG MERSIFARM Tab 125.00 0 -

154 KUINIDIN 100 MG TABLET Tab 0 -

155 KUINIDIN 200 MG TABLET Tab 0 -

156 KUININ (KINA) TABLET 200 MG Tab 0 -

157 KUININ INJEKSI 25 % Tab 0 -

158 KUININ SULFAT TAB 222 MG (7 H2O) Tab 641.670 0 -

159 LANSOPRAZOL 30 MG KAP 360.000 0 -

160 LIDOKAIN SPRAY BTL 177,216.000 0 -

161 LIDOKAIN INJ 2 % Amp 847.00 45 38,115

162 LIDOKAIN INJ 2 % + EPINEFRIN 1,405.000 0 -

163 LISOL DENGAN KRESOL SABUN 50 % Btl 31,800.000 0 -

164 LOPERAMIDE TAB 2 MG Tab 90.000 0 -

165 LOPERAMIDE TAB 2 MG Tab 460.000 0 -

166 LOPERAMIDE TAB 2 MG Tab 85.000 0 -

167 LORATADIN TAB Tab 136.000 0 -

168 LORATADIN TABLET 10 MG PROMED Tab 117.00 0 -

169 LUBIRE Tab 5,225.00 0 -

170 MEBENDAZOL SIROP 100 MG/ 5 ML Btl 0 -

171 MEBENDAZOL TABLET 100 MG Tab 0 -

MELOXICAM KAPS 7,5 MG 830.28 1400 1,162,392 2000


172 METAMPIRON TABLET 500 MG (ANTALGIN) Tab 141.850 0 -

173 METFORMIN TAB 500 MG Tab 77.00 0 -

174 METFORMIN TAB 500 MG Tab 109.000 0 -

175 METFORMIN TAB 850 MG Tab 240.000 0 -

176 METILERGOMETRIN MALEAT INJ 0.2 MG Amp 3,399.000 0 -

177 METILERGOMETRIN MALEAT TABLET 0.125 MG Tab 133.100 0 -

178 METILERGOMETRIN MALEAT TABLET 0.125 MG Tab 245.000 0 -

179 METILPREDNISOLON TAB 4 MG Tab 102.00 600 61,200

180 METILPREDNISOLON TAB 4 MG Tab 148.000 0 -

181 METILPREDNISOLON TAB16 MG Tab 456.00 800 364,800

182 METILPREDNISOLON TAB16 MG Tab 548.00 0 -

183 METOKLOPRAMIDE TAB 10 MG TAB 93.000 0 -

184 METOKLOPRAMIDE TAB 10 MG KF Tab 87.00 0 -

185 METRONIDAZOL TABLET 250 MG Tab 116.000 0 -

186 METRONIDAZOL TABLET 250 MG PHYTO Tab 93.00 0 -

187 METRONIDAZOL TABLET 500 MG Tab 660.000 0 -

188 MDT MB KUSTA DEWASA BLISTER 40,526.000 0 - 1

189 MgSO4 20% Btl 3,327.990 0 -

190 MgSO4 40% Btl 4,700.000 9 42,300

191 MIKONAZOLE KREAM Tube 1,900.00 0 -

192 MIKONAZOLE KREAM Tube 3,926.000 0 -

193 MIKONAZOLE KREAM 2% KF Tube 2,462.00 0 -

194 MIKORIN POWDER POT 26,950.000 0 -

195 MINERAL MIX Succ 2,723.000 0 -

196 MINERAL MIX Succ 2,550.000 0 -

197 MULTIVITAMIN TAB VINETRON Tab 1,848.000 0 -

198 MULTIVITAMIN TAB VINETRON Tab 1,705.000 0 -

199 MULTIVITAMIN TAB MEVITON 1,592.250 0 -

200 MULTIVITAMIN SYR CAMIVITA DAU Btl 5,300.000 0 -

201 NATRIUM DKLOFENAK TABLET 25 MG Tab 109.00 0 -

202 NATRIUM DKLOFENAK TABLET 50 MG Tab 109.00 0 -

203 NATRIUM DKLOFENAK TABLET 50 MG Tab 145.00 0 -

204 NATRIUM KLORIDA LARUTAN INFUS 0.9 % Btl 6,840.00 0 -

205 NATRIUM KLORIDA LARUTAN INFUS 0.9 % Btl 7,500.000 25 187,500 20

206 NIPEDIFINE TAB 10 MG Tab 120.000 0 -

NIPEDIFINE TAB 10 MG 221.00 0 -

NIPEDIFINE TAB 10 MG 150.000 300 45,000

207 NISTATIN 100.000 IU Tab 627.000 0 -

208 NISTATIN 500.000 IU Tab 704.000 0 -

209 NISTATIN VAGINAL TAB 100.000 UI Tab 645.00 0 -

210 NISTATIN VAGINAL 100.000 IU Tab 645.00 0 -

211 OBAT ANTITUBERKULOSIS KAT 1 DEWASA Tab 415,469.00 3 1,246,407

212 OBAT ANTITUBERKULOSIS KAT 1 DEWASA 356,829.000 0 -

213 OBAT ANTITUBERKULOSIS KAT 1 DEWASA 447,791.000 0 -

214 OBAT ANTITUBERKULOSIS KAT 2 DEWASA Tab 1,319.900 0 -

215 OBAT ANTITUBERKULOSIS KAT 2 DEWASA Paket 1,492,579 0 -

216 OBAT ANTITUBERKULOSIS KAT ANAK Tab 236,500.000 0 -


217 OBAT ANTITUBERKULOSIS KAT ANAK KF Paket 267,397 0 -

218 OBAT ANTITUBERKULOSIS SISIPAN DEWASA Tab 175,980.000 0 -

219 OBAT BATUK HITAM CAIRAN Btl 1,339.800 0 -

220 OKSITETRASIKLIN HCL SALEP 3 % Tube 3,600.000 0 -

221 OKSITETRASIKLIN HCL SALEP MATA 1 % Tube 2,600.000 0 -

222 OKSITETRASIKLIN SALEP MATA 1% KF Tube 3,926.00 0 -

223 OKSITOSIN INJ 10 IU/ML Amp 1,232.000 0 -

224 OKSITOSIN INJ 10 IU/ML 1,348.000 30 40,440

225 OMEPRAZOLE KAP 20 MG Tab 780.000 0 -

226 OMEPRAZOLE KAPSUL 20 MG Kapsul 148.00 0 -

227 OMEPRASOL INJ 40 MG/ML vial 5,346.00 0 -

228 OMEPRAZOLE INJ 11,868.00 0 -

229 OAM(ACT)DHP-FRIMAL 2,000.00 0 -

230 PAPAVERIN TABLET 40 MG Tab 680.000 0 -

231 PARACETAMOL DROPS 100 MG/ML (60 MG/0,6 ML) Btl 5,204.00 10 52,040

232 PARASETAMOL DROPS 100 MG/ML IGM Btl 7,646.00 0 -

233 PARASETAMOL SIROP 120 MG/ 5 ML Btl 1,160.00 0 -

234 PARASETAMOL infus Btl 8,880.000 0 - 5


235 PARASETAMOL SIROP 120 MG/ 5 ML Btl 1,160 4 4,640 100

236 PARASETAMOL TABLET 500 MG Tab 86.000 0 -

237 PARASETAMOL TABLET 500 MG MERSIFARM Tab 60.00 0 -

238 PARASETAMOL TABLET 500 MG MERSIFARM Tab 165.00 0 -

239 PEHACAIN INJ Amp 4,850.000 0 -

240 PENOL GLISEROL TETES TELINGA Btl 2,246.000 0 -

241 PIRANTEL SIRUP btl 9,100.000 0 -

242 PIRANTEL TABLET SCORE 125 MG Tab 341.00 1100 375,100

243 PIRASETAM 1200 Tab 854.000 0 -

244 PIRASETAM 400 Tab 194.000 0 -

245 PIRIDOKSIN (VIT B6) TAB 10 MG Tab 72.00 0 -

PIRIDOKSIN (VIT B6) TAB 10 MG Tab 157.99 1400 221,186

246 PIROKSIKAM TABLET 20 MG Tab 215.000 0 -

247 PIROKSIKAM TABLET 20 MG Tab 189.500 0 -

248 PITOGIN AMPUL 1 ML Amp 11,550.000 0 -

249 POVIDON IODIDA 10 % 1000 ML Btl 149,313.000 0 -

250 POVIDON IODIDA 10 % 1000 ML MAHAKAM Btl 139,313.00 0 -

251 POVIDON IODIDA 10 % 30 ML Btl 3,624.500 0 -

252 POVIDON IODIDA 10 % 300 ML Btl 22,498.300 0 -

253 POVIDON IODIDA 10 % 300 ML Btl 15,386.000 0 -

254 POVIDON IODIDA BETADIN 5 G SALEP Tube 7,039.00 0 -

255 POVIDON SALEP Tube 6,348.000 0 -

256 PREDNISON TABLET 5 MG Tab 73.00 1700 124,100 500


257 PRIMAUINE/PRIMAQUINE TAB 15 Tab 253.000 0 -

258 PROPANOLOL TABLET 10 MG Tab 59.000 0 -

259 PROPANOLOL TABLET 40 MG Tab 59.000 0 -

260 PROPILITIOURASIL TABLET 100 MG Tab 351.000 0 -

261 RANITIDIN INJ 25 MG / 2 ML Amp 1,155.00 0 -

262 RANITIDIN INJ 25 MG / 2 ML Amp 858.00 25 21,450


263 RANITIDIN TABLET 150 MG Tab 86.00 0 - 1000
264 RANITIDIN TABLET 150 MG Tab 122.00 200 24,400

265 RINGER LAKTAT INFUS Btl 7,630.00 40 305,200 40


266 RISPERIDON 2 MG Tab 287.000 0 -

267 SALBUTAMOL SIRUP 5,463.000 0 -

268 SALBUTAMOL TABLET 4 MG KF Tab 195.00 0 -

269 SALBUTAMOL TABLET 2 MG Tab 150.000 0 -

270 SALEP 2-4 KOMBINASI Tube 1,475.000 25 36,875 20


271 SALISIL BEDAK 2 % Pot 6,426.00 4 25,704

272 SCABIMATE CREM SACH 12,155.000 0 -

273 SALISIL BEDAK 2 % TUBE 6,426.00 0 -

274 SEFADROKSIL KAPSUL 500 MG Kapsul 1,210.000 300 363,000

275 SEFADROKSIL KAPSUL 500 MG Kapsul 492.00 0 -

276 SEFADROKSIL SIROP KERING 125 MG / 5 ML Btl 4,133.000 0 -

277 SEFOTAKSIM 1000 MG Vial 5,700.000 0 -

278 SEFOTAKSIM INJ 1000 MG RAMA Vial 4,410.00 0 -

279 SIANOKOBALAMIN TABLET 50 MCG Tab 44.00 1700 74,800 1000


280 SIANOKOBALAMIN TABLET 50 MCG KF Tab 51.00 0 -

281 SIANOKOBALAMIN VIT B12 INJ 500 MCG/ML Ampul 1,160.00 0 -

282 SIANOKOBALAMIN VIT B12 INJ 500 MCG/ML 3,070.000 0 -

283 SIMVASTATIN TABLET 10 MG TAB 73.00 0 -

284 SIMVASTATIN TABLET 10 MG 117.000 0 -

285 SIPROFLOKSASIN KAPLET 500 MG Kaplet 260.00 800 208,000

286 SULFASETAMID TETES MATA 15 % Btl 12,500.000 0 -

287 TABLET TAMBAH DARAH KOMBINASI Tab 409.000 0 -

TABLET TAMBAH DARAH KOMBINASI Tab 255.00 800 204,000

288 TETRASIKLIN KAPSUL 500 MG Kapsul 346.000 0 -

289 TETRASIKLIN KAPSUL 500 MG Kapsul 324.000 0 -

290 TIAMIN (VIT B1) INJ 100 MG/ML Amp 730.000 0 -

291 TIAMIN (VIT B1) TABLET 50 MG Tab 169.000 200 33,800

292 TIAMIN (VIT B1) TABLET 50 MG 90.000 0 -

293 TRIHEKSIFENIDIL 25 MG Tab 691.190 500 345,595

294 VAKSIN ANTI RABIES INJ vial 165,000.000 0 -

VAKSIN ANTI RABIES INJ vial 153,000.00 12 1,836,000

295 VAKSIN POLIO (bOPV) 10 ds Vial 19,954.000 52 1,037,608

296 VAKSIN MR 10 ds Vial 155,813.000 42 6,544,146 60


297 VAKSIN DPT-HB-HIB 5 ds Vial 78,991.000 60 4,739,460 10
VAKSIN HB Ig Vial 1,325,000.000 1 1,325,000

VAKSIN HB UNIJECT (HBO) 1 ds Vial 23,991.000 44 1,055,604

298 VAKSIN BCG Vial 61,996.000 36 2,231,856

299 VAKSIN HEPATITIS B Vial 23,991.000 0 -

300 VAKSIN IPV Vial 158,994.000 40 6,359,760 10


301 VAKSIN Td 10 ds VIAL 16,995.000 18 305,910

VAKSIN DT 10 ds VIAL 17,996.00 0 -

302 VITAMIN A 100.000 UI Btl 17,600.00 2 35,200

303 VITAMIN A 200.000 UI Btl 31,850.00 0 -

306 VITAMIN B KOMPLEKS TABLET Tab 60.000 1000 60,000 1500


307 VITAMIN B KOMPLEKS TABLET Tab 135.000 0 -

308 ZINK SIRUP Btl 2,489.000 4 9,956 6

309 ZINK SIRUP MEPROFARM Btl 3,285.00 0 -

310 ZINK TAB 20 MG Tab 2,000.00 0 -

311 ZINK TAB 20 MG Tab 604.00 0 -

312 ZINK TAB 20 MG 586.000 0 -

PERBEKALAN KESEHATAN 0 -

1 ACCU-CHECK PERFORMA Btl 420,000.000 0 -

2 ALAT SUNTIK SEKALI PAKAI 2,5/3 ML Set 851.53 0 -

3 ALAT SUNTIK SEKALI PAKAI 2,5/3 ML Set 1,056.00 200 211,200 300
4 ALAT SUNTIK SEKALI PAKAI 3 ML Set 1,108.800 0 -

5 ALAT SUNTIK SEKALI PAKAI 0,05 ML Set 1,456.000 0 -

6 ALAT SUNTIK SEKALI PAKAI 0,05 ML Set 1,240.000 0 -

7 ALAT SUNTIK SEKALI PAKAI 0,5 ML Set 1,240.00 0 -

8 ALAT SUNTIK SEKALI PAKAI 0,5 ML 1,240.00 0 -

9 ALAT SUNTIK SEKALI PAKAI 0,5 ML 1,650.000 200 330,000 600

10 ALAT SUNTIK SEKALI PAKAI 10 ML Set 1,216.470 30 36,494 50


11 ALAT SUNTIK SEKALI PAKAI 1 ML Set 1,056.000 100 105,600 100

12 ALAT SUNTIK SEKALI PAKAI 1 ML Set 844.260 0 -

13 ALAT SUNTIK SEKALI PAKAI 10 ML Set 1,622.500 0 -

14 ALAT SUNTIK SEKALI PAKAI 5 ML Set 1,013.11 200 202,622

15 ALAT SUNTIK SEKALI PAKAI 5 ML 1,500.000 0 - 50

16 ALKOHOL 70% 1 LTR Box 206.640 0 -

17 ALKOHOL SWAB DAK Box 151.20 0 - 500


18 AQUA PRO INJEKSI 25 ML Btl 2,650.00 0 -

19 BAJU HAZMAT COVER ALL Bh 475,000.000 0 -

20 BISTURI NO. 19 Pcs 3,150 0 -

21 BISTURI NO.20 3,150 0 -

22 BISTURI NO. 22 Pcs 3,300 10 33,000

23 CANULA DEWASA Pcs 5,711.00 12 68,532

24 CATGUT NO 2/0 21,000.00 24 504,000

25 CATGUT NO 3/0 Pcs 34,538.00 25 863,450

26 CATGUT NO 3/0 RNI Pcs 35,295.00 0 -

27 CATGUT NO 4/0 RNI Pcs 32,685.00 0 -

28 CATHEJELL Pcs 42,848.000 0 -

29 FOLEY CATETER 16 Bh 10,000.000 0 -

30 FOLEY CATETER 18 Bh 10,000.000 0 -

31 FOLEY CATETER 20 Bh 10,000.000 0 -

32 HAND RUB BTL 46,016.56 0 -

33 HAND RUB BTL 62,624.000 0 -

34 HAND RUB fresco BTL 76,274.470 0 -

35 HANDSCOEN 6,5 STERIL Roll 8,600.000 30 258,000

36 HANDSCON 7 Pasang 8,600.00 45 387,000

37 HANDSCON 7 1/2 STERIL Bks 8,600.00 30 258,000 50


38 HANDSCON 7 STERIL 11,990.000 0 -

39 HANDSCON L Pasang 1,750.00 50 87,500

40 HANDSCON L KARINDO Pasang 1,647.24 0 -


42 HANDSCON M Pasang 1,750.00 100 175,000 300
43 HANDSCON M 2,750.000 0 -

44 HANDSCON S Pasang 1,161.600 0 -

45 HANDSCON S 2,750.000 0 -

46 TREPOCHECK SYPHILIS Pcs 9,300.00 0 -

47 HIV TEST Pcs 15,377.000 0 -

48 HIV TEST Pcs 15,367.000 0 -

49 INFUSION SET ANAK SET 4,198.700 0 -

50 INFUSION SET ANAK AXIMED Pcs 5,865.00 25 146,625

51 INFUSION SET DEWASA Set 7,062.00 4 28,248 50


52 INFUSION SET DEWASA 1,540.00 0 -

53 IV CATHETER N0 22 G Set 13,894.000 0 -

IV CATHETER N0 22 G Set 6,875.000 0 -

54 IV CATHETER NO 18 Set 9,123.400 0 -

55 IV CATHETER NO 20 G Set 6,875.000 0 - 50


56 IV CATHETER NO 22 G NIPRO Pcs 6,875.00 0 -

57 IV CATHETER NO 24 G Set 7,194.00 0 -

58 IV CATHETER NO 24 G Set 14,493.600 0 -

59 KANULA ANAK Pcs 5,711.00 0 -

61 KAPAS PEMBALUT / ABSORBEN 250 GRAM Set 18,000.000 0 -

62 KAPAS PEMBALUT / ABSORBEN 250 GRAM Set 25,198.000 4 100,792

63 KAPAS PEMBALUT 250 GRAM DRC Roll 30,500.00 0 -

64 KASA KOMPRES 40/40 STERIL Bks 1,944.000 0 -

65 KASA PEMBALUT 2 M X 80 CM Bks 79,360.00 0 -

66 KASA PEMBALUT 2 M X 80 CM DRC Bks 10,661.00 0 -

67 KASA PEMBALUT HIDROFIL 20 yard x 80 cm Roll 81,920.000 0 -

68 KASA PEMBALUT HIDROFIL 20 yard x 80 cm Roll 79,360.000 0 -

69 KASA PEMBALUT HIDROFIL 40 X 80 CM DRC Roll 134,091.00 0 - 4

70 KASA PEMBALUT HIDROFIL 4 M X 15 CM DRC Bks 4,104.00 0 -

71 KASA PEMBALUT HIDROFIL 4 M X 3 CM Bks 891.00 7 6,237

72 KASA PEMBALUT HIDROFIL 4 M X 5 CM ELASTIS Bks 2,750.000 20 55,000

73 KASA PEMBALUT HIDROFIL 16 M X 16 CM DRC Bks 4,200.00 0 -

74 LANCET Box 20,000.00 7 140,000

76 MASKER HIJAB Bh 580.800 0 -

77 MASKER KARET Bh 314.000 0 -

78 MASKER KAIN Bh 5,000.000 0 -

79 MASKER KAIN 5,000.000 0 -

80 NESCO / STRIP CHOLESTROL Btl 290,000.000 0 -

81 NASAL OKSIGEN DEWASA Bh 6,000.000 0 -

82 PLESTER 10 CM X 5 M Roll 49,632.000 0 -

83 PLESTER PHARMAFIX 10 CM X 500 CM Roll 51,305.00 0 -

84 PLESTER PHARMAFIX 15 CM X 500 CM Roll 78,115.00 4 312,460

85 PLESTER PHARMAFIX 5 CM X 500 CM Roll 27,000.00 15 405,000

86 PLESTER YARD Roll 43,700.000 0 -

87 SAMPEL CONTAINER/POT 2,342.00 0 -

88 POT SPUTUM Pot 2,272.00 0 -

89 REAGEN SYPHILIS Pcs 20,400.000 0 -


90 STRIP BIOLINE SYPIHILIS 3.0 100T 7,237.630 25 180,941

91 TREPOCHECK SYPHILIS 8,870.000 25 221,750

92 RAPID 1 (SD) /HIV TEST 8,350.00 25 208,750

93 RAPID TES HIV 1 7,879.00 25 196,975 25

94 RAPID TEST HBsAg /VIROCHECK 8,300.00 75 622,500

95 RAPID TEST ANTIGEN COVID 19 CLUNGENE Box 60,500.00 0 -

96 RAPID TEST ANTIGEN COVID 19 CLUNGENE Box 52,800.00 300 15,840,000

97 RDT MALARIA Box 14,238.000 25 355,950

99 FDC OAT KATAGORI 1 PKT 447,791.00 2 895,582

100 SAFETY BOX 23,398.000 0 - 3

101 SAFETY BOX 20,394.000 4 81,576

102 SILK 2/0 SET 21,875.000 0 -

103 SILK 2/0 TROGE Pcs 42,601.900 0 -

SILK 2/0 21,458.334 0 -

104 SILK 3/0 SET 6,400.000 0 -

105 SILK 3/0 SET 29,931.00 0 - 24


106 SILK 3/0 TROGE Pcs 43,429.100 0 -

107 STRIP ASAM URAT NESCO Box 145,200.00 9 1,306,800 4


108 STRIP CHOLESTEROL Box 231,000.00 0 -

109 SRTIP GULA POS BINDU Btl 132,000.000 0 - 10


SRTIP GULA NESCO Btl 132,000.000 3 396,000

111 STRIP SD BIOLINE DENGUE DUO BOX 60,813.12 25 1,520,328

112 STRIP SD BIOLINE HIV 1/2 3.0 BOX 13,367.70 30 401,031

113 URIN BAG TANPA HANGER BH 5,742.00 16 91,872

114 URIN BAG TROGE Pcs 8,877.00 0 -

115 WING NEEDLE NO.23 Pcs 1,400.000 0 -

116 WING NEEDLE NO.25 Pcs 1,400.000 0 -

117 WING NEEDLE NO.27 Pcs 1,400.000 0 -

PENANGANAN CORONA VIRUS 0 -

1 FACE SHIELD 27,500.000 17 467,500

2 PAKAIAN PELINDUNG/HAZMAT PCH 660,000.000 7 4,620,000

3 PAKAIAN PELINDUNG/HAZMAT SET 475,000.000 10 4,750,000

4 VISOR/SHIELDFACE/HELM BUAH 315,000.000 8 2,520,000

5 SEPATU BOOT PSG 215,000.000 4 860,000

6 WIND NEEDLE PCS 5,500.000 300 1,650,000

7 COLD BOX KAPASITAS 6 L BOX 4,500,000.000 0 -

8 CAIRAN NaOCl BTL 50,000.000 0 -

9 SARUNG TANGAN NON STERIL PCH 1,800.000 0 -

10 APD SET SET 3,902,499.700 0 -

11 BAJU APD 660,000.000 0 -

12 SARUNG TANGAN PANJANG 54 -

13 SEPATU BOOT 0 -

14 MASKER 2,640.00 0 -

19 KACA MATA SAFETY 0 -

20 HAND RUB 250 ML BTL 71,692.500 0 -

21 SARUNG TANGAN STERIL PSG 8,000.000 0 -

22 HANDSCOON NON STERIL BTL 900.00 0 -


25 HAND SANITEZER BTL 19,500.00 0 -

26 SURGICAL MASK PCH 5,000.000 0 -

27 HANDSCOON NON STERIL M PSG 1,540.00 0 -

31 BUKU SAKU 30,000.000 7 210,000

32 KANTONG SAMPAH MEDIS 3,000.00 0 -

36 KANTONG JENAZAH 300,000.000 10 3,000,000

37 KANTONG JENAZAH 99,999.000 10 999,990

38 MASKER BEDAH 770.000 0 - 600


BANTUAN DINKES PROVINSI 0 -

1 BAJU APD MEREK SANDON ( DINKES PROVINSI ) PCH 12 -

2 BAJU APD MEREK SANDON ( DINKES PROVINSI ) 660,000.00 15 9,900,000

FACE SHIELD PCH 12 -

VIRUS COLLECTION & TRANSPORT TUBE BTL 130,000.00 30 3,900,000

VITAMIN C 500 MG TAB 600.00 1700 1,020,000 1000


FACE SHIELD BTL 27,500.00 10 275,000

HAND SANITIZER 37,812.50 0 -

HAND SANITIZER 19,500.00 0 -

HANDSCOON NON STERIL M 1,540.00 0 -

APD SET IMUNISASI : 0 -

HAND SANITIZER 30,250.00 0 -

MASKER BEDAH 990.00 0 -

MASKER 2,640.00 0 -

HANDSCOON NON STERIL L 1,870.00 0 -

KANTONG MEDIS 3,000.00 0 -

FACE SHIELD 27,500.00 9 247,500

PROGRAM IMUNISASI/VAKSIN CORONA 0 -

ALAT SUNTIK SEKALI PAKAI 0,5 ML PCH 1,185.00 2475 2,932,875

ALAT SUNTIK SEKALI PAKAI 0,3 ML 1,255.00 0 -

ALAT SUNTIK SEKALI PAKAI 3 ML 569.00 0 -

VAKSIN COVID-19 (10 DOSIS ) VIAL 1,339,440.00 0 -

VAKSIN COVID-19 CORONAVAC ( 2 DOSIS ) VIAL 138 -

VAKSIN COVID-19 MODERNA (14 DOSIS ) VIAL 20 -

VAKSIN MODERNA 10 DOSIS VIAL 35 -

VAKSIN COVID 19 JANSSENS 5 DOSIS VIAL 80 -

VAKSIN COVID 19 ASTRAZENECA 10 DOSIS VIAL 20 -

VAKSIN COVID-19 COVOVAX 10 DOSIS 10 -

VAKSIN Covid -19 Pfizer (6 Dosis) 0 - 10


SAFETY BOX 5 L PKM 1 BOX 14,000.00 19 266,000

SAFETY BOX 5 L PKM 1 5,382.00 0


ALKOHOL SWAB PKM VIAL 79.00 2464 194,656

NaCl 10 ml 3,280.00 0 -

PENANGANAN CORONA VIRUS DISEASE DINKES 0 -

1 MASKER BEDAH PCS 770.00 0 -

HAND SANITIZER PCS 19,250.00 0 -

HANDSCOON NON STERIL M PCS 1,540.00 0 -

RAPID TEST ANTIGEN COVID 19 CLUNGENE PCS 60,500.00 0 -

OBAT GIGI 0 -
1 ETIL KLORIDA Btl 126,500.00 0 -

2 COMPOSIT ANTERIOR A2 SOLARE Pcs 675,000.000 0 -

3 COMPOSIT ANTERIOR A3 SOLARE Pcs 675,000.000 0 -

4 COMPOSIT POSTERIOR A2 SOLARE Pcs 675,000.000 0 -

5 COMPOSIT POSTERIOR A3 SOLARE Pcs 675,000.000 0 -

6 DYCAL Pcs 302,500.000 1 302,500

7 EUGENOL Btl 165,000.000 0 -

8 FUJI IX MINI/ GOLD LABEL Pcs 650,000.000 0 -

9 XYLESTESIN Pcs 795,000.000 0 -


TOTAL HARGA OBAT DAN BHP 100,080,564.45
ORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
( LPLPO )

BULAN
TRI WULAN
TAHUN

PERSE PEMA KADALUAR


NILAI NILAI NILAI NILAI
DIAAN KAIAN SA

8 9 10 11 12 13 14

- 0 - - -
- 0 - - -
- 0 - - -
- 400 146,600 - -
- 62 266,600 - -
- 0 - - -
89,000.00 1000 89,000 300 26,700 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
16,700.00 200 33,400 - -
74,000.00 1000 74,000 1000 74,000 -
- 0 - - -
- 0 - - -
693,000.00 3500 808,500 1900 438,900 -
- 0 - - -
- 0 - - -
- 90 315,900 90 315,900 -
- 0 - - -
120,000.00 3600 216,000 1400 84,000 -
- 0 - - -
- 28 49,168 28 49,168 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
175,500.00 1800 210,600 1600 187,200 -
- 0 - - -
- 0 - - -
- 300 128,700 - -
- 0 - - -
- 0 - - -
9,200.00 300 27,600 200 18,400 -
- 0 - - -
77,000.00 62 95,480 37 56,980 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 300 42,900 50 7,150 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
52,000.00 1800 93,600 900 46,800 -
- 0 - - -
- 0 - - -
- 0 - - -
- 400 27,600 200 13,800 -
- 0 - - -
- 0 - - -
- 0 - - -
- 500 54,500 - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 100 14,200 - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
15,000.00 400 30,000 200 15,000 -
- 0 - - -
- 20 58,080 - -
- 0 - - -
- 500 339,500 - -
- 0 - - -
- 0 - - -
- 0 - - -
- 8 31,200 3 11,700 -
- 0 - - -
- 5 20,014 5 20,014 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 30 117,000 - -
- 0 - - -
- 0 - - -
- 0 - - -
27,500.00 200 55,000 - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 500 105,000 - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
6,000.00 100 6,000 - -
- 0 - - -
55,800.00 48 111,600 48 111,600 -
- 0 - - -
- 0 - - -
- 37 86,543 28 65,492 -
206,000.00 1000 206,000 100 20,600 -
- 0 - - -
150,000.00 2000 300,000 1500 225,000 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 300 198,000 - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
100,000.00 2800 140,000 600 30,000 -
- 0 - - -
- 0 - - -
- 0 - - -
- 300 97,500 200 65,000 -
- 0 - - -
- 0 - - -
- 17 35,700 11 23,100 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 45 38,115 - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
1,660,560.00 3400 2,822,952 800 664,224 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 600 61,200 600 61,200 -
- 0 - - -
- 800 364,800 300 136,800 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
40,526.00 1 40,526 1 40,526 -
- 0 - - -
- 9 42,300 - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
150,000.00 45 337,500 20 150,000 -
- 0 - - -
- 0 - - -
- 300 45,000 - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 3 1,246,407 3 1,246,407 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 30 40,440 - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 10 52,040 - -
- 0 - - -
- 0 - - -
44,400.00 5 44,400 - -
116,000.00 104 120,640 52 60,320 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 1100 375,100 - -
- 0 - - -
- 0 - - -
- 0 - - -
- 1400 221,186 300 47,397 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
36,500.00 2200 160,600 700 51,100 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 25 21,450 - -
86,000.00 1000 86,000 1000 86,000 -
- 200 24,400 200 24,400 -
305,200.00 80 610,400 60 457,800 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
29,500.00 45 66,375 22 32,450 -
- 4 25,704 4 25,704 -
- 0 - - -
- 0 - - -
- 300 363,000 200 242,000 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
44,000.00 2700 118,800 700 30,800 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 800 208,000 - -
- 0 - - -
- 0 - - -
- 800 204,000 800 204,000 -
- 0 - - -
- 0 - - -
- 0 - - -
- 200 33,800 200 33,800 -
- 0 - - -
- 500 345,595 - -
- 0 - - -
- 12 1,836,000 - -
- 52 1,037,608 - -
9,348,780.00 102 15,892,926 - -
789,910.00 70 5,529,370 - -
- 1 1,325,000 - -
- 44 1,055,604 - -
- 36 2,231,856 - -
- 0 - - -
1,589,940.00 50 7,949,700 - -
- 18 305,910 - -
- 0 - - -
- 2 35,200 - -
- 0 - - -
90,000.00 2500 150,000 1700 102,000 -
- 0 - - -
14,934.00 10 24,890 10 24,890 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
316,800.00 500 528,000 400 422,400 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
990,000.00 800 1,320,000 800 1,320,000 -
60,823.50 80 97,318 50 60,824 -
105,600.00 200 211,200 - -
- 0 - - -
- 0 - - -
- 200 202,622 - -
75,000.00 50 75,000 - -
- 0 - - -
75,600.00 500 75,600 300 45,360 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 10 33,000 - -
- 12 68,532 12 68,532 -
- 24 504,000 12 252,000 -
- 25 863,450 15 518,070 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 30 258,000 - -
- 45 387,000 45 387,000 -
430,000.00 80 688,000 80 688,000 -
- 0 - - -
- 50 87,500 50 87,500 -
- 0 - - -
525,000.00 400 700,000 400 700,000 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 25 146,625 25 146,625 -
353,100.00 54 381,348 11 77,682 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
343,750.00 50 343,750 35 240,625 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 4 100,792 1 25,198 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
536,364.00 4 536,364 3 402,273 -
- 0 - - -
- 7 6,237 7 6,237 -
- 20 55,000 20 55,000 -
- 0 - - -
- 7 140,000 7 140,000 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 4 312,460 - -
- 15 405,000 - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 25 180,941 - -
- 25 221,750 - -
- 25 208,750 25 208,750 -
196,975.00 50 393,950 - -
- 75 622,500 50 415,000 -
- 0 - - -
- 300 15,840,000 - -
- 25 355,950 - -
- 2 895,582 - -
70,194.00 3 70,194 - -
- 4 81,576 - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
718,344.00 24 718,344 - -
- 0 - - -
580,800.00 13 1,887,600 9 1,306,800 -
- 0 - - -
1,320,000.00 10 1,320,000 1 132,000 -
- 3 396,000 3 396,000 -
- 25 1,520,328 - -
- 30 401,031 - -
- 16 91,872 - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 17 467,500 - -
- 7 4,620,000 - -
- 10 4,750,000 - -
- 8 2,520,000 - -
- 4 860,000 - -
- 300 1,650,000 - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 54 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 7 210,000 - -
- 0 - - -
- 10 3,000,000 - -
- 10 999,990 - -
462,000.00 600 462,000 600 462,000 -
- 0 - - -
- 12 - - -
- 15 9,900,000 - -
- 12 - - -
- 30 3,900,000 - -
600,000.00 2700 1,620,000 1800 1,080,000 -
- 10 275,000 - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 9 247,500 - -
- 0 - - -
- 2475 2,932,875 - -
- 0 - - -
- 0 -
- 0 - - -
- 138 - - -
- 20 - - -
- 35 - - -
- 80 - - -
- 20 - - -
- 10 - - -
- 10 -
- 19 266,000 - -
- 0 -
- 2464 194,656 - -
- 0 -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 0 - - -
- 1 302,500 - -
- 0 - - -
- 0 - - -
- 0 - - -
23,973,300.50 124,053,864.95 0 15,272,197.10 -
MARET

2022
Hal 1
SISA PERMINTAA
NILAI KET
STOK N

15 16 17 18

0 -
0 -
0 -
400 146,600
62 266,600
0 -
700 62,300 200
0 -
0 - 50
0 - 500
0 -
0 -
0 -
200 33,400
0 - 2,000
0 - 2,000
0 -
1600 369,600 1,500
0 -
0 -
0 -
0 -
2200 132,000 1,000
0 -
0 - 50
0 -
0 -
0 -
0 -
0 -
0 - 2,000
200 23,400 2,000
0 -
0 -
300 128,700
0 -
0 -
100 9,200 100
0 -
25 38,500 50
0 -
0 -
0 -
0 -
250 35,750
0 -
0 -
0 -
0 -
900 46,800 1,000
0 -
0 -
0 -
200 13,800 500
0 -
0 -
0 -
500 54,500
0 -
0 -
0 - 50
0 -
0 -
100 14,200
0 - 300
0 -
0 -
0 -
0 - 10
200 15,000 100
0 -
20 58,080
0 -
500 339,500
0 -
0 -
0 -
5 19,500
0 -
0 - 10
0 -
0 -
0 -
0 -
0 -
0 -
30 117,000
0 -
0 -
0 - 200
200 55,000 100
0 -
0 -
0 -
0 -
0 -
0 - 24
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 - 2,000
500 105,000 500
0 -
0 -
0 -
0 - 200
100 6,000
0 -
0 - 48
0 -
0 -
9 21,051
900 185,400
0 -
500 75,000 2,000
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 - 500
0 -
0 -
0 -
0 - 500
0 - 1,000
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
300 198,000
0 -
0 - 24
0 - 5
0 -
0 -
2200 110,000
0 -
0 -
0 -
100 32,500 300
0 -
0 -
6 12,600 10
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
45 38,115
0 -
0 -
0 - 500
0 -
0 -
0 -
0 -
0 -
0 -
0 -
2600 2,158,728 2,000
0 -
0 - 1,000
0 -
0 -
0 -
0 -
0 - 500
0 - 2,000
0 -
500 228,000
0 -
0 -
0 -
0 -
0 -
0 - 500
0 - 1
0 -
9 42,300
0 - 50
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 - 1,000
0 -
0 -
25 187,500
0 -
0 -
300 45,000
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
30 40,440
0 -
0 -
0 - 20
0 -
0 -
0 - 200
10 52,040
0 -
0 - 100
5 44,400
52 60,320 50
0 -
0 -
0 -
0 -
0 -
0 -
1100 375,100
0 -
0 -
0 -
1100 173,789
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
1500 109,500
0 -
0 -
0 -
0 -
0 -
25 21,450 50
0 -
0 - 1,500
20 152,600 60
0 -
0 -
0 -
0 -
23 33,925 24
0 - 24
0 -
0 -
100 121,000 600
0 -
0 -
0 -
0 -
2000 88,000
0 -
0 - 50
0 -
0 -
0 -
800 208,000
0 -
0 -
0 - 2,000
0 -
0 -
0 -
0 - 1,500
0 -
500 345,595
0 -
12 1,836,000
52 1,037,608
102 15,892,926
70 5,529,370
1 1,325,000
44 1,055,604
36 2,231,856
0 -
50 7,949,700
18 305,910
0 -
2 35,200
0 -
800 48,000 2,000
0 -
0 - 10
0 -
0 - 300
0 -
0 -
0 -
0 -
0 -
100 105,600 300
0 -
0 -
0 -
0 - 300
0 -
0 -
30 36,494 30
200 211,200 100
0 -
0 -
200 202,622
50 75,000
0 -
200 30,240 300
0 -
0 -
0 -
0 -
10 33,000
0 - 10
12 252,000 12
10 345,380 12
0 -
0 -
0 -
0 -
0 - 5
0 - 5
0 -
0 -
0 -
30 258,000
0 - 50
0 - 100
0 -
0 - 50
0 -
0 - 400
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 - 25
43 303,666 50
0 -
0 -
0 - 100
0 -
15 103,125 50
0 -
0 - 100
0 -
0 -
0 -
3 75,594
0 -
0 -
0 -
0 -
0 - 3
0 -
1 134,091 2
0 - 100
0 - 100
0 -
0 -
0 - 20
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
4 312,460
15 405,000
0 -
0 -
0 -
0 -
25 180,941
25 221,750
0 -
50 393,950
25 207,500 25
0 -
300 15,840,000
25 355,950
2 895,582
3 70,194
4 81,576
0 - 24
0 -
0 -
0 -
24 718,344
0 -
4 580,800 7
0 - 10
9 1,188,000
0 -
25 1,520,328
30 401,031
16 91,872
0 -
0 -
0 -
0 -
0 -
17 467,500
7 4,620,000
10 4,750,000
8 2,520,000
4 860,000
300 1,650,000
0 -
0 -
0 -
0 -
0 -
54 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
7 210,000
0 -
10 3,000,000
10 999,990
0 - 600
0 -
12 -
15 9,900,000
12 -
30 3,900,000
900 540,000 2,000
10 275,000
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
9 247,500
0 -
2475 2,932,875

0 -
138 -
20 -
35 -
80 -
20 -
10 -

19 266,000

2464 194,656

0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
0 -
1 302,500
0 -
0 -
0 -
108,781,667.85
LAPORAN PEMAK

