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RENCANA KEBUTUHAN REAGEN DAN BAHAN LABORATORIUM PUSKESMAS

TAHUN 2019

STOK 31 PREDIKSI RENCANA USULAN


RATA2 PMK PREDIKSI SISA STOK
KODE NO NAMA OBAT KEMASAN DESEMBER
PER BULAN
PENERIMAAN
31 DESEMBER 2018
KEBUTUHAN KEBUTUHAN
2017 2018 2019 2019

1 2 4 5 6 7=(4+6)-(12*5) 8 = ( 5 X 24 ) 9 = ( 8 - 7)

C1 1 Glucose Test Strip Box @ 50 strip - - -


C2 2 Extran Botol @ 2,5 liter - - -
3 Safe T Pro Uno blood lancet dus @ 200 bh - - -
C3
4 Dilluent Galon @ 20 lt - - -
C4
5 Rinse Galon @ 5,5 lt - - -
C5
6 Lyse Botol @ 500 ml - - -
C6
7 E-Z Cleanser Botol @ 100 ml - - -
C7
8 Probe Cleanser Botol @ 50 ml - - -
C8
9 Control Normal Hematology Analyzer Vial @ 3 ml
C9 - - -
10 NS 1 Ag card Box @ 25 test - - -
C10
11 Urine test strip 3 P Box @ 50 test - - -
C11
C12 12 Spiritus bakar Botol @ 1 liter - - -
13 Salmonella Antibodies Test Paket @ 5 ml - - -
C13
14 Alkohol 70% Botol @ 1 liter - - -
C14
15 HIV 1/2 Antibody Rapid Test Oncoprobe Box @ 50 test - - -
C15
16 HIV 1/2 Antibody Rapid Test Intec Box @ 40 test - - -
C16
17 HIV 1/2 Antibody Rapid Test Vikia Box @ 25 test - - -
C17
18 Vacutube Gel Clot activator Pack @ 100 bh - - -
C18
C19 19 AST/SGOT Reagent Kit @ 4 x 30 ml - - -
20 ALT/SGPT Reagent Kit @ 4 x 30 ml - - -
C20
21 Creatinine Reagent Kit @ 2 x 250 ml
- - -
C21
C22 22 Urea Nitrogen (BUN) Reagent Kit @ 4 x 30 ml - - -
23 Control serum normal Vial @ 5 ml - - -
C23
STOK 31 PREDIKSI RENCANA USULAN
RATA2 PMK PREDIKSI SISA STOK
KODE NO NAMA OBAT KEMASAN DESEMBER
PER BULAN
PENERIMAAN
31 DESEMBER 2018
KEBUTUHAN KEBUTUHAN
2017 2018 2019 2019

1 2 4 5 6 7=(4+6)-(12*5) 8 = ( 5 X 24 ) 9 = ( 8 - 7)
C24 24 Yellow tip Box @ 1000 bh - - -
25 Blue tip Box @ 500 bh - - -
C25
26 Uric acid test strip Box @ 25 strip - - -
C26
27 Cholesterol test strip Box @ 10 strip - - -
C27
28 Tube edta Pack @ 100 bh - - -
C28
29 Alcohol swab Pack @ 100 bh - - -
C29
30 PP test strip Box @ 50 test - - -
C30
31 Urine test strip 10 P Box @ 50 test - - -
C31
C32 32 Hb test strip Box @ 50 test - - -

Mengetahui Tabanan,………………………………….
Ka. Puskesmas…………………………………………………….. Petugas Lab Puskesmas

(…………………………………………………………………………………………) (………………………………………………………………………………)

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