KODE PUSKESMAS :
PUSKESMAS : BUKI
KECAMATAN : BUKI
KABUPATEN : KEPULAUAN SELAYAR
PROPINSI : SULAWESI SELATAN

STOK
NO NAMA OBAT SATUAN HARGA NILAI
AWAL
1 2 3 4 5 6

1 ACETOSAL Tab 105.000 0 -

2 ALBENDAZOL TABLET 400 MG HOLI Tab 380.00 0 -

3 ALBENDAZOL TABLET 400 MG HOLI tab 404.000 0 -

4 ALBENDAZOL TABLET 400 MG HOLI Tab 366.500 400 146,600

5 ALBENDAZOL SUSPENSI Btl 4,300.000 62 266,600

6 ALOPURINOL TABLET 100 MG Tab 99.00 0 -

7 ALOPURINOL TABLET 100 MG Tab 89.00 700 62,300

8 ALOPURINOL TABLET 300 MG Tab 200.000 0 -

9 AMBROKSOL SIRUP Btl 7,700.000 0 -

10 AMBROKSOL TAB 30 MG Tab 270.00 0 -

11 AMINOFILIN TABLET 200 MG Tab 97.000 0 -

12 AMINOFILIN INJ 24 MG/ML-10 ML AMP 3,071.000 0 -

13 AMITRIPTILIN TABLET SALUT 25 MG Tab 165.00 0 -

14 AMITRIPTILIN TABLET SALUT 25 MG Tab 167.000 200 33,400

15 AMLODIPIN 10 MG Tab 74.00 0 -

16 AMLODIPIN 5 MG Tab 55.50 0 -

17 AMLODIPIN 5 MG Tab 79.000 0 -

18 AMOKSISILIN KAPLET 500 MG Kap 231.000 1600 369,600

AMOKSISILIN KAPLET 500 MG 265.00 0 -

19 AMOKSISILIN SIROP KERING 125 mg/5ml Btl 3,846.000 0 -

20 AMOKSISILIN SYRUP 250 MG/ML Btl 3,510.00 0 -

21 AMPICILIN SERBUK INJ 1 G Vial 9,473.000 0 -

22 ANTASIDA DOEN KOMBINASI TAB 500 MG Tab 60.000 2200 132,000

23 ANTASIDA DOEN KOMBINASI TAB 500 MG Tab 59.000 0 -

24 ANTASIDA DOEN SUSPENSI Btl 1,771.96 0 -

25 ANTASIDA DOEN SUSPENSI 5,800.000 0 -

26 ANTIBAKTERI DOEN SALEP KOMBINASI Tube 3,365.000 0 -

27 ANTIFUNGI DOEN KOMBINASI Pot 4,782.000 0 -

28 ANTIHEMOROID SUPP SUPP 3,502.000 0 -

29 ASAM ASKORBAT (VIT C) 50 MG Tab 120.000 0 -

ASAM ASKORBAT (VIT C) 50 MG Tab 46.000 0 -

30 ASAM MEFENAMAT TABLET SALUT 500 MG Tab 117.000 200 23,400

31 ASIKLOVIR KRIM 5 % Tube 2,367.000 0 -

32 ASIKLOVIR TABLET 200 MG Tab 236.000 0 -

33 ASIKLOVIR TABLET 400 MG Tab 429.000 300 128,700

34 ASETYLCYSTEINE 200 MG Tab 394.000 0 -


35 ATROPIN TETES MATA 0.5 % Btl 0 -

36 BETAHISTIN MESILAT TAB 6 MG TAB 92.00 100 9,200

37 BETAHISTIN MESILAT TAB 6 MG TAB 151.000 0 -

38 BETAMETASON KRIM 0,1 % Tube 1,540.000 25 38,500

39 BETAMETASON KRIM 0,1 % Tube 1,515.000 0 -

40 BISAKODIL SUPPOSITORIA SUPP 6,000.000 0 -

41 BISAKODIL SUPPOSITORIA SUPP 5,900.000 0 -

42 BISOPROLOL FUMARATE Tab 695.000 0 -

43 BISOPROLOL TABLET 5 MG NOVELL Tab 143.00 250 35,750

44 CARBAMAZEPIN TAB 200 MG Tab 250.000 0 -

CARBAMAZEPIN TAB 200 MG Tab 216.00 0 -

45 CETIRIZINE SIRUP Btl 7,756.000 0 -

46 ceterizin cap cap 104.000 0 -

47 CETIRIZINE TAB Tab 52.00 900 46,800

48 CLOBAZAM TAB 10 MG Tab 1,110.000 0 -

49 CURCUMA TAB Tab 1,150.000 0 -

50 DEKSAMETASON INJ 5 MG/ML - 1 ML Amp 968.00 0 -

51 DEKSAMETASON TABLET 0,5 MG Tab 69.000 200 13,800

52 DEKSAMETASON TABLET 0,5 MG Tab 154.000 0 -

53 DIAZEPAM INJ 5 MG/ML Amp 1,913.00 0 -

54 DIAZEPAM REKTAL SUPP 14,459.000 0 -

55 DIAZEPAM TABLET 5 MG Tab 109.000 500 54,500

56 DIAZEPAM TABLET 2 MG Tab 86.000 0 -

57 DIFENHIDRAMIN INJ 10 MG/ML Amp 1,346.000 0 -

DIFENHIDRAMIN INJ 10 MG/ML Amp 825.00 0 -

58 DIGOKSIN TABLET 0,25 MG Tab 108.000 0 -

59 DIGOKSIN TABLET 0,25 MG Tab 104.000 0 -

60 DILTIAZEM TAB 30 MG Tab 142.000 100 14,200

61 DIMENHIDRINAT TAB 50 MG Tab 109.99 0 -

62 DIMENHIDRINAT TAB 50 MG tab 121.000 0 -

63 DOKSISIKLIN KAPSUL 100 MG Kap 309.000 0 -

64 DOMPERIDON DROPS btl 17,939.000 0 -

65 DOMPERIDON SIRUP 5 MG Btl 2,422.82 0 -

66 DOMPERIDON TABLET 10 MG Tab 75.00 200 15,000

67 DOMPERIDON TABLET 10 MG Tab 96.00 0 -

68 EFINEFRIN INJ. Amp 2,904.000 20 58,080

69 EPINEFRIN/ADRENALIN INJ 1 MG/ML Amp 1,518.00 0 -

70 ERITROMISIN KAPSUL 250 MG Kap 679.00 500 339,500

71 ERITROMISIN KAPSUL 500 MG Kap 781.000 0 -

72 ERITROMISIN KAPSUL 500 MG Kap 766.00 0 -

73 ERITROMISIN SIROP 200 MG/ 5 ML Btl 7,581.000 0 -

74 ETAKRIDIN (RIVANOL) 300 ml Btl 3,900.00 5 19,500

75 ETAKRIDIN (RIVANOL) 300 ml Btl 3,900.000 0 -

76 ETANOL 95 % 100 ml Btl 4,002.720 0 -

77 ETANOL 70 % 1000 ml Btl 31,250.000 0 -

78 ETANOL 70 % 1000 ml 31,247.700 0 -

79 ETHYLIS CHLORIDUM SEMPROT Btl 112,500.000 0 -


80 EUGENOL CAIRAN Btl 18,333.000 0 -

81 FENOBARBITAL AMPUL 2 ML Btl 2,265.000 0 -

82 FENOBARBITAL TABLET 30 MG Tab 177.000 0 -

83 FITOMENADION (VIT K) INJ. Ampul 3,900.00 30 117,000

84 FITOMENADION (VIT K) INJ. 4,236.000 0 -

85 FITOMENADION (VIT K) TABLET 10 MG Tab 818.00 0 -

86 FUROSEMIDA TABLET 40 MG Tab 84.000 0 -

87 GARAM ORALIT I SERBUK Sac 275.000 200 55,000

88 GARAM ORALIT I SERBUK Sac 317.000 0 -

89 GEMFIBROZIL KAPSUL 300 MG Kap 429.000 0 -

90 GEMFIBROZIL KAPSUL 300 MG Kap 436.000 0 -

91 GENTAMISIN INJ 80 MG/ML Amp 4,036.000 0 -

92 GENTAMISIN SALEP KULIT Pot 1,469.000 0 -

93 GENTAMISIN SULFAT TETES MATA 0,3 % Pot 5,170.00 0 -

94 GLIBENKLAMIDA TABLET 5 MG Tab 151.000 0 -

95 GLIMEPIRIDE 2 MG Tab 207.000 0 -

96 GLISERIL GUALAKOLAT TABLET 100 MG Tab 260.000 0 -

97 GLUKOSA LARUTAN INFUS 10 % Btl 6,270.000 0 -

98 GLUKOSA LARUTAN INFUS 10 % 7,500.000 0 -

99 GLUKOSA LARUTAN INFUS 40 % Btl 1,597.000 0 -

100 GLUKOSA LARUTAN INFUS 5 % Btl 6,900.000 0 -

101 GLUKOSA LARUTAN INFUS 5 % btl 7,363.000 0 -

102 GRANTUSIF Tab 405.000 0 -

103 GRISEOFULVIN TABLET 125 MG Tab 210.000 500 105,000

104 GRISEOFULVIN TABLET 125 MG NOVAPHARIN Tab 263.00 0 -

105 HALOPERIDOL INJ. 5 MG/ML Amp 6,250.000 0 -

106 HALOPERIDOL TABLET 1,5 MG Tab 90.000 0 -

HALOPERIDOL TABLET 2 MG Tab 93.000 0 -

107 HALOPERIDOL TABLET 5 MG Tab 60.00 100 6,000

108 HIDROKLOROTIAZIDA TABLET 25 MG Tab 171.000 0 -

109 HIDROKORTISON KRIM 2,5 % Tab 2,325.000 0 -

110 HIDROKORTISON KRIM 2,5 % Tube 2,838.000 0 -

111 HYOSIN BUTIL BROMIDA TAB 10 MG Tab 1,475.000 0 -

112 IBUPROFEN SIRUP 15 MG/ML Btl 2,339.00 9 21,051

113 IBUPROFEN TABLET 200 MG Tab 206.000 900 185,400

114 IBUPROFEN TABLET 200 MG Tab 108.000 0 -

115 IBUPROFEN TABLET 400 MG Tab 150.00 500 75,000

116 IBUPROFEN TABLET 400 MG Tab 133.000 0 -

117 ISONIAZID TABLET 300 MG Tab 106.700 0 -

118 ISOSORBID DINITRAT TABLET 5 MG Tab 93.000 0 -

119 ISOSORBID DINITRAT TABLET 5 MG YARINDO Tab 89.00 0 -

120 KALIUM DIKLOFENAK TAB 50 MG Tab 63.00 0 -

121 KALSIUM GLUCONAS INJ Amp 10,351.000 0 -

122 KALSIUM LAKTAT TABLET 500 MG Tab 63.00 0 -

123 KALSIUM LAKTAT TABLET 500 MG 60.00 0 -

124 KALSIUM LAKTAT TABLET 500 MG Tab 63.000 0 -

125 KAPTOPRIL 12.5 MG Tab 68.61 0 -


126 KAPTOPRIL 12.5 MG Tab 67.000 0 -

127 KAPTOPRIL 12.5 MG KF Tab 68.00 0 -

128 KAPTOPRIL 25 MG Tab 135.000 0 -

129 KAPTOPRIL 25 MG Tab 75.680 0 -

130 KAPTOPRIL 50 MG Tab 143.000 0 -

131 KAPTOPRIL 50 MG KF Tab 134.00 0 -

132 KETOKENAZOL KRIM Tube 3,135.000 0 -

133 KETOKENAZOL TAB 200 MG Tab 297.000 0 -

134 KLONIDIN TABLET 0.15 MG Tab 145.000 0 -

135 KLORAMFENIKOL SALEP KULIT 3 % Tube 3,327.000 0 -

136 KLORAMFENIKOL KAPSUL 500 MG Kapsul 1,337.990 0 -

137 KLORAMFENIKOL KAPSUL 250 MG Kapsul 660.00 300 198,000

138 KLORAMFENIKOL KAPSUL 250 MG Kapsul 329.000 0 -

139 KLORAMFENIKOL SALEP MATA 1% Kapsul 2,148.00 0 -

140 KLORAMFENIKOL SUSP 125 MG/ 5 ML Btl 4,982.000 0 -

141 KLORAMFENIKOL TETES MATA 0.5 % Tube 0.000 0 -

142 KLORAMFENIKOL TETES TELINGA 3 % 0 -

143 KLORFENIRAMINA MALEAT TAB 4 MG Tab 50.000 2200 110,000

144 KLORFENIRAMINA MALEAT TAB 4 MG Tab 39.000 0 -

145 KLORPROMAZIN TAB SALUT 100 MG Tab 170.000 0 -

146 KLORPROMAZIN TAB SALUT 100 MG MERSIFARM Tab 170.00 0 -

147 KOTRIMOKSAZOL DOEN I (DEWASA) 480 MG Tab 325.00 100 32,500

148 KOTRIMOKSAZOL DOEN (DEWASA)480 MG Tab 125.000 0 -

149 KOTRIMOKSAZOL DOEN II (ANAK) Tab 79.000 0 -

150 KOTRIMOKSAZOL SUSPENSI Btl 2,100.00 6 12,600

151 KOTRIMOKSAZOL SUSPENSI Btl 2,190.000 0 -

152 KOTRIMOKSAZOL SUSPENSI MERSIFARM Btl 2,052.00 0 -

153 KOTRIMOKSAZOL TABLET 480 MG MERSIFARM Tab 125.00 0 -

154 KUINIDIN 100 MG TABLET Tab 0 -

155 KUINIDIN 200 MG TABLET Tab 0 -

156 KUININ (KINA) TABLET 200 MG Tab 0 -

157 KUININ INJEKSI 25 % Tab 0 -

158 KUININ SULFAT TAB 222 MG (7 H2O) Tab 641.670 0 -

159 LANSOPRAZOL 30 MG KAP 360.000 0 -

160 LIDOKAIN SPRAY BTL 177,216.000 0 -

161 LIDOKAIN INJ 2 % Amp 847.00 45 38,115

162 LIDOKAIN INJ 2 % + EPINEFRIN 1,405.000 0 -

163 LISOL DENGAN KRESOL SABUN 50 % Btl 31,800.000 0 -

164 LOPERAMIDE TAB 2 MG Tab 90.000 0 -

165 LOPERAMIDE TAB 2 MG Tab 460.000 0 -

166 LOPERAMIDE TAB 2 MG Tab 85.000 0 -

167 LORATADIN TAB Tab 136.000 0 -

168 LORATADIN TABLET 10 MG PROMED Tab 117.00 0 -

169 LUBIRE Tab 5,225.00 0 -

170 MEBENDAZOL SIROP 100 MG/ 5 ML Btl 0 -

171 MEBENDAZOL TABLET 100 MG Tab 0 -

MELOXICAM KAPS 7,5 MG 830.28 2600 2,158,728


172 METAMPIRON TABLET 500 MG (ANTALGIN) Tab 141.850 0 -

173 METFORMIN TAB 500 MG Tab 77.00 0 -

174 METFORMIN TAB 500 MG Tab 109.000 0 -

175 METFORMIN TAB 850 MG Tab 240.000 0 -

176 METILERGOMETRIN MALEAT INJ 0.2 MG Amp 3,399.000 0 -

177 METILERGOMETRIN MALEAT TABLET 0.125 MG Tab 133.100 0 -

178 METILERGOMETRIN MALEAT TABLET 0.125 MG Tab 245.000 0 -

179 METILPREDNISOLON TAB 4 MG Tab 102.00 0 -

180 METILPREDNISOLON TAB 4 MG Tab 148.000 0 -

181 METILPREDNISOLON TAB16 MG Tab 456.00 500 228,000

182 METILPREDNISOLON TAB16 MG Tab 548.00 0 -

183 METOKLOPRAMIDE TAB 10 MG TAB 93.000 0 -

184 METOKLOPRAMIDE TAB 10 MG KF Tab 87.00 0 -

185 METRONIDAZOL TABLET 250 MG Tab 116.000 0 -

186 METRONIDAZOL TABLET 250 MG PHYTO Tab 93.00 0 -

187 METRONIDAZOL TABLET 500 MG Tab 660.000 0 -

188 MDT MB KUSTA DEWASA BLISTER 40,526.000 0 -

189 MgSO4 20% Btl 3,327.990 0 -

190 MgSO4 40% Btl 4,700.000 9 42,300

191 MIKONAZOLE KREAM Tube 1,900.00 0 -

192 MIKONAZOLE KREAM Tube 3,926.000 0 -

193 MIKONAZOLE KREAM 2% KF Tube 2,462.00 0 -

194 MIKORIN POWDER POT 26,950.000 0 -

195 MINERAL MIX Succ 2,723.000 0 -

196 MINERAL MIX Succ 2,550.000 0 -

197 MULTIVITAMIN TAB VINETRON Tab 1,848.000 0 -

198 MULTIVITAMIN TAB VINETRON Tab 1,705.000 0 -

199 MULTIVITAMIN TAB MEVITON 1,592.250 0 -

200 MULTIVITAMIN SYR CAMIVITA DAU Btl 5,300.000 0 -

201 NATRIUM DKLOFENAK TABLET 25 MG Tab 109.00 0 -

202 NATRIUM DKLOFENAK TABLET 50 MG Tab 109.99 0 -

203 NATRIUM DKLOFENAK TABLET 50 MG Tab 145.00 0 -

204 NATRIUM KLORIDA LARUTAN INFUS 0.9 % Btl 6,840.00 0 -

205 NATRIUM KLORIDA LARUTAN INFUS 0.9 % Btl 7,500.000 25 187,500

206 NIPEDIFINE TAB 10 MG Tab 120.000 0 -

NIPEDIFINE TAB 10 MG 221.00 0 -

NIPEDIFINE TAB 10 MG 150.000 300 45,000

207 NISTATIN 100.000 IU Tab 627.000 0 -

208 NISTATIN 500.000 IU Tab 704.000 0 -

209 NISTATIN VAGINAL TAB 100.000 UI Tab 645.00 0 -

210 NISTATIN VAGINAL 100.000 IU Tab 645.00 0 -

211 OBAT ANTITUBERKULOSIS KAT 1 DEWASA Tab 415,469.00 0 -

212 OBAT ANTITUBERKULOSIS KAT 1 DEWASA 356,829.000 0 -

213 OBAT ANTITUBERKULOSIS KAT 1 DEWASA 447,791.000 0 -

214 OBAT ANTITUBERKULOSIS KAT 2 DEWASA Tab 1,319.900 0 -

215 OBAT ANTITUBERKULOSIS KAT 2 DEWASA Paket 1,492,579 0 -

216 OBAT ANTITUBERKULOSIS KAT ANAK Tab 236,500.000 0 -


217 OBAT ANTITUBERKULOSIS KAT ANAK KF Paket 267,397 0 -

218 OBAT ANTITUBERKULOSIS SISIPAN DEWASA Tab 175,980.000 0 -

219 OBAT BATUK HITAM CAIRAN Btl 1,339.800 0 -

220 OKSITETRASIKLIN HCL SALEP 3 % Tube 3,600.000 0 -

221 OKSITETRASIKLIN HCL SALEP MATA 1 % Tube 2,600.000 0 -

222 OKSITETRASIKLIN SALEP MATA 1% KF Tube 3,926.00 0 -

223 OKSITOSIN INJ 10 IU/ML Amp 1,232.000 0 -

224 OKSITOSIN INJ 10 IU/ML 1,348.000 30 40,440

225 OMEPRAZOLE KAP 20 MG Tab 780.000 0 -

226 OMEPRAZOLE KAPSUL 20 MG Kapsul 148.00 0 -

227 OMEPRASOL INJ 40 MG/ML vial 5,394.60 0 -

228 OMEPRAZOLE INJ 11,868.00 0 -

229 OAM(ACT)DHP-FRIMAL 2,000.00 0 -

230 PAPAVERIN TABLET 40 MG Tab 680.000 0 -

231 PARACETAMOL DROPS 100 MG/ML (60 MG/0,6 ML) Btl 5,204.00 10 52,040

232 PARASETAMOL DROPS 100 MG/ML IGM Btl 7,646.00 0 -

233 PARASETAMOL SIROP 120 MG/ 5 ML Btl 1,160.00 0 -

234 PARASETAMOL infus Btl 8,880.000 5 44,400

235 PARASETAMOL SIROP 120 MG/ 5 ML Btl 1,160 52 60,320

236 PARASETAMOL TABLET 500 MG Tab 86.000 0 -

237 PARASETAMOL TABLET 500 MG MERSIFARM Tab 60.00 0 -

238 PARASETAMOL TABLET 500 MG MERSIFARM Tab 165.00 0 -

239 PEHACAIN INJ Amp 4,850.000 0 -

240 PENOL GLISEROL TETES TELINGA Btl 2,246.000 0 -

241 PIRANTEL SIRUP btl 9,100.000 0 -

242 PIRANTEL TABLET SCORE 125 MG Tab 341.00 1100 375,100

243 PIRASETAM 1200 Tab 854.000 0 -

244 PIRASETAM 400 Tab 194.000 0 -

245 PIRIDOKSIN (VIT B6) TAB 10 MG Tab 72.00 0 -

PIRIDOKSIN (VIT B6) TAB 10 MG Tab 157.99 1100 173,789

246 PIROKSIKAM TABLET 20 MG Tab 215.000 0 -

247 PIROKSIKAM TABLET 20 MG Tab 189.500 0 -

248 PITOGIN AMPUL 1 ML Amp 11,550.000 0 -

249 POVIDON IODIDA 10 % 1000 ML Btl 149,313.000 0 -

250 POVIDON IODIDA 10 % 1000 ML MAHAKAM Btl 139,313.00 0 -

251 POVIDON IODIDA 10 % 30 ML Btl 3,624.500 0 -

252 POVIDON IODIDA 10 % 300 ML Btl 22,498.300 0 -

253 POVIDON IODIDA 10 % 300 ML Btl 15,386.000 0 -

254 POVIDON IODIDA BETADIN 5 G SALEP Tube 7,039.00 0 -

255 POVIDON SALEP Tube 6,348.000 0 -

256 PREDNISON TABLET 5 MG Tab 73.00 1500 109,500

257 PRIMAUINE/PRIMAQUINE TAB 15 Tab 253.000 0 -

258 PROPANOLOL TABLET 10 MG Tab 59.000 0 -

259 PROPANOLOL TABLET 40 MG Tab 59.000 0 -

260 PROPILITIOURASIL TABLET 100 MG Tab 351.000 0 -

261 RANITIDIN INJ 25 MG / 2 ML Amp 1,155.00 0 -

262 RANITIDIN INJ 25 MG / 2 ML Amp 858.00 25 21,450


263 RANITIDIN TABLET 150 MG Tab 86.00 0 -

264 RINGER LAKTAT INFUS Btl 7,773.02 0 -

265 RINGER LAKTAT INFUS Btl 7,630.00 20 152,600

266 RISPERIDON 2 MG Tab 287.000 0 -

267 SALBUTAMOL SIRUP 5,463.000 0 -

268 SALBUTAMOL TABLET 4 MG KF Tab 195.00 0 -

269 SALEP 2-4 KOMBINASI Tube 1,488.400 0 -

270 SALEP 2-4 KOMBINASI Tube 1,475.000 23 33,925

271 SALISIL BEDAK 2 % Pot 6,426.00 0 -

272 SCABIMATE CREM SACH 12,155.000 0 -

273 SALISIL BEDAK 2 % TUBE 6,426.00 0 -

274 SEFADROKSIL KAPSUL 500 MG Kapsul 1,210.000 100 121,000

275 SEFADROKSIL KAPSUL 500 MG Kapsul 492.00 0 -

276 SEFADROKSIL SIROP KERING 125 MG / 5 ML Btl 4,133.000 0 -

277 SEFOTAKSIM 1000 MG Vial 5,700.000 0 -

278 SEFOTAKSIM INJ 1000 MG RAMA Vial 4,410.00 0 -

279 SIANOKOBALAMIN TABLET 50 MCG Tab 44.00 2000 88,000

280 SIANOKOBALAMIN TABLET 50 MCG KF Tab 51.00 0 -

281 SIANOKOBALAMIN VIT B12 INJ 500 MCG/ML Ampul 1,160.00 0 -

282 SIANOKOBALAMIN VIT B12 INJ 500 MCG/ML 3,070.000 0 -

283 SIMVASTATIN TABLET 10 MG TAB 73.00 0 -

284 SIMVASTATIN TABLET 10 MG 117.000 0 -

285 SIPROFLOKSASIN KAPLET 500 MG Kaplet 260.00 800 208,000

286 SULFASETAMID TETES MATA 15 % Btl 12,500.000 0 -

287 TABLET TAMBAH DARAH KOMBINASI Tab 409.000 0 -

TABLET TAMBAH DARAH KOMBINASI Tab 255.00 0 -

288 TETRASIKLIN KAPSUL 500 MG Kapsul 346.000 0 -

289 TETRASIKLIN KAPSUL 500 MG Kapsul 324.000 0 -

290 TIAMIN (VIT B1) INJ 100 MG/ML Amp 730.000 0 -

291 TIAMIN (VIT B1) TABLET 50 MG Tab 169.000 0 -

292 TIAMIN (VIT B1) TABLET 50 MG 90.000 0 -

293 TRIHEKSIFENIDIL 25 MG Tab 691.190 500 345,595

294 VAKSIN ANTI RABIES INJ vial 165,000.000 0 -

VAKSIN ANTI RABIES INJ vial 153,000.00 12 1,836,000

295 VAKSIN POLIO (bOPV) 10 ds Vial 19,954.000 52 1,037,608

296 VAKSIN MR 10 ds Vial 155,813.000 102 15,892,926

297 VAKSIN DPT-HB-HIB 5 ds Vial 78,991.000 70 5,529,370

VAKSIN HB Ig Vial 1,325,000.000 1 1,325,000

VAKSIN HB UNIJECT (HBO) 1 ds Vial 23,991.000 44 1,055,604

298 VAKSIN BCG Vial 61,996.000 36 2,231,856

299 VAKSIN HEPATITIS B Vial 23,991.000 0 -

300 VAKSIN IPV Vial 158,994.000 50 7,949,700

301 VAKSIN Td 10 ds VIAL 16,995.000 18 305,910

VAKSIN DT 10 ds VIAL 17,996.00 0 -

302 VITAMIN A 100.000 UI Btl 17,600.00 2 35,200

303 VITAMIN A 200.000 UI Btl 31,850.00 0 -

306 VITAMIN B KOMPLEKS TABLET Tab 60.000 800 48,000


307 VITAMIN B KOMPLEKS TABLET Tab 135.000 0 -

308 ZINK SIRUP Btl 2,489.000 0 -

309 ZINK SIRUP MEPROFARM Btl 3,285.00 0 -

310 ZINK TAB 20 MG Tab 2,000.00 0 -

311 ZINK TAB 20 MG Tab 604.00 0 -

312 ZINK TAB 20 MG 586.000 0 -

PERBEKALAN KESEHATAN 0 -

1 ACCU-CHECK PERFORMA Btl 420,000.000 0 -

2 ALAT SUNTIK SEKALI PAKAI 2,5/3 ML Set 851.53 0 -

3 ALAT SUNTIK SEKALI PAKAI 2,5/3 ML Set 1,056.00 100 105,600

4 ALAT SUNTIK SEKALI PAKAI 3 ML Set 1,108.800 0 -

5 ALAT SUNTIK SEKALI PAKAI 0,05 ML Set 1,518.000 0 -

6 ALAT SUNTIK SEKALI PAKAI 0,05 ML Set 1,240.000 0 -

7 ALAT SUNTIK SEKALI PAKAI 0,5 ML Set 1,240.00 0 -

8 ALAT SUNTIK SEKALI PAKAI 0,5 ML 1,240.00 0 -

9 ALAT SUNTIK SEKALI PAKAI 0,5 ML 1,650.000 0 -

10 ALAT SUNTIK SEKALI PAKAI 10 ML Set 1,216.470 30 36,494

11 ALAT SUNTIK SEKALI PAKAI 1 ML Set 1,056.000 200 211,200

12 ALAT SUNTIK SEKALI PAKAI 1 ML Set 844.260 0 -

13 ALAT SUNTIK SEKALI PAKAI 10 ML Set 1,622.500 0 -

14 ALAT SUNTIK SEKALI PAKAI 5 ML Set 1,013.11 200 202,622

15 ALAT SUNTIK SEKALI PAKAI 5 ML 1,500.000 50 75,000

16 ALKOHOL SWAB Box 184.380 0 -

17 ALKOHOL SWAB DAK Box 151.20 200 30,240

18 AQUA PRO INJEKSI 25 ML Btl 2,650.00 0 -

19 BAJU HAZMAT COVER ALL Bh 475,000.000 0 -

20 BISTURI NO. 19 Pcs 3,150 0 -

21 BISTURI NO.20 3,150 0 -

22 BISTURI NO. 22 Pcs 3,300 10 33,000

23 CANULA DEWASA Pcs 5,711.00 0 -

24 CATGUT NO 2/0 21,000.00 12 252,000

25 CATGUT NO 3/0 Pcs 34,538.00 10 345,380

26 CATGUT NO 3/0 RNI Pcs 35,295.00 0 -

27 CATGUT NO 4/0 RNI Pcs 32,685.00 0 -

28 CATHEJELL Pcs 42,848.000 0 -

29 FOLEY CATETER 16 Bh 10,000.000 0 -

30 FOLEY CATETER 18 Bh 10,000.000 0 -

31 FOLEY CATETER 20 Bh 10,000.000 0 -

32 HAND RUB BTL 46,016.56 0 -

33 HAND RUB BTL 62,624.000 0 -

34 HAND RUB fresco BTL 76,274.470 0 -

35 HANDSCOEN 6,5 STERIL Roll 8,600.000 30 258,000

36 HANDSCON 7 Pasang 8,600.00 0 -

37 HANDSCON 7 1/2 STERIL Bks 8,600.00 0 -

38 HANDSCON 7 STERIL 11,990.000 0 -

39 HANDSCON L Pasang 1,750.00 0 -

40 HANDSCON L KARINDO Pasang 1,647.24 0 -


42 HANDSCON M Pasang 1,750.00 0 -

43 HANDSCON M 2,750.000 0 -

44 HANDSCON S Pasang 1,161.600 0 -

45 HANDSCON S 2,750.000 0 -

46 TREPOCHECK SYPHILIS Pcs 9,300.00 0 -

47 HIV TEST Pcs 15,377.000 0 -

48 HIV TEST Pcs 15,367.000 0 -

49 INFUSION SET ANAK SET 5,610.000 0 -

50 INFUSION SET ANAK AXIMED Pcs 5,865.00 0 -

51 INFUSION SET DEWASA Set 7,062.00 43 303,666

52 INFUSION SET DEWASA 1,540.00 0 -

53 IV CATHETER N0 22 G Set 13,894.000 0 -

IV CATHETER N0 22 G Set 6,875.000 0 -

54 IV CATHETER NO 18 Set 9,123.400 0 -

55 IV CATHETER NO 20 G Set 6,875.000 15 103,125

56 IV CATHETER NO 22 G NIPRO Pcs 6,875.00 0 -

57 IV CATHETER NO 24 G Set 7,194.00 0 -

58 IV CATHETER NO 24 G Set 14,493.600 0 -

59 KANULA ANAK Pcs 5,711.00 0 -

61 KAPAS PEMBALUT / ABSORBEN 250 GRAM Set 18,000.000 0 -

62 KAPAS PEMBALUT / ABSORBEN 250 GRAM Set 25,198.000 3 75,594

63 KAPAS PEMBALUT 250 GRAM DRC Roll 30,500.00 0 -

64 KASA KOMPRES 40/40 STERIL Bks 1,944.000 0 -

65 KASA PEMBALUT 2 M X 80 CM Bks 79,360.00 0 -

66 KASA PEMBALUT 2 M X 80 CM DRC Bks 10,661.00 0 -

67 KASA PEMBALUT HIDROFIL 20 yard x 80 cm Roll 81,920.000 0 -

68 KASA PEMBALUT HIDROFIL 20 yard x 80 cm Roll 79,360.000 0 -

69 KASA PEMBALUT HIDROFIL 40 X 80 CM DRC Roll 134,091.00 1 134,091

70 KASA PEMBALUT HIDROFIL 4 M X 15 CM DRC Bks 4,104.00 0 -

71 KASA PEMBALUT HIDROFIL 4 M X 3 CM Bks 891.00 0 -

72 KASA PEMBALUT HIDROFIL 4 M X 5 CM ELASTIS Bks 2,750.000 0 -

73 KASA PEMBALUT HIDROFIL 16 M X 16 CM DRC Bks 4,200.00 0 -

74 LANCET Box 17,252.40 0 -

76 MASKER HIJAB Bh 580.800 0 -

77 MASKER KARET Bh 314.000 0 -

78 MASKER KAIN Bh 5,000.000 0 -

79 MASKER KAIN 5,000.000 0 -

80 NESCO / STRIP CHOLESTROL Btl 290,000.000 0 -

81 NASAL OKSIGEN DEWASA Bh 6,000.000 0 -

82 PLESTER 10 CM X 5 M Roll 49,632.000 0 -

83 PLESTER PHARMAFIX 10 CM X 500 CM Roll 51,305.00 0 -

84 PLESTER PHARMAFIX 15 CM X 500 CM Roll 78,115.00 4 312,460

85 PLESTER PHARMAFIX 5 CM X 500 CM Roll 27,000.00 15 405,000

86 PLESTER YARD Roll 43,700.000 0 -

87 SAMPEL CONTAINER/POT 2,342.00 0 -

88 POT SPUTUM Pot 2,272.00 0 -

89 REAGEN SYPHILIS Pcs 20,400.000 0 -


90 STRIP BIOLINE SYPIHILIS 3.0 100T 7,237.630 25 180,941

91 TREPOCHECK SYPHILIS 8,870.000 25 221,750

92 RAPID 1 (SD) /HIV TEST 8,350.00 0 -

93 RAPID TES HIV 1 7,879.00 50 393,950

94 RAPID TEST HBsAg /VIROCHECK 8,300.00 25 207,500

95 STRIP SD BIOLINE HbSag Box 10,012.50 0 -

96 RAPID TEST ANTIGEN COVID 19 CLUNGENE Box 52,800.00 300 15,840,000

97 RDT MALARIA Box 14,238.000 25 355,950

99 FDC OAT KATAGORI 1 PKT 447,791.00 2 895,582

100 SAFETY BOX 23,398.000 3 70,194

101 SAFETY BOX 20,394.000 4 81,576

102 SILK 2/0 SET 21,875.000 0 -

103 SILK 2/0 TROGE Pcs 42,601.900 0 -

SILK 2/0 21,458.334 0 -

104 SILK 3/0 SET 6,400.000 0 -

105 SILK 3/0 SET 29,931.00 24 718,344

106 SILK 3/0 TROGE Pcs 43,429.100 0 -

107 STRIP ASAM URAT NESCO Box 145,200.00 4 580,800

108 STRIP CHOLESTEROL Box 231,000.00 0 -

109 SRTIP GULA POS BINDU Btl 132,000.000 9 1,188,000

SRTIP GULA NESCO Btl 132,000.000 0 -

111 STRIP SD BIOLINE DENGUE DUO BOX 60,813.12 25 1,520,328

112 STRIP SD BIOLINE HIV 1/2 3.0 BOX 13,367.70 30 401,031

113 URIN BAG TANPA HANGER BH 5,742.00 16 91,872

114 URIN BAG TROGE Pcs 8,877.00 0 -

115 WING NEEDLE NO.23 Pcs 1,400.000 0 -

116 WING NEEDLE NO.25 Pcs 1,400.000 0 -

117 WING NEEDLE NO.27 Pcs 1,400.000 0 -

PENANGANAN CORONA VIRUS 0 -

1 FACE SHIELD 27,500.000 17 467,500

2 PAKAIAN PELINDUNG/HAZMAT PCH 660,000.000 7 4,620,000

3 PAKAIAN PELINDUNG/HAZMAT SET 475,000.000 10 4,750,000

4 VISOR/SHIELDFACE/HELM BUAH 315,000.000 8 2,520,000

5 SEPATU BOOT PSG 215,000.000 4 860,000

6 WIND NEEDLE PCS 5,500.000 300 1,650,000

7 COLD BOX KAPASITAS 6 L BOX 4,500,000.000 0 -

8 CAIRAN NaOCl BTL 50,000.000 0 -

9 SARUNG TANGAN NON STERIL PCH 1,800.000 0 -

10 APD SET SET 3,902,499.700 0 -

11 BAJU APD 660,000.000 0 -

12 SARUNG TANGAN PANJANG 54 -

13 SEPATU BOOT 0 -

14 MASKER 2,640.00 0 -

19 KACA MATA SAFETY 0 -

20 HAND RUB 250 ML BTL 71,692.500 0 -

21 SARUNG TANGAN STERIL PSG 8,000.000 0 -

22 HANDSCOON NON STERIL BTL 900.00 0 -


25 HAND SANITEZER BTL 19,500.00 0 -

26 SURGICAL MASK PCH 5,000.000 0 -

27 HANDSCOON NON STERIL M PSG 1,540.00 0 -

31 BUKU SAKU 30,000.000 7 210,000

32 KANTONG SAMPAH MEDIS 3,000.00 0 -

36 KANTONG JENAZAH 300,000.000 10 3,000,000

37 KANTONG JENAZAH 99,999.000 10 999,990

38 MASKER BEDAH 770.000 0 -

BANTUAN DINKES PROVINSI 0 -

1 BAJU APD MEREK SANDON ( DINKES PROVINSI ) PCH 12 -

2 BAJU APD MEREK SANDON ( DINKES PROVINSI ) 660,000.00 15 9,900,000

FACE SHIELD PCH 12 -

VIRUS COLLECTION & TRANSPORT TUBE BTL 130,000.00 30 3,900,000

VITAMIN C 500 MG TAB 600.00 900 540,000

FACE SHIELD BTL 27,500.00 10 275,000

HAND SANITIZER 37,812.50 0 -

HAND SANITIZER 250ml 30,250.00 0 -

HANDSCOON NON STERIL M 1,540.00 0 -

APD SET IMUNISASI : 0 -

HAND SANITIZER 30,250.00 0 -

MASKER BEDAH 990.00 0 -

MASKER 2,640.00 0 -

HANDSCOON NON STERIL L 1,540.00 0 -

KANTONG MEDIS 2,500.00 0 -

FACE SHIELD 27,500.00 9 247,500

PROGRAM IMUNISASI/VAKSIN CORONA 0 -

ALAT SUNTIK SEKALI PAKAI 0,5 ML PCH 1,185.00 2475 2,932,875

ALAT SUNTIK SEKALI PAKAI 0,5 ML 1,165.00 0 -

ALAT SUNTIK SEKALI PAKAI 0,3 ML 1,255.00 0 -

ALAT SUNTIK SEKALI PAKAI 3 ML 569.00 0 -

VAKSIN COVID-19 (10 DOSIS ) VIAL 1,339,440.00 0 -

VAKSIN COVID-19 CORONAVAC ( 2 DOSIS ) VIAL 138 -

VAKSIN COVID-19 MODERNA (14 DOSIS ) VIAL 20 -

VAKSIN MODERNA 10 DOSIS VIAL 35 -

VAKSIN COVID 19 JANSSENS 5 DOSIS VIAL 80 -

VAKSIN COVID 19 ASTRAZENECA 10 DOSIS VIAL 20 -

VAKSIN COVID-19 COVOVAX 10 DOSIS 10 -

VAKSIN Covid -19 Pfizer (6 Dosis) 0 -

SAFETY BOX 5 L PKM 1 BOX 14,000.00 19 266,000

SAFETY BOX 5 L PKM 1 5,382.00 0


ALKOHOL SWAB PKM VIAL 79.00 2464 194,656

NaCl 10 ml 3,280.00 0 -

PENANGANAN CORONA VIRUS DISEASE DINKES 0 -

1 MASKER BEDAH PCS 770.00 0 -

HAND SANITIZER PCS 19,250.00 0 -

HANDSCOON NON STERIL M PCS 1,540.00 0 -

RAPID TEST ANTIGEN COVID 19 CLUNGENE PCS 60,500.00 0 -


OBAT GIGI 0 -

1 ETIL KLORIDA Btl 126,500.00 0 -

2 COMPOSIT ANTERIOR A2 SOLARE Pcs 675,000.000 0 -

3 COMPOSIT ANTERIOR A3 SOLARE Pcs 675,000.000 0 -

4 COMPOSIT POSTERIOR A2 SOLARE Pcs 675,000.000 0 -

5 COMPOSIT POSTERIOR A3 SOLARE Pcs 675,000.000 0 -

6 DYCAL Pcs 302,500.000 1 302,500

7 EUGENOL Btl 165,000.000 0 -

8 FUJI IX MINI/ GOLD LABEL Pcs 650,000.000 0 -

9 XYLESTESIN Pcs 795,000.000 0 -


TOTAL HARGA OBAT DAN BHP 108,781,667.85
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
( LPLPO )

BULAN
TRI WULAN
TAHUN

PENERI PERSE PEMA KADALUAR


NILAI NILAI NILAI
MAAN DIAAN KAIAN SA

7 8 9 10 11 12 13

- 0 - -
- 0 - -
- 0 - -
- 400 146,600 -
- 62 266,600 -
- 0 - -
300 26,700.00 1000 89,000 400 35,600
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 200 33,400 -
1000 74,000.00 1000 74,000 1000 74,000
500 27,750.00 500 27,750 500 27,750
- 0 - -
1600 369,600.00 3200 739,200 1800 415,800
- 0 - -
- 0 - -
- 0 - -
- 0 - -
2000 120,000.00 4200 252,000 200 12,000
- 0 - -
50 88,598.00 50 88,598 6 10,632
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
2000 234,000.00 2200 257,400 1100 128,700
- 0 - -
- 0 - -
- 300 128,700 -
- 0 - -
- 0 - -
100 9,200.00 200 18,400 200 18,400
- 0 - -
50 77,000.00 75 115,500 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 250 35,750 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
500 26,000.00 1400 72,800 1400 72,800
- 0 - -
- 0 - -
- 0 - -
- 200 13,800 100 6,900
- 0 - -
- 0 - -
- 0 - -
- 500 54,500 100 10,900
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 100 14,200 -
200 21,998.00 200 21,998 -
- 0 - -
- 0 - -
- 0 - -
10 24,228.20 10 24,228 5 12,114
100 7,500.00 300 22,500 100 7,500
- 0 - -
- 20 58,080 -
- 0 - -
- 500 339,500 -
- 0 - -
- 0 - -
- 0 - -
- 5 19,500 5 19,500
- 0 - -
10 40,027.20 10 40,027 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 30 117,000 -
- 0 - -
- 0 - -
- 0 - -
100 27,500.00 300 82,500 100 27,500
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
200 42,000.00 700 147,000 400 84,000
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 100 6,000 100 6,000
- 0 - -
48 111,600.00 48 111,600 5 11,625
- 0 - -
- 0 - -
- 9 21,051 -
- 900 185,400 700 144,200
- 0 - -
1000 150,000.00 1500 225,000 400 60,000
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
500 34,305.00 500 34,305 500 34,305
- 0 - -
- 0 - -
- 0 - -
500 37,840.00 500 37,840 500 37,840
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 300 198,000 100 66,000
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 2200 110,000 1500 75,000
- 0 - -
- 0 - -
- 0 - -
- 100 32,500 100 32,500
- 0 - -
- 0 - -
- 6 12,600 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 45 38,115 15 12,705
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
200 23,400.00 200 23,400 -
- 0 - -
- 0 - -
- 0 - -
1000 830,280.00 3600 2,989,008 400 332,112
- 0 - -
600 46,200.00 600 46,200 500 38,500
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 500 228,000 300 136,800
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
1 40,526.00 1 40,526 1 40,526
- 0 - -
- 9 42,300 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
1000 109,990.00 1000 109,990 400 43,996
- 0 - -
- 0 - -
- 25 187,500 -
- 0 - -
- 0 - -
- 300 45,000 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 30 40,440 -
- 0 - -
- 0 - -
20 107,892.00 20 107,892 20 107,892
- 0 - -
- 0 - -
- 0 - -
- 10 52,040 10 52,040
- 0 - -
- 0 - -
- 5 44,400 -
50 58,000.00 102 118,320 60 69,600
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 1100 375,100 -
- 0 - -
- 0 - -
- 0 - -
- 1100 173,789 400 63,196
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 1500 109,500 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 25 21,450 25 21,450
1500 129,000.00 1500 129,000 300 25,800
60 466,381.20 60 466,381 40 310,921
- 20 152,600 -
- 0 - -
- 0 - -
- 0 - -
20 29,768.00 20 29,768 -
- 23 33,925 -
- 0 - -
- 0 - -
- 0 - -
- 100 121,000 100 121,000
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 2000 88,000 1100 48,400
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 800 208,000 200 52,000
- 0 - -
- 0 - -
200 51,000.00 200 51,000 200 51,000
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 500 345,595 -
- 0 - -
- 12 1,836,000 -
20 399,080.00 72 1,436,688 -
70 10,906,910.00 172 26,799,836 -
10 789,910.00 80 6,319,280 -
- 1 1,325,000 -
5 119,955.00 49 1,175,559 -
15 929,940.00 51 3,161,796 -
- 0 - -
10 1,589,940.00 60 9,539,640 -
10 169,950.00 28 475,860 -
- 0 - -
- 2 35,200 -
- 0 - -
2000 120,000.00 2800 168,000 600 36,000
- 0 - -
12 29,868.00 12 29,868 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
300 316,800.00 400 422,400 200 211,200
- 0 - -
100 151,800.00 100 151,800 100 151,800
- 0 - -
- 0 - -
- 0 - -
800 1,320,000.00 800 1,320,000 400 660,000
30 36,494.10 60 72,988 -
100 105,600.00 300 316,800 300 316,800
- 0 - -
- 0 - -
- 200 202,622 -
- 50 75,000 -
300 55,314.00 300 55,314 -
- 200 30,240 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 10 33,000 -
10 57,110.00 10 57,110 -
- 12 252,000 -
- 10 345,380 10 345,380
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 30 258,000 -
50 430,000.00 50 430,000 -
100 860,000.00 100 860,000 -
- 0 - -
100 175,000.00 100 175,000 -
- 0 - -
400 700,000.00 400 700,000 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
30 168,300.00 30 168,300 15 84,150
- 0 - -
20 141,240.00 63 444,906 43 303,666
- 0 - -
- 0 - -
- 0 - -
- 0 - -
50 343,750.00 65 446,875 25 171,875
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 3 75,594 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
2 268,182.00 3 402,273 -
- 0 - -
- 0 - -
30 82,500.00 30 82,500 -
- 0 - -
10 172,524.00 10 172,524 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 4 312,460 -
- 15 405,000 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 25 180,941 -
- 25 221,750 -
- 0 - -
- 50 393,950 -
- 25 207,500 -
30 300,375.00 30 300,375 -
- 300 15,840,000 -
- 25 355,950 -
- 2 895,582 -
5 116,990.00 8 187,184 -
- 4 81,576 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 24 718,344 -
- 0 - -
- 4 580,800 3 435,600
- 0 - -
- 9 1,188,000 3 396,000
- 0 - -
- 25 1,520,328 -
- 30 401,031 -
- 16 91,872 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 17 467,500 -
- 7 4,620,000 -
- 10 4,750,000 -
- 8 2,520,000 -
- 4 860,000 -
- 300 1,650,000 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 54 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 7 210,000 -
- 0 - -
- 10 3,000,000 -
- 10 999,990 -
500 385,000.00 500 385,000 500 385,000
- 0 - -
- 12 - -
- 15 9,900,000 -
- 12 - -
- 30 3,900,000 -
2000 1,200,000.00 2900 1,740,000 1900 1,140,000
- 10 275,000 -
- 0 - -
2 60,500.00 2 60,500 -
20 30,800.00 20 30,800 -
- 0 - -
- 0 - -
- 0 - -
60 158,400.00 60 158,400 -
20 30,800.00 20 30,800 -
2 5,000.00 2 5,000 -
- 9 247,500 -
- 0 - -
- 2475 2,932,875 -
135 157,275.00 135 157,275 -
60 75,300.00 60 75,300 -
5 2,845.00 5 2,845
- 0 - -
20 - 158 - -
2 - 22 - -
- 35 - -
5 - 85 - -
5 - 25 - -
- 10 - -
5 - 5 -
3 42,000.00 22 308,000 -
1 5,382.00 1 5,382
195 15,405.00 2659 210,061 -
5 16,400.00 5 16,400
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 1 302,500 -
- 0 - -
- 0 - -
- 0 - -
26,484,922.70 135,266,590.55 0 7,596,974.66
MARET

2022
Hal 1
SISA PERMINTAA
NILAI NILAI KET
STOK N

14 15 16 17 18

- 0 -
- 0 -
- 0 -
- 400 146,600
- 62 266,600
- 0 -
- 600 53,400
- 0 -
- 0 - 50
- 0 - 500
- 0 -
- 0 -
- 0 -
- 200 33,400
- 0 - 2,000
- 0 - 2,000
- 0 -
- 1400 323,400 1,000
- 0 -
- 0 -
- 0 -
- 0 -
- 4000 240,000
- 0 -
- 44 77,966
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 2,000
- 1100 128,700 2,000
- 0 -
- 0 -
- 300 128,700
- 0 -
- 0 -
- 0 - 300
- 0 -
- 75 115,500 50
- 0 -
- 0 -
- 0 -
- 0 -
- 250 35,750
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 1,500
- 0 -
- 0 -
- 0 -
- 100 6,900 500
- 0 -
- 0 -
- 0 -
- 400 43,600
- 0 -
- 0 -
- 0 - 25
- 0 -
- 0 -
- 100 14,200
- 200 21,998
- 0 -
- 0 -
- 0 -
- 5 12,114 10
- 200 15,000
- 0 -
- 20 58,080
- 0 -
- 500 339,500
- 0 -
- 0 -
- 0 -
- 0 - 5
- 0 -
- 10 40,027 10
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 30 117,000
- 0 -
- 0 -
- 0 - 200
- 200 55,000
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 24
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 2,000
- 300 63,000 300
- 0 -
- 0 -
- 0 - 200
- 0 - 200
- 0 - 200
- 0 -
- 43 99,975
- 0 -
- 0 -
- 9 21,051
- 200 41,200
- 0 -
- 1100 165,000 1,000
- 0 -
- 0 -
- 0 -
- 0 - 500
- 0 -
- 0 -
- 0 -
- 0 - 1,500
- 0 -
- 0 - 600
- 0 -
- 0 -
- 0 -
- 0 - 600
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 200 132,000
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 700 35,000 1000
- 0 -
- 0 -
- 0 -
- 0 - 300
- 0 -
- 0 -
- 6 12,600
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 30 25,410 30
- 0 -
- 0 -
- 0 - 500
- 0 -
- 0 -
- 0 -
- 200 23,400
- 0 -
- 0 -
- 0 -
- 3200 2,656,896
- 0 -
- 100 7,700 600
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 500
- 0 - 2,000
- 0 -
- 200 91,200 300
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 500
- 0 -
- 0 -
- 9 42,300
- 0 - 50
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 600 65,994 1,000
- 0 -
- 0 -
- 25 187,500
- 0 -
- 0 -
- 300 45,000
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 30 40,440
- 0 - 500
- 0 -
- 0 - 20
- 0 -
- 0 -
- 0 - 200
- 0 - 20
- 0 -
- 0 - 100
- 5 44,400
- 42 48,720 20
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 1100 375,100
- 0 -
- 0 -
- 0 -
- 700 110,593 300
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 1500 109,500
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 50
- 1200 103,200
- 20 155,460 40
- 20 152,600
- 0 -
- 0 -
- 0 -
- 20 29,768
- 23 33,925 24
- 0 - 24
- 0 -
- 0 -
- 0 - 600
- 0 -
- 0 -
- 0 -
- 0 -
- 900 39,600 1,500
- 0 -
- 0 - 50
- 0 -
- 0 -
- 0 -
- 600 156,000
- 0 -
- 0 -
- 0 - 2,000
- 0 -
- 0 -
- 0 -
- 0 - 1,500
- 0 -
- 500 345,595
- 0 -
- 12 1,836,000
- 72 1,436,688
- 172 26,799,836
- 80 6,319,280
- 1 1,325,000
- 49 1,175,559
- 51 3,161,796
- 0 -
- 60 9,539,640
- 28 475,860
- 0 -
- 2 35,200
- 0 -
- 2200 132,000
- 0 -
- 12 29,868
- 0 -
- 0 - 300
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 200 211,200 200
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 400 660,000 200
- 60 72,988
- 0 - 200
- 0 -
- 0 -
- 200 202,622
- 50 75,000
- 300 55,314
- 200 30,240 300
- 0 -
- 0 -
- 0 -
- 0 -
- 10 33,000
- 10 57,110
- 12 252,000
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 5
- 0 - 5
- 0 -
- 0 -
- 0 -
- 30 258,000
- 50 430,000
- 100 860,000
- 0 -
- 100 175,000
- 0 -
- 400 700,000
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 15 84,150 25
- 0 -
- 20 141,240 50
- 0 -
- 0 -
- 0 - 100
- 0 -
- 40 275,000 50
- 0 -
- 0 - 100
- 0 -
- 0 -
- 0 -
- 3 75,594
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 3
- 0 -
- 3 402,273 2
- 0 - 100
- 0 - 100
- 30 82,500
- 0 -
- 10 172,524 20
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 4 312,460
- 15 405,000
- 0 -
- 0 -
- 0 -
- 0 -
- 25 180,941
- 25 221,750
- 0 -
- 50 393,950
- 25 207,500 25
- 30 300,375
- 300 15,840,000
- 25 355,950
- 2 895,582
- 8 187,184
- 4 81,576
- 0 - 24
- 0 -
- 0 -
- 0 -
- 24 718,344
- 0 -
- 1 145,200 7
- 0 - 10
- 6 792,000
- 0 -
- 25 1,520,328
- 30 401,031
- 16 91,872
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 17 467,500
- 7 4,620,000
- 10 4,750,000
- 8 2,520,000
- 4 860,000
- 300 1,650,000
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 54 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 7 210,000
- 0 -
- 10 3,000,000
- 10 999,990
- 0 - 500
- 0 -
- 12 -
- 15 9,900,000
- 12 -
- 30 3,900,000
- 1000 600,000 1,500
- 10 275,000
- 0 -
- 2 60,500
- 20 30,800
- 0 -
- 0 -
- 0 -
- 60 158,400
- 20 30,800
- 2 5,000
- 9 247,500
- 0 -
- 2475 2,932,875
-
-

- 0 -
- 158 -
- 22 -
- 35 -
- 85 -
- 25 -
- 10 -

- 22 308,000

- 2659 210,061

- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 1 302,500
- 0 -
- 0 -
- 0 -
- 127,412,413.89
LAPORAN PEMAK

KODE PUSKESMAS :
PUSKESMAS : BUKI
KECAMATAN : BUKI
KABUPATEN : KEPULAUAN SELAYAR
PROPINSI : SULAWESI SELATAN

STOK
NO NAMA OBAT SATUAN HARGA NILAI
AWAL
1 2 3 4 5 6

1 ACETOSAL Tab 89.000 0 -

2 ALBENDAZOL TABLET 400 MG HOLI Tab 380.00 0 -

3 ALBENDAZOL TABLET 400 MG HOLI tab 404.000 0 -

4 ALBENDAZOL TABLET 400 MG HOLI Tab 366.500 400 146,600

5 ALBENDAZOL SUSPENSI Btl 4,300.000 62 266,600

6 ALOPURINOL TABLET 100 MG Tab 99.00 0 -

7 ALOPURINOL TABLET 100 MG Tab 89.00 600 53,400

8 ALOPURINOL TABLET 300 MG Tab 200.000 0 -

9 AMBROKSOL SIRUP Btl 7,700.000 0 -

10 AMBROKSOL TAB 30 MG Tab 270.00 0 -

11 AMINOFILIN TABLET 200 MG Tab 97.000 0 -

12 AMINOFILIN INJ 24 MG/ML-10 ML AMP 3,071.000 0 -

13 AMITRIPTILIN TABLET SALUT 25 MG Tab 165.00 0 -

14 AMITRIPTILIN TABLET SALUT 25 MG Tab 167.000 200 33,400

15 AMLODIPIN 10 MG Tab 74.00 0 -

16 AMLODIPIN 5 MG Tab 55.50 0 -

17 AMLODIPIN 5 MG Tab 79.000 0 -

18 AMOKSISILIN KAPLET 500 MG Kap 231.000 1400 323,400

AMOKSISILIN KAPLET 500 MG 265.00 0 -

19 AMOKSISILIN SIROP KERING 125 mg/5ml Btl 3,510.000 0 -

20 AMOKSISILIN SYRUP 250 MG/ML Btl 3,510.00 0 -

21 AMPICILIN SERBUK INJ 1 G Vial 9,473.000 0 -

22 ANTASIDA DOEN KOMBINASI TAB 500 MG Tab 60.000 4000 240,000

23 ANTASIDA DOEN KOMBINASI TAB 500 MG Tab 59.000 0 -

24 ANTASIDA DOEN SUSPENSI Btl 1,771.96 44 77,966

25 ANTASIDA DOEN SUSPENSI 5,800.000 0 -

26 ANTIBAKTERI DOEN SALEP KOMBINASI Tube 3,365.000 0 -

27 ANTIFUNGI DOEN KOMBINASI Pot 4,782.000 0 -

28 ANTIHEMOROID SUPP SUPP 3,800.000 0 -

29 ASAM ASKORBAT (VIT C) 50 MG Tab 120.000 0 -

ASAM ASKORBAT (VIT C) 50 MG Tab 46.000 0 -

30 ASAM MEFENAMAT TABLET SALUT 500 MG Tab 117.000 1100 128,700

31 ASIKLOVIR KRIM 5 % Tube 2,367.000 0 -

32 ASIKLOVIR TABLET 200 MG Tab 236.000 0 -

33 ASIKLOVIR TABLET 400 MG Tab 429.000 300 128,700

34 ASETYLCYSTEINE 200 MG Tab 394.000 0 -


35 ATROPIN TETES MATA 0.5 % Btl 0 -

36 BETAHISTIN MESILAT TAB 6 MG TAB 92.00 0 -

37 BETAHISTIN MESILAT TAB 6 MG TAB 151.000 0 -

38 BETAMETASON KRIM 0,1 % Tube 1,533.810 75 115,036

39 BETAMETASON KRIM 0,1 % Tube 1,515.000 0 -

40 BISAKODIL SUPPOSITORIA 10 mg SUPP 4,325.000 0 -

41 BISAKODIL SUPPOSITORIA 5 mg SUPP 5,085.000 0 -

42 BISOPROLOL FUMARATE Tab 695.000 0 -

43 BISOPROLOL TABLET 5 MG NOVELL Tab 143.00 250 35,750

44 CARBAMAZEPIN TAB 200 MG Tab 250.000 0 -

CARBAMAZEPIN TAB 200 MG Tab 216.00 0 -

45 CETIRIZINE SIRUP Btl 2,215.000 0 -

46 ceterizin cap cap 104.000 0 -

47 CETIRIZINE TAB Tab 52.00 0 -

48 CLOBAZAM TAB 10 MG Tab 1,110.000 0 -

49 CURCUMA TAB Tab 1,150.000 0 -

50 DEKSAMETASON INJ 5 MG/ML - 1 ML Amp 968.00 0 -

51 DEKSAMETASON TABLET 0,5 MG Tab 69.000 100 6,900

52 DEKSAMETASON TABLET 0,5 MG Tab 154.000 0 -

53 DIAZEPAM INJ 5 MG/ML Amp 1,913.00 0 -

54 DIAZEPAM REKTAL SUPP 14,459.000 0 -

55 DIAZEPAM TABLET 5 MG Tab 109.000 400 43,600

56 DIAZEPAM TABLET 2 MG Tab 86.000 0 -

57 DIFENHIDRAMIN INJ 10 MG/ML Amp 1,346.000 0 -

DIFENHIDRAMIN INJ 10 MG/ML Amp 825.00 0 -

58 DIGOKSIN TABLET 0,25 MG Tab 108.000 0 -

59 DIGOKSIN TABLET 0,25 MG Tab 104.000 0 -

60 DILTIAZEM TAB 30 MG Tab 142.000 100 14,200

61 DIMENHIDRINAT TAB 50 MG Tab 109.99 200 21,998

62 DIMENHIDRINAT TAB 50 MG tab 121.000 0 -

63 DOKSISIKLIN KAPSUL 100 MG Kap 309.000 0 -

64 DOMPERIDON DROPS btl 17,939.000 0 -

65 DOMPERIDON SIRUP 5 MG Btl 2,422.82 5 12,114

66 DOMPERIDON TABLET 10 MG Tab 75.00 200 15,000

67 DOMPERIDON TABLET 10 MG Tab 96.00 0 -

68 EFINEFRIN INJ. Amp 2,904.000 20 58,080

69 EPINEFRIN/ADRENALIN INJ 1 MG/ML Amp 1,518.00 0 -

70 ERITROMISIN KAPSUL 250 MG Kap 679.00 500 339,500

71 ERITROMISIN KAPSUL 500 MG Kap 781.000 0 -

72 ERITROMISIN KAPSUL 500 MG Kap 766.00 0 -

73 ERITROMISIN SIROP 200 MG/ 5 ML Btl 7,581.000 0 -

74 ETAKRIDIN (RIVANOL) 300 ml Btl 3,900.00 0 -

75 ETAKRIDIN (RIVANOL) 300 ml Btl 3,900.000 0 -

76 ETANOL 95 % 100 ml Btl 4,002.720 10 40,027

77 ETANOL 70 % 1000 ml Btl 31,250.000 0 -

78 ETANOL 70 % 1000 ml 31,247.700 0 -

79 ETHYLIS CHLORIDUM SEMPROT Btl 112,500.000 0 -


80 EUGENOL CAIRAN Btl 18,333.000 0 -

81 FENOBARBITAL AMPUL 2 ML Btl 2,265.000 0 -

82 FENOBARBITAL TABLET 30 MG Tab 177.000 0 -

83 FITOMENADION (VIT K) INJ. Ampul 3,900.00 30 117,000

84 FITOMENADION (VIT K) INJ. 4,236.000 0 -

85 FITOMENADION (VIT K) TABLET 10 MG Tab 818.00 0 -

86 FUROSEMIDA TABLET 40 MG Tab 84.000 0 -

87 GARAM ORALIT I SERBUK Sac 275.000 200 55,000

88 GARAM ORALIT I SERBUK Sac 317.000 0 -

89 GEMFIBROZIL KAPSUL 300 MG Kap 429.000 0 -

90 GEMFIBROZIL KAPSUL 300 MG Kap 436.000 0 -

91 GENTAMISIN INJ 80 MG/ML Amp 4,036.000 0 -

92 GENTAMISIN SALEP KULIT Pot 1,469.000 0 -

93 GENTAMISIN SULFAT TETES MATA 0,3 % Pot 5,170.00 0 -

94 GLIBENKLAMIDA TABLET 5 MG Tab 87.790 0 -

95 GLIMEPIRIDE 2 MG Tab 123.000 0 -

96 GLISERIL GUALAKOLAT TABLET 100 MG Tab 260.000 0 -

97 GLUKOSA LARUTAN INFUS 10 % Btl 6,270.000 0 -

98 GLUKOSA LARUTAN INFUS 10 % 7,500.000 0 -

99 GLUKOSA LARUTAN INFUS 40 % Btl 1,597.000 0 -

100 GLUKOSA LARUTAN INFUS 5 % Btl 6,900.000 0 -

101 GLUKOSA LARUTAN INFUS 5 % btl 7,363.000 0 -

102 GRANTUSIF Tab 405.000 0 -

103 GRISEOFULVIN TABLET 125 MG Tab 210.000 300 63,000

104 GRISEOFULVIN TABLET 125 MG NOVAPHARIN Tab 263.00 0 -

105 HALOPERIDOL INJ. 5 MG/ML Amp 6,250.000 0 -

106 HALOPERIDOL TABLET 1,5 MG Tab 90.000 0 -

HALOPERIDOL TABLET 2 MG Tab 93.000 0 -

107 HALOPERIDOL TABLET 5 MG Tab 60.00 0 -

108 HIDROKLOROTIAZIDA TABLET 25 MG Tab 171.000 0 -

109 HIDROKORTISON KRIM 2,5 % Tab 2,325.000 43 99,975

110 HIDROKORTISON KRIM 2,5 % Tube 2,838.000 0 -

111 HYOSIN BUTIL BROMIDA TAB 10 MG Tab 1,475.000 0 -

112 IBUPROFEN SIRUP 15 MG/ML Btl 2,339.00 9 21,051

113 IBUPROFEN TABLET 200 MG Tab 206.000 200 41,200

114 IBUPROFEN TABLET 200 MG Tab 108.000 0 -

115 IBUPROFEN TABLET 400 MG Tab 150.00 1100 165,000

116 IBUPROFEN TABLET 400 MG Tab 133.000 0 -

117 ISONIAZID TABLET 300 MG Tab 106.700 0 -

118 ISOSORBID DINITRAT TABLET 5 MG Tab 93.000 0 -

119 ISOSORBID DINITRAT TABLET 5 MG YARINDO Tab 89.00 0 -

120 KALIUM DIKLOFENAK TAB 50 MG Tab 63.00 0 -

121 KALSIUM GLUCONAS INJ Amp 10,351.000 0 -

122 KALSIUM LAKTAT TABLET 500 MG Tab 63.00 0 -

123 KALSIUM LAKTAT TABLET 500 MG 60.00 0 -

124 KALSIUM LAKTAT TABLET 500 MG Tab 63.000 0 -

125 KAPTOPRIL 12.5 MG Tab 68.61 0 -


126 KAPTOPRIL 12.5 MG Tab 67.000 0 -

127 KAPTOPRIL 12.5 MG KF Tab 68.00 0 -

128 KAPTOPRIL 25 MG Tab 135.000 0 -

129 KAPTOPRIL 25 MG Tab 75.680 0 -

130 KAPTOPRIL 50 MG Tab 143.000 0 -

131 KAPTOPRIL 50 MG KF Tab 134.00 0 -

132 KETOKENAZOL KRIM Tube 3,135.000 0 -

133 KETOKENAZOL TAB 200 MG Tab 297.000 0 -

134 KLONIDIN TABLET 0.15 MG Tab 145.000 0 -

135 KLORAMFENIKOL SALEP KULIT 3 % Tube 3,794.180 0 -

136 KLORAMFENIKOL KAPSUL 500 MG Kapsul 1,337.990 0 -

137 KLORAMFENIKOL KAPSUL 250 MG Kapsul 660.00 200 132,000

138 KLORAMFENIKOL KAPSUL 250 MG Kapsul 329.000 0 -

139 KLORAMFENIKOL SALEP MATA 1% Kapsul 2,148.00 0 -

140 KLORAMFENIKOL SUSP 125 MG/ 5 ML Btl 4,982.000 0 -

141 KLORAMFENIKOL TETES MATA 0.5 % Tube 0.000 0 -

142 KLORAMFENIKOL TETES TELINGA 3 % 0 -

143 KLORFENIRAMINA MALEAT TAB 4 MG Tab 50.000 700 35,000

144 KLORFENIRAMINA MALEAT TAB 4 MG Tab 39.000 0 -

145 KLORPROMAZIN TAB SALUT 100 MG Tab 170.000 0 -

146 KLORPROMAZIN TAB SALUT 100 MG MERSIFARM Tab 170.00 0 -

147 KOTRIMOKSAZOL DOEN I (DEWASA) 480 MG Tab 325.00 0 -

148 KOTRIMOKSAZOL DOEN (DEWASA)480 MG Tab 125.000 0 -

149 KOTRIMOKSAZOL DOEN II (ANAK) Tab 79.000 0 -

150 KOTRIMOKSAZOL SUSPENSI Btl 2,100.00 6 12,600

151 KOTRIMOKSAZOL SUSPENSI Btl 2,190.000 0 -

152 KOTRIMOKSAZOL SUSPENSI MERSIFARM Btl 2,052.00 0 -

153 KOTRIMOKSAZOL TABLET 480 MG MERSIFARM Tab 125.00 0 -

154 KUINIDIN 100 MG TABLET Tab 0 -

155 KUINIDIN 200 MG TABLET Tab 0 -

156 KUININ (KINA) TABLET 200 MG Tab 0 -

157 KUININ INJEKSI 25 % Tab 0 -

158 KUININ SULFAT TAB 222 MG (7 H2O) Tab 641.670 0 -

159 LANSOPRAZOL 30 MG KAP 360.000 0 -

160 LIDOKAIN SPRAY BTL 177,216.000 0 -

161 LIDOKAIN INJ 2 % Amp 847.00 30 25,410

162 LIDOKAIN INJ 2 % + EPINEFRIN 1,405.000 0 -

163 LISOL DENGAN KRESOL SABUN 50 % Btl 31,800.000 0 -

164 LOPERAMIDE TAB 2 MG Tab 90.000 0 -

165 LOPERAMIDE TAB 2 MG Tab 460.000 0 -

166 LOPERAMIDE TAB 2 MG Tab 85.000 0 -

167 LORATADIN TAB Tab 136.000 0 -

168 LORATADIN TABLET 10 MG PROMED Tab 117.00 200 23,400

169 LUBIRE Tab 5,225.00 0 -

170 MEBENDAZOL SIROP 100 MG/ 5 ML Btl 0 -

171 MEBENDAZOL TABLET 100 MG Tab 0 -

MELOXICAM KAPS 7,5 MG 830.28 3200 2,656,896


172 METAMPIRON TABLET 500 MG (ANTALGIN) Tab 141.850 0 -

173 METFORMIN TAB 500 MG Tab 77.00 100 7,700

174 METFORMIN TAB 500 MG Tab 109.000 0 -

175 METFORMIN TAB 850 MG Tab 240.000 0 -

176 METILERGOMETRIN MALEAT INJ 0.2 MG Amp 3,399.000 0 -

177 METILERGOMETRIN MALEAT TABLET 0.125 MG Tab 133.100 0 -

178 METILERGOMETRIN MALEAT TABLET 0.125 MG Tab 215.940 0 -

179 METILPREDNISOLON TAB 4 MG Tab 102.00 0 -

180 METILPREDNISOLON TAB 4 MG Tab 148.000 0 -

181 METILPREDNISOLON TAB16 MG Tab 456.00 200 91,200

182 METILPREDNISOLON TAB16 MG Tab 548.00 0 -

183 METOKLOPRAMIDE TAB 10 MG TAB 93.000 0 -

184 METOKLOPRAMIDE TAB 10 MG KF Tab 87.00 0 -

185 METRONIDAZOL TABLET 250 MG Tab 116.000 0 -

186 METRONIDAZOL TABLET 250 MG PHYTO Tab 93.00 0 -

187 METRONIDAZOL TABLET 500 MG Tab 660.000 0 -

188 MDT MB KUSTA DEWASA BLISTER 40,526.000 0 -

189 MgSO4 20% Btl 3,327.990 0 -

190 MgSO4 40% Btl 4,700.000 9 42,300

191 MIKONAZOLE KREAM Tube 1,900.00 0 -

192 MIKONAZOLE KREAM Tube 3,926.000 0 -

193 MIKONAZOLE KREAM 2% KF Tube 2,462.00 0 -

194 MIKORIN POWDER POT 26,950.000 0 -

195 MINERAL MIX Succ 2,723.000 0 -

196 MINERAL MIX Succ 2,550.000 0 -

197 MULTIVITAMIN TAB VINETRON Tab 1,848.000 0 -

198 MULTIVITAMIN TAB VINETRON Tab 1,705.000 0 -

199 MULTIVITAMIN TAB MEVITON 1,592.250 0 -

200 MULTIVITAMIN SYR CAMIVITA DAU Btl 5,300.000 0 -

201 NATRIUM DKLOFENAK TABLET 25 MG Tab 109.00 0 -

202 NATRIUM DKLOFENAK TABLET 50 MG Tab 109.99 600 65,994

203 NATRIUM DKLOFENAK TABLET 50 MG Tab 145.00 0 -

204 NATRIUM KLORIDA LARUTAN INFUS 0.9 % Btl 6,840.00 0 -

205 NATRIUM KLORIDA LARUTAN INFUS 0.9 % Btl 7,500.000 25 187,500

206 NIPEDIFINE TAB 10 MG Tab 120.000 0 -

NIPEDIFINE TAB 10 MG 221.00 0 -

NIPEDIFINE TAB 10 MG 150.000 300 45,000

207 NISTATIN 100.000 IU Tab 627.000 0 -

208 NISTATIN 500.000 IU Tab 704.000 0 -

209 NISTATIN VAGINAL TAB 100.000 UI Tab 645.00 0 -

210 NISTATIN VAGINAL 100.000 IU Tab 645.00 0 -

211 OBAT ANTITUBERKULOSIS KAT 1 DEWASA Tab 478,142.00 0 -

212 OBAT ANTITUBERKULOSIS KAT 1 DEWASA 356,829.000 0 -

213 OBAT ANTITUBERKULOSIS KAT 1 DEWASA 447,791.000 0 -

214 OBAT ANTITUBERKULOSIS KAT 2 DEWASA Tab 1,319.900 0 -

215 OBAT ANTITUBERKULOSIS KAT 2 DEWASA Paket 1,492,579 0 -

216 OBAT ANTITUBERKULOSIS KAT ANAK Tab 236,500.000 0 -


217 OBAT ANTITUBERKULOSIS KAT ANAK KF Paket 267,397 0 -

218 OBAT ANTITUBERKULOSIS SISIPAN DEWASA Tab 175,980.000 0 -

219 OBAT BATUK HITAM CAIRAN Btl 1,339.800 0 -

220 OKSITETRASIKLIN HCL SALEP 3 % Tube 3,600.000 0 -

221 OKSITETRASIKLIN HCL SALEP MATA 1 % Tube 2,600.000 0 -

222 OKSITETRASIKLIN SALEP MATA 1% KF Tube 3,926.00 0 -

223 OKSITOSIN INJ 10 IU/ML Amp 1,232.000 0 -

224 OKSITOSIN INJ 10 IU/ML 1,348.000 30 40,440

225 OMEPRAZOLE KAP 20 MG Tab 780.000 0 -

226 OMEPRAZOLE KAPSUL 20 MG Kapsul 129.00 0 -

227 OMEPRASOL INJ 40 MG/ML vial 5,394.60 0 -

228 OMEPRAZOLE INJ 11,868.00 0 -

229 OAM(ACT)DHP-FRIMAL 1,900.00 0 -

230 PAPAVERIN TABLET 40 MG Tab 680.000 0 -

231 PARACETAMOL DROPS 100 MG/ML (60 MG/0,6 ML) Btl 5,204.00 0 -

232 PARASETAMOL DROPS 100 MG/ML IGM Btl 5,251.30 0 -

233 PARASETAMOL SIROP 120 MG/ 5 ML Btl 1,160.00 0 -

234 PARASETAMOL infus Btl 8,880.000 5 44,400

235 PARASETAMOL SIROP 120 MG/ 5 ML Btl 1,160 42 48,720

236 PARASETAMOL TABLET 500 MG Tab 86.000 0 -

237 PARASETAMOL TABLET 500 MG MERSIFARM Tab 60.00 0 -

238 PARASETAMOL TABLET 500 MG MERSIFARM Tab 165.00 0 -

239 PEHACAIN INJ Amp 4,850.000 0 -

240 PENOL GLISEROL TETES TELINGA Btl 3,330.000 0 -

241 PIRANTEL SIRUP btl 9,100.000 0 -

242 PIRANTEL TABLET SCORE 125 MG Tab 341.00 1100 375,100

243 PIRASETAM 1200 Tab 854.000 0 -

244 PIRASETAM 400 Tab 194.000 0 -

245 PIRIDOKSIN (VIT B6) TAB 10 MG Tab 72.00 0 -

PIRIDOKSIN (VIT B6) TAB 10 MG Tab 157.99 700 110,593

246 PIROKSIKAM TABLET 20 MG Tab 215.000 0 -

247 PIROKSIKAM TABLET 20 MG Tab 189.500 0 -

248 PITOGIN AMPUL 1 ML Amp 11,550.000 0 -

249 POVIDON IODIDA 10 % 1000 ML Btl 149,313.000 0 -

250 POVIDON IODIDA 10 % 1000 ML MAHAKAM Btl 139,313.00 0 -

251 POVIDON IODIDA 10 % 30 ML Btl 3,624.500 0 -

252 POVIDON IODIDA 10 % 300 ML Btl 22,498.300 0 -

253 POVIDON IODIDA 10 % 300 ML Btl 15,386.000 0 -

254 POVIDON IODIDA BETADIN 5 G SALEP Tube 7,039.00 0 -

255 POVIDON SALEP Tube 6,348.000 0 -

256 PREDNISON TABLET 5 MG Tab 73.00 1500 109,500

257 PRIMAUINE/PRIMAQUINE TAB 15 Tab 242.000 0 -

258 PROPANOLOL TABLET 10 MG Tab 59.000 0 -

259 PROPANOLOL TABLET 40 MG Tab 59.000 0 -

260 PROPILITIOURASIL TABLET 100 MG Tab 351.000 0 -

261 RANITIDIN INJ 25 MG / 2 ML Amp 1,155.00 0 -

262 RANITIDIN INJ 25 MG / 2 ML Amp 858.00 0 -


263 RANITIDIN TABLET 150 MG Tab 86.00 1200 103,200

264 RINGER LAKTAT INFUS Btl 7,773.02 20 155,460

265 RINGER LAKTAT INFUS Btl 7,630.00 20 152,600

266 RISPERIDON 2 MG Tab 287.000 0 -

267 SALBUTAMOL SIRUP 5,463.000 0 -

268 SALBUTAMOL TABLET 4 MG KF Tab 195.00 0 -

269 SALEP 2-4 KOMBINASI Tube 1,488.400 20 29,768

270 SALEP 2-4 KOMBINASI Tube 1,475.000 23 33,925

271 SALISIL BEDAK 2 % Pot 6,426.00 0 -

272 SCABIMATE CREM SACH 12,155.000 0 -

273 SALISIL BEDAK 2 % TUBE 6,426.00 0 -

274 SEFADROKSIL KAPSUL 500 MG Kapsul 1,210.000 0 -

275 SEFADROKSIL KAPSUL 500 MG Kapsul 492.00 0 -

276 SEFADROKSIL SIROP KERING 125 MG / 5 ML Btl 4,133.000 0 -

277 SEFOTAKSIM 1000 MG Vial 5,700.000 0 -

278 SEFOTAKSIM INJ 1000 MG RAMA Vial 4,410.00 0 -

279 SIANOKOBALAMIN TABLET 50 MCG Tab 44.00 900 39,600

280 SIANOKOBALAMIN TABLET 50 MCG KF Tab 51.00 0 -

281 SIANOKOBALAMIN VIT B12 INJ 500 MCG/ML Ampul 1,160.00 0 -

282 SIANOKOBALAMIN VIT B12 INJ 500 MCG/ML 3,070.000 0 -

283 SIMVASTATIN TABLET 10 MG TAB 73.00 0 -

284 SIMVASTATIN TABLET 10 MG 151.360 0 -

285 SIPROFLOKSASIN KAPLET 500 MG Kaplet 260.00 600 156,000

286 SULFASETAMID TETES MATA 15 % Btl 12,500.000 0 -

287 TABLET TAMBAH DARAH KOMBINASI Tab 409.000 0 -

TABLET TAMBAH DARAH KOMBINASI Tab 255.00 0 -

288 TETRASIKLIN KAPSUL 500 MG Kapsul 346.000 0 -

289 TETRASIKLIN KAPSUL 500 MG Kapsul 324.000 0 -

290 TIAMIN (VIT B1) INJ 100 MG/ML Amp 730.000 0 -

291 TIAMIN (VIT B1) TABLET 50 MG Tab 169.000 0 -

292 TIAMIN (VIT B1) TABLET 50 MG 90.000 0 -

293 TRIHEKSIFENIDIL 25 MG Tab 691.190 500 345,595

294 VAKSIN ANTI RABIES INJ vial 165,000.000 0 -

VAKSIN ANTI RABIES INJ vial 153,000.00 12 1,836,000

295 VAKSIN POLIO (bOPV) 10 ds Vial 19,954.000 72 1,436,688

296 VAKSIN MR 10 ds Vial 155,813.000 172 26,799,836

297 VAKSIN DPT-HB-HIB 5 ds Vial 78,991.000 80 6,319,280

VAKSIN HB Ig Vial 1,325,000.000 1 1,325,000

VAKSIN HB UNIJECT (HBO) 1 ds Vial 23,991.000 49 1,175,559

298 VAKSIN BCG Vial 61,996.000 51 3,161,796

299 VAKSIN HEPATITIS B Vial 23,991.000 0 -

300 VAKSIN IPV Vial 158,994.000 60 9,539,640

301 VAKSIN Td 10 ds VIAL 16,995.000 28 475,860

VAKSIN DT 10 ds VIAL 17,996.00 0 -

302 VITAMIN A 100.000 UI Btl 17,600.00 2 35,200

303 VITAMIN A 200.000 UI Btl 31,850.00 0 -

306 VITAMIN B KOMPLEKS TABLET Tab 60.000 2200 132,000


307 VITAMIN B KOMPLEKS TABLET Tab 135.000 0 -

308 ZINK SIRUP Btl 2,489.000 12 29,868

309 ZINK SIRUP MEPROFARM Btl 3,285.00 0 -

310 ZINK TAB 20 MG Tab 253.00 0 -

311 ZINK TAB 20 MG Tab 604.00 0 -

312 ZINK TAB 20 MG 586.000 0 -

PERBEKALAN KESEHATAN 0 -

1 ACCU-CHECK PERFORMA Btl 420,000.000 0 -

2 ALAT SUNTIK SEKALI PAKAI 2,5/3 ML Set 851.53 0 -

3 ALAT SUNTIK SEKALI PAKAI 2,5/3 ML Set 1,056.00 200 211,200

4 ALAT SUNTIK SEKALI PAKAI 3 ML Set 1,108.800 0 -

5 ALAT SUNTIK SEKALI PAKAI 0,05 ML Set 1,518.000 0 -

6 ALAT SUNTIK SEKALI PAKAI 0,05 ML Set 1,240.000 0 -

7 ALAT SUNTIK SEKALI PAKAI 0,5 ML Set 1,240.00 0 -

8 ALAT SUNTIK SEKALI PAKAI 0,5 ML 1,240.00 0 -

9 ALAT SUNTIK SEKALI PAKAI 0,5 ML 1,650.000 400 660,000

10 ALAT SUNTIK SEKALI PAKAI 10 ML Set 1,216.470 60 72,988

11 ALAT SUNTIK SEKALI PAKAI 1 ML Set 1,056.000 0 -

12 ALAT SUNTIK SEKALI PAKAI 1 ML Set 844.260 0 -

13 ALAT SUNTIK SEKALI PAKAI 10 ML Set 1,216.470 0 -

14 ALAT SUNTIK SEKALI PAKAI 5 ML Set 1,013.11 200 202,622

15 ALAT SUNTIK SEKALI PAKAI 5 ML 1,500.000 50 75,000

16 ALKOHOL SWAB Box 184.380 300 55,314

17 ALKOHOL SWAB DAK Box 151.20 200 30,240

18 AQUA PRO INJEKSI 25 ML Btl 2,650.00 0 -

19 BAJU HAZMAT COVER ALL Bh 475,000.000 0 -

20 BISTURI NO. 19 Pcs 3,150 0 -

21 BISTURI NO.20 3,150 0 -

22 BISTURI NO. 22 Pcs 3,300 10 33,000

23 CANULA DEWASA Pcs 5,711.00 10 57,110

24 CATGUT NO 2/0 21,000.00 12 252,000

25 CATGUT NO 3/0 Pcs 34,538.00 0 -

26 CATGUT NO 3/0 RNI Pcs 35,295.00 0 -

27 CATGUT NO 4/0 RNI Pcs 32,685.00 0 -

28 CATHEJELL Pcs 42,848.000 0 -

29 FOLEY CATETER 16 Bh 10,000.000 0 -

30 FOLEY CATETER 18 Bh 10,000.000 0 -

31 FOLEY CATETER 20 Bh 10,000.000 0 -

32 HAND RUB BTL 46,016.56 0 -

33 HAND RUB BTL 62,624.000 0 -

34 HAND RUB fresco BTL 76,274.470 0 -

35 HANDSCOEN 6,5 STERIL Roll 8,600.000 30 258,000

36 HANDSCON 7 Pasang 8,600.00 50 430,000

37 HANDSCON 7 1/2 STERIL Bks 8,600.00 100 860,000

38 HANDSCON 7 STERIL 11,990.000 0 -

39 HANDSCON L Pasang 1,750.00 100 175,000

40 HANDSCON L KARINDO Pasang 1,647.24 0 -


42 HANDSCON M Pasang 1,750.00 400 700,000

43 HANDSCON M 2,750.000 0 -

44 HANDSCON S Pasang 1,161.600 0 -

45 HANDSCON S 2,750.000 0 -

46 TREPOCHECK SYPHILIS Pcs 9,300.00 0 -

47 HIV TEST Pcs 15,377.000 0 -

48 HIV TEST Pcs 15,367.000 0 -

49 INFUSION SET ANAK SET 5,610.000 15 84,150

50 INFUSION SET ANAK AXIMED Pcs 5,865.00 0 -

51 INFUSION SET DEWASA Set 7,062.00 20 141,240

52 INFUSION SET DEWASA 1,540.00 0 -

53 IV CATHETER N0 22 G Set 13,894.000 0 -

IV CATHETER N0 22 G Set 6,875.000 0 -

54 IV CATHETER NO 18 Set 9,123.400 0 -

55 IV CATHETER NO 20 G Set 6,875.000 40 275,000

56 IV CATHETER NO 22 G NIPRO Pcs 6,875.00 0 -

57 IV CATHETER NO 24 G Set 7,194.00 0 -

58 IV CATHETER NO 24 G Set 14,493.600 0 -

59 KANULA ANAK Pcs 5,711.00 0 -

61 KAPAS PEMBALUT / ABSORBEN 250 GRAM Set 18,000.000 0 -

62 KAPAS PEMBALUT / ABSORBEN 250 GRAM Set 25,198.000 3 75,594

63 KAPAS PEMBALUT 250 GRAM DRC Roll 30,500.00 0 -

64 KASA KOMPRES 40/40 STERIL Bks 1,944.000 0 -

65 KASA PEMBALUT 2 M X 80 CM Bks 79,360.00 0 -

66 KASA PEMBALUT 2 M X 80 CM DRC Bks 10,661.00 0 -

67 KASA PEMBALUT HIDROFIL 20 yard x 80 cm Roll 81,920.000 0 -

68 KASA PEMBALUT HIDROFIL 20 yard x 80 cm Roll 147,775.000 0 -

69 KASA PEMBALUT HIDROFIL 40 X 80 CM DRC Roll 134,091.00 3 402,273

70 KASA PEMBALUT HIDROFIL 4 M X 15 CM DRC Bks 4,104.00 0 -

71 KASA PEMBALUT HIDROFIL 4 M X 3 CM Bks 891.00 0 -

72 KASA PEMBALUT HIDROFIL 4 M X 5 CM ELASTIS Bks 2,750.000 30 82,500

73 KASA PEMBALUT HIDROFIL 16 M X 16 CM DRC Bks 4,200.00 0 -

74 LANCET Box 17,252.40 10 172,524

76 MASKER HIJAB Bh 580.800 0 -

77 MASKER KARET Bh 314.000 0 -

78 MASKER KAIN Bh 5,000.000 0 -

79 MASKER KAIN 5,000.000 0 -

80 NESCO / STRIP CHOLESTROL Btl 290,000.000 0 -

81 NASAL OKSIGEN DEWASA Bh 6,000.000 0 -

82 PLESTER 10 CM X 5 M Roll 49,632.000 0 -

83 PLESTER PHARMAFIX 10 CM X 500 CM Roll 51,305.00 0 -

84 PLESTER PHARMAFIX 15 CM X 500 CM Roll 78,115.00 4 312,460

85 PLESTER PHARMAFIX 5 CM X 500 CM Roll 27,000.00 15 405,000

86 PLESTER YARD Roll 43,700.000 0 -

87 SAMPEL CONTAINER/POT 2,342.00 0 -

88 POT SPUTUM Pot 2,272.00 0 -

89 REAGEN SYPHILIS Pcs 20,400.000 0 -


90 STRIP BIOLINE SYPIHILIS 3.0 100T 7,237.630 25 180,941

91 TREPOCHECK SYPHILIS 8,870.000 25 221,750

92 RAPID 1 (SD) /HIV TEST 8,350.00 0 -

93 RAPID TES HIV 1 7,879.00 50 393,950

94 RAPID TEST HBsAg /VIROCHECK 8,300.00 25 207,500

95 STRIP SD BIOLINE HbSag Box 10,012.50 30 300,375

96 RAPID TEST ANTIGEN COVID 19 CLUNGENE Box 52,800.00 300 15,840,000

97 RDT MALARIA Box 14,238.000 25 355,950

STRIP MALARIA A PLDH/HRPZ COMBO CARD 6,476.000 0 -

99 FDC OAT KATAGORI 1 PKT 447,791.00 2 895,582

100 SAFETY BOX 23,398.000 8 187,184

101 SAFETY BOX 20,394.000 4 81,576

102 SILK 2/0 SET 21,875.000 0 -

103 SILK 2/0 TROGE Pcs 42,601.900 0 -

SILK 2/0 21,458.334 0 -

104 SILK 3/0 SET 6,400.000 0 -

105 SILK 3/0 SET 29,931.00 24 718,344

106 SILK 3/0 TROGE Pcs 43,429.100 0 -

107 STRIP ASAM URAT NESCO Box 145,200.00 1 145,200

108 STRIP CHOLESTEROL Box 231,000.00 0 -

109 SRTIP GULA POS BINDU Btl 132,000.000 6 792,000

SRTIP GULA NESCO Btl 132,000.000 0 -

111 STRIP SD BIOLINE DENGUE DUO BOX 60,813.12 25 1,520,328

112 STRIP SD BIOLINE HIV 1/2 3.0 BOX 13,367.70 30 401,031

113 URIN BAG TANPA HANGER BH 5,742.00 16 91,872

114 URIN BAG TROGE Pcs 8,877.00 0 -

115 WING NEEDLE NO.23 Pcs 1,400.000 0 -

116 WING NEEDLE NO.25 Pcs 1,400.000 0 -

117 WING NEEDLE NO.27 Pcs 1,400.000 0 -

PENANGANAN CORONA VIRUS 0 -

1 FACE SHIELD 27,500.000 17 467,500

2 PAKAIAN PELINDUNG/HAZMAT PCH 660,000.000 7 4,620,000

3 PAKAIAN PELINDUNG/HAZMAT SET 475,000.000 10 4,750,000

4 VISOR/SHIELDFACE/HELM BUAH 315,000.000 8 2,520,000

5 SEPATU BOOT PSG 215,000.000 4 860,000

6 WIND NEEDLE PCS 5,500.000 300 1,650,000

7 COLD BOX KAPASITAS 6 L BOX 4,500,000.000 0 -

8 CAIRAN NaOCl BTL 50,000.000 0 -

9 SARUNG TANGAN NON STERIL PCH 1,800.000 0 -

10 APD SET SET 3,902,499.700 0 -

11 BAJU APD 660,000.000 0 -

12 SARUNG TANGAN PANJANG 54 -

13 SEPATU BOOT 0 -

14 MASKER 2,640.00 0 -

19 KACA MATA SAFETY 0 -

20 HAND RUB 250 ML BTL 71,692.500 0 -

21 SARUNG TANGAN STERIL PSG 8,000.000 0 -


22 HANDSCOON NON STERIL BTL 900.00 0 -

25 HAND SANITEZER BTL 19,500.00 0 -

26 SURGICAL MASK PCH 5,000.000 0 -

27 HANDSCOON NON STERIL M PSG 1,540.00 0 -

31 BUKU SAKU 30,000.000 7 210,000

32 KANTONG SAMPAH MEDIS 3,000.00 0 -

36 KANTONG JENAZAH 300,000.000 10 3,000,000

37 KANTONG JENAZAH 99,999.000 10 999,990

38 MASKER BEDAH 770.000 0 -

BANTUAN DINKES PROVINSI 0 -

1 BAJU APD MEREK SANDON ( DINKES PROVINSI ) PCH 12 -

2 BAJU APD MEREK SANDON ( DINKES PROVINSI ) 660,000.00 15 9,900,000

FACE SHIELD PCH 12 -

VIRUS COLLECTION & TRANSPORT TUBE BTL 130,000.00 30 3,900,000

VITAMIN C 500 MG TAB 600.00 1000 600,000

FACE SHIELD BTL 27,500.00 10 275,000

HAND SANITIZER 37,812.50 0 -

HAND SANITIZER 250ml 30,250.00 2 60,500

HANDSCOON NON STERIL M 1,540.00 20 30,800

APD SET IMUNISASI : 0 -

HAND SANITIZER 30,250.00 0 -

MASKER BEDAH 990.00 0 -

MASKER 2,640.00 60 158,400

HANDSCOON NON STERIL L 1,540.00 20 30,800

KANTONG MEDIS 2,500.00 2 5,000

FACE SHIELD 27,500.00 9 247,500

PROGRAM IMUNISASI/VAKSIN CORONA 0 -

ALAT SUNTIK SEKALI PAKAI 0,5 ML PCH 1,185.00 2475 2,932,875

ALAT SUNTIK SEKALI PAKAI 0,5 ML 1,165.00 0 -

ALAT SUNTIK SEKALI PAKAI 0,3 ML 1,255.00 0 -

ALAT SUNTIK SEKALI PAKAI 3 ML 569.00 0 -

VAKSIN COVID-19 (10 DOSIS ) VIAL 1,339,440.00 0 -

VAKSIN COVID-19 CORONAVAC ( 2 DOSIS ) VIAL 158 -

VAKSIN COVID-19 MODERNA (14 DOSIS ) VIAL 22 -

VAKSIN MODERNA 10 DOSIS VIAL 35 -

VAKSIN COVID 19 JANSSENS 5 DOSIS VIAL 85 -

VAKSIN COVID 19 ASTRAZENECA 10 DOSIS VIAL 25 -

VAKSIN COVID-19 COVOVAX 10 DOSIS 10 -

VAKSIN Covid -19 Pfizer (6 Dosis) 0 -

SAFETY BOX 5 L PKM 1 BOX 14,000.00 22 308,000

SAFETY BOX 5 L PKM 1 5,382.00 0


ALKOHOL SWAB PKM VIAL 79.00 2659 210,061

NaCl 10 ml 3,280.00 0 -

PENANGANAN CORONA VIRUS DISEASE DINKES 0 -

1 MASKER BEDAH PCS 770.00 0 -

HAND SANITIZER PCS 19,250.00 0 -

HANDSCOON NON STERIL M PCS 1,540.00 0 -


RAPID TEST ANTIGEN COVID 19 CLUNGENE PCS 60,500.00 0 -

OBAT GIGI 0 -

1 ETIL KLORIDA Btl 126,500.00 0 -

2 COMPOSIT ANTERIOR A2 SOLARE Pcs 675,000.000 0 -

3 COMPOSIT ANTERIOR A3 SOLARE Pcs 675,000.000 0 -

4 COMPOSIT POSTERIOR A2 SOLARE Pcs 675,000.000 0 -

5 COMPOSIT POSTERIOR A3 SOLARE Pcs 675,000.000 0 -

6 DYCAL Pcs 302,500.000 1 302,500

7 EUGENOL Btl 165,000.000 0 -

8 FUJI IX MINI/ GOLD LABEL Pcs 650,000.000 0 -

9 XYLESTESIN Pcs 795,000.000 0 -


TOTAL HARGA OBAT DAN BHP 127,411,949.64
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
( LPLPO )

BULAN
TRI WULAN
TAHUN

PENERI PERSE PEMA KADALUAR


NILAI NILAI NILAI
MAAN DIAAN KAIAN SA

7 8 9 10 11 12 13
100 8,900.00 100 8,900 -
- 0 - -
- 0 - -
- 400 146,600 -
- 62 266,600 -
- 0 - -
- 600 53,400 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 200 33,400 -
1000 74,000.00 1000 74,000 800 59,200
700 38,850.00 700 38,850 700 38,850
- 0 - -
1200 277,200.00 2600 600,600 2600 600,600
- 0 - -
11 38,610.00 11 38,610 11 38,610
- 0 - -
- 0 - -
- 4000 240,000 800 48,000
- 0 - -
- 44 77,966 29 51,387
- 0 - -
- 0 - -
- 0 - -
10 38,000.00 10 38,000 2 7,600
- 0 - -
- 0 - -
1700 198,900.00 2800 327,600 2200 257,400
- 0 - -
- 0 - -
- 300 128,700 300 128,700
- 0 - -
- 0 - -
300 27,600.00 300 27,600 100 9,200
- 0 - -
25 38,345.25 100 153,381 69 105,833
- 0 - -
5 21,625.00 5 21,625 -
7 35,595.00 7 35,595 -
- 0 - -
- 250 35,750 250 35,750
- 0 - -
200 43,200.00 200 43,200 - 200
10 22,150.00 10 22,150 10 22,150
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 100 6,900 100 6,900
- 0 - -
- 0 - -
- 0 - -
- 400 43,600 - 400

- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 100 14,200 -
- 200 21,998 200 21,998
- 0 - -
- 0 - -
- 0 - -
10 24,228.20 15 36,342 8 19,383
- 200 15,000 200 15,000
- 0 - -
- 20 58,080 -
- 0 - -
- 500 339,500 - 500

- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
10 40,027.20 20 80,054 15 60,041
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 30 117,000 20 78,000
- 0 - -
- 0 - -
- 0 - -
- 200 55,000 100 27,500
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
700 61,453.00 700 61,453 500 43,895
300 36,900.00 300 36,900 200 24,600
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
300 63,000.00 600 126,000 400 84,000
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 43 99,975 43 99,975
- 0 - -
- 0 - -
- 9 21,051 -
- 200 41,200 200 41,200
- 0 - -
500 75,000.00 1600 240,000 1600 240,000
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
600 41,166.00 600 41,166 200 13,722
- 0 - -
- 0 - -
- 0 - -
600 45,408.00 600 45,408 300 22,704
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
48 182,120.64 48 182,121 24 91,060
- 0 - -
- 200 132,000 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
1000 50,000.00 1700 85,000 600 30,000
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 6 12,600 4 8,400
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
30 25,410.00 60 50,820 60 50,820
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 200 23,400 200 23,400
- 0 - -
- 0 - -
- 0 - -
- 3200 2,656,896 2600 2,158,728
- 0 - -
600 46,200.00 700 53,900 600 46,200
- 0 - -
- 0 - -
- 0 - -
- 0 - -
300 64,782.00 300 64,782 100 21,594
- 0 - -
- 0 - -
300 136,800.00 500 228,000 300 136,800
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 9 42,300 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
500 54,995.00 1100 120,989 1100 120,989
- 0 - -
- 0 - -
- 25 187,500 12 90,000
- 0 - -
- 0 - -
- 300 45,000 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
2 956,284.00 2 956,284 1 478,142
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 30 40,440 -
- 0 - -
600 77,400.00 600 77,400 500 64,500
20 107,892.00 20 107,892 -
- 0 - -
9 17,100.00 9 17,100 9 17,100
- 0 - -
- 0 - -
20 105,026.00 20 105,026 -
50 58,000.00 50 58,000 -
- 5 44,400 -
- 42 48,720 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
11 36,630.00 11 36,630 -
- 0 - -
- 1100 375,100 -
- 0 - -
- 0 - -
- 0 - -
500 78,995.00 1200 189,588 500 78,995
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 1500 109,500 800 58,400
30 7,260.00 30 7,260 30 7,260
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 1200 103,200 1100 94,600
40 310,920.80 60 466,381 56 435,289
- 20 152,600 20 152,600
200 57,400.00 200 57,400 - 200

- 0 - -
- 0 - -
10 14,884.00 30 44,652 -
- 23 33,925 23 33,925
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
1500 66,000.00 2400 105,600 500 22,000
- 0 - -
- 0 - -
- 0 - -
- 0 - -
450 68,112.00 450 68,112 450 68,112
- 600 156,000 200 52,000
- 0 - -
- 0 - -
1000 255,000.00 1000 255,000 1000 255,000
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 500 345,595 100 69,119
- 0 - -
12 1,836,000.00 24 3,672,000 -
- 72 1,436,688 -
- 172 26,799,836 -
- 80 6,319,280 -
- 1 1,325,000 -
- 49 1,175,559 -
- 51 3,161,796 -
- 0 - -
- 60 9,539,640 -
- 28 475,860 -
- 0 - -
- 2 35,200 -
- 0 - -
- 2200 132,000 200 12,000
- 0 - -
- 12 29,868 7 17,423
- 0 - -
200 50,600.00 200 50,600 200 50,600
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
200 211,200.00 400 422,400 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
200 330,000.00 600 990,000 500 825,000
- 60 72,988 10 12,165
100 105,600.00 100 105,600 -
- 0 - -
10 12,164.70 10 12,165 -
- 200 202,622 -
- 50 75,000 -
300 55,314.00 600 110,628 -
- 200 30,240 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 10 33,000 -
- 10 57,110 -
- 12 252,000 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 30 258,000 30 258,000
- 50 430,000 50 430,000
- 100 860,000 -
- 0 - -
- 100 175,000 100 175,000
- 0 - -
- 400 700,000 400 700,000
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
25 140,250.00 40 224,400 -
- 0 - -
30 211,860.00 50 353,100 17 120,054
- 0 - -
- 0 - -
- 0 - -
- 0 - -
50 343,750.00 90 618,750 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 3 75,594 1 25,198
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
2 295,550.00 2 295,550 -
- 3 402,273 -
- 0 - -
- 0 - -
30 82,500.00 60 165,000 60 165,000
- 0 - -
2 34,504.80 12 207,029 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 4 312,460 1 78,115
- 15 405,000 3 81,000
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 25 180,941 -
- 25 221,750 -
- 0 - -
- 50 393,950 -
- 25 207,500 -
30 300,375.00 60 600,750 -
- 300 15,840,000 -
- 25 355,950 -
25 161,900.00 25 161,900 -
- 2 895,582 2 895,582
- 8 187,184 -
- 4 81,576 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 24 718,344 24 718,344
- 0 - -
- 1 145,200 1 145,200
- 0 - -
10 1,320,000.00 16 2,112,000 8 1,056,000
- 0 - -
- 25 1,520,328 25 1,520,328
- 30 401,031 30 401,031
- 16 91,872 5 28,710
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 17 467,500 -
- 7 4,620,000 -
- 10 4,750,000 -
- 8 2,520,000 -
- 4 860,000 -
- 300 1,650,000 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 54 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
200 308,000.00 200 308,000 200 308,000
- 7 210,000 -
- 0 - -
- 10 3,000,000 -
- 10 999,990 -
400 308,000.00 400 308,000 400 308,000
- 0 - -
- 12 - -
- 15 9,900,000 -
- 12 - -
- 30 3,900,000 -
1500 900,000.00 2500 1,500,000 1300 780,000
- 10 275,000 -
- 0 - -
- 2 60,500 2 60,500
- 20 30,800 20 30,800
- 0 - -
- 0 - -
- 0 - -
- 60 158,400 60 158,400
200 308,000.00 220 338,800 220 338,800
- 2 5,000 2 5,000
- 9 247,500 9 247,500
- 0 - -
- 2475 2,932,875 -
- 0 - -
120 150,600.00 120 150,600 -
10 5,690.00 10 5,690
- 0 - -
- 158 - -
- 22 - -
- 35 - -
- 85 - -
- 25 - -
- 10 - -
10 - 10 -
- 22 308,000 -
1 5,382.00 1 5,382
120 9,480.00 2779 219,541 -
10 32,800.00 10 32,800
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 1 302,500 -
- 0 - -
- 0 - -
- 0 - -
11,546,889.59 138,958,839.23 0 16,818,980.23
Juli

2022
Hal 1
SISA PERMINTAA
NILAI NILAI KET
STOK N

14 15 16 17 18

- 100 8,900
- 0 -
- 0 -
- 400 146,600 1,200
- 62 266,600
- 0 -
- 600 53,400
- 0 -
- 0 - 50
- 0 - 500
- 0 -
- 0 -
- 0 -
- 200 33,400
- 200 14,800 2,000
- 0 - 2,000
- 0 -
- 0 - 3,000
- 0 -
- 0 - 25
- 0 -
- 0 -
- 3200 192,000
- 0 -
- 15 26,579 50
- 0 -
- 0 -
- 0 -
- 8 30,400
- 0 -
- 0 - 2,000
- 600 70,200 2,000
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 200 18,400
- 0 -
- 31 47,548 50
- 0 -
- 5 21,625
- 7 35,595
- 0 -
- 0 -
- 0 -
43,200 0 - Jun-22

- 0 - 20
- 0 -
- 0 - 1,500
- 0 -
- 0 -
- 0 -
- 0 - 1,000
- 0 -
- 0 -
- 0 -
43,600 0 - Jul-22

- 0 -
- 0 -
- 0 - 25
- 0 -
- 0 -
- 100 14,200
- 0 - 200
- 0 -
- 0 -
- 0 -
- 7 16,960 10
- 0 - 200
- 0 -
- 20 58,080
- 0 -
339,500 0 - Apr-22

- 0 -
- 0 -
- 0 -
- 0 - 10
- 0 -
- 5 20,014 10
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 10 39,000
- 0 -
- 0 -
- 0 -
- 100 27,500 100
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 24
- 200 17,558 400
- 100 12,300 200
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 2,000
- 200 42,000 300
- 0 -
- 0 -
- 0 - 200
- 0 - 200
- 0 - 200
- 0 -
- 0 - 50
- 0 -
- 0 -
- 9 21,051
- 0 - 1,500
- 0 -
- 0 - 2,000
- 0 -
- 0 -
- 0 -
- 0 - 300
- 0 -
- 0 -
- 0 -
- 0 - 1,500
- 0 -
- 400 27,444 300
- 0 -
- 0 -
- 0 -
- 300 22,704 500
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 24 91,060
- 0 -
- 200 132,000
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 1100 55,000 1000
- 0 -
- 0 -
- 0 -
- 0 - 300
- 0 -
- 0 -
- 2 4,200 10
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 60
- 0 -
- 0 -
- 0 - 500
- 0 -
- 0 -
- 0 -
- 0 - 500
- 0 -
- 0 -
- 0 -
- 600 498,168 2,500
- 0 -
- 100 7,700 600
- 0 -
- 0 -
- 0 -
- 0 -
- 200 43,188
- 0 - 2,000
- 0 -
- 200 91,200 500
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 500
- 0 -
- 0 -
- 9 42,300
- 0 - 50
- 0 -
- 0 -
- 0 - 25
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 1,500
- 0 -
- 0 -
- 13 97,500
- 0 -
- 0 -
- 300 45,000
- 0 -
- 0 -
- 0 -
- 0 -
- 1 478,142
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 30 40,440
- 0 -
- 100 12,900 600
- 20 107,892
- 0 -
- 0 -
- 0 - 200
- 0 -
- 20 105,026
- 50 58,000
- 5 44,400
- 42 48,720
- 0 -
- 0 -
- 0 -
- 0 -
- 11 36,630
- 0 -
- 1100 375,100
- 0 -
- 0 -
- 0 -
- 700 110,593
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 700 51,100
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 50
- 100 8,600 2,000
- 4 31,092 100
- 0 -
57,400 0 - Jun-22

- 0 -
- 0 -
- 30 44,652
- 0 -
- 0 - 24
- 0 -
- 0 -
- 0 - 600
- 0 -
- 0 -
- 0 -
- 0 -
- 1900 83,600
- 0 -
- 0 - 50
- 0 -
- 0 -
- 0 - 500
- 400 104,000
- 0 -
- 0 -
- 0 - 2,000
- 0 -
- 0 -
- 0 -
- 0 - 1,500
- 0 -
- 400 276,476
- 0 -
- 24 3,672,000
- 72 1,436,688
- 172 26,799,836
- 80 6,319,280
- 1 1,325,000
- 49 1,175,559
- 51 3,161,796
- 0 -
- 60 9,539,640
- 28 475,860
- 0 -
- 2 35,200
- 0 - 8
- 2000 120,000 2,500
- 0 -
- 5 12,445 10
- 0 -
- 0 - 300
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 400 422,400
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 100 165,000 300
- 50 60,824
- 100 105,600
- 0 -
- 10 12,165
- 200 202,622
- 50 75,000
- 600 110,628
- 200 30,240
- 0 -
- 0 -
- 0 -
- 0 -
- 10 33,000
- 10 57,110
- 12 252,000
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 5
- 0 - 5
- 0 -
- 0 -
- 0 -
- 0 - 50
- 0 - 50
- 100 860,000
- 0 -
- 0 - 200
- 0 -
- 0 - 300
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 40 224,400
- 0 -
- 33 233,046 25
- 0 -
- 0 -
- 0 - 100
- 0 -
- 90 618,750
- 0 -
- 0 - 100
- 0 -
- 0 -
- 0 -
- 2 50,396
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 2 295,550
- 3 402,273
- 0 - 100
- 0 - 100
- 0 -
- 0 -
- 12 207,029
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 3 234,345
- 12 324,000
- 0 -
- 0 -
- 0 -
- 0 -
- 25 180,941
- 25 221,750
- 0 -
- 50 393,950
- 25 207,500
- 60 600,750
- 300 15,840,000
- 25 355,950
- 25 161,900
- 0 -
- 8 187,184
- 4 81,576
- 0 - 24
- 0 -
- 0 -
- 0 -
- 0 - 24
- 0 -
- 0 - 7
- 0 - 10
- 8 1,056,000 6
- 0 -
- 0 -
- 0 -
- 11 63,162
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 17 467,500
- 7 4,620,000
- 10 4,750,000
- 8 2,520,000
- 4 860,000
- 300 1,650,000
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 54 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 7 210,000
- 0 -
- 10 3,000,000
- 10 999,990
- 0 - 500
- 0 -
- 12 -
- 15 9,900,000
- 12 -
- 30 3,900,000
- 1200 720,000 1,500
- 10 275,000
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 2475 2,932,875
-
-

- 0 -
- 158 -
- 22 -
- 35 -
- 85 -
- 25 -
- 10 -

- 22 308,000

- 2779 219,541

- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 1 302,500
- 0 -
- 0 -
- 0 -
483,700.00 121,461,687.00
LAPORAN PEM

KODE PUSKESMAS :
PUSKESMAS : BUKI
KECAMATAN : BUKI
KABUPATEN : KEPULAUAN SELAYAR
PROPINSI : SULAWESI SELATAN

STOK
NO NAMA OBAT SATUAN HARGA NILAI
AWAL
1 2 3 4 5 6

1 ACETOSAL Tab 89.000 100 8,900

2 ALBENDAZOL TABLET 400 MG HOLI Tab 380.00 0 -

3 ALBENDAZOL TABLET 400 MG HOLI tab 404.000 0 -

4 ALBENDAZOL TABLET 400 MG HOLI Tab 366.500 400 146,600

5 ALBENDAZOL SUSPENSI Btl 4,300.000 62 266,600

6 ALOPURINOL TABLET 100 MG Tab 99.00 0 -

7 ALOPURINOL TABLET 100 MG Tab 89.00 600 53,400

8 ALOPURINOL TABLET 300 MG Tab 200.000 0 -

9 AMBROKSOL SIRUP Btl 7,700.000 0 -

10 AMBROKSOL TAB 30 MG Tab 270.00 0 -

11 AMINOFILIN TABLET 200 MG Tab 97.000 0 -

12 AMINOFILIN INJ 24 MG/ML-10 ML AMP 3,071.000 0 -

13 AMITRIPTILIN TABLET SALUT 25 MG Tab 165.00 0 -

14 AMITRIPTILIN TABLET SALUT 25 MG Tab 167.000 200 33,400

15 AMLODIPIN 10 MG Tab 74.00 200 14,800

16 AMLODIPIN 5 MG Tab 55.50 0 -

17 AMLODIPIN 5 MG Tab 79.000 0 -

18 AMOKSISILIN KAPLET 500 MG Kap 231.000 0 -

AMOKSISILIN KAPLET 500 MG 265.00 0 -

19 AMOKSISILIN SIROP KERING 125 mg/5ml Btl 3,510.000 0 -

20 AMOKSISILIN SYRUP 250 MG/ML Btl 3,510.00 0 -

21 AMPICILIN SERBUK INJ 1 G Vial 9,473.000 0 -

22 ANTASIDA DOEN KOMBINASI TAB 500 MG Tab 60.000 3200 192,000

23 ANTASIDA DOEN KOMBINASI TAB 500 MG Tab 59.000 0 -

24 ANTASIDA DOEN SUSPENSI Btl 1,771.96 15 26,579

25 ANTASIDA DOEN SUSPENSI 5,800.000 0 -

26 ANTIBAKTERI DOEN SALEP KOMBINASI Tube 3,365.000 0 -

27 ANTIFUNGI DOEN KOMBINASI Pot 4,782.000 0 -

28 ANTIHEMOROID SUPP SUPP 3,800.000 8 30,400

29 ASAM ASKORBAT (VIT C) 50 MG Tab 120.000 0 -

ASAM ASKORBAT (VIT C) 50 MG Tab 46.000 0 -

30 ASAM MEFENAMAT TABLET SALUT 500 MG Tab 117.000 600 70,200

31 ASIKLOVIR KRIM 5 % Tube 2,367.000 0 -

32 ASIKLOVIR TABLET 200 MG Tab 236.000 0 -

33 ASIKLOVIR TABLET 400 MG Tab 429.000 0 -

34 ASETYLCYSTEINE 200 MG Tab 394.000 0 -

35 ATROPIN TETES MATA 0.5 % Btl 0 -

36 BETAHISTIN MESILAT TAB 6 MG TAB 92.00 200 18,400

37 BETAHISTIN MESILAT TAB 6 MG TAB 151.000 0 -


38 BETAMETASON KRIM 0,1 % Tube 1,533.820 31 47,548

39 BETAMETASON KRIM 0,1 % Tube 1,515.000 0 -

40 BISAKODIL SUPPOSITORIA 10 mg SUPP 4,325.000 5 21,625

41 BISAKODIL SUPPOSITORIA 5 mg SUPP 5,085.000 7 35,595

42 BISOPROLOL FUMARATE Tab 695.000 0 -

43 BISOPROLOL TABLET 5 MG NOVELL Tab 143.00 0 -

44 CARBAMAZEPIN TAB 200 MG Tab 250.000 0 -

CARBAMAZEPIN TAB 200 MG Tab 216.00 0 -

45 CETIRIZINE SIRUP Btl 2,214.000 0 -

46 ceterizin cap cap 104.000 0 -

47 CETIRIZINE TAB Tab 52.00 0 -

48 CLOBAZAM TAB 10 MG Tab 1,110.000 0 -

49 CURCUMA TAB Tab 1,150.000 0 -

50 DEKSAMETASON INJ 5 MG/ML - 1 ML Amp 968.00 0 -

51 DEKSAMETASON TABLET 0,5 MG Tab 69.000 0 -

52 DEKSAMETASON TABLET 0,5 MG Tab 154.000 0 -

53 DIAZEPAM INJ 5 MG/ML Amp 1,913.00 0 -

54 DIAZEPAM REKTAL SUPP 14,459.000 0 -

55 DIAZEPAM TABLET 5 MG Tab 109.000 0 -

56 DIAZEPAM TABLET 2 MG Tab 86.000 0 -

57 DIFENHIDRAMIN INJ 10 MG/ML Amp 1,346.000 0 -

DIFENHIDRAMIN INJ 10 MG/ML Amp 825.00 0 -

58 DIGOKSIN TABLET 0,25 MG Tab 108.000 0 -

59 DIGOKSIN TABLET 0,25 MG Tab 104.000 0 -

60 DILTIAZEM TAB 30 MG Tab 142.000 100 14,200

61 DIMENHIDRINAT TAB 50 MG Tab 109.99 0 -

62 DIMENHIDRINAT TAB 50 MG tab 121.000 0 -

63 DOKSISIKLIN KAPSUL 100 MG Kap 309.000 0 -

64 DOMPERIDON DROPS btl 17,939.000 0 -

65 DOMPERIDON SIRUP 5 MG Btl 2,422.82 7 16,960

66 DOMPERIDON TABLET 10 MG Tab 75.00 0 -

67 DOMPERIDON TABLET 10 MG Tab 96.00 0 -

68 EFINEFRIN INJ. Amp 2,904.000 20 58,080

69 EPINEFRIN/ADRENALIN INJ 1 MG/ML Amp 1,518.00 0 -

70 ERITROMISIN KAPSUL 250 MG Kap 679.00 0 -

71 ERITROMISIN KAPSUL 500 MG Kap 781.000 0 -

72 ERITROMISIN KAPSUL 500 MG Kap 766.00 0 -

73 ERITROMISIN SIROP 200 MG/ 5 ML Btl 7,581.000 0 -

74 ETAKRIDIN (RIVANOL) 300 ml Btl 3,900.00 0 -

75 ETAKRIDIN (RIVANOL) 300 ml Btl 3,900.000 0 -

76 ETANOL 95 % 100 ml Btl 4,002.720 5 20,014

77 ETANOL 70 % 1000 ml Btl 31,250.000 0 -

78 ETANOL 70 % 1000 ml 31,247.700 0 -

79 ETHYLIS CHLORIDUM SEMPROT Btl 112,500.000 0 -

80 EUGENOL CAIRAN Btl 18,333.000 0 -

81 FENOBARBITAL AMPUL 2 ML Btl 2,265.000 0 -

82 FENOBARBITAL TABLET 30 MG Tab 177.000 0 -

83 FITOMENADION (VIT K) INJ. Ampul 3,900.00 10 39,000

84 FITOMENADION (VIT K) INJ. 4,236.000 0 -

85 FITOMENADION (VIT K) TABLET 10 MG Tab 818.00 0 -


86 FUROSEMIDA TABLET 40 MG Tab 84.000 0 -

87 GARAM ORALIT I SERBUK Sac 275.000 100 27,500

88 GARAM ORALIT I SERBUK Sac 317.000 0 -

89 GEMFIBROZIL KAPSUL 300 MG Kap 429.000 0 -

90 GEMFIBROZIL KAPSUL 300 MG Kap 436.000 0 -

91 GENTAMISIN INJ 80 MG/ML Amp 4,036.000 0 -

92 GENTAMISIN SALEP KULIT Pot 1,469.000 0 -

93 GENTAMISIN SULFAT TETES MATA 0,3 % Pot 5,170.00 0 -

94 GLIBENKLAMIDA TABLET 5 MG Tab 87.790 200 17,558

95 GLIMEPIRIDE 2 MG Tab 123.000 100 12,300

96 GLISERIL GUALAKOLAT TABLET 100 MG Tab 260.000 0 -

97 GLUKOSA LARUTAN INFUS 10 % Btl 6,270.000 0 -

98 GLUKOSA LARUTAN INFUS 10 % 7,500.000 0 -

99 GLUKOSA LARUTAN INFUS 40 % Btl 1,597.000 0 -

100 GLUKOSA LARUTAN INFUS 5 % Btl 6,900.000 0 -

101 GLUKOSA LARUTAN INFUS 5 % btl 7,363.000 0 -

102 GRANTUSIF Tab 405.000 0 -

103 GRISEOFULVIN TABLET 125 MG Tab 210.000 200 42,000

104 GRISEOFULVIN TABLET 125 MG NOVAPHARIN Tab 263.00 0 -

105 HALOPERIDOL INJ. 5 MG/ML Amp 6,250.000 0 -

106 HALOPERIDOL TABLET 1,5 MG Tab 90.000 0 -

HALOPERIDOL TABLET 2 MG Tab 93.000 0 -

107 HALOPERIDOL TABLET 5 MG Tab 60.00 0 -

108 HIDROKLOROTIAZIDA TABLET 25 MG Tab 171.000 0 -

109 HIDROKORTISON KRIM 2,5 % Tab 2,325.000 0 -

110 HIDROKORTISON KRIM 2,5 % Tube 2,838.000 0 -

111 HYOSIN BUTIL BROMIDA TAB 10 MG Tab 1,475.000 0 -

112 IBUPROFEN SIRUP 15 MG/ML Btl 2,339.00 9 21,051

113 IBUPROFEN TABLET 200 MG Tab 206.000 0 -

114 IBUPROFEN TABLET 200 MG Tab 108.000 0 -

115 IBUPROFEN TABLET 400 MG Tab 150.00 0 -

116 IBUPROFEN TABLET 400 MG Tab 133.000 0 -

117 ISONIAZID TABLET 300 MG Tab 106.700 0 -

118 ISOSORBID DINITRAT TABLET 5 MG Tab 99.900 0 -

119 ISOSORBID DINITRAT TABLET 5 MG YARINDO Tab 89.00 0 -

120 KALIUM DIKLOFENAK TAB 50 MG Tab 63.00 0 -

121 KALSIUM GLUCONAS INJ Amp 10,351.000 0 -

122 KALSIUM LAKTAT TABLET 500 MG Tab 63.00 0 -

123 KALSIUM LAKTAT TABLET 500 MG 60.00 0 -

124 KALSIUM LAKTAT TABLET 500 MG Tab 63.000 0 -

125 KAPTOPRIL 12.5 MG Tab 68.61 400 27,444

126 KAPTOPRIL 12.5 MG Tab 67.000 0 -

127 KAPTOPRIL 12.5 MG KF Tab 68.00 0 -

128 KAPTOPRIL 25 MG Tab 135.000 0 -

129 KAPTOPRIL 25 MG Tab 75.680 300 22,704

130 KAPTOPRIL 50 MG Tab 143.000 0 -

131 KAPTOPRIL 50 MG KF Tab 134.00 0 -

132 KETOKENAZOL KRIM Tube 3,135.000 0 -

133 KETOKENAZOL TAB 200 MG Tab 297.000 0 -

134 KLONIDIN TABLET 0.15 MG Tab 145.000 0 -


135 KLORAMFENIKOL SALEP KULIT 3 % Tube 3,794.180 24 91,060

136 KLORAMFENIKOL KAPSUL 500 MG Kapsul 1,337.990 0 -

137 KLORAMFENIKOL KAPSUL 250 MG Kapsul 660.00 200 132,000

138 KLORAMFENIKOL KAPSUL 250 MG Kapsul 329.000 0 -

139 KLORAMFENIKOL SALEP MATA 1% Kapsul 2,148.00 0 -

140 KLORAMFENIKOL SUSP 125 MG/ 5 ML Btl 4,982.000 0 -

141 KLORAMFENIKOL TETES MATA 0.5 % Tube 0.000 0 -

142 KLORAMFENIKOL TETES TELINGA 3 % 0 -

143 KLORFENIRAMINA MALEAT TAB 4 MG Tab 50.000 1100 55,000

144 KLORFENIRAMINA MALEAT TAB 4 MG Tab 39.000 0 -

145 KLORPROMAZIN TAB SALUT 100 MG Tab 170.000 0 -

146 KLORPROMAZIN TAB SALUT 100 MG MERSIFARM Tab 170.00 0 -

147 KOTRIMOKSAZOL DOEN I (DEWASA) 480 MG Tab 325.00 0 -

148 KOTRIMOKSAZOL DOEN (DEWASA)480 MG Tab 125.000 0 -

149 KOTRIMOKSAZOL DOEN II (ANAK) Tab 79.000 0 -

150 KOTRIMOKSAZOL SUSPENSI Btl 2,100.00 2 4,200

151 KOTRIMOKSAZOL SUSPENSI Btl 2,190.000 0 -

152 KOTRIMOKSAZOL SUSPENSI MERSIFARM Btl 2,052.00 0 -

153 KOTRIMOKSAZOL TABLET 480 MG MERSIFARM Tab 125.00 0 -

154 KUINIDIN 100 MG TABLET Tab 0 -

155 KUINIDIN 200 MG TABLET Tab 0 -

156 KUININ (KINA) TABLET 200 MG Tab 0 -

157 KUININ INJEKSI 25 % Tab 0 -

158 KUININ SULFAT TAB 222 MG (7 H2O) Tab 641.670 0 -

159 LANSOPRAZOL 30 MG KAP 360.000 0 -

160 LIDOKAIN SPRAY BTL 177,216.000 0 -

161 LIDOKAIN INJ 2 % Amp 847.00 0 -

162 LIDOKAIN INJ 2 % + EPINEFRIN 1,405.000 0 -

163 LISOL DENGAN KRESOL SABUN 50 % Btl 31,800.000 0 -

164 LOPERAMIDE TAB 2 MG Tab 90.000 0 -

165 LOPERAMIDE TAB 2 MG Tab 460.000 0 -

166 LOPERAMIDE TAB 2 MG Tab 85.000 0 -

167 LORATADIN TAB Tab 136.000 0 -

168 LORATADIN TABLET 10 MG PROMED Tab 117.00 0 -

169 LUBIRE Tab 5,225.00 0 -

170 MEBENDAZOL SIROP 100 MG/ 5 ML Btl 0 -

171 MEBENDAZOL TABLET 100 MG Tab 0 -

MELOXICAM KAPS 7,5 MG 830.28 600 498,168

172 METAMPIRON TABLET 500 MG (ANTALGIN) Tab 141.850 0 -

173 METFORMIN TAB 500 MG Tab 77.00 100 7,700

174 METFORMIN TAB 500 MG Tab 109.000 0 -

175 METFORMIN TAB 850 MG Tab 240.000 0 -

176 METILERGOMETRIN MALEAT INJ 0.2 MG Amp 3,399.000 0 -

177 METILERGOMETRIN MALEAT TABLET 0.125 MG Tab 133.100 0 -

178 METILERGOMETRIN MALEAT TABLET 0.125 MG Tab 215.940 200 43,188

179 METILPREDNISOLON TAB 4 MG Tab 102.00 0 -

180 METILPREDNISOLON TAB 4 MG Tab 148.000 0 -

181 METILPREDNISOLON TAB16 MG Tab 456.00 200 91,200

182 METILPREDNISOLON TAB16 MG Tab 548.00 0 -

183 METOKLOPRAMIDE TAB 10 MG TAB 93.000 0 -


184 METOKLOPRAMIDE TAB 10 MG KF Tab 87.00 0 -

185 METRONIDAZOL TABLET 250 MG Tab 116.000 0 -

186 METRONIDAZOL TABLET 250 MG PHYTO Tab 93.00 0 -

187 METRONIDAZOL TABLET 500 MG Tab 660.000 0 -

188 MDT MB KUSTA DEWASA BLISTER 40,526.000 0 -

189 MgSO4 20% Btl 3,327.990 0 -

190 MgSO4 40% Btl 4,700.000 9 42,300

191 MIKONAZOLE KREAM Tube 1,917.27 0 -

192 MIKONAZOLE KREAM Tube 3,926.000 0 -

193 MIKONAZOLE KREAM 2% KF Tube 2,462.00 0 -

194 MIKORIN POWDER POT 22,927.000 0 -

195 MINERAL MIX Succ 2,723.000 0 -

196 MINERAL MIX Succ 2,550.000 0 -

197 MULTIVITAMIN TAB VINETRON Tab 1,848.000 0 -

198 MULTIVITAMIN TAB VINETRON Tab 1,705.000 0 -

199 MULTIVITAMIN TAB MEVITON 1,592.250 0 -

200 MULTIVITAMIN SYR CAMIVITA DAU Btl 5,300.000 0 -

201 NATRIUM DKLOFENAK TABLET 25 MG Tab 109.00 0 -

202 NATRIUM DKLOFENAK TABLET 50 MG Tab 109.99 0 -

203 NATRIUM DKLOFENAK TABLET 50 MG Tab 145.00 0 -

204 NATRIUM KLORIDA LARUTAN INFUS 0.9 % Btl 6,840.00 0 -

205 NATRIUM KLORIDA LARUTAN INFUS 0.9 % Btl 7,500.000 13 97,500

206 NIPEDIFINE TAB 10 MG Tab 120.000 0 -

NIPEDIFINE TAB 10 MG 221.00 0 -

NIPEDIFINE TAB 10 MG 150.000 300 45,000

207 NISTATIN 100.000 IU Tab 627.000 0 -

208 NISTATIN 500.000 IU Tab 704.000 0 -

209 NISTATIN VAGINAL TAB 100.000 UI Tab 645.00 0 -

210 NISTATIN VAGINAL 100.000 IU Tab 645.00 0 -

211 OBAT ANTITUBERKULOSIS KAT 1 DEWASA Tab 478,142.00 1 478,142

212 OBAT ANTITUBERKULOSIS KAT 1 DEWASA 356,829.000 0 -

213 OBAT ANTITUBERKULOSIS KAT 1 DEWASA 447,791.000 0 -

214 OBAT ANTITUBERKULOSIS KAT 2 DEWASA Tab 1,319.900 0 -

215 OBAT ANTITUBERKULOSIS KAT 2 DEWASA Paket 1,492,579 0 -

216 OBAT ANTITUBERKULOSIS KAT ANAK Tab 236,500.000 0 -

217 OBAT ANTITUBERKULOSIS KAT ANAK KF Paket 267,397 0 -

218 OBAT ANTITUBERKULOSIS SISIPAN DEWASA Tab 175,980.000 0 -

219 OBAT BATUK HITAM CAIRAN Btl 1,339.800 0 -

220 OKSITETRASIKLIN HCL SALEP 3 % Tube 3,600.000 0 -

221 OKSITETRASIKLIN HCL SALEP MATA 1 % Tube 2,600.000 0 -

222 OKSITETRASIKLIN SALEP MATA 1% KF Tube 3,926.00 0 -

223 OKSITOSIN INJ 10 IU/ML Amp 1,232.000 0 -

224 OKSITOSIN INJ 10 IU/ML 1,348.000 30 40,440

225 OMEPRAZOLE KAP 20 MG Tab 780.000 0 -

226 OMEPRAZOLE KAPSUL 20 MG Kapsul 129.00 100 12,900

227 OMEPRASOL INJ 40 MG/ML vial 5,394.60 20 107,892

228 OMEPRAZOLE INJ 11,868.00 0 -

229 OAM(ACT)DHP-FRIMAL 1,900.00 0 -

230 PAPAVERIN TABLET 40 MG Tab 680.000 0 -

231 PARACETAMOL DROPS 100 MG/ML (60 MG/0,6 ML) Btl 5,204.00 0 -
232 PARASETAMOL DROPS 100 MG/ML IGM Btl 5,251.30 20 105,026

233 PARASETAMOL SIROP 120 MG/ 5 ML Btl 1,160.00 50 58,000

234 PARASETAMOL infus Btl 8,880.000 5 44,400

235 PARASETAMOL SIROP 120 MG/ 5 ML Btl 1,160 42 48,720

236 PARASETAMOL TABLET 500 MG Tab 86.000 0 -

237 PARASETAMOL TABLET 500 MG MERSIFARM Tab 60.00 0 -

238 PARASETAMOL TABLET 500 MG MERSIFARM Tab 165.00 0 -

239 PEHACAIN INJ Amp 4,850.000 0 -

240 PENOL GLISEROL TETES TELINGA Btl 3,330.000 11 36,630

241 PIRANTEL SIRUP btl 9,100.000 0 -

242 PIRANTEL TABLET SCORE 125 MG Tab 341.00 1100 375,100

243 PIRASETAM 1200 Tab 854.000 0 -

244 PIRASETAM 400 Tab 194.000 0 -

245 PIRIDOKSIN (VIT B6) TAB 10 MG Tab 72.00 0 -

PIRIDOKSIN (VIT B6) TAB 10 MG Tab 157.99 700 110,593

246 PIROKSIKAM TABLET 20 MG Tab 215.000 0 -

247 PIROKSIKAM TABLET 20 MG Tab 189.500 0 -

248 PITOGIN AMPUL 1 ML Amp 11,550.000 0 -

249 POVIDON IODIDA 10 % 1000 ML Btl 149,313.000 0 -

250 POVIDON IODIDA 10 % 1000 ML MAHAKAM Btl 139,313.00 0 -

251 POVIDON IODIDA 10 % 30 ML Btl 3,624.500 0 -

252 POVIDON IODIDA 10 % 300 ML Btl 22,498.300 0 -

253 POVIDON IODIDA 10 % 300 ML Btl 15,386.000 0 -

254 POVIDON IODIDA BETADIN 5 G SALEP Tube 7,039.00 0 -

255 POVIDON SALEP Tube 6,348.000 0 -

256 PREDNISON TABLET 5 MG Tab 73.00 700 51,100

257 PRIMAUINE/PRIMAQUINE TAB 15 Tab 242.000 0 -

258 PROPANOLOL TABLET 10 MG Tab 59.000 0 -

259 PROPANOLOL TABLET 40 MG Tab 59.000 0 -

260 PROPILITIOURASIL TABLET 100 MG Tab 351.000 0 -

261 RANITIDIN INJ 25 MG / 2 ML Amp 1,155.00 0 -

262 RANITIDIN INJ 25 MG / 2 ML Amp 858.00 0 -

263 RANITIDIN TABLET 150 MG Tab 86.00 100 8,600

264 RINGER LAKTAT INFUS Btl 7,773.02 4 31,092

265 RINGER LAKTAT INFUS Btl 7,630.00 0 -

266 RISPERIDON 2 MG Tab 287.000 0 -

267 SALBUTAMOL SIRUP 5,463.000 0 -

268 SALBUTAMOL TABLET 4 MG KF Tab 195.00 0 -

269 SALEP 2-4 KOMBINASI Tube 1,488.400 30 44,652

270 SALEP 2-4 KOMBINASI Tube 1,475.000 0 -

271 SALISIL BEDAK 2 % Pot 6,426.00 0 -

272 SCABIMATE CREM SACH 12,155.000 0 -

273 SALISIL BEDAK 2 % TUBE 6,426.00 0 -

274 SEFADROKSIL KAPSUL 500 MG Kapsul 1,210.000 0 -

275 SEFADROKSIL KAPSUL 500 MG Kapsul 492.00 0 -

276 SEFADROKSIL SIROP KERING 125 MG / 5 ML Btl 3,890.000 0 -

277 SEFOTAKSIM 1000 MG Vial 5,700.000 0 -

278 SEFOTAKSIM INJ 1000 MG RAMA Vial 4,410.00 0 -

279 SIANOKOBALAMIN TABLET 50 MCG Tab 44.00 1900 83,600

280 SIANOKOBALAMIN TABLET 50 MCG KF Tab 51.00 0 -


281 SIANOKOBALAMIN VIT B12 INJ 500 MCG/ML Ampul 1,066.00 0 -

282 SIANOKOBALAMIN VIT B12 INJ 500 MCG/ML 3,070.000 0 -

283 SIMVASTATIN TABLET 10 MG TAB 73.00 0 -

284 SIMVASTATIN TABLET 10 MG 151.360 0 -

285 SIPROFLOKSASIN KAPLET 500 MG Kaplet 260.00 400 104,000

286 SULFASETAMID TETES MATA 15 % Btl 12,500.000 0 -

287 TABLET TAMBAH DARAH KOMBINASI Tab 409.000 0 -

TABLET TAMBAH DARAH KOMBINASI Tab 255.00 0 -

288 TETRASIKLIN KAPSUL 500 MG Kapsul 346.000 0 -

289 TETRASIKLIN KAPSUL 500 MG Kapsul 324.000 0 -

290 TIAMIN (VIT B1) INJ 100 MG/ML Amp 730.000 0 -

291 TIAMIN (VIT B1) TABLET 50 MG Tab 169.000 0 -

292 TIAMIN (VIT B1) TABLET 50 MG 90.000 0 -

293 TRIHEKSIFENIDIL 25 MG Tab 691.190 400 276,476

294 VAKSIN ANTI RABIES INJ vial 165,000.000 0 -

VAKSIN ANTI RABIES INJ vial 153,000.00 24 3,672,000

295 VAKSIN POLIO (bOPV) 10 ds Vial 19,954.000 72 1,436,688

296 VAKSIN MR 10 ds Vial 155,813.000 172 26,799,836

297 VAKSIN DPT-HB-HIB 5 ds Vial 78,991.000 80 6,319,280

VAKSIN HB Ig Vial 1,325,000.000 1 1,325,000

VAKSIN HB UNIJECT (HBO) 1 ds Vial 23,991.000 49 1,175,559

298 VAKSIN BCG Vial 61,996.000 51 3,161,796

299 VAKSIN HEPATITIS B Vial 23,991.000 0 -

300 VAKSIN IPV Vial 158,994.000 60 9,539,640

301 VAKSIN Td 10 ds VIAL 16,995.000 28 475,860

VAKSIN DT 10 ds VIAL 17,996.00 0 -

302 VITAMIN A 100.000 UI Btl 17,600.00 2 35,200

303 VITAMIN A 200.000 UI Btl 31,850.00 0 -

306 VITAMIN B KOMPLEKS TABLET Tab 60.000 2000 120,000

307 VITAMIN B KOMPLEKS TABLET Tab 135.000 0 -

308 ZINK SIRUP Btl 2,489.000 5 12,445

309 ZINK SIRUP MEPROFARM Btl 3,285.00 0 -

310 ZINK TAB 20 MG Tab 253.00 0 -

311 ZINK TAB 20 MG Tab 604.00 0 -

312 ZINK TAB 20 MG 253.000 0 -

PERBEKALAN KESEHATAN 0 -

1 ACCU-CHECK PERFORMA Btl 420,000.000 0 -

2 ALAT SUNTIK SEKALI PAKAI 2,5/3 ML Set 851.53 0 -

3 ALAT SUNTIK SEKALI PAKAI 2,5/3 ML Set 1,056.00 400 422,400

4 ALAT SUNTIK SEKALI PAKAI 3 ML Set 1,108.800 0 -

5 ALAT SUNTIK SEKALI PAKAI 0,05 ML Set 1,518.000 0 -

6 ALAT SUNTIK SEKALI PAKAI 0,05 ML Set 1,240.000 0 -

7 ALAT SUNTIK SEKALI PAKAI 0,5 ML Set 1,240.00 0 -

8 ALAT SUNTIK SEKALI PAKAI 0,5 ML 1,240.00 0 -

9 ALAT SUNTIK SEKALI PAKAI 0,5 ML 1,650.000 100 165,000

10 ALAT SUNTIK SEKALI PAKAI 10 ML Set 1,216.470 50 60,824

11 ALAT SUNTIK SEKALI PAKAI 1 ML Set 1,056.000 100 105,600

12 ALAT SUNTIK SEKALI PAKAI 1 ML Set 844.260 0 -

13 ALAT SUNTIK SEKALI PAKAI 10 ML Set 1,216.470 10 12,165

14 ALAT SUNTIK SEKALI PAKAI 5 ML Set 1,013.11 200 202,622


15 ALAT SUNTIK SEKALI PAKAI 5 ML 1,500.000 50 75,000

16 ALKOHOL SWAB Box 184.380 600 110,628

17 ALKOHOL SWAB DAK Box 151.20 200 30,240

18 AQUA PRO INJEKSI 25 ML Btl 2,650.00 0 -

19 BAJU HAZMAT COVER ALL Bh 475,000.000 0 -

20 BISTURI NO. 19 Pcs 3,150 0 -

21 BISTURI NO.20 3,150 0 -

22 BISTURI NO. 22 Pcs 3,300 10 33,000

23 CANULA DEWASA Pcs 5,711.00 10 57,110

24 CATGUT NO 2/0 21,000.00 12 252,000

25 CATGUT NO 3/0 Pcs 34,538.00 0 -

26 CATGUT NO 3/0 RNI Pcs 35,295.00 0 -

27 CATGUT NO 4/0 RNI Pcs 32,685.00 0 -

28 CATHEJELL Pcs 42,848.000 0 -

29 FOLEY CATETER 16 Bh 10,000.000 0 -

30 FOLEY CATETER 18 Bh 10,000.000 0 -

31 FOLEY CATETER 20 Bh 10,000.000 0 -

32 HAND RUB BTL 46,016.56 0 -

33 HAND RUB BTL 62,624.000 0 -

34 HAND RUB fresco BTL 76,274.470 0 -

35 HANDSCOEN 6,5 STERIL Roll 8,600.000 0 -

36 HANDSCON 7 Pasang 8,600.00 0 -

37 HANDSCON 7 1/2 STERIL Bks 8,600.00 100 860,000

38 HANDSCON 7 STERIL 11,990.000 0 -

39 HANDSCON L Pasang 1,750.00 0 -

40 HANDSCON L KARINDO Pasang 1,647.24 0 -

42 HANDSCON M Pasang 1,750.00 0 -

43 HANDSCON M 2,750.000 0 -

44 HANDSCON S Pasang 1,161.600 0 -

45 HANDSCON S 2,750.000 0 -

46 TREPOCHECK SYPHILIS Pcs 9,300.00 0 -

47 HIV TEST Pcs 15,377.000 0 -

48 HIV TEST Pcs 15,367.000 0 -

49 INFUSION SET ANAK SET 5,610.000 40 224,400

50 INFUSION SET ANAK AXIMED Pcs 5,865.00 0 -

51 INFUSION SET DEWASA Set 7,062.00 33 233,046

52 INFUSION SET DEWASA 7,920.00 0 -

53 IV CATHETER N0 22 G Set 13,894.000 0 -

IV CATHETER N0 22 G Set 5,589.960 0 -

54 IV CATHETER NO 18 Set 9,123.400 0 -

55 IV CATHETER NO 20 G Set 6,875.000 90 618,750

56 IV CATHETER NO 22 G NIPRO Pcs 6,875.00 0 -

57 IV CATHETER NO 24 G Set 5,589.960 0 -

58 IV CATHETER NO 24 G Set 14,493.600 0 -

59 KANULA ANAK Pcs 5,711.00 0 -

61 KAPAS PEMBALUT / ABSORBEN 250 GRAM Set 18,000.000 0 -

62 KAPAS PEMBALUT / ABSORBEN 250 GRAM Set 25,198.000 2 50,396

63 KAPAS PEMBALUT 250 GRAM DRC Roll 30,500.00 0 -

64 KASA KOMPRES 40/40 STERIL Bks 1,944.000 0 -

65 KASA PEMBALUT 2 M X 80 CM Bks 79,360.00 0 -


66 KASA PEMBALUT 2 M X 80 CM DRC Bks 10,661.00 0 -

67 KASA PEMBALUT HIDROFIL 20 yard x 80 cm Roll 81,920.000 0 -

68 KASA PEMBALUT HIDROFIL 20 yard x 80 cm Roll 147,775.000 2 295,550

69 KASA PEMBALUT HIDROFIL 40 X 80 CM DRC Roll 134,091.00 3 402,273

70 KASA PEMBALUT HIDROFIL 4 M X 15 CM DRC Bks 4,104.00 0 -

71 KASA PEMBALUT HIDROFIL 4 M X 3 CM Bks 891.00 0 -

72 KASA PEMBALUT HIDROFIL 4 M X 5 CM ELASTIS Bks 2,750.000 0 -

73 KASA PEMBALUT HIDROFIL 16 M X 16 CM DRC Bks 4,200.00 0 -

74 LANCET Box 17,252.40 12 207,029

76 MASKER HIJAB Bh 580.800 0 -

77 MASKER KARET Bh 314.000 0 -

78 MASKER KAIN Bh 5,000.000 0 -

79 MASKER KAIN 5,000.000 0 -

80 NESCO / STRIP CHOLESTROL Btl 290,000.000 0 -

81 NASAL OKSIGEN DEWASA Bh 6,000.000 0 -

82 PLESTER 10 CM X 5 M Roll 49,632.000 0 -

83 PLESTER PHARMAFIX 10 CM X 500 CM Roll 51,305.00 0 -

84 PLESTER PHARMAFIX 15 CM X 500 CM Roll 78,115.00 3 234,345

85 PLESTER PHARMAFIX 5 CM X 500 CM Roll 27,000.00 12 324,000

86 PLESTER YARD Roll 43,700.000 0 -

87 SAMPEL CONTAINER/POT 2,342.00 0 -

88 POT SPUTUM Pot 2,272.00 0 -

89 REAGEN SYPHILIS Pcs 20,400.000 0 -

90 STRIP BIOLINE SYPIHILIS 3.0 100T 7,237.630 25 180,941

91 TREPOCHECK SYPHILIS 8,870.000 25 221,750

92 RAPID 1 (SD) /HIV TEST 8,350.00 0 -

93 RAPID TES HIV 1 7,879.00 50 393,950

94 RAPID TEST HBsAg /VIROCHECK 8,300.00 25 207,500

95 STRIP SD BIOLINE HbSag Box 10,012.50 60 600,750

96 RAPID TEST ANTIGEN COVID 19 CLUNGENE Box 52,800.00 300 15,840,000

97 RDT MALARIA Box 14,238.000 25 355,950

STRIP MALARIA A PLDH/HRPZ COMBO CARD 6,476.000 25 161,900

99 FDC OAT KATAGORI 1 PKT 447,791.00 0 -

100 SAFETY BOX 23,398.000 8 187,184

101 SAFETY BOX 20,394.000 4 81,576

102 SILK 2/0 SET 21,875.000 0 -

103 SILK 2/0 TROGE Pcs 44,810.670 0 -

SILK 2/0 21,458.334 0 -

104 SILK 3/0 SET 50,061.000 0 -

105 SILK 3/0 SET 29,931.00 0 -

106 SILK 3/0 TROGE Pcs 43,429.100 0 -

107 STRIP ASAM URAT NESCO Box 145,200.00 0 -

108 STRIP CHOLESTEROL Box 231,000.00 0 -

109 SRTIP GULA POS BINDU Btl 132,000.000 8 1,056,000

SRTIP GULA NESCO Btl 132,000.000 0 -

111 STRIP SD BIOLINE DENGUE DUO BOX 60,813.12 0 -

112 STRIP SD BIOLINE HIV 1/2 3.0 BOX 13,367.70 0 -

113 URIN BAG TANPA HANGER BH 5,742.00 11 63,162

114 URIN BAG TROGE Pcs 8,877.00 0 -

115 WING NEEDLE NO.23 Pcs 1,400.000 0 -


116 WING NEEDLE NO.25 Pcs 1,400.000 0 -

117 WING NEEDLE NO.27 Pcs 1,400.000 0 -

PENANGANAN CORONA VIRUS 0 -

1 FACE SHIELD 27,500.000 17 467,500

2 PAKAIAN PELINDUNG/HAZMAT PCH 660,000.000 7 4,620,000

3 PAKAIAN PELINDUNG/HAZMAT SET 475,000.000 10 4,750,000

4 VISOR/SHIELDFACE/HELM BUAH 315,000.000 8 2,520,000

5 SEPATU BOOT PSG 215,000.000 4 860,000

6 WIND NEEDLE PCS 5,500.000 300 1,650,000

7 COLD BOX KAPASITAS 6 L BOX 4,500,000.000 0 -

8 CAIRAN NaOCl BTL 50,000.000 0 -

9 SARUNG TANGAN NON STERIL PCH 1,800.000 0 -

10 APD SET SET 3,902,499.700 0 -

11 BAJU APD 660,000.000 0 -

12 SARUNG TANGAN PANJANG 54 -

13 SEPATU BOOT 0 -

14 MASKER 2,640.00 0 -

19 KACA MATA SAFETY 0 -

20 HAND RUB 250 ML BTL 71,692.500 0 -

21 SARUNG TANGAN STERIL PSG 8,000.000 0 -

22 HANDSCOON NON STERIL BTL 900.00 0 -

25 HAND SANITEZER BTL 19,500.00 0 -

26 SURGICAL MASK PCH 5,000.000 0 -

27 HANDSCOON NON STERIL M PSG 1,540.00 0 -

31 BUKU SAKU 30,000.000 7 210,000

32 KANTONG SAMPAH MEDIS 3,000.00 0 -

36 KANTONG JENAZAH 300,000.000 10 3,000,000

37 KANTONG JENAZAH 99,999.000 10 999,990

38 MASKER BEDAH 770.000 0 -

BANTUAN DINKES PROVINSI 0 -

1 BAJU APD MEREK SANDON ( DINKES PROVINSI ) PCH 12 -

2 BAJU APD MEREK SANDON ( DINKES PROVINSI ) 660,000.00 15 9,900,000

FACE SHIELD PCH 12 -

VIRUS COLLECTION & TRANSPORT TUBE BTL 130,000.00 30 3,900,000

VITAMIN C 500 MG TAB 600.00 1200 720,000

FACE SHIELD BTL 27,500.00 10 275,000

HAND SANITIZER 37,812.50 0 -

Masker N95 100,000.00 0 -

HANDSCOON NON STERIL M 1,540.00 0 -

APD SET IMUNISASI : 0 -

HAND SANITIZER 30,250.00 0 -

MASKER BEDAH 990.00 0 -

MASKER 2,640.00 0 -

HANDSCOON NON STERIL L 1,540.00 0 -

KANTONG MEDIS 2,500.00 0 -

FACE SHIELD 27,500.00 0 -

PROGRAM IMUNISASI/VAKSIN CORONA 0 -

ALAT SUNTIK SEKALI PAKAI 0,5 ML PCH 1,185.00 2475 2,932,875

ALAT SUNTIK SEKALI PAKAI 0,5 ML 1,165.00 0 -

ALAT SUNTIK SEKALI PAKAI 0,3 ML 1,255.00 0 -


ALAT SUNTIK SEKALI PAKAI 3 ML 569.00 0 -

VAKSIN COVID-19 (10 DOSIS ) VIAL 1,339,440.00 0 -

VAKSIN COVID-19 CORONAVAC ( 2 DOSIS ) VIAL 158 -

VAKSIN COVID-19 MODERNA (14 DOSIS ) VIAL 22 -

VAKSIN MODERNA 10 DOSIS VIAL 35 -

VAKSIN COVID 19 JANSSENS 5 DOSIS VIAL 85 -

VAKSIN COVID 19 ASTRAZENECA 10 DOSIS VIAL 25 -

VAKSIN COVID-19 COVOVAX 10 DOSIS 10 -

VAKSIN Covid -19 Pfizer (6 Dosis) 0 -

SAFETY BOX 5 L PKM 1 BOX 14,000.00 22 308,000

SAFETY BOX 5 L PKM 1 5,382.00 0


ALKOHOL SWAB PKM VIAL 79.00 2779 219,541

NaCl 10 ml 3,280.00 0 -

PENANGANAN CORONA VIRUS DISEASE DINKES 0 -

1 MASKER BEDAH PCS 770.00 0 -

HAND SANITIZER PCS 19,250.00 0 -

HANDSCOON NON STERIL L PCS 1,540.00 0 -

RAPID TEST ANTIGEN COVID 19 CLUNGENE PCS 60,500.00 0 -

OBAT GIGI 0 -

1 ETIL KLORIDA Btl 126,500.00 0 -

2 COMPOSIT ANTERIOR A2 SOLARE Pcs 675,000.000 0 -

3 COMPOSIT ANTERIOR A3 SOLARE Pcs 675,000.000 0 -

4 COMPOSIT POSTERIOR A2 SOLARE Pcs 675,000.000 0 -

5 COMPOSIT POSTERIOR A3 SOLARE Pcs 675,000.000 0 -

6 DYCAL Pcs 302,500.000 1 302,500

7 EUGENOL Btl 165,000.000 0 -

8 FUJI IX MINI/ GOLD LABEL Pcs 650,000.000 0 -

9 XYLESTESIN Pcs 795,000.000 0 -


TOTAL HARGA OBAT DAN BHP 121,461,687.31
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
( LPLPO )

PENERI PERSE PEMA


NILAI NILAI NILAI
MAAN DIAAN KAIAN
7 8 9 10 11 12

- 100 8,900 -
- 0 - -
- 0 - -
1200 439,800.00 1600 586,400 1400 513,100
- 62 266,600 62 266,600
- 0 - -
- 600 53,400 600 53,400
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 200 33,400 -
1000 74,000.00 1200 88,800 500 37,000
1000 55,500.00 1000 55,500 800 44,400
- 0 - -
3000 693,000.00 3000 693,000 2200 508,200
- 0 - -
20 70,200.00 20 70,200 11 38,610
- 0 - -
- 0 - -
- 3200 192,000 600 36,000
- 0 - -
30 53,158.80 45 79,738 45 79,738
- 0 - -
- 0 - -
- 0 - -
- 8 30,400 1 3,800
- 0 - -
- 0 - -
2000 234,000.00 2600 304,200 1400 163,800
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 200 18,400 200 18,400
- 0 - -
50 76,691.00 81 124,239 42 64,420
- 0 - -
- 5 21,625 1 4,325
- 7 35,595 -
- 0 - -
- 0 - -
- 0 - -
100 21,600.00 100 21,600 -
20 44,280.00 20 44,280 8 17,712
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 100 14,200 -
200 21,998.00 200 21,998 50 5,500
- 0 - -
- 0 - -
- 0 - -
10 24,228.20 17 41,188 8 19,383
- 0 - -
- 0 - -
- 20 58,080 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
10 40,027.20 15 60,041 1 4,003
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 10 39,000 -
- 0 - -
- 0 - -
- 0 - -
100 27,500.00 200 55,000 132 36,300
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
400 35,116.00 600 52,674 300 26,337
200 24,600.00 300 36,900 250 30,750
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
300 63,000.00 500 105,000 200 42,000
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
48 111,600.00 48 111,600 24 55,800
- 0 - -
- 0 - -
- 9 21,051 3 7,017
- 0 - -
- 0 - -
2000 300,000.00 2000 300,000 1300 195,000
- 0 - -
- 0 - -
100 9,990.00 100 9,990 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
300 20,583.00 700 48,027 200 13,722
- 0 - -
- 0 - -
- 0 - -
500 37,840.00 800 60,544 100 7,568
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 24 91,060 24 91,060
- 0 - -
- 200 132,000 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
1000 50,000.00 2100 105,000 1600 80,000
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 2 4,200 2 4,200
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
60 50,820.00 60 50,820 32 27,104
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
500 58,500.00 500 58,500 200 23,400
- 0 - -
- 0 - -
- 0 - -
2000 1,660,560.00 2600 2,158,728 1600 1,328,448
- 0 - -
600 46,200.00 700 53,900 100 7,700
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 200 43,188 -
- 0 - -
- 0 - -
500 228,000.00 700 319,200 700 319,200
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 9 42,300 -
24 46,014.48 24 46,014 16 30,676
- 0 - -
- 0 - -
24 550,248.00 24 550,248 9 206,343
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
1500 164,985.00 1500 164,985 550 60,495
- 0 - -
- 0 - -
- 13 97,500 -
- 0 - -
- 0 - -
- 300 45,000 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 1 478,142 1 478,142
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 30 40,440 -
- 0 - -
600 77,400.00 700 90,300 700 90,300
- 20 107,892 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 20 105,026 -
- 50 58,000 25 29,000
- 5 44,400 -
- 42 48,720 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 11 36,630 -
- 0 - -
- 1100 375,100 -
- 0 - -
- 0 - -
- 0 - -
- 700 110,593 500 78,995
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 700 51,100 400 29,200
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
1500 129,000.00 1600 137,600 500 43,000
100 777,302.00 104 808,394 44 342,013
- 0 - -
100 28,700.00 100 28,700 -
- 0 - -
- 0 - -
- 30 44,652 30 44,652
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
5 19,450.00 5 19,450 5 19,450
- 0 - -
- 0 - -
- 1900 83,600 300 13,200
- 0 - -
20 21,320.00 20 21,320 10 10,660
- 0 - -
- 0 - -
500 75,680.00 500 75,680 150 22,704
- 400 104,000 300 78,000
- 0 - -
- 0 - -
2000 510,000.00 2000 510,000 1500 382,500
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 400 276,476 -
- 0 - -
- 24 3,672,000 -
20 399,080.00 92 1,835,768 -
40 6,232,520.00 212 33,032,356 -
20 1,579,820.00 100 7,899,100 -
- 1 1,325,000 -
- 49 1,175,559 -
5 309,980.00 56 3,471,776 -
- 0 - -
10 1,589,940.00 70 11,129,580 -
- 28 475,860 -
- 0 - -
- 2 35,200 -
8 254,800.00 8 254,800 8 254,800
500 30,000.00 2500 150,000 2500 150,000
- 0 - -
6 14,934.00 11 27,379 1 2,489
- 0 - -
- 0 - -
- 0 - -
300 75,900.00 300 75,900 200 50,600
- 0 - -
- 0 - -
- 0 - -
- 400 422,400 100 105,600
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
300 495,000.00 400 660,000 -
- 50 60,824 10 12,165
- 100 105,600 -
- 0 - -
- 10 12,165 -
- 200 202,622 -
- 50 75,000 -
- 600 110,628 -
- 200 30,240 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 10 33,000 -
- 10 57,110 -
- 12 252,000 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
50 430,000.00 50 430,000 -
50 430,000.00 50 430,000 -
- 100 860,000 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 40 224,400 -
- 0 - -
- 33 233,046 20 141,240
20 158,400.00 20 158,400 -
- 0 - -
50 279,498.00 50 279,498 20 111,799
- 0 - -
- 90 618,750 -
- 0 - -
50 279,498.00 50 279,498 13 72,669
- 0 - -
- 0 - -
- 0 - -
- 2 50,396 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 2 295,550 -
- 3 402,273 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 12 207,029 12 207,029
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 3 234,345 -
- 12 324,000 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 25 180,941 -
- 25 221,750 -
- 0 - -
- 50 393,950 -
- 25 207,500 -
- 60 600,750 -
- 300 15,840,000 -
- 25 355,950 -
- 25 161,900 -
- 0 - -
- 8 187,184 -
- 4 81,576 -
- 0 - -
24 1,075,456.08 24 1,075,456 -
- 0 - -
24 1,201,464.00 24 1,201,464 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
6 792,000.00 14 1,848,000 -
- 0 - -
- 0 - -
- 0 - -
- 11 63,162 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 17 467,500 -
- 7 4,620,000 -
- 10 4,750,000 -
- 8 2,520,000 -
- 4 860,000 -
- 300 1,650,000 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 54 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 7 210,000 -
- 0 - -
- 10 3,000,000 -
- 10 999,990 -
- 0 - -
- 0 - -
- 12 - -
- 15 9,900,000 -
- 12 - -
- 30 3,900,000 -
1500 900,000.00 2700 1,620,000 500 300,000
- 10 275,000 -
- 0 - -
20 2,000,000.00 20 2,000,000 -
- 0 - -
- 0 - -
1 30,250.00 1 30,250 -
- 0 - -
30 79,200.00 30 79,200 -
20 30,800.00 20 30,800 -
1 2,500.00 1 2,500 -
- 0 - -
- 0 - -
- 2475 2,932,875 -
48 55,920.00 48 55,920 -
24 30,120.00 24 30,120 -
2 1,138.00 2 1,138
- 0 - -
- 158 - -
2 - 24 - -
- 35 - -
- 85 - -
2 - 27 - -
- 10 - -
2 - 2 -
1 14,000.00 23 322,000 -
- 0 -
72 5,688.00 2851 225,229 -
2 6,560.00 2 6,560
- 0 - -
500 385,000.00 500 385,000 500 385,000
- 0 - -
200 308,000.00 200 308,000 200 308,000
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 1 302,500 -
- 0 - -
- 0 - -
- 0 - -
26,450,357.76 147,912,045.07 0 8,234,717.62

(0.00)
BULAN Juli
TRI WULAN
TAHUN 2022
Hal 1

KADALUAR SISA PERMINTAA


NILAI NILAI KET
SA STOK N

13 14 15 16 17 18

- 100 8,900
- 0 -
- 0 -
- 200 73,300
- 0 -
- 0 -
- 0 - 600
- 0 -
- 0 - 50
- 0 - 500
- 0 -
- 0 -
- 0 -
- 200 33,400
- 700 51,800 2,000
- 200 11,100 2,000
- 0 -
- 800 184,800 3,000
- 0 -
- 9 31,590 30
- 0 -
- 0 -
2600 156,000 0 - 2,000
- 0 -
- 0 - 50
- 0 -
- 0 -
- 0 -
- 7 26,600
- 0 -
- 0 -
- 1200 140,400 2,000
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 200
- 0 -
- 39 59,819
- 0 -
- 4 17,300
- 7 35,595
- 0 -
- 0 -
- 0 -
- 100 21,600
- 12 26,568 15
- 0 -
- 0 - 1,500
- 0 -
- 0 -
- 0 -
- 0 - 1,000
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 25
- 0 -
- 0 -
- 100 14,200
- 150 16,499
- 0 -
- 0 -
- 0 -
- 9 21,805 10
- 0 - 200
- 0 -
- 20 58,080
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 10
- 0 -
- 14 56,038 10
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 10 39,000
- 0 -
- 0 -
- 0 -
- 68 18,700
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 24
- 300 26,337 400
- 50 6,150 200
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 2,000
- 300 63,000
- 0 -
- 0 -
- 0 - 200
- 0 - 200
- 0 - 200
- 0 -
- 24 55,800 25
- 0 -
- 0 -
- 6 14,034
- 0 - 1,500
- 0 -
- 700 105,000 2,000
- 0 -
- 0 -
- 100 9,990
- 0 - 300
- 0 -
- 0 -
- 0 -
- 0 - 1,500
- 0 -
- 500 34,305
- 0 -
- 0 -
- 0 -
- 700 52,976
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 48
- 0 -
- 200 132,000
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 500 25,000 1500
- 0 -
- 0 -
- 0 -
- 0 - 300
- 0 -
- 0 -
- 0 - 10
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 28 23,716 30
- 0 -
- 0 -
- 0 - 500
- 0 -
- 0 -
- 0 -
- 300 35,100
- 0 -
- 0 -
- 0 -
- 1000 830,280 2,000
- 0 -
- 600 46,200
- 0 -
- 0 -
- 0 -
- 0 -
- 200 43,188
- 0 - 2,000
- 0 -
- 0 - 1,000
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 500
- 0 -
- 0 -
- 9 42,300
- 8 15,338 24
- 0 -
- 0 -
- 15 343,905 10
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 950 104,491 500
- 0 -
- 0 -
- 13 97,500
- 0 -
- 0 -
- 300 45,000
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 30 40,440
- 0 -
- 0 - 1,000
- 20 107,892
- 0 -
- 0 -
- 0 - 200
- 0 -
- 20 105,026
- 25 29,000 25
- 5 44,400
- 42 48,720
- 0 -
- 0 -
- 0 -
- 0 -
- 11 36,630
- 0 -
- 1100 375,100
- 0 -
- 0 -
- 0 -
- 200 31,598 1,000
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 300 21,900
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 50
- 1100 94,600
- 60 466,381 40
- 0 -
- 100 28,700
- 0 -
- 0 -
- 0 - 30
- 0 -
- 0 - 24
- 0 -
- 0 -
- 0 - 600
- 0 -
- 0 - 10
- 0 -
- 0 -
- 1600 70,400
- 0 -
- 10 10,660 25
- 0 -
- 0 -
- 350 52,976 500
- 100 26,000 500
- 0 -
- 0 -
- 500 127,500 2,000
- 0 -
- 0 -
- 0 -
- 0 - 1,500
- 0 -
- 400 276,476
- 0 -
- 24 3,672,000
- 92 1,835,768
- 212 33,032,356
- 100 7,899,100
- 1 1,325,000
- 49 1,175,559
- 56 3,471,776
- 0 -
- 70 11,129,580
- 28 475,860
- 0 -
- 2 35,200
- 0 - 5
- 0 - 2,500
- 0 -
- 10 24,890
- 0 -
- 0 - 300
- 0 -
- 100 25,300
- 0 -
- 0 -
- 0 -
- 300 316,800
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 400 660,000
- 40 48,659 30
- 100 105,600
- 0 -
- 10 12,165
- 200 202,622
- 50 75,000
- 600 110,628
- 200 30,240
- 0 -
- 0 -
- 0 -
- 0 -
- 10 33,000
- 10 57,110
- 12 252,000
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 5
- 0 - 5
- 0 -
- 0 -
- 0 -
- 50 430,000
- 50 430,000
- 100 860,000
- 0 -
- 0 - 200
- 0 -
- 0 - 300
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 40 224,400
- 0 -
- 13 91,806 25
- 20 158,400
- 0 -
- 30 167,699 25
- 0 -
- 90 618,750
- 0 -
- 37 206,829 25
- 0 -
- 0 -
- 0 -
- 2 50,396
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 2 295,550
- 3 402,273
- 0 - 100
- 0 - 100
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 3 234,345
- 12 324,000
- 0 -
- 0 -
- 0 -
- 0 -
- 25 180,941
- 25 221,750
- 0 -
- 50 393,950
- 25 207,500
- 60 600,750
- 300 15,840,000
- 25 355,950
- 25 161,900
- 0 -
- 8 187,184
- 4 81,576
- 0 - 24
- 24 1,075,456
- 0 -
- 24 1,201,464
- 0 - 24
- 0 -
- 0 - 7
- 0 - 10
- 14 1,848,000 6
- 0 -
- 0 -
- 0 -
- 11 63,162
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 17 467,500
- 7 4,620,000
- 10 4,750,000
- 8 2,520,000
- 4 860,000
- 300 1,650,000
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 54 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 7 210,000
- 0 -
- 10 3,000,000
- 10 999,990
- 0 -
- 0 -
- 12 -
- 15 9,900,000
- 12 -
- 30 3,900,000
- 2200 1,320,000
- 10 275,000
- 0 -
- 20 2,000,000 200
- 0 -
- 0 -
- 1 30,250
- 0 -
- 30 79,200
- 20 30,800
- 1 2,500
- 0 -
- 0 -
- 2475 2,932,875
-
-
- 0 -
- 158 -
- 24 -
- 35 -
- 85 -
- 27 -
- 10 -

- 23 322,000

- 2851 225,229

- 0 -
- 0 - 500
- 0 -
- 0 - 200
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 1 302,500
- 0 -
- 0 -
- 0 -
156,000.00 139,427,589.45
LAPORAN PEM

KODE PUSKESMAS :
PUSKESMAS : BUKI
KECAMATAN : BUKI
KABUPATEN : KEPULAUAN SELAYAR
PROPINSI : SULAWESI SELATAN

STOK
NO NAMA OBAT SATUAN HARGA NILAI
AWAL
1 2 3 4 5 6

1 ACETOSAL Tab 89.000 100 8,900

2 ALBENDAZOL TABLET 400 MG HOLI Tab 380.00 0 -

3 ALBENDAZOL TABLET 400 MG HOLI tab 404.000 0 -

4 ALBENDAZOL TABLET 400 MG HOLI Tab 366.500 200 73,300

5 ALBENDAZOL SUSPENSI Btl 4,300.000 0 -

6 ALOPURINOL TABLET 100 MG Tab 99.00 0 -

7 ALOPURINOL TABLET 100 MG Tab 89.00 0 -

8 ALOPURINOL TABLET 300 MG Tab 200.000 0 -

9 AMBROKSOL SIRUP Btl 7,700.000 0 -

10 AMBROKSOL TAB 30 MG Tab 270.00 0 -

11 AMINOFILIN TABLET 200 MG Tab 97.000 0 -

12 AMINOFILIN INJ 24 MG/ML-10 ML AMP 3,071.000 0 -

13 AMITRIPTILIN TABLET SALUT 25 MG Tab 165.00 0 -

14 AMITRIPTILIN TABLET SALUT 25 MG Tab 167.000 200 33,400

15 AMLODIPIN 10 MG Tab 74.00 700 51,800

16 AMLODIPIN 5 MG Tab 55.50 200 11,100

17 AMLODIPIN 5 MG Tab 79.000 0 -

18 AMOKSISILIN KAPLET 500 MG Kap 231.000 800 184,800

AMOKSISILIN KAPLET 500 MG 265.00 0 -

19 AMOKSISILIN SIROP KERING 125 mg/5ml Btl 3,510.000 9 31,590

20 AMOKSISILIN SYRUP 250 MG/ML Btl 3,510.00 0 -

21 AMPICILIN SERBUK INJ 1 G Vial 9,473.000 0 -

22 ANTASIDA DOEN KOMBINASI TAB 500 MG Tab 60.000 0 -

23 ANTASIDA DOEN KOMBINASI TAB 500 MG Tab 59.000 0 -

24 ANTASIDA DOEN SUSPENSI Btl 1,771.96 0 -

25 ANTASIDA DOEN SUSPENSI 5,800.000 0 -

26 ANTIBAKTERI DOEN SALEP KOMBINASI Tube 3,365.000 0 -

27 ANTIFUNGI DOEN KOMBINASI Pot 4,782.000 0 -

28 ANTIHEMOROID SUPP SUPP 3,800.000 7 26,600

29 ANTIHEMOROID SUPP SUPP 3,289.640 0 -

ASAM ASKORBAT (VIT C) 50 MG Tab 46.420 0 -

30 ASAM MEFENAMAT TABLET SALUT 500 MG Tab 117.000 1200 140,400

31 ASIKLOVIR KRIM 5 % Tube 2,367.000 0 -

32 ASIKLOVIR TABLET 200 MG Tab 236.000 0 -

33 ASIKLOVIR TABLET 400 MG Tab 429.000 0 -

34 ASETYLCYSTEINE 200 MG Tab 394.000 0 -

35 ATROPIN TETES MATA 0.5 % Btl 0 -

36 BETAHISTIN MESILAT TAB 6 MG TAB 92.00 0 -

37 BETAHISTIN MESILAT TAB 6 MG TAB 151.000 0 -


38 BETAMETASON KRIM 0,1 % Tube 1,533.820 39 59,819

39 BETAMETASON KRIM 0,1 % Tube 1,515.000 0 -

40 BISAKODIL SUPPOSITORIA 10 mg SUPP 4,325.000 4 17,300

41 BISAKODIL SUPPOSITORIA 5 mg SUPP 5,085.000 7 35,595

42 BISOPROLOL FUMARATE Tab 695.000 0 -

43 BISOPROLOL TABLET 5 MG NOVELL Tab 143.00 0 -

44 CARBAMAZEPIN TAB 200 MG Tab 250.000 0 -

CARBAMAZEPIN TAB 200 MG Tab 216.00 100 21,600

45 CETIRIZINE SIRUP Btl 2,214.000 12 26,568

46 ceterizin cap cap 104.000 0 -

47 CETIRIZINE TAB Tab 182.00 0 -

48 CLOBAZAM TAB 10 MG Tab 1,110.000 0 -

49 CURCUMA TAB Tab 1,150.000 0 -

50 DEKSAMETASON INJ 5 MG/ML - 1 ML Amp 968.00 0 -

51 DEKSAMETASON TABLET 0,5 MG Tab 69.000 0 -

52 DEKSAMETASON TABLET 0,5 MG Tab 154.000 0 -

53 DIAZEPAM INJ 5 MG/ML Amp 1,913.00 0 -

54 DIAZEPAM REKTAL SUPP 14,459.000 0 -

55 DIAZEPAM TABLET 5 MG Tab 109.000 0 -

56 DIAZEPAM TABLET 2 MG Tab 86.000 0 -

57 DIFENHIDRAMIN INJ 10 MG/ML Amp 1,346.000 0 -

DIFENHIDRAMIN INJ 10 MG/ML Amp 825.00 0 -

58 DIGOKSIN TABLET 0,25 MG Tab 108.000 0 -

59 DIGOKSIN TABLET 0,25 MG Tab 104.000 0 -

60 DILTIAZEM TAB 30 MG Tab 142.000 100 14,200

61 DIMENHIDRINAT TAB 50 MG Tab 109.99 150 16,499

62 DIMENHIDRINAT TAB 50 MG tab 121.000 0 -

63 DOKSISIKLIN KAPSUL 100 MG Kap 309.000 0 -

64 DOMPERIDON DROPS btl 17,939.000 0 -

65 DOMPERIDON SIRUP 5 MG Btl 2,422.82 9 21,805

66 DOMPERIDON TABLET 10 MG Tab 75.00 0 -

67 DOMPERIDON TABLET 10 MG Tab 96.00 0 -

68 EFINEFRIN INJ. Amp 2,904.000 20 58,080

69 EPINEFRIN/ADRENALIN INJ 1 MG/ML Amp 1,518.00 0 -

70 ERITROMISIN KAPSUL 250 MG Kap 679.00 0 -

71 ERITROMISIN KAPSUL 500 MG Kap 781.000 0 -

72 ERITROMISIN KAPSUL 500 MG Kap 766.00 0 -

73 ERITROMISIN SIROP 200 MG/ 5 ML Btl 7,581.000 0 -

74 ETAKRIDIN (RIVANOL) 300 ml Btl 3,900.00 0 -

75 ETAKRIDIN (RIVANOL) 300 ml Btl 3,900.000 0 -

76 ETANOL 95 % 100 ml Btl 4,002.720 14 56,038

77 ETANOL 70 % 1000 ml Btl 31,250.000 0 -

78 ETANOL 70 % 1000 ml 31,247.700 0 -

79 ETHYLIS CHLORIDUM SEMPROT Btl 112,500.000 0 -

80 EUGENOL CAIRAN Btl 18,333.000 0 -

81 FENOBARBITAL AMPUL 2 ML Btl 2,265.000 0 -

82 FENOBARBITAL TABLET 30 MG Tab 177.000 0 -

83 FITOMENADION (VIT K) INJ. Ampul 3,900.00 10 39,000

84 FITOMENADION (VIT K) INJ. 4,236.000 0 -

85 FITOMENADION (VIT K) TABLET 10 MG Tab 818.00 0 -


86 FUROSEMIDA TABLET 40 MG Tab 84.000 0 -

87 GARAM ORALIT I SERBUK Sac 275.000 68 18,700

88 GARAM ORALIT I SERBUK Sac 317.000 0 -

89 GEMFIBROZIL KAPSUL 300 MG Kap 429.000 0 -

90 GEMFIBROZIL KAPSUL 300 MG Kap 436.000 0 -

91 GENTAMISIN INJ 80 MG/ML Amp 4,036.000 0 -

92 GENTAMISIN SALEP KULIT Pot 1,469.000 0 -

93 GENTAMISIN SULFAT TETES MATA 0,3 % Pot 5,217.00 0 -

94 GLIBENKLAMIDA TABLET 5 MG Tab 87.790 300 26,337

95 GLIMEPIRIDE 2 MG Tab 123.000 50 6,150

96 GLISERIL GUALAKOLAT TABLET 100 MG Tab 260.000 0 -

97 GLUKOSA LARUTAN INFUS 10 % Btl 6,270.000 0 -

98 GLUKOSA LARUTAN INFUS 10 % 7,500.000 0 -

99 GLUKOSA LARUTAN INFUS 40 % Btl 1,597.000 0 -

100 GLUKOSA LARUTAN INFUS 5 % Btl 6,900.000 0 -

101 GLUKOSA LARUTAN INFUS 5 % btl 7,363.000 0 -

102 GRANTUSIF Tab 405.000 0 -

103 GRISEOFULVIN TABLET 125 MG Tab 210.000 300 63,000

104 GRISEOFULVIN TABLET 125 MG NOVAPHARIN Tab 263.00 0 -

105 HALOPERIDOL INJ. 5 MG/ML Amp 6,250.000 0 -

106 HALOPERIDOL TABLET 1,5 MG Tab 90.000 0 -

HALOPERIDOL TABLET 2 MG Tab 93.000 0 -

107 HALOPERIDOL TABLET 5 MG Tab 60.00 0 -

108 HIDROKLOROTIAZIDA TABLET 25 MG Tab 171.000 0 -

109 HIDROKORTISON KRIM 2,5 % Tab 2,325.000 24 55,800

110 HIDROKORTISON KRIM 2,5 % Tube 2,838.000 0 -

111 HYOSIN BUTIL BROMIDA TAB 10 MG Tab 1,475.000 0 -

112 IBUPROFEN SIRUP 15 MG/ML Btl 2,339.00 6 14,034

113 IBUPROFEN TABLET 200 MG Tab 206.000 0 -

114 IBUPROFEN TABLET 200 MG Tab 108.000 0 -

115 IBUPROFEN TABLET 400 MG Tab 150.00 700 105,000

116 IBUPROFEN TABLET 400 MG Tab 133.000 0 -

117 ISONIAZID TABLET 300 MG Tab 106.700 0 -

118 ISOSORBID DINITRAT TABLET 5 MG Tab 99.900 100 9,990

119 ISOSORBID DINITRAT TABLET 5 MG YARINDO Tab 89.00 0 -

120 KALIUM DIKLOFENAK TAB 50 MG Tab 63.00 0 -

121 KALSIUM GLUCONAS INJ Amp 10,351.000 0 -

122 KALSIUM LAKTAT TABLET 500 MG Tab 63.00 0 -

123 KALSIUM LAKTAT TABLET 500 MG 60.50 0 -

124 KALSIUM LAKTAT TABLET 500 MG Tab 63.000 0 -

125 KAPTOPRIL 12.5 MG Tab 68.61 500 34,305

126 KAPTOPRIL 12.5 MG Tab 67.000 0 -

127 KAPTOPRIL 12.5 MG KF Tab 68.00 0 -

128 KAPTOPRIL 25 MG Tab 135.000 0 -

129 KAPTOPRIL 25 MG Tab 75.680 700 52,976

130 KAPTOPRIL 50 MG Tab 143.000 0 -

131 KAPTOPRIL 50 MG KF Tab 134.00 0 -

132 KETOKENAZOL KRIM Tube 3,135.000 0 -

133 KETOKENAZOL TAB 200 MG Tab 297.000 0 -

134 KLONIDIN TABLET 0.15 MG Tab 145.000 0 -


135 KLORAMFENIKOL SALEP KULIT 3 % Tube 3,794.000 0 -

136 KLORAMFENIKOL KAPSUL 500 MG Kapsul 1,337.990 0 -

137 KLORAMFENIKOL KAPSUL 250 MG Kapsul 660.00 200 132,000

138 KLORAMFENIKOL KAPSUL 250 MG Kapsul 329.000 0 -

139 KLORAMFENIKOL SALEP MATA 1% Kapsul 2,148.00 0 -

140 KLORAMFENIKOL SUSP 125 MG/ 5 ML Btl 4,982.000 0 -

141 KLORAMFENIKOL TETES MATA 0.5 % Tube 0.000 0 -

142 KLORAMFENIKOL TETES TELINGA 3 % 0 -

143 KLORFENIRAMINA MALEAT TAB 4 MG Tab 50.000 500 25,000

144 KLORFENIRAMINA MALEAT TAB 4 MG Tab 39.000 0 -

145 KLORPROMAZIN TAB SALUT 100 MG Tab 170.000 0 -

146 KLORPROMAZIN TAB SALUT 100 MG MERSIFARM Tab 170.00 0 -

147 KOTRIMOKSAZOL DOEN I (DEWASA) 480 MG Tab 325.00 0 -

148 KOTRIMOKSAZOL DOEN (DEWASA)480 MG Tab 127.150 0 -

149 KOTRIMOKSAZOL DOEN II (ANAK) Tab 79.000 0 -

150 KOTRIMOKSAZOL SUSPENSI Btl 2,100.00 0 -

151 KOTRIMOKSAZOL SUSPENSI Btl 2,190.000 0 -

152 KOTRIMOKSAZOL SUSPENSI MERSIFARM Btl 2,052.00 0 -

153 KOTRIMOKSAZOL TABLET 480 MG MERSIFARM Tab 125.00 0 -

154 KUINIDIN 100 MG TABLET Tab 0 -

155 KUINIDIN 200 MG TABLET Tab 0 -

156 KUININ (KINA) TABLET 200 MG Tab 0 -

157 KUININ INJEKSI 25 % Tab 0 -

158 KUININ SULFAT TAB 222 MG (7 H2O) Tab 641.670 0 -

159 Laktulosa btl 12,904.000 0 -

160 LIDOKAIN SPRAY BTL 177,216.000 0 -

161 LIDOKAIN INJ 2 % Amp 847.00 28 23,716

162 LIDOKAIN INJ 2 % + EPINEFRIN 1,405.000 0 -

163 LISOL DENGAN KRESOL SABUN 50 % Btl 31,800.000 0 -

164 LOPERAMIDE TAB 2 MG Tab 92.000 0 -

165 LOPERAMIDE TAB 2 MG Tab 460.000 0 -

166 LOPERAMIDE TAB 2 MG Tab 85.000 0 -

167 LORATADIN TAB Tab 136.000 0 -

168 LORATADIN TABLET 10 MG PROMED Tab 117.00 300 35,100

169 LUBIRE Tab 5,225.00 0 -

170 MEBENDAZOL SIROP 100 MG/ 5 ML Btl 0 -

171 MEBENDAZOL TABLET 100 MG Tab 0 -

MELOXICAM KAPS 7,5 MG 830.28 1000 830,280

172 METAMPIRON TABLET 500 MG (ANTALGIN) Tab 141.850 0 -

173 METFORMIN TAB 500 MG Tab 77.00 600 46,200

174 METFORMIN TAB 500 MG Tab 109.000 0 -

175 METFORMIN TAB 850 MG Tab 240.000 0 -

176 METILERGOMETRIN MALEAT INJ 0.2 MG Amp 3,399.000 0 -

177 METILERGOMETRIN MALEAT TABLET 0.125 MG Tab 133.100 0 -

178 METILERGOMETRIN MALEAT TABLET 0.125 MG Tab 215.940 200 43,188

179 METILPREDNISOLON TAB 4 MG Tab 102.00 0 -

180 METILPREDNISOLON TAB 4 MG Tab 148.000 0 -

181 METILPREDNISOLON TAB16 MG Tab 456.00 0 -

182 METILPREDNISOLON TAB16 MG Tab 548.00 0 -

183 METOKLOPRAMIDE TAB 10 MG TAB 93.000 0 -


184 METOKLOPRAMIDE TAB 10 MG KF Tab 87.00 0 -

185 METRONIDAZOL TABLET 250 MG Tab 116.000 0 -

186 METRONIDAZOL TABLET 250 MG PHYTO Tab 93.00 0 -

187 METRONIDAZOL TABLET 500 MG Tab 660.000 0 -

188 MDT MB KUSTA DEWASA BLISTER 40,526.000 0 -

189 MgSO4 20% Btl 3,327.990 0 -

190 MgSO4 40% Btl 4,700.000 9 42,300

191 MIKONAZOLE KREAM Tube 1,917.27 8 15,338

192 MIKONAZOLE KREAM Tube 3,926.000 0 -

193 MIKONAZOLE KREAM 2% KF Tube 2,462.00 0 -

194 MIKORIN POWDER POT 22,927.000 15 343,905

195 MINERAL MIX Succ 2,723.000 0 -

196 MINERAL MIX Succ 2,550.000 0 -

197 MULTIVITAMIN TAB VINETRON Tab 1,848.000 0 -

198 MULTIVITAMIN TAB VINETRON Tab 1,705.000 0 -

199 MULTIVITAMIN TAB MEVITON 1,592.250 0 -

200 MULTIVITAMIN ALBUFORCESYR Btl 88,800.000 0 -

201 NATRIUM DKLOFENAK TABLET 25 MG Tab 109.00 0 -

202 NATRIUM DKLOFENAK TABLET 50 MG Tab 109.99 950 104,491

203 NATRIUM DKLOFENAK TABLET 50 MG Tab 145.00 0 -

204 NATRIUM KLORIDA LARUTAN INFUS 0.9 % Btl 6,900.00 0 -

205 NATRIUM KLORIDA LARUTAN INFUS 0.9 % Btl 7,500.000 13 97,500

206 NIPEDIFINE TAB 10 MG Tab 120.000 0 -

NIPEDIFINE TAB 10 MG 221.00 0 -

NIPEDIFINE TAB 10 MG 150.000 300 45,000

207 NISTATIN 100.000 IU Tab 627.000 0 -

208 NISTATIN 500.000 IU Tab 704.000 0 -

209 NISTATIN VAGINAL TAB 100.000 UI Tab 645.00 0 -

210 NISTATIN VAGINAL 100.000 IU Tab 645.00 0 -

211 OBAT ANTITUBERKULOSIS KAT 1 DEWASA Tab 478,142.00 0 -

212 OBAT ANTITUBERKULOSIS KAT 1 DEWASA 356,829.000 0 -

213 OBAT ANTITUBERKULOSIS KAT 1 DEWASA 447,791.000 0 -

214 OBAT ANTITUBERKULOSIS KAT 2 DEWASA Tab 1,319.900 0 -

215 OBAT ANTITUBERKULOSIS KAT 2 DEWASA Paket 1,492,579 0 -

216 OBAT ANTITUBERKULOSIS KAT ANAK Tab 236,500.000 0 -

217 OBAT ANTITUBERKULOSIS KAT ANAK KF Paket 267,397 0 -

218 OBAT ANTITUBERKULOSIS SISIPAN DEWASA Tab 175,980.000 0 -

219 OBAT BATUK HITAM CAIRAN Btl 1,339.800 0 -

220 OKSITETRASIKLIN HCL SALEP 3 % Tube 3,600.000 0 -

221 OKSITETRASIKLIN HCL SALEP MATA 1 % Tube 2,600.000 0 -

222 OKSITETRASIKLIN SALEP MATA 1% KF Tube 3,926.00 0 -

223 OKSITOSIN INJ 10 IU/ML Amp 1,232.000 0 -

224 OKSITOSIN INJ 10 IU/ML 1,348.000 30 40,440

225 OMEPRAZOLE KAP 20 MG Tab 780.000 0 -

226 OMEPRAZOLE KAPSUL 20 MG Kapsul 129.00 0 -

227 OMEPRASOL INJ 40 MG/ML vial 5,394.60 20 107,892

228 OMEPRAZOLE INJ 11,868.00 0 -

229 OAM(ACT)DHP-FRIMAL 1,900.00 0 -

230 PAPAVERIN TABLET 40 MG Tab 680.000 0 -

231 PARACETAMOL DROPS 100 MG/ML (60 MG/0,6 ML) Btl 5,204.00 0 -
232 PARASETAMOL DROPS 100 MG/ML IGM Btl 5,251.30 20 105,026

233 PARASETAMOL SIROP 120 MG/ 5 ML Btl 1,160.00 25 29,000

234 PARASETAMOL infus Btl 8,880.000 5 44,400

235 PARASETAMOL SIROP 120 MG/ 5 ML Btl 1,160 42 48,720

236 PARASETAMOL TABLET 500 MG Tab 86.000 0 -

237 PARASETAMOL TABLET 500 MG MERSIFARM Tab 60.00 0 -

238 PARASETAMOL TABLET 500 MG MERSIFARM Tab 165.00 0 -

239 PEHACAIN INJ Amp 4,850.000 0 -

240 PENOL GLISEROL TETES TELINGA Btl 3,330.000 11 36,630

241 PIRANTEL SIRUP btl 9,100.000 0 -

242 PIRANTEL TABLET SCORE 125 MG Tab 341.00 1100 375,100

243 PIRASETAM 1200 Tab 854.000 0 -

244 PIRASETAM 400 Tab 194.000 0 -

245 PIRIDOKSIN (VIT B6) TAB 10 MG Tab 72.00 0 -

PIRIDOKSIN (VIT B6) TAB 10 MG Tab 157.99 200 31,598

246 PIROKSIKAM TABLET 20 MG Tab 215.000 0 -

247 PIROKSIKAM TABLET 20 MG Tab 189.500 0 -

248 PITOGIN AMPUL 1 ML Amp 11,550.000 0 -

249 POVIDON IODIDA 10 % 1000 ML Btl 149,313.000 0 -

250 POVIDON IODIDA 10 % 1000 ML MAHAKAM Btl 139,313.00 0 -

251 POVIDON IODIDA 10 % 30 ML Btl 3,624.500 0 -

252 POVIDON IODIDA 10 % 300 ML Btl 22,498.300 0 -

253 POVIDON IODIDA 10 % 300 ML Btl 15,386.000 0 -

254 POVIDON IODIDA BETADIN 5 G SALEP Tube 7,039.00 0 -

255 POVIDON SALEP Tube 6,348.000 0 -

256 PREDNISON TABLET 5 MG Tab 73.00 300 21,900

257 PRIMAUINE/PRIMAQUINE TAB 15 Tab 242.000 0 -

258 PROPANOLOL TABLET 10 MG Tab 59.000 0 -

259 PROPANOLOL TABLET 40 MG Tab 59.000 0 -

260 PROPILITIOURASIL TABLET 100 MG Tab 351.000 0 -

261 RANITIDIN INJ 25 MG / 2 ML Amp 1,155.00 0 -

262 REGENSIA TB Amp 192,527.00 0 -

263 RANITIDIN TABLET 150 MG Tab 86.00 1100 94,600

264 RINGER LAKTAT INFUS Btl 7,773.02 60 466,381

265 RINGER LAKTAT INFUS Btl 7,630.00 0 -

266 RISPERIDON 2 MG Tab 287.000 100 28,700

267 SALBUTAMOL SIRUP 5,463.000 0 -

268 SALBUTAMOL TABLET 4 MG KF Tab 195.00 0 -

269 SALEP 2-4 KOMBINASI Tube 1,488.400 0 -

270 SALEP 2-4 KOMBINASI Tube 1,475.000 0 -

271 SALISIL BEDAK 2 % Pot 6,426.00 0 -

272 SCABIMATE CREM SACH 12,155.000 0 -

273 SALISIL BEDAK 2 % TUBE 6,426.00 0 -

274 SEFADROKSIL KAPSUL 500 MG Kapsul 1,210.000 0 -

275 SEFADROKSIL KAPSUL 500 MG Kapsul 492.00 0 -

276 SEFADROKSIL SIROP KERING 125 MG / 5 ML Btl 3,890.000 0 -

277 SEFOTAKSIM 1000 MG Vial 5,700.000 0 -

278 SEFOTAKSIM INJ 1000 MG RAMA Vial 4,410.00 0 -

279 SIANOKOBALAMIN TABLET 50 MCG Tab 44.00 1600 70,400

280 SIANOKOBALAMIN TABLET 50 MCG KF Tab 51.00 0 -


281 SIANOKOBALAMIN VIT B12 INJ 500 MCG/ML Ampul 1,066.00 10 10,660

282 SIANOKOBALAMIN VIT B12 INJ 500 MCG/ML 3,070.000 0 -

283 SIMVASTATIN TABLET 10 MG TAB 73.00 0 -

284 SIMVASTATIN TABLET 10 MG 151.360 350 52,976

285 SIPROFLOKSASIN KAPLET 500 MG Kaplet 260.00 100 26,000

286 SULFASETAMID TETES MATA 15 % Btl 12,500.000 0 -

287 TABLET TAMBAH DARAH KOMBINASI Tab 409.000 0 -

TABLET TAMBAH DARAH KOMBINASI Tab 255.00 500 127,500

288 TETRASIKLIN KAPSUL 500 MG Kapsul 346.000 0 -

289 TETRASIKLIN KAPSUL 500 MG Kapsul 324.000 0 -

290 TIAMIN (VIT B1) INJ 100 MG/ML Amp 730.000 0 -

291 TIAMIN (VIT B1) TABLET 50 MG Tab 169.000 0 -

292 TIAMIN (VIT B1) TABLET 50 MG 246.000 0 -

293 TRIHEKSIFENIDIL 25 MG Tab 691.190 400 276,476

294 VAKSIN ANTI RABIES INJ vial 165,000.000 0 -

VAKSIN ANTI RABIES INJ vial 153,000.00 24 3,672,000

295 VAKSIN POLIO (bOPV) 10 ds Vial 19,954.000 92 1,835,768

296 VAKSIN MR 10 ds Vial 155,813.000 212 33,032,356

297 VAKSIN DPT-HB-HIB 5 ds Vial 78,991.000 100 7,899,100

VAKSIN HB Ig Vial 1,325,000.000 1 1,325,000

VAKSIN HB UNIJECT (HBO) 1 ds Vial 23,991.000 49 1,175,559

298 VAKSIN BCG Vial 61,996.000 56 3,471,776

299 VAKSIN HEPATITIS B Vial 23,991.000 0 -

300 VAKSIN IPV Vial 158,994.000 70 11,129,580

301 VAKSIN Td 10 ds VIAL 16,995.000 28 475,860

VAKSIN DT 10 ds VIAL 17,996.00 0 -

302 VITAMIN A 100.000 UI Btl 17,600.00 2 35,200

303 VITAMIN A 200.000 UI Btl 31,850.00 0 -

306 VITAMIN B KOMPLEKS TABLET Tab 60.000 0 -

307 VITAMIN B KOMPLEKS TABLET Tab 135.000 0 -

308 ZINK SIRUP Btl 2,489.000 10 24,890

309 ZINK SIRUP MEPROFARM Btl 3,285.00 0 -

310 ZINK TAB 20 MG Tab 253.00 0 -

311 ZINK TAB 20 MG Tab 604.00 0 -

312 ZINK TAB 20 MG 253.000 100 25,300

PERBEKALAN KESEHATAN 0 -

1 ACCU-CHECK PERFORMA Btl 420,000.000 0 -

2 ALAT SUNTIK SEKALI PAKAI 2,5/3 ML Set 851.53 0 -

3 ALAT SUNTIK SEKALI PAKAI 2,5/3 ML Set 1,056.00 300 316,800

4 ALAT SUNTIK SEKALI PAKAI 3 ML Set 1,108.800 0 -

5 ALAT SUNTIK SEKALI PAKAI 0,05 ML Set 1,518.000 0 -

6 ALAT SUNTIK SEKALI PAKAI 0,05 ML Set 1,240.000 0 -

7 ALAT SUNTIK SEKALI PAKAI 0,5 ML Set 1,240.00 0 -

8 ALAT SUNTIK SEKALI PAKAI 0,5 ML 1,240.00 0 -

9 ALAT SUNTIK SEKALI PAKAI 0,5 ML 1,650.000 400 660,000

10 ALAT SUNTIK SEKALI PAKAI 10 ML Set 1,216.470 40 48,659

11 ALAT SUNTIK SEKALI PAKAI 1 ML Set 1,056.000 100 105,600

12 ALAT SUNTIK SEKALI PAKAI 1 ML Set 844.260 0 -

13 ALAT SUNTIK SEKALI PAKAI 10 ML Set 1,216.470 10 12,165

14 ALAT SUNTIK SEKALI PAKAI 5 ML Set 1,013.11 200 202,622


15 ALAT SUNTIK SEKALI PAKAI 5 ML 1,500.000 50 75,000

16 ALKOHOL SWAB Box 184.380 600 110,628

17 ALKOHOL SWAB DAK Box 151.20 200 30,240

18 AQUA PRO INJEKSI 25 ML Btl 2,650.00 0 -

19 BAJU HAZMAT COVER ALL Bh 475,000.000 0 -

20 BISTURI NO. 19 Pcs 3,150 0 -

21 BISTURI NO.20 3,150 0 -

22 BISTURI NO. 22 Pcs 3,300 10 33,000

23 CANULA DEWASA Pcs 5,711.00 10 57,110

24 CATGUT NO 2/0 21,000.00 12 252,000

25 CATGUT NO 3/0 Pcs 34,538.00 0 -

26 CATGUT NO 3/0 RNI Pcs 35,295.00 0 -

27 CATGUT NO 4/0 RNI Pcs 32,685.00 0 -

28 CATHEJELL Pcs 42,848.000 0 -

29 FOLEY CATETER 16 Bh 12,100.000 0 -

30 FOLEY CATETER 18 Bh 10,000.000 0 -

31 FOLEY CATETER 20 Bh 12,100.000 0 -

32 HAND RUB BTL 46,016.56 0 -

33 HAND RUB BTL 62,624.000 0 -

34 HAND RUB fresco BTL 76,274.470 0 -

35 HANDSCOEN 6,5 STERIL Roll 8,600.000 50 430,000

36 HANDSCON 7 Pasang 8,600.00 50 430,000

37 HANDSCON 7 1/2 STERIL Bks 8,600.00 100 860,000

38 HANDSCON 7 STERIL 11,990.000 0 -

39 HANDSCON L Pasang 1,750.00 0 -

40 HANDSCON L KARINDO Pasang 1,647.24 0 -

42 HANDSCON M Pasang 1,117.00 0 -

43 HANDSCON M 2,750.000 0 -

44 HANDSCON S Pasang 1,117.000 0 -

45 HANDSCON S 2,750.000 0 -

46 TREPOCHECK SYPHILIS Pcs 9,300.00 0 -

47 HIV TEST Pcs 15,377.000 0 -

48 HIV TEST Pcs 15,367.000 0 -

49 INFUSION SET ANAK SET 5,610.000 40 224,400

50 INFUSION SET ANAK AXIMED Pcs 5,865.00 0 -

51 INFUSION SET DEWASA Set 7,062.00 13 91,806

52 INFUSION SET DEWASA 7,920.00 20 158,400

53 IV CATHETER N0 22 G Set 13,894.000 0 -

IV CATHETER N0 22 G Set 5,589.960 30 167,699

54 IV CATHETER NO 18 Set 9,123.400 0 -

55 IV CATHETER NO 20 G Set 6,875.000 90 618,750

56 IV CATHETER NO 22 G NIPRO Pcs 6,875.00 0 -

57 IV CATHETER NO 24 G Set 5,589.960 37 206,829

58 IV CATHETER NO 24 G Set 14,493.600 0 -

59 KANULA ANAK Pcs 5,711.00 0 -

61 KAPAS PEMBALUT / ABSORBEN 250 GRAM Set 18,000.000 0 -

62 KAPAS PEMBALUT / ABSORBEN 250 GRAM Set 25,198.000 2 50,396

63 KAPAS PEMBALUT 250 GRAM DRC Roll 30,500.00 0 -

64 KASA KOMPRES 40/40 STERIL Bks 1,672.000 0 -

65 KASA PEMBALUT 2 M X 80 CM Bks 79,360.00 0 -


66 KASA PEMBALUT 2 M X 80 CM DRC Bks 10,661.00 0 -

67 KASA PEMBALUT HIDROFIL 20 yard x 80 cm Roll 81,920.000 0 -

68 KASA PEMBALUT HIDROFIL 20 yard x 80 cm Roll 147,775.000 2 295,550

69 KASA PEMBALUT HIDROFIL 40 X 80 CM DRC Roll 134,091.00 3 402,273

70 KASA PEMBALUT HIDROFIL 4 M X 15 CM DRC Bks 4,104.00 0 -

71 KASA PEMBALUT HIDROFIL 4 M X 3 CM Bks 891.00 0 -

72 KASA PEMBALUT HIDROFIL 4 M X 5 CM ELASTIS Bks 2,750.000 0 -

73 KASA PEMBALUT HIDROFIL 16 M X 16 CM DRC Bks 4,200.00 0 -

74 LANCET Box 17,252.40 0 -

76 MASKER HIJAB Bh 580.800 0 -

77 MASKER KARET Bh 314.000 0 -

78 MASKER KAIN Bh 5,000.000 0 -

79 MAAG SLANG NO 16 10,164.000 0 -

80 NESCO / STRIP CHOLESTROL Btl 290,000.000 0 -

81 NASAL OKSIGEN DEWASA Bh 6,000.000 0 -

82 PLESTER 10 CM X 5 M Roll 49,632.000 0 -

83 PLESTER PHARMAFIX 10 CM X 500 CM Roll 51,305.00 0 -

84 PLESTER PHARMAFIX 15 CM X 500 CM Roll 78,115.00 3 234,345

85 PLESTER PHARMAFIX 5 CM X 500 CM Roll 27,000.00 12 324,000

86 PLESTER YARD Roll 43,700.000 0 -

87 SAMPEL CONTAINER/POT 2,342.00 0 -

88 POT SPUTUM Pot 2,272.00 0 -

89 REAGEN SYPHILIS Pcs 20,400.000 0 -

90 STRIP BIOLINE SYPIHILIS 3.0 100T 7,237.630 25 180,941

91 TREPOCHECK SYPHILIS 8,870.000 25 221,750

92 RAPID 1 (SD) /HIV TEST 8,350.00 0 -

93 RAPID TES HIV 1 7,879.00 50 393,950

94 RAPID TEST HBsAg /VIROCHECK 8,300.00 25 207,500

95 STRIP SD BIOLINE HbSag Box 10,012.50 60 600,750

96 RAPID TEST ANTIGEN COVID 19 CLUNGENE Box 52,800.00 300 15,840,000

97 RDT MALARIA Box 14,238.000 25 355,950

STRIP MALARIA A PLDH/HRPZ COMBO CARD 6,476.000 25 161,900

99 FDC OAT KATAGORI 1 PKT 447,791.00 0 -

100 SAFETY BOX 23,398.000 8 187,184

101 SAFETY BOX 20,394.000 4 81,576

102 SILK 2/0 SET 21,875.000 0 -

103 SILK 2/0 TROGE Pcs 44,810.670 24 1,075,456

SILK 2/0 21,458.334 0 -

104 SILK 3/0 SET 50,061.000 24 1,201,464

105 SILK 3/0 SET 29,931.00 0 -

106 SILK 3/0 TROGE Pcs 43,429.100 0 -

107 STRIP ASAM URAT NESCO Box 145,200.00 0 -

108 STRIP CHOLESTEROL Box 231,000.00 0 -

109 SRTIP GULA POS BINDU Btl 132,000.000 14 1,848,000

SRTIP GULA NESCO Btl 132,000.000 0 -

111 STRIP SD BIOLINE DENGUE DUO BOX 60,813.12 0 -

112 STRIP SD BIOLINE HIV 1/2 3.0 BOX 13,367.70 0 -

113 URIN BAG TANPA HANGER BH 5,742.00 11 63,162

114 URIN BAG TROGE Pcs 8,877.00 0 -

115 WING NEEDLE NO.23 Pcs 1,400.000 0 -


116 WING NEEDLE NO.25 Pcs 1,400.000 0 -

117 WING NEEDLE NO.27 Pcs 1,400.000 0 -

PENANGANAN CORONA VIRUS 0 -

1 FACE SHIELD 27,500.000 17 467,500

2 PAKAIAN PELINDUNG/HAZMAT PCH 660,000.000 7 4,620,000

3 PAKAIAN PELINDUNG/HAZMAT SET 475,000.000 10 4,750,000

4 VISOR/SHIELDFACE/HELM BUAH 315,000.000 8 2,520,000

5 SEPATU BOOT PSG 215,000.000 4 860,000

6 WIND NEEDLE PCS 5,500.000 300 1,650,000

7 COLD BOX KAPASITAS 6 L BOX 4,500,000.000 0 -

8 CAIRAN NaOCl BTL 50,000.000 0 -

9 SARUNG TANGAN NON STERIL PCH 1,800.000 0 -

10 APD SET SET 3,902,499.700 0 -

11 BAJU APD 660,000.000 0 -

12 SARUNG TANGAN PANJANG 54 -

13 SEPATU BOOT 0 -

14 MASKER 2,640.00 0 -

19 KACA MATA SAFETY 0 -

20 HAND RUB 250 ML BTL 71,692.500 0 -

21 SARUNG TANGAN STERIL PSG 8,000.000 0 -

22 HANDSCOON NON STERIL BTL 900.00 0 -

25 HAND SANITEZER BTL 19,500.00 0 -

26 SURGICAL MASK PCH 5,000.000 0 -

27 HANDSCOON NON STERIL M PSG 1,540.00 0 -

31 BUKU SAKU 30,000.000 7 210,000

32 KANTONG SAMPAH MEDIS 3,000.00 0 -

36 KANTONG JENAZAH 300,000.000 10 3,000,000

37 KANTONG JENAZAH 99,999.000 10 999,990

38 MASKER BEDAH 770.000 0 -

BANTUAN DINKES PROVINSI 0 -

1 BAJU APD MEREK SANDON ( DINKES PROVINSI ) PCH 12 -

2 BAJU APD MEREK SANDON ( DINKES PROVINSI ) 660,000.00 15 9,900,000

FACE SHIELD PCH 12 -

VIRUS COLLECTION & TRANSPORT TUBE BTL 130,000.00 30 3,900,000

VITAMIN C 500 MG TAB 600.00 2200 1,320,000

FACE SHIELD BTL 27,500.00 10 275,000

HAND SANITIZER 37,812.50 0 -

Masker N95 100,000.00 20 2,000,000

HANDSCOON NON STERIL M 1,540.00 0 -

APD SET IMUNISASI : 0 -

HAND SANITIZER 30,250.00 1 30,250

MASKER BEDAH 990.00 0 -

MASKER 2,640.00 30 79,200

HANDSCOON NON STERIL L 1,540.00 20 30,800

KANTONG MEDIS 2,500.00 1 2,500

FACE SHIELD 27,500.00 0 -

PROGRAM IMUNISASI/VAKSIN CORONA 0 -

ALAT SUNTIK SEKALI PAKAI 0,5 ML PCH 1,185.00 2475 2,932,875

ALAT SUNTIK SEKALI PAKAI 0,5 ML 1,165.00 0 -

ALAT SUNTIK SEKALI PAKAI 0,3 ML 1,255.00 0 -


ALAT SUNTIK SEKALI PAKAI 3 ML 569.00 0 -

VAKSIN COVID-19 (10 DOSIS ) VIAL 1,339,440.00 0 -

VAKSIN COVID-19 CORONAVAC ( 2 DOSIS ) VIAL 158 -

VAKSIN COVID-19 MODERNA (14 DOSIS ) VIAL 24 -

VAKSIN MODERNA 10 DOSIS VIAL 35 -

VAKSIN COVID 19 JANSSENS 5 DOSIS VIAL 85 -

VAKSIN COVID 19 ASTRAZENECA 10 DOSIS VIAL 27 -

VAKSIN COVID-19 COVOVAX 10 DOSIS 10 -

VAKSIN Covid -19 Pfizer (6 Dosis) 0 -

SAFETY BOX 5 L PKM 1 BOX 14,000.00 23 322,000

SAFETY BOX 5 L PKM 1 5,382.00 0


ALKOHOL SWAB PKM VIAL 79.00 2851 225,229

NaCl 10 ml 3,280.00 0 -

PENANGANAN CORONA VIRUS DISEASE DINKES 0 -

1 MASKER BEDAH PCS 770.00 0 -

HAND SANITIZER PCS 19,250.00 0 -

HANDSCOON NON STERIL L PCS 1,540.00 0 -

RAPID TEST ANTIGEN COVID 19 CLUNGENE PCS 60,500.00 0 -

OBAT GIGI 0 -

1 ETIL KLORIDA Btl 126,500.00 0 -

2 COMPOSIT ANTERIOR A2 SOLARE Pcs 675,000.000 0 -

3 COMPOSIT ANTERIOR A3 SOLARE Pcs 675,000.000 0 -

4 COMPOSIT POSTERIOR A2 SOLARE Pcs 675,000.000 0 -

5 COMPOSIT POSTERIOR A3 SOLARE Pcs 675,000.000 0 -

6 DYCAL Pcs 302,500.000 1 302,500

7 EUGENOL Btl 165,000.000 0 -

8 FUJI IX MINI/ GOLD LABEL Pcs 650,000.000 0 -

9 XYLESTESIN Pcs 795,000.000 0 -


TOTAL HARGA OBAT DAN BHP 139,427,589.45
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
( LPLPO )

PENERI PERSE PEMA


NILAI NILAI NILAI
MAAN DIAAN KAIAN
7 8 9 10 11 12

- 100 8,900 -
- 0 - -
- 0 - -
- 200 73,300 100 36,650
- 0 - -
- 0 - -
600 53,400.00 600 53,400 600 53,400
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 200 33,400 -
500 37,000.00 1200 88,800 1000 74,000
1000 55,500.00 1200 66,600 1000 55,500
- 0 - -
3000 693,000.00 3800 877,800 1800 415,800
- 0 - -
30 105,300.00 39 136,890 27 94,770
- 0 - -
- 0 - -
- 0 - -
- 0 - -
50 88,598.00 50 88,598 30 53,159
- 0 - -
- 0 - -
- 0 - -
- 7 26,600 1 3,800
10 32,896.40 10 32,896 -
500 23,210.00 500 23,210 500
1500 175,500.00 2700 315,900 1500 175,500
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
200 18,400.00 200 18,400 200 18,400
- 0 - -
- 39 59,819 10 15,338
- 0 - -
- 4 17,300 1 4,325
- 7 35,595 -
- 0 - -
- 0 - -
- 0 - -
- 100 21,600 -
15 33,210.00 27 59,778 25 55,350
- 0 - -
500 91,000.00 500 91,000 500 91,000
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 100 14,200 -
- 150 16,499 150 16,499
- 0 - -
- 0 - -
- 0 - -
10 24,228.20 19 46,034 15 36,342
- 0 - -
- 0 - -
- 20 58,080 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
10 40,027.20 24 96,065 5 20,014
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
30 117,000.00 40 156,000 10 39,000
- 0 - -
- 0 - -
- 0 - -
- 68 18,700 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
24 125,208.00 24 125,208 -
400 35,116.00 700 61,453 -
200 24,600.00 250 30,750 50 6,150
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 300 63,000 100 21,000
- 0 - -
- 0 - -
- 0 - -
- 0 - -
200 12,000.00 200 12,000 -
- 0 - -
48 111,600.00 72 167,400 11 25,575
- 0 - -
- 0 - -
- 6 14,034 6 14,034
- 0 - -
- 0 - -
1500 225,000.00 2200 330,000 2000 300,000
- 0 - -
- 0 - -
100 9,990.00 200 19,980 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
300 18,150.00 300 18,150 300 18,150
- 0 - -
- 500 34,305 500 34,305
- 0 - -
- 0 - -
- 0 - -
- 700 52,976 200 15,136
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
24 91,056.00 24 91,056 24 91,056
- 0 - -
- 200 132,000 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
1500 75,000.00 2000 100,000 1200 60,000
- 0 - -
- 0 - -
- 0 - -
- 0 - -
200 25,430.00 200 25,430 200 25,430
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
5 64,520.00 5 64,520 -
- 0 - -
30 25,410.00 58 49,126 38 32,186
- 0 - -
- 0 - -
300 27,600.00 300 27,600 300 27,600
- 0 - -
- 0 - -
- 0 - -
- 300 35,100 300 35,100
- 0 - -
- 0 - -
- 0 - -
1500 1,245,420.00 2500 2,075,700 1400 1,162,392
- 0 - -
- 600 46,200 600 46,200
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 200 43,188 -
- 0 - -
- 0 - -
1000 456,000.00 1000 456,000 500 228,000
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 9 42,300 -
24 46,014.48 32 61,353 32 61,353
- 0 - -
- 0 - -
12 275,124.00 27 619,029 13 298,051
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
24 2,131,200.00 24 2,131,200 12 1,065,600
- 0 - -
500 54,995.00 1450 159,486 1450 159,486
- 0 - -
2 13,800.00 2 13,800 2 13,800
- 13 97,500 13 97,500
- 0 - -
- 0 - -
- 300 45,000 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 30 40,440 20 26,960
- 0 - -
800 103,200.00 800 103,200 -
- 20 107,892 20 107,892
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 20 105,026 15 78,770
- 25 29,000 25 29,000
- 5 44,400 2 17,760
- 42 48,720 21 24,360
- 0 - -
- 0 - -
- 0 - -
- 0 - -
10 33,300.00 21 69,930 10 33,300
- 0 - -
- 1100 375,100 -
- 0 - -
- 0 - -
- 0 - -
500 78,995.00 700 110,593 700 110,593
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 300 21,900 300 21,900
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
1 192,527.00 1 192,527 -
- 1100 94,600 700 60,200
43 334,239.86 103 800,621 103 800,621
- 0 - -
- 100 28,700 -
- 0 - -
- 0 - -
30 44,652.00 30 44,652 20 29,768
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
10 38,900.00 10 38,900 2 7,780
- 0 - -
- 0 - -
- 1600 70,400 1200 52,800
- 0 - -
20 21,320.00 30 31,980 10 10,660
- 0 - -
- 0 - -
500 75,680.00 850 128,656 350 52,976
500 130,000.00 600 156,000 200 52,000
- 0 - -
- 0 - -
1500 382,500.00 2000 510,000 1100 280,500
- 0 - -
- 0 - -
- 0 - -
- 0 - -
200 49,200.00 200 49,200 100 24,600
- 400 276,476 -
- 0 - -
18 2,754,000.00 42 6,426,000 -
10 199,540.00 102 2,035,308 -
- 212 33,032,356 -
10 789,910.00 110 8,689,010 -
- 1 1,325,000 -
5 119,955.00 54 1,295,514 -
10 619,960.00 66 4,091,736 -
- 0 - -
- 70 11,129,580 -
10 169,950.00 38 645,810 -
- 0 - -
- 2 35,200 2 35,200
5 159,250.00 5 159,250 2 63,700
2500 150,000.00 2500 150,000 800 48,000
- 0 - -
- 10 24,890 10 24,890
- 0 - -
- 0 - -
- 0 - -
300 75,900.00 400 101,200 100 25,300
- 0 - -
- 0 - -
- 0 - -
- 300 316,800 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 400 660,000 100 165,000
30 36,494.10 70 85,153 -
- 100 105,600 -
- 0 - -
- 10 12,165 -
- 200 202,622 -
- 50 75,000 50 75,000
- 600 110,628 600 110,628
- 200 30,240 200 30,240
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 10 33,000 10 33,000
- 10 57,110 5 28,555
- 12 252,000 2 42,000
- 0 - -
- 0 - -
- 0 - -
- 0 - -
5 60,500.00 5 60,500 2 24,200
- 0 - -
5 60,500.00 5 60,500 -
- 0 - -
- 0 - -
- 0 - -
- 50 430,000 -
- 50 430,000 25 215,000
- 100 860,000 -
- 0 - -
- 0 - -
- 0 - -
200 223,400.00 200 223,400 200 223,400
- 0 - -
100 111,700.00 100 111,700 100 111,700
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 40 224,400 20 112,200
- 0 - -
- 13 91,806 13 91,806
20 158,400.00 40 316,800 30 237,600
- 0 - -
20 111,799.20 50 279,498 40 223,598
- 0 - -
- 90 618,750 30 206,250
- 0 - -
20 111,799.20 57 318,628 35 195,649
- 0 - -
- 0 - -
- 0 - -
- 2 50,396 -
- 0 - -
30 50,160.00 30 50,160 30 50,160
- 0 - -
- 0 - -
- 0 - -
- 2 295,550 -
- 3 402,273 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
3 30,492.00 3 30,492 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 3 234,345 -
- 12 324,000 7 189,000
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 25 180,941 25 180,941
- 25 221,750 25 221,750
- 0 - -
- 50 393,950 25 196,975
- 25 207,500 -
- 60 600,750 -
- 300 15,840,000 -
- 25 355,950 -
- 25 161,900 -
- 0 - -
- 8 187,184 4 93,592
- 4 81,576 4 81,576
- 0 - -
12 537,728.04 36 1,613,184 24 1,075,456
- 0 - -
12 600,732.00 36 1,802,196 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
20 2,640,000.00 34 4,488,000 -
- 0 - -
- 0 - -
- 0 - -
- 11 63,162 5 28,710
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 17 467,500 -
- 7 4,620,000 -
- 10 4,750,000 -
- 8 2,520,000 -
- 4 860,000 -
- 300 1,650,000 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 54 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 7 210,000 -
- 0 - -
- 10 3,000,000 -
- 10 999,990 -
- 0 - -
- 0 - -
- 12 - -
- 15 9,900,000 -
- 12 - -
- 30 3,900,000 -
- 2200 1,320,000 2200 1,320,000
- 10 275,000 -
- 0 - -
- 20 2,000,000 -
- 0 - -
- 0 - -
- 1 30,250 -
- 0 - -
- 30 79,200 30 79,200
- 20 30,800 20 30,800
- 1 2,500 -
- 0 - -
- 0 - -
- 2475 2,932,875 -
- 0 - -
120 150,600.00 120 150,600 -
- 0 -
10 13,394,400.00 10 13,394,400 -
- 158 - -
- 24 - -
- 35 - -
- 85 - -
- 27 - -
- 10 - -
10 - 10 -
- 23 322,000 -
1 5,382.00 1 5,382
120 9,480.00 2971 234,709 -
10 32,800.00 10 32,800
- 0 - -
500 385,000.00 500 385,000 500 385,000
- 0 - -
300 462,000.00 300 462,000 300 462,000
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 1 302,500 -
- 0 - -
- 0 - -
- 0 - -
32,377,848.68 171,805,438.13 0 13,637,464.93
BULAN SEP
TRI WULAN
TAHUN 2022
Hal 1

KADALUAR SISA PERMINTAA


NILAI NILAI KET
SA STOK N

13 14 15 16 17 18

- 100 8,900
- 0 -
- 0 -
- 100 36,650
- 0 -
- 0 -
- 0 - 2,000
- 0 -
- 0 - 50
- 0 - 500
- 0 -
- 0 -
- 0 -
- 200 33,400
- 200 14,800 2,000
- 200 11,100 2,000
- 0 -
- 2000 462,000 2,000
- 0 -
- 12 42,120 50
- 0 -
- 0 -
- 0 2,000
- 0 -
- 20 35,439 50
- 0 -
- 0 -
- 0 -
- 6 22,800
- 10 32,896
- 0 -
- 1200 140,400 2,000
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 1,000
- 0 -
- 29 44,481
- 0 -
- 3 12,975
- 7 35,595
- 0 -
- 0 -
- 0 -
- 100 21,600
- 2 4,428 50
- 0 -
- 0 - 2,000
- 0 -
- 0 -
- 0 -
- 0 - 1,000
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 25
- 0 -
- 0 -
- 100 14,200
- 0 -
- 0 -
- 0 -
- 0 -
- 4 9,691 50
- 0 - 2,000
- 0 -
- 20 58,080
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 10
- 0 -
- 19 76,052 20
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 30 117,000
- 0 -
- 0 -
- 0 -
- 68 18,700 500
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 24 125,208 24
- 700 61,453
- 200 24,600
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 2,000
- 200 42,000 1,000
- 0 -
- 0 -
- 0 - 200
- 0 - 200
- 200 12,000 200
- 0 -
- 61 141,825
- 0 -
- 0 -
- 0 - 50
- 0 - 1,500
- 0 -
- 200 30,000 2,000
- 0 -
- 0 -
- 200 19,980
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 2,000
- 0 -
- 0 - 1,000
- 0 -
- 0 -
- 0 -
- 500 37,840 500
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 48
- 0 -
- 200 132,000
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 800 40,000 1500
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 1,500
- 0 -
- 0 - 10
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 5 64,520
- 0 -
- 20 16,940 30
- 0 -
- 0 -
- 0 - 1,500
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 1100 913,308 1,000
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 200 43,188 200
- 0 - 2,000
- 0 -
- 500 228,000 1,000
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 500
- 0 -
- 0 -
- 9 42,300
- 0 - 24
- 0 -
- 0 -
- 14 320,978
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 12 1,065,600
- 0 -
- 0 - 2,000
- 0 -
- 0 - 100
- 0 -
- 0 -
- 0 -
- 300 45,000
- 0 - 10
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 10 13,480 30
- 0 -
- 800 103,200 1,000
- 0 - 50
- 0 -
- 0 -
- 0 - 2,000
- 0 -
- 5 26,257
- 0 - 50
- 3 26,640 5
- 21 24,360
- 0 -
- 0 -
- 0 -
- 0 -
- 11 36,630
- 0 -
- 1100 375,100
- 0 -
- 0 -
- 0 -
- 0 - 1,000
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 1,500
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 1 192,527
- 400 34,400 2,000
- 0 - 100
- 0 -
- 100 28,700 100
- 0 -
- 0 -
- 10 14,884 10
- 0 -
- 0 - 24
- 0 -
- 0 -
- 0 - 1,000
- 0 -
- 8 31,120 10
- 0 -
- 0 -
- 400 17,600 2,000
- 0 -
- 20 21,320
- 0 -
- 0 -
- 500 75,680 500
- 400 104,000 500
- 0 -
- 0 -
- 900 229,500 2,000
- 0 -
- 0 -
- 0 -
- 0 -
- 100 24,600 1,000
- 400 276,476
- 0 -
- 42 6,426,000
- 102 2,035,308
- 212 33,032,356
- 110 8,689,010
- 1 1,325,000
- 54 1,295,514
- 66 4,091,736
- 0 -
- 70 11,129,580
- 38 645,810
- 0 -
- 0 -
- 3 95,550 5
- 1700 102,000 1,000
- 0 -
- 0 - 30
- 0 -
- 0 -
- 0 -
- 300 75,900 1,000
- 0 -
- 0 -
- 0 -
- 300 316,800
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 300 495,000
- 70 85,153
- 100 105,600
- 0 -
- 10 12,165
- 200 202,622
- 0 -
- 0 - 1,000
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 50
- 5 28,555
- 10 210,000 12
- 0 - 12
- 0 -
- 0 -
- 0 -
- 3 36,300 5
- 0 - 5
- 5 60,500 5
- 0 -
- 0 -
- 0 -
- 50 430,000
- 25 215,000
- 100 860,000
- 0 -
- 0 - 500
- 0 -
- 0 - 500
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 20 112,200 20
- 0 -
- 0 - 50
- 10 79,200
- 0 -
- 10 55,900 50
- 0 -
- 60 412,500
- 0 -
- 22 122,979 50
- 0 -
- 0 -
- 0 -
- 2 50,396 3
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 2 295,550 5
- 3 402,273
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 3 30,492
- 0 -
- 0 -
- 0 -
- 0 -
- 3 234,345
- 5 135,000 5
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 50
- 0 - 50
- 0 -
- 25 196,975
- 25 207,500
- 60 600,750
- 300 15,840,000
- 25 355,950
- 25 161,900
- 0 -
- 4 93,592
- 0 -
- 0 - 24
- 12 537,728
- 0 -
- 36 1,802,196
- 0 - 24
- 0 -
- 0 - 10
- 0 - 10
- 34 4,488,000
- 0 -
- 0 -
- 0 -
- 6 34,452 5
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 17 467,500
- 7 4,620,000
- 10 4,750,000
- 8 2,520,000
- 4 860,000
- 300 1,650,000
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 54 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 7 210,000
- 0 -
- 10 3,000,000
- 10 999,990
- 0 -
- 0 -
- 12 -
- 15 9,900,000
- 12 -
- 30 3,900,000
- 0 - 2,000
- 10 275,000
- 0 - 10
- 20 2,000,000 200
- 0 -
- 0 -
- 1 30,250
- 0 -
- 0 -
- 0 -
- 1 2,500
- 0 -
- 0 -
- 2475 2,932,875
-
-
- 10 13,394,400
- 158 -
- 24 -
- 35 -
- 85 -
- 27 -
- 10 -

- 23 322,000

- 2971 234,709

- 0 -
- 0 - 500
- 0 -
- 0 - 200
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 1 302,500
- 0 -
- 0 -
- 0 -
- 157,955,981.20
sabmhebb mn cm dn mc c c

k
LAPORAN PE

KODE PUSKESMAS :
PUSKESMAS : BUKI
KECAMATAN : BUKI
KABUPATEN : KEPULAUAN SELAYAR
PROPINSI : SULAWESI SELATAN

STOK
NO NAMA OBAT SATUAN HARGA NILAI
AWAL
1 2 3 4 5 6

1 ACETOSAL Tab 89.000 100 8,900

2 ALBENDAZOL TABLET 400 MG HOLI Tab 380.00 0 -

3 ALBENDAZOL TABLET 400 MG HOLI tab 404.000 0 -

4 ALBENDAZOL TABLET 400 MG HOLI Tab 366.500 100 36,650

5 ALBENDAZOL SUSPENSI Btl 4,300.000 0 -

6 ALOPURINOL TABLET 100 MG Tab 99.00 0 -

7 ALOPURINOL TABLET 100 MG Tab 89.00 0 -

8 ALOPURINOL TABLET 300 MG Tab 200.000 0 -

9 AMBROKSOL SIRUP Btl 7,700.000 0 -

10 AMBROKSOL TAB 30 MG Tab 270.00 0 -

11 AMINOFILIN TABLET 200 MG Tab 97.000 0 -

12 AMINOFILIN INJ 24 MG/ML-10 ML AMP 3,071.000 0 -

13 AMITRIPTILIN TABLET SALUT 25 MG Tab 165.00 0 -

14 AMITRIPTILIN TABLET SALUT 25 MG Tab 167.000 200 33,400

15 AMLODIPIN 10 MG Tab 74.00 200 14,800

16 AMLODIPIN 5 MG Tab 55.50 200 11,100

17 AMLODIPIN 5 MG Tab 79.000 0 -

18 AMOKSISILIN KAPLET 500 MG Kap 231.000 2000 462,000

AMOKSISILIN KAPLET 250 MG 198.00 0 -

19 AMOKSISILIN SIROP KERING 125 mg/5ml Btl 3,510.000 12 42,120

20 AMOKSISILIN SYRUP 250 MG/ML Btl 3,510.00 0 -

21 AMPICILIN SERBUK INJ 1 G Vial 9,473.000 0 -

22 ANTASIDA DOEN KOMBINASI TAB 500 MG Tab 60.000 0 -

23 ANTASIDA DOEN KOMBINASI TAB 500 MG Tab 59.000 0 -

24 ANTASIDA DOEN SUSPENSI Btl 1,771.96 20 35,439

25 ANTASIDA DOEN SUSPENSI 5,800.000 0 -

26 ANTIBAKTERI DOEN SALEP KOMBINASI Tube 3,365.000 0 -

27 ANTIFUNGI DOEN KOMBINASI Pot 4,782.000 0 -

28 ANTIHEMOROID SUPP SUPP 3,800.000 6 22,800

29 ANTIHEMOROID SUPP SUPP 3,289.640 10 32,896

ASAM ASKORBAT (VIT C) 50 MG Tab 46.420 0 -

30 ASAM MEFENAMAT TABLET SALUT 500 MG Tab 117.000 1200 140,400

31 ASIKLOVIR KRIM 5 % Tube 2,367.000 0 -

32 ASIKLOVIR TABLET 200 MG Tab 236.000 0 -

33 ASIKLOVIR TABLET 400 MG Tab 429.000 0 -

34 ASETYLCYSTEINE 200 MG Tab 394.000 0 -

35 ATROPIN TETES MATA 0.5 % Btl 0 -

36 BETAHISTIN MESILAT TAB 6 MG TAB 93.00 0 -

37 BETAHISTIN MESILAT TAB 6 MG TAB 151.000 0 -


38 BETAMETASON KRIM 0,1 % Tube 1,533.820 29 44,481

39 BETAMETASON KRIM 0,1 % Tube 1,515.000 0 -

40 BISAKODIL SUPPOSITORIA 10 mg SUPP 4,325.000 3 12,975

41 BISAKODIL SUPPOSITORIA 5 mg SUPP 5,085.000 7 35,595

42 BISOPROLOL FUMARATE Tab 695.000 0 -

43 BISOPROLOL TABLET 5 MG NOVELL Tab 143.00 0 -

44 CARBAMAZEPIN TAB 200 MG Tab 250.000 0 -

CARBAMAZEPIN TAB 200 MG Tab 216.00 100 21,600

45 CETIRIZINE SIRUP Btl 2,214.000 2 4,428

46 ceterizin cap cap 104.000 0 -

47 CETIRIZINE TAB Tab 182.00 0 -

48 CLOBAZAM TAB 10 MG Tab 1,110.000 0 -

49 CURCUMA TAB Tab 1,150.000 0 -

50 DEKSAMETASON INJ 5 MG/ML - 1 ML Amp 968.00 0 -

51 DEKSAMETASON TABLET 0,5 MG Tab 69.000 0 -

52 DEKSAMETASON TABLET 0,5 MG Tab 154.000 0 -

53 DIAZEPAM INJ 5 MG/ML Amp 1,913.00 0 -

54 DIAZEPAM REKTAL SUPP 14,459.000 0 -

55 DIAZEPAM TABLET 5 MG Tab 109.000 0 -

56 DIAZEPAM TABLET 2 MG Tab 86.000 0 -

57 DIFENHIDRAMIN INJ 10 MG/ML Amp 1,346.000 0 -

DIFENHIDRAMIN INJ 10 MG/ML Amp 825.00 0 -

58 DIGOKSIN TABLET 0,25 MG Tab 108.000 0 -

59 DIGOKSIN TABLET 0,25 MG Tab 104.000 0 -

60 DILTIAZEM TAB 30 MG Tab 142.000 100 14,200

61 DIMENHIDRINAT TAB 50 MG Tab 109.99 0 -

62 DIMENHIDRINAT TAB 50 MG tab 121.000 0 -

63 DOKSISIKLIN KAPSUL 100 MG Kap 309.000 0 -

64 DOMPERIDON DROPS btl 17,939.000 0 -

65 DOMPERIDON SIRUP 5 MG Btl 2,422.82 4 9,691

66 DOMPERIDON TABLET 10 MG Tab 75.00 0 -

67 DOMPERIDON TABLET 10 MG Tab 96.00 0 -

68 EFINEFRIN INJ. Amp 2,904.000 20 58,080

69 EPINEFRIN/ADRENALIN INJ 1 MG/ML Amp 1,518.00 0 -

70 ERITROMISIN KAPSUL 250 MG Kap 679.00 0 -

71 ERITROMISIN KAPSUL 500 MG Kap 781.000 0 -

72 ERITROMISIN KAPSUL 500 MG Kap 766.00 0 -

73 ERITROMISIN SIROP 200 MG/ 5 ML Btl 7,581.000 0 -

74 ETAKRIDIN (RIVANOL) 300 ml Btl 3,900.00 0 -

75 ETAKRIDIN (RIVANOL) 300 ml Btl 3,900.000 0 -

76 ETANOL 95 % 100 ml Btl 4,002.720 19 76,052

77 ETANOL 70 % 1000 ml Btl 31,250.000 0 -

78 ETANOL 70 % 1000 ml 31,247.700 0 -

79 ETHYLIS CHLORIDUM SEMPROT Btl 112,500.000 0 -

80 EUGENOL CAIRAN Btl 18,333.000 0 -

81 FENOBARBITAL AMPUL 2 ML Btl 2,265.000 0 -

82 FENOBARBITAL TABLET 30 MG Tab 177.000 0 -

83 FITOMENADION (VIT K) INJ. Ampul 3,900.00 30 117,000

84 FITOMENADION (VIT K) INJ. 4,236.000 0 -

85 FITOMENADION (VIT K) TABLET 10 MG Tab 818.00 0 -


86 FUROSEMIDA TABLET 40 MG Tab 84.000 0 -

87 GARAM ORALIT I SERBUK Sac 275.000 68 18,700

88 GARAM ORALIT I SERBUK Sac 317.000 0 -

89 GEMFIBROZIL KAPSUL 300 MG Kap 429.000 0 -

90 GEMFIBROZIL KAPSUL 300 MG Kap 436.000 0 -

91 GENTAMISIN INJ 80 MG/ML Amp 3,355.000 0 -

92 GENTAMISIN SALEP KULIT Pot 1,469.000 0 -

93 GENTAMISIN SULFAT TETES MATA 0,3 % Pot 5,217.00 24 125,208

94 GLIBENKLAMIDA TABLET 5 MG Tab 87.790 700 61,453

95 GLIMEPIRIDE 2 MG Tab 123.000 200 24,600

96 GLISERIL GUALAKOLAT TABLET 100 MG Tab 260.000 0 -

97 GLUKOSA LARUTAN INFUS 10 % Btl 6,270.000 0 -

98 GLUKOSA LARUTAN INFUS 10 % 7,500.000 0 -

99 GLUKOSA LARUTAN INFUS 40 % Btl 1,597.000 0 -

100 GLUKOSA LARUTAN INFUS 5 % Btl 6,900.000 0 -

101 GLUKOSA LARUTAN INFUS 5 % btl 7,363.000 0 -

102 GRANTUSIF Tab 405.000 0 -

103 GRISEOFULVIN TABLET 125 MG Tab 210.000 200 42,000

104 GRISEOFULVIN TABLET 125 MG NOVAPHARIN Tab 263.00 0 -

105 HALOPERIDOL INJ. 5 MG/ML Amp 6,250.000 0 -

106 HALOPERIDOL TABLET 1,5 MG Tab 90.000 0 -

HALOPERIDOL TABLET 2 MG Tab 93.000 0 -

107 HALOPERIDOL TABLET 5 MG Tab 60.00 200 12,000

108 HIDROKLOROTIAZIDA TABLET 25 MG Tab 171.000 0 -

109 HIDROKORTISON KRIM 2,5 % Tab 2,325.000 61 141,825

110 HIDROKORTISON KRIM 2,5 % Tube 2,838.000 0 -

111 HYOSIN BUTIL BROMIDA TAB 10 MG Tab 1,475.000 0 -

112 IBUPROFEN SIRUP 15 MG/ML Btl 2,360.26 0 -

113 IBUPROFEN TABLET 200 MG Tab 206.000 0 -

114 IBUPROFEN TABLET 200 MG Tab 108.000 0 -

115 IBUPROFEN TABLET 400 MG Tab 150.00 200 30,000

116 IBUPROFEN TABLET 400 MG Tab 211.910 0 -

117 ISONIAZID TABLET 300 MG Tab 106.700 0 -

118 ISOSORBID DINITRAT TABLET 5 MG Tab 99.900 200 19,980

119 ISOSORBID DINITRAT TABLET 5 MG YARINDO Tab 89.00 0 -

120 KALIUM DIKLOFENAK TAB 50 MG Tab 63.00 0 -

121 KALSIUM GLUCONAS INJ Amp 10,351.000 0 -

122 KALSIUM LAKTAT TABLET 500 MG Tab 63.00 0 -

123 KALSIUM LAKTAT TABLET 500 MG 60.50 0 -

124 KALSIUM LAKTAT TABLET 500 MG Tab 63.000 0 -

125 KAPTOPRIL 12.5 MG Tab 68.61 0 -

126 KAPTOPRIL 12.5 MG Tab 67.000 0 -

127 KAPTOPRIL 12.5 MG KF Tab 68.00 0 -

128 KAPTOPRIL 25 MG Tab 135.000 0 -

129 KAPTOPRIL 25 MG Tab 75.680 500 37,840

130 KAPTOPRIL 50 MG Tab 143.000 0 -

131 KAPTOPRIL 50 MG KF Tab 134.00 0 -

132 KETOKENAZOL KRIM Tube 3,135.000 0 -

133 KETOKENAZOL TAB 200 MG Tab 297.000 0 -

134 KLONIDIN TABLET 0.15 MG Tab 145.000 0 -


135 KLORAMFENIKOL SALEP KULIT 3 % Tube 3,794.000 0 -

136 KLORAMFENIKOL KAPSUL 500 MG Kapsul 1,337.990 0 -

137 KLORAMFENIKOL KAPSUL 250 MG Kapsul 660.00 200 132,000

138 KLORAMFENIKOL KAPSUL 250 MG Kapsul 329.000 0 -

139 KLORAMFENIKOL SALEP MATA 1% Kapsul 2,148.00 0 -

140 KLORAMFENIKOL SUSP 125 MG/ 5 ML Btl 4,982.000 0 -

141 KLORAMFENIKOL TETES MATA 0.5 % Tube 0.000 0 -

142 KLORAMFENIKOL TETES TELINGA 3 % 0 -

143 KLORFENIRAMINA MALEAT TAB 4 MG Tab 50.000 800 40,000

144 KLORFENIRAMINA MALEAT TAB 4 MG Tab 39.000 0 -

145 KLORPROMAZIN TAB SALUT 100 MG Tab 170.000 0 -

146 KLORPROMAZIN TAB SALUT 100 MG MERSIFARM Tab 170.00 0 -

147 KOTRIMOKSAZOL DOEN I (DEWASA) 480 MG Tab 325.00 0 -

148 KOTRIMOKSAZOL DOEN (DEWASA)480 MG Tab 127.150 0 -

149 KOTRIMOKSAZOL DOEN II (ANAK) Tab 79.000 0 -

150 KOTRIMOKSAZOL SUSPENSI Btl 2,100.00 0 -

151 KOTRIMOKSAZOL SUSPENSI Btl 2,190.000 0 -

152 KOTRIMOKSAZOL SUSPENSI MERSIFARM Btl 2,052.00 0 -

153 KOTRIMOKSAZOL TABLET 480 MG MERSIFARM Tab 125.00 0 -

154 KUINIDIN 100 MG TABLET Tab 0 -

155 KUINIDIN 200 MG TABLET Tab 0 -

156 KUININ (KINA) TABLET 200 MG Tab 0 -

157 KUININ INJEKSI 25 % Tab 0 -

158 KUININ SULFAT TAB 222 MG (7 H2O) Tab 641.670 0 -

159 Laktulosa btl 12,904.000 5 64,520

160 LIDOKAIN SPRAY BTL 177,216.000 0 -

161 LIDOKAIN INJ 2 % Amp 847.00 20 16,940

162 LIDOKAIN INJ 2 % + EPINEFRIN 1,405.000 0 -

163 LISOL DENGAN KRESOL SABUN 50 % Btl 31,800.000 0 -

164 LOPERAMIDE TAB 2 MG Tab 92.000 0 -

165 LOPERAMIDE TAB 2 MG Tab 460.000 0 -

166 LOPERAMIDE TAB 2 MG Tab 85.000 0 -

167 LORATADIN TAB Tab 136.000 0 -

168 LORATADIN TABLET 10 MG PROMED Tab 117.00 0 -

169 LUBIRE Tab 5,225.00 0 -

170 MEBENDAZOL SIROP 100 MG/ 5 ML Btl 0 -

171 MEBENDAZOL TABLET 100 MG Tab 0 -

MELOXICAM KAPS 7,5 MG 830.28 1100 913,308

172 METAMPIRON TABLET 500 MG (ANTALGIN) Tab 141.850 0 -

173 METFORMIN TAB 500 MG Tab 77.00 0 -

174 METFORMIN TAB 500 MG Tab 109.000 0 -

175 METFORMIN TAB 850 MG Tab 240.000 0 -

176 METILERGOMETRIN MALEAT INJ 0.2 MG Amp 1,079.000 0 -

177 METILERGOMETRIN MALEAT TABLET 0.125 MG Tab 215.950 0 -

178 METILERGOMETRIN MALEAT TABLET 0.125 MG Tab 215.940 200 43,188

179 METILPREDNISOLON TAB 4 MG Tab 0 -

180 METILPREDNISOLON TAB 4 MG Tab 148.000 0 -

181 METILPREDNISOLON TAB16 MG Tab 456.00 500 228,000

182 METILPREDNISOLON TAB16 MG Tab 548.00 0 -

183 METOKLOPRAMIDE TAB 10 MG TAB 93.000 0 -


184 METOKLOPRAMIDE TAB 10 MG KF Tab 87.00 0 -

185 METRONIDAZOL TABLET 500 MG/100 ml Tab 5,885.000 0 -

186 METRONIDAZOL TABLET 250 MG PHYTO Tab 93.00 0 -

187 METRONIDAZOL TABLET 500 MG Tab 317.000 0 -

188 MDT MB KUSTA DEWASA BLISTER 40,526.000 0 -

189 MgSO4 20% Btl 3,327.990 0 -

190 MgSO4 40% Btl 4,700.000 9 42,300

191 MIKONAZOLE KREAM Tube 1,917.27 0 -

192 MIKONAZOLE KREAM Tube 3,926.000 0 -

193 MIKONAZOLE KREAM 2% KF Tube 2,462.00 0 -

194 MIKORIN POWDER POT 22,927.000 14 320,978

195 MINERAL MIX Succ 2,981.000 0 -

196 MINERAL MIX Succ 2,550.000 0 -

197 MULTIVITAMIN TAB NUTRIBION Tab 1,118.000 0 -

198 MULTIVITAMIN TAB BIOCOM Tab 975.000 0 -

199 MULTIVITAMIN TAB MEVITON 1,592.250 0 -

200 MULTIVITAMIN ALBUFORCESYR Btl 88,800.000 12 1,065,600

201 NATRIUM DKLOFENAK TABLET 25 MG Tab 109.00 0 -

202 NATRIUM DKLOFENAK TABLET 50 MG Tab 109.99 0 -

203 NATRIUM DKLOFENAK TABLET 50 MG Tab 145.00 0 -

204 NATRIUM KLORIDA LARUTAN INFUS 0.9 % Btl 6,900.00 0 -

205 NATRIUM KLORIDA LARUTAN INFUS 0.9 % Btl 7,500.000 0 -

206 NIPEDIFINE TAB 10 MG Tab 120.000 0 -

NIPEDIFINE TAB 10 MG 221.00 0 -

NIPEDIFINE TAB 10 MG 150.000 300 45,000

207 NISTATIN 100.000 IU Tab 627.000 0 -

208 NISTATIN 500.000 IU Tab 704.000 0 -

209 NISTATIN VAGINAL TAB 100.000 UI Tab 555.00 0 -

210 NISTATIN VAGINAL 100.000 IU Tab 645.00 0 -

211 OBAT ANTITUBERKULOSIS KAT 1 DEWASA Tab 478,142.00 0 -

212 OBAT ANTITUBERKULOSIS KAT 1 DEWASA 356,829.000 0 -

213 OBAT ANTITUBERKULOSIS KAT 1 DEWASA 447,791.000 0 -

214 OBAT ANTITUBERKULOSIS KAT 2 DEWASA Tab 1,319.900 0 -

215 OBAT ANTITUBERKULOSIS KAT 2 DEWASA Paket 1,492,579 0 -

216 OBAT ANTITUBERKULOSIS KAT ANAK Tab 236,500.000 0 -

217 OBAT ANTITUBERKULOSIS KAT ANAK KF Paket 267,397 0 -

218 OBAT ANTITUBERKULOSIS SISIPAN DEWASA Tab 175,980.000 0 -

219 OBAT BATUK HITAM CAIRAN Btl 1,339.800 0 -

220 OKSITETRASIKLIN HCL SALEP 3 % Tube 3,600.000 0 -

221 OKSITETRASIKLIN HCL SALEP MATA 1 % Tube 3,500.000 0 -

222 OKSITETRASIKLIN SALEP MATA 1% KF Tube 3,926.00 0 -

223 OKSITOSIN INJ 10 IU/ML Amp 1,348.000 0 -

224 OKSITOSIN INJ 10 IU/ML 1,348.000 10 13,480

225 OMEPRAZOLE KAP 20 MG Tab 780.000 0 -

226 OMEPRAZOLE KAPSUL 20 MG Kapsul 129.00 800 103,200

227 OMEPRASOL INJ 40 MG/ML vial 5,394.60 0 -

228 OMEPRAZOLE INJ 11,868.00 0 -

229 OAM(ACT)DHP-FRIMAL 1,900.00 0 -

230 PAPAVERIN TABLET 40 MG Tab 680.000 0 -

231 PARACETAMOL DROPS 100 MG/ML (60 MG/0,6 ML) Btl 5,204.00 0 -
232 PARASETAMOL DROPS 100 MG/ML IGM Btl 5,251.30 5 26,257

233 PARASETAMOL SIROP 120 MG/ 5 ML Btl 1,170.55 0 -

234 PARASETAMOL infus Btl 8,880.000 3 26,640

235 PARASETAMOL SIROP 120 MG/ 5 ML Btl 1,160 21 24,360

236 PARASETAMOL TABLET 500 MG Tab 86.000 0 -

237 PARASETAMOL TABLET 500 MG MERSIFARM Tab 60.00 0 -

238 PARASETAMOL TABLET 500 MG MERSIFARM Tab 165.00 0 -

239 PEHACAIN INJ Amp 4,850.000 0 -

240 PENOL GLISEROL TETES TELINGA Btl 3,330.000 11 36,630

241 PIRANTEL SIRUP btl 9,100.000 0 -

242 PIRANTEL TABLET SCORE 125 MG Tab 341.00 1100 375,100

243 PIRASETAM 1200 Tab 854.000 0 -

244 PIRASETAM 400 Tab 194.000 0 -

245 PIRIDOKSIN (VIT B6) TAB 10 MG Tab 72.00 0 -

PIRIDOKSIN (VIT B6) TAB 10 MG Tab 157.99 0 -

246 PIROKSIKAM TABLET 20 MG Tab 215.000 0 -

247 PIROKSIKAM TABLET 20 MG Tab 189.500 0 -

248 PITOGIN AMPUL 1 ML Amp 11,550.000 0 -

249 POVIDON IODIDA 10 % 1000 ML Btl 149,313.000 0 -

250 POVIDON IODIDA 10 % 1000 ML MAHAKAM Btl 139,313.00 0 -

251 POVIDON IODIDA 10 % 30 ML Btl 3,624.500 0 -

252 POVIDON IODIDA 10 % 300 ML Btl 22,498.300 0 -

253 POVIDON IODIDA 10 % 300 ML Btl 15,386.000 0 -

254 POVIDON IODIDA BETADIN 5 G SALEP Tube 7,039.00 0 -

255 POVIDON SALEP Tube 6,348.000 0 -

256 PREDNISON TABLET 5 MG Tab 73.00 0 -

257 PRIMAUINE/PRIMAQUINE TAB 15 Tab 242.000 0 -

258 PROPANOLOL TABLET 10 MG Tab 59.000 0 -

259 PROPANOLOL TABLET 40 MG Tab 59.000 0 -

260 PROPILITIOURASIL TABLET 100 MG Tab 351.000 0 -

261 RANITIDIN INJ 25 MG / 2 ML Amp 1,155.00 0 -

262 REGENSIA TB Amp 192,527.00 1 192,527

263 RANITIDIN TABLET 150 MG Tab 86.00 400 34,400

264 RINGER LAKTAT INFUS Btl 7,773.02 0 -

265 RIVANOL 100 Btl 3,354.00 0 -

266 RISPERIDON 2 MG Tab 287.000 100 28,700

267 SALBUTAMOL SIRUP 5,463.000 0 -

268 SALBUTAMOL TABLET 4 MG KF Tab 195.00 0 -

269 SALEP 2-4 KOMBINASI Tube 1,488.400 10 14,884

270 SALEP 2-4 KOMBINASI Tube 1,475.000 0 -

271 SALISIL BEDAK 2 % Pot 6,426.00 0 -

272 SCABIMATE CREM SACH 12,155.000 0 -

273 SALISIL BEDAK 2 % TUBE 6,426.00 0 -

274 SEFADROKSIL KAPSUL 500 MG Kapsul 1,210.000 0 -

275 SEFADROKSIL KAPSUL 500 MG Kapsul 492.00 0 -

276 SEFADROKSIL SIROP KERING 125 MG / 5 ML Btl 3,890.000 8 31,120

277 SEFOTAKSIM 1000 MG Vial 5,700.000 0 -

278 SEFOTAKSIM INJ 1000 MG RAMA Vial 4,410.00 0 -

279 SIANOKOBALAMIN TABLET 50 MCG Tab 44.00 400 17,600

280 SIANOKOBALAMIN TABLET 50 MCG KF Tab 51.00 0 -


281 SIANOKOBALAMIN VIT B12 INJ 500 MCG/ML Ampul 1,066.00 20 21,320

282 SIANOKOBALAMIN VIT B12 INJ 500 MCG/ML 3,070.000 0 -

283 SIMVASTATIN TABLET 10 MG TAB 73.00 0 -

284 SIMVASTATIN TABLET 10 MG 151.360 500 75,680

285 SIPROFLOKSASIN KAPLET 500 MG Kaplet 260.00 400 104,000

286 SULFASETAMID TETES MATA 15 % Btl 12,500.000 0 -

287 TABLET TAMBAH DARAH KOMBINASI Tab 409.000 0 -

TABLET TAMBAH DARAH KOMBINASI Tab 255.00 900 229,500

288 TETRASIKLIN KAPSUL 500 MG Kapsul 346.000 0 -

289 TETRASIKLIN KAPSUL 500 MG Kapsul 324.000 0 -

290 TIAMIN (VIT B1) INJ 100 MG/ML Amp 730.000 0 -

291 TIAMIN (VIT B1) TABLET 50 MG Tab 169.000 0 -

292 TIAMIN (VIT B1) TABLET 50 MG 246.000 100 24,600

293 TRIHEKSIFENIDIL 25 MG Tab 691.190 400 276,476

294 VAKSIN ANTI RABIES INJ vial 165,000.000 0 -

VAKSIN ANTI RABIES INJ vial 153,000.00 42 6,426,000

295 VAKSIN POLIO (bOPV) 10 ds Vial 19,954.000 102 2,035,308

296 VAKSIN MR 10 ds Vial 155,813.000 212 33,032,356

297 VAKSIN DPT-HB-HIB 5 ds Vial 78,991.000 110 8,689,010

VAKSIN HB Ig Vial 1,325,000.000 1 1,325,000

VAKSIN HB UNIJECT (HBO) 1 ds Vial 23,991.000 54 1,295,514

298 VAKSIN BCG Vial 61,996.000 66 4,091,736

299 VAKSIN HEPATITIS B Vial 23,991.000 0 -

300 VAKSIN IPV Vial 158,994.000 70 11,129,580

301 VAKSIN Td 10 ds VIAL 16,995.000 38 645,810

VAKSIN DT 10 ds VIAL 17,996.00 0 -

302 VITAMIN A 100.000 UI Btl 17,600.00 0 -

303 VITAMIN A 200.000 UI Btl 31,850.00 3 95,550

306 VITAMIN B KOMPLEKS TABLET Tab 60.000 1700 102,000

307 VITAMIN B KOMPLEKS TABLET Tab 135.000 0 -

308 ZINK SIRUP Btl 2,489.000 0 -

309 ZINK SIRUP MEPROFARM Btl 3,285.00 0 -

310 ZINK TAB 20 MG Tab 253.00 0 -

311 ZINK TAB 20 MG Tab 604.00 0 -

312 ZINK TAB 20 MG 253.000 300 75,900

PERBEKALAN KESEHATAN 0 -

1 ACCU-CHECK PERFORMA Btl 420,000.000 0 -

2 ALAT SUNTIK SEKALI PAKAI 2,5/3 ML Set 851.53 0 -

3 ALAT SUNTIK SEKALI PAKAI 2,5/3 ML Set 1,056.00 300 316,800

4 ALAT SUNTIK SEKALI PAKAI 3 ML Set 1,108.800 0 -

5 ALAT SUNTIK SEKALI PAKAI 0,05 ML Set 1,518.000 0 -

6 ALAT SUNTIK SEKALI PAKAI 0,05 ML Set 1,240.000 0 -

7 ALAT SUNTIK SEKALI PAKAI 0,5 ML Set 1,240.00 0 -

8 ALAT SUNTIK SEKALI PAKAI 0,5 ML 1,240.00 0 -

9 ALAT SUNTIK SEKALI PAKAI 0,5 ML 1,650.000 300 495,000

10 ALAT SUNTIK SEKALI PAKAI 10 ML Set 1,216.470 70 85,153

11 ALAT SUNTIK SEKALI PAKAI 1 ML Set 1,056.000 100 105,600

12 ALAT SUNTIK SEKALI PAKAI 1 ML Set 844.260 0 -

13 ALAT SUNTIK SEKALI PAKAI 10 ML Set 1,216.470 10 12,165

14 ALAT SUNTIK SEKALI PAKAI 5 ML Set 1,013.11 200 202,622


15 ALAT SUNTIK SEKALI PAKAI 5 ML 1,500.000 0 -

16 ALKOHOL SWAB Box 184.380 0 -

17 ALKOHOL SWAB DAK Box 151.20 0 -

18 AQUA PRO INJEKSI 25 ML Btl 2,650.00 0 -

19 BAJU HAZMAT COVER ALL Bh 475,000.000 0 -

20 BISTURI NO. 19 Pcs 3,150 0 -

21 BISTURI NO.20 3,150 0 -

22 BISTURI NO. 22 Pcs 3,300 0 -

23 CANULA DEWASA Pcs 5,711.00 5 28,555

24 CATGUT NO 2/0 21,000.00 10 210,000

25 CATGUT NO 2/0 Pcs 69,963.30 0 -

26 CATGUT NO 3/0 RNI Pcs 64,102.50 0 -

27 CATGUT NO 4/0 RNI Pcs 32,685.00 0 -

28 CATHEJELL Pcs 42,848.000 0 -

29 FOLEY CATETER 16 Bh 12,100.000 3 36,300

30 FOLEY CATETER 18 Bh 10,000.000 0 -

31 FOLEY CATETER 20 Bh 12,100.000 5 60,500

32 HAND RUB BTL 27,500.00 0 -

33 HAND RUB BTL 62,624.000 0 -

34 HAND RUB fresco BTL 76,274.470 0 -

35 HANDSCOEN 6,5 STERIL Roll 8,600.000 50 430,000

36 HANDSCON 7 Pasang 8,600.00 25 215,000

37 HANDSCON 7 1/2 STERIL Bks 8,600.00 100 860,000

38 HANDSCON 7 STERIL 11,990.000 0 -

39 HANDSCON L Pasang 1,117.00 0 -

40 HANDSCON L KARINDO Pasang 1,647.24 0 -

42 HANDSCON M Pasang 1,117.00 0 -

43 HANDSCON M 2,750.000 0 -

44 HANDSCON S Pasang 1,117.000 0 -

45 HANDSCON S 2,750.000 0 -

46 TREPOCHECK SYPHILIS Pcs 9,300.00 0 -

47 HIV TEST Pcs 15,377.000 0 -

48 HIV TEST Pcs 15,367.000 0 -

49 INFUSION SET ANAK SET 5,610.000 20 112,200

50 INFUSION SET ANAK AXIMED Pcs 5,865.00 0 -

51 INFUSION SET DEWASA Set 7,062.00 0 -

52 INFUSION SET DEWASA 7,920.00 10 79,200

53 IV CATHETER N0 22 G Set 6,875.000 0 -

IV CATHETER N0 22 G Set 5,589.960 10 55,900

54 IV CATHETER NO 18 Set 9,123.400 0 -

55 IV CATHETER NO 20 G Set 6,875.000 60 412,500

56 IV CATHETER NO 22 G NIPRO Pcs 6,875.00 0 -

57 IV CATHETER NO 24 G Set 5,589.960 22 122,979

58 IV CATHETER NO 24 G Set 14,493.600 0 -

59 KANULA ANAK Pcs 5,711.00 0 -

61 KAPAS PEMBALUT / ABSORBEN 250 GRAM Set 18,000.000 0 -

62 KAPAS PEMBALUT / ABSORBEN 250 GRAM Set 25,198.000 2 50,396

63 KAPAS PEMBALUT 250 GRAM DRC Roll 30,500.00 0 -

64 KASA KOMPRES 40/40 STERIL Bks 1,672.000 0 -

65 KASA PEMBALUT 2 M X 80 CM Bks 79,360.00 0 -


66 KASA PEMBALUT 2 M X 80 CM DRC Bks 10,661.00 0 -

67 KASA PEMBALUT HIDROFIL 20 yard x 80 cm Roll 81,920.000 0 -

68 KASA PEMBALUT HIDROFIL 20 yard x 80 cm Roll 147,775.000 2 295,550

69 KASA PEMBALUT HIDROFIL 40 X 80 CM DRC Roll 134,091.00 3 402,273

70 KASA PEMBALUT HIDROFIL 4 M X 15 CM DRC Bks 4,104.00 0 -

71 KASA PEMBALUT HIDROFIL 4 M X 3 CM Bks 891.00 0 -

72 KASA PEMBALUT HIDROFIL 4 M X 5 CM ELASTIS Bks 2,750.000 0 -

73 KASA PEMBALUT HIDROFIL 16 M X 16 CM DRC Bks 4,200.00 0 -

74 LANCET Box 17,252.40 0 -

76 MASKER Bh 770.000 0 -

77 MASKER KARET Bh 314.000 0 -

78 MASKER KAIN Bh 5,000.000 0 -

79 MAAG SLANG NO 16 10,164.000 3 30,492

80 NESCO / STRIP CHOLESTROL Btl 290,000.000 0 -

81 NASAL OKSIGEN DEWASA Bh 6,000.000 0 -

82 PLESTER 10 CM X 5 M Roll 49,632.000 0 -

83 PLESTER PHARMAFIX 10 CM X 500 CM Roll 51,305.00 0 -

84 PLESTER PHARMAFIX 15 CM X 500 CM Roll 78,115.00 3 234,345

85 PLESTER PHARMAFIX 5 CM X 500 CM Roll 27,000.00 5 135,000

86 PLESTER YARD Roll 43,700.000 0 -

87 SAMPEL CONTAINER/POT 2,342.00 0 -

88 POT SPUTUM Pot 2,272.00 0 -

89 REAGEN SYPHILIS Pcs 20,400.000 0 -

90 STRIP BIOLINE SYPIHILIS 3.0 100T 7,237.630 0 -

91 TREPOCHECK SYPHILIS 8,870.000 0 -

92 RAPID 1 (SD) /HIV TEST 8,350.00 0 -

93 RAPID TES HIV 1 7,879.00 25 196,975

94 RAPID TEST HBsAg /VIROCHECK 8,300.00 25 207,500

95 STRIP SD BIOLINE HbSag Box 10,012.50 60 600,750

96 RAPID TEST ANTIGEN COVID 19 CLUNGENE Box 52,800.00 300 15,840,000

97 RDT MALARIA Box 14,238.000 25 355,950

STRIP MALARIA A PLDH/HRPZ COMBO CARD 6,476.000 25 161,900

99 FDC OAT KATAGORI 1 PKT 447,791.00 0 -

100 SAFETY BOX 23,398.000 4 93,592

101 SAFETY BOX 20,394.000 0 -

102 SILK 2/0 SET 21,875.000 0 -

103 SILK 2/0 TROGE Pcs 44,810.670 12 537,728

SILK 2/0 21,458.334 0 -

104 SILK 3/0 SET 50,061.000 36 1,802,196

105 SILK 3/0 SET 29,931.00 0 -

106 SILK 3/0 TROGE Pcs 43,429.100 0 -

107 STRIP ASAM URAT NESCO Box 145,200.00 0 -

108 STRIP CHOLESTEROL Box 185,438.00 0 -

109 SRTIP GULA POS BINDU Btl 132,000.000 34 4,488,000

SRTIP GULA NESCO Btl 132,000.000 0 -

111 STRIP SD BIOLINE DENGUE DUO BOX 60,813.12 0 -

112 STRIP SD BIOLINE HIV 1/2 3.0 BOX 13,367.70 0 -

113 URIN BAG TANPA HANGER BH 5,742.00 6 34,452

114 URIN BAG WITH HANGER Pcs 6,759.00 0 -

115 WING NEEDLE NO.23 Pcs 1,400.000 0 -


116 WING NEEDLE NO.25 Pcs 1,400.000 0 -

117 WING NEEDLE NO.27 Pcs 1,400.000 0 -

PENANGANAN CORONA VIRUS 0 -

1 FACE SHIELD 27,500.000 17 467,500

2 PAKAIAN PELINDUNG/HAZMAT PCH 660,000.000 7 4,620,000

3 PAKAIAN PELINDUNG/HAZMAT SET 475,000.000 10 4,750,000

4 VISOR/SHIELDFACE/HELM BUAH 315,000.000 8 2,520,000

5 SEPATU BOOT PSG 215,000.000 4 860,000

6 WIND NEEDLE PCS 5,500.000 300 1,650,000

7 COLD BOX KAPASITAS 6 L BOX 4,500,000.000 0 -

8 CAIRAN NaOCl BTL 50,000.000 0 -

9 SARUNG TANGAN NON STERIL PCH 1,800.000 0 -

10 APD SET SET 3,902,499.700 0 -

11 BAJU APD 660,000.000 0 -

12 SARUNG TANGAN PANJANG 54 -

13 SEPATU BOOT 0 -

14 MASKER 2,640.00 0 -

19 KACA MATA SAFETY 0 -

20 HAND RUB 250 ML BTL 71,692.500 0 -

21 SARUNG TANGAN STERIL PSG 8,000.000 0 -

22 HANDSCOON NON STERIL BTL 900.00 0 -

25 HAND SANITEZER BTL 19,500.00 0 -

26 SURGICAL MASK PCH 5,000.000 0 -

27 HANDSCOON NON STERIL M PSG 1,540.00 0 -

31 BUKU SAKU 30,000.000 7 210,000

32 KANTONG SAMPAH MEDIS 3,000.00 0 -

36 KANTONG JENAZAH 300,000.000 10 3,000,000

37 KANTONG JENAZAH 99,999.000 10 999,990

38 MASKER BEDAH 770.000 0 -

BANTUAN DINKES PROVINSI 0 -

1 BAJU APD MEREK SANDON ( DINKES PROVINSI ) PCH 12 -

2 BAJU APD MEREK SANDON ( DINKES PROVINSI ) 660,000.00 15 9,900,000

FACE SHIELD PCH 12 -

VIRUS COLLECTION & TRANSPORT TUBE BTL 130,000.00 30 3,900,000

VITAMIN C 500 MG TAB 600.00 0 -

FACE SHIELD BTL 27,500.00 10 275,000

HAND SANITIZER 37,812.50 0 -

Masker N95 100,000.00 20 2,000,000

HANDSCOON NON STERIL M 1,540.00 0 -

APD SET IMUNISASI : 0 -

HAND SANITIZER 30,250.00 1 30,250

MASKER BEDAH 990.00 0 -

MASKER 2,640.00 0 -

HANDSCOON NON STERIL L 1,540.00 0 -

KANTONG MEDIS 2,500.00 1 2,500

FACE SHIELD 27,500.00 0 -

PROGRAM IMUNISASI/VAKSIN CORONA 0 -

ALAT SUNTIK SEKALI PAKAI 0,5 ML PCH 1,185.00 2475 2,932,875

ALAT SUNTIK SEKALI PAKAI 0,5 ML 1,165.00 0 -

ALAT SUNTIK SEKALI PAKAI 0,3 ML 1,255.00 0 -


ALAT SUNTIK SEKALI PAKAI 3 ML 569.00 0 -

VAKSIN COVID-19 (10 DOSIS ) VIAL 1,339,440.00 10 13,394,400

VAKSIN COVID-19 CORONAVAC ( 2 DOSIS ) VIAL 158 -

VAKSIN COVID-19 MODERNA (14 DOSIS ) VIAL 24 -

VAKSIN MODERNA 10 DOSIS VIAL 35 -

VAKSIN COVID 19 JANSSENS 5 DOSIS VIAL 85 -

VAKSIN COVID 19 ASTRAZENECA 10 DOSIS VIAL 27 -

VAKSIN COVID-19 COVOVAX 10 DOSIS 10 -

VAKSIN Covid -19 Pfizer (6 Dosis) 0 -

SAFETY BOX 5 L PKM 1 BOX 14,000.00 23 322,000

SAFETY BOX 5 L PKM 1 5,382.00 0


ALKOHOL SWAB PKM VIAL 79.00 2971 234,709

NaCl 10 ml 3,280.00 0 -

PENANGANAN CORONA VIRUS DISEASE DINKES 0 -

1 MASKER BEDAH PCS 770.00 0 -

HAND SANITIZER PCS 19,250.00 0 -

HANDSCOON NON STERIL L PCS 1,540.00 0 -

RAPID TEST ANTIGEN COVID 19 CLUNGENE PCS 60,500.00 0 -

OBAT GIGI 0 -

1 ETIL KLORIDA Btl 126,500.00 0 -

2 COMPOSIT ANTERIOR A2 SOLARE Pcs 675,000.000 0 -

3 COMPOSIT ANTERIOR A3 SOLARE Pcs 675,000.000 0 -

4 COMPOSIT POSTERIOR A2 SOLARE Pcs 675,000.000 0 -

5 COMPOSIT POSTERIOR A3 SOLARE Pcs 675,000.000 0 -

6 DYCAL Pcs 302,500.000 1 302,500

7 EUGENOL Btl 165,000.000 0 -

8 FUJI IX MINI/ GOLD LABEL Pcs 650,000.000 0 -

9 XYLESTESIN Pcs 795,000.000 0 -


TOTAL HARGA OBAT DAN BHP 157,955,981.20
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
( LPLPO )

PENERI PERSE PEMA


NILAI NILAI NILAI
MAAN DIAAN KAIAN
7 8 9 10 11 12

- 100 8,900 100 8,900


- 0 - -
- 0 - -
- 100 36,650 -
- 0 - -
- 0 - -
1000 89,000.00 1000 89,000 500 44,500
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 200 33,400 -
1500 111,000.00 1700 125,800 1400 103,600
- 200 11,100 200 11,100
- 0 - -
2000 462,000.00 4000 924,000 1600 369,600
200 39,600.00 200 39,600 -
- 12 42,120 9 31,590
30 105,300.00 30 105,300 -
- 0 - -
- 0 - -
- 0 - -
30 53,158.80 50 88,598 17 30,123
- 0 - -
- 0 - -
- 0 - -
- 6 22,800 1 3,800
- 10 32,896 10 32,896
- 0 -
1500 175,500.00 2700 315,900 1400 163,800
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
300 27,900.00 300 27,900 300 27,900
- 0 - -
- 29 44,481 9 13,804
- 0 - -
- 3 12,975 -
- 7 35,595 -
- 0 - -
- 0 - -
- 0 - -
- 100 21,600 -
30 66,420.00 32 70,848 6 13,284
- 0 - -
1000 182,000.00 1000 182,000 1000 182,000
- 0 - -
- 0 - -
25 24,200.00 25 24,200 12 11,616
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 100 14,200 50 7,100
- 0 - -
- 0 - -
- 0 - -
- 0 - -
20 48,456.40 24 58,148 8 19,383
- 0 - -
- 0 - -
- 20 58,080 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
20 80,054.40 39 156,106 3 12,008
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 30 117,000 -
- 0 - -
- 0 - -
- 0 - -
500 137,500.00 568 156,200 -
- 0 - -
- 0 - -
- 0 - -
10 33,550.00 10 33,550 -
- 0 - -
24 125,208.00 48 250,416 5 26,085
- 700 61,453 400 35,116
- 200 24,600 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
300 63,000.00 500 105,000 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
100 6,000.00 300 18,000 200 12,000
- 0 - -
- 61 141,825 41 95,325
- 0 - -
- 0 - -
20 47,205.20 20 47,205 -
- 0 - -
- 0 - -
- 200 30,000 200 30,000
2000 423,820.00 2000 423,820 800 169,528
- 0 - -
- 200 19,980 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
1000 60,500.00 1000 60,500 400 24,200
- 0 - -
500 34,305.00 500 34,305 -
- 0 - -
- 0 - -
- 0 - -
300 22,704.00 800 60,544 200 15,136
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
24 91,056.00 24 91,056 -
- 0 - -
- 200 132,000 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 800 40,000 800 40,000
- 0 - -
- 0 - -
- 0 - -
- 0 - -
1000 127,150.00 1000 127,150 300 38,145
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 5 64,520 -
- 0 - -
30 25,410.00 50 42,350 20 16,940
- 0 - -
- 0 - -
500 46,000.00 500 46,000 250 23,000
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
1000 830,280.00 2100 1,743,588 1100 913,308
- 0 - -
- 0 - -
- 0 - -
- 0 - -
10 10,790.00 10 10,790 -
200 43,190.00 200 43,190 100 21,595
- 200 43,188 -
- 0 - -
- 0 - -
500 228,000.00 1000 456,000 800 364,800
- 0 - -
- 0 - -
- 0 - -
1 5,885.00 1 5,885 -
- 0 - -
200 63,400.00 200 63,400 100 31,700
- 0 - -
- 0 - -
- 9 42,300 -
24 46,014.48 24 46,014 21 40,263
- 0 - -
- 0 - -
- 14 320,978 14 320,978
40 119,240.00 40 119,240 -
- 0 - -
500 559,000.00 500 559,000 300 335,400
500 487,500.00 500 487,500 500 487,500
- 0 - -
- 12 1,065,600 8 710,400
- 0 - -
2000 219,980.00 2000 219,980 1350 148,487
- 0 - -
60 414,000.00 60 414,000 15 103,500
- 0 - -
- 0 - -
- 0 - -
- 300 45,000 -
- 0 - -
- 0 - -
100 55,500.00 100 55,500 29 16,095
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
25 87,500.00 25 87,500 13 45,500
- 0 - -
30 40,440.00 30 40,440 -
- 10 13,480 10 13,480
- 0 - -
400 51,600.00 1200 154,800 400 51,600
40 215,784.00 40 215,784 20 107,892
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 5 26,257 -
50 58,527.50 50 58,528 -
- 3 26,640 3 26,640
- 21 24,360 21 24,360
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 11 36,630 11 36,630
- 0 - -
- 1100 375,100 -
- 0 - -
- 0 - -
- 0 - -
1000 157,990.00 1000 157,990 200 31,598
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
1000 73,000.00 1000 73,000 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 1 192,527 -
1000 86,000.00 1400 120,400 800 68,800
100 777,302.00 100 777,302 68 528,565
10 33,540.00 10 33,540 2 6,708
100 28,700.00 200 57,400 100 28,700
- 0 - -
- 0 - -
10 14,884.00 20 29,768 12 17,861
- 0 - -
- 0 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
10 38,900.00 18 70,020 2 7,780
- 0 - -
- 0 - -
1500 66,000.00 1900 83,600 1200 52,800
- 0 - -
25 26,650.00 45 47,970 15 15,990
- 0 - -
- 0 - -
500 75,680.00 1000 151,360 650 98,384
500 130,000.00 900 234,000 300 78,000
- 0 - -
- 0 - -
2000 510,000.00 2900 739,500 900 229,500
- 0 - -
- 0 - -
- 0 - -
- 0 - -
500 123,000.00 600 147,600 400 98,400
- 400 276,476 -
- 0 - -
- 42 6,426,000 -
20 399,080.00 122 2,434,388 -
10 1,558,130.00 222 34,590,486 -
10 789,910.00 120 9,478,920 -
- 1 1,325,000 -
20 479,820.00 74 1,775,334 -
- 66 4,091,736 -
- 0 - -
10 1,589,940.00 80 12,719,520 -
10 169,950.00 48 815,760 -
14 251,944.00 14 251,944 -
- 0 - -
5 159,250.00 8 254,800 -
1000 60,000.00 2700 162,000 1900 114,000
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
300 75,900.00 600 151,800 600 151,800
- 0 - -
- 0 - -
- 0 - -
- 300 316,800 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 300 495,000 -
- 70 85,153 40 48,659
- 100 105,600 -
- 0 - -
- 10 12,165 10 12,165
- 200 202,622 130 131,704
- 0 - -
1000 184,380.00 1000 184,380 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 5 28,555 -
- 10 210,000 -
12 839,559.60 12 839,560 -
12 769,230.00 12 769,230 -
- 0 - -
- 0 - -
5 60,500.00 8 96,800 -
- 0 - -
5 60,500.00 10 121,000 -
30 825,000.00 30 825,000 14 385,000
- 0 - -
- 0 - -
- 50 430,000 -
- 25 215,000 25 215,000
- 100 860,000 -
- 0 - -
300 335,100.00 300 335,100 300 335,100
- 0 - -
300 335,100.00 300 335,100 300 335,100
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
20 112,200.00 40 224,400 -
- 0 - -
- 0 - -
- 10 79,200 8 63,360
50 343,750.00 50 343,750 50 343,750
- 10 55,900 -
- 0 - -
50 343,750.00 110 756,250 46 316,250
- 0 - -
50 279,498.00 72 402,477 30 167,699
- 0 - -
- 0 - -
- 0 - -
- 2 50,396 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 2 295,550 2 295,550
- 3 402,273 3 402,273
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
500 385,000.00 500 385,000 500 385,000
- 0 - -
- 0 - -
- 3 30,492 3 30,492
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 3 234,345 3 234,345
5 135,000.00 10 270,000 7 189,000
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 25 196,975 25 196,975
- 25 207,500 -
- 60 600,750 -
- 300 15,840,000 -
50 711,900.00 75 1,067,850 -
- 25 161,900 -
- 0 - -
- 4 93,592 -
- 0 - -
- 0 - -
12 537,728.04 24 1,075,456 -
- 0 - -
12 600,732.00 48 2,402,928 -
- 0 - -
- 0 - -
- 0 - -
5 927,190.00 5 927,190 2 370,876
- 34 4,488,000 21 2,772,000
- 0 - -
- 0 - -
- 0 - -
- 6 34,452 -
5 33,795.00 5 33,795 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 17 467,500 -
- 7 4,620,000 -
- 10 4,750,000 -
- 8 2,520,000 -
- 4 860,000 -
- 300 1,650,000 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 54 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 7 210,000 -
- 0 - -
- 10 3,000,000 -
- 10 999,990 -
- 0 - -
- 0 - -
- 12 - -
- 15 9,900,000 -
- 12 - -
- 30 3,900,000 -
- 0 - -
- 10 275,000 -
- 0 - -
10 1,000,000.00 30 3,000,000 -
- 0 - -
- 0 - -
- 1 30,250 -
- 0 - -
- 0 - -
- 0 - -
- 1 2,500 -
- 0 - -
- 0 - -
- 2475 2,932,875 -
- 0 - -
60 75,300.00 60 75,300 -
5 2,845.00 5 2,845
- 10 13,394,400 -
- 158 - -
- 24 - -
- 35 - -
- 85 - -
- 27 - -
- 10 - -
5 - 5 -
- 23 322,000 -
- 0 -
60 4,740.00 3031 239,449 -
5 16,400.00 5 16,400
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 1 302,500 -
- 0 - -
- 0 - -
- 0 - -
22,839,396.42 180,795,377.62 0 14,171,790.75

-
BULAN OKT
TRI WULAN
TAHUN 2022
Hal 1

KADALUAR SISA PERMINTAA


NILAI NILAI KET
SA STOK N

13 14 15 16 17 18

- 0 -
- 0 -
- 0 -
- 100 36,650
- 0 -
- 0 -
- 500 44,500 2,000
- 0 -
- 0 - 50
- 0 - 500
- 0 -
- 0 -
- 0 -
- 200 33,400
- 300 22,200 2,000
- 0 - 2,000
- 0 -
- 2400 554,400 1,000
- 200 39,600
- 3 10,530
- 30 105,300
- 0 -
- 0 2,000
- 0 -
- 33 58,475
- 0 -
- 0 -
- 0 -
- 5 19,000
- 0 -
- 0 -
- 1300 152,100 1,500
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 500
- 0 -
- 20 30,676 24
- 0 -
- 3 12,975
- 7 35,595
- 0 -
- 0 -
- 0 -
- 100 21,600
- 26 57,564
- 0 -
- 0 - 2,000
- 0 -
- 0 -
- 13 12,584 20
- 0 - 1,000
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 25
- 0 -
- 0 -
- 50 7,100
- 0 -
- 0 -
- 0 -
- 0 -
- 16 38,765
- 0 - 2,000
- 0 -
- 20 58,080
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 10
- 0 -
- 36 144,098
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
30 117,000 0 - 30 1-Nov

- 0 -
- 0 -
- 0 -
- 568 156,200
- 0 -
- 0 -
- 0 -
- 10 33,550
- 0 -
- 43 224,331
- 300 26,337 200
- 200 24,600
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 2,000
- 500 105,000
- 0 -
- 0 -
- 0 - 200
- 0 - 200
- 100 6,000 200
- 0 -
- 20 46,500 50
- 0 -
- 0 -
- 20 47,205
- 0 - 1,500
- 0 -
- 0 - 2,000
- 1200 254,292
- 0 -
- 200 19,980
- 0 -
- 0 -
- 0 -
- 0 -
- 600 36,300 500
- 0 -
- 500 34,305
- 0 -
- 0 -
- 0 -
- 600 45,408 500
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 24 91,056 24
- 0 -
- 200 132,000
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 1500
- 0 -
- 0 -
- 0 -
- 0 -
- 700 89,005
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 5 64,520
- 0 -
- 30 25,410 30
- 0 -
- 0 -
- 250 23,000 300
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 1000 830,280 500
- 0 -
- 0 -
- 0 -
- 0 -
- 10 10,790
- 100 21,595
- 200 43,188
- 0 - 2,000
- 0 -
- 200 91,200 1,000
- 0 -
- 0 -
- 0 -
- 1 5,885
- 0 -
- 100 31,700 200
- 0 -
- 0 -
- 9 42,300
- 3 5,752 24
- 0 -
- 0 -
- 0 - 20
- 40 119,240
- 0 -
- 200 223,600 500
- 0 - 1,000
- 0 -
- 4 355,200 12
- 0 -
- 650 71,494 2,000
- 0 -
- 45 310,500
- 0 -
- 0 -
- 0 -
- 300 45,000
- 0 -
- 0 -
- 71 39,405
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 12 42,000
- 0 -
- 30 40,440
- 0 -
- 0 -
- 800 103,200 1,000
- 20 107,892 30
- 0 -
- 0 -
- 0 - 2,000
- 0 -
5 26,257 0 - dikembalikan

- 50 58,528
- 0 - 5
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 20
- 0 -
- 1100 375,100
- 0 -
- 0 -
- 0 -
- 800 126,392
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 1000 73,000 1,500
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 1 192,527
- 600 51,600 1,000
- 32 248,737 80
- 8 26,832
- 100 28,700 100
- 0 -
- 0 - 500
- 8 11,907 10
- 0 -
- 0 - 24
- 0 -
- 0 -
- 0 - 1,000
- 0 -
- 16 62,240
- 0 -
- 0 -
- 700 30,800 2,000
- 0 -
- 30 31,980
- 0 -
- 0 -
- 350 52,976 500
- 600 156,000
- 0 -
- 0 -
- 2000 510,000
- 0 -
- 0 -
- 0 -
- 0 -
- 200 49,200 1,000
400 276,476 0 - Oct-22

- 0 -
- 42 6,426,000
- 122 2,434,388
- 222 34,590,486
- 120 9,478,920
- 1 1,325,000
- 74 1,775,334
- 66 4,091,736
- 0 -
- 80 12,719,520
- 48 815,760
- 14 251,944
- 0 -
- 8 254,800
- 800 48,000 2,000
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 1,000
- 0 -
- 0 -
- 0 -
- 300 316,800
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 300 495,000
- 30 36,494 50
- 100 105,600
- 0 -
- 0 -
- 70 70,918
- 0 -
- 1000 184,380
- 0 -
- 0 -
- 0 -
- 0 - 50
- 0 - 50
- 0 - 50
- 5 28,555
- 10 210,000
- 12 839,560
- 12 769,230
- 0 -
- 0 -
- 8 96,800
- 0 - 5
- 10 121,000
- 16 440,000 20
- 0 -
- 0 -
- 50 430,000
- 0 - 100
- 100 860,000
- 0 -
- 0 - 300
- 0 -
- 0 - 300
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 40 224,400
- 0 -
- 0 -
- 2 15,840 50
- 0 -
- 10 55,900 100
- 0 -
- 64 440,000
- 0 -
- 42 234,778
- 0 -
- 0 -
- 0 -
- 2 50,396 3
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 5
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 500
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 3 81,000 10
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 50
- 0 -
- 0 - 50
- 25 207,500 50
- 60 600,750
- 300 15,840,000
- 75 1,067,850
- 25 161,900
- 0 -
- 4 93,592
- 0 -
- 0 -
- 24 1,075,456
- 0 -
- 48 2,402,928
- 0 -
- 0 -
- 0 - 10
- 3 556,314 10
13 1,716,000 0 - Nov-22

- 0 -
- 0 -
- 0 -
- 6 34,452 5
- 5 33,795
- 0 -
- 0 -
- 0 -
- 0 -
- 17 467,500
- 7 4,620,000
- 10 4,750,000
- 8 2,520,000
- 4 860,000
- 300 1,650,000
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 54 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 7 210,000
- 0 -
- 10 3,000,000
- 10 999,990
- 0 -
- 0 -
- 12 -
- 15 9,900,000
- 12 -
- 30 3,900,000
- 0 - 2,000
- 10 275,000
- 0 -
- 30 3,000,000
- 0 -
- 0 -
- 1 30,250
- 0 -
- 0 -
- 0 -
- 1 2,500
- 0 -
- 0 -
- 2475 2,932,875
-
-
- 10 13,394,400
- 158 -
- 24 -
- 35 -
- 85 -
- 27 -
- 10 -

- 23 322,000

- 3031 239,449

- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 1 302,500
- 0 -
- 0 -
- 0 -
2,135,732.50 164,393,309.37
sabmhebb mn cm dn mc c c

k
LAPORAN PEMA

KODE PUSKESMAS :
PUSKESMAS : BUKI
KECAMATAN : BUKI
KABUPATEN : KEPULAUAN SELAYAR
PROPINSI : SULAWESI SELATAN

STOK
NO NAMA OBAT SATUAN HARGA NILAI
AWAL
1 2 3 4 5 6

1 ACETOSAL Tab 89.000 0 -

2 ALBENDAZOL TABLET 400 MG HOLI Tab 380.00 0 -

3 ALBENDAZOL TABLET 400 MG HOLI tab 404.000 0 -

4 ALBENDAZOL TABLET 400 MG HOLI Tab 366.500 100 36,650

5 ALBENDAZOL SUSPENSI Btl 4,300.000 0 -

6 ALOPURINOL TABLET 100 MG Tab 99.00 0 -

7 ALOPURINOL TABLET 100 MG Tab 89.00 500 44,500

8 ALOPURINOL TABLET 300 MG Tab 200.000 0 -

9 AMBROKSOL SIRUP Btl 7,700.000 0 -

10 AMBROKSOL TAB 30 MG Tab 270.00 0 -

11 AMINOFILIN TABLET 200 MG Tab 97.000 0 -

12 AMINOFILIN INJ 24 MG/ML-10 ML AMP 3,071.000 0 -

13 AMITRIPTILIN TABLET SALUT 25 MG Tab 165.00 0 -

14 AMITRIPTILIN TABLET SALUT 25 MG Tab 167.000 200 33,400

15 AMLODIPIN 10 MG Tab 74.00 300 22,200

16 AMLODIPIN 5 MG Tab 55.50 0 -

17 AMLODIPIN 5 MG Tab 79.000 0 -

18 AMOKSISILIN KAPLET 500 MG Kap 231.000 2400 554,400

AMOKSISILIN KAPLET 250 MG 198.00 200 39,600

19 AMOKSISILIN SIROP KERING 125 mg/5ml Btl 3,510.000 3 10,530

20 AMOKSISILIN SYRUP 250 MG/ML Btl 3,510.00 30 105,300

21 AMPICILIN SERBUK INJ 1 G Vial 9,473.000 0 -

22 ANTASIDA DOEN KOMBINASI TAB 500 MG Tab 60.000 0 -

23 ANTASIDA DOEN KOMBINASI TAB 500 MG Tab 59.000 0 -

24 ANTASIDA DOEN SUSPENSI Btl 1,771.96 33 58,475

25 ANTASIDA DOEN SUSPENSI 5,800.000 0 -

26 ANTIBAKTERI DOEN SALEP KOMBINASI Tube 3,365.000 0 -

27 ANTIFUNGI DOEN KOMBINASI Pot 4,782.000 0 -

28 ANTIHEMOROID SUPP SUPP 3,800.000 5 19,000

29 ANTIHEMOROID SUPP SUPP 3,289.640 0 -

ASAM ASKORBAT (VIT C) 50 MG Tab 46.420 0 -

30 ASAM MEFENAMAT TABLET SALUT 500 MG Tab 117.000 1300 152,100

31 ASIKLOVIR KRIM 5 % Tube 2,367.000 0 -

32 ASIKLOVIR TABLET 200 MG Tab 236.000 0 -

33 ASIKLOVIR TABLET 400 MG Tab 429.000 0 -

34 ASETYLCYSTEINE 200 MG Tab 394.000 0 -


35 ATROPIN TETES MATA 0.5 % Btl 0 -

36 BETAHISTIN MESILAT TAB 6 MG TAB 93.00 0 -

37 BETAHISTIN MESILAT TAB 6 MG TAB 151.000 0 -

38 BETAMETASON KRIM 0,1 % Tube 1,533.820 20 30,676

39 BETAMETASON KRIM 0,1 % Tube 1,515.000 0 -

40 BISAKODIL SUPPOSITORIA 10 mg SUPP 4,325.000 3 12,975

41 BISAKODIL SUPPOSITORIA 5 mg SUPP 5,085.000 7 35,595

42 BISOPROLOL FUMARATE Tab 695.000 0 -

43 BISOPROLOL TABLET 5 MG NOVELL Tab 143.00 0 -

44 CARBAMAZEPIN TAB 200 MG Tab 250.000 0 -

CARBAMAZEPIN TAB 200 MG Tab 216.00 100 21,600

45 CETIRIZINE SIRUP Btl 2,214.000 26 57,564

46 ceterizin cap cap 104.000 0 -

47 CETIRIZINE TAB Tab 182.00 0 -

48 CLOBAZAM TAB 10 MG Tab 1,110.000 0 -

49 CURCUMA TAB Tab 1,150.000 0 -

50 DEKSAMETASON INJ 5 MG/ML - 1 ML Amp 968.00 13 12,584

51 DEKSAMETASON TABLET 0,5 MG Tab 69.000 0 -

52 DEKSAMETASON TABLET 0,5 MG Tab 154.000 0 -

53 DIAZEPAM INJ 5 MG/ML Amp 1,913.00 0 -

54 DIAZEPAM REKTAL SUPP 14,459.000 0 -

55 DIAZEPAM TABLET 5 MG Tab 109.000 0 -

56 DIAZEPAM TABLET 2 MG Tab 70.640 0 -

57 DIFENHIDRAMIN INJ 10 MG/ML Amp 1,346.000 0 -

DIFENHIDRAMIN INJ 10 MG/ML Amp 825.00 0 -

58 DIGOKSIN TABLET 0,25 MG Tab 108.000 0 -

59 DIGOKSIN TABLET 0,25 MG Tab 104.000 0 -

60 DILTIAZEM TAB 30 MG Tab 142.000 50 7,100

61 DIMENHIDRINAT TAB 50 MG Tab 109.99 0 -

62 DIMENHIDRINAT TAB 50 MG tab 121.000 0 -

63 DOKSISIKLIN KAPSUL 100 MG Kap 309.000 0 -

64 DOMPERIDON DROPS btl 17,939.000 0 -

65 DOMPERIDON SIRUP 5 MG Btl 2,422.82 16 38,765

66 DOMPERIDON TABLET 10 MG Tab 75.00 0 -

67 DOMPERIDON TABLET 10 MG Tab 96.00 0 -

68 EFINEFRIN INJ. Amp 2,904.000 20 58,080

69 EPINEFRIN/ADRENALIN INJ 1 MG/ML Amp 1,518.00 0 -

70 ERITROMISIN KAPSUL 250 MG Kap 679.00 0 -

71 ERITROMISIN KAPSUL 500 MG Kap 781.000 0 -

72 ERITROMISIN KAPSUL 500 MG Kap 766.00 0 -

73 ERITROMISIN SIROP 200 MG/ 5 ML Btl 7,581.000 0 -

74 ETAKRIDIN (RIVANOL) 300 ml Btl 3,900.00 0 -

75 ETAKRIDIN (RIVANOL) 300 ml Btl 3,900.000 0 -

76 ETANOL 95 % 100 ml Btl 4,002.720 36 144,098

77 ETANOL 70 % 1000 ml Btl 31,250.000 0 -

78 ETANOL 70 % 1000 ml 31,247.700 0 -

79 ETHYLIS CHLORIDUM SEMPROT Btl 112,500.000 0 -


80 EUGENOL CAIRAN Btl 18,333.000 0 -

81 FENOBARBITAL AMPUL 2 ML Btl 2,265.000 0 -

82 FENOBARBITAL TABLET 30 MG Tab 177.000 0 -

83 FITOMENADION (VIT K) INJ. Ampul 3,900.00 0 -

84 FITOMENADION (VIT K) INJ. 1,451.000 0 -

85 FITOMENADION (VIT K) TABLET 10 MG Tab 818.00 0 -

86 FUROSEMIDA TABLET 40 MG Tab 84.000 0 -

87 GARAM ORALIT I SERBUK Sac 275.000 568 156,200

88 GARAM ORALIT I SERBUK Sac 317.000 0 -

89 GEMFIBROZIL KAPSUL 300 MG Kap 429.000 0 -

90 GEMFIBROZIL KAPSUL 300 MG Kap 436.000 0 -

91 GENTAMISIN INJ 80 MG/ML Amp 3,355.000 10 33,550

92 GENTAMISIN SALEP KULIT Pot 1,469.000 0 -

93 GENTAMISIN SULFAT TETES MATA 0,3 % Pot 5,217.00 43 224,331

94 GLIBENKLAMIDA TABLET 5 MG Tab 87.790 300 26,337

95 GLIMEPIRIDE 2 MG Tab 123.000 200 24,600

96 GLISERIL GUALAKOLAT TABLET 100 MG Tab 260.000 0 -

97 GLUKOSA LARUTAN INFUS 10 % Btl 6,270.000 0 -

98 GLUKOSA LARUTAN INFUS 10 % 7,500.000 0 -

99 GLUKOSA LARUTAN INFUS 40 % Btl 1,597.000 0 -

100 GLUKOSA LARUTAN INFUS 5 % Btl 6,900.000 0 -

101 GLUKOSA LARUTAN INFUS 5 % btl 7,363.000 0 -

102 GRANTUSIF Tab 405.000 0 -

103 GRISEOFULVIN TABLET 125 MG Tab 210.000 500 105,000

104 GRISEOFULVIN TABLET 125 MG NOVAPHARIN Tab 263.00 0 -

105 HALOPERIDOL INJ. 5 MG/ML Amp 6,250.000 0 -

106 HALOPERIDOL TABLET 1,5 MG Tab 90.000 0 -

HALOPERIDOL TABLET 2 MG Tab 93.000 0 -

107 HALOPERIDOL TABLET 5 MG Tab 60.00 100 6,000

108 HIDROKLOROTIAZIDA TABLET 25 MG Tab 171.000 0 -

109 HIDROKORTISON KRIM 2,5 % Tab 2,325.000 20 46,500

110 HIDROKORTISON KRIM 2,5 % Tube 2,838.000 0 -

111 HYOSIN BUTIL BROMIDA TAB 10 MG Tab 1,475.000 0 -

112 IBUPROFEN SIRUP 15 MG/ML Btl 2,360.26 20 47,205

113 IBUPROFEN TABLET 200 MG Tab 206.000 0 -

114 IBUPROFEN TABLET 200 MG Tab 155.000 0 -

115 IBUPROFEN TABLET 400 MG Tab 150.00 0 -

116 IBUPROFEN TABLET 400 MG Tab 211.910 1200 254,292

117 ISONIAZID TABLET 300 MG Tab 106.700 0 -

118 ISOSORBID DINITRAT TABLET 5 MG Tab 99.900 200 19,980

119 ISOSORBID DINITRAT TABLET 5 MG YARINDO Tab 89.00 0 -

120 KALIUM DIKLOFENAK TAB 50 MG Tab 63.00 0 -

121 KALSIUM GLUCONAS INJ Amp 10,351.000 0 -

122 KALSIUM LAKTAT TABLET 500 MG Tab 63.00 0 -

123 KALSIUM LAKTAT TABLET 500 MG 60.50 600 36,300

124 KALSIUM LAKTAT TABLET 500 MG Tab 63.000 0 -

125 KAPTOPRIL 12.5 MG Tab 68.61 500 34,305


126 KAPTOPRIL 12.5 MG Tab 67.000 0 -

127 KAPTOPRIL 12.5 MG KF Tab 68.00 0 -

128 KAPTOPRIL 25 MG Tab 135.000 0 -

129 KAPTOPRIL 25 MG Tab 75.680 600 45,408

130 KAPTOPRIL 50 MG Tab 143.000 0 -

131 KAPTOPRIL 50 MG KF Tab 134.00 0 -

132 KETOKENAZOL KRIM Tube 3,135.000 0 -

133 KETOKENAZOL TAB 200 MG Tab 297.000 0 -

134 KLONIDIN TABLET 0.15 MG Tab 145.000 0 -

135 KLORAMFENIKOL SALEP KULIT 3 % Tube 3,794.000 24 91,056

136 KLORAMFENIKOL KAPSUL 500 MG Kapsul 1,337.990 0 -

137 KLORAMFENIKOL KAPSUL 250 MG Kapsul 660.00 200 132,000

138 KLORAMFENIKOL KAPSUL 250 MG Kapsul 329.000 0 -

139 KLORAMFENIKOL SALEP MATA 1% Kapsul 2,148.00 0 -

140 KLORAMFENIKOL SUSP 125 MG/ 5 ML Btl 4,982.000 0 -

141 KLORAMFENIKOL TETES MATA 0.5 % Tube 0.000 0 -

142 KLORAMFENIKOL TETES TELINGA 3 % 0 -

143 KLORFENIRAMINA MALEAT TAB 4 MG Tab 86.000 0 -

144 KLORFENIRAMINA MALEAT TAB 4 MG Tab 39.000 0 -

145 KLORPROMAZIN TAB SALUT 100 MG Tab 170.000 0 -

146 KLORPROMAZIN TAB SALUT 100 MG MERSIFARM Tab 170.00 0 -

147 KOTRIMOKSAZOL DOEN I (DEWASA) 480 MG Tab 325.00 0 -

148 KOTRIMOKSAZOL DOEN (DEWASA)480 MG Tab 127.150 700 89,005

149 KOTRIMOKSAZOL DOEN II (ANAK) Tab 79.000 0 -

150 KOTRIMOKSAZOL SUSPENSI Btl 2,100.00 0 -

151 KOTRIMOKSAZOL SUSPENSI Btl 2,190.000 0 -

152 KOTRIMOKSAZOL SUSPENSI MERSIFARM Btl 2,052.00 0 -

153 KOTRIMOKSAZOL TABLET 480 MG MERSIFARM Tab 125.00 0 -

154 KUINIDIN 100 MG TABLET Tab 0 -

155 KUINIDIN 200 MG TABLET Tab 0 -

156 KUININ (KINA) TABLET 200 MG Tab 0 -

157 KUININ INJEKSI 25 % Tab 0 -

158 KUININ SULFAT TAB 222 MG (7 H2O) Tab 641.670 0 -

159 Laktulosa btl 12,904.000 5 64,520

160 LIDOKAIN SPRAY BTL 177,216.000 0 -

161 LIDOKAIN INJ 2 % Amp 847.00 30 25,410

162 LIDOKAIN INJ 2 % + EPINEFRIN 1,405.000 0 -

163 LISOL DENGAN KRESOL SABUN 50 % Btl 31,800.000 0 -

164 LOPERAMIDE TAB 2 MG Tab 92.000 250 23,000

165 LOPERAMIDE TAB 2 MG Tab 460.000 0 -

166 LOPERAMIDE TAB 2 MG Tab 85.000 0 -

167 LORATADIN TAB Tab 136.000 0 -

168 LORATADIN TABLET 10 MG PROMED Tab 117.00 0 -

169 LUBIRE Tab 5,225.00 0 -

170 MEBENDAZOL SIROP 100 MG/ 5 ML Btl 0 -

171 MEBENDAZOL TABLET 100 MG Tab 0 -

MELOXICAM KAPS 7,5 MG 830.28 1000 830,280


172 METAMPIRON TABLET 500 MG (ANTALGIN) Tab 141.850 0 -

173 METFORMIN TAB 500 MG Tab 77.00 0 -

174 METFORMIN TAB 500 MG Tab 109.000 0 -

175 METFORMIN TAB 850 MG Tab 240.000 0 -

176 METILERGOMETRIN MALEAT INJ 0.2 MG Amp 1,079.000 10 10,790

177 METILERGOMETRIN MALEAT TABLET 0.125 MG Tab 215.950 100 21,595

178 METILERGOMETRIN MALEAT TABLET 0.125 MG Tab 215.940 200 43,188

179 METILPREDNISOLON TAB 4 MG Tab 0 -

180 METILPREDNISOLON TAB 4 MG Tab 148.000 0 -

181 METILPREDNISOLON TAB16 MG Tab 456.00 200 91,200

182 METILPREDNISOLON TAB16 MG Tab 548.00 0 -

183 METOKLOPRAMIDE TAB 10 MG TAB 93.000 0 -

184 METOKLOPRAMIDE TAB 10 MG KF Tab 87.00 0 -

185 METRONIDAZOL TABLET 500 MG/100 ml Tab 5,885.000 1 5,885

186 METRONIDAZOL TABLET 250 MG PHYTO Tab 93.00 0 -

187 METRONIDAZOL TABLET 500 MG Tab 317.000 100 31,700

188 MDT MB KUSTA DEWASA BLISTER 40,526.000 0 -

189 MgSO4 20% Btl 3,327.990 0 -

190 MgSO4 40% Btl 4,700.000 9 42,300

191 MIKONAZOLE KREAM Tube 1,917.27 3 5,752

192 MIKONAZOLE KREAM Tube 3,926.000 0 -

193 MIKONAZOLE KREAM 2% KF Tube 2,462.00 0 -

194 MIKORIN POWDER POT 22,927.000 0 -

195 MINERAL MIX Succ 2,981.000 40 119,240

196 MINERAL MIX Succ 2,550.000 0 -

197 MULTIVITAMIN TAB NUTRIBION Tab 1,118.000 200 223,600

198 MULTIVITAMIN TAB BIOCOM Tab 975.000 0 -

199 MULTIVITAMIN TAB MEVITON 1,592.250 0 -

200 MULTIVITAMIN ALBUFORCESYR Btl 88,800.000 4 355,200

201 NATRIUM DKLOFENAK TABLET 25 MG Tab 109.00 0 -

202 NATRIUM DKLOFENAK TABLET 50 MG Tab 109.99 650 71,494

203 NATRIUM DKLOFENAK TABLET 50 MG Tab 145.00 0 -

204 NATRIUM KLORIDA LARUTAN INFUS 0.9 % Btl 6,900.00 45 310,500

205 NATRIUM KLORIDA LARUTAN INFUS 0.9 % Btl 7,500.000 0 -

206 NIPEDIFINE TAB 10 MG Tab 120.000 0 -

NIPEDIFINE TAB 10 MG 221.00 0 -

NIPEDIFINE TAB 10 MG 150.000 300 45,000

207 NISTATIN 100.000 IU Tab 627.000 0 -

208 NISTATIN 500.000 IU Tab 704.000 0 -

209 NISTATIN VAGINAL TAB 100.000 UI Tab 555.00 71 39,405

210 NISTATIN VAGINAL 100.000 IU Tab 645.00 0 -

211 OBAT ANTITUBERKULOSIS KAT 1 DEWASA Tab 478,142.00 0 -

212 OBAT ANTITUBERKULOSIS KAT 1 DEWASA 356,829.000 0 -

213 OBAT ANTITUBERKULOSIS KAT 1 DEWASA 447,791.000 0 -

214 OBAT ANTITUBERKULOSIS KAT 2 DEWASA Tab 1,319.900 0 -

215 OBAT ANTITUBERKULOSIS KAT 2 DEWASA Paket 1,492,579 0 -

216 OBAT ANTITUBERKULOSIS KAT ANAK Tab 236,500.000 0 -


217 OBAT ANTITUBERKULOSIS KAT ANAK KF Paket 267,397 0 -

218 OBAT ANTITUBERKULOSIS SISIPAN DEWASA Tab 175,980.000 0 -

219 OBAT BATUK HITAM CAIRAN Btl 1,339.800 0 -

220 OKSITETRASIKLIN HCL SALEP 3 % Tube 3,600.000 0 -

221 OKSITETRASIKLIN HCL SALEP MATA 1 % Tube 3,500.000 12 42,000

222 OKSITETRASIKLIN SALEP MATA 1% KF Tube 3,926.00 0 -

223 OKSITOSIN INJ 10 IU/ML Amp 1,348.000 30 40,440

224 OKSITOSIN INJ 10 IU/ML 1,348.000 0 -

225 OMEPRAZOLE KAP 20 MG Tab 780.000 0 -

226 OMEPRAZOLE KAPSUL 20 MG Kapsul 129.00 800 103,200

227 OMEPRASOL INJ 40 MG/ML vial 5,394.60 20 107,892

228 OMEPRAZOLE INJ 11,868.00 0 -

229 OAM(ACT)DHP-FRIMAL 1,900.00 0 -

230 PAPAVERIN TABLET 40 MG Tab 680.000 0 -

231 PARACETAMOL DROPS 100 MG/ML (60 MG/0,6 ML) Btl 5,204.00 0 -

232 PARASETAMOL DROPS 100 MG/ML IGM Btl 5,251.30 0 -

233 PARASETAMOL SIROP 120 MG/ 5 ML Btl 1,170.55 50 58,528

234 PARASETAMOL infus Btl 8,880.000 0 -

235 PARASETAMOL SIROP 120 MG/ 5 ML Btl 1,160 0 -

236 PARASETAMOL TABLET 500 MG Tab 86.000 0 -

237 PARASETAMOL TABLET 500 MG MERSIFARM Tab 60.00 0 -

238 PARASETAMOL TABLET 500 MG MERSIFARM Tab 165.00 0 -

239 PEHACAIN INJ Amp 4,850.000 0 -

240 PENOL GLISEROL TETES TELINGA Btl 3,330.000 0 -

241 PIRANTEL SIRUP btl 9,100.000 0 -

242 PIRANTEL TABLET SCORE 125 MG Tab 341.00 1100 375,100

243 PIRASETAM 1200 Tab 854.000 0 -

244 PIRASETAM 400 Tab 194.000 0 -

245 PIRIDOKSIN (VIT B6) TAB 10 MG Tab 72.00 0 -

PIRIDOKSIN (VIT B6) TAB 10 MG Tab 157.99 800 126,392

246 PIROKSIKAM TABLET 20 MG Tab 215.000 0 -

247 PIROKSIKAM TABLET 20 MG Tab 189.500 0 -

248 PITOGIN AMPUL 1 ML Amp 11,550.000 0 -

249 POVIDON IODIDA 10 % 1000 ML Btl 149,313.000 0 -

250 POVIDON IODIDA 10 % 1000 ML MAHAKAM Btl 139,313.00 0 -

251 POVIDON IODIDA 10 % 30 ML Btl 3,624.500 0 -

252 POVIDON IODIDA 10 % 300 ML Btl 22,498.300 0 -

253 POVIDON IODIDA 10 % 300 ML Btl 15,386.000 0 -

254 POVIDON IODIDA BETADIN 5 G SALEP Tube 7,039.00 0 -

255 POVIDON SALEP Tube 6,348.000 0 -

256 PREDNISON TABLET 5 MG Tab 73.00 1000 73,000

257 PRIMAUINE/PRIMAQUINE TAB 15 Tab 242.000 0 -

258 PROPANOLOL TABLET 10 MG Tab 59.000 0 -

259 PROPANOLOL TABLET 40 MG Tab 59.000 0 -

260 PROPILITIOURASIL TABLET 100 MG Tab 351.000 0 -

261 RANITIDIN INJ 25 MG / 2 ML Amp 1,155.00 0 -

262 REGENSIA TB Amp 192,527.00 1 192,527


263 RANITIDIN TABLET 150 MG Tab 86.00 600 51,600

264 RINGER LAKTAT INFUS Btl 7,773.02 32 248,737

265 RIVANOL 100 Btl 3,354.00 8 26,832

266 RISPERIDON 2 MG Tab 287.000 100 28,700

267 RISPERIDON 2 MG 131.000 0 -

268 SALBUTAMOL TABLET 4 MG KF Tab 195.00 0 -

269 SALEP 2-4 KOMBINASI Tube 1,488.400 8 11,907

270 SALEP 2-4 KOMBINASI Tube 1,475.000 0 -

271 SALISIL BEDAK 2 % Pot 6,426.00 0 -

272 SCABIMATE CREM SACH 12,155.000 0 -

273 SALISIL BEDAK 2 % TUBE 6,426.00 0 -

274 SEFADROKSIL KAPSUL 500 MG Kapsul 1,210.000 0 -

275 SEFADROKSIL KAPSUL 500 MG Kapsul 492.00 0 -

276 SEFADROKSIL SIROP KERING 125 MG / 5 ML Btl 3,890.000 16 62,240

277 SEFOTAKSIM 1000 MG Vial 5,700.000 0 -

278 SEFOTAKSIM INJ 1000 MG RAMA Vial 4,410.00 0 -

279 SIANOKOBALAMIN TABLET 50 MCG Tab 44.00 700 30,800

280 SIANOKOBALAMIN TABLET 50 MCG KF Tab 51.00 0 -

281 SIANOKOBALAMIN VIT B12 INJ 500 MCG/ML Ampul 1,066.00 30 31,980

282 SIANOKOBALAMIN VIT B12 INJ 500 MCG/ML 3,070.000 0 -

283 SIMVASTATIN TABLET 10 MG TAB 216.00 0 -

284 SIMVASTATIN TABLET 10 MG 151.360 350 52,976

285 SIPROFLOKSASIN KAPLET 500 MG Kaplet 260.00 600 156,000

286 SULFASETAMID TETES MATA 15 % Btl 12,500.000 0 -

287 TABLET TAMBAH DARAH KOMBINASI Tab 409.000 0 -

TABLET TAMBAH DARAH KOMBINASI Tab 255.00 2000 510,000

288 TETRASIKLIN KAPSUL 500 MG Kapsul 346.000 0 -

289 TETRASIKLIN KAPSUL 500 MG Kapsul 324.000 0 -

290 TIAMIN (VIT B1) INJ 100 MG/ML Amp 730.000 0 -

291 TIAMIN (VIT B1) TABLET 50 MG Tab 169.000 0 -

292 TIAMIN (VIT B1) TABLET 50 MG 246.000 200 49,200

293 TRIHEKSIFENIDIL 25 MG Tab 70.000 0 -

294 VAKSIN ANTI RABIES INJ vial 165,000.000 0 -

VAKSIN ANTI RABIES INJ vial 153,000.00 42 6,426,000

295 VAKSIN POLIO (bOPV) 10 ds Vial 19,954.000 122 2,434,388

296 VAKSIN MR 10 ds Vial 155,813.000 222 34,590,486

297 VAKSIN DPT-HB-HIB 5 ds Vial 78,991.000 120 9,478,920

VAKSIN HB Ig Vial 1,325,000.000 1 1,325,000

VAKSIN HB UNIJECT (HBO) 1 ds Vial 23,991.000 74 1,775,334

298 VAKSIN BCG Vial 61,996.000 66 4,091,736

299 VAKSIN HEPATITIS B Vial 23,991.000 0 -

300 VAKSIN IPV Vial 158,994.000 80 12,719,520

301 VAKSIN Td 10 ds VIAL 16,995.000 48 815,760

VAKSIN DT 10 ds VIAL 17,996.00 14 251,944

302 VITAMIN A 100.000 UI Btl 17,600.00 0 -

303 VITAMIN A 200.000 UI Btl 31,850.00 8 254,800

306 VITAMIN B KOMPLEKS TABLET Tab 60.000 800 48,000


307 VITAMIN B KOMPLEKS TABLET Tab 135.000 0 -

308 ZINK SIRUP Btl 2,489.000 0 -

309 ZINK SIRUP MEPROFARM Btl 3,285.00 0 -

310 ZINK TAB 20 MG Tab 253.00 0 -

311 ZINK TAB 20 MG Tab 604.00 0 -

312 ZINK TAB 20 MG 253.000 0 -

PERBEKALAN KESEHATAN 0 -

1 ACCU-CHECK PERFORMA Btl 420,000.000 0 -

2 ALAT SUNTIK SEKALI PAKAI 2,5/3 ML Set 851.53 0 -

3 ALAT SUNTIK SEKALI PAKAI 2,5/3 ML Set 1,056.00 300 316,800

4 ALAT SUNTIK SEKALI PAKAI 3 ML Set 1,108.800 0 -

5 ALAT SUNTIK SEKALI PAKAI 0,05 ML Set 1,518.000 0 -

6 ALAT SUNTIK SEKALI PAKAI 0,05 ML Set 1,240.000 0 -

7 ALAT SUNTIK SEKALI PAKAI 0,5 ML Set 1,240.00 0 -

8 ALAT SUNTIK SEKALI PAKAI 0,5 ML 1,240.00 0 -

9 ALAT SUNTIK SEKALI PAKAI 0,5 ML 1,650.000 300 495,000

10 ALAT SUNTIK SEKALI PAKAI 10 ML Set 1,216.470 30 36,494

11 ALAT SUNTIK SEKALI PAKAI 1 ML Set 1,056.000 100 105,600

12 ALAT SUNTIK SEKALI PAKAI 1 ML Set 844.260 0 -

13 ALAT SUNTIK SEKALI PAKAI 10 ML Set 1,216.470 0 -

14 ALAT SUNTIK SEKALI PAKAI 5 ML Set 1,013.11 70 70,918

15 ALAT SUNTIK SEKALI PAKAI 5 ML 1,500.000 0 -

16 ALKOHOL SWAB Box 184.380 1000 184,380

17 ALKOHOL SWAB DAK Box 151.20 0 -

18 AQUA PRO INJEKSI 25 ML Btl 2,650.00 0 -

19 BAJU HAZMAT COVER ALL Bh 475,000.000 0 -

20 BISTURI NO. 19 Pcs 3,150 0 -

21 BISTURI NO.20 3,150 0 -

22 BISTURI NO. 21 Pcs 2,980 0 -

23 CANULA DEWASA Pcs 5,711.00 5 28,555

24 CATGUT NO 2/0 21,000.00 10 210,000

25 CATGUT NO 2/0 Pcs 69,963.30 12 839,560

26 CATGUT NO 3/0 RNI Pcs 64,102.50 12 769,230

27 CATGUT NO 4/0 RNI Pcs 32,685.00 0 -

28 CATHEJELL Pcs 42,848.000 0 -

29 FOLEY CATETER 16 Bh 12,100.000 8 96,800

30 FOLEY CATETER 18 Bh 12,100.000 0 -

31 FOLEY CATETER 20 Bh 12,100.000 10 121,000

32 HAND RUB BTL 27,500.00 16 440,000

33 HAND RUB BTL 62,624.000 0 -

34 HAND RUB fresco BTL 76,274.470 0 -

35 HANDSCOEN 6,5 STERIL Roll 8,600.000 50 430,000

36 HANDSCON 7 Pasang 8,600.00 0 -

37 HANDSCON 7 1/2 STERIL Bks 8,600.00 100 860,000

38 HANDSCON 7 STERIL 11,990.000 0 -

39 HANDSCON L Pasang 1,117.00 0 -

40 HANDSCON L KARINDO Pasang 1,647.24 0 -


42 HANDSCON M Pasang 1,117.00 0 -

43 HANDSCON M 2,750.000 0 -

44 HANDSCON S Pasang 1,117.000 0 -

45 HANDSCON S 2,750.000 0 -

46 TREPOCHECK SYPHILIS Pcs 9,300.00 0 -

47 HIV TEST Pcs 15,377.000 0 -

48 HIV TEST Pcs 15,367.000 0 -

49 INFUSION SET ANAK SET 5,610.000 40 224,400

50 INFUSION SET ANAK AXIMED Pcs 5,865.00 0 -

51 INFUSION SET DEWASA Set 7,062.00 0 -

52 INFUSION SET DEWASA 7,920.00 2 15,840

53 IV CATHETER N0 22 G Set 6,875.000 0 -

IV CATHETER N0 22 G Set 5,589.960 10 55,900

54 IV CATHETER NO 18 Set 9,123.400 0 -

55 IV CATHETER NO 20 G Set 6,875.000 64 440,000

56 IV CATHETER NO 22 G NIPRO Pcs 6,875.00 0 -

57 IV CATHETER NO 24 G Set 5,589.960 42 234,778

58 IV CATHETER NO 24 G Set 14,493.600 0 -

59 KANULA ANAK Pcs 5,711.00 0 -

61 KAPAS PEMBALUT / ABSORBEN 250 GRAM Set 18,000.000 0 -

62 KAPAS PEMBALUT / ABSORBEN 250 GRAM Set 25,198.000 2 50,396

63 KAPAS PEMBALUT 250 GRAM DRC Roll 30,500.00 0 -

64 KASA KOMPRES 40/40 STERIL Bks 1,672.000 0 -

65 KASA PEMBALUT 2 M X 80 CM Bks 79,360.00 0 -

66 KASA PEMBALUT 2 M X 80 CM DRC Bks 10,661.00 0 -

67 KASA PEMBALUT HIDROFIL 20 yard x 80 cm Roll 81,920.000 0 -

68 KASA PEMBALUT HIDROFIL 40 cm x 80 cm Roll 147,775.000 0 -

69 KASA PEMBALUT HIDROFIL 40 X 80 CM DRC Roll 134,091.00 0 -

70 KASA PEMBALUT HIDROFIL 4 M X 15 CM DRC Bks 4,104.00 0 -

71 KASA PEMBALUT HIDROFIL 4 M X 3 CM Bks 891.00 0 -

72 KASA PEMBALUT HIDROFIL 4 M X 5 CM ELASTIS Bks 2,750.000 0 -

73 KASA PEMBALUT HIDROFIL 16 M X 16 CM DRC Bks 4,200.00 0 -

74 LANCET Box 17,252.40 0 -

76 MASKER Bh 770.000 0 -

77 MASKER KARET Bh 314.000 0 -

78 MASKER KAIN Bh 5,000.000 0 -

79 MAAG SLANG NO 16 10,164.000 0 -

80 NESCO / STRIP CHOLESTROL Btl 290,000.000 0 -

81 NASAL OKSIGEN DEWASA Bh 6,000.000 0 -

82 PLESTER 10 CM X 5 M Roll 49,632.000 0 -

83 PLESTER PHARMAFIX 10 CM X 500 CM Roll 51,305.00 0 -

84 PLESTER PHARMAFIX 15 CM X 500 CM Roll 78,115.00 0 -

85 PLESTER PHARMAFIX 5 CM X 500 CM Roll 27,000.00 3 81,000

86 PLESTER YARD Roll 43,700.000 0 -

87 SAMPEL CONTAINER/POT 2,342.00 0 -

88 POT SPUTUM Pot 2,272.00 0 -

89 REAGEN SYPHILIS Pcs 20,400.000 0 -


90 STRIP BIOLINE SYPIHILIS 3.0 100T 7,237.630 0 -

91 TREPOCHECK SYPHILIS 8,870.000 0 -

92 RAPID 1 (SD) /HIV TEST 8,350.00 0 -

93 RAPID TES HIV 1 7,879.00 0 -

94 RAPID TEST HBsAg /VIROCHECK 8,300.00 25 207,500

RAPID TES HBsAg 7,572.00 0 -

95 STRIP SD BIOLINE HbSag Box 10,012.50 60 600,750

96 RAPID TEST ANTIGEN COVID 19 CLUNGENE Box 52,800.00 300 15,840,000

97 RDT MALARIA Box 14,238.000 75 1,067,850

STRIP MALARIA A PLDH/HRPZ COMBO CARD 6,476.000 25 161,900

99 FDC OAT KATAGORI 1 PKT 447,791.00 0 -

100 SAFETY BOX 23,398.000 4 93,592

101 SAFETY BOX 20,394.000 0 -

102 SILK 2/0 SET 21,875.000 0 -

103 SILK 2/0 TROGE Pcs 44,810.670 24 1,075,456

SILK 2/0 21,458.334 0 -

104 SILK 3/0 SET 50,061.000 48 2,402,928

105 SILK 3/0 SET 29,931.00 0 -

106 SILK 3/0 TROGE Pcs 43,429.100 0 -

107 STRIP ASAM URAT NESCO Box 145,200.00 0 -

108 STRIP CHOLESTEROL Box 185,438.00 3 556,314

109 SRTIP GULA POS BINDU Btl 132,000.000 0 -

SRTIP GULA NESCO Btl 132,000.000 0 -

111 STRIP SD BIOLINE DENGUE DUO BOX 60,813.12 0 -

112 STRIP SD BIOLINE HIV 1/2 3.0 BOX 13,367.70 0 -

113 URIN BAG TANPA HANGER BH 5,742.00 6 34,452

114 URIN BAG WITH HANGER Pcs 6,759.00 5 33,795

115 WING NEEDLE NO.23 Pcs 1,400.000 0 -

116 WING NEEDLE NO.25 Pcs 1,400.000 0 -

117 WING NEEDLE NO.27 Pcs 1,400.000 0 -

PENANGANAN CORONA VIRUS 0 -

1 FACE SHIELD 27,500.000 17 467,500

2 PAKAIAN PELINDUNG/HAZMAT PCH 660,000.000 7 4,620,000

3 PAKAIAN PELINDUNG/HAZMAT SET 475,000.000 10 4,750,000

4 VISOR/SHIELDFACE/HELM BUAH 315,000.000 8 2,520,000

5 SEPATU BOOT PSG 215,000.000 4 860,000

6 WIND NEEDLE PCS 5,500.000 300 1,650,000

7 COLD BOX KAPASITAS 6 L BOX 4,500,000.000 0 -

8 CAIRAN NaOCl BTL 50,000.000 0 -

9 SARUNG TANGAN NON STERIL PCH 1,800.000 0 -

10 APD SET SET 3,902,499.700 0 -

11 BAJU APD 660,000.000 0 -

12 SARUNG TANGAN PANJANG 54 -

13 SEPATU BOOT 0 -

14 MASKER 2,640.00 0 -

19 KACA MATA SAFETY 0 -

20 HAND RUB 250 ML BTL 71,692.500 0 -


21 SARUNG TANGAN STERIL PSG 8,000.000 0 -

22 HANDSCOON NON STERIL BTL 900.00 0 -

25 HAND SANITEZER BTL 19,500.00 0 -

26 SURGICAL MASK PCH 5,000.000 0 -

27 HANDSCOON NON STERIL M PSG 1,540.00 0 -

31 BUKU SAKU 30,000.000 7 210,000

32 KANTONG SAMPAH MEDIS 3,000.00 0 -

36 KANTONG JENAZAH 300,000.000 10 3,000,000

37 KANTONG JENAZAH 99,999.000 10 999,990

38 MASKER BEDAH 770.000 0 -

BANTUAN DINKES PROVINSI 0 -

1 BAJU APD MEREK SANDON ( DINKES PROVINSI ) PCH 12 -

2 BAJU APD MEREK SANDON ( DINKES PROVINSI ) 660,000.00 15 9,900,000

FACE SHIELD PCH 12 -

VIRUS COLLECTION & TRANSPORT TUBE BTL 130,000.00 30 3,900,000

VITAMIN C 500 MG TAB 600.00 0 -

FACE SHIELD BTL 27,500.00 10 275,000

HAND SANITIZER 37,812.50 0 -

Masker N95 100,000.00 30 3,000,000

HANDSCOON NON STERIL M 1,540.00 0 -

APD SET IMUNISASI : 0 -

HAND SANITIZER 30,250.00 1 30,250

MASKER BEDAH 990.00 0 -

MASKER 2,640.00 0 -

HANDSCOON NON STERIL L 1,540.00 0 -

KANTONG MEDIS 2,500.00 1 2,500

FACE SHIELD 27,500.00 0 -

PROGRAM IMUNISASI/VAKSIN CORONA 0 -

ALAT SUNTIK SEKALI PAKAI 0,5 ML PCH 1,185.00 2475 2,932,875

ALAT SUNTIK SEKALI PAKAI 0,5 ML 1,165.00 0 -

ALAT SUNTIK SEKALI PAKAI 0,3 ML 1,255.00 0 -

ALAT SUNTIK SEKALI PAKAI 3 ML 569.00 0 -

VAKSIN COVID-19 (10 DOSIS ) VIAL 1,339,440.00 10 13,394,400

VAKSIN COVID-19 CORONAVAC ( 2 DOSIS ) VIAL 158 -

VAKSIN COVID-19 MODERNA (14 DOSIS ) VIAL 24 -

VAKSIN MODERNA 10 DOSIS VIAL 35 -

VAKSIN COVID 19 JANSSENS 5 DOSIS VIAL 85 -

VAKSIN COVID 19 ASTRAZENECA 10 DOSIS VIAL 27 -

VAKSIN COVID-19 COVOVAX 10 DOSIS 10 -

VAKSIN Covid -19 Pfizer (6 Dosis) 0 -

SAFETY BOX 5 L PKM 1 BOX 14,000.00 23 322,000

SAFETY BOX 5 L PKM 1 5,382.00 0


ALKOHOL SWAB PKM VIAL 79.00 3031 239,449

NaCl 10 ml 3,280.00 0 -

PENANGANAN CORONA VIRUS DISEASE DINKES 0 -

1 MASKER BEDAH PCS 770.00 0 -

HAND SANITIZER PCS 19,250.00 0 -


HANDSCOON NON STERIL L PCS 1,540.00 0 -

RAPID TEST ANTIGEN COVID 19 CLUNGENE PCS 60,500.00 0 -

OBAT GIGI 0 -

1 ETIL KLORIDA Btl 126,500.00 0 -

2 COMPOSIT ANTERIOR A2 SOLARE Pcs 675,000.000 0 -

3 COMPOSIT ANTERIOR A3 SOLARE Pcs 675,000.000 0 -

4 COMPOSIT POSTERIOR A2 SOLARE Pcs 675,000.000 0 -

5 COMPOSIT POSTERIOR A3 SOLARE Pcs 675,000.000 0 -

6 DYCAL Pcs 302,500.000 1 302,500

7 EUGENOL Btl 165,000.000 0 -

8 FUJI IX MINI/ GOLD LABEL Pcs 650,000.000 0 -

9 XYLESTESIN Pcs 795,000.000 0 -


TOTAL HARGA OBAT DAN BHP 164,393,309.37
LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
( LPLPO )

BULAN
TRI WULAN
TAHUN

PENERI PERSE PEMA KADALUAR


NILAI NILAI NILAI
MAAN DIAAN KAIAN SA

7 8 9 10 11 12 13

- 0 - -
- 0 - -
- 0 - -
- 100 36,650 -
- 0 - -
- 0 - -
1000 89,000.00 1500 133,500 100 8,900
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 200 33,400 -
1500 111,000.00 1800 133,200 1500 111,000
- 0 - -
- 0 - -
1000 231,000.00 3400 785,400 1600 369,600
- 200 39,600 -
- 3 10,530 - 3

- 30 105,300 - 30

- 0 - -
- 0 - -
- 0 - -
- 33 58,475 - 33

- 0 - -
- 0 - -
- 0 - -
- 5 19,000 - 5

- 0 - -
- 0 -
1000 117,000.00 2300 269,100 1100 128,700
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
500 46,500.00 500 46,500 200 18,600
- 0 - -
25 38,345.50 45 69,022 35 53,684
- 0 - -
- 3 12,975 -
- 7 35,595 -
- 0 - -
- 0 - -
- 0 - -
- 100 21,600 -
- 26 57,564 - 26

- 0 - -
1500 273,000.00 1500 273,000 900 163,800
- 0 - -
- 0 - -
10 9,680.00 23 22,264 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
100 7,064.00 100 7,064 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 50 7,100 50 7,100
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 16 38,765 - 16

- 0 - -
- 0 - -
- 20 58,080 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 36 144,098 1 4,003
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
30 43,530.00 30 43,530 - 30

- 0 - -
- 0 - -
- 568 156,200 68 18,700
- 0 - -
- 0 - -
- 0 - -
- 10 33,550 -
- 0 - -
- 43 224,331 20 104,340
200 17,558.00 500 43,895 300 26,337
- 200 24,600 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 500 105,000 200 42,000
- 0 - -
- 0 - -
- 0 - -
- 0 - -
400 24,000.00 500 30,000 -
- 0 - -
48 111,600.00 68 158,100 25 58,125
- 0 - -
- 0 - -
- 20 47,205 - 20

- 0 - -
1000 155,000.00 1000 155,000 -
- 0 - -
1000 211,910.00 2200 466,202 1400 296,674
- 0 - -
- 200 19,980 100 9,990
- 0 - -
- 0 - -
- 0 - -
- 0 - -
500 30,250.00 1100 66,550 300 18,150
- 0 - -
- 500 34,305 -
- 0 - -
- 0 - -
- 0 - -
200 15,136.00 800 60,544 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 24 91,056 24 91,056
- 0 - -
- 200 132,000 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
1500 129,000.00 1500 129,000 700 60,200
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 700 89,005 200 25,430
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 5 64,520 -
- 0 - -
30 25,410.00 60 50,820 30 25,410
- 0 - -
- 0 - -
200 18,400.00 450 41,400 180 16,560
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
500 415,140.00 1500 1,245,420 700 581,196
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 10 10,790 -
- 100 21,595 -
- 200 43,188 -
- 0 - -
- 0 - -
- 200 91,200 200 91,200
- 0 - -
- 0 - -
- 0 - -
- 1 5,885 -
- 0 - -
200 63,400.00 300 95,100 100 31,700
- 0 - -
- 0 - -
- 9 42,300 -
24 46,014.48 27 51,766 4 7,669
- 0 - -
- 0 - -
12 275,124.00 12 275,124 2 45,854
- 40 119,240 -
- 0 - -
300 335,400.00 500 559,000 200 223,600
500 487,500.00 500 487,500 100 97,500
- 0 - -
6 532,800.00 10 888,000 -
- 0 - -
1000 109,990.00 1650 181,484 750 82,493
- 0 - -
- 45 310,500 17 117,300
- 0 - -
- 0 - -
- 0 - -
- 300 45,000 10 1,500
- 0 - -
- 0 - -
- 71 39,405 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 12 42,000 12 42,000
- 0 - -
- 30 40,440 -
- 0 - -
- 0 - -
200 25,800.00 1000 129,000 650 83,850
10 53,946.00 30 161,838 20 107,892
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 50 58,528 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
24 79,920.00 24 79,920 -
- 0 - -
- 1100 375,100 -
- 0 - -
- 0 - -
- 0 - -
- 800 126,392 200 31,598
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
500 36,500.00 1500 109,500 1200 87,600
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 1 192,527 1 192,527
500 43,000.00 1100 94,600 600 51,600
80 621,841.60 112 870,578 102 792,848
10 33,540.00 18 60,372 16 53,664
- 100 28,700 -
200 26,200.00 200 26,200 -
- 0 - -
10 14,884.00 18 26,791 12 17,861
- 0 - -
- 0 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 16 62,240 -
- 0 - -
- 0 - -
1000 44,000.00 1700 74,800 700 30,800
- 0 - -
- 30 31,980 -
- 0 - -
500 108,000.00 500 108,000 100 21,600
- 350 52,976 350 52,976
- 600 156,000 200 52,000
- 0 - -
- 0 - -
- 2000 510,000 700 178,500
- 0 - -
- 0 - -
- 0 - -
- 0 - -
500 123,000.00 700 172,200 200 49,200
200 14,000.00 200 14,000 -
12 1,980,000.00 12 1,980,000 -
- 42 6,426,000 -
10 199,540.00 132 2,633,928 -
20 3,116,260.00 242 37,706,746 -
20 1,579,820.00 140 11,058,740 -
1 1,325,000.00 2 2,650,000 -
20 479,820.00 94 2,255,154 -
10 619,960.00 76 4,711,696 -
- 0 - -
10 1,589,940.00 90 14,309,460 -
- 48 815,760 -
- 14 251,944 -
- 0 - -
- 8 254,800 1 31,850
1500 90,000.00 2300 138,000 1000 60,000
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
700 177,100.00 700 177,100 530 134,090
- 0 - -
- 0 - -
- 0 - -
- 300 316,800 200 211,200
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 300 495,000 -
- 30 36,494 30 36,494
- 100 105,600 100 105,600
- 0 - -
20 24,329.40 20 24,329 -
- 70 70,918 20 20,262
- 0 - -
- 1000 184,380 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
10 29,804.53 10 29,805 -
- 5 28,555 -
- 10 210,000 10 210,000
- 12 839,560 -
- 12 769,230 -
- 0 - -
- 0 - -
- 8 96,800 2 24,200
5 60,500.00 5 60,500 5 60,500
- 10 121,000 10 121,000
- 16 440,000 -
- 0 - -
- 0 - -
- 50 430,000 -
100 860,000.00 100 860,000 -
- 100 860,000 -
- 0 - -
300 335,100.00 300 335,100 300 335,100
- 0 - -
300 335,100.00 300 335,100 300 335,100
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 40 224,400 -
- 0 - -
- 0 - -
- 2 15,840 2 15,840
- 0 - -
50 279,498.00 60 335,398 5
- 0 - -
- 64 440,000 41 281,875
- 0 - -
- 42 234,778 2 11,180
- 0 - -
- 0 - -
- 0 - -
- 2 50,396 1 25,198
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
5 738,875.00 5 738,875 1 147,775
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
5 135,000.00 8 216,000 7 189,000
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 25 207,500 -
25 189,300.00 25 189,300 -
- 60 600,750 -
- 300 15,840,000 -
- 75 1,067,850 - 75

- 25 161,900 -
- 0 - -
- 4 93,592 -
- 0 - -
- 0 - -
- 24 1,075,456 0 -
- 0 - -
- 48 2,402,928 -
- 0 - -
- 0 - -
- 0 - -
10 1,854,380.00 13 2,410,694 - 10

5 660,000.00 5 660,000 5 660,000


- 0 - -
- 0 - -
- 0 - -
- 6 34,452 -
5 33,795.00 10 67,590 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 17 467,500 -
- 7 4,620,000 -
- 10 4,750,000 -
- 8 2,520,000 -
- 4 860,000 -
- 300 1,650,000 -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 54 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 7 210,000 -
- 0 - -
- 10 3,000,000 -
- 10 999,990 -
- 0 - -
- 0 - -
- 12 - -
- 15 9,900,000 -
- 12 - -
- 30 3,900,000 -
- 0 - -
- 10 275,000 -
- 0 - -
- 30 3,000,000 -
- 0 - -
- 0 - -
- 1 30,250 -
- 0 - -
- 0 - -
- 0 - -
- 1 2,500 -
- 0 - -
- 0 - -
- 2475 2,932,875 -
- 0 - -
84 105,420.00 84 105,420 -
7 3,983.00 7 3,983
- 10 13,394,400 -
- 158 - -
- 24 - -
- 35 - -
- 85 - -
- 27 - -
- 10 - -
7 - 7 -
- 23 322,000 -
1 5,382.00 1 5,382
84 6,636.00 3115 246,085 -
7 22,960.00 7 22,960
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 0 - -
- 1 302,500 -
- 0 - -
- 0 - -
- 0 - -
22,031,886.51 186,425,195.88 0 7,801,150.06

(11,034,721.00)
NOV

2022
Hal 1
SISA PERMINTAA
NILAI NILAI KET
STOK N

14 15 16 17 18

- 0 -
- 0 -
- 0 -
- 100 36,650
- 0 -
- 0 -
- 1400 124,600
- 0 -
- 0 - 50
- 0 - 500
- 0 -
- 0 -
- 0 -
- 200 33,400
- 300 22,200 2,000 1500

- 0 - 2,000
- 0 -
- 1800 415,800 1,000 1000

- 200 39,600
10,530 0 -
105,300 0 -
- 0 -
- 0 2,000 500

- 0 -
58,475 0 -
- 0 -
- 0 -
- 0 -
19,000 0 -
- 0 -
- 0 - 300

- 1200 140,400 1,000 7000

- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 300 27,900
- 0 -
- 10 15,338 48 50

- 0 -
- 3 12,975
- 7 35,595
- 0 -
- 0 -
- 0 -
- 100 21,600
57,564 0 -
- 0 -
- 600 109,200 1,500 1000

- 0 -
- 0 -
- 23 22,264
- 0 - 1,000
- 0 -
- 0 -
- 0 -
- 0 -
- 100 7,064
- 0 -
- 0 - 25 20

- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
38,765 0 - dikembalikan

- 0 - 500
- 0 -
- 20 58,080
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 10 10

- 0 -
- 35 140,095
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 30 30 gizi

43,530 0 -
- 0 -
- 0 -
- 500 137,500
- 0 -
- 0 -
- 0 -
- 10 33,550
- 0 -
- 23 119,991 24 24

- 200 17,558 200 200

- 200 24,600
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 2,000
- 300 63,000
- 0 -
- 0 -
- 0 - 200
- 0 - 200
- 500 30,000
- 0 -
- 43 99,975
- 0 -
- 0 -
47,205 0 - dikembalikan

- 0 -
- 1000 155,000
- 0 -
- 800 169,528 1,500 1500

- 0 -
- 100 9,990
- 0 -
- 0 -
- 0 -
- 0 -
- 800 48,400
- 0 -
- 500 34,305
- 0 -
- 0 -
- 0 -
- 800 60,544
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 48
- 0 -
- 200 132,000
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 800 68,800 1500 1000

- 0 -
- 0 -
- 0 -
- 0 -
- 500 63,575
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 5 64,520
- 0 -
- 30 25,410 30 30

- 0 -
- 0 -
- 270 24,840 200 200

- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 800 664,224 1,000 1000
- 0 -
- 0 - 1,000 400

- 0 -
- 0 -
- 10 10,790
- 100 21,595
- 200 43,188
- 0 - 2,000
- 0 -
- 0 - 1,000
- 0 -
- 0 -
- 0 -
- 1 5,885
- 0 -
- 200 63,400 200 200

- 0 -
- 0 -
- 9 42,300
- 23 44,097 24 24

- 0 -
- 0 -
- 10 229,270 12 12

- 40 119,240
- 0 -
- 300 335,400 500 500

- 400 390,000 1,000 500

- 0 -
- 10 888,000
- 0 -
- 900 98,991 2,000 1000

- 0 -
- 28 193,200 20 20

- 0 -
- 0 -
- 0 -
- 290 43,500
- 0 -
- 0 -
- 71 39,405
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 12 25 gizi

- 0 -
- 30 40,440
- 0 -
- 0 -
- 350 45,150 1,000 1000

- 10 53,946 30 20

- 0 -
- 0 -
- 0 - 500
- 0 -
- 0 - dikembalikan

- 50 58,528
- 0 - 10
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 24 79,920 20
- 0 -
- 1100 375,100
- 0 -
- 0 -
- 0 -
- 600 94,794
- 0 -
- 0 -
- 0 -
- 0 - 5
- 0 -
- 0 - 5
- 0 - 5
- 0 -
- 0 -
- 0 -
- 300 21,900 1,500 1500

- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 500 43,000 1,000 1000

- 10 77,730 100 100

- 2 6,708
- 100 28,700
- 200 26,200
- 0 - 500
- 6 8,930 24 10

- 0 -
- 0 - 24
- 0 -
- 0 -
- 0 - 1,000
- 0 -
- 16 62,240
- 0 -
- 0 -
- 1000 44,000 2,000 1000

- 0 -
- 30 31,980
- 0 -
- 400 86,400 300 300

- 0 -
- 400 104,000
- 0 -
- 0 -
- 1300 331,500
- 0 -
- 0 -
- 0 -
- 0 -
- 500 123,000 500 500

- 200 14,000 44835

- 12 1,980,000
- 42 6,426,000
- 132 2,633,928
- 242 37,706,746
- 140 11,058,740
- 2 2,650,000
- 94 2,255,154
- 76 4,711,696
- 0 -
- 90 14,309,460
- 48 815,760
- 14 251,944
- 0 -
- 7 222,950
- 1300 78,000 2,000 1000
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 170 43,010 1,000 600 p2m

- 0 -
- 0 -
- 0 -
- 100 105,600 200 200

- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 300 495,000
- 0 - 30 30

- 0 - 100 100

- 0 -
- 20 24,329
- 50 50,656 300 100

- 0 -
- 1000 184,380
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 10 29,805
- 5 28,555
- 0 -
- 12 839,560
- 12 769,230
- 0 -
- 0 -
- 6 72,600
- 0 - 5 5

- 0 -
- 16 440,000 20 20, 50 ml bok

- 0 - 9 dak

- 0 -
- 50 430,000
- 100 860,000 100 50

- 100 860,000
- 0 -
- 0 - 300 300

- 0 -
- 0 - 300 300

- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 40 224,400
- 0 -
- 0 -
- 0 - 100
- 0 -
- 55 307,448 25 20

- 0 -
- 23 158,125 25 25

- 0 -
- 40 223,598
- 0 -
- 0 -
- 0 -
- 1 25,198 2
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 4 591,100
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 500 500 bok

- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 - 3
- 0 - 3
- 0 -
- 1 27,000 10 10

- 0 -
- 0 -
- 0 - 20 20 p2m

- 0 -
- 0 -
- 0 - 50 25 p2m

- 0 -
- 0 - 50 25 p2m

- 25 207,500 50 30 dak

- 25 189,300
- 60 600,750
- 300 15,840,000
1,067,850 0 - 44866

- 25 161,900
- 0 -
- 4 93,592
- 0 -
- 0 -
- 24 1,075,456
- 0 -
- 48 2,402,928
- 0 -
- 0 -
- 0 - 10 5, 1 alat

1,854,380 3 556,314 10 5

- 0 - 5 5

- 0 -
- 0 -
- 0 -
- 6 34,452
- 10 67,590
- 0 -
- 0 -
- 0 -
- 0 -
- 17 467,500
- 7 4,620,000
- 10 4,750,000
- 8 2,520,000
- 4 860,000
- 300 1,650,000
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 54 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 7 210,000
- 0 -
- 10 3,000,000
- 10 999,990
- 0 -
- 0 -
- 12 -
- 15 9,900,000
- 12 -
- 30 3,900,000
- 0 - 2,000
- 10 275,000
- 0 -
- 30 3,000,000
- 0 -
- 0 -
- 1 30,250
- 0 -
- 0 -
- 0 -
- 1 2,500
- 0 -
- 0 -
- 2475 2,932,875
-
-

- 10 13,394,400
- 158 -
- 24 -
- 35 -
- 85 -
- 27 -
- 10 -

- 23 322,000

- 3115 246,085

- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 0 -
- 1 302,500
- 0 -
- 0 -
- 0 -
3,302,599.00 175,155,752.02
sabmhebb mn cm dn mc c c

k
AMLODIPIN 10 MG 1500

AMLODIPIN 5 MG
AMLODIPIN 5 MG
AMOKSISILIN KAPLET 500 MG 1000

AMOKSISILIN KAPLET 250 MG


AMOKSISILIN SIROP KERING 125 mg/5ml
AMOKSISILIN SYRUP 250 MG/ML
AMPICILIN SERBUK INJ 1 G
ANTASIDA DOEN KOMBINASI TAB 500 MG 500

ANTASIDA DOEN KOMBINASI TAB 500 MG


ASAM ASKORBAT (VIT C) 50 MG 300

ASAM MEFENAMAT TABLET SALUT 500 MG 7000

ASIKLOVIR KRIM 5 %
ASIKLOVIR TABLET 200 MG
ASIKLOVIR TABLET 400 MG
ASETYLCYSTEINE 200 MG
ATROPIN TETES MATA 0.5 %
BETAHISTIN MESILAT TAB 6 MG
BETAHISTIN MESILAT TAB 6 MG
BETAMETASON KRIM 0,1 % 50

CETIRIZINE TAB 1000

DIFENHIDRAMIN INJ 10 MG/ML 20

DIGOKSIN TABLET 0,25 MG


DOMPERIDON SIRUP 5 MG dikembalikan

ERITROMISIN SIROP 200 MG/ 5 ML


ETAKRIDIN (RIVANOL) 300 ml 10

FITOMENADION (VIT K) INJ. 30 gizi

GENTAMISIN SALEP KULIT


GENTAMISIN SULFAT TETES MATA 0,3 % 24

GLIBENKLAMIDA TABLET 5 MG 200

IBUPROFEN TABLET 400 MG 1500

ISONIAZID TABLET 300 MG


KLORFENIRAMINA MALEAT TAB 4 MG 1000

LIDOKAIN SPRAY
LIDOKAIN INJ 2 % 30

LIDOKAIN INJ 2 % + EPINEFRIN


LISOL DENGAN KRESOL SABUN 50 %
LOPERAMIDE TAB 2 MG 200

MEBENDAZOL TABLET 100 MG


MELOXICAM KAPS 7,5 MG 1000

METAMPIRON TABLET 500 MG (ANTALGIN)


METFORMIN TAB 500 MG 400

METRONIDAZOL TABLET 500 MG 200

MDT MB KUSTA DEWASA


MgSO4 20%
MgSO4 40%
MIKONAZOLE KREAM 24
MIKONAZOLE KREAM
MIKONAZOLE KREAM 2% KF
MIKORIN POWDER 12

MINERAL MIX
MINERAL MIX
MULTIVITAMIN TAB NUTRIBION 500

MULTIVITAMIN TAB BIOCOM 500

MULTIVITAMIN TAB MEVITON


MULTIVITAMIN ALBUFORCESYR
NATRIUM DKLOFENAK TABLET 25 MG
NATRIUM DKLOFENAK TABLET 50 MG 1000

NATRIUM DKLOFENAK TABLET 50 MG


NATRIUM KLORIDA LARUTAN INFUS 0.9 % 20

OKSITETRASIKLIN HCL SALEP 3 %


OKSITETRASIKLIN HCL SALEP MATA 1 % 25 gizi

OKSITETRASIKLIN SALEP MATA 1% KF


OKSITOSIN INJ 10 IU/ML
OKSITOSIN INJ 10 IU/ML
OMEPRAZOLE KAP 20 MG
OMEPRAZOLE KAPSUL 20 MG 1000

OMEPRASOL INJ 40 MG/ML 20

POVIDON SALEP
PREDNISON TABLET 5 MG 1500

PRIMAUINE/PRIMAQUINE TAB 15
PROPANOLOL TABLET 10 MG
PROPANOLOL TABLET 40 MG
PROPILITIOURASIL TABLET 100 MG
RANITIDIN INJ 25 MG / 2 ML
REGENSIA TB
RANITIDIN TABLET 150 MG 1000

RINGER LAKTAT INFUS 100

RIVANOL 100
RISPERIDON 2 MG
RISPERIDON 2 MG
SALBUTAMOL TABLET 4 MG KF
SALEP 2-4 KOMBINASI 10

SIANOKOBALAMIN TABLET 50 MCG 1000

SIANOKOBALAMIN TABLET 50 MCG KF


SIANOKOBALAMIN VIT B12 INJ 500 MCG/ML
SIANOKOBALAMIN VIT B12 INJ 500 MCG/ML
SIMVASTATIN TABLET 10 MG 300

TIAMIN (VIT B1) TABLET 50 MG


TIAMIN (VIT B1) TABLET 50 MG 500

TRIHEKSIFENIDIL 25 MG 44835

VITAMIN A 200.000 UI
VITAMIN B KOMPLEKS TABLET 1000

ZINK TAB 20 MG 600 p2m


PERBEKALAN KESEHATAN
ACCU-CHECK PERFORMA
ALAT SUNTIK SEKALI PAKAI 2,5/3 ML
ALAT SUNTIK SEKALI PAKAI 2,5/3 ML 200

ALAT SUNTIK SEKALI PAKAI 10 ML 30

ALAT SUNTIK SEKALI PAKAI 1 ML 100

ALAT SUNTIK SEKALI PAKAI 1 ML


ALAT SUNTIK SEKALI PAKAI 10 ML
ALAT SUNTIK SEKALI PAKAI 5 ML 100

FOLEY CATETER 18 5

FOLEY CATETER 20
HAND RUB 20, 50 ml bok

HAND RUB 9 dak

HAND RUB fresco


HANDSCOEN 6,5 STERIL
HANDSCON 7 50

HANDSCON 7 1/2 STERIL


HANDSCON 7 STERIL
HANDSCON L 300

HANDSCON L KARINDO
HANDSCON M 300

IV CATHETER N0 22 G 20

IV CATHETER NO 18
IV CATHETER NO 20 G 25

MASKER 500 bok

PLESTER PHARMAFIX 5 CM X 500 CM 10

PLESTER YARD
SAMPEL CONTAINER/POT
POT SPUTUM 20 p2m

REAGEN SYPHILIS
STRIP BIOLINE SYPIHILIS 3.0 100T
TREPOCHECK SYPHILIS 25 p2m

RAPID 1 (SD) /HIV TEST


RAPID TES HIV 1 25 p2m

RAPID TEST HBsAg /VIROCHECK 30 dak

RAPID TES HBsAg


STRIP SD BIOLINE HbSag
RAPID TEST ANTIGEN COVID 19 CLUNGENE
RDT MALARIA 44866

SILK 3/0 TROGE


STRIP ASAM URAT NESCO 5, 1 alat

STRIP CHOLESTEROL 5

SRTIP GULA POS BINDU 5

